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Type:
Change Request
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Resolution: Unresolved
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Priority:
Medium
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US Da Vinci PDex (FHIR)
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0.1 [deprecated]
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Financial Mgmt
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(profiles) [deprecated]
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Yes
Update US Core Procedure with latest mappings from CPCDS and CARIN Blue Button
Procedure Code: The table below refers to the ICD Procedures. These are only used for Inpatient Facility claims. What is missing are the CPT / HCPCS codes. They’re available in
ExplanationOfBenefit.item.productOrService. Data element name is Procedure Code - CPT / HCPCS, Map ID is 40.
- a) Procedure Code Modifiers: These accompany procedure codes to clarify, for example, right knee vs left knee. They’re available in ExplanationOfBenefit.item.modifiers. Data element name is Procedure Code Modifier - CPT / HCPCS, Map ID is 41
- b) Dates of service: ExplanationOfBenefit.item.serviced.servicedPeriod or ExplanationOfBenefit.item.serviced.servicedDate. Data element names are Service (from) date and Service to date; MapIDs are 90, 119
- c) A Place of Service is coded for professional claims; it may be of value: ExplanationOfBenefit.item.location. locationCodeableConcept. Data element name is Place of service code; MapID is 46
- d) A Service Facility is coded for professional claims; it may be of value: ExplanationOfBenefit.item.supportingInfo.location. locationCodeableConcept. Map ID is 97, 170, 176, data element names are Service Facility NPI (if available), Name and Address