{
  "resourceType": "ValueSet",
  "id": "spark498",
  "meta": {
    "versionId": "spark498",
    "lastUpdated": "2015-10-02T12:21:04.422+00:00",
    "profile": [
      "http://hl7.org/fhir/StructureDefinition/valueset-shareable-definition"
    ]
  },
  "text": {
    "status": "additional",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Value Code</p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>Description</b></td><td><b>Comment</b></td><td><b>Version</b></td></tr><tr><td>...\r\n                  <a name=\".46.46.46\"></a></td><td>See NUBC codes</td><td /><td>added v2.5.1</td></tr><tr><td>01\r\n                  <a name=\"01\"></a></td><td>Most common semi-private rate</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>02\r\n                  <a name=\"02\"></a></td><td>Hospital has no semi-private rooms</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>04\r\n                  <a name=\"04\"></a></td><td>Inpatient professional component charges which are combined billed</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>05\r\n                  <a name=\"05\"></a></td><td>Professional component included in charges and also billed separate to carrier</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>06\r\n                  <a name=\"06\"></a></td><td>Medicare blood deductible</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>08\r\n                  <a name=\"08\"></a></td><td>Medicare life time reserve amount in the first calendar year</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>09\r\n                  <a name=\"09\"></a></td><td>Medicare co-insurance amount in the first calendar year</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>10\r\n                  <a name=\"10\"></a></td><td>Lifetime reserve amount in the second calendar year</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>11\r\n                  <a name=\"11\"></a></td><td>Co-insurance amount in the second calendar year</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>12\r\n                  <a name=\"12\"></a></td><td>Working aged beneficiary/spouse with employer group health plan</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>13\r\n                  <a name=\"13\"></a></td><td>ESRD beneficiary in a Medicare coordination period with an employer group health plan</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>14\r\n                  <a name=\"14\"></a></td><td>No Fault including auto/other</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>15\r\n                  <a name=\"15\"></a></td><td>Worker's Compensation</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>16\r\n                  <a name=\"16\"></a></td><td>PHS, or other federal agency</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>17\r\n                  <a name=\"17\"></a></td><td>Payer code</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>21\r\n                  <a name=\"21\"></a></td><td>Catastrophic</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>22\r\n                  <a name=\"22\"></a></td><td>Surplus</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>23\r\n                  <a name=\"23\"></a></td><td>Recurring monthly incode</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>24\r\n                  <a name=\"24\"></a></td><td>Medicaid rate code</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>30\r\n                  <a name=\"30\"></a></td><td>Pre-admission testing</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>31\r\n                  <a name=\"31\"></a></td><td>Patient liability amount</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>37\r\n                  <a name=\"37\"></a></td><td>Pints of blood furnished</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>38\r\n                  <a name=\"38\"></a></td><td>Blood deductible pints</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>39\r\n                  <a name=\"39\"></a></td><td>Pints of blood replaced</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>40\r\n                  <a name=\"40\"></a></td><td>New coverage not implemented by HMO (for inpatient service only)</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>41\r\n                  <a name=\"41\"></a></td><td>Black lung</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>42\r\n                  <a name=\"42\"></a></td><td>VA</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>43\r\n                  <a name=\"43\"></a></td><td>Disabled beneficiary under age 64 with LGHP</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>44\r\n                  <a name=\"44\"></a></td><td>Amount provider agreed to accept from primary payer when this amount is less than charges but higher than payment received,, then a Medicare secondary payment is due</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>45\r\n                  <a name=\"45\"></a></td><td>Accident hour</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>46\r\n                  <a name=\"46\"></a></td><td>Number of grace days</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>47\r\n                  <a name=\"47\"></a></td><td>Any liability insurance</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>48\r\n                  <a name=\"48\"></a></td><td>Hemoglobin reading</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>49\r\n                  <a name=\"49\"></a></td><td>Hematocrit reading</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>50\r\n                  <a name=\"50\"></a></td><td>Physical therapy visits</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>51\r\n                  <a name=\"51\"></a></td><td>Occupational therapy visits</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>52\r\n                  <a name=\"52\"></a></td><td>Speech therapy visits</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>53\r\n                  <a name=\"53\"></a></td><td>Cardiac rehab visits</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>56\r\n                  <a name=\"56\"></a></td><td>Skilled nurse - home visit hours</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>57\r\n                  <a name=\"57\"></a></td><td>Home health aide - home visit hours</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>58\r\n                  <a name=\"58\"></a></td><td>Arterial blood gas</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>59\r\n                  <a name=\"59\"></a></td><td>Oxygen saturation</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>60\r\n                  <a name=\"60\"></a></td><td>HHA branch MSA</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>67\r\n                  <a name=\"67\"></a></td><td>Peritoneal dialysis</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>68\r\n                  <a name=\"68\"></a></td><td>EPO-drug</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>70\r\n                  <a name=\"70\"></a></td><td>Payer codes</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>70 ... 72\r\n                  <a name=\"70.46.46.4672\"></a></td><td>Payer codes</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>71\r\n                  <a name=\"71\"></a></td><td>Payer codes</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>72\r\n                  <a name=\"72\"></a></td><td>Payer codes</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>75\r\n                  <a name=\"75\"></a></td><td>Payer codes</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>75 ... 79\r\n                  <a name=\"75.46.46.4679\"></a></td><td>Payer codes</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>76\r\n                  <a name=\"76\"></a></td><td>Payer codes</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>77\r\n                  <a name=\"77\"></a></td><td>Payer codes</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>78\r\n                  <a name=\"78\"></a></td><td>Payer codes</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>79\r\n                  <a name=\"79\"></a></td><td>Payer codes</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>80\r\n                  <a name=\"80\"></a></td><td>Psychiatric visits</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>81\r\n                  <a name=\"81\"></a></td><td>Visits subject to co-payment</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>A1\r\n                  <a name=\"A1\"></a></td><td>Deductible payer A</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>A2\r\n                  <a name=\"A2\"></a></td><td>Coinsurance payer A</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>A3\r\n                  <a name=\"A3\"></a></td><td>Estimated responsibility payer A</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>X0\r\n                  <a name=\"X0\"></a></td><td>Service excluded on primary policy</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>X4\r\n                  <a name=\"X4\"></a></td><td>Supplemental coverage</td><td>deprecated</td><td>added v2.3.1, removed after v2.4</td></tr><tr><td>…\r\n                  <a name=\".8230\"></a></td><td>See NUBC codes</td><td>deprecated</td><td>added v2.7.1, removed after v2.7.1</td></tr></table></div>"
  },
  "url": "http://hl7.org/fhir/ValueSet/v2-0153",
  "version": "2.8.2",
  "name": "v2 Value Code",
  "status": "active",
  "experimental": true,
  "publisher": "HL7, Inc",
  "contact": [
    {
      "telecom": [
        {
          "system": "other",
          "value": "http://hl7.org"
        }
      ]
    }
  ],
  "description": "FHIR Value set/code system definition for HL7 v2 table 0153 ( Value Code)",
  "codeSystem": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/StructureDefinition/valueset-oid",
        "valueUri": "urn:oid:2.16.840.1.133883.18.72"
      }
    ],
    "system": "http://hl7.org/fhir/v2/0153",
    "caseSensitive": false,
    "concept": [
      {
        "code": "...",
        "display": "See NUBC codes"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "01",
        "display": "Most common semi-private rate"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "02",
        "display": "Hospital has no semi-private rooms"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "04",
        "display": "Inpatient professional component charges which are combined billed"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "05",
        "display": "Professional component included in charges and also billed separate to carrier"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "06",
        "display": "Medicare blood deductible"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "08",
        "display": "Medicare life time reserve amount in the first calendar year"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "09",
        "display": "Medicare co-insurance amount in the first calendar year"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "10",
        "display": "Lifetime reserve amount in the second calendar year"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "11",
        "display": "Co-insurance amount in the second calendar year"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "12",
        "display": "Working aged beneficiary/spouse with employer group health plan"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "13",
        "display": "ESRD beneficiary in a Medicare coordination period with an employer group health plan"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "14",
        "display": "No Fault including auto/other"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "15",
        "display": "Worker's Compensation"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "16",
        "display": "PHS, or other federal agency"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "17",
        "display": "Payer code"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "21",
        "display": "Catastrophic"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "22",
        "display": "Surplus"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "23",
        "display": "Recurring monthly incode"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "24",
        "display": "Medicaid rate code"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "30",
        "display": "Pre-admission testing"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "31",
        "display": "Patient liability amount"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "37",
        "display": "Pints of blood furnished"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "38",
        "display": "Blood deductible pints"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "39",
        "display": "Pints of blood replaced"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "40",
        "display": "New coverage not implemented by HMO (for inpatient service only)"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "41",
        "display": "Black lung"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "42",
        "display": "VA"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "43",
        "display": "Disabled beneficiary under age 64 with LGHP"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "44",
        "display": "Amount provider agreed to accept from primary payer when this amount is less than charges but higher than payment received,, then a Medicare secondary payment is due"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "45",
        "display": "Accident hour"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "46",
        "display": "Number of grace days"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "47",
        "display": "Any liability insurance"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "48",
        "display": "Hemoglobin reading"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "49",
        "display": "Hematocrit reading"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "50",
        "display": "Physical therapy visits"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "51",
        "display": "Occupational therapy visits"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "52",
        "display": "Speech therapy visits"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "53",
        "display": "Cardiac rehab visits"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "56",
        "display": "Skilled nurse - home visit hours"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "57",
        "display": "Home health aide - home visit hours"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "58",
        "display": "Arterial blood gas"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "59",
        "display": "Oxygen saturation"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "60",
        "display": "HHA branch MSA"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "67",
        "display": "Peritoneal dialysis"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "68",
        "display": "EPO-drug"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "70",
        "display": "Payer codes"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "70 ... 72",
        "display": "Payer codes"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "71",
        "display": "Payer codes"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "72",
        "display": "Payer codes"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "75",
        "display": "Payer codes"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "75 ... 79",
        "display": "Payer codes"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "76",
        "display": "Payer codes"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "77",
        "display": "Payer codes"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "78",
        "display": "Payer codes"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "79",
        "display": "Payer codes"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "80",
        "display": "Psychiatric visits"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "81",
        "display": "Visits subject to co-payment"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "A1",
        "display": "Deductible payer A"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "A2",
        "display": "Coinsurance payer A"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "A3",
        "display": "Estimated responsibility payer A"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "X0",
        "display": "Service excluded on primary policy"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "X4",
        "display": "Supplemental coverage"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
            "valueBoolean": true
          }
        ],
        "code": "…",
        "display": "See NUBC codes"
      }
    ]
  }
}