Deprecated CPHA Fields & codes



Deprecated CPHA Fields

Field Name Notes
A.02.03 Version Number Not required; FHIR has its own version number
Special Services Codes Not part of the dispense message; however must remain until all adjudicators support claims over 10K as existing SSC's are the key indicator; remains in Professional services claim. If we move to a new message for over 10K, this can be removed from the dispense message

Deprecated Codes

Code Value Set Notes Deprecated Release
QJ Intervention & Exception Can be derived from Patient as Payee PCS1.0.0
DA Intervention & Exception
Adjusted to interchangeable-prov. reg
Can be derived; refer to complex Mapping Rules PCS1.0.0
DB Intervention & Exception
Adjusted to interchangeable-gen. plan
Can be derived; Refer to Complex Mapping Rules PCS1.0.0
R SSC partial claim, cost exceeds $9999.99
expanded $ fields so no longer required
TBD - after all adjudicators support single claims
S SSC remainder of claim, cost exceeds $9999.99
expanded $ fields so no longer required
TBD - after all adjudicators support single claims
MT Intervention & Exception Trial Prescription will now be indicated using the Dispense.type field PCS1.0.0