FHIR Implementation Guide for ABDM
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This page is part of the FHIR Implementation Guide for ABDM (v6.0.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

CodeSystem: Claim Exclusion

Official URL: https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-claim-exclusion Version: 6.0.0
Draft as of 2023-07-05 Computable Name: ClaimExclusion

This CodeSystem comprises codes that describes excluded coverage within a health insurance product.

This Code system is referenced in the content logical definition of the following value sets:

This case-sensitive code system https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-claim-exclusion defines the following codes:

CodeDisplay
Excl01 Pre-Existing Diseases
Excl02 Specified disease/procedure waiting period
Excl03 30-day waiting period
Excl04 Investigation Evaluation
Excl05 Rest Cure,Rehabilitation and Respite Care
Excl06 Obesity/Weight Control
Excl07 Change-of-Gender treatments
Excl08 Cosmetic or plastic Surgery
Excl09 Hazardous or Adventure sports
Excl10 Breach of law
Excl11 Excluded Providers
Excl12 Rehabilitation
Excl13 Hydrotherapy
Excl14 Non-prescription
Excl15 Refractive Error
Excl16 Unproven Treatments
Excl17 Sterility and Infertility
Excl18 Maternity Expenses