haau3 FHIR Implementation Guide (HFIG) - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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CodeSystem: CMS PBP Service Category

Official URL: https://haau3.com/fhir/CodeSystem/cms-pbp-service-category				Version: 1.0.0
Active as of 2026-10-14				Computable Name: CmsPbpServiceCategoryCS
Copyright/Legal: Codes and labels from the Plan Benefit Package (PBP) Benefits 2027 data dictionary (PBP_Benefits_2027_dictionary.xlsx, in https://www.cms.gov/files/zip/pbp-benefits-2027.zip), published by the Centers for Medicare & Medicaid Services, a work of the U.S. Government. Each label is the dictionary's own with its leading code removed. CMS does not endorse haau3 or this guide.

The Medicare-covered service categories of CMS's Plan Benefit Package (PBP) Benefits 2027 files, with their codes and labels as CMS's data dictionary gives them. A Medicare Advantage benefit in Plan Benefits carries one of these beside its SBC benefit category, as the fixed reference to CMS's files. CMS publishes no code system for them; haau3 hosts them, verbatim, until CMS or the SBC guide does. The supplemental categories are not yet included.

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

• CMS PBP Service Category