haau3 FHIR Implementation Guide (HFIG)
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ValueSet: CMS PBP Service Category

Official URL: https://haau3.com/fhir/ValueSet/cms-pbp-service-category Version: 1.0.0
Active as of 2026-10-14 Computable Name: CmsPbpServiceCategoryVS

Every CMS PBP service category this guide hosts.

References

This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Logical Definition (CLD)

 

Expansion

Expansion performed internally based on codesystem CMS PBP Service Category v1.0.0 (CodeSystem)

This value set contains 59 concepts

SystemCodeDisplay (en)JSONXML
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  1aInpatient Hospital-Acute
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  1bInpatient Hospital Psychiatric
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  2Skilled Nursing Facility (SNF)
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  3-1Cardiac Rehabilitation Services
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  3-2Intensive Cardiac Rehabilitation Services
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  3-3Pulmonary Rehabilitation Services
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  3-4SET for PAD Services
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  4aEmergency Services
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  4bUrgently Needed Services
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  5aPartial Hospitalization Program
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  5bIntensive Outpatient Program Services
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  6Home Health Services
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  7aPrimary Care Physician Services
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  7bChiropractic Services
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  7cOccupational Therapy Services
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  7dPhysician Specialist Services
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  7e1Individual Sessions for Mental Health Specialty Services
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  7e2Group Sessions for Mental Health Specialty Services
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  7fPodiatry Services
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  7gOther Health Care Professional
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  7h1Individual Sessions for Psychiatric Services
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  7h2Group Sessions for Psychiatric Services
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  7iPhysical Therapy and Speech-Language Pathology Services
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  7jAdditional Telehealth Benefits
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  7kOpioid Treatment Program Services
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  8a1Diagnostic Procedures/Tests
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  8a2Lab Services
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  8b1Diagnostic Radiological Services
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  8b2Therapeutic Radiological Services
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  8b3Outpatient X-Ray Services
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  9a1Outpatient Hospital Services
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  9a2Observation Services
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  9bAmbulatory Surgical Center (ASC) Services
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  9c1Individual Sessions for Outpatient Substance Abuse
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  9c2Group Sessions for Outpatient Substance Abuse
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  9dOutpatient Blood Services
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  10a1Ground Ambulance Services
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  10a2Air Ambulance Services
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  11aDurable Medical Equipment (DME)
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  11b1Prosthetic Devices
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  11b2Medical Supplies
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  11c1Diabetic Supplies
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  11c2Diabetic Therapeutic Shoes/Inserts
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  11c3Diabetic Monitors
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  12Dialysis Services
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  14aMedicare-covered Zero Dollar Preventive Services
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  14dKidney Disease Education Services
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  14e1Glaucoma Screening
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  14e2Diabetes Self-Management Training
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  14e4Digital Rectal Exams
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  14e5EKG following Welcome Visit
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  15-1-IMedicare Part B Insulin Drugs
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  15-2Medicare Part B Chemotherapy/Radiation Drugs
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  15-3Other Medicare Part B Drugs
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  16aMedicare Dental Services
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  17aEye Exams
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  17bEyewear
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  18aHearing Exams
https://haau3.com/fhir/CodeSystem/cms-pbp-service-category  20Prescription Drugs (Cost Plans Only)

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code