Appendix B: Relationship Code

Relationship codes listed are based on CMS HIPAA Individual Relationship codes, https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/downloads/R9MSP.pdf.

ValueDescription

01

Spouse

04

Grandfather or Grandmother

05

Grandson or Granddaughter

07

Nephew or Niece

10

Foster Child

15

Ward

17

Stepson or Stepdaughter

18

Self

19

Child

20

Employee

21

Unknown

22

Handicapped Dependent

23

Sponsored Dependent

24

Dependent of a Minor Dependent

29

Significant Other

32

Mother

33

Father

34

Other Adult

36

Emancipated Minor

39

Organ Donor

40

Cadaver Donor

41

Injured Plaintiff

43

Child Where Insured Has No Financial Responsibility

53

Life Partner