ValueSet-2.16.840.1.113762.1.4.1138.725

Sourceus.nlm.vsac#0.11.0:null (v4.0.1)
resourceTypeValueSet
id2.16.840.1.113762.1.4.1138.725
canonicalhttp://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1138.725
version20180211
statusactive
publisherChange Healthcare Steward
nameMedicationReconciliationEncounterCodesMSSPACO
titleMedication Reconciliation Encounter Codes MSSP ACO
date2022-03-03T18:46:01-05:00
experimentalfalse
descriptionThe value set represents the encounters for MSSP ACO ACO 12 CARE-1 Medication Reconciliation Post-Discharge.
Usages(none)

This value set contains 63 concepts

Code System Display
   108220007 http://snomed.info/sct Evaluation AND/OR management - new patient (procedure)
   108221006 http://snomed.info/sct Evaluation AND/OR management - established patient (procedure)
   108224003 http://snomed.info/sct Preventive patient evaluation (procedure)
   14736009 http://snomed.info/sct History and physical examination with evaluation and management of patient (procedure)
   18170008 http://snomed.info/sct Subsequent nursing facility visit (procedure)
   185349003 http://snomed.info/sct Encounter for check up (procedure)
   185387006 http://snomed.info/sct New patient consultation (procedure)
   185463005 http://snomed.info/sct Visit out of hours (procedure)
   185465003 http://snomed.info/sct Weekend visit (procedure)
   207195004 http://snomed.info/sct History and physical examination with evaluation and management of nursing facility patient (procedure)
   209099002 http://snomed.info/sct History and physical examination with management of domiciliary or rest home patient (procedure)
   210098006 http://snomed.info/sct Domiciliary or rest home patient evaluation and management (procedure)
   270427003 http://snomed.info/sct Patient-initiated encounter (procedure)
   270430005 http://snomed.info/sct Provider-initiated encounter (procedure)
   281036007 http://snomed.info/sct Follow-up consultation (procedure)
   308335008 http://snomed.info/sct Patient encounter procedure (procedure)
   390906007 http://snomed.info/sct Follow-up encounter (procedure)
   406547006 http://snomed.info/sct Urgent follow-up (procedure)
   439708006 http://snomed.info/sct Home visit (procedure)
   50357006 http://snomed.info/sct Evaluation and management of patient at home (procedure)
   78318003 http://snomed.info/sct History and physical examination, annual for health maintenance (procedure)
   84251009 http://snomed.info/sct Comprehensive consultation (procedure)
   86013001 http://snomed.info/sct Periodic reevaluation and management of healthy individual (procedure)
   90526000 http://snomed.info/sct Initial evaluation and management of healthy individual (procedure)
  90791 http://www.ama-assn.org/go/cpt Psychiatric diagnostic evaluation
  90792 http://www.ama-assn.org/go/cpt Psychiatric diagnostic evaluation with medical services
  90832 http://www.ama-assn.org/go/cpt Psychotherapy, 30 minutes with patient
  90834 http://www.ama-assn.org/go/cpt Psychotherapy, 45 minutes with patient
  90837 http://www.ama-assn.org/go/cpt Psychotherapy, 60 minutes with patient
  90839 http://www.ama-assn.org/go/cpt Psychotherapy for crisis; first 60 minutes
  90845 http://www.ama-assn.org/go/cpt Psychoanalysis
  99202 http://www.ama-assn.org/go/cpt Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter.
  99203 http://www.ama-assn.org/go/cpt Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 30-44 minutes of total time is spent on the date of the encounter.
  99204 http://www.ama-assn.org/go/cpt Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 45-59 minutes of total time is spent on the date of the encounter.
  99205 http://www.ama-assn.org/go/cpt Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 60-74 minutes of total time is spent on the date of the encounter.
  99211 http://www.ama-assn.org/go/cpt Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional
  99212 http://www.ama-assn.org/go/cpt Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 10-19 minutes of total time is spent on the date of the encounter.
  99213 http://www.ama-assn.org/go/cpt Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 20-29 minutes of total time is spent on the date of the encounter.
  99214 http://www.ama-assn.org/go/cpt Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 30-39 minutes of total time is spent on the date of the encounter.
  99215 http://www.ama-assn.org/go/cpt Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter.
  99242 http://www.ama-assn.org/go/cpt Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.
  99243 http://www.ama-assn.org/go/cpt Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.
  99244 http://www.ama-assn.org/go/cpt Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.
  99245 http://www.ama-assn.org/go/cpt Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 55 minutes must be met or exceeded.
  99341 http://www.ama-assn.org/go/cpt Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.
  99342 http://www.ama-assn.org/go/cpt Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.
  99344 http://www.ama-assn.org/go/cpt Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.
  99345 http://www.ama-assn.org/go/cpt Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 75 minutes must be met or exceeded.
  99347 http://www.ama-assn.org/go/cpt Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.
  99348 http://www.ama-assn.org/go/cpt Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.
  99349 http://www.ama-assn.org/go/cpt Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.
  99350 http://www.ama-assn.org/go/cpt Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.
  99387 http://www.ama-assn.org/go/cpt Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 65 years and older
  99397 http://www.ama-assn.org/go/cpt Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 65 years and older
  99401 http://www.ama-assn.org/go/cpt Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 15 minutes
  99402 http://www.ama-assn.org/go/cpt Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 30 minutes
  99403 http://www.ama-assn.org/go/cpt Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 45 minutes
  99404 http://www.ama-assn.org/go/cpt Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 60 minutes
  99605 http://www.ama-assn.org/go/cpt Medication therapy management service(s) provided by a pharmacist, individual, face-to-face with patient, with assessment and intervention if provided; initial 15 minutes, new patient
  99606 http://www.ama-assn.org/go/cpt Medication therapy management service(s) provided by a pharmacist, individual, face-to-face with patient, with assessment and intervention if provided; initial 15 minutes, established patient
  G0402 http://www.nlm.nih.gov/research/umls/hcpcs Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
  G0438 http://www.nlm.nih.gov/research/umls/hcpcs Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
  G0439 http://www.nlm.nih.gov/research/umls/hcpcs Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit

Produced 08 Sep 2023