Source | us.nlm.vsac#0.11.0:null (v4.0.1) |
resourceType | ValueSet |
id | 2.16.840.1.113762.1.4.1138.725 |
canonical | http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1138.725 |
version | 20180211 |
status | active |
publisher | Change Healthcare Steward |
name | MedicationReconciliationEncounterCodesMSSPACO |
title | Medication Reconciliation Encounter Codes MSSP ACO |
date | 2022-03-03T18:46:01-05:00 |
experimental | false |
description | The 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