ValueSet-2.16.840.1.113762.1.4.1166.135

Sourceus.nlm.vsac#0.11.0:null (v4.0.1)
resourceTypeValueSet
id2.16.840.1.113762.1.4.1166.135
canonicalhttp://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1166.135
version20211013
statusactive
publisherOPA Steward
nameGeneralPrenatalCareVisits
titleGeneral Prenatal Care Visits
date2022-03-03T18:46:01-05:00
experimentalfalse
descriptionFor Contraceptive eCQMs Approval for Trial Use application in Spring 2022; This set of values contains codes indicating visits for prenatal care.
Usages(none)

This value set contains 18 concepts

Code System Display
   281036007 http://snomed.info/sct Follow-up consultation (procedure)
   77406008 http://snomed.info/sct Confirmatory medical consultation (procedure)
  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.
  99483 http://www.ama-assn.org/go/cpt Assessment of and care planning for a patient with cognitive impairment, requiring an independent historian, in the office or other outpatient, home or domiciliary or rest home, with all of the following required elements: Cognition-focused evaluation including a pertinent history and examination, Medical decision making of moderate or high complexity, Functional assessment (eg, basic and instrumental activities of daily living), including decision-making capacity, Use of standardized instruments for staging of dementia (eg, functional assessment staging test [FAST], clinical dementia rating [CDR]), Medication reconciliation and review for high-risk medications, Evaluation for neuropsychiatric and behavioral symptoms, including depression, including use of standardized screening instrument(s), Evaluation of safety (eg, home), including motor vehicle operation, Identification of caregiver(s), caregiver knowledge, caregiver needs, social supports, and the willingness of caregiver to take on caregiving tasks, Development, updating or revision, or review of an Advance Care Plan, Creation of a written care plan, including initial plans to address any neuropsychiatric symptoms, neuro-cognitive symptoms, functional limitations, and referral to community resources as needed (eg, rehabilitation services, adult day programs, support groups) shared with the patient and/or caregiver with initial education and support. Typically, 60 minutes of total time is spent on the date of the encounter.
  G0463 http://www.nlm.nih.gov/research/umls/hcpcs Hospital outpatient clinic visit for assessment and management of a patient
  T1015 http://www.nlm.nih.gov/research/umls/hcpcs Clinic visit/encounter, all-inclusive

Produced 08 Sep 2023