ValueSet-2.16.840.1.113883.3.464.1003.103.12.1012

Sourceus.nlm.vsac#0.11.0:null (v4.0.1)
resourceTypeValueSet
id2.16.840.1.113883.3.464.1003.103.12.1012
canonicalhttp://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.103.12.1012
version20140501
statusactive
publisherNCQA PHEMUR
nameDiabetesVisit
titleDiabetes Visit
date2022-03-03T18:46:01-05:00
experimentalfalse
Usages(none)

This value set contains 82 concepts

Code System Display
   12843005 http://snomed.info/sct Subsequent hospital visit by physician (procedure)
   18170008 http://snomed.info/sct Subsequent nursing facility visit (procedure)
   185349003 http://snomed.info/sct Encounter for check up (procedure)
   185463005 http://snomed.info/sct Visit out of hours (procedure)
   185465003 http://snomed.info/sct Weekend visit (procedure)
   19681004 http://snomed.info/sct Nursing evaluation of patient and report (procedure)
   207195004 http://snomed.info/sct History and physical examination with evaluation and management of nursing facility patient (procedure)
   225687009 http://snomed.info/sct Observing eye during eye care (procedure)
   252833009 http://snomed.info/sct Extended tonometry (procedure)
   252835002 http://snomed.info/sct Extended tonometry - office hours (procedure)
   252836001 http://snomed.info/sct Extended tonometry - 24 hours (procedure)
   25434003 http://snomed.info/sct Limited eye examination (procedure)
   268360001 http://snomed.info/sct Visual testing (procedure)
   270427003 http://snomed.info/sct Patient-initiated encounter (procedure)
   270430005 http://snomed.info/sct Provider-initiated encounter (procedure)
   308335008 http://snomed.info/sct Patient encounter procedure (procedure)
   36228007 http://snomed.info/sct Ophthalmic examination and evaluation (procedure)
   390906007 http://snomed.info/sct Follow-up encounter (procedure)
   397532009 http://snomed.info/sct Visual field examination for driving (procedure)
   397533004 http://snomed.info/sct Eye examination for driving (procedure)
   406547006 http://snomed.info/sct Urgent follow-up (procedure)
   439708006 http://snomed.info/sct Home visit (procedure)
   4525004 http://snomed.info/sct Emergency department patient visit (procedure)
   66902005 http://snomed.info/sct Ophthalmic examination and evaluation, follow-up (procedure)
   78831002 http://snomed.info/sct Comprehensive eye examination (procedure)
   87790002 http://snomed.info/sct Follow-up inpatient consultation visit (procedure)
   90526000 http://snomed.info/sct Initial evaluation and management of healthy individual (procedure)
  92002 http://www.ama-assn.org/go/cpt Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient
  92004 http://www.ama-assn.org/go/cpt Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits
  92012 http://www.ama-assn.org/go/cpt Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient
  92014 http://www.ama-assn.org/go/cpt Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits
  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.
  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.
  99221 http://www.ama-assn.org/go/cpt Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.
  99222 http://www.ama-assn.org/go/cpt Initial hospital inpatient or observation care, per day, for the evaluation and management of a 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, 55 minutes must be met or exceeded.
  99223 http://www.ama-assn.org/go/cpt Initial hospital inpatient or observation care, per day, for the evaluation and management of a 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.
  99231 http://www.ama-assn.org/go/cpt Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.
  99232 http://www.ama-assn.org/go/cpt Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a 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, 35 minutes must be met or exceeded.
  99233 http://www.ama-assn.org/go/cpt Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a 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, 50 minutes must be met or exceeded.
  99238 http://www.ama-assn.org/go/cpt Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter
  99239 http://www.ama-assn.org/go/cpt Hospital inpatient or observation discharge day management; more than 30 minutes 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.
  99252 http://www.ama-assn.org/go/cpt Inpatient or observation 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, 35 minutes must be met or exceeded.
  99253 http://www.ama-assn.org/go/cpt Inpatient or observation 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, 45 minutes must be met or exceeded.
  99254 http://www.ama-assn.org/go/cpt Inpatient or observation 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, 60 minutes must be met or exceeded.
  99255 http://www.ama-assn.org/go/cpt Inpatient or observation 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, 80 minutes must be met or exceeded.
  99281 http://www.ama-assn.org/go/cpt Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional
  99282 http://www.ama-assn.org/go/cpt Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making
  99283 http://www.ama-assn.org/go/cpt Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making
  99284 http://www.ama-assn.org/go/cpt Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making
  99285 http://www.ama-assn.org/go/cpt Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making
  99291 http://www.ama-assn.org/go/cpt Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes
  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.
  99381 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; infant (age younger than 1 year)
  99382 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; early childhood (age 1 through 4 years)
  99383 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; late childhood (age 5 through 11 years)
  99384 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; adolescent (age 12 through 17 years)
  99391 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; infant (age younger than 1 year)
  99392 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; early childhood (age 1 through 4 years)
  99393 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; late childhood (age 5 through 11 years)
  99394 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; adolescent (age 12 through 17 years)
  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
  99429 http://www.ama-assn.org/go/cpt Unlisted preventive medicine service

Produced 08 Sep 2023