ValueSet-2.16.840.1.113883.3.526.3.1011

Sourceus.nlm.vsac#0.11.0:null (v4.0.1)
resourceTypeValueSet
id2.16.840.1.113883.3.526.3.1011
canonicalhttp://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1011
version20190315
statusactive
publisherNCQA PHEMUR
nameOccupationalTherapyEvaluation
titleOccupational Therapy Evaluation
date2022-03-03T18:46:01-05:00
experimentalfalse
Usages(none)

This value set contains 12 concepts

Code System Display
   228653003 http://snomed.info/sct Occupational therapy home visit (regime/therapy)
   410155007 http://snomed.info/sct Occupational therapy assessment (procedure)
   410156008 http://snomed.info/sct Occupational therapy education (procedure)
   410157004 http://snomed.info/sct Occupational therapy management (procedure)
   423602000 http://snomed.info/sct Occupational therapy surveillance (regime/therapy)
   424574000 http://snomed.info/sct Occupational therapy education, guidance, counseling (procedure)
   59694001 http://snomed.info/sct Occupational social therapy (regime/therapy)
   84478008 http://snomed.info/sct Occupational therapy (regime/therapy)
  97165 http://www.ama-assn.org/go/cpt Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.
  97166 http://www.ama-assn.org/go/cpt Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family.
  97167 http://www.ama-assn.org/go/cpt Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.
  97168 http://www.ama-assn.org/go/cpt Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family.

Produced 08 Sep 2023