ValueSet-2.16.840.1.113883.3.600.1916

This value set contains 106 concepts

Code	System	Display
10197000	http://snomed.info/sct	Psychiatric interview and evaluation (procedure)
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)
108311000	http://snomed.info/sct	Psychiatric procedure, interview AND/OR consultation (procedure)
13607009	http://snomed.info/sct	Manual examination of breast (procedure)
14736009	http://snomed.info/sct	History and physical examination with evaluation and management of patient (procedure)
165171009	http://snomed.info/sct	Initial psychiatric evaluation (procedure)
171207006	http://snomed.info/sct	Depression screening (procedure)
18512000	http://snomed.info/sct	Individual psychotherapy (regime/therapy)
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)
252603000	http://snomed.info/sct	Tinnitus assessment (procedure)
270427003	http://snomed.info/sct	Patient-initiated encounter (procedure)
270430005	http://snomed.info/sct	Provider-initiated encounter (procedure)
302440009	http://snomed.info/sct	Psychiatric pharmacologic management (procedure)
308335008	http://snomed.info/sct	Patient encounter procedure (procedure)
35025007	http://snomed.info/sct	Manual pelvic examination (procedure)
370803007	http://snomed.info/sct	Evaluation of psychosocial impact on plan of care (procedure)
390906007	http://snomed.info/sct	Follow-up encounter (procedure)
406547006	http://snomed.info/sct	Urgent follow-up (procedure)
410155007	http://snomed.info/sct	Occupational therapy assessment (procedure)
410157004	http://snomed.info/sct	Occupational therapy management (procedure)
46662001	http://snomed.info/sct	Examination of breast (procedure)
53555003	http://snomed.info/sct	Basic comprehensive audiometry testing (procedure)
59400	http://www.ama-assn.org/go/cpt	Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care
59510	http://www.ama-assn.org/go/cpt	Routine obstetric care including antepartum care, cesarean delivery, and postpartum care
59610	http://www.ama-assn.org/go/cpt	Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery
59618	http://www.ama-assn.org/go/cpt	Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery
78318003	http://snomed.info/sct	History and physical examination, annual for health maintenance (procedure)
83607001	http://snomed.info/sct	Gynecologic examination (procedure)
8411005	http://snomed.info/sct	Interactive individual medical psychotherapy (regime/therapy)
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
92625	http://www.ama-assn.org/go/cpt	Assessment of tinnitus (includes pitch, loudness matching, and masking)
96105	http://www.ama-assn.org/go/cpt	Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour
96110	http://www.ama-assn.org/go/cpt	Developmental screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument
96112	http://www.ama-assn.org/go/cpt	Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report; first hour
96116	http://www.ama-assn.org/go/cpt	Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour
96125	http://www.ama-assn.org/go/cpt	Standardized cognitive performance testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional's time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report
96136	http://www.ama-assn.org/go/cpt	Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; first 30 minutes
96138	http://www.ama-assn.org/go/cpt	Psychological or neuropsychological test administration and scoring by technician, two or more tests, any method; first 30 minutes
96156	http://www.ama-assn.org/go/cpt	Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making)
96158	http://www.ama-assn.org/go/cpt	Health behavior intervention, individual, face-to-face; initial 30 minutes
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.
97802	http://www.ama-assn.org/go/cpt	Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes
97803	http://www.ama-assn.org/go/cpt	Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes
99078	http://www.ama-assn.org/go/cpt	Physician or other qualified health care professional qualified by education, training, licensure/regulation (when applicable) educational services rendered to patients in a group setting (eg, prenatal, obesity, or diabetic instructions)
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.
99304	http://www.ama-assn.org/go/cpt	Initial nursing facility 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.
99305	http://www.ama-assn.org/go/cpt	Initial nursing facility 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.
99306	http://www.ama-assn.org/go/cpt	Initial nursing facility 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, 45 minutes must be met or exceeded.
99307	http://www.ama-assn.org/go/cpt	Subsequent nursing facility care, per day, for the evaluation and management of a 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, 10 minutes must be met or exceeded.
99308	http://www.ama-assn.org/go/cpt	Subsequent nursing facility care, per day, for the evaluation and management of a 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, 15 minutes must be met or exceeded.
99309	http://www.ama-assn.org/go/cpt	Subsequent nursing facility 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, 30 minutes must be met or exceeded.
99310	http://www.ama-assn.org/go/cpt	Subsequent nursing facility 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, 45 minutes must be met or exceeded.
99315	http://www.ama-assn.org/go/cpt	Nursing facility discharge management; 30 minutes or less total time on the date of the encounter
99316	http://www.ama-assn.org/go/cpt	Nursing facility discharge management; more than 30 minutes total time on the date of the encounter
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.
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)
99385	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; 18-39 years
99386	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; 40-64 years
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
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)
99395	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; 18-39 years
99396	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; 40-64 years
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
99424	http://www.ama-assn.org/go/cpt	Principal care management services, for a single high-risk disease, with the following required elements: one complex chronic condition expected to last at least 3 months, and that places the patient at significant risk of hospitalization, acute exacerbation/decompensation, functional decline, or death, the condition requires development, monitoring, or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen and/or the management of the condition is unusually complex due to comorbidities, ongoing communication and care coordination between relevant practitioners furnishing care; first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month.
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.
99484	http://www.ama-assn.org/go/cpt	Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.
99491	http://www.ama-assn.org/go/cpt	Chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic conditions that place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, comprehensive care plan established, implemented, revised, or monitored; first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month.
99492	http://www.ama-assn.org/go/cpt	Initial psychiatric collaborative care management, first 70 minutes in the first calendar month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional, with the following required elements: outreach to and engagement in treatment of a patient directed by the treating physician or other qualified health care professional, initial assessment of the patient, including administration of validated rating scales, with the development of an individualized treatment plan, review by the psychiatric consultant with modifications of the plan if recommended, entering patient in a registry and tracking patient follow-up and progress using the registry, with appropriate documentation, and participation in weekly caseload consultation with the psychiatric consultant, and provision of brief interventions using evidence-based techniques such as behavioral activation, motivational interviewing, and other focused treatment strategies.
99493	http://www.ama-assn.org/go/cpt	Subsequent psychiatric collaborative care management, first 60 minutes in a subsequent month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional, with the following required elements: tracking patient follow-up and progress using the registry, with appropriate documentation, participation in weekly caseload consultation with the psychiatric consultant, ongoing collaboration with and coordination of the patient's mental health care with the treating physician or other qualified health care professional and any other treating mental health providers, additional review of progress and recommendations for changes in treatment, as indicated, including medications, based on recommendations provided by the psychiatric consultant, provision of brief interventions using evidence-based techniques such as behavioral activation, motivational interviewing, and other focused treatment strategies, monitoring of patient outcomes using validated rating scales, and relapse prevention planning with patients as they achieve remission of symptoms and/or other treatment goals and are prepared for discharge from active treatment.
G0101	http://www.nlm.nih.gov/research/umls/hcpcs	Cervical or vaginal cancer screening; pelvic and clinical breast examination
G0270	http://www.nlm.nih.gov/research/umls/hcpcs	Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes
G0271	http://www.nlm.nih.gov/research/umls/hcpcs	Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes
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
G0444	http://www.nlm.nih.gov/research/umls/hcpcs	Annual depression screening, 5 to 15 minutes