{
  "description": "(Clinical Focus: This value set contains concepts that represent visits for evaluations for physical therapy services.),(Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Encounter.),(Inclusion Criteria: Includes only relevant concepts associated with applicable codes for physical therapy evaluations.),(Exclusion Criteria: No exclusions.)",
  "compose": {
    "include": [ {
      "system": "http://snomed.info/sct",
      "concept": [ {
        "code": "33849009",
        "display": "Diagnostic physical therapy procedure (regime/therapy)"
      } ],
      "version": "http://snomed.info/sct/731000124108/version/2019-09"
    }, {
      "system": "http://www.ama-assn.org/go/cpt",
      "concept": [ {
        "code": "97161",
        "display": "Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family."
      }, {
        "code": "97162",
        "display": "Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family."
      }, {
        "code": "97163",
        "display": "Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family."
      } ],
      "version": "2020"
    } ]
  },
  "_filename": "ValueSet-2.16.840.1.113883.3.526.3.1022.json",
  "package_name": "us.nlm.vsac",
  "date": "2020-03-06",
  "meta": {
    "source": "https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1022/expansion"
  },
  "publisher": null,
  "name": "PhysicalTherapyEvaluation",
  "type": null,
  "experimental": null,
  "resourceType": "ValueSet",
  "title": "Physical Therapy Evaluation",
  "package_version": "0.1.0",
  "status": "active",
  "id": "041f9d98-4988-494f-9f0f-bfb4fd65b23a",
  "kind": null,
  "url": "http://vsac.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1022",
  "version": "eCQM Update 2020-05-07"
}