{
  "description": null,
  "compose": {
    "include": [ {
      "system": "http://www.ama-assn.org/go/cpt",
      "concept": [ {
        "code": "99217",
        "display": "Observation care discharge day management (This code is to be utilized to report all services provided to a patient on discharge from outpatient hospital \"observation status\" if the discharge is on other than the initial date of \"observation status.\" To report services to a patient designated as \"observation status\" or \"inpatient status\" and discharged on the same date, use the codes for Observation or Inpatient Care Services [including Admission and Discharge Services, 99234-99236 as appropriate.])"
      }, {
        "code": "99218",
        "display": "Initial observation care, per day, for the evaluation and management of a patient which requires these 3 key components: A detailed or comprehensive history; A detailed or comprehensive examination; and Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission to outpatient hospital \"observation status\" are of low severity. Typically, 30 minutes are spent at the bedside and on the patient's hospital floor or unit."
      }, {
        "code": "99219",
        "display": "Initial observation care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission to outpatient hospital \"observation status\" are of moderate severity. Typically, 50 minutes are spent at the bedside and on the patient's hospital floor or unit."
      }, {
        "code": "99220",
        "display": "Initial observation care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission to outpatient hospital \"observation status\" are of high severity. Typically, 70 minutes are spent at the bedside and on the patient's hospital floor or unit."
      } ]
    } ]
  },
  "_filename": "ValueSet-2.16.840.1.113883.3.464.1003.101.11.1275.json",
  "package_name": "us.nlm.vsac",
  "date": "2019-03-15T01:00:14-04:00",
  "meta": {
    "versionId": "5",
    "lastUpdated": "2019-03-15T01:00:14.000-04:00"
  },
  "publisher": "NCQA PHEMUR",
  "name": "Observation",
  "type": null,
  "experimental": null,
  "resourceType": "ValueSet",
  "title": null,
  "package_version": "0.2.0",
  "status": "active",
  "id": "2f13df18-7d91-4cec-8688-886f6cc70d8d",
  "kind": null,
  "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.11.1275",
  "version": "20190315"
}