{
  "description": "An initial inpatient hospital care code, 99221-99223, on the second date, on which you admit the patient to the hospital inpatient setting. You cannot report the observation care discharge service code, 99217, in conjunction with a hospital admission. All related evaluation and management services are part of the initial hospital care service, regardless of the setting.",
  "compose": {
    "include": [ {
      "system": "http://www.ama-assn.org/go/cpt",
      "concept": [ {
        "code": "99221",
        "display": "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."
      }, {
        "code": "99222",
        "display": "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."
      }, {
        "code": "99223",
        "display": "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."
      } ]
    } ]
  },
  "_filename": "ValueSet-2.16.840.1.113762.1.4.1200.266.json",
  "package_name": "us.nlm.vsac",
  "date": "2023-02-08T01:02:57-05:00",
  "meta": {
    "profile": [ "http://hl7.org/fhir/StructureDefinition/shareablevalueset", "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-valueset-cqfm" ],
    "versionId": "10",
    "lastUpdated": "2023-02-08T01:02:57.000-05:00"
  },
  "publisher": "Cliniwiz Steward",
  "jurisdiction": [ {
    "extension": [ {
      "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
      "valueString": "UNKNOWN"
    } ]
  } ],
  "purpose": "(Clinical Focus: ),(Data Element Scope: ),(Inclusion Criteria: ),(Exclusion Criteria: )",
  "name": "InitialInpatientHospitalCareCode",
  "type": null,
  "experimental": null,
  "resourceType": "ValueSet",
  "expansion": {
    "total": 3,
    "offset": 0,
    "contains": [ {
      "code": "99221",
      "system": "http://www.ama-assn.org/go/cpt",
      "display": "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.",
      "version": "2023"
    }, {
      "code": "99222",
      "system": "http://www.ama-assn.org/go/cpt",
      "display": "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.",
      "version": "2023"
    }, {
      "code": "99223",
      "system": "http://www.ama-assn.org/go/cpt",
      "display": "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.",
      "version": "2023"
    } ],
    "parameter": [ {
      "name": "count",
      "valueInteger": 1000
    }, {
      "name": "offset",
      "valueInteger": 0
    } ],
    "timestamp": "2023-09-26T11:09:15-04:00",
    "identifier": "urn:uuid:777a9e66-b8bf-44c5-a1a4-f415d39502ea"
  },
  "title": "Initial Inpatient Hospital Care Code",
  "package_version": "0.12.0",
  "extension": [ {
    "url": "http://hl7.org/fhir/StructureDefinition/valueset-author",
    "valueString": "Cliniwiz Author"
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/resource-lastReviewDate",
    "valueDate": "2023-02-08"
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/valueset-effectiveDate",
    "valueDate": "2023-02-08"
  } ],
  "status": "active",
  "id": "469f60de-12f9-4e0d-be71-5a1d9ad968d6",
  "kind": null,
  "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1200.266",
  "identifier": [ {
    "value": "urn:oid:2.16.840.1.113762.1.4.1200.266",
    "system": "urn:ietf:rfc:3986"
  } ],
  "version": "20230208"
}