{ "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": "99234", "display": "Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 45 minutes must be met or exceeded." }, { "code": "99235", "display": "Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 70 minutes must be met or exceeded." }, { "code": "99236", "display": "Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 85 minutes must be met or exceeded." }, { "code": "99238", "display": "Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter" }, { "code": "99239", "display": "Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter" }, { "code": "99281", "display": "Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional" }, { "code": "99282", "display": "Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making" }, { "code": "99283", "display": "Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making" }, { "code": "99284", "display": "Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making" }, { "code": "99285", "display": "Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making" }, { "code": "99291", "display": "Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes" }, { "code": "99292", "display": "Critical care, evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List separately in addition to code for primary service)" } ] } ] }, "_filename": "del/ValueSet-2.16.840.1.113762.1.4.1200.284.json", "package_name": "us.nlm.vsac", "date": "2023-03-30T01:02:45-04:00", "meta": { "profile": [ "http://hl7.org/fhir/StructureDefinition/shareablevalueset", "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-valueset-cqfm" ], "versionId": "5", "lastUpdated": "2023-03-30T01:02:45.000-04:00" }, "publisher": "Cliniwiz Steward", "jurisdiction": [ { "coding": [ { "code": "US", "system": "urn:iso:std:iso:3166" } ] } ], "purpose": "(Clinical Focus: ),(Data Element Scope: ),(Inclusion Criteria: ),(Exclusion Criteria: )", "name": "EMCodesEcpr51", "type": null, "experimental": null, "resourceType": "ValueSet", "expansion": { "total": 12, "contains": [ { "code": "99234", "system": "http://www.ama-assn.org/go/cpt", "display": "Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 45 minutes must be met or exceeded.", "version": "2024" }, { "code": "99235", "system": "http://www.ama-assn.org/go/cpt", "display": "Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 70 minutes must be met or exceeded.", "version": "2024" }, { "code": "99236", "system": "http://www.ama-assn.org/go/cpt", "display": "Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 85 minutes must be met or exceeded.", "version": "2024" }, { "code": "99238", "system": "http://www.ama-assn.org/go/cpt", "display": "Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter", "version": "2024" }, { "code": "99239", "system": "http://www.ama-assn.org/go/cpt", "display": "Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter", "version": "2024" }, { "code": "99281", "system": "http://www.ama-assn.org/go/cpt", "display": "Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional", "version": "2024" }, { "code": "99282", "system": "http://www.ama-assn.org/go/cpt", "display": "Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making", "version": "2024" }, { "code": "99283", "system": "http://www.ama-assn.org/go/cpt", "display": "Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making", "version": "2024" }, { "code": "99284", "system": "http://www.ama-assn.org/go/cpt", "display": "Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making", "version": "2024" }, { "code": "99285", "system": "http://www.ama-assn.org/go/cpt", "display": "Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making", "version": "2024" }, { "code": "99291", "system": "http://www.ama-assn.org/go/cpt", "display": "Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes", "version": "2024" }, { "code": "99292", "system": "http://www.ama-assn.org/go/cpt", "display": "Critical care, evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List separately in addition to code for primary service)", "version": "2024" } ], "timestamp": "2023-11-26T18:01:50-05:00", "identifier": "urn:uuid:03db283f-5011-40f2-88b2-372de2b16fbd" }, "title": "E&M Codes ecpr 51", "package_version": "0.18.0", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/valueset-author", "valueString": "Cliniwiz Author" }, { "url": "http://hl7.org/fhir/StructureDefinition/resource-lastReviewDate", "valueDate": "2023-03-30" }, { "url": "http://hl7.org/fhir/StructureDefinition/valueset-effectiveDate", "valueDate": "2023-03-30" } ], "status": "active", "id": "a953dc3b-cf57-4a61-8c33-86e8277ae641", "kind": null, "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1200.284", "identifier": [ { "value": "urn:oid:2.16.840.1.113762.1.4.1200.284", "system": "urn:ietf:rfc:3986" } ], "version": "20230330" }