{
  "description": "(Clinical Focus: This value set contains concepts that represent patients who have had a home health visit by a provider for the evaluation or management of a new or existing patient.),(Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Encounter, Performed.),(Inclusion Criteria: Includes only relevant concepts associated with home visits for the evaluation and management of a new or established patient. This is a grouping value set of CPT and SNOMED CT codes.),(Exclusion Criteria: No exclusions.)",
  "compose": {
    "include": [ {
      "system": "http://snomed.info/sct",
      "concept": [ {
        "code": "185460008",
        "display": "Home visit request by patient (procedure)"
      }, {
        "code": "185462000",
        "display": "Home visit request by relative (procedure)"
      }, {
        "code": "185466002",
        "display": "Home visit for urgent condition (procedure)"
      }, {
        "code": "185467006",
        "display": "Home visit for acute condition (procedure)"
      }, {
        "code": "185468001",
        "display": "Home visit for chronic condition (procedure)"
      }, {
        "code": "185470005",
        "display": "Home visit elderly assessment (procedure)"
      }, {
        "code": "225929007",
        "display": "Joint home visit (procedure)"
      }, {
        "code": "315205008",
        "display": "Bank holiday home visit (procedure)"
      }, {
        "code": "439708006",
        "display": "Home visit (procedure)"
      }, {
        "code": "698704008",
        "display": "Home visit for rheumatology service (procedure)"
      }, {
        "code": "704126008",
        "display": "Home visit for anticoagulant drug monitoring (procedure)"
      } ],
      "version": "http://snomed.info/sct/731000124108/version/2019-09"
    }, {
      "system": "http://www.ama-assn.org/go/cpt",
      "concept": [ {
        "code": "99341",
        "display": "Home visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. 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 presenting problem(s) are of low severity. Typically, 20 minutes are spent face-to-face with the patient and/or family."
      }, {
        "code": "99342",
        "display": "Home visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Medical decision making 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 presenting problem(s) are of moderate severity. Typically, 30 minutes are spent face-to-face with the patient and/or family."
      }, {
        "code": "99343",
        "display": "Home visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed 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 presenting problem(s) are of moderate to high severity. Typically, 45 minutes are spent face-to-face with the patient and/or family."
      }, {
        "code": "99344",
        "display": "Home visit for the evaluation and management of a new 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 presenting problem(s) are of high severity. Typically, 60 minutes are spent face-to-face with the patient and/or family."
      }, {
        "code": "99345",
        "display": "Home visit for the evaluation and management of a new 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 patient is unstable or has developed a significant new problem requiring immediate physician attention. Typically, 75 minutes are spent face-to-face with the patient and/or family."
      }, {
        "code": "99347",
        "display": "Home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused interval history; A problem focused examination; Straightforward medical decision making. 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 presenting problem(s) are self limited or minor. Typically, 15 minutes are spent face-to-face with the patient and/or family."
      }, {
        "code": "99348",
        "display": "Home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making 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 presenting problem(s) are of low to moderate severity. Typically, 25 minutes are spent face-to-face with the patient and/or family."
      }, {
        "code": "99349",
        "display": "Home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; 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 presenting problem(s) are moderate to high severity. Typically, 40 minutes are spent face-to-face with the patient and/or family."
      }, {
        "code": "99350",
        "display": "Home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A comprehensive interval history; A comprehensive examination; Medical decision making of moderate to 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 presenting problem(s) are of moderate to high severity. The patient may be unstable or may have developed a significant new problem requiring immediate physician attention. Typically, 60 minutes are spent face-to-face with the patient and/or family."
      } ],
      "version": "2020"
    } ]
  },
  "_filename": "ValueSet-2.16.840.1.113883.3.464.1003.101.12.1016.json",
  "package_name": "us.nlm.vsac",
  "date": "2018-03-10",
  "meta": {
    "source": "https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1016/expansion"
  },
  "publisher": null,
  "name": "HomeHealthcareServices",
  "type": null,
  "experimental": null,
  "resourceType": "ValueSet",
  "title": "Home Healthcare Services",
  "package_version": "0.1.0",
  "status": "active",
  "id": "cac122da-8488-4d58-8c4b-ce6705bff996",
  "kind": null,
  "url": "http://vsac.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016",
  "version": "eCQM Update 2020-05-07"
}