General Prenatal Care Visits

{
  "description" : "For Contraceptive eCQMs Approval for Trial Use application in Spring 2022; This set of values contains codes indicating visits for prenatal care.",
  "compose" : {
    "exclude" : [ ],
    "include" : [ {
      "valueSet" : [ "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1166.120" ]
    }, {
      "valueSet" : [ "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1166.122" ]
    }, {
      "valueSet" : [ "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1166.121" ]
    } ]
  },
  "date" : "2022-03-03T18:46:01-05:00",
  "meta" : {
    "versionId" : "8",
    "lastUpdated" : "2022-03-02T18:04:26.000-05:00",
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  },
  "publisher" : "OPA Steward",
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  "purpose" : "(Clinical Focus: Family Planning - provision of most and moderately effective contraceptive methods, access to long-acting reversible contraception (LARC)),(Data Element Scope: Codes indicating general visits for prenatal care),(Inclusion Criteria: Codes indicating general visits for prenatal care),(Exclusion Criteria: Excludes telephone visits and online assessments)",
  "name" : "GeneralPrenatalCareVisits",
  "experimental" : false,
  "resourceType" : "ValueSet",
  "expansion" : {
    "contains" : [ {
      "system" : "http://snomed.info/sct",
      "code" : "281036007",
      "display" : "Follow-up consultation (procedure)",
      "version" : "http://snomed.info/sct/731000124108/version/20230301"
    }, {
      "system" : "http://snomed.info/sct",
      "code" : "77406008",
      "display" : "Confirmatory medical consultation (procedure)",
      "version" : "http://snomed.info/sct/731000124108/version/20230301"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "99202",
      "display" : "Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter.",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "99203",
      "display" : "Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 30-44 minutes of total time is spent on the date of the encounter.",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "99204",
      "display" : "Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 45-59 minutes of total time is spent on the date of the encounter.",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "99205",
      "display" : "Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 60-74 minutes of total time is spent on the date of the encounter.",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "99211",
      "display" : "Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "99212",
      "display" : "Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 10-19 minutes of total time is spent on the date of the encounter.",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "99213",
      "display" : "Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 20-29 minutes of total time is spent on the date of the encounter.",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "99214",
      "display" : "Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 30-39 minutes of total time is spent on the date of the encounter.",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "99215",
      "display" : "Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter.",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "99242",
      "display" : "Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "99243",
      "display" : "Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "99244",
      "display" : "Office or other outpatient consultation for a new or established 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, 40 minutes must be met or exceeded.",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "99245",
      "display" : "Office or other outpatient consultation for a new or established 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, 55 minutes must be met or exceeded.",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "99483",
      "display" : "Assessment of and care planning for a patient with cognitive impairment, requiring an independent historian, in the office or other outpatient, home or domiciliary or rest home, with all of the following required elements: Cognition-focused evaluation including a pertinent history and examination, Medical decision making of moderate or high complexity, Functional assessment (eg, basic and instrumental activities of daily living), including decision-making capacity, Use of standardized instruments for staging of dementia (eg, functional assessment staging test [FAST], clinical dementia rating [CDR]), Medication reconciliation and review for high-risk medications, Evaluation for neuropsychiatric and behavioral symptoms, including depression, including use of standardized screening instrument(s), Evaluation of safety (eg, home), including motor vehicle operation, Identification of caregiver(s), caregiver knowledge, caregiver needs, social supports, and the willingness of caregiver to take on caregiving tasks, Development, updating or revision, or review of an Advance Care Plan, Creation of a written care plan, including initial plans to address any neuropsychiatric symptoms, neuro-cognitive symptoms, functional limitations, and referral to community resources as needed (eg, rehabilitation services, adult day programs, support groups) shared with the patient and/or caregiver with initial education and support. Typically, 60 minutes of total time is spent on the date of the encounter.",
      "version" : "2023"
    }, {
      "system" : "http://www.nlm.nih.gov/research/umls/hcpcs",
      "code" : "G0463",
      "display" : "Hospital outpatient clinic visit for assessment and management of a patient",
      "version" : "2023"
    }, {
      "system" : "http://www.nlm.nih.gov/research/umls/hcpcs",
      "code" : "T1015",
      "display" : "Clinic visit/encounter, all-inclusive",
      "version" : "2023"
    } ],
    "offset" : 0,
    "total" : 18,
    "identifier" : "urn:uuid:2e1819c7-5b75-42f7-9048-d0de8ecd839d",
    "timestamp" : "2023-06-29T17:31:55-04:00",
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      "name" : "count",
      "valueInteger" : 1000
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      "valueInteger" : 0
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  },
  "title" : "General Prenatal Care Visits",
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    "valueDate" : "2022-12-15",
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    "valueDate" : "2021-10-13",
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  "status" : "active",
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  "url" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1166.135",
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  "version" : "20211013"
}