Physical Therapy Evaluation

{
  "description" : "This code set was developed per the request of the American Physical Therapy Association.",
  "compose" : {
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    "include" : [ {
      "valueSet" : [ "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.2.1782|20210909" ]
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      "valueSet" : [ "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.2.1062|20210909" ]
    } ]
  },
  "date" : "2022-03-03T18:46:01-05:00",
  "meta" : {
    "versionId" : "10",
    "lastUpdated" : "2022-03-02T18:02:37.000-05:00",
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  "publisher" : "NCQA PHEMUR",
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      "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason"
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  } ],
  "purpose" : "(Clinical Focus: The purpose of this value set is to represent concepts for encounters for a physical therapy evaluation.),(Data Element Scope: This value set may use a model element related to Encounter.),(Inclusion Criteria: Includes concepts that represent an encounter for a physical therapy evaluation.),(Exclusion Criteria: No exclusions.)",
  "name" : "PhysicalTherapyEvaluation",
  "experimental" : false,
  "resourceType" : "ValueSet",
  "expansion" : {
    "contains" : [ {
      "system" : "http://snomed.info/sct",
      "code" : "183326003",
      "display" : "Combined physical therapy (regime/therapy)",
      "version" : "http://snomed.info/sct/731000124108/version/20230301"
    }, {
      "system" : "http://snomed.info/sct",
      "code" : "410158009",
      "display" : "Physical therapy assessment (procedure)",
      "version" : "http://snomed.info/sct/731000124108/version/20230301"
    }, {
      "system" : "http://snomed.info/sct",
      "code" : "410159001",
      "display" : "Physical therapy education (procedure)",
      "version" : "http://snomed.info/sct/731000124108/version/20230301"
    }, {
      "system" : "http://snomed.info/sct",
      "code" : "410160006",
      "display" : "Physical therapy management (procedure)",
      "version" : "http://snomed.info/sct/731000124108/version/20230301"
    }, {
      "system" : "http://snomed.info/sct",
      "code" : "424203006",
      "display" : "Physical therapy education, guidance and counseling (procedure)",
      "version" : "http://snomed.info/sct/731000124108/version/20230301"
    }, {
      "system" : "http://snomed.info/sct",
      "code" : "424291000",
      "display" : "Physical therapy surveillance (regime/therapy)",
      "version" : "http://snomed.info/sct/731000124108/version/20230301"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "97161",
      "display" : "Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "97162",
      "display" : "Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "97163",
      "display" : "Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "97164",
      "display" : "Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",
      "version" : "2023"
    } ],
    "offset" : 0,
    "total" : 10,
    "identifier" : "urn:uuid:12eafc84-5c2b-4f78-8388-b0b6fcf7a4c3",
    "timestamp" : "2023-06-29T19:18:08-04:00",
    "parameter" : [ {
      "name" : "count",
      "valueInteger" : 1000
    }, {
      "name" : "offset",
      "valueInteger" : 0
    } ]
  },
  "title" : "Physical Therapy Evaluation",
  "extension" : [ {
    "valueString" : "NCQA PHEMUR Author",
    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-author"
  }, {
    "valueDate" : "2022-12-15",
    "url" : "http://hl7.org/fhir/StructureDefinition/resource-lastReviewDate"
  }, {
    "valueDate" : "2020-03-06",
    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-effectiveDate"
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  "status" : "active",
  "id" : "1e089dab-a550-4b12-8291-259635ff9482",
  "url" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1022",
  "identifier" : [ {
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    "value" : "urn:oid:2.16.840.1.113883.3.526.3.1022"
  } ],
  "version" : "20200306"
}