Physical Therapy Evaluation

{
  "description" : "This value set contains CPT and SNOMED-CT codes for physical therapy evaluation and re-evaluation procedures including diagnostic evaluations.",
  "compose" : {
    "exclude" : [ ],
    "include" : [ {
      "valueSet" : [ "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1034.169" ]
    }, {
      "valueSet" : [ "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1034.168" ]
    } ]
  },
  "date" : "2022-03-03T18:46:01-05:00",
  "meta" : {
    "versionId" : "9",
    "lastUpdated" : "2023-12-21T17:43:03.000-05:00",
    "profile" : [ "http://hl7.org/fhir/StructureDefinition/shareablevalueset", "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-valueset-cqfm", "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-valueset-cqfm" ]
  },
  "publisher" : "American Academy of Neurology Steward",
  "jurisdiction" : [ {
    "coding" : [ {
      "system" : "urn:iso:std:iso:3166",
      "code" : "US"
    } ]
  } ],
  "purpose" : "(Clinical Focus: This set of values contains physical therapy evaluation procedures at all levels of complexity, including both initial or follow up evaluations.),(Data Element Scope: The intent of this data element is to identify patients who receive physical therapy evaluations. This element may map to the \"Assessment\" Category or \"Encounter\" Category of the Quality Data Model.),(Inclusion Criteria: Includes evaluations at all levels of complexity. Includes initial diagnostic evaluations and follow up evaluations.),(Exclusion Criteria: Excludes physical therapy treatments.)",
  "name" : "PhysicalTherapyEvaluation",
  "experimental" : false,
  "resourceType" : "ValueSet",
  "expansion" : {
    "contains" : [ {
      "system" : "http://snomed.info/sct",
      "code" : "410158009",
      "display" : "Physical therapy assessment (procedure)",
      "version" : "http://snomed.info/sct/731000124108/version/20240301"
    }, {
      "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" : "2024"
    }, {
      "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" : "2024"
    }, {
      "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" : "2024"
    }, {
      "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" : "2024"
    } ],
    "total" : 5,
    "identifier" : "urn:uuid:0f955a04-1b7f-4823-9a51-c31c17c63149",
    "timestamp" : "2024-06-14T10:17:44-04:00"
  },
  "title" : "Physical Therapy Evaluation",
  "extension" : [ {
    "valueString" : "American Academy of Neurology Author",
    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-author"
  }, {
    "valueDate" : "2024-06-03",
    "url" : "http://hl7.org/fhir/StructureDefinition/resource-lastReviewDate"
  }, {
    "valueDate" : "2020-04-30",
    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-effectiveDate"
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    "url" : "http://health-samurai.io/extensions/source",
    "valueCode" : "db"
  } ],
  "status" : "retired",
  "id" : "2.16.840.1.113762.1.4.1034.170",
  "url" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1034.170",
  "identifier" : [ {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113762.1.4.1034.170"
  } ],
  "version" : "20200430"
}