Depression Screening Encounter

{
  "description" : "Value set can support Q134 and MSSP ACO PREV12. \nFor 2019 added Denominator Coding, CPT or HCPCS: 96121, 96130, 96131, 96132, 96133, 96136, 96137, 96138, 96139, 96146, 99304, 99305, 99306, 99307, 99308, 99309, 99310, 99315, 99316, 99318, 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337, 99339, 99340, 99483, 99484, 99492, 99493\nAdd CPT codes: 59400, 59510, 59610, 59618, 99384*, 99385*, 99386*, 99387*, 99394*, 99395*, 99396*, 99397* per 2018 Registry Release Notes and Specifications. \n Update name to 'Depression Screening Encounter' from 'Depression Screening Encounter CPT'.  Equivalent value set is 2.16.840.1.113883.3.600.1916.",
  "compose" : {
    "exclude" : [ ],
    "include" : [ {
      "system" : "http://www.ama-assn.org/go/cpt",
      "extension" : [ {
        "extension" : [ {
          "valueString" : "concept",
          "url" : "path"
        }, {
          "url" : "count",
          "valueInteger" : 34
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  },
  "date" : "2018-08-29T01:00:03-04:00",
  "meta" : {
    "versionId" : "10",
    "lastUpdated" : "2020-08-17T20:59:13.000-04:00",
    "profile" : [ "http://hl7.org/fhir/StructureDefinition/shareablevalueset", "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-valueset-cqfm" ]
  },
  "publisher" : "Change Healthcare Steward",
  "jurisdiction" : [ {
    "extension" : [ {
      "valueString" : "UNKNOWN",
      "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason"
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  } ],
  "purpose" : "(Clinical Focus: This set of values contains encounter codes during which a depression screen should be assessed and documented through an exam, assessment, interview, or evaluation.),(Data Element Scope: ClaimItem.service, Encounter, Procedure identified by CPT codes),(Inclusion Criteria: Includes wellness visits, annual visits, therapy evaluations, or primary or specialist physician office visits where a depression screen could be conducted.),(Exclusion Criteria: No exclusions)",
  "name" : "DepressionScreeningEncounter",
  "experimental" : false,
  "resourceType" : "ValueSet",
  "expansion" : {
    "contains" : [ {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "59400",
      "display" : "Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "59510",
      "display" : "Routine obstetric care including antepartum care, cesarean delivery, and postpartum care",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "59610",
      "display" : "Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "59618",
      "display" : "Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "90791",
      "display" : "Psychiatric diagnostic evaluation",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "90792",
      "display" : "Psychiatric diagnostic evaluation with medical services",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "90832",
      "display" : "Psychotherapy, 30 minutes with patient",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "90834",
      "display" : "Psychotherapy, 45 minutes with patient",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "90837",
      "display" : "Psychotherapy, 60 minutes with patient",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "92625",
      "display" : "Assessment of tinnitus (includes pitch, loudness matching, and masking)",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "96116",
      "display" : "Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "97165",
      "display" : "Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. 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" : "97166",
      "display" : "Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. 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" : "97167",
      "display" : "Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.",
      "version" : "2023"
    }, {
      "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" : "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" : "99384",
      "display" : "Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; adolescent (age 12 through 17 years)",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "99385",
      "display" : "Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 18-39 years",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "99386",
      "display" : "Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 40-64 years",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "99387",
      "display" : "Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 65 years and older",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "99394",
      "display" : "Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; adolescent (age 12 through 17 years)",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "99395",
      "display" : "Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 18-39 years",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "99396",
      "display" : "Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 40-64 years",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "99397",
      "display" : "Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 65 years and older",
      "version" : "2023"
    } ],
    "offset" : 0,
    "total" : 30,
    "identifier" : "urn:uuid:b68b4d69-0386-4849-acb8-a76c892b9686",
    "timestamp" : "2023-06-29T16:57:46-04:00",
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      "valueInteger" : 1000
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  },
  "title" : "Depression Screening Encounter",
  "extension" : [ {
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    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-author"
  }, {
    "valueDate" : "2022-12-15",
    "url" : "http://hl7.org/fhir/StructureDefinition/resource-lastReviewDate"
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  "url" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1138.534",
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  "version" : "20180829"
}