Chiropractic Evaluation

{
  "description" : "This value set is used to calculate OP-8 (MRI Lumbar Spine for Low Back Pain), a claims-based measure used in the Centers for Medicare & Medicaid Services' Hospital Outpatient Quality Reporting (OQR) Program.\n\nIn calculation of OP-8, claims for chiropractic evaluation must appear in the 60 days preceding the MRI lumbar spine study to be considered an attempt at antecedent conservative therapy.",
  "compose" : {
    "exclude" : [ ],
    "include" : [ {
      "system" : "http://www.ama-assn.org/go/cpt",
      "extension" : [ {
        "extension" : [ {
          "valueString" : "concept",
          "url" : "path"
        }, {
          "url" : "count",
          "valueInteger" : 4
        } ],
        "url" : "http://health-samurai.io/extensions/excised-data"
      } ]
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  },
  "date" : "2020-07-15T01:00:26-04:00",
  "meta" : {
    "versionId" : "23",
    "lastUpdated" : "2024-11-19T15:37:14.000-05:00",
    "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" : "Acumen OP Steward",
  "jurisdiction" : [ {
    "coding" : [ {
      "system" : "urn:iso:std:iso:3166",
      "code" : "US"
    } ]
  } ],
  "purpose" : "(Clinical Focus: This set of values contains CPT codes for chiropractic evaluation.),(Data Element Scope: The intent of this data element is to identify patients with evidence of chiropractic evaluation, which should occur in the 60 days preceding an MRI lumbar spine study.),(Inclusion Criteria: CPT codes for chiropractic evaluation are included in this value set.),(Exclusion Criteria: CPT codes not associated with chiropractic are excluded from this value set. Terminologies other than CPT are also excluded from this value set.)",
  "name" : "ChiropracticEvaluation",
  "experimental" : false,
  "resourceType" : "ValueSet",
  "expansion" : {
    "contains" : [ {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "98940",
      "display" : "Chiropractic manipulative treatment (CMT); spinal, 1-2 regions",
      "version" : "2025"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "98941",
      "display" : "Chiropractic manipulative treatment (CMT); spinal, 3-4 regions",
      "version" : "2025"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "98942",
      "display" : "Chiropractic manipulative treatment (CMT); spinal, 5 regions",
      "version" : "2025"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "98943",
      "display" : "Chiropractic manipulative treatment (CMT); extraspinal, 1 or more regions",
      "version" : "2025"
    } ],
    "total" : 4,
    "identifier" : "urn:uuid:643c9838-3880-4848-9025-8ed46d053ec6",
    "timestamp" : "2024-12-10T10:16:42-05:00"
  },
  "title" : "Chiropractic Evaluation",
  "extension" : [ {
    "valueContactDetail" : {
      "name" : "Acumen OP Author"
    },
    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-author"
  }, {
    "valueDate" : "2024-04-22",
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  }, {
    "valueDate" : "2020-07-15",
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  }, {
    "url" : "http://health-samurai.io/extensions/source",
    "valueCode" : "db"
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  "status" : "active",
  "id" : "70583a96-31f8-4a6b-bffb-51ef1f808342",
  "url" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3157.1803",
  "identifier" : [ {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.3.3157.1803"
  } ],
  "version" : "20200715"
}