Diabetic Retinal Screening HD CPT

{
  "description" : "b.well created value set by Sr. Clinical Business Analyst for Diabetic Retinal Eye Exam.",
  "compose" : {
    "exclude" : [ ],
    "include" : [ {
      "system" : "http://www.ama-assn.org/go/cpt",
      "extension" : [ {
        "extension" : [ {
          "valueString" : "concept",
          "url" : "path"
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          "url" : "count",
          "valueInteger" : 54
        } ],
        "url" : "http://health-samurai.io/extensions/excised-data"
      } ]
    } ]
  },
  "date" : "2022-06-17T01:09:20-04:00",
  "meta" : {
    "versionId" : "5",
    "lastUpdated" : "2022-10-20T10:47:54.000-04:00",
    "profile" : [ "http://hl7.org/fhir/StructureDefinition/shareablevalueset", "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-valueset-cqfm" ]
  },
  "publisher" : "B.well Connected Health Steward",
  "jurisdiction" : [ {
    "extension" : [ {
      "valueString" : "UNKNOWN",
      "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason"
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  } ],
  "purpose" : "(Clinical Focus: The intent of this value set is for the purpose of defining the clinical codes that constitute Diabetic Retinal Eye Exam for inclusion and utilization in patients/users connected heath),(Data Element Scope: Diabetic Retinal Eye Exam care need for b.well.),(Inclusion Criteria: Diabetic Retinal Screening CPT Codes that constitute the Diabetic Retinal Eye Exam care need for b.well.),(Exclusion Criteria: N/A)",
  "name" : "DiabeticRetinalScreeningHDCPT",
  "experimental" : false,
  "resourceType" : "ValueSet",
  "expansion" : {
    "contains" : [ {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "67028",
      "display" : "Intravitreal injection of a pharmacologic agent (separate procedure)",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "67030",
      "display" : "Discission of vitreous strands (without removal), pars plana approach",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "67031",
      "display" : "Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages)",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "67036",
      "display" : "Vitrectomy, mechanical, pars plana approach",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "67039",
      "display" : "Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "67040",
      "display" : "Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "67041",
      "display" : "Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker)",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "67042",
      "display" : "Vitrectomy, mechanical, pars plana approach; with removal of internal limiting membrane of retina (eg, for repair of macular hole, diabetic macular edema), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil)",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "67043",
      "display" : "Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil) and laser photocoagulation",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "67101",
      "display" : "Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "67105",
      "display" : "Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "67107",
      "display" : "Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and drainage of subretinal fluid",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "67108",
      "display" : "Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral buckling, and/or removal of lens by same technique",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "67110",
      "display" : "Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy)",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "67113",
      "display" : "Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degrees), with vitrectomy and membrane peeling, including, when performed, air, gas, or silicone oil tamponade, cryotherapy, endolaser photocoagulation, drainage of subretinal fluid, scleral buckling, and/or removal of lens",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "67121",
      "display" : "Removal of implanted material, posterior segment; intraocular",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "67141",
      "display" : "Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "67145",
      "display" : "Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "67208",
      "display" : "Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "67210",
      "display" : "Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "67218",
      "display" : "Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source)",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "67220",
      "display" : "Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "67221",
      "display" : "Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion)",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "67227",
      "display" : "Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "67228",
      "display" : "Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "92002",
      "display" : "Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "92004",
      "display" : "Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "92012",
      "display" : "Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "92014",
      "display" : "Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "92018",
      "display" : "Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; complete",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "92019",
      "display" : "Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; limited",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "92134",
      "display" : "Scanning computerized ophthalmic diagnostic imaging, posterior segment, with interpretation and report, unilateral or bilateral; retina",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "92201",
      "display" : "Ophthalmoscopy, extended; with retinal drawing and scleral depression of peripheral retinal disease (eg, for retinal tear, retinal detachment, retinal tumor) with interpretation and report, unilateral or bilateral",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "92202",
      "display" : "Ophthalmoscopy, extended; with drawing of optic nerve or macula (eg, for glaucoma, macular pathology, tumor) with interpretation and report, unilateral or bilateral",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "92227",
      "display" : "Imaging of retina for detection or monitoring of disease; with remote clinical staff review and report, unilateral or bilateral",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "92228",
      "display" : "Imaging of retina for detection or monitoring of disease; with remote physician or other qualified health care professional interpretation and report, unilateral or bilateral",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "92230",
      "display" : "Fluorescein angioscopy with interpretation and report",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "92235",
      "display" : "Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "92240",
      "display" : "Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "92250",
      "display" : "Fundus photography with interpretation and report",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "92260",
      "display" : "Ophthalmodynamometry",
      "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" : "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"
    } ],
    "offset" : 0,
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    "identifier" : "urn:uuid:bceea51f-36cb-45f6-b8aa-3e614841c58d",
    "timestamp" : "2023-06-29T17:01:27-04:00",
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      "name" : "count",
      "valueInteger" : 1000
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      "valueInteger" : 0
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  },
  "title" : "Diabetic Retinal Screening HD CPT",
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  "url" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1235.56",
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  "version" : "20220617"
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