FHIR IG analytics| Package | fhir.tx.support.r4 |
| Resource Type | CodeSystem |
| Id | CodeSystem-hcpcs.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "CodeSystem",
"id": "hcpcs",
"url": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
"version": "2025-01",
"name": "HCPCSLevelII",
"title": "Healthcare Common Procedure Coding System (HCPCS) level II alphanumeric codes",
"status": "active",
"experimental": false,
"date": "2024-12-24",
"publisher": "U.S. Centers for Medicare & Medicaid Services (CMS)",
"contact": [
{
"name": "U.S. Centers for Medicare & Medicaid Services (CMS)",
"telecom": [
{
"system": "url",
"value": "https://www.cms.gov/"
},
{
"system": "email",
"value": "hcpcs@cms.hhs.gov"
}
]
}
],
"description": "The Level II HCPCS codes, which are established by CMS's Alpha-Numeric Editorial Panel, primarily represent items and supplies and non-physician services not covered by the American Medical Association's Current Procedural Terminology-4 (CPT-4) codes; Medicare, Medicaid, and private health insurers use HCPCS procedure and modifier codes for claims processing. Level II alphanumeric procedure and modifier codes comprise the A to V range.",
"caseSensitive": true,
"content": "complete",
"concept": [
{
"code": "A1",
"display": "Dressing for one wound"
},
{
"code": "A2",
"display": "Dressing for two wounds"
},
{
"code": "A3",
"display": "Dressing for three wounds"
},
{
"code": "A4",
"display": "Dressing for four wounds"
},
{
"code": "A5",
"display": "Dressing for five wounds"
},
{
"code": "A6",
"display": "Dressing for six wounds"
},
{
"code": "A7",
"display": "Dressing for seven wounds"
},
{
"code": "A8",
"display": "Dressing for eight wounds"
},
{
"code": "A9",
"display": "Dressing for 9 or more wound",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dressing for nine or more wounds"
}
]
},
{
"code": "AA",
"display": "Anesthesia perf by anesgst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Anesthesia services performed personally by anesthesiologist"
}
]
},
{
"code": "AB",
"display": "Aud svs w/o order evry 12mo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Audiology service furnished personally by an audiologist without a physician/npp order for non-acute hearing assessment unrelated to disequilibrium, or hearing aids, or examinations for the purpose of prescribing, fitting, or changing hearing aids; service may be performed once every 12 months, per beneficiary"
}
]
},
{
"code": "AD",
"display": "Md supervision, >4 anes proc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medical supervision by a physician: more than four concurrent anesthesia procedures"
}
]
},
{
"code": "AE",
"display": "Registered dietician"
},
{
"code": "AF",
"display": "Specialty physician"
},
{
"code": "AG",
"display": "Primary physician"
},
{
"code": "AH",
"display": "Clinical psychologist"
},
{
"code": "AI",
"display": "Principal physician of rec",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Principal physician of record"
}
]
},
{
"code": "AJ",
"display": "Clinical social worker"
},
{
"code": "AK",
"display": "Non participating physician"
},
{
"code": "AM",
"display": "Physician, team member svc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Physician, team member service"
}
]
},
{
"code": "AO",
"display": "Prov declined alt pmt method",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alternate payment method declined by provider of service"
}
]
},
{
"code": "AP",
"display": "No dtmn of refractive state",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Determination of refractive state was not performed in the course of diagnostic ophthalmological examination"
}
]
},
{
"code": "AQ",
"display": "Physician service hpsa area",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Physician providing a service in an unlisted health professional shortage area (hpsa)"
}
]
},
{
"code": "AR",
"display": "Physician scarcity area",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Physician provider services in a physician scarcity area"
}
]
},
{
"code": "AS",
"display": "Assistant at surgery service",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery"
}
]
},
{
"code": "AT",
"display": "Acute treatment",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Acute treatment (this modifier should be used when reporting service 98940, 98941, 98942)"
}
]
},
{
"code": "AU",
"display": "Uro, ostomy or trach item",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Item furnished in conjunction with a urological, ostomy, or tracheostomy supply"
}
]
},
{
"code": "AV",
"display": "Item w prosthetic/orthotic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Item furnished in conjunction with a prosthetic device, prosthetic or orthotic"
}
]
},
{
"code": "AW",
"display": "Item w a surgical dressing",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Item furnished in conjunction with a surgical dressing"
}
]
},
{
"code": "AX",
"display": "Item w dialysis services",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Item furnished in conjunction with dialysis services"
}
]
},
{
"code": "AY",
"display": "Item/service not for esrd tx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Item or service furnished to an esrd patient that is not for the treatment of esrd"
}
]
},
{
"code": "AZ",
"display": "Physician serv in dent hpsa",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Physician providing a service in a dental health professional shortage area for the purpose of an electronic health record incentive payment"
}
]
},
{
"code": "BA",
"display": "Item w pen services",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Item furnished in conjunction with parenteral enteral nutrition (pen) services"
}
]
},
{
"code": "BL",
"display": "Spec acquisition blood prods",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Special acquisition of blood and blood products"
}
]
},
{
"code": "BO",
"display": "Nutrition oral admin no tube",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Orally administered nutrition, not by feeding tube"
}
]
},
{
"code": "BP",
"display": "Bene electd to purchase item",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "The beneficiary has been informed of the purchase and rental options and has elected to purchase the item"
}
]
},
{
"code": "BR",
"display": "Bene elected to rent item",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "The beneficiary has been informed of the purchase and rental options and has elected to rent the item"
}
]
},
{
"code": "BU",
"display": "Bene undecided on purch/rent",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "The beneficiary has been informed of the purchase and rental options and after 30 days has not informed the supplier of his/her decision"
}
]
},
{
"code": "CA",
"display": "Procedure payable inpatient",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Procedure payable only in the inpatient setting when performed emergently on an outpatient who expires prior to admission"
}
]
},
{
"code": "CB",
"display": "Esrd bene part a snf-sep pay",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Service ordered by a renal dialysis facility (rdf) physician as part of the esrd beneficiary's dialysis benefit, is not part of the composite rate, and is separately reimbursable"
}
]
},
{
"code": "CC",
"display": "Procedure code change",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed)"
}
]
},
{
"code": "CD",
"display": "Amcc test for esrd or mcp md",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Amcc test has been ordered by an esrd facility or mcp physician that is part of the composite rate and is not separately billable"
}
]
},
{
"code": "CE",
"display": "Med neces amcc tst sep reimb",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Amcc test has been ordered by an esrd facility or mcp physician that is a composite rate test but is beyond the normal frequency covered under the rate and is separately reimbursable based on medical necessity"
}
]
},
{
"code": "CF",
"display": "Amcc tst not composite rate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Amcc test has been ordered by an esrd facility or mcp physician that is not part of the composite rate and is separately billable"
}
]
},
{
"code": "CG",
"display": "Policy criteria applied"
},
{
"code": "CH",
"display": "0 percent impaired, ltd, res",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "0 percent impaired, limited or restricted"
}
]
},
{
"code": "CI",
"display": "1 to <20 percent impaired",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "At least 1 percent but less than 20 percent impaired, limited or restricted"
}
]
},
{
"code": "CJ",
"display": "20 to <40 percent impaired",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "At least 20 percent but less than 40 percent impaired, limited or restricted"
}
]
},
{
"code": "CK",
"display": "40 to <60 percent impaired",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "At least 40 percent but less than 60 percent impaired, limited or restricted"
}
]
},
{
"code": "CL",
"display": "60 to <80 percent impaired",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "At least 60 percent but less than 80 percent impaired, limited or restricted"
}
]
},
{
"code": "CM",
"display": "80 to <100 percent impaired",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "At least 80 percent but less than 100 percent impaired, limited or restricted"
}
]
},
{
"code": "CN",
"display": "100 percent impaired, ltd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "100 percent impaired, limited or restricted"
}
]
},
{
"code": "CO",
"display": "Outpatient ot service by ota",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Outpatient occupational therapy services furnished in whole or in part by an occupational therapy assistant"
}
]
},
{
"code": "CP",
"display": "C-apc adjunctive service",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adjunctive service related to a procedure assigned to a comprehensive ambulatory payment classification (c-apc) procedure, but reported on a different claim"
}
]
},
{
"code": "CQ",
"display": "Outpatient pt service by pta",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Outpatient physical therapy services furnished in whole or in part by a physical therapist assistant"
}
]
},
{
"code": "CR",
"display": "Catastrophe/disaster related"
},
{
"code": "CS",
"display": "Cost share waiver covid-19",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cost-sharing waived for specified covid-19 testing-related services that result in and order for or administration of a covid-19 test and/or used for cost-sharing waived preventive services furnished via telehealth in rural health clinics and federally qualified health centers during the covid-19 public health emergency"
}
]
},
{
"code": "CT",
"display": "Ct does not meet nema standa",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Computed tomography services furnished using equipment that does not meet each of the attributes of the national electrical manufacturers association (nema) xr-29-2013 standard"
}
]
},
{
"code": "DA",
"display": "Oral health assess, not dent",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oral health assessment by a licensed health professional other than a dentist"
}
]
},
{
"code": "E1",
"display": "Upper left eyelid",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper left, eyelid"
}
]
},
{
"code": "E2",
"display": "Lower left eyelid",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lower left, eyelid"
}
]
},
{
"code": "E3",
"display": "Upper right eyelid",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper right, eyelid"
}
]
},
{
"code": "E4",
"display": "Lower right eyelid",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lower right, eyelid"
}
]
},
{
"code": "EA",
"display": "Esa, anemia, chemo-induced",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Erythropoietic stimulating agent (esa) administered to treat anemia due to anti-cancer chemotherapy"
}
]
},
{
"code": "EB",
"display": "Esa, anemia, radio-induced",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Erythropoietic stimulating agent (esa) administered to treat anemia due to anti-cancer radiotherapy"
}
]
},
{
"code": "EC",
"display": "Esa, anemia, non-chemo/radio",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Erythropoietic stimulating agent (esa) administered to treat anemia not due to anti-cancer radiotherapy or anti-cancer chemotherapy"
}
]
},
{
"code": "ED",
"display": "Hct>39% or hgb>13g>=3 cycle",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hematocrit level has exceeded 39% (or hemoglobin level has exceeded 13.0 g/dl) for 3 or more consecutive billing cycles immediately prior to and including the current cycle"
}
]
},
{
"code": "EE",
"display": "Hct>39% or hgb>13g<3 cycle",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hematocrit level has not exceeded 39% (or hemoglobin level has not exceeded 13.0 g/dl) for 3 or more consecutive billing cycles immediately prior to and including the current cycle"
}
]
},
{
"code": "EJ",
"display": "Subsequent claim",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Subsequent claims for a defined course of therapy, e.g., epo, sodium hyaluronate, infliximab"
}
]
},
{
"code": "EM",
"display": "Emer reserve supply (esrd)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Emergency reserve supply (for esrd benefit only)"
}
]
},
{
"code": "EP",
"display": "Medicaid epsdt program svc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Service provided as part of medicaid early periodic screening diagnosis and treatment (epsdt) program"
}
]
},
{
"code": "ER",
"display": "Off-campus ed service",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Items and services furnished by a provider-based, off-campus emergency department"
}
]
},
{
"code": "ET",
"display": "Emergency services"
},
{
"code": "EX",
"display": "Expatriate beneficiary"
},
{
"code": "EY",
"display": "No md order for item/service",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "No physician or other licensed health care provider order for this item or service"
}
]
},
{
"code": "F1",
"display": "Left hand, second digit"
},
{
"code": "F2",
"display": "Left hand, third digit"
},
{
"code": "F3",
"display": "Left hand, fourth digit"
},
{
"code": "F4",
"display": "Left hand, fifth digit"
},
{
"code": "F5",
"display": "Right hand, thumb"
},
{
"code": "F6",
"display": "Right hand, second digit"
},
{
"code": "F7",
"display": "Right hand, third digit"
},
{
"code": "F8",
"display": "Right hand, fourth digit"
},
{
"code": "F9",
"display": "Right hand, fifth digit"
},
{
"code": "FA",
"display": "Left hand, thumb"
},
{
"code": "FB",
"display": "Item provided without cost",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Item provided without cost to provider, supplier or practitioner, or full credit received for replaced device (examples, but not limited to, covered under warranty, replaced due to defect, free samples)"
}
]
},
{
"code": "FC",
"display": "Part credit, replaced device",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Partial credit received for replaced device"
}
]
},
{
"code": "FP",
"display": "Svc part of family plan pgm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Service provided as part of family planning program"
}
]
},
{
"code": "FQ",
"display": "Audio-only service",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "The service was furnished using audio-only communication technology"
}
]
},
{
"code": "FR",
"display": "Two-way a/v dir supervision",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "The supervising practitioner was present through two-way, audio/video communication technology"
}
]
},
{
"code": "FS",
"display": "Split or shared e/m visit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Split (or shared) evaluation and management visit"
}
]
},
{
"code": "FT",
"display": "Separate, unrelated e/m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Unrelated evaluation and management (e/m) visit on the same day as another e/m visit or during a global procedure (preoperative, postoperative period, or on the same day as the procedure, as applicable). (report when an e/m visit is furnished within the global period but is unrelated, or when one or more additional e/m visits furnished on the same day are unrelated)"
}
]
},
{
"code": "FX",
"display": "X-ray taken using film"
},
{
"code": "FY",
"display": "Computed radiography x-ray",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "X-ray taken using computed radiography technology/cassette-based imaging"
}
]
},
{
"code": "G0",
"display": "Telestroke",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Telehealth services for diagnosis, evaluation, or treatment, of symptoms of an acute stroke"
}
]
},
{
"code": "G1",
"display": "Urr reading of less than 60",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Most recent urr reading of less than 60"
}
]
},
{
"code": "G2",
"display": "Urr reading of 60 to 64.9",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Most recent urr reading of 60 to 64.9"
}
]
},
{
"code": "G3",
"display": "Urr reading of 65 to 69.9",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Most recent urr reading of 65 to 69.9"
}
]
},
{
"code": "G4",
"display": "Urr reading of 70 to 74.9",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Most recent urr reading of 70 to 74.9"
}
]
},
{
"code": "G5",
"display": "Urr reading of 75 or greater",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Most recent urr reading of 75 or greater"
}
]
},
{
"code": "G6",
"display": "Esrd patient <6 dialysis/mth",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Esrd patient for whom less than six dialysis sessions have been provided in a month"
}
]
},
{
"code": "G7",
"display": "Payment limits do not apply",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pregnancy resulted from rape or incest or pregnancy certified by physician as life threatening"
}
]
},
{
"code": "G8",
"display": "Monitored anesthesia care",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Monitored anesthesia care (mac) for deep complex, complicated, or markedly invasive surgical procedure"
}
]
},
{
"code": "G9",
"display": "Mac for at risk patient",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Monitored anesthesia care for patient who has history of severe cardio-pulmonary condition"
}
]
},
{
"code": "GA",
"display": "Liability waiver ind case",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Waiver of liability statement issued as required by payer policy, individual case"
}
]
},
{
"code": "GB",
"display": "Claim resubmitted",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Claim being re-submitted for payment because it is no longer covered under a global payment demonstration"
}
]
},
{
"code": "GC",
"display": "Resident/teaching phys serv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "This service has been performed in part by a resident under the direction of a teaching physician"
}
]
},
{
"code": "GD",
"display": "Unit of service > mue value",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Units of service exceeds medically unlikely edit value and represents reasonable and necessary services"
}
]
},
{
"code": "GE",
"display": "Resident prim care exception",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "This service has been performed by a resident without the presence of a teaching physician under the primary care exception"
}
]
},
{
"code": "GF",
"display": "Nonphysician serv c a hosp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-physician (e.g. nurse practitioner (np), certified registered nurse anesthetist (crna), certified registered nurse (crn), clinical nurse specialist (cns), physician assistant (pa)) services in a critical access hospital"
}
]
},
{
"code": "GG",
"display": "Payment screen mam + diagmam",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Performance and payment of a screening mammogram and diagnostic mammogram on the same patient, same day"
}
]
},
{
"code": "GH",
"display": "Diag mammo to screening mamo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Diagnostic mammogram converted from screening mammogram on same day"
}
]
},
{
"code": "GJ",
"display": "Opt out provider of er srvc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "\"opt out\" physician or practitioner emergency or urgent service"
}
]
},
{
"code": "GK",
"display": "Actual item/service ordered",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Reasonable and necessary item/service associated with a ga or gz modifier"
}
]
},
{
"code": "GL",
"display": "Upgraded item, no charge",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medically unnecessary upgrade provided instead of non-upgraded item, no charge, no advance beneficiary notice (abn)"
}
]
},
{
"code": "GM",
"display": "Multiple transports",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Multiple patients on one ambulance trip"
}
]
},
{
"code": "GN",
"display": "Op speech language service",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Services delivered under an outpatient speech language pathology plan of care"
}
]
},
{
"code": "GO",
"display": "Op occupational therapy serv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Services delivered under an outpatient occupational therapy plan of care"
}
]
},
{
"code": "GP",
"display": "Op pt services",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Services delivered under an outpatient physical therapy plan of care"
}
]
},
{
"code": "GQ",
"display": "Telehealth store and forward",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Via asynchronous telecommunications system"
}
]
},
{
"code": "GR",
"display": "Service by va resident",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "This service was performed in whole or in part by a resident in a department of veterans affairs medical center or clinic, supervised in accordance with va policy"
}
]
},
{
"code": "GS",
"display": "Epo/darbepoietin reduced 25%",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dosage of erythropoietin stimulating agent has been reduced and maintained in response to hematocrit or hemoglobin level"
}
]
},
{
"code": "GT",
"display": "Interactivetelecommunication",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Via interactive audio and video telecommunication systems"
}
]
},
{
"code": "GU",
"display": "Liability waiver rout notice",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Waiver of liability statement issued as required by payer policy, routine notice"
}
]
},
{
"code": "GV",
"display": "Attending phys not hospice",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Attending physician not employed or paid under arrangement by the patient's hospice provider"
}
]
},
{
"code": "GW",
"display": "Service unrelated to term co",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Service not related to the hospice patient's terminal condition"
}
]
},
{
"code": "GX",
"display": "Voluntary liability notice",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Notice of liability issued, voluntary under payer policy"
}
]
},
{
"code": "GY",
"display": "Statutorily excluded",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit"
}
]
},
{
"code": "GZ",
"display": "Not reasonable and necessary",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Item or service expected to be denied as not reasonable and necessary"
}
]
},
{
"code": "H9",
"display": "Court-ordered"
},
{
"code": "HA",
"display": "Child/adolescent program"
},
{
"code": "HB",
"display": "Adult program non-geriatric",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adult program, non geriatric"
}
]
},
{
"code": "HC",
"display": "Adult program geriatric",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adult program, geriatric"
}
]
},
{
"code": "HD",
"display": "Pregnant/parenting program",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pregnant/parenting women's program"
}
]
},
{
"code": "HE",
"display": "Mental health program"
},
{
"code": "HF",
"display": "Substance abuse program"
},
{
"code": "HG",
"display": "Opioid addiction tx program",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Opioid addiction treatment program"
}
]
},
{
"code": "HH",
"display": "Mental hlth/substance abs pr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Integrated mental health/substance abuse program"
}
]
},
{
"code": "HI",
"display": "Men hlth intel/dev disab pgm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Integrated mental health and intellectual disability/developmental disabilities program"
}
]
},
{
"code": "HJ",
"display": "Employee assistance program"
},
{
"code": "HK",
"display": "Spec hgh rsk mntl hlth pop p",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Specialized mental health programs for high-risk populations"
}
]
},
{
"code": "HL",
"display": "Intern"
},
{
"code": "HM",
"display": "Less than bachelor degree lv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Less than bachelor degree level"
}
]
},
{
"code": "HN",
"display": "Bachelors degree level"
},
{
"code": "HO",
"display": "Masters degree level"
},
{
"code": "HP",
"display": "Doctoral level"
},
{
"code": "HQ",
"display": "Group setting"
},
{
"code": "HR",
"display": "Family/couple w client prsnt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Family/couple with client present"
}
]
},
{
"code": "HS",
"display": "Family/couple w/o client prs",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Family/couple without client present"
}
]
},
{
"code": "HT",
"display": "Multi-disciplinary team"
},
{
"code": "HU",
"display": "Child welfare agency funded",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Funded by child welfare agency"
}
]
},
{
"code": "HV",
"display": "Funded state addiction agncy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Funded state addictions agency"
}
]
},
{
"code": "HW",
"display": "State mntl hlth agncy funded",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Funded by state mental health agency"
}
]
},
{
"code": "HX",
"display": "County/local agency funded",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Funded by county/local agency"
}
]
},
{
"code": "HY",
"display": "Funded by juvenile justice",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Funded by juvenile justice agency"
}
]
},
{
"code": "HZ",
"display": "Criminal justice agncy fund",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Funded by criminal justice agency"
}
]
},
{
"code": "J1",
"display": "Cap no-pay for prescript num",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Competitive acquisition program no-pay submission for a prescription number"
}
]
},
{
"code": "J2",
"display": "Cap restock of emerg drugs",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Competitive acquisition program, restocking of emergency drugs after emergency administration"
}
]
},
{
"code": "J3",
"display": "Cap drug unavail thru cap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Competitive acquisition program (cap), drug not available through cap as written, reimbursed under average sales price methodology"
}
]
},
{
"code": "J4",
"display": "Dmepos comp bid furn by hosp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dmepos item subject to dmepos competitive bidding program that is furnished by a hospital upon discharge"
}
]
},
{
"code": "J5",
"display": "Dmepos comp bid fur by pt/ot",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Off-the-shelf orthotic subject to dmepos competitive bidding program that is furnished as part of a physical therapist or occupational therapist professional service"
}
]
},
{
"code": "JA",
"display": "Administered intravenously"
},
{
"code": "JB",
"display": "Administered subcutaneously"
},
{
"code": "JC",
"display": "Skin substitute graft",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Skin substitute used as a graft"
}
]
},
{
"code": "JD",
"display": "Skin sub not used as a graft",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Skin substitute not used as a graft"
}
]
},
{
"code": "JE",
"display": "Administered via dialysate"
},
{
"code": "JF",
"display": "Compounded drug"
},
{
"code": "JG",
"display": "340b acquired drug",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Drug or biological acquired with 340b drug pricing program discount, reported for informational purposes"
}
]
},
{
"code": "JK",
"display": "Drug supply 1 month or less",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "One month supply or less of drug or biological"
}
]
},
{
"code": "JL",
"display": "Drug 3 month supply",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Three month supply of drug or biological"
}
]
},
{
"code": "JW",
"display": "Discarded drug not administe",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Drug amount discarded/not administered to any patient"
}
]
},
{
"code": "JZ",
"display": "Zero drug wasted",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Zero drug amount discarded/not administered to any patient"
}
]
},
{
"code": "K0",
"display": "Lwr ext prost functnl lvl 0",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lower extremity prosthesis functional level 0 - does not have the ability or potential to ambulate or transfer safely with or without assistance and a prosthesis does not enhance their quality of life or mobility."
}
]
},
{
"code": "K1",
"display": "Lwr ext prost functnl lvl 1",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lower extremity prosthesis functional level 1 - has the ability or potential to use a prosthesis for transfers or ambulation on level surfaces at fixed cadence. typical of the limited and unlimited household ambulator."
}
]
},
{
"code": "K2",
"display": "Lwr ext prost functnl lvl 2",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lower extremity prosthesis functional level 2 - has the ability or potential for ambulation with the ability to traverse low level environmental barriers such as curbs, stairs or uneven surfaces. typical of the limited community ambulator."
}
]
},
{
"code": "K3",
"display": "Lwr ext prost functnl lvl 3",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lower extremity prosthesis functional level 3 - has the ability or potential for ambulation with variable cadence. typical of the community ambulator who has the ability to transverse most environmental barriers and may have vocational, therapeutic, or exercise activity that demands prosthetic utilization beyond simple locomotion."
}
]
},
{
"code": "K4",
"display": "Lwr ext prost functnl lvl 4",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lower extremity prosthesis functional level 4 - has the ability or potential for prosthetic ambulation that exceeds the basic ambulation skills, exhibiting high impact, stress, or energy levels, typical of the prosthetic demands of the child, active adult, or athlete."
}
]
},
{
"code": "KA",
"display": "Wheelchair add-on option/acc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Add on option/accessory for wheelchair"
}
]
},
{
"code": "KB",
"display": ">4 modifiers on claim",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Beneficiary requested upgrade for abn, more than 4 modifiers identified on claim"
}
]
},
{
"code": "KC",
"display": "Repl special pwr wc intrface",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replacement of special power wheelchair interface"
}
]
},
{
"code": "KD",
"display": "Drug/biological dme infused",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Drug or biological infused through dme"
}
]
},
{
"code": "KE",
"display": "Bid under round 1 dmepos cb",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bid under round one of the dmepos competitive bidding program for use with non-competitive bid base equipment"
}
]
},
{
"code": "KF",
"display": "Fda class iii device",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Item designated by fda as class iii device"
}
]
},
{
"code": "KG",
"display": "Dmepos comp bid prgm no 1",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dmepos item subject to dmepos competitive bidding program number 1"
}
]
},
{
"code": "KH",
"display": "Dmepos ini clm, pur/1 mo rnt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dmepos item, initial claim, purchase or first month rental"
}
]
},
{
"code": "KI",
"display": "Dmepos 2nd or 3rd mo rental",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dmepos item, second or third month rental"
}
]
},
{
"code": "KJ",
"display": "Dmepos pen pmp or 4-15mo rnt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dmepos item, parenteral enteral nutrition (pen) pump or capped rental, months four to fifteen"
}
]
},
{
"code": "KK",
"display": "Dmepos comp bid prgm no 2",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dmepos item subject to dmepos competitive bidding program number 2"
}
]
},
{
"code": "KL",
"display": "Dmepos mailorder comp bid",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dmepos item delivered via mail"
}
]
},
{
"code": "KM",
"display": "Rplc facial prosth new imp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replacement of facial prosthesis including new impression/moulage"
}
]
},
{
"code": "KN",
"display": "Rplc facial prosth old mod",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replacement of facial prosthesis using previous master model"
}
]
},
{
"code": "KO",
"display": "Single drug unit dose form",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Single drug unit dose formulation"
}
]
},
{
"code": "KP",
"display": "First drug of multi drug u d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "First drug of a multiple drug unit dose formulation"
}
]
},
{
"code": "KQ",
"display": "2nd/subsqnt drg multi drg ud",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Second or subsequent drug of a multiple drug unit dose formulation"
}
]
},
{
"code": "KR",
"display": "Rental item partial month",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Rental item, billing for partial month"
}
]
},
{
"code": "KS",
"display": "Glucose monitor supply",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Glucose monitor supply for diabetic beneficiary not treated with insulin"
}
]
},
{
"code": "KT",
"display": "Item from noncontract supply",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Beneficiary resides in a competitive bidding area and travels outside that competitive bidding area and receives a competitive bid item"
}
]
},
{
"code": "KU",
"display": "Dmepos comp bid prgm no 3",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dmepos item subject to dmepos competitive bidding program number 3"
}
]
},
{
"code": "KV",
"display": "Dmepos item, profession serv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dmepos item subject to dmepos competitive bidding program that is furnished as part of a professional service"
}
]
},
{
"code": "KW",
"display": "Dmepos comp bid prgm no 4",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dmepos item subject to dmepos competitive bidding program number 4"
}
]
},
{
"code": "KX",
"display": "Documentation on file",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Requirements specified in the medical policy have been met"
}
]
},
{
"code": "KY",
"display": "Dmepos comp bid prgm no 5",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dmepos item subject to dmepos competitive bidding program number 5"
}
]
},
{
"code": "KZ",
"display": "New cov not implement by m+c",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "New coverage not implemented by managed care"
}
]
},
{
"code": "L1",
"display": "Separately payable lab test",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Provider attestation that the hospital laboratory test(s) is not packaged under the hospital opps"
}
]
},
{
"code": "LC",
"display": "Lft circum coronary artery",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Left circumflex coronary artery"
}
]
},
{
"code": "LD",
"display": "Left ant des coronary artery",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Left anterior descending coronary artery"
}
]
},
{
"code": "LL",
"display": "Lease/rental (appld to pur)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lease/rental (use the 'll' modifier when dme equipment rental is to be applied against the purchase price)"
}
]
},
{
"code": "LM",
"display": "Left main coronary artery"
},
{
"code": "LR",
"display": "Laboratory round trip"
},
{
"code": "LS",
"display": "Fda-monitored iol implant",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Fda-monitored intraocular lens implant"
}
]
},
{
"code": "LT",
"display": "Left side",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Left side (used to identify procedures performed on the left side of the body)"
}
]
},
{
"code": "LU",
"display": "Fractionated payment"
},
{
"code": "M2",
"display": "Medicare secondary payer",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medicare secondary payer (msp)"
}
]
},
{
"code": "MA",
"display": "Emer med cond susp/confirm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ordering professional is not required to consult a clinical decision support mechanism due to service being rendered to a patient with a suspected or confirmed emergency medical condition"
}
]
},
{
"code": "MB",
"display": "Auc hardship, insuf internet",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ordering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of insufficient internet access"
}
]
},
{
"code": "MC",
"display": "Auc hardship, vendor issues",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ordering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of electronic health record or clinical decision support mechanism vendor issues"
}
]
},
{
"code": "MD",
"display": "Auc hardship, extreme circ",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ordering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of extreme and uncontrollable circumstances"
}
]
},
{
"code": "ME",
"display": "Order adheres to auc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "The order for this service adheres to appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional"
}
]
},
{
"code": "MF",
"display": "Order does not adhere to auc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "The order for this service does not adhere to the appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional"
}
]
},
{
"code": "MG",
"display": "Auc not applicable to order",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "The order for this service does not have applicable appropriate use criteria in the qualified clinical decision support mechanism consulted by the ordering professional"
}
]
},
{
"code": "MH",
"display": "Auc consult not provided",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Unknown if ordering professional consulted a clinical decision support mechanism for this service, related information was not provided to the furnishing professional or provider"
}
]
},
{
"code": "MS",
"display": "6-mo maint/svc fee parts/lbr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Six month maintenance and servicing fee for reasonable and necessary parts and labor which are not covered under any manufacturer or supplier warranty"
}
]
},
{
"code": "N1",
"display": "Group 1 oxygen cov crit met",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Group 1 oxygen coverage criteria met"
}
]
},
{
"code": "N2",
"display": "Group 2 oxygen cov crit met",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Group 2 oxygen coverage criteria met"
}
]
},
{
"code": "N3",
"display": "Group 3 oxygen cov crit met",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Group 3 oxygen coverage criteria met"
}
]
},
{
"code": "NB",
"display": "Drug specific nebulizer",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nebulizer system, any type, fda-cleared for use with specific drug"
}
]
},
{
"code": "NR",
"display": "New when rented",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "New when rented (use the 'nr' modifier when dme which was new at the time of rental is subsequently purchased)"
}
]
},
{
"code": "NU",
"display": "New equipment"
},
{
"code": "P1",
"display": "Normal healthy patient",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "A normal healthy patient"
}
]
},
{
"code": "P2",
"display": "Patient w/mild syst disease",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "A patient with mild systemic disease"
}
]
},
{
"code": "P3",
"display": "Patient w/severe sys disease",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "A patient with severe systemic disease"
}
]
},
{
"code": "P4",
"display": "Pt w/sev sys dis threat life",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "A patient with severe systemic disease that is a constant threat to life"
}
]
},
{
"code": "P5",
"display": "Pt not expect surv w/o oper",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "A moribund patient who is not expected to survive without the operation"
}
]
},
{
"code": "P6",
"display": "Brain-dead pt organs removed",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "A declared brain-dead patient whose organs are being removed for donor purposes"
}
]
},
{
"code": "PA",
"display": "Surgery, wrong body part",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Surgical or other invasive procedure on wrong body part"
}
]
},
{
"code": "PB",
"display": "Surgery, wrong patient",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Surgical or other invasive procedure on wrong patient"
}
]
},
{
"code": "PC",
"display": "Wrong surgery on patient",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wrong surgery or other invasive procedure on patient"
}
]
},
{
"code": "PD",
"display": "Inp admit w/in 3 days",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Diagnostic or related non diagnostic item or service provided in a wholly owned or operated entity to a patient who is admitted as an inpatient within 3 days"
}
]
},
{
"code": "PI",
"display": "Pet tumor init tx strat",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Positron emission tomography (pet) or pet/computed tomography (ct) to inform the initial treatment strategy of tumors that are biopsy proven or strongly suspected of being cancerous based on other diagnostic testing"
}
]
},
{
"code": "PL",
"display": "Progressive addition lenses"
},
{
"code": "PM",
"display": "Post mortem"
},
{
"code": "PN",
"display": "Non-excepted off-campus svc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-excepted service provided at an off-campus, outpatient, provider-based department of a hospital"
}
]
},
{
"code": "PO",
"display": "Excepted off-campus service",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Excepted service provided at an off-campus, outpatient, provider-based department of a hospital"
}
]
},
{
"code": "PS",
"display": "Pet tumor subsq tx strategy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Positron emission tomography (pet) or pet/computed tomography (ct) to inform the subsequent treatment strategy of cancerous tumors when the beneficiary's treating physician determines that the pet study is needed to inform subsequent anti-tumor strategy"
}
]
},
{
"code": "PT",
"display": "Clrctal screen to diagn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Colorectal cancer screening test; converted to diagnostic test or other procedure"
}
]
},
{
"code": "Q0",
"display": "Invest clinical research",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Investigational clinical service provided in a clinical research study that is in an approved clinical research study"
}
]
},
{
"code": "Q1",
"display": "Routine clinical research",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Routine clinical service provided in a clinical research study that is in an approved clinical research study"
}
]
},
{
"code": "Q2",
"display": "Demo procedure, service",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Demonstration procedure/service"
}
]
},
{
"code": "Q3",
"display": "Live donor surgery/services",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Live kidney donor surgery and related services"
}
]
},
{
"code": "Q4",
"display": "Svc exempt - ordrg/rfrng md",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Service for ordering/referring physician qualifies as a service exemption"
}
]
},
{
"code": "Q5",
"display": "Recip bill arr subs md or pt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Service furnished under a reciprocal billing arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area"
}
]
},
{
"code": "Q6",
"display": "Fee/time comp subst md or pt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area"
}
]
},
{
"code": "Q7",
"display": "One class a finding"
},
{
"code": "Q8",
"display": "Two class b findings"
},
{
"code": "Q9",
"display": "1 class b & 2 class c fndngs",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "One class b and two class c findings"
}
]
},
{
"code": "QA",
"display": "Avg sta day/night o2 < 1 lpm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prescribed amounts of stationary oxygen for daytime use while at rest and nighttime use differ and the average of the two amounts is less than 1 liter per minute (lpm)"
}
]
},
{
"code": "QB",
"display": "Avg day/nite o2 > 4 lpm/port",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prescribed amounts of stationary oxygen for daytime use while at rest and nighttime use differ and the average of the two amounts exceeds 4 liters per minute (lpm) and portable oxygen is prescribed"
}
]
},
{
"code": "QC",
"display": "Single channel monitoring"
},
{
"code": "QD",
"display": "Rcrdg/strg in sld st memory",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Recording and storage in solid state memory by a digital recorder"
}
]
},
{
"code": "QE",
"display": "Stationary o2 @ rest <1 lpm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prescribed amount of stationary oxygen while at rest is less than 1 liter per minute (lpm)"
}
]
},
{
"code": "QF",
"display": "Station o2 @ rest >4lpm/port",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prescribed amount of stationary oxygen while at rest exceeds 4 liters per minute (lpm) and portable oxygen is prescribed"
}
]
},
{
"code": "QG",
"display": "Station o2 @ rest > 4 lpm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prescribed amount of stationary oxygen while at rest is greater than 4 liters per minute (lpm)"
}
]
},
{
"code": "QH",
"display": "Oxygen cnsrvg dvc w del sys",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oxygen conserving device is being used with an oxygen delivery system"
}
]
},
{
"code": "QJ",
"display": "Patient in state/locl custod",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Services/items provided to a prisoner or patient in state or local custody, however the state or local government, as applicable, meets the requirements in 42 cfr 411.4 (b)"
}
]
},
{
"code": "QK",
"display": "Med dir 2-4 cncrnt anes proc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medical direction of two, three, or four concurrent anesthesia procedures involving qualified individuals"
}
]
},
{
"code": "QL",
"display": "Patient died after amb call",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient pronounced dead after ambulance called"
}
]
},
{
"code": "QM",
"display": "Ambulance arr by provider",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ambulance service provided under arrangement by a provider of services"
}
]
},
{
"code": "QN",
"display": "Ambulance furn by provider",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ambulance service furnished directly by a provider of services"
}
]
},
{
"code": "QP",
"display": "Individually ordered lab tst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation is on file showing that the laboratory test(s) was ordered individually or ordered as a cpt-recognized panel other than automated profile codes 80002-80019, g0058, g0059, and g0060."
}
]
},
{
"code": "QQ",
"display": "Qualified cdsm consulted",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ordering professional consulted a qualified clinical decision support mechanism for this service and the related data was provided to the furnishing professional"
}
]
},
{
"code": "QR",
"display": "Avg sta day/night o2 > 4 lpm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prescribed amounts of stationary oxygen for daytime use while at rest and nighttime use differ and the average of the two amounts is greater than 4 liters per minute (lpm)"
}
]
},
{
"code": "QS",
"display": "Monitored anesthesia care",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Monitored anesthesia care service"
}
]
},
{
"code": "QT",
"display": "Rcrdg/strg tape analog recdr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Recording and storage on tape by an analog tape recorder"
}
]
},
{
"code": "QW",
"display": "Clia waived test"
},
{
"code": "QX",
"display": "Crna svc w/ md med direction",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Crna service: with medical direction by a physician"
}
]
},
{
"code": "QY",
"display": "Medically directed crna",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medical direction of one certified registered nurse anesthetist (crna) by an anesthesiologist"
}
]
},
{
"code": "QZ",
"display": "Crna svc w/o med dir by md",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Crna service: without medical direction by a physician"
}
]
},
{
"code": "RA",
"display": "Replacement of dme item",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replacement of a dme, orthotic or prosthetic item"
}
]
},
{
"code": "RB",
"display": "Replacement part, dme item",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replacement of a part of a dme, orthotic or prosthetic item furnished as part of a repair"
}
]
},
{
"code": "RC",
"display": "Right coronary artery"
},
{
"code": "RD",
"display": "Drug admin not incident-to",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Drug provided to beneficiary, but not administered \"incident-to\""
}
]
},
{
"code": "RE",
"display": "Furnish full compliance rems",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Furnished in full compliance with fda-mandated risk evaluation and mitigation strategy (rems)"
}
]
},
{
"code": "RI",
"display": "Ramus intermedius cor artery",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ramus intermedius coronary artery"
}
]
},
{
"code": "RR",
"display": "Rental (dme)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Rental (use the 'rr' modifier when dme is to be rented)"
}
]
},
{
"code": "RT",
"display": "Right side",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Right side (used to identify procedures performed on the right side of the body)"
}
]
},
{
"code": "SA",
"display": "Nurse practitioner w physici",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nurse practitioner rendering service in collaboration with a physician"
}
]
},
{
"code": "SB",
"display": "Nurse midwife"
},
{
"code": "SC",
"display": "Medically necessary serv/sup",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medically necessary service or supply"
}
]
},
{
"code": "SD",
"display": "Serv by home infusion rn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Services provided by registered nurse with specialized, highly technical home infusion training"
}
]
},
{
"code": "SE",
"display": "State/fed funded program/ser",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "State and/or federally-funded programs/services"
}
]
},
{
"code": "SF",
"display": "2nd opinion ordered by pro",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Second opinion ordered by a professional review organization (pro) per section 9401, p.l. 99-272 (100% reimbursement - no medicare deductible or coinsurance)"
}
]
},
{
"code": "SG",
"display": "Asc facility service",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ambulatory surgical center (asc) facility service"
}
]
},
{
"code": "SH",
"display": "2nd concurrent infusion ther",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Second concurrently administered infusion therapy"
}
]
},
{
"code": "SJ",
"display": "3rd concurrent infusion ther",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Third or more concurrently administered infusion therapy"
}
]
},
{
"code": "SK",
"display": "High risk population",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Member of high risk population (use only with codes for immunization)"
}
]
},
{
"code": "SL",
"display": "State supplied vaccine"
},
{
"code": "SM",
"display": "Second opinion",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Second surgical opinion"
}
]
},
{
"code": "SN",
"display": "Third opinion",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Third surgical opinion"
}
]
},
{
"code": "SQ",
"display": "Item ordered by home health"
},
{
"code": "SS",
"display": "Hit in infusion suite",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion services provided in the infusion suite of the iv therapy provider"
}
]
},
{
"code": "ST",
"display": "Related to trauma or injury"
},
{
"code": "SU",
"display": "Performed in phys office",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Procedure performed in physician's office (to denote use of facility and equipment)"
}
]
},
{
"code": "SV",
"display": "Drugs delivered not used",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pharmaceuticals delivered to patient's home but not utilized"
}
]
},
{
"code": "SW",
"display": "Serv by cert diab educator",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Services provided by a certified diabetic educator"
}
]
},
{
"code": "SY",
"display": "Contact w/high-risk pop",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Persons who are in close contact with member of high-risk population (use only with codes for immunization)"
}
]
},
{
"code": "SZ",
"display": "Habilitative services"
},
{
"code": "T1",
"display": "Left foot, second digit"
},
{
"code": "T2",
"display": "Left foot, third digit"
},
{
"code": "T3",
"display": "Left foot, fourth digit"
},
{
"code": "T4",
"display": "Left foot, fifth digit"
},
{
"code": "T5",
"display": "Right foot, great toe"
},
{
"code": "T6",
"display": "Right foot, second digit"
},
{
"code": "T7",
"display": "Right foot, third digit"
},
{
"code": "T8",
"display": "Right foot, fourth digit"
},
{
"code": "T9",
"display": "Right foot, fifth digit"
},
{
"code": "TA",
"display": "Left foot, great toe"
},
{
"code": "TB",
"display": "340b drug",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Drug or biological acquired with 340b drug pricing program discount, reported for informational purposes"
}
]
},
{
"code": "TC",
"display": "Technical component",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Technical component; under certain circumstances, a charge may be made for the technical component alone; under those circumstances the technical component charge is identified by adding modifier 'tc' to the usual procedure number; technical component charges are institutional charges and not billed separately by physicians; however, portable x-ray suppliers only bill for technical component and should utilize modifier tc; the charge data from portable x-ray suppliers will then be used to build customary and prevailing profiles"
}
]
},
{
"code": "TD",
"display": "Rn"
},
{
"code": "TE",
"display": "Lpn/lvn"
},
{
"code": "TF",
"display": "Intermediate level of care"
},
{
"code": "TG",
"display": "Complex/high tech level care",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Complex/high tech level of care"
}
]
},
{
"code": "TH",
"display": "Ob tx/srvcs prenatl/postpart",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Obstetrical treatment/services, prenatal or postpartum"
}
]
},
{
"code": "TJ",
"display": "Child/adolescent program gp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Program group, child and/or adolescent"
}
]
},
{
"code": "TK",
"display": "Extra patient or passenger",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Extra patient or passenger, non-ambulance"
}
]
},
{
"code": "TL",
"display": "Early intervention ifsp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Early intervention/individualized family service plan (ifsp)"
}
]
},
{
"code": "TM",
"display": "Individualized ed prgrm(iep)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Individualized education program (iep)"
}
]
},
{
"code": "TN",
"display": "Rural/out of service area",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Rural/outside providers' customary service area"
}
]
},
{
"code": "TP",
"display": "Med transprt unloaded vehicl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medical transport, unloaded vehicle"
}
]
},
{
"code": "TQ",
"display": "Bls by volunteer amb providr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Basic life support transport by a volunteer ambulance provider"
}
]
},
{
"code": "TR",
"display": "School-based iep out of dist",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "School-based individualized education program (iep) services provided outside the public school district responsible for the student"
}
]
},
{
"code": "TS",
"display": "Follow-up service"
},
{
"code": "TT",
"display": "Additional patient",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Individualized service provided to more than one patient in same setting"
}
]
},
{
"code": "TU",
"display": "Overtime payment rate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Special payment rate, overtime"
}
]
},
{
"code": "TV",
"display": "Holiday/weekend payment rate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Special payment rates, holidays/weekends"
}
]
},
{
"code": "TW",
"display": "Back-up equipment"
},
{
"code": "U1",
"display": "M/caid care lev 1 state def",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medicaid level of care 1, as defined by each state"
}
]
},
{
"code": "U2",
"display": "M/caid care lev 2 state def",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medicaid level of care 2, as defined by each state"
}
]
},
{
"code": "U3",
"display": "M/caid care lev 3 state def",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medicaid level of care 3, as defined by each state"
}
]
},
{
"code": "U4",
"display": "M/caid care lev 4 state def",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medicaid level of care 4, as defined by each state"
}
]
},
{
"code": "U5",
"display": "M/caid care lev 5 state def",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medicaid level of care 5, as defined by each state"
}
]
},
{
"code": "U6",
"display": "M/caid care lev 6 state def",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medicaid level of care 6, as defined by each state"
}
]
},
{
"code": "U7",
"display": "M/caid care lev 7 state def",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medicaid level of care 7, as defined by each state"
}
]
},
{
"code": "U8",
"display": "M/caid care lev 8 state def",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medicaid level of care 8, as defined by each state"
}
]
},
{
"code": "U9",
"display": "M/caid care lev 9 state def",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medicaid level of care 9, as defined by each state"
}
]
},
{
"code": "UA",
"display": "M/caid care lev 10 state def",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medicaid level of care 10, as defined by each state"
}
]
},
{
"code": "UB",
"display": "M/caid care lev 11 state def",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medicaid level of care 11, as defined by each state"
}
]
},
{
"code": "UC",
"display": "M/caid care lev 12 state def",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medicaid level of care 12, as defined by each state"
}
]
},
{
"code": "UD",
"display": "M/caid care lev 13 state def",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medicaid level of care 13, as defined by each state"
}
]
},
{
"code": "UE",
"display": "Used durable med equipment",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Used durable medical equipment"
}
]
},
{
"code": "UF",
"display": "Services provided, morning",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Services provided in the morning"
}
]
},
{
"code": "UG",
"display": "Services provided, afternoon",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Services provided in the afternoon"
}
]
},
{
"code": "UH",
"display": "Services provided, evening",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Services provided in the evening"
}
]
},
{
"code": "UJ",
"display": "Services provided, night",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Services provided at night"
}
]
},
{
"code": "UK",
"display": "Svc on behalf client-collat",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Services provided on behalf of the client to someone other than the client (collateral relationship)"
}
]
},
{
"code": "UN",
"display": "Two patients served"
},
{
"code": "UP",
"display": "Three patients served"
},
{
"code": "UQ",
"display": "Four patients served"
},
{
"code": "UR",
"display": "Five patients served"
},
{
"code": "US",
"display": "Six or more patients served"
},
{
"code": "V1",
"display": "Demonstration modifier 1"
},
{
"code": "V2",
"display": "Demonstration modifier 2"
},
{
"code": "V3",
"display": "Demonstration modifier 3"
},
{
"code": "V4",
"display": "Demonstration modifier 4"
},
{
"code": "V5",
"display": "Vascular catheter",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Vascular catheter (alone or with any other vascular access)"
}
]
},
{
"code": "V6",
"display": "Arteriovenous graft",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Arteriovenous graft (or other vascular access not including a vascular catheter)"
}
]
},
{
"code": "V7",
"display": "Arteriovenous fistula",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Arteriovenous fistula only (in use with two needles)"
}
]
},
{
"code": "V8",
"display": "Infection present"
},
{
"code": "V9",
"display": "No infection present"
},
{
"code": "VM",
"display": "Mdpp virtual make-up session",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medicare diabetes prevention program (mdpp) virtual make-up session"
}
]
},
{
"code": "VP",
"display": "Aphakic patient"
},
{
"code": "X1",
"display": "Continuous/broad services",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Continuous/broad services: for reporting services by clinicians, who provide the principal care for a patient, with no planned endpoint of the relationship; services in this category represent comprehensive care, dealing with the entire scope of patient problems, either directly or in a care coordination role; reporting clinician service examples include, but are not limited to: primary care, and clinicians providing comprehensive care to patients in addition to specialty care"
}
]
},
{
"code": "X2",
"display": "Continuous/focused services",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Continuous/focused services: for reporting services by clinicians whose expertise is needed for the ongoing management of a chronic disease or a condition that needs to be managed and followed with no planned endpoint to the relationship; reporting clinician service examples include but are not limited to: a rheumatologist taking care of the patient's rheumatoid arthritis longitudinally but not providing general primary care services"
}
]
},
{
"code": "X3",
"display": "Episodic/broad services",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Episodic/broad services: for reporting services by clinicians who have broad responsibility for the comprehensive needs of the patient that is limited to a defined period and circumstance such as a hospitalization; reporting clinician service examples include but are not limited to the hospitalist's services rendered providing comprehensive and general care to a patient while admitted to the hospital"
}
]
},
{
"code": "X4",
"display": "Episodic/focused services",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Episodic/focused services: for reporting services by clinicians who provide focused care on particular types of treatment limited to a defined period and circumstance; the patient has a problem, acute or chronic, that will be treated with surgery, radiation, or some other type of generally time-limited intervention; reporting clinician service examples include but are not limited to, the orthopedic surgeon performing a knee replacement and seeing the patient through the postoperative period"
}
]
},
{
"code": "X5",
"display": "Svc req by another clinician",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Diagnostic services requested by another clinician: for reporting services by a clinician who furnishes care to the patient only as requested by another clinician or subsequent and related services requested by another clinician; this modifier is reported for patient relationships that may not be adequately captured by the above alternative categories; reporting clinician service examples include but are not limited to, the radiologist's interpretation of an imaging study requested by another clinician"
}
]
},
{
"code": "XE",
"display": "Separate encounter",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Separate encounter, a service that is distinct because it occurred during a separate encounter"
}
]
},
{
"code": "XP",
"display": "Separate practitioner",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Separate practitioner, a service that is distinct because it was performed by a different practitioner"
}
]
},
{
"code": "XS",
"display": "Separate organ/structure",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Separate structure, a service that is distinct because it was performed on a separate organ/structure"
}
]
},
{
"code": "XU",
"display": "Unusual separate service",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service"
}
]
},
{
"code": "ZA",
"display": "Novartis/sandoz"
},
{
"code": "ZB",
"display": "Pfizer/hospira"
},
{
"code": "ZC",
"display": "Merck/samsung bioepis"
},
{
"code": "A0021",
"display": "Outside state ambulance serv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ambulance service, outside state per mile, transport (medicaid only)"
}
]
},
{
"code": "A0080",
"display": "Noninterest escort in non er",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest"
}
]
},
{
"code": "A0090",
"display": "Interest escort in non er",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest"
}
]
},
{
"code": "A0100",
"display": "Nonemergency transport taxi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-emergency transportation; taxi"
}
]
},
{
"code": "A0110",
"display": "Nonemergency transport bus",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-emergency transportation and bus, intra or inter state carrier"
}
]
},
{
"code": "A0120",
"display": "Noner transport mini-bus",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems"
}
]
},
{
"code": "A0130",
"display": "Noner transport wheelch van",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-emergency transportation: wheelchair van"
}
]
},
{
"code": "A0140",
"display": "Nonemergency transport air",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-emergency transportation and air travel (private or commercial) intra or inter state"
}
]
},
{
"code": "A0160",
"display": "Noner transport case worker",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-emergency transportation: per mile - case worker or social worker"
}
]
},
{
"code": "A0170",
"display": "Transport parking fees/tolls",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transportation ancillary: parking fees, tolls, other"
}
]
},
{
"code": "A0180",
"display": "Noner transport lodgng recip",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-emergency transportation: ancillary: lodging-recipient"
}
]
},
{
"code": "A0190",
"display": "Noner transport meals recip",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-emergency transportation: ancillary: meals-recipient"
}
]
},
{
"code": "A0200",
"display": "Noner transport lodgng escrt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-emergency transportation: ancillary: lodging escort"
}
]
},
{
"code": "A0210",
"display": "Noner transport meals escort",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-emergency transportation: ancillary: meals-escort"
}
]
},
{
"code": "A0225",
"display": "Neonatal emergency transport",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ambulance service, neonatal transport, base rate, emergency transport, one way"
}
]
},
{
"code": "A0380",
"display": "Basic life support mileage",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bls mileage (per mile)"
}
]
},
{
"code": "A0382",
"display": "Basic support routine suppls",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bls routine disposable supplies"
}
]
},
{
"code": "A0384",
"display": "Bls defibrillation supplies",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bls specialized service disposable supplies; defibrillation (used by als ambulances and bls ambulances in jurisdictions where defibrillation is permitted in bls ambulances)"
}
]
},
{
"code": "A0390",
"display": "Advanced life support mileag",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Als mileage (per mile)"
}
]
},
{
"code": "A0392",
"display": "Als defibrillation supplies",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Als specialized service disposable supplies; defibrillation (to be used only in jurisdictions where defibrillation cannot be performed in bls ambulances)"
}
]
},
{
"code": "A0394",
"display": "Als iv drug therapy supplies",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Als specialized service disposable supplies; iv drug therapy"
}
]
},
{
"code": "A0396",
"display": "Als esophageal intub suppls",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Als specialized service disposable supplies; esophageal intubation"
}
]
},
{
"code": "A0398",
"display": "Als routine disposble suppls",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Als routine disposable supplies"
}
]
},
{
"code": "A0420",
"display": "Ambulance waiting 1/2 hr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ambulance waiting time (als or bls), one half (1/2) hour increments"
}
]
},
{
"code": "A0422",
"display": "Ambulance 02 life sustaining",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation"
}
]
},
{
"code": "A0424",
"display": "Extra ambulance attendant",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review)"
}
]
},
{
"code": "A0425",
"display": "Ground mileage",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ground mileage, per statute mile"
}
]
},
{
"code": "A0426",
"display": "Als 1",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)"
}
]
},
{
"code": "A0427",
"display": "Als1-emergency",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)"
}
]
},
{
"code": "A0428",
"display": "Bls",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ambulance service, basic life support, non-emergency transport, (bls)"
}
]
},
{
"code": "A0429",
"display": "Bls-emergency",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ambulance service, basic life support, emergency transport (bls-emergency)"
}
]
},
{
"code": "A0430",
"display": "Fixed wing air transport",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ambulance service, conventional air services, transport, one way (fixed wing)"
}
]
},
{
"code": "A0431",
"display": "Rotary wing air transport",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ambulance service, conventional air services, transport, one way (rotary wing)"
}
]
},
{
"code": "A0432",
"display": "Pi volunteer ambulance co",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers"
}
]
},
{
"code": "A0433",
"display": "Als 2",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Advanced life support, level 2 (als 2)"
}
]
},
{
"code": "A0434",
"display": "Specialty care transport",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Specialty care transport (sct)"
}
]
},
{
"code": "A0435",
"display": "Fixed wing air mileage",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Fixed wing air mileage, per statute mile"
}
]
},
{
"code": "A0436",
"display": "Rotary wing air mileage",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Rotary wing air mileage, per statute mile"
}
]
},
{
"code": "A0888",
"display": "Noncovered ambulance mileage",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility)"
}
]
},
{
"code": "A0998",
"display": "Ambulance response/treatment",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ambulance response and treatment, no transport"
}
]
},
{
"code": "A0999",
"display": "Unlisted ambulance service"
},
{
"code": "A2001",
"display": "Innovamatrix ac, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Innovamatrix ac, per square centimeter"
}
]
},
{
"code": "A2002",
"display": "Mirragen adv wnd mat per sq",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Mirragen advanced wound matrix, per square centimeter"
}
]
},
{
"code": "A2004",
"display": "Xcellistem, 1 mg"
},
{
"code": "A2005",
"display": "Microlyte matrix, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Microlyte matrix, per square centimeter"
}
]
},
{
"code": "A2006",
"display": "Novosorb synpath per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Novosorb synpath dermal matrix, per square centimeter"
}
]
},
{
"code": "A2007",
"display": "Restrata, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Restrata, per square centimeter"
}
]
},
{
"code": "A2008",
"display": "Theragenesis, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Theragenesis, per square centimeter"
}
]
},
{
"code": "A2009",
"display": "Symphony, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Symphony, per square centimeter"
}
]
},
{
"code": "A2010",
"display": "Apis, per square centimeter"
},
{
"code": "A2011",
"display": "Supra sdrm, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Supra sdrm, per square centimeter"
}
]
},
{
"code": "A2012",
"display": "Suprathel, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Suprathel, per square centimeter"
}
]
},
{
"code": "A2013",
"display": "Innovamatrix fs, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Innovamatrix fs, per square centimeter"
}
]
},
{
"code": "A2014",
"display": "Omeza collag per 100 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Omeza collagen matrix, per 100 mg"
}
]
},
{
"code": "A2015",
"display": "Phoenix wnd mtrx, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Phoenix wound matrix, per square centimeter"
}
]
},
{
"code": "A2016",
"display": "Permeaderm b, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Permeaderm b, per square centimeter"
}
]
},
{
"code": "A2017",
"display": "Permeaderm glove, each"
},
{
"code": "A2018",
"display": "Permeaderm c, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Permeaderm c, per square centimeter"
}
]
},
{
"code": "A2019",
"display": "Kerecis marigen shld sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Kerecis omega3 marigen shield, per square centimeter"
}
]
},
{
"code": "A2020",
"display": "Ac5 wound system",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ac5 advanced wound system (ac5)"
}
]
},
{
"code": "A2021",
"display": "Neomatrix per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Neomatrix, per square centimeter"
}
]
},
{
"code": "A2022",
"display": "Innovabrn/innovamatx xl sqcm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Innovaburn or innovamatrix xl, per square centimeter"
}
]
},
{
"code": "A2023",
"display": "Innovamatrix pd, 1 mg"
},
{
"code": "A2024",
"display": "Resolve or xenopatch sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Resolve matrix or xenopatch, per square centimeter"
}
]
},
{
"code": "A2025",
"display": "Miro3d per cubic cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Miro3d, per cubic centimeter"
}
]
},
{
"code": "A2026",
"display": "Restrata minimatrix, 5 mg"
},
{
"code": "A2027",
"display": "Matriderm per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Matriderm, per square centimeter"
}
]
},
{
"code": "A2028",
"display": "Micromatrix flex per mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Micromatrix flex, per mg"
}
]
},
{
"code": "A2029",
"display": "Mirotract matrix sheet",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Mirotract wound matrix sheet, per cubic centimeter"
}
]
},
{
"code": "A4100",
"display": "Skin sub fda clrd as dev nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Skin substitute, fda cleared as a device, not otherwise specified"
}
]
},
{
"code": "A4206",
"display": "1 cc sterile syringe&needle",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Syringe with needle, sterile, 1 cc or less, each"
}
]
},
{
"code": "A4207",
"display": "2 cc sterile syringe&needle",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Syringe with needle, sterile 2 cc, each"
}
]
},
{
"code": "A4208",
"display": "3 cc sterile syringe&needle",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Syringe with needle, sterile 3 cc, each"
}
]
},
{
"code": "A4209",
"display": "5+ cc sterile syringe&needle",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Syringe with needle, sterile 5 cc or greater, each"
}
]
},
{
"code": "A4210",
"display": "Nonneedle injection device",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Needle-free injection device, each"
}
]
},
{
"code": "A4211",
"display": "Supp for self-adm injections",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Supplies for self-administered injections"
}
]
},
{
"code": "A4212",
"display": "Non coring needle or stylet",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-coring needle or stylet with or without catheter"
}
]
},
{
"code": "A4213",
"display": "20+ cc syringe only",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Syringe, sterile, 20 cc or greater, each"
}
]
},
{
"code": "A4215",
"display": "Sterile needle",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Needle, sterile, any size, each"
}
]
},
{
"code": "A4216",
"display": "Sterile water/saline, 10 ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sterile water, saline and/or dextrose, diluent/flush, 10 ml"
}
]
},
{
"code": "A4217",
"display": "Sterile water/saline, 500 ml"
},
{
"code": "A4218",
"display": "Sterile saline or water",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sterile saline or water, metered dose dispenser, 10 ml"
}
]
},
{
"code": "A4220",
"display": "Infusion pump refill kit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Refill kit for implantable infusion pump"
}
]
},
{
"code": "A4221",
"display": "Supp non-insulin inf cath/wk",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)"
}
]
},
{
"code": "A4222",
"display": "Infusion supplies with pump",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)"
}
]
},
{
"code": "A4223",
"display": "Infusion supplies w/o pump",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)"
}
]
},
{
"code": "A4224",
"display": "Supply insulin inf cath/wk",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Supplies for maintenance of insulin infusion catheter, per week"
}
]
},
{
"code": "A4225",
"display": "Sup/ext insulin inf pump syr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Supplies for external insulin infusion pump, syringe type cartridge, sterile, each"
}
]
},
{
"code": "A4226",
"display": "Weekly supply maint cgs pump",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Supplies for maintenance of insulin infusion pump with dosage rate adjustment using therapeutic continuous glucose sensing, per week"
}
]
},
{
"code": "A4230",
"display": "Infus insulin pump non needl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Infusion set for external insulin pump, non needle cannula type"
}
]
},
{
"code": "A4231",
"display": "Infusion insulin pump needle",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Infusion set for external insulin pump, needle type"
}
]
},
{
"code": "A4232",
"display": "Syringe w/needle insulin 3cc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Syringe with needle for external insulin pump, sterile, 3 cc"
}
]
},
{
"code": "A4233",
"display": "Alkalin batt for glucose mon",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each"
}
]
},
{
"code": "A4234",
"display": "J-cell batt for glucose mon",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replacement battery, alkaline, j cell, for use with medically necessary home blood glucose monitor owned by patient, each"
}
]
},
{
"code": "A4235",
"display": "Lithium batt for glucose mon",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each"
}
]
},
{
"code": "A4236",
"display": "Silvr oxide batt glucose mon",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each"
}
]
},
{
"code": "A4238",
"display": "Adju cgm supply allowance",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service"
}
]
},
{
"code": "A4239",
"display": "Non-adju cgm supply allow",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service"
}
]
},
{
"code": "A4244",
"display": "Alcohol or peroxide per pint",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alcohol or peroxide, per pint"
}
]
},
{
"code": "A4245",
"display": "Alcohol wipes per box",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alcohol wipes, per box"
}
]
},
{
"code": "A4246",
"display": "Betadine/phisohex solution",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Betadine or phisohex solution, per pint"
}
]
},
{
"code": "A4247",
"display": "Betadine/iodine swabs/wipes",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Betadine or iodine swabs/wipes, per box"
}
]
},
{
"code": "A4248",
"display": "Chlorhexidine antisept",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Chlorhexidine containing antiseptic, 1 ml"
}
]
},
{
"code": "A4250",
"display": "Urine reagent strips/tablets",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Urine test or reagent strips or tablets (100 tablets or strips)"
}
]
},
{
"code": "A4252",
"display": "Blood ketone test or strip",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Blood ketone test or reagent strip, each"
}
]
},
{
"code": "A4253",
"display": "Blood glucose/reagent strips",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips"
}
]
},
{
"code": "A4255",
"display": "Glucose monitor platforms",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Platforms for home blood glucose monitor, 50 per box"
}
]
},
{
"code": "A4256",
"display": "Calibrator solution/chips",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Normal, low and high calibrator solution / chips"
}
]
},
{
"code": "A4257",
"display": "Replace lensshield cartridge",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replacement lens shield cartridge for use with laser skin piercing device, each"
}
]
},
{
"code": "A4258",
"display": "Lancet device each",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spring-powered device for lancet, each"
}
]
},
{
"code": "A4259",
"display": "Lancets per box",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lancets, per box of 100"
}
]
},
{
"code": "A4261",
"display": "Cervical cap contraceptive",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cervical cap for contraceptive use"
}
]
},
{
"code": "A4262",
"display": "Temporary tear duct plug",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Temporary, absorbable lacrimal duct implant, each"
}
]
},
{
"code": "A4263",
"display": "Permanent tear duct plug",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Permanent, long term, non-dissolvable lacrimal duct implant, each"
}
]
},
{
"code": "A4264",
"display": "Intratubal occlusion device",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Permanent implantable contraceptive intratubal occlusion device(s) and delivery system"
}
]
},
{
"code": "A4265",
"display": "Paraffin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Paraffin, per pound"
}
]
},
{
"code": "A4266",
"display": "Diaphragm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Diaphragm for contraceptive use"
}
]
},
{
"code": "A4267",
"display": "Male condom",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Contraceptive supply, condom, male, each"
}
]
},
{
"code": "A4268",
"display": "Female condom",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Contraceptive supply, condom, female, each"
}
]
},
{
"code": "A4269",
"display": "Spermicide",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Contraceptive supply, spermicide (e.g., foam, gel), each"
}
]
},
{
"code": "A4270",
"display": "Disposable endoscope sheath",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Disposable endoscope sheath, each"
}
]
},
{
"code": "A4271",
"display": "Home lancing/test cartridges",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Integrated lancing and blood sample testing cartridges for home blood glucose monitor, per 50 tests"
}
]
},
{
"code": "A4280",
"display": "Brst prsths adhsv attchmnt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adhesive skin support attachment for use with external breast prosthesis, each"
}
]
},
{
"code": "A4281",
"display": "Replacement breastpump tube",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tubing for breast pump, replacement"
}
]
},
{
"code": "A4282",
"display": "Replacement breastpump adpt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adapter for breast pump, replacement"
}
]
},
{
"code": "A4283",
"display": "Replacement breastpump cap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cap for breast pump bottle, replacement"
}
]
},
{
"code": "A4284",
"display": "Replcmnt breast pump shield",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Breast shield and splash protector for use with breast pump, replacement"
}
]
},
{
"code": "A4285",
"display": "Replcmnt breast pump bottle",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Polycarbonate bottle for use with breast pump, replacement"
}
]
},
{
"code": "A4286",
"display": "Replcmnt breastpump lok ring",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Locking ring for breast pump, replacement"
}
]
},
{
"code": "A4287",
"display": "Disp col sto bag breast milk",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Disposable collection and storage bag for breast milk, any size, any type, each"
}
]
},
{
"code": "A4290",
"display": "Sacral nerve stim test lead",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sacral nerve stimulation test lead, each"
}
]
},
{
"code": "A4300",
"display": "Cath impl vasc access portal",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Implantable access catheter, (e.g., venous, arterial, epidural subarachnoid, or peritoneal, etc.) external access"
}
]
},
{
"code": "A4301",
"display": "Implantable access syst perc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Implantable access total catheter, port/reservoir (e.g., venous, arterial, epidural, subarachnoid, peritoneal, etc.)"
}
]
},
{
"code": "A4305",
"display": "Drug delivery system >=50 ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Disposable drug delivery system, flow rate of 50 ml or greater per hour"
}
]
},
{
"code": "A4306",
"display": "Drug delivery system <=50 ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Disposable drug delivery system, flow rate of less than 50 ml per hour"
}
]
},
{
"code": "A4310",
"display": "Insert tray w/o bag/cath",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Insertion tray without drainage bag and without catheter (accessories only)"
}
]
},
{
"code": "A4311",
"display": "Catheter w/o bag 2-way latex",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)"
}
]
},
{
"code": "A4312",
"display": "Cath w/o bag 2-way silicone",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone"
}
]
},
{
"code": "A4313",
"display": "Catheter w/bag 3-way",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Insertion tray without drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation"
}
]
},
{
"code": "A4314",
"display": "Cath w/drainage 2-way latex",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)"
}
]
},
{
"code": "A4315",
"display": "Cath w/drainage 2-way silcne",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone"
}
]
},
{
"code": "A4316",
"display": "Cath w/drainage 3-way",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Insertion tray with drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation"
}
]
},
{
"code": "A4320",
"display": "Irrigation tray",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Irrigation tray with bulb or piston syringe, any purpose"
}
]
},
{
"code": "A4321",
"display": "Cath therapeutic irrig agent",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Therapeutic agent for urinary catheter irrigation"
}
]
},
{
"code": "A4322",
"display": "Irrigation syringe",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Irrigation syringe, bulb or piston, each"
}
]
},
{
"code": "A4326",
"display": "Male external catheter",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Male external catheter with integral collection chamber, any type, each"
}
]
},
{
"code": "A4327",
"display": "Fem urinary collect dev cup",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Female external urinary collection device; meatal cup, each"
}
]
},
{
"code": "A4328",
"display": "Fem urinary collect pouch",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Female external urinary collection device; pouch, each"
}
]
},
{
"code": "A4330",
"display": "Stool collection pouch",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Perianal fecal collection pouch with adhesive, each"
}
]
},
{
"code": "A4331",
"display": "Extension drainage tubing",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each"
}
]
},
{
"code": "A4332",
"display": "Lube sterile packet",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lubricant, individual sterile packet, each"
}
]
},
{
"code": "A4333",
"display": "Urinary cath anchor device",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Urinary catheter anchoring device, adhesive skin attachment, each"
}
]
},
{
"code": "A4334",
"display": "Urinary cath leg strap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Urinary catheter anchoring device, leg strap, each"
}
]
},
{
"code": "A4335",
"display": "Incontinence supply",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Incontinence supply; miscellaneous"
}
]
},
{
"code": "A4336",
"display": "Urethral insert",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Incontinence supply, urethral insert, any type, each"
}
]
},
{
"code": "A4337",
"display": "Incontinent rectal insert",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Incontinence supply, rectal insert, any type, each"
}
]
},
{
"code": "A4338",
"display": "Indwelling catheter latex",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each"
}
]
},
{
"code": "A4340",
"display": "Indwelling catheter special",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each"
}
]
},
{
"code": "A4341",
"display": "Iduc valve pat inst repl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Indwelling intraurethral drainage device with valve, patient inserted, replacement only, each"
}
]
},
{
"code": "A4342",
"display": "Iduc valve sply repl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Accessories for patient inserted indwelling intraurethral drainage device with valve, replacement only, each"
}
]
},
{
"code": "A4344",
"display": "Cath indw foley 2 way silicn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Indwelling catheter, foley type, two-way, all silicone or polyurethane, each"
}
]
},
{
"code": "A4346",
"display": "Cath indw foley 3 way",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Indwelling catheter; foley type, three way for continuous irrigation, each"
}
]
},
{
"code": "A4349",
"display": "Disposable male external cat",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Male external catheter, with or without adhesive, disposable, each"
}
]
},
{
"code": "A4351",
"display": "Straight tip urine catheter",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each"
}
]
},
{
"code": "A4352",
"display": "Coude tip urinary catheter",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each"
}
]
},
{
"code": "A4353",
"display": "Intermittent urinary cath",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intermittent urinary catheter, with insertion supplies"
}
]
},
{
"code": "A4354",
"display": "Cath insertion tray w/bag",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Insertion tray with drainage bag but without catheter"
}
]
},
{
"code": "A4355",
"display": "Bladder irrigation tubing",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Irrigation tubing set for continuous bladder irrigation through a three-way indwelling foley catheter, each"
}
]
},
{
"code": "A4356",
"display": "Ext ureth clmp or compr dvc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "External urethral clamp or compression device (not to be used for catheter clamp), each"
}
]
},
{
"code": "A4357",
"display": "Bedside drainage bag",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each"
}
]
},
{
"code": "A4358",
"display": "Urinary leg or abdomen bag",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each"
}
]
},
{
"code": "A4360",
"display": "Disposable ext urethral dev",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Disposable external urethral clamp or compression device, with pad and/or pouch, each"
}
]
},
{
"code": "A4361",
"display": "Ostomy face plate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy faceplate, each"
}
]
},
{
"code": "A4362",
"display": "Solid skin barrier",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Skin barrier; solid, 4 x 4 or equivalent; each"
}
]
},
{
"code": "A4363",
"display": "Ostomy clamp, replacement",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy clamp, any type, replacement only, each"
}
]
},
{
"code": "A4364",
"display": "Adhesive, liquid or equal",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adhesive, liquid or equal, any type, per oz"
}
]
},
{
"code": "A4366",
"display": "Ostomy vent",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy vent, any type, each"
}
]
},
{
"code": "A4367",
"display": "Ostomy belt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy belt, each"
}
]
},
{
"code": "A4368",
"display": "Ostomy filter",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy filter, any type, each"
}
]
},
{
"code": "A4369",
"display": "Skin barrier liquid per oz",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy skin barrier, liquid (spray, brush, etc.), per oz"
}
]
},
{
"code": "A4371",
"display": "Skin barrier powder per oz",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy skin barrier, powder, per oz"
}
]
},
{
"code": "A4372",
"display": "Skin barrier solid 4x4 equiv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each"
}
]
},
{
"code": "A4373",
"display": "Skin barrier with flange",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each"
}
]
},
{
"code": "A4375",
"display": "Drainable plastic pch w fcpl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, drainable, with faceplate attached, plastic, each"
}
]
},
{
"code": "A4376",
"display": "Drainable rubber pch w fcplt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, drainable, with faceplate attached, rubber, each"
}
]
},
{
"code": "A4377",
"display": "Drainable plstic pch w/o fp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, drainable, for use on faceplate, plastic, each"
}
]
},
{
"code": "A4378",
"display": "Drainable rubber pch w/o fp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, drainable, for use on faceplate, rubber, each"
}
]
},
{
"code": "A4379",
"display": "Urinary plastic pouch w fcpl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, urinary, with faceplate attached, plastic, each"
}
]
},
{
"code": "A4380",
"display": "Urinary rubber pouch w fcplt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, urinary, with faceplate attached, rubber, each"
}
]
},
{
"code": "A4381",
"display": "Urinary plastic pouch w/o fp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, urinary, for use on faceplate, plastic, each"
}
]
},
{
"code": "A4382",
"display": "Urinary hvy plstc pch w/o fp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, urinary, for use on faceplate, heavy plastic, each"
}
]
},
{
"code": "A4383",
"display": "Urinary rubber pouch w/o fp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, urinary, for use on faceplate, rubber, each"
}
]
},
{
"code": "A4384",
"display": "Ostomy faceplt/silicone ring",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy faceplate equivalent, silicone ring, each"
}
]
},
{
"code": "A4385",
"display": "Ost skn barrier sld ext wear",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each"
}
]
},
{
"code": "A4387",
"display": "Ost clsd pouch w att st barr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each"
}
]
},
{
"code": "A4388",
"display": "Drainable pch w ex wear barr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each"
}
]
},
{
"code": "A4389",
"display": "Drainable pch w st wear barr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each"
}
]
},
{
"code": "A4390",
"display": "Drainable pch ex wear convex",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each"
}
]
},
{
"code": "A4391",
"display": "Urinary pouch w ex wear barr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each"
}
]
},
{
"code": "A4392",
"display": "Urinary pouch w st wear barr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each"
}
]
},
{
"code": "A4393",
"display": "Urine pch w ex wear bar conv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each"
}
]
},
{
"code": "A4394",
"display": "Ostomy pouch liq deodorant",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce"
}
]
},
{
"code": "A4395",
"display": "Ostomy pouch solid deodorant",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy deodorant for use in ostomy pouch, solid, per tablet"
}
]
},
{
"code": "A4396",
"display": "Peristomal hernia supprt blt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy belt with peristomal hernia support"
}
]
},
{
"code": "A4397",
"display": "Irrigation supply sleeve",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Irrigation supply; sleeve, each"
}
]
},
{
"code": "A4398",
"display": "Ostomy irrigation bag",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy irrigation supply; bag, each"
}
]
},
{
"code": "A4399",
"display": "Ostomy irrig cone/cath w brs",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy irrigation supply; cone/catheter, with or without brush"
}
]
},
{
"code": "A4400",
"display": "Ostomy irrigation set"
},
{
"code": "A4402",
"display": "Lubricant per ounce",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lubricant, per ounce"
}
]
},
{
"code": "A4404",
"display": "Ostomy ring each",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy ring, each"
}
]
},
{
"code": "A4405",
"display": "Nonpectin based ostomy paste",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy skin barrier, non-pectin based, paste, per ounce"
}
]
},
{
"code": "A4406",
"display": "Pectin based ostomy paste",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy skin barrier, pectin-based, paste, per ounce"
}
]
},
{
"code": "A4407",
"display": "Ext wear ost skn barr <=4sq\"",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each"
}
]
},
{
"code": "A4408",
"display": "Ext wear ost skn barr >4sq\"",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each"
}
]
},
{
"code": "A4409",
"display": "Ost skn barr convex <=4 sq i",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each"
}
]
},
{
"code": "A4410",
"display": "Ost skn barr extnd >4 sq",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each"
}
]
},
{
"code": "A4411",
"display": "Ost skn barr extnd =4sq",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each"
}
]
},
{
"code": "A4412",
"display": "Ost pouch drain high output",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each"
}
]
},
{
"code": "A4413",
"display": "2 pc drainable ost pouch",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each"
}
]
},
{
"code": "A4414",
"display": "Ost sknbar w/o conv<=4 sq in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each"
}
]
},
{
"code": "A4415",
"display": "Ost skn barr w/o conv >4 sqi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each"
}
]
},
{
"code": "A4416",
"display": "Ost pch clsd w barrier/filtr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, closed, with barrier attached, with filter (1 piece), each"
}
]
},
{
"code": "A4417",
"display": "Ost pch w bar/bltinconv/fltr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each"
}
]
},
{
"code": "A4418",
"display": "Ost pch clsd w/o bar w filtr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, closed; without barrier attached, with filter (1 piece), each"
}
]
},
{
"code": "A4419",
"display": "Ost pch for bar w flange/flt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each"
}
]
},
{
"code": "A4420",
"display": "Ost pch clsd for bar w lk fl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, closed; for use on barrier with locking flange (2 piece), each"
}
]
},
{
"code": "A4421",
"display": "Ostomy supply misc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy supply; miscellaneous"
}
]
},
{
"code": "A4422",
"display": "Ost pouch absorbent material",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each"
}
]
},
{
"code": "A4423",
"display": "Ost pch for bar w lk fl/fltr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each"
}
]
},
{
"code": "A4424",
"display": "Ost pch drain w bar & filter",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each"
}
]
},
{
"code": "A4425",
"display": "Ost pch drain for barrier fl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each"
}
]
},
{
"code": "A4426",
"display": "Ost pch drain 2 piece system",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, drainable; for use on barrier with locking flange (2 piece system), each"
}
]
},
{
"code": "A4427",
"display": "Ost pch drain/barr lk flng/f",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each"
}
]
},
{
"code": "A4428",
"display": "Urine ost pouch w faucet/tap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each"
}
]
},
{
"code": "A4429",
"display": "Urine ost pouch w bltinconv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each"
}
]
},
{
"code": "A4430",
"display": "Ost urine pch w b/bltin conv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each"
}
]
},
{
"code": "A4431",
"display": "Ost pch urine w barrier/tapv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece), each"
}
]
},
{
"code": "A4432",
"display": "Os pch urine w bar/fange/tap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each"
}
]
},
{
"code": "A4433",
"display": "Urine ost pch bar w lock fln",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each"
}
]
},
{
"code": "A4434",
"display": "Ost pch urine w lock flng/ft",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2 piece), each"
}
]
},
{
"code": "A4435",
"display": "1pc ost pch drain hgh output",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each"
}
]
},
{
"code": "A4436",
"display": "Irr supply sleev reus per mo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Irrigation supply; sleeve, reusable, per month"
}
]
},
{
"code": "A4437",
"display": "Irr supply sleev disp per mo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Irrigation supply; sleeve, disposable, per month"
}
]
},
{
"code": "A4438",
"display": "Adhesive clip ext ens contr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adhesive clip applied to the skin to secure external electrical nerve stimulator controller, each"
}
]
},
{
"code": "A4450",
"display": "Non-waterproof tape",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tape, non-waterproof, per 18 square inches"
}
]
},
{
"code": "A4452",
"display": "Waterproof tape",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tape, waterproof, per 18 square inches"
}
]
},
{
"code": "A4453",
"display": "Rec cath man pump enema repl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Rectal catheter for use with the manual pump-operated enema system, replacement only"
}
]
},
{
"code": "A4455",
"display": "Adhesive remover per ounce",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adhesive remover or solvent (for tape, cement or other adhesive), per ounce"
}
]
},
{
"code": "A4456",
"display": "Adhesive remover, wipes",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adhesive remover, wipes, any type, each"
}
]
},
{
"code": "A4457",
"display": "Enema tube any type repl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Enema tube, with or without adapter, any type, replacement only, each"
}
]
},
{
"code": "A4458",
"display": "Reusable enema bag",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Enema bag with tubing, reusable"
}
]
},
{
"code": "A4459",
"display": "Manual pump enema, reusable",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Manual pump-operated enema system, includes balloon, catheter and all accessories, reusable, any type"
}
]
},
{
"code": "A4461",
"display": "Surgicl dress hold non-reuse",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Surgical dressing holder, non-reusable, each"
}
]
},
{
"code": "A4463",
"display": "Surgical dress holder reuse",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Surgical dressing holder, reusable, each"
}
]
},
{
"code": "A4465",
"display": "Non-elastic extremity binder",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-elastic binder for extremity"
}
]
},
{
"code": "A4466",
"display": "Elastic garment/covering",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Garment, belt, sleeve or other covering, elastic or similar stretchable material, any type, each"
}
]
},
{
"code": "A4467",
"display": "Belt strap sleev grmnt cover",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Belt, strap, sleeve, garment, or covering, any type"
}
]
},
{
"code": "A4468",
"display": "Exsuff belt incl all sup acc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Exsufflation belt, includes all supplies and accessories"
}
]
},
{
"code": "A4470",
"display": "Gravlee jet washer"
},
{
"code": "A4480",
"display": "Vabra aspirator"
},
{
"code": "A4481",
"display": "Tracheostoma filter",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tracheostoma filter, any type, any size, each"
}
]
},
{
"code": "A4483",
"display": "Moisture exchanger",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Moisture exchanger, disposable, for use with invasive mechanical ventilation"
}
]
},
{
"code": "A4490",
"display": "Above knee surgical stocking",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Surgical stockings above knee length, each"
}
]
},
{
"code": "A4495",
"display": "Thigh length surg stocking",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Surgical stockings thigh length, each"
}
]
},
{
"code": "A4500",
"display": "Below knee surgical stocking",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Surgical stockings below knee length, each"
}
]
},
{
"code": "A4510",
"display": "Full length surg stocking",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Surgical stockings full length, each"
}
]
},
{
"code": "A4520",
"display": "Incontinence garment anytype",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Incontinence garment, any type, (e.g., brief, diaper), each"
}
]
},
{
"code": "A4540",
"display": "Trans elec nerv periph nerv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Distal transcutaneous electrical nerve stimulator, stimulates peripheral nerves of the upper arm"
}
]
},
{
"code": "A4541",
"display": "Monthly supp use with e0733",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Monthly supplies for use of device coded at e0733"
}
]
},
{
"code": "A4542",
"display": "Supp ext up limb tremor stim",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist"
}
]
},
{
"code": "A4543",
"display": "Supply trans elec nerve stim",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Supplies for transcutaneous electrical nerve stimulator, for nerves in the auricular region, per month"
}
]
},
{
"code": "A4544",
"display": "Electro nerve stimulator rls",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Electrode for external lower extremity nerve stimulator for restless legs syndrome"
}
]
},
{
"code": "A4545",
"display": "Suppl accessor tibial stim",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Supplies and accessories for external tibial nerve stimulator (e.g., socks, gel pads, electrodes, etc.), needed for one month"
}
]
},
{
"code": "A4550",
"display": "Surgical trays"
},
{
"code": "A4553",
"display": "Nondisp underpads, all sizes",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-disposable underpads, all sizes"
}
]
},
{
"code": "A4554",
"display": "Disposable underpads",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Disposable underpads, all sizes"
}
]
},
{
"code": "A4555",
"display": "Ca tx e-stim electr/transduc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Electrode/transducer for use with electrical stimulation device used for cancer treatment, replacement only"
}
]
},
{
"code": "A4556",
"display": "Electrodes, pair",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Electrodes, (e.g., apnea monitor), per pair"
}
]
},
{
"code": "A4557",
"display": "Lead wires, pair",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lead wires, (e.g., apnea monitor), per pair"
}
]
},
{
"code": "A4558",
"display": "Conductive gel or paste",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz"
}
]
},
{
"code": "A4559",
"display": "Coupling gel or paste",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Coupling gel or paste, for use with ultrasound device, per oz"
}
]
},
{
"code": "A4560",
"display": "Nmes disposable",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Neuromuscular electrical stimulator (nmes), disposable, replacement only"
}
]
},
{
"code": "A4561",
"display": "Pessary reusable rub anytype",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pessary, reusable, rubber, any type"
}
]
},
{
"code": "A4562",
"display": "Pessary reusable nonrubber",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pessary, reusable, non rubber, any type"
}
]
},
{
"code": "A4563",
"display": "Vag inser rectal control sys",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each"
}
]
},
{
"code": "A4564",
"display": "Pessary, disposable any type",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pessary, disposable, any type"
}
]
},
{
"code": "A4565",
"display": "Slings"
},
{
"code": "A4566",
"display": "Should sling/vest/abrestrain",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Shoulder sling or vest design, abduction restrainer, with or without swathe control, prefabricated, includes fitting and adjustment"
}
]
},
{
"code": "A4570",
"display": "Splint"
},
{
"code": "A4575",
"display": "Hyperbaric o2 chamber disps",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Topical hyperbaric oxygen chamber, disposable"
}
]
},
{
"code": "A4580",
"display": "Cast supplies (plaster)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies (e.g., plaster)"
}
]
},
{
"code": "A4590",
"display": "Special casting material",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Special casting material (e.g., fiberglass)"
}
]
},
{
"code": "A4593",
"display": "Neuromod sti sys adj rehab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, controller"
}
]
},
{
"code": "A4594",
"display": "Neuromod adj rehab mouthpie",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, mouthpiece each"
}
]
},
{
"code": "A4595",
"display": "Tens suppl 2 lead per month",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes)"
}
]
},
{
"code": "A4596",
"display": "Ces system monthly supp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cranial electrotherapy stimulation (ces) system supplies and accessories, per month"
}
]
},
{
"code": "A4600",
"display": "Sleeve, inter limb comp dev",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sleeve for intermittent limb compression device, replacement only, each"
}
]
},
{
"code": "A4601",
"display": "Lith ion non prosth recharge",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lithium ion battery, rechargeable, for non-prosthetic use, replacement"
}
]
},
{
"code": "A4602",
"display": "Replace lithium battery 1.5v",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each"
}
]
},
{
"code": "A4604",
"display": "Tubing with heating element",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tubing with integrated heating element for use with positive airway pressure device"
}
]
},
{
"code": "A4605",
"display": "Trach suction cath close sys",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tracheal suction catheter, closed system, each"
}
]
},
{
"code": "A4606",
"display": "Oxygen probe used w oximeter",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oxygen probe for use with oximeter device, replacement"
}
]
},
{
"code": "A4608",
"display": "Transtracheal oxygen cath",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transtracheal oxygen catheter, each"
}
]
},
{
"code": "A4611",
"display": "Heavy duty battery",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Battery, heavy duty; replacement for patient owned ventilator"
}
]
},
{
"code": "A4612",
"display": "Battery cables",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Battery cables; replacement for patient-owned ventilator"
}
]
},
{
"code": "A4613",
"display": "Battery charger",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Battery charger; replacement for patient-owned ventilator"
}
]
},
{
"code": "A4614",
"display": "Hand-held pefr meter",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Peak expiratory flow rate meter, hand held"
}
]
},
{
"code": "A4615",
"display": "Cannula nasal",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cannula, nasal"
}
]
},
{
"code": "A4616",
"display": "Tubing (oxygen) per foot",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tubing (oxygen), per foot"
}
]
},
{
"code": "A4617",
"display": "Mouth piece"
},
{
"code": "A4618",
"display": "Breathing circuits"
},
{
"code": "A4619",
"display": "Face tent"
},
{
"code": "A4620",
"display": "Variable concentration mask"
},
{
"code": "A4623",
"display": "Tracheostomy inner cannula",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tracheostomy, inner cannula"
}
]
},
{
"code": "A4624",
"display": "Tracheal suction tube",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tracheal suction catheter, any type other than closed system, each"
}
]
},
{
"code": "A4625",
"display": "Trach care kit for new trach",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tracheostomy care kit for new tracheostomy"
}
]
},
{
"code": "A4626",
"display": "Tracheostomy cleaning brush",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tracheostomy cleaning brush, each"
}
]
},
{
"code": "A4627",
"display": "Spacer bag/reservoir",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler"
}
]
},
{
"code": "A4628",
"display": "Oropharyngeal suction cath",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oral and/or oropharyngeal suction catheter, each"
}
]
},
{
"code": "A4629",
"display": "Tracheostomy care kit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tracheostomy care kit for established tracheostomy"
}
]
},
{
"code": "A4630",
"display": "Repl bat t.e.n.s. own by pt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient"
}
]
},
{
"code": "A4633",
"display": "Uvl replacement bulb",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replacement bulb/lamp for ultraviolet light therapy system, each"
}
]
},
{
"code": "A4634",
"display": "Replacement bulb th lightbox",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replacement bulb for therapeutic light box, tabletop model"
}
]
},
{
"code": "A4635",
"display": "Underarm crutch pad",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Underarm pad, crutch, replacement, each"
}
]
},
{
"code": "A4636",
"display": "Handgrip for cane etc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replacement, handgrip, cane, crutch, or walker, each"
}
]
},
{
"code": "A4637",
"display": "Repl tip cane/crutch/walker",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replacement, tip, cane, crutch, walker, each."
}
]
},
{
"code": "A4638",
"display": "Repl batt pulse gen sys",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replacement battery for patient-owned ear pulse generator, each"
}
]
},
{
"code": "A4639",
"display": "Infrared ht sys replcmnt pad",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replacement pad for infrared heating pad system, each"
}
]
},
{
"code": "A4640",
"display": "Alternating pressure pad",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replacement pad for use with medically necessary alternating pressure pad owned by patient"
}
]
},
{
"code": "A4641",
"display": "Radiopharm dx agent noc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Radiopharmaceutical, diagnostic, not otherwise classified"
}
]
},
{
"code": "A4642",
"display": "In111 satumomab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries"
}
]
},
{
"code": "A4648",
"display": "Implantable tissue marker",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tissue marker, implantable, any type, each"
}
]
},
{
"code": "A4649",
"display": "Surgical supplies",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Surgical supply; miscellaneous"
}
]
},
{
"code": "A4650",
"display": "Implant radiation dosimeter",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Implantable radiation dosimeter, each"
}
]
},
{
"code": "A4651",
"display": "Calibrated microcap tube",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Calibrated microcapillary tube, each"
}
]
},
{
"code": "A4652",
"display": "Microcapillary tube sealant"
},
{
"code": "A4653",
"display": "Pd catheter anchor belt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Peritoneal dialysis catheter anchoring device, belt, each"
}
]
},
{
"code": "A4657",
"display": "Syringe w/wo needle",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Syringe, with or without needle, each"
}
]
},
{
"code": "A4660",
"display": "Sphyg/bp app w cuff and stet",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sphygmomanometer/blood pressure apparatus with cuff and stethoscope"
}
]
},
{
"code": "A4663",
"display": "Dialysis blood pressure cuff",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Blood pressure cuff only"
}
]
},
{
"code": "A4670",
"display": "Automatic bp monitor, dial",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Automatic blood pressure monitor"
}
]
},
{
"code": "A4671",
"display": "Disposable cycler set",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Disposable cycler set used with cycler dialysis machine, each"
}
]
},
{
"code": "A4672",
"display": "Drainage ext line, dialysis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Drainage extension line, sterile, for dialysis, each"
}
]
},
{
"code": "A4673",
"display": "Ext line w easy lock connect",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Extension line with easy lock connectors, used with dialysis"
}
]
},
{
"code": "A4674",
"display": "Chem/antisept solution, 8oz",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Chemicals/antiseptics solution used to clean/sterilize dialysis equipment, per 8 oz"
}
]
},
{
"code": "A4680",
"display": "Activated carbon filter, ea",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Activated carbon filter for hemodialysis, each"
}
]
},
{
"code": "A4690",
"display": "Dialyzer, each",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dialyzer (artificial kidneys), all types, all sizes, for hemodialysis, each"
}
]
},
{
"code": "A4706",
"display": "Bicarbonate conc sol per gal",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bicarbonate concentrate, solution, for hemodialysis, per gallon"
}
]
},
{
"code": "A4707",
"display": "Bicarbonate conc pow per pac",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bicarbonate concentrate, powder, for hemodialysis, per packet"
}
]
},
{
"code": "A4708",
"display": "Acetate conc sol per gallon",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Acetate concentrate solution, for hemodialysis, per gallon"
}
]
},
{
"code": "A4709",
"display": "Acid conc sol per gallon",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Acid concentrate, solution, for hemodialysis, per gallon"
}
]
},
{
"code": "A4714",
"display": "Treated water per gallon",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Treated water (deionized, distilled, or reverse osmosis) for peritoneal dialysis, per gallon"
}
]
},
{
"code": "A4719",
"display": "\"y set\" tubing",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "\"y set\" tubing for peritoneal dialysis"
}
]
},
{
"code": "A4720",
"display": "Dialysat sol fld vol > 249cc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dialysate solution, any concentration of dextrose, fluid volume greater than 249 cc, but less than or equal to 999 cc, for peritoneal dialysis"
}
]
},
{
"code": "A4721",
"display": "Dialysat sol fld vol > 999cc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dialysate solution, any concentration of dextrose, fluid volume greater than 999 cc but less than or equal to 1999 cc, for peritoneal dialysis"
}
]
},
{
"code": "A4722",
"display": "Dialys sol fld vol > 1999cc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dialysate solution, any concentration of dextrose, fluid volume greater than 1999 cc but less than or equal to 2999 cc, for peritoneal dialysis"
}
]
},
{
"code": "A4723",
"display": "Dialys sol fld vol > 2999cc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dialysate solution, any concentration of dextrose, fluid volume greater than 2999 cc but less than or equal to 3999 cc, for peritoneal dialysis"
}
]
},
{
"code": "A4724",
"display": "Dialys sol fld vol > 3999cc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dialysate solution, any concentration of dextrose, fluid volume greater than 3999 cc but less than or equal to 4999 cc, for peritoneal dialysis"
}
]
},
{
"code": "A4725",
"display": "Dialys sol fld vol > 4999cc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dialysate solution, any concentration of dextrose, fluid volume greater than 4999 cc but less than or equal to 5999 cc, for peritoneal dialysis"
}
]
},
{
"code": "A4726",
"display": "Dialys sol fld vol > 5999cc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dialysate solution, any concentration of dextrose, fluid volume greater than 5999 cc, for peritoneal dialysis"
}
]
},
{
"code": "A4728",
"display": "Dialysate solution, non-dex",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dialysate solution, non-dextrose containing, 500 ml"
}
]
},
{
"code": "A4730",
"display": "Fistula cannulation set, ea",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Fistula cannulation set for hemodialysis, each"
}
]
},
{
"code": "A4736",
"display": "Topical anesthetic, per gram",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Topical anesthetic, for dialysis, per gram"
}
]
},
{
"code": "A4737",
"display": "Inj anesthetic per 10 ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injectable anesthetic, for dialysis, per 10 ml"
}
]
},
{
"code": "A4740",
"display": "Shunt accessory",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Shunt accessory, for hemodialysis, any type, each"
}
]
},
{
"code": "A4750",
"display": "Art or venous blood tubing",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Blood tubing, arterial or venous, for hemodialysis, each"
}
]
},
{
"code": "A4755",
"display": "Comb art/venous blood tubing",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Blood tubing, arterial and venous combined, for hemodialysis, each"
}
]
},
{
"code": "A4760",
"display": "Dialysate sol test kit, each",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dialysate solution test kit, for peritoneal dialysis, any type, each"
}
]
},
{
"code": "A4765",
"display": "Dialysate conc pow per pack",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dialysate concentrate, powder, additive for peritoneal dialysis, per packet"
}
]
},
{
"code": "A4766",
"display": "Dialysate conc sol add 10 ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dialysate concentrate, solution, additive for peritoneal dialysis, per 10 ml"
}
]
},
{
"code": "A4770",
"display": "Blood collection tube/vacuum",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Blood collection tube, vacuum, for dialysis, per 50"
}
]
},
{
"code": "A4771",
"display": "Serum clotting time tube",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Serum clotting time tube, for dialysis, per 50"
}
]
},
{
"code": "A4772",
"display": "Blood glucose test strips",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Blood glucose test strips, for dialysis, per 50"
}
]
},
{
"code": "A4773",
"display": "Occult blood test strips",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Occult blood test strips, for dialysis, per 50"
}
]
},
{
"code": "A4774",
"display": "Ammonia test strips",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ammonia test strips, for dialysis, per 50"
}
]
},
{
"code": "A4802",
"display": "Protamine sulfate per 50 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Protamine sulfate, for hemodialysis, per 50 mg"
}
]
},
{
"code": "A4860",
"display": "Disposable catheter tips",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Disposable catheter tips for peritoneal dialysis, per 10"
}
]
},
{
"code": "A4870",
"display": "Plumb/elec wk hm hemo equip",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Plumbing and/or electrical work for home hemodialysis equipment"
}
]
},
{
"code": "A4890",
"display": "Repair/maint cont hemo equip",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Contracts, repair and maintenance, for hemodialysis equipment"
}
]
},
{
"code": "A4911",
"display": "Drain bag/bottle",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Drain bag/bottle, for dialysis, each"
}
]
},
{
"code": "A4913",
"display": "Misc dialysis supplies noc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Miscellaneous dialysis supplies, not otherwise specified"
}
]
},
{
"code": "A4918",
"display": "Venous pressure clamp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Venous pressure clamp, for hemodialysis, each"
}
]
},
{
"code": "A4927",
"display": "Non-sterile gloves",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gloves, non-sterile, per 100"
}
]
},
{
"code": "A4928",
"display": "Surgical mask",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Surgical mask, per 20"
}
]
},
{
"code": "A4929",
"display": "Tourniquet for dialysis, ea",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tourniquet for dialysis, each"
}
]
},
{
"code": "A4930",
"display": "Sterile, gloves per pair",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gloves, sterile, per pair"
}
]
},
{
"code": "A4931",
"display": "Reusable oral thermometer",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oral thermometer, reusable, any type, each"
}
]
},
{
"code": "A4932",
"display": "Reusable rectal thermometer",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Rectal thermometer, reusable, any type, each"
}
]
},
{
"code": "A5051",
"display": "Pouch clsd w barr attached",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, closed; with barrier attached (1 piece), each"
}
]
},
{
"code": "A5052",
"display": "Clsd ostomy pouch w/o barr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, closed; without barrier attached (1 piece), each"
}
]
},
{
"code": "A5053",
"display": "Clsd ostomy pouch faceplate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, closed; for use on faceplate, each"
}
]
},
{
"code": "A5054",
"display": "Clsd ostomy pouch w/flange",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, closed; for use on barrier with flange (2 piece), each"
}
]
},
{
"code": "A5055",
"display": "Stoma cap"
},
{
"code": "A5056",
"display": "1 pc ost pouch w filter",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each"
}
]
},
{
"code": "A5057",
"display": "1 pc ost pou w built-in conv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each"
}
]
},
{
"code": "A5061",
"display": "Pouch drainable w barrier at",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, drainable; with barrier attached, (1 piece), each"
}
]
},
{
"code": "A5062",
"display": "Drnble ostomy pouch w/o barr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, drainable; without barrier attached (1 piece), each"
}
]
},
{
"code": "A5063",
"display": "Drain ostomy pouch w/flange",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each"
}
]
},
{
"code": "A5071",
"display": "Urinary pouch w/barrier",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, urinary; with barrier attached (1 piece), each"
}
]
},
{
"code": "A5072",
"display": "Urinary pouch w/o barrier",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, urinary; without barrier attached (1 piece), each"
}
]
},
{
"code": "A5073",
"display": "Urinary pouch on barr w/flng",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy pouch, urinary; for use on barrier with flange (2 piece), each"
}
]
},
{
"code": "A5081",
"display": "Stoma plug or seal, any type"
},
{
"code": "A5082",
"display": "Continent stoma catheter",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Continent device; catheter for continent stoma"
}
]
},
{
"code": "A5083",
"display": "Stoma absorptive cover",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Continent device, stoma absorptive cover for continent stoma"
}
]
},
{
"code": "A5093",
"display": "Ostomy accessory convex inse",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ostomy accessory; convex insert"
}
]
},
{
"code": "A5102",
"display": "Bedside drain btl w/wo tube",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bedside drainage bottle with or without tubing, rigid or expandable, each"
}
]
},
{
"code": "A5105",
"display": "Urinary suspensory",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Urinary suspensory with leg bag, with or without tube, each"
}
]
},
{
"code": "A5112",
"display": "Urinary leg bag",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each"
}
]
},
{
"code": "A5113",
"display": "Latex leg strap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Leg strap; latex, replacement only, per set"
}
]
},
{
"code": "A5114",
"display": "Foam/fabric leg strap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Leg strap; foam or fabric, replacement only, per set"
}
]
},
{
"code": "A5120",
"display": "Skin barrier, wipe or swab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Skin barrier, wipes or swabs, each"
}
]
},
{
"code": "A5121",
"display": "Solid skin barrier 6x6",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Skin barrier; solid, 6 x 6 or equivalent, each"
}
]
},
{
"code": "A5122",
"display": "Solid skin barrier 8x8",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Skin barrier; solid, 8 x 8 or equivalent, each"
}
]
},
{
"code": "A5126",
"display": "Disk/foam pad +or- adhesive",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adhesive or non-adhesive; disk or foam pad"
}
]
},
{
"code": "A5131",
"display": "Appliance cleaner",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Appliance cleaner, incontinence and ostomy appliances, per 16 oz."
}
]
},
{
"code": "A5200",
"display": "Percutaneous catheter anchor",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Percutaneous catheter/tube anchoring device, adhesive skin attachment"
}
]
},
{
"code": "A5500",
"display": "Diab shoe for density insert",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe"
}
]
},
{
"code": "A5501",
"display": "Diabetic custom molded shoe",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe"
}
]
},
{
"code": "A5503",
"display": "Diabetic shoe w/roller/rockr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe"
}
]
},
{
"code": "A5504",
"display": "Diabetic shoe with wedge",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe"
}
]
},
{
"code": "A5505",
"display": "Diab shoe w/metatarsal bar",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar, per shoe"
}
]
},
{
"code": "A5506",
"display": "Diabetic shoe w/off set heel",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with off-set heel(s), per shoe"
}
]
},
{
"code": "A5507",
"display": "Modification diabetic shoe",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe"
}
]
},
{
"code": "A5508",
"display": "Diabetic deluxe shoe",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe"
}
]
},
{
"code": "A5510",
"display": "Compression form shoe insert",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "For diabetics only, direct formed, compression molded to patient's foot without external heat source, multiple-density insert(s) prefabricated, per shoe"
}
]
},
{
"code": "A5512",
"display": "Multi den insert direct form",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each"
}
]
},
{
"code": "A5513",
"display": "Multi den insert custom mold",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each"
}
]
},
{
"code": "A5514",
"display": "Mult den insert dir carv/cam",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each"
}
]
},
{
"code": "A6000",
"display": "Wound warming wound cover",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-contact wound warming wound cover for use with the non-contact wound warming device and warming card"
}
]
},
{
"code": "A6010",
"display": "Collagen based wound filler",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Collagen based wound filler, dry form, sterile, per gram of collagen"
}
]
},
{
"code": "A6011",
"display": "Collagen gel/paste wound fil",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Collagen based wound filler, gel/paste, per gram of collagen"
}
]
},
{
"code": "A6021",
"display": "Collagen dressing <=16 sq in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Collagen dressing, sterile, size 16 sq. in. or less, each"
}
]
},
{
"code": "A6022",
"display": "Collagen drsg>16<=48 sq in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each"
}
]
},
{
"code": "A6023",
"display": "Collagen dressing >48 sq in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Collagen dressing, sterile, size more than 48 sq. in., each"
}
]
},
{
"code": "A6024",
"display": "Collagen dsg wound filler",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Collagen dressing wound filler, sterile, per 6 inches"
}
]
},
{
"code": "A6025",
"display": "Silicone gel sheet, each",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each"
}
]
},
{
"code": "A6154",
"display": "Wound pouch each",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wound pouch, each"
}
]
},
{
"code": "A6196",
"display": "Alginate dressing <=16 sq in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing"
}
]
},
{
"code": "A6197",
"display": "Alginate drsg >16 <=48 sq in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing"
}
]
},
{
"code": "A6198",
"display": "Alginate dressing > 48 sq in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 48 sq. in., each dressing"
}
]
},
{
"code": "A6199",
"display": "Alginate drsg wound filler",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches"
}
]
},
{
"code": "A6203",
"display": "Composite drsg <= 16 sq in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing"
}
]
},
{
"code": "A6204",
"display": "Composite drsg >16<=48 sq in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Composite dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing"
}
]
},
{
"code": "A6205",
"display": "Composite drsg > 48 sq in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Composite dressing, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing"
}
]
},
{
"code": "A6206",
"display": "Contact layer <= 16 sq in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Contact layer, sterile, 16 sq. in. or less, each dressing"
}
]
},
{
"code": "A6207",
"display": "Contact layer >16<= 48 sq in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing"
}
]
},
{
"code": "A6208",
"display": "Contact layer > 48 sq in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Contact layer, sterile, more than 48 sq. in., each dressing"
}
]
},
{
"code": "A6209",
"display": "Foam drsg <=16 sq in w/o bdr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing"
}
]
},
{
"code": "A6210",
"display": "Foam drg >16<=48 sq in w/o b",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing"
}
]
},
{
"code": "A6211",
"display": "Foam drg > 48 sq in w/o brdr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing"
}
]
},
{
"code": "A6212",
"display": "Foam drg <=16 sq in w/border",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing"
}
]
},
{
"code": "A6213",
"display": "Foam drg >16<=48 sq in w/bdr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing"
}
]
},
{
"code": "A6214",
"display": "Foam drg > 48 sq in w/border",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing"
}
]
},
{
"code": "A6215",
"display": "Foam dressing wound filler",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Foam dressing, wound filler, sterile, per gram"
}
]
},
{
"code": "A6216",
"display": "Non-sterile gauze<=16 sq in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing"
}
]
},
{
"code": "A6217",
"display": "Non-sterile gauze>16<=48 sq",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gauze, non-impregnated, non-sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing"
}
]
},
{
"code": "A6218",
"display": "Non-sterile gauze > 48 sq in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gauze, non-impregnated, non-sterile, pad size more than 48 sq. in., without adhesive border, each dressing"
}
]
},
{
"code": "A6219",
"display": "Gauze <= 16 sq in w/border",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing"
}
]
},
{
"code": "A6220",
"display": "Gauze >16 <=48 sq in w/bordr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing"
}
]
},
{
"code": "A6221",
"display": "Gauze > 48 sq in w/border",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gauze, non-impregnated, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing"
}
]
},
{
"code": "A6222",
"display": "Gauze <=16 in no w/sal w/o b",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing"
}
]
},
{
"code": "A6223",
"display": "Gauze >16<=48 no w/sal w/o b",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing"
}
]
},
{
"code": "A6224",
"display": "Gauze > 48 in no w/sal w/o b",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 48 sq. in., without adhesive border, each dressing"
}
]
},
{
"code": "A6228",
"display": "Gauze <= 16 sq in water/sal",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gauze, impregnated, water or normal saline, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing"
}
]
},
{
"code": "A6229",
"display": "Gauze >16<=48 sq in watr/sal",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gauze, impregnated, water or normal saline, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing"
}
]
},
{
"code": "A6230",
"display": "Gauze > 48 sq in water/salne",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gauze, impregnated, water or normal saline, sterile, pad size more than 48 sq. in., without adhesive border, each dressing"
}
]
},
{
"code": "A6231",
"display": "Hydrogel dsg<=16 sq in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing"
}
]
},
{
"code": "A6232",
"display": "Hydrogel dsg>16<=48 sq in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greater than 16 sq. in., but less than or equal to 48 sq. in., each dressing"
}
]
},
{
"code": "A6233",
"display": "Hydrogel dressing >48 sq in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq. in., each dressing"
}
]
},
{
"code": "A6234",
"display": "Hydrocolld drg <=16 w/o bdr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing"
}
]
},
{
"code": "A6235",
"display": "Hydrocolld drg >16<=48 w/o b",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing"
}
]
},
{
"code": "A6236",
"display": "Hydrocolld drg > 48 in w/o b",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing"
}
]
},
{
"code": "A6237",
"display": "Hydrocolld drg <=16 in w/bdr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing"
}
]
},
{
"code": "A6238",
"display": "Hydrocolld drg >16<=48 w/bdr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing"
}
]
},
{
"code": "A6239",
"display": "Hydrocolld drg > 48 in w/bdr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing"
}
]
},
{
"code": "A6240",
"display": "Hydrocolld drg filler paste",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hydrocolloid dressing, wound filler, paste, sterile, per ounce"
}
]
},
{
"code": "A6241",
"display": "Hydrocolloid drg filler dry",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hydrocolloid dressing, wound filler, dry form, sterile, per gram"
}
]
},
{
"code": "A6242",
"display": "Hydrogel drg <=16 in w/o bdr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing"
}
]
},
{
"code": "A6243",
"display": "Hydrogel drg >16<=48 w/o bdr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing"
}
]
},
{
"code": "A6244",
"display": "Hydrogel drg >48 in w/o bdr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing"
}
]
},
{
"code": "A6245",
"display": "Hydrogel drg <= 16 in w/bdr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing"
}
]
},
{
"code": "A6246",
"display": "Hydrogel drg >16<=48 in w/b",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing"
}
]
},
{
"code": "A6247",
"display": "Hydrogel drg > 48 sq in w/b",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing"
}
]
},
{
"code": "A6248",
"display": "Hydrogel drsg gel filler",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hydrogel dressing, wound filler, gel, per fluid ounce"
}
]
},
{
"code": "A6250",
"display": "Skin seal protect moisturizr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Skin sealants, protectants, moisturizers, ointments, any type, any size"
}
]
},
{
"code": "A6251",
"display": "Absorpt drg <=16 sq in w/o b",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing"
}
]
},
{
"code": "A6252",
"display": "Absorpt drg >16 <=48 w/o bdr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing"
}
]
},
{
"code": "A6253",
"display": "Absorpt drg > 48 sq in w/o b",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing"
}
]
},
{
"code": "A6254",
"display": "Absorpt drg <=16 sq in w/bdr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing"
}
]
},
{
"code": "A6255",
"display": "Absorpt drg >16<=48 in w/bdr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing"
}
]
},
{
"code": "A6256",
"display": "Absorpt drg > 48 sq in w/bdr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing"
}
]
},
{
"code": "A6257",
"display": "Transparent film <= 16 sq in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transparent film, sterile, 16 sq. in. or less, each dressing"
}
]
},
{
"code": "A6258",
"display": "Transparent film >16<=48 in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing"
}
]
},
{
"code": "A6259",
"display": "Transparent film > 48 sq in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transparent film, sterile, more than 48 sq. in., each dressing"
}
]
},
{
"code": "A6260",
"display": "Wound cleanser any type/size",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wound cleansers, any type, any size"
}
]
},
{
"code": "A6261",
"display": "Wound filler gel/paste /oz",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wound filler, gel/paste, per fluid ounce, not otherwise specified"
}
]
},
{
"code": "A6262",
"display": "Wound filler dry form / gram",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wound filler, dry form, per gram, not otherwise specified"
}
]
},
{
"code": "A6266",
"display": "Impreg gauze no h20/sal/yard",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard"
}
]
},
{
"code": "A6402",
"display": "Sterile gauze <= 16 sq in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing"
}
]
},
{
"code": "A6403",
"display": "Sterile gauze>16 <= 48 sq in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing"
}
]
},
{
"code": "A6404",
"display": "Sterile gauze > 48 sq in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gauze, non-impregnated, sterile, pad size more than 48 sq. in., without adhesive border, each dressing"
}
]
},
{
"code": "A6407",
"display": "Packing strips, non-impreg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard"
}
]
},
{
"code": "A6410",
"display": "Sterile eye pad",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Eye pad, sterile, each"
}
]
},
{
"code": "A6411",
"display": "Non-sterile eye pad",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Eye pad, non-sterile, each"
}
]
},
{
"code": "A6412",
"display": "Occlusive eye patch",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Eye patch, occlusive, each"
}
]
},
{
"code": "A6413",
"display": "Adhesive bandage, first-aid",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adhesive bandage, first-aid type, any size, each"
}
]
},
{
"code": "A6441",
"display": "Pad band w>=3\" <5\"/yd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard"
}
]
},
{
"code": "A6442",
"display": "Conform band n/s w<3\"/yd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Conforming bandage, non-elastic, knitted/woven, non-sterile, width less than three inches, per yard"
}
]
},
{
"code": "A6443",
"display": "Conform band n/s w>=3\"<5\"/yd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard"
}
]
},
{
"code": "A6444",
"display": "Conform band n/s w>=5\"/yd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to 5 inches, per yard"
}
]
},
{
"code": "A6445",
"display": "Conform band s w <3\"/yd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard"
}
]
},
{
"code": "A6446",
"display": "Conform band s w>=3\" <5\"/yd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard"
}
]
},
{
"code": "A6447",
"display": "Conform band s w >=5\"/yd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to five inches, per yard"
}
]
},
{
"code": "A6448",
"display": "Lt compres band <3\"/yd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Light compression bandage, elastic, knitted/woven, width less than three inches, per yard"
}
]
},
{
"code": "A6449",
"display": "Lt compres band >=3\" <5\"/yd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard"
}
]
},
{
"code": "A6450",
"display": "Lt compres band >=5\"/yd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard"
}
]
},
{
"code": "A6451",
"display": "Mod compres band w>=3\"<5\"/yd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard"
}
]
},
{
"code": "A6452",
"display": "High compres band w>=3\"<5\"yd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard"
}
]
},
{
"code": "A6453",
"display": "Self-adher band w <3\"/yd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard"
}
]
},
{
"code": "A6454",
"display": "Self-adher band w>=3\" <5\"/yd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard"
}
]
},
{
"code": "A6455",
"display": "Self-adher band >=5\"/yd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard"
}
]
},
{
"code": "A6456",
"display": "Zinc paste band w >=3\"<5\"/yd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard"
}
]
},
{
"code": "A6457",
"display": "Tubular dressing",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tubular dressing with or without elastic, any width, per linear yard"
}
]
},
{
"code": "A6460",
"display": "Synthetic drsg <= 16 sq in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Synthetic resorbable wound dressing, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing"
}
]
},
{
"code": "A6461",
"display": "Synthetic drsg >16<=48 sq in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Synthetic resorbable wound dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing"
}
]
},
{
"code": "A6501",
"display": "Compres burngarment bodysuit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Compression burn garment, bodysuit (head to foot), custom fabricated"
}
]
},
{
"code": "A6502",
"display": "Compres burngarment chinstrp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Compression burn garment, chin strap, custom fabricated"
}
]
},
{
"code": "A6503",
"display": "Compres burngarment facehood",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Compression burn garment, facial hood, custom fabricated"
}
]
},
{
"code": "A6504",
"display": "Cmprsburngarment glove-wrist",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Compression burn garment, glove to wrist, custom fabricated"
}
]
},
{
"code": "A6505",
"display": "Cmprsburngarment glove-elbow",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Compression burn garment, glove to elbow, custom fabricated"
}
]
},
{
"code": "A6506",
"display": "Cmprsburngrmnt glove-axilla",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Compression burn garment, glove to axilla, custom fabricated"
}
]
},
{
"code": "A6507",
"display": "Cmprs burngarment foot-knee",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Compression burn garment, foot to knee length, custom fabricated"
}
]
},
{
"code": "A6508",
"display": "Cmprs burngarment foot-thigh",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Compression burn garment, foot to thigh length, custom fabricated"
}
]
},
{
"code": "A6509",
"display": "Compres burn garment jacket",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Compression burn garment, upper trunk to waist including arm openings (vest), custom fabricated"
}
]
},
{
"code": "A6510",
"display": "Compres burn garment leotard",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Compression burn garment, trunk, including arms down to leg openings (leotard), custom fabricated"
}
]
},
{
"code": "A6511",
"display": "Compres burn garment panty",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Compression burn garment, lower trunk including leg openings (panty), custom fabricated"
}
]
},
{
"code": "A6512",
"display": "Compres burn garment, noc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Compression burn garment, not otherwise classified"
}
]
},
{
"code": "A6513",
"display": "Compress burn mask face/neck",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Compression burn mask, face and/or neck, plastic or equal, custom fabricated"
}
]
},
{
"code": "A6520",
"display": "G com garmnt glove nghttime",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression garment, glove, padded, for nighttime use, each"
}
]
},
{
"code": "A6521",
"display": "G com garmnt glove nght cust",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression garment, glove, padded, for nighttime use, custom, each"
}
]
},
{
"code": "A6522",
"display": "G com garment arm nighttime",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression garment, arm, padded, for nighttime use, each"
}
]
},
{
"code": "A6523",
"display": "G com garment arm nght custm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression garment, arm, padded, for nighttime use, custom, each"
}
]
},
{
"code": "A6524",
"display": "G com garmnt lwr leg/ft nght",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression garment, lower leg and foot, padded, for nighttime use, each"
}
]
},
{
"code": "A6525",
"display": "G com garm lwrleg/ft ngt cus",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression garment, lower leg and foot, padded, for nighttime use, custom, each"
}
]
},
{
"code": "A6526",
"display": "G com garmt full leg/ft nght",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression garment, full leg and foot, padded, for nighttime use, each"
}
]
},
{
"code": "A6527",
"display": "G garmt full leg/ft nght cus",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression garment, full leg and foot, padded, for nighttime use, custom, each"
}
]
},
{
"code": "A6528",
"display": "G com garment bra nighttime",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression garment, bra, for nighttime use, each"
}
]
},
{
"code": "A6529",
"display": "G com garmt bra night custm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression garment, bra, for nighttime use, custom, each"
}
]
},
{
"code": "A6530",
"display": "Compression stocking bk18-30",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression stocking, below knee, 18-30 mmhg, each"
}
]
},
{
"code": "A6531",
"display": "Compress stking bk30-40 surg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each"
}
]
},
{
"code": "A6532",
"display": "Compress stking bk40-50 surg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression stocking, below knee, 40-50 mmhg, used as a surgical dressing, each"
}
]
},
{
"code": "A6533",
"display": "Gc stocking thighlngth 18-30",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression stocking, thigh length, 18-30 mmhg, each"
}
]
},
{
"code": "A6534",
"display": "Gc stocking thighlngth 30-40",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression stocking, thigh length, 30-40 mmhg, each"
}
]
},
{
"code": "A6535",
"display": "Gc stocking thighlngth 40+",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression stocking, thigh length, 40 mmhg or greater, each"
}
]
},
{
"code": "A6536",
"display": "Gc stocking full lngth 18-30",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression stocking, full length/chap style, 18-30 mmhg, each"
}
]
},
{
"code": "A6537",
"display": "Gc stocking full lngth 30-40",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression stocking, full length/chap style, 30-40 mmhg, each"
}
]
},
{
"code": "A6538",
"display": "Gc stocking full lngth 40+",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression stocking, full length/chap style, 40 mmhg or greater, each"
}
]
},
{
"code": "A6539",
"display": "Gc stocking waistlngth 18-30",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression stocking, waist length, 18-30 mmhg, each"
}
]
},
{
"code": "A6540",
"display": "Gc stocking waistlngth 30-40",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression stocking, waist length, 30-40 mmhg, each"
}
]
},
{
"code": "A6541",
"display": "Gc stocking waistlngth 40+",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression stocking, waist length, 40 mmhg or greater, each"
}
]
},
{
"code": "A6544",
"display": "Gc stocking garter belt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression stocking, garter belt"
}
]
},
{
"code": "A6545",
"display": "Grad com non-elastic bk surg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each"
}
]
},
{
"code": "A6549",
"display": "G compression garment",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression garment, not otherwise specified"
}
]
},
{
"code": "A6550",
"display": "Neg pres wound ther drsg set",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories"
}
]
},
{
"code": "A6552",
"display": "Grad com stocking bk 30-40",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression stocking, below knee, 30-40 mmhg, each"
}
]
},
{
"code": "A6553",
"display": "G com stcking bk 30-40 custm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression stocking, below knee, 30-40 mmhg, custom, each"
}
]
},
{
"code": "A6554",
"display": "Grad com stocking bk 40+",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression stocking, below knee, 40 mmhg or greater, each"
}
]
},
{
"code": "A6555",
"display": "G com stcking bk 40+ custm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression stocking, below knee, 40 mmhg or greater, custom, each"
}
]
},
{
"code": "A6556",
"display": "G com stcking thgh18-30 cust",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression stocking, thigh length, 18-30 mmhg, custom, each"
}
]
},
{
"code": "A6557",
"display": "G com stcking thgh30-40 cust",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression stocking, thigh length, 30-40 mmhg, custom, each"
}
]
},
{
"code": "A6558",
"display": "G com stcking thgh 40+ cust",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression stocking, thigh length, 40 mmhg or greater, custom, each"
}
]
},
{
"code": "A6559",
"display": "G stckng full/chap18-30 cust",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression stocking, full length/chap style, 18-30 mmhg, custom, each"
}
]
},
{
"code": "A6560",
"display": "G stckng full/chap30-40 cust",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression stocking, full length/chap style, 30-40 mmhg, custom, each"
}
]
},
{
"code": "A6561",
"display": "G stockng full/chap 40+ cust",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression stocking, full length/chap style, 40 mmhg or greater, custom, each"
}
]
},
{
"code": "A6562",
"display": "G com stckng waist18-30 cust",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression stocking, waist length, 18-30 mmhg, custom, each"
}
]
},
{
"code": "A6563",
"display": "G com stckng waist30-40 cust",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression stocking, waist length, 30-40 mmhg, custom, each"
}
]
},
{
"code": "A6564",
"display": "G com stckng waist 40+ cust",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression stocking, waist length, 40 mmhg or greater, custom, each"
}
]
},
{
"code": "A6565",
"display": "Grad comp gauntlet custom",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression gauntlet, custom, each"
}
]
},
{
"code": "A6566",
"display": "Grad com garment neck/head",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression garment, neck/head, each"
}
]
},
{
"code": "A6567",
"display": "G com garment neck/head cust",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression garment, neck/head, custom, each"
}
]
},
{
"code": "A6568",
"display": "G com garment torso/shldr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression garment, torso and shoulder, each"
}
]
},
{
"code": "A6569",
"display": "G com garmnt torso/shdr cust",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression garment, torso/shoulder, custom, each"
}
]
},
{
"code": "A6570",
"display": "Grad com garment genital",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression garment, genital region, each"
}
]
},
{
"code": "A6571",
"display": "G com garment genital custm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression garment, genital region, custom, each"
}
]
},
{
"code": "A6572",
"display": "Grad com garment toe caps",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression garment, toe caps, each"
}
]
},
{
"code": "A6573",
"display": "Grad com garmnt toe cap cust",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression garment, toe caps, custom, each"
}
]
},
{
"code": "A6574",
"display": "Custom gradient sleev/glov",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression arm sleeve and glove combination, custom, each"
}
]
},
{
"code": "A6575",
"display": "Gradient comp sleev/glov",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression arm sleeve and glove combination, each"
}
]
},
{
"code": "A6576",
"display": "Custom grad com sleeve med",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression arm sleeve, custom, medium weight, each"
}
]
},
{
"code": "A6577",
"display": "Custom grad cm sleeve heavy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression arm sleeve, custom, heavy weight, each"
}
]
},
{
"code": "A6578",
"display": "Gradient comp sleeve",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression arm sleeve, each"
}
]
},
{
"code": "A6579",
"display": "Custom grad com glove med",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression glove, custom, medium weight, each"
}
]
},
{
"code": "A6580",
"display": "Custom grad com glove heavy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression glove, custom, heavy weight, each"
}
]
},
{
"code": "A6581",
"display": "Gradient comp glove",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression glove, each"
}
]
},
{
"code": "A6582",
"display": "Gradient comp gauntlet",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression gauntlet, each"
}
]
},
{
"code": "A6583",
"display": "Grad com wrap w straps bk",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression wrap with adjustable straps, below knee, 30-50 mmhg, each"
}
]
},
{
"code": "A6584",
"display": "Grad com wrap w straps",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression wrap with adjustable straps, not otherwise specified"
}
]
},
{
"code": "A6585",
"display": "Grad com wrap w straps ak",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient pressure wrap with adjustable straps, above knee, each"
}
]
},
{
"code": "A6586",
"display": "Grad com wrap w straps leg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient pressure wrap with adjustable straps, full leg, each"
}
]
},
{
"code": "A6587",
"display": "Grad com wrap w straps foot",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient pressure wrap with adjustable straps, foot, each"
}
]
},
{
"code": "A6588",
"display": "Grad com wrap w straps arm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient pressure wrap with adjustable straps, arm, each"
}
]
},
{
"code": "A6589",
"display": "Grad com wrap w straps bra",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient pressure wrap with adjustable straps, bra, each"
}
]
},
{
"code": "A6590",
"display": "Urinary cath disp suc pump",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "External urinary catheters; disposable, with wicking material, for use with suction pump, per month"
}
]
},
{
"code": "A6591",
"display": "Urinary cath suc pump",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "External urinary catheter; non-disposable, for use with suction pump, per month"
}
]
},
{
"code": "A6593",
"display": "Grad com accessory gmt_wrap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Accessory for gradient compression garment or wrap with adjustable straps, not-otherwise specified"
}
]
},
{
"code": "A6594",
"display": "G comp bandge liner lwr extr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression bandaging supply, bandage liner, lower extremity, any size or length, each"
}
]
},
{
"code": "A6595",
"display": "G comp bandge liner upr extr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression bandaging supply, bandage liner, upper extremity, any size or length, each"
}
]
},
{
"code": "A6596",
"display": "G comp bandge conform gauze",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression bandaging supply, conforming gauze, per linear yard, any width, each"
}
]
},
{
"code": "A6597",
"display": "G comp bandage long stretch",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression bandage roll, elastic long stretch, linear yard, any width, each"
}
]
},
{
"code": "A6598",
"display": "G comp bandage med stretch",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression bandage roll, elastic medium stretch, per linear yard, any width, each"
}
]
},
{
"code": "A6599",
"display": "G comp bandage short stretch",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression bandage roll, inelastic short stretch, per linear yard, any width, each"
}
]
},
{
"code": "A6600",
"display": "G com bandge hgh dn foam sht",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression bandaging supply, high density foam sheet, per 250 square centimeters, each"
}
]
},
{
"code": "A6601",
"display": "G com bandge hgh dn foam pad",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression bandaging supply, high density foam pad, any size or shape, each"
}
]
},
{
"code": "A6602",
"display": "G com bandge hgh dn foamroll",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression bandaging supply, high density foam roll for bandage, per linear yard, any width, each"
}
]
},
{
"code": "A6603",
"display": "G com bandge low dn foamchnl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression bandaging supply, low density channel foam sheet, per 250 square centimeters, each"
}
]
},
{
"code": "A6604",
"display": "G com bandge low dn foam flt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression bandaging supply, low density flat foam sheet, per 250 square centimeters, each"
}
]
},
{
"code": "A6605",
"display": "G com bandage padded foam",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression bandaging supply, padded foam, per linear yard, any width, each"
}
]
},
{
"code": "A6606",
"display": "G com bandage padded textile",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression bandaging supply, padded textile, per linear yard, any width, each"
}
]
},
{
"code": "A6607",
"display": "G com bandage tub protct lyr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression bandaging supply, tubular protective absorption layer, per linear yard, any width, each"
}
]
},
{
"code": "A6608",
"display": "G com bandage tub protct pad",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression bandaging supply, tubular protective absorption padded layer, per linear yard, any width, each"
}
]
},
{
"code": "A6609",
"display": "G compression bandaging",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression bandaging supply, not otherwise specified"
}
]
},
{
"code": "A6610",
"display": "G com stcking bk 18-30 custm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient compression stocking, below knee, 18-30 mmhg, custom, each"
}
]
},
{
"code": "A7000",
"display": "Disposable canister for pump",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Canister, disposable, used with suction pump, each"
}
]
},
{
"code": "A7001",
"display": "Nondisposable pump canister",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Canister, non-disposable, used with suction pump, each"
}
]
},
{
"code": "A7002",
"display": "Tubing used w suction pump",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tubing, used with suction pump, each"
}
]
},
{
"code": "A7003",
"display": "Nebulizer administration set",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Administration set, with small volume nonfiltered pneumatic nebulizer, disposable"
}
]
},
{
"code": "A7004",
"display": "Disposable nebulizer sml vol",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Small volume nonfiltered pneumatic nebulizer, disposable"
}
]
},
{
"code": "A7005",
"display": "Nondisposable nebulizer set",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable"
}
]
},
{
"code": "A7006",
"display": "Filtered nebulizer admin set",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Administration set, with small volume filtered pneumatic nebulizer"
}
]
},
{
"code": "A7007",
"display": "Lg vol nebulizer disposable",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Large volume nebulizer, disposable, unfilled, used with aerosol compressor"
}
]
},
{
"code": "A7008",
"display": "Disposable nebulizer prefill",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Large volume nebulizer, disposable, prefilled, used with aerosol compressor"
}
]
},
{
"code": "A7009",
"display": "Nebulizer reservoir bottle",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Reservoir bottle, non-disposable, used with large volume ultrasonic nebulizer"
}
]
},
{
"code": "A7010",
"display": "Disposable corrugated tubing",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Corrugated tubing, disposable, used with large volume nebulizer, 100 feet"
}
]
},
{
"code": "A7011",
"display": "Nondispos corrugated tubing",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Corrugated tubing, non-disposable, used with large volume nebulizer, 10 feet"
}
]
},
{
"code": "A7012",
"display": "Nebulizer water collec devic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Water collection device, used with large volume nebulizer"
}
]
},
{
"code": "A7013",
"display": "Disposable compressor filter",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Filter, disposable, used with aerosol compressor or ultrasonic generator"
}
]
},
{
"code": "A7014",
"display": "Compressor nondispos filter",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Filter, nondisposable, used with aerosol compressor or ultrasonic generator"
}
]
},
{
"code": "A7015",
"display": "Aerosol mask used w nebulize",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Aerosol mask, used with dme nebulizer"
}
]
},
{
"code": "A7016",
"display": "Nebulizer dome & mouthpiece",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dome and mouthpiece, used with small volume ultrasonic nebulizer"
}
]
},
{
"code": "A7017",
"display": "Nebulizer not used w oxygen",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen"
}
]
},
{
"code": "A7018",
"display": "Water distilled w/nebulizer",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Water, distilled, used with large volume nebulizer, 1000 ml"
}
]
},
{
"code": "A7020",
"display": "Interface, cough stim device",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Interface for cough stimulating device, includes all components, replacement only"
}
]
},
{
"code": "A7021",
"display": "Suppl and access lung expan",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Supplies and accessories for lung expansion airway clearance, continuous high frequency oscillation, and nebulization device (e.g., handset, nebulizer kit, biofilter)"
}
]
},
{
"code": "A7023",
"display": "Mech allergen parti barrier",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Mechanical allergen particle barrier/inhalation filter, cream, nasal, topical"
}
]
},
{
"code": "A7025",
"display": "Replace chest compress vest",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "High frequency chest wall oscillation system vest, replacement for use with patient owned equipment, each"
}
]
},
{
"code": "A7026",
"display": "Replace chst cmprss sys hose",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "High frequency chest wall oscillation system hose, replacement for use with patient owned equipment, each"
}
]
},
{
"code": "A7027",
"display": "Combination oral/nasal mask",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Combination oral/nasal mask, used with continuous positive airway pressure device, each"
}
]
},
{
"code": "A7028",
"display": "Repl oral cushion combo mask",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oral cushion for combination oral/nasal mask, replacement only, each"
}
]
},
{
"code": "A7029",
"display": "Repl nasal pillow comb mask",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nasal pillows for combination oral/nasal mask, replacement only, pair"
}
]
},
{
"code": "A7030",
"display": "Cpap full face mask",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Full face mask used with positive airway pressure device, each"
}
]
},
{
"code": "A7031",
"display": "Replacement facemask interfa",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Face mask interface, replacement for full face mask, each"
}
]
},
{
"code": "A7032",
"display": "Replacement nasal cushion",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cushion for use on nasal mask interface, replacement only, each"
}
]
},
{
"code": "A7033",
"display": "Replacement nasal pillows",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pillow for use on nasal cannula type interface, replacement only, pair"
}
]
},
{
"code": "A7034",
"display": "Nasal application device",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap"
}
]
},
{
"code": "A7035",
"display": "Pos airway press headgear",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Headgear used with positive airway pressure device"
}
]
},
{
"code": "A7036",
"display": "Pos airway press chinstrap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Chinstrap used with positive airway pressure device"
}
]
},
{
"code": "A7037",
"display": "Pos airway pressure tubing",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tubing used with positive airway pressure device"
}
]
},
{
"code": "A7038",
"display": "Pos airway pressure filter",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Filter, disposable, used with positive airway pressure device"
}
]
},
{
"code": "A7039",
"display": "Filter, non disposable w pap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Filter, non disposable, used with positive airway pressure device"
}
]
},
{
"code": "A7040",
"display": "One way chest drain valve"
},
{
"code": "A7041",
"display": "Water seal drain container",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Water seal drainage container and tubing for use with implanted chest tube"
}
]
},
{
"code": "A7042",
"display": "Implanted pleural catheter",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Implanted pleural catheter, each"
}
]
},
{
"code": "A7043",
"display": "Vacuum drainagebottle/tubing",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Vacuum drainage bottle and tubing for use with implanted catheter"
}
]
},
{
"code": "A7044",
"display": "Pap oral interface",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oral interface used with positive airway pressure device, each"
}
]
},
{
"code": "A7045",
"display": "Repl exhalation port for pap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Exhalation port with or without swivel used with accessories for positive airway devices, replacement only"
}
]
},
{
"code": "A7046",
"display": "Repl water chamber, pap dev",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Water chamber for humidifier, used with positive airway pressure device, replacement, each"
}
]
},
{
"code": "A7047",
"display": "Resp suction oral interface",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oral interface used with respiratory suction pump, each"
}
]
},
{
"code": "A7048",
"display": "Vacuum drain bottle/tube kit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Vacuum drainage collection unit and tubing kit, including all supplies needed for collection unit change, for use with implanted catheter, each"
}
]
},
{
"code": "A7049",
"display": "Epap nasal valve",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Expiratory positive airway pressure intranasal resistance valve"
}
]
},
{
"code": "A7501",
"display": "Tracheostoma valve w diaphra",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tracheostoma valve, including diaphragm, each"
}
]
},
{
"code": "A7502",
"display": "Replacement diaphragm/fplate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replacement diaphragm/faceplate for tracheostoma valve, each"
}
]
},
{
"code": "A7503",
"display": "Hmes filter holder or cap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Filter holder or filter cap, reusable, for use in a tracheostoma heat and moisture exchange system, each"
}
]
},
{
"code": "A7504",
"display": "Tracheostoma hmes filter",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Filter for use in a tracheostoma heat and moisture exchange system, each"
}
]
},
{
"code": "A7505",
"display": "Hmes or trach valve housing",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Housing, reusable without adhesive, for use in a heat and moisture exchange system and/or with a tracheostoma valve, each"
}
]
},
{
"code": "A7506",
"display": "Hmes/trachvalve adhesivedisk",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adhesive disc for use in a heat and moisture exchange system and/or with tracheostoma valve, any type each"
}
]
},
{
"code": "A7507",
"display": "Integrated filter & holder",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each"
}
]
},
{
"code": "A7508",
"display": "Housing & integrated adhesiv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each"
}
]
},
{
"code": "A7509",
"display": "Heat & moisture exchange sys",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each"
}
]
},
{
"code": "A7520",
"display": "Trach/laryn tube non-cuffed",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each"
}
]
},
{
"code": "A7521",
"display": "Trach/laryn tube cuffed",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each"
}
]
},
{
"code": "A7522",
"display": "Trach/laryn tube stainless",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tracheostomy/laryngectomy tube, stainless steel or equal (sterilizable and reusable), each"
}
]
},
{
"code": "A7523",
"display": "Tracheostomy shower protect",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tracheostomy shower protector, each"
}
]
},
{
"code": "A7524",
"display": "Tracheostoma stent/stud/bttn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tracheostoma stent/stud/button, each"
}
]
},
{
"code": "A7525",
"display": "Tracheostomy mask",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tracheostomy mask, each"
}
]
},
{
"code": "A7526",
"display": "Tracheostomy tube collar",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tracheostomy tube collar/holder, each"
}
]
},
{
"code": "A7527",
"display": "Trach/laryn tube plug/stop",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tracheostomy/laryngectomy tube plug/stop, each"
}
]
},
{
"code": "A8000",
"display": "Soft protect helmet prefab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Helmet, protective, soft, prefabricated, includes all components and accessories"
}
]
},
{
"code": "A8001",
"display": "Hard protect helmet prefab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Helmet, protective, hard, prefabricated, includes all components and accessories"
}
]
},
{
"code": "A8002",
"display": "Soft protect helmet custom",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Helmet, protective, soft, custom fabricated, includes all components and accessories"
}
]
},
{
"code": "A8003",
"display": "Hard protect helmet custom",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Helmet, protective, hard, custom fabricated, includes all components and accessories"
}
]
},
{
"code": "A8004",
"display": "Repl soft interface, helmet",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Soft interface for helmet, replacement only"
}
]
},
{
"code": "A9150",
"display": "Misc/exper non-prescript dru",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-prescription drugs"
}
]
},
{
"code": "A9152",
"display": "Single vitamin nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Single vitamin/mineral/trace element, oral, per dose, not otherwise specified"
}
]
},
{
"code": "A9153",
"display": "Multi-vitamin nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified"
}
]
},
{
"code": "A9155",
"display": "Artificial saliva",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Artificial saliva, 30 ml"
}
]
},
{
"code": "A9156",
"display": "Oral mucoadhesive per 1 ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oral mucoadhesive, any type (liquid, gel, paste, etc.), per 1 ml"
}
]
},
{
"code": "A9180",
"display": "Lice treatment, topical",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pediculosis (lice infestation) treatment, topical, for administration by patient/caretaker"
}
]
},
{
"code": "A9268",
"display": "Programmer orally ingest cap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Programmer for transient, orally ingested capsule"
}
]
},
{
"code": "A9269",
"display": "Programable ingest capsule",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Programable, transient, orally ingested capsule, for use with external programmer, per month"
}
]
},
{
"code": "A9270",
"display": "Non-covered item or service"
},
{
"code": "A9272",
"display": "Disp wound suct, drsg/access",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wound suction, disposable, includes dressing, all accessories and components, any type, each"
}
]
},
{
"code": "A9273",
"display": "Hot/cold botle/cap/col/wrap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cold or hot fluid bottle, ice cap or collar, heat and/or cold wrap, any type"
}
]
},
{
"code": "A9274",
"display": "Ext amb insulin delivery sys",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories"
}
]
},
{
"code": "A9275",
"display": "Disp home glucose monitor",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home glucose disposable monitor, includes test strips"
}
]
},
{
"code": "A9276",
"display": "Disposable sensor, cgm sys",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply"
}
]
},
{
"code": "A9277",
"display": "External transmitter, cgm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system"
}
]
},
{
"code": "A9278",
"display": "External receiver, cgm sys",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system"
}
]
},
{
"code": "A9279",
"display": "Monitoring feature/devicenoc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified"
}
]
},
{
"code": "A9280",
"display": "Alert device, noc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alert or alarm device, not otherwise classified"
}
]
},
{
"code": "A9281",
"display": "Reaching/grabbing device",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Reaching/grabbing device, any type, any length, each"
}
]
},
{
"code": "A9282",
"display": "Wig any type",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wig, any type, each"
}
]
},
{
"code": "A9283",
"display": "Foot press off load supp dev",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Foot pressure off loading/supportive device, any type, each"
}
]
},
{
"code": "A9284",
"display": "Non-electronic spirometer",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spirometer, non-electronic, includes all accessories"
}
]
},
{
"code": "A9285",
"display": "Inversion eversion cor devic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Inversion/eversion correction device"
}
]
},
{
"code": "A9286",
"display": "Any hygienic item, device",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hygienic item or device, disposable or non-disposable, any type, each"
}
]
},
{
"code": "A9291",
"display": "Pres dig cog behav thera fda",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prescription digital cognitive and/or behavioral therapy, fda cleared, per course of treatment"
}
]
},
{
"code": "A9292",
"display": "Pres dig visual therapy fda",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prescription digital visual therapy, software-only, fda cleared, per course of treatment"
}
]
},
{
"code": "A9293",
"display": "Fertility cycl tracking soft",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Fertility cycle (contraception & conception) tracking software application, fda cleared, per month, includes accessories (e.g., thermometer)"
}
]
},
{
"code": "A9300",
"display": "Exercise equipment"
},
{
"code": "A9500",
"display": "Tc99m sestamibi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Technetium tc-99m sestamibi, diagnostic, per study dose"
}
]
},
{
"code": "A9501",
"display": "Technetium tc-99m teboroxime",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Technetium tc-99m teboroxime, diagnostic, per study dose"
}
]
},
{
"code": "A9502",
"display": "Tc99m tetrofosmin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Technetium tc-99m tetrofosmin, diagnostic, per study dose"
}
]
},
{
"code": "A9503",
"display": "Tc99m medronate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries"
}
]
},
{
"code": "A9504",
"display": "Tc99m apcitide",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries"
}
]
},
{
"code": "A9505",
"display": "Tl201 thallium",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Thallium tl-201 thallous chloride, diagnostic, per millicurie"
}
]
},
{
"code": "A9506",
"display": "Tc-99m graphite crucible",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible"
}
]
},
{
"code": "A9507",
"display": "In111 capromab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries"
}
]
},
{
"code": "A9508",
"display": "I131 iodobenguate, dx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie"
}
]
},
{
"code": "A9509",
"display": "Iodine i-123 sod iodide mil",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Iodine i-123 sodium iodide, diagnostic, per millicurie"
}
]
},
{
"code": "A9510",
"display": "Tc99m disofenin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries"
}
]
},
{
"code": "A9512",
"display": "Tc99m pertechnetate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Technetium tc-99m pertechnetate, diagnostic, per millicurie"
}
]
},
{
"code": "A9513",
"display": "Lutetium lu 177 dotatat ther",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lutetium lu 177, dotatate, therapeutic, 1 millicurie"
}
]
},
{
"code": "A9515",
"display": "Choline c-11",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Choline c-11, diagnostic, per study dose up to 20 millicuries"
}
]
},
{
"code": "A9516",
"display": "Iodine i-123 sod iodide mic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries"
}
]
},
{
"code": "A9517",
"display": "I131 iodide cap, rx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie"
}
]
},
{
"code": "A9520",
"display": "Tc99 tilmanocept diag 0.5mci",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries"
}
]
},
{
"code": "A9521",
"display": "Tc99m exametazime",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries"
}
]
},
{
"code": "A9524",
"display": "I131 serum albumin, dx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries"
}
]
},
{
"code": "A9526",
"display": "Nitrogen n-13 ammonia",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries"
}
]
},
{
"code": "A9527",
"display": "Iodine i-125 sodium iodide",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Iodine i-125, sodium iodide solution, therapeutic, per millicurie"
}
]
},
{
"code": "A9528",
"display": "Iodine i-131 iodide cap, dx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie"
}
]
},
{
"code": "A9529",
"display": "I131 iodide sol, dx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Iodine i-131 sodium iodide solution, diagnostic, per millicurie"
}
]
},
{
"code": "A9530",
"display": "I131 iodide sol, rx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Iodine i-131 sodium iodide solution, therapeutic, per millicurie"
}
]
},
{
"code": "A9531",
"display": "I131 max 100uci",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries)"
}
]
},
{
"code": "A9532",
"display": "I125 serum albumin, dx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Iodine i-125 serum albumin, diagnostic, per 5 microcuries"
}
]
},
{
"code": "A9536",
"display": "Tc99m depreotide",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Technetium tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries"
}
]
},
{
"code": "A9537",
"display": "Tc99m mebrofenin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries"
}
]
},
{
"code": "A9538",
"display": "Tc99m pyrophosphate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries"
}
]
},
{
"code": "A9539",
"display": "Tc99m pentetate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries"
}
]
},
{
"code": "A9540",
"display": "Tc99m maa",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries"
}
]
},
{
"code": "A9541",
"display": "Tc99m sulfur colloid",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries"
}
]
},
{
"code": "A9542",
"display": "In111 ibritumomab, dx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries"
}
]
},
{
"code": "A9543",
"display": "Y90 ibritumomab, rx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries"
}
]
},
{
"code": "A9544",
"display": "I131 tositumomab, dx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Iodine i-131 tositumomab, diagnostic, per study dose"
}
]
},
{
"code": "A9545",
"display": "I131 tositumomab, rx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Iodine i-131 tositumomab, therapeutic, per treatment dose"
}
]
},
{
"code": "A9546",
"display": "Co57/58",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cobalt co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurie"
}
]
},
{
"code": "A9547",
"display": "In111 oxyquinoline",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie"
}
]
},
{
"code": "A9548",
"display": "In111 pentetate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Indium in-111 pentetate, diagnostic, per 0.5 millicurie"
}
]
},
{
"code": "A9550",
"display": "Tc99m gluceptate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Technetium tc-99m sodium gluceptate, diagnostic, per study dose, up to 25 millicurie"
}
]
},
{
"code": "A9551",
"display": "Tc99m succimer",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Technetium tc-99m succimer, diagnostic, per study dose, up to 10 millicuries"
}
]
},
{
"code": "A9552",
"display": "F18 fdg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries"
}
]
},
{
"code": "A9553",
"display": "Cr51 chromate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Chromium cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuries"
}
]
},
{
"code": "A9554",
"display": "I125 iothalamate, dx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries"
}
]
},
{
"code": "A9555",
"display": "Rb82 rubidium",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries"
}
]
},
{
"code": "A9556",
"display": "Ga67 gallium",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gallium ga-67 citrate, diagnostic, per millicurie"
}
]
},
{
"code": "A9557",
"display": "Tc99m bicisate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries"
}
]
},
{
"code": "A9558",
"display": "Xe133 xenon 10mci",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Xenon xe-133 gas, diagnostic, per 10 millicuries"
}
]
},
{
"code": "A9559",
"display": "Co57 cyano",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cobalt co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1 microcurie"
}
]
},
{
"code": "A9560",
"display": "Tc99m labeled rbc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries"
}
]
},
{
"code": "A9561",
"display": "Tc99m oxidronate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries"
}
]
},
{
"code": "A9562",
"display": "Tc99m mertiatide",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries"
}
]
},
{
"code": "A9563",
"display": "P32 na phosphate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sodium phosphate p-32, therapeutic, per millicurie"
}
]
},
{
"code": "A9564",
"display": "P32 chromic phosphate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Chromic phosphate p-32 suspension, therapeutic, per millicurie"
}
]
},
{
"code": "A9566",
"display": "Tc99m fanolesomab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Technetium tc-99m fanolesomab, diagnostic, per study dose, up to 25 millicuries"
}
]
},
{
"code": "A9567",
"display": "Technetium tc-99m aerosol",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries"
}
]
},
{
"code": "A9568",
"display": "Technetium tc99m arcitumomab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries"
}
]
},
{
"code": "A9569",
"display": "Technetium tc-99m auto wbc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose"
}
]
},
{
"code": "A9570",
"display": "Indium in-111 auto wbc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Indium in-111 labeled autologous white blood cells, diagnostic, per study dose"
}
]
},
{
"code": "A9571",
"display": "Indium in-111 auto platelet",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Indium in-111 labeled autologous platelets, diagnostic, per study dose"
}
]
},
{
"code": "A9572",
"display": "Indium in-111 pentetreotide",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries"
}
]
},
{
"code": "A9573",
"display": "Inj, gadopiclenol, 1 ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, gadopiclenol, 1 ml"
}
]
},
{
"code": "A9575",
"display": "Inj gadoterate meglumi 0.1ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, gadoterate meglumine, 0.1 ml"
}
]
},
{
"code": "A9576",
"display": "Inj prohance multipack",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, gadoteridol, (prohance multipack), per ml"
}
]
},
{
"code": "A9577",
"display": "Inj multihance",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, gadobenate dimeglumine (multihance), per ml"
}
]
},
{
"code": "A9578",
"display": "Inj multihance multipack",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, gadobenate dimeglumine (multihance multipack), per ml"
}
]
},
{
"code": "A9579",
"display": "Gad-base mr contrast nos,1ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml"
}
]
},
{
"code": "A9580",
"display": "Sodium fluoride f-18",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries"
}
]
},
{
"code": "A9581",
"display": "Gadoxetate disodium inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, gadoxetate disodium, 1 ml"
}
]
},
{
"code": "A9582",
"display": "Iodine i-123 iobenguane",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries"
}
]
},
{
"code": "A9583",
"display": "Gadofosveset trisodium inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, gadofosveset trisodium, 1 ml"
}
]
},
{
"code": "A9584",
"display": "Iodine i-123 ioflupane",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries"
}
]
},
{
"code": "A9585",
"display": "Gadobutrol injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, gadobutrol, 0.1 ml"
}
]
},
{
"code": "A9586",
"display": "Florbetapir f18",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Florbetapir f18, diagnostic, per study dose, up to 10 millicuries"
}
]
},
{
"code": "A9587",
"display": "Gallium ga-68",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gallium ga-68, dotatate, diagnostic, 0.1 millicurie"
}
]
},
{
"code": "A9588",
"display": "Fluciclovine f-18",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Fluciclovine f-18, diagnostic, 1 millicurie"
}
]
},
{
"code": "A9589",
"display": "Insti hexaminolevulinate hcl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Instillation, hexaminolevulinate hydrochloride, 100 mg"
}
]
},
{
"code": "A9590",
"display": "Iodine i-131 iobenguane 1mci",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Iodine i-131, iobenguane, 1 millicurie"
}
]
},
{
"code": "A9591",
"display": "Fluoroestradiol f 18",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Fluoroestradiol f 18, diagnostic, 1 millicurie"
}
]
},
{
"code": "A9592",
"display": "Copper cu 64 dotatate diag",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Copper cu-64, dotatate, diagnostic, 1 millicurie"
}
]
},
{
"code": "A9593",
"display": "Gallium ga-68 psma-11 ucsf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie"
}
]
},
{
"code": "A9594",
"display": "Gallium ga-68 psma-11, ucla",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie"
}
]
},
{
"code": "A9595",
"display": "Piflu f-18, dia 1 millicurie",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Piflufolastat f-18, diagnostic, 1 millicurie"
}
]
},
{
"code": "A9596",
"display": "Gallium illuccix 1 millicure",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie"
}
]
},
{
"code": "A9597",
"display": "Pet, dx, for tumor id, noc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Positron emission tomography radiopharmaceutical, diagnostic, for tumor identification, not otherwise classified"
}
]
},
{
"code": "A9598",
"display": "Pet dx for non-tumor id, noc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Positron emission tomography radiopharmaceutical, diagnostic, for non-tumor identification, not otherwise classified"
}
]
},
{
"code": "A9599",
"display": "Radioph dx b amyloid pet nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Radiopharmaceutical, diagnostic, for beta-amyloid positron emission tomography (pet) imaging, per study dose, not otherwise specified"
}
]
},
{
"code": "A9600",
"display": "Sr89 strontium",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Strontium sr-89 chloride, therapeutic, per millicurie"
}
]
},
{
"code": "A9601",
"display": "Flortaucipir inj 1 millicuri",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Flortaucipir f 18 injection, diagnostic, 1 millicurie"
}
]
},
{
"code": "A9602",
"display": "Fluorodopa f-18 diag per mci",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Fluorodopa f-18, diagnostic, per millicurie"
}
]
},
{
"code": "A9603",
"display": "Inj, pafolacianine, 0.1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pafolacianine, 0.1 mg"
}
]
},
{
"code": "A9604",
"display": "Sm 153 lexidronam",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries"
}
]
},
{
"code": "A9606",
"display": "Radium ra223 dichloride ther",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Radium ra-223 dichloride, therapeutic, per microcurie"
}
]
},
{
"code": "A9607",
"display": "Lutetium lu 177 vipivotide",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie"
}
]
},
{
"code": "A9608",
"display": "Flotufolastat f18 diag 1 mci",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Flotufolastat f 18, diagnostic, 1 millicurie"
}
]
},
{
"code": "A9609",
"display": "F18 fdg, 15 millicuries",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Fludeoxyglucose f18 up to 15 millicuries"
}
]
},
{
"code": "A9610",
"display": "Xe129 xenon, diagnostic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Xenon xe-129 hyperpolarized gas, diagnostic, per study dose"
}
]
},
{
"code": "A9615",
"display": "Inj, pegulicianine, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pegulicianine, 1 mg"
}
]
},
{
"code": "A9697",
"display": "Inj, magtrace per study dose",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, carboxydextran-coated superparamagnetic iron oxide, per study dose"
}
]
},
{
"code": "A9698",
"display": "Non-rad contrast materialnoc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-radioactive contrast imaging material, not otherwise classified, per study"
}
]
},
{
"code": "A9699",
"display": "Radiopharm rx agent noc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Radiopharmaceutical, therapeutic, not otherwise classified"
}
]
},
{
"code": "A9700",
"display": "Echocardiography contrast",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Supply of injectable contrast material for use in echocardiography, per study"
}
]
},
{
"code": "A9800",
"display": "Gallium locametz 1 millicuri",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie"
}
]
},
{
"code": "A9900",
"display": "Supply/accessory/service",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Miscellaneous dme supply, accessory, and/or service component of another hcpcs code"
}
]
},
{
"code": "A9901",
"display": "Delivery/set up/dispensing",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dme delivery, set up, and/or dispensing service component of another hcpcs code"
}
]
},
{
"code": "A9999",
"display": "Dme supply or accessory, nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Miscellaneous dme supply or accessory, not otherwise specified"
}
]
},
{
"code": "B4034",
"display": "Enter feed supkit syr by day",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape"
}
]
},
{
"code": "B4035",
"display": "Enteral feed supp pump per d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape"
}
]
},
{
"code": "B4036",
"display": "Enteral feed sup kit grav by",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape"
}
]
},
{
"code": "B4081",
"display": "Enteral ng tubing w/ stylet",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nasogastric tubing with stylet"
}
]
},
{
"code": "B4082",
"display": "Enteral ng tubing w/o stylet",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nasogastric tubing without stylet"
}
]
},
{
"code": "B4083",
"display": "Enteral stomach tube levine",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Stomach tube - levine type"
}
]
},
{
"code": "B4087",
"display": "Gastro/jejuno tube, std",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gastrostomy/jejunostomy tube, standard, any material, any type, each"
}
]
},
{
"code": "B4088",
"display": "Gastro/jejuno tube, low-pro",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gastrostomy/jejunostomy tube, low-profile, any material, any type, each"
}
]
},
{
"code": "B4100",
"display": "Food thickener oral",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Food thickener, administered orally, per ounce"
}
]
},
{
"code": "B4102",
"display": "Ef adult fluids and electro",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Enteral formula, for adults, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit"
}
]
},
{
"code": "B4103",
"display": "Ef ped fluid and electrolyte",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit"
}
]
},
{
"code": "B4104",
"display": "Additive for enteral formula",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Additive for enteral formula (e.g., fiber)"
}
]
},
{
"code": "B4105",
"display": "Enzyme cartridge enteral nut",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "In-line cartridge containing digestive enzyme(s) for enteral feeding, each"
}
]
},
{
"code": "B4148",
"display": "Enteral feed elastomer daily",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Enteral feeding supply kit; elastomeric control fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape"
}
]
},
{
"code": "B4149",
"display": "Ef blenderized foods",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit"
}
]
},
{
"code": "B4150",
"display": "Ef complet w/intact nutrient",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit"
}
]
},
{
"code": "B4152",
"display": "Ef calorie dense>/=1.5kcal",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit"
}
]
},
{
"code": "B4153",
"display": "Ef hydrolyzed/amino acids",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit"
}
]
},
{
"code": "B4154",
"display": "Ef spec metabolic noninherit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit"
}
]
},
{
"code": "B4155",
"display": "Ef incomplete/modular",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit"
}
]
},
{
"code": "B4157",
"display": "Ef special metabolic inherit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Enteral formula, nutritionally complete, for special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit"
}
]
},
{
"code": "B4158",
"display": "Ef ped complete intact nut",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Enteral formula, for pediatrics, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unit"
}
]
},
{
"code": "B4159",
"display": "Ef ped complete soy based",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Enteral formula, for pediatrics, nutritionally complete soy based with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unit"
}
]
},
{
"code": "B4160",
"display": "Ef ped caloric dense>/=0.7kc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit"
}
]
},
{
"code": "B4161",
"display": "Ef ped hydrolyzed/amino acid",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit"
}
]
},
{
"code": "B4162",
"display": "Ef ped specmetabolic inherit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Enteral formula, for pediatrics, special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit"
}
]
},
{
"code": "B4164",
"display": "Parenteral 50% dextrose solu",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Parenteral nutrition solution: carbohydrates (dextrose), 50% or less (500 ml = 1 unit) - home mix"
}
]
},
{
"code": "B4168",
"display": "Parenteral sol amino acid 3.",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Parenteral nutrition solution; amino acid, 3.5%, (500 ml = 1 unit) - home mix"
}
]
},
{
"code": "B4172",
"display": "Parenteral sol amino acid 5.",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Parenteral nutrition solution; amino acid, 5.5% through 7%, (500 ml = 1 unit) - home mix"
}
]
},
{
"code": "B4176",
"display": "Parenteral sol amino acid 7-",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Parenteral nutrition solution; amino acid, 7% through 8.5%, (500 ml = 1 unit) - home mix"
}
]
},
{
"code": "B4178",
"display": "Parenteral sol amino acid >",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Parenteral nutrition solution: amino acid, greater than 8.5% (500 ml = 1 unit) - home mix"
}
]
},
{
"code": "B4180",
"display": "Parenteral sol carb > 50%",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Parenteral nutrition solution; carbohydrates (dextrose), greater than 50% (500 ml = 1 unit) - home mix"
}
]
},
{
"code": "B4185",
"display": "Pn soln nos 10 grams lipids",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Parenteral nutrition solution, not otherwise specified, 10 grams lipids"
}
]
},
{
"code": "B4187",
"display": "Omegaven, 10 grams lipids"
},
{
"code": "B4189",
"display": "Parenteral sol amino acid &",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix"
}
]
},
{
"code": "B4193",
"display": "Parenteral sol 52-73 gm prot",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix"
}
]
},
{
"code": "B4197",
"display": "Parenteral sol 74-100 gm pro",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix"
}
]
},
{
"code": "B4199",
"display": "Parenteral sol > 100gm prote",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix"
}
]
},
{
"code": "B4216",
"display": "Parenteral nutrition additiv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Parenteral nutrition; additives (vitamins, trace elements, heparin, electrolytes), home mix, per day"
}
]
},
{
"code": "B4220",
"display": "Parenteral supply kit premix",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Parenteral nutrition supply kit; premix, per day"
}
]
},
{
"code": "B4222",
"display": "Parenteral supply kit homemi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Parenteral nutrition supply kit; home mix, per day"
}
]
},
{
"code": "B4224",
"display": "Parenteral administration ki",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Parenteral nutrition administration kit, per day"
}
]
},
{
"code": "B5000",
"display": "Parenteral sol renal-amirosy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, renal-aminosyn-rf, nephramine, renamine-premix"
}
]
},
{
"code": "B5100",
"display": "Parenteral solution hepatic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, hepatic, hepatamine-premix"
}
]
},
{
"code": "B5200",
"display": "Parenteral sol hepatic fream",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, stress-branch chain amino acids-freamine-hbc-premix"
}
]
},
{
"code": "B9000",
"display": "Enter infusion pump w/o alrm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Enteral nutrition infusion pump - without alarm"
}
]
},
{
"code": "B9002",
"display": "Enter nutr inf pump any type",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Enteral nutrition infusion pump, any type"
}
]
},
{
"code": "B9004",
"display": "Parenteral infus pump portab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Parenteral nutrition infusion pump, portable"
}
]
},
{
"code": "B9006",
"display": "Parenteral infus pump statio",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Parenteral nutrition infusion pump, stationary"
}
]
},
{
"code": "B9998",
"display": "Enteral supp not otherwise c",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Noc for enteral supplies"
}
]
},
{
"code": "B9999",
"display": "Parenteral supp not othrws c",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Noc for parenteral supplies"
}
]
},
{
"code": "C1052",
"display": "Hemostatic agent, gi, topic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hemostatic agent, gastrointestinal, topical"
}
]
},
{
"code": "C1062",
"display": "Intravertebral fx aug impl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intravertebral body fracture augmentation with implant (e.g., metal, polymer)"
}
]
},
{
"code": "C1300",
"display": "Hyperbaric oxygen",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval"
}
]
},
{
"code": "C1600",
"display": "Cath, bladed, vasc prep",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter, transluminal intravascular lesion preparation device, bladed, sheathed (insertable)"
}
]
},
{
"code": "C1601",
"display": "Endo, single, pulmonary",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Endoscope, single-use (i.e. disposable), pulmonary, imaging/illumination device (insertable)"
}
]
},
{
"code": "C1602",
"display": "Orth/matrx/bn fill drug-elut",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Orthopedic/device/drug matrix/absorbable bone void filler, antimicrobial-eluting (implantable)"
}
]
},
{
"code": "C1603",
"display": "Ret dev, laser, ivc filter",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Retrieval device, insertable, laser (used to retrieve intravascular inferior vena cava filter)"
}
]
},
{
"code": "C1604",
"display": "Grft, trnsmurl/trnsvens byps",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Graft, transmural transvenous arterial bypass (implantable), with all delivery system components"
}
]
},
{
"code": "C1605",
"display": "Pmkr, dual, leadless",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pacemaker, leadless, dual chamber (right atrial and right ventricular implantable components), rate-responsive, including all necessary components for implantation"
}
]
},
{
"code": "C1606",
"display": "Adapter, us to endoscope",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adapter, single-use (i.e. disposable), for attaching ultrasound system to upper gastrointestinal endoscope"
}
]
},
{
"code": "C1713",
"display": "Anchor/screw bn/bn,tis/bn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)"
}
]
},
{
"code": "C1714",
"display": "Cath, trans atherectomy, dir",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter, transluminal atherectomy, directional"
}
]
},
{
"code": "C1715",
"display": "Brachytherapy needle"
},
{
"code": "C1716",
"display": "Brachytx, non-str, gold-198",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Brachytherapy source, non-stranded, gold-198, per source"
}
]
},
{
"code": "C1717",
"display": "Brachytx, non-str,hdr ir-192",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Brachytherapy source, non-stranded, high dose rate iridium-192, per source"
}
]
},
{
"code": "C1719",
"display": "Brachytx, ns, non-hdrir-192",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Brachytherapy source, non-stranded, non-high dose rate iridium-192, per source"
}
]
},
{
"code": "C1721",
"display": "Aicd, dual chamber",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cardioverter-defibrillator, dual chamber (implantable)"
}
]
},
{
"code": "C1722",
"display": "Aicd, single chamber",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cardioverter-defibrillator, single chamber (implantable)"
}
]
},
{
"code": "C1724",
"display": "Cath, trans atherec,rotation",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter, transluminal atherectomy, rotational"
}
]
},
{
"code": "C1725",
"display": "Cath, translumin non-laser",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability)"
}
]
},
{
"code": "C1726",
"display": "Cath, bal dil, non-vascular",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter, balloon dilatation, non-vascular"
}
]
},
{
"code": "C1727",
"display": "Cath, bal tis dis, non-vas",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter, balloon tissue dissector, non-vascular (insertable)"
}
]
},
{
"code": "C1728",
"display": "Cath, brachytx seed adm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter, brachytherapy seed administration"
}
]
},
{
"code": "C1729",
"display": "Cath, drainage",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter, drainage"
}
]
},
{
"code": "C1730",
"display": "Cath, ep, 19 or few elect",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter, electrophysiology, diagnostic, other than 3d mapping (19 or fewer electrodes)"
}
]
},
{
"code": "C1731",
"display": "Cath, ep, 20 or more elec",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter, electrophysiology, diagnostic, other than 3d mapping (20 or more electrodes)"
}
]
},
{
"code": "C1732",
"display": "Cath, ep, diag/abl, 3d/vect",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter, electrophysiology, diagnostic/ablation, 3d or vector mapping"
}
]
},
{
"code": "C1733",
"display": "Cath, ep, othr than cool-tip",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter, electrophysiology, diagnostic/ablation, other than 3d or vector mapping, other than cool-tip"
}
]
},
{
"code": "C1734",
"display": "Orth/devic/drug bn/bn,tis/bn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Orthopedic/device/drug matrix for opposing bone-to-bone or soft tissue-to bone (implantable)"
}
]
},
{
"code": "C1735",
"display": "Cath renal denerv radiofreq",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter(s), intravascular for renal denervation, radiofrequency, including all single use system components"
}
]
},
{
"code": "C1736",
"display": "Cath renal denerv ultrasnd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter(s), intravascular for renal denervation, ultrasound, including all single use system components"
}
]
},
{
"code": "C1737",
"display": "Si&pelvis fusn&fixn dev",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Joint fusion and fixation device(s), sacroiliac and pelvis, including all system components (implantable)"
}
]
},
{
"code": "C1738",
"display": "Power endo us-guid bx dev",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Powered, single-use (i.e. disposable) endoscopic ultrasound-guided biopsy device"
}
]
},
{
"code": "C1739",
"display": "Tissue marker, detectable",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tissue marker, imaging and non-imaging device (implantable)"
}
]
},
{
"code": "C1747",
"display": "Endo, single, urinary tract",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Endoscope, single-use (i.e. disposable), urinary tract, imaging/illumination device (insertable)"
}
]
},
{
"code": "C1748",
"display": "Endoscope, single, ugi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Endoscope, single-use (i.e. disposable), upper gi, imaging/illumination device (insertable)"
}
]
},
{
"code": "C1749",
"display": "Endo, colon, retro imaging",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Endoscope, retrograde imaging/illumination colonoscope device (implantable)"
}
]
},
{
"code": "C1750",
"display": "Cath, hemodialysis,long-term",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter, hemodialysis/peritoneal, long-term"
}
]
},
{
"code": "C1751",
"display": "Cath, inf, per/cent/midline",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis)"
}
]
},
{
"code": "C1752",
"display": "Cath,hemodialysis,short-term",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter, hemodialysis/peritoneal, short-term"
}
]
},
{
"code": "C1753",
"display": "Cath, intravas ultrasound",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter, intravascular ultrasound"
}
]
},
{
"code": "C1754",
"display": "Catheter, intradiscal"
},
{
"code": "C1755",
"display": "Catheter, intraspinal"
},
{
"code": "C1756",
"display": "Cath, pacing, transesoph",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter, pacing, transesophageal"
}
]
},
{
"code": "C1757",
"display": "Cath, thrombectomy/embolect",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter, thrombectomy/embolectomy"
}
]
},
{
"code": "C1758",
"display": "Catheter, ureteral"
},
{
"code": "C1759",
"display": "Cath, intra echocardiography",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter, intracardiac echocardiography"
}
]
},
{
"code": "C1760",
"display": "Closure dev, vasc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Closure device, vascular (implantable/insertable)"
}
]
},
{
"code": "C1761",
"display": "Cath, trans intra litho/coro",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter, transluminal intravascular lithotripsy, coronary"
}
]
},
{
"code": "C1762",
"display": "Conn tiss, human(inc fascia)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Connective tissue, human (includes fascia lata)"
}
]
},
{
"code": "C1763",
"display": "Conn tiss, non-human",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Connective tissue, non-human (includes synthetic)"
}
]
},
{
"code": "C1764",
"display": "Event recorder, cardiac",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Event recorder, cardiac (implantable)"
}
]
},
{
"code": "C1765",
"display": "Adhesion barrier"
},
{
"code": "C1766",
"display": "Intro/sheath,strble,non-peel",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Introducer/sheath, guiding, intracardiac electrophysiological, steerable, other than peel-away"
}
]
},
{
"code": "C1767",
"display": "Generator, neuro non-recharg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Generator, neurostimulator (implantable), non-rechargeable"
}
]
},
{
"code": "C1768",
"display": "Graft, vascular"
},
{
"code": "C1769",
"display": "Guide wire"
},
{
"code": "C1770",
"display": "Imaging coil, mr, insertable",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Imaging coil, magnetic resonance (insertable)"
}
]
},
{
"code": "C1771",
"display": "Rep dev, urinary, w/sling",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Repair device, urinary, incontinence, with sling graft"
}
]
},
{
"code": "C1772",
"display": "Infusion pump, programmable",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Infusion pump, programmable (implantable)"
}
]
},
{
"code": "C1773",
"display": "Ret dev, insertable",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Retrieval device, insertable (used to retrieve fractured medical devices)"
}
]
},
{
"code": "C1776",
"display": "Joint device (implantable)"
},
{
"code": "C1777",
"display": "Lead, aicd, endo single coil",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lead, cardioverter-defibrillator, endocardial single coil (implantable)"
}
]
},
{
"code": "C1778",
"display": "Lead, neurostimulator",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lead, neurostimulator (implantable)"
}
]
},
{
"code": "C1779",
"display": "Lead, pmkr, transvenous vdd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lead, pacemaker, transvenous vdd single pass"
}
]
},
{
"code": "C1780",
"display": "Lens, intraocular (new tech)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lens, intraocular (new technology)"
}
]
},
{
"code": "C1781",
"display": "Mesh (implantable)"
},
{
"code": "C1782",
"display": "Morcellator"
},
{
"code": "C1783",
"display": "Ocular imp, aqueous drain de",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ocular implant, aqueous drainage assist device"
}
]
},
{
"code": "C1784",
"display": "Ocular dev, intraop, det ret",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ocular device, intraoperative, detached retina"
}
]
},
{
"code": "C1785",
"display": "Pmkr, dual, rate-resp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pacemaker, dual chamber, rate-responsive (implantable)"
}
]
},
{
"code": "C1786",
"display": "Pmkr, single, rate-resp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pacemaker, single chamber, rate-responsive (implantable)"
}
]
},
{
"code": "C1787",
"display": "Patient progr, neurostim",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient programmer, neurostimulator"
}
]
},
{
"code": "C1788",
"display": "Port, indwelling, imp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Port, indwelling (implantable)"
}
]
},
{
"code": "C1789",
"display": "Prosthesis, breast, imp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prosthesis, breast (implantable)"
}
]
},
{
"code": "C1813",
"display": "Prosthesis, penile, inflatab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prosthesis, penile, inflatable"
}
]
},
{
"code": "C1814",
"display": "Retinal tamp, silicone oil",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Retinal tamponade device, silicone oil"
}
]
},
{
"code": "C1815",
"display": "Pros, urinary sph, imp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prosthesis, urinary sphincter (implantable)"
}
]
},
{
"code": "C1816",
"display": "Receiver/transmitter, neuro",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Receiver and/or transmitter, neurostimulator (implantable)"
}
]
},
{
"code": "C1817",
"display": "Septal defect imp sys",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Septal defect implant system, intracardiac"
}
]
},
{
"code": "C1818",
"display": "Integrated keratoprosthesis"
},
{
"code": "C1819",
"display": "Tissue localization-excision",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Surgical tissue localization and excision device (implantable)"
}
]
},
{
"code": "C1820",
"display": "Generator neuro rechg bat sy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Generator, neurostimulator (implantable), with rechargeable battery and charging system"
}
]
},
{
"code": "C1821",
"display": "Interspinous implant",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Interspinous process distraction device (implantable)"
}
]
},
{
"code": "C1822",
"display": "Gen, neuro, hf, rechg bat",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Generator, neurostimulator (implantable), high frequency, with rechargeable battery and charging system"
}
]
},
{
"code": "C1823",
"display": "Gen, neuro, trans sen/stim",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Generator, neurostimulator (implantable), non-rechargeable, with transvenous sensing and stimulation leads"
}
]
},
{
"code": "C1824",
"display": "Generator, ccm, implant",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Generator, cardiac contractility modulation (implantable)"
}
]
},
{
"code": "C1825",
"display": "Gen, neuro, carot sinus baro",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Generator, neurostimulator (implantable), non-rechargeable with carotid sinus baroreceptor stimulation lead(s)"
}
]
},
{
"code": "C1826",
"display": "Gen, neuro, clo loop, rechg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Generator, neurostimulator (implantable), includes closed feedback loop leads and all implantable components, with rechargeable battery and charging system"
}
]
},
{
"code": "C1827",
"display": "Gen, neuro, imp led, ex cntr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Generator, neurostimulator (implantable), non-rechargeable, with implantable stimulation lead and external paired stimulation controller"
}
]
},
{
"code": "C1830",
"display": "Power bone marrow bx needle",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Powered bone marrow biopsy needle"
}
]
},
{
"code": "C1831",
"display": "Personalized interbody cage",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Interbody cage, anterior, lateral or posterior, personalized (implantable)"
}
]
},
{
"code": "C1832",
"display": "Auto cell process sys",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Autograft suspension, including cell processing and application, and all system components"
}
]
},
{
"code": "C1833",
"display": "Cardiac monitor sys",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Monitor, cardiac, including intracardiac lead and all system components (implantable)"
}
]
},
{
"code": "C1834",
"display": "Pressure sensor system, im",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pressure sensor system, includes all components (e.g., introducer, sensor), intramuscular (implantable), excludes mobile (wireless) software application"
}
]
},
{
"code": "C1839",
"display": "Iris prosthesis"
},
{
"code": "C1840",
"display": "Telescopic intraocular lens",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lens, intraocular (telescopic)"
}
]
},
{
"code": "C1841",
"display": "Retinal prosth int/ext comp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Retinal prosthesis, includes all internal and external components"
}
]
},
{
"code": "C1842",
"display": "Retinal prosth, add-on",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Retinal prosthesis, includes all internal and external components; add-on to c1841"
}
]
},
{
"code": "C1849",
"display": "Skin substitute, synthetic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Skin substitute, synthetic, resorbable, per square centimeter"
}
]
},
{
"code": "C1874",
"display": "Stent, coated/cov w/del sys",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Stent, coated/covered, with delivery system"
}
]
},
{
"code": "C1875",
"display": "Stent, coated/cov w/o del sy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Stent, coated/covered, without delivery system"
}
]
},
{
"code": "C1876",
"display": "Stent, non-coa/non-cov w/del",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Stent, non-coated/non-covered, with delivery system"
}
]
},
{
"code": "C1877",
"display": "Stent, non-coat/cov w/o del",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Stent, non-coated/non-covered, without delivery system"
}
]
},
{
"code": "C1878",
"display": "Matrl for vocal cord",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Material for vocal cord medialization, synthetic (implantable)"
}
]
},
{
"code": "C1880",
"display": "Vena cava filter"
},
{
"code": "C1881",
"display": "Dialysis access system",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dialysis access system (implantable)"
}
]
},
{
"code": "C1882",
"display": "Aicd, other than sing/dual",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cardioverter-defibrillator, other than single or dual chamber (implantable)"
}
]
},
{
"code": "C1883",
"display": "Adapt/ext, pacing/neuro lead",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adapter/extension, pacing lead or neurostimulator lead (implantable)"
}
]
},
{
"code": "C1884",
"display": "Embolization protect syst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Embolization protective system"
}
]
},
{
"code": "C1885",
"display": "Cath, translumin angio laser",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter, transluminal angioplasty, laser"
}
]
},
{
"code": "C1886",
"display": "Catheter, ablation",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter, extravascular tissue ablation, any modality (insertable)"
}
]
},
{
"code": "C1887",
"display": "Catheter, guiding",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter, guiding (may include infusion/perfusion capability)"
}
]
},
{
"code": "C1888",
"display": "Endovas non-cardiac abl cath",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter, ablation, non-cardiac, endovascular (implantable)"
}
]
},
{
"code": "C1889",
"display": "Implant/insert device, noc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Implantable/insertable device, not otherwise classified"
}
]
},
{
"code": "C1890",
"display": "No device w/dev-intensive px",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "No implantable/insertable device used with device-intensive procedures"
}
]
},
{
"code": "C1891",
"display": "Infusion pump,non-prog, perm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Infusion pump, non-programmable, permanent (implantable)"
}
]
},
{
"code": "C1892",
"display": "Intro/sheath,fixed,peel-away",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away"
}
]
},
{
"code": "C1893",
"display": "Intro/sheath, fixed,non-peel",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away"
}
]
},
{
"code": "C1894",
"display": "Intro/sheath, non-laser",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser"
}
]
},
{
"code": "C1895",
"display": "Lead, aicd, endo dual coil",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lead, cardioverter-defibrillator, endocardial dual coil (implantable)"
}
]
},
{
"code": "C1896",
"display": "Lead, aicd, non sing/dual",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lead, cardioverter-defibrillator, other than endocardial single or dual coil (implantable)"
}
]
},
{
"code": "C1897",
"display": "Lead, neurostim test kit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lead, neurostimulator test kit (implantable)"
}
]
},
{
"code": "C1898",
"display": "Lead, pmkr, other than trans",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lead, pacemaker, other than transvenous vdd single pass"
}
]
},
{
"code": "C1899",
"display": "Lead, pmkr/aicd combination",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lead, pacemaker/cardioverter-defibrillator combination (implantable)"
}
]
},
{
"code": "C1900",
"display": "Lead, coronary venous",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lead, left ventricular coronary venous system"
}
]
},
{
"code": "C1982",
"display": "Cath, pressure,valve-occlu",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter, pressure-generating, one-way valve, intermittently occlusive"
}
]
},
{
"code": "C2596",
"display": "Probe, robotic, water-jet",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Probe, image-guided, robotic, waterjet ablation"
}
]
},
{
"code": "C2613",
"display": "Lung bx plug w/del sys",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lung biopsy plug with delivery system"
}
]
},
{
"code": "C2614",
"display": "Probe, perc lumb disc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Probe, percutaneous lumbar discectomy"
}
]
},
{
"code": "C2615",
"display": "Sealant, pulmonary, liquid"
},
{
"code": "C2616",
"display": "Brachytx, non-str,yttrium-90",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Brachytherapy source, non-stranded, yttrium-90, per source"
}
]
},
{
"code": "C2617",
"display": "Stent, non-cor, tem w/o del",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Stent, non-coronary, temporary, without delivery system"
}
]
},
{
"code": "C2618",
"display": "Probe/needle, cryo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Probe/needle, cryoablation"
}
]
},
{
"code": "C2619",
"display": "Pmkr, dual, non rate-resp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pacemaker, dual chamber, non rate-responsive (implantable)"
}
]
},
{
"code": "C2620",
"display": "Pmkr, single, non rate-resp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pacemaker, single chamber, non rate-responsive (implantable)"
}
]
},
{
"code": "C2621",
"display": "Pmkr, other than sing/dual",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pacemaker, other than single or dual chamber (implantable)"
}
]
},
{
"code": "C2622",
"display": "Prosthesis, penile, non-inf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prosthesis, penile, non-inflatable"
}
]
},
{
"code": "C2623",
"display": "Cath, translumin, drug-coat",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter, transluminal angioplasty, drug-coated, non-laser"
}
]
},
{
"code": "C2624",
"display": "Wireless pressure sensor",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Implantable wireless pulmonary artery pressure sensor with delivery catheter, including all system components"
}
]
},
{
"code": "C2625",
"display": "Stent, non-cor, tem w/del sy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Stent, non-coronary, temporary, with delivery system"
}
]
},
{
"code": "C2626",
"display": "Infusion pump, non-prog,temp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Infusion pump, non-programmable, temporary (implantable)"
}
]
},
{
"code": "C2627",
"display": "Cath, suprapubic/cystoscopic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter, suprapubic/cystoscopic"
}
]
},
{
"code": "C2628",
"display": "Catheter, occlusion"
},
{
"code": "C2629",
"display": "Intro/sheath, laser",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Introducer/sheath, other than guiding, other than intracardiac electrophysiological, laser"
}
]
},
{
"code": "C2630",
"display": "Cath, ep, cool-tip",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter, electrophysiology, diagnostic/ablation, other than 3d or vector mapping, cool-tip"
}
]
},
{
"code": "C2631",
"display": "Rep dev, urinary, w/o sling",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Repair device, urinary, incontinence, without sling graft"
}
]
},
{
"code": "C2634",
"display": "Brachytx, non-str, ha, i-125",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Brachytherapy source, non-stranded, high activity, iodine-125, greater than 1.01 mci (nist), per source"
}
]
},
{
"code": "C2635",
"display": "Brachytx, non-str, ha, p-103",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Brachytherapy source, non-stranded, high activity, palladium-103, greater than 2.2 mci (nist), per source"
}
]
},
{
"code": "C2636",
"display": "Brachy linear, non-str,p-103",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Brachytherapy linear source, non-stranded, palladium-103, per 1 mm"
}
]
},
{
"code": "C2637",
"display": "Brachy,non-str,ytterbium-169",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Brachytherapy source, non-stranded, ytterbium-169, per source"
}
]
},
{
"code": "C2638",
"display": "Brachytx, stranded, i-125",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Brachytherapy source, stranded, iodine-125, per source"
}
]
},
{
"code": "C2639",
"display": "Brachytx, non-stranded,i-125",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Brachytherapy source, non-stranded, iodine-125, per source"
}
]
},
{
"code": "C2640",
"display": "Brachytx, stranded, p-103",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Brachytherapy source, stranded, palladium-103, per source"
}
]
},
{
"code": "C2641",
"display": "Brachytx, non-stranded,p-103",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Brachytherapy source, non-stranded, palladium-103, per source"
}
]
},
{
"code": "C2642",
"display": "Brachytx, stranded, c-131",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Brachytherapy source, stranded, cesium-131, per source"
}
]
},
{
"code": "C2643",
"display": "Brachytx, non-stranded,c-131",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Brachytherapy source, non-stranded, cesium-131, per source"
}
]
},
{
"code": "C2644",
"display": "Brachytx cesium-131 chloride",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Brachytherapy source, cesium-131 chloride solution, per millicurie"
}
]
},
{
"code": "C2645",
"display": "Brachytx planar, p-103",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Brachytherapy planar source, palladium-103, per square millimeter"
}
]
},
{
"code": "C2698",
"display": "Brachytx, stranded, nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Brachytherapy source, stranded, not otherwise specified, per source"
}
]
},
{
"code": "C2699",
"display": "Brachytx, non-stranded, nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Brachytherapy source, non-stranded, not otherwise specified, per source"
}
]
},
{
"code": "C5271",
"display": "Low cost skin substitute app",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area"
}
]
},
{
"code": "C5272",
"display": "Low cost skin substitute app",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition to code for primary procedure)"
}
]
},
{
"code": "C5273",
"display": "Low cost skin substitute app",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children"
}
]
},
{
"code": "C5274",
"display": "Low cost skin substitute app",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (list separately in addition to code for primary procedure)"
}
]
},
{
"code": "C5275",
"display": "Low cost skin substitute app",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area"
}
]
},
{
"code": "C5276",
"display": "Low cost skin substitute app",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition to code for primary procedure)"
}
]
},
{
"code": "C5277",
"display": "Low cost skin substitute app",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children"
}
]
},
{
"code": "C5278",
"display": "Low cost skin substitute app",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (list separately in addition to code for primary procedure)"
}
]
},
{
"code": "C7500",
"display": "Deb bone 20 cm2 w/drug dev",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (e.g., subfacial) drug-delivery device(s)"
}
]
},
{
"code": "C7501",
"display": "Perc bx breast lesions stero",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Percutaneous breast biopsies using stereotactic guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, all lesions unilateral and bilateral (for single lesion biopsy, use appropriate code)"
}
]
},
{
"code": "C7502",
"display": "Perc bx breast lesions mr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Percutaneous breast biopsies using magnetic resonance guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, all lesions unilateral or bilateral (for single lesion biopsy, use appropriate code)"
}
]
},
{
"code": "C7503",
"display": "Open exc cerv node(s) w/ id",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Open biopsy or excision of deep cervical node(s) with intraoperative identification (e.g., mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed"
}
]
},
{
"code": "C7504",
"display": "Perq cvt&ls inj vert bodies",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusive of all imaging guidance"
}
]
},
{
"code": "C7505",
"display": "Perq ls&cvt inj vert bodies",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Percutaneous vertebroplasties (bone biopsies included when performed), first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusive of all imaging guidance"
}
]
},
{
"code": "C7506",
"display": "Fusion of finger joints",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Arthrodesis, interphalangeal joints, with or without internal fixation"
}
]
},
{
"code": "C7507",
"display": "Perq thor&lumb vert aug",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Percutaneous vertebral augmentations, first thoracic and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) using mechanical device (e.g., kyphoplasty), unilateral or bilateral cannulations, inclusive of all imaging guidance"
}
]
},
{
"code": "C7508",
"display": "Perq lumb&thor vert aug",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Percutaneous vertebral augmentations, first lumbar and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) using mechanical device (e.g., kyphoplasty), unilateral or bilateral cannulations, inclusive of all imaging guidance"
}
]
},
{
"code": "C7509",
"display": "Dx bronch w/ navigation",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed"
}
]
},
{
"code": "C7510",
"display": "Bronch/lavag w/ navigation",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed"
}
]
},
{
"code": "C7511",
"display": "Bronch/bpsy(s) w/ navigation",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed"
}
]
},
{
"code": "C7512",
"display": "Bronch/bpsy(s) w/ ebus",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion(s), including fluoroscopic guidance when performed"
}
]
},
{
"code": "C7513",
"display": "Cath/angio dialcir w/aplasty",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, with transluminal balloon angioplasty of central dialysis segment, performed through dialysis circuit, including all required imaging, radiological supervision and interpretation, image documentation and report"
}
]
},
{
"code": "C7514",
"display": "Cath/angio dial cir w/stents",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, with all angioplasty in the central dialysis segment, and transcatheter placement of intravascular stent(s), central dialysis segment, performed through dialysis circuit, including all required imaging, radiological supervision and interpretation, image documentation and report"
}
]
},
{
"code": "C7515",
"display": "Cath/angio dial cir w/embol",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, with dialysis circuit permanent endovascular embolization or occlusion of main circuit or any accessory veins, including all required imaging, radiological supervision and interpretation, image documentation and report"
}
]
},
{
"code": "C7516",
"display": "Cor angio w/ ivus or oct",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report"
}
]
},
{
"code": "C7517",
"display": "Cor angio w/ilic/fem angio",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same time as cardiac catheterization and/or coronary angiography, includes positioning or placement of the catheter in the distal aorta or ipsilateral femoral or iliac artery, injection of dye, production of permanent images, and radiologic supervision and interpretation"
}
]
},
{
"code": "C7518",
"display": "Cor/gft angio w/ ivus or oct",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging, supervision, interpretation and report"
}
]
},
{
"code": "C7519",
"display": "Cor/gft angio w/ flow resrv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress"
}
]
},
{
"code": "C7520",
"display": "Cor/gft angio w/ilic/fem ang",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) includes intraprocedural injection(s) for bypass graft angiography with iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same time as cardiac catheterization and/or coronary angiography, includes positioning or placement of the catheter in the distal aorta or ipsilateral femoral or iliac artery, injection of dye, production of permanent images, and radiologic supervision and interpretation"
}
]
},
{
"code": "C7521",
"display": "R hrt angio w/ ivus or oct",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report"
}
]
},
{
"code": "C7522",
"display": "R hrt angio w/flow resrv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheterization, with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress"
}
]
},
{
"code": "C7523",
"display": "L hrt angio w/ ivus or oct",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report"
}
]
},
{
"code": "C7524",
"display": "L hrt angio w/flow resrv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress"
}
]
},
{
"code": "C7525",
"display": "L hrt gft ang w/ ivus or oct",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report"
}
]
},
{
"code": "C7526",
"display": "L hrt gft ang w/flow resrv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress"
}
]
},
{
"code": "C7527",
"display": "R&l hrt angio w/ ivus or oct",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report"
}
]
},
{
"code": "C7528",
"display": "R&l hrt angio w/flow resrv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress"
}
]
},
{
"code": "C7529",
"display": "R&l hrt gft ang w/flow resrv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress"
}
]
},
{
"code": "C7530",
"display": "Cath/aplasty dial cir w/stnt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, with transluminal balloon angioplasty, peripheral dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty and all angioplasty in the central dialysis segment, with transcatheter placement of intravascular stent(s), central dialysis segment, performed through dialysis circuit, including all imaging, radiological supervision and interpretation, documentation and report"
}
]
},
{
"code": "C7531",
"display": "Angio fem/pop w/ us",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal angioplasty with intravascular ultrasound (initial noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation"
}
]
},
{
"code": "C7532",
"display": "Angio w/ us non-coronary",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), initial artery, open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery, with intravascular ultrasound (initial noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation"
}
]
},
{
"code": "C7533",
"display": "Ptca w/ plcmt brachytx dev",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy"
}
]
},
{
"code": "C7534",
"display": "Fem/pop revasc w/arthr & us",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with atherectomy, includes angioplasty within the same vessel, when performed with intravascular ultrasound (initial noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation"
}
]
},
{
"code": "C7535",
"display": "Fem/pop revasc w/stent & us",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal stent placement(s), includes angioplasty within the same vessel, when performed, with intravascular ultrasound (initial noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation"
}
]
},
{
"code": "C7537",
"display": "Insrt atril pm w/l vent lead",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defibrillator or pacemaker pulse generator (e.g., for upgrade to dual chamber system)"
}
]
},
{
"code": "C7538",
"display": "Insrt vent pm w/l vent lead",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defibrillator or pacemaker pulse generator (e.g., for upgrade to dual chamber system)"
}
]
},
{
"code": "C7539",
"display": "Insrt a & v pm w/l vent lead",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defibrillator or pacemaker pulse generator (eg, for upgrade to dual chamber system)"
}
]
},
{
"code": "C7540",
"display": "Rmv&rplc pm dul w/l vnt lead",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator, dual lead system, with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defibrillator or pacemaker pulse generator (eg, for upgrade to dual chamber system)"
}
]
},
{
"code": "C7541",
"display": "Ercp w/ pancreatoscopy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Diagnostic endoscopic retrograde cholangiopancreatography (ercp), including collection of specimen(s) by brushing or washing, when performed, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s)"
}
]
},
{
"code": "C7542",
"display": "Ercp w/bx & pancreatoscopy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s)"
}
]
},
{
"code": "C7543",
"display": "Ercp w/otomy, pancreatoscopy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s)"
}
]
},
{
"code": "C7544",
"display": "Ercp rmv calc pancreatoscopy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s), with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s)"
}
]
},
{
"code": "C7545",
"display": "Exch bil cath w/ rmv calculi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Percutaneous exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), with removal of calculi/debris from biliary duct(s) and/or gallbladder, including destruction of calculi by any method (eg, mechanical, electrohydraulic, lithotripsy) when performed, including diagnostic cholangiography(ies) when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"
}
]
},
{
"code": "C7546",
"display": "Rep nph/urt cath w/dil stric",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guidance and all associated radiological supervision and interpretation"
}
]
},
{
"code": "C7547",
"display": "Cnvrt neph cath w/ dil stric",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"
}
]
},
{
"code": "C7548",
"display": "Exch neph cath w/ dil stric",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"
}
]
},
{
"code": "C7549",
"display": "Chge urtr stent w/ dil stric",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"
}
]
},
{
"code": "C7550",
"display": "Cysto w/ bx(s) w/ blue light",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cystourethroscopy, with biopsy(ies) with adjunctive blue light cystoscopy with fluorescent imaging agent"
}
]
},
{
"code": "C7551",
"display": "Exc neuroma w/ implnt nv end",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Excision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscle"
}
]
},
{
"code": "C7552",
"display": "R hrt art/grft ang hrt flow",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography and right heart catheterization with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, initial vessel"
}
]
},
{
"code": "C7553",
"display": "R&i hrt art/vent ang drg ad",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography with pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during, after and repeat pharmacologic agent administration, when performed"
}
]
},
{
"code": "C7554",
"display": "Cystureth blu li cyst fl img",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent"
}
]
},
{
"code": "C7555",
"display": "Rmvl thyrd w/autotran parath",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Thyroidectomy, total or complete with parathyroid autotransplantation"
}
]
},
{
"code": "C7556",
"display": "Bronch lavage w/ebus",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bronchoscopy, rigid or flexible, with bronchial alveolar lavage and transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion(s), including fluoroscopic guidance, when performed"
}
]
},
{
"code": "C7557",
"display": "Cor angio/vent w/ffr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed and intraprocedural coronary fractional flow reserve (ffr) with 3d functional mapping of color-coded ffr values for the coronary tree, derived from coronary angiogram data, for real-time review and interpretation of possible atherosclerotic stenosis(es) intervention"
}
]
},
{
"code": "C7558",
"display": "Cor angio/vent w/drug admin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography with pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during, after and repeat pharmacologic agent administration, when performed"
}
]
},
{
"code": "C7560",
"display": "Ercp remove forgn body&endo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s)"
}
]
},
{
"code": "C7562",
"display": "R&l hrt angio w/ffr & 3d map",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed with intraprocedural coronary fractional flow reserve (ffr) with 3d functional mapping of color-coded ffr values for the coronary tree, derived from coronary angiogram data, for real-time review and interpretation of possible atherosclerotic stenosis(es) intervention"
}
]
},
{
"code": "C7563",
"display": "Trluml ballo angiop all art",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery, initial artery and all additional arteries"
}
]
},
{
"code": "C7564",
"display": "Vein mech throm w/intrvas us",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance with intravascular ultrasound (noncoronary vessel(s)) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation"
}
]
},
{
"code": "C7565",
"display": "Rpr aa hrn < 3 rdc w/ rmvl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s) less than 3 cm, reducible with removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair"
}
]
},
{
"code": "C7900",
"display": "Hopd mntl hlt, 15-29 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Service for diagnosis, evaluation, or treatment of a mental health or substance use disorder, 15-29 minutes, provided remotely by hospital staff who are licensed to provide mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service"
}
]
},
{
"code": "C7901",
"display": "Hopd mntl hlt, 30-60 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Service for diagnosis, evaluation, or treatment of a mental health or substance use disorder, 30-60 minutes, provided remotely by hospital staff who are licensed to provided mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service"
}
]
},
{
"code": "C7902",
"display": "Hopd mntl hlt, ea addl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Service for diagnosis, evaluation, or treatment of a mental health or substance use disorder, each additional 15 minutes, provided remotely by hospital staff who are licensed to provide mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service (list separately in addition to code for primary service)"
}
]
},
{
"code": "C7903",
"display": "Hopd mntl hlt, grp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Group psychotherapy service for diagnosis, evaluation, or treatment of a mental health or substance use disorder provided remotely by hospital staff who are licensed to provide mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service"
}
]
},
{
"code": "C8000",
"display": "Suprt dev, a-v fistula, imp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Support device, extravascular, for arteriovenous fistula (implantable)"
}
]
},
{
"code": "C8001",
"display": "3d anat seg imaging preop",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "3d anatomical segmentation imaging for preoperative planning, data preparation and transmission, obtained from previous diagnostic computed tomographic or magnetic resonance examination of the same anatomy"
}
]
},
{
"code": "C8002",
"display": "Prep skin cell susp, automtd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Preparation of skin cell suspension autograft, automated, including all enzymatic processing and device components (do not report with manual suspension preparation)"
}
]
},
{
"code": "C8003",
"display": "Imp extar knee shck absrb",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Implantation of medial knee extraarticular implantable shock absorber spanning the knee joint from distal femur to proximal tibia, open, includes measurements, positioning and adjustments, with imaging guidance (e.g., fluoroscopy)"
}
]
},
{
"code": "C8900",
"display": "Mra w/cont, abd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Magnetic resonance angiography with contrast, abdomen"
}
]
},
{
"code": "C8901",
"display": "Mra w/o cont, abd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Magnetic resonance angiography without contrast, abdomen"
}
]
},
{
"code": "C8902",
"display": "Mra w/o fol w/cont, abd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Magnetic resonance angiography without contrast followed by with contrast, abdomen"
}
]
},
{
"code": "C8903",
"display": "Mri w/cont, breast, uni",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Magnetic resonance imaging with contrast, breast; unilateral"
}
]
},
{
"code": "C8904",
"display": "Mri w/o cont, breast, uni",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Magnetic resonance imaging without contrast, breast; unilateral"
}
]
},
{
"code": "C8905",
"display": "Mri w/o fol w/cont, brst, un",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral"
}
]
},
{
"code": "C8906",
"display": "Mri w/cont, breast, bi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Magnetic resonance imaging with contrast, breast; bilateral"
}
]
},
{
"code": "C8907",
"display": "Mri w/o cont, breast, bi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Magnetic resonance imaging without contrast, breast; bilateral"
}
]
},
{
"code": "C8908",
"display": "Mri w/o fol w/cont, breast,",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral"
}
]
},
{
"code": "C8909",
"display": "Mra w/cont, chest",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Magnetic resonance angiography with contrast, chest (excluding myocardium)"
}
]
},
{
"code": "C8910",
"display": "Mra w/o cont, chest",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Magnetic resonance angiography without contrast, chest (excluding myocardium)"
}
]
},
{
"code": "C8911",
"display": "Mra w/o fol w/cont, chest",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium)"
}
]
},
{
"code": "C8912",
"display": "Mra w/cont, lwr ext",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Magnetic resonance angiography with contrast, lower extremity"
}
]
},
{
"code": "C8913",
"display": "Mra w/o cont, lwr ext",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Magnetic resonance angiography without contrast, lower extremity"
}
]
},
{
"code": "C8914",
"display": "Mra w/o fol w/cont, lwr ext",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Magnetic resonance angiography without contrast followed by with contrast, lower extremity"
}
]
},
{
"code": "C8918",
"display": "Mra w/cont, pelvis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Magnetic resonance angiography with contrast, pelvis"
}
]
},
{
"code": "C8919",
"display": "Mra w/o cont, pelvis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Magnetic resonance angiography without contrast, pelvis"
}
]
},
{
"code": "C8920",
"display": "Mra w/o fol w/cont, pelvis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Magnetic resonance angiography without contrast followed by with contrast, pelvis"
}
]
},
{
"code": "C8921",
"display": "Tte w or w/o fol w/cont, com",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transthoracic echocardiography with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; complete"
}
]
},
{
"code": "C8922",
"display": "Tte w or w/o fol w/cont, f/u",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transthoracic echocardiography with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; follow-up or limited study"
}
]
},
{
"code": "C8923",
"display": "2d tte w or w/o fol w/con,co",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, without spectral or color doppler echocardiography"
}
]
},
{
"code": "C8924",
"display": "2d tte w or w/o fol w/con,fu",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, follow-up or limited study"
}
]
},
{
"code": "C8925",
"display": "2d tee w or w/o fol w/con,in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, real time with image documentation (2d) (with or without m-mode recording); including probe placement, image acquisition, interpretation and report"
}
]
},
{
"code": "C8926",
"display": "Tee w or w/o fol w/cont,cong",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; including probe placement, image acquisition, interpretation and report"
}
]
},
{
"code": "C8927",
"display": "Tee w or w/o fol w/cont, mon",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis"
}
]
},
{
"code": "C8928",
"display": "Tte w or w/o fol w/con,stres",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report"
}
]
},
{
"code": "C8929",
"display": "Tte w or wo fol wcon,doppler",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography"
}
]
},
{
"code": "C8930",
"display": "Tte w or w/o contr, cont ecg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transthoracic echocardiography, with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with physician supervision"
}
]
},
{
"code": "C8931",
"display": "Mra, w/dye, spinal canal",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Magnetic resonance angiography with contrast, spinal canal and contents"
}
]
},
{
"code": "C8932",
"display": "Mra, w/o dye, spinal canal",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Magnetic resonance angiography without contrast, spinal canal and contents"
}
]
},
{
"code": "C8933",
"display": "Mra, w/o&w/dye, spinal canal",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Magnetic resonance angiography without contrast followed by with contrast, spinal canal and contents"
}
]
},
{
"code": "C8934",
"display": "Mra, w/dye, upper extremity",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Magnetic resonance angiography with contrast, upper extremity"
}
]
},
{
"code": "C8935",
"display": "Mra, w/o dye, upper extr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Magnetic resonance angiography without contrast, upper extremity"
}
]
},
{
"code": "C8936",
"display": "Mra, w/o&w/dye, upper extr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Magnetic resonance angiography without contrast followed by with contrast, upper extremity"
}
]
},
{
"code": "C8937",
"display": "Cad breast mri",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Computer-aided detection, including computer algorithm analysis of breast mri image data for lesion detection/characterization, pharmacokinetic analysis, with further physician review for interpretation (list separately in addition to code for primary procedure)"
}
]
},
{
"code": "C8957",
"display": "Prolonged iv inf, req pump",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intravenous infusion for therapy/diagnosis; initiation of prolonged infusion (more than 8 hours), requiring use of portable or implantable pump"
}
]
},
{
"code": "C9014",
"display": "Injection, cerliponase alfa",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cerliponase alfa, 1 mg"
}
]
},
{
"code": "C9015",
"display": "C-1 esterase, haegarda",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, c-1 esterase inhibitor (human), haegarda, 10 units"
}
]
},
{
"code": "C9016",
"display": "Inj, triptorelin ext rel",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, triptorelin extended release, 3.75 mg"
}
]
},
{
"code": "C9021",
"display": "Injection, obinutuzumab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, obinutuzumab, 10 mg"
}
]
},
{
"code": "C9022",
"display": "Injection, elosulfase alfa",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, elosulfase alfa, 1mg"
}
]
},
{
"code": "C9023",
"display": "Inj testosterone undecanoate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, testosterone undecanoate, 1 mg"
}
]
},
{
"code": "C9024",
"display": "Inj, daunorubicin-cytarabine",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine"
}
]
},
{
"code": "C9025",
"display": "Injection, ramucirumab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ramucirumab, 5 mg"
}
]
},
{
"code": "C9026",
"display": "Injection, vedolizumab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, vedolizumab, 1 mg"
}
]
},
{
"code": "C9027",
"display": "Injection, pembrolizumab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pembrolizumab, 1 mg"
}
]
},
{
"code": "C9028",
"display": "Inj. inotuzumab ozogamicin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, inotuzumab ozogamicin, 0.1 mg"
}
]
},
{
"code": "C9029",
"display": "Injection, guselkumab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, guselkumab, 1 mg"
}
]
},
{
"code": "C9030",
"display": "Inj copanlisib",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, copanlisib, 1 mg"
}
]
},
{
"code": "C9031",
"display": "Lutetium lu 177 dotatate, tx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lutetium lu 177, dotatate, therapeutic, 1 mci"
}
]
},
{
"code": "C9032",
"display": "Voretigene neparvovec-rzyl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, voretigene neparvovec-rzyl, 1 billion vector genome"
}
]
},
{
"code": "C9033",
"display": "Inj, akynzeo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, fosnetupitant 235 mg and palonosetron 0.25 mg"
}
]
},
{
"code": "C9034",
"display": "Injection, dexamethasone 9%",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, dexamethasone 9%, intraocular, 1 mcg"
}
]
},
{
"code": "C9035",
"display": "Injection, aristada initio",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, aripiprazole lauroxil (aristada initio), 1 mg"
}
]
},
{
"code": "C9036",
"display": "Injection, patisiran",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, patisiran, 0.1 mg"
}
]
},
{
"code": "C9037",
"display": "Injection, risperidone",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, risperidone (perseris), 0.5 mg"
}
]
},
{
"code": "C9038",
"display": "Inj mogamulizumab-kpkc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, mogamulizumab-kpkc, 1 mg"
}
]
},
{
"code": "C9039",
"display": "Injection, plazomicin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, plazomicin, 5 mg"
}
]
},
{
"code": "C9040",
"display": "Injection, fremanezumab-vfrm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, fremanezumab-vfrm, 1mg"
}
]
},
{
"code": "C9041",
"display": "Inj, coagulation factor xa",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, coagulation factor xa (recombinant), inactivated (andexxa), 10 mg"
}
]
},
{
"code": "C9042",
"display": "Inj., belrapzo 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, bendamustine hcl (belrapzo), 1 mg"
}
]
},
{
"code": "C9043",
"display": "Injection, levoleucovorin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, levoleucovorin, 1 mg"
}
]
},
{
"code": "C9044",
"display": "Injection, cemiplimab-rwlc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cemiplimab-rwlc, 1 mg"
}
]
},
{
"code": "C9045",
"display": "Moxetumomab pasudotox-tdfk",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, moxetumomab pasudotox-tdfk, 0.01 mg"
}
]
},
{
"code": "C9046",
"display": "Cocaine hcl nasal (goprelto)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cocaine hydrochloride nasal solution (goprelto), 1 mg"
}
]
},
{
"code": "C9047",
"display": "Injection, caplacizumab-yhdp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, caplacizumab-yhdp, 1 mg"
}
]
},
{
"code": "C9048",
"display": "Dexamethasone ophth insert",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dexamethasone, lacrimal ophthalmic insert, 0.1 mg"
}
]
},
{
"code": "C9049",
"display": "Injection, tagraxofusp-erzs",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, tagraxofusp-erzs, 10 mcg"
}
]
},
{
"code": "C9050",
"display": "Injection, emapalumab-lzsg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, emapalumab-lzsg, 1 mg"
}
]
},
{
"code": "C9051",
"display": "Injection, omadacycline",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, omadacycline, 1 mg"
}
]
},
{
"code": "C9052",
"display": "Injection, ravulizumab-cwv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ravulizumab-cwvz, 10 mg"
}
]
},
{
"code": "C9053",
"display": "Inj, crizanlizumab-tmca",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, crizanlizumab-tmca, 1 mg"
}
]
},
{
"code": "C9054",
"display": "Injection, lefamulin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, lefamulin (xenleta), 1 mg"
}
]
},
{
"code": "C9055",
"display": "Inj, brexanolone",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, brexanolone, 1mg"
}
]
},
{
"code": "C9056",
"display": "Injection, givosiran",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, givosiran, 0.5 mg"
}
]
},
{
"code": "C9057",
"display": "Inj cetirizine hydrochloride",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cetirizine hydrochloride, 1 mg"
}
]
},
{
"code": "C9058",
"display": "Injection,pegfilgrastim-bmez",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pegfilgrastim-bmez, biosimilar, (ziextenzo) 0.5 mg"
}
]
},
{
"code": "C9059",
"display": "Injection, meloxicam",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, meloxicam, 1 mg"
}
]
},
{
"code": "C9060",
"display": "Fluoroestradiol f18",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Fluoroestradiol f18, diagnostic, 1 mci"
}
]
},
{
"code": "C9061",
"display": "Injection, teprotumumab-trbw",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, teprotumumab-trbw, 10 mg"
}
]
},
{
"code": "C9062",
"display": "Daratumumab hyaluronidase",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, daratumumab 10 mg and hyaluronidase-fihj"
}
]
},
{
"code": "C9063",
"display": "Injection, eptinezumab-jjmr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, eptinezumab-jjmr, 1 mg"
}
]
},
{
"code": "C9064",
"display": "Mitomycin pyelocalyceal inst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Mitomycin pyelocalyceal instillation, 1 mg"
}
]
},
{
"code": "C9065",
"display": "Romidepsin non-lyophilized",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, romidepsin, non-lyophilized (e.g. liquid), 1mg"
}
]
},
{
"code": "C9066",
"display": "Sacituzumab govitecan-hziy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, sacituzumab govitecan-hziy, 2.5 mg"
}
]
},
{
"code": "C9067",
"display": "Gallium ga-68 dotatoc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gallium ga-68, dotatoc, diagnostic, 0.01 mci"
}
]
},
{
"code": "C9068",
"display": "Copper cu-64, dotatate, dx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Copper cu-64, dotatate, diagnostic, 1 millicurie"
}
]
},
{
"code": "C9069",
"display": "Belantamab mafodontin-blmf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, belantamab mafodontin-blmf, 0.5 mg"
}
]
},
{
"code": "C9070",
"display": "Injection, tafasitamab-cxix",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, tafasitamab-cxix, 2 mg"
}
]
},
{
"code": "C9071",
"display": "Injection, viltolarsen",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, viltolarsen, 10 mg"
}
]
},
{
"code": "C9072",
"display": "Inj, imm glob asceniv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, immune globulin (asceniv), 500 mg"
}
]
},
{
"code": "C9073",
"display": "Brexucabtagene autoleucel ca",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose"
}
]
},
{
"code": "C9074",
"display": "Injection, lumasiran",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, lumasiran, 0.5 mg"
}
]
},
{
"code": "C9075",
"display": "Injection, casimersen, 10 mg"
},
{
"code": "C9076",
"display": "Lisocabtagene car pos t",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose"
}
]
},
{
"code": "C9077",
"display": "Inj cabotegravir/rilpivirine",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cabotegravir and rilpivirine, 2mg/3mg"
}
]
},
{
"code": "C9078",
"display": "Inj, trilaciclib, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, trilaciclib, 1 mg"
}
]
},
{
"code": "C9079",
"display": "Inj, evinacumab-dgnb, 5 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, evinacumab-dgnb, 5 mg"
}
]
},
{
"code": "C9080",
"display": "Inj, melphalan flufen, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, melphalan flufenamide hydrochloride, 1 mg"
}
]
},
{
"code": "C9081",
"display": "Idecabtagene car pos t",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Idecabtagene vicleucel, up to 460 million autologous anti-bcma car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose"
}
]
},
{
"code": "C9082",
"display": "Inj dostarlimab-gxly, 100 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, dostarlimab-gxly, 100 mg"
}
]
},
{
"code": "C9083",
"display": "Inj, amivantamab-vmjw, 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, amivantamab-vmjw, 10 mg"
}
]
},
{
"code": "C9084",
"display": "Loncastuximab-lpyl, 0.1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, loncastuximab tesirine-lpyl, 0.1 mg"
}
]
},
{
"code": "C9085",
"display": "Inj avalglucosid alfa-ngpt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, avalglucosidase alfa-ngpt, 4 mg"
}
]
},
{
"code": "C9086",
"display": "Inj, anifrolumab-fnia",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, anifrolumab-fnia, 1 mg"
}
]
},
{
"code": "C9087",
"display": "Inj cyclophosphamd auromedic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cyclophosphamide, (auromedics), 10 mg"
}
]
},
{
"code": "C9088",
"display": "Instill, bupivac and meloxic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg"
}
]
},
{
"code": "C9089",
"display": "Bupivacaine implant, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bupivacaine, collagen-matrix implant, 1 mg"
}
]
},
{
"code": "C9090",
"display": "Plasminogen, human-tvmh 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, plasminogen, human-tvmh, 1 mg"
}
]
},
{
"code": "C9091",
"display": "Sirolimus, protein-bound,1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, sirolimus protein-bound particles, 1 mg"
}
]
},
{
"code": "C9092",
"display": "Inj., xipere, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, triamcinolone acetonide, suprachoroidal (xipere), 1 mg"
}
]
},
{
"code": "C9093",
"display": "Inj., susvimo, 0.1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ranibizumab, via sustained release intravitreal implant (susvimo), 0.1 mg"
}
]
},
{
"code": "C9094",
"display": "Inj, sutimlimab-jome, 10 mg"
},
{
"code": "C9095",
"display": "Inj, tebentafusp-tebn, 1 mcg"
},
{
"code": "C9096",
"display": "Inj, releuko, 1 mcg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram"
}
]
},
{
"code": "C9097",
"display": "Inj, faricimab-svoa, 0.1 mg"
},
{
"code": "C9098",
"display": "Ciltacabtagene car pos t",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose"
}
]
},
{
"code": "C9101",
"display": "Inj, oliceridine 0.1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, oliceridine, 0.1 mg"
}
]
},
{
"code": "C9113",
"display": "Inj pantoprazole sodium, via",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pantoprazole sodium, per vial"
}
]
},
{
"code": "C9121",
"display": "Injection, argatroban",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, argatroban, per 5 mg"
}
]
},
{
"code": "C9122",
"display": "Mometasone furoate (sinuva)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Mometasone furoate sinus implant, 10 micrograms (sinuva)"
}
]
},
{
"code": "C9132",
"display": "Kcentra, per i.u.",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity"
}
]
},
{
"code": "C9133",
"display": "Factor ix recombinant",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Factor ix (antihemophilic factor, recombinant), rixubis, per i.u."
}
]
},
{
"code": "C9134",
"display": "Factor xiii a-subunit recomb",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Factor xiii (antihemophilic factor, recombinant), tretten, per 10 i.u."
}
]
},
{
"code": "C9135",
"display": "Factor ix (alprolix)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Factor ix (antihemophilic factor, recombinant), alprolix, per i.u."
}
]
},
{
"code": "C9136",
"display": "Factor viii (eloctate)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, factor viii, fc fusion protein, (recombinant), per i.u."
}
]
},
{
"code": "C9137",
"display": "Adynovate factor viii recom",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, factor viii (antihemophilic factor, recombinant) pegylated, 1 i.u."
}
]
},
{
"code": "C9138",
"display": "Nuwiq factor viii recomb",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, factor viii (antihemophilic factor, recombinant) (nuwiq), 1 i.u."
}
]
},
{
"code": "C9139",
"display": "Idelvion, 1 i.u.",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, factor ix, albumin fusion protein (recombinant), idelvion, 1 i.u."
}
]
},
{
"code": "C9140",
"display": "Afstyla factor viii recomb",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, factor viii (antihemophilic factor, recombinant) (afstyla), 1 i.u."
}
]
},
{
"code": "C9141",
"display": "Factor viii pegylated-aucl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl (jivi), 1 i.u."
}
]
},
{
"code": "C9142",
"display": "Inj, alymsys, 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg"
}
]
},
{
"code": "C9143",
"display": "Cocaine hcl nasal (numbrino)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cocaine hydrochloride nasal solution (numbrino), 1 mg"
}
]
},
{
"code": "C9144",
"display": "Inj, bupivacaine (posimir)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, bupivacaine (posimir), 1 mg"
}
]
},
{
"code": "C9145",
"display": "Inj, aponvie, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, aprepitant, (aponvie), 1 mg"
}
]
},
{
"code": "C9146",
"display": "Inj, elahere, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, mirvetuximab soravtansine-gynx, 1 mg"
}
]
},
{
"code": "C9147",
"display": "Inj, tremelimumab-actl, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, tremelimumab-actl, 1 mg"
}
]
},
{
"code": "C9148",
"display": "Inj, teclistamab-cqyv, 0.5mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, teclistamab-cqyv, 0.5 mg"
}
]
},
{
"code": "C9149",
"display": "Inj, teplizumab-mzwv, 5 mcg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, teplizumab-mzwv, 5 mcg"
}
]
},
{
"code": "C9150",
"display": "Xe129 xenon, diagnostic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Xenon xe-129 hyperpolarized gas, diagnostic, per study dose"
}
]
},
{
"code": "C9151",
"display": "Inj, pegcetacoplan 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pegcetacoplan, 1 mg"
}
]
},
{
"code": "C9152",
"display": "Inj, abilify asimtufii, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, aripiprazole, (abilify asimtufii), 1 mg"
}
]
},
{
"code": "C9153",
"display": "Inj, amisulpride, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, amisulpride, 1 mg"
}
]
},
{
"code": "C9154",
"display": "Inj buprenorph (brixadi) 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, buprenorphine extended-release (brixadi), 1 mg"
}
]
},
{
"code": "C9155",
"display": "Inj epcoritamab-bysp,0.16 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, epcoritamab-bysp, 0.16 mg"
}
]
},
{
"code": "C9156",
"display": "Flotufolastat f18, dia 1 mci",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Flotufolastat f 18, diagnostic, 1 millicurie"
}
]
},
{
"code": "C9157",
"display": "Inj, tofersen, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, tofersen, 1 mg"
}
]
},
{
"code": "C9158",
"display": "Inj, uzedy, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, risperidone, (uzedy), 1 mg"
}
]
},
{
"code": "C9159",
"display": "Inj, balfaxar, per i.u",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, prothrombin complex concentrate (human), balfaxar, per i.u. of factor ix activity"
}
]
},
{
"code": "C9160",
"display": "Inj daxibotulinumtoxina-lanm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, daxibotulinumtoxina-lanm, 1 unit"
}
]
},
{
"code": "C9161",
"display": "Inj, aflibercept hd, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, aflibercept hd, 1 mg"
}
]
},
{
"code": "C9162",
"display": "Inj, avacincaptad peg 0.1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, avacincaptad pegol, 0.1 mg"
}
]
},
{
"code": "C9163",
"display": "Inj talquetamab-tgvs 0.25 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, talquetamab-tgvs, 0.25 mg"
}
]
},
{
"code": "C9164",
"display": "Cantharidin top, applicator",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg)"
}
]
},
{
"code": "C9165",
"display": "Inj, elranatamab-bcmm, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, elranatamab-bcmm, 1 mg"
}
]
},
{
"code": "C9166",
"display": "Injection, secukinumab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, secukinumab, intravenous, 1 mg"
}
]
},
{
"code": "C9167",
"display": "Inj, adzynma, 10 iu",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, adamts13, recombinant-krhn, 10 iu"
}
]
},
{
"code": "C9168",
"display": "Injection, mirikizumab-mrkz",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, mirikizumab-mrkz, 1 mg"
}
]
},
{
"code": "C9169",
"display": "Inj, nogapendekin pmln 1 mcg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram"
}
]
},
{
"code": "C9170",
"display": "Inj, tarlatamab-dlle, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, tarlatamab-dlle, 1 mg"
}
]
},
{
"code": "C9171",
"display": "Inj, pegulicianine, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pegulicianine, 1 mg"
}
]
},
{
"code": "C9172",
"display": "Inj, beqvez, per tx dose",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, fidanacogene elaparvovec-dzkt, per therapeutic dose"
}
]
},
{
"code": "C9173",
"display": "Inj, nypozi, 1 mcg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, filgrastim-txid (nypozi), biosimilar, 1 microgram"
}
]
},
{
"code": "C9248",
"display": "Inj, clevidipine butyrate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, clevidipine butyrate, 1 mg"
}
]
},
{
"code": "C9250",
"display": "Artiss fibrin sealant",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2 ml"
}
]
},
{
"code": "C9254",
"display": "Injection, lacosamide",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, lacosamide, 1 mg"
}
]
},
{
"code": "C9257",
"display": "Bevacizumab injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, bevacizumab, 0.25 mg"
}
]
},
{
"code": "C9275",
"display": "Hexaminolevulinate hcl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, hexaminolevulinate hydrochloride, 100 mg, per study dose"
}
]
},
{
"code": "C9285",
"display": "Patch, lidocaine/tetracaine",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lidocaine 70 mg/tetracaine 70 mg, per patch"
}
]
},
{
"code": "C9290",
"display": "Inj, bupivacaine liposome",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, bupivacaine liposome, 1 mg"
}
]
},
{
"code": "C9293",
"display": "Injection, glucarpidase",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, glucarpidase, 10 units"
}
]
},
{
"code": "C9349",
"display": "Puraply, puraply antimic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Puraply, and puraply antimicrobial, any type, per square centimeter"
}
]
},
{
"code": "C9352",
"display": "Neuragen nerve guide, per cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Microporous collagen implantable tube (neuragen nerve guide), per centimeter length"
}
]
},
{
"code": "C9353",
"display": "Neurawrap nerve protector,cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Microporous collagen implantable slit tube (neurawrap nerve protector), per centimeter length"
}
]
},
{
"code": "C9354",
"display": "Veritas collagen matrix, cm2",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Acellular pericardial tissue matrix of non-human origin (veritas), per square centimeter"
}
]
},
{
"code": "C9355",
"display": "Neuromatrix nerve cuff, cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Collagen nerve cuff (neuromatrix), per 0.5 centimeter length"
}
]
},
{
"code": "C9356",
"display": "Tenoglide tendon prot, cm2",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tendon, porous matrix of cross-linked collagen and glycosaminoglycan matrix (tenoglide tendon protector sheet), per square centimeter"
}
]
},
{
"code": "C9358",
"display": "Surgimend, fetal",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dermal substitute, native, non-denatured collagen, fetal bovine origin (surgimend collagen matrix), per 0.5 square centimeters"
}
]
},
{
"code": "C9359",
"display": "Implnt,bon void filler-putty",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Porous purified collagen matrix bone void filler (integra mozaik osteoconductive scaffold putty, integra os osteoconductive scaffold putty), per 0.5 cc"
}
]
},
{
"code": "C9360",
"display": "Surgimend, neonatal",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dermal substitute, native, non-denatured collagen, neonatal bovine origin (surgimend collagen matrix), per 0.5 square centimeters"
}
]
},
{
"code": "C9361",
"display": "Neuromend nerve wrap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Collagen matrix nerve wrap (neuromend collagen nerve wrap), per 0.5 centimeter length"
}
]
},
{
"code": "C9362",
"display": "Implnt,bon void filler-strip",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Porous purified collagen matrix bone void filler (integra mozaik osteoconductive scaffold strip), per 0.5 cc"
}
]
},
{
"code": "C9363",
"display": "Integra meshed bil wound mat",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Skin substitute, integra meshed bilayer wound matrix, per square centimeter"
}
]
},
{
"code": "C9364",
"display": "Porcine implant, permacol",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Porcine implant, permacol, per square centimeter"
}
]
},
{
"code": "C9399",
"display": "Unclassified drugs or biolog",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Unclassified drugs or biologicals"
}
]
},
{
"code": "C9407",
"display": "Iodine i-131 iobenguane, dx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Iodine i-131 iobenguane, diagnostic, 1 millicurie"
}
]
},
{
"code": "C9408",
"display": "Iodine i-131 iobenguane, tx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Iodine i-131 iobenguane, therapeutic, 1 millicurie"
}
]
},
{
"code": "C9441",
"display": "Inj, ferric carboxymaltose",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ferric carboxymaltose, 1 mg"
}
]
},
{
"code": "C9442",
"display": "Injection, belinostat",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, belinostat, 10 mg"
}
]
},
{
"code": "C9443",
"display": "Injection, dalbavancin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, dalbavancin, 10 mg"
}
]
},
{
"code": "C9444",
"display": "Injection, oritavancin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, oritavancin, 10 mg"
}
]
},
{
"code": "C9445",
"display": "C-1 esterase, ruconest",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, c-1 esterase inhibitor (recombinant), ruconest, 10 units"
}
]
},
{
"code": "C9446",
"display": "Inj, tedizolid phosphate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, tedizolid phosphate, 1 mg"
}
]
},
{
"code": "C9447",
"display": "Inj, phenylephrine ketorolac",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, phenylephrine and ketorolac, 4 ml vial"
}
]
},
{
"code": "C9448",
"display": "Oral netupitant palonosetron",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Netupitant 300 mg and palonosetron 0.5 mg, oral"
}
]
},
{
"code": "C9449",
"display": "Inj, blinatumomab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, blinatumomab, 1 mcg"
}
]
},
{
"code": "C9450",
"display": "Fluocinolone acetonide implt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, fluocinolone acetonide intravitreal implant, 0.01 mg"
}
]
},
{
"code": "C9451",
"display": "Injection, peramivir",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, peramivir, 1 mg"
}
]
},
{
"code": "C9452",
"display": "Inj, ceftolozane/tazobactam",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ceftolozane 50 mg and tazobactam 25 mg"
}
]
},
{
"code": "C9453",
"display": "Injection, nivolumab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, nivolumab, 1 mg"
}
]
},
{
"code": "C9454",
"display": "Inj, pasireotide long acting",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pasireotide long acting, 1 mg"
}
]
},
{
"code": "C9455",
"display": "Injection, siltuximab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, siltuximab, 10 mg"
}
]
},
{
"code": "C9456",
"display": "Inj, isavuconazonium sulfate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, isavuconazonium sulfate, 1 mg"
}
]
},
{
"code": "C9457",
"display": "Lumason contrast agent",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, sulfur hexafluoride lipid microsphere, per ml"
}
]
},
{
"code": "C9458",
"display": "Florbetaben f18",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries"
}
]
},
{
"code": "C9459",
"display": "Flutemetamol f18",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries"
}
]
},
{
"code": "C9460",
"display": "Injection, cangrelor",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cangrelor, 1 mg"
}
]
},
{
"code": "C9461",
"display": "Choline c 11, diagnostic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Choline c 11, diagnostic, per study dose"
}
]
},
{
"code": "C9462",
"display": "Injection, delafloxacin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, delafloxacin, 1 mg"
}
]
},
{
"code": "C9463",
"display": "Injection, aprepitant",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, aprepitant, 1 mg"
}
]
},
{
"code": "C9464",
"display": "Injection, rolapitant",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, rolapitant, 0.5 mg"
}
]
},
{
"code": "C9465",
"display": "Injection, durolane",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hyaluronan or derivative, durolane, for intra-articular injection, per dose"
}
]
},
{
"code": "C9466",
"display": "Injection, benralizumab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, benralizumab, 1 mg"
}
]
},
{
"code": "C9467",
"display": "Inj rituximab hyaluronidase",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, rituximab and hyaluronidase, 10 mg"
}
]
},
{
"code": "C9468",
"display": "Inj, factor ix, rebinyn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, factor ix (antihemophilic factor, recombinant), glycopegylated, rebinyn, 1 i.u."
}
]
},
{
"code": "C9469",
"display": "Inj triamcinolone acetonide",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg"
}
]
},
{
"code": "C9470",
"display": "Aripiprazole lauroxil im",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, aripiprazole lauroxil, 1 mg"
}
]
},
{
"code": "C9471",
"display": "Hymovis, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg"
}
]
},
{
"code": "C9472",
"display": "Inj talimogene laherparepvec",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, talimogene laherparepvec, 1 million plaque forming units (pfu)"
}
]
},
{
"code": "C9473",
"display": "Injection, mepolizumab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, mepolizumab, 1 mg"
}
]
},
{
"code": "C9474",
"display": "Inj, irinotecan liposome",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, irinotecan liposome, 1 mg"
}
]
},
{
"code": "C9475",
"display": "Injection, necitumumab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, necitumumab, 1 mg"
}
]
},
{
"code": "C9476",
"display": "Injection, daratumumab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, daratumumab, 10 mg"
}
]
},
{
"code": "C9477",
"display": "Injection, elotuzumab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, elotuzumab, 1 mg"
}
]
},
{
"code": "C9478",
"display": "Injection, sebelipase alfa",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, sebelipase alfa, 1 mg"
}
]
},
{
"code": "C9479",
"display": "Instill, ciprofloxacin otic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Instillation, ciprofloxacin otic suspension, 6 mg"
}
]
},
{
"code": "C9480",
"display": "Injection, trabectedin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, trabectedin, 0.1 mg"
}
]
},
{
"code": "C9481",
"display": "Injection, reslizumab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, reslizumab, 1 mg"
}
]
},
{
"code": "C9482",
"display": "Sotalol hydrochloride iv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, sotalol hydrochloride, 1 mg"
}
]
},
{
"code": "C9483",
"display": "Injection, atezolizumab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, atezolizumab, 10 mg"
}
]
},
{
"code": "C9484",
"display": "Injection, eteplirsen",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, eteplirsen, 10 mg"
}
]
},
{
"code": "C9485",
"display": "Injection, olaratumab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, olaratumab, 10 mg"
}
]
},
{
"code": "C9486",
"display": "Inj, granisetron ext",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, granisetron extended release, 0.1 mg"
}
]
},
{
"code": "C9487",
"display": "Ustekinumab iv inj, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ustekinumab, for intravenous injection, 1 mg"
}
]
},
{
"code": "C9488",
"display": "Conivaptan hcl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, conivaptan hydrochloride, 1 mg"
}
]
},
{
"code": "C9489",
"display": "Injection, nusinersen",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, nusinersen, 0.1 mg"
}
]
},
{
"code": "C9490",
"display": "Injection, bezlotoxumab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, bezlotoxumab, 10 mg"
}
]
},
{
"code": "C9491",
"display": "Injection, avelumab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, avelumab, 10 mg"
}
]
},
{
"code": "C9492",
"display": "Injection, durvalumab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, durvalumab, 10 mg"
}
]
},
{
"code": "C9493",
"display": "Injection, edaravone",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, edaravone, 1 mg"
}
]
},
{
"code": "C9494",
"display": "Injection, ocrelizumab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ocrelizumab, 1 mg"
}
]
},
{
"code": "C9497",
"display": "Loxapine, inhalation powder",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Loxapine, inhalation powder, 10 mg"
}
]
},
{
"code": "C9507",
"display": "Covid-19 convalescent plasma",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Plasma, high titer covid-19 convalescent, each unit"
}
]
},
{
"code": "C9600",
"display": "Perc drug-el cor stent sing",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch"
}
]
},
{
"code": "C9601",
"display": "Perc drug-el cor stent bran",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to code for primary procedure)"
}
]
},
{
"code": "C9602",
"display": "Perc d-e cor stent ather s",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch"
}
]
},
{
"code": "C9603",
"display": "Perc d-e cor stent ather br",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to code for primary procedure)"
}
]
},
{
"code": "C9604",
"display": "Perc d-e cor revasc t cabg s",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel"
}
]
},
{
"code": "C9605",
"display": "Perc d-e cor revasc t cabg b",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; each additional branch subtended by the bypass graft (list separately in addition to code for primary procedure)"
}
]
},
{
"code": "C9606",
"display": "Perc d-e cor revasc w ami s",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including aspiration thrombectomy when performed, single vessel"
}
]
},
{
"code": "C9607",
"display": "Perc d-e cor revasc chro sin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; single vessel"
}
]
},
{
"code": "C9608",
"display": "Perc d-e cor revasc chro add",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; each additional coronary artery, coronary artery branch, or bypass graft (list separately in addition to code for primary procedure)"
}
]
},
{
"code": "C9610",
"display": "Cath coronary drug-delivery",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheter, transluminal drug delivery with or without angioplasty, coronary, non-laser (insertable)"
}
]
},
{
"code": "C9724",
"display": "Eps stomach plic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Endoscopic full-thickness plication of the stomach using endoscopic plication system (eps); includes endoscopy"
}
]
},
{
"code": "C9725",
"display": "Place endorectal app",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Placement of endorectal intracavitary applicator for high intensity brachytherapy"
}
]
},
{
"code": "C9726",
"display": "Rxt breast appl place/remov",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure"
}
]
},
{
"code": "C9727",
"display": "Insert palate implants",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Insertion of implants into the soft palate; minimum of three implants"
}
]
},
{
"code": "C9728",
"display": "Place device/marker, non pro",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Placement of interstitial device(s) for radiation therapy/surgery guidance (e.g., fiducial markers, dosimeter), for other than the following sites (any approach): abdomen, pelvis, prostate, retroperitoneum, thorax, single or multiple"
}
]
},
{
"code": "C9733",
"display": "Non-ophthalmic fva",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-ophthalmic fluorescent vascular angiography"
}
]
},
{
"code": "C9734",
"display": "U/s trtmt, not leiomyomata",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance"
}
]
},
{
"code": "C9735",
"display": "Anoscopy, submucosal inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Anoscopy; with directed submucosal injection(s), any substance"
}
]
},
{
"code": "C9737",
"display": "Lap esoph augmentation",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Laparoscopy, surgical, esophageal sphincter augmentation with device (e.g., magnetic band)"
}
]
},
{
"code": "C9738",
"display": "Blue light cysto imag agent",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adjunctive blue light cystoscopy with fluorescent imaging agent (list separately in addition to code for primary procedure)"
}
]
},
{
"code": "C9739",
"display": "Cystoscopy prostatic imp 1-3",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants"
}
]
},
{
"code": "C9740",
"display": "Cysto impl 4 or more",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants"
}
]
},
{
"code": "C9741",
"display": "Impl pressure sensor w/angio",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report"
}
]
},
{
"code": "C9742",
"display": "Laryngoscopy with injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Laryngoscopy, flexible fiberoptic, with injection into vocal cord(s), therapeutic, including diagnostic laryngoscopy, if performed"
}
]
},
{
"code": "C9743",
"display": "Bulking/spacer material impl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection/implantation of bulking or spacer material (any type) with or without image guidance (not to be used if a more specific code applies)"
}
]
},
{
"code": "C9744",
"display": "Abd us w/contrast",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ultrasound, abdominal, with contrast"
}
]
},
{
"code": "C9745",
"display": "Nasal endo eustachian tube",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nasal endoscopy, surgical; balloon dilation of eustachian tube"
}
]
},
{
"code": "C9746",
"display": "Trans imp balloon cont",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transperineal implantation of permanent adjustable balloon continence device, with cystourethroscopy, when performed and/or fluoroscopy, when performed"
}
]
},
{
"code": "C9747",
"display": "Ablation, hifu, prostate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ablation of prostate, transrectal, high intensity focused ultrasound (hifu), including imaging guidance"
}
]
},
{
"code": "C9748",
"display": "Prostatic rf water vapor tx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transurethral destruction of prostate tissue; by radiofrequency water vapor (steam) thermal therapy"
}
]
},
{
"code": "C9749",
"display": "Repair nasal stenosis w/imp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Repair of nasal vestibular lateral wall stenosis with implant(s)"
}
]
},
{
"code": "C9750",
"display": "Ins/rem-replace compl iims",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Insertion or removal and replacement of intracardiac ischemia monitoring system including imaging supervision and interpretation and peri-operative interrogation and programming; complete system (includes device and electrode)"
}
]
},
{
"code": "C9751",
"display": "Microwave bronch, 3d, ebus",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bronchoscopy, rigid or flexible, transbronchial ablation of lesion(s) by microwave energy, including fluoroscopic guidance, when performed, with computed tomography acquisition(s) and 3-d rendering, computer-assisted, image-guided navigation, and endobronchial ultrasound (ebus) guided transtracheal and/or transbronchial sampling (e.g., aspiration[s]/biopsy[ies]) and all mediastinal and/or hilar lymph node stations or structures and therapeutic intervention(s)"
}
]
},
{
"code": "C9752",
"display": "Intraosseous des lumb/sacrum",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Destruction of intraosseous basivertebral nerve, first two vertebral bodies, including imaging guidance (e.g., fluoroscopy), lumbar/sacrum"
}
]
},
{
"code": "C9753",
"display": "Intraosseous destruct add'l",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Destruction of intraosseous basivertebral nerve, each additional vertebral body, including imaging guidance (e.g., fluoroscopy), lumbar/sacrum (list separately in addition to code for primary procedure)"
}
]
},
{
"code": "C9754",
"display": "Perc av fistula, direct",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Creation of arteriovenous fistula, percutaneous; direct, any site, including all imaging and radiologic supervision and interpretation, when performed and secondary procedures to redirect blood flow (e.g., transluminal balloon angioplasty, coil embolization, when performed)"
}
]
},
{
"code": "C9755",
"display": "Rf magnetic-guide av fistula",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Creation of arteriovenous fistula, percutaneous using magnetic-guided arterial and venous catheters and radiofrequency energy, including flow-directing procedures (e.g., vascular coil embolization with radiologic supervision and interpretation, when performed) and fistulogram(s), angiography, venography, and/or ultrasound, with radiologic supervision and interpretation, when performed"
}
]
},
{
"code": "C9756",
"display": "Fluorescence lymph map w/icg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (icg) (list separately in addition to code for primary procedure)"
}
]
},
{
"code": "C9757",
"display": "Spine device implant surgery",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implantation of bone anchored annular closure device, including annular defect measurement, alignment and sizing assessment, and image guidance; 1 interspace, lumbar"
}
]
},
{
"code": "C9758",
"display": "Blind interatrial shunt ide",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee)/intracardiac echocardiography (ice), and all imaging with or without guidance (e.g., ultrasound, fluoroscopy), performed in an approved investigational device exemption (ide) study"
}
]
},
{
"code": "C9759",
"display": "Transcath intraop microinf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transcatheter intraoperative blood vessel microinfusion(s) (e.g., intraluminal, vascular wall and/or perivascular) therapy, any vessel, including radiological supervision and interpretation, when performed"
}
]
},
{
"code": "C9760",
"display": "Non-blind interatrial shunt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, trans-esophageal echocardiography (tee)/intracardiac echocardiography (ice), and all imaging with or without guidance (e.g., ultrasound, fluoroscopy), performed in an approved investigational device exemption (ide) study"
}
]
},
{
"code": "C9761",
"display": "Cysto, litho, vacuum kidney",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if applicable (must use a steerable ureteral catheter)"
}
]
},
{
"code": "C9762",
"display": "Cardiac mri seg dys strain",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with strain imaging"
}
]
},
{
"code": "C9763",
"display": "Cardiac mri seg dys stress",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with stress imaging"
}
]
},
{
"code": "C9764",
"display": "Revasc intravasc lithotripsy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed"
}
]
},
{
"code": "C9765",
"display": "Revasc intra lithotrip-stent",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed"
}
]
},
{
"code": "C9766",
"display": "Revasc intra lithotrip-ather",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(s), when performed"
}
]
},
{
"code": "C9767",
"display": "Revasc lithotrip-stent-ather",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the same vessel(s), when performed"
}
]
},
{
"code": "C9768",
"display": "Endo us-guide hep porto grad",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Endoscopic ultrasound-guided direct measurement of hepatic portosystemic pressure gradient by any method (list separately in addition to code for primary procedure)"
}
]
},
{
"code": "C9769",
"display": "Cysto w/temp pros implant",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cystourethroscopy, with insertion of temporary prostatic implant/stent with fixation/anchor and incisional struts"
}
]
},
{
"code": "C9770",
"display": "Vitrec/mech pars, subret inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Vitrectomy, mechanical, pars plana approach, with subretinal injection of pharmacologic/biologic agent"
}
]
},
{
"code": "C9771",
"display": "Nsl/sins cryo post nasal tis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nasal/sinus endoscopy, cryoablation nasal tissue(s) and/or nerve(s), unilateral or bilateral"
}
]
},
{
"code": "C9772",
"display": "Revasc lithotrip tibi/perone",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed"
}
]
},
{
"code": "C9773",
"display": "Revasc lithotr-stent tib/per",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed"
}
]
},
{
"code": "C9774",
"display": "Revasc lithotr-ather tib/per",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed"
}
]
},
{
"code": "C9775",
"display": "Revasc lith-sten-ath tib/per",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the same vessel (s), when performed"
}
]
},
{
"code": "C9776",
"display": "Fluo bile duct imaging w/icg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intraoperative near-infrared fluorescence imaging of major extra-hepatic bile duct(s) (e.g., cystic duct, common bile duct and common hepatic duct) with intravenous administration of indocyanine green (icg) (list separately in addition to code for primary procedure)"
}
]
},
{
"code": "C9777",
"display": "Esophag muc integ w/eso egd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy"
}
]
},
{
"code": "C9778",
"display": "Colpopexy, min/inv, ex-perit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous)"
}
]
},
{
"code": "C9779",
"display": "Esd endoscopy or colonoscopy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed"
}
]
},
{
"code": "C9780",
"display": "Insert cv cath inf & sup app",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance"
}
]
},
{
"code": "C9781",
"display": "Arthro/shoul surg; w/spacer",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenodesis when performed"
}
]
},
{
"code": "C9782",
"display": "Blind myocar trpl bon marrow",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Blinded procedure for new york heart association (nyha) class ii or iii heart failure, or canadian cardiovascular society (ccs) class iii or iv chronic refractory angina; transcatheter intramyocardial transplantation of autologous bone marrow cells (e.g., mononuclear) or placebo control, autologous bone marrow harvesting and preparation for transplantation, left heart catheterization including ventriculography, all laboratory services, and all imaging with or without guidance (e.g., transthoracic echocardiography, ultrasound, fluoroscopy), performed in an approved investigational device exemption (ide) study"
}
]
},
{
"code": "C9783",
"display": "Blind cor sinus reducer impl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catheterization, venous and coronary sinus angiography, imaging guidance and supervision and interpretation when performed in an approved investigational device exemption (ide) study"
}
]
},
{
"code": "C9784",
"display": "Endo sleeve gastro w/tube",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gastric restrictive procedure, endoscopic sleeve gastroplasty, with esophagogastroduodenoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components"
}
]
},
{
"code": "C9785",
"display": "Endo outlet restrict w/tube",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components"
}
]
},
{
"code": "C9786",
"display": "Echo cad for hf preserved ef",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Echocardiography image post processing for computer aided detection of heart failure with preserved ejection fraction, including interpretation and report"
}
]
},
{
"code": "C9787",
"display": "Gastric ep mapg simult pt sx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gastric electrophysiology mapping with simultaneous patient symptom profiling"
}
]
},
{
"code": "C9788",
"display": "Uni breas optoacoustic imag",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Opto-acoustic imaging, breast (including axilla when performed), unilateral, with image documentation, analysis and report, obtained with ultrasound examination"
}
]
},
{
"code": "C9789",
"display": "Instill pharm renal pelvis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed"
}
]
},
{
"code": "C9790",
"display": "Kidney histotripsy w/image",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Histotripsy (i.e., non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including image guidance"
}
]
},
{
"code": "C9791",
"display": "Mri hyperpolarized xenon129",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent"
}
]
},
{
"code": "C9792",
"display": "Blind/nonblind trans atrial",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein access, including all imaging necessary to intra procedurally map the coronary sinus for optimal shunt placement (e.g., tee or ice ultrasound, fluoroscopy), performed under general anesthesia in an approved investigational device exemption (ide) study)"
}
]
},
{
"code": "C9793",
"display": "Pre-plan 3d model w/ccta",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "3d predictive model generation for pre-planning of a cardiac procedure, using data from cardiac computed tomographic angiography with report"
}
]
},
{
"code": "C9794",
"display": "Complex simulation w/pet-ct",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Therapeutic radiology simulation-aided field setting; complex, including acquisition of pet and ct imaging data required for radiopharmaceutical-directed radiation therapy treatment planning (i.e., modeling)"
}
]
},
{
"code": "C9795",
"display": "Sbrt w/positron emission del",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance and real-time positron emissions-based delivery adjustments to 1 or more lesions, entire course not to exceed 5 fractions"
}
]
},
{
"code": "C9796",
"display": "Rpr intst excl anrect fist",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa [sis])"
}
]
},
{
"code": "C9797",
"display": "Vasc emb/occ w/prs cath",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, organ ischemia, or infarction"
}
]
},
{
"code": "C9800",
"display": "Dermal filler inj px/suppl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dermal injection procedure(s) for facial lipodystrophy syndrome (lds) and provision of radiesse or sculptra dermal filler, including all items and supplies"
}
]
},
{
"code": "C9803",
"display": "Hopd covid-19 spec collect",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source"
}
]
},
{
"code": "C9804",
"display": "Pump elastomc non-opioid dev",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Elastomeric infusion pump (e.g., on-q* pump with bolus), including catheter and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)"
}
]
},
{
"code": "C9806",
"display": "Pump perist non-opioid dev",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Rotary peristaltic infusion pump (e.g., ambit pump), including catheter and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)"
}
]
},
{
"code": "C9807",
"display": "Nerve stim non-opioid dev",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nerve stimulator, percutaneous, peripheral (e.g., sprint peripheral nerve stimulation system), including electrode and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)"
}
]
},
{
"code": "C9808",
"display": "Cryo probe non-opioid dev",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nerve cryoablation probe (e.g., cryoice, cryosphere, cryosphere max, cryoice cryosphere, cryoice cryo2), including probe and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)"
}
]
},
{
"code": "C9809",
"display": "Cryo needle non-opioid dev",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cryoablation needle (e.g., iovera system), including needle/tip and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)"
}
]
},
{
"code": "C9898",
"display": "Inpnt stay radiolabeled item",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Radiolabeled product provided during a hospital inpatient stay"
}
]
},
{
"code": "C9899",
"display": "Inpt implant pros dev,no cov",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Implanted prosthetic device, payable only for inpatients who do not have inpatient coverage"
}
]
},
{
"code": "C9901",
"display": "Endo defect closure gi tract",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system and tissue anchoring components"
}
]
},
{
"code": "E0100",
"display": "Cane adjust/fixed with tip",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cane, includes canes of all materials, adjustable or fixed, with tip"
}
]
},
{
"code": "E0105",
"display": "Cane adjust/fixed quad/3 pro",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips"
}
]
},
{
"code": "E0110",
"display": "Crutch forearm pair",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips"
}
]
},
{
"code": "E0111",
"display": "Crutch forearm each",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Crutch forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips"
}
]
},
{
"code": "E0112",
"display": "Crutch underarm pair wood",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Crutches underarm, wood, adjustable or fixed, pair, with pads, tips and handgrips"
}
]
},
{
"code": "E0113",
"display": "Crutch underarm each wood",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Crutch underarm, wood, adjustable or fixed, each, with pad, tip and handgrip"
}
]
},
{
"code": "E0114",
"display": "Crutch underarm pair no wood",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips"
}
]
},
{
"code": "E0116",
"display": "Crutch underarm each no wood",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each"
}
]
},
{
"code": "E0117",
"display": "Underarm springassist crutch",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Crutch, underarm, articulating, spring assisted, each"
}
]
},
{
"code": "E0118",
"display": "Crutch substitute",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Crutch substitute, lower leg platform, with or without wheels, each"
}
]
},
{
"code": "E0130",
"display": "Walker rigid adjust/fixed ht",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Walker, rigid (pickup), adjustable or fixed height"
}
]
},
{
"code": "E0135",
"display": "Walker folding adjust/fixed",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Walker, folding (pickup), adjustable or fixed height"
}
]
},
{
"code": "E0140",
"display": "Walker w trunk support",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Walker, with trunk support, adjustable or fixed height, any type"
}
]
},
{
"code": "E0141",
"display": "Rigid wheeled walker adj/fix",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Walker, rigid, wheeled, adjustable or fixed height"
}
]
},
{
"code": "E0143",
"display": "Walker folding wheeled w/o s",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Walker, folding, wheeled, adjustable or fixed height"
}
]
},
{
"code": "E0144",
"display": "Enclosed walker w rear seat",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Walker, enclosed, four sided framed, rigid or folding, wheeled with posterior seat"
}
]
},
{
"code": "E0147",
"display": "Walker variable wheel resist",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Walker, heavy duty, multiple braking system, variable wheel resistance"
}
]
},
{
"code": "E0148",
"display": "Heavyduty walker no wheels",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Walker, heavy duty, without wheels, rigid or folding, any type, each"
}
]
},
{
"code": "E0149",
"display": "Heavy duty wheeled walker",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Walker, heavy duty, wheeled, rigid or folding, any type"
}
]
},
{
"code": "E0152",
"display": "Walker, battery power wheels",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Walker, battery powered, wheeled, folding, adjustable or fixed height"
}
]
},
{
"code": "E0153",
"display": "Forearm crutch platform atta",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Platform attachment, forearm crutch, each"
}
]
},
{
"code": "E0154",
"display": "Walker platform attachment",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Platform attachment, walker, each"
}
]
},
{
"code": "E0155",
"display": "Walker wheel attachment,pair",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheel attachment, rigid pick-up walker, per pair"
}
]
},
{
"code": "E0156",
"display": "Walker seat attachment",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Seat attachment, walker"
}
]
},
{
"code": "E0157",
"display": "Walker crutch attachment",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Crutch attachment, walker, each"
}
]
},
{
"code": "E0158",
"display": "Walker leg extenders set of4",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Leg extensions for walker, per set of four (4)"
}
]
},
{
"code": "E0159",
"display": "Brake for wheeled walker",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Brake attachment for wheeled walker, replacement, each"
}
]
},
{
"code": "E0160",
"display": "Sitz type bath or equipment",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sitz type bath or equipment, portable, used with or without commode"
}
]
},
{
"code": "E0161",
"display": "Sitz bath/equipment w/faucet",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sitz type bath or equipment, portable, used with or without commode, with faucet attachment/s"
}
]
},
{
"code": "E0162",
"display": "Sitz bath chair"
},
{
"code": "E0163",
"display": "Commode chair with fixed arm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Commode chair, mobile or stationary, with fixed arms"
}
]
},
{
"code": "E0165",
"display": "Commode chair with detacharm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Commode chair, mobile or stationary, with detachable arms"
}
]
},
{
"code": "E0167",
"display": "Commode chair pail or pan",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pail or pan for use with commode chair, replacement only"
}
]
},
{
"code": "E0168",
"display": "Heavyduty/wide commode chair",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each"
}
]
},
{
"code": "E0170",
"display": "Commode chair electric",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Commode chair with integrated seat lift mechanism, electric, any type"
}
]
},
{
"code": "E0171",
"display": "Commode chair non-electric",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Commode chair with integrated seat lift mechanism, non-electric, any type"
}
]
},
{
"code": "E0172",
"display": "Seat lift mechanism toilet",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Seat lift mechanism placed over or on top of toilet, any type"
}
]
},
{
"code": "E0175",
"display": "Commode chair foot rest",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Foot rest, for use with commode chair, each"
}
]
},
{
"code": "E0181",
"display": "Press pad alternating w/ pum",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty"
}
]
},
{
"code": "E0182",
"display": "Replace pump, alt press pad",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pump for alternating pressure pad, for replacement only"
}
]
},
{
"code": "E0183",
"display": "Press underlay alter w/pump",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Powered pressure reducing underlay/pad, alternating, with pump, includes heavy duty"
}
]
},
{
"code": "E0184",
"display": "Dry pressure mattress"
},
{
"code": "E0185",
"display": "Gel pressure mattress pad",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gel or gel-like pressure pad for mattress, standard mattress length and width"
}
]
},
{
"code": "E0186",
"display": "Air pressure mattress"
},
{
"code": "E0187",
"display": "Water pressure mattress"
},
{
"code": "E0188",
"display": "Synthetic sheepskin pad"
},
{
"code": "E0189",
"display": "Lambswool sheepskin pad",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lambswool sheepskin pad, any size"
}
]
},
{
"code": "E0190",
"display": "Positioning cushion",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Positioning cushion/pillow/wedge, any shape or size, includes all components and accessories"
}
]
},
{
"code": "E0191",
"display": "Protector heel or elbow",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Heel or elbow protector, each"
}
]
},
{
"code": "E0193",
"display": "Powered air flotation bed",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Powered air flotation bed (low air loss therapy)"
}
]
},
{
"code": "E0194",
"display": "Air fluidized bed"
},
{
"code": "E0196",
"display": "Gel pressure mattress"
},
{
"code": "E0197",
"display": "Air pressure pad for mattres",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Air pressure pad for mattress, standard mattress length and width"
}
]
},
{
"code": "E0198",
"display": "Water pressure pad for mattr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Water pressure pad for mattress, standard mattress length and width"
}
]
},
{
"code": "E0199",
"display": "Dry pressure pad for mattres",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dry pressure pad for mattress, standard mattress length and width"
}
]
},
{
"code": "E0200",
"display": "Heat lamp without stand",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Heat lamp, without stand (table model), includes bulb, or infrared element"
}
]
},
{
"code": "E0202",
"display": "Phototherapy light w/ photom",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Phototherapy (bilirubin) light with photometer"
}
]
},
{
"code": "E0203",
"display": "Therapeutic lightbox tabletp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Therapeutic lightbox, minimum 10,000 lux, table top model"
}
]
},
{
"code": "E0205",
"display": "Heat lamp with stand",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Heat lamp, with stand, includes bulb, or infrared element"
}
]
},
{
"code": "E0210",
"display": "Electric heat pad standard",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Electric heat pad, standard"
}
]
},
{
"code": "E0215",
"display": "Electric heat pad moist",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Electric heat pad, moist"
}
]
},
{
"code": "E0217",
"display": "Water circ heat pad w pump",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Water circulating heat pad with pump"
}
]
},
{
"code": "E0218",
"display": "Fluid circ cold pad w pump",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Fluid circulating cold pad with pump, any type"
}
]
},
{
"code": "E0221",
"display": "Infrared heating pad system"
},
{
"code": "E0225",
"display": "Hydrocollator unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hydrocollator unit, includes pads"
}
]
},
{
"code": "E0231",
"display": "Wound warming device",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-contact wound warming device (temperature control unit, ac adapter and power cord) for use with warming card and wound cover"
}
]
},
{
"code": "E0232",
"display": "Warming card for nwt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Warming card for use with the non contact wound warming device and non contact wound warming wound cover"
}
]
},
{
"code": "E0235",
"display": "Paraffin bath unit portable",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Paraffin bath unit, portable (see medical supply code a4265 for paraffin)"
}
]
},
{
"code": "E0236",
"display": "Pump for water circulating p",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pump for water circulating pad"
}
]
},
{
"code": "E0239",
"display": "Hydrocollator unit portable",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hydrocollator unit, portable"
}
]
},
{
"code": "E0240",
"display": "Bath/shower chair",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bath/shower chair, with or without wheels, any size"
}
]
},
{
"code": "E0241",
"display": "Bath tub wall rail",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bath tub wall rail, each"
}
]
},
{
"code": "E0242",
"display": "Bath tub rail floor",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bath tub rail, floor base"
}
]
},
{
"code": "E0243",
"display": "Toilet rail",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Toilet rail, each"
}
]
},
{
"code": "E0244",
"display": "Toilet seat raised",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Raised toilet seat"
}
]
},
{
"code": "E0245",
"display": "Tub stool or bench"
},
{
"code": "E0246",
"display": "Transfer tub rail attachment"
},
{
"code": "E0247",
"display": "Trans bench w/wo comm open",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transfer bench for tub or toilet with or without commode opening"
}
]
},
{
"code": "E0248",
"display": "Hdtrans bench w/wo comm open",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transfer bench, heavy duty, for tub or toilet with or without commode opening"
}
]
},
{
"code": "E0249",
"display": "Pad water circulating heat u",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pad for water circulating heat unit, for replacement only"
}
]
},
{
"code": "E0250",
"display": "Hosp bed fixed ht w/ mattres",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospital bed, fixed height, with any type side rails, with mattress"
}
]
},
{
"code": "E0251",
"display": "Hosp bed fixd ht w/o mattres",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospital bed, fixed height, with any type side rails, without mattress"
}
]
},
{
"code": "E0255",
"display": "Hospital bed var ht w/ mattr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospital bed, variable height, hi-lo, with any type side rails, with mattress"
}
]
},
{
"code": "E0256",
"display": "Hospital bed var ht w/o matt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospital bed, variable height, hi-lo, with any type side rails, without mattress"
}
]
},
{
"code": "E0260",
"display": "Hosp bed semi-electr w/ matt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress"
}
]
},
{
"code": "E0261",
"display": "Hosp bed semi-electr w/o mat",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress"
}
]
},
{
"code": "E0265",
"display": "Hosp bed total electr w/ mat",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress"
}
]
},
{
"code": "E0266",
"display": "Hosp bed total elec w/o matt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospital bed, total electric (head, foot and height adjustments), with any type side rails, without mattress"
}
]
},
{
"code": "E0270",
"display": "Hospital bed institutional t",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospital bed, institutional type includes: oscillating, circulating and stryker frame, with mattress"
}
]
},
{
"code": "E0271",
"display": "Mattress innerspring",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Mattress, innerspring"
}
]
},
{
"code": "E0272",
"display": "Mattress foam rubber",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Mattress, foam rubber"
}
]
},
{
"code": "E0273",
"display": "Bed board"
},
{
"code": "E0274",
"display": "Over-bed table"
},
{
"code": "E0275",
"display": "Bed pan standard",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bed pan, standard, metal or plastic"
}
]
},
{
"code": "E0276",
"display": "Bed pan fracture",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bed pan, fracture, metal or plastic"
}
]
},
{
"code": "E0277",
"display": "Powered pres-redu air mattrs",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Powered pressure-reducing air mattress"
}
]
},
{
"code": "E0280",
"display": "Bed cradle",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bed cradle, any type"
}
]
},
{
"code": "E0290",
"display": "Hosp bed fx ht w/o rails w/m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospital bed, fixed height, without side rails, with mattress"
}
]
},
{
"code": "E0291",
"display": "Hosp bed fx ht w/o rail w/o",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospital bed, fixed height, without side rails, without mattress"
}
]
},
{
"code": "E0292",
"display": "Hosp bed var ht no sr w/matt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospital bed, variable height, hi-lo, without side rails, with mattress"
}
]
},
{
"code": "E0293",
"display": "Hosp bed var ht no sr no mat",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospital bed, variable height, hi-lo, without side rails, without mattress"
}
]
},
{
"code": "E0294",
"display": "Hosp bed semi-elect w/ mattr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress"
}
]
},
{
"code": "E0295",
"display": "Hosp bed semi-elect w/o matt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress"
}
]
},
{
"code": "E0296",
"display": "Hosp bed total elect w/ matt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospital bed, total electric (head, foot and height adjustments), without side rails, with mattress"
}
]
},
{
"code": "E0297",
"display": "Hosp bed total elect w/o mat",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospital bed, total electric (head, foot and height adjustments), without side rails, without mattress"
}
]
},
{
"code": "E0300",
"display": "Enclosed ped crib hosp grade",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pediatric crib, hospital grade, fully enclosed, with or without top enclosure"
}
]
},
{
"code": "E0301",
"display": "Hd hosp bed, 350-600 lbs",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress"
}
]
},
{
"code": "E0302",
"display": "Ex hd hosp bed > 600 lbs",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, without mattress"
}
]
},
{
"code": "E0303",
"display": "Hosp bed hvy dty xtra wide",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress"
}
]
},
{
"code": "E0304",
"display": "Hosp bed xtra hvy dty x wide",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress"
}
]
},
{
"code": "E0305",
"display": "Rails bed side half length",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bed side rails, half length"
}
]
},
{
"code": "E0310",
"display": "Rails bed side full length",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bed side rails, full length"
}
]
},
{
"code": "E0315",
"display": "Bed accessory brd/tbl/supprt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bed accessory: board, table, or support device, any type"
}
]
},
{
"code": "E0316",
"display": "Bed safety enclosure",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Safety enclosure frame/canopy for use with hospital bed, any type"
}
]
},
{
"code": "E0325",
"display": "Urinal male jug-type",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Urinal; male, jug-type, any material"
}
]
},
{
"code": "E0326",
"display": "Urinal female jug-type",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Urinal; female, jug-type, any material"
}
]
},
{
"code": "E0328",
"display": "Ped hospital bed, manual",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospital bed, pediatric, manual, 360 degree side enclosures, top of headboard, footboard and side rails up to 24 inches above the spring, includes mattress"
}
]
},
{
"code": "E0329",
"display": "Ped hospital bed semi/elect",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospital bed, pediatric, electric or semi-electric, 360 degree side enclosures, top of headboard, footboard and side rails up to 24 inches above the spring, includes mattress"
}
]
},
{
"code": "E0350",
"display": "Control unit bowel system",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Control unit for electronic bowel irrigation/evacuation system"
}
]
},
{
"code": "E0352",
"display": "Disposable pack w/bowel syst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Disposable pack (water reservoir bag, speculum, valving mechanism and collection bag/box) for use with the electronic bowel irrigation/evacuation system"
}
]
},
{
"code": "E0370",
"display": "Air elevator for heel",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Air pressure elevator for heel"
}
]
},
{
"code": "E0371",
"display": "Nonpower mattress overlay",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nonpowered advanced pressure reducing overlay for mattress, standard mattress length and width"
}
]
},
{
"code": "E0372",
"display": "Powered air mattress overlay",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Powered air overlay for mattress, standard mattress length and width"
}
]
},
{
"code": "E0373",
"display": "Nonpowered pressure mattress",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nonpowered advanced pressure reducing mattress"
}
]
},
{
"code": "E0424",
"display": "Stationary compressed gas 02",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing"
}
]
},
{
"code": "E0425",
"display": "Gas system stationary compre",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Stationary compressed gas system, purchase; includes regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing"
}
]
},
{
"code": "E0430",
"display": "Oxygen system gas portable",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Portable gaseous oxygen system, purchase; includes regulator, flowmeter, humidifier, cannula or mask, and tubing"
}
]
},
{
"code": "E0431",
"display": "Portable gaseous 02",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing"
}
]
},
{
"code": "E0433",
"display": "Portable liquid oxygen sys",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Portable liquid oxygen system, rental; home liquefier used to fill portable liquid oxygen containers, includes portable containers, regulator, flowmeter, humidifier, cannula or mask and tubing, with or without supply reservoir and contents gauge"
}
]
},
{
"code": "E0434",
"display": "Portable liquid 02",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing"
}
]
},
{
"code": "E0435",
"display": "Oxygen system liquid portabl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Portable liquid oxygen system, purchase; includes portable container, supply reservoir, flowmeter, humidifier, contents gauge, cannula or mask, tubing and refill adaptor"
}
]
},
{
"code": "E0439",
"display": "Stationary liquid 02",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing"
}
]
},
{
"code": "E0440",
"display": "Oxygen system liquid station",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Stationary liquid oxygen system, purchase; includes use of reservoir, contents indicator, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing"
}
]
},
{
"code": "E0441",
"display": "Stationary o2 contents, gas",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Stationary oxygen contents, gaseous, 1 month's supply = 1 unit"
}
]
},
{
"code": "E0442",
"display": "Stationary o2 contents, liq",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Stationary oxygen contents, liquid, 1 month's supply = 1 unit"
}
]
},
{
"code": "E0443",
"display": "Portable 02 contents, gas",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Portable oxygen contents, gaseous, 1 month's supply = 1 unit"
}
]
},
{
"code": "E0444",
"display": "Portable 02 contents, liquid",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Portable oxygen contents, liquid, 1 month's supply = 1 unit"
}
]
},
{
"code": "E0445",
"display": "Oximeter non-invasive",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oximeter device for measuring blood oxygen levels non-invasively"
}
]
},
{
"code": "E0446",
"display": "Topical ox deliver sys, nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Topical oxygen delivery system, not otherwise specified, includes all supplies and accessories"
}
]
},
{
"code": "E0447",
"display": "Port o2 cont, liq over 4 lpm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Portable oxygen contents, liquid, 1 month's supply = 1 unit, prescribed amount at rest or nighttime exceeds 4 liters per minute (lpm)"
}
]
},
{
"code": "E0450",
"display": "Vol control vent invasiv int",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Volume control ventilator, without pressure support mode, may include pressure control mode, used with invasive interface (e.g., tracheostomy tube)"
}
]
},
{
"code": "E0455",
"display": "Oxygen tent excl croup/ped t",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oxygen tent, excluding croup or pediatric tents"
}
]
},
{
"code": "E0457",
"display": "Chest shell",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Chest shell (cuirass)"
}
]
},
{
"code": "E0459",
"display": "Chest wrap"
},
{
"code": "E0460",
"display": "Neg press vent portabl/statn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Negative pressure ventilator; portable or stationary"
}
]
},
{
"code": "E0461",
"display": "Vol control vent noninv int",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Volume control ventilator, without pressure support mode, may include pressure control mode, used with non-invasive interface (e.g., mask)"
}
]
},
{
"code": "E0462",
"display": "Rocking bed w/ or w/o side r",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Rocking bed with or without side rails"
}
]
},
{
"code": "E0463",
"display": "Press supp vent invasive int",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pressure support ventilator with volume control mode, may include pressure control mode, used with invasive interface (e.g., tracheostomy tube)"
}
]
},
{
"code": "E0464",
"display": "Press supp vent noninv int",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pressure support ventilator with volume control mode, may include pressure control mode, used with non-invasive interface (e.g., mask)"
}
]
},
{
"code": "E0465",
"display": "Home vent invasive interface",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)"
}
]
},
{
"code": "E0466",
"display": "Home vent non-invasive inter",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)"
}
]
},
{
"code": "E0467",
"display": "Home vent multi-function",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough stimulation, includes all accessories, components and supplies for all functions"
}
]
},
{
"code": "E0468",
"display": "Home vent dual fnct incl all",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home ventilator, dual-function respiratory device, also performs additional function of cough stimulation, includes all accessories, components and supplies for all functions"
}
]
},
{
"code": "E0469",
"display": "Lung expans high oscil neb",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lung expansion airway clearance, continuous high frequency oscillation, and nebulization device"
}
]
},
{
"code": "E0470",
"display": "Rad w/o backup non-inv intfc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)"
}
]
},
{
"code": "E0471",
"display": "Rad w/backup non inv intrfc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)"
}
]
},
{
"code": "E0472",
"display": "Rad w backup invasive intrfc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Respiratory assist device, bi-level pressure capability, with backup rate feature, used with invasive interface, e.g., tracheostomy tube (intermittent assist device with continuous positive airway pressure device)"
}
]
},
{
"code": "E0480",
"display": "Percussor elect/pneum home m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Percussor, electric or pneumatic, home model"
}
]
},
{
"code": "E0481",
"display": "Intrpulmnry percuss vent sys",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intrapulmonary percussive ventilation system and related accessories"
}
]
},
{
"code": "E0482",
"display": "Cough stimulating device",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cough stimulating device, alternating positive and negative airway pressure"
}
]
},
{
"code": "E0483",
"display": "Hi freq chest wall oscil sys",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each"
}
]
},
{
"code": "E0484",
"display": "Non-elec oscillatory pep dvc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oscillatory positive expiratory pressure device, non-electric, any type, each"
}
]
},
{
"code": "E0485",
"display": "Oral device/appliance prefab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, prefabricated, includes fitting and adjustment"
}
]
},
{
"code": "E0486",
"display": "Oral device/appliance cusfab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment"
}
]
},
{
"code": "E0487",
"display": "Electronic spirometer",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spirometer, electronic, includes all accessories"
}
]
},
{
"code": "E0490",
"display": "Control unit nm hw remote",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by hardware remote"
}
]
},
{
"code": "E0491",
"display": "Oral dv nm mouthpc hw remote",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by hardware remote, 90-day supply"
}
]
},
{
"code": "E0492",
"display": "Control unit nm stim w phone",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by phone application"
}
]
},
{
"code": "E0493",
"display": "Oral dv/app neuromus mouthpi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by phone application, 90-day supply"
}
]
},
{
"code": "E0500",
"display": "Ippb all types",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ippb machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source"
}
]
},
{
"code": "E0530",
"display": "Electronic posa treatment",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Electronic positional obstructive sleep apnea treatment, with sensor, includes all components and accessories, any type"
}
]
},
{
"code": "E0550",
"display": "Humidif extens supple w ippb",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Humidifier, durable for extensive supplemental humidification during ippb treatments or oxygen delivery"
}
]
},
{
"code": "E0555",
"display": "Humidifier for use w/ regula",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Humidifier, durable, glass or autoclavable plastic bottle type, for use with regulator or flowmeter"
}
]
},
{
"code": "E0560",
"display": "Humidifier supplemental w/ i",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Humidifier, durable for supplemental humidification during ippb treatment or oxygen delivery"
}
]
},
{
"code": "E0561",
"display": "Humidifier nonheated w pap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Humidifier, non-heated, used with positive airway pressure device"
}
]
},
{
"code": "E0562",
"display": "Humidifier heated used w pap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Humidifier, heated, used with positive airway pressure device"
}
]
},
{
"code": "E0565",
"display": "Compressor air power source",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Compressor, air power source for equipment which is not self-contained or cylinder driven"
}
]
},
{
"code": "E0570",
"display": "Nebulizer with compression",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nebulizer, with compressor"
}
]
},
{
"code": "E0572",
"display": "Aerosol compressor adjust pr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Aerosol compressor, adjustable pressure, light duty for intermittent use"
}
]
},
{
"code": "E0574",
"display": "Ultrasonic generator w svneb",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ultrasonic/electronic aerosol generator with small volume nebulizer"
}
]
},
{
"code": "E0575",
"display": "Nebulizer ultrasonic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nebulizer, ultrasonic, large volume"
}
]
},
{
"code": "E0580",
"display": "Nebulizer for use w/ regulat",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nebulizer, durable, glass or autoclavable plastic, bottle type, for use with regulator or flowmeter"
}
]
},
{
"code": "E0585",
"display": "Nebulizer w/ compressor & he",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nebulizer, with compressor and heater"
}
]
},
{
"code": "E0600",
"display": "Suction pump portab hom modl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Respiratory suction pump, home model, portable or stationary, electric"
}
]
},
{
"code": "E0601",
"display": "Cont airway pressure device",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Continuous positive airway pressure (cpap) device"
}
]
},
{
"code": "E0602",
"display": "Manual breast pump",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Breast pump, manual, any type"
}
]
},
{
"code": "E0603",
"display": "Electric breast pump",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Breast pump, electric (ac and/or dc), any type"
}
]
},
{
"code": "E0604",
"display": "Hosp grade elec breast pump",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Breast pump, hospital grade, electric (ac and / or dc), any type"
}
]
},
{
"code": "E0605",
"display": "Vaporizer room type",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Vaporizer, room type"
}
]
},
{
"code": "E0606",
"display": "Drainage board postural",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Postural drainage board"
}
]
},
{
"code": "E0607",
"display": "Blood glucose monitor home",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home blood glucose monitor"
}
]
},
{
"code": "E0610",
"display": "Pacemaker monitr audible/vis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pacemaker monitor, self-contained, (checks battery depletion, includes audible and visible check systems)"
}
]
},
{
"code": "E0615",
"display": "Pacemaker monitr digital/vis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pacemaker monitor, self contained, checks battery depletion and other pacemaker components, includes digital/visible check systems"
}
]
},
{
"code": "E0616",
"display": "Cardiac event recorder",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Implantable cardiac event recorder with memory, activator and programmer"
}
]
},
{
"code": "E0617",
"display": "Automatic ext defibrillator",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "External defibrillator with integrated electrocardiogram analysis"
}
]
},
{
"code": "E0618",
"display": "Apnea monitor",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Apnea monitor, without recording feature"
}
]
},
{
"code": "E0619",
"display": "Apnea monitor w recorder",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Apnea monitor, with recording feature"
}
]
},
{
"code": "E0620",
"display": "Cap bld skin piercing laser",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Skin piercing device for collection of capillary blood, laser, each"
}
]
},
{
"code": "E0621",
"display": "Patient lift sling or seat",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sling or seat, patient lift, canvas or nylon"
}
]
},
{
"code": "E0625",
"display": "Patient lift bathroom or toi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient lift, bathroom or toilet, not otherwise classified"
}
]
},
{
"code": "E0627",
"display": "Seat lift mech, electric any",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Seat lift mechanism, electric, any type"
}
]
},
{
"code": "E0628",
"display": "Seat lift for pt furn-electr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Separate seat lift mechanism for use with patient owned furniture-electric"
}
]
},
{
"code": "E0629",
"display": "Seat lift mech, non-electric",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Seat lift mechanism, non-electric, any type"
}
]
},
{
"code": "E0630",
"display": "Patient lift hydraulic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)"
}
]
},
{
"code": "E0635",
"display": "Patient lift electric",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient lift, electric with seat or sling"
}
]
},
{
"code": "E0636",
"display": "Pt support & positioning sys",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Multipositional patient support system, with integrated lift, patient accessible controls"
}
]
},
{
"code": "E0637",
"display": "Combination sit to stand sys",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Combination sit to stand frame/table system, any size including pediatric, with seat lift feature, with or without wheels"
}
]
},
{
"code": "E0638",
"display": "Standing frame sys",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Standing frame/table system, one position (e.g., upright, supine or prone stander), any size including pediatric, with or without wheels"
}
]
},
{
"code": "E0639",
"display": "Moveable patient lift system",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient lift, moveable from room to room with disassembly and reassembly, includes all components/accessories"
}
]
},
{
"code": "E0640",
"display": "Fixed patient lift system",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient lift, fixed system, includes all components/accessories"
}
]
},
{
"code": "E0641",
"display": "Multi-position stnd fram sys",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Standing frame/table system, multi-position (e.g., three-way stander), any size including pediatric, with or without wheels"
}
]
},
{
"code": "E0642",
"display": "Dynamic standing frame",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Standing frame/table system, mobile (dynamic stander), any size including pediatric"
}
]
},
{
"code": "E0650",
"display": "Pneuma compresor non-segment",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pneumatic compressor, non-segmental home model"
}
]
},
{
"code": "E0651",
"display": "Pneum compressor segmental",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pneumatic compressor, segmental home model without calibrated gradient pressure"
}
]
},
{
"code": "E0652",
"display": "Pneum compres w/cal pressure",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pneumatic compressor, segmental home model with calibrated gradient pressure"
}
]
},
{
"code": "E0655",
"display": "Pneumatic appliance half arm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-segmental pneumatic appliance for use with pneumatic compressor, half arm"
}
]
},
{
"code": "E0656",
"display": "Segmental pneumatic trunk",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Segmental pneumatic appliance for use with pneumatic compressor, trunk"
}
]
},
{
"code": "E0657",
"display": "Segmental pneumatic chest",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Segmental pneumatic appliance for use with pneumatic compressor, chest"
}
]
},
{
"code": "E0660",
"display": "Pneumatic appliance full leg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-segmental pneumatic appliance for use with pneumatic compressor, full leg"
}
]
},
{
"code": "E0665",
"display": "Pneumatic appliance full arm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-segmental pneumatic appliance for use with pneumatic compressor, full arm"
}
]
},
{
"code": "E0666",
"display": "Pneumatic appliance half leg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-segmental pneumatic appliance for use with pneumatic compressor, half leg"
}
]
},
{
"code": "E0667",
"display": "Seg pneumatic appl full leg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Segmental pneumatic appliance for use with pneumatic compressor, full leg"
}
]
},
{
"code": "E0668",
"display": "Seg pneumatic appl full arm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Segmental pneumatic appliance for use with pneumatic compressor, full arm"
}
]
},
{
"code": "E0669",
"display": "Seg pneumatic appli half leg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Segmental pneumatic appliance for use with pneumatic compressor, half leg"
}
]
},
{
"code": "E0670",
"display": "Seg pneum int legs/trunk",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk"
}
]
},
{
"code": "E0671",
"display": "Pressure pneum appl full leg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Segmental gradient pressure pneumatic appliance, full leg"
}
]
},
{
"code": "E0672",
"display": "Pressure pneum appl full arm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Segmental gradient pressure pneumatic appliance, full arm"
}
]
},
{
"code": "E0673",
"display": "Pressure pneum appl half leg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Segmental gradient pressure pneumatic appliance, half leg"
}
]
},
{
"code": "E0675",
"display": "Pneumatic compression device",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pneumatic compression device, high pressure, rapid inflation/deflation cycle, for arterial insufficiency (unilateral or bilateral system)"
}
]
},
{
"code": "E0676",
"display": "Inter limb compress dev nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intermittent limb compression device (includes all accessories), not otherwise specified"
}
]
},
{
"code": "E0677",
"display": "Non pneum seq comp trunk",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-pneumatic sequential compression garment, trunk"
}
]
},
{
"code": "E0678",
"display": "Non pneum seq comp full leg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-pneumatic sequential compression garment, full leg"
}
]
},
{
"code": "E0679",
"display": "Non pneum seq comp half leg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-pneumatic sequential compression garment, half leg"
}
]
},
{
"code": "E0680",
"display": "Non pneum comp control cal",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-pneumatic compression controller with sequential calibrated gradient pressure"
}
]
},
{
"code": "E0681",
"display": "Non pneu comp control w/o ca",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-pneumatic compression controller without calibrated gradient pressure"
}
]
},
{
"code": "E0682",
"display": "Non pneum compress full arm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-pneumatic sequential compression garment, full arm"
}
]
},
{
"code": "E0683",
"display": "Non pneu peristalic comp pmp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-pneumatic, non-sequential, peristaltic wave compression pump"
}
]
},
{
"code": "E0691",
"display": "Uvl pnl 2 sq ft or less",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 square feet or less"
}
]
},
{
"code": "E0692",
"display": "Uvl sys panel 4 ft",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 4 foot panel"
}
]
},
{
"code": "E0693",
"display": "Uvl sys panel 6 ft",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 6 foot panel"
}
]
},
{
"code": "E0694",
"display": "Uvl md cabinet sys 6 ft",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ultraviolet multidirectional light therapy system in 6 foot cabinet, includes bulbs/lamps, timer and eye protection"
}
]
},
{
"code": "E0700",
"display": "Safety equipment",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Safety equipment, device or accessory, any type"
}
]
},
{
"code": "E0705",
"display": "Transfer device",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transfer device, any type, each"
}
]
},
{
"code": "E0710",
"display": "Restraints any type",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Restraints, any type (body, chest, wrist or ankle)"
}
]
},
{
"code": "E0711",
"display": "Ue enclosure restr rom",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity medical tubing/lines enclosure or covering device, restricts elbow range of motion"
}
]
},
{
"code": "E0715",
"display": "Intravag pelvic floor kegel",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intravaginal device intended to strengthen pelvic floor muscles during kegel exercises"
}
]
},
{
"code": "E0716",
"display": "Supp and acces intravag pelv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Supplies and accessories for intravaginal device intended to strengthen pelvic floor muscles during kegel exercises"
}
]
},
{
"code": "E0720",
"display": "Tens two lead",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation"
}
]
},
{
"code": "E0721",
"display": "Trans elec stim auricular",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transcutaneous electrical nerve stimulator for nerves in the auricular region"
}
]
},
{
"code": "E0730",
"display": "Tens four lead",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation"
}
]
},
{
"code": "E0731",
"display": "Conductive garment for tens/",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric)"
}
]
},
{
"code": "E0732",
"display": "Ces system",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cranial electrotherapy stimulation (ces) system, any type"
}
]
},
{
"code": "E0733",
"display": "Trans elec nerv for trigemin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve"
}
]
},
{
"code": "E0734",
"display": "Ext up limb tremor stim wris",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "External upper limb tremor stimulator of the peripheral nerves of the wrist"
}
]
},
{
"code": "E0735",
"display": "Non-invasive vagus nerv stim",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-invasive vagus nerve stimulator"
}
]
},
{
"code": "E0736",
"display": "Transcut tibial nerv stimula",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transcutaneous tibial nerve stimulator"
}
]
},
{
"code": "E0737",
"display": "Transcut tibial stim by app",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transcutaneous tibial nerve stimulator, controlled by phone application"
}
]
},
{
"code": "E0738",
"display": "Upper extremity rehab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity rehabilitation system providing active assistance to facilitate muscle re-education, include microprocessor, all components and accessories"
}
]
},
{
"code": "E0739",
"display": "Rehab sys active assist rt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Rehabilitation system with interactive interface providing active assistance in rehabilitation therapy, includes all components and accessories, motors, microprocessors, sensors"
}
]
},
{
"code": "E0740",
"display": "Non-implant pelv flr e-stim",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-implanted pelvic floor electrical stimulator, complete system"
}
]
},
{
"code": "E0743",
"display": "Ext low ext nerve stimu rls",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "External lower extremity nerve stimulator for restless legs syndrome, each"
}
]
},
{
"code": "E0744",
"display": "Neuromuscular stim for scoli",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Neuromuscular stimulator for scoliosis"
}
]
},
{
"code": "E0745",
"display": "Neuromuscular stim for shock",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Neuromuscular stimulator, electronic shock unit"
}
]
},
{
"code": "E0746",
"display": "Electromyograph biofeedback",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Electromyography (emg), biofeedback device"
}
]
},
{
"code": "E0747",
"display": "Elec osteogen stim not spine",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Osteogenesis stimulator, electrical, non-invasive, other than spinal applications"
}
]
},
{
"code": "E0748",
"display": "Elec osteogen stim spinal",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Osteogenesis stimulator, electrical, non-invasive, spinal applications"
}
]
},
{
"code": "E0749",
"display": "Elec osteogen stim implanted",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Osteogenesis stimulator, electrical, surgically implanted"
}
]
},
{
"code": "E0755",
"display": "Electronic salivary reflex s",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Electronic salivary reflex stimulator (intra-oral/non-invasive)"
}
]
},
{
"code": "E0760",
"display": "Osteogen ultrasound stimltor",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Osteogenesis stimulator, low intensity ultrasound, non-invasive"
}
]
},
{
"code": "E0761",
"display": "Nontherm electromgntc device",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-thermal pulsed high frequency radiowaves, high peak power electromagnetic energy treatment device"
}
]
},
{
"code": "E0762",
"display": "Trans elec jt stim dev sys",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transcutaneous electrical joint stimulation device system, includes all accessories"
}
]
},
{
"code": "E0764",
"display": "Functional neuromuscularstim",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Functional neuromuscular stimulation, transcutaneous stimulation of sequential muscle groups of ambulation with computer control, used for walking by spinal cord injured, entire system, after completion of training program"
}
]
},
{
"code": "E0765",
"display": "Nerve stimulator for tx n&v",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Fda approved nerve stimulator, with replaceable batteries, for treatment of nausea and vomiting"
}
]
},
{
"code": "E0766",
"display": "Elec stim cancer treatment",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Electrical stimulation device used for cancer treatment, includes all accessories, any type"
}
]
},
{
"code": "E0767",
"display": "Intrabuc am rf emf cancer tx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intrabuccal, systemic delivery of amplitude-modulated, radiofrequency electromagnetic field device, for cancer treatment, includes all accessories"
}
]
},
{
"code": "E0769",
"display": "Electric wound treatment dev",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Electrical stimulation or electromagnetic wound treatment device, not otherwise classified"
}
]
},
{
"code": "E0770",
"display": "Functional electric stim nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Functional electrical stimulator, transcutaneous stimulation of nerve and/or muscle groups, any type, complete system, not otherwise specified"
}
]
},
{
"code": "E0776",
"display": "Iv pole"
},
{
"code": "E0779",
"display": "Amb infusion pump mechanical",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater"
}
]
},
{
"code": "E0780",
"display": "Mech amb infusion pump <8hrs",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ambulatory infusion pump, mechanical, reusable, for infusion less than 8 hours"
}
]
},
{
"code": "E0781",
"display": "External ambulatory infus pu",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient"
}
]
},
{
"code": "E0782",
"display": "Non-programble infusion pump",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Infusion pump, implantable, non-programmable (includes all components, e.g., pump, catheter, connectors, etc.)"
}
]
},
{
"code": "E0783",
"display": "Programmable infusion pump",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Infusion pump system, implantable, programmable (includes all components, e.g., pump, catheter, connectors, etc.)"
}
]
},
{
"code": "E0784",
"display": "Ext amb infusn pump insulin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "External ambulatory infusion pump, insulin"
}
]
},
{
"code": "E0785",
"display": "Replacement impl pump cathet",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Implantable intraspinal (epidural/intrathecal) catheter used with implantable infusion pump, replacement"
}
]
},
{
"code": "E0786",
"display": "Implantable pump replacement",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Implantable programmable infusion pump, replacement (excludes implantable intraspinal catheter)"
}
]
},
{
"code": "E0787",
"display": "Cgs dose adj insulin inf pmp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "External ambulatory infusion pump, insulin, dosage rate adjustment using therapeutic continuous glucose sensing"
}
]
},
{
"code": "E0791",
"display": "Parenteral infusion pump sta",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Parenteral infusion pump, stationary, single or multi-channel"
}
]
},
{
"code": "E0830",
"display": "Ambulatory traction device",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ambulatory traction device, all types, each"
}
]
},
{
"code": "E0840",
"display": "Tract frame attach headboard",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Traction frame, attached to headboard, cervical traction"
}
]
},
{
"code": "E0849",
"display": "Cervical pneum trac equip",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible"
}
]
},
{
"code": "E0850",
"display": "Traction stand free standing",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Traction stand, free standing, cervical traction"
}
]
},
{
"code": "E0855",
"display": "Cervical traction equipment",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cervical traction equipment not requiring additional stand or frame"
}
]
},
{
"code": "E0856",
"display": "Cervic collar w air bladders",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cervical traction device, with inflatable air bladder(s)"
}
]
},
{
"code": "E0860",
"display": "Tract equip cervical tract",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Traction equipment, overdoor, cervical"
}
]
},
{
"code": "E0870",
"display": "Tract frame attach footboard",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Traction frame, attached to footboard, extremity traction, (e.g., buck's)"
}
]
},
{
"code": "E0880",
"display": "Trac stand free stand extrem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Traction stand, free standing, extremity traction"
}
]
},
{
"code": "E0890",
"display": "Traction frame attach pelvic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Traction frame, attached to footboard, pelvic traction"
}
]
},
{
"code": "E0900",
"display": "Trac stand free stand pelvic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Traction stand, free standing, pelvic traction, (e.g., buck's)"
}
]
},
{
"code": "E0910",
"display": "Trapeze bar attached to bed",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Trapeze bars, a/k/a patient helper, attached to bed, with grab bar"
}
]
},
{
"code": "E0911",
"display": "Hd trapeze bar attach to bed",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar"
}
]
},
{
"code": "E0912",
"display": "Hd trapeze bar free standing",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar"
}
]
},
{
"code": "E0920",
"display": "Fracture frame attached to b",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Fracture frame, attached to bed, includes weights"
}
]
},
{
"code": "E0930",
"display": "Fracture frame free standing",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Fracture frame, free standing, includes weights"
}
]
},
{
"code": "E0935",
"display": "Cont pas motion exercise dev",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Continuous passive motion exercise device for use on knee only"
}
]
},
{
"code": "E0936",
"display": "Cpm device, other than knee",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Continuous passive motion exercise device for use other than knee"
}
]
},
{
"code": "E0940",
"display": "Trapeze bar free standing",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Trapeze bar, free standing, complete with grab bar"
}
]
},
{
"code": "E0941",
"display": "Gravity assisted traction de",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gravity assisted traction device, any type"
}
]
},
{
"code": "E0942",
"display": "Cervical head harness/halter"
},
{
"code": "E0944",
"display": "Pelvic belt/harness/boot"
},
{
"code": "E0945",
"display": "Belt/harness extremity",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Extremity belt/harness"
}
]
},
{
"code": "E0946",
"display": "Fracture frame dual w cross",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Fracture, frame, dual with cross bars, attached to bed, (e.g., balken, 4 poster)"
}
]
},
{
"code": "E0947",
"display": "Fracture frame attachmnts pe",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Fracture frame, attachments for complex pelvic traction"
}
]
},
{
"code": "E0948",
"display": "Fracture frame attachmnts ce",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Fracture frame, attachments for complex cervical traction"
}
]
},
{
"code": "E0950",
"display": "Tray",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, tray, each"
}
]
},
{
"code": "E0951",
"display": "Loop heel",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Heel loop/holder, any type, with or without ankle strap, each"
}
]
},
{
"code": "E0952",
"display": "Toe loop/holder, each",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Toe loop/holder, any type, each"
}
]
},
{
"code": "E0953",
"display": "W/c lateral thigh/knee sup",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each"
}
]
},
{
"code": "E0954",
"display": "Foot box, any type each foot",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot"
}
]
},
{
"code": "E0955",
"display": "Cushioned headrest",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each"
}
]
},
{
"code": "E0956",
"display": "W/c lateral trunk/hip suppor",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each"
}
]
},
{
"code": "E0957",
"display": "W/c medial thigh support",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each"
}
]
},
{
"code": "E0958",
"display": "Whlchr att- conv 1 arm drive",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Manual wheelchair accessory, one-arm drive attachment, each"
}
]
},
{
"code": "E0959",
"display": "Amputee adapter",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Manual wheelchair accessory, adapter for amputee, each"
}
]
},
{
"code": "E0960",
"display": "W/c shoulder harness/straps",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware"
}
]
},
{
"code": "E0961",
"display": "Wheelchair brake extension",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Manual wheelchair accessory, wheel lock brake extension (handle), each"
}
]
},
{
"code": "E0966",
"display": "Wheelchair head rest extensi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Manual wheelchair accessory, headrest extension, each"
}
]
},
{
"code": "E0967",
"display": "Man wc rim/projection rep ea",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Manual wheelchair accessory, hand rim with projections, any type, replacement only, each"
}
]
},
{
"code": "E0968",
"display": "Wheelchair commode seat",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Commode seat, wheelchair"
}
]
},
{
"code": "E0969",
"display": "Wheelchair narrowing device",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Narrowing device, wheelchair"
}
]
},
{
"code": "E0970",
"display": "Wheelchair no. 2 footplates",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "No. 2 footplates, except for elevating leg rest"
}
]
},
{
"code": "E0971",
"display": "Wheelchair anti-tipping devi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Manual wheelchair accessory, anti-tipping device, each"
}
]
},
{
"code": "E0973",
"display": "W/ch access det adj armrest",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each"
}
]
},
{
"code": "E0974",
"display": "W/ch access anti-rollback",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Manual wheelchair accessory, anti-rollback device, each"
}
]
},
{
"code": "E0978",
"display": "W/c acc,saf belt pelv strap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, positioning belt/safety belt/pelvic strap, each"
}
]
},
{
"code": "E0980",
"display": "Wheelchair safety vest",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Safety vest, wheelchair"
}
]
},
{
"code": "E0981",
"display": "Seat upholstery, replacement",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, seat upholstery, replacement only, each"
}
]
},
{
"code": "E0982",
"display": "Back upholstery, replacement",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, back upholstery, replacement only, each"
}
]
},
{
"code": "E0983",
"display": "Add pwr joystick",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, joystick control"
}
]
},
{
"code": "E0984",
"display": "Add pwr tiller",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, tiller control"
}
]
},
{
"code": "E0985",
"display": "W/c seat lift mechanism",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, seat lift mechanism"
}
]
},
{
"code": "E0986",
"display": "Man w/c push-rim powr system",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Manual wheelchair accessory, push-rim activated power assist system"
}
]
},
{
"code": "E0988",
"display": "Lever-activated wheel drive",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Manual wheelchair accessory, lever-activated, wheel drive, pair"
}
]
},
{
"code": "E0990",
"display": "Wheelchair elevating leg res",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, elevating leg rest, complete assembly, each"
}
]
},
{
"code": "E0992",
"display": "Wheelchair solid seat insert",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Manual wheelchair accessory, solid seat insert"
}
]
},
{
"code": "E0994",
"display": "Wheelchair arm rest",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Arm rest, each"
}
]
},
{
"code": "E0995",
"display": "Wc calf rest, pad replacemnt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, calf rest/pad, replacement only, each"
}
]
},
{
"code": "E1002",
"display": "Pwr seat tilt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, power seating system, tilt only"
}
]
},
{
"code": "E1003",
"display": "Pwr seat recline",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, power seating system, recline only, without shear reduction"
}
]
},
{
"code": "E1004",
"display": "Pwr seat recline mech",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, power seating system, recline only, with mechanical shear reduction"
}
]
},
{
"code": "E1005",
"display": "Pwr seat recline pwr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, power seating system, recline only, with power shear reduction"
}
]
},
{
"code": "E1006",
"display": "Pwr seat combo w/o shear",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, power seating system, combination tilt and recline, without shear reduction"
}
]
},
{
"code": "E1007",
"display": "Pwr seat combo w/shear",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction"
}
]
},
{
"code": "E1008",
"display": "Pwr seat combo pwr shear",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction"
}
]
},
{
"code": "E1009",
"display": "Add mech leg elevation",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, addition to power seating system, mechanically linked leg elevation system, including pushrod and leg rest, each"
}
]
},
{
"code": "E1010",
"display": "Add pwr leg elevation",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, addition to power seating system, power leg elevation system, including leg rest, pair"
}
]
},
{
"code": "E1011",
"display": "Ped wc modify width adjustm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Modification to pediatric size wheelchair, width adjustment package (not to be dispensed with initial chair)"
}
]
},
{
"code": "E1012",
"display": "Ctr mount pwr elev leg rest",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each"
}
]
},
{
"code": "E1014",
"display": "Reclining back add ped w/c",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Reclining back, addition to pediatric size wheelchair"
}
]
},
{
"code": "E1015",
"display": "Shock absorber for man w/c",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Shock absorber for manual wheelchair, each"
}
]
},
{
"code": "E1016",
"display": "Shock absorber for power w/c",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Shock absorber for power wheelchair, each"
}
]
},
{
"code": "E1017",
"display": "Hd shck absrbr for hd man wc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Heavy duty shock absorber for heavy duty or extra heavy duty manual wheelchair, each"
}
]
},
{
"code": "E1018",
"display": "Hd shck absrber for hd powwc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Heavy duty shock absorber for heavy duty or extra heavy duty power wheelchair, each"
}
]
},
{
"code": "E1020",
"display": "Residual limb support system",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Residual limb support system for wheelchair, any type"
}
]
},
{
"code": "E1028",
"display": "W/c manual swingaway",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory"
}
]
},
{
"code": "E1029",
"display": "W/c vent tray fixed",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, ventilator tray, fixed"
}
]
},
{
"code": "E1030",
"display": "W/c vent tray gimbaled",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, ventilator tray, gimbaled"
}
]
},
{
"code": "E1031",
"display": "Rollabout chair with casters",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Rollabout chair, any and all types with casters 5\" or greater"
}
]
},
{
"code": "E1035",
"display": "Patient transfer system <300",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs"
}
]
},
{
"code": "E1036",
"display": "Patient transfer system >300",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Multi-positional patient transfer system, extra-wide, with integrated seat, operated by caregiver, patient weight capacity greater than 300 lbs"
}
]
},
{
"code": "E1037",
"display": "Transport chair, ped size",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transport chair, pediatric size"
}
]
},
{
"code": "E1038",
"display": "Transport chair pt wt<=300lb",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transport chair, adult size, patient weight capacity up to and including 300 pounds"
}
]
},
{
"code": "E1039",
"display": "Transport chair pt wt >300lb",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transport chair, adult size, heavy duty, patient weight capacity greater than 300 pounds"
}
]
},
{
"code": "E1050",
"display": "Whelchr fxd full length arms",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Fully-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests"
}
]
},
{
"code": "E1060",
"display": "Wheelchair detachable arms",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests"
}
]
},
{
"code": "E1070",
"display": "Wheelchair detachable foot r",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Fully-reclining wheelchair, detachable arms (desk or full length) swing away detachable footrest"
}
]
},
{
"code": "E1083",
"display": "Hemi-wheelchair fixed arms",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hemi-wheelchair, fixed full length arms, swing away detachable elevating leg rest"
}
]
},
{
"code": "E1084",
"display": "Hemi-wheelchair detachable a",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hemi-wheelchair, detachable arms desk or full length arms, swing away detachable elevating leg rests"
}
]
},
{
"code": "E1085",
"display": "Hemi-wheelchair fixed arms",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hemi-wheelchair, fixed full length arms, swing away detachable foot rests"
}
]
},
{
"code": "E1086",
"display": "Hemi-wheelchair detachable a",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hemi-wheelchair detachable arms desk or full length, swing away detachable footrests"
}
]
},
{
"code": "E1087",
"display": "Wheelchair lightwt fixed arm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "High strength lightweight wheelchair, fixed full length arms, swing away detachable elevating leg rests"
}
]
},
{
"code": "E1088",
"display": "Wheelchair lightweight det a",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable elevating leg rests"
}
]
},
{
"code": "E1089",
"display": "Wheelchair lightwt fixed arm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "High strength lightweight wheelchair, fixed length arms, swing away detachable footrest"
}
]
},
{
"code": "E1090",
"display": "Wheelchair lightweight det a",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable foot rests"
}
]
},
{
"code": "E1092",
"display": "Wheelchair wide w/ leg rests",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wide heavy duty wheel chair, detachable arms (desk or full length), swing away detachable elevating leg rests"
}
]
},
{
"code": "E1093",
"display": "Wheelchair wide w/ foot rest",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wide heavy duty wheelchair, detachable arms desk or full length arms, swing away detachable footrests"
}
]
},
{
"code": "E1100",
"display": "Whchr s-recl fxd arm leg res",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Semi-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests"
}
]
},
{
"code": "E1110",
"display": "Wheelchair semi-recl detach",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Semi-reclining wheelchair, detachable arms (desk or full length) elevating leg rest"
}
]
},
{
"code": "E1130",
"display": "Whlchr stand fxd arm ft rest",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Standard wheelchair, fixed full length arms, fixed or swing away detachable footrests"
}
]
},
{
"code": "E1140",
"display": "Wheelchair standard detach a",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair, detachable arms, desk or full length, swing away detachable footrests"
}
]
},
{
"code": "E1150",
"display": "Wheelchair standard w/ leg r",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests"
}
]
},
{
"code": "E1160",
"display": "Wheelchair fixed arms",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair, fixed full length arms, swing away detachable elevating legrests"
}
]
},
{
"code": "E1161",
"display": "Manual adult wc w tiltinspac",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Manual adult size wheelchair, includes tilt in space"
}
]
},
{
"code": "E1170",
"display": "Whlchr ampu fxd arm leg rest",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Amputee wheelchair, fixed full length arms, swing away detachable elevating legrests"
}
]
},
{
"code": "E1171",
"display": "Wheelchair amputee w/o leg r",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Amputee wheelchair, fixed full length arms, without footrests or legrest"
}
]
},
{
"code": "E1172",
"display": "Wheelchair amputee detach ar",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Amputee wheelchair, detachable arms (desk or full length) without footrests or legrest"
}
]
},
{
"code": "E1180",
"display": "Wheelchair amputee w/ foot r",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Amputee wheelchair, detachable arms (desk or full length) swing away detachable footrests"
}
]
},
{
"code": "E1190",
"display": "Wheelchair amputee w/ leg re",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Amputee wheelchair, detachable arms (desk or full length) swing away detachable elevating legrests"
}
]
},
{
"code": "E1195",
"display": "Wheelchair amputee heavy dut",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Heavy duty wheelchair, fixed full length arms, swing away detachable elevating legrests"
}
]
},
{
"code": "E1200",
"display": "Wheelchair amputee fixed arm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Amputee wheelchair, fixed full length arms, swing away detachable footrest"
}
]
},
{
"code": "E1220",
"display": "Whlchr special size/constrc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair; specially sized or constructed, (indicate brand name, model number, if any) and justification"
}
]
},
{
"code": "E1221",
"display": "Wheelchair spec size w foot",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair with fixed arm, footrests"
}
]
},
{
"code": "E1222",
"display": "Wheelchair spec size w/ leg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair with fixed arm, elevating legrests"
}
]
},
{
"code": "E1223",
"display": "Wheelchair spec size w foot",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair with detachable arms, footrests"
}
]
},
{
"code": "E1224",
"display": "Wheelchair spec size w/ leg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair with detachable arms, elevating legrests"
}
]
},
{
"code": "E1225",
"display": "Manual semi-reclining back",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each"
}
]
},
{
"code": "E1226",
"display": "Manual fully reclining back",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each"
}
]
},
{
"code": "E1227",
"display": "Wheelchair spec sz spec ht a",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Special height arms for wheelchair"
}
]
},
{
"code": "E1228",
"display": "Wheelchair spec sz spec ht b",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Special back height for wheelchair"
}
]
},
{
"code": "E1229",
"display": "Pediatric wheelchair nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair, pediatric size, not otherwise specified"
}
]
},
{
"code": "E1230",
"display": "Power operated vehicle",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power operated vehicle (three or four wheel nonhighway) specify brand name and model number"
}
]
},
{
"code": "E1231",
"display": "Rigid ped w/c tilt-in-space",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, with seating system"
}
]
},
{
"code": "E1232",
"display": "Folding ped wc tilt-in-space",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair, pediatric size, tilt-in-space, folding, adjustable, with seating system"
}
]
},
{
"code": "E1233",
"display": "Rig ped wc tltnspc w/o seat",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system"
}
]
},
{
"code": "E1234",
"display": "Fld ped wc tltnspc w/o seat",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system"
}
]
},
{
"code": "E1235",
"display": "Rigid ped wc adjustable",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair, pediatric size, rigid, adjustable, with seating system"
}
]
},
{
"code": "E1236",
"display": "Folding ped wc adjustable",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair, pediatric size, folding, adjustable, with seating system"
}
]
},
{
"code": "E1237",
"display": "Rgd ped wc adjstabl w/o seat",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair, pediatric size, rigid, adjustable, without seating system"
}
]
},
{
"code": "E1238",
"display": "Fld ped wc adjstabl w/o seat",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair, pediatric size, folding, adjustable, without seating system"
}
]
},
{
"code": "E1239",
"display": "Ped power wheelchair nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, pediatric size, not otherwise specified"
}
]
},
{
"code": "E1240",
"display": "Whchr litwt det arm leg rest",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lightweight wheelchair, detachable arms, (desk or full length) swing away detachable, elevating legrest"
}
]
},
{
"code": "E1250",
"display": "Wheelchair lightwt fixed arm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lightweight wheelchair, fixed full length arms, swing away detachable footrest"
}
]
},
{
"code": "E1260",
"display": "Wheelchair lightwt foot rest",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lightweight wheelchair, detachable arms (desk or full length) swing away detachable footrest"
}
]
},
{
"code": "E1270",
"display": "Wheelchair lightweight leg r",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lightweight wheelchair, fixed full length arms, swing away detachable elevating legrests"
}
]
},
{
"code": "E1280",
"display": "Whchr h-duty det arm leg res",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Heavy duty wheelchair, detachable arms (desk or full length) elevating legrests"
}
]
},
{
"code": "E1285",
"display": "Wheelchair heavy duty fixed",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Heavy duty wheelchair, fixed full length arms, swing away detachable footrest"
}
]
},
{
"code": "E1290",
"display": "Wheelchair hvy duty detach a",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Heavy duty wheelchair, detachable arms (desk or full length) swing away detachable footrest"
}
]
},
{
"code": "E1295",
"display": "Wheelchair heavy duty fixed",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Heavy duty wheelchair, fixed full length arms, elevating legrest"
}
]
},
{
"code": "E1296",
"display": "Wheelchair special seat heig",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Special wheelchair seat height from floor"
}
]
},
{
"code": "E1297",
"display": "Wheelchair special seat dept",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Special wheelchair seat depth, by upholstery"
}
]
},
{
"code": "E1298",
"display": "Wheelchair spec seat depth/w",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Special wheelchair seat depth and/or width, by construction"
}
]
},
{
"code": "E1300",
"display": "Whirlpool portable",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Whirlpool, portable (overtub type)"
}
]
},
{
"code": "E1301",
"display": "Whirlpool tub walkin portabl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Whirlpool tub, walk-in, portable"
}
]
},
{
"code": "E1310",
"display": "Whirlpool non-portable",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Whirlpool, non-portable (built-in type)"
}
]
},
{
"code": "E1352",
"display": "O2 flow reg pos inspir press",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oxygen accessory, flow regulator capable of positive inspiratory pressure"
}
]
},
{
"code": "E1353",
"display": "Oxygen supplies regulator",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Regulator"
}
]
},
{
"code": "E1354",
"display": "Wheeled cart, port cyl/conc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oxygen accessory, wheeled cart for portable cylinder or portable concentrator, any type, replacement only, each"
}
]
},
{
"code": "E1355",
"display": "Oxygen supplies stand/rack",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Stand/rack"
}
]
},
{
"code": "E1356",
"display": "Batt pack/cart, port conc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oxygen accessory, battery pack/cartridge for portable concentrator, any type, replacement only, each"
}
]
},
{
"code": "E1357",
"display": "Battery charger, port conc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oxygen accessory, battery charger for portable concentrator, any type, replacement only, each"
}
]
},
{
"code": "E1358",
"display": "Dc power adapter, port conc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oxygen accessory, dc power adapter for portable concentrator, any type, replacement only, each"
}
]
},
{
"code": "E1372",
"display": "Oxy suppl heater for nebuliz",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Immersion external heater for nebulizer"
}
]
},
{
"code": "E1390",
"display": "Oxygen concentrator",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate"
}
]
},
{
"code": "E1391",
"display": "Oxygen concentrator, dual",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each"
}
]
},
{
"code": "E1392",
"display": "Portable oxygen concentrator",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Portable oxygen concentrator, rental"
}
]
},
{
"code": "E1399",
"display": "Durable medical equipment mi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Durable medical equipment, miscellaneous"
}
]
},
{
"code": "E1405",
"display": "O2/water vapor enrich w/heat",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oxygen and water vapor enriching system with heated delivery"
}
]
},
{
"code": "E1406",
"display": "O2/water vapor enrich w/o he",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oxygen and water vapor enriching system without heated delivery"
}
]
},
{
"code": "E1500",
"display": "Centrifuge",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Centrifuge, for dialysis"
}
]
},
{
"code": "E1510",
"display": "Kidney dialysate delivry sys",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Kidney, dialysate delivery syst kidney machine, pump recirculating, air removal syst, flowrate meter, power off, heater and temperature control with alarm, i.v. poles, pressure gauge, concentrate container"
}
]
},
{
"code": "E1520",
"display": "Heparin infusion pump",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Heparin infusion pump for hemodialysis"
}
]
},
{
"code": "E1530",
"display": "Replacement air bubble detec",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Air bubble detector for hemodialysis, each, replacement"
}
]
},
{
"code": "E1540",
"display": "Replacement pressure alarm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pressure alarm for hemodialysis, each, replacement"
}
]
},
{
"code": "E1550",
"display": "Bath conductivity meter",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bath conductivity meter for hemodialysis, each"
}
]
},
{
"code": "E1560",
"display": "Replace blood leak detector",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Blood leak detector for hemodialysis, each, replacement"
}
]
},
{
"code": "E1570",
"display": "Adjustable chair for esrd pt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adjustable chair, for esrd patients"
}
]
},
{
"code": "E1575",
"display": "Transducer protect/fld bar",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transducer protectors/fluid barriers, for hemodialysis, any size, per 10"
}
]
},
{
"code": "E1580",
"display": "Unipuncture control system",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Unipuncture control system for hemodialysis"
}
]
},
{
"code": "E1590",
"display": "Hemodialysis machine"
},
{
"code": "E1592",
"display": "Auto interm peritoneal dialy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Automatic intermittent peritoneal dialysis system"
}
]
},
{
"code": "E1594",
"display": "Cycler dialysis machine",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cycler dialysis machine for peritoneal dialysis"
}
]
},
{
"code": "E1600",
"display": "Deli/install chrg hemo equip",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Delivery and/or installation charges for hemodialysis equipment"
}
]
},
{
"code": "E1610",
"display": "Reverse osmosis h2o puri sys",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Reverse osmosis water purification system, for hemodialysis"
}
]
},
{
"code": "E1615",
"display": "Deionizer h2o puri system",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Deionizer water purification system, for hemodialysis"
}
]
},
{
"code": "E1620",
"display": "Replacement blood pump",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Blood pump for hemodialysis, replacement"
}
]
},
{
"code": "E1625",
"display": "Water softening system",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Water softening system, for hemodialysis"
}
]
},
{
"code": "E1629",
"display": "Tablo for dialysis service",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tablo hemodialysis system for the billable dialysis service"
}
]
},
{
"code": "E1630",
"display": "Reciprocating peritoneal dia",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Reciprocating peritoneal dialysis system"
}
]
},
{
"code": "E1632",
"display": "Wearable artificial kidney",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wearable artificial kidney, each"
}
]
},
{
"code": "E1634",
"display": "Peritoneal dialysis clamp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Peritoneal dialysis clamps, each"
}
]
},
{
"code": "E1635",
"display": "Compact travel hemodialyzer",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Compact (portable) travel hemodialyzer system"
}
]
},
{
"code": "E1636",
"display": "Sorbent cartridges per 10",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sorbent cartridges, for hemodialysis, per 10"
}
]
},
{
"code": "E1637",
"display": "Hemostats for dialysis, each",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hemostats, each"
}
]
},
{
"code": "E1639",
"display": "Scale, each"
},
{
"code": "E1699",
"display": "Dialysis equipment noc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dialysis equipment, not otherwise specified"
}
]
},
{
"code": "E1700",
"display": "Jaw motion rehab system",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Jaw motion rehabilitation system"
}
]
},
{
"code": "E1701",
"display": "Repl cushions for jaw motion",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replacement cushions for jaw motion rehabilitation system, pkg. of 6"
}
]
},
{
"code": "E1702",
"display": "Repl measr scales jaw motion",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replacement measuring scales for jaw motion rehabilitation system, pkg. of 200"
}
]
},
{
"code": "E1800",
"display": "Adjust elbow ext & flex dev",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dynamic adjustable elbow extension and flexion device, includes soft interface material"
}
]
},
{
"code": "E1801",
"display": "Sps elbow device",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Static progressive stretch elbow device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories"
}
]
},
{
"code": "E1802",
"display": "Adjst forearm pro/sup device",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dynamic adjustable forearm pronation/supination device, includes soft interface material"
}
]
},
{
"code": "E1803",
"display": "Adjust elbow extension dev",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dynamic adjustable elbow extension only device, includes soft interface material"
}
]
},
{
"code": "E1804",
"display": "Adjust elbow flexion dev",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dynamic adjustable elbow flexion only device, includes soft interface material"
}
]
},
{
"code": "E1805",
"display": "Adjust wrist ext & flex dev",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dynamic adjustable wrist extension and flexion device, includes soft interface material"
}
]
},
{
"code": "E1806",
"display": "Sps wrist device",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories"
}
]
},
{
"code": "E1807",
"display": "Adjust wrist extension dev",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dynamic adjustable wrist extension only device, includes soft interface material"
}
]
},
{
"code": "E1808",
"display": "Adjust wrist flexion device",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dynamic adjustable wrist flexion only device, includes soft interface material"
}
]
},
{
"code": "E1810",
"display": "Adjust knee ext & flex dev",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dynamic adjustable knee extension and flexion device, includes soft interface material"
}
]
},
{
"code": "E1811",
"display": "Sps knee device",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Static progressive stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories"
}
]
},
{
"code": "E1812",
"display": "Knee ext/flex w act res ctrl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dynamic knee, extension/flexion device with active resistance control"
}
]
},
{
"code": "E1813",
"display": "Adjust knee extension device",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dynamic adjustable knee extension only device, includes soft interface material"
}
]
},
{
"code": "E1814",
"display": "Adjust knee flexion device",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dynamic adjustable knee flexion only device, includes soft interface material"
}
]
},
{
"code": "E1815",
"display": "Adjust ankle ext & flex dev",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dynamic adjustable ankle extension and flexion device, includes soft interface material"
}
]
},
{
"code": "E1816",
"display": "Sps ankle device",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Static progressive stretch ankle device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories"
}
]
},
{
"code": "E1818",
"display": "Sps forearm device",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Static progressive stretch forearm pronation / supination device, with or without range of motion adjustment, includes all components and accessories"
}
]
},
{
"code": "E1820",
"display": "Soft interface material",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replacement soft interface material, dynamic adjustable extension/flexion device"
}
]
},
{
"code": "E1821",
"display": "Replacement interface spsd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replacement soft interface material/cuffs for bi-directional static progressive stretch device"
}
]
},
{
"code": "E1822",
"display": "Adjust ankle extension dev",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dynamic adjustable ankle extension only device, includes soft interface material"
}
]
},
{
"code": "E1823",
"display": "Adjust ankle flexion device",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dynamic adjustable ankle flexion only device, includes soft interface material"
}
]
},
{
"code": "E1825",
"display": "Adjust finger ext & flex dev",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dynamic adjustable finger extension and flexion device, includes soft interface material"
}
]
},
{
"code": "E1826",
"display": "Adjust finger extension dev",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dynamic adjustable finger extension only device, includes soft interface material"
}
]
},
{
"code": "E1827",
"display": "Adjust finger flexion device",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dynamic adjustable finger flexion only device, includes soft interface material"
}
]
},
{
"code": "E1828",
"display": "Adjust toe extension device",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dynamic adjustable toe extension only device, includes soft interface material"
}
]
},
{
"code": "E1829",
"display": "Adjust toe flexion device",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dynamic adjustable toe flexion only device, includes soft interface material"
}
]
},
{
"code": "E1830",
"display": "Adjust toe ext & flex device",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dynamic adjustable toe extension and flexion device, includes soft interface material"
}
]
},
{
"code": "E1831",
"display": "Static str toe dev ext/flex",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Static progressive stretch toe device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories"
}
]
},
{
"code": "E1840",
"display": "Adj shoulder ext/flex device",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dynamic adjustable shoulder flexion / abduction / rotation device, includes soft interface material"
}
]
},
{
"code": "E1841",
"display": "Static str shldr dev rom adj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Static progressive stretch shoulder device, with or without range of motion adjustment, includes all components and accessories"
}
]
},
{
"code": "E1902",
"display": "Aac non-electronic board",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Communication board, non-electronic augmentative or alternative communication device"
}
]
},
{
"code": "E1905",
"display": "Vr cbt therapy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Virtual reality cognitive behavioral therapy device (cbt), including pre-programmed therapy software"
}
]
},
{
"code": "E2000",
"display": "Gastric suction pump hme mdl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gastric suction pump, home model, portable or stationary, electric"
}
]
},
{
"code": "E2001",
"display": "Suct pum ext mgmt sys",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Suction pump, home model, portable or stationary, electric, any type, for use with external urine and/or fecal management system"
}
]
},
{
"code": "E2100",
"display": "Bld glucose monitor w voice",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Blood glucose monitor with integrated voice synthesizer"
}
]
},
{
"code": "E2101",
"display": "Bld glucose monitor w lance",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Blood glucose monitor with integrated lancing/blood sample"
}
]
},
{
"code": "E2102",
"display": "Adju cgm receiver/monitor",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adjunctive, non-implanted continuous glucose monitor or receiver"
}
]
},
{
"code": "E2103",
"display": "Non-adju cgm receiver/mon",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-adjunctive, non-implanted continuous glucose monitor or receiver"
}
]
},
{
"code": "E2104",
"display": "Glucose monitor w cartridge",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home blood glucose monitor for use with integrated lancing/blood sample testing cartridge"
}
]
},
{
"code": "E2120",
"display": "Pulse gen sys tx endolymp fl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pulse generator system for tympanic treatment of inner ear endolymphatic fluid"
}
]
},
{
"code": "E2201",
"display": "Man w/ch acc seat w>=20\"<24\"",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches"
}
]
},
{
"code": "E2202",
"display": "Seat width 24-27 in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Manual wheelchair accessory, nonstandard seat frame width, 24-27 inches"
}
]
},
{
"code": "E2203",
"display": "Frame depth less than 22 in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches"
}
]
},
{
"code": "E2204",
"display": "Frame depth 22 to 25 in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 inches"
}
]
},
{
"code": "E2205",
"display": "Manual wc accessory, handrim",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each"
}
]
},
{
"code": "E2206",
"display": "Man wc whl lock comp repl ea",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Manual wheelchair accessory, wheel lock assembly, complete, replacement only, each"
}
]
},
{
"code": "E2207",
"display": "Crutch and cane holder",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, crutch and cane holder, each"
}
]
},
{
"code": "E2208",
"display": "Cylinder tank carrier",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, cylinder tank carrier, each"
}
]
},
{
"code": "E2209",
"display": "Arm trough each",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Accessory, arm trough, with or without hand support, each"
}
]
},
{
"code": "E2210",
"display": "Wheelchair bearings",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, bearings, any type, replacement only, each"
}
]
},
{
"code": "E2211",
"display": "Pneumatic propulsion tire",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Manual wheelchair accessory, pneumatic propulsion tire, any size, each"
}
]
},
{
"code": "E2212",
"display": "Pneumatic prop tire tube",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each"
}
]
},
{
"code": "E2213",
"display": "Pneumatic prop tire insert",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each"
}
]
},
{
"code": "E2214",
"display": "Pneumatic caster tire each",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Manual wheelchair accessory, pneumatic caster tire, any size, each"
}
]
},
{
"code": "E2215",
"display": "Pneumatic caster tire tube",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Manual wheelchair accessory, tube for pneumatic caster tire, any size, each"
}
]
},
{
"code": "E2216",
"display": "Foam filled propulsion tire",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Manual wheelchair accessory, foam filled propulsion tire, any size, each"
}
]
},
{
"code": "E2217",
"display": "Foam filled caster tire each",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Manual wheelchair accessory, foam filled caster tire, any size, each"
}
]
},
{
"code": "E2218",
"display": "Foam propulsion tire each",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Manual wheelchair accessory, foam propulsion tire, any size, each"
}
]
},
{
"code": "E2219",
"display": "Foam caster tire any size ea",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Manual wheelchair accessory, foam caster tire, any size, each"
}
]
},
{
"code": "E2220",
"display": "Solid propuls tire, repl, ea",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each"
}
]
},
{
"code": "E2221",
"display": "Solid caster tire repl, each",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each"
}
]
},
{
"code": "E2222",
"display": "Solid caster integ whl, repl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each"
}
]
},
{
"code": "E2224",
"display": "Propulsion whl excl tire rep",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each"
}
]
},
{
"code": "E2225",
"display": "Caster wheel excludes tire",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each"
}
]
},
{
"code": "E2226",
"display": "Caster fork replacement only",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Manual wheelchair accessory, caster fork, any size, replacement only, each"
}
]
},
{
"code": "E2227",
"display": "Gear reduction drive wheel",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Manual wheelchair accessory, gear reduction drive wheel, each"
}
]
},
{
"code": "E2228",
"display": "Mwc acc, wheelchair brake",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Manual wheelchair accessory, wheel braking system and lock, complete, each"
}
]
},
{
"code": "E2230",
"display": "Manual standing system",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Manual wheelchair accessory, manual standing system"
}
]
},
{
"code": "E2231",
"display": "Solid seat support base",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware"
}
]
},
{
"code": "E2291",
"display": "Planar back for ped size wc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Back, planar, for pediatric size wheelchair including fixed attaching hardware"
}
]
},
{
"code": "E2292",
"display": "Planar seat for ped size wc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Seat, planar, for pediatric size wheelchair including fixed attaching hardware"
}
]
},
{
"code": "E2293",
"display": "Contour back for ped size wc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Back, contoured, for pediatric size wheelchair including fixed attaching hardware"
}
]
},
{
"code": "E2294",
"display": "Contour seat for ped size wc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Seat, contoured, for pediatric size wheelchair including fixed attaching hardware"
}
]
},
{
"code": "E2295",
"display": "Ped dynamic seating frame",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Manual wheelchair accessory, for pediatric size wheelchair, dynamic seating frame, allows coordinated movement of multiple positioning features"
}
]
},
{
"code": "E2298",
"display": "Pwr seat elev sys for crt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Complex rehabilitative power wheelchair accessory, power seat elevation system, any type"
}
]
},
{
"code": "E2300",
"display": "Pwr seat elevation sys",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, power seat elevation system, any type"
}
]
},
{
"code": "E2301",
"display": "Pwr standing",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, power standing system, any type"
}
]
},
{
"code": "E2310",
"display": "Electro connect btw control",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, electronic connection between wheelchair controller and one power seating system motor, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware"
}
]
},
{
"code": "E2311",
"display": "Electro connect btw 2 sys",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware"
}
]
},
{
"code": "E2312",
"display": "Mini-prop remote joystick",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, hand or chin control interface, mini-proportional remote joystick, proportional, including fixed mounting hardware"
}
]
},
{
"code": "E2313",
"display": "Pwc harness, expand control",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each"
}
]
},
{
"code": "E2321",
"display": "Hand interface joystick",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, hand control interface, remote joystick, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware"
}
]
},
{
"code": "E2322",
"display": "Mult mech switches",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, hand control interface, multiple mechanical switches, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware"
}
]
},
{
"code": "E2323",
"display": "Special joystick handle",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated"
}
]
},
{
"code": "E2324",
"display": "Chin cup interface",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, chin cup for chin control interface"
}
]
},
{
"code": "E2325",
"display": "Sip and puff interface",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, sip and puff interface, nonproportional, including all related electronics, mechanical stop switch, and manual swingaway mounting hardware"
}
]
},
{
"code": "E2326",
"display": "Breath tube kit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, breath tube kit for sip and puff interface"
}
]
},
{
"code": "E2327",
"display": "Head control interface mech",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, head control interface, mechanical, proportional, including all related electronics, mechanical direction change switch, and fixed mounting hardware"
}
]
},
{
"code": "E2328",
"display": "Head/extremity control inter",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, head control or extremity control interface, electronic, proportional, including all related electronics and fixed mounting hardware"
}
]
},
{
"code": "E2329",
"display": "Head control nonproportional",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, head control interface, contact switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head array, and fixed mounting hardware"
}
]
},
{
"code": "E2330",
"display": "Head control proximity switc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, head control interface, proximity switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head array, and fixed mounting hardware"
}
]
},
{
"code": "E2331",
"display": "Attendant control",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, attendant control, proportional, including all related electronics and fixed mounting hardware"
}
]
},
{
"code": "E2340",
"display": "W/c wdth 20-23 in seat frame",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, nonstandard seat frame width, 20-23 inches"
}
]
},
{
"code": "E2341",
"display": "W/c wdth 24-27 in seat frame",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, nonstandard seat frame width, 24-27 inches"
}
]
},
{
"code": "E2342",
"display": "W/c dpth 20-21 in seat frame",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, nonstandard seat frame depth, 20 or 21 inches"
}
]
},
{
"code": "E2343",
"display": "W/c dpth 22-25 in seat frame",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, nonstandard seat frame depth, 22-25 inches"
}
]
},
{
"code": "E2351",
"display": "Electronic sgd interface",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, electronic interface to operate speech generating device using power wheelchair control interface"
}
]
},
{
"code": "E2358",
"display": "Gr 34 nonsealed leadacid",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, group 34 non-sealed lead acid battery, each"
}
]
},
{
"code": "E2359",
"display": "Gr34 sealed leadacid battery",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)"
}
]
},
{
"code": "E2360",
"display": "22nf nonsealed leadacid",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, 22nf non-sealed lead acid battery, each"
}
]
},
{
"code": "E2361",
"display": "22nf sealed leadacid battery",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat)"
}
]
},
{
"code": "E2362",
"display": "Gr24 nonsealed leadacid",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, group 24 non-sealed lead acid battery, each"
}
]
},
{
"code": "E2363",
"display": "Gr24 sealed leadacid battery",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)"
}
]
},
{
"code": "E2364",
"display": "U1nonsealed leadacid battery",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, u-1 non-sealed lead acid battery, each"
}
]
},
{
"code": "E2365",
"display": "U1 sealed leadacid battery",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)"
}
]
},
{
"code": "E2366",
"display": "Battery charger, single mode",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each"
}
]
},
{
"code": "E2367",
"display": "Battery charger, dual mode",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, battery charger, dual mode, for use with either battery type, sealed or non-sealed, each"
}
]
},
{
"code": "E2368",
"display": "Pwr wc drivewheel motor repl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair component, drive wheel motor, replacement only"
}
]
},
{
"code": "E2369",
"display": "Pwr wc drivewheel gear repl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair component, drive wheel gear box, replacement only"
}
]
},
{
"code": "E2370",
"display": "Pwr wc dr wh motor/gear comb",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only"
}
]
},
{
"code": "E2371",
"display": "Gr27 sealed leadacid battery",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, group 27 sealed lead acid battery, (e.g., gel cell, absorbed glassmat), each"
}
]
},
{
"code": "E2372",
"display": "Gr27 non-sealed leadacid",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, group 27 non-sealed lead acid battery, each"
}
]
},
{
"code": "E2373",
"display": "Hand/chin ctrl spec joystick",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, hand or chin control interface, compact remote joystick, proportional, including fixed mounting hardware"
}
]
},
{
"code": "E2374",
"display": "Hand/chin ctrl std joystick",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, hand or chin control interface, standard remote joystick (not including controller), proportional, including all related electronics and fixed mounting hardware, replacement only"
}
]
},
{
"code": "E2375",
"display": "Non-expandable controller",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, non-expandable controller, including all related electronics and mounting hardware, replacement only"
}
]
},
{
"code": "E2376",
"display": "Expandable controller, repl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement only"
}
]
},
{
"code": "E2377",
"display": "Expandable controller, initl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue"
}
]
},
{
"code": "E2378",
"display": "Pw actuator replacement",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair component, actuator, replacement only"
}
]
},
{
"code": "E2381",
"display": "Pneum drive wheel tire",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each"
}
]
},
{
"code": "E2382",
"display": "Tube, pneum wheel drive tire",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, tube for pneumatic drive wheel tire, any size, replacement only, each"
}
]
},
{
"code": "E2383",
"display": "Insert, pneum wheel drive",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each"
}
]
},
{
"code": "E2384",
"display": "Pneumatic caster tire",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each"
}
]
},
{
"code": "E2385",
"display": "Tube, pneumatic caster tire",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each"
}
]
},
{
"code": "E2386",
"display": "Foam filled drive wheel tire",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each"
}
]
},
{
"code": "E2387",
"display": "Foam filled caster tire",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, foam filled caster tire, any size, replacement only, each"
}
]
},
{
"code": "E2388",
"display": "Foam drive wheel tire",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each"
}
]
},
{
"code": "E2389",
"display": "Foam caster tire",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, foam caster tire, any size, replacement only, each"
}
]
},
{
"code": "E2390",
"display": "Solid drive wheel tire",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each"
}
]
},
{
"code": "E2391",
"display": "Solid caster tire",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each"
}
]
},
{
"code": "E2392",
"display": "Solid caster tire, integrate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each"
}
]
},
{
"code": "E2394",
"display": "Drive wheel excludes tire",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each"
}
]
},
{
"code": "E2395",
"display": "Caster wheel excludes tire",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each"
}
]
},
{
"code": "E2396",
"display": "Caster fork",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, caster fork, any size, replacement only, each"
}
]
},
{
"code": "E2397",
"display": "Pwc acc, lith-based battery",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, lithium-based battery, each"
}
]
},
{
"code": "E2398",
"display": "Wc dynamic pos back hardware",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, dynamic positioning hardware for back"
}
]
},
{
"code": "E2402",
"display": "Neg press wound therapy pump",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Negative pressure wound therapy electrical pump, stationary or portable"
}
]
},
{
"code": "E2500",
"display": "Sgd digitized pre-rec <=8min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Speech generating device, digitized speech, using pre-recorded messages, less than or equal to 8 minutes recording time"
}
]
},
{
"code": "E2502",
"display": "Sgd prerec msg >8min <=20min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Speech generating device, digitized speech, using pre-recorded messages, greater than 8 minutes but less than or equal to 20 minutes recording time"
}
]
},
{
"code": "E2504",
"display": "Sgd prerec msg>20min <=40min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Speech generating device, digitized speech, using pre-recorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time"
}
]
},
{
"code": "E2506",
"display": "Sgd prerec msg > 40 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Speech generating device, digitized speech, using pre-recorded messages, greater than 40 minutes recording time"
}
]
},
{
"code": "E2508",
"display": "Sgd spelling phys contact",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Speech generating device, synthesized speech, requiring message formulation by spelling and access by physical contact with the device"
}
]
},
{
"code": "E2510",
"display": "Sgd w multi methods msg/accs",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access"
}
]
},
{
"code": "E2511",
"display": "Sgd sftwre prgrm for pc/pda",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Speech generating software program, for personal computer or personal digital assistant"
}
]
},
{
"code": "E2512",
"display": "Sgd accessory, mounting sys",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Accessory for speech generating device, mounting system"
}
]
},
{
"code": "E2513",
"display": "Sgd accessory, emg sensor",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Accessory for speech generating device, electromyographic sensor"
}
]
},
{
"code": "E2599",
"display": "Sgd accessory noc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Accessory for speech generating device, not otherwise classified"
}
]
},
{
"code": "E2601",
"display": "Gen w/c cushion wdth < 22 in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "General use wheelchair seat cushion, width less than 22 inches, any depth"
}
]
},
{
"code": "E2602",
"display": "Gen w/c cushion wdth >=22 in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "General use wheelchair seat cushion, width 22 inches or greater, any depth"
}
]
},
{
"code": "E2603",
"display": "Skin protect wc cus wd <22in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Skin protection wheelchair seat cushion, width less than 22 inches, any depth"
}
]
},
{
"code": "E2604",
"display": "Skin protect wc cus wd>=22in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Skin protection wheelchair seat cushion, width 22 inches or greater, any depth"
}
]
},
{
"code": "E2605",
"display": "Position wc cush wdth <22 in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Positioning wheelchair seat cushion, width less than 22 inches, any depth"
}
]
},
{
"code": "E2606",
"display": "Position wc cush wdth>=22 in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Positioning wheelchair seat cushion, width 22 inches or greater, any depth"
}
]
},
{
"code": "E2607",
"display": "Skin pro/pos wc cus wd <22in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth"
}
]
},
{
"code": "E2608",
"display": "Skin pro/pos wc cus wd>=22in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Skin protection and positioning wheelchair seat cushion, width 22 inches or greater, any depth"
}
]
},
{
"code": "E2609",
"display": "Custom fabricate w/c cushion",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Custom fabricated wheelchair seat cushion, any size"
}
]
},
{
"code": "E2610",
"display": "Powered w/c cushion",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair seat cushion, powered"
}
]
},
{
"code": "E2611",
"display": "Gen use back cush wdth <22in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware"
}
]
},
{
"code": "E2612",
"display": "Gen use back cush wdth>=22in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware"
}
]
},
{
"code": "E2613",
"display": "Position back cush wd <22in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware"
}
]
},
{
"code": "E2614",
"display": "Position back cush wd>=22in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Positioning wheelchair back cushion, posterior, width 22 inches or greater, any height, including any type mounting hardware"
}
]
},
{
"code": "E2615",
"display": "Pos back post/lat wdth <22in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type mounting hardware"
}
]
},
{
"code": "E2616",
"display": "Pos back post/lat wdth>=22in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Positioning wheelchair back cushion, posterior-lateral, width 22 inches or greater, any height, including any type mounting hardware"
}
]
},
{
"code": "E2617",
"display": "Custom fab w/c back cushion",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Custom fabricated wheelchair back cushion, any size, including any type mounting hardware"
}
]
},
{
"code": "E2619",
"display": "Replace cover w/c seat cush",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replacement cover for wheelchair seat cushion or back cushion, each"
}
]
},
{
"code": "E2620",
"display": "Wc planar back cush wd <22in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware"
}
]
},
{
"code": "E2621",
"display": "Wc planar back cush wd>=22in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Positioning wheelchair back cushion, planar back with lateral supports, width 22 inches or greater, any height, including any type mounting hardware"
}
]
},
{
"code": "E2622",
"display": "Adj skin pro w/c cus wd<22in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth"
}
]
},
{
"code": "E2623",
"display": "Adj skin pro wc cus wd>=22in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Skin protection wheelchair seat cushion, adjustable, width 22 inches or greater, any depth"
}
]
},
{
"code": "E2624",
"display": "Adj skin pro/pos cus<22in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth"
}
]
},
{
"code": "E2625",
"display": "Adj skin pro/pos wc cus>=22",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Skin protection and positioning wheelchair seat cushion, adjustable, width 22 inches or greater, any depth"
}
]
},
{
"code": "E2626",
"display": "Seo mobile arm sup att to wc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable"
}
]
},
{
"code": "E2627",
"display": "Arm supp att to wc rancho ty",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable rancho type"
}
]
},
{
"code": "E2628",
"display": "Mobile arm supports reclinin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining"
}
]
},
{
"code": "E2629",
"display": "Friction dampening arm supp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints)"
}
]
},
{
"code": "E2630",
"display": "Monosuspension arm/hand supp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, shoulder elbow, mobile arm support, monosuspension arm and hand support, overhead elbow forearm hand sling support, yoke type suspension support"
}
]
},
{
"code": "E2631",
"display": "Elevat proximal arm support",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, addition to mobile arm support, elevating proximal arm"
}
]
},
{
"code": "E2632",
"display": "Offset/lat rocker arm w/ela",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control"
}
]
},
{
"code": "E2633",
"display": "Mobile arm support supinator",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, addition to mobile arm support, supinator"
}
]
},
{
"code": "E3000",
"display": "Speech volume modulation sys",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Speech volume modulation system, any type, including all components and accessories"
}
]
},
{
"code": "E3200",
"display": "Gait mod systm rhym auditory",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gait modulation system, rhythmic auditory stimulation, including restricted therapy software, all components and accessories, prescription only"
}
]
},
{
"code": "E8000",
"display": "Posterior gait trainer",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gait trainer, pediatric size, posterior support, includes all accessories and components"
}
]
},
{
"code": "E8001",
"display": "Upright gait trainer",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gait trainer, pediatric size, upright support, includes all accessories and components"
}
]
},
{
"code": "E8002",
"display": "Anterior gait trainer",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gait trainer, pediatric size, anterior support, includes all accessories and components"
}
]
},
{
"code": "G0008",
"display": "Admin influenza virus vac",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Administration of influenza virus vaccine"
}
]
},
{
"code": "G0009",
"display": "Admin pneumococcal vaccine",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Administration of pneumococcal vaccine"
}
]
},
{
"code": "G0010",
"display": "Admin hepatitis b vaccine",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Administration of hepatitis b vaccine"
}
]
},
{
"code": "G0011",
"display": "Hiv prep counsel, md 15-30m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Individual counseling for pre-exposure prophylaxis (prep) by physician or qualified health care professional (qhp) to prevent human immunodeficiency virus (hiv), includes hiv risk assessment (initial or continued assessment of risk), hiv risk reduction and medication adherence, 15-30 minutes"
}
]
},
{
"code": "G0012",
"display": "Injection of hiv prep drug",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection of pre-exposure prophylaxis (prep) drug for hiv prevention, under skin or into muscle"
}
]
},
{
"code": "G0013",
"display": "Hiv prep counsel, clin staff",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Individual counseling for pre-exposure prophylaxis (prep) by clinical staff to prevent human immunodeficiency virus (hiv), includes: hiv risk assessment (initial or continued assessment of risk), hiv risk reduction and medication adherence"
}
]
},
{
"code": "G0017",
"display": "Crisis psychotherapy 60m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Psychotherapy for crisis furnished in an applicable site of service (any place of service at which the non-facility rate for psychotherapy for crisis services applies, other than the office setting); first 60 minutes"
}
]
},
{
"code": "G0018",
"display": "Crisis psychotherapy add 30m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Psychotherapy for crisis furnished in an applicable site of service (any place of service at which the non-facility rate for psychotherapy for crisis services applies, other than the office setting); each additional 30 minutes (list separately in addition to code for primary service)"
}
]
},
{
"code": "G0019",
"display": "Comm hlth intg svs sdoh 60mn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Community health integration services performed by certified or trained auxiliary personnel, including a community health worker, under the direction of a physician or other practitioner; 60 minutes per calendar month, in the following activities to address social determinants of health (sdoh) need(s) that are significantly limiting the ability to diagnose or treat problem(s) addressed in an initiating visit: person-centered assessment, performed to better understand the individualized context of the intersection between the sdoh need(s) and the problem(s) addressed in the initiating visit. ++ conducting a person-centered assessment to understand patient's life story, strengths, needs, goals, preferences and desired outcomes, including understanding cultural and linguistic factors and including unmet sdoh needs (that are not separately billed). ++ facilitating patient-driven goal-setting and establishing an action plan. ++ providing tailored support to the patient as needed to accomplish the practitioner's treatment plan. practitioner, home-, and community-based care coordination. ++ coordinating receipt of needed services from healthcare practitioners, providers, and facilities; and from home- and community-based service providers, social service providers, and caregiver (if applicable). ++ communication with practitioners, home- and community-based service providers, hospitals, and skilled nursing facilities (or other health care facilities) regarding the patient's psychosocial strengths and needs, functional deficits, goals, preferences, and desired outcomes, including cultural and linguistic factors. ++ coordination of care transitions between and among health care practitioners and settings, including transitions involving referral to other clinicians; follow-up after an emergency department visit; or follow-up after discharges from hospitals, skilled nursing facilities or other health care facilities. ++ facilitating access to community-based social services (e.g., housing, utilities, transportation, food assistance) to address the sdoh need(s). health education- helping the patient contextualize health education provided by the patient's treatment team with the patient's individual needs, goals, and preferences, in the context of the sdoh need(s), and educating the patient on how to best participate in medical decision-making. building patient self-advocacy skills, so that the patient can interact with members of the health care team and related community-based services addressing the sdoh need(s), in ways that are more likely to promote personalized and effective diagnosis or treatment. health care access / health system navigation. ++ helping the patient access healthcare, including identifying appropriate practitioners or providers for clinical care and helping secure appointments with them. facilitating behavioral change as necessary for meeting diagnosis and treatment goals, including promoting patient motivation to participate in care and reach person-centered diagnosis or treatment goals. facilitating and providing social and emotional support to help the patient cope with the problem(s) addressed in the initiating visit, the sdoh need(s), and adjust daily routines to better meet diagnosis and treatment goals. leveraging lived experience when applicable to provide support, mentorship, or inspiration to meet treatment goals"
}
]
},
{
"code": "G0022",
"display": "Comm hlth intg svs add 30 m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Community health integration services, each additional 30 minutes per calendar month (list separately in addition to g0019)"
}
]
},
{
"code": "G0023",
"display": "Pin service 60m per month",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Principal illness navigation services by certified or trained auxiliary personnel under the direction of a physician or other practitioner, including a patient navigator; 60 minutes per calendar month, in the following activities: person-centered assessment, performed to better understand the individual context of the serious, high-risk condition. ++ conducting a person-centered assessment to understand the patient's life story, strengths, needs, goals, preferences, and desired outcomes, including understanding cultural and linguistic factors and including unmet sdoh needs (that are not separately billed). ++ facilitating patient-driven goal setting and establishing an action plan. ++ providing tailored support as needed to accomplish the practitioner's treatment plan. identifying or referring patient (and caregiver or family, if applicable) to appropriate supportive services. practitioner, home, and community-based care coordination. ++ coordinating receipt of needed services from healthcare practitioners, providers, and facilities; home- and community-based service providers; and caregiver (if applicable). ++ communication with practitioners, home-, and community-based service providers, hospitals, and skilled nursing facilities (or other health care facilities) regarding the patient's psychosocial strengths and needs, functional deficits, goals, preferences, and desired outcomes, including cultural and linguistic factors. ++ coordination of care transitions between and among health care practitioners and settings, including transitions involving referral to other clinicians; follow-up after an emergency department visit; or follow-up after discharges from hospitals, skilled nursing facilities or other health care facilities. ++ facilitating access to community-based social services (e.g., housing, utilities, transportation, food assistance) as needed to address sdoh need(s). health education- helping the patient contextualize health education provided by the patient's treatment team with the patient's individual needs, goals, preferences, and sdoh need(s), and educating the patient (and caregiver if applicable) on how to best participate in medical decision-making. building patient self-advocacy skills, so that the patient can interact with members of the health care team and related community-based services (as needed), in ways that are more likely to promote personalized and effective treatment of their condition. health care access / health system navigation. ++ helping the patient access healthcare, including identifying appropriate practitioners or providers for clinical care, and helping secure appointments with them. ++ providing the patient with information/resources to consider participation in clinical trials or clinical research as applicable. facilitating behavioral change as necessary for meeting diagnosis and treatment goals, including promoting patient motivation to participate in care and reach person-centered diagnosis or treatment goals. facilitating and providing social and emotional support to help the patient cope with the condition, sdoh need(s), and adjust daily routines to better meet diagnosis and treatment goals. leverage knowledge of the serious, high-risk condition and/or lived experience when applicable to provide support, mentorship, or inspiration to meet treatment goals"
}
]
},
{
"code": "G0024",
"display": "Pin srv add 30 min pr m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Principal illness navigation services, additional 30 minutes per calendar month (list separately in addition to g0023)"
}
]
},
{
"code": "G0027",
"display": "Semen analysis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Semen analysis; presence and/or motility of sperm excluding huhner"
}
]
},
{
"code": "G0028",
"display": "Doc med rsn no scr tob",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not screening for tobacco use (e.g., limited life expectancy, other medical reason)"
}
]
},
{
"code": "G0029",
"display": "No tob scr/cess int",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period"
}
]
},
{
"code": "G0030",
"display": "Pt scr tob & cess int",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user"
}
]
},
{
"code": "G0031",
"display": "Pall serv during meas",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Palliative care services given to patient any time during the measurement period"
}
]
},
{
"code": "G0032",
"display": "2+ antipsy schiz",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Two or more antipsychotic prescriptions ordered for patients who had a diagnosis of schizophrenia, schizoaffective disorder, or bipolar disorder on or between january 1 of the year prior to the measurement period and the index prescription start date (ipsd) for antipsychotics"
}
]
},
{
"code": "G0033",
"display": "2+ benzo seiz",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Two or more benzodiazepine prescriptions ordered for patients who had a diagnosis of seizure disorders, rapid eye movement sleep behavior disorder, benzodiazepine withdrawal, ethanol withdrawal, or severe generalized anxiety disorder on or between january 1 of the year prior to the measurement period and the ipsd for benzodiazepines"
}
]
},
{
"code": "G0034",
"display": "Pall serv during meas",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients receiving palliative care during the measurement period"
}
]
},
{
"code": "G0035",
"display": "Pt ed pos 23",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient has any emergency department encounter during the performance period with place of service indicator 23"
}
]
},
{
"code": "G0036",
"display": "Pt/ptn decln assess",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient or care partner decline assessment"
}
]
},
{
"code": "G0037",
"display": "Pt not able to participate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "On date of encounter, patient is not able to participate in assessment or screening, including non-verbal patients, delirious, severely aphasic, severely developmentally delayed, severe visual or hearing impairment and for those patients, no knowledgeable informant available"
}
]
},
{
"code": "G0038",
"display": "Clin pt no ref",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinician determines patient does not require referral"
}
]
},
{
"code": "G0039",
"display": "Pt no ref, rn spec",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient not referred, reason not otherwise specified"
}
]
},
{
"code": "G0040",
"display": "Pt phys/occ therapy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient already receiving physical/occupational/speech/recreational therapy during the measurement period"
}
]
},
{
"code": "G0041",
"display": "Pt/ptn decln referral",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient and/or care partner decline referral"
}
]
},
{
"code": "G0042",
"display": "Ref to therapy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Referral to physical, occupational, speech, or recreational therapy"
}
]
},
{
"code": "G0043",
"display": "Pt mech pros ht valv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with mechanical prosthetic heart valve"
}
]
},
{
"code": "G0044",
"display": "Pt mitral stenosis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with moderate or severe mitral stenosis"
}
]
},
{
"code": "G0045",
"display": "Mrs 90 days post stk",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinical follow-up and mrs score assessed at 90 days following endovascular stroke intervention"
}
]
},
{
"code": "G0046",
"display": "No mrs 90 days post stk",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinical follow-up and mrs score not assessed at 90 days following endovascular stroke intervention"
}
]
},
{
"code": "G0047",
"display": "Ped blunt hd traum",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pediatric patient with minor blunt head trauma and pecarn prediction criteria are not assessed"
}
]
},
{
"code": "G0048",
"display": "Pall serv during meas",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who receive palliative care services any time during the intake period through the end of the measurement year"
}
]
},
{
"code": "G0049",
"display": "Main hemo in-cntr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "With maintenance hemodialysis (in-center and home hd) for the complete reporting month"
}
]
},
{
"code": "G0050",
"display": "Pt w/ lmted life expec",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with a catheter that have limited life expectancy"
}
]
},
{
"code": "G0051",
"display": "Pt hospice mnth",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients under hospice care in the current reporting month"
}
]
},
{
"code": "G0052",
"display": "Pt peri dialysis dur mo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients on peritoneal dialysis for any portion of the reporting month"
}
]
},
{
"code": "G0053",
"display": "Adv rheum pt care mvp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Advancing rheumatology patient care mips value pathways"
}
]
},
{
"code": "G0054",
"display": "Strk cr prev pos outcme mvp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Coordinating stroke care to promote prevention and cultivate positive outcomes mips value pathways"
}
]
},
{
"code": "G0055",
"display": "Adv care heart dx mvp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Advancing care for heart disease mips value pathways"
}
]
},
{
"code": "G0056",
"display": "Opt chronic dx mang mvp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Optimizing chronic disease management mips value pathways"
}
]
},
{
"code": "G0057",
"display": "Best pct pt safety em mvp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Proposed adopting best practices and promoting patient safety within emergency medicine mips value pathways"
}
]
},
{
"code": "G0058",
"display": "Imprv care le jnt repr mvp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Improving care for lower extremity joint repair mips value pathways"
}
]
},
{
"code": "G0059",
"display": "Pt sfty pos exp w aneth mvp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient safety and support of positive experiences with anesthesia mips value pathways"
}
]
},
{
"code": "G0060",
"display": "Allergy/immunology ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Allergy/immunology mips specialty set"
}
]
},
{
"code": "G0061",
"display": "Anesthesiology ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Anesthesiology mips specialty set"
}
]
},
{
"code": "G0062",
"display": "Audiology ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Audiology mips specialty set"
}
]
},
{
"code": "G0063",
"display": "Cardiology ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cardiology mips specialty set"
}
]
},
{
"code": "G0064",
"display": "Cert nurse midwife ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Certified nurse midwife mips specialty set"
}
]
},
{
"code": "G0065",
"display": "Chiropractic ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Chiropractic medicine mips specialty set"
}
]
},
{
"code": "G0066",
"display": "Clinical social work ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinical social work mips specialty set"
}
]
},
{
"code": "G0067",
"display": "Dentistry ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dentistry mips specialty set"
}
]
},
{
"code": "G0068",
"display": "Adm iv infusion drug in home",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Professional services for the administration of anti-infective, pain management, chelation, pulmonary hypertension, inotropic, or other intravenous infusion drug or biological (excluding chemotherapy or other highly complex drug or biological) for each infusion drug administration calendar day in the individual's home, each 15 minutes"
}
]
},
{
"code": "G0069",
"display": "Adm sq infusion drug in home",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Professional services for the administration of subcutaneous immunotherapy or other subcutaneous infusion drug or biological for each infusion drug administration calendar day in the individual's home, each 15 minutes"
}
]
},
{
"code": "G0070",
"display": "Adm of chemo drug in home",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Professional services for the administration of intravenous chemotherapy or other intravenous highly complex drug or biological infusion for each infusion drug administration calendar day in the individual's home, each 15 minutes"
}
]
},
{
"code": "G0071",
"display": "Comm svcs by rhc/fqhc 5 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only"
}
]
},
{
"code": "G0076",
"display": "Care manag h vst new pt 20 m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Brief (20 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)"
}
]
},
{
"code": "G0077",
"display": "Care manag h vst new pt 30 m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Limited (30 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)"
}
]
},
{
"code": "G0078",
"display": "Care manag h vst new pt 45 m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Moderate (45 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)"
}
]
},
{
"code": "G0079",
"display": "Care manag h vst new pt 60 m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Comprehensive (60 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)"
}
]
},
{
"code": "G0080",
"display": "Care manag h vst new pt 75 m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Extensive (75 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)"
}
]
},
{
"code": "G0081",
"display": "Care man h v ext pt 20 mi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Brief (20 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)"
}
]
},
{
"code": "G0082",
"display": "Care man h v ext pt 30 m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Limited (30 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)"
}
]
},
{
"code": "G0083",
"display": "Care man h v ext pt 45 m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Moderate (45 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)"
}
]
},
{
"code": "G0084",
"display": "Care man h v ext pt 60 m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Comprehensive (60 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)"
}
]
},
{
"code": "G0085",
"display": "Care man h v ext pt 75 m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Extensive (75 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)"
}
]
},
{
"code": "G0086",
"display": "Care man home care plan 30 m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Limited (30 minutes) care management home care plan oversight. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)"
}
]
},
{
"code": "G0087",
"display": "Care man home care plan 60 m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Comprehensive (60 minutes) care management home care plan oversight. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)"
}
]
},
{
"code": "G0088",
"display": "Adm iv drug 1st home visit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Professional services, initial visit, for the administration of anti-infective, pain management, chelation, pulmonary hypertension, inotropic, or other intravenous infusion drug or biological (excluding chemotherapy or other highly complex drug or biological) for each infusion drug administration calendar day in the individual's home, each 15 minutes"
}
]
},
{
"code": "G0089",
"display": "Adm subq drug 1st home visit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Professional services, initial visit, for the administration of subcutaneous immunotherapy or other subcutaneous infusion drug or biological for each infusion drug administration calendar day in the individual's home, each 15 minutes"
}
]
},
{
"code": "G0090",
"display": "Adm iv chemo 1st home visit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Professional services, initial visit, for the administration of intravenous chemotherapy or other highly complex infusion drug or biological for each infusion drug administration calendar day in the individual's home, each 15 minutes"
}
]
},
{
"code": "G0101",
"display": "Ca screen;pelvic/breast exam",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cervical or vaginal cancer screening; pelvic and clinical breast examination"
}
]
},
{
"code": "G0102",
"display": "Prostate ca screening; dre",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prostate cancer screening; digital rectal examination"
}
]
},
{
"code": "G0103",
"display": "Psa screening",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prostate cancer screening; prostate specific antigen test (psa)"
}
]
},
{
"code": "G0104",
"display": "Ca screen;flexi sigmoidscope",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Colorectal cancer screening; flexible sigmoidoscopy"
}
]
},
{
"code": "G0105",
"display": "Colorectal scrn; hi risk ind",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Colorectal cancer screening; colonoscopy on individual at high risk"
}
]
},
{
"code": "G0106",
"display": "Colon ca screen;barium enema",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Colorectal cancer screening; alternative to g0104, screening sigmoidoscopy, barium enema"
}
]
},
{
"code": "G0108",
"display": "Diab manage trn per indiv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Diabetes outpatient self-management training services, individual, per 30 minutes"
}
]
},
{
"code": "G0109",
"display": "Diab manage trn ind/group",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes"
}
]
},
{
"code": "G0117",
"display": "Glaucoma scrn hgh risk direc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist"
}
]
},
{
"code": "G0118",
"display": "Glaucoma scrn hgh risk direc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist"
}
]
},
{
"code": "G0120",
"display": "Colon ca scrn; barium enema",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Colorectal cancer screening; alternative to g0105, screening colonoscopy, barium enema."
}
]
},
{
"code": "G0121",
"display": "Colon ca scrn not hi rsk ind",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk"
}
]
},
{
"code": "G0122",
"display": "Colon ca scrn; barium enema",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Colorectal cancer screening; barium enema"
}
]
},
{
"code": "G0123",
"display": "Screen cerv/vag thin layer",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision"
}
]
},
{
"code": "G0124",
"display": "Screen c/v thin layer by md",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician"
}
]
},
{
"code": "G0127",
"display": "Trim nail(s)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Trimming of dystrophic nails, any number"
}
]
},
{
"code": "G0128",
"display": "Corf skilled nursing service",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Direct (face-to-face with patient) skilled nursing services of a registered nurse provided in a comprehensive outpatient rehabilitation facility, each 10 minutes beyond the first 5 minutes"
}
]
},
{
"code": "G0129",
"display": "Php/iop ot service",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Occupational therapy services requiring the skills of a qualified occupational therapist, furnished as a component of a partial hospitalization or intensive outpatient treatment program, per session (45 minutes or more)"
}
]
},
{
"code": "G0130",
"display": "Single energy x-ray study",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel)"
}
]
},
{
"code": "G0136",
"display": "Adm of soc dtr assess 5-15 m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Administration of a standardized, evidence-based social determinants of health risk assessment tool, 5-15 minutes"
}
]
},
{
"code": "G0137",
"display": "Inten outpt svs,min 9 pr 7 d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intensive outpatient services; weekly bundle, minimum of 9 services over a 7 contiguous day period, which can include individual and group therapy with physicians or psychologists (or other mental health professionals to the extent authorized under state law); occupational therapy requiring the skills of a qualified occupational therapist; services of social workers, trained psychiatric nurses, and other staff trained to work with psychiatric patients; individualized activity therapies that are not primarily recreational or diversionary; family counseling (the primary purpose of which is treatment of the individual's condition); patient training and education (to the extent that training and educational activities are closely and clearly related to individual's care and treatment); diagnostic services; and such other items and services (excluding meals and transportation) that are reasonable and necessary for the diagnosis or active treatment of the individual's condition, reasonably expected to improve or maintain the individual's condition and functional level and to prevent relapse or hospitalization, and furnished pursuant to such guidelines relating to frequency and duration of services in accordance with a physician certification and plan of treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure"
}
]
},
{
"code": "G0138",
"display": "Iv cipaglucosidase alfa-atga",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intravenous infusion of cipaglucosidase alfa-atga, including provider/supplier acquisition and clinical supervision of oral administration of miglustat in preparation of receipt of cipaglucosidase alfa-atga"
}
]
},
{
"code": "G0140",
"display": "Nav srv peer sup 60 min pr m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Principal illness navigation - peer support by certified or trained auxiliary personnel under the direction of a physician or other practitioner, including a certified peer specialist; 60 minutes per calendar month, in the following activities: person-centered interview, performed to better understand the individual context of the serious, high-risk condition. ++ conducting a person-centered interview to understand the patient's life story, strengths, needs, goals, preferences, and desired outcomes, including understanding cultural and linguistic factors, and including unmet sdoh needs (that are not billed separately). ++ facilitating patient-driven goal setting and establishing an action plan. ++ providing tailored support as needed to accomplish the person-centered goals in the practitioner's treatment plan. identifying or referring patient (and caregiver or family, if applicable) to appropriate supportive services. practitioner, home, and community-based care communication. ++ assist the patient in communicating with their practitioners, home-, and community-based service providers, hospitals, and skilled nursing facilities (or other health care facilities) regarding the patient's psychosocial strengths and needs, goals, preferences, and desired outcomes, including cultural and linguistic factors. ++ facilitating access to community-based social services (e.g., housing, utilities, transportation, food assistance) as needed to address sdoh need(s). health education. helping the patient contextualize health education provided by the patient's treatment team with the patient's individual needs, goals, preferences, and sdoh need(s), and educating the patient (and caregiver if applicable) on how to best participate in medical decision-making. building patient self-advocacy skills, so that the patient can interact with members of the health care team and related community-based services (as needed), in ways that are more likely to promote personalized and effective treatment of their condition. developing and proposing strategies to help meet person-centered treatment goals and supporting the patient in using chosen strategies to reach person-centered treatment goals. facilitating and providing social and emotional support to help the patient cope with the condition, sdoh need(s), and adjust daily routines to better meet person-centered diagnosis and treatment goals. leverage knowledge of the serious, high-risk condition and/or lived experience when applicable to provide support, mentorship, or inspiration to meet treatment goals"
}
]
},
{
"code": "G0141",
"display": "Scr c/v cyto,autosys and md",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician"
}
]
},
{
"code": "G0143",
"display": "Scr c/v cyto,thinlayer,rescr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under physician supervision"
}
]
},
{
"code": "G0144",
"display": "Scr c/v cyto,thinlayer,rescr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision"
}
]
},
{
"code": "G0145",
"display": "Scr c/v cyto,thinlayer,rescr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision"
}
]
},
{
"code": "G0146",
"display": "Nav srv peer sup add 30 pr m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Principal illness navigation - peer support, additional 30 minutes per calendar month (list separately in addition to g0140)"
}
]
},
{
"code": "G0147",
"display": "Scr c/v cyto, automated sys",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision"
}
]
},
{
"code": "G0148",
"display": "Scr c/v cyto, autosys, rescr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening"
}
]
},
{
"code": "G0151",
"display": "Hhcp-serv of pt,ea 15 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes"
}
]
},
{
"code": "G0152",
"display": "Hhcp-serv of ot,ea 15 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes"
}
]
},
{
"code": "G0153",
"display": "Hhcp-svs of s/l path,ea 15mn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes"
}
]
},
{
"code": "G0154",
"display": "Hhcp-svs of rn,ea 15 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Direct skilled nursing services of a licensed nurse (lpn or rn) in the home health or hospice setting, each 15 minutes"
}
]
},
{
"code": "G0155",
"display": "Hhcp-svs of csw,ea 15 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Services of clinical social worker in home health or hospice settings, each 15 minutes"
}
]
},
{
"code": "G0156",
"display": "Hhcp-svs of aide,ea 15 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Services of home health/hospice aide in home health or hospice settings, each 15 minutes"
}
]
},
{
"code": "G0157",
"display": "Hhc pt assistant ea 15",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes"
}
]
},
{
"code": "G0158",
"display": "Hhc ot assistant ea 15",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Services performed by a qualified occupational therapist assistant in the home health or hospice setting, each 15 minutes"
}
]
},
{
"code": "G0159",
"display": "Hhc pt maint ea 15 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Services performed by a qualified physical therapist, in the home health setting, in the establishment or delivery of a safe and effective physical therapy maintenance program, each 15 minutes"
}
]
},
{
"code": "G0160",
"display": "Hhc occup therapy ea 15",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Services performed by a qualified occupational therapist, in the home health setting, in the establishment or delivery of a safe and effective occupational therapy maintenance program, each 15 minutes"
}
]
},
{
"code": "G0161",
"display": "Hhc slp ea 15 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Services performed by a qualified speech-language pathologist, in the home health setting, in the establishment or delivery of a safe and effective speech-language pathology maintenance program, each 15 minutes"
}
]
},
{
"code": "G0162",
"display": "Hhc rn e&m plan svs, 15 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that essential non-skilled care achieves its purpose in the home health or hospice setting)"
}
]
},
{
"code": "G0163",
"display": "Hhc lpn/rn obs/asses ea 15",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Skilled services of a licensed nurse (lpn or rn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting)"
}
]
},
{
"code": "G0164",
"display": "Hhc lis nurse train ea 15",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Skilled services of a licensed nurse (lpn or rn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes"
}
]
},
{
"code": "G0166",
"display": "Extrnl counterpulse, per tx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "External counterpulsation, per treatment session"
}
]
},
{
"code": "G0168",
"display": "Wound closure by adhesive",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wound closure utilizing tissue adhesive(s) only"
}
]
},
{
"code": "G0173",
"display": "Linear acc stereo radsur com",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Linear accelerator based stereotactic radiosurgery, complete course of therapy in one session"
}
]
},
{
"code": "G0175",
"display": "Opps service,sched team conf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present"
}
]
},
{
"code": "G0176",
"display": "Opps/php/iop; activity thrpy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more)"
}
]
},
{
"code": "G0177",
"display": "Opps/php/iop; train & educ",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more)"
}
]
},
{
"code": "G0179",
"display": "Md recertification hha pt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care"
}
]
},
{
"code": "G0180",
"display": "Md certification hha patient",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care"
}
]
},
{
"code": "G0181",
"display": "Home health care supervision",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans"
}
]
},
{
"code": "G0182",
"display": "Hospice care supervision",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patient status, review of laboratory and other studies, communication (including telephone calls) with other health care professionals involved in the patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month, 30 minutes or more"
}
]
},
{
"code": "G0186",
"display": "Dstry eye lesn,fdr vssl tech",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions)"
}
]
},
{
"code": "G0202",
"display": "Scr mammo bi incl cad",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed"
}
]
},
{
"code": "G0204",
"display": "Dx mammo incl cad bi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Diagnostic mammography, including computer-aided detection (cad) when performed; bilateral"
}
]
},
{
"code": "G0206",
"display": "Dx mammo incl cad uni",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral"
}
]
},
{
"code": "G0219",
"display": "Pet img wholbod melano nonco",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pet imaging whole body; melanoma for non-covered indications"
}
]
},
{
"code": "G0235",
"display": "Pet not otherwise specified",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pet imaging, any site, not otherwise specified"
}
]
},
{
"code": "G0237",
"display": "Therapeutic procd strg endur",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring)"
}
]
},
{
"code": "G0238",
"display": "Oth resp proc, indiv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring)"
}
]
},
{
"code": "G0239",
"display": "Oth resp proc, group",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring)"
}
]
},
{
"code": "G0245",
"display": "Initial foot exam pt lops",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education"
}
]
},
{
"code": "G0246",
"display": "Followup eval of foot pt lop",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear, and (3) patient education"
}
]
},
{
"code": "G0247",
"display": "Routine footcare pt w lops",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following if present: (1) local care of superficial wounds, (2) debridement of corns and calluses, and (3) trimming and debridement of nails"
}
]
},
{
"code": "G0248",
"display": "Demonstrate use home inr mon",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria, under the direction of a physician; includes: face-to-face demonstration of use and care of the inr monitor, obtaining at least one blood sample, provision of instructions for reporting home inr test results, and documentation of patient's ability to perform testing and report results"
}
]
},
{
"code": "G0249",
"display": "Provide inr test mater/equip",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials, billing units of service include 4 tests"
}
]
},
{
"code": "G0250",
"display": "Md inr test revie inter mgmt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequently than once a week; billing units of service include 4 tests"
}
]
},
{
"code": "G0251",
"display": "Linear acc based stero radio",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Linear accelerator based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, maximum five sessions per course of treatment"
}
]
},
{
"code": "G0252",
"display": "Pet imaging initial dx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pet imaging, full and partial-ring pet scanners only, for initial diagnosis of breast cancer and/or surgical planning for breast cancer (e.g., initial staging of axillary lymph nodes)"
}
]
},
{
"code": "G0255",
"display": "Current percep threshold tst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Current perception threshold/sensory nerve conduction test, (snct) per limb, any nerve"
}
]
},
{
"code": "G0257",
"display": "Unsched dialysis esrd pt hos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility"
}
]
},
{
"code": "G0259",
"display": "Inject for sacroiliac joint",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection procedure for sacroiliac joint; arthrography"
}
]
},
{
"code": "G0260",
"display": "Inj for sacroiliac jt anesth",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography"
}
]
},
{
"code": "G0268",
"display": "Removal of impacted wax md",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing"
}
]
},
{
"code": "G0269",
"display": "Occlusive device in vein art",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug)"
}
]
},
{
"code": "G0270",
"display": "Mnt subs tx for change dx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes"
}
]
},
{
"code": "G0271",
"display": "Group mnt 2 or more 30 mins",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes"
}
]
},
{
"code": "G0276",
"display": "Pild/placebo control clin tr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (pild) or placebo-control, performed in an approved coverage with evidence development (ced) clinical trial"
}
]
},
{
"code": "G0277",
"display": "Hbot, full body chamber, 30m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval"
}
]
},
{
"code": "G0278",
"display": "Iliac art angio,cardiac cath",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same time as cardiac catheterization and/or coronary angiography, includes positioning or placement of the catheter in the distal aorta or ipsilateral femoral or iliac artery, injection of dye, production of permanent images, and radiologic supervision and interpretation (list separately in addition to primary procedure)"
}
]
},
{
"code": "G0279",
"display": "Tomosynthesis, mammo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)"
}
]
},
{
"code": "G0281",
"display": "Elec stim unattend for press",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care"
}
]
},
{
"code": "G0282",
"display": "Elect stim wound care not pd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Electrical stimulation, (unattended), to one or more areas, for wound care other than described in g0281"
}
]
},
{
"code": "G0283",
"display": "Elec stim other than wound",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care"
}
]
},
{
"code": "G0288",
"display": "Recon, cta for surg plan",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Reconstruction, computed tomographic angiography of aorta for surgical planning for vascular surgery"
}
]
},
{
"code": "G0289",
"display": "Arthro, loose body + chondro",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee"
}
]
},
{
"code": "G0293",
"display": "Non-cov surg proc,clin trial",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Noncovered surgical procedure(s) using conscious sedation, regional, general or spinal anesthesia in a medicare qualifying clinical trial, per day"
}
]
},
{
"code": "G0294",
"display": "Non-cov proc, clinical trial",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Noncovered procedure(s) using either no anesthesia or local anesthesia only, in a medicare qualifying clinical trial, per day"
}
]
},
{
"code": "G0295",
"display": "Electromagnetic therapy onc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Electromagnetic therapy, to one or more areas, for wound care other than described in g0329 or for other uses"
}
]
},
{
"code": "G0296",
"display": "Visit to determ ldct elig",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)"
}
]
},
{
"code": "G0297",
"display": "Ldct for lung ca screen",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Low dose ct scan (ldct) for lung cancer screening"
}
]
},
{
"code": "G0299",
"display": "Hhs/hospice of rn ea 15 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes"
}
]
},
{
"code": "G0300",
"display": "Hhs/hospice of lpn ea 15 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes"
}
]
},
{
"code": "G0302",
"display": "Pre-op service lvrs complete",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services"
}
]
},
{
"code": "G0303",
"display": "Pre-op service lvrs 10-15dos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services"
}
]
},
{
"code": "G0304",
"display": "Pre-op service lvrs 1-9 dos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services"
}
]
},
{
"code": "G0305",
"display": "Post op service lvrs min 6",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services"
}
]
},
{
"code": "G0306",
"display": "Cbc/diffwbc w/o platelet",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count"
}
]
},
{
"code": "G0307",
"display": "Cbc without platelet",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count)"
}
]
},
{
"code": "G0308",
"display": "180 d implant glucose sensor",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Creation of subcutaneous pocket with insertion of 180 day implantable interstitial glucose sensor, including system activation and patient training"
}
]
},
{
"code": "G0309",
"display": "Rem/inser glu sensor dif sit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and insertion of new 180 day implantable sensor, including system activation"
}
]
},
{
"code": "G0310",
"display": "Immunize counsel 5-15 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 5 to 15 mins time (this code is used for medicaid billing purposes)"
}
]
},
{
"code": "G0311",
"display": "Immunize counsel 16-30 mins",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 16-30 mins time (this code is used for medicaid billing purposes)"
}
]
},
{
"code": "G0312",
"display": "Immunize couns < 21yr 5-15 m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes)"
}
]
},
{
"code": "G0313",
"display": "Immunize couns < 21yr 6-30 m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 16-30 mins time (this code is used for medicaid billing purposes)"
}
]
},
{
"code": "G0314",
"display": "Counsel immune <21 16-30 m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 16-30 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt)"
}
]
},
{
"code": "G0315",
"display": "Counsel immune <21 5-15 m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt)"
}
]
},
{
"code": "G0316",
"display": "Prolong inpt eval add15 m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes)"
}
]
},
{
"code": "G0317",
"display": "Prolong nursin fac eval 15m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes)"
}
]
},
{
"code": "G0318",
"display": "Prolong home eval add 15m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99345, 99350 for home or residence evaluation and management services). (do not report g0318 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99417). (do not report g0318 for any time unit less than 15 minutes)"
}
]
},
{
"code": "G0320",
"display": "Two-way audio and video hhs",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home health services furnished using synchronous telemedicine rendered via a real-time two-way audio and video telecommunications system"
}
]
},
{
"code": "G0321",
"display": "Audio-only hhs",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home health services furnished using synchronous telemedicine rendered via telephone or other real-time interactive audio-only telecommunications system"
}
]
},
{
"code": "G0322",
"display": "Home h physio data collec tr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "The collection of physiologic data digitally stored and/or transmitted by the patient to the home health agency (i.e., remote patient monitoring)"
}
]
},
{
"code": "G0323",
"display": "Care manage beh svs 20mins",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Care management services for behavioral health conditions, at least 20 minutes of clinical psychologist, clinical social worker, mental health counselor, or marriage and family therapist time, per calendar month. (these services include the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales; behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes; facilitating and coordinating treatment such as psychotherapy, coordination with and/or referral to physicians and practitioners who are authorized by medicare to prescribe medications and furnish e/m services, counseling and/or psychiatric consultation; and continuity of care with a designated member of the care team)"
}
]
},
{
"code": "G0327",
"display": "Colon ca scrn;bld-bsd biomrk",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Colorectal cancer screening; blood-based biomarker"
}
]
},
{
"code": "G0328",
"display": "Fecal blood scrn immunoassay",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous"
}
]
},
{
"code": "G0329",
"display": "Electromagntic tx for ulcers",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of care"
}
]
},
{
"code": "G0330",
"display": "Facility svs dental rehab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room"
}
]
},
{
"code": "G0333",
"display": "Dispense fee initial 30 day",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary"
}
]
},
{
"code": "G0337",
"display": "Hospice evaluation preelecti",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospice evaluation and counseling services, pre-election"
}
]
},
{
"code": "G0339",
"display": "Robot lin-radsurg com, first",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment"
}
]
},
{
"code": "G0340",
"display": "Robt lin-radsurg fractx 2-5",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fifth sessions, maximum five sessions per course of treatment"
}
]
},
{
"code": "G0341",
"display": "Percutaneous islet celltrans",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Percutaneous islet cell transplant, includes portal vein catheterization and infusion"
}
]
},
{
"code": "G0342",
"display": "Laparoscopy islet cell trans",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Laparoscopy for islet cell transplant, includes portal vein catheterization and infusion"
}
]
},
{
"code": "G0343",
"display": "Laparotomy islet cell transp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Laparotomy for islet cell transplant, includes portal vein catheterization and infusion"
}
]
},
{
"code": "G0364",
"display": "Bone marrow aspirate &biopsy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service"
}
]
},
{
"code": "G0365",
"display": "Vessel mapping hemo access",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)"
}
]
},
{
"code": "G0372",
"display": "Md service required for pmd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Physician service required to establish and document the need for a power mobility device"
}
]
},
{
"code": "G0378",
"display": "Hospital observation per hr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospital observation service, per hour"
}
]
},
{
"code": "G0379",
"display": "Direct refer hospital observ",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Direct admission of patient for hospital observation care"
}
]
},
{
"code": "G0380",
"display": "Lev 1 hosp type b ed visit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment)"
}
]
},
{
"code": "G0381",
"display": "Lev 2 hosp type b ed visit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment)"
}
]
},
{
"code": "G0382",
"display": "Lev 3 hosp type b ed visit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment)"
}
]
},
{
"code": "G0383",
"display": "Lev 4 hosp type b ed visit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment)"
}
]
},
{
"code": "G0384",
"display": "Lev 5 hosp type b ed visit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Level 5 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment)"
}
]
},
{
"code": "G0389",
"display": "Ultrasound exam aaa screen",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ultrasound b-scan and/or real time with image documentation; for abdominal aortic aneurysm (aaa) screening"
}
]
},
{
"code": "G0390",
"display": "Trauma respons w/hosp criti",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Trauma response team associated with hospital critical care service"
}
]
},
{
"code": "G0396",
"display": "Alcohol/subs interv 15-30mn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes"
}
]
},
{
"code": "G0397",
"display": "Alcohol/subs interv >30 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes"
}
]
},
{
"code": "G0398",
"display": "Home sleep test/type 2 porta",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home sleep study test (hst) with type ii portable monitor, unattended; minimum of 7 channels: eeg, eog, emg, ecg/heart rate, airflow, respiratory effort and oxygen saturation"
}
]
},
{
"code": "G0399",
"display": "Home sleep test/type 3 porta",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation"
}
]
},
{
"code": "G0400",
"display": "Home sleep test/type 4 porta",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels"
}
]
},
{
"code": "G0402",
"display": "Initial preventive exam",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment"
}
]
},
{
"code": "G0403",
"display": "Ekg for initial prevent exam",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report"
}
]
},
{
"code": "G0404",
"display": "Ekg tracing for initial prev",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Electrocardiogram, routine ecg with 12 leads; tracing only, without interpretation and report, performed as a screening for the initial preventive physical examination"
}
]
},
{
"code": "G0405",
"display": "Ekg interpret & report preve",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination"
}
]
},
{
"code": "G0406",
"display": "Inpt/tele follow up 15",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth"
}
]
},
{
"code": "G0407",
"display": "Inpt/tele follow up 25",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth"
}
]
},
{
"code": "G0408",
"display": "Inpt/tele follow up 35",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth"
}
]
},
{
"code": "G0409",
"display": "Corf related serv 15 mins ea",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Social work and psychological services, directly relating to and/or furthering the patient's rehabilitation goals, each 15 minutes, face-to-face; individual (services provided by a corf-qualified social worker or psychologist in a corf)"
}
]
},
{
"code": "G0410",
"display": "Grp psych php/iop 45-50",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes"
}
]
},
{
"code": "G0411",
"display": "Interactive grp psyc php/iop",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Interactive group psychotherapy, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes"
}
]
},
{
"code": "G0412",
"display": "Open tx iliac spine uni/bil",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixation, when performed"
}
]
},
{
"code": "G0413",
"display": "Pelvic ring fracture uni/bil",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and/or sacrum)"
}
]
},
{
"code": "G0414",
"display": "Pelvic ring fx treat int fix",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pubic symphysis and/or superior/inferior rami)"
}
]
},
{
"code": "G0415",
"display": "Open tx post pelvic fxcture",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ilium, sacroiliac joint and/or sacrum)"
}
]
},
{
"code": "G0416",
"display": "Prostate biopsy, any mthd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method"
}
]
},
{
"code": "G0417",
"display": "Sat biopsy prostate 21-40",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Surgical pathology, gross and microscopic examination, for prostate needle biopsy, any method, 21-40 specimens"
}
]
},
{
"code": "G0418",
"display": "Sat biopsy prostate 41-60",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Surgical pathology, gross and microscopic examination, for prostate needle biopsy, any method, 41-60 specimens"
}
]
},
{
"code": "G0419",
"display": "Sat biopsy prostate: >60",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Surgical pathology, gross and microscopic examination, for prostate needle biopsy, any method, >60 specimens"
}
]
},
{
"code": "G0420",
"display": "Ed svc ckd ind per session",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour"
}
]
},
{
"code": "G0421",
"display": "Ed svc ckd grp per session",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour"
}
]
},
{
"code": "G0422",
"display": "Intens cardiac rehab w/exerc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intensive cardiac rehabilitation; with or without continuous ecg monitoring with exercise, per session"
}
]
},
{
"code": "G0423",
"display": "Intens cardiac rehab no exer",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intensive cardiac rehabilitation; with or without continuous ecg monitoring; without exercise, per session"
}
]
},
{
"code": "G0424",
"display": "Pulmonary rehab w exer",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pulmonary rehabilitation, including exercise (includes monitoring), one hour, per session, up to two sessions per day"
}
]
},
{
"code": "G0425",
"display": "Inpt/ed teleconsult30",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth"
}
]
},
{
"code": "G0426",
"display": "Inpt/ed teleconsult50",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth"
}
]
},
{
"code": "G0427",
"display": "Inpt/ed teleconsult70",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth"
}
]
},
{
"code": "G0428",
"display": "Collagen meniscus implant",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex)"
}
]
},
{
"code": "G0429",
"display": "Dermal filler injection(s)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (lds) (e.g., as a result of highly active antiretroviral therapy)"
}
]
},
{
"code": "G0431",
"display": "Drug screen multiple class",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter"
}
]
},
{
"code": "G0432",
"display": "Eia hiv-1/hiv-2 screen",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening"
}
]
},
{
"code": "G0433",
"display": "Elisa hiv-1/hiv-2 screen",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening"
}
]
},
{
"code": "G0434",
"display": "Drug screen multi drug class",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter"
}
]
},
{
"code": "G0435",
"display": "Oral hiv-1/hiv-2 screen",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening"
}
]
},
{
"code": "G0436",
"display": "Tobacco-use counsel 3-10 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Smoking and tobacco cessation counseling visit for the asymptomatic patient; intermediate, greater than 3 minutes, up to 10 minutes"
}
]
},
{
"code": "G0437",
"display": "Tobacco-use counsel>10min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Smoking and tobacco cessation counseling visit for the asymptomatic patient; intensive, greater than 10 minutes"
}
]
},
{
"code": "G0438",
"display": "Ppps, initial visit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit"
}
]
},
{
"code": "G0439",
"display": "Ppps, subseq visit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit"
}
]
},
{
"code": "G0442",
"display": "Annual alcohol screen 15 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Annual alcohol misuse screening, 5 to 15 minutes"
}
]
},
{
"code": "G0443",
"display": "Brief alcohol misuse counsel",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes"
}
]
},
{
"code": "G0444",
"display": "Depression screen annual",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Annual depression screening, 5 to 15 minutes"
}
]
},
{
"code": "G0445",
"display": "High inten beh couns std 30m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes"
}
]
},
{
"code": "G0446",
"display": "Intens behave ther cardio dx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes"
}
]
},
{
"code": "G0447",
"display": "Behavior counsel obesity 15m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Face-to-face behavioral counseling for obesity, 15 minutes"
}
]
},
{
"code": "G0448",
"display": "Place perm pacing cardiovert",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ventricular pacing"
}
]
},
{
"code": "G0451",
"display": "Devlopment test interpt&rep",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Development testing, with interpretation and report, per standardized instrument form"
}
]
},
{
"code": "G0452",
"display": "Molecular pathology interpr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Molecular pathology procedure; physician interpretation and report"
}
]
},
{
"code": "G0453",
"display": "Cont intraop neuro monitor",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure)"
}
]
},
{
"code": "G0454",
"display": "Md document visit by npp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Physician documentation of face-to-face visit for durable medical equipment determination performed by nurse practitioner, physician assistant or clinical nurse specialist"
}
]
},
{
"code": "G0455",
"display": "Fecal microbiota prep instil",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen"
}
]
},
{
"code": "G0456",
"display": "Neg pre wound <=50 sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Negative pressure wound therapy, (e.g. vacuum assisted drainage collection) using a mechanically-powered device, not durable medical equipment, including provision of cartridge and dressing(s), topical application(s), wound assessment, and instructions for ongoing care, per session; total wounds(s) surface area less than or equal to 50 square centimeters"
}
]
},
{
"code": "G0457",
"display": "Neg pres wound >50 sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Negative pressure wound therapy, (e.g. vacuum assisted drainage collection) using a mechanically-powered device, not durable medical equipment, including provision of cartridge and dressing(s), topical application(s), wound assessment, and instructions for ongoing care, per session; total wounds(s) surface area greater than 50 square centimeters"
}
]
},
{
"code": "G0458",
"display": "Ldr prostate brachy comp rat",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Low dose rate (ldr) prostate brachytherapy services, composite rate"
}
]
},
{
"code": "G0459",
"display": "Telehealth inpt pharm mgmt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy"
}
]
},
{
"code": "G0460",
"display": "Autolog prp not diab ulcer",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Autologous platelet rich plasma or other blood-derived product for non-diabetic chronic wounds/ulcers, including as applicable phlebotomy, centrifugation or mixing, and all other preparatory procedures, administration and dressings, per treatment"
}
]
},
{
"code": "G0461",
"display": "Immunohisto/cyto chem 1st st",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stain"
}
]
},
{
"code": "G0462",
"display": "Immunohisto/cyto chem add",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Immunohistochemistry or immunocytochemistry, per specimen; each additional single or multiplex antibody stain (list separately in addition to code for primary procedure)"
}
]
},
{
"code": "G0463",
"display": "Hospital outpt clinic visit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospital outpatient clinic visit for assessment and management of a patient"
}
]
},
{
"code": "G0464",
"display": "Colorec ca scr, sto bas dna",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Colorectal cancer screening; stool-based dna and fecal occult hemoglobin (e.g., kras, ndrg4 and bmp3)"
}
]
},
{
"code": "G0465",
"display": "Autolog prp diab wound ulcer",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Autologous platelet rich plasma (prp) or other blood-derived product for diabetic chronic wounds/ulcers, using an fda-cleared device for this indication, (includes as applicable administration, dressings, phlebotomy, centrifugation or mixing, and all other preparatory procedures, per treatment)"
}
]
},
{
"code": "G0466",
"display": "Fqhc visit new patient",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit"
}
]
},
{
"code": "G0467",
"display": "Fqhc visit, estab pt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit"
}
]
},
{
"code": "G0468",
"display": "Fqhc visit, ippe or awv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv"
}
]
},
{
"code": "G0469",
"display": "Fqhc visit, mh new pt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Federally qualified health center (fqhc) visit, mental health, new patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit"
}
]
},
{
"code": "G0470",
"display": "Fqhc visit, mh estab pt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit"
}
]
},
{
"code": "G0471",
"display": "Ven blood coll snf/hha",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha)"
}
]
},
{
"code": "G0472",
"display": "Hep c screen high risk/other",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hepatitis c antibody screening, for individual at high risk and other covered indication(s)"
}
]
},
{
"code": "G0473",
"display": "Group behave couns 2-10",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes"
}
]
},
{
"code": "G0475",
"display": "Hiv combination assay",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hiv antigen/antibody, combination assay, screening"
}
]
},
{
"code": "G0476",
"display": "Hpv combo assay ca screen",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test"
}
]
},
{
"code": "G0477",
"display": "Drug test presump optical",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Drug test(s), presumptive, any number of drug classes; any number of devices or procedures, (e.g., immunoassay) capable of being read by direct optical observation only (e.g., dipsticks, cups, cards, cartridges), includes sample validation when performed, per date of service"
}
]
},
{
"code": "G0478",
"display": "Drug test presump opt inst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Drug test(s), presumptive, any number of drug classes; any number of devices or procedures, (e.g., immunoassay) read by instrument-assisted direct optical observation (e.g., dipsticks, cups, cards, cartridges), includes sample validation when performed, per date of service"
}
]
},
{
"code": "G0479",
"display": "Drug test presump not opt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Drug test(s), presumptive, any number of drug classes; any number of devices or procedures by instrumented chemistry analyzers utilizing immunoassay, enzyme assay, tof, maldi, ldtd, desi, dart, ghpc, gc mass spectrometry), includes sample validation when performed, per date of service"
}
]
},
{
"code": "G0480",
"display": "Drug test def 1-7 classes",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed"
}
]
},
{
"code": "G0481",
"display": "Drug test def 8-14 classes",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed"
}
]
},
{
"code": "G0482",
"display": "Drug test def 15-21 classes",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed"
}
]
},
{
"code": "G0483",
"display": "Drug test def 22+ classes",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed"
}
]
},
{
"code": "G0490",
"display": "Home visit rn, lpn by rhc/fq",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Face-to-face home health nursing visit by a rural health clinic (rhc) or federally qualified health center (fqhc) in an area with a shortage of home health agencies; (services limited to rn or lpn only)"
}
]
},
{
"code": "G0491",
"display": "Dialysis acu kidney no esrd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dialysis procedure at a medicare certified esrd facility for acute kidney injury without esrd"
}
]
},
{
"code": "G0492",
"display": "Md/oth eval acut kid no esrd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dialysis procedure with single evaluation by a physician or other qualified health care professional for acute kidney injury without esrd"
}
]
},
{
"code": "G0493",
"display": "Rn care ea 15 min hh/hospice",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Skilled services of a registered nurse (rn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting)"
}
]
},
{
"code": "G0494",
"display": "Lpn care ea 15min hh/hospice",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Skilled services of a licensed practical nurse (lpn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting)"
}
]
},
{
"code": "G0495",
"display": "Rn care train/edu in hh",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Skilled services of a registered nurse (rn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes"
}
]
},
{
"code": "G0496",
"display": "Lpn care train/edu in hh",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Skilled services of a licensed practical nurse (lpn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes"
}
]
},
{
"code": "G0498",
"display": "Chemo extend iv infus w/pump",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community setting (e.g., home, domiciliary, rest home or assisted living) using a portable pump provided by the office/clinic, includes follow up office/clinic visit at the conclusion of the infusion"
}
]
},
{
"code": "G0499",
"display": "Hepb screen high risk indiv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive hbsag result"
}
]
},
{
"code": "G0500",
"display": "Mod sedat endo service >5yrs",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate)"
}
]
},
{
"code": "G0501",
"display": "Resource-inten svc during ov",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Resource-intensive services for patients for whom the use of specialized mobility-assistive technology (such as adjustable height chairs or tables, patient lift, and adjustable padded leg supports) is medically necessary and used during the provision of an office/outpatient, evaluation and management visit (list separately in addition to primary service)"
}
]
},
{
"code": "G0502",
"display": "Init psych care manag, 70min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Initial psychiatric collaborative care management, first 70 minutes in the first calendar month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional, with the following required elements: outreach to and engagement in treatment of a patient directed by the treating physician or other qualified health care professional; initial assessment of the patient, including administration of validated rating scales, with the development of an individualized treatment plan; review by the psychiatric consultant with modifications of the plan if recommended; entering patient in a registry and tracking patient follow-up and progress using the registry, with appropriate documentation, and participation in weekly caseload consultation with the psychiatric consultant; and provision of brief interventions using evidence-based techniques such as behavioral activation, motivational interviewing, and other focused treatment strategies"
}
]
},
{
"code": "G0503",
"display": "Subseq psych care man,60mi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Subsequent psychiatric collaborative care management, first 60 minutes in a subsequent month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional, with the following required elements: tracking patient follow-up and progress using the registry, with appropriate documentation; participation in weekly caseload consultation with the psychiatric consultant; ongoing collaboration with and coordination of the patient's mental health care with the treating physician or other qualified health care professional and any other treating mental health providers; additional review of progress and recommendations for changes in treatment, as indicated, including medications, based on recommendations provided by the psychiatric consultant; provision of brief interventions using evidence-based techniques such as behavioral activation, motivational interviewing, and other focused treatment strategies; monitoring of patient outcomes using validated rating scales; and relapse prevention planning with patients as they achieve remission of symptoms and/or other treatment goals and are prepared for discharge from active treatment"
}
]
},
{
"code": "G0504",
"display": "Init/sub psych care add 30 m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Initial or subsequent psychiatric collaborative care management, each additional 30 minutes in a calendar month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional (list separately in addition to code for primary procedure); (use g0504 in conjunction with g0502, g0503)"
}
]
},
{
"code": "G0505",
"display": "Cog/func assessment outpt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cognition and functional assessment using standardized instruments with development of recorded care plan for the patient with cognitive impairment, history obtained from patient and/or caregiver, in office or other outpatient setting or home or domiciliary or rest home"
}
]
},
{
"code": "G0506",
"display": "Comp asses care plan ccm svc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)"
}
]
},
{
"code": "G0507",
"display": "Care manage serv minimum 20",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales; behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes; facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation; and continuity of care with a designated member of the care team"
}
]
},
{
"code": "G0508",
"display": "Crit care telehea consult 60",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth"
}
]
},
{
"code": "G0509",
"display": "Crit care telehea consult 50",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Telehealth consultation, critical care, subsequent, physicians typically spend 50 minutes communicating with the patient and providers via telehealth"
}
]
},
{
"code": "G0511",
"display": "Ccm/bhi by rhc/fqhc 20min mo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month"
}
]
},
{
"code": "G0512",
"display": "Cocm by rhc/fqhc 60 min mo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Rural health clinic or federally qualified health center (rhc/fqhc) only, psychiatric collaborative care model (psychiatric cocm), 60 minutes or more of clinical staff time for psychiatric cocm services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm) and including services furnished by a behavioral health care manager and consultation with a psychiatric consultant, per calendar month"
}
]
},
{
"code": "G0513",
"display": "Prolong prev svcs, first 30m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preventive service)"
}
]
},
{
"code": "G0514",
"display": "Prolong prev svcs, addl 30m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; each additional 30 minutes (list separately in addition to code g0513 for additional 30 minutes of preventive service)"
}
]
},
{
"code": "G0515",
"display": "Cognitive skills development",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Development of cognitive skills to improve attention, memory, problem solving (includes compensatory training), direct (one-on-one) patient contact, each 15 minutes"
}
]
},
{
"code": "G0516",
"display": "Insert drug del implant, >=4",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant)"
}
]
},
{
"code": "G0517",
"display": "Remove drug implant",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants)"
}
]
},
{
"code": "G0518",
"display": "Remove w insert drug implant",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants)"
}
]
},
{
"code": "G0519",
"display": "New pt-cg dyad dem low cmplx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Management of new patient-caregiver dyad with dementia, low complexity, for use in cmmi model"
}
]
},
{
"code": "G0520",
"display": "New pt-cg dyad dem mod cmplx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Management of new patient-caregiver dyad with dementia, moderate complexity, for use in cmmi model"
}
]
},
{
"code": "G0521",
"display": "New pt-cg dyad dem hig cmplx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Management of new patient-caregiver dyad with dementia, high complexity, for use in cmmi model"
}
]
},
{
"code": "G0522",
"display": "Mgt nw pt dementia low cmplx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Management of a new patient with dementia, low complexity, for use in cmmi model"
}
]
},
{
"code": "G0523",
"display": "Mgt nw pt dem mod-high cmplx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Management of a new patient with dementia, moderate to high complexity, for use in cmmi model"
}
]
},
{
"code": "G0524",
"display": "Est pt-cg dyad dem low cmplx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Management of established patient-caregiver dyad with dementia, low complexity, for use in cmmi model"
}
]
},
{
"code": "G0525",
"display": "Est pt-cg dyad dem mod cmplx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Management of established patient-caregiver dyad with dementia, moderate complexity, for use in cmmi model"
}
]
},
{
"code": "G0526",
"display": "Est pt-cg dyad dem hig cmplx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Management of established patient-caregiver dyad with dementia, high complexity, for use in cmmi model"
}
]
},
{
"code": "G0527",
"display": "Mgt est pt dmentia low cmplx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Management of established patient with dementia, low complexity, for use in cmmi model"
}
]
},
{
"code": "G0528",
"display": "Mgt est pt dem mod-hi cmplx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Management of established patient with dementia, moderate to high complexity, for use in cmmi model"
}
]
},
{
"code": "G0529",
"display": "In home respite care, 4 hr u",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "In-home respite care, 4-hour unit, for use in cmmi model"
}
]
},
{
"code": "G0530",
"display": "Adult daycare center, 8 hr u",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adult day center, 8-hour unit, for use in cmmi model"
}
]
},
{
"code": "G0531",
"display": "Fclty-based respite, 24 hr u",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Facility-based respite, 24-hour unit, for use in cmmi model"
}
]
},
{
"code": "G0532",
"display": "Take home supp nasal spray",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Take-home supply of nasal nalmefene hydrochloride; one carton of two, 2.7 mg per 0.1 ml nasal sprays (provision of the services by a medicare-enrolled opioid treatment program);( list separately in addition to each primary code)"
}
]
},
{
"code": "G0533",
"display": "Buprenorphone inj weekly",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medication assisted treatment, buprenorphine (injectable) administered on a weekly basis; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program)"
}
]
},
{
"code": "G0534",
"display": "Coordinated care/or referral",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Coordinated care and/or referral services, such as to adequate and accessible community resources to address unmet health-related social needs, including harm reduction interventions and recovery support services a patient needs and wishes to pursue, which significantly limit the ability to diagnose or treat an opioid use disorder; each additional 30 minutes of services (provision of the services by a medicare-enrolled opioid treatment program); (list separately in addition to each primary code)"
}
]
},
{
"code": "G0535",
"display": "Pt navigat svs direct/ref",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient navigational services, provided directly or by referral; including helping the patient to navigate health systems and identify care providers and supportive services, to build patient self-advocacy and communication skills with care providers, and to promote patient-driven action plans and goals; each additional 30 minutes of services (provision of the services by a medicare-enrolled opioid treatment program); (list separately in addition to each primary code)"
}
]
},
{
"code": "G0536",
"display": "Peer recover support svs",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Peer recovery support services, provided directly or by referral; including leveraging knowledge of the condition or lived experience to provide support, mentorship, or inspiration to meet oud treatment and recovery goals; conducting a person-centered interview to understand the patient's life story, strengths, needs, goals, preferences, and desired outcomes; developing and proposing strategies to help meet person-centered treatment goals; assisting the patient in locating or navigating recovery support services; each additional 30 minutes of services (provision of the services by a medicare-enrolled opioid treatment program); (list separately in addition to each primary code)"
}
]
},
{
"code": "G0537",
"display": "Risk ascvd tst once pr 12 mo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Administration of a standardized, evidence-based atherosclerotic cardiovascular disease (ascvd) risk assessment, 5-15 minutes, not more often than every 12 months"
}
]
},
{
"code": "G0538",
"display": "Ascvd rsk mng clin stf pr mo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Atherosclerotic cardiovascular disease (ascvd) risk management services; clinical staff time; per calendar month"
}
]
},
{
"code": "G0539",
"display": "Initial care training 30 m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes"
}
]
},
{
"code": "G0540",
"display": "Train for caregiver add 15",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes"
}
]
},
{
"code": "G0541",
"display": "No pt prsnt train initial 30",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes"
}
]
},
{
"code": "G0542",
"display": "No pt prsnt train add 15",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes (list separately in addition to code for primary service) (use g0542 in conjunction with g0541)"
}
]
},
{
"code": "G0543",
"display": "Group train w/o patient",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers"
}
]
},
{
"code": "G0544",
"display": "Post d/c phone follow up",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Post discharge telephonic follow-up contacts performed in conjunction with a discharge from the emergency department for behavioral health or other crisis encounter, 4 calls per calendar month"
}
]
},
{
"code": "G0545",
"display": "Inherent visit to inpt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Visit complexity inherent to hospital inpatient or observation care associated with a confirmed or suspected infectious disease by an infectious diseases specialist, including disease transmission risk assessment and mitigation, public health investigation, analysis, and testing, and complex antimicrobial therapy counseling and treatment (add-on code, list separately in addition to hospital inpatient or observation evaluation and management visit, initial, same day discharge, subsequent or discharge)"
}
]
},
{
"code": "G0546",
"display": "Phone/internet ehr assess",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Interprofessional telephone/internet/electronic health record assessment and management service provided by a practitioner in a specialty whose covered services are limited by statute to services for the diagnosis and treatment of mental illness, including a verbal and written report to the patient's treating/requesting practitioner; 5-10 minutes of medical consultative discussion and review"
}
]
},
{
"code": "G0547",
"display": "Phone/internet svs 11-20 m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Interprofessional telephone/internet/electronic health record assessment and management service provided by a practitioner in a specialty whose covered services are limited by statute to services for the diagnosis and treatment of mental illness, including a verbal and written report to the patient's treating/requesting practitioner; 11-20 minutes of medical consultative discussion and review"
}
]
},
{
"code": "G0548",
"display": "Phone/inter svs 21-30 m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Interprofessional telephone/internet/electronic health record assessment and management service provided by a practitioner in a specialty whose covered services are limited by statute to services for the diagnosis and treatment of mental illness, including a verbal and written report to the patient's treating/requesting practitioner; 21-30 minutes of medical consultative discussion and review"
}
]
},
{
"code": "G0549",
"display": "Phone/inter for treat>31m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Interprofessional telephone/internet/electronic health record assessment and management service provided by a practitioner in a specialty whose covered services are limited by statute to services for the diagnosis and treatment of mental illness, including a verbal and written report to the patient's treating/requesting practitioner; 31 or more minutes of medical consultative discussion and review"
}
]
},
{
"code": "G0550",
"display": "Phone/inter for dx/treat >5m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Interprofessional telephone/internet/electronic health record assessment and management service provided by a practitioner in a specialty whose covered services are limited by statute to services for the diagnosis and treatment of mental illness, including a written report to the patient's treating/requesting practitioner, 5 minutes or more of medical consultative time"
}
]
},
{
"code": "G0551",
"display": "Phn/intr svs fr dx treat 30m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Interprofessional telephone/internet/electronic health record referral service(s) provided by a treating/requesting practitioner in a specialty whose covered services are limited by statute to services for the diagnosis and treatment of mental illness, 30 minutes"
}
]
},
{
"code": "G0552",
"display": "Supply of digital device",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Supply of digital mental health treatment device and initial education and onboarding, per course of treatment that augments a behavioral therapy plan"
}
]
},
{
"code": "G0553",
"display": "Monthly tx for dmht 20mins",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "First 20 minutes of monthly treatment management services directly related to the patient's therapeutic use of the digital mental health treatment (dmht) device that augments a behavioral therapy plan, physician/other qualified health care professional time reviewing information related to the use of the dmht device, including patient observations and patient specific inputs in a calendar month and requiring at least one interactive communication with the patient/caregiver during the calendar month"
}
]
},
{
"code": "G0554",
"display": "Add 20 m of monthly tx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Each additional 20 minutes of monthly treatment management services directly related to the patient's therapeutic use of the digital mental health treatment (dmht) device that augments a behavioral therapy plan, physician/other qualified health care professional time reviewing data generated from the dmht device from patient observations and patient specific inputs in a calendar month and requiring at least one interactive communication with the patient/caregiver during the calendar month"
}
]
},
{
"code": "G0555",
"display": "Replacment pt electronic sys",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Provision of replacement patient electronics system (e.g., system pillow, handheld reader) for home pulmonary artery pressure monitoring"
}
]
},
{
"code": "G0556",
"display": "Adv prim care mgmt lvl 1",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Advanced primary care management services for a patient with one chronic condition [expected to last at least 12 months, or until the death of the patient, which place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline], or fewer, provided by clinical staff and directed by a physician or other qualified health care professional who is responsible for all primary care and serves as the continuing focal point for all needed health care services, per calendar month, with the following elements, as appropriate: consent; ++ inform the patient of the availability of the service; that only one practitioner can furnish and be paid for the service during a calendar month; of the right to stop the services at any time (effective at the end of the calendar month); and that cost sharing may apply. ++ document in patient's medical record that consent was obtained. initiation during a qualifying visit for new patients or patients not seen within 3 years; provide 24/7 access for urgent needs to care team/practitioner, including providing patients/caregivers with a way to contact health care professionals in the practice to discuss urgent needs regardless of the time of day or day of week; continuity of care with a designated member of the care team with whom the patient is able to schedule successive routine appointments; deliver care in alternative ways to traditional office visits to best meet the patient's needs, such as home visits and/or expanded hours; overall comprehensive care management; ++ systematic needs assessment (medical and psychosocial). ++ system-based approaches to ensure receipt of preventive services. ++ medication reconciliation, management and oversight of self-management. development, implementation, revision, and maintenance of an electronic patient-centered comprehensive care plan with typical care plan elements when clinically relevant; ++ care plan is available timely within and outside the billing practice as appropriate to individuals involved in the beneficiary's care, can be routinely accessed and updated by care team/practitioner, and copy of care plan to patient/caregiver; coordination of care transitions between and among health care providers and settings, including referrals to other clinicians and follow-up after an emergency department visit and discharges from hospitals, skilled nursing facilities or other health care facilities as applicable; ++ ensure timely exchange of electronic health information with other practitioners and providers to support continuity of care. ++ ensure timely follow-up communication (direct contact, telephone, electronic) with the patient and/or caregiver after an emergency department visit and discharges from hospitals, skilled nursing facilities, or other health care facilities, within 7 calendar days of discharge, as clinically indicated. ongoing communication and coordinating receipt of needed services from practitioners, home- and community-based service providers, community-based social service providers, hospitals, and skilled nursing facilities (or other health care facilities), and document communication regarding the patient's psychosocial strengths and needs, functional deficits, goals, preferences, and desired outcomes, including cultural and linguistic factors, in the patient's medical record; enhanced opportunities for the beneficiary and any caregiver to communicate with the care team/practitioner regarding the beneficiary's care through the use of asynchronous non-face-to-face consultation methods other than telephone, such as secure messaging, email, internet, or patient portal, and other communication-technology based services, including remote evaluation of pre-recorded patient information and interprofessional telephone/internet/ehr referral service(s), to maintain ongoing communication with patients, as appropriate; ++ ensure access to patient-initiated digital communications that require a clinical decision, such as virtual check-ins and digital online assessment and management and e/m visits (or e-visits). analyze patient population data to identify gaps in care and offer additional interventions, as appropriate; risk stratify the practice population based on defined diagnoses, claims, or other electronic data to identify and target services to patients; be assessed through performance measurement of primary care quality, total cost of care, and meaningful use of certified ehr technology"
}
]
},
{
"code": "G0557",
"display": "Adv prim care mgmt lvl 2",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Advanced primary care management services for a patient with multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, which place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, provided by clinical staff and directed by a physician or other qualified health care professional who is responsible for all primary care and serves as the continuing focal point for all needed health care services, per calendar month, with the following elements, as appropriate: consent; ++ inform the patient of the availability of the service; that only one practitioner can furnish and be paid for the service during a calendar month; of the right to stop the services at any time (effective at the end of the calendar month); and that cost sharing may apply. ++ document in patient's medical record that consent was obtained. initiation during a qualifying visit for new patients or patients not seen within 3 years; provide 24/7 access for urgent needs to care team/practitioner, including providing patients/caregivers with a way to contact health care professionals in the practice to discuss urgent needs regardless of the time of day or day of week; continuity of care with a designated member of the care team with whom the patient is able to schedule successive routine appointments; deliver care in alternative ways to traditional office visits to best meet the patient's needs, such as home visits and/or expanded hours; overall comprehensive care management; ++ systematic needs assessment (medical and psychosocial). ++ system-based approaches to ensure receipt of preventive services. ++ medication reconciliation, management and oversight of self-management. development, implementation, revision, and maintenance of an electronic patient-centered comprehensive care plan; ++ care plan is available timely within and outside the billing practice as appropriate to individuals involved in the beneficiary's care, can be routinely accessed and updated by care team/practitioner, and copy of care plan to patient/caregiver; coordination of care transitions between and among health care providers and settings, including referrals to other clinicians and follow-up after an emergency department visit and discharges from hospitals, skilled nursing facilities or other health care facilities as applicable; ++ ensure timely exchange of electronic health information with other practitioners and providers to support continuity of care. ++ ensure timely follow-up communication (direct contact, telephone, electronic) with the patient and/or caregiver after an emergency department visit and discharges from hospitals, skilled nursing facilities, or other health care facilities, within 7 calendar days of discharge, as clinically indicated. ongoing communication and coordinating receipt of needed services from practitioners, home- and community-based service providers, community-based social service providers, hospitals, and skilled nursing facilities (or other health care facilities), and document communication regarding the patient's psychosocial strengths and needs, functional deficits, goals, preferences, and desired outcomes, including cultural and linguistic factors, in the patient's medical record; enhanced opportunities for the beneficiary and any caregiver to communicate with the care team/practitioner regarding the beneficiary's care through the use of asynchronous non-face-to-face consultation methods other than telephone, such as secure messaging, email, internet, or patient portal, and other communication-technology based services, including remote evaluation of pre-recorded patient information and interprofessional telephone/internet/ehr referral service(s), to maintain ongoing communication with patients, as appropriate; ++ ensure access to patient-initiated digital communications that require a clinical decision, such as virtual check-ins and digital online assessment and management and e/m visits (or e-visits). analyze patient population data to identify gaps in care and offer additional interventions, as appropriate; risk stratify the practice population based on defined diagnoses, claims, or other electronic data to identify and target services to patients; be assessed through performance measurement of primary care quality, total cost of care, and meaningful use of certified ehr technology"
}
]
},
{
"code": "G0558",
"display": "Adv prim care mgmt lvl 3",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Advanced primary care management services for a patient that is a qualified medicare beneficiary with multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, which place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, provided by clinical staff and directed by a physician or other qualified health care professional who is responsible for all primary care and serves as the continuing focal point for all needed health care services, per calendar month, with the following elements, as appropriate: consent; ++ inform the patient of the availability of the service; that only one practitioner can furnish and be paid for the service during a calendar month; of the right to stop the services at any time (effective at the end of the calendar month); and that cost sharing may apply. ++ document in patient's medical record that consent was obtained. initiation during a qualifying visit for new patients or patients not seen within 3 years; provide 24/7 access for urgent needs to care team/practitioner, including providing patients/caregivers with a way to contact health care professionals in the practice to discuss urgent needs regardless of the time of day or day of week; continuity of care with a designated member of the care team with whom the patient is able to schedule successive routine appointments; deliver care in alternative ways to traditional office visits to best meet the patient's needs, such as home visits and/or expanded hours; overall comprehensive care management; ++ systematic needs assessment (medical and psychosocial). ++ system-based approaches to ensure receipt of preventive services. ++ medication reconciliation, management and oversight of self-management. development, implementation, revision, and maintenance of an electronic patient-centered comprehensive care plan; ++ care plan is available timely within and outside the billing practice as appropriate to individuals involved in the beneficiary's care, can be routinely accessed and updated by care team/practitioner, and copy of care plan to patient/caregiver; coordination of care transitions between and among health care providers and settings, including referrals to other clinicians and follow-up after an emergency department visit and discharges from hospitals, skilled nursing facilities or other health care facilities as applicable; ++ ensure timely exchange of electronic health information with other practitioners and providers to support continuity of care. ++ ensure timely follow-up communication (direct contact, telephone, electronic) with the patient and/or caregiver after an emergency department visit and discharges from hospitals, skilled nursing facilities, or other health care facilities, within 7 calendar days of discharge, as clinically indicated. ongoing communication and coordinating receipt of needed services from practitioners, home- and community-based service providers, community-based social service providers, hospitals, and skilled nursing facilities (or other health care facilities), and document communication regarding the patient's psychosocial strengths and needs, functional deficits, goals, preferences, and desired outcomes, including cultural and linguistic factors, in the patient's medical record; enhanced opportunities for the beneficiary and any caregiver to communicate with the care team/practitioner regarding the beneficiary's care through the use of asynchronous non-face-to-face consultation methods other than telephone, such as secure messaging, email, internet, or patient portal, and other communication-technology based services, including remote evaluation of pre-recorded patient information and interprofessional telephone/internet/ehr referral service(s), to maintain ongoing communication with patients, as appropriate; ++ ensure access to patient-initiated digital communications that require a clinical decision, such as virtual check-ins and digital online assessment and management and e/m visits (or e-visits). analyze patient population data to identify gaps in care and offer additional interventions, as appropriate; risk stratify the practice population based on defined diagnoses, claims, or other electronic data to identify and target services to patients; be assessed through performance measurement of primary care quality, total cost of care, and meaningful use of certified ehr technology"
}
]
},
{
"code": "G0559",
"display": "Unrelat prac follow up visit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Post-operative follow-up visit complexity inherent to evaluation and management services addressing surgical procedure(s), provided by a physician or qualified health care professional who is not the practitioner who performed the procedure (or in the same group practice) and is of the same or of a different specialty than the practitioner who performed the procedure, within the 90-day global period of the procedure(s), once per 90-day global period, when there has not been a formal transfer of care and requires the following required elements, when possible and applicable: reading available surgical note to understand the relative success of the procedure, the anatomy that was affected, and potential complications that could have arisen due to the unique circumstances of the patient's operation. research the procedure to determine expected post-operative course and potential complications (in the case of doing a post-op for a procedure outside the specialty). evaluate and physically examine the patient to determine whether the post-operative course is progressing appropriately. communicate with the practitioner who performed the procedure if any questions or concerns arise. (list separately in addition to office/outpatient evaluation and management visit, new or established)"
}
]
},
{
"code": "G0560",
"display": "Safety plan interven",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Safety planning interventions, each 20 minutes personally performed by the billing practitioner, including assisting the patient in the identification of the following personalized elements of a safety plan: recognizing warning signs of an impending suicidal or substance use-related crisis; employing internal coping strategies; utilizing social contacts and social settings as a means of distraction from suicidal thoughts or risky substance use; utilizing family members, significant others, caregivers, and/or friends to help resolve the crisis; contacting mental health or substance use disorder professionals or agencies; and making the environment safe"
}
]
},
{
"code": "G0561",
"display": "Temp tube delivery, unil",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tympanostomy with local or topical anesthesia and insertion of a ventilating tube when performed with tympanostomy tube delivery device, unilateral (list separately in addition to 69433) (do not use in conjunction with 0583t)"
}
]
},
{
"code": "G0562",
"display": "Complex simulation w/pet-ct",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Therapeutic radiology simulation-aided field setting; complex, including acquisition of pet and ct imaging data required for radiopharmaceutical-directed radiation therapy treatment planning (i.e., modeling)"
}
]
},
{
"code": "G0563",
"display": "Sbrt w/positron emission del",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance and real-time positron emissions-based delivery adjustments to 1 or more lesions, entire course not to exceed 5 fractions"
}
]
},
{
"code": "G0564",
"display": "365 d implant glucose sensor",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Creation of subcutaneous pocket with insertion of 365 day implantable interstitial glucose sensor, including system activation and patient training"
}
]
},
{
"code": "G0565",
"display": "Rem/ins glu snsr 365 dif sit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and insertion of new 365 day implantable sensor, including system activation"
}
]
},
{
"code": "G0659",
"display": "Drug test def simple all cl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem), excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase), performed without method or drug-specific calibration, without matrix-matched quality control material, or without use of stable isotope or other universally recognized internal standard(s) for each drug, drug metabolite or drug class per specimen; qualitative or quantitative, all sources, includes specimen validity testing, per day, any number of drug classes"
}
]
},
{
"code": "G0908",
"display": "Hgb > 12 g/dl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Most recent hemoglobin (hgb) level > 12.0 g/dl"
}
]
},
{
"code": "G0909",
"display": "Hbg not doc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hemoglobin level measurement not documented, reason not given"
}
]
},
{
"code": "G0910",
"display": "Hgb <= 12 g/dl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Most recent hemoglobin level <= 12.0 g/dl"
}
]
},
{
"code": "G0913",
"display": "Improve visual funct",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Improvement in visual function achieved within 90 days following cataract surgery"
}
]
},
{
"code": "G0914",
"display": "Survey not complete",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient care survey was not completed by patient"
}
]
},
{
"code": "G0915",
"display": "No improve visual funct",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Improvement in visual function not achieved within 90 days following cataract surgery"
}
]
},
{
"code": "G0916",
"display": "Satisfy with care",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Satisfaction with care achieved within 90 days following cataract surgery"
}
]
},
{
"code": "G0917",
"display": "Care survey not complete",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient care survey was not completed by patient"
}
]
},
{
"code": "G0918",
"display": "No satisfy with care",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Satisfaction with care not achieved within 90 days following cataract surgery"
}
]
},
{
"code": "G0919",
"display": "Flu immunize not avail",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Influenza immunization ordered or recommended (to be given at alternate location or alternate provider); vaccine not available at time of visit"
}
]
},
{
"code": "G0920",
"display": "Type loc act doc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Type, anatomic location, and activity all documented"
}
]
},
{
"code": "G0921",
"display": "Doc pt reas no assess",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of patient reason(s) for not being able to assess (e.g., patient refuses endoscopic and/or radiologic assessment)"
}
]
},
{
"code": "G0922",
"display": "Type loc act not doc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "No documentation of disease type, anatomic location, and activity, reason not given"
}
]
},
{
"code": "G1000",
"display": "Cdsm applied pathways",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinical decision support mechanism applied pathways, as defined by the medicare appropriate use criteria program"
}
]
},
{
"code": "G1001",
"display": "Cdsm evicore",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinical decision support mechanism evicore, as defined by the medicare appropriate use criteria program"
}
]
},
{
"code": "G1002",
"display": "Cdsm medcurrent",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinical decision support mechanism medcurrent, as defined by the medicare appropriate use criteria program"
}
]
},
{
"code": "G1003",
"display": "Cdsm medicalis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinical decision support mechanism medicalis, as defined by the medicare appropriate use criteria program"
}
]
},
{
"code": "G1004",
"display": "Cdsm ndsc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program"
}
]
},
{
"code": "G1005",
"display": "Cdsm nia",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinical decision support mechanism national imaging associates, as defined by the medicare appropriate use criteria program"
}
]
},
{
"code": "G1006",
"display": "Cdsm test approp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinical decision support mechanism test appropriate, as defined by the medicare appropriate use criteria program"
}
]
},
{
"code": "G1007",
"display": "Cdsm aim",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinical decision support mechanism aim specialty health, as defined by the medicare appropriate use criteria program"
}
]
},
{
"code": "G1008",
"display": "Cdsm cranberry pk",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinical decision support mechanism cranberry peak, as defined by the medicare appropriate use criteria program"
}
]
},
{
"code": "G1009",
"display": "Cdsm sage health",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinical decision support mechanism sage health management solutions, as defined by the medicare appropriate use criteria program"
}
]
},
{
"code": "G1010",
"display": "Cdsm stanson",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program"
}
]
},
{
"code": "G1011",
"display": "Cdsm qualified nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinical decision support mechanism, qualified tool not otherwise specified, as defined by the medicare appropriate use criteria program"
}
]
},
{
"code": "G1012",
"display": "Cdsm agilemd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinical decision support mechanism agilemd, as defined by the medicare appropriate use criteria program"
}
]
},
{
"code": "G1013",
"display": "Cdsm evidencecare",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinical decision support mechanism evidencecare imagingcare, as defined by the medicare appropriate use criteria program"
}
]
},
{
"code": "G1014",
"display": "Cdsm inveniqa",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinical decision support mechanism inveniqa semantic answers in medicine, as defined by the medicare appropriate use criteria program"
}
]
},
{
"code": "G1015",
"display": "Cdsm reliant",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinical decision support mechanism reliant medical group, as defined by the medicare appropriate use criteria program"
}
]
},
{
"code": "G1016",
"display": "Cdsm speed of care",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinical decision support mechanism speed of care, as defined by the medicare appropriate use criteria program"
}
]
},
{
"code": "G1017",
"display": "Cdsm healthhelp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinical decision support mechanism healthhelp, as defined by the medicare appropriate use criteria program"
}
]
},
{
"code": "G1018",
"display": "Cdsm infinx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinical decision support mechanism infinx, as defined by the medicare appropriate use criteria program"
}
]
},
{
"code": "G1019",
"display": "Cdsm logicnets",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinical decision support mechanism logicnets, as defined by the medicare appropriate use criteria program"
}
]
},
{
"code": "G1020",
"display": "Cdsm curbside",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinical decision support mechanism curbside clinical augmented workflow, as defined by the medicare appropriate use criteria program"
}
]
},
{
"code": "G1021",
"display": "Cdsm ehealthline",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinical decision support mechanism ehealthline clinical decision support mechanism, as defined by the medicare appropriate use criteria program"
}
]
},
{
"code": "G1022",
"display": "Cdsm intermountain",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinical decision support mechanism intermountain clinical decision support mechanism, as defined by the medicare appropriate use criteria program"
}
]
},
{
"code": "G1023",
"display": "Cdsm persivia",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinical decision support mechanism persivia clinical decision support, as defined by the medicare appropriate use criteria program"
}
]
},
{
"code": "G1024",
"display": "Cdsm radrite",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinical decision support mechanism radrite, as defined by the medicare appropriate use criteria program"
}
]
},
{
"code": "G1025",
"display": "Pt mnth 1 mcp prov",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient-months where there are more than one medicare capitated payment (mcp) provider listed for the month"
}
]
},
{
"code": "G1026",
"display": "Pt hemo > 3mo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "The number of adult patient-months in the denominator who were on maintenance hemodialysis using a catheter continuously for three months or longer under the care of the same practitioner or group partner as of the last hemodialysis session of the reporting month"
}
]
},
{
"code": "G1027",
"display": "Pt hemo < 3mo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "The number of adult patient-months in the denominator who were on maintenance hemodialysis under the care of the same practitioner or group partner as of the last hemodialysis session of the reporting month using a catheter continuously for less than three months"
}
]
},
{
"code": "G1028",
"display": "Take home supply 8mg per 0.1",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Take-home supply of nasal naloxone; 2-pack of 8mg per 0.1 ml nasal spray (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure"
}
]
},
{
"code": "G2000",
"display": "Blinded conv. tx mdd clin tr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Blinded administration of convulsive therapy procedure, either electroconvulsive therapy (ect, current covered gold standard) or magnetic seizure therapy (mst, non-covered experimental therapy), performed in an approved ide-based clinical trial, per treatment session"
}
]
},
{
"code": "G2001",
"display": "Post d/c h vst new pt 20 m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Brief (20 minutes) in-home visit for a new patient post-discharge. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.)"
}
]
},
{
"code": "G2002",
"display": "Post-d/c h vst new pt 30 m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Limited (30 minutes) in-home visit for a new patient post-discharge. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.)"
}
]
},
{
"code": "G2003",
"display": "Post-d/c h vst new pt 45 m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Moderate (45 minutes) in-home visit for a new patient post-discharge. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.)"
}
]
},
{
"code": "G2004",
"display": "Post-d/c h vst new pt 60 m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Comprehensive (60 minutes) in-home visit for a new patient post-discharge. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.)"
}
]
},
{
"code": "G2005",
"display": "Post-d/c h vst new pt 75 m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Extensive (75 minutes) in-home visit for a new patient post-discharge. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.)"
}
]
},
{
"code": "G2006",
"display": "Post-d/c h vst ext pt 20 m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Brief (20 minutes) in-home visit for an existing patient post-discharge. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.)"
}
]
},
{
"code": "G2007",
"display": "Post-d/c h vst ext pt 30 m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Limited (30 minutes) in-home visit for an existing patient post-discharge. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.)"
}
]
},
{
"code": "G2008",
"display": "Post-d/c h vst ext pt 45 m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Moderate (45 minutes) in-home visit for an existing patient post-discharge. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.)"
}
]
},
{
"code": "G2009",
"display": "Post-d/c h vst ext pt 60 m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Comprehensive (60 minutes) in-home visit for an existing patient post-discharge. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.)"
}
]
},
{
"code": "G2010",
"display": "Remot image submit by pt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment"
}
]
},
{
"code": "G2011",
"display": "Alcohol/sub misuse assess",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention, 5-14 minutes"
}
]
},
{
"code": "G2012",
"display": "Brief check in by md/qhp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion"
}
]
},
{
"code": "G2013",
"display": "Post-d/c h vst ext pt 75 m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Extensive (75 minutes) in-home visit for an existing patient post-discharge. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.)"
}
]
},
{
"code": "G2014",
"display": "Post-d/c care plan overs 30m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Limited (30 minutes) care plan oversight. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.)"
}
]
},
{
"code": "G2015",
"display": "Post-d/c care plan overs 60m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Comprehensive (60 mins) home care plan oversight. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility.)"
}
]
},
{
"code": "G2020",
"display": "Hi inten serv for sip model",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Services for high intensity clinical services associated with the initial engagement and outreach of beneficiaries assigned to the sip component of the pcf model (do not bill with chronic care management codes)"
}
]
},
{
"code": "G2021",
"display": "Hea care pract tx in place",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Health care practitioners rendering treatment in place (tip)"
}
]
},
{
"code": "G2022",
"display": "Benef refuses service, mod",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "A model participant (ambulance supplier/provider), the beneficiary refuses services covered under the model (transport to an alternate destination/treatment in place)"
}
]
},
{
"code": "G2023",
"display": "Specimen collect covid-19",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source"
}
]
},
{
"code": "G2024",
"display": "Spec coll snf/lab covid-19",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source"
}
]
},
{
"code": "G2025",
"display": "Dis site tele svcs rhc/fqhc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only"
}
]
},
{
"code": "G2058",
"display": "Ccm add 20min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491))."
}
]
},
{
"code": "G2061",
"display": "Qual nonmd est pt 5-10m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 5-10 minutes"
}
]
},
{
"code": "G2062",
"display": "Qual nonmd est pt 11-20m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 11-20 minutes"
}
]
},
{
"code": "G2063",
"display": "Qual nonmd est pt 21>min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 21 or more minutes"
}
]
},
{
"code": "G2064",
"display": "Md mang high risk dx 30",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Comprehensive care management services for a single high-risk disease, e.g., principal care management, at least 30 minutes of physician or other qualified health care professional time per calendar month with the following elements: one complex chronic condition lasting at least 3 months, which is the focus of the care plan, the condition is of sufficient severity to place patient at risk of hospitalization or have been the cause of a recent hospitalization, the condition requires development or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen, and/or the management of the condition is unusually complex due to comorbidities"
}
]
},
{
"code": "G2065",
"display": "Clin mang h risk dx 30",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Comprehensive care management for a single high-risk disease services, e.g. principal care management, at least 30 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month with the following elements: one complex chronic condition lasting at least 3 months, which is the focus of the care plan, the condition is of sufficient severity to place patient at risk of hospitalization or have been cause of a recent hospitalization, the condition requires development or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen, and/or the management of the condition is unusually complex due to comorbidities"
}
]
},
{
"code": "G2066",
"display": "Inter devc remote 30d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results"
}
]
},
{
"code": "G2067",
"display": "Med assist tx meth wk",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program)"
}
]
},
{
"code": "G2068",
"display": "Med assist tx bupre oral",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medication assisted treatment, buprenorphine (oral); weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program)"
}
]
},
{
"code": "G2069",
"display": "Med assist tx inject",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medication assisted treatment, buprenorphine (injectable) administered on a monthly basis; bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program)"
}
]
},
{
"code": "G2070",
"display": "Med assist tx implant",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medication assisted treatment, buprenorphine (implant insertion); weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program)"
}
]
},
{
"code": "G2071",
"display": "Med tx remove implant",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medication assisted treatment, buprenorphine (implant removal); weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program)"
}
]
},
{
"code": "G2072",
"display": "Med tx insert/remove imp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medication assisted treatment, buprenorphine (implant insertion and removal); weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program)"
}
]
},
{
"code": "G2073",
"display": "Med tx naltrexone",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medication assisted treatment, naltrexone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program)"
}
]
},
{
"code": "G2074",
"display": "Med assist tx no drug",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program)"
}
]
},
{
"code": "G2075",
"display": "Med tx meds nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medication assisted treatment, medication not otherwise specified; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program)"
}
]
},
{
"code": "G2076",
"display": "Intake act w/med exam",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intake activities, including initial medical examination that is conducted by an appropriately licensed practitioner and preparation of a care plan, which may be informed by administration of a standardized, evidence-based social determinants of health risk assessment to identify unmet health-related social needs, and that includes the patient's goals and mutually agreed-upon actions for the patient to meet those goals, including harm reduction interventions; the patient's needs and goals in the areas of education, vocational training, and employment; and the medical and psychiatric, psychosocial, economic, legal, housing, and other recovery support services that a patient needs and wishes to pursue, conducted by an appropriately licensed/credentialed personnel (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code"
}
]
},
{
"code": "G2077",
"display": "Periodic assessment",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and patient-identified goals, and other relevant physical and psychiatric treatment needs and goals; assessment may be informed by administration of a standardized, evidence-based social determinants of health risk assessment to identify unmet health-related social needs, or the need and interest for harm reduction interventions and recovery support services (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code"
}
]
},
{
"code": "G2078",
"display": "Take-home meth",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure"
}
]
},
{
"code": "G2079",
"display": "Take-hom buprenorphine",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Take-home supply of buprenorphine (oral); up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure"
}
]
},
{
"code": "G2080",
"display": "Add 30 mins counsel",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Each additional 30 minutes of counseling in a week of medication assisted treatment, (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure"
}
]
},
{
"code": "G2081",
"display": "Pt 66+ snp or ltc pos > 90d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients age 66 and older in institutional special needs plans (snp) or residing in long-term care with a pos code 32, 33, 34, 54 or 56 for more than 90 consecutive days during the measurement period"
}
]
},
{
"code": "G2082",
"display": "Visit esketamine 56m or less",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Office or other outpatient visit for the evaluation and management of an established patient that requires the supervision of a physician or other qualified health care professional and provision of up to 56 mg of esketamine nasal self-administration, includes 2 hours post-administration observation"
}
]
},
{
"code": "G2083",
"display": "Visit esketamine, > 56m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Office or other outpatient visit for the evaluation and management of an established patient that requires the supervision of a physician or other qualified health care professional and provision of greater than 56 mg esketamine nasal self-administration, includes 2 hours post-administration observation"
}
]
},
{
"code": "G2086",
"display": "Off base opioid tx 70min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Office-based treatment for opioid use disorder, including development of the treatment plan, care coordination, individual therapy and group therapy and counseling; at least 70 minutes in the first calendar month"
}
]
},
{
"code": "G2087",
"display": "Off base opioid tx, 60 m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month"
}
]
},
{
"code": "G2088",
"display": "Off base opioid tx, add30",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; each additional 30 minutes beyond the first 120 minutes (list separately in addition to code for primary procedure)"
}
]
},
{
"code": "G2089",
"display": "A1c level 7 to 9%",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Most recent hemoglobin a1c (hba1c) level 7.0 to 9.0%"
}
]
},
{
"code": "G2090",
"display": "Pt 66+ frailty and med dem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period"
}
]
},
{
"code": "G2091",
"display": "Pt 66+ frailty and adv ill",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and an advanced illness diagnosis during the measurement period or the year prior to the measurement period"
}
]
},
{
"code": "G2092",
"display": "Ace arb arni",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) or angiotensin receptor-neprilysin inhibitor (arni) therapy prescribed or currently being taken"
}
]
},
{
"code": "G2093",
"display": "Med doc rsn no ace arn arni",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not prescribing ace inhibitor or arb or arni therapy (e.g., hypotensive patients who are at immediate risk of cardiogenic shock, hospitalized patients who have experienced marked azotemia, allergy, intolerance, other medical reasons)"
}
]
},
{
"code": "G2094",
"display": "Pt rsn no ace arn arni",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of patient reason(s) for not prescribing ace inhibitor or arb or arni therapy (e.g., patient declined, other patient reasons)"
}
]
},
{
"code": "G2095",
"display": "Sys rsn no ace arn arni",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of system reason(s) for not prescribing ace inhibitor or arb or arni therapy (e.g., other system reasons)"
}
]
},
{
"code": "G2096",
"display": "No rsn ace arb arni",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) or angiotensin receptor-neprilysin inhibitor (arni) therapy was not prescribed, reason not given"
}
]
},
{
"code": "G2097",
"display": "Dx uri 3d after other dx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Episodes where the patient had a competing diagnosis on or within three days after the episode date (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, chronic sinusitis, infection of the adenoids, prostatitis, cellulitis, mastoiditis, or bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia/gonococcal infections, venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis or uti)"
}
]
},
{
"code": "G2098",
"display": "Pt 66+ frailty and med dem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period"
}
]
},
{
"code": "G2099",
"display": "Pt 66+ frailty and adv ill",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and an advanced illness diagnosis during the measurement period or the year prior to the measurement period"
}
]
},
{
"code": "G2100",
"display": "Pt 66+ frailty and med dem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period"
}
]
},
{
"code": "G2101",
"display": "Pt 66+ frailty and adv ill",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and an advanced illness diagnosis during the measurement period or the year prior to the measurement period"
}
]
},
{
"code": "G2102",
"display": "Dil retinal eye exam",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed"
}
]
},
{
"code": "G2103",
"display": "7 stereo photos interpret",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Seven standard field stereoscopic photos with interpretation by an ophthalmologist or optometrist documented and reviewed"
}
]
},
{
"code": "G2104",
"display": "Eye img valid w/7 stereo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Eye imaging validated to match diagnosis from seven standard field stereoscopic photos results documented and reviewed"
}
]
},
{
"code": "G2105",
"display": "Pt 66+ snp or ltc pos > 90d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54 or 56 for more than 90 consecutive days during the measurement period"
}
]
},
{
"code": "G2106",
"display": "Pt 66+ frailty and med dem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period"
}
]
},
{
"code": "G2107",
"display": "Pt 66+ frailty and adv ill",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and an advanced illness diagnosis during the measurement period or the year prior to the measurement period"
}
]
},
{
"code": "G2108",
"display": "Pt 66+ snp or ltc pos > 90d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54 or 56 for more than 90 consecutive days during the measurement period"
}
]
},
{
"code": "G2109",
"display": "Pt 66+ frailty and med dem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period"
}
]
},
{
"code": "G2110",
"display": "Pt 66+ frailty and adv ill",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and either one acute inpatient encounter with a diagnosis of advanced illness or two outpatient, observation, ed or nonacute inpatient encounters on different dates of service with an advanced illness diagnosis during the measurement period or the year prior to the measurement period"
}
]
},
{
"code": "G2112",
"display": "Pred<=5 mg ra glu <6m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient receiving <=5 mg daily prednisone (or equivalent), or ra activity is worsening, or glucocorticoid use is for less than 6 months"
}
]
},
{
"code": "G2113",
"display": "Pred>5 mg >6m, no chg da",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient receiving >5 mg daily prednisone (or equivalent) for longer than 6 months, and improvement or no change in disease activity"
}
]
},
{
"code": "G2114",
"display": "Pt 66-80 frailty and med dem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients 66-80 years of age with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period"
}
]
},
{
"code": "G2115",
"display": "Pt 66-80 frailty and med dem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients 66 - 80 years of age with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period"
}
]
},
{
"code": "G2116",
"display": "Pt 66-80 frailty and adv ill",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients 66 - 80 years of age with at least one claim/encounter for frailty during the measurement period and an advanced illness diagnosis during the measurement period or the year prior to the measurement period"
}
]
},
{
"code": "G2117",
"display": "Pt 66-80 frailty and adv ill",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients 66-80 years of age with at least one claim/encounter for frailty during the measurement period and either one acute inpatient encounter with a diagnosis of advanced illness or two outpatient, observation, ed or nonacute inpatient encounters on different dates of service with an advanced illness diagnosis during the measurement period or the year prior to the measurement period"
}
]
},
{
"code": "G2118",
"display": "Pt 81+ frailty",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients 81 years of age and older with at least one claim/encounter for frailty during the measurement period"
}
]
},
{
"code": "G2119",
"display": "Calc vitd opt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Within the past 2 years, calcium and/or vitamin d optimization has been ordered or performed"
}
]
},
{
"code": "G2120",
"display": "No calc vitd opt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Within the past 2 years, calcium and/or vitamin d optimization has not been ordered or performed"
}
]
},
{
"code": "G2121",
"display": "Psy dep anx ap and icd asse",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Depression, anxiety, apathy, and psychosis assessed"
}
]
},
{
"code": "G2122",
"display": "Psy/dep/anx/apandicd noasse",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Depression, anxiety, apathy, and psychosis not assessed"
}
]
},
{
"code": "G2123",
"display": "Pt 66-80 frailty med dem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients 66-80 years of age and had at least one claim/encounter for frailty during the measurement period and either one acute inpatient encounter with a diagnosis of advanced illness or two outpatient, observation, ed or nonacute inpatient encounters on different dates of service with an advanced illness diagnosis during the measurement period or the year prior to the measurement period"
}
]
},
{
"code": "G2124",
"display": "Pt 66-80 frailty adv ill",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients 66-80 years of age and had at least one claim/encounter for frailty during the measurement period and a dispensed dementia medication"
}
]
},
{
"code": "G2125",
"display": "Pt 81+ frailty",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients 81 years of age and older with at least one claim/encounter for frailty during the six months prior to the measurement period through december 31 of the measurement period"
}
]
},
{
"code": "G2126",
"display": "Pt 66-80 frailty and adv ill",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients 66-80 years of age with at least one claim/encounter for frailty during the measurement period and an advanced illness diagnosis during the measurement period or the year prior to the measurement period"
}
]
},
{
"code": "G2127",
"display": "Pt 66-80 frailty and med dem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients 66-80 years of age with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period"
}
]
},
{
"code": "G2128",
"display": "No aspirin med rsn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not on a daily aspirin or other antiplatelet (e.g. history of gastrointestinal bleed, intra-cranial bleed, blood disorders, idiopathic thrombocytopenic purpura (itp), gastric bypass or documentation of active anticoagulant use during the measurement period)"
}
]
},
{
"code": "G2129",
"display": "No bp outpt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Procedure-related bp's not taken during an outpatient visit. examples include same day surgery, ambulatory service center, g.i. lab, dialysis, infusion center, chemotherapy"
}
]
},
{
"code": "G2130",
"display": "Pt 66+ lt inst > 90",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54 or 56 for more than 90 days during the measurement period"
}
]
},
{
"code": "G2131",
"display": "Pt 81+ frailty",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients 81 years and older with a diagnosis of frailty"
}
]
},
{
"code": "G2132",
"display": "Pt 66-80 frailty and med dem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients 66-80 years of age with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period"
}
]
},
{
"code": "G2133",
"display": "Pt 66-80 frailty and adv ill",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients 66-80 years of age with at least one claim/encounter for frailty during the measurement period and either one acute inpatient encounter with a diagnosis of advanced illness or two outpatient, observation, ed or nonacute inpatient encounters on different dates of service with an advanced illness diagnosis during the measurement period or the year prior to the measurement period"
}
]
},
{
"code": "G2134",
"display": "Pt 66+ frailty and med dem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients 66 years of age or older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period"
}
]
},
{
"code": "G2135",
"display": "Pt 66+ frailty and adv ill",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients 66 years of age or older with at least one claim/encounter for frailty during the measurement period and either one acute inpatient encounter with a diagnosis of advanced illness or two outpatient, observation, ed or nonacute inpatient encounters on different dates of service with an advanced illness diagnosis during the measurement period or the year prior to the measurement period"
}
]
},
{
"code": "G2136",
"display": "Bk pain vas 6-20wk <= 3",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Back pain measured by the visual analog scale (vas) or numeric pain scale at three months (6 - 20 weeks) postoperatively was less than or equal to 3.0 or back pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at three months (6 - 20 weeks) postoperatively demonstrated an improvement of 5.0 points or greater"
}
]
},
{
"code": "G2137",
"display": "Bk pain vas 6-20wk > 3",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Back pain measured by the visual analog scale (vas) or numeric pain scale at three months (6 - 20 weeks) postoperatively was greater than 3.0 and back pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at three months (6 - 20 weeks) postoperatively demonstrated improvement of less than 5.0 points"
}
]
},
{
"code": "G2138",
"display": "Bk pain vas 9-15mo <= 3",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Back pain as measured by the visual analog scale (vas) or numeric pain scale at one year (9 to 15 months) postoperatively was less than or equal to 3.0 or back pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at one year (9 to 15 months) postoperatively demonstrated an improvement of 5.0 points or greater"
}
]
},
{
"code": "G2139",
"display": "Bk pain vas 9-15mo > 3",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Back pain measured by the visual analog scale (vas) or numeric pain scale at one year (9 to 15 months) postoperatively was greater than 3.0 and back pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at one year (9 to 15 months) postoperatively demonstrated improvement of less than 5.0 points"
}
]
},
{
"code": "G2140",
"display": "Leg pain vas 6-20wk <= 3",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Leg pain measured by the visual analog scale (vas) or numeric pain scale at three months (6 - 20 weeks) postoperatively was less than or equal to 3.0 or leg pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at three months (6 - 20 weeks) postoperatively demonstrated an improvement of 5.0 points or greater"
}
]
},
{
"code": "G2141",
"display": "Leg pain vas 6-20wk > 3",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Leg pain measured by the visual analog scale (vas) or numeric pain scale at three months (6 - 20 weeks) postoperatively was greater than 3.0 and leg pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at three months (6 - 20 weeks) postoperatively demonstrated improvement of less than 5.0 points"
}
]
},
{
"code": "G2142",
"display": "Fs odi 9-15mo postop<= 22",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Functional status measured by the oswestry disability index (odi version 2.1a) at one year (9 to 15 months) postoperatively was less than or equal to 22 or functional status measured by the odi version 2.1a within three months preoperatively and at one year (9 to 15 months) postoperatively demonstrated an improvement of 30 points or greater"
}
]
},
{
"code": "G2143",
"display": "Fs odi 9-15mo > 22",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Functional status measured by the oswestry disability index (odi version 2.1a) at one year (9 to 15 months) postoperatively was greater than 22 and functional status measured by the odi version 2.1a within three months preoperatively and at one year (9 to 15 months) postoperatively demonstrated an improvement of less than 30 points"
}
]
},
{
"code": "G2144",
"display": "Fs odi 6-20wk postop <= 22",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Functional status measured by the oswestry disability index (odi version 2.1a) at three months (6-20 weeks) postoperatively was less than or equal to 22 or functional status measured by the odi version 2.1a within three months preoperatively and at three months (6-20 weeks) postoperatively demonstrated an improvement of 30 points or greater"
}
]
},
{
"code": "G2145",
"display": "Fsodi 6-20wk >22 or chg 30pt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Functional status measured by the oswestry disability index (odi version 2.1a) at three months (6 - 20 weeks) postoperatively was greater than 22 and functional status measured by the odi version 2.1a within three months preoperatively and at three months (6 - 20 weeks) postoperatively demonstrated an improvement of less than 30 points"
}
]
},
{
"code": "G2146",
"display": "Leg pain vas 9-15mo <= 3",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Leg pain as measured by the visual analog scale (vas) or numeric pain scale at one year (9 to 15 months) postoperatively was less than or equal to 3.0 or leg pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at one year (9 to 15 months) postoperatively demonstrated an improvement of 5.0 points or greater"
}
]
},
{
"code": "G2147",
"display": "Leg pain vas 9-15mo > 3",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Leg pain measured by the visual analog scale (vas) or numeric pain scale at one year (9 to 15 months) postoperatively was greater than 3.0 and leg pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at one year (9 to 15 months) postoperatively demonstrated improvement of less than 5.0 points"
}
]
},
{
"code": "G2148",
"display": "Mpm used",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Multimodal pain management was used"
}
]
},
{
"code": "G2149",
"display": "No mpm med rsn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not using multimodal pain management (e.g., allergy to multiple classes of analgesics, intubated patient, hepatic failure, patient reports no pain during pacu stay, other medical reason(s))"
}
]
},
{
"code": "G2150",
"display": "No mpm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Multimodal pain management was not used"
}
]
},
{
"code": "G2151",
"display": "Dx degen neuro",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson's diagnosed at any time before or during the episode of care"
}
]
},
{
"code": "G2152",
"display": "Res change sc >=0",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Residual score for the neck impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0)"
}
]
},
{
"code": "G2153",
"display": "Hosp dur meas pd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "In hospice or using hospice services during the measurement period"
}
]
},
{
"code": "G2154",
"display": "Td 9 yrs start end meas",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient received at least one td vaccine or one tdap vaccine between nine years prior to the start of the measurement period and the end of the measurement period"
}
]
},
{
"code": "G2155",
"display": "Hist contraindications",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient had history of at least one of the following contraindications any time during or before the measurement period: anaphylaxis due to tdap vaccine, anaphylaxis due to td vaccine or its components; encephalopathy due to tdap or td vaccination (post tetanus vaccination encephalitis, post diphtheria vaccination encephalitis or post pertussis vaccination encephalitis.)"
}
]
},
{
"code": "G2156",
"display": "No prior td or hx contra",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient did not receive at least one td vaccine or one tdap vaccine between nine years prior to the start of the measurement period and the end of the measurement period; or have history of at least one of the following contraindications any time during or before the measurement period: anaphylaxis due to tdap vaccine, anaphylaxis due to td vaccine or its components; encephalopathy due to tdap or td vaccination (post tetanus vaccination encephalitis, post diphtheria vaccination encephalitis or post pertussis vaccination encephalitis.)"
}
]
},
{
"code": "G2157",
"display": "Pneum vacc 12 mo 60+",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients received both the 13-valent pneumococcal conjugate vaccine and the 23-valent pneumococcal polysaccharide vaccine at least 12 months apart, with the first occurrence after the age of 60 before or during the measurement period"
}
]
},
{
"code": "G2158",
"display": "Pneum vacc adv rx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient had prior pneumococcal vaccine adverse reaction any time during or before the measurement period"
}
]
},
{
"code": "G2159",
"display": "No pneum vacc 12 mo 60+",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient did not receive both the 13-valent pneumococcal conjugate vaccine and the 23-valent pneumococcal polysaccharide vaccine at least 12 months apart, with the first occurrence after the age of 60 before or during measurement period; or have prior pneumococcal vaccine adverse reaction any time during or before the measurement period"
}
]
},
{
"code": "G2160",
"display": "Herpzos 50+",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient received at least one dose of the herpes zoster live vaccine or two doses of the herpes zoster recombinant vaccine (at least 28 days apart) anytime on or after the patient's 50th birthday before or during the measurement period"
}
]
},
{
"code": "G2161",
"display": "Adv rx zos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient had prior adverse reaction caused by zoster vaccine or its components any time during or before the measurement period"
}
]
},
{
"code": "G2162",
"display": "No herpzos 50+",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient did not receive at least one dose of the herpes zoster live vaccine or two doses of the herpes zoster recombinant vaccine (at least 28 days apart) anytime on or after the patient's 50th birthday before or during the measurement period; or have prior adverse reaction caused by zoster vaccine or its components any time during or before the measurement period"
}
]
},
{
"code": "G2163",
"display": "Infl vacc 07/01 to 06/30",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient received an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period"
}
]
},
{
"code": "G2164",
"display": "Adv rx infl vacc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient had a prior influenza virus vaccine adverse reaction any time before or during the measurement period"
}
]
},
{
"code": "G2165",
"display": "No infl vacc 07/01 to 06/30",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient did not receive an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period; or did not have a prior influenza virus vaccine adverse reaction any time before or during the measurement period"
}
]
},
{
"code": "G2166",
"display": "No pt adm dx no neck fs prom",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient refused to participate at admission and/or discharge; patient unable to complete the neck fs prom at admission or discharge due to cognitive deficit, visual deficit, motor deficit, language barrier, or low reading level, and a suitable proxy/recorder is not available; patient self-discharged early; medical reason"
}
]
},
{
"code": "G2167",
"display": "Res change sc < 0",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Residual score for the neck impairment successfully calculated and the score was less than zero (< 0)"
}
]
},
{
"code": "G2168",
"display": "Svs by pt in home health",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Services performed by a physical therapist assistant in the home health setting in the delivery of a safe and effective physical therapy maintenance program, each 15 minutes"
}
]
},
{
"code": "G2169",
"display": "Svs by ot in home health",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Services performed by an occupational therapist assistant in the home health setting in the delivery of a safe and effective occupational therapy maintenance program, each 15 minutes"
}
]
},
{
"code": "G2170",
"display": "Avf by tissue w thermal e",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Percutaneous arteriovenous fistula creation (avf), direct, any site, by tissue approximation using thermal resistance energy, and secondary procedures to redirect blood flow (e.g., transluminal balloon angioplasty, coil embolization) when performed, and includes all imaging and radiologic guidance, supervision and interpretation, when performed"
}
]
},
{
"code": "G2171",
"display": "Avf use magnetic/art/ven",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Percutaneous arteriovenous fistula creation (avf), direct, any site, using magnetic-guided arterial and venous catheters and radiofrequency energy, including flow-directing procedures (e.g., vascular coil embolization with radiologic supervision and interpretation, wen performed) and fistulogram(s), angiography, enography, and/or ultrasound, with radiologic supervision and interpretation, when performed"
}
]
},
{
"code": "G2172",
"display": "Tx for opioid use demo proj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All inclusive payment for services related to highly coordinated and integrated opioid use disorder (oud) treatment services furnished for the demonstration project"
}
]
},
{
"code": "G2173",
"display": "Uri w comorb 12m oth dx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Uri episodes where the patient had a comorbid condition during the 12 months prior to or on the episode date (e.g., tuberculosis, neutropenia, cystic fibrosis, chronic bronchitis, pulmonary edema, respiratory failure, rheumatoid lung disease)"
}
]
},
{
"code": "G2174",
"display": "Uri new rx antibiotic 30d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Uri episodes where the patient is taking antibiotics (table 1) in the 30 days prior to the episode date"
}
]
},
{
"code": "G2175",
"display": "Pt comorb dx 12m of epi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Episodes where the patient had a comorbid condition during the 12 months prior to or on the episode date (e.g., tuberculosis, neutropenia, cystic fibrosis, chronic bronchitis, pulmonary edema, respiratory failure, rheumatoid lung disease)"
}
]
},
{
"code": "G2176",
"display": "Outpt ed obs w inpt admit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Outpatient, ed, or observation visits that result in an inpatient admission"
}
]
},
{
"code": "G2177",
"display": "Bronch w rx antibx 30d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Acute bronchitis/bronchiolitis episodes when the patient had a new or refill prescription of antibiotics (table 1) in the 30 days prior to the episode date"
}
]
},
{
"code": "G2178",
"display": "Pt not elig low neuro ex",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinician documented that patient was not an eligible candidate for lower extremity neurological exam measure, for example patient bilateral amputee; patient has condition that would not allow them to accurately respond to a neurological exam (dementia, alzheimer's, etc.); patient has previously documented diabetic peripheral neuropathy with loss of protective sensation"
}
]
},
{
"code": "G2179",
"display": "Med doc rsn no low ex",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinician documented that patient had medical reason for not performing lower extremity neurological exam"
}
]
},
{
"code": "G2180",
"display": "Inelig footwr eval",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinician documented that patient was not an eligible candidate for evaluation of footwear as patient is bilateral lower extremity amputee"
}
]
},
{
"code": "G2181",
"display": "Bmi not doc medrsn ptref",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bmi not documented due to medical reason or patient refusal of height or weight measurement"
}
]
},
{
"code": "G2182",
"display": "Pt 1st biolog antirheum",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient receiving first-time biologic and/or immune response modifier therapy"
}
]
},
{
"code": "G2183",
"display": "Doc pt unable comm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation patient unable to communicate and informant not available"
}
]
},
{
"code": "G2184",
"display": "No caregiver",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient does not have a caregiver"
}
]
},
{
"code": "G2185",
"display": "Caregiver dem trained",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation caregiver is trained and certified in dementia care"
}
]
},
{
"code": "G2186",
"display": "Pt ref app rsrcs",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient /caregiver dyad has been referred to appropriate resources and connection to those resources is confirmed"
}
]
},
{
"code": "G2187",
"display": "Clin ind img hd trauma",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with clinical indications for imaging of the head: head trauma"
}
]
},
{
"code": "G2188",
"display": "Pt 50 yrs w/clin ind hd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with clinical indications for imaging of the head: new or change in headache above 50 years of age"
}
]
},
{
"code": "G2189",
"display": "Img hd abnml neuro exam",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with clinical indications for imaging of the head: abnormal neurologic exam"
}
]
},
{
"code": "G2190",
"display": "Ind img hd rad neck",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with clinical indications for imaging of the head: headache radiating to the neck"
}
]
},
{
"code": "G2191",
"display": "Ind img hd pos hd ache",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with clinical indications for imaging of the head: positional headaches"
}
]
},
{
"code": "G2192",
"display": ">55 yrs temp hd ache",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with clinical indications for imaging of the head: temporal headaches in patients over 55 years of age"
}
]
},
{
"code": "G2193",
"display": "<6yr new onset hd ache",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with clinical indications for imaging of the head: new onset headache in pre-school children or younger (<6 years of age)"
}
]
},
{
"code": "G2194",
"display": "New hdache ped pt dis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with clinical indications for imaging of the head: new onset headache in pediatric patients with disabilities for which headache is a concern as inferred from behavior"
}
]
},
{
"code": "G2195",
"display": "Occip hdache child",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with clinical indications for imaging of the head: occipital headache in children"
}
]
},
{
"code": "G2196",
"display": "Screen unhlthy etoh use",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method"
}
]
},
{
"code": "G2197",
"display": "Screen hlthy etoh use",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user"
}
]
},
{
"code": "G2198",
"display": "Med rsn no unhlthy etoh",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not screening for unhealthy alcohol use using a systematic screening method (e.g., limited life expectancy, other medical reasons)"
}
]
},
{
"code": "G2199",
"display": "Not scrn etoh no rsn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient not screened for unhealthy alcohol use using a systematic screening method"
}
]
},
{
"code": "G2200",
"display": "Unhlthy etoh rcvd couns",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient identified as an unhealthy alcohol user received brief counseling"
}
]
},
{
"code": "G2201",
"display": "Med rsn no brief couns",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not providing brief counseling (e.g., limited life expectancy, other medical reasons)"
}
]
},
{
"code": "G2202",
"display": "No rsn no brief couns",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient did not receive brief counseling if identified as an unhealthy alcohol user"
}
]
},
{
"code": "G2203",
"display": "Med rsn no etoh couns",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not providing brief counseling if identified as an unhealthy alcohol user (e.g., limited life expectancy, other medical reasons)"
}
]
},
{
"code": "G2204",
"display": "Pt 45-85 w/ scope",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients between 45 and 85 years of age who received a screening colonoscopy during the performance period"
}
]
},
{
"code": "G2205",
"display": "Preg drng adjv trtmt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with pregnancy during adjuvant treatment course"
}
]
},
{
"code": "G2206",
"display": "Adjv trtmt chemo her2",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient received adjuvant treatment course including both chemotherapy and her2-targeted therapy"
}
]
},
{
"code": "G2207",
"display": "Rsn no trtmt chem her2",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Reason for not administering adjuvant treatment course including both chemotherapy and her2-targeted therapy (e.g. poor performance status (ecog 3-4; karnofsky <=50), cardiac contraindications, insufficient renal function, insufficient hepatic function, other active or secondary cancer diagnoses, other medical contraindications, patients who died during initial treatment course or transferred during or after initial treatment course)"
}
]
},
{
"code": "G2208",
"display": "No trtmt chemo and her2",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient did not receive adjuvant treatment course including both chemotherapy and her2-targeted therapy"
}
]
},
{
"code": "G2209",
"display": "Refused to participate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient refused to participate"
}
]
},
{
"code": "G2210",
"display": "No neck fs prom no rsn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Residual score for the neck impairment not measured because the patient did not complete the neck fs prom at initial evaluation and/or near discharge, reason not given"
}
]
},
{
"code": "G2211",
"display": "Complex e/m visit add on",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)"
}
]
},
{
"code": "G2212",
"display": "Prolong outpt/office vis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes)"
}
]
},
{
"code": "G2213",
"display": "Initiat med assist tx in er",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Initiation of medication for the treatment of opioid use disorder in the emergency department setting, including assessment, referral to ongoing care, and arranging access to supportive services (list separately in addition to code for primary procedure)"
}
]
},
{
"code": "G2214",
"display": "Init/sub psych care m 1st 30",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Initial or subsequent psychiatric collaborative care management, first 30 minutes in a month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional"
}
]
},
{
"code": "G2215",
"display": "Home supply nasal naloxone",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Take-home supply of nasal naloxone; 2-pack of 4mg per 0.1 ml nasal spray (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure"
}
]
},
{
"code": "G2216",
"display": "Home supply inject naloxon",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Take-home supply of injectable naloxone (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure"
}
]
},
{
"code": "G2250",
"display": "Remot img sub by pt, non e/m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Remote assessment of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related service provided within the previous 7 days nor leading to a service or procedure within the next 24 hours or soonest available appointment"
}
]
},
{
"code": "G2251",
"display": "Brief chkin, 5-10, non-e/m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Brief communication technology-based service, e.g. virtual check-in, by a qualified health care professional who cannot report evaluation and management services, provided to an established patient, not originating from a related service provided within the previous 7 days nor leading to a service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of clinical discussion"
}
]
},
{
"code": "G2252",
"display": "Brief chkin by md/qhp, 11-20",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion"
}
]
},
{
"code": "G3001",
"display": "Admin + supply, tositumomab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Administration and supply of tositumomab, 450 mg"
}
]
},
{
"code": "G3002",
"display": "Chronic pain mgmt 30 mins",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.)"
}
]
},
{
"code": "G3003",
"display": "Chronic pain mgmt addl 15m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care professional, per calendar month. (list separately in addition to code for g3002. when using g3003, 15 minutes must be met or exceeded.)"
}
]
},
{
"code": "G4000",
"display": "Dermatology ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dermatology mips specialty set"
}
]
},
{
"code": "G4001",
"display": "Diagnostic rad ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Diagnostic radiology mips specialty set"
}
]
},
{
"code": "G4002",
"display": "Ep cardio ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Electrophysiology cardiac specialist mips specialty set"
}
]
},
{
"code": "G4003",
"display": "Emergency med ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Emergency medicine mips specialty set"
}
]
},
{
"code": "G4004",
"display": "Endocrinology ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Endocrinology mips specialty set"
}
]
},
{
"code": "G4005",
"display": "Family medicine ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Family medicine mips specialty set"
}
]
},
{
"code": "G4006",
"display": "Gastroenterology ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gastro-enterology mips specialty set"
}
]
},
{
"code": "G4007",
"display": "General surgery ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "General surgery mips specialty set"
}
]
},
{
"code": "G4008",
"display": "Geriatrics ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Geriatrics mips specialty set"
}
]
},
{
"code": "G4009",
"display": "Hospitalists ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospitalists mips specialty set"
}
]
},
{
"code": "G4010",
"display": "Infectious disease ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Infectious disease mips specialty set"
}
]
},
{
"code": "G4011",
"display": "Internal medicine ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Internal medicine mips specialty set"
}
]
},
{
"code": "G4012",
"display": "Interventional rad ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Interventional radiology mips specialty set"
}
]
},
{
"code": "G4013",
"display": "Mntal/behav/psych hlth ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Mental/behavioral and psychiatry mips specialty set"
}
]
},
{
"code": "G4014",
"display": "Nephrology ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nephrology mips specialty set"
}
]
},
{
"code": "G4015",
"display": "Neurology ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Neurology mips specialty set"
}
]
},
{
"code": "G4016",
"display": "Neurosurgical ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Neurosurgical mips specialty set"
}
]
},
{
"code": "G4017",
"display": "Nutrition/dietician ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nutrition/dietician mips specialty set"
}
]
},
{
"code": "G4018",
"display": "Ob/gyn ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Obstetrics/gynecology mips specialty set"
}
]
},
{
"code": "G4019",
"display": "Oncology/hema ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology/hematology mips specialty set"
}
]
},
{
"code": "G4020",
"display": "Ophthalmology/optometry ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ophthalmology/optometry mips specialty set"
}
]
},
{
"code": "G4021",
"display": "Orthopedic surgery ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Orthopedic surgery mips specialty set"
}
]
},
{
"code": "G4022",
"display": "Otolaryngology ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Otolaryngology mips specialty set"
}
]
},
{
"code": "G4023",
"display": "Pathology ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pathology mips specialty set"
}
]
},
{
"code": "G4024",
"display": "Pediatrics ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pediatrics mips specialty set"
}
]
},
{
"code": "G4025",
"display": "Physical medicine ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Physical medicine mips specialty set"
}
]
},
{
"code": "G4026",
"display": "Phys/occ therapy ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Physical therapy/occupational therapy mips specialty set"
}
]
},
{
"code": "G4027",
"display": "Plastic surgery ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Plastic surgery mips specialty set"
}
]
},
{
"code": "G4028",
"display": "Podiatry ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Podiatry mips specialty set"
}
]
},
{
"code": "G4029",
"display": "Preventive medicine ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Preventive medicine mips specialty set"
}
]
},
{
"code": "G4030",
"display": "Pulmonology ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pulmonology mips specialty set"
}
]
},
{
"code": "G4031",
"display": "Radiation oncology ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Radiation oncology mips specialty set"
}
]
},
{
"code": "G4032",
"display": "Rheumatology ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Rheumatology mips specialty set"
}
]
},
{
"code": "G4033",
"display": "Skilled nursing facility ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Skilled nursing facility mips specialty set"
}
]
},
{
"code": "G4034",
"display": "Speech language path ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Speech language pathology mips specialty set"
}
]
},
{
"code": "G4035",
"display": "Thoracic surgery ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Thoracic surgery mips specialty set"
}
]
},
{
"code": "G4036",
"display": "Urgent care ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Urgent care mips specialty set"
}
]
},
{
"code": "G4037",
"display": "Urology ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Urology mips specialty set"
}
]
},
{
"code": "G4038",
"display": "Vascular surgery ss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Vascular surgery mips specialty set"
}
]
},
{
"code": "G6001",
"display": "Echo guidance radiotherapy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ultrasonic guidance for placement of radiation therapy fields"
}
]
},
{
"code": "G6002",
"display": "Stereoscopic x-ray guidance",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy"
}
]
},
{
"code": "G6003",
"display": "Radiation treatment delivery",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: up to 5 mev"
}
]
},
{
"code": "G6004",
"display": "Radiation treatment delivery",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: 6-10 mev"
}
]
},
{
"code": "G6005",
"display": "Radiation treatment delivery",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: 11-19 mev"
}
]
},
{
"code": "G6006",
"display": "Radiation treatment delivery",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: 20 mev or greater"
}
]
},
{
"code": "G6007",
"display": "Radiation treatment delivery",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: up to 5 mev"
}
]
},
{
"code": "G6008",
"display": "Radiation treatment delivery",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: 6-10 mev"
}
]
},
{
"code": "G6009",
"display": "Radiation treatment delivery",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: 11-19 mev"
}
]
},
{
"code": "G6010",
"display": "Radiation treatment delivery",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: 20 mev or greater"
}
]
},
{
"code": "G6011",
"display": "Radiation treatment delivery",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; up to 5 mev"
}
]
},
{
"code": "G6012",
"display": "Radiation treatment delivery",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev"
}
]
},
{
"code": "G6013",
"display": "Radiation treatment delivery",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev"
}
]
},
{
"code": "G6014",
"display": "Radiation treatment delivery",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 20 mev or greater"
}
]
},
{
"code": "G6015",
"display": "Radiation tx delivery imrt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session"
}
]
},
{
"code": "G6016",
"display": "Delivery comp imrt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Compensator-based beam modulation treatment delivery of inverse planned treatment using 3 or more high resolution (milled or cast) compensator, convergent beam modulated fields, per treatment session"
}
]
},
{
"code": "G6017",
"display": "Intrafraction track motion",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intra-fraction localization and tracking of target or patient motion during delivery of radiation therapy (eg,3d positional tracking, gating, 3d surface tracking), each fraction of treatment"
}
]
},
{
"code": "G6018",
"display": "Ileoscopy w/stent",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ileoscopy, through stoma; with transendoscopic stent placement (includes predilation)"
}
]
},
{
"code": "G6019",
"display": "Colonoscopy lesion removal",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique"
}
]
},
{
"code": "G6020",
"display": "Colonoscopy w/stent",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Colonoscopy through stoma; with transendoscopic stent placement (includes predilation)"
}
]
},
{
"code": "G6021",
"display": "Unlisted px small intestine",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Unlisted procedure, intestine"
}
]
},
{
"code": "G6022",
"display": "Sigmoidoscopy w/ablate tumr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesions(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique"
}
]
},
{
"code": "G6023",
"display": "Sigmoidoscopy w/stent",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sigmoidoscopy, flexible; with transendoscopic stent placement (includes predilation)"
}
]
},
{
"code": "G6024",
"display": "Lesion removal colonoscopy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Colonoscopy, flexible; proximal to splenic flexure; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique"
}
]
},
{
"code": "G6025",
"display": "Colonoscopy w/stent",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Colonoscopy, flexible, proximal to splenic flexure; with transendoscopic stent placement (includes predilation)"
}
]
},
{
"code": "G6027",
"display": "Anoscopy hra w/spec collect",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Anoscopy, high resolution (hra) (with magnification and chemical agent enhancement); diagnostic, including collection of specimen(s) by brushing or washing when performed"
}
]
},
{
"code": "G6028",
"display": "Anoscopy hra w/biopsy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Anoscopy, high resolution (hra) (with magnification and chemical agent enhancement); with biopsy(ies)"
}
]
},
{
"code": "G6030",
"display": "Assay of amitriptyline",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Amitriptyline"
}
]
},
{
"code": "G6031",
"display": "Assay of benzodiazepines",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Benzodiazepines"
}
]
},
{
"code": "G6032",
"display": "Assay of desipramine",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Desipramine"
}
]
},
{
"code": "G6034",
"display": "Assay of doxepin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Doxepin"
}
]
},
{
"code": "G6035",
"display": "Assay of gold",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gold"
}
]
},
{
"code": "G6036",
"display": "Assay of imipramine"
},
{
"code": "G6037",
"display": "Assay of nortiptyline",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nortriptyline"
}
]
},
{
"code": "G6038",
"display": "Assay of salicylate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Salicylate"
}
]
},
{
"code": "G6039",
"display": "Assay of acetaminophen",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Acetaminophen"
}
]
},
{
"code": "G6040",
"display": "Assay of ethanol",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alcohol (ethanol); any specimen except breath"
}
]
},
{
"code": "G6041",
"display": "Assay of urine alkaloids",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alkaloids, urine, quantitative"
}
]
},
{
"code": "G6042",
"display": "Assay of amphetamines",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Amphetamine or methamphetamine"
}
]
},
{
"code": "G6043",
"display": "Assay of barbiturates",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Barbiturates, not elsewhere specified"
}
]
},
{
"code": "G6044",
"display": "Assay of cocaine",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cocaine or metabolite"
}
]
},
{
"code": "G6045",
"display": "Assay of dihydrocodeinone",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dihydrocodeinone"
}
]
},
{
"code": "G6046",
"display": "Assay of dihydromorphinone",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dihydromorphinone"
}
]
},
{
"code": "G6047",
"display": "Assay of dihydrotestosterone",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dihydrotestosterone"
}
]
},
{
"code": "G6048",
"display": "Assay of dimethadione",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dimethadione"
}
]
},
{
"code": "G6049",
"display": "Asssay of epiandrosterone",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Epiandrosterone"
}
]
},
{
"code": "G6050",
"display": "Assay of ethchlorvynol",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ethchlorvynol"
}
]
},
{
"code": "G6051",
"display": "Assay of flurazepam",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Flurazepam"
}
]
},
{
"code": "G6052",
"display": "Assay of meprobamate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Meprobamate"
}
]
},
{
"code": "G6053",
"display": "Assay of methadone",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Methadone"
}
]
},
{
"code": "G6054",
"display": "Assay of methsuximide",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Methsuximide"
}
]
},
{
"code": "G6055",
"display": "Assay of nicotine",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nicotine"
}
]
},
{
"code": "G6056",
"display": "Assay of opiates",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Opiate(s), drug and metabolites, each procedure"
}
]
},
{
"code": "G6057",
"display": "Assay of phenothiazine",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Phenothiazine"
}
]
},
{
"code": "G6058",
"display": "Drug confirmation",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Drug confirmation, each procedure"
}
]
},
{
"code": "G8126",
"display": "Pt treat w/antidepress12wks",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient with a diagnosis of major depression documented as being treated with antidepressant medication during the entire 84 day (12 week) acute treatment phase"
}
]
},
{
"code": "G8127",
"display": "Pt not treat w/antidepres12w",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient with a diagnosis of major depression not documented as being treated with antidepressant medication during the entire 84 day (12 week) acute treatment phase"
}
]
},
{
"code": "G8128",
"display": "Pt inelig for antidepres med",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinician documented that patient was not an eligible candidate for antidepressant medication during the entire 12 week acute treatment phase measure"
}
]
},
{
"code": "G8395",
"display": "Lvef>=40% doc normal or mild",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Left ventricular ejection fraction (lvef) >= 40% or documentation as normal or mildly depressed left ventricular systolic function"
}
]
},
{
"code": "G8396",
"display": "Lvef not performed",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Left ventricular ejection fraction (lvef) not performed or documented"
}
]
},
{
"code": "G8397",
"display": "Dil macula/fundus exam/w doc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy"
}
]
},
{
"code": "G8398",
"display": "Dil macular/fundus not perfo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dilated macular or fundus exam not performed"
}
]
},
{
"code": "G8399",
"display": "Pt w/dxa results document",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed"
}
]
},
{
"code": "G8400",
"display": "Pt w/dxa no results doc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not given"
}
]
},
{
"code": "G8401",
"display": "Pt inelig osteo screen measu",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinician documented that patient was not an eligible candidate for screening"
}
]
},
{
"code": "G8404",
"display": "Low extemity neur exam docum",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lower extremity neurological exam performed and documented"
}
]
},
{
"code": "G8405",
"display": "Low extemity neur not perfor",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lower extremity neurological exam not performed"
}
]
},
{
"code": "G8406",
"display": "Pt inelig lower extrem neuro",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinician documented that patient was not an eligible candidate for lower extremity neurological exam measure"
}
]
},
{
"code": "G8410",
"display": "Eval on foot documented",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Footwear evaluation performed and documented"
}
]
},
{
"code": "G8415",
"display": "Eval on foot not performed",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Footwear evaluation was not performed"
}
]
},
{
"code": "G8416",
"display": "Pt inelig footwear evaluatio",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinician documented that patient was not an eligible candidate for footwear evaluation measure"
}
]
},
{
"code": "G8417",
"display": "Calc bmi abv up param f/u",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bmi is documented above normal parameters and a follow-up plan is documented"
}
]
},
{
"code": "G8418",
"display": "Calc bmi blw low param f/u",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bmi is documented below normal parameters and a follow-up plan is documented"
}
]
},
{
"code": "G8419",
"display": "Calc bmi out nrm param nof/u",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bmi documented outside normal parameters, no follow-up plan documented, no reason given"
}
]
},
{
"code": "G8420",
"display": "Calc bmi norm parameters",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bmi is documented within normal parameters and no follow-up plan is required"
}
]
},
{
"code": "G8421",
"display": "Bmi not calculated",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bmi not documented and no reason is given"
}
]
},
{
"code": "G8422",
"display": "Pt inelig bmi calculation",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bmi not documented, documentation the patient is not eligible for bmi calculation"
}
]
},
{
"code": "G8427",
"display": "Docrev cur meds by elig clin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications"
}
]
},
{
"code": "G8428",
"display": "Cur meds not document",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given"
}
]
},
{
"code": "G8430",
"display": "Doc med rsn no medrec",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an urgent or emergent medical situation)"
}
]
},
{
"code": "G8431",
"display": "Pos clin depres scrn f/u doc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Screening for depression is documented as being positive and a follow-up plan is documented"
}
]
},
{
"code": "G8432",
"display": "Dep scr not doc, rng",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Depression screening not documented, reason not given"
}
]
},
{
"code": "G8433",
"display": "Scr for dep not cpt doc rsn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Screening for depression not completed, documented patient or medical reason"
}
]
},
{
"code": "G8442",
"display": "Doc pain as nt perf, not elg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pain assessment not documented as being performed, documentation the patient is not eligible for a pain assessment using a standardized tool at the time of the encounter"
}
]
},
{
"code": "G8450",
"display": "Beta-bloc rx pt w/abn lvef",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Beta-blocker therapy prescribed"
}
]
},
{
"code": "G8451",
"display": "Pt w/abn lvef inelig b-bloc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Beta-blocker therapy for lvef <=40% not prescribed for reasons documented by the clinician (e.g., low blood pressure, fluid overload, asthma, patients recently treated with an intravenous positive inotropic agent, allergy, intolerance, other medical reasons, patient declined, other patient reasons)"
}
]
},
{
"code": "G8452",
"display": "Pt w/abn lvef b-bloc no rx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Beta-blocker therapy not prescribed"
}
]
},
{
"code": "G8458",
"display": "Pt inelig geno no antvir tx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinician documented that patient is not an eligible candidate for genotype testing; patient not receiving antiviral treatment for hepatitis c during the measurement period (e.g. genotype test done prior to the reporting period, patient declines, patient not a candidate for antiviral treatment)"
}
]
},
{
"code": "G8460",
"display": "Pt inelig rna no antvir tx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinician documented that patient is not an eligible candidate for quantitative rna testing at week 12; patient not receiving antiviral treatment for hepatitis c"
}
]
},
{
"code": "G8461",
"display": "Pt rec antivir treat hep c",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient receiving antiviral treatment for hepatitis c during the measurement period"
}
]
},
{
"code": "G8464",
"display": "Pt inelig; lo to no dter rsk",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinician documented that prostate cancer patient is not an eligible candidate for adjuvant hormonal therapy; low or intermediate risk of recurrence or risk of recurrence not determined"
}
]
},
{
"code": "G8465",
"display": "High risk recurrence pro ca",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "High or very high risk of recurrence of prostate cancer"
}
]
},
{
"code": "G8473",
"display": "Ace/arb thxpy rx'd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed"
}
]
},
{
"code": "G8474",
"display": "Ace/arb not rx'd; doc reas",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy not prescribed for reasons documented by the clinician (e.g., allergy, intolerance, pregnancy, renal failure due to ace inhibitor, diseases of the aortic or mitral valve, other medical reasons) or (e.g., patient declined, other patient reasons)"
}
]
},
{
"code": "G8475",
"display": "Ace/arb thxpy not rx'd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy not prescribed, reason not given"
}
]
},
{
"code": "G8476",
"display": "Bp sys <140 and dias <90",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg"
}
]
},
{
"code": "G8477",
"display": "Bp sys>=140 and/or dias >=90",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg"
}
]
},
{
"code": "G8478",
"display": "Bp not performed/doc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Blood pressure measurement not performed or documented, reason not given"
}
]
},
{
"code": "G8482",
"display": "Flu immunize order/admin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Influenza immunization administered or previously received"
}
]
},
{
"code": "G8483",
"display": "Flu imm no admin doc rea",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons)"
}
]
},
{
"code": "G8484",
"display": "Flu immunize no admin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Influenza immunization was not administered, reason not given"
}
]
},
{
"code": "G8485",
"display": "Report, diabetes measures",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "I intend to report the diabetes mellitus (dm) measures group"
}
]
},
{
"code": "G8486",
"display": "Report, prev care measures",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "I intend to report the preventive care measures group"
}
]
},
{
"code": "G8487",
"display": "Report ckd measures",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "I intend to report the chronic kidney disease (ckd) measures group"
}
]
},
{
"code": "G8489",
"display": "Cad measures grp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "I intend to report the coronary artery disease (cad) measures group"
}
]
},
{
"code": "G8490",
"display": "Ra measures grp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "I intend to report the rheumatoid arthritis (ra) measures group"
}
]
},
{
"code": "G8491",
"display": "Hiv/aids measures grp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "I intend to report the hiv/aids measures group"
}
]
},
{
"code": "G8492",
"display": "Periop care measures grp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "I intend to report the perioperative care measures group"
}
]
},
{
"code": "G8493",
"display": "Back pain measures grp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "I intend to report the back pain measures group"
}
]
},
{
"code": "G8494",
"display": "Dm meas qual act perform",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All quality actions for the applicable measures in the diabetes mellitus (dm) measures group have been performed for this patient"
}
]
},
{
"code": "G8495",
"display": "Ckd meas qual act perform",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All quality actions for the applicable measures in the chronic kidney disease (ckd) measures group have been performed for this patient"
}
]
},
{
"code": "G8496",
"display": "Prev care mg qual act perfrm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All quality actions for the applicable measures in the preventive care measures group have been performed for this patient"
}
]
},
{
"code": "G8497",
"display": "Cabg meas qual act perform",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All quality actions for the applicable measures in the coronary artery bypass graft (cabg) measures group have been performed for this patient"
}
]
},
{
"code": "G8498",
"display": "Cad meas qual act perform",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All quality actions for the applicable measures in the coronary artery disease (cad) measures group have been performed for this patient"
}
]
},
{
"code": "G8499",
"display": "Ra meas qual act perform",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All quality actions for the applicable measures in the rheumatoid arthritis (ra) measures group have been performed for this patient"
}
]
},
{
"code": "G8500",
"display": "Hiv meas qual act perform",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All quality actions for the applicable measures in the hiv/aids measures group have been performed for this patient"
}
]
},
{
"code": "G8501",
"display": "Perio meas qual act perform",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All quality actions for the applicable measures in the perioperative care measures group have been performed for this patient"
}
]
},
{
"code": "G8502",
"display": "Back pain mg qual act perfrm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All quality actions for the applicable measures in the back pain measures group have been performed for this patient"
}
]
},
{
"code": "G8506",
"display": "Pt rec ace/arb",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy"
}
]
},
{
"code": "G8509",
"display": "Pos pain assess no f/u doc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given"
}
]
},
{
"code": "G8510",
"display": "Scr dep neg, no plan reqd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Screening for depression is documented as negative, a follow-up plan is not required"
}
]
},
{
"code": "G8511",
"display": "Scr dep pos, no plan doc rng",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Screening for depression documented as positive, follow-up plan not documented, reason not given"
}
]
},
{
"code": "G8530",
"display": "Auto av fistula recd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Autogenous av fistula received"
}
]
},
{
"code": "G8531",
"display": "Pt inelig; auto av fistula",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinician documented that patient was not an eligible candidate for autogenous av fistula"
}
]
},
{
"code": "G8532",
"display": "No auto av fistula; no reas",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinician documented that patient received vascular access other than autogenous av fistula, reason not given"
}
]
},
{
"code": "G8535",
"display": "Eld maltreatment not doc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Elder maltreatment screen not documented; documentation that patient is not eligible for the elder maltreatment screen at the time of the encounter related to one of the following reasons: (1) patient refuses to participate in the screening and has reasonable decisional capacity for self-protection, or (2) patient is in an urgent or emergent situation where time is of the essence and to delay treatment to perform the screening would jeopardize the patient's health status"
}
]
},
{
"code": "G8536",
"display": "No doc elder mal scrn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "No documentation of an elder maltreatment screen, reason not given"
}
]
},
{
"code": "G8539",
"display": "Doc funct and care plan",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment"
}
]
},
{
"code": "G8540",
"display": "Foa not doc as being perf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Functional outcome assessment not documented as being performed, documentation the patient is not eligible for a functional outcome assessment using a standardized tool at the time of the encounter"
}
]
},
{
"code": "G8541",
"display": "No doc cur funct assess",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Functional outcome assessment using a standardized tool not documented, reason not given"
}
]
},
{
"code": "G8542",
"display": "Doc funct no deficiencies",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required"
}
]
},
{
"code": "G8543",
"display": "Cur funct asses; no care pln",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of a positive functional outcome assessment using a standardized tool; care plan not documented within two days of assessment, reason not given"
}
]
},
{
"code": "G8544",
"display": "Cabg measures grp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "I intend to report the coronary artery bypass graft (cabg) measures group"
}
]
},
{
"code": "G8545",
"display": "Hepc measures grp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "I intend to report the hepatitis c measures group"
}
]
},
{
"code": "G8547",
"display": "Ivd measures grp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "I intend to report the ischemic vascular disease (ivd) measures group"
}
]
},
{
"code": "G8548",
"display": "Hf measures grp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "I intend to report the heart failure (hf) measures group"
}
]
},
{
"code": "G8549",
"display": "Hepc mg qual act perform",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All quality actions for the applicable measures in the hepatitis c measures group have been performed for this patient"
}
]
},
{
"code": "G8551",
"display": "Hf mg qual act perform",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All quality actions for the applicable measures in the heart failure (hf) measures group have been performed for this patient"
}
]
},
{
"code": "G8552",
"display": "Ivd mg qual act perform",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All quality actions for the applicable measures in the ischemic vascular disease (ivd) measures group have been performed for this patient"
}
]
},
{
"code": "G8559",
"display": "Pt ref doc oto eval",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation"
}
]
},
{
"code": "G8560",
"display": "Pt hx act drain prev 90 days",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient has a history of active drainage from the ear within the previous 90 days"
}
]
},
{
"code": "G8561",
"display": "Pt inelig for ref oto eval",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient is not eligible for the referral for otologic evaluation for patients with a history of active drainage measure"
}
]
},
{
"code": "G8562",
"display": "Pt no hx act drain 90 d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient does not have a history of active drainage from the ear within the previous 90 days"
}
]
},
{
"code": "G8563",
"display": "Pt no ref oto reas no spec",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient not referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not given"
}
]
},
{
"code": "G8564",
"display": "Pt ref oto eval",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient was referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not specified)"
}
]
},
{
"code": "G8565",
"display": "Ver doc hear loss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Verification and documentation of sudden or rapidly progressive hearing loss"
}
]
},
{
"code": "G8566",
"display": "Pt inelig ref oto eval",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient is not eligible for the \"referral for otologic evaluation for sudden or rapidly progressive hearing loss\" measure"
}
]
},
{
"code": "G8567",
"display": "Pt no doc hear loss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient does not have verification and documentation of sudden or rapidly progressive hearing loss"
}
]
},
{
"code": "G8568",
"display": "Pt no ref otolo no spec",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient was not referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not given"
}
]
},
{
"code": "G8569",
"display": "Prol intubation req",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prolonged postoperative intubation (> 24 hrs) required"
}
]
},
{
"code": "G8570",
"display": "No prol intub req",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prolonged postoperative intubation (> 24 hrs) not required"
}
]
},
{
"code": "G8571",
"display": "Ster wd ifx 30 d postop",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Development of deep sternal wound infection/mediastinitis within 30 days postoperatively"
}
]
},
{
"code": "G8572",
"display": "No ster wd ifx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "No deep sternal wound infection/mediastinitis"
}
]
},
{
"code": "G8573",
"display": "Stk cabg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Stroke following isolated cabg surgery"
}
]
},
{
"code": "G8574",
"display": "No strk cabg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "No stroke following isolated cabg surgery"
}
]
},
{
"code": "G8575",
"display": "Postop ren fail",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Developed postoperative renal failure or required dialysis"
}
]
},
{
"code": "G8576",
"display": "No postop ren fail",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "No postoperative renal failure/dialysis not required"
}
]
},
{
"code": "G8577",
"display": "Reop req bld grft oth",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Re-exploration required due to mediastinal bleeding with or without tamponade, unplanned coronary artery intervention (native, vessel, graft, or both), valve dysfunction, aortic reintervention, or other cardiac reason"
}
]
},
{
"code": "G8578",
"display": "No reop req bld grft oth",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Re-exploration not required due to mediastinal bleeding with or without tamponade, unplanned coronary artery intervention (native, vessel, graft, or both), valve dysfunction, aortic reintervention, or other cardiac reason"
}
]
},
{
"code": "G8579",
"display": "Antplt med disch",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Antiplatelet medication at discharge"
}
]
},
{
"code": "G8580",
"display": "Antplt med contraind",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Antiplatelet medication contraindicated"
}
]
},
{
"code": "G8581",
"display": "No antplt med disch",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "No antiplatelet medication at discharge"
}
]
},
{
"code": "G8582",
"display": "Bblock disch",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Beta-blocker at discharge"
}
]
},
{
"code": "G8583",
"display": "Bblock contraind",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Beta-blocker contraindicated"
}
]
},
{
"code": "G8584",
"display": "No bblock disch",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "No beta-blocker at discharge"
}
]
},
{
"code": "G8585",
"display": "Antilipid treat disch",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Anti-lipid treatment at discharge"
}
]
},
{
"code": "G8586",
"display": "Antlip disch contra",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Anti-lipid treatment contraindicated"
}
]
},
{
"code": "G8587",
"display": "No antlipid treat disch",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "No anti-lipid treatment at discharge"
}
]
},
{
"code": "G8593",
"display": "Lipid pn results",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lipid profile results documented and reviewed (must include total cholesterol, hdl-c, triglycerides and calculated ldl-c)"
}
]
},
{
"code": "G8594",
"display": "No lipid prof perf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lipid profile not performed, reason not given"
}
]
},
{
"code": "G8595",
"display": "Ldl < 100",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Most recent ldl-c < 100 mg/dl"
}
]
},
{
"code": "G8597",
"display": "Ldl >= 100",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Most recent ldl-c >= 100 mg/dl"
}
]
},
{
"code": "G8598",
"display": "Asa/antiplat ther used",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Aspirin or another antiplatelet therapy used"
}
]
},
{
"code": "G8599",
"display": "No asa/antiplat ther use rng",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Aspirin or another antiplatelet therapy not used, reason not given"
}
]
},
{
"code": "G8600",
"display": "Tpa initi w/in 4.5 hr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Iv thrombolytic therapy initiated within 4.5 hours (<= 270 minutes) of time last known well"
}
]
},
{
"code": "G8601",
"display": "No elig tpa init w/in 4.5 hr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Iv thrombolytic therapy not initiated within 4.5 hours (<= 270 minutes) of time last known well for reasons documented by clinician (e.g. patient enrolled in clinical trial for stroke, patient admitted for elective carotid intervention)"
}
]
},
{
"code": "G8602",
"display": "No tpa init w/in 4.5 hr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Iv thrombolytic therapy not initiated within 4.5 hours (<= 270 minutes) of time last known well, reason not given"
}
]
},
{
"code": "G8627",
"display": "Surg proc w/in 30 days",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Surgical procedure performed within 30 days following cataract surgery for major complications (e.g., retained nuclear fragments, endophthalmitis, dislocated or wrong power iol, retinal detachment, or wound dehiscence)"
}
]
},
{
"code": "G8628",
"display": "No surg proc w/in 30 days",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Surgical procedure not performed within 30 days following cataract surgery for major complications (e.g., retained nuclear fragments, endophthalmitis, dislocated or wrong power iol, retinal detachment, or wound dehiscence)"
}
]
},
{
"code": "G8629",
"display": "Doc antibio order b/4 surg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of order for prophylactic parenteral antibiotic to be given within one hour (if fluoroquinolone or vancomycin, two hours) prior to surgical incision (or start of procedure when no incision is required)"
}
]
},
{
"code": "G8630",
"display": "Doc antibio given b/4 surg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation that administration of prophylactic parenteral antibiotics was initiated within one hour (if fluoroquinolone or vancomycin, two hours) prior to surgical incision (or start of procedure when no incision is required), as ordered"
}
]
},
{
"code": "G8631",
"display": "Pt no elg 4 order antbi give",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinician documented that patient was not an eligible candidate for ordering prophylactic parenteral antibiotics to be given within one hour (if fluoroquinolone or vancomycin, two hours) prior to surgical incision (or start of procedure when no incision is required)"
}
]
},
{
"code": "G8632",
"display": "Doc no antibi order b/4 surg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prophylactic parenteral antibiotics were not ordered to be given or given within one hour (if fluoroquinolone or vancomycin, two hours) prior to the surgical incision (or start of procedure when no incision is required), reason not given"
}
]
},
{
"code": "G8633",
"display": "Pharm ther osteo rx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pharmacologic therapy (other than minerals/vitamins) for osteoporosis prescribed"
}
]
},
{
"code": "G8634",
"display": "Pt no elg phar ther osteo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinician documented patient not an eligible candidate to receive pharmacologic therapy for osteoporosis"
}
]
},
{
"code": "G8635",
"display": "No pharm ther osteo rx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pharmacologic therapy for osteoporosis was not prescribed, reason not given"
}
]
},
{
"code": "G8645",
"display": "Asthma measures grp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "I intend to report the asthma measures group"
}
]
},
{
"code": "G8646",
"display": "Asthma mg qual act perform",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All quality actions for the applicable measures in the asthma measures group have been performed for this patient"
}
]
},
{
"code": "G8647",
"display": "Rafscrs ki scor >= 0",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Residual score for the knee impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0)"
}
]
},
{
"code": "G8648",
"display": "Rafscrs ki scor < 0",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Residual score for the knee impairment successfully calculated and the score was less than zero (< 0)"
}
]
},
{
"code": "G8649",
"display": "Rafscrs ki no scor",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Risk-adjusted functional status change residual score for the knee impairment not measured because the patient did not complete the fs status survey near discharge, patient not appropriate"
}
]
},
{
"code": "G8650",
"display": "Rafs crs ki no scor no rsn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Residual score for the knee impairment not measured because the patient did not complete the lepf prom at initial evaluation and/or near discharge, reason not given"
}
]
},
{
"code": "G8651",
"display": "Rafscrs hi scor >=0",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Residual score for the hip impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0)"
}
]
},
{
"code": "G8652",
"display": "Rafscrs hi scor < 0",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Residual score for the hip impairment successfully calculated and the score was less than zero (< 0)"
}
]
},
{
"code": "G8653",
"display": "Rafscrs hi no scor",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Risk-adjusted functional status change residual scores for the hip impairment not measured because the patient did not complete the fs status survey near discharge, patient not appropriate"
}
]
},
{
"code": "G8654",
"display": "Rafs crs hi no scor no surv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Residual score for the hip impairment not measured because the patient did not complete the lepf prom at initial evaluation and/or near discharge, reason not given"
}
]
},
{
"code": "G8655",
"display": "Rafscrs llfai scor >= 0",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Residual score for the lower leg, foot or ankle impairment successfully calculated and the score was equal to zero (0) or greater than zero ( > 0)"
}
]
},
{
"code": "G8656",
"display": "Rafscrs llfai scor < 0",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Residual score for the lower leg, foot or ankle impairment successfully calculated and the score was less than zero (< 0)"
}
]
},
{
"code": "G8657",
"display": "Rafscrs llfai no scor",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Risk-adjusted functional status change residual score for the lower leg, foot or ankle impairment not measured because the patient did not complete the fs status survey near discharge, patient not appropriate"
}
]
},
{
"code": "G8658",
"display": "Rafscrs llfai no scor + surv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Residual score for the lower leg, foot or ankle impairment not measured because the patient did not complete the lepf prom at initial evaluation and/or near discharge, reason not given"
}
]
},
{
"code": "G8659",
"display": "Rafscrs lbi scor >= 0",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Residual score for the low back impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0)"
}
]
},
{
"code": "G8660",
"display": "Rafscrs lbi scor < 0",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Residual score for the low back impairment successfully calculated and the score was less than zero (< 0)"
}
]
},
{
"code": "G8661",
"display": "Rafscrs lbi no scor",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Risk-adjusted functional status change residual score for the low back impairment not measured because the patient did not complete the fs status survey near discharge, patient not appropriate"
}
]
},
{
"code": "G8662",
"display": "Rafs crs lbi no scor no surv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Residual score for the low back impairment not measured because the patient did not complete the low back fs prom at initial evaluation and/or near discharge, reason not given"
}
]
},
{
"code": "G8663",
"display": "Rafscrs si scor >= 0",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Residual score for the shoulder impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0)"
}
]
},
{
"code": "G8664",
"display": "Rafscrs si scor < 0",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Residual score for the shoulder impairment successfully calculated and the score was less than zero (< 0)"
}
]
},
{
"code": "G8665",
"display": "Rafscrs si no scor",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Risk-adjusted functional status change residual score for the shoulder impairment not measured because the patient did not complete the fs status survey near discharge, patient not appropriate"
}
]
},
{
"code": "G8666",
"display": "Rafs crs si no scor no surv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Residual score for the shoulder impairment not measured because the patient did not complete the shoulder fs prom at initial evaluation and/or near discharge, reason not given"
}
]
},
{
"code": "G8667",
"display": "Rafscrs ewh scor >= 0",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Residual score for the elbow, wrist or hand impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0)"
}
]
},
{
"code": "G8668",
"display": "Rafscrs ewh scor < 0",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Residual score for the elbow, wrist or hand impairment successfully calculated and the score was less than zero (< 0)"
}
]
},
{
"code": "G8669",
"display": "Rafscrs",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Risk-adjusted functional status change residual score for the elbow, wrist or hand impairment not measured because the patient did not complete the fs status survey near discharge, patient not appropriate"
}
]
},
{
"code": "G8670",
"display": "Rafs crs ewh no scor no surv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Residual score for the elbow, wrist or hand impairment not measured because the patient did not complete the elbow/wrist/hand fs prom at initial evaluation and/or near discharge, reason not given"
}
]
},
{
"code": "G8671",
"display": "Rafscrs goi scor >= 0",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, ribs or other general orthopedic impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0)"
}
]
},
{
"code": "G8672",
"display": "Rafscrs goi scor < 0",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, ribs or other general orthopedic impairment successfully calculated and the score was less than zero (< 0)"
}
]
},
{
"code": "G8673",
"display": "Rafscrs goi no scor",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, ribs or other general orthopedic impairment not measured because the patient did not complete the fs status survey near discharge, patient not appropriate"
}
]
},
{
"code": "G8674",
"display": "Rafscrs neck, no msr/no foto",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, ribs or other general orthopedic impairment not measured because the patient did not complete the general orthopedic fs prom at initial evaluation and/or near discharge, reason not given"
}
]
},
{
"code": "G8682",
"display": "Lvg test perf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lvf testing documented as being performed prior to discharge or in the previous 12 months"
}
]
},
{
"code": "G8683",
"display": "Pt not elig for lvf test",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lvf testing not performed prior to discharge or in the previous 12 months for a medical or patient documented reason"
}
]
},
{
"code": "G8685",
"display": "Lvf test not perf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lvf testing not documented as being performed prior to discharge or in the previous 12 months, reason not given"
}
]
},
{
"code": "G8694",
"display": "Lvef <=40%",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Current or prior left ventricular ejection fraction (lvef) < = 40% or documentation of moderate or severe lvsd"
}
]
},
{
"code": "G8696",
"display": "Antithromb thx presc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Antithrombotic therapy prescribed at discharge"
}
]
},
{
"code": "G8697",
"display": "Antithromb no presc doc reas",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Antithrombotic therapy not prescribed for documented reasons (e.g., patient had stroke during hospital stay, patient expired during inpatient stay, other medical reason(s)); (e.g., patient left against medical advice, other patient reason(s))"
}
]
},
{
"code": "G8698",
"display": "Antithromb no presc no reas",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Antithrombotic therapy was not prescribed at discharge, reason not given"
}
]
},
{
"code": "G8699",
"display": "Rehab ordered disch",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Rehabilitation services (occupational, physical or speech) ordered at or prior to discharge"
}
]
},
{
"code": "G8700",
"display": "Rehab not indicated disch",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Rehabilitation services (occupational, physical or speech) not indicated at or prior to discharge"
}
]
},
{
"code": "G8701",
"display": "Rehab not ordered",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Rehabilitation services were not ordered, reason not otherwise specified"
}
]
},
{
"code": "G8702",
"display": "Antiobiotics 4 hr prior surg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation that prophylactic antibiotics were given within 4 hours prior to surgical incision or intraoperatively"
}
]
},
{
"code": "G8703",
"display": "Antibiotics not prior surg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation that prophylactic antibiotics were neither given within 4 hours prior to surgical incision nor intraoperatively"
}
]
},
{
"code": "G8704",
"display": "Ecg performed",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "12-lead electrocardiogram (ecg) performed"
}
]
},
{
"code": "G8705",
"display": "Med reas no ecg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not performing a 12-lead electrocardiogram (ecg)"
}
]
},
{
"code": "G8706",
"display": "Pt reas no ecg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of patient reason(s) for not performing a 12-lead electrocardiogram (ecg)"
}
]
},
{
"code": "G8707",
"display": "Ecg not performed",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "12-lead electrocardiogram (ecg) not performed, reason not given"
}
]
},
{
"code": "G8708",
"display": "Antibiotic not pres",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient not prescribed antibiotic"
}
]
},
{
"code": "G8709",
"display": "Uri ep compete diag",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Uri episodes when the patient had competing diagnoses on or three days after the episode date (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis, mastoiditis, or bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia/gonococcal infections, venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis or uti, and acne)"
}
]
},
{
"code": "G8710",
"display": "Pt pres antibiotic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient prescribed antibiotic"
}
]
},
{
"code": "G8711",
"display": "Pres antibx on/within 3 day",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prescribed antibiotic on or within 3 days after the episode date"
}
]
},
{
"code": "G8712",
"display": "Not pres antibiotic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Antibiotic not prescribed or dispensed"
}
]
},
{
"code": "G8713",
"display": "Spkt/v great 1.2 kt/v",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spkt/v greater than or equal to 1.2 (single-pool clearance of urea [kt] / volume [v])"
}
]
},
{
"code": "G8714",
"display": "Hemodialysis 3 times week",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hemodialysis treatment performed exactly three times per week for > 90 days"
}
]
},
{
"code": "G8717",
"display": "Less 1.2 kt/v",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spkt/v less than 1.2 (single-pool clearance of urea [kt] / volume [v]), reason not given"
}
]
},
{
"code": "G8718",
"display": "Great 1.7 kt/v per week",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Total kt/v greater than or equal to 1.7 per week (total clearance of urea [kt] / volume [v])"
}
]
},
{
"code": "G8720",
"display": "Less 1.7 kt/v per week",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Total kt/v less than 1.7 per week (total clearance of urea [kt] / volume [v])"
}
]
},
{
"code": "G8721",
"display": "Pt, pn, hist grade doc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pt category (primary tumor), pn category (regional lymph nodes), and histologic grade were documented in pathology report"
}
]
},
{
"code": "G8722",
"display": "Med reas pt, pn, not doc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not including the pt category, the pn category or the histologic grade in the pathology report (e.g., re-excision without residual tumor; non-carcinomasanal canal)"
}
]
},
{
"code": "G8723",
"display": "Spec sit not prim tumor",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Specimen site is other than anatomic location of primary tumor"
}
]
},
{
"code": "G8724",
"display": "Pt, pn, hist grade not doc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pt category, pn category and histologic grade were not documented in the pathology report, reason not given"
}
]
},
{
"code": "G8725",
"display": "Lipid profile perf doc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Fasting lipid profile performed (triglycerides, ldl-c, hdl-c and total cholesterol)"
}
]
},
{
"code": "G8726",
"display": "Doc reas no lipid profile",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinician has documented reason for not performing fasting lipid profile (e.g., patient declined, other patient reasons)"
}
]
},
{
"code": "G8728",
"display": "Lipid profile not perf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Fasting lipid profile not performed, reason not given"
}
]
},
{
"code": "G8730",
"display": "Pain doc pos and plan",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pain assessment documented as positive using a standardized tool and a follow-up plan is documented"
}
]
},
{
"code": "G8731",
"display": "Pain neg no plan",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pain assessment using a standardized tool is documented as negative, no follow-up plan required"
}
]
},
{
"code": "G8732",
"display": "No doc of pain",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "No documentation of pain assessment, reason not given"
}
]
},
{
"code": "G8733",
"display": "Doc pos elder mal scrn plan",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Elder maltreatment screen documented as positive and a follow-up plan is documented"
}
]
},
{
"code": "G8734",
"display": "Doc neg eld req",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Elder maltreatment screen documented as negative, follow-up is not required"
}
]
},
{
"code": "G8735",
"display": "Eld mal scrn pos no plan",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Elder maltreatment screen documented as positive, follow-up plan not documented, reason not given"
}
]
},
{
"code": "G8736",
"display": "Ldl-c <100mg/dl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Most current ldl-c <100mg/dl"
}
]
},
{
"code": "G8737",
"display": "Ldl-c >=100mg/dl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Most current ldl-c >=100mg/dl"
}
]
},
{
"code": "G8738",
"display": "Lvef < 40%",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Left ventricular ejection fraction (lvef) < 40% or documentation of severely or moderately depressed left ventricular systolic function"
}
]
},
{
"code": "G8739",
"display": "Lvef >= 40%",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Left ventricular ejection fraction (lvef) >= 40% or documentation as normal or mildly depressed left ventricular systolic function"
}
]
},
{
"code": "G8740",
"display": "Lvef not perfrmd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Left ventricular ejection fraction (lvef) not performed or assessed, reason not given"
}
]
},
{
"code": "G8749",
"display": "No signs melanoma",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Absence of signs of melanoma (tenderness, jaundice, localized neurologic signs such as weakness, or any other sign suggesting systemic spread) or absence of symptoms of melanoma (cough, dyspnea, pain, paresthesia, or any other symptom suggesting the possibility of systemic spread of melanoma)"
}
]
},
{
"code": "G8751",
"display": "Smkg status not assess",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Smoking status and exposure to second hand smoke in the home not assessed, reason not given"
}
]
},
{
"code": "G8752",
"display": "Sys bp less 140",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Most recent systolic blood pressure < 140 mmhg"
}
]
},
{
"code": "G8753",
"display": "Sys bp > or = 140",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Most recent systolic blood pressure >= 140 mmhg"
}
]
},
{
"code": "G8754",
"display": "Dias bp less 90",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Most recent diastolic blood pressure < 90 mmhg"
}
]
},
{
"code": "G8755",
"display": "Dias bp > or = 90",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Most recent diastolic blood pressure >= 90 mmhg"
}
]
},
{
"code": "G8756",
"display": "No bp measure doc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "No documentation of blood pressure measurement, reason not given"
}
]
},
{
"code": "G8757",
"display": "Copd mg qual act perform",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All quality actions for the applicable measures in the chronic obstructive pulmonary disease (copd) measures group have been performed for this patient"
}
]
},
{
"code": "G8758",
"display": "Ibd mg qual act perform",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All quality actions for the applicable measures in the inflammatory bowel disease (ibd) measures group have been performed for this patient"
}
]
},
{
"code": "G8759",
"display": "Osa mg qual act perform",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All quality actions for the applicable measures in the sleep apnea measures group have been performed for this patient"
}
]
},
{
"code": "G8761",
"display": "Dementia mg qual act perform",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All quality actions for the applicable measures in the dementia measures group have been performed for this patient"
}
]
},
{
"code": "G8762",
"display": "Pd mg qual act perform",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All quality actions for the applicable measures in the parkinson's disease measures group have been performed for this patient"
}
]
},
{
"code": "G8763",
"display": "Hyperten mg qual act perform",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All quality actions for the applicable measures in the hypertension (htn) measures group have been performed for this patient"
}
]
},
{
"code": "G8764",
"display": "Car prev mg qual act perform",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All quality actions for the applicable measures in the cardiovascular prevention measures group have bee performed for this patient"
}
]
},
{
"code": "G8765",
"display": "Cataract mg qual act perform",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All quality actions for the applicable measures in the cataract measures group have been performed for this patient"
}
]
},
{
"code": "G8767",
"display": "Lipid panel res doc rev",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lipid panel results documented and reviewed (must include total cholesterol, hdl-c, triglycerides and calculated ldl-c)"
}
]
},
{
"code": "G8768",
"display": "Doc med reas no lipid profle",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not performing lipid profile (e.g., patients with palliative goals or for whom treatment of hypertension with standard treatment goals is not clinically appropriate)"
}
]
},
{
"code": "G8769",
"display": "Lipid profile not perform",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lipid profile not performed, reason not given"
}
]
},
{
"code": "G8770",
"display": "Urine protein test doc rev",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Urine protein test result documented and reviewed"
}
]
},
{
"code": "G8771",
"display": "Doc dx ckd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of diagnosis of chronic kidney disease"
}
]
},
{
"code": "G8772",
"display": "Doc med reas no urine protn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not performing urine protein test (e.g., patients with palliative goals or for whom treatment of hypertension with standard treatment goals is not cllinically appropriate)"
}
]
},
{
"code": "G8773",
"display": "No urine protein test",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Urine protein test was not performed, reason not given"
}
]
},
{
"code": "G8774",
"display": "Serum creatinine doc rev",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Serum creatinine test result documented and reviewed"
}
]
},
{
"code": "G8775",
"display": "Doc med reas no serum crtn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not performing serum creatinine test (e.g., patients with palliative goals or for whom treatment of hypertension with standard treatment goals is not clinically appropriate)"
}
]
},
{
"code": "G8776",
"display": "No serum creatinine test",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Serum creatinine test not performed, reason not given"
}
]
},
{
"code": "G8777",
"display": "Diabetes screen",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Diabetes screening test performed"
}
]
},
{
"code": "G8778",
"display": "Doc med reas no diabete scrn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not performing diabetes screening test (e.g., patients with a diagnosis of diabetes, or with palliative goals or for whom treatment of hypertension with standard treatment goals is not clinically appropriate)"
}
]
},
{
"code": "G8779",
"display": "No diabetes screen",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Diabetes screening test not performed, reason not given"
}
]
},
{
"code": "G8780",
"display": "Counsel diet phys activity",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Counseling for diet and physical activity performed"
}
]
},
{
"code": "G8781",
"display": "Doc med reas no counsel diet",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for patient not receiving counseling for diet and physical activity (e.g., patients with palliative goals or for whom treatment of hypertension with standard treatment goals is not clinically appropriate)"
}
]
},
{
"code": "G8782",
"display": "No counsel diet phys act",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Counseling for diet and physical activity not performed, reason not given"
}
]
},
{
"code": "G8783",
"display": "Bp scrn perf rec interval",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Normal blood pressure reading documented, follow-up not required"
}
]
},
{
"code": "G8784",
"display": "Pt no elig for bp assess",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient not eligible (e.g., documentation the patient is not eligible due to active diagnosis of hypertension, patient refuses, urgent or emergent situation)"
}
]
},
{
"code": "G8785",
"display": "Bp scrn no perf at interval",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Blood pressure reading not documented, reason not given"
}
]
},
{
"code": "G8797",
"display": "Specimen site not esophagus",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Specimen site other than anatomic location of esophagus"
}
]
},
{
"code": "G8798",
"display": "Specimen site not prostate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Specimen site other than anatomic location of prostate"
}
]
},
{
"code": "G8806",
"display": "Perf ultrsnd to lct preg doc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Performance of trans-abdominal or trans-vaginal ultrasound and pregnancy location documented"
}
]
},
{
"code": "G8807",
"display": "No ta tv ultrasnd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Trans-abdominal or trans-vaginal ultrasound not performed for reasons documented by clinician (e.g., patient has a documented intrauterine pregnancy [iup])"
}
]
},
{
"code": "G8808",
"display": "Ultrasound not perf, rng",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Trans-abdominal or trans-vaginal ultrasound not performed, reason not given"
}
]
},
{
"code": "G8809",
"display": "Rh-immunoglobulin order",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Rh-immunoglobulin (rhogam) ordered"
}
]
},
{
"code": "G8810",
"display": "Doc reas no rh-immuno",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Rh-immunoglobulin (rhogam) not ordered for reasons documented by clinician (e.g., patient had prior documented receipt of rhogam within 12 weeks, patient refusal)"
}
]
},
{
"code": "G8811",
"display": "No rh-immunoglobulin order",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation rh-immunoglobulin (rhogam) was not ordered, reason not given"
}
]
},
{
"code": "G8815",
"display": "Doc reas no statin therapy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documented reason in the medical records for why the statin therapy was not prescribed (i.e., lower extremity bypass was for a patient with non-artherosclerotic disease)"
}
]
},
{
"code": "G8816",
"display": "Statin med pres at disch",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Statin medication prescribed at discharge"
}
]
},
{
"code": "G8817",
"display": "Doc reas no statin med disch",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Statin therapy not prescribed at discharge, reason not given"
}
]
},
{
"code": "G8818",
"display": "Pt disch to home by day#7",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient discharge to home no later than post-operative day #7"
}
]
},
{
"code": "G8825",
"display": "Pt not disch to home day#7",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient not discharged to home by post-operative day #7"
}
]
},
{
"code": "G8826",
"display": "Pt disch home day #2 evar",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient discharged to home no later than post-operative day #2 following evar"
}
]
},
{
"code": "G8833",
"display": "Pt not disch home day#2 evar",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient not discharged to home by post-operative day #2 following evar"
}
]
},
{
"code": "G8834",
"display": "Pt disch home day #2 cea",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient discharged to home no later than post-operative day #2 following cea"
}
]
},
{
"code": "G8838",
"display": "Not disch home by day #2",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient not discharged to home by post-operative day #2 following cea"
}
]
},
{
"code": "G8839",
"display": "Sleep apnea assess",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sleep apnea symptoms assessed, including presence or absence of snoring and daytime sleepiness"
}
]
},
{
"code": "G8840",
"display": "Doc reas no sleep apnea",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of reason(s) for not documenting an assessment of sleep symptoms (e.g., patient didn't have initial daytime sleepiness, patient visited between initial testing and initiation of therapy)"
}
]
},
{
"code": "G8841",
"display": "No sleep apnea assess",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sleep apnea symptoms not assessed, reason not given"
}
]
},
{
"code": "G8842",
"display": "Ahi rdi rei doc win 2mo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Apnea hypopnea index (ahi), respiratory disturbance index (rdi) or respiratory event index (rei) documented or measured within 2 months after initial evaluation for suspected obstructive sleep apnea"
}
]
},
{
"code": "G8843",
"display": "Doc reas no ahi rdi rei",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of reason(s) for not measuring an apnea hypopnea index (ahi), a respiratory disturbance index (rdi), or a respiratory event index (rei) within 2 months after initial evaluation for suspected obstructive sleep apnea (e.g., medical, neurological, or psychiatric disease that prohibits successful completion of a sleep study, patients for whom a sleep study would present a bigger risk than benefit or would pose an undue burden, dementia, patients previously diagnosed with osa and severity assessed by another provider, patients who decline ahi/rdi/rei measurement, patients who had a financial reason for not completing testing, test was ordered but not completed, patients decline because their insurance (payer) does not cover the expense)"
}
]
},
{
"code": "G8844",
"display": "No ahi rdi rei ini dx no rsn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Apnea hypopnea index (ahi), respiratory disturbance index (rdi), or respiratory event index (rei) not documented or measured within 2 months after initial evaluation for suspected obstructive sleep apnea, reason not given"
}
]
},
{
"code": "G8845",
"display": "Pos airway press prescribed",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Positive airway pressure therapy prescribed"
}
]
},
{
"code": "G8846",
"display": "Mod or severe osa",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Moderate or severe obstructive sleep apnea (apnea hypopnea index (ahi) or respiratory disturbance index (rdi) of 15 or greater)"
}
]
},
{
"code": "G8848",
"display": "Mild osa",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Mild obstructive sleep apnea (apnea hypopnea index (ahi) or respiratory disturbance index (rdi) of less than 15)"
}
]
},
{
"code": "G8849",
"display": "Doc reas no pos air press",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of reason(s) for not prescribing positive airway pressure therapy (e.g., patient unable to tolerate, alternative therapies use, patient declined, financial, insurance coverage)"
}
]
},
{
"code": "G8850",
"display": "No pap prescribed",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Positive airway pressure therapy not prescribed, reason not given"
}
]
},
{
"code": "G8851",
"display": "Adhere tx assess at lst ann",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adherence to therapy was assessed at least annually through an objective informatics system or through self-reporting (if objective reporting is not available, documented)"
}
]
},
{
"code": "G8852",
"display": "Pos air press prescribe",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Positive airway pressure therapy was prescribed"
}
]
},
{
"code": "G8853",
"display": "Pos air press not prescribe",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Positive airway pressure therapy not prescribed"
}
]
},
{
"code": "G8854",
"display": "Reas no adhere therapy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of reason(s) for not objectively reporting adherence to evidence-based therapy (e.g., patients who have been diagnosed with a terminal or advanced disease with an expected life span of less than 6 months, patients who decline therapy, patients who do not return for follow-up at least annually, patients unable to access/afford therapy, patient's insurance will not cover therapy)"
}
]
},
{
"code": "G8855",
"display": "Ther not assessed annually",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adherence to therapy was not assessed at least annually through an objective informatics system or through self-reporting (if objective reporting is not available), reason not given"
}
]
},
{
"code": "G8856",
"display": "Ref for oto eval",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Referral to a physician for an otologic evaluation performed"
}
]
},
{
"code": "G8857",
"display": "No elig ref for oto eval",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient is not eligible for the referral for otologic evaluation measure (e.g., patients who are already under the care of a physician for acute or chronic dizziness)"
}
]
},
{
"code": "G8858",
"display": "Not ref for oto eval",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Referral to a physician for an otologic evaluation not performed, reason not given"
}
]
},
{
"code": "G8859",
"display": "Corticosteroids 10mg 60 days",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient receiving corticosteroids greater than or equal to 10mg/day for 60 or greater consecutive days"
}
]
},
{
"code": "G8860",
"display": "Corticosteroid 10 mg 60 days",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who have received dose of corticosteroids greater than or equal to 10mg/day for 60 or greater consecutive days"
}
]
},
{
"code": "G8861",
"display": "Dxa ordered for osteo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Within the past 2 years, central dual-energy x-ray absorptiometry (dxa) ordered and documented, review of systems and medication history or pharmacologic therapy (other than minerals/vitamins) for osteoporosis prescribed"
}
]
},
{
"code": "G8862",
"display": "No corticostrd 10mg 60 days",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients not receiving corticosteroids greater than or equal to 10mg/day for 60 or greater consecutive days"
}
]
},
{
"code": "G8863",
"display": "No assess bone loss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients not assessed for risk of bone loss, reason not given"
}
]
},
{
"code": "G8864",
"display": "Pneumococcal vaccine admin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pneumococcal vaccine administered or previously received"
}
]
},
{
"code": "G8865",
"display": "Doc med reas no pneumococcal",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not administering or previously receiving pneumococcal vaccine (e.g., patient allergic reaction, potential adverse drug reaction)"
}
]
},
{
"code": "G8866",
"display": "Doc pt reas no pneumococcal",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of patient reason(s) for not administering or previously receiving pneumococcal vaccine (e.g., patient refusal)"
}
]
},
{
"code": "G8867",
"display": "No pneumococcal admin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pneumococcal vaccine not administered or previously received, reason not given"
}
]
},
{
"code": "G8868",
"display": "1st course antitnf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients receiving a first course of anti-tnf therapy"
}
]
},
{
"code": "G8869",
"display": "Doc immune hep b antitnf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient has documented immunity to hepatitis b and initiating anti-tnf therapy"
}
]
},
{
"code": "G8870",
"display": "Hepb admin 1st antitnf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hepatitis b vaccine injection administered or previously received and is receiving a first course of anti-tnf therapy"
}
]
},
{
"code": "G8871",
"display": "No 1st antitnf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient not receiving a first course of anti-tnf therapy"
}
]
},
{
"code": "G8872",
"display": "Intraop image confirm excise",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Excised tissue evaluated by imaging intraoperatively to confirm successful inclusion of targeted lesion"
}
]
},
{
"code": "G8873",
"display": "Specimen not intraop image",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with needle localization specimens which are not amenable to intraoperative imaging such as mri needle wire localization, or targets which are tentatively identified on mammogram or ultrasound which do not contain a biopsy marker but which can be verified on intraoperative inspection or pathology (e.g., needle biopsy site where the biopsy marker is remote from the actual biopsy site)"
}
]
},
{
"code": "G8874",
"display": "Tissue not image intraop",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Excised tissue not evaluated by imaging intraoperatively to confirm successful inclusion of targeted lesion"
}
]
},
{
"code": "G8875",
"display": "Breast cancer dx min invsive",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinician diagnosed breast cancer preoperatively by a minimally invasive biopsy method"
}
]
},
{
"code": "G8876",
"display": "Doc reas no min inv dx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of reason(s) for not performing minimally invasive biopsy to diagnose breast cancer preoperatively (e.g., lesion too close to skin, implant, chest wall, etc., lesion could not be adequately visualized for needle biopsy, patient condition prevents needle biopsy [weight, breast thickness, etc.], duct excision without imaging abnormality, prophylactic mastectomy, reduction mammoplasty, excisional biopsy performed by another physician)"
}
]
},
{
"code": "G8877",
"display": "No brst cncr dx min invasive",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinician did not attempt to achieve the diagnosis of breast cancer preoperatively by a minimally invasive biopsy method, reason not given"
}
]
},
{
"code": "G8878",
"display": "Sent lymph node biopsy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sentinel lymph node biopsy procedure performed"
}
]
},
{
"code": "G8879",
"display": "Node neg inv brst cncr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinically node negative (t1n0m0 or t2n0m0) invasive breast cancer"
}
]
},
{
"code": "G8880",
"display": "Sen lym p node biop not perf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of reason(s) sentinel lymph node biopsy not performed (e.g., reasons could include but not limited to; non-invasive cancer, incidental discovery of breast cancer on prophylactic mastectomy, incidental discovery of breast cancer on reduction mammoplasty, pre-operative biopsy proven lymph node (ln) metastases, inflammatory carcinoma, stage 3 locally advanced cancer, recurrent invasive breast cancer, clinically node positive after neoadjuvant systemic therapy, patient refusal after informed consent, patient with significant age, comorbidities, or limited life expectancy and favorable tumor; adjuvant systemic therapy unlikely to change)"
}
]
},
{
"code": "G8881",
"display": "Brst cncr stage > t1n0m0",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Stage of breast cancer is greater than t1n0m0 or t2n0m0"
}
]
},
{
"code": "G8882",
"display": "No sent lymph node biopsy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sentinel lymph node biopsy procedure not performed, reason not given"
}
]
},
{
"code": "G8883",
"display": "Rev, comm, track, doc biopsy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Biopsy results reviewed, communicated, tracked and documented"
}
]
},
{
"code": "G8884",
"display": "Doc reas biopsy not review",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinician documented reason that patient's biopsy results were not reviewed"
}
]
},
{
"code": "G8885",
"display": "No rev, comm, track biopsy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Biopsy results not reviewed, communicated, tracked or documented"
}
]
},
{
"code": "G8886",
"display": "Bp under control",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Most recent blood pressure under control"
}
]
},
{
"code": "G8887",
"display": "Doc med reas bp not control",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for most recent blood pressure not being under control (e.g., patients with palliative goals or for whom treatment of hypertension with standard treatment goals is not clinically appropriate)"
}
]
},
{
"code": "G8888",
"display": "Bp not under control",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Most recent blood pressure not under control, results documented and reviewed"
}
]
},
{
"code": "G8889",
"display": "No doc bp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "No documentation of blood pressure measurement, reason not given"
}
]
},
{
"code": "G8890",
"display": "Ldl-c under control",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Most recent ldl-c under control, results documented and reviewed"
}
]
},
{
"code": "G8891",
"display": "Doc med reas no ldl-c contrl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for most recent ldl-c not under control (e.g., patients with palliative goals for whom treatment of hypertension with standard treatment goals is not clinically appropriate)"
}
]
},
{
"code": "G8892",
"display": "Doc med reas no ldl-c test",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not performing ldl-c test (e.g. patients with palliative goals or for whom treatment of hypertension with standard treatment goals is not clinically appropriate)"
}
]
},
{
"code": "G8893",
"display": "Ldl-c not under control",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Most recent ldl-c not under control, results documented and reviewed"
}
]
},
{
"code": "G8894",
"display": "Ldl-c not performed",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ldl-c not performed, reason not given"
}
]
},
{
"code": "G8895",
"display": "Antrom prescribe",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oral aspirin or other antithrombotic therapy prescribed"
}
]
},
{
"code": "G8896",
"display": "Doc med reas no antihtrom",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not prescribing oral aspirin or other antithrombotic therapy (e.g., patient documented to be low risk or patient with terminal illness or treatment of hypertension with standard treatment goals is not clinically appropriate, or for whom risk of aspirin or other antithrombotic therapy exceeds potential benefits such as for individuals whose blood pressure is poorly controlled)"
}
]
},
{
"code": "G8897",
"display": "Antithrom not prescribe",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oral aspirin or other antithrombotic therapy was not prescribed, reason not given"
}
]
},
{
"code": "G8898",
"display": "Copd measures group",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "I intend to report the chronic obstructive pulmonary disease (copd) measures group"
}
]
},
{
"code": "G8899",
"display": "Inflammatory bowel dis mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "I intend to report the inflammatory bowel disease (ibd) measures group"
}
]
},
{
"code": "G8900",
"display": "Obstructive sleep apnea mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "I intend to report the sleep apnea measures group"
}
]
},
{
"code": "G8902",
"display": "Dementia measures group",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "I intend to report the dementia measures group"
}
]
},
{
"code": "G8903",
"display": "Parkinson's disease mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "I intend to report the parkinson's disease measures group"
}
]
},
{
"code": "G8904",
"display": "Hypertension mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "I intend to report the hypertension (htn) measures group"
}
]
},
{
"code": "G8905",
"display": "Cardiovascular prevention mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "I intend to report the cardiovascular prevention measures group"
}
]
},
{
"code": "G8906",
"display": "Cataract measures group",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "I intend to report the cataract measures group"
}
]
},
{
"code": "G8907",
"display": "Pt doc no events on discharg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility"
}
]
},
{
"code": "G8908",
"display": "Pt doc w burn prior to d/c",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient documented to have received a burn prior to discharge"
}
]
},
{
"code": "G8909",
"display": "Pt doc no burn prior to d/c",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient documented not to have received a burn prior to discharge"
}
]
},
{
"code": "G8910",
"display": "Pt doc to have fall in asc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient documented to have experienced a fall within asc"
}
]
},
{
"code": "G8911",
"display": "Pt doc no fall in asc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient documented not to have experienced a fall within ambulatory surgical center"
}
]
},
{
"code": "G8912",
"display": "Pt doc with wrong event",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient documented to have experienced a wrong site, wrong side, wrong patient, wrong procedure or wrong implant event"
}
]
},
{
"code": "G8913",
"display": "Pt doc no wrong event",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient documented not to have experienced a wrong site, wrong side, wrong patient, wrong procedure or wrong implant event"
}
]
},
{
"code": "G8914",
"display": "Pt trans to hosp post d/c",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient documented to have experienced a hospital transfer or hospital admission upon discharge from asc"
}
]
},
{
"code": "G8915",
"display": "Pt not trans to hosp at d/c",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient documented not to have experienced a hospital transfer or hospital admission upon discharge from asc"
}
]
},
{
"code": "G8916",
"display": "Pt w iv ab given on time",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time"
}
]
},
{
"code": "G8917",
"display": "Pt w iv ab not given on time",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic not initiated on time"
}
]
},
{
"code": "G8918",
"display": "Pt w/o preop order iv ab pro",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis"
}
]
},
{
"code": "G8923",
"display": "Lvef <= 40% or lvsd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Current or prior left ventricular ejection fraction (lvef) <= 40% or documentation of moderately or severely depressed left ventricular systolic function"
}
]
},
{
"code": "G8924",
"display": "Spir res doc fev1/fvc<70%",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spirometry results documented (fev1/fvc < 70%)"
}
]
},
{
"code": "G8925",
"display": "Spir fev1/fvc>=60% & no copd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spirometry test results demonstrate fev1 >= 60% fev1/fvc >= 70%, predicted or patient does not have copd symptoms"
}
]
},
{
"code": "G8926",
"display": "Spiro no perf or doc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spirometry test not performed or documented, reason not given"
}
]
},
{
"code": "G8927",
"display": "Adj chem pres ajcc iii",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adjuvant chemotherapy referred, prescribed or previously received for ajcc stage iii, colon cancer"
}
]
},
{
"code": "G8928",
"display": "Adj chem not pres rsn spec",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adjuvant chemotherapy not prescribed or previously received, for documented reasons (e.g., medical co-morbidities, diagnosis date more than 5 years prior to the current visit date, patient's diagnosis date is within 120 days of the end of the 12 month reporting period, patient's cancer has metastasized, medical contraindication/allergy, poor performance status, other medical reasons, patient refusal, other patient reasons, patient is currently enrolled in a clinical trial that precludes prescription of chemotherapy, other system reasons)"
}
]
},
{
"code": "G8929",
"display": "Adj cmo not pres rsn not gvn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adjuvant chemotherapy not prescribed or previously received, reason not given"
}
]
},
{
"code": "G8930",
"display": "Assess of dep @ initial eval",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Assessment of depression severity at the initial evaluation"
}
]
},
{
"code": "G8931",
"display": "Asses of dep not documented",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Assessment of depression severity not documented, reason not given"
}
]
},
{
"code": "G8932",
"display": "Suicd rsk assessed init eval",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Suicide risk assessed at the initial evaluation"
}
]
},
{
"code": "G8933",
"display": "Suicide risk not assessed",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Suicide risk not assessed at the initial evaluation, reason not given"
}
]
},
{
"code": "G8934",
"display": "Lvef <=40% or dep lv sys fcn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Current or prior left ventricular ejection fraction (lvef) <=40% or documentation of moderately or severely depressed left ventricular systolic function"
}
]
},
{
"code": "G8935",
"display": "Rx ace or arb therapy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinician prescribed angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy"
}
]
},
{
"code": "G8936",
"display": "Pt not eligible ace/arb",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinician documented that patient was not an eligible candidate for angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy (eg, allergy, intolerance, pregnancy, renal failure due to ace inhibitor, diseases of the aortic or mitral valve, other medical reasons) or (eg, patient declined, other patient reasons)"
}
]
},
{
"code": "G8937",
"display": "No rx ace/arb therapy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinician did not prescribe angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy, reason not given"
}
]
},
{
"code": "G8938",
"display": "Bmi doc onl fup nt doc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible"
}
]
},
{
"code": "G8939",
"display": "Pain as doc positive, no f/u",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pain assessment documented as positive, follow-up plan not documented, documentation the patient is not eligible at the time of the encounter"
}
]
},
{
"code": "G8940",
"display": "Scr dep pos, no plan done",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Screening for depression documented as positive, a follow-up plan not completed, documented reason"
}
]
},
{
"code": "G8941",
"display": "Eld maltreatment doc as pos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Elder maltreatment screen documented as positive, follow-up plan not documented, documentation the patient is not eligible for follow-up plan at the time of the encounter"
}
]
},
{
"code": "G8942",
"display": "Doc fcn/care plan w/30 days",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Functional outcome assessment using a standardized tool is documented within the previous 30 days and a care plan, based on identified deficiencies is documented within two days of the functional outcome assessment"
}
]
},
{
"code": "G8943",
"display": "Ldlc not pres w/i 12 mo prir",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ldl-c result not present or not within 12 months prior"
}
]
},
{
"code": "G8944",
"display": "Ajcc mel cnr stg 0 - iic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ajcc melanoma cancer stage 0 through iic melanoma"
}
]
},
{
"code": "G8946",
"display": "Mibm but no dx of breast ca",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Minimally invasive biopsy method attempted but not diagnostic of breast cancer (e.g., high risk lesion of breast such as atypical ductal hyperplasia, lobular neoplasia, atypical lobular hyperplasia, lobular carcinoma in situ, atypical columnar hyperplasia, flat epithelial atypia, radial scar, complex sclerosing lesion, papillary lesion, or any lesion with spindle cells)"
}
]
},
{
"code": "G8947",
"display": "1 or more neuropsych",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "One or more neuropsychiatric symptoms"
}
]
},
{
"code": "G8948",
"display": "No neuropsych symptoms",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "No neuropsychiatric symptoms"
}
]
},
{
"code": "G8949",
"display": "Doc pt reas on counsel diet",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of patient reason(s) for patient not receiving counseling for diet and physical activity (e.g., patient is not willing to discuss diet or exercise interventions to help control blood pressure, or the patient said he/she refused to make these changes)"
}
]
},
{
"code": "G8950",
"display": "Pre-htn or htn doc, f/u indc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented"
}
]
},
{
"code": "G8951",
"display": "Pre-htn/htn doc, no pt f/u",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pre-hypertensive or hypertensive blood pressure reading documented, indicated follow-up not documented, documentation the patient is not eligible"
}
]
},
{
"code": "G8952",
"display": "Pre-htn/htn, no f/u, not gvn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given"
}
]
},
{
"code": "G8953",
"display": "Oncology mg qual act perform",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All quality actions for the applicable measures in the oncology measures group have been performed for this patient"
}
]
},
{
"code": "G8955",
"display": "Most recent assess vol mgmt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Most recent assessment of adequacy of volume management documented"
}
]
},
{
"code": "G8956",
"display": "Pt rcv hedia outpt dyls fac",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient receiving maintenance hemodialysis in an outpatient dialysis facility"
}
]
},
{
"code": "G8957",
"display": "Pt no hedia in outpt fac",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient not receiving maintenance hemodialysis in an outpatient dialysis facility"
}
]
},
{
"code": "G8958",
"display": "Assess vol mgmt not doc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Assessment of adequacy of volume management not documented, reason not given"
}
]
},
{
"code": "G8959",
"display": "Clin tx mdd comm to tx clin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinician treating major depressive disorder communicates to clinician treating comorbid condition"
}
]
},
{
"code": "G8960",
"display": "Clin tx mdd not comm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinician treating major depressive disorder did not communicate to clinician treating comorbid condition, reason not given"
}
]
},
{
"code": "G8961",
"display": "Csit lowrisk surg pts preop",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cardiac stress imaging test primarily performed on low-risk surgery patient for preoperative evaluation within 30 days preceding this surgery"
}
]
},
{
"code": "G8962",
"display": "Csit on pt any reas 30 days",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cardiac stress imaging test performed on patient for any reason including those who did not have low risk surgery or test that was performed more than 30 days preceding low risk surgery"
}
]
},
{
"code": "G8963",
"display": "Csi per asx pt w/pci 2 yrs",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cardiac stress imaging performed primarily for monitoring of asymptomatic patient who had pci within 2 years"
}
]
},
{
"code": "G8964",
"display": "Csi any other than pci 2 yr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cardiac stress imaging test performed primarily for any other reason than monitoring of asymptomatic patient who had pci within 2 years (e.g., symptomatic patient, patient greater than 2 years since pci, initial evaluation, etc)"
}
]
},
{
"code": "G8965",
"display": "Csit perf on low chd rsk",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cardiac stress imaging test primarily performed on low chd risk patient for initial detection and risk assessment"
}
]
},
{
"code": "G8966",
"display": "Csit perf sx or high chd rsk",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cardiac stress imaging test performed on symptomatic or higher than low chd risk patient or for any reason other than initial detection and risk assessment"
}
]
},
{
"code": "G8967",
"display": "Warf or other fda drug presc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Fda approved oral anticoagulant is prescribed"
}
]
},
{
"code": "G8968",
"display": "Doc med not presb",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not prescribing an fda-approved anticoagulant (e.g., present or planned atrial appendage occlusion or ligation or patient being currently enrolled in a clinical trial related to af/atrial flutter treatment)"
}
]
},
{
"code": "G8969",
"display": "Doc pt rsn no presc warf/fda",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of patient reason(s) for not prescribing an oral anticoagulant that is fda approved for the prevention of thromboembolism (e.g., patient preference for not receiving anticoagulation)"
}
]
},
{
"code": "G8970",
"display": "No rsk fac or 1 mod risk te",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "No risk factors or one moderate risk factor for thromboembolism"
}
]
},
{
"code": "G8971",
"display": "Warfrn or othr antcog no rx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Warfarin or another oral anticoagulant that is fda approved not prescribed, reason not given"
}
]
},
{
"code": "G8972",
"display": "1>=risk or>= mod risk for te",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "One or more high risk factors for thromboembolism or more than one moderate risk factor for thromboembolism"
}
]
},
{
"code": "G8973",
"display": "Mst rcnt hbb < 10g/dl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Most recent hemoglobin (hgb) level < 10 g/dl"
}
]
},
{
"code": "G8974",
"display": "Hgb not doc rns not gvn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hemoglobin level measurement not documented, reason not given"
}
]
},
{
"code": "G8975",
"display": "Hgb <10g/dl, med rsn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for patient having a hemoglobin level < 10 g/dl (e.g., patients who have non-renal etiologies of anemia [e.g., sickle cell anemia or other hemoglobinopathies, hypersplenism, primary bone marrow disease, anemia related to chemotherapy for diagnosis of malignancy, postoperative bleeding, active bloodstream or peritoneal infection], other medical reasons)"
}
]
},
{
"code": "G8976",
"display": "Hgb >= 10 g/dl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Most recent hemoglobin (hgb) level >= 10 g/dl"
}
]
},
{
"code": "G8977",
"display": "Oncology measures grp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "I intend to report the oncology measures group"
}
]
},
{
"code": "G8978",
"display": "Mobility current status",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals"
}
]
},
{
"code": "G8979",
"display": "Mobility goal status",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting"
}
]
},
{
"code": "G8980",
"display": "Mobility d/c status",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting"
}
]
},
{
"code": "G8981",
"display": "Body pos current status",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Changing & maintaining body position functional limitation, current status, at therapy episode outset and at reporting intervals"
}
]
},
{
"code": "G8982",
"display": "Body pos goal status",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Changing & maintaining body position functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting"
}
]
},
{
"code": "G8983",
"display": "Body pos d/c status",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Changing & maintaining body position functional limitation, discharge status, at discharge from therapy or to end reporting"
}
]
},
{
"code": "G8984",
"display": "Carry current status",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals"
}
]
},
{
"code": "G8985",
"display": "Carry goal status",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting"
}
]
},
{
"code": "G8986",
"display": "Carry d/c status",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Carrying, moving & handling objects functional limitation, discharge status, at discharge from therapy or to end reporting"
}
]
},
{
"code": "G8987",
"display": "Self care current status",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Self care functional limitation, current status, at therapy episode outset and at reporting intervals"
}
]
},
{
"code": "G8988",
"display": "Self care goal status",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting"
}
]
},
{
"code": "G8989",
"display": "Self care d/c status",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Self care functional limitation, discharge status, at discharge from therapy or to end reporting"
}
]
},
{
"code": "G8990",
"display": "Other pt/ot current status",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Other physical or occupational therapy primary functional limitation, current status, at therapy episode outset and at reporting intervals"
}
]
},
{
"code": "G8991",
"display": "Other pt/ot goal status",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Other physical or occupational therapy primary functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting"
}
]
},
{
"code": "G8992",
"display": "Other pt/ot d/c status",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Other physical or occupational therapy primary functional limitation, discharge status, at discharge from therapy or to end reporting"
}
]
},
{
"code": "G8993",
"display": "Sub pt/ot current status",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Other physical or occupational therapy subsequent functional limitation, current status, at therapy episode outset and at reporting intervals"
}
]
},
{
"code": "G8994",
"display": "Sub pt/ot goal status",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Other physical or occupational therapy subsequent functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting"
}
]
},
{
"code": "G8995",
"display": "Sub pt/ot d/c status",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Other physical or occupational therapy subsequent functional limitation, discharge status, at discharge from therapy or to end reporting"
}
]
},
{
"code": "G8996",
"display": "Swallow current status",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Swallowing functional limitation, current status at therapy episode outset and at reporting intervals"
}
]
},
{
"code": "G8997",
"display": "Swallow goal status",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Swallowing functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting"
}
]
},
{
"code": "G8998",
"display": "Swallow d/c status",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Swallowing functional limitation, discharge status, at discharge from therapy or to end reporting"
}
]
},
{
"code": "G8999",
"display": "Motor speech current status",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Motor speech functional limitation, current status at therapy episode outset and at reporting intervals"
}
]
},
{
"code": "G9001",
"display": "Mccd, initial rate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Coordinated care fee, initial rate"
}
]
},
{
"code": "G9002",
"display": "Mccd,maintenance rate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Coordinated care fee, maintenance rate"
}
]
},
{
"code": "G9003",
"display": "Mccd, risk adj hi, initial",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Coordinated care fee, risk adjusted high, initial"
}
]
},
{
"code": "G9004",
"display": "Mccd, risk adj lo, initial",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Coordinated care fee, risk adjusted low, initial"
}
]
},
{
"code": "G9005",
"display": "Mccd, risk adj, maintenance",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Coordinated care fee, risk adjusted maintenance"
}
]
},
{
"code": "G9006",
"display": "Mccd, home monitoring",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Coordinated care fee, home monitoring"
}
]
},
{
"code": "G9007",
"display": "Mccd, sch team conf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Coordinated care fee, scheduled team conference"
}
]
},
{
"code": "G9008",
"display": "Mccd,phys coor-care ovrsght",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Coordinated care fee, physician coordinated care oversight services"
}
]
},
{
"code": "G9009",
"display": "Mccd, risk adj, level 3",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Coordinated care fee, risk adjusted maintenance, level 3"
}
]
},
{
"code": "G9010",
"display": "Mccd, risk adj, level 4",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Coordinated care fee, risk adjusted maintenance, level 4"
}
]
},
{
"code": "G9011",
"display": "Mccd, risk adj, level 5",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Coordinated care fee, risk adjusted maintenance, level 5"
}
]
},
{
"code": "G9012",
"display": "Other specified case mgmt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Other specified case management service not elsewhere classified"
}
]
},
{
"code": "G9013",
"display": "Esrd demo bundle level i",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Esrd demo basic bundle level i"
}
]
},
{
"code": "G9014",
"display": "Esrd demo bundle-level ii",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Esrd demo expanded bundle including venous access and related services"
}
]
},
{
"code": "G9016",
"display": "Demo-smoking cessation coun",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Smoking cessation counseling, individual, in the absence of or in addition to any other evaluation and management service, per session (6-10 minutes) [demo project code only]"
}
]
},
{
"code": "G9017",
"display": "Amantadine hcl 100mg oral",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Amantadine hydrochloride, oral, per 100 mg (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9018",
"display": "Zanamivir,inhalation pwd 10m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Zanamivir, inhalation powder, administered through inhaler, per 10 mg (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9019",
"display": "Oseltamivir phosphate 75mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oseltamivir phosphate, oral, per 75 mg (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9020",
"display": "Rimantadine hcl 100mg oral",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Rimantadine hydrochloride, oral, per 100 mg (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9033",
"display": "Amantadine hcl oral brand",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Amantadine hydrochloride, oral brand, per 100 mg (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9034",
"display": "Zanamivir, inh pwdr, brand",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Zanamivir, inhalation powder, administered through inhaler, brand, per 10 mg (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9035",
"display": "Oseltamivir phosp, brand",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oseltamivir phosphate, oral, brand, per 75 mg (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9036",
"display": "Rimantadine hcl, brand",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Rimantadine hydrochloride, oral, brand, per 100 mg (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9037",
"display": "Intrpro req fr rec phys/qhcp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Interprofessional telephone/internet/electronic health record clinical question/request for specialty recommendations by a treating/requesting physician or other qualified health care professional for the care of the patient (i.e. not for professional education or scheduling) and may include subsequent follow up on the specialist's recommendations; 30 minutes"
}
]
},
{
"code": "G9038",
"display": "Co-management services",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Co-management services with the following elements: new diagnosis or acute exacerbation and stabilization of existing condition; condition which may benefit from joint care planning; condition for which specialist is taking a co-management role; condition expected to last at least 3 months; comprehensive care plan established, implemented, revised or monitored in partnership with co-managing clinicians; ongoing communication and care coordination between co-managing clinicians furnishing care"
}
]
},
{
"code": "G9050",
"display": "Oncology work-up evaluation",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; primary focus of visit; work-up, evaluation, or staging at the time of cancer diagnosis or recurrence (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9051",
"display": "Oncology tx decision-mgmt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; primary focus of visit; treatment decision-making after disease is staged or restaged, discussion of treatment options, supervising/coordinating active cancer directed therapy or managing consequences of cancer directed therapy (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9052",
"display": "Onc surveillance for disease",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; primary focus of visit; surveillance for disease recurrence for patient who has completed definitive cancer-directed therapy and currently lacks evidence of recurrent disease; cancer directed therapy might be considered in the future (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9053",
"display": "Onc expectant management pt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; primary focus of visit; expectant management of patient with evidence of cancer for whom no cancer directed therapy is being administered or arranged at present; cancer directed therapy might be considered in the future (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9054",
"display": "Onc supervision palliative",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; primary focus of visit; supervising, coordinating or managing care of patient with terminal cancer or for whom other medical illness prevents further cancer treatment; includes symptom management, end-of-life care planning, management of palliative therapies (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9055",
"display": "Onc visit unspecified nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; primary focus of visit; other, unspecified service not otherwise listed (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9056",
"display": "Onc prac mgmt adheres guide",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; practice guidelines; management adheres to guidelines (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9057",
"display": "Onc pract mgmt differs trial",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; practice guidelines; management differs from guidelines as a result of patient enrollment in an institutional review board approved clinical trial (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9058",
"display": "Onc prac mgmt disagree w/gui",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; practice guidelines; management differs from guidelines because the treating physician disagrees with guideline recommendations (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9059",
"display": "Onc prac mgmt pt opt alterna",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; practice guidelines; management differs from guidelines because the patient, after being offered treatment consistent with guidelines, has opted for alternative treatment or management, including no treatment (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9060",
"display": "Onc prac mgmt dif pt comorb",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; practice guidelines; management differs from guidelines for reason(s) associated with patient comorbid illness or performance status not factored into guidelines (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9061",
"display": "Onc prac cond noadd by guide",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; practice guidelines; patient's condition not addressed by available guidelines (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9062",
"display": "Onc prac guide differs nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; practice guidelines; management differs from guidelines for other reason(s) not listed (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9063",
"display": "Onc dx nsclc stgi no progres",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; limited to non-small cell lung cancer; extent of disease initially established as stage i (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9064",
"display": "Onc dx nsclc stg2 no progres",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; limited to non-small cell lung cancer; extent of disease initially established as stage ii (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9065",
"display": "Onc dx nsclc stg3a no progre",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; limited to non-small cell lung cancer; extent of disease initially established as stage iii a (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9066",
"display": "Onc dx nsclc stg3b-4 metasta",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; limited to non-small cell lung cancer; stage iii b- iv at diagnosis, metastatic, locally recurrent, or progressive (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9067",
"display": "Onc dx nsclc dx unknown nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; limited to non-small cell lung cancer; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9068",
"display": "Onc dx sclc/nsclc limited",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; limited to small cell and combined small cell/non-small cell; extent of disease initially established as limited with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9069",
"display": "Onc dx sclc/nsclc ext at dx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; small cell lung cancer, limited to small cell and combined small cell/non-small cell; extensive stage at diagnosis, metastatic, locally recurrent, or progressive (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9070",
"display": "Onc dx sclc/nsclc ext unknwn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; small cell lung cancer, limited to small cell and combined small cell/non-small; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9071",
"display": "Onc dx brst stg1-2b hr,nopro",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; invasive female breast cancer (does not include ductal carcinoma in situ); adenocarcinoma as predominant cell type; stage i or stage iia-iib; or t3, n1, m0; and er and/or pr positive; with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9072",
"display": "Onc dx brst stg1-2 noprogres",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; invasive female breast cancer (does not include ductal carcinoma in situ); adenocarcinoma as predominant cell type; stage i, or stage iia-iib; or t3, n1, m0; and er and pr negative; with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9073",
"display": "Onc dx brst stg3-hr, no pro",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; invasive female breast cancer (does not include ductal carcinoma in situ); adenocarcinoma as predominant cell type; stage iiia-iiib; and not t3, n1, m0; and er and/or pr positive; with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9074",
"display": "Onc dx brst stg3-noprogress",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; invasive female breast cancer (does not include ductal carcinoma in situ); adenocarcinoma as predominant cell type; stage iiia-iiib; and not t3, n1, m0; and er and pr negative; with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9075",
"display": "Onc dx brst metastic/ recur",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; invasive female breast cancer (does not include ductal carcinoma in situ); adenocarcinoma as predominant cell type; m1 at diagnosis, metastatic, locally recurrent, or progressive (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9077",
"display": "Onc dx prostate t1no progres",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; prostate cancer, limited to adenocarcinoma as predominant cell type; t1-t2c and gleason 2-7 and psa < or equal to 20 at diagnosis with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9078",
"display": "Onc dx prostate t2no progres",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; prostate cancer, limited to adenocarcinoma as predominant cell type; t2 or t3a gleason 8-10 or psa > 20 at diagnosis with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9079",
"display": "Onc dx prostate t3b-t4noprog",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; prostate cancer, limited to adenocarcinoma as predominant cell type; t3b-t4, any n; any t, n1 at diagnosis with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9080",
"display": "Onc dx prostate w/rise psa",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; prostate cancer, limited to adenocarcinoma; after initial treatment with rising psa or failure of psa decline (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9083",
"display": "Onc dx prostate unknwn nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; prostate cancer, limited to adenocarcinoma; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9084",
"display": "Onc dx colon t1-3,n1-2,no pr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; colon cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease initially established as t1-3, n0, m0 with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9085",
"display": "Onc dx colon t4, n0 w/o prog",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; colon cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease initially established as t4, n0, m0 with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9086",
"display": "Onc dx colon t1-4 no dx prog",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; colon cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease initially established as t1-4, n1-2, m0 with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9087",
"display": "Onc dx colon metas evid dx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; colon cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; m1 at diagnosis, metastatic, locally recurrent, or progressive with current clinical, radiologic, or biochemical evidence of disease (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9088",
"display": "Onc dx colon metas noevid dx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; colon cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; m1 at diagnosis, metastatic, locally recurrent, or progressive without current clinical, radiologic, or biochemical evidence of disease (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9089",
"display": "Onc dx colon extent unknown",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; colon cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9090",
"display": "Onc dx rectal t1-2 no progr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; rectal cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease initially established as t1-2, n0, m0 (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9091",
"display": "Onc dx rectal t3 n0 no prog",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; rectal cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease initially established as t3, n0, m0 (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9092",
"display": "Onc dx rectal t1-3,n1-2noprg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; rectal cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease initially established as t1-3, n1-2, m0 (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence or metastases (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9093",
"display": "Onc dx rectal t4,n,m0 no prg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; rectal cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease initially established as t4, any n, m0 (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9094",
"display": "Onc dx rectal m1 w/mets prog",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; rectal cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; m1 at diagnosis, metastatic, locally recurrent, or progressive (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9095",
"display": "Onc dx rectal extent unknwn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; rectal cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9096",
"display": "Onc dx esophag t1-t3 noprog",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; esophageal cancer, limited to adenocarcinoma or squamous cell carcinoma as predominant cell type; extent of disease initially established as t1-t3, n0-n1 or nx (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9097",
"display": "Onc dx esophageal t4 no prog",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; esophageal cancer, limited to adenocarcinoma or squamous cell carcinoma as predominant cell type; extent of disease initially established as t4, any n, m0 (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9098",
"display": "Onc dx esophageal mets recur",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; esophageal cancer, limited to adenocarcinoma or squamous cell carcinoma as predominant cell type; m1 at diagnosis, metastatic, locally recurrent, or progressive (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9099",
"display": "Onc dx esophageal unknown",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; esophageal cancer, limited to adenocarcinoma or squamous cell carcinoma as predominant cell type; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9100",
"display": "Onc dx gastric no recurrence",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; gastric cancer, limited to adenocarcinoma as predominant cell type; post r0 resection (with or without neoadjuvant therapy) with no evidence of disease recurrence, progression, or metastases (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9101",
"display": "Onc dx gastric p r1-r2noprog",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; gastric cancer, limited to adenocarcinoma as predominant cell type; post r1 or r2 resection (with or without neoadjuvant therapy) with no evidence of disease progression, or metastases (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9102",
"display": "Onc dx gastric unresectable",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; gastric cancer, limited to adenocarcinoma as predominant cell type; clinical or pathologic m0, unresectable with no evidence of disease progression, or metastases (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9103",
"display": "Onc dx gastric recurrent",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; gastric cancer, limited to adenocarcinoma as predominant cell type; clinical or pathologic m1 at diagnosis, metastatic, locally recurrent, or progressive (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9104",
"display": "Onc dx gastric unknown nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; gastric cancer, limited to adenocarcinoma as predominant cell type; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9105",
"display": "Onc dx pancreatc p r0 res no",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; pancreatic cancer, limited to adenocarcinoma as predominant cell type; post r0 resection without evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9106",
"display": "Onc dx pancreatc p r1/r2 no",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; pancreatic cancer, limited to adenocarcinoma; post r1 or r2 resection with no evidence of disease progression, or metastases (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9107",
"display": "Onc dx pancreatic unresectab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; pancreatic cancer, limited to adenocarcinoma; unresectable at diagnosis, m1 at diagnosis, metastatic, locally recurrent, or progressive (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9108",
"display": "Onc dx pancreatic unknwn nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; pancreatic cancer, limited to adenocarcinoma; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9109",
"display": "Onc dx head/neck t1-t2no prg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; head and neck cancer, limited to cancers of oral cavity, pharynx and larynx with squamous cell as predominant cell type; extent of disease initially established as t1-t2 and n0, m0 (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9110",
"display": "Onc dx head/neck t3-4 noprog",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; head and neck cancer, limited to cancers of oral cavity, pharynx and larynx with squamous cell as predominant cell type; extent of disease initially established as t3-4 and/or n1-3, m0 (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9111",
"display": "Onc dx head/neck m1 mets rec",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; head and neck cancer, limited to cancers of oral cavity, pharynx and larynx with squamous cell as predominant cell type; m1 at diagnosis, metastatic, locally recurrent, or progressive (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9112",
"display": "Onc dx head/neck ext unknown",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; head and neck cancer, limited to cancers of oral cavity, pharynx and larynx with squamous cell as predominant cell type; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9113",
"display": "Onc dx ovarian stg1a-b no pr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; ovarian cancer, limited to epithelial cancer; pathologic stage ia-b (grade 1) without evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9114",
"display": "Onc dx ovarian stg1a-b or 2",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; ovarian cancer, limited to epithelial cancer; pathologic stage ia-b (grade 2-3); or stage ic (all grades); or stage ii; without evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9115",
"display": "Onc dx ovarian stg3/4 noprog",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; ovarian cancer, limited to epithelial cancer; pathologic stage iii-iv; without evidence of progression, recurrence, or metastases (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9116",
"display": "Onc dx ovarian recurrence",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; ovarian cancer, limited to epithelial cancer; evidence of disease progression, or recurrence, and/or platinum resistance (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9117",
"display": "Onc dx ovarian unknown nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; ovarian cancer, limited to epithelial cancer; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9123",
"display": "Onc dx cml chronic phase",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; chronic myelogenous leukemia, limited to philadelphia chromosome positive and/or bcr-abl positive; chronic phase not in hematologic, cytogenetic, or molecular remission (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9124",
"display": "Onc dx cml acceler phase",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; chronic myelogenous leukemia, limited to philadelphia chromosome positive and/or bcr-abl positive; accelerated phase not in hematologic cytogenetic, or molecular remission (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9125",
"display": "Onc dx cml blast phase",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; chronic myelogenous leukemia, limited to philadelphia chromosome positive and/or bcr-abl positive; blast phase not in hematologic, cytogenetic, or molecular remission (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9126",
"display": "Onc dx cml remission",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; chronic myelogenous leukemia, limited to philadelphia chromosome positive and/or bcr-abl positive; in hematologic, cytogenetic, or molecular remission (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9128",
"display": "Onc dx multi myeloma stage i",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; limited to multiple myeloma, systemic disease; smoldering, stage i (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9129",
"display": "Onc dx mult myeloma stg2 hig",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; limited to multiple myeloma, systemic disease; stage ii or higher (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9130",
"display": "Onc dx multi myeloma unknown",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; limited to multiple myeloma, systemic disease; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9131",
"display": "Onc dx brst unknown nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; invasive female breast cancer (does not include ductal carcinoma in situ); adenocarcinoma as predominant cell type; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9132",
"display": "Onc dx prostate mets no cast",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; prostate cancer, limited to adenocarcinoma; hormone-refractory/androgen-independent (e.g., rising psa on anti-androgen therapy or post-orchiectomy); clinical metastases (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9133",
"display": "Onc dx prostate clinical met",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; prostate cancer, limited to adenocarcinoma; hormone-responsive; clinical metastases or m1 at diagnosis (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9134",
"display": "Onc nhlstg 1-2 no relap no",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; non-hodgkin's lymphoma, any cellular classification; stage i, ii at diagnosis, not relapsed, not refractory (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9135",
"display": "Onc dx nhl stg 3-4 not relap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; non-hodgkin's lymphoma, any cellular classification; stage iii, iv, not relapsed, not refractory (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9136",
"display": "Onc dx nhl trans to lg bcell",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; non-hodgkin's lymphoma, transformed from original cellular diagnosis to a second cellular classification (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9137",
"display": "Onc dx nhl relapse/refractor",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; non-hodgkin's lymphoma, any cellular classification; relapsed/refractory (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9138",
"display": "Onc dx nhl stg unknown",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; non-hodgkin's lymphoma, any cellular classification; diagnostic evaluation, stage not determined, evaluation of possible relapse or non-response to therapy, or not listed (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9139",
"display": "Onc dx cml dx status unknown",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology; disease status; chronic myelogenous leukemia, limited to philadelphia chromosome positive and/or bcr-abl positive; extent of disease unknown, staging in progress, not listed (for use in a medicare-approved demonstration project)"
}
]
},
{
"code": "G9140",
"display": "Frontier extended stay demo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Frontier extended stay clinic demonstration; for a patient stay in a clinic approved for the cms demonstration project; the following measures should be present: the stay must be equal to or greater than 4 hours; weather or other conditions must prevent transfer or the case falls into a category of monitoring and observation cases that are permitted by the rules of the demonstration; there is a maximum frontier extended stay clinic (fesc) visit of 48 hours, except in the case when weather or other conditions prevent transfer; payment is made on each period up to 4 hours, after the first 4 hours"
}
]
},
{
"code": "G9143",
"display": "Warfarin respon genetic test",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s)"
}
]
},
{
"code": "G9147",
"display": "Outpt iv insulin tx any mea",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Outpatient intravenous insulin treatment (oivit) either pulsatile or continuous, by any means, guided by the results of measurements for: respiratory quotient; and/or, urine urea nitrogen (uun); and/or, arterial, venous or capillary glucose; and/or potassium concentration"
}
]
},
{
"code": "G9148",
"display": "Medical home level 1",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "National committee for quality assurance - level 1 medical home"
}
]
},
{
"code": "G9149",
"display": "Medical home level ii",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "National committee for quality assurance - level 2 medical home"
}
]
},
{
"code": "G9150",
"display": "Medical home level iii",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "National committee for quality assurance - level 3 medical home"
}
]
},
{
"code": "G9151",
"display": "Mapcp demo state",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Mapcp demonstration - state provided services"
}
]
},
{
"code": "G9152",
"display": "Mapcp demo community",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Mapcp demonstration - community health teams"
}
]
},
{
"code": "G9153",
"display": "Mapcp demo physician",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Mapcp demonstration - physician incentive pool"
}
]
},
{
"code": "G9156",
"display": "Evaluation for wheelchair",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Evaluation for wheelchair requiring face to face visit with physician"
}
]
},
{
"code": "G9157",
"display": "Transesoph doppl cardiac mon",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transesophageal doppler measurement of cardiac output (including probe placement, image acquisition, and interpretation per course of treatment) for monitoring purposes"
}
]
},
{
"code": "G9158",
"display": "Motor speech d/c status",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Motor speech functional limitation, discharge status, at discharge from therapy or to end reporting"
}
]
},
{
"code": "G9159",
"display": "Lang comp current status",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spoken language comprehension functional limitation, current status at therapy episode outset and at reporting intervals"
}
]
},
{
"code": "G9160",
"display": "Lang comp goal status",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spoken language comprehension functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reporting"
}
]
},
{
"code": "G9161",
"display": "Lang comp d/c status",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spoken language comprehension functional limitation, discharge status, at discharge from therapy or to end reporting"
}
]
},
{
"code": "G9162",
"display": "Lang express current status",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spoken language expression functional limitation, current status at therapy episode outset and at reporting intervals"
}
]
},
{
"code": "G9163",
"display": "Lang express goal status",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spoken language expression functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reporting"
}
]
},
{
"code": "G9164",
"display": "Lang express d/c status",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spoken language expression functional limitation, discharge status at discharge from therapy or to end reporting"
}
]
},
{
"code": "G9165",
"display": "Atten current status",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Attention functional limitation, current status at therapy episode outset and at reporting intervals"
}
]
},
{
"code": "G9166",
"display": "Atten goal status",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Attention functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reporting"
}
]
},
{
"code": "G9167",
"display": "Atten d/c status",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Attention functional limitation, discharge status at discharge from therapy or to end reporting"
}
]
},
{
"code": "G9168",
"display": "Memory current status",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Memory functional limitation, current status at therapy episode outset and at reporting intervals"
}
]
},
{
"code": "G9169",
"display": "Memory goal status",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Memory functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reporting"
}
]
},
{
"code": "G9170",
"display": "Memory d/c status",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Memory functional limitation, discharge status at discharge from therapy or to end reporting"
}
]
},
{
"code": "G9171",
"display": "Voice current status",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Voice functional limitation, current status at therapy episode outset and at reporting intervals"
}
]
},
{
"code": "G9172",
"display": "Voice goal status",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Voice functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reporting"
}
]
},
{
"code": "G9173",
"display": "Voice d/c status",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Voice functional limitation, discharge status at discharge from therapy or to end reporting"
}
]
},
{
"code": "G9174",
"display": "Speech lang current status",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Other speech language pathology functional limitation, current status at therapy episode outset and at reporting intervals"
}
]
},
{
"code": "G9175",
"display": "Speech lang goal status",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Other speech language pathology functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reporting"
}
]
},
{
"code": "G9176",
"display": "Speech lang d/c status",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Other speech language pathology functional limitation, discharge status at discharge from therapy or to end reporting"
}
]
},
{
"code": "G9186",
"display": "Motor speech goal status",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Motor speech functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reporting"
}
]
},
{
"code": "G9187",
"display": "Bpci home visit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bundled payments for care improvement initiative home visit for patient assessment performed by a qualified health care professional for individuals not considered homebound including, but not limited to, assessment of safety, falls, clinical status, fluid status, medication reconciliation/management, patient compliance with orders/plan of care, performance of activities of daily living, appropriateness of care setting; (for use only in the meidcare-approved bundled payments for care improvement initiative); may not be billed for a 30-day period covered by a transitional care management code"
}
]
},
{
"code": "G9188",
"display": "Beta not given no reason",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Beta-blocker therapy not prescribed, reason not given"
}
]
},
{
"code": "G9189",
"display": "Beta pres or already taking",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Beta-blocker therapy prescribed or currently being taken"
}
]
},
{
"code": "G9190",
"display": "Medical reason for no beta",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not prescribing beta-blocker therapy (eg, allergy, intolerance, other medical reasons)"
}
]
},
{
"code": "G9191",
"display": "Pt reason for no beta",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of patient reason(s) for not prescribing beta-blocker therapy (eg, patient declined, other patient reasons)"
}
]
},
{
"code": "G9192",
"display": "System reason for no beta",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of system reason(s) for not prescribing beta-blocker therapy (eg, other reasons attributable to the health care system)"
}
]
},
{
"code": "G9193",
"display": "Doc not eligible for dep med",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinician documented that patient with a diagnosis of major depression was not an eligible candidate for antidepressant medication treatment or patient did not have a diagnosis of major depression"
}
]
},
{
"code": "G9194",
"display": "Mdd pt treated for 180d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient with a diagnosis of major depression documented as being treated with antidepressant medication during the entire 180 day (6 month) continuation treatment phase"
}
]
},
{
"code": "G9195",
"display": "Mdd pt not treated for 180d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient with a diagnosis of major depression not documented as being treated with antidepressant medication during the entire 180 day (6 months) continuation treatment phase"
}
]
},
{
"code": "G9196",
"display": "Med reason for no ceph",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not ordering a first or second generation cephalosporin for antimicrobial prophylaxis (e.g., patients enrolled in clinical trials, patients with documented infection prior to surgical procedure of interest, patients who were receiving antibiotics more than 24 hours prior to surgery [except colon surgery patients taking oral prophylactic antibiotics], patients who were receiving antibiotics within 24 hours prior to arrival [except colon surgery patients taking oral prophylactic antibiotics], other medical reason(s))"
}
]
},
{
"code": "G9197",
"display": "Order for ceph",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of order for first or second generation cephalosporin for antimicrobial prophylaxis"
}
]
},
{
"code": "G9198",
"display": "No order for ceph no reason",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Order for first or second generation cephalosporin for antimicrobial prophylaxis was not documented, reason not given"
}
]
},
{
"code": "G9199",
"display": "Doc reason for no vte",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Venous thromboembolism (vte) prophylaxis not administered the day of or the day after hospital admission for documented reasons (eg, patient is ambulatory, patient expired during inpatient stay, patient already on warfarin or another anticoagulant, other medical reason(s) or eg, patient left against medical advice, other patient reason(s))"
}
]
},
{
"code": "G9200",
"display": "No reason for no vte",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Venous thromboembolism (vte) prophylaxis was not administered the day of or the day after hospital admission, reason not given"
}
]
},
{
"code": "G9201",
"display": "Vte given upon admission",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Venous thromboembolism (vte) prophylaxis administered the day of or the day after hospital admission"
}
]
},
{
"code": "G9202",
"display": "Hep c aby pos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with a positive hepatitis c antibody test"
}
]
},
{
"code": "G9203",
"display": "Hep c rna done prior to med",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Rna testing for hepatitis c documented as performed within 12 months prior to initiation of antiviral treatment for hepatitis c"
}
]
},
{
"code": "G9204",
"display": "No reason for no hep c rna",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Rna testing for hepatitis c was not documented as performed within 12 months prior to initiation of antiviral treatment for hepatitis c, reason not given"
}
]
},
{
"code": "G9205",
"display": "Hep c antiviral started",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient starting antiviral treatmentfor hepatitis c during the measurement period"
}
]
},
{
"code": "G9206",
"display": "Hep c therapy started",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient starting antiviral treatment for hepatitis c during the measurement period"
}
]
},
{
"code": "G9207",
"display": "Hep c genotype prior to med",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hepatitis c genotype testing documented as performed within 12 months prior to initiation of antiviral treatment for hepatitis c"
}
]
},
{
"code": "G9208",
"display": "No reason for no hep c geno",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hepatitis c genotype testing was not documented as performed within 12 months prior to initiation of antiviral treatment for hepatitis c, reason not given"
}
]
},
{
"code": "G9209",
"display": "Hep c rna 4to12 wk after med",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hepatitis c quantitative rna testing documented as performed between 4-12 weeks after the initiation of antiviral treatment"
}
]
},
{
"code": "G9210",
"display": "No hepc rna after med docrsn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hepatitis c quantitative rna testing not performed between 4-12 weeks after the initiation of antiviral treatment for documented reason(s) (e.g., patients whose treatment was discontinued during the testing period prior to testing, other medical reasons, patient declined, other patient reasons)"
}
]
},
{
"code": "G9211",
"display": "No hepc rna after med no rsn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hepatitis c quantitative rna testing was not documented as performed between 4-12 weeks after the initiation of antiviral treatment, reason not given"
}
]
},
{
"code": "G9212",
"display": "Doc of dsm-iv init eval",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dsm-ivtm criteria for major depressive disorder documented at the initial evaluation"
}
]
},
{
"code": "G9213",
"display": "No doc of dsm-iv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dsm-iv-tr criteria for major depressive disorder not documented at the initial evaluation, reason not otherwise specified"
}
]
},
{
"code": "G9214",
"display": "Cd4 count documented",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cd4+ cell count or cd4+ cell percentage results documented"
}
]
},
{
"code": "G9215",
"display": "No cd4 count no reason",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cd4+ cell count or percentage not documented as performed, reason not given"
}
]
},
{
"code": "G9216",
"display": "No pcp proph at dx no reason",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pcp prophylaxis was not prescribed at time of diagnosis of hiv, reason not given"
}
]
},
{
"code": "G9217",
"display": "No pcp proph low cd4 norsn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pcp prophylaxis was not prescribed within 3 months of low cd4+ cell count below 200 cells/mm3, reason not given"
}
]
},
{
"code": "G9218",
"display": "No pcp prop low at cd4 norsn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pcp prophylaxis was not prescribed within 3 months oflow cd4+ cell count below 500 cells/mm3 or a cd4 percentage below 15%, reason not given"
}
]
},
{
"code": "G9219",
"display": "No oder pjp for med reason",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pneumocystis jiroveci pneumonia prophylaxis not prescribed within 3 months of low cd4+ cell count below 200 cells/mm3 for medical reason (i.e., patient's cd4+ cell count above threshold within 3 months after cd4+ cell count below threshold, indicating that the patient's cd4+ levels are within an acceptable range and the patient does not require pcp prophylaxis)"
}
]
},
{
"code": "G9220",
"display": "No order for pjp for medrsn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pneumocystis jiroveci pneumonia prophylaxis not prescribed within 3 months of low cd4+ cell count below 500 cells/mm3 or a cd4 percentage below 15% for medical reason (i.e., patient's cd4+ cell count above threshold within 3 months after cd4+ cell count below threshold, indicating that the patient's cd4+ levels are within an acceptable range and the patient does not require pcp prophylaxis)"
}
]
},
{
"code": "G9221",
"display": "Pjp proph prescribed",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pneumocystis jiroveci pneumonia prophlaxis prescribed"
}
]
},
{
"code": "G9222",
"display": "Pjp proph ordered low cd4",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pneumocystis jiroveci pneumonia prophylaxis prescribed wthin 3 months of low cd4+ cell count below 200 cells/mm3"
}
]
},
{
"code": "G9223",
"display": "Pjp proph ordered cd4 low",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pneumocystis jiroveci pneumonia prophylaxis prescribed within 3 months of low cd4+ cell count below 500 cells/mm3 or a cd4 percentage below 15%"
}
]
},
{
"code": "G9224",
"display": "Medrsn no foot exam",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason for not performing foot exam (e.g., patient with bilateral foot/leg amputation)"
}
]
},
{
"code": "G9225",
"display": "Norsn no foot exam",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Foot exam was not performed, reason not given"
}
]
},
{
"code": "G9226",
"display": "3 comp foot exam completed",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed)"
}
]
},
{
"code": "G9227",
"display": "Foa doc, care plan not doc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Functional outcome assessment documented, care plan not documented, documentation the patient is not eligible for a care plan at the time of the encounter"
}
]
},
{
"code": "G9228",
"display": "Gc chl syp documented",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Chlamydia, gonorrhea and syphilis screening results documented (report when results are present for all of the 3 screenings)"
}
]
},
{
"code": "G9229",
"display": "Ptrsn no gc chl syp test",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Chlamydia, gonorrhea, and syphilis screening results not documented (patient refusal is the only allowed exception)"
}
]
},
{
"code": "G9230",
"display": "Norsn for gc chl syp test",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Chlamydia, gonorrhea, and syphilis not screened, reason not given"
}
]
},
{
"code": "G9231",
"display": "Doc esrd dia trans preg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of end stage renal disease (esrd), dialysis, renal transplant before or during the measurement period or pregnancy during the measurement period"
}
]
},
{
"code": "G9232",
"display": "Ptrsn no comm comorbid",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinician treating major depressive disorder did not communicate to clinician treating comorbid condition for specified patient reason (e.g., patient is unable to communicate the diagnosis of a comorbid condition; the patient is unwilling to communicate the diagnosis of a comorbid condition; or the patient is unaware of the comorbid condition, or any other specified patient reason)"
}
]
},
{
"code": "G9233",
"display": "Tkr composite",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All quality actions for the applicable measures in the total knee replacement measures group have been performed for this patient"
}
]
},
{
"code": "G9234",
"display": "Tkr intent",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "I intend to report the total knee replacement measures group"
}
]
},
{
"code": "G9235",
"display": "Gs mg composite",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All quality actions for the applicable measures in the general surgery measures group have been performed for this patient"
}
]
},
{
"code": "G9236",
"display": "Op rad mg composite",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All quality actions for the applicable measures in the optimizing patient exposure to ionizing radiation measures group have been performed for this patient"
}
]
},
{
"code": "G9237",
"display": "Gs mg intent",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "I intend to report the general surgery measures group"
}
]
},
{
"code": "G9238",
"display": "Op rad mg intent",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "I intend to report the optimizing patient exposure to ionizing radiation measures group"
}
]
},
{
"code": "G9239",
"display": "Doc rsn hemod & cath acc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of reasons for patient initiating maintenance hemodialysis with a catheter as the mode of vascular access (e.g., patient has a maturing arteriovenous fistula (avf)/arteriovenous graft (avg), time-limited trial of hemodialysis, other medical reasons, patient declined avf/avg, other patient reasons, patient followed by reporting nephrologist for fewer than 90 days, other system reasons)"
}
]
},
{
"code": "G9240",
"display": "Doc pt w cath maint dia",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient whose mode of vascular access is a catheter at the time maintenance hemodialysis is initiated"
}
]
},
{
"code": "G9241",
"display": "Doc pt w out cath maint dia",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient whose mode of vascular access is not a catheter at the time maintenance hemodialysis is initiated"
}
]
},
{
"code": "G9242",
"display": "Doc viral load >=200",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of viral load equal to or greater than 200 copies/ml or viral load not performed"
}
]
},
{
"code": "G9243",
"display": "Doc viral load <200",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of viral load less than 200 copies/ml"
}
]
},
{
"code": "G9244",
"display": "Antiviral not ordered",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Antiretroviral thereapy not prescribed"
}
]
},
{
"code": "G9245",
"display": "Antiviral ordered",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Antiretroviral therapy prescribed"
}
]
},
{
"code": "G9246",
"display": "No enc or enc/vir ld 90days",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient did not have two eligible encounters at least 90 days apart or one eligible encounter and one hiv viral load test at least 90 days apart"
}
]
},
{
"code": "G9247",
"display": "2 enc enc/vir ld 90d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient had two eligible encounters at least 90 days apart or one eligible encounter and one hiv viral load test at least 90 days apart"
}
]
},
{
"code": "G9248",
"display": "No med visit 6mo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient did not have a medical visit in the last 6 months"
}
]
},
{
"code": "G9249",
"display": "Med visit w in 6mo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient had a medical visit in the last 6 months"
}
]
},
{
"code": "G9250",
"display": "Doc of pain comfort 48hr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of patient pain brought to a comfortable level within 48 hours from initial assessment"
}
]
},
{
"code": "G9251",
"display": "Doc no pain comfort 48hr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of patient with pain not brought to a comfortable level within 48 hours from initial assessment"
}
]
},
{
"code": "G9252",
"display": "Neo detect scrn colo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adenoma(s) or other neoplasm detected during screening colonoscopy"
}
]
},
{
"code": "G9253",
"display": "No neo detect scrn colo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adenoma(s) or other neoplasm not detected during screening colonoscopy"
}
]
},
{
"code": "G9254",
"display": "Doc pt dischg >2d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of patient discharged to home later than post-operative day 2 following cea or cas"
}
]
},
{
"code": "G9255",
"display": "Pt dc home 2nd po day",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of patient discharged to home no later than post operative day 2 following cea or cas"
}
]
},
{
"code": "G9256",
"display": "Doc of pat death after cas",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of patient death following cas"
}
]
},
{
"code": "G9257",
"display": "Doc of pat stroke after cas",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of patient stroke following cas"
}
]
},
{
"code": "G9258",
"display": "Doc of pat stroke after cea",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of patient stroke following cea"
}
]
},
{
"code": "G9259",
"display": "Survive/no stroke post cas",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of patient survival and absence of stroke following cas"
}
]
},
{
"code": "G9260",
"display": "Doc of pat death after cea",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of patient death following cea"
}
]
},
{
"code": "G9261",
"display": "Survive/no stroke post cea",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of patient survival and absence of stroke following cea"
}
]
},
{
"code": "G9262",
"display": "Doc of death post-aaa repair",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of patient death in the hospital following endovascular aaa repair"
}
]
},
{
"code": "G9263",
"display": "Doc of disch post-aaa repair",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of patient discharged alive following endovascular aaa repair"
}
]
},
{
"code": "G9264",
"display": "Doc rsn hemod w/cath >=90d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of patient receiving maintenance hemodialysis for greater than or equal to 90 days with a catheter for documented reasons (e.g., other medical reasons, patient declined arteriovenous fistula (avf)/arteriovenous graft (avg), other patient reasons)"
}
]
},
{
"code": "G9265",
"display": "Doc cath >90d for maint dia",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient receiving maintenance hemodialysis for greater than or equal to 90 days with a catheter as the mode of vascular access"
}
]
},
{
"code": "G9266",
"display": "Norsn pt cath >=90d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient receiving maintenance hemodialysis for greater than or equal to 90 days without a catheter as the mode of vascular access"
}
]
},
{
"code": "G9267",
"display": "Doc comp or mort w in 30d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of patient with one or more complications or mortality within 30 days"
}
]
},
{
"code": "G9268",
"display": "Doc comp or mort w in 90d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of patient with one or more complications within 90 days"
}
]
},
{
"code": "G9269",
"display": "Doc no comp or mort w in 30d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of patient without one or more complications and without mortality within 30 days"
}
]
},
{
"code": "G9270",
"display": "Doc no comp or mort w in 90d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of patient without one or more complications within 90 days"
}
]
},
{
"code": "G9271",
"display": "Ldl under 100",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ldl value < 100"
}
]
},
{
"code": "G9272",
"display": "Ldl 100 and over",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ldl value >= 100"
}
]
},
{
"code": "G9273",
"display": "Sys<140 and dia<90",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Blood pressure has a systolic value of < 140 and a diastolic value of < 90"
}
]
},
{
"code": "G9274",
"display": "Bp out of nrml limits",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Blood pressure has a systolic value of =140 and a diastolic value of = 90 or systolic value < 140 and diastolic value = 90 or systolic value = 140 and diastolic value < 90"
}
]
},
{
"code": "G9275",
"display": "Doc of non tobacco user",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation that patient is a current non-tobacco user"
}
]
},
{
"code": "G9276",
"display": "Doc of tobacco user",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation that patient is a current tobacco user"
}
]
},
{
"code": "G9277",
"display": "Doc daily aspirin or contra",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation that the patient is on daily aspirin or anti-platelet or has documentation of a valid contraindication or exception to aspirin/anti-platelet; contraindications/exceptions include anti-coagulant use, allergy to aspirin or anti-platelets, history of gastrointestinal bleed and bleeding disorder; additionally, the following exceptions documented by the physician as a reason for not taking daily aspirin or anti-platelet are acceptable (use of non-steroidal anti-inflammatory agents, documented risk for drug interaction, uncontrolled hypertension defined as >180 systolic or >110 diastolic or gastroesophageal reflux)"
}
]
},
{
"code": "G9278",
"display": "Doc no daily aspirin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation that the patient is not on daily aspirin or anti-platelet regimen"
}
]
},
{
"code": "G9279",
"display": "Pne scrn done doc vac done",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pneumococcal screening performed and documentation of vaccination received prior to discharge"
}
]
},
{
"code": "G9280",
"display": "Pne not given norsn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pneumococcal vaccination not administered prior to discharge, reason not specified"
}
]
},
{
"code": "G9281",
"display": "Pne scrn done doc not ind",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Screening performed and documentation that vaccination not indicated/patient refusal"
}
]
},
{
"code": "G9282",
"display": "Doc medrsn no histo type",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not reporting the histological type or nsclc-nos classification with an explanation (e.g., biopsy taken for other purposes in a patient with a history of non-small cell lung cancer or other documented medical reasons)"
}
]
},
{
"code": "G9283",
"display": "Hist type doc on report",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non small cell lung cancer biopsy and cytology specimen report documents classification into specific histologic type or classified as nsclc-nos with an explanation"
}
]
},
{
"code": "G9284",
"display": "No hist type doc on report",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non small cell lung cancer biopsy and cytology specimen report does not document classification into specific histologic type or classified as nsclc-nos with an explanation"
}
]
},
{
"code": "G9285",
"display": "Site not small cell lung ca",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Specimen site other than anatomic location of lung or is not classified as non small cell lung cancer"
}
]
},
{
"code": "G9286",
"display": "Antibio rx w in 10d of sympt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Antibiotic regimen prescribed within 10 days after onset of symptoms"
}
]
},
{
"code": "G9287",
"display": "No antibio w in 10d of sympt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Antibiotic regimen not prescribed within 10 days after onset of symptoms"
}
]
},
{
"code": "G9288",
"display": "Doc medrsn no hist type rpt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not reporting the histological type or nsclc-nos classification with an explanation (e.g., a solitary fibrous tumor in a person with a history of non-small cell carcinoma or other documented medical reasons)"
}
]
},
{
"code": "G9289",
"display": "Doc type nsm lung ca",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non small cell lung cancer biopsy and cytology specimen report documents classification into specific histologic type or classified as nsclc-nos with an explanation"
}
]
},
{
"code": "G9290",
"display": "No doc type nsm lung ca",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non small cell lung cancer biopsy and cytology specimen report does not document classification into specific histologic type or classified as nsclc-nos with an explanation"
}
]
},
{
"code": "G9291",
"display": "Not nsm lung ca",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Specimen site other than anatomic location of lung, is not classified as non small cell lung cancer or classified as nsclc-nos"
}
]
},
{
"code": "G9292",
"display": "Medrsn no pt category",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not reporting pt category and a statement on thickness and ulceration and for pt1, mitotic rate (e.g., negative skin biopsies in a patient with a history of melanoma or other documented medical reasons)"
}
]
},
{
"code": "G9293",
"display": "No pt category on report",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pathology report does not include the pt category and a statement on thickness and ulceration and for pt1, mitotic rate"
}
]
},
{
"code": "G9294",
"display": "Pt cat and thck on report",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pathology report includes the pt category and a statement on thickness and ulceration and for pt1, mitotic rate"
}
]
},
{
"code": "G9295",
"display": "Non cutaneous loc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Specimen site other than anatomic cutaneous location"
}
]
},
{
"code": "G9296",
"display": "Doc share dec prior proc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with documented shared decision-making including discussion of conservative (non-surgical) therapy (e.g., nsaids, analgesics, weight loss, exercise, injections) prior to the procedure"
}
]
},
{
"code": "G9297",
"display": "No doc share dec prior proc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Shared decision-making including discussion of conservative (non-surgical) therapy (e.g., nsaids, analgesics, weight loss, exercise, injections) prior to the procedure, not documented, reason not given"
}
]
},
{
"code": "G9298",
"display": "Eval risk vte card 30d prior",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who are evaluated for venous thromboembolic and cardiovascular risk factors within 30 days prior to the procedure (e.g., history of dvt, pe, mi, arrhythmia and stroke)"
}
]
},
{
"code": "G9299",
"display": "No eval risk vte card prior",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who are not evaluated for venous thromboembolic and cardiovascular risk factors within 30 days prior to the procedure (e.g., history of dvt, pe, mi, arrhythmia and stroke, reason not given)"
}
]
},
{
"code": "G9300",
"display": "Doc medrsn no compl antibio",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not completely infusing the prophylactic antibiotic prior to the inflation of the proximal tourniquet (e.g., a tourniquet was not used)"
}
]
},
{
"code": "G9301",
"display": "Doc compl inf antibio",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who had the prophylactic antibiotic completely infused prior to the inflation of the proximal tourniquet"
}
]
},
{
"code": "G9302",
"display": "Norsn incomp inf antibio",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prophylactic antibiotic not completely infused prior to the inflation of the proximal tourniquet, reason not given"
}
]
},
{
"code": "G9303",
"display": "Norsn no pros info op rpt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Operative report does not identify the prosthetic implant specifications including the prosthetic implant manufacturer, the brand name of the prosthetic implant and the size of each prosthetic implant, reason not given"
}
]
},
{
"code": "G9304",
"display": "Pros info op rpt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Operative report identifies the prosthetic implant specifications including the prosthetic implant manufacturer, the brand name of the prosthetic implant and the size of each prosthetic implant"
}
]
},
{
"code": "G9305",
"display": "No interv req for leak",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intervention for presence of leak of endoluminal contents through an anastomosis not required"
}
]
},
{
"code": "G9306",
"display": "Interv req for leak",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intervention for presence of leak of endoluminal contents through an anastomosis required"
}
]
},
{
"code": "G9307",
"display": "No ret for surg w in 30d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "No return to the operating room for a surgical procedure, for complications of the principal operative procedure, within 30 days of the principal operative procedure"
}
]
},
{
"code": "G9308",
"display": "Unpl ret or w/compl w/in 30d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Unplanned return to the operating room for a surgical procedure, for complications of the principal operative procedure, within 30 days of the principal operative procedure"
}
]
},
{
"code": "G9309",
"display": "No unplnd hosp readm in 30d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "No unplanned hospital readmission within 30 days of principal procedure"
}
]
},
{
"code": "G9310",
"display": "Unplnd hosp readm in 30d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Unplanned hospital readmission within 30 days of principal procedure"
}
]
},
{
"code": "G9311",
"display": "No surg site infection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "No surgical site infection"
}
]
},
{
"code": "G9312",
"display": "Surgical site infection"
},
{
"code": "G9313",
"display": "Amoxic not presc as 1st line",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Amoxicillin, with or without clavulanate, not prescribed as first line antibiotic at the time of diagnosis for documented reason"
}
]
},
{
"code": "G9314",
"display": "Norsn not first line amox",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Amoxicillin, with or without clavulanate, not prescribed as first line antibiotic at the time of diagnosis, reason not given"
}
]
},
{
"code": "G9315",
"display": "Amox w/wo clav rx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Amoxicillin, with or without clavulanate, prescribed as a first line antibiotic at the time of diagnosis"
}
]
},
{
"code": "G9316",
"display": "Doc comm risk calc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of patient-specific risk assessment with a risk calculator based on multi-institutional clinical data, the specific risk calculator used, and communication of risk assessment from risk calculator with the patient or family"
}
]
},
{
"code": "G9317",
"display": "No doc comm risk calc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of patient-specific risk assessment with a risk calculator based on multi-institutional clinical data, the specific risk calculator used, and communication of risk assessment from risk calculator with the patient or family not completed"
}
]
},
{
"code": "G9318",
"display": "Image std nomenclature",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Imaging study named according to standardized nomenclature"
}
]
},
{
"code": "G9319",
"display": "Image not std nomenclature",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Imaging study not named according to standardized nomenclature, reason not given"
}
]
},
{
"code": "G9320",
"display": "Medrsn no std nomenclature",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not naming ct studies according to a standardized nomenclature provided (eg, ct studies performed for radiation treatment planning or image-guided radiation treatment delivery)"
}
]
},
{
"code": "G9321",
"display": "Prev ct nuc med cnt doc 12mo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Count of previous ct (any type of ct) and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies documented in the 12-month period prior to the current study"
}
]
},
{
"code": "G9322",
"display": "No cnt ct nuc med doc 12mo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies not documented in the 12-month period prior to the current study, reason not given"
}
]
},
{
"code": "G9323",
"display": "Mdrsn no doc cnt of ct",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not counting previous ct and cardiac nuclear medicine (myocardial perfusion) studies (eg, ct studies performed for radiation treatment planning or image-guided radiation treatment delivery)"
}
]
},
{
"code": "G9324",
"display": "Not all data norsn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All necessary data elements not included, reason not given"
}
]
},
{
"code": "G9325",
"display": "Medrsn no ct rpt to reg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ct studies not reported to a radiation dose index registry due to medical reasons (eg, ct studies performed for radiation treatment planning or image-guided radiation treatment delivery)"
}
]
},
{
"code": "G9326",
"display": "Ct done no rad ds index, nrg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ct studies performed not reported to a radiation dose index registry that is capable of collecting at a minimum all necessary data elements, reason not given"
}
]
},
{
"code": "G9327",
"display": "Ct done rad ds index",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ct studies performed reported to a radiation dose index registry that is capable of collecting at a minimum all necessary data elements"
}
]
},
{
"code": "G9328",
"display": "Medrsn no dicom format doc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dicom format image data availability not documented in final report due to medical reasons (eg, ct studies performed for radiation treatment planning or image-guided radiation treatment delivery)"
}
]
},
{
"code": "G9329",
"display": "Norsn no dicom format doc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dicom format image data available to non-affiliated external healthcare facilities or entities on a secure, media free, reciprocally searchable basis with patient authorization for at least a 12-month period after the study not documented in final report, reason not given"
}
]
},
{
"code": "G9340",
"display": "Dicom format doc on rpt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Final report documented that dicom format image data available to non-affiliated external healthcare facilities or entities on a secure, media free, reciprocally searchable basis with patient authorization for at least a 12-month period after the study"
}
]
},
{
"code": "G9341",
"display": "Srch for ct w in 12 mos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Search conducted for prior patient ct studies completed at non-affiliated external healthcare facilities or entities within the past 12-months and are available through a secure, authorized, media-free, shared archive prior to an imaging study being performed"
}
]
},
{
"code": "G9342",
"display": "No srch for ct in 12mo norsn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Search not conducted prior to an imaging study being performed for prior patient ct studies completed at non-affiliated external healthcare facilities or entities within the past 12-months and are available through a secure, authorized, media-free, shared archive, reason not given"
}
]
},
{
"code": "G9343",
"display": "Medrsn no dicom srch",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Due to medical reasons, search not conducted for dicom format images for prior patient ct imaging studies completed at non-affiliated external healthcare facilities or entities within the past 12 months that are available through a secure, authorized, media-free, shared archive (e.g., ct studies performed for radiation treatment planning or image-guided radiation treatment delivery)"
}
]
},
{
"code": "G9344",
"display": "Sysrsn no dicom srch",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Due to system reasons search not conducted for dicom format images for prior patient ct imaging studies completed at non-affiliated external healthcare facilities or entities within the past 12 months that are available through a secure, authorized, media-free, shared archive (e.g., non-affiliated external healthcare facilities or entities does not have archival abilities through a shared archival system)"
}
]
},
{
"code": "G9345",
"display": "Follow up pulm nod",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Follow-up recommendations documented according to recommended guidelines for incidentally detected pulmonary nodules (e.g., follow-up ct imaging studies needed or that no follow-up is needed) based at a minimum on nodule size and patient risk factors"
}
]
},
{
"code": "G9346",
"display": "No follow up pulm nod",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Follow-up recommendations not documented according to recommended guidelines for incidentally detected pulmonary nodules due to medical reasons (e.g., patients with known malignant disease, patients with unexplained fever, ct studies performed for radiation treatment planning or image-guided radiation treatment delivery)"
}
]
},
{
"code": "G9347",
"display": "No follow up pulm nod norsn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Follow-up recommendations not documented according to recommended guidelines for incidentally detected pulmonary nodules, reason not given"
}
]
},
{
"code": "G9348",
"display": "Doc rsn for ord ct scan",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ct scan of the paranasal sinuses ordered at the time of diagnosis for documented reasons"
}
]
},
{
"code": "G9349",
"display": "Ct within 28 days",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ct scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis"
}
]
},
{
"code": "G9350",
"display": "No doc sinus ct 28d or dx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ct scan of the paranasal sinuses not ordered at the time of diagnosis or received within 28 days after date of diagnosis"
}
]
},
{
"code": "G9351",
"display": "Doc >1 sinus ct w 90d dx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "More than one ct scan of the paranasal sinuses ordered or received within 90 days after diagnosis"
}
]
},
{
"code": "G9352",
"display": "Not >1 sinus ct w 90d dx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "More than one ct scan of the paranasal sinuses ordered or received within 90 days after the date of diagnosis, reason not given"
}
]
},
{
"code": "G9353",
"display": "Medrsn >1 sinus ct w 90d dx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "More than one ct scan of the paranasal sinuses ordered or received within 90 days after the date of diagnosis for documented reasons (eg, patients with complications, second ct obtained prior to surgery, other medical reasons)"
}
]
},
{
"code": "G9354",
"display": "1 or no ct sinus w/in 90d dx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "One ct scan or no ct scan of the paranasal sinuses ordered within 90 days after the date of diagnosis"
}
]
},
{
"code": "G9355",
"display": "No early ind/delivery",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Elective delivery (without medical indication) by cesarean birth or induction of labor not performed (<39 weeks of gestation)"
}
]
},
{
"code": "G9356",
"display": "Early ind/delivery",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Elective delivery (without medical indication) by cesarean birth or induction of labor performed (<39 weeks of gestation)"
}
]
},
{
"code": "G9357",
"display": "Pp eval/edu perf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Post-partum screenings, evaluations and education performed"
}
]
},
{
"code": "G9358",
"display": "Pp eval/edu not perf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Post-partum screenings, evaluations and education not performed"
}
]
},
{
"code": "G9359",
"display": "Neg mgd pos tb notact",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of negative or managed positive tb screen with further evidence that tb is not active prior to treatment with a biologic immune response modifier"
}
]
},
{
"code": "G9360",
"display": "No doc of neg or man pos tb",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "No documentation of negative or managed positive tb screen"
}
]
},
{
"code": "G9361",
"display": "Doc rsn elect c-sec/induct",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medical indication for delivery by cesarean birth or induction of labor (<39 weeks of gestation) [documentation of reason(s) for elective delivery (e.g., hemorrhage and placental complications, hypertension, preeclampsia and eclampsia, rupture of membranes (premature or prolonged), maternal conditions complicating pregnancy/delivery, fetal conditions complicating pregnancy/delivery, late pregnancy, prior uterine surgery, or participation in clinical trial)]"
}
]
},
{
"code": "G9362",
"display": "Mac or pnb w/o genanes >60m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Duration of monitored anesthesia care (mac) or peripheral nerve block (pnb) without the use of general anesthesia during an applicable procedure 60 minutes or longer, as documented in the anesthesia record"
}
]
},
{
"code": "G9363",
"display": "Mac or pnb w/o genanes <60m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Duration of monitored anesthesia care (mac) or peripheral nerve block (pnb) without the use of general anesthesia during an applicable procedure or general or neuraxial anesthesia less than 60 minutes, as documented in the anesthesia record"
}
]
},
{
"code": "G9364",
"display": "Sinus caus bac inx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sinusitis caused by, or presumed to be caused by, bacterial infection"
}
]
},
{
"code": "G9365",
"display": "1high risk med ord",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "One high-risk medication ordered"
}
]
},
{
"code": "G9366",
"display": "1high risk no ord",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "One high-risk medication not ordered"
}
]
},
{
"code": "G9367",
"display": ">= 2 same hi-rsk med ord",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "At least two orders for high-risk medications from the same drug class"
}
]
},
{
"code": "G9368",
"display": ">= 2 same hi-rsk med not ord",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "At least two orders for high-risk medications from the same drug class not ordered"
}
]
},
{
"code": "G9369",
"display": "Fill 2 rx antipsych",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Individual filled at least two prescriptions for any antipsychotic medication and had a pdc of 0.8 or greater"
}
]
},
{
"code": "G9370",
"display": "Not fill 2 rx antipsych",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Individual who did not fill at least two prescriptions for any antipsychotic medication or did not have a pdc of 0.8 or greater"
}
]
},
{
"code": "G9376",
"display": "Contd ret attach at 6mth f/u",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient continued to have the retina attached at the 6 months follow up visit (+/- 1 month) following only one surgery"
}
]
},
{
"code": "G9377",
"display": "No ret attach after 6mt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient did not have the retina attached after 6 months following only one surgery"
}
]
},
{
"code": "G9378",
"display": "Contd ret attach f/u vis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient continued to have the retina attached at the 6 months follow up visit (+/- 1 month)"
}
]
},
{
"code": "G9379",
"display": "No acheive flat ret 6mth",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient did not achieve flat retinas six months post surgery"
}
]
},
{
"code": "G9380",
"display": "Off assis eol iss",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient offered assistance with end of life issues or existing end of life plan was reviewed or updated during the measurement period"
}
]
},
{
"code": "G9381",
"display": "Doc med reas no offer eol",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not offering assistance with end of life issues (e.g., patient in hospice care, patient in terminal phase) during the measurement period"
}
]
},
{
"code": "G9382",
"display": "No off assis eol",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient not offered assistance with end of life issues or existing end of life plan was not reviewed or updated during the measurement period"
}
]
},
{
"code": "G9383",
"display": "Recd scrn hcv infec",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient received screening for hcv infection within the 12 month reporting period"
}
]
},
{
"code": "G9384",
"display": "Doc med rsn no hcv scrn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not receiving annual screening for hcv infection (e.g., decompensated cirrhosis indicating advanced disease [i.e., ascites, esophageal variceal bleeding, hepatic encephalopathy], hepatocellular carcinoma, waitlist for organ transplant, limited life expectancy, other medical reasons)"
}
]
},
{
"code": "G9385",
"display": "Doc pt reas not rec hcv srn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of patient reason(s) for not receiving annual screening for hcv infection (e.g., patient declined, other patient reasons)"
}
]
},
{
"code": "G9386",
"display": "Scrn hcv infec not recd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Screening for hcv infection not received within the 12 month reporting period, reason not given"
}
]
},
{
"code": "G9389",
"display": "Unpln rup post cap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Unplanned rupture of the posterior capsule requiring vitrectomy during cataract surgery"
}
]
},
{
"code": "G9390",
"display": "No unpln rup post cap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "No unplanned rupture of the posterior capsule requiring vitrectomy during cataract surgery"
}
]
},
{
"code": "G9391",
"display": "Achv refrac +1d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient achieves refraction +-1 d for the eye that underwent cataract surgery, measured at the one month follow up visit"
}
]
},
{
"code": "G9392",
"display": "Not achv refrac +1d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient does not achieve refraction +-1 d for the eye that underwent cataract surgery, measured at the one month follow up visit"
}
]
},
{
"code": "G9393",
"display": "Ini phq9 >9 remiss <5",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient with an initial phq-9 score greater than nine who achieves remission at twelve months as demonstrated by a twelve month (+/- 30 days) phq-9 score of less than five"
}
]
},
{
"code": "G9394",
"display": "Dx bipol, death, nhres, hosp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient who had a diagnosis of bipolar disorder or personality disorder, death, permanent nursing home resident or receiving hospice or palliative care any time during the measurement or assessment period"
}
]
},
{
"code": "G9395",
"display": "Ini phq9 >9 no remiss >=5",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient with an initial phq-9 score greater than nine who did not achieve remission at twelve months as demonstrated by a twelve month (+/- 30 days) phq-9 score greater than or equal to five"
}
]
},
{
"code": "G9396",
"display": "Ini phq9 >9 not assess",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient with an initial phq-9 score greater than nine who was not assessed for remission at twelve months (+/- 30 days)"
}
]
},
{
"code": "G9399",
"display": "Doc disc tx choices",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation in the patient record of a discussion between the physician/clinician and the patient that includes all of the following: treatment choices appropriate to genotype, risks and benefits, evidence of effectiveness, and patient preferences toward the outcome of the treatment"
}
]
},
{
"code": "G9400",
"display": "Doc reas no disc tx opt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical or patient reason(s) for not discussing treatment options; medical reasons: patient is not a candidate for treatment due to advanced physical or mental health comorbidity (including active substance use); currently receiving antiviral treatment; successful antiviral treatment (with sustained virologic response) prior to reporting period; other documented medical reasons; patient reasons: patient unable or unwilling to participate in the discussion or other patient reasons"
}
]
},
{
"code": "G9401",
"display": "No disc tx choices",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "No documentation in the patient record of a discussion between the physician or other qualified healthcare professional and the patient that includes all of the following: treatment choices appropriate to genotype, risks and benefits, evidence of effectiveness, and patient preferences toward treatment"
}
]
},
{
"code": "G9402",
"display": "Recd f/u w/in 30d disch",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient received follow-up within 30 days after discharge"
}
]
},
{
"code": "G9403",
"display": "Doc reas no 30 day f/u",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinician documented reason patient was not able to complete 30 day follow-up from acute inpatient setting discharge (e.g., patient death prior to follow-up visit, patient non-compliant for visit follow-up)"
}
]
},
{
"code": "G9404",
"display": "No 30 day f/u",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient did not receive follow-up within 30 days after discharge"
}
]
},
{
"code": "G9405",
"display": "Recd f/u w/in 7d dc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient received follow-up within 7 days after discharge"
}
]
},
{
"code": "G9406",
"display": "Doc reas no 7d f/u",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinician documented reason patient was not able to complete 7 day follow-up from acute inpatient setting discharge (i.e patient death prior to follow-up visit, patient non-compliance for visit follow-up)"
}
]
},
{
"code": "G9407",
"display": "No 7d f/u",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient did not receive follow-up within 7 days after discharge"
}
]
},
{
"code": "G9408",
"display": "Card tamp w/in 30d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with cardiac tamponade and/or pericardiocentesis occurring within 30 days"
}
]
},
{
"code": "G9409",
"display": "No card tamp e/in 30d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients without cardiac tamponade and/or pericardiocentesis occurring within 30 days"
}
]
},
{
"code": "G9410",
"display": "Admit w/in 180d req remov",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient admitted within 180 days, status post cied implantation, replacement, or revision with an infection requiring device removal or surgical revision"
}
]
},
{
"code": "G9411",
"display": "No admit w/in 180d req remov",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient not admitted within 180 days, status post cied implantation, replacement, or revision with an infection requiring device removal or surgical revision"
}
]
},
{
"code": "G9412",
"display": "Admit w/in 180d req surg rev",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient admitted within 180 days, status post cied implantation, replacement, or revision with an infection requiring device removal or surgical revision"
}
]
},
{
"code": "G9413",
"display": "No admit req surg rev",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient not admitted within 180 days, status post cied implantation, replacement, or revision with an infection requiring device removal or surgical revision"
}
]
},
{
"code": "G9414",
"display": "1dose menig vac btwn 11 & 13",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient had one dose of meningococcal vaccine (serogroups a, c, w, y) on or between the patient's 11th and 13th birthdays"
}
]
},
{
"code": "G9415",
"display": "No 1dose meni vac btwn 11&13",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient did not have one dose of meningococcal vaccine (serogroups a, c, w, y) on or between the patient's 11th and 13th birthdays"
}
]
},
{
"code": "G9416",
"display": "Pt 1 tdap betw 10-13 yrs",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient had one tetanus, diphtheria toxoids and acellular pertussis vaccine (tdap) on or between the patient's 10th and 13th birthdays"
}
]
},
{
"code": "G9417",
"display": "Pt not 1 tdap betw 10-13 yrs",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient did not have one tetanus, diphtheria toxoids and acellular pertussis vaccine (tdap) on or between the patient's 10th and 13th birthdays"
}
]
},
{
"code": "G9418",
"display": "Lungcx bx rpt docs class",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Primary non-small cell lung cancer lung biopsy and cytology specimen report documents classification into specific histologic type following iaslc guidance or classified as nsclc-nos with an explanation"
}
]
},
{
"code": "G9419",
"display": "Med reas not incl histo type",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not including the histological type or nsclc-nos classification with an explanation (e.g. specimen insufficient or non-diagnostic, specimen does not contain cancer, or other documented medical reasons)"
}
]
},
{
"code": "G9420",
"display": "Spec site no lung",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Specimen site other than anatomic location of lung or is not classified as primary non-small cell lung cancer"
}
]
},
{
"code": "G9421",
"display": "Lung cx bx rpt no doc class",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Primary non-small cell lung cancer lung biopsy and cytology specimen report does not document classification into specific histologic type or histologic type does not follow iaslc guidance or is classified as nsclc-nos but without an explanation"
}
]
},
{
"code": "G9422",
"display": "Rpt doc class histo type",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Primary lung carcinoma resection report documents pt category, pn category and for non-small cell lung cancer, histologic type (e.g., squamous cell carcinoma, adenocarcinoma and not nsclc-nos)"
}
]
},
{
"code": "G9423",
"display": "Med reas rpt no histo type",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason for not including pt category, pn category and histologic type [for patient with appropriate exclusion criteria (e.g., metastatic disease, benign tumors, malignant tumors other than carcinomas, inadequate surgical specimens)]"
}
]
},
{
"code": "G9424",
"display": "Site no lung or lung cx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Specimen site other than anatomic location of lung, or classified as nsclc-nos"
}
]
},
{
"code": "G9425",
"display": "Spec rpt no doc class histo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Primary lung carcinoma resection report does not document pt category, pn category and for non-small cell lung cancer, histologic type (e.g., squamous cell carcinoma, adenocarcinoma)"
}
]
},
{
"code": "G9426",
"display": "Impr med time edarr pain med",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Improvement in median time from ed arrival to initial ed oral or parenteral pain medication administration performed for ed admitted patients"
}
]
},
{
"code": "G9427",
"display": "No impro med time pain med",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Improvement in median time from ed arrival to initial ed oral or parenteral pain medication administration not performed for ed admitted patients"
}
]
},
{
"code": "G9428",
"display": "Patho rpt incl pt ctg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pathology report includes the pt category, thickness, ulceration and mitotic rate, peripheral and deep margin status and presence or absence of microsatellitosis for invasive tumors"
}
]
},
{
"code": "G9429",
"display": "Doc med rsn no pt cat",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not including pt category, thickness, ulceration and mitotic rate, peripheral and deep margin status and presence or absence of microsatellitosis for invasive tumors (e.g., negative skin biopsies, insufficient tissue, or other documented medical reasons)"
}
]
},
{
"code": "G9430",
"display": "Spec site no cutaneous",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Specimen site other than anatomic cutaneous location"
}
]
},
{
"code": "G9431",
"display": "Patho rpt no pt ctg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pathology report does not include the pt category, thickness, ulceration and mitotic rate, peripheral and deep margin status and presence or absence of microsatellitosis for invasive tumors"
}
]
},
{
"code": "G9432",
"display": "Asth controlled",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Asthma well-controlled based on the act, c-act, acq, or ataq score and results documented"
}
]
},
{
"code": "G9433",
"display": "Death, nhres, hospice",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Death, permanent nursing home resident or receiving hospice or palliative care any time during the measurement period"
}
]
},
{
"code": "G9434",
"display": "Asth not controlled",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Asthma not well-controlled based on the act, c-act, acq, or ataq score, or specified asthma control tool not used, reason not given"
}
]
},
{
"code": "G9435",
"display": "Asp presc disch",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Aspirin prescribed at discharge"
}
]
},
{
"code": "G9436",
"display": "Asp not presc doc reas",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Aspirin not prescribed for documented reasons (e.g., allergy, medical intolerance, history of bleed)"
}
]
},
{
"code": "G9437",
"display": "Asp not presc disch",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Aspirin not prescribed at discharge"
}
]
},
{
"code": "G9438",
"display": "P2y inhib presc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "P2y inhibitor prescribed at discharge"
}
]
},
{
"code": "G9439",
"display": "P2y inhib not presc doc reas",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "P2y inhibitor not prescribed for documented reasons (e.g., allergy, medical intolerance, history of bleed)"
}
]
},
{
"code": "G9440",
"display": "P2y inhib not presc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "P2y inhibitor not prescribed at discharge"
}
]
},
{
"code": "G9441",
"display": "Statin presc disch",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Statin prescribed at discharge"
}
]
},
{
"code": "G9442",
"display": "Statin not presc doc reas",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Statin not prescribed for documented reasons (e.g., allergy, medical intolerance)"
}
]
},
{
"code": "G9443",
"display": "Statin not presc disch",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Statin not prescribed at discharge"
}
]
},
{
"code": "G9448",
"display": "Born 1945-1965",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who were born in the years 1945 to 1965"
}
]
},
{
"code": "G9449",
"display": "Hx bld transf b/f 1992",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "History of receiving blood transfusions prior to 1992"
}
]
},
{
"code": "G9450",
"display": "Hx injec drug use",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "History of injection drug use"
}
]
},
{
"code": "G9451",
"display": "1x scrn hcv infect",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient received one-time screening for hcv infection"
}
]
},
{
"code": "G9452",
"display": "Doc med reas no hcv test",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not receiving hcv antibody test due to limited life expectancy"
}
]
},
{
"code": "G9453",
"display": "Pt reas no hcv infect",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of patient reason(s) for not receiving one-time screening for hcv infection (e.g., patient declined, other patient reasons)"
}
]
},
{
"code": "G9454",
"display": "No scr hcv inf 12 mth rp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "One-time screening for hcv infection not received within 12-month reporting period and no documentation of prior screening for hcv infection, reason not given"
}
]
},
{
"code": "G9455",
"display": "Abd imag w/us, ct or mri",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient underwent abdominal imaging with ultrasound, contrast enhanced ct or contrast mri for hcc"
}
]
},
{
"code": "G9456",
"display": "Doc med pt reas no hcc scrn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical or patient reason(s) for not ordering or performing screening for hcc. medical reason: comorbid medical conditions with expected survival < 5 years, hepatic decompensation and not a candidate for liver transplantation, or other medical reasons; patient reasons: patient declined or other patient reasons (e.g., cost of tests, time related to accessing testing equipment)"
}
]
},
{
"code": "G9457",
"display": "Pt no abd img no doc rsn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient did not undergo abdominal imaging and did not have a documented reason for not undergoing abdominal imaging in the submission period"
}
]
},
{
"code": "G9458",
"display": "Tob user recd cess interv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient documented as tobacco user and received tobacco cessation intervention (must include at least one of the following: advice given to quit smoking or tobacco use, counseling on the benefits of quitting smoking or tobacco use, assistance with or referral to external smoking or tobacco cessation support programs, or current enrollment in smoking or tobacco use cessation program) if identified as a tobacco user"
}
]
},
{
"code": "G9459",
"display": "Tob non-user",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Currently a tobacco non-user"
}
]
},
{
"code": "G9460",
"display": "No tob assess or cess inter",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tobacco assessment or tobacco cessation intervention not performed, reason not given"
}
]
},
{
"code": "G9463",
"display": "Sinusitis intent",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "I intend to report the sinusitis measures group"
}
]
},
{
"code": "G9464",
"display": "Sinusitis comp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All quality actions for the applicable measures in the sinusitis measures group have been performed for this patient"
}
]
},
{
"code": "G9465",
"display": "Aoe intent",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "I intend to report the acute otitis externa (aoe) measures group"
}
]
},
{
"code": "G9466",
"display": "Aoe comp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All quality actions for the applicable measures in the aoe measures group have been performed for this patient"
}
]
},
{
"code": "G9467",
"display": "Recd cortico >=10mg/day >60d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient who have received or are receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 60 or greater consecutive days or a single prescription equating to 600 mg prednisone or greater for all fills within the last twelve months"
}
]
},
{
"code": "G9468",
"display": "No recd cortico>=10mg/d >60d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient not receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 60 or greater consecutive days or a single prescription equating to 600 mg prednisone or greater for all fills"
}
]
},
{
"code": "G9469",
"display": "Rec cortico>90d or 1rx 900mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who have received or are receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 90 or greater consecutive days or a single prescription equating to 900 mg prednisone or greater for all fills"
}
]
},
{
"code": "G9470",
"display": "No rec cortico>60d 1rx 600mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients not receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 60 or greater consecutive days or a single prescription equating to 600 mg prednisone or greater for all fills"
}
]
},
{
"code": "G9471",
"display": "W/in 2yr dxa not order",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Within the past 2 years, central dual-energy x-ray absorptiometry (dxa) not ordered or documented"
}
]
},
{
"code": "G9472",
"display": "No dxa no med hx no rv sx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Within the past 2 years, central dual-energy x-ray absorptiometry (dxa) not ordered and documented, no review of systems and no medication history or pharmacologic therapy (other than minerals/vitamins) for osteoporosis prescribed"
}
]
},
{
"code": "G9473",
"display": "Chap services at hospice",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Services performed by chaplain in the hospice setting, each 15 minutes"
}
]
},
{
"code": "G9474",
"display": "Diet counsel at hospice",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Services performed by dietary counselor in the hospice setting, each 15 minutes"
}
]
},
{
"code": "G9475",
"display": "Other counselor at hospice",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Services performed by other counselor in the hospice setting, each 15 minutes"
}
]
},
{
"code": "G9476",
"display": "Volun service at hospice",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Services performed by volunteer in the hospice setting, each 15 minutes"
}
]
},
{
"code": "G9477",
"display": "Care coord at hospice",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Services performed by care coordinator in the hospice setting, each 15 minutes"
}
]
},
{
"code": "G9478",
"display": "Othe therapist at hospice",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Services performed by other qualified therapist in the hospice setting, each 15 minutes"
}
]
},
{
"code": "G9479",
"display": "Pharmacist at hospice",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Services performed by qualified pharmacist in the hospice setting, each 15 minutes"
}
]
},
{
"code": "G9480",
"display": "Admission to mccm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Admission to medicare care choice model program (mccm)"
}
]
},
{
"code": "G9481",
"display": "Remote e/m new pt 10mins",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project, which requires these 3 key components: a problem focused history; a problem focused examination; and straightforward medical decision making, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are self limited or minor. typically, 10 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology"
}
]
},
{
"code": "G9482",
"display": "Remote e/m new pt 20mins",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project, which requires these 3 key components: an expanded problem focused history; an expanded problem focused examination; straightforward medical decision making, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of low to moderate severity. typically, 20 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology"
}
]
},
{
"code": "G9483",
"display": "Remote e/m new pt 30mins",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project, which requires these 3 key components: a detailed history; a detailed examination; medical decision making of low complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate severity. typically, 30 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology"
}
]
},
{
"code": "G9484",
"display": "Remote e/m new pt 45mins",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project, which requires these 3 key components: a comprehensive history; a comprehensive examination; medical decision making of moderate complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 45 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology"
}
]
},
{
"code": "G9485",
"display": "Remote e/m new pt 60mins",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project, which requires these 3 key components: a comprehensive history; a comprehensive examination; medical decision making of high complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 60 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology"
}
]
},
{
"code": "G9486",
"display": "Remote e/m est. pt 10mins",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved cms innovation center demonstration project, which requires at least 2 of the following 3 key components: a problem focused history; a problem focused examination; straightforward medical decision making, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are self limited or minor. typically, 10 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology"
}
]
},
{
"code": "G9487",
"display": "Remote e/m est. pt 15mins",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved cms innovation center demonstration project, which requires at least 2 of the following 3 key components: an expanded problem focused history; an expanded problem focused examination; medical decision making of low complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of low to moderate severity. typically, 15 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology"
}
]
},
{
"code": "G9488",
"display": "Remote e/m est. pt 25mins",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved cms innovation center demonstration project, which requires at least 2 of the following 3 key components: a detailed history; a detailed examination; medical decision making of moderate complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 25 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology"
}
]
},
{
"code": "G9489",
"display": "Remote e/m est. pt 40mins",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved coms innovation center demonstration project, which requires at least 2 of the following 3 key components: a comprehensive history; a comprehensive examination; medical decision making of high complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 40 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology"
}
]
},
{
"code": "G9490",
"display": "Cmmi mod home visit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cms innovation center models, home visit for patient assessment performed by clinical staff for an individual not considered homebound, including, but not necessarily limited to patient assessment of clinical status, safety/fall prevention, functional status/ambulation, medication reconciliation/management, compliance with orders/plan of care, performance of activities of daily living, and ensuring beneficiary connections to community and other services. (for use only in medicare-approved cms innovation center models); may not be billed for a 30 day period covered by a transitional care management code"
}
]
},
{
"code": "G9496",
"display": "Doc rsn no adeno/neopl detec",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of reason for not detecting adenoma(s) or other neoplasm. (e.g., neoplasm detected is only diagnosed as traditional serrated adenoma, sessile serrated polyp, or sessile serrated adenoma"
}
]
},
{
"code": "G9497",
"display": "Rec inst no smoke day surg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Received instruction from the anesthesiologist or proxy prior to the day of surgery to abstain from smoking on the day of surgery"
}
]
},
{
"code": "G9498",
"display": "Abx reg prescribed",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Antibiotic regimen prescribed"
}
]
},
{
"code": "G9499",
"display": "No start/rec antvir tx hep c",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient did not start or is not receiving antiviral treatment for hepatitis c during the measurement period"
}
]
},
{
"code": "G9500",
"display": "Rad expos ind/exp tm doc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Radiation exposure indices documented in final report for procedure using fluoroscopy"
}
]
},
{
"code": "G9501",
"display": "Rad expos ind/exp tm no doc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Radiation exposure indices not documented in final report for procedure using fluoroscopy, reason not given"
}
]
},
{
"code": "G9502",
"display": "Med reas no perf foot exam",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason for not performing foot exam (i.e., patients who have had either a bilateral amputation above or below the knee, or both a left and right amputation above or below the knee before or during the measurement period)"
}
]
},
{
"code": "G9503",
"display": "Pt tk tams hcl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient taking tamsulosin hydrochloride"
}
]
},
{
"code": "G9504",
"display": "Doc rsn hep b stat not asses",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documented reason for not assessing hepatitis b virus (hbv) status (e.g., patient not initiating anti-tnf therapy, patient declined) prior to initiating anti-tnf therapy"
}
]
},
{
"code": "G9505",
"display": "Abx pres w/in 10 dys of symp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Antibiotic regimen prescribed within 10 days after onset of symptoms for documented medical reason"
}
]
},
{
"code": "G9506",
"display": "Bio imm resp mod presc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Biologic immune response modifier prescribed"
}
]
},
{
"code": "G9507",
"display": "Doc reas on statin or contra",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation that the patient is on a statin medication or has documentation of a valid contraindication or exception to statin medications; contraindications/exceptions that can be defined by diagnosis codes include pregnancy during the measurement period, active liver disease, rhabdomyolysis, end stage renal disease on dialysis and heart failure; provider documented contraindications/exceptions include breastfeeding during the measurement period, woman of child-bearing age not actively taking birth control, allergy to statin, drug interaction (hiv protease inhibitors, nefazodone, cyclosporine, gemfibrozil, and danazol) and intolerance (with supporting documentation of trying a statin at least once within the last 5 years or diagnosis codes for myostitis or toxic myopathy related to drugs)"
}
]
},
{
"code": "G9508",
"display": "Doc pt not on statin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation that the patient is not on a statin medication"
}
]
},
{
"code": "G9509",
"display": "Adit mdd dys rem 12 mnths",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adult patients 18 years of age or older with major depression or dysthymia who reached remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5"
}
]
},
{
"code": "G9510",
"display": "Remis12m not phq-9 score <5",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adult patients 18 years of age or older with major depression or dysthymia who did not reach remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5. either phq- 9 or phq-9m score was not assessed or is greater than or equal to 5"
}
]
},
{
"code": "G9511",
"display": "Idx evt dte phq>9 doc 12 mo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Index event date phq-9 or phq-9m score greater than 9 documented during the twelve month denominator identification period"
}
]
},
{
"code": "G9512",
"display": "Indiv pdc > 0.8",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Individual had a pdc of 0.8 or greater"
}
]
},
{
"code": "G9513",
"display": "Indiv pdc not > 0.8",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Individual did not have a pdc of 0.8 or greater"
}
]
},
{
"code": "G9514",
"display": "Req ret or w/in 90d of surg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient required a return to the operating room within 90 days of surgery"
}
]
},
{
"code": "G9515",
"display": "No reas, no ret or w/in 90d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient did not require a return to the operating room within 90 days of surgery"
}
]
},
{
"code": "G9516",
"display": "Impr vis acuit w/in 90d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient achieved an improvement in visual acuity, from their preoperative level, within 90 days of surgery"
}
]
},
{
"code": "G9517",
"display": "No impr vis acuit w/in 90d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient did not achieve an improvement in visual acuity, from their preoperative level, within 90 days of surgery, reason not given"
}
]
},
{
"code": "G9518",
"display": "Doc active inj drug use",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of active injection drug use"
}
]
},
{
"code": "G9519",
"display": "Final ref +/- 1.0 w/in 90d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient achieves final refraction (spherical equivalent) +/- 1.0 diopters of their planned refraction within 90 days of surgery"
}
]
},
{
"code": "G9520",
"display": "Refract not +/- 1.0 w/in 90d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient does not achieve final refraction (spherical equivalent) +/- 1.0 diopters of their planned refraction within 90 days of surgery"
}
]
},
{
"code": "G9521",
"display": "Er and ip hosp <2 in 12 mos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Total number of emergency department visits and inpatient hospitalizations less than two in the past 12 months"
}
]
},
{
"code": "G9522",
"display": "Er/ip hosp =/>2 in 12 mos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Total number of emergency department visits and inpatient hospitalizations equal to or greater than two in the past 12 months or patient not screened, reason not given"
}
]
},
{
"code": "G9523",
"display": "D/c hemo or perit dialysis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient discontinued from hemodialysis or peritoneal dialysis"
}
]
},
{
"code": "G9524",
"display": "Refer to hospice",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient was referred to hospice care"
}
]
},
{
"code": "G9525",
"display": "Doc pt reas no hospice refer",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of patient reason(s) for not referring to hospice care (e.g., patient declined, other patient reasons)"
}
]
},
{
"code": "G9526",
"display": "No reason, no refer hospice",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient was not referred to hospice care, reason not given"
}
]
},
{
"code": "G9529",
"display": "Minor blunt trauma w/head ct",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient with minor blunt head trauma had an appropriate indication(s) for a head ct"
}
]
},
{
"code": "G9530",
"display": "Pt mbht hd ct ord ec prov",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient presented with a minor blunt head trauma and had a head ct ordered for trauma by an emergency care provider"
}
]
},
{
"code": "G9531",
"display": "Pt doc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient has documentation of ventricular shunt, brain tumor, multisystem trauma, or is currently taking an antiplatelet medication including: abciximab, anagrelide, cangrelor, cilostazol, clopidogrel, dipyridamole, eptifibatide, prasugrel, ticlopidine, ticagrelor, tirofiban, or vorapaxar"
}
]
},
{
"code": "G9532",
"display": "Pt hd ct ord",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient had a head ct for trauma ordered by someone other than an emergency care provider or was ordered for a reason other than trauma"
}
]
},
{
"code": "G9533",
"display": "Indic for head ct not valid",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient with minor blunt head trauma did not have an appropriate indication(s) for a head ct"
}
]
},
{
"code": "G9534",
"display": "Adv brain image not ordered",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Advanced brain imaging (cta, ct, mra or mri) was not ordered"
}
]
},
{
"code": "G9535",
"display": "Normal neuro exam",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with a normal neurological examination"
}
]
},
{
"code": "G9536",
"display": "Doc med reas adv brain image",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for ordering an advanced brain imaging study (i.e., patient has an abnormal neurological examination; patient has the coexistence of seizures, or both; recent onset of severe headache; change in the type of headache; signs of increased intracranial pressure (e.g., papilledema, absent venous pulsations on funduscopic examination, altered mental status, focal neurologic deficits, signs of meningeal irritation); hiv-positive patients with a new type of headache; immunocompromised patient with unexplained headache symptoms; patient on coagulopathy/anti-coagulation or anti-platelet therapy; very young patients with unexplained headache symptoms)"
}
]
},
{
"code": "G9537",
"display": "Img hd clin trial",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Imaging needed as part of a clinical trial; or other clinician ordered the study"
}
]
},
{
"code": "G9538",
"display": "Adv brain image ordered",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Advanced brain imaging (cta, ct, mra or mri) was ordered"
}
]
},
{
"code": "G9539",
"display": "Intent pot remv time placemt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intent for potential removal at time of placement"
}
]
},
{
"code": "G9540",
"display": "Pt alive 3 mos post proc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient alive 3 months post procedure"
}
]
},
{
"code": "G9541",
"display": "Filter rem 3 mon plmt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Filter removed within 3 months of placement"
}
]
},
{
"code": "G9542",
"display": "Doc reass appr remo filt 3ms",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documented re-assessment for the appropriateness of filter removal within 3 months of placement"
}
]
},
{
"code": "G9543",
"display": "Doc 2x re-assess filt remov",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of at least two attempts to reach the patient to arrange a clinical re-assessment for the appropriateness of filter removal within 3 months of placement"
}
]
},
{
"code": "G9544",
"display": "No filt remov w/in 3mos plcm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients that do not have the filter removed, documented re-assessment for the appropriateness of filter removal, or documentation of at least two attempts to reach the patient to arrange a clinical re-assessment for the appropriateness of filter removal within 3 months of placement"
}
]
},
{
"code": "G9547",
"display": "Cys ren les or adren",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cystic renal lesion that is simple appearing (bosniak i or ii) , or adrenal lesion less than or equal to 1.0 cm or adrenal lesion greater than 1.0 cm but less than or equal to 4.0 cm classified as likely benign by unenhanced ct or washout protocol ct, or mri with in- and opposed-phase sequences or other equivalent institutional imaging protocols"
}
]
},
{
"code": "G9548",
"display": "No f/u rec image study",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Final reports for imaging studies stating no follow-up imaging is recommended"
}
]
},
{
"code": "G9549",
"display": "Doc med rsn for f/u imag",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) that follow-up imaging is indicated (e.g., patient has lymphadenopathy, signs of metastasis or an active diagnosis or history of cancer, and other medical reason(s))"
}
]
},
{
"code": "G9550",
"display": "Imag rec",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Final reports for imaging studies with follow-up imaging recommended, or final reports that do not include a specific recommendation of no follow-up"
}
]
},
{
"code": "G9551",
"display": "Imag no les",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Final reports for imaging studies without an incidentally found lesion noted"
}
]
},
{
"code": "G9552",
"display": "Inc thyr node <1.0 in rpt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Incidental thyroid nodule < 1.0 cm noted in report"
}
]
},
{
"code": "G9553",
"display": "Prior thyroid dise dx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prior thyroid disease diagnosis"
}
]
},
{
"code": "G9554",
"display": "Ct/cta/mri/a chst foll rec",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Final reports for ct, cta, mri or mra of the chest or neck with follow-up imaging recommended"
}
]
},
{
"code": "G9555",
"display": "Doc med rsn for follup image",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for recommending follow up imaging (e.g., patient has multiple endocrine neoplasia, patient has cervical lymphadenopathy, other medical reason(s))"
}
]
},
{
"code": "G9556",
"display": "Ct/cta/mri/a no follup imag",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Final reports for ct, cta, mri or mra of the chest or neck with follow-up imaging not recommended"
}
]
},
{
"code": "G9557",
"display": "Ct/cta/mri/a no thyr <1.0cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found"
}
]
},
{
"code": "G9558",
"display": "Tx beta-lactam abx therapy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient treated with a beta-lactam antibiotic as definitive therapy"
}
]
},
{
"code": "G9559",
"display": "Doc med reas no abx therapy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not prescribing a beta-lactam antibiotic (e.g., allergy, intolerance to beta-lactam antibiotics)"
}
]
},
{
"code": "G9560",
"display": "No beta-lactam abx ther, rng",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient not treated with a beta-lactam antibiotic as definitive therapy, reason not given"
}
]
},
{
"code": "G9561",
"display": "Presc opiates >6 wks",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients prescribed opiates for longer than six weeks"
}
]
},
{
"code": "G9562",
"display": "Foll-up eval q3mo opiod tx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who had a follow-up evaluation conducted at least every three months during opioid therapy"
}
]
},
{
"code": "G9563",
"display": "No f/u eval q3mo opiod tx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who did not have a follow-up evaluation conducted at least every three months during opioid therapy"
}
]
},
{
"code": "G9572",
"display": "Phq-scr >9 doc in 12m time",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Index date phq-score greater than 9 documented during the twelve month denominator identification period"
}
]
},
{
"code": "G9573",
"display": "Adl pt md or dys rem 6 mon",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adult patients 18 years of age or older with major depression or dysthymia who did not reach remission at six months as demonstrated by a six month (+/-60 days) phq-9 or phq-9m score of less than five"
}
]
},
{
"code": "G9574",
"display": "Adl pt md dys no rem 6 mon",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adult patients 18 years of age or older with major depression or dysthymia who did not reach remission at six months as demonstrated by a six month (+/-60 days) phq-9 or phq-9m score of less than five; either phq-9 or phq-9m score was not assessed or is greater than or equal to five"
}
]
},
{
"code": "G9577",
"display": "Presc opiates >6 wks",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients prescribed opiates for longer than six weeks"
}
]
},
{
"code": "G9578",
"display": "Doc opioid tx 1x during ther",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of signed opioid treatment agreement at least once during opioid therapy"
}
]
},
{
"code": "G9579",
"display": "No doc opioid tx 1x at ther",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "No documentation of signed an opioid treatment agreement at least once during opioid therapy"
}
]
},
{
"code": "G9580",
"display": "Door to punc time <2hrs",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Door to puncture time of 90 minutes or less"
}
]
},
{
"code": "G9581",
"display": "Md doc, door to punc tm >2hr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Door to puncture time of greater than 2 hours for reasons documented by clinician (e.g., patients who are transferred from one institution to another with a known diagnosis of cva for endovascular stroke treatment; hospitalized patients with newly diagnosed cva considered for endovascular stroke treatment)"
}
]
},
{
"code": "G9582",
"display": "Door to punc time >2hr, nrg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Door to puncture time of greater than 90 minutes, no reason given"
}
]
},
{
"code": "G9583",
"display": "Presc opiates >6 wks",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients prescribed opiates for longer than six weeks"
}
]
},
{
"code": "G9584",
"display": "Eval opioid use instr/pt int",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient evaluated for risk of misuse of opiates by using a brief validated instrument (e.g., opioid risk tool, soapp-r) or patient interviewed at least once during opioid therapy"
}
]
},
{
"code": "G9585",
"display": "No eval opi use instr/intv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient not evaluated for risk of misuse of opiates by using a brief validated instrument (e.g., opioid risk tool, soapp-r) or patient not interviewed at least once during opioid therapy"
}
]
},
{
"code": "G9593",
"display": "Low pecarn ped head trauma",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pediatric patient with minor blunt head trauma classified as low risk according to the pecarn prediction rules"
}
]
},
{
"code": "G9594",
"display": "Pt mbht hd ct ord ec prov",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient presented with a minor blunt head trauma and had a head ct ordered for trauma by an emergency care provider"
}
]
},
{
"code": "G9595",
"display": "Doc shnt/tum/coag",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient has documentation of ventricular shunt, brain tumor, or coagulopathy"
}
]
},
{
"code": "G9596",
"display": "Ped pt hd ct ord",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pediatric patient had a head ct for trauma ordered by someone other than an emergency care provider or was ordered for a reason other than trauma"
}
]
},
{
"code": "G9597",
"display": "No low pecarn ped head traum",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pediatric patient with minor blunt head trauma not classified as low risk according to the pecarn prediction rules"
}
]
},
{
"code": "G9598",
"display": "Aor ane 5.5-5.9 cm max diam",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Aortic aneurysm 5.5 - 5.9 cm maximum diameter on centerline formatted ct or minor diameter on axial formatted ct"
}
]
},
{
"code": "G9599",
"display": "Aor ane >=6.0 cm max diam",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Aortic aneurysm 6.0 cm or greater maximum diameter on centerline formatted ct or minor diameter on axial formatted ct"
}
]
},
{
"code": "G9600",
"display": "Symp aaa urgent repair",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Symptomatic aaas that required urgent/emergent (non-elective) repair"
}
]
},
{
"code": "G9601",
"display": "Pt dchg home post op day 7",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient discharge to home no later than post-operative day #7"
}
]
},
{
"code": "G9602",
"display": "Pt no dchg home postop day 7",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient not discharged to home by post-operative day #7"
}
]
},
{
"code": "G9603",
"display": "Pt surv improv bsline tx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient survey score improved from baseline following treatment"
}
]
},
{
"code": "G9604",
"display": "Pt surv results not avail",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient survey results not available"
}
]
},
{
"code": "G9605",
"display": "Surv score no improv w/tx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient survey score did not improve from baseline following treatment"
}
]
},
{
"code": "G9606",
"display": "Intraop cyst eval trac inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intraoperative cystoscopy performed to evaluate for lower tract injury"
}
]
},
{
"code": "G9607",
"display": "Doc med rsn not perf cystosc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documented medical reasons for not performing intraoperative cystoscopy (e.g., urethral pathology precluding cystoscopy, any patient who has a congenital or acquired absence of the urethra) or in the case of patient death"
}
]
},
{
"code": "G9608",
"display": "Intraop cyst eval not done",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intraoperative cystoscopy not performed to evaluate for lower tract injury"
}
]
},
{
"code": "G9609",
"display": "Doc order anti-plat",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of an order for anti-platelet agents"
}
]
},
{
"code": "G9610",
"display": "Doc md rsn no antipla",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) in the patient's record for not ordering anti-platelet agents"
}
]
},
{
"code": "G9611",
"display": "No doc order anti-plat rng",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Order for anti-platelet agents was not documented in the patient's record, reason not given"
}
]
},
{
"code": "G9612",
"display": "Phodoc 2 mr cec lndmk",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Photodocumentation of two or more cecal landmarks to establish a complete examination"
}
]
},
{
"code": "G9613",
"display": "Doc post surg anatomy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of post-surgical anatomy (e.g., right hemicolectomy, ileocecal resection, etc.)"
}
]
},
{
"code": "G9614",
"display": "Photodoc < 2 cec lndmk",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Photodocumentation of less than two cecal landmarks (i.e., no cecal landmarks or only one cecal landmark) to establish a complete examination"
}
]
},
{
"code": "G9615",
"display": "Pre-op asst doc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Preoperative assessment documented"
}
]
},
{
"code": "G9616",
"display": "Doc rsn no preop assmt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of reason(s) for not documenting a preoperative assessment (e.g., patient with a gynecologic or other pelvic malignancy noted at the time of surgery)"
}
]
},
{
"code": "G9617",
"display": "Pre-op asst not doc, rng",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Preoperative assessment not documented, reason not given"
}
]
},
{
"code": "G9618",
"display": "Doc scr uter mal or us/samp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of screening for uterine malignancy or those that had an ultrasound and/or endometrial sampling of any kind"
}
]
},
{
"code": "G9619",
"display": "Doc rsn no scr uter malig",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of reason(s) for not screening for uterine malignancy (e.g., prior hysterectomy)"
}
]
},
{
"code": "G9620",
"display": "No scr utr malig/us/samp rng",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient not screened for uterine malignancy, or those that have not had an ultrasound and/or endometrial sampling of any kind, reason not given"
}
]
},
{
"code": "G9621",
"display": "Scr unheal etoh w/counsel",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling"
}
]
},
{
"code": "G9622",
"display": "No unheal etoh user",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method"
}
]
},
{
"code": "G9623",
"display": "Doc med rsn no scr etoh use",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not screening for unhealthy alcohol use (e.g., limited life expectancy, other medical reasons)"
}
]
},
{
"code": "G9624",
"display": "Pt not scrn or no counseling",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient not screened for unhealthy alcohol use using a systematic screening method or patient did not receive brief counseling if identified as an unhealthy alcohol user"
}
]
},
{
"code": "G9625",
"display": "Pt bl srg 30 day pst srg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient sustained bladder injury at the time of surgery or discovered subsequently up to 30 days post-surgery"
}
]
},
{
"code": "G9626",
"display": "Med rsn no rpt bladder inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documented medical reason for not reporting bladder injury (e.g., gynecologic or other pelvic malignancy documented, concurrent surgery involving bladder pathology, injury that occurs during a urinary incontinence procedure, patient death from non-medical causes not related to surgery, patient died during procedure without evidence of bladder injury)"
}
]
},
{
"code": "G9627",
"display": "Pt no bl srg 30 day pst srg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient did not sustain bladder injury at the time of surgery nor discovered subsequently up to 30 days post-surgery"
}
]
},
{
"code": "G9628",
"display": "Pt bwli srg 30 day pst srg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient sustained bowel injury at the time of surgery or discovered subsequently up to 30 days post-surgery"
}
]
},
{
"code": "G9629",
"display": "Med rsn no rpt bowel inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documented medical reasons for not reporting bowel injury (e.g., gynecologic or other pelvic malignancy documented, planned (e.g., not due to an unexpected bowel injury) resection and/or re-anastomosis of bowel, or patient death from non-medical causes not related to surgery, patient died during procedure without evidence of bowel injury)"
}
]
},
{
"code": "G9630",
"display": "Pt no bwli srg 30 day srg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient did not sustain a bowel injury at the time of surgery nor discovered subsequently up to 30 days post-surgery"
}
]
},
{
"code": "G9631",
"display": "Pt ui srg 30 day pst srg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient sustained ureter injury at the time of surgery or discovered subsequently up to 30 days post-surgery"
}
]
},
{
"code": "G9632",
"display": "Med rsn for no rpt uret inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documented medical reasons for not reporting ureter injury (e.g., gynecologic or other pelvic malignancy documented, concurrent surgery involving bladder pathology, injury that occurs during a urinary incontinence procedure, patient death from non-medical causes not related to surgery, patient died during procedure without evidence of ureter injury)"
}
]
},
{
"code": "G9633",
"display": "Pt no ui srg 30 day pst srg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient did not sustain ureter injury at the time of surgery nor discovered subsequently up to 30 days post-surgery"
}
]
},
{
"code": "G9634",
"display": "Qual life tool 2x same/impr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Health-related quality of life assessed with tool during at least two visits and quality of life score remained the same or improved"
}
]
},
{
"code": "G9635",
"display": "No doc rsn do qual life assm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Health-related quality of life not assessed with tool for documented reason(s) (e.g., patient has a cognitive or neuropsychiatric impairment that impairs his/her ability to complete the hrqol survey, patient has the inability to read and/or write in order to complete the hrqol questionnaire)"
}
]
},
{
"code": "G9636",
"display": "No life asst 2x same/decr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Health-related quality of life not assessed with tool during at least two visits or quality of life score declined"
}
]
},
{
"code": "G9637",
"display": "Doc >1 dose reduc tech",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique)"
}
]
},
{
"code": "G9638",
"display": "No doc >1 dose reduc tech",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Final reports without documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique)"
}
]
},
{
"code": "G9639",
"display": "Amp no reqd in48h ieler proc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Major amputation or open surgical bypass not required within 48 hours of the index endovascular lower extremity revascularization procedure"
}
]
},
{
"code": "G9640",
"display": "Doc plan hybrid/stage proc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of planned hybrid or staged procedure"
}
]
},
{
"code": "G9641",
"display": "Amp reqd w/in 48h ieler proc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Major amputation or open surgical bypass required within 48 hours of the index endovascular lower extremity revascularization procedure"
}
]
},
{
"code": "G9642",
"display": "Current smoker",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Current smoker (e.g., cigarette, cigar, pipe, e-cigarette or marijuana)"
}
]
},
{
"code": "G9643",
"display": "Elective surgery"
},
{
"code": "G9644",
"display": "No smok b/4 anes day of surg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who abstained from smoking prior to anesthesia on the day of surgery or procedure"
}
]
},
{
"code": "G9645",
"display": "Had smoke b/4 anes day surg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who did not abstain from smoking prior to anesthesia on the day of surgery or procedure"
}
]
},
{
"code": "G9646",
"display": "Pt w/90d mrs 0-2",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with 90 day mrs score of 0 to 2"
}
]
},
{
"code": "G9647",
"display": "No mrs score in 90d followup",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients in whom mrs score could not be obtained at 90 day follow-up"
}
]
},
{
"code": "G9648",
"display": "Pt w/90d mrs >2",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with 90 day mrs score greater than 2"
}
]
},
{
"code": "G9649",
"display": "Psor as doc spc bm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Psoriasis assessment tool documented meeting any one of the specified benchmarks (e.g., (pga; 5-point or 6-point scale), body surface area (bsa), psoriasis area and severity index (pasi) and/or dermatology life quality index) (dlqi))"
}
]
},
{
"code": "G9650",
"display": "Doc pt no ther chg or contra",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation that the patient declined therapy change or has documented contraindications (e.g., experienced adverse effects or lack of efficacy with all other therapy options) in order to achieve better disease control as measured by pga, bsa, pasi, or dlqi"
}
]
},
{
"code": "G9651",
"display": "Psor as doc no spc bm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Psoriasis assessment tool documented not meeting any one of the specified benchmarks (e.g., (pga; 5-point or 6-point scale), body surface area (bsa), psoriasis area and severity index (pasi) and/or dermatology life quality index) (dlqi)) or psoriasis assessment tool not documented"
}
]
},
{
"code": "G9652",
"display": "Pt tx sys bio med psori 6mth",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient has been treated with a systemic or biologic medication for psoriasis for at least six months"
}
]
},
{
"code": "G9653",
"display": "Pt no tx sys bio rx 6 mths",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient has not been treated with a systemic or biologic medication for psoriasis for at least six months"
}
]
},
{
"code": "G9654",
"display": "Mon anesth care",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Monitored anesthesia care (mac)"
}
]
},
{
"code": "G9655",
"display": "Toc tool incl key elem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "A transfer of care protocol or handoff tool/checklist that includes the required key handoff elements is used"
}
]
},
{
"code": "G9656",
"display": "Pt trans from anest to pacu",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient transferred directly from anesthetizing location to pacu or other non-icu location"
}
]
},
{
"code": "G9657",
"display": "Toc dur aneth to icu",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transfer of care during an anesthetic or to the intensive care unit"
}
]
},
{
"code": "G9658",
"display": "Toc tool incl elem not used",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "A transfer of care protocol or handoff tool/checklist that includes the required key handoff elements is not used"
}
]
},
{
"code": "G9659",
"display": ">=86y scr colo nomed rsn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients greater than or equal to 86 years of age who underwent a screening colonoscopy and did not have a history of colorectal cancer or other valid medical reason for the colonoscopy, including: iron deficiency anemia, lower gastrointestinal bleeding, familial adenomatous polyposis, lynch syndrome (i.e., hereditary non-polyposis colorectal cancer), inflammatory bowel disease (i.e., crohn's disease or ulcerative colitis), abnormal finding of gastrointestinal tract, weight loss, or changes in bowel habits"
}
]
},
{
"code": "G9660",
"display": "Doc med rsn colo pt >= 86y",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for a colonoscopy performed on a patient greater than or equal to 86 years of age (e.g., iron deficiency anemia, lower gastrointestinal bleeding, familial history of adenomatous polyposis, lynch syndrome (i.e., hereditary non-polyposis colorectal cancer), inflammatory bowel disease (i.e., crohn's disease or ulcerative colitis), abnormal finding of gastrointestinal tract, weight loss, or changes in bowel habits)"
}
]
},
{
"code": "G9661",
"display": "Pt >= 86 w/ hi risk",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients greater than or equal to 86 years of age who received a colonoscopy for an assessment of signs/symptoms of gi tract illness, and/or because the patient meets high risk criteria, and/or to follow-up on previously diagnosed advanced lesions"
}
]
},
{
"code": "G9662",
"display": "Prior dx/active clin ascvd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Previously diagnosed or have a diagnosis of clinical ascvd, including ascvd procedure"
}
]
},
{
"code": "G9663",
"display": "Fast/dir ldl >= 190 mg/dl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Any ldl-c laboratory result >= 190 mg/dl"
}
]
},
{
"code": "G9664",
"display": "Taking statin or rec'd order",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who are currently statin therapy users or received an order (prescription) for statin therapy"
}
]
},
{
"code": "G9665",
"display": "No statin/no order statin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who are not currently statin therapy users or did not receive an order (prescription) for statin therapy"
}
]
},
{
"code": "G9666",
"display": "Fas/dir ldl 70-189mg/dl mst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient's highest fasting or direct ldl-c laboratory test result in the measurement period or two years prior to the beginning of the measurement period is 70-189 mg/dl"
}
]
},
{
"code": "G9667",
"display": "Doc med rsn no stat tx/presc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not currently being a statin therapy user or receive an order (prescription) for statin therapy (e.g., patient with adverse effect, allergy or intolerance to statin medication therapy, patients who have an active diagnosis of pregnancy or who are breastfeeding, patients who are receiving palliative care, patients with active liver disease or hepatic disease or insufficiency, patients with end stage renal disease (esrd), and patients with diabetes who have a fasting or direct ldl-c laboratory test result < 70 mg/dl and are not taking statin therapy)"
}
]
},
{
"code": "G9669",
"display": "Intend rpt mult chr msr grp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "I intend to report the multiple chronic conditions measures group"
}
]
},
{
"code": "G9670",
"display": "Qty act mcc mg perf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All quality actions for the applicable measures in the multiple chronic conditions measures group have been performed for this patient"
}
]
},
{
"code": "G9671",
"display": "Intend rpt dia retin msr grp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "I intend to report the diabetic retinopathy measures group"
}
]
},
{
"code": "G9672",
"display": "Qty act diab retin mg perf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All quality actions for the applicable measures in the diabetic retinopathy measures group have been performed for this patient"
}
]
},
{
"code": "G9673",
"display": "Intend rpt card prev msr grp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "I intend to report the cardiovascular prevention measures group"
}
]
},
{
"code": "G9674",
"display": "Pt w/clin ascvd dx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with clinical ascvd diagnosis"
}
]
},
{
"code": "G9675",
"display": "Pt w/fast/dir lab ldl-c >190",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who have ever had a fasting or direct laboratory result of ldl-c = 190 mg/dl"
}
]
},
{
"code": "G9676",
"display": "40-75y w/type 1/2 w/ldl-c rs",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients aged 40 to 75 years at the beginning of the measurement period with type 1 or type 2 diabetes and with an ldl-c result of 70-189 mg/dl recorded as the highest fasting or direct laboratory test result in the measurement year or during the two years prior to the beginning of the measurement period"
}
]
},
{
"code": "G9677",
"display": "Qty act card prev mg perf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All quality actions for the applicable measures in the cardiovascular prevention measures group have been performed for this patient"
}
]
},
{
"code": "G9678",
"display": "Oncology care model service",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation agreement"
}
]
},
{
"code": "G9679",
"display": "Acute care pneumonia",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "This code is for onsite acute care treatment of a nursing facility resident with pneumonia; may only be billed once per day per beneficiary"
}
]
},
{
"code": "G9680",
"display": "Acute care congestive heart",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "This code is for onsite acute care treatment of a nursing facility resident with chf; may only be billed once per day per beneficiary"
}
]
},
{
"code": "G9681",
"display": "Acute care chronic obstruct",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "This code is for onsite acute care treatment of a resident with copd or asthma; may only be billed once per day per beneficiary"
}
]
},
{
"code": "G9682",
"display": "Acute care skin infection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "This code is for the onsite acute care treatment a nursing facility resident with a skin infection; may only be billed once per day per beneficiary"
}
]
},
{
"code": "G9683",
"display": "Acute fluid/electro disorder",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Facility service(s) for the onsite acute care treatment of a nursing facility resident with fluid or electrolyte disorder. (may only be billed once per day per beneficiary). this service is for a demonstration project"
}
]
},
{
"code": "G9684",
"display": "Acute care urinary tract inf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "This code is for the onsite acute care treatment of a nursing facility resident for a uti; may only be billed once per day per beneficiary"
}
]
},
{
"code": "G9685",
"display": "Acute nursing facility care",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Physician service or other qualified health care professional for the evaluation and management of a beneficiary's acute change in condition in a nursing facility. this service is for a demonstration project"
}
]
},
{
"code": "G9686",
"display": "Nursing facility conference",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Onsite nursing facility conference, that is separate and distinct from an evaluation and management visit, including qualified practitioner and at least one member of the nursing facility interdisciplinary care team"
}
]
},
{
"code": "G9687",
"display": "Hospice anytime msmt per",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospice services provided to patient any time during the measurement period"
}
]
},
{
"code": "G9688",
"display": "Pt w/hosp anytime msmt per",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients using hospice services any time during the measurement period"
}
]
},
{
"code": "G9689",
"display": "Inpt elect carotid intervent",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient admitted for performance of elective carotid intervention"
}
]
},
{
"code": "G9690",
"display": "Pt in hos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient receiving hospice services any time during the measurement period"
}
]
},
{
"code": "G9691",
"display": "Pt hosp dur msmt period",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient had hospice services any time during the measurement period"
}
]
},
{
"code": "G9692",
"display": "Hosp recd by pt dur msmt per",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospice services received by patient any time during the measurement period"
}
]
},
{
"code": "G9693",
"display": "Pt use hosp during msmt per",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient use of hospice services any time during the measurement period"
}
]
},
{
"code": "G9694",
"display": "Hosp srv used pt in msmt per",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospice services utilized by patient any time during the measurement period"
}
]
},
{
"code": "G9695",
"display": "Long act inhal bronchdil pre",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Long-acting inhaled bronchodilator prescribed"
}
]
},
{
"code": "G9696",
"display": "Med rsn no presc bronchdil",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not prescribing a long-acting inhaled bronchodilator (e.g., patient intolerance or history of side effects)"
}
]
},
{
"code": "G9697",
"display": "Pt rsn no presc bronchdil",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of patient reason(s) for not prescribing a long-acting inhaled bronchodilator"
}
]
},
{
"code": "G9698",
"display": "Sys rsn no presc bronchdil",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of system reason(s) for not prescribing a long-acting inhaled bronchodilator (e.g., cost of treatment or lack of insurance)"
}
]
},
{
"code": "G9699",
"display": "Long inhal bronchdil no pres",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Long-acting inhaled bronchodilator not prescribed, reason not otherwise specified"
}
]
},
{
"code": "G9700",
"display": "Pt is w/hosp during msmt per",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who use hospice services any time during the measurement period"
}
]
},
{
"code": "G9701",
"display": "Child anbx 30 prior dx estab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Children who are taking antibiotics in the 30 days prior to the date of the encounter during which the diagnosis was established"
}
]
},
{
"code": "G9702",
"display": "Pt use hosp during msmt per",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who use hospice services any time during the measurement period"
}
]
},
{
"code": "G9703",
"display": "Anbx 30 prior to episode",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Episodes where the patient is taking antibiotics (table 1) in the 30 days prior to the episode date"
}
]
},
{
"code": "G9704",
"display": "Ajcc br ca stg i: t1 mic/t1a",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ajcc breast cancer stage i: t1 mic or t1a documented"
}
]
},
{
"code": "G9705",
"display": "Ajcc br ca stg ib",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ajcc breast cancer stage i: t1b (tumor > 0.5 cm but <= 1 cm in greatest dimension) documented"
}
]
},
{
"code": "G9706",
"display": "Low recur prost ca",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Low (or very low) risk of recurrence, prostate cancer"
}
]
},
{
"code": "G9707",
"display": "Pt had hosp dur msmt per",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient received hospice services any time during the measurement period"
}
]
},
{
"code": "G9708",
"display": "Bilat mast/hx bi /unilat mas",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy"
}
]
},
{
"code": "G9709",
"display": "Hosp srv used pt in msmt per",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospice services used by patient any time during the measurement period"
}
]
},
{
"code": "G9710",
"display": "Pt prov hosp srv msmt per",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient was provided hospice services any time during the measurement period"
}
]
},
{
"code": "G9711",
"display": "Pt hx tot col or colon ca",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with a diagnosis or past history of total colectomy or colorectal cancer"
}
]
},
{
"code": "G9712",
"display": "Doc med rsn presc anbx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for prescribing or dispensing antibiotic (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis/ mastoiditis/bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia, gonococcal infections/venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis/uti, acne, hiv disease/asymptomatic hiv, cystic fibrosis, disorders of the immune system, malignancy neoplasms, chronic bronchitis, emphysema, bronchiectasis, extrinsic allergic alveolitis, chronic airway obstruction, chronic obstructive asthma, pneumoconiosis and other lung disease due to external agents, other diseases of the respiratory system, and tuberculosis"
}
]
},
{
"code": "G9713",
"display": "Pt use hosp during msmt per",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who use hospice services any time during the measurement period"
}
]
},
{
"code": "G9714",
"display": "Pt is w/hosp during msmt per",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient is using hospice services any time during the measurement period"
}
]
},
{
"code": "G9715",
"display": "Pt w/hosp anytime msmt per",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who use hospice services any time during the measurement period"
}
]
},
{
"code": "G9716",
"display": "Bmi doc onl fup not cmpltd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason"
}
]
},
{
"code": "G9717",
"display": "Doc pt dx bipol",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation stating the patient has had a diagnosis of bipolar disorder"
}
]
},
{
"code": "G9718",
"display": "Hospice anytime msmt per",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospice services for patient provided any time during the measurement period"
}
]
},
{
"code": "G9719",
"display": "Pt not ambul/immob/wc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient is not ambulatory, bed ridden, immobile, confined to chair, wheelchair bound, dependent on helper pushing wheelchair, independent in wheelchair or minimal help in wheelchair"
}
]
},
{
"code": "G9720",
"display": "Hospice anytime msmt per",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospice services for patient occurred any time during the measurement period"
}
]
},
{
"code": "G9721",
"display": "Pt not ambul/immob/wc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient not ambulatory, bed ridden, immobile, confined to chair, wheelchair bound, dependent on helper pushing wheelchair, independent in wheelchair or minimal help in wheelchair"
}
]
},
{
"code": "G9722",
"display": "Doc hx renal fail or cr+ >=4",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documented history of renal failure or baseline serum creatinine >= 4.0 mg/dl; renal transplant recipients are not considered to have preoperative renal failure, unless, since transplantation the cr has been or is 4.0 or higher"
}
]
},
{
"code": "G9723",
"display": "Hosp recd by pt dur msmt per",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospice services for patient received any time during the measurement period"
}
]
},
{
"code": "G9724",
"display": "Pt w/doc use anticoag mst yr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who had documentation of use of anticoagulant medications overlapping the measurement year"
}
]
},
{
"code": "G9725",
"display": "Pt w/hosp anytime msmt per",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who use hospice services any time during the measurement period"
}
]
},
{
"code": "G9726",
"display": "Refused to participate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient refused to participate"
}
]
},
{
"code": "G9727",
"display": "Pt unable cmplt lepf prom",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient unable to complete the lepf prom at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility and an adequate proxy is not available"
}
]
},
{
"code": "G9728",
"display": "Refused to participate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient refused to participate"
}
]
},
{
"code": "G9729",
"display": "Pt unbl cmplt lepf prom",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient unable to complete the lepf prom at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility and an adequate proxy is not available"
}
]
},
{
"code": "G9730",
"display": "Refused to participate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient refused to participate"
}
]
},
{
"code": "G9731",
"display": "Pt unbl cmplt lepf prom",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient unable to complete the lepf prom at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility and an adequate proxy is not available"
}
]
},
{
"code": "G9732",
"display": "Refused to participate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient refused to participate"
}
]
},
{
"code": "G9733",
"display": "Pt unbl cmplt lb fs prom",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient unable to complete the low back fs prom at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility and an adequate proxy is not available"
}
]
},
{
"code": "G9734",
"display": "Refused to participate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient refused to participate"
}
]
},
{
"code": "G9735",
"display": "Pt unbl cmplt shld fs prom",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient unable to complete the shoulder fs prom at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility and an adequate proxy is not available"
}
]
},
{
"code": "G9736",
"display": "Refused to participate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient refused to participate"
}
]
},
{
"code": "G9737",
"display": "Pt unbl cmplt ewh fs prom",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient unable to complete the elbow/wrist/hand fs prom at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility and an adequate proxy is not available"
}
]
},
{
"code": "G9738",
"display": "Refused to participate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient refused to participate"
}
]
},
{
"code": "G9739",
"display": "Pt unbl cmplt go fs prom",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient unable to complete the general orthopedic fs prom at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility and an adequate proxy is not available"
}
]
},
{
"code": "G9740",
"display": "Hosp srv to pt dur msmt per",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospice services given to patient any time during the measurement period"
}
]
},
{
"code": "G9741",
"display": "Pt w/hosp anytime msmt per",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who use hospice services any time during the measurement period"
}
]
},
{
"code": "G9742",
"display": "Psych sympt assessed",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Psychiatric symptoms assessed"
}
]
},
{
"code": "G9743",
"display": "Psych symp not assessed, rns",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Psychiatric symptoms not assessed, reason not otherwise specified"
}
]
},
{
"code": "G9744",
"display": "Pt not eli d/t act dig htn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient not eligible due to active diagnosis of hypertension"
}
]
},
{
"code": "G9745",
"display": "Doc rsn no hbp scrn or f/u",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documented reason for not screening or recommending a follow-up for high blood pressure"
}
]
},
{
"code": "G9746",
"display": "Mit sten, valve or trans af",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient has mitral stenosis or prosthetic heart valves or patient has transient or reversible cause of af (e.g., pneumonia, hyperthyroidism, pregnancy, cardiac surgery)"
}
]
},
{
"code": "G9747",
"display": "Pall dialysis with catheter",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient is undergoing palliative dialysis with a catheter"
}
]
},
{
"code": "G9748",
"display": "App transpl lvg kidney donor",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient approved by a qualified transplant program and scheduled to receive a living donor kidney transplant"
}
]
},
{
"code": "G9749",
"display": "Pall dialysis with catheter",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient is undergoing palliative dialysis with a catheter"
}
]
},
{
"code": "G9750",
"display": "App transpl lvg kidney donor",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient approved by a qualified transplant program and scheduled to receive a living donor kidney transplant"
}
]
},
{
"code": "G9751",
"display": "Pt died w/in 24 mos rpt time",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient died at any time during the 24-month measurement period"
}
]
},
{
"code": "G9752",
"display": "Urgent surgery",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Emergency surgery"
}
]
},
{
"code": "G9753",
"display": "Doc no dicom, ct other fac",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason for not conducting a search for dicom format images for prior patient ct imaging studies completed at non-affiliated external healthcare facilities or entities within the past 12 months that are available through a secure, authorized, media-free, shared archive (e.g., trauma, acute myocardial infarction, stroke, aortic aneurysm where time is of the essence)"
}
]
},
{
"code": "G9754",
"display": "Incid pulm nodule",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "A finding of an incidental pulmonary nodule"
}
]
},
{
"code": "G9755",
"display": "Doc med rsn no fllw up",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not including a recommended interval and modality for follow-up or for no follow-up, and source of recommendations (e.g., patients with unexplained fever, immunocompromised patients who are at risk for infection)"
}
]
},
{
"code": "G9756",
"display": "Surg proc w/silicone oil",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Surgical procedures that included the use of silicone oil"
}
]
},
{
"code": "G9757",
"display": "Surg proc w/silicone oil",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Surgical procedures that included the use of silicone oil"
}
]
},
{
"code": "G9758",
"display": "Pt in hos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient in hospice at any time during the measurement period"
}
]
},
{
"code": "G9759",
"display": "Hx preop post cap rup",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "History of preoperative posterior capsule rupture"
}
]
},
{
"code": "G9760",
"display": "Pt w/hosp anytime msmt per",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who use hospice services any time during the measurement period"
}
]
},
{
"code": "G9761",
"display": "Pt w/hosp anytime msmt per",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who use hospice services any time during the measurement period"
}
]
},
{
"code": "G9762",
"display": "Pt had >= 2-3 hpv vaccines",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient had at least two hpv vaccines (with at least 146 days between the two) or three hpv vaccines on or between the patient's 9th and 13th birthdays"
}
]
},
{
"code": "G9763",
"display": "Pt not have 2-3 hpv vaccines",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient did not have at least two hpv vaccines (with at least 146 days between the two) or three hpv vaccines on or between the patient's 9th and 13th birthdays"
}
]
},
{
"code": "G9764",
"display": "Pt treatd w/oral syst or bio",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient has been treated with a systemic medication for psoriasis vulgaris"
}
]
},
{
"code": "G9765",
"display": "Doc pat declined therapy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation that the patient declined change in medication or alternative therapies were unavailable, has documented contraindications, or has not been treated with a systemic medication for at least six consecutive months (e.g., experienced adverse effects or lack of efficacy with all other therapy options) in order to achieve better disease control as measured by pga, bsa, pasi, or dlqi"
}
]
},
{
"code": "G9766",
"display": "Cva stroke dx tx transf fac",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who are transferred from one institution to another with a known diagnosis of cva for endovascular stroke treatment"
}
]
},
{
"code": "G9767",
"display": "Hosp new dx cva consid evst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospitalized patients with newly diagnosed cva considered for endovascular stroke treatment"
}
]
},
{
"code": "G9768",
"display": "Pt w/hosp anytime msmt per",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who utilize hospice services any time during the measurement period"
}
]
},
{
"code": "G9769",
"display": "Bn den 2yr/got ost med/ther",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient had a bone mineral density test in the past two years or received osteoporosis medication or therapy in the past 12 months"
}
]
},
{
"code": "G9770",
"display": "Perip nerve block",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Peripheral nerve block (pnb)"
}
]
},
{
"code": "G9771",
"display": "Anes end, 1 temp >35.5(95.9)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "At least 1 body temperature measurement equal to or greater than 35.5 degrees celsius (or 95.9 degrees fahrenheit) achieved within the 30 minutes immediately before or 15 minutes immediately after anesthesia end time"
}
]
},
{
"code": "G9772",
"display": "Doc med rsn no temp >= 35.5",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not achieving at least 1 body temperature measurement equal to or greater than 35.5 degrees celsius (or 95.9 degrees fahrenheit) within the 30 minutes immediately before or 15 minutes immediately after anesthesia end time (e.g., emergency cases, intentional hypothermia, etc.)"
}
]
},
{
"code": "G9773",
"display": "1 bod temp >=35.5",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "At least 1 body temperature measurement equal to or greater than 35.5 degrees celsius (or 95.9 degrees fahrenheit) not achieved within the 30 minutes immediately before or 15 minutes immediately after anesthesia end time, reason not given"
}
]
},
{
"code": "G9774",
"display": "Pt had hyst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who have had a hysterectomy"
}
]
},
{
"code": "G9775",
"display": "Recd 2 anti-emet pre/intraop",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient received at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively"
}
]
},
{
"code": "G9776",
"display": "Doc med rsn no proph antiem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason for not receiving at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively (e.g., intolerance or other medical reason)"
}
]
},
{
"code": "G9777",
"display": "Pt no antiemet pre/intraop",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient did not receive at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively"
}
]
},
{
"code": "G9778",
"display": "Pts dx w/pregn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who have a diagnosis of pregnancy at any time during the measurement period"
}
]
},
{
"code": "G9779",
"display": "Pts breastfeeding",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who are breastfeeding at any time during the performance period"
}
]
},
{
"code": "G9780",
"display": "Pts dx w/rhabdomyolysis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who have a diagnosis of rhabdomyolysis at any time during the performance period"
}
]
},
{
"code": "G9781",
"display": "Doc rsn no statin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not currently being a statin therapy user or receiving an order (prescription) for statin therapy (e.g., patients with statin-associated muscle symptoms or an allergy to statin medication therapy, patients who are receiving palliative or hospice care, patients with active liver disease or hepatic disease or insufficiency, patients with end stage renal disease [esrd], or other medical reasons)"
}
]
},
{
"code": "G9782",
"display": "Hx dx fam/pure hypercholes",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "History of or active diagnosis of familial hypercholesterolemia"
}
]
},
{
"code": "G9783",
"display": "Doc dx dm, fast <70, no stat",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of patients with diabetes who have a most recent fasting or direct ldl- c laboratory test result < 70 mg/dl and are not taking statin therapy"
}
]
},
{
"code": "G9784",
"display": "Path/derm prov 2nd biop opin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pathologists/dermatopathologists providing a second opinion on a biopsy"
}
]
},
{
"code": "G9785",
"display": "Path report sent",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pathology report diagnosing cutaneous basal cell carcinoma, squamous cell carcinoma, or melanoma (to include in situ disease) sent from the pathologist/ dermatopathologist to the biopsying clinician for review within 7 days from the time when the tissue specimen was received by the pathologist"
}
]
},
{
"code": "G9786",
"display": "Path report not sent",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pathology report diagnosing cutaneous basal cell carcinoma, squamous cell carcinoma, or melanoma (to include in situ disease) was not sent from the pathologist/ dermatopathologist to the biopsying clinician for review within 7 days from the time when the tissue specimen was received by the pathologist"
}
]
},
{
"code": "G9787",
"display": "Pt alive",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient alive as of the last day of the measurement year"
}
]
},
{
"code": "G9788",
"display": "Most rct bp </= 140/90",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Most recent bp is less than or equal to 140/90 mm hg"
}
]
},
{
"code": "G9789",
"display": "Record bp ip, er, urg/self",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Blood pressure recorded during inpatient stays, emergency room visits, or urgent care visits"
}
]
},
{
"code": "G9790",
"display": "Most rct bp >/= 140/90",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Most recent bp is greater than 140/90 mm hg, or blood pressure not documented"
}
]
},
{
"code": "G9791",
"display": "Most rct tob stat free",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Most recent tobacco status is tobacco free"
}
]
},
{
"code": "G9792",
"display": "Most rct tob stat not free",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Most recent tobacco status is not tobacco free"
}
]
},
{
"code": "G9793",
"display": "Pt on daily asa/antiplat",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient is currently on a daily aspirin or other antiplatelet"
}
]
},
{
"code": "G9794",
"display": "Doc med rsn no daily aspirin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not on a daily aspirin or other antiplatelet (e.g., history of gastrointestinal bleed, intra-cranial bleed, idiopathic thrombocytopenic purpura (itp), gastric bypass or documentation of active anticoagulant use during the measurement period)"
}
]
},
{
"code": "G9795",
"display": "Pt no daily asa/antiplat",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient is not currently on a daily aspirin or other antiplatelet"
}
]
},
{
"code": "G9796",
"display": "Pt not currently on statin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient is currently on a statin therapy"
}
]
},
{
"code": "G9797",
"display": "Pt currently on statin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient is not on a statin therapy"
}
]
},
{
"code": "G9798",
"display": "D/c ami btw 7/1-6/30 meas pd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Discharge(s) for ami between july 1 of the year prior measurement period to june 30 of the measurement period"
}
]
},
{
"code": "G9799",
"display": "Med disp evt indic hx asth",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with a medication dispensing event indicator of a history of asthma any time during the patient's history through the end of the measure period"
}
]
},
{
"code": "G9800",
"display": "Pt id intol/alleg beta-block",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who are identified as having an intolerance or allergy to beta-blocker therapy"
}
]
},
{
"code": "G9801",
"display": "Nonacut transf from inpt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospitalizations in which the patient was transferred directly to a non-acute care facility for any diagnosis"
}
]
},
{
"code": "G9802",
"display": "Pt w/hosp anytime msmt per",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who use hospice services any time during the measurement period"
}
]
},
{
"code": "G9803",
"display": "Pt presc 135 day trmt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient prescribed at least a 135 day treatment within the 180-day measurement interval with beta-blockers post-discharge for ami"
}
]
},
{
"code": "G9804",
"display": "Pt not presc 135 day trmt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient was not prescribed at least a 135 day treatment within the 180-day measurement interval with beta-blockers post-discharge for ami"
}
]
},
{
"code": "G9805",
"display": "Pt w/hosp anytime msmt per",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who use hospice services any time during the measurement period"
}
]
},
{
"code": "G9806",
"display": "Pt recd cerv cyto/hpv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who received cervical cytology or an hpv test"
}
]
},
{
"code": "G9807",
"display": "Pt no recd cerv cyto/hpv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who did not receive cervical cytology or an hpv test"
}
]
},
{
"code": "G9808",
"display": "Pt no asthm cont med mst per",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Any patients who had no asthma controller medications dispensed during the measurement year"
}
]
},
{
"code": "G9809",
"display": "Pt w/hosp anytime msmt per",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who use hospice services any time during the measurement period"
}
]
},
{
"code": "G9810",
"display": "Pdc 75% w/asth cont med",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient achieved a pdc of at least 75% for their asthma controller medication"
}
]
},
{
"code": "G9811",
"display": "No pdc 75% w/asth cont med",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient did not achieve a pdc of at least 75% for their asthma controller medication"
}
]
},
{
"code": "G9812",
"display": "Pt died during inpt/30d aft",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient died including all deaths occurring during the hospitalization in which the operation was performed, even if after 30 days, and those deaths occurring after discharge from the hospital, but within 30 days of the procedure"
}
]
},
{
"code": "G9813",
"display": "Pt not died w/in 30d of proc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient did not die within 30 days of the procedure or during the index hospitalization"
}
]
},
{
"code": "G9814",
"display": "Death during index hosp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Death occurring during the index acute care hospitalization"
}
]
},
{
"code": "G9815",
"display": "Death not during index hosp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Death did not occur during the index acute care hospitalization"
}
]
},
{
"code": "G9816",
"display": "Death <30 day post discharge",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Death occurring after discharge from the hospital but within 30 days post procedure"
}
]
},
{
"code": "G9817",
"display": "No death 30-days post-disch",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Death did not occur after discharge from the hospital within 30 days post procedure"
}
]
},
{
"code": "G9818",
"display": "Doc sex activity",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of sexual activity"
}
]
},
{
"code": "G9819",
"display": "Pt w/hosp anytime msmt per",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who use hospice services any time during the measurement period"
}
]
},
{
"code": "G9820",
"display": "Doc chlam scr test w/follow",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of a chlamydia screening test with proper follow-up"
}
]
},
{
"code": "G9821",
"display": "No doc chlam scr ts w/follow",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "No documentation of a chlamydia screening test with proper follow-up"
}
]
},
{
"code": "G9822",
"display": "Endo abl proc yr prev ind dt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who had an endometrial ablation procedure during the 12 months prior to the index date (exclusive of the index date)"
}
]
},
{
"code": "G9823",
"display": "Endo smpl/hyst bx res doc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Endometrial sampling or hysteroscopy with biopsy and results documented during the 12 months prior to the index date (exclusive of the index date) of the endometrial ablation"
}
]
},
{
"code": "G9824",
"display": "Endo smpl/hyst bx res no doc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Endometrial sampling or hysteroscopy with biopsy and results not documented during the 12 months prior to the index date (exclusive of the index date) of the endometrial ablation"
}
]
},
{
"code": "G9825",
"display": "Her-2 neg,undoc/unkn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Her-2/neu negative or undocumented/unknown"
}
]
},
{
"code": "G9826",
"display": "Transf pract aft init chemo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient transferred to practice after initiation of chemotherapy"
}
]
},
{
"code": "G9827",
"display": "Her-2 targ ther no init tx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Her2-targeted therapies not administered during the initial course of treatment"
}
]
},
{
"code": "G9828",
"display": "Her-2 targ ther dur init tx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Her2-targeted therapies administered during the initial course of treatment"
}
]
},
{
"code": "G9829",
"display": "Breast adj chemo admin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Breast adjuvant chemotherapy administered"
}
]
},
{
"code": "G9830",
"display": "Her-2 pos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Her-2/neu positive"
}
]
},
{
"code": "G9831",
"display": "Ajcc stg brt ca dx ii or iii",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ajcc stage at breast cancer diagnosis = ii or iii"
}
]
},
{
"code": "G9832",
"display": "Brt ca dx i, no t1/t1a/t1b",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ajcc stage at breast cancer diagnosis = i (ia or ib) and t-stage at breast cancer diagnosis does not equal = t1, t1a, t1b"
}
]
},
{
"code": "G9833",
"display": "Transf pract aft init chemo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient transfer to practice after initiation of chemotherapy"
}
]
},
{
"code": "G9834",
"display": "Pt met dis at dx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient has metastatic disease at diagnosis"
}
]
},
{
"code": "G9835",
"display": "Trastuz given w/in 12 mos dx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Trastuzumab administered within 12 months of diagnosis"
}
]
},
{
"code": "G9836",
"display": "Rsn no trast given doc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Reason for not administering trastuzumab documented (e.g. patient declined, patient died, patient transferred, contraindication or other clinical exclusion, neoadjuvant chemotherapy or radiation not complete)"
}
]
},
{
"code": "G9837",
"display": "Trastuz not in 12 mos dx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Trastuzumab not administered within 12 months of diagnosis"
}
]
},
{
"code": "G9838",
"display": "Pt met dis at dx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient has metastatic disease at diagnosis"
}
]
},
{
"code": "G9839",
"display": "Anti-egfr mon anti ther",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Anti-egfr monoclonal antibody therapy"
}
]
},
{
"code": "G9840",
"display": "Gene testing performed",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ras (kras and nras) gene mutation testing performed before initiation of anti-egfr moab"
}
]
},
{
"code": "G9841",
"display": "Gene testing not performed",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ras (kras and nras) gene mutation testing not performed before initiation of anti-egfr moab"
}
]
},
{
"code": "G9842",
"display": "Pt met dis at dx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient has metastatic disease at diagnosis"
}
]
},
{
"code": "G9843",
"display": "Kras or nras gene mutation",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ras (kras or nras) gene mutation"
}
]
},
{
"code": "G9844",
"display": "Pt no recd anti-egfr ther",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient did not receive anti-egfr monoclonal antibody therapy"
}
]
},
{
"code": "G9845",
"display": "Pt recd anti-egfr ther",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient received anti-egfr monoclonal antibody therapy"
}
]
},
{
"code": "G9846",
"display": "Pt died from cancer",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who died from cancer"
}
]
},
{
"code": "G9847",
"display": "Pt recd chemo last 14d life",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient received systemic cancer-directed therapy in the last 14 days of life"
}
]
},
{
"code": "G9848",
"display": "Pt no chemo last 14d life",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient did not receive systemic cancer-directed therapy in the last 14 days of life"
}
]
},
{
"code": "G9849",
"display": "Pt died from cancer",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who died from cancer"
}
]
},
{
"code": "G9850",
"display": "1/more ed last 30d life",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient had more than one emergency department visit in the last 30 days of life"
}
]
},
{
"code": "G9851",
"display": "1/no ed visit last 30d life",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient had one or less emergency department visits in the last 30 days of life"
}
]
},
{
"code": "G9852",
"display": "Pt died from cancer",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who died from cancer"
}
]
},
{
"code": "G9853",
"display": "Icu stay last 30d life",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient admitted to the icu in the last 30 days of life"
}
]
},
{
"code": "G9854",
"display": "No icu stay last 30d life",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient was not admitted to the icu in the last 30 days of life"
}
]
},
{
"code": "G9855",
"display": "Pt died from cancer",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who died from cancer"
}
]
},
{
"code": "G9856",
"display": "Pt no hospice",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient was not admitted to hospice"
}
]
},
{
"code": "G9857",
"display": "Pt admit hospice",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient admitted to hospice"
}
]
},
{
"code": "G9858",
"display": "Pt enroll hospice",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient enrolled in hospice"
}
]
},
{
"code": "G9859",
"display": "Pt died from cancer",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who died from cancer"
}
]
},
{
"code": "G9860",
"display": "Pt less 3d hospice",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient spent less than three days in hospice care"
}
]
},
{
"code": "G9861",
"display": "Pt more than 3d hospice",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient spent greater than or equal to three days in hospice care"
}
]
},
{
"code": "G9862",
"display": "Doc rsn no 10 yr follow",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not recommending at least a 10 year follow-up interval (e.g., inadequate prep, familial or personal history of colonic polyps, patient had no adenoma and age is = 66 years old, or life expectancy < 10 years old, other medical reasons)"
}
]
},
{
"code": "G9868",
"display": "Cmmi asyntelehealth <10min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Receipt and analysis of remote, asynchronous images for dermatologic and/or ophthalmologic evaluation, for use only in a medicare-approved cmmi model, less than 10 minutes"
}
]
},
{
"code": "G9869",
"display": "Cmmi asyntelehealth 10-20min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Receipt and analysis of remote, asynchronous images for dermatologic and/or ophthalmologic evaluation, for use only in a medicare-approved cmmi model, 10-20 minutes"
}
]
},
{
"code": "G9870",
"display": "Cmmi asyntelehealth >20min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Receipt and analysis of remote, asynchronous images for dermatologic and/or ophthalmologic evaluation, for use only in a medicare-approved cmmi model, more than 20 minutes"
}
]
},
{
"code": "G9873",
"display": "1 em core session",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "First medicare diabetes prevention program (mdpp) core session was attended by an mdpp beneficiary under the mdpp expanded model (em). a core session is an mdpp service that: (1) is furnished by an mdpp supplier during months 1 through 6 of the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for core sessions"
}
]
},
{
"code": "G9874",
"display": "4 em core sessions",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Four total medicare diabetes prevention program (mdpp) core sessions were attended by an mdpp beneficiary under the mdpp expanded model (em). a core session is an mdpp service that: (1) is furnished by an mdpp supplier during months 1 through 6 of the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for core sessions"
}
]
},
{
"code": "G9875",
"display": "9 em core sessions",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nine total medicare diabetes prevention program (mdpp) core sessions were attended by an mdpp beneficiary under the mdpp expanded model (em). a core session is an mdpp service that: (1) is furnished by an mdpp supplier during months 1 through 6 of the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for core sessions"
}
]
},
{
"code": "G9876",
"display": "2 em core ms mo 7-9 no wl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Two medicare diabetes prevention program (mdpp) core maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 7-9 under the mdpp expanded model (em). a core maintenance session is an mdpp service that: (1) is furnished by an mdpp supplier during months 7 through 12 of the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for maintenance sessions. the beneficiary did not achieve at least 5% weight loss (wl) from his/her baseline weight, as measured by at least one in-person weight measurement at a core maintenance session in months 7-9"
}
]
},
{
"code": "G9877",
"display": "2 em core ms mo 10-12 no wl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Two medicare diabetes prevention program (mdpp) core maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 10-12 under the mdpp expanded model (em). a core maintenance session is an mdpp service that: (1) is furnished by an mdpp supplier during months 7 through 12 of the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for maintenance sessions. the beneficiary did not achieve at least 5% weight loss (wl) from his/her baseline weight, as measured by at least one in-person weight measurement at a core maintenance session in months 10-12"
}
]
},
{
"code": "G9878",
"display": "2 em core ms mo 7-9 wl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Two medicare diabetes prevention program (mdpp) core maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 7-9 under the mdpp expanded model (em). a core maintenance session is an mdpp service that: (1) is furnished by an mdpp supplier during months 7 through 12 of the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for maintenance sessions.the beneficiary achieved at least 5% weight loss (wl) from his/her baseline weight, as measured by at least one in-person weight measurement at a core maintenance session in months 7-9"
}
]
},
{
"code": "G9879",
"display": "2 em core ms mo 10-12 wl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Two medicare diabetes prevention program (mdpp) core maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 10-12 under the mdpp expanded model (em). a core maintenance session is an mdpp service that: (1) is furnished by an mdpp supplier during months 7 through 12 of the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for maintenance sessions. the beneficiary achieved at least 5% weight loss (wl) from his/her baseline weight, as measured by at least one in-person weight measurement at a core maintenance session in months 10-12"
}
]
},
{
"code": "G9880",
"display": "Em 5 percent wl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "The mdpp beneficiary achieved at least 5% weight loss (wl) from his/her baseline weight in months 1-12 of the mdpp services period under the mdpp expanded model (em). this is a one-time payment available when a beneficiary first achieves at least 5% weight loss from baseline as measured by an in-person weight measurement at a core session or core maintenance session"
}
]
},
{
"code": "G9881",
"display": "Em 9 percent wl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "The mdpp beneficiary achieved at least 9% weight loss (wl) from his/her baseline weight in months 1-24 under the mdpp expanded model (em). this is a one-time payment available when a beneficiary first achieves at least 9% weight loss from baseline as measured by an in-person weight measurement at a core session, core maintenance session, or ongoing maintenance session"
}
]
},
{
"code": "G9882",
"display": "2 em ongoing ms mo 13-15 wl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Two medicare diabetes prevention program (mdpp) ongoing maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 13-15 under the mdpp expanded model (em). an ongoing maintenance session is an mdpp service that: (1) is furnished by an mdpp supplier during months 13 through 24 of the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for maintenance sessions. the beneficiary maintained at least 5% weight loss (wl) from his/her baseline weight, as measured by at least one in-person weight measurement at an ongoing maintenance session in months 13-15"
}
]
},
{
"code": "G9883",
"display": "2 em ongoing ms mo 16-18 wl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Two medicare diabetes prevention program (mdpp) ongoing maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 16-18 under the mdpp expanded model (em). an ongoing maintenance session is an mdpp service that: (1) is furnished by an mdpp supplier during months 13 through 24 of the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for maintenance sessions. the beneficiary maintained at least 5% weight loss (wl) from his/her baseline weight, as measured by at least one in-person weight measurement at an ongoing maintenance session in months 16-18"
}
]
},
{
"code": "G9884",
"display": "2 em ongoing ms mo 19-21 wl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Two medicare diabetes prevention program (mdpp) ongoing maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 19-21 under the mdpp expanded model (em). an ongoing maintenance session is an mdpp service that: (1) is furnished by an mdpp supplier during months 13 through 24 of the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for maintenance sessions. the beneficiary maintained at least 5% weight loss (wl) from his/her baseline weight, as measured by at least one in-person weight measurement at an ongoing maintenance session in months 19-21"
}
]
},
{
"code": "G9885",
"display": "2 em ongoing ms mo 22-24 wl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Two medicare diabetes prevention program (mdpp) ongoing maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 22-24 under the mdpp expanded model (em). an ongoing maintenance session is an mdpp service that: (1) is furnished by an mdpp supplier during months 13 through 24 of the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for maintenance sessions. the beneficiary maintained at least 5% weight loss (wl) from his/her baseline weight, as measured by at least one in-person weight measurement at an ongoing maintenance session in months 22-24"
}
]
},
{
"code": "G9886",
"display": "In-person attendance g code",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Behavioral counseling for diabetes prevention, in-person, group, 60 minutes"
}
]
},
{
"code": "G9887",
"display": "Distance learning attendance",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Behavioral counseling for diabetes prevention, distance learning, 60 minutes"
}
]
},
{
"code": "G9888",
"display": "5% wl maintnd from bsline wt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Maintenance 5% wl from baseline weight in months 7-12"
}
]
},
{
"code": "G9890",
"display": "Em bridge payment",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bridge payment: a one-time payment for the first medicare diabetes prevention program (mdpp) core session, core maintenance session, or ongoing maintenance session furnished by an mdpp supplier to an mdpp beneficiary during months 1-24 of the mdpp expanded model (em) who has previously received mdpp services from a different mdpp supplier under the mdpp expanded model. a supplier may only receive one bridge payment per mdpp beneficiary"
}
]
},
{
"code": "G9891",
"display": "Em session reporting",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Mdpp session reported as a line-item on a claim for a payable mdpp expanded model (em) hcpcs code for a session furnished by the billing supplier under the mdpp expanded model and counting toward achievement of the attendance performance goal for the payable mdpp expanded model hcpcs code (this code is for reporting purposes only)"
}
]
},
{
"code": "G9892",
"display": "Doc pt rsn no dil mac exam",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of patient reason(s) for not performing a dilated macular examination"
}
]
},
{
"code": "G9893",
"display": "No mac exam",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dilated macular exam was not performed, reason not otherwise specified"
}
]
},
{
"code": "G9894",
"display": "Adr dep thrpy prescribed",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Androgen deprivation therapy prescribed/administered in combination with external beam radiotherapy to the prostate"
}
]
},
{
"code": "G9895",
"display": "Doc med rsn no adr dep thrpy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not prescribing/administering androgen deprivation therapy in combination with external beam radiotherapy to the prostate (e.g., salvage therapy)"
}
]
},
{
"code": "G9896",
"display": "Doc pt rsn no adr dep thrpy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of patient reason(s) for not prescribing/administering androgen deprivation therapy in combination with external beam radiotherapy to the prostate"
}
]
},
{
"code": "G9897",
"display": "Pt nt prsc adr dep thrpy rng",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who were not prescribed/administered androgen deprivation therapy in combination with external beam radiotherapy to the prostate, reason not given"
}
]
},
{
"code": "G9898",
"display": "Pt 66+ snp or ltc pos > 90d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54, or 56 for more than 90 consecutive days during the measurement period"
}
]
},
{
"code": "G9899",
"display": "Scrn mam perf rslts doc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed"
}
]
},
{
"code": "G9900",
"display": "Scrn mam perf rslts not doc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified"
}
]
},
{
"code": "G9901",
"display": "Pt 66+ snp or ltc pos > 90d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54, or 56 for more than 90 consecutive days during the measurement period"
}
]
},
{
"code": "G9902",
"display": "Pt scrn tbco and id as user",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient screened for tobacco use and identified as a tobacco user"
}
]
},
{
"code": "G9903",
"display": "Pt scrn tbco id as non user",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient screened for tobacco use and identified as a tobacco non-user"
}
]
},
{
"code": "G9904",
"display": "Doc med rsn no tbco scrn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not screening for tobacco use (e.g., limited life expectancy, other medical reason)"
}
]
},
{
"code": "G9905",
"display": "No pt tbco scrn rng",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient not screened for tobacco use"
}
]
},
{
"code": "G9906",
"display": "Pt recv tbco cess interv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)"
}
]
},
{
"code": "G9907",
"display": "Doc med rsn no tbco interv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not providing tobacco cessation intervention on the date of the encounter or within the previous 12 months (e.g., limited life expectancy, other medical reason)"
}
]
},
{
"code": "G9908",
"display": "No pt tbco cess interv rng",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)"
}
]
},
{
"code": "G9909",
"display": "Doc med rsn no tbco interv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not providing tobacco cessation intervention on the date of the encounter or within the previous 12 months if identified as a tobacco user (e.g., limited life expectancy, other medical reason)"
}
]
},
{
"code": "G9910",
"display": "Pt 66+ snp or ltc pos > 90d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54 or 56 for more than 90 consecutive days during the measurement period"
}
]
},
{
"code": "G9911",
"display": "Node neg pre/post syst ther",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinically node negative (t1n0m0 or t2n0m0) invasive breast cancer before or after neoadjuvant systemic therapy"
}
]
},
{
"code": "G9912",
"display": "Hbv status assesed and int",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hepatitis b virus (hbv) status assessed and results interpreted prior to initiating anti-tnf (tumor necrosis factor) therapy"
}
]
},
{
"code": "G9913",
"display": "No hbv status assesd and int",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hepatitis b virus (hbv) status not assessed and results interpreted prior to initiating anti-tnf (tumor necrosis factor) therapy, reason not otherwise specified"
}
]
},
{
"code": "G9914",
"display": "Pt initiated anti-tnf agent",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient initiated an anti-tnf agent"
}
]
},
{
"code": "G9915",
"display": "No documntd hbv results rcd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "No record of hbv results documented"
}
]
},
{
"code": "G9916",
"display": "Funct status past 12 months",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Functional status performed once in the last 12 months"
}
]
},
{
"code": "G9917",
"display": "Adv dem crgvr limited",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of advanced stage dementia and caregiver knowledge is limited"
}
]
},
{
"code": "G9918",
"display": "No funct stat perf, rsn nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Functional status not performed, reason not otherwise specified"
}
]
},
{
"code": "G9919",
"display": "Scrn nd pos nd prov of rec",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Screening performed and positive and provision of recommendations"
}
]
},
{
"code": "G9920",
"display": "Scrning perf and negative",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Screening performed and negative"
}
]
},
{
"code": "G9921",
"display": "No or part scrn nd rng or os",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "No screening performed, partial screening performed or positive screen without recommendations and reason is not given or otherwise specified"
}
]
},
{
"code": "G9922",
"display": "Sfty cncrns scrn nd mit recs",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Safety concerns screen provided and if positive then documented mitigation recommendations"
}
]
},
{
"code": "G9923",
"display": "Safty cncrns scrn and neg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Safety concerns screen provided and negative"
}
]
},
{
"code": "G9924",
"display": "Doc med rsn no scrn or recs",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not providing safety concerns screen or for not providing recommendations, orders or referrals for positive screen (e.g., patient in palliative care, other medical reason)"
}
]
},
{
"code": "G9925",
"display": "No scrn prov rsn nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Safety concerns screening not provided, reason not otherwise specified"
}
]
},
{
"code": "G9926",
"display": "Sfty cncrns scrn but no recs",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Safety concerns screening positive screen is without provision of mitigation recommendations, including but not limited to referral to other resources"
}
]
},
{
"code": "G9927",
"display": "Doc no warf /fda pt trial",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of system reason(s) for not prescribing an fda-approved anticoagulation due to patient being currently enrolled in a clinical trial related to af/atrial flutter treatment"
}
]
},
{
"code": "G9928",
"display": "No warf or fda drug presc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Fda-approved anticoagulant not prescribed, reason not given"
}
]
},
{
"code": "G9929",
"display": "Trs/rev af",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient with transient or reversible cause of af (e.g., pneumonia, hyperthyroidism, pregnancy, cardiac surgery)"
}
]
},
{
"code": "G9930",
"display": "Com care",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who are receiving comfort care only"
}
]
},
{
"code": "G9931",
"display": "No chad or chad scr 0 or 1",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of cha2ds2-vasc risk score of 0 or 1 for men; or 0, 1, or 2 for women"
}
]
},
{
"code": "G9932",
"display": "Doc pt rsn no tb scrn recrds",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of patient reason(s) for not having records of negative or managed positive tb screen (e.g., patient does not return for mantoux (ppd) skin test evaluation)"
}
]
},
{
"code": "G9933",
"display": "Canc detectd during col scrn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adenoma(s) or colorectal cancer detected during screening colonoscopy"
}
]
},
{
"code": "G9934",
"display": "Doc rsn not detecting cancer",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation that neoplasm detected is only diagnosed as traditional serrated adenoma, sessile serrated polyp, or sessile serrated adenoma"
}
]
},
{
"code": "G9935",
"display": "Canc not detectd during srcn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adenoma(s) or colorectal cancer not detected during screening colonoscopy"
}
]
},
{
"code": "G9936",
"display": "Pmh plyp/neo co/rect/jun/ans",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Surveillance colonoscopy - personal history of colonic polyps, colon cancer, or other malignant neoplasm of rectum, rectosigmoid junction, and anus"
}
]
},
{
"code": "G9937",
"display": "Dig or surv colsco",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Diagnostic colonoscopy"
}
]
},
{
"code": "G9938",
"display": "Pt 66+ snp or ltc pos > 90d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients aged 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54, or 56 for more than 90 consecutive days during the six months prior to the measurement period through december 31 of the measurement period"
}
]
},
{
"code": "G9939",
"display": "Same path/derm perf biopsy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pathologists/dermatopathologists is the same clinician who performed the biopsy"
}
]
},
{
"code": "G9940",
"display": "Doc reas no statin therapy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not on a statin (e.g., pregnancy, in vitro fertilization, clomiphene rx, esrd, cirrhosis, muscular pain and disease during the measurement period or prior year)"
}
]
},
{
"code": "G9941",
"display": "Pre and post vas wthn 3 mos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Back pain was measured by the visual analog scale (vas) within three months preoperatively and at three months (6 - 20 weeks) postoperatively"
}
]
},
{
"code": "G9942",
"display": "Adtl spine proc on same date",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient had any additional spine procedures performed on the same date as the lumbar discectomy/laminectomy"
}
]
},
{
"code": "G9943",
"display": "Bk pn nt msr vas scl pre/pst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Back pain was not measured by the visual analog scale (vas) or numeric pain scale at three months (6 - 20 weeks) postoperatively"
}
]
},
{
"code": "G9944",
"display": "Vas 3 mon pre and 1 yr post",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Back pain was measured by the visual analog scale (vas) within three months preoperatively and at one year (9 to 15 months) postoperatively"
}
]
},
{
"code": "G9945",
"display": "Pt w/cancer scoliosis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient had cancer, acute fracture or infection related to the lumbar spine or patient had neuromuscular, idiopathic or congenital lumbar scoliosis"
}
]
},
{
"code": "G9946",
"display": "Bk pain no vas",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Back pain was not measured by the visual analog scale (vas) or numeric pain scale at one year (9 to 15 months) postoperatively"
}
]
},
{
"code": "G9947",
"display": "Pre and post vas wthn 3 mos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Leg pain was measured by the visual analog scale (vas) within three months preoperatively and at three months (6 to 20 weeks) postoperatively"
}
]
},
{
"code": "G9948",
"display": "Adtl spine proc on same date",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient had any additional spine procedures performed on the same date as the lumbar discectomy/laminectomy"
}
]
},
{
"code": "G9949",
"display": "Leg pain no vas",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Leg pain was not measured by the visual analog scale (vas) or numeric pain scale at three months (6 - 20 weeks) postoperatively"
}
]
},
{
"code": "G9954",
"display": "Pt >2 rsk fac post-op vomit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient exhibits 2 or more risk factors for post-operative vomiting"
}
]
},
{
"code": "G9955",
"display": "Inhlnt anesth only for induc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cases in which an inhalational anesthetic is used only for induction"
}
]
},
{
"code": "G9956",
"display": "Combo thrpy of >= 2 prophly",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient received combination therapy consisting of at least two prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively"
}
]
},
{
"code": "G9957",
"display": "Doc med rsn no combo thrpy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason for not receiving combination therapy consisting of at least two prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively (e.g., intolerance or other medical reason)"
}
]
},
{
"code": "G9958",
"display": "No combo prohpyl thrp for pt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient did not receive combination therapy consisting of at least two prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively"
}
]
},
{
"code": "G9959",
"display": "Systemic antimicro not presc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Systemic antimicrobials not prescribed"
}
]
},
{
"code": "G9960",
"display": "Med rsn sys antimi nt rx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for prescribing systemic antimicrobials"
}
]
},
{
"code": "G9961",
"display": "Systemic antimicro presc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Systemic antimicrobials prescribed"
}
]
},
{
"code": "G9962",
"display": "Embolization doc separatly",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Embolization endpoints are documented separately for each embolized vessel and ovarian artery angiography or embolization performed in the presence of variant uterine artery anatomy"
}
]
},
{
"code": "G9963",
"display": "Embolization not doc separat",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Embolization endpoints are not documented separately for each embolized vessel or ovarian artery angiography or embolization not performed in the presence of variant uterine artery anatomy"
}
]
},
{
"code": "G9964",
"display": "Pt recv >=1 well-chld visit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient received at least one well-child visit with a pcp during the performance period"
}
]
},
{
"code": "G9965",
"display": "No well-chld vist recv by pt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient did not receive at least one well-child visit with a pcp during the performance period"
}
]
},
{
"code": "G9966",
"display": "Scrn, inter, report child",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Children who were screened for risk of developmental, behavioral and social delays using a standardized tool with interpretation and report"
}
]
},
{
"code": "G9967",
"display": "No scrn, inter, reprt child",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Children who were not screened for risk of developmental, behavioral and social delays using a standardized tool with interpretation and report"
}
]
},
{
"code": "G9968",
"display": "Pt refrd 2 pvdr/spclst in pp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient was referred to another clinician or specialist during the measurement period"
}
]
},
{
"code": "G9969",
"display": "Pvdr rfrd pt rprt rcvd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinician who referred the patient to another clinician received a report from the clinician to whom the patient was referred"
}
]
},
{
"code": "G9970",
"display": "Pvdr rfrd pt no rprt rcvd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinician who referred the patient to another clinician did not receive a report from the clinician to whom the patient was referred"
}
]
},
{
"code": "G9974",
"display": "Mac exam perf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity"
}
]
},
{
"code": "G9975",
"display": "Doc med rsn no dil mac exam",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not performing a dilated macular examination"
}
]
},
{
"code": "G9978",
"display": "Remote e/m new pt 10mins",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires these 3 key components: a problem focused history; a problem focused examination; and straightforward medical decision making, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are self limited or minor. typically, 10 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology"
}
]
},
{
"code": "G9979",
"display": "Remote e/m new pt 20mins",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires these 3 key components: an expanded problem focused history; an expanded problem focused examination; straightforward medical decision making, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of low to moderate severity. typically, 20 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology"
}
]
},
{
"code": "G9980",
"display": "Remote e/m new pt 30 mins",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires these 3 key components: a detailed history; a detailed examination; medical decision making of low complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate severity. typically, 30 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology"
}
]
},
{
"code": "G9981",
"display": "Remote e/m new pt 45mins",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires these 3 key components: a comprehensive history; a comprehensive examination; medical decision making of moderate complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 45 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology"
}
]
},
{
"code": "G9982",
"display": "Remote e/m new pt 60mins",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires these 3 key components: a comprehensive history; a comprehensive examination; medical decision making of high complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 60 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology"
}
]
},
{
"code": "G9983",
"display": "Remote e/m est. pt 10mins",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires at least 2 of the following 3 key components: a problem focused history; a problem focused examination; straightforward medical decision making, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are self limited or minor. typically, 10 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology"
}
]
},
{
"code": "G9984",
"display": "Remote e/m est. pt 15mins",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires at least 2 of the following 3 key components: an expanded problem focused history; an expanded problem focused examination; medical decision making of low complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of low to moderate severity. typically, 15 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology"
}
]
},
{
"code": "G9985",
"display": "Remote e/m est. pt 25mins",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires at least 2 of the following 3 key components: a detailed history; a detailed examination; medical decision making of moderate complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 25 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology"
}
]
},
{
"code": "G9986",
"display": "Remote e/m est. pt 40mins",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires at least 2 of the following 3 key components: a comprehensive history; a comprehensive examination; medical decision making of high complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 40 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology"
}
]
},
{
"code": "G9987",
"display": "Bpci advanced in home visit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bundled payments for care improvement advanced (bpci advanced) model home visit for patient assessment performed by clinical staff for an individual not considered homebound, including, but not necessarily limited to patient assessment of clinical status, safety/fall prevention, functional status/ambulation, medication reconciliation/management, compliance with orders/plan of care, performance of activities of daily living, and ensuring beneficiary connections to community and other services; for use only for a bpci advanced model episode of care; may not be billed for a 30-day period covered by a transitional care management code"
}
]
},
{
"code": "G9988",
"display": "Pall serv during meas",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Palliative care services provided to patient any time during the measurement period"
}
]
},
{
"code": "G9989",
"display": "Med rsn no pneum vax",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not administering pneumococcal vaccine (e.g., adverse reaction to vaccine)"
}
]
},
{
"code": "G9990",
"display": "No pneum vax admin 19+",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period"
}
]
},
{
"code": "G9991",
"display": "Pneum vax admin 19+",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period"
}
]
},
{
"code": "G9992",
"display": "Pall serv during meas",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Palliative care services used by patient any time during the measurement period"
}
]
},
{
"code": "G9993",
"display": "Pall serv during meas",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient was provided palliative care services any time during the measurement period"
}
]
},
{
"code": "G9994",
"display": "Pall serv during meas",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient is using palliative care services any time during the measurement period"
}
]
},
{
"code": "G9995",
"display": "Pall serv during meas",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who use palliative care services any time during the measurement period"
}
]
},
{
"code": "G9996",
"display": "Doc pt pal or hospice",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation stating the patient has received or is currently receiving palliative or hospice care"
}
]
},
{
"code": "G9997",
"display": "Doc pt preg dur msrmt pd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter"
}
]
},
{
"code": "G9998",
"display": "Doc med rsn <3 colon",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for an interval of less than 3 years since the last colonoscopy (e.g., last colonoscopy incomplete, last colonoscopy had inadequate prep, piecemeal removal of adenomas, or sessile serrated polyps >= 20 mm in size, last colonoscopy found greater than 10 adenomas, lower gastrointestinal bleeding, or patient at high risk for colon cancer due to underlying medical history ([i.e. crohn's disease, ulcerative colitis, personal or family history of colon cancer, hereditary colorectal cancer syndromes])"
}
]
},
{
"code": "G9999",
"display": "Doc sys rsn <3 colon",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of system reason(s) for an interval of less than 3 years since the last colonoscopy (e.g., unable to locate previous colonoscopy report, patient cannot provide precise date or details from previous colonoscopy, previous colonoscopy report was incomplete)"
}
]
},
{
"code": "H0001",
"display": "Alcohol and/or drug assess",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alcohol and/or drug assessment"
}
]
},
{
"code": "H0002",
"display": "Alcohol and/or drug screenin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Behavioral health screening to determine eligibility for admission to treatment program"
}
]
},
{
"code": "H0003",
"display": "Alcohol and/or drug screenin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs"
}
]
},
{
"code": "H0004",
"display": "Alcohol and/or drug services",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Behavioral health counseling and therapy, per 15 minutes"
}
]
},
{
"code": "H0005",
"display": "Alcohol and/or drug services",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alcohol and/or drug services; group counseling by a clinician"
}
]
},
{
"code": "H0006",
"display": "Alcohol and/or drug services",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alcohol and/or drug services; case management"
}
]
},
{
"code": "H0007",
"display": "Alcohol and/or drug services",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alcohol and/or drug services; crisis intervention (outpatient)"
}
]
},
{
"code": "H0008",
"display": "Alcohol and/or drug services",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alcohol and/or drug services; sub-acute detoxification (hospital inpatient)"
}
]
},
{
"code": "H0009",
"display": "Alcohol and/or drug services",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alcohol and/or drug services; acute detoxification (hospital inpatient)"
}
]
},
{
"code": "H0010",
"display": "Alcohol and/or drug services",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient)"
}
]
},
{
"code": "H0011",
"display": "Alcohol and/or drug services",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alcohol and/or drug services; acute detoxification (residential addiction program inpatient)"
}
]
},
{
"code": "H0012",
"display": "Alcohol and/or drug services",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient)"
}
]
},
{
"code": "H0013",
"display": "Alcohol and/or drug services",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alcohol and/or drug services; acute detoxification (residential addiction program outpatient)"
}
]
},
{
"code": "H0014",
"display": "Alcohol and/or drug services",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alcohol and/or drug services; ambulatory detoxification"
}
]
},
{
"code": "H0015",
"display": "Alcohol and/or drug services",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education"
}
]
},
{
"code": "H0016",
"display": "Alcohol and/or drug services",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)"
}
]
},
{
"code": "H0017",
"display": "Alcohol and/or drug services",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Behavioral health; residential (hospital residential treatment program), without room and board, per diem"
}
]
},
{
"code": "H0018",
"display": "Alcohol and/or drug services",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem"
}
]
},
{
"code": "H0019",
"display": "Alcohol and/or drug services",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem"
}
]
},
{
"code": "H0020",
"display": "Alcohol and/or drug services",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)"
}
]
},
{
"code": "H0021",
"display": "Alcohol and/or drug training",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alcohol and/or drug training service (for staff and personnel not employed by providers)"
}
]
},
{
"code": "H0022",
"display": "Alcohol and/or drug interven",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alcohol and/or drug intervention service (planned facilitation)"
}
]
},
{
"code": "H0023",
"display": "Alcohol and/or drug outreach",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Behavioral health outreach service (planned approach to reach a targeted population)"
}
]
},
{
"code": "H0024",
"display": "Alcohol and/or drug preventi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Behavioral health prevention information dissemination service (one-way direct or non-direct contact with service audiences to affect knowledge and attitude)"
}
]
},
{
"code": "H0025",
"display": "Alcohol and/or drug preventi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)"
}
]
},
{
"code": "H0026",
"display": "Alcohol and/or drug preventi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alcohol and/or drug prevention process service, community-based (delivery of services to develop skills of impactors)"
}
]
},
{
"code": "H0027",
"display": "Alcohol and/or drug preventi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alcohol and/or drug prevention environmental service (broad range of external activities geared toward modifying systems in order to mainstream prevention through policy and law)"
}
]
},
{
"code": "H0028",
"display": "Alcohol and/or drug preventi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alcohol and/or drug prevention problem identification and referral service (e.g., student assistance and employee assistance programs), does not include assessment"
}
]
},
{
"code": "H0029",
"display": "Alcohol and/or drug preventi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alcohol and/or drug prevention alternatives service (services for populations that exclude alcohol and other drug use e.g., alcohol free social events)"
}
]
},
{
"code": "H0030",
"display": "Alcohol and/or drug hotline",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Behavioral health hotline service"
}
]
},
{
"code": "H0031",
"display": "Mh health assess by non-md",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Mental health assessment, by non-physician"
}
]
},
{
"code": "H0032",
"display": "Mh svc plan dev by non-md",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Mental health service plan development by non-physician"
}
]
},
{
"code": "H0033",
"display": "Oral med adm direct observe",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oral medication administration, direct observation"
}
]
},
{
"code": "H0034",
"display": "Med trng & support per 15min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medication training and support, per 15 minutes"
}
]
},
{
"code": "H0035",
"display": "Mh partial hosp tx under 24h",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Mental health partial hospitalization, treatment, less than 24 hours"
}
]
},
{
"code": "H0036",
"display": "Comm psy face-face per 15min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Community psychiatric supportive treatment, face-to-face, per 15 minutes"
}
]
},
{
"code": "H0037",
"display": "Comm psy sup tx pgm per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Community psychiatric supportive treatment program, per diem"
}
]
},
{
"code": "H0038",
"display": "Self-help/peer svc per 15min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Self-help/peer services, per 15 minutes"
}
]
},
{
"code": "H0039",
"display": "Asser com tx face-face/15min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Assertive community treatment, face-to-face, per 15 minutes"
}
]
},
{
"code": "H0040",
"display": "Assert comm tx pgm per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Assertive community treatment program, per diem"
}
]
},
{
"code": "H0041",
"display": "Fos c chld non-ther per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Foster care, child, non-therapeutic, per diem"
}
]
},
{
"code": "H0042",
"display": "Fos c chld non-ther per mon",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Foster care, child, non-therapeutic, per month"
}
]
},
{
"code": "H0043",
"display": "Supported housing, per diem"
},
{
"code": "H0044",
"display": "Supported housing, per month"
},
{
"code": "H0045",
"display": "Respite not-in-home per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Respite care services, not in the home, per diem"
}
]
},
{
"code": "H0046",
"display": "Mental health service, nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Mental health services, not otherwise specified"
}
]
},
{
"code": "H0047",
"display": "Alcohol/drug abuse svc nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alcohol and/or other drug abuse services, not otherwise specified"
}
]
},
{
"code": "H0048",
"display": "Spec coll non-blood:a/d test",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alcohol and/or other drug testing: collection and handling only, specimens other than blood"
}
]
},
{
"code": "H0049",
"display": "Alcohol/drug screening",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alcohol and/or drug screening"
}
]
},
{
"code": "H0050",
"display": "Alcohol/drug service 15 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alcohol and/or drug services, brief intervention, per 15 minutes"
}
]
},
{
"code": "H0051",
"display": "Traditional healing service"
},
{
"code": "H0052",
"display": "Mmip mental health and care",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Missing and murdered indigenous persons (mmip) mental health and clinical care"
}
]
},
{
"code": "H0053",
"display": "Ht mental health and care",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Historical trauma (ht) mental health and clinical care for indigenous persons"
}
]
},
{
"code": "H1000",
"display": "Prenatal care atrisk assessm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prenatal care, at-risk assessment"
}
]
},
{
"code": "H1001",
"display": "Antepartum management",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prenatal care, at-risk enhanced service; antepartum management"
}
]
},
{
"code": "H1002",
"display": "Carecoordination prenatal",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prenatal care, at risk enhanced service; care coordination"
}
]
},
{
"code": "H1003",
"display": "Prenatal at risk education",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prenatal care, at-risk enhanced service; education"
}
]
},
{
"code": "H1004",
"display": "Follow up home visit/prental",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prenatal care, at-risk enhanced service; follow-up home visit"
}
]
},
{
"code": "H1005",
"display": "Prenatalcare enhanced srv pk",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prenatal care, at-risk enhanced service package (includes h1001-h1004)"
}
]
},
{
"code": "H1010",
"display": "Nonmed family planning ed",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-medical family planning education, per session"
}
]
},
{
"code": "H1011",
"display": "Family assessment",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Family assessment by licensed behavioral health professional for state defined purposes"
}
]
},
{
"code": "H2000",
"display": "Comp multidisipln evaluation",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Comprehensive multidisciplinary evaluation"
}
]
},
{
"code": "H2001",
"display": "Rehabilitation program 1/2 d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Rehabilitation program, per 1/2 day"
}
]
},
{
"code": "H2010",
"display": "Comprehensive med svc 15 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Comprehensive medication services, per 15 minutes"
}
]
},
{
"code": "H2011",
"display": "Crisis interven svc, 15 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Crisis intervention service, per 15 minutes"
}
]
},
{
"code": "H2012",
"display": "Behav hlth day treat, per hr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Behavioral health day treatment, per hour"
}
]
},
{
"code": "H2013",
"display": "Psych hlth fac svc, per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Psychiatric health facility service, per diem"
}
]
},
{
"code": "H2014",
"display": "Skills train and dev, 15 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Skills training and development, per 15 minutes"
}
]
},
{
"code": "H2015",
"display": "Comp comm supp svc, 15 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Comprehensive community support services, per 15 minutes"
}
]
},
{
"code": "H2016",
"display": "Comp comm supp svc, per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Comprehensive community support services, per diem"
}
]
},
{
"code": "H2017",
"display": "Psysoc rehab svc, per 15 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Psychosocial rehabilitation services, per 15 minutes"
}
]
},
{
"code": "H2018",
"display": "Psysoc rehab svc, per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Psychosocial rehabilitation services, per diem"
}
]
},
{
"code": "H2019",
"display": "Ther behav svc, per 15 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Therapeutic behavioral services, per 15 minutes"
}
]
},
{
"code": "H2020",
"display": "Ther behav svc, per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Therapeutic behavioral services, per diem"
}
]
},
{
"code": "H2021",
"display": "Com wrap-around sv, 15 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Community-based wrap-around services, per 15 minutes"
}
]
},
{
"code": "H2022",
"display": "Com wrap-around sv, per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Community-based wrap-around services, per diem"
}
]
},
{
"code": "H2023",
"display": "Supported employ, per 15 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Supported employment, per 15 minutes"
}
]
},
{
"code": "H2024",
"display": "Supported employ, per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Supported employment, per diem"
}
]
},
{
"code": "H2025",
"display": "Supp maint employ, 15 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ongoing support to maintain employment, per 15 minutes"
}
]
},
{
"code": "H2026",
"display": "Supp maint employ, per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ongoing support to maintain employment, per diem"
}
]
},
{
"code": "H2027",
"display": "Psychoed svc, per 15 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Psychoeducational service, per 15 minutes"
}
]
},
{
"code": "H2028",
"display": "Sex offend tx svc, 15 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sexual offender treatment service, per 15 minutes"
}
]
},
{
"code": "H2029",
"display": "Sex offend tx svc, per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sexual offender treatment service, per diem"
}
]
},
{
"code": "H2030",
"display": "Mh clubhouse svc, per 15 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Mental health clubhouse services, per 15 minutes"
}
]
},
{
"code": "H2031",
"display": "Mh clubhouse svc, per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Mental health clubhouse services, per diem"
}
]
},
{
"code": "H2032",
"display": "Activity therapy, per 15 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Activity therapy, per 15 minutes"
}
]
},
{
"code": "H2033",
"display": "Multisys ther/juvenile 15min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Multisystemic therapy for juveniles, per 15 minutes"
}
]
},
{
"code": "H2034",
"display": "A/d halfway house, per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alcohol and/or drug abuse halfway house services, per diem"
}
]
},
{
"code": "H2035",
"display": "A/d tx program, per hour",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alcohol and/or other drug treatment program, per hour"
}
]
},
{
"code": "H2036",
"display": "A/d tx program, per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alcohol and/or other drug treatment program, per diem"
}
]
},
{
"code": "H2037",
"display": "Dev delay prev dp ch, 15 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Developmental delay prevention activities, dependent child of client, per 15 minutes"
}
]
},
{
"code": "H2038",
"display": "Skill train and dev/diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Skills training and development, per diem"
}
]
},
{
"code": "H2040",
"display": "Coord specialty care, month",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Coordinated specialty care, team-based, for first episode psychosis, per month"
}
]
},
{
"code": "H2041",
"display": "Coord special care encounter",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Coordinated specialty care, team-based, for first episode psychosis, per encounter"
}
]
},
{
"code": "J0120",
"display": "Tetracyclin injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, tetracycline, up to 250 mg"
}
]
},
{
"code": "J0121",
"display": "Inj., omadacycline, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, omadacycline, 1 mg"
}
]
},
{
"code": "J0122",
"display": "Inj., eravacycline, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, eravacycline, 1 mg"
}
]
},
{
"code": "J0129",
"display": "Abatacept injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)"
}
]
},
{
"code": "J0130",
"display": "Abciximab injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection abciximab, 10 mg"
}
]
},
{
"code": "J0131",
"display": "Inj, acetaminophen (nos)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, acetaminophen, not otherwise specified,10 mg"
}
]
},
{
"code": "J0132",
"display": "Acetylcysteine injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, acetylcysteine, 100 mg"
}
]
},
{
"code": "J0133",
"display": "Acyclovir injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, acyclovir, 5 mg"
}
]
},
{
"code": "J0134",
"display": "Inj acetaminophen -fresenius",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg"
}
]
},
{
"code": "J0135",
"display": "Adalimumab injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, adalimumab, 20 mg"
}
]
},
{
"code": "J0136",
"display": "Inj, acetaminophen (b braun)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg"
}
]
},
{
"code": "J0137",
"display": "Inj, acetaminophen (hikma)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg"
}
]
},
{
"code": "J0138",
"display": "Inj acetaminoph 10mg/ibu 3mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, acetaminophen 10 mg and ibuprofen 3 mg"
}
]
},
{
"code": "J0139",
"display": "Inj, adalimumab, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, adalimumab, 1 mg"
}
]
},
{
"code": "J0150",
"display": "Injection adenosine 6 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, adenosine for therapeutic use, 6 mg (not to be used to report any adenosine phosphate compounds, instead use a9270)"
}
]
},
{
"code": "J0151",
"display": "Inj adenosine diag 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, adenosine for diagnostic use, 1 mg (not to be used to report any adenosine phosphate compounds, instead use a9270)"
}
]
},
{
"code": "J0153",
"display": "Adenosine inj 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)"
}
]
},
{
"code": "J0171",
"display": "Adrenalin epinephrine inject",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, adrenalin, epinephrine, 0.1 mg"
}
]
},
{
"code": "J0172",
"display": "Inj, aducanumab-avwa, 2 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, aducanumab-avwa, 2 mg"
}
]
},
{
"code": "J0173",
"display": "Inj, epinephrine (belcher)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, epinephrine (belcher), not therapeutically equivalent to j0171, 0.1 mg"
}
]
},
{
"code": "J0174",
"display": "Inj, lecanemab-irmb, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, lecanemab-irmb, 1 mg"
}
]
},
{
"code": "J0175",
"display": "Inj, donanemab-azbt, 2 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, donanemab-azbt, 2 mg"
}
]
},
{
"code": "J0177",
"display": "Inj, aflibercept hd, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, aflibercept hd, 1 mg"
}
]
},
{
"code": "J0178",
"display": "Aflibercept injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, aflibercept, 1 mg"
}
]
},
{
"code": "J0179",
"display": "Inj, brolucizumab-dbll, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, brolucizumab-dbll, 1 mg"
}
]
},
{
"code": "J0180",
"display": "Agalsidase beta injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, agalsidase beta, 1 mg"
}
]
},
{
"code": "J0184",
"display": "Inj, amisulpride, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, amisulpride, 1 mg"
}
]
},
{
"code": "J0185",
"display": "Inj., aprepitant, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, aprepitant, 1 mg"
}
]
},
{
"code": "J0190",
"display": "Inj biperiden lactate/5 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, biperiden lactate, per 5 mg"
}
]
},
{
"code": "J0200",
"display": "Alatrofloxacin mesylate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, alatrofloxacin mesylate, 100 mg"
}
]
},
{
"code": "J0202",
"display": "Injection, alemtuzumab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, alemtuzumab, 1 mg"
}
]
},
{
"code": "J0205",
"display": "Alglucerase injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, alglucerase, per 10 units"
}
]
},
{
"code": "J0206",
"display": "Inj allopurinol sodium 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, allopurinol sodium, 1 mg"
}
]
},
{
"code": "J0207",
"display": "Amifostine",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, amifostine, 500 mg"
}
]
},
{
"code": "J0208",
"display": "Inj, pedmark, 100 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, sodium thiosulfate (pedmark), 100 mg"
}
]
},
{
"code": "J0209",
"display": "Inj, sod thiosulfate (hope)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, sodium thiosulfate (hope), 100 mg"
}
]
},
{
"code": "J0210",
"display": "Methyldopate hcl injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, methyldopate hcl, up to 250 mg"
}
]
},
{
"code": "J0211",
"display": "Inj, nithiodote, 3mg / 125mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (nithiodote)"
}
]
},
{
"code": "J0215",
"display": "Alefacept",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, alefacept, 0.5 mg"
}
]
},
{
"code": "J0216",
"display": "Inj, alfentanil hcl, 500mcg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, alfentanil hydrochloride, 500 micrograms"
}
]
},
{
"code": "J0217",
"display": "Inj velmanase alfa-tycv 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, velmanase alfa-tycv, 1 mg"
}
]
},
{
"code": "J0218",
"display": "Inj olipudase alfa-rpcp 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, olipudase alfa-rpcp, 1 mg"
}
]
},
{
"code": "J0219",
"display": "Inj aval alfa-nqpt 4mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, avalglucosidase alfa-ngpt, 4 mg"
}
]
},
{
"code": "J0220",
"display": "Alglucosidase alfa injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, alglucosidase alfa, 10 mg, not otherwise specified"
}
]
},
{
"code": "J0221",
"display": "Lumizyme injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, alglucosidase alfa, (lumizyme), 10 mg"
}
]
},
{
"code": "J0222",
"display": "Inj., patisiran, 0.1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, patisiran, 0.1 mg"
}
]
},
{
"code": "J0223",
"display": "Inj givosiran 0.5 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, givosiran, 0.5 mg"
}
]
},
{
"code": "J0224",
"display": "Inj. lumasiran, 0.5 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, lumasiran, 0.5 mg"
}
]
},
{
"code": "J0225",
"display": "Inj, vutrisiran, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, vutrisiran, 1 mg"
}
]
},
{
"code": "J0248",
"display": "Inj, remdesivir, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, remdesivir, 1 mg"
}
]
},
{
"code": "J0256",
"display": "Alpha 1 proteinase inhibitor",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg"
}
]
},
{
"code": "J0257",
"display": "Glassia injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg"
}
]
},
{
"code": "J0270",
"display": "Alprostadil for injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)"
}
]
},
{
"code": "J0275",
"display": "Alprostadil urethral suppos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alprostadil urethral suppository (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)"
}
]
},
{
"code": "J0278",
"display": "Amikacin sulfate injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, amikacin sulfate, 100 mg"
}
]
},
{
"code": "J0280",
"display": "Aminophyllin 250 mg inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, aminophyllin, up to 250 mg"
}
]
},
{
"code": "J0282",
"display": "Amiodarone hcl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, amiodarone hydrochloride, 30 mg"
}
]
},
{
"code": "J0283",
"display": "Inj, amiodarone (nexterone)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, amiodarone hydrochloride (nexterone), 30 mg"
}
]
},
{
"code": "J0285",
"display": "Amphotericin b",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, amphotericin b, 50 mg"
}
]
},
{
"code": "J0287",
"display": "Amphotericin b lipid complex",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, amphotericin b lipid complex, 10 mg"
}
]
},
{
"code": "J0288",
"display": "Ampho b cholesteryl sulfate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, amphotericin b cholesteryl sulfate complex, 10 mg"
}
]
},
{
"code": "J0289",
"display": "Amphotericin b liposome inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, amphotericin b liposome, 10 mg"
}
]
},
{
"code": "J0290",
"display": "Ampicillin 500 mg inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ampicillin sodium, 500 mg"
}
]
},
{
"code": "J0291",
"display": "Inj., plazomicin, 5 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, plazomicin, 5 mg"
}
]
},
{
"code": "J0295",
"display": "Ampicillin sulbactam 1.5 gm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm"
}
]
},
{
"code": "J0300",
"display": "Amobarbital 125 mg inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, amobarbital, up to 125 mg"
}
]
},
{
"code": "J0330",
"display": "Succinycholine chloride inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, succinylcholine chloride, up to 20 mg"
}
]
},
{
"code": "J0348",
"display": "Anidulafungin injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, anidulafungin, 1 mg"
}
]
},
{
"code": "J0349",
"display": "Inj, rezafungin, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, rezafungin, 1 mg"
}
]
},
{
"code": "J0350",
"display": "Injection anistreplase 30 u",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, anistreplase, per 30 units"
}
]
},
{
"code": "J0360",
"display": "Hydralazine hcl injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, hydralazine hcl, up to 20 mg"
}
]
},
{
"code": "J0364",
"display": "Apomorphine hydrochloride",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, apomorphine hydrochloride, 1 mg"
}
]
},
{
"code": "J0365",
"display": "Aprotonin, 10,000 kiu",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, aprotonin, 10,000 kiu"
}
]
},
{
"code": "J0380",
"display": "Inj metaraminol bitartrate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, metaraminol bitartrate, per 10 mg"
}
]
},
{
"code": "J0390",
"display": "Chloroquine injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, chloroquine hydrochloride, up to 250 mg"
}
]
},
{
"code": "J0391",
"display": "Inj, artesunate, 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, artesunate, 1 mg"
}
]
},
{
"code": "J0395",
"display": "Arbutamine hcl injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, arbutamine hcl, 1 mg"
}
]
},
{
"code": "J0400",
"display": "Aripiprazole injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, aripiprazole, intramuscular, 0.25 mg"
}
]
},
{
"code": "J0401",
"display": "Inj, abilify maintena, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, aripiprazole (abilify maintena), 1 mg"
}
]
},
{
"code": "J0402",
"display": "Inj, abilify asimtufii, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, aripiprazole (abilify asimtufii), 1 mg"
}
]
},
{
"code": "J0456",
"display": "Azithromycin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, azithromycin, 500 mg"
}
]
},
{
"code": "J0457",
"display": "Injection, aztreonam, 100 mg"
},
{
"code": "J0461",
"display": "Atropine sulfate injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, atropine sulfate, 0.01 mg"
}
]
},
{
"code": "J0470",
"display": "Dimecaprol injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, dimercaprol, per 100 mg"
}
]
},
{
"code": "J0475",
"display": "Baclofen 10 mg injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, baclofen, 10 mg"
}
]
},
{
"code": "J0476",
"display": "Baclofen intrathecal trial",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, baclofen, 50 mcg for intrathecal trial"
}
]
},
{
"code": "J0480",
"display": "Basiliximab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, basiliximab, 20 mg"
}
]
},
{
"code": "J0485",
"display": "Belatacept injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, belatacept, 1 mg"
}
]
},
{
"code": "J0490",
"display": "Belimumab injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, belimumab, 10 mg"
}
]
},
{
"code": "J0491",
"display": "Inj anifrolumab-fnia 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, anifrolumab-fnia, 1 mg"
}
]
},
{
"code": "J0500",
"display": "Dicyclomine injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, dicyclomine hcl, up to 20 mg"
}
]
},
{
"code": "J0515",
"display": "Inj benztropine mesylate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, benztropine mesylate, per 1 mg"
}
]
},
{
"code": "J0517",
"display": "Inj., benralizumab, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, benralizumab, 1 mg"
}
]
},
{
"code": "J0520",
"display": "Bethanechol chloride inject",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, bethanechol chloride, myotonachol or urecholine, up to 5 mg"
}
]
},
{
"code": "J0558",
"display": "Peng benzathine/procaine inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, penicillin g benzathine and penicillin g procaine, 100,000 units"
}
]
},
{
"code": "J0561",
"display": "Penicillin g benzathine inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, penicillin g benzathine, 100,000 units"
}
]
},
{
"code": "J0565",
"display": "Inj, bezlotoxumab, 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, bezlotoxumab, 10 mg"
}
]
},
{
"code": "J0567",
"display": "Inj., cerliponase alfa 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cerliponase alfa, 1 mg"
}
]
},
{
"code": "J0570",
"display": "Buprenorphine implant 74.2mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Buprenorphine implant, 74.2 mg"
}
]
},
{
"code": "J0571",
"display": "Buprenorphine oral 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Buprenorphine, oral, 1 mg"
}
]
},
{
"code": "J0572",
"display": "Bupren/nal up to 3mg bupreno",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine"
}
]
},
{
"code": "J0573",
"display": "Bupren/nal 3.1 to 6mg bupren",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine"
}
]
},
{
"code": "J0574",
"display": "Bupren/nal 6.1 to 10mg bupre",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine"
}
]
},
{
"code": "J0575",
"display": "Bupren/nal over 10mg bupreno",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine"
}
]
},
{
"code": "J0576",
"display": "Inj buprenorph (brixadi) 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, buprenorphine extended-release (brixadi), 1 mg"
}
]
},
{
"code": "J0577",
"display": "Inj, brixadi, 7 days or less",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, buprenorphine extended-release (brixadi), less than or equal to 7 days of therapy"
}
]
},
{
"code": "J0578",
"display": "Inj brixadi, more than 7 day",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy"
}
]
},
{
"code": "J0583",
"display": "Bivalirudin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, bivalirudin, 1 mg"
}
]
},
{
"code": "J0584",
"display": "Injection, burosumab-twza 1m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, burosumab-twza 1 mg"
}
]
},
{
"code": "J0585",
"display": "Injection,onabotulinumtoxina",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, onabotulinumtoxina, 1 unit"
}
]
},
{
"code": "J0586",
"display": "Abobotulinumtoxina",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, abobotulinumtoxina, 5 units"
}
]
},
{
"code": "J0587",
"display": "Inj, rimabotulinumtoxinb",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, rimabotulinumtoxinb, 100 units"
}
]
},
{
"code": "J0588",
"display": "Incobotulinumtoxin a",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, incobotulinumtoxin a, 1 unit"
}
]
},
{
"code": "J0589",
"display": "Inj daxibotulinumtoxina-lanm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, daxibotulinumtoxina-lanm, 1 unit"
}
]
},
{
"code": "J0591",
"display": "Inj deoxycholic acid, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, deoxycholic acid, 1 mg"
}
]
},
{
"code": "J0592",
"display": "Buprenorphine hydrochloride",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, buprenorphine hydrochloride, 0.1 mg"
}
]
},
{
"code": "J0593",
"display": "Inj., lanadelumab-flyo, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, lanadelumab-flyo, 1 mg (code may be used for medicare when drug administered under direct supervision of a physician, not for use when drug is self-administered)"
}
]
},
{
"code": "J0594",
"display": "Busulfan injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "injection, busulfan, 1 mg"
}
]
},
{
"code": "J0595",
"display": "Butorphanol tartrate 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, butorphanol tartrate, 1 mg"
}
]
},
{
"code": "J0596",
"display": "Injection, ruconest",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units"
}
]
},
{
"code": "J0597",
"display": "C-1 esterase, berinert",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, c-1 esterase inhibitor (human), berinert, 10 units"
}
]
},
{
"code": "J0598",
"display": "C-1 esterase, cinryze",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, c-1 esterase inhibitor (human), cinryze, 10 units"
}
]
},
{
"code": "J0599",
"display": "Inj., haegarda 10 units",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, c-1 esterase inhibitor (human), (haegarda), 10 units"
}
]
},
{
"code": "J0600",
"display": "Edetate calcium disodium inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, edetate calcium disodium, up to 1000 mg"
}
]
},
{
"code": "J0601",
"display": "Sevelamer carbonate 20 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sevelamer carbonate (renvela or therapeutically equivalent), oral, 20 mg (for esrd on dialysis)"
}
]
},
{
"code": "J0602",
"display": "Sevelamer carbonate pdr 20mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sevelamer carbonate (renvela or therapeutically equivalent), oral, powder, 20 mg (for esrd on dialysis)"
}
]
},
{
"code": "J0603",
"display": "Sevelamer hydrochloride 20mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sevelamer hydrochloride (renagel or therapeutically equivalent), oral, 20 mg (for esrd on dialysis)"
}
]
},
{
"code": "J0604",
"display": "Cinacalcet, esrd on dialysis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cinacalcet, oral, 1 mg, (for esrd on dialysis)"
}
]
},
{
"code": "J0605",
"display": "Sucroferric oxyhydroxide 5mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sucroferric oxyhydroxide, oral, 5 mg (for esrd on dialysis)"
}
]
},
{
"code": "J0606",
"display": "Inj, etelcalcetide, 0.1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, etelcalcetide, 0.1 mg"
}
]
},
{
"code": "J0607",
"display": "Lanthanum carbonate oral 5mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lanthanum carbonate, oral, 5 mg (for esrd on dialysis)"
}
]
},
{
"code": "J0608",
"display": "Lanthanum carbonate pwdr 5mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lanthanum carbonate, oral, powder, 5 mg, not therapeutically equivalent to j0607 (for esrd on dialysis)"
}
]
},
{
"code": "J0609",
"display": "Ferric citrate orl 3 mg iron",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ferric citrate, oral, 3 mg ferric iron, (for esrd on dialysis)"
}
]
},
{
"code": "J0610",
"display": "Calcium glucon (fresenius)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, calcium gluconate (fresenius kabi), per 10 ml"
}
]
},
{
"code": "J0611",
"display": "Calcium glucon (wg critical)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, calcium gluconate (wg critical care), per 10 ml"
}
]
},
{
"code": "J0612",
"display": "Inj, calcium gluconate, nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, calcium gluconate, not otherwise specified, 10 mg"
}
]
},
{
"code": "J0613",
"display": "Calcium glucon (wg critical)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg"
}
]
},
{
"code": "J0615",
"display": "Calcium acetate, oral, 23 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Calcium acetate, oral, 23 mg (for esrd on dialysis)"
}
]
},
{
"code": "J0620",
"display": "Calcium glycer & lact/10 ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, calcium glycerophosphate and calcium lactate, per 10 ml"
}
]
},
{
"code": "J0630",
"display": "Calcitonin salmon injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, calcitonin salmon, up to 400 units"
}
]
},
{
"code": "J0636",
"display": "Inj calcitriol per 0.1 mcg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, calcitriol, 0.1 mcg"
}
]
},
{
"code": "J0637",
"display": "Caspofungin acetate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, caspofungin acetate, 5 mg"
}
]
},
{
"code": "J0638",
"display": "Canakinumab injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, canakinumab, 1 mg"
}
]
},
{
"code": "J0640",
"display": "Leucovorin calcium injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, leucovorin calcium, per 50 mg"
}
]
},
{
"code": "J0641",
"display": "Inj levoleucovorin nos 0.5mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, levoleucovorin, not otherwise specified, 0.5 mg"
}
]
},
{
"code": "J0642",
"display": "Injection, khapzory, 0.5 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, levoleucovorin (khapzory), 0.5 mg"
}
]
},
{
"code": "J0650",
"display": "Inj, levothyroxine nos 10mcg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, levothyroxine sodium, not otherwise specified, 10 mcg"
}
]
},
{
"code": "J0651",
"display": "Inj, levothyroxine, freskabi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcg"
}
]
},
{
"code": "J0652",
"display": "Inj, levothyroxine, hikma",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, levothyroxine sodium (hikma), not therapeutically equivalent to j0650, 10 mcg"
}
]
},
{
"code": "J0665",
"display": "Inj, bupivacaine, nos, 0.5mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, bupivicaine, not otherwise specified, 0.5 mg"
}
]
},
{
"code": "J0666",
"display": "Inj, bupivacaine liposome",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, bupivacaine liposome, 1 mg"
}
]
},
{
"code": "J0670",
"display": "Inj mepivacaine hcl/10 ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, mepivacaine hydrochloride, per 10 ml"
}
]
},
{
"code": "J0687",
"display": "Inj cefazolin (wg crit care)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg"
}
]
},
{
"code": "J0688",
"display": "Inj cefazolin sodium, hikma",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg"
}
]
},
{
"code": "J0689",
"display": "Inj cefazolin sodium, baxter",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg"
}
]
},
{
"code": "J0690",
"display": "Cefazolin sodium injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cefazolin sodium, 500 mg"
}
]
},
{
"code": "J0691",
"display": "Inj lefamulin 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, lefamulin, 1 mg"
}
]
},
{
"code": "J0692",
"display": "Cefepime hcl for injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cefepime hydrochloride, 500 mg"
}
]
},
{
"code": "J0693",
"display": "Inj., cefiderocol, 5 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cefiderocol, 5 mg"
}
]
},
{
"code": "J0694",
"display": "Cefoxitin sodium injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cefoxitin sodium, 1 gm"
}
]
},
{
"code": "J0695",
"display": "Inj ceftolozane tazobactam",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ceftolozane 50 mg and tazobactam 25 mg"
}
]
},
{
"code": "J0696",
"display": "Ceftriaxone sodium injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ceftriaxone sodium, per 250 mg"
}
]
},
{
"code": "J0697",
"display": "Sterile cefuroxime injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, sterile cefuroxime sodium, per 750 mg"
}
]
},
{
"code": "J0698",
"display": "Cefotaxime sodium injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cefotaxime sodium, per gm"
}
]
},
{
"code": "J0699",
"display": "Inj, cefiderocol, 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cefiderocol, 10 mg"
}
]
},
{
"code": "J0701",
"display": "Inj. cefepime hcl (baxter)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cefepime hydrochloride (baxter), not therapeutically equivalent to maxipime, 500 mg"
}
]
},
{
"code": "J0702",
"display": "Betamethasone acet&sod phosp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg"
}
]
},
{
"code": "J0703",
"display": "Inj, cefepime hcl (b braun)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg"
}
]
},
{
"code": "J0706",
"display": "Caffeine citrate injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, caffeine citrate, 5 mg"
}
]
},
{
"code": "J0710",
"display": "Cephapirin sodium injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cephapirin sodium, up to 1 gm"
}
]
},
{
"code": "J0712",
"display": "Ceftaroline fosamil inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ceftaroline fosamil, 10 mg"
}
]
},
{
"code": "J0713",
"display": "Inj ceftazidime per 500 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ceftazidime, per 500 mg"
}
]
},
{
"code": "J0714",
"display": "Ceftazidime and avibactam",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ceftazidime and avibactam, 0.5 g/0.125 g"
}
]
},
{
"code": "J0715",
"display": "Ceftizoxime sodium / 500 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ceftizoxime sodium, per 500 mg"
}
]
},
{
"code": "J0716",
"display": "Centruroides immune f(ab)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, centruroides immune f(ab)2, up to 120 milligrams"
}
]
},
{
"code": "J0717",
"display": "Certolizumab pegol inj 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)"
}
]
},
{
"code": "J0720",
"display": "Chloramphenicol sodium injec",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, chloramphenicol sodium succinate, up to 1 gm"
}
]
},
{
"code": "J0725",
"display": "Chorionic gonadotropin/1000u",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, chorionic gonadotropin, per 1,000 usp units"
}
]
},
{
"code": "J0735",
"display": "Clonidine hydrochloride",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, clonidine hydrochloride, 1 mg"
}
]
},
{
"code": "J0736",
"display": "Inj, clindamycin phosp 300mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, clindamycin phosphate, 300 mg"
}
]
},
{
"code": "J0737",
"display": "Inj, clindamycin (baxter)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg"
}
]
},
{
"code": "J0739",
"display": "Hiv prep, inj, cabotegravir",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv)"
}
]
},
{
"code": "J0740",
"display": "Cidofovir injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cidofovir, 375 mg"
}
]
},
{
"code": "J0741",
"display": "Inj, cabote rilpivir 2mg 3mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cabotegravir and rilpivirine, 2mg/3mg"
}
]
},
{
"code": "J0742",
"display": "Inj imip 4 cilas 4 releb 2mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mg"
}
]
},
{
"code": "J0743",
"display": "Cilastatin sodium injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cilastatin sodium; imipenem, per 250 mg"
}
]
},
{
"code": "J0744",
"display": "Ciprofloxacin iv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ciprofloxacin for intravenous infusion, 200 mg"
}
]
},
{
"code": "J0745",
"display": "Inj codeine phosphate /30 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, codeine phosphate, per 30 mg"
}
]
},
{
"code": "J0750",
"display": "Hiv prep, ftc/tdf 200/300mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv)"
}
]
},
{
"code": "J0751",
"display": "Hiv prep, ftc/taf 200/25mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv)"
}
]
},
{
"code": "J0760",
"display": "Colchicine injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, colchicine, per 1 mg"
}
]
},
{
"code": "J0770",
"display": "Colistimethate sodium inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, colistimethate sodium, up to 150 mg"
}
]
},
{
"code": "J0775",
"display": "Collagenase, clost hist inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, collagenase, clostridium histolyticum, 0.01 mg"
}
]
},
{
"code": "J0780",
"display": "Prochlorperazine injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, prochlorperazine, up to 10 mg"
}
]
},
{
"code": "J0791",
"display": "Inj crizanlizumab-tmca 5mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, crizanlizumab-tmca, 5 mg"
}
]
},
{
"code": "J0795",
"display": "Corticorelin ovine triflutal",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, corticorelin ovine triflutate, 1 microgram"
}
]
},
{
"code": "J0799",
"display": "Hiv prep, fda approved, noc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Fda approved prescription drug, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv), not otherwise classified"
}
]
},
{
"code": "J0800",
"display": "Corticotropin injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, corticotropin, up to 40 units"
}
]
},
{
"code": "J0801",
"display": "Inj. acthar gel to 40 units",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, corticotropin (acthar gel), up to 40 units"
}
]
},
{
"code": "J0802",
"display": "Inj. (ani), up to 40 units",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, corticotropin (ani), up to 40 units"
}
]
},
{
"code": "J0833",
"display": "Cosyntropin injection nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cosyntropin, not otherwise specified, 0.25 mg"
}
]
},
{
"code": "J0834",
"display": "Inj., cosyntropin, 0.25 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cosyntropin, 0.25 mg"
}
]
},
{
"code": "J0840",
"display": "Crotalidae poly immune fab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram"
}
]
},
{
"code": "J0841",
"display": "Inj crotalidae im f(ab')2 eq",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, crotalidae immune f(ab')2 (equine), 120 mg"
}
]
},
{
"code": "J0850",
"display": "Cytomegalovirus imm iv /vial",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cytomegalovirus immune globulin intravenous (human), per vial"
}
]
},
{
"code": "J0870",
"display": "Injection, imetelstat, 1 mg"
},
{
"code": "J0872",
"display": "Daptomycin (xellia) unrefrig",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg"
}
]
},
{
"code": "J0873",
"display": "Inj daptomycin (xellia)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, daptomycin (xellia), not therapeutically equivalent to j0878 or j0872, 1 mg"
}
]
},
{
"code": "J0874",
"display": "Inj, daptomycin (baxter)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, daptomycin (baxter), not therapeutically equivalent to j0878, 1 mg"
}
]
},
{
"code": "J0875",
"display": "Injection, dalbavancin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, dalbavancin, 5 mg"
}
]
},
{
"code": "J0877",
"display": "Inj, daptomycin (hospira)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, daptomycin (hospira), not therapeutically equivalent to j0878, 1 mg"
}
]
},
{
"code": "J0878",
"display": "Daptomycin injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, daptomycin, 1 mg"
}
]
},
{
"code": "J0879",
"display": "Difelikefalin, esrd on dialy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis)"
}
]
},
{
"code": "J0881",
"display": "Darbepoetin alfa, non-esrd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, darbepoetin alfa, 1 microgram (non-esrd use)"
}
]
},
{
"code": "J0882",
"display": "Darbepoetin alfa, esrd use",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)"
}
]
},
{
"code": "J0883",
"display": "Argatroban nonesrd use 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, argatroban, 1 mg (for non-esrd use)"
}
]
},
{
"code": "J0884",
"display": "Argatroban esrd dialysis 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, argatroban, 1 mg (for esrd on dialysis)"
}
]
},
{
"code": "J0885",
"display": "Epoetin alfa, non-esrd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, epoetin alfa, (for non-esrd use), 1000 units"
}
]
},
{
"code": "J0886",
"display": "Epoetin alfa 1000 units esrd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, epoetin alfa, 1000 units (for esrd on dialysis)"
}
]
},
{
"code": "J0887",
"display": "Epoetin beta esrd use",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, epoetin beta, 1 microgram, (for esrd on dialysis)"
}
]
},
{
"code": "J0888",
"display": "Epoetin beta non esrd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, epoetin beta, 1 microgram, (for non esrd use)"
}
]
},
{
"code": "J0889",
"display": "Daprodustat oral 1mg esrd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Daprodustat, oral, 1 mg, (for esrd on dialysis)"
}
]
},
{
"code": "J0890",
"display": "Peginesatide injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, peginesatide, 0.1 mg (for esrd on dialysis)"
}
]
},
{
"code": "J0891",
"display": "Argatroban nonesrd (accord)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg (for non-esrd use)"
}
]
},
{
"code": "J0892",
"display": "Argatroban dialysis (accord)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, argatroban (accord), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis)"
}
]
},
{
"code": "J0893",
"display": "Inj, decitabine (sun pharma)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mg"
}
]
},
{
"code": "J0894",
"display": "Decitabine injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, decitabine, 1 mg"
}
]
},
{
"code": "J0895",
"display": "Deferoxamine mesylate inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, deferoxamine mesylate, 500 mg"
}
]
},
{
"code": "J0896",
"display": "Inj luspatercept-aamt 0.25mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, luspatercept-aamt, 0.25 mg"
}
]
},
{
"code": "J0897",
"display": "Denosumab injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, denosumab, 1 mg"
}
]
},
{
"code": "J0898",
"display": "Argatroban nonesrd (auromed)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use)"
}
]
},
{
"code": "J0899",
"display": "Argatroban dialysis, auromed",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, argatroban (auromedics), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis)"
}
]
},
{
"code": "J0900",
"display": "Testosterone enanthate inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, testosterone enanthate and estradiol valerate, up to 1 cc"
}
]
},
{
"code": "J0901",
"display": "Vadadustat oral 1mg for esrd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Vadadustat, oral, 1 mg (for esrd on dialysis)"
}
]
},
{
"code": "J0911",
"display": "Inst tauro 1.35mg/hep 100u",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Instillation, taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis)"
}
]
},
{
"code": "J0945",
"display": "Brompheniramine maleate inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, brompheniramine maleate, per 10 mg"
}
]
},
{
"code": "J1000",
"display": "Depo-estradiol cypionate inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, depo-estradiol cypionate, up to 5 mg"
}
]
},
{
"code": "J1010",
"display": "Inj, methylpred acetate 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, methylprednisolone acetate, 1 mg"
}
]
},
{
"code": "J1020",
"display": "Methylprednisolone 20 mg inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, methylprednisolone acetate, 20 mg"
}
]
},
{
"code": "J1030",
"display": "Methylprednisolone 40 mg inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, methylprednisolone acetate, 40 mg"
}
]
},
{
"code": "J1040",
"display": "Methylprednisolone 80 mg inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, methylprednisolone acetate, 80 mg"
}
]
},
{
"code": "J1050",
"display": "Medroxyprogesterone acetate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, medroxyprogesterone acetate, 1 mg"
}
]
},
{
"code": "J1060",
"display": "Testosterone cypionate 1 ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, testosterone cypionate and estradiol cypionate, up to 1 ml"
}
]
},
{
"code": "J1070",
"display": "Testosterone cypionat 100 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, testosterone cypionate, up to 100 mg"
}
]
},
{
"code": "J1071",
"display": "Inj testosterone cypionate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, testosterone cypionate, 1 mg"
}
]
},
{
"code": "J1080",
"display": "Testosterone cypionat 200 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, testosterone cypionate, 1 cc, 200 mg"
}
]
},
{
"code": "J1094",
"display": "Inj dexamethasone acetate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, dexamethasone acetate, 1 mg"
}
]
},
{
"code": "J1095",
"display": "Injection, dexamethasone 9%",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, dexamethasone 9 percent, intraocular, 1 microgram"
}
]
},
{
"code": "J1096",
"display": "Dexametha opth insert 0.1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dexamethasone, lacrimal ophthalmic insert, 0.1 mg"
}
]
},
{
"code": "J1097",
"display": "Phenylep ketorolac opth soln",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml"
}
]
},
{
"code": "J1100",
"display": "Dexamethasone sodium phos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, dexamethasone sodium phosphate, 1 mg"
}
]
},
{
"code": "J1105",
"display": "Dexmedetomidine film, 1 mcg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dexmedetomidine, oral, 1 mcg"
}
]
},
{
"code": "J1110",
"display": "Inj dihydroergotamine mesylt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, dihydroergotamine mesylate, per 1 mg"
}
]
},
{
"code": "J1120",
"display": "Acetazolamid sodium injectio",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, acetazolamide sodium, up to 500 mg"
}
]
},
{
"code": "J1130",
"display": "Inj diclofenac sodium 0.5mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, diclofenac sodium, 0.5 mg"
}
]
},
{
"code": "J1160",
"display": "Digoxin injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, digoxin, up to 0.5 mg"
}
]
},
{
"code": "J1162",
"display": "Digoxin immune fab (ovine)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, digoxin immune fab (ovine), per vial"
}
]
},
{
"code": "J1165",
"display": "Phenytoin sodium injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, phenytoin sodium, per 50 mg"
}
]
},
{
"code": "J1170",
"display": "Hydromorphone injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, hydromorphone, up to 4 mg"
}
]
},
{
"code": "J1171",
"display": "Inj, hydromorphone, 0.1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, hydromorphone, 0.1 mg"
}
]
},
{
"code": "J1180",
"display": "Dyphylline injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, dyphylline, up to 500 mg"
}
]
},
{
"code": "J1190",
"display": "Dexrazoxane hcl injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, dexrazoxane hydrochloride, per 250 mg"
}
]
},
{
"code": "J1200",
"display": "Diphenhydramine hcl injectio",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, diphenhydramine hcl, up to 50 mg"
}
]
},
{
"code": "J1201",
"display": "Inj. cetirizine hcl 0.5mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cetirizine hydrochloride, 0.5 mg"
}
]
},
{
"code": "J1202",
"display": "Miglustat oral 65 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Miglustat, oral, 65 mg"
}
]
},
{
"code": "J1203",
"display": "Inj, cipaglucosidase, 5 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cipaglucosidase alfa-atga, 5 mg"
}
]
},
{
"code": "J1205",
"display": "Chlorothiazide sodium inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, chlorothiazide sodium, per 500 mg"
}
]
},
{
"code": "J1212",
"display": "Dimethyl sulfoxide 50% 50 ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, dmso, dimethyl sulfoxide, 50%, 50 ml"
}
]
},
{
"code": "J1230",
"display": "Methadone injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, methadone hcl, up to 10 mg"
}
]
},
{
"code": "J1240",
"display": "Dimenhydrinate injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, dimenhydrinate, up to 50 mg"
}
]
},
{
"code": "J1245",
"display": "Dipyridamole injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, dipyridamole, per 10 mg"
}
]
},
{
"code": "J1250",
"display": "Inj dobutamine hcl/250 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, dobutamine hydrochloride, per 250 mg"
}
]
},
{
"code": "J1260",
"display": "Dolasetron mesylate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, dolasetron mesylate, 10 mg"
}
]
},
{
"code": "J1265",
"display": "Dopamine injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, dopamine hcl, 40 mg"
}
]
},
{
"code": "J1267",
"display": "Doripenem injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, doripenem, 10 mg"
}
]
},
{
"code": "J1270",
"display": "Injection, doxercalciferol",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, doxercalciferol, 1 mcg"
}
]
},
{
"code": "J1290",
"display": "Ecallantide injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ecallantide, 1 mg"
}
]
},
{
"code": "J1300",
"display": "Eculizumab injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, eculizumab, 10 mg"
}
]
},
{
"code": "J1301",
"display": "Injection, edaravone, 1 mg"
},
{
"code": "J1302",
"display": "Inj, sutimlimab-jome, 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, sutimlimab-jome, 10 mg"
}
]
},
{
"code": "J1303",
"display": "Inj., ravulizumab-cwvz 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ravulizumab-cwvz, 10 mg"
}
]
},
{
"code": "J1304",
"display": "Inj tofersen intrathec 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, tofersen, 1 mg"
}
]
},
{
"code": "J1305",
"display": "Inj, evinacumab-dgnb, 5mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, evinacumab-dgnb, 5mg"
}
]
},
{
"code": "J1306",
"display": "Injection, inclisiran, 1 mg"
},
{
"code": "J1307",
"display": "Inj, crovalimab-akkz, 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, crovalimab-akkz, 10 mg"
}
]
},
{
"code": "J1320",
"display": "Amitriptyline injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, amitriptyline hcl, up to 20 mg"
}
]
},
{
"code": "J1322",
"display": "Elosulfase alfa, injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, elosulfase alfa, 1 mg"
}
]
},
{
"code": "J1323",
"display": "Inj, elranatamab-bcmm, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, elranatamab-bcmm, 1 mg"
}
]
},
{
"code": "J1324",
"display": "Enfuvirtide injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, enfuvirtide, 1 mg"
}
]
},
{
"code": "J1325",
"display": "Epoprostenol injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, epoprostenol, 0.5 mg"
}
]
},
{
"code": "J1327",
"display": "Eptifibatide injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, eptifibatide, 5 mg"
}
]
},
{
"code": "J1330",
"display": "Ergonovine maleate injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ergonovine maleate, up to 0.2 mg"
}
]
},
{
"code": "J1335",
"display": "Ertapenem injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ertapenem sodium, 500 mg"
}
]
},
{
"code": "J1364",
"display": "Erythro lactobionate /500 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, erythromycin lactobionate, per 500 mg"
}
]
},
{
"code": "J1380",
"display": "Estradiol valerate 10 mg inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, estradiol valerate, up to 10 mg"
}
]
},
{
"code": "J1410",
"display": "Inj estrogen conjugate 25 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, estrogen conjugated, per 25 mg"
}
]
},
{
"code": "J1411",
"display": "Inj, hemgenix, per tx dose",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, etranacogene dezaparvovec-drlb, per therapeutic dose"
}
]
},
{
"code": "J1412",
"display": "Inj roctavian ml 2x10^13vc g",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 10^13 vector genomes"
}
]
},
{
"code": "J1413",
"display": "Inj delandistrogene mox rokl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose"
}
]
},
{
"code": "J1414",
"display": "Inj, beqvez, per tx dose",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, fidanacogene elaparvovec-dzkt, per therapeutic dose"
}
]
},
{
"code": "J1426",
"display": "Injection, casimersen, 10 mg"
},
{
"code": "J1427",
"display": "Inj. viltolarsen",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, viltolarsen, 10 mg"
}
]
},
{
"code": "J1428",
"display": "Inj, eteplirsen, 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, eteplirsen, 10 mg"
}
]
},
{
"code": "J1429",
"display": "Inj golodirsen 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, golodirsen, 10 mg"
}
]
},
{
"code": "J1430",
"display": "Ethanolamine oleate 100 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ethanolamine oleate, 100 mg"
}
]
},
{
"code": "J1434",
"display": "Inj, focinvez, 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, fosaprepitant (focinvez), 1 mg"
}
]
},
{
"code": "J1435",
"display": "Injection estrone per 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, estrone, per 1 mg"
}
]
},
{
"code": "J1436",
"display": "Etidronate disodium inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, etidronate disodium, per 300 mg"
}
]
},
{
"code": "J1437",
"display": "Inj. fe derisomaltose 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ferric derisomaltose, 10 mg"
}
]
},
{
"code": "J1438",
"display": "Etanercept injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)"
}
]
},
{
"code": "J1439",
"display": "Inj ferric carboxymaltos 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ferric carboxymaltose, 1 mg"
}
]
},
{
"code": "J1440",
"display": "Fecal microbiota jslm 1 ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Fecal microbiota, live - jslm, 1 ml"
}
]
},
{
"code": "J1442",
"display": "Inj filgrastim excl biosimil",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram"
}
]
},
{
"code": "J1443",
"display": "Inj ferric pyrophosphate cit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ferric pyrophosphate citrate solution (triferic), 0.1 mg of iron"
}
]
},
{
"code": "J1444",
"display": "Fe pyro cit pow 0.1 mg iron",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ferric pyrophosphate citrate powder, 0.1 mg of iron"
}
]
},
{
"code": "J1445",
"display": "Inj triferic avnu 0.1mg iron",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ferric pyrophosphate citrate solution (triferic avnu), 0.1 mg of iron"
}
]
},
{
"code": "J1446",
"display": "Inj, tbo-filgrastim, 5 mcg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, tbo-filgrastim, 5 micrograms"
}
]
},
{
"code": "J1447",
"display": "Inj tbo filgrastim 1 microg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, tbo-filgrastim, 1 microgram"
}
]
},
{
"code": "J1448",
"display": "Injection, trilaciclib, 1mg"
},
{
"code": "J1449",
"display": "Inj eflapegrastim-xnst 0.1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, eflapegrastim-xnst, 0.1 mg"
}
]
},
{
"code": "J1450",
"display": "Fluconazole",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection fluconazole, 200 mg"
}
]
},
{
"code": "J1451",
"display": "Fomepizole, 15 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, fomepizole, 15 mg"
}
]
},
{
"code": "J1452",
"display": "Intraocular fomivirsen na",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, fomivirsen sodium, intraocular, 1.65 mg"
}
]
},
{
"code": "J1453",
"display": "Fosaprepitant injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, fosaprepitant, 1 mg"
}
]
},
{
"code": "J1454",
"display": "Inj fosnetupitant, palonoset",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, fosnetupitant 235 mg and palonosetron 0.25 mg"
}
]
},
{
"code": "J1455",
"display": "Foscarnet sodium injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, foscarnet sodium, per 1000 mg"
}
]
},
{
"code": "J1456",
"display": "Inj, fosaprepitant (teva)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, fosaprepitant (teva), not therapeutically equivalent to j1453, 1 mg"
}
]
},
{
"code": "J1457",
"display": "Gallium nitrate injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, gallium nitrate, 1 mg"
}
]
},
{
"code": "J1458",
"display": "Galsulfase injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, galsulfase, 1 mg"
}
]
},
{
"code": "J1459",
"display": "Inj ivig privigen 500 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg"
}
]
},
{
"code": "J1460",
"display": "Gamma globulin 1 cc inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, gamma globulin, intramuscular, 1 cc"
}
]
},
{
"code": "J1551",
"display": "Inj cutaquig 100 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, immune globulin (cutaquig), 100 mg"
}
]
},
{
"code": "J1552",
"display": "Inj, alyglo, 500 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, immune globulin (alyglo), 500 mg"
}
]
},
{
"code": "J1554",
"display": "Inj. asceniv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, immune globulin (asceniv), 500 mg"
}
]
},
{
"code": "J1555",
"display": "Inj cuvitru, 100 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, immune globulin (cuvitru), 100 mg"
}
]
},
{
"code": "J1556",
"display": "Inj, imm glob bivigam, 500mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, immune globulin (bivigam), 500 mg"
}
]
},
{
"code": "J1557",
"display": "Gammaplex injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg"
}
]
},
{
"code": "J1558",
"display": "Inj. xembify, 100 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, immune globulin (xembify), 100 mg"
}
]
},
{
"code": "J1559",
"display": "Hizentra injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, immune globulin (hizentra), 100 mg"
}
]
},
{
"code": "J1560",
"display": "Gamma globulin > 10 cc inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, gamma globulin, intramuscular, over 10 cc"
}
]
},
{
"code": "J1561",
"display": "Gamunex-c/gammaked",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg"
}
]
},
{
"code": "J1562",
"display": "Vivaglobin, inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, immune globulin (vivaglobin), 100 mg"
}
]
},
{
"code": "J1566",
"display": "Immune globulin, powder",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg"
}
]
},
{
"code": "J1568",
"display": "Octagam injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg"
}
]
},
{
"code": "J1569",
"display": "Gammagard liquid injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg"
}
]
},
{
"code": "J1570",
"display": "Ganciclovir sodium injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ganciclovir sodium, 500 mg"
}
]
},
{
"code": "J1571",
"display": "Hepagam b im injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml"
}
]
},
{
"code": "J1572",
"display": "Flebogamma injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg"
}
]
},
{
"code": "J1573",
"display": "Hepagam b intravenous, inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml"
}
]
},
{
"code": "J1574",
"display": "Inj, ganciclovir (exela)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ganciclovir sodium (exela), not therapeutically equivalent to j1570, 500 mg"
}
]
},
{
"code": "J1575",
"display": "Hyqvia 100mg immuneglobulin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin"
}
]
},
{
"code": "J1576",
"display": "Inj, panzyga, 500 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg"
}
]
},
{
"code": "J1580",
"display": "Garamycin gentamicin inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, garamycin, gentamicin, up to 80 mg"
}
]
},
{
"code": "J1590",
"display": "Gatifloxacin injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, gatifloxacin, 10 mg"
}
]
},
{
"code": "J1595",
"display": "Injection glatiramer acetate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, glatiramer acetate, 20 mg"
}
]
},
{
"code": "J1596",
"display": "Inj, glycopyrrolate, 0.1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, glycopyrrolate, 0.1 mg"
}
]
},
{
"code": "J1597",
"display": "Inj glycopyrrolate, glyrx-pf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, glycopyrrolate (glyrx-pf), 0.1 mg"
}
]
},
{
"code": "J1598",
"display": "Inj glycopyrrolate fres kabi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg"
}
]
},
{
"code": "J1599",
"display": "Ivig non-lyophilized, nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, immune globulin, intravenous, non-lyophilized (e.g., liquid), not otherwise specified, 500 mg"
}
]
},
{
"code": "J1600",
"display": "Gold sodium thiomaleate inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, gold sodium thiomalate, up to 50 mg"
}
]
},
{
"code": "J1602",
"display": "Golimumab for iv use 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, golimumab, 1 mg, for intravenous use"
}
]
},
{
"code": "J1610",
"display": "Glucagon hydrochloride/1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, glucagon hydrochloride, per 1 mg"
}
]
},
{
"code": "J1611",
"display": "Inj glucagon hcl, fresenius",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg"
}
]
},
{
"code": "J1620",
"display": "Gonadorelin hydroch/ 100 mcg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, gonadorelin hydrochloride, per 100 mcg"
}
]
},
{
"code": "J1626",
"display": "Granisetron hcl injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, granisetron hydrochloride, 100 mcg"
}
]
},
{
"code": "J1627",
"display": "Inj, granisetron, xr, 0.1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, granisetron, extended-release, 0.1 mg"
}
]
},
{
"code": "J1628",
"display": "Inj., guselkumab, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, guselkumab, 1 mg"
}
]
},
{
"code": "J1630",
"display": "Haloperidol injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, haloperidol, up to 5 mg"
}
]
},
{
"code": "J1631",
"display": "Haloperidol decanoate inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, haloperidol decanoate, per 50 mg"
}
]
},
{
"code": "J1632",
"display": "Inj., brexanolone, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, brexanolone, 1 mg"
}
]
},
{
"code": "J1640",
"display": "Hemin, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, hemin, 1 mg"
}
]
},
{
"code": "J1642",
"display": "Inj heparin sodium per 10 u",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, heparin sodium, (heparin lock flush), per 10 units"
}
]
},
{
"code": "J1643",
"display": "Inj heparin, pfizer, 1000u",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units"
}
]
},
{
"code": "J1644",
"display": "Inj heparin sodium per 1000u",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, heparin sodium, per 1000 units"
}
]
},
{
"code": "J1645",
"display": "Dalteparin sodium",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, dalteparin sodium, per 2500 iu"
}
]
},
{
"code": "J1650",
"display": "Inj enoxaparin sodium",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, enoxaparin sodium, 10 mg"
}
]
},
{
"code": "J1652",
"display": "Fondaparinux sodium",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, fondaparinux sodium, 0.5 mg"
}
]
},
{
"code": "J1655",
"display": "Tinzaparin sodium injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, tinzaparin sodium, 1000 iu"
}
]
},
{
"code": "J1670",
"display": "Tetanus immune globulin inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, tetanus immune globulin, human, up to 250 units"
}
]
},
{
"code": "J1675",
"display": "Histrelin acetate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, histrelin acetate, 10 micrograms"
}
]
},
{
"code": "J1700",
"display": "Hydrocortisone acetate inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, hydrocortisone acetate, up to 25 mg"
}
]
},
{
"code": "J1710",
"display": "Hydrocortisone sodium ph inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, hydrocortisone sodium phosphate, up to 50 mg"
}
]
},
{
"code": "J1720",
"display": "Hydrocortisone sodium succ i",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, hydrocortisone sodium succinate, up to 100 mg"
}
]
},
{
"code": "J1725",
"display": "Hydroxyprogesterone caproate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, hydroxyprogesterone caproate, 1 mg"
}
]
},
{
"code": "J1726",
"display": "Makena, 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, hydroxyprogesterone caproate, (makena), 10 mg"
}
]
},
{
"code": "J1729",
"display": "Inj hydroxyprogst capoat nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg"
}
]
},
{
"code": "J1730",
"display": "Diazoxide injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, diazoxide, up to 300 mg"
}
]
},
{
"code": "J1738",
"display": "Inj. meloxicam 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, meloxicam, 1 mg"
}
]
},
{
"code": "J1740",
"display": "Ibandronate sodium injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ibandronate sodium, 1 mg"
}
]
},
{
"code": "J1741",
"display": "Ibuprofen injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ibuprofen, 100 mg"
}
]
},
{
"code": "J1742",
"display": "Ibutilide fumarate injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ibutilide fumarate, 1 mg"
}
]
},
{
"code": "J1743",
"display": "Idursulfase injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, idursulfase, 1 mg"
}
]
},
{
"code": "J1744",
"display": "Icatibant injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, icatibant, 1 mg"
}
]
},
{
"code": "J1745",
"display": "Infliximab not biosimil 10mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, infliximab, excludes biosimilar, 10 mg"
}
]
},
{
"code": "J1746",
"display": "Inj., ibalizumab-uiyk, 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ibalizumab-uiyk, 10 mg"
}
]
},
{
"code": "J1747",
"display": "Inj, spesolimab-sbzo, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, spesolimab-sbzo, 1 mg"
}
]
},
{
"code": "J1748",
"display": "Inj, zymfentra, 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, infliximab-dyyb (zymfentra), 10 mg"
}
]
},
{
"code": "J1749",
"display": "Inj, iloprost, 0.1 mcg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, iloprost, 0.1 mcg"
}
]
},
{
"code": "J1750",
"display": "Inj iron dextran",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, iron dextran, 50 mg"
}
]
},
{
"code": "J1756",
"display": "Iron sucrose injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, iron sucrose, 1 mg"
}
]
},
{
"code": "J1786",
"display": "Imuglucerase injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, imiglucerase, 10 units"
}
]
},
{
"code": "J1790",
"display": "Droperidol injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, droperidol, up to 5 mg"
}
]
},
{
"code": "J1800",
"display": "Propranolol injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, propranolol hcl, up to 1 mg"
}
]
},
{
"code": "J1805",
"display": "Inj, esmolol hcl, 10mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, esmolol hydrochloride, 10 mg"
}
]
},
{
"code": "J1806",
"display": "Inj esmolol hcl wg crit care",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg"
}
]
},
{
"code": "J1810",
"display": "Droperidol/fentanyl inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, droperidol and fentanyl citrate, up to 2 ml ampule"
}
]
},
{
"code": "J1811",
"display": "Fiasp for insulin pump use",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units"
}
]
},
{
"code": "J1812",
"display": "Inj. insulin (fiasp)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Insulin (fiasp), per 5 units"
}
]
},
{
"code": "J1813",
"display": "Lyumjev for insulin pump use",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units"
}
]
},
{
"code": "J1814",
"display": "Inj. insulin (lyumjev)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Insulin (lyumjev), per 5 units"
}
]
},
{
"code": "J1815",
"display": "Insulin injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, insulin, per 5 units"
}
]
},
{
"code": "J1817",
"display": "Insulin for insulin pump use",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Insulin for administration through dme (i.e., insulin pump) per 50 units"
}
]
},
{
"code": "J1823",
"display": "Inj. inebilizumab-cdon, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, inebilizumab-cdon, 1 mg"
}
]
},
{
"code": "J1826",
"display": "Interferon beta-1a inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, interferon beta-1a, 30 mcg"
}
]
},
{
"code": "J1830",
"display": "Interferon beta-1b / .25 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, interferon beta-1b, 0.25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)"
}
]
},
{
"code": "J1833",
"display": "Injection, isavuconazonium",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, isavuconazonium, 1 mg"
}
]
},
{
"code": "J1835",
"display": "Itraconazole injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, itraconazole, 50 mg"
}
]
},
{
"code": "J1836",
"display": "Inj, metronidazole, 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, metronidazole, 10 mg"
}
]
},
{
"code": "J1840",
"display": "Kanamycin sulfate 500 mg inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, kanamycin sulfate, up to 500 mg"
}
]
},
{
"code": "J1850",
"display": "Kanamycin sulfate 75 mg inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, kanamycin sulfate, up to 75 mg"
}
]
},
{
"code": "J1885",
"display": "Ketorolac tromethamine inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ketorolac tromethamine, per 15 mg"
}
]
},
{
"code": "J1890",
"display": "Cephalothin sodium injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cephalothin sodium, up to 1 gram"
}
]
},
{
"code": "J1920",
"display": "Inj, labetalol hcl, 5mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, labetalol hydrochloride, 5 mg"
}
]
},
{
"code": "J1921",
"display": "Inj labetalol hcl hikma, 5mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, labetalol hydrochloride (hikma), not therapeutically equivalent to j1920, 5 mg"
}
]
},
{
"code": "J1930",
"display": "Lanreotide injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, lanreotide, 1 mg"
}
]
},
{
"code": "J1931",
"display": "Laronidase injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, laronidase, 0.1 mg"
}
]
},
{
"code": "J1932",
"display": "Inj, lanreotide, (cipla) 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, lanreotide, (cipla), 1 mg"
}
]
},
{
"code": "J1939",
"display": "Inj, bumetanide, 0.5 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, bumetanide, 0.5 mg"
}
]
},
{
"code": "J1940",
"display": "Furosemide injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, furosemide, up to 20 mg"
}
]
},
{
"code": "J1941",
"display": "Inj, furoscix, 20 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, furosemide (furoscix), 20 mg"
}
]
},
{
"code": "J1942",
"display": "Aripiprazole lauroxil 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, aripiprazole lauroxil, 1 mg"
}
]
},
{
"code": "J1943",
"display": "Inj., aristada initio, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, aripiprazole lauroxil, (aristada initio), 1 mg"
}
]
},
{
"code": "J1944",
"display": "Aripiprazole lauroxil 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, aripiprazole lauroxil, (aristada), 1 mg"
}
]
},
{
"code": "J1945",
"display": "Lepirudin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, lepirudin, 50 mg"
}
]
},
{
"code": "J1950",
"display": "Leuprolide acetate /3.75 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, leuprolide acetate (for depot suspension), per 3.75 mg"
}
]
},
{
"code": "J1951",
"display": "Inj fensolvi 0.25 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg"
}
]
},
{
"code": "J1952",
"display": "Leuprolide inj, camcevi, 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Leuprolide injectable, camcevi, 1 mg"
}
]
},
{
"code": "J1953",
"display": "Levetiracetam injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, levetiracetam, 10 mg"
}
]
},
{
"code": "J1954",
"display": "Leuprolide depot cipla 7.5mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, leuprolide acetate for depot suspension (cipla), 7.5 mg"
}
]
},
{
"code": "J1955",
"display": "Inj levocarnitine per 1 gm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, levocarnitine, per 1 gm"
}
]
},
{
"code": "J1956",
"display": "Levofloxacin injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, levofloxacin, 250 mg"
}
]
},
{
"code": "J1960",
"display": "Levorphanol tartrate inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, levorphanol tartrate, up to 2 mg"
}
]
},
{
"code": "J1961",
"display": "Inj, lenacapavir, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, lenacapavir, 1 mg"
}
]
},
{
"code": "J1980",
"display": "Hyoscyamine sulfate inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, hyoscyamine sulfate, up to 0.25 mg"
}
]
},
{
"code": "J1990",
"display": "Chlordiazepoxide injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, chlordiazepoxide hcl, up to 100 mg"
}
]
},
{
"code": "J2001",
"display": "Lidocaine injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, lidocaine hcl for intravenous infusion, 10 mg"
}
]
},
{
"code": "J2002",
"display": "Inj, lidocaine in d5w, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, lidocaine hcl in 5% dextrose, 1 mg"
}
]
},
{
"code": "J2003",
"display": "Inj, lidocaine hcl, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, lidocaine hydrochloride, 1 mg"
}
]
},
{
"code": "J2004",
"display": "Inj, lidocaine w epinephrine",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, lidocaine hcl with epinephrine, 1 mg"
}
]
},
{
"code": "J2010",
"display": "Lincomycin injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, lincomycin hcl, up to 300 mg"
}
]
},
{
"code": "J2020",
"display": "Linezolid injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, linezolid, 200 mg"
}
]
},
{
"code": "J2021",
"display": "Inj, linezolid (hospira)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, linezolid (hospira), not therapeutically equivalent to j2020, 200 mg"
}
]
},
{
"code": "J2060",
"display": "Lorazepam injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, lorazepam, 2 mg"
}
]
},
{
"code": "J2062",
"display": "Loxapine for inhalation 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Loxapine for inhalation, 1 mg"
}
]
},
{
"code": "J2150",
"display": "Mannitol injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, mannitol, 25% in 50 ml"
}
]
},
{
"code": "J2170",
"display": "Mecasermin injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, mecasermin, 1 mg"
}
]
},
{
"code": "J2175",
"display": "Meperidine hydrochl /100 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, meperidine hydrochloride, per 100 mg"
}
]
},
{
"code": "J2180",
"display": "Meperidine/promethazine inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, meperidine and promethazine hcl, up to 50 mg"
}
]
},
{
"code": "J2182",
"display": "Injection, mepolizumab, 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, mepolizumab, 1 mg"
}
]
},
{
"code": "J2183",
"display": "Inj meropenem (wg crit care)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg"
}
]
},
{
"code": "J2184",
"display": "Inj, meropenem (b. braun)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, meropenem (b. braun), not therapeutically equivalent to j2185, 100 mg"
}
]
},
{
"code": "J2185",
"display": "Meropenem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, meropenem, 100 mg"
}
]
},
{
"code": "J2186",
"display": "Inj., meropenem, vaborbactam",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, meropenem and vaborbactam, 10mg/10mg (20mg)"
}
]
},
{
"code": "J2210",
"display": "Methylergonovin maleate inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, methylergonovine maleate, up to 0.2 mg"
}
]
},
{
"code": "J2212",
"display": "Methylnaltrexone injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, methylnaltrexone, 0.1 mg"
}
]
},
{
"code": "J2246",
"display": "Inj, micafungin (baxter)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, micafungin in sodium (baxter), not therapeutically equivalent to j2248, 1 mg"
}
]
},
{
"code": "J2247",
"display": "Inj, micafungin (par pharm)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, micafungin sodium (par pharm) not thereapeutically equivalent to j2248, 1 mg"
}
]
},
{
"code": "J2248",
"display": "Micafungin sodium injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, micafungin sodium, 1 mg"
}
]
},
{
"code": "J2249",
"display": "Inj, remimazolam, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, remimazolam, 1 mg"
}
]
},
{
"code": "J2250",
"display": "Inj midazolam hydrochloride",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, midazolam hydrochloride, per 1 mg"
}
]
},
{
"code": "J2251",
"display": "Inj midazolam in 0.9% nacl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, midazolam in 0.9% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg"
}
]
},
{
"code": "J2252",
"display": "Inj midazolam in 0.8% nacl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, midazolam in 0.8% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg"
}
]
},
{
"code": "J2253",
"display": "Inj midazolam (seizalam)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, midazolam (seizalam), 1 mg"
}
]
},
{
"code": "J2260",
"display": "Inj milrinone lactate / 5 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, milrinone lactate, 5 mg"
}
]
},
{
"code": "J2265",
"display": "Minocycline hydrochloride",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, minocycline hydrochloride, 1 mg"
}
]
},
{
"code": "J2267",
"display": "Inj, mirikizumab-mrkz, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, mirikizumab-mrkz, 1 mg"
}
]
},
{
"code": "J2270",
"display": "Morphine sulfate injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, morphine sulfate, up to 10 mg"
}
]
},
{
"code": "J2271",
"display": "Morphine so4 injection 100mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, morphine sulfate, 100mg"
}
]
},
{
"code": "J2272",
"display": "Inj, morphine (fresenius)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg"
}
]
},
{
"code": "J2274",
"display": "Inj morphine pf epid ithc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg"
}
]
},
{
"code": "J2275",
"display": "Morphine sulfate injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, morphine sulfate (preservative-free sterile solution), per 10 mg"
}
]
},
{
"code": "J2277",
"display": "Inj, motixafortide, 0.25 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, motixafortide, 0.25 mg"
}
]
},
{
"code": "J2278",
"display": "Ziconotide injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ziconotide, 1 microgram"
}
]
},
{
"code": "J2280",
"display": "Inj, moxifloxacin 100 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, moxifloxacin, 100 mg"
}
]
},
{
"code": "J2281",
"display": "Inj moxifloxacin (fres kabi)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, moxifloxacin (fresenius kabi), not therapeutically equivalent to j2280, 100 mg"
}
]
},
{
"code": "J2290",
"display": "Inj, nafcillin sodium, 20 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, nafcillin sodium, 20 mg"
}
]
},
{
"code": "J2300",
"display": "Inj nalbuphine hydrochloride",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, nalbuphine hydrochloride, per 10 mg"
}
]
},
{
"code": "J2305",
"display": "Inj, nitroglycerin, 5 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, nitroglycerin, 5 mg"
}
]
},
{
"code": "J2310",
"display": "Inj naloxone hydrochloride",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, naloxone hydrochloride, per 1 mg"
}
]
},
{
"code": "J2311",
"display": "Inj, naloxone hcl (zimhi)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, naloxone hydrochloride (zimhi), 1 mg"
}
]
},
{
"code": "J2315",
"display": "Naltrexone, depot form",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, naltrexone, depot form, 1 mg"
}
]
},
{
"code": "J2320",
"display": "Nandrolone decanoate 50 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, nandrolone decanoate, up to 50 mg"
}
]
},
{
"code": "J2323",
"display": "Natalizumab injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, natalizumab, 1 mg"
}
]
},
{
"code": "J2325",
"display": "Nesiritide injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, nesiritide, 0.1 mg"
}
]
},
{
"code": "J2326",
"display": "Inj, nusinersen, 0.1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, nusinersen, 0.1 mg"
}
]
},
{
"code": "J2327",
"display": "Inj risankizumab-rzaa 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, risankizumab-rzaa, intravenous, 1 mg"
}
]
},
{
"code": "J2329",
"display": "Inj ublituximab-xiiy, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ublituximab-xiiy, 1mg"
}
]
},
{
"code": "J2350",
"display": "Injection, ocrelizumab, 1 mg"
},
{
"code": "J2353",
"display": "Octreotide injection, depot",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, octreotide, depot form for intramuscular injection, 1 mg"
}
]
},
{
"code": "J2354",
"display": "Octreotide inj, non-depot",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg"
}
]
},
{
"code": "J2355",
"display": "Oprelvekin injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, oprelvekin, 5 mg"
}
]
},
{
"code": "J2356",
"display": "Inj tezepelumab-ekko, 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, tezepelumab-ekko, 1 mg"
}
]
},
{
"code": "J2357",
"display": "Omalizumab injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, omalizumab, 5 mg"
}
]
},
{
"code": "J2358",
"display": "Olanzapine long-acting inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, olanzapine, long-acting, 1 mg"
}
]
},
{
"code": "J2359",
"display": "Inj. olanzapine, 0.5mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, olanzapine, 0.5 mg"
}
]
},
{
"code": "J2360",
"display": "Orphenadrine injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, orphenadrine citrate, up to 60 mg"
}
]
},
{
"code": "J2370",
"display": "Phenylephrine hcl injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, phenylephrine hcl, up to 1 ml"
}
]
},
{
"code": "J2371",
"display": "Inj phenylephrine hcl 20 mcg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, phenylephrine hydrochloride, 20 micrograms"
}
]
},
{
"code": "J2372",
"display": "Inj, biorphen, 20 micrograms",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, phenylephrine hydrochloride (biorphen), 20 micrograms"
}
]
},
{
"code": "J2373",
"display": "Inj, immphentiv, 20 mcg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, phenylephrine hydrochloride (immphentiv), 20 micrograms"
}
]
},
{
"code": "J2400",
"display": "Chloroprocaine hcl injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, chloroprocaine hydrochloride, per 30 ml"
}
]
},
{
"code": "J2401",
"display": "Chloroprocaine hcl injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, chloroprocaine hydrochloride, per 1 mg"
}
]
},
{
"code": "J2402",
"display": "Chloroprocaine (clorotekal)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, chloroprocaine hydrochloride (clorotekal), per 1 mg"
}
]
},
{
"code": "J2403",
"display": "Chloroprocaine opht gel, 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Chloroprocaine hcl ophthalmic, 3% gel, 1 mg"
}
]
},
{
"code": "J2404",
"display": "Inj, nicardipine 0.1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, nicardipine, 0.1 mg"
}
]
},
{
"code": "J2405",
"display": "Ondansetron hcl injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ondansetron hydrochloride, per 1 mg"
}
]
},
{
"code": "J2406",
"display": "Injection, oritavancin 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, oritavancin (kimyrsa), 10 mg"
}
]
},
{
"code": "J2407",
"display": "Injection, oritavancin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, oritavancin (orbactiv), 10 mg"
}
]
},
{
"code": "J2410",
"display": "Oxymorphone hcl injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, oxymorphone hcl, up to 1 mg"
}
]
},
{
"code": "J2425",
"display": "Palifermin injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, palifermin, 50 micrograms"
}
]
},
{
"code": "J2426",
"display": "Inj, invega sustenna, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, paliperidone palmitate extended release (invega sustenna), 1 mg"
}
]
},
{
"code": "J2427",
"display": "Inj, invega hafyera/trinza",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg"
}
]
},
{
"code": "J2430",
"display": "Pamidronate disodium /30 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pamidronate disodium, per 30 mg"
}
]
},
{
"code": "J2440",
"display": "Papaverin hcl injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, papaverine hcl, up to 60 mg"
}
]
},
{
"code": "J2460",
"display": "Oxytetracycline injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, oxytetracycline hcl, up to 50 mg"
}
]
},
{
"code": "J2468",
"display": "Inj, palonosetron (posfrea)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, palonosetron hydrochloride (posfrea), 25 micrograms"
}
]
},
{
"code": "J2469",
"display": "Palonosetron hcl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, palonosetron hcl, 25 mcg"
}
]
},
{
"code": "J2470",
"display": "Inj pantoprazole sodium 40mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pantoprazole sodium, 40 mg"
}
]
},
{
"code": "J2471",
"display": "Inj pantoprazole(hikma) 40mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg"
}
]
},
{
"code": "J2472",
"display": "Inj, pantoprazole sodium chl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pantoprazole sodium in sodium chloride (baxter), 40 mg"
}
]
},
{
"code": "J2501",
"display": "Paricalcitol",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, paricalcitol, 1 mcg"
}
]
},
{
"code": "J2502",
"display": "Inj, pasireotide long acting",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pasireotide long acting, 1 mg"
}
]
},
{
"code": "J2503",
"display": "Pegaptanib sodium injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pegaptanib sodium, 0.3 mg"
}
]
},
{
"code": "J2504",
"display": "Pegademase bovine, 25 iu",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pegademase bovine, 25 iu"
}
]
},
{
"code": "J2505",
"display": "Injection, pegfilgrastim 6mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pegfilgrastim, 6 mg"
}
]
},
{
"code": "J2506",
"display": "Inj pegfilgrast ex bio 0.5mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pegfilgrastim, excludes biosimilar, 0.5 mg"
}
]
},
{
"code": "J2507",
"display": "Pegloticase injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pegloticase, 1 mg"
}
]
},
{
"code": "J2508",
"display": "Pegunigalsidase alfa-iwxj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pegunigalsidase alfa-iwxj, 1 mg"
}
]
},
{
"code": "J2510",
"display": "Penicillin g procaine inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, penicillin g procaine, aqueous, up to 600,000 units"
}
]
},
{
"code": "J2513",
"display": "Pentastarch 10% solution",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pentastarch, 10% solution, 100 ml"
}
]
},
{
"code": "J2515",
"display": "Pentobarbital sodium inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pentobarbital sodium, per 50 mg"
}
]
},
{
"code": "J2540",
"display": "Penicillin g potassium inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, penicillin g potassium, up to 600,000 units"
}
]
},
{
"code": "J2543",
"display": "Piperacillin/tazobactam",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)"
}
]
},
{
"code": "J2545",
"display": "Pentamidine non-comp unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg"
}
]
},
{
"code": "J2547",
"display": "Injection, peramivir",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, peramivir, 1 mg"
}
]
},
{
"code": "J2550",
"display": "Promethazine hcl injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, promethazine hcl, up to 50 mg"
}
]
},
{
"code": "J2560",
"display": "Phenobarbital sodium inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, phenobarbital sodium, up to 120 mg"
}
]
},
{
"code": "J2561",
"display": "Inj, sezaby, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, phenobarbital sodium (sezaby), 1 mg"
}
]
},
{
"code": "J2562",
"display": "Plerixafor injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, plerixafor, 1 mg"
}
]
},
{
"code": "J2590",
"display": "Oxytocin injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, oxytocin, up to 10 units"
}
]
},
{
"code": "J2597",
"display": "Inj desmopressin acetate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, desmopressin acetate, per 1 mcg"
}
]
},
{
"code": "J2598",
"display": "Inj, vasopressin, 1 unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, vasopressin, 1 unit"
}
]
},
{
"code": "J2599",
"display": "Inj vasopressin (am reg) 1 u",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, vasopressin (american regent), not therapeutically equivalent to j2598, 1 unit"
}
]
},
{
"code": "J2601",
"display": "Inj, vasopressin (baxter)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, vasopressin (baxter), 1 unit"
}
]
},
{
"code": "J2650",
"display": "Prednisolone acetate inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, prednisolone acetate, up to 1 ml"
}
]
},
{
"code": "J2670",
"display": "Totazoline hcl injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, tolazoline hcl, up to 25 mg"
}
]
},
{
"code": "J2675",
"display": "Inj progesterone per 50 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, progesterone, per 50 mg"
}
]
},
{
"code": "J2679",
"display": "Inj fluphenazine hcl 1.25 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, fluphenazine hcl, 1.25 mg"
}
]
},
{
"code": "J2680",
"display": "Fluphenazine decanoate 25 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, fluphenazine decanoate, up to 25 mg"
}
]
},
{
"code": "J2690",
"display": "Procainamide hcl injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, procainamide hcl, up to 1 gm"
}
]
},
{
"code": "J2700",
"display": "Oxacillin sodium injeciton",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, oxacillin sodium, up to 250 mg"
}
]
},
{
"code": "J2704",
"display": "Inj, propofol, 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, propofol, 10 mg"
}
]
},
{
"code": "J2710",
"display": "Neostigmine methylslfte inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, neostigmine methylsulfate, up to 0.5 mg"
}
]
},
{
"code": "J2720",
"display": "Inj protamine sulfate/10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, protamine sulfate, per 10 mg"
}
]
},
{
"code": "J2724",
"display": "Protein c concentrate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, protein c concentrate, intravenous, human, 10 iu"
}
]
},
{
"code": "J2725",
"display": "Inj protirelin per 250 mcg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, protirelin, per 250 mcg"
}
]
},
{
"code": "J2730",
"display": "Pralidoxime chloride inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pralidoxime chloride, up to 1 gm"
}
]
},
{
"code": "J2760",
"display": "Phentolaine mesylate inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, phentolamine mesylate, up to 5 mg"
}
]
},
{
"code": "J2765",
"display": "Metoclopramide hcl injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, metoclopramide hcl, up to 10 mg"
}
]
},
{
"code": "J2770",
"display": "Quinupristin/dalfopristin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, quinupristin/dalfopristin, 500 mg (150/350)"
}
]
},
{
"code": "J2777",
"display": "Inj, faricimab-svoa, 0.1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, faricimab-svoa, 0.1 mg"
}
]
},
{
"code": "J2778",
"display": "Ranibizumab injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ranibizumab, 0.1 mg"
}
]
},
{
"code": "J2779",
"display": "Inj, susvimo 0.1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ranibizumab, via intravitreal implant (susvimo), 0.1 mg"
}
]
},
{
"code": "J2780",
"display": "Ranitidine hydrochloride inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ranitidine hydrochloride, 25 mg"
}
]
},
{
"code": "J2781",
"display": "Inj, pegcetacoplan, 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pegcetacoplan, intravitreal, 1 mg"
}
]
},
{
"code": "J2782",
"display": "Inj avacincaptad pegol 0.1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, avacincaptad pegol, 0.1 mg"
}
]
},
{
"code": "J2783",
"display": "Rasburicase",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, rasburicase, 0.5 mg"
}
]
},
{
"code": "J2785",
"display": "Regadenoson injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, regadenoson, 0.1 mg"
}
]
},
{
"code": "J2786",
"display": "Injection, reslizumab, 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, reslizumab, 1 mg"
}
]
},
{
"code": "J2787",
"display": "Riboflavin 5'phos opth<=3ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Riboflavin 5'-phosphate, ophthalmic solution, up to 3 ml"
}
]
},
{
"code": "J2788",
"display": "Rho d immune globulin 50 mcg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.)"
}
]
},
{
"code": "J2790",
"display": "Rho d immune globulin inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.)"
}
]
},
{
"code": "J2791",
"display": "Rhophylac injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu"
}
]
},
{
"code": "J2792",
"display": "Rho(d) immune globulin h, sd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu"
}
]
},
{
"code": "J2793",
"display": "Rilonacept injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, rilonacept, 1 mg"
}
]
},
{
"code": "J2794",
"display": "Inj risperdal consta, 0.5 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, risperidone (risperdal consta), 0.5 mg"
}
]
},
{
"code": "J2795",
"display": "Ropivacaine hcl injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ropivacaine hydrochloride, 1 mg"
}
]
},
{
"code": "J2796",
"display": "Romiplostim injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, romiplostim, 10 micrograms"
}
]
},
{
"code": "J2797",
"display": "Inj., rolapitant, 0.5 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, rolapitant, 0.5 mg"
}
]
},
{
"code": "J2798",
"display": "Inj., perseris, 0.5 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, risperidone, (perseris), 0.5 mg"
}
]
},
{
"code": "J2799",
"display": "Inj, uzedy, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, risperidone (uzedy), 1 mg"
}
]
},
{
"code": "J2800",
"display": "Methocarbamol injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, methocarbamol, up to 10 ml"
}
]
},
{
"code": "J2801",
"display": "Inj, rykindo, 0.5 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, risperidone (rykindo), 0.5 mg"
}
]
},
{
"code": "J2802",
"display": "Inj, romiplostim 1 microgram",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, romiplostim, 1 microgram"
}
]
},
{
"code": "J2805",
"display": "Sincalide injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, sincalide, 5 micrograms"
}
]
},
{
"code": "J2806",
"display": "Inj sincalide, maia, 5 mcg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, sincalide (maia), not therapeutically equivalent to j2805, 5 micrograms"
}
]
},
{
"code": "J2810",
"display": "Inj theophylline per 40 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, theophylline, per 40 mg"
}
]
},
{
"code": "J2820",
"display": "Sargramostim injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, sargramostim (gm-csf), 50 mcg"
}
]
},
{
"code": "J2840",
"display": "Inj sebelipase alfa 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, sebelipase alfa, 1 mg"
}
]
},
{
"code": "J2850",
"display": "Inj secretin synthetic human",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, secretin, synthetic, human, 1 microgram"
}
]
},
{
"code": "J2860",
"display": "Injection, siltuximab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, siltuximab, 10 mg"
}
]
},
{
"code": "J2910",
"display": "Aurothioglucose injeciton",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, aurothioglucose, up to 50 mg"
}
]
},
{
"code": "J2916",
"display": "Na ferric gluconate complex",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg"
}
]
},
{
"code": "J2919",
"display": "Inj, methylpred sod succ 5mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, methylprednisolone sodium succinate, 5 mg"
}
]
},
{
"code": "J2920",
"display": "Methylprednisolone injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, methylprednisolone sodium succinate, up to 40 mg"
}
]
},
{
"code": "J2930",
"display": "Methylprednisolone injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, methylprednisolone sodium succinate, up to 125 mg"
}
]
},
{
"code": "J2940",
"display": "Somatrem injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, somatrem, 1 mg"
}
]
},
{
"code": "J2941",
"display": "Somatropin injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, somatropin, 1 mg"
}
]
},
{
"code": "J2950",
"display": "Promazine hcl injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, promazine hcl, up to 25 mg"
}
]
},
{
"code": "J2993",
"display": "Reteplase injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, reteplase, 18.1 mg"
}
]
},
{
"code": "J2995",
"display": "Inj streptokinase /250000 iu",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, streptokinase, per 250,000 iu"
}
]
},
{
"code": "J2997",
"display": "Alteplase recombinant",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, alteplase recombinant, 1 mg"
}
]
},
{
"code": "J2998",
"display": "Inj plasminogen tvmh 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, plasminogen, human-tvmh, 1 mg"
}
]
},
{
"code": "J3000",
"display": "Streptomycin injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, streptomycin, up to 1 gm"
}
]
},
{
"code": "J3010",
"display": "Fentanyl citrate injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, fentanyl citrate, 0.1 mg"
}
]
},
{
"code": "J3030",
"display": "Sumatriptan succinate / 6 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)"
}
]
},
{
"code": "J3031",
"display": "Inj., fremanezumab-vfrm 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, fremanezumab-vfrm, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)"
}
]
},
{
"code": "J3032",
"display": "Inj. eptinezumab-jjmr 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, eptinezumab-jjmr, 1 mg"
}
]
},
{
"code": "J3055",
"display": "Inj talquetamab-tgvs 0.25 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, talquetamab-tgvs, 0.25 mg"
}
]
},
{
"code": "J3060",
"display": "Inj, taliglucerase alfa 10 u",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, taliglucerase alfa, 10 units"
}
]
},
{
"code": "J3070",
"display": "Pentazocine injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pentazocine, 30 mg"
}
]
},
{
"code": "J3090",
"display": "Inj tedizolid phosphate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, tedizolid phosphate, 1 mg"
}
]
},
{
"code": "J3095",
"display": "Telavancin injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, telavancin, 10 mg"
}
]
},
{
"code": "J3101",
"display": "Tenecteplase injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, tenecteplase, 1 mg"
}
]
},
{
"code": "J3105",
"display": "Terbutaline sulfate inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, terbutaline sulfate, up to 1 mg"
}
]
},
{
"code": "J3110",
"display": "Teriparatide injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, teriparatide, 10 mcg"
}
]
},
{
"code": "J3111",
"display": "Inj. romosozumab-aqqg 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, romosozumab-aqqg, 1 mg"
}
]
},
{
"code": "J3120",
"display": "Testosterone enanthate inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, testosterone enanthate, up to 100 mg"
}
]
},
{
"code": "J3121",
"display": "Inj testostero enanthate 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, testosterone enanthate, 1 mg"
}
]
},
{
"code": "J3130",
"display": "Testosterone enanthate inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, testosterone enanthate, up to 200 mg"
}
]
},
{
"code": "J3140",
"display": "Testosterone suspension inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, testosterone suspension, up to 50 mg"
}
]
},
{
"code": "J3145",
"display": "Testosterone undecanoate 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, testosterone undecanoate, 1 mg"
}
]
},
{
"code": "J3150",
"display": "Testosteron propionate inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, testosterone propionate, up to 100 mg"
}
]
},
{
"code": "J3230",
"display": "Chlorpromazine hcl injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, chlorpromazine hcl, up to 50 mg"
}
]
},
{
"code": "J3240",
"display": "Thyrotropin injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial"
}
]
},
{
"code": "J3241",
"display": "Inj. teprotumumab-trbw 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, teprotumumab-trbw, 10 mg"
}
]
},
{
"code": "J3243",
"display": "Tigecycline injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, tigecycline, 1 mg"
}
]
},
{
"code": "J3244",
"display": "Inj. tigecycline (accord)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, tigecycline (accord), not therapeutically equivalent to j3243, 1 mg"
}
]
},
{
"code": "J3245",
"display": "Inj., tildrakizumab, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, tildrakizumab, 1 mg"
}
]
},
{
"code": "J3246",
"display": "Tirofiban hcl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, tirofiban hcl, 0.25 mg"
}
]
},
{
"code": "J3247",
"display": "Inj secukinumab intrav 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, secukinumab, intravenous, 1 mg"
}
]
},
{
"code": "J3250",
"display": "Trimethobenzamide hcl inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, trimethobenzamide hcl, up to 200 mg"
}
]
},
{
"code": "J3260",
"display": "Tobramycin sulfate injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, tobramycin sulfate, up to 80 mg"
}
]
},
{
"code": "J3262",
"display": "Tocilizumab injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, tocilizumab, 1 mg"
}
]
},
{
"code": "J3263",
"display": "Inj, toripalimab-tpzi, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, toripalimab-tpzi, 1 mg"
}
]
},
{
"code": "J3265",
"display": "Injection torsemide 10 mg/ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, torsemide, 10 mg/ml"
}
]
},
{
"code": "J3280",
"display": "Thiethylperazine maleate inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, thiethylperazine maleate, up to 10 mg"
}
]
},
{
"code": "J3285",
"display": "Treprostinil injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, treprostinil, 1 mg"
}
]
},
{
"code": "J3299",
"display": "Inj xipere 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, triamcinolone acetonide (xipere), 1 mg"
}
]
},
{
"code": "J3300",
"display": "Triamcinolone a inj prs-free",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, triamcinolone acetonide, preservative free, 1 mg"
}
]
},
{
"code": "J3301",
"display": "Triamcinolone acet inj nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, triamcinolone acetonide, not otherwise specified, 10 mg"
}
]
},
{
"code": "J3302",
"display": "Triamcinolone diacetate inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, triamcinolone diacetate, per 5 mg"
}
]
},
{
"code": "J3303",
"display": "Triamcinolone hexacetonl inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, triamcinolone hexacetonide, per 5 mg"
}
]
},
{
"code": "J3304",
"display": "Inj triamcinolone ace xr 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg"
}
]
},
{
"code": "J3305",
"display": "Inj trimetrexate glucoronate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, trimetrexate glucuronate, per 25 mg"
}
]
},
{
"code": "J3310",
"display": "Perphenazine injeciton",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, perphenazine, up to 5 mg"
}
]
},
{
"code": "J3315",
"display": "Triptorelin pamoate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, triptorelin pamoate, 3.75 mg"
}
]
},
{
"code": "J3316",
"display": "Inj., triptorelin xr 3.75 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, triptorelin, extended-release, 3.75 mg"
}
]
},
{
"code": "J3320",
"display": "Spectinomycn di-hcl inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, spectinomycin dihydrochloride, up to 2 gm"
}
]
},
{
"code": "J3350",
"display": "Urea injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, urea, up to 40 gm"
}
]
},
{
"code": "J3355",
"display": "Urofollitropin, 75 iu",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, urofollitropin, 75 iu"
}
]
},
{
"code": "J3357",
"display": "Ustekinumab sub cu inj, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ustekinumab, for subcutaneous injection, 1 mg"
}
]
},
{
"code": "J3358",
"display": "Ustekinumab, iv inject, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ustekinumab, for intravenous injection, 1 mg"
}
]
},
{
"code": "J3360",
"display": "Diazepam injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, diazepam, up to 5 mg"
}
]
},
{
"code": "J3364",
"display": "Urokinase 5000 iu injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, urokinase, 5000 iu vial"
}
]
},
{
"code": "J3365",
"display": "Urokinase 250,000 iu inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, iv, urokinase, 250,000 i.u. vial"
}
]
},
{
"code": "J3370",
"display": "Vancomycin hcl injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, vancomycin hcl, 500 mg"
}
]
},
{
"code": "J3371",
"display": "Inj, vancomycin hcl (mylan)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, vancomycin hcl (mylan), not therapeutically equivalent to j3370, 500 mg"
}
]
},
{
"code": "J3372",
"display": "Inj, vancomycin hcl (xellia)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, vancomycin hcl (xellia), not therapeutically equivalent to j3370, 500 mg"
}
]
},
{
"code": "J3380",
"display": "Inj vedolizumab iv 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, vedolizumab, intravenous, 1 mg"
}
]
},
{
"code": "J3385",
"display": "Velaglucerase alfa",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, velaglucerase alfa, 100 units"
}
]
},
{
"code": "J3392",
"display": "Inj, exagamglogene autotem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, exagamglogene autotemcel, per treatment"
}
]
},
{
"code": "J3393",
"display": "Inj, betibeglogene autotemce",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, betibeglogene autotemcel, per treatment"
}
]
},
{
"code": "J3394",
"display": "Inj, lovotibeglogene autotem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, lovotibeglogene autotemcel, per treatment"
}
]
},
{
"code": "J3396",
"display": "Verteporfin injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, verteporfin, 0.1 mg"
}
]
},
{
"code": "J3397",
"display": "Inj., vestronidase alfa-vjbk",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, vestronidase alfa-vjbk, 1 mg"
}
]
},
{
"code": "J3398",
"display": "Inj luxturna 1 billion vec g",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, voretigene neparvovec-rzyl, 1 billion vector genomes"
}
]
},
{
"code": "J3399",
"display": "Inj onase abepar-xioi treat",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, onasemnogene abeparvovec-xioi, per treatment, up to 5x10^15 vector genomes"
}
]
},
{
"code": "J3400",
"display": "Triflupromazine hcl inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, triflupromazine hcl, up to 20 mg"
}
]
},
{
"code": "J3401",
"display": "Vyjuvek 5x10^9pfu/ml, 0.1 ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Beremagene geperpavec-svdt for topical administration, containing nominal 5 x 10^9 pfu/ml vector genomes, per 0.1 ml"
}
]
},
{
"code": "J3410",
"display": "Hydroxyzine hcl injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, hydroxyzine hcl, up to 25 mg"
}
]
},
{
"code": "J3411",
"display": "Thiamine hcl 100 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, thiamine hcl, 100 mg"
}
]
},
{
"code": "J3415",
"display": "Pyridoxine hcl 100 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pyridoxine hcl, 100 mg"
}
]
},
{
"code": "J3420",
"display": "Vitamin b12 injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg"
}
]
},
{
"code": "J3424",
"display": "Inj hydroxocobalamin iv 25mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, hydroxocobalamin, intravenous, 25 mg"
}
]
},
{
"code": "J3425",
"display": "Hydroxocobalamin im 10mcg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, hydroxocobalamin, intramuscular, 10 mcg"
}
]
},
{
"code": "J3430",
"display": "Vitamin k phytonadione inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, phytonadione (vitamin k), per 1 mg"
}
]
},
{
"code": "J3465",
"display": "Injection, voriconazole",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, voriconazole, 10 mg"
}
]
},
{
"code": "J3470",
"display": "Hyaluronidase injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, hyaluronidase, up to 150 units"
}
]
},
{
"code": "J3471",
"display": "Ovine, up to 999 usp units",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 999 usp units)"
}
]
},
{
"code": "J3472",
"display": "Ovine, 1000 usp units",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, hyaluronidase, ovine, preservative free, per 1000 usp units"
}
]
},
{
"code": "J3473",
"display": "Hyaluronidase recombinant",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, hyaluronidase, recombinant, 1 usp unit"
}
]
},
{
"code": "J3475",
"display": "Inj magnesium sulfate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, magnesium sulfate, per 500 mg"
}
]
},
{
"code": "J3480",
"display": "Inj potassium chloride",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, potassium chloride, per 2 meq"
}
]
},
{
"code": "J3485",
"display": "Zidovudine",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, zidovudine, 10 mg"
}
]
},
{
"code": "J3486",
"display": "Ziprasidone mesylate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ziprasidone mesylate, 10 mg"
}
]
},
{
"code": "J3489",
"display": "Zoledronic acid 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, zoledronic acid, 1 mg"
}
]
},
{
"code": "J3490",
"display": "Drugs unclassified injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Unclassified drugs"
}
]
},
{
"code": "J3520",
"display": "Edetate disodium per 150 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Edetate disodium, per 150 mg"
}
]
},
{
"code": "J3530",
"display": "Nasal vaccine inhalation"
},
{
"code": "J3535",
"display": "Metered dose inhaler drug",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Drug administered through a metered dose inhaler"
}
]
},
{
"code": "J3570",
"display": "Laetrile amygdalin vit b17",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Laetrile, amygdalin, vitamin b17"
}
]
},
{
"code": "J3590",
"display": "Unclassified biologics"
},
{
"code": "J3591",
"display": "Esrd on dialysi drug/bio noc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Unclassified drug or biological used for esrd on dialysis"
}
]
},
{
"code": "J7030",
"display": "Normal saline solution infus",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Infusion, normal saline solution , 1000 cc"
}
]
},
{
"code": "J7040",
"display": "Normal saline solution infus",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Infusion, normal saline solution, sterile (500 ml = 1 unit)"
}
]
},
{
"code": "J7042",
"display": "5% dextrose/normal saline",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "5% dextrose/normal saline (500 ml = 1 unit)"
}
]
},
{
"code": "J7050",
"display": "Normal saline solution infus",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Infusion, normal saline solution, 250 cc"
}
]
},
{
"code": "J7060",
"display": "5% dextrose/water",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "5% dextrose/water (500 ml = 1 unit)"
}
]
},
{
"code": "J7070",
"display": "D5w infusion",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Infusion, d5w, 1000 cc"
}
]
},
{
"code": "J7100",
"display": "Dextran 40 infusion",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Infusion, dextran 40, 500 ml"
}
]
},
{
"code": "J7110",
"display": "Dextran 75 infusion",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Infusion, dextran 75, 500 ml"
}
]
},
{
"code": "J7120",
"display": "Ringers lactate infusion",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ringers lactate infusion, up to 1000 cc"
}
]
},
{
"code": "J7121",
"display": "5% dextrose in lac ringers",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "5% dextrose in lactated ringers infusion, up to 1000 cc"
}
]
},
{
"code": "J7131",
"display": "Hypertonic saline sol",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hypertonic saline solution, 1 ml"
}
]
},
{
"code": "J7165",
"display": "Inj, human-lans, per i.u",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity"
}
]
},
{
"code": "J7168",
"display": "Prothrombin complex kcentra",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity"
}
]
},
{
"code": "J7169",
"display": "Inj andexxa, 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg"
}
]
},
{
"code": "J7170",
"display": "Inj., emicizumab-kxwh 0.5 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, emicizumab-kxwh, 0.5 mg"
}
]
},
{
"code": "J7171",
"display": "Inj, adzynma, 10 iu",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, adamts13, recombinant-krhn, 10 iu"
}
]
},
{
"code": "J7175",
"display": "Inj, factor x, (human), 1iu",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, factor x, (human), 1 i.u."
}
]
},
{
"code": "J7177",
"display": "Inj., fibryga, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, human fibrinogen concentrate (fibryga), 1 mg"
}
]
},
{
"code": "J7178",
"display": "Inj human fibrinogen con nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, human fibrinogen concentrate, not otherwise specified, 1 mg"
}
]
},
{
"code": "J7179",
"display": "Vonvendi inj 1 iu vwf:rco",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, von willebrand factor (recombinant), (vonvendi), 1 i.u. vwf:rco"
}
]
},
{
"code": "J7180",
"display": "Factor xiii anti-hem factor",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, factor xiii (antihemophilic factor, human), 1 i.u."
}
]
},
{
"code": "J7181",
"display": "Factor xiii recomb a-subunit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, factor xiii a-subunit, (recombinant), per iu"
}
]
},
{
"code": "J7182",
"display": "Factor viii recomb novoeight",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu"
}
]
},
{
"code": "J7183",
"display": "Wilate injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, von willebrand factor complex (human), wilate, 1 i.u. vwf:rco"
}
]
},
{
"code": "J7185",
"display": "Xyntha inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u."
}
]
},
{
"code": "J7186",
"display": "Antihemophilic viii/vwf comp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u."
}
]
},
{
"code": "J7187",
"display": "Humate-p, inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, von willebrand factor complex (humate-p), per iu vwf:rco"
}
]
},
{
"code": "J7188",
"display": "Factor viii recomb obizur",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, factor viii (antihemophilic factor, recombinant), (obizur), per i.u."
}
]
},
{
"code": "J7189",
"display": "Factor viia recomb novoseven",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram"
}
]
},
{
"code": "J7190",
"display": "Factor viii",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Factor viii (antihemophilic factor, human) per i.u."
}
]
},
{
"code": "J7191",
"display": "Factor viii (porcine)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Factor viii (antihemophilic factor (porcine)), per i.u."
}
]
},
{
"code": "J7192",
"display": "Factor viii recombinant nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified"
}
]
},
{
"code": "J7193",
"display": "Factor ix non-recombinant",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Factor ix (antihemophilic factor, purified, non-recombinant) per i.u."
}
]
},
{
"code": "J7194",
"display": "Factor ix complex",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Factor ix, complex, per i.u."
}
]
},
{
"code": "J7195",
"display": "Factor ix recombinant nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified"
}
]
},
{
"code": "J7196",
"display": "Antithrombin recombinant",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, antithrombin recombinant, 50 i.u."
}
]
},
{
"code": "J7197",
"display": "Antithrombin iii injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Antithrombin iii (human), per i.u."
}
]
},
{
"code": "J7198",
"display": "Anti-inhibitor",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Anti-inhibitor, per i.u."
}
]
},
{
"code": "J7199",
"display": "Hemophilia clot factor noc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hemophilia clotting factor, not otherwise classified"
}
]
},
{
"code": "J7200",
"display": "Factor ix recombinan rixubis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iu"
}
]
},
{
"code": "J7201",
"display": "Factor ix alprolix recomb",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u."
}
]
},
{
"code": "J7202",
"display": "Factor ix idelvion inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u."
}
]
},
{
"code": "J7203",
"display": "Factor ix recomb gly rebinyn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu"
}
]
},
{
"code": "J7204",
"display": "Inj recombin esperoct per iu",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu"
}
]
},
{
"code": "J7205",
"display": "Factor viii fc fusion recomb",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, factor viii fc fusion protein (recombinant), per iu"
}
]
},
{
"code": "J7207",
"display": "Factor viii pegylated recomb",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u."
}
]
},
{
"code": "J7208",
"display": "Inj. jivi 1 iu",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u."
}
]
},
{
"code": "J7209",
"display": "Factor viii nuwiq recomb 1iu",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u."
}
]
},
{
"code": "J7210",
"display": "Inj, afstyla, 1 i.u.",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, factor viii, (antihemophilic factor, recombinant), (afstyla), 1 i.u."
}
]
},
{
"code": "J7211",
"display": "Inj, kovaltry, 1 i.u.",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, factor viii, (antihemophilic factor, recombinant), (kovaltry), 1 i.u."
}
]
},
{
"code": "J7212",
"display": "Factor viia recomb sevenfact",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Factor viia (antihemophilic factor, recombinant)-jncw (sevenfact), 1 microgram"
}
]
},
{
"code": "J7213",
"display": "Inj, ixinity, 1 i.u.",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, coagulation factor ix (recombinant), ixinity, 1 i.u."
}
]
},
{
"code": "J7214",
"display": "Altuviiio per factor viii iu",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u."
}
]
},
{
"code": "J7294",
"display": "Seg acet and eth estr yearly",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Segesterone acetate and ethinyl estradiol 0.15mg, 0.013mg per 24 hours; yearly vaginal system, each"
}
]
},
{
"code": "J7295",
"display": "Eth estr and eton monthly",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ethinyl estradiol and etonogestrel 0.015mg, 0.12mg per 24 hours; monthly vaginal ring, each"
}
]
},
{
"code": "J7296",
"display": "Kyleena, 19.5 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg"
}
]
},
{
"code": "J7297",
"display": "Liletta, 52 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg"
}
]
},
{
"code": "J7298",
"display": "Mirena, 52 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg"
}
]
},
{
"code": "J7300",
"display": "Intraut copper contraceptive",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intrauterine copper contraceptive"
}
]
},
{
"code": "J7301",
"display": "Skyla, 13.5 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg"
}
]
},
{
"code": "J7302",
"display": "Levonorgestrel iu 52 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Levonorgestrel-releasing intrauterine contraceptive system, 52 mg"
}
]
},
{
"code": "J7303",
"display": "Contraceptive vaginal ring",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Contraceptive supply, hormone containing vaginal ring, each"
}
]
},
{
"code": "J7304",
"display": "Contraceptive hormone patch",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Contraceptive supply, hormone containing patch, each"
}
]
},
{
"code": "J7306",
"display": "Levonorgestrel implant sys",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Levonorgestrel (contraceptive) implant system, including implants and supplies"
}
]
},
{
"code": "J7307",
"display": "Etonogestrel implant system",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Etonogestrel (contraceptive) implant system, including implant and supplies"
}
]
},
{
"code": "J7308",
"display": "Aminolevulinic acid hcl top",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)"
}
]
},
{
"code": "J7309",
"display": "Methyl aminolevulinate, top",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Methyl aminolevulinate (mal) for topical administration, 16.8%, 1 gram"
}
]
},
{
"code": "J7310",
"display": "Ganciclovir long act implant",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ganciclovir, 4.5 mg, long-acting implant"
}
]
},
{
"code": "J7311",
"display": "Inj., retisert, 0.01 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg"
}
]
},
{
"code": "J7312",
"display": "Dexamethasone intra implant",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, dexamethasone, intravitreal implant, 0.1 mg"
}
]
},
{
"code": "J7313",
"display": "Inj., iluvien, 0.01 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, fluocinolone acetonide, intravitreal implant (iluvien), 0.01 mg"
}
]
},
{
"code": "J7314",
"display": "Inj., yutiq, 0.01 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, fluocinolone acetonide, intravitreal implant (yutiq), 0.01 mg"
}
]
},
{
"code": "J7315",
"display": "Ophthalmic mitomycin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Mitomycin, ophthalmic, 0.2 mg"
}
]
},
{
"code": "J7316",
"display": "Inj, ocriplasmin, 0.125 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ocriplasmin, 0.125 mg"
}
]
},
{
"code": "J7318",
"display": "Inj, durolane 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg"
}
]
},
{
"code": "J7320",
"display": "Genvisc 850, inj, 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg"
}
]
},
{
"code": "J7321",
"display": "Hyalgan supartz visco-3 dose",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose"
}
]
},
{
"code": "J7322",
"display": "Hymovis injection 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg"
}
]
},
{
"code": "J7323",
"display": "Euflexxa inj per dose",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose"
}
]
},
{
"code": "J7324",
"display": "Orthovisc inj per dose",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose"
}
]
},
{
"code": "J7325",
"display": "Synvisc or synvisc-one",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg"
}
]
},
{
"code": "J7326",
"display": "Gel-one",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hyaluronan or derivative, gel-one, for intra-articular injection, per dose"
}
]
},
{
"code": "J7327",
"display": "Monovisc inj per dose",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hyaluronan or derivative, monovisc, for intra-articular injection, per dose"
}
]
},
{
"code": "J7328",
"display": "Gelsyn-3 injection 0.1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg"
}
]
},
{
"code": "J7329",
"display": "Inj, trivisc 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg"
}
]
},
{
"code": "J7330",
"display": "Cultured chondrocytes implnt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Autologous cultured chondrocytes, implant"
}
]
},
{
"code": "J7331",
"display": "Synojoynt, inj., 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg"
}
]
},
{
"code": "J7332",
"display": "Inj., triluron, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg"
}
]
},
{
"code": "J7333",
"display": "Visco-3 inj dose",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hyaluronan or derivative, visco-3, for intra-articular injection, per dose"
}
]
},
{
"code": "J7335",
"display": "Capsaicin 8% patch",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Capsaicin 8% patch, per 10 square centimeters"
}
]
},
{
"code": "J7336",
"display": "Capsaicin 8% patch",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Capsaicin 8% patch, per square centimeter"
}
]
},
{
"code": "J7340",
"display": "Carbidopa levodopa ent 100ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml"
}
]
},
{
"code": "J7342",
"display": "Ciprofloxacin otic susp 6 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Instillation, ciprofloxacin otic suspension, 6 mg"
}
]
},
{
"code": "J7345",
"display": "Aminolevulinic acid, 10% gel",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg"
}
]
},
{
"code": "J7351",
"display": "Inj bimatoprost itc imp1mcg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, bimatoprost, intracameral implant, 1 microgram"
}
]
},
{
"code": "J7352",
"display": "Afamelanotide implant, 1 mg"
},
{
"code": "J7353",
"display": "Anacaulase-bcdb 8.8% gel 1 g",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Anacaulase-bcdb, 8.8% gel, 1 gram"
}
]
},
{
"code": "J7354",
"display": "Cantharidin top, applicator",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg)"
}
]
},
{
"code": "J7355",
"display": "Inj travoprost intra impl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, travoprost, intracameral implant, 1 microgram"
}
]
},
{
"code": "J7401",
"display": "Mometasone furoate sinus imp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Mometasone furoate sinus implant, 10 micrograms"
}
]
},
{
"code": "J7402",
"display": "Mometasone sinus sinuva",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Mometasone furoate sinus implant, (sinuva), 10 micrograms"
}
]
},
{
"code": "J7500",
"display": "Azathioprine oral 50mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Azathioprine, oral, 50 mg"
}
]
},
{
"code": "J7501",
"display": "Azathioprine parenteral",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Azathioprine, parenteral, 100 mg"
}
]
},
{
"code": "J7502",
"display": "Cyclosporine oral 100 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cyclosporine, oral, 100 mg"
}
]
},
{
"code": "J7503",
"display": "Tacrol envarsus ex rel oral",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg"
}
]
},
{
"code": "J7504",
"display": "Lymphocyte immune globulin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg"
}
]
},
{
"code": "J7505",
"display": "Monoclonal antibodies",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Muromonab-cd3, parenteral, 5 mg"
}
]
},
{
"code": "J7506",
"display": "Prednisone oral",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prednisone, oral, per 5 mg"
}
]
},
{
"code": "J7507",
"display": "Tacrolimus imme rel oral 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tacrolimus, immediate release, oral, 1 mg"
}
]
},
{
"code": "J7508",
"display": "Tacrol astagraf ex rel oral",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg"
}
]
},
{
"code": "J7509",
"display": "Methylprednisolone oral",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Methylprednisolone oral, per 4 mg"
}
]
},
{
"code": "J7510",
"display": "Prednisolone oral per 5 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prednisolone oral, per 5 mg"
}
]
},
{
"code": "J7511",
"display": "Antithymocyte globuln rabbit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg"
}
]
},
{
"code": "J7512",
"display": "Prednisone ir or dr oral 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prednisone, immediate release or delayed release, oral, 1 mg"
}
]
},
{
"code": "J7513",
"display": "Daclizumab, parenteral",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Daclizumab, parenteral, 25 mg"
}
]
},
{
"code": "J7514",
"display": "Mycophenol (myhibbin) 100 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Mycophenolate mofetil (myhibbin), oral suspension, 100 mg"
}
]
},
{
"code": "J7515",
"display": "Cyclosporine oral 25 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cyclosporine, oral, 25 mg"
}
]
},
{
"code": "J7516",
"display": "Inj, cyclosporine 250mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cyclosporine, 250 mg"
}
]
},
{
"code": "J7517",
"display": "Mycophenolate mofetil oral",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Mycophenolate mofetil, oral, 250 mg"
}
]
},
{
"code": "J7518",
"display": "Mycophenolic acid",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Mycophenolic acid, oral, 180 mg"
}
]
},
{
"code": "J7519",
"display": "Inj. mycophenolate mofetil",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, mycophenolate mofetil, 10 mg"
}
]
},
{
"code": "J7520",
"display": "Sirolimus, oral",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sirolimus, oral, 1 mg"
}
]
},
{
"code": "J7525",
"display": "Tacrolimus injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tacrolimus, parenteral, 5 mg"
}
]
},
{
"code": "J7527",
"display": "Oral everolimus",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Everolimus, oral, 0.25 mg"
}
]
},
{
"code": "J7599",
"display": "Immunosuppressive drug noc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Immunosuppressive drug, not otherwise classified"
}
]
},
{
"code": "J7601",
"display": "Ensifentrine inh 3 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ensifentrine, inhalation suspension, fda approved final product, non-compounded, administered through dme, unit dose form, 3 mg"
}
]
},
{
"code": "J7604",
"display": "Acetylcysteine comp unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Acetylcysteine, inhalation solution, compounded product, administered through dme, unit dose form, per gram"
}
]
},
{
"code": "J7605",
"display": "Arformoterol non-comp unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms"
}
]
},
{
"code": "J7606",
"display": "Formoterol fumarate, inh",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms"
}
]
},
{
"code": "J7607",
"display": "Levalbuterol comp con",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Levalbuterol, inhalation solution, compounded product, administered through dme, concentrated form, 0.5 mg"
}
]
},
{
"code": "J7608",
"display": "Acetylcysteine non-comp unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram"
}
]
},
{
"code": "J7609",
"display": "Albuterol comp unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg"
}
]
},
{
"code": "J7610",
"display": "Albuterol comp con",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg"
}
]
},
{
"code": "J7611",
"display": "Albuterol non-comp con",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg"
}
]
},
{
"code": "J7612",
"display": "Levalbuterol non-comp con",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg"
}
]
},
{
"code": "J7613",
"display": "Albuterol non-comp unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg"
}
]
},
{
"code": "J7614",
"display": "Levalbuterol non-comp unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg"
}
]
},
{
"code": "J7615",
"display": "Levalbuterol comp unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Levalbuterol, inhalation solution, compounded product, administered through dme, unit dose, 0.5 mg"
}
]
},
{
"code": "J7620",
"display": "Albuterol ipratrop non-comp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme"
}
]
},
{
"code": "J7622",
"display": "Beclomethasone comp unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Beclomethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram"
}
]
},
{
"code": "J7624",
"display": "Betamethasone comp unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Betamethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram"
}
]
},
{
"code": "J7626",
"display": "Budesonide non-comp unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg"
}
]
},
{
"code": "J7627",
"display": "Budesonide comp unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Budesonide, inhalation solution, compounded product, administered through dme, unit dose form, up to 0.5 mg"
}
]
},
{
"code": "J7628",
"display": "Bitolterol mesylate comp con",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bitolterol mesylate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram"
}
]
},
{
"code": "J7629",
"display": "Bitolterol mesylate comp unt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bitolterol mesylate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram"
}
]
},
{
"code": "J7631",
"display": "Cromolyn sodium noncomp unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams"
}
]
},
{
"code": "J7632",
"display": "Cromolyn sodium comp unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cromolyn sodium, inhalation solution, compounded product, administered through dme, unit dose form, per 10 milligrams"
}
]
},
{
"code": "J7633",
"display": "Budesonide non-comp con",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per 0.25 milligram"
}
]
},
{
"code": "J7634",
"display": "Budesonide comp con",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Budesonide, inhalation solution, compounded product, administered through dme, concentrated form, per 0.25 milligram"
}
]
},
{
"code": "J7635",
"display": "Atropine comp con",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Atropine, inhalation solution, compounded product, administered through dme, concentrated form, per milligram"
}
]
},
{
"code": "J7636",
"display": "Atropine comp unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Atropine, inhalation solution, compounded product, administered through dme, unit dose form, per milligram"
}
]
},
{
"code": "J7637",
"display": "Dexamethasone comp con",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dexamethasone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram"
}
]
},
{
"code": "J7638",
"display": "Dexamethasone comp unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dexamethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram"
}
]
},
{
"code": "J7639",
"display": "Dornase alfa non-comp unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram"
}
]
},
{
"code": "J7640",
"display": "Formoterol comp unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Formoterol, inhalation solution, compounded product, administered through dme, unit dose form, 12 micrograms"
}
]
},
{
"code": "J7641",
"display": "Flunisolide comp unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Flunisolide, inhalation solution, compounded product, administered through dme, unit dose, per milligram"
}
]
},
{
"code": "J7642",
"display": "Glycopyrrolate comp con",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Glycopyrrolate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram"
}
]
},
{
"code": "J7643",
"display": "Glycopyrrolate comp unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Glycopyrrolate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram"
}
]
},
{
"code": "J7644",
"display": "Ipratropium bromide non-comp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram"
}
]
},
{
"code": "J7645",
"display": "Ipratropium bromide comp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ipratropium bromide, inhalation solution, compounded product, administered through dme, unit dose form, per milligram"
}
]
},
{
"code": "J7647",
"display": "Isoetharine comp con",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Isoetharine hcl, inhalation solution, compounded product, administered through dme, concentrated form, per milligram"
}
]
},
{
"code": "J7648",
"display": "Isoetharine non-comp con",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Isoetharine hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per milligram"
}
]
},
{
"code": "J7649",
"display": "Isoetharine non-comp unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Isoetharine hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram"
}
]
},
{
"code": "J7650",
"display": "Isoetharine comp unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Isoetharine hcl, inhalation solution, compounded product, administered through dme, unit dose form, per milligram"
}
]
},
{
"code": "J7657",
"display": "Isoproterenol comp con",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Isoproterenol hcl, inhalation solution, compounded product, administered through dme, concentrated form, per milligram"
}
]
},
{
"code": "J7658",
"display": "Isoproterenol non-comp con",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Isoproterenol hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per milligram"
}
]
},
{
"code": "J7659",
"display": "Isoproterenol non-comp unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Isoproterenol hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram"
}
]
},
{
"code": "J7660",
"display": "Isoproterenol comp unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Isoproterenol hcl, inhalation solution, compounded product, administered through dme, unit dose form, per milligram"
}
]
},
{
"code": "J7665",
"display": "Mannitol for inhaler",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Mannitol, administered through an inhaler, 5 mg"
}
]
},
{
"code": "J7667",
"display": "Metaproterenol comp con",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Metaproterenol sulfate, inhalation solution, compounded product, concentrated form, per 10 milligrams"
}
]
},
{
"code": "J7668",
"display": "Metaproterenol non-comp con",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Metaproterenol sulfate, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per 10 milligrams"
}
]
},
{
"code": "J7669",
"display": "Metaproterenol non-comp unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Metaproterenol sulfate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams"
}
]
},
{
"code": "J7670",
"display": "Metaproterenol comp unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Metaproterenol sulfate, inhalation solution, compounded product, administered through dme, unit dose form, per 10 milligrams"
}
]
},
{
"code": "J7674",
"display": "Methacholine chloride, neb",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg"
}
]
},
{
"code": "J7676",
"display": "Pentamidine comp unit dose",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pentamidine isethionate, inhalation solution, compounded product, administered through dme, unit dose form, per 300 mg"
}
]
},
{
"code": "J7677",
"display": "Revefenacin inh non-com 1mcg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram"
}
]
},
{
"code": "J7680",
"display": "Terbutaline sulf comp con",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Terbutaline sulfate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram"
}
]
},
{
"code": "J7681",
"display": "Terbutaline sulf comp unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Terbutaline sulfate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram"
}
]
},
{
"code": "J7682",
"display": "Tobramycin non-comp unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams"
}
]
},
{
"code": "J7683",
"display": "Triamcinolone comp con",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Triamcinolone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram"
}
]
},
{
"code": "J7684",
"display": "Triamcinolone comp unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Triamcinolone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram"
}
]
},
{
"code": "J7685",
"display": "Tobramycin comp unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tobramycin, inhalation solution, compounded product, administered through dme, unit dose form, per 300 milligrams"
}
]
},
{
"code": "J7686",
"display": "Treprostinil, non-comp unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg"
}
]
},
{
"code": "J7699",
"display": "Inhalation solution for dme",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Noc drugs, inhalation solution administered through dme"
}
]
},
{
"code": "J7799",
"display": "Non-inhalation drug for dme",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Noc drugs, other than inhalation drugs, administered through dme"
}
]
},
{
"code": "J7999",
"display": "Compounded drug, noc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Compounded drug, not otherwise classified"
}
]
},
{
"code": "J8498",
"display": "Antiemetic rectal/supp nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Antiemetic drug, rectal/suppository, not otherwise specified"
}
]
},
{
"code": "J8499",
"display": "Oral prescrip drug non chemo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prescription drug, oral, non chemotherapeutic, nos"
}
]
},
{
"code": "J8501",
"display": "Oral aprepitant",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Aprepitant, oral, 5 mg"
}
]
},
{
"code": "J8510",
"display": "Oral busulfan",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Busulfan; oral, 2 mg"
}
]
},
{
"code": "J8515",
"display": "Cabergoline, oral 0.25mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cabergoline, oral, 0.25 mg"
}
]
},
{
"code": "J8520",
"display": "Capecitabine, oral, 150 mg"
},
{
"code": "J8521",
"display": "Capecitabine, oral, 500 mg"
},
{
"code": "J8522",
"display": "Capecitabine, oral, 50 mg"
},
{
"code": "J8530",
"display": "Cyclophosphamide oral 25 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cyclophosphamide; oral, 25 mg"
}
]
},
{
"code": "J8540",
"display": "Oral dexamethasone",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dexamethasone, oral, 0.25 mg"
}
]
},
{
"code": "J8541",
"display": "Oral, hemady, 0.25 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dexamethasone (hemady), oral, 0.25 mg"
}
]
},
{
"code": "J8560",
"display": "Etoposide oral 50 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Etoposide; oral, 50 mg"
}
]
},
{
"code": "J8562",
"display": "Oral fludarabine phosphate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Fludarabine phosphate, oral, 10 mg"
}
]
},
{
"code": "J8565",
"display": "Gefitinib oral",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gefitinib, oral, 250 mg"
}
]
},
{
"code": "J8597",
"display": "Antiemetic drug oral nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Antiemetic drug, oral, not otherwise specified"
}
]
},
{
"code": "J8600",
"display": "Melphalan oral 2 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Melphalan; oral, 2 mg"
}
]
},
{
"code": "J8610",
"display": "Methotrexate oral 2.5 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Methotrexate; oral, 2.5 mg"
}
]
},
{
"code": "J8611",
"display": "Oral methotrexate (jylamvo)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Methotrexate (jylamvo), oral, 2.5 mg"
}
]
},
{
"code": "J8612",
"display": "Oral methotrexate (xatmep)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Methotrexate (xatmep), oral, 2.5 mg"
}
]
},
{
"code": "J8650",
"display": "Nabilone oral",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nabilone, oral, 1 mg"
}
]
},
{
"code": "J8655",
"display": "Oral netupitant, palonosetro",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Netupitant 300 mg and palonosetron 0.5 mg, oral"
}
]
},
{
"code": "J8670",
"display": "Rolapitant, oral, 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Rolapitant, oral, 1 mg"
}
]
},
{
"code": "J8700",
"display": "Temozolomide",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Temozolomide, oral, 5 mg"
}
]
},
{
"code": "J8705",
"display": "Topotecan oral",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Topotecan, oral, 0.25 mg"
}
]
},
{
"code": "J8999",
"display": "Oral prescription drug chemo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prescription drug, oral, chemotherapeutic, nos"
}
]
},
{
"code": "J9000",
"display": "Doxorubicin hcl injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, doxorubicin hydrochloride, 10 mg"
}
]
},
{
"code": "J9010",
"display": "Alemtuzumab injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, alemtuzumab, 10 mg"
}
]
},
{
"code": "J9015",
"display": "Aldesleukin injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, aldesleukin, per single use vial"
}
]
},
{
"code": "J9017",
"display": "Arsenic trioxide injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, arsenic trioxide, 1 mg"
}
]
},
{
"code": "J9019",
"display": "Erwinaze injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, asparaginase (erwinaze), 1,000 iu"
}
]
},
{
"code": "J9020",
"display": "Asparaginase, nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, asparaginase, not otherwise specified, 10,000 units"
}
]
},
{
"code": "J9021",
"display": "Inj, aspara, rylaze, 0.1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, asparaginase, recombinant, (rylaze), 0.1 mg"
}
]
},
{
"code": "J9022",
"display": "Inj, atezolizumab,10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, atezolizumab, 10 mg"
}
]
},
{
"code": "J9023",
"display": "Injection, avelumab, 10 mg"
},
{
"code": "J9025",
"display": "Azacitidine injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, azacitidine, 1 mg"
}
]
},
{
"code": "J9026",
"display": "Inj, tarlatamab-dlle, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, tarlatamab-dlle, 1 mg"
}
]
},
{
"code": "J9027",
"display": "Clofarabine injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, clofarabine, 1 mg"
}
]
},
{
"code": "J9028",
"display": "Inj, nogapendekin pmln, 1mcg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram"
}
]
},
{
"code": "J9029",
"display": "Instill adstiladrin, tx dose",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intravesical instillation, nadofaragene firadenovec-vncg, per therapeutic dose"
}
]
},
{
"code": "J9030",
"display": "Bcg live intravesical 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bcg live intravesical instillation, 1 mg"
}
]
},
{
"code": "J9031",
"display": "Bcg live intravesical vac",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bcg (intravesical) per instillation"
}
]
},
{
"code": "J9032",
"display": "Injection, belinostat, 10mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, belinostat, 10 mg"
}
]
},
{
"code": "J9033",
"display": "Inj, bendamustine hcl, 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, bendamustine hydrochloride, 1 mg"
}
]
},
{
"code": "J9034",
"display": "Inj., bendeka 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, bendamustine hcl (bendeka), 1 mg"
}
]
},
{
"code": "J9035",
"display": "Bevacizumab injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, bevacizumab, 10 mg"
}
]
},
{
"code": "J9036",
"display": "Inj. belrapzo/bendamustine",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, bendamustine hydrochloride, (belrapzo/bendamustine), 1 mg"
}
]
},
{
"code": "J9037",
"display": "Inj belantamab mafodot blmf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, belantamab mafodotin-blmf, 0.5 mg"
}
]
},
{
"code": "J9039",
"display": "Injection, blinatumomab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, blinatumomab, 1 microgram"
}
]
},
{
"code": "J9040",
"display": "Bleomycin sulfate injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, bleomycin sulfate, 15 units"
}
]
},
{
"code": "J9041",
"display": "Injection, bortezomib, 0.1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, bortezomib, 0.1 mg"
}
]
},
{
"code": "J9042",
"display": "Brentuximab vedotin inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, brentuximab vedotin, 1 mg"
}
]
},
{
"code": "J9043",
"display": "Cabazitaxel injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cabazitaxel, 1 mg"
}
]
},
{
"code": "J9044",
"display": "Inj, bortezomib, nos, 0.1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, bortezomib, not otherwise specified, 0.1 mg"
}
]
},
{
"code": "J9045",
"display": "Carboplatin injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, carboplatin, 50 mg"
}
]
},
{
"code": "J9046",
"display": "Inj, bortezomib, dr. reddy's",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, bortezomib (dr. reddy's), not therapeutically equivalent to j9041, 0.1 mg"
}
]
},
{
"code": "J9047",
"display": "Injection, carfilzomib, 1 mg"
},
{
"code": "J9048",
"display": "Inj, bortezomib freseniuskab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, bortezomib (fresenius kabi), not therapeutically equivalent to j9041, 0.1 mg"
}
]
},
{
"code": "J9049",
"display": "Inj, bortezomib, hospira",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, bortezomib (hospira), not therapeutically equivalent to j9041, 0.1 mg"
}
]
},
{
"code": "J9050",
"display": "Carmustine injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, carmustine, 100 mg"
}
]
},
{
"code": "J9051",
"display": "Inj, bortezomib (maia)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, bortezomib (maia), not therapeutically equivalent to j9041, 0.1 mg"
}
]
},
{
"code": "J9052",
"display": "Inj, carmustine (accord)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, carmustine (accord), not therapeutically equivalent to j9050, 100 mg"
}
]
},
{
"code": "J9055",
"display": "Cetuximab injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cetuximab, 10 mg"
}
]
},
{
"code": "J9056",
"display": "Inj, vivimusta, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, bendamustine hydrochloride (vivimusta), 1 mg"
}
]
},
{
"code": "J9057",
"display": "Inj., copanlisib, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, copanlisib, 1 mg"
}
]
},
{
"code": "J9058",
"display": "Inj apotex/bendamustine 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, bendamustine hydrochloride (apotex), 1 mg"
}
]
},
{
"code": "J9059",
"display": "Inj bendamustine, baxter 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, bendamustine hydrochloride (baxter), 1 mg"
}
]
},
{
"code": "J9060",
"display": "Cisplatin 10 mg injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cisplatin, powder or solution, 10 mg"
}
]
},
{
"code": "J9061",
"display": "Inj, amivantamab-vmjw",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, amivantamab-vmjw, 2 mg"
}
]
},
{
"code": "J9063",
"display": "Inj, elahere, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, mirvetuximab soravtansine-gynx, 1 mg"
}
]
},
{
"code": "J9064",
"display": "Inj, cabazitaxel (sandoz)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cabazitaxel (sandoz), not therapeutically equivalent to j9043, 1 mg"
}
]
},
{
"code": "J9065",
"display": "Inj cladribine per 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cladribine, per 1 mg"
}
]
},
{
"code": "J9070",
"display": "Cyclophosphamide 100 mg inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cyclophosphamide, 100 mg"
}
]
},
{
"code": "J9071",
"display": "Inj cyclophosphamd auromedic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cyclophosphamide (auromedics), 5 mg"
}
]
},
{
"code": "J9072",
"display": "Inj cyclophos avyxa 5mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cyclophosphamide (avyxa), 5 mg"
}
]
},
{
"code": "J9073",
"display": "Inj cyclophosphamd (ingenus)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cyclophosphamide (ingenus), 5 mg"
}
]
},
{
"code": "J9074",
"display": "Inj, cyclophosphamd, sandoz",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cyclophosphamide (sandoz), 5 mg"
}
]
},
{
"code": "J9075",
"display": "Inj, cyclophosphamide, nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cyclophosphamide, not otherwise specified, 5 mg"
}
]
},
{
"code": "J9076",
"display": "Inj, cyclophos (baxter) 5mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cyclophosphamide (baxter), 5 mg"
}
]
},
{
"code": "J9098",
"display": "Cytarabine liposome inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cytarabine liposome, 10 mg"
}
]
},
{
"code": "J9100",
"display": "Cytarabine hcl 100 mg inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cytarabine, 100 mg"
}
]
},
{
"code": "J9118",
"display": "Inj. calaspargase pegol-mknl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, calaspargase pegol-mknl, 10 units"
}
]
},
{
"code": "J9119",
"display": "Inj., cemiplimab-rwlc, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cemiplimab-rwlc, 1 mg"
}
]
},
{
"code": "J9120",
"display": "Dactinomycin injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, dactinomycin, 0.5 mg"
}
]
},
{
"code": "J9130",
"display": "Dacarbazine 100 mg inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dacarbazine, 100 mg"
}
]
},
{
"code": "J9144",
"display": "Daratumumab, hyaluronidase",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, daratumumab, 10 mg and hyaluronidase-fihj"
}
]
},
{
"code": "J9145",
"display": "Injection, daratumumab 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, daratumumab, 10 mg"
}
]
},
{
"code": "J9150",
"display": "Daunorubicin injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, daunorubicin, 10 mg"
}
]
},
{
"code": "J9151",
"display": "Daunorubicin citrate inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, daunorubicin citrate, liposomal formulation, 10 mg"
}
]
},
{
"code": "J9153",
"display": "Inj daunorubicin, cytarabine",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine"
}
]
},
{
"code": "J9155",
"display": "Degarelix injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, degarelix, 1 mg"
}
]
},
{
"code": "J9160",
"display": "Denileukin diftitox inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, denileukin diftitox, 300 micrograms"
}
]
},
{
"code": "J9165",
"display": "Diethylstilbestrol injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, diethylstilbestrol diphosphate, 250 mg"
}
]
},
{
"code": "J9171",
"display": "Docetaxel injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, docetaxel, 1 mg"
}
]
},
{
"code": "J9172",
"display": "Docetaxel (docivyx), 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, docetaxel (docivyx), 1 mg"
}
]
},
{
"code": "J9173",
"display": "Inj., durvalumab, 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, durvalumab, 10 mg"
}
]
},
{
"code": "J9175",
"display": "Elliotts b solution per ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, elliotts' b solution, 1 ml"
}
]
},
{
"code": "J9176",
"display": "Injection, elotuzumab, 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, elotuzumab, 1 mg"
}
]
},
{
"code": "J9177",
"display": "Inj enfort vedo-ejfv 0.25mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, enfortumab vedotin-ejfv, 0.25 mg"
}
]
},
{
"code": "J9178",
"display": "Inj, epirubicin hcl, 2 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, epirubicin hcl, 2 mg"
}
]
},
{
"code": "J9179",
"display": "Eribulin mesylate injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, eribulin mesylate, 0.1 mg"
}
]
},
{
"code": "J9181",
"display": "Etoposide injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, etoposide, 10 mg"
}
]
},
{
"code": "J9185",
"display": "Fludarabine phosphate inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, fludarabine phosphate, 50 mg"
}
]
},
{
"code": "J9190",
"display": "Fluorouracil injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, fluorouracil, 500 mg"
}
]
},
{
"code": "J9196",
"display": "Inj gemcitabine hcl (accord)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, gemcitabine hydrochloride (accord), not therapeutically equivalent to j9201, 200 mg"
}
]
},
{
"code": "J9198",
"display": "Inj. infugem, 100 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, gemcitabine hydrochloride, (infugem), 100 mg"
}
]
},
{
"code": "J9199",
"display": "Injection, infugem, 200 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, gemcitabine hydrochloride (infugem), 200 mg"
}
]
},
{
"code": "J9200",
"display": "Floxuridine injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, floxuridine, 500 mg"
}
]
},
{
"code": "J9201",
"display": "In gemcitabine hcl nos 200mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg"
}
]
},
{
"code": "J9202",
"display": "Goserelin acetate implant",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Goserelin acetate implant, per 3.6 mg"
}
]
},
{
"code": "J9203",
"display": "Gemtuzumab ozogamicin 0.1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, gemtuzumab ozogamicin, 0.1 mg"
}
]
},
{
"code": "J9204",
"display": "Inj mogamulizumab-kpkc, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, mogamulizumab-kpkc, 1 mg"
}
]
},
{
"code": "J9205",
"display": "Inj irinotecan liposome 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, irinotecan liposome, 1 mg"
}
]
},
{
"code": "J9206",
"display": "Irinotecan injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, irinotecan, 20 mg"
}
]
},
{
"code": "J9207",
"display": "Ixabepilone injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ixabepilone, 1 mg"
}
]
},
{
"code": "J9208",
"display": "Ifosfamide injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ifosfamide, 1 gram"
}
]
},
{
"code": "J9209",
"display": "Mesna injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, mesna, 200 mg"
}
]
},
{
"code": "J9210",
"display": "Inj., emapalumab-lzsg, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, emapalumab-lzsg, 1 mg"
}
]
},
{
"code": "J9211",
"display": "Idarubicin hcl injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, idarubicin hydrochloride, 5 mg"
}
]
},
{
"code": "J9212",
"display": "Interferon alfacon-1 inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, interferon alfacon-1, recombinant, 1 microgram"
}
]
},
{
"code": "J9213",
"display": "Interferon alfa-2a inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, interferon, alfa-2a, recombinant, 3 million units"
}
]
},
{
"code": "J9214",
"display": "Interferon alfa-2b inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, interferon, alfa-2b, recombinant, 1 million units"
}
]
},
{
"code": "J9215",
"display": "Interferon alfa-n3 inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, interferon, alfa-n3, (human leukocyte derived), 250,000 iu"
}
]
},
{
"code": "J9216",
"display": "Interferon gamma 1-b inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, interferon, gamma 1-b, 3 million units"
}
]
},
{
"code": "J9217",
"display": "Leuprolide acetate suspnsion",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Leuprolide acetate (for depot suspension), 7.5 mg"
}
]
},
{
"code": "J9218",
"display": "Leuprolide acetate injeciton",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Leuprolide acetate, per 1 mg"
}
]
},
{
"code": "J9219",
"display": "Leuprolide acetate implant",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Leuprolide acetate implant, 65 mg"
}
]
},
{
"code": "J9223",
"display": "Inj. lurbinectedin, 0.1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, lurbinectedin, 0.1 mg"
}
]
},
{
"code": "J9225",
"display": "Vantas implant",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Histrelin implant (vantas), 50 mg"
}
]
},
{
"code": "J9226",
"display": "Supprelin la implant",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Histrelin implant (supprelin la), 50 mg"
}
]
},
{
"code": "J9227",
"display": "Inj. isatuximab-irfc 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, isatuximab-irfc, 10 mg"
}
]
},
{
"code": "J9228",
"display": "Ipilimumab injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ipilimumab, 1 mg"
}
]
},
{
"code": "J9229",
"display": "Inj inotuzumab ozogam 0.1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, inotuzumab ozogamicin, 0.1 mg"
}
]
},
{
"code": "J9230",
"display": "Mechlorethamine hcl inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg"
}
]
},
{
"code": "J9245",
"display": "Inj melpha hydroch nos 50 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, melphalan hydrochloride, not otherwise specified, 50 mg"
}
]
},
{
"code": "J9246",
"display": "Inj., evomela, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, melphalan (evomela), 1 mg"
}
]
},
{
"code": "J9247",
"display": "Inj, melphalan flufenami 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, melphalan flufenamide, 1mg"
}
]
},
{
"code": "J9248",
"display": "Inj melphalan (hepzato) 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, melphalan (hepzato), 1 mg"
}
]
},
{
"code": "J9249",
"display": "Inj, melphalan (apotex) 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, melphalan (apotex), 1 mg"
}
]
},
{
"code": "J9250",
"display": "Methotrexate sodium inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Methotrexate sodium, 5 mg"
}
]
},
{
"code": "J9255",
"display": "Inj, methotrexate (accord)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, methotrexate (accord), not therapeutically equivalent to j9260, 50 mg"
}
]
},
{
"code": "J9258",
"display": "Paclitaxel (teva)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, paclitaxel protein-bound particles (teva), not therapeutically equivalent to j9264, 1 mg"
}
]
},
{
"code": "J9259",
"display": "Paclitaxel (american regent)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, paclitaxel protein-bound particles (american regent), not therapeutically equivalent to j9264, 1 mg"
}
]
},
{
"code": "J9260",
"display": "Inj methotrexate sodium 50mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, methotrexate sodium, 50 mg"
}
]
},
{
"code": "J9261",
"display": "Nelarabine injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, nelarabine, 50 mg"
}
]
},
{
"code": "J9262",
"display": "Inj, omacetaxine mep, 0.01mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, omacetaxine mepesuccinate, 0.01 mg"
}
]
},
{
"code": "J9263",
"display": "Oxaliplatin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, oxaliplatin, 0.5 mg"
}
]
},
{
"code": "J9264",
"display": "Paclitaxel protein bound",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, paclitaxel protein-bound particles, 1 mg"
}
]
},
{
"code": "J9265",
"display": "Paclitaxel injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, paclitaxel, 30 mg"
}
]
},
{
"code": "J9266",
"display": "Pegaspargase injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pegaspargase, per single dose vial"
}
]
},
{
"code": "J9267",
"display": "Paclitaxel injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, paclitaxel, 1 mg"
}
]
},
{
"code": "J9268",
"display": "Pentostatin injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pentostatin, 10 mg"
}
]
},
{
"code": "J9269",
"display": "Inj. tagraxofusp-erzs 10 mcg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, tagraxofusp-erzs, 10 micrograms"
}
]
},
{
"code": "J9270",
"display": "Plicamycin (mithramycin) inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, plicamycin, 2.5 mg"
}
]
},
{
"code": "J9271",
"display": "Inj pembrolizumab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pembrolizumab, 1 mg"
}
]
},
{
"code": "J9272",
"display": "Inj, dostarlimab-gxly, 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, dostarlimab-gxly, 10 mg"
}
]
},
{
"code": "J9273",
"display": "Inj tisotu vedotin-tftv, 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, tisotumab vedotin-tftv, 1 mg"
}
]
},
{
"code": "J9274",
"display": "Inj, tebentafusp-tebn, 1 mcg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, tebentafusp-tebn, 1 microgram"
}
]
},
{
"code": "J9280",
"display": "Mitomycin injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, mitomycin, 5 mg"
}
]
},
{
"code": "J9281",
"display": "Mitomycin instillation",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Mitomycin pyelocalyceal instillation, 1 mg"
}
]
},
{
"code": "J9285",
"display": "Inj, olaratumab, 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, olaratumab, 10 mg"
}
]
},
{
"code": "J9286",
"display": "Inj glofitamab gxbm, 2.5 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, glofitamab-gxbm, 2.5 mg"
}
]
},
{
"code": "J9292",
"display": "Inj, pemetrexed (avyxa) 10mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pemetrexed (avyxa), not therapeutically equivalent to j9305, 10 mg"
}
]
},
{
"code": "J9293",
"display": "Mitoxantrone hydrochl / 5 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, mitoxantrone hydrochloride, per 5 mg"
}
]
},
{
"code": "J9294",
"display": "Inj pemetrexed, hospira 10mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mg"
}
]
},
{
"code": "J9295",
"display": "Injection, necitumumab, 1 mg"
},
{
"code": "J9296",
"display": "Inj pemetrexed (accord) 10mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pemetrexed (accord), not therapeutically equivalent to j9305, 10 mg"
}
]
},
{
"code": "J9297",
"display": "Inj pemetrexed (sandoz) 10mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pemetrexed (sandoz), not therapeutically equivalent to j9305, 10 mg"
}
]
},
{
"code": "J9298",
"display": "Inj nivol relatlimab 3mg/1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg"
}
]
},
{
"code": "J9299",
"display": "Injection, nivolumab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, nivolumab, 1 mg"
}
]
},
{
"code": "J9300",
"display": "Gemtuzumab ozogamicin inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, gemtuzumab ozogamicin, 5 mg"
}
]
},
{
"code": "J9301",
"display": "Obinutuzumab inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, obinutuzumab, 10 mg"
}
]
},
{
"code": "J9302",
"display": "Ofatumumab injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ofatumumab, 10 mg"
}
]
},
{
"code": "J9303",
"display": "Panitumumab injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, panitumumab, 10 mg"
}
]
},
{
"code": "J9304",
"display": "Inj. pemetrexed, 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pemetrexed (pemfexy), 10 mg"
}
]
},
{
"code": "J9305",
"display": "Inj. pemetrexed nos 10mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pemetrexed, not otherwise specified, 10 mg"
}
]
},
{
"code": "J9306",
"display": "Injection, pertuzumab, 1 mg"
},
{
"code": "J9307",
"display": "Pralatrexate injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pralatrexate, 1 mg"
}
]
},
{
"code": "J9308",
"display": "Injection, ramucirumab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ramucirumab, 5 mg"
}
]
},
{
"code": "J9309",
"display": "Inj, polatuzumab vedotin 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, polatuzumab vedotin-piiq, 1 mg"
}
]
},
{
"code": "J9310",
"display": "Rituximab injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, rituximab, 100 mg"
}
]
},
{
"code": "J9311",
"display": "Inj rituximab, hyaluronidase",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, rituximab 10 mg and hyaluronidase"
}
]
},
{
"code": "J9312",
"display": "Inj., rituximab, 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, rituximab, 10 mg"
}
]
},
{
"code": "J9313",
"display": "Inj., lumoxiti, 0.01 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, moxetumomab pasudotox-tdfk, 0.01 mg"
}
]
},
{
"code": "J9314",
"display": "Inj pemetrexed (teva) 10mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pemetrexed (teva), not therapeutically equivalent to j9305, 10 mg"
}
]
},
{
"code": "J9315",
"display": "Romidepsin injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, romidepsin, 1 mg"
}
]
},
{
"code": "J9316",
"display": "Pertuzu, trastuzu, 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg"
}
]
},
{
"code": "J9317",
"display": "Sacituzumab govitecan-hziy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, sacituzumab govitecan-hziy, 2.5 mg"
}
]
},
{
"code": "J9318",
"display": "Inj romidepsin non-lyo 0.1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, romidepsin, non-lyophilized, 0.1 mg"
}
]
},
{
"code": "J9319",
"display": "Inj romidepsin lyophil 0.1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, romidepsin, lyophilized, 0.1 mg"
}
]
},
{
"code": "J9320",
"display": "Streptozocin injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, streptozocin, 1 gram"
}
]
},
{
"code": "J9321",
"display": "Inj epcoritamab-bysp 0.16 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, epcoritamab-bysp, 0.16 mg"
}
]
},
{
"code": "J9322",
"display": "Inj pemetrexed (bluepoint)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pemetrexed (bluepoint), not therapeutically equivalent to j9305, 10 mg"
}
]
},
{
"code": "J9323",
"display": "Inj pemetrexed ditromethamin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pemetrexed ditromethamine, 10 mg"
}
]
},
{
"code": "J9324",
"display": "Inj, pemrydi rtu, 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pemetrexed (pemrydi rtu), 10 mg"
}
]
},
{
"code": "J9325",
"display": "Inj talimogene laherparepvec",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, talimogene laherparepvec, per 1 million plaque forming units"
}
]
},
{
"code": "J9328",
"display": "Temozolomide injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, temozolomide, 1 mg"
}
]
},
{
"code": "J9329",
"display": "Inj, tislelizumab-jsgr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, tislelizumab-jsgr, 1mg"
}
]
},
{
"code": "J9330",
"display": "Temsirolimus injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, temsirolimus, 1 mg"
}
]
},
{
"code": "J9331",
"display": "Inj sirolimus prot part 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, sirolimus protein-bound particles, 1 mg"
}
]
},
{
"code": "J9332",
"display": "Inj efgartigimod 2mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, efgartigimod alfa-fcab, 2mg"
}
]
},
{
"code": "J9333",
"display": "Inj ronzanolixizum-noli 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, rozanolixizumab-noli, 1 mg"
}
]
},
{
"code": "J9334",
"display": "Inj efgart-alfa 2mg hya-qvfc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc"
}
]
},
{
"code": "J9340",
"display": "Thiotepa injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, thiotepa, 15 mg"
}
]
},
{
"code": "J9345",
"display": "Inj, retifanlimab-dlwr, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, retifanlimab-dlwr, 1 mg"
}
]
},
{
"code": "J9347",
"display": "Inj, tremelimumab-actl, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, tremelimumab-actl, 1 mg"
}
]
},
{
"code": "J9348",
"display": "Inj. naxitamab-gqgk, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, naxitamab-gqgk, 1 mg"
}
]
},
{
"code": "J9349",
"display": "Inj., tafasitamab-cxix",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, tafasitamab-cxix, 2 mg"
}
]
},
{
"code": "J9350",
"display": "Inj mosunetuzumab-axgb, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, mosunetuzumab-axgb, 1 mg"
}
]
},
{
"code": "J9351",
"display": "Topotecan injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, topotecan, 0.1 mg"
}
]
},
{
"code": "J9352",
"display": "Injection trabectedin 0.1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, trabectedin, 0.1 mg"
}
]
},
{
"code": "J9353",
"display": "Inj. margetuximab-cmkb, 5 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, margetuximab-cmkb, 5 mg"
}
]
},
{
"code": "J9354",
"display": "Inj, ado-trastuzumab emt 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ado-trastuzumab emtansine, 1 mg"
}
]
},
{
"code": "J9355",
"display": "Inj trastuzumab excl biosimi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, trastuzumab, excludes biosimilar, 10 mg"
}
]
},
{
"code": "J9356",
"display": "Inj. herceptin hylecta, 10mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, trastuzumab, 10 mg and hyaluronidase-oysk"
}
]
},
{
"code": "J9357",
"display": "Valrubicin injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, valrubicin, intravesical, 200 mg"
}
]
},
{
"code": "J9358",
"display": "Inj fam-trastu deru-nxki 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, fam-trastuzumab deruxtecan-nxki, 1 mg"
}
]
},
{
"code": "J9359",
"display": "Inj lon tesirin-lpyl 0.075mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, loncastuximab tesirine-lpyl, 0.075 mg"
}
]
},
{
"code": "J9360",
"display": "Vinblastine sulfate inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, vinblastine sulfate, 1 mg"
}
]
},
{
"code": "J9361",
"display": "Inj, efbemalenograstim alfa-",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, efbemalenograstim alfa-vuxw, 0.5 mg"
}
]
},
{
"code": "J9370",
"display": "Vincristine sulfate 1 mg inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Vincristine sulfate, 1 mg"
}
]
},
{
"code": "J9371",
"display": "Inj, vincristine sul lip 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, vincristine sulfate liposome, 1 mg"
}
]
},
{
"code": "J9376",
"display": "Inj pozelimab-bbfg, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pozelimab-bbfg, 1 mg"
}
]
},
{
"code": "J9380",
"display": "Inj teclistamab cqyv 0.5 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, teclistamab-cqyv, 0.5 mg"
}
]
},
{
"code": "J9381",
"display": "Inj teplizumab mzwv 5 mcg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, teplizumab-mzwv, 5 mcg"
}
]
},
{
"code": "J9390",
"display": "Vinorelbine tartrate inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, vinorelbine tartrate, 10 mg"
}
]
},
{
"code": "J9393",
"display": "Inj, fulvestrant (teva)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg"
}
]
},
{
"code": "J9394",
"display": "Inj, fulvestrant (fresenius)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg"
}
]
},
{
"code": "J9395",
"display": "Injection, fulvestrant",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, fulvestrant, 25 mg"
}
]
},
{
"code": "J9400",
"display": "Inj, ziv-aflibercept, 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ziv-aflibercept, 1 mg"
}
]
},
{
"code": "J9600",
"display": "Porfimer sodium injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, porfimer sodium, 75 mg"
}
]
},
{
"code": "J9999",
"display": "Chemotherapy drug",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Not otherwise classified, antineoplastic drugs"
}
]
},
{
"code": "K0001",
"display": "Standard wheelchair"
},
{
"code": "K0002",
"display": "Stnd hemi (low seat) whlchr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Standard hemi (low seat) wheelchair"
}
]
},
{
"code": "K0003",
"display": "Lightweight wheelchair"
},
{
"code": "K0004",
"display": "High strength ltwt whlchr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "High strength, lightweight wheelchair"
}
]
},
{
"code": "K0005",
"display": "Ultralightweight wheelchair"
},
{
"code": "K0006",
"display": "Heavy duty wheelchair"
},
{
"code": "K0007",
"display": "Extra heavy duty wheelchair"
},
{
"code": "K0008",
"display": "Cstm manual wheelchair/base",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Custom manual wheelchair/base"
}
]
},
{
"code": "K0009",
"display": "Other manual wheelchair/base"
},
{
"code": "K0010",
"display": "Stnd wt frame power whlchr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Standard - weight frame motorized/power wheelchair"
}
]
},
{
"code": "K0011",
"display": "Stnd wt pwr whlchr w control",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Standard - weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking"
}
]
},
{
"code": "K0012",
"display": "Ltwt portbl power whlchr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lightweight portable motorized/power wheelchair"
}
]
},
{
"code": "K0013",
"display": "Custom power whlchr base",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Custom motorized/power wheelchair base"
}
]
},
{
"code": "K0014",
"display": "Other power whlchr base",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Other motorized/power wheelchair base"
}
]
},
{
"code": "K0015",
"display": "Detach non-adj ht armrst rep",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Detachable, non-adjustable height armrest, replacement only, each"
}
]
},
{
"code": "K0017",
"display": "Detach adjust armrest base",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Detachable, adjustable height armrest, base, replacement only, each"
}
]
},
{
"code": "K0018",
"display": "Detach adjust armrst upper",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Detachable, adjustable height armrest, upper portion, replacement only, each"
}
]
},
{
"code": "K0019",
"display": "Arm pad repl, each",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Arm pad, replacement only, each"
}
]
},
{
"code": "K0020",
"display": "Fixed adjust armrest pair",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Fixed, adjustable height armrest, pair"
}
]
},
{
"code": "K0037",
"display": "Hi mount flip-up footrest ea",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "High mount flip-up footrest, each"
}
]
},
{
"code": "K0038",
"display": "Leg strap each",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Leg strap, each"
}
]
},
{
"code": "K0039",
"display": "Leg strap h style each",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Leg strap, h style, each"
}
]
},
{
"code": "K0040",
"display": "Adjustable angle footplate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adjustable angle footplate, each"
}
]
},
{
"code": "K0041",
"display": "Large size footplate each",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Large size footplate, each"
}
]
},
{
"code": "K0042",
"display": "Standard size ftplate rep ea",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Standard size footplate, replacement only, each"
}
]
},
{
"code": "K0043",
"display": "Ftrst lowr exten tube rep ea",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Footrest, lower extension tube, replacement only, each"
}
]
},
{
"code": "K0044",
"display": "Ftrst upr hanger brac rep ea",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Footrest, upper hanger bracket, replacement only, each"
}
]
},
{
"code": "K0045",
"display": "Ftrst compl assembly repl ea",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Footrest, complete assembly, replacement only, each"
}
]
},
{
"code": "K0046",
"display": "Elev lgrst lwr exten repl ea",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Elevating legrest, lower extension tube, replacement only, each"
}
]
},
{
"code": "K0047",
"display": "Elev legrst upr hangr rep ea",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Elevating legrest, upper hanger bracket, replacement only, each"
}
]
},
{
"code": "K0050",
"display": "Ratchet assembly replacement",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ratchet assembly, replacement only"
}
]
},
{
"code": "K0051",
"display": "Cam rel asm ft/legrst rep ea",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cam release assembly, footrest or legrest, replacement only, each"
}
]
},
{
"code": "K0052",
"display": "Swingaway detach ftrest repl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Swingaway, detachable footrests, replacement only, each"
}
]
},
{
"code": "K0053",
"display": "Elevate footrest articulate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Elevating footrests, articulating (telescoping), each"
}
]
},
{
"code": "K0056",
"display": "Seat ht <17 or >=21 ltwt wc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Seat height less than 17\" or equal to or greater than 21\" for a high strength, lightweight, or ultralightweight wheelchair"
}
]
},
{
"code": "K0065",
"display": "Spoke protectors",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spoke protectors, each"
}
]
},
{
"code": "K0069",
"display": "Rr whl compl sol tire rep ea",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each"
}
]
},
{
"code": "K0070",
"display": "Rr whl compl pne tire rep ea",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, each"
}
]
},
{
"code": "K0071",
"display": "Fr cstr comp pne tire rep ea",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Front caster assembly, complete, with pneumatic tire, replacement only, each"
}
]
},
{
"code": "K0072",
"display": "Fr cstr semi-pne tire rep ea",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Front caster assembly, complete, with semi-pneumatic tire, replacement only, each"
}
]
},
{
"code": "K0073",
"display": "Caster pin lock each",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Caster pin lock, each"
}
]
},
{
"code": "K0077",
"display": "Fr cstr asmb sol tire rep ea",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Front caster assembly, complete, with solid tire, replacement only, each"
}
]
},
{
"code": "K0098",
"display": "Drive belt for pwc, repl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Drive belt for power wheelchair, replacement only"
}
]
},
{
"code": "K0105",
"display": "Iv hanger",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Iv hanger, each"
}
]
},
{
"code": "K0108",
"display": "W/c component-accessory nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair component or accessory, not otherwise specified"
}
]
},
{
"code": "K0195",
"display": "Elevating whlchair leg rests",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Elevating leg rests, pair (for use with capped rental wheelchair base)"
}
]
},
{
"code": "K0455",
"display": "Pump uninterrupted infusion",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol)"
}
]
},
{
"code": "K0462",
"display": "Temporary replacement eqpmnt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Temporary replacement for patient owned equipment being repaired, any type"
}
]
},
{
"code": "K0552",
"display": "Sup/ext non-ins inf pump syr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each"
}
]
},
{
"code": "K0553",
"display": "Ther cgm supply allowance",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service"
}
]
},
{
"code": "K0554",
"display": "Ther cgm receiver/monitor",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system"
}
]
},
{
"code": "K0601",
"display": "Repl batt silver oxide 1.5 v",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replacement battery for external infusion pump owned by patient, silver oxide, 1.5 volt, each"
}
]
},
{
"code": "K0602",
"display": "Repl batt silver oxide 3 v",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replacement battery for external infusion pump owned by patient, silver oxide, 3 volt, each"
}
]
},
{
"code": "K0603",
"display": "Repl batt alkaline 1.5 v",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each"
}
]
},
{
"code": "K0604",
"display": "Repl batt lithium 3.6 v",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replacement battery for external infusion pump owned by patient, lithium, 3.6 volt, each"
}
]
},
{
"code": "K0605",
"display": "Repl batt lithium 4.5 v",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replacement battery for external infusion pump owned by patient, lithium, 4.5 volt, each"
}
]
},
{
"code": "K0606",
"display": "Aed garment w elec analysis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Automatic external defibrillator, with integrated electrocardiogram analysis, garment type"
}
]
},
{
"code": "K0607",
"display": "Repl batt for aed",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replacement battery for automated external defibrillator, garment type only, each"
}
]
},
{
"code": "K0608",
"display": "Repl garment for aed",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replacement garment for use with automated external defibrillator, each"
}
]
},
{
"code": "K0609",
"display": "Repl electrode for aed",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replacement electrodes for use with automated external defibrillator, garment type only, each"
}
]
},
{
"code": "K0669",
"display": "Seat/back cus no dmepdac ver",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair accessory, wheelchair seat or back cushion, does not meet specific code criteria or no written coding verification from dme pdac"
}
]
},
{
"code": "K0672",
"display": "Removable soft interface le",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity orthosis, removable soft interface, all components, replacement only, each"
}
]
},
{
"code": "K0730",
"display": "Ctrl dose inh drug deliv sys",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Controlled dose inhalation drug delivery system"
}
]
},
{
"code": "K0733",
"display": "12-24hr sealed lead acid",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)"
}
]
},
{
"code": "K0738",
"display": "Portable gas oxygen system",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing"
}
]
},
{
"code": "K0739",
"display": "Repair/svc dme non-oxygen eq",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes"
}
]
},
{
"code": "K0740",
"display": "Repair/svc oxygen equipment",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Repair or nonroutine service for oxygen equipment requiring the skill of a technician, labor component, per 15 minutes"
}
]
},
{
"code": "K0743",
"display": "Portable home suction pump",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Suction pump, home model, portable, for use on wounds"
}
]
},
{
"code": "K0744",
"display": "Absorp drg <= 16 suc pump",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Absorptive wound dressing for use with suction pump, home model, portable, pad size 16 square inches or less"
}
]
},
{
"code": "K0745",
"display": "Absorp drg >16<=48 suc pump",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Absorptive wound dressing for use with suction pump, home model, portable, pad size more than 16 square inches but less than or equal to 48 square inches"
}
]
},
{
"code": "K0746",
"display": "Absorp drg >48 suc pump",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Absorptive wound dressing for use with suction pump, home model, portable, pad size greater than 48 square inches"
}
]
},
{
"code": "K0800",
"display": "Pov group 1 std up to 300lbs",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds"
}
]
},
{
"code": "K0801",
"display": "Pov group 1 hd 301-450 lbs",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power operated vehicle, group 1 heavy duty, patient weight capacity 301 to 450 pounds"
}
]
},
{
"code": "K0802",
"display": "Pov group 1 vhd 451-600 lbs",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power operated vehicle, group 1 very heavy duty, patient weight capacity 451 to 600 pounds"
}
]
},
{
"code": "K0806",
"display": "Pov group 2 std up to 300lbs",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds"
}
]
},
{
"code": "K0807",
"display": "Pov group 2 hd 301-450 lbs",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power operated vehicle, group 2 heavy duty, patient weight capacity 301 to 450 pounds"
}
]
},
{
"code": "K0808",
"display": "Pov group 2 vhd 451-600 lbs",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power operated vehicle, group 2 very heavy duty, patient weight capacity 451 to 600 pounds"
}
]
},
{
"code": "K0812",
"display": "Power operated vehicle noc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power operated vehicle, not otherwise classified"
}
]
},
{
"code": "K0813",
"display": "Pwc gp 1 std port seat/back",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds"
}
]
},
{
"code": "K0814",
"display": "Pwc gp 1 std port cap chair",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 1 standard, portable, captains chair, patient weight capacity up to and including 300 pounds"
}
]
},
{
"code": "K0815",
"display": "Pwc gp 1 std seat/back",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds"
}
]
},
{
"code": "K0816",
"display": "Pwc gp 1 std cap chair",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds"
}
]
},
{
"code": "K0820",
"display": "Pwc gp 2 std port seat/back",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 2 standard, portable, sling/solid seat/back, patient weight capacity up to and including 300 pounds"
}
]
},
{
"code": "K0821",
"display": "Pwc gp 2 std port cap chair",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds"
}
]
},
{
"code": "K0822",
"display": "Pwc gp 2 std seat/back",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds"
}
]
},
{
"code": "K0823",
"display": "Pwc gp 2 std cap chair",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds"
}
]
},
{
"code": "K0824",
"display": "Pwc gp 2 hd seat/back",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 2 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds"
}
]
},
{
"code": "K0825",
"display": "Pwc gp 2 hd cap chair",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds"
}
]
},
{
"code": "K0826",
"display": "Pwc gp 2 vhd seat/back",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 2 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds"
}
]
},
{
"code": "K0827",
"display": "Pwc gp vhd cap chair",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 2 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds"
}
]
},
{
"code": "K0828",
"display": "Pwc gp 2 xtra hd seat/back",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 2 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more"
}
]
},
{
"code": "K0829",
"display": "Pwc gp 2 xtra hd cap chair",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 2 extra heavy duty, captains chair, patient weight 601 pounds or more"
}
]
},
{
"code": "K0830",
"display": "Pwc gp2 std seat elevate s/b",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 2 standard, seat elevator, sling/solid seat/back, patient weight capacity up to and including 300 pounds"
}
]
},
{
"code": "K0831",
"display": "Pwc gp2 std seat elevate cap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 2 standard, seat elevator, captains chair, patient weight capacity up to and including 300 pounds"
}
]
},
{
"code": "K0835",
"display": "Pwc gp2 std sing pow opt s/b",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 2 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds"
}
]
},
{
"code": "K0836",
"display": "Pwc gp2 std sing pow opt cap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 2 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds"
}
]
},
{
"code": "K0837",
"display": "Pwc gp 2 hd sing pow opt s/b",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 2 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds"
}
]
},
{
"code": "K0838",
"display": "Pwc gp 2 hd sing pow opt cap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 2 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds"
}
]
},
{
"code": "K0839",
"display": "Pwc gp2 vhd sing pow opt s/b",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 2 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds"
}
]
},
{
"code": "K0840",
"display": "Pwc gp2 xhd sing pow opt s/b",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 2 extra heavy duty, single power option, sling/solid seat/back, patient weight capacity 601 pounds or more"
}
]
},
{
"code": "K0841",
"display": "Pwc gp2 std mult pow opt s/b",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 2 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds"
}
]
},
{
"code": "K0842",
"display": "Pwc gp2 std mult pow opt cap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 2 standard, multiple power option, captains chair, patient weight capacity up to and including 300 pounds"
}
]
},
{
"code": "K0843",
"display": "Pwc gp2 hd mult pow opt s/b",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 2 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds"
}
]
},
{
"code": "K0848",
"display": "Pwc gp 3 std seat/back",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 3 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds"
}
]
},
{
"code": "K0849",
"display": "Pwc gp 3 std cap chair",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 3 standard, captains chair, patient weight capacity up to and including 300 pounds"
}
]
},
{
"code": "K0850",
"display": "Pwc gp 3 hd seat/back",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 3 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds"
}
]
},
{
"code": "K0851",
"display": "Pwc gp 3 hd cap chair",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 3 heavy duty, captains chair, patient weight capacity 301 to 450 pounds"
}
]
},
{
"code": "K0852",
"display": "Pwc gp 3 vhd seat/back",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 3 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds"
}
]
},
{
"code": "K0853",
"display": "Pwc gp 3 vhd cap chair",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 3 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds"
}
]
},
{
"code": "K0854",
"display": "Pwc gp 3 xhd seat/back",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 3 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more"
}
]
},
{
"code": "K0855",
"display": "Pwc gp 3 xhd cap chair",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 3 extra heavy duty, captains chair, patient weight capacity 601 pounds or more"
}
]
},
{
"code": "K0856",
"display": "Pwc gp3 std sing pow opt s/b",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds"
}
]
},
{
"code": "K0857",
"display": "Pwc gp3 std sing pow opt cap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 3 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds"
}
]
},
{
"code": "K0858",
"display": "Pwc gp3 hd sing pow opt s/b",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 3 heavy duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds"
}
]
},
{
"code": "K0859",
"display": "Pwc gp3 hd sing pow opt cap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 3 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds"
}
]
},
{
"code": "K0860",
"display": "Pwc gp3 vhd sing pow opt s/b",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 3 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds"
}
]
},
{
"code": "K0861",
"display": "Pwc gp3 std mult pow opt s/b",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds"
}
]
},
{
"code": "K0862",
"display": "Pwc gp3 hd mult pow opt s/b",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 3 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds"
}
]
},
{
"code": "K0863",
"display": "Pwc gp3 vhd mult pow opt s/b",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 3 very heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds"
}
]
},
{
"code": "K0864",
"display": "Pwc gp3 xhd mult pow opt s/b",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 3 extra heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 601 pounds or more"
}
]
},
{
"code": "K0868",
"display": "Pwc gp 4 std seat/back",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 4 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds"
}
]
},
{
"code": "K0869",
"display": "Pwc gp 4 std cap chair",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 4 standard, captains chair, patient weight capacity up to and including 300 pounds"
}
]
},
{
"code": "K0870",
"display": "Pwc gp 4 hd seat/back",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 4 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds"
}
]
},
{
"code": "K0871",
"display": "Pwc gp 4 vhd seat/back",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 4 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds"
}
]
},
{
"code": "K0877",
"display": "Pwc gp4 std sing pow opt s/b",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 4 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds"
}
]
},
{
"code": "K0878",
"display": "Pwc gp4 std sing pow opt cap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 4 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds"
}
]
},
{
"code": "K0879",
"display": "Pwc gp4 hd sing pow opt s/b",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 4 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds"
}
]
},
{
"code": "K0880",
"display": "Pwc gp4 vhd sing pow opt s/b",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 4 very heavy duty, single power option, sling/solid seat/back, patient weight 451 to 600 pounds"
}
]
},
{
"code": "K0884",
"display": "Pwc gp4 std mult pow opt s/b",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 4 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds"
}
]
},
{
"code": "K0885",
"display": "Pwc gp4 std mult pow opt cap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 4 standard, multiple power option, captains chair, patient weight capacity up to and including 300 pounds"
}
]
},
{
"code": "K0886",
"display": "Pwc gp4 hd mult pow s/b",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 4 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds"
}
]
},
{
"code": "K0890",
"display": "Pwc gp5 ped sing pow opt s/b",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 5 pediatric, single power option, sling/solid seat/back, patient weight capacity up to and including 125 pounds"
}
]
},
{
"code": "K0891",
"display": "Pwc gp5 ped mult pow opt s/b",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, group 5 pediatric, multiple power option, sling/solid seat/back, patient weight capacity up to and including 125 pounds"
}
]
},
{
"code": "K0898",
"display": "Power wheelchair noc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power wheelchair, not otherwise classified"
}
]
},
{
"code": "K0899",
"display": "Pow mobil dev no dmepdac",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power mobility device, not coded by dme pdac or does not meet criteria"
}
]
},
{
"code": "K0900",
"display": "Cstm dme other than wheelchr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Customized durable medical equipment, other than wheelchair"
}
]
},
{
"code": "K0901",
"display": "Ko single upright pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf"
}
]
},
{
"code": "K0902",
"display": "Ko double upright pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf"
}
]
},
{
"code": "K0903",
"display": "Mult den insert dir carv/cam",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each"
}
]
},
{
"code": "K1001",
"display": "Electronic posa treatment",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Electronic positional obstructive sleep apnea treatment, with sensor, includes all components and accessories, any type"
}
]
},
{
"code": "K1002",
"display": "Ces system",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cranial electrotherapy stimulation (ces) system, any type"
}
]
},
{
"code": "K1003",
"display": "Whirlpool tub walkin portabl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Whirlpool tub, walk-in, portable"
}
]
},
{
"code": "K1004",
"display": "Lo freq us diathermy device",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Low frequency ultrasonic diathermy treatment device for home use"
}
]
},
{
"code": "K1005",
"display": "Disp col sto bag breast milk",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Disposable collection and storage bag for breast milk, any size, any type, each"
}
]
},
{
"code": "K1006",
"display": "Suct pum ext urine mgmt sys",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Suction pump, home model, portable or stationary, electric, any type, for use with external urine management system"
}
]
},
{
"code": "K1007",
"display": "Bil hkaf pc s/d micro sensor",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bilateral hip, knee, ankle, foot device, powered, includes pelvic component, single or double upright(s), knee joints any type, with or without ankle joints any type, includes all components and accessories, motors, microprocessors, sensors"
}
]
},
{
"code": "K1009",
"display": "Speech volume modulation sys",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Speech volume modulation system, any type, including all components and accessories"
}
]
},
{
"code": "K1010",
"display": "Intraurethral drainag device",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Indwelling intraurethral drainage device with valve, patient inserted, replacement only, each"
}
]
},
{
"code": "K1011",
"display": "Acti intraurethral drainage",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Activation device for intraurethral drainage device with valve, replacement only, each"
}
]
},
{
"code": "K1012",
"display": "Charger base station intraur",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Charger and base station for intraurethral activation device, replacement only"
}
]
},
{
"code": "K1013",
"display": "Enema tube any type repl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Enema tube, with or without adapter, any type, replacement only, each"
}
]
},
{
"code": "K1014",
"display": "Ak 4 bar link hydl swg/stanc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, fluid swing and stance phase control"
}
]
},
{
"code": "K1015",
"display": "Foot, adductus position, adj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Foot, adductus positioning device, adjustable"
}
]
},
{
"code": "K1016",
"display": "Trans elec nerv for trigemin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve"
}
]
},
{
"code": "K1017",
"display": "Monthly supp use with k1016",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Monthly supplies for use of device coded at k1016"
}
]
},
{
"code": "K1018",
"display": "Ext up limb tremor stim wris",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "External upper limb tremor stimulator of the peripheral nerves of the wrist"
}
]
},
{
"code": "K1019",
"display": "Supp ext up limb tremor stim",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist"
}
]
},
{
"code": "K1020",
"display": "Non-invasive vagus nerv stim",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-invasive vagus nerve stimulator"
}
]
},
{
"code": "K1021",
"display": "Exsuff belt incl all sup acc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Exsufflation belt, includes all supplies and accessories"
}
]
},
{
"code": "K1022",
"display": "Endoskel posit rotat unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type"
}
]
},
{
"code": "K1023",
"display": "Trans elec nerv periph nerv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Distal transcutaneous electrical nerve stimulator, stimulates peripheral nerves of the upper arm"
}
]
},
{
"code": "K1024",
"display": "Non pneum comp control cal",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-pneumatic compression controller with sequential calibrated gradient pressure"
}
]
},
{
"code": "K1025",
"display": "Non pneum compress full arm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-pneumatic sequential compression garment, full arm"
}
]
},
{
"code": "K1026",
"display": "Mech allergen parti barrier",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Mechanical allergen particle barrier/inhalation filter, cream, nasal, topical"
}
]
},
{
"code": "K1027",
"display": "Oral dev without fix mech",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oral device/appliance used to reduce upper airway collapsibility, without fixed mechanical hinge, custom fabricated, includes fitting and adjustment"
}
]
},
{
"code": "K1028",
"display": "Control unit nm stim w phone",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by phone application"
}
]
},
{
"code": "K1029",
"display": "Oral dv/app neuromus mouthpi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by phone application, 90-day supply"
}
]
},
{
"code": "K1030",
"display": "Ext recharge bat replacement",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "External recharging system for battery (internal) for use with implanted cardiac contractility modulation generator, replacement only"
}
]
},
{
"code": "K1031",
"display": "Non pneu comp control w/o ca",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-pneumatic compression controller without calibrated gradient pressure"
}
]
},
{
"code": "K1032",
"display": "Non pneum seq comp full leg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-pneumatic sequential compression garment, full leg"
}
]
},
{
"code": "K1033",
"display": "Non pneum seq comp half leg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-pneumatic sequential compression garment, half leg"
}
]
},
{
"code": "K1034",
"display": "Covid test self-admn/collect",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count"
}
]
},
{
"code": "K1035",
"display": "Mol diag reader self-admn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Molecular diagnostic test reader, nonprescription self-administered and self-collected use, fda approved, authorized or cleared"
}
]
},
{
"code": "K1036",
"display": "Supplies for ultra diatherm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Supplies and accessories (e.g., transducer) for low frequency ultrasonic diathermy treatment device, per month"
}
]
},
{
"code": "K1037",
"display": "Docking station for oral dev",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Docking station for use with oral device/appliance used to reduce upper airway collapsibility"
}
]
},
{
"code": "L0112",
"display": "Cranial cervical orthosis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cranial cervical orthosis, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated"
}
]
},
{
"code": "L0113",
"display": "Cranial cervical torticollis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cranial cervical orthosis, torticollis type, with or without joint, with or without soft interface material, prefabricated, includes fitting and adjustment"
}
]
},
{
"code": "L0120",
"display": "Cerv flex n/adj foam pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar)"
}
]
},
{
"code": "L0130",
"display": "Flex thermoplastic collar mo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cervical, flexible, thermoplastic collar, molded to patient"
}
]
},
{
"code": "L0140",
"display": "Cervical semi-rigid adjustab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cervical, semi-rigid, adjustable (plastic collar)"
}
]
},
{
"code": "L0150",
"display": "Cerv semi-rig adj molded chn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece)"
}
]
},
{
"code": "L0160",
"display": "Cerv sr wire occ/man pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf"
}
]
},
{
"code": "L0170",
"display": "Cervical collar molded to pt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cervical, collar, molded to patient model"
}
]
},
{
"code": "L0172",
"display": "Cerv col sr foam 2pc pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf"
}
]
},
{
"code": "L0174",
"display": "Cerv sr 2pc thor ext pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf"
}
]
},
{
"code": "L0180",
"display": "Cer post col occ/man sup adj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cervical, multiple post collar, occipital/mandibular supports, adjustable"
}
]
},
{
"code": "L0190",
"display": "Cerv collar supp adj cerv ba",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (somi, guilford, taylor types)"
}
]
},
{
"code": "L0200",
"display": "Cerv col supp adj bar & thor",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoracic extension"
}
]
},
{
"code": "L0220",
"display": "Thor rib belt custom fabrica",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Thoracic, rib belt, custom fabricated"
}
]
},
{
"code": "L0450",
"display": "Tlso flex trunk/thor pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tlso, flexible, provides trunk support, upper thoracic region, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, prefabricated, off-the-shelf"
}
]
},
{
"code": "L0452",
"display": "Tlso flex custom fab thoraci",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tlso, flexible, provides trunk support, upper thoracic region, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, custom fabricated"
}
]
},
{
"code": "L0454",
"display": "Tlso trnk sj-t9 pre cst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tlso flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
}
]
},
{
"code": "L0455",
"display": "Tlso flex trnk sj-t9 pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tlso, flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, prefabricated, off-the-shelf"
}
]
},
{
"code": "L0456",
"display": "Tlso flex trnk sj-ss pre cst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks, includes straps and closures, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
}
]
},
{
"code": "L0457",
"display": "Tlso flex trnk sj-ss pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks, includes straps and closures, prefabricated, off-the-shelf"
}
]
},
{
"code": "L0458",
"display": "Tlso 2mod symphis-xipho pre",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior extends from the symphysis pubis to the xiphoid, soft liner, restricts gross trunk motion in the sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment"
}
]
},
{
"code": "L0460",
"display": "Tlso 2 shl symphys-stern cst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior extends from the symphysis pubis to the sternal notch, soft liner, restricts gross trunk motion in the sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
}
]
},
{
"code": "L0462",
"display": "Tlso 3mod sacro-scap pre",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tlso, triplanar control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior extends from the symphysis pubis to the sternal notch, soft liner, restricts gross trunk motion in the sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment"
}
]
},
{
"code": "L0464",
"display": "Tlso 4mod sacro-scap pre",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tlso, triplanar control, modular segmented spinal system, four rigid plastic shells, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to the sternal notch, soft liner, restricts gross trunk motion in sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment"
}
]
},
{
"code": "L0466",
"display": "Tlso r fram soft ant pre cst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to reduce load on intervertebral disks, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
}
]
},
{
"code": "L0467",
"display": "Tlso r fram soft pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to reduce load on intervertebral disks, prefabricated, off-the-shelf"
}
]
},
{
"code": "L0468",
"display": "Tlso rig fram pelvic pre cst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tlso, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided by pelvic, thoracic, and lateral frame pieces, restricts gross trunk motion in sagittal, and coronal planes, produces intracavitary pressure to reduce load on intervertebral disks, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
}
]
},
{
"code": "L0469",
"display": "Tlso rig fram pelvic pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tlso, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided by pelvic, thoracic, and lateral frame pieces, restricts gross trunk motion in sagittal and coronal planes, produces intracavitary pressure to reduce load on intervertebral disks, prefabricated, off-the-shelf"
}
]
},
{
"code": "L0470",
"display": "Tlso rigid frame pre subclav",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tlso, triplanar control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction to scapula, lateral strength provided by pelvic, thoracic, and lateral frame pieces, rotational strength provided by subclavicular extensions, restricts gross trunk motion in sagittal, coronal, and transverse planes, provides intracavitary pressure to reduce load on the intervertebral disks, includes fitting and shaping the frame, prefabricated, includes fitting and adjustment"
}
]
},
{
"code": "L0472",
"display": "Tlso rigid frame hyperex pre",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tlso, triplanar control, hyperextension, rigid anterior and lateral frame extends from symphysis pubis to sternal notch with two anterior components (one pubic and one sternal), posterior and lateral pads with straps and closures, limits spinal flexion, restricts gross trunk motion in sagittal, coronal, and transverse planes, includes fitting and shaping the frame, prefabricated, includes fitting and adjustment"
}
]
},
{
"code": "L0480",
"display": "Tlso rigid plastic custom fa",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tlso, triplanar control, one piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, anterior or posterior opening, restricts gross trunk motion in sagittal, coronal, and transverse planes, includes a carved plaster or cad-cam model, custom fabricated"
}
]
},
{
"code": "L0482",
"display": "Tlso rigid lined custom fab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tlso, triplanar control, one piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, anterior or posterior opening, restricts gross trunk motion in sagittal, coronal, and transverse planes, includes a carved plaster or cad-cam model, custom fabricated"
}
]
},
{
"code": "L0484",
"display": "Tlso rigid plastic cust fab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tlso, triplanar control, two piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, lateral strength is enhanced by overlapping plastic, restricts gross trunk motion in the sagittal, coronal, and transverse planes, includes a carved plaster or cad-cam model, custom fabricated"
}
]
},
{
"code": "L0486",
"display": "Tlso rigidlined cust fab two",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tlso, triplanar control, two piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, lateral strength is enhanced by overlapping plastic, restricts gross trunk motion in the sagittal, coronal, and transverse planes, includes a carved plaster or cad-cam model, custom fabricated"
}
]
},
{
"code": "L0488",
"display": "Tlso rigid lined pre one pie",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tlso, triplanar control, one piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, anterior or posterior opening, restricts gross trunk motion in sagittal, coronal, and transverse planes, prefabricated, includes fitting and adjustment"
}
]
},
{
"code": "L0490",
"display": "Tlso rigid plastic pre one",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tlso, sagittal-coronal control, one piece rigid plastic shell, with overlapping reinforced anterior, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates at or before the t-9 vertebra, anterior extends from symphysis pubis to xiphoid, anterior opening, restricts gross trunk motion in sagittal and coronal planes, prefabricated, includes fitting and adjustment"
}
]
},
{
"code": "L0491",
"display": "Tlso 2 piece rigid shell",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tlso, sagittal-coronal control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior extends from the symphysis pubis to the xiphoid, soft liner, restricts gross trunk motion in the sagittal and coronal planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment"
}
]
},
{
"code": "L0492",
"display": "Tlso 3 piece rigid shell",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tlso, sagittal-coronal control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior extends from the symphysis pubis to the xiphoid, soft liner, restricts gross trunk motion in the sagittal and coronal planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment"
}
]
},
{
"code": "L0621",
"display": "Sio flex pelvic/sacr pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf"
}
]
},
{
"code": "L0622",
"display": "Sio flex pelvisacral custom",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated"
}
]
},
{
"code": "L0623",
"display": "Sio rig pnl pelv/sac pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf"
}
]
},
{
"code": "L0624",
"display": "Sio panel custom",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels placed over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated"
}
]
},
{
"code": "L0625",
"display": "Lo flex l1-below l5 pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include pendulous abdomen design, shoulder straps, stays, prefabricated, off-the-shelf"
}
]
},
{
"code": "L0626",
"display": "Lo sag rig pnl stays pre cst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
}
]
},
{
"code": "L0627",
"display": "Lo sag ri an/pos pnl pre cst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
}
]
},
{
"code": "L0628",
"display": "Lso flex no ri stays pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf"
}
]
},
{
"code": "L0629",
"display": "Lso flex w/rigid stays cust",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include stays, shoulder straps, pendulous abdomen design, custom fabricated"
}
]
},
{
"code": "L0630",
"display": "Lso r post pnl sj-t9 pre cst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
}
]
},
{
"code": "L0631",
"display": "Lso sag r an/pos pnl pre cst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
}
]
},
{
"code": "L0632",
"display": "Lso sag rigid frame cust",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, custom fabricated"
}
]
},
{
"code": "L0633",
"display": "Lso sc r pos/lat pnl pre cst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
}
]
},
{
"code": "L0634",
"display": "Lso flexion control custom",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, custom fabricated"
}
]
},
{
"code": "L0635",
"display": "Lso sagit rigid panel prefab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lumbar-sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panel(s), lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, anterior panel, pendulous abdomen design, prefabricated, includes fitting and adjustment"
}
]
},
{
"code": "L0636",
"display": "Lso sagittal rigid panel cus",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lumbar sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panels, lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, anterior panel, pendulous abdomen design, custom fabricated"
}
]
},
{
"code": "L0637",
"display": "Lso sc r ant/pos pnl pre cst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
}
]
},
{
"code": "L0638",
"display": "Lso sag-coronal panel custom",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, custom fabricated"
}
]
},
{
"code": "L0639",
"display": "Lso s/c shell/panel prefab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
}
]
},
{
"code": "L0640",
"display": "Lso s/c shell/panel custom",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, custom fabricated"
}
]
},
{
"code": "L0641",
"display": "Lo rig pos pnl l1-l5 pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf"
}
]
},
{
"code": "L0642",
"display": "Lo sag ri an/pos pnl pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf"
}
]
},
{
"code": "L0643",
"display": "Lso sag ctr rigi pos pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf"
}
]
},
{
"code": "L0648",
"display": "Lso sag r an/pos pnl pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf"
}
]
},
{
"code": "L0649",
"display": "Lso sc r pos/lat pnl pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf"
}
]
},
{
"code": "L0650",
"display": "Lso sc r ant/pos pnl pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf"
}
]
},
{
"code": "L0651",
"display": "Lso sag-co shell pnl pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, prefabricated, off-the-shelf"
}
]
},
{
"code": "L0700",
"display": "Ctlso a-p-l control molded",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, molded to patient model, (minerva type)"
}
]
},
{
"code": "L0710",
"display": "Ctlso a-p-l control w/ inter",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ctlso, anterior-posterior-lateral-control, molded to patient model, with interface material, (minerva type)"
}
]
},
{
"code": "L0810",
"display": "Halo cervical into jckt vest",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Halo procedure, cervical halo incorporated into jacket vest"
}
]
},
{
"code": "L0820",
"display": "Halo cervical into body jack",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Halo procedure, cervical halo incorporated into plaster body jacket"
}
]
},
{
"code": "L0830",
"display": "Halo cerv into milwaukee typ",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Halo procedure, cervical halo incorporated into milwaukee type orthosis"
}
]
},
{
"code": "L0859",
"display": "Mri compatible system",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material"
}
]
},
{
"code": "L0861",
"display": "Halo repl liner/interface",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to halo procedure, replacement liner/interface material"
}
]
},
{
"code": "L0970",
"display": "Tlso corset front",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tlso, corset front"
}
]
},
{
"code": "L0972",
"display": "Lso corset front",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lso, corset front"
}
]
},
{
"code": "L0974",
"display": "Tlso full corset",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tlso, full corset"
}
]
},
{
"code": "L0976",
"display": "Lso full corset",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lso, full corset"
}
]
},
{
"code": "L0978",
"display": "Axillary crutch extension"
},
{
"code": "L0980",
"display": "Peroneal straps pair pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Peroneal straps, prefabricated, off-the-shelf, pair"
}
]
},
{
"code": "L0982",
"display": "Stocking sup grips 4 pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Stocking supporter grips, prefabricated, off-the-shelf, set of four (4)"
}
]
},
{
"code": "L0984",
"display": "Protect body sock ea pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Protective body sock, prefabricated, off-the-shelf, each"
}
]
},
{
"code": "L0999",
"display": "Add to spinal orthosis nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to spinal orthosis, not otherwise specified"
}
]
},
{
"code": "L1000",
"display": "Ctlso milwauke initial model",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cervical-thoracic-lumbar-sacral orthosis (ctlso) (milwaukee), inclusive of furnishing initial orthosis, including model"
}
]
},
{
"code": "L1001",
"display": "Ctlso infant immobilizer",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cervical thoracic lumbar sacral orthosis, immobilizer, infant size, prefabricated, includes fitting and adjustment"
}
]
},
{
"code": "L1005",
"display": "Tension based scoliosis orth",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment"
}
]
},
{
"code": "L1006",
"display": "Scoliosis orth sag/ cor",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Scoliosis orthosis, sagittal-coronal control provided by a rigid lateral frame, extends from axilla to trochanter, includes all accessory pads, straps and interface, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
}
]
},
{
"code": "L1010",
"display": "Ctlso axilla sling",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to cervical-thoracic-lumbar-sacral orthosis (ctlso) or scoliosis orthosis, axilla sling"
}
]
},
{
"code": "L1020",
"display": "Kyphosis pad",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to ctlso or scoliosis orthosis, kyphosis pad"
}
]
},
{
"code": "L1025",
"display": "Kyphosis pad floating",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to ctlso or scoliosis orthosis, kyphosis pad, floating"
}
]
},
{
"code": "L1030",
"display": "Lumbar bolster pad",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to ctlso or scoliosis orthosis, lumbar bolster pad"
}
]
},
{
"code": "L1040",
"display": "Lumbar or lumbar rib pad",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to ctlso or scoliosis orthosis, lumbar or lumbar rib pad"
}
]
},
{
"code": "L1050",
"display": "Sternal pad",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to ctlso or scoliosis orthosis, sternal pad"
}
]
},
{
"code": "L1060",
"display": "Thoracic pad",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to ctlso or scoliosis orthosis, thoracic pad"
}
]
},
{
"code": "L1070",
"display": "Trapezius sling",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to ctlso or scoliosis orthosis, trapezius sling"
}
]
},
{
"code": "L1080",
"display": "Outrigger",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to ctlso or scoliosis orthosis, outrigger"
}
]
},
{
"code": "L1085",
"display": "Outrigger bil w/ vert extens",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to ctlso or scoliosis orthosis, outrigger, bilateral with vertical extensions"
}
]
},
{
"code": "L1090",
"display": "Lumbar sling",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to ctlso or scoliosis orthosis, lumbar sling"
}
]
},
{
"code": "L1100",
"display": "Ring flange plastic/leather",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather"
}
]
},
{
"code": "L1110",
"display": "Ring flange plas/leather mol",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather, molded to patient model"
}
]
},
{
"code": "L1120",
"display": "Covers for upright each",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to ctlso, scoliosis orthosis, cover for upright, each"
}
]
},
{
"code": "L1200",
"display": "Furnsh initial orthosis only",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosis only"
}
]
},
{
"code": "L1210",
"display": "Lateral thoracic extension",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to tlso, (low profile), lateral thoracic extension"
}
]
},
{
"code": "L1220",
"display": "Anterior thoracic extension",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to tlso, (low profile), anterior thoracic extension"
}
]
},
{
"code": "L1230",
"display": "Milwaukee type superstructur",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to tlso, (low profile), milwaukee type superstructure"
}
]
},
{
"code": "L1240",
"display": "Lumbar derotation pad",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to tlso, (low profile), lumbar derotation pad"
}
]
},
{
"code": "L1250",
"display": "Anterior asis pad",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to tlso, (low profile), anterior asis pad"
}
]
},
{
"code": "L1260",
"display": "Anterior thoracic derotation",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to tlso, (low profile), anterior thoracic derotation pad"
}
]
},
{
"code": "L1270",
"display": "Abdominal pad",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to tlso, (low profile), abdominal pad"
}
]
},
{
"code": "L1280",
"display": "Rib gusset (elastic) each",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to tlso, (low profile), rib gusset (elastic), each"
}
]
},
{
"code": "L1290",
"display": "Lateral trochanteric pad",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to tlso, (low profile), lateral trochanteric pad"
}
]
},
{
"code": "L1300",
"display": "Body jacket mold to patient",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Other scoliosis procedure, body jacket molded to patient model"
}
]
},
{
"code": "L1310",
"display": "Post-operative body jacket",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Other scoliosis procedure, post-operative body jacket"
}
]
},
{
"code": "L1320",
"display": "Pectus carinatum ortho cust",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Thoracic, pectus carinatum orthosis, sternal compression, rigid circumferential frame with anterior and posterior rigid pads, custom fabricated"
}
]
},
{
"code": "L1499",
"display": "Spinal orthosis nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spinal orthosis, not otherwise specified"
}
]
},
{
"code": "L1600",
"display": "Ho flex frejka w/cov pre cst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hip orthosis, abduction control of hip joints, flexible, frejka type with cover, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an inidividual with expertise"
}
]
},
{
"code": "L1610",
"display": "Ho frejka cov only pre cst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hip orthosis, abduction control of hip joints, flexible, (frejka cover only), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
}
]
},
{
"code": "L1620",
"display": "Ho flex pavlik harns pre cst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hip orthosis, abduction control of hip joints, flexible, (pavlik harness), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
}
]
},
{
"code": "L1630",
"display": "Abduct control hip semi-flex",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hip orthosis, abduction control of hip joints, semi-flexible (von rosen type), custom fabricated"
}
]
},
{
"code": "L1640",
"display": "Pelv band/spread bar thigh c",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hip orthosis, abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated"
}
]
},
{
"code": "L1650",
"display": "Ho abduction hip adjustable",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hip orthosis, abduction control of hip joints, static, adjustable, (ilfled type), prefabricated, includes fitting and adjustment"
}
]
},
{
"code": "L1652",
"display": "Ho bi thighcuffs w sprdr bar",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, includes fitting and adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
}
]
},
{
"code": "L1653",
"display": "Ho abduction static ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, off the shelf"
}
]
},
{
"code": "L1660",
"display": "Ho abduction static plastic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hip orthosis, abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment"
}
]
},
{
"code": "L1680",
"display": "Pelvic & hip control thigh c",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hip orthosis, abduction control of hip joints, dynamic, pelvic control, adjustable hip motion control, thigh cuffs (rancho hip action type), custom fabricated"
}
]
},
{
"code": "L1681",
"display": "Ho bilateral hip abduction",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hip orthosis, bilateral hip joints and thigh cuffs, adjustable flexion, extension, abduction control of hip joint, postoperative hip abduction type, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
}
]
},
{
"code": "L1685",
"display": "Post-op hip abduct custom fa",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hip orthosis, abduction control of hip joint, postoperative hip abduction type, custom fabricated"
}
]
},
{
"code": "L1686",
"display": "Ho post-op hip abduction",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment"
}
]
},
{
"code": "L1690",
"display": "Combination bilateral ho",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment"
}
]
},
{
"code": "L1700",
"display": "Leg perthes orth toronto typ",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Legg perthes orthosis, (toronto type), custom fabricated"
}
]
},
{
"code": "L1710",
"display": "Legg perthes orth newington",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Legg perthes orthosis, (newington type), custom fabricated"
}
]
},
{
"code": "L1720",
"display": "Legg perthes orthosis trilat",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Legg perthes orthosis, trilateral, (tachdijan type), custom fabricated"
}
]
},
{
"code": "L1730",
"display": "Legg perthes orth scottish r",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Legg perthes orthosis, (scottish rite type), custom fabricated"
}
]
},
{
"code": "L1755",
"display": "Legg perthes patten bottom t",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Legg perthes orthosis, (patten bottom type), custom fabricated"
}
]
},
{
"code": "L1810",
"display": "Ko elastic with joints",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
}
]
},
{
"code": "L1812",
"display": "Ko elastic w/joints pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Knee orthosis, elastic with joints, prefabricated, off-the-shelf"
}
]
},
{
"code": "L1820",
"display": "Ko elas w/ condyle pads & jo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
}
]
},
{
"code": "L1821",
"display": "Ko elas w/ condyle pads otf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, off the shelf"
}
]
},
{
"code": "L1830",
"display": "Ko immob canvas long pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf"
}
]
},
{
"code": "L1831",
"display": "Knee orth pos locking joint",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Knee orthosis, locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment"
}
]
},
{
"code": "L1832",
"display": "Ko adj jnt pos r sup pre cst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
}
]
},
{
"code": "L1833",
"display": "Ko adj jnt pos r sup pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf"
}
]
},
{
"code": "L1834",
"display": "Ko w/0 joint rigid molded to",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Knee orthosis, without knee joint, rigid, custom fabricated"
}
]
},
{
"code": "L1836",
"display": "Ko rigid w/o joints pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Knee orthosis, rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf"
}
]
},
{
"code": "L1840",
"display": "Ko derot ant cruciate custom",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Knee orthosis, derotation, medial-lateral, anterior cruciate ligament, custom fabricated"
}
]
},
{
"code": "L1843",
"display": "Ko single upright pre cst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
}
]
},
{
"code": "L1844",
"display": "Ko w/adj jt rot cntrl molded",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, custom fabricated"
}
]
},
{
"code": "L1845",
"display": "Ko double upright pre cst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
}
]
},
{
"code": "L1846",
"display": "Ko w adj flex/ext rotat mold",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, custom fabricated"
}
]
},
{
"code": "L1847",
"display": "Ko dbl upright w/air pre cst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
}
]
},
{
"code": "L1848",
"display": "Ko dbl upright w/air pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf"
}
]
},
{
"code": "L1850",
"display": "Ko swedish type pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Knee orthosis, swedish type, prefabricated, off-the-shelf"
}
]
},
{
"code": "L1851",
"display": "Ko single upright prefab ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf"
}
]
},
{
"code": "L1852",
"display": "Ko double upright prefab ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf"
}
]
},
{
"code": "L1860",
"display": "Ko supracondylar socket mold",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Knee orthosis, modification of supracondylar prosthetic socket, custom fabricated (sk)"
}
]
},
{
"code": "L1900",
"display": "Afo sprng wir drsflx calf bd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ankle foot orthosis, spring wire, dorsiflexion assist calf band, custom fabricated"
}
]
},
{
"code": "L1902",
"display": "Afo ankle gauntlet pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf"
}
]
},
{
"code": "L1904",
"display": "Afo molded ankle gauntlet",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated"
}
]
},
{
"code": "L1906",
"display": "Afo multilig ank sup pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf"
}
]
},
{
"code": "L1907",
"display": "Afo supramalleolar custom",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated"
}
]
},
{
"code": "L1910",
"display": "Afo sing bar clasp attach sh",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ankle foot orthosis, posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment"
}
]
},
{
"code": "L1920",
"display": "Afo sing upright w/ adjust s",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ankle foot orthosis, single upright with static or adjustable stop (phelps or perlstein type), custom fabricated"
}
]
},
{
"code": "L1930",
"display": "Afo plastic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment"
}
]
},
{
"code": "L1932",
"display": "Afo rig ant tib prefab tcf/=",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Afo, rigid anterior tibial section, total carbon fiber or equal material, prefabricated, includes fitting and adjustment"
}
]
},
{
"code": "L1940",
"display": "Afo molded to patient plasti",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ankle foot orthosis, plastic or other material, custom fabricated"
}
]
},
{
"code": "L1945",
"display": "Afo molded plas rig ant tib",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ankle foot orthosis, plastic, rigid anterior tibial section (floor reaction), custom fabricated"
}
]
},
{
"code": "L1950",
"display": "Afo spiral molded to pt plas",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic, custom fabricated"
}
]
},
{
"code": "L1951",
"display": "Afo spiral prefabricated",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated, includes fitting and adjustment"
}
]
},
{
"code": "L1960",
"display": "Afo pos solid ank plastic mo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated"
}
]
},
{
"code": "L1970",
"display": "Afo plastic molded w/ankle j",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ankle foot orthosis, plastic with ankle joint, custom fabricated"
}
]
},
{
"code": "L1971",
"display": "Afo w/ankle joint, prefab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment"
}
]
},
{
"code": "L1980",
"display": "Afo sing solid stirrup calf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ankle foot orthosis, single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'bk' orthosis), custom fabricated"
}
]
},
{
"code": "L1990",
"display": "Afo doub solid stirrup calf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ankle foot orthosis, double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar 'bk' orthosis), custom fabricated"
}
]
},
{
"code": "L2000",
"display": "Kafo sing fre stirr thi/calf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Knee ankle foot orthosis, single upright, free knee, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), custom fabricated"
}
]
},
{
"code": "L2005",
"display": "Kafo sng/dbl mechanical act",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Knee ankle foot orthosis, any material, single or double upright, stance control, automatic lock and swing phase release, any type activation, includes ankle joint, any type, custom fabricated"
}
]
},
{
"code": "L2006",
"display": "Kaf sng/dbl swg/stn mcpr cus",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Knee ankle foot device, any material, single or double upright, swing and stance phase microprocessor control with adjustability, includes all components (e.g., sensors, batteries, charger), any type activation, with or without ankle joint(s), custom fabricated"
}
]
},
{
"code": "L2010",
"display": "Kafo sng solid stirrup w/o j",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Knee ankle foot orthosis, single upright, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), without knee joint, custom fabricated"
}
]
},
{
"code": "L2020",
"display": "Kafo dbl solid stirrup band/",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs (double bar 'ak' orthosis), custom fabricated"
}
]
},
{
"code": "L2030",
"display": "Kafo dbl solid stirrup w/o j",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs, (double bar 'ak' orthosis), without knee joint, custom fabricated"
}
]
},
{
"code": "L2034",
"display": "Kafo pla sin up w/wo k/a cus",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, medial lateral rotation control, with or without free motion ankle, custom fabricated"
}
]
},
{
"code": "L2035",
"display": "Kafo plastic pediatric size",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Knee ankle foot orthosis, full plastic, static (pediatric size), without free motion ankle, prefabricated, includes fitting and adjustment"
}
]
},
{
"code": "L2036",
"display": "Kafo plas doub free knee mol",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Knee ankle foot orthosis, full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated"
}
]
},
{
"code": "L2037",
"display": "Kafo plas sing free knee mol",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, with or without free motion ankle, custom fabricated"
}
]
},
{
"code": "L2038",
"display": "Kafo w/o joint multi-axis an",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Knee ankle foot orthosis, full plastic, with or without free motion knee, multi-axis ankle, custom fabricated"
}
]
},
{
"code": "L2040",
"display": "Hkafo torsion bil rot straps",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hip knee ankle foot orthosis, torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated"
}
]
},
{
"code": "L2050",
"display": "Hkafo torsion cable hip pelv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, hip joint, pelvic band/belt, custom fabricated"
}
]
},
{
"code": "L2060",
"display": "Hkafo torsion ball bearing j",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, ball bearing hip joint, pelvic band/ belt, custom fabricated"
}
]
},
{
"code": "L2070",
"display": "Hkafo torsion unilat rot str",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hip knee ankle foot orthosis, torsion control, unilateral rotation straps, pelvic band/belt, custom fabricated"
}
]
},
{
"code": "L2080",
"display": "Hkafo unilat torsion cable",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, hip joint, pelvic band/belt, custom fabricated"
}
]
},
{
"code": "L2090",
"display": "Hkafo unilat torsion ball br",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated"
}
]
},
{
"code": "L2106",
"display": "Afo tib fx cast plaster mold",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricated"
}
]
},
{
"code": "L2108",
"display": "Afo tib fx cast molded to pt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, custom fabricated"
}
]
},
{
"code": "L2112",
"display": "Afo tibial fracture soft",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment"
}
]
},
{
"code": "L2114",
"display": "Afo tib fx semi-rigid",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment"
}
]
},
{
"code": "L2116",
"display": "Afo tibial fracture rigid",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, rigid, prefabricated, includes fitting and adjustment"
}
]
},
{
"code": "L2126",
"display": "Kafo fem fx cast thermoplas",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom fabricated"
}
]
},
{
"code": "L2128",
"display": "Kafo fem fx cast molded to p",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, custom fabricated"
}
]
},
{
"code": "L2132",
"display": "Kafo femoral fx cast soft",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Kafo, fracture orthosis, femoral fracture cast orthosis, soft, prefabricated, includes fitting and adjustment"
}
]
},
{
"code": "L2134",
"display": "Kafo fem fx cast semi-rigid",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Kafo, fracture orthosis, femoral fracture cast orthosis, semi-rigid, prefabricated, includes fitting and adjustment"
}
]
},
{
"code": "L2136",
"display": "Kafo femoral fx cast rigid",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Kafo, fracture orthosis, femoral fracture cast orthosis, rigid, prefabricated, includes fitting and adjustment"
}
]
},
{
"code": "L2180",
"display": "Plas shoe insert w ank joint",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity fracture orthosis, plastic shoe insert with ankle joints"
}
]
},
{
"code": "L2182",
"display": "Drop lock knee",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity fracture orthosis, drop lock knee joint"
}
]
},
{
"code": "L2184",
"display": "Limited motion knee joint",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity fracture orthosis, limited motion knee joint"
}
]
},
{
"code": "L2186",
"display": "Adj motion knee jnt lerman t",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity fracture orthosis, adjustable motion knee joint, lerman type"
}
]
},
{
"code": "L2188",
"display": "Quadrilateral brim",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity fracture orthosis, quadrilateral brim"
}
]
},
{
"code": "L2190",
"display": "Waist belt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity fracture orthosis, waist belt"
}
]
},
{
"code": "L2192",
"display": "Pelvic band & belt thigh fla",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt"
}
]
},
{
"code": "L2200",
"display": "Limited ankle motion ea jnt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, limited ankle motion, each joint"
}
]
},
{
"code": "L2210",
"display": "Dorsiflexion assist each joi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint"
}
]
},
{
"code": "L2220",
"display": "Dorsi & plantar flex ass/res",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint"
}
]
},
{
"code": "L2230",
"display": "Split flat caliper stirr & p",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, split flat caliper stirrups and plate attachment"
}
]
},
{
"code": "L2232",
"display": "Rocker bottom, contact afo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity orthosis, rocker bottom for total contact ankle foot orthosis, for custom fabricated orthosis only"
}
]
},
{
"code": "L2240",
"display": "Round caliper and plate atta",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, round caliper and plate attachment"
}
]
},
{
"code": "L2250",
"display": "Foot plate molded stirrup at",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, foot plate, molded to patient model, stirrup attachment"
}
]
},
{
"code": "L2260",
"display": "Reinforced solid stirrup",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, reinforced solid stirrup (scott-craig type)"
}
]
},
{
"code": "L2265",
"display": "Long tongue stirrup",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, long tongue stirrup"
}
]
},
{
"code": "L2270",
"display": "Varus/valgus strap padded/li",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad"
}
]
},
{
"code": "L2275",
"display": "Plastic mod low ext pad/line",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined"
}
]
},
{
"code": "L2280",
"display": "Molded inner boot",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, molded inner boot"
}
]
},
{
"code": "L2300",
"display": "Abduction bar jointed adjust",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable"
}
]
},
{
"code": "L2310",
"display": "Abduction bar-straight",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, abduction bar-straight"
}
]
},
{
"code": "L2320",
"display": "Non-molded lacer",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, non-molded lacer, for custom fabricated orthosis only"
}
]
},
{
"code": "L2330",
"display": "Lacer molded to patient mode",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only"
}
]
},
{
"code": "L2335",
"display": "Anterior swing band",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, anterior swing band"
}
]
},
{
"code": "L2340",
"display": "Pre-tibial shell molded to p",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, pre-tibial shell, molded to patient model"
}
]
},
{
"code": "L2350",
"display": "Prosthetic type socket molde",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, prosthetic type, (bk) socket, molded to patient model, (used for 'ptb' 'afo' orthoses)"
}
]
},
{
"code": "L2360",
"display": "Extended steel shank",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, extended steel shank"
}
]
},
{
"code": "L2370",
"display": "Patten bottom",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, patten bottom"
}
]
},
{
"code": "L2375",
"display": "Torsion ank & half solid sti",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, torsion control, ankle joint and half solid stirrup"
}
]
},
{
"code": "L2380",
"display": "Torsion straight knee joint",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, torsion control, straight knee joint, each joint"
}
]
},
{
"code": "L2385",
"display": "Straight knee joint heavy du",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, straight knee joint, heavy duty, each joint"
}
]
},
{
"code": "L2387",
"display": "Add le poly knee custom kafo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, polycentric knee joint, for custom fabricated knee ankle foot orthosis, each joint"
}
]
},
{
"code": "L2390",
"display": "Offset knee joint each",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, offset knee joint, each joint"
}
]
},
{
"code": "L2395",
"display": "Offset knee joint heavy duty",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, offset knee joint, heavy duty, each joint"
}
]
},
{
"code": "L2397",
"display": "Suspension sleeve lower ext",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity orthosis, suspension sleeve"
}
]
},
{
"code": "L2405",
"display": "Knee joint drop lock ea jnt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to knee joint, drop lock, each"
}
]
},
{
"code": "L2415",
"display": "Knee joint cam lock each joi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to knee lock with integrated release mechanism (bail, cable, or equal), any material, each joint"
}
]
},
{
"code": "L2425",
"display": "Knee disc/dial lock/adj flex",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to knee joint, disc or dial lock for adjustable knee flexion, each joint"
}
]
},
{
"code": "L2430",
"display": "Knee jnt ratchet lock ea jnt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to knee joint, ratchet lock for active and progressive knee extension, each joint"
}
]
},
{
"code": "L2492",
"display": "Knee lift loop drop lock rin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to knee joint, lift loop for drop lock ring"
}
]
},
{
"code": "L2500",
"display": "Thi/glut/ischia wgt bearing",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, thigh/weight bearing, gluteal/ ischial weight bearing, ring"
}
]
},
{
"code": "L2510",
"display": "Th/wght bear quad-lat brim m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, molded to patient model"
}
]
},
{
"code": "L2520",
"display": "Th/wght bear quad-lat brim c",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, custom fitted"
}
]
},
{
"code": "L2525",
"display": "Th/wght bear nar m-l brim mo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim molded to patient model"
}
]
},
{
"code": "L2526",
"display": "Th/wght bear nar m-l brim cu",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim, custom fitted"
}
]
},
{
"code": "L2530",
"display": "Thigh/wght bear lacer non-mo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, thigh-weight bearing, lacer, non-molded"
}
]
},
{
"code": "L2540",
"display": "Thigh/wght bear lacer molded",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model"
}
]
},
{
"code": "L2550",
"display": "Thigh/wght bear high roll cu",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, thigh/weight bearing, high roll cuff"
}
]
},
{
"code": "L2570",
"display": "Hip clevis type 2 posit jnt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, pelvic control, hip joint, clevis type two position joint, each"
}
]
},
{
"code": "L2580",
"display": "Pelvic control pelvic sling",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, pelvic control, pelvic sling"
}
]
},
{
"code": "L2600",
"display": "Hip clevis/thrust bearing fr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, pelvic control, hip joint, clevis type, or thrust bearing, free, each"
}
]
},
{
"code": "L2610",
"display": "Hip clevis/thrust bearing lo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, pelvic control, hip joint, clevis or thrust bearing, lock, each"
}
]
},
{
"code": "L2620",
"display": "Pelvic control hip heavy dut",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, pelvic control, hip joint, heavy duty, each"
}
]
},
{
"code": "L2622",
"display": "Hip joint adjustable flexion",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each"
}
]
},
{
"code": "L2624",
"display": "Hip adj flex ext abduct cont",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each"
}
]
},
{
"code": "L2627",
"display": "Plastic mold recipro hip & c",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables"
}
]
},
{
"code": "L2628",
"display": "Metal frame recipro hip & ca",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables"
}
]
},
{
"code": "L2630",
"display": "Pelvic control band & belt u",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, pelvic control, band and belt, unilateral"
}
]
},
{
"code": "L2640",
"display": "Pelvic control band & belt b",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, pelvic control, band and belt, bilateral"
}
]
},
{
"code": "L2650",
"display": "Pelv & thor control gluteal",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, pelvic and thoracic control, gluteal pad, each"
}
]
},
{
"code": "L2660",
"display": "Thoracic control thoracic ba",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, thoracic control, thoracic band"
}
]
},
{
"code": "L2670",
"display": "Thorac cont paraspinal uprig",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, thoracic control, paraspinal uprights"
}
]
},
{
"code": "L2680",
"display": "Thorac cont lat support upri",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, thoracic control, lateral support uprights"
}
]
},
{
"code": "L2750",
"display": "Plating chrome/nickel pr bar",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity orthosis, plating chrome or nickel, per bar"
}
]
},
{
"code": "L2755",
"display": "Carbon graphite lamination",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only"
}
]
},
{
"code": "L2760",
"display": "Extension per extension per",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity orthosis, extension, per extension, per bar (for lineal adjustment for growth)"
}
]
},
{
"code": "L2768",
"display": "Ortho sidebar disconnect",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Orthotic side bar disconnect device, per bar"
}
]
},
{
"code": "L2780",
"display": "Non-corrosive finish",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity orthosis, non-corrosive finish, per bar"
}
]
},
{
"code": "L2785",
"display": "Drop lock retainer each",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity orthosis, drop lock retainer, each"
}
]
},
{
"code": "L2795",
"display": "Knee control full kneecap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity orthosis, knee control, full kneecap"
}
]
},
{
"code": "L2800",
"display": "Knee cap medial or lateral p",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only"
}
]
},
{
"code": "L2810",
"display": "Knee control condylar pad",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity orthosis, knee control, condylar pad"
}
]
},
{
"code": "L2820",
"display": "Soft interface below knee se",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity orthosis, soft interface for molded plastic, below knee section"
}
]
},
{
"code": "L2830",
"display": "Soft interface above knee se",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity orthosis, soft interface for molded plastic, above knee section"
}
]
},
{
"code": "L2840",
"display": "Tibial length sock fx or equ",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity orthosis, tibial length sock, fracture or equal, each"
}
]
},
{
"code": "L2850",
"display": "Femoral lgth sock fx or equa",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity orthosis, femoral length sock, fracture or equal, each"
}
]
},
{
"code": "L2861",
"display": "Torsion mechanism knee/ankle",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity joint, knee or ankle, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each"
}
]
},
{
"code": "L2999",
"display": "Lower extremity orthosis nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lower extremity orthoses, not otherwise specified"
}
]
},
{
"code": "L3000",
"display": "Ft insert ucb berkeley shell",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each"
}
]
},
{
"code": "L3001",
"display": "Foot insert remov molded spe",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Foot, insert, removable, molded to patient model, spenco, each"
}
]
},
{
"code": "L3002",
"display": "Foot insert plastazote or eq",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Foot, insert, removable, molded to patient model, plastazote or equal, each"
}
]
},
{
"code": "L3003",
"display": "Foot insert silicone gel eac",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Foot, insert, removable, molded to patient model, silicone gel, each"
}
]
},
{
"code": "L3010",
"display": "Foot longitudinal arch suppo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Foot, insert, removable, molded to patient model, longitudinal arch support, each"
}
]
},
{
"code": "L3020",
"display": "Foot longitud/metatarsal sup",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each"
}
]
},
{
"code": "L3030",
"display": "Foot arch support remov prem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Foot, insert, removable, formed to patient foot, each"
}
]
},
{
"code": "L3031",
"display": "Foot lamin/prepreg composite",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each"
}
]
},
{
"code": "L3040",
"display": "Ft arch suprt premold longit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Foot, arch support, removable, premolded, longitudinal, each"
}
]
},
{
"code": "L3050",
"display": "Foot arch supp premold metat",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Foot, arch support, removable, premolded, metatarsal, each"
}
]
},
{
"code": "L3060",
"display": "Foot arch supp longitud/meta",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Foot, arch support, removable, premolded, longitudinal/ metatarsal, each"
}
]
},
{
"code": "L3070",
"display": "Arch suprt att to sho longit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Foot, arch support, non-removable attached to shoe, longitudinal, each"
}
]
},
{
"code": "L3080",
"display": "Arch supp att to shoe metata",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Foot, arch support, non-removable attached to shoe, metatarsal, each"
}
]
},
{
"code": "L3090",
"display": "Arch supp att to shoe long/m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Foot, arch support, non-removable attached to shoe, longitudinal/metatarsal, each"
}
]
},
{
"code": "L3100",
"display": "Hallus-valgus nt dyn pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hallus-valgus night dynamic splint, prefabricated, off-the-shelf"
}
]
},
{
"code": "L3140",
"display": "Abduction rotation bar shoe",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Foot, abduction rotation bar, including shoes"
}
]
},
{
"code": "L3150",
"display": "Abduct rotation bar w/o shoe",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Foot, abduction rotation bar, without shoes"
}
]
},
{
"code": "L3160",
"display": "Shoe styled positioning dev",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Foot, adjustable shoe-styled positioning device"
}
]
},
{
"code": "L3161",
"display": "Foot, adductus position, adj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Foot, adductus positioning device, adjustable"
}
]
},
{
"code": "L3170",
"display": "Foot plas heel stabi pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each"
}
]
},
{
"code": "L3201",
"display": "Oxford w supinat/pronat inf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Orthopedic shoe, oxford with supinator or pronator, infant"
}
]
},
{
"code": "L3202",
"display": "Oxford w/ supinat/pronator c",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Orthopedic shoe, oxford with supinator or pronator, child"
}
]
},
{
"code": "L3203",
"display": "Oxford w/ supinator/pronator",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Orthopedic shoe, oxford with supinator or pronator, junior"
}
]
},
{
"code": "L3204",
"display": "Hightop w/ supp/pronator inf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Orthopedic shoe, hightop with supinator or pronator, infant"
}
]
},
{
"code": "L3206",
"display": "Hightop w/ supp/pronator chi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Orthopedic shoe, hightop with supinator or pronator, child"
}
]
},
{
"code": "L3207",
"display": "Hightop w/ supp/pronator jun",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Orthopedic shoe, hightop with supinator or pronator, junior"
}
]
},
{
"code": "L3208",
"display": "Surgical boot each infant",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Surgical boot, each, infant"
}
]
},
{
"code": "L3209",
"display": "Surgical boot each child",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Surgical boot, each, child"
}
]
},
{
"code": "L3211",
"display": "Surgical boot each junior",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Surgical boot, each, junior"
}
]
},
{
"code": "L3212",
"display": "Benesch boot pair infant",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Benesch boot, pair, infant"
}
]
},
{
"code": "L3213",
"display": "Benesch boot pair child",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Benesch boot, pair, child"
}
]
},
{
"code": "L3214",
"display": "Benesch boot pair junior",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Benesch boot, pair, junior"
}
]
},
{
"code": "L3215",
"display": "Orthopedic ftwear ladies oxf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Orthopedic footwear, ladies shoe, oxford, each"
}
]
},
{
"code": "L3216",
"display": "Orthoped ladies shoes dpth i",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Orthopedic footwear, ladies shoe, depth inlay, each"
}
]
},
{
"code": "L3217",
"display": "Ladies shoes hightop depth i",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Orthopedic footwear, ladies shoe, hightop, depth inlay, each"
}
]
},
{
"code": "L3219",
"display": "Orthopedic mens shoes oxford",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Orthopedic footwear, mens shoe, oxford, each"
}
]
},
{
"code": "L3221",
"display": "Orthopedic mens shoes dpth i",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Orthopedic footwear, mens shoe, depth inlay, each"
}
]
},
{
"code": "L3222",
"display": "Mens shoes hightop depth inl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Orthopedic footwear, mens shoe, hightop, depth inlay, each"
}
]
},
{
"code": "L3224",
"display": "Woman's shoe oxford brace",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (orthosis)"
}
]
},
{
"code": "L3225",
"display": "Man's shoe oxford brace",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Orthopedic footwear, man's shoe, oxford, used as an integral part of a brace (orthosis)"
}
]
},
{
"code": "L3230",
"display": "Custom shoes depth inlay",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Orthopedic footwear, custom shoe, depth inlay, each"
}
]
},
{
"code": "L3250",
"display": "Custom mold shoe remov prost",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, each"
}
]
},
{
"code": "L3251",
"display": "Shoe molded to pt silicone s",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Foot, shoe molded to patient model, silicone shoe, each"
}
]
},
{
"code": "L3252",
"display": "Shoe molded plastazote cust",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Foot, shoe molded to patient model, plastazote (or similar), custom fabricated, each"
}
]
},
{
"code": "L3253",
"display": "Shoe molded plastazote cust",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Foot, molded shoe plastazote (or similar) custom fitted, each"
}
]
},
{
"code": "L3254",
"display": "Orth foot non-stndard size/w",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-standard size or width"
}
]
},
{
"code": "L3255",
"display": "Orth foot non-standard size/",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-standard size or length"
}
]
},
{
"code": "L3257",
"display": "Orth foot add charge split s",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Orthopedic footwear, additional charge for split size"
}
]
},
{
"code": "L3260",
"display": "Ambulatory surgical boot eac",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Surgical boot/shoe, each"
}
]
},
{
"code": "L3265",
"display": "Plastazote sandal each",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Plastazote sandal, each"
}
]
},
{
"code": "L3300",
"display": "Sho lift taper to metatarsal",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lift, elevation, heel, tapered to metatarsals, per inch"
}
]
},
{
"code": "L3310",
"display": "Shoe lift elev heel/sole neo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lift, elevation, heel and sole, neoprene, per inch"
}
]
},
{
"code": "L3320",
"display": "Shoe lift elev heel/sole cor",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lift, elevation, heel and sole, cork, per inch"
}
]
},
{
"code": "L3330",
"display": "Lifts elevation metal extens",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lift, elevation, metal extension (skate)"
}
]
},
{
"code": "L3332",
"display": "Shoe lifts tapered to one-ha",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lift, elevation, inside shoe, tapered, up to one-half inch"
}
]
},
{
"code": "L3334",
"display": "Shoe lifts elevation heel /i",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lift, elevation, heel, per inch"
}
]
},
{
"code": "L3340",
"display": "Shoe wedge sach",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Heel wedge, sach"
}
]
},
{
"code": "L3350",
"display": "Shoe heel wedge",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Heel wedge"
}
]
},
{
"code": "L3360",
"display": "Shoe sole wedge outside sole",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sole wedge, outside sole"
}
]
},
{
"code": "L3370",
"display": "Shoe sole wedge between sole",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sole wedge, between sole"
}
]
},
{
"code": "L3380",
"display": "Shoe clubfoot wedge",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clubfoot wedge"
}
]
},
{
"code": "L3390",
"display": "Shoe outflare wedge",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Outflare wedge"
}
]
},
{
"code": "L3400",
"display": "Shoe metatarsal bar wedge ro",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Metatarsal bar wedge, rocker"
}
]
},
{
"code": "L3410",
"display": "Shoe metatarsal bar between",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Metatarsal bar wedge, between sole"
}
]
},
{
"code": "L3420",
"display": "Full sole/heel wedge btween",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Full sole and heel wedge, between sole"
}
]
},
{
"code": "L3430",
"display": "Sho heel count plast reinfor",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Heel, counter, plastic reinforced"
}
]
},
{
"code": "L3440",
"display": "Heel leather reinforced",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Heel, counter, leather reinforced"
}
]
},
{
"code": "L3450",
"display": "Shoe heel sach cushion type",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Heel, sach cushion type"
}
]
},
{
"code": "L3455",
"display": "Shoe heel new leather standa",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Heel, new leather, standard"
}
]
},
{
"code": "L3460",
"display": "Shoe heel new rubber standar",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Heel, new rubber, standard"
}
]
},
{
"code": "L3465",
"display": "Shoe heel thomas with wedge",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Heel, thomas with wedge"
}
]
},
{
"code": "L3470",
"display": "Shoe heel thomas extend to b",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Heel, thomas extended to ball"
}
]
},
{
"code": "L3480",
"display": "Shoe heel pad & depress for",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Heel, pad and depression for spur"
}
]
},
{
"code": "L3485",
"display": "Shoe heel pad removable for",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Heel, pad, removable for spur"
}
]
},
{
"code": "L3500",
"display": "Ortho shoe add leather insol",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Orthopedic shoe addition, insole, leather"
}
]
},
{
"code": "L3510",
"display": "Orthopedic shoe add rub insl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Orthopedic shoe addition, insole, rubber"
}
]
},
{
"code": "L3520",
"display": "O shoe add felt w leath insl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Orthopedic shoe addition, insole, felt covered with leather"
}
]
},
{
"code": "L3530",
"display": "Ortho shoe add half sole",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Orthopedic shoe addition, sole, half"
}
]
},
{
"code": "L3540",
"display": "Ortho shoe add full sole",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Orthopedic shoe addition, sole, full"
}
]
},
{
"code": "L3550",
"display": "O shoe add standard toe tap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Orthopedic shoe addition, toe tap standard"
}
]
},
{
"code": "L3560",
"display": "O shoe add horseshoe toe tap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Orthopedic shoe addition, toe tap, horseshoe"
}
]
},
{
"code": "L3570",
"display": "O shoe add instep extension",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Orthopedic shoe addition, special extension to instep (leather with eyelets)"
}
]
},
{
"code": "L3580",
"display": "O shoe add instep velcro clo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Orthopedic shoe addition, convert instep to velcro closure"
}
]
},
{
"code": "L3590",
"display": "O shoe convert to sof counte",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Orthopedic shoe addition, convert firm shoe counter to soft counter"
}
]
},
{
"code": "L3595",
"display": "Ortho shoe add march bar",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Orthopedic shoe addition, march bar"
}
]
},
{
"code": "L3600",
"display": "Trans shoe calip plate exist",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transfer of an orthosis from one shoe to another, caliper plate, existing"
}
]
},
{
"code": "L3610",
"display": "Trans shoe caliper plate new",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transfer of an orthosis from one shoe to another, caliper plate, new"
}
]
},
{
"code": "L3620",
"display": "Trans shoe solid stirrup exi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transfer of an orthosis from one shoe to another, solid stirrup, existing"
}
]
},
{
"code": "L3630",
"display": "Trans shoe solid stirrup new",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transfer of an orthosis from one shoe to another, solid stirrup, new"
}
]
},
{
"code": "L3640",
"display": "Shoe dennis browne splint bo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transfer of an orthosis from one shoe to another, dennis browne splint (riveton), both shoes"
}
]
},
{
"code": "L3649",
"display": "Orthopedic shoe modifica nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Orthopedic shoe, modification, addition or transfer, not otherwise specified"
}
]
},
{
"code": "L3650",
"display": "So 8 abd restraint pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf"
}
]
},
{
"code": "L3660",
"display": "So 8 ab rstr can/web pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf"
}
]
},
{
"code": "L3670",
"display": "So acro/clav can web pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf"
}
]
},
{
"code": "L3671",
"display": "So cap design w/o jnts cf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment"
}
]
},
{
"code": "L3674",
"display": "So airplane w/wo joint cf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Shoulder orthosis, abduction positioning (airplane design), thoracic component and support bar, with or without nontorsion joint/turnbuckle, may include soft interface, straps, custom fabricated, includes fitting and adjustment"
}
]
},
{
"code": "L3675",
"display": "So vest canvas/web pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf"
}
]
},
{
"code": "L3677",
"display": "So hard plas stabili pre cst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
}
]
},
{
"code": "L3678",
"display": "So hard plas stabili pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefabricated, off-the-shelf"
}
]
},
{
"code": "L3702",
"display": "Eo w/o joints cf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Elbow orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment"
}
]
},
{
"code": "L3710",
"display": "Eo elas w/metal jnts pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf"
}
]
},
{
"code": "L3720",
"display": "Forearm/arm cuffs free motio",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Elbow orthosis, double upright with forearm/arm cuffs, free motion, custom fabricated"
}
]
},
{
"code": "L3730",
"display": "Forearm/arm cuffs ext/flex a",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated"
}
]
},
{
"code": "L3740",
"display": "Cuffs adj lock w/ active con",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Elbow orthosis, double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated"
}
]
},
{
"code": "L3760",
"display": "Eo adj jt prefab custom fit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
}
]
},
{
"code": "L3761",
"display": "Eo, adj lock joint prefab ot",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf"
}
]
},
{
"code": "L3762",
"display": "Eo rigid w/o joints pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf"
}
]
},
{
"code": "L3763",
"display": "Ewho rigid w/o jnts cf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Elbow wrist hand orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment"
}
]
},
{
"code": "L3764",
"display": "Ewho w/joint(s) cf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Elbow wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment"
}
]
},
{
"code": "L3765",
"display": "Ewhfo rigid w/o jnts cf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Elbow wrist hand finger orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment"
}
]
},
{
"code": "L3766",
"display": "Ewhfo w/joint(s) cf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Elbow wrist hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment"
}
]
},
{
"code": "L3806",
"display": "Whfo w/joint(s) custom fab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, custom fabricated, includes fitting and adjustment"
}
]
},
{
"code": "L3807",
"display": "Whfo w/o joints pre cst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
}
]
},
{
"code": "L3808",
"display": "Whfo, rigid w/o joints",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment"
}
]
},
{
"code": "L3809",
"display": "Whfo w/o joints pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type"
}
]
},
{
"code": "L3891",
"display": "Torsion mechanism wrist/elbo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to upper extremity joint, wrist or elbow, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each"
}
]
},
{
"code": "L3900",
"display": "Hinge extension/flex wrist/f",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom fabricated"
}
]
},
{
"code": "L3901",
"display": "Hinge ext/flex wrist finger",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated"
}
]
},
{
"code": "L3904",
"display": "Whfo electric custom fitted",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wrist hand finger orthosis, external powered, electric, custom fabricated"
}
]
},
{
"code": "L3905",
"display": "Who w/nontorsion jnt(s) cf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment"
}
]
},
{
"code": "L3906",
"display": "Who w/o joints cf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment"
}
]
},
{
"code": "L3908",
"display": "Who cock-up nonmolde pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf"
}
]
},
{
"code": "L3912",
"display": "Hfo flexion glove pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hand finger orthosis (hfo), flexion glove with elastic finger control, prefabricated, off-the-shelf"
}
]
},
{
"code": "L3913",
"display": "Hfo w/o joints cf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment"
}
]
},
{
"code": "L3915",
"display": "Who nontorsion jnts pre cst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
}
]
},
{
"code": "L3916",
"display": "Who nontorsion jnts pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf"
}
]
},
{
"code": "L3917",
"display": "Metacarp fx orthosis pre cst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hand orthosis, metacarpal fracture orthosis, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
}
]
},
{
"code": "L3918",
"display": "Metacarp fx orthosis pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hand orthosis, metacarpal fracture orthosis, prefabricated, off-the-shelf"
}
]
},
{
"code": "L3919",
"display": "Ho w/o joints cf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment"
}
]
},
{
"code": "L3921",
"display": "Hfo w/joint(s) cf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment"
}
]
},
{
"code": "L3923",
"display": "Hfo without joints pre cst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
}
]
},
{
"code": "L3924",
"display": "Hfo without joints pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf"
}
]
},
{
"code": "L3925",
"display": "Fo pip dip jnt/sprng pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), non torsion joint/spring, extension/flexion, may include soft interface material, prefabricated, off-the-shelf"
}
]
},
{
"code": "L3927",
"display": "Fo pip dip no jt spr pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, off-the-shelf"
}
]
},
{
"code": "L3929",
"display": "Hfo nontorsion jnts pre cst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
}
]
},
{
"code": "L3930",
"display": "Hfo nontorsion jnts pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, off-the-shelf"
}
]
},
{
"code": "L3931",
"display": "Whfo nontorsion joint prefab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment"
}
]
},
{
"code": "L3933",
"display": "Fo w/o joints cf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment"
}
]
},
{
"code": "L3935",
"display": "Fo nontorsion joint cf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Finger orthosis, nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment"
}
]
},
{
"code": "L3956",
"display": "Add joint upper ext orthosis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition of joint to upper extremity orthosis, any material; per joint"
}
]
},
{
"code": "L3960",
"display": "Sewho airplan desig abdu pos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment"
}
]
},
{
"code": "L3961",
"display": "Sewho cap design w/o jnts cf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Shoulder elbow wrist hand orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment"
}
]
},
{
"code": "L3962",
"display": "Sewho erbs palsey design abd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Shoulder elbow wrist hand orthosis, abduction positioning, erb's palsey design, prefabricated, includes fitting and adjustment"
}
]
},
{
"code": "L3967",
"display": "Sewho airplane w/o jnts cf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment"
}
]
},
{
"code": "L3971",
"display": "Sewho cap design w/jnt(s) cf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Shoulder elbow wrist hand orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment"
}
]
},
{
"code": "L3973",
"display": "Sewho airplane w/jnt(s) cf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment"
}
]
},
{
"code": "L3975",
"display": "Sewhfo cap design w/o jnt cf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Shoulder elbow wrist hand finger orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment"
}
]
},
{
"code": "L3976",
"display": "Sewhfo airplane w/o jnts cf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment"
}
]
},
{
"code": "L3977",
"display": "Sewhfo cap desgn w/jnt(s) cf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Shoulder elbow wrist hand finger orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment"
}
]
},
{
"code": "L3978",
"display": "Sewhfo airplane w/jnt(s) cf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment"
}
]
},
{
"code": "L3980",
"display": "Up ext fx orthos humeral nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment"
}
]
},
{
"code": "L3981",
"display": "Ue fx orth shoul cap forearm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity fracture orthosis, humeral, prefabricated, includes shoulder cap design, with or without joints, forearm section, may include soft interface, straps, includes fitting and adjustments"
}
]
},
{
"code": "L3982",
"display": "Upper ext fx orthosis rad/ul",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment"
}
]
},
{
"code": "L3984",
"display": "Upper ext fx orthosis wrist",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment"
}
]
},
{
"code": "L3995",
"display": "Sock fracture or equal each",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to upper extremity orthosis, sock, fracture or equal, each"
}
]
},
{
"code": "L3999",
"display": "Upper limb orthosis nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper limb orthosis, not otherwise specified"
}
]
},
{
"code": "L4000",
"display": "Repl girdle milwaukee orth",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replace girdle for spinal orthosis (ctlso or so)"
}
]
},
{
"code": "L4002",
"display": "Replace strap, any orthosis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replacement strap, any orthosis, includes all components, any length, any type"
}
]
},
{
"code": "L4010",
"display": "Replace trilateral socket br",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replace trilateral socket brim"
}
]
},
{
"code": "L4020",
"display": "Replace quadlat socket brim",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replace quadrilateral socket brim, molded to patient model"
}
]
},
{
"code": "L4030",
"display": "Replace socket brim cust fit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replace quadrilateral socket brim, custom fitted"
}
]
},
{
"code": "L4040",
"display": "Replace molded thigh lacer",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replace molded thigh lacer, for custom fabricated orthosis only"
}
]
},
{
"code": "L4045",
"display": "Replace non-molded thigh lac",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replace non-molded thigh lacer, for custom fabricated orthosis only"
}
]
},
{
"code": "L4050",
"display": "Replace molded calf lacer",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replace molded calf lacer, for custom fabricated orthosis only"
}
]
},
{
"code": "L4055",
"display": "Replace non-molded calf lace",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replace non-molded calf lacer, for custom fabricated orthosis only"
}
]
},
{
"code": "L4060",
"display": "Replace high roll cuff"
},
{
"code": "L4070",
"display": "Replace prox & dist upright",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replace proximal and distal upright for kafo"
}
]
},
{
"code": "L4080",
"display": "Repl met band kafo-afo prox",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replace metal bands kafo, proximal thigh"
}
]
},
{
"code": "L4090",
"display": "Repl met band kafo-afo calf/",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replace metal bands kafo-afo, calf or distal thigh"
}
]
},
{
"code": "L4100",
"display": "Repl leath cuff kafo prox th",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replace leather cuff kafo, proximal thigh"
}
]
},
{
"code": "L4110",
"display": "Repl leath cuff kafo-afo cal",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replace leather cuff kafo-afo, calf or distal thigh"
}
]
},
{
"code": "L4130",
"display": "Replace pretibial shell"
},
{
"code": "L4205",
"display": "Ortho dvc repair per 15 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Repair of orthotic device, labor component, per 15 minutes"
}
]
},
{
"code": "L4210",
"display": "Orth dev repair/repl minor p",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Repair of orthotic device, repair or replace minor parts"
}
]
},
{
"code": "L4350",
"display": "Ankle control ortho pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf"
}
]
},
{
"code": "L4360",
"display": "Pneumat walking boot pre cst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
}
]
},
{
"code": "L4361",
"display": "Pneuma/vac walk boot pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf"
}
]
},
{
"code": "L4370",
"display": "Pneum full leg splnt pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pneumatic full leg splint, prefabricated, off-the-shelf"
}
]
},
{
"code": "L4386",
"display": "Non-pneum walk boot pre cst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
}
]
},
{
"code": "L4387",
"display": "Non-pneum walk boot pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf"
}
]
},
{
"code": "L4392",
"display": "Replace afo soft interface",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replacement, soft interface material, static afo"
}
]
},
{
"code": "L4394",
"display": "Replace foot drop spint",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replace soft interface material, foot drop splint"
}
]
},
{
"code": "L4396",
"display": "Static or dynami afo pre cst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
}
]
},
{
"code": "L4397",
"display": "Static or dynami afo pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf"
}
]
},
{
"code": "L4398",
"display": "Foot drop splint pre ots",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf"
}
]
},
{
"code": "L4631",
"display": "Afo, walk boot type, cus fab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ankle foot orthosis, walking boot type, varus/valgus correction, rocker bottom, anterior tibial shell, soft interface, custom arch support, plastic or other material, includes straps and closures, custom fabricated"
}
]
},
{
"code": "L5000",
"display": "Sho insert w arch toe filler",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Partial foot, shoe insert with longitudinal arch, toe filler"
}
]
},
{
"code": "L5010",
"display": "Mold socket ank hgt w/ toe f",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Partial foot, molded socket, ankle height, with toe filler"
}
]
},
{
"code": "L5020",
"display": "Tibial tubercle hgt w/ toe f",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Partial foot, molded socket, tibial tubercle height, with toe filler"
}
]
},
{
"code": "L5050",
"display": "Ank symes mold sckt sach ft",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ankle, symes, molded socket, sach foot"
}
]
},
{
"code": "L5060",
"display": "Symes met fr leath socket ar",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ankle, symes, metal frame, molded leather socket, articulated ankle/foot"
}
]
},
{
"code": "L5100",
"display": "Molded socket shin sach foot",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Below knee, molded socket, shin, sach foot"
}
]
},
{
"code": "L5105",
"display": "Plast socket jts/thgh lacer",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Below knee, plastic socket, joints and thigh lacer, sach foot"
}
]
},
{
"code": "L5150",
"display": "Mold sckt ext knee shin sach",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Knee disarticulation (or through knee), molded socket, external knee joints, shin, sach foot"
}
]
},
{
"code": "L5160",
"display": "Mold socket bent knee shin s",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, sach foot"
}
]
},
{
"code": "L5200",
"display": "Kne sing axis fric shin sach",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Above knee, molded socket, single axis constant friction knee, shin, sach foot"
}
]
},
{
"code": "L5210",
"display": "No knee/ankle joints w/ ft b",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Above knee, short prosthesis, no knee joint ('stubbies'), with foot blocks, no ankle joints, each"
}
]
},
{
"code": "L5220",
"display": "No knee joint with artic ali",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Above knee, short prosthesis, no knee joint ('stubbies'), with articulated ankle/foot, dynamically aligned, each"
}
]
},
{
"code": "L5230",
"display": "Fem focal defic constant fri",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Above knee, for proximal femoral focal deficiency, constant friction knee, shin, sach foot"
}
]
},
{
"code": "L5250",
"display": "Hip canad sing axi cons fric",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hip disarticulation, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot"
}
]
},
{
"code": "L5270",
"display": "Tilt table locking hip sing",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, sach foot"
}
]
},
{
"code": "L5280",
"display": "Hemipelvect canad sing axis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hemipelvectomy, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot"
}
]
},
{
"code": "L5301",
"display": "Bk mold socket sach ft endo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Below knee, molded socket, shin, sach foot, endoskeletal system"
}
]
},
{
"code": "L5312",
"display": "Knee disart, sach ft, endo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Knee disarticulation (or through knee), molded socket, single axis knee, pylon, sach foot, endoskeletal system"
}
]
},
{
"code": "L5321",
"display": "Ak open end sach",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Above knee, molded socket, open end, sach foot, endoskeletal system, single axis knee"
}
]
},
{
"code": "L5331",
"display": "Hip disart canadian sach ft",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hip disarticulation, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot"
}
]
},
{
"code": "L5341",
"display": "Hemipelvectomy canadian sach",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hemipelvectomy, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot"
}
]
},
{
"code": "L5400",
"display": "Postop dress & 1 cast chg bk",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment, suspension, and one cast change, below knee"
}
]
},
{
"code": "L5410",
"display": "Postop dsg bk ea add cast ch",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension, below knee, each additional cast change and realignment"
}
]
},
{
"code": "L5420",
"display": "Postop dsg & 1 cast chg ak/d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension and one cast change 'ak' or knee disarticulation"
}
]
},
{
"code": "L5430",
"display": "Postop dsg ak ea add cast ch",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Immediate post surgical or early fitting, application of initial rigid dressing, incl. fitting, alignment and supension, 'ak' or knee disarticulation, each additional cast change and realignment"
}
]
},
{
"code": "L5450",
"display": "Postop app non-wgt bear dsg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, below knee"
}
]
},
{
"code": "L5460",
"display": "Postop app non-wgt bear dsg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, above knee"
}
]
},
{
"code": "L5500",
"display": "Init bk ptb plaster direct",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Initial, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed"
}
]
},
{
"code": "L5505",
"display": "Init ak ischal plstr direct",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Initial, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed"
}
]
},
{
"code": "L5510",
"display": "Prep bk ptb plaster molded",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model"
}
]
},
{
"code": "L5520",
"display": "Perp bk ptb thermopls direct",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed"
}
]
},
{
"code": "L5530",
"display": "Prep bk ptb thermopls molded",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model"
}
]
},
{
"code": "L5535",
"display": "Prep bk ptb open end socket",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Preparatory, below knee 'ptb' type socket, non-alignable system, no cover, sach foot, prefabricated, adjustable open end socket"
}
]
},
{
"code": "L5540",
"display": "Prep bk ptb laminated socket",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, laminated socket, molded to model"
}
]
},
{
"code": "L5560",
"display": "Prep ak ischial plast molded",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Preparatory, above knee- knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model"
}
]
},
{
"code": "L5570",
"display": "Prep ak ischial direct form",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed"
}
]
},
{
"code": "L5580",
"display": "Prep ak ischial thermo mold",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model"
}
]
},
{
"code": "L5585",
"display": "Prep ak ischial open end",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, prefabricated adjustable open end socket"
}
]
},
{
"code": "L5590",
"display": "Prep ak ischial laminated",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon no cover, sach foot, laminated socket, molded to model"
}
]
},
{
"code": "L5595",
"display": "Hip disartic sach thermopls",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, thermoplastic or equal, molded to patient model"
}
]
},
{
"code": "L5600",
"display": "Hip disart sach laminat mold",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, laminated socket, molded to patient model"
}
]
},
{
"code": "L5610",
"display": "Above knee hydracadence",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, endoskeletal system, above knee, hydracadence system"
}
]
},
{
"code": "L5611",
"display": "Ak 4 bar link w/fric swing",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, endoskeletal system, above knee - knee disarticulation, 4 bar linkage, with friction swing phase control"
}
]
},
{
"code": "L5613",
"display": "Ak 4 bar ling w/hydraul swig",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, endoskeletal system, above knee-knee disarticulation, 4 bar linkage, with hydraulic swing phase control"
}
]
},
{
"code": "L5614",
"display": "4-bar link above knee w/swng",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, exoskeletal system, above knee-knee disarticulation, 4 bar linkage, with pneumatic swing phase control"
}
]
},
{
"code": "L5615",
"display": "Ak 4 bar link hydl swg/stanc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, fluid swing and stance phase control"
}
]
},
{
"code": "L5616",
"display": "Ak univ multiplex sys frict",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, endoskeletal system, above knee, universal multiplex system, friction swing phase control"
}
]
},
{
"code": "L5617",
"display": "Ak/bk self-aligning unit ea",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, quick change self-aligning unit, above knee or below knee, each"
}
]
},
{
"code": "L5618",
"display": "Test socket symes",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, test socket, symes"
}
]
},
{
"code": "L5620",
"display": "Test socket below knee",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, test socket, below knee"
}
]
},
{
"code": "L5622",
"display": "Test socket knee disarticula",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, test socket, knee disarticulation"
}
]
},
{
"code": "L5624",
"display": "Test socket above knee",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, test socket, above knee"
}
]
},
{
"code": "L5626",
"display": "Test socket hip disarticulat",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, test socket, hip disarticulation"
}
]
},
{
"code": "L5628",
"display": "Test socket hemipelvectomy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, test socket, hemipelvectomy"
}
]
},
{
"code": "L5629",
"display": "Below knee acrylic socket",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, below knee, acrylic socket"
}
]
},
{
"code": "L5630",
"display": "Syme typ expandabl wall sckt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, symes type, expandable wall socket"
}
]
},
{
"code": "L5631",
"display": "Ak/knee disartic acrylic soc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, above knee or knee disarticulation, acrylic socket"
}
]
},
{
"code": "L5632",
"display": "Symes type ptb brim design s",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, symes type, 'ptb' brim design socket"
}
]
},
{
"code": "L5634",
"display": "Symes type poster opening so",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, symes type, posterior opening (canadian) socket"
}
]
},
{
"code": "L5636",
"display": "Symes type medial opening so",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, symes type, medial opening socket"
}
]
},
{
"code": "L5637",
"display": "Below knee total contact",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, below knee, total contact"
}
]
},
{
"code": "L5638",
"display": "Below knee leather socket",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, below knee, leather socket"
}
]
},
{
"code": "L5639",
"display": "Below knee wood socket",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, below knee, wood socket"
}
]
},
{
"code": "L5640",
"display": "Knee disarticulat leather so",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, knee disarticulation, leather socket"
}
]
},
{
"code": "L5642",
"display": "Above knee leather socket",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, above knee, leather socket"
}
]
},
{
"code": "L5643",
"display": "Hip flex inner socket ext fr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, hip disarticulation, flexible inner socket, external frame"
}
]
},
{
"code": "L5644",
"display": "Above knee wood socket",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, above knee, wood socket"
}
]
},
{
"code": "L5645",
"display": "Bk flex inner socket ext fra",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, below knee, flexible inner socket, external frame"
}
]
},
{
"code": "L5646",
"display": "Below knee cushion socket",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, below knee, air, fluid, gel or equal, cushion socket"
}
]
},
{
"code": "L5647",
"display": "Below knee suction socket",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, below knee suction socket"
}
]
},
{
"code": "L5648",
"display": "Above knee cushion socket",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, above knee, air, fluid, gel or equal, cushion socket"
}
]
},
{
"code": "L5649",
"display": "Isch containmt/narrow m-l so",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, ischial containment/narrow m-l socket"
}
]
},
{
"code": "L5650",
"display": "Tot contact ak/knee disart s",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Additions to lower extremity, total contact, above knee or knee disarticulation socket"
}
]
},
{
"code": "L5651",
"display": "Ak flex inner socket ext fra",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, above knee, flexible inner socket, external frame"
}
]
},
{
"code": "L5652",
"display": "Suction susp ak/knee disart",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, suction suspension, above knee or knee disarticulation socket"
}
]
},
{
"code": "L5653",
"display": "Knee disart expand wall sock",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, knee disarticulation, expandable wall socket"
}
]
},
{
"code": "L5654",
"display": "Socket insert symes",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, socket insert, symes, (kemblo, pelite, aliplast, plastazote or equal)"
}
]
},
{
"code": "L5655",
"display": "Socket insert below knee",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, socket insert, below knee (kemblo, pelite, aliplast, plastazote or equal)"
}
]
},
{
"code": "L5656",
"display": "Socket insert knee articulat",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, socket insert, knee disarticulation (kemblo, pelite, aliplast, plastazote or equal)"
}
]
},
{
"code": "L5658",
"display": "Socket insert above knee",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, socket insert, above knee (kemblo, pelite, aliplast, plastazote or equal)"
}
]
},
{
"code": "L5661",
"display": "Multi-durometer symes",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, socket insert, multi-durometer symes"
}
]
},
{
"code": "L5665",
"display": "Multi-durometer below knee",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, socket insert, multi-durometer, below knee"
}
]
},
{
"code": "L5666",
"display": "Below knee cuff suspension",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, below knee, cuff suspension"
}
]
},
{
"code": "L5668",
"display": "Bk molded distal cushion",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, below knee, molded distal cushion"
}
]
},
{
"code": "L5670",
"display": "Bk molded supracondylar susp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, below knee, molded supracondylar suspension ('pts' or similar)"
}
]
},
{
"code": "L5671",
"display": "Bk/ak locking mechanism",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert"
}
]
},
{
"code": "L5672",
"display": "Bk removable medial brim sus",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, below knee, removable medial brim suspension"
}
]
},
{
"code": "L5673",
"display": "Socket insert w lock mech",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism"
}
]
},
{
"code": "L5676",
"display": "Bk knee joints single axis p",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Additions to lower extremity, below knee, knee joints, single axis, pair"
}
]
},
{
"code": "L5677",
"display": "Bk knee joints polycentric p",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Additions to lower extremity, below knee, knee joints, polycentric, pair"
}
]
},
{
"code": "L5678",
"display": "Bk joint covers pair",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Additions to lower extremity, below knee, joint covers, pair"
}
]
},
{
"code": "L5679",
"display": "Socket insert w/o lock mech",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism"
}
]
},
{
"code": "L5680",
"display": "Bk thigh lacer non-molded",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, below knee, thigh lacer, nonmolded"
}
]
},
{
"code": "L5681",
"display": "Intl custm cong/latyp insert",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l5673 or l5679)"
}
]
},
{
"code": "L5682",
"display": "Bk thigh lacer glut/ischia m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded"
}
]
},
{
"code": "L5683",
"display": "Initial custom socket insert",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, below knee/above knee, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l5673 or l5679)"
}
]
},
{
"code": "L5684",
"display": "Bk fork strap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, below knee, fork strap"
}
]
},
{
"code": "L5685",
"display": "Below knee sus/seal sleeve",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each"
}
]
},
{
"code": "L5686",
"display": "Bk back check",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, below knee, back check (extension control)"
}
]
},
{
"code": "L5688",
"display": "Bk waist belt webbing",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, below knee, waist belt, webbing"
}
]
},
{
"code": "L5690",
"display": "Bk waist belt padded and lin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, below knee, waist belt, padded and lined"
}
]
},
{
"code": "L5692",
"display": "Ak pelvic control belt light",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, above knee, pelvic control belt, light"
}
]
},
{
"code": "L5694",
"display": "Ak pelvic control belt pad/l",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, above knee, pelvic control belt, padded and lined"
}
]
},
{
"code": "L5695",
"display": "Ak sleeve susp neoprene/equa",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each"
}
]
},
{
"code": "L5696",
"display": "Ak/knee disartic pelvic join",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, above knee or knee disarticulation, pelvic joint"
}
]
},
{
"code": "L5697",
"display": "Ak/knee disartic pelvic band",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, above knee or knee disarticulation, pelvic band"
}
]
},
{
"code": "L5698",
"display": "Ak/knee disartic silesian ba",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, above knee or knee disarticulation, silesian bandage"
}
]
},
{
"code": "L5699",
"display": "Shoulder harness",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All lower extremity prostheses, shoulder harness"
}
]
},
{
"code": "L5700",
"display": "Replace socket below knee",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replacement, socket, below knee, molded to patient model"
}
]
},
{
"code": "L5701",
"display": "Replace socket above knee",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model"
}
]
},
{
"code": "L5702",
"display": "Replace socket hip",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replacement, socket, hip disarticulation, including hip joint, molded to patient model"
}
]
},
{
"code": "L5703",
"display": "Symes ankle w/o (sach) foot",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ankle, symes, molded to patient model, socket without solid ankle cushion heel (sach) foot, replacement only"
}
]
},
{
"code": "L5704",
"display": "Custom shape cover bk",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Custom shaped protective cover, below knee"
}
]
},
{
"code": "L5705",
"display": "Custom shape cover ak",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Custom shaped protective cover, above knee"
}
]
},
{
"code": "L5706",
"display": "Custom shape cvr knee disart",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Custom shaped protective cover, knee disarticulation"
}
]
},
{
"code": "L5707",
"display": "Custom shape cvr hip disart",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Custom shaped protective cover, hip disarticulation"
}
]
},
{
"code": "L5710",
"display": "Kne-shin exo sng axi mnl loc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, exoskeletal knee-shin system, single axis, manual lock"
}
]
},
{
"code": "L5711",
"display": "Knee-shin exo mnl lock ultra",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material"
}
]
},
{
"code": "L5712",
"display": "Knee-shin exo frict swg & st",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)"
}
]
},
{
"code": "L5714",
"display": "Knee-shin exo variable frict",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control"
}
]
},
{
"code": "L5716",
"display": "Knee-shin exo mech stance ph",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock"
}
]
},
{
"code": "L5718",
"display": "Knee-shin exo frct swg & sta",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control"
}
]
},
{
"code": "L5722",
"display": "Knee-shin pneum swg frct exo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control"
}
]
},
{
"code": "L5724",
"display": "Knee-shin exo fluid swing ph",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, exoskeletal knee-shin system, single axis, fluid swing phase control"
}
]
},
{
"code": "L5726",
"display": "Knee-shin ext jnts fld swg e",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, exoskeletal knee-shin system, single axis, external joints fluid swing phase control"
}
]
},
{
"code": "L5728",
"display": "Knee-shin fluid swg & stance",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control"
}
]
},
{
"code": "L5780",
"display": "Knee-shin pneum/hydra pneum",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control"
}
]
},
{
"code": "L5781",
"display": "Lower limb pros vacuum pump",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system"
}
]
},
{
"code": "L5782",
"display": "Hd low limb pros vacuum pump",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy duty"
}
]
},
{
"code": "L5783",
"display": "Add low ext mec limb vol sys",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity, user adjustable, mechanical, residual limb volume management system"
}
]
},
{
"code": "L5785",
"display": "Exoskeletal bk ultralt mater",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, exoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal)"
}
]
},
{
"code": "L5790",
"display": "Exoskeletal ak ultra-light m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, exoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal)"
}
]
},
{
"code": "L5795",
"display": "Exoskel hip ultra-light mate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)"
}
]
},
{
"code": "L5810",
"display": "Endoskel knee-shin mnl lock",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, endoskeletal knee-shin system, single axis, manual lock"
}
]
},
{
"code": "L5811",
"display": "Endo knee-shin mnl lck ultra",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material"
}
]
},
{
"code": "L5812",
"display": "Endo knee-shin frct swg & st",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)"
}
]
},
{
"code": "L5814",
"display": "Endo knee-shin hydral swg ph",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock"
}
]
},
{
"code": "L5816",
"display": "Endo knee-shin polyc mch sta",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock"
}
]
},
{
"code": "L5818",
"display": "Endo knee-shin frct swg & st",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, endoskeletal knee-shin system, polycentric, friction swing, and stance phase control"
}
]
},
{
"code": "L5822",
"display": "Endo knee-shin pneum swg frc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control"
}
]
},
{
"code": "L5824",
"display": "Endo knee-shin fluid swing p",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, endoskeletal knee-shin system, single axis, fluid swing phase control"
}
]
},
{
"code": "L5826",
"display": "Miniature knee joint",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame"
}
]
},
{
"code": "L5828",
"display": "Endo knee-shin fluid swg/sta",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control"
}
]
},
{
"code": "L5830",
"display": "Endo knee-shin pneum/swg pha",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, endoskeletal knee-shin system, single axis, pneumatic/ swing phase control"
}
]
},
{
"code": "L5840",
"display": "Multi-axial knee/shin system",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, endoskeletal knee/shin system, 4-bar linkage or multiaxial, pneumatic swing phase control"
}
]
},
{
"code": "L5841",
"display": "Addition endoskletl knee-shi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, endoskeletal knee-shin system, polycentric, pneumatic swing, and stance phase control"
}
]
},
{
"code": "L5845",
"display": "Knee-shin sys stance flexion",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, endoskeletal, knee-shin system, stance flexion feature, adjustable"
}
]
},
{
"code": "L5848",
"display": "Knee-shin sys hydraul stance",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability"
}
]
},
{
"code": "L5850",
"display": "Endo ak/hip knee extens assi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist"
}
]
},
{
"code": "L5855",
"display": "Mech hip extension assist",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist"
}
]
},
{
"code": "L5856",
"display": "Elec knee-shin swing/stance",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type"
}
]
},
{
"code": "L5857",
"display": "Elec knee-shin swing only",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type"
}
]
},
{
"code": "L5858",
"display": "Stance phase only",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity prosthesis, endoskeletal knee shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type"
}
]
},
{
"code": "L5859",
"display": "Knee-shin pro flex/ext cont",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s)"
}
]
},
{
"code": "L5910",
"display": "Endo below knee alignable sy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, endoskeletal system, below knee, alignable system"
}
]
},
{
"code": "L5920",
"display": "Endo ak/hip alignable system",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, endoskeletal system, above knee or hip disarticulation, alignable system"
}
]
},
{
"code": "L5925",
"display": "Above knee manual lock",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock"
}
]
},
{
"code": "L5926",
"display": "Endoskel posit rotat unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type"
}
]
},
{
"code": "L5930",
"display": "High activity knee frame",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, endoskeletal system, high activity knee control frame"
}
]
},
{
"code": "L5940",
"display": "Endo bk ultra-light material",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal)"
}
]
},
{
"code": "L5950",
"display": "Endo ak ultra-light material",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal)"
}
]
},
{
"code": "L5960",
"display": "Endo hip ultra-light materia",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)"
}
]
},
{
"code": "L5961",
"display": "Endo poly hip, pneu/hyd/rot",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control"
}
]
},
{
"code": "L5962",
"display": "Below knee flex cover system",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, endoskeletal system, below knee, flexible protective outer surface covering system"
}
]
},
{
"code": "L5964",
"display": "Above knee flex cover system",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, endoskeletal system, above knee, flexible protective outer surface covering system"
}
]
},
{
"code": "L5966",
"display": "Hip flexible cover system",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system"
}
]
},
{
"code": "L5968",
"display": "Multiaxial ankle w dorsiflex",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature"
}
]
},
{
"code": "L5969",
"display": "Ak/ft power asst incl motors",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition, endoskeletal ankle-foot or ankle system, power assist, includes any type motor(s)"
}
]
},
{
"code": "L5970",
"display": "Foot external keel sach foot",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All lower extremity prostheses, foot, external keel, sach foot"
}
]
},
{
"code": "L5971",
"display": "Sach foot, replacement",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All lower extremity prosthesis, solid ankle cushion heel (sach) foot, replacement only"
}
]
},
{
"code": "L5972",
"display": "Flexible keel foot",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All lower extremity prostheses, foot, flexible keel"
}
]
},
{
"code": "L5973",
"display": "Ank-foot sys dors-plant flex",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source"
}
]
},
{
"code": "L5974",
"display": "Foot single axis ankle/foot",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All lower extremity prostheses, foot, single axis ankle/foot"
}
]
},
{
"code": "L5975",
"display": "Combo ankle/foot prosthesis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All lower extremity prosthesis, combination single axis ankle and flexible keel foot"
}
]
},
{
"code": "L5976",
"display": "Energy storing foot",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All lower extremity prostheses, energy storing foot (seattle carbon copy ii or equal)"
}
]
},
{
"code": "L5978",
"display": "Ft prosth multiaxial ankl/ft",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All lower extremity prostheses, foot, multiaxial ankle/foot"
}
]
},
{
"code": "L5979",
"display": "Multi-axial ankle/ft prosth",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All lower extremity prosthesis, multi-axial ankle, dynamic response foot, one piece system"
}
]
},
{
"code": "L5980",
"display": "Flex foot system",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All lower extremity prostheses, flex foot system"
}
]
},
{
"code": "L5981",
"display": "Flex-walk sys low ext prosth",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All lower extremity prostheses, flex-walk system or equal"
}
]
},
{
"code": "L5982",
"display": "Exoskeletal axial rotation u",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All exoskeletal lower extremity prostheses, axial rotation unit"
}
]
},
{
"code": "L5984",
"display": "Endoskeletal axial rotation",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All endoskeletal lower extremity prosthesis, axial rotation unit, with or without adjustability"
}
]
},
{
"code": "L5985",
"display": "Lwr ext dynamic prosth pylon",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All endoskeletal lower extremity prostheses, dynamic prosthetic pylon"
}
]
},
{
"code": "L5986",
"display": "Multi-axial rotation unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal)"
}
]
},
{
"code": "L5987",
"display": "Shank ft w vert load pylon",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All lower extremity prosthesis, shank foot system with vertical loading pylon"
}
]
},
{
"code": "L5988",
"display": "Vertical shock reducing pylo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower limb prosthesis, vertical shock reducing pylon feature"
}
]
},
{
"code": "L5990",
"display": "User adjustable heel height",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity prosthesis, user adjustable heel height"
}
]
},
{
"code": "L5991",
"display": "Low pros ext osseo connector",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lower extremity prostheses, osseointegrated external prosthetic connector"
}
]
},
{
"code": "L5999",
"display": "Lowr extremity prosthes nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lower extremity prosthesis, not otherwise specified"
}
]
},
{
"code": "L6000",
"display": "Part hand thumb rem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Partial hand, thumb remaining"
}
]
},
{
"code": "L6010",
"display": "Part hand little/ring",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Partial hand, little and/or ring finger remaining"
}
]
},
{
"code": "L6020",
"display": "Part hand no fingers",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Partial hand, no finger remaining"
}
]
},
{
"code": "L6025",
"display": "Part hand disart myoelectric",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectric control of terminal device"
}
]
},
{
"code": "L6026",
"display": "Part hand myo exclu term dev",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectric control of terminal device, excludes terminal device(s)"
}
]
},
{
"code": "L6050",
"display": "Wrst mld sck flx hng tri pad",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad"
}
]
},
{
"code": "L6055",
"display": "Wrst mold sock w/exp interfa",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad"
}
]
},
{
"code": "L6100",
"display": "Elb mold sock flex hinge pad",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Below elbow, molded socket, flexible elbow hinge, triceps pad"
}
]
},
{
"code": "L6110",
"display": "Elbow mold sock suspension t",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Below elbow, molded socket, (muenster or northwestern suspension types)"
}
]
},
{
"code": "L6120",
"display": "Elbow mold doub splt soc ste",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Below elbow, molded double wall split socket, step-up hinges, half cuff"
}
]
},
{
"code": "L6130",
"display": "Elbow stump activated lock h",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Below elbow, molded double wall split socket, stump activated locking hinge, half cuff"
}
]
},
{
"code": "L6200",
"display": "Elbow mold outsid lock hinge",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Elbow disarticulation, molded socket, outside locking hinge, forearm"
}
]
},
{
"code": "L6205",
"display": "Elbow molded w/ expand inter",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm"
}
]
},
{
"code": "L6250",
"display": "Elbow inter loc elbow forarm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Above elbow, molded double wall socket, internal locking elbow, forearm"
}
]
},
{
"code": "L6300",
"display": "Shlder disart int lock elbow",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm"
}
]
},
{
"code": "L6310",
"display": "Shoulder passive restor comp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Shoulder disarticulation, passive restoration (complete prosthesis)"
}
]
},
{
"code": "L6320",
"display": "Shoulder passive restor cap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Shoulder disarticulation, passive restoration (shoulder cap only)"
}
]
},
{
"code": "L6350",
"display": "Thoracic intern lock elbow",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm"
}
]
},
{
"code": "L6360",
"display": "Thoracic passive restor comp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Interscapular thoracic, passive restoration (complete prosthesis)"
}
]
},
{
"code": "L6370",
"display": "Thoracic passive restor cap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Interscapular thoracic, passive restoration (shoulder cap only)"
}
]
},
{
"code": "L6380",
"display": "Postop dsg cast chg wrst/elb",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Immediate post surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, wrist disarticulation or below elbow"
}
]
},
{
"code": "L6382",
"display": "Postop dsg cast chg elb dis/",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, elbow disarticulation or above elbow"
}
]
},
{
"code": "L6384",
"display": "Postop dsg cast chg shlder/t",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, shoulder disarticulation or interscapular thoracic"
}
]
},
{
"code": "L6386",
"display": "Postop ea cast chg & realign",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Immediate post surgical or early fitting, each additional cast change and realignment"
}
]
},
{
"code": "L6388",
"display": "Postop applicat rigid dsg on",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Immediate post surgical or early fitting, application of rigid dressing only"
}
]
},
{
"code": "L6400",
"display": "Below elbow prosth tiss shap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping"
}
]
},
{
"code": "L6450",
"display": "Elb disart prosth tiss shap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping"
}
]
},
{
"code": "L6500",
"display": "Above elbow prosth tiss shap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping"
}
]
},
{
"code": "L6550",
"display": "Shldr disar prosth tiss shap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Shoulder disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping"
}
]
},
{
"code": "L6570",
"display": "Scap thorac prosth tiss shap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Interscapular thoracic, molded socket, endoskeletal system, including soft prosthetic tissue shaping"
}
]
},
{
"code": "L6580",
"display": "Wrist/elbow bowden cable mol",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Preparatory, wrist disarticulation or below elbow, single wall plastic socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, no cover, molded to patient model"
}
]
},
{
"code": "L6582",
"display": "Wrist/elbow bowden cbl dir f",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Preparatory, wrist disarticulation or below elbow, single wall socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, no cover, direct formed"
}
]
},
{
"code": "L6584",
"display": "Elbow fair lead cable molded",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Preparatory, elbow disarticulation or above elbow, single wall plastic socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, molded to patient model"
}
]
},
{
"code": "L6586",
"display": "Elbow fair lead cable dir fo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Preparatory, elbow disarticulation or above elbow, single wall socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, direct formed"
}
]
},
{
"code": "L6588",
"display": "Shdr fair lead cable molded",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Preparatory, shoulder disarticulation or interscapular thoracic, single wall plastic socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, no cover, molded to patient model"
}
]
},
{
"code": "L6590",
"display": "Shdr fair lead cable direct",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Preparatory, shoulder disarticulation or interscapular thoracic, single wall socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, no cover, direct formed"
}
]
},
{
"code": "L6600",
"display": "Polycentric hinge pair",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity additions, polycentric hinge, pair"
}
]
},
{
"code": "L6605",
"display": "Single pivot hinge pair",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity additions, single pivot hinge, pair"
}
]
},
{
"code": "L6610",
"display": "Flexible metal hinge pair",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity additions, flexible metal hinge, pair"
}
]
},
{
"code": "L6611",
"display": "Additional switch, ext power",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to upper extremity prosthesis, external powered, additional switch, any type"
}
]
},
{
"code": "L6615",
"display": "Disconnect locking wrist uni",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity addition, disconnect locking wrist unit"
}
]
},
{
"code": "L6616",
"display": "Disconnect insert locking wr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity addition, additional disconnect insert for locking wrist unit, each"
}
]
},
{
"code": "L6620",
"display": "Flexion/extension wrist unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity addition, flexion/extension wrist unit, with or without friction"
}
]
},
{
"code": "L6621",
"display": "Flex/ext wrist w/wo friction",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity prosthesis addition, flexion/extension wrist with or without friction, for use with external powered terminal device"
}
]
},
{
"code": "L6623",
"display": "Spring-ass rot wrst w/ latch",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity addition, spring assisted rotational wrist unit with latch release"
}
]
},
{
"code": "L6624",
"display": "Flex/ext/rotation wrist unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity addition, flexion/extension and rotation wrist unit"
}
]
},
{
"code": "L6625",
"display": "Rotation wrst w/ cable lock",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity addition, rotation wrist unit with cable lock"
}
]
},
{
"code": "L6628",
"display": "Quick disconn hook adapter o",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity addition, quick disconnect hook adapter, otto bock or equal"
}
]
},
{
"code": "L6629",
"display": "Lamination collar w/ couplin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity addition, quick disconnect lamination collar with coupling piece, otto bock or equal"
}
]
},
{
"code": "L6630",
"display": "Stainless steel any wrist",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity addition, stainless steel, any wrist"
}
]
},
{
"code": "L6632",
"display": "Latex suspension sleeve each",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity addition, latex suspension sleeve, each"
}
]
},
{
"code": "L6635",
"display": "Lift assist for elbow",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity addition, lift assist for elbow"
}
]
},
{
"code": "L6637",
"display": "Nudge control elbow lock",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity addition, nudge control elbow lock"
}
]
},
{
"code": "L6638",
"display": "Elec lock on manual pw elbow",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity addition to prosthesis, electric locking feature, only for use with manually powered elbow"
}
]
},
{
"code": "L6640",
"display": "Shoulder abduction joint pai",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity additions, shoulder abduction joint, pair"
}
]
},
{
"code": "L6641",
"display": "Excursion amplifier pulley t",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity addition, excursion amplifier, pulley type"
}
]
},
{
"code": "L6642",
"display": "Excursion amplifier lever ty",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity addition, excursion amplifier, lever type"
}
]
},
{
"code": "L6645",
"display": "Shoulder flexion-abduction j",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity addition, shoulder flexion-abduction joint, each"
}
]
},
{
"code": "L6646",
"display": "Multipo locking shoulder jnt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity addition, shoulder joint, multipositional locking, flexion, adjustable abduction friction control, for use with body powered or external powered system"
}
]
},
{
"code": "L6647",
"display": "Shoulder lock actuator",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity addition, shoulder lock mechanism, body powered actuator"
}
]
},
{
"code": "L6648",
"display": "Ext pwrd shlder lock/unlock",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity addition, shoulder lock mechanism, external powered actuator"
}
]
},
{
"code": "L6650",
"display": "Shoulder universal joint",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity addition, shoulder universal joint, each"
}
]
},
{
"code": "L6655",
"display": "Standard control cable extra",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity addition, standard control cable, extra"
}
]
},
{
"code": "L6660",
"display": "Heavy duty control cable",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity addition, heavy duty control cable"
}
]
},
{
"code": "L6665",
"display": "Teflon or equal cable lining",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity addition, teflon, or equal, cable lining"
}
]
},
{
"code": "L6670",
"display": "Hook to hand cable adapter",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity addition, hook to hand, cable adapter"
}
]
},
{
"code": "L6672",
"display": "Harness chest/shlder saddle",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity addition, harness, chest or shoulder, saddle type"
}
]
},
{
"code": "L6675",
"display": "Harness figure of 8 sing con",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity addition, harness, (e.g., figure of eight type), single cable design"
}
]
},
{
"code": "L6676",
"display": "Harness figure of 8 dual con",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity addition, harness, (e.g., figure of eight type), dual cable design"
}
]
},
{
"code": "L6677",
"display": "Ue triple control harness",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow"
}
]
},
{
"code": "L6680",
"display": "Test sock wrist disart/bel e",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity addition, test socket, wrist disarticulation or below elbow"
}
]
},
{
"code": "L6682",
"display": "Test sock elbw disart/above",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity addition, test socket, elbow disarticulation or above elbow"
}
]
},
{
"code": "L6684",
"display": "Test socket shldr disart/tho",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic"
}
]
},
{
"code": "L6686",
"display": "Suction socket",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity addition, suction socket"
}
]
},
{
"code": "L6687",
"display": "Frame typ socket bel elbow/w",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity addition, frame type socket, below elbow or wrist disarticulation"
}
]
},
{
"code": "L6688",
"display": "Frame typ sock above elb/dis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity addition, frame type socket, above elbow or elbow disarticulation"
}
]
},
{
"code": "L6689",
"display": "Frame typ socket shoulder di",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity addition, frame type socket, shoulder disarticulation"
}
]
},
{
"code": "L6690",
"display": "Frame typ sock interscap-tho",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity addition, frame type socket, interscapular-thoracic"
}
]
},
{
"code": "L6691",
"display": "Removable insert each",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity addition, removable insert, each"
}
]
},
{
"code": "L6692",
"display": "Silicone gel insert or equal",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity addition, silicone gel insert or equal, each"
}
]
},
{
"code": "L6693",
"display": "Lockingelbow forearm cntrbal",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity addition, locking elbow, forearm counterbalance"
}
]
},
{
"code": "L6694",
"display": "Elbow socket ins use w/lock",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism"
}
]
},
{
"code": "L6695",
"display": "Elbow socket ins use w/o lck",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism"
}
]
},
{
"code": "L6696",
"display": "Cus elbo skt in for con/atyp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l6694 or l6695)"
}
]
},
{
"code": "L6697",
"display": "Cus elbo skt in not con/atyp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l6694 or l6695)"
}
]
},
{
"code": "L6698",
"display": "Below/above elbow lock mech",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to upper extremity prosthesis, below elbow/above elbow, lock mechanism, excludes socket insert"
}
]
},
{
"code": "L6703",
"display": "Term dev, passive hand mitt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Terminal device, passive hand/mitt, any material, any size"
}
]
},
{
"code": "L6704",
"display": "Term dev, sport/rec/work att",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Terminal device, sport/recreational/work attachment, any material, any size"
}
]
},
{
"code": "L6706",
"display": "Term dev mech hook vol open",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined"
}
]
},
{
"code": "L6707",
"display": "Term dev mech hook vol close",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined"
}
]
},
{
"code": "L6708",
"display": "Term dev mech hand vol open",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Terminal device, hand, mechanical, voluntary opening, any material, any size"
}
]
},
{
"code": "L6709",
"display": "Term dev mech hand vol close",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Terminal device, hand, mechanical, voluntary closing, any material, any size"
}
]
},
{
"code": "L6711",
"display": "Ped term dev, hook, vol open",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric"
}
]
},
{
"code": "L6712",
"display": "Ped term dev, hook, vol clos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric"
}
]
},
{
"code": "L6713",
"display": "Ped term dev, hand, vol open",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric"
}
]
},
{
"code": "L6714",
"display": "Ped term dev, hand, vol clos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Terminal device, hand, mechanical, voluntary closing, any material, any size, pediatric"
}
]
},
{
"code": "L6715",
"display": "Term device, multi art digit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Terminal device, multiple articulating digit, includes motor(s), initial issue or replacement"
}
]
},
{
"code": "L6721",
"display": "Hook/hand, hvy dty, vol open",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Terminal device, hook or hand, heavy duty, mechanical, voluntary opening, any material, any size, lined or unlined"
}
]
},
{
"code": "L6722",
"display": "Hook/hand, hvy dty, vol clos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, any material, any size, lined or unlined"
}
]
},
{
"code": "L6805",
"display": "Term dev modifier wrist unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to terminal device, modifier wrist unit"
}
]
},
{
"code": "L6810",
"display": "Term dev precision pinch dev",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to terminal device, precision pinch device"
}
]
},
{
"code": "L6880",
"display": "Elec hand ind art digits",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Electric hand, switch or myoelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s)"
}
]
},
{
"code": "L6881",
"display": "Term dev auto grasp feature",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Automatic grasp feature, addition to upper limb electric prosthetic terminal device"
}
]
},
{
"code": "L6882",
"display": "Microprocessor control uplmb",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Microprocessor control feature, addition to upper limb prosthetic terminal device"
}
]
},
{
"code": "L6883",
"display": "Replc sockt below e/w disa",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power"
}
]
},
{
"code": "L6884",
"display": "Replc sockt above elbow disa",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power"
}
]
},
{
"code": "L6885",
"display": "Replc sockt shldr dis/interc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power"
}
]
},
{
"code": "L6890",
"display": "Prefab glove for term device",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment"
}
]
},
{
"code": "L6895",
"display": "Custom glove for term device",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated"
}
]
},
{
"code": "L6900",
"display": "Hand restorat thumb/1 finger",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining"
}
]
},
{
"code": "L6905",
"display": "Hand restoration multiple fi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hand restoration (casts, shading and measurements included), partial hand, with glove, multiple fingers remaining"
}
]
},
{
"code": "L6910",
"display": "Hand restoration no fingers",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining"
}
]
},
{
"code": "L6915",
"display": "Hand restoration replacmnt g",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hand restoration (shading, and measurements included), replacement glove for above"
}
]
},
{
"code": "L6920",
"display": "Wrist disarticul switch ctrl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal, switch, cables, two batteries and one charger, switch control of terminal device"
}
]
},
{
"code": "L6925",
"display": "Wrist disart myoelectronic c",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device"
}
]
},
{
"code": "L6930",
"display": "Below elbow switch control",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device"
}
]
},
{
"code": "L6935",
"display": "Below elbow myoelectronic ct",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device"
}
]
},
{
"code": "L6940",
"display": "Elbow disarticulation switch",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device"
}
]
},
{
"code": "L6945",
"display": "Elbow disart myoelectronic c",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device"
}
]
},
{
"code": "L6950",
"display": "Above elbow switch control",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device"
}
]
},
{
"code": "L6955",
"display": "Above elbow myoelectronic ct",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device"
}
]
},
{
"code": "L6960",
"display": "Shldr disartic switch contro",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device"
}
]
},
{
"code": "L6965",
"display": "Shldr disartic myoelectronic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device"
}
]
},
{
"code": "L6970",
"display": "Interscapular-thor switch ct",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device"
}
]
},
{
"code": "L6975",
"display": "Interscap-thor myoelectronic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device"
}
]
},
{
"code": "L7007",
"display": "Adult electric hand",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Electric hand, switch or myoelectric controlled, adult"
}
]
},
{
"code": "L7008",
"display": "Pediatric electric hand",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Electric hand, switch or myoelectric, controlled, pediatric"
}
]
},
{
"code": "L7009",
"display": "Adult electric hook",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Electric hook, switch or myoelectric controlled, adult"
}
]
},
{
"code": "L7040",
"display": "Prehensile actuator",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prehensile actuator, switch controlled"
}
]
},
{
"code": "L7045",
"display": "Pediatric electric hook",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Electric hook, switch or myoelectric controlled, pediatric"
}
]
},
{
"code": "L7170",
"display": "Electronic elbow hosmer swit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Electronic elbow, hosmer or equal, switch controlled"
}
]
},
{
"code": "L7180",
"display": "Electronic elbow sequential",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Electronic elbow, microprocessor sequential control of elbow and terminal device"
}
]
},
{
"code": "L7181",
"display": "Electronic elbo simultaneous",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Electronic elbow, microprocessor simultaneous control of elbow and terminal device"
}
]
},
{
"code": "L7185",
"display": "Electron elbow adolescent sw",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Electronic elbow, adolescent, variety village or equal, switch controlled"
}
]
},
{
"code": "L7186",
"display": "Electron elbow child switch",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Electronic elbow, child, variety village or equal, switch controlled"
}
]
},
{
"code": "L7190",
"display": "Elbow adolescent myoelectron",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Electronic elbow, adolescent, variety village or equal, myoelectronically controlled"
}
]
},
{
"code": "L7191",
"display": "Elbow child myoelectronic ct",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Electronic elbow, child, variety village or equal, myoelectronically controlled"
}
]
},
{
"code": "L7259",
"display": "Electronic wrist rotator any",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Electronic wrist rotator, any type"
}
]
},
{
"code": "L7260",
"display": "Electron wrist rotator otto",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Electronic wrist rotator, otto bock or equal"
}
]
},
{
"code": "L7261",
"display": "Electron wrist rotator utah",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Electronic wrist rotator, for utah arm"
}
]
},
{
"code": "L7360",
"display": "Six volt bat otto bock/eq ea",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Six volt battery, each"
}
]
},
{
"code": "L7362",
"display": "Battery chrgr six volt otto",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Battery charger, six volt, each"
}
]
},
{
"code": "L7364",
"display": "Twelve volt battery utah/equ",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Twelve volt battery, each"
}
]
},
{
"code": "L7366",
"display": "Battery chrgr 12 volt utah/e",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Battery charger, twelve volt, each"
}
]
},
{
"code": "L7367",
"display": "Replacemnt lithium ionbatter",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lithium ion battery, rechargeable, replacement"
}
]
},
{
"code": "L7368",
"display": "Lithium ion battery charger",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lithium ion battery charger, replacement only"
}
]
},
{
"code": "L7400",
"display": "Add ue prost be/wd, ultlite",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultralight material (titanium, carbon fiber or equal)"
}
]
},
{
"code": "L7401",
"display": "Add ue prost a/e ultlite mat",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to upper extremity prosthesis, above elbow disarticulation, ultralight material (titanium, carbon fiber or equal)"
}
]
},
{
"code": "L7402",
"display": "Add ue prost s/d ultlite mat",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultralight material (titanium, carbon fiber or equal)"
}
]
},
{
"code": "L7403",
"display": "Add ue prost b/e acrylic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material"
}
]
},
{
"code": "L7404",
"display": "Add ue prost a/e acrylic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material"
}
]
},
{
"code": "L7405",
"display": "Add ue prost s/d acrylic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material"
}
]
},
{
"code": "L7499",
"display": "Upper extremity prosthes nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper extremity prosthesis, not otherwise specified"
}
]
},
{
"code": "L7510",
"display": "Prosthetic device repair rep",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Repair of prosthetic device, repair or replace minor parts"
}
]
},
{
"code": "L7520",
"display": "Repair prosthesis per 15 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Repair prosthetic device, labor component, per 15 minutes"
}
]
},
{
"code": "L7600",
"display": "Prosthetic donning sleeve",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prosthetic donning sleeve, any material, each"
}
]
},
{
"code": "L7700",
"display": "Pros soc insert gasket/seal",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gasket or seal, for use with prosthetic socket insert, any type, each"
}
]
},
{
"code": "L7900",
"display": "Male vacuum erection system"
},
{
"code": "L7902",
"display": "Tension ring, vac erect dev",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tension ring, for vacuum erection device, any type, replacement only, each"
}
]
},
{
"code": "L8000",
"display": "Mastectomy bra",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type"
}
]
},
{
"code": "L8001",
"display": "Breast prosthesis bra & form",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type"
}
]
},
{
"code": "L8002",
"display": "Brst prsth bra & bilat form",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type"
}
]
},
{
"code": "L8010",
"display": "Mastectomy sleeve",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Breast prosthesis, mastectomy sleeve"
}
]
},
{
"code": "L8015",
"display": "Ext breastprosthesis garment",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "External breast prosthesis garment, with mastectomy form, post mastectomy"
}
]
},
{
"code": "L8020",
"display": "Mastectomy form",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Breast prosthesis, mastectomy form"
}
]
},
{
"code": "L8030",
"display": "Breast prosthes w/o adhesive",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Breast prosthesis, silicone or equal, without integral adhesive"
}
]
},
{
"code": "L8031",
"display": "Breast prosthesis w adhesive",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Breast prosthesis, silicone or equal, with integral adhesive"
}
]
},
{
"code": "L8032",
"display": "Reusable nipple prosthesis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nipple prosthesis, prefabricated, reusable, any type, each"
}
]
},
{
"code": "L8033",
"display": "Nipple prosthesis custom, ea",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nipple prosthesis, custom fabricated, reusable, any material, any type, each"
}
]
},
{
"code": "L8035",
"display": "Custom breast prosthesis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Custom breast prosthesis, post mastectomy, molded to patient model"
}
]
},
{
"code": "L8039",
"display": "Breast prosthesis nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Breast prosthesis, not otherwise specified"
}
]
},
{
"code": "L8040",
"display": "Nasal prosthesis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nasal prosthesis, provided by a non-physician"
}
]
},
{
"code": "L8041",
"display": "Midfacial prosthesis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Midfacial prosthesis, provided by a non-physician"
}
]
},
{
"code": "L8042",
"display": "Orbital prosthesis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Orbital prosthesis, provided by a non-physician"
}
]
},
{
"code": "L8043",
"display": "Upper facial prosthesis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Upper facial prosthesis, provided by a non-physician"
}
]
},
{
"code": "L8044",
"display": "Hemi-facial prosthesis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hemi-facial prosthesis, provided by a non-physician"
}
]
},
{
"code": "L8045",
"display": "Auricular prosthesis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Auricular prosthesis, provided by a non-physician"
}
]
},
{
"code": "L8046",
"display": "Partial facial prosthesis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Partial facial prosthesis, provided by a non-physician"
}
]
},
{
"code": "L8047",
"display": "Nasal septal prosthesis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nasal septal prosthesis, provided by a non-physician"
}
]
},
{
"code": "L8048",
"display": "Unspec maxillofacial prosth",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Unspecified maxillofacial prosthesis, by report, provided by a non-physician"
}
]
},
{
"code": "L8049",
"display": "Repair maxillofacial prosth",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Repair or modification of maxillofacial prosthesis, labor component, 15 minute increments, provided by a non-physician"
}
]
},
{
"code": "L8300",
"display": "Truss single w/ standard pad",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Truss, single with standard pad"
}
]
},
{
"code": "L8310",
"display": "Truss double w/ standard pad",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Truss, double with standard pads"
}
]
},
{
"code": "L8320",
"display": "Truss addition to std pad wa",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Truss, addition to standard pad, water pad"
}
]
},
{
"code": "L8330",
"display": "Truss add to std pad scrotal",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Truss, addition to standard pad, scrotal pad"
}
]
},
{
"code": "L8400",
"display": "Sheath below knee",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prosthetic sheath, below knee, each"
}
]
},
{
"code": "L8410",
"display": "Sheath above knee",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prosthetic sheath, above knee, each"
}
]
},
{
"code": "L8415",
"display": "Sheath upper limb",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prosthetic sheath, upper limb, each"
}
]
},
{
"code": "L8417",
"display": "Pros sheath/sock w gel cushn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each"
}
]
},
{
"code": "L8420",
"display": "Prosthetic sock multi ply bk",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prosthetic sock, multiple ply, below knee, each"
}
]
},
{
"code": "L8430",
"display": "Prosthetic sock multi ply ak",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prosthetic sock, multiple ply, above knee, each"
}
]
},
{
"code": "L8435",
"display": "Pros sock multi ply upper lm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prosthetic sock, multiple ply, upper limb, each"
}
]
},
{
"code": "L8440",
"display": "Shrinker below knee",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prosthetic shrinker, below knee, each"
}
]
},
{
"code": "L8460",
"display": "Shrinker above knee",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prosthetic shrinker, above knee, each"
}
]
},
{
"code": "L8465",
"display": "Shrinker upper limb",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prosthetic shrinker, upper limb, each"
}
]
},
{
"code": "L8470",
"display": "Pros sock single ply bk",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prosthetic sock, single ply, fitting, below knee, each"
}
]
},
{
"code": "L8480",
"display": "Pros sock single ply ak",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prosthetic sock, single ply, fitting, above knee, each"
}
]
},
{
"code": "L8485",
"display": "Pros sock single ply upper l",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prosthetic sock, single ply, fitting, upper limb, each"
}
]
},
{
"code": "L8499",
"display": "Unlisted misc prosthetic ser",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Unlisted procedure for miscellaneous prosthetic services"
}
]
},
{
"code": "L8500",
"display": "Artificial larynx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Artificial larynx, any type"
}
]
},
{
"code": "L8501",
"display": "Tracheostomy speaking valve"
},
{
"code": "L8505",
"display": "Artificial larynx, accessory",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Artificial larynx replacement battery / accessory, any type"
}
]
},
{
"code": "L8507",
"display": "Trach-esoph voice pros pt in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tracheo-esophageal voice prosthesis, patient inserted, any type, each"
}
]
},
{
"code": "L8509",
"display": "Trach-esoph voice pros md in",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type"
}
]
},
{
"code": "L8510",
"display": "Voice amplifier"
},
{
"code": "L8511",
"display": "Indwelling trach insert",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each"
}
]
},
{
"code": "L8512",
"display": "Gel cap for trach voice pros",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gelatin capsules or equivalent, for use with tracheoesophageal voice prosthesis, replacement only, per 10"
}
]
},
{
"code": "L8513",
"display": "Trach pros cleaning device",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each"
}
]
},
{
"code": "L8514",
"display": "Repl trach puncture dilator",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tracheoesophageal puncture dilator, replacement only, each"
}
]
},
{
"code": "L8515",
"display": "Gel cap app device for trach",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, each"
}
]
},
{
"code": "L8600",
"display": "Implant breast silicone/eq",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Implantable breast prosthesis, silicone or equal"
}
]
},
{
"code": "L8603",
"display": "Collagen imp urinary 2.5 ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and necessary supplies"
}
]
},
{
"code": "L8604",
"display": "Dextranomer/hyaluronic acid",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, urinary tract, 1 ml, includes shipping and necessary supplies"
}
]
},
{
"code": "L8605",
"display": "Inj bulking agent anal canal",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies"
}
]
},
{
"code": "L8606",
"display": "Synthetic implnt urinary 1ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies"
}
]
},
{
"code": "L8607",
"display": "Inj vocal cord bulking agent",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies"
}
]
},
{
"code": "L8608",
"display": "Arg ii ext com/sup/acc misc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Miscellaneous external component, supply or accessory for use with the argus ii retinal prosthesis system"
}
]
},
{
"code": "L8609",
"display": "Artificial cornea"
},
{
"code": "L8610",
"display": "Ocular implant"
},
{
"code": "L8612",
"display": "Aqueous shunt prosthesis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Aqueous shunt"
}
]
},
{
"code": "L8613",
"display": "Ossicular implant",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ossicula implant"
}
]
},
{
"code": "L8614",
"display": "Cochlear device",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cochlear device, includes all internal and external components"
}
]
},
{
"code": "L8615",
"display": "Coch implant headset replace",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Headset/headpiece for use with cochlear implant device, replacement"
}
]
},
{
"code": "L8616",
"display": "Coch implant microphone repl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Microphone for use with cochlear implant device, replacement"
}
]
},
{
"code": "L8617",
"display": "Coch implant trans coil repl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transmitting coil for use with cochlear implant device, replacement"
}
]
},
{
"code": "L8618",
"display": "Coch implant tran cable repl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement"
}
]
},
{
"code": "L8619",
"display": "Coch imp ext proc/contr rplc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cochlear implant, external speech processor and controller, integrated system, replacement"
}
]
},
{
"code": "L8621",
"display": "Repl zinc air battery",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each"
}
]
},
{
"code": "L8622",
"display": "Repl alkaline battery",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alkaline battery for use with cochlear implant device, any size, replacement, each"
}
]
},
{
"code": "L8623",
"display": "Lith ion batt cid,non-earlvl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lithium ion battery for use with cochlear implant device speech processor, other than ear level, replacement, each"
}
]
},
{
"code": "L8624",
"display": "Lith ion batt cid, ear level",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each"
}
]
},
{
"code": "L8625",
"display": "Charger coch impl/aoi battry",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "External recharging system for battery for use with cochlear implant or auditory osseointegrated device, replacement only, each"
}
]
},
{
"code": "L8627",
"display": "Cid ext speech process repl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cochlear implant, external speech processor, component, replacement"
}
]
},
{
"code": "L8628",
"display": "Cid ext controller repl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cochlear implant, external controller component, replacement"
}
]
},
{
"code": "L8629",
"display": "Cid transmit coil and cable",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transmitting coil and cable, integrated, for use with cochlear implant device, replacement"
}
]
},
{
"code": "L8630",
"display": "Metacarpophalangeal implant",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Metacarpophalangeal joint implant"
}
]
},
{
"code": "L8631",
"display": "Mcp joint repl 2 pc or more",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Metacarpal phalangeal joint replacement, two or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon), for surgical implantation (all sizes, includes entire system)"
}
]
},
{
"code": "L8641",
"display": "Metatarsal joint implant"
},
{
"code": "L8642",
"display": "Hallux implant"
},
{
"code": "L8658",
"display": "Interphalangeal joint spacer",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Interphalangeal joint spacer, silicone or equal, each"
}
]
},
{
"code": "L8659",
"display": "Interphalangeal joint repl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Interphalangeal finger joint replacement, 2 or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon) for surgical implantation, any size"
}
]
},
{
"code": "L8670",
"display": "Vascular graft, synthetic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Vascular graft material, synthetic, implant"
}
]
},
{
"code": "L8678",
"display": "Ext sply implt neurostim",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Electrical stimulator supplies (external) for use with implantable neurostimulator, per month"
}
]
},
{
"code": "L8679",
"display": "Imp neurosti pls gn any type",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Implantable neurostimulator, pulse generator, any type"
}
]
},
{
"code": "L8680",
"display": "Implt neurostim elctr each",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Implantable neurostimulator electrode, each"
}
]
},
{
"code": "L8681",
"display": "Pt prgrm for implt neurostim",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient programmer (external) for use with implantable programmable neurostimulator pulse generator, replacement only"
}
]
},
{
"code": "L8682",
"display": "Implt neurostim radiofq rec",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Implantable neurostimulator radiofrequency receiver"
}
]
},
{
"code": "L8683",
"display": "Radiofq trsmtr for implt neu",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Radiofrequency transmitter (external) for use with implantable neurostimulator radiofrequency receiver"
}
]
},
{
"code": "L8684",
"display": "Radiof trsmtr implt scrl neu",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Radiofrequency transmitter (external) for use with implantable sacral root neurostimulator receiver for bowel and bladder management, replacement"
}
]
},
{
"code": "L8685",
"display": "Implt nrostm pls gen sng rec",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Implantable neurostimulator pulse generator, single array, rechargeable, includes extension"
}
]
},
{
"code": "L8686",
"display": "Implt nrostm pls gen sng non",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Implantable neurostimulator pulse generator, single array, non-rechargeable, includes extension"
}
]
},
{
"code": "L8687",
"display": "Implt nrostm pls gen dua rec",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Implantable neurostimulator pulse generator, dual array, rechargeable, includes extension"
}
]
},
{
"code": "L8688",
"display": "Implt nrostm pls gen dua non",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Implantable neurostimulator pulse generator, dual array, non-rechargeable, includes extension"
}
]
},
{
"code": "L8689",
"display": "External recharg sys intern",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "External recharging system for battery (internal) for use with implantable neurostimulator, replacement only"
}
]
},
{
"code": "L8690",
"display": "Aud osseo dev, int/ext comp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Auditory osseointegrated device, includes all internal and external components"
}
]
},
{
"code": "L8691",
"display": "Aoi snd proc repl excl actua",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Auditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement only, each"
}
]
},
{
"code": "L8692",
"display": "Non-osseointegrated snd proc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Auditory osseointegrated device, external sound processor, used without osseointegration, body worn, includes headband or other means of external attachment"
}
]
},
{
"code": "L8693",
"display": "Aud osseo dev, abutment",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Auditory osseointegrated device abutment, any length, replacement only"
}
]
},
{
"code": "L8694",
"display": "Aoi transducer/actuator repl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Auditory osseointegrated device, transducer/actuator, replacement only, each"
}
]
},
{
"code": "L8695",
"display": "External recharg sys extern",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "External recharging system for battery (external) for use with implantable neurostimulator, replacement only"
}
]
},
{
"code": "L8696",
"display": "Ext antenna phren nerve stim",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Antenna (external) for use with implantable diaphragmatic/phrenic nerve stimulation device, replacement, each"
}
]
},
{
"code": "L8698",
"display": "Misc used with tot art heart",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Miscellaneous component, supply or accessory for use with total artificial heart system"
}
]
},
{
"code": "L8699",
"display": "Prosthetic implant nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prosthetic implant, not otherwise specified"
}
]
},
{
"code": "L8701",
"display": "Ewh s/d uprt micro sensor",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated"
}
]
},
{
"code": "L8702",
"display": "Ewhf s/d uprt micro sensor",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Powered upper extremity range of motion assist device, elbow, wrist, hand, finger, single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated"
}
]
},
{
"code": "L8720",
"display": "Ext low ext sens prosthe mec",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "External lower extremity sensory prosthetic device, cutaneous stimulation of mechanoreceptors proximal to the ankle, per leg"
}
]
},
{
"code": "L8721",
"display": "Receptor sole l8720 replace",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Receptor sole for use with l8720, replacement, each"
}
]
},
{
"code": "L9900",
"display": "O&p supply/accessory/service",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Orthotic and prosthetic supply, accessory, and/or service component of another hcpcs \"l\" code"
}
]
},
{
"code": "M0001",
"display": "Advancing cancer care mvp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Advancing cancer care mips value pathways"
}
]
},
{
"code": "M0002",
"display": "Opt care kidney hlth mvp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Optimal care for kidney health mips value pathways"
}
]
},
{
"code": "M0003",
"display": "Opt care episod neuro mvp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Optimal care for patients with episodic neurological conditions mips value pathways"
}
]
},
{
"code": "M0004",
"display": "Qual care neurologic cnd mvp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Quality care for patients with neurological conditions mips value pathway"
}
]
},
{
"code": "M0005",
"display": "Value in primary care mvp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Value in primary care mips value pathway"
}
]
},
{
"code": "M0010",
"display": "Eom meos payment",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Enhancing oncology model (eom) monthly enhanced oncology services (meos) payment for eom enhanced services"
}
]
},
{
"code": "M0064",
"display": "Visit for drug monitoring",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Brief office visit for the sole purpose of monitoring or changing drug prescriptions used in the treatment of mental psychoneurotic and personality disorders"
}
]
},
{
"code": "M0075",
"display": "Cellular therapy"
},
{
"code": "M0076",
"display": "Prolotherapy"
},
{
"code": "M0100",
"display": "Intragastric hypothermia",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intragastric hypothermia using gastric freezing"
}
]
},
{
"code": "M0201",
"display": "Pne flu hepb cov home admin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home"
}
]
},
{
"code": "M0220",
"display": "Tixagev and cilgav inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), includes injection and post administration monitoring"
}
]
},
{
"code": "M0221",
"display": "Tixagev and cilgav inj hm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), includes injection and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency"
}
]
},
{
"code": "M0222",
"display": "Bebtelovimab injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intravenous injection, bebtelovimab, includes injection and post administration monitoring"
}
]
},
{
"code": "M0223",
"display": "Bebtelovimab injection home",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intravenous injection, bebtelovimab, includes injection and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency"
}
]
},
{
"code": "M0224",
"display": "Pemivibart infusion",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intravenous infusion, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, who either have moderate-to-severe immune compromise due to a medical condition or receipt of immunosuppressive medications or treatments, includes infusion and post administration monitoring"
}
]
},
{
"code": "M0239",
"display": "Bamlanivimab-xxxx infusion",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring"
}
]
},
{
"code": "M0240",
"display": "Casiri and imdev repeat",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring, subsequent repeat doses"
}
]
},
{
"code": "M0241",
"display": "Casiri and imdev repeat hm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency, subsequent repeat doses"
}
]
},
{
"code": "M0243",
"display": "Casirivi and imdevi inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring"
}
]
},
{
"code": "M0244",
"display": "Casirivi and imdevi inj hm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency"
}
]
},
{
"code": "M0245",
"display": "Bamlan and etesev infusion",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring"
}
]
},
{
"code": "M0246",
"display": "Bamlan and etesev infus home",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider based to the hospital during the covid 19 public health emergency"
}
]
},
{
"code": "M0247",
"display": "Sotrovimab infusion",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intravenous infusion, sotrovimab, includes infusion and post administration monitoring"
}
]
},
{
"code": "M0248",
"display": "Sotrovimab inf, home admin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intravenous infusion, sotrovimab, includes infusion and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency"
}
]
},
{
"code": "M0249",
"display": "Adm tocilizu covid-19 1st",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, first dose"
}
]
},
{
"code": "M0250",
"display": "Adm tocilizu covid-19 2nd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, second dose"
}
]
},
{
"code": "M0300",
"display": "Iv chelationtherapy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Iv chelation therapy (chemical endarterectomy)"
}
]
},
{
"code": "M0301",
"display": "Fabric wrapping of aneurysm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Fabric wrapping of abdominal aneurysm"
}
]
},
{
"code": "M1000",
"display": "Pain scr as mod to sevr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pain screened as moderate to severe"
}
]
},
{
"code": "M1001",
"display": "Pln to adrs pain doc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Plan of care to address moderate to severe pain documented on or before the date of the second visit with a clinician"
}
]
},
{
"code": "M1002",
"display": "Pln to adrs pain not doc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Plan of care for moderate to severe pain not documented on or before the date of the second visit with a clinician, reason not given"
}
]
},
{
"code": "M1003",
"display": "Tb scr 12 mo pri fst bio dz",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tb screening performed and results interpreted within twelve months prior to initiation of first-time biologic and/or immune response modifier therapy"
}
]
},
{
"code": "M1004",
"display": "Doc med rsn no srn tb",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason for not screening for tb or interpreting results (i.e., patient positive for tb and documentation of past treatment; patient who has recently completed a course of anti-tb therapy)"
}
]
},
{
"code": "M1005",
"display": "Tb scr no perf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tb screening not performed or results not interpreted, reason not given"
}
]
},
{
"code": "M1006",
"display": "Dz not ases, no rsn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Disease activity not assessed, reason not given"
}
]
},
{
"code": "M1007",
"display": ">=50% total pt outpt ra enct",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": ">=50% of total number of a patient's outpatient ra encounters assessed"
}
]
},
{
"code": "M1008",
"display": "<50% total pt outpt ra encts",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "<50% of total number of a patient's outpatient ra encounters assessed"
}
]
},
{
"code": "M1009",
"display": "Dc eoc doc med rec",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Discharge/discontinuation of the episode of care documented in the medical record"
}
]
},
{
"code": "M1010",
"display": "Dc eoc doc med rec",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Discharge/discontinuation of the episode of care documented in the medical record"
}
]
},
{
"code": "M1011",
"display": "Dc eoc doc med rec",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Discharge/discontinuation of the episode of care documented in the medical record"
}
]
},
{
"code": "M1012",
"display": "Dc eoc doc med rec",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Discharge/discontinuation of the episode of care documented in the medical record"
}
]
},
{
"code": "M1013",
"display": "Dc eoc doc med rec",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Discharge/discontinuation of the episode of care documented in the medical record"
}
]
},
{
"code": "M1014",
"display": "Dc epi care doc medrec",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Discharge/discontinuation of the episode of care documented in the medical record"
}
]
},
{
"code": "M1015",
"display": "Dc eoc doc med rec",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Discharge/discontinuation of the episode of care documented in the medical record"
}
]
},
{
"code": "M1016",
"display": "Pt dx meop or sur steri",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Female patients unable to bear children"
}
]
},
{
"code": "M1017",
"display": "Pt admt to palitve serv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient admitted to palliative care services"
}
]
},
{
"code": "M1018",
"display": "Pt dx hst cr pt sk lg cr scr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with an active diagnosis or history of cancer (except basal cell and squamous cell skin carcinoma), patients who are heavy tobacco smokers, lung cancer screening patients"
}
]
},
{
"code": "M1019",
"display": "Adl pt mj dep ds rs 12 phq<5",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adolescent patients 12 to 17 years of age with major depression or dysthymia who reached remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5"
}
]
},
{
"code": "M1020",
"display": "Adl pt mj dep ds no rs 12 mo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adolescent patients 12 to 17 years of age with major depression or dysthymia who did not reach remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5. either phq-9 or phq-9m score was not assessed or is greater than or equal to 5"
}
]
},
{
"code": "M1021",
"display": "Pt uc in pp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient had only urgent care visits during the performance period"
}
]
},
{
"code": "M1022",
"display": "Pt hospice during perf pd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who were in hospice at any time during the performance period"
}
]
},
{
"code": "M1023",
"display": "Adl pt mj dep ds rs 6 phq<5",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adolescent patients 12 to 17 years of age with major depression or dysthymia who reached remission at six months as demonstrated by a six month (+/-60 days) phq-9 or phq-9m score of less than five"
}
]
},
{
"code": "M1024",
"display": "Adl pt mj dep ds no rs 6 mo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adolescent patients 12 to 17 years of age with major depression or dysthymia who did not reach remission at six months as demonstrated by a six month (+/-60 days) phq-9 or phq-9m score of less than five. either phq-9 or phq-9m score was not assessed or is greater than or equal to five"
}
]
},
{
"code": "M1025",
"display": "Pt hospice during perf pd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who were in hospice at any time during the performance period"
}
]
},
{
"code": "M1026",
"display": "Pt hospice during perf pd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who were in hospice at any time during the performance period"
}
]
},
{
"code": "M1027",
"display": "Img head (ct or mri) obtnd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Imaging of the head (ct or mri) was obtained"
}
]
},
{
"code": "M1028",
"display": "Doc of pt prm hda dx and otr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of patients with primary headache diagnosis and imaging other than ct or mri obtained"
}
]
},
{
"code": "M1029",
"display": "Doc sysm rsn img hd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Imaging of the head (ct or mri) was not obtained, reason not given"
}
]
},
{
"code": "M1030",
"display": "Pt clin ind img hd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with clinical indications for imaging of the head"
}
]
},
{
"code": "M1031",
"display": "Pt clin ind img hd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with no clinical indications for imaging of the head"
}
]
},
{
"code": "M1032",
"display": "Adt tkng pharmthry for oud",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adults currently taking pharmacotherapy for oud"
}
]
},
{
"code": "M1033",
"display": "Pharmthry for oud afr 6.30",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pharmacotherapy for oud initiated after june 30th of performance period"
}
]
},
{
"code": "M1034",
"display": "Adt 180 dys pharmthry oud",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adults who have at least 180 days of continuous pharmacotherapy with a medication prescribed for oud without a gap of more than seven days"
}
]
},
{
"code": "M1035",
"display": "Adt pd out mat pr 180 dys tx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adults who are deliberately phased out of medication assisted treatment (mat) prior to 180 days of continuous treatment"
}
]
},
{
"code": "M1036",
"display": "Adt no 180 dys pharmthry oud",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adults who have not had at least 180 days of continuous pharmacotherapy with a medication prescribed for oud without a gap of more than seven days"
}
]
},
{
"code": "M1037",
"display": "Pt dx lum sp reg cacr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with a diagnosis of lumbar spine region cancer at the time of the procedure"
}
]
},
{
"code": "M1038",
"display": "Pt dx lum sp reg fract",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with a diagnosis of lumbar spine region fracture at the time of the procedure"
}
]
},
{
"code": "M1039",
"display": "Pt dx lum sp reg inf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with a diagnosis of lumbar spine region infection at the time of the procedure"
}
]
},
{
"code": "M1040",
"display": "Pt dx lum idi or cong scol",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with a diagnosis of lumbar idiopathic or congenital scoliosis"
}
]
},
{
"code": "M1041",
"display": "Pt cr ft inf lm or pt id sl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient had cancer, acute fracture or infection related to the lumbar spine or patient had neuromuscular, idiopathic or congenital lumbar scoliosis"
}
]
},
{
"code": "M1042",
"display": "Ftl st mea sco ot odi 3 mo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Functional status measurement with score was obtained utilizing the oswestry disability index (odi version 2.1a) patient reported outcome tool within three months preoperatively and at one year (9 to 15 months) postoperatively"
}
]
},
{
"code": "M1043",
"display": "Fs no odi 9-15mo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Functional status was not measured by the oswestry disability index (odi version 2.1a) at one year (9 to 15 months) postoperatively"
}
]
},
{
"code": "M1044",
"display": "Ftl st mea odi 3 mo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Functional status was measured by the oswestry disability index (odi version 2.1a) patient reported outcome tool within three months preoperatively and at one year (9 to 15 months) postoperatively"
}
]
},
{
"code": "M1045",
"display": "Fs oks 9-15mo >= 37 >= 71",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Functional status measured by the oxford knee score (oks) at one year (9 to 15 months) postoperatively was greater than or equal to 37 or knee injury and osteoarthritis outcome score joint replacement (koos, jr.) was greater than or equal to 71"
}
]
},
{
"code": "M1046",
"display": "Fs oks 9-15mo < 37 < 71",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Functional status measured by the oxford knee score (oks) at one year (9 to 15 months) postoperatively was less than 37 or the knee injury and osteoarthritis outcome score joint replacement (koos, jr.) was less than 71 postoperatively"
}
]
},
{
"code": "M1047",
"display": "Fs msrd oks pre and post",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Functional status was measured by the oxford knee score (oks) patient reported outcome tool within three months preoperatively and at one year (9 to 15 months) postoperatively"
}
]
},
{
"code": "M1048",
"display": "Fsm wth scr odi pre and post",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Functional status measurement with score was obtained utilizing the oswestry disability index (odi version 2.1a) patient reported outcome tool within three months preoperatively and at three months (6 to 20 weeks) postoperatively"
}
]
},
{
"code": "M1049",
"display": "Fs wth scr no odi pre and p",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Functional status was not measured by the oswestry disability index (odi version 2.1a) at three months (6 - 20 weeks) postoperatively"
}
]
},
{
"code": "M1050",
"display": "Fs msrd odi pre and post",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Functional status was measured by the oswestry disability index (odi version 2.1a) patient reported outcome tool within three months preoperatively and at three months (6 to 20 weeks) postoperatively"
}
]
},
{
"code": "M1051",
"display": "Pt w/cancer scoliosis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient had cancer, acute fracture or infection related to the lumbar spine or patient had neuromuscular, idiopathic or congenital lumbar scoliosis"
}
]
},
{
"code": "M1052",
"display": "Lg pn not meas w/ vas 1yr po",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Leg pain was not measured by the visual analog scale (vas) or numeric pain scale at one year (9 to 15 months) postoperatively"
}
]
},
{
"code": "M1053",
"display": "Pre and post vas wthn 3 mos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Leg pain was measured by the visual analog scale (vas) within three months preoperatively and at one year (9 to 15 months) postoperatively"
}
]
},
{
"code": "M1054",
"display": "Pt uc in pp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient had only urgent care visits during the performance period"
}
]
},
{
"code": "M1055",
"display": "Aspirin used",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Aspirin or another antiplatelet therapy used"
}
]
},
{
"code": "M1056",
"display": "Presc antico med in pp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prescribed anticoagulant medication during the performance period, history of gi bleeding, history of intracranial bleeding, bleeding disorder and specific provider documented reasons: allergy to aspirin or anti-platelets, use of non-steroidal anti-inflammatory agents, drug-drug interaction, uncontrolled hypertension > 180/110 mmhg or gastroesophageal reflux disease"
}
]
},
{
"code": "M1057",
"display": "Aspirin not used, no rsn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Aspirin or another antiplatelet therapy not used, reason not given"
}
]
},
{
"code": "M1058",
"display": "Pt prm nurs hm res in pp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient was a permanent nursing home resident at any time during the performance period"
}
]
},
{
"code": "M1059",
"display": "Pt no prm nurs hm res in pp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient was in hospice or receiving palliative care at any time during the performance period"
}
]
},
{
"code": "M1060",
"display": "Pt died in pp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient died prior to the end of the performance period"
}
]
},
{
"code": "M1061",
"display": "Pt preg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient pregnancy"
}
]
},
{
"code": "M1062",
"display": "Pt imcomprmd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient immunocompromised"
}
]
},
{
"code": "M1063",
"display": "Pt rec hg dos imsup thpy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients receiving high doses of immunosuppressive therapy"
}
]
},
{
"code": "M1064",
"display": "Shing vac doc adm or pv rec",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Shingrix vaccine documented as administered or previously received"
}
]
},
{
"code": "M1065",
"display": "Shing vac no adm clinc rsn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Shingrix vaccine was not administered for reasons documented by clinician (e.g. patient administered vaccine other than shingrix, patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons)"
}
]
},
{
"code": "M1066",
"display": "Shing vac no doc no rsn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Shingrix vaccine not documented as administered, reason not given"
}
]
},
{
"code": "M1067",
"display": "Hspc pt prv time meam per",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospice services for patient provided any time during the measurement period"
}
]
},
{
"code": "M1068",
"display": "Pt not ambulatory",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adults who are not ambulatory"
}
]
},
{
"code": "M1069",
"display": "Pt scr ft fall rsk",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient screened for future fall risk"
}
]
},
{
"code": "M1070",
"display": "Pt not scrn fut fall no rsn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient not screened for future fall risk, reason not given"
}
]
},
{
"code": "M1071",
"display": "Pt had add'l sp pcr perf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient had any additional spine procedures performed on the same date as the lumbar discectomy/laminotomy"
}
]
},
{
"code": "M1106",
"display": "Start eoc doc med rec",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "The start of an episode of care documented in the medical record"
}
]
},
{
"code": "M1107",
"display": "Docu dx degen neuro",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson's diagnosed at any time before or during the episode of care"
}
]
},
{
"code": "M1108",
"display": "Oc ni pt home prog",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical record"
}
]
},
{
"code": "M1109",
"display": "Oc ni pt dc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ongoing care not medically possible because the patient was discharged early due to specific medical events, documented in the medical record, such as the patient became hospitalized or scheduled for surgery"
}
]
},
{
"code": "M1110",
"display": "Oc not p pt selfdc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ongoing care not possible because the patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown)"
}
]
},
{
"code": "M1111",
"display": "Start eoc doc med rec",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "The start of an episode of care documented in the medical record"
}
]
},
{
"code": "M1112",
"display": "Docu dx degen neuro",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson's diagnosed at any time before or during the episode of care"
}
]
},
{
"code": "M1113",
"display": "Oc ni pt home prog",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical record"
}
]
},
{
"code": "M1114",
"display": "Oc ni pt dc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ongoing care not medically possible because the patient was discharged early due to specific medical events, documented in the medical record, such as the patient became hospitalized or scheduled for surgery"
}
]
},
{
"code": "M1115",
"display": "Oc ni pt selfdc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ongoing care not possible because the patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown)"
}
]
},
{
"code": "M1116",
"display": "Start eoc doc med rec",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "The start of an episode of care documented in the medical record"
}
]
},
{
"code": "M1117",
"display": "Docu dx degen neuro",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson's diagnosed at any time before or during the episode of care"
}
]
},
{
"code": "M1118",
"display": "Oc ni pt home prog",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical record"
}
]
},
{
"code": "M1119",
"display": "Oc ni pt dc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ongoing care not medically possible because the patient was discharged early due to specific medical events, documented in the medical record, such as the patient became hospitalized or scheduled for surgery"
}
]
},
{
"code": "M1120",
"display": "Oc ni pt selfdc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ongoing care not possible because the patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown)"
}
]
},
{
"code": "M1121",
"display": "Start eoc doc med rec",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "The start of an episode of care documented in the medical record"
}
]
},
{
"code": "M1122",
"display": "Docu dx degen neuro",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson's diagnosed at any time before or during the episode of care"
}
]
},
{
"code": "M1123",
"display": "Oc ni pt home prog",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical record"
}
]
},
{
"code": "M1124",
"display": "Oc ni pt dc 1-2 vis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ongoing care not medically possible because the patient was discharged early due to specific medical events, documented in the medical record, such as the patient became hospitalized or scheduled for surgery"
}
]
},
{
"code": "M1125",
"display": "Oc ni pt selfdc 1-2 vis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ongoing care not possible because the patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown)"
}
]
},
{
"code": "M1126",
"display": "Start eoc doc med rec",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "The start of an episode of care documented in the medical record"
}
]
},
{
"code": "M1127",
"display": "Docu dx degen neuro",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson's diagnosed at any time before or during the episode of care"
}
]
},
{
"code": "M1128",
"display": "Oc ni pt home prog",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical record"
}
]
},
{
"code": "M1129",
"display": "Oc ni pt dc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ongoing care not medically possible because the patient was discharged early due to specific medical events, documented in the medical record, such as the patient became hospitalized or scheduled for surgery"
}
]
},
{
"code": "M1130",
"display": "Oc ni pt selfdc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ongoing care not possible because the patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown)"
}
]
},
{
"code": "M1131",
"display": "Docu dx degen neuro",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson's diagnosed at any time before or during the episode of care"
}
]
},
{
"code": "M1132",
"display": "Oc ni pt home prog",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical record"
}
]
},
{
"code": "M1133",
"display": "Oc ni pt dc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ongoing care not medically possible because the patient was discharged early due to specific medical events, documented in the medical record, such as the patient became hospitalized or scheduled for surgery"
}
]
},
{
"code": "M1134",
"display": "Oc ni pt selfdc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ongoing care not possible because the patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown)"
}
]
},
{
"code": "M1135",
"display": "Start eoc doc med rec",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "The start of an episode of care documented in the medical record"
}
]
},
{
"code": "M1136",
"display": "Start eoc doc med rec",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "The start of an episode of care documented in the medical record"
}
]
},
{
"code": "M1137",
"display": "Docu dx degen neuro",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson's diagnosed at any time before or during the episode of care"
}
]
},
{
"code": "M1138",
"display": "Oc ni pt 1-2 vis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ongoing care not indicated, patient seen only 1-2 visits (e.g., home program only, referred to another provider or facility, consultation only)"
}
]
},
{
"code": "M1139",
"display": "Oc ni pt self dc 1-2 vis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ongoing care not indicated, patient self-discharged early and seen only 1-2 visits (e.g., financial or insurance reasons, transportation problems, or reason unknown)"
}
]
},
{
"code": "M1140",
"display": "Oc ni pt dc 1-2 vis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ongoing care not indicated, patient discharged after only 1-2 visits due to specific medical events, documented in the medical record that make the treatment episode impossible such as the patient becomes hospitalized or scheduled for surgery for surgery or hospitalized"
}
]
},
{
"code": "M1141",
"display": "Fs no oks",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Functional status was not measured by the oxford knee score (oks) or the knee injury and osteoarthritis outcome score joint replacement (koos, jr.) at one year (9 to 15 months) postoperatively"
}
]
},
{
"code": "M1142",
"display": "Emerge cases",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Emergent cases"
}
]
},
{
"code": "M1143",
"display": "Ni rehab med chiro",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Initiated episode of rehabilitation therapy, medical, or chiropractic care for neck impairment"
}
]
},
{
"code": "M1144",
"display": "Oc no ind pt 1-2 vis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ongoing care not indicated, patient seen only 1-2 visits (e.g., home program only, referred to another provider or facility, consultation only"
}
]
},
{
"code": "M1145",
"display": "Mfn drug add-on, per dose",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Most favored nation (mfn) model drug add-on amount, per dose, (do not bill with line items that have the jw modifier)"
}
]
},
{
"code": "M1146",
"display": "Ongoing care not ind",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical record"
}
]
},
{
"code": "M1147",
"display": "Care not poss med rsn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ongoing care not medically possible because the patient was discharged early due to specific medical events, documented in the medical record, such as the patient became hospitalized or scheduled for surgery"
}
]
},
{
"code": "M1148",
"display": "Pt self dschg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ongoing care not possible because the patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown)"
}
]
},
{
"code": "M1149",
"display": "No neck fs prom incap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient unable to complete the neck fs prom at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility, and an adequate proxy is not available"
}
]
},
{
"code": "M1150",
"display": "Lvef <=40% or mod/sev l vsf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Current or prior left ventricular ejection fraction (lvef) less than or equal to 40% or documentation of moderately or severely depressed left ventricular systolic function"
}
]
},
{
"code": "M1151",
"display": "Pt w/ hx trnsplt or lvad",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with a history of heart transplant or with a left ventricular assist device (lvad)"
}
]
},
{
"code": "M1152",
"display": "Pt w/ hx trnsplt or lvad",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with a history of heart transplant or with a left ventricular assist device (lvad)"
}
]
},
{
"code": "M1153",
"display": "Pt w/ dx osteo doe",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient with diagnosis of osteoporosis on date of encounter"
}
]
},
{
"code": "M1154",
"display": "Hospc serv dur meas pd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospice services provided to patient any time during the measurement period"
}
]
},
{
"code": "M1155",
"display": "Pt anphx due to pneum",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient had anaphylaxis due to the pneumococcal vaccine any time during or before the measurement period"
}
]
},
{
"code": "M1156",
"display": "Pt recd actv chemo any time",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient received active chemotherapy any time during the measurement period"
}
]
},
{
"code": "M1157",
"display": "Pt recd bone mar trnsplt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient received bone marrow transplant any time during the measurement period"
}
]
},
{
"code": "M1158",
"display": "Pt hx immcomp prior/dur pd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient had history of immunocompromising conditions prior to or during the measurement period"
}
]
},
{
"code": "M1159",
"display": "Hospc serv dur meas pd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospice services provided to patient any time during the measurement period"
}
]
},
{
"code": "M1160",
"display": "Pt anphx due to mengb bef 13",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient had anaphylaxis due to the meningococcal vaccine any time on or before the patient's 13th birthday"
}
]
},
{
"code": "M1161",
"display": "Pt anphx due to dtp bef 13",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient had anaphylaxis due to the tetanus, diphtheria or pertussis vaccine any time on or before the patient's 13th birthday"
}
]
},
{
"code": "M1162",
"display": "Pt enceph due to dtp bef 13",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient had encephalitis due to the tetanus, diphtheria or pertussis vaccine any time on or before the patient's 13th birthday"
}
]
},
{
"code": "M1163",
"display": "Pt anphx due to hpv bef 13",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient had anaphylaxis due to the hpv vaccine any time on or before the patient's 13th birthday"
}
]
},
{
"code": "M1164",
"display": "Pt w/ dementia any time",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with dementia any time during the patient's history through the end of the measurement period"
}
]
},
{
"code": "M1165",
"display": "Pt use hspc dur meas pd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who use hospice services any time during the measurement period"
}
]
},
{
"code": "M1166",
"display": "Path rpt tis spec wle/reexc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pathology report for tissue specimens produced from wide local excisions or re-excisions"
}
]
},
{
"code": "M1167",
"display": "Hspc dur meas pd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "In hospice or using hospice services during the measurement period"
}
]
},
{
"code": "M1168",
"display": "Pt recd flu vax 7/1-6/30",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient received an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period"
}
]
},
{
"code": "M1169",
"display": "Doc med rsn no flu vax",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not administering influenza vaccine (e.g., prior anaphylaxis due to the influenza vaccine)"
}
]
},
{
"code": "M1170",
"display": "Pt w/o flu vax 7/1-6/30",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient did not receive an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period"
}
]
},
{
"code": "M1171",
"display": "Pt recd 1 td/tdap 9yrs prior",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient received at least one td vaccine or one tdap vaccine between nine years prior to the encounter and the end of the measurement period"
}
]
},
{
"code": "M1172",
"display": "Doc med rsn no td/tdap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not administering td or tdap vaccine (e.g., prior anaphylaxis due to the td or tdap vaccine or history of encephalopathy within seven days after a previous dose of a td-containing vaccine)"
}
]
},
{
"code": "M1173",
"display": "Pt no rec td/tdap 9yrs prior",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient did not receive at least one td vaccine or one tdap vaccine between nine years prior to the encounter and the end of the measurement period"
}
]
},
{
"code": "M1174",
"display": "Pt w 2 hzv on/aft 50",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient received at least two doses of the herpes zoster recombinant vaccine (at least 28 days apart) anytime on or after the patient's 50th birthday before or during the measurement period"
}
]
},
{
"code": "M1175",
"display": "Doc med rsn no hzv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not administering zoster vaccine (e.g., prior anaphylaxis due to the zoster vaccine)"
}
]
},
{
"code": "M1176",
"display": "No 2 hzv on/aft age 50",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient did not receive two doses of the herpes zoster recombinant vaccine (at least 28 days apart) anytime on or after the patient's 50th birthday before or during the measurement period"
}
]
},
{
"code": "M1177",
"display": "Pt recd pcv on/aft 19",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period"
}
]
},
{
"code": "M1178",
"display": "Doc med rsn no pcv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not administering pneumococcal vaccine (e.g., prior anaphylaxis due to the pneumococcal vaccine)"
}
]
},
{
"code": "M1179",
"display": "No pcv recd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient did not receive any pneumococcal conjugate or polysaccharide vaccine, on or after their 19th birthday and before or during measurement period"
}
]
},
{
"code": "M1180",
"display": "Pt imm ckpt inhib therapy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients on immune checkpoint inhibitor therapy"
}
]
},
{
"code": "M1181",
"display": "Gr 2 or> dia or gr2 or> col",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Grade 2 or above diarrhea and/or grade 2 or above colitis"
}
]
},
{
"code": "M1182",
"display": "Not elg pre ex ibd/uc/crohn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients not eligible due to pre-existing inflammatory bowel disease (ibd) (e.g., ulcerative colitis, crohn's disease)"
}
]
},
{
"code": "M1183",
"display": "Doc imm ckpt inhib hld",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of immune checkpoint inhibitor therapy held and corticosteroids or immunosuppressants prescribed or administered"
}
]
},
{
"code": "M1184",
"display": "Doc med rsn no cst/ist rx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not prescribing or administering corticosteroid or immunosuppressant treatment (e.g., allergy, intolerance, infectious etiology, pancreatic insufficiency, hyperthyroidism, prior bowel surgical interventions, celiac disease, receiving other medication, awaiting diagnostic workup results for alternative etiologies, other medical reasons/contraindication)"
}
]
},
{
"code": "M1185",
"display": "Imm ckpt inhib not hld no rx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of immune checkpoint inhibitor therapy not held and/or corticosteroids or immunosuppressants prescribed or administered was not performed, reason not given"
}
]
},
{
"code": "M1186",
"display": "Pt w/ rx for hspc/plltv care",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who have an order for or are receiving hospice or palliative care"
}
]
},
{
"code": "M1187",
"display": "Pt w/ esrd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with a diagnosis of end stage renal disease (esrd)"
}
]
},
{
"code": "M1188",
"display": "Pt w/ ckd stg 5",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with a diagnosis of chronic kidney disease (ckd) stage 5"
}
]
},
{
"code": "M1189",
"display": "Doc khe pef w/efgr/uacr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of a kidney health evaluation defined by an estimated glomerular filtration rate (egfr) and urine albumin-creatinine ratio (uacr) performed"
}
]
},
{
"code": "M1190",
"display": "Doc khe not pef w/efgr/uacr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of a kidney health evaluation was not performed or defined by an estimated glomerular filtration rate (egfr) and urine albumin-creatinine ratio (uacr)"
}
]
},
{
"code": "M1191",
"display": "Hspc svc any time in meas pd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospice services provided to patient any time during the measurement period"
}
]
},
{
"code": "M1192",
"display": "Pt w/ dx sq cell ca of esoph",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with an existing diagnosis of squamous cell carcinoma of the esophagus"
}
]
},
{
"code": "M1193",
"display": "Rpts w/ imp/con mmr/msi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Surgical pathology reports that contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry, msi by dna-based testing status, or both"
}
]
},
{
"code": "M1194",
"display": "Med rsn no imp/con mmr/msi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) surgical pathology reports did not contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry, msi by dna-based testing status, or both tests were not included (e.g., patient will not be treated with checkpoint inhibitor therapy, no residual carcinoma is present in the sample [tissue exhausted or status post neoadjuvant treatment], insufficient tumor for testing)"
}
]
},
{
"code": "M1195",
"display": "Rpt wo imp/con mmr/msi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Surgical pathology reports that do not contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry, msi by dna-based testing status, or both, reason not given"
}
]
},
{
"code": "M1196",
"display": "Ixv nrs vrs iqa >=4",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Initial (index visit) numeric rating scale (nrs), visual rating scale (vrs), or itchyquant assessment score of greater than or equal to 4"
}
]
},
{
"code": "M1197",
"display": "Isa reduced >=3 fr ixv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Itch severity assessment score is reduced by 3 or more points from the initial (index) assessment score to the follow-up visit score"
}
]
},
{
"code": "M1198",
"display": "Isa not red 3pts /no assess",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Itch severity assessment score was not reduced by at least 3 points from initial (index) score to the follow-up visit score or assessment was not completed during the follow-up encounter"
}
]
},
{
"code": "M1199",
"display": "Pt rec'g rrt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients receiving rrt"
}
]
},
{
"code": "M1200",
"display": "Ace-i/arb rx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ace inhibitor (ace-i) or arb therapy prescribed during the measurement period"
}
]
},
{
"code": "M1201",
"display": "Med rsn no ace-i/arb rx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not prescribing ace inhibitor (ace-i) or arb therapy during the measurement period (e.g., pregnancy, history of angioedema to ace-i, other allergy to ace-i and arb, hyperkalemia or history of hyperkalemia while on ace-i or arb therapy, acute kidney injury due to ace-i or arb therapy), other medical reasons)"
}
]
},
{
"code": "M1202",
"display": "Pt rsn no ace-i/arb rx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of patient reason(s) for not prescribing ace inhibitor or arb therapy during the measurement period, (e.g., patient declined, other patient reasons)"
}
]
},
{
"code": "M1203",
"display": "No rsn ace-i/arb rx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ace inhibitor or arb therapy not prescribed during the measurement period, reason not given"
}
]
},
{
"code": "M1204",
"display": "Ixv nrs vrs iqa >=4",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Initial (index visit) numeric rating scale (nrs), visual rating scale (vrs), or itchyquant assessment score of greater than or equal to 4"
}
]
},
{
"code": "M1205",
"display": "Isa reduced >=3",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Itch severity assessment score is reduced by 3 or more points from the initial (index) assessment score to the follow-up visit score"
}
]
},
{
"code": "M1206",
"display": "Isa not red 3pts/no assess",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Itch severity assessment score was not reduced by at least 3 points from initial (index) score to the follow-up visit score or assessment was not completed during the follow-up encounter"
}
]
},
{
"code": "M1207",
"display": "Pt scrn sdoh",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety"
}
]
},
{
"code": "M1208",
"display": "Pt no scrn sdoh",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety"
}
]
},
{
"code": "M1209",
"display": ">=2 same hi-rsk med w/o diag",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "At least two orders for high-risk medications from the same drug class, (table 4), without appropriate diagnoses"
}
]
},
{
"code": "M1210",
"display": ">=2 same meds tbl4 not ord",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "At least two orders for high-risk medications from the same drug class, (table 4), not ordered"
}
]
},
{
"code": "M1211",
"display": "Gsa level>9.0%",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Most recent glycemic status assessment (hba1c or gmi) level > 9.0%"
}
]
},
{
"code": "M1212",
"display": "Missing gsa not perf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Glycemic status assessment (hba1c or gmi) level is missing, or was not performed during the measurement period"
}
]
},
{
"code": "M1213",
"display": "No hx spiro prs spiro>=70%",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "No history of spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) and present spirometry is >= 70%"
}
]
},
{
"code": "M1214",
"display": "Spiro results wth obs doc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) documented and reviewed"
}
]
},
{
"code": "M1215",
"display": "Med rsn for no doc spiro",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not documenting and reviewing spirometry results (e.g., patients with dementia or tracheostomy)"
}
]
},
{
"code": "M1216",
"display": "No spiro doc no res doc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "No spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) documented and/or no spirometry performed with results documented during the encounter"
}
]
},
{
"code": "M1217",
"display": "Sys rsn no doc spiro",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of system reason(s) for not documenting and reviewing spirometry results (e.g., spirometry equipment not available at the time of the encounter)"
}
]
},
{
"code": "M1218",
"display": "Pt copd symptoms",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient has copd symptoms (e.g., dyspnea, cough/sputum, wheezing)"
}
]
},
{
"code": "M1219",
"display": "Anphx due to vax",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Anaphylaxis due to the vaccine on or before the date of the encounter"
}
]
},
{
"code": "M1220",
"display": "Dre wth interp rtnopthy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist or artificial intelligence (ai) interpretation documented and reviewed; with evidence of retinopathy"
}
]
},
{
"code": "M1221",
"display": "Dre w/o rtnopthy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist or artificial intelligence (ai) interpretation documented and reviewed; without evidence of retinopathy"
}
]
},
{
"code": "M1222",
"display": "Glaucoma pln of care not doc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Glaucoma plan of care not documented, reason not otherwise specified"
}
]
},
{
"code": "M1223",
"display": "Glaucoma plan of care doc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Glaucoma plan of care documented"
}
]
},
{
"code": "M1224",
"display": "Iop dec <20% from base",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intraocular pressure (iop) reduced by a value less than 20% from the pre-intervention level"
}
]
},
{
"code": "M1225",
"display": "Iop dec>=20% from base",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intraocular pressure (iop) reduced by a value of greater than or equal to 20% from the pre-intervention level"
}
]
},
{
"code": "M1226",
"display": "Iop not doc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Iop measurement not documented, reason not otherwise specified"
}
]
},
{
"code": "M1227",
"display": "Eb therapy prescribed",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Evidence-based therapy was prescribed"
}
]
},
{
"code": "M1228",
"display": "Pt + hcv aby +vir w/ rx 3 mo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient, who has a reactive hcv antibody test, and has a follow up hcv viral test that detected hcv viremia, has hcv treatment initiated within 3 months of the reactive hcv antibody test"
}
]
},
{
"code": "M1229",
"display": "Pt w/ +hcv +vir ref win 1 mo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient, who has a reactive hcv antibody test, and has a follow up hcv viral test that detected hcv viremia, is referred within 1 month of the reactive hcv antibody test to a clinician who treats hcv infection"
}
]
},
{
"code": "M1230",
"display": "Pt hcv rctv aby no f/u tst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient has a reactive hcv antibody test and does not have a follow up hcv viral test, or patient has a reactive hcv antibody test and has a follow up hcv viral test that detects hcv viremia and is not referred to a clinician who treats hcv infection within 1 month and does not have hcv treatment initiated within 3 months of the reactive hcv antibody test, reason not given"
}
]
},
{
"code": "M1231",
"display": "Pt hcv tst no reactive res",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient receives hcv antibody test with nonreactive result"
}
]
},
{
"code": "M1232",
"display": "Pt hcv tst reactive result",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient receives hcv antibody test with reactive result"
}
]
},
{
"code": "M1233",
"display": "Pt no hcv aby or result",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient does not receive hcv antibody test or patient does receive hcv antibody test but results not documented, reason not given"
}
]
},
{
"code": "M1234",
"display": "Pt hcv rctv aby f/u neg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient has a reactive hcv antibody test, and has a follow up hcv viral test that does not detect hcv viremia"
}
]
},
{
"code": "M1235",
"display": "Doc pt hcv aby rna tst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation or patient report of hcv antibody test or hcv rna test which occurred prior to the performance period"
}
]
},
{
"code": "M1236",
"display": "Baseline mrs > 2"
},
{
"code": "M1237",
"display": "Pt rsn no scrn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient reason for not screening for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety (e.g., patient declined or other patient reasons)"
}
]
},
{
"code": "M1238",
"display": "Doc 2nd recom hzv 2-6 mo int",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation that administration of second recombinant zoster vaccine could not occur during the performance period due to the recommended 2-6 month interval between doses (i.e, first dose received after october 31)"
}
]
},
{
"code": "M1239",
"display": "Pt no resp heard",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient did not respond to the question of patient felt heard and understood by this provider and team"
}
]
},
{
"code": "M1240",
"display": "Pt no resp best int",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient did not respond to the question of patient felt this provider and team put my best interests first when making recommendations about my care"
}
]
},
{
"code": "M1241",
"display": "Pt no resp seen as person",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient did not respond to the question of patient felt this provider and team saw me as a person, not just someone with a medical problem"
}
]
},
{
"code": "M1242",
"display": "Pt no resp imprt to me",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient did not respond to the question of patient felt this provider and team understood what is important to me in my life"
}
]
},
{
"code": "M1243",
"display": "Pt othr thn true heard",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient provided a response other than \"completely true\" for the question of patient felt heard and understood by this provider and team"
}
]
},
{
"code": "M1244",
"display": "Pt othr thn true best int",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient provided a response other than \"completely true\" for the question of patient felt this provider and team put my best interests first when making recommendations about my care"
}
]
},
{
"code": "M1245",
"display": "Pt othr thn true person",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient provided a response other than \"completely true\" for the question of patient felt this provider and team saw me as a person, not just someone with a medical problem"
}
]
},
{
"code": "M1246",
"display": "Pt othr thn true imprt to me",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient provided a response other than \"completely true\" for the question of patient felt this provider and team understood what is important to me in my life"
}
]
},
{
"code": "M1247",
"display": "Pt resp true best int",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient responded \"completely true\" for the question of patient felt this provider and team put my best interests first when making recommendations about my care"
}
]
},
{
"code": "M1248",
"display": "Pt resp true seen as person",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient responded \"completely true\" for the question of patient felt this provider and team saw me as a person, not just someone with a medical problem"
}
]
},
{
"code": "M1249",
"display": "Pt resp true imprt to me",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient responded \"completely true\" for the question of patient felt this provider and team understood what is important to me in my life"
}
]
},
{
"code": "M1250",
"display": "Pt resp true heard",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient responded as \"completely true\" for the question of patient felt heard and understood by this provider and team"
}
]
},
{
"code": "M1251",
"display": "Pts proxy cmplt hu surv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients for whom a proxy completed the entire hu survey on their behalf for any reason (no patient involvement)"
}
]
},
{
"code": "M1252",
"display": "Pts no cmplt hu survey",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who did not complete at least one of the four patient experience hu survey items and return the hu survey within 60 days of the ambulatory palliative care visit"
}
]
},
{
"code": "M1253",
"display": "Pts hu surv no amb plltv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who respond on the patient experience hu survey that they did not receive care by the listed ambulatory palliative care provider in the last 60 days (disavowal)"
}
]
},
{
"code": "M1254",
"display": "Pts deceased prior hu surv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who were deceased when the hu survey reached them"
}
]
},
{
"code": "M1255",
"display": "Pts w/ othr rsn vst,+prg tst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who have another reason for visiting the clinic [not prenatal or postpartum care] and have a positive pregnancy test but have not established the clinic as an ob provider (e.g., plan to terminate the pregnancy or seek prenatal services elsewhere)"
}
]
},
{
"code": "M1256",
"display": "Prior history of known cvd"
},
{
"code": "M1257",
"display": "Cvd risk assess not perf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cvd risk assessment not performed or incomplete (e.g., cvd risk assessment was not documented), reason not otherwise specified"
}
]
},
{
"code": "M1258",
"display": "Cvd risk assess perf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cvd risk assessment performed, have a documented calculated risk score"
}
]
},
{
"code": "M1259",
"display": "Pt stat doc <= 1 yr dialysis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient status documented within the first year of initiating dialysis"
}
]
},
{
"code": "M1260",
"display": "Pt not doc <= 1 yr dialysis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient status not documented within the first year of initiating dialysis"
}
]
},
{
"code": "M1261",
"display": "Pts on wtlist bef dialysis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients that were on the kidney or kidney-pancreas waitlist prior to initiation of dialysis"
}
]
},
{
"code": "M1262",
"display": "Pts transplt bef dialysis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who had a transplant prior to initiation of dialysis"
}
]
},
{
"code": "M1263",
"display": "Pts hosp dialysis dt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients in hospice on their initiation of dialysis date or during the month of evaluation"
}
]
},
{
"code": "M1264",
"display": "Pts 75+ dialysis dt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients age 75 or older on their initiation of dialysis date"
}
]
},
{
"code": "M1265",
"display": "Cms 2728 completed",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cms medical evidence form 2728 for dialysis patients: initial form completed"
}
]
},
{
"code": "M1266",
"display": "Pts admit snf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients admitted to a skilled nursing facility (snf)"
}
]
},
{
"code": "M1267",
"display": "Pt no act kid transplt wtlst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients not observed in active status on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period"
}
]
},
{
"code": "M1268",
"display": "Pt ac stat kid trnsplt wtlst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients observed in active status on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period"
}
]
},
{
"code": "M1269",
"display": "Rec'd esrd mcp lst day of mo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Receiving esrd mcp dialysis services by the provider on the last day of the reporting month"
}
]
},
{
"code": "M1270",
"display": "Pts no kid transplt wtlst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients not on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period"
}
]
},
{
"code": "M1271",
"display": "Pts dem any time/dur mo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with dementia at any time prior to or during the month"
}
]
},
{
"code": "M1272",
"display": "Pts kid transplt wtlst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients observed on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period"
}
]
},
{
"code": "M1273",
"display": "Pts snf 1 yr dialysis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who were admitted to a skilled nursing facility (snf) within one year of dialysis initiation according to the cms-2728 form"
}
]
},
{
"code": "M1274",
"display": "Pts snf exl mo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who were admitted to a skilled nursing facility (snf) during the month of evaluation were excluded from that month"
}
]
},
{
"code": "M1275",
"display": "Pts hosp exl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients determined to be in hospice were excluded from month of evaluation and the remainder of reporting period"
}
]
},
{
"code": "M1276",
"display": "Calc bmi out nrm param nof/u",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bmi documented outside normal parameters, no follow-up plan documented, no reason given"
}
]
},
{
"code": "M1277",
"display": "Colorectal ca screen doc rev",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Colorectal cancer screening results documented and reviewed"
}
]
},
{
"code": "M1278",
"display": "Pre-htn or htn doc, f/u indc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented"
}
]
},
{
"code": "M1279",
"display": "Pre-htn/htn, no f/u, not gvn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given"
}
]
},
{
"code": "M1280",
"display": "Bilat mast/hx bi /unilat mas",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy"
}
]
},
{
"code": "M1281",
"display": "Bp scrn no perf at interval",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Blood pressure reading not documented, reason not given"
}
]
},
{
"code": "M1282",
"display": "Pt scrn tbco id as non user",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient screened for tobacco use and identified as a tobacco non-user"
}
]
},
{
"code": "M1283",
"display": "Pt scrn tbco and id as user",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient screened for tobacco use and identified as a tobacco user"
}
]
},
{
"code": "M1284",
"display": "Pt 66+ snp or ltc pos > 90d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients age 66 or older in institutional special needs plans (snp) or residing in long term care with pos code 32, 33, 34, 54, or 56 for more than 90 consecutive days during the measurement period"
}
]
},
{
"code": "M1285",
"display": "Scrn mam perf rslts not doc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified"
}
]
},
{
"code": "M1286",
"display": "Bmi doc onl fup not cmpltd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason"
}
]
},
{
"code": "M1287",
"display": "Calc bmi blw low param f/u",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bmi is documented below normal parameters and a follow-up plan is documented"
}
]
},
{
"code": "M1288",
"display": "Doc rsn no hbp scrn or f/u",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documented reason for not screening or recommending a follow-up for high blood pressure"
}
]
},
{
"code": "M1289",
"display": "No pt tbco cess interv rng",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)"
}
]
},
{
"code": "M1290",
"display": "Pt not eli d/t act dig htn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient not eligible due to active diagnosis of hypertension"
}
]
},
{
"code": "M1291",
"display": "Pt 66+ frailty and med dem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period"
}
]
},
{
"code": "M1292",
"display": "Pt 66+ frail inpt adv ill",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and an advanced illness diagnosis during the measurement period or the year prior to the measurement period"
}
]
},
{
"code": "M1293",
"display": "Calc bmi abv up param f/u",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bmi is documented above normal parameters and a follow-up plan is documented"
}
]
},
{
"code": "M1294",
"display": "Bp scrn perf rec interval",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Normal blood pressure reading documented, follow-up not required"
}
]
},
{
"code": "M1295",
"display": "Pt hx tot col or colon ca",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with a diagnosis or past history of total colectomy or colorectal cancer"
}
]
},
{
"code": "M1296",
"display": "Calc bmi norm parameters",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bmi is documented within normal parameters and no follow-up plan is required"
}
]
},
{
"code": "M1297",
"display": "Bmi not doc medrsn ptref",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bmi not documented due to medical reason or patient refusal of height or weight measurement"
}
]
},
{
"code": "M1298",
"display": "Doc pt preg dur msrmt pd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter"
}
]
},
{
"code": "M1299",
"display": "Flu immunize order/admin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Influenza immunization administered or previously received"
}
]
},
{
"code": "M1300",
"display": "Flu imm no admin doc rea",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons)"
}
]
},
{
"code": "M1301",
"display": "Pt recv tbco cess interv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)"
}
]
},
{
"code": "M1302",
"display": "Scrn mam perf rslts doc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Screening, diagnostic, film digital or digital breast tomosynthesis (3d) mammography results documented and reviewed"
}
]
},
{
"code": "M1303",
"display": "Hospc serv dur meas pd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospice services provided to patient any time during the measurement period"
}
]
},
{
"code": "M1304",
"display": "No pneum vax admin 19+",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period"
}
]
},
{
"code": "M1305",
"display": "Pneum vax admin 19+",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period"
}
]
},
{
"code": "M1306",
"display": "Pt anphx due to pneum",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient had anaphylaxis due to the pneumococcal vaccine any time during or before the measurement period"
}
]
},
{
"code": "M1307",
"display": "Doc pt pal or hospice",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation stating the patient has received or is currently receiving palliative or hospice care"
}
]
},
{
"code": "M1308",
"display": "Flu immunize no admin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Influenza immunization was not administered, reason not given"
}
]
},
{
"code": "M1309",
"display": "Pall serv during meas",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Palliative care services provided to patient any time during the measurement period"
}
]
},
{
"code": "M1310",
"display": "Pt scr tob & cess int",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user"
}
]
},
{
"code": "M1311",
"display": "Aphlx to vax bef enc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Anaphylaxis due to the vaccine on or before the date of the encounter"
}
]
},
{
"code": "M1312",
"display": "No pt tbco scrn rng",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient not screened for tobacco use"
}
]
},
{
"code": "M1313",
"display": "No tob scr/cess int",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period"
}
]
},
{
"code": "M1314",
"display": "Bmi not calculated",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bmi not documented and no reason is given"
}
]
},
{
"code": "M1315",
"display": "Crc no doc no rsn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Colorectal cancer screening results were not documented and reviewed; reason not otherwise specified"
}
]
},
{
"code": "M1316",
"display": "Tobacco non-user",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Current tobacco non-user"
}
]
},
{
"code": "M1317",
"display": "Pts counsl cpt opt out",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who are counseled on connection with a csp and explicitly opt out"
}
]
},
{
"code": "M1318",
"display": "Pts no csp doc contact",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who did not have documented contact with a csp for at least one of their screened positive hrsns within 60 days after screening or documentation that there was no contact with a csp"
}
]
},
{
"code": "M1319",
"display": "Pts csp doc contact",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who had documented contact with a csp for at least one of their screened positive hrsns within 60 days after screening"
}
]
},
{
"code": "M1320",
"display": "Pts scrn + hrsn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who screened positive for at least 1 of the 5 hrsns"
}
]
},
{
"code": "M1321",
"display": "Pts no 7wk inj,no iop,iop>25",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who were not seen within 7 weeks following the date of injection for follow up or who did not have a documented iop or no plan of care documented if the iop was >25 mm hg"
}
]
},
{
"code": "M1322",
"display": "Pts 7wk inj, scrn iop =<25",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients seen within 7 weeks following the date of injection and are screened for elevated intraocular pressure (iop) with tonometry with documented iop =<25 mm hg for injected eye"
}
]
},
{
"code": "M1323",
"display": "Pts 7wk inj, scrn iop >25",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients seen within 7 weeks following the date of injection and are screened for elevated intraocular pressure (iop) with tonometry with documented iop >25 mm hg and a plan of care was documented"
}
]
},
{
"code": "M1324",
"display": "Pts intravitreal/pci",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who had an intravitreal or periocular corticosteroid injection (e.g., triamcinolone, preservative-free triamcinolone, dexamethasone, dexamethasone intravitreal implant, or fluocinolone intravitreal implant)"
}
]
},
{
"code": "M1325",
"display": "Doc med rsn not seen",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who were not seen for reasons documented by clinician for patient or medical reasons (e.g., inadequate time for follow-up, patients who received a prior intravitreal or periocular steroid injection within the last six (6) months and had a subsequent iop evaluation with iop <25mm hg within seven (7) weeks of treatment)"
}
]
},
{
"code": "M1326",
"display": "Pts dx hypotony",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with a diagnosis of hypotony"
}
]
},
{
"code": "M1327",
"display": "Pts no eval ini xm no 8 wks",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who were not appropriately evaluated during the initial exam and/or who were not re-evaluated within 8 weeks"
}
]
},
{
"code": "M1328",
"display": "Pts dx acute vitreous hem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with a diagnosis of acute vitreous hemorrhage"
}
]
},
{
"code": "M1329",
"display": "Pts act pvd 2 wks 8 wks",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with a post-operative encounter of the eye with the acute pvd within 2 weeks before the initial encounter or 8 weeks after initial acute pvd encounter"
}
]
},
{
"code": "M1330",
"display": "Doc pts rsn no f/u xm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of patient reason(s) for not having a follow up exam (e.g., inadequate time for follow up)"
}
]
},
{
"code": "M1331",
"display": "Pts eval ini xm 8 wks",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who were appropriately evaluated during the initial exam and were re-evaluated no later than 8 weeks from initial exam"
}
]
},
{
"code": "M1332",
"display": "Pts no eval ini xm no 2 wks",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who were not appropriately evaluated during the initial exam and/or who were not re-evaluated within 2 weeks"
}
]
},
{
"code": "M1333",
"display": "Acute vitreous hemorrhage"
},
{
"code": "M1334",
"display": "Pts act pvd 2 wks 2 wks",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with a post-operative encounter of the eye with the acute pvd within 2 weeks before the initial encounter or 2 weeks after initial acute pvd encounter"
}
]
},
{
"code": "M1335",
"display": "Doc pts rsn no f/u xm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of patient reason(s) for not having a follow up exam (e.g., inadequate time for follow up)"
}
]
},
{
"code": "M1336",
"display": "Pts eval ini xm 2 wks",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who were appropriately evaluated during the initial exam and were re-evaluated no later than 2 weeks"
}
]
},
{
"code": "M1337",
"display": "Acute pvd"
},
{
"code": "M1338",
"display": "Pt f/u 30-180 dys no + imprv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who had follow-up assessment 30 to 180 days after the index assessment who did not demonstrate positive improvement or maintenance of functioning scores during the performance period"
}
]
},
{
"code": "M1339",
"display": "Pts f/u 30-180 dys + improv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who had follow-up assessment 30 to 180 days after the index assessment who demonstrated positive improvement or maintenance of functioning scores during the performance period"
}
]
},
{
"code": "M1340",
"display": "Indx whodas 2.0 or sds",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Index assessment completed using the 12-item whodas 2.0 or sds during the denominator identification period"
}
]
},
{
"code": "M1341",
"display": "Pt no f/u 30-180 dys",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who did not have a follow-up assessment or did not have an assessment within 30 to 180 days after the index assessment during the performance period"
}
]
},
{
"code": "M1342",
"display": "Pts died perf per",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who died during the performance period"
}
]
},
{
"code": "M1343",
"display": "Pt pam lvl 4 base or srt lin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who are at pam level 4 at baseline or patients who are flagged with extreme straight line response sets on the pam or with excessive missing responses"
}
]
},
{
"code": "M1344",
"display": "No bsln/2nd pam score 4-12mo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who did not have a baseline pam score and/or a second score within 4 to 12 months of baseline pam score"
}
]
},
{
"code": "M1345",
"display": "Pt bsln pam, 2nd scr 4-12 mo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who had a baseline pam score and a second score within 4 to 12 month of baseline pam score"
}
]
},
{
"code": "M1346",
"display": "No pam inc 6 pts 4-12 mo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who did not have a net increase in pam score of at least 6 points within a 4 to 12 month period"
}
]
},
{
"code": "M1347",
"display": "Pt pam incr 3 pt 4-12 mo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who achieved a net increase in pam score of at least 3 points in a 4 to 12 month period (passing)"
}
]
},
{
"code": "M1348",
"display": "Pam incr 6 pt 4-12 mo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who achieved a net increase in pam score of at least 6-points in a 4 to 12 month period (excellent)"
}
]
},
{
"code": "M1349",
"display": "No pam inc 3 pts 4-12 mo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who did not have a net increase in pam score of at least 3 points within a 4 to 12 month period"
}
]
},
{
"code": "M1350",
"display": "Pt w/ suic saf pln init rev",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who had a completed suicide safety plan initiated, reviewed or updated in collaboration with their clinician (concurrent or within 24 hours) of the index clinical encounter"
}
]
},
{
"code": "M1351",
"display": "Pt cmplt suicd saf pln 120dy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who had a suicide safety plan initiated, reviewed, or updated and reviewed and updated in collaboration with the patient and their clinician concurrent or within 24 hours of clinical encounter and within 120 days after initiation"
}
]
},
{
"code": "M1352",
"display": "Suicd c-ssrs assessment, equ",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Suicidal ideation and/or behavior symptoms based on the c-ssrs or equivalent assessment"
}
]
},
{
"code": "M1353",
"display": "Pts no cmplt suicd saf pln",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who did not have a completed suicide safety plan initiated, reviewed or updated in collaboration with their clinician (concurrent or within 24 hours) of the index clinical encounter"
}
]
},
{
"code": "M1354",
"display": "Pt no suicd saf pln 120dy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who did not have a suicide safety plan initiated, reviewed, or updated or reviewed and updated in collaboration with the patient and their clinician concurrent or within 24 hours of clinical encounter and within 120 days after initiation"
}
]
},
{
"code": "M1355",
"display": "Suicd based cln eval",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Suicide risk based on their clinician's evaluation or a clinician-rated tool"
}
]
},
{
"code": "M1356",
"display": "Pt died dur meas pd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who died during the measurement period"
}
]
},
{
"code": "M1357",
"display": "Pt w/red suic idea 120 days",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who had a reduction in suicidal ideation and/or behavior upon follow-up assessment within 120 days of index assessment"
}
]
},
{
"code": "M1358",
"display": "Pts no <suicd idea 120 dys",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who did not have a reduction in suicidal ideation and/or behavior upon follow-up assessment within 120 days of index assessment"
}
]
},
{
"code": "M1359",
"display": "Indx suicd idea, no 0 scr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Index assessment during the denominator period when the suicidal ideation and/or behavior symptoms or increased suicide risk by clinician determination occurs and a non-zero c-ssrs score is obtained"
}
]
},
{
"code": "M1360",
"display": "Suicd c-ssrs assessment",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Suicidal ideation and/or behavior symptoms based on the c-ssrs"
}
]
},
{
"code": "M1361",
"display": "Suicd based cln eval",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Suicide risk based on their clinician's evaluation or a clinician-rated tool"
}
]
},
{
"code": "M1362",
"display": "Pt died dur meas pd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who died during the measurement period"
}
]
},
{
"code": "M1363",
"display": "Pts no f/u 120 dys",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who did not have a follow-up assessment within 120 days of the index assessment"
}
]
},
{
"code": "M1364",
"display": "Ascvd risk >=20pct",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Calculated 10-year ascvd risk score of >= 20 percent during the performance period"
}
]
},
{
"code": "M1365",
"display": "Hosp+pall care spec code 17",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient encounter during the performance period with hospice and palliative care specialty code 17"
}
]
},
{
"code": "M1366",
"display": "Focus on women's health mvp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Focusing on women's health mips value pathway"
}
]
},
{
"code": "M1367",
"display": "Qual care ent disorder mvp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Quality care for the treatment of ear, nose, and throat disorders mips value pathway"
}
]
},
{
"code": "M1368",
"display": "Prev trt inf d/o hiv/hep mvp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prevention and treatment of infectious disorders including hepatitis c and hiv mips value pathway"
}
]
},
{
"code": "M1369",
"display": "Qualcare mental hlth/sud mvp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Quality care in mental health and substance use disorders mips value pathway"
}
]
},
{
"code": "M1370",
"display": "Rehab support msk care mvp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Rehabilitative support for musculoskeletal care mips value pathway"
}
]
},
{
"code": "M1371",
"display": "Mst rec gsa<7",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Most recent glycemic status assessment (hba1c or gmi) level < 7.0%"
}
]
},
{
"code": "M1372",
"display": "Mst rec gsa >=7 and<8",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Most recent glycemic status assessment (hba1c or gmi) level >= 7.0% and < 8.0%"
}
]
},
{
"code": "M1373",
"display": "Mst rec gsa >=8 and <=9",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Most recent glycemic status assessment (hba1c or gmi) level >= 8.0% and <= 9.0%"
}
]
},
{
"code": "M1374",
"display": "Ra dx enc 90 days dur per pd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "An additional encounter with an ra diagnosis during the performance period or prior performance period that is at least 90 days before or after an encounter with an ra diagnosis during the performance period"
}
]
},
{
"code": "M1375",
"display": "Ra dx enc 90 days dur per pd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "An additional encounter with an ra diagnosis during the performance period or prior performance period that is at least 90 days before or after an encounter with an ra diagnosis during the performance period"
}
]
},
{
"code": "M1376",
"display": "Ra dx enc 90 days dur per pd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "An additional encounter with an ra diagnosis during the performance period or prior performance period that is at least 90 days before or after an encounter with an ra diagnosis during the performance period"
}
]
},
{
"code": "M1377",
"display": "Fu colscop 10 yr doc w/ disc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Recommended follow-up interval for repeat colonoscopy of 10 years documented in colonoscopy report and communicated with patient"
}
]
},
{
"code": "M1378",
"display": "Med rsn no 10 yr fu colscope",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not recommending a 10 year follow-up interval (e.g., inadequate prep, familial or personal history of colonic polyps, patient had no adenoma and age is >= 66 years old, or life expectancy < 10 years, other medical reasons)"
}
]
},
{
"code": "M1379",
"display": "10 yr fu no rec rsn not giv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "A 10 year follow-up interval for colonoscopy not recommended, reason not otherwise specified"
}
]
},
{
"code": "M1380",
"display": "2 rx in perf pd any com meds",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Filled at least two prescriptions during the performance period for any combination of the qualifying oral antipsychotic medications listed under \"denominator note\" or the long-acting injectable antipsychotic medications listed under \"denominator note\""
}
]
},
{
"code": "M1381",
"display": "Pt sec strk wthin 5 days",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with secondary stroke (e.g., a subsequent stroke that may occur with vasospasm in the setting of subarachnoid hemorrhage) within 5 days of the initial procedure"
}
]
},
{
"code": "M1382",
"display": "Enc dur perf pd pos 11",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient encounter during the performance period with place of service code 11"
}
]
},
{
"code": "M1383",
"display": "Acute pvd"
},
{
"code": "M1384",
"display": "Pt died dur perf pd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who died during the performance period"
}
]
},
{
"code": "M1385",
"display": "Pt rsn not seen 2nd pam",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of patient reasons for patients who were not seen for the second pam survey (e.g., less than four months between baseline pam assessment and follow-up"
}
]
},
{
"code": "M1386",
"display": "Exc sx melmn or mlnm is",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with an excisional surgery for melanoma or melanoma in situ in the past 5 years with an initial ajcc staging of 0, i, or ii at the start of the performance period"
}
]
},
{
"code": "M1387",
"display": "Pt died dur perf pd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who died during the performance period"
}
]
},
{
"code": "M1388",
"display": "Pt doc exm rec melmn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with documentation of an exam performed for recurrence of melanoma"
}
]
},
{
"code": "M1390",
"display": "Pt no doc exm for rec",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who do not have a documented exam performed for recurrence of melanoma or no documentation within the performance period"
}
]
},
{
"code": "M1391",
"display": "All pt dx w/ rec mlnm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All patients who were diagnosed with recurrent melanoma during the current performance period"
}
]
},
{
"code": "M1392",
"display": "Pt rsn no exm or lst to fu",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of patient reasons for no examination, i.e., refusal of examination or lost to follow-up (documentation must include information that the clinician was unable to reach the patient by phone, mail or secure electronic mail - at least one method must be documented)"
}
]
},
{
"code": "M1393",
"display": "Pr no dx rec mlnm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who were not diagnosed with recurrent melanoma during the current performance period"
}
]
},
{
"code": "M1394",
"display": "Stg i-iii br ca",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Stages i-iii breast cancer"
}
]
},
{
"code": "M1395",
"display": "Init chemo w/def dur ec grp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients receiving an initial chemotherapy regimen with a defined duration with the eligible clinician or group"
}
]
},
{
"code": "M1396",
"display": "Pt ther clin trial",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients on a therapeutic clinical trial"
}
]
},
{
"code": "M1397",
"display": "Pt w/ recur/prog",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with recurrence/disease progression"
}
]
},
{
"code": "M1398",
"display": "Bslne and fu promis doc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with baseline and follow-up promis surveys documented in the medical record"
}
]
},
{
"code": "M1399",
"display": "Pt lve prac",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who leave the practice during the follow-up period"
}
]
},
{
"code": "M1400",
"display": "Pt died dur perf pd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who died during the follow-up period"
}
]
},
{
"code": "M1401",
"display": "Stg i-iii br ca",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Stages i-iii breast cancer"
}
]
},
{
"code": "M1402",
"display": "Init chemo w/def dur ec grp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients receiving an initial chemotherapy regimen with a defined duration with the eligible clinician or group"
}
]
},
{
"code": "M1403",
"display": "Bslne and fu promis doc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with baseline and follow-up promis surveys documented in the medical record"
}
]
},
{
"code": "M1404",
"display": "Pt ther clin trial",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients on a therapeutic clinical trial"
}
]
},
{
"code": "M1405",
"display": "Pt w/ recur/prog",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with recurrence/disease progression"
}
]
},
{
"code": "M1406",
"display": "Pt lve prac",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who leave the practice during the follow-up period"
}
]
},
{
"code": "M1407",
"display": "Pt died dur perf pd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who died during the follow-up period"
}
]
},
{
"code": "M1408",
"display": "Gmln brca bef dx ca",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who have germline brca testing completed before diagnosis of epithelial ovarian, fallopian tube, or primary peritoneal cancer"
}
]
},
{
"code": "M1409",
"display": "Recd gmln brca1/brca2 couns",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who received germline testing for brca1 and brca2 or genetic counseling completed within 6 months of diagnosis"
}
]
},
{
"code": "M1410",
"display": "No gmln brca1/brca2 couns",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who did not have germline testing for brca1 and brca2 or genetic counseling completed within 6 months of diagnosis"
}
]
},
{
"code": "M1411",
"display": "1st ln ici no chemo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Currently on first-line immune checkpoint inhibitors without chemotherapy"
}
]
},
{
"code": "M1412",
"display": "Met nsclc w/ egfr alk oth ab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients with metastatic nsclc with epidermal growth factor receptor (egfr) mutations, alk genomic tumor aberrations, or other targetable genomic abnormalities with approved first-line targeted therapy, such as nsclc with ros1 rearrangement, braf v600e mutation, ntrk 1/2/3 gene fusion, met ex14 skipping mutation, and ret rearrangement"
}
]
},
{
"code": "M1413",
"display": "Pos pdl1 bef init ici tx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who had a positive pd-l1 biomarker expression test result prior to the initiation of first-line immune checkpoint inhibitor therapy"
}
]
},
{
"code": "M1414",
"display": "Med rsn no pdl1 bef 1st ther",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Documentation of medical reason(s) for not performing the pd-l1 biomarker expression test prior to initiation of first-line immune checkpoint inhibitor therapy (e.g., patient is in an urgent or emergent situation where delay of treatment would jeopardize the patient's health status; other medical reasons/contraindication)"
}
]
},
{
"code": "M1415",
"display": "No pos pdl1 bef ici ther",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who did not have a positive pd-l1 biomarker expression test result prior to the initiation of first-line immune checkpoint inhibitor therapy"
}
]
},
{
"code": "M1416",
"display": "Pt rec hosp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient received hospice services any time during the performance period"
}
]
},
{
"code": "M1417",
"display": "Pt up to date cov",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who are up to date on their covid-19 vaccinations as defined by cdc recommendations on current vaccination"
}
]
},
{
"code": "M1418",
"display": "Med rsn not up to date cov",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who are not up to date on their covid-19 vaccinations as defined by cdc recommendations on current vaccination because of a medical contraindication documented by clinician"
}
]
},
{
"code": "M1419",
"display": "Pt not up to date cov",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patients who are not up to date on their covid-19 vaccinations as defined by cdc recommendations on current vaccination"
}
]
},
{
"code": "M1420",
"display": "Complete ophthalmologic mvp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Complete ophthalmologic care mips value pathway"
}
]
},
{
"code": "M1421",
"display": "Dermatological care mvp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dermatological care mips value pathway"
}
]
},
{
"code": "M1422",
"display": "Gastroenterology care mvp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gastroenterology care mips value pathway"
}
]
},
{
"code": "M1423",
"display": "Opt care urologic cnd mvp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Optimal care for patients with urologic conditions mips value pathway"
}
]
},
{
"code": "M1424",
"display": "Pulmonology care mvp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pulmonology care mips value pathway"
}
]
},
{
"code": "M1425",
"display": "Surgical care mvp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Surgical care mips value pathway"
}
]
},
{
"code": "P2028",
"display": "Cephalin floculation test",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cephalin floculation, blood"
}
]
},
{
"code": "P2029",
"display": "Congo red blood test",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Congo red, blood"
}
]
},
{
"code": "P2031",
"display": "Hair analysis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hair analysis (excluding arsenic)"
}
]
},
{
"code": "P2033",
"display": "Blood thymol turbidity",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Thymol turbidity, blood"
}
]
},
{
"code": "P2038",
"display": "Blood mucoprotein",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Mucoprotein, blood (seromucoid) (medical necessity procedure)"
}
]
},
{
"code": "P3000",
"display": "Screen pap by tech w md supv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision"
}
]
},
{
"code": "P3001",
"display": "Screening pap smear by phys",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician"
}
]
},
{
"code": "P7001",
"display": "Culture bacterial urine",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Culture, bacterial, urine; quantitative, sensitivity study"
}
]
},
{
"code": "P9010",
"display": "Whole blood for transfusion",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Blood (whole), for transfusion, per unit"
}
]
},
{
"code": "P9011",
"display": "Blood split unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Blood, split unit"
}
]
},
{
"code": "P9012",
"display": "Cryoprecipitate each unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cryoprecipitate, each unit"
}
]
},
{
"code": "P9016",
"display": "Rbc leukocytes reduced",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Red blood cells, leukocytes reduced, each unit"
}
]
},
{
"code": "P9017",
"display": "Plasma 1 donor frz w/in 8 hr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit"
}
]
},
{
"code": "P9019",
"display": "Platelets, each unit"
},
{
"code": "P9020",
"display": "Plaelet rich plasma unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Platelet rich plasma, each unit"
}
]
},
{
"code": "P9021",
"display": "Red blood cells unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Red blood cells, each unit"
}
]
},
{
"code": "P9022",
"display": "Washed red blood cells unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Red blood cells, washed, each unit"
}
]
},
{
"code": "P9023",
"display": "Frozen plasma, pooled, sd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Plasma, pooled multiple donor, solvent/detergent treated, frozen, each unit"
}
]
},
{
"code": "P9025",
"display": "Plasma cryo redu path each",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Plasma, cryoprecipitate reduced, pathogen reduced, each unit"
}
]
},
{
"code": "P9026",
"display": "Cryo fib comp path redu each",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cryoprecipitated fibrinogen complex, pathogen reduced, each unit"
}
]
},
{
"code": "P9027",
"display": "Rbc o2 co2 reduced",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Red blood cells, leukocytes reduced, oxygen/ carbon dioxide reduced, each unit"
}
]
},
{
"code": "P9031",
"display": "Platelets leukocytes reduced",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Platelets, leukocytes reduced, each unit"
}
]
},
{
"code": "P9032",
"display": "Platelets, irradiated",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Platelets, irradiated, each unit"
}
]
},
{
"code": "P9033",
"display": "Platelets leukoreduced irrad",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Platelets, leukocytes reduced, irradiated, each unit"
}
]
},
{
"code": "P9034",
"display": "Platelets, pheresis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Platelets, pheresis, each unit"
}
]
},
{
"code": "P9035",
"display": "Platelet pheres leukoreduced",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Platelets, pheresis, leukocytes reduced, each unit"
}
]
},
{
"code": "P9036",
"display": "Platelet pheresis irradiated",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Platelets, pheresis, irradiated, each unit"
}
]
},
{
"code": "P9037",
"display": "Plate pheres leukoredu irrad",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Platelets, pheresis, leukocytes reduced, irradiated, each unit"
}
]
},
{
"code": "P9038",
"display": "Rbc irradiated",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Red blood cells, irradiated, each unit"
}
]
},
{
"code": "P9039",
"display": "Rbc deglycerolized",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Red blood cells, deglycerolized, each unit"
}
]
},
{
"code": "P9040",
"display": "Rbc leukoreduced irradiated",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Red blood cells, leukocytes reduced, irradiated, each unit"
}
]
},
{
"code": "P9041",
"display": "Albumin (human),5%, 50ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Infusion, albumin (human), 5%, 50 ml"
}
]
},
{
"code": "P9043",
"display": "Plasma protein fract,5%,50ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Infusion, plasma protein fraction (human), 5%, 50 ml"
}
]
},
{
"code": "P9044",
"display": "Cryoprecipitatereducedplasma",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Plasma, cryoprecipitate reduced, each unit"
}
]
},
{
"code": "P9045",
"display": "Albumin (human), 5%, 250 ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Infusion, albumin (human), 5%, 250 ml"
}
]
},
{
"code": "P9046",
"display": "Albumin (human), 25%, 20 ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Infusion, albumin (human), 25%, 20 ml"
}
]
},
{
"code": "P9047",
"display": "Albumin (human), 25%, 50ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Infusion, albumin (human), 25%, 50 ml"
}
]
},
{
"code": "P9048",
"display": "Plasmaprotein fract,5%,250ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Infusion, plasma protein fraction (human), 5%, 250 ml"
}
]
},
{
"code": "P9050",
"display": "Granulocytes, pheresis unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Granulocytes, pheresis, each unit"
}
]
},
{
"code": "P9051",
"display": "Blood, l/r, cmv-neg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Whole blood or red blood cells, leukocytes reduced, cmv-negative, each unit"
}
]
},
{
"code": "P9052",
"display": "Platelets, hla-m, l/r, unit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Platelets, hla-matched leukocytes reduced, apheresis/pheresis, each unit"
}
]
},
{
"code": "P9053",
"display": "Plt, pher, l/r cmv-neg, irr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Platelets, pheresis, leukocytes reduced, cmv-negative, irradiated, each unit"
}
]
},
{
"code": "P9054",
"display": "Blood, l/r, froz/degly/wash",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Whole blood or red blood cells, leukocytes reduced, frozen, deglycerol, washed, each unit"
}
]
},
{
"code": "P9055",
"display": "Plt, aph/pher, l/r, cmv-neg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Platelets, leukocytes reduced, cmv-negative, apheresis/pheresis, each unit"
}
]
},
{
"code": "P9056",
"display": "Blood, l/r, irradiated",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Whole blood, leukocytes reduced, irradiated, each unit"
}
]
},
{
"code": "P9057",
"display": "Rbc, frz/deg/wsh, l/r, irrad",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Red blood cells, frozen/deglycerolized/washed, leukocytes reduced, irradiated, each unit"
}
]
},
{
"code": "P9058",
"display": "Rbc, l/r, cmv-neg, irrad",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Red blood cells, leukocytes reduced, cmv-negative, irradiated, each unit"
}
]
},
{
"code": "P9059",
"display": "Plasma, frz between 8-24hour",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Fresh frozen plasma between 8-24 hours of collection, each unit"
}
]
},
{
"code": "P9060",
"display": "Fr frz plasma donor retested",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Fresh frozen plasma, donor retested, each unit"
}
]
},
{
"code": "P9070",
"display": "Pathogen reduced plasma pool",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Plasma, pooled multiple donor, pathogen reduced, frozen, each unit"
}
]
},
{
"code": "P9071",
"display": "Pathogen reduced plasma sing",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Plasma (single donor), pathogen reduced, frozen, each unit"
}
]
},
{
"code": "P9072",
"display": "Plate path red/rapid bac tes",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Platelets, pheresis, pathogen reduced or rapid bacterial tested, each unit"
}
]
},
{
"code": "P9073",
"display": "Platelets pheresis path redu",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Platelets, pheresis, pathogen-reduced, each unit"
}
]
},
{
"code": "P9099",
"display": "Blood component/product noc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Blood component or product not otherwise classified"
}
]
},
{
"code": "P9100",
"display": "Pathogen test for platelets",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pathogen(s) test for platelets"
}
]
},
{
"code": "P9603",
"display": "One-way allow prorated miles",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled"
}
]
},
{
"code": "P9604",
"display": "One-way allow prorated trip",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge"
}
]
},
{
"code": "P9612",
"display": "Catheterize for urine spec",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheterization for collection of specimen, single patient, all places of service"
}
]
},
{
"code": "P9615",
"display": "Urine specimen collect mult",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Catheterization for collection of specimen(s) (multiple patients)"
}
]
},
{
"code": "Q0035",
"display": "Cardiokymography"
},
{
"code": "Q0081",
"display": "Infusion ther other than che",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Infusion therapy, using other than chemotherapeutic drugs, per visit"
}
]
},
{
"code": "Q0083",
"display": "Chemo by other than infusion",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Chemotherapy administration by other than infusion technique only (e.g., subcutaneous, intramuscular, push), per visit"
}
]
},
{
"code": "Q0084",
"display": "Chemotherapy by infusion",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Chemotherapy administration by infusion technique only, per visit"
}
]
},
{
"code": "Q0085",
"display": "Chemo by both infusion and o",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Chemotherapy administration by both infusion technique and other technique(s) (e.g., subcutaneous, intramuscular, push), per visit"
}
]
},
{
"code": "Q0091",
"display": "Obtaining screen pap smear",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory"
}
]
},
{
"code": "Q0092",
"display": "Set up port xray equipment",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Set-up portable x-ray equipment"
}
]
},
{
"code": "Q0111",
"display": "Wet mounts/ w preparations",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wet mounts, including preparations of vaginal, cervical or skin specimens"
}
]
},
{
"code": "Q0112",
"display": "Potassium hydroxide preps",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "All potassium hydroxide (koh) preparations"
}
]
},
{
"code": "Q0113",
"display": "Pinworm examinations"
},
{
"code": "Q0114",
"display": "Fern test"
},
{
"code": "Q0115",
"display": "Post-coital mucous exam",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Post-coital direct, qualitative examinations of vaginal or cervical mucous"
}
]
},
{
"code": "Q0138",
"display": "Ferumoxytol, non-esrd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)"
}
]
},
{
"code": "Q0139",
"display": "Ferumoxytol, esrd use",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis)"
}
]
},
{
"code": "Q0144",
"display": "Azithromycin dihydrate, oral",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Azithromycin dihydrate, oral, capsules/powder, 1 gram"
}
]
},
{
"code": "Q0155",
"display": "Dronabinol (syndros) 0.1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dronabinol (syndros), 0.1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen"
}
]
},
{
"code": "Q0161",
"display": "Chlorpromazine hcl 5mg oral",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Chlorpromazine hydrochloride, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen"
}
]
},
{
"code": "Q0162",
"display": "Ondansetron oral",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen"
}
]
},
{
"code": "Q0163",
"display": "Diphenhydramine hcl 50mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen"
}
]
},
{
"code": "Q0164",
"display": "Prochlorperazine maleate 5mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen"
}
]
},
{
"code": "Q0166",
"display": "Granisetron hcl 1 mg oral",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Granisetron hydrochloride, 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 24 hour dosage regimen"
}
]
},
{
"code": "Q0167",
"display": "Dronabinol 2.5mg oral",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen"
}
]
},
{
"code": "Q0169",
"display": "Promethazine hcl 12.5mg oral",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen"
}
]
},
{
"code": "Q0173",
"display": "Trimethobenzamide hcl 250mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Trimethobenzamide hydrochloride, 250 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen"
}
]
},
{
"code": "Q0174",
"display": "Thiethylperazine maleate10mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Thiethylperazine maleate, 10 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen"
}
]
},
{
"code": "Q0175",
"display": "Perphenazine 4mg oral",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen"
}
]
},
{
"code": "Q0177",
"display": "Hydroxyzine pamoate 25mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen"
}
]
},
{
"code": "Q0180",
"display": "Dolasetron mesylate oral",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dolasetron mesylate, 100 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 24 hour dosage regimen"
}
]
},
{
"code": "Q0181",
"display": "Unspecified oral anti-emetic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Unspecified oral dosage form, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for a iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen"
}
]
},
{
"code": "Q0220",
"display": "Tixagev and cilgav, 300mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), 300 mg"
}
]
},
{
"code": "Q0221",
"display": "Tixagev and cilgav, 600mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), 600 mg"
}
]
},
{
"code": "Q0222",
"display": "Bebtelovimab 175 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, bebtelovimab, 175 mg"
}
]
},
{
"code": "Q0224",
"display": "Inj, pemivibart, 4500 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either have moderate-to-severe immune compromise due to a medical condition or receipt of immunosuppressive medications or treatments, and are unlikely to mount an adequate immune response to covid-19 vaccination, 4500 mg"
}
]
},
{
"code": "Q0239",
"display": "Bamlanivimab-xxxx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, bamlanivimab-xxxx, 700 mg"
}
]
},
{
"code": "Q0240",
"display": "Casirivi and imdevi 600 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, casirivimab and imdevimab, 600 mg"
}
]
},
{
"code": "Q0243",
"display": "Casirivimab and imdevimab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, casirivimab and imdevimab, 2400 mg"
}
]
},
{
"code": "Q0244",
"display": "Casirivi and imdevi 1200 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, casirivimab and imdevimab, 1200 mg"
}
]
},
{
"code": "Q0245",
"display": "Bamlanivimab and etesevima",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, bamlanivimab and etesevimab, 2100 mg"
}
]
},
{
"code": "Q0247",
"display": "Sotrovimab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, sotrovimab, 500 mg"
}
]
},
{
"code": "Q0249",
"display": "Tocilizumab for covid-19",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, 1 mg"
}
]
},
{
"code": "Q0477",
"display": "Pwr module pt cable lvad rpl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power module patient cable for use with electric or electric/pneumatic ventricular assist device, replacement only"
}
]
},
{
"code": "Q0478",
"display": "Power adapter, combo vad",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power adapter for use with electric or electric/pneumatic ventricular assist device, vehicle type"
}
]
},
{
"code": "Q0479",
"display": "Power module combo vad, rep",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power module for use with electric or electric/pneumatic ventricular assist device, replacement only"
}
]
},
{
"code": "Q0480",
"display": "Driver pneumatic vad, rep",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Driver for use with pneumatic ventricular assist device, replacement only"
}
]
},
{
"code": "Q0481",
"display": "Microprcsr cu elec vad, rep",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Microprocessor control unit for use with electric ventricular assist device, replacement only"
}
]
},
{
"code": "Q0482",
"display": "Microprcsr cu combo vad, rep",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Microprocessor control unit for use with electric/pneumatic combination ventricular assist device, replacement only"
}
]
},
{
"code": "Q0483",
"display": "Monitor elec vad, rep",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Monitor/display module for use with electric ventricular assist device, replacement only"
}
]
},
{
"code": "Q0484",
"display": "Monitor elec or comb vad rep",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Monitor/display module for use with electric or electric/pneumatic ventricular assist device, replacement only"
}
]
},
{
"code": "Q0485",
"display": "Monitor cable elec vad, rep",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Monitor control cable for use with electric ventricular assist device, replacement only"
}
]
},
{
"code": "Q0486",
"display": "Mon cable elec/pneum vad rep",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Monitor control cable for use with electric/pneumatic ventricular assist device, replacement only"
}
]
},
{
"code": "Q0487",
"display": "Leads any type vad, rep only",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Leads (pneumatic/electrical) for use with any type electric/pneumatic ventricular assist device, replacement only"
}
]
},
{
"code": "Q0488",
"display": "Pwr pack base elec vad, rep",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power pack base for use with electric ventricular assist device, replacement only"
}
]
},
{
"code": "Q0489",
"display": "Pwr pck base combo vad, rep",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power pack base for use with electric/pneumatic ventricular assist device, replacement only"
}
]
},
{
"code": "Q0490",
"display": "Emr pwr source elec vad, rep",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Emergency power source for use with electric ventricular assist device, replacement only"
}
]
},
{
"code": "Q0491",
"display": "Emr pwr source combo vad rep",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Emergency power source for use with electric/pneumatic ventricular assist device, replacement only"
}
]
},
{
"code": "Q0492",
"display": "Emr pwr cbl elec vad, rep",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Emergency power supply cable for use with electric ventricular assist device, replacement only"
}
]
},
{
"code": "Q0493",
"display": "Emr pwr cbl combo vad, rep",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Emergency power supply cable for use with electric/pneumatic ventricular assist device, replacement only"
}
]
},
{
"code": "Q0494",
"display": "Emr hd pmp elec/combo, rep",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Emergency hand pump for use with electric or electric/pneumatic ventricular assist device, replacement only"
}
]
},
{
"code": "Q0495",
"display": "Charger elec/combo vad, rep",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Battery/power pack charger for use with electric or electric/pneumatic ventricular assist device, replacement only"
}
]
},
{
"code": "Q0496",
"display": "Battery elec/combo vad, rep",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Battery, other than lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only"
}
]
},
{
"code": "Q0497",
"display": "Bat clps elec/comb vad, rep",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Battery clips for use with electric or electric/pneumatic ventricular assist device, replacement only"
}
]
},
{
"code": "Q0498",
"display": "Holster elec/combo vad, rep",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Holster for use with electric or electric/pneumatic ventricular assist device, replacement only"
}
]
},
{
"code": "Q0499",
"display": "Belt/vest elec/combo vad rep",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Belt/vest/bag for use to carry external peripheral components of any type ventricular assist device, replacement only"
}
]
},
{
"code": "Q0500",
"display": "Filters elec/combo vad, rep",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Filters for use with electric or electric/pneumatic ventricular assist device, replacement only"
}
]
},
{
"code": "Q0501",
"display": "Shwr cov elec/combo vad, rep",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Shower cover for use with electric or electric/pneumatic ventricular assist device, replacement only"
}
]
},
{
"code": "Q0502",
"display": "Mobility cart pneum vad, rep",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Mobility cart for pneumatic ventricular assist device, replacement only"
}
]
},
{
"code": "Q0503",
"display": "Battery pneum vad replacemnt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Battery for pneumatic ventricular assist device, replacement only, each"
}
]
},
{
"code": "Q0504",
"display": "Pwr adpt pneum vad, rep veh",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Power adapter for pneumatic ventricular assist device, replacement only, vehicle type"
}
]
},
{
"code": "Q0506",
"display": "Lith-ion batt elec/pneum vad",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Battery, lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only"
}
]
},
{
"code": "Q0507",
"display": "Misc sup/acc ext vad",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Miscellaneous supply or accessory for use with an external ventricular assist device"
}
]
},
{
"code": "Q0508",
"display": "Mis sup/acc imp vad",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Miscellaneous supply or accessory for use with an implanted ventricular assist device"
}
]
},
{
"code": "Q0509",
"display": "Mis sup/ac imp vad nopay med",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Miscellaneous supply or accessory for use with any implanted ventricular assist device for which payment was not made under medicare part a"
}
]
},
{
"code": "Q0510",
"display": "Dispens fee immunosupressive",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant"
}
]
},
{
"code": "Q0511",
"display": "Sup fee antiem,antica,immuno",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period"
}
]
},
{
"code": "Q0512",
"display": "Px sup fee anti-can sub pres",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period"
}
]
},
{
"code": "Q0513",
"display": "Disp fee inhal drugs/30 days",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pharmacy dispensing fee for inhalation drug(s); per 30 days"
}
]
},
{
"code": "Q0514",
"display": "Disp fee inhal drugs/90 days",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pharmacy dispensing fee for inhalation drug(s); per 90 days"
}
]
},
{
"code": "Q0515",
"display": "Sermorelin acetate injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, sermorelin acetate, 1 microgram"
}
]
},
{
"code": "Q0516",
"display": "Supply fee hiv prep oral 30",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription oral drug, per 30-days"
}
]
},
{
"code": "Q0517",
"display": "Supply fee hiv prep oral 60",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription oral drug, per 60-days"
}
]
},
{
"code": "Q0518",
"display": "Supply fee hiv prep oral 90",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription oral drug, per 90-days"
}
]
},
{
"code": "Q0519",
"display": "Supply fee hiv prep inj 30",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription injectable drug, per 30-days"
}
]
},
{
"code": "Q0520",
"display": "Supply fee hiv prep inj 60",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription injectable drug, per 60-days"
}
]
},
{
"code": "Q0521",
"display": "Supply fee hiv prep fda appr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription"
}
]
},
{
"code": "Q1004",
"display": "Ntiol category 4",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "New technology intraocular lens category 4 as defined in federal register notice"
}
]
},
{
"code": "Q1005",
"display": "Ntiol category 5",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "New technology intraocular lens category 5 as defined in federal register notice"
}
]
},
{
"code": "Q2004",
"display": "Bladder calculi irrig sol",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml"
}
]
},
{
"code": "Q2009",
"display": "Fosphenytoin inj pe",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, fosphenytoin, 50 mg phenytoin equivalent"
}
]
},
{
"code": "Q2017",
"display": "Teniposide, 50 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, teniposide, 50 mg"
}
]
},
{
"code": "Q2026",
"display": "Radiesse injection",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, radiesse, 0.1 ml"
}
]
},
{
"code": "Q2028",
"display": "Inj, sculptra, 0.5mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, sculptra, 0.5 mg"
}
]
},
{
"code": "Q2034",
"display": "Agriflu vaccine",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Influenza virus vaccine, split virus, for intramuscular use (agriflu)"
}
]
},
{
"code": "Q2035",
"display": "Afluria vacc, 3 yrs & >, im",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)"
}
]
},
{
"code": "Q2036",
"display": "Flulaval vacc, 3 yrs & >, im",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval)"
}
]
},
{
"code": "Q2037",
"display": "Fluvirin vacc, 3 yrs & >, im",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)"
}
]
},
{
"code": "Q2038",
"display": "Fluzone vacc, 3 yrs & >, im",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone)"
}
]
},
{
"code": "Q2039",
"display": "Influenza virus vaccine, nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Influenza virus vaccine, not otherwise specified"
}
]
},
{
"code": "Q2040",
"display": "Tisagenlecleucel car-pos t",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tisagenlecleucel, up to 250 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion"
}
]
},
{
"code": "Q2041",
"display": "Axicabtagene ciloleucel car+",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose"
}
]
},
{
"code": "Q2042",
"display": "Tisagenlecleucel car-pos t",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tisagenlecleucel, up to 600 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose"
}
]
},
{
"code": "Q2043",
"display": "Sipuleucel-t auto cd54+",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion"
}
]
},
{
"code": "Q2049",
"display": "Imported lipodox inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, doxorubicin hydrochloride, liposomal, imported lipodox, 10 mg"
}
]
},
{
"code": "Q2050",
"display": "Doxorubicin inj 10mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg"
}
]
},
{
"code": "Q2052",
"display": "Home ivig, services/supplies",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Services, supplies and accessories used in the home for the administration of intravenous immune globulin (ivig)"
}
]
},
{
"code": "Q2053",
"display": "Brexucabtagene car pos t",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose"
}
]
},
{
"code": "Q2054",
"display": "Lisocabtagene mara car pos t",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose"
}
]
},
{
"code": "Q2055",
"display": "Idecabtagene vicleucel car",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose"
}
]
},
{
"code": "Q2056",
"display": "Ciltacabtagene car-pos t",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose"
}
]
},
{
"code": "Q3001",
"display": "Brachytherapy radioelements",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Radioelements for brachytherapy, any type, each"
}
]
},
{
"code": "Q3014",
"display": "Telehealth facility fee",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Telehealth originating site facility fee"
}
]
},
{
"code": "Q3027",
"display": "Inj beta interferon im 1 mcg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, interferon beta-1a, 1 mcg for intramuscular use"
}
]
},
{
"code": "Q3028",
"display": "Inj beta interferon sq 1 mcg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, interferon beta-1a, 1 mcg for subcutaneous use"
}
]
},
{
"code": "Q3031",
"display": "Collagen skin test"
},
{
"code": "Q4001",
"display": "Cast sup body cast plaster",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Casting supplies, body cast adult, with or without head, plaster"
}
]
},
{
"code": "Q4002",
"display": "Cast sup body cast fiberglas",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, body cast adult, with or without head, fiberglass"
}
]
},
{
"code": "Q4003",
"display": "Cast sup shoulder cast plstr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, shoulder cast, adult (11 years +), plaster"
}
]
},
{
"code": "Q4004",
"display": "Cast sup shoulder cast fbrgl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, shoulder cast, adult (11 years +), fiberglass"
}
]
},
{
"code": "Q4005",
"display": "Cast sup long arm adult plst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, long arm cast, adult (11 years +), plaster"
}
]
},
{
"code": "Q4006",
"display": "Cast sup long arm adult fbrg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, long arm cast, adult (11 years +), fiberglass"
}
]
},
{
"code": "Q4007",
"display": "Cast sup long arm ped plster",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, long arm cast, pediatric (0-10 years), plaster"
}
]
},
{
"code": "Q4008",
"display": "Cast sup long arm ped fbrgls",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, long arm cast, pediatric (0-10 years), fiberglass"
}
]
},
{
"code": "Q4009",
"display": "Cast sup sht arm adult plstr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, short arm cast, adult (11 years +), plaster"
}
]
},
{
"code": "Q4010",
"display": "Cast sup sht arm adult fbrgl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, short arm cast, adult (11 years +), fiberglass"
}
]
},
{
"code": "Q4011",
"display": "Cast sup sht arm ped plaster",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, short arm cast, pediatric (0-10 years), plaster"
}
]
},
{
"code": "Q4012",
"display": "Cast sup sht arm ped fbrglas",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, short arm cast, pediatric (0-10 years), fiberglass"
}
]
},
{
"code": "Q4013",
"display": "Cast sup gauntlet plaster",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), plaster"
}
]
},
{
"code": "Q4014",
"display": "Cast sup gauntlet fiberglass",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass"
}
]
},
{
"code": "Q4015",
"display": "Cast sup gauntlet ped plster",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster"
}
]
},
{
"code": "Q4016",
"display": "Cast sup gauntlet ped fbrgls",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass"
}
]
},
{
"code": "Q4017",
"display": "Cast sup lng arm splint plst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, long arm splint, adult (11 years +), plaster"
}
]
},
{
"code": "Q4018",
"display": "Cast sup lng arm splint fbrg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, long arm splint, adult (11 years +), fiberglass"
}
]
},
{
"code": "Q4019",
"display": "Cast sup lng arm splnt ped p",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, long arm splint, pediatric (0-10 years), plaster"
}
]
},
{
"code": "Q4020",
"display": "Cast sup lng arm splnt ped f",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, long arm splint, pediatric (0-10 years), fiberglass"
}
]
},
{
"code": "Q4021",
"display": "Cast sup sht arm splint plst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, short arm splint, adult (11 years +), plaster"
}
]
},
{
"code": "Q4022",
"display": "Cast sup sht arm splint fbrg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, short arm splint, adult (11 years +), fiberglass"
}
]
},
{
"code": "Q4023",
"display": "Cast sup sht arm splnt ped p",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, short arm splint, pediatric (0-10 years), plaster"
}
]
},
{
"code": "Q4024",
"display": "Cast sup sht arm splnt ped f",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, short arm splint, pediatric (0-10 years), fiberglass"
}
]
},
{
"code": "Q4025",
"display": "Cast sup hip spica plaster",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, hip spica (one or both legs), adult (11 years +), plaster"
}
]
},
{
"code": "Q4026",
"display": "Cast sup hip spica fiberglas",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass"
}
]
},
{
"code": "Q4027",
"display": "Cast sup hip spica ped plstr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster"
}
]
},
{
"code": "Q4028",
"display": "Cast sup hip spica ped fbrgl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass"
}
]
},
{
"code": "Q4029",
"display": "Cast sup long leg plaster",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, long leg cast, adult (11 years +), plaster"
}
]
},
{
"code": "Q4030",
"display": "Cast sup long leg fiberglass",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, long leg cast, adult (11 years +), fiberglass"
}
]
},
{
"code": "Q4031",
"display": "Cast sup lng leg ped plaster",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, long leg cast, pediatric (0-10 years), plaster"
}
]
},
{
"code": "Q4032",
"display": "Cast sup lng leg ped fbrgls",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, long leg cast, pediatric (0-10 years), fiberglass"
}
]
},
{
"code": "Q4033",
"display": "Cast sup lng leg cylinder pl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, long leg cylinder cast, adult (11 years +), plaster"
}
]
},
{
"code": "Q4034",
"display": "Cast sup lng leg cylinder fb",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass"
}
]
},
{
"code": "Q4035",
"display": "Cast sup lngleg cylndr ped p",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster"
}
]
},
{
"code": "Q4036",
"display": "Cast sup lngleg cylndr ped f",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass"
}
]
},
{
"code": "Q4037",
"display": "Cast sup shrt leg plaster",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, short leg cast, adult (11 years +), plaster"
}
]
},
{
"code": "Q4038",
"display": "Cast sup shrt leg fiberglass",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, short leg cast, adult (11 years +), fiberglass"
}
]
},
{
"code": "Q4039",
"display": "Cast sup shrt leg ped plster",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, short leg cast, pediatric (0-10 years), plaster"
}
]
},
{
"code": "Q4040",
"display": "Cast sup shrt leg ped fbrgls",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, short leg cast, pediatric (0-10 years), fiberglass"
}
]
},
{
"code": "Q4041",
"display": "Cast sup lng leg splnt plstr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, long leg splint, adult (11 years +), plaster"
}
]
},
{
"code": "Q4042",
"display": "Cast sup lng leg splnt fbrgl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, long leg splint, adult (11 years +), fiberglass"
}
]
},
{
"code": "Q4043",
"display": "Cast sup lng leg splnt ped p",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, long leg splint, pediatric (0-10 years), plaster"
}
]
},
{
"code": "Q4044",
"display": "Cast sup lng leg splnt ped f",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, long leg splint, pediatric (0-10 years), fiberglass"
}
]
},
{
"code": "Q4045",
"display": "Cast sup sht leg splnt plstr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, short leg splint, adult (11 years +), plaster"
}
]
},
{
"code": "Q4046",
"display": "Cast sup sht leg splnt fbrgl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, short leg splint, adult (11 years +), fiberglass"
}
]
},
{
"code": "Q4047",
"display": "Cast sup sht leg splnt ped p",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, short leg splint, pediatric (0-10 years), plaster"
}
]
},
{
"code": "Q4048",
"display": "Cast sup sht leg splnt ped f",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, short leg splint, pediatric (0-10 years), fiberglass"
}
]
},
{
"code": "Q4049",
"display": "Finger splint, static"
},
{
"code": "Q4050",
"display": "Cast supplies unlisted",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cast supplies, for unlisted types and materials of casts"
}
]
},
{
"code": "Q4051",
"display": "Splint supplies misc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies)"
}
]
},
{
"code": "Q4074",
"display": "Iloprost non-comp unit dose",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Iloprost, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 20 micrograms"
}
]
},
{
"code": "Q4081",
"display": "Epoetin alfa, 100 units esrd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, epoetin alfa, 100 units (for esrd on dialysis)"
}
]
},
{
"code": "Q4082",
"display": "Drug/bio noc part b drug cap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Drug or biological, not otherwise classified, part b drug competitive acquisition program (cap)"
}
]
},
{
"code": "Q4100",
"display": "Skin substitute, nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Skin substitute, not otherwise specified"
}
]
},
{
"code": "Q4101",
"display": "Apligraf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Apligraf, per square centimeter"
}
]
},
{
"code": "Q4102",
"display": "Oasis wound matrix",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oasis wound matrix, per square centimeter"
}
]
},
{
"code": "Q4103",
"display": "Oasis burn matrix",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oasis burn matrix, per square centimeter"
}
]
},
{
"code": "Q4104",
"display": "Integra bmwd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Integra bilayer matrix wound dressing (bmwd), per square centimeter"
}
]
},
{
"code": "Q4105",
"display": "Integra drt or omnigraft",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter"
}
]
},
{
"code": "Q4106",
"display": "Dermagraft",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dermagraft, per square centimeter"
}
]
},
{
"code": "Q4107",
"display": "Graftjacket",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Graftjacket, per square centimeter"
}
]
},
{
"code": "Q4108",
"display": "Integra matrix",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Integra matrix, per square centimeter"
}
]
},
{
"code": "Q4110",
"display": "Primatrix",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Primatrix, per square centimeter"
}
]
},
{
"code": "Q4111",
"display": "Gammagraft",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gammagraft, per square centimeter"
}
]
},
{
"code": "Q4112",
"display": "Cymetra injectable",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cymetra, injectable, 1 cc"
}
]
},
{
"code": "Q4113",
"display": "Graftjacket xpress",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Graftjacket xpress, injectable, 1 cc"
}
]
},
{
"code": "Q4114",
"display": "Integra flowable wound matri",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Integra flowable wound matrix, injectable, 1 cc"
}
]
},
{
"code": "Q4115",
"display": "Alloskin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alloskin, per square centimeter"
}
]
},
{
"code": "Q4116",
"display": "Alloderm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alloderm, per square centimeter"
}
]
},
{
"code": "Q4117",
"display": "Hyalomatrix",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hyalomatrix, per square centimeter"
}
]
},
{
"code": "Q4118",
"display": "Matristem micromatrix",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Matristem micromatrix, 1 mg"
}
]
},
{
"code": "Q4119",
"display": "Matristem wound matrix",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Matristem wound matrix, per square centimeter"
}
]
},
{
"code": "Q4120",
"display": "Matristem burn matrix",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Matristem burn matrix, per square centimeter"
}
]
},
{
"code": "Q4121",
"display": "Theraskin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Theraskin, per square centimeter"
}
]
},
{
"code": "Q4122",
"display": "Dermacell, awm, porous sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dermacell, dermacell awm or dermacell awm porous, per square centimeter"
}
]
},
{
"code": "Q4123",
"display": "Alloskin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alloskin rt, per square centimeter"
}
]
},
{
"code": "Q4124",
"display": "Oasis tri-layer wound matrix",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oasis ultra tri-layer wound matrix, per square centimeter"
}
]
},
{
"code": "Q4125",
"display": "Arthroflex",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Arthroflex, per square centimeter"
}
]
},
{
"code": "Q4126",
"display": "Memoderm/derma/tranz/integup",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Memoderm, dermaspan, tranzgraft or integuply, per square centimeter"
}
]
},
{
"code": "Q4127",
"display": "Talymed",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Talymed, per square centimeter"
}
]
},
{
"code": "Q4128",
"display": "Flexhd/allopatchhd/sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Flex hd, or allopatch hd, per square centimeter"
}
]
},
{
"code": "Q4129",
"display": "Unite biomatrix",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Unite biomatrix, per square centimeter"
}
]
},
{
"code": "Q4130",
"display": "Strattice tm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Strattice tm, per square centimeter"
}
]
},
{
"code": "Q4131",
"display": "Epifix or epicord",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Epifix or epicord, per square centimeter"
}
]
},
{
"code": "Q4132",
"display": "Grafix core, grafixpl core",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Grafix core and grafixpl core, per square centimeter"
}
]
},
{
"code": "Q4133",
"display": "Grafix stravix prime pl sqcm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter"
}
]
},
{
"code": "Q4134",
"display": "Hmatrix",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hmatrix, per square centimeter"
}
]
},
{
"code": "Q4135",
"display": "Mediskin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Mediskin, per square centimeter"
}
]
},
{
"code": "Q4136",
"display": "Ezderm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ez-derm, per square centimeter"
}
]
},
{
"code": "Q4137",
"display": "Amnioexcel biodexcel 1sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Amnioexcel, amnioexcel plus or biodexcel, per square centimeter"
}
]
},
{
"code": "Q4138",
"display": "Biodfence dryflex, 1cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Biodfence dryflex, per square centimeter"
}
]
},
{
"code": "Q4139",
"display": "Amnio or biodmatrix, inj 1cc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Amniomatrix or biodmatrix, injectable, 1 cc"
}
]
},
{
"code": "Q4140",
"display": "Biodfence 1cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Biodfence, per square centimeter"
}
]
},
{
"code": "Q4141",
"display": "Alloskin ac, 1 cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alloskin ac, per square centimeter"
}
]
},
{
"code": "Q4142",
"display": "Xcm biologic tiss matrix 1cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Xcm biologic tissue matrix, per square centimeter"
}
]
},
{
"code": "Q4143",
"display": "Repriza, 1cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Repriza, per square centimeter"
}
]
},
{
"code": "Q4145",
"display": "Epifix, inj, 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Epifix, injectable, 1 mg"
}
]
},
{
"code": "Q4146",
"display": "Tensix, 1cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tensix, per square centimeter"
}
]
},
{
"code": "Q4147",
"display": "Architect ecm px fx 1 sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Architect, architect px, or architect fx, extracellular matrix, per square centimeter"
}
]
},
{
"code": "Q4148",
"display": "Neox neox rt or clarix cord",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter"
}
]
},
{
"code": "Q4149",
"display": "Excellagen, 0.1 cc"
},
{
"code": "Q4150",
"display": "Allowrap ds or dry 1 sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Allowrap ds or dry, per square centimeter"
}
]
},
{
"code": "Q4151",
"display": "Amnioband, guardian 1 sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Amnioband or guardian, per square centimeter"
}
]
},
{
"code": "Q4152",
"display": "Dermapure 1 square cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dermapure, per square centimeter"
}
]
},
{
"code": "Q4153",
"display": "Dermavest, plurivest sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dermavest and plurivest, per square centimeter"
}
]
},
{
"code": "Q4154",
"display": "Biovance 1 square cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Biovance, per square centimeter"
}
]
},
{
"code": "Q4155",
"display": "Neoxflo or clarixflo 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Neoxflo or clarixflo, 1 mg"
}
]
},
{
"code": "Q4156",
"display": "Neox 100 or clarix 100",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Neox 100 or clarix 100, per square centimeter"
}
]
},
{
"code": "Q4157",
"display": "Revitalon 1 square cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Revitalon, per square centimeter"
}
]
},
{
"code": "Q4158",
"display": "Kerecis omega3, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Kerecis omega3, per square centimeter"
}
]
},
{
"code": "Q4159",
"display": "Affinity1 square cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Affinity, per square centimeter"
}
]
},
{
"code": "Q4160",
"display": "Nushield 1 square cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nushield, per square centimeter"
}
]
},
{
"code": "Q4161",
"display": "Bio-connekt per square cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bio-connekt wound matrix, per square centimeter"
}
]
},
{
"code": "Q4162",
"display": "Wndex flw, bioskn flw, 0.5cc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Woundex flow, bioskin flow, 0.5 cc"
}
]
},
{
"code": "Q4163",
"display": "Woundex, bioskin, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Woundex, bioskin, per square centimeter"
}
]
},
{
"code": "Q4164",
"display": "Helicoll, per square cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Helicoll, per square centimeter"
}
]
},
{
"code": "Q4165",
"display": "Keramatrix, kerasorb sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Keramatrix or kerasorb, per square centimeter"
}
]
},
{
"code": "Q4166",
"display": "Cytal, per square centimeter"
},
{
"code": "Q4167",
"display": "Truskin, per sq centimeter",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Truskin, per square centimeter"
}
]
},
{
"code": "Q4168",
"display": "Amnioband, 1 mg"
},
{
"code": "Q4169",
"display": "Artacent wound, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Artacent wound, per square centimeter"
}
]
},
{
"code": "Q4170",
"display": "Cygnus, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cygnus, per square centimeter"
}
]
},
{
"code": "Q4171",
"display": "Interfyl, 1 mg"
},
{
"code": "Q4172",
"display": "Puraply or puraply am",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Puraply or puraply am, per square centimeter"
}
]
},
{
"code": "Q4173",
"display": "Palingen or palingen xplus",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Palingen or palingen xplus, per square centimeter"
}
]
},
{
"code": "Q4174",
"display": "Palingen or promatrx",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Palingen or promatrx, 0.36 mg per 0.25 cc"
}
]
},
{
"code": "Q4175",
"display": "Miroderm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Miroderm, per square centimeter"
}
]
},
{
"code": "Q4176",
"display": "Neopatch or therion, 1 sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Neopatch or therion, per square centimeter"
}
]
},
{
"code": "Q4177",
"display": "Floweramnioflo, 0.1 cc"
},
{
"code": "Q4178",
"display": "Floweramniopatch, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Floweramniopatch, per square centimeter"
}
]
},
{
"code": "Q4179",
"display": "Flowerderm, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Flowerderm, per square centimeter"
}
]
},
{
"code": "Q4180",
"display": "Revita, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Revita, per square centimeter"
}
]
},
{
"code": "Q4181",
"display": "Amnio wound, per square cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Amnio wound, per square centimeter"
}
]
},
{
"code": "Q4182",
"display": "Transcyte, per sq centimeter",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transcyte, per square centimeter"
}
]
},
{
"code": "Q4183",
"display": "Surgigraft, 1 sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Surgigraft, per square centimeter"
}
]
},
{
"code": "Q4184",
"display": "Cellesta or duo per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cellesta or cellesta duo, per square centimeter"
}
]
},
{
"code": "Q4185",
"display": "Cellesta flowab amnion 0.5cc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cellesta flowable amnion (25 mg per cc); per 0.5 cc"
}
]
},
{
"code": "Q4186",
"display": "Epifix 1 sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Epifix, per square centimeter"
}
]
},
{
"code": "Q4187",
"display": "Epicord 1 sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Epicord, per square centimeter"
}
]
},
{
"code": "Q4188",
"display": "Amnioarmor 1 sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Amnioarmor, per square centimeter"
}
]
},
{
"code": "Q4189",
"display": "Artacent ac, 1 mg"
},
{
"code": "Q4190",
"display": "Artacent ac 1 sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Artacent ac, per square centimeter"
}
]
},
{
"code": "Q4191",
"display": "Restorigin 1 sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Restorigin, per square centimeter"
}
]
},
{
"code": "Q4192",
"display": "Restorigin, 1 cc"
},
{
"code": "Q4193",
"display": "Coll-e-derm 1 sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Coll-e-derm, per square centimeter"
}
]
},
{
"code": "Q4194",
"display": "Novachor 1 sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Novachor, per square centimeter"
}
]
},
{
"code": "Q4195",
"display": "Puraply 1 sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Puraply, per square centimeter"
}
]
},
{
"code": "Q4196",
"display": "Puraply am 1 sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Puraply am, per square centimeter"
}
]
},
{
"code": "Q4197",
"display": "Puraply xt 1 sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Puraply xt, per square centimeter"
}
]
},
{
"code": "Q4198",
"display": "Genesis amnio membrane 1sqcm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Genesis amniotic membrane, per square centimeter"
}
]
},
{
"code": "Q4199",
"display": "Cygnus matrix, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cygnus matrix, per square centimeter"
}
]
},
{
"code": "Q4200",
"display": "Skin te 1 sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Skin te, per square centimeter"
}
]
},
{
"code": "Q4201",
"display": "Matrion 1 sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Matrion, per square centimeter"
}
]
},
{
"code": "Q4202",
"display": "Keroxx (2.5g/cc), 1cc"
},
{
"code": "Q4203",
"display": "Derma-gide, 1 sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Derma-gide, per square centimeter"
}
]
},
{
"code": "Q4204",
"display": "Xwrap 1 sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Xwrap, per square centimeter"
}
]
},
{
"code": "Q4205",
"display": "Membrane graft or wrap sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Membrane graft or membrane wrap, per square centimeter"
}
]
},
{
"code": "Q4206",
"display": "Fluid flow or fluid gf 1 cc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Fluid flow or fluid gf, 1 cc"
}
]
},
{
"code": "Q4208",
"display": "Novafix per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Novafix, per square cenitmeter"
}
]
},
{
"code": "Q4209",
"display": "Surgraft per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Surgraft, per square centimeter"
}
]
},
{
"code": "Q4210",
"display": "Axolotl graf dualgraf sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Axolotl graft or axolotl dualgraft, per square centimeter"
}
]
},
{
"code": "Q4211",
"display": "Amnion bio or axobio sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Amnion bio or axobiomembrane, per square centimeter"
}
]
},
{
"code": "Q4212",
"display": "Allogen, per cc"
},
{
"code": "Q4213",
"display": "Ascent, 0.5 mg"
},
{
"code": "Q4214",
"display": "Cellesta cord per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cellesta cord, per square centimeter"
}
]
},
{
"code": "Q4215",
"display": "Axolotl ambient, cryo 0.1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Axolotl ambient or axolotl cryo, 0.1 mg"
}
]
},
{
"code": "Q4216",
"display": "Artacent cord per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Artacent cord, per square centimeter"
}
]
},
{
"code": "Q4217",
"display": "Woundfix biowound plus xplus",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter"
}
]
},
{
"code": "Q4218",
"display": "Surgicord per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Surgicord, per square centimeter"
}
]
},
{
"code": "Q4219",
"display": "Surgigraft dual per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Surgigraft-dual, per square centimeter"
}
]
},
{
"code": "Q4220",
"display": "Bellacell hd, surederm sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bellacell hd or surederm, per square centimeter"
}
]
},
{
"code": "Q4221",
"display": "Amniowrap2 per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Amniowrap2, per square centimeter"
}
]
},
{
"code": "Q4222",
"display": "Progenamatrix, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Progenamatrix, per square centimeter"
}
]
},
{
"code": "Q4224",
"display": "Hhf10-p per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Human health factor 10 amniotic patch (hhf10-p), per square centimeter"
}
]
},
{
"code": "Q4225",
"display": "Amnio or derma tl, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Amniobind or dermabind tl, per square centimeter"
}
]
},
{
"code": "Q4226",
"display": "Myown harv prep proc sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Myown skin, includes harvesting and preparation procedures, per square centimeter"
}
]
},
{
"code": "Q4227",
"display": "Amniocore per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Amniocore, per square centimeter"
}
]
},
{
"code": "Q4228",
"display": "Bionextpatch, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bionextpatch, per square centimeter"
}
]
},
{
"code": "Q4229",
"display": "Cogenex amnio memb per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cogenex amniotic membrane, per square centimeter"
}
]
},
{
"code": "Q4230",
"display": "Cogenex flow amnion 0.5 cc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cogenex flowable amnion, per 0.5 cc"
}
]
},
{
"code": "Q4231",
"display": "Corplex p, per cc"
},
{
"code": "Q4232",
"display": "Corplex, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Corplex, per square centimeter"
}
]
},
{
"code": "Q4233",
"display": "Surfactor /nudyn per 0.5 cc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Surfactor or nudyn, per 0.5 cc"
}
]
},
{
"code": "Q4234",
"display": "Xcellerate, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Xcellerate, per square centimeter"
}
]
},
{
"code": "Q4235",
"display": "Amniorepair or altiply sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Amniorepair or altiply, per square centimeter"
}
]
},
{
"code": "Q4236",
"display": "Carepatch per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Carepatch, per square centimeter"
}
]
},
{
"code": "Q4237",
"display": "Cryo-cord, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cryo-cord, per square centimeter"
}
]
},
{
"code": "Q4238",
"display": "Derm-maxx, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Derm-maxx, per square centimeter"
}
]
},
{
"code": "Q4239",
"display": "Amnio-maxx or lite per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Amnio-maxx or amnio-maxx lite, per square centimeter"
}
]
},
{
"code": "Q4240",
"display": "Corecyte topical only 0.5 cc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Corecyte, for topical use only, per 0.5 cc"
}
]
},
{
"code": "Q4241",
"display": "Polycyte, topical only 0.5cc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Polycyte, for topical use only, per 0.5 cc"
}
]
},
{
"code": "Q4242",
"display": "Amniocyte plus, per 0.5 cc"
},
{
"code": "Q4244",
"display": "Procenta, per 200 mg"
},
{
"code": "Q4245",
"display": "Amniotext, per cc"
},
{
"code": "Q4246",
"display": "Coretext or protext, per cc"
},
{
"code": "Q4247",
"display": "Amniotext patch, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Amniotext patch, per square centimeter"
}
]
},
{
"code": "Q4248",
"display": "Dermacyte amn mem allo sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dermacyte amniotic membrane allograft, per square centimeter"
}
]
},
{
"code": "Q4249",
"display": "Amniply, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Amniply, for topical use only, per square centimeter"
}
]
},
{
"code": "Q4250",
"display": "Amnioamp-mp per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Amnioamp-mp, per square centimeter"
}
]
},
{
"code": "Q4251",
"display": "Vim, per square centimeter"
},
{
"code": "Q4252",
"display": "Vendaje, per square centimet",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Vendaje, per square centimeter"
}
]
},
{
"code": "Q4253",
"display": "Zenith amniotic membrane psc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Zenith amniotic membrane, per square centimeter"
}
]
},
{
"code": "Q4254",
"display": "Novafix dl per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Novafix dl, per square centimeter"
}
]
},
{
"code": "Q4255",
"display": "Reguard, topical use per sq",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Reguard, for topical use only, per square centimeter"
}
]
},
{
"code": "Q4256",
"display": "Mlg complet, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Mlg-complete, per square centimeter"
}
]
},
{
"code": "Q4257",
"display": "Relese, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Relese, per square centimeter"
}
]
},
{
"code": "Q4258",
"display": "Enverse, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Enverse, per square centimeter"
}
]
},
{
"code": "Q4259",
"display": "Celera per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Celera dual layer or celera dual membrane, per square centimeter"
}
]
},
{
"code": "Q4260",
"display": "Signature apatch, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Signature apatch, per square centimeter"
}
]
},
{
"code": "Q4261",
"display": "Tag, per square centimeter"
},
{
"code": "Q4262",
"display": "Dual layer impax, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dual layer impax membrane, per square centimeter"
}
]
},
{
"code": "Q4263",
"display": "Surgraft tl, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Surgraft tl, per square centimeter"
}
]
},
{
"code": "Q4264",
"display": "Cocoon membrane, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cocoon membrane, per square centimeter"
}
]
},
{
"code": "Q4265",
"display": "Neostim tl per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Neostim tl, per square centimeter"
}
]
},
{
"code": "Q4266",
"display": "Neostim per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Neostim membrane, per square centimeter"
}
]
},
{
"code": "Q4267",
"display": "Neostim dl per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Neostim dl, per square centimeter"
}
]
},
{
"code": "Q4268",
"display": "Surgraft ft per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Surgraft ft, per square centimeter"
}
]
},
{
"code": "Q4269",
"display": "Surgraft xt per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Surgraft xt, per square centimeter"
}
]
},
{
"code": "Q4270",
"display": "Complete sl per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Complete sl, per square centimeter"
}
]
},
{
"code": "Q4271",
"display": "Complete ft per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Complete ft, per square centimeter"
}
]
},
{
"code": "Q4272",
"display": "Esano a, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Esano a, per square centimeter"
}
]
},
{
"code": "Q4273",
"display": "Esano aaa, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Esano aaa, per square centimeter"
}
]
},
{
"code": "Q4274",
"display": "Esano ac, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Esano ac, per square centimeter"
}
]
},
{
"code": "Q4275",
"display": "Esano aca, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Esano aca, per square centimeter"
}
]
},
{
"code": "Q4276",
"display": "Orion, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Orion, per square centimeter"
}
]
},
{
"code": "Q4277",
"display": "Woundplus e-grat, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Woundplus membrane or e-graft, per square centimeter"
}
]
},
{
"code": "Q4278",
"display": "Epieffect, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Epieffect, per square centimeter"
}
]
},
{
"code": "Q4279",
"display": "Vendaje ac, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Vendaje ac, per square centimeter"
}
]
},
{
"code": "Q4280",
"display": "Xcell amnio matrix per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Xcell amnio matrix, per square centimeter"
}
]
},
{
"code": "Q4281",
"display": "Barrera slor dl per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Barrera sl or barrera dl, per square centimeter"
}
]
},
{
"code": "Q4282",
"display": "Cygnus dual per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cygnus dual, per square centimeter"
}
]
},
{
"code": "Q4283",
"display": "Biovance tri or 3l, sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Biovance tri-layer or biovance 3l, per square centimeter"
}
]
},
{
"code": "Q4284",
"display": "Dermabind sl, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dermabind sl, per square centimeter"
}
]
},
{
"code": "Q4285",
"display": "Nudyn dl or dl mesh pr sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nudyn dl or nudyn dl mesh, per square centimeter"
}
]
},
{
"code": "Q4286",
"display": "Nudyn sl or slw, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nudyn sl or nudyn slw, per square centimeter"
}
]
},
{
"code": "Q4287",
"display": "Dermabind dl, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dermabind dl, per square centimeter"
}
]
},
{
"code": "Q4288",
"display": "Dermabind ch, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dermabind ch, per square centimeter"
}
]
},
{
"code": "Q4289",
"display": "Revoshield+ amnio, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Revoshield + amniotic barrier, per square centimeter"
}
]
},
{
"code": "Q4290",
"display": "Membrane wrap hydr per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Membrane wrap-hydro, per square centimeter"
}
]
},
{
"code": "Q4291",
"display": "Lamellas xt, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lamellas xt, per square centimeter"
}
]
},
{
"code": "Q4292",
"display": "Lamellas, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lamellas, per square centimeter"
}
]
},
{
"code": "Q4293",
"display": "Acesso dl, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Acesso dl, per square centimeter"
}
]
},
{
"code": "Q4294",
"display": "Amnio quad-core, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Amnio quad-core, per square centimeter"
}
]
},
{
"code": "Q4295",
"display": "Amnio tri-core, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Amnio tri-core amniotic, per square centimeter"
}
]
},
{
"code": "Q4296",
"display": "Rebound matrix, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Rebound matrix, per square centimeter"
}
]
},
{
"code": "Q4297",
"display": "Emerge matrix, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Emerge matrix, per square centimeter"
}
]
},
{
"code": "Q4298",
"display": "Amnicore pro, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Amnicore pro, per square centimeter"
}
]
},
{
"code": "Q4299",
"display": "Amnicore pro+, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Amnicore pro+, per square centimeter"
}
]
},
{
"code": "Q4300",
"display": "Acesso tl, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Acesso tl, per square centimeter"
}
]
},
{
"code": "Q4301",
"display": "Activate matrix, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Activate matrix, per square centimeter"
}
]
},
{
"code": "Q4302",
"display": "Complete aca, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Complete aca, per square centimeter"
}
]
},
{
"code": "Q4303",
"display": "Complete aa, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Complete aa, per square centimeter"
}
]
},
{
"code": "Q4304",
"display": "Grafix plus, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Grafix plus, per square centimeter"
}
]
},
{
"code": "Q4305",
"display": "Amer am ac tri-lay per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "American amnion ac tri-layer, per square centimeter"
}
]
},
{
"code": "Q4306",
"display": "Americ amnion ac per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "American amnion ac, per square centimeter"
}
]
},
{
"code": "Q4307",
"display": "American amnion, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "American amnion, per square centimeter"
}
]
},
{
"code": "Q4308",
"display": "Sanopellis, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sanopellis, per square centimeter"
}
]
},
{
"code": "Q4309",
"display": "Via matrix, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Via matrix, per square centimeter"
}
]
},
{
"code": "Q4310",
"display": "Procenta, per 100 mg"
},
{
"code": "Q4311",
"display": "Acesso, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Acesso, per square centimeter"
}
]
},
{
"code": "Q4312",
"display": "Acesso ac, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Acesso ac, per square centimeter"
}
]
},
{
"code": "Q4313",
"display": "Dermabind fm, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dermabind fm, per square centimeter"
}
]
},
{
"code": "Q4314",
"display": "Reeva, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Reeva ft, per square cenitmeter"
}
]
},
{
"code": "Q4315",
"display": "Regenelink amniotic mem allo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Regenelink amniotic membrane allograft, per square centimeter"
}
]
},
{
"code": "Q4316",
"display": "Amchoplast, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Amchoplast, per square centimeter"
}
]
},
{
"code": "Q4317",
"display": "Vitograft, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Vitograft, per square centimeter"
}
]
},
{
"code": "Q4318",
"display": "E-graft, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "E-graft, per square centimeter"
}
]
},
{
"code": "Q4319",
"display": "Sanograft, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sanograft, per square centimeter"
}
]
},
{
"code": "Q4320",
"display": "Pellograft, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pellograft, per square centimeter"
}
]
},
{
"code": "Q4321",
"display": "Renograft, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Renograft, per square centimeter"
}
]
},
{
"code": "Q4322",
"display": "Caregraft, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Caregraft, per square centimeter"
}
]
},
{
"code": "Q4323",
"display": "Alloply, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alloply, per square centimeter"
}
]
},
{
"code": "Q4324",
"display": "Amniotx, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Amniotx, per square centimeter"
}
]
},
{
"code": "Q4325",
"display": "Acapatch, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Acapatch, per square centimeter"
}
]
},
{
"code": "Q4326",
"display": "Woundplus, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Woundplus, per square centimeter"
}
]
},
{
"code": "Q4327",
"display": "Duoamnion, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Duoamnion, per square centimeter"
}
]
},
{
"code": "Q4328",
"display": "Most, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Most, per square centimeter"
}
]
},
{
"code": "Q4329",
"display": "Singlay, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Singlay, per square centimeter"
}
]
},
{
"code": "Q4330",
"display": "Total, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Total, per square centimeter"
}
]
},
{
"code": "Q4331",
"display": "Axolotl graft, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Axolotl graft, per square centimeter"
}
]
},
{
"code": "Q4332",
"display": "Axolotl dualgraft, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Axolotl dualgraft, per square centimeter"
}
]
},
{
"code": "Q4333",
"display": "Ardeograft, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ardeograft, per square centimeter"
}
]
},
{
"code": "Q4334",
"display": "Amnioplast 1, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Amnioplast 1, per square centimeter"
}
]
},
{
"code": "Q4335",
"display": "Amnioplast 2, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Amnioplast 2, per square centimeter"
}
]
},
{
"code": "Q4336",
"display": "Artecent c, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Artacent c, per square centimeter"
}
]
},
{
"code": "Q4337",
"display": "Artecent trident, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Artacent trident, per square centimeter"
}
]
},
{
"code": "Q4338",
"display": "Artacent velos, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Artacent velos, per square centimeter"
}
]
},
{
"code": "Q4339",
"display": "Artacent vericlen, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Artacent vericlen, per square centimeter"
}
]
},
{
"code": "Q4340",
"display": "Simpligraft, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Simpligraft, per square centimeter"
}
]
},
{
"code": "Q4341",
"display": "Simplimax, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Simplimax, per square centimeter"
}
]
},
{
"code": "Q4342",
"display": "Theramend, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Theramend, per square centimeter"
}
]
},
{
"code": "Q4343",
"display": "Dermacyte ac matrx per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dermacyte ac matrix amniotic membrane allograft, per square centimeter"
}
]
},
{
"code": "Q4344",
"display": "Tri membrane wrap, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tri-membrane wrap, per square centimeter"
}
]
},
{
"code": "Q4345",
"display": "Matrix hd allogrft per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Matrix hd allograft dermis, per square centimeter"
}
]
},
{
"code": "Q4346",
"display": "Shelter dm matrix per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Shelter dm matrix, per square centimeter"
}
]
},
{
"code": "Q4347",
"display": "Rampart dl matrix per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Rampart dl matrix, per square centimeter"
}
]
},
{
"code": "Q4348",
"display": "Sentry sl matrix per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sentry sl matrix, per square centimeter"
}
]
},
{
"code": "Q4349",
"display": "Mantle dl matrix per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Mantle dl matrix, per square centimeter"
}
]
},
{
"code": "Q4350",
"display": "Palisade dm matrix per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Palisade dm matrix, per square centimeter"
}
]
},
{
"code": "Q4351",
"display": "Enclose tl matrix, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Enclose tl matrix, per square centimeter"
}
]
},
{
"code": "Q4352",
"display": "Overlay sl matrix, per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Overlay sl matrix, per square centimeter"
}
]
},
{
"code": "Q4353",
"display": "Xceed tl matrix per sq cm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Xceed tl matrix, per square centimeter"
}
]
},
{
"code": "Q5001",
"display": "Hospice or home hlth in home",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospice or home health care provided in patient's home/residence"
}
]
},
{
"code": "Q5002",
"display": "Hospice/home hlth in asst lv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospice or home health care provided in assisted living facility"
}
]
},
{
"code": "Q5003",
"display": "Hospice in lt/non-skilled nf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)"
}
]
},
{
"code": "Q5004",
"display": "Hospice in snf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospice care provided in skilled nursing facility (snf)"
}
]
},
{
"code": "Q5005",
"display": "Hospice, inpatient hospital",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospice care provided in inpatient hospital"
}
]
},
{
"code": "Q5006",
"display": "Hospice in hospice facility",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospice care provided in inpatient hospice facility"
}
]
},
{
"code": "Q5007",
"display": "Hospice in ltch",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospice care provided in long term care facility"
}
]
},
{
"code": "Q5008",
"display": "Hospice in inpatient psych",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospice care provided in inpatient psychiatric facility"
}
]
},
{
"code": "Q5009",
"display": "Hospice/home hlth, place nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospice or home health care provided in place not otherwise specified (nos)"
}
]
},
{
"code": "Q5010",
"display": "Hospice home care in hospice",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospice home care provided in a hospice facility"
}
]
},
{
"code": "Q5101",
"display": "Injection, zarxio",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram"
}
]
},
{
"code": "Q5102",
"display": "Inj., infliximab biosimilar",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, infliximab, biosimilar, 10 mg"
}
]
},
{
"code": "Q5103",
"display": "Injection, inflectra",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg"
}
]
},
{
"code": "Q5104",
"display": "Injection, renflexis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, infliximab-abda, biosimilar, (renflexis), 10 mg"
}
]
},
{
"code": "Q5105",
"display": "Inj retacrit esrd on dialysi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units"
}
]
},
{
"code": "Q5106",
"display": "Inj retacrit non-esrd use",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units"
}
]
},
{
"code": "Q5107",
"display": "Inj mvasi 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg"
}
]
},
{
"code": "Q5108",
"display": "Injection, fulphila",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg"
}
]
},
{
"code": "Q5109",
"display": "Injection, ixifi, 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, infliximab-qbtx, biosimilar, (ixifi), 10 mg"
}
]
},
{
"code": "Q5110",
"display": "Nivestym",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram"
}
]
},
{
"code": "Q5111",
"display": "Injection, udenyca 0.5 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg"
}
]
},
{
"code": "Q5112",
"display": "Inj ontruzant 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, trastuzumab-dttb, biosimilar, (ontruzant), 10 mg"
}
]
},
{
"code": "Q5113",
"display": "Inj herzuma 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg"
}
]
},
{
"code": "Q5114",
"display": "Inj ogivri 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg"
}
]
},
{
"code": "Q5115",
"display": "Inj truxima 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, rituximab-abbs, biosimilar, (truxima), 10 mg"
}
]
},
{
"code": "Q5116",
"display": "Inj., trazimera, 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg"
}
]
},
{
"code": "Q5117",
"display": "Inj., kanjinti, 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg"
}
]
},
{
"code": "Q5118",
"display": "Inj., zirabev, 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg"
}
]
},
{
"code": "Q5119",
"display": "Inj ruxience, 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg"
}
]
},
{
"code": "Q5120",
"display": "Inj pegfilgrastim-bmez 0.5mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg"
}
]
},
{
"code": "Q5121",
"display": "Inj. avsola, 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, infliximab-axxq, biosimilar, (avsola), 10 mg"
}
]
},
{
"code": "Q5122",
"display": "Inj, nyvepria",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg"
}
]
},
{
"code": "Q5123",
"display": "Inj. riabni, 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, rituximab-arrx, biosimilar, (riabni), 10 mg"
}
]
},
{
"code": "Q5124",
"display": "Inj. byooviz, 0.1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg"
}
]
},
{
"code": "Q5125",
"display": "Inj, releuko 1 mcg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram"
}
]
},
{
"code": "Q5126",
"display": "Inj alymsys 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg"
}
]
},
{
"code": "Q5127",
"display": "Inj, stimufend, 0.5 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pegfilgrastim-fpgk (stimufend), biosimilar, 0.5 mg"
}
]
},
{
"code": "Q5128",
"display": "Inj, cimerli, 0.1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg"
}
]
},
{
"code": "Q5129",
"display": "Inj, vegzelma, 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, bevacizumab-adcd (vegzelma), biosimilar, 10 mg"
}
]
},
{
"code": "Q5130",
"display": "Inj, fylnetra, 0.5 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg"
}
]
},
{
"code": "Q5131",
"display": "Inj, idacio, 20 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, adalimumab-aacf (idacio), biosimilar, 20 mg"
}
]
},
{
"code": "Q5132",
"display": "Inj, abrilada, 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, adalimumab-afzb (abrilada), biosimilar, 10 mg"
}
]
},
{
"code": "Q5133",
"display": "Inj, tofidence, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg"
}
]
},
{
"code": "Q5134",
"display": "Inj, tyruko, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, natalizumab-sztn (tyruko), biosimilar, 1 mg"
}
]
},
{
"code": "Q5135",
"display": "Inj, tyenne, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg"
}
]
},
{
"code": "Q5136",
"display": "Inj. denosumab-bbdz, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg"
}
]
},
{
"code": "Q5137",
"display": "Inj, wezlana, sub cu, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ustekinumab-auub (wezlana), biosimilar, subcutaneous, 1 mg"
}
]
},
{
"code": "Q5138",
"display": "Inj, wezlana, iv, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ustekinumab-auub (wezlana), biosimilar, intravenous, 1 mg"
}
]
},
{
"code": "Q5139",
"display": "Inj, eculizumab-aeeb, 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, eculizumab-aeeb (bkemv), biosimilar, 10 mg"
}
]
},
{
"code": "Q5140",
"display": "Inj adalimumab-fkjp, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, adalimumab-fkjp, biosimilar, 1 mg"
}
]
},
{
"code": "Q5141",
"display": "Inj adalimumab-aaty, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, adalimumab-aaty, biosimilar, 1 mg"
}
]
},
{
"code": "Q5142",
"display": "Inj adalimumab-ryvk, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, adalimumab-ryvk biosimilar, 1 mg"
}
]
},
{
"code": "Q5143",
"display": "Inj adalimumab-adbm, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, adalimumab-adbm, biosimilar, 1 mg"
}
]
},
{
"code": "Q5144",
"display": "Inj, idacio, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, adalimumab-aacf (idacio), biosimilar, 1 mg"
}
]
},
{
"code": "Q5145",
"display": "Inj, abrilada, 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, adalimumab-afzb (abrilada), biosimilar, 1 mg"
}
]
},
{
"code": "Q5146",
"display": "Inj, hercessi, 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, trastuzumab-strf (hercessi), biosimilar, 10 mg"
}
]
},
{
"code": "Q9001",
"display": "Chaplain assessment",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Assessment by chaplain services"
}
]
},
{
"code": "Q9002",
"display": "Chaplain counsel individu",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Counseling, individual, by chaplain services"
}
]
},
{
"code": "Q9003",
"display": "Chaplain counsel group",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Counseling, group, by chaplain services"
}
]
},
{
"code": "Q9004",
"display": "Va whole health partner serv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Department of veterans affairs whole health partner services"
}
]
},
{
"code": "Q9950",
"display": "Inj sulf hexa lipid microsph",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, sulfur hexafluoride lipid microspheres, per ml"
}
]
},
{
"code": "Q9951",
"display": "Locm >= 400 mg/ml iodine,1ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Low osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml"
}
]
},
{
"code": "Q9953",
"display": "Inj fe-based mr contrast,1ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, iron-based magnetic resonance contrast agent, per ml"
}
]
},
{
"code": "Q9954",
"display": "Oral mr contrast, 100 ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oral magnetic resonance contrast agent, per 100 ml"
}
]
},
{
"code": "Q9955",
"display": "Inj perflexane lip micros,ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, perflexane lipid microspheres, per ml"
}
]
},
{
"code": "Q9956",
"display": "Inj octafluoropropane mic,ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, octafluoropropane microspheres, per ml"
}
]
},
{
"code": "Q9957",
"display": "Inj perflutren lip micros,ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, perflutren lipid microspheres, per ml"
}
]
},
{
"code": "Q9958",
"display": "Hocm <=149 mg/ml iodine, 1ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml"
}
]
},
{
"code": "Q9959",
"display": "Hocm 150-199mg/ml iodine,1ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "High osmolar contrast material, 150-199 mg/ml iodine concentration, per ml"
}
]
},
{
"code": "Q9960",
"display": "Hocm 200-249mg/ml iodine,1ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml"
}
]
},
{
"code": "Q9961",
"display": "Hocm 250-299mg/ml iodine,1ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml"
}
]
},
{
"code": "Q9962",
"display": "Hocm 300-349mg/ml iodine,1ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml"
}
]
},
{
"code": "Q9963",
"display": "Hocm 350-399mg/ml iodine,1ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml"
}
]
},
{
"code": "Q9964",
"display": "Hocm>= 400mg/ml iodine, 1ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "High osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml"
}
]
},
{
"code": "Q9965",
"display": "Locm 100-199mg/ml iodine,1ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml"
}
]
},
{
"code": "Q9966",
"display": "Locm 200-299mg/ml iodine,1ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml"
}
]
},
{
"code": "Q9967",
"display": "Locm 300-399mg/ml iodine,1ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml"
}
]
},
{
"code": "Q9968",
"display": "Visualization adjunct",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg"
}
]
},
{
"code": "Q9969",
"display": "Non-heu tc-99m add-on/dose",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose"
}
]
},
{
"code": "Q9970",
"display": "Inj ferric carboxymaltos 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ferric carboxymaltose, 1mg"
}
]
},
{
"code": "Q9972",
"display": "Epoetin beta esrd use",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, epoetin beta, 1 microgram, (for esrd on dialysis)"
}
]
},
{
"code": "Q9973",
"display": "Epoetin beta non esrd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, epoetin beta, 1 microgram, (non-esrd use)"
}
]
},
{
"code": "Q9974",
"display": "Morphine epidural/intratheca",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg"
}
]
},
{
"code": "Q9975",
"display": "Factor viii fc fusion recomb",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, factor viii fc fusion protein (recombinant), per iu"
}
]
},
{
"code": "Q9976",
"display": "Inj ferric pyrophosphate cit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ferric pyrophosphate citrate solution, 0.1 mg of iron"
}
]
},
{
"code": "Q9977",
"display": "Compounded drug noc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Compounded drug, not otherwise classified"
}
]
},
{
"code": "Q9978",
"display": "Netupitant palonosetron oral",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Netupitant 300 mg and palonosetron 0.5 mg"
}
]
},
{
"code": "Q9979",
"display": "Injection, alemtuzumab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, alemtuzumab, 1 mg"
}
]
},
{
"code": "Q9980",
"display": "Genvisc, inj, 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hyaluronan or derivative, genvisc 850, for intra-articular injection, 1 mg"
}
]
},
{
"code": "Q9981",
"display": "Rolapitant, oral, 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Rolapitant, oral, 1 mg"
}
]
},
{
"code": "Q9982",
"display": "Flutemetamol f18 diagnostic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries"
}
]
},
{
"code": "Q9983",
"display": "Florbetaben f18 diagnostic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries"
}
]
},
{
"code": "Q9984",
"display": "Kyleena, 19.5 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Levonorgestrel-releasing intrauterine contraceptive system (kyleena), 19.5 mg"
}
]
},
{
"code": "Q9985",
"display": "Inj hydroxyprogst capoat nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg"
}
]
},
{
"code": "Q9986",
"display": "Makena, 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, hydroxyprogesterone caproate, (makena), 10 mg"
}
]
},
{
"code": "Q9987",
"display": "Pathogen test for platelets",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pathogen(s) test for platelets"
}
]
},
{
"code": "Q9988",
"display": "Platelets, pathogen reduced",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Platelets, pheresis, pathogen-reduced, each unit"
}
]
},
{
"code": "Q9989",
"display": "Ustekinumab, iv inject,1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ustekinumab, for intravenous injection, 1 mg"
}
]
},
{
"code": "Q9991",
"display": "Buprenorph xr 100 mg or less",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg"
}
]
},
{
"code": "Q9992",
"display": "Buprenorphine xr over 100 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, buprenorphine extended-release (sublocade), greater than 100 mg"
}
]
},
{
"code": "Q9993",
"display": "Inj., triamcinolone ext rel",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg"
}
]
},
{
"code": "Q9994",
"display": "Enzyme cartridge enteral nut",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "In-line cartridge containing digestive enzyme(s) for enteral feeding, each"
}
]
},
{
"code": "Q9995",
"display": "Inj., emicizumab-kxwh 0.5 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, emicizumab-kxwh, 0.5 mg"
}
]
},
{
"code": "Q9996",
"display": "Ustekinumab- ttwe sub cu inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ustekinumab-ttwe (pyzchiva), subcutaneous, 1 mg"
}
]
},
{
"code": "Q9997",
"display": "Ustekinumab-ttwe iv inj 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ustekinumab-ttwe (pyzchiva), intravenous, 1 mg"
}
]
},
{
"code": "Q9998",
"display": "Ustekinumab-aekn inj",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ustekinumab-aekn (selarsdi), 1 mg"
}
]
},
{
"code": "R0070",
"display": "Transport portable x-ray",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen"
}
]
},
{
"code": "R0075",
"display": "Transport port x-ray multipl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen"
}
]
},
{
"code": "R0076",
"display": "Transport portable ekg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transportation of portable ekg to facility or location, per patient"
}
]
},
{
"code": "S0012",
"display": "Butorphanol tartrate, nasal",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Butorphanol tartrate, nasal spray, 25 mg"
}
]
},
{
"code": "S0013",
"display": "Esketamine, nasal spray",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Esketamine, nasal spray, 1 mg"
}
]
},
{
"code": "S0014",
"display": "Tacrine hydrochloride, 10 mg"
},
{
"code": "S0017",
"display": "Injection, aminocaproic acid",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, aminocaproic acid, 5 grams"
}
]
},
{
"code": "S0020",
"display": "Injection, bupivicaine hydro",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, bupivicaine hydrochloride, 30 ml"
}
]
},
{
"code": "S0021",
"display": "Injection, cefoperazone sod",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cefoperazone sodium, 1 gram"
}
]
},
{
"code": "S0023",
"display": "Injection, cimetidine hydroc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cimetidine hydrochloride, 300 mg"
}
]
},
{
"code": "S0028",
"display": "Injection, famotidine, 20 mg"
},
{
"code": "S0030",
"display": "Injection, metronidazole",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, metronidazole, 500 mg"
}
]
},
{
"code": "S0032",
"display": "Injection, nafcillin sodium",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, nafcillin sodium, 2 grams"
}
]
},
{
"code": "S0034",
"display": "Injection, ofloxacin, 400 mg"
},
{
"code": "S0039",
"display": "Injection, sulfamethoxazole",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, sulfamethoxazole and trimethoprim, 10 ml"
}
]
},
{
"code": "S0040",
"display": "Injection, ticarcillin disod",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ticarcillin disodium and clavulanate potassium, 3.1 grams"
}
]
},
{
"code": "S0073",
"display": "Injection, aztreonam, 500 mg"
},
{
"code": "S0074",
"display": "Injection, cefotetan disodiu",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, cefotetan disodium, 500 mg"
}
]
},
{
"code": "S0077",
"display": "Injection, clindamycin phosp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, clindamycin phosphate, 300 mg"
}
]
},
{
"code": "S0078",
"display": "Injection, fosphenytoin sodi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, fosphenytoin sodium, 750 mg"
}
]
},
{
"code": "S0080",
"display": "Injection, pentamidine iseth",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pentamidine isethionate, 300 mg"
}
]
},
{
"code": "S0081",
"display": "Injection, piperacillin sodi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, piperacillin sodium, 500 mg"
}
]
},
{
"code": "S0088",
"display": "Imatinib 100 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Imatinib, 100 mg"
}
]
},
{
"code": "S0090",
"display": "Sildenafil citrate, 25 mg"
},
{
"code": "S0091",
"display": "Granisetron 1mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Granisetron hydrochloride, 1 mg (for circumstances falling under the medicare statute, use q0166)"
}
]
},
{
"code": "S0092",
"display": "Hydromorphone 250 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, hydromorphone hydrochloride, 250 mg (loading dose for infusion pump)"
}
]
},
{
"code": "S0093",
"display": "Morphine 500 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, morphine sulfate, 500 mg (loading dose for infusion pump)"
}
]
},
{
"code": "S0104",
"display": "Zidovudine, oral, 100 mg"
},
{
"code": "S0106",
"display": "Bupropion hcl sr 60 tablets",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bupropion hcl sustained release tablet, 150 mg, per bottle of 60 tablets"
}
]
},
{
"code": "S0108",
"display": "Mercaptopurine 50 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Mercaptopurine, oral, 50 mg"
}
]
},
{
"code": "S0109",
"display": "Methadone oral 5mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Methadone, oral, 5 mg"
}
]
},
{
"code": "S0117",
"display": "Tretinoin topical 5 g",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tretinoin, topical, 5 grams"
}
]
},
{
"code": "S0119",
"display": "Ondansetron 4 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code)"
}
]
},
{
"code": "S0122",
"display": "Inj menotropins 75 iu",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, menotropins, 75 iu"
}
]
},
{
"code": "S0126",
"display": "Inj follitropin alfa 75 iu",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, follitropin alfa, 75 iu"
}
]
},
{
"code": "S0128",
"display": "Inj follitropin beta 75 iu",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, follitropin beta, 75 iu"
}
]
},
{
"code": "S0132",
"display": "Inj ganirelix acetat 250 mcg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, ganirelix acetate, 250 mcg"
}
]
},
{
"code": "S0136",
"display": "Clozapine, 25 mg"
},
{
"code": "S0137",
"display": "Didanosine, 25 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Didanosine (ddi), 25 mg"
}
]
},
{
"code": "S0138",
"display": "Finasteride, 5 mg"
},
{
"code": "S0139",
"display": "Minoxidil, 10 mg"
},
{
"code": "S0140",
"display": "Saquinavir, 200 mg"
},
{
"code": "S0142",
"display": "Colistimethate inh sol mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Colistimethate sodium, inhalation solution administered through dme, concentrated form, per mg"
}
]
},
{
"code": "S0144",
"display": "Inj, propofol, 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, propofol, 10 mg"
}
]
},
{
"code": "S0145",
"display": "Peg interferon alfa-2a/180",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pegylated interferon alfa-2a, 180 mcg per ml"
}
]
},
{
"code": "S0148",
"display": "Peg interferon alfa-2b/10",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pegylated interferon alfa-2b, 10 mcg"
}
]
},
{
"code": "S0155",
"display": "Epoprostenol dilutant",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sterile dilutant for epoprostenol, 50 ml"
}
]
},
{
"code": "S0156",
"display": "Exemestane, 25 mg"
},
{
"code": "S0157",
"display": "Becaplermin gel 1%, 0.5 gm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Becaplermin gel 0.01%, 0.5 gm"
}
]
},
{
"code": "S0160",
"display": "Dextroamphetamine",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dextroamphetamine sulfate, 5 mg"
}
]
},
{
"code": "S0164",
"display": "Injection pantroprazole",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, pantoprazole sodium, 40 mg"
}
]
},
{
"code": "S0166",
"display": "Inj olanzapine 2.5mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, olanzapine, 2.5 mg"
}
]
},
{
"code": "S0169",
"display": "Calcitrol",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Calcitrol, 0.25 microgram"
}
]
},
{
"code": "S0170",
"display": "Anastrozole 1 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Anastrozole, oral, 1 mg"
}
]
},
{
"code": "S0171",
"display": "Bumetanide 0.5 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Injection, bumetanide, 0.5 mg"
}
]
},
{
"code": "S0172",
"display": "Chlorambucil 2 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Chlorambucil, oral, 2 mg"
}
]
},
{
"code": "S0174",
"display": "Dolasetron 50 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dolasetron mesylate, oral 50 mg (for circumstances falling under the medicare statute, use q0180)"
}
]
},
{
"code": "S0175",
"display": "Flutamide 125 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Flutamide, oral, 125 mg"
}
]
},
{
"code": "S0176",
"display": "Hydroxyurea 500 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hydroxyurea, oral, 500 mg"
}
]
},
{
"code": "S0177",
"display": "Levamisole 50 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Levamisole hydrochloride, oral, 50 mg"
}
]
},
{
"code": "S0178",
"display": "Lomustine 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lomustine, oral, 10 mg"
}
]
},
{
"code": "S0179",
"display": "Megestrol 20 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Megestrol acetate, oral, 20 mg"
}
]
},
{
"code": "S0182",
"display": "Procarbazine, oral",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Procarbazine hydrochloride, oral, 50 mg"
}
]
},
{
"code": "S0183",
"display": "Prochlorperazine 5 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prochlorperazine maleate, oral, 5 mg (for circumstances falling under the medicare statute, use q0164)"
}
]
},
{
"code": "S0187",
"display": "Tamoxifen 10 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tamoxifen citrate, oral, 10 mg"
}
]
},
{
"code": "S0189",
"display": "Testosterone pellet 75 mg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Testosterone pellet, 75 mg"
}
]
},
{
"code": "S0190",
"display": "Mifepristone, oral, 200 mg"
},
{
"code": "S0191",
"display": "Misoprostol, oral, 200 mcg"
},
{
"code": "S0194",
"display": "Vitamin suppl 100 caps",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dialysis/stress vitamin supplement, oral, 100 capsules"
}
]
},
{
"code": "S0195",
"display": "Pneumo vaccine 5-9 yrs",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pneumococcal conjugate vaccine, polyvalent, intramuscular, for children from five years to nine years of age who have not previously received the vaccine"
}
]
},
{
"code": "S0197",
"display": "Prenatal vitamins 30 day",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prenatal vitamins, 30-day supply"
}
]
},
{
"code": "S0199",
"display": "Med abortion inc all ex drug",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medically induced abortion by oral ingestion of medication including all associated services and supplies (e.g., patient counseling, office visits, confirmation of pregnancy by hcg, ultrasound to confirm duration of pregnancy, ultrasound to confirm completion of abortion) except drugs"
}
]
},
{
"code": "S0201",
"display": "Partial hospitalization serv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Partial hospitalization services, less than 24 hours, per diem"
}
]
},
{
"code": "S0207",
"display": "Paramedicintercep nonhospals",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Paramedic intercept, non-hospital-based als service (non-voluntary), non-transport"
}
]
},
{
"code": "S0208",
"display": "Paramed intrcept nonvol",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Paramedic intercept, hospital-based als service (non-voluntary), non-transport"
}
]
},
{
"code": "S0209",
"display": "Wc van mileage per mi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wheelchair van, mileage, per mile"
}
]
},
{
"code": "S0215",
"display": "Nonemerg transp mileage",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-emergency transportation; mileage, per mile"
}
]
},
{
"code": "S0220",
"display": "Medical conference by physic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care (patient is present); approximately 30 minutes"
}
]
},
{
"code": "S0221",
"display": "Medical conference, 60 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care (patient is present); approximately 60 minutes"
}
]
},
{
"code": "S0250",
"display": "Comp geriatr assmt team",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Comprehensive geriatric assessment and treatment planning performed by assessment team"
}
]
},
{
"code": "S0255",
"display": "Hospice refer visit nonmd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospice referral visit (advising patient and family of care options) performed by nurse, social worker, or other designated staff"
}
]
},
{
"code": "S0257",
"display": "End of life counseling",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service)"
}
]
},
{
"code": "S0260",
"display": "H&p for surgery",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "History and physical (outpatient or office) related to surgical procedure (list separately in addition to code for appropriate evaluation and management service)"
}
]
},
{
"code": "S0265",
"display": "Genetic counsel 15 mins",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Genetic counseling, under physician supervision, each 15 minutes"
}
]
},
{
"code": "S0270",
"display": "Home std case rate 30 days",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Physician management of patient home care, standard monthly case rate (per 30 days)"
}
]
},
{
"code": "S0271",
"display": "Home hospice case 30 days",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Physician management of patient home care, hospice monthly case rate (per 30 days)"
}
]
},
{
"code": "S0272",
"display": "Home episodic case 30 days",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Physician management of patient home care, episodic care monthly case rate (per 30 days)"
}
]
},
{
"code": "S0273",
"display": "Md home visit outside cap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Physician visit at member's home, outside of a capitation arrangement"
}
]
},
{
"code": "S0274",
"display": "Nurse practr visit outs cap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nurse practitioner visit at member's home, outside of a capitation arrangement"
}
]
},
{
"code": "S0280",
"display": "Medical home, initial plan",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medical home program, comprehensive care coordination and planning, initial plan"
}
]
},
{
"code": "S0281",
"display": "Medical home, maintenance",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medical home program, comprehensive care coordination and planning, maintenance of plan"
}
]
},
{
"code": "S0285",
"display": "Cnslt before screen colonosc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Colonoscopy consultation performed prior to a screening colonoscopy procedure"
}
]
},
{
"code": "S0302",
"display": "Completed epsdt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)"
}
]
},
{
"code": "S0310",
"display": "Hospitalist visit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospitalist services (list separately in addition to code for appropriate evaluation and management service)"
}
]
},
{
"code": "S0311",
"display": "Comp mgmt care coord adv ill",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Comprehensive management and care coordination for advanced illness, per calendar month"
}
]
},
{
"code": "S0315",
"display": "Disease management program",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Disease management program; initial assessment and initiation of the program"
}
]
},
{
"code": "S0316",
"display": "Follow-up/reassessment",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Disease management program, follow-up/reassessment"
}
]
},
{
"code": "S0317",
"display": "Disease mgmt per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Disease management program; per diem"
}
]
},
{
"code": "S0320",
"display": "Rn telephone calls to dmp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Telephone calls by a registered nurse to a disease management program member for monitoring purposes; per month"
}
]
},
{
"code": "S0340",
"display": "Lifestyle mod 1st stage",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage"
}
]
},
{
"code": "S0341",
"display": "Lifestyle mod 2 or 3 stage",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lifestyle modification program for management of coronary artery disease, including all supportive services; second or third quarter / stage"
}
]
},
{
"code": "S0342",
"display": "Lifestyle mod 4th stage",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lifestyle modification program for management of coronary artery disease, including all supportive services; fourth quarter / stage"
}
]
},
{
"code": "S0353",
"display": "Cancer treatmentplan initial",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Treatment planning and care coordination management for cancer, initial treatment"
}
]
},
{
"code": "S0354",
"display": "Cancer treatment plan change",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Treatment planning and care coordination management for cancer, established patient with a change of regimen"
}
]
},
{
"code": "S0390",
"display": "Rout foot care per visit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Routine foot care; removal and/or trimming of corns, calluses and/or nails and preventive maintenance in specific medical conditions (e.g., diabetes), per visit"
}
]
},
{
"code": "S0395",
"display": "Impression casting ft",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic"
}
]
},
{
"code": "S0400",
"display": "Global eswl kidney",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Global fee for extracorporeal shock wave lithotripsy treatment of kidney stone(s)"
}
]
},
{
"code": "S0500",
"display": "Dispos cont lens",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Disposable contact lens, per lens"
}
]
},
{
"code": "S0504",
"display": "Singl prscrp lens",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Single vision prescription lens (safety, athletic, or sunglass), per lens"
}
]
},
{
"code": "S0506",
"display": "Bifoc prscp lens",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bifocal vision prescription lens (safety, athletic, or sunglass), per lens"
}
]
},
{
"code": "S0508",
"display": "Trifoc prscrp lens",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Trifocal vision prescription lens (safety, athletic, or sunglass), per lens"
}
]
},
{
"code": "S0510",
"display": "Non-prscrp lens",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-prescription lens (safety, athletic, or sunglass), per lens"
}
]
},
{
"code": "S0512",
"display": "Daily cont lens",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Daily wear specialty contact lens, per lens"
}
]
},
{
"code": "S0514",
"display": "Color cont lens",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Color contact lens, per lens"
}
]
},
{
"code": "S0515",
"display": "Scleral lens liquid bandage",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Scleral lens, liquid bandage device, per lens"
}
]
},
{
"code": "S0516",
"display": "Safety frames",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Safety eyeglass frames"
}
]
},
{
"code": "S0518",
"display": "Sunglass frames",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sunglasses frames"
}
]
},
{
"code": "S0580",
"display": "Polycarb lens",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Polycarbonate lens (list this code in addition to the basic code for the lens)"
}
]
},
{
"code": "S0581",
"display": "Nonstnd lens",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nonstandard lens (list this code in addition to the basic code for the lens)"
}
]
},
{
"code": "S0590",
"display": "Misc integral lens serv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Integral lens service, miscellaneous services reported separately"
}
]
},
{
"code": "S0592",
"display": "Comp cont lens eval",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Comprehensive contact lens evaluation"
}
]
},
{
"code": "S0595",
"display": "New lenses in pts old frame",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dispensing new spectacle lenses for patient supplied frame"
}
]
},
{
"code": "S0596",
"display": "Phakic iol refractive error",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Phakic intraocular lens for correction of refractive error"
}
]
},
{
"code": "S0601",
"display": "Screening proctoscopy"
},
{
"code": "S0610",
"display": "Annual gynecological examina",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Annual gynecological examination, new patient"
}
]
},
{
"code": "S0612",
"display": "Annual gynecological examina",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Annual gynecological examination, established patient"
}
]
},
{
"code": "S0613",
"display": "Ann breast exam",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Annual gynecological examination; clinical breast examination without pelvic evaluation"
}
]
},
{
"code": "S0618",
"display": "Audiometry for hearing aid",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Audiometry for hearing aid evaluation to determine the level and degree of hearing loss"
}
]
},
{
"code": "S0620",
"display": "Routine ophthalmological exa",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Routine ophthalmological examination including refraction; new patient"
}
]
},
{
"code": "S0621",
"display": "Routine ophthalmological exa",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Routine ophthalmological examination including refraction; established patient"
}
]
},
{
"code": "S0622",
"display": "Phys exam for college",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Physical exam for college, new or established patient (list separately in addition to appropriate evaluation and management code)"
}
]
},
{
"code": "S0630",
"display": "Removal of sutures",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Removal of sutures; by a physician other than the physician who originally closed the wound"
}
]
},
{
"code": "S0800",
"display": "Laser in situ keratomileusis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Laser in situ keratomileusis (lasik)"
}
]
},
{
"code": "S0810",
"display": "Photorefractive keratectomy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Photorefractive keratectomy (prk)"
}
]
},
{
"code": "S0812",
"display": "Phototherap keratect",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Phototherapeutic keratectomy (ptk)"
}
]
},
{
"code": "S1001",
"display": "Deluxe item",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Deluxe item, patient aware (list in addition to code for basic item)"
}
]
},
{
"code": "S1002",
"display": "Custom item",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Customized item (list in addition to code for basic item)"
}
]
},
{
"code": "S1015",
"display": "Iv tubing extension set"
},
{
"code": "S1016",
"display": "Non-pvc intravenous administ",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-pvc (polyvinyl chloride) intravenous administration set, for use with drugs that are not stable in pvc e.g., paclitaxel"
}
]
},
{
"code": "S1030",
"display": "Gluc monitor purchase",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Continuous noninvasive glucose monitoring device, purchase (for physician interpretation of data, use cpt code)"
}
]
},
{
"code": "S1031",
"display": "Gluc monitor rental",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Continuous noninvasive glucose monitoring device, rental, including sensor, sensor replacement, and download to monitor (for physician interpretation of data, use cpt code)"
}
]
},
{
"code": "S1034",
"display": "Art pancreas system",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Artificial pancreas device system (e.g., low glucose suspend (lgs) feature) including continuous glucose monitor, blood glucose device, insulin pump and computer algorithm that communicates with all of the devices"
}
]
},
{
"code": "S1035",
"display": "Art pancreas inv disp sensor",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sensor; invasive (e.g., subcutaneous), disposable, for use with artificial pancreas device system"
}
]
},
{
"code": "S1036",
"display": "Art pancreas ext transmitter",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transmitter; external, for use with artificial pancreas device system"
}
]
},
{
"code": "S1037",
"display": "Art pancreas ext receiver",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Receiver (monitor); external, for use with artificial pancreas device system"
}
]
},
{
"code": "S1040",
"display": "Cranial remolding orthosis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cranial remolding orthosis, pediatric, rigid, with soft interface material, custom fabricated, includes fitting and adjustment(s)"
}
]
},
{
"code": "S1090",
"display": "Mometasone sinus implant",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Mometasone furoate sinus implant, 370 micrograms"
}
]
},
{
"code": "S1091",
"display": "Stent non-coronary propel",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Stent, non-coronary, temporary, with delivery system (propel)"
}
]
},
{
"code": "S2053",
"display": "Transplantation of small int",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transplantation of small intestine and liver allografts"
}
]
},
{
"code": "S2054",
"display": "Transplantation of multivisc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transplantation of multivisceral organs"
}
]
},
{
"code": "S2055",
"display": "Harvesting of donor multivis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Harvesting of donor multivisceral organs, with preparation and maintenance of allografts; from cadaver donor"
}
]
},
{
"code": "S2060",
"display": "Lobar lung transplantation"
},
{
"code": "S2061",
"display": "Donor lobectomy (lung)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Donor lobectomy (lung) for transplantation, living donor"
}
]
},
{
"code": "S2065",
"display": "Simult panc kidn trans",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Simultaneous pancreas kidney transplantation"
}
]
},
{
"code": "S2066",
"display": "Breast gap flap reconst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Breast reconstruction with gluteal artery perforator (gap) flap, including harvesting of the flap, microvascular transfer, closure of donor site and shaping the flap into a breast, unilateral"
}
]
},
{
"code": "S2067",
"display": "Breast \"stacked\" diep/gap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Breast reconstruction of a single breast with \"stacked\" deep inferior epigastric perforator (diep) flap(s) and/or gluteal artery perforator (gap) flap(s), including harvesting of the flap(s), microvascular transfer, closure of donor site(s) and shaping the flap into a breast, unilateral"
}
]
},
{
"code": "S2068",
"display": "Breast diep or siea flap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Breast reconstruction with deep inferior epigastric perforator (diep) flap or superficial inferior epigastric artery (siea) flap, including harvesting of the flap, microvascular transfer, closure of donor site and shaping the flap into a breast, unilateral"
}
]
},
{
"code": "S2070",
"display": "Cysto laser tx ureteral calc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with endoscopic laser treatment of ureteral calculi (includes ureteral catheterization)"
}
]
},
{
"code": "S2079",
"display": "Lap esophagomyotomy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Laparoscopic esophagomyotomy (heller type)"
}
]
},
{
"code": "S2080",
"display": "Laup",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Laser-assisted uvulopalatoplasty (laup)"
}
]
},
{
"code": "S2083",
"display": "Adjustment gastric band",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline"
}
]
},
{
"code": "S2095",
"display": "Transcath emboliz microspher",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transcatheter occlusion or embolization for tumor destruction, percutaneous, any method, using yttrium-90 microspheres"
}
]
},
{
"code": "S2102",
"display": "Islet cell tissue transplant",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Islet cell tissue transplant from pancreas; allogeneic"
}
]
},
{
"code": "S2103",
"display": "Adrenal tissue transplant",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adrenal tissue transplant to brain"
}
]
},
{
"code": "S2107",
"display": "Adoptive immunotherapy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adoptive immunotherapy i.e. development of specific anti-tumor reactivity (e.g., tumor-infiltrating lymphocyte therapy) per course of treatment"
}
]
},
{
"code": "S2112",
"display": "Knee arthroscp harv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Arthroscopy, knee, surgical for harvesting of cartilage (chondrocyte cells)"
}
]
},
{
"code": "S2115",
"display": "Periacetabular osteotomy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Osteotomy, periacetabular, with internal fixation"
}
]
},
{
"code": "S2117",
"display": "Arthroereisis, subtalar"
},
{
"code": "S2118",
"display": "Total hip resurfacing",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Metal-on-metal total hip resurfacing, including acetabular and femoral components"
}
]
},
{
"code": "S2120",
"display": "Low density lipoprotein(ldl)",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Low density lipoprotein (ldl) apheresis using heparin-induced extracorporeal ldl precipitation"
}
]
},
{
"code": "S2140",
"display": "Cord blood harvesting",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cord blood harvesting for transplantation, allogeneic"
}
]
},
{
"code": "S2142",
"display": "Cord blood-derived stem-cell",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cord blood-derived stem-cell transplantation, allogeneic"
}
]
},
{
"code": "S2150",
"display": "Bmt harv/transpl 28d pkg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bone marrow or blood-derived stem cells (peripheral or umbilical), allogeneic or autologous, harvesting, transplantation, and related complications; including: pheresis and cell preparation/storage; marrow ablative therapy; drugs, supplies, hospitalization with outpatient follow-up; medical/surgical, diagnostic, emergency, and rehabilitative services; and the number of days of pre-and post-transplant care in the global definition"
}
]
},
{
"code": "S2152",
"display": "Solid organ transpl pkg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Solid organ(s), complete or segmental, single organ or combination of organs; deceased or living donor(s), procurement, transplantation, and related complications; including: drugs; supplies; hospitalization with outpatient follow-up; medical/surgical, diagnostic, emergency, and rehabilitative services, and the number of days of pre- and post-transplant care in the global definition"
}
]
},
{
"code": "S2202",
"display": "Echosclerotherapy"
},
{
"code": "S2205",
"display": "Minimally invasive direct co",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using arterial graft(s), single coronary arterial graft"
}
]
},
{
"code": "S2206",
"display": "Minimally invasive direct co",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using arterial graft(s), two coronary arterial grafts"
}
]
},
{
"code": "S2207",
"display": "Minimally invasive direct co",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using venous graft only, single coronary venous graft"
}
]
},
{
"code": "S2208",
"display": "Minimally invasive direct co",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using single arterial and venous graft(s), single venous graft"
}
]
},
{
"code": "S2209",
"display": "Minimally invasive direct co",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using two arterial grafts and single venous graft"
}
]
},
{
"code": "S2225",
"display": "Myringotomy laser-assist",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Myringotomy, laser-assisted"
}
]
},
{
"code": "S2230",
"display": "Implant semi-imp hear",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Implantation of magnetic component of semi-implantable hearing device on ossicles in middle ear"
}
]
},
{
"code": "S2235",
"display": "Implant auditory brain imp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Implantation of auditory brain stem implant"
}
]
},
{
"code": "S2260",
"display": "Induced abortion 17-24 weeks",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Induced abortion, 17 to 24 weeks"
}
]
},
{
"code": "S2265",
"display": "Induced abortion 25-28 wks",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Induced abortion, 25 to 28 weeks"
}
]
},
{
"code": "S2266",
"display": "Induced abortion 29-31 wks",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Induced abortion, 29 to 31 weeks"
}
]
},
{
"code": "S2267",
"display": "Induced abortion 32 or more",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Induced abortion, 32 weeks or greater"
}
]
},
{
"code": "S2300",
"display": "Arthroscopy, shoulder, surgi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Arthroscopy, shoulder, surgical; with thermally-induced capsulorrhaphy"
}
]
},
{
"code": "S2325",
"display": "Hip core decompression"
},
{
"code": "S2340",
"display": "Chemodenervation of abductor",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Chemodenervation of abductor muscle(s) of vocal cord"
}
]
},
{
"code": "S2341",
"display": "Chemodenerv adduct vocal",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Chemodenervation of adductor muscle(s) of vocal cord"
}
]
},
{
"code": "S2342",
"display": "Nasal endoscop po debrid",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nasal endoscopy for post-operative debridement following functional endoscopic sinus surgery, nasal and/or sinus cavity(s), unilateral or bilateral"
}
]
},
{
"code": "S2348",
"display": "Decompress disc rf lumbar",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc, using radiofrequency energy, single or multiple levels, lumbar"
}
]
},
{
"code": "S2350",
"display": "Diskectomy, anterior, with d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, single interspace"
}
]
},
{
"code": "S2351",
"display": "Diskectomy, anterior, with d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, each additional interspace (list separately in addition to code for primary procedure)"
}
]
},
{
"code": "S2360",
"display": "Vertebroplast cerv 1st",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Percutaneous vertebroplasty, one vertebral body, unilateral or bilateral injection; cervical"
}
]
},
{
"code": "S2361",
"display": "Vertebroplast cerv addl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Each additional cervical vertebral body (list separately in addition to code for primary procedure)"
}
]
},
{
"code": "S2400",
"display": "Fetal surg congen hernia",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Repair, congenital diaphragmatic hernia in the fetus using temporary tracheal occlusion, procedure performed in utero"
}
]
},
{
"code": "S2401",
"display": "Fetal surg urin trac obstr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Repair, urinary tract obstruction in the fetus, procedure performed in utero"
}
]
},
{
"code": "S2402",
"display": "Fetal surg cong cyst malf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Repair, congenital cystic adenomatoid malformation in the fetus, procedure performed in utero"
}
]
},
{
"code": "S2403",
"display": "Fetal surg pulmon sequest",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Repair, extralobar pulmonary sequestration in the fetus, procedure performed in utero"
}
]
},
{
"code": "S2404",
"display": "Fetal surg myelomeningo",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Repair, myelomeningocele in the fetus, procedure performed in utero"
}
]
},
{
"code": "S2405",
"display": "Fetal surg sacrococ teratoma",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Repair of sacrococcygeal teratoma in the fetus, procedure performed in utero"
}
]
},
{
"code": "S2409",
"display": "Fetal surg noc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Repair, congenital malformation of fetus, procedure performed in utero, not otherwise classified"
}
]
},
{
"code": "S2411",
"display": "Fetoscop laser ther ttts",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Fetoscopic laser therapy for treatment of twin-to-twin transfusion syndrome"
}
]
},
{
"code": "S2900",
"display": "Robotic surgical system",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure)"
}
]
},
{
"code": "S3000",
"display": "Bilat dil retinal exam",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Diabetic indicator; retinal eye exam, dilated, bilateral"
}
]
},
{
"code": "S3005",
"display": "Eval self-assess depression",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Performance measurement, evaluation of patient self assessment, depression"
}
]
},
{
"code": "S3600",
"display": "Stat lab",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Stat laboratory request (situations other than s3601)"
}
]
},
{
"code": "S3601",
"display": "Stat lab home/nf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Emergency stat laboratory charge for patient who is homebound or residing in a nursing facility"
}
]
},
{
"code": "S3620",
"display": "Newborn metabolic screening",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total)"
}
]
},
{
"code": "S3630",
"display": "Eosinophil blood count",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Eosinophil count, blood, direct"
}
]
},
{
"code": "S3645",
"display": "Hiv-1 antibody testing of or",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hiv-1 antibody testing of oral mucosal transudate"
}
]
},
{
"code": "S3650",
"display": "Saliva test, hormone level;",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Saliva test, hormone level; during menopause"
}
]
},
{
"code": "S3652",
"display": "Saliva test, hormone level;",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Saliva test, hormone level; to assess preterm labor risk"
}
]
},
{
"code": "S3655",
"display": "Antisperm antibodies test",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Antisperm antibodies test (immunobead)"
}
]
},
{
"code": "S3708",
"display": "Gastrointestinal fat absorpt",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gastrointestinal fat absorption study"
}
]
},
{
"code": "S3721",
"display": "Pca3 testing",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prostate cancer antigen 3 (pca3) testing"
}
]
},
{
"code": "S3722",
"display": "Dose optimization auc - 5fu",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dose optimization by area under the curve (auc) analysis, for infusional 5-fluorouracil"
}
]
},
{
"code": "S3800",
"display": "Genetic testing als",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Genetic testing for amyotrophic lateral sclerosis (als)"
}
]
},
{
"code": "S3840",
"display": "Dna analysis ret-oncogene",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dna analysis for germline mutations of the ret proto-oncogene for susceptibility to multiple endocrine neoplasia type 2"
}
]
},
{
"code": "S3841",
"display": "Gene test retinoblastoma",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Genetic testing for retinoblastoma"
}
]
},
{
"code": "S3842",
"display": "Gene test hippel-lindau",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Genetic testing for von hippel-lindau disease"
}
]
},
{
"code": "S3844",
"display": "Dna analysis deafness",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dna analysis of the connexin 26 gene (gjb2) for susceptibility to congenital, profound deafness"
}
]
},
{
"code": "S3845",
"display": "Gene test alpha-thalassemia",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Genetic testing for alpha-thalassemia"
}
]
},
{
"code": "S3846",
"display": "Gene test beta-thalassemia",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Genetic testing for hemoglobin e beta-thalassemia"
}
]
},
{
"code": "S3849",
"display": "Gene test niemann-pick",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Genetic testing for niemann-pick disease"
}
]
},
{
"code": "S3850",
"display": "Gene test sickle cell",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Genetic testing for sickle cell anemia"
}
]
},
{
"code": "S3852",
"display": "Dna analysis apoe alzheimer",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dna analysis for apoe epsilon 4 allele for susceptibility to alzheimer's disease"
}
]
},
{
"code": "S3853",
"display": "Gene test myo musclr dyst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Genetic testing for myotonic muscular dystrophy"
}
]
},
{
"code": "S3854",
"display": "Gene profile panel breast",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gene expression profiling panel for use in the management of breast cancer treatment"
}
]
},
{
"code": "S3855",
"display": "Gene test presenilin-1 gene",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Genetic testing for detection of mutations in the presenilin - 1 gene"
}
]
},
{
"code": "S3861",
"display": "Genetic test brugada",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Genetic testing, sodium channel, voltage-gated, type v, alpha subunit (scn5a) and variants for suspected brugada syndrome"
}
]
},
{
"code": "S3865",
"display": "Comp genet test hyp cardiomy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Comprehensive gene sequence analysis for hypertrophic cardiomyopathy"
}
]
},
{
"code": "S3866",
"display": "Spec gene test hyp cardiomy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Genetic analysis for a specific gene mutation for hypertrophic cardiomyopathy (hcm) in an individual with a known hcm mutation in the family"
}
]
},
{
"code": "S3870",
"display": "Cgh test developmental delay",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Comparative genomic hybridization (cgh) microarray testing for developmental delay, autism spectrum disorder and/or intellectual disability"
}
]
},
{
"code": "S3890",
"display": "Fecal dna analysis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dna analysis, fecal, for colorectal cancer screening"
}
]
},
{
"code": "S3900",
"display": "Surface emg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Surface electromyography (emg)"
}
]
},
{
"code": "S3902",
"display": "Ballistocardiogram"
},
{
"code": "S3904",
"display": "Masters two step"
},
{
"code": "S4005",
"display": "Interim labor facility globa",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Interim labor facility global (labor occurring but not resulting in delivery)"
}
]
},
{
"code": "S4011",
"display": "Ivf package",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "In vitro fertilization; including but not limited to identification and incubation of mature oocytes, fertilization with sperm, incubation of embryo(s), and subsequent visualization for determination of development"
}
]
},
{
"code": "S4013",
"display": "Compl gift case rate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Complete cycle, gamete intrafallopian transfer (gift), case rate"
}
]
},
{
"code": "S4014",
"display": "Compl zift case rate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Complete cycle, zygote intrafallopian transfer (zift), case rate"
}
]
},
{
"code": "S4015",
"display": "Complete ivf nos case rate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Complete in vitro fertilization cycle, not otherwise specified, case rate"
}
]
},
{
"code": "S4016",
"display": "Frozen ivf case rate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Frozen in vitro fertilization cycle, case rate"
}
]
},
{
"code": "S4017",
"display": "Ivf canc a stim case rate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Incomplete cycle, treatment cancelled prior to stimulation, case rate"
}
]
},
{
"code": "S4018",
"display": "F emb trns canc case rate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Frozen embryo transfer procedure cancelled before transfer, case rate"
}
]
},
{
"code": "S4020",
"display": "Ivf canc a aspir case rate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "In vitro fertilization procedure cancelled before aspiration, case rate"
}
]
},
{
"code": "S4021",
"display": "Ivf canc p aspir case rate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "In vitro fertilization procedure cancelled after aspiration, case rate"
}
]
},
{
"code": "S4022",
"display": "Asst oocyte fert case rate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Assisted oocyte fertilization, case rate"
}
]
},
{
"code": "S4023",
"display": "Incompl donor egg case rate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Donor egg cycle, incomplete, case rate"
}
]
},
{
"code": "S4025",
"display": "Donor serv ivf case rate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Donor services for in vitro fertilization (sperm or embryo), case rate"
}
]
},
{
"code": "S4026",
"display": "Procure donor sperm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Procurement of donor sperm from sperm bank"
}
]
},
{
"code": "S4027",
"display": "Store prev froz embryos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Storage of previously frozen embryos"
}
]
},
{
"code": "S4028",
"display": "Microsurg epi sperm asp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Microsurgical epididymal sperm aspiration (mesa)"
}
]
},
{
"code": "S4030",
"display": "Sperm procure init visit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sperm procurement and cryopreservation services; initial visit"
}
]
},
{
"code": "S4031",
"display": "Sperm procure subs visit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sperm procurement and cryopreservation services; subsequent visit"
}
]
},
{
"code": "S4035",
"display": "Stimulated iui case rate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Stimulated intrauterine insemination (iui), case rate"
}
]
},
{
"code": "S4037",
"display": "Cryo embryo transf case rate",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cryopreserved embryo transfer, case rate"
}
]
},
{
"code": "S4040",
"display": "Monit store cryo embryo 30 d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Monitoring and storage of cryopreserved embryos, per 30 days"
}
]
},
{
"code": "S4042",
"display": "Ovulation mgmt per cycle",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Management of ovulation induction (interpretation of diagnostic tests and studies, non-face-to-face medical management of the patient), per cycle"
}
]
},
{
"code": "S4981",
"display": "Insert levonorgestrel ius",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Insertion of levonorgestrel-releasing intrauterine system"
}
]
},
{
"code": "S4988",
"display": "Penile contractur devic manu",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Penile contracture device, manual, greater than 3 lbs traction force"
}
]
},
{
"code": "S4989",
"display": "Contracept iud",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Contraceptive intrauterine device (e.g., progestacert iud), including implants and supplies"
}
]
},
{
"code": "S4990",
"display": "Nicotine patch legend",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nicotine patches, legend"
}
]
},
{
"code": "S4991",
"display": "Nicotine patch nonlegend",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nicotine patches, non-legend"
}
]
},
{
"code": "S4993",
"display": "Contraceptive pills for bc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Contraceptive pills for birth control"
}
]
},
{
"code": "S4995",
"display": "Smoking cessation gum"
},
{
"code": "S5000",
"display": "Prescription drug, generic"
},
{
"code": "S5001",
"display": "Prescription drug,brand name",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prescription drug, brand name"
}
]
},
{
"code": "S5010",
"display": "5% dextrose and 0.45% saline",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "5% dextrose and 0.45% normal saline, 1000 ml"
}
]
},
{
"code": "S5011",
"display": "5% dextrose in lactated ring",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "5% dextrose in lactated ringer's, 1000 ml"
}
]
},
{
"code": "S5012",
"display": "5% dextrose with potassium",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "5% dextrose with potassium chloride, 1000 ml"
}
]
},
{
"code": "S5013",
"display": "5%dextrose/0.45%saline1000ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "5% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate, 1000 ml"
}
]
},
{
"code": "S5014",
"display": "D5w/0.45ns w kcl and mgs04",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "5% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate, 1500 ml"
}
]
},
{
"code": "S5035",
"display": "Hit routine device maint",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, routine service of infusion device (e.g., pump maintenance)"
}
]
},
{
"code": "S5036",
"display": "Hit device repair",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, repair of infusion device (e.g., pump repair)"
}
]
},
{
"code": "S5100",
"display": "Adult daycare services 15min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Day care services, adult; per 15 minutes"
}
]
},
{
"code": "S5101",
"display": "Adult day care per half day",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Day care services, adult; per half day"
}
]
},
{
"code": "S5102",
"display": "Adult day care per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Day care services, adult; per diem"
}
]
},
{
"code": "S5105",
"display": "Centerbased day care perdiem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Day care services, center-based; services not included in program fee, per diem"
}
]
},
{
"code": "S5108",
"display": "Homecare train pt 15 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home care training to home care client, per 15 minutes"
}
]
},
{
"code": "S5109",
"display": "Homecare train pt session",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home care training to home care client, per session"
}
]
},
{
"code": "S5110",
"display": "Family homecare training 15m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home care training, family; per 15 minutes"
}
]
},
{
"code": "S5111",
"display": "Family homecare train/sessio",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home care training, family; per session"
}
]
},
{
"code": "S5115",
"display": "Nonfamily homecare train/15m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home care training, non-family; per 15 minutes"
}
]
},
{
"code": "S5116",
"display": "Nonfamily hc train/session",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home care training, non-family; per session"
}
]
},
{
"code": "S5120",
"display": "Chore services per 15 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Chore services; per 15 minutes"
}
]
},
{
"code": "S5121",
"display": "Chore services per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Chore services; per diem"
}
]
},
{
"code": "S5125",
"display": "Attendant care service /15m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Attendant care services; per 15 minutes"
}
]
},
{
"code": "S5126",
"display": "Attendant care service /diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Attendant care services; per diem"
}
]
},
{
"code": "S5130",
"display": "Homaker service nos per 15m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Homemaker service, nos; per 15 minutes"
}
]
},
{
"code": "S5131",
"display": "Homemaker service nos /diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Homemaker service, nos; per diem"
}
]
},
{
"code": "S5135",
"display": "Adult companioncare per 15m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Companion care, adult (e.g., iadl/adl); per 15 minutes"
}
]
},
{
"code": "S5136",
"display": "Adult companioncare per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Companion care, adult (e.g., iadl/adl); per diem"
}
]
},
{
"code": "S5140",
"display": "Adult foster care per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Foster care, adult; per diem"
}
]
},
{
"code": "S5141",
"display": "Adult foster care per month",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Foster care, adult; per month"
}
]
},
{
"code": "S5145",
"display": "Child fostercare th per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Foster care, therapeutic, child; per diem"
}
]
},
{
"code": "S5146",
"display": "Ther fostercare child /month",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Foster care, therapeutic, child; per month"
}
]
},
{
"code": "S5150",
"display": "Unskilled respite care /15m",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Unskilled respite care, not hospice; per 15 minutes"
}
]
},
{
"code": "S5151",
"display": "Unskilled respitecare /diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Unskilled respite care, not hospice; per diem"
}
]
},
{
"code": "S5160",
"display": "Emer response sys instal&tst",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Emergency response system; installation and testing"
}
]
},
{
"code": "S5161",
"display": "Emer rspns sys serv permonth",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Emergency response system; service fee, per month (excludes installation and testing)"
}
]
},
{
"code": "S5162",
"display": "Emer rspns system purchase",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Emergency response system; purchase only"
}
]
},
{
"code": "S5165",
"display": "Home modifications per serv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home modifications; per service"
}
]
},
{
"code": "S5170",
"display": "Homedelivered prepared meal",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home delivered meals, including preparation; per meal"
}
]
},
{
"code": "S5175",
"display": "Laundry serv,ext,prof,/order",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Laundry service, external, professional; per order"
}
]
},
{
"code": "S5180",
"display": "Hh respiratory thrpy in eval",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home health respiratory therapy, initial evaluation"
}
]
},
{
"code": "S5181",
"display": "Hh respiratory thrpy nos/day",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home health respiratory therapy, nos, per diem"
}
]
},
{
"code": "S5185",
"display": "Med reminder serv per month",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medication reminder service, non-face-to-face; per month"
}
]
},
{
"code": "S5190",
"display": "Wellness assessment by nonph",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Wellness assessment, performed by non-physician"
}
]
},
{
"code": "S5199",
"display": "Personal care item nos each",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Personal care item, nos, each"
}
]
},
{
"code": "S5497",
"display": "Hit cath care noc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, catheter care / maintenance, not otherwise classified; includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S5498",
"display": "Hit simple cath care",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, catheter care / maintenance, simple (single lumen), includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment, (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S5501",
"display": "Hit complex cath care",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, catheter care / maintenance, complex (more than one lumen), includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S5502",
"display": "Hit interim cath care",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, catheter care / maintenance, implanted access device, includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment, (drugs and nursing visits coded separately), per diem (use this code for interim maintenance of vascular access not currently in use)"
}
]
},
{
"code": "S5517",
"display": "Hit declotting kit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, all supplies necessary for restoration of catheter patency or declotting"
}
]
},
{
"code": "S5518",
"display": "Hit cath repair kit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, all supplies necessary for catheter repair"
}
]
},
{
"code": "S5520",
"display": "Hit picc insert kit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, all supplies (including catheter) necessary for a peripherally inserted central venous catheter (picc) line insertion"
}
]
},
{
"code": "S5521",
"display": "Hit midline cath insert kit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, all supplies (including catheter) necessary for a midline catheter insertion"
}
]
},
{
"code": "S5522",
"display": "Hit picc insert no supp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, insertion of peripherally inserted central venous catheter (picc), nursing services only (no supplies or catheter included)"
}
]
},
{
"code": "S5523",
"display": "Hip midline cath insert kit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, insertion of midline venous catheter, nursing services only (no supplies or catheter included)"
}
]
},
{
"code": "S5550",
"display": "Insulin rapid 5 u",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Insulin, rapid onset, 5 units"
}
]
},
{
"code": "S5551",
"display": "Insulin most rapid 5 u",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Insulin, most rapid onset (lispro or aspart); 5 units"
}
]
},
{
"code": "S5552",
"display": "Insulin intermed 5 u",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Insulin, intermediate acting (nph or lente); 5 units"
}
]
},
{
"code": "S5553",
"display": "Insulin long acting 5 u",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Insulin, long acting; 5 units"
}
]
},
{
"code": "S5560",
"display": "Insulin reuse pen 1.5 ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Insulin delivery device, reusable pen; 1.5 ml size"
}
]
},
{
"code": "S5561",
"display": "Insulin reuse pen 3 ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Insulin delivery device, reusable pen; 3 ml size"
}
]
},
{
"code": "S5565",
"display": "Insulin cartridge 150 u",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Insulin cartridge for use in insulin delivery device other than pump; 150 units"
}
]
},
{
"code": "S5566",
"display": "Insulin cartridge 300 u",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Insulin cartridge for use in insulin delivery device other than pump; 300 units"
}
]
},
{
"code": "S5570",
"display": "Insulin dispos pen 1.5 ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Insulin delivery device, disposable pen (including insulin); 1.5 ml size"
}
]
},
{
"code": "S5571",
"display": "Insulin dispos pen 3 ml",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Insulin delivery device, disposable pen (including insulin); 3 ml size"
}
]
},
{
"code": "S8030",
"display": "Tantalum ring application",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Scleral application of tantalum ring(s) for localization of lesions for proton beam therapy"
}
]
},
{
"code": "S8032",
"display": "Low dose ct lung screening",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Low-dose computed tomography for lung cancer screening"
}
]
},
{
"code": "S8035",
"display": "Magnetic source imaging"
},
{
"code": "S8037",
"display": "Mrcp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Magnetic resonance cholangiopancreatography (mrcp)"
}
]
},
{
"code": "S8040",
"display": "Topographic brain mapping"
},
{
"code": "S8042",
"display": "Mri low field",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Magnetic resonance imaging (mri), low-field"
}
]
},
{
"code": "S8055",
"display": "Us guidance fetal reduct",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ultrasound guidance for multifetal pregnancy reduction(s), technical component (only to be used when the physician doing the reduction procedure does not perform the ultrasound, guidance is included in the cpt code for multifetal pregnancy reduction - 59866)"
}
]
},
{
"code": "S8080",
"display": "Scintimammography",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Scintimammography (radioimmunoscintigraphy of the breast), unilateral, including supply of radiopharmaceutical"
}
]
},
{
"code": "S8085",
"display": "Fluorine-18 fluorodeoxygluco",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Fluorine-18 fluorodeoxyglucose (f-18 fdg) imaging using dual-head coincidence detection system (non-dedicated pet scan)"
}
]
},
{
"code": "S8092",
"display": "Electron beam computed tomog",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Electron beam computed tomography (also known as ultrafast ct, cine ct)"
}
]
},
{
"code": "S8096",
"display": "Portable peak flow meter"
},
{
"code": "S8097",
"display": "Asthma kit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Asthma kit (including but not limited to portable peak expiratory flow meter, instructional video, brochure, and/or spacer)"
}
]
},
{
"code": "S8100",
"display": "Spacer without mask",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Holding chamber or spacer for use with an inhaler or nebulizer; without mask"
}
]
},
{
"code": "S8101",
"display": "Spacer with mask",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Holding chamber or spacer for use with an inhaler or nebulizer; with mask"
}
]
},
{
"code": "S8110",
"display": "Peak expiratory flow rate (p",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Peak expiratory flow rate (physician services)"
}
]
},
{
"code": "S8120",
"display": "O2 contents gas cubic ft",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oxygen contents, gaseous, 1 unit equals 1 cubic foot"
}
]
},
{
"code": "S8121",
"display": "O2 contents liquid lb",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oxygen contents, liquid, 1 unit equals 1 pound"
}
]
},
{
"code": "S8130",
"display": "Interferential stim 2 chan",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Interferential current stimulator, 2 channel"
}
]
},
{
"code": "S8131",
"display": "Interferential stim 4 chan",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Interferential current stimulator, 4 channel"
}
]
},
{
"code": "S8185",
"display": "Flutter device"
},
{
"code": "S8186",
"display": "Swivel adaptor",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Swivel adapter"
}
]
},
{
"code": "S8189",
"display": "Trach supply noc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tracheostomy supply, not otherwise classified"
}
]
},
{
"code": "S8210",
"display": "Mucus trap"
},
{
"code": "S8262",
"display": "Mandib ortho repos device",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Mandibular orthopedic repositioning device, each"
}
]
},
{
"code": "S8265",
"display": "Haberman feeder",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Haberman feeder for cleft lip/palate"
}
]
},
{
"code": "S8270",
"display": "Enuresis alarm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Enuresis alarm, using auditory buzzer and/or vibration device"
}
]
},
{
"code": "S8301",
"display": "Infect control supplies nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Infection control supplies, not otherwise specified"
}
]
},
{
"code": "S8415",
"display": "Supplies for home delivery",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Supplies for home delivery of infant"
}
]
},
{
"code": "S8420",
"display": "Custom gradient sleev/glov",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient pressure aid (sleeve and glove combination), custom made"
}
]
},
{
"code": "S8421",
"display": "Ready gradient sleev/glov",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient pressure aid (sleeve and glove combination), ready made"
}
]
},
{
"code": "S8422",
"display": "Custom grad sleeve med",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient pressure aid (sleeve), custom made, medium weight"
}
]
},
{
"code": "S8423",
"display": "Custom grad sleeve heavy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient pressure aid (sleeve), custom made, heavy weight"
}
]
},
{
"code": "S8424",
"display": "Ready gradient sleeve",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient pressure aid (sleeve), ready made"
}
]
},
{
"code": "S8425",
"display": "Custom grad glove med",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient pressure aid (glove), custom made, medium weight"
}
]
},
{
"code": "S8426",
"display": "Custom grad glove heavy",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient pressure aid (glove), custom made, heavy weight"
}
]
},
{
"code": "S8427",
"display": "Ready gradient glove",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient pressure aid (glove), ready made"
}
]
},
{
"code": "S8428",
"display": "Ready gradient gauntlet",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient pressure aid (gauntlet), ready made"
}
]
},
{
"code": "S8429",
"display": "Gradient pressure wrap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Gradient pressure exterior wrap"
}
]
},
{
"code": "S8430",
"display": "Padding for comprssn bdg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Padding for compression bandage, roll"
}
]
},
{
"code": "S8431",
"display": "Compression bandage",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Compression bandage, roll"
}
]
},
{
"code": "S8450",
"display": "Splint digit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Splint, prefabricated, digit (specify digit by use of modifier)"
}
]
},
{
"code": "S8451",
"display": "Splint wrist or ankle",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Splint, prefabricated, wrist or ankle"
}
]
},
{
"code": "S8452",
"display": "Splint elbow",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Splint, prefabricated, elbow"
}
]
},
{
"code": "S8460",
"display": "Camisole post-mast",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Camisole, post-mastectomy"
}
]
},
{
"code": "S8490",
"display": "100 insulin syringes",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Insulin syringes (100 syringes, any size)"
}
]
},
{
"code": "S8930",
"display": "Auricular electrostimulation",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Electrical stimulation of auricular acupuncture points; each 15 minutes of personal one-on-one contact with the patient"
}
]
},
{
"code": "S8940",
"display": "Hippotherapy per session",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Equestrian/hippotherapy, per session"
}
]
},
{
"code": "S8948",
"display": "Low-level laser trmt 15 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Application of a modality (requiring constant provider attendance) to one or more areas; low-level laser; each 15 minutes"
}
]
},
{
"code": "S8950",
"display": "Complex lymphedema therapy,",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Complex lymphedema therapy, each 15 minutes"
}
]
},
{
"code": "S8990",
"display": "Pt or manip for maint",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Physical or manipulative therapy performed for maintenance rather than restoration"
}
]
},
{
"code": "S8999",
"display": "Resuscitation bag",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Resuscitation bag (for use by patient on artificial respiration during power failure or other catastrophic event)"
}
]
},
{
"code": "S9001",
"display": "Home uterine monitor with or",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home uterine monitor with or without associated nursing services"
}
]
},
{
"code": "S9002",
"display": "Intra-vag motion sens biofk",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intra-vaginal motion sensor system, provides biofeedback for pelvic floor muscle rehabilitation device"
}
]
},
{
"code": "S9007",
"display": "Ultrafiltration monitor"
},
{
"code": "S9015",
"display": "Automated eeg monitoring"
},
{
"code": "S9024",
"display": "Paranasal sinus ultrasound"
},
{
"code": "S9025",
"display": "Omnicardiogram/cardiointegra",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Omnicardiogram/cardiointegram"
}
]
},
{
"code": "S9034",
"display": "Eswl for gallstones",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Extracorporeal shockwave lithotripsy for gall stones (if performed with ercp, use 43265)"
}
]
},
{
"code": "S9055",
"display": "Procuren or other growth fac",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Procuren or other growth factor preparation to promote wound healing"
}
]
},
{
"code": "S9056",
"display": "Coma stimulation per diem"
},
{
"code": "S9061",
"display": "Medical supplies and equipme",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home administration of aerosolized drug therapy (e.g., pentamidine); administrative services, professional pharmacy services, care coordination, all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9083",
"display": "Urgent care center global",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Global fee urgent care centers"
}
]
},
{
"code": "S9088",
"display": "Services provided in urgent",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Services provided in an urgent care center (list in addition to code for service)"
}
]
},
{
"code": "S9090",
"display": "Vertebral axial decompressio",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Vertebral axial decompression, per session"
}
]
},
{
"code": "S9097",
"display": "Home visit wound care",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home visit for wound care"
}
]
},
{
"code": "S9098",
"display": "Home phototherapy visit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home visit, phototherapy services (e.g., bili-lite), including equipment rental, nursing services, blood draw, supplies, and other services, per diem"
}
]
},
{
"code": "S9110",
"display": "Telemonitoring/home per mnth",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month"
}
]
},
{
"code": "S9117",
"display": "Back school visit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Back school, per visit"
}
]
},
{
"code": "S9122",
"display": "Home health aide or certifie",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home health aide or certified nurse assistant, providing care in the home; per hour"
}
]
},
{
"code": "S9123",
"display": "Nursing care in home rn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)"
}
]
},
{
"code": "S9124",
"display": "Nursing care, in the home; b",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nursing care, in the home; by licensed practical nurse, per hour"
}
]
},
{
"code": "S9125",
"display": "Respite care, in the home, p",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Respite care, in the home, per diem"
}
]
},
{
"code": "S9126",
"display": "Hospice care, in the home, p",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospice care, in the home, per diem"
}
]
},
{
"code": "S9127",
"display": "Social work visit, in the ho",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Social work visit, in the home, per diem"
}
]
},
{
"code": "S9128",
"display": "Speech therapy, in the home,",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Speech therapy, in the home, per diem"
}
]
},
{
"code": "S9129",
"display": "Occupational therapy, in the",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Occupational therapy, in the home, per diem"
}
]
},
{
"code": "S9131",
"display": "Pt in the home per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Physical therapy; in the home, per diem"
}
]
},
{
"code": "S9140",
"display": "Diabetic management program,",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Diabetic management program, follow-up visit to non-md provider"
}
]
},
{
"code": "S9141",
"display": "Diabetic management program,",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Diabetic management program, follow-up visit to md provider"
}
]
},
{
"code": "S9145",
"display": "Insulin pump initiation",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Insulin pump initiation, instruction in initial use of pump (pump not included)"
}
]
},
{
"code": "S9150",
"display": "Evaluation by ocularist"
},
{
"code": "S9152",
"display": "Speech therapy, re-eval",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Speech therapy, re-evaluation"
}
]
},
{
"code": "S9208",
"display": "Home mgmt preterm labor",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home management of preterm labor, including administrative services, professional pharmacy services, care coordination, and all necessary supplies or equipment (drugs and nursing visits coded separately), per diem (do not use this code with any home infusion per diem code)"
}
]
},
{
"code": "S9209",
"display": "Home mgmt pprom",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home management of preterm premature rupture of membranes (pprom), including administrative services, professional pharmacy services, care coordination, and all necessary supplies or equipment (drugs and nursing visits coded separately), per diem (do not use this code with any home infusion per diem code)"
}
]
},
{
"code": "S9211",
"display": "Home mgmt gest hypertension",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home management of gestational hypertension, includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately); per diem (do not use this code with any home infusion per diem code)"
}
]
},
{
"code": "S9212",
"display": "Hm postpar hyper per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home management of postpartum hypertension, includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use this code with any home infusion per diem code)"
}
]
},
{
"code": "S9213",
"display": "Hm preeclamp per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home management of preeclampsia, includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing services coded separately); per diem (do not use this code with any home infusion per diem code)"
}
]
},
{
"code": "S9214",
"display": "Hm gest dm per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home management of gestational diabetes, includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately); per diem (do not use this code with any home infusion per diem code)"
}
]
},
{
"code": "S9325",
"display": "Hit pain mgmt per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, pain management infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment, (drugs and nursing visits coded separately), per diem (do not use this code with s9326, s9327 or s9328)"
}
]
},
{
"code": "S9326",
"display": "Hit cont pain per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, continuous (twenty-four hours or more) pain management infusion; administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9327",
"display": "Hit int pain per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, intermittent (less than twenty-four hours) pain management infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9328",
"display": "Hit pain imp pump diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, implanted pump pain management infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9329",
"display": "Hit chemo per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, chemotherapy infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use this code with s9330 or s9331)"
}
]
},
{
"code": "S9330",
"display": "Hit cont chem diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, continuous (twenty-four hours or more) chemotherapy infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9331",
"display": "Hit intermit chemo diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, intermittent (less than twenty-four hours) chemotherapy infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9335",
"display": "Ht hemodialysis diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home therapy, hemodialysis; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing services coded separately), per diem"
}
]
},
{
"code": "S9336",
"display": "Hit cont anticoag diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, continuous anticoagulant infusion therapy (e.g., heparin), administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9338",
"display": "Hit immunotherapy diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9339",
"display": "Hit periton dialysis diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home therapy; peritoneal dialysis, administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9340",
"display": "Hit enteral per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home therapy; enteral nutrition; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9341",
"display": "Hit enteral grav diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home therapy; enteral nutrition via gravity; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9342",
"display": "Hit enteral pump diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9343",
"display": "Hit enteral bolus nurs",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home therapy; enteral nutrition via bolus; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9345",
"display": "Hit anti-hemophil diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, anti-hemophilic agent infusion therapy (e.g., factor viii); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9346",
"display": "Hit alpha-1-proteinas diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, alpha-1-proteinase inhibitor (e.g., prolastin); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9347",
"display": "Hit longterm infusion diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, uninterrupted, long-term, controlled rate intravenous or subcutaneous infusion therapy (e.g., epoprostenol); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9348",
"display": "Hit sympathomim diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, sympathomimetic/inotropic agent infusion therapy (e.g., dobutamine); administrative services, professional pharmacy services, care coordination, all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9349",
"display": "Hit tocolysis diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, tocolytic infusion therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9351",
"display": "Hit cont antiemetic diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, continuous or intermittent anti-emetic infusion therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and visits coded separately), per diem"
}
]
},
{
"code": "S9353",
"display": "Hit cont insulin diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, continuous insulin infusion therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9355",
"display": "Hit chelation diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, chelation therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9357",
"display": "Hit enzyme replace diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, enzyme replacement intravenous therapy; (e.g., imiglucerase); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9359",
"display": "Hit anti-tnf per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, anti-tumor necrosis factor intravenous therapy; (e.g., infliximab); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9361",
"display": "Hit diuretic infus diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, diuretic intravenous therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9363",
"display": "Hit anti-spasmotic diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, anti-spasmotic therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9364",
"display": "Hit tpn total diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, total parenteral nutrition (tpn); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem (do not use with home infusion codes s9365-s9368 using daily volume scales)"
}
]
},
{
"code": "S9365",
"display": "Hit tpn 1 liter diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, total parenteral nutrition (tpn); one liter per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9366",
"display": "Hit tpn 2 liter diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, total parenteral nutrition (tpn); more than one liter but no more than two liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9367",
"display": "Hit tpn 3 liter diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, total parenteral nutrition (tpn); more than two liters but no more than three liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9368",
"display": "Hit tpn over 3l diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, total parenteral nutrition (tpn); more than three liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9370",
"display": "Ht inj antiemetic diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home therapy, intermittent anti-emetic injection therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9372",
"display": "Ht inj anticoag diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home therapy; intermittent anticoagulant injection therapy (e.g., heparin); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use this code for flushing of infusion devices with heparin to maintain patency)"
}
]
},
{
"code": "S9373",
"display": "Hit hydra total diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, hydration therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use with hydration therapy codes s9374-s9377 using daily volume scales)"
}
]
},
{
"code": "S9374",
"display": "Hit hydra 1 liter diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, hydration therapy; one liter per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9375",
"display": "Hit hydra 2 liter diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, hydration therapy; more than one liter but no more than two liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9376",
"display": "Hit hydra 3 liter diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, hydration therapy; more than two liters but no more than three liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9377",
"display": "Hit hydra over 3l diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, hydration therapy; more than three liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9379",
"display": "Hit noc per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9381",
"display": "Hit high risk/escort",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Delivery or service to high risk areas requiring escort or extra protection, per visit"
}
]
},
{
"code": "S9401",
"display": "Anticoag clinic per session",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Anticoagulation clinic, inclusive of all services except laboratory tests, per session"
}
]
},
{
"code": "S9430",
"display": "Pharmacy comp/disp serv",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pharmacy compounding and dispensing services"
}
]
},
{
"code": "S9432",
"display": "Med food non inborn err meta",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medical foods for non-inborn errors of metabolism"
}
]
},
{
"code": "S9433",
"display": "Medical food oral 100% nutr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medical food nutritionally complete, administered orally, providing 100% of nutritional intake"
}
]
},
{
"code": "S9434",
"display": "Mod solid food suppl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Modified solid food supplements for inborn errors of metabolism"
}
]
},
{
"code": "S9435",
"display": "Medical foods for inborn err",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medical foods for inborn errors of metabolism"
}
]
},
{
"code": "S9436",
"display": "Lamaze class",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Childbirth preparation/lamaze classes, non-physician provider, per session"
}
]
},
{
"code": "S9437",
"display": "Childbirth refresher class",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Childbirth refresher classes, non-physician provider, per session"
}
]
},
{
"code": "S9438",
"display": "Cesarean birth class",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cesarean birth classes, non-physician provider, per session"
}
]
},
{
"code": "S9439",
"display": "Vbac class",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Vbac (vaginal birth after cesarean) classes, non-physician provider, per session"
}
]
},
{
"code": "S9441",
"display": "Asthma education",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Asthma education, non-physician provider, per session"
}
]
},
{
"code": "S9442",
"display": "Birthing class",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Birthing classes, non-physician provider, per session"
}
]
},
{
"code": "S9443",
"display": "Lactation class",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lactation classes, non-physician provider, per session"
}
]
},
{
"code": "S9444",
"display": "Parenting class",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Parenting classes, non-physician provider, per session"
}
]
},
{
"code": "S9445",
"display": "Pt education noc individ",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient education, not otherwise classified, non-physician provider, individual, per session"
}
]
},
{
"code": "S9446",
"display": "Pt education noc group",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Patient education, not otherwise classified, non-physician provider, group, per session"
}
]
},
{
"code": "S9447",
"display": "Infant safety class",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Infant safety (including cpr) classes, non-physician provider, per session"
}
]
},
{
"code": "S9449",
"display": "Weight mgmt class",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Weight management classes, non-physician provider, per session"
}
]
},
{
"code": "S9451",
"display": "Exercise class",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Exercise classes, non-physician provider, per session"
}
]
},
{
"code": "S9452",
"display": "Nutrition class",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nutrition classes, non-physician provider, per session"
}
]
},
{
"code": "S9453",
"display": "Smoking cessation class",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Smoking cessation classes, non-physician provider, per session"
}
]
},
{
"code": "S9454",
"display": "Stress mgmt class",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Stress management classes, non-physician provider, per session"
}
]
},
{
"code": "S9455",
"display": "Diabetic management program,",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Diabetic management program, group session"
}
]
},
{
"code": "S9460",
"display": "Diabetic management program,",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Diabetic management program, nurse visit"
}
]
},
{
"code": "S9465",
"display": "Diabetic management program,",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Diabetic management program, dietitian visit"
}
]
},
{
"code": "S9470",
"display": "Nutritional counseling, diet",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nutritional counseling, dietitian visit"
}
]
},
{
"code": "S9472",
"display": "Cardiac rehabilitation progr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cardiac rehabilitation program, non-physician provider, per diem"
}
]
},
{
"code": "S9473",
"display": "Pulmonary rehabilitation pro",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pulmonary rehabilitation program, non-physician provider, per diem"
}
]
},
{
"code": "S9474",
"display": "Enterostomal therapy by a re",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Enterostomal therapy by a registered nurse certified in enterostomal therapy, per diem"
}
]
},
{
"code": "S9475",
"display": "Ambulatory setting substance",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ambulatory setting substance abuse treatment or detoxification services, per diem"
}
]
},
{
"code": "S9476",
"display": "Vestibular rehab per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Vestibular rehabilitation program, non-physician provider, per diem"
}
]
},
{
"code": "S9480",
"display": "Intensive outpatient psychia",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intensive outpatient psychiatric services, per diem"
}
]
},
{
"code": "S9482",
"display": "Family stabilization 15 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Family stabilization services, per 15 minutes"
}
]
},
{
"code": "S9484",
"display": "Crisis intervention per hour",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Crisis intervention mental health services, per hour"
}
]
},
{
"code": "S9485",
"display": "Crisis intervention mental h",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Crisis intervention mental health services, per diem"
}
]
},
{
"code": "S9490",
"display": "Hit corticosteroid/diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, corticosteroid infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9494",
"display": "Hit antibiotic total diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, antibiotic, antiviral, or antifungal therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use this code with home infusion codes for hourly dosing schedules s9497-s9504)"
}
]
},
{
"code": "S9497",
"display": "Hit antibiotic q3h diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 3 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9500",
"display": "Hit antibiotic q24h diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9501",
"display": "Hit antibiotic q12h diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 12 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9502",
"display": "Hit antibiotic q8h diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 8 hours, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9503",
"display": "Hit antibiotic q6h diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, antibiotic, antiviral, or antifungal; once every 6 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9504",
"display": "Hit antibiotic q4h diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home infusion therapy, antibiotic, antiviral, or antifungal; once every 4 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9529",
"display": "Venipuncture home/snf",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Routine venipuncture for collection of specimen(s), single home bound, nursing home, or skilled nursing facility patient"
}
]
},
{
"code": "S9537",
"display": "Ht hem horm inj diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home therapy; hematopoietic hormone injection therapy (e.g., erythropoietin, g-csf, gm-csf); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9538",
"display": "Hit blood products diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home transfusion of blood product(s); administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (blood products, drugs, and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9542",
"display": "Ht inj noc per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home injectable therapy, not otherwise classified, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9558",
"display": "Ht inj growth horm diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home injectable therapy; growth hormone, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9559",
"display": "Hit inj interferon diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home injectable therapy, interferon, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9560",
"display": "Ht inj hormone diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home injectable therapy; hormonal therapy (e.g.; leuprolide, goserelin), including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9562",
"display": "Ht inj palivizumab/ab diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home injectable therapy, palivizumab or other monoclonal antibody for rsv, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9563",
"display": "Ht inj immuno diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home injectable therapy, immunotherapy, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9590",
"display": "Ht irrigation diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home therapy, irrigation therapy (e.g., sterile irrigation of an organ or anatomical cavity); including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
}
]
},
{
"code": "S9810",
"display": "Ht pharm per hour",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home therapy; professional pharmacy services for provision of infusion, specialty drug administration, and/or disease state management, not otherwise classified, per hour (do not use this code with any per diem code)"
}
]
},
{
"code": "S9900",
"display": "Christian sci pract visit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Services by a journal-listed christian science practitioner for the purpose of healing, per diem"
}
]
},
{
"code": "S9901",
"display": "Christian sci nurse visit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Services by a journal-listed christian science nurse, per hour"
}
]
},
{
"code": "S9960",
"display": "Air ambulanc nonemerg fixed",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ambulance service, conventional air service, nonemergency transport, one way (fixed wing)"
}
]
},
{
"code": "S9961",
"display": "Air ambulan nonemerg rotary",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ambulance service, conventional air service, nonemergency transport, one way (rotary wing)"
}
]
},
{
"code": "S9970",
"display": "Health club membership yr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Health club membership, annual"
}
]
},
{
"code": "S9975",
"display": "Transplant related per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transplant related lodging, meals and transportation, per diem"
}
]
},
{
"code": "S9976",
"display": "Lodging per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lodging, per diem, not otherwise classified"
}
]
},
{
"code": "S9977",
"display": "Meals per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Meals, per diem, not otherwise specified"
}
]
},
{
"code": "S9981",
"display": "Med record copy admin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medical records copying fee, administrative"
}
]
},
{
"code": "S9982",
"display": "Med record copy per page",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medical records copying fee, per page"
}
]
},
{
"code": "S9986",
"display": "Not medically necessary svc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Not medically necessary service (patient is aware that service not medically necessary)"
}
]
},
{
"code": "S9988",
"display": "Serv part of phase i trial",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Services provided as part of a phase i clinical trial"
}
]
},
{
"code": "S9989",
"display": "Services outside us",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Services provided outside of the united states of america (list in addition to code(s) for service(s))"
}
]
},
{
"code": "S9990",
"display": "Services provided as part of",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Services provided as part of a phase ii clinical trial"
}
]
},
{
"code": "S9991",
"display": "Services provided as part of",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Services provided as part of a phase iii clinical trial"
}
]
},
{
"code": "S9992",
"display": "Transportation costs to and",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transportation costs to and from trial location and local transportation costs (e.g., fares for taxicab or bus) for clinical trial participant and one caregiver/companion"
}
]
},
{
"code": "S9994",
"display": "Lodging costs (e.g. hotel ch",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lodging costs (e.g., hotel charges) for clinical trial participant and one caregiver/companion"
}
]
},
{
"code": "S9996",
"display": "Meals for clinical trial par",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Meals for clinical trial participant and one caregiver/companion"
}
]
},
{
"code": "S9999",
"display": "Sales tax"
},
{
"code": "T1000",
"display": "Private duty/independent nsg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Private duty / independent nursing service(s) - licensed, up to 15 minutes"
}
]
},
{
"code": "T1001",
"display": "Nursing assessment/evaluatn",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nursing assessment / evaluation"
}
]
},
{
"code": "T1002",
"display": "Rn services up to 15 minutes",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Rn services, up to 15 minutes"
}
]
},
{
"code": "T1003",
"display": "Lpn/lvn services up to 15min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lpn/lvn services, up to 15 minutes"
}
]
},
{
"code": "T1004",
"display": "Nsg aide service up to 15min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Services of a qualified nursing aide, up to 15 minutes"
}
]
},
{
"code": "T1005",
"display": "Respite care service 15 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Respite care services, up to 15 minutes"
}
]
},
{
"code": "T1006",
"display": "Family/couple counseling",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alcohol and/or substance abuse services, family/couple counseling"
}
]
},
{
"code": "T1007",
"display": "Treatment plan development",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alcohol and/or substance abuse services, treatment plan development and/or modification"
}
]
},
{
"code": "T1009",
"display": "Child sitting services",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Child sitting services for children of the individual receiving alcohol and/or substance abuse services"
}
]
},
{
"code": "T1010",
"display": "Meals when receive services",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Meals for individuals receiving alcohol and/or substance abuse services (when meals not included in the program)"
}
]
},
{
"code": "T1012",
"display": "Alcohol/substance abuse skil",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Alcohol and/or substance abuse services, skills development"
}
]
},
{
"code": "T1013",
"display": "Sign lang/oral interpreter",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sign language or oral interpretive services, per 15 minutes"
}
]
},
{
"code": "T1014",
"display": "Telehealth transmit, per min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Telehealth transmission, per minute, professional services bill separately"
}
]
},
{
"code": "T1015",
"display": "Clinic service",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Clinic visit/encounter, all-inclusive"
}
]
},
{
"code": "T1016",
"display": "Case management",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Case management, each 15 minutes"
}
]
},
{
"code": "T1017",
"display": "Targeted case management",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Targeted case management, each 15 minutes"
}
]
},
{
"code": "T1018",
"display": "School-based iep ser bundled",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "School-based individualized education program (iep) services, bundled"
}
]
},
{
"code": "T1019",
"display": "Personal care ser per 15 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant)"
}
]
},
{
"code": "T1020",
"display": "Personal care ser per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant)"
}
]
},
{
"code": "T1021",
"display": "Hh aide or cn aide per visit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Home health aide or certified nurse assistant, per visit"
}
]
},
{
"code": "T1022",
"display": "Contracted services per day",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Contracted home health agency services, all services provided under contract, per day"
}
]
},
{
"code": "T1023",
"display": "Program intake assessment",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter"
}
]
},
{
"code": "T1024",
"display": "Team evaluation & management",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter"
}
]
},
{
"code": "T1025",
"display": "Ped compr care pkg, per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem"
}
]
},
{
"code": "T1026",
"display": "Ped compr care pkg, per hour",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour"
}
]
},
{
"code": "T1027",
"display": "Family training & counseling",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Family training and counseling for child development, per 15 minutes"
}
]
},
{
"code": "T1028",
"display": "Home environment assessment",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs"
}
]
},
{
"code": "T1029",
"display": "Dwelling lead investigation",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Comprehensive environmental lead investigation, not including laboratory analysis, per dwelling"
}
]
},
{
"code": "T1030",
"display": "Rn home care per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nursing care, in the home, by registered nurse, per diem"
}
]
},
{
"code": "T1031",
"display": "Lpn home care per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Nursing care, in the home, by licensed practical nurse, per diem"
}
]
},
{
"code": "T1032",
"display": "Sv doula brth wrk per 15 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Services performed by a doula birth worker, per 15 minutes"
}
]
},
{
"code": "T1033",
"display": "Sv doula brth wrk per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Services performed by a doula birth worker, per diem"
}
]
},
{
"code": "T1040",
"display": "Comm bh clinic svc per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medicaid certified community behavioral health clinic services, per diem"
}
]
},
{
"code": "T1041",
"display": "Comm bh clinic svc per month",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Medicaid certified community behavioral health clinic services, per month"
}
]
},
{
"code": "T1502",
"display": "Medication admin visit",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit"
}
]
},
{
"code": "T1503",
"display": "Med admin, not oral/inject",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Administration of medication, other than oral and/or injectable, by a health care agency/professional, per visit"
}
]
},
{
"code": "T1505",
"display": "Elec med comp dev, noc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Electronic medication compliance management device, includes all components and accessories, not otherwise classified"
}
]
},
{
"code": "T1999",
"display": "Noc retail items andsupplies",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in \"remarks\""
}
]
},
{
"code": "T2001",
"display": "N-et; patient attend/escort",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-emergency transportation; patient attendant/escort"
}
]
},
{
"code": "T2002",
"display": "N-et; per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-emergency transportation; per diem"
}
]
},
{
"code": "T2003",
"display": "N-et; encounter/trip",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-emergency transportation; encounter/trip"
}
]
},
{
"code": "T2004",
"display": "N-et; commerc carrier pass",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-emergency transport; commercial carrier, multi-pass"
}
]
},
{
"code": "T2005",
"display": "N-et; stretcher van",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-emergency transportation; stretcher van"
}
]
},
{
"code": "T2007",
"display": "Non-emer transport wait time",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments"
}
]
},
{
"code": "T2010",
"display": "Pasrr level i",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Preadmission screening and resident review (pasrr) level i identification screening, per screen"
}
]
},
{
"code": "T2011",
"display": "Pasrr level ii",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Preadmission screening and resident review (pasrr) level ii evaluation, per evaluation"
}
]
},
{
"code": "T2012",
"display": "Habil ed waiver, per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Habilitation, educational; waiver, per diem"
}
]
},
{
"code": "T2013",
"display": "Habil ed waiver per hour",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Habilitation, educational, waiver; per hour"
}
]
},
{
"code": "T2014",
"display": "Habil prevoc waiver, per d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Habilitation, prevocational, waiver; per diem"
}
]
},
{
"code": "T2015",
"display": "Habil prevoc waiver per hr",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Habilitation, prevocational, waiver; per hour"
}
]
},
{
"code": "T2016",
"display": "Habil res waiver per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Habilitation, residential, waiver; per diem"
}
]
},
{
"code": "T2017",
"display": "Habil res waiver 15 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Habilitation, residential, waiver; 15 minutes"
}
]
},
{
"code": "T2018",
"display": "Habil sup empl waiver/diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Habilitation, supported employment, waiver; per diem"
}
]
},
{
"code": "T2019",
"display": "Habil sup empl waiver 15min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Habilitation, supported employment, waiver; per 15 minutes"
}
]
},
{
"code": "T2020",
"display": "Day habil waiver per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Day habilitation, waiver; per diem"
}
]
},
{
"code": "T2021",
"display": "Day habil waiver per 15 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Day habilitation, waiver; per 15 minutes"
}
]
},
{
"code": "T2022",
"display": "Case management, per month"
},
{
"code": "T2023",
"display": "Targeted case mgmt per month",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Targeted case management; per month"
}
]
},
{
"code": "T2024",
"display": "Serv asmnt/care plan waiver",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Service assessment/plan of care development, waiver"
}
]
},
{
"code": "T2025",
"display": "Waiver service, nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Waiver services; not otherwise specified (nos)"
}
]
},
{
"code": "T2026",
"display": "Special childcare waiver/d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Specialized childcare, waiver; per diem"
}
]
},
{
"code": "T2027",
"display": "Spec childcare waiver 15 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Specialized childcare, waiver; per 15 minutes"
}
]
},
{
"code": "T2028",
"display": "Special supply, nos waiver",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Specialized supply, not otherwise specified, waiver"
}
]
},
{
"code": "T2029",
"display": "Special med equip, noswaiver",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Specialized medical equipment, not otherwise specified, waiver"
}
]
},
{
"code": "T2030",
"display": "Assist living waiver/month",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Assisted living, waiver; per month"
}
]
},
{
"code": "T2031",
"display": "Assist living waiver/diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Assisted living; waiver, per diem"
}
]
},
{
"code": "T2032",
"display": "Res care, nos waiver/month",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Residential care, not otherwise specified (nos), waiver; per month"
}
]
},
{
"code": "T2033",
"display": "Res, nos waiver per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Residential care, not otherwise specified (nos), waiver; per diem"
}
]
},
{
"code": "T2034",
"display": "Crisis interven waiver/diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Crisis intervention, waiver; per diem"
}
]
},
{
"code": "T2035",
"display": "Utility services waiver",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Utility services to support medical equipment and assistive technology/devices, waiver"
}
]
},
{
"code": "T2036",
"display": "Camp overnite waiver/session",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Therapeutic camping, overnight, waiver; each session"
}
]
},
{
"code": "T2037",
"display": "Camp day waiver/session",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Therapeutic camping, day, waiver; each session"
}
]
},
{
"code": "T2038",
"display": "Comm trans waiver/service",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Community transition, waiver; per service"
}
]
},
{
"code": "T2039",
"display": "Vehicle mod waiver/service",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Vehicle modifications, waiver; per service"
}
]
},
{
"code": "T2040",
"display": "Financial mgt waiver/15min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Financial management, self-directed, waiver; per 15 minutes"
}
]
},
{
"code": "T2041",
"display": "Support broker waiver/15 min",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Supports brokerage, self-directed, waiver; per 15 minutes"
}
]
},
{
"code": "T2042",
"display": "Hospice routine home care",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospice routine home care; per diem"
}
]
},
{
"code": "T2043",
"display": "Hospice continuous home care",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospice continuous home care; per hour"
}
]
},
{
"code": "T2044",
"display": "Hospice respite care",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospice inpatient respite care; per diem"
}
]
},
{
"code": "T2045",
"display": "Hospice general care",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospice general inpatient care; per diem"
}
]
},
{
"code": "T2046",
"display": "Hospice long term care, r&b",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hospice long term care, room and board only; per diem"
}
]
},
{
"code": "T2047",
"display": "Hab prevo waiver per 15",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Habilitation, prevocational, waiver; per 15 minutes"
}
]
},
{
"code": "T2048",
"display": "Bh ltc res r&b, per diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem"
}
]
},
{
"code": "T2049",
"display": "N-et; stretcher van, mileage",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Non-emergency transportation; stretcher van, mileage; per mile"
}
]
},
{
"code": "T2050",
"display": "Financial mgt waiver/diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Financial management, self-directed, waiver; per diem"
}
]
},
{
"code": "T2051",
"display": "Support broker waiver/diem",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Supports brokerage, self-directed, waiver; per diem"
}
]
},
{
"code": "T2101",
"display": "Breast milk proc/store/dist",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Human breast milk processing, storage and distribution only"
}
]
},
{
"code": "T4521",
"display": "Adult size brief/diaper sm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adult sized disposable incontinence product, brief/diaper, small, each"
}
]
},
{
"code": "T4522",
"display": "Adult size brief/diaper med",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adult sized disposable incontinence product, brief/diaper, medium, each"
}
]
},
{
"code": "T4523",
"display": "Adult size brief/diaper lg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adult sized disposable incontinence product, brief/diaper, large, each"
}
]
},
{
"code": "T4524",
"display": "Adult size brief/diaper xl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adult sized disposable incontinence product, brief/diaper, extra large, each"
}
]
},
{
"code": "T4525",
"display": "Adult size pull-on sm",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adult sized disposable incontinence product, protective underwear/pull-on, small size, each"
}
]
},
{
"code": "T4526",
"display": "Adult size pull-on med",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each"
}
]
},
{
"code": "T4527",
"display": "Adult size pull-on lg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adult sized disposable incontinence product, protective underwear/pull-on, large size, each"
}
]
},
{
"code": "T4528",
"display": "Adult size pull-on xl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each"
}
]
},
{
"code": "T4529",
"display": "Ped size brief/diaper sm/med",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pediatric sized disposable incontinence product, brief/diaper, small/medium size, each"
}
]
},
{
"code": "T4530",
"display": "Ped size brief/diaper lg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pediatric sized disposable incontinence product, brief/diaper, large size, each"
}
]
},
{
"code": "T4531",
"display": "Ped size pull-on sm/med",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each"
}
]
},
{
"code": "T4532",
"display": "Ped size pull-on lg",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each"
}
]
},
{
"code": "T4533",
"display": "Youth size brief/diaper",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Youth sized disposable incontinence product, brief/diaper, each"
}
]
},
{
"code": "T4534",
"display": "Youth size pull-on",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Youth sized disposable incontinence product, protective underwear/pull-on, each"
}
]
},
{
"code": "T4535",
"display": "Disposable liner/shield/pad",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Disposable liner/shield/guard/pad/undergarment, for incontinence, each"
}
]
},
{
"code": "T4536",
"display": "Reusable pull-on any size",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Incontinence product, protective underwear/pull-on, reusable, any size, each"
}
]
},
{
"code": "T4537",
"display": "Reusable underpad bed size",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Incontinence product, protective underpad, reusable, bed size, each"
}
]
},
{
"code": "T4538",
"display": "Diaper serv reusable diaper",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Diaper service, reusable diaper, each diaper"
}
]
},
{
"code": "T4539",
"display": "Reuse diaper/brief any size",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Incontinence product, diaper/brief, reusable, any size, each"
}
]
},
{
"code": "T4540",
"display": "Reusable underpad chair size",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Incontinence product, protective underpad, reusable, chair size, each"
}
]
},
{
"code": "T4541",
"display": "Large disposable underpad",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Incontinence product, disposable underpad, large, each"
}
]
},
{
"code": "T4542",
"display": "Small disposable underpad",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Incontinence product, disposable underpad, small size, each"
}
]
},
{
"code": "T4543",
"display": "Adult disp brief/diap abv xl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adult sized disposable incontinence product, protective brief/diaper, above extra large, each"
}
]
},
{
"code": "T4544",
"display": "Adlt disp und/pull on abv xl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each"
}
]
},
{
"code": "T4545",
"display": "Incon disposable penile wrap",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Incontinence product, disposable, penile wrap, each"
}
]
},
{
"code": "T5001",
"display": "Position seat spec orth need",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Positioning seat for persons with special orthopedic needs"
}
]
},
{
"code": "T5999",
"display": "Supply, nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Supply, not otherwise specified"
}
]
},
{
"code": "U0001",
"display": "2019-ncov diagnostic p",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel"
}
]
},
{
"code": "U0002",
"display": "Covid-19 lab test non-cdc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc"
}
]
},
{
"code": "U0003",
"display": "Cov-19 amp prb hgh thruput",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r"
}
]
},
{
"code": "U0004",
"display": "Cov-19 test non-cdc hgh thru",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r"
}
]
},
{
"code": "U0005",
"display": "Infec agen detec ampli probe",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2"
}
]
},
{
"code": "V2020",
"display": "Vision svcs frames purchases",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Frames, purchases"
}
]
},
{
"code": "V2025",
"display": "Eyeglasses delux frames",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Deluxe frame"
}
]
},
{
"code": "V2100",
"display": "Lens spher single plano 4.00",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sphere, single vision, plano to plus or minus 4.00, per lens"
}
]
},
{
"code": "V2101",
"display": "Single visn sphere 4.12-7.00",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens"
}
]
},
{
"code": "V2102",
"display": "Singl visn sphere 7.12-20.00",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens"
}
]
},
{
"code": "V2103",
"display": "Spherocylindr 4.00d/12-2.00d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens"
}
]
},
{
"code": "V2104",
"display": "Spherocylindr 4.00d/2.12-4d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens"
}
]
},
{
"code": "V2105",
"display": "Spherocylinder 4.00d/4.25-6d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens"
}
]
},
{
"code": "V2106",
"display": "Spherocylinder 4.00d/>6.00d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens"
}
]
},
{
"code": "V2107",
"display": "Spherocylinder 4.25d/12-2d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens"
}
]
},
{
"code": "V2108",
"display": "Spherocylinder 4.25d/2.12-4d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens"
}
]
},
{
"code": "V2109",
"display": "Spherocylinder 4.25d/4.25-6d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens"
}
]
},
{
"code": "V2110",
"display": "Spherocylinder 4.25d/over 6d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens"
}
]
},
{
"code": "V2111",
"display": "Spherocylindr 7.25d/.25-2.25",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens"
}
]
},
{
"code": "V2112",
"display": "Spherocylindr 7.25d/2.25-4d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens"
}
]
},
{
"code": "V2113",
"display": "Spherocylindr 7.25d/4.25-6d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens"
}
]
},
{
"code": "V2114",
"display": "Spherocylinder over 12.00d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens"
}
]
},
{
"code": "V2115",
"display": "Lens lenticular bifocal",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lenticular, (myodisc), per lens, single vision"
}
]
},
{
"code": "V2118",
"display": "Lens aniseikonic single",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Aniseikonic lens, single vision"
}
]
},
{
"code": "V2121",
"display": "Lenticular lens, single",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lenticular lens, per lens, single"
}
]
},
{
"code": "V2199",
"display": "Lens single vision not oth c",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Not otherwise classified, single vision lens"
}
]
},
{
"code": "V2200",
"display": "Lens spher bifoc plano 4.00d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sphere, bifocal, plano to plus or minus 4.00d, per lens"
}
]
},
{
"code": "V2201",
"display": "Lens sphere bifocal 4.12-7.0",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens"
}
]
},
{
"code": "V2202",
"display": "Lens sphere bifocal 7.12-20.",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens"
}
]
},
{
"code": "V2203",
"display": "Lens sphcyl bifocal 4.00d/.1",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens"
}
]
},
{
"code": "V2204",
"display": "Lens sphcy bifocal 4.00d/2.1",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens"
}
]
},
{
"code": "V2205",
"display": "Lens sphcy bifocal 4.00d/4.2",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens"
}
]
},
{
"code": "V2206",
"display": "Lens sphcy bifocal 4.00d/ove",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens"
}
]
},
{
"code": "V2207",
"display": "Lens sphcy bifocal 4.25-7d/.",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens"
}
]
},
{
"code": "V2208",
"display": "Lens sphcy bifocal 4.25-7/2.",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens"
}
]
},
{
"code": "V2209",
"display": "Lens sphcy bifocal 4.25-7/4.",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens"
}
]
},
{
"code": "V2210",
"display": "Lens sphcy bifocal 4.25-7/ov",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens"
}
]
},
{
"code": "V2211",
"display": "Lens sphcy bifo 7.25-12/.25-",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens"
}
]
},
{
"code": "V2212",
"display": "Lens sphcyl bifo 7.25-12/2.2",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens"
}
]
},
{
"code": "V2213",
"display": "Lens sphcyl bifo 7.25-12/4.2",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens"
}
]
},
{
"code": "V2214",
"display": "Lens sphcyl bifocal over 12.",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens"
}
]
},
{
"code": "V2215",
"display": "Lens lenticular bifocal",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lenticular (myodisc), per lens, bifocal"
}
]
},
{
"code": "V2218",
"display": "Lens aniseikonic bifocal",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Aniseikonic, per lens, bifocal"
}
]
},
{
"code": "V2219",
"display": "Lens bifocal seg width over",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bifocal seg width over 28 mm"
}
]
},
{
"code": "V2220",
"display": "Lens bifocal add over 3.25d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Bifocal add over 3.25d"
}
]
},
{
"code": "V2221",
"display": "Lenticular lens, bifocal",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lenticular lens, per lens, bifocal"
}
]
},
{
"code": "V2299",
"display": "Lens bifocal speciality",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Specialty bifocal (by report)"
}
]
},
{
"code": "V2300",
"display": "Lens sphere trifocal 4.00d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sphere, trifocal, plano to plus or minus 4.00d, per lens"
}
]
},
{
"code": "V2301",
"display": "Lens sphere trifocal 4.12-7.",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d, per lens"
}
]
},
{
"code": "V2302",
"display": "Lens sphere trifocal 7.12-20",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Sphere, trifocal, plus or minus 7.12 to plus or minus 20.00, per lens"
}
]
},
{
"code": "V2303",
"display": "Lens sphcy trifocal 4.0/.12-",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens"
}
]
},
{
"code": "V2304",
"display": "Lens sphcy trifocal 4.0/2.25",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25-4.00d cylinder, per lens"
}
]
},
{
"code": "V2305",
"display": "Lens sphcy trifocal 4.0/4.25",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00 cylinder, per lens"
}
]
},
{
"code": "V2306",
"display": "Lens sphcyl trifocal 4.00/>6",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens"
}
]
},
{
"code": "V2307",
"display": "Lens sphcy trifocal 4.25-7/.",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, .12 to 2.00d cylinder, per lens"
}
]
},
{
"code": "V2308",
"display": "Lens sphc trifocal 4.25-7/2.",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens"
}
]
},
{
"code": "V2309",
"display": "Lens sphc trifocal 4.25-7/4.",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens"
}
]
},
{
"code": "V2310",
"display": "Lens sphc trifocal 4.25-7/>6",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens"
}
]
},
{
"code": "V2311",
"display": "Lens sphc trifo 7.25-12/.25-",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens"
}
]
},
{
"code": "V2312",
"display": "Lens sphc trifo 7.25-12/2.25",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens"
}
]
},
{
"code": "V2313",
"display": "Lens sphc trifo 7.25-12/4.25",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens"
}
]
},
{
"code": "V2314",
"display": "Lens sphcyl trifocal over 12",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Spherocylinder, trifocal, sphere over plus or minus 12.00d, per lens"
}
]
},
{
"code": "V2315",
"display": "Lens lenticular trifocal",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lenticular, (myodisc), per lens, trifocal"
}
]
},
{
"code": "V2318",
"display": "Lens aniseikonic trifocal",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Aniseikonic lens, trifocal"
}
]
},
{
"code": "V2319",
"display": "Lens trifocal seg width > 28",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Trifocal seg width over 28 mm"
}
]
},
{
"code": "V2320",
"display": "Lens trifocal add over 3.25d",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Trifocal add over 3.25d"
}
]
},
{
"code": "V2321",
"display": "Lenticular lens, trifocal",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lenticular lens, per lens, trifocal"
}
]
},
{
"code": "V2399",
"display": "Lens trifocal speciality",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Specialty trifocal (by report)"
}
]
},
{
"code": "V2410",
"display": "Lens variab asphericity sing",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Variable asphericity lens, single vision, full field, glass or plastic, per lens"
}
]
},
{
"code": "V2430",
"display": "Lens variable asphericity bi",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Variable asphericity lens, bifocal, full field, glass or plastic, per lens"
}
]
},
{
"code": "V2499",
"display": "Variable asphericity lens",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Variable sphericity lens, other type"
}
]
},
{
"code": "V2500",
"display": "Contact lens pmma spherical",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Contact lens, pmma, spherical, per lens"
}
]
},
{
"code": "V2501",
"display": "Cntct lens pmma-toric/prism",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Contact lens, pmma, toric or prism ballast, per lens"
}
]
},
{
"code": "V2502",
"display": "Contact lens pmma bifocal",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Contact lens, pmma, bifocal, per lens"
}
]
},
{
"code": "V2503",
"display": "Cntct lens pmma color vision",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Contact lens, pmma, color vision deficiency, per lens"
}
]
},
{
"code": "V2510",
"display": "Cntct gas permeable sphericl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Contact lens, gas permeable, spherical, per lens"
}
]
},
{
"code": "V2511",
"display": "Cntct toric prism ballast",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Contact lens, gas permeable, toric, prism ballast, per lens"
}
]
},
{
"code": "V2512",
"display": "Cntct lens gas permbl bifocl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Contact lens, gas permeable, bifocal, per lens"
}
]
},
{
"code": "V2513",
"display": "Contact lens extended wear",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Contact lens, gas permeable, extended wear, per lens"
}
]
},
{
"code": "V2520",
"display": "Contact lens hydrophilic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Contact lens, hydrophilic, spherical, per lens"
}
]
},
{
"code": "V2521",
"display": "Cntct lens hydrophilic toric",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Contact lens, hydrophilic, toric, or prism ballast, per lens"
}
]
},
{
"code": "V2522",
"display": "Cntct lens hydrophil bifocl",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Contact lens, hydrophilic, bifocal, per lens"
}
]
},
{
"code": "V2523",
"display": "Cntct lens hydrophil extend",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Contact lens, hydrophilic, extended wear, per lens"
}
]
},
{
"code": "V2524",
"display": "Cntct lens hydrophil photoch",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Contact lens, hydrophilic, spherical, photochromic additive, per lens"
}
]
},
{
"code": "V2525",
"display": "Cl, hydrophilic, dual focus",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Contact lens, hydrophilic, dual focus, per lens"
}
]
},
{
"code": "V2526",
"display": "Cntct lens blue violet",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Contact lens, hydrophilic, with blue-violet filter, per lens"
}
]
},
{
"code": "V2530",
"display": "Contact lens gas impermeable",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Contact lens, scleral, gas impermeable, per lens (for contact lens modification, see 92325)"
}
]
},
{
"code": "V2531",
"display": "Contact lens gas permeable",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Contact lens, scleral, gas permeable, per lens (for contact lens modification, see 92325)"
}
]
},
{
"code": "V2599",
"display": "Contact lens/es other type",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Contact lens, other type"
}
]
},
{
"code": "V2600",
"display": "Hand held low vision aids",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hand held low vision aids and other nonspectacle mounted aids"
}
]
},
{
"code": "V2610",
"display": "Single lens spectacle mount",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Single lens spectacle mounted low vision aids"
}
]
},
{
"code": "V2615",
"display": "Telescop/othr compound lens",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Telescopic and other compound lens system, including distance vision telescopic, near vision telescopes and compound microscopic lens system"
}
]
},
{
"code": "V2623",
"display": "Plastic eye prosth custom",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prosthetic eye, plastic, custom"
}
]
},
{
"code": "V2624",
"display": "Polishing artifical eye",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Polishing/resurfacing of ocular prosthesis"
}
]
},
{
"code": "V2625",
"display": "Enlargemnt of eye prosthesis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Enlargement of ocular prosthesis"
}
]
},
{
"code": "V2626",
"display": "Reduction of eye prosthesis",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Reduction of ocular prosthesis"
}
]
},
{
"code": "V2627",
"display": "Scleral cover shell"
},
{
"code": "V2628",
"display": "Fabrication & fitting",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Fabrication and fitting of ocular conformer"
}
]
},
{
"code": "V2629",
"display": "Prosthetic eye other type",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prosthetic eye, other type"
}
]
},
{
"code": "V2630",
"display": "Anter chamber intraocul lens",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Anterior chamber intraocular lens"
}
]
},
{
"code": "V2631",
"display": "Iris support intraoclr lens",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Iris supported intraocular lens"
}
]
},
{
"code": "V2632",
"display": "Post chmbr intraocular lens",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Posterior chamber intraocular lens"
}
]
},
{
"code": "V2700",
"display": "Balance lens",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Balance lens, per lens"
}
]
},
{
"code": "V2702",
"display": "Deluxe lens feature"
},
{
"code": "V2710",
"display": "Glass/plastic slab off prism",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Slab off prism, glass or plastic, per lens"
}
]
},
{
"code": "V2715",
"display": "Prism lens/es",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Prism, per lens"
}
]
},
{
"code": "V2718",
"display": "Fresnell prism press-on lens",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Press-on lens, fresnell prism, per lens"
}
]
},
{
"code": "V2730",
"display": "Special base curve",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Special base curve, glass or plastic, per lens"
}
]
},
{
"code": "V2744",
"display": "Tint photochromatic lens/es",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Tint, photochromatic, per lens"
}
]
},
{
"code": "V2745",
"display": "Tint, any color/solid/grad",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens"
}
]
},
{
"code": "V2750",
"display": "Anti-reflective coating",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Anti-reflective coating, per lens"
}
]
},
{
"code": "V2755",
"display": "Uv lens/es",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "U-v lens, per lens"
}
]
},
{
"code": "V2756",
"display": "Eye glass case"
},
{
"code": "V2760",
"display": "Scratch resistant coating",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Scratch resistant coating, per lens"
}
]
},
{
"code": "V2761",
"display": "Mirror coating",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Mirror coating, any type, solid, gradient or equal, any lens material, per lens"
}
]
},
{
"code": "V2762",
"display": "Polarization, any lens",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Polarization, any lens material, per lens"
}
]
},
{
"code": "V2770",
"display": "Occluder lens/es",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Occluder lens, per lens"
}
]
},
{
"code": "V2780",
"display": "Oversize lens/es",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Oversize lens, per lens"
}
]
},
{
"code": "V2781",
"display": "Progressive lens per lens",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Progressive lens, per lens"
}
]
},
{
"code": "V2782",
"display": "Lens, 1.54-1.65 p/1.60-1.79g",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens"
}
]
},
{
"code": "V2783",
"display": "Lens, >= 1.66 p/>=1.80 g",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens"
}
]
},
{
"code": "V2784",
"display": "Lens polycarb or equal",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Lens, polycarbonate or equal, any index, per lens"
}
]
},
{
"code": "V2785",
"display": "Corneal tissue processing",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Processing, preserving and transporting corneal tissue"
}
]
},
{
"code": "V2786",
"display": "Occupational multifocal lens",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Specialty occupational multifocal lens, per lens"
}
]
},
{
"code": "V2787",
"display": "Astigmatism-correct function",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Astigmatism correcting function of intraocular lens"
}
]
},
{
"code": "V2788",
"display": "Presbyopia-correct function",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Presbyopia correcting function of intraocular lens"
}
]
},
{
"code": "V2790",
"display": "Amniotic membrane",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Amniotic membrane for surgical reconstruction, per procedure"
}
]
},
{
"code": "V2797",
"display": "Vis item/svc in other code",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Vision supply, accessory and/or service component of another hcpcs vision code"
}
]
},
{
"code": "V2799",
"display": "Misc vision item or service",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Vision item or service, miscellaneous"
}
]
},
{
"code": "V5008",
"display": "Hearing screening"
},
{
"code": "V5010",
"display": "Assessment for hearing aid"
},
{
"code": "V5011",
"display": "Hearing aid fitting/checking",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Fitting/orientation/checking of hearing aid"
}
]
},
{
"code": "V5014",
"display": "Hearing aid repair/modifying",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Repair/modification of a hearing aid"
}
]
},
{
"code": "V5020",
"display": "Conformity evaluation"
},
{
"code": "V5030",
"display": "Body-worn hearing aid air",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, monaural, body worn, air conduction"
}
]
},
{
"code": "V5040",
"display": "Body-worn hearing aid bone",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, monaural, body worn, bone conduction"
}
]
},
{
"code": "V5050",
"display": "Hearing aid monaural in ear",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, monaural, in the ear"
}
]
},
{
"code": "V5060",
"display": "Behind ear hearing aid",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, monaural, behind the ear"
}
]
},
{
"code": "V5070",
"display": "Glasses air conduction",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Glasses, air conduction"
}
]
},
{
"code": "V5080",
"display": "Glasses bone conduction",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Glasses, bone conduction"
}
]
},
{
"code": "V5090",
"display": "Hearing aid dispensing fee",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dispensing fee, unspecified hearing aid"
}
]
},
{
"code": "V5095",
"display": "Implant mid ear hearing pros",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Semi-implantable middle ear hearing prosthesis"
}
]
},
{
"code": "V5100",
"display": "Body-worn bilat hearing aid",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, bilateral, body worn"
}
]
},
{
"code": "V5110",
"display": "Hearing aid dispensing fee",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dispensing fee, bilateral"
}
]
},
{
"code": "V5120",
"display": "Body-worn binaur hearing aid",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Binaural, body"
}
]
},
{
"code": "V5130",
"display": "In ear binaural hearing aid",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Binaural, in the ear"
}
]
},
{
"code": "V5140",
"display": "Behind ear binaur hearing ai",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Binaural, behind the ear"
}
]
},
{
"code": "V5150",
"display": "Glasses binaural hearing aid",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Binaural, glasses"
}
]
},
{
"code": "V5160",
"display": "Dispensing fee binaural",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dispensing fee, binaural"
}
]
},
{
"code": "V5170",
"display": "Within ear cros hearing aid",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, cros, in the ear"
}
]
},
{
"code": "V5171",
"display": "Hearing aid monaural ite",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, contralateral routing device, monaural, in the ear (ite)"
}
]
},
{
"code": "V5172",
"display": "Hearing aid monaural itc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, contralateral routing device, monaural, in the canal (itc)"
}
]
},
{
"code": "V5180",
"display": "Behind ear cros hearing aid",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, cros, behind the ear"
}
]
},
{
"code": "V5181",
"display": "Hearing aid monaural bte",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, contralateral routing device, monaural, behind the ear (bte)"
}
]
},
{
"code": "V5190",
"display": "Hearing aid monaural glasses",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, contralateral routing, monaural, glasses"
}
]
},
{
"code": "V5200",
"display": "Disp fee contralateral monau",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dispensing fee, contralateral, monaural"
}
]
},
{
"code": "V5210",
"display": "In ear bicros hearing aid",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, bicros, in the ear"
}
]
},
{
"code": "V5211",
"display": "Hearing aid binaural ite/ite",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, contralateral routing system, binaural, ite/ite"
}
]
},
{
"code": "V5212",
"display": "Hearing aid binaural ite/itc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, contralateral routing system, binaural, ite/itc"
}
]
},
{
"code": "V5213",
"display": "Hearing aid binaural ite/bte",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, contralateral routing system, binaural, ite/bte"
}
]
},
{
"code": "V5214",
"display": "Hearing aid binaural itc/itc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, contralateral routing system, binaural, itc/itc"
}
]
},
{
"code": "V5215",
"display": "Hearing aid binaural itc/bte",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, contralateral routing system, binaural, itc/bte"
}
]
},
{
"code": "V5220",
"display": "Behind ear bicros hearing ai",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, bicros, behind the ear"
}
]
},
{
"code": "V5221",
"display": "Hearing aid binaural bte/bte",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, contralateral routing system, binaural, bte/bte"
}
]
},
{
"code": "V5230",
"display": "Hearing aid binaural glasses",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, contralateral routing system, binaural, glasses"
}
]
},
{
"code": "V5240",
"display": "Disp fee contralateral binau",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dispensing fee, contralateral routing system, binaural"
}
]
},
{
"code": "V5241",
"display": "Dispensing fee, monaural",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Dispensing fee, monaural hearing aid, any type"
}
]
},
{
"code": "V5242",
"display": "Hearing aid, monaural, cic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, analog, monaural, cic (completely in the ear canal)"
}
]
},
{
"code": "V5243",
"display": "Hearing aid, monaural, itc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, analog, monaural, itc (in the canal)"
}
]
},
{
"code": "V5244",
"display": "Hearing aid, prog, mon, cic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, digitally programmable analog, monaural, cic"
}
]
},
{
"code": "V5245",
"display": "Hearing aid, prog, mon, itc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, digitally programmable, analog, monaural, itc"
}
]
},
{
"code": "V5246",
"display": "Hearing aid, prog, mon, ite",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, digitally programmable analog, monaural, ite (in the ear)"
}
]
},
{
"code": "V5247",
"display": "Hearing aid, prog, mon, bte",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, digitally programmable analog, monaural, bte (behind the ear)"
}
]
},
{
"code": "V5248",
"display": "Hearing aid, binaural, cic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, analog, binaural, cic"
}
]
},
{
"code": "V5249",
"display": "Hearing aid, binaural, itc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, analog, binaural, itc"
}
]
},
{
"code": "V5250",
"display": "Hearing aid, prog, bin, cic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, digitally programmable analog, binaural, cic"
}
]
},
{
"code": "V5251",
"display": "Hearing aid, prog, bin, itc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, digitally programmable analog, binaural, itc"
}
]
},
{
"code": "V5252",
"display": "Hearing aid, prog, bin, ite",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, digitally programmable, binaural, ite"
}
]
},
{
"code": "V5253",
"display": "Hearing aid, prog, bin, bte",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, digitally programmable, binaural, bte"
}
]
},
{
"code": "V5254",
"display": "Hearing id, digit, mon, cic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, digital, monaural, cic"
}
]
},
{
"code": "V5255",
"display": "Hearing aid, digit, mon, itc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, digital, monaural, itc"
}
]
},
{
"code": "V5256",
"display": "Hearing aid, digit, mon, ite",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, digital, monaural, ite"
}
]
},
{
"code": "V5257",
"display": "Hearing aid, digit, mon, bte",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, digital, monaural, bte"
}
]
},
{
"code": "V5258",
"display": "Hearing aid, digit, bin, cic",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, digital, binaural, cic"
}
]
},
{
"code": "V5259",
"display": "Hearing aid, digit, bin, itc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, digital, binaural, itc"
}
]
},
{
"code": "V5260",
"display": "Hearing aid, digit, bin, ite",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, digital, binaural, ite"
}
]
},
{
"code": "V5261",
"display": "Hearing aid, digit, bin, bte",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, digital, binaural, bte"
}
]
},
{
"code": "V5262",
"display": "Hearing aid, disp, monaural",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, disposable, any type, monaural"
}
]
},
{
"code": "V5263",
"display": "Hearing aid, disp, binaural",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, disposable, any type, binaural"
}
]
},
{
"code": "V5264",
"display": "Ear mold/insert",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ear mold/insert, not disposable, any type"
}
]
},
{
"code": "V5265",
"display": "Ear mold/insert, disp",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ear mold/insert, disposable, any type"
}
]
},
{
"code": "V5266",
"display": "Battery for hearing device",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Battery for use in hearing device"
}
]
},
{
"code": "V5267",
"display": "Hearing aid sup/access/dev",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid or assistive listening device/supplies/accessories, not otherwise specified"
}
]
},
{
"code": "V5268",
"display": "Ald telephone amplifier",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Assistive listening device, telephone amplifier, any type"
}
]
},
{
"code": "V5269",
"display": "Alerting device, any type",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Assistive listening device, alerting, any type"
}
]
},
{
"code": "V5270",
"display": "Ald, tv amplifier, any type",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Assistive listening device, television amplifier, any type"
}
]
},
{
"code": "V5271",
"display": "Ald, tv caption decoder",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Assistive listening device, television caption decoder"
}
]
},
{
"code": "V5272",
"display": "Tdd",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Assistive listening device, tdd"
}
]
},
{
"code": "V5273",
"display": "Ald for cochlear implant",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Assistive listening device, for use with cochlear implant"
}
]
},
{
"code": "V5274",
"display": "Ald unspecified",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Assistive listening device, not otherwise specified"
}
]
},
{
"code": "V5275",
"display": "Ear impression",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Ear impression, each"
}
]
},
{
"code": "V5281",
"display": "Ald fm/dm system, monaural",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Assistive listening device, personal fm/dm system, monaural, (1 receiver, transmitter, microphone), any type"
}
]
},
{
"code": "V5282",
"display": "Ald fm/dm system binaural",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Assistive listening device, personal fm/dm system, binaural, (2 receivers, transmitter, microphone), any type"
}
]
},
{
"code": "V5283",
"display": "Ald neck, loop ind receiver",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Assistive listening device, personal fm/dm neck, loop induction receiver"
}
]
},
{
"code": "V5284",
"display": "Ald fm/dm ear level receiver",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Assistive listening device, personal fm/dm, ear level receiver"
}
]
},
{
"code": "V5285",
"display": "Ald fm/dm aud input receiver",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Assistive listening device, personal fm/dm, direct audio input receiver"
}
]
},
{
"code": "V5286",
"display": "Ald blu tooth fm/dm receiver",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Assistive listening device, personal blue tooth fm/dm receiver"
}
]
},
{
"code": "V5287",
"display": "Ald fm/dm receiver, nos",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Assistive listening device, personal fm/dm receiver, not otherwise specified"
}
]
},
{
"code": "V5288",
"display": "Ald fm/dm transmitter ald",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Assistive listening device, personal fm/dm transmitter assistive listening device"
}
]
},
{
"code": "V5289",
"display": "Ald fm/dm adapt/boot couplin",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Assistive listening device, personal fm/dm adapter/boot coupling device for receiver, any type"
}
]
},
{
"code": "V5290",
"display": "Ald transmitter microphone",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Assistive listening device, transmitter microphone, any type"
}
]
},
{
"code": "V5298",
"display": "Hearing aid noc",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing aid, not otherwise classified"
}
]
},
{
"code": "V5299",
"display": "Hearing service",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Hearing service, miscellaneous"
}
]
},
{
"code": "V5336",
"display": "Repair communication device",
"designation": [
{
"use": {
"system": "http://fhir.org/packages/fhir.tx.support/CodeSystem/designation-usage",
"code": "long-description"
},
"value": "Repair/modification of augmentative communicative system or device (excludes adaptive hearing aid)"
}
]
},
{
"code": "V5362",
"display": "Speech screening"
},
{
"code": "V5363",
"display": "Language screening"
},
{
"code": "V5364",
"display": "Dysphagia screening"
}
]
}