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FHIR IG Statistics: CodeSystem/CPT

Packagehl7.terminology
TypeCodeSystem
IdCPT
FHIR VersionR5
Sourcehttp://terminology.hl7.org/https://build.fhir.org/ig/HL7/UTG/CodeSystem-CPT.html
URLhttp://www.ama-assn.org/go/cpt
Version3.0.1
Statusactive
Date2020-11-12T00:00:00-04:00
NameCPT
TitleCurrent Procedural Terminology (CPT®)
Realmuv
Authorityhl7
DescriptionThe Current Procedural Terminology (CPT) code set, created and maintained by the American Medical Association, is the language of medicine today and the code to its future. This system of terminology is the most widely accepted medical nomenclature used to report medical procedures and services under public and private health insurance programs. CPT coding is also used for administrative management purposes such as claims processing and developing guidelines for medical care review. Each year, via a rigorous, evidence-based and transparent process, the independent CPT Editorial Panel revises, creates or deletes hundreds of codes in order to reflect current medical practice. Designated by the U.S. Department of Health and Human Services under the Health Insurance Portability and Accountability Act (HIPAA) as a national coding set for physician and other health care professional services and procedures, CPT’s evidence-based codes accurately encompass the full range of health care services. All CPT codes are five-digits and can be either numeric or alphanumeric, depending on the category. CPT code descriptors are clinically focused and utilize common standards so that a diverse set of users can have common understanding across the clinical health care paradigm. There are various types of CPT codes: Category I: These codes have descriptors that correspond to a procedure or service. Codes range from 00100–99499 and are generally ordered into sub-categories based on procedure/service type and anatomy. Category II: These alphanumeric tracking codes are supplemental codes used for performance measurement. Using them is optional and not required for correct coding. Category III: These are temporary alphanumeric codes for new and developing technology, procedures and services. They were created for data collection, assessment and in some instances, payment of new services and procedures that currently don’t meet the criteria for a Category I code. Proprietary Laboratory Analyses (PLA) codes: These codes describe proprietary clinical laboratory analyses and can be either provided by a single (“solesource”) laboratory or licensed or marketed to multiple providing laboratories that are cleared or approved by the Food and Drug Administration (FDA)). This category includes but is not limited to Advanced Diagnostic Laboratory Tests (ADLTs) and Clinical Diagnostic Laboratory Tests (CDLTs), as defined under the Protecting Access to Medicare Act of 2014 (PAMA).
Contentnot-present

Resources that use this resource

ValueSet
TransfusionProcedureCodeVSCodes that represent a transfusion procedure Value Set
mcode-cancer-related-surgical-procedure-vsCancer-Related Surgical Procedure Value Set
proceduresOphthalmology Procedures Valueset
X12278RequestedServiceModifierTypeX12 278 Requested Service Modifier Type
X12278RequestedServiceTypeX12 278 Requested Service Type
PCTGFEItemCptHcpcsVSPCT GFE Item CPT - HCPCS Value Set
USClaimMedicalProductOrServiceCodesClaim Medical Product or Service Value Set
cpt-allAMA CPT All Codes
cpt-baseAMA CPT Base Codes
cpt-modifiersAMA CPT Modifier Codes
cpt-usableAMA CPT Usable Codes
AMACPTCMSHCPCSModifiersProcedure Modifier Codes - AMA CPT - CMS HCPCS Value Set
AMACPTCMSHCPCSProcedureCodesProcedure Codes - AMA CPT - CMS HCPCS Value Set
C4BBEOBInstitutionalProcedureCodesProcedure Codes - AMA CPT - CMS HCPCS - CMS HIPPS Value Set
deviceRequestCRD Device Request Codes Value Set
serviceRequestCodesCRD Service Request Codes Value Set
office-visitOffice Visit
PCDEPlanActionPCDE Plan Action
vn-procedure-codeValueSet dành cho Mã dịch vụ kỹ thuật
PDexPAInstitutionalProcedureCodesProcedure Codes - AMA CPT - CMS HCPCS - CMS HIPPS
PDexPAInstitutionalProcedureCodesVSPrior Authorization Procedure Codes - AMA CPT - CMS HCPCS - CMS HIPPS
sensitive-condition-codesValueSet - Sensitive Condition Codes
sensitive-observation-codesValueSet - Sensitive Observation Codes
us-core-procedure-codeUS Core Procedure Codes
PregnancyProcedureDelivery-CPTPregnancy Procedure Delivery CPT
VentilatorProceduresVentilator Procedures
cpt-allAMA CPT All Codes
cpt-baseAMA CPT Base Codes
cpt-modifiersAMA CPT Modifier Codes
cpt-usableAMA CPT Usable Codes
healthcare-service-procedure-code-cptHealthCare Service Procedure Code CPT
us-core-encounter-typeUS Core Encounter Type
procedure-type Argonaut ProcedureType
1.2.91.13925.17760.19613338Immunoglobulin G Testing Grouping
1.2.91.13925.17760.24927846Specific IgE testing
1.2.91.13925.17760.26050446Ear Surgery Affecting the Tympanic Membrane
1.2.91.13925.17760.26878039Specific IgE Testing
1.2.91.13925.17760.29996863Immunoglobulin G testing
1.2.91.8867.26816.649902Office or Outpatient Encounter
2.16.840.1.113762.1.4.1032.305Counseling for Physical Activity CPT
2.16.840.1.113762.1.4.1032.307Counseling for Physical Activity CDS
2.16.840.1.113762.1.4.1034.661Short term preventive treatment for cluster headache
2.16.840.1.113762.1.4.1045.69Endotracheal Intubation
2.16.840.1.113762.1.4.1047.515Bariatric Procedures
2.16.840.1.113762.1.4.1047.518Ophthalmologist visit
2.16.840.1.113762.1.4.1047.521Ophthalmoscopic exam
2.16.840.1.113762.1.4.1047.523Opthalmoscopic exams with Scleral Depression
2.16.840.1.113762.1.4.1047.526Retina Ultrasound
2.16.840.1.113762.1.4.1047.536Macula examination
2.16.840.1.113762.1.4.1047.539Fluorescein angiography
2.16.840.1.113762.1.4.1047.541Optical coherence tomography (OCT)
2.16.840.1.113762.1.4.1047.542Intravitreal injection
2.16.840.1.113762.1.4.1047.581Intravitreal and Periocular Injections
2.16.840.1.113762.1.4.1047.610Scleral depressed exam
2.16.840.1.113762.1.4.1047.612Scleral depressed exam
2.16.840.1.113762.1.4.1047.629Post operative follow up
2.16.840.1.113762.1.4.1078.1004OIA_RFs_Secondary_Prevention_CPT
2.16.840.1.113762.1.4.1078.1005OIA_RFs_Secondary_Prevention_ICD_SM_CPT
2.16.840.1.113762.1.4.1078.1109Cardiac CT CPT
2.16.840.1.113762.1.4.1078.1111Cardiac CT
2.16.840.1.113762.1.4.1078.1113Cardiac MRI CPT
2.16.840.1.113762.1.4.1078.1114Cardiac MRI
2.16.840.1.113762.1.4.1078.1116CT Angiography of Coronary Artery CPT
2.16.840.1.113762.1.4.1078.1117CT Angiography of Coronary Artery
2.16.840.1.113762.1.4.1078.5Delivery - Procedure
2.16.840.1.113762.1.4.1078.508Abdominal aortic imaging CPT
2.16.840.1.113762.1.4.1078.599PIM_Vitamin B12 Level_LOINC_CPT
2.16.840.1.113762.1.4.1078.601PIM_Vitamin B12 Level_CPT
2.16.840.1.113762.1.4.1078.701PIM_DEXA_Scan_CPT_LOINC
2.16.840.1.113762.1.4.1078.798Knee joint surgery CPT
2.16.840.1.113762.1.4.1078.800Knee joint surgery
2.16.840.1.113762.1.4.1078.813Hip joint surgery CPT
2.16.840.1.113762.1.4.1078.815Hip joint surgery
2.16.840.1.113762.1.4.1078.860PIM_Ambulatory_Visits_CPTs
2.16.840.1.113762.1.4.1078.874PIM_Lipid_Panel_CPTs
2.16.840.1.113762.1.4.1078.875PIM_Hepatic_Function_Panel_CPTs
2.16.840.1.113762.1.4.1078.925PIM_CMP_CPTs
2.16.840.1.113762.1.4.1078.946Vibration Controlled Transient Elastography (VCTE)
2.16.840.1.113762.1.4.1078.998OIA_Coronary_Arterial_Revascularization
2.16.840.1.113762.1.4.1080.5Contact or Office Visit
2.16.840.1.113762.1.4.1080.6Contact or Office Visit
2.16.840.1.113762.1.4.1095.79Nutrition Encounter Individual and Group CPT
2.16.840.1.113762.1.4.1095.81Nutrition Encounter Codes Grouping
2.16.840.1.113762.1.4.1095.88Nutrition Intervention Care Planning
2.16.840.1.113762.1.4.1095.90Medical Nutrition Therapy Procedures
2.16.840.1.113762.1.4.1102.63Case Management for Behavioral Health
2.16.840.1.113762.1.4.1102.64Case Management for Behavioral Health
2.16.840.1.113762.1.4.1108.126Bone Scan
2.16.840.1.113762.1.4.1108.175Office and Wellness Visits for General Screening
2.16.840.1.113762.1.4.1108.177Office and Wellness Visits for General Screening
2.16.840.1.113762.1.4.1108.28Non Acute Encounter Codes CPT
2.16.840.1.113762.1.4.1111.176Opioid Medication Assisted Treatment (MAT) HCPCS
2.16.840.1.113762.1.4.1116.341External Beam Radiotherapy
2.16.840.1.113762.1.4.1130.3Radiation Therapy Indicators from CPT
2.16.840.1.113762.1.4.1130.4Diagnostic Radiology Surrounding Face and Sinus
2.16.840.1.113762.1.4.1130.5Ear Surgery Affecting the Tympanic Membrane
2.16.840.1.113762.1.4.1130.6Allergic Rhinitis Immunotherapy
2.16.840.1.113762.1.4.1130.8Radiology to Head and Sinus
2.16.840.1.113762.1.4.1130.9Immunotherapy For Allergic Rhinitis
2.16.840.1.113762.1.4.1138.564CABG or PCI Procedure
2.16.840.1.113762.1.4.1138.566CABG or PCI Procedure
2.16.840.1.113762.1.4.1142.58C2S Sensitive Categories
2.16.840.1.113762.1.4.1142.59C2S Opioids
2.16.840.1.113762.1.4.1142.60C2S HIV/AIDS information Sensitivity
2.16.840.1.113762.1.4.1151.1DEXA Dual Energy Xray Absorptiometry, Bone Density
2.16.840.1.113762.1.4.1151.53Cystectomy for Urology Care
2.16.840.1.113762.1.4.1151.55Cystectomy for Urology Care
2.16.840.1.113762.1.4.1151.59Hospital Services for Urology
2.16.840.1.113762.1.4.1151.6Peripheral DXA Scan
2.16.840.1.113762.1.4.1160.13Preventative Clinical Encounters
2.16.840.1.113762.1.4.1160.14Intensive Lifestyle Interventions
2.16.840.1.113762.1.4.1160.17Intensive lifestyle interventions
2.16.840.1.113762.1.4.1160.21Outpatient Clinical Encounters
2.16.840.1.113762.1.4.1160.24Outpatient Clinical Encounters
2.16.840.1.113762.1.4.1160.31Prediabetes HbA1c Tests
2.16.840.1.113762.1.4.1160.32Prediabetes HbA1c Tests
2.16.840.1.113762.1.4.1160.34Prediabetes Oral Glucose Tolerance Tests
2.16.840.1.113762.1.4.1160.35Prediabetes Oral Glucose Tolerance Tests
2.16.840.1.113762.1.4.1160.37Prediabetes Fasting plasma glucose or Plasma Glucose Tests
2.16.840.1.113762.1.4.1160.38Prediabetes Fasting plasma glucose or Plasma Glucose Tests
2.16.840.1.113762.1.4.1160.5Glycemic Screening Tests
2.16.840.1.113762.1.4.1160.52Remote Physiologic Blood Pressure Monitoring
2.16.840.1.113762.1.4.1160.6Glycemic Screening Tests
2.16.840.1.113762.1.4.1160.7Preventative Clinical Encounters
2.16.840.1.113762.1.4.1160.78Medication Therapy Management Services for Essential Hypertension
2.16.840.1.113762.1.4.1160.79Medication Therapy Management Services for Essential Hypertension
2.16.840.1.113762.1.4.1166.110Pregnancy Bundle Visits
2.16.840.1.113762.1.4.1166.111Prenatal Care Specific Visits CPT
2.16.840.1.113762.1.4.1166.114Prenatal Care Specific Visits
2.16.840.1.113762.1.4.1166.118Infecund Not for Contraceptive Reasons CPT Procedures
2.16.840.1.113762.1.4.1166.120Prenatal Care Visits CPT
2.16.840.1.113762.1.4.1166.127Non Live Birth CPT Procedures
2.16.840.1.113762.1.4.1166.135General Prenatal Care Visits
2.16.840.1.113762.1.4.1166.136Non Live Birth Procedures
2.16.840.1.113762.1.4.1166.139IUD Provision Procedures
2.16.840.1.113762.1.4.1166.142Female Sterilization Provision Procedures
2.16.840.1.113762.1.4.1166.143Live Birth Delivery CPT Procedures
2.16.840.1.113762.1.4.1166.151Infecund Not for Contraceptive Reasons Procedures
2.16.840.1.113762.1.4.1166.168Pregnancy Bundle CPT
2.16.840.1.113762.1.4.1166.177Live Birth Delivery Procedures
2.16.840.1.113762.1.4.1166.180Contraceptive Implant CPT Provision Procedures
2.16.840.1.113762.1.4.1166.202Contraceptive Implant Provision Procedures
2.16.840.1.113762.1.4.1166.204Prenatal Care Bundle CPT
2.16.840.1.113762.1.4.1166.205Prenatal Care Bundle Visits
2.16.840.1.113762.1.4.1166.78Intrauterine Devices CPT Provision Procedures
2.16.840.1.113762.1.4.1166.93Female Sterilization CPT Provision Procedures
2.16.840.1.113762.1.4.1170.17Intervention for Positive Food Insecurity Screen
2.16.840.1.113762.1.4.1170.19Intervention for Positive Food Insecurity Screen
2.16.840.1.113762.1.4.1170.22Emergency Department Observation
2.16.840.1.113762.1.4.1170.35Advance Directive Documentation
2.16.840.1.113762.1.4.1170.40Advance Care Planning Documentation
2.16.840.1.113762.1.4.1170.45Advance Care Planning Documentation
2.16.840.1.113762.1.4.1178.31Heart Transplant
2.16.840.1.113762.1.4.1178.33Heart Transplant
2.16.840.1.113762.1.4.1178.39Cardiac Rehabilitation
2.16.840.1.113762.1.4.1178.40Cardiac Rehabilitation
2.16.840.1.113762.1.4.1178.53Cardiac Pacer
2.16.840.1.113762.1.4.1178.61Left Ventricular Assist Device Placement
2.16.840.1.113762.1.4.1178.62Left Ventricular Assist Device Placement
2.16.840.1.113762.1.4.1178.65Cardiac Pacer
2.16.840.1.113762.1.4.1178.76Mechanical Prosthetic Heart Valve
2.16.840.1.113762.1.4.1178.78Mechanical Prosthetic Heart Valve
2.16.840.1.113762.1.4.1178.85Carotid Intervention
2.16.840.1.113762.1.4.1196.789Social Determinants of Health Procedures
2.16.840.1.113762.1.4.1196.790Social Determinants of Health Service Requests
2.16.840.1.113762.1.4.1206.47Imaging Related to VTE
2.16.840.1.113762.1.4.1206.56FOBT_Lab
2.16.840.1.113762.1.4.1206.57Colorectal Screening
2.16.840.1.113762.1.4.1206.58Screening Mammogram (CPT)
2.16.840.1.113762.1.4.1206.61Screening Mammogram (Grouping)
2.16.840.1.113762.1.4.1206.62Diagnostic Mammography (CPT)
2.16.840.1.113762.1.4.1206.65Diagnostic Mammography
2.16.840.1.113762.1.4.1206.66Breast Cancer Biopsy and Surgical Excision
2.16.840.1.113762.1.4.1217.2TESTSemanticBitsValueSet
2.16.840.1.113762.1.4.1221.150Abortion, All
2.16.840.1.113762.1.4.1221.151Abortion, All (CPT)
2.16.840.1.113762.1.4.1221.154Abortion, 2nd Trimester
2.16.840.1.113762.1.4.1221.159Abortion, Induced
2.16.840.1.113762.1.4.1221.161Abortion, Induced
2.16.840.1.113762.1.4.1221.162Abortion, Medical Management
2.16.840.1.113762.1.4.1221.164Abortion, Medical Management
2.16.840.1.113762.1.4.1221.166Abortion, Surgical Management
2.16.840.1.113762.1.4.1221.168Abortion, Surgical Management
2.16.840.1.113762.1.4.1221.198Intersex Surgery, Female to Male
2.16.840.1.113762.1.4.1221.199Intersex Surgery, Female to Male
2.16.840.1.113762.1.4.1221.201Intersex Surgery, Male to Female Sex
2.16.840.1.113762.1.4.1221.202Intersex Surgery, Male to Female Sex
2.16.840.1.113762.1.4.1221.203Intersex Surgery, All
2.16.840.1.113762.1.4.1221.216Abortion, 1st Trimester
2.16.840.1.113762.1.4.1228.2Excessive Radiation Dose or Inadequate Image Quality for Diagnostic Computed Tomography Non Diagnostic or Non CT
2.16.840.1.113762.1.4.1228.3Excessive Radiation Dose or Inadequate Image Quality for Diagnostic Computed Tomography Nuclear Medicine With CT
2.16.840.1.113762.1.4.1228.4Excessive Radiation Dose or Inadequate Image Quality for Diagnostic Computed Tomography CT Without Specified Body Region
2.16.840.1.113762.1.4.1234.71Transfusion CPT codes for exposure identification
2.16.840.1.113762.1.4.1234.74Transfusion CPT, ICD9, ICD10PCS codes for exposure identification
2.16.840.1.113762.1.4.1235.1Test Diabetes codes
2.16.840.1.113762.1.4.1235.164Diabetic Retinal Screening HD CPT for Tax Pair
2.16.840.1.113762.1.4.1235.171End Stage Renal Disease (ESRD)_HD_LOINC
2.16.840.1.113762.1.4.1235.172End Stage Renal Disease (ESRD)_HD_Clinical Condition Grouping
2.16.840.1.113762.1.4.1235.174Systolic Blood Pressure_HD_CPT
2.16.840.1.113762.1.4.1235.176Systolic Blood Pressure_HD
2.16.840.1.113762.1.4.1235.178Diastolic Blood Pressure_HD_CPT
2.16.840.1.113762.1.4.1235.180Diastolic Blood Pressure_HD
2.16.840.1.113762.1.4.1235.182Remote Blood Pressure_HD
2.16.840.1.113762.1.4.1235.183Remote Blood Pressure_HD_CPT
2.16.840.1.113762.1.4.1235.185Acute Inpatient_CN_HD_CPT
2.16.840.1.113762.1.4.1235.186Acute Inpatient_HD_Grouping
2.16.840.1.113762.1.4.1235.187ED Visit_CN_HD_CPT
2.16.840.1.113762.1.4.1235.190Pregnancy_HD_Grouping
2.16.840.1.113762.1.4.1235.193ED Visit_HD_Grouping
2.16.840.1.113762.1.4.1235.197Lipid Panel_Event_CPT
2.16.840.1.113762.1.4.1235.198Lipid Panel_Event_Grouping
2.16.840.1.113762.1.4.1235.20Annual Physical CN5
2.16.840.1.113762.1.4.1235.202Unknown Glucose_Event_CPT
2.16.840.1.113762.1.4.1235.204Unknown Glucose_Lab_Grouping
2.16.840.1.113762.1.4.1235.21Annual Physical CPT CN5
2.16.840.1.113762.1.4.1235.226Pneumococcal Vaccine CN_HD_CPT
2.16.840.1.113762.1.4.1235.227Pneumococcal Vaccine_HD_CN_Grouping
2.16.840.1.113762.1.4.1235.23Annual Physical CPT for Tax Pair CN5
2.16.840.1.113762.1.4.1235.231Influenza Vaccine CN_HD_CPT
2.16.840.1.113762.1.4.1235.232Influenza Vaccine_HD_CN_Grouping
2.16.840.1.113762.1.4.1235.240Chemotherapy CN_HD_CPT
2.16.840.1.113762.1.4.1235.241Chemotherapy_HD_CN_Grouping
2.16.840.1.113762.1.4.1235.263Heart Failure (CHF)_CPT
2.16.840.1.113762.1.4.1235.265Heart Failure (CHF)_Clinical Condition Grouping
2.16.840.1.113762.1.4.1235.274Total Cholesterol_CPT
2.16.840.1.113762.1.4.1235.275Total Cholesterol_Lab_Grouping
2.16.840.1.113762.1.4.1235.286Colectomy_CPT
2.16.840.1.113762.1.4.1235.290Colectomy_Event_Grouping
2.16.840.1.113762.1.4.1235.291CT Colonography_CPT
2.16.840.1.113762.1.4.1235.294CT Colonography_Event_Grouping
2.16.840.1.113762.1.4.1235.296FIT DNA_CPT
2.16.840.1.113762.1.4.1235.299FIT DNA Test_Lab_Grouping
2.16.840.1.113762.1.4.1235.30Annual Physical Codes for Tax Pair CN5
2.16.840.1.113762.1.4.1235.300Sigmoidoscopy_CPT
2.16.840.1.113762.1.4.1235.304Sigmoidoscopy_Event_Grouping
2.16.840.1.113762.1.4.1235.305Colonoscopy_CPT
2.16.840.1.113762.1.4.1235.309Colonoscopy_Event_Grouping
2.16.840.1.113762.1.4.1235.310FOBT Lab_CPT
2.16.840.1.113762.1.4.1235.314FOBT Lab Test_Lab_Grouping
2.16.840.1.113762.1.4.1235.323Hysterectomy With No Residual Cervix_HD_CPT
2.16.840.1.113762.1.4.1235.327Hysterectomy With No Residual Cervix_HD_Grouping
2.16.840.1.113762.1.4.1235.328High Risk HPV Test_HD_CPT
2.16.840.1.113762.1.4.1235.332High Risk HPV Test_HD_Grouping
2.16.840.1.113762.1.4.1235.333Cervical Cytology_HD_CPT
2.16.840.1.113762.1.4.1235.337Cervical Cytology_HD_Grouping
2.16.840.1.113762.1.4.1235.343AFib (Atrial Fibrillation)_CPT
2.16.840.1.113762.1.4.1235.344AFib (Atrial Fibrillation)_Clinical Condition Grouping
2.16.840.1.113762.1.4.1235.345COVID19 Vaccine_CPT
2.16.840.1.113762.1.4.1235.350COVID19 Vaccine_Event Clinical Grouping
2.16.840.1.113762.1.4.1235.354Coronary Artery Disease (CAD)_CPT
2.16.840.1.113762.1.4.1235.359Coronary Artery Disease (CAD)_Clinical Condition Grouping
2.16.840.1.113762.1.4.1235.365Other Revascularization_CPT
2.16.840.1.113762.1.4.1235.366Other Revascularization_Grouping
2.16.840.1.113762.1.4.1235.404First Trimester_CPT
2.16.840.1.113762.1.4.1235.406First Trimester_Clinical Grouping Event
2.16.840.1.113762.1.4.1235.461Pregnancy_CN_HD_CPT
2.16.840.1.113762.1.4.1235.465Second Trimester_Clinical Grouping Event
2.16.840.1.113762.1.4.1235.468Third Trimester_Clinical Grouping Event
2.16.840.1.113762.1.4.1235.472OGTT_CPT
2.16.840.1.113762.1.4.1235.476OGTT_Grouping
2.16.840.1.113762.1.4.1235.477Second Trimester_CPT
2.16.840.1.113762.1.4.1235.488Prostectomy_CPT
2.16.840.1.113762.1.4.1235.490Prostectomy_Grouping
2.16.840.1.113762.1.4.1235.496Active Pregnancy_CPT
2.16.840.1.113762.1.4.1235.500Active Pregnancy_Clinical Grouping Event
2.16.840.1.113762.1.4.1235.505Third Trimester_CPT
2.16.840.1.113762.1.4.1235.525Postpartum_CPT
2.16.840.1.113762.1.4.1235.531Postpartum_Clinical Grouping Event
2.16.840.1.113762.1.4.1235.539bwell_Vital_Vital Signs Panel_CPT
2.16.840.1.113762.1.4.1235.543Depression_Clinical Grouping Condition_CPT
2.16.840.1.113762.1.4.1235.549Depression_Clinical Grouping Condition
2.16.840.1.113762.1.4.1235.554CABG_Clinical Grouping Condition_CPT
2.16.840.1.113762.1.4.1235.558CABG_Clinical Grouping Condition
2.16.840.1.113762.1.4.1235.559PCI (Percutaneous Coronary Intervention)_Clinical Grouping Condition_CPT
2.16.840.1.113762.1.4.1235.56Diabetic Retinal Screening HD CPT
2.16.840.1.113762.1.4.1235.564PCI (Percutaneous Coronary Intervention)_Clinical Grouping Condition
2.16.840.1.113762.1.4.1235.568Total and Partial Neph_HD_Clinical Grouping Condition_CPT
2.16.840.1.113762.1.4.1235.571Total and Partial Neph_HD_Clinical Grouping Condition
2.16.840.1.113762.1.4.1235.572Kid Trans and Hx_HD_Clinical Grouping Condition_CPT
2.16.840.1.113762.1.4.1235.578Kid Trans and Hx_HD_Clinical Grouping Condition
2.16.840.1.113762.1.4.1235.579HbA1c Level Less Than 8.0_HD_Clinical Grouping Condition_CPT
2.16.840.1.113762.1.4.1235.580HbA1c Level Less Than 8.0_HD_Clinical Grouping Condition
2.16.840.1.113762.1.4.1235.581Systolic Less than 140_HD_Clinical Grouping Event_CPT
2.16.840.1.113762.1.4.1235.582Diastolic Less than 90_HD_Clinical Grouping Event_CPT
2.16.840.1.113762.1.4.1235.583Systolic Less than 140_HD_Clinical Grouping Event
2.16.840.1.113762.1.4.1235.584Diastolic Less than 90_HD_Clinical Grouping Event
2.16.840.1.113762.1.4.1235.605Systolic Blood Pressure_Compliant
2.16.840.1.113762.1.4.1235.606Diastolic Blood Pressure_Compliant
2.16.840.1.113762.1.4.1235.607Diastolic Blood Pressure_Compliant_CPT
2.16.840.1.113762.1.4.1235.608Systolic Blood Pressure_Compliant_CPT
2.16.840.1.113762.1.4.1235.618b.well Herpes Zoster Vaccine CN_HD
2.16.840.1.113762.1.4.1235.621b.well Herpes Zoster Vaccine CN_HD_CPT
2.16.840.1.113762.1.4.1235.622b.well Herpes Zoster Vaccine CN_HD_2dose
2.16.840.1.113762.1.4.1235.623b.well Herpes Zoster Vaccine CN_HD_2dose_CPT
2.16.840.1.113762.1.4.1235.629b.well Adult RSV Vaccine CN_CPT
2.16.840.1.113762.1.4.1235.636Lp(a) Test_CPT
2.16.840.1.113762.1.4.1235.637LP(a) Test
2.16.840.1.113762.1.4.1235.638b.well Adult Tetanus Vaccine CN
2.16.840.1.113762.1.4.1235.640b.well Adult Tetanus Vaccine CN_CPT
2.16.840.1.113762.1.4.1247.11Food Insecurity Service Requests
2.16.840.1.113762.1.4.1247.118Health Literacy Procedures
2.16.840.1.113762.1.4.1247.119Health Literacy Service Requests
2.16.840.1.113762.1.4.1247.122Medical Cost Burden Procedures
2.16.840.1.113762.1.4.1247.123Medical Cost Burden Service Requests
2.16.840.1.113762.1.4.1247.124Health Insurance Coverage Status Service Requests
2.16.840.1.113762.1.4.1247.125Health Insurance Coverage Status Procedures
2.16.840.1.113762.1.4.1247.15Food Insecurity Interventions CPT
2.16.840.1.113762.1.4.1247.20Homelessness Procedures
2.16.840.1.113762.1.4.1247.21Homelessness Service Requests
2.16.840.1.113762.1.4.1247.226Digital Literacy Procedures
2.16.840.1.113762.1.4.1247.227Digital Literacy Service Requests
2.16.840.1.113762.1.4.1247.235Digital Access Procedures
2.16.840.1.113762.1.4.1247.236Digital Access Service Requests
2.16.840.1.113762.1.4.1247.247Utility Insecurity Procedures
2.16.840.1.113762.1.4.1247.252Utility Insecurity Service Requests
2.16.840.1.113762.1.4.1247.260Incarceration Status Procedures
2.16.840.1.113762.1.4.1247.261Incarceration Status Service Requests
2.16.840.1.113762.1.4.1247.268Language Access Procedures
2.16.840.1.113762.1.4.1247.269Language Access Service Requests
2.16.840.1.113762.1.4.1247.27Transportation Insecurity Procedures
2.16.840.1.113762.1.4.1247.28Transportation Insecurity Service Requests
2.16.840.1.113762.1.4.1247.31Financial Insecurity Service Requests
2.16.840.1.113762.1.4.1247.32Financial Insecurity Procedures
2.16.840.1.113762.1.4.1247.38Material Hardship Service Requests
2.16.840.1.113762.1.4.1247.39Material Hardship Procedures
2.16.840.1.113762.1.4.1247.44Housing Instability Procedures
2.16.840.1.113762.1.4.1247.45Housing Instability Service Requests
2.16.840.1.113762.1.4.1247.52Inadequate Housing Procedures
2.16.840.1.113762.1.4.1247.53Inadequate Housing Service Requests
2.16.840.1.113762.1.4.1247.56Less Than High School Education Procedures
2.16.840.1.113762.1.4.1247.57Less Than High School Education Service Requests
2.16.840.1.113762.1.4.1247.59Unemployment Procedures
2.16.840.1.113762.1.4.1247.60Unemployment Service Requests
2.16.840.1.113762.1.4.1247.67Elder Abuse Procedures
2.16.840.1.113762.1.4.1247.68Elder Abuse Service Requests
2.16.840.1.113762.1.4.1247.7Food Insecurity Procedures
2.16.840.1.113762.1.4.1247.8Social Determinants of Health General Interventions CPT
2.16.840.1.113762.1.4.1247.87Stress Procedures
2.16.840.1.113762.1.4.1247.90Veteran Status Procedures
2.16.840.1.113762.1.4.1247.91Veteran Status Service Requests
2.16.840.1.113762.1.4.1247.92Stress Service Requests
2.16.840.1.113762.1.4.1247.94Social Connection Procedures
2.16.840.1.113762.1.4.1247.95Social Connection Service Requests
2.16.840.1.113762.1.4.1247.97Intimate Partner Violence Procedures
2.16.840.1.113762.1.4.1247.98Intimate Partner Violence Service Requests
2.16.840.1.113762.1.4.1248.274Dietary Recommendations
2.16.840.1.113762.1.4.1248.276Telemedicine Services
2.16.840.1.113762.1.4.1248.356Cystectomy for Urology Care
2.16.840.1.113762.1.4.1248.358Cystectomy for Urology Care
2.16.840.1.113762.1.4.1248.360Hospital Services for Urology Care
2.16.840.1.113762.1.4.1250.2Psychological Neuropsychological or Neurobehavioral Testing
2.16.840.1.113762.1.4.1250.3Psychological or Neuropsychological Testing
2.16.840.1.113762.1.4.1260.107Chemotherapy Encounter
2.16.840.1.113762.1.4.1260.147Telehealth Encounters CPT
2.16.840.1.113762.1.4.1260.151Chemo Admin CPT
2.16.840.1.113762.1.4.1260.153Chemotherapy Administration All
2.16.840.1.113762.1.4.1260.154Radiation Treatment CPT
2.16.840.1.113762.1.4.1260.157Radiation Treatment All
2.16.840.1.113762.1.4.1260.160Telephone Visit CPT
2.16.840.1.113762.1.4.1260.161Telephone Visits All
2.16.840.1.113762.1.4.1260.171Physical Therapy Evaluation CPT
2.16.840.1.113762.1.4.1260.172Physical Therapies Evaluations
2.16.840.1.113762.1.4.1260.186Radiation Treatment Management
2.16.840.1.113762.1.4.1260.210Radiation Treatment Management Codes
2.16.840.1.113762.1.4.1260.211Radiation Treatment Delivery CPT
2.16.840.1.113762.1.4.1260.21277427 Management Code
2.16.840.1.113762.1.4.1260.216Radiation Treatment Delivery
2.16.840.1.113762.1.4.1260.256NSCLC_Tumor_resection CPT
2.16.840.1.113762.1.4.1260.257NSCLC_Tumor_resection SNOMEDCT CPT
2.16.840.1.113762.1.4.1264.12Chest Imaging for Pneumonia Grouping Definition
2.16.840.1.113762.1.4.1264.32CPT Transplants, Stem Cell and Solid
2.16.840.1.113762.1.4.1264.38Transplant, Stem Cell and Solid
2.16.840.1.113762.1.4.1264.9Chest Imaging for Pneumonia, CPT
2.16.840.1.113762.1.4.1267.23Encounter Type
2.16.840.1.113762.1.4.1267.29Encounter Type CPT
2.16.840.1.113762.1.4.1272.15Respiratory Procedures
2.16.840.1.113762.1.4.1282.10Endotracheal Intubation
2.16.840.1.113883.11.20.9.69.1.1Advance Care Planning Services CPT
2.16.840.1.113883.11.20.9.69.1.3Advance Care Planning Services Grouping
2.16.840.1.113883.3.1444.3.205BRCA1 Testing
2.16.840.1.113883.3.1444.3.210Multigene Panel
2.16.840.1.113883.3.1444.3.212BRCA1 and BRCA2 Testing
2.16.840.1.113883.3.1444.3.214BRAF V600 Testing
2.16.840.1.113883.3.1444.3.241Audio Visual Telehealth Encounter
2.16.840.1.113883.3.1444.5.215Audio Visual Telehealth Encounter
2.16.840.1.113883.3.1444.5.235BRCA2 Testing
2.16.840.1.113883.3.1444.5.236Multigene Panel
2.16.840.1.113883.3.1444.5.237BRCA1 Testing
2.16.840.1.113883.3.1444.5.239BRAF V600 Testing
2.16.840.1.113883.3.3157.1Abdomen CT without contrast
2.16.840.1.113883.3.3157.1301Surgery Integumentary System Breast
2.16.840.1.113883.3.3157.1302Surgery Respiratory System Accessory Sinuses
2.16.840.1.113883.3.3157.1303Surgery Respiratory System Larynx
2.16.840.1.113883.3.3157.1304Surgery Respiratory System Trachea and Bronchi
2.16.840.1.113883.3.3157.1305Surgery Respiratory System Lungs and Pleura
2.16.840.1.113883.3.3157.13064Surgery Digestive System Esophagus
2.16.840.1.113883.3.3157.1307Surgery Digestive System Intestines (Except Rectum)
2.16.840.1.113883.3.3157.1308Surgery Digestive System Rectum
2.16.840.1.113883.3.3157.1309Surgery Digestive System Anus
2.16.840.1.113883.3.3157.1310Surgery Digestive System Biliary Tract
2.16.840.1.113883.3.3157.1311Surgery Digestive System Abdomen Peritoneum Omentum
2.16.840.1.113883.3.3157.1312Surgery Digestive System Kidney
2.16.840.1.113883.3.3157.13133Surgery Digestive System Ureter
2.16.840.1.113883.3.3157.1314Surgery Digestive System Bladder
2.16.840.1.113883.3.3157.1315Surgery Female Genital System Cervix Uteri
2.16.840.1.113883.3.3157.1316Surgery Female Genital System Corpus Uteri
2.16.840.1.113883.3.3157.1317Surgery Female Genital System Oviduct Ovary
2.16.840.1.113883.3.3157.1318Surgery Eye and Ocular Adnexa Anterior Segment
2.16.840.1.113883.3.3157.13193Other Surgeries
2.16.840.1.113883.3.3157.13202SPECT MPI
2.16.840.1.113883.3.3157.13213Stress Echocardiography
2.16.840.1.113883.3.3157.13222Stress MRI
2.16.840.1.113883.3.3157.1323CCTA
2.16.840.1.113883.3.3157.1802Physical Therapy
2.16.840.1.113883.3.3157.1803Chiropractic Evaluation
2.16.840.1.113883.3.3157.1804Claim(s) for evaluation and management > 28 days and <60 days preceding the lumbar spine MRI
2.16.840.1.113883.3.3157.1805MRI Lumbar Spine Procedures
2.16.840.1.113883.3.3157.18143Patients with lumbar spine surgery in the 90 days prior to MRI
2.16.840.1.113883.3.3157.190123Diagnostic Mammography Study
2.16.840.1.113883.3.3157.1902Ultrasound of the Breast
2.16.840.1.113883.3.3157.190412Screening Mammography and DBT Studies
2.16.840.1.113883.3.3157.2Abdomen CT with contrast
2.16.840.1.113883.3.3157.2000.3Percutaneous Coronary Intervention CPT
2.16.840.1.113883.3.3157.2000.5Percutaneous Coronary Intervention
2.16.840.1.113883.3.3157.21Abdomen CT Without then With Contrast
2.16.840.1.113883.3.3157.4050Mechanical Circulatory Assist Device
2.16.840.1.113883.3.3157.4052Mechanical Circulatory Assist Device
2.16.840.1.113883.3.3157.4057Emergency Department Encounter
2.16.840.1.113883.3.3157.4066Diagnostic DBT Study
2.16.840.1.113883.3.464.1003.1006Nutrition Services
2.16.840.1.113883.3.464.1003.1007Hospice Care Ambulatory
2.16.840.1.113883.3.464.1003.101.11.1005Office Visit
2.16.840.1.113883.3.464.1003.101.11.1020Initial Hospital Inpatient Visit
2.16.840.1.113883.3.464.1003.101.11.1030Discharge Services Hospital Inpatient Same Day Discharge
2.16.840.1.113883.3.464.1003.101.11.1035Discharge Services Hospital Inpatient
2.16.840.1.113883.3.464.1003.101.11.1040Outpatient Consultation
2.16.840.1.113883.3.464.1003.101.11.1050Emergency Department Evaluation and Management Visit
2.16.840.1.113883.3.464.1003.101.11.1060Nursing Facility Visit
2.16.840.1.113883.3.464.1003.101.11.1065Discharge Services Nursing Facility
2.16.840.1.113883.3.464.1003.101.11.1080Home Healthcare Services
2.16.840.1.113883.3.464.1003.101.11.1110Preventive Care, Initial Office Visit, 0 to 17
2.16.840.1.113883.3.464.1003.101.11.1115Preventive Care Services Initial Office Visit, 18 and Up
2.16.840.1.113883.3.464.1003.101.11.1120Preventive Care, Established Office Visit, 0 to 17
2.16.840.1.113883.3.464.1003.101.11.1125Preventive Care Services Established Office Visit, 18 and Up
2.16.840.1.113883.3.464.1003.101.11.1130Preventive Care Services Individual Counseling
2.16.840.1.113883.3.464.1003.101.11.1135Preventive Care Services Group Counseling
2.16.840.1.113883.3.464.1003.101.11.1221Behavioral Health Follow up Visit
2.16.840.1.113883.3.464.1003.101.11.1222Psychotherapy and Pharmacologic Management
2.16.840.1.113883.3.464.1003.101.11.1232Audiology Visit
2.16.840.1.113883.3.464.1003.101.11.1233Medical Disability Exam
2.16.840.1.113883.3.464.1003.101.11.1260Telephone Visits
2.16.840.1.113883.3.464.1003.101.11.1276Frailty Encounter
2.16.840.1.113883.3.464.1003.101.11.1277Outpatient Encounter
2.16.840.1.113883.3.464.1003.101.11.1281Virtual Encounter
2.16.840.1.113883.3.464.1003.101.12.1001Office Visit
2.16.840.1.113883.3.464.1003.101.12.1004Initial Hospital Inpatient Visit
2.16.840.1.113883.3.464.1003.101.12.1006Discharge Services Hospital Inpatient Same Day Discharge
2.16.840.1.113883.3.464.1003.101.12.1007Discharge Services Hospital Inpatient
2.16.840.1.113883.3.464.1003.101.12.1008Outpatient Consultation
2.16.840.1.113883.3.464.1003.101.12.1010Emergency Department Evaluation and Management Visit
2.16.840.1.113883.3.464.1003.101.12.1012Nursing Facility Visit
2.16.840.1.113883.3.464.1003.101.12.1013Discharge Services Nursing Facility
2.16.840.1.113883.3.464.1003.101.12.1016Home Healthcare Services
2.16.840.1.113883.3.464.1003.101.12.1022Preventive Care Services, Initial Office Visit, 0 to 17
2.16.840.1.113883.3.464.1003.101.12.1023Preventive Care Services Initial Office Visit, 18 and Up
2.16.840.1.113883.3.464.1003.101.12.1024Preventive Care, Established Office Visit, 0 to 17
2.16.840.1.113883.3.464.1003.101.12.1025Preventive Care Services Established Office Visit, 18 and Up
2.16.840.1.113883.3.464.1003.101.12.1026Preventive Care Services Individual Counseling
2.16.840.1.113883.3.464.1003.101.12.1027Preventive Care Services Group Counseling
2.16.840.1.113883.3.464.1003.101.12.1054Behavioral Health Follow up Visit
2.16.840.1.113883.3.464.1003.101.12.1055Psychotherapy and Pharmacologic Management
2.16.840.1.113883.3.464.1003.101.12.1066Audiology Visit
2.16.840.1.113883.3.464.1003.101.12.1073Medical Disability Exam
2.16.840.1.113883.3.464.1003.101.12.1080Telephone Visits
2.16.840.1.113883.3.464.1003.101.12.1087Outpatient Encounter
2.16.840.1.113883.3.464.1003.101.12.1088Frailty Encounter
2.16.840.1.113883.3.464.1003.101.12.1089Virtual Encounter
2.16.840.1.113883.3.464.1003.108.11.1051Colonoscopy
2.16.840.1.113883.3.464.1003.108.12.1020Colonoscopy
2.16.840.1.113883.3.464.1003.109.11.1025Kidney Transplant
2.16.840.1.113883.3.464.1003.109.11.1026Dialysis Services
2.16.840.1.113883.3.464.1003.109.11.1029ESRD Monthly Outpatient Services
2.16.840.1.113883.3.464.1003.109.12.1012Kidney Transplant
2.16.840.1.113883.3.464.1003.109.12.1013Dialysis Services
2.16.840.1.113883.3.464.1003.109.12.1014ESRD Monthly Outpatient Services
2.16.840.1.113883.3.464.1003.110.11.1065DTaP Vaccine Administered
2.16.840.1.113883.3.464.1003.110.11.1085Measles, Mumps and Rubella (MMR) Vaccine Administered
2.16.840.1.113883.3.464.1003.110.11.1106Varicella Zoster Vaccine (VZV) Administered
2.16.840.1.113883.3.464.1003.110.11.1109Hepatitis A Vaccine Administered
2.16.840.1.113883.3.464.1003.110.11.1111Hepatitis B Vaccine Administered
2.16.840.1.113883.3.464.1003.110.11.1115Child Influenza Vaccine Administered
2.16.840.1.113883.3.464.1003.110.11.1117Inactivated Polio Vaccine (IPV) Administered
2.16.840.1.113883.3.464.1003.110.11.1119Pneumococcal Conjugate Vaccine Administered
2.16.840.1.113883.3.464.1003.110.11.1120Rotavirus Vaccine (3 dose schedule) Administered
2.16.840.1.113883.3.464.1003.110.11.1121Rotavirus Vaccine (2 dose schedule) Administered
2.16.840.1.113883.3.464.1003.110.11.1153HiB Vaccine (3 dose schedule) Administered
2.16.840.1.113883.3.464.1003.110.11.1155HiB Vaccine (4 dose schedule) Administered
2.16.840.1.113883.3.464.1003.110.12.1022DTaP Vaccine Administered
2.16.840.1.113883.3.464.1003.110.12.1031Measles, Mumps and Rubella (MMR) Vaccine Administered
2.16.840.1.113883.3.464.1003.110.12.1040Varicella Zoster Vaccine (VZV) Administered
2.16.840.1.113883.3.464.1003.110.12.1041Hepatitis A Vaccine Administered
2.16.840.1.113883.3.464.1003.110.12.1042Hepatitis B Vaccine Administered
2.16.840.1.113883.3.464.1003.110.12.1044Child Influenza Vaccine Administered
2.16.840.1.113883.3.464.1003.110.12.1045Inactivated Polio Vaccine (IPV) Administered
2.16.840.1.113883.3.464.1003.110.12.1046Pneumococcal Conjugate Vaccine Administered
2.16.840.1.113883.3.464.1003.110.12.1047Rotavirus Vaccine (3 dose schedule) Administered
2.16.840.1.113883.3.464.1003.110.12.1048Rotavirus Vaccine (2 dose schedule) Administered
2.16.840.1.113883.3.464.1003.110.12.1084Hib Vaccine (3 dose schedule) Administered
2.16.840.1.113883.3.464.1003.110.12.1086Hib Vaccine (4 dose schedule) Administered
2.16.840.1.113883.3.464.1003.110.12.1088Influenza Virus LAIV Vaccine Administered
2.16.840.1.113883.3.464.1003.111.11.1028Procedures for Sexual Activity
2.16.840.1.113883.3.464.1003.111.12.1017Procedures Used to Indicate Sexual Activity
2.16.840.1.113883.3.464.1003.1184Partial Arthroplasty of Hip
2.16.840.1.113883.3.464.1003.1189Removal, Revision and Supplement Procedures of the Lower Body and Spine
2.16.840.1.113883.3.464.1003.1234Partial Arthroplasty of Hip
2.16.840.1.113883.3.464.1003.1236Removal, Revision and Supplement Procedures of the Lower Body and Spine
2.16.840.1.113883.3.464.1003.195.11.1003Counseling for Nutrition
2.16.840.1.113883.3.464.1003.195.12.1003Counseling for Nutrition
2.16.840.1.113883.3.464.1003.198.11.1009Primary THA Procedure
2.16.840.1.113883.3.464.1003.198.11.1015Flexible Sigmoidoscopy
2.16.840.1.113883.3.464.1003.198.11.1026Hysterectomy with No Residual Cervix
2.16.840.1.113883.3.464.1003.198.11.1036Total Colectomy
2.16.840.1.113883.3.464.1003.198.11.1062Gastric Bypass Surgery
2.16.840.1.113883.3.464.1003.198.11.1096Major Transplant
2.16.840.1.113883.3.464.1003.198.12.1006Primary THA Procedure
2.16.840.1.113883.3.464.1003.198.12.1010Flexible Sigmoidoscopy
2.16.840.1.113883.3.464.1003.198.12.1014Hysterectomy with No Residual Cervix
2.16.840.1.113883.3.464.1003.198.12.1019Total Colectomy
2.16.840.1.113883.3.464.1003.198.12.1050Gastric Bypass Surgery
2.16.840.1.113883.3.464.1003.198.12.1075Major Transplant
2.16.840.1.113883.3.464.1003.199.11.1108Influenza Virus LAIV Vaccine Administered
2.16.840.1.113883.3.526.2.1058Psych Visit for Family Psychotherapy
2.16.840.1.113883.3.526.2.1062Physical Therapy Evaluation
2.16.840.1.113883.3.526.2.1063Occupational Therapy Evaluation
2.16.840.1.113883.3.526.2.1064Neurobehavioral Status Exam (CPT)
2.16.840.1.113883.3.526.2.1071Radiation Treatment Management
2.16.840.1.113883.3.526.2.1080Chemotherapy Administration
2.16.840.1.113883.3.526.2.111Ophthalmological Services
2.16.840.1.113883.3.526.2.113Prostate Cancer Treatment
2.16.840.1.113883.3.526.2.1243Psychoanalysis
2.16.840.1.113883.3.526.2.1251Group Psychotherapy
2.16.840.1.113883.3.526.2.1528Cataract Surgery
2.16.840.1.113883.3.526.2.169Cardiac Surgery
2.16.840.1.113883.3.526.2.1752Speech and Hearing Evaluation
2.16.840.1.113883.3.526.2.1923Psych Visit Diagnostic Evaluation
2.16.840.1.113883.3.526.2.424Tobacco Use Cessation Counseling
2.16.840.1.113883.3.526.2.470Bilateral Oophorectomy
2.16.840.1.113883.3.526.2.484Chemotherapy
2.16.840.1.113883.3.526.3.1011Occupational Therapy Evaluation
2.16.840.1.113883.3.526.3.1018Psych Visit for Family Psychotherapy
2.16.840.1.113883.3.526.3.1022Physical Therapy Evaluation
2.16.840.1.113883.3.526.3.1023Behavioral or Neuropsych Assessment
2.16.840.1.113883.3.526.3.1026Radiation Treatment Management
2.16.840.1.113883.3.526.3.1027Chemotherapy Administration
2.16.840.1.113883.3.526.3.1141Psychoanalysis
2.16.840.1.113883.3.526.3.1187Group Psychotherapy
2.16.840.1.113883.3.526.3.1285Ophthalmological Services
2.16.840.1.113883.3.526.3.1411Cataract Surgery
2.16.840.1.113883.3.526.3.1492Psych Visit Diagnostic Evaluation
2.16.840.1.113883.3.526.3.1496Psych Visit Psychotherapy
2.16.840.1.113883.3.526.3.1530Speech and Hearing Evaluation
2.16.840.1.113883.3.526.3.1584Hospice Care Ambulatory
2.16.840.1.113883.3.526.3.320Bone Scan
2.16.840.1.113883.3.526.3.371Cardiac Surgery
2.16.840.1.113883.3.526.3.398Prostate Cancer Treatment
2.16.840.1.113883.3.526.3.399Salvage Therapy
2.16.840.1.113883.3.526.3.471Bilateral Oophorectomy
2.16.840.1.113883.3.526.3.485Chemotherapy
2.16.840.1.113883.3.526.3.509Tobacco Use Cessation Counseling
2.16.840.1.113883.3.600.1.1524Follow Up for BMI Outside Normal Parameters
2.16.840.1.113883.3.600.1.1525Follow Up for Above Normal BMI
2.16.840.1.113883.3.600.1.1528Follow Up for Below Normal BMI
2.16.840.1.113883.3.600.1.1609Encounter to Document Medications
2.16.840.1.113883.3.600.1.1751Encounter to Evaluate BMI
2.16.840.1.113883.3.600.1.1834Encounter to Document Medications
2.16.840.1.113883.3.600.1.695Encounter to Evaluate BMI
2.16.840.1.113883.3.600.1515Dietary Recommendations
2.16.840.1.113883.3.600.1538Encounter to Screen for Depression
2.16.840.1.113883.3.600.1916Encounter to Screen for Depression
2.16.840.1.113883.3.600.192Encounter to Screen for Blood Pressure
2.16.840.1.113883.3.600.1920Encounter to Screen for Blood Pressure
2.16.840.1.113883.3.67.1.101.1.2435HBsAg
2.16.840.1.113883.3.67.1.101.1.277Delivery
2.16.840.1.113883.3.67.1.101.1.279HBsAg
2.16.840.1.13883.3.3157.4068MRI of the Breast

Resources that this resource uses

No resources found


Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: CodeSystem CPT

This case-sensitive code system http://www.ama-assn.org/go/cpt defines codes, but no codes are represented here


Source

{
  "resourceType": "CodeSystem",
  "id": "CPT",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://www.ama-assn.org/go/cpt",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.840.1.113883.6.12"
    }
  ],
  "version": "3.0.1",
  "name": "CPT",
  "title": "Current Procedural Terminology (CPT®)",
  "status": "active",
  "experimental": false,
  "date": "2020-11-12T00:00:00-04:00",
  "publisher": "American Medical Association",
  "contact": [
    {
      "name": "American Medical Association; AMA Plaza, 330 N. Wabash Ave., Suite 39300, Chicago, IL 60611-5885",
      "telecom": [
        {
          "system": "phone",
          "value": "312-464-4782"
        }
      ]
    }
  ],
  "description": "The Current Procedural Terminology (CPT) code set, created and maintained by the American Medical Association, is the language of medicine today and the code to its future. This system of terminology is the most widely accepted medical nomenclature used to report medical procedures and services under public and private health insurance programs. CPT coding is also used for administrative management purposes such as claims processing and developing guidelines for medical care review. Each year, via a rigorous, evidence-based and transparent process, the independent CPT Editorial Panel revises, creates or deletes hundreds of codes in order to reflect current medical practice.\r\n\r\nDesignated by the U.S. Department of Health and Human Services under the Health Insurance Portability and Accountability Act (HIPAA) as a national coding set for physician and other health care professional services and procedures, CPT’s evidence-based codes accurately encompass the full range of health care services.\r\n\r\nAll CPT codes are five-digits and can be either numeric or alphanumeric, depending on the category. CPT code descriptors are clinically focused and utilize common standards so that a diverse set of users can have common understanding across the clinical health care paradigm.\r\n\r\nThere are various types of CPT codes:\r\n\r\nCategory I: These codes have descriptors that correspond to a procedure or service. Codes range from 00100–99499 and are generally ordered into sub-categories based on procedure/service type and anatomy.\r\n\r\nCategory II: These alphanumeric tracking codes are supplemental codes used for performance measurement. Using them is optional and not required for correct coding.\r\n\r\nCategory III: These are temporary alphanumeric codes for new and developing technology, procedures and services. They were created for data collection, assessment and in some instances, payment of new services and procedures that currently don’t meet the criteria for a Category I code.\r\n\r\nProprietary Laboratory Analyses (PLA) codes: These codes describe proprietary clinical laboratory analyses and can be either provided by a single (“solesource”) laboratory or licensed or marketed to multiple providing laboratories that are cleared or approved by the Food and Drug Administration (FDA)). This category includes but is not limited to Advanced Diagnostic Laboratory Tests (ADLTs) and Clinical Diagnostic Laboratory Tests (CDLTs), as defined under the Protecting Access to Medicare Act of 2014 (PAMA).",
  "caseSensitive": true,
  "content": "not-present"
}