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Source1

{
  "resourceType": "ConceptMap",
  "id": "BHAServiceIdentifierProcedureCM",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 1,
      "_valueInteger": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://bha.colorado.gov/fhir/bha-ig/ImplementationGuide/us.co.bha-ig"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://bha.colorado.gov/fhir/bha-ig/ImplementationGuide/us.co.bha-ig"
          }
        ]
      }
    }
  ],
  "url": "http://bha.colorado.gov/fhir/bha-ig/ConceptMap/BHAServiceIdentifierProcedureCM",
  "version": "0.3.0-current",
  "name": "BHAServiceIdentifierProcedureCM",
  "title": "CO BHA Service Identifier to CPT/HCPCS ConceptMap",
  "status": "active",
  "experimental": false,
  "date": "2026-07-06T17:11:10+00:00",
  "publisher": "Colorado Behavioral Health Administration",
  "contact": [
    {
      "name": "Colorado Behavioral Health Administration",
      "telecom": [
        {
          "system": "url",
          "value": "https://bha.colorado.gov"
        },
        {
          "system": "email",
          "value": "FHIRFeedback@state.co.us"
        }
      ]
    }
  ],
  "description": "Informative (Colorado): Maps CO BHA service identifier codes to related CPT and HCPCS procedure/service concepts used in Colorado implementation workflows.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "USA"
        }
      ]
    }
  ],
  "sourceUri": "http://bha.colorado.gov/fhir/bha-ig/ValueSet/bha-service-identifier-vs",
  "group": [
    {
      "source": "http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-service-identifier-cs",
      "target": "http://www.ama-assn.org/go/cpt",
      "element": [
        {
          "code": "00",
          "display": "Differential Assessment (SUD) / Evaluation Only (MH)",
          "target": [
            {
              "code": "90791",
              "display": "Psychiatric diagnostic evaluation",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "30",
          "display": "Mental Health Outpatient",
          "target": [
            {
              "code": "90837",
              "display": "Psychotherapy, 60 minutes with patient",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "32",
          "display": "Mental Health Inpatient",
          "target": [
            {
              "code": "99223",
              "display": "Initial hospital inpatient care, high complexity",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "33",
          "display": "Psychiatric Hospitalization",
          "target": [
            {
              "code": "99223",
              "display": "Initial hospital inpatient care, high complexity",
              "equivalence": "relatedto"
            }
          ]
        }
      ]
    },
    {
      "source": "http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-service-identifier-cs",
      "target": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
      "element": [
        {
          "code": "01",
          "display": "Ambulatory Medical Withdrawal Management",
          "target": [
            {
              "code": "H0014",
              "display": "Alcohol and/or drug services; ambulatory detoxification",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "02",
          "display": "Residential (non-hospital) Withdrawal Management (RDX)",
          "target": [
            {
              "code": "H0012",
              "display": "Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient)",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "03",
          "display": "Therapeutic Community (TC)",
          "target": [
            {
              "code": "H2036",
              "display": "Alcohol and/or other drug treatment program, per diem",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "04",
          "display": "Intensive Residential (IRT)",
          "target": [
            {
              "code": "H0019",
              "display": "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",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "05",
          "display": "Transitional Residential (TRT)",
          "target": [
            {
              "code": "H2034",
              "display": "Alcohol and/or drug abuse halfway house services, per diem",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "06",
          "display": "Opioid Treatment Program (ORT/OTP)",
          "target": [
            {
              "code": "H0020",
              "display": "Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "07",
          "display": "SUD Traditional Outpatient (OP and EOP)",
          "target": [
            {
              "code": "H0004",
              "display": "Behavioral health counseling and therapy, per 15 minutes",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "08",
          "display": "STIRT",
          "target": [
            {
              "code": "H0049",
              "display": "Alcohol and/or drug screening",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "09",
          "display": "SUD Intensive Outpatient (IOP)",
          "target": [
            {
              "code": "H0015",
              "display": "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",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "10",
          "display": "Day Treatment (DAY)",
          "target": [
            {
              "code": "H2012",
              "display": "Behavioral health day treatment, per hour",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "11",
          "display": "Medically Managed Inpatient Other Than WM (Partial Hospital Program)",
          "target": [
            {
              "code": "H0011",
              "display": "Alcohol and/or drug services; acute detoxification (residential addiction program inpatient)",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "12",
          "display": "Medically Managed Inpatient Withdrawal Management",
          "target": [
            {
              "code": "H0011",
              "display": "Alcohol and/or drug services; acute detoxification (residential addiction program inpatient)",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "50",
          "display": "DUI Level I Education",
          "target": [
            {
              "code": "H0025",
              "display": "Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "51",
          "display": "DUI Level II Education Only",
          "target": [
            {
              "code": "H0025",
              "display": "Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "52",
          "display": "DUI Level II Therapy and Education",
          "target": [
            {
              "code": "H0005",
              "display": "Alcohol and/or drug services; group counseling by a clinician",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "53",
          "display": "Minors in Possession Treatment (MIP)",
          "target": [
            {
              "code": "H0004",
              "display": "Behavioral health counseling and therapy, per 15 minutes",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "31",
          "display": "Mental Health Residential",
          "target": [
            {
              "code": "H2013",
              "display": "Psychiatric health facility service, per diem",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "42",
          "display": "Crisis Stabilization",
          "target": [
            {
              "code": "H2011",
              "display": "Crisis intervention service, per 15 minutes",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "43",
          "display": "Crisis Respite",
          "target": [
            {
              "code": "S9484",
              "display": "Crisis intervention mental health services, per hour",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "80",
          "display": "Co-Occurring (CIRCLE)",
          "target": [
            {
              "code": "H0004",
              "display": "Behavioral health counseling and therapy, per 15 minutes",
              "equivalence": "relatedto"
            }
          ]
        }
      ]
    }
  ]
}