FHIR IG Statistics: ValueSet/2.16.840.1.113883.3.600.1916
| Package | us.nlm.vsac |
| Resource Type | ValueSet |
| Id | 2.16.840.1.113883.3.600.1916 |
| FHIR Version | R4 |
| Source | http://fhir.org/packages/us.nlm.vsac/https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.600.1916/expansion |
| URL | http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1916 |
| Version | 20210220 |
| Status | active |
| Date | 2022-03-03T18:46:01-05:00 |
| Name | EncounterToScreenForDepression |
| Title | Encounter to Screen for Depression |
| Realm | us |
| Authority | hl7 |
| Purpose | (Clinical Focus: The purpose of this value set is to represent concepts of encounters for depression screening.),(Data Element Scope: This value set may use a model element related to Encounter.),(Inclusion Criteria: Includes concepts that represent wellness visits, annual visits, therapy evaluations, or primary or specialist physician office visits where a depression screen could be conducted.),(Exclusion Criteria: No exclusions.) |
Resources that use this resource
No resources found
Resources that this resource uses
| CodeSystem |
| sct | SNOMED CT (all versions) |
| cpt | Current Procedural Terminology (CPT®) |
| HCPCSReleaseCodeSets | Healthcare Common Procedure Coding System (HCPCS) level II alphanumeric codes |
Narrative
No narrative content found in resource
Source
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"code": "302440009",
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"code": "406547006",
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"code": "410155007",
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"code": "59400",
"display": "Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care"
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"version": "2025",
"code": "59425",
"display": "Antepartum care only; 4-6 visits"
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{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "59426",
"display": "Antepartum care only; 7 or more visits"
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"version": "2025",
"code": "59510",
"display": "Routine obstetric care including antepartum care, cesarean delivery, and postpartum care"
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"system": "http://www.ama-assn.org/go/cpt",
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"code": "59610",
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"code": "59618",
"display": "Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery"
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"code": "8411005",
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"code": "86013001",
"display": "Periodic reevaluation and management of healthy individual (procedure)"
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"code": "90526000",
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"version": "2025",
"code": "90791",
"display": "Psychiatric diagnostic evaluation"
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{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "90792",
"display": "Psychiatric diagnostic evaluation with medical services"
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "90832",
"display": "Psychotherapy, 30 minutes with patient"
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "90834",
"display": "Psychotherapy, 45 minutes with patient"
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "90837",
"display": "Psychotherapy, 60 minutes with patient"
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "92622",
"display": "Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes"
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "92625",
"display": "Assessment of tinnitus (includes pitch, loudness matching, and masking)"
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "96105",
"display": "Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour"
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "96110",
"display": "Developmental screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument"
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "96112",
"display": "Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report; first hour"
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "96116",
"display": "Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour"
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "96125",
"display": "Standardized cognitive performance testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional's time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report"
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "96136",
"display": "Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; first 30 minutes"
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "96138",
"display": "Psychological or neuropsychological test administration and scoring by technician, two or more tests, any method; first 30 minutes"
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "96156",
"display": "Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making)"
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "96158",
"display": "Health behavior intervention, individual, face-to-face; initial 30 minutes"
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "97161",
"display": "Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "97162",
"display": "Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "97163",
"display": "Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "97164",
"display": "Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "97165",
"display": "Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "97166",
"display": "Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "97167",
"display": "Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "97802",
"display": "Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes"
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "97803",
"display": "Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes"
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "98000",
"display": "Synchronous audio-video visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "98001",
"display": "Synchronous audio-video visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "98002",
"display": "Synchronous audio-video visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "98003",
"display": "Synchronous audio-video visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "98004",
"display": "Synchronous audio-video visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "98005",
"display": "Synchronous audio-video visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "98006",
"display": "Synchronous audio-video visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "98007",
"display": "Synchronous audio-video visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "98008",
"display": "Synchronous audio-only visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination, straightforward medical decision making, and more than 10 minutes of medical discussion. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "98009",
"display": "Synchronous audio-only visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination, low medical decision making, and more than 10 minutes of medical discussion. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "98010",
"display": "Synchronous audio-only visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination, moderate medical decision making, and more than 10 minutes of medical discussion. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "98011",
"display": "Synchronous audio-only visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination, high medical decision making, and more than 10 minutes of medical discussion. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "98012",
"display": "Synchronous audio-only visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination, straightforward medical decision making, and more than 10 minutes of medical discussion. When using total time on the date of the encounter for code selection, 10 minutes must be exceeded."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "98013",
"display": "Synchronous audio-only visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination, low medical decision making, and more than 10 minutes of medical discussion. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "98014",
"display": "Synchronous audio-only visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination, moderate medical decision making, and more than 10 minutes of medical discussion. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "98015",
"display": "Synchronous audio-only visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination, high medical decision making, and more than 10 minutes of medical discussion. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "98016",
"display": "Brief communication technology-based service (eg, 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 evaluation and management service provided within the previous 7 days nor leading to an evaluation and management service or procedure within the next 24 hours or soonest available appointment, 5-10 minutes of medical discussion"
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "98966",
"display": "Telephone assessment and management service provided by a nonphysician qualified health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion"
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "98967",
"display": "Telephone assessment and management service provided by a nonphysician qualified health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion"
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "98968",
"display": "Telephone assessment and management service provided by a nonphysician qualified health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion"
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99078",
"display": "Physician or other qualified health care professional qualified by education, training, licensure/regulation (when applicable) educational services rendered to patients in a group setting (eg, prenatal, obesity, or diabetic instructions)"
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99202",
"display": "Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99203",
"display": "Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99204",
"display": "Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99205",
"display": "Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99212",
"display": "Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99213",
"display": "Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99214",
"display": "Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99215",
"display": "Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99304",
"display": "Initial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99305",
"display": "Initial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99306",
"display": "Initial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 50 minutes must be met or exceeded."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99307",
"display": "Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99308",
"display": "Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99309",
"display": "Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99310",
"display": "Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99315",
"display": "Nursing facility discharge management; 30 minutes or less total time on the date of the encounter"
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99316",
"display": "Nursing facility discharge management; more than 30 minutes total time on the date of the encounter"
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99341",
"display": "Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99342",
"display": "Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99344",
"display": "Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99345",
"display": "Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 75 minutes must be met or exceeded."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99347",
"display": "Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99348",
"display": "Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99349",
"display": "Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99350",
"display": "Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99384",
"display": "Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; adolescent (age 12 through 17 years)"
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99385",
"display": "Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 18-39 years"
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99386",
"display": "Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 40-64 years"
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99387",
"display": "Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 65 years and older"
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99394",
"display": "Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; adolescent (age 12 through 17 years)"
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99395",
"display": "Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 18-39 years"
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99396",
"display": "Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 40-64 years"
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99397",
"display": "Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 65 years and older"
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99401",
"display": "Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 15 minutes"
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99402",
"display": "Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 30 minutes"
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99403",
"display": "Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 45 minutes"
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99404",
"display": "Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 60 minutes"
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99424",
"display": "Principal care management services, for a single high-risk disease, with the following required elements: one complex chronic condition expected to last at least 3 months, and that places the patient at significant risk of hospitalization, acute exacerbation/decompensation, functional decline, or death, the condition requires development, monitoring, 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, ongoing communication and care coordination between relevant practitioners furnishing care; first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99483",
"display": "Assessment of and care planning for a patient with cognitive impairment, requiring an independent historian, in the office or other outpatient, home or domiciliary or rest home, with all of the following required elements: Cognition-focused evaluation including a pertinent history and examination, Medical decision making of moderate or high complexity, Functional assessment (eg, basic and instrumental activities of daily living), including decision-making capacity, Use of standardized instruments for staging of dementia (eg, functional assessment staging test [FAST], clinical dementia rating [CDR]), Medication reconciliation and review for high-risk medications, Evaluation for neuropsychiatric and behavioral symptoms, including depression, including use of standardized screening instrument(s), Evaluation of safety (eg, home), including motor vehicle operation, Identification of caregiver(s), caregiver knowledge, caregiver needs, social supports, and the willingness of caregiver to take on caregiving tasks, Development, updating or revision, or review of an Advance Care Plan, Creation of a written care plan, including initial plans to address any neuropsychiatric symptoms, neuro-cognitive symptoms, functional limitations, and referral to community resources as needed (eg, rehabilitation services, adult day programs, support groups) shared with the patient and/or caregiver with initial education and support. Typically, 60 minutes of total time is spent on the date of the encounter."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99484",
"display": "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."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99491",
"display": "Chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic conditions that place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, comprehensive care plan established, implemented, revised, or monitored; first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99492",
"display": "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."
},
{
"system": "http://www.ama-assn.org/go/cpt",
"version": "2025",
"code": "99493",
"display": "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."
},
{
"system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
"version": "2025",
"code": "G0101",
"display": "Cervical or vaginal cancer screening; pelvic and clinical breast examination"
},
{
"system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
"version": "2025",
"code": "G0270",
"display": "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"
},
{
"system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
"version": "2025",
"code": "G0271",
"display": "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"
},
{
"system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
"version": "2025",
"code": "G0402",
"display": "Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment"
},
{
"system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
"version": "2025",
"code": "G0438",
"display": "Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit"
},
{
"system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
"version": "2025",
"code": "G0439",
"display": "Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit"
},
{
"system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
"version": "2025",
"code": "G0444",
"display": "Annual depression screening, 5 to 15 minutes"
}
]
}
}
FHIR