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Packageus.nlm.vsac
Resource TypeValueSet
IdValueSet-2.16.840.1.113883.3.3157.1813.json
FHIR VersionR4
Sourcehttps://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.3157.1813/expansion
URLhttp://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3157.1813
Version20200720
Statusactive
Date2020-07-20T01:04:20-04:00
NameDislocationOrSprainOfThoseJointsAndLigamentsLocatedInTheLumbarSpineOrPelvis
TitleDislocation or Sprain of those Joints and Ligaments Located in the Lumbar Spine or Pelvis
Realmus
Authorityhl7
DescriptionThis value set is used to calculate OP-8 (MRI Lumbar Spine for Low Back Pain), a claims-based measure used in the Centers for Medicare & Medicaid Services' Hospital Outpatient Quality Reporting (HOQR) Program. In calculation of OP-8, diagnoses of dislocations or sprains of the joints and ligaments located in the lumbar spine or pelvis (or other low back pain diagnosis) must appear on the MRI study claim to be eligible for inclusion in the measure's initial patient population.
Purpose(Clinical Focus: This set of values contains ICD-10 codes for dislocations or sprains of the joints and ligaments located in the lumbar spine or pelvis not captured by an alternative diagnostic code.),(Data Element Scope: The intent of this data element is to identify patients with a diagnosis of dislocation or sprain of the joints and ligaments located in the lumbar spine or pelvis.),(Inclusion Criteria: ICD-10 codes for dislocation or sprain of the joints and ligaments located in the lumbar spine or pelvis are included in this value set.),(Exclusion Criteria: ICD-10 codes not associated with diagnoses of dislocations or sprains of the joints and ligaments located in the lumbar spine or pelvis are excluded from this value set. Terminologies other than ICD-10 are also excluded from this value set.)

Resources that use this resource

No resources found


Resources that this resource uses

CodeSystem
icd-10-cmInternational Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)

Narrative

No narrative content found in resource


Source1

{
  "resourceType": "ValueSet",
  "id": "2.16.840.1.113883.3.3157.1813",
  "meta": {
    "versionId": "18",
    "lastUpdated": "2024-11-19T15:28:13.000-05:00",
    "profile": [
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    ]
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/valueset-author",
      "valueContactDetail": {
        "name": "Acumen OP Author"
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/resource-lastReviewDate",
      "valueDate": "2024-04-22"
    },
    {
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      "valueDate": "2020-07-20"
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  "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3157.1813",
  "identifier": [
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  ],
  "version": "20200720",
  "name": "DislocationOrSprainOfThoseJointsAndLigamentsLocatedInTheLumbarSpineOrPelvis",
  "title": "Dislocation or Sprain of those Joints and Ligaments Located in the Lumbar Spine or Pelvis",
  "status": "active",
  "experimental": false,
  "date": "2020-07-20T01:04:20-04:00",
  "publisher": "Acumen OP Steward",
  "description": "This value set is used to calculate OP-8 (MRI Lumbar Spine for Low Back Pain), a claims-based measure used in the Centers for Medicare & Medicaid Services' Hospital Outpatient Quality Reporting (HOQR) Program. In calculation of OP-8, diagnoses of dislocations or sprains of the joints and ligaments located in the lumbar spine or pelvis (or other low back pain diagnosis) must appear on the MRI study claim to be eligible for inclusion in the measure's initial patient population.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US"
        }
      ]
    }
  ],
  "purpose": "(Clinical Focus: This set of values contains ICD-10 codes for dislocations or sprains of the joints and ligaments located in the lumbar spine or pelvis not captured by an alternative diagnostic code.),(Data Element Scope: The intent of this data element is to identify patients with a diagnosis of dislocation or sprain of the joints and ligaments located in the lumbar spine or pelvis.),(Inclusion Criteria: ICD-10 codes for dislocation or sprain of the joints and ligaments located in the lumbar spine or pelvis are included in this value set.),(Exclusion Criteria: ICD-10 codes not associated with diagnoses of dislocations or sprains of the joints and ligaments located in the lumbar spine or pelvis are excluded from this value set. Terminologies other than ICD-10 are also excluded from this value set.)",
  "compose": {
    "include": [
      {
        "system": "http://hl7.org/fhir/sid/icd-10-cm",
        "concept": [
          {
            "code": "M43.5X5",
            "display": "Other recurrent vertebral dislocation, thoracolumbar region"
          },
          {
            "code": "M43.5X6",
            "display": "Other recurrent vertebral dislocation, lumbar region"
          },
          {
            "code": "M43.5X7",
            "display": "Other recurrent vertebral dislocation, lumbosacral region"
          },
          {
            "code": "M43.5X8",
            "display": "Other recurrent vertebral dislocation, sacral and sacrococcygeal region"
          },
          {
            "code": "M43.5X9",
            "display": "Other recurrent vertebral dislocation, site unspecified"
          },
          {
            "code": "S33.5XXA",
            "display": "Sprain of ligaments of lumbar spine, initial encounter"
          },
          {
            "code": "S33.5XXD",
            "display": "Sprain of ligaments of lumbar spine, subsequent encounter"
          },
          {
            "code": "S33.5XXS",
            "display": "Sprain of ligaments of lumbar spine, sequela"
          },
          {
            "code": "S33.6XXA",
            "display": "Sprain of sacroiliac joint, initial encounter"
          },
          {
            "code": "S33.6XXD",
            "display": "Sprain of sacroiliac joint, subsequent encounter"
          },
          {
            "code": "S33.6XXS",
            "display": "Sprain of sacroiliac joint, sequela"
          },
          {
            "code": "S33.8XXA",
            "display": "Sprain of other parts of lumbar spine and pelvis, initial encounter"
          },
          {
            "code": "S33.8XXD",
            "display": "Sprain of other parts of lumbar spine and pelvis, subsequent encounter"
          },
          {
            "code": "S33.8XXS",
            "display": "Sprain of other parts of lumbar spine and pelvis, sequela"
          },
          {
            "code": "S33.9XXA",
            "display": "Sprain of unspecified parts of lumbar spine and pelvis, initial encounter"
          },
          {
            "code": "S33.9XXD",
            "display": "Sprain of unspecified parts of lumbar spine and pelvis, subsequent encounter"
          },
          {
            "code": "S33.9XXS",
            "display": "Sprain of unspecified parts of lumbar spine and pelvis, sequela"
          }
        ]
      }
    ]
  },
  "expansion": {
    "identifier": "urn:uuid:3d912558-5fff-4a3e-98f3-ced569c7850d",
    "timestamp": "2025-05-23T21:59:53-04:00",
    "total": 17,
    "contains": [
      {
        "system": "http://hl7.org/fhir/sid/icd-10-cm",
        "version": "2025",
        "code": "M43.5X5",
        "display": "Other recurrent vertebral dislocation, thoracolumbar region"
      },
      {
        "system": "http://hl7.org/fhir/sid/icd-10-cm",
        "version": "2025",
        "code": "M43.5X6",
        "display": "Other recurrent vertebral dislocation, lumbar region"
      },
      {
        "system": "http://hl7.org/fhir/sid/icd-10-cm",
        "version": "2025",
        "code": "M43.5X7",
        "display": "Other recurrent vertebral dislocation, lumbosacral region"
      },
      {
        "system": "http://hl7.org/fhir/sid/icd-10-cm",
        "version": "2025",
        "code": "M43.5X8",
        "display": "Other recurrent vertebral dislocation, sacral and sacrococcygeal region"
      },
      {
        "system": "http://hl7.org/fhir/sid/icd-10-cm",
        "version": "2025",
        "code": "M43.5X9",
        "display": "Other recurrent vertebral dislocation, site unspecified"
      },
      {
        "system": "http://hl7.org/fhir/sid/icd-10-cm",
        "version": "2025",
        "code": "S33.5XXA",
        "display": "Sprain of ligaments of lumbar spine, initial encounter"
      },
      {
        "system": "http://hl7.org/fhir/sid/icd-10-cm",
        "version": "2025",
        "code": "S33.5XXD",
        "display": "Sprain of ligaments of lumbar spine, subsequent encounter"
      },
      {
        "system": "http://hl7.org/fhir/sid/icd-10-cm",
        "version": "2025",
        "code": "S33.5XXS",
        "display": "Sprain of ligaments of lumbar spine, sequela"
      },
      {
        "system": "http://hl7.org/fhir/sid/icd-10-cm",
        "version": "2025",
        "code": "S33.6XXA",
        "display": "Sprain of sacroiliac joint, initial encounter"
      },
      {
        "system": "http://hl7.org/fhir/sid/icd-10-cm",
        "version": "2025",
        "code": "S33.6XXD",
        "display": "Sprain of sacroiliac joint, subsequent encounter"
      },
      {
        "system": "http://hl7.org/fhir/sid/icd-10-cm",
        "version": "2025",
        "code": "S33.6XXS",
        "display": "Sprain of sacroiliac joint, sequela"
      },
      {
        "system": "http://hl7.org/fhir/sid/icd-10-cm",
        "version": "2025",
        "code": "S33.8XXA",
        "display": "Sprain of other parts of lumbar spine and pelvis, initial encounter"
      },
      {
        "system": "http://hl7.org/fhir/sid/icd-10-cm",
        "version": "2025",
        "code": "S33.8XXD",
        "display": "Sprain of other parts of lumbar spine and pelvis, subsequent encounter"
      },
      {
        "system": "http://hl7.org/fhir/sid/icd-10-cm",
        "version": "2025",
        "code": "S33.8XXS",
        "display": "Sprain of other parts of lumbar spine and pelvis, sequela"
      },
      {
        "system": "http://hl7.org/fhir/sid/icd-10-cm",
        "version": "2025",
        "code": "S33.9XXA",
        "display": "Sprain of unspecified parts of lumbar spine and pelvis, initial encounter"
      },
      {
        "system": "http://hl7.org/fhir/sid/icd-10-cm",
        "version": "2025",
        "code": "S33.9XXD",
        "display": "Sprain of unspecified parts of lumbar spine and pelvis, subsequent encounter"
      },
      {
        "system": "http://hl7.org/fhir/sid/icd-10-cm",
        "version": "2025",
        "code": "S33.9XXS",
        "display": "Sprain of unspecified parts of lumbar spine and pelvis, sequela"
      }
    ]
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}