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Source1

{
  "resourceType": "ValueSet",
  "id": "2.16.840.1.113883.3.464.1003.1287",
  "meta": {
    "versionId": "6",
    "lastUpdated": "2025-10-08T01:02:54.000-04:00",
    "profile": [
      "http://hl7.org/fhir/StructureDefinition/shareablevalueset",
      "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-valueset-cqfm",
      "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-valueset-cqfm"
    ]
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/valueset-author",
      "valueContactDetail": {
        "name": "NCQA PHEMUR Author"
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/resource-lastReviewDate",
      "valueDate": "2025-10-08"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/valueset-effectiveDate",
      "valueDate": "2025-10-08"
    }
  ],
  "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1287",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.840.1.113883.3.464.1003.1287"
    }
  ],
  "version": "20251008",
  "name": "TotalNephrectomy",
  "title": "Total Nephrectomy",
  "status": "active",
  "date": "2025-10-08T01:02:54-04:00",
  "publisher": "NCQA PHEMUR",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US"
        }
      ]
    }
  ],
  "purpose": "(Clinical Focus: The purpose of this value set is to represent concepts for total nephrectomy.),(Data Element Scope: This value set may use a model element related to Procedure.),(Inclusion Criteria: Includes concepts that represent a procedure of a total nephrectomy.),(Exclusion Criteria: Partial Nephrectomy.)",
  "compose": {
    "include": [
      {
        "system": "http://www.ama-assn.org/go/cpt",
        "concept": [
          {
            "code": "50220",
            "display": "Nephrectomy, including partial ureterectomy, any open approach including rib resection"
          },
          {
            "code": "50225",
            "display": "Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney"
          },
          {
            "code": "50230",
            "display": "Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy"
          },
          {
            "code": "50234",
            "display": "Nephrectomy with total ureterectomy and bladder cuff; through same incision"
          },
          {
            "code": "50236",
            "display": "Nephrectomy with total ureterectomy and bladder cuff; through separate incision"
          },
          {
            "code": "50340",
            "display": "Recipient nephrectomy (separate procedure)"
          },
          {
            "code": "50370",
            "display": "Removal of transplanted renal allograft"
          },
          {
            "code": "50543",
            "display": "Laparoscopy, surgical; partial nephrectomy"
          },
          {
            "code": "50545",
            "display": "Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy)"
          },
          {
            "code": "50546",
            "display": "Laparoscopy, surgical; nephrectomy, including partial ureterectomy"
          },
          {
            "code": "50548",
            "display": "Laparoscopy, surgical; nephrectomy with total ureterectomy"
          }
        ]
      }
    ]
  },
  "expansion": {
    "identifier": "urn:uuid:47a4f358-053c-4ad9-8f0b-266cccef3c36",
    "timestamp": "2025-11-24T18:52:39-05:00",
    "total": 11,
    "contains": [
      {
        "system": "http://www.ama-assn.org/go/cpt",
        "version": "2026",
        "code": "50220",
        "display": "Nephrectomy, including partial ureterectomy, any open approach including rib resection"
      },
      {
        "system": "http://www.ama-assn.org/go/cpt",
        "version": "2026",
        "code": "50225",
        "display": "Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney"
      },
      {
        "system": "http://www.ama-assn.org/go/cpt",
        "version": "2026",
        "code": "50230",
        "display": "Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy"
      },
      {
        "system": "http://www.ama-assn.org/go/cpt",
        "version": "2026",
        "code": "50234",
        "display": "Nephrectomy with total ureterectomy and bladder cuff; through same incision"
      },
      {
        "system": "http://www.ama-assn.org/go/cpt",
        "version": "2026",
        "code": "50236",
        "display": "Nephrectomy with total ureterectomy and bladder cuff; through separate incision"
      },
      {
        "system": "http://www.ama-assn.org/go/cpt",
        "version": "2026",
        "code": "50340",
        "display": "Recipient nephrectomy (separate procedure)"
      },
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        "system": "http://www.ama-assn.org/go/cpt",
        "version": "2026",
        "code": "50370",
        "display": "Removal of transplanted renal allograft"
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        "system": "http://www.ama-assn.org/go/cpt",
        "version": "2026",
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      },
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        "system": "http://www.ama-assn.org/go/cpt",
        "version": "2026",
        "code": "50545",
        "display": "Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy)"
      },
      {
        "system": "http://www.ama-assn.org/go/cpt",
        "version": "2026",
        "code": "50546",
        "display": "Laparoscopy, surgical; nephrectomy, including partial ureterectomy"
      },
      {
        "system": "http://www.ama-assn.org/go/cpt",
        "version": "2026",
        "code": "50548",
        "display": "Laparoscopy, surgical; nephrectomy with total ureterectomy"
      }
    ]
  }
}