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Resource ValueSet/FHIR Server from package us.nlm.vsac#0.21.0 (94 ms)

Package us.nlm.vsac
Type ValueSet
Id Id
FHIR Version R4
Source http://fhir.org/packages/us.nlm.vsac/https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.3157.1802/expansion
Url http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3157.1802
Version 20200717
Status active
Date 2020-07-17T01:00:32-04:00
Name PhysicalTherapy
Title Physical Therapy
Experimental False
Realm us
Authority hl7
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, claims for physical therapy must appear in the 60 days preceding the MRI lumbar spine study to be considered an attempt at antecedent conservative therapy.
Purpose (Clinical Focus: This set of values contains CPT codes for physical therapy.),(Data Element Scope: The intent of this data element is to identify patients with evidence of physical therapy, which should occur in the 60 days preceding an MRI lumbar spine study.),(Inclusion Criteria: CPT codes for physical therapy are included in this value set.),(Exclusion Criteria: CPT codes not associated with physical therapy are excluded from this value set. Terminologies other than CPT are also excluded from this value set.)

Resources that use this resource

No resources found


Resources that this resource uses

CodeSystem
http://www.ama-assn.org/go/cpt Current Procedural Terminology (CPT®)
http://www.ama-assn.org/go/cpt Current Procedural Terminology (CPT®)


Source

{
  "resourceType" : "ValueSet",
  "id" : "2.16.840.1.113883.3.3157.1802",
  "meta" : {
    "versionId" : "23",
    "lastUpdated" : "2024-11-19T15:37:46.000-05:00",
    "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" : "Acumen OP Author"
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/resource-lastReviewDate",
      "valueDate" : "2024-04-22"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/valueset-effectiveDate",
      "valueDate" : "2020-07-17"
    }
  ],
  "url" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3157.1802",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.16.840.1.113883.3.3157.1802"
    }
  ],
  "version" : "20200717",
  "name" : "PhysicalTherapy",
  "title" : "Physical Therapy",
  "status" : "active",
  "experimental" : false,
  "date" : "2020-07-17T01:00:32-04:00",
  "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.\n\nIn calculation of OP-8, claims for physical therapy must appear in the 60 days preceding the MRI lumbar spine study to be considered an attempt at antecedent conservative therapy.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "purpose" : "(Clinical Focus: This set of values contains CPT codes for physical therapy.),(Data Element Scope: The intent of this data element is to identify patients with evidence of physical therapy, which should occur in the 60 days preceding an MRI lumbar spine study.),(Inclusion Criteria: CPT codes for physical therapy are included in this value set.),(Exclusion Criteria: CPT codes not associated with physical therapy are excluded from this value set. Terminologies other than CPT are also excluded from this value set.)",
  "compose" : {
    "include" : [
      {
        "system" : "http://www.ama-assn.org/go/cpt",
        "concept" : [
          {
            "code" : "97110",
            "display" : "Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility"
          },
          {
            "code" : "97112",
            "display" : "Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities"
          },
          {
            "code" : "97113",
            "display" : "Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises"
          },
          {
            "code" : "97124",
            "display" : "Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)"
          },
          {
            "code" : "97140",
            "display" : "Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes"
          }
        ]
      }
    ]
  },
  "expansion" : {
    "identifier" : "urn:uuid:e18c6352-d0d8-4e1d-b888-2ab086f34d29",
    "timestamp" : "2024-12-10T10:16:40-05:00",
    "total" : 5,
    "contains" : [
      {
        "system" : "http://www.ama-assn.org/go/cpt",
        "version" : "2025",
        "code" : "97110",
        "display" : "Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility"
      },
      {
        "system" : "http://www.ama-assn.org/go/cpt",
        "version" : "2025",
        "code" : "97112",
        "display" : "Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities"
      },
      {
        "system" : "http://www.ama-assn.org/go/cpt",
        "version" : "2025",
        "code" : "97113",
        "display" : "Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises"
      },
      {
        "system" : "http://www.ama-assn.org/go/cpt",
        "version" : "2025",
        "code" : "97124",
        "display" : "Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)"
      },
      {
        "system" : "http://www.ama-assn.org/go/cpt",
        "version" : "2025",
        "code" : "97140",
        "display" : "Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes"
      }
    ]
  },
  "text" : {
  }
}

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