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Resource ValueSet/FHIR Server from package us.nlm.vsac#0.21.0 (78 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/2.16.840.1.113883.3.3157.1803/expansion
Url http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3157.1803
Version 20200715
Status active
Date 2020-07-15T01:00:26-04:00
Name ChiropracticEvaluation
Title Chiropractic Evaluation
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 (OQR) Program. In calculation of OP-8, claims for chiropractic evaluation 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 chiropractic evaluation.),(Data Element Scope: The intent of this data element is to identify patients with evidence of chiropractic evaluation, which should occur in the 60 days preceding an MRI lumbar spine study.),(Inclusion Criteria: CPT codes for chiropractic evaluation are included in this value set.),(Exclusion Criteria: CPT codes not associated with chiropractic 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" : "2.16.840.1.113883.3.3157.1803",
  "meta" : {
    "versionId" : "23",
    "lastUpdated" : "2024-11-19T15:37:14.000-05:00",
    "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" : "2020-07-15"
    }
  ],
  "url" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3157.1803",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.16.840.1.113883.3.3157.1803"
    }
  ],
  "version" : "20200715",
  "name" : "ChiropracticEvaluation",
  "title" : "Chiropractic Evaluation",
  "status" : "active",
  "experimental" : false,
  "date" : "2020-07-15T01:00:26-04:00",
  "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 (OQR) Program.\n\nIn calculation of OP-8, claims for chiropractic evaluation 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 chiropractic evaluation.),(Data Element Scope: The intent of this data element is to identify patients with evidence of chiropractic evaluation, which should occur in the 60 days preceding an MRI lumbar spine study.),(Inclusion Criteria: CPT codes for chiropractic evaluation are included in this value set.),(Exclusion Criteria: CPT codes not associated with chiropractic 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" : "98940",
            "display" : "Chiropractic manipulative treatment (CMT); spinal, 1-2 regions"
          },
          {
            "code" : "98941",
            "display" : "Chiropractic manipulative treatment (CMT); spinal, 3-4 regions"
          },
          {
            "code" : "98942",
            "display" : "Chiropractic manipulative treatment (CMT); spinal, 5 regions"
          },
          {
            "code" : "98943",
            "display" : "Chiropractic manipulative treatment (CMT); extraspinal, 1 or more regions"
          }
        ]
      }
    ]
  },
  "expansion" : {
    "identifier" : "urn:uuid:643c9838-3880-4848-9025-8ed46d053ec6",
    "timestamp" : "2024-12-10T10:16:42-05:00",
    "total" : 4,
    "contains" : [
      {
        "system" : "http://www.ama-assn.org/go/cpt",
        "version" : "2025",
        "code" : "98940",
        "display" : "Chiropractic manipulative treatment (CMT); spinal, 1-2 regions"
      },
      {
        "system" : "http://www.ama-assn.org/go/cpt",
        "version" : "2025",
        "code" : "98941",
        "display" : "Chiropractic manipulative treatment (CMT); spinal, 3-4 regions"
      },
      {
        "system" : "http://www.ama-assn.org/go/cpt",
        "version" : "2025",
        "code" : "98942",
        "display" : "Chiropractic manipulative treatment (CMT); spinal, 5 regions"
      },
      {
        "system" : "http://www.ama-assn.org/go/cpt",
        "version" : "2025",
        "code" : "98943",
        "display" : "Chiropractic manipulative treatment (CMT); extraspinal, 1 or more regions"
      }
    ]
  },
  "text" : {
  }
}

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