Encounter Performed
encounter_performed #
AcuteInpatient #
value_set.v2021.encounter_performed.AcuteInpatient
class AcuteInpatient(ValueSet)
Clinical Focus: This value set contains concepts related to acute inpatient visits.
Data Element Scope: This value set may use Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with comprehensive history, evaluation, and management of a patient in an acute inpatient setting. This is a grouping value set of CPT and SNOMED codes.
Exclusion Criteria: No exclusions.
CareServicesInLongTermResidentialFacility #
value_set.v2021.encounter_performed.CareServicesInLongTermResidentialFacility
class CareServicesInLongTermResidentialFacility(ValueSet)
Clinical Focus: This value set contains concepts that represent patients living in assisted living, domiciliary care or rest homes who have had an interaction with a member of their medical team.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with services provided to new and established patients living in assisted living, domiciliary care or rest home. This is a grouping value set of CPT codes.
Exclusion Criteria: Excludes visits in settings other than assisted living, domiciliary care or rest homes.
ClinicalOralEvaluation #
value_set.v2021.encounter_performed.ClinicalOralEvaluation
class ClinicalOralEvaluation(ValueSet)
Clinical Focus: This value set contains concepts that represent patients who had a clinical oral evaluation.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with periodic, limited (problem focused
Exclusion Criteria: No exclusions.
ContactOrOfficeVisit #
value_set.v2021.encounter_performed.ContactOrOfficeVisit
class ContactOrOfficeVisit(ValueSet)
Clinical Focus: This value set contains concepts that represent contact and office visits for new and established patients, and includes in-person, telephone, online, and other visit types related to depression encounters.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with outpatient contact and office visits in which a patient may be evaluated for depression. This groups CPT and HCPCS codes.
Exclusion Criteria: Excludes inpatients for purposes of the index event. The majority of CPT codes are specified for outpatient visit types; however psychiatry and psychotherapy visits can be used in the inpatient setting.
DetoxificationVisit #
value_set.v2021.encounter_performed.DetoxificationVisit
class DetoxificationVisit(ValueSet)
Clinical Focus: This value set contains concepts that represent detoxification visits.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with identifying alcohol and drug detoxification. This is a grouping of SNOMED CT codes.
Exclusion Criteria: No exclusions.
DischargeServicesHospitalInpatient #
value_set.v2021.encounter_performed.DischargeServicesHospitalInpatient
class DischargeServicesHospitalInpatient(ValueSet)
Clinical Focus: This value set contains concepts that represent inpatient hospital discharge services.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with identifying hospital discharge day management. This is a grouping of CPT codes.
Exclusion Criteria: No exclusions.
DischargeServicesHospitalInpatientSameDayDischarge #
value_set.v2021.encounter_performed.DischargeServicesHospitalInpatientSameDayDischarge
class DischargeServicesHospitalInpatientSameDayDischarge(ValueSet)
Clinical Focus: This value set contains concepts that represent inpatient hospital same day discharge services.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with identifying observation or inpatient care for the evaluation and management of a patient that results in discharge on the same date of admission. This is a grouping of CPT codes.
Exclusion Criteria: No exclusions.
DischargeServicesNursingFacility #
value_set.v2021.encounter_performed.DischargeServicesNursingFacility
class DischargeServicesNursingFacility(ValueSet)
Clinical Focus: This value set contains concepts that represent patients who have been discharged from a nursing facility.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with discharge from a nursing facility, including a final examination, instructions for continuing care and preparation of discharge records, prescriptions, and referral forms. Discharge services encounters can be less than or over 30 minutes. This is a grouping of CPT codes.
Exclusion Criteria: Excludes discharges from settings other than a nursing facility.
DischargeServicesNursingFacility_1065 #
value_set.v2021.encounter_performed.DischargeServicesNursingFacility_1065
class DischargeServicesNursingFacility_1065(ValueSet)
Clinical Focus: This value set contains concepts that represent patients who have been discharged from a nursing facility.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with discharge from a nursing facility, including a final examination, instructions for continuing care and preparation of discharge records, prescriptions, and referral forms. Discharge services encounters can be less than or over 30 minutes. This is a grouping of CPT codes.
Exclusion Criteria: Excludes discharges from settings other than a nursing facility.
Ed #
value_set.v2021.encounter_performed.Ed
class Ed(ValueSet)
Clinical Focus: This value set contains concepts related to an ED visit.
Data Element Scope: This value set may use Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with comprehensive history, evaluation, and management of a patient in an ED. This is a grouping value set of CPT and SNOMED codes.
Exclusion Criteria: No exclusions.
EmergencyDepartmentVisit #
value_set.v2021.encounter_performed.EmergencyDepartmentVisit
class EmergencyDepartmentVisit(ValueSet)
Clinical Focus: This value set contains concepts that represent patients who have had an interaction with a member of their medical care team in the emergency department.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with care provided to new and established patients in the emergency department. This is a value set grouping that includes CPT and SNOMED CT codes.
Exclusion Criteria: Excludes services not performed in the emergency department, including critical care and observation services.
FrailtyEncounter #
value_set.v2021.encounter_performed.FrailtyEncounter
class FrailtyEncounter(ValueSet)
Clinical Focus: This value set contains concepts that represent nursing care services provided to frail patients.
Data Element Scope: This value set may use Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with nursing care and home care services provided to frail patients. This is a grouping of CPT, HCPCS, and SNOMEDCT codes.
Exclusion Criteria: No exclusions.
HomeHealthcareServices #
value_set.v2021.encounter_performed.HomeHealthcareServices
class HomeHealthcareServices(ValueSet)
Clinical Focus: This value set contains concepts that represent patients who have had a home health visit by a provider for the evaluation or management of a new or existing patient.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with home visits for the evaluation and management of a new or established patient. This is a grouping value set of CPT and SNOMED CT codes.
Exclusion Criteria: No exclusions.
HospitalInpatientVisitInitial #
value_set.v2021.encounter_performed.HospitalInpatientVisitInitial
class HospitalInpatientVisitInitial(ValueSet)
Clinical Focus: This value set contains concepts that represent inpatient hospital visits.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with initial hospital care for the evaluation and management of a patient. This is a grouping of CPT codes.
Exclusion Criteria: No exclusions.
HospitalObservationCareInitial #
value_set.v2021.encounter_performed.HospitalObservationCareInitial
class HospitalObservationCareInitial(ValueSet)
Clinical Focus: This value set contains concepts that represent initial inpatient hospital observation care.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with initial observation care for the evaluation and management of a patient. This is a grouping of CPT codes.
Exclusion Criteria: No exclusions.
MedicalDisabilityExam #
value_set.v2021.encounter_performed.MedicalDisabilityExam
class MedicalDisabilityExam(ValueSet)
Clinical Focus: This value set contains concepts that represent work related or medical disability examinations.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with work related or medical disability examinations. This is a grouping of CPT codes.
Exclusion Criteria: No exclusions.
NonacuteInpatient #
value_set.v2021.encounter_performed.NonacuteInpatient
class NonacuteInpatient(ValueSet)
Clinical Focus: This value set contains concepts related to nonacute inpatient visits.
Data Element Scope: This value set may use Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with comprehensive history, evaluation, and management of a patient in a nonacute inpatient setting. This is a grouping value set of CPT and SNOMED codes.
Exclusion Criteria: No exclusions.
NursingFacilityVisit #
value_set.v2021.encounter_performed.NursingFacilityVisit
class NursingFacilityVisit(ValueSet)
Clinical Focus: This value set contains concepts that represent patients who have had an interaction with a member of their medical team on admission to a nursing facility.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with services provided to new and established patients in a nursing facility (skilled, intermediate and long-term care facilities).
Exclusion Criteria: Excludes visits in settings other than a nursing facility.
Observation #
value_set.v2021.encounter_performed.Observation
class Observation(ValueSet)
Clinical Focus: This value set contains concepts related to observation visits.
Data Element Scope: This value set may use Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with comprehensive history, evaluation, and management of a patient in an observation care setting. This is a grouping value set of CPT codes.
Exclusion Criteria: No exclusions.
OfficeVisit #
value_set.v2021.encounter_performed.OfficeVisit
class OfficeVisit(ValueSet)
Clinical Focus: This value set contains concepts that represent patients who have had an office or other outpatient visit.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with comprehensive history, evaluation, and management of a patient in an office or outpatient facility. Patient can be presenting with problems that are minor to high severity. This is a grouping value set of CPT codes.
Exclusion Criteria: Excludes non-office visits, including telehealth services.
Outpatient #
value_set.v2021.encounter_performed.Outpatient
class Outpatient(ValueSet)
Clinical Focus: This value set contains concepts related to outpatient visits.
Data Element Scope: This value set may use Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with comprehensive history, evaluation, and management of a patient in an outpatient setting. This is a grouping value set of CPT and HCPCS codes.
Exclusion Criteria: No exclusions.
OutpatientConsultation #
value_set.v2021.encounter_performed.OutpatientConsultation
class OutpatientConsultation(ValueSet)
Clinical Focus: This value set contains concepts that represent patients who have had an outpatient interaction at an office with a member of their medical care team.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with comprehensive history, evaluation, and management of a patient in an office or outpatient facility. Patient can be presenting with problems that are minor to high severity. This is a grouping value set of CPT and SNOMED CT codes.
Exclusion Criteria: Excludes non-office visits, including telehealth services.
PreventiveCareEstablishedOfficeVisit0To17 #
value_set.v2021.encounter_performed.PreventiveCareEstablishedOfficeVisit0To17
class PreventiveCareEstablishedOfficeVisit0To17(ValueSet)
Clinical Focus: This value set contains concepts that represent initial comprehensive preventive medical evaluation, including regular preventive care or care of small problem or preexisting condition that requires no extra work, to be associated with patients 0-17 years of age, that received prior outpatient professional services from the physician practice in the last 3 years.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with ages 0-17, and indicating initial comprehensive preventive medical evaluation, including regular preventive care or care of small problem or preexisting condition that requires no extra work, for a patient that received prior outpatient professional services from the physician practice in the last 3 years. This is a grouping value set of CPT codes.
Exclusion Criteria: Excludes codes that are not for comprehensive preventive medical evaluations and codes that are for patients who have not been seen in the last 3 years.
PreventiveCareServicesEstablishedOfficeVisit18AndUp #
value_set.v2021.encounter_performed.PreventiveCareServicesEstablishedOfficeVisit18AndUp
class PreventiveCareServicesEstablishedOfficeVisit18AndUp(ValueSet)
Clinical Focus: This value set contains concepts that represent patients over the age of 18 who have had an established preventive care office visit.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with comprehensive preventive medicine reevaluation and management of an individual the age of 18 years or over. This is a grouping value set of CPT codes.
Exclusion Criteria: Excludes non-office visits, including telehealth services.
PreventiveCareServicesGroupCounseling #
value_set.v2021.encounter_performed.PreventiveCareServicesGroupCounseling
class PreventiveCareServicesGroupCounseling(ValueSet)
Clinical Focus: This value set contains concepts that represent group counseling services.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with identifying preventive medicine counseling and/or risk factor reduction intervention(s) provided to individuals in a group setting.
Exclusion Criteria: No exclusions.
PreventiveCareServicesIndividualCounseling #
value_set.v2021.encounter_performed.PreventiveCareServicesIndividualCounseling
class PreventiveCareServicesIndividualCounseling(ValueSet)
Clinical Focus: This value set contains concepts that represent patients who have received preventive medicine counseling and/or risk factor reduction interventions.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with counseling, anticipatory guidance, and risk factor reduction interventions. Preventative care and individual counseling encounters can be 15 to 60 minutes. This is a grouping of CPT codes.
Exclusion Criteria: Excludes codes for services performed in the emergency department, including critical care and observation services.
PreventiveCareServicesInitialOfficeVisit0To17 #
value_set.v2021.encounter_performed.PreventiveCareServicesInitialOfficeVisit0To17
class PreventiveCareServicesInitialOfficeVisit0To17(ValueSet)
Clinical Focus: This value set contains concepts that represent initial comprehensive preventive medical evaluation, including regular preventive care or care of small problem or preexisting condition that requires no extra work, to be associated with patients 0-17 years of age, that have no prior outpatient professional services from the physician practice in the last 3 years.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with ages 0-17, and that indicate initial comprehensive preventive medical evaluation, including regular preventive care or care of small problem or preexisting condition that requires no extra work, for a patient that has no prior outpatient professional services from the physician practice in the last 3 years. This is a grouping value set of CPT codes.
Exclusion Criteria: Excludes codes that are not for comprehensive preventive medical evaluations and codes that are for patients who have been seen in the last 3 years.
PreventiveCareServicesInitialOfficeVisit18AndUp #
value_set.v2021.encounter_performed.PreventiveCareServicesInitialOfficeVisit18AndUp
class PreventiveCareServicesInitialOfficeVisit18AndUp(ValueSet)
Clinical Focus: This value set contains concepts that represent patients over the age of 18 who have had an initial preventive care office visit.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with comprehensive preventive medicine reevaluation and management of an individual the age of 18 years or over. This is a grouping value set of CPT codes.
Exclusion Criteria: Excludes non-office visits, including telehealth services.
PreventiveCareServicesOther #
value_set.v2021.encounter_performed.PreventiveCareServicesOther
class PreventiveCareServicesOther(ValueSet)
Clinical Focus: This value set contains concepts that represent unlisted preventive medicine services.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with unlisted preventive medicine services. This is a grouping of a CPT codes.
Exclusion Criteria: No exclusions.
PsychotherapyAndPharmacologicManagement #
value_set.v2021.encounter_performed.PsychotherapyAndPharmacologicManagement
class PsychotherapyAndPharmacologicManagement(ValueSet)
Clinical Focus: This value set contains concepts that represent psychotherapy services.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with identifying psychotherapy services.
Exclusion Criteria: No exclusions.
TelehealthServices #
value_set.v2021.encounter_performed.TelehealthServices
class TelehealthServices(ValueSet)
Clinical Focus: This value set contains concepts that represent telehealth services.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with identifying telehealth services, including telephone and online evaluation and management services.
Exclusion Criteria: No exclusions.
TelephoneEvaluation #
value_set.v2021.encounter_performed.TelephoneEvaluation
class TelephoneEvaluation(ValueSet)
Clinical Focus: This value set contains concepts that represent telephone evaluations.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with identifying evaluation and management services to a patient by telephone. This is a grouping of CPT codes.
Exclusion Criteria: Excludes telephone evaluation and management services that last for less than five minutes.
TelephoneManagement #
value_set.v2021.encounter_performed.TelephoneManagement
class TelephoneManagement(ValueSet)
Clinical Focus: This value set contains concepts that represent telephone management.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with all relevant codes used to identify assessment and management services to a patient by telephone. This is a grouping of CPT codes.
Exclusion Criteria: Excludes telephone assessment and management services that last for less than five minutes.
TelephoneVisits #
value_set.v2021.encounter_performed.TelephoneVisits
class TelephoneVisits(ValueSet)
Clinical Focus: This value set contains concepts that represent telephone visits.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with identifying assessment, evaluation and management services to a patient by telephone. This is a grouping of CPT codes.
Exclusion Criteria: Excludes telephone assessment, evaluation and management services that last for less than five minutes.
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