Colorado BHA FHIR Implementation Guide
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Colorado BHA FHIR Implementation Guide, published by Colorado Behavioral Health Administration. This guide is not an authorized publication; it is the continuous build for version 0.3.0-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/CoBHA/CoBHRM-FHIR-IG/ and changes regularly. See the Directory of published versions

ConceptMap: CO BHA Service Identifier to CPT/HCPCS ConceptMap

Official URL: http://bha.colorado.gov/fhir/bha-ig/ConceptMap/BHAServiceIdentifierProcedureCM Version: 0.3.0-current
Standards status: Trial-use Maturity Level: 1 Computable Name: BHAServiceIdentifierProcedureCM

Informative (Colorado): Maps CO BHA service identifier codes to related CPT and HCPCS procedure/service concepts used in Colorado implementation workflows.

Language: en

Mapping from ValueSet for BHA Service Identifier Codes to (not specified)


Group 1 Mapping from BHA Service Identifier Codes to Current Procedural Terminology (CPT®)

Source CodeRelationshipTarget Code
00 (Differential Assessment (SUD) / Evaluation Only (MH))is related to90791 (Psychiatric diagnostic evaluation)
30 (Mental Health Outpatient)is related to90837 (Psychotherapy, 60 minutes with patient)
32 (Mental Health Inpatient)is related to99223 (Initial hospital inpatient care, high complexity)
33 (Psychiatric Hospitalization)is related to99223 (Initial hospital inpatient care, high complexity)

Group 2 Mapping from BHA Service Identifier Codes to Healthcare Common Procedure Coding System (HCPCS) level II alphanumeric codes

Source CodeRelationshipTarget Code
01 (Ambulatory Medical Withdrawal Management)is related toH0014 (Alcohol and/or drug services; ambulatory detoxification)
02 (Residential (non-hospital) Withdrawal Management (RDX))is related toH0012 (Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient))
03 (Therapeutic Community (TC))is related toH2036 (Alcohol and/or other drug treatment program, per diem)
04 (Intensive Residential (IRT))is related toH0019 (Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem)
05 (Transitional Residential (TRT))is related toH2034 (Alcohol and/or drug abuse halfway house services, per diem)
06 (Opioid Treatment Program (ORT/OTP))is related toH0020 (Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program))
07 (SUD Traditional Outpatient (OP and EOP))is related toH0004 (Behavioral health counseling and therapy, per 15 minutes)
08 (STIRT)is related toH0049 (Alcohol and/or drug screening)
09 (SUD Intensive Outpatient (IOP))is related toH0015 (Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education)
10 (Day Treatment (DAY))is related toH2012 (Behavioral health day treatment, per hour)
11 (Medically Managed Inpatient Other Than WM (Partial Hospital Program))is related toH0011 (Alcohol and/or drug services; acute detoxification (residential addiction program inpatient))
12 (Medically Managed Inpatient Withdrawal Management)is related toH0011 (Alcohol and/or drug services; acute detoxification (residential addiction program inpatient))
50 (DUI Level I Education)is related toH0025 (Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior))
51 (DUI Level II Education Only)is related toH0025 (Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior))
52 (DUI Level II Therapy and Education)is related toH0005 (Alcohol and/or drug services; group counseling by a clinician)
53 (Minors in Possession Treatment (MIP))is related toH0004 (Behavioral health counseling and therapy, per 15 minutes)
31 (Mental Health Residential)is related toH2013 (Psychiatric health facility service, per diem)
42 (Crisis Stabilization)is related toH2011 (Crisis intervention service, per 15 minutes)
43 (Crisis Respite)is related toS9484 (Crisis intervention mental health services, per hour)
80 (Co-Occurring (CIRCLE))is related toH0004 (Behavioral health counseling and therapy, per 15 minutes)