Colorado BHA FHIR Implementation Guide
0.3.0-current - ci-build
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
| Page standards status: Trial-use | Maturity Level: 1 |
<ValueSet xmlns="http://hl7.org/fhir">
<id value="bha-service-identifier-billing-and-diagnosis-vs"/>
<language value="en"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet bha-service-identifier-billing-and-diagnosis-vs</b></p><a name="bha-service-identifier-billing-and-diagnosis-vs"> </a><a name="hcbha-service-identifier-billing-and-diagnosis-vs"> </a><p>This value set includes codes based on the following rules:</p><ul><li>Include these codes as defined in <a href="http://terminology.hl7.org/5.1.0/CodeSystem-CPT.html"><code>http://www.ama-assn.org/go/cpt</code></a><span title="Version is not explicitly stated. No matching Code System found"> version Not Stated (use latest from terminology server)</span><table class="none"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td></tr><tr><td>90791</td><td style="color: #cccccc">Psychiatric diagnostic evaluation</td></tr><tr><td>90837</td><td style="color: #cccccc">Psychotherapy, 60 minutes with patient</td></tr><tr><td>99223</td><td style="color: #cccccc">Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 75 minutes must be met or exceeded.</td></tr></table></li><li>Include these codes as defined in <a href="http://tx.hl7europe.eu/r4"><code>http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets</code></a><span style="opacity: 0.5" title="Version is not explicitly stated. When building this specification, the most recent version 2025-01 has been used"> version ⏿2025-01</span><table class="none"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href="http://tx.hl7europe.eu/r4/ValueSet/hcpcs#hcpcs-H0011">H0011</a></td><td style="color: #cccccc">Alcohol and/or drug services</td></tr><tr><td><a href="http://tx.hl7europe.eu/r4/ValueSet/hcpcs#hcpcs-H0012">H0012</a></td><td style="color: #cccccc">Alcohol and/or drug services</td></tr><tr><td><a href="http://tx.hl7europe.eu/r4/ValueSet/hcpcs#hcpcs-H0014">H0014</a></td><td style="color: #cccccc">Alcohol and/or drug services</td></tr><tr><td><a href="http://tx.hl7europe.eu/r4/ValueSet/hcpcs#hcpcs-H0015">H0015</a></td><td style="color: #cccccc">Alcohol and/or drug services</td></tr><tr><td><a href="http://tx.hl7europe.eu/r4/ValueSet/hcpcs#hcpcs-H0019">H0019</a></td><td style="color: #cccccc">Alcohol and/or drug services</td></tr><tr><td><a href="http://tx.hl7europe.eu/r4/ValueSet/hcpcs#hcpcs-H0020">H0020</a></td><td style="color: #cccccc">Alcohol and/or drug services</td></tr><tr><td><a href="http://tx.hl7europe.eu/r4/ValueSet/hcpcs#hcpcs-H0025">H0025</a></td><td style="color: #cccccc">Alcohol and/or drug preventi</td></tr><tr><td><a href="http://tx.hl7europe.eu/r4/ValueSet/hcpcs#hcpcs-H0004">H0004</a></td><td style="color: #cccccc">Alcohol and/or drug services</td></tr><tr><td><a href="http://tx.hl7europe.eu/r4/ValueSet/hcpcs#hcpcs-H0005">H0005</a></td><td style="color: #cccccc">Alcohol and/or drug services</td></tr><tr><td><a href="http://tx.hl7europe.eu/r4/ValueSet/hcpcs#hcpcs-H0049">H0049</a></td><td style="color: #cccccc">Alcohol/drug screening</td></tr><tr><td><a href="http://tx.hl7europe.eu/r4/ValueSet/hcpcs#hcpcs-H2011">H2011</a></td><td style="color: #cccccc">Crisis interven svc, 15 min</td></tr><tr><td><a href="http://tx.hl7europe.eu/r4/ValueSet/hcpcs#hcpcs-H2012">H2012</a></td><td style="color: #cccccc">Behav hlth day treat, per hr</td></tr><tr><td><a href="http://tx.hl7europe.eu/r4/ValueSet/hcpcs#hcpcs-H2013">H2013</a></td><td style="color: #cccccc">Psych hlth fac svc, per diem</td></tr><tr><td><a href="http://tx.hl7europe.eu/r4/ValueSet/hcpcs#hcpcs-H2034">H2034</a></td><td style="color: #cccccc">A/d halfway house, per diem</td></tr><tr><td><a href="http://tx.hl7europe.eu/r4/ValueSet/hcpcs#hcpcs-H2036">H2036</a></td><td style="color: #cccccc">A/d tx program, per diem</td></tr><tr><td><a href="http://tx.hl7europe.eu/r4/ValueSet/hcpcs#hcpcs-S9484">S9484</a></td><td style="color: #cccccc">Crisis intervention per hour</td></tr></table></li><li>Include these codes as defined in <a href="http://terminology.hl7.org/5.1.0/CodeSystem-icd10CM.html"><code>http://hl7.org/fhir/sid/icd-10-cm</code></a><span title="Version is not explicitly stated. No matching Code System found"> version Not Stated (use latest from terminology server)</span><table class="none"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td></tr><tr><td>F11.20</td><td>Opioid dependence, uncomplicated</td></tr><tr><td>F19.20</td><td>Other psychoactive substance dependence, uncomplicated</td></tr><tr><td>F19.239</td><td>Other psychoactive substance dependence with withdrawal, unspecified</td></tr><tr><td>F99</td><td>Mental disorder, not otherwise specified</td></tr><tr><td>Z13.30</td><td>Encounter for screening examination for mental health and behavioral disorders, unspecified</td></tr><tr><td>Z71.41</td><td>Alcohol abuse counseling and surveillance of alcoholic</td></tr></table></li></ul></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
<valueInteger value="1">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://bha.colorado.gov/fhir/bha-ig/ImplementationGuide/us.co.bha-ig"/>
</extension>
</valueInteger>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
<valueCode value="trial-use">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://bha.colorado.gov/fhir/bha-ig/ImplementationGuide/us.co.bha-ig"/>
</extension>
</valueCode>
</extension>
<url
value="http://bha.colorado.gov/fhir/bha-ig/ValueSet/bha-service-identifier-billing-and-diagnosis-vs"/>
<version value="0.3.0-current"/>
<name value="BHAServiceIdentifierBillingAndDiagnosisVS"/>
<title value="CO BHA Service Identifier Billing and Diagnosis ValueSet"/>
<status value="active"/>
<experimental value="false"/>
<date value="2026-07-06T17:11:10+00:00"/>
<publisher value="Colorado Behavioral Health Administration"/>
<contact>
<name value="Colorado Behavioral Health Administration"/>
<telecom>
<system value="url"/>
<value value="https://bha.colorado.gov"/>
</telecom>
<telecom>
<system value="email"/>
<value value="FHIRFeedback@state.co.us"/>
</telecom>
</contact>
<description
value="CPT, HCPCS, and ICD-10-CM codes referenced by CO BHA service identifier ConceptMaps."/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="USA"/>
</coding>
</jurisdiction>
<compose>
<include>
<system value="http://www.ama-assn.org/go/cpt"/>
<concept>
<code value="90791"/>
</concept>
<concept>
<code value="90837"/>
</concept>
<concept>
<code value="99223"/>
</concept>
</include>
<include>
<system
value="http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets"/>
<concept>
<code value="H0011"/>
</concept>
<concept>
<code value="H0012"/>
</concept>
<concept>
<code value="H0014"/>
</concept>
<concept>
<code value="H0015"/>
</concept>
<concept>
<code value="H0019"/>
</concept>
<concept>
<code value="H0020"/>
</concept>
<concept>
<code value="H0025"/>
</concept>
<concept>
<code value="H0004"/>
</concept>
<concept>
<code value="H0005"/>
</concept>
<concept>
<code value="H0049"/>
</concept>
<concept>
<code value="H2011"/>
</concept>
<concept>
<code value="H2012"/>
</concept>
<concept>
<code value="H2013"/>
</concept>
<concept>
<code value="H2034"/>
</concept>
<concept>
<code value="H2036"/>
</concept>
<concept>
<code value="S9484"/>
</concept>
</include>
<include>
<system value="http://hl7.org/fhir/sid/icd-10-cm"/>
<concept>
<code value="F11.20"/>
<display value="Opioid dependence, uncomplicated"/>
</concept>
<concept>
<code value="F19.20"/>
<display
value="Other psychoactive substance dependence, uncomplicated"/>
</concept>
<concept>
<code value="F19.239"/>
<display
value="Other psychoactive substance dependence with withdrawal, unspecified"/>
</concept>
<concept>
<code value="F99"/>
<display value="Mental disorder, not otherwise specified"/>
</concept>
<concept>
<code value="Z13.30"/>
<display
value="Encounter for screening examination for mental health and behavioral disorders, unspecified"/>
</concept>
<concept>
<code value="Z71.41"/>
<display
value="Alcohol abuse counseling and surveillance of alcoholic"/>
</concept>
</include>
</compose>
</ValueSet>