{ "resourceType" : "ConceptMap", "id" : "BHAServiceIdentifierProcedureCM", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: ConceptMap BHAServiceIdentifierProcedureCM

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)
17 (Mental Health Outpatient)is related to90837 (Psychotherapy, 60 minutes with patient)
19 (Mental Health Inpatient)is related to99223 (Initial hospital inpatient care, high complexity)
22 (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 inpatient))
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)
05 (Transitional Residential (TRT)is related toH2034 (Alcohol and/or drug halfway house services, per diem)
06 (Opioid Treatment Program (ORT/OTP))is related toH0020 (Alcohol and/or drug services; methadone administration and/or service)
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)
10 (Day Treatment (DAY))is related toH2012 (Behavioral health day treatment, per hour)
11 (Medically Managed Inpatient Other Than WM)is related toH0011 (Alcohol and/or drug services; acute detoxification (hospital inpatient))
12 (Medically Managed Inpatient Withdrawal Management)is related toH0011 (Alcohol and/or drug services; acute detoxification (hospital inpatient))
13 (DUI Level I Education)is related toH0025 (Behavioral health prevention education service)
14 (DUI Level II Education Only)is related toH0025 (Behavioral health prevention education service)
15 (DUI Level II Therapy and Education)is related toH0005 (Alcohol and/or drug services; group counseling by a clinician)
16 (Minors in Possession Treatment (MIP))is related toH0004 (Behavioral health counseling and therapy, per 15 minutes)
18 (Mental Health Residential)is related toH2013 (Psychiatric health facility service, per diem)
20 (Crisis Stabilization)is related toH2011 (Crisis intervention service, per 15 minutes)
21 (Crisis Respite)is related toS9484 (Crisis intervention mental health services, per diem)
23 (Co-Occurring (CIRCLE))is related toH0004 (Behavioral health counseling and therapy, per 15 minutes)
" }, "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm", "valueInteger" : 1, "_valueInteger" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom", "valueCanonical" : "http://bha.colorado.gov/fhir/bha-ig/ImplementationGuide/bha-ig" }] } }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode" : "trial-use", "_valueCode" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom", "valueCanonical" : "http://bha.colorado.gov/fhir/bha-ig/ImplementationGuide/bha-ig" }] } }], "url" : "http://bha.colorado.gov/fhir/bha-ig/ConceptMap/BHAServiceIdentifierProcedureCM", "version" : "0.3.0-current", "name" : "BHAServiceIdentifierProcedureCM", "title" : "CO BHA Service Identifier to CPT/HCPCS ConceptMap", "status" : "active", "experimental" : false, "date" : "2026-05-28T21:04:48+00:00", "publisher" : "Colorado Behavioral Health Administration", "contact" : [{ "name" : "Colorado Behavioral Health Administration", "telecom" : [{ "system" : "url", "value" : "https://bha.colorado.gov" }, { "system" : "email", "value" : "FHIRFeedback@state.co.us" }] }], "description" : "Informative (Colorado): Maps CO BHA service identifier codes to related CPT and HCPCS procedure/service concepts used in Colorado implementation workflows.", "jurisdiction" : [{ "coding" : [{ "system" : "urn:iso:std:iso:3166", "code" : "USA" }] }], "sourceUri" : "http://bha.colorado.gov/fhir/bha-ig/ValueSet/bha-service-identifier-vs", "group" : [{ "source" : "http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-service-identifier-cs", "target" : "http://www.ama-assn.org/go/cpt", "element" : [{ "code" : "00", "display" : "Differential Assessment (SUD) / Evaluation Only (MH)", "target" : [{ "code" : "90791", "display" : "Psychiatric diagnostic evaluation", "equivalence" : "relatedto" }] }, { "code" : "17", "display" : "Mental Health Outpatient", "target" : [{ "code" : "90837", "display" : "Psychotherapy, 60 minutes with patient", "equivalence" : "relatedto" }] }, { "code" : "19", "display" : "Mental Health Inpatient", "target" : [{ "code" : "99223", "display" : "Initial hospital inpatient care, high complexity", "equivalence" : "relatedto" }] }, { "code" : "22", "display" : "Psychiatric Hospitalization", "target" : [{ "code" : "99223", "display" : "Initial hospital inpatient care, high complexity", "equivalence" : "relatedto" }] }] }, { "source" : "http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-service-identifier-cs", "target" : "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets", "element" : [{ "code" : "01", "display" : "Ambulatory Medical Withdrawal Management", "target" : [{ "code" : "H0014", "display" : "Alcohol and/or drug services; ambulatory detoxification", "equivalence" : "relatedto" }] }, { "code" : "02", "display" : "Residential (non-hospital) Withdrawal Management (RDX)", "target" : [{ "code" : "H0012", "display" : "Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient)", "equivalence" : "relatedto" }] }, { "code" : "03", "display" : "Therapeutic Community (TC)", "target" : [{ "code" : "H2036", "display" : "Alcohol and/or other drug treatment program, per diem", "equivalence" : "relatedto" }] }, { "code" : "04", "display" : "Intensive Residential (IRT)", "target" : [{ "code" : "H0019", "display" : "Behavioral health; long-term residential", "equivalence" : "relatedto" }] }, { "code" : "05", "display" : "Transitional Residential (TRT", "target" : [{ "code" : "H2034", "display" : "Alcohol and/or drug halfway house services, per diem", "equivalence" : "relatedto" }] }, { "code" : "06", "display" : "Opioid Treatment Program (ORT/OTP)", "target" : [{ "code" : "H0020", "display" : "Alcohol and/or drug services; methadone administration and/or service", "equivalence" : "relatedto" }] }, { "code" : "07", "display" : "SUD Traditional Outpatient (OP and EOP))", "target" : [{ "code" : "H0004", "display" : "Behavioral health counseling and therapy, per 15 minutes", "equivalence" : "relatedto" }] }, { "code" : "08", "display" : "STIRT", "target" : [{ "code" : "H0049", "display" : "Alcohol and/or drug screening", "equivalence" : "relatedto" }] }, { "code" : "09", "display" : "SUD Intensive Outpatient (IOP)", "target" : [{ "code" : "H0015", "display" : "Alcohol and/or drug services; intensive outpatient treatment", "equivalence" : "relatedto" }] }, { "code" : "10", "display" : "Day Treatment (DAY)", "target" : [{ "code" : "H2012", "display" : "Behavioral health day treatment, per hour", "equivalence" : "relatedto" }] }, { "code" : "11", "display" : "Medically Managed Inpatient Other Than WM", "target" : [{ "code" : "H0011", "display" : "Alcohol and/or drug services; acute detoxification (hospital inpatient)", "equivalence" : "relatedto" }] }, { "code" : "12", "display" : "Medically Managed Inpatient Withdrawal Management", "target" : [{ "code" : "H0011", "display" : "Alcohol and/or drug services; acute detoxification (hospital inpatient)", "equivalence" : "relatedto" }] }, { "code" : "13", "display" : "DUI Level I Education", "target" : [{ "code" : "H0025", "display" : "Behavioral health prevention education service", "equivalence" : "relatedto" }] }, { "code" : "14", "display" : "DUI Level II Education Only", "target" : [{ "code" : "H0025", "display" : "Behavioral health prevention education service", "equivalence" : "relatedto" }] }, { "code" : "15", "display" : "DUI Level II Therapy and Education", "target" : [{ "code" : "H0005", "display" : "Alcohol and/or drug services; group counseling by a clinician", "equivalence" : "relatedto" }] }, { "code" : "16", "display" : "Minors in Possession Treatment (MIP)", "target" : [{ "code" : "H0004", "display" : "Behavioral health counseling and therapy, per 15 minutes", "equivalence" : "relatedto" }] }, { "code" : "18", "display" : "Mental Health Residential", "target" : [{ "code" : "H2013", "display" : "Psychiatric health facility service, per diem", "equivalence" : "relatedto" }] }, { "code" : "20", "display" : "Crisis Stabilization", "target" : [{ "code" : "H2011", "display" : "Crisis intervention service, per 15 minutes", "equivalence" : "relatedto" }] }, { "code" : "21", "display" : "Crisis Respite", "target" : [{ "code" : "S9484", "display" : "Crisis intervention mental health services, per diem", "equivalence" : "relatedto" }] }, { "code" : "23", "display" : "Co-Occurring (CIRCLE)", "target" : [{ "code" : "H0004", "display" : "Behavioral health counseling and therapy, per 15 minutes", "equivalence" : "relatedto" }] }] }] }