Colorado BHA FHIR Implementation Guide
0.3.0-current - ci-build USA

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

ValueSet: CO BHA Service Identifier Billing and Diagnosis ValueSet

Official URL: http://bha.colorado.gov/fhir/bha-ig/ValueSet/bha-service-identifier-billing-and-diagnosis-vs Version: 0.3.0-current
Standards status: Trial-use Maturity Level: 1 Computable Name: BHAServiceIdentifierBillingAndDiagnosisVS

CPT, HCPCS, and ICD-10-CM codes referenced by CO BHA service identifier ConceptMaps.

References

This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Logical Definition (CLD)

This value set includes codes based on the following rules:

  • Include these codes as defined in http://www.ama-assn.org/go/cpt version Not Stated (use latest from terminology server)
    CodeDisplay
    90791Psychiatric diagnostic evaluation
    90837Psychotherapy, 60 minutes with patient
    99223Initial 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.
  • Include these codes as defined in http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets version Not Stated (use latest from terminology server)
    CodeDisplay
    H0011 Alcohol and/or drug services
    H0012 Alcohol and/or drug services
    H0014 Alcohol and/or drug services
    H0015 Alcohol and/or drug services
    H0019 Alcohol and/or drug services
    H0020 Alcohol and/or drug services
    H0025 Alcohol and/or drug preventi
    H0004 Alcohol and/or drug services
    H0005 Alcohol and/or drug services
    H0049 Alcohol/drug screening
    H2011 Crisis interven svc, 15 min
    H2012 Behav hlth day treat, per hr
    H2013 Psych hlth fac svc, per diem
    H2034 A/d halfway house, per diem
    H2036 A/d tx program, per diem
    S9484 Crisis intervention per hour
  • Include these codes as defined in http://hl7.org/fhir/sid/icd-10-cm version Not Stated (use latest from terminology server)
    CodeDisplay
    F11.20 Opioid dependence, uncomplicated
    F19.20 Other psychoactive substance dependence, uncomplicated
    F19.239 Other psychoactive substance dependence with withdrawal, unspecified
    F99 Mental disorder, not otherwise specified
    Z13.30 Encounter for screening examination for mental health and behavioral disorders, unspecified
    Z71.41 Alcohol abuse counseling and surveillance of alcoholic

 

Expansion

Expansion from tx.fhir.org based on:

  • codesystem International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) version 2026-04-01
  • codesystem Current Procedural Terminology (CPT®) version 2023
  • codesystem Healthcare Common Procedure Coding System (HCPCS) level II alphanumeric codes version 2025-01

This value set contains 25 concepts

SystemCodeDisplay (en)JSONXML
http://www.ama-assn.org/go/cpt  90791Psychiatric diagnostic evaluation
http://www.ama-assn.org/go/cpt  90837Psychotherapy, 60 minutes with patient
http://www.ama-assn.org/go/cpt  99223Initial 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.
http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  H0011Alcohol and/or drug services
http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  H0012Alcohol and/or drug services
http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  H0014Alcohol and/or drug services
http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  H0015Alcohol and/or drug services
http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  H0019Alcohol and/or drug services
http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  H0020Alcohol and/or drug services
http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  H0025Alcohol and/or drug preventi
http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  H0004Alcohol and/or drug services
http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  H0005Alcohol and/or drug services
http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  H0049Alcohol/drug screening
http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  H2011Crisis interven svc, 15 min
http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  H2012Behav hlth day treat, per hr
http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  H2013Psych hlth fac svc, per diem
http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  H2034A/d halfway house, per diem
http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  H2036A/d tx program, per diem
http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  S9484Crisis intervention per hour
http://hl7.org/fhir/sid/icd-10-cm  F11.20Opioid dependence, uncomplicated
http://hl7.org/fhir/sid/icd-10-cm  F19.20Other psychoactive substance dependence, uncomplicated
http://hl7.org/fhir/sid/icd-10-cm  F19.239Other psychoactive substance dependence with withdrawal, unspecified
http://hl7.org/fhir/sid/icd-10-cm  F99Mental disorder, not otherwise specified
http://hl7.org/fhir/sid/icd-10-cm  Z13.30Encounter for screening examination for mental health and behavioral disorders, unspecified
http://hl7.org/fhir/sid/icd-10-cm  Z71.41Alcohol abuse counseling and surveillance of alcoholic

Description of the above table(s).