{
  "resourceType" : "ValueSet",
  "id" : "bha-service-identifier-billing-and-diagnosis-vs",
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<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/6.5.0/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://terminology.hl7.org/6.5.0/CodeSystem-hcpcs-Level-II.html\"><code>http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets</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>H0011</td><td style=\"color: #cccccc\">Alcohol and/or drug services</td></tr><tr><td>H0012</td><td style=\"color: #cccccc\">Alcohol and/or drug services</td></tr><tr><td>H0014</td><td style=\"color: #cccccc\">Alcohol and/or drug services</td></tr><tr><td>H0015</td><td style=\"color: #cccccc\">Alcohol and/or drug services</td></tr><tr><td>H0019</td><td style=\"color: #cccccc\">Alcohol and/or drug services</td></tr><tr><td>H0020</td><td style=\"color: #cccccc\">Alcohol and/or drug services</td></tr><tr><td>H0025</td><td style=\"color: #cccccc\">Alcohol and/or drug preventi</td></tr><tr><td>H0004</td><td style=\"color: #cccccc\">Alcohol and/or drug services</td></tr><tr><td>H0005</td><td style=\"color: #cccccc\">Alcohol and/or drug services</td></tr><tr><td>H0049</td><td style=\"color: #cccccc\">Alcohol/drug screening</td></tr><tr><td>H2011</td><td style=\"color: #cccccc\">Crisis interven svc, 15 min</td></tr><tr><td>H2012</td><td style=\"color: #cccccc\">Behav hlth day treat, per hr</td></tr><tr><td>H2013</td><td style=\"color: #cccccc\">Psych hlth fac svc, per diem</td></tr><tr><td>H2034</td><td style=\"color: #cccccc\">A/d halfway house, per diem</td></tr><tr><td>H2036</td><td style=\"color: #cccccc\">A/d tx program, per diem</td></tr><tr><td>S9484</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/6.5.0/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>"
  },
  "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/ValueSet/bha-service-identifier-billing-and-diagnosis-vs",
  "version" : "0.3.0-current",
  "name" : "BHAServiceIdentifierBillingAndDiagnosisVS",
  "title" : "CO BHA Service Identifier Billing and Diagnosis ValueSet",
  "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" : "CPT, HCPCS, and ICD-10-CM codes referenced by CO BHA service identifier ConceptMaps.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "USA"
    }]
  }],
  "compose" : {
    "include" : [{
      "system" : "http://www.ama-assn.org/go/cpt",
      "concept" : [{
        "code" : "90791"
      },
      {
        "code" : "90837"
      },
      {
        "code" : "99223"
      }]
    },
    {
      "system" : "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
      "concept" : [{
        "code" : "H0011"
      },
      {
        "code" : "H0012"
      },
      {
        "code" : "H0014"
      },
      {
        "code" : "H0015"
      },
      {
        "code" : "H0019"
      },
      {
        "code" : "H0020"
      },
      {
        "code" : "H0025"
      },
      {
        "code" : "H0004"
      },
      {
        "code" : "H0005"
      },
      {
        "code" : "H0049"
      },
      {
        "code" : "H2011"
      },
      {
        "code" : "H2012"
      },
      {
        "code" : "H2013"
      },
      {
        "code" : "H2034"
      },
      {
        "code" : "H2036"
      },
      {
        "code" : "S9484"
      }]
    },
    {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "concept" : [{
        "code" : "F11.20",
        "display" : "Opioid dependence, uncomplicated"
      },
      {
        "code" : "F19.20",
        "display" : "Other psychoactive substance dependence, uncomplicated"
      },
      {
        "code" : "F19.239",
        "display" : "Other psychoactive substance dependence with withdrawal, unspecified"
      },
      {
        "code" : "F99",
        "display" : "Mental disorder, not otherwise specified"
      },
      {
        "code" : "Z13.30",
        "display" : "Encounter for screening examination for mental health and behavioral disorders, unspecified"
      },
      {
        "code" : "Z71.41",
        "display" : "Alcohol abuse counseling and surveillance of alcoholic"
      }]
    }]
  }
}