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

: CO BHA Service Identifier Billing and Diagnosis ValueSet

Page standards status: Trial-use Maturity Level: 1

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:ValueSet ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "bha-service-identifier-billing-and-diagnosis-vs"] ; # 
  fhir:language [ fhir:v "en"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<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>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:extension ( [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm>     ] ;
fhir:value [
a fhir:Integer ;
fhir:v 1 ;
      ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom>         ] ;
fhir:value [
a fhir:Canonical ;
fhir:v "http://bha.colorado.gov/fhir/bha-ig/ImplementationGuide/bha-ig"^^xsd:anyURI ;
fhir:l <http://bha.colorado.gov/fhir/bha-ig/ImplementationGuide/bha-ig>         ]       ] )     ]
  ] [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status>     ] ;
fhir:value [
a fhir:Code ;
fhir:v "trial-use" ;
      ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom>         ] ;
fhir:value [
a fhir:Canonical ;
fhir:v "http://bha.colorado.gov/fhir/bha-ig/ImplementationGuide/bha-ig"^^xsd:anyURI ;
fhir:l <http://bha.colorado.gov/fhir/bha-ig/ImplementationGuide/bha-ig>         ]       ] )     ]
  ] ) ; # 
  fhir:url [
fhir:v "http://bha.colorado.gov/fhir/bha-ig/ValueSet/bha-service-identifier-billing-and-diagnosis-vs"^^xsd:anyURI ;
fhir:l <http://bha.colorado.gov/fhir/bha-ig/ValueSet/bha-service-identifier-billing-and-diagnosis-vs>
  ] ; # 
  fhir:version [ fhir:v "0.3.0-current"] ; # 
  fhir:name [ fhir:v "BHAServiceIdentifierBillingAndDiagnosisVS"] ; # 
  fhir:title [ fhir:v "CO BHA Service Identifier Billing and Diagnosis ValueSet"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:experimental [ fhir:v false] ; # 
  fhir:date [ fhir:v "2026-05-28T21:04:48+00:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "Colorado Behavioral Health Administration"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "Colorado Behavioral Health Administration" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "https://bha.colorado.gov" ]     ] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "FHIRFeedback@state.co.us" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "CPT, HCPCS, and ICD-10-CM codes referenced by CO BHA service identifier ConceptMaps."] ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [
fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ;
fhir:l <urn:iso:std:iso:3166>       ] ;
fhir:code [ fhir:v "USA" ]     ] )
  ] ) ; # 
  fhir:compose [
    ( fhir:include [
fhir:system [
fhir:v "http://www.ama-assn.org/go/cpt"^^xsd:anyURI ;
fhir:l <http://www.ama-assn.org/go/cpt>       ] ;
      ( fhir:concept [
fhir:code [ fhir:v "90791" ]       ] [
fhir:code [ fhir:v "90837" ]       ] [
fhir:code [ fhir:v "99223" ]       ] )     ] [
fhir:system [
fhir:v "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets"^^xsd:anyURI ;
fhir:l <http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets>       ] ;
      ( fhir:concept [
fhir:code [ fhir:v "H0011" ]       ] [
fhir:code [ fhir:v "H0012" ]       ] [
fhir:code [ fhir:v "H0014" ]       ] [
fhir:code [ fhir:v "H0015" ]       ] [
fhir:code [ fhir:v "H0019" ]       ] [
fhir:code [ fhir:v "H0020" ]       ] [
fhir:code [ fhir:v "H0025" ]       ] [
fhir:code [ fhir:v "H0004" ]       ] [
fhir:code [ fhir:v "H0005" ]       ] [
fhir:code [ fhir:v "H0049" ]       ] [
fhir:code [ fhir:v "H2011" ]       ] [
fhir:code [ fhir:v "H2012" ]       ] [
fhir:code [ fhir:v "H2013" ]       ] [
fhir:code [ fhir:v "H2034" ]       ] [
fhir:code [ fhir:v "H2036" ]       ] [
fhir:code [ fhir:v "S9484" ]       ] )     ] [
fhir:system [
fhir:v "http://hl7.org/fhir/sid/icd-10-cm"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/sid/icd-10-cm>       ] ;
      ( fhir:concept [
fhir:code [ fhir:v "F11.20" ] ;
fhir:display [ fhir:v "Opioid dependence, uncomplicated" ]       ] [
fhir:code [ fhir:v "F19.20" ] ;
fhir:display [ fhir:v "Other psychoactive substance dependence, uncomplicated" ]       ] [
fhir:code [ fhir:v "F19.239" ] ;
fhir:display [ fhir:v "Other psychoactive substance dependence with withdrawal, unspecified" ]       ] [
fhir:code [ fhir:v "F99" ] ;
fhir:display [ fhir:v "Mental disorder, not otherwise specified" ]       ] [
fhir:code [ fhir:v "Z13.30" ] ;
fhir:display [ fhir:v "Encounter for screening examination for mental health and behavioral disorders, unspecified" ]       ] [
fhir:code [ fhir:v "Z71.41" ] ;
fhir:display [ fhir:v "Alcohol abuse counseling and surveillance of alcoholic" ]       ] )     ] )
  ] . #