<?xml version="1.0" encoding="UTF-8"?>

<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/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>
  </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/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/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="2026-05-28T21:04:48+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>