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Type:
Change Request
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Resolution: Persuasive with Modification
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Priority:
Highest
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US CARIN Blue Button (FHIR)
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0.1 [deprecated]
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Financial Mgmt
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(NA)
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Terminology
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Mark Roberts/ Pat Taylor: 16-0-2
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Correction
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Compatible, substantive
Ballot feedback was that the Terminology Section of the IG requires a major overall, renaming the Value Sets and Code Systems and updating links. Following is a recommended resolution for the Procedure Code Modifiers:
1) Delete Value Set CARINBBHCPCSModifierCodes
2) Define AMACPTCMSHCPCSProcedureModifiers
3) Title: AMA CPT CMS HCPCS Procedure Modifiers
4) Description: The Value Set is a combination of two Code Systems: CPT (HCPCS I) and HCPCS II procedure code modifiers. Modifiers help further describe a procedure code without changing its definition.
5) Value Set: http://hl7.org/fhir/us/ValueSet/ama-cpt-cms-hcpcs-procedure-code-modifiers
6) Code System URIs:
http://www.ama-assn.org/go/cpt-modifiers. Submit a request to define an OID named CPT Procedure Code Modifiers.
http://www.cms.gov/hcpcs-level-II-modifiers. Submit a request to define an OID named HCPCS II Procedure Code Modifiers
7) Code System Definition:
CPT modifiers are available by subscription from the AMA at http://www.ama-assn.org/go/cpt. Copyright Statement: CPT copyright 2014 American Medical Association. All rights reserved.
HCPCS modifiers are available at https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets/Alpha-Numeric-HCPCS.html. The link takes one to a list of files. The HCPCS ANWEB files include modifier and procedure codes. The target set for this Code System is the procedure code modifiers from this file. The code set is owned by CMS and is available for use.
8) Bind the ValueSet to item.modifier in the Inpatient Facility, Outpatient Facility and Professional and Non-Clinician Profiles
- relates to
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FHIR-29650 Update External Code Systems and Value Sets per HTA and UTG definitions
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- Published
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FHIR-26706 The Terminology Section of the IG requires a major overhaul, renaming the Value Sets and Code Systems and updating links
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- Published
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