2020 Measure Value Set Timeliness of Prenatal Care Numerator
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FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator Numerator Value Set Name Code Definition Code System Prenatal Bundled Services 59400 0 CPT Prenatal Bundled Services 59425 0 CPT Prenatal Bundled Services 59426 0 CPT Prenatal Bundled Services 59510 0 CPT Prenatal Bundled Services 59610 0 CPT Prenatal Bundled Services 59618 0 CPT Prenatal Bundled Prenatal care, at-risk enhanced service package Services H1005 (includes h1001-h1004) (H1005) HCPCS Stand Alone Prenatal Visits 99500 0 CPT Initial prenatal care visit (report at first prenatal encounter with health care professional providing obstetrical care. Report also date of visit and, in a Stand Alone separate field, the date of the last menstrual period Prenatal Visits 0500F [LMP]) (Prenatal) CPT-CAT-II Prenatal flow sheet documented in medical record by first prenatal visit (documentation includes at minimum blood pressure, weight, urine protein, uterine size, fetal heart tones, and estimated date of delivery). Report also: date of visit and, in a separate field, the date of the last menstrual period [LMP] (Note: If reporting 0501F Prenatal flow sheet, Stand Alone it is not necessary to report 0500F Initial prenatal Prenatal Visits 0501F care visit) (Prenatal) CPT-CAT-II Subsequent prenatal care visit (Prenatal) [Excludes: patients who are seen for a condition unrelated to pregnancy or prenatal care (eg, an upper Stand Alone respiratory infection; patients seen for consultation Prenatal Visits 0502F only, not for continuing care)] CPT-CAT-II Stand Alone Prenatal Visits H1000 Prenatal care, at-risk assessment (H1000) HCPCS Stand Alone Prenatal care, at-risk enhanced service; antepartum Prenatal Visits H1001 management (H1001) HCPCS Stand Alone Prenatal care, at risk enhanced service; care Prenatal Visits H1002 coordination (H1002) HCPCS Stand Alone Prenatal care, at-risk enhanced service; education Prenatal Visits H1003 (H1003) HCPCS Stand Alone Prenatal care, at-risk enhanced service; follow-up Prenatal Visits H1004 home visit (H1004) HCPCS Page 1 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator Numerator Value Set Name Code Definition Code System Stand Alone Prenatal Visits 17629007 Prenatal care education (procedure) SNOMED CT US Edition Stand Alone Prenatal examination and care of mother Prenatal Visits 18114009 (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 58932009 Individual natural childbirth education (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 66961001 Natural childbirth class education (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 134435003 Routine antenatal care (regime/therapy) SNOMED CT US Edition Stand Alone Prenatal Visits 135892000 Antenatal education (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 169712008 Antenatal 12 weeks examination (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 169713003 Antenatal 16 week examination (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 169714009 Antenatal 20 week examination (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 169715005 Antenatal 24 week examination (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 169716006 Antenatal 28 week examination (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 169717002 Antenatal 30 week examination (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 169718007 Antenatal 32 week examination (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 169719004 Antenatal 34 week examination (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 169720005 Antenatal 35 week examination (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 169721009 Antenatal 36 week examination (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 169722002 Antenatal 37 week examination (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 169723007 Antenatal 38 week examination (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 169724001 Antenatal 39 week examination (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 169725000 Antenatal 40 week examination (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 169726004 Antenatal 41 week examination (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 169727008 Antenatal 42 week examination (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 171054004 Pregnancy diet education (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 171055003 Pregnancy smoking education (procedure) SNOMED CT US Edition Page 2 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator Numerator Value Set Name Code Definition Code System Stand Alone Prenatal Visits 171056002 Pregnancy exercise education (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 171057006 Pregnancy alcohol education (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 171058001 Drugs in pregnancy education (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 171059009 Pregnancy dental education (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 171060004 Maternity grant education (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 171061000 Maternity benefit education (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 171062007 Maternity milk and vitamins education (procedure) SNOMED CT US Edition Stand Alone Pregnancy prescription exemption education Prenatal Visits 171063002 (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 171064008 Mothercraft education (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 386235000 Childbirth preparation (regime/therapy) SNOMED CT US Edition Stand Alone Prenatal Visits 386322007 High risk pregnancy care (regime/therapy) SNOMED CT US Edition Stand Alone Prenatal Visits 397931005 Lamaze method education (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 406145006 Layette education (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 409010002 Antenatal care assessment (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 422808006 Prenatal continuous visit (regime/therapy) SNOMED CT US Edition Stand Alone Prenatal Visits 424441002 Prenatal initial visit (regime/therapy) SNOMED CT US Edition Stand Alone Prenatal Visits 424525001 Antenatal care (regime/therapy) SNOMED CT US Edition Stand Alone Prenatal Visits 424619006 Prenatal visit (regime/therapy) SNOMED CT US Edition Stand Alone Education about influenza vaccine during pregnancy Prenatal Visits 439165004 (procedure) SNOMED CT US Edition Stand Alone Education about toxoplasmosis precautions during Prenatal Visits 439733009 pregnancy (procedure) SNOMED CT US Edition Stand Alone Education about travel during pregnancy Prenatal Visits 439816006 (procedure) SNOMED CT US Edition Stand Alone Education about selection of newborn care provider Prenatal Visits 439908001 (procedure) SNOMED CT US Edition Stand Alone Education about risk factor identified by prenatal Prenatal Visits 440047008 history (procedure) SNOMED CT US Edition Stand Alone Education about indication for prenatal ultrasound Prenatal Visits 440227005 (procedure) SNOMED CT US Edition Page 3 of 106 January 2020 FQHC - 2020 Measure Value Set_Timeliness of Prenatal Care Numerator Numerator Value Set Name Code Definition Code System Stand Alone Education about fetal movement monitoring Prenatal Visits 440309009 (procedure) SNOMED CT US Edition Stand Alone Education about signs and symptoms of pregnancy Prenatal Visits 440536005 induced hypertension (procedure) SNOMED CT US Edition Stand Alone Education about seatbelt use during pregnancy Prenatal Visits 440638004 (procedure) SNOMED CT US Edition Stand Alone Education about signs and symptoms of preterm Prenatal Visits 440669000 labor (procedure) SNOMED CT US Edition Stand Alone Education about medication intake during Prenatal Visits 440670004 pregnancy (procedure) SNOMED CT US Edition Stand Alone Education about signs and symptoms of labor Prenatal Visits 440671000 (procedure) SNOMED CT US Edition Stand Alone Education about folic acid in first trimester Prenatal Visits 441839001 (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 700256000 Management of antenatal education (procedure) SNOMED CT US Edition Stand Alone Prenatal Visits 702396006 Childbirth education (procedure) SNOMED CT US Edition Stand Alone Supervision of high risk pregnancy with history of Prenatal Visits 702736005 previous cesarean section (regime/therapy) SNOMED CT US Edition Stand Alone Supervision of high risk pregnancy with history of Prenatal Visits 702737001 gestational diabetes mellitus (regime/therapy) SNOMED CT US Edition Stand Alone Prenatal Visits 702738006 Supervision of high risk pregnancy (regime/therapy) SNOMED CT US Edition Stand Alone Supervision of high risk pregnancy with history of Prenatal Visits 702739003 previous molar pregnancy (regime/therapy) SNOMED CT US Edition Stand Alone Supervision of high risk pregnancy with history of Prenatal Visits 702740001 previous precipitate labor (regime/therapy) SNOMED CT US Edition Stand Alone Supervision of high risk pregnancy for multigravida Prenatal Visits 702741002 (regime/therapy) SNOMED CT US Edition Stand Alone Supervision of high risk pregnancy for social Prenatal Visits 702742009 problem (regime/therapy) SNOMED CT US Edition Stand Alone Supervision of high risk pregnancy for multigravida Prenatal Visits 702743004 age 15 years or younger (regime/therapy) SNOMED CT US Edition