The Master Data Model for Veteran Care

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Cpt (81)

This file contains the Current Procedural Terminology (CPT) codes published by the American Medical Association (AMA) and the HCPCS codes, published by the Health Care Financing Administration (HCFA). The entries in this file are “descriptive terms and identifying codes for reporting services and procedures performed by physicians.” If an entry needs to be added, modified or deleted a patch will be issued instructing the site how to make the change. Otherwise, this table file should not be edited in anyway by the site. Per VHA Directive 10-93-142, this file definition should not be modified.

Global: ^ICPT(

Domain: Non-Clinical

Properties

Label/Field Name Field # Description Datatype Attributes Range
Cpt Code
  cpt_code
.01 This file contains both CPT from the AMA and HCFA. The AMA entries
will have an internal number less than 99999. The AMA CPT are ‘5’
numbers that coorespond to the internal number. The HCFA codes will
have an internal number of 100000 or greater. These codes are ‘1’
alpha followed by ‘4’ numbers, which will NOT correspond to the
internal number.
STRING INDEXED
REQUIRED
 
Short Name
  short_name
2 This field contains a short description of the CPT code. It must be
between 1 and 28 characters.
STRING    
Cpt Category
  cpt_category
3 This field contains the CPT Category associated with CPT Code. It
is a pointer to the CPT Category File.
POINTER INDEXED Cpt_Category-81_1
Inactive Flag
  inactive_flag
5 This field is used to inactivate a CPT code. If this field contains a
‘1’ then the code is inactive. During the annual update of the CPT file
no entries are deleted; they are inactivated by setting this flag.
ENUMERATION   INACTIVE CODE: 1
Source
  source
6 Contains the source of the code - CPT, HCPCS or Local. ENUMERATION   LOCAL: L
CPT: C
HCPCS: H
Inactive Date
  inactive_date
7 Date the CPT code becomes/became inactivated. DATE-TIME    
Active Date
  active_date
8 Date the CPT code becomes/became activated. DATE-TIME    
Age(low)
  agelow
10.01 Code reasonable for age within Age(low) and Age(high) values. Blank,
otherwise.
NUMERIC    
Age(high)
  agehigh
10.02 Code reasonable for age within Age(low) and Age(high) values. Blank,
otherwise.
NUMERIC    
Sex
  sex
10.03 Code acceptable if: F = Female; M = Male. Blank otherwise. ENUMERATION   MALE: M
FEMALE: F
Description
  description
50 This multiple contains the descriptions for various CPT codes. STRING    
Effective Date
  effective_date
60   OBJECT   Effective_Date-81_02
Short Name (versioned)
  short_name_versioned
61 This is a history of the Procedures (short text) to include the date the
text was first used along with the text.
OBJECT   Short_Name_versioned-81_061
Description (versioned)
  description_versioned
62 This is a history of the descriptive text to include the date the
text was first used and the text used.
OBJECT   Description_versioned-81_062

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Sub-Files

Effective Date (81.02)

ID
Effective_Date-81_02

Properties

Label/Field Name Field # Description Datatype Attributes Range
Effective Date
  effective_date
.01 Date from which current status is effective. DATE-TIME INDEXED
REQUIRED
 
Status
  status
.02   ENUMERATION REQUIRED ACTIVE: 1
INACTIVE: 0

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Short Name (versioned) (81.061)

ID
Short_Name_versioned-81_061

Properties

Label/Field Name Field # Description Datatype Attributes Range
Version Date
  version_date
.01 This is the date the procedure text was first used. DATE-TIME INDEXED
REQUIRED
 
Short Name (versioned)
  short_name_versioned
1 This is the procedure that was used beginning on the ‘effective date.’ STRING    

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Description (versioned) (81.062)

ID
Description_versioned-81_062

Properties

Label/Field Name Field # Description Datatype Attributes Range
Version Date
  version_date
.01 This is the date the description was first used. DATE-TIME INDEXED
REQUIRED
 
Description (versioned)
  description_versioned
1 This is the long description (multiple line). STRING    

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Document generated on August 31st 2017, 2:55:41 pm