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ValueSetOID:%ValueSetOID_SVS:%ValueSetOID_SVS:8fVf@ @rj0  3 A@@   BValue Set Developer Value Set OIDValue Set Name QDM Category Code SystemCode System VersionCode DescriptordAmerican Medical Association-convened Physician Consortium for Performance Improvement(R) (AMA-PCPI)Individual CharacteristicLOINCHL72.16.840.1.113883.1.11.1GenderHL7 (2.16.840.1.113883.5.1) 1062-20101110FFemaleMMaleUNUndifferentiatedPHDSC2.16.840.1.113883.221.5PayerSource of Payment Typology4.01MEDICARE2MEDICAID3LOTHER GOVERNMENT (Federal/State/Local) (excluding Department of Corrections)4DEPARTMENTS OF CORRECTIONS5PRIVATE HEALTH INSURANCE6BLUE CROSS/BLUE SHIELD7XMANAGED CARE, UNSPECIFIED(to be used only if one can't distinguish public from private)8CNO PAYMENT from an Organization/Agency/Program/Private Payer Listed9MISCELLANEOUS/OTHER11Medicare (Managed Care)12Medicare (Non-managed Care)19Medicare Other21Medicaid (Managed Care)22 Medicaid (Non-managed Care Plan)23Medicaid/SCHIP24Medicaid Applicant25Medicaid - Out of State29Medicaid Other31Department of Defense32Department of Veterans Affairs33Indian Health Service or Tribe34 HRSA Program35 Black Lung36State Government37Local Government386Other Government (Federal, State, Local not specified)39 Other Federal41Corrections Federal42Corrections State43Corrections Local44Corrections Unknown Level51Managed Care (Private)52$Private Health Insurance - 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PPO613BC Managed Care - POS619BC Managed Care - Other821Charity822Professional Courtesy823Hispanic or Latino951Worker's Comp HMO953Worker's Comp Fee-for-Service954 Worker's Comp Other Managed Care959 Worker's Comp, Other unspecified3111TRICARE Prime--HMO3112TRICARE Extra--PPO3113"TRICARE Standard - Fee For Service3114%TRICARE For Life--Medicare Supplement3115TRICARE Reserve Select31164Uniformed Services Family Health Plan (USFHP) -- HMO3119 Department of Defense - (other)3121Enrolled Prime--HMO3122Non-enrolled Space Available3123TRICARE For Life (TFL)3211+Direct Care--Care provided in VA facilities32122Indirect Care--Care provided outside VA facilities32218Civilian Health and Medical Program for the VA (CHAMPVA)3222%Spina Bifida Health Care Program (SB)3223)Children of Women Vietnam Veterans (CWVV)3229Other non-veteran care3711371237133811)Federal, State, Local not specified - HMO3812)Federal, State, Local not specified - PPO3813)Federal, State, Local not specified - POS3819@Federal, State, Local not specified - not specified managed care9999Unavailable / Unknown32121 Fee Basis32122(Foreign Fee/Foreign Medical Program(FMP)32123,Contract Nursing Home/Community Nursing Home32124State Veterans Home32125Sharing Agreements32126Other Federal AgencyCDC NCHS2.16.840.1.114222.4.11.836RaceCDC1.01002-5 American Indian or Alaska Native2028-9Asian2054-5Black or African American2076-8)Native Hawaiian or Other Pacific Islander2106-3White2131-1 Other Race2.16.840.1.114222.4.11.837 Ethnicity2135-22186-5Not Hispanic or LatinooCopyright 2012 American Medical Association and National Committee for Quality Assurance. All Rights Reserved. 2.16.840.1.113883.3.526.2.1434Age at Delivery43993-52.16.840.1.113883.3.526.3.1341Vaginal Delivery ProcedureGROUPINGn/a2.16.840.1.113883.3.526.2.1411 "Vaginal Delivery" CPT value set2.16.840.1.113883.3.526.2.1412&"Vaginal Delivery" SNOMED-CT value setCPT SNOMED-CT01/2012'delivery by Ritgen maneuver (procedure)8Potter's obstetrical version with extraction (procedure)2manually assisted spontaneous delivery (procedure)/delivery of transverse presentation (procedure)=Braxton Hicks obstetrical version with extraction (procedure)1high forceps delivery with episiotomy (procedure))delivery of face presentation (procedure)0low forceps delivery with episiotomy (procedure) low forceps delivery (procedure)Dpartial breech delivery with forceps to aftercoming head (procedure)7vaginal delivery, medical personnel present (procedure))delivery by Scanzoni maneuver (procedure)0mid forceps delivery with episiotomy (procedure):delivery by vacuum extraction with episiotomy (procedure) "Wigand-Martin maneuver (procedure)Prague maneuver (procedure)5delivery by double application of forceps (procedure)%Barton's forceps delivery (procedure)9internal and combined version with extraction (procedure)!frank breech delivery (procedure)=delivery by Malstrom's extraction with episiotomy (procedure)8Wright's obstetrical version with extraction (procedure)Kristeller maneuver (procedure)van Hoorn maneuver (procedure)Fspontaneous unassisted delivery, medical personnel present (procedure)Btotal breech delivery with forceps to aftercoming head (procedure)Bracht maneuver (procedure))delivery by vacuum extraction (procedure) mid forceps delivery (procedure)extraction of fetus (procedure)"trial forceps delivery (procedure)8forceps delivery with rotation of fetal head (procedure)$footling breech delivery (procedure)Pinard maneuver (procedure))delivery by Kielland rotation (procedure)!high forceps delivery (pro< cedure)-delivery by Malstrom's extraction (procedure)3breech extraction delivery with version (procedure)'spontaneous breech delivery (procedure)$assisted breech delivery (procedure)%forceps cephalic delivery (procedure)8high forceps cephalic delivery with rotation (procedure)6Midforceps cephalic delivery with rotation (procedure):Barton forceps cephalic delivery with rotation (procedure)9deLee forceps cephalic delivery with rotation (procedure)"piper forceps delivery (procedure) high vacuum delivery (procedure)low vacuum delivery (procedure):vacuum delivery before full dilation of cervix (procedure)$trial of vacuum delivery (procedure)gcephalic vaginal delivery with abnormal presentation of head at delivery without instrument (procedure)tmanipulative cephalic vaginal delivery with abnormal presentation of head at delivery without instrument (procedure)xnon-manipulative cephalic vaginal delivery with abnormal presentation of head at delivery without instrument (procedure)%normal delivery procedure (procedure) water birth delivery (procedure)!instrumental delivery (procedure)*nonrotational forceps delivery (procedure)#outlet forceps delivery (procedure)+forceps delivery, face to pubes (procedure)4forceps delivery to the aftercoming head (procedure)-groin traction at breech delivery (procedure)Lovset's maneuver (procedure)-delivery of the after coming head (procedure)#burns Marshall maneuver (procedure)+Mauriceau Smellie Veit maneuver (procedure)breech delivery (procedure)0Midforceps delivery without rotation (procedure)+Neville-Barnes forceps delivery (procedure)&Simpson's forceps delivery (procedure)3breech/instrumental delivery operations (procedure))supervision - normal delivery (procedure);breech extraction with internal podalic version (procedure)forceps delivery (procedure)5breech presentation, delivery, no version (procedure)%partial breech extraction (procedure)#partial breech delivery (procedure)+delivery of vertex presentation (procedure)#total breech extraction (procedure)breech extraction (procedure)2.16.840.1.113883.3.526.3.1342Cesarean Section Delivery2.16.840.1.113883.3.526.2.1413)"Cesarean Section Delivery" CPT value set2.16.840.1.113883.3.526.2.1414/"Cesarean Section Delivery" SNOMED-CT value setcesarean section (procedure)!cesarean hysterectomy (procedure),extraperitoneal cesarean section (procedure)&classical cesarean section (procedure)$vaginal cesarean section (procedure)%elective cesarean section (procedure)3elective upper segment cesarean section (procedure)3elective lower segment cesarean section (procedure)4emergency lower segment cesarean section (procedure)4emergency upper segment cesarean section (procedure)+emergency cesarean hysterectomy (procedure)*elective cesarean hysterectomy (procedure)4abdominal delivery for shoulder dystocia (procedure)&emergency cesarean section (procedure))low cervical cesarean section (procedure)2.16.840.1.113883.3.526.03.1264Prenatal Visit Encounter2.16.840.1.113883.3.526.02.338CDC 2.16.840.1.114222.4.11.831Preferred 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(Kenya and Tanzania)lusLushailtzLuxembourgish; Letzeburgeschmac MacedonianmadMaduresemagMagahimaiMaithilimakMakasarmlgMalagasymayMalaymal MalayalammltMaltesemncManchumdrMandarmanMandingomniManipurimnoManobo languagesglvManxmaoMaoriarnMapudungun; MapuchemarMarathichmMarimah MarshallesemwrMarwarimasMasaimynMayan languagesmenMendemicMi'kmaq; Micmacmin Minangkabaumwl MirandesemohMohawkmdfMokshamolMoldavian; MoldovanlolMongomon MongolianmkhMon-Khmer (Other)mosMossimulMultiple languagesmunMunda languagesnahNahuatl languagesnauNaurunavNavajo; NavahondeNdebele, North; North NdebelenblNdebele, South; South NdebelendoNdonganap NeapolitannewNepal Bhasa; NewarinepNepaliniaNiasnicNiger-Kordofanian (Other)ssaNilo-Saharan (Other)niuNiueannqoN'Kozxx%No linguistic content; Not applicablenogNogainon Norse, OldnaiNorth American IndianfrrNorthern Frisiansme Northern Saminor Norwegiannno%Norwegian Nynorsk; Nynorsk, NorwegiannubNubian languagesnymNyamwezinynNyankolenyoNyoronziNzimaociOccitan (post 1500); 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(Athapascan)slaSlavic (Other)sloSlovakslv SloveniansogSogdiansomSomalisonSonghai languagessnkSoninkewenSorbian languagessotSotho, SouthernsaiSouth American Indian (Other)altSouthern Altaisma Southern SamispaSpanish; Castiliansrn Sranan TongosukSukumasuxSumeriansun SundanesesusSususwaSwahilisswSwatisweSwedishgsw!Swiss German; Alemannic; AlsatiansyrSyriactglTagalogtahTahitiantai Tai (Other)tgkTajiktmhTamashektamTamiltatTatartelTeluguterTerenotetTetumthaThaitibTibetantigTigretirTigrinyatemTimnetivTivtliTlingittpi Tok PisintklTokelautog Tonga (Nyasa)tonTonga (Tonga Islands)tsi TsimshiantsoTsongatsnTswanatumTumbukatupTupi languagesturTurkishotaTurkish, Ottoman (1500-1928)tukTurkmentvlTuvalutyvTuviniantwiTwiudmUdmurtugaUgariticuigUighur; Uyghurukr UkrainianumbUmbundumisUncoded languagesund Undeterminedhsb Upper SorbianurdUrduuzbUzbekvaiVaivenVendavie VietnamesevolVolapkvotVoticwakWakashan languageswalWalamowlnWalloonwarWaraywasWashowelWelshfryWestern FrisianwolWolofxhoXhosasahYakutyaoYaoyapYapeseyidYiddishyorYorubaypkYupik languageszndZande languageszapZapoteczza.Zaza; Dimili; Dimli; Kirdki; Kirmanjki; ZazakizenZenagazhaZhuang; ChuangzulZuluzunZuni4Depression Screening Tools Related to Maternity CareAlcohol Use ScreeningDepression Screening-ProcedureTobacco Use Screening=Illicit, Prescription and Over the Counter Drug Use Screening(Intimate Partner Violence Screening-Tool2.16.840.1.113883.3.526.3.1359Risk Category/Assessment2.16.840.1.113883.3.526.2.1441F"Depression Screening Tools Related to Maternity Care" LOINC value set55758-7 PHQ-2 total score Reported PHQ-2TBD4Beck Depression Inventory (BDI) total score reportedHBeck Depression Inventory for Primary Care (BDI-PC) total score reported@Edinburgh Postnatal Depression Scale (EPDS) total score reported2.16.840.1.113883.3.526.3.1360 Intervention2.16.840.1.113883.3.526.2.14424"Depression Screening-Procedure" SNOMED-CT value set depression screening (procedure)2.16.840.1.113883.3.526.3.13612.16.840.1.113883.3.526.2.14432.16.840.1.113883.3.526.2.14442.16.840.1.113883.3.526.2.14452.16.840.1.113883.3.526.2.144644940-511287-0 68517-269721-92.16.840.1.113883.3.526.3.136268536-268535-411366-2'"Alcohol Use Screening" LOINC value set'"Tobacco Use Screening" LOINC value set2.16.840.1.113883.3.526.3.136318663-518672-618674-218676-728245-934857-342828-442831-868524-868526-3(prenatal initial visit (regime/therapy) prenatal visit (regime/therapy)O"Illicit, Prescription and Over the Counter Drug Use Screening" LOINC value set2.16.840.1.113883.3.526.3.1364:"Intimate Partner Violence Screening-Tool" LOINC value setLHurt, Insult, Threaten, and Scream (HITS) domestic violence screening surveyaHurt, Insult, Threaten, and Scream (HITS) domestic violence screening survey total score reported:Woman Abuse Screening Tool (WAST) domestic violence surveyOWoman Abuse Screening Tool (WAST) domestic violence survey total score reported6Partner Violence Screen (PVS) domestic violence surveyKPartner Violence Screen (PVS) domestic violence survey total score reported6Abuse Assessment Screen (AAS) domestic violence surveyKAbuse Assessment Screen (AAS) domestic violence survey total score reported Physician Performance Measures (Measures) and related data specifications have been developed by the American Medical Association (AMA) - convened Physician Consortium for Performance Improvement(R) (the PCPI[TM]) and the National Committee for Quality Assurance (NCQA). These Measures are not clinical guidelines and do not establish a standard of medical care, and have not been tested for all potential applications. The Measures, while copyrighted, can be reproduced and distributed, without modification, for noncommercial purposes, e.g., use by health care providers in co<nnection with their practices. Commercial use is defined as the sale, license, or distribution of the Measures for commercial gain, or incorporation of the Measures into a product or service that is sold, licensed or distributed for commercial gain. Commercial uses of the Measures require a license agreement between the user and the AMA, (on behalf of the PCPI) or NCQA. Neither the AMA, NCQA, PCPI nor its members shall be responsible for any use of the Measures. THE MEASURES AND SPECIFICATIONS ARE PROVIDED  AS IS WITHOUT WARRANTY OF ANY KIND. Limited proprietary coding is contained in the Measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. The AMA, NCQA, the PCPI and its members disclaim all liability for use or accuracy of any Current Procedural Terminology (CPT[R]) or other coding contained in the specifications. CPT(R) contained in the Measure specifications is copyright 2004-2011 American Medical Association. LOINC(R) copyright 2004-2011 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2011 International Health Terminology Standards Development Organisation. ICD-10 copyright 2011 World Health Organization. All Rights Reserved. Due to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM]. $"Prenatal Visit" SNOMED-CT value set$Alcoholic drinks per week - Reported,Alcoholic drinks per drinking day - ReportedFHow many times in the past year have you had X or more drinks in a day2Do you ever drink alcohol - including beer or wine68520-64How often do you have 6 or more drinks on 1 occasion;Have you used smokeless tobacco product in the last 30 days)Have you used tobacco in the last 30 daysHistory of tobacco usedAlcohol-substance abuse, rehabilitation plan, History of present alcohol/substance abuse (narrative)Abuse Status OMAHASubstance abuse NoteSubstance abuse CCCDrug abuse CCCKAlcohol or substance abuse symptoms with physiological dependence indicatorrAlcohol-substance abuse rehabilitation treatment plan, longest period of sobriety for abused substance (composite))Do you abuse more than one drug at a timewHow many times in the past year have you used an illegal drug or used a prescription medication for non-medical reasonsQAlcohol-substance abuse rehabilitation treatment plan, longest period of sobriety 9 :D;<$==O>6?2@@tA/@BBk CA qD UE 8F G -H IPJJlKKLEMzOOcPTQR4TV[YE[^q%`|(bd[ eF uf f= Wg gihhEYii%Fjj=kk@ll tm n`n:`oo%QppDqq8rrrUstpttABuuavvG^ww1Rxx3yyz;hz{Iu{{6_||0}i}~O~/hE~ʀq){= T 4 [ ʅ X Ɇ ^ ͇D}4X̉HR8qՌWA$],Q '=ccB g2ɀ   dMbP?_*+%&?'?(?)?MHP Officejet Pro 8000 A809 SerC od,,LetterDINU"$9SMTJHP Officejet Pro 8000 A809 SeriesInputBinFORMSOURCERESDLLUniresDLLPaperSizeLETTEROrientationPORTRAITResolution600dpiColorModeColor24HPSimplifiedUITrueIUPH3/KCj}(!XXNNP,}C:\Program Files\Microsoft Office\Office14\EXCEL.EXEVNxMld'MҎv>KuX7@nK?QPn44mH|u`'N  \8izFH(BH11*'㌴*:ѓ~$,)s]dv8!8}!`Ǵ} mT;&҉s䝲Ovu,#o$"É:'Բ6?❵Z< im`ldYo/Ms0Bn0M̾2q\xmBq~_{>/LG }mOYurc"_#c_ŞȵXH20x+Zm #`}q^"v:$}_DVq ܍4/u=zB: ֓YǺi ""wb"_^Ĩ"~'rA^\F3rI.ݟF9=+h80<-KC$qLDyȔLRbd1y CQ,1%$ :!XY:N t ';Ka% NHB!視7ʸFChܥyT~+ywjޥ^ͻ5ߧyn={5uuڧWwI'ud%D&+3ן^~ tERERx.ɲX/t 1{1%C,u K=]2b(KH-m/vUdvI">+EZRmK;%y/rXN߀4rpUvW^Iw#t 1t!t =-u EVz[.!eo.#.!.}-r Ap)Z%!ݰKF?/]L͘<ܮN6w;R]:Qq4\.Je.?fh%Kbxp..!~j%]B"t ]B9аKgwMl&i9\{$&]B{%t 1\Kx%B%ˡ5p{%r'|_#qԝ}"d,,??&U} $c} PPQ R@ < PH0(  >@ggD g2ɀ dg#/4DUfOwߘo7W/@C  dMbP?_*+%&C&"Arial,Bold"&12MATERNITY CARE Coding Spreadsheet for PCPI eSpecification&"Arial,Regular"&10 &11MC-3: Behavioral Health Risk Assessment&L&P&RCopyright 2012 American Medical Association. All Rights Reserved. CPT copyright 2004-2011 American Medical Association. &333333?'333333?((\?)?MHP Officejet Pro 8000 A809 SerC od,,LetterDINU"$9SMTJHP Officejet Pro 8000 A809 SeriesInputBinFORMSOURCERESDLLUniresDLLPaperSizeLETTEROrientationPORTRAITResolution600dpiColorModeColor24HPSimplifiedUITrueIUPH3/KCj}(!XXNNP,}C:\Program Files\Microsoft Office\Office14\EXCEL.EXEVNxMld'MҎv>KuX7@nK?QPn44mH|u`'N  \8izFH(BH11*'㌴*:ѓ~$,)s]dv8!8}!`Ǵ} mT;&҉s䝲Ovu,#o$"É:'Բ6?❵Z< im`ldYo/Ms0Bn0M̾2q\xmBq~_{>/LG }mOYurc"_#c_ŞȵXH20x+Zm #`}q^"v:$}_DVq ܍4/u=zB: ֓YǺi ""wb"_^Ĩ"~'rA^\F3rI.ݟF9=+h80<-KC$qLDyȔLRbd1y CQ,1%$ :!XY:N t ';Ka% NHB!視7ʸFChܥyT~+ywjޥ^ͻ5ߧyn={5uuڧWwI'ud%D&+3ן^~ tERERx.ɲX/t 1{1%C,u K=]2b(KH-m/vUdvI">+EZRmK;%y/rXN߀4rpUvW^Iw#t 1t!t =-u EVz[.!eo.#.!.}-r Ap)Z%!ݰKF?/]L͘<ܮN6w;R]:Qq4\.Je.?fh%Kbxp..!~j%]B"t ]B9аKgwMl&i9\{$&]B{%t 1\Kx%B%ˡ5p{%r'|_#qԝ}";,,333333?333333?&43U} I#K} $L} K} K} K} mL} I L} MK} $ KN*@      M M M M M M M M O LQ KR K K ~ Lm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lppppppppppppppppppppppppppppppp !"#$%&'()*+,-./0123456789:;<=>? K L K K K L LQ KR !K !L !K !K !K !L !LS !KT "K "L "K "K "K "L "LU "KV #K #L #K #K #K #L #LW #KX $K $L $K $K $K $L $LY $KZ %K %L %K %K %K %L %L[ %K\ &K &L &K &K &K &L &L] &K^ 'K 'L 'K 'K 'K 'L 'L_ 'K` (K (L (K (K (K (L (La (Kb )K )L )K )K )K )L )Lc )Kd *K *L *K *K *K *L *Le *Kf +K +L +K +K +K +L +Lg +Kh ,K ,L ,K ,K ,K ,L ,Li ,Kj -K -L -K -K -K -L -Lk -Kl .K .L .K .K .K .L .Lm .Kn /K /L /K /K /K /L /Lo /Kp 0K 0L 0K 0K 0K 0L 0Lq 0Kr 1K 1L 1K 1K 1K 1L 1Ls 1Kt 2K 2L 2K 2K 2K 2L 2Lu 2Kv 3K 3L 3K 3K 3K 3L 3Lw 3Kx 4K 4L 4K 4K 4K 4L 4Ly 4Kz 5K 5L 5K 5K 5K 5L 5L{ 5K| 6K 6L 6K 6K 6K 6L 6L} 6K~ 7K 7L 7K 7K 7K 7L 7L 7K 8K 8L 8K 8K 8K 8L 8L 8K 9K 9L 9K 9K 9K 9L 9L 9K :K :L :K :K :K :L :L :K ;K ;L ;K ;K ;K ;L ;L ;K <K <L <K <K <K <L <L <K =K =L =K =K =K =L =L =K >K >L >K >K >K >L >L >K ?K ?L ?K ?K ?K ?L ?L ?KDlppppppppppppppppppppppppppppppp@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_ @K @L @K @K @K @L @L @K AK AL AK AK AK AL AL AK BK BL BK BK BK BL BL BK CK CL CK CK CK CL CL CK DK DL DK DK DK DL DL DK EK EL EK EK EK EL EL EK FK FL FK FK FK FL FL FK GK GL GK GK GK GL GL GK HK HL HK HK HK HL HL HK IK IL IK IK IK IL IL IK JK JL JK JK JK JL JL JK KK KL KK KK KK KL KL KK LK LL LK LK LK LL LL LK MK ML MK MK MK ML ML MK NK NL NK NK NK NL NL NK OK OL OK OK OK OL OL OK PK PL PK PK PK PL PL PK QK QL QK QK QK QL QL QK RK RL RK RK RK RL RL RK SK SL SK SK SK SL SL SK TK TL TK TK TK TL TL TK UK UL UK UK UK UL UL UK VK VL VK VK VK VL VL VK WK WL WK WK WK WL WL WK XK XL XK XK XK XL XL XK YK YL YK YK YK YL YL YK ZK ZL ZK ZK ZK ZL ZL ZK [K [L [K [K [K [L [L [K \K \L \K \K \K \L \L \K ]K ]L ]K ]K ]K ]L ]L ]K ^K ^L ^K ^K ^K ^L ^L ^K _K _L _K _K _K _L _L _KDlppppppppppppppppppppppppppppppp`abcdefghijklmnopqrstuvwxyz{|}~ `K `L `K `K `K `L `L `K aK aL aK aK aK aL aL aK bK bL bK bK bK bL bL bK cK cL cK cK cK cL cL cK dK dL dK dK dK dL dL dK eK eL eK eK eK eL eL eK fK fL fK fK fK fL fL fK gK gL gK gK gK gL gL gK hK hL hK hK hK hL hL hK iK iL iK iK iK iL iL iK jK jL jK jK jK jL jL jK kK kL kK kK kK kL kL kK lK lL lK lK lK lL lL lK mK mL mK mK mK mL mL mK nK nL nK nK nK nL nL nK oK oL oK oK oK oL oL oK pK pL pK pK pK pL pL pK qK qL qK qK qK qL qL qK rK rL rK rK rK rL rL rK sK sL sK sK sK sL sL sK tK tL tK tK tK tL tL tK uK uL uK uK uK uL uL uK vK vL vK vK vK vL vL vK wK wL wK wK wK wL wL wK xK xL xK xK xK xL xL xK yK yL yK yK yK yL yL yK zK zL zK zK zK zL zL zK {K {L {K {K {K {L {L {K |K |L |K |K |K |L |L  |K  }K }L }K }K }K }L }L  }K  ~K ~L ~K ~K ~K ~L ~L  ~K K L K K K L L KDlpppppppppppppppppppppppppppppppEE K L K K K L L K K L K K K L L K K L K K K L L K K L K K K L L K K L K K K L L K K L K K K L L K K L K K K L L K K L K K K L L K  K L K K K L L! Kp K L K K K L L" Kr K L K K K L L# Kt K L K K K L L$ K% K L K K K L L& K' K L K K K L L( K) K L K K K L L* K+ K L K K K L L, K- K L K K K L L. K/ K L K K K L L0 K1 K L K K K L L2 K3 K L K K K L L4 K5 K L K K K L L6 K7 K L K K K L L8 K9 K: L; K< K K= L> L? K@ K: L; K< K K= L> LA KB K: L; K< K K= L> LC KD K: L; K< K K= L> LE KF K: L; K< K K= L> LG KH K: L; K< K K= L> LI KJ K: LK KL K K= L> LM K K: LK KL K K= L> LN KO C D E E E= F G H C D E E E= F G HDlpppppppppppppppppppppppppppppppEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F I J C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F I J C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F I J C D E E E= F G H  C D E E E= F G  H  C D E E E= F G  H  C D E E E= F G HDlpppppppppppppppppppppppppppppppEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F I J C D E E E= F G H C D E E E= F G H C D E E E= F G  H! C D E E E= F G" H# C D E E E= F G$ H% C D E E E= F G& H' C D E E E= F G( H) C D E E E= F G* H+ C D E E E= F G, H- C D E E E= F I. J/ C D E E E= F G0 H1 C D E E E= F G2 H3 C D E E E= F G4 H5 C D E E E= F G6 H7 C D E E E= F G8 H9 C D E E E= F G: H; C D E E E= F G< H= C D E E E= F G> H? C D E E E= F G@ HA C D E E E= F IB JC C D E E E= F GD HE C D E E E= F GF HG C D E E E= F GH HI C D E E E= F GJ HK C D E E E= F GL HM C D E E E= F GN HODlpppppppppppppppppppppppppppppppEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE C D E E E= F GP HQ C D E E E= F GR HS C D E E E= F GT HU C D E E E= F IV JW C D E E E= F GX HY C D E E E= F GZ H[ C D E E E= F G\ H] C D E E E= F G^ H_ C D E E E= F G` Ha C D E E E= F Gb Hc C D E E E= F Gd He C D E E E= F Gf Hg C D E E E= F Gh Hi C D E E E= F Ij Jk C D E E E= F Gl Hm C D E E E= F Gn Ho C D E E E= F Gp Hq C D E E E= F Gr Hs C D E E E= F Gt Hu C D E E E= F Gv Hw C D E E E= F Gx Hy C D E E E= F Gz H{ C D E E E= F G| H} C D E E E= F I~ J C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G HDlpppppppppppppppppppppppppppppppEEEEEEEEE E E E E EEEEEEEEEEEEEEEEEEE C D E E E= F G H C D E E E= F I J C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F I J C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F I J C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F I JDlppppppppppppppppppppppppppppppp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lppppppppppppppppppppppppppppppp@EAEBECEDEEEFEGEHEIEJEKELEMENEOEPEQERESETEUEVEWEXEYEZE[E\E]E^E_E @C @D @E @E @E= @F @G @H AC AD AE AE AE= AF AG AH BC BD BE BE BE= BF BG BH CC CD CE CE CE= CF CG CH DC DD DE DE DE= DF DG DH EC ED EE EE EE= EF EG EH FC FD FE FE FE= FF FG FH GC GD GE GE GE= GF GI GJ HC HD HE HE HE= HF HG  HH! IC ID IE IE IE= IF IG" IH# JC JD JE JE JE= JF JG$ JH% KC KD KE KE KE= KF KG& KH' LC LD LE LE LE= LF LG( LH) MC MD ME ME ME= MF MG* MH+ NC ND NE NE NE= NF NG, NH- OC OD OE OE OE= OF OG. OH/ PC PD PE PE PE= PF PG0 PH1 QC QD QE QE QE= QF QI2 QJ3 RC RD RE RE RE= RF RG4 RH5 SC SD SE SE SE= SF SG6 SH7 TC TD TE TE TE= TF TG8 TH9 UC UD UE UE UE= UF UG: UH; VC VD VE VE VE= VF VG< VH= WC WD WE WE WE= WF WG> WH? XC XD XE XE XE= XF XG@ XHA YC YD YE YE YE= YF YGB YHC ZC ZD ZE ZE ZE= ZF ZGD ZHE [C [D [E [E [E= [F [IF [JG \C \D \E \E \E= \F \GH \HI ]C ]D ]E ]E ]E= ]F ]GJ ]HK ^C ^D ^E ^E ^E= ^F ^GL ^HM _C _D _E _E _E= _F _GN _HODlppppppppppppppppppppppppppppppp`EaEbEcEdEeEfEgEhEiEjEkElEmEnEoEpEqErEsEtEuEvEwExEyEzE{E|E}E~EE `C `D `E `E `E= `F `GP `HQ aC aD aE aE aE= aF aGR aHS bC bD bE bE bE= bF bGT bHU cC cD cE cE cE= cF cGV cHW dC dD dE dE dE= dF dGX dHY eC eD eE eE eE= eF eIZ eJ[ fC fD fE fE fE= fF fG\ fH] gC gD gE gE gE= gF gG^ gH_ hC hD hE hE hE= hF hG` hHa iC iD iE iE iE= iF iGb iHc jC jD jE jE jE= jF jGd jHe kC kD kE kE kE= kF kGf kHg lC lD lE lE lE= lF lGh lHi mC mD mE mE mE= mF mGj mHk nC nD nE nE nE= nF nGl nHm oC oD oE oE oE= oF oIn oJo pC pD pE pE pE= pF pGp pHq qC qD qE qE qE= qF qGr qHs rC rD rE rE rE= rF rGt rHu sC sD sE sE sE= sF sGv sHw tC tD tE tE tE= tF tGx tHy uC uD uE uE uE= uF uGz uH{ vC vD vE vE vE= vF vG| vH} wC wD wE wE wE= wF wG~ wH xC xD xE xE xE= xF xG xH yC yD yE yE yE= yF yI yJ zC zD zE zE zE= zF zG zH {C {D {E {E {E= {F {G {H |C |D |E |E |E= |F |G |H }C }D }E }E }E= }F }G }H ~C ~D ~E ~E ~E= ~F ~G ~H C D E E E= F G HDlpppppppppppppppppppppppppppppppEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F I J C D E E E= F G H C D E E E= F G H C D E      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefijklmnopqrst E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F I J C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F I J C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G HDlpppppppppppppppppppppppppppppppEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE C D E E E= F G H C D E E E= F I J C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F I J C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F I J C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H  C D E E E= F G  H  C D E E E= F G  H  C D E E E= F I JDlpppppppppppppppppppppppppppppppEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G  H! C D E E E= F I" J# C D E E E= F G$ H% C D E E E= F G& H' C D E E E= F G( H) C D E E E= F G* H+ C D E E E= F G, H- C D E E E= F G. H/ C D E E E= F G0 H1 C D E E E= F G2 H3 C D E E E= F G4 H5 C D E E E= F I6 J7 C D E E E= F G8 H9 C D E E E= F G: H; C D E E E= F G< H= C D E E E= F G> H? C D E E E= F G@ HA C D E E E= F GB HC C D E E E= F GD HE C D E E E= F GF HG C D E E E= F GH HI C D E E E= F IJ JK C D E E E= F GL HM C D E E E= F GN HODlpppppppppppppppppppppppppppppppEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE C D E E E= F GP HQ C D E E E= F GR HS C D E E E= F GT HU C D E E E= F GV HW C D E E E= F GX HY C D E E E= F GZ H[ C D E E E= F G\ H] C D E E E= F I^ J_ C D E E E= F G` Ha C D E E E= F Gb Hc C D E E E= F Gd He C D E E E= F Gf Hg C D E E E= F Gh Hi C D E E E= F Gj Hk C D E E E= F Gl Hm C D E E E= F Gn Ho C D E E E= F Gp Hq C D E E E= F Ir Js C D E E E= F Gt Hu C D E E E= F Gv Hw C D E E E= F Gx Hy C D E E E= F Gz H{ C D E E E= F G| H} C D E E E= F G~ H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F I J C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G HDlpppppppppppppppppppppppppppppppEEEEEEEEE E E E E EEEEEEEEEEEEEEEEEEE C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F I J C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F I J C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F I J C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G HDlppppppppppppppppppppppppppppppp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lppppppppppppppppppppppppppppppp@EAEBECEDEEEFEGEHEIEJEKELEMENEOEPEQERESETEUEVEWEXEYEZE[E\E]E^E_E @C @D @E @E @E= @F @G @H AC AD AE AE AE= AF AI AJ BC BD BE BE BE= BF BG BH CC CD CE CE CE= CF CG CH DC DD DE DE DE= DF DG DH EC ED EE EE EE= EF EG EH FC FD FE FE FE= FF FG FH GC GD GE GE GE= GF GG GH HC HD HE HE HE= HF HG  HH! IC ID IE IE IE= IF IG" IH# JC JD JE JE JE= JF JG$ JH% KC KD KE KE KE= KF KI& KJ' LC LD LE LE LE= LF LG( LH) MC MD ME ME ME= MF MG* MH+ NC ND NE NE NE= NF NG, NH- OC OD OE OE OE= OF OG. OH/ PC PD PE PE PE= PF PG0 PH1 QC QD QE QE QE= QF QG2 QH3 RC RD RE RE RE= RF RG4 RH5 SC SD SE SE SE= SF SG6 SH7 TC TD TE TE TE= TF TG8 TH9 UC UD UE UE UE= UF UI: UJ; VC VD VE VE VE= VF VG< VH= WC WD WE WE WE= WF WG> WH? XC XD XE XE XE= XF XG@ XHA YC YD YE YE YE= YF YGB YHC ZC ZD ZE ZE ZE= ZF ZGD ZHE [C [D [E [E [E= [F [GF [HG \C \D \E \E \E= \F \GH \HI ]C ]D ]E ]E ]E= ]F ]GJ ]HK ^C ^D ^E ^E ^E= ^F ^GL ^HM _C _D _E _E _E= _F _IN _JODlppppppppppppppppppppppppppppppp`EaEbEcEdEeEfEgEhEiEjEkElEmEnEoEpEqErEsEtEuEvEwExEyEzE{E|E}E~EE `C `D `E `E `E= `F `GP `HQ aC aD aE aE aE= aF aGR aHS bC bD bE bE bE= bF bGT bHU cC cD cE cE cE= cF cGV cHW dC dD dE dE dE= dF dGX dHY eC eD eE eE eE= eF eGZ eH[ fC fD fE fE fE= fF fG\ fH] gC gD gE gE gE= gF gG^ gH_ hC hD hE hE hE= hF hG` hHa iC iD iE iE iE= iF iIb iJc jC jD jE jE jE= jF jGd jHe kC kD kE kE kE= kF kGf kHg lC lD lE lE lE= lF lGh lHi mC mD mE mE mE= mF mGj mHk nC nD nE nE nE= nF nGl nHm oC oD oE oE oE= oF oGn oHo pC pD pE pE pE= pF pGp pHq qC qD qE qE qE= qF qGr qHs rC rD rE rE rE= rF rGt rHu sC sD sE sE sE= sF sIv sJw tC tD tE tE tE= tF tGx tHy uC uD uE uE uE= uF uGz uH{ vC vD vE vE vE= vF vG| vH} wC wD wE wE wE= wF wG~ wH xC xD xE xE xE= xF xG xH yC yD yE yE yE= yF yG yH zC zD zE zE zE= zF zG zH {C {D {E {E {E= {F {G {H |C |D |E |E |E= |F |G |H }C }D }E }E }E= }F }I }J ~C ~D ~E ~E ~E= ~F ~G ~H C D E E E= F G HDlpppppppppppppppppppppppppppppppEEEE C D E E E= F G H C D E E E= F G H C D E E E= F G H C D E E E= F G H <ppp   (   R  C ]F! d ZR  C ]F! d ZR  C ]F! d ZR  C ]F! d ZR  C ]F! d ZR  C ]F! d ZR  C ]F! d ZR  C ]F! d >@A [lllggD g2ɀ $Ijg{/Ӝɹ  dMbP?_*+%&C&"Arial,Bold"&12MATERNITY CARE Coding Spreadsheet for PCPI eSpecification&"Arial,Regular"&10 &11MC-3: Behavioral Health Risk Assessment~&L&P&RCopyright 2012 American Medical Association. All Rights Reserved. CPT copyright 2004-2011 American Medical Association.&333333?'333333?((\?)?MHP Officejet Pro 8000 A809 SerC odXXLetterDINU"$9SMTJHP Officejet Pro 8000 A809 SeriesInputBinFORMSOURCERESDLLUniresDLLPaperSizeLETTEROrientationPORTRAITResolution600dpiColorModeColor24HPSimplifiedUITrueIUPH3/KCj}(!XXNNP,}C:\Program Files\Microsoft Office\Office14\EXCEL.EXEVNxMld'MҎv>KuX7@nK?QPn44mH|u`'N  \8izFH(BH11*'㌴*:ѓ~$,)s]dv8!8}!`Ǵ} mT;&҉s䝲Ovu,#o$"É:'Բ6?❵Z< im`ldYo/Ms0Bn0M̾2q\xmBq~_{>/LG }mOYurc"_#c_ŞȵXH20x+Zm #`}q^"v:$}_DVq ܍4/u=zB: ֓YǺi ""wb"_^Ĩ"~'rA^\F3rI.ݟF9=+h80<-KC$qLDyȔLRbd1y CQ,1%$ :!XY:N t ';Ka% NHB!視7ʸFChܥyT~+ywjޥ^ͻ5ߧyn={5uuڧWwI'ud%D&+3ן^~ tERERx.ɲX/t 1{1%C,u K=]2b(KH-m/vUdvI">+EZRmK;%y/rXN߀4rpUvW^Iw#t 1t!t =-u EVz[.!eo.#.!.}-r Ap)Z%!ݰKF?/]L͘<ܮN6w;R]:Qq4\.Je.?fh%Kbxp..!~j%]B"t ]B9аKgwMl&i9\{$&]B{%t 1\Kx%B%ˡ5p{%r'|_#qԝ}"4XX333333?333333?&<3U} m2U} $T} m$U} $V} $T} $T} $V} =U} $ Vtt  T      M S M S S M S M U TT UU VV TW TX TY UZ U TT UU VV TW TX T[ U\ U TY UU VV T]Tp@A@ UX U TY UU VV T]Tp@A @ UX U TY UU VV T]Tp@A@@ UX U TY UU VV T]Tp@A@@ UX U TY UU VV T]Tp@A@ UX U TY UU VV T]Tp@A@ UX U T[ UU VV T^ W_~ X Y` U T[ UU VV T^ W_~ X Ya U T[ UU VV T^ W_~ XS Yb U T[ UU VV T^ W_~ Xҏ Yc U T[ UU VV T^ W_~ X jA Yd U T[ UU VV T^ W_~ XF Ye U T[ UU VV T^ W_~ X Yf U T[ UU VV T^ W_~ XB Yg U T[ UU VV T^ W_~ Xp Yh U T[ UU VV T^ W_~ Xx Yi U T[ UU VV T^ W_~ Xhe Yj U T[ UU VV T^ W_~ X Yk U T[ UU VV T^ W_~ Xj( Yl U T[ UU VV T^ W_~ XF Ym U T[ UU VV T^ W_~ X Yn U T[ UU VV T^ W_~ Xy Yo U T[ UU VV T^ W_~ XBo Yp U T[ UU VV T^ W_~ XD Yq U T[ UU VV T^ W_~ Xrj Yr U T[ UU VV T^ W_~ X, Ys U T[ UU VV T^ W_~ XŖ Yt U T[ UU VV T^ W_~ XhA Yu U T[ UU VV T^ W_~ X YvD\lpppjjjjjjpppppppppppppppppppppp !"#$%&'()*+,-./0123456789:;<=>? 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