Category: Terminology server

Medicare behavioral health billing has its own coding gravity. The CPT psychotherapy codes plus HCPCS Level II add-ons, the LCD/NCD-driven ValueSets that decide medical necessity, the HCPCS modifiers, and the constantly-updating fee schedul

Suicide-risk coding is one of the places where the gap between clinical reality and chart structure shows up most clearly. The relevant ICD-10-CM codes (R45.851 for suicidal ideation, T14.91XA for suicide attempt, the family of Z-codes for

Every few months, someone publishes a FHIR server benchmark and the screenshots start flying around. Some of those numbers hold up. Some of them fall apart the moment you ask how the test was run. The honest answer is that a benchmark is…

SNOMED CT covers mental health more granularly than most teams use. The mental disorder hierarchy under 74732009 has hundreds of concepts, the symptom and finding axes carry their own depth, and the relationships between them are what make

ICD-10-CM for substance use disorder is denser than it looks. The F10 to F19 block covers ten substance classes, each with its own remission, intoxication, withdrawal, and induced-disorder structure. The F19 (other psychoactive substances)

ICD-10-CM has more trauma-related codes than people remember. The PTSD code (F43.10 and its subtypes) is the visible one; the rest of the F43 family, the T-codes for external causes, the Z-codes for traumatic events, and the cross-walks to

CPT psychotherapy coding looks like a small code list and behaves like a small operating system. 90832, 90834, 90837, plus add-ons (+90785, +90840), plus the family and group counterparts, plus the time-unit rules that decide which code is

DSM-5 coding inside a FHIR terminology service is one of those problems that sounds solved on paper and shows up cracked in production. The diagnoses are stable, the licensing is well-known, and the structure maps cleanly to a CodeSystem re

Behavioral health has its own coding gravity. Diagnoses live across DSM-5 and ICD-10-CM, billing pulls in CPT psychotherapy codes with time units, social-determinants screening lights up Z-codes the rest of the chart rarely touches, and med

Behavioral health teams building HL7v2-to-FHIR pipelines hit the same fork sooner or later. The lab feed is sending local codes for PHQ-9 totals, the EHR is sending DSM-5 codes the billing system wants as ICD-10, and the screening tool is…