This page lists UMLS Metathesaurus data elements and traces them back to the specific source data that populates them.
VSAB:CPT2023
RVU data is now included
Extensive documentation is provided, including:
File Name | Description |
---|---|
2023 CPT Link ReadMe 20220909.docx | User guide for main data files |
CPT Link files are available in both "tab" and "pipe" delimited formats. The UMLS uses the following data files:
File Name | Description |
---|---|
Property_DTK_pipe.txt | In the Property File, a concept is represented by a set of lines that all have the same Concept ID. Some of the concepts in the Property File correspond to reportable CPT codes, some were constructed by the AMA for CPT Link, and some were drawn from SNOMED CT. CT. |
RelationshipGroup_DTK_pipe.txt | In the Relationship File, relationships between two concepts are represented. |
Type_DTK_pipe.txt | The Type File provides a succinct representation of the types of information contained in the Property File and the Relationship File. The PROPERTY TYPE ID column from the Property File and RELATIONSHIP TYPE ID column from the Relationship File both correspond to the TYPE ID number from the Type File. Thus, the Type File enables a user to see at a glance all of the categories of relationship types used in the 2014 CPT DTK |
Days.txt | Edits sourced from CPT instructions such as "Report 93228 only once per 30 days" |
Exclude.txt | Edits sourced from CPT instructions such as "Do not report 00326 in conjunction with 99100" |
ReportWith.txt | Edits sourced from CPT instructions such as "Use 44139 in conjunction with 44140-44147" |
Term Type | Origin |
---|---|
AB | CODE = Value of CPT_Code (Type Id = 104) in
Property_DTK_pipe.txt STR = Value of Short_Descriptor (Type Id = 111) in Property_DTK_pipe.txt SCUI = Same as CODE SUPPRESS = "Y" |
ETCF |
CODE = Value of CPT_Code (Type Id = 104) in
Property_DTK_pipe.txt STR = Value of Consumer_Friendly_Descriptor (Type Id = 123) in ConsumerDescriptor_DTK_pipe.txt SCUI = Same as CODE SUPPRESS ="N" |
ETCLIN | CODE = Value of CPT_Code (Type Id = 104) in
Property_DTK_pipe.txt STR = Value of Clinician_Descriptor (Type Id = 126) in ClinicianDescriptor_DTK_pipe.txt SCUI = Same as CODE SUPPRESS ="N" |
GLP | CODE = Concept ID in Property_DTK_pipe.txt STR = Value of Descriptor (Type Id = 106) in Property_DTK_pipe.txt SCUI = Same as CODE Note: TTY = GLP is assigned when the Level Property (Type Id = 109) = GLP SUPPRESS = "N" |
HT | CODE = Concept ID in Property_DTK_pipe.txt STR = Value of Descriptor (Type Id = 106) in Property_DTK_pipe.txt SCUI = Same as CODE SUPPRESS = "N" Note: TTY = HT is assigned when the Level Property (Type Id = 109) indicates that the concept is a Heading. Values are: H1, H2, H3, H4, H5, H5, HS, root. |
MP | CODE = Value of Modifier_Code (Type Id = 129) STR = Value of Descriptor (Type Id = 106) in Property_DTK_pipe.txt SCUI = Same as CODE SUPPRESS = "N" |
POS | CODE = Concept ID in Property_DTK_pipe.txt STR = Value of Descriptor (Type Id = 106) in Property_DTK_pipe.txt SCUI = Same as CODE Note: TTY = POS is assigned when the Level Property (Type Id = 109) = POS SUPPRESS = "N" |
PT | CODE = Value of CPT_Code (Type Id = 104) in
Property_DTK_pipe.txt STR = Value of Descriptor (Type Id = 106) in Property_DTK_pipe.txt SCUI = Same as CODE SUPPRESS = "N" |
SY | CODE = Value of CPT_Code (Type Id = 104) in
Property_DTK_pipe.txt STR = Value of Medium_Descriptor (Type Id = 110) in Property_DTK_pipe.txt SCUI = Same as CODE SUPPRESS = "N" |
Attribute Name | Origin (e.g. Type Id from Property_DTK_pipe.txt) | Description |
---|---|---|
ADDITIONAL_GUIDELINE | Type Id = 122 | Parentheticals containing this CPT code, but not also on the Guideline property |
ADDON_CODE | Type Id = 102 | A "T" in this field indicates that it is an "Add-on" code, i.e. it is commonly carried out in addition to the primary procedure performed |
CITATION | Type Id = 132 | Reference to CPT Assistant Newsletter articles; CPT Changes: An Insider's View; Clinical Examples in Radiology |
CPF | Complete text of the CPT full description, in cases where the CPT term in the "STR" field of MRCON has been trimmed from its original form. | CPT Full Description |
CODING_TIP | Type Id = 133 | Coding tip |
CPTLINK_CONCEPT_ID | Concept ID | CPT Link concept identifier |
CPT_LEVEL | Type Id = 109 | Hierarchical level. For headings, a value ranging from H1 (a top-level heading such as Surgery) to H6 (a 6th-level subheading) and HS (a heading for a small family of related codes). For CPT codes, either PC for Parent Code or CC for Child Code. |
DATE_CREATED | Type Id = 101 | First appearance. The date in YYYYMMDD format the code was first introduced to CPT. May also be Pre-YYYY. |
DAYS_RESTRICTION | Days.txt | Sourced from CPT instructions such as "Report 93228 only once per 30 days" Format is <CODE> @ <DAYS> |
DATE_LAST_MODIFIED | Type Id = 120 | The date in YYYMMDD format the CPT code was last revised. |
DESCRIPTOR_ELEMENT | Type Id = 128 | Elements of a multi-paragraph descriptor, such as, E&M, lab panels, and molecular pathology |
DESCRIPTOR_EXTENSION | Type Id = 121 | Extension of full description of the concept. If the length of the descriptor exceeds 2000, this value contains 2000 character segments with the first two chanracters containing a sequence id. |
EXEMPT_MOD | Type Id = 107 | Contains 51 or 63 for codes where Modifier 51 or 63 is Exempt |
FDA_APPROVAL_PENDING | Type Id = 108 | T for codes marked with the FDA approval pending symbol |
GLOBAL_PERIOD_CODE | Type Id = 166 | Code for global period in RVU Medicare Global Period property |
GUIDELINE | Type Id = 100 | Explanatory text attached to a concept (code/heading/subheading). Note: Guidelines attached to headings/subheadings are intended to apply to all of the codes in that section/subsection. |
MEASURE_DEVELOPER | Type Id = 127 | Name of the measure developer associated with the Category II code |
OR_GROUP | "Or Group" field from RelationshipGroup_DTK_pipe.txt | Indicates that relationships with the same CUI2 and RG are disjunctive expressions; SGTYPE = RUI |
PLACE_OF_SERVICE_CODE | Type Id = 130 | Place of Service Code |
PROPRIETARY_NAME | Type Id = 134 | Proprietary name for multianalyte assays with algorithmic analyses contained in Appendix O from the CPT codebook |
REPORTABLE | Type Id = 103 | T for CPT codes that can be used for the reporting of services. F for headings/subheadings and guidelines. |
RVU_FACILITY_PRACTICE_EXPENSE | Type Id = 139 | RVU Facility Practice Expense |
RVU_FACILITY_PRACTICE_EXPENSE_DISCONTINUED | Type Id = 160 | Discontinued |
RVU_FACILITY_PRACTICE_EXPENSE_PROFESSIONAL | Type Id = 146 | Professional component |
RVU_FACILITY_PRACTICE_EXPENSE_TECHNICAL | Type Id = 153 | Technical component |
RVU_MEDICARE_GLOBAL_PERIOD | Type Id = 144 | RVU Medicare Global Period |
RVU_MEDICARE_GLOBAL_PERIOD_DISCONTINUED | Type Id = 165 | Discontinued |
RVU_MEDICARE_GLOBAL_PERIOD_PROFESSIONAL | Type Id = 151 | Professional component |
RVU_MEDICARE_GLOBAL_PERIOD_TECHNICAL | Type Id = 158 | Technical component |
RVU_NONFACILITY_PRACTICE_EXPENSE | Type Id = 140 | RVU Nonfacility Practice Expense |
RVU_NONFACILITY_PRACTICE_EXPENSE_DISCONTINUED | Type Id = 161 | Discontinued |
RVU_NONFACILITY_PRACTICE_EXPENSE_PROFESSIONAL | Type Id = 147 | Professional component |
RVU_NONFACILITY_PRACTICE_EXPENSE_TECHNICAL | Type Id = 154 | Technical component |
RVU_PLI | Type Id = 141 | RVU PLI |
RVU_PLI_DISCONTINUED | Type Id = 162 | Discontinued |
RVU_PLI_PROFESSIONAL | Type Id = 148 | Professional component |
RVU_PLI_TECHNICAL | Type Id = 155 | Technical component |
RVU_TOTAL_FACILITY | Type Id = 142 | RVU Total Facility |
RVU_TOTAL_FACILITY_DISCONTINUED | Type Id = 163 | Discontinued |
RVU_TOTAL_FACILITY_PROFESSIONAL | Type Id = 149 | Professional component |
RVU_TOTAL_FACILITY_TECHNICAL | Type Id = 156 | Technical component |
RVU_TOTAL_NONFACILITY | Type Id = 143 | RVU Total Nonfacility |
RVU_TOTAL_NONFACILITY_DISCONTINUED | Type Id = 164 | Discontinued |
RVU_TOTAL_NONFACILITY_PROFESSIONAL | Type Id = 150 | Professional component |
RVU_TOTAL_NONFACILITY_TECHNICAL | Type Id = 157 | Technical component |
RVU_WORK | Type Id = 138 | RVU Work |
RVU_WORK_DISCONTINUED | Type Id = 159 | Discontinued |
RVU_WORK_PROFESSIONAL | Type Id = 145 | Professional component |
RVU_WORK_TECHNICAL | Type Id = 152 | Technical component |
SPECIALTY | Type Id = 168/106/402 qualifier | Represents the value of the "Specialty" relationship. These relationships are to NUCC codes or to
AMA-created provider codes. For readability, the ATV for these attributes is created by
concatenating the "Provider code," "Provdider label," and the "percent utilization of the source code
by the target specialty," as found in the "utilization qualifier" of RelationshipGroups_DTK_Pipe.txt.
For example, CPT CODE "00100" has two SPECIALTY attributes:
|
TELEMEDICINE | Type Id = 167 | Telemedicine |
REL | RELA Inverse RELA |
Type ID (if applicable) | Description | Source of Relationship Value in SNOMED CT or NUCC (if applicable). |
---|---|---|---|---|
CHD PAR |
isa/inverse_isa | N/A | The hierarchy is derived from RelationshipGroup_DTK_pipe.txt. PAR/CHD isa rels are created where Relationship Type ID = 1 (Is_A) | N/A |
RO | clinician_form_of has_clinician_form |
N/A | Connects a PT to its ETCF(s) | N/A |
RO | consumer_friendly_form_of has_consumer_friendly_form |
N/A | Connects a PT to its ETCLIN | N/A |
SY | expanded_form_of has_expanded_form |
N/A | Connects a "PT" with its "SY" and "AB" | N/A |
RO | add_on_code_for/has_add_on_code | N/A | Relationships source from CPT instructions such as "Use 44139 in conjunction with 44140-44147)." Extracted from ReportWith.txt. | N/A |
RO | associated_procedure_of/has_associated_procedure | 203 | Specifies the procedure for which a CPT procedure is designated. | Procedure hierarchy |
RO | associated_procedure_of_excluded/has_excluded_associated_procedure | 203 | Specifies the procedure for which a CPT procedure is designated (Rel Qualifier = EXCLUDED) | Procedure hierarchy |
RO | associated_procedure_of_possibly_included/has_possibly_included_associated_procedure | 203 | Specifies the procedure for which a CPT procedure is designated (Rel Qualifier = POSSIBLY INCLUDED) | Procedure hierarchy |
RO | do_not_code_with/do_not_code_with | N/A | ||
RO | has_approach/approach_of | 213 | Directional or spatial access to the site of a procedure | Qualifier Value hierarchy |
RO | has_associated_finding/associated_finding_of | 215 | Clinical finding for which a CPT procedure is performed | Clinical Findings hierarchy |
RO | has_component/component_of | 201 | Entity being observed or measured | Substance, Observable Entity, Organism, Body Structure and Cell Structure hierarchies |
RO | has_excluded_approach/approach_of_excluded | 213 | Directional or spatial access to the site of a procedure (Rel Qualifier = EXCLUDED) | Qualifier Value hierarchy |
RO | has_excluded_associated_finding/associated_finding_of_excluded | 215 | Clinical finding for which a CPT procedure is performed (Rel Qualifier = EXCLUDE) | Clinical Findings hierarchy |
RO | has_excluded_component/component_of_excluded | 201 | Entity being observed or measured (Rel Qualifier = EXCLUDED) | Substance, Observable Entity, Organism, Body Structure and Cell Structure hierarchies |
RO | has_excluded_locale/locale_of_excluded | 214 | Location in which a CPT Evaluation and Management procedure is performed (Rel Qualifier = EXCLUDED) | Environments hierarchy |
RO | has_excluded_method/method_of_excluded | 204 | Method used to achieve a procedure (Rel Qual = EXCLUDED) | Qualifier value hierarchy |
RO | has_excluded_pathology/pathology_of_excluded | 211 | Abnormal physical entity (such as a tumor) which is involved in a procedure or to which a procedure is directed (Rel Qualifier = EXCLUDED | Body Structure and Clinical Finding hierarchies |
RO | has_excluded_patient_type/patient_type_of_excluded | 210 | Type of patien for whom a CPT Evaluation and Management procedure is performed (Rel Qualifier = EXCLUDED | Social Context hierarchy |
RO | has_excluded_procedure_device/procedure_device_of_excluded | 202 | Device directly involved in or used to execute the procedure (Rel Qualifier = EXCLUDED) | Physical Object and Physical Force hierarchies |
RO | has_excluded_procedure_site/procedure_site_of_excluded | 200 | Anatomic location affected by a procedure (Rel Qualifier = EXCLUDED) | Body Structure hierarchy |
RO | has_excluded_route_of_administration/route_of_administration_of_excluded | 216 | Route of administration (Rel Qualifier = EXCLUDED) | Qualifier Value hierarchy |
RO | has_excluded_specimen/specimen_of_excluded | 205 | Type of specimen on which a test is performed (Rel Qualifier = EXCLUDED) | Specimen hierarchy |
RO | has_excluded_surgical_extent/surgical_extent_of_excluded | 208 | Degree to which a procedure is performed with respect to completeness e.g. total, partial, subtotal, or, simple, radical (Rel Qualifier = EXCLUDED) | Qualifier Value hierarchy |
RO | has_locale/locale_of | 214 | Location in which a CPT Evaluation and Management procedure is performed | Environments hierarchy |
RO | has_method/method_of | 204 | Method used to achieve a procedure | Qualifier value hierarchy |
RO | has_pathology/pathology_of | 211 | Abnormal physical entity (such as a tumor) which is involved in a procedure or to which a procedure is directed | Body Structure and Clinical Finding hierarchies |
RO | has_patient_type/patient_type_of | 210 | Type of patien for whom a CPT Evaluation and Management procedure is performed | Social Context hierarchy |
RO | has_possibly_included_approach/approach_of_possibly_included | 213 | Directional or spatial access to the site of a procedure (Rel Qualifier = POSSIBLY INCLUDED) | Qualifier Value hierarchy |
RO | has_possibly_included_associated_finding/associated_finding_of_possibly_included | 215 | Clinical finding for which a CPT procedure is performed (Rel Qualifier = POSSIBLY INCLUDED) | Clinical Findings hierarchy |
RO | has_possibly_included_component/component_of_possibly_included | 201 | Entity being observed or measured (Rel Qualifier = POSSIBLY INCLUDED) | Substance, Observable Entity, Organism, Body Structure and Cell Structure hierarchies |
RO | has_possibly_included_method/method_of_possibly_included | 204 | Method used to achieve a procedure (Rel Qual = POSSIBLY INCLUDED) | Qualifier value hierarchy |
RO | has_possibly_included_pathology/pathology_of_possibly_included | 211 | Abnormal physical entity (such as a tumor) which is involved in a procedure or to which a procedure is directed (Rel Qualifier = POSSIBLY INCLUDED | Body Structure and Clinical Finding hierarchies |
RO | has_possibly_included_patient_type/patient_type_of_possibly_included | 210 | Type of patient for whom a CPT Evaluation and Management procedure is performed (Rel Qualifier = POSSIBLY INCLUDED | Social Context hierarchy |
RO | has_possibly_included_procedure_device/procedure_device_of_possibly_included | 202 | Device directly involved in or used to execute the procedure (Rel Qualifier = POSSIBLY INCLUDED) | Physical Object and Physical Force hierarchies |
RO | has_possibly_included_procedure_site/procedure_site_of_possibly_included | 200 | Anatomic location affected by a procedure (Rel Qualifier = POSSIBLY INCLUDED) | Body Structure hierarchy |
RO | has_possibly_included_route_of_administration/route_of_administration_of_possibly_included | 216 | Route of administration (Rel Qualifier = POSSIBLY INCLUDED) | Qualifier Value hierarchy |
RO | has_possibly_included_surgical_extent/surgical_extent_of_possibly_included | 208 | Degree to which a procedure is performed with respect to completeness e.g. total, partial, subtotal, or, simple, radical (Rel Qualifier = POSSIBLY INCLUDED) | Qualifier Value hierarchy |
RO | has_procedure_device/procedure_device_of | 202 | Device directly involved in or used to execute the procedure | Physical Object and Physical Force hierarchies |
RO | has_procedure_site/procedure_site_of | 200 | Anatomic location affected by a procedure | Body Structure hierarchy |
RO | has_route_of_administration/route_of_administration_of | 216 | Route of administration | Qualifier Value hierarchy |
RO | has_specialty/specialty_of | 402 | Specialty | NUCCPT SOURCE_CUI, if present in Metathesaurus; see also "SPECIALTY" attribute |
RO | has_specimen/specimen_of | 205 | Type of specimen on which a test is performed | Specimen hierarchy |
RO | has_surgical_extent/surgical_extent_of | 208 | Degree to which a procedure is performed with respect to completeness e.g. total, partial, subtotal, or, simple, radical | Qualifier Value hierarchy |
RO | panel_element_of/has_panel_element | 207 | A laboratory test that is a member of a laboratory panel code in CPT | N/A |
RO | panel_element_of_possibly_included/has_possibly_included_panel_element | 207 | A laboratory test that is a member of a laboratory panel code in CPT (Rel Qualifier = POSSIBLY INCLUDED | N/A |
RO | uses_excluded_substance/substance_used_by_excluded | 206 | Substance involved in a procedure or to which a procedure is directed (Rel Qualifier = EXCLUDED) | Body Structure and Clinical Finding hierarchies |
RO | uses_possibly_included_substance/substance_used_by_possibly_included | 206 | Substance involved in a procedure or to which a procedure is directed (Rel Qualifier = POSSIBLY INCLUDED) | Body Structure and Clinical Finding hierarchies |
RO | uses_substance/substance_used_by | 206 | Substance involved in a procedure or to which a procedure is directed | Body Structure and Clinical Finding hierarchies |