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PQRS Measure

 Report via: Claim, Registry

The following codes apply for this PQRS measure:

CPT Codes

CodeModifierPOSDescription
92002N/AN/AOphthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient
92004N/AN/AOphthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits
92012N/AN/AOphthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient
92014N/AN/AOphthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits
99201N/AN/AOffice or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family.
99202N/AN/AOffice or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.
99203N/AN/AOffice or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.
99204N/AN/AOffice or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.
99205N/AN/AOffice or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.
99212N/AN/AOffice or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.
99213N/AN/AOffice or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.
99214N/AN/AOffice or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.
99215N/AN/AOffice or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.
99307N/AN/ASubsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.
99308N/AN/ASubsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.
99309N/AN/ASubsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.
99310N/AN/ASubsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.
99324N/AN/ADomiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low severity. Typically, 20 minutes are spent with the patient and/or family or caregiver.
99325N/AN/ADomiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity. Typically, 30 minutes are spent with the patient and/or family or caregiver.
99326N/AN/ADomiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 45 minutes are spent with the patient and/or family or caregiver.
99327N/AN/ADomiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of high severity. Typically, 60 minutes are spent with the patient and/or family or caregiver.
99328N/AN/ADomiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is unstable or has developed a significant new problem requiring immediate physician attention. Typically, 75 minutes are spent with the patient and/or family or caregiver.
99334N/AN/ADomiciliary or rest home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused interval history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self-limited or minor. Typically, 15 minutes are spent with the patient and/or family or caregiver.
99335N/AN/ADomiciliary or rest home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 25 minutes are spent with the patient and/or family or caregiver.
99336N/AN/ADomiciliary or rest home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 40 minutes are spent with the patient and/or family or caregiver.
99337N/AN/ADomiciliary or rest home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A comprehensive interval history; A comprehensive examination; Medical decision making of moderate to high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. The patient may be unstable or may have developed a significant new problem requiring immediate physician attention. Typically, 60 minutes are spent with the patient and/or family or caregiver.
3284FN/AN/AIntraocular pressure (IOP) reduced by a value of greater than or equal to 15% from the pre-intervention level (EC)
0517F8PN/AGlaucoma plan of care documented (EC)
0517FN/AN/AGlaucoma plan of care documented (EC)
3285FN/AN/AIntraocular pressure (IOP) reduced by a value less than 15% from the pre-intervention level (EC)
3284F8PN/AIntraocular pressure (IOP) reduced by a value of greater than or equal to 15% from the pre-intervention level (EC)

ICD9 Codes

CodeModifierPOSDescription
365.10N/AN/AOpen-angle glaucoma, unspecified
365.11N/AN/APrimary open angle glaucoma
365.12N/AN/ALow tension open-angle glaucoma
365.15N/AN/AResidual stage of open angle glaucoma

ICD10CM Codes

CodeModifierPOSDescription
H40.10X0N/AN/AUnspecified open-angle glaucoma, stage unspecified
H40.10X1N/AN/AUnspecified open-angle glaucoma, mild stage
H40.10X2N/AN/AUnspecified open-angle glaucoma, moderate stage
H40.10X3N/AN/AUnspecified open-angle glaucoma, severe stage
H40.10X4N/AN/AUnspecified open-angle glaucoma, indeterminate stage
H40.11X0N/AN/APrimary open-angle glaucoma, stage unspecified
H40.11X1N/AN/APrimary open-angle glaucoma, mild stage
H40.11X2N/AN/APrimary open-angle glaucoma, moderate stage
H40.11X3N/AN/APrimary open-angle glaucoma, severe stage
H40.11X4N/AN/APrimary open-angle glaucoma, indeterminate stage
H40.1210N/AN/ALow-tension glaucoma, right eye, stage unspecified
H40.1211N/AN/ALow-tension glaucoma, right eye, mild stage
H40.1212N/AN/ALow-tension glaucoma, right eye, moderate stage
H40.1213N/AN/ALow-tension glaucoma, right eye, severe stage
H40.1214N/AN/ALow-tension glaucoma, right eye, indeterminate stage
H40.1220N/AN/ALow-tension glaucoma, left eye, stage unspecified
H40.1221N/AN/ALow-tension glaucoma, left eye, mild stage
H40.1222N/AN/ALow-tension glaucoma, left eye, moderate stage
H40.1223N/AN/ALow-tension glaucoma, left eye, severe stage
H40.1224N/AN/ALow-tension glaucoma, left eye, indeterminate stage
H40.1230N/AN/ALow-tension glaucoma, bilateral, stage unspecified
H40.1231N/AN/ALow-tension glaucoma, bilateral, mild stage
H40.1232N/AN/ALow-tension glaucoma, bilateral, moderate stage
H40.1233N/AN/ALow-tension glaucoma, bilateral, severe stage
H40.1234N/AN/ALow-tension glaucoma, bilateral, indeterminate stage
H40.1290N/AN/ALow-tension glaucoma, unspecified eye, stage unspecified
H40.1291N/AN/ALow-tension glaucoma, unspecified eye, mild stage
H40.1292N/AN/ALow-tension glaucoma, unspecified eye, moderate stage
H40.1293N/AN/ALow-tension glaucoma, unspecified eye, severe stage
H40.1294N/AN/ALow-tension glaucoma, unspecified eye, indeterminate stage
H40.1510N/AN/AResidual stage of open-angle glaucoma, right eye, stage unspecified
H40.1511N/AN/AResidual stage of open-angle glaucoma, right eye, mild stage
H40.1512N/AN/AResidual stage of open-angle glaucoma, right eye, moderate stage
H40.1513N/AN/AResidual stage of open-angle glaucoma, right eye, severe stage
H40.1514N/AN/AResidual stage of open-angle glaucoma, right eye, indeterminate stage
H40.1520N/AN/AResidual stage of open-angle glaucoma, left eye, stage unspecified
H40.1521N/AN/AResidual stage of open-angle glaucoma, left eye, mild stage
H40.1522N/AN/AResidual stage of open-angle glaucoma, left eye, moderate stage
H40.1523N/AN/AResidual stage of open-angle glaucoma, left eye, severe stage
H40.1524N/AN/AResidual stage of open-angle glaucoma, left eye, indeterminate stage
H40.1530N/AN/AResidual stage of open-angle glaucoma, bilateral, stage unspecified
H40.1531N/AN/AResidual stage of open-angle glaucoma, bilateral, mild stage
H40.1532N/AN/AResidual stage of open-angle glaucoma, bilateral, moderate stage
H40.1533N/AN/AResidual stage of open-angle glaucoma, bilateral, severe stage
H40.1534N/AN/AResidual stage of open-angle glaucoma, bilateral, indeterminate stage
H40.1590N/AN/AResidual stage of open-angle glaucoma, unspecified eye, stage unspecified
H40.1591N/AN/AResidual stage of open-angle glaucoma, unspecified eye, mild stage
H40.1592N/AN/AResidual stage of open-angle glaucoma, unspecified eye, moderate stage
H40.1593N/AN/AResidual stage of open-angle glaucoma, unspecified eye, severe stage
H40.1594N/AN/AResidual stage of open-angle glaucoma, unspecified eye, indeterminate stage
Legend:
ClaimThis measure can be submitted via claim. Use the 'Data Collection' pdf associated with the measure.
GroupThis measure can be submitted through one or more groups. Click on the group name to view the group information.
RegistryThis measure can be submitted through registry.
EHRThis measure can be submitted via Electronic Health Record (EHR).
GPRO/ACOThis measure can be submitted via Group Practice Reporting Option, or GPRO Web Interface.

More information on these alternative reporting mechanisms is available at:
    http://www.cms.gov/PQRS/20_AlternativeReportingMechanisms.asp.
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