Year:  2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 

PQRS Measure

#187Stroke and Stroke Rehabilitation: Thrombolytic Therapy
 This measure may be submitted via registry only.

The following codes apply for this PQRS measure:

CPT Codes

CodeModifierPOSDescription
99221Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.
99222Initial hospital inpatient or observation 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, 55 minutes must be met or exceeded.
99223Initial hospital inpatient or observation 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, 75 minutes must be met or exceeded.
99291Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes

HCPCS Codes

CodeModifierPOSDescription
G8600Iv thrombolytic therapy initiated within 4.5 hours (<= 270 minutes) of time last known well
G8601Iv thrombolytic therapy not initiated within 4.5 hours (<= 270 minutes) of time last known well for reasons documented by clinician (e.g. patient enrolled in clinical trial for stroke, patient admitted for elective carotid intervention)
G8602Iv thrombolytic therapy not initiated within 4.5 hours (<= 270 minutes) of time last known well, reason not given

ICD9 Codes

CodeModifierPOSDescription
433.01Occlusion and stenosis of basilar artery with cerebral infarction
433.10Occlusion and stenosis of carotid artery without mention of cerebral infarction
433.11Occlusion and stenosis of carotid artery with cerebral infarction
433.21Occlusion and stenosis of vertebral artery with cerebral infarction
433.31Occlusion and stenosis of multiple and bilateral precerebral arteries with cerebral infarction
433.81Occlusion and stenosis of other specified precerebral artery with cerebral infarction
433.91Occlusion and stenosis of unspecified precerebral artery with cerebral infarction
434.00Cerebral thrombosis without mention of cerebral infarction
434.01Cerebral thrombosis with cerebral infarction
434.11Cerebral embolism with cerebral infarction
434.91Cerebral artery occlusion, unspecified with cerebral infarction
436Acute, but ill-defined, cerebrovascular disease
Legend:
Registry OKThis measure can be submitted through registry.
EHR OKThis measure can be submitted via Electronic Health Record (EHR).

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