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PQRS Measure

#191Cataracts: 20/40 or Better Visual Acuity Within 90 Days Following Cataract Surgery
 Report via: Registry, GPRO II

The following codes apply for this PQRS measure:

CPT Codes

CodeModifierPOSDescription
4175FBest-corrected visual acuity of 20/40 or better (distance or near) achieved within the 90 days following cataract surgery (EC)
4175F8PBest-corrected visual acuity of 20/40 or better (distance or near) achieved within the 90 days following cataract surgery (EC)
66840Removal of lens material; aspiration technique, 1 or more stages
66850Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration
66852Removal of lens material; pars plana approach, with or without vitrectomy
66920Removal of lens material; intracapsular
66930Removal of lens material; intracapsular, for dislocated lens
66940Removal of lens material; extracapsular (other than 66840, 66850, 66852)
66982Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requiring devices or techniques not generally used in routine cataract surgery (eg, iris expansion device, suture support for intraocular lens, or primary posterior capsulorrhexis) or performed on patients in the amblyogenic developmental stage; without endoscopic cyclophotocoagulation
66983Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure)
66984Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endoscopic cyclophotocoagulation

ICD9 Codes

CodeModifierPOSDescription
360.00Purulent endophthalmitis, unspecified
360.01Acute endophthalmitis
360.02Panophthalmitis
360.03Chronic endophthalmitis
360.04Vitreous abscess
360.11Sympathetic uveitis
360.12Panuveitis
360.13Parasitic endophthalmitis NOS
360.14Ophthalmia nodosa
360.19Other endophthalmitis
360.20Degenerative disorder of globe, unspecified
360.21Progressive high (degenerative) myopia
360.23Siderosis of globe
360.24Other metallosis of globe
360.29Other degenerative disorders of globe
361.00Retinal detachment with retinal defect, unspecified
361.01Recent retinal detachment, partial, with single defect
361.02Recent retinal detachment, partial, with multiple defects
361.03Recent retinal detachment, partial, with giant tear
361.04Recent retinal detachment, partial, with retinal dialysis
361.05Recent retinal detachment, total or subtotal
361.06Old retinal detachment, partial
361.07Old retinal detachment, total or subtotal
362.01Background diabetic retinopathy
362.03Nonproliferative diabetic retinopathy NOS
362.04Mild nonproliferative diabetic retinopathy
362.05Moderate nonproliferative diabetic retinopathy
362.06Severe nonproliferative diabetic retinopathy
362.07Diabetic macular edema
362.12Exudative retinopathy
362.16Retinal neovascularization NOS
362.18Retinal vasculitis
362.20Retinopathy of prematurity, unspecified
362.21Retrolental fibroplasia
362.22Retinopathy of prematurity, stage 0
362.23Retinopathy of prematurity, stage 1
362.24Retinopathy of prematurity, stage 2
362.25Retinopathy of prematurity, stage 3
362.26Retinopathy of prematurity, stage 4
362.27Retinopathy of prematurity, stage 5
362.31Central retinal artery occlusion
362.32Retinal arterial branch occlusion
362.35Central retinal vein occlusion
362.36Venous tributary (branch) occlusion
362.41Central serous retinopathy
362.42Serous detachment of retinal pigment epithelium
362.43Hemorrhagic detachment of retinal pigment epithelium
362.50Macular degeneration (senile), unspecified
362.51Nonexudative senile macular degeneration
362.52Exudative senile macular degeneration
362.53Cystoid macular degeneration
362.54Macular cyst, hole, or pseudohole
362.55Toxic maculopathy
362.56Macular puckering
362.57Drusen (degenerative)
362.70Hereditary retinal dystrophy, unspecified
362.71Retinal dystrophy in systemic or cerebroretinal lipidoses
362.72Retinal dystrophy in other systemic disorders and syndromes
362.73Vitreoretinal dystrophies
362.74Pigmentary retinal dystrophy
362.75Other dystrophies primarily involving the sensory retina
362.76Dystrophies primarily involving the retinal pigment epithelium
362.81Retinal hemorrhage
362.82Retinal exudates and deposits
362.83Retinal edema
362.84Retinal ischemia
362.85Retinal nerve fiber bundle defects
362.89Other retinal disorders
363.00Focal chorioretinitis, unspecified
363.01Focal choroiditis and chorioretinitis, juxtapapillary
363.03Focal choroiditis and chorioretinitis of other posterior pole
363.04Focal choroiditis and chorioretinitis, peripheral
363.05Focal retinitis and retinochoroiditis, juxtapapillary
363.06Focal retinitis and retinochoroiditis, macular or paramacular
363.07Focal retinitis and retinochoroiditis of other posterior pole
363.08Focal retinitis and retinochoroiditis, peripheral
363.10Disseminated chorioretinitis, unspecified
363.11Disseminated choroiditis and chorioretinitis, posterior pole
363.12Disseminated choroiditis and chorioretinitis, peripheral
363.13Disseminated choroiditis and chorioretinitis, generalized
363.14Disseminated retinitis and retinochoroiditis, metastatic
363.15Disseminated retinitis and retinochoroiditis, pigment epitheliopathy
363.20Chorioretinitis, unspecified
363.21Pars planitis
363.22Harada's disease
363.30Chorioretinal scar, unspecified
363.31Solar retinopathy
363.32Other macular scars
363.33Other scars of posterior pole
363.35Disseminated scars
363.43Angioid streaks of choroid
363.50Hereditary choroidal dystrophy or atrophy, unspecified
363.51Circumpapillary dystrophy of choroid, partial
363.52Circumpapillary dystrophy of choroid, total
363.53Central dystrophy of choroid, partial
363.54Central choroidal atrophy, total
363.55Choroideremia
363.56Other diffuse or generalized dystrophy of choroid, partial
363.57Other diffuse or generalized dystrophy of choroid, total
363.61Choroidal hemorrhage, unspecified
363.62Expulsive choroidal hemorrhage
363.63Choroidal rupture
363.72Hemorrhagic choroidal detachment
364.00Acute and subacute iridocyclitis, unspecified
364.01Primary iridocyclitis
364.02Recurrent iridocyclitis
364.03Secondary iridocyclitis, infectious
364.04Secondary iridocyclitis, noninfectious
364.05Hypopyon
364.10Chronic iridocyclitis, unspecified
364.11Chronic iridocyclitis in diseases classified elsewhere
364.21Fuchs' heterochromic cyclitis
364.22Glaucomatocyclitic crises
364.23Lens-induced iridocyclitis
364.24Vogt-koyanagi syndrome
364.3Unspecified iridocyclitis
365.10Open-angle glaucoma, unspecified
365.11Primary open angle glaucoma
365.12Low tension open-angle glaucoma
365.13Pigmentary open-angle glaucoma
365.14Glaucoma of childhood
365.15Residual stage of open angle glaucoma
365.20Primary angle-closure glaucoma, unspecified
365.21Intermittent angle-closure glaucoma
365.22Acute angle-closure glaucoma
365.23Chronic angle-closure glaucoma
365.24Residual stage of angle-closure glaucoma
365.31Corticosteroid-induced glaucoma, glaucomatous stage
365.32Corticosteroid-induced glaucoma, residual stage
365.41Glaucoma associated with chamber angle anomalies
365.42Glaucoma associated with anomalies of iris
365.43Glaucoma associated with other anterior segment anomalies
365.44Glaucoma associated with systemic syndromes
365.51Phacolytic glaucoma
365.52Pseudoexfoliation glaucoma
365.59Glaucoma associated with other lens disorders
365.60Glaucoma associated with unspecified ocular disorder
365.61Glaucoma associated with pupillary block
365.62Glaucoma associated with ocular inflammations
365.63Glaucoma associated with vascular disorders
365.64Glaucoma associated with tumors or cysts
365.65Glaucoma associated with ocular trauma
365.81Hypersecretion glaucoma
365.82Glaucoma with increased episcleral venous pressure
365.83Aqueous misdirection
365.89Other specified glaucoma
365.9Unspecified glaucoma
366.32Cataract in inflammatory ocular disorders
366.33Cataract with neovascularization
368.01Strabismic amblyopia
368.02Deprivation amblyopia
368.03Refractive amblyopia
368.41Scotoma involving central area
369.00Profound impairment, both eyes, impairment level not further specified
369.01Better eye: total vision impairment; lesser eye: total vision impairment
369.02Better eye: near-total vision impairment; lesser eye: not further specified
369.03Better eye: near-total vision impairment; lesser eye: total vision impairment
369.04Better eye: near-total vision impairment; lesser eye: near-total vision impairment
369.05Better eye: profound vision impairment; lesser eye: not further specified
369.06Better eye: profound vision impairment; lesser eye: total vision impairment
369.07Better eye: profound vision impairment; lesser eye: near-total vision impairment
369.08Better eye: profound vision impairment; lesser eye: profound vision impairment
369.10Moderate or severe impairment, better eye, impairment level not further specified
369.11Better eye: severe vision impairment; lesser eye: blind, not further specified
369.12Better eye: severe vision impairment; lesser eye: total vision impairment
369.13Better eye: severe vision impairment; lesser eye: near-total vision impairment
369.14Better eye: severe vision impairment; lesser eye: profound vision impairment
369.15Better eye: moderate vision impairment; lesser eye: blind, not further specified
369.16Better eye: moderate vision impairment; lesser eye: total vision impairment
369.17Better eye: moderate vision impairment; lesser eye: near-total vision impairment
369.18Better eye: moderate vision impairment; lesser eye: profound vision impairment
370.03Central corneal ulcer
371.00Corneal opacity, unspecified
371.01Minor opacity of cornea
371.02Peripheral opacity of cornea
371.03Central opacity of cornea
371.04Adherent leucoma
371.20Corneal edema, unspecified
371.21Idiopathic corneal edema
371.22Secondary corneal edema
371.23Bullous keratopathy
371.43Band-shaped keratopathy
371.44Other calcerous degenerations of cornea
371.50Hereditary corneal dystrophy, unspecified
371.51Juvenile epithelial corneal dystrophy
371.52Other anterior corneal dystrophies
371.53Granular corneal dystrophy
371.54Lattice corneal dystrophy
371.55Macular corneal dystrophy
371.56Other stromal corneal dystrophies
371.57Endothelial corneal dystrophy
371.58Other posterior corneal dystrophies
371.60Keratoconus, unspecified
371.61Keratoconus, stable condition
371.62Keratoconus, acute hydrops
371.70Corneal deformity, unspecified
371.71Corneal ectasia
371.72Descemetocele
371.73Corneal staphyloma
377.10Optic atrophy, unspecified
377.11Primary optic atrophy
377.12Postinflammatory optic atrophy
377.13Optic atrophy associated with retinal dystrophies
377.14Glaucomatous atrophy [cupping] of optic disc
377.15Partial optic atrophy
377.16Hereditary optic atrophy
377.30Optic neuritis, unspecified
377.31Optic papillitis
377.32Retrobulbar neuritis (acute)
377.33Nutritional optic neuropathy
377.34Toxic optic neuropathy
377.39Other optic neuritis
377.41Ischemic optic neuropathy
377.51Disorders of optic chiasm associated with pituitary neoplasms and disorders
377.52Disorders of optic chiasm associated with other neoplasms
377.53Disorders of optic chiasm associated with vascular disorders
377.54Disorders of optic chiasm associated with inflammatory disorders
377.75Cortical blindness
379.04Scleromalacia perforans
379.05Scleritis with corneal involvement
379.06Brawny scleritis
379.07Posterior scleritis
379.09Other scleritis and episcleritis
379.11Scleral ectasia
379.12Staphyloma posticum
379.51Congenital nystagmus
871.0Ocular laceration without prolapse of intraocular tissue
871.1Ocular laceration with prolapse or exposure of intraocular tissue
871.2Rupture of eye with partial loss of intraocular tissue
871.3Avulsion of eye
871.4Unspecified laceration of eye
871.5Penetration of eyeball with magnetic foreign body
871.6Penetration of eyeball with (nonmagnetic) foreign body
871.7Unspecified ocular penetration
871.9Unspecified open wound of eyeball
921.3Contusion of eyeball
940.0Chemical burn of eyelids and periocular area
940.1Other burns of eyelids and periocular area
940.2Alkaline chemical burn of cornea and conjunctival sac
940.3Acid chemical burn of cornea and conjunctival sac
940.4Other burn of cornea and conjunctival sac
940.5Burn with resulting rupture and destruction of eyeball
940.9Unspecified burn of eye and adnexa
950.0Optic nerve injury
950.1Injury to optic chiasm
950.2Injury to optic pathways
950.3Injury to visual cortex
950.9Injury to unspecified optic nerve and pathways
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 IThis measure can be submitted via Group Practice Reporting Option 1.
GPRO IIThis measure can be submitted via Group Practice Reporting Option 2.

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