PQRS Measure
#192Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures
Report via: Registry, GPRO II
The following codes apply for this PQRS measure:
CPT Codes | |||
| Code | Modifier | POS | Description |
|---|---|---|---|
| 66840 | Removal of lens material; aspiration technique, 1 or more stages | ||
| 66850 | Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration | ||
| 66852 | Removal of lens material; pars plana approach, with or without vitrectomy | ||
| 66920 | Removal of lens material; intracapsular | ||
| 66930 | Removal of lens material; intracapsular, for dislocated lens | ||
| 66940 | Removal of lens material; extracapsular (other than 66840, 66850, 66852) | ||
| 66982 | Extracapsular 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 | ||
| 66983 | Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) | ||
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endoscopic cyclophotocoagulation | ||
| 67036 | Vitrectomy, mechanical, pars plana approach; | ||
| 67039 | Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation | ||
| 67041 | Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) | ||
| 67042 | Vitrectomy, mechanical, pars plana approach; with removal of internal limiting membrane of retina (eg, for repair of macular hole, diabetic macular edema), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil) | ||
| 67043 | Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil) and laser photocoagulation | ||
HCPCS Codes | |||
| Code | Modifier | POS | Description |
| G8627 | Surgical procedure performed within 30 days following cataract surgery for major complications (e.g., retained nuclear fragments, endophthalmitis, dislocated or wrong power iol, retinal detachment, or wound dehiscence) | ||
| G8628 | Surgical procedure not performed within 30 days following cataract surgery for major complications (e.g., retained nuclear fragments, endophthalmitis, dislocated or wrong power iol, retinal detachment, or wound dehiscence) | ||
ICD9 Codes | |||
| Code | Modifier | POS | Description |
| 360.11 | Sympathetic uveitis | ||
| 360.12 | Panuveitis | ||
| 360.20 | Degenerative disorder of globe, unspecified | ||
| 360.21 | Progressive high (degenerative) myopia | ||
| 360.30 | Hypotony of eye, unspecified | ||
| 360.31 | Primary hypotony of eye | ||
| 360.32 | Ocular fistula causing hypotony | ||
| 360.33 | Hypotony associated with other ocular disorders | ||
| 360.34 | Flat anterior chamber of eye | ||
| 362.21 | Retrolental fibroplasia | ||
| 364.00 | Acute and subacute iridocyclitis, unspecified | ||
| 364.01 | Primary iridocyclitis | ||
| 364.02 | Recurrent iridocyclitis | ||
| 364.03 | Secondary iridocyclitis, infectious | ||
| 364.04 | Secondary iridocyclitis, noninfectious | ||
| 364.05 | Hypopyon | ||
| 364.10 | Chronic iridocyclitis, unspecified | ||
| 364.11 | Chronic iridocyclitis in diseases classified elsewhere | ||
| 364.21 | Fuchs' heterochromic cyclitis | ||
| 364.22 | Glaucomatocyclitic crises | ||
| 364.23 | Lens-induced iridocyclitis | ||
| 364.24 | Vogt-koyanagi syndrome | ||
| 364.3 | Unspecified iridocyclitis | ||
| 364.42 | Rubeosis iridis | ||
| 364.60 | Idiopathic cysts of iris, ciliary body, and anterior chamber | ||
| 364.61 | Implantation cysts of iris, ciliary body, and anterior chamber | ||
| 364.62 | Exudative cysts of iris or anterior chamber | ||
| 364.63 | Primary cyst of pars plana | ||
| 364.64 | Exudative cyst of pars plana | ||
| 364.70 | Adhesions of iris, unspecified | ||
| 364.71 | Posterior synechiae of iris | ||
| 364.72 | Anterior synechiae of iris | ||
| 364.73 | Goniosynechiae | ||
| 364.74 | Adhesions and disruptions of pupillary membranes | ||
| 364.75 | Pupillary abnormalities | ||
| 364.76 | Iridodialysis | ||
| 364.77 | Recession of chamber angle of eye | ||
| 364.81 | Floppy iris syndrome | ||
| 364.82 | Plateau iris syndrome | ||
| 364.89 | Other disorders of iris and ciliary body | ||
| 365.10 | Open-angle glaucoma, unspecified | ||
| 365.11 | Primary open angle glaucoma | ||
| 365.12 | Low tension open-angle glaucoma | ||
| 365.13 | Pigmentary open-angle glaucoma | ||
| 365.14 | Glaucoma of childhood | ||
| 365.15 | Residual stage of open angle glaucoma | ||
| 365.20 | Primary angle-closure glaucoma, unspecified | ||
| 365.21 | Intermittent angle-closure glaucoma | ||
| 365.22 | Acute angle-closure glaucoma | ||
| 365.23 | Chronic angle-closure glaucoma | ||
| 365.24 | Residual stage of angle-closure glaucoma | ||
| 365.31 | Corticosteroid-induced glaucoma, glaucomatous stage | ||
| 365.32 | Corticosteroid-induced glaucoma, residual stage | ||
| 365.51 | Phacolytic glaucoma | ||
| 365.52 | Pseudoexfoliation glaucoma | ||
| 365.59 | Glaucoma associated with other lens disorders | ||
| 365.60 | Glaucoma associated with unspecified ocular disorder | ||
| 365.61 | Glaucoma associated with pupillary block | ||
| 365.62 | Glaucoma associated with ocular inflammations | ||
| 365.63 | Glaucoma associated with vascular disorders | ||
| 365.64 | Glaucoma associated with tumors or cysts | ||
| 365.65 | Glaucoma associated with ocular trauma | ||
| 365.81 | Hypersecretion glaucoma | ||
| 365.82 | Glaucoma with increased episcleral venous pressure | ||
| 365.83 | Aqueous misdirection | ||
| 365.89 | Other specified glaucoma | ||
| 366.11 | Pseudoexfoliation of lens capsule | ||
| 366.20 | Traumatic cataract, unspecified | ||
| 366.21 | Localized traumatic opacities | ||
| 366.22 | Total traumatic cataract | ||
| 366.23 | Partially resolved traumatic cataract | ||
| 366.32 | Cataract in inflammatory ocular disorders | ||
| 366.33 | Cataract with neovascularization | ||
| 366.9 | Unspecified cataract | ||
| 367.0 | Hypermetropia | ||
| 370.03 | Central corneal ulcer | ||
| 371.00 | Corneal opacity, unspecified | ||
| 371.01 | Minor opacity of cornea | ||
| 371.02 | Peripheral opacity of cornea | ||
| 371.03 | Central opacity of cornea | ||
| 371.04 | Adherent leucoma | ||
| 371.20 | Corneal edema, unspecified | ||
| 371.21 | Idiopathic corneal edema | ||
| 371.22 | Secondary corneal edema | ||
| 371.23 | Bullous keratopathy | ||
| 371.43 | Band-shaped keratopathy | ||
| 371.44 | Other calcerous degenerations of cornea | ||
| 371.50 | Hereditary corneal dystrophy, unspecified | ||
| 371.51 | Juvenile epithelial corneal dystrophy | ||
| 371.52 | Other anterior corneal dystrophies | ||
| 371.53 | Granular corneal dystrophy | ||
| 371.54 | Lattice corneal dystrophy | ||
| 371.55 | Macular corneal dystrophy | ||
| 371.56 | Other stromal corneal dystrophies | ||
| 371.57 | Endothelial corneal dystrophy | ||
| 371.58 | Other posterior corneal dystrophies | ||
| 376.50 | Enophthalmos, unspecified as to cause | ||
| 376.51 | Enophthalmos due to atrophy of orbital tissue | ||
| 376.52 | Enophthalmos due to trauma or surgery | ||
| 379.32 | Subluxation of lens | ||
| 379.33 | Anterior dislocation of lens | ||
| 379.34 | Posterior dislocation of lens | ||
| 379.42 | Miosis (persistent), not due to miotics | ||
| 743.30 | Congenital cataract, unspecified | ||
| 743.31 | Congenital capsular and subcapsular cataract | ||
| 743.36 | Congenital anomalies of lens shape | ||
| 871.0 | Ocular laceration without prolapse of intraocular tissue | ||
| 871.1 | Ocular laceration with prolapse or exposure of intraocular tissue | ||
| 871.2 | Rupture of eye with partial loss of intraocular tissue | ||
| 871.3 | Avulsion of eye | ||
| 871.4 | Unspecified laceration of eye | ||
| 871.5 | Penetration of eyeball with magnetic foreign body | ||
| 871.6 | Penetration of eyeball with (nonmagnetic) foreign body | ||
| 871.7 | Unspecified ocular penetration | ||
| 871.9 | Unspecified open wound of eyeball | ||
| 921.3 | Contusion of eyeball | ||
| 940.0 | Chemical burn of eyelids and periocular area | ||
| 940.1 | Other burns of eyelids and periocular area | ||
| 940.2 | Alkaline chemical burn of cornea and conjunctival sac | ||
| 940.3 | Acid chemical burn of cornea and conjunctival sac | ||
| 940.4 | Other burn of cornea and conjunctival sac | ||
| 940.5 | Burn with resulting rupture and destruction of eyeball | ||
| 940.9 | Unspecified burn of eye and adnexa | ||
| 950.0 | Optic nerve injury | ||
| 950.1 | Injury to optic chiasm | ||
| 950.2 | Injury to optic pathways | ||
| 950.3 | Injury to visual cortex | ||
| 950.9 | Injury 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.
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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