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

PQRS Measure

 Report via: Claim, Registry

The following codes apply for this PQRS measure:

CPT Codes

CodeModifierPOSDescription
99281N/A23Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional
99282N/A23Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making
99283N/A23Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making
99284N/A23Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making
99285N/A23Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making
99291N/A23Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes

HCPCS Codes

CodeModifierPOSDescription
G8806N/AN/APerformance of trans-abdominal or trans-vaginal ultrasound and pregnancy location documented
G8807N/AN/ATrans-abdominal or trans-vaginal ultrasound not performed for reasons documented by clinician (e.g., patient has a documented intrauterine pregnancy [iup])
G8808N/AN/ATrans-abdominal or trans-vaginal ultrasound not performed, reason not given

ICD9 Codes

CodeModifierPOSDescription
648.90N/AN/AOther current conditions classifiable elsewhere of mother, unspecified as to episode of care or not applicable
648.93N/AN/AOther current conditions classifiable elsewhere of mother, antepartum condition or complication
640.00N/AN/AThreatened abortion, unspecified as to episode of care or not applicable
640.03N/AN/AThreatened abortion, antepartum condition or complication
640.80N/AN/AOther specified hemorrhage in early pregnancy, unspecified as to episode of care or not applicable
640.83N/AN/AOther specified hemorrhage in early pregnancy, antepartum condition or complication
640.90N/AN/AUnspecified hemorrhage in early pregnancy, unspecified as to episode of care or not applicable
640.93N/AN/AUnspecified hemorrhage in early pregnancy, antepartum condition or complication
641.10N/AN/AHemorrhage from placenta previa, unspecified as to episode of care or not applicable
641.13N/AN/AHemorrhage from placenta previa, antepartum condition or complication
641.20N/AN/APremature separation of placenta, unspecified as to episode of care or not applicable
641.23N/AN/APremature separation of placenta, antepartum condition or complication
641.30N/AN/AAntepartum hemorrhage associated with coagulation defects, unspecified as to episode of care or not applicable
641.33N/AN/AAntepartum hemorrhage associated with coagulation defects, antepartum condition or complication
641.80N/AN/AOther antepartum hemorrhage, unspecified as to episode of care or not applicable
641.83N/AN/AOther antepartum hemorrhage, antepartum condition or complication
641.90N/AN/AUnspecified antepartum hemorrhage, unspecified as to episode of care or not applicable
641.93N/AN/AUnspecified antepartum hemorrhage, antepartum condition or complication
789.00N/AN/AAbdominal pain, unspecified site
789.03N/AN/AAbdominal pain, right lower quadrant
789.04N/AN/AAbdominal pain, left lower quadrant
789.05N/AN/AAbdominal pain, periumbilic
789.06N/AN/AAbdominal pain, epigastric
789.07N/AN/AAbdominal pain, generalized
789.09N/AN/AAbdominal pain, other specified site
789.60N/AN/AAbdominal tenderness, unspecified site
789.63N/AN/AAbdominal tenderness, right lower quadrant
789.64N/AN/AAbdominal tenderness, left lower quadrant
789.65N/AN/AAbdominal tenderness, periumbilic
789.66N/AN/AAbdominal tenderness, epigastric
789.67N/AN/AAbdominal tenderness, generalized
789.69N/AN/AAbdominal tenderness, other specified site

ICD10CM Codes

CodeModifierPOSDescription
O20.0N/AN/AThreatened abortion
O20.8N/AN/AOther hemorrhage in early pregnancy
O20.9N/AN/AHemorrhage in early pregnancy, unspecified
O26.90N/AN/APregnancy related conditions, unspecified, unspecified trimester
O26.91N/AN/APregnancy related conditions, unspecified, first trimester
O26.899N/AN/AOther specified pregnancy related conditions, unspecified trimester
O44.10N/AN/AComplete placenta previa with hemorrhage, unspecified trimester
O44.11N/AN/AComplete placenta previa with hemorrhage, first trimester
O45.001N/AN/APremature separation of placenta with coagulation defect, unspecified, first trimester
O45.009N/AN/APremature separation of placenta with coagulation defect, unspecified, unspecified trimester
O45.011N/AN/APremature separation of placenta with afibrinogenemia, first trimester
O45.019N/AN/APremature separation of placenta with afibrinogenemia, unspecified trimester
O45.021N/AN/APremature separation of placenta with disseminated intravascular coagulation, first trimester
O45.029N/AN/APremature separation of placenta with disseminated intravascular coagulation, unspecified trimester
O45.091N/AN/APremature separation of placenta with other coagulation defect, first trimester
O45.099N/AN/APremature separation of placenta with other coagulation defect, unspecified trimester
O45.8X1N/AN/AOther premature separation of placenta, first trimester
O45.8X9N/AN/AOther premature separation of placenta, unspecified trimester
O45.90N/AN/APremature separation of placenta, unspecified, unspecified trimester
O45.91N/AN/APremature separation of placenta, unspecified, first trimester
O46.001N/AN/AAntepartum hemorrhage with coagulation defect, unspecified, first trimester
O46.009N/AN/AAntepartum hemorrhage with coagulation defect, unspecified, unspecified trimester
O46.011N/AN/AAntepartum hemorrhage with afibrinogenemia, first trimester
O46.019N/AN/AAntepartum hemorrhage with afibrinogenemia, unspecified trimester
O46.021N/AN/AAntepartum hemorrhage with disseminated intravascular coagulation, first trimester
O46.029N/AN/AAntepartum hemorrhage with disseminated intravascular coagulation, unspecified trimester
O46.091N/AN/AAntepartum hemorrhage with other coagulation defect, first trimester
O46.099N/AN/AAntepartum hemorrhage with other coagulation defect, unspecified trimester
O46.8X1N/AN/AOther antepartum hemorrhage, first trimester
O46.8X9N/AN/AOther antepartum hemorrhage, unspecified trimester
O46.90N/AN/AAntepartum hemorrhage, unspecified, unspecified trimester
O46.91N/AN/AAntepartum hemorrhage, unspecified, first trimester
R10.0N/AN/AAcute abdomen
R10.10N/AN/AUpper abdominal pain, unspecified
R10.13N/AN/AEpigastric pain
R10.2N/AN/APelvic and perineal pain
R10.30N/AN/ALower abdominal pain, unspecified
R10.31N/AN/ARight lower quadrant pain
R10.32N/AN/ALeft lower quadrant pain
R10.33N/AN/APeriumbilical pain
R10.813N/AN/ARight lower quadrant abdominal tenderness
R10.814N/AN/ALeft lower quadrant abdominal tenderness
R10.815N/AN/APeriumbilic abdominal tenderness
R10.816N/AN/AEpigastric abdominal tenderness
R10.817N/AN/AGeneralized abdominal tenderness
R10.819N/AN/AAbdominal tenderness, unspecified site
R10.823N/AN/ARight lower quadrant rebound abdominal tenderness
R10.824N/AN/ALeft lower quadrant rebound abdominal tenderness
R10.825N/AN/APeriumbilic rebound abdominal tenderness
R10.826N/AN/AEpigastric rebound abdominal tenderness
R10.827N/AN/AGeneralized rebound abdominal tenderness
R10.829N/AN/ARebound abdominal tenderness, unspecified site
R10.84N/AN/AGeneralized abdominal pain
R10.9N/AN/AUnspecified abdominal pain
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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