PQRS Information

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

PQRS Measure

#254Ultrasound Determination of Pregnancy Location for Pregnant Patients with Abdominal Pain

Report via: Claim, Registry

The following codes apply for this PQRS measure:

Code	Modifier	POS	Description
CPT Codes
99281	N/A	23	Emergency 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
99282	N/A	23	Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making
99283	N/A	23	Emergency 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
99284	N/A	23	Emergency 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
99285	N/A	23	Emergency 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
99291	N/A	23	Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes
99281	N/A	23	Emergency 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
99282	N/A	23	Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making
99283	N/A	23	Emergency 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
99284	N/A	23	Emergency 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
99285	N/A	23	Emergency 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
99291	N/A	23	Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes
HCPCS Codes
Code	Modifier	POS	Description
G8806	N/A	N/A	Performance of trans-abdominal or trans-vaginal ultrasound and pregnancy location documented
G8806	N/A	N/A	Performance of trans-abdominal or trans-vaginal ultrasound and pregnancy location documented
G8807	N/A	N/A	Trans-abdominal or trans-vaginal ultrasound not performed for reasons documented by clinician (e.g., patient has a documented intrauterine pregnancy [iup])
G8808	N/A	N/A	Trans-abdominal or trans-vaginal ultrasound not performed, reason not given
G8808	N/A	N/A	Trans-abdominal or trans-vaginal ultrasound not performed, reason not given
G8806	N/A	N/A	Performance of trans-abdominal or trans-vaginal ultrasound and pregnancy location documented
G8806	N/A	N/A	Performance of trans-abdominal or trans-vaginal ultrasound and pregnancy location documented
G8807	N/A	N/A	Trans-abdominal or trans-vaginal ultrasound not performed for reasons documented by clinician (e.g., patient has a documented intrauterine pregnancy [iup])
G8808	N/A	N/A	Trans-abdominal or trans-vaginal ultrasound not performed, reason not given
G8808	N/A	N/A	Trans-abdominal or trans-vaginal ultrasound not performed, reason not given
ICD9 Codes
Code	Modifier	POS	Description
648.90	N/A	N/A	Other current conditions classifiable elsewhere of mother, unspecified as to episode of care or not applicable
648.93	N/A	N/A	Other current conditions classifiable elsewhere of mother, antepartum condition or complication
789.00	N/A	N/A	Abdominal pain, unspecified site
789.03	N/A	N/A	Abdominal pain, right lower quadrant
789.04	N/A	N/A	Abdominal pain, left lower quadrant
789.05	N/A	N/A	Abdominal pain, periumbilic
789.06	N/A	N/A	Abdominal pain, epigastric
789.07	N/A	N/A	Abdominal pain, generalized
789.09	N/A	N/A	Abdominal pain, other specified site
789.60	N/A	N/A	Abdominal tenderness, unspecified site
789.63	N/A	N/A	Abdominal tenderness, right lower quadrant
789.64	N/A	N/A	Abdominal tenderness, left lower quadrant
789.65	N/A	N/A	Abdominal tenderness, periumbilic
789.66	N/A	N/A	Abdominal tenderness, epigastric
789.67	N/A	N/A	Abdominal tenderness, generalized
789.69	N/A	N/A	Abdominal tenderness, other specified site
640.00	N/A	N/A	Threatened abortion, unspecified as to episode of care or not applicable
640.03	N/A	N/A	Threatened abortion, antepartum condition or complication
640.80	N/A	N/A	Other specified hemorrhage in early pregnancy, unspecified as to episode of care or not applicable
640.83	N/A	N/A	Other specified hemorrhage in early pregnancy, antepartum condition or complication
640.90	N/A	N/A	Unspecified hemorrhage in early pregnancy, unspecified as to episode of care or not applicable
640.93	N/A	N/A	Unspecified hemorrhage in early pregnancy, antepartum condition or complication
641.10	N/A	N/A	Hemorrhage from placenta previa, unspecified as to episode of care or not applicable
641.13	N/A	N/A	Hemorrhage from placenta previa, antepartum condition or complication
641.20	N/A	N/A	Premature separation of placenta, unspecified as to episode of care or not applicable
641.23	N/A	N/A	Premature separation of placenta, antepartum condition or complication
641.30	N/A	N/A	Antepartum hemorrhage associated with coagulation defects, unspecified as to episode of care or not applicable
641.33	N/A	N/A	Antepartum hemorrhage associated with coagulation defects, antepartum condition or complication
641.80	N/A	N/A	Other antepartum hemorrhage, unspecified as to episode of care or not applicable
641.83	N/A	N/A	Other antepartum hemorrhage, antepartum condition or complication
641.90	N/A	N/A	Unspecified antepartum hemorrhage, unspecified as to episode of care or not applicable
641.93	N/A	N/A	Unspecified antepartum hemorrhage, antepartum condition or complication
ICD10CM Codes
Code	Modifier	POS	Description
O26.899	N/A	N/A	Other specified pregnancy related conditions, unspecified trimester
O26.90	N/A	N/A	Pregnancy related conditions, unspecified, unspecified trimester
O26.91	N/A	N/A	Pregnancy related conditions, unspecified, first trimester
R10.0	N/A	N/A	Acute abdomen
R10.10	N/A	N/A	Upper abdominal pain, unspecified
R10.13	N/A	N/A	Epigastric pain
R10.2	N/A	N/A	Pelvic and perineal pain
R10.30	N/A	N/A	Lower abdominal pain, unspecified
R10.31	N/A	N/A	Right lower quadrant pain
R10.32	N/A	N/A	Left lower quadrant pain
R10.33	N/A	N/A	Periumbilical pain
R10.813	N/A	N/A	Right lower quadrant abdominal tenderness
R10.814	N/A	N/A	Left lower quadrant abdominal tenderness
R10.815	N/A	N/A	Periumbilic abdominal tenderness
R10.816	N/A	N/A	Epigastric abdominal tenderness
R10.817	N/A	N/A	Generalized abdominal tenderness
R10.819	N/A	N/A	Abdominal tenderness, unspecified site
R10.823	N/A	N/A	Right lower quadrant rebound abdominal tenderness
R10.824	N/A	N/A	Left lower quadrant rebound abdominal tenderness
R10.825	N/A	N/A	Periumbilic rebound abdominal tenderness
R10.826	N/A	N/A	Epigastric rebound abdominal tenderness
R10.827	N/A	N/A	Generalized rebound abdominal tenderness
R10.829	N/A	N/A	Rebound abdominal tenderness, unspecified site
R10.84	N/A	N/A	Generalized abdominal pain
R10.9	N/A	N/A	Unspecified abdominal pain
O20.0	N/A	N/A	Threatened abortion
O20.8	N/A	N/A	Other hemorrhage in early pregnancy
O20.9	N/A	N/A	Hemorrhage in early pregnancy, unspecified
O44.10	N/A	N/A	Complete placenta previa with hemorrhage, unspecified trimester
O44.11	N/A	N/A	Complete placenta previa with hemorrhage, first trimester
O45.001	N/A	N/A	Premature separation of placenta with coagulation defect, unspecified, first trimester
O45.009	N/A	N/A	Premature separation of placenta with coagulation defect, unspecified, unspecified trimester
O45.011	N/A	N/A	Premature separation of placenta with afibrinogenemia, first trimester
O45.019	N/A	N/A	Premature separation of placenta with afibrinogenemia, unspecified trimester
O45.021	N/A	N/A	Premature separation of placenta with disseminated intravascular coagulation, first trimester
O45.029	N/A	N/A	Premature separation of placenta with disseminated intravascular coagulation, unspecified trimester
O45.091	N/A	N/A	Premature separation of placenta with other coagulation defect, first trimester
O45.099	N/A	N/A	Premature separation of placenta with other coagulation defect, unspecified trimester
O45.8X1	N/A	N/A	Other premature separation of placenta, first trimester
O45.8X9	N/A	N/A	Other premature separation of placenta, unspecified trimester
O45.90	N/A	N/A	Premature separation of placenta, unspecified, unspecified trimester
O45.91	N/A	N/A	Premature separation of placenta, unspecified, first trimester
O46.001	N/A	N/A	Antepartum hemorrhage with coagulation defect, unspecified, first trimester
O46.009	N/A	N/A	Antepartum hemorrhage with coagulation defect, unspecified, unspecified trimester
O46.011	N/A	N/A	Antepartum hemorrhage with afibrinogenemia, first trimester
O46.019	N/A	N/A	Antepartum hemorrhage with afibrinogenemia, unspecified trimester
O46.021	N/A	N/A	Antepartum hemorrhage with disseminated intravascular coagulation, first trimester
O46.029	N/A	N/A	Antepartum hemorrhage with disseminated intravascular coagulation, unspecified trimester
O46.091	N/A	N/A	Antepartum hemorrhage with other coagulation defect, first trimester
O46.8X1	N/A	N/A	Other antepartum hemorrhage, first trimester
O46.8X9	N/A	N/A	Other antepartum hemorrhage, unspecified trimester
O46.90	N/A	N/A	Antepartum hemorrhage, unspecified, unspecified trimester
O46.91	N/A	N/A	Antepartum hemorrhage, unspecified, first trimester
O46.99	N/A	N/A

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.
SurveyThis measure can be submitted/collected via a Certified Survey Vendor.

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

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ICD9 Codes

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