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PQRS Measure

 Report via: Claim, Registry

The following codes apply for this PQRS measure:

CPT Codes

CodeModifierPOSDescription
9928123Emergency 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
9928223Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making
9928323Emergency 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
9928423Emergency 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
9928523Emergency 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
9929123Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes

HCPCS Codes

CodeModifierPOSDescription
G8806Performance of trans-abdominal or trans-vaginal ultrasound and pregnancy location documented
G8806Performance of trans-abdominal or trans-vaginal ultrasound and pregnancy location documented
G8807Trans-abdominal or trans-vaginal ultrasound not performed for reasons documented by clinician (e.g., patient has a documented intrauterine pregnancy [iup])
G8808Trans-abdominal or trans-vaginal ultrasound not performed, reason not given
G8808Trans-abdominal or trans-vaginal ultrasound not performed, reason not given

ICD10CM Codes

CodeModifierPOSDescription
O26.891Other specified pregnancy related conditions, first trimester
O26.899Other specified pregnancy related conditions, unspecified trimester
O26.90Pregnancy related conditions, unspecified, unspecified trimester
O26.91Pregnancy related conditions, unspecified, first trimester
R10.0Acute abdomen
R10.10Upper abdominal pain, unspecified
R10.13Epigastric pain
R10.2Pelvic and perineal pain
R10.30Lower abdominal pain, unspecified
R10.31Right lower quadrant pain
R10.32Left lower quadrant pain
R10.33Periumbilical pain
R10.813Right lower quadrant abdominal tenderness
R10.814Left lower quadrant abdominal tenderness
R10.815Periumbilic abdominal tenderness
R10.816Epigastric abdominal tenderness
R10.817Generalized abdominal tenderness
R10.819Abdominal tenderness, unspecified site
R10.823Right lower quadrant rebound abdominal tenderness
R10.824Left lower quadrant rebound abdominal tenderness
R10.825Periumbilic rebound abdominal tenderness
R10.826Epigastric rebound abdominal tenderness
R10.827Generalized rebound abdominal tenderness
R10.829Rebound abdominal tenderness, unspecified site
R10.84Generalized abdominal pain
R10.9Unspecified abdominal pain
O20.0Threatened abortion
O20.8Other hemorrhage in early pregnancy
O20.9Hemorrhage in early pregnancy, unspecified
O44.10Complete placenta previa with hemorrhage, unspecified trimester
O44.11Complete placenta previa with hemorrhage, first trimester
O45.001Premature separation of placenta with coagulation defect, unspecified, first trimester
O45.009Premature separation of placenta with coagulation defect, unspecified, unspecified trimester
O45.011Premature separation of placenta with afibrinogenemia, first trimester
O45.019Premature separation of placenta with afibrinogenemia, unspecified trimester
O45.021Premature separation of placenta with disseminated intravascular coagulation, first trimester
O45.029Premature separation of placenta with disseminated intravascular coagulation, unspecified trimester
O45.091Premature separation of placenta with other coagulation defect, first trimester
O45.099Premature separation of placenta with other coagulation defect, unspecified trimester
O45.8X1Other premature separation of placenta, first trimester
O45.8X9Other premature separation of placenta, unspecified trimester
O45.90Premature separation of placenta, unspecified, unspecified trimester
O45.91Premature separation of placenta, unspecified, first trimester
O46.001Antepartum hemorrhage with coagulation defect, unspecified, first trimester
O46.009Antepartum hemorrhage with coagulation defect, unspecified, unspecified trimester
O46.011Antepartum hemorrhage with afibrinogenemia, first trimester
O46.019Antepartum hemorrhage with afibrinogenemia, unspecified trimester
O46.021Antepartum hemorrhage with disseminated intravascular coagulation, first trimester
O46.029Antepartum hemorrhage with disseminated intravascular coagulation, unspecified trimester
O46.091Antepartum hemorrhage with other coagulation defect, first trimester
O46.8X1Other antepartum hemorrhage, first trimester
O46.8X9Other antepartum hemorrhage, unspecified trimester
O46.90Antepartum hemorrhage, unspecified, unspecified trimester
O46.91Antepartum hemorrhage, unspecified, first trimester
O46.099Antepartum hemorrhage with other coagulation defect, unspecified trimester
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).
GPROThis 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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