PQRS Measure
Report via: Claim, Registry
The following codes apply for this PQRS measure:
CPT Codes | |||
Code | Modifier | POS | Description |
---|---|---|---|
99281 | 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 | 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 | 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 | 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 | 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 | 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 | Performance of trans-abdominal or trans-vaginal ultrasound and pregnancy location documented | ||
G8806 | Performance of trans-abdominal or trans-vaginal ultrasound and pregnancy location documented | ||
G8807 | Trans-abdominal or trans-vaginal ultrasound not performed for reasons documented by clinician (e.g., patient has a documented intrauterine pregnancy [iup]) | ||
G8808 | Trans-abdominal or trans-vaginal ultrasound not performed, reason not given | ||
G8808 | Trans-abdominal or trans-vaginal ultrasound not performed, reason not given | ||
ICD10CM Codes | |||
Code | Modifier | POS | Description |
O26.891 | Other specified pregnancy related conditions, first trimester | ||
O26.899 | Other specified pregnancy related conditions, unspecified trimester | ||
O26.90 | Pregnancy related conditions, unspecified, unspecified trimester | ||
O26.91 | Pregnancy related conditions, unspecified, first trimester | ||
R10.0 | Acute abdomen | ||
R10.10 | Upper abdominal pain, unspecified | ||
R10.13 | Epigastric pain | ||
R10.2 | Pelvic and perineal pain | ||
R10.30 | Lower abdominal pain, unspecified | ||
R10.31 | Right lower quadrant pain | ||
R10.32 | Left lower quadrant pain | ||
R10.33 | Periumbilical pain | ||
R10.813 | Right lower quadrant abdominal tenderness | ||
R10.814 | Left lower quadrant abdominal tenderness | ||
R10.815 | Periumbilic abdominal tenderness | ||
R10.816 | Epigastric abdominal tenderness | ||
R10.817 | Generalized abdominal tenderness | ||
R10.819 | Abdominal tenderness, unspecified site | ||
R10.823 | Right lower quadrant rebound abdominal tenderness | ||
R10.824 | Left lower quadrant rebound abdominal tenderness | ||
R10.825 | Periumbilic rebound abdominal tenderness | ||
R10.826 | Epigastric rebound abdominal tenderness | ||
R10.827 | Generalized rebound abdominal tenderness | ||
R10.829 | Rebound abdominal tenderness, unspecified site | ||
R10.84 | Generalized abdominal pain | ||
R10.9 | Unspecified abdominal pain | ||
O20.0 | Threatened abortion | ||
O20.8 | Other hemorrhage in early pregnancy | ||
O20.9 | Hemorrhage in early pregnancy, unspecified | ||
O44.10 | Complete placenta previa with hemorrhage, unspecified trimester | ||
O44.11 | Complete placenta previa with hemorrhage, first trimester | ||
O45.001 | Premature separation of placenta with coagulation defect, unspecified, first trimester | ||
O45.009 | Premature separation of placenta with coagulation defect, unspecified, unspecified trimester | ||
O45.011 | Premature separation of placenta with afibrinogenemia, first trimester | ||
O45.019 | Premature separation of placenta with afibrinogenemia, unspecified trimester | ||
O45.021 | Premature separation of placenta with disseminated intravascular coagulation, first trimester | ||
O45.029 | Premature separation of placenta with disseminated intravascular coagulation, unspecified trimester | ||
O45.091 | Premature separation of placenta with other coagulation defect, first trimester | ||
O45.099 | Premature separation of placenta with other coagulation defect, unspecified trimester | ||
O45.8X1 | Other premature separation of placenta, first trimester | ||
O45.8X9 | Other premature separation of placenta, unspecified trimester | ||
O45.90 | Premature separation of placenta, unspecified, unspecified trimester | ||
O45.91 | Premature separation of placenta, unspecified, first trimester | ||
O46.001 | Antepartum hemorrhage with coagulation defect, unspecified, first trimester | ||
O46.009 | Antepartum hemorrhage with coagulation defect, unspecified, unspecified trimester | ||
O46.011 | Antepartum hemorrhage with afibrinogenemia, first trimester | ||
O46.019 | Antepartum hemorrhage with afibrinogenemia, unspecified trimester | ||
O46.021 | Antepartum hemorrhage with disseminated intravascular coagulation, first trimester | ||
O46.029 | Antepartum hemorrhage with disseminated intravascular coagulation, unspecified trimester | ||
O46.091 | Antepartum hemorrhage with other coagulation defect, first trimester | ||
O46.8X1 | Other antepartum hemorrhage, first trimester | ||
O46.8X9 | Other antepartum hemorrhage, unspecified trimester | ||
O46.90 | Antepartum hemorrhage, unspecified, unspecified trimester | ||
O46.91 | Antepartum hemorrhage, unspecified, first trimester | ||
O46.099 | Antepartum 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.
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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