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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
G8809Rh-immunoglobulin (rhogam) ordered
G8809Rh-immunoglobulin (rhogam) ordered
G8810Rh-immunoglobulin (rhogam) not ordered for reasons documented by clinician (e.g., patient had prior documented receipt of rhogam within 12 weeks, patient refusal)
G8811Documentation rh-immunoglobulin (rhogam) was not ordered, reason not given
G8811Documentation rh-immunoglobulin (rhogam) was not ordered, reason not given

ICD10CM Codes

CodeModifierPOSDescription
O36.0110Maternal care for anti-D [Rh] antibodies, first trimester, not applicable or unspecified
O36.0111Maternal care for anti-D [Rh] antibodies, first trimester, fetus 1
O36.0190Maternal care for anti-D [Rh] antibodies, unspecified trimester, not applicable or unspecified
O36.0191Maternal care for anti-D [Rh] antibodies, unspecified trimester, fetus 1
O36.0910Maternal care for other rhesus isoimmunization, first trimester, not applicable or unspecified
O36.0911Maternal care for other rhesus isoimmunization, first trimester, fetus 1
O36.0990Maternal care for other rhesus isoimmunization, unspecified trimester, not applicable or unspecified
O36.0991Maternal care for other rhesus isoimmunization, unspecified trimester, fetus 1
O00.8Other ectopic pregnancy
O00.9Ectopic pregnancy, unspecified
O02.1Missed abortion
O03.1Delayed or excessive hemorrhage following incomplete spontaneous abortion
O03.6Delayed or excessive hemorrhage following complete or unspecified spontaneous abortion
O04.6Delayed or excessive hemorrhage following (induced) termination of pregnancy
O07.1Delayed or excessive hemorrhage following failed attempted termination of pregnancy
O08.1Delayed or excessive hemorrhage following ectopic and molar pregnancy
O20.0Threatened abortion
O20.8Other hemorrhage in early pregnancy
O20.9Hemorrhage in early pregnancy, unspecified
O26.891Other specified pregnancy related conditions, first trimester
O43.011Fetomaternal placental transfusion syndrome, first trimester
O43.019Fetomaternal placental transfusion syndrome, unspecified trimester
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
O46.011Antepartum hemorrhage with afibrinogenemia, first trimester
O46.021Antepartum hemorrhage with disseminated intravascular coagulation, 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
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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