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
99221Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.
99222Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 55 minutes must be met or exceeded.
99223Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 75 minutes must be met or exceeded.
99231Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.
99232Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.
99233Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 50 minutes must be met or exceeded.
99234Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.
99235Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 70 minutes must be met or exceeded.
99236Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 85 minutes must be met or exceeded.
99238Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter
99239Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter

HCPCS Codes

CodeModifierPOSDescription
G8696Antithrombotic therapy prescribed at discharge
G8696Antithrombotic therapy prescribed at discharge
G8697Antithrombotic therapy not prescribed for documented reasons (e.g., patient had stroke during hospital stay, patient expired during inpatient stay, other medical reason(s)); (e.g., patient left against medical advice, other patient reason(s))
G8698Antithrombotic therapy was not prescribed at discharge, reason not given
G8698Antithrombotic therapy was not prescribed at discharge, reason not given

ICD9 Codes

CodeModifierPOSDescription
433.01Occlusion and stenosis of basilar artery with cerebral infarction
433.11Occlusion and stenosis of carotid artery with cerebral infarction
433.21Occlusion and stenosis of vertebral artery with cerebral infarction
433.31Occlusion and stenosis of multiple and bilateral precerebral arteries with cerebral infarction
433.81Occlusion and stenosis of other specified precerebral artery with cerebral infarction
433.91Occlusion and stenosis of unspecified precerebral artery with cerebral infarction
434.01Cerebral thrombosis with cerebral infarction
434.11Cerebral embolism with cerebral infarction
434.91Cerebral artery occlusion, unspecified with cerebral infarction
435.0Basilar artery syndrome
435.1Vertebral artery syndrome
435.2Subclavian steal syndrome
435.3Vertebrobasilar artery syndrome
435.8Other specified transient cerebral ischemias
435.9Unspecified transient cerebral ischemia

ICD10CM Codes

CodeModifierPOSDescription
G45.0Vertebro-basilar artery syndrome
G45.1Carotid artery syndrome (hemispheric)
G45.2Multiple and bilateral precerebral artery syndromes
G45.8Other transient cerebral ischemic attacks and related syndromes
G45.9Transient cerebral ischemic attack, unspecified
G46.0Middle cerebral artery syndrome
G46.1Anterior cerebral artery syndrome
G46.2Posterior cerebral artery syndrome
I63.00Cerebral infarction due to thrombosis of unspecified precerebral artery
I63.011Cerebral infarction due to thrombosis of right vertebral artery
I63.012Cerebral infarction due to thrombosis of left vertebral artery
I63.019Cerebral infarction due to thrombosis of unspecified vertebral artery
I63.02Cerebral infarction due to thrombosis of basilar artery
I63.031Cerebral infarction due to thrombosis of right carotid artery
I63.032Cerebral infarction due to thrombosis of left carotid artery
I63.039Cerebral infarction due to thrombosis of unspecified carotid artery
I63.09Cerebral infarction due to thrombosis of other precerebral artery
I63.10Cerebral infarction due to embolism of unspecified precerebral artery
I63.111Cerebral infarction due to embolism of right vertebral artery
I63.112Cerebral infarction due to embolism of left vertebral artery
I63.119Cerebral infarction due to embolism of unspecified vertebral artery
I63.12Cerebral infarction due to embolism of basilar artery
I63.131Cerebral infarction due to embolism of right carotid artery
I63.132Cerebral infarction due to embolism of left carotid artery
I63.139Cerebral infarction due to embolism of unspecified carotid artery
I63.19Cerebral infarction due to embolism of other precerebral artery
I63.20Cerebral infarction due to unspecified occlusion or stenosis of unspecified precerebral arteries
I63.211Cerebral infarction due to unspecified occlusion or stenosis of right vertebral artery
I63.212Cerebral infarction due to unspecified occlusion or stenosis of left vertebral artery
I63.219Cerebral infarction due to unspecified occlusion or stenosis of unspecified vertebral artery
I63.22Cerebral infarction due to unspecified occlusion or stenosis of basilar artery
I63.231Cerebral infarction due to unspecified occlusion or stenosis of right carotid arteries
I63.232Cerebral infarction due to unspecified occlusion or stenosis of left carotid arteries
I63.239Cerebral infarction due to unspecified occlusion or stenosis of unspecified carotid artery
I63.29Cerebral infarction due to unspecified occlusion or stenosis of other precerebral arteries
I63.30Cerebral infarction due to thrombosis of unspecified cerebral artery
I63.311Cerebral infarction due to thrombosis of right middle cerebral artery
I63.312Cerebral infarction due to thrombosis of left middle cerebral artery
I63.319Cerebral infarction due to thrombosis of unspecified middle cerebral artery
I63.321Cerebral infarction due to thrombosis of right anterior cerebral artery
I63.322Cerebral infarction due to thrombosis of left anterior cerebral artery
I63.329Cerebral infarction due to thrombosis of unspecified anterior cerebral artery
I63.331Cerebral infarction due to thrombosis of right posterior cerebral artery
I63.332Cerebral infarction due to thrombosis of left posterior cerebral artery
I63.339Cerebral infarction due to thrombosis of unspecified posterior cerebral artery
I63.341Cerebral infarction due to thrombosis of right cerebellar artery
I63.342Cerebral infarction due to thrombosis of left cerebellar artery
I63.349Cerebral infarction due to thrombosis of unspecified cerebellar artery
I63.39Cerebral infarction due to thrombosis of other cerebral artery
I63.40Cerebral infarction due to embolism of unspecified cerebral artery
I63.411Cerebral infarction due to embolism of right middle cerebral artery
I63.412Cerebral infarction due to embolism of left middle cerebral artery
I63.419Cerebral infarction due to embolism of unspecified middle cerebral artery
I63.421Cerebral infarction due to embolism of right anterior cerebral artery
I63.422Cerebral infarction due to embolism of left anterior cerebral artery
I63.429Cerebral infarction due to embolism of unspecified anterior cerebral artery
I63.431Cerebral infarction due to embolism of right posterior cerebral artery
I63.432Cerebral infarction due to embolism of left posterior cerebral artery
I63.439Cerebral infarction due to embolism of unspecified posterior cerebral artery
I63.441Cerebral infarction due to embolism of right cerebellar artery
I63.442Cerebral infarction due to embolism of left cerebellar artery
I63.449Cerebral infarction due to embolism of unspecified cerebellar artery
I63.49Cerebral infarction due to embolism of other cerebral artery
I63.50Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebral artery
I63.511Cerebral infarction due to unspecified occlusion or stenosis of right middle cerebral artery
I63.512Cerebral infarction due to unspecified occlusion or stenosis of left middle cerebral artery
I63.519Cerebral infarction due to unspecified occlusion or stenosis of unspecified middle cerebral artery
I63.521Cerebral infarction due to unspecified occlusion or stenosis of right anterior cerebral artery
I63.531Cerebral infarction due to unspecified occlusion or stenosis of right posterior cerebral artery
I63.532Cerebral infarction due to unspecified occlusion or stenosis of left posterior cerebral artery
I63.539Cerebral infarction due to unspecified occlusion or stenosis of unspecified posterior cerebral artery
I63.541Cerebral infarction due to unspecified occlusion or stenosis of right cerebellar artery
I63.542Cerebral infarction due to unspecified occlusion or stenosis of left cerebellar artery
I63.549Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebellar artery
I63.59Cerebral infarction due to unspecified occlusion or stenosis of other cerebral artery
I63.6Cerebral infarction due to cerebral venous thrombosis, nonpyogenic
I63.8Other cerebral infarction
I63.9Cerebral infarction, unspecified
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.
demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.