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PQRS Measure

 This measure may be submitted via Registry only

The following codes apply for this PQRS measure:

CPT Codes

CodeModifierPOSDescription
90791N/AN/APsychiatric diagnostic evaluation
90792N/AN/APsychiatric diagnostic evaluation with medical services
90832N/AN/APsychotherapy, 30 minutes with patient
90834N/AN/APsychotherapy, 45 minutes with patient
90837N/AN/APsychotherapy, 60 minutes with patient
90845N/AN/APsychoanalysis
99201N/AN/AOffice or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family.
99202N/AN/AOffice or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.
99203N/AN/AOffice or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.
99204N/AN/AOffice or other outpatient visit for the evaluation and management of a new 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, 45 minutes must be met or exceeded.
99205N/AN/AOffice or other outpatient visit for the evaluation and management of a new 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, 60 minutes must be met or exceeded.
99212N/AN/AOffice or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.
99213N/AN/AOffice or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.
99214N/AN/AOffice or other outpatient visit for the evaluation and management of an established 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, 30 minutes must be met or exceeded.
99215N/AN/AOffice or other outpatient visit for the evaluation and management of an established 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, 40 minutes must be met or exceeded.

HCPCS Codes

CodeModifierPOSDescription
G8959N/AN/AClinician treating major depressive disorder communicates to clinician treating comorbid condition
G8960N/AN/AClinician treating major depressive disorder did not communicate to clinician treating comorbid condition, reason not given
G9232N/AN/AClinician treating major depressive disorder did not communicate to clinician treating comorbid condition for specified patient reason (e.g., patient is unable to communicate the diagnosis of a comorbid condition; the patient is unwilling to communicate the diagnosis of a comorbid condition; or the patient is unaware of the comorbid condition, or any other specified patient reason)

ICD9 Codes

CodeModifierPOSDescription
296.20N/AN/AMajor depressive affective disorder, single episode, unspecified
296.21N/AN/AMajor depressive affective disorder, single episode, mild
296.22N/AN/AMajor depressive affective disorder, single episode, moderate
296.23N/AN/AMajor depressive affective disorder, single episode, severe, without mention of psychotic behavior
296.24N/AN/AMajor depressive affective disorder, single episode, severe, specified as with psychotic behavior
296.30N/AN/AMajor depressive affective disorder, recurrent episode, unspecified
296.31N/AN/AMajor depressive affective disorder, recurrent episode, mild
296.32N/AN/AMajor depressive affective disorder, recurrent episode, moderate
296.33N/AN/AMajor depressive affective disorder, recurrent episode, severe, without mention of psychotic behavior
296.34N/AN/AMajor depressive affective disorder, recurrent episode, severe, specified as with psychotic behavior
250.00N/AN/ADiabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled
250.01N/AN/ADiabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled
250.02N/AN/ADiabetes mellitus without mention of complication, type II or unspecified type, uncontrolled
250.03N/AN/ADiabetes mellitus without mention of complication, type I [juvenile type], uncontrolled
250.10N/AN/ADiabetes with ketoacidosis, type II or unspecified type, not stated as uncontrolled
250.11N/AN/ADiabetes with ketoacidosis, type I [juvenile type], not stated as uncontrolled
250.12N/AN/ADiabetes with ketoacidosis, type II or unspecified type, uncontrolled
250.13N/AN/ADiabetes with ketoacidosis, type I [juvenile type], uncontrolled
250.20N/AN/ADiabetes with hyperosmolarity, type II or unspecified type, not stated as uncontrolled
250.21N/AN/ADiabetes with hyperosmolarity, type I [juvenile type], not stated as uncontrolled
250.22N/AN/ADiabetes with hyperosmolarity, type II or unspecified type, uncontrolled
250.23N/AN/ADiabetes with hyperosmolarity, type I [juvenile type], uncontrolled
250.30N/AN/ADiabetes with other coma, type II or unspecified type, not stated as uncontrolled
250.31N/AN/ADiabetes with other coma, type I [juvenile type], not stated as uncontrolled
250.32N/AN/ADiabetes with other coma, type II or unspecified type, uncontrolled
250.33N/AN/ADiabetes with other coma, type I [juvenile type], uncontrolled
250.40N/AN/ADiabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled
250.41N/AN/ADiabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled
250.42N/AN/ADiabetes with renal manifestations, type II or unspecified type, uncontrolled
250.43N/AN/ADiabetes with renal manifestations, type I [juvenile type], uncontrolled
250.50N/AN/ADiabetes with ophthalmic manifestations, type II or unspecified type, not stated as uncontrolled
250.51N/AN/ADiabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled
250.52N/AN/ADiabetes with ophthalmic manifestations, type II or unspecified type, uncontrolled
250.53N/AN/ADiabetes with ophthalmic manifestations, type I [juvenile type], uncontrolled
250.60N/AN/ADiabetes with neurological manifestations, type II or unspecified type, not stated as uncontrolled
250.61N/AN/ADiabetes with neurological manifestations, type I [juvenile type], not stated as uncontrolled
250.62N/AN/ADiabetes with neurological manifestations, type II or unspecified type, uncontrolled
250.63N/AN/ADiabetes with neurological manifestations, type I [juvenile type], uncontrolled
250.70N/AN/ADiabetes with peripheral circulatory disorders, type II or unspecified type, not stated as uncontrolled
250.71N/AN/ADiabetes with peripheral circulatory disorders, type I [juvenile type], not stated as uncontrolled
250.72N/AN/ADiabetes with peripheral circulatory disorders, type II or unspecified type, uncontrolled
250.73N/AN/ADiabetes with peripheral circulatory disorders, type I [juvenile type], uncontrolled
250.80N/AN/ADiabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled
250.81N/AN/ADiabetes with other specified manifestations, type I [juvenile type], not stated as uncontrolled
250.82N/AN/ADiabetes with other specified manifestations, type II or unspecified type, uncontrolled
250.83N/AN/ADiabetes with other specified manifestations, type I [juvenile type], uncontrolled
250.90N/AN/ADiabetes with unspecified complication, type II or unspecified type, not stated as uncontrolled
250.91N/AN/ADiabetes with unspecified complication, type I [juvenile type], not stated as uncontrolled
250.92N/AN/ADiabetes with unspecified complication, type II or unspecified type, uncontrolled
250.93N/AN/ADiabetes with unspecified complication, type I [juvenile type], uncontrolled
410.00N/AN/AAcute myocardial infarction of anterolateral wall, episode of care unspecified
410.01N/AN/AAcute myocardial infarction of anterolateral wall, initial episode of care
410.02N/AN/AAcute myocardial infarction of anterolateral wall, subsequent episode of care
410.10N/AN/AAcute myocardial infarction of other anterior wall, episode of care unspecified
410.11N/AN/AAcute myocardial infarction of other anterior wall, initial episode of care
410.12N/AN/AAcute myocardial infarction of other anterior wall, subsequent episode of care
410.20N/AN/AAcute myocardial infarction of inferolateral wall, episode of care unspecified
410.21N/AN/AAcute myocardial infarction of inferolateral wall, initial episode of care
410.22N/AN/AAcute myocardial infarction of inferolateral wall, subsequent episode of care
410.30N/AN/AAcute myocardial infarction of inferoposterior wall, episode of care unspecified
410.31N/AN/AAcute myocardial infarction of inferoposterior wall, initial episode of care
410.32N/AN/AAcute myocardial infarction of inferoposterior wall, subsequent episode of care
410.40N/AN/AAcute myocardial infarction of other inferior wall, episode of care unspecified
410.41N/AN/AAcute myocardial infarction of other inferior wall, initial episode of care
410.42N/AN/AAcute myocardial infarction of other inferior wall, subsequent episode of care
410.50N/AN/AAcute myocardial infarction of other lateral wall, episode of care unspecified
410.51N/AN/AAcute myocardial infarction of other lateral wall, initial episode of care
410.52N/AN/AAcute myocardial infarction of other lateral wall, subsequent episode of care
410.60N/AN/ATrue posterior wall infarction, episode of care unspecified
410.61N/AN/ATrue posterior wall infarction, initial episode of care
410.62N/AN/ATrue posterior wall infarction, subsequent episode of care
410.70N/AN/ASubendocardial infarction, episode of care unspecified
410.71N/AN/ASubendocardial infarction, initial episode of care
410.72N/AN/ASubendocardial infarction, subsequent episode of care
410.80N/AN/AAcute myocardial infarction of other specified sites, episode of care unspecified
410.81N/AN/AAcute myocardial infarction of other specified sites, initial episode of care
410.82N/AN/AAcute myocardial infarction of other specified sites, subsequent episode of care
410.90N/AN/AAcute myocardial infarction of unspecified site, episode of care unspecified
410.91N/AN/AAcute myocardial infarction of unspecified site, initial episode of care
410.92N/AN/AAcute myocardial infarction of unspecified site, subsequent episode of care
411.0N/AN/APostmyocardial infarction syndrome
411.1N/AN/AIntermediate coronary syndrome
411.81N/AN/AAcute coronary occlusion without myocardial infarction
411.89N/AN/AOther acute and subacute forms of ischemic heart disease, other
412N/AN/AOld myocardial infarction
413.0N/AN/AAngina decubitus
413.1N/AN/APrinzmetal angina
413.9N/AN/AOther and unspecified angina pectoris
414.00N/AN/ACoronary atherosclerosis of unspecified type of vessel, native or graft
414.01N/AN/ACoronary atherosclerosis of native coronary artery
414.02N/AN/ACoronary atherosclerosis of autologous vein bypass graft
414.03N/AN/ACoronary atherosclerosis of nonautologous biological bypass graft
414.04N/AN/ACoronary atherosclerosis of artery bypass graft
414.05N/AN/ACoronary atherosclerosis of unspecified bypass graft
414.06N/AN/ACoronary atherosclerosis of native coronary artery of transplanted heart
414.07N/AN/ACoronary atherosclerosis of bypass graft (artery) (vein) of transplanted heart
414.2N/AN/AChronic total occlusion of coronary artery
414.3N/AN/ACoronary atherosclerosis due to lipid rich plaque
414.8N/AN/AOther specified forms of chronic ischemic heart disease
414.9N/AN/AChronic ischemic heart disease, unspecified
V45.81N/AN/AAortocoronary bypass status
V45.82N/AN/APercutaneous transluminal coronary angioplasty status
430N/AN/ASubarachnoid hemorrhage
431N/AN/AIntracerebral hemorrhage
432.0N/AN/ANontraumatic extradural hemorrhage
432.1N/AN/ASubdural hemorrhage
432.9N/AN/AUnspecified intracranial hemorrhage
433.01N/AN/AOcclusion and stenosis of basilar artery with cerebral infarction
433.11N/AN/AOcclusion and stenosis of carotid artery with cerebral infarction
433.21N/AN/AOcclusion and stenosis of vertebral artery with cerebral infarction
433.31N/AN/AOcclusion and stenosis of multiple and bilateral precerebral arteries with cerebral infarction
433.81N/AN/AOcclusion and stenosis of other specified precerebral artery with cerebral infarction
433.91N/AN/AOcclusion and stenosis of unspecified precerebral artery with cerebral infarction
434.01N/AN/ACerebral thrombosis with cerebral infarction
434.11N/AN/ACerebral embolism with cerebral infarction
434.91N/AN/ACerebral artery occlusion, unspecified with cerebral infarction
585.4N/AN/AChronic kidney disease, Stage IV (severe)
585.5N/AN/AChronic kidney disease, Stage V
585.6N/AN/AEnd stage renal disease
402.01N/AN/AMalignant hypertensive heart disease with heart failure
402.11N/AN/ABenign hypertensive heart disease with heart failure
402.91N/AN/AUnspecified hypertensive heart disease with heart failure
404.01N/AN/AHypertensive heart and chronic kidney disease, malignant, with heart failure and with chronic kidney disease stage I through stage IV, or unspecified
404.03N/AN/AHypertensive heart and chronic kidney disease, malignant, with heart failure and with chronic kidney disease stage V or end stage renal disease
404.11N/AN/AHypertensive heart and chronic kidney disease, benign, with heart failure and with chronic kidney disease stage I through stage IV, or unspecified
404.13N/AN/AHypertensive heart and chronic kidney disease, benign, with heart failure and chronic kidney disease stage V or end stage renal disease
404.91N/AN/AHypertensive heart and chronic kidney disease, unspecified, with heart failure and with chronic kidney disease stage I through stage IV, or unspecified
404.93N/AN/AHypertensive heart and chronic kidney disease, unspecified, with heart failure and chronic kidney disease stage V or end stage renal disease
428.0N/AN/ACongestive heart failure, unspecified
428.1N/AN/ALeft heart failure
428.20N/AN/ASystolic heart failure, unspecified
428.21N/AN/AAcute systolic heart failure
428.22N/AN/AChronic systolic heart failure
428.23N/AN/AAcute on chronic systolic heart failure
428.30N/AN/ADiastolic heart failure, unspecified
428.31N/AN/AAcute diastolic heart failure
428.32N/AN/AChronic diastolic heart failure
428.33N/AN/AAcute on chronic diastolic heart failure
428.40N/AN/ACombined systolic and diastolic heart failure, unspecified
428.41N/AN/AAcute combined systolic and diastolic heart failure
428.42N/AN/AChronic combined systolic and diastolic heart failure
428.43N/AN/AAcute on chronic combined systolic and diastolic heart failure
428.9N/AN/AHeart failure, unspecified

ICD10CM Codes

CodeModifierPOSDescription
F32.0N/AN/AMajor depressive disorder, single episode, mild
F32.1N/AN/AMajor depressive disorder, single episode, moderate
F32.2N/AN/AMajor depressive disorder, single episode, severe without psychotic features
F32.3N/AN/AMajor depressive disorder, single episode, severe with psychotic features
F32.9N/AN/AMajor depressive disorder, single episode, unspecified
F33.0N/AN/AMajor depressive disorder, recurrent, mild
F33.1N/AN/AMajor depressive disorder, recurrent, moderate
F33.2N/AN/AMajor depressive disorder, recurrent severe without psychotic features
F33.3N/AN/AMajor depressive disorder, recurrent, severe with psychotic symptoms
F33.9N/AN/AMajor depressive disorder, recurrent, unspecified
E10.10N/AN/AType 1 diabetes mellitus with ketoacidosis without coma
E10.11N/AN/AType 1 diabetes mellitus with ketoacidosis with coma
E10.21N/AN/AType 1 diabetes mellitus with diabetic nephropathy
E10.22N/AN/AType 1 diabetes mellitus with diabetic chronic kidney disease
E10.29N/AN/AType 1 diabetes mellitus with other diabetic kidney complication
E10.311N/AN/AType 1 diabetes mellitus with unspecified diabetic retinopathy with macular edema
E10.319N/AN/AType 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema
E10.321N/AN/AType 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema
E10.329N/AN/AType 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema
E10.331N/AN/AType 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema
E10.339N/AN/AType 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema
E10.341N/AN/AType 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema
E10.349N/AN/AType 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema
E10.351N/AN/AType 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema
E10.359N/AN/AType 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema
E10.36N/AN/AType 1 diabetes mellitus with diabetic cataract
E10.39N/AN/AType 1 diabetes mellitus with other diabetic ophthalmic complication
E10.40N/AN/AType 1 diabetes mellitus with diabetic neuropathy, unspecified
E10.41N/AN/AType 1 diabetes mellitus with diabetic mononeuropathy
E10.42N/AN/AType 1 diabetes mellitus with diabetic polyneuropathy
E10.43N/AN/AType 1 diabetes mellitus with diabetic autonomic (poly)neuropathy
E10.44N/AN/AType 1 diabetes mellitus with diabetic amyotrophy
E10.49N/AN/AType 1 diabetes mellitus with other diabetic neurological complication
E10.51N/AN/AType 1 diabetes mellitus with diabetic peripheral angiopathy without gangrene
E10.52N/AN/AType 1 diabetes mellitus with diabetic peripheral angiopathy with gangrene
E10.59N/AN/AType 1 diabetes mellitus with other circulatory complications
E10.610N/AN/AType 1 diabetes mellitus with diabetic neuropathic arthropathy
E10.618N/AN/AType 1 diabetes mellitus with other diabetic arthropathy
E10.620N/AN/AType 1 diabetes mellitus with diabetic dermatitis
E10.621N/AN/AType 1 diabetes mellitus with foot ulcer
E10.622N/AN/AType 1 diabetes mellitus with other skin ulcer
E10.628N/AN/AType 1 diabetes mellitus with other skin complications
E10.630N/AN/AType 1 diabetes mellitus with periodontal disease
E10.638N/AN/AType 1 diabetes mellitus with other oral complications
E10.641N/AN/AType 1 diabetes mellitus with hypoglycemia with coma
E10.649N/AN/AType 1 diabetes mellitus with hypoglycemia without coma
E10.65N/AN/AType 1 diabetes mellitus with hyperglycemia
E10.69N/AN/AType 1 diabetes mellitus with other specified complication
E10.8N/AN/AType 1 diabetes mellitus with unspecified complications
E10.9N/AN/AType 1 diabetes mellitus without complications
E11.00N/AN/AType 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)
E11.01N/AN/AType 2 diabetes mellitus with hyperosmolarity with coma
E11.21N/AN/AType 2 diabetes mellitus with diabetic nephropathy
E11.22N/AN/AType 2 diabetes mellitus with diabetic chronic kidney disease
E11.29N/AN/AType 2 diabetes mellitus with other diabetic kidney complication
E11.311N/AN/AType 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema
E11.319N/AN/AType 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema
E11.321N/AN/AType 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema
E11.329N/AN/AType 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema
E11.331N/AN/AType 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema
E11.339N/AN/AType 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema
E11.341N/AN/AType 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema
E11.349N/AN/AType 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema
E11.351N/AN/AType 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema
E11.359N/AN/AType 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema
E11.36N/AN/AType 2 diabetes mellitus with diabetic cataract
E11.39N/AN/AType 2 diabetes mellitus with other diabetic ophthalmic complication
E11.40N/AN/AType 2 diabetes mellitus with diabetic neuropathy, unspecified
E11.41N/AN/AType 2 diabetes mellitus with diabetic mononeuropathy
E11.42N/AN/AType 2 diabetes mellitus with diabetic polyneuropathy
E11.43N/AN/AType 2 diabetes mellitus with diabetic autonomic (poly)neuropathy
E11.44N/AN/AType 2 diabetes mellitus with diabetic amyotrophy
E11.49N/AN/AType 2 diabetes mellitus with other diabetic neurological complication
E11.51N/AN/AType 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene
E11.52N/AN/AType 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene
E11.59N/AN/AType 2 diabetes mellitus with other circulatory complications
E11.610N/AN/AType 2 diabetes mellitus with diabetic neuropathic arthropathy
E11.618N/AN/AType 2 diabetes mellitus with other diabetic arthropathy
E11.620N/AN/AType 2 diabetes mellitus with diabetic dermatitis
E11.621N/AN/AType 2 diabetes mellitus with foot ulcer
E11.622N/AN/AType 2 diabetes mellitus with other skin ulcer
E11.628N/AN/AType 2 diabetes mellitus with other skin complications
E11.630N/AN/AType 2 diabetes mellitus with periodontal disease
E11.638N/AN/AType 2 diabetes mellitus with other oral complications
E11.641N/AN/AType 2 diabetes mellitus with hypoglycemia with coma
E11.649N/AN/AType 2 diabetes mellitus with hypoglycemia without coma
E11.65N/AN/AType 2 diabetes mellitus with hyperglycemia
E11.69N/AN/AType 2 diabetes mellitus with other specified complication
E11.8N/AN/AType 2 diabetes mellitus with unspecified complications
E11.9N/AN/AType 2 diabetes mellitus without complications
E13.00N/AN/AOther specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)
E13.01N/AN/AOther specified diabetes mellitus with hyperosmolarity with coma
E13.10N/AN/AOther specified diabetes mellitus with ketoacidosis without coma
E13.11N/AN/AOther specified diabetes mellitus with ketoacidosis with coma
E13.21N/AN/AOther specified diabetes mellitus with diabetic nephropathy
E13.22N/AN/AOther specified diabetes mellitus with diabetic chronic kidney disease
E13.29N/AN/AOther specified diabetes mellitus with other diabetic kidney complication
E13.311N/AN/AOther specified diabetes mellitus with unspecified diabetic retinopathy with macular edema
E13.319N/AN/AOther specified diabetes mellitus with unspecified diabetic retinopathy without macular edema
E13.321N/AN/AOther specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema
E13.329N/AN/AOther specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema
E13.331N/AN/AOther specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema
E13.339N/AN/AOther specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema
E13.341N/AN/AOther specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema
E13.349N/AN/AOther specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema
E13.351N/AN/AOther specified diabetes mellitus with proliferative diabetic retinopathy with macular edema
E13.359N/AN/AOther specified diabetes mellitus with proliferative diabetic retinopathy without macular edema
E13.36N/AN/AOther specified diabetes mellitus with diabetic cataract
E13.39N/AN/AOther specified diabetes mellitus with other diabetic ophthalmic complication
E13.40N/AN/AOther specified diabetes mellitus with diabetic neuropathy, unspecified
E13.41N/AN/AOther specified diabetes mellitus with diabetic mononeuropathy
E13.42N/AN/AOther specified diabetes mellitus with diabetic polyneuropathy
E13.43N/AN/AOther specified diabetes mellitus with diabetic autonomic (poly)neuropathy
E13.44N/AN/AOther specified diabetes mellitus with diabetic amyotrophy
E13.49N/AN/AOther specified diabetes mellitus with other diabetic neurological complication
E13.51N/AN/AOther specified diabetes mellitus with diabetic peripheral angiopathy without gangrene
E13.52N/AN/AOther specified diabetes mellitus with diabetic peripheral angiopathy with gangrene
E13.59N/AN/AOther specified diabetes mellitus with other circulatory complications
E13.610N/AN/AOther specified diabetes mellitus with diabetic neuropathic arthropathy
E13.618N/AN/AOther specified diabetes mellitus with other diabetic arthropathy
E13.620N/AN/AOther specified diabetes mellitus with diabetic dermatitis
E13.621N/AN/AOther specified diabetes mellitus with foot ulcer
E13.622N/AN/AOther specified diabetes mellitus with other skin ulcer
E13.628N/AN/AOther specified diabetes mellitus with other skin complications
E13.630N/AN/AOther specified diabetes mellitus with periodontal disease
E13.638N/AN/AOther specified diabetes mellitus with other oral complications
E13.641N/AN/AOther specified diabetes mellitus with hypoglycemia with coma
E13.649N/AN/AOther specified diabetes mellitus with hypoglycemia without coma
E13.65N/AN/AOther specified diabetes mellitus with hyperglycemia
E13.69N/AN/AOther specified diabetes mellitus with other specified complication
E13.8N/AN/AOther specified diabetes mellitus with unspecified complications
E13.9N/AN/AOther specified diabetes mellitus without complications
I20.0N/AN/AUnstable angina
I20.1N/AN/AAngina pectoris with documented spasm
I20.8N/AN/AOther forms of angina pectoris
I20.9N/AN/AAngina pectoris, unspecified
I21.01N/AN/AST elevation (STEMI) myocardial infarction involving left main coronary artery
I21.02N/AN/AST elevation (STEMI) myocardial infarction involving left anterior descending coronary artery
I21.09N/AN/AST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall
I21.11N/AN/AST elevation (STEMI) myocardial infarction involving right coronary artery
I21.19N/AN/AST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall
I21.21N/AN/AST elevation (STEMI) myocardial infarction involving left circumflex coronary artery
I21.29N/AN/AST elevation (STEMI) myocardial infarction involving other sites
I21.3N/AN/AST elevation (STEMI) myocardial infarction of unspecified site
I21.4N/AN/ANon-ST elevation (NSTEMI) myocardial infarction
I22.0N/AN/ASubsequent ST elevation (STEMI) myocardial infarction of anterior wall
I22.1N/AN/ASubsequent ST elevation (STEMI) myocardial infarction of inferior wall
I22.2N/AN/ASubsequent non-ST elevation (NSTEMI) myocardial infarction
I22.8N/AN/ASubsequent ST elevation (STEMI) myocardial infarction of other sites
I22.9N/AN/ASubsequent ST elevation (STEMI) myocardial infarction of unspecified site
I24.0N/AN/AAcute coronary thrombosis not resulting in myocardial infarction
I24.1N/AN/ADressler's syndrome
I24.8N/AN/AOther forms of acute ischemic heart disease
I24.9N/AN/AAcute ischemic heart disease, unspecified
I25.10N/AN/AAtherosclerotic heart disease of native coronary artery without angina pectoris
I25.110N/AN/AAtherosclerotic heart disease of native coronary artery with unstable angina pectoris
I25.111N/AN/AAtherosclerotic heart disease of native coronary artery with angina pectoris with documented spasm
I25.118N/AN/AAtherosclerotic heart disease of native coronary artery with other forms of angina pectoris
I25.119N/AN/AAtherosclerotic heart disease of native coronary artery with unspecified angina pectoris
I25.2N/AN/AOld myocardial infarction
I25.5N/AN/AIschemic cardiomyopathy
I25.6N/AN/ASilent myocardial ischemia
I25.700N/AN/AAtherosclerosis of coronary artery bypass graft(s), unspecified, with unstable angina pectoris
I25.701N/AN/AAtherosclerosis of coronary artery bypass graft(s), unspecified, with angina pectoris with documented spasm
I25.708N/AN/AAtherosclerosis of coronary artery bypass graft(s), unspecified, with other forms of angina pectoris
I25.709N/AN/AAtherosclerosis of coronary artery bypass graft(s), unspecified, with unspecified angina pectoris
I25.710N/AN/AAtherosclerosis of autologous vein coronary artery bypass graft(s) with unstable angina pectoris
I25.711N/AN/AAtherosclerosis of autologous vein coronary artery bypass graft(s) with angina pectoris with documented spasm
I25.718N/AN/AAtherosclerosis of autologous vein coronary artery bypass graft(s) with other forms of angina pectoris
I25.719N/AN/AAtherosclerosis of autologous vein coronary artery bypass graft(s) with unspecified angina pectoris
I25.720N/AN/AAtherosclerosis of autologous artery coronary artery bypass graft(s) with unstable angina pectoris
I25.721N/AN/AAtherosclerosis of autologous artery coronary artery bypass graft(s) with angina pectoris with documented spasm
I25.728N/AN/AAtherosclerosis of autologous artery coronary artery bypass graft(s) with other forms of angina pectoris
I25.729N/AN/AAtherosclerosis of autologous artery coronary artery bypass graft(s) with unspecified angina pectoris
I25.730N/AN/AAtherosclerosis of nonautologous biological coronary artery bypass graft(s) with unstable angina pectoris
I25.731N/AN/AAtherosclerosis of nonautologous biological coronary artery bypass graft(s) with angina pectoris with documented spasm
I25.738N/AN/AAtherosclerosis of nonautologous biological coronary artery bypass graft(s) with other forms of angina pectoris
I25.739N/AN/AAtherosclerosis of nonautologous biological coronary artery bypass graft(s) with unspecified angina pectoris
I25.750N/AN/AAtherosclerosis of native coronary artery of transplanted heart with unstable angina
I25.751N/AN/AAtherosclerosis of native coronary artery of transplanted heart with angina pectoris with documented spasm
I25.758N/AN/AAtherosclerosis of native coronary artery of transplanted heart with other forms of angina pectoris
I25.759N/AN/AAtherosclerosis of native coronary artery of transplanted heart with unspecified angina pectoris
I25.760N/AN/AAtherosclerosis of bypass graft of coronary artery of transplanted heart with unstable angina
I25.761N/AN/AAtherosclerosis of bypass graft of coronary artery of transplanted heart with angina pectoris with documented spasm
I25.768N/AN/AAtherosclerosis of bypass graft of coronary artery of transplanted heart with other forms of angina pectoris
I25.769N/AN/AAtherosclerosis of bypass graft of coronary artery of transplanted heart with unspecified angina pectoris
I25.790N/AN/AAtherosclerosis of other coronary artery bypass graft(s) with unstable angina pectoris
I25.791N/AN/AAtherosclerosis of other coronary artery bypass graft(s) with angina pectoris with documented spasm
I25.798N/AN/AAtherosclerosis of other coronary artery bypass graft(s) with other forms of angina pectoris
I25.799N/AN/AAtherosclerosis of other coronary artery bypass graft(s) with unspecified angina pectoris
I25.810N/AN/AAtherosclerosis of coronary artery bypass graft(s) without angina pectoris
I25.811N/AN/AAtherosclerosis of native coronary artery of transplanted heart without angina pectoris
I25.812N/AN/AAtherosclerosis of bypass graft of coronary artery of transplanted heart without angina pectoris
I25.82N/AN/AChronic total occlusion of coronary artery
I25.83N/AN/ACoronary atherosclerosis due to lipid rich plaque
I25.89N/AN/AOther forms of chronic ischemic heart disease
I25.9N/AN/AChronic ischemic heart disease, unspecified
Z95.1N/AN/APresence of aortocoronary bypass graft
Z95.5N/AN/APresence of coronary angioplasty implant and graft
Z98.61N/AN/ACoronary angioplasty status
I60.00N/AN/ANontraumatic subarachnoid hemorrhage from unspecified carotid siphon and bifurcation
I60.01N/AN/ANontraumatic subarachnoid hemorrhage from right carotid siphon and bifurcation
I60.02N/AN/ANontraumatic subarachnoid hemorrhage from left carotid siphon and bifurcation
I60.10N/AN/ANontraumatic subarachnoid hemorrhage from unspecified middle cerebral artery
I60.11N/AN/ANontraumatic subarachnoid hemorrhage from right middle cerebral artery
I60.12N/AN/ANontraumatic subarachnoid hemorrhage from left middle cerebral artery
I60.20N/AN/ANontraumatic subarachnoid hemorrhage from unspecified anterior communicating artery
I60.21N/AN/ANontraumatic subarachnoid hemorrhage from right anterior communicating artery
I60.22N/AN/ANontraumatic subarachnoid hemorrhage from left anterior communicating artery
I60.30N/AN/ANontraumatic subarachnoid hemorrhage from unspecified posterior communicating artery
I60.31N/AN/ANontraumatic subarachnoid hemorrhage from right posterior communicating artery
I60.32N/AN/ANontraumatic subarachnoid hemorrhage from left posterior communicating artery
I60.4N/AN/ANontraumatic subarachnoid hemorrhage from basilar artery
I60.50N/AN/ANontraumatic subarachnoid hemorrhage from unspecified vertebral artery
I60.51N/AN/ANontraumatic subarachnoid hemorrhage from right vertebral artery
I60.52N/AN/ANontraumatic subarachnoid hemorrhage from left vertebral artery
I60.6N/AN/ANontraumatic subarachnoid hemorrhage from other intracranial arteries
I60.7N/AN/ANontraumatic subarachnoid hemorrhage from unspecified intracranial artery
I60.8N/AN/AOther nontraumatic subarachnoid hemorrhage
I60.9N/AN/ANontraumatic subarachnoid hemorrhage, unspecified
I61.0N/AN/ANontraumatic intracerebral hemorrhage in hemisphere, subcortical
I61.1N/AN/ANontraumatic intracerebral hemorrhage in hemisphere, cortical
I61.2N/AN/ANontraumatic intracerebral hemorrhage in hemisphere, unspecified
I61.3N/AN/ANontraumatic intracerebral hemorrhage in brain stem
I61.4N/AN/ANontraumatic intracerebral hemorrhage in cerebellum
I61.5N/AN/ANontraumatic intracerebral hemorrhage, intraventricular
I61.6N/AN/ANontraumatic intracerebral hemorrhage, multiple localized
I61.8N/AN/AOther nontraumatic intracerebral hemorrhage
I61.9N/AN/ANontraumatic intracerebral hemorrhage, unspecified
I62.00N/AN/ANontraumatic subdural hemorrhage, unspecified
I62.01N/AN/ANontraumatic acute subdural hemorrhage
I62.02N/AN/ANontraumatic subacute subdural hemorrhage
I62.03N/AN/ANontraumatic chronic subdural hemorrhage
I62.1N/AN/ANontraumatic extradural hemorrhage
I62.9N/AN/ANontraumatic intracranial hemorrhage, unspecified
I63.00N/AN/ACerebral infarction due to thrombosis of unspecified precerebral artery
I63.011N/AN/ACerebral infarction due to thrombosis of right vertebral artery
I63.012N/AN/ACerebral infarction due to thrombosis of left vertebral artery
I63.019N/AN/ACerebral infarction due to thrombosis of unspecified vertebral artery
I63.02N/AN/ACerebral infarction due to thrombosis of basilar artery
I63.031N/AN/ACerebral infarction due to thrombosis of right carotid artery
I63.032N/AN/ACerebral infarction due to thrombosis of left carotid artery
I63.039N/AN/ACerebral infarction due to thrombosis of unspecified carotid artery
I63.09N/AN/ACerebral infarction due to thrombosis of other precerebral artery
I63.10N/AN/ACerebral infarction due to embolism of unspecified precerebral artery
I63.111N/AN/ACerebral infarction due to embolism of right vertebral artery
I63.112N/AN/ACerebral infarction due to embolism of left vertebral artery
I63.119N/AN/ACerebral infarction due to embolism of unspecified vertebral artery
I63.12N/AN/ACerebral infarction due to embolism of basilar artery
I63.131N/AN/ACerebral infarction due to embolism of right carotid artery
I63.132N/AN/ACerebral infarction due to embolism of left carotid artery
I63.139N/AN/ACerebral infarction due to embolism of unspecified carotid artery
I63.19N/AN/ACerebral infarction due to embolism of other precerebral artery
I63.20N/AN/ACerebral infarction due to unspecified occlusion or stenosis of unspecified precerebral arteries
I63.211N/AN/ACerebral infarction due to unspecified occlusion or stenosis of right vertebral artery
I63.212N/AN/ACerebral infarction due to unspecified occlusion or stenosis of left vertebral artery
I63.219N/AN/ACerebral infarction due to unspecified occlusion or stenosis of unspecified vertebral artery
I63.22N/AN/ACerebral infarction due to unspecified occlusion or stenosis of basilar artery
I63.231N/AN/ACerebral infarction due to unspecified occlusion or stenosis of right carotid arteries
I63.232N/AN/ACerebral infarction due to unspecified occlusion or stenosis of left carotid arteries
I63.239N/AN/ACerebral infarction due to unspecified occlusion or stenosis of unspecified carotid artery
I63.29N/AN/ACerebral infarction due to unspecified occlusion or stenosis of other precerebral arteries
I63.30N/AN/ACerebral infarction due to thrombosis of unspecified cerebral artery
I63.311N/AN/ACerebral infarction due to thrombosis of right middle cerebral artery
I63.312N/AN/ACerebral infarction due to thrombosis of left middle cerebral artery
I63.319N/AN/ACerebral infarction due to thrombosis of unspecified middle cerebral artery
I63.321N/AN/ACerebral infarction due to thrombosis of right anterior cerebral artery
I63.322N/AN/ACerebral infarction due to thrombosis of left anterior cerebral artery
I63.329N/AN/ACerebral infarction due to thrombosis of unspecified anterior cerebral artery
I63.331N/AN/ACerebral infarction due to thrombosis of right posterior cerebral artery
I63.332N/AN/ACerebral infarction due to thrombosis of left posterior cerebral artery
I63.339N/AN/ACerebral infarction due to thrombosis of unspecified posterior cerebral artery
I63.341N/AN/ACerebral infarction due to thrombosis of right cerebellar artery
I63.342N/AN/ACerebral infarction due to thrombosis of left cerebellar artery
I63.349N/AN/ACerebral infarction due to thrombosis of unspecified cerebellar artery
I63.39N/AN/ACerebral infarction due to thrombosis of other cerebral artery
I63.40N/AN/ACerebral infarction due to embolism of unspecified cerebral artery
I63.411N/AN/ACerebral infarction due to embolism of right middle cerebral artery
I63.412N/AN/ACerebral infarction due to embolism of left middle cerebral artery
I63.419N/AN/ACerebral infarction due to embolism of unspecified middle cerebral artery
I63.421N/AN/ACerebral infarction due to embolism of right anterior cerebral artery
I63.422N/AN/ACerebral infarction due to embolism of left anterior cerebral artery
I63.429N/AN/ACerebral infarction due to embolism of unspecified anterior cerebral artery
I63.431N/AN/ACerebral infarction due to embolism of right posterior cerebral artery
I63.432N/AN/ACerebral infarction due to embolism of left posterior cerebral artery
I63.439N/AN/ACerebral infarction due to embolism of unspecified posterior cerebral artery
I63.441N/AN/ACerebral infarction due to embolism of right cerebellar artery
I63.442N/AN/ACerebral infarction due to embolism of left cerebellar artery
I63.449N/AN/ACerebral infarction due to embolism of unspecified cerebellar artery
I63.49N/AN/ACerebral infarction due to embolism of other cerebral artery
I63.50N/AN/ACerebral infarction due to unspecified occlusion or stenosis of unspecified cerebral artery
I63.511N/AN/ACerebral infarction due to unspecified occlusion or stenosis of right middle cerebral artery
I63.512N/AN/ACerebral infarction due to unspecified occlusion or stenosis of left middle cerebral artery
I63.519N/AN/ACerebral infarction due to unspecified occlusion or stenosis of unspecified middle cerebral artery
I63.521N/AN/ACerebral infarction due to unspecified occlusion or stenosis of right anterior cerebral artery
I63.522N/AN/ACerebral infarction due to unspecified occlusion or stenosis of left anterior cerebral artery
I63.529N/AN/ACerebral infarction due to unspecified occlusion or stenosis of unspecified anterior cerebral artery
I63.531N/AN/ACerebral infarction due to unspecified occlusion or stenosis of right posterior cerebral artery
I63.532N/AN/ACerebral infarction due to unspecified occlusion or stenosis of left posterior cerebral artery
I63.539N/AN/ACerebral infarction due to unspecified occlusion or stenosis of unspecified posterior cerebral artery
I63.541N/AN/ACerebral infarction due to unspecified occlusion or stenosis of right cerebellar artery
I63.542N/AN/ACerebral infarction due to unspecified occlusion or stenosis of left cerebellar artery
I63.549N/AN/ACerebral infarction due to unspecified occlusion or stenosis of unspecified cerebellar artery
I63.59N/AN/ACerebral infarction due to unspecified occlusion or stenosis of other cerebral artery
I63.6N/AN/ACerebral infarction due to cerebral venous thrombosis, nonpyogenic
I63.8N/AN/AOther cerebral infarction
I63.9N/AN/ACerebral infarction, unspecified
N18.4N/AN/AChronic kidney disease, stage 4 (severe)
N18.5N/AN/AChronic kidney disease, stage 5
N18.6N/AN/AEnd stage renal disease
I11.0N/AN/AHypertensive heart disease with heart failure
I13.0N/AN/AHypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
I13.2N/AN/AHypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease
I50.1N/AN/ALeft ventricular failure, unspecified
I50.20N/AN/AUnspecified systolic (congestive) heart failure
I50.21N/AN/AAcute systolic (congestive) heart failure
I50.22N/AN/AChronic systolic (congestive) heart failure
I50.23N/AN/AAcute on chronic systolic (congestive) heart failure
I50.30N/AN/AUnspecified diastolic (congestive) heart failure
I50.31N/AN/AAcute diastolic (congestive) heart failure
I50.32N/AN/AChronic diastolic (congestive) heart failure
I50.33N/AN/AAcute on chronic diastolic (congestive) heart failure
I50.40N/AN/AUnspecified combined systolic (congestive) and diastolic (congestive) heart failure
I50.41N/AN/AAcute combined systolic (congestive) and diastolic (congestive) heart failure
I50.42N/AN/AChronic combined systolic (congestive) and diastolic (congestive) heart failure
I50.43N/AN/AAcute on chronic combined systolic (congestive) and diastolic (congestive) heart failure
I50.9N/AN/AHeart failure, 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).
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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