PQRS Measure
Report via: Claim, Registry
The following codes apply for this PQRS measure:
CPT Codes | |||
Code | Modifier | POS | Description |
---|---|---|---|
99281 | 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 | 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 | 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 | 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 | 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 | ||
HCPCS Codes | |||
Code | Modifier | POS | Description |
G9529 | Patient with minor blunt head trauma had an appropriate indication(s) for a head ct | ||
G9529 | Patient with minor blunt head trauma had an appropriate indication(s) for a head ct | ||
G9530 | Patient presented with a minor blunt head trauma and had a head ct ordered for trauma by an emergency care provider | ||
G9530 | Patient presented with a minor blunt head trauma and had a head ct ordered for trauma by an emergency care provider | ||
G9531 | Patient has documentation of ventricular shunt, brain tumor, multisystem trauma, or is currently taking an antiplatelet medication including: abciximab, anagrelide, cangrelor, cilostazol, clopidogrel, dipyridamole, eptifibatide, prasugrel, ticlopidine, ticagrelor, tirofiban, or vorapaxar | ||
G9530 | Patient presented with a minor blunt head trauma and had a head ct ordered for trauma by an emergency care provider | ||
G9532 | Patient had a head ct for trauma ordered by someone other than an emergency care provider or was ordered for a reason other than trauma | ||
G9533 | Patient with minor blunt head trauma did not have an appropriate indication(s) for a head ct | ||
G9533 | Patient with minor blunt head trauma did not have an appropriate indication(s) for a head ct | ||
G9530 | Patient presented with a minor blunt head trauma and had a head ct ordered for trauma by an emergency care provider | ||
G9530 | Patient presented with a minor blunt head trauma and had a head ct ordered for trauma by an emergency care provider | ||
ICD10CM Codes | |||
Code | Modifier | POS | Description |
S00.03XA | Contusion of scalp, initial encounter | ||
S00.33XA | Contusion of nose, initial encounter | ||
S00.431A | Contusion of right ear, initial encounter | ||
S00.432A | Contusion of left ear, initial encounter | ||
S00.439A | Contusion of unspecified ear, initial encounter | ||
S00.531A | Contusion of lip, initial encounter | ||
S00.532A | Contusion of oral cavity, initial encounter | ||
S00.83XA | Contusion of other part of head, initial encounter | ||
S00.93XA | Contusion of unspecified part of head, initial encounter | ||
S02.0XXA | Fracture of vault of skull, initial encounter for closed fracture | ||
S02.10XA | Unspecified fracture of base of skull, initial encounter for closed fracture | ||
S02.110A | Type I occipital condyle fracture, unspecified side, initial encounter for closed fracture | ||
S02.111A | Type II occipital condyle fracture, unspecified side, initial encounter for closed fracture | ||
S02.112A | Type III occipital condyle fracture, unspecified side, initial encounter for closed fracture | ||
S02.113A | Unspecified occipital condyle fracture, initial encounter for closed fracture | ||
S02.118A | Other fracture of occiput, unspecified side, initial encounter for closed fracture | ||
S02.119A | Unspecified fracture of occiput, initial encounter for closed fracture | ||
S02.19XA | Other fracture of base of skull, initial encounter for closed fracture | ||
S02.2XXA | Fracture of nasal bones, initial encounter for closed fracture | ||
S02.3XXA | Fracture of orbital floor, initial encounter for closed fracture | ||
S02.400A | Malar fracture, unspecified side, initial encounter for closed fracture | ||
S02.401A | Maxillary fracture, unspecified side, initial encounter for closed fracture | ||
S02.402A | Zygomatic fracture, unspecified side, initial encounter for closed fracture | ||
S02.411A | LeFort I fracture, initial encounter for closed fracture | ||
S02.412A | LeFort II fracture, initial encounter for closed fracture | ||
S02.413A | LeFort III fracture, initial encounter for closed fracture | ||
S02.42XA | Fracture of alveolus of maxilla, initial encounter for closed fracture | ||
S02.600A | Fracture of unspecified part of body of mandible, unspecified side, initial encounter for closed fracture | ||
S02.609A | Fracture of mandible, unspecified, initial encounter for closed fracture | ||
S02.61XA | Fracture of condylar process of mandible, initial encounter for closed fracture | ||
S02.62XA | Fracture of subcondylar process of mandible, initial encounter for closed fracture | ||
S02.63XA | Fracture of coronoid process of mandible, initial encounter for closed fracture | ||
S02.64XA | Fracture of ramus of mandible, initial encounter for closed fracture | ||
S02.65XA | Fracture of angle of mandible, initial encounter for closed fracture | ||
S02.66XA | Fracture of symphysis of mandible, initial encounter for closed fracture | ||
S02.67XA | Fracture of alveolus of mandible, initial encounter for closed fracture | ||
S02.69XA | Fracture of mandible of other specified site, initial encounter for closed fracture | ||
S02.8XXA | Fractures of other specified skull and facial bones, initial encounter for closed fracture | ||
S02.91XA | Unspecified fracture of skull, initial encounter for closed fracture | ||
S02.92XA | Unspecified fracture of facial bones, initial encounter for closed fracture | ||
S06.0X0A | Concussion without loss of consciousness, initial encounter | ||
S06.0X1A | Concussion with loss of consciousness of 30 minutes or less, initial encounter | ||
S06.0X2A | Concussion with loss of consciousness of 31 minutes to 59 minutes, initial encounter | ||
S06.0X3A | Concussion with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter | ||
S06.0X4A | Concussion with loss of consciousness of 6 hours to 24 hours, initial encounter | ||
S06.0X9A | Concussion with loss of consciousness of unspecified duration, initial encounter | ||
S06.1X0A | Traumatic cerebral edema without loss of consciousness, initial encounter | ||
S06.1X1A | Traumatic cerebral edema with loss of consciousness of 30 minutes or less, initial encounter | ||
S06.1X2A | Traumatic cerebral edema with loss of consciousness of 31 minutes to 59 minutes, initial encounter | ||
S06.1X3A | Traumatic cerebral edema with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter | ||
S06.1X4A | Traumatic cerebral edema with loss of consciousness of 6 hours to 24 hours, initial encounter | ||
S06.1X9A | Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | ||
S06.2X0A | Diffuse traumatic brain injury without loss of consciousness, initial encounter | ||
S06.2X1A | Diffuse traumatic brain injury with loss of consciousness of 30 minutes or less, initial encounter | ||
S06.2X2A | Diffuse traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, initial encounter | ||
S06.2X3A | Diffuse traumatic brain injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter | ||
S06.2X4A | Diffuse traumatic brain injury with loss of consciousness of 6 hours to 24 hours, initial encounter | ||
S06.2X9A | Diffuse traumatic brain injury with loss of consciousness of unspecified duration, initial encounter | ||
S06.300A | Unspecified focal traumatic brain injury without loss of consciousness, initial encounter | ||
S06.301A | Unspecified focal traumatic brain injury with loss of consciousness of 30 minutes or less, initial encounter | ||
S06.302A | Unspecified focal traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, initial encounter | ||
S06.303A | Unspecified focal traumatic brain injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter | ||
S06.304A | Unspecified focal traumatic brain injury with loss of consciousness of 6 hours to 24 hours, initial encounter | ||
S06.309A | Unspecified focal traumatic brain injury with loss of consciousness of unspecified duration, initial encounter | ||
S06.340A | Traumatic hemorrhage of right cerebrum without loss of consciousness, initial encounter | ||
S06.341A | Traumatic hemorrhage of right cerebrum with loss of consciousness of 30 minutes or less, initial encounter | ||
S06.342A | Traumatic hemorrhage of right cerebrum with loss of consciousness of 31 minutes to 59 minutes, initial encounter | ||
S06.343A | Traumatic hemorrhage of right cerebrum with loss of consciousness of 1 hours to 5 hours 59 minutes, initial encounter | ||
S06.344A | Traumatic hemorrhage of right cerebrum with loss of consciousness of 6 hours to 24 hours, initial encounter | ||
S06.349A | Traumatic hemorrhage of right cerebrum with loss of consciousness of unspecified duration, initial encounter | ||
S06.350A | Traumatic hemorrhage of left cerebrum without loss of consciousness, initial encounter | ||
S06.351A | Traumatic hemorrhage of left cerebrum with loss of consciousness of 30 minutes or less, initial encounter | ||
S06.352A | Traumatic hemorrhage of left cerebrum with loss of consciousness of 31 minutes to 59 minutes, initial encounter | ||
S06.353A | Traumatic hemorrhage of left cerebrum with loss of consciousness of 1 hours to 5 hours 59 minutes, initial encounter | ||
S06.354A | Traumatic hemorrhage of left cerebrum with loss of consciousness of 6 hours to 24 hours, initial encounter | ||
S06.359A | Traumatic hemorrhage of left cerebrum with loss of consciousness of unspecified duration, initial encounter | ||
S06.360A | Traumatic hemorrhage of cerebrum, unspecified, without loss of consciousness, initial encounter | ||
S06.361A | Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 30 minutes or less, initial encounter | ||
S06.362A | Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 31 minutes to 59 minutes, initial encounter | ||
S06.363A | Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 1 hours to 5 hours 59 minutes, initial encounter | ||
S06.364A | Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 6 hours to 24 hours, initial encounter | ||
S06.369A | Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of unspecified duration, initial encounter | ||
S06.4X0A | Epidural hemorrhage without loss of consciousness, initial encounter | ||
S06.4X1A | Epidural hemorrhage with loss of consciousness of 30 minutes or less, initial encounter | ||
S06.4X2A | Epidural hemorrhage with loss of consciousness of 31 minutes to 59 minutes, initial encounter | ||
S06.4X3A | Epidural hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter | ||
S06.4X4A | Epidural hemorrhage with loss of consciousness of 6 hours to 24 hours, initial encounter | ||
S06.4X9A | Epidural hemorrhage with loss of consciousness of unspecified duration, initial encounter | ||
S06.5X0A | Traumatic subdural hemorrhage without loss of consciousness, initial encounter | ||
S06.5X1A | Traumatic subdural hemorrhage with loss of consciousness of 30 minutes or less, initial encounter | ||
S06.5X2A | Traumatic subdural hemorrhage with loss of consciousness of 31 minutes to 59 minutes, initial encounter | ||
S06.5X3A | Traumatic subdural hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter | ||
S06.5X4A | Traumatic subdural hemorrhage with loss of consciousness of 6 hours to 24 hours, initial encounter | ||
S06.5X9A | Traumatic subdural hemorrhage with loss of consciousness of unspecified duration, initial encounter | ||
S06.6X0A | Traumatic subarachnoid hemorrhage without loss of consciousness, initial encounter | ||
S06.6X1A | Traumatic subarachnoid hemorrhage with loss of consciousness of 30 minutes or less, initial encounter | ||
S06.6X2A | Traumatic subarachnoid hemorrhage with loss of consciousness of 31 minutes to 59 minutes, initial encounter | ||
S06.6X3A | Traumatic subarachnoid hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter | ||
S06.6X4A | Traumatic subarachnoid hemorrhage with loss of consciousness of 6 hours to 24 hours, initial encounter | ||
S06.6X9A | Traumatic subarachnoid hemorrhage with loss of consciousness of unspecified duration, initial encounter | ||
S06.810A | Injury of right internal carotid artery, intracranial portion, not elsewhere classified without loss of consciousness, initial encounter | ||
S06.811A | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 30 minutes or less, initial encounter | ||
S06.812A | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 31 minutes to 59 minutes, initial encounter | ||
S06.813A | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter | ||
S06.814A | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, initial encounter | ||
S06.819A | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of unspecified duration, initial encounter | ||
S06.820A | Injury of left internal carotid artery, intracranial portion, not elsewhere classified without loss of consciousness, initial encounter | ||
S06.821A | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 30 minutes or less, initial encounter | ||
S06.822A | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 31 minutes to 59 minutes, initial encounter | ||
S06.823A | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter | ||
S06.824A | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, initial encounter | ||
S06.829A | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of unspecified duration, initial encounter | ||
S06.890A | Other specified intracranial injury without loss of consciousness, initial encounter | ||
S06.891A | Other specified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | ||
S06.892A | Other specified intracranial injury with loss of consciousness of 31 minutes to 59 minutes, initial encounter | ||
S06.893A | Other specified intracranial injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter | ||
S06.894A | Other specified intracranial injury with loss of consciousness of 6 hours to 24 hours, initial encounter | ||
S06.899A | Other specified intracranial injury with loss of consciousness of unspecified duration, initial encounter | ||
S06.9X0A | Unspecified intracranial injury without loss of consciousness, initial encounter | ||
S06.9X1A | Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | ||
S06.9X2A | Unspecified intracranial injury with loss of consciousness of 31 minutes to 59 minutes, initial encounter | ||
S06.9X3A | Unspecified intracranial injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter | ||
S06.9X4A | Unspecified intracranial injury with loss of consciousness of 6 hours to 24 hours, initial encounter | ||
S06.9X9A | Unspecified intracranial injury with loss of consciousness of unspecified duration, initial encounter | ||
S09.10XA | Unspecified injury of muscle and tendon of head, initial encounter | ||
S09.11XA | Strain of muscle and tendon of head, initial encounter | ||
S09.19XA | Other specified injury of muscle and tendon of head, initial encounter | ||
S09.8XXA | Other specified injuries of head, initial encounter | ||
S09.90XA | Unspecified injury of head, initial encounter | ||
S09.92XA | Unspecified injury of nose, initial encounter | ||
S09.93XA | Unspecified injury of face, initial encounter | ||
S10.0XXA | Contusion of throat, initial encounter | ||
S10.83XA | Contusion of other specified part of neck, initial encounter | ||
S10.93XA | Contusion of unspecified part of neck, initial encounter |
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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