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PQRS Measure

 Report via: Claim, Registry

The following codes apply for this PQRS measure:

CPT Codes

CodeModifierPOSDescription
36818Arteriovenous anastomosis, open; by upper arm cephalic vein transposition
36819Arteriovenous anastomosis, open; by upper arm basilic vein transposition
36820Arteriovenous anastomosis, open; by forearm vein transposition
36821Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure)
36825Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft
36830Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous graft (eg, biological collagen, thermoplastic graft)

HCPCS Codes

CodeModifierPOSDescription
G8530Autogenous av fistula received
G8530Autogenous av fistula received
G8531Clinician documented that patient was not an eligible candidate for autogenous av fistula
G8532Clinician documented that patient received vascular access other than autogenous av fistula, reason not given
G8532Clinician documented that patient received vascular access other than autogenous av fistula, reason not given

ICD9 Codes

CodeModifierPOSDescription
585.3Chronic kidney disease, Stage III (moderate)
585.4Chronic kidney disease, Stage IV (severe)
585.5Chronic kidney disease, Stage V
585.6End stage renal disease
996.73Other complications due to renal dialysis device, implant, and graft

ICD10CM Codes

CodeModifierPOSDescription
N18.3Chronic kidney disease, stage 3 (moderate)
N18.4Chronic kidney disease, stage 4 (severe)
N18.5Chronic kidney disease, stage 5
N18.6End stage renal disease
T82.818AEmbolism due to vascular prosthetic devices, implants and grafts, initial encounter
T82.828AFibrosis due to vascular prosthetic devices, implants and grafts, initial encounter
T82.838AHemorrhage due to vascular prosthetic devices, implants and grafts, initial encounter
T82.848APain due to vascular prosthetic devices, implants and grafts, initial encounter
T82.858AStenosis of other vascular prosthetic devices, implants and grafts, initial encounter
T82.868AThrombosis due to vascular prosthetic devices, implants and grafts, initial encounter
T82.898AOther specified complication of vascular prosthetic devices, implants and grafts, 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.
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