PQRS Measure
Report via: Claim, Registry
The following codes apply for this PQRS measure:
CPT Codes | |||
| Code | Modifier | POS | Description |
|---|---|---|---|
| 97001 | Physical therapy evaluation | ||
| 97002 | Physical therapy re-evaluation | ||
| 97003 | Occupational therapy evaluation | ||
| 97004 | Occupational therapy re-evaluation | ||
| 98940 | Chiropractic manipulative treatment (CMT); spinal, 1-2 regions | ||
| 98941 | Chiropractic manipulative treatment (CMT); spinal, 3-4 regions | ||
| 98942 | Chiropractic manipulative treatment (CMT); spinal, 5 regions | ||
HCPCS Codes | |||
| Code | Modifier | POS | Description |
| G8539 | Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment | ||
| G8539 | Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment | ||
| G8540 | Functional outcome assessment not documented as being performed, documentation the patient is not eligible for a functional outcome assessment using a standardized tool at the time of the encounter | ||
| G8541 | Functional outcome assessment using a standardized tool not documented, reason not given | ||
| G8541 | Functional outcome assessment using a standardized tool not documented, reason not given | ||
| G8542 | Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required | ||
| G8542 | Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required | ||
| G8543 | Documentation of a positive functional outcome assessment using a standardized tool; care plan not documented within two days of assessment, reason not given | ||
| G8543 | Documentation of a positive functional outcome assessment using a standardized tool; care plan not documented within two days of assessment, reason not given | ||
| G8942 | Functional outcome assessment using a standardized tool is documented within the previous 30 days and a care plan, based on identified deficiencies is documented within two days of the functional outcome assessment | ||
| G8942 | Functional outcome assessment using a standardized tool is documented within the previous 30 days and a care plan, based on identified deficiencies is documented within two days of the functional outcome assessment | ||
| G9227 | Functional outcome assessment documented, care plan not documented, documentation the patient is not eligible for a care plan at the time of the 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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