PQRS Measure
Report via: Claim, Registry
The following codes apply for this PQRS measure:
CPT Codes | |||
| Code | Modifier | POS | Description |
|---|---|---|---|
| 99281 | 23 | 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 | 23 | 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 | 23 | 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 | 23 | 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 | 23 | 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 | |
| 99291 | 23 | Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes | |
HCPCS Codes | |||
| Code | Modifier | POS | Description |
| G8809 | Rh-immunoglobulin (rhogam) ordered | ||
| G8809 | Rh-immunoglobulin (rhogam) ordered | ||
| G8810 | Rh-immunoglobulin (rhogam) not ordered for reasons documented by clinician (e.g., patient had prior documented receipt of rhogam within 12 weeks, patient refusal) | ||
| G8811 | Documentation rh-immunoglobulin (rhogam) was not ordered, reason not given | ||
| G8811 | Documentation rh-immunoglobulin (rhogam) was not ordered, reason not given | ||
ICD10CM Codes | |||
| Code | Modifier | POS | Description |
| O36.0110 | Maternal care for anti-D [Rh] antibodies, first trimester, not applicable or unspecified | ||
| O36.0111 | Maternal care for anti-D [Rh] antibodies, first trimester, fetus 1 | ||
| O36.0190 | Maternal care for anti-D [Rh] antibodies, unspecified trimester, not applicable or unspecified | ||
| O36.0191 | Maternal care for anti-D [Rh] antibodies, unspecified trimester, fetus 1 | ||
| O36.0910 | Maternal care for other rhesus isoimmunization, first trimester, not applicable or unspecified | ||
| O36.0911 | Maternal care for other rhesus isoimmunization, first trimester, fetus 1 | ||
| O36.0990 | Maternal care for other rhesus isoimmunization, unspecified trimester, not applicable or unspecified | ||
| O36.0991 | Maternal care for other rhesus isoimmunization, unspecified trimester, fetus 1 | ||
| O00.8 | Other ectopic pregnancy | ||
| O00.9 | Ectopic pregnancy, unspecified | ||
| O02.1 | Missed abortion | ||
| O03.1 | Delayed or excessive hemorrhage following incomplete spontaneous abortion | ||
| O03.6 | Delayed or excessive hemorrhage following complete or unspecified spontaneous abortion | ||
| O04.6 | Delayed or excessive hemorrhage following (induced) termination of pregnancy | ||
| O07.1 | Delayed or excessive hemorrhage following failed attempted termination of pregnancy | ||
| O08.1 | Delayed or excessive hemorrhage following ectopic and molar pregnancy | ||
| O20.0 | Threatened abortion | ||
| O20.8 | Other hemorrhage in early pregnancy | ||
| O20.9 | Hemorrhage in early pregnancy, unspecified | ||
| O26.891 | Other specified pregnancy related conditions, first trimester | ||
| O43.011 | Fetomaternal placental transfusion syndrome, first trimester | ||
| O43.019 | Fetomaternal placental transfusion syndrome, unspecified trimester | ||
| O44.10 | Complete placenta previa with hemorrhage, unspecified trimester | ||
| O44.11 | Complete placenta previa with hemorrhage, first trimester | ||
| O45.001 | Premature separation of placenta with coagulation defect, unspecified, first trimester | ||
| O45.009 | Premature separation of placenta with coagulation defect, unspecified, unspecified trimester | ||
| O45.011 | Premature separation of placenta with afibrinogenemia, first trimester | ||
| O45.019 | Premature separation of placenta with afibrinogenemia, unspecified trimester | ||
| O45.021 | Premature separation of placenta with disseminated intravascular coagulation, first trimester | ||
| O45.029 | Premature separation of placenta with disseminated intravascular coagulation, unspecified trimester | ||
| O45.091 | Premature separation of placenta with other coagulation defect, first trimester | ||
| O45.099 | Premature separation of placenta with other coagulation defect, unspecified trimester | ||
| O45.8X1 | Other premature separation of placenta, first trimester | ||
| O45.8X9 | Other premature separation of placenta, unspecified trimester | ||
| O45.90 | Premature separation of placenta, unspecified, unspecified trimester | ||
| O45.91 | Premature separation of placenta, unspecified, first trimester | ||
| O46.001 | Antepartum hemorrhage with coagulation defect, unspecified, first trimester | ||
| O46.011 | Antepartum hemorrhage with afibrinogenemia, first trimester | ||
| O46.021 | Antepartum hemorrhage with disseminated intravascular coagulation, first trimester | ||
| O46.8X1 | Other antepartum hemorrhage, first trimester | ||
| O46.8X9 | Other antepartum hemorrhage, unspecified trimester | ||
| O46.90 | Antepartum hemorrhage, unspecified, unspecified trimester | ||
| O46.91 | Antepartum hemorrhage, unspecified, first trimester | ||
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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