Year:  2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 

PQRS Measure

 Report via: Registry, Measure Group
 This measure is can be reported as part of the following groups:
 Inflammatory Bowel Disease (IBD) Group   

The following codes apply for this PQRS measure:

CPT Codes

CodeModifierPOSDescription
99201Office 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.
99202Office 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.
99203Office 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.
99204Office 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.
99205Office 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.
99212Office 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.
99213Office 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.
99214Office 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.
99215Office 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.
99341Home or residence 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.
99342Home or residence 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.
99343Home visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; and Medical decision making of moderate complexity. 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 of moderate to high severity. Typically, 45 minutes are spent face-to-face with the patient and/or family.
99344Home or residence 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, 60 minutes must be met or exceeded.
99345Home or residence 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, 75 minutes must be met or exceeded.
99346
99347Home or residence 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, 20 minutes must be met or exceeded.
99348Home or residence 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, 30 minutes must be met or exceeded.
99349Home or residence 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, 40 minutes must be met or exceeded.
99350Home or residence 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, 60 minutes must be met or exceeded.
99406Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes
99407Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes
3510FDocumentation that tuberculosis (TB) screening test performed and results interpreted (HIV) (IBD)
3510F1PDocumentation that tuberculosis (TB) screening test performed and results interpreted (HIV) (IBD)
3510F2PDocumentation that tuberculosis (TB) screening test performed and results interpreted (HIV) (IBD)
3510F8PDocumentation that tuberculosis (TB) screening test performed and results interpreted (HIV) (IBD)

HCPCS Codes

CodeModifierPOSDescription
G8868Patients receiving a first course of anti-tnf therapy

ICD10CM Codes

CodeModifierPOSDescription
K50.00Crohn's disease of small intestine without complications
K50.011Crohn's disease of small intestine with rectal bleeding
K50.012Crohn's disease of small intestine with intestinal obstruction
K50.013Crohn's disease of small intestine with fistula
K50.014Crohn's disease of small intestine with abscess
K50.018Crohn's disease of small intestine with other complication
K50.019Crohn's disease of small intestine with unspecified complications
K50.10Crohn's disease of large intestine without complications
K50.111Crohn's disease of large intestine with rectal bleeding
K50.112Crohn's disease of large intestine with intestinal obstruction
K50.113Crohn's disease of large intestine with fistula
K50.114Crohn's disease of large intestine with abscess
K50.118Crohn's disease of large intestine with other complication
K50.119Crohn's disease of large intestine with unspecified complications
K50.80Crohn's disease of both small and large intestine without complications
K50.811Crohn's disease of both small and large intestine with rectal bleeding
K50.812Crohn's disease of both small and large intestine with intestinal obstruction
K50.813Crohn's disease of both small and large intestine with fistula
K50.814Crohn's disease of both small and large intestine with abscess
K50.818Crohn's disease of both small and large intestine with other complication
K50.819Crohn's disease of both small and large intestine with unspecified complications
K50.90Crohn's disease, unspecified, without complications
K50.911Crohn's disease, unspecified, with rectal bleeding
K50.912Crohn's disease, unspecified, with intestinal obstruction
K50.913Crohn's disease, unspecified, with fistula
K50.914Crohn's disease, unspecified, with abscess
K50.918Crohn's disease, unspecified, with other complication
K50.919Crohn's disease, unspecified, with unspecified complications
K51.00Ulcerative (chronic) pancolitis without complications
K51.011Ulcerative (chronic) pancolitis with rectal bleeding
K51.012Ulcerative (chronic) pancolitis with intestinal obstruction
K51.013Ulcerative (chronic) pancolitis with fistula
K51.014Ulcerative (chronic) pancolitis with abscess
K51.018Ulcerative (chronic) pancolitis with other complication
K51.019Ulcerative (chronic) pancolitis with unspecified complications
K51.20Ulcerative (chronic) proctitis without complications
K51.211Ulcerative (chronic) proctitis with rectal bleeding
K51.212Ulcerative (chronic) proctitis with intestinal obstruction
K51.213Ulcerative (chronic) proctitis with fistula
K51.214Ulcerative (chronic) proctitis with abscess
K51.218Ulcerative (chronic) proctitis with other complication
K51.219Ulcerative (chronic) proctitis with unspecified complications
K51.30Ulcerative (chronic) rectosigmoiditis without complications
K51.311Ulcerative (chronic) rectosigmoiditis with rectal bleeding
K51.312Ulcerative (chronic) rectosigmoiditis with intestinal obstruction
K51.313Ulcerative (chronic) rectosigmoiditis with fistula
K51.314Ulcerative (chronic) rectosigmoiditis with abscess
K51.318Ulcerative (chronic) rectosigmoiditis with other complication
K51.319Ulcerative (chronic) rectosigmoiditis with unspecified complications
K51.40Inflammatory polyps of colon without complications
K51.411Inflammatory polyps of colon with rectal bleeding
K51.412Inflammatory polyps of colon with intestinal obstruction
K51.413Inflammatory polyps of colon with fistula
K51.414Inflammatory polyps of colon with abscess
K51.418Inflammatory polyps of colon with other complication
K51.419Inflammatory polyps of colon with unspecified complications
K51.50Left sided colitis without complications
K51.511Left sided colitis with rectal bleeding
K51.512Left sided colitis with intestinal obstruction
K51.513Left sided colitis with fistula
K51.514Left sided colitis with abscess
K51.518Left sided colitis with other complication
K51.519Left sided colitis with unspecified complications
K51.80Other ulcerative colitis without complications
K51.811Other ulcerative colitis with rectal bleeding
K51.812Other ulcerative colitis with intestinal obstruction
K51.813Other ulcerative colitis with fistula
K51.814Other ulcerative colitis with abscess
K51.818Other ulcerative colitis with other complication
K51.819Other ulcerative colitis with unspecified complications
K51.90Ulcerative colitis, unspecified, without complications
K51.911Ulcerative colitis, unspecified with rectal bleeding
K51.912Ulcerative colitis, unspecified with intestinal obstruction
K51.913Ulcerative colitis, unspecified with fistula
K51.914Ulcerative colitis, unspecified with abscess
K51.918Ulcerative colitis, unspecified with other complication
K51.919Ulcerative colitis, unspecified with unspecified complications
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.
demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.