PQRS Measure
This measure may be submitted via Registry only
The following codes apply for this PQRS measure:
CPT Codes | |||
| Code | Modifier | POS | Description |
|---|---|---|---|
| 59400 | Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care | ||
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps); | ||
| 59410 | Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care | ||
| 59510 | Routine obstetric care including antepartum care, cesarean delivery, and postpartum care | ||
| 59514 | Cesarean delivery only; | ||
| 59515 | Cesarean delivery only; including postpartum care | ||
| 59610 | Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery | ||
| 59612 | Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); | ||
| 59614 | Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care | ||
| 59618 | Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery | ||
| 59620 | Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; | ||
| 59622 | Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care | ||
HCPCS Codes | |||
| Code | Modifier | POS | Description |
| G9355 | Elective delivery (without medical indication) by cesarean birth or induction of labor not performed (<39 weeks of gestation) | ||
| G9356 | Elective delivery (without medical indication) by cesarean birth or induction of labor performed (<39 weeks of gestation) | ||
| G9361 | Medical indication for delivery by cesarean birth or induction of labor (<39 weeks of gestation) [documentation of reason(s) for elective delivery (e.g., hemorrhage and placental complications, hypertension, preeclampsia and eclampsia, rupture of membranes (premature or prolonged), maternal conditions complicating pregnancy/delivery, fetal conditions complicating pregnancy/delivery, late pregnancy, prior uterine surgery, or participation in clinical trial)] | ||
ICD10CM Codes | |||
| Code | Modifier | POS | Description |
| Z37.0 | Single live birth | ||
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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