PQRS Measure
Report via: Registry, GPRO/ACO, Measure Group
The following codes apply for this PQRS measure:
CPT Codes | |||
| Code | Modifier | POS | Description |
|---|---|---|---|
| 99201 | Office 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. | ||
| 99202 | Office 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. | ||
| 99203 | Office 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. | ||
| 99204 | Office 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. | ||
| 99205 | Office 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. | ||
| 99212 | Office 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. | ||
| 99213 | Office 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. | ||
| 99214 | Office 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. | ||
| 99215 | Office 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. | ||
| 99201 | Office 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. | ||
| 99202 | Office 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. | ||
| 99203 | Office 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. | ||
| 99204 | Office 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. | ||
| 99205 | Office 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. | ||
| 99212 | Office 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. | ||
| 99213 | Office 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. | ||
| 99214 | Office 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. | ||
| 99215 | Office 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. | ||
| 99201 | Office 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. | ||
| 99202 | Office 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. | ||
| 99203 | Office 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. | ||
| 99204 | Office 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. | ||
| 99205 | Office 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. | ||
| 99212 | Office 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. | ||
| 99213 | Office 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. | ||
| 99214 | Office 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. | ||
| 99215 | Office 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. | ||
HCPCS Codes | |||
| Code | Modifier | POS | Description |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | ||
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | ||
| G9662 | Previously diagnosed or have a diagnosis of clinical ascvd, including ascvd procedure | ||
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | ||
| G9667 | Documentation of medical reason(s) for not currently being a statin therapy user or receive an order (prescription) for statin therapy (e.g., patient with adverse effect, allergy or intolerance to statin medication therapy, patients who have an active diagnosis of pregnancy or who are breastfeeding, patients who are receiving palliative care, patients with active liver disease or hepatic disease or insufficiency, patients with end stage renal disease (esrd), and patients with diabetes who have a fasting or direct ldl-c laboratory test result < 70 mg/dl and are not taking statin therapy) | ||
| G9665 | Patients who are not currently statin therapy users or did not receive an order (prescription) for statin therapy | ||
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | ||
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | ||
| G9663 | Any ldl-c laboratory result >= 190 mg/dl | ||
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | ||
| G9667 | Documentation of medical reason(s) for not currently being a statin therapy user or receive an order (prescription) for statin therapy (e.g., patient with adverse effect, allergy or intolerance to statin medication therapy, patients who have an active diagnosis of pregnancy or who are breastfeeding, patients who are receiving palliative care, patients with active liver disease or hepatic disease or insufficiency, patients with end stage renal disease (esrd), and patients with diabetes who have a fasting or direct ldl-c laboratory test result < 70 mg/dl and are not taking statin therapy) | ||
| G9665 | Patients who are not currently statin therapy users or did not receive an order (prescription) for statin therapy | ||
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | ||
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | ||
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | ||
| G9667 | Documentation of medical reason(s) for not currently being a statin therapy user or receive an order (prescription) for statin therapy (e.g., patient with adverse effect, allergy or intolerance to statin medication therapy, patients who have an active diagnosis of pregnancy or who are breastfeeding, patients who are receiving palliative care, patients with active liver disease or hepatic disease or insufficiency, patients with end stage renal disease (esrd), and patients with diabetes who have a fasting or direct ldl-c laboratory test result < 70 mg/dl and are not taking statin therapy) | ||
| G9665 | Patients who are not currently statin therapy users or did not receive an order (prescription) for statin therapy | ||
ICD10CM Codes | |||
| Code | Modifier | POS | Description |
| B17.0 | Acute delta-(super) infection of hepatitis B carrier | ||
| B17.2 | Acute hepatitis E | ||
| B17.8 | Other specified acute viral hepatitis | ||
| B17.10 | Acute hepatitis C without hepatic coma | ||
| B17.11 | Acute hepatitis C with hepatic coma | ||
| B18.2 | Chronic viral hepatitis C | ||
| B18.8 | Other chronic viral hepatitis | ||
| B18.9 | Chronic viral hepatitis, unspecified | ||
| B19.0 | Unspecified viral hepatitis with hepatic coma | ||
| B19.20 | Unspecified viral hepatitis C without hepatic coma | ||
| B19.21 | Unspecified viral hepatitis C with hepatic coma | ||
| K70.0 | Alcoholic fatty liver | ||
| K70.9 | Alcoholic liver disease, unspecified | ||
| K70.30 | Alcoholic cirrhosis of liver without ascites | ||
| K70.31 | Alcoholic cirrhosis of liver with ascites | ||
| K70.40 | Alcoholic hepatic failure without coma | ||
| K70.41 | Alcoholic hepatic failure with coma | ||
| K71.3 | Toxic liver disease with chronic persistent hepatitis | ||
| K71.4 | Toxic liver disease with chronic lobular hepatitis | ||
| K71.9 | Toxic liver disease, unspecified | ||
| K71.10 | Toxic liver disease with hepatic necrosis, without coma | ||
| K71.11 | Toxic liver disease with hepatic necrosis, with coma | ||
| K71.50 | Toxic liver disease with chronic active hepatitis without ascites | ||
| K71.51 | Toxic liver disease with chronic active hepatitis with ascites | ||
| K72.00 | Acute and subacute hepatic failure without coma | ||
| K72.01 | Acute and subacute hepatic failure with coma | ||
| K72.10 | Chronic hepatic failure without coma | ||
| K72.11 | Chronic hepatic failure with coma | ||
| K72.90 | Hepatic failure, unspecified without coma | ||
| K72.91 | Hepatic failure, unspecified with coma | ||
| K73.0 | Chronic persistent hepatitis, not elsewhere classified | ||
| K73.2 | Chronic active hepatitis, not elsewhere classified | ||
| K73.8 | Other chronic hepatitis, not elsewhere classified | ||
| K73.9 | Chronic hepatitis, unspecified | ||
| K74.0 | Hepatic fibrosis | ||
| K74.1 | Hepatic sclerosis | ||
| K74.2 | Hepatic fibrosis with hepatic sclerosis | ||
| K74.3 | Primary biliary cirrhosis | ||
| K74.4 | Secondary biliary cirrhosis | ||
| K74.5 | Biliary cirrhosis, unspecified | ||
| K74.60 | Unspecified cirrhosis of liver | ||
| K74.69 | Other cirrhosis of liver | ||
| K75.4 | Autoimmune hepatitis | ||
| K76.0 | Fatty (change of) liver, not elsewhere classified | ||
| K76.2 | Central hemorrhagic necrosis of liver | ||
| K76.3 | Infarction of liver | ||
| K76.7 | Hepatorenal syndrome | ||
| K76.9 | Liver disease, unspecified | ||
| K76.89 | Other specified diseases of liver | ||
| O98.419 | Viral hepatitis complicating pregnancy, unspecified trimester | ||
| B17.0 | Acute delta-(super) infection of hepatitis B carrier | ||
| B17.2 | Acute hepatitis E | ||
| B17.8 | Other specified acute viral hepatitis | ||
| B17.10 | Acute hepatitis C without hepatic coma | ||
| B17.11 | Acute hepatitis C with hepatic coma | ||
| B18.2 | Chronic viral hepatitis C | ||
| B18.8 | Other chronic viral hepatitis | ||
| B18.9 | Chronic viral hepatitis, unspecified | ||
| B19.0 | Unspecified viral hepatitis with hepatic coma | ||
| B19.20 | Unspecified viral hepatitis C without hepatic coma | ||
| B19.21 | Unspecified viral hepatitis C with hepatic coma | ||
| K70.0 | Alcoholic fatty liver | ||
| K70.9 | Alcoholic liver disease, unspecified | ||
| K70.30 | Alcoholic cirrhosis of liver without ascites | ||
| K70.31 | Alcoholic cirrhosis of liver with ascites | ||
| K70.40 | Alcoholic hepatic failure without coma | ||
| K70.41 | Alcoholic hepatic failure with coma | ||
| K71.3 | Toxic liver disease with chronic persistent hepatitis | ||
| K71.4 | Toxic liver disease with chronic lobular hepatitis | ||
| K71.9 | Toxic liver disease, unspecified | ||
| K71.10 | Toxic liver disease with hepatic necrosis, without coma | ||
| K71.11 | Toxic liver disease with hepatic necrosis, with coma | ||
| K71.50 | Toxic liver disease with chronic active hepatitis without ascites | ||
| K71.51 | Toxic liver disease with chronic active hepatitis with ascites | ||
| K72.00 | Acute and subacute hepatic failure without coma | ||
| K72.01 | Acute and subacute hepatic failure with coma | ||
| K72.10 | Chronic hepatic failure without coma | ||
| K72.11 | Chronic hepatic failure with coma | ||
| K72.90 | Hepatic failure, unspecified without coma | ||
| K72.91 | Hepatic failure, unspecified with coma | ||
| K73.0 | Chronic persistent hepatitis, not elsewhere classified | ||
| K73.2 | Chronic active hepatitis, not elsewhere classified | ||
| K73.8 | Other chronic hepatitis, not elsewhere classified | ||
| K73.9 | Chronic hepatitis, unspecified | ||
| K74.0 | Hepatic fibrosis | ||
| K74.1 | Hepatic sclerosis | ||
| K74.2 | Hepatic fibrosis with hepatic sclerosis | ||
| K74.3 | Primary biliary cirrhosis | ||
| K74.4 | Secondary biliary cirrhosis | ||
| K74.5 | Biliary cirrhosis, unspecified | ||
| K74.60 | Unspecified cirrhosis of liver | ||
| K74.69 | Other cirrhosis of liver | ||
| K75.4 | Autoimmune hepatitis | ||
| K76.0 | Fatty (change of) liver, not elsewhere classified | ||
| K76.2 | Central hemorrhagic necrosis of liver | ||
| K76.3 | Infarction of liver | ||
| K76.7 | Hepatorenal syndrome | ||
| K76.9 | Liver disease, unspecified | ||
| K76.89 | Other specified diseases of liver | ||
| O98.419 | Viral hepatitis complicating pregnancy, unspecified trimester | ||
| E10.10 | Type 1 diabetes mellitus with ketoacidosis without coma | ||
| E10.11 | Type 1 diabetes mellitus with ketoacidosis with coma | ||
| E10.21 | Type 1 diabetes mellitus with diabetic nephropathy | ||
| E10.22 | Type 1 diabetes mellitus with diabetic chronic kidney disease | ||
| E10.29 | Type 1 diabetes mellitus with other diabetic kidney complication | ||
| E10.311 | Type 1 diabetes mellitus with unspecified diabetic retinopathy with macular edema | ||
| E10.319 | Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | ||
| E10.321 | Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema | ||
| E10.329 | Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema | ||
| E10.331 | Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema | ||
| E10.339 | Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema | ||
| E10.341 | Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema | ||
| E10.349 | Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema | ||
| E10.351 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema | ||
| E10.359 | Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema | ||
| E10.36 | Type 1 diabetes mellitus with diabetic cataract | ||
| E10.39 | Type 1 diabetes mellitus with other diabetic ophthalmic complication | ||
| E10.40 | Type 1 diabetes mellitus with diabetic neuropathy, unspecified | ||
| E10.41 | Type 1 diabetes mellitus with diabetic mononeuropathy | ||
| E10.42 | Type 1 diabetes mellitus with diabetic polyneuropathy | ||
| E10.43 | Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy | ||
| E10.44 | Type 1 diabetes mellitus with diabetic amyotrophy | ||
| E10.49 | Type 1 diabetes mellitus with other diabetic neurological complication | ||
| E10.51 | Type 1 diabetes mellitus with diabetic peripheral angiopathy without gangrene | ||
| E10.52 | Type 1 diabetes mellitus with diabetic peripheral angiopathy with gangrene | ||
| E10.59 | Type 1 diabetes mellitus with other circulatory complications | ||
| E10.610 | Type 1 diabetes mellitus with diabetic neuropathic arthropathy | ||
| E10.618 | Type 1 diabetes mellitus with other diabetic arthropathy | ||
| E10.620 | Type 1 diabetes mellitus with diabetic dermatitis | ||
| E10.621 | Type 1 diabetes mellitus with foot ulcer | ||
| E10.622 | Type 1 diabetes mellitus with other skin ulcer | ||
| E10.628 | Type 1 diabetes mellitus with other skin complications | ||
| E10.630 | Type 1 diabetes mellitus with periodontal disease | ||
| E10.638 | Type 1 diabetes mellitus with other oral complications | ||
| E10.641 | Type 1 diabetes mellitus with hypoglycemia with coma | ||
| E10.649 | Type 1 diabetes mellitus with hypoglycemia without coma | ||
| E10.65 | Type 1 diabetes mellitus with hyperglycemia | ||
| E10.69 | Type 1 diabetes mellitus with other specified complication | ||
| E10.8 | Type 1 diabetes mellitus with unspecified complications | ||
| E10.9 | Type 1 diabetes mellitus without complications | ||
| E11.00 | Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | ||
| E11.01 | Type 2 diabetes mellitus with hyperosmolarity with coma | ||
| E11.21 | Type 2 diabetes mellitus with diabetic nephropathy | ||
| E11.22 | Type 2 diabetes mellitus with diabetic chronic kidney disease | ||
| E11.29 | Type 2 diabetes mellitus with other diabetic kidney complication | ||
| E11.311 | Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema | ||
| E11.319 | Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema | ||
| E11.321 | Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema | ||
| E11.329 | Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema | ||
| E11.331 | Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema | ||
| E11.339 | Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema | ||
| E11.341 | Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema | ||
| E11.349 | Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema | ||
| E11.351 | Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema | ||
| E11.359 | Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema | ||
| E11.36 | Type 2 diabetes mellitus with diabetic cataract | ||
| E11.39 | Type 2 diabetes mellitus with other diabetic ophthalmic complication | ||
| E11.40 | Type 2 diabetes mellitus with diabetic neuropathy, unspecified | ||
| E11.41 | Type 2 diabetes mellitus with diabetic mononeuropathy | ||
| E11.42 | Type 2 diabetes mellitus with diabetic polyneuropathy | ||
| E11.43 | Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy | ||
| E11.44 | Type 2 diabetes mellitus with diabetic amyotrophy | ||
| E11.49 | Type 2 diabetes mellitus with other diabetic neurological complication | ||
| E11.51 | Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | ||
| E11.52 | Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene | ||
| E11.59 | Type 2 diabetes mellitus with other circulatory complications | ||
| E11.610 | Type 2 diabetes mellitus with diabetic neuropathic arthropathy | ||
| E11.618 | Type 2 diabetes mellitus with other diabetic arthropathy | ||
| E11.620 | Type 2 diabetes mellitus with diabetic dermatitis | ||
| E11.621 | Type 2 diabetes mellitus with foot ulcer | ||
| E11.622 | Type 2 diabetes mellitus with other skin ulcer | ||
| E11.628 | Type 2 diabetes mellitus with other skin complications | ||
| E11.630 | Type 2 diabetes mellitus with periodontal disease | ||
| E11.638 | Type 2 diabetes mellitus with other oral complications | ||
| E11.641 | Type 2 diabetes mellitus with hypoglycemia with coma | ||
| E11.649 | Type 2 diabetes mellitus with hypoglycemia without coma | ||
| E11.65 | Type 2 diabetes mellitus with hyperglycemia | ||
| E11.69 | Type 2 diabetes mellitus with other specified complication | ||
| E11.8 | Type 2 diabetes mellitus with unspecified complications | ||
| E11.9 | Type 2 diabetes mellitus without complications | ||
| O24.011 | Pre-existing type 1 diabetes mellitus, in pregnancy, first trimester | ||
| O24.012 | Pre-existing type 1 diabetes mellitus, in pregnancy, second trimester | ||
| O24.013 | Pre-existing type 1 diabetes mellitus, in pregnancy, third trimester | ||
| O24.019 | Pre-existing type 1 diabetes mellitus, in pregnancy, unspecified trimester | ||
| O24.02 | Pre-existing type 1 diabetes mellitus, in childbirth | ||
| O24.03 | Pre-existing type 1 diabetes mellitus, in the puerperium | ||
| O24.111 | Pre-existing type 2 diabetes mellitus, in pregnancy, first trimester | ||
| O24.112 | Pre-existing type 2 diabetes mellitus, in pregnancy, second trimester | ||
| O24.113 | Pre-existing type 2 diabetes mellitus, in pregnancy, third trimester | ||
| O24.119 | Pre-existing type 2 diabetes mellitus, in pregnancy, unspecified trimester | ||
| O24.12 | Pre-existing type 2 diabetes mellitus, in childbirth | ||
| O24.13 | Pre-existing type 2 diabetes mellitus, in the puerperium | ||
| E13.00 | Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | ||
| E13.01 | Other specified diabetes mellitus with hyperosmolarity with coma | ||
| E13.10 | Other specified diabetes mellitus with ketoacidosis without coma | ||
| E13.11 | Other specified diabetes mellitus with ketoacidosis with coma | ||
| E13.21 | Other specified diabetes mellitus with diabetic nephropathy | ||
| E13.22 | Other specified diabetes mellitus with diabetic chronic kidney disease | ||
| E13.29 | Other specified diabetes mellitus with other diabetic kidney complication | ||
| E13.311 | Other specified diabetes mellitus with unspecified diabetic retinopathy with macular edema | ||
| E13.319 | Other specified diabetes mellitus with unspecified diabetic retinopathy without macular edema | ||
| E13.321 | Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema | ||
| E13.329 | Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema | ||
| E13.331 | Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema | ||
| E13.339 | Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema | ||
| E13.341 | Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema | ||
| E13.349 | Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema | ||
| E13.351 | Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema | ||
| E13.359 | Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema | ||
| E13.36 | Other specified diabetes mellitus with diabetic cataract | ||
| E13.39 | Other specified diabetes mellitus with other diabetic ophthalmic complication | ||
| E13.40 | Other specified diabetes mellitus with diabetic neuropathy, unspecified | ||
| E13.41 | Other specified diabetes mellitus with diabetic mononeuropathy | ||
| E13.42 | Other specified diabetes mellitus with diabetic polyneuropathy | ||
| E13.43 | Other specified diabetes mellitus with diabetic autonomic (poly)neuropathy | ||
| E13.44 | Other specified diabetes mellitus with diabetic amyotrophy | ||
| E13.49 | Other specified diabetes mellitus with other diabetic neurological complication | ||
| E13.51 | Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | ||
| E13.52 | Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene | ||
| E13.59 | Other specified diabetes mellitus with other circulatory complications | ||
| E13.610 | Other specified diabetes mellitus with diabetic neuropathic arthropathy | ||
| E13.618 | Other specified diabetes mellitus with other diabetic arthropathy | ||
| E13.620 | Other specified diabetes mellitus with diabetic dermatitis | ||
| E13.621 | Other specified diabetes mellitus with foot ulcer | ||
| E13.622 | Other specified diabetes mellitus with other skin ulcer | ||
| E13.628 | Other specified diabetes mellitus with other skin complications | ||
| E13.630 | Other specified diabetes mellitus with periodontal disease | ||
| E13.638 | Other specified diabetes mellitus with other oral complications | ||
| E13.641 | Other specified diabetes mellitus with hypoglycemia with coma | ||
| E13.649 | Other specified diabetes mellitus with hypoglycemia without coma | ||
| E13.65 | Other specified diabetes mellitus with hyperglycemia | ||
| E13.69 | Other specified diabetes mellitus with other specified complication | ||
| E13.8 | Other specified diabetes mellitus with unspecified complications | ||
| E13.9 | Other specified diabetes mellitus without complications | ||
| O24.311 | Unspecified pre-existing diabetes mellitus in pregnancy, first trimester | ||
| O24.312 | Unspecified pre-existing diabetes mellitus in pregnancy, second trimester | ||
| O24.313 | Unspecified pre-existing diabetes mellitus in pregnancy, third trimester | ||
| O24.319 | Unspecified pre-existing diabetes mellitus in pregnancy, unspecified trimester | ||
| O24.32 | Unspecified pre-existing diabetes mellitus in childbirth | ||
| O24.33 | Unspecified pre-existing diabetes mellitus in the puerperium | ||
| O24.811 | Other pre-existing diabetes mellitus in pregnancy, first trimester | ||
| O24.812 | Other pre-existing diabetes mellitus in pregnancy, second trimester | ||
| O24.813 | Other pre-existing diabetes mellitus in pregnancy, third trimester | ||
| O24.819 | Other pre-existing diabetes mellitus in pregnancy, unspecified trimester | ||
| O24.82 | Other pre-existing diabetes mellitus in childbirth | ||
| O24.83 | Other pre-existing diabetes mellitus in the puerperium | ||
| G9666 | |||
| B17.0 | Acute delta-(super) infection of hepatitis B carrier | ||
| B17.2 | Acute hepatitis E | ||
| B17.8 | Other specified acute viral hepatitis | ||
| B17.10 | Acute hepatitis C without hepatic coma | ||
| B17.11 | Acute hepatitis C with hepatic coma | ||
| B18.2 | Chronic viral hepatitis C | ||
| B18.8 | Other chronic viral hepatitis | ||
| B18.9 | Chronic viral hepatitis, unspecified | ||
| B19.0 | Unspecified viral hepatitis with hepatic coma | ||
| B19.20 | Unspecified viral hepatitis C without hepatic coma | ||
| B19.21 | Unspecified viral hepatitis C with hepatic coma | ||
| K70.0 | Alcoholic fatty liver | ||
| K70.9 | Alcoholic liver disease, unspecified | ||
| K70.30 | Alcoholic cirrhosis of liver without ascites | ||
| K70.31 | Alcoholic cirrhosis of liver with ascites | ||
| K70.40 | Alcoholic hepatic failure without coma | ||
| K70.41 | Alcoholic hepatic failure with coma | ||
| K71.3 | Toxic liver disease with chronic persistent hepatitis | ||
| K71.4 | Toxic liver disease with chronic lobular hepatitis | ||
| K71.9 | Toxic liver disease, unspecified | ||
| K71.10 | Toxic liver disease with hepatic necrosis, without coma | ||
| K71.11 | Toxic liver disease with hepatic necrosis, with coma | ||
| K71.50 | Toxic liver disease with chronic active hepatitis without ascites | ||
| K71.51 | Toxic liver disease with chronic active hepatitis with ascites | ||
| K72.00 | Acute and subacute hepatic failure without coma | ||
| K72.01 | Acute and subacute hepatic failure with coma | ||
| K72.10 | Chronic hepatic failure without coma | ||
| K72.11 | Chronic hepatic failure with coma | ||
| K72.90 | Hepatic failure, unspecified without coma | ||
| K72.91 | Hepatic failure, unspecified with coma | ||
| K73.0 | Chronic persistent hepatitis, not elsewhere classified | ||
| K73.2 | Chronic active hepatitis, not elsewhere classified | ||
| K73.8 | Other chronic hepatitis, not elsewhere classified | ||
| K73.9 | Chronic hepatitis, unspecified | ||
| K74.0 | Hepatic fibrosis | ||
| K74.1 | Hepatic sclerosis | ||
| K74.2 | Hepatic fibrosis with hepatic sclerosis | ||
| K74.3 | Primary biliary cirrhosis | ||
| K74.4 | Secondary biliary cirrhosis | ||
| K74.5 | Biliary cirrhosis, unspecified | ||
| K74.60 | Unspecified cirrhosis of liver | ||
| K74.69 | Other cirrhosis of liver | ||
| K75.4 | Autoimmune hepatitis | ||
| K76.0 | Fatty (change of) liver, not elsewhere classified | ||
| K76.2 | Central hemorrhagic necrosis of liver | ||
| K76.3 | Infarction of liver | ||
| K76.7 | Hepatorenal syndrome | ||
| K76.9 | Liver disease, unspecified | ||
| K76.89 | Other specified diseases of liver | ||
| O98.419 | Viral hepatitis complicating pregnancy, unspecified 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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