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

PQRS Measure

 This measure may be submitted via Registry only

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.
3155FCytogenetic testing performed on bone marrow at time of diagnosis or prior to initiating treatment (HEM)
3155F8PCytogenetic testing performed on bone marrow at time of diagnosis or prior to initiating treatment (HEM)
3155F1PCytogenetic testing performed on bone marrow at time of diagnosis or prior to initiating treatment (HEM)
3155F2PCytogenetic testing performed on bone marrow at time of diagnosis or prior to initiating treatment (HEM)
3155F3PCytogenetic testing performed on bone marrow at time of diagnosis or prior to initiating treatment (HEM)

ICD10CM Codes

CodeModifierPOSDescription
C91.00Acute lymphoblastic leukemia not having achieved remission
C91.02Acute lymphoblastic leukemia, in relapse
C92.00Acute myeloblastic leukemia, not having achieved remission
C92.02Acute myeloblastic leukemia, in relapse
C92.40Acute promyelocytic leukemia, not having achieved remission
C92.42Acute promyelocytic leukemia, in relapse
C92.50Acute myelomonocytic leukemia, not having achieved remission
C92.52Acute myelomonocytic leukemia, in relapse
C92.60Acute myeloid leukemia with 11q23-abnormality not having achieved remission
C92.62Acute myeloid leukemia with 11q23-abnormality in relapse
C92.A0Acute myeloid leukemia with multilineage dysplasia, not having achieved remission
C92.A2Acute myeloid leukemia with multilineage dysplasia, in relapse
C93.00Acute monoblastic/monocytic leukemia, not having achieved remission
C93.02Acute monoblastic/monocytic leukemia, in relapse
C94.00Acute erythroid leukemia, not having achieved remission
C94.02Acute erythroid leukemia, in relapse
C94.20Acute megakaryoblastic leukemia not having achieved remission
C94.22Acute megakaryoblastic leukemia, in relapse
C95.00Acute leukemia of unspecified cell type not having achieved remission
C95.02Acute leukemia of unspecified cell type, in relapse
D46.0Refractory anemia without ring sideroblasts, so stated
D46.1Refractory anemia with ring sideroblasts
D46.20Refractory anemia with excess of blasts, unspecified
D46.21Refractory anemia with excess of blasts 1
D46.22Refractory anemia with excess of blasts 2
D46.4Refractory anemia, unspecified
D46.9Myelodysplastic syndrome, unspecified
D46.ARefractory cytopenia with multilineage dysplasia
D46.BRefractory cytopenia with multilineage dysplasia and ring sideroblasts
D46.CMyelodysplastic syndrome with isolated del(5q) chromosomal abnormality
D46.ZOther myelodysplastic syndromes
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.
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