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

PQRS Measure

 Report via: Claim, Registry

The following codes apply for this PQRS measure:

CPT Codes

CodeModifierPOSDescription
90791N/AN/APsychiatric diagnostic evaluation
90792N/AN/APsychiatric diagnostic evaluation with medical services
90832N/AN/APsychotherapy, 30 minutes with patient
90834N/AN/APsychotherapy, 45 minutes with patient
90837N/AN/APsychotherapy, 60 minutes with patient
90839N/AN/APsychotherapy for crisis; first 60 minutes
90845N/AN/APsychoanalysis
99201N/AN/AOffice 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.
99202N/AN/AOffice 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.
99203N/AN/AOffice 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.
99204N/AN/AOffice 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.
99205N/AN/AOffice 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.
99212N/AN/AOffice 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.
99213N/AN/AOffice 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.
99214N/AN/AOffice 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.
99215N/AN/AOffice 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.
3092FN/AN/AMajor depressive disorder, in remission (MDD)

HCPCS Codes

CodeModifierPOSDescription
G8932N/AN/ASuicide risk assessed at the initial evaluation
G8933N/AN/ASuicide risk not assessed at the initial evaluation, reason not given

ICD9 Codes

CodeModifierPOSDescription
296.20N/AN/AMajor depressive affective disorder, single episode, unspecified
296.21N/AN/AMajor depressive affective disorder, single episode, mild
296.22N/AN/AMajor depressive affective disorder, single episode, moderate
296.23N/AN/AMajor depressive affective disorder, single episode, severe, without mention of psychotic behavior
296.24N/AN/AMajor depressive affective disorder, single episode, severe, specified as with psychotic behavior
296.30N/AN/AMajor depressive affective disorder, recurrent episode, unspecified
296.31N/AN/AMajor depressive affective disorder, recurrent episode, mild
296.32N/AN/AMajor depressive affective disorder, recurrent episode, moderate
296.33N/AN/AMajor depressive affective disorder, recurrent episode, severe, without mention of psychotic behavior
296.34N/AN/AMajor depressive affective disorder, recurrent episode, severe, specified as with psychotic behavior

ICD10CM Codes

CodeModifierPOSDescription
F32.0N/AN/AMajor depressive disorder, single episode, mild
F32.1N/AN/AMajor depressive disorder, single episode, moderate
F32.2N/AN/AMajor depressive disorder, single episode, severe without psychotic features
F32.3N/AN/AMajor depressive disorder, single episode, severe with psychotic features
F32.9N/AN/AMajor depressive disorder, single episode, unspecified
F33.0N/AN/AMajor depressive disorder, recurrent, mild
F33.1N/AN/AMajor depressive disorder, recurrent, moderate
F33.2N/AN/AMajor depressive disorder, recurrent severe without psychotic features
F33.3N/AN/AMajor depressive disorder, recurrent, severe with psychotic symptoms
F33.9N/AN/AMajor depressive disorder, recurrent, unspecified
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).
GPRO/ACOThis measure can be submitted via Group Practice Reporting Option, or GPRO Web Interface.

More information on these alternative reporting mechanisms is available at:
    http://www.cms.gov/PQRS/20_AlternativeReportingMechanisms.asp.
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