PQRS Measure
#130Universal Documentation and Verification of Current Medications in the Medical Record
The following codes apply for this PQRS measure:
CPT Codes | |||
| Code | Modifier | POS | Description |
|---|---|---|---|
| 00140 | Anesthesia for procedures on eye; not otherwise specified | ||
| 00142 | Anesthesia for procedures on eye; lens surgery | ||
| 00170 | Anesthesia for intraoral procedures, including biopsy; not otherwise specified | ||
| 00400 | Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; not otherwise specified | ||
| 00402 | Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; reconstructive procedures on breast (eg, reduction or augmentation mammoplasty, muscle flaps) | ||
| 00810 | Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum | ||
| 00832 | Anesthesia for hernia repairs in lower abdomen; ventral and incisional hernias | ||
| 00851 | Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; tubal ligation/transection | ||
| 00910 | Anesthesia for transurethral procedures (including urethrocystoscopy); not otherwise specified | ||
| 00920 | Anesthesia for procedures on male genitalia (including open urethral procedures); not otherwise specified | ||
| 01380 | Anesthesia for all closed procedures on knee joint | ||
| 01382 | Anesthesia for diagnostic arthroscopic procedures of knee joint | ||
| 01400 | Anesthesia for open or surgical arthroscopic procedures on knee joint; not otherwise specified | ||
| 01732 | Anesthesia for diagnostic arthroscopic procedures of elbow joint | ||
| 01810 | Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of forearm, wrist, and hand | ||
| 01820 | Anesthesia for all closed procedures on radius, ulna, wrist, or hand bones | ||
| 01829 | Anesthesia for diagnostic arthroscopic procedures on the wrist | ||
| 90801 | Psychiatric diagnostic interview examination | ||
| 90802 | Interactive psychiatric diagnostic interview examination using play equipment, physical devices, language interpreter, or other mechanisms of communication | ||
| 96116 | Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour | ||
| 96150 | Health and behavior assessment (eg, health-focused clinical interview, behavioral observations, psychophysiological monitoring, health-oriented questionnaires), each 15 minutes face-to-face with the patient; initial assessment | ||
| 96152 | Health and behavior intervention, each 15 minutes, face-to-face; individual | ||
| 97001 | Physical therapy evaluation | ||
| 97002 | Physical therapy re-evaluation | ||
| 97003 | Occupational therapy evaluation | ||
| 97004 | Occupational therapy re-evaluation | ||
| 97802 | Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes | ||
| 97803 | Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes | ||
HCPCS Codes | |||
| Code | Modifier | POS | Description |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | ||
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | ||
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | ||
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | ||
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | ||
| G8429 | Incomplete or no provider documentation that patient's current medications with dosages (includes prescription, over-the-counter, herbals, vitamin/mineral/dietary [nutritional] supplements) were assessed | ||
| G8430 | Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an urgent or emergent medical situation) | ||
Legend:
Registry OKThis measure can be submitted through registry.
EHR OKThis measure can be submitted via Electronic Health Record (EHR).
More information on these alternative reporting mechanisms is available at:
http://www.cms.gov/PQRS/20_AlternativeReportingMechanisms.asp.
Registry OKThis measure can be submitted through registry.
EHR OKThis measure can be submitted via Electronic Health Record (EHR).
More information on these alternative reporting mechanisms is available at:
http://www.cms.gov/PQRS/20_AlternativeReportingMechanisms.asp.
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