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

PQRS Measure

#142Osteoarthritis (OA): Assessment for Use of Anti-Inflammatory or Analgesic Over-the-Counter (OTC) Medications
 Description  Data Collection Sheet  Coding Specifications Registry OK.

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.
99241Office consultation for a new or established patient, which requires these 3 key components: A problem focused history; A problem focused examination; and 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, 15 minutes are spent face-to-face with the patient and/or family.
99242Office or other outpatient consultation for a new or 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, 20 minutes must be met or exceeded.
99243Office or other outpatient consultation for a new or 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, 30 minutes must be met or exceeded.
99244Office or other outpatient consultation for a new or 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, 40 minutes must be met or exceeded.
99245Office or other outpatient consultation for a new or 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, 55 minutes must be met or exceeded.
1007FUse of anti-inflammatory or analgesic over-the-counter (OTC) medications for symptom relief assessed (OA)
1007F8PUse of anti-inflammatory or analgesic over-the-counter (OTC) medications for symptom relief assessed (OA)

ICD9 Codes

CodeModifierPOSDescription
715
715.04Osteoarthrosis, generalized, hand
715.09Osteoarthrosis, generalized, multiple sites
715.1
715.11Osteoarthrosis, localized, primary, shoulder region
715.12Osteoarthrosis, localized, primary, upper arm
715.13Osteoarthrosis, localized, primary, forearm
715.14Osteoarthrosis, localized, primary, hand
715.15Osteoarthrosis, localized, primary, pelvic region and thigh
715.16Osteoarthrosis, localized, primary, lower leg
715.17Osteoarthrosis, localized, primary, ankle and foot
715.18Osteoarthrosis, localized, primary, other specified sites
715.2
715.21Osteoarthrosis, localized, secondary, shoulder region
715.22Osteoarthrosis, localized, secondary, upper arm
715.23Osteoarthrosis, localized, secondary, forearm
715.24Osteoarthrosis, localized, secondary, hand
715.25Osteoarthrosis, localized, secondary, pelvic region and thigh
715.26Osteoarthrosis, localized, secondary, lower leg
715.27Osteoarthrosis, localized, secondary, ankle and foot
715.28Osteoarthrosis, localized, secondary, other specified sites
715.3
715.31Osteoarthrosis, localized, not specified whether primary or secondary, shoulder region
715.32Osteoarthrosis, localized, not specified whether primary or secondary, upper arm
715.33Osteoarthrosis, localized, not specified whether primary or secondary, forearm
715.34Osteoarthrosis, localized, not specified whether primary or secondary, hand
715.35Osteoarthrosis, localized, not specified whether primary or secondary, pelvic region and thigh
715.36Osteoarthrosis, localized, not specified whether primary or secondary, lower leg
715.37Osteoarthrosis, localized, not specified whether primary or secondary, ankle and foot
715.38Osteoarthrosis, localized, not specified whether primary or secondary, other specified sites
715.8
715.89Osteoarthrosis involving, or with mention of more than one site, but not specified as generalized, multiple sites
715.9
715.91Osteoarthrosis, unspecified whether generalized or localized, shoulder region
715.92Osteoarthrosis, unspecified whether generalized or localized, upper arm
715.93Osteoarthrosis, unspecified whether generalized or localized, forearm
715.94Osteoarthrosis, unspecified whether generalized or localized, hand
715.95Osteoarthrosis, unspecified whether generalized or localized, pelvic region and thigh
715.96Osteoarthrosis, unspecified whether generalized or localized, lower leg
715.97Osteoarthrosis, unspecified whether generalized or localized, ankle and foot
715.98Osteoarthrosis, unspecified whether generalized or localized, other specified sites
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.
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