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PQRS Measure

#188Referral for Otologic Evaluation for Patients with Congenital or Traumatic Deformity of the Ear
 Report via: Claim, Registry

The following codes apply for this PQRS measure:

CPT Codes

CodeModifierPOSDescription
92550N/AN/ATympanometry and reflex threshold measurements
92557N/AN/AComprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined)
92567N/AN/ATympanometry (impedance testing)
92568N/AN/AAcoustic reflex testing, threshold
92570N/AN/AAcoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing
92575N/AN/ASensorineural acuity level test

HCPCS Codes

CodeModifierPOSDescription
G8556N/AN/AReferred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation
G8557N/AN/APatient is not eligible for the referral for otologic evaluation measure
G8558N/AN/ANot referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not given
G8556N/AN/AReferred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation
G8558N/AN/ANot referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not given

ICD9 Codes

CodeModifierPOSDescription
380.00N/AN/APerichondritis of pinna, unspecified
380.01N/AN/AAcute perichondritis of pinna
380.02N/AN/AChronic perichondritis of pinna
380.03N/AN/AChondritis of pinna
380.10N/AN/AInfective otitis externa, unspecified
380.30N/AN/ADisorder of pinna, unspecified
380.31N/AN/AHematoma of auricle or pinna
380.32N/AN/AAcquired deformities of auricle or pinna
380.39N/AN/AOther noninfectious disorders of pinna
380.51N/AN/AAcquired stenosis of external ear canal secondary to trauma
380.81N/AN/AExostosis of external ear canal
380.89N/AN/AOther disorders of external ear
380.9N/AN/AUnspecified disorder of external ear
744.01N/AN/AAbsence of external ear
744.02N/AN/AOther anomalies of external ear with impairment of hearing
744.03N/AN/AAnomaly of middle ear, except ossicles
744.09N/AN/AOther anomalies of ear causing impairment of hearing
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 IThis measure can be submitted via Group Practice Reporting Option 1.
GPRO IIThis measure can be submitted via Group Practice Reporting Option 2.

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