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

PQRS Measure

#228Heart Failure (HF): Left Ventricular Function (LVF) Testing
 Report via: Registry, GPRO I

The following codes apply for this PQRS measure:

CPT Codes

CodeModifierPOSDescription
99221N/AN/AInitial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.
99222N/AN/AInitial hospital inpatient or observation care, per day, for the evaluation and management of a 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, 55 minutes must be met or exceeded.
99223N/AN/AInitial hospital inpatient or observation care, per day, for the evaluation and management of a 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, 75 minutes must be met or exceeded.
99231N/AN/ASubsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.
99232N/AN/ASubsequent hospital inpatient or observation care, per day, for the evaluation and management of a 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, 35 minutes must be met or exceeded.
99233N/AN/ASubsequent hospital inpatient or observation care, per day, for the evaluation and management of a 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, 50 minutes must be met or exceeded.
99238N/AN/AHospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter
99239N/AN/AHospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter
99291N/AN/ACritical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes

HCPCS Codes

CodeModifierPOSDescription
G8682N/AN/ALvf testing documented as being performed prior to discharge or in the previous 12 months
G8683N/AN/ALvf testing not performed prior to discharge or in the previous 12 months for a medical or patient documented reason
G8685N/AN/ALvf testing not documented as being performed prior to discharge or in the previous 12 months, reason not given

ICD9 Codes

CodeModifierPOSDescription
402.01N/AN/AMalignant hypertensive heart disease with heart failure
402.11N/AN/ABenign hypertensive heart disease with heart failure
402.91N/AN/AUnspecified hypertensive heart disease with heart failure
404.01N/AN/AHypertensive heart and chronic kidney disease, malignant, with heart failure and with chronic kidney disease stage I through stage IV, or unspecified
404.03N/AN/AHypertensive heart and chronic kidney disease, malignant, with heart failure and with chronic kidney disease stage V or end stage renal disease
404.11N/AN/AHypertensive heart and chronic kidney disease, benign, with heart failure and with chronic kidney disease stage I through stage IV, or unspecified
404.13N/AN/AHypertensive heart and chronic kidney disease, benign, with heart failure and chronic kidney disease stage V or end stage renal disease
404.91N/AN/AHypertensive heart and chronic kidney disease, unspecified, with heart failure and with chronic kidney disease stage I through stage IV, or unspecified
404.93N/AN/AHypertensive heart and chronic kidney disease, unspecified, with heart failure and chronic kidney disease stage V or end stage renal disease
428.0N/AN/ACongestive heart failure, unspecified
428.1N/AN/ALeft heart failure
428.20N/AN/ASystolic heart failure, unspecified
428.21N/AN/AAcute systolic heart failure
428.22N/AN/AChronic systolic heart failure
428.23N/AN/AAcute on chronic systolic heart failure
428.30N/AN/ADiastolic heart failure, unspecified
428.31N/AN/AAcute diastolic heart failure
428.32N/AN/AChronic diastolic heart failure
428.33N/AN/AAcute on chronic diastolic heart failure
428.40N/AN/ACombined systolic and diastolic heart failure, unspecified
428.41N/AN/AAcute combined systolic and diastolic heart failure
428.42N/AN/AChronic combined systolic and diastolic heart failure
428.43N/AN/AAcute on chronic combined systolic and diastolic heart failure
428.9N/AN/AHeart failure, 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 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.
demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.