PQRS Measure
Report via: Claim, Registry
The following codes apply for this PQRS measure:
CPT Codes | |||
| Code | Modifier | POS | Description |
|---|---|---|---|
| 99281 | 23 | Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional | |
| 99282 | 23 | Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making | |
| 99283 | 23 | Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making | |
| 99284 | 23 | Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making | |
| 99285 | 23 | Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making | |
| 99291 | 23 | Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes | |
HCPCS Codes | |||
| Code | Modifier | POS | Description |
| G8809 | Rh-immunoglobulin (rhogam) ordered | ||
| G8809 | Rh-immunoglobulin (rhogam) ordered | ||
| G8810 | Rh-immunoglobulin (rhogam) not ordered for reasons documented by clinician (e.g., patient had prior documented receipt of rhogam within 12 weeks, patient refusal) | ||
| G8811 | Documentation rh-immunoglobulin (rhogam) was not ordered, reason not given | ||
| G8811 | Documentation rh-immunoglobulin (rhogam) was not ordered, reason not given | ||
ICD9 Codes | |||
| Code | Modifier | POS | Description |
| 632 | Missed abortion | ||
| 633.80 | Other ectopic pregnancy without intrauterine pregnancy | ||
| 633.81 | Other ectopic pregnancy with intrauterine pregnancy | ||
| 633.90 | Unspecified ectopic pregnancy without intrauterine pregnancy | ||
| 633.91 | Unspecified ectopic pregnancy with intrauterine pregnancy | ||
| 634.10 | Spontaneous abortion, complicated by delayed or excessive hemorrhage, unspecified | ||
| 634.11 | Spontaneous abortion, complicated by delayed or excessive hemorrhage, incomplete | ||
| 634.12 | Spontaneous abortion, complicated by delayed or excessive hemorrhage, complete | ||
| 636.10 | Illegally induced abortion, complicated by delayed or excessive hemorrhage, unspecified | ||
| 636.11 | Illegally induced abortion, complicated by delayed or excessive hemorrhage, incomplete | ||
| 636.12 | Illegally induced abortion, complicated by delayed or excessive hemorrhage, complete | ||
| 637.10 | Unspecified abortion, complicated by delayed or excessive hemorrhage, unspecified | ||
| 637.11 | Unspecified abortion, complicated by delayed or excessive hemorrhage, incomplete | ||
| 637.12 | Unspecified abortion, complicated by delayed or excessive hemorrhage, complete | ||
| 638.1 | Failed attempted abortion complicated by delayed or excessive hemorrhage | ||
| 639.1 | Delayed or excessive hemorrhage following abortion or ectopic and molar pregnancies | ||
| 640.00 | Threatened abortion, unspecified as to episode of care or not applicable | ||
| 640.03 | Threatened abortion, antepartum condition or complication | ||
| 640.80 | Other specified hemorrhage in early pregnancy, unspecified as to episode of care or not applicable | ||
| 640.83 | Other specified hemorrhage in early pregnancy, antepartum condition or complication | ||
| 640.90 | Unspecified hemorrhage in early pregnancy, unspecified as to episode of care or not applicable | ||
| 640.93 | Unspecified hemorrhage in early pregnancy, antepartum condition or complication | ||
| 641.10 | Hemorrhage from placenta previa, unspecified as to episode of care or not applicable | ||
| 641.13 | Hemorrhage from placenta previa, antepartum condition or complication | ||
| 641.20 | Premature separation of placenta, unspecified as to episode of care or not applicable | ||
| 641.23 | Premature separation of placenta, antepartum condition or complication | ||
| 641.30 | Antepartum hemorrhage associated with coagulation defects, unspecified as to episode of care or not applicable | ||
| 641.33 | Antepartum hemorrhage associated with coagulation defects, antepartum condition or complication | ||
| 641.80 | Other antepartum hemorrhage, unspecified as to episode of care or not applicable | ||
| 641.83 | Other antepartum hemorrhage, antepartum condition or complication | ||
| 641.90 | Unspecified antepartum hemorrhage, unspecified as to episode of care or not applicable | ||
| 641.93 | Unspecified antepartum hemorrhage, antepartum condition or complication | ||
| 656.00 | Fetal-maternal hemorrhage, unspecified as to episode of care or not applicable | ||
| 656.03 | Fetal-maternal hemorrhage, antepartum condition or complication | ||
| 656.10 | Rhesus isoimmunization, unspecified as to episode of care or not applicable | ||
| 656.13 | Rhesus isoimmunization, antepartum condition or complication | ||
ICD10CM Codes | |||
| Code | Modifier | POS | Description |
| O00.8 | Other ectopic pregnancy | ||
| O00.9 | Ectopic pregnancy, unspecified | ||
| O02.1 | Missed abortion | ||
| O03.1 | Delayed or excessive hemorrhage following incomplete spontaneous abortion | ||
| O03.6 | Delayed or excessive hemorrhage following complete or unspecified spontaneous abortion | ||
| O04.6 | Delayed or excessive hemorrhage following (induced) termination of pregnancy | ||
| O07.1 | Delayed or excessive hemorrhage following failed attempted termination of pregnancy | ||
| O08.1 | Delayed or excessive hemorrhage following ectopic and molar pregnancy | ||
| O20.0 | Threatened abortion | ||
| O20.8 | Other hemorrhage in early pregnancy | ||
| O20.9 | Hemorrhage in early pregnancy, unspecified | ||
| O36.0110 | Maternal care for anti-D [Rh] antibodies, first trimester, not applicable or unspecified | ||
| O36.0111 | Maternal care for anti-D [Rh] antibodies, first trimester, fetus 1 | ||
| O36.0190 | Maternal care for anti-D [Rh] antibodies, unspecified trimester, not applicable or unspecified | ||
| O36.0191 | Maternal care for anti-D [Rh] antibodies, unspecified trimester, fetus 1 | ||
| O36.0910 | Maternal care for other rhesus isoimmunization, first trimester, not applicable or unspecified | ||
| O36.0911 | Maternal care for other rhesus isoimmunization, first trimester, fetus 1 | ||
| O36.0990 | Maternal care for other rhesus isoimmunization, unspecified trimester, not applicable or unspecified | ||
| O36.0991 | Maternal care for other rhesus isoimmunization, unspecified trimester, fetus 1 | ||
| O43.011 | Fetomaternal placental transfusion syndrome, first trimester | ||
| O43.019 | Fetomaternal placental transfusion syndrome, unspecified trimester | ||
| O44.10 | Complete placenta previa with hemorrhage, unspecified trimester | ||
| O44.11 | Complete placenta previa with hemorrhage, first trimester | ||
| O45.001 | Premature separation of placenta with coagulation defect, unspecified, first trimester | ||
| O45.009 | Premature separation of placenta with coagulation defect, unspecified, unspecified trimester | ||
| O45.011 | Premature separation of placenta with afibrinogenemia, first trimester | ||
| O45.019 | Premature separation of placenta with afibrinogenemia, unspecified trimester | ||
| O45.021 | Premature separation of placenta with disseminated intravascular coagulation, first trimester | ||
| O45.029 | Premature separation of placenta with disseminated intravascular coagulation, unspecified trimester | ||
| O45.091 | Premature separation of placenta with other coagulation defect, first trimester | ||
| O45.099 | Premature separation of placenta with other coagulation defect, unspecified trimester | ||
| O45.8X1 | Other premature separation of placenta, first trimester | ||
| O45.8X9 | Other premature separation of placenta, unspecified trimester | ||
| O45.90 | Premature separation of placenta, unspecified, unspecified trimester | ||
| O45.91 | Premature separation of placenta, unspecified, first trimester | ||
| O46.001 | Antepartum hemorrhage with coagulation defect, unspecified, first trimester | ||
| O46.011 | Antepartum hemorrhage with afibrinogenemia, first trimester | ||
| O46.021 | Antepartum hemorrhage with disseminated intravascular coagulation, first trimester | ||
| O46.8X1 | Other antepartum hemorrhage, first trimester | ||
| O46.8X9 | Other antepartum hemorrhage, unspecified trimester | ||
| O46.90 | Antepartum hemorrhage, unspecified, unspecified trimester | ||
| O46.91 | Antepartum hemorrhage, unspecified, first trimester | ||
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).
GPROThis measure can be submitted via Group Practice Reporting Option, or GPRO Web Interface.
SurveyThis measure can be submitted/collected via a Certified Survey Vendor.
More information on these alternative reporting mechanisms is available at:
http://www.cms.gov/PQRS/20_AlternativeReportingMechanisms.asp.
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).
GPROThis measure can be submitted via Group Practice Reporting Option, or GPRO Web Interface.
SurveyThis measure can be submitted/collected via a Certified Survey Vendor.
More information on these alternative reporting mechanisms is available at:
http://www.cms.gov/PQRS/20_AlternativeReportingMechanisms.asp.
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