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PQRS Measure

#31Stroke and Stroke Rehabilitation: Deep Vein Thrombosis Prophylaxis (DVT) for Ischemic Stroke or Intracranial Hemorrhage
 Description/Specifications Description, Data Collection Sheet, Coding Specifications 

The following codes apply for this PQRS measure:

CPT Codes

CodeModifierPOSDescription
4070FDeep vein thrombosis (DVT) prophylaxis received by end of hospital day 2 (STR)
4070F8PDeep vein thrombosis (DVT) prophylaxis received by end of hospital day 2 (STR)
4070F1PDeep vein thrombosis (DVT) prophylaxis received by end of hospital day 2 (STR)
4070F2PDeep vein thrombosis (DVT) prophylaxis received by end of hospital day 2 (STR)
99221Initial 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.
99222Initial 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.
99223Initial 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.
99251Inpatient 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, 20 minutes are spent at the bedside and on the patient's hospital floor or unit.
99252Inpatient or observation 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, 35 minutes must be met or exceeded.
99253Inpatient or observation 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, 45 minutes must be met or exceeded.
99254Inpatient or observation 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, 60 minutes must be met or exceeded.
99255Inpatient or observation 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, 80 minutes must be met or exceeded.
99291Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes

ICD9 Codes

CodeModifierPOSDescription
431Intracerebral hemorrhage
433.01Occlusion and stenosis of basilar artery with cerebral infarction
433.11Occlusion and stenosis of carotid artery with cerebral infarction
433.21Occlusion and stenosis of vertebral artery with cerebral infarction
433.31Occlusion and stenosis of multiple and bilateral precerebral arteries with cerebral infarction
433.81Occlusion and stenosis of other specified precerebral artery with cerebral infarction
433.91Occlusion and stenosis of unspecified precerebral artery with cerebral infarction
434.01Cerebral thrombosis with cerebral infarction
434.11Cerebral embolism with cerebral infarction
434.91Cerebral artery occlusion, unspecified with cerebral infarction
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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