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PQRS Measure

#33Stroke and Stroke Rehabilitation: Anticoagulant Therapy Prescribed for Atrial Fibrillation at Discharge
 Description/Specifications Description, Data Collection Sheet, Coding Specifications 

The following codes apply for this PQRS measure:

CPT Codes

CodeModifierPOSDescription
4075FAnticoagulant therapy prescribed at discharge (STR)
4075F8PAnticoagulant therapy prescribed at discharge (STR)
4075F1PAnticoagulant therapy prescribed at discharge (STR)
4075F2PAnticoagulant therapy prescribed at discharge (STR)
99238Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter
99239Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter
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.

ICD9 Codes

CodeModifierPOSDescription
427.31Atrial fibrillation
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
435.0Basilar artery syndrome
435.1Vertebral artery syndrome
435.2Subclavian steal syndrome
435.3Vertebrobasilar artery syndrome
435.8Other specified transient cerebral ischemias
435.9Unspecified transient cerebral ischemia
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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