PQRS Measure
#35Stroke and Stroke Rehabilitation: Screening for Dysphagia
Report via: Claim, Registry
The following codes apply for this PQRS measure:
CPT Codes | |||
| Code | Modifier | POS | Description |
|---|---|---|---|
| 99218 | N/A | N/A | Initial observation care, per day, for the evaluation and management of a patient which requires these 3 key components: A detailed or comprehensive history; A detailed or comprehensive examination; and Medical decision making that is straightforward or of low complexity. 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 problem(s) requiring admission to outpatient hospital "observation status" are of low severity. Typically, 30 minutes are spent at the bedside and on the patient's hospital floor or unit. |
| 99219 | N/A | N/A | Initial observation care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. 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 problem(s) requiring admission to outpatient hospital "observation status" are of moderate severity. Typically, 50 minutes are spent at the bedside and on the patient's hospital floor or unit. |
| 99220 | N/A | N/A | Initial observation care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. 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 problem(s) requiring admission to outpatient hospital "observation status" are of high severity. Typically, 70 minutes are spent at the bedside and on the patient's hospital floor or unit. |
| 99221 | N/A | N/A | Initial 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. |
| 99222 | N/A | N/A | Initial 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. |
| 99223 | N/A | N/A | Initial 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. |
| 99231 | N/A | N/A | Subsequent 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. |
| 99232 | N/A | N/A | Subsequent 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. |
| 99233 | N/A | N/A | Subsequent 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. |
| 99234 | N/A | N/A | Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 45 minutes must be met or exceeded. |
| 99235 | N/A | N/A | Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 70 minutes must be met or exceeded. |
| 99236 | N/A | N/A | Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 85 minutes must be met or exceeded. |
| 99238 | N/A | N/A | Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter |
| 99239 | N/A | N/A | Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter |
| 99281 | N/A | N/A | 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 | N/A | N/A | 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 | N/A | N/A | 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 | N/A | N/A | 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 | N/A | N/A | 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 | N/A | N/A | Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes |
| 6010F | 1P | N/A | Dysphagia screening conducted prior to order for or receipt of any foods, fluids, or medication by mouth (STR) |
| 6010F | 2P | N/A | Dysphagia screening conducted prior to order for or receipt of any foods, fluids, or medication by mouth (STR) |
| 6010F | 8P | N/A | Dysphagia screening conducted prior to order for or receipt of any foods, fluids, or medication by mouth (STR) |
| 6010F | N/A | N/A | Dysphagia screening conducted prior to order for or receipt of any foods, fluids, or medication by mouth (STR) |
| 6015F | N/A | N/A | Patient receiving or eligible to receive foods, fluids, or medication by mouth (STR) |
| 6020F | N/A | N/A | NPO (nothing by mouth) ordered (STR) |
| 6010F | 8P | N/A | Dysphagia screening conducted prior to order for or receipt of any foods, fluids, or medication by mouth (STR) |
| 6010F | N/A | N/A | Dysphagia screening conducted prior to order for or receipt of any foods, fluids, or medication by mouth (STR) |
| 6015F | N/A | N/A | Patient receiving or eligible to receive foods, fluids, or medication by mouth (STR) |
ICD9 Codes | |||
| Code | Modifier | POS | Description |
| 430 | N/A | N/A | Subarachnoid hemorrhage |
| 431 | N/A | N/A | Intracerebral hemorrhage |
| 432.0 | N/A | N/A | Nontraumatic extradural hemorrhage |
| 432.1 | N/A | N/A | Subdural hemorrhage |
| 432.9 | N/A | N/A | Unspecified intracranial hemorrhage |
| 433.01 | N/A | N/A | Occlusion and stenosis of basilar artery with cerebral infarction |
| 433.11 | N/A | N/A | Occlusion and stenosis of carotid artery with cerebral infarction |
| 433.21 | N/A | N/A | Occlusion and stenosis of vertebral artery with cerebral infarction |
| 433.31 | N/A | N/A | Occlusion and stenosis of multiple and bilateral precerebral arteries with cerebral infarction |
| 433.81 | N/A | N/A | Occlusion and stenosis of other specified precerebral artery with cerebral infarction |
| 433.91 | N/A | N/A | Occlusion and stenosis of unspecified precerebral artery with cerebral infarction |
| 434.01 | N/A | N/A | Cerebral thrombosis with cerebral infarction |
| 434.11 | N/A | N/A | Cerebral embolism with cerebral infarction |
| 434.91 | N/A | N/A | Cerebral artery occlusion, unspecified with cerebral infarction |
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.
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.
Thank you for choosing Find-A-Code, please Sign In to remove ads.
Quick, Current, Complete - www.findacode.com