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PQRS Measure

 Report via: Claim, Registry

The following codes apply for this PQRS measure:

CPT Codes

CodeModifierPOSDescription
36818N/AN/AArteriovenous anastomosis, open; by upper arm cephalic vein transposition
36819N/AN/AArteriovenous anastomosis, open; by upper arm basilic vein transposition
36820N/AN/AArteriovenous anastomosis, open; by forearm vein transposition
36821N/AN/AArteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure)
36825N/AN/ACreation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft
36830N/AN/ACreation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous graft (eg, biological collagen, thermoplastic graft)

HCPCS Codes

CodeModifierPOSDescription
G8530N/AN/AAutogenous av fistula received
G8532N/AN/AClinician documented that patient received vascular access other than autogenous av fistula, reason not given
G8531N/AN/AClinician documented that patient was not an eligible candidate for autogenous av fistula

ICD9 Codes

CodeModifierPOSDescription
585.3N/AN/AChronic kidney disease, Stage III (moderate)
585.4N/AN/AChronic kidney disease, Stage IV (severe)
585.5N/AN/AChronic kidney disease, Stage V
585.6N/AN/AEnd stage renal disease
996.73N/AN/AOther complications due to renal dialysis device, implant, and graft

ICD10CM Codes

CodeModifierPOSDescription
N18.3N/AN/AChronic kidney disease, stage 3 (moderate)
N18.4N/AN/AChronic kidney disease, stage 4 (severe)
N18.5N/AN/AChronic kidney disease, stage 5
N18.6N/AN/AEnd stage renal disease
T82.818AN/AN/AEmbolism due to vascular prosthetic devices, implants and grafts, initial encounter
T82.828AN/AN/AFibrosis due to vascular prosthetic devices, implants and grafts, initial encounter
T82.838AN/AN/AHemorrhage due to vascular prosthetic devices, implants and grafts, initial encounter
T82.848AN/AN/APain due to vascular prosthetic devices, implants and grafts, initial encounter
T82.858AN/AN/AStenosis of other vascular prosthetic devices, implants and grafts, initial encounter
T82.868AN/AN/AThrombosis due to vascular prosthetic devices, implants and grafts, initial encounter
T82.898AN/AN/AOther specified complication of vascular prosthetic devices, implants and grafts, initial encounter
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/ACOThis measure can be submitted via Group Practice Reporting Option, or GPRO Web Interface.

More information on these alternative reporting mechanisms is available at:
    http://www.cms.gov/PQRS/20_AlternativeReportingMechanisms.asp.
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