Year:  2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 

PQRS Measure

 Report via: Claim, Registry

The following codes apply for this PQRS measure:

CPT Codes

CodeModifierPOSDescription
90791N/AN/APsychiatric diagnostic evaluation
90792N/AN/APsychiatric diagnostic evaluation with medical services
90832N/AN/APsychotherapy, 30 minutes with patient
90834N/AN/APsychotherapy, 45 minutes with patient
90837N/AN/APsychotherapy, 60 minutes with patient
90839N/AN/APsychotherapy for crisis; first 60 minutes
90845N/AN/APsychoanalysis
96150N/AN/AHealth and behavior assessment (eg, health-focused clinical interview, behavioral observations, psychophysiological monitoring, health-oriented questionnaires), each 15 minutes face-to-face with the patient; initial assessment
96152N/AN/AHealth and behavior intervention, each 15 minutes, face-to-face; individual
99201N/AN/AOffice or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; 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, 10 minutes are spent face-to-face with the patient and/or family.
99202N/AN/AOffice or other outpatient visit for the evaluation and management of a new 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, 15 minutes must be met or exceeded.
99203N/AN/AOffice or other outpatient visit for the evaluation and management of a new 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, 30 minutes must be met or exceeded.
99204N/AN/AOffice or other outpatient visit for the evaluation and management of a new 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, 45 minutes must be met or exceeded.
99205N/AN/AOffice or other outpatient visit for the evaluation and management of a new 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, 60 minutes must be met or exceeded.
99212N/AN/AOffice or other outpatient visit for the evaluation and management of an 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, 10 minutes must be met or exceeded.
99213N/AN/AOffice or other outpatient visit for the evaluation and management of an 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, 20 minutes must be met or exceeded.
99214N/AN/AOffice or other outpatient visit for the evaluation and management of an 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, 30 minutes must be met or exceeded.
99215N/AN/AOffice or other outpatient visit for the evaluation and management of an 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, 40 minutes must be met or exceeded.
4320F8PN/APatient counseled regarding psychosocial and pharmacologic treatment options for alcohol dependence (SUD)
4320FN/AN/APatient counseled regarding psychosocial and pharmacologic treatment options for alcohol dependence (SUD)

ICD9 Codes

CodeModifierPOSDescription
303.90N/AN/AOther and unspecified alcohol dependence, unspecified
303.91N/AN/AOther and unspecified alcohol dependence, continuous
303.92N/AN/AOther and unspecified alcohol dependence, episodic

ICD10CM Codes

CodeModifierPOSDescription
F10.20N/AN/AAlcohol dependence, uncomplicated
F10.220N/AN/AAlcohol dependence with intoxication, uncomplicated
F10.221N/AN/AAlcohol dependence with intoxication delirium
F10.229N/AN/AAlcohol dependence with intoxication, unspecified
F10.230N/AN/AAlcohol dependence with withdrawal, uncomplicated
F10.231N/AN/AAlcohol dependence with withdrawal delirium
F10.232N/AN/AAlcohol dependence with withdrawal with perceptual disturbance
F10.239N/AN/AAlcohol dependence with withdrawal, unspecified
F10.24N/AN/AAlcohol dependence with alcohol-induced mood disorder
F10.250N/AN/AAlcohol dependence with alcohol-induced psychotic disorder with delusions
F10.251N/AN/AAlcohol dependence with alcohol-induced psychotic disorder with hallucinations
F10.259N/AN/AAlcohol dependence with alcohol-induced psychotic disorder, unspecified
F10.26N/AN/AAlcohol dependence with alcohol-induced persisting amnestic disorder
F10.27N/AN/AAlcohol dependence with alcohol-induced persisting dementia
F10.280N/AN/AAlcohol dependence with alcohol-induced anxiety disorder
F10.281N/AN/AAlcohol dependence with alcohol-induced sexual dysfunction
F10.282N/AN/AAlcohol dependence with alcohol-induced sleep disorder
F10.288N/AN/AAlcohol dependence with other alcohol-induced disorder
F10.29N/AN/AAlcohol dependence with unspecified alcohol-induced disorder
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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