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
1040FN/AN/ADSM-5 criteria for major depressive disorder documented at the initial evaluation (MDD, MDD ADOL)
1040F8PN/ADSM-5 criteria for major depressive disorder documented at the initial evaluation (MDD, MDD ADOL)
1040FN/AN/ADSM-5 criteria for major depressive disorder documented at the initial evaluation (MDD, MDD ADOL)
1040F8PN/ADSM-5 criteria for major depressive disorder documented at the initial evaluation (MDD, MDD ADOL)
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
90845N/AN/APsychoanalysis
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.
99281N/AN/AEmergency 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
99282N/AN/AEmergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making
99283N/AN/AEmergency 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
99284N/AN/AEmergency 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
99285N/AN/AEmergency 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

HCPCS Codes

CodeModifierPOSDescription
G8930N/AN/AAssessment of depression severity at the initial evaluation
G8930N/AN/AAssessment of depression severity at the initial evaluation
G8931N/AN/AAssessment of depression severity not documented, reason not given
G8931N/AN/AAssessment of depression severity not documented, reason not given

ICD9 Codes

CodeModifierPOSDescription
296.20N/AN/AMajor depressive affective disorder, single episode, unspecified
296.21N/AN/AMajor depressive affective disorder, single episode, mild
296.22N/AN/AMajor depressive affective disorder, single episode, moderate
296.23N/AN/AMajor depressive affective disorder, single episode, severe, without mention of psychotic behavior
296.24N/AN/AMajor depressive affective disorder, single episode, severe, specified as with psychotic behavior
296.30N/AN/AMajor depressive affective disorder, recurrent episode, unspecified
296.31N/AN/AMajor depressive affective disorder, recurrent episode, mild
296.32N/AN/AMajor depressive affective disorder, recurrent episode, moderate
296.33N/AN/AMajor depressive affective disorder, recurrent episode, severe, without mention of psychotic behavior
296.34N/AN/AMajor depressive affective disorder, recurrent episode, severe, specified as with psychotic behavior

ICD10CM Codes

CodeModifierPOSDescription
F32.0N/AN/AMajor depressive disorder, single episode, mild
F32.1N/AN/AMajor depressive disorder, single episode, moderate
F32.2N/AN/AMajor depressive disorder, single episode, severe without psychotic features
F32.3N/AN/AMajor depressive disorder, single episode, severe with psychotic features
F32.9N/AN/AMajor depressive disorder, single episode, unspecified
F33.0N/AN/AMajor depressive disorder, recurrent, mild
F33.1N/AN/AMajor depressive disorder, recurrent, moderate
F33.2N/AN/AMajor depressive disorder, recurrent severe without psychotic features
F33.3N/AN/AMajor depressive disorder, recurrent, severe with psychotic symptoms
F33.9N/AN/AMajor depressive disorder, recurrent, unspecified
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.
SurveyThis measure can be submitted/collected via a Certified Survey Vendor.

More information on these alternative reporting mechanisms is available at:
    http://www.cms.gov/PQRS/20_AlternativeReportingMechanisms.asp.
demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.