QPP Measure #109
Osteoarthritis (OA): Function and Pain Assessment
Percentage of patient visits for patients aged 21 years and older with a diagnosis of osteoarthritis (OA) with assessment for function and pain
The following codes apply for this QPP measure:
CPT Codes | |||
| Code | Description | ||
|---|---|---|---|
| 1006F | CPT Code | ||
| 99201 | CPT Code | ||
| 99202 | CPT Code | ||
| 99203 | CPT Code | ||
| 99204 | CPT Code | ||
| 99205 | CPT Code | ||
| 99212 | CPT Code | ||
| 99213 | CPT Code | ||
| 99214 | CPT Code | ||
| 99215 | CPT Code | ||
ICD10CM Codes | |||
| Code | Description | ||
| M15.0 | Primary generalized (osteo)arthritis | ||
| M15.1 | Heberden's nodes (with arthropathy) | ||
| M15.2 | Bouchard's nodes (with arthropathy) | ||
| M15.3 | Secondary multiple arthritis | ||
| M15.4 | Erosive (osteo)arthritis | ||
| M15.8 | Other polyosteoarthritis | ||
| M15.9 | Polyosteoarthritis, unspecified | ||
| M16.0 | Bilateral primary osteoarthritis of hip | ||
| M16.10 | Unilateral primary osteoarthritis, unspecified hip | ||
| M16.11 | Unilateral primary osteoarthritis, right hip | ||
| M16.12 | Unilateral primary osteoarthritis, left hip | ||
| M16.2 | Bilateral osteoarthritis resulting from hip dysplasia | ||
| M16.30 | Unilateral osteoarthritis resulting from hip dysplasia, unspecified hip | ||
| M16.31 | Unilateral osteoarthritis resulting from hip dysplasia, right hip | ||
| M16.32 | Unilateral osteoarthritis resulting from hip dysplasia, left hip | ||
| M16.4 | Bilateral post-traumatic osteoarthritis of hip | ||
| M16.50 | Unilateral post-traumatic osteoarthritis, unspecified hip | ||
| M16.51 | Unilateral post-traumatic osteoarthritis, right hip | ||
| M16.52 | Unilateral post-traumatic osteoarthritis, left hip | ||
| M16.6 | Other bilateral secondary osteoarthritis of hip | ||
| M16.7 | Other unilateral secondary osteoarthritis of hip | ||
| M16.9 | Osteoarthritis of hip, unspecified | ||
| M17.0 | Bilateral primary osteoarthritis of knee | ||
| M17.10 | Unilateral primary osteoarthritis, unspecified knee | ||
| M17.11 | Unilateral primary osteoarthritis, right knee | ||
| M17.12 | Unilateral primary osteoarthritis, left knee | ||
| M17.2 | Bilateral post-traumatic osteoarthritis of knee | ||
| M17.30 | Unilateral post-traumatic osteoarthritis, unspecified knee | ||
| M17.31 | Unilateral post-traumatic osteoarthritis, right knee | ||
| M17.32 | Unilateral post-traumatic osteoarthritis, left knee | ||
| M17.4 | Other bilateral secondary osteoarthritis of knee | ||
| M17.5 | Other unilateral secondary osteoarthritis of knee | ||
| M17.9 | Osteoarthritis of knee, unspecified | ||
| M18.0 | Bilateral primary osteoarthritis of first carpometacarpal joints | ||
| M18.10 | Unilateral primary osteoarthritis of first carpometacarpal joint, unspecified hand | ||
| M18.11 | Unilateral primary osteoarthritis of first carpometacarpal joint, right hand | ||
| M18.12 | Unilateral primary osteoarthritis of first carpometacarpal joint, left hand | ||
| M18.2 | Bilateral post-traumatic osteoarthritis of first carpometacarpal joints | ||
| M18.30 | Unilateral post-traumatic osteoarthritis of first carpometacarpal joint, unspecified hand | ||
| M18.31 | Unilateral post-traumatic osteoarthritis of first carpometacarpal joint, right hand | ||
| M18.32 | Unilateral post-traumatic osteoarthritis of first carpometacarpal joint, left hand | ||
| M18.4 | Other bilateral secondary osteoarthritis of first carpometacarpal joints | ||
| M18.50 | Other unilateral secondary osteoarthritis of first carpometacarpal joint, unspecified hand | ||
| M18.51 | Other unilateral secondary osteoarthritis of first carpometacarpal joint, right hand | ||
| M18.52 | Other unilateral secondary osteoarthritis of first carpometacarpal joint, left hand | ||
| M18.9 | Osteoarthritis of first carpometacarpal joint, unspecified | ||
| M19.011 | Primary osteoarthritis, right shoulder | ||
| M19.012 | Primary osteoarthritis, left shoulder | ||
| M19.019 | Primary osteoarthritis, unspecified shoulder | ||
| M19.021 | Primary osteoarthritis, right elbow | ||
| M19.022 | Primary osteoarthritis, left elbow | ||
| M19.029 | Primary osteoarthritis, unspecified elbow | ||
| M19.031 | Primary osteoarthritis, right wrist | ||
| M19.032 | Primary osteoarthritis, left wrist | ||
| M19.039 | Primary osteoarthritis, unspecified wrist | ||
| M19.041 | Primary osteoarthritis, right hand | ||
| M19.042 | Primary osteoarthritis, left hand | ||
| M19.049 | Primary osteoarthritis, unspecified hand | ||
| M19.071 | Primary osteoarthritis, right ankle and foot | ||
| M19.072 | Primary osteoarthritis, left ankle and foot | ||
| M19.079 | Primary osteoarthritis, unspecified ankle and foot | ||
| M19.111 | Post-traumatic osteoarthritis, right shoulder | ||
| M19.112 | Post-traumatic osteoarthritis, left shoulder | ||
| M19.119 | Post-traumatic osteoarthritis, unspecified shoulder | ||
| M19.121 | Post-traumatic osteoarthritis, right elbow | ||
| M19.122 | Post-traumatic osteoarthritis, left elbow | ||
| M19.129 | Post-traumatic osteoarthritis, unspecified elbow | ||
| M19.131 | Post-traumatic osteoarthritis, right wrist | ||
| M19.132 | Post-traumatic osteoarthritis, left wrist | ||
| M19.139 | Post-traumatic osteoarthritis, unspecified wrist | ||
| M19.141 | Post-traumatic osteoarthritis, right hand | ||
| M19.142 | Post-traumatic osteoarthritis, left hand | ||
| M19.149 | Post-traumatic osteoarthritis, unspecified hand | ||
| M19.171 | Post-traumatic osteoarthritis, right ankle and foot | ||
| M19.172 | Post-traumatic osteoarthritis, left ankle and foot | ||
| M19.179 | Post-traumatic osteoarthritis, unspecified ankle and foot | ||
| M19.211 | Secondary osteoarthritis, right shoulder | ||
| M19.212 | Secondary osteoarthritis, left shoulder | ||
| M19.219 | Secondary osteoarthritis, unspecified shoulder | ||
| M19.221 | Secondary osteoarthritis, right elbow | ||
| M19.222 | Secondary osteoarthritis, left elbow | ||
| M19.229 | Secondary osteoarthritis, unspecified elbow | ||
| M19.231 | Secondary osteoarthritis, right wrist | ||
| M19.232 | Secondary osteoarthritis, left wrist | ||
| M19.239 | Secondary osteoarthritis, unspecified wrist | ||
| M19.241 | Secondary osteoarthritis, right hand | ||
| M19.242 | Secondary osteoarthritis, left hand | ||
| M19.249 | Secondary osteoarthritis, unspecified hand | ||
| M19.271 | Secondary osteoarthritis, right ankle and foot | ||
| M19.272 | Secondary osteoarthritis, left ankle and foot | ||
| M19.279 | Secondary osteoarthritis, unspecified ankle and foot | ||
| M19.90 | Unspecified osteoarthritis, unspecified site | ||
| M19.91 | Primary osteoarthritis, unspecified site | ||
| M19.92 | Post-traumatic osteoarthritis, unspecified site | ||
| M19.93 | Secondary osteoarthritis, unspecified site | ||
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