QPP Measure #236
Controlling High Blood Pressure
Percentage of patients 18-85 years of age who had a diagnosis of essential hypertension starting before and continuing into, or starting during the first six months of the measurement period, and whose most recent blood pressure was adequately controlled (<140/90mmHg) during the measurement period.
The following codes apply for this QPP measure:
CPT Codes | |||
| Code | Description | ||
|---|---|---|---|
| 98980 | 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 | ||
| 99341 | CPT Code | ||
| 99342 | CPT Code | ||
| 99344 | CPT Code | ||
| 99345 | CPT Code | ||
| 99347 | CPT Code | ||
| 99348 | CPT Code | ||
| 99349 | CPT Code | ||
| 99350 | CPT Code | ||
| 99385 | CPT Code | ||
| 99386 | CPT Code | ||
| 99387 | CPT Code | ||
| 99395 | CPT Code | ||
| 99396 | CPT Code | ||
| 99397 | CPT Code | ||
| 99421 | CPT Code | ||
| 99422 | CPT Code | ||
| 99423 | CPT Code | ||
| 99457 | CPT Code | ||
HCPCS Codes | |||
| Code | Description | ||
| G0031 | Palliative care services given to patient any time during the measurement period | ||
| G0054 | Coordinating stroke care to promote prevention and cultivate positive outcomes mips value pathways | ||
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | ||
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | ||
| G2115 | Patients 66 - 80 years of age with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period | ||
| G2116 | Patients 66 - 80 years of age with at least one claim/encounter for frailty during the measurement period and an advanced illness diagnosis during the measurement period or the year prior to the measurement period | ||
| G2118 | Patients 81 years of age and older with at least one claim/encounter for frailty during the measurement period | ||
| G2250 | Remote assessment of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related service provided within the previous 7 days nor leading to a service or procedure within the next 24 hours or soonest available appointment | ||
| G2251 | Brief communication technology-based service, e.g. virtual check-in, by a qualified health care professional who cannot report evaluation and management services, provided to an established patient, not originating from a related service provided within the previous 7 days nor leading to a service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of clinical discussion | ||
| G2252 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion | ||
| G8752 | Most recent systolic blood pressure < 140 mmhg | ||
| G8753 | Most recent systolic blood pressure >= 140 mmhg | ||
| G8754 | Most recent diastolic blood pressure < 90 mmhg | ||
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | ||
| G8756 | No documentation of blood pressure measurement, reason not given | ||
| G9231 | Documentation of end stage renal disease (esrd), dialysis, renal transplant before or during the measurement period or pregnancy during the measurement period | ||
| G9740 | Hospice services given to patient any time during the measurement period | ||
| G9910 | Patients age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54 or 56 for more than 90 consecutive days during the measurement period | ||
| M0002 | Optimal care for kidney health mips value pathways | ||
| M0005 | Value in primary care mips value pathway | ||
ICD10CM Codes | |||
| Code | Description | ||
| I10 | Essential (primary) hypertension | ||
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