QPP Measure #TPCC_1
Total Per Capita Cost (TPCC)
The TPCC measure assesses the overall cost of care delivered to a patient with a focus on the primary care they receive from their provider(s). The measure is payment-standardized, risk-adjusted, and specialty-adjusted. In all supplemental documentation, the term "cost" generally means the standardized Medicare allowed amount.
Submission Methods: Administrative Claims
The following codes apply for this QPP measure:
HCPCS Codes | |||
| Code | Description | ||
|---|---|---|---|
| G0053 | Advancing rheumatology patient care mips value pathways | ||
| G0055 | Advancing care for heart disease mips value pathways | ||
| G0056 | Optimizing chronic disease management mips value pathways | ||
| M0001 | Advancing cancer care mips value pathways | ||
| M0002 | Optimal care for kidney health mips value pathways | ||
| M0005 | Value in primary care mips value pathway | ||
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