Year:  2017 2018 2019 2020 2021 2022 2023 2024 

QPP Measure #131

Pain Assessment and Follow-Up

Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present

Submission Methods: Claims, Registry
Measure Sets: Orthopedic Surgery, Physical Medicine, Urology, Rheumatology

The following codes apply for this QPP measure:

CPT Codes

CodeDescription
90791CPT Code
90792CPT Code
92002CPT Code
92004CPT Code
92012CPT Code
92014CPT Code
92507CPT Code
92508CPT Code
92526CPT Code
96116CPT Code
96118CPT Code
96150CPT Code
96151CPT Code
97127CPT Code
97161CPT Code
97162CPT Code
97163CPT Code
97164CPT Code
97165CPT Code
97166CPT Code
97167CPT Code
97168CPT Code
98940CPT Code
98941CPT Code
98942CPT Code
99201CPT Code
99202CPT Code
99203CPT Code
99204CPT Code
99205CPT Code
99212CPT Code
99213CPT Code
99214CPT Code
99215CPT Code
99221CPT Code
99222CPT Code
99223CPT Code
99234CPT Code
99235CPT Code
99236CPT Code
99238CPT Code
99239CPT Code
99324CPT Code
99325CPT Code
99326CPT Code
99327CPT Code
99328CPT Code
99334CPT Code
99335CPT Code
99336CPT Code
99337CPT Code
99341CPT Code
99342CPT Code
99343CPT Code
99344CPT Code
99345CPT Code
99347CPT Code
99348CPT Code
99349CPT Code
99350CPT Code

HCPCS Codes

CodeDescription
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination
G0402Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
G8442Pain assessment not documented as being performed, documentation the patient is not eligible for a pain assessment using a standardized tool at the time of the encounter
G8509Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given
G8730Pain assessment documented as positive using a standardized tool and a follow-up plan is documented
G8731Pain assessment using a standardized tool is documented as negative, no follow-up plan required
G8732No documentation of pain assessment, reason not given
G8939Pain assessment documented as positive, follow-up plan not documented, documentation the patient is not eligible at the time of the encounter
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