Year:  2017 2018 2019 2020 2021 2022 2023 2024 

QPP Measure #155

Falls: Plan of Care

Percentage of patients aged 65 years and older with a history of falls that had a plan of care for falls documented within 12 months.

Submission Methods: Claims, Registry
Measure Sets: Audiology, Family Medicine, Geriatrics, Internal Medicine, Neurology, Orthopedic Surgery, Otolaryngology, Physical Medicine, Physical Therapy Occupational Therapy, Podiatry, Preventive Medicine, Skilled Nursing Facility

The following codes apply for this QPP measure:

CPT Codes

CodeDescription
0518FCPT Code
1100FCPT Code
92540CPT Code
92541CPT Code
92542CPT Code
92548CPT Code
97161CPT Code
97162CPT Code
97163CPT Code
97164CPT Code
97165CPT Code
97166CPT Code
97167CPT Code
97168CPT Code
99202CPT Code
99203CPT Code
99204CPT Code
99205CPT Code
99211CPT Code
99212CPT Code
99213CPT Code
99214CPT Code
99215CPT Code
99304CPT Code
99305CPT Code
99306CPT Code
99307CPT Code
99308CPT Code
99309CPT Code
99310CPT 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
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
G9720Hospice services for patient occurred any time during the measurement period
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