QPP Measure #416
Emergency Medicine: Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 2 Through 17 Years
Percentage of emergency department visits for patients aged 2 through 17 years who presented with a minor blunt head trauma who had a head CT for trauma ordered by an emergency care provider who are classified as low risk according to the Pediatric Emergency Care Applied Research Network (PECARN) prediction rules for traumatic brain injury.
The following codes apply for this QPP measure:
CPT Codes | |||
| Code | Description | ||
|---|---|---|---|
| 99281 | CPT Code | ||
| 99282 | CPT Code | ||
| 99283 | CPT Code | ||
| 99284 | CPT Code | ||
| 99285 | CPT Code | ||
| 99291 | CPT Code | ||
HCPCS Codes | |||
| Code | Description | ||
| G0047 | Pediatric patient with minor blunt head trauma and pecarn prediction criteria are not assessed | ||
| G9593 | Pediatric patient with minor blunt head trauma classified as low risk according to the pecarn prediction rules | ||
| G9594 | Patient presented with a minor blunt head trauma and had a head ct ordered for trauma by an emergency care provider | ||
| G9595 | Patient has documentation of ventricular shunt, brain tumor, or coagulopathy | ||
| G9596 | Pediatric patient had a head ct for trauma ordered by someone other than an emergency care provider or was ordered for a reason other than trauma | ||
| G9597 | Pediatric patient with minor blunt head trauma not classified as low risk according to the pecarn prediction rules | ||
ICD10CM Codes | |||
| Code | Description | ||
| S00.03XA | Contusion of scalp, initial encounter | ||
| S00.33XA | Contusion of nose, initial encounter | ||
| S00.431A | Contusion of right ear, initial encounter | ||
| S00.432A | Contusion of left ear, initial encounter | ||
| S00.439A | Contusion of unspecified ear, initial encounter | ||
| S00.531A | Contusion of lip, initial encounter | ||
| S00.532A | Contusion of oral cavity, initial encounter | ||
| S00.83XA | Contusion of other part of head, initial encounter | ||
| S00.93XA | Contusion of unspecified part of head, initial encounter | ||
| S06.0X0A | Concussion without loss of consciousness, initial encounter | ||
| S06.0X1A | Concussion with loss of consciousness of 30 minutes or less, initial encounter | ||
| S06.0X9A | Concussion with loss of consciousness of unspecified duration, initial encounter | ||
| S06.1X0A | Traumatic cerebral edema without loss of consciousness, initial encounter | ||
| S06.1X1A | Traumatic cerebral edema with loss of consciousness of 30 minutes or less, initial encounter | ||
| S06.1X2A | Traumatic cerebral edema with loss of consciousness of 31 minutes to 59 minutes, initial encounter | ||
| S06.1X3A | Traumatic cerebral edema with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter | ||
| S06.1X4A | Traumatic cerebral edema with loss of consciousness of 6 hours to 24 hours, initial encounter | ||
| S06.1X9A | Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | ||
| S06.2X0A | Diffuse traumatic brain injury without loss of consciousness, initial encounter | ||
| S06.2X1A | Diffuse traumatic brain injury with loss of consciousness of 30 minutes or less, initial encounter | ||
| S06.2X2A | Diffuse traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, initial encounter | ||
| S06.2X3A | Diffuse traumatic brain injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter | ||
| S06.2X4A | Diffuse traumatic brain injury with loss of consciousness of 6 hours to 24 hours, initial encounter | ||
| S06.2X9A | Diffuse traumatic brain injury with loss of consciousness of unspecified duration, initial encounter | ||
| S06.300A | Unspecified focal traumatic brain injury without loss of consciousness, initial encounter | ||
| S06.301A | Unspecified focal traumatic brain injury with loss of consciousness of 30 minutes or less, initial encounter | ||
| S06.302A | Unspecified focal traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, initial encounter | ||
| S06.303A | Unspecified focal traumatic brain injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter | ||
| S06.304A | Unspecified focal traumatic brain injury with loss of consciousness of 6 hours to 24 hours, initial encounter | ||
| S06.309A | Unspecified focal traumatic brain injury with loss of consciousness of unspecified duration, initial encounter | ||
| S06.340A | Traumatic hemorrhage of right cerebrum without loss of consciousness, initial encounter | ||
| S06.341A | Traumatic hemorrhage of right cerebrum with loss of consciousness of 30 minutes or less, initial encounter | ||
| S06.342A | Traumatic hemorrhage of right cerebrum with loss of consciousness of 31 minutes to 59 minutes, initial encounter | ||
| S06.343A | Traumatic hemorrhage of right cerebrum with loss of consciousness of 1 hours to 5 hours 59 minutes, initial encounter | ||
| S06.344A | Traumatic hemorrhage of right cerebrum with loss of consciousness of 6 hours to 24 hours, initial encounter | ||
| S06.349A | Traumatic hemorrhage of right cerebrum with loss of consciousness of unspecified duration, initial encounter | ||
| S06.350A | Traumatic hemorrhage of left cerebrum without loss of consciousness, initial encounter | ||
| S06.351A | Traumatic hemorrhage of left cerebrum with loss of consciousness of 30 minutes or less, initial encounter | ||
| S06.352A | Traumatic hemorrhage of left cerebrum with loss of consciousness of 31 minutes to 59 minutes, initial encounter | ||
| S06.353A | Traumatic hemorrhage of left cerebrum with loss of consciousness of 1 hours to 5 hours 59 minutes, initial encounter | ||
| S06.354A | Traumatic hemorrhage of left cerebrum with loss of consciousness of 6 hours to 24 hours, initial encounter | ||
| S06.359A | Traumatic hemorrhage of left cerebrum with loss of consciousness of unspecified duration, initial encounter | ||
| S06.360A | Traumatic hemorrhage of cerebrum, unspecified, without loss of consciousness, initial encounter | ||
| S06.361A | Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 30 minutes or less, initial encounter | ||
| S06.362A | Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 31 minutes to 59 minutes, initial encounter | ||
| S06.363A | Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 1 hours to 5 hours 59 minutes, initial encounter | ||
| S06.364A | Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 6 hours to 24 hours, initial encounter | ||
| S06.369A | Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of unspecified duration, initial encounter | ||
| S06.4X0A | Epidural hemorrhage without loss of consciousness, initial encounter | ||
| S06.4X1A | Epidural hemorrhage with loss of consciousness of 30 minutes or less, initial encounter | ||
| S06.4X2A | Epidural hemorrhage with loss of consciousness of 31 minutes to 59 minutes, initial encounter | ||
| S06.4X3A | Epidural hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter | ||
| S06.4X4A | Epidural hemorrhage with loss of consciousness of 6 hours to 24 hours, initial encounter | ||
| S06.4X9A | Epidural hemorrhage with loss of consciousness of unspecified duration, initial encounter | ||
| S06.5X0A | Traumatic subdural hemorrhage without loss of consciousness, initial encounter | ||
| S06.5X1A | Traumatic subdural hemorrhage with loss of consciousness of 30 minutes or less, initial encounter | ||
| S06.5X2A | Traumatic subdural hemorrhage with loss of consciousness of 31 minutes to 59 minutes, initial encounter | ||
| S06.5X3A | Traumatic subdural hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter | ||
| S06.5X4A | Traumatic subdural hemorrhage with loss of consciousness of 6 hours to 24 hours, initial encounter | ||
| S06.5X9A | Traumatic subdural hemorrhage with loss of consciousness of unspecified duration, initial encounter | ||
| S06.6X0A | Traumatic subarachnoid hemorrhage without loss of consciousness, initial encounter | ||
| S06.6X1A | Traumatic subarachnoid hemorrhage with loss of consciousness of 30 minutes or less, initial encounter | ||
| S06.6X2A | Traumatic subarachnoid hemorrhage with loss of consciousness of 31 minutes to 59 minutes, initial encounter | ||
| S06.6X3A | Traumatic subarachnoid hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter | ||
| S06.6X4A | Traumatic subarachnoid hemorrhage with loss of consciousness of 6 hours to 24 hours, initial encounter | ||
| S06.6X9A | Traumatic subarachnoid hemorrhage with loss of consciousness of unspecified duration, initial encounter | ||
| S06.810A | Injury of right internal carotid artery, intracranial portion, not elsewhere classified without loss of consciousness, initial encounter | ||
| S06.811A | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 30 minutes or less, initial encounter | ||
| S06.812A | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 31 minutes to 59 minutes, initial encounter | ||
| S06.813A | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter | ||
| S06.814A | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, initial encounter | ||
| S06.819A | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of unspecified duration, initial encounter | ||
| S06.820A | Injury of left internal carotid artery, intracranial portion, not elsewhere classified without loss of consciousness, initial encounter | ||
| S06.821A | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 30 minutes or less, initial encounter | ||
| S06.822A | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 31 minutes to 59 minutes, initial encounter | ||
| S06.823A | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter | ||
| S06.824A | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, initial encounter | ||
| S06.829A | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of unspecified duration, initial encounter | ||
| S06.890A | Other specified intracranial injury without loss of consciousness, initial encounter | ||
| S06.891A | Other specified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | ||
| S06.892A | Other specified intracranial injury with loss of consciousness of 31 minutes to 59 minutes, initial encounter | ||
| S06.893A | Other specified intracranial injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter | ||
| S06.894A | Other specified intracranial injury with loss of consciousness of 6 hours to 24 hours, initial encounter | ||
| S06.899A | Other specified intracranial injury with loss of consciousness of unspecified duration, initial encounter | ||
| S06.9X0A | Unspecified intracranial injury without loss of consciousness, initial encounter | ||
| S06.9X1A | Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | ||
| S06.9X2A | Unspecified intracranial injury with loss of consciousness of 31 minutes to 59 minutes, initial encounter | ||
| S06.9X3A | Unspecified intracranial injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter | ||
| S06.9X4A | Unspecified intracranial injury with loss of consciousness of 6 hours to 24 hours, initial encounter | ||
| S06.9X9A | Unspecified intracranial injury with loss of consciousness of unspecified duration, initial encounter | ||
| S06.A0XA | Traumatic brain compression without herniation, initial encounter | ||
| S06.A1XA | Traumatic brain compression with herniation, initial encounter | ||
| S09.11XA | Strain of muscle and tendon of head, initial encounter | ||
| S09.19XA | Other specified injury of muscle and tendon of head, initial encounter | ||
| S09.8XXA | Other specified injuries of head, initial encounter | ||
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