decisionhealth Newsletters, Coder Pink Sheets - 2008 Issue 9 (September)
Ophthalmologists have three new PQRI measures for 2009
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Article Overview
This article explains newly discussed 2009 PQRI measures for ophthalmology, with emphasis on cataract surgery, age-related macular degeneration, and glaucoma. It is useful for ophthalmologists, coders, and quality-reporting staff who need to understand which specialties and encounter types are involved, what general reporting categories are addressed, and which code sets are referenced for measure reporting. The article also notes the CMS context for the measures and the overall incentive-reporting framework.
Why This Topic Matters
The article helps ophthalmology practices identify quality-reporting opportunities and understand the documentation and coding areas tied to PQRI participation. It is relevant for practices tracking CMS quality measures and preparing claims or reporting workflows for a specific program year.
Article Sections
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Cataract surgery
Covers the cataract-related PQRI measure and the general reporting context for ophthalmology practices. It also connects the measure to preoperative assessment and related procedure reporting.
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Age-related macular degeneration
Summarizes the AMD measure and the general reporting framework for patients seen during the reporting period. It discusses the measure in relation to counseling and associated visit and diagnosis coding.
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Glaucoma
Describes the glaucoma PQRI measure and its reporting context for patients with primary open-angle glaucoma. It also outlines the related visit and diagnosis code categories referenced in the article.
What You Will Learn
- Which ophthalmology quality measures are highlighted for the 2009 reporting year
- How the article frames PQRI participation for cataract surgery, AMD, and glaucoma
- What broad code sets are referenced for measure reporting
- Which specialties and patient encounter categories are involved in the discussion
- How the article situates the measures within CMS quality reporting
Who Should Read This
- Ophthalmologists
- Medical coders
- Quality reporting staff
- Practice managers
- Billing staff
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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