Specialty breakdown of PQRI quality measures

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article is part of a specialty-focused primer on early Physician Quality Reporting Initiative reporting. It explains how selected gastroenterology quality measures are organized, what broad clinical situations they relate to, and which code sets and exclusion modifiers are referenced for reporting. It is useful for clinicians, coders, and billing staff trying to understand whether the measures apply to their practice and how the measure tables are structured.

Why This Topic Matters

It helps readers identify the gastroenterology measures discussed in the PQRI program and understand the surrounding reporting framework without having to review the full table in detail.

Article Sections

  1. Introduction to the PQRI specialty primer

    An overview of the reporting initiative, the purpose of the specialty-by-specialty series, and how the measure tables are intended to help readers evaluate relevance to their practice.

  2. Use of the gastroenterology quality measure table

    A description of the table format and the types of coding information included for each measure, along with a general note about exclusion modifiers.

  3. Gastroenterology quality measures

    A specialty-specific listing of gastroenterology measures and the broad clinical scenarios they address within the reporting framework.

What You Will Learn

  • How the article frames PQRI reporting for specialty practices
  • What types of coding information are included in the gastroenterology measure table
  • Which broad gastroenterology topics are covered by the measures
  • How the article organizes measure-related reporting references and exclusions

Who Should Read This

  • Physicians
  • Medical coders
  • Billing staff
  • Practice managers
  • Gastroenterology practices

Codes Discussed

Code Ranges Discussed

  • ICD-9-CM: 530.10-530.12
  • ICD-9-CM: 99201-99205
  • ICD-9-CM: 99212-99215
  • ICD-9-CM: 99241-99245
  • ICD-9-CM: 99354-99355
  • ICD-9-CM: 530.19
  • ICD-9-CM: 530.81
  • ICD-9-CM: 787.1
  • CPT: 43234-43251
  • CPT: 43255-43259

Modifiers Discussed


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