decisionhealth Newsletters, Part B News - 2007 Issue 6 (June)
Use this table to code Pulmonology measures
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Article Overview
This article presents a specialty coding table for Physician Quality Reporting Initiative measures related to respiratory and pulmonary care. It is intended for coders and billing staff who need a broad reference for measure categories, associated diagnosis groupings, and the types of CPT II, ICD-9, CPT procedure, and E/M codes referenced in PQRI reporting guidance.
Why This Topic Matters
It helps readers quickly determine whether the article applies to reporting and documentation workflows for asthma, COPD, pneumonia, and upper respiratory infection measures, along with the general code families involved.
Article Sections
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PQRI series introduction and reporting context
Introduces the specialty-focused quality measure chart and places it in the context of PQRI reporting guidance. It also notes the update timing and the general relationship between quality measures and standard claim coding.
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Asthma measures
Covers asthma-related quality measures for evaluation and pharmacologic treatment. The section ties these measures to respiratory diagnosis groupings and common office and preventive service code families.
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Chronic Obstructive Pulmonary Disease (COPD) measures
Summarizes COPD-related quality measures involving spirometry documentation and inhaled bronchodilator therapy. It also identifies the patient population and the coding categories linked to those measures.
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Community-Acquired Bacterial Pneumonia measures
Lists pneumonia-related quality measures covering documentation, assessment, and treatment-related topics. It references the associated diagnosis groupings and visit code families used in reporting.
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Upper Respiratory Infection measure
Addresses the pediatric upper respiratory infection measure and its reporting context. It includes the broad coding categories associated with the measure and the note on documentation availability.
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Source note and exclusion modifiers
Provides the source reference and a brief note on exclusion modifier categories used in the table. This closes the article with publication and reporting details.
What You Will Learn
- How this PQRI pulmonology measure table is organized by condition
- Which respiratory quality measure categories are included
- What broad code families are associated with each measure
- Which organizations and update references frame the table
- What documentation and reporting topics the article covers
Who Should Read This
- Medical coders
- Billing staff
- Quality reporting specialists
- Practice managers
- Pulmonology and primary care clinicians
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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