Watch for abandoned Category II codes when reporting for PQRS

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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 explains recent changes in physician quality reporting codes and how those changes affect PQRS-related reporting. It is aimed at coders, billing staff, and quality reporting professionals who need to stay current with CMS updates, CPT Category II code usage, and measure-related reporting trends.

Why This Topic Matters

PQRS reporting depends on up-to-date quality codes and measure alignment, so deleted or revised codes can affect reporting accuracy and completeness. Understanding which reporting codes remain active, which have been removed, and which measures they support helps practices avoid outdated submissions.

What You Will Learn

  • How CMS updates can affect physician quality reporting code selection
  • Which broad types of CPT Category II quality-reporting codes are discussed in relation to PQRS
  • How utilization trends can differ between commonly used quality codes and specialty-specific codes
  • How quality reporting measures are referenced in relation to CPT Category II code use

Who Should Read This

  • Medical coders
  • Billing and reimbursement staff
  • Quality reporting specialists
  • Practice administrators
  • Physician office staff

Codes Discussed


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