PQRS Measure
Report via: Claim, Registry, EHR, GPRO/ACO, Measure Group
This measure is can be reported as part of the following groups:
• Diabetes Mellitus Group
• Diabetic Retinopathy Group
• Diabetes Mellitus Group
• Diabetic Retinopathy Group
The following codes apply for this PQRS measure:
CPT Codes | |||
| Code | Modifier | POS | Description |
|---|---|---|---|
| 97802 | Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes | ||
| 97803 | Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes | ||
| 97804 | Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes | ||
| 99201 | Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family. | ||
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded. | ||
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded. | ||
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded. | ||
| 99205 | Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded. | ||
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional | ||
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded. | ||
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded. | ||
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded. | ||
| 99215 | Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded. | ||
| 99217 | Observation care discharge day management (This code is to be utilized to report all services provided to a patient on discharge from outpatient hospital "observation status" if the discharge is on other than the initial date of "observation status." To report services to a patient designated as "observation status" or "inpatient status" and discharged on the same date, use the codes for Observation or Inpatient Care Services [including Admission and Discharge Services, 99234-99236 as appropriate.]) | ||
| 99218 | Initial observation care, per day, for the evaluation and management of a patient which requires these 3 key components: A detailed or comprehensive history; A detailed or comprehensive examination; and Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission to outpatient hospital "observation status" are of low severity. Typically, 30 minutes are spent at the bedside and on the patient's hospital floor or unit. | ||
| 99219 | Initial observation care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission to outpatient hospital "observation status" are of moderate severity. Typically, 50 minutes are spent at the bedside and on the patient's hospital floor or unit. | ||
| 99220 | Initial observation care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission to outpatient hospital "observation status" are of high severity. Typically, 70 minutes are spent at the bedside and on the patient's hospital floor or unit. | ||
| 99221 | Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded. | ||
| 99222 | Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 55 minutes must be met or exceeded. | ||
| 99223 | Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 75 minutes must be met or exceeded. | ||
| 99231 | Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded. | ||
| 99232 | Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded. | ||
| 99233 | Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 50 minutes must be met or exceeded. | ||
| 99238 | Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter | ||
| 99239 | Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter | ||
| 99281 | Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional | ||
| 99282 | Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making | ||
| 99283 | Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making | ||
| 99284 | Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making | ||
| 99285 | Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making | ||
| 99291 | Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes | ||
| 99304 | Initial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded. | ||
| 99305 | Initial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded. | ||
| 99306 | Initial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 50 minutes must be met or exceeded. | ||
| 99307 | Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded. | ||
| 99308 | Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded. | ||
| 99309 | Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded. | ||
| 99310 | Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded. | ||
| 99315 | Nursing facility discharge management; 30 minutes or less total time on the date of the encounter | ||
| 99316 | Nursing facility discharge management; more than 30 minutes total time on the date of the encounter | ||
| 99318 | Evaluation and management of a patient involving an annual nursing facility assessment, which requires these 3 key components: A detailed interval history; A comprehensive examination; and Medical decision making that is of low to moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is stable, recovering, or improving. Typically, 30 minutes are spent at the bedside and on the patient's facility floor or unit. | ||
| 99324 | Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low severity. Typically, 20 minutes are spent with the patient and/or family or caregiver. | ||
| 99325 | Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity. Typically, 30 minutes are spent with the patient and/or family or caregiver. | ||
| 99326 | Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 45 minutes are spent with the patient and/or family or caregiver. | ||
| 99327 | Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of high severity. Typically, 60 minutes are spent with the patient and/or family or caregiver. | ||
| 99328 | Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is unstable or has developed a significant new problem requiring immediate physician attention. Typically, 75 minutes are spent with the patient and/or family or caregiver. | ||
| 99334 | Domiciliary or rest home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused interval history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self-limited or minor. Typically, 15 minutes are spent with the patient and/or family or caregiver. | ||
| 99335 | Domiciliary or rest home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 25 minutes are spent with the patient and/or family or caregiver. | ||
| 99336 | Domiciliary or rest home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 40 minutes are spent with the patient and/or family or caregiver. | ||
| 99337 | Domiciliary or rest home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A comprehensive interval history; A comprehensive examination; Medical decision making of moderate to high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. The patient may be unstable or may have developed a significant new problem requiring immediate physician attention. Typically, 60 minutes are spent with the patient and/or family or caregiver. | ||
| 99341 | Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded. | ||
| 99342 | Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded. | ||
| 99343 | Home visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 45 minutes are spent face-to-face with the patient and/or family. | ||
| 99344 | Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded. | ||
| 99345 | Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 75 minutes must be met or exceeded. | ||
| 99347 | Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded. | ||
| 99348 | Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded. | ||
| 99349 | Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded. | ||
| 99350 | Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded. | ||
| 3046F | 8P | Most recent hemoglobin A1c level greater than 9.0% (DM) | |
| 3044F | Most recent hemoglobin A1c (HbA1c) level less than 7.0% (DM) | ||
| 3044F | Most recent hemoglobin A1c (HbA1c) level less than 7.0% (DM) | ||
| 3045F | Most recent hemoglobin A1c (HbA1c) level 7.0-9.0% (DM) | ||
| 3045F | Most recent hemoglobin A1c (HbA1c) level 7.0-9.0% (DM) | ||
| 3046F | Most recent hemoglobin A1c level greater than 9.0% (DM) | ||
| 3046F | 8P | Most recent hemoglobin A1c level greater than 9.0% (DM) | |
| 3046F | Most recent hemoglobin A1c level greater than 9.0% (DM) | ||
HCPCS Codes | |||
| Code | Modifier | POS | Description |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | ||
| G0271 | Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes | ||
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | ||
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | ||
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | ||
ICD10CM Codes | |||
| Code | Modifier | POS | Description |
| E10.10 | Type 1 diabetes mellitus with ketoacidosis without coma | ||
| E10.11 | Type 1 diabetes mellitus with ketoacidosis with coma | ||
| E10.21 | Type 1 diabetes mellitus with diabetic nephropathy | ||
| E10.22 | Type 1 diabetes mellitus with diabetic chronic kidney disease | ||
| E10.29 | Type 1 diabetes mellitus with other diabetic kidney complication | ||
| E10.311 | Type 1 diabetes mellitus with unspecified diabetic retinopathy with macular edema | ||
| E10.319 | Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | ||
| E10.321 | Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema | ||
| E10.329 | Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema | ||
| E10.331 | Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema | ||
| E10.339 | Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema | ||
| E10.341 | Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema | ||
| E10.349 | Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema | ||
| E10.351 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema | ||
| E10.359 | Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema | ||
| E10.36 | Type 1 diabetes mellitus with diabetic cataract | ||
| E10.39 | Type 1 diabetes mellitus with other diabetic ophthalmic complication | ||
| E10.40 | Type 1 diabetes mellitus with diabetic neuropathy, unspecified | ||
| E10.41 | Type 1 diabetes mellitus with diabetic mononeuropathy | ||
| E10.42 | Type 1 diabetes mellitus with diabetic polyneuropathy | ||
| E10.43 | Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy | ||
| E10.44 | Type 1 diabetes mellitus with diabetic amyotrophy | ||
| E10.49 | Type 1 diabetes mellitus with other diabetic neurological complication | ||
| E10.51 | Type 1 diabetes mellitus with diabetic peripheral angiopathy without gangrene | ||
| E10.52 | Type 1 diabetes mellitus with diabetic peripheral angiopathy with gangrene | ||
| E10.59 | Type 1 diabetes mellitus with other circulatory complications | ||
| E10.610 | Type 1 diabetes mellitus with diabetic neuropathic arthropathy | ||
| E10.618 | Type 1 diabetes mellitus with other diabetic arthropathy | ||
| E10.620 | Type 1 diabetes mellitus with diabetic dermatitis | ||
| E10.621 | Type 1 diabetes mellitus with foot ulcer | ||
| E10.622 | Type 1 diabetes mellitus with other skin ulcer | ||
| E10.628 | Type 1 diabetes mellitus with other skin complications | ||
| E10.630 | Type 1 diabetes mellitus with periodontal disease | ||
| E10.638 | Type 1 diabetes mellitus with other oral complications | ||
| E10.641 | Type 1 diabetes mellitus with hypoglycemia with coma | ||
| E10.649 | Type 1 diabetes mellitus with hypoglycemia without coma | ||
| E10.65 | Type 1 diabetes mellitus with hyperglycemia | ||
| E10.69 | Type 1 diabetes mellitus with other specified complication | ||
| E10.8 | Type 1 diabetes mellitus with unspecified complications | ||
| E10.9 | Type 1 diabetes mellitus without complications | ||
| E11.00 | Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | ||
| E11.01 | Type 2 diabetes mellitus with hyperosmolarity with coma | ||
| E11.21 | Type 2 diabetes mellitus with diabetic nephropathy | ||
| E11.22 | Type 2 diabetes mellitus with diabetic chronic kidney disease | ||
| E11.29 | Type 2 diabetes mellitus with other diabetic kidney complication | ||
| E11.311 | Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema | ||
| E11.319 | Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema | ||
| E11.321 | Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema | ||
| E11.329 | Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema | ||
| E11.331 | Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema | ||
| E11.339 | Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema | ||
| E11.341 | Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema | ||
| E11.349 | Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema | ||
| E11.351 | Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema | ||
| E11.359 | Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema | ||
| E11.36 | Type 2 diabetes mellitus with diabetic cataract | ||
| E11.39 | Type 2 diabetes mellitus with other diabetic ophthalmic complication | ||
| E11.40 | Type 2 diabetes mellitus with diabetic neuropathy, unspecified | ||
| E11.41 | Type 2 diabetes mellitus with diabetic mononeuropathy | ||
| E11.42 | Type 2 diabetes mellitus with diabetic polyneuropathy | ||
| E11.43 | Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy | ||
| E11.44 | Type 2 diabetes mellitus with diabetic amyotrophy | ||
| E11.49 | Type 2 diabetes mellitus with other diabetic neurological complication | ||
| E11.51 | Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | ||
| E11.52 | Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene | ||
| E11.59 | Type 2 diabetes mellitus with other circulatory complications | ||
| E11.610 | Type 2 diabetes mellitus with diabetic neuropathic arthropathy | ||
| E11.618 | Type 2 diabetes mellitus with other diabetic arthropathy | ||
| E11.620 | Type 2 diabetes mellitus with diabetic dermatitis | ||
| E11.621 | Type 2 diabetes mellitus with foot ulcer | ||
| E11.622 | Type 2 diabetes mellitus with other skin ulcer | ||
| E11.628 | Type 2 diabetes mellitus with other skin complications | ||
| E11.630 | Type 2 diabetes mellitus with periodontal disease | ||
| E11.638 | Type 2 diabetes mellitus with other oral complications | ||
| E11.641 | Type 2 diabetes mellitus with hypoglycemia with coma | ||
| E11.649 | Type 2 diabetes mellitus with hypoglycemia without coma | ||
| E11.65 | Type 2 diabetes mellitus with hyperglycemia | ||
| E11.69 | Type 2 diabetes mellitus with other specified complication | ||
| E11.8 | Type 2 diabetes mellitus with unspecified complications | ||
| E11.9 | Type 2 diabetes mellitus without complications | ||
| E13.00 | Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | ||
| E13.01 | Other specified diabetes mellitus with hyperosmolarity with coma | ||
| E13.10 | Other specified diabetes mellitus with ketoacidosis without coma | ||
| E13.11 | Other specified diabetes mellitus with ketoacidosis with coma | ||
| E13.21 | Other specified diabetes mellitus with diabetic nephropathy | ||
| E13.22 | Other specified diabetes mellitus with diabetic chronic kidney disease | ||
| E13.29 | Other specified diabetes mellitus with other diabetic kidney complication | ||
| E13.311 | Other specified diabetes mellitus with unspecified diabetic retinopathy with macular edema | ||
| E13.319 | Other specified diabetes mellitus with unspecified diabetic retinopathy without macular edema | ||
| E13.321 | Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema | ||
| E13.329 | Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema | ||
| E13.331 | Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema | ||
| E13.339 | Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema | ||
| E13.341 | Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema | ||
| E13.349 | Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema | ||
| E13.351 | Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema | ||
| E13.359 | Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema | ||
| E13.36 | Other specified diabetes mellitus with diabetic cataract | ||
| E13.39 | Other specified diabetes mellitus with other diabetic ophthalmic complication | ||
| E13.40 | Other specified diabetes mellitus with diabetic neuropathy, unspecified | ||
| E13.41 | Other specified diabetes mellitus with diabetic mononeuropathy | ||
| E13.42 | Other specified diabetes mellitus with diabetic polyneuropathy | ||
| E13.43 | Other specified diabetes mellitus with diabetic autonomic (poly)neuropathy | ||
| E13.44 | Other specified diabetes mellitus with diabetic amyotrophy | ||
| E13.49 | Other specified diabetes mellitus with other diabetic neurological complication | ||
| E13.51 | Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | ||
| E13.52 | Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene | ||
| E13.59 | Other specified diabetes mellitus with other circulatory complications | ||
| E13.610 | Other specified diabetes mellitus with diabetic neuropathic arthropathy | ||
| E13.618 | Other specified diabetes mellitus with other diabetic arthropathy | ||
| E13.620 | Other specified diabetes mellitus with diabetic dermatitis | ||
| E13.621 | Other specified diabetes mellitus with foot ulcer | ||
| E13.622 | Other specified diabetes mellitus with other skin ulcer | ||
| E13.628 | Other specified diabetes mellitus with other skin complications | ||
| E13.630 | Other specified diabetes mellitus with periodontal disease | ||
| E13.638 | Other specified diabetes mellitus with other oral complications | ||
| E13.641 | Other specified diabetes mellitus with hypoglycemia with coma | ||
| E13.649 | Other specified diabetes mellitus with hypoglycemia without coma | ||
| E13.65 | Other specified diabetes mellitus with hyperglycemia | ||
| E13.69 | Other specified diabetes mellitus with other specified complication | ||
| E13.8 | Other specified diabetes mellitus with unspecified complications | ||
| E13.9 | Other specified diabetes mellitus without complications | ||
| O24.011 | Pre-existing type 1 diabetes mellitus, in pregnancy, first trimester | ||
| O24.012 | Pre-existing type 1 diabetes mellitus, in pregnancy, second trimester | ||
| O24.013 | Pre-existing type 1 diabetes mellitus, in pregnancy, third trimester | ||
| O24.019 | Pre-existing type 1 diabetes mellitus, in pregnancy, unspecified trimester | ||
| O24.02 | Pre-existing type 1 diabetes mellitus, in childbirth | ||
| O24.03 | Pre-existing type 1 diabetes mellitus, in the puerperium | ||
| O24.111 | Pre-existing type 2 diabetes mellitus, in pregnancy, first trimester | ||
| O24.112 | Pre-existing type 2 diabetes mellitus, in pregnancy, second trimester | ||
| O24.113 | Pre-existing type 2 diabetes mellitus, in pregnancy, third trimester | ||
| O24.119 | Pre-existing type 2 diabetes mellitus, in pregnancy, unspecified trimester | ||
| O24.12 | Pre-existing type 2 diabetes mellitus, in childbirth | ||
| O24.13 | Pre-existing type 2 diabetes mellitus, in the puerperium | ||
| O24.311 | Unspecified pre-existing diabetes mellitus in pregnancy, first trimester | ||
| O24.312 | Unspecified pre-existing diabetes mellitus in pregnancy, second trimester | ||
| O24.313 | Unspecified pre-existing diabetes mellitus in pregnancy, third trimester | ||
| O24.319 | Unspecified pre-existing diabetes mellitus in pregnancy, unspecified trimester | ||
| O24.32 | Unspecified pre-existing diabetes mellitus in childbirth | ||
| O24.33 | Unspecified pre-existing diabetes mellitus in the puerperium | ||
| O24.811 | Other pre-existing diabetes mellitus in pregnancy, first trimester | ||
| O24.812 | Other pre-existing diabetes mellitus in pregnancy, second trimester | ||
| O24.813 | Other pre-existing diabetes mellitus in pregnancy, third trimester | ||
| O24.819 | Other pre-existing diabetes mellitus in pregnancy, unspecified trimester | ||
| O24.82 | Other pre-existing diabetes mellitus in childbirth | ||
| O24.83 | Other pre-existing diabetes mellitus in the puerperium | ||
Legend:
ClaimThis measure can be submitted via claim. Use the 'Data Collection' pdf associated with the measure.
GroupThis measure can be submitted through one or more groups. Click on the group name to view the group information.
RegistryThis measure can be submitted through registry.
EHRThis measure can be submitted via Electronic Health Record (EHR).
GPROThis measure can be submitted via Group Practice Reporting Option, or GPRO Web Interface.
SurveyThis measure can be submitted/collected via a Certified Survey Vendor.
More information on these alternative reporting mechanisms is available at:
http://www.cms.gov/PQRS/20_AlternativeReportingMechanisms.asp.
ClaimThis measure can be submitted via claim. Use the 'Data Collection' pdf associated with the measure.
GroupThis measure can be submitted through one or more groups. Click on the group name to view the group information.
RegistryThis measure can be submitted through registry.
EHRThis measure can be submitted via Electronic Health Record (EHR).
GPROThis measure can be submitted via Group Practice Reporting Option, or GPRO Web Interface.
SurveyThis measure can be submitted/collected via a Certified Survey Vendor.
More information on these alternative reporting mechanisms is available at:
http://www.cms.gov/PQRS/20_AlternativeReportingMechanisms.asp.
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