PQRS Measure
#131Pain Assessment Prior to Initiation of Patient Therapy and Follow-Up
The following codes apply for this PQRS measure:
CPT Codes | |||
| Code | Modifier | POS | Description |
|---|---|---|---|
| 90801 | Psychiatric diagnostic interview examination | ||
| 90802 | Interactive psychiatric diagnostic interview examination using play equipment, physical devices, language interpreter, or other mechanisms of communication | ||
| 96116 | Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour | ||
| 96150 | Health and behavior assessment (eg, health-focused clinical interview, behavioral observations, psychophysiological monitoring, health-oriented questionnaires), each 15 minutes face-to-face with the patient; initial assessment | ||
| 97001 | Physical therapy evaluation | ||
| 97003 | Occupational therapy evaluation | ||
| 98940 | Chiropractic manipulative treatment (CMT); spinal, 1-2 regions | ||
| 98941 | Chiropractic manipulative treatment (CMT); spinal, 3-4 regions | ||
| 98942 | Chiropractic manipulative treatment (CMT); spinal, 5 regions | ||
HCPCS Codes | |||
| Code | Modifier | POS | Description |
| G8440 | Documentation of pain assessment (including location, intensity and description) prior to initiation of therapy or documentation of the absence of pain as a result of assessment through discussion with the patient including the use of a standardized tool and a follow-up plan is documented | ||
| G8441 | No documentation of pain assessment (including location, intensity and description) prior to initiation of therapy | ||
| G8509 | Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given | ||
| G8442 | Pain assessment not documented as being performed, documentation the patient is not eligible for a pain assessment using a standardized tool at the time of the encounter | ||
| G8508 | Documentation of pain assessment (including location, intensity and description) prior to initiation of therapy or documentation of the absence of pain as a result of assessment through discussion with the patient including the use of a standardized tool; no documentation of a follow-up plan, patient not eligible | ||
Legend:
Registry OKThis measure can be submitted through registry.
EHR OKThis measure can be submitted via Electronic Health Record (EHR).
More information on these alternative reporting mechanisms is available at:
http://www.cms.gov/PQRS/20_AlternativeReportingMechanisms.asp.
Registry OKThis measure can be submitted through registry.
EHR OKThis measure can be submitted via Electronic Health Record (EHR).
More information on these alternative reporting mechanisms is available at:
http://www.cms.gov/PQRS/20_AlternativeReportingMechanisms.asp.
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