PQRS Measure
Report via: Claim, Registry
The following codes apply for this PQRS measure:
CPT Codes | |||
| Code | Modifier | POS | Description |
|---|---|---|---|
| 36818 | N/A | N/A | Arteriovenous anastomosis, open; by upper arm cephalic vein transposition |
| 36819 | N/A | N/A | Arteriovenous anastomosis, open; by upper arm basilic vein transposition |
| 36820 | N/A | N/A | Arteriovenous anastomosis, open; by forearm vein transposition |
| 36821 | N/A | N/A | Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure) |
| 36825 | N/A | N/A | Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft |
| 36830 | N/A | N/A | Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous graft (eg, biological collagen, thermoplastic graft) |
HCPCS Codes | |||
| Code | Modifier | POS | Description |
| G8530 | N/A | N/A | Autogenous av fistula received |
| G8530 | N/A | N/A | Autogenous av fistula received |
| G8531 | N/A | N/A | Clinician documented that patient was not an eligible candidate for autogenous av fistula |
| G8532 | N/A | N/A | Clinician documented that patient received vascular access other than autogenous av fistula, reason not given |
| G8532 | N/A | N/A | Clinician documented that patient received vascular access other than autogenous av fistula, reason not given |
ICD9 Codes | |||
| Code | Modifier | POS | Description |
| 585.3 | N/A | N/A | Chronic kidney disease, Stage III (moderate) |
| 585.4 | N/A | N/A | Chronic kidney disease, Stage IV (severe) |
| 585.5 | N/A | N/A | Chronic kidney disease, Stage V |
| 585.6 | N/A | N/A | End stage renal disease |
| 996.73 | N/A | N/A | Other complications due to renal dialysis device, implant, and graft |
ICD10CM Codes | |||
| Code | Modifier | POS | Description |
| N18.3 | N/A | N/A | Chronic kidney disease, stage 3 (moderate) |
| N18.4 | N/A | N/A | Chronic kidney disease, stage 4 (severe) |
| N18.5 | N/A | N/A | Chronic kidney disease, stage 5 |
| N18.6 | N/A | N/A | End stage renal disease |
| T82.818A | N/A | N/A | Embolism due to vascular prosthetic devices, implants and grafts, initial encounter |
| T82.828A | N/A | N/A | Fibrosis due to vascular prosthetic devices, implants and grafts, initial encounter |
| T82.838A | N/A | N/A | Hemorrhage due to vascular prosthetic devices, implants and grafts, initial encounter |
| T82.848A | N/A | N/A | Pain due to vascular prosthetic devices, implants and grafts, initial encounter |
| T82.858A | N/A | N/A | Stenosis of other vascular prosthetic devices, implants and grafts, initial encounter |
| T82.868A | N/A | N/A | Thrombosis due to vascular prosthetic devices, implants and grafts, initial encounter |
| T82.898A | N/A | N/A | Other specified complication of vascular prosthetic devices, implants and grafts, initial encounter |
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).
GPRO/ACOThis 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).
GPRO/ACOThis 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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