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PQRS Measure

#182Functional Outcome Assessment in Chiropractic Care
 Description  Data Collection Sheet  Coding Specifications Report via: Claim, Registry, GPRO II

The following codes apply for this PQRS measure:

CPT Codes

CodeModifierPOSDescription
98940Chiropractic manipulative treatment (CMT); spinal, 1-2 regions
98941Chiropractic manipulative treatment (CMT); spinal, 3-4 regions
98942Chiropractic manipulative treatment (CMT); spinal, 5 regions

HCPCS Codes

CodeModifierPOSDescription
G8539Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment
G8542Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required
G8541Functional outcome assessment using a standardized tool not documented, reason not given
G8543Documentation of a positive functional outcome assessment using a standardized tool; care plan not documented within two days of assessment, reason not given
G8540Functional outcome assessment not documented as being performed, documentation the patient is not eligible for a functional outcome assessment using a standardized tool at the time of the 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 IThis measure can be submitted via Group Practice Reporting Option 1.
GPRO IIThis measure can be submitted via Group Practice Reporting Option 2.

More information on these alternative reporting mechanisms is available at:
    http://www.cms.gov/PQRS/20_AlternativeReportingMechanisms.asp.
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