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PQRS Measure

 Report via: Claim, Registry

The following codes apply for this PQRS measure:

CPT Codes

CodeModifierPOSDescription
97001N/AN/APhysical therapy evaluation
97002N/AN/APhysical therapy re-evaluation
98940N/AN/AChiropractic manipulative treatment (CMT); spinal, 1-2 regions
98941N/AN/AChiropractic manipulative treatment (CMT); spinal, 3-4 regions
98942N/AN/AChiropractic manipulative treatment (CMT); spinal, 5 regions

HCPCS Codes

CodeModifierPOSDescription
G8539N/AN/AFunctional 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
G8542N/AN/AFunctional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required
G8942N/AN/AFunctional outcome assessment using a standardized tool is documented within the previous 30 days and a care plan, based on identified deficiencies is documented within two days of the functional outcome assessment
G8541N/AN/AFunctional outcome assessment using a standardized tool not documented, reason not given
G8543N/AN/ADocumentation of a positive functional outcome assessment using a standardized tool; care plan not documented within two days of assessment, reason not given
G8540N/AN/AFunctional 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/ACOThis measure can be submitted via Group Practice Reporting Option, or GPRO Web Interface.

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