PQRS Information

Year: 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007

PQRS Measure

#188Referral for Otologic Evaluation for Patients with Congenital or Traumatic Deformity of the Ear

Report via: Claim, Registry

The following codes apply for this PQRS measure:

Code	Modifier	POS	Description
CPT Codes
92550	N/A	N/A	Tympanometry and reflex threshold measurements
92570	N/A	N/A	Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing
92557	N/A	N/A	Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined)
92567	N/A	N/A	Tympanometry (impedance testing)
92568	N/A	N/A	Acoustic reflex testing, threshold
92575	N/A	N/A	Sensorineural acuity level test
HCPCS Codes
Code	Modifier	POS	Description
G8556	N/A	N/A	Referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation
G8558	N/A	N/A	Not referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not given
G8557	N/A	N/A	Patient is not eligible for the referral for otologic evaluation measure
ICD9 Codes
Code	Modifier	POS	Description
380.00	N/A	N/A	Perichondritis of pinna, unspecified
380.01	N/A	N/A	Acute perichondritis of pinna
380.02	N/A	N/A	Chronic perichondritis of pinna
380.03	N/A	N/A	Chondritis of pinna
380.10	N/A	N/A	Infective otitis externa, unspecified
380.30	N/A	N/A	Disorder of pinna, unspecified
380.31	N/A	N/A	Hematoma of auricle or pinna
380.32	N/A	N/A	Acquired deformities of auricle or pinna
380.39	N/A	N/A	Other noninfectious disorders of pinna
380.51	N/A	N/A	Acquired stenosis of external ear canal secondary to trauma
380.81	N/A	N/A	Exostosis of external ear canal
380.89	N/A	N/A	Other disorders of external ear
380.9	N/A	N/A	Unspecified disorder of external ear
744.01	N/A	N/A	Absence of external ear
744.02	N/A	N/A	Other anomalies of external ear with impairment of hearing
744.03	N/A	N/A	Anomaly of middle ear, except ossicles
744.09	N/A	N/A	Other anomalies of ear causing impairment of hearing
ICD10CM Codes
Code	Modifier	POS	Description
Q16.0	N/A	N/A	Congenital absence of (ear) auricle
Q16.1	N/A	N/A	Congenital absence, atresia and stricture of auditory canal (external)
Q16.4	N/A	N/A	Other congenital malformations of middle ear
Q16.9	N/A	N/A	Congenital malformation of ear causing impairment of hearing, unspecified
H61.001	N/A	N/A	Unspecified perichondritis of right external ear
H61.002	N/A	N/A	Unspecified perichondritis of left external ear
H61.003	N/A	N/A	Unspecified perichondritis of external ear, bilateral
H61.009	N/A	N/A	Unspecified perichondritis of external ear, unspecified ear
H61.011	N/A	N/A	Acute perichondritis of right external ear
H61.012	N/A	N/A	Acute perichondritis of left external ear
H61.013	N/A	N/A	Acute perichondritis of external ear, bilateral
H61.019	N/A	N/A	Acute perichondritis of external ear, unspecified ear
H61.021	N/A	N/A	Chronic perichondritis of right external ear
H61.022	N/A	N/A	Chronic perichondritis of left external ear
H61.023	N/A	N/A	Chronic perichondritis of external ear, bilateral
H61.029	N/A	N/A	Chronic perichondritis of external ear, unspecified ear
H61.031	N/A	N/A	Chondritis of right external ear
H61.032	N/A	N/A	Chondritis of left external ear
H61.033	N/A	N/A	Chondritis of external ear, bilateral
H61.039	N/A	N/A	Chondritis of external ear, unspecified ear
H60.00	N/A	N/A	Abscess of external ear, unspecified ear
H60.01	N/A	N/A	Abscess of right external ear
H60.02	N/A	N/A	Abscess of left external ear
H60.03	N/A	N/A	Abscess of external ear, bilateral
H60.10	N/A	N/A	Cellulitis of external ear, unspecified ear
H60.11	N/A	N/A	Cellulitis of right external ear
H60.12	N/A	N/A	Cellulitis of left external ear
H60.13	N/A	N/A	Cellulitis of external ear, bilateral
H60.311	N/A	N/A	Diffuse otitis externa, right ear
H60.312	N/A	N/A	Diffuse otitis externa, left ear
H60.313	N/A	N/A	Diffuse otitis externa, bilateral
H60.319	N/A	N/A	Diffuse otitis externa, unspecified ear
H60.321	N/A	N/A	Hemorrhagic otitis externa, right ear
H60.322	N/A	N/A	Hemorrhagic otitis externa, left ear
H60.323	N/A	N/A	Hemorrhagic otitis externa, bilateral
H60.329	N/A	N/A	Hemorrhagic otitis externa, unspecified ear
H60.391	N/A	N/A	Other infective otitis externa, right ear
H60.392	N/A	N/A	Other infective otitis externa, left ear
H60.393	N/A	N/A	Other infective otitis externa, bilateral
H60.399	N/A	N/A	Other infective otitis externa, unspecified ear
H61.101	N/A	N/A	Unspecified noninfective disorders of pinna, right ear
H61.102	N/A	N/A	Unspecified noninfective disorders of pinna, left ear
H61.103	N/A	N/A	Unspecified noninfective disorders of pinna, bilateral
H61.109	N/A	N/A	Unspecified noninfective disorders of pinna, unspecified ear
H61.121	N/A	N/A	Hematoma of pinna, right ear
H61.122	N/A	N/A	Hematoma of pinna, left ear
H61.123	N/A	N/A	Hematoma of pinna, bilateral
H61.129	N/A	N/A	Hematoma of pinna, unspecified ear
H61.111	N/A	N/A	Acquired deformity of pinna, right ear
H61.112	N/A	N/A	Acquired deformity of pinna, left ear
H61.113	N/A	N/A	Acquired deformity of pinna, bilateral
H61.119	N/A	N/A	Acquired deformity of pinna, unspecified ear
H61.191	N/A	N/A	Noninfective disorders of pinna, right ear
H61.192	N/A	N/A	Noninfective disorders of pinna, left ear
H61.193	N/A	N/A	Noninfective disorders of pinna, bilateral
H61.199	N/A	N/A	Noninfective disorders of pinna, unspecified ear
H61.311	N/A	N/A	Acquired stenosis of right external ear canal secondary to trauma
H61.312	N/A	N/A	Acquired stenosis of left external ear canal secondary to trauma
H61.313	N/A	N/A	Acquired stenosis of external ear canal secondary to trauma, bilateral
H61.319	N/A	N/A	Acquired stenosis of external ear canal secondary to trauma, unspecified ear
H61.811	N/A	N/A	Exostosis of right external canal
H61.812	N/A	N/A	Exostosis of left external canal
H61.813	N/A	N/A	Exostosis of external canal, bilateral
H61.819	N/A	N/A	Exostosis of external canal, unspecified ear
H61.891	N/A	N/A	Other specified disorders of right external ear
H61.892	N/A	N/A	Other specified disorders of left external ear
H61.893	N/A	N/A	Other specified disorders of external ear, bilateral
H61.899	N/A	N/A	Other specified disorders of external ear, unspecified ear
H61.90	N/A	N/A	Disorder of external ear, unspecified, unspecified ear
H61.91	N/A	N/A	Disorder of right external ear, unspecified
H61.92	N/A	N/A	Disorder of left external ear, unspecified
H61.93	N/A	N/A	Disorder of external ear, unspecified, bilateral

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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