PQRS Measure
#191Cataracts: 20/40 or Better Visual Acuity Within 90 Days Following Cataract Surgery
This measure may be submitted via registry only.
The following codes apply for this PQRS measure:
CPT Codes | |||
| Code | Modifier | POS | Description |
|---|---|---|---|
| 4175F | Best-corrected visual acuity of 20/40 or better (distance or near) achieved within the 90 days following cataract surgery (EC) | ||
| 4175F | 8P | Best-corrected visual acuity of 20/40 or better (distance or near) achieved within the 90 days following cataract surgery (EC) | |
| 66840 | Removal of lens material; aspiration technique, 1 or more stages | ||
| 66850 | Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration | ||
| 66852 | Removal of lens material; pars plana approach, with or without vitrectomy | ||
| 66920 | Removal of lens material; intracapsular | ||
| 66930 | Removal of lens material; intracapsular, for dislocated lens | ||
| 66940 | Removal of lens material; extracapsular (other than 66840, 66850, 66852) | ||
| 66982 | Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requiring devices or techniques not generally used in routine cataract surgery (eg, iris expansion device, suture support for intraocular lens, or primary posterior capsulorrhexis) or performed on patients in the amblyogenic developmental stage; without endoscopic cyclophotocoagulation | ||
| 66983 | Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) | ||
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endoscopic cyclophotocoagulation | ||
ICD9 Codes | |||
| Code | Modifier | POS | Description |
| 360.00 | Purulent endophthalmitis, unspecified | ||
| 360.01 | Acute endophthalmitis | ||
| 360.02 | Panophthalmitis | ||
| 360.03 | Chronic endophthalmitis | ||
| 360.04 | Vitreous abscess | ||
| 360.11 | Sympathetic uveitis | ||
| 360.12 | Panuveitis | ||
| 360.13 | Parasitic endophthalmitis NOS | ||
| 360.14 | Ophthalmia nodosa | ||
| 360.19 | Other endophthalmitis | ||
| 360.20 | Degenerative disorder of globe, unspecified | ||
| 360.21 | Progressive high (degenerative) myopia | ||
| 360.23 | Siderosis of globe | ||
| 360.24 | Other metallosis of globe | ||
| 360.29 | Other degenerative disorders of globe | ||
| 360.32 | Ocular fistula causing hypotony | ||
| 361.00 | Retinal detachment with retinal defect, unspecified | ||
| 361.01 | Recent retinal detachment, partial, with single defect | ||
| 361.02 | Recent retinal detachment, partial, with multiple defects | ||
| 361.03 | Recent retinal detachment, partial, with giant tear | ||
| 361.04 | Recent retinal detachment, partial, with retinal dialysis | ||
| 361.05 | Recent retinal detachment, total or subtotal | ||
| 361.06 | Old retinal detachment, partial | ||
| 361.07 | Old retinal detachment, total or subtotal | ||
| 362.01 | Background diabetic retinopathy | ||
| 362.02 | Proliferative diabetic retinopathy | ||
| 362.03 | Nonproliferative diabetic retinopathy NOS | ||
| 362.04 | Mild nonproliferative diabetic retinopathy | ||
| 362.05 | Moderate nonproliferative diabetic retinopathy | ||
| 362.06 | Severe nonproliferative diabetic retinopathy | ||
| 362.07 | Diabetic macular edema | ||
| 362.12 | Exudative retinopathy | ||
| 362.16 | Retinal neovascularization NOS | ||
| 362.18 | Retinal vasculitis | ||
| 362.21 | Retrolental fibroplasia | ||
| 362.31 | Central retinal artery occlusion | ||
| 362.32 | Retinal arterial branch occlusion | ||
| 362.35 | Central retinal vein occlusion | ||
| 362.36 | Venous tributary (branch) occlusion | ||
| 362.41 | Central serous retinopathy | ||
| 362.42 | Serous detachment of retinal pigment epithelium | ||
| 362.43 | Hemorrhagic detachment of retinal pigment epithelium | ||
| 362.50 | Macular degeneration (senile), unspecified | ||
| 362.51 | Nonexudative senile macular degeneration | ||
| 362.52 | Exudative senile macular degeneration | ||
| 362.53 | Cystoid macular degeneration | ||
| 362.54 | Macular cyst, hole, or pseudohole | ||
| 362.55 | Toxic maculopathy | ||
| 362.56 | Macular puckering | ||
| 362.57 | Drusen (degenerative) | ||
| 362.70 | Hereditary retinal dystrophy, unspecified | ||
| 362.71 | Retinal dystrophy in systemic or cerebroretinal lipidoses | ||
| 362.72 | Retinal dystrophy in other systemic disorders and syndromes | ||
| 362.73 | Vitreoretinal dystrophies | ||
| 362.74 | Pigmentary retinal dystrophy | ||
| 362.75 | Other dystrophies primarily involving the sensory retina | ||
| 362.76 | Dystrophies primarily involving the retinal pigment epithelium | ||
| 362.81 | Retinal hemorrhage | ||
| 362.82 | Retinal exudates and deposits | ||
| 362.83 | Retinal edema | ||
| 362.84 | Retinal ischemia | ||
| 362.85 | Retinal nerve fiber bundle defects | ||
| 362.89 | Other retinal disorders | ||
| 363.00 | Focal chorioretinitis, unspecified | ||
| 363.01 | Focal choroiditis and chorioretinitis, juxtapapillary | ||
| 363.03 | Focal choroiditis and chorioretinitis of other posterior pole | ||
| 363.04 | Focal choroiditis and chorioretinitis, peripheral | ||
| 363.05 | Focal retinitis and retinochoroiditis, juxtapapillary | ||
| 363.06 | Focal retinitis and retinochoroiditis, macular or paramacular | ||
| 363.07 | Focal retinitis and retinochoroiditis of other posterior pole | ||
| 363.08 | Focal retinitis and retinochoroiditis, peripheral | ||
| 363.10 | Disseminated chorioretinitis, unspecified | ||
| 363.11 | Disseminated choroiditis and chorioretinitis, posterior pole | ||
| 363.12 | Disseminated choroiditis and chorioretinitis, peripheral | ||
| 363.14 | Disseminated retinitis and retinochoroiditis, metastatic | ||
| 363.15 | Disseminated retinitis and retinochoroiditis, pigment epitheliopathy | ||
| 363.20 | Chorioretinitis, unspecified | ||
| 363.21 | Pars planitis | ||
| 363.22 | Harada's disease | ||
| 363.30 | Chorioretinal scar, unspecified | ||
| 363.31 | Solar retinopathy | ||
| 363.32 | Other macular scars | ||
| 363.33 | Other scars of posterior pole | ||
| 363.35 | Disseminated scars | ||
| 363.43 | Angioid streaks of choroid | ||
| 363.50 | Hereditary choroidal dystrophy or atrophy, unspecified | ||
| 363.51 | Circumpapillary dystrophy of choroid, partial | ||
| 363.52 | Circumpapillary dystrophy of choroid, total | ||
| 363.53 | Central dystrophy of choroid, partial | ||
| 363.54 | Central choroidal atrophy, total | ||
| 363.55 | Choroideremia | ||
| 363.56 | Other diffuse or generalized dystrophy of choroid, partial | ||
| 363.57 | Other diffuse or generalized dystrophy of choroid, total | ||
| 363.61 | Choroidal hemorrhage, unspecified | ||
| 363.62 | Expulsive choroidal hemorrhage | ||
| 363.63 | Choroidal rupture | ||
| 363.72 | Hemorrhagic choroidal detachment | ||
| 364.00 | Acute and subacute iridocyclitis, unspecified | ||
| 364.01 | Primary iridocyclitis | ||
| 364.03 | Secondary iridocyclitis, infectious | ||
| 364.04 | Secondary iridocyclitis, noninfectious | ||
| 364.05 | Hypopyon | ||
| 364.10 | Chronic iridocyclitis, unspecified | ||
| 364.11 | Chronic iridocyclitis in diseases classified elsewhere | ||
| 364.21 | Fuchs' heterochromic cyclitis | ||
| 364.22 | Glaucomatocyclitic crises | ||
| 364.23 | Lens-induced iridocyclitis | ||
| 364.24 | Vogt-koyanagi syndrome | ||
| 364.3 | Unspecified iridocyclitis | ||
| 365.20 | Primary angle-closure glaucoma, unspecified | ||
| 365.21 | Intermittent angle-closure glaucoma | ||
| 365.23 | Chronic angle-closure glaucoma | ||
| 365.24 | Residual stage of angle-closure glaucoma | ||
| 365.41 | Glaucoma associated with chamber angle anomalies | ||
| 365.42 | Glaucoma associated with anomalies of iris | ||
| 365.43 | Glaucoma associated with other anterior segment anomalies | ||
| 365.44 | Glaucoma associated with systemic syndromes | ||
| 365.51 | Phacolytic glaucoma | ||
| 365.52 | Pseudoexfoliation glaucoma | ||
| 365.59 | Glaucoma associated with other lens disorders | ||
| 365.60 | Glaucoma associated with unspecified ocular disorder | ||
| 365.61 | Glaucoma associated with pupillary block | ||
| 365.62 | Glaucoma associated with ocular inflammations | ||
| 365.63 | Glaucoma associated with vascular disorders | ||
| 365.64 | Glaucoma associated with tumors or cysts | ||
| 365.65 | Glaucoma associated with ocular trauma | ||
| 365.81 | Hypersecretion glaucoma | ||
| 365.82 | Glaucoma with increased episcleral venous pressure | ||
| 365.83 | Aqueous misdirection | ||
| 365.89 | Other specified glaucoma | ||
| 365.9 | Unspecified glaucoma | ||
| 366.32 | Cataract in inflammatory ocular disorders | ||
| 366.33 | Cataract with neovascularization | ||
| 368.01 | Strabismic amblyopia | ||
| 368.02 | Deprivation amblyopia | ||
| 368.03 | Refractive amblyopia | ||
| 368.41 | Scotoma involving central area | ||
| 369.00 | Profound impairment, both eyes, impairment level not further specified | ||
| 369.01 | Better eye: total vision impairment; lesser eye: total vision impairment | ||
| 369.02 | Better eye: near-total vision impairment; lesser eye: not further specified | ||
| 369.03 | Better eye: near-total vision impairment; lesser eye: total vision impairment | ||
| 369.04 | Better eye: near-total vision impairment; lesser eye: near-total vision impairment | ||
| 369.05 | Better eye: profound vision impairment; lesser eye: not further specified | ||
| 369.06 | Better eye: profound vision impairment; lesser eye: total vision impairment | ||
| 369.07 | Better eye: profound vision impairment; lesser eye: near-total vision impairment | ||
| 369.08 | Better eye: profound vision impairment; lesser eye: profound vision impairment | ||
| 369.10 | Moderate or severe impairment, better eye, impairment level not further specified | ||
| 369.11 | Better eye: severe vision impairment; lesser eye: blind, not further specified | ||
| 369.12 | Better eye: severe vision impairment; lesser eye: total vision impairment | ||
| 369.13 | Better eye: severe vision impairment; lesser eye: near-total vision impairment | ||
| 369.14 | Better eye: severe vision impairment; lesser eye: profound vision impairment | ||
| 369.15 | Better eye: moderate vision impairment; lesser eye: blind, not further specified | ||
| 369.16 | Better eye: moderate vision impairment; lesser eye: total vision impairment | ||
| 369.17 | Better eye: moderate vision impairment; lesser eye: near-total vision impairment | ||
| 369.18 | Better eye: moderate vision impairment; lesser eye: profound vision impairment | ||
| 370.03 | Central corneal ulcer | ||
| 371.00 | Corneal opacity, unspecified | ||
| 371.01 | Minor opacity of cornea | ||
| 371.02 | Peripheral opacity of cornea | ||
| 371.03 | Central opacity of cornea | ||
| 371.04 | Adherent leucoma | ||
| 371.20 | Corneal edema, unspecified | ||
| 371.21 | Idiopathic corneal edema | ||
| 371.22 | Secondary corneal edema | ||
| 371.23 | Bullous keratopathy | ||
| 371.43 | Band-shaped keratopathy | ||
| 371.44 | Other calcerous degenerations of cornea | ||
| 371.50 | Hereditary corneal dystrophy, unspecified | ||
| 371.51 | Juvenile epithelial corneal dystrophy | ||
| 371.52 | Other anterior corneal dystrophies | ||
| 371.53 | Granular corneal dystrophy | ||
| 371.54 | Lattice corneal dystrophy | ||
| 371.55 | Macular corneal dystrophy | ||
| 371.56 | Other stromal corneal dystrophies | ||
| 371.57 | Endothelial corneal dystrophy | ||
| 371.58 | Other posterior corneal dystrophies | ||
| 371.60 | Keratoconus, unspecified | ||
| 371.61 | Keratoconus, stable condition | ||
| 371.62 | Keratoconus, acute hydrops | ||
| 371.70 | Corneal deformity, unspecified | ||
| 371.71 | Corneal ectasia | ||
| 371.72 | Descemetocele | ||
| 371.73 | Corneal staphyloma | ||
| 377.10 | Optic atrophy, unspecified | ||
| 377.11 | Primary optic atrophy | ||
| 377.12 | Postinflammatory optic atrophy | ||
| 377.13 | Optic atrophy associated with retinal dystrophies | ||
| 377.14 | Glaucomatous atrophy [cupping] of optic disc | ||
| 377.15 | Partial optic atrophy | ||
| 377.16 | Hereditary optic atrophy | ||
| 377.30 | Optic neuritis, unspecified | ||
| 377.31 | Optic papillitis | ||
| 377.32 | Retrobulbar neuritis (acute) | ||
| 377.33 | Nutritional optic neuropathy | ||
| 377.34 | Toxic optic neuropathy | ||
| 377.39 | Other optic neuritis | ||
| 377.41 | Ischemic optic neuropathy | ||
| 377.51 | Disorders of optic chiasm associated with pituitary neoplasms and disorders | ||
| 377.52 | Disorders of optic chiasm associated with other neoplasms | ||
| 377.53 | Disorders of optic chiasm associated with vascular disorders | ||
| 377.54 | Disorders of optic chiasm associated with inflammatory disorders | ||
| 377.75 | Cortical blindness | ||
| 379.04 | Scleromalacia perforans | ||
| 379.05 | Scleritis with corneal involvement | ||
| 379.06 | Brawny scleritis | ||
| 379.07 | Posterior scleritis | ||
| 379.09 | Other scleritis and episcleritis | ||
| 379.11 | Scleral ectasia | ||
| 379.12 | Staphyloma posticum | ||
| 379.51 | Congenital nystagmus | ||
| 871.0 | Ocular laceration without prolapse of intraocular tissue | ||
| 871.1 | Ocular laceration with prolapse or exposure of intraocular tissue | ||
| 871.2 | Rupture of eye with partial loss of intraocular tissue | ||
| 871.3 | Avulsion of eye | ||
| 871.4 | Unspecified laceration of eye | ||
| 871.5 | Penetration of eyeball with magnetic foreign body | ||
| 871.6 | Penetration of eyeball with (nonmagnetic) foreign body | ||
| 871.7 | Unspecified ocular penetration | ||
| 871.9 | Unspecified open wound of eyeball | ||
| 921.3 | Contusion of eyeball | ||
| 940.0 | Chemical burn of eyelids and periocular area | ||
| 940.1 | Other burns of eyelids and periocular area | ||
| 940.2 | Alkaline chemical burn of cornea and conjunctival sac | ||
| 940.3 | Acid chemical burn of cornea and conjunctival sac | ||
| 940.4 | Other burn of cornea and conjunctival sac | ||
| 940.5 | Burn with resulting rupture and destruction of eyeball | ||
| 940.9 | Unspecified burn of eye and adnexa | ||
| 950.0 | Optic nerve injury | ||
| 950.1 | Injury to optic chiasm | ||
| 950.2 | Injury to optic pathways | ||
| 950.3 | Injury to visual cortex | ||
| 950.9 | Injury to unspecified optic nerve and pathways | ||
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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