PQRS Information

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

PQRS Measure

#191Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• Cataracts Group

The following codes apply for this PQRS measure:

Code	Modifier	POS	Description
CPT Codes
66840	56	N/A	Removal of lens material; aspiration technique, 1 or more stages
66850	56	N/A	Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration
66852	56	N/A	Removal of lens material; pars plana approach, with or without vitrectomy
66920	56	N/A	Removal of lens material; intracapsular
66930	56	N/A	Removal of lens material; intracapsular, for dislocated lens
66940	56	N/A	Removal of lens material; extracapsular (other than 66840, 66850, 66852)
66982	56	N/A	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	56	N/A	Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure)
66984	56	N/A	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
4175F	8P	N/A	Best-corrected visual acuity of 20/40 or better (distance or near) achieved within the 90 days following cataract surgery (EC)
4175F	N/A	N/A	Best-corrected visual acuity of 20/40 or better (distance or near) achieved within the 90 days following cataract surgery (EC)
ICD9 Codes
Code	Modifier	POS	Description
360.00	N/A	N/A	Purulent endophthalmitis, unspecified
360.01	N/A	N/A	Acute endophthalmitis
360.02	N/A	N/A	Panophthalmitis
360.03	N/A	N/A	Chronic endophthalmitis
360.04	N/A	N/A	Vitreous abscess
360.11	N/A	N/A	Sympathetic uveitis
360.12	N/A	N/A	Panuveitis
360.13	N/A	N/A	Parasitic endophthalmitis NOS
360.14	N/A	N/A	Ophthalmia nodosa
360.19	N/A	N/A	Other endophthalmitis
360.20	N/A	N/A	Degenerative disorder of globe, unspecified
360.21	N/A	N/A	Progressive high (degenerative) myopia
360.23	N/A	N/A	Siderosis of globe
360.24	N/A	N/A	Other metallosis of globe
360.29	N/A	N/A	Other degenerative disorders of globe
361.00	N/A	N/A	Retinal detachment with retinal defect, unspecified
361.01	N/A	N/A	Recent retinal detachment, partial, with single defect
361.02	N/A	N/A	Recent retinal detachment, partial, with multiple defects
361.03	N/A	N/A	Recent retinal detachment, partial, with giant tear
361.04	N/A	N/A	Recent retinal detachment, partial, with retinal dialysis
361.05	N/A	N/A	Recent retinal detachment, total or subtotal
361.06	N/A	N/A	Old retinal detachment, partial
361.07	N/A	N/A	Old retinal detachment, total or subtotal
362.01	N/A	N/A	Background diabetic retinopathy
362.02	N/A	N/A	Proliferative diabetic retinopathy
362.03	N/A	N/A	Nonproliferative diabetic retinopathy NOS
362.04	N/A	N/A	Mild nonproliferative diabetic retinopathy
362.05	N/A	N/A	Moderate nonproliferative diabetic retinopathy
362.06	N/A	N/A	Severe nonproliferative diabetic retinopathy
362.07	N/A	N/A	Diabetic macular edema
362.12	N/A	N/A	Exudative retinopathy
362.16	N/A	N/A	Retinal neovascularization NOS
362.18	N/A	N/A	Retinal vasculitis
362.20	N/A	N/A	Retinopathy of prematurity, unspecified
362.21	N/A	N/A	Retrolental fibroplasia
362.22	N/A	N/A	Retinopathy of prematurity, stage 0
362.23	N/A	N/A	Retinopathy of prematurity, stage 1
362.24	N/A	N/A	Retinopathy of prematurity, stage 2
362.25	N/A	N/A	Retinopathy of prematurity, stage 3
362.26	N/A	N/A	Retinopathy of prematurity, stage 4
362.27	N/A	N/A	Retinopathy of prematurity, stage 5
362.31	N/A	N/A	Central retinal artery occlusion
362.32	N/A	N/A	Retinal arterial branch occlusion
362.35	N/A	N/A	Central retinal vein occlusion
362.36	N/A	N/A	Venous tributary (branch) occlusion
362.41	N/A	N/A	Central serous retinopathy
362.42	N/A	N/A	Serous detachment of retinal pigment epithelium
362.43	N/A	N/A	Hemorrhagic detachment of retinal pigment epithelium
362.50	N/A	N/A	Macular degeneration (senile), unspecified
362.51	N/A	N/A	Nonexudative senile macular degeneration
362.52	N/A	N/A	Exudative senile macular degeneration
362.53	N/A	N/A	Cystoid macular degeneration
362.54	N/A	N/A	Macular cyst, hole, or pseudohole
362.55	N/A	N/A	Toxic maculopathy
362.56	N/A	N/A	Macular puckering
362.57	N/A	N/A	Drusen (degenerative)
362.70	N/A	N/A	Hereditary retinal dystrophy, unspecified
362.71	N/A	N/A	Retinal dystrophy in systemic or cerebroretinal lipidoses
362.72	N/A	N/A	Retinal dystrophy in other systemic disorders and syndromes
362.73	N/A	N/A	Vitreoretinal dystrophies
362.74	N/A	N/A	Pigmentary retinal dystrophy
362.75	N/A	N/A	Other dystrophies primarily involving the sensory retina
362.76	N/A	N/A	Dystrophies primarily involving the retinal pigment epithelium
362.81	N/A	N/A	Retinal hemorrhage
362.82	N/A	N/A	Retinal exudates and deposits
362.83	N/A	N/A	Retinal edema
362.84	N/A	N/A	Retinal ischemia
362.85	N/A	N/A	Retinal nerve fiber bundle defects
362.89	N/A	N/A	Other retinal disorders
363.00	N/A	N/A	Focal chorioretinitis, unspecified
363.01	N/A	N/A	Focal choroiditis and chorioretinitis, juxtapapillary
363.03	N/A	N/A	Focal choroiditis and chorioretinitis of other posterior pole
363.04	N/A	N/A	Focal choroiditis and chorioretinitis, peripheral
363.05	N/A	N/A	Focal retinitis and retinochoroiditis, juxtapapillary
363.06	N/A	N/A	Focal retinitis and retinochoroiditis, macular or paramacular
363.07	N/A	N/A	Focal retinitis and retinochoroiditis of other posterior pole
363.08	N/A	N/A	Focal retinitis and retinochoroiditis, peripheral
363.10	N/A	N/A	Disseminated chorioretinitis, unspecified
363.11	N/A	N/A	Disseminated choroiditis and chorioretinitis, posterior pole
363.12	N/A	N/A	Disseminated choroiditis and chorioretinitis, peripheral
363.13	N/A	N/A	Disseminated choroiditis and chorioretinitis, generalized
363.14	N/A	N/A	Disseminated retinitis and retinochoroiditis, metastatic
363.15	N/A	N/A	Disseminated retinitis and retinochoroiditis, pigment epitheliopathy
363.20	N/A	N/A	Chorioretinitis, unspecified
363.21	N/A	N/A	Pars planitis
363.22	N/A	N/A	Harada's disease
363.30	N/A	N/A	Chorioretinal scar, unspecified
363.31	N/A	N/A	Solar retinopathy
363.32	N/A	N/A	Other macular scars
363.33	N/A	N/A	Other scars of posterior pole
363.35	N/A	N/A	Disseminated scars
363.43	N/A	N/A	Angioid streaks of choroid
363.50	N/A	N/A	Hereditary choroidal dystrophy or atrophy, unspecified
363.51	N/A	N/A	Circumpapillary dystrophy of choroid, partial
363.52	N/A	N/A	Circumpapillary dystrophy of choroid, total
363.53	N/A	N/A	Central dystrophy of choroid, partial
363.54	N/A	N/A	Central choroidal atrophy, total
363.55	N/A	N/A	Choroideremia
363.56	N/A	N/A	Other diffuse or generalized dystrophy of choroid, partial
363.57	N/A	N/A	Other diffuse or generalized dystrophy of choroid, total
363.61	N/A	N/A	Choroidal hemorrhage, unspecified
363.62	N/A	N/A	Expulsive choroidal hemorrhage
363.63	N/A	N/A	Choroidal rupture
363.72	N/A	N/A	Hemorrhagic choroidal detachment
364.00	N/A	N/A	Acute and subacute iridocyclitis, unspecified
364.01	N/A	N/A	Primary iridocyclitis
364.02	N/A	N/A	Recurrent iridocyclitis
364.03	N/A	N/A	Secondary iridocyclitis, infectious
364.04	N/A	N/A	Secondary iridocyclitis, noninfectious
364.05	N/A	N/A	Hypopyon
364.10	N/A	N/A	Chronic iridocyclitis, unspecified
364.11	N/A	N/A	Chronic iridocyclitis in diseases classified elsewhere
364.21	N/A	N/A	Fuchs' heterochromic cyclitis
364.22	N/A	N/A	Glaucomatocyclitic crises
364.23	N/A	N/A	Lens-induced iridocyclitis
364.24	N/A	N/A	Vogt-koyanagi syndrome
364.3	N/A	N/A	Unspecified iridocyclitis
365.10	N/A	N/A	Open-angle glaucoma, unspecified
365.11	N/A	N/A	Primary open angle glaucoma
365.12	N/A	N/A	Low tension open-angle glaucoma
365.13	N/A	N/A	Pigmentary open-angle glaucoma
365.14	N/A	N/A	Glaucoma of childhood
365.15	N/A	N/A	Residual stage of open angle glaucoma
365.20	N/A	N/A	Primary angle-closure glaucoma, unspecified
365.21	N/A	N/A	Intermittent angle-closure glaucoma
365.22	N/A	N/A	Acute angle-closure glaucoma
365.23	N/A	N/A	Chronic angle-closure glaucoma
365.24	N/A	N/A	Residual stage of angle-closure glaucoma
365.31	N/A	N/A	Corticosteroid-induced glaucoma, glaucomatous stage
365.32	N/A	N/A	Corticosteroid-induced glaucoma, residual stage
365.41	N/A	N/A	Glaucoma associated with chamber angle anomalies
365.42	N/A	N/A	Glaucoma associated with anomalies of iris
365.43	N/A	N/A	Glaucoma associated with other anterior segment anomalies
365.44	N/A	N/A	Glaucoma associated with systemic syndromes
365.51	N/A	N/A	Phacolytic glaucoma
365.52	N/A	N/A	Pseudoexfoliation glaucoma
365.59	N/A	N/A	Glaucoma associated with other lens disorders
365.60	N/A	N/A	Glaucoma associated with unspecified ocular disorder
365.61	N/A	N/A	Glaucoma associated with pupillary block
365.62	N/A	N/A	Glaucoma associated with ocular inflammations
365.63	N/A	N/A	Glaucoma associated with vascular disorders
365.64	N/A	N/A	Glaucoma associated with tumors or cysts
365.65	N/A	N/A	Glaucoma associated with ocular trauma
365.81	N/A	N/A	Hypersecretion glaucoma
365.82	N/A	N/A	Glaucoma with increased episcleral venous pressure
365.83	N/A	N/A	Aqueous misdirection
365.89	N/A	N/A	Other specified glaucoma
365.9	N/A	N/A	Unspecified glaucoma
366.32	N/A	N/A	Cataract in inflammatory ocular disorders
366.33	N/A	N/A	Cataract with neovascularization
368.01	N/A	N/A	Strabismic amblyopia
368.02	N/A	N/A	Deprivation amblyopia
368.03	N/A	N/A	Refractive amblyopia
368.41	N/A	N/A	Scotoma involving central area
369.00	N/A	N/A	Profound impairment, both eyes, impairment level not further specified
369.01	N/A	N/A	Better eye: total vision impairment; lesser eye: total vision impairment
369.02	N/A	N/A	Better eye: near-total vision impairment; lesser eye: not further specified
369.03	N/A	N/A	Better eye: near-total vision impairment; lesser eye: total vision impairment
369.04	N/A	N/A	Better eye: near-total vision impairment; lesser eye: near-total vision impairment
369.05	N/A	N/A	Better eye: profound vision impairment; lesser eye: not further specified
369.06	N/A	N/A	Better eye: profound vision impairment; lesser eye: total vision impairment
369.07	N/A	N/A	Better eye: profound vision impairment; lesser eye: near-total vision impairment
369.08	N/A	N/A	Better eye: profound vision impairment; lesser eye: profound vision impairment
369.10	N/A	N/A	Moderate or severe impairment, better eye, impairment level not further specified
369.11	N/A	N/A	Better eye: severe vision impairment; lesser eye: blind, not further specified
369.12	N/A	N/A	Better eye: severe vision impairment; lesser eye: total vision impairment
369.13	N/A	N/A	Better eye: severe vision impairment; lesser eye: near-total vision impairment
369.14	N/A	N/A	Better eye: severe vision impairment; lesser eye: profound vision impairment
369.15	N/A	N/A	Better eye: moderate vision impairment; lesser eye: blind, not further specified
369.16	N/A	N/A	Better eye: moderate vision impairment; lesser eye: total vision impairment
369.17	N/A	N/A	Better eye: moderate vision impairment; lesser eye: near-total vision impairment
369.18	N/A	N/A	Better eye: moderate vision impairment; lesser eye: profound vision impairment
370.03	N/A	N/A	Central corneal ulcer
371.00	N/A	N/A	Corneal opacity, unspecified
371.01	N/A	N/A	Minor opacity of cornea
371.02	N/A	N/A	Peripheral opacity of cornea
371.03	N/A	N/A	Central opacity of cornea
371.04	N/A	N/A	Adherent leucoma
371.20	N/A	N/A	Corneal edema, unspecified
371.21	N/A	N/A	Idiopathic corneal edema
371.22	N/A	N/A	Secondary corneal edema
371.23	N/A	N/A	Bullous keratopathy
371.43	N/A	N/A	Band-shaped keratopathy
371.44	N/A	N/A	Other calcerous degenerations of cornea
371.50	N/A	N/A	Hereditary corneal dystrophy, unspecified
371.51	N/A	N/A	Juvenile epithelial corneal dystrophy
371.52	N/A	N/A	Other anterior corneal dystrophies
371.53	N/A	N/A	Granular corneal dystrophy
371.54	N/A	N/A	Lattice corneal dystrophy
371.55	N/A	N/A	Macular corneal dystrophy
371.56	N/A	N/A	Other stromal corneal dystrophies
371.57	N/A	N/A	Endothelial corneal dystrophy
371.58	N/A	N/A	Other posterior corneal dystrophies
371.60	N/A	N/A	Keratoconus, unspecified
371.61	N/A	N/A	Keratoconus, stable condition
371.62	N/A	N/A	Keratoconus, acute hydrops
371.70	N/A	N/A	Corneal deformity, unspecified
371.71	N/A	N/A	Corneal ectasia
371.72	N/A	N/A	Descemetocele
371.73	N/A	N/A	Corneal staphyloma
377.10	N/A	N/A	Optic atrophy, unspecified
377.11	N/A	N/A	Primary optic atrophy
377.12	N/A	N/A	Postinflammatory optic atrophy
377.13	N/A	N/A	Optic atrophy associated with retinal dystrophies
377.14	N/A	N/A	Glaucomatous atrophy [cupping] of optic disc
377.15	N/A	N/A	Partial optic atrophy
377.16	N/A	N/A	Hereditary optic atrophy
377.30	N/A	N/A	Optic neuritis, unspecified
377.31	N/A	N/A	Optic papillitis
377.32	N/A	N/A	Retrobulbar neuritis (acute)
377.33	N/A	N/A	Nutritional optic neuropathy
377.34	N/A	N/A	Toxic optic neuropathy
377.39	N/A	N/A	Other optic neuritis
377.41	N/A	N/A	Ischemic optic neuropathy
377.51	N/A	N/A	Disorders of optic chiasm associated with pituitary neoplasms and disorders
377.52	N/A	N/A	Disorders of optic chiasm associated with other neoplasms
377.53	N/A	N/A	Disorders of optic chiasm associated with vascular disorders
377.54	N/A	N/A	Disorders of optic chiasm associated with inflammatory disorders
377.75	N/A	N/A	Cortical blindness
379.04	N/A	N/A	Scleromalacia perforans
379.05	N/A	N/A	Scleritis with corneal involvement
379.06	N/A	N/A	Brawny scleritis
379.07	N/A	N/A	Posterior scleritis
379.09	N/A	N/A	Other scleritis and episcleritis
379.11	N/A	N/A	Scleral ectasia
379.12	N/A	N/A	Staphyloma posticum
379.51	N/A	N/A	Congenital nystagmus
871.0	N/A	N/A	Ocular laceration without prolapse of intraocular tissue
871.1	N/A	N/A	Ocular laceration with prolapse or exposure of intraocular tissue
871.2	N/A	N/A	Rupture of eye with partial loss of intraocular tissue
871.3	N/A	N/A	Avulsion of eye
871.4	N/A	N/A	Unspecified laceration of eye
871.5	N/A	N/A	Penetration of eyeball with magnetic foreign body
871.6	N/A	N/A	Penetration of eyeball with (nonmagnetic) foreign body
871.7	N/A	N/A	Unspecified ocular penetration
871.9	N/A	N/A	Unspecified open wound of eyeball
921.3	N/A	N/A	Contusion of eyeball
940.0	N/A	N/A	Chemical burn of eyelids and periocular area
940.1	N/A	N/A	Other burns of eyelids and periocular area
940.2	N/A	N/A	Alkaline chemical burn of cornea and conjunctival sac
940.3	N/A	N/A	Acid chemical burn of cornea and conjunctival sac
940.4	N/A	N/A	Other burn of cornea and conjunctival sac
940.5	N/A	N/A	Burn with resulting rupture and destruction of eyeball
940.9	N/A	N/A	Unspecified burn of eye and adnexa
950.0	N/A	N/A	Optic nerve injury
950.1	N/A	N/A	Injury to optic chiasm
950.2	N/A	N/A	Injury to optic pathways
950.3	N/A	N/A	Injury to visual cortex
950.9	N/A	N/A	Injury to unspecified optic nerve and pathways

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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