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PQRS Measure

#192Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures
 This measure may be submitted via registry only.

The following codes apply for this PQRS measure:

CPT Codes

CodeModifierPOSDescription
66840Removal of lens material; aspiration technique, 1 or more stages
66850Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration
66852Removal of lens material; pars plana approach, with or without vitrectomy
66920Removal of lens material; intracapsular
66930Removal of lens material; intracapsular, for dislocated lens
66940Removal of lens material; extracapsular (other than 66840, 66850, 66852)
66982Extracapsular 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
66983Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure)
66984Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endoscopic cyclophotocoagulation
67036Vitrectomy, mechanical, pars plana approach;
67038Vitrectomy, mechanical, pars plana approach; with epiretinal membrane stripping
67039Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation
67040Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation

HCPCS Codes

CodeModifierPOSDescription
G8627Surgical procedure performed within 30 days following cataract surgery for major complications (e.g., retained nuclear fragments, endophthalmitis, dislocated or wrong power iol, retinal detachment, or wound dehiscence)
G8628Surgical procedure not performed within 30 days following cataract surgery for major complications (e.g., retained nuclear fragments, endophthalmitis, dislocated or wrong power iol, retinal detachment, or wound dehiscence)

ICD9 Codes

CodeModifierPOSDescription
360.11Sympathetic uveitis
360.12Panuveitis
360.20Degenerative disorder of globe, unspecified
360.21Progressive high (degenerative) myopia
360.30Hypotony of eye, unspecified
360.31Primary hypotony of eye
360.32Ocular fistula causing hypotony
360.33Hypotony associated with other ocular disorders
360.34Flat anterior chamber of eye
362.02Proliferative diabetic retinopathy
362.21Retrolental fibroplasia
364.00Acute and subacute iridocyclitis, unspecified
364.01Primary iridocyclitis
364.03Secondary iridocyclitis, infectious
364.04Secondary iridocyclitis, noninfectious
364.05Hypopyon
364.10Chronic iridocyclitis, unspecified
364.11Chronic iridocyclitis in diseases classified elsewhere
364.21Fuchs' heterochromic cyclitis
364.22Glaucomatocyclitic crises
364.23Lens-induced iridocyclitis
364.24Vogt-koyanagi syndrome
364.3Unspecified iridocyclitis
364.42Rubeosis iridis
364.60Idiopathic cysts of iris, ciliary body, and anterior chamber
364.61Implantation cysts of iris, ciliary body, and anterior chamber
364.62Exudative cysts of iris or anterior chamber
364.63Primary cyst of pars plana
364.64Exudative cyst of pars plana
364.70Adhesions of iris, unspecified
364.71Posterior synechiae of iris
364.72Anterior synechiae of iris
364.73Goniosynechiae
364.74Adhesions and disruptions of pupillary membranes
364.75Pupillary abnormalities
364.76Iridodialysis
364.77Recession of chamber angle of eye
364.81Floppy iris syndrome
365.20Primary angle-closure glaucoma, unspecified
365.21Intermittent angle-closure glaucoma
365.23Chronic angle-closure glaucoma
365.24Residual stage of angle-closure glaucoma
365.51Phacolytic glaucoma
365.52Pseudoexfoliation glaucoma
365.59Glaucoma associated with other lens disorders
365.60Glaucoma associated with unspecified ocular disorder
365.61Glaucoma associated with pupillary block
365.62Glaucoma associated with ocular inflammations
365.63Glaucoma associated with vascular disorders
365.64Glaucoma associated with tumors or cysts
365.65Glaucoma associated with ocular trauma
365.81Hypersecretion glaucoma
365.82Glaucoma with increased episcleral venous pressure
365.83Aqueous misdirection
365.89Other specified glaucoma
366.11Pseudoexfoliation of lens capsule
366.20Traumatic cataract, unspecified
366.21Localized traumatic opacities
366.22Total traumatic cataract
366.23Partially resolved traumatic cataract
366.32Cataract in inflammatory ocular disorders
366.33Cataract with neovascularization
366.9Unspecified cataract
367.0Hypermetropia
370.03Central corneal ulcer
371.00Corneal opacity, unspecified
371.01Minor opacity of cornea
371.02Peripheral opacity of cornea
371.03Central opacity of cornea
371.04Adherent leucoma
371.20Corneal edema, unspecified
371.21Idiopathic corneal edema
371.22Secondary corneal edema
371.23Bullous keratopathy
371.43Band-shaped keratopathy
371.44Other calcerous degenerations of cornea
371.50Hereditary corneal dystrophy, unspecified
371.51Juvenile epithelial corneal dystrophy
371.52Other anterior corneal dystrophies
371.53Granular corneal dystrophy
371.54Lattice corneal dystrophy
371.55Macular corneal dystrophy
371.56Other stromal corneal dystrophies
371.57Endothelial corneal dystrophy
371.58Other posterior corneal dystrophies
376.50Enophthalmos, unspecified as to cause
376.51Enophthalmos due to atrophy of orbital tissue
376.52Enophthalmos due to trauma or surgery
379.32Subluxation of lens
379.33Anterior dislocation of lens
379.34Posterior dislocation of lens
379.42Miosis (persistent), not due to miotics
743.31Congenital capsular and subcapsular cataract
743.30Congenital cataract, unspecified
743.36Congenital anomalies of lens shape
871.0Ocular laceration without prolapse of intraocular tissue
871.1Ocular laceration with prolapse or exposure of intraocular tissue
871.2Rupture of eye with partial loss of intraocular tissue
871.3Avulsion of eye
871.4Unspecified laceration of eye
871.5Penetration of eyeball with magnetic foreign body
871.6Penetration of eyeball with (nonmagnetic) foreign body
871.7Unspecified ocular penetration
871.9Unspecified open wound of eyeball
921.3Contusion of eyeball
940.0Chemical burn of eyelids and periocular area
940.1Other burns of eyelids and periocular area
940.2Alkaline chemical burn of cornea and conjunctival sac
940.3Acid chemical burn of cornea and conjunctival sac
940.4Other burn of cornea and conjunctival sac
940.5Burn with resulting rupture and destruction of eyeball
940.9Unspecified burn of eye and adnexa
950.0Optic nerve injury
950.1Injury to optic chiasm
950.2Injury to optic pathways
950.3Injury to visual cortex
950.9Injury 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.
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