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PQRS Measure

#192Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures
 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:

CPT Codes

CodeModifierPOSDescription
6684056N/ARemoval of lens material; aspiration technique, 1 or more stages
6685056N/ARemoval of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration
6685256N/ARemoval of lens material; pars plana approach, with or without vitrectomy
6692056N/ARemoval of lens material; intracapsular
6693056N/ARemoval of lens material; intracapsular, for dislocated lens
6694056N/ARemoval of lens material; extracapsular (other than 66840, 66850, 66852)
6698256N/AExtracapsular 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
6698356N/AIntracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure)
6698456N/AExtracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endoscopic cyclophotocoagulation
6703656N/AVitrectomy, mechanical, pars plana approach;
6703956N/AVitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation
6704056N/AVitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation
6704156N/AVitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker)
6704256N/AVitrectomy, mechanical, pars plana approach; with removal of internal limiting membrane of retina (eg, for repair of macular hole, diabetic macular edema), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil)
6704356N/AVitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil) and laser photocoagulation

HCPCS Codes

CodeModifierPOSDescription
G8627N/AN/ASurgical 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)
G8628N/AN/ASurgical 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
360.11N/AN/ASympathetic uveitis
360.12N/AN/APanuveitis
360.20N/AN/ADegenerative disorder of globe, unspecified
360.21N/AN/AProgressive high (degenerative) myopia
360.30N/AN/AHypotony of eye, unspecified
360.31N/AN/APrimary hypotony of eye
360.32N/AN/AOcular fistula causing hypotony
360.33N/AN/AHypotony associated with other ocular disorders
360.34N/AN/AFlat anterior chamber of eye
362.21N/AN/ARetrolental fibroplasia
364.00N/AN/AAcute and subacute iridocyclitis, unspecified
364.01N/AN/APrimary iridocyclitis
364.02N/AN/ARecurrent iridocyclitis
364.03N/AN/ASecondary iridocyclitis, infectious
364.04N/AN/ASecondary iridocyclitis, noninfectious
364.05N/AN/AHypopyon
364.10N/AN/AChronic iridocyclitis, unspecified
364.11N/AN/AChronic iridocyclitis in diseases classified elsewhere
364.21N/AN/AFuchs' heterochromic cyclitis
364.22N/AN/AGlaucomatocyclitic crises
364.23N/AN/ALens-induced iridocyclitis
364.24N/AN/AVogt-koyanagi syndrome
364.3N/AN/AUnspecified iridocyclitis
364.42N/AN/ARubeosis iridis
364.60N/AN/AIdiopathic cysts of iris, ciliary body, and anterior chamber
364.61N/AN/AImplantation cysts of iris, ciliary body, and anterior chamber
364.62N/AN/AExudative cysts of iris or anterior chamber
364.63N/AN/APrimary cyst of pars plana
364.64N/AN/AExudative cyst of pars plana
364.70N/AN/AAdhesions of iris, unspecified
364.71N/AN/APosterior synechiae of iris
364.72N/AN/AAnterior synechiae of iris
364.73N/AN/AGoniosynechiae
364.74N/AN/AAdhesions and disruptions of pupillary membranes
364.75N/AN/APupillary abnormalities
364.76N/AN/AIridodialysis
364.77N/AN/ARecession of chamber angle of eye
364.81N/AN/AFloppy iris syndrome
364.82N/AN/APlateau iris syndrome
364.89N/AN/AOther disorders of iris and ciliary body
365.10N/AN/AOpen-angle glaucoma, unspecified
365.11N/AN/APrimary open angle glaucoma
365.12N/AN/ALow tension open-angle glaucoma
365.13N/AN/APigmentary open-angle glaucoma
365.14N/AN/AGlaucoma of childhood
365.15N/AN/AResidual stage of open angle glaucoma
365.20N/AN/APrimary angle-closure glaucoma, unspecified
365.21N/AN/AIntermittent angle-closure glaucoma
365.22N/AN/AAcute angle-closure glaucoma
365.23N/AN/AChronic angle-closure glaucoma
365.24N/AN/AResidual stage of angle-closure glaucoma
365.31N/AN/ACorticosteroid-induced glaucoma, glaucomatous stage
365.32N/AN/ACorticosteroid-induced glaucoma, residual stage
365.51N/AN/APhacolytic glaucoma
365.52N/AN/APseudoexfoliation glaucoma
365.59N/AN/AGlaucoma associated with other lens disorders
365.60N/AN/AGlaucoma associated with unspecified ocular disorder
365.61N/AN/AGlaucoma associated with pupillary block
365.62N/AN/AGlaucoma associated with ocular inflammations
365.63N/AN/AGlaucoma associated with vascular disorders
365.64N/AN/AGlaucoma associated with tumors or cysts
365.65N/AN/AGlaucoma associated with ocular trauma
365.81N/AN/AHypersecretion glaucoma
365.82N/AN/AGlaucoma with increased episcleral venous pressure
365.83N/AN/AAqueous misdirection
365.89N/AN/AOther specified glaucoma
366.11N/AN/APseudoexfoliation of lens capsule
366.20N/AN/ATraumatic cataract, unspecified
366.21N/AN/ALocalized traumatic opacities
366.22N/AN/ATotal traumatic cataract
366.23N/AN/APartially resolved traumatic cataract
366.32N/AN/ACataract in inflammatory ocular disorders
366.33N/AN/ACataract with neovascularization
366.9N/AN/AUnspecified cataract
367.0N/AN/AHypermetropia
370.03N/AN/ACentral corneal ulcer
371.00N/AN/ACorneal opacity, unspecified
371.01N/AN/AMinor opacity of cornea
371.02N/AN/APeripheral opacity of cornea
371.03N/AN/ACentral opacity of cornea
371.04N/AN/AAdherent leucoma
371.20N/AN/ACorneal edema, unspecified
371.21N/AN/AIdiopathic corneal edema
371.22N/AN/ASecondary corneal edema
371.23N/AN/ABullous keratopathy
371.43N/AN/ABand-shaped keratopathy
371.44N/AN/AOther calcerous degenerations of cornea
371.50N/AN/AHereditary corneal dystrophy, unspecified
371.51N/AN/AJuvenile epithelial corneal dystrophy
371.52N/AN/AOther anterior corneal dystrophies
371.53N/AN/AGranular corneal dystrophy
371.54N/AN/ALattice corneal dystrophy
371.55N/AN/AMacular corneal dystrophy
371.56N/AN/AOther stromal corneal dystrophies
371.57N/AN/AEndothelial corneal dystrophy
371.58N/AN/AOther posterior corneal dystrophies
376.50N/AN/AEnophthalmos, unspecified as to cause
376.51N/AN/AEnophthalmos due to atrophy of orbital tissue
376.52N/AN/AEnophthalmos due to trauma or surgery
379.32N/AN/ASubluxation of lens
379.33N/AN/AAnterior dislocation of lens
379.34N/AN/APosterior dislocation of lens
379.42N/AN/AMiosis (persistent), not due to miotics
743.30N/AN/ACongenital cataract, unspecified
743.31N/AN/ACongenital capsular and subcapsular cataract
743.36N/AN/ACongenital anomalies of lens shape
871.0N/AN/AOcular laceration without prolapse of intraocular tissue
871.1N/AN/AOcular laceration with prolapse or exposure of intraocular tissue
871.2N/AN/ARupture of eye with partial loss of intraocular tissue
871.3N/AN/AAvulsion of eye
871.4N/AN/AUnspecified laceration of eye
871.5N/AN/APenetration of eyeball with magnetic foreign body
871.6N/AN/APenetration of eyeball with (nonmagnetic) foreign body
871.7N/AN/AUnspecified ocular penetration
871.9N/AN/AUnspecified open wound of eyeball
921.3N/AN/AContusion of eyeball
940.0N/AN/AChemical burn of eyelids and periocular area
940.1N/AN/AOther burns of eyelids and periocular area
940.2N/AN/AAlkaline chemical burn of cornea and conjunctival sac
940.3N/AN/AAcid chemical burn of cornea and conjunctival sac
940.4N/AN/AOther burn of cornea and conjunctival sac
940.5N/AN/ABurn with resulting rupture and destruction of eyeball
940.9N/AN/AUnspecified burn of eye and adnexa
950.0N/AN/AOptic nerve injury
950.1N/AN/AInjury to optic chiasm
950.2N/AN/AInjury to optic pathways
950.3N/AN/AInjury to visual cortex
950.9N/AN/AInjury 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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