PQRS Information

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

PQRS Measure

#24Osteoporosis: Communication with the Physician Managing On-going Care Post-Fracture of Hip, Spine or Distal Radius for Men and Women Aged 50 Years and Older

Report via: Claim, Registry

The following codes apply for this PQRS measure:

Code	Modifier	POS	Description
CPT Codes
22305	N/A	N/A	Closed treatment of vertebral process fracture(s)
22310	N/A	N/A	Closed treatment of vertebral body fracture(s), without manipulation, requiring and including casting or bracing
22315	N/A	N/A	Closed treatment of vertebral fracture(s) and/or dislocation(s) requiring casting or bracing, with and including casting and/or bracing by manipulation or traction
22318	N/A	N/A	Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior approach, including placement of internal fixation; without grafting
22319	N/A	N/A	Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior approach, including placement of internal fixation; with grafting
22325	N/A	N/A	Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; lumbar
22326	N/A	N/A	Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; cervical
22327	N/A	N/A	Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; thoracic
22520	N/A	N/A	Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection; thoracic
22521	N/A	N/A	Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection; lumbar
22523	N/A	N/A	Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device, 1 vertebral body, unilateral or bilateral cannulation (eg, kyphoplasty); thoracic
22524	N/A	N/A	Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device, 1 vertebral body, unilateral or bilateral cannulation (eg, kyphoplasty); lumbar
25600	N/A	N/A	Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; without manipulation
25605	N/A	N/A	Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation
25606	N/A	N/A	Percutaneous skeletal fixation of distal radial fracture or epiphyseal separation
25607	N/A	N/A	Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation
25608	N/A	N/A	Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments
25609	N/A	N/A	Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments
27230	N/A	N/A	Closed treatment of femoral fracture, proximal end, neck; without manipulation
27232	N/A	N/A	Closed treatment of femoral fracture, proximal end, neck; with manipulation, with or without skeletal traction
27235	N/A	N/A	Percutaneous skeletal fixation of femoral fracture, proximal end, neck
27236	N/A	N/A	Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement
27238	N/A	N/A	Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; without manipulation
27240	N/A	N/A	Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with manipulation, with or without skin or skeletal traction
27244	N/A	N/A	Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant, with or without cerclage
27245	N/A	N/A	Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with or without interlocking screws and/or cerclage
27246	N/A	N/A	Closed treatment of greater trochanteric fracture, without manipulation
27248	N/A	N/A	Open treatment of greater trochanteric fracture, includes internal fixation, when performed
99201	N/A	N/A	Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family.
99202	N/A	N/A	Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.
99203	N/A	N/A	Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.
99204	N/A	N/A	Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.
99205	N/A	N/A	Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.
99212	N/A	N/A	Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.
99213	N/A	N/A	Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.
99214	N/A	N/A	Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.
99215	N/A	N/A	Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.
5015F	1P	N/A	Documentation of communication that a fracture occurred and that the patient was or should be tested or treated for osteoporosis (OP)
5015F	2P	N/A	Documentation of communication that a fracture occurred and that the patient was or should be tested or treated for osteoporosis (OP)
5015F	8P	N/A	Documentation of communication that a fracture occurred and that the patient was or should be tested or treated for osteoporosis (OP)
5015F	N/A	N/A	Documentation of communication that a fracture occurred and that the patient was or should be tested or treated for osteoporosis (OP)
5015F	8P	N/A	Documentation of communication that a fracture occurred and that the patient was or should be tested or treated for osteoporosis (OP)
5015F	N/A	N/A	Documentation of communication that a fracture occurred and that the patient was or should be tested or treated for osteoporosis (OP)
ICD9 Codes
Code	Modifier	POS	Description
733.00	N/A	N/A	Osteoporosis, unspecified
733.01	N/A	N/A	Senile osteoporosis
733.02	N/A	N/A	Idiopathic osteoporosis
733.03	N/A	N/A	Disuse osteoporosis
733.09	N/A	N/A	Other osteoporosis
805.00	N/A	N/A	Closed fracture of cervical vertebra, unspecified level
805.01	N/A	N/A	Closed fracture of first cervical vertebra
805.02	N/A	N/A	Closed fracture of second cervical vertebra
805.03	N/A	N/A	Closed fracture of third cervical vertebra
805.04	N/A	N/A	Closed fracture of fourth cervical vertebra
805.05	N/A	N/A	Closed fracture of fifth cervical vertebra
805.06	N/A	N/A	Closed fracture of sixth cervical vertebra
805.07	N/A	N/A	Closed fracture of seventh cervical vertebra
805.08	N/A	N/A	Closed fracture of multiple cervical vertebrae
805.2	N/A	N/A	Closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury
805.4	N/A	N/A	Closed fracture of lumbar vertebra without mention of spinal cord injury
805.6	N/A	N/A	Closed fracture of sacrum and coccyx without mention of spinal cord injury
805.8	N/A	N/A	Closed fracture of unspecified vertebral column without mention of spinal cord injury
813.40	N/A	N/A	Closed fracture of lower end of forearm, unspecified
813.41	N/A	N/A	Closed Colles' fracture
813.42	N/A	N/A	Other closed fractures of distal end of radius (alone)
813.44	N/A	N/A	Closed fracture of lower end of radius with ulna
813.45	N/A	N/A	Torus fracture of radius (alone)
813.47	N/A	N/A	Torus fracture of radius and ulna
813.50	N/A	N/A	Open fracture of lower end of forearm, unspecified
813.51	N/A	N/A	Open Colles' fracture
813.52	N/A	N/A	Other open fractures of distal end of radius (alone)
813.54	N/A	N/A	Open fracture of lower end of radius with ulna
820.00	N/A	N/A	Closed fracture of intracapsular section of neck of femur, unspecified
820.01	N/A	N/A	Closed fracture of epiphysis (separation) (upper) of neck of femur
820.02	N/A	N/A	Closed fracture of midcervical section of neck of femur
820.03	N/A	N/A	Closed fracture of base of neck of femur
820.09	N/A	N/A	Other closed transcervical fracture of neck of femur
820.20	N/A	N/A	Closed fracture of trochanteric section of neck of femur
820.21	N/A	N/A	Closed fracture of intertrochanteric section of neck of femur
820.22	N/A	N/A	Closed fracture of subtrochanteric section of neck of femur
820.8	N/A	N/A	Closed fracture of unspecified part of neck of femur

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.

Thank you for choosing Find-A-Code, please Sign In to remove ads.

MY NEWSLETTERS

FEES

FACILITY

RISK ADJUSTMENT

PQRS Measure

CPT Codes

ICD9 Codes