PQRS Measure
Report via: Claim, Registry
The following codes apply for this PQRS measure:
CPT Codes | |||
| Code | Modifier | POS | Description |
|---|---|---|---|
| 99281 | N/A | 23 | Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional |
| 99282 | N/A | 23 | Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making |
| 99283 | N/A | 23 | Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making |
| 99284 | N/A | 23 | Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making |
| 99285 | N/A | 23 | Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making |
| 99291 | N/A | 23 | Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes |
| 4084F | N/A | N/A | Aspirin received within 24 hours before emergency department arrival or during emergency department stay (EM) |
| 4084F | 8P | N/A | Aspirin received within 24 hours before emergency department arrival or during emergency department stay (EM) |
| 4084F | 1P | N/A | Aspirin received within 24 hours before emergency department arrival or during emergency department stay (EM) |
| 4084F | 2P | N/A | Aspirin received within 24 hours before emergency department arrival or during emergency department stay (EM) |
| 4084F | N/A | N/A | Aspirin received within 24 hours before emergency department arrival or during emergency department stay (EM) |
| 4084F | 8P | N/A | Aspirin received within 24 hours before emergency department arrival or during emergency department stay (EM) |
ICD9 Codes | |||
| Code | Modifier | POS | Description |
| 410.00 | N/A | N/A | Acute myocardial infarction of anterolateral wall, episode of care unspecified |
| 410.01 | N/A | N/A | Acute myocardial infarction of anterolateral wall, initial episode of care |
| 410.10 | N/A | N/A | Acute myocardial infarction of other anterior wall, episode of care unspecified |
| 410.11 | N/A | N/A | Acute myocardial infarction of other anterior wall, initial episode of care |
| 410.20 | N/A | N/A | Acute myocardial infarction of inferolateral wall, episode of care unspecified |
| 410.21 | N/A | N/A | Acute myocardial infarction of inferolateral wall, initial episode of care |
| 410.30 | N/A | N/A | Acute myocardial infarction of inferoposterior wall, episode of care unspecified |
| 410.31 | N/A | N/A | Acute myocardial infarction of inferoposterior wall, initial episode of care |
| 410.40 | N/A | N/A | Acute myocardial infarction of other inferior wall, episode of care unspecified |
| 410.41 | N/A | N/A | Acute myocardial infarction of other inferior wall, initial episode of care |
| 410.50 | N/A | N/A | Acute myocardial infarction of other lateral wall, episode of care unspecified |
| 410.51 | N/A | N/A | Acute myocardial infarction of other lateral wall, initial episode of care |
| 410.60 | N/A | N/A | True posterior wall infarction, episode of care unspecified |
| 410.61 | N/A | N/A | True posterior wall infarction, initial episode of care |
| 410.70 | N/A | N/A | Subendocardial infarction, episode of care unspecified |
| 410.71 | N/A | N/A | Subendocardial infarction, initial episode of care |
| 410.80 | N/A | N/A | Acute myocardial infarction of other specified sites, episode of care unspecified |
| 410.81 | N/A | N/A | Acute myocardial infarction of other specified sites, initial episode of care |
| 410.90 | N/A | N/A | Acute myocardial infarction of unspecified site, episode of care unspecified |
| 410.91 | N/A | N/A | Acute myocardial infarction of unspecified site, initial episode of care |
ICD10CM Codes | |||
| Code | Modifier | POS | Description |
| I21.01 | N/A | N/A | ST elevation (STEMI) myocardial infarction involving left main coronary artery |
| I21.02 | N/A | N/A | ST elevation (STEMI) myocardial infarction involving left anterior descending coronary artery |
| I21.09 | N/A | N/A | ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall |
| I21.11 | N/A | N/A | ST elevation (STEMI) myocardial infarction involving right coronary artery |
| I21.19 | N/A | N/A | ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall |
| I21.21 | N/A | N/A | ST elevation (STEMI) myocardial infarction involving left circumflex coronary artery |
| I21.29 | N/A | N/A | ST elevation (STEMI) myocardial infarction involving other sites |
| I21.3 | N/A | N/A | ST elevation (STEMI) myocardial infarction of unspecified site |
| I21.4 | N/A | N/A | Non-ST elevation (NSTEMI) myocardial infarction |
| I22.0 | N/A | N/A | Subsequent ST elevation (STEMI) myocardial infarction of anterior wall |
| I22.1 | N/A | N/A | Subsequent ST elevation (STEMI) myocardial infarction of inferior wall |
| I22.2 | N/A | N/A | Subsequent non-ST elevation (NSTEMI) myocardial infarction |
| I22.8 | N/A | N/A | Subsequent ST elevation (STEMI) myocardial infarction of other sites |
| I22.9 | N/A | N/A | Subsequent ST elevation (STEMI) myocardial infarction of unspecified site |
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/ACOThis measure can be submitted via Group Practice Reporting Option, or GPRO Web Interface.
SurveyThis measure can be submitted/collected via a Certified Survey Vendor.
More information on these alternative reporting mechanisms is available at:
http://www.cms.gov/PQRS/20_AlternativeReportingMechanisms.asp.
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/ACOThis measure can be submitted via Group Practice Reporting Option, or GPRO Web Interface.
SurveyThis measure can be submitted/collected via a Certified Survey Vendor.
More information on these alternative reporting mechanisms is available at:
http://www.cms.gov/PQRS/20_AlternativeReportingMechanisms.asp.
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