PQRS Measure
#31Stroke and Stroke Rehabilitation: Deep Vein Thrombosis Prophylaxis (DVT) for Ischemic Stroke or Intracranial Hemorrhage
The following codes apply for this PQRS measure:
CPT Codes | |||
| Code | Modifier | POS | Description |
|---|---|---|---|
| 99221 | Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded. | ||
| 99222 | Initial hospital inpatient or observation care, per day, for the evaluation and management of a 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, 55 minutes must be met or exceeded. | ||
| 99223 | Initial hospital inpatient or observation care, per day, for the evaluation and management of a 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, 75 minutes must be met or exceeded. | ||
| 99251 | Inpatient consultation for a new or established patient, which requires these 3 key components: A problem focused history; A problem focused examination; and 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, 20 minutes are spent at the bedside and on the patient's hospital floor or unit. | ||
| 99252 | Inpatient or observation consultation for a new or 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, 35 minutes must be met or exceeded. | ||
| 99253 | Inpatient or observation consultation for a new or 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, 45 minutes must be met or exceeded. | ||
| 99254 | Inpatient or observation consultation for a new or 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, 60 minutes must be met or exceeded. | ||
| 99255 | Inpatient or observation consultation for a new or 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, 80 minutes must be met or exceeded. | ||
| 99291 | Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes | ||
| 4070F | Deep vein thrombosis (DVT) prophylaxis received by end of hospital day 2 (STR) | ||
| 4070F | 8P | Deep vein thrombosis (DVT) prophylaxis received by end of hospital day 2 (STR) | |
| 4070F | 1P | Deep vein thrombosis (DVT) prophylaxis received by end of hospital day 2 (STR) | |
| 4070F | 2P | Deep vein thrombosis (DVT) prophylaxis received by end of hospital day 2 (STR) | |
ICD9 Codes | |||
| Code | Modifier | POS | Description |
| 431 | Intracerebral hemorrhage | ||
| 433.01 | Occlusion and stenosis of basilar artery with cerebral infarction | ||
| 433.11 | Occlusion and stenosis of carotid artery with cerebral infarction | ||
| 433.21 | Occlusion and stenosis of vertebral artery with cerebral infarction | ||
| 433.31 | Occlusion and stenosis of multiple and bilateral precerebral arteries with cerebral infarction | ||
| 433.81 | Occlusion and stenosis of other specified precerebral artery with cerebral infarction | ||
| 433.91 | Occlusion and stenosis of unspecified precerebral artery with cerebral infarction | ||
| 434.01 | Cerebral thrombosis with cerebral infarction | ||
| 434.11 | Cerebral embolism with cerebral infarction | ||
| 434.91 | Cerebral artery occlusion, unspecified with cerebral infarction | ||
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.
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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