PQRS Measure
#32Stroke and Stroke Rehabilitation: Discharged on Antithrombotic Therapy
Report via: Claim, Registry
The following codes apply for this PQRS measure:
CPT Codes | |||
| Code | Modifier | POS | Description |
|---|---|---|---|
| 99221 | N/A | N/A | 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 | N/A | N/A | 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 | N/A | N/A | 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. |
| 99231 | N/A | N/A | Subsequent 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 of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded. |
| 99232 | N/A | N/A | Subsequent 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, 35 minutes must be met or exceeded. |
| 99233 | N/A | N/A | Subsequent 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, 50 minutes must be met or exceeded. |
| 99234 | N/A | N/A | Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and straightforward or 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. |
| 99235 | N/A | N/A | Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 70 minutes must be met or exceeded. |
| 99238 | N/A | N/A | Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter |
| 99239 | N/A | N/A | Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter |
HCPCS Codes | |||
| Code | Modifier | POS | Description |
| G8696 | N/A | N/A | Antithrombotic therapy prescribed at discharge |
| G8697 | N/A | N/A | Antithrombotic therapy not prescribed for documented reasons (e.g., patient had stroke during hospital stay, patient expired during inpatient stay, other medical reason(s)); (e.g., patient left against medical advice, other patient reason(s)) |
| G8698 | N/A | N/A | Antithrombotic therapy was not prescribed at discharge, reason not given |
| G8696 | N/A | N/A | Antithrombotic therapy prescribed at discharge |
| G8698 | N/A | N/A | Antithrombotic therapy was not prescribed at discharge, reason not given |
ICD9 Codes | |||
| Code | Modifier | POS | Description |
| 433.01 | N/A | N/A | Occlusion and stenosis of basilar artery with cerebral infarction |
| 433.11 | N/A | N/A | Occlusion and stenosis of carotid artery with cerebral infarction |
| 433.21 | N/A | N/A | Occlusion and stenosis of vertebral artery with cerebral infarction |
| 433.31 | N/A | N/A | Occlusion and stenosis of multiple and bilateral precerebral arteries with cerebral infarction |
| 433.81 | N/A | N/A | Occlusion and stenosis of other specified precerebral artery with cerebral infarction |
| 433.91 | N/A | N/A | Occlusion and stenosis of unspecified precerebral artery with cerebral infarction |
| 434.01 | N/A | N/A | Cerebral thrombosis with cerebral infarction |
| 434.11 | N/A | N/A | Cerebral embolism with cerebral infarction |
| 434.91 | N/A | N/A | Cerebral artery occlusion, unspecified with cerebral infarction |
| 435.0 | N/A | N/A | Basilar artery syndrome |
| 435.1 | N/A | N/A | Vertebral artery syndrome |
| 435.2 | N/A | N/A | Subclavian steal syndrome |
| 435.3 | N/A | N/A | Vertebrobasilar artery syndrome |
| 435.8 | N/A | N/A | Other specified transient cerebral ischemias |
| 435.9 | N/A | N/A | Unspecified transient cerebral ischemia |
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.
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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