PQRS Measure
This measure may be submitted via Registry only
The following codes apply for this PQRS measure:
CPT Codes | |||
| Code | Modifier | POS | Description |
|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation | ||
| 90792 | Psychiatric diagnostic evaluation with medical services | ||
| 90832 | Psychotherapy, 30 minutes with patient | ||
| 90834 | Psychotherapy, 45 minutes with patient | ||
| 90837 | Psychotherapy, 60 minutes with patient | ||
| 90845 | Psychoanalysis | ||
| 99201 | 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 | 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 | 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 | 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 | 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 | 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 | 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 | 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 | 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. | ||
HCPCS Codes | |||
| Code | Modifier | POS | Description |
| G8959 | Clinician treating major depressive disorder communicates to clinician treating comorbid condition | ||
| G8960 | Clinician treating major depressive disorder did not communicate to clinician treating comorbid condition, reason not given | ||
| G9232 | Clinician treating major depressive disorder did not communicate to clinician treating comorbid condition for specified patient reason (e.g., patient is unable to communicate the diagnosis of a comorbid condition; the patient is unwilling to communicate the diagnosis of a comorbid condition; or the patient is unaware of the comorbid condition, or any other specified patient reason) | ||
ICD9 Codes | |||
| Code | Modifier | POS | Description |
| 296.20 | Major depressive affective disorder, single episode, unspecified | ||
| 296.21 | Major depressive affective disorder, single episode, mild | ||
| 296.22 | Major depressive affective disorder, single episode, moderate | ||
| 296.23 | Major depressive affective disorder, single episode, severe, without mention of psychotic behavior | ||
| 296.24 | Major depressive affective disorder, single episode, severe, specified as with psychotic behavior | ||
| 296.30 | Major depressive affective disorder, recurrent episode, unspecified | ||
| 296.31 | Major depressive affective disorder, recurrent episode, mild | ||
| 296.32 | Major depressive affective disorder, recurrent episode, moderate | ||
| 296.33 | Major depressive affective disorder, recurrent episode, severe, without mention of psychotic behavior | ||
| 296.34 | Major depressive affective disorder, recurrent episode, severe, specified as with psychotic behavior | ||
| 250.00 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | ||
| 250.01 | Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | ||
| 250.02 | Diabetes mellitus without mention of complication, type II or unspecified type, uncontrolled | ||
| 250.03 | Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | ||
| 250.10 | Diabetes with ketoacidosis, type II or unspecified type, not stated as uncontrolled | ||
| 250.11 | Diabetes with ketoacidosis, type I [juvenile type], not stated as uncontrolled | ||
| 250.12 | Diabetes with ketoacidosis, type II or unspecified type, uncontrolled | ||
| 250.13 | Diabetes with ketoacidosis, type I [juvenile type], uncontrolled | ||
| 250.20 | Diabetes with hyperosmolarity, type II or unspecified type, not stated as uncontrolled | ||
| 250.21 | Diabetes with hyperosmolarity, type I [juvenile type], not stated as uncontrolled | ||
| 250.22 | Diabetes with hyperosmolarity, type II or unspecified type, uncontrolled | ||
| 250.23 | Diabetes with hyperosmolarity, type I [juvenile type], uncontrolled | ||
| 250.30 | Diabetes with other coma, type II or unspecified type, not stated as uncontrolled | ||
| 250.31 | Diabetes with other coma, type I [juvenile type], not stated as uncontrolled | ||
| 250.32 | Diabetes with other coma, type II or unspecified type, uncontrolled | ||
| 250.33 | Diabetes with other coma, type I [juvenile type], uncontrolled | ||
| 250.40 | Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | ||
| 250.41 | Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | ||
| 250.42 | Diabetes with renal manifestations, type II or unspecified type, uncontrolled | ||
| 250.43 | Diabetes with renal manifestations, type I [juvenile type], uncontrolled | ||
| 250.50 | Diabetes with ophthalmic manifestations, type II or unspecified type, not stated as uncontrolled | ||
| 250.51 | Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | ||
| 250.52 | Diabetes with ophthalmic manifestations, type II or unspecified type, uncontrolled | ||
| 250.53 | Diabetes with ophthalmic manifestations, type I [juvenile type], uncontrolled | ||
| 250.60 | Diabetes with neurological manifestations, type II or unspecified type, not stated as uncontrolled | ||
| 250.61 | Diabetes with neurological manifestations, type I [juvenile type], not stated as uncontrolled | ||
| 250.62 | Diabetes with neurological manifestations, type II or unspecified type, uncontrolled | ||
| 250.63 | Diabetes with neurological manifestations, type I [juvenile type], uncontrolled | ||
| 250.70 | Diabetes with peripheral circulatory disorders, type II or unspecified type, not stated as uncontrolled | ||
| 250.71 | Diabetes with peripheral circulatory disorders, type I [juvenile type], not stated as uncontrolled | ||
| 250.72 | Diabetes with peripheral circulatory disorders, type II or unspecified type, uncontrolled | ||
| 250.73 | Diabetes with peripheral circulatory disorders, type I [juvenile type], uncontrolled | ||
| 250.80 | Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | ||
| 250.81 | Diabetes with other specified manifestations, type I [juvenile type], not stated as uncontrolled | ||
| 250.82 | Diabetes with other specified manifestations, type II or unspecified type, uncontrolled | ||
| 250.83 | Diabetes with other specified manifestations, type I [juvenile type], uncontrolled | ||
| 250.90 | Diabetes with unspecified complication, type II or unspecified type, not stated as uncontrolled | ||
| 250.91 | Diabetes with unspecified complication, type I [juvenile type], not stated as uncontrolled | ||
| 250.92 | Diabetes with unspecified complication, type II or unspecified type, uncontrolled | ||
| 250.93 | Diabetes with unspecified complication, type I [juvenile type], uncontrolled | ||
| 410.00 | Acute myocardial infarction of anterolateral wall, episode of care unspecified | ||
| 410.01 | Acute myocardial infarction of anterolateral wall, initial episode of care | ||
| 410.02 | Acute myocardial infarction of anterolateral wall, subsequent episode of care | ||
| 410.10 | Acute myocardial infarction of other anterior wall, episode of care unspecified | ||
| 410.11 | Acute myocardial infarction of other anterior wall, initial episode of care | ||
| 410.12 | Acute myocardial infarction of other anterior wall, subsequent episode of care | ||
| 410.20 | Acute myocardial infarction of inferolateral wall, episode of care unspecified | ||
| 410.21 | Acute myocardial infarction of inferolateral wall, initial episode of care | ||
| 410.22 | Acute myocardial infarction of inferolateral wall, subsequent episode of care | ||
| 410.30 | Acute myocardial infarction of inferoposterior wall, episode of care unspecified | ||
| 410.31 | Acute myocardial infarction of inferoposterior wall, initial episode of care | ||
| 410.32 | Acute myocardial infarction of inferoposterior wall, subsequent episode of care | ||
| 410.40 | Acute myocardial infarction of other inferior wall, episode of care unspecified | ||
| 410.41 | Acute myocardial infarction of other inferior wall, initial episode of care | ||
| 410.42 | Acute myocardial infarction of other inferior wall, subsequent episode of care | ||
| 410.50 | Acute myocardial infarction of other lateral wall, episode of care unspecified | ||
| 410.51 | Acute myocardial infarction of other lateral wall, initial episode of care | ||
| 410.52 | Acute myocardial infarction of other lateral wall, subsequent episode of care | ||
| 410.60 | True posterior wall infarction, episode of care unspecified | ||
| 410.61 | True posterior wall infarction, initial episode of care | ||
| 410.62 | True posterior wall infarction, subsequent episode of care | ||
| 410.70 | Subendocardial infarction, episode of care unspecified | ||
| 410.71 | Subendocardial infarction, initial episode of care | ||
| 410.72 | Subendocardial infarction, subsequent episode of care | ||
| 410.80 | Acute myocardial infarction of other specified sites, episode of care unspecified | ||
| 410.81 | Acute myocardial infarction of other specified sites, initial episode of care | ||
| 410.82 | Acute myocardial infarction of other specified sites, subsequent episode of care | ||
| 410.90 | Acute myocardial infarction of unspecified site, episode of care unspecified | ||
| 410.91 | Acute myocardial infarction of unspecified site, initial episode of care | ||
| 410.92 | Acute myocardial infarction of unspecified site, subsequent episode of care | ||
| 411.0 | Postmyocardial infarction syndrome | ||
| 411.1 | Intermediate coronary syndrome | ||
| 411.81 | Acute coronary occlusion without myocardial infarction | ||
| 411.89 | Other acute and subacute forms of ischemic heart disease, other | ||
| 412 | Old myocardial infarction | ||
| 413.0 | Angina decubitus | ||
| 413.1 | Prinzmetal angina | ||
| 413.9 | Other and unspecified angina pectoris | ||
| 414.00 | Coronary atherosclerosis of unspecified type of vessel, native or graft | ||
| 414.01 | Coronary atherosclerosis of native coronary artery | ||
| 414.02 | Coronary atherosclerosis of autologous vein bypass graft | ||
| 414.03 | Coronary atherosclerosis of nonautologous biological bypass graft | ||
| 414.04 | Coronary atherosclerosis of artery bypass graft | ||
| 414.05 | Coronary atherosclerosis of unspecified bypass graft | ||
| 414.06 | Coronary atherosclerosis of native coronary artery of transplanted heart | ||
| 414.07 | Coronary atherosclerosis of bypass graft (artery) (vein) of transplanted heart | ||
| 414.2 | Chronic total occlusion of coronary artery | ||
| 414.3 | Coronary atherosclerosis due to lipid rich plaque | ||
| 414.8 | Other specified forms of chronic ischemic heart disease | ||
| 414.9 | Chronic ischemic heart disease, unspecified | ||
| V45.81 | Aortocoronary bypass status | ||
| V45.82 | Percutaneous transluminal coronary angioplasty status | ||
| 430 | Subarachnoid hemorrhage | ||
| 431 | Intracerebral hemorrhage | ||
| 432.0 | Nontraumatic extradural hemorrhage | ||
| 432.1 | Subdural hemorrhage | ||
| 432.9 | Unspecified intracranial 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 | ||
| 585.4 | Chronic kidney disease, Stage IV (severe) | ||
| 585.5 | Chronic kidney disease, Stage V | ||
| 585.6 | End stage renal disease | ||
| 402.01 | Malignant hypertensive heart disease with heart failure | ||
| 402.11 | Benign hypertensive heart disease with heart failure | ||
| 402.91 | Unspecified hypertensive heart disease with heart failure | ||
| 404.01 | Hypertensive heart and chronic kidney disease, malignant, with heart failure and with chronic kidney disease stage I through stage IV, or unspecified | ||
| 404.03 | Hypertensive heart and chronic kidney disease, malignant, with heart failure and with chronic kidney disease stage V or end stage renal disease | ||
| 404.11 | Hypertensive heart and chronic kidney disease, benign, with heart failure and with chronic kidney disease stage I through stage IV, or unspecified | ||
| 404.13 | Hypertensive heart and chronic kidney disease, benign, with heart failure and chronic kidney disease stage V or end stage renal disease | ||
| 404.91 | Hypertensive heart and chronic kidney disease, unspecified, with heart failure and with chronic kidney disease stage I through stage IV, or unspecified | ||
| 404.93 | Hypertensive heart and chronic kidney disease, unspecified, with heart failure and chronic kidney disease stage V or end stage renal disease | ||
| 428.0 | Congestive heart failure, unspecified | ||
| 428.1 | Left heart failure | ||
| 428.20 | Systolic heart failure, unspecified | ||
| 428.21 | Acute systolic heart failure | ||
| 428.22 | Chronic systolic heart failure | ||
| 428.23 | Acute on chronic systolic heart failure | ||
| 428.30 | Diastolic heart failure, unspecified | ||
| 428.31 | Acute diastolic heart failure | ||
| 428.32 | Chronic diastolic heart failure | ||
| 428.33 | Acute on chronic diastolic heart failure | ||
| 428.40 | Combined systolic and diastolic heart failure, unspecified | ||
| 428.41 | Acute combined systolic and diastolic heart failure | ||
| 428.42 | Chronic combined systolic and diastolic heart failure | ||
| 428.43 | Acute on chronic combined systolic and diastolic heart failure | ||
| 428.9 | Heart failure, unspecified | ||
ICD10CM Codes | |||
| Code | Modifier | POS | Description |
| F32.0 | Major depressive disorder, single episode, mild | ||
| F32.1 | Major depressive disorder, single episode, moderate | ||
| F32.2 | Major depressive disorder, single episode, severe without psychotic features | ||
| F32.3 | Major depressive disorder, single episode, severe with psychotic features | ||
| F32.9 | Major depressive disorder, single episode, unspecified | ||
| F33.0 | Major depressive disorder, recurrent, mild | ||
| F33.1 | Major depressive disorder, recurrent, moderate | ||
| F33.2 | Major depressive disorder, recurrent severe without psychotic features | ||
| F33.3 | Major depressive disorder, recurrent, severe with psychotic symptoms | ||
| F33.9 | Major depressive disorder, recurrent, unspecified | ||
| E10.10 | Type 1 diabetes mellitus with ketoacidosis without coma | ||
| E10.11 | Type 1 diabetes mellitus with ketoacidosis with coma | ||
| E10.21 | Type 1 diabetes mellitus with diabetic nephropathy | ||
| E10.22 | Type 1 diabetes mellitus with diabetic chronic kidney disease | ||
| E10.29 | Type 1 diabetes mellitus with other diabetic kidney complication | ||
| E10.311 | Type 1 diabetes mellitus with unspecified diabetic retinopathy with macular edema | ||
| E10.319 | Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | ||
| E10.321 | Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema | ||
| E10.329 | Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema | ||
| E10.331 | Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema | ||
| E10.339 | Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema | ||
| E10.341 | Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema | ||
| E10.349 | Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema | ||
| E10.351 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema | ||
| E10.359 | Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema | ||
| E10.36 | Type 1 diabetes mellitus with diabetic cataract | ||
| E10.39 | Type 1 diabetes mellitus with other diabetic ophthalmic complication | ||
| E10.40 | Type 1 diabetes mellitus with diabetic neuropathy, unspecified | ||
| E10.41 | Type 1 diabetes mellitus with diabetic mononeuropathy | ||
| E10.42 | Type 1 diabetes mellitus with diabetic polyneuropathy | ||
| E10.43 | Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy | ||
| E10.44 | Type 1 diabetes mellitus with diabetic amyotrophy | ||
| E10.49 | Type 1 diabetes mellitus with other diabetic neurological complication | ||
| E10.51 | Type 1 diabetes mellitus with diabetic peripheral angiopathy without gangrene | ||
| E10.52 | Type 1 diabetes mellitus with diabetic peripheral angiopathy with gangrene | ||
| E10.59 | Type 1 diabetes mellitus with other circulatory complications | ||
| E10.610 | Type 1 diabetes mellitus with diabetic neuropathic arthropathy | ||
| E10.618 | Type 1 diabetes mellitus with other diabetic arthropathy | ||
| E10.620 | Type 1 diabetes mellitus with diabetic dermatitis | ||
| E10.621 | Type 1 diabetes mellitus with foot ulcer | ||
| E10.622 | Type 1 diabetes mellitus with other skin ulcer | ||
| E10.628 | Type 1 diabetes mellitus with other skin complications | ||
| E10.630 | Type 1 diabetes mellitus with periodontal disease | ||
| E10.638 | Type 1 diabetes mellitus with other oral complications | ||
| E10.641 | Type 1 diabetes mellitus with hypoglycemia with coma | ||
| E10.649 | Type 1 diabetes mellitus with hypoglycemia without coma | ||
| E10.65 | Type 1 diabetes mellitus with hyperglycemia | ||
| E10.69 | Type 1 diabetes mellitus with other specified complication | ||
| E10.8 | Type 1 diabetes mellitus with unspecified complications | ||
| E10.9 | Type 1 diabetes mellitus without complications | ||
| E11.00 | Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | ||
| E11.01 | Type 2 diabetes mellitus with hyperosmolarity with coma | ||
| E11.21 | Type 2 diabetes mellitus with diabetic nephropathy | ||
| E11.22 | Type 2 diabetes mellitus with diabetic chronic kidney disease | ||
| E11.29 | Type 2 diabetes mellitus with other diabetic kidney complication | ||
| E11.311 | Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema | ||
| E11.319 | Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema | ||
| E11.321 | Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema | ||
| E11.329 | Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema | ||
| E11.331 | Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema | ||
| E11.339 | Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema | ||
| E11.341 | Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema | ||
| E11.349 | Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema | ||
| E11.351 | Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema | ||
| E11.359 | Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema | ||
| E11.36 | Type 2 diabetes mellitus with diabetic cataract | ||
| E11.39 | Type 2 diabetes mellitus with other diabetic ophthalmic complication | ||
| E11.40 | Type 2 diabetes mellitus with diabetic neuropathy, unspecified | ||
| E11.41 | Type 2 diabetes mellitus with diabetic mononeuropathy | ||
| E11.42 | Type 2 diabetes mellitus with diabetic polyneuropathy | ||
| E11.43 | Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy | ||
| E11.44 | Type 2 diabetes mellitus with diabetic amyotrophy | ||
| E11.49 | Type 2 diabetes mellitus with other diabetic neurological complication | ||
| E11.51 | Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | ||
| E11.52 | Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene | ||
| E11.59 | Type 2 diabetes mellitus with other circulatory complications | ||
| E11.610 | Type 2 diabetes mellitus with diabetic neuropathic arthropathy | ||
| E11.618 | Type 2 diabetes mellitus with other diabetic arthropathy | ||
| E11.620 | Type 2 diabetes mellitus with diabetic dermatitis | ||
| E11.621 | Type 2 diabetes mellitus with foot ulcer | ||
| E11.622 | Type 2 diabetes mellitus with other skin ulcer | ||
| E11.628 | Type 2 diabetes mellitus with other skin complications | ||
| E11.630 | Type 2 diabetes mellitus with periodontal disease | ||
| E11.638 | Type 2 diabetes mellitus with other oral complications | ||
| E11.641 | Type 2 diabetes mellitus with hypoglycemia with coma | ||
| E11.649 | Type 2 diabetes mellitus with hypoglycemia without coma | ||
| E11.65 | Type 2 diabetes mellitus with hyperglycemia | ||
| E11.69 | Type 2 diabetes mellitus with other specified complication | ||
| E11.8 | Type 2 diabetes mellitus with unspecified complications | ||
| E11.9 | Type 2 diabetes mellitus without complications | ||
| E13.00 | Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | ||
| E13.01 | Other specified diabetes mellitus with hyperosmolarity with coma | ||
| E13.10 | Other specified diabetes mellitus with ketoacidosis without coma | ||
| E13.11 | Other specified diabetes mellitus with ketoacidosis with coma | ||
| E13.21 | Other specified diabetes mellitus with diabetic nephropathy | ||
| E13.22 | Other specified diabetes mellitus with diabetic chronic kidney disease | ||
| E13.29 | Other specified diabetes mellitus with other diabetic kidney complication | ||
| E13.311 | Other specified diabetes mellitus with unspecified diabetic retinopathy with macular edema | ||
| E13.319 | Other specified diabetes mellitus with unspecified diabetic retinopathy without macular edema | ||
| E13.321 | Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema | ||
| E13.329 | Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema | ||
| E13.331 | Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema | ||
| E13.339 | Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema | ||
| E13.341 | Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema | ||
| E13.349 | Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema | ||
| E13.351 | Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema | ||
| E13.359 | Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema | ||
| E13.36 | Other specified diabetes mellitus with diabetic cataract | ||
| E13.39 | Other specified diabetes mellitus with other diabetic ophthalmic complication | ||
| E13.40 | Other specified diabetes mellitus with diabetic neuropathy, unspecified | ||
| E13.41 | Other specified diabetes mellitus with diabetic mononeuropathy | ||
| E13.42 | Other specified diabetes mellitus with diabetic polyneuropathy | ||
| E13.43 | Other specified diabetes mellitus with diabetic autonomic (poly)neuropathy | ||
| E13.44 | Other specified diabetes mellitus with diabetic amyotrophy | ||
| E13.49 | Other specified diabetes mellitus with other diabetic neurological complication | ||
| E13.51 | Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | ||
| E13.52 | Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene | ||
| E13.59 | Other specified diabetes mellitus with other circulatory complications | ||
| E13.610 | Other specified diabetes mellitus with diabetic neuropathic arthropathy | ||
| E13.618 | Other specified diabetes mellitus with other diabetic arthropathy | ||
| E13.620 | Other specified diabetes mellitus with diabetic dermatitis | ||
| E13.621 | Other specified diabetes mellitus with foot ulcer | ||
| E13.622 | Other specified diabetes mellitus with other skin ulcer | ||
| E13.628 | Other specified diabetes mellitus with other skin complications | ||
| E13.630 | Other specified diabetes mellitus with periodontal disease | ||
| E13.638 | Other specified diabetes mellitus with other oral complications | ||
| E13.641 | Other specified diabetes mellitus with hypoglycemia with coma | ||
| E13.649 | Other specified diabetes mellitus with hypoglycemia without coma | ||
| E13.65 | Other specified diabetes mellitus with hyperglycemia | ||
| E13.69 | Other specified diabetes mellitus with other specified complication | ||
| E13.8 | Other specified diabetes mellitus with unspecified complications | ||
| E13.9 | Other specified diabetes mellitus without complications | ||
| I20.0 | Unstable angina | ||
| I20.1 | Angina pectoris with documented spasm | ||
| I20.8 | Other forms of angina pectoris | ||
| I20.9 | Angina pectoris, unspecified | ||
| I21.01 | ST elevation (STEMI) myocardial infarction involving left main coronary artery | ||
| I21.02 | ST elevation (STEMI) myocardial infarction involving left anterior descending coronary artery | ||
| I21.09 | ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall | ||
| I21.11 | ST elevation (STEMI) myocardial infarction involving right coronary artery | ||
| I21.19 | ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall | ||
| I21.21 | ST elevation (STEMI) myocardial infarction involving left circumflex coronary artery | ||
| I21.29 | ST elevation (STEMI) myocardial infarction involving other sites | ||
| I21.3 | ST elevation (STEMI) myocardial infarction of unspecified site | ||
| I21.4 | Non-ST elevation (NSTEMI) myocardial infarction | ||
| I22.0 | Subsequent ST elevation (STEMI) myocardial infarction of anterior wall | ||
| I22.1 | Subsequent ST elevation (STEMI) myocardial infarction of inferior wall | ||
| I22.2 | Subsequent non-ST elevation (NSTEMI) myocardial infarction | ||
| I22.8 | Subsequent ST elevation (STEMI) myocardial infarction of other sites | ||
| I22.9 | Subsequent ST elevation (STEMI) myocardial infarction of unspecified site | ||
| I24.0 | Acute coronary thrombosis not resulting in myocardial infarction | ||
| I24.1 | Dressler's syndrome | ||
| I24.8 | Other forms of acute ischemic heart disease | ||
| I24.9 | Acute ischemic heart disease, unspecified | ||
| I25.10 | Atherosclerotic heart disease of native coronary artery without angina pectoris | ||
| I25.110 | Atherosclerotic heart disease of native coronary artery with unstable angina pectoris | ||
| I25.111 | Atherosclerotic heart disease of native coronary artery with angina pectoris with documented spasm | ||
| I25.118 | Atherosclerotic heart disease of native coronary artery with other forms of angina pectoris | ||
| I25.119 | Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris | ||
| I25.2 | Old myocardial infarction | ||
| I25.5 | Ischemic cardiomyopathy | ||
| I25.6 | Silent myocardial ischemia | ||
| I25.700 | Atherosclerosis of coronary artery bypass graft(s), unspecified, with unstable angina pectoris | ||
| I25.701 | Atherosclerosis of coronary artery bypass graft(s), unspecified, with angina pectoris with documented spasm | ||
| I25.708 | Atherosclerosis of coronary artery bypass graft(s), unspecified, with other forms of angina pectoris | ||
| I25.709 | Atherosclerosis of coronary artery bypass graft(s), unspecified, with unspecified angina pectoris | ||
| I25.710 | Atherosclerosis of autologous vein coronary artery bypass graft(s) with unstable angina pectoris | ||
| I25.711 | Atherosclerosis of autologous vein coronary artery bypass graft(s) with angina pectoris with documented spasm | ||
| I25.718 | Atherosclerosis of autologous vein coronary artery bypass graft(s) with other forms of angina pectoris | ||
| I25.719 | Atherosclerosis of autologous vein coronary artery bypass graft(s) with unspecified angina pectoris | ||
| I25.720 | Atherosclerosis of autologous artery coronary artery bypass graft(s) with unstable angina pectoris | ||
| I25.721 | Atherosclerosis of autologous artery coronary artery bypass graft(s) with angina pectoris with documented spasm | ||
| I25.728 | Atherosclerosis of autologous artery coronary artery bypass graft(s) with other forms of angina pectoris | ||
| I25.729 | Atherosclerosis of autologous artery coronary artery bypass graft(s) with unspecified angina pectoris | ||
| I25.730 | Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with unstable angina pectoris | ||
| I25.731 | Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with angina pectoris with documented spasm | ||
| I25.738 | Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with other forms of angina pectoris | ||
| I25.739 | Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with unspecified angina pectoris | ||
| I25.750 | Atherosclerosis of native coronary artery of transplanted heart with unstable angina | ||
| I25.751 | Atherosclerosis of native coronary artery of transplanted heart with angina pectoris with documented spasm | ||
| I25.758 | Atherosclerosis of native coronary artery of transplanted heart with other forms of angina pectoris | ||
| I25.759 | Atherosclerosis of native coronary artery of transplanted heart with unspecified angina pectoris | ||
| I25.760 | Atherosclerosis of bypass graft of coronary artery of transplanted heart with unstable angina | ||
| I25.761 | Atherosclerosis of bypass graft of coronary artery of transplanted heart with angina pectoris with documented spasm | ||
| I25.768 | Atherosclerosis of bypass graft of coronary artery of transplanted heart with other forms of angina pectoris | ||
| I25.769 | Atherosclerosis of bypass graft of coronary artery of transplanted heart with unspecified angina pectoris | ||
| I25.790 | Atherosclerosis of other coronary artery bypass graft(s) with unstable angina pectoris | ||
| I25.791 | Atherosclerosis of other coronary artery bypass graft(s) with angina pectoris with documented spasm | ||
| I25.798 | Atherosclerosis of other coronary artery bypass graft(s) with other forms of angina pectoris | ||
| I25.799 | Atherosclerosis of other coronary artery bypass graft(s) with unspecified angina pectoris | ||
| I25.810 | Atherosclerosis of coronary artery bypass graft(s) without angina pectoris | ||
| I25.811 | Atherosclerosis of native coronary artery of transplanted heart without angina pectoris | ||
| I25.812 | Atherosclerosis of bypass graft of coronary artery of transplanted heart without angina pectoris | ||
| I25.82 | Chronic total occlusion of coronary artery | ||
| I25.83 | Coronary atherosclerosis due to lipid rich plaque | ||
| I25.89 | Other forms of chronic ischemic heart disease | ||
| I25.9 | Chronic ischemic heart disease, unspecified | ||
| Z95.1 | Presence of aortocoronary bypass graft | ||
| Z95.5 | Presence of coronary angioplasty implant and graft | ||
| Z98.61 | Coronary angioplasty status | ||
| I60.00 | Nontraumatic subarachnoid hemorrhage from unspecified carotid siphon and bifurcation | ||
| I60.01 | Nontraumatic subarachnoid hemorrhage from right carotid siphon and bifurcation | ||
| I60.02 | Nontraumatic subarachnoid hemorrhage from left carotid siphon and bifurcation | ||
| I60.10 | Nontraumatic subarachnoid hemorrhage from unspecified middle cerebral artery | ||
| I60.11 | Nontraumatic subarachnoid hemorrhage from right middle cerebral artery | ||
| I60.12 | Nontraumatic subarachnoid hemorrhage from left middle cerebral artery | ||
| I60.20 | Nontraumatic subarachnoid hemorrhage from unspecified anterior communicating artery | ||
| I60.21 | Nontraumatic subarachnoid hemorrhage from right anterior communicating artery | ||
| I60.22 | Nontraumatic subarachnoid hemorrhage from left anterior communicating artery | ||
| I60.30 | Nontraumatic subarachnoid hemorrhage from unspecified posterior communicating artery | ||
| I60.31 | Nontraumatic subarachnoid hemorrhage from right posterior communicating artery | ||
| I60.32 | Nontraumatic subarachnoid hemorrhage from left posterior communicating artery | ||
| I60.4 | Nontraumatic subarachnoid hemorrhage from basilar artery | ||
| I60.50 | Nontraumatic subarachnoid hemorrhage from unspecified vertebral artery | ||
| I60.51 | Nontraumatic subarachnoid hemorrhage from right vertebral artery | ||
| I60.52 | Nontraumatic subarachnoid hemorrhage from left vertebral artery | ||
| I60.6 | Nontraumatic subarachnoid hemorrhage from other intracranial arteries | ||
| I60.7 | Nontraumatic subarachnoid hemorrhage from unspecified intracranial artery | ||
| I60.8 | Other nontraumatic subarachnoid hemorrhage | ||
| I60.9 | Nontraumatic subarachnoid hemorrhage, unspecified | ||
| I61.0 | Nontraumatic intracerebral hemorrhage in hemisphere, subcortical | ||
| I61.1 | Nontraumatic intracerebral hemorrhage in hemisphere, cortical | ||
| I61.2 | Nontraumatic intracerebral hemorrhage in hemisphere, unspecified | ||
| I61.3 | Nontraumatic intracerebral hemorrhage in brain stem | ||
| I61.4 | Nontraumatic intracerebral hemorrhage in cerebellum | ||
| I61.5 | Nontraumatic intracerebral hemorrhage, intraventricular | ||
| I61.6 | Nontraumatic intracerebral hemorrhage, multiple localized | ||
| I61.8 | Other nontraumatic intracerebral hemorrhage | ||
| I61.9 | Nontraumatic intracerebral hemorrhage, unspecified | ||
| I62.00 | Nontraumatic subdural hemorrhage, unspecified | ||
| I62.01 | Nontraumatic acute subdural hemorrhage | ||
| I62.02 | Nontraumatic subacute subdural hemorrhage | ||
| I62.03 | Nontraumatic chronic subdural hemorrhage | ||
| I62.1 | Nontraumatic extradural hemorrhage | ||
| I62.9 | Nontraumatic intracranial hemorrhage, unspecified | ||
| I63.00 | Cerebral infarction due to thrombosis of unspecified precerebral artery | ||
| I63.011 | Cerebral infarction due to thrombosis of right vertebral artery | ||
| I63.012 | Cerebral infarction due to thrombosis of left vertebral artery | ||
| I63.019 | Cerebral infarction due to thrombosis of unspecified vertebral artery | ||
| I63.02 | Cerebral infarction due to thrombosis of basilar artery | ||
| I63.031 | Cerebral infarction due to thrombosis of right carotid artery | ||
| I63.032 | Cerebral infarction due to thrombosis of left carotid artery | ||
| I63.039 | Cerebral infarction due to thrombosis of unspecified carotid artery | ||
| I63.09 | Cerebral infarction due to thrombosis of other precerebral artery | ||
| I63.10 | Cerebral infarction due to embolism of unspecified precerebral artery | ||
| I63.111 | Cerebral infarction due to embolism of right vertebral artery | ||
| I63.112 | Cerebral infarction due to embolism of left vertebral artery | ||
| I63.119 | Cerebral infarction due to embolism of unspecified vertebral artery | ||
| I63.12 | Cerebral infarction due to embolism of basilar artery | ||
| I63.131 | Cerebral infarction due to embolism of right carotid artery | ||
| I63.132 | Cerebral infarction due to embolism of left carotid artery | ||
| I63.139 | Cerebral infarction due to embolism of unspecified carotid artery | ||
| I63.19 | Cerebral infarction due to embolism of other precerebral artery | ||
| I63.20 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified precerebral arteries | ||
| I63.211 | Cerebral infarction due to unspecified occlusion or stenosis of right vertebral artery | ||
| I63.212 | Cerebral infarction due to unspecified occlusion or stenosis of left vertebral artery | ||
| I63.219 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified vertebral artery | ||
| I63.22 | Cerebral infarction due to unspecified occlusion or stenosis of basilar artery | ||
| I63.231 | Cerebral infarction due to unspecified occlusion or stenosis of right carotid arteries | ||
| I63.232 | Cerebral infarction due to unspecified occlusion or stenosis of left carotid arteries | ||
| I63.239 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified carotid artery | ||
| I63.29 | Cerebral infarction due to unspecified occlusion or stenosis of other precerebral arteries | ||
| I63.30 | Cerebral infarction due to thrombosis of unspecified cerebral artery | ||
| I63.311 | Cerebral infarction due to thrombosis of right middle cerebral artery | ||
| I63.312 | Cerebral infarction due to thrombosis of left middle cerebral artery | ||
| I63.319 | Cerebral infarction due to thrombosis of unspecified middle cerebral artery | ||
| I63.321 | Cerebral infarction due to thrombosis of right anterior cerebral artery | ||
| I63.322 | Cerebral infarction due to thrombosis of left anterior cerebral artery | ||
| I63.329 | Cerebral infarction due to thrombosis of unspecified anterior cerebral artery | ||
| I63.331 | Cerebral infarction due to thrombosis of right posterior cerebral artery | ||
| I63.332 | Cerebral infarction due to thrombosis of left posterior cerebral artery | ||
| I63.339 | Cerebral infarction due to thrombosis of unspecified posterior cerebral artery | ||
| I63.341 | Cerebral infarction due to thrombosis of right cerebellar artery | ||
| I63.342 | Cerebral infarction due to thrombosis of left cerebellar artery | ||
| I63.349 | Cerebral infarction due to thrombosis of unspecified cerebellar artery | ||
| I63.39 | Cerebral infarction due to thrombosis of other cerebral artery | ||
| I63.40 | Cerebral infarction due to embolism of unspecified cerebral artery | ||
| I63.411 | Cerebral infarction due to embolism of right middle cerebral artery | ||
| I63.412 | Cerebral infarction due to embolism of left middle cerebral artery | ||
| I63.419 | Cerebral infarction due to embolism of unspecified middle cerebral artery | ||
| I63.421 | Cerebral infarction due to embolism of right anterior cerebral artery | ||
| I63.422 | Cerebral infarction due to embolism of left anterior cerebral artery | ||
| I63.429 | Cerebral infarction due to embolism of unspecified anterior cerebral artery | ||
| I63.431 | Cerebral infarction due to embolism of right posterior cerebral artery | ||
| I63.432 | Cerebral infarction due to embolism of left posterior cerebral artery | ||
| I63.439 | Cerebral infarction due to embolism of unspecified posterior cerebral artery | ||
| I63.441 | Cerebral infarction due to embolism of right cerebellar artery | ||
| I63.442 | Cerebral infarction due to embolism of left cerebellar artery | ||
| I63.449 | Cerebral infarction due to embolism of unspecified cerebellar artery | ||
| I63.49 | Cerebral infarction due to embolism of other cerebral artery | ||
| I63.50 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebral artery | ||
| I63.511 | Cerebral infarction due to unspecified occlusion or stenosis of right middle cerebral artery | ||
| I63.512 | Cerebral infarction due to unspecified occlusion or stenosis of left middle cerebral artery | ||
| I63.519 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified middle cerebral artery | ||
| I63.521 | Cerebral infarction due to unspecified occlusion or stenosis of right anterior cerebral artery | ||
| I63.522 | Cerebral infarction due to unspecified occlusion or stenosis of left anterior cerebral artery | ||
| I63.529 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified anterior cerebral artery | ||
| I63.531 | Cerebral infarction due to unspecified occlusion or stenosis of right posterior cerebral artery | ||
| I63.532 | Cerebral infarction due to unspecified occlusion or stenosis of left posterior cerebral artery | ||
| I63.539 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified posterior cerebral artery | ||
| I63.541 | Cerebral infarction due to unspecified occlusion or stenosis of right cerebellar artery | ||
| I63.542 | Cerebral infarction due to unspecified occlusion or stenosis of left cerebellar artery | ||
| I63.549 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebellar artery | ||
| I63.59 | Cerebral infarction due to unspecified occlusion or stenosis of other cerebral artery | ||
| I63.6 | Cerebral infarction due to cerebral venous thrombosis, nonpyogenic | ||
| I63.8 | Other cerebral infarction | ||
| I63.9 | Cerebral infarction, unspecified | ||
| N18.4 | Chronic kidney disease, stage 4 (severe) | ||
| N18.5 | Chronic kidney disease, stage 5 | ||
| N18.6 | End stage renal disease | ||
| I11.0 | Hypertensive heart disease with heart failure | ||
| I13.0 | Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease | ||
| I13.2 | Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease | ||
| I50.1 | Left ventricular failure, unspecified | ||
| I50.20 | Unspecified systolic (congestive) heart failure | ||
| I50.21 | Acute systolic (congestive) heart failure | ||
| I50.22 | Chronic systolic (congestive) heart failure | ||
| I50.23 | Acute on chronic systolic (congestive) heart failure | ||
| I50.30 | Unspecified diastolic (congestive) heart failure | ||
| I50.31 | Acute diastolic (congestive) heart failure | ||
| I50.32 | Chronic diastolic (congestive) heart failure | ||
| I50.33 | Acute on chronic diastolic (congestive) heart failure | ||
| I50.40 | Unspecified combined systolic (congestive) and diastolic (congestive) heart failure | ||
| I50.41 | Acute combined systolic (congestive) and diastolic (congestive) heart failure | ||
| I50.42 | Chronic combined systolic (congestive) and diastolic (congestive) heart failure | ||
| I50.43 | Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure | ||
| I50.9 | Heart failure, unspecified | ||
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).
GPROThis 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).
GPROThis 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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