QPP Measure #014
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage AND the level of macular degeneration severity during one or more office visits within 12 months
The following codes apply for this QPP measure:
CPT Codes | |||
| Code | Description | ||
|---|---|---|---|
| 92002 | CPT Code | ||
| 92004 | CPT Code | ||
| 92012 | CPT Code | ||
| 99201 | CPT Code | ||
| 99202 | CPT Code | ||
| 99203 | CPT Code | ||
| 99204 | CPT Code | ||
| 99205 | CPT Code | ||
| 99212 | CPT Code | ||
| 99213 | CPT Code | ||
| 99214 | CPT Code | ||
| 99215 | CPT Code | ||
| 99241 | CPT Code | ||
| 99242 | CPT Code | ||
| 99243 | CPT Code | ||
| 99244 | CPT Code | ||
| 99245 | CPT Code | ||
| 99304 | CPT Code | ||
| 99305 | CPT Code | ||
| 99306 | CPT Code | ||
| 99307 | CPT Code | ||
| 99308 | CPT Code | ||
| 99309 | CPT Code | ||
| 99310 | CPT Code | ||
| 99324 | CPT Code | ||
| 99325 | CPT Code | ||
| 99326 | CPT Code | ||
| 99327 | CPT Code | ||
| 99328 | CPT Code | ||
| 99334 | CPT Code | ||
| 99335 | CPT Code | ||
| 99336 | CPT Code | ||
| 99337 | CPT Code | ||
HCPCS Codes | |||
| Code | Description | ||
| G9892 | Documentation of patient reason(s) for not performing a dilated macular examination | ||
| G9893 | Dilated macular exam was not performed, reason not otherwise specified | ||
| G9974 | Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity | ||
| G9975 | Documentation of medical reason(s) for not performing a dilated macular examination | ||
ICD10CM Codes | |||
| Code | Description | ||
| H35.30 | Unspecified macular degeneration | ||
| H35.3110 | Nonexudative age-related macular degeneration, right eye, stage unspecified | ||
| H35.3111 | Nonexudative age-related macular degeneration, right eye, early dry stage | ||
| H35.3112 | Nonexudative age-related macular degeneration, right eye, intermediate dry stage | ||
| H35.3113 | Nonexudative age-related macular degeneration, right eye, advanced atrophic without subfoveal involvement | ||
| H35.3114 | Nonexudative age-related macular degeneration, right eye, advanced atrophic with subfoveal involvement | ||
| H35.3120 | Nonexudative age-related macular degeneration, left eye, stage unspecified | ||
| H35.3121 | Nonexudative age-related macular degeneration, left eye, early dry stage | ||
| H35.3122 | Nonexudative age-related macular degeneration, left eye, intermediate dry stage | ||
| H35.3123 | Nonexudative age-related macular degeneration, left eye, advanced atrophic without subfoveal involvement | ||
| H35.3124 | Nonexudative age-related macular degeneration, left eye, advanced atrophic with subfoveal involvement | ||
| H35.3130 | Nonexudative age-related macular degeneration, bilateral, stage unspecified | ||
| H35.3131 | Nonexudative age-related macular degeneration, bilateral, early dry stage | ||
| H35.3132 | Nonexudative age-related macular degeneration, bilateral, intermediate dry stage | ||
| H35.3133 | Nonexudative age-related macular degeneration, bilateral, advanced atrophic without subfoveal involvement | ||
| H35.3134 | Nonexudative age-related macular degeneration, bilateral, advanced atrophic with subfoveal involvement | ||
| H35.3210 | Exudative age-related macular degeneration, right eye, stage unspecified | ||
| H35.3211 | Exudative age-related macular degeneration, right eye, with active choroidal neovascularization | ||
| H35.3212 | Exudative age-related macular degeneration, right eye, with inactive choroidal neovascularization | ||
| H35.3213 | Exudative age-related macular degeneration, right eye, with inactive scar | ||
| H35.3220 | Exudative age-related macular degeneration, left eye, stage unspecified | ||
| H35.3221 | Exudative age-related macular degeneration, left eye, with active choroidal neovascularization | ||
| H35.3222 | Exudative age-related macular degeneration, left eye, with inactive choroidal neovascularization | ||
| H35.3223 | Exudative age-related macular degeneration, left eye, with inactive scar | ||
| H35.3230 | Exudative age-related macular degeneration, bilateral, stage unspecified | ||
| H35.3231 | Exudative age-related macular degeneration, bilateral, with active choroidal neovascularization | ||
| H35.3232 | Exudative age-related macular degeneration, bilateral, with inactive choroidal neovascularization | ||
| H35.3233 | Exudative age-related macular degeneration, bilateral, with inactive scar | ||
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