Year:  2017 2018 2019 2020 2021 2022 2023 2024 2025 

QPP Measure #046

Medication Reconciliation Post-Discharge

The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing practitioner, registered nurse, or clinical pharmacist providing on-going care for whom the discharge medication list was reconciled with the current medication list in the outpatient medical record. This measure is reported as three rates stratified by age group: - Submission Criteria 1: 18-64 years of age - Submission Criteria 2: 65 years and older - Total Rate: All patients 18 years of age and older

Submission Methods: Claims, Cms Web Interface, Registry
Measure Sets: Orthopedic Surgery, General Surgery, Nephrology

The following codes apply for this QPP measure:

CPT Codes

CodeDescription
1111FCPT Code
90791CPT Code
90792CPT Code
90832CPT Code
90834CPT Code
90837CPT Code
90839CPT Code
90845CPT Code
99201CPT Code
99202CPT Code
99203CPT Code
99204CPT Code
99205CPT Code
99211CPT Code
99212CPT Code
99213CPT Code
99214CPT Code
99215CPT Code
99324CPT Code
99325CPT Code
99326CPT Code
99327CPT Code
99328CPT Code
99334CPT Code
99335CPT Code
99336CPT Code
99337CPT Code
99341CPT Code
99342CPT Code
99343CPT Code
99344CPT Code
99345CPT Code
99347CPT Code
99348CPT Code
99349CPT Code
99350CPT Code
99495CPT Code
99496CPT Code

HCPCS Codes

CodeDescription
G0402Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
G9691Patient had hospice services any time during the measurement period
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