QPP Measure #052
Chronic Obstructive Pulmonary Disease (COPD): Long-Acting Inhaled Bronchodilator Therapy
Percentage of patients aged 18 years and older with a diagnosis of COPD (FEV1/FVC < 70%) and who have an FEV1 less than 60% predicted and have symptoms who were prescribed a long-acting inhaled bronchodilator.
The following codes apply for this QPP measure:
CPT Codes | |||
| Code | Description | ||
|---|---|---|---|
| 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 | ||
HCPCS Codes | |||
| Code | Description | ||
| G8924 | Spirometry results documented (fev1/fvc < 70%) | ||
| G8925 | Spirometry test results demonstrate fev1 >= 60% fev1/fvc >= 70%, predicted or patient does not have copd symptoms | ||
| G8926 | Spirometry test not performed or documented, reason not given | ||
| G9695 | Long-acting inhaled bronchodilator prescribed | ||
| G9696 | Documentation of medical reason(s) for not prescribing a long-acting inhaled bronchodilator (e.g., patient intolerance or history of side effects) | ||
| G9697 | Documentation of patient reason(s) for not prescribing a long-acting inhaled bronchodilator | ||
| G9698 | Documentation of system reason(s) for not prescribing a long-acting inhaled bronchodilator (e.g., cost of treatment or lack of insurance) | ||
| G9699 | Long-acting inhaled bronchodilator not prescribed, reason not otherwise specified | ||
ICD10CM Codes | |||
| Code | Description | ||
| J41.0 | Simple chronic bronchitis | ||
| J41.1 | Mucopurulent chronic bronchitis | ||
| J41.8 | Mixed simple and mucopurulent chronic bronchitis | ||
| J42 | Unspecified chronic bronchitis | ||
| J43.0 | Unilateral pulmonary emphysema [MacLeod's syndrome] | ||
| J43.1 | Panlobular emphysema | ||
| J43.2 | Centrilobular emphysema | ||
| J43.8 | Other emphysema | ||
| J43.9 | Emphysema, unspecified | ||
| J44.0 | Chronic obstructive pulmonary disease with (acute) lower respiratory infection | ||
| J44.1 | Chronic obstructive pulmonary disease with (acute) exacerbation | ||
| J44.9 | Chronic obstructive pulmonary disease, unspecified | ||
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