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 test results demonstrate fev1/fvc < 70%, fev1 < 60% predicted and patient has copd symptoms (e.g., dyspnea, cough/sputum, wheezing) | ||
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 | ||
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 | ||
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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