Year:  2017 2018 2019 2020 2021 2022 2023 2024 2025 

QPP Measure #128

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or within the previous 12 months AND who had a follow-up plan documented if most recent BMI was outside of normal parameters.

Submission Methods: Claims, Electronic Health Record, Registry
Measure Sets: Cardiology, Gastroenterology, Family Medicine, Internal Medicine, Obstetrics Gynecology, Orthopedic Surgery, Otolaryngology, Physical Medicine, Preventive Medicine, Mental Behavioral Health, Vascular Surgery, General Surgery, Urology, Rheumatology, Podiatry, Physical Therapy Occupational Therapy, Endocrinology, Nutrition Dietician, Pulmonology

The following codes apply for this QPP measure:

CPT Codes

CodeDescription
90791CPT Code
90792CPT Code
90832CPT Code
90834CPT Code
90837CPT Code
96156CPT Code
96158CPT Code
97161CPT Code
97162CPT Code
97163CPT Code
97165CPT Code
97166CPT Code
97167CPT Code
97802CPT Code
97803CPT Code
99202CPT Code
99203CPT Code
99204CPT Code
99205CPT Code
99212CPT Code
99213CPT Code
99214CPT Code
99215CPT Code
99236CPT Code
99304CPT Code
99305CPT Code
99306CPT Code
99307CPT Code
99308CPT Code
99309CPT Code
99310CPT Code
99315CPT Code
99316CPT Code
99318CPT Code
99324CPT Code
99325CPT Code
99326CPT Code
99327CPT Code
99328CPT Code
99334CPT Code
99335CPT Code
99336CPT Code
99337CPT Code
99339CPT Code
99340CPT Code
99385CPT Code
99386CPT Code
99387CPT Code
99395CPT Code
99396CPT Code
99397CPT Code
99401CPT Code
99402CPT Code

HCPCS Codes

CodeDescription
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination
G0108Diabetes outpatient self-management training services, individual, per 30 minutes
G0270Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes
G0271Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes
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
G0447Face-to-face behavioral counseling for obesity, 15 minutes
G0473Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes
G2181Bmi not documented due to medical reason or patient refusal of height or weight measurement
G8417Bmi is documented above normal parameters and a follow-up plan is documented
G8418Bmi is documented below normal parameters and a follow-up plan is documented
G8419Bmi documented outside normal parameters, no follow-up plan documented, no reason given
G8420Bmi is documented within normal parameters and no follow-up plan is required
G8421Bmi not documented and no reason is given
G8422Bmi not documented, documentation the patient is not eligible for bmi calculation
G8938Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible
G9716Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason
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