QPP Measure #131
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
The following codes apply for this QPP measure:
CPT Codes | |||
| Code | Description | ||
|---|---|---|---|
| 90791 | CPT Code | ||
| 90792 | CPT Code | ||
| 92002 | CPT Code | ||
| 92004 | CPT Code | ||
| 92012 | CPT Code | ||
| 92014 | CPT Code | ||
| 92507 | CPT Code | ||
| 92508 | CPT Code | ||
| 92526 | CPT Code | ||
| 96116 | CPT Code | ||
| 96118 | CPT Code | ||
| 96150 | CPT Code | ||
| 96151 | CPT Code | ||
| 97161 | CPT Code | ||
| 97162 | CPT Code | ||
| 97163 | CPT Code | ||
| 97164 | CPT Code | ||
| 97165 | CPT Code | ||
| 97166 | CPT Code | ||
| 97167 | CPT Code | ||
| 97168 | CPT Code | ||
| 97532 | CPT Code | ||
| 98940 | CPT Code | ||
| 98941 | CPT Code | ||
| 98942 | 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 | ||
HCPCS Codes | |||
| Code | Description | ||
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | ||
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | ||
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | ||
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | ||
| G8442 | Pain assessment not documented as being performed, documentation the patient is not eligible for a pain assessment using a standardized tool at the time of the encounter | ||
| G8509 | Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given | ||
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | ||
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | ||
| G8732 | No documentation of pain assessment, reason not given | ||
| G8939 | Pain assessment documented as positive, follow-up plan not documented, documentation the patient is not eligible at the time of the encounter | ||
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