Year:  2017 2018 2019 2020 2021 2022 2023 2024 2025 

QPP Measure #181

Elder Maltreatment Screen and Follow-Up Plan

Percentage of patients aged 65 years and older with a documented elder maltreatment screen using an Elder Maltreatment Screening tool on the date of encounter AND a documented follow-up plan on the date of the positive screen

Submission Methods: Claims, Registry
Measure Sets: Family Medicine, Internal Medicine, Neurology, Mental Behavioral Health, Geriatrics, Skilled Nursing Facility

The following codes apply for this QPP measure:

CPT Codes

CodeDescription
90791CPT Code
90792CPT Code
90832CPT Code
90834CPT Code
90837CPT Code
96116CPT Code
96121CPT Code
96130CPT Code
96131CPT Code
96132CPT Code
96133CPT Code
96136CPT Code
96137CPT Code
96138CPT Code
96139CPT Code
96146CPT Code
96150CPT Code
96151CPT Code
96152CPT Code
97165CPT Code
97166CPT Code
97167CPT Code
97802CPT Code
97803CPT Code
99201CPT Code
99202CPT Code
99203CPT Code
99204CPT Code
99205CPT Code
99212CPT Code
99213CPT Code
99214CPT Code
99215CPT Code
99304CPT Code
99305CPT Code
99306CPT Code
99307CPT Code
99308CPT Code
99309CPT Code
99310CPT Code
99318CPT 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
99483CPT Code
99492CPT Code

HCPCS Codes

CodeDescription
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination
G0102Prostate cancer screening; digital rectal examination
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
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
G8535Elder maltreatment screen not documented; documentation that patient is not eligible for the elder maltreatment screen at the time of the encounter related to one of the following reasons: (1) patient refuses to participate in the screening and has reasonable decisional capacity for self-protection, or (2) patient is in an urgent or emergent situation where time is of the essence and to delay treatment to perform the screening would jeopardize the patient's health status
G8536No documentation of an elder maltreatment screen, reason not given
G8733Elder maltreatment screen documented as positive and a follow-up plan is documented
G8734Elder maltreatment screen documented as negative, follow-up is not required
G8735Elder maltreatment screen documented as positive, follow-up plan not documented, reason not given
G8941Elder maltreatment screen documented as positive, follow-up plan not documented, documentation the patient is not eligible for follow-up plan at the time of the encounter
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