QPP Measure #182
Functional Outcome Assessment
Percentage of visits for patients aged 18 years and older with documentation of a current functional outcome assessment using a standardized functional outcome assessment tool on the date of the encounter AND documentation of a care plan based on identified functional outcome deficiencies on the date of the identified deficiencies
The following codes apply for this QPP measure:
CPT Codes | |||
| Code | Description | ||
|---|---|---|---|
| 97161 | CPT Code | ||
| 97162 | CPT Code | ||
| 97163 | CPT Code | ||
| 97164 | CPT Code | ||
| 97165 | CPT Code | ||
| 97166 | CPT Code | ||
| 97167 | CPT Code | ||
| 97168 | CPT Code | ||
| 98940 | CPT Code | ||
| 98941 | CPT Code | ||
| 98942 | CPT Code | ||
HCPCS Codes | |||
| Code | Description | ||
| G8539 | Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment | ||
| G8540 | Functional outcome assessment not documented as being performed, documentation the patient is not eligible for a functional outcome assessment using a standardized tool at the time of the encounter | ||
| G8541 | Functional outcome assessment using a standardized tool not documented, reason not given | ||
| G8542 | Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required | ||
| G8543 | Documentation of a positive functional outcome assessment using a standardized tool; care plan not documented within two days of assessment, reason not given | ||
| G8942 | Functional outcome assessment using a standardized tool is documented within the previous 30 days and a care plan, based on identified deficiencies is documented within two days of the functional outcome assessment | ||
| G9227 | Functional outcome assessment documented, care plan not documented, documentation the patient is not eligible for a care plan at the time of the encounter | ||
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