Year:  2017 2018 2019 2020 2021 2022 2023 2024 2025 

QPP Measure #236

Controlling High Blood Pressure

Percentage of patients 18-85 years of age who had a diagnosis of essential hypertension starting before and continuing into, or starting during the first six months of the measurement period, and whose most recent blood pressure was adequately controlled (<140/90mmHg) during the measurement period.

Submission Methods: Claims, Electronic Health Record, Cms Web Interface, Registry
Measure Sets: Cardiology, Endocrinology, Family Medicine, Internal Medicine, Obstetrics Gynecology, Pulmonology, Rheumatology, Vascular Surgery

The following codes apply for this QPP measure:

CPT Codes

CodeDescription
99202CPT Code
99203CPT Code
99204CPT Code
99205CPT Code
99212CPT Code
99213CPT Code
99214CPT Code
99215CPT Code
99341CPT Code
99342CPT Code
99343CPT Code
99344CPT Code
99345CPT Code
99347CPT Code
99348CPT Code
99349CPT Code
99350CPT Code
99385CPT Code
99386CPT Code
99387CPT Code
99395CPT Code
99396CPT Code
99397CPT Code

HCPCS Codes

CodeDescription
G0031Palliative care services given to patient any time during the measurement period
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
G2115Patients 66 - 80 years of age with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period
G2116Patients 66 - 80 years of age with at least one claim/encounter for frailty during the measurement period and either one acute inpatient encounter with a diagnosis of advanced illness or two outpatient, observation, ed or nonacute inpatient encounters on different dates of service with an advanced illness diagnosis during the measurement period or the year prior to the measurement period
G2118Patients 81 years of age and older with at least one claim/encounter for frailty during the measurement period
G8752Most recent systolic blood pressure < 140 mmhg
G8753Most recent systolic blood pressure >= 140 mmhg
G8754Most recent diastolic blood pressure < 90 mmhg
G8755Most recent diastolic blood pressure >= 90 mmhg
G8756No documentation of blood pressure measurement, reason not given
G9231Documentation of end stage renal disease (esrd), dialysis, renal transplant before or during the measurement period or pregnancy during the measurement period
G9740Hospice services given to patient any time during the measurement period
G9910Patients age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54 or 56 for more than 90 consecutive days during the measurement period

ICD10CM Codes

CodeDescription
I10Essential (primary) hypertension
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