Year:  2017 2018 2019 2020 2021 2022 2023 2024 2025 

QPP Measure #326

Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy

Percentage of patients aged 18 years and older with nonvalvular atrial fibrillation (AF) or atrial flutter who were prescribed warfarin OR another FDA- approved anticoagulant drug for the prevention of thromboembolism during the measurement period

Submission Methods: Claims, Registry
Measure Sets: Cardiology, General Practice Family Medicine, Internal Medicine

The following codes apply for this QPP measure:

CPT Codes

CodeDescription
99201CPT Code
99202CPT Code
99203CPT Code
99204CPT Code
99205CPT Code
99212CPT Code
99213CPT Code
99214CPT Code
99215CPT Code
99281CPT Code
99282CPT Code
99283CPT Code
99284CPT Code
99285CPT Code
99304CPT Code
99305CPT Code
99306CPT Code
99307CPT Code
99308CPT Code
99309CPT Code
99310CPT 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

HCPCS Codes

CodeDescription
G8967Fda approved oral anticoagulant is prescribed
G8968Documentation of medical reason(s) for not prescribing an fda-approved anticoagulant (e.g., present or planned atrial appendage occlusion or ligation or patient being currently enrolled in a clinical trial related to af/atrial flutter treatment)
G8969Documentation of patient reason(s) for not prescribing an oral anticoagulant that is fda approved for the prevention of thromboembolism (e.g., patient preference for not receiving anticoagulation)
G9927Documentation of system reason(s) for not prescribing an fda-approved anticoagulation due to patient being currently enrolled in a clinical trial related to af/atrial flutter treatment
G9928Fda-approved anticoagulant not prescribed, reason not given
G9929Patient with transient or reversible cause of af (e.g., pneumonia, hyperthyroidism, pregnancy, cardiac surgery)
G9930Patients who are receiving comfort care only
G9931Documentation of cha2ds2-vasc risk score of 0 or 1 for men; or 0, 1, or 2 for women

ICD10CM Codes

CodeDescription
I48.0Paroxysmal atrial fibrillation
I48.1Persistent atrial fibrillation
I48.2Chronic atrial fibrillation
I48.3Typical atrial flutter
I48.4Atypical atrial flutter
I48.91Unspecified atrial fibrillation
I48.92Unspecified atrial flutter
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