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 oral anticoagulant drug for the prevention of thromboembolism during the measurement period.
The following codes apply for this QPP measure:
CPT Codes | |||
| Code | Description | ||
|---|---|---|---|
| 99202 | CPT Code | ||
| 99203 | CPT Code | ||
| 99204 | CPT Code | ||
| 99205 | CPT Code | ||
| 99212 | CPT Code | ||
| 99213 | CPT Code | ||
| 99214 | CPT Code | ||
| 99215 | CPT Code | ||
| 99241 | CPT Code | ||
| 99242 | CPT Code | ||
| 99243 | CPT Code | ||
| 99244 | CPT Code | ||
| 99245 | CPT Code | ||
| 99304 | CPT Code | ||
| 99305 | CPT Code | ||
| 99306 | CPT Code | ||
| 99307 | CPT Code | ||
| 99308 | CPT Code | ||
| 99309 | CPT Code | ||
| 99310 | CPT Code | ||
| 99324 | CPT Code | ||
| 99325 | CPT Code | ||
| 99326 | CPT Code | ||
| 99327 | CPT Code | ||
| 99328 | CPT Code | ||
| 99334 | CPT Code | ||
| 99335 | CPT Code | ||
| 99336 | CPT Code | ||
| 99337 | CPT Code | ||
| 99341 | CPT Code | ||
| 99342 | CPT Code | ||
| 99343 | CPT Code | ||
| 99344 | CPT Code | ||
| 99345 | CPT Code | ||
| 99347 | CPT Code | ||
| 99348 | CPT Code | ||
| 99349 | CPT Code | ||
| 99350 | CPT Code | ||
HCPCS Codes | |||
| Code | Description | ||
| G8967 | Fda approved oral anticoagulant is prescribed | ||
| G8968 | Documentation 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) | ||
| G8969 | Documentation 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) | ||
| G9927 | Documentation 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 | ||
| G9928 | Fda-approved anticoagulant not prescribed, reason not given | ||
| G9929 | Patient with transient or reversible cause of af (e.g., pneumonia, hyperthyroidism, pregnancy, cardiac surgery) | ||
| G9930 | Patients who are receiving comfort care only | ||
| G9931 | Documentation of cha2ds2-vasc risk score of 0 or 1 for men; or 0, 1, or 2 for women | ||
ICD10CM Codes | |||
| Code | Description | ||
| I48.0 | Paroxysmal atrial fibrillation | ||
| I48.11 | Longstanding persistent atrial fibrillation | ||
| I48.19 | Other persistent atrial fibrillation | ||
| I48.20 | Chronic atrial fibrillation, unspecified | ||
| I48.21 | Permanent atrial fibrillation | ||
| I48.3 | Typical atrial flutter | ||
| I48.4 | Atypical atrial flutter | ||
| I48.91 | Unspecified atrial fibrillation | ||
| I48.92 | Unspecified atrial flutter | ||
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