QPP Measure #419
Overuse Of Neuroimaging For Patients With Primary Headache And A Normal Neurological Examination
Percentage of patients with a diagnosis of primary headache disorder whom advanced brain imaging was not ordered
The following codes apply for this QPP measure:
CPT Codes | |||
| Code | Description | ||
|---|---|---|---|
| 99201 | CPT Code | ||
| 99202 | CPT Code | ||
| 99203 | CPT Code | ||
| 99204 | CPT Code | ||
| 99205 | CPT Code | ||
| 99212 | CPT Code | ||
| 99213 | CPT Code | ||
| 99214 | CPT Code | ||
| 99215 | CPT Code | ||
| 99281 | CPT Code | ||
| 99282 | CPT Code | ||
| 99283 | CPT Code | ||
| 99284 | CPT Code | ||
| 99285 | 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 | ||
| G9534 | Advanced brain imaging (cta, ct, mra or mri) was not ordered | ||
| G9535 | Patients with a normal neurological examination | ||
| G9536 | Documentation of medical reason(s) for ordering an advanced brain imaging study (i.e., patient has an abnormal neurological examination; patient has the coexistence of seizures, or both; recent onset of severe headache; change in the type of headache; signs of increased intracranial pressure (e.g., papilledema, absent venous pulsations on funduscopic examination, altered mental status, focal neurologic deficits, signs of meningeal irritation); hiv-positive patients with a new type of headache; immunocompromised patient with unexplained headache symptoms; patient on coagulopathy/anti-coagulation or anti-platelet therapy; very young patients with unexplained headache symptoms) | ||
| G9537 | Imaging needed as part of a clinical trial; or other clinician ordered the study | ||
| G9538 | Advanced brain imaging (cta, ct, mra or mri) was ordered | ||
ICD10CM Codes | |||
| Code | Description | ||
| G43.001 | Migraine without aura, not intractable, with status migrainosus | ||
| G43.009 | Migraine without aura, not intractable, without status migrainosus | ||
| G43.011 | Migraine without aura, intractable, with status migrainosus | ||
| G43.019 | Migraine without aura, intractable, without status migrainosus | ||
| G43.101 | Migraine with aura, not intractable, with status migrainosus | ||
| G43.109 | Migraine with aura, not intractable, without status migrainosus | ||
| G43.111 | Migraine with aura, intractable, with status migrainosus | ||
| G43.119 | Migraine with aura, intractable, without status migrainosus | ||
| G43.401 | Hemiplegic migraine, not intractable, with status migrainosus | ||
| G43.409 | Hemiplegic migraine, not intractable, without status migrainosus | ||
| G43.411 | Hemiplegic migraine, intractable, with status migrainosus | ||
| G43.419 | Hemiplegic migraine, intractable, without status migrainosus | ||
| G43.501 | Persistent migraine aura without cerebral infarction, not intractable, with status migrainosus | ||
| G43.509 | Persistent migraine aura without cerebral infarction, not intractable, without status migrainosus | ||
| G43.511 | Persistent migraine aura without cerebral infarction, intractable, with status migrainosus | ||
| G43.519 | Persistent migraine aura without cerebral infarction, intractable, without status migrainosus | ||
| G43.701 | Chronic migraine without aura, not intractable, with status migrainosus | ||
| G43.709 | Chronic migraine without aura, not intractable, without status migrainosus | ||
| G43.711 | Chronic migraine without aura, intractable, with status migrainosus | ||
| G43.801 | Other migraine, not intractable, with status migrainosus | ||
| G43.809 | Other migraine, not intractable, without status migrainosus | ||
| G43.811 | Other migraine, intractable, with status migrainosus | ||
| G43.819 | Other migraine, intractable, without status migrainosus | ||
| G43.901 | Migraine, unspecified, not intractable, with status migrainosus | ||
| G43.909 | Migraine, unspecified, not intractable, without status migrainosus | ||
| G43.911 | Migraine, unspecified, intractable, with status migrainosus | ||
| G43.919 | Migraine, unspecified, intractable, without status migrainosus | ||
| G43.B0 | Ophthalmoplegic migraine, not intractable | ||
| G43.B1 | Ophthalmoplegic migraine, intractable | ||
| G43.C0 | Periodic headache syndromes in child or adult, not intractable | ||
| G43.C1 | Periodic headache syndromes in child or adult, intractable | ||
| G44.001 | Cluster headache syndrome, unspecified, intractable | ||
| G44.009 | Cluster headache syndrome, unspecified, not intractable | ||
| G44.011 | Episodic cluster headache, intractable | ||
| G44.019 | Episodic cluster headache, not intractable | ||
| G44.021 | Chronic cluster headache, intractable | ||
| G44.029 | Chronic cluster headache, not intractable | ||
| G44.031 | Episodic paroxysmal hemicrania, intractable | ||
| G44.039 | Episodic paroxysmal hemicrania, not intractable | ||
| G44.041 | Chronic paroxysmal hemicrania, intractable | ||
| G44.049 | Chronic paroxysmal hemicrania, not intractable | ||
| G44.051 | Short lasting unilateral neuralgiform headache with conjunctival injection and tearing (SUNCT), intractable | ||
| G44.059 | Short lasting unilateral neuralgiform headache with conjunctival injection and tearing (SUNCT), not intractable | ||
| G44.091 | Other trigeminal autonomic cephalgias (TAC), intractable | ||
| G44.099 | Other trigeminal autonomic cephalgias (TAC), not intractable | ||
| G44.1 | Vascular headache, not elsewhere classified | ||
| G44.201 | Tension-type headache, unspecified, intractable | ||
| G44.209 | Tension-type headache, unspecified, not intractable | ||
| G44.211 | Episodic tension-type headache, intractable | ||
| G44.219 | Episodic tension-type headache, not intractable | ||
| G44.221 | Chronic tension-type headache, intractable | ||
| G44.229 | Chronic tension-type headache, not intractable | ||
| G44.51 | Hemicrania continua | ||
| G44.52 | New daily persistent headache (NDPH) | ||
| G44.53 | Primary thunderclap headache | ||
| G44.59 | Other complicated headache syndrome | ||
| G44.81 | Hypnic headache | ||
| G44.83 | Primary cough headache | ||
| G44.84 | Primary exertional headache | ||
| G44.85 | Primary stabbing headache | ||
| G44.89 | Other headache syndrome | ||
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