QPP Measure #419
Overuse of Imaging for the Evaluation of Primary Headache
Percentage of patients for whom imaging of the head (CT or MRI) is obtained for the evaluation of primary headache when clinical indications are not present.
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 | ||
| 99211 | CPT Code | ||
| 99212 | CPT Code | ||
| 99213 | CPT Code | ||
| 99214 | CPT Code | ||
| 99215 | CPT Code | ||
| 99221 | CPT Code | ||
| 99222 | CPT Code | ||
| 99223 | CPT Code | ||
| 99231 | CPT Code | ||
| 99232 | CPT Code | ||
| 99233 | CPT Code | ||
| 99238 | CPT Code | ||
| 99239 | CPT Code | ||
| 99241 | CPT Code | ||
| 99242 | CPT Code | ||
| 99243 | CPT Code | ||
| 99244 | CPT Code | ||
| 99245 | CPT Code | ||
HCPCS Codes | |||
| Code | Description | ||
| G9537 | Imaging needed as part of a clinical trial; or other clinician ordered the study | ||
| M1027 | Imaging of the head (ct or mri) was obtained | ||
| M1028 | Documentation of patients with primary headache diagnosis and imaging other than ct or mri obtained | ||
| M1029 | Imaging of the head (ct or mri) was not obtained, reason not given | ||
| M1030 | Patients with clinical indications for imaging of the head | ||
| M1031 | Patients with no clinical indications for imaging of the head | ||
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 | ||
| G43.501 | 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 | ||
| G43.601 | Persistent migraine aura with cerebral infarction, not intractable, with status migrainosus | ||
| G43.609 | Persistent migraine aura with cerebral infarction, not intractable, without status migrainosus | ||
| G43.611 | Persistent migraine aura with cerebral infarction, intractable, with status migrainosus | ||
| G43.619 | Persistent migraine aura with 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 | ||
| G43.719 | Chronic migraine without aura, intractable, without 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 | ||
| G43.821 | Menstrual migraine, not intractable, with status migrainosus | ||
| G43.829 | Menstrual migraine, not intractable, without status migrainosus | ||
| G43.831 | Menstrual migraine, intractable, with status migrainosus | ||
| G43.839 | Menstrual 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 | ||
| G44.009 | Cluster headache syndrome, unspecified, not intractable | ||
| G44.019 | Episodic cluster headache, not intractable | ||
| G44.029 | Chronic cluster headache, not intractable | ||
| G44.039 | Episodic paroxysmal hemicrania, not intractable | ||
| G44.049 | Chronic paroxysmal hemicrania, not intractable | ||
| G44.059 | Short lasting unilateral neuralgiform headache with conjunctival injection and tearing (SUNCT), not intractable | ||
| G44.099 | Other trigeminal autonomic cephalgias (TAC), not intractable | ||
| G44.1 | Vascular headache, not elsewhere classified | ||
| G44.209 | Tension-type headache, unspecified, not 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 | ||
| G44.82 | Headache associated with sexual activity | ||
| G44.83 | Primary cough headache | ||
| G44.84 | Primary exertional headache | ||
| G44.85 | Primary stabbing headache | ||
| G44.89 | Other headache syndrome | ||
| R51 | Headache | ||
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