Year:  2017 2018 2019 2020 2021 2022 2023 2024 2025 

QPP Measure #435

Quality of Life Assessment For Patients With Primary Headache Disorders

Percentage of patients with a diagnosis of primary headache disorder whose health related quality of life (HRQoL) was assessed with a tool(s) during at least two visits during the 12 month measurement period AND whose health related quality of life score stayed the same or improved

Submission Methods: Claims, Registry
Measure Sets: Neurology

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
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
G9634Health-related quality of life assessed with tool during at least two visits and quality of life score remained the same or improved
G9635Health-related quality of life not assessed with tool for documented reason(s) (e.g., patient has a cognitive or neuropsychiatric impairment that impairs his/her ability to complete the hrqol survey, patient has the inability to read and/or write in order to complete the hrqol questionnaire)
G9636Health-related quality of life not assessed with tool during at least two visits or quality of life score declined

ICD10CM Codes

CodeDescription
G43.001Migraine without aura, not intractable, with status migrainosus
G43.009Migraine without aura, not intractable, without status migrainosus
G43.011Migraine without aura, intractable, with status migrainosus
G43.019Migraine without aura, intractable, without status migrainosus
G43.101Migraine with aura, not intractable, with status migrainosus
G43.109Migraine with aura, not intractable, without status migrainosus
G43.111Migraine with aura, intractable, with status migrainosus
G43.119Migraine with aura, intractable, without status migrainosus
G43.401Hemiplegic migraine, not intractable, with status migrainosus
G43.409Hemiplegic migraine, not intractable, without status migrainosus
G43.411Hemiplegic migraine, intractable, with status migrainosus
G43.419Hemiplegic migraine, intractable, without status migrainosus
G43.501Persistent migraine aura without cerebral infarction, not intractable, with status migrainosus
G43.509Persistent migraine aura without cerebral infarction, not intractable, without status migrainosus
G43.511Persistent migraine aura without cerebral infarction, intractable, with status migrainosus
G43.519Persistent migraine aura without cerebral infarction, intractable, without status migrainosus
G43.701Chronic migraine without aura, not intractable, with status migrainosus
G43.709Chronic migraine without aura, not intractable, without status migrainosus
G43.711Chronic migraine without aura, intractable, with status migrainosus
G43.801Other migraine, not intractable, with status migrainosus
G43.809Other migraine, not intractable, without status migrainosus
G43.811Other migraine, intractable, with status migrainosus
G43.819Other migraine, intractable, without status migrainosus
G43.901Migraine, unspecified, not intractable, with status migrainosus
G43.909Migraine, unspecified, not intractable, without status migrainosus
G43.911Migraine, unspecified, intractable, with status migrainosus
G43.919Migraine, unspecified, intractable, without status migrainosus
G43.B0Ophthalmoplegic migraine, not intractable
G43.B1Ophthalmoplegic migraine, intractable
G43.C0Periodic headache syndromes in child or adult, not intractable
G43.C1Periodic headache syndromes in child or adult, intractable
G44.001Cluster headache syndrome, unspecified, intractable
G44.009Cluster headache syndrome, unspecified, not intractable
G44.011Episodic cluster headache, intractable
G44.019Episodic cluster headache, not intractable
G44.021Chronic cluster headache, intractable
G44.029Chronic cluster headache, not intractable
G44.031Episodic paroxysmal hemicrania, intractable
G44.039Episodic paroxysmal hemicrania, not intractable
G44.041Chronic paroxysmal hemicrania, intractable
G44.049Chronic paroxysmal hemicrania, not intractable
G44.051Short lasting unilateral neuralgiform headache with conjunctival injection and tearing (SUNCT), intractable
G44.059Short lasting unilateral neuralgiform headache with conjunctival injection and tearing (SUNCT), not intractable
G44.091Other trigeminal autonomic cephalgias (TAC), intractable
G44.099Other trigeminal autonomic cephalgias (TAC), not intractable
G44.1Vascular headache, not elsewhere classified
G44.201Tension-type headache, unspecified, intractable
G44.209Tension-type headache, unspecified, not intractable
G44.211Episodic tension-type headache, intractable
G44.219Episodic tension-type headache, not intractable
G44.221Chronic tension-type headache, intractable
G44.229Chronic tension-type headache, not intractable
G44.51Hemicrania continua
G44.52New daily persistent headache (NDPH)
G44.53Primary thunderclap headache
G44.59Other complicated headache syndrome
G44.81Hypnic headache
G44.83Primary cough headache
G44.84Primary exertional headache
G44.85Primary stabbing headache
G44.89Other headache syndrome
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