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PQRI
contact: , 404-633-3777 x820
Click here for full measure descriptions in a printable PDF format.
Measures
Reporting options: Claims-based and Registry
All patients aged 50 years and older treated for hip, spine, or distal radial fracture
CPT:
99201, 99202, 99203, 99204, 99205 (office – new patient)
99212, 99213, 99214, 99215, (office – established patient)
99241, 99242, 99243, 99244, 99245 (outpatient consult)
22305, 22310, 22315, 22318, 22319, 22325, 22326, 22327, 22520, 22521, 22523, 22524 (vertebral procedure)
25600, 25605, 25606, 25607, 25608, 25609 (radial procedure)
27230, 27232, 27235, 27236 27238, 27240, 27240, 27244, 27245, 27246, 27248 (femoral procedure)
Numerator:
| 5015F |
|
Documentation of communication that a fracture occurred and that the CPT II patient was or should be tested or treated for osteoporosis |
Modifier:
| 1P |
|
Documentation of medial reason(s) for not communicating with physician managing ongoing care of patient that a fracture occurred and that the patient was or should be tested or treated for osteoporosis |
| 2P |
|
Documentation of patient reason(s) for not communicating that a fracture occurred and that the patient was or should be tested or treated for osteoporosis with physician managing on-going care of patient |
| 8P |
|
No documentation of communication that a fracture occurred and that the patient was or should be tested or treated for osteoporosis, reason not otherwise specified |
ICD-9:
733.12, 733.13, 733.14 (pathologic fracture)
805.00, 805.01, 805.02, 805.03, 805.04, 805.05, 805.06, 805.07, 805.08, (cervical fracture)
805.2 (dorsal – thoracic fracture)
805.4 (lumbar fracture)
805.6, 805.8 (sacrum and coccyx fracture)
813.40, 813.41, 813.42, 813.44, 813.45, 813.50, 813.51, 813.52, 813.54 (radius and ulna fracture)
820.00, 820.01, 820.02, 820.03, 820.09, 820.20, 820.21, 820.22, 820.8, (femur fracture)
Reporting options: Claims-based, Registry, and Measure Group
All female patients aged 65 years and older
CPT:
99201, 99202, 99203, 99204, 99205 (office – new patient)
99212, 99213, 99214, 99215 (office – established patient)
Numerator:
| G8399 |
|
Patient with Central Dual-energy X-ray Absorptiometry (DXA) results CPT II) documented or ordered or pharmacologic therapy (other than minerals/vitamins) for osteoporosis prescribed |
| G8401 |
|
Clinician documented that patient was not an eligible candidate for screening or therapy for osteoporosis for women measure |
| G8400 |
|
Patient with central Dual-energy X-ray Absorptiometry (DXA) results not documented or not ordered or pharmacologic therapy (other than minerals/vitamins) for osteoporosis not prescribed |
Reporting options: Claims-based and Registry
All patients aged 50 years and older with a fracture of the hip, spine, or distal radius
CPT:
99201, 99202, 99203, 99204, 99205 (office – new patient)
99212, 99213, 99214, 99215 (office – established patient)
99241, 99242, 99243, 99244, 99245 (outpatient consult)
22305, 22310, 22315, 22318, 22319, 22326, 22327 (fracture or dislocation-spine)
22520, 22521, 22523, 22524, (vertebral body, embolization or injection)
25600, 25605, 25606, 25607, 25608, 25609 (fracture or dislocation- forearm or wrist)
27230, 27232, 27235, 27236, 27238, 27240, 27244, 27246, 27248 (fracture or dislocation – pelvis or hip joint)
Numerator:
| 3095F |
|
Central dual energy X-ray absorptiometry (DXA) results documented (CPT II) |
| 3096F |
|
Central dual energy X-ray absorptiometry (DXA) ordered |
| 4005F |
|
Pharmacologic therapy (other than minerals/vitamins) for osteoporosis prescribed |
Modifier:
| 1P |
|
Documentation of medical reason(s) for not ordering or performing
a central dual energy X-ray absorptiometry (DXA) measurement or
not prescribing pharmacologic therapy for osteoporosis |
| 2P |
|
Documentation of patient reason(s) for not ordering or performing
a central dual energy X-ray absorptiometry (DXA) measurement or
not prescribing pharmacologic therapy for osteoporosis |
| 3P |
|
Documentation of system reason(s) for not ordering or performing
a central dual energy X-ray absorptiometry (DXA) measurement or
not prescribing pharmacologic therapy for osteoporosis |
| 8P |
|
Central dual energy X-ray absorptiometry (DXA) measurement was not
ordered or performed and a pharmacologic therapy for osteoporosis was
not prescribed, reason not otherwise specified |
ICD-9:
733.12, 733.13, 733.14 (pathologic fracture)
805.00, 805.01, 805.02, 805.03, 805.04, 805.05, 805.06, 805.07, 805.08, (cervical fracture)
805.2 (dorsal – thoracic fracture)
805.4 (lumbar fracture)
805.6, 805.8 (sacrum and coccyx fracture)
813.40, 813.41, 813.42, 813.44, 813.45, 813.50, 813.51, 813.52, 813.54 (radius and ulna fracture)
820.00, 820.01, 820.02, 820.03, 820.09, 820.10, 820.11, 820.13, 820.20, 820.21, 820.22, 820.8, 820.9 820.20, 820.21, 820.22,
820.8 (femur fracture)
Reporting options: Claims-based and Registry
All patients aged 50 years and older with the diagnosis of osteoporosis
CPT:
99201, 99202, 99203, 99204, 99205 (office – new patient)
99212, 99213, 99214, 99215 (office – established patient)
99241, 99242, 99243, 99244, 99245 (outpatient consult)
Numerator:
| 4005F |
|
Pharmacologic therapy (other than minerals/vitamins) for osteoporosis
(CPT II) prescribed |
Modifier:
| 1P |
|
Documentation of medical reason(s) for not prescribing pharmacologic therapy for osteoporosis |
| 2P |
|
Documentation of patient reason(s) for not prescribing pharmacologic therapy for osteoporosis |
| 3P |
|
Documentation of system reason(s) for not prescribing pharmacologic therapy for osteoporosis |
| 8P |
|
Pharmacologic therapy for osteoporosis was not prescribed, reason not
otherwise specified |
ICD-9:
733.00, 733.01, 733.02, 733.03, 733.09 (osteoporosis)
Reporting options: Claims-based, Registry, Measure Group
All patients aged 18 years and older with a diagnosis of rheumatoid Arthritis
CPT:
99201, 99202, 99203, 99204, 99205 (office – new patient)
99211, 99212, 99213, 99214, 99215 (office – established patient)
99241, 99242, 99243, 99244, 99245 (outpatient consult)
99341, 99342, 99343, 99344, 99345 (home services – new patient)
99347, 99348, 99349, 99350 (home services – established patient)
99455, 99456 (work related or medical disability services)
Numerator:
| 4187F |
|
Disease modifying anti-rheumatic drug therapy prescribed, dispensed, or (CPT II) administered |
Modifier:
| 1P |
|
Documentation of medical reason(s) for not prescribing, dispensing, or administering disease modifying anti-rheumatic drug therapy |
| 8P |
|
DMARD not prescribed, dispensed, or administered, reason not specified |
ICD-9:
714.0, 714.1, 714.2, 714.81 (rheumatoid arthritis and other inflammatory polyarthropathies)
Reporting options: Claims-based, and Registry
Patients aged = 21 years on date of encounter
CPT:
99201, 99202, 99203, 99204, 99205 (office – new patient)
99212, 99213, 99214, 99215 (office – established patient)
99241, 99242, 99243, 99244, 99245, (outpatient consult)
Numerator:
| 1006F |
|
Osteoarthritis symptoms and functional status assessed (may include the
(CPT II) use of a standardized scale or the completion of an assessment questionnaire, such as an SF-36, AAOS Hip & Knee Questionnaire) |
Modifier:
| 8P |
|
Osteoarthritis symptoms and functional status not assessed, reason not specified |
ICD-9:
715.00, 715.04, 715.09. 715.10, 715.11, 715.12, 715.13, 715.14, 715.15, 715.16, 715.17, 715.18, 715.20, 715.21, 715.22, 715.23, 715.24, 715.25, 715.26, 715.27, 715.28, 715.30, 715.31, 715.32, 715.33, 715.34, 715.35, 715.36, 715.37, 715.38, 715.80, 715.89, 715.90, 715.91, 715.92, 715.93, 715.94, 715.95, 715.96, 715.97, 715.98 (osteoarthrosis and allied disorders)
Reporting options: Claims-based, and Registry
All patients over 18 on date of encounter
CPT:
90801, 90802 (psychiatric diagnostic interview)
90804, 90805, 90806, 90807, 90808, 90809 (psychiatric therapeutic)
92002, 92004 (ophthalmological services – new patient)
92012, 92014 (ophthalmological services – established patient)
92541, 92542, 92543, 92544, 92548, (vestibular function tests)
92552, 92553, 92555, 92557, 92561, 92563, 92564, 92565, 92567, 92568, 92569, 92577, 92579, 92582, 92584, 92586, 92587, 92588 (audiologic function tests)
92601, 92602, 92603, 92604, 92620, 92621, 92625, 92625, 92626, 92627 (evaluation and therapeutic services)
92640 (special diagnostic procedures)
95920, 96150, 96151, 96152 (health and behavior assessment)
97001, 97002, 97003, 97004 (physical therapy)
97750 (physical performance measure)
97802, 97803, 97804 (medical nutrition therapy)
98940, 98941, 98942 (chiropractic manipulative treatment)
99201, 99202, 99203, 99204, 99205 (office – new patient)
99211, 99212, 99213, 99214, 99215 (office – established patient)
99241, 99242, 99243, 99244, 99245 (outpatient consult)
D7140, D7210 (extraction)
G0101, G0108, G0109, G0270, G0271 (procedures/professional services)
Numerator:
| G8447 |
|
Patient encounter was documented using a CCHIT certified EMR CPT II |
| G8448 |
|
Patient encounter was documented using a non-CCHIT certified EMR. To qualify, the system must be capable of all of the following:
Generating a medication list Generating a problem list Entering laboratory tests as discrete searchable data elements |
Reporting options: Claims-based, and Registry
All patients aged 18 years and older
CPT:
90801, 90802 (psychiatric diagnostic interview)
96116 (central Nervous system assessment)
96150 (health and behavior assessment)
97001, 97003 (physical therapy)
98940, 98941, 98942 (chiropractic manipulative treatment)
Numerator:
| G8440 |
|
Documentation of pain assessment (including location, intensity and
(CPT II) description) prior to initiation of treatment or documentation of the absence of pain as a result of assessment through discussion with the patient including the use of a standardized tool AND a follow-up plan is documented |
| G8441 |
|
No documentation of pain assessment (including location, intensity and description) prior to initiation of treatment |
| G8442 |
|
Documentation that patient is not eligible for pain assessment |
| G8508 |
|
Documentation of pain assessment (including location, intensity and description) prior to initiation of treatment or documentation of the absence of pain as a result of assessment through discussion with the patient including the use of a standardized tool; no documentation of a follow-up plan, patient not eligible |
| G8509 |
|
Documentation of pain assessment (including location, intensity and description) prior to initiation of treatment or documentation of the absence of pain as a result of assessment through discussion with the patient including the use of a standardized tool; no documentation of a follow-up plan, reason not specified |
Reporting options: Claim-based and Registry
All visits for patients age 21 years and older with OA
CPT:
99201, 99202, 99203, 99204, 99205 (office – new patient)
99212, 99213, 99214, 99215 (office – established patient)
99241, 99242, 99243, 99244, 99245 (outpatient consult)
Numerator:
| 1007F |
|
Use of anti-inflammatory or analgesic over-the-counter (OTC)
(CPT II) medications for symptom relief assessed |
Modifier:
| 8P |
|
Use of anti-inflammatory or analgesic (OTC) medications not assessed,
Reason not otherwise specified |
ICD-9:
715.00, 715.04, 715.09, 715.10, 715.11, 715.12, 715.13, 715.14, 715.15, 715.16, 715.17, 715.18, 715.20, 715.21, 715.22, 715.23, 715.24, 715.25, 715.26, 715.27, 715.28, 715.30, 715.31, 715.32, 715.33, 715.34, 715.35, 715.36, 715.37, 715.38, 715.80, 715.89, 715.90, 715.91, 715.92, 715.93, 715.94, 715.95, 715.96, 715.97, 715.98 (Osteoarthrosis and allied disorders)
Reporting options: Measure Group only
Patients aged 18 through 79 years with a diagnosis of back pain at the initial visit to the clinician for the episode
CPT:
98940, 98941, 98942 (Chiropractic manipulative treatment)
99201, 99202, 99203, 99204, 99205 (office – new patient)
99212, 99213, 99214, 99215 (office - established patient)
99241, 99242, 99243, 99244, 99245 (outpatient consult)
22210, 22214, 22220, 22222, 22224, 22226, (osteotomy of spine)
22532, 22533, 22534 (percutaneous vertebral augmentation)
22548, 22554, 22556, 22558, 22585, 22590, 22595, 22600, 22612, 22614, 22630, 22632 (arthrodesis)
22818, 22819 (kyphectomy)
22830, 22840, 22841, 22842, 22843, 22844, 22845, 22846, 22847, 22848, 22849 (spinal fixation)
63001, 63003, 63005, 63011, 63012, 63015, 63016, 63017, 63020, 63030, 63035, 63040, 63042, 63043, 63044, 63045, 63046, 63047, 63048 (laminotomy)
63055, 63056, 63057 (transpedicular decompression)
63064, 63066 (costovertebral decompression)
63075, 63076, 63077, 63078 (discetomy)
63081, 63082, 63085, 63086, 63087, 63088, 63090, 63091 (vertebral corpectomy anterior or anterolateral approach)
63101, 63102, 63103 (vertebral corpectomy lateral extracavitary approach)
63170, 63172, 63173, 63180, 63185, 63190, 63194, 63195, 63196, 63197, 63198, 63199, 63200 (laminectomy)
Numerator:
| 1130F |
|
Back pain and function assessed, including all of the following:
(CPT II) Pain assessment AND functional status AND patient history,
including notation of presence or absence of “red flags” (warning
signs) AND assessment of prior treatment and response, AND
employment status |
| 0526F |
|
Subsequent visit for episode |
Modifier:
| 8P |
|
Back pain and function was not assessed during the initial visit, reason
not otherwise specified |
ICD-9:
721.3, 721.41, 721.42, 721.90 (spondylosis and allied disorders)
722.0, 722.10, 722.11, 722.2, 722.30, 722.31, 722.32, 722.39, 722.4, 722.51, 722.52, 722.6, 722.70, 722.71, 722.72, 722.80, 722.81, 722.82, 722.83, 722.90, 722.91, 722.92, 722.93 (intervertebral disc disorders)
723.0 (other disorders of cervical region)
724.00, 724.01, 724.02, 724.09, 724.2, 724.3, 724.4, 724.5, 724.6, 724.70, 724.71, 724.79 (spinal stenosis, other than cervical)
738.4, 738.5 (other acquired deformity)
739.3, 739.4 (nonallopathic lesions, not elsewhere classified)
756.12 (anomalies of spine)
846.0, 846.1, 846.2, 846.3, 846.8, 846.9 (sprains and strains of sacroiliac region)
847.2 (sprains and strains of other and unspecified parts of back)
Reporting options: Measure Group only
Patients aged 18 through 79 years with a diagnosis of back pain at the initial visit to the clinician for the episode
CPT:
98940, 98941, 98942 (Chiropractic manipulative treatment)
99201, 99202, 99203, 99204, 99205 (office – new patient)
99212, 99213, 99214, 99215 (office - established patient)
99241, 99242, 99243, 99244, 99245 (outpatient consult)
22210, 22214, 22220, 22222, 22224, 22226, (osteotomy of spine)
22532, 22533, 22534 (percutaneous vertebral augmentation)
22548, 22554, 22556, 22558, 22585, 22590, 22595, 22600, 22612, 22614, 22630, 22632 (arthrodesis)
22818, 22819 (kyphectomy)
22830, 22840, 22841, 22842, 22843, 22844, 22845, 22846, 22847, 22848, 22849 (spinal fixation)
63001, 63003, 63005, 63011, 63012, 63015, 63016, 63017, 63020, 63030, 63035, 63040, 63042, 63043, 63044, 63045, 63046, 63047, 63048 (laminotomy)
63055, 63056, 63057, (transpedicular decompression)
63064, 63066 (costovertebral decompression)
63075, 63076, 63077, 63078 (discetomy)
63081, 63082, 63085, 63086, 63087, 63088, 63090, 63091 (vertebral corpectomy anterior or anterolateral approach)
63101, 63102, 63103 (vertebral corpectomy lateral extracavitary approach)
63170, 63172, 63173, 63180, 63185, 63190, 63194, 63195, 63196, 63197, 63198, 63199, 63200 (laminectomy)
Numerator:
| 2040F |
|
Physical examination on the date of the initial visit for low back
(CPT II) pain performed, in accordance with specifications |
| 0526F |
|
Subsequent visit for episode |
Modifier:
| 8P |
|
Physical exam was not performed during the initial visit, reason not otherwise specified |
ICD-9: 721.3, 721.41, 721.42, 721.90 (spondylosis and allied disorders)
722.0, 722.10, 722.11, 722.2, 722.30, 722.31, 722.32, 722.39, 722.4, 722.51, 722.52, 722.6, 722.70, 722.71, 722.72, 722.80, 722.81, 722.82, 722.83, 722.90, 722.91, 722.92, 722.93 (intervertebral disc disorders)
723.0 (other disorders of cervical region)
724.00, 724.01, 724.02, 724.09, 724.2, 724.3, 724.4, 724.5, 724.6, 724.70, 724.71, 724.79 (spinal stenosis, other than cervical)
738.4, 738.5 (other acquired deformity)
739.3, 739.4 (nonallopathic lesions, not elsewhere classified)
756.12 (anomalies of spine)
846.0, 846.1, 846.2, 846.3, 846.8, 846.9 (sprains and strains of sacroiliac region)
847.2 (sprains and strains of other and unspecified parts of back)
Reporting options: Measure Group only
Patients aged 18 through 79 years with a diagnosis of back pain at the initial visit to the clinician for the episode
CPT:
98940, 98941, 98942 (Chiropractic manipulative treatment)
99201, 99202, 99203, 99204, 99205 (office – new patient)
99212, 99213, 99214, 99215 (office - established patient)
99241, 99242, 99243, 99244, 99245 (outpatient consult)
22210, 22214, 22220, 22222, 22224, 22226, (osteotomy of spine)
22532, 22533, 22534 (percutaneous vertebral augmentation)
22548, 22554, 22556, 22558, 22585, 22590, 22595, 22600, 22612, 22614, 22630, 22632 (arthrodesis)
22818, 22819 (kyphectomy)
22830, 22840, 22841, 22842, 22843, 22844, 22845, 22846, 22847, 22848, 22849 (spinal fixation)
63001, 63003, 63005, 63011, 63012, 63015, 63016, 63017, 63020, 63030, 63035, 63040, 63042, 63043, 63044, 63045, 63046, 63047, 63048 (laminotomy)
63055, 63056, 63057, (transpedicular decompression)
63064, 63066 (costovertebral decompression)
63075, 63076, 63077, 63078 (discetomy)
63081, 63082, 63085, 63086, 63087, 63088, 63090, 63091 (vertebral corpectomy anterior or anterolateral approach)
63101, 63102, 63103 (vertebral corpectomy lateral extracavitary approach)
63170, 63172, 63173, 63180, 63185, 63190, 63194, 63195, 63196, 63197, 63198, 63199, 63200 (laminectomy)
Numerator:
| 4245F |
|
Patient counseled during the initial visit to maintain or resume
(CPT II) normal activities |
| 0526F |
|
Subsequent visit for the episode |
Modifier:
| 8P |
|
Advice for normal activities not performed during the initial visit,
reason not otherwise specified |
ICD-9:
721.3, 721.41, 721.42, 721.90 (spondylosis and allied disorders)
722.0, 722.10, 722.11, 722.2, 722.30, 722.31, 722.32, 722.39, 722.4, 722.51, 722.52, 722.6, 722.70, 722.71, 722.72, 722.80, 722.81, 722.82, 722.83, 722.90, 722.91, 722.92, 722.93 (intervertebral disc disorders)
723.0 (other disorders of cervical region)
724.00, 724.01, 724.02, 724.09, 724.2, 724.3, 724.4, 724.5, 724.6, 724.70, 724.71, 724.79 (spinal stenosis, other than cervical)
738.4, 738.5 (other acquired deformity)
739.3, 739.4 (nonallopathic lesions, not elsewhere classified)
756.12 (anomalies of spine)
846.0, 846.1, 846.2, 846.3, 846.8, 846.9 (sprains and strains of sacroiliac region)
847.2 (sprains and strains of other and unspecified parts of back)
Reporting options: Measure Group only
Patients aged 18 through 79 years on date of encounter
CPT:
98940, 98941, 98942 (Chiropractic manipulative treatment)
99201, 99202, 99203, 99204, 99205 (office – new patient)
99212, 99213, 99214, 99215 (office - established patient)
99241, 99242, 99243, 99244, 99245 (outpatient consult)
22210, 22214, 22220, 22222, 22224, 22226, (osteotomy of spine)
22532, 22533, 22534 (percutaneous vertebral augmentation)
22548, 22554, 22556, 22558, 22585, 22590, 22595, 22600, 22612, 22614, 22630, 22632 (arthrodesis)
22818, 22819 (kyphectomy)
22830, 22840, 22841, 22842, 22843, 22844, 22845, 22846, 22847, 22848, 22849 (spinal fixation)
63001, 63003, 63005, 63011, 63012, 63015, 63016, 63017, 63020, 63030, 63035, 63040, 63042, 63043, 63044, 63045, 63046, 63047, 63048 (laminotomy)
63055, 63056, 63057, (transpedicular decompression)
63064, 63066 (costovertebral decompression)
63075, 63076, 63077, 63078 (discetomy)
63081, 63082, 63085, 63086, 63087, 63088, 63090, 63091 (vertebral corpectomy anterior or anterolateral approach)
63101, 63102, 63103 (vertebral corpectomy lateral extracavitary approach)
63170, 63172, 63173, 63180, 63185, 63190, 63194, 63195, 63196, 63197, 63198, 63199, 63200 (laminectomy)
Numerator:
| 4248F |
|
Patient counseled during the initial visit for an episode of back pain
(CPT II) against rest lasting 4 days or longer |
| 0526F |
|
Subsequent visit for episode |
Modifier:
| 8P |
|
Advice against bed rest was not performed during the initial visit, reason
not otherwise specified |
ICD-9:
721.3, 721.41, 721.42, 721.90 (spondylosis and allied disorders)
722.0, 722.10, 722.11, 722.2, 722.30, 722.31, 722.32, 722.39, 722.4, 722.51, 722.52, 722.6, 722.70, 722.71, 722.72, 722.80, 722.81, 722.82, 722.83, 722.90, 722.91, 722.92, 722.93 (intervertebral disc disorders)
723.0 (other disorders of cervical region)
724.00, 724.01, 724.02, 724.09, 724.2, 724.3, 724.4, 724.5, 724.6, 724.70, 724.71, 724.79 (spinal stenosis, other than cervical)
738.4, 738.5 (other acquired deformity)
739.3, 739.4 (nonallopathic lesions, not elsewhere classified)
756.12 (anomalies of spine)
846.0, 846.1, 846.2, 846.3, 846.8, 846.9 (sprains and strains of sacroiliac region)
847.2 (sprains and strains of other and unspecified parts of back)
Reporting options: Claim-based and Registry
All patients aged 65 years and older who have a history of falls
CPT:
97001, 97002, 97003, 97004 (physical therapy)
99201, 99202, 99203, 99204, 99205 (office – new patient)
99212, 99213, 99214, 99215 (office- established patient)
99241, 99242, 99243, 99244, 99245 (outpatient consult)
99304, 99305, 99306 (initial nursing facility care)
99307, 99308, 99309, 99310 (subsequent nursing facility care)
99324, 99325, 99326, 99327, 99328 (domiciliary, rest home care – new patient)
99334, 99335, 99336, 99337 (domiciliary, rest home care – established patient)
99341, 99342, 99343, 99344, 99345 (home services – new patient)
99347, 99348, 99349, 99350 (home services - established patient)
Numerator:
Two CPT II codes are required on the claim form to submit this numerator
(CPT II) options
| 3288F |
|
Falls risk assessment documented |
| 1100F |
|
Patient screened for future fall risk; documentation of two or more
falls in the past year or any fall with injury in the past year |
Modifier:
| 1P |
|
Documentation of medical reason(s) for not completing a risk assessment
for falls |
| 8P |
|
No documentation of falls status |
Reporting options: Claims-based, Registry
All patients aged 65 years and older who have a history of falls
This is a two-part measure which is paired with Measure #154: Falls Risk Assessment. This measure should be reported if CPTII code 1100F "Patient screened for future falls risk; documentation of two or more falls in the past year or any fall with injury in the past year" is submitted for Measure #154.
CPT:
97001, 97002, 97003, 97004 (physical therapy)
99201, 99202, 99203, 99204, 99205 (office – new patient)
99212, 99213, 99214, 99215 (office- established patient)
99241, 99242, 99243, 99244, 99245 (outpatient consult)
99304, 99305, 99306 (initial nursing facility care)
99307, 99308, 99309, 99310 (subsequent nursing facility care)
99324, 99325, 99326, 99327, 99328 (domiciliary, rest home care – new patient)
99334, 99335, 99336, 99337 (domiciliary, rest home care – established patient)
99341, 99342, 99343, 99344, 99345 (home services – new patient)
99347, 99348, 99349, 99350 (home services - established patient)
Numerator:
| 0518F |
|
Falls plan of care documented (CPT II) |
Modifier:
| 1P |
|
Documentation of medical reason(s) for no plan of care for falls |
| 8P |
|
Plan of care not documented, reason not otherwise specified |
Reporting options: Claims-based, Registry, Measure Group
All patients 18 years and older with a diagnosis of rheumatoid arthritis (RA) who are receiving a first course of therapy using a biologic DMARD
CPT:
99201, 99202, 99203, 99204, 99205 (office – new patient)
99212, 99213, 99214, 99215 (office - established patient)
99241, 99242, 99243, 99244, 99245 (outpatient consult)
99341, 99342, 99343, 99344, 99345 (home services – new patient)
99347, 99348, 99349, 99350 (home services - established patient)
99455. 99456 (work related or medical disability evaluation services)
Numerator:
Two CPT II codes may be required on the claim form to submit this numerator
(CPT II) options
| 4195F |
|
Patient receiving first-time biologic disease modifying anti-rheumatic drug therapy for rheumatoid arthritis
If answer is NO report 4196F and stop If answer is YES report 4195F and 3455F |
| 4196F |
|
Patient not receiving first-time biologic disease modifying anti-rheumatic drug therapy for rheumatoid arthritis |
| 3455F |
|
TB screening performed and results interpreted within six months prior to initiation of first-time biologic disease modifying anti-rheumatic drug therapy for RA |
Modifier:
| 1P |
|
Documentation of medical reason for not screening for TB or interpreting results (i.e., patient positive for TB and documentation of past treatment; patient has recently completed a course of anti-TB therapy) |
| 8P |
|
TB screening not performed or results not interpreted, reason not otherwise specified |
ICD-9:
714.0, 714.1, 714.2, 714.81 (rheumatoid arthritis and other inflammatory polyarthropathies)
Reporting options: Claims-based, Registry, and Measures Group
All patients 18 years and older with a diagnosis of rheumatoid arthritis (RA)
CPT:
99201, 99202, 99203, 99204, 99205 (office – new patient)
99212, 99213, 99214, 99215 (office - established patient)
99241, 99242, 99243, 99244, 99245 (outpatient consult)
99341, 99342, 99343, 99344, 99345 (home services – new patient)
99347, 99348, 99349, 99350 (home services - established patient)
99455, 99456 (work related or medical disability evaluation services)
Numerator:
| 3470F |
|
Rheumatoid arthritis (RA) disease activity, low
(CPT II) |
| 3471F |
|
Rheumatoid arthritis (RA) disease activity, moderate |
| 3472F |
|
Rheumatoid arthritis (RA) disease activity, high |
Modifier:
| 8P |
|
Disease activity not assessed and classified, reason not otherwise specified |
ICD:
714.0, 714.1, 714.2, 714.81 (rheumatoid arthritis and other inflammatory polyarthropathies)
Reporting options: Claims-based, Registry, and Measures Group
Patients for whom a functional status assessment was performed at least once within 12 months
CPT:
99201, 99202, 99203, 99204, 99205 (office – new patient)
99212, 99213, 99214, 99215 (office - established patient)
99241, 99242, 99243, 99244, 99245 (outpatient consult)
99341, 99342, 99343, 99344, 99345 (home services – new patient)
99347, 99348, 99349, 99350 (home services - established patient)
99455. 99456 (work related or medical disability evaluation services)
Numerator:
| 1170F |
|
Functional status assessed (CPT II) |
Modifier:
| 8P |
|
Functional status not assessed, reason not otherwise specified |
ICD-9:
714.0, 714.1, 714.2, 714.81 (rheumatoid arthritis and other inflammatory polyarthropathies)
Reporting options: Claims-based, Registry, Measures Group
All patients 18 years and older with a diagnosis of rheumatoid arthritis (RA)
CPT:
99201, 99202, 99203, 99204, 99205 (office – new patient)
99212, 99213, 99214, 99215 (office- established patient)
99241, 99242, 99243, 99244, 99245 (outpatient consult)
99341, 99342, 99343, 99344, 99345 (home services – new patient)
99347, 99348, 99349, 99350 (home services - established patient)
99455. 99456 (work related or medical disability evaluation services)
Numerator:
| 3475F |
|
Disease prognosis for rheumatoid arthritis assessed, poor prognosis (CPT II) documented |
| 3476F |
|
Disease prognosis for rheumatoid arthritis assessed, good prognosis documented |
Modifier:
| 8P |
|
Disease prognosis for rheumatoid arthritis not assessed and classified, reason not otherwise specified |
ICD-9:
714.0, 714.1, 714.2, 714.81 (rheumatoid arthritis and other inflammatory polyarthropathies)
Reporting options: Claims-based, Registry, and Measures Group
Patients who have been assessed for glucocorticoid use and for those on prolonged doses of prednisone = 10 mg daily (or equivalent) with improvement or no change in disease activity, documentation of a glucocorticoid management plan within 12 months
CPT:
99201, 99202, 99203, 99204, 99205 (office – new patient)
99212, 99213, 99214, 99215 (office- established patient)
99241, 99242, 99243, 99244, 99245 (outpatient consult)
99341, 99342, 99343, 99344, 99345 (home services – new patient)
99347, 99348, 99349, 99350 (home services - established patient)
99455. 99456 (work related or medical disability evaluation services)
Numerator:
| 4192F |
|
Patient not receiving glucocorticoid therapy
(CPT II) |
| 4193F |
|
Patient receiving < 10 mg daily prednisone, or RA disease activity is worsening, or glucocorticoid use is for less than 6 months |
| |
|
OR |
| |
|
Two CPTII codes are required on the claim form to submit this numerator option |
| 4194F |
|
Patient receiving = 10 mg daily prednisone (or equivalent) for longer than 6 months, and improvement or no change in disease activity |
| 0540F |
|
Glucocorticoid Management Plan documented |
Modifier:
| 8P |
|
Glucocorticoid dose was not documented, reason not otherwise specified |
ICD-9:
714.0, 714.1, 714.2, 714.81 (rheumatoid arthritis and other inflammatory polyarthropathies)
Measure Groups**
A new reporting option for rheumatologists in 2009 will be an RA measure group, which includes six measures which are:
Reporting options: Claims-based, Registry, Measure Group
All patients aged 18 years and older with a diagnosis of rheumatoid Arthritis
CPT:
99201, 99202, 99203, 99204, 99205 (office – new patient)
99211, 99212, 99213, 99214, 99215 (office – established patient)
99241, 99242, 99243, 99244, 99245 (outpatient consult)
99341, 99342, 99343, 99344, 99345 (home services – new patient)
99347, 99348, 99349, 99350 (home services – established patient)
99455, 99456 (work related or medical disability services)
Numerator:
| 4187F |
|
Disease modifying anti-rheumatic drug therapy prescribed, dispensed, or (CPT II) administered |
Modifier:
| 1P |
|
Documentation of medical reason(s) for not prescribing, dispensing, or administering disease modifying anti-rheumatic drug therapy |
| 8P |
|
DMARD not prescribed, dispensed, or administered, reason not specified |
ICD-9:
714.0, 714.1, 714.2, 714.81 (rheumatoid arthritis and other inflammatory
polyarthropathies)
Reporting options: Claims-based, Registry, Measure Group
All patients 18 years and older with a diagnosis of rheumatoid arthritis (RA) who are receiving a first course of therapy using a biologic DMARD
CPT:
99201, 99202, 99203, 99204, 99205 (office – new patient)
99212, 99213, 99214, 99215 (office - established patient)
99241, 99242, 99243, 99244, 99245 (outpatient consult)
99341, 99342, 99343, 99344, 99345 (home services – new patient)
99347, 99348, 99349, 99350 (home services - established patient)
99455. 99456 (work related or medical disability evaluation services)
Numerator:
Two CPT II codes may be required on the claim form to submit this numerator
(CPT II) options
| 4195F |
|
Patient receiving first-time biologic disease modifying anti-rheumatic drug therapy for rheumatoid arthritis
If answer is NO report 4196F and stop If answer is YES report 4195F and 3455F |
| 4196F |
|
Patient not receiving first-time biologic disease modifying anti-rheumatic drug therapy for rheumatoid arthritis |
| 3455F |
|
TB screening performed and results interpreted within six months prior to initiation of first-time biologic disease modifying anti-rheumatic drug therapy for RA |
Modifier:
| 1P |
|
Documentation of medical reason for not screening for TB or interpreting results (i.e., patient positive for TB and documentation of past treatment; patient has recently completed a course of anti-TB therapy) |
| 8P |
|
TB screening not performed or results not interpreted, reason not otherwise specified |
ICD-9:
714.0, 714.1, 714.2, 714.81 (rheumatoid arthritis and other inflammatory polyarthropathies)
Reporting options: Claims-based, Registry, and Measures Group
All patients 18 years and older with a diagnosis of rheumatoid arthritis (RA)
CPT:
99201, 99202, 99203, 99204, 99205 (office – new patient)
99212, 99213, 99214, 99215 (office - established patient)
99241, 99242, 99243, 99244, 99245 (outpatient consult)
99341, 99342, 99343, 99344, 99345 (home services – new patient)
99347, 99348, 99349, 99350 (home services - established patient)
99455, 99456 (work related or medical disability evaluation services)
Numerator:
| 3470F |
|
Rheumatoid arthritis (RA) disease activity, low
(CPT II) |
| 3471F |
|
Rheumatoid arthritis (RA) disease activity, moderate |
| 3472F |
|
Rheumatoid arthritis (RA) disease activity, high |
Modifier:
| 8P |
|
Disease activity not assessed and classified, reason not otherwise specified |
ICD:
714.0, 714.1, 714.2, 714.81 (rheumatoid arthritis and other inflammatory polyarthropathies)
Reporting options: Claims-based, Registry, and Measures Group
Patients for whom a functional status assessment was performed at least once within 12 months
CPT:
99201, 99202, 99203, 99204, 99205 (office – new patient)
99212, 99213, 99214, 99215 (office - established patient)
99241, 99242, 99243, 99244, 99245 (outpatient consult)
99341, 99342, 99343, 99344, 99345 (home services – new patient)
99347, 99348, 99349, 99350 (home services - established patient)
99455. 99456 (work related or medical disability evaluation services)
Numerator:
| 1170F |
|
Functional status assessed (CPT II) |
Modifier:
| 8P |
|
Functional status not assessed, reason not otherwise specified |
ICD-9:
714.0, 714.1, 714.2, 714.81 (rheumatoid arthritis and other inflammatory polyarthropathies)
Reporting options: Claims-based, Registry, Measures Group
All patients 18 years and older with a diagnosis of rheumatoid arthritis (RA)
CPT:
99201, 99202, 99203, 99204, 99205 (office – new patient)
99212, 99213, 99214, 99215 (office- established patient)
99241, 99242, 99243, 99244, 99245 (outpatient consult)
99341, 99342, 99343, 99344, 99345 (home services – new patient)
99347, 99348, 99349, 99350 (home services - established patient)
99455. 99456 (work related or medical disability evaluation services)
Numerator:
| 3475F |
|
Disease prognosis for rheumatoid arthritis assessed, poor prognosis (CPT II) documented |
| 3476F |
|
Disease prognosis for rheumatoid arthritis assessed, good prognosis documented |
Modifier:
| 8P |
|
Disease prognosis for rheumatoid arthritis not assessed and classified, reason not otherwise specified |
ICD-9:
714.0, 714.1, 714.2, 714.81 (rheumatoid arthritis and other inflammatory polyarthropathies)
Reporting options: Claims-based, Registry, and Measures Group
Patients who have been assessed for glucocorticoid use and for those on prolonged doses of prednisone = 10 mg daily (or equivalent) with improvement or no change in disease activity, documentation of a glucocorticoid management plan within 12 months
CPT:
99201, 99202, 99203, 99204, 99205 (office – new patient)
99212, 99213, 99214, 99215 (office- established patient)
99241, 99242, 99243, 99244, 99245 (outpatient consult)
99341, 99342, 99343, 99344, 99345 (home services – new patient)
99347, 99348, 99349, 99350 (home services - established patient)
99455. 99456 (work related or medical disability evaluation services)
Numerator:
| 4192F |
|
Patient not receiving glucocorticoid therapy
(CPT II) |
| 4193F |
|
Patient receiving < 10 mg daily prednisone, or RA disease activity is worsening, or glucocorticoid use is for less than 6 months |
| |
|
OR |
| |
|
Two CPTII codes are required on the claim form to submit this numerator option |
| 4194F |
|
Patient receiving = 10 mg daily prednisone (or equivalent) for longer than 6 months, and improvement or no change in disease activity |
| 0540F |
|
Glucocorticoid Management Plan documented |
Modifier:
| 8P |
|
Glucocorticoid dose was not documented, reason not otherwise specified |
ICD-9:
714.0, 714.1, 714.2, 714.81 (rheumatoid arthritis and other inflammatory polyarthropathies)
An additional reporting option for rheumatologists to report is the back pain measures group, which includes 4 measures which are:
Reporting options: Measure Group only
Patients aged 18 through 79 years with a diagnosis of back pain at the initial visit to the clinician for the episode
CPT:
98940, 98941, 98942 (Chiropractic manipulative treatment)
99201, 99202, 99203, 99204, 99205 (office – new patient)
99212, 99213, 99214, 99215 (office - established patient)
99241, 99242, 99243, 99244, 99245 (outpatient consult)
22210, 22214, 22220, 22222, 22224, 22226, (osteotomy of spine)
22532, 22533, 22534 (percutaneous vertebral augmentation)
22548, 22554, 22556, 22558, 22585, 22590, 22595, 22600, 22612, 22614, 22630, 22632 (arthrodesis)
22818, 22819 (kyphectomy)
22830, 22840, 22841, 22842, 22843, 22844, 22845, 22846, 22847, 22848, 22849 (spinal fixation)
63001, 63003, 63005, 63011, 63012, 63015, 63016, 63017, 63020, 63030, 63035, 63040, 63042, 63043, 63044, 63045, 63046, 63047, 63048 (laminotomy)
63055, 63056, 63057 (transpedicular decompression)
63064, 63066 (costovertebral decompression)
63075, 63076, 63077, 63078 (discetomy)
63081, 63082, 63085, 63086, 63087, 63088, 63090, 63091 (vertebral corpectomy anterior or anterolateral approach)
63101, 63102, 63103 (vertebral corpectomy lateral extracavitary approach)
63170, 63172, 63173, 63180, 63185, 63190, 63194, 63195, 63196, 63197, 63198, 63199, 63200 (laminectomy)
Numerator:
| 1130F |
|
Back pain and function assessed, including all of the following:
(CPT II) Pain assessment AND functional status AND patient history,
including notation of presence or absence of “red flags” (warning
signs) AND assessment of prior treatment and response, AND
employment status |
| 0526F |
|
Subsequent visit for episode |
Modifier:
| 8P |
|
Back pain and function was not assessed during the initial visit, reason
not otherwise specified |
ICD-9:
721.3, 721.41, 721.42, 721.90 (spondylosis and allied disorders)
722.0, 722.10, 722.11, 722.2, 722.30, 722.31, 722.32, 722.39, 722.4, 722.51, 722.52, 722.6, 722.70, 722.71, 722.72, 722.80, 722.81, 722.82, 722.83, 722.90, 722.91, 722.92, 722.93 (intervertebral disc disorders)
723.0 (other disorders of cervical region)
724.00, 724.01, 724.02, 724.09, 724.2, 724.3, 724.4, 724.5, 724.6, 724.70, 724.71, 724.79 (spinal stenosis, other than cervical)
738.4, 738.5 (other acquired deformity)
739.3, 739.4 (nonallopathic lesions, not elsewhere classified)
756.12 (anomalies of spine)
846.0, 846.1, 846.2, 846.3, 846.8, 846.9 (sprains and strains of sacroiliac region)
847.2 (sprains and strains of other and unspecified parts of back)
Reporting options: Measure Group only
Patients aged 18 through 79 years with a diagnosis of back pain at the initial visit to the clinician for the episode
CPT:
98940, 98941, 98942 (Chiropractic manipulative treatment)
99201, 99202, 99203, 99204, 99205 (office – new patient)
99212, 99213, 99214, 99215 (office - established patient)
99241, 99242, 99243, 99244, 99245 (outpatient consult)
22210, 22214, 22220, 22222, 22224, 22226, (osteotomy of spine)
22532, 22533, 22534 (percutaneous vertebral augmentation)
22548, 22554, 22556, 22558, 22585, 22590, 22595, 22600, 22612, 22614, 22630, 22632 (arthrodesis)
22818, 22819 (kyphectomy)
22830, 22840, 22841, 22842, 22843, 22844, 22845, 22846, 22847, 22848, 22849 (spinal fixation)
63001, 63003, 63005, 63011, 63012, 63015, 63016, 63017, 63020, 63030, 63035, 63040, 63042, 63043, 63044, 63045, 63046, 63047, 63048 (laminotomy)
63055, 63056, 63057, (transpedicular decompression)
63064, 63066 (costovertebral decompression)
63075, 63076, 63077, 63078 (discetomy)
63081, 63082, 63085, 63086, 63087, 63088, 63090, 63091 (vertebral corpectomy anterior or anterolateral approach)
63101, 63102, 63103 (vertebral corpectomy lateral extracavitary approach)
63170, 63172, 63173, 63180, 63185, 63190, 63194, 63195, 63196, 63197, 63198, 63199, 63200 (laminectomy)
Numerator:
| 2040F |
|
Physical examination on the date of the initial visit for low back
(CPT II) pain performed, in accordance with specifications |
| 0526F |
|
Subsequent visit for episode |
Modifier:
| 8P |
|
Physical exam was not performed during the initial visit, reason not otherwise specified |
ICD-9: 721.3, 721.41, 721.42, 721.90 (spondylosis and allied disorders)
722.0, 722.10, 722.11, 722.2, 722.30, 722.31, 722.32, 722.39, 722.4, 722.51, 722.52, 722.6, 722.70, 722.71, 722.72, 722.80, 722.81, 722.82, 722.83, 722.90, 722.91, 722.92, 722.93 (intervertebral disc disorders)
723.0 (other disorders of cervical region)
724.00, 724.01, 724.02, 724.09, 724.2, 724.3, 724.4, 724.5, 724.6, 724.70, 724.71, 724.79 (spinal stenosis, other than cervical)
738.4, 738.5 (other acquired deformity)
739.3, 739.4 (nonallopathic lesions, not elsewhere classified)
756.12 (anomalies of spine)
846.0, 846.1, 846.2, 846.3, 846.8, 846.9 (sprains and strains of sacroiliac region)
847.2 (sprains and strains of other and unspecified parts of back)
Reporting options: Measure Group only
Patients aged 18 through 79 years with a diagnosis of back pain at the initial visit to the clinician for the episode
CPT:
98940, 98941, 98942 (Chiropractic manipulative treatment)
99201, 99202, 99203, 99204, 99205 (office – new patient)
99212, 99213, 99214, 99215 (office - established patient)
99241, 99242, 99243, 99244, 99245 (outpatient consult)
22210, 22214, 22220, 22222, 22224, 22226, (osteotomy of spine)
22532, 22533, 22534 (percutaneous vertebral augmentation)
22548, 22554, 22556, 22558, 22585, 22590, 22595, 22600, 22612, 22614, 22630, 22632 (arthrodesis)
22818, 22819 (kyphectomy)
22830, 22840, 22841, 22842, 22843, 22844, 22845, 22846, 22847, 22848, 22849 (spinal fixation)
63001, 63003, 63005, 63011, 63012, 63015, 63016, 63017, 63020, 63030, 63035, 63040, 63042, 63043, 63044, 63045, 63046, 63047, 63048 (laminotomy)
63055, 63056, 63057, (transpedicular decompression)
63064, 63066 (costovertebral decompression)
63075, 63076, 63077, 63078 (discetomy)
63081, 63082, 63085, 63086, 63087, 63088, 63090, 63091 (vertebral corpectomy anterior or anterolateral approach)
63101, 63102, 63103 (vertebral corpectomy lateral extracavitary approach)
63170, 63172, 63173, 63180, 63185, 63190, 63194, 63195, 63196, 63197, 63198, 63199, 63200 (laminectomy)
Numerator:
| 4245F |
|
Patient counseled during the initial visit to maintain or resume
(CPT II) normal activities |
| 0526F |
|
Subsequent visit for the episode |
Modifier:
| 8P |
|
Advice for normal activities not performed during the initial visit,
reason not otherwise specified |
ICD-9:
721.3, 721.41, 721.42, 721.90 (spondylosis and allied disorders)
722.0, 722.10, 722.11, 722.2, 722.30, 722.31, 722.32, 722.39, 722.4, 722.51, 722.52, 722.6, 722.70, 722.71, 722.72, 722.80, 722.81, 722.82, 722.83, 722.90, 722.91, 722.92, 722.93 (intervertebral disc disorders)
723.0 (other disorders of cervical region)
724.00, 724.01, 724.02, 724.09, 724.2, 724.3, 724.4, 724.5, 724.6, 724.70, 724.71, 724.79 (spinal stenosis, other than cervical)
738.4, 738.5 (other acquired deformity)
739.3, 739.4 (nonallopathic lesions, not elsewhere classified)
756.12 (anomalies of spine)
846.0, 846.1, 846.2, 846.3, 846.8, 846.9 (sprains and strains of sacroiliac region)
847.2 (sprains and strains of other and unspecified parts of back)
Reporting options: Measure Group only
Patients aged 18 through 79 years on date of encounter
CPT:
98940, 98941, 98942 (Chiropractic manipulative treatment)
99201, 99202, 99203, 99204, 99205 (office – new patient)
99212, 99213, 99214, 99215 (office - established patient)
99241, 99242, 99243, 99244, 99245 (outpatient consult)
22210, 22214, 22220, 22222, 22224, 22226, (osteotomy of spine)
22532, 22533, 22534 (percutaneous vertebral augmentation)
22548, 22554, 22556, 22558, 22585, 22590, 22595, 22600, 22612, 22614, 22630, 22632 (arthrodesis)
22818, 22819 (kyphectomy)
22830, 22840, 22841, 22842, 22843, 22844, 22845, 22846, 22847, 22848, 22849 (spinal fixation)
63001, 63003, 63005, 63011, 63012, 63015, 63016, 63017, 63020, 63030, 63035, 63040, 63042, 63043, 63044, 63045, 63046, 63047, 63048 (laminotomy)
63055, 63056, 63057, (transpedicular decompression)
63064, 63066 (costovertebral decompression)
63075, 63076, 63077, 63078 (discetomy)
63081, 63082, 63085, 63086, 63087, 63088, 63090, 63091 (vertebral corpectomy anterior or anterolateral approach)
63101, 63102, 63103 (vertebral corpectomy lateral extracavitary approach)
63170, 63172, 63173, 63180, 63185, 63190, 63194, 63195, 63196, 63197, 63198, 63199, 63200 (laminectomy)
Numerator:
| 4248F |
|
Patient counseled during the initial visit for an episode of back pain
(CPT II) against rest lasting 4 days or longer |
| 0526F |
|
Subsequent visit for episode |
Modifier:
| 8P |
|
Advice against bed rest was not performed during the initial visit, reason
not otherwise specified |
ICD-9:
721.3, 721.41, 721.42, 721.90 (spondylosis and allied disorders)
722.0, 722.10, 722.11, 722.2, 722.30, 722.31, 722.32, 722.39, 722.4, 722.51, 722.52, 722.6, 722.70, 722.71, 722.72, 722.80, 722.81, 722.82, 722.83, 722.90, 722.91, 722.92, 722.93 (intervertebral disc disorders)
723.0 (other disorders of cervical region)
724.00, 724.01, 724.02, 724.09, 724.2, 724.3, 724.4, 724.5, 724.6, 724.70, 724.71, 724.79 (spinal stenosis, other than cervical)
738.4, 738.5 (other acquired deformity)
739.3, 739.4 (nonallopathic lesions, not elsewhere classified)
756.12 (anomalies of spine)
846.0, 846.1, 846.2, 846.3, 846.8, 846.9 (sprains and strains of sacroiliac region)
847.2 (sprains and strains of other and unspecified parts of back)
** If you choose to report a measure group keep in mind that all the measures in the group must be reported to qualify.**
Contact Melesia Tillman at (404) 633 – 3777 ext 820 or by email with questions.
For 2008 PQRI measures, click here.
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