This measures group is to be reported for patients aged 18 years and older with a specific diagnosis of CAD accompanied by a specific patient encounter:
One of the following diagnosis codes indicating coronary artery disease:
ICD-10-CM: I20.0, I20.1, I20.8, I20.9, I21.01, I21.02, I21.09, I21.11, I21.19, I21.21, I21.29, I21.3, I21.4, I22.0, I22.1, I22.2, I22.8, I22.9, I24.0, I24.1, I24.8, I24.9, I25.10, I25.110, I25.111, I25.118, I25.119, I25.2, I25.5, I25.6, I25.700, I25.701, I25.708, I25.709, I25.710, I25.711, I25.718, I25.719, I25.720, I25.721, I25.728, I25.729, I25.730, I25.731, I25.738, I25.739, I25.750, I25.751, I25.758, I25.759, I25.760, I25.761, I25.768, I25.769, I25.790, I25.791, I25.798, I25.799, I25.810, I25.811, I25.812, I25.82, I25.83, I25.89, I25.9, Z95.1, Z95.5, Z98.61
One of the following patient encounter codes:
99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99304, 99305, 99306, 99307, 99308, 99309, 99310, 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350
PQRS Group Measures:
#6 Coronary Artery Disease (CAD): Antiplatelet Therapy
#7 Coronary Artery Disease (CAD): Beta-Blocker Therapy – Prior Myocardial Infarction (MI)
or Left Ventricular Systolic Dysfunction (LVEF < 40%)
#128 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
#130 Documentation of Current Medications in the Medical Record
#226 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
#242 Coronary Artery Disease (CAD): Symptom Management
Register now with MDinteractive, report on all applicable measures described above for a minimum of 20 unique patients (11 of which must be Part B Fee-For-Service patients) and avoid the 4% penalty.
An answer of "Not Done" on all patients on one measure will result in a performance rate of 0% and the provider will get a PQRS penalty.
Each provider needs to sign a PQRS consent at http://mdinteractive.com/webpen