Patient sample criteria for the HIV/AIDS Measures Group are patients aged 13 years and older with a specific diagnosis of HIV/AIDS accompanied by a specific patient encounter:

One of the following diagnosis codes indicating HIV/AIDS:

ICD-10-CM: B20, Z21

Accompanied by:

One of the following patient encounter codes: 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, G0402 


PQRS Group Measures:

#47 Care Plan
#134 Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan
#160 HIV/AIDS: Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis
#205 HIV/AIDS: Sexually Transmitted Disease Screening for Chlamydia, Gonorrhea, and Syphilis
#226 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
#338 HIV Viral Load Suppression
#339 Prescription of HIV Antiretroviral Therapy
#340 HIV Medical Visit Frequency

Download PQRS HIV/AIDS Measures Group Form: PQRS HIV/AIDS Measures Group Form 2016 HIV/AIDS

Measure Group Description Measure Group Description(from CMS)

Measure Group Flow Measure Group Flow(from CMS)

 2016 HIV/AIDS

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

Register with MDinteractive