Coronary Artery Disease (CAD)

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-9-CM [for use 1/1/2015– 9/30/2015]: 410.00, 410.01, 410.02, 410.10, 410.11,410.12, 410.20, 410.21, 410.22, 410.30, 410.31, 410.32, 410.40, 410.41, 410.42, 410.50,410.51, 410.52, 410.60, 410.61, 410.62, 410.70, 410.71, 410.72, 410.80, 410.81, 410.82,410.90, 410.91, 410.92, 411.0, 411.1, 411.81, 411.89, 412, 413.0, 413.1, 413.9, 414.00, 414.01, 414.02, 414.03, 414.04, 414.05, 414.06, 414.07, 414.2, 414.3, 414.8, 414.9,V45.81, V45.82

ICD-10-CM [for use 10/1/2015 - 12/31/2015]: 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

Accompanied by:

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
 

Download PQRS Coronary Artery Disease (CAD) Measures Group Form: PQRS Coronary Artery Disease (CAD) Measures Group Form  PQRS Coronary Artery Disease (CAD) Measures Group Form

Measure Group Description: Measure Group Description(from CMS)

Measure Group Flow: Measure Group Flow(from CMS)
 

2016 Coronary Artery Disease (CAD

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