Hepatitis C

This measures group is to be reported for re patients aged 18 year and older with a specific diagnosis of chronic hepatitis C accompanied by a specific patient encounter:


One of the following diagnosis codes indicating chronic hepatitis C:

ICD-9-CM [for use 1/1/2015 – 9/30/2015]:  070.54

ICD-10-CM [for use 10/1/2015 - 12/31/2015]:  B18.2

Accompanied by:

One of the following patient encounter codes:

99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349,99350, 99406, 9940

Measure #87 only needs to be reported if initiation of antiviral treatment took place before October of the measurement year (12 weeks before the end of the measurement period).

Measure #401 only needs to be reported when the patient also has the following diagnosis code indicating cirrhosis:

ICD-9-CM [for use 1/1/2015 – 9/30/2015]:  571.2, 571.5

ICD-10-CM [for use 10/1/2015 - 12/31/2015]: K70.30, K70.31, K74.60, K74.69

 

2015 PQRS MEASURES IN HEPATITIS C MEASURES GROUP:
#84 Hepatitis C: Ribonucleic Acid (RNA) Testing Before Initiating Treatment
#85 Hepatitis C: HCV Genotype Testing Prior to Treatment
#87 Hepatitis C: Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Testing Between 4-12 Weeks After Initiation of Treatment
#130 Documentation of Current Medications in the Medical Record
#183 Hepatitis C: Hepatitis A Vaccination
#226 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
#390 Discussion and Shared Decision Making Surrounding Treatment Options
#401 Screening for Hepatocellular Carcinoma (HCC) in Patients with Hepatitis C Cirrhosis
 

Download PQRS Hepatitis C Measures Group Form: pdf.png  doc.png

Measure Group Description: pdf.png(from CMS)

Measure Group Flow: pdf.png(from CMS)
 

2016 Hepatitis C

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 NOT get the PQRS incentive.

Each provider needs to sign a PQRS consent at http://mdinteractive.com/webpen

Register with MDinteractive