2013 Physician Quality Reporting System (PQRS) Measures Groups Specifications Manual Release Notes
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1 2013 Physician Quality Reporting System (PQRS) Measures Groups Specifications Manual Release Notes 03/04/2013 CPT only copyright 2012 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association. Applicable FARS/DFARS Apply to Government Use. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
2 2013 Physician Quality Reporting System (PQRS) Measures Groups Specifications Manual Release Notes CMS is pleased to announce the release of the 2013 Physician Quality Reporting System (PQRS) Measures Groups Specifications Manual Release Notes. The list below details the list of changes made since the release of the 2012 Physician Quality Reporting Measures Groups Specifications Manual. Version of the Release Notes corresponds to version 6.1 of the posted 2013 PQRS Measures Groups Specifications Manual. Global Changes: Added Statement Regarding the Use of ICD-10-CM Codes Updated Patient Sample Method; 30 Patient Sample Changed to 20 Patient Sample Deleted Sample Methods of 50% and 80% Updated Instructions for Reporting Added Statement Regarding Incentive Payment and Payment Adjustment Language for Applicable G-codes Changed from reason not specified to reason not given Added NQF Numbers to Applicable Measure Specifications Corrected Measures Groups Specification Manual Version 7.0 to Version 6.1 (Version 6.1) Diabetes Mellitus Measures Group: Measure #1: Updated Title Measure #2: Updated Title Measure #2: Deleted Note Measure #3: Updated Title Measure #3: Replaced Numerator Coding, CPTII Codes 3074F, 3075F, 3077F, 3078F, 3079F, and 3080F with G-Codes G8919, G8920, G8921, G8922 Measure #117: Updated Title Measure #119: Updated Title Measure #163: Updated Numerator Statement Chronic Kidney Disease (CKD) Measures Group: Deleted from Common Denominator Coding, ICD-9-CM Code Measure #110: Updated Description, Numerator Statement, Numerator Instructions, and Numerator Definition Measure #110: Added Numerator Option Examples to G-code G8483 Measure #123: Updated Description, Numerator Instructions, and Preventive Care Measures Group: Measure #39: Updated Measure #110: Updated Description, Numerator Statement, Numerator Instructions, and Numerator Definition Measure #110: Added Numerator Option Examples to G-code G8483 Version /04/2013 Page 2 of 7
3 Measure #111: Updated Title and Measure #112: Updated Title Measure #113: Added Numerator Note Measure #128: Updated Description, Numerator Statement, Numerator Definitions, Numerator Note, and Measure #128: Deleted Numerator Definition, Elderly BMI Measure #128: Added to Numerator Coding, G-code G8938 Measure #173: Updated Measure #226: Updated Numerator Definition and Coronary Artery Bypass Graft (CABG) Measures Group: Measure #43: Updated Description, Numerator Statement, and Measure #44: Updated Description and Numerator Statement Measure #44: Added Numerator Definition Measure #165: Update Description and Numerator Statement Measure #167: Updated Numerator Statement Measure #168: Updated Rheumatoid Arthritis (RA) Measures Group: Measure #108: Deleted Numerator Definition, Biologic DMARD Therapy Measure #108: Added to Numerator, DMARD Table Perioperative Care Measures Group: Deleted Common Denominator Coding; CPT codes 19272, 19301, 19302, 19303, 19304, and Update Version Common Denominator Coding; CPT code not Deleted from the Denominator, Added Common Denominator Coding; CPT codes 0236T, 15734, 15830, 15832, 15833, 15834, 15835, 15836, 15837, 19300, 19316, 19318, 19324, 19380, 21627, 21632, 21740, 21750, 21805, 21825, 27080, 27158, 27202, 27215, 27216, 27217, 27218, 27280, 27282, 27880, 27881, 27882, 27884, 27886, 27888, 31760, 31766, 31770, 31775, 31786, 31805, 32096, 32097, 32098, 32100, 32110, 32120, 32124, 32140, 32141, 32150, 32215, 32220, 32225, 32310, 32320, 32440, 32442, 32445, 32480, 32482, 32484, 32486, 32488, 32491, 32505, 32506, 32507, 32800, 32810, 32815, 32900, 32905, 32906, 32940, 33020, 33025, 33030, 33031, 33050, 33300, 33310, 33320, 33877, 33880, 33881, 33883, 33886, 33889, 33891, 34051, 34800, 34802, 34803, 34804, 34805, 34812, 34820, 34825, 34830, 34831, 34832, 34833, 34834, 34900, 35011, 35013, 35021, 35081, 35082, 35091, 35092, 35102, 35103, 35131, 35141, 35142, 35151, 35152, 35206, 35216, 35246, 35266, 35271, 35276, 35301, 35311, 35363, 35371, 35372, 35460, 35512, 35521, 35522, 35523, 35525, 35526, 35533, 35537, 35538, 35539, 35540, 35556, 35558, 35565, 35566, 35570, 35571, 35572, 35583, 35585, 35587, 35601, 35606, 35612, 35616, 35621, 35623, 35626, 35631, 35632, 35633, 35634, 35636, 35637, 35638, 35642, 35645, 35646, 35647, 35650, 35651, 35654, 35656, 35661, 35663, 35665, 35666, 35671, 36830, 37224, 37225, 37226, 37227, 37228, 37229, 37230, 37231, 37235, 37616, 37617, 38100, 38101, 38115, 38120, 38381, 38571, 38572, 38700, 38720, 38724, 38740, 38745, 38746, 38747, 38760, 38765, 38770, 38780, 39000, 39010, 39200, 39220, 43020, 43030, 43279, 43280, 43281, 43282, 43314, 43635, 43644, 43645, 43651, 43652, 43842, 43880, 44140, 44141, 44143, 44144, 44145, 44146, 44147, 44150, 44151, 44155, 44156, 44157, 44158, 44160, 44180, 44186, 44187, 44188, 44202, 44204, 44205, 44206, 44207, 44208, 44210, 44211, 44212, 44227, 44300, 44310, 44312, 44314, 44316, 44320, 44322, 44340, 44345, 44346, 44602, 44603, 44604, 44605, 44615, 44620, 44625, 44626, 44640, 44650, 44660, 44661, 44680, 44700, 45000, 45020, 45110, 45111, 45112, 45113, 45114, 45116, 45119, 45120, 45121, 45123, 45126, 45130, Version /04/2013 Page 3 of 7
4 45135, 45136, 45150, 45160, 45171, 45172, 45395, 45397, 45400, 45402, 45540, 45541, 45550, 45560, 45562, 45563, 45800, 45805, 45820, 45825, 47100, 47120, 47122, 47125, 47130, 47140, 47141, 47142, 47350, 47400, 47562, 47563, 47564, 47801, 48000, 48001, 48102, 48105, 48160, 49000, 49002, 49010, 49020, 49021, 49040, 49041, 49060, 49203, 49204, 49205, 49220, 49250, 49320, 49321, 49322, 49323, 49505, 49507, 49568, 57267, 58150, 58152, 58180, 58200, 58210, 58240, 58260, 58262, 58263, 58267, 58270, 58275, 58280, 58285, 58290, 58291, 58292, 58293, 58294, 58951, 58953, 58954, 58956, 61312, 61315, and Update Version Deleted Common Denominator Coding; CPT codes 27215, 27216, 27217, 27218, 35651, 42020, 42030, and Added Common Denominator Coding; CPT codes and (Version 6.1) Measure #20: Updated Title and Measure #22: Updated Title and Measure #23: Updated Description Back Pain Measures Group: Hepatitis C Measures Group: Measure #85: Updated Numerator Statement Measure #86: Added Numerator Note Heart Failure (HF) Measures Group: Added Statement Specific to Measures #5 and #8 Measure #5: Updated Numerator Note and Numerator Definitions Measure #8: Updated Numerator Note, Numerator Definitions, and Measure #8: Added to Numerator Coding, G-code G8923 Measure #198: Updated Description and Numerator Statement Measure #226: Updated Numerator Definition and Coronary Artery Disease (CAD) Measures Group: Added Statement Specific to Measure #242 Measure #196: Retired Measure #197: Updated Numerator Instructions Measure #197: Added to Numerator Coding, G-code G8943 Measure #226: Updated Numerator Definition and Measure #242: New Measure to CAD Measures Group Ischemic Vascular Disease (IVD) Measures Group: Deleted Surgical Procedure Codes 92980, 92982, and Added Surgical Procedure Codes 92920, 92924, 92928, 92933, 92937, 92941, and Updated Reporting Instructions Added Statement Specific to Measure #201 Measure #201: Updated Title and Description Version /04/2013 Page 4 of 7
5 Measure #201: Updated Age Criteria Measure #204: Updated Description Measure #226: Updated Numerator Definition and HIV/AIDS Measures Group: Deleted from Common Denominator Coding, ICD-9-CM code Added Statement Specific to Measures #160, #161, and #162 Measure #160: Added Numerator Note Measure #161: Updated Description, and Numerator Definition Measure #161: Added Numerator Note Measure #162: Added Numerator Note Measure #206: Retired Measure #207: Retired Community-Acquired Pneumonia (CAP) Measures Group: RETIRED Asthma Measures Group: Added to Common Denominator Coding, ICD-9-CM codes , , , and Measure #53: Updated Title, Numerator Definitions, and Measure #53: Added Numerator Options Instructions Measure #64: Updated Title, Numerator Statement, and Numerator Option Instructions Measure #232: Updated Numerator Options Instructions Chronic Obstructive Pulmonary Disease (COPD) Measures Group: Added to Common Denominator Coding, ICD-9-CM codes , , and Measure #52: Updated Description, and Measure #52: Changed FEV1/FVC from < 70% to < 60% Measure #52: Replaced Numerator Coding, CPT II codes 3027F, and 3025F with G-codes G8924, G8925, and G8926 Measure #110: Updated Description, Numerator Statement, Numerator Instructions, and Numerator Definition Measure #110: Added Numerator Option Examples to G-code G8483 Measure #111: Updated Title and Measure #226: Updated Numerator Definition and Inflammatory Bowel Disease (IBD) Measures Group: Deleted Encounter Codes; 99401, 99402, 99403, (version 6.1.1) Measure #226: Updated Numerator Definition and Measure #270: Updated Measure #270: Added to Numerator Coding, CPT II code 4142F with 2P Version /04/2013 Page 5 of 7
6 Sleep Apnea Measures Group: Dementia Measures Group: Measures Group Available for Additional Reporting Method, Claims Measures Specifications Updated to Claims/Registry Format Added to Common Denominator Coding, ICD-9-CM codes , and Deleted Encounter Codes; 90801, 90802, 90804, 90805, 90806, 90807, 90808, 90809, 90810, 90811, 90812, 90813, 90814, 90815, 90816, 90817, 90818, 90819, 90821, 90822, 90823, 90824, 90826, 90827, 90828, 90829, Deleted Encounter Code (version 6.1) Added Encounter Codes; 90791, 90792, 90832, 90834, Measure #281: Updated Measure #281: Added to Numerator Coding, CPT II 1494F with 2P Measure #282: Updated Measure #284: Added to Numerator Coding, G-codes G8947, and G8948 Measure #286: Updated Parkinson s Disease Measures Group: Measure #289: Updated Description Hypertension (HTN) Measures Group: Moved Common Denominator Coding for Hypertension, ICD-9-CM Codes , , , , , , ,404.92, and , to the Stage 5 Chronic Kidney Disease section Updated Common Denominator Age Criteria Updated Instructions Measure #295: Updated Title, Description, Numerator Statement, Numerator Instructions, Numerator Definition, and Measure #296: Updated Description, Numerator Statement, Numerator Definitions, Numerator Note, and Measure #296: Added Numerator Instructions Measure #297: Updated Description, Numerator Instructions, Numerator Definitions, and Numerator Options Measure #298: Updated Description, Numerator Instructions, Numerator Definitions, and Numerator Options Measure #299: Updated Description, Numerator Instructions, Numerator Definitions, and Numerator Options Measure #300: Updated Description, Numerator Instructions, Numerator Definitions, and Numerator Options Measure #301: Updated Description, Numerator Statement, Numerator Instructions, Numerator Definitions, Numerator Note, and Measure #302: Updated Description, Numerator Instructions, Numerator Definitions, and Numerator Options Measure #302: Added to Numerator Coding, G-code G8949 Version /04/2013 Page 6 of 7
7 Cardiovascular Prevention Measures Group: Added to Common Denominator Coding, ICD-9-CM codes and Added Encounter Code To clarify, the * placement should be an Asterisk to DM only* in Diagnosis column DM Diagnosis Requires Reporting on Patients Aged Years Only (version 6.1.1) Measure #2: Updated Title Measure #2: Deleted Numerator Note Measure #204: Updated Description Measure #226: Updated Numerator Definition, and Measure #241: Added Numerator Options Instructions Measure #317: Updated Title, Description, Numerator Statement, Numerator Note, Numerator Definitions, and Measure #317: Added to Numerator Coding, G-codes G8950, G8951, and G8952 Cataracts Measures Group: Added Additional Reporting Instructions to Overview Statement Measures #191 and #192: Added to Comorbid Conditions Coding, ICD-10-CM Measure #191: Updated Comorbid Condition Title Karatitis to Central Corneal Ulcer ; High Myopia to Pathologic Myopia ; and Retinopathy of Prematurity to Other Proliferative Retinopathy Measure #192: Updated Comorbid Condition Title Karatitis to Central Corneal Ulcer Measures #303 and #304: Updated Title, and Description Note Measures #303 and #304: Added Statement Regarding Survey Responsibility Oncology Measures Group: NEW MEASURES GROUP Version /04/2013 Page 7 of 7
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