2012 Physician Quality Reporting Measures Groups Specifications Manual Release Notes 11/10/2011
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1 2012 Physician Quality Reporting Measures Groups Specifications Manual Release Notes 11/10/2011 CPT only copyright 2011 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 2012 Physician Quality Reporting System (Physician Quality Reporting) Measures Groups Specifications Manual Release Notes CMS is pleased to announce the release of the 2012 Physician Quality Reporting System ( Physician Quality Reporting ) Measures Groups Specifications Manual Release Notes. The list below details the list of changes made since the release of the 2011 Physician Quality Reporting Measures Groups Specifications Manual. Global Changes: Updated dates included in Introduction Updated to remove references to the 6 month reporting period for 50% Patient Sample Method via Claims Updated the amount an eligible professional can earn if incentive eligible from 1.0% to 0.5% of their total estimated allowed charges for Medicare Part B PFS covered professional services furnished during the program year Added to Introduction and Overview pages information about 0% performance rate requirements. Table of Contents: Updated Page Numbers and Measure Titles Added the Chronic Obstructive Pulmonary Disease (COPD) Measures Group Added the Inflammatory Bowel Disease (IBD) Measures Group Added the Sleep Apnea Measures Group Added the Dementia Measures Group Added the Hypertension Measures Group Added the Cardiovascular Prevention Measures Group Added the Parkinson s Disease Measures Group Added the Cataracts Measures Group Diabetes Mellitus Measures Group: Measure #117: Added Definition for Automated Report RETIRED Measure #153 - effective January 1, 2012 Chronic Kidney Disease (CKD) Measures Group: ADDED Measure #110 Measure #110: Updated Description and Instructions Added to Common Denominator Coding: CPT codes 99304, 99305, 99306, 99307, 99308, 99309, 99310, 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, Measure #121, #122, #123: Updated Title, Description, and Numerator Statement Measure #121: Replaced CPT II 3278F, 3278F-1P, 3278F-2P, 3278F-8P with G8725, G8726, and G8728 Measure #121: Added Definition for Renal Replacement Therapy (RRT) Measure #122: Updated Description Measure #122: Added Definition of Proteinuria Measure #122: Added to Denominator Criteria Proteinuria code Measure #122: Added Definition of Plan of Care Measure #123: Updated Numerator Instructions Measure #123: Removed Definitions and added Definition for Renal Replacement Therapy (RRT) Measure #123: Deleted from Numerator Coding, CPT codes 0514F, 0514F-8P, 3279F, 3280F, 3281F, 3281F-8P Measure #123: Added to Numerator Coding, G-codes G0908, G0909, and G0910 Page 2 of 5
3 Preventive Care Measures Group: Measure #110: Updated Title, Description, Numerator Statement, Numerator Note Measure #110: Added Definition of Previous Receipt Measure #110: Updated Description of G-code G8482 Measure #110: Added to Numerator Coding, G-code G0919 Measure #110: Updated description and Instructions Measure #128: Updated Definitions of BMI, Elderly BMI, Calculated BMI, Follow-Up Plan, and Not Eligible/Not Appropriate for BMI Measurement Measure #128: Updated Numerator Descriptions Coronary Artery Bypass Graft (CABG) Measures Group: Measure #44: Updated Measure Owner to Quality Insights of Pennsylvania Measure #164: Updated Title Measure #165: Updated Description and Numerator Statement Measure #166: Updated Title, Description, Numerator and Numerator Descriptors Measure #166: Removed Denominator Criteria of No Prior History of CVA Measure #167: Updated Title, Description, Numerator and Numerator Descriptors Measure #168: Updated Description, Numerator and Numerator Descriptors Measure #169: Updated Description and Numerator Descriptors Measure #170: Updated Numerator Descriptors Measure #171: Updated Title, Description, Numerator and Numerator Descriptors Rheumatoid Arthritis (RA) Measures Group: Perioperative Care Measures Group: Back Pain Measures Group: Hepatitis C Measures Group: Measure #86 and 87: Updated Description and Numerator Statement Measure #86: Updated Definition of Prescribed Measure #87: Updated Definition for 12 Weeks from Initiation RETIRED Measure #199 - effective January 1, 2012 Heart Failure (HF) Measures Group: Measure #5 and #8: Updated Description and Numerator Statement, added Numerator Note Measure #5: Replaced CPT II codes 4009F, 4009F-1P, 4009F-2P,4009F-3P, 4009F-8P with 4010F, 4010F-1P, 4010F-2P, 4010F-3P, 4010F-8P Measure #8: Added Definition for Beta-blocker Therapy Measure #8: Updated Numerator Instructions Measure #198: Updated Title, Description, and Numerator Statement Measure #198: Added Definition for Qualitative Results Measure #198: Replaced Numerator Coding CPT II 3020F and 3020F-8P with G8738, G8739, and G8740 Page 3 of 5
4 Coronary Artery Disease (CAD) Measures Group: Added to Common Denominator Coding: ICD-9-CM codes 414.2, 414.3, Measure #6: Updated Title, Description, Numerator Statement Measure #6: Deleted Numerator Instructions Measure #6: Updated Definition of Prescribed Measure #6: Replaced CPT II codes 4011F, 4011F-1P, 4011F-2P, 4011F-3P, 4011F-8P with 4086F, 4086F-1P, 4086F-2P, 4086F-3P, 4086F-8P Measure #6: Added examples for CPT II modifier use Measure #196: Updated Description and Numerator Statement Measure #196: Added Instructions and Definition for Canadian Cardiovascular Society (CCS) Angina Classification Measure #196: Added to Numerator Coding, CPT II codes 1011F, 1012F Measure #196: Replaced CPT II Codes 1002F, 1002F-8P with 1010F, 1010F-8P Measure #197: Updated Title, Description, and Numerator Statement Measure #197: Added Numerator Definition for Documented Plan of Care Measure #197: Updated Definition of Prescribed Measure #197: Added Numerator Instructions Measure #197: Added to Numerator Coding, CPT II codes 4013F, 4013F-1P,4013F-2P,4013F-3P,4013F- 8P,0556F,0556F-8P Measure #197: Added to Numerator coding, G8736 and G8737 Measure #197: Deleted from Numerator Coding, CPT II code 4002F Ischemic Vascular Disease (IVD) Measures Group: RETIRED Measures #202 and #203 - effective January 1, 2012 Added Measure #M146: Ischemic Vascular Disease (IVD): Complete Lipid Panel and Low Density Lipoprotein (LDL- C) Control Deleted from Common Denominator: ICD-9-CM Codes Added to Common Denominator: ICD-9-CM Codes 414.2, , HIV/AIDS Measures Group: Measure #161: Updated definition of Potent Antiretroviral Therapy Measure #162: Updated definition of Potent Antiretroviral Therapy Community-Acquired Pneumonia (CAP) Measures Group: Measures #56, #57, #58, #59: Updated title to include Emergency Medicine Asthma Measures Group: Added to Common Denominator Coding: CPT codes 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, Measure #53: Updated Title, Description, and Numerator Statement Measure #53: Added Definition for Long-term Control Medication Measure #53: Updated Definition for Prescribed Measure #53: Replaced CPT II 4015F with 4140F Page 4 of 5
5 Measure #64: Updated Title, Description, Numerator Statement, Numerator Instructions Measure #64: Added Definition for Evaluation of Asthma Control Measure #64: Replaced CPT II codes 1005F and 1005F-8P with 2015F and 2015F-8P Measure #64: Added to Numerator coding, CPT II codes 2016F and 2016F-8P Measure #231 and #232: Updated Description, Numerator Statement and Numerator Note Measure #231: Replaced G-codes G8686, G8687 and G8689 with CPT II codes 1031F and 1031F-8P Measure #232: Added Definition of Tobacco Users Measure #232: Replaced G-codes G8690, G8691 with CPT II codes 1032F, 1033F Measure #232: Replaced G-code G8693 with G8751 Page 5 of 5
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