What is MIPS or PQRS Measure?
The Physician Quality Reporting System (PQRS) was a reporting program of the Centers for Medicare and Medicaid Services (CMS). It gave eligible professionals (EPs) the opportunity to assess the quality of care they were providing to their patients, helping to ensure that patients get the right care at the right time. Now it is called as Merit-based Incentive Payment System (MIPS) Quality Measures. Today we will learn about coding Measures (Measure 024,Communication with the Physician or Other Clinician Managing On-Going Care Post-Fracture for Men and Women Aged 50 Years and Older).
The Merit-based Incentive Payment System (MIPS) track of Medicare’s Quality Payment Program (QPP) includes four performance categories: quality, cost, improvement activities, and promoting interoperability (PI). The quality performance category requires clinicians to report on six measures, including at least one outcome measure. Since most family physicians will participate in MIPS and therefore are required to report quality measures, it is important they select measures appropriate for their practice needs and capabilities.
Measure specifications are detailed descriptions and instructions for each measure, and include definitions of the action/outcome required (numerator), population being measured (denominator), exceptions/exclusions to the measure, measure codes, and other details needed to correctly collect data and report the measure. Their are different Measures like Measure 024, 014, 021, 145, 146, 225 etc, which has to be coded only to specific CPT codes. We will learn specifically for each measure in detail.
Remember: These Measures are should be reported only with the Medicare Payer Encounters.
MIPS/PQRS Measure #024 Description
Percentage of patients aged 50 years and older treated for a fracture with documentation of communication, between the physician treating the fracture and the physician or other clinician managing the patient’s on-going care, that a fracture occurred and that the patient was or should be considered for osteoporosis treatment or testing. This measure is reported by the physician who treats the fracture and who therefore is held accountable for the communication.
This measure is to be submitted after each occurrence of a fracture during the performance period. It is anticipated that eligible clinicians who treat the fracture will submit this measure. Each occurrence of a fracture is identified by either an ICD-10-CM diagnosis code for fracture or osteoporosis and a CPT service code OR an ICD-10-CM diagnosis code for fracture or osteoporosis and a CPT procedure code for surgical treatment of a fracture.
NOTE: Patients with a fracture should have documentation in the medical record of communication from the clinician treating the fracture to the clinician managing the patient’s on-going care that the fracture occurred and that the patient was or should be tested or treated for osteoporosis. If multiple fractures occurring on the same date of service are submitted on the same claim form, only one instance of submission will be counted. Claims data will be analyzed to determine unique occurrences. Documentation must indicate that communication to the eligible clinician managing the on-going care of the patient occurred within three months of treatment for the fracture. The CPT Category II code should be submitted during the episode of care (e.g., treatment of the fracture). The submission of the code and documentation of communication do not need to occur simultaneously.
Eligible Criteria for Measure 024:
Option 1
Patients aged ≥ 50 years on date of encounter
ICD 10 Diagnosis for a fracture, except fractures of the finger, toe, face or skull:
M48.40XA, M48.41XA, M48.42XA, M48.43XA, M48.44XA, M48.45XA, M48.46XA, M48.47XA, M48.48XA, M84.311A, M84.312A, M84.319A, M84.321A, M84.322A, M84.329A, M84.331A, M84.332A, M84.333A, M84.334A, M84.339A, M84.341A, M84.342A, M84.343A, M84.350A, M84.351A, M84.352A, M84.353A, M84.359A, M84.361A, M84.362A, M84.363A, M84.364A, M84.369A, M84.371A, M84.372A, M84.373A, M84.374A, M84.375A, M84.376A, M84.38XA, M84.750A, M84.751A, M84.752A, M84.753A, M84.754A, M84.755A, M84.756A, M84.757A, M84.759A, S12.000A, S12.000B, S12.001A, S12.001B, S12.01XA, S12.01XB, S12.02XA, S12.02XB, S12.030A, S12.030B, S12.031A, S12.031B, S12.040A, S12.040B, S12.041A, S12.041B, S12.090A, S12.090B, S12.091A, S12.091B, S12.100A, S12.100B, S12.101A, S12.101B, S12.110A, S12.110B, S12.111A, S12.111B, S12.112A, S12.112B, S12.120A, S12.120B, S12.121A, S12.121B, S12.130A, S12.130B, S12.131A, S12.131B, S12.14XA, S12.14XB, S12.150A, S12.150B, S12.151A, S12.151B, S12.190A, S12.190B, S12.191A, S12.191B, S12.200A, S12.200B, S12.201A, S12.201B, S12.230A, S12.230B, S12.231A, S12.231B, S12.24XA, S12.24XB, S12.250A, S12.250B, S12.251A, S12.251B, S12.290A, S12.290B, S12.291A, S12.291B, S12.300A, S12.300B, S12.301A, S12.301B, S12.330A, S12.330B, S12.331A, S12.331B, S12.34XA, S12.34XB, S12.350A, S12.350B, S12.351A, S12.351B, S12.390A, S12.390B, S12.391A, S12.391B, S12.400A, S12.400B, S12.401A, S12.401B, S12.430A, S12.430B, S12.431A, S12.431B, S12.44XA, S12.44XB, S12.450A, S12.450B, S12.451A, S12.451B, S12.490A, S12.490B, S12.491A, S12.491B, S12.500A, S12.500B, S12.501A, S12.501B, S12.530A, S12.530B, S12.531A, S12.531B, S12.54XA, S12.54XB, S12.550A, S12.550B, S12.551A, S12.551B, S12.590A, S12.590B, S12.591A, S12.591B, S12.600A, S12.600B, S12.601A, S12.601B, S12.630A, S12.630B, S12.631A, S12.631B, S12.64XA, S12.64XB, S12.650A, S12.650B, S12.651A, S12.651B, S12.690A, S12.690B, S12.691A, S12.691B, S12.8XXA, S12.9XXA, S22.000A, S22.000B, S22.001A, S22.001B, S22.002A, S22.002B, S22.008A, S22.008B, S22.009A, S22.009B, S22.010A, S22.010B, S22.011A, S22.011B, S22.012A, S22.012B, S22.018A, S22.018B, S22.019A, S22.019B, S22.020A, S22.020B, S22.021A, S22.021B, S22.022A, S22.022B, S22.028A, S22.028B, S22.029A, S22.029B, S22.030A, S22.030B, S22.031A, S22.031B, S22.032A, S22.032B, S22.038A, S22.038B, S22.039A, S22.039B, S22.040A, S22.040B, S22.041A, S22.041B, S22.042A, S22.042B, S22.048A, S22.048B, S22.049A, S22.049B, S22.050A, S22.050B, S22.051A, S22.051B, S22.052A, S22.052B, S22.058A, S22.058B, S22.059A, S22.059B, S22.060A, S22.060B, S22.061A, S22.061B, S22.062A, S22.062B, S22.068A, S22.068B, S22.069A, S22.069B, S22.070A, S22.070B, S22.071A, S22.071B, S22.072A, S22.072B, S22.078A, S22.078B, S22.079A, S22.079B, S22.080A, S22.080B, S22.081A, S22.081B, S22.082A, S22.082B, S22.088A, S22.088B, S22.089A, S22.089B, S22.20XA, S22.20XB, S22.21XA, S22.21XB, S22.22XA, S22.22XB, S22.23XA, S22.23XB, S22.24XA, S22.24XB, S22.31XA, S22.31XB, S22.32XA, S22.32XB, S22.39XA, S22.39XB, S22.41XA, S22.41XB, S22.42XA, S22.42XB, S22.43XA, S22.43XB, S22.49XA, S22.49XB, S22.5XXA, S22.5XXB, S22.9XXA, S22.9XXB, S32.000A, S32.000B, S32.001A, S32.001B, S32.002A, S32.002B, S32.008A, S32.008B, S32.009A, S32.009B, S32.010A, S32.010B, S32.011A, S32.011B, S32.012A, S32.012B, S32.018A, S32.018B, S32.019A, S32.019B, S32.020A, S32.020B, S32.021A, S32.021B, S32.022A, S32.022B, S32.028A, S32.028B, S32.029A, S32.029B, S32.030A, S32.030B, S32.031A, S32.031B, S32.032A, S32.032B, S32.038A, S32.038B, S32.039A, S32.039B, 32.040A, S32.040B, S32.041A, S32.041B, S32.042A, S32.042B, S32.048A, S32.048B, S32.049A, S32.049B, S32.050A, S32.050B, S32.051A, S32.051B, S32.052A, S32.052B, S32.058A, S32.058B, S32.059A, S32.059B, S32.10XA, S32.10XB, S32.110A, S32.110B, S32.111A, S32.111B, S32.112A, S32.112B, S32.119A, S32.119B, S32.120A, S32.120B, S32.121A, S32.121B, S32.122A, S32.122B, S32.129A, S32.129B, S32.130A, S32.130B, S32.131A, S32.131B, S32.132A, S32.132B, S32.139A, S32.139B, S32.14XA, S32.14XB, S32.15XA, S32.15XB, S32.16XA, S32.16XB, S32.17XA, S32.17XB, S32.19XA, S32.19XB, S32.2XXA, S32.2XXB, S32.301A, S32.301B, S32.302A, S32.302B, S32.309A, S32.309B, S32.311A, S32.311B, S32.312A, S32.312B, S32.313A, S32.313B, S32.314A, S32.314B, S32.315A, S32.315B, S32.316A, S32.316B, S32.391A, S32.391B, S32.392A, S32.392B, S32.399A, S32.399B, S32.401A, S32.401B, S32.402A, S32.402B, S32.409A, S32.409B, S32.411A, S32.411B, S32.412A, S32.412B, S32.413A, S32.413B, S32.414A, S32.414B, S32.415A, S32.415B, S32.416A, S32.416B, S32.421A, S32.421B, S32.422A, S32.422B, S32.423A, S32.423B, S32.424A, S32.424B, S32.425A, S32.425B, S32.426A, S32.426B, S32.431A, S32.431B, S32.432A, S32.432B, S32.433A, S32.433B, S32.434A, S32.434B, S32.435A, S32.435B, S32.436A, S32.436B, S32.441A, S32.441B, S32.442A, S32.442B, S32.443A, S32.443B, S32.444A, S32.444B, S32.445A, S32.445B, S32.446A, S32.446B, S32.451A, S32.451B, S32.452A, S32.452B, S32.453A, S32.453B, S32.454A, S32.454B, S32.455A, S32.455B, S32.456A, S32.456B, S32.461A, S32.461B, S32.462A, S32.462B, S32.463A, S32.463B, S32.464A, S32.464B, S32.465A, S32.465B, S32.466A, S32.466B, S32.471A, S32.471B, S32.472A, S32.472B, S32.473A, S32.473B, S32.474A, S32.474B, S32.475A, S32.475B, S32.476A, S32.476B, S32.481A, S32.481B, S32.482A, S32.482B, S32.483A, S32.483B, S32.484A, S32.484B, S32.485A, S32.485B, S32.486A, S32.486B, S32.491A, S32.491B, S32.492A, S32.492B, S32.499A, S32.499B, S32.501A, S32.501B, S32.502A, S32.502B, S32.509A, S32.509B, S32.511A, S32.511B, S32.512A, S32.512B, S32.519A, S32.519B, S32.591A, S32.591B, S32.592A, S32.592B, S32.599A, S32.599B, S32.601A, S32.601B, S32.602A, S32.602B, S32.609A, S32.609B, S32.611A, S32.611B, S32.612A, S32.612B, S32.613A, S32.613B, S32.614A, S32.614B, S32.615A, S32.615B, S32.616A, S32.616B, S32.691A, S32.691B, S32.692A, S32.692B, S32.699A, S32.699B, S32.810A, S32.810B, S32.811A, S32.811B, S32.82XA, S32.82XB, S32.89XA, S32.89XB, S32.9XXA, S32.9XXB, S42.001A, S42.001B, S42.002A, S42.002B, S42.009A, S42.009B, S42.011A, S42.011B, S42.012A, S42.012B, S42.013A, S42.013B, S42.014A, S42.014B, S42.015A, S42.015B, S42.016A, S42.016B, S42.017A, S42.017B, S42.018A, S42.018B, S42.019A, S42.019B, S42.021A, S42.021B, S42.022A, S42.022B, S42.023A, S42.023B, S42.024A, S42.024B, S42.025A, S42.025B, S42.026A, S42.026B, S42.031A, S42.031B, S42.032A, S42.032B, S42.033A, S42.033B, S42.034A, S42.034B, S42.035A, S42.035B, S42.036A, S42.036B, S42.101A, S42.101B, S42.102A, S42.102B, S42.109A, S42.109B, S42.111A, S42.111B, S42.112A, S42.112B, S42.113A, S42.113B, S42.114A, S42.114B, S42.115A, S42.115B, S42.116A, S42.116B, S42.121A, S42.121B, S42.122A, S42.122B, S42.123A, S42.123B, S42.124A, S42.124B, S42.125A, S42.125B, S42.126A, S42.126B, S42.131A, S42.131B, S42.132A, S42.132B, S42.133A, S42.133B, S42.134A, S42.134B, S42.135A, S42.135B, S42.136A, S42.136B, S42.141A, S42.141B, S42.142A, S42.142B, S42.143A, S42.143B, S42.144A, S42.144B, S42.145A, S42.145B, S42.146A, S42.146B, S42.151A, S42.151B, S42.152A, S42.152B, S42.153A, S42.153B, S42.154A, S42.154B, S42.155A, S42.155B, S42.156A, S42.156B, S42.191A, S42.191B, S42.192A, S42.192B, S42.199A, S42.199B, S42.201A, S42.201B, S42.202A, S42.202B, S42.209A, S42.209B, S42.211A, S42.211B, S42.212A, S42.212B, S42.213A, S42.213B, S42.214A, S42.214B, S42.215A, S42.215B, S42.216A, S42.216B, S42.221A, S42.221B, S42.222A, S42.222B, S42.223A, S42.223B, S42.224A, S42.224B, S42.225A, S42.225B, S42.226A, S42.226B, S42.231A, S42.231B, S42.232A, S42.232B, S42.239A, S42.239B, S42.241A, S42.241B, S42.242A, S42.242B, S42.249A, S42.249B, S42.251A, S42.251B, S42.252A, S42.252B, S42.253A, S42.253B, S42.254A, S42.254B, S42.255A, S42.255B, S42.256A, S42.256B, S42.261A, S42.261B, S42.262A, S42.262B, S42.263A, S42.263B, S42.264A, S42.264B, S42.265A, S42.265B, S42.266A, S42.266B, S42.271A, S42.272A, S42.279A, S42.291A, S42.291B, S42.292A, S42.292B, S42.293A, S42.293B, S42.294A, S42.294B, S42.295A, S42.295B, S42.296A, S42.296B, S42.301A, S42.301B, S42.302A, S42.302B, S42.309A, S42.309B, S42.311A, S42.312A, S42.319A, S42.321A, S42.321B, S42.322A, S42.322B, S42.323A, S42.323B, S42.324A, S42.324B, S42.325A, S42.325B, S42.326A, S42.326B, S42.331A, S42.331B, S42.332A, S42.332B, S42.333A, S42.333B, S42.334A, S42.334B, S42.335A, S42.335B, S42.336A, S42.336B, S42.341A, S42.341B, S42.342A, S42.342B, S42.343A, S42.343B, S42.344A, S42.344B, S42.345A, S42.345B, S42.346A, S42.346B, S42.351A, S42.351B, S42.352A, S42.352B, S42.353A, S42.353B, S42.354A, S42.354B, S42.355A, S42.355B, S42.356A, S42.356B, S42.361A, S42.361B, S42.362A, S42.362B, S42.363A, S42.363B, S42.364A, S42.364B, S42.365A, S42.365B, S42.366A, S42.366B, S42.391A, S42.391B, S42.392A, S42.392B, S42.399A, S42.399B, S42.401A, S42.401B, S42.402A, S42.402B, S42.409A, S42.409B, S42.411A, S42.411B, S42.412A, S42.412B, S42.413A, S42.413B, S42.414A, S42.414B, S42.415A, S42.415B, S42.416A, S42.416B, S42.421A, S42.421B, S42.422A, S42.422B, S42.423A, S42.423B, S42.424A, S42.424B, S42.425A, S42.425B, S42.426A, S42.426B, S42.431A, S42.431B, S42.432A, S42.432B, S42.433A, S42.433B, S42.434A, S42.434B, S42.435A, S42.435B, S42.436A, S42.436B, S42.441A, S42.441B, S42.442A, S42.442B, S42.443A, S42.443B, S42.444A, S42.444B, S42.445A, S42.445B, S42.446A, S42.446B, S42.447A, S42.447B, S42.448A, S42.448B, S42.449A, S42.449B, S42.451A, S42.451B, S42.452A, S42.452B, S42.453A, S42.453B, S42.454A, S42.454B, S42.455A, S42.455B, S42.456A, S42.456B, S42.461A, S42.461B, S42.462A, S42.462B, S42.463A, S42.463B, S42.464A, S42.464B, S42.465A, S42.465B, S42.466A, S42.466B, S42.471A, S42.471B, S42.472A, S42.472B, S42.473A, S42.473B, S42.474A, S42.474B, S42.475A, S42.475B, S42.476A, S42.476B, S42.481A, S42.482A, S42.489A, S42.491A, S42.491B, S42.492A, S42.492B, S42.493A, S42.493B, S42.494A, S42.494B, S42.495A, S42.495B, S42.496A, S42.496B, S42.90XA, S42.90XB, S42.91XA, S42.91XB, S42.92XA, S42.92XB, S49.001A, S49.002A, S49.009A, S49.011A, S49.012A, S49.019A, S49.021A, S49.022A, S49.029A, S49.031A, S49.032A, S49.039A, S49.041A, S49.042A, S49.049A, S49.091A, S49.092A, S49.099A, 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S99.012A, S99.012B, S99.019A, S99.019B, S99.021A, S99.021B, S99.022A, S99.022B, S99.029A, S99.029B, S99.031A, S99.031B, S99.032A, S99.032B, S99.039A, S99.039B, S99.041A, S99.041B, S99.042A, 99.042B, S99.049A, S99.049B, S99.091A, S99.091B, S99.092A, S99.092B, S99.099A, S99.099B, S99.101A, S99.101B, S99.102A, S99.102B, S99.109A, S99.109B, S99.111A, S99.111B, S99.112A, S99.112B, S99.119A, S99.119B, S99.121A, S99.121B, S99.122A, S99.122B, S99.129A, S99.129B, S99.131A, S99.131B, S99.132A, S99.132B, S99.139A, S99.139B, S99.141A, S99.141B, S99.142A, S99.142B, S99.149A, S99.149B, S99.191A, S99.191B, S99.192A, S99.192B, S99.199A, S99.199B
CPT code covered: 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, G0402
Patients using hospice services any time during the measurement period: G9688
Option 2.
Patients aged ≥ 50 years on the date of encounter
ICD 10 Diagnosis for a fracture, except fractures of the finger, toe, face or skull:
M48.40XA, M48.41XA, M48.42XA, M48.43XA, M48.44XA, M48.45XA, M48.46XA, M48.47XA, M48.48XA, M84.311A, M84.312A, M84.319A, M84.321A, M84.322A, M84.329A, M84.331A, M84.332A, M84.333A, M84.334A, M84.339A, M84.341A, M84.342A, M84.343A, M84.350A, M84.351A, M84.352A, M84.353A, M84.359A, M84.361A, M84.362A, M84.363A, M84.364A, M84.369A, M84.371A, M84.372A, M84.373A, M84.374A, M84.375A, M84.376A, M84.38XA, M84.750A, M84.751A, M84.752A, M84.753A, M84.754A, M84.755A, M84.756A, M84.757A, M84.759A, S12.000A, S12.000B, S12.001A, S12.001B, S12.01XA, S12.01XB, S12.02XA, S12.02XB, S12.030A, S12.030B, S12.031A, S12.031B, S12.040A, S12.040B, S12.041A, S12.041B, S12.090A, S12.090B, S12.091A, S12.091B, S12.100A, S12.100B, S12.101A, S12.101B, S12.110A, S12.110B, S12.111A, S12.111B, S12.112A, S12.112B, S12.120A, S12.120B, S12.121A, S12.121B, S12.130A, S12.130B, S12.131A, S12.131B, S12.14XA, S12.14XB, S12.150A, S12.150B, S12.151A, S12.151B, S12.190A, S12.190B, S12.191A, S12.191B, S12.200A, S12.200B, S12.201A, S12.201B, S12.230A, S12.230B, S12.231A, S12.231B, S12.24XA, S12.24XB, S12.250A, S12.250B, S12.251A, S12.251B, S12.290A, S12.290B, S12.291A, S12.291B, S12.300A, S12.300B, S12.301A, S12.301B, S12.330A, S12.330B, S12.331A, S12.331B, S12.34XA, S12.34XB, S12.350A, S12.350B, S12.351A, S12.351B, S12.390A, S12.390B, S12.391A, S12.391B, S12.400A, S12.400B, S12.401A, S12.401B, S12.430A, S12.430B, S12.431A, S12.431B, S12.44XA, S12.44XB, S12.450A, S12.450B, S12.451A, S12.451B, S12.490A, S12.490B, S12.491A, S12.491B, S12.500A, S12.500B, S12.501A, S12.501B, S12.530A, S12.530B, S12.531A, S12.531B, S12.54XA, S12.54XB, S12.550A, S12.550B, S12.551A, S12.551B, S12.590A, S12.590B, S12.591A, S12.591B, S12.600A, S12.600B, S12.601A, S12.601B, S12.630A, S12.630B, S12.631A, S12.631B, S12.64XA, S12.64XB, S12.650A, S12.650B, S12.651A, S12.651B, S12.690A, S12.690B, S12.691A, S12.691B, S12.8XXA, S12.9XXA, S22.000A, S22.000B, S22.001A, S22.001B, S22.002A, S22.002B, S22.008A, S22.008B, S22.009A, S22.009B, S22.010A, S22.010B, S22.011A, S22.011B, S22.012A, S22.012B, S22.018A, S22.018B, S22.019A, S22.019B, S22.020A, 22.020B, S22.021A, S22.021B, S22.022A, S22.022B, S22.028A, S22.028B, S22.029A, S22.029B, S22.030A, S22.030B, S22.031A, S22.031B, S22.032A, S22.032B, S22.038A, S22.038B, S22.039A, 22.039B, S22.040A, S22.040B, S22.041A, S22.041B, S22.042A, S22.042B, S22.048A, S22.048B, S22.049A, S22.049B, S22.050A, S22.050B, S22.051A, S22.051B, S22.052A, S22.052B, S22.058A, S22.058B, S22.059A, S22.059B, S22.060A, S22.060B, S22.061A, S22.061B, S22.062A, S22.062B, S22.068A, S22.068B, S22.069A, S22.069B, S22.070A, S22.070B, S22.071A, S22.071B, S22.072A, S22.072B, S22.078A, S22.078B, S22.079A, S22.079B, S22.080A, S22.080B, S22.081A, S22.081B, S22.082A, S22.082B, S22.088A, S22.088B, S22.089A, S22.089B, S22.20XA, S22.20XB, S22.21XA, S22.21XB, S22.22XA, S22.22XB, S22.23XA, S22.23XB, S22.24XA, S22.24XB, S22.31XA, S22.31XB, S22.32XA, S22.32XB, S22.39XA, S22.39XB, S22.41XA, S22.41XB, S22.42XA, S22.42XB, S22.43XA, S22.43XB, S22.49XA, S22.49XB, S22.5XXA, S22.5XXB, S22.9XXA, S22.9XXB, S32.000A, S32.000B, S32.001A, S32.001B, S32.002A, S32.002B, S32.008A, S32.008B, S32.009A, S32.009B, S32.010A, S32.010B, S32.011A, S32.011B, S32.012A, S32.012B, S32.018A, S32.018B, S32.019A, S32.019B, S32.020A, S32.020B, S32.021A, S32.021B, S32.022A, S32.022B, S32.028A, S32.028B, S32.029A, S32.029B, S32.030A, S32.030B, S32.031A, S32.031B, S32.032A, S32.032B, S32.038A, S32.038B, S32.039A, S32.039B, S32.040A, 32.040B, S32.041A, S32.041B, S32.042A, S32.042B, S32.048A, S32.048B, S32.049A, S32.049B, S32.050A, S32.050B, S32.051A, S32.051B, S32.052A, S32.052B, S32.058A, S32.058B, S32.059A, S32.059B, S32.10XA, S32.10XB, S32.110A, S32.110B, S32.111A, S32.111B, S32.112A, S32.112B, S32.119A, S32.119B, S32.120A, S32.120B, S32.121A, S32.121B, S32.122A, S32.122B, S32.129A, S32.129B, S32.130A, S32.130B, S32.131A, S32.131B, S32.132A, S32.132B, S32.139A, S32.139B, S32.14XA, S32.14XB, S32.15XA, S32.15XB, S32.16XA, S32.16XB, S32.17XA, S32.17XB, S32.19XA, S32.19XB, S32.2XXA, S32.2XXB, S32.301A, S32.301B, S32.302A, S32.302B, S32.309A, S32.309B, S32.311A, S32.311B, S32.312A, S32.312B, S32.313A, S32.313B, S32.314A, S32.314B, S32.315A, S32.315B, S32.316A, S32.316B, S32.391A, S32.391B, S32.392A, S32.392B, S32.399A, S32.399B, S32.401A, S32.401B, S32.402A, S32.402B, S32.409A, S32.409B, S32.411A, S32.411B, S32.412A, S32.412B, S32.413A, S32.413B, S32.414A, S32.414B, S32.415A, S32.415B, S32.416A, S32.416B, S32.421A, S32.421B, S32.422A, S32.422B, S32.423A, S32.423B, S32.424A, S32.424B, S32.425A, S32.425B, S32.426A, S32.426B, S32.431A, S32.431B, S32.432A, S32.432B, S32.433A, S32.433B, S32.434A, S32.434B, S32.435A, S32.435B, S32.436A, S32.436B, S32.441A, S32.441B, S32.442A, S32.442B, S32.443A, S32.443B, S32.444A, S32.444B, S32.445A, S32.445B, S32.446A, S32.446B, S32.451A, S32.451B, S32.452A, S32.452B, S32.453A, S32.453B, S32.454A, S32.454B, S32.455A, S32.455B, S32.456A, S32.456B, S32.461A, S32.461B, S32.462A, S32.462B, S32.463A, S32.463B, S32.464A, S32.464B, S32.465A, S32.465B, S32.466A, S32.466B, S32.471A, S32.471B, S32.472A, S32.472B, S32.473A, S32.473B, S32.474A, S32.474B, S32.475A, S32.475B, S32.476A, S32.476B, S32.481A, S32.481B, S32.482A, S32.482B, S32.483A, S32.483B, S32.484A, S32.484B, S32.485A, S32.485B, S32.486A, S32.486B, S32.491A, S32.491B, S32.492A, S32.492B, S32.499A, S32.499B, S32.501A, S32.501B, S32.502A, S32.502B, S32.509A, S32.509B, S32.511A, S32.511B, S32.512A, S32.512B, S32.519A, S32.519B, S32.591A, S32.591B, S32.592A, S32.592B, S32.599A, S32.599B, S32.601A, S32.601B, S32.602A, S32.602B, S32.609A, S32.609B, S32.611A, S32.611B, S32.612A, S32.612B, S32.613A, S32.613B, S32.614A, S32.614B, S32.615A, S32.615B, S32.616A, S32.616B, S32.691A, S32.691B, S32.692A, S32.692B, S32.699A, S32.699B, S32.810A, S32.810B, S32.811A, S32.811B, S32.82XA, S32.82XB, S32.89XA, S32.89XB, S32.9XXA, S32.9XXB, S42.001A, S42.001B, S42.002A, S42.002B, S42.009A, S42.009B, S42.011A, S42.011B, S42.012A, S42.012B, S42.013A, S42.013B, S42.014A, S42.014B, S42.015A, S42.015B, S42.016A, S42.016B, S42.017A, S42.017B, S42.018A, S42.018B, S42.019A, S42.019B, S42.021A, S42.021B, S42.022A, S42.022B, S42.023A, S42.023B, S42.024A, S42.024B, S42.025A, S42.025B, S42.026A, S42.026B, S42.031A, S42.031B, S42.032A, S42.032B, S42.033A, S42.033B, S42.034A, S42.034B, S42.035A, S42.035B, S42.036A, S42.036B, S42.101A, S42.101B, S42.102A, S42.102B, S42.109A, S42.109B, S42.111A, S42.111B, S42.112A, S42.112B, S42.113A, S42.113B, S42.114A, S42.114B, S42.115A, S42.115B, S42.116A, S42.116B, S42.121A, S42.121B, S42.122A, S42.122B, S42.123A, S42.123B, S42.124A, S42.124B, S42.125A, S42.125B, S42.126A, S42.126B, S42.131A, S42.131B, S42.132A, S42.132B, S42.133A, S42.133B, S42.134A, S42.134B, S42.135A, S42.135B, S42.136A, S42.136B, S42.141A, S42.141B, S42.142A, S42.142B, S42.143A, S42.143B, S42.144A, S42.144B, S42.145A, S42.145B, S42.146A, S42.146B, S42.151A, S42.151B, S42.152A, S42.152B, S42.153A, S42.153B, S42.154A, S42.154B, S42.155A, S42.155B, S42.156A, S42.156B, S42.191A, S42.191B, S42.192A, S42.192B, S42.199A, S42.199B, S42.201A, S42.201B, S42.202A, S42.202B, S42.209A, S42.209B, S42.211A, S42.211B, S42.212A, S42.212B, S42.213A, S42.213B, S42.214A, S42.214B, S42.215A, S42.215B, S42.216A, S42.216B, S42.221A, S42.221B, S42.222A, S42.222B, S42.223A, S42.223B, S42.224A, S42.224B, S42.225A, S42.225B, S42.226A, S42.226B, S42.231A, S42.231B, S42.232A, S42.232B, S42.239A, S42.239B, S42.241A, S42.241B, S42.242A, S42.242B, S42.249A, S42.249B, S42.251A, S42.251B, S42.252A, S42.252B, S42.253A, S42.253B, S42.254A, S42.254B, S42.255A, S42.255B, S42.256A, S42.256B, S42.261A, S42.261B, S42.262A, S42.262B, S42.263A, S42.263B, S42.264A, S42.264B, S42.265A, S42.265B, S42.266A, S42.266B, S42.271A, S42.272A, S42.279A, S42.291A, S42.291B, S42.292A, S42.292B, S42.293A, S42.293B, S42.294A, S42.294B, S42.295A, S42.295B, S42.296A, S42.296B, S42.301A, S42.301B, S42.302A, S42.302B, S42.309A, S42.309B, S42.311A, S42.312A, S42.319A, S42.321A, 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S92.124A, S92.124B, S92.125A, S92.125B, S92.126A, S92.126B, S92.131A, S92.131B, S92.132A, S92.132B, S92.133A, S92.133B, S92.134A, S92.134B, S92.135A, S92.135B, S92.136A, S92.136B, S92.141A, S92.141B, S92.142A, S92.142B, S92.143A, S92.143B, S92.144A, S92.144B, S92.145A, S92.145B, S92.146A, S92.146B, S92.151A, S92.151B, S92.152A, S92.152B, S92.153A, S92.153B, S92.154A, S92.154B, S92.155A, S92.155B, S92.156A, S92.156B, S92.191A, S92.191B, S92.192A, S92.192B, S92.199A, S92.199B, S92.201A, S92.201B, S92.202A, S92.202B, S92.209A, S92.209B, S92.211A, S92.211B, S92.212A, S92.212B, S92.213A, S92.213B, S92.214A, S92.214B, S92.215A, S92.215B, S92.216A, S92.216B, S92.221A, S92.221B, S92.222A, S92.222B, S92.223A, S92.223B, S92.224A, S92.224B, S92.225A, S92.225B, S92.226A, S92.226B, S92.231A, S92.231B, S92.232A, S92.232B, S92.233A, S92.233B, S92.234A, S92.234B, S92.235A, S92.235B, S92.236A, S92.236B, S92.241A, S92.241B, S92.242A, S92.242B, S92.243A, S92.243B, S92.244A, S92.244B, S92.245A, S92.245B, S92.246A, S92.246B, S92.251A, S92.251B, S92.252A, S92.252B, S92.253A, S92.253B, S92.254A, S92.254B, S92.255A, S92.255B, S92.256A, S92.256B, S92.301A, S92.301B, S92.302A, S92.302B, S92.309A, S92.309B, S92.311A, S92.311B, S92.312A, S92.312B, S92.313A, S92.313B, S92.314A, S92.314B, S92.315A, S92.315B, S92.316A, S92.316B, S92.321A, S92.321B, S92.322A, S92.322B, S92.323A, S92.323B, S92.324A, S92.324B, S92.325A, S92.325B, S92.326A, S92.326B, S92.331A, S92.331B, S92.332A, S92.332B, S92.333A, S92.333B, S92.334A, S92.334B, S92.335A, S92.335B, S92.336A, S92.336B, S92.341A, S92.341B, S92.342A, S92.342B, S92.343A, S92.343B, S92.344A, S92.344B, S92.345A, S92.345B, S92.346A, S92.346B, S92.351A, S92.351B, S92.352A, S92.352B, S92.353A, S92.353B, S92.354A, S92.354B, S92.355A, S92.355B, S92.356A, S92.356B, S92.811A, S92.811B, S92.812A, S92.812B, S92.819A, S92.819B, S92.901A, S92.901B, S92.902A, S92.902B, S92.909A, S92.909B, S99.001A, S99.001B, S99.002A, S99.002B, S99.009A, S99.009B, S99.011A, S99.011B, S99.012A, S99.012B, S99.019A, S99.019B, S99.021A, S99.021B, S99.022A, S99.022B, S99.029A, S99.029B, S99.031A, S99.031B, S99.032A, S99.032B, S99.039A, S99.039B, S99.041A, S99.041B, S99.042A, S99.042B, S99.049A, S99.049B, S99.091A, S99.091B, S99.092A, S99.092B, S99.099A, S99.099B, S99.101A, S99.101B, S99.102A, S99.102B, S99.109A, S99.109B, S99.111A, S99.111B, S99.112A, S99.112B, S99.119A, S99.119B, S99.121A, S99.121B, S99.122A, S99.122B, S99.129A, S99.129B, S99.131A, S99.131B, S99.132A, S99.132B, S99.139A, S99.139B, S99.141A, S99.141B, S99.142A, S99.142B, S99.149A, S99.149B, S99.191A, S99.191B, S99.192A, S99.192B, S99.199A, S99.199B
CPT code covered: 22310, 22315, 22318, 22319, 22325, 22326, 22327, 22510, 22511, 22513, 22514, 25600, 25605, 25606, 25607, 25608, 25609, 27230, 27232, 27235, 27236, 27238, 27240, 27244, 27245, 27246, 27248
Patients using hospice services any time during the measurement period: G9688
Communication : May include documentation in the medical record indicating that the clinician treatingthe fracture communicated (e.g., verbally, by letter, through shared electronic health record, a bonemineral density test report was sent) with the clinician managing the patient’s on-going care OR a copy of a letter in the medical record outlining whether the patient was or should be treated for osteoporosis.
Documentation of communication that a fracture occurred and that the patient was or should be tested or treated for osteoporosis (5015F)
No documentation of communication that a fracture occurred and that the patient was or should be tested or treated for osteoporosis, reason not otherwise specified (5015F with 8P)
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