Pqrs Cheat Sheet
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1PQRS
Cheat Sheet
Measure
Measure Title
Most Commonly Used Codes
Services
Measure Description
Number
Percentage of patients aged 18 years and older with a BMI documented during
Preventive Care and Screening:
the current encounter or during the previous six months AND with a BMI outside
of normal parameters, a follow-up plan is documented during the encounter or
#128
Body Mass Index (BMI)
97001, 97003, 97802, 97803
PT, OT
during the previous six months of the current encounter.
Screening and Follow-Up Plan
Normal Parameters: Age 65 years and older BMI ≥ 23 and < 30 kg/m2; Age 18 –
64 years BMI ≥ 18.5 and < 25 kg/m2
Percentage of visits for patients aged 18 years and older for which the eligible
Documentation of Current
professional attests to documenting a list of current medications using all imme-
92507, 92508, 97001, 97002, 97003, 97004,
PT, OT,
diate resources available on the date of the encounter. This list must include ALL
#130
Medications in the Medical
92526, 97532, 97802, 97803, 97804
SLP
known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary
Record
(nutritional) supplements AND must contain the medications’ name, dosage,
frequency and route of administration.
Percentage of visits for patients aged 18 years and older with documentation of
92507, 92508, 97001, 97002, 97003, 97004,
PT, OT,
#131
Pain Assessment and Follow-Up
a pain assessment using a standardized tool(s) on each visit AND documentation
92526, 97532, 98940, 98941, 98942
SLP
of a follow-up plan when pain is present.
Percentage of patients aged 12 years and older screened for clinical depression
Preventive Care and Screening:
on the date of the encounter using an age appropriate standardized depression
#134
Screening for Clinical Depression
97003
OT
screening tool AND if positive, a follow-up plan is documented on the date of the
and Follow-Up Plan
positive screen.
Percentage of patients aged 65 years and older with a history of falls who had a
#154
Falls: Risk Assessment
97001, 97002, 97003, 97004
PT, OT
risk assessment for falls completed within 12 months.
97001, 97002, 97003, 97004
Percentage of patients aged 65 years and older with a history of falls who had a
#155
Falls: Plan of Care
PT, OT
plan of care for falls documented within 12 months.
(Only when 1100F is reported for Measure #154)
Percentage of patients aged 65 years and older with a documented elder
Elder Maltreatment Screen and
#181
97003, 97802, 97803
OT
maltreatment screen using an Elder Maltreatment Screening Tool on the date of
Follow-Up Plan
encounter AND a documented follow-up plan on the date of the positive screen.
Percentage of visits for patients aged 18 years and older with documentation of a
current functional outcome assessment using a standardized functional outcome
97001, 97002, 97003, 97004, 98940,
#182
Functional Outcome Assessment
PT, OT
assessment tool on the date of encounter AND documentation of a care plan
98941, 98942
based on identified functional outcome deficiencies on the date of the identified
deficiencies.
Percentage of patients aged 18 years and older who were screened for tobacco
Tobacco Use: Screening and
#226
97003, 97004
OT
use one or more times within 24 months AND who received cessation counseling
Cessation Intervention
intervention if identified as a tobacco user.
Percentage of patients aged 18 years and older seen during the reporting period
Screening for High Blood
#317
97532
SLP
who were screened for high blood pressure AND a recommended follow-up plan
Pressure
is documented based on the current blood pressure (BP) reading as indicated.
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