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ALL MEDICAL CODES IN CATEGORY Performance Measurement

2025 CPT Category II code 1158F

Documents an advance care planning discussion in the medical record.

2025 HCPCS code M1365

Records a patient encounter with a hospice and palliative care provider (specialty code 17) during a performance period.

2025 CPT code 3328F

Performance status documented and reviewed within 2 weeks prior to surgery (Lung/Esop Cx).

2025 CPT code 3293F

ABO and Rh blood typing documented as performed.

2025 CPT code 1052F

Type, anatomic location, and activity all assessed (IBD).

2025 CPT code 1040F

DSM-5 criteria for major depressive disorder documented at the initial evaluation.

2025 CPT code 1060F

Documentation of permanent or persistent or paroxysmal atrial fibrillation.

2025 HCPCS code M1333

Acute vitreous hemorrhage.

2025 HCPCS code M1134

Reports when a patient discontinues ongoing care due to early self-discharge (e.g., financial, insurance, or transportation reasons).

2025 HCPCS code M1200

Tracks the prescription of ACE inhibitors or ARBs during a specified measurement period.

2025 CPT code 3266F

Documents Hepatitis C genotype testing performed before starting antiviral treatment for Hepatitis C.

2025 HCPCS code M1209

Tracking code indicating at least two orders for high-risk medications from the same drug class without appropriate diagnoses.

2025 CPT code 3320F

None of the following diagnostic imaging studies ordered: chest X-ray, CT, Ultrasound, MRI, PET, or nuclear medicine scans.

2025 CPT code 4558F

Patient received at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and intraoperatively.

2025 CPT code 2028F

Foot examination performed, including visual inspection, sensory exam with monofilament, and pulse exam. Report when any of the three components are completed.

2025 CPT code 7025F

Patient information entered into a reminder system with a target due date for the next mammogram (RAD).

2025 CPT code 1220F

Patient screened for depression (SUD).

2025 CPT code 3037F

Oxygen saturation greater than 88% or PaO2 greater than 55 mm Hg (COPD).

2025 CPT code 2035F

Documents the assessment of tympanic membrane mobility using pneumatic otoscopy or tympanometry in patients diagnosed with otitis media with effusion (OME).

2025 CPT code 3301F

Documents the review and classification of cancer as metastatic in a patient 18 years or older, using the AJCC system.

2025 CPT code 2050F

Documents wound characteristics including size, nature of wound base tissue, and amount of drainage before debridement (CWC).

2025 CPT code 4340F

Counseling for women of childbearing potential with epilepsy.

2025 CPT code 7020F

Mammogram assessment category (e.g., MQSA, BI-RADS, or FDA-approved equivalent) entered into a database to analyze the abnormal interpretation (recall) rate.

2025 HCPCS code G9719

This HCPCS code tracks patients who are not ambulatory, bedridden, immobile, or require assistance with mobility.

2025 HCPCS code G9688

Indicates that the patient received hospice care during the measurement period.

2025 CPT code 2019F

Dilated macular exam performed, documenting macular thickening, hemorrhage, and macular degeneration severity.

2025 HCPCS code G2167

Residual score calculation for neck impairment; score < 0.

2025 HCPCS code G8952

HCPCS code G8952 tracks instances where a hypertensive or elevated blood pressure reading is documented, but the indicated follow-up plan is not documented, and no reason is given.

2025 HCPCS code G8694

This HCPCS code tracks the documentation of left ventricular ejection fraction (LVEF) ≤ 40% or moderate/severe left ventricular systolic dysfunction (LVSD).

2025 HCPCS code G0046

Lack of follow-up encounter and mRS score assessment 90 days post-endovascular stroke intervention.

2025 HCPCS code G0049

Maintenance hemodialysis (in-center and home hemodialysis) for the complete reporting month.

2025 HCPCS code G0048

This HCPCS code tracks palliative care services provided to patients during a specific measurement period.

2025 HCPCS code G9760

Tracks patients who received hospice care during a specified measurement period.

2025 CPT code 4526F

Neuropsychiatric intervention received for dementia (DEM).

2025 HCPCS code G9702

Tracks patient use of hospice services during a specified measurement period.

2025 CPT code 4326F

Patient (or caregiver) queried about symptoms of autonomic dysfunction (Parkinson's disease).

2025 HCPCS code M1128

Ongoing care not clinically indicated; patient needed only a home program, referral, or consultation.

2025 HCPCS code G2122

This HCPCS code reports that a patient has not been assessed for psychosis, depression, anxiety, or apathy.

2025 CPT code 4169F

Tracks whether a patient is receiving care in the ICU, mechanical ventilation, or both.

2025 HCPCS code G0041

Tracks instances where a patient or their caregiver declines a referral.

2025 HCPCS code G1027

Number of adult patient-months on maintenance hemodialysis using a catheter for <3 months under the same provider.

2025 CPT code 4560F

Anesthesia technique did not involve general or neuraxial anesthesia.

2025 CPT code 4073F

Oral antiplatelet therapy prescribed at discharge (for performance measurement).

2025 CPT code 4064F

Antidepressant pharmacotherapy prescribed for major depressive disorder (MDD) in adults or adolescents (MDD ADOL).

2025 CPT code 5100F

Communicating potential fracture risk to the referring physician within 24 hours of completing a nuclear medicine imaging study.

2025 CPT code 3019F

Planned assessment of left ventricular ejection fraction (LVEF) post-discharge for heart failure (HF).

2025 CPT code 4070F

Deep vein thrombosis (DVT) prophylaxis received by the end of hospital day 2.

2025 CPT code 1160F

Review of all medications (prescriptions, OTCs, herbal therapies, supplements) documented in the medical record by a prescribing practitioner or clinical pharmacist.

2025 CPT code 1157F

Indicates the presence of an advance care plan or similar legal document in the patient's medical record.

2025 CPT code 4324F

Patient (or caregiver) queried about Parkinson's disease medication-related motor complications.