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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 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 CPT code 3344F
Documents a mammogram assessment categorized as "suspicious".
2025 CPT code 3354F
Clinically significant depressive symptoms as categorized by using a standardized depression screening/assessment tool.
2025 CPT code 2021F
Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy.
2025 CPT code 3650F
Electroencephalogram (EEG) ordered, reviewed, or requested.
2025 CPT code 1007F
Use of anti-inflammatory or analgesic over-the-counter (OTC) medications for symptom relief assessed.
2025 CPT code 1012F
This code documents the absence of angina in a patient with coronary artery disease (CAD).
2025 CPT code 1091F
Urinary incontinence characterized (e.g., frequency, volume, timing, type of symptoms, how bothersome).
2025 CPT code 2040F
Physical examination performed on the date of the initial visit for low back pain, in accordance with specifications.
2025 CPT code 3082F
Kt/V less than 1.2 (Clearance of urea [Kt]/volume [V]) (ESRD, P-ESRD).
2025 CPT code 3083F
Kt/V equal to or greater than 1.2 and less than 1.7 (Clearance of urea [Kt]/volume [V]).
2025 CPT code 1124F
Advance care planning discussed and documented, but the patient declined or was unable to name a surrogate decision-maker or provide an advance care plan.
2025 CPT code 3216F
Patient has documented immunity to Hepatitis B.
2025 CPT code 6101F
Safety counseling for dementia provided.
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 M1365
Records a patient encounter with a hospice and palliative care provider (specialty code 17) during a performance period.
2025 CPT code 5200F
Consideration of referral for a neurological evaluation of appropriateness for surgical therapy for intractable epilepsy within the past 3 years.
2025 HCPCS code M1161
Patient had anaphylaxis due to tetanus, diphtheria, or pertussis vaccine on or before 13th birthday.
2025 HCPCS code M1246
Patient did not report "completely true" to the question, "Patient felt this provider and team understood what is important to me in my life."
2025 HCPCS code M1121
Episode of care documented in medical record.
2025 HCPCS code M1106
The start of an episode of care documented in the medical record.
2025 HCPCS code M1150
Left ventricular ejection fraction (LVEF) less than or equal to 40% or moderately/severely depressed left ventricular systolic function.
2025 HCPCS code M1163
Patient had anaphylaxis due to the HPV vaccine on or before the patient's 13th birthday. This is a tracking code for performance measurement.
2025 HCPCS code M1203
This code is used for patients with chronic kidney disease and proteinuriawho were not prescribed ACE inhibitor or ARB therapy during the measurement period, and no reason was given for not prescribing.
2025 HCPCS code M1147
Ongoing care not medically possible due to early discharge for medical reasons.
2025 HCPCS code M1167
Indicates the patient received hospice services during the measurement period for performance tracking.
2025 HCPCS code M1146
Ongoing care not clinically indicated due to patient needing home program, referral, or consultation only.
2025 HCPCS code M1155
Patient had anaphylaxis due to the pneumococcal vaccine any time during or before the measurement period.
2025 HCPCS code M1201
Documentation of medical reason(s) for not prescribing ACE inhibitor (ACE-I) or ARB therapy during the measurement period.
2025 HCPCS code M1182
Patient is not eligible due to pre-existing inflammatory bowel disease (IBD).
2025 HCPCS code M1304
Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period.
2025 HCPCS code M1231
Patient receives HCV antibody test with nonreactive result.
2025 HCPCS code M1230
Patient with reactive HCV antibody test without follow-up viral test, or with follow-up test detecting viremia but no referral or treatment initiated within specified timeframes, reason not given.
2025 HCPCS code M1273
Patient admitted to a skilled nursing facility (SNF) within one year of dialysis initiation, documented on CMS-2728.
2025 HCPCS code M1280
History of Bilateral Mastectomy
2025 HCPCS code M1341
This code tracks the absence of a follow-up assessment or its occurrence outside the 30-180 day window after the initial assessment, relevant to specific performance programs.
2025 HCPCS code M1135
The start of an episode of care documented in the medical record.
2025 HCPCS code M1172
Documentation of medical reason(s) for not administering TD or Tdap vaccine.
2025 HCPCS code M1213
No history of spirometry results with confirmed airflow obstruction (FEV1/FVC < 70%) and present spirometry is ≥ 70%
2025 HCPCS code G0050
This code is used for performance measurement and tracks patients with a catheter who have a limited life expectancy.
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.
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