Question: Which Healthcare Common Procedure Coding System (HCPCS) codes will be used for claims-based reporting of Physician Quality Reporting Initiative (PQRI) quality measure data?
Answer : The majority of PQRI quality-data codes (numerator codes) are CPT Category II codes, although some measures may use G-codes. Detailed specifications for each quality measure are available on the CMS PQRI website as a download from the Measures/Codes page (http://www.cms.hhs.gov/PQRI). The PQRI Code Master Single Source, a numerical listing of all codes included in PQRI for the current program year, is available on the CMS PQRI website as a download from the Resources and Tools section. This document is an Excel file intended for professionals' use in setting up their billing/coding systems to capture all PQRI codes and modifiers for each measure.
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