2013 Physician Quality Reporting System (PQRS) Quality-Data Code (QDC) Categories

Transcription

1 2013 Physician Quality Reporting System () Quality-Data Code (QDC) Categories CPT is a registered trademark of the American Medical Association. Applicable FARS/DFARS Apply to Government Use. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

2 2013 Physician Quality Reporting System () Quality-Data Code (QDC) Categories reportable via a the registry reporting method. The 2013 Physician Quality Reporting System () Measure Specifications Manual for Claims and Registry Reporting of Individual Measures and the 2013 Physician Quality Reporting System () Measure Title & Description Diabetes Mellitus: Hemoglobin A1c Poor Control Diabetes Mellitus: Low Density Lipoprotein (LDL-C) Control Meets 3046F 3046F-8P (Note: Measures poor control. A lower performance rate indicates better control.) Patient System Other 3048F 3044F 3045F 3049F 3050F 3048F-8P Diabetes Mellitus: High Blood Pressure Control G8919 & G8921 G8919 & G8922 G8920 & G8921 G8920 & G F-8P * * * Individual Measures Reporting: Heart Failure: Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD) Measures Group Reporting: Heart Failure: Angiotensin- Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD) Coronary Artery Disease (CAD): Antiplatelet Therapy Coronary Artery Disease (CAD): Beta-Blocker Therapy- Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%) 4010F 4010F-1P 4010F-2P 4010F-3P 4010F-8P 4010F & 3021F 4010F-1P & 3021F 4010F-2P & 3021F 4010F-3P & 3021F 3022F 3021F-8P 4010F-8P & 3021F 4086F 4086F-1P 4086F-2P 4086F-3P 4086F-8P 4008F F 4008F-1P F-1P 4008F-2P F-2P 4008F-3P F-3P F-8P F-8P Page 2 of 26

3 2013 Physician Quality Reporting System () Quality-Data Code (QDC) Categories reportable via a the registry reporting method. The 2013 Physician Quality Reporting System () Measure Specifications Manual for Claims and Registry Reporting of Individual Measures and the 2013 Physician Quality Reporting System () * * Patient System Other Measure Title & Description Meets Individual Measures Reporting: Heart Failure: Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) Measures Group Reporting: Heart Failure: Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) Major Depressive Disorder (MDD): Antidepressant Medication During Acute Phase for Patients with MDD Primary Open Angle Glaucoma (POAG): Optic Nerve Evaluation Age-Related Macular Degeneration (AMD): Dilated Macular Examination Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care Perioperative Care: Timing of Prophylactic Parenteral Antibiotic Ordering Physician Perioperative Care: Selection of Prophylactic Antibiotic First OR Second Generation Cephalosporin G8450 G8450 & G8923 G8126 G8451 G8541 G8395 G8396 G F 2027F-1P N/A N/A 2027F-8P 2019F 2019F-1P 2019F-2P N/A 2019F-8P 2021F 2021F-1P 2021F-2P N/A 2021F-8P 5010F & G F-1P & G F-2P & G8397 N/A G8629 G8630 G8398 G8631 G8452 G8452 G8923 G F-8P & G F 4041F-1P N/A N/A 4041F-8P G8632 Page 3 of 26

4 2013 Physician Quality Reporting System () Quality-Data Code (QDC) Categories reportable via a the registry reporting method. The 2013 Physician Quality Reporting System () Measure Specifications Manual for Claims and Registry Reporting of Individual Measures and the 2013 Physician Quality Reporting System () * Patient System Other Measure Title & Description Meets Perioperative Care: Discontinuation of Prophylactic Parenteral Antibiotics (Non- Cardiac Procedures) Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients) Osteoporosis: Communication with the Physician Managing On-going Care Post-Fracture of Hip, Spine or Distal Radius for Men and Women Aged 50 Years and Older Aspirin at Arrival for Acute Myocardial Infarction (AMI) Perioperative Care: Timely Administration of Prophylactic Parenteral Antibiotics Stroke and Stroke Rehabilitation: Deep Vein Thrombosis (DVT) Prophylaxis for Ischemic Stroke or Intracranial Hemorrhage Stroke and Stroke Rehabilitation: Discharged on Antithrombotic Therapy Stroke and Stroke Rehabilitation: Anticoagulant Therapy Prescribed for Atrial Fibrillation (AF) at Discharge Stroke and Stroke Rehabilitation: Screening for Dysphagia Stroke and Stroke Rehabilitation: Rehabilitation Services Ordered 4049F & 4046F 4049F-1P & 4046F N/A N/A 4042F 4049F-8P & 4046F 4044F 4044F-1P N/A N/A 4044F-8P 5015F 5015F-1P 5015F-2P N/A 5015F-8P 4084F 4084F-1P 4084F-2P N/A 4084F-8P 4048F 4048F-1P N/A N/A 4047F-8P 4048F-8P 4070F 4070F-1P 4070F-2P N/A 4070F-8P G8696 G F 4075F-1P 4075F-2P N/A 4075F-8P 6010F & 6015F 6010F-1P & 6015F 6010F-2P & 6015F N/A G F G8700 G F-8P & 6015F G8701 Page 4 of 26

5 2013 Physician Quality Reporting System () Quality-Data Code (QDC) Categories reportable via a the registry reporting method. The 2013 Physician Quality Reporting System () Measure Specifications Manual for Claims and Registry Reporting of Individual Measures and the 2013 Physician Quality Reporting System () Patient System Other Measure Title & Description Meets Screening or Therapy for Osteoporosis for Women Aged 65 Years and Older Osteoporosis: Management Following Fracture of Hip, Spine or Distal Radius for Men and Women Aged 50 Years and Older Osteoporosis: Pharmacologic Therapy for Men and Women Aged 50 Years and Older Coronary Artery Bypass Graft (CABG): Use of Internal Mammary Artery (IMA) in Patients with Isolated CABG Surgery Coronary Artery Bypass Graft (CABG): Preoperative Beta- Blocker in Patients with Isolated CABG Surgery Perioperative Care: Discontinuation of Prophylactic Parenteral Antibiotics (Cardiac Procedures) G F 3095F G F-1P 3095F-1P 3096F-2P 3095F-2P 3096F-3P 3095F-3P G8401 G8634 G F-8P 3095F-8P G F 4005F-1P 4005F-2P 4005F-3P 4005F-8P 4110F 4110F-1P N/A N/A 4110F-8P 4115F 4115F-1P N/A N/A 4115F-8P 4043F & G F-1P & G8702 N/A N/A G F-8P & G Medication Reconciliation 1111F 1111F-8P Advance Care Plan 1123F 1124F 1123F-8P Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older Urinary Incontinence: Characterization of Urinary Incontinence in Women Aged 65 Years and Older 1090F 1090F-1P N/A N/A 1090F-8P 1091F 1091F-8P Page 5 of 26

6 2013 Physician Quality Reporting System () Quality-Data Code (QDC) Categories reportable via a the registry reporting method. The 2013 Physician Quality Reporting System () Measure Specifications Manual for Claims and Registry Reporting of Individual Measures and the 2013 Physician Quality Reporting System () Patient System Other Measure Title & Description Meets Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation Chronic Obstructive Pulmonary Disease (COPD): Bronchodilator Therapy Asthma: Pharmacologic Therapy for Persistent Asthma Ambulatory Care Setting Emergency Medicine: 12-Lead Electrocardiogram (ECG) Performed for Non-Traumatic Chest Pain Emergency Medicine: 12-Lead Electrocardiogram (ECG) Performed for Syncope Emergency Medicine: Community-Acquired Pneumonia (CAP): Vital Signs Emergency Medicine: Community-Acquired Pneumonia (CAP): Empiric Antibiotic Asthma: Assessment of Asthma Control Ambulatory Care Setting Appropriate Treatment for Children with Upper Respiratory Infection (URI) Appropriate Testing for Children with Pharyngitis 0509F 0509F-8P 3023F 3023F-1P 3023F-2P 3023F-3P 3023F-8P 4025F & G F-1P & G F-2P & G F-3P & G F & 1038F 4144F & 1038F N/A 4140F-2P & 1038F N/A G8925 G F 4025F-8P & G F-8P & 1038F 3120F 3120F-1P 3120F-2P N/A 3120F-8P G8704 G8705 G F 2010F-8P 4045F 4045F-1P 4045F-2P 4045F-3P 4045F-8P 2015F & 2016F G F & G F-1P & G8711 N/A N/A G8709 G8712 G F-8P 2016F-8P G F-8P & G8711 Page 6 of 26

7 2013 Physician Quality Reporting System () Quality-Data Code (QDC) Categories reportable via a the registry reporting method. The 2013 Physician Quality Reporting System () Measure Specifications Manual for Claims and Registry Reporting of Individual Measures and the 2013 Physician Quality Reporting System () Patient System Other Measure Title & Description Meets Hematology: Myelodysplastic Syndrome (MDS) and Acute Leukemias: Baseline Cytogenetic Testing Performed on Bone Marrow Hematology: Myelodysplastic Syndrome (MDS): Documentation of Iron Stores in Patients Receiving Erythropoietin Therapy Hematology: Multiple Myeloma: Treatment with Bisphosphonates Hematology: Chronic Lymphocytic Leukemia (CLL): Baseline Flow Cytometry Breast Cancer: Hormonal Therapy for Stage IC - IIIC Estrogen Receptor/Progesterone Receptor (ER/PR) Positive Breast Cancer Colon Cancer: Chemotherapy for AJCC Stage III Colon Cancer Patients Prevention of Catheter-Related Bloodstream Infections (CRBSI): Central Venous Catheter (CVC) Insertion Protocol 3155F 3155F-1P 3155F-2P 3155F-3P 3155F-8P 3160F & 4090F N/A N/A 3160F-3P & 4090F 4095F 3160F-8P & 4090F 4100F 4100F-1P 4100F-2P N/A 4100F-8P 3170F 3170F-1P 3170F-2P 3170F-3P 3170F-8P 4179F & 3374F & 3315F 4179F & 3376F & 3315F 4179F & 3378F & 3315F 4179F-1P & 3374F & 3315F 4179F-1P & 3376F & 3315F 4179F-1P & 3378F & 3315F 4179F-2P & 3374F & 3315F 4179F-2P & 3376F & 3315F 4179F-2P & 3378F & 3315F 4179F-3P & 3374F & 3315F 4179F-3P & 3376F & 3315F 4179F-3P & 3378F & 3315F G8927 & 3388F 3316F 3370F 3372F 3380F 3316F-8P 3370F-8P G8928 & 3388F 3382F 3384F 3386F 3390F 3382F-8P 4179F-8P & 3374F & 3315F 4179F-8P & 3376F & 3315F 4179F-8P & 3378F & 3315F G8929 & 3388F 6030F 6030F-1P N/A N/A 6030F-8P Page 7 of 26

8 2013 Physician Quality Reporting System () Quality-Data Code (QDC) Categories reportable via a the registry reporting method. The 2013 Physician Quality Reporting System () Measure Specifications Manual for Claims and Registry Reporting of Individual Measures and the 2013 Physician Quality Reporting System () * * * Patient System Other Measure Title & Description Meets Adult Kidney Disease: Hemodialysis Adequacy: Solute Adult Kidney Disease: Peritoneal Dialysis Adequacy: Solute Hepatitis C: Testing for Chronic Hepatitis C Confirmation of Hepatitis C Viremia Hepatitis C: Ribonucleic Acid (RNA) Testing Before Initiating Treatment Hepatitis C: HCV Genotype Testing Prior to Treatment Hepatitis C: Antiviral Treatment Prescribed Hepatitis C: HCV Ribonucleic Acid (RNA) Testing at Week 12 of Treatment Hepatitis C: Counseling Regarding Risk of Alcohol Consumption Hepatitis C: Counseling Regarding Use of Contraception Prior to Antiviral Therapy Acute Otitis Externa (AOE): Topical Therapy Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy Avoidance of Inappropriate Use Breast Cancer Resection Pathology Reporting: pt Category (Primary Tumor) and pn Category (Regional Lymph Nodes) with Histologic Grade G8713 G8717 G8718 G F 3265F-1P 3265F-2P N/A 3265F-8P 3218F & 4150F 3218F-1P & 4150F N/A N/A 3266F & G F G F-8P & 4150F 3266F-8P & G F 4153F-1P 4153F-2P 4153F-3P 4153F-8P 3220F & G F-1P & G F-2P & G8461 N/A G F-8P & G F 4158F-8P 4159F & G F-1P & G8463 N/A N/A G F-8P & G F 4130F-1P 4130F-2P N/A 4130F-8P 4132F 4131F-1P N/A N/A 4131F 3260F 3260F-1P N/A N/A 3250F 3260F-8P Page 8 of 26

9 2013 Physician Quality Reporting System () Quality-Data Code (QDC) Categories reportable via a the registry reporting method. The 2013 Physician Quality Reporting System () Measure Specifications Manual for Claims and Registry Reporting of Individual Measures and the 2013 Physician Quality Reporting System () Patient System Other Measure Title & Description Meets Colorectal Cancer Resection Pathology Reporting: pt Category (Primary Tumor) and pn Category (Regional Lymph Nodes) with Histologic Grade Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients Prostate Cancer: Adjuvant Hormonal Therapy for High Risk Prostate Cancer Patients Adult Major Depressive Disorder (MDD): Comprehensive Diagnostic Evaluation: Diagnosis and Severity Adult Major Depressive Disorder (MDD): Suicide Risk Assessment Rheumatoid Arthritis (RA): Disease Modifying Anti- Rheumatic Drug (DMARD) Therapy Osteoarthritis (OA): Function and Pain Assessment Preventive Care and Screening: Influenza Immunization Preventive Care and Screening: Pneumococcal Vaccination for Patients 65 Years and Older Preventive Care and Screening: Breast Cancer Screening G F & 3271F 3269F-1P & 3271F N/A 3269F-3P & 3271F 4164F & G F-1P & G F-2P & G8465 N/A G8722 G F 3273F 3274F G8464 G F & 3271F 4164F-8P & G F & G F-8P & G8931 G F 4187F 4187F-1P N/A N/A 4187F-8P 1006F 1006F-8P G8482 G8483 G F 4040F-1P N/A N/A 4040F-8P 3014F 3014F-1P N/A N/A 3014F-8P G8933 G8484 Page 9 of 26

10 2013 Physician Quality Reporting System () Quality-Data Code (QDC) Categories reportable via a the registry reporting method. The 2013 Physician Quality Reporting System () Measure Specifications Manual for Claims and Registry Reporting of Individual Measures and the 2013 Physician Quality Reporting System () * AQA 122 AQA 123 AQA Patient System Other Measure Title & Description Meets Preventive Care and Screening: Colorectal Cancer Screening Antibiotic Treatment for Adults with Acute Bronchitis: Avoidance of Inappropriate Use Diabetes Mellitus: Dilated Eye Exam Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVEF < 40%) Diabetes: Medical Attention for Nephropathy Adult Kidney Disease: LaboratoryTesting (Lipid Profile) Adult Kidney Disease: Blood Pressure Management Adult Kidney Disease: Patients On Erythropoiesis-Stimulating Agent (ESA) - Hemoglobin Level > 12.0 g/dl Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy Neurological Evaluation 3017F 3017F-1P N/A N/A 3017F-8P 4124F 4120F-1P N/A N/A 4120F 2022F 2024F 2026F 3072F G G F 3061F 3062F 3066F G8506 G G8474 G8725 G8476 G8477 & 0513F G0908 & 4171F (NOTE: A lower performance rate is desirable for this measure) G8726 G8404 G0909 & 4171F 4172F G F-8P 2024F-8P 2026F-8P G G F-8P 3061F-8P 3062F-8P G8728 G F-8P & G8477 G0910 & 4171F G8405 Page 10 of 26

11 2013 Physician Quality Reporting System () Quality-Data Code (QDC) Categories reportable via a the registry reporting method. The 2013 Physician Quality Reporting System () Measure Specifications Manual for Claims and Registry Reporting of Individual Measures and the 2013 Physician Quality Reporting System () * * Patient System Other Measure Title & Description Meets Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention Evaluation of Footwear Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow- Up Documentation of Current Medications in the Medical Record Pain Assessment and Follow- Up Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan Melanoma: Continuity of Care Recall System Melanoma: Coordination of Care Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care Osteoarthritis (OA): Assessment for Use of Anti- Inflammatory or Analgesic Over-the-Counter (OTC) Medications G8410 G8420 G8417 G8418 G8427 G8730 G8731 G8431 G8510 G8416 G8422 G8938 G8430 G8442 G8939 G8433 G F N/A N/A 7010F-3P 7010F-8P 5050F N/A 5050F-2P 5050F-3P 5050F-8P 4177F 4177F-8P 3284F 0517F & 3285F G8415 G8421 G8419 G8428 G8732 G8509 G8432 G F-8P & 3285F 3284F-8P 1007F 1007F-8P Page 11 of 26

12 2013 Physician Quality Reporting System () Quality-Data Code (QDC) Categories reportable via a the registry reporting method. The 2013 Physician Quality Reporting System () Measure Specifications Manual for Claims and Registry Reporting of Individual Measures and the 2013 Physician Quality Reporting System () * * Patient System Other Measure Title & Description Meets Oncology: Medical and Radiation Pain Intensity Quantified Oncology: Medical and Radiation Plan of Care for Pain Radiology: Exposure Time Reported for Procedures Using Fluoroscopy Radiology: Inappropriate Use of Probably Benign Assessment Category in Mammography Screening Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy 1125F 1126F 1125F-8P 0521F 0521F-8P 6045F 6045F-8P 3343F (NOTE: A lower performance rate is desirable for this measure) 3570F N/A N/A 3570F-3P 3570F-8P Back Pain: Initial Visit 1130F 0526F 1130F-8P Back Pain: Physical Exam 2040F 0526F 2040F 8P Back Pain: Advice for Normal 0526F 4245F Activities 4245F-8P Back Pain: Advice Against Bed 0526F 4248F Rest 4248F-8P 1101F 154 AQA Falls: Risk Assessment 3288F & 1100F 3288F-1P & 1100F N/A N/A 1101F-8P 3288F-8P & 1100F 155 AQA Falls: Plan of Care 0518F 0518F-1P N/A N/A 0518F-8P Oncology: Radiation Dose Limits to Normal Tissues 0520F 0520F-8P Thoracic Surgery: Recording of Clinical Stage Prior to Lung Cancer or Esophageal Cancer Resection 3323F 3323F-8P 3340F 3341F 3342F 3344F 3345F 3350F Page 12 of 26

13 2013 Physician Quality Reporting System () Quality-Data Code (QDC) Categories reportable via a the registry reporting method. The 2013 Physician Quality Reporting System () Measure Specifications Manual for Claims and Registry Reporting of Individual Measures and the 2013 Physician Quality Reporting System () * * * * * * * Patient System Other Measure Title & Description Meets HIV/AIDS: CD4+ Cell Count or CD4+ Percentage Individual Measures Reporting: HIV/AIDS: Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis Measures Group Reporting: HIV/AIDS: Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis Individual Measures Reporting: HIV/AIDS: Adolescent and Adult Patients with HIV/AIDS Who Are Prescribed Potent Antiretroviral Therapy Measures Group Reporting: HIV/AIDS: Adolescent and Adult Patients with HIV/AIDS Who Are Prescribed Potent Antiretroviral Therapy Individual Measures Reporting: HIV/AIDS: HIV RNA Control After Six Months of Potent Antiretroviral Therapy Measures Group Reporting: HIV/AIDS: HIV RNA Control After Six Months of Potent Antiretroviral Therapy 3500F 3500F-8P 4280F 4280F-1P N/A N/A 4280F-8P 4280F & 3494F 4280F-1P & 3494F 3495F 3496F N/A N/A 3494F-8P 4280F-8P & 3494F 4276F 4276F-8P 4276F & 3492F 4276F & 3490F 3502F 3503F & 0575F 3502F & 4270F 3503F & 0575F & 4270F 3493F 4271F 4276F-8P & 3492F 4276F-8P & 3490F 3502F-8P 0575F-8P & 3503F 3502F-8P & 4270F 0575F-8P & 3503F & 4270F Diabetes Mellitus: Foot Exam 2028F 2028F-1P N/A N/A 2028F-8P * Coronary Artery Bypass Graft (CABG): Prolonged Intubation G8569 (NOTE: A lower performance rate is desirable for this measure) G8570 Page 13 of 26

14 2013 Physician Quality Reporting System () Quality-Data Code (QDC) Categories reportable via a the registry reporting method. The 2013 Physician Quality Reporting System () Measure Specifications Manual for Claims and Registry Reporting of Individual Measures and the 2013 Physician Quality Reporting System () * * * * * * * AQA 176 AQA Patient System Other Measure Title & Description Meets Coronary Artery Bypass Graft (CABG): Deep Sternal Wound Infection Rate Coronary Artery Bypass Graft (CABG): Stroke Coronary Artery Bypass Graft (CABG): Postoperative Renal Failure Coronary Artery Bypass Graft (CABG): Surgical Reexploration Coronary Artery Bypass Graft (CABG): Antiplatelet Medications at Discharge Coronary Artery Bypass Graft (CABG): Beta-Blockers Administered at Discharge Coronary Artery Bypass Graft (CABG): Anti-Lipid Treatment at Discharge Hemodialysis Vascular Access Decision-Making by Surgeon to Maximize Placement of Autogenous Arterial Venous (AV) Fistula Preventive Care and Screening: Unhealthy Alcohol Use Screening Rheumatoid Arthritis (RA): Tuberculosis Screening G8571 (NOTE: A lower performance rate is desirable for this measure) G8573 (NOTE: A lower performance rate is desirable for this measure) G8575 (NOTE: A lower performance rate is desirable for this measure) G8577 (NOTE: A lower performance rate is desirable for this measure) G8572 N.A N/A N/A G8574 G8576 G8578 G8579 G8582 G8585 G8530 G8580 G8583 G8586 G F 3016F-1P N/A N/A 3016F-8P 3455F & 4195F 3455F-1P & 4195F N/A N/A 4196F G8581 G8584 G8587 G F-8P & 4195F Page 14 of 26

15 2013 Physician Quality Reporting System () Quality-Data Code (QDC) Categories reportable via a the registry reporting method. The 2013 Physician Quality Reporting System () Measure Specifications Manual for Claims and Registry Reporting of Individual Measures and the 2013 Physician Quality Reporting System () 177 AQA 178 AQA 179 AQA 180 AQA 181 AQA 182 AQA * N/A Patient System Other Measure Title & Description Meets Rheumatoid Arthritis (RA): Periodic Assessment of Disease Activity Rheumatoid Arthritis (RA): Functional Status Assessment Rheumatoid Arthritis (RA): Assessment and Classification of Disease Prognosis Rheumatoid Arthritis (RA): Glucocorticoid Management Elder Maltreatment Screen and Follow-Up Plan Functional Outcome Assessment Hepatitis C: Hepatitis A Vaccination in Patients with HCV Hepatitis C: Hepatitis B Vaccination in Patients with HCV Endoscopy & Polyp Surveillance: Colonoscopy Interval for Patients with a History of Adenomatous Polyps Avoidance of Inappropriate Use Stroke and Stroke Rehabilitation: Thrombolytic Therapy Referral for Otologic Evaluation for Patients with Congenital or Traumatic Deformity of the Ear 3470F 3471F 3472F 3470F-8P 1170F 1170F-8P 3475F 3476F 4192F 4193F 4194F & 0540F G8733 G8734 G8539 G8542 G F 3215F 4149F 3216F 3475F-8P 0540F-1P & 4194F N/A N/A G8535 G8941 G F-8P 0540F-8P & 4194F G8536 G8735 G8541 G F-1P 4148F-2P N/A 4148F-8P 4149F-1P 4149F-2P N/A 4149F-8P 0529F 0529F-1P N/A 0529F-3P 0529F-8P G8600 G8556 G8601 G8557 G8602 G8558 Page 15 of 26

16 2013 Physician Quality Reporting System () Quality-Data Code (QDC) Categories reportable via a the registry reporting method. The 2013 Physician Quality Reporting System () Measure Specifications Manual for Claims and Registry Reporting of Individual Measures and the 2013 Physician Quality Reporting System () * * * Patient System Other Measure Title & Description Meets Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures Perioperative Temperature Management Oncology: Cancer Stage Documented Radiology: Stenosis Measurement in Carotid Imaging Studies Coronary Artery Disease (CAD): Lipid Control 4175F 4175F-8P G8627 (NOTE: A lower performance rate is desirable for this measure) G F & 4255F 4250F-1P & 4255F N/A N/A 3300F 3301F 4256F 4250F-8P & 4255F 3301F-8P 3100F 3100F-8P G8736 G8737 & 4013F & 0556F G8737 & 0556F & 4013F-1P G8737 & 0556F & 4013F-2P G8737 & 0556F & 4013F-3P G8737 & 4013F-8P G8737 & 0556F-8P G8943 * * * Heart Failure: Left Ventricular Ejection Fraction (LVEF) Assessment Ischemic Vascular Disease (IVD): Blood Pressure Management Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic HIV/AIDS: Sexually Transmitted Disease Screening for Chlamydia and Gonorrhea HIV/AIDS: Sexually Transmitted Disease Screening for Syphilis G8738 G8739 G8740 G8588 & G8590 G8588 & G8591 G8589 & G8590 G8589 & G8591 G8592 G8598 G F N/A 3511F-2P N/A 3511F-8P 3512F N/A 3512F-2P N/A 3512F-8P Page 16 of 26

17 2013 Physician Quality Reporting System () Quality-Data Code (QDC) Categories reportable via a the registry reporting method. The 2013 Physician Quality Reporting System () Measure Specifications Manual for Claims and Registry Reporting of Individual Measures and the 2013 Physician Quality Reporting System () * * * * * * * * * * * * Patient System Other Measure Title & Description Meets Functional Communication Measure - Spoken Language Comprehension Functional Communication Measure - Attention Functional Communication Measure - Memory Functional Communication Measure - Motor Speech Functional Communication Measure - Reading Functional Communication Measure - Spoken Language Expression Functional Communication Measure - Writing Functional Communication Measure - Swallowing Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Knee Impairments Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Hip Impairments Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Lower Leg, Foot or Ankle Impairments Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Lumbar Spine Impairments G8603 G8606 G8609 G8612 G8615 G8618 G8621 G8624 G8647 G8648 G8651 G8652 G8655 G8656 G8659 G8660 G8649 G8653 G8657 G8661 G8604 G8605 G8607 G8608 G8610 G8611 G8613 G8614 G8616 G8617 G8619 G8620 G8622 G8623 G8625 G8626 G8650 G8654 G8658 G8662 Page 17 of 26

18 2013 Physician Quality Reporting System () Quality-Data Code (QDC) Categories reportable via a the registry reporting method. The 2013 Physician Quality Reporting System () Measure Specifications Manual for Claims and Registry Reporting of Individual Measures and the 2013 Physician Quality Reporting System () * * * * *228 N/A 231 N/A 232 N/A * Patient System Other Measure Title & Description Meets Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Shoulder Impairments Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Elbow, Wrist or Hand Impairments Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Neck, Cranium, Mandible, Thoracic Spine, Ribs, or Other General Orthopedic Impairments Melanoma: Overutilization of Imaging Studies in Melanoma Radiology: Reminder System for Mammograms Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention Heart Failure (HF): Left Ventricular Function (LVF) Testing Asthma: Tobacco Use: Screening - Ambulatory Care Setting Asthma: Tobacco Use: Intervention - Ambulatory Care Setting Thoracic Surgery: Recording of Status Prior to Lung or Esophageal Cancer Resection G8663 G8664 G8667 G8668 G8671 G8672 G8665 G8669 G F 3319F-1P N/A 3319F-3P 3319F 7025F 7025F-8P 4004F 1036F 4004F-1P N/A N/A 4004F-8P G8682 G F 4000F & 1032F 4001F & 1032F 1033F G8666 G8670 G8674 G F-8P G F-8P & 1032F 4001F-8P & 1032F 3328F 3328F-8P Page 18 of 26

19 2013 Physician Quality Reporting System () Quality-Data Code (QDC) Categories reportable via a the registry reporting method. The 2013 Physician Quality Reporting System () Measure Specifications Manual for Claims and Registry Reporting of Individual Measures and the 2013 Physician Quality Reporting System () * * N/A 242* N/A 243* * N/A 245 AQA Patient System Other Measure Title & Description Meets Thoracic Surgery: Pulmonary Function Tests Before Major Anatomic Lung Resection (Pneumonectomy, Lobectomy, or Formal Segmentectomy) Hypertension (HTN): Controlling High Blood Pressure Ischemic Vascular Disease (IVD): Complete Lipid Panel and Low Density Lipoprotein (LDL-C) Control Individual Reporting via Registry: Coronary Artery Disease (CAD): Symptom Management Measures Group Reporting: Coronary Artery Disease (CAD): Symptom Management Cardiac Rehabilitation Patient Referral from an Outpatient Setting Hypertension: Blood Pressure Management Chronic Wound Care: Use of Wound Surface Culture Technique in Patients with Chronic Skin Ulcers (Overuse Measure) 3038F 3038F-1P N/A N/A 3038F-8P G8752 & G8754 G8593 & G F & 0557F 1012F 1010F & 1011F & 0557F 1010F & 1012F G8752 & G8755 G8753 & G8754 G8753 & G8755 G8756 G8594 G8593 & G F & 0557F-1P N/A N/A 1011F & 0557F-8P 1010F & 1011F & 0557F-1P N/A N/A 4500F 4500F-1P 4500F-2P 4500F-3P G8790 & G8793 G8790 & G8794 G8791 & G8793 G8791 & G8794 G8790 & G8795 & 4145F G8791 & G8795 & 4145F G8792 & G8793 & 4145F G8792 & G8794 & 4145F G8792 & G8795 & 4145F 4510F 4145F-1P 4145F-2P 4145F-3P 1010F & 1011F & 0557F-8P 1010F-8P 4261F 4260F-1P N/A N/A 4260F 4500F-8P 4145F-8P G8796 Page 19 of 26

20 2013 Physician Quality Reporting System () Quality-Data Code (QDC) Categories reportable via a the registry reporting method. The 2013 Physician Quality Reporting System () Measure Specifications Manual for Claims and Registry Reporting of Individual Measures and the 2013 Physician Quality Reporting System () 246 AQA 247 AQA 248 AQA Patient System Other Measure Title & Description Meets Chronic Wound Care: Use of Wet to Dry Dressings in Patients with Chronic Skin Ulcers (Overuse Measure) Substance Use Disorders: Counseling Regarding Psychosocial and Pharmacologic Treatment Options for Alcohol Dependence Substance Use Disorders: Screening for Depression Among Patients with Substance Abuse or Dependence 4266F 4265F-1P N/A N/A 4265F 4320F 4320F-8P 1220F 1220F-1P N/A N/A 1220F-8P 249 N/A Barrett's Esophagus 3125F 3125F-1P N/A N/A 250 N/A 251 N/A * N/A Radical Prostatectomy Pathology Reporting Immunohistochemical (IHC) Evaluation of Human Epidermal Growth Factor Receptor 2 Testing (HER2) for Breast Cancer Patients Anticoagulation for Acute Pulmonary Embolus Patients Ultrasound Determination of Pregnancy Location for Pregnant Patients with Abdominal Pain Rh Immunoglobulin (Rhogam) for Rh-Negative Pregnant Women at Risk of Fetal Blood Exposure Surveillance after Endovascular Abdominal Aortic Aneurysm Repair (EVAR) 3267F 3267F-1P N/A N/A 3394F G8799 G8806 G8809 G8813 G8797 G F G8800 G8807 G8810 G F-8P 3267F-8P 3394F-8P G8801 G8808 G8811 G8814 Page 20 of 26

21 2013 Physician Quality Reporting System () Quality-Data Code (QDC) Categories reportable via a the registry reporting method. The 2013 Physician Quality Reporting System () Measure Specifications Manual for Claims and Registry Reporting of Individual Measures and the 2013 Physician Quality Reporting System () 257* N/A 258* N/A 259* N/A 260* N/A 261 N/A 262 N/A 263 N/A 264* N/A Patient System Other Measure Title & Description Meets Statin Therapy at Discharge after Lower Extremity Bypass (LEB) Rate of Open Repair of Small or Moderate Non-Ruptured Abdominal Aortic Aneurysms (AAA) without Major Complications (Discharged to Home by Post-Operative Day #7) Rate of Endovascular Aneurysm Repair (EVAR) of Small or Moderate Non- Ruptured Abdominal Aortic Aneurysms (AAA) without Major Complications (Discharged to Home by Post- Operative Day #2) Rate of Carotid Endarterectomy (CEA) for Asymptomatic Patients, without Major Complications (Discharged to Home Post- Operative Day #2) Referral for Otologic Evaluation for Patients with Acute or Chronic Dizziness Image Confirmation of Successful Excision of Image Localized Breast Lesion Preoperative Diagnosis of Breast Cancer Sentinel Lymph Node Biopsy for Invasive Breast Cancer G8816 G8815 G8818 G8825 G8826 G8833 G8834 G8838 G8856 G8872 G8875 G * 0645 Biopsy Follow-Up G8883 G8857 G8873 G8876 G8946 G8880 G8884 G8817 G8858 G8874 G8877 G8882 G8885 Page 21 of 26

22 2013 Physician Quality Reporting System () Quality-Data Code (QDC) Categories reportable via a the registry reporting method. The 2013 Physician Quality Reporting System () Measure Specifications Manual for Claims and Registry Reporting of Individual Measures and the 2013 Physician Quality Reporting System () 266 N/A 267 N/A 268 N/A 269* N/A 270* N/A 271* N/A 272* N/A 273* N/A 274* N/A 275* N/A Patient System Other Measure Title & Description Meets Epilepsy: Seizure Type(s) and Current Seizure Frequency(ies) Epilepsy: Documentation of Etiology of Epilepsy or Epilepsy Syndrome Epilepsy: Counseling for Women of Childbearing Potential with Epilepsy Inflammatory Bowel Disease (IBD): Type, Anatomic Location and Activity All Documented Inflammatory Bowel Disease (IBD): Preventive Care: Corticosteroid Sparing Therapy Inflammatory Bowel Disease (IBD): Preventive Care: Corticosteroid Related Iatrogenic Injury Bone Loss Assessment Inflammatory Bowel Disease (IBD): Preventive Care: Influenza Immunization Inflammatory Bowel Disease (IBD): Preventive Care: Pneumococcal Immunization Inflammatory Bowel Disease (IBD): Testing for Latent Tuberculosis (TB) Before Initiating Anti-TNF (Tumor Necrosis Factor) Therapy Inflammatory Bowel Disease (IBD): Assessment of Hepatitis B Virus (HBV) Status Before Initiating Anti-TNF (Tumor Necrosis Factor) Therapy 1200F 1200F-1P 1200F-2P N/A 1200F-8P 1205F 1205F-8P 4340F 4340F-1P N/A N/A 4340F-8P G0920 N/A G0921 N/A G0922 G8859 & 4142F G8859 & 4142F-1P G8859 & 4142F-2P N/A G8860 & G F 4037F 4035F-1P 4037F-1P 4035F-2P 4037F-2P 4035F-3P 4037F-3P G F & G F 3517F G8869 G F G8862 G8865 G8866 G8859 & 4142F-8P G8860 & G F-8P 4037F-8P 3510F-1P & G F-2P & G8868 N/A 3510F-8P & G F-1P 3517F-2P N/A G8871 G F-8P Page 22 of 26

23 2013 Physician Quality Reporting System () Quality-Data Code (QDC) Categories reportable via a the registry reporting method. The 2013 Physician Quality Reporting System () Measure Specifications Manual for Claims and Registry Reporting of Individual Measures and the 2013 Physician Quality Reporting System () 276* N/A 277* N/A 278* N/A 279* N/A Patient System Other Measure Title & Description Meets Sleep Apnea: Assessment of G8840 G8839 Sleep Symptoms Sleep Apnea: Severity G8843 G8842 Assessment at Initial Diagnosis G8848 Sleep Apnea: Positive Airway G8845 & G8846 G8849 & G8846 Pressure Therapy Prescribed Sleep Apnea: Assessment of Adherence to Positive Airway Pressure Therapy 280* N/A Dementia: Staging of Dementia 281* N/A 282* N/A 283* N/A 284* N/A 285* N/A 286* N/A 287* N/A 288* N/A 289* N/A 290* N/A Dementia: Cognitive Assessment Dementia: Functional Status Assessment Dementia: Neuropsychiatric Symptom Assessment Dementia: Management of Neuropsychiatric Symptoms Dementia: Screening for Depressive Symptoms Dementia: Counseling Regarding Safety Concerns Dementia: Counseling Regarding Risks of Driving Dementia: Caregiver Education and Support Parkinson s Disease: Annual Parkinson s Disease Diagnosis Review Parkinson s Disease: Psychiatric Disorders or Disturbances Assessment G8851 & G F 1491F 1493F G8853 G8854 & G8852 G8841 G8844 G8850 & G8846 G8855 & G F-8P 1494F 1494F-1P 1494F-2P N/A 1494F-8P 1175F 1175F-1P N/A N/A 1175F-8P 1181F 1181F-8P G8947 & 4525F G8947 & 4526F G8948 G8947 & 4525F-8P G8947 & 4526F-8P 3725F 3725F-8P 6101F 6102F 6101F-1P 6102F-1P N/A N/A 6101F-8P 6102F-8P 6110F 6110F-1P N/A N/A 6110F-8P 4322F 4322F-1P N/A N/A 4322F-8P 1400F 1400F-8P 3700F 3700F-8P Page 23 of 26

24 2013 Physician Quality Reporting System () Quality-Data Code (QDC) Categories reportable via a the registry reporting method. The 2013 Physician Quality Reporting System () Measure Specifications Manual for Claims and Registry Reporting of Individual Measures and the 2013 Physician Quality Reporting System () 291* N/A 292* N/A 293* N/A 294* N/A 295* N/A 296* N/A 297* N/A 298* N/A 299* N/A 300* N/A 301* N/A 302* N/A 303* N/A 304* N/A Patient System Other Measure Title & Description Meets Parkinson s Disease: Cognitive Impairment or Dysfunction Assessment Parkinson s Disease: Querying about Sleep Disturbances Parkinson s Disease: Rehabilitative Therapy Options Parkinson s Disease: Parkinson s Disease Medical and Surgical Treatment Options Reviewed Hypertension: Appropriate Use of Aspirin or Other Anththrombotic Therapy Hypertension: Complete Lipid Profile Hypertension: Urine Protein Test Hypertension: Annual Serum Creatinine Test Hypertension: Diabetes Mellitus Screening Test Hypertension: Blood Pressure Control Hypertension: Low Density Lipoprotein (LDL-C) Control Hypertension: Dietary and Physical Activity Modifications Appropriately Prescribed Cataracts: Improvement in Patient s Visual Function within 90 Days Following Cataract Surgery Cataracts: Patient Satisfaction within 90 Days Following Cataract Surgery 3720F 3720F-8P 4328F 4328F-1P N/A N/A 4328F-8P 4400F 4400F-1P N/A N/A 4400F-8P 4325F 4325F-1P N/A N/A 4325F-8P G8895 G8767 G8770 G8771 G8774 G8777 G8886 G8890 G8780 G0913 G0916 G8896 G8768 G8772 G8775 G8778 G8887 G8891 G8892 G8781 G8949 G0914 G0917 G8897 G8769 G8773 G8776 G8779 G8888 G8889 G8893 G8894 G8782 G0915 G0918 Page 24 of 26

25 2013 Physician Quality Reporting System () Quality-Data Code (QDC) Categories reportable via a the registry reporting method. The 2013 Physician Quality Reporting System () Measure Specifications Manual for Claims and Registry Reporting of Individual Measures and the 2013 Physician Quality Reporting System () 317 N/A * * * * N/A Patient System Other Measure Title & Description Meets Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented Endoscopy/Polyp Surveillance: Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients Participation by a Hospital, Physician or Other Clinician in a Systematic Clinical Database Registry that Includes Consensus Endorsed Quality Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Preoperative Evaluation in Low Risk Surgery Patients Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Routine Testing After Percutaneous Coronary Intervention (PCI) Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Testing in Asyptomatic, Low-Risk Patients Adult Major Depressive Disorder (MDD): Coordination of Care of Patients with Comorbid Conditions Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy G8783 G8950 G8784 G F 0528F-1P N/A N/A 0528F-8P G8954 N/A G8961 (NOTE: A lower performance rate is desirable for this measure) G8963 (NOTE: A lower performance rate is desirable for this measure) G8965 (NOTE: A lower performance rate is desirable for this measure) G8785 G8952 G8962 G8964 G8966 G8959 G8960 G8967 & G8972 G8968 & G8972 G8969 & G8972 G8970 G8971 & G8972 Page 25 of 26

26 2013 Physician Quality Reporting System () Quality-Data Code (QDC) Categories reportable via a the registry reporting method. The 2013 Physician Quality Reporting System () Measure Specifications Manual for Claims and Registry Reporting of Individual Measures and the 2013 Physician Quality Reporting System () 327 N/A Patient System Other Measure Title & Description Meets Pediatric Kidney Disease: Adequacy of Volume Management Pediatric Kidney Disease: ESRD Patients Receiving Dialysis: Hemoglobin Level < 10 g/dl G8955 & G8956 G8973 (NOTE: A lower performance rate is desirable for this measure) G8957 G8974 G8975 G8958 & G8956 G8976 Page 26 of 26