Neurosurgery Coding Alert

You are looking for both relevance and practicality when considering which MIPS measures are appropriate to report for your specialty. We’ve outlined three easy neurosurgery-specific measures here:

1. Measure #260: Rate of Carotid Endarterectomy (CEA) for Asymptomatic Patients, without Major Complications (Discharged to Home by Post-Operative Day #2) (Outcome Measure)

Performance met: Patient discharged to home no later than postoperative day 2 following CEA.

• Report code G8834

Performance not met: Patient not discharged to home by postoperative day 2 following CEA.

• Report code G8838

2. Measure #358: Patient-Centered Surgical Risk Assessment and Communication (Process/Cross-Cutting Measure)

Performance met: Documentation of patient-specific risk assessment with a risk calculator based on multi-institutional clinical data, the specific risk calculator used, and communication of risk assessment from risk calculator with the patient or family.

• Report code G9316

Performance not met: Documentation of patient-specific risk assessment with a risk calculator based on multi-institutional clinical data, the specific risk calculator used, and communication of risk assessment from risk calculator with the patient or family not completed.

• Report code G9317

3. Measure #130: Documentation of Current Medications in the Medical Record (Process/Cross-Cutting Measure)

Performance met: Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient’s current medications.

• Report code G8427

Denominator exception (Performance still met): Eligible clinician attests to documenting in the medical record the patient is not eligible for a current list of medications being obtained, updated, or reviewed by the eligible clinician.

• Report code G8430

Performance not met: Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given.

• Report code G8428

Remember: These are only the performance codes for each measure. In addition to these codes, each measure has a list of denominator criteria to determine reporting eligibility. For a complete list of criteria (patient age, applicable CPT^® codes, etc.), visit https://qpp.cms.gov/measures/quality.