Advanced Search

Urology Coding Alert

Reader Question:

Need More Than 1 PQRS Code? Go Ahead

Published on Mon Nov 21, 2011

Question: Can we report more than one PQRS code measure on the same claim?Iowa SubscriberAnswer: Yes. You aren't limited to reporting just one Physician Quality Reporting System (PQRS) code per visit. "EPs [eligible professionals] may submit multiple codes for more than one measure on a single claim," CMS says in its PQRS Implementation Guide. "Multiple CPT® Category II and/or G-codes for multiple measures that are applicable to a patient visit can be reported on the same claim, as long as the corresponding denominator codes are also line items on that claim," CMS adds.You can read the complete Implementation Guide at www.cms.gov/PQRS/Downloads/2010_PQRI_ImplementationGuide_02-10-2010_Final.pdf.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Urology Coding Alert

View All