Clinician Documentation and Management Services HCPCS Code range G2173-G2210

Uri episodes where the patient had a comorbid condition during the 12 months prior to or on the episode date (e.g., tuberculosis, neutropenia, cystic fibrosis, chronic bronchitis, pulmonary edema, respiratory failure, rheumatoid lung disease)

Uri episodes where the patient is taking antibiotics (table 1) in the 30 days prior to the episode date

Episodes where the patient had a comorbid condition during the 12 months prior to or on the episode date (e.g., tuberculosis, neutropenia, cystic fibrosis, chronic bronchitis, pulmonary edema, respiratory failure, rheumatoid lung disease)

Outpatient, ed, or observation visits that result in an inpatient admission

Acute bronchitis/bronchiolitis episodes when the patient had a new or refill prescription of antibiotics (table 1) in the 30 days prior to the episode date

Clinician documented that patient was not an eligible candidate for lower extremity neurological exam measure, for example patient bilateral amputee; patient has condition that would not allow them to accurately respond to a neurological exam (dementia, alzheimer's, etc.); patient has previously documented diabetic peripheral neuropathy with loss of protective sensation

Clinician documented that patient had medical reason for not performing lower extremity neurological exam

Clinician documented that patient was not an eligible candidate for evaluation of footwear as patient is bilateral lower extremity amputee

Bmi not documented due to medical reason or patient refusal of height or weight measurement

Patient receiving first-time biologic and/or immune response modifier therapy