Other Services HCPCS Code range M1146-M1425

Most recent glycemic status assessment (hba1c or gmi) level > 9.0%

Glycemic status assessment (hba1c or gmi) level is missing, or was not performed during the measurement period

No history of spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) and present spirometry is >= 70%

Spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) documented and reviewed

Documentation of medical reason(s) for not documenting and reviewing spirometry results (e.g., patients with dementia or tracheostomy)

No spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) documented and/or no spirometry performed with results documented during the encounter

Documentation of system reason(s) for not documenting and reviewing spirometry results (e.g., spirometry equipment not available at the time of the encounter)

Patient has copd symptoms (e.g., dyspnea, cough/sputum, wheezing)

Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist or artificial intelligence (ai) interpretation documented and reviewed; with evidence of retinopathy

Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist or artificial intelligence (ai) interpretation documented and reviewed; without evidence of retinopathy