Back Pain
This measures group is to be reported for patients aged 18 through 79 years with back pain receiving office or other outpatient services or chiropractic manipulation treatment.
It applies to the following diagnosis codes indicating back pain:
721.3, 721.41, 721.42, 721.90, 722.0, 722.10, 722.11, 722.2, 722.30, 722.31, 722.32, 722.39, 722.4, 722.51, 722.52, 722.6, 722.70, 722.71, 722.72, 722.73, 722.80, 722.81, 722.82, 722.83, 722.90, 722.91, 722.92, 722.93, 723.0, 724.00, 724.01, 724.02, 724.09, 724.2, 724.3, 724.4, 724.5, 724.6, 724.70, 724.71, 724.79, 738.4, 738.5, 739.3, 739.4, 756.12, 846.0, 846.1, 846.2, 846.3, 846.8, 846.9, 847.2
Accompanied by one of the following patient encounter codes:
97001, 97002, 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215
OR
This measures group is to be reported each time a back surgical procedure is performed for patients aged 18 through 79 years. It aplies to the following back surgical procedure codes:
22210, 22214, 22220, 22222, 22224, 22226, 22532, 22533, 22534, 22548, 22554, 22556, 22558, 22585, 22590, 22595, 22600, 22612, 22614, 22630, 22632, 22818, 22819, 22830, 22840, 22841, 22842, 22843, 22844, 22845, 22846, 22847, 22848, 22849, 63001, 63003, 63005, 63011, 63012, 63015, 63016, 63017, 63020, 63030, 63035, 63040, 63042, 63043, 63044, 63045, 63046, 63047, 63048, 63055, 63056, 63057, 63064, 63066, 63075, 63076, 63077, 63078, 63081, 63082, 63085, 63086, 63087, 63088, 63090, 63091, 63101, 63102, 63103 , 63170, 63172, 63173, 63180, 63182, 63185, 63190, 63191, 63194, 63195, 63196, 63197, 63198, 63199, 63200
PQRS Group Measures:
#148. Initial Visit
#149. Physical Exam
#150. Advice for Normal Activities
#151. Advice Against Bed Rest
Download PQRS Back Pain Measures Group Form: (pdf) (doc)
Measure Group Description (from AMA)
Register now with MDinteractive, report on all applicable measures described above for a minimum of 30 unique patients (all Medicare Part B Fee-For-Service patients) and get your 1% bonus.
An answer of "Not Done" on all patients on one measure will result in a performance rate of 0% and the provider will NOT get the PQRS incentive.
Each provider needs to sign a PQRS consent at http://mdinteractive.com/webpen
Back Pain Example:
Initial office visit for a new patient with newly diagnosed back pain: back pain and function assessed including pain assessment, functional status, patient history with notation of no “red flags”, prior treatment and response assessment and employment status; physical exam performed ; patient counseled to resume normal activities; patient advised against bed rest lasting four days or longer.
