2017 MIPS Measure #293: Parkinson’s Disease: Rehabilitative Therapy Options

Valid Data Submission Method(s) Measure Type High Priority Measure? NQS Domain Specialty Measure Sets
Registry Process Yes Communication and Care Coordination Neurology

Measure Description

All patients with a diagnosis of Parkinson’s Disease (or caregiver(s), as appropriate) who had rehabilitative therapy options (e.g., physical, occupational, or speech therapy) discussed in the last 12 months

Instruction

This measure is to be reported a minimum of once per performance period for patients with a diagnosis of Parkinson’s disease seen during the performance period. This measure may be reported by eligible clinicians who perform the quality actions described in the measure based on the services provided and the measure-specific denominator coding.

Denominator

All patients aged 18 years and older with a diagnosis of Parkinson’s disease

Denominator Criteria (Eligible Cases):
Patients aged ≥ 18 years on date of encounter
AND
Diagnosis for Parkinson’s disease (ICD-10-CM): G20
AND
Patient encounter during the performance period (CPT): 99201, 99202, 99203, 99204, 99205, 99212, 99213,99214, 99215, 99304, 99305, 99306, 99307, 99308, 99309, 99310, 99324, 99325, 99326, 99327, 99328,99334, 99335, 99336, 99337, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350
WITHOUT
Telehealth Modifier: GQ, GT

Numerator

Patients (or caregiver(s), as appropriate) who had rehabilitative therapy options (e.g., physical, occupational, or speech therapy) discussed in the last 12 months

Numerator Options:
Performance Met: Rehabilitative therapy options discussed with patient (or caregiver) (4400F)
OR
Denominator Exception: Documentation of medical reason(s) for not discussing rehabilitative therapy options with patient (or caregiver) (4400F with 1P)
OR
Performance Not Met: Rehabilitative therapy options not discussed with patient (or caregiver), reason not otherwise specified (4400F with 8P)

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