Nephrology PQRI Measurements

Hello,

We are trying to put together an encounter form/superbill for a Nephrologist which includes codes for PQRI Measurement #123. Is there anyone willing to share what codes are specific to this measurement?

Thank you.

re: Nephrology PQRI Measurements

Numerator Quality-Data Coding Options for Reporting Satisfactorily:
Most Recent Hemoglobin level > 12.0 g/dL
(One Quality-Data code and one CPT® II code [G0908 and 4171F] are required on the claim form to submit this numerator option)
G0908: Most Recent Hemoglobin (Hgb) level >12.0 g/dL
AND
CPT® II 4171F: Patient receiving Erythropoiesis-Stimulating Agents (ESA) therapy
OR
Hemoglobin Level Measurement not Performed, Reason not Specified
(One Quality-Data code and one CPT® II code [G0909 and 4171F] are required on the claim form to submit this numerator option)
G0909: Hemoglobin level measurement not documented, reason not otherwise specified
AND
CPT® II 4171F: Patient receiving Erythropoiesis-Stimulating Agents (ESA) therapy
OR
Documented Clinicial Reason Patient is not Receiving Erythropoiesis-Stimulating Agent (ESA) Therapy, Patient is not Eligible
(One CPT® II code [4172F] is required on the claim form to submit this numerator option)
CPT® II 4172F: Patient not receiving Erythropoiesis-Stimulating Agents (ESA) therapy
Version 6.2 12/23/2011
CPT® only copyright 2011 American Medical Association. All rights reserved Page 279 of 655
OR
Most Recent Hemoglobin Level = 12.0 g/dL
(One Quality-Data code and one CPT® II code [G0910 and 4171F] are required on the claim form to submit this numerator option)
G0910: Most Recent Hemoglobin Level =12.0 g/dL
AND
CPT® II 4171F: Patient receiving Erythropoiesis-Stimulating Agents (ESA) therapy

re: Nephrology PQRI Measurements

or go here https://www.cms.gov/PQRS/15_MeasuresCodes.asp

scroll to bottom, open second zip file, go in there and open measures specification file, go to page 277