Table Of Content

Measure Abbreviation PIP Measure Title HEDIS Measure Title HEDIS/PIP CCS CQ04: Cervical Cancer Screening Cervical Cancer Screening HEDIS and PIP CDC CQ01: Diabetes HbA1c Test Comprehensive Diabetes Care CQ02: Diabetes HbA1c <8% CQ03: Diabetes Eye Exam HEDIS and PIP MPM CQ06: Labs for Patients on Persistent Medications Annual Monitoring for Patients on Persistent Medications HEDIS and PIP CBP CQ08: Controlling High Blood Pressure Controlling High Blood Pressure HEDIS and PIP IMA CQ09: Adolescent Immunizations Immunizations for Adolescents HEDIS and PIP W34 CQ11: Well Child Visits Well-Child Visits in the Third, Fourth, Fifth and Sixth Years of Life HEDIS and PIP CIS CQ10: Childhood Immunizations Childhood Immunization Status HEDIS and PIP PPC N/A Prenatal & Postpartum Care HEDIS only WCC N/A Weight Assessment Counseling HEDIS only MMA N/A Medication Management for People with Asthma HEDIS only AAB N/A Avoidance Antibiotics for Adults with Bronchitis HEDIS only CAP N/A Children's Access to Primary Care HEDIS only LBP N/A Use of Imaging Low Back Pain HEDIS only COL CQ05: Colorectal Cancer Screening Colorectal Cancer Screening PIP only SCI CQ07: Smoking Cessation Intervention N/A PIP only Column Heading Description Measure Abbreviation NCQA HEDIS measure abbreviation Indicator Some measures have multiple services required labeled here as indicators Code Industry standard alpha-numeric representation of service Code System Type of code: CPT, HCPCS, ICD 10CM, ICD 9CM, ICD 10PCS, ICD 9PCS, LOINC, UBREV Code Description Description of service HEDIS Value Set Name NCQA HEDIS collection of codes used for measure inclusion/exclusion Code Type SFHP's categorization of codes used to either include the member in the denominator (Denominator Inclusion), signal the member as complaint for the service (Numerator Compliance) or exclude the member from the eligible population (Exclusion Code) Detailed Code Type Detailed description of code type HEDIS/PIP HEDIS and PIP (green tab) Measure included in both SFHP's HEDIS reporting and the Practice Improvement Program (PIP) PIP only (blue tab) Measure included in PIP but SFHP does not report on it for HEDIS HEDIS only (orange tab) Measure reported on each year for HEDIS but not included in PIP PIP Measure Title Measure short description and title as used in SFHP's Practice Improvement Program (PIP) HEDIS Measure Title NCQA HEDIS full measure title Measure HEDIS Value Set Abbreviation Indicator Code Code System Code Description Name Code Type Detailed Code Type HEDIS/PIP PIP Measure Title HEDIS Measure Title CCS NA 51925 CPT CLSR VESICOUTERINE FSTL W/HYST Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 56308 CPT LAPAROSCOPY; HYSTERECTOMY Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 57540 CPT EXC CRV STUMP ABDL APPR Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 57545 CPT EXC CRV STUMP ABDL APPR W/PEL FLOOR RPR Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 57550 CPT EXC CRV STUMP VAG APPR Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 57555 CPT EXC CRV STUMP VAG APPR W/ANT&/POST RPR Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 57556 CPT EXC CRV STUMP VAG APPR W/RPR NTRCL Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 58150 CPT TAH +-RMVL TUBE +-RMVL OVARY Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 58152 CPT TAH +-RMVL TUBE OVARY COLPO-URTCSTOPEXY Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 58200 CPT TAH W/PRTL VAGNC PEL LYMPH NODE SAMPLING Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 58210 CPT RAD ABDL HYST W/BI PEL LMPHADEC Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 58240 CPT PEL EXNTJ GYNECOLOGIC MAL Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 58260 CPT VAG HYST 250 GM/< Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 58262 CPT VAG HYST 250 GM/< W/RMVL TUBE&/OVARY Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 58263 CPT VAG HYST 250 GM/< W/RMVL TUBE OVARY W/RPR NTRCL Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 58267 CPT VAG HYST 250 GM/< W/COLPO-URTCSTOPEXY Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 58270 CPT VAG HYST 250 GM/< W/RPR NTRCL Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 58275 CPT VAG HYST W/TOT/PRTL VAGNC Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 58280 CPT VAG HYST W/TOT/PRTL VAGNC W/RPR NTRCL Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 58285 CPT VAG HYST RAD SCHAUTA Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 58290 CPT VAG HYST F/UTER > 250 GM Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 58291 CPT VAG HYST > 250 GM RMVL TUBE&/OVARY Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 58292 CPT VAG HYST > 250 GM RMVL TUBE&/OVARY W/RPR NTRCL Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 58293 CPT VAG HYST > 250 GM COLPO-URTCSTOPEXY +-NDSC CTRL Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 58294 CPT VAG HYST > 250 GM RPR NTRCL Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 58548 CPT LAPS W/RAD HYST W/BILAT LMPHADEC RMVL TUBE/OVARY Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 58550 CPT LAPS W/VAG HYST 250 GM/< Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 58552 CPT LAPS W/VAG HYST 250 GM/< RMVL TUBE&/OVARY Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 58553 CPT LAPS W/VAG HYST > 250 GRAMS Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 58554 CPT LAPS VAG HYST > 250 GM RMVL TUBE&/OVARY Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 58570 CPT LAPAROSCOPY W TOTAL HYSTERECTOMY UTERUS 250 G/< Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 58571 CPT LAPS TOTAL HYSTERECTOMY 250 G/<W TUBE/OVARY Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 58572 CPT LAPAROSCOPY TOTAL HYSTERECTOMY UTERUS>250 G Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening LAPAROSCOPY TOT HYSTERECTOMY >250 G W CCS NA 58573 CPT TUBE/OVARY Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 58951 CPT RESCJ PRIM PRTL MAL W/BSO&OMNTC TAH&LMPHADEC Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 58953 CPT BSO W/OMNTC TAH&RAD DSJ DEBULKING Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 58954 CPT BSO W/OMNTC TAH DEBULKING W/LMPHADEC Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 58956 CPT BSO TOT OMNTC TAH MAL Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 59135 CPT TX ECTOPIC PREGNANCY NTRSTL REQ TOT HYST Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA Q51.5 ICD10CM Agenesis and aplasia of cervix Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA Z90.710 ICD10CM Acquired absence of both cervix and uterus Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA Z90.712 ICD10CM Acquired absence of cervix with remaining uterus Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 0UTC0ZZ ICD10PCS RESECTION CERVIX OPEN Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 0UTC4ZZ ICD10PCS RESECTION CERVIX PERCUTANEOUS ENDOSCOPIC Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 0UTC7ZZ ICD10PCS RESECTION CERVIX VIA NATURAL/ARTIFICIAL OPENING Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 0UTC8ZZ ICD10PCS RESECTION CERVIX VIA NATURAL/ARTIF OPENING ENDO Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 618.5 ICD9CM PROLAPSE OF VAGINAL VAULT AFTER HYSTERECTOMY Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 752.43 ICD9CM Cervical agenesis Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA V88.01 ICD9CM ACQUIRED ABSENCE OF BOTH CERVIX AND UTERUS Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening Measure HEDIS Value Set Abbreviation Indicator Code Code System Code Description Name Code Type Detailed Code Type HEDIS/PIP PIP Measure Title HEDIS Measure Title CCS NA V88.03 ICD9CM ACQUIRED ABSENCE OF CERVIX WITH REMAINING UTERUS Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 68.41 ICD9PCS LAPAROSCOPIC TOTAL ABDOMINAL HYSTERECTOMY Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening OTHER & UNSPECIFIED TOTAL ABDOMINAL CCS NA 68.49 ICD9PCS HYSTERECTOMY Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 68.51 ICD9PCS LAPAROSCOPICALLY ASSISTED VAGINAL HYSTERECTOMY Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 68.59 ICD9PCS OTHER VAGINAL HYSTERECTOMY Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 68.61 ICD9PCS LAPAROSCOPIC RADICAL ABDOMINAL HYSTERECTOMY Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening OTHER&UNSPECIFIED RADICAL ABDOMINAL CCS NA 68.69 ICD9PCS HYSTERECTOMY Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 68.71 ICD9PCS LAPAROSCOPIC RADICAL VAGINAL HYSTERECTOMY Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 68.79 ICD9PCS OTHER & UNSPECIFIED RADICAL VAGINAL HYSTERECTOMY Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 68.8 ICD9PCS PELVIC EVISCERATION Absence of Cervix Exclusion Code Codes to idenfity patients excluded from measure HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 88141 CPT CYTP C/V REQ INTERPJ PHYS Cervical Cytology Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 88142 CPT CYTP C/V FLU AUTO THIN MNL PHYS Cervical Cytology Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 88143 CPT CYTP C/V FLU AUTO THIN MNL SCR&RESCR PHYS Cervical Cytology Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 88147 CPT CYTP SMRS C/V SCR AUTO SYS PHYS Cervical Cytology Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 88148 CPT CYTP SMRS C/V SCR AUTO SYS MNL RESCR PHYS Cervical Cytology Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 88150 CPT CYTP SLIDES C/V MNL SCR UNDER PHYS Cervical Cytology Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 88152 CPT CYTP SLIDES C/V MNL SCR&CPTR RESCR PHYS Cervical Cytology Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 88153 CPT CYTP SLIDES C/V MNL SCR&RESCR PHYS Cervical Cytology Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 88154 CPT CYTP SLIDES C/V MNL SCR&CPTR-RESCR CELL S&R PHYS Cervical Cytology Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 88164 CPT CYTP SLIDES C/V MNL SCR PHYS Cervical Cytology Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 88165 CPT CYTP SLIDES C/V MNL SCR&RESCR PHYS Cervical Cytology Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 88166 CPT CYTP SLIDES C/V MNL SCR&CPTR RESCR PHYS Cervical Cytology Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 88167 CPT CYTP SLIDES C/V MNL SCR&CPTR RESCR CELL S&R PHYS Cervical Cytology Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 88174 CPT CYTP C/V AUTO THIN LYR PREPJ SCR SYS PHYS Cervical Cytology Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 88175 CPT CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS Cervical Cytology Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA G0123 HCPCS SCR CYTOPATH CERV/VAG SCR CYTOTECH UND PHYS SUPV Cervical Cytology Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA G0124 HCPCS SCR CYTOPATH CERV/VAG THIN LAY PREP INTEPR PHYS Cervical Cytology Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA G0141 HCPCS SCR CYTOPATH SMER CERV/VAG MNL RSCR INTEPR PHYS Cervical Cytology Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA G0143 HCPCS SCR CYTOPATH CERV/VAG MNL SCR&RSCR UND PHYS Cervical Cytology Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA G0144 HCPCS SCR CYTOPATH CERV/VAG THIN LAY SCR AUTO UND PHYS Cervical Cytology Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA G0145 HCPCS SCR CYTOPATH CERV/VAG SCR AUTO&MNL RSCR PHYS Cervical Cytology Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA G0147 HCPCS SCR CYTOPATH SMERS CERV/VAG AUTO UND PHYS SUPV Cervical Cytology Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening SCR CYTOPATH SMERS CERV/VAG AUTO SYS W/MNL CCS NA G0148 HCPCS RESCR Cervical Cytology Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA P3000 HCPCS SCR PAP SMEAR UP TO 3 SMEARS TECH UND PHYS SUPV Cervical Cytology Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA P3001 HCPCS SCR PAP SMER CERV/VAG TO 3 SMERS RQR INTEPR PHYS Cervical Cytology Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening Measure HEDIS Value Set Abbreviation Indicator Code Code System Code Description Name Code Type Detailed Code Type HEDIS/PIP PIP Measure Title HEDIS Measure Title CCS NA Q0091 HCPCS SCREEN PAP SMEAR; OBTAIN PREP &C ONVEY TO LAB Cervical Cytology Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 10524-7 LOINC Microscopic observation [Identifier] in Cervix by Cyto stain Cervical Cytology Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening Microscopic observation [Identifier] in Cervix by Cyto CCS NA 18500-9 LOINC stain.thin prep Cervical Cytology Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening General categories [interpretation] of Cervical or vaginal CCS NA 19762-4 LOINC smear or scraping by Cyto stain Cervical Cytology Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening Statement of adequacy [interpretation] of Cervical or CCS NA 19764-0 LOINC vaginal smear or scraping by Cyto stain Cervical Cytology Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening Microscopic observation [Identifier] in Cervical or vaginal CCS NA 19765-7 LOINC smear or scraping by Cyto stain Cervical Cytology Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening Microscopic observation [Identifier] in Cervical or vaginal CCS NA 19766-5 LOINC smear or scraping by Cyto stain Narrative Cervical Cytology Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening Cytology study comment Cervical or vaginal smear or CCS NA 19774-9 LOINC scraping Cyto stain Cervical Cytology Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 33717-0 LOINC Cytology Cervical or vaginal smear or scraping study Cervical Cytology Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening Cytology report of Cervical or vaginal smear or scraping CCS NA 47527-7 LOINC Cyto stain.thin prep Cervical Cytology Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening Cytology report of Cervical or vaginal smear or scraping CCS NA 47528-5 LOINC Cyto stain Cervical Cytology Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 0923 UBREV Other Diagnostic Services: Pap smear Cervical Cytology Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 87620 CPT IADNA PAPLMVIRUS HUMAN DIR PRB HPV Tests Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 87621 CPT IADNA PAPLMVIRUS HUMAN AMP PRB HPV Tests Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 87622 CPT IADNA PAPLMVIRUS HUMAN QUAN HPV Tests Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening Human papilloma virus 16+18+31+33+35+45+51+52+56 CCS NA 21440-3 LOINC DNA [Presence] in Cervix by DNA probe HPV Tests Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening Human papilloma virus 16+18+31+33+35+39+45+51+52+56+58+59+68 DNA [Presence] in Cervix by Probe and signal amplification CCS NA 30167-1 LOINC method HPV Tests Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening Human papilloma virus 6+11+16+18+31+33+35+39+42+43+44+45+51+52+56 +58+59+68 DNA [Presence] in Cervix by Probe and signal CCS NA 38372-9 LOINC amplification method HPV Tests Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening Human papilloma virus 16+18+31+33+35+39+45+51+52+56+58+59+68 DNA [Presence] in Unspecified specimen by Probe and target CCS NA 49896-4 LOINC amplification method HPV Tests Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening Human papilloma virus 16+18+31+33+35+39+45+51+52+56+58+59+66+68 DNA [Presence] in Cervix by Probe and signal amplification CCS NA 59420-0 LOINC method HPV Tests Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 75406-9 LOINC NULL HPV Tests Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening CCS NA 75694-0 LOINC NULL HPV Tests Numerator Compliance Codes to identify cervical cancer screenings HEDIS/PIP CQ04: Cervical Cancer Screening Cervical Cancer Screening Measure Code Abbreviation Indicator Code System Code Description HEDIS Value Set Name Code Type Detailed Code Type HEDIS/PIP PIP Measure Title HEDIS Measure Title CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0100 UBREV All Inclusive Rate Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0101 UBREV All Inclusive Rate Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0110 UBREV Room & Board (Private) Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0111 UBREV Medical/Surgical/Gyn Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0112 UBREV OB Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0113 UBREV Pediatric Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0114 UBREV Psychiatric Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0119 UBREV Other Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0120 UBREV Room & Board (Semi-Private 2 beds) Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0121 UBREV Medical/Surgical/Gyn Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0122 UBREV OB Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0123 UBREV Pediatric Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0124 UBREV Psychiatric Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0129 UBREV Other Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0130 UBREV Room&Board (Semi private 3-4 beds) Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0131 UBREV Medical/Surgical/Gyn Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0132 UBREV OB Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0133 UBREV Pediatric Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0134 UBREV Psychiatric Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0139 UBREV Other Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0140 UBREV Room & Board (Private Deluxe) Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0141 UBREV Medical/Surgical/Gyn Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0142 UBREV OB Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0143 UBREV Pediatric Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0144 UBREV Psychiatric Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care Measure Code Abbreviation Indicator Code System Code Description HEDIS Value Set Name Code Type Detailed Code Type HEDIS/PIP PIP Measure Title HEDIS Measure Title CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0149 UBREV Other Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0150 UBREV Room & Board (Ward) Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0151 UBREV Medical/Surgical/Gyn Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0152 UBREV OB Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0153 UBREV Pediatric Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0154 UBREV Psychiatric Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0159 UBREV Other Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0160 UBREV Room & Board (other) Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0164 UBREV Sterile Environment Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0167 UBREV Self care Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0169 UBREV Other Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0200 UBREV Intensive care Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0201 UBREV Surgical Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0202 UBREV Medical Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0203 UBREV Pediatric Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0204 UBREV Psychiatric Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0206 UBREV Intermediate ICU Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0207 UBREV Burn care Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0208 UBREV Trauma Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0209 UBREV Other intensive care Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0210 UBREV Coronary care Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0211 UBREV Myocardial Infarction Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0212 UBREV Pulmonary Care Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0213 UBREV Heart Transplant Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0214 UBREV Intermediate CCU Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care Measure Code Abbreviation Indicator Code System Code Description HEDIS Value Set Name Code Type Detailed Code Type HEDIS/PIP PIP Measure Title HEDIS Measure Title CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0219 UBREV Other Coronary Care Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0720 UBREV Labor Room Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0721 UBREV Labor Room: Labor Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0722 UBREV Labor Room: Delivery Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0723 UBREV Labor Room: Circumcision Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0724 UBREV Labor Room: Birthing center Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0729 UBREV Labor Room: Other labor room/delivery Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 0987 UBREV Professional fees (096x) Hospital visit Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 99221 CPT 1ST HOSP CARE PR D 30 MIN Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 99222 CPT 1ST HOSP CARE PR D 50 MIN Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 99223 CPT 1ST HOSP CARE PR D 70 MIN Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 99231 CPT SBSQ HOSP CARE PR D 15 MIN Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 99232 CPT SBSQ HOSP CARE PR D 25 MIN Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 99233 CPT SBSQ HOSP CARE PR D 35 MIN Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 99238 CPT HOSP DSCHRG D MGMT 30 MIN/< Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 99239 CPT HOSP DSCHRG D MGMT > 30 MIN Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 99251 CPT 1ST INPT CONSLTJ 20 MIN Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 99252 CPT 1ST INPT CONSLTJ 40 MIN Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 99253 CPT 1ST INPT CONSLTJ 55 MIN Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 99254 CPT 1ST INPT CONSLTJ 80 MIN Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 99255 CPT 1ST INPT CONSLTJ 110 MIN Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CC E/M CRITICALLY ILL/INJURED 1ST 30- CQ02: Diabetes HbA1c <8% CDC NA 99291 CPT 74 MIN Acute Inpatient Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test DIAB W/O COMP TYPE II/UNS NOT CQ02: Diabetes HbA1c <8% CDC NA 250.00 ICD9CM STATED UNCNTRL Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test DIAB W/O COMP TYPE I [JUV] NOT CQ02: Diabetes HbA1c <8% CDC NA 250.01 ICD9CM STATED UNCNTRL Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test DIAB W/O MENTION COMP TYPE II/UNS CQ02: Diabetes HbA1c <8% CDC NA 250.02 ICD9CM TYPE UNCNTRL Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care Measure Code Abbreviation Indicator Code System Code Description HEDIS Value Set Name Code Type Detailed Code Type HEDIS/PIP PIP Measure Title HEDIS Measure Title CQ01: Diabetes HbA1c Test DIAB W/O MENTION COMP TYPE I [JUV CQ02: Diabetes HbA1c <8% CDC NA 250.03 ICD9CM TYPE] UNCNTRL Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test DIAB W/KETOACIDOS TYPE II/UNS NOT CQ02: Diabetes HbA1c <8% CDC NA 250.10 ICD9CM STATED UNCNTRL Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test DIAB W/KETOACIDOS TYPE I [JUV] NOT CQ02: Diabetes HbA1c <8% CDC NA 250.11 ICD9CM STATE UNCNTRL Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test DIABETES W/KETOACIDOSIS TYPE CQ02: Diabetes HbA1c <8% CDC NA 250.12 ICD9CM II/UNS TYPE UNCNTRL Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test DIABETES W/KETOACIDOSIS TYPE I CQ02: Diabetes HbA1c <8% CDC NA 250.13 ICD9CM [JUV] UNCNTRL Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test DIAB W/HYPEROSMOLARITY TYPE II/UNS CQ02: Diabetes HbA1c <8% CDC NA 250.20 ICD9CM NOT UNCNTRL Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test DIAB W/HYPEROSMOLARITY TYPE I [JUV] CQ02: Diabetes HbA1c <8% CDC NA 250.21 ICD9CM NOT UNCNTRL Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test DIAB W/HYPEROSMOLARITY TYPE II/UNS CQ02: Diabetes HbA1c <8% CDC NA 250.22 ICD9CM TYPE UNCNTRL Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test DIAB W/HYPEROSMOLARITY TYPE I [JUV CQ02: Diabetes HbA1c <8% CDC NA 250.23 ICD9CM TYPE] UNCNTRL Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test DIAB W/OTH COMA TYPE II/UNS NOT CQ02: Diabetes HbA1c <8% CDC NA 250.30 ICD9CM STATED UNCNTRL Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test DIAB W/OTH COMA TYPE I [JUV] NOT CQ02: Diabetes HbA1c <8% CDC NA 250.31 ICD9CM STATED UNCNTRL Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test DIABETES W/OTH COMA TYPE II/UNS CQ02: Diabetes HbA1c <8% CDC NA 250.32 ICD9CM UNCONTROLLED Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test DIABETES W/OTH COMA TYPE I [JUV] CQ02: Diabetes HbA1c <8% CDC NA 250.33 ICD9CM UNCONTROLLED Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test DIAB W/RENAL MANIFESTS TYPE II/UNS CQ02: Diabetes HbA1c <8% CDC NA 250.40 ICD9CM NOT UNCNTRL Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test DIAB W/RENAL MANIFESTS TYPE I [JUV] CQ02: Diabetes HbA1c <8% CDC NA 250.41 ICD9CM NOT UNCNTRL Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test DIAB W/RENAL MANIFESTS TYPE II/UNS CQ02: Diabetes HbA1c <8% CDC NA 250.42 ICD9CM TYPE UNCNTRL Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test DIAB W/RENAL MANIFESTS TYPE I [JUV CQ02: Diabetes HbA1c <8% CDC NA 250.43 ICD9CM TYPE] UNCNTRL Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test DIAB W/OPHTH MANIFESTS TYPE II/UNS CQ02: Diabetes HbA1c <8% CDC NA 250.50 ICD9CM NOT UNCNTRL Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test DIAB W/OPHTH MANIFESTS TYPE I [JUV] CQ02: Diabetes HbA1c <8% CDC NA 250.51 ICD9CM NOT UNCNTRL Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test DIAB W/OPHTH MANIFESTS TYPE II/UNS CQ02: Diabetes HbA1c <8% CDC NA 250.52 ICD9CM TYPE UNCNTRL Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test DIAB W/OPHTH MANIFESTS TYPE I [JUV CQ02: Diabetes HbA1c <8% CDC NA 250.53 ICD9CM TYPE] UNCNTRL Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test DIAB W/NEURO MANIFESTS TYPE II/UNS CQ02: Diabetes HbA1c <8% CDC NA 250.60 ICD9CM NOT UNCNTRL Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test DIAB W/NEURO MANIFESTS TYPE I [JUV] CQ02: Diabetes HbA1c <8% CDC NA 250.61 ICD9CM NOT UNCNTRL Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test DIAB W/NEURO MANIFESTS TYPE II/UNS CQ02: Diabetes HbA1c <8% CDC NA 250.62 ICD9CM TYPE UNCNTRL Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test DIAB W/NEURO MANIFESTS TYPE I [JUV CQ02: Diabetes HbA1c <8% CDC NA 250.63 ICD9CM TYPE] UNCNTRL Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care Measure Code Abbreviation Indicator Code System Code Description HEDIS Value Set Name Code Type Detailed Code Type HEDIS/PIP PIP Measure Title HEDIS Measure Title CQ01: Diabetes HbA1c Test DIAB W/PERIPH CIRC D/O TYPE II/UNS CQ02: Diabetes HbA1c <8% CDC NA 250.70 ICD9CM NOT UNCNTRL Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test DIAB W/PERIPH CIRC D/O TYPE I [JUV] CQ02: Diabetes HbA1c <8% CDC NA 250.71 ICD9CM NOT UNCNTRL Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test DIAB W/PERIPH CIRC D/O TYPE II/UNS CQ02: Diabetes HbA1c <8% CDC NA 250.72 ICD9CM TYPE UNCNTRL Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test DIAB W/PERIPH CIRC D/O TYPE I [JUV CQ02: Diabetes HbA1c <8% CDC NA 250.73 ICD9CM TYPE] UNCNTRL Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test DIAB W/OTH MANIFESTS TYPE II/UNS CQ02: Diabetes HbA1c <8% CDC NA 250.80 ICD9CM NOT UNCNTRL Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test DIAB W/OTH MANIFESTS TYPE I [JUV] CQ02: Diabetes HbA1c <8% CDC NA 250.81 ICD9CM NOT UNCNTRL Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test DIAB W/OTH MANIFESTS TYPE II/UNS CQ02: Diabetes HbA1c <8% CDC NA 250.82 ICD9CM TYPE UNCNTRL Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test DIAB W/OTH MANIFESTS TYPE I [JUV CQ02: Diabetes HbA1c <8% CDC NA 250.83 ICD9CM TYPE] UNCNTRL Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test DIAB W/UNS COMP TYPE II/UNS NOT CQ02: Diabetes HbA1c <8% CDC NA 250.90 ICD9CM STATED UNCNTRL Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test DIAB W/UNS COMP TYPE I [JUV] NOT CQ02: Diabetes HbA1c <8% CDC NA 250.91 ICD9CM STATED UNCNTRL Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test DIAB W/UNSPEC COMP TYPE II/UNSPEC CQ02: Diabetes HbA1c <8% CDC NA 250.92 ICD9CM TYPE UNCNTRL Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test DIAB W/UNSPEC COMP TYPE I [JUV TYPE] CQ02: Diabetes HbA1c <8% CDC NA 250.93 ICD9CM UNCNTRL Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 357.2 ICD9CM POLYNEUROPATHY IN DIABETES Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 362.01 ICD9CM BACKGROUND DIABETIC RETINOPATHY Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 362.02 ICD9CM PROLIFERATIVE DIABETIC RETINOPATHY Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test NONPROLIFERATIVE DIABETIC CQ02: Diabetes HbA1c <8% CDC NA 362.03 ICD9CM RETINOPATHY NOS Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test MILD NONPROLIFERATIVE DIABETIC CQ02: Diabetes HbA1c <8% CDC NA 362.04 ICD9CM RETINOPATHY Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test MODERATE NONPROLIFERATIVE CQ02: Diabetes HbA1c <8% CDC NA 362.05 ICD9CM DIABETIC RETINOPATHY Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test SEVERE NONPROLIFERATIVE DIABETIC CQ02: Diabetes HbA1c <8% CDC NA 362.06 ICD9CM RETINOPATHY Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 362.07 ICD9CM DIABETIC MACULAR EDEMA Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test CQ02: Diabetes HbA1c <8% CDC NA 366.41 ICD9CM DIABETIC CATARACT Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test MTRN DM COMP PG CHLDBRTH/THE CQ02: Diabetes HbA1c <8% CDC NA 648.00 ICD9CM PUERPERIUM UNS EOC Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test MATERNAL DIABETES MELLITUS WITH CQ02: Diabetes HbA1c <8% CDC NA 648.01 ICD9CM DELIVERY Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test MATERNAL DM W/DELIVERY W/CURRENT CQ02: Diabetes HbA1c <8% CDC NA 648.02 ICD9CM PPC Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test MATERNAL DIABETES MELLITUS CQ02: Diabetes HbA1c <8% CDC NA 648.03 ICD9CM ANTEPARTUM Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care Measure Code Abbreviation Indicator Code System Code Description HEDIS Value Set Name Code Type Detailed Code Type HEDIS/PIP PIP Measure Title HEDIS Measure Title CQ01: Diabetes HbA1c Test MATERNAL DM PREVIOUS POSTPARTUM CQ02: Diabetes HbA1c <8% CDC NA 648.04 ICD9CM CONDITION Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test Type 1 diabetes mellitus with ketoacidosis CQ02: Diabetes HbA1c <8% CDC NA E10.10 ICD10CM without coma Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test Type 1 diabetes mellitus with ketoacidosis CQ02: Diabetes HbA1c <8% CDC NA E10.11 ICD10CM with coma Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test Type 1 diabetes mellitus with diabetic CQ02: Diabetes HbA1c <8% CDC NA E10.21 ICD10CM nephropathy Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test Type 1 diabetes mellitus with diabetic CQ02: Diabetes HbA1c <8% CDC NA E10.22 ICD10CM chronic kidney disease Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test Type 1 diabetes mellitus with other CQ02: Diabetes HbA1c <8% CDC NA E10.29 ICD10CM diabetic kidney complication Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test Type 1 diabetes mellitus with unspecified CQ02: Diabetes HbA1c <8% CDC NA E10.311 ICD10CM diabetic retinopathy with macular edema Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care Type 1 diabetes mellitus with unspecified CQ01: Diabetes HbA1c Test diabetic retinopathy without macular CQ02: Diabetes HbA1c <8% CDC NA E10.319 ICD10CM edema Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care Type 1 diabetes mellitus with mild CQ01: Diabetes HbA1c Test nonproliferative diabetic retinopathy with CQ02: Diabetes HbA1c <8% CDC NA E10.321 ICD10CM macular edema Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care Type 1 diabetes mellitus with mild CQ01: Diabetes HbA1c Test nonproliferative diabetic retinopathy CQ02: Diabetes HbA1c <8% CDC NA E10.329 ICD10CM without macular edema Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care Type 1 diabetes mellitus with moderate CQ01: Diabetes HbA1c Test nonproliferative diabetic retinopathy with CQ02: Diabetes HbA1c <8% CDC NA E10.331 ICD10CM macular edema Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care Type 1 diabetes mellitus with moderate CQ01: Diabetes HbA1c Test nonproliferative diabetic retinopathy CQ02: Diabetes HbA1c <8% CDC NA E10.339 ICD10CM without macular edema Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care Type 1 diabetes mellitus with severe CQ01: Diabetes HbA1c Test nonproliferative diabetic retinopathy with CQ02: Diabetes HbA1c <8% CDC NA E10.341 ICD10CM macular edema Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care Type 1 diabetes mellitus with severe CQ01: Diabetes HbA1c Test nonproliferative diabetic retinopathy CQ02: Diabetes HbA1c <8% CDC NA E10.349 ICD10CM without macular edema Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test Type 1 diabetes mellitus with proliferative CQ02: Diabetes HbA1c <8% CDC NA E10.351 ICD10CM diabetic retinopathy with macular edema Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care Type 1 diabetes mellitus with proliferative CQ01: Diabetes HbA1c Test diabetic retinopathy without macular CQ02: Diabetes HbA1c <8% CDC NA E10.359 ICD10CM edema Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test Type 1 diabetes mellitus with diabetic CQ02: Diabetes HbA1c <8% CDC NA E10.36 ICD10CM cataract Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test Type 1 diabetes mellitus with other CQ02: Diabetes HbA1c <8% CDC NA E10.39 ICD10CM diabetic ophthalmic complication Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test Type 1 diabetes mellitus with diabetic CQ02: Diabetes HbA1c <8% CDC NA E10.40 ICD10CM neuropathy, unspecified Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test Type 1 diabetes mellitus with diabetic CQ02: Diabetes HbA1c <8% CDC NA E10.41 ICD10CM mononeuropathy Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test Type 1 diabetes mellitus with diabetic CQ02: Diabetes HbA1c <8% CDC NA E10.42 ICD10CM polyneuropathy Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test Type 1 diabetes mellitus with diabetic CQ02: Diabetes HbA1c <8% CDC NA E10.43 ICD10CM autonomic (poly)neuropathy Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test Type 1 diabetes mellitus with diabetic CQ02: Diabetes HbA1c <8% CDC NA E10.44 ICD10CM amyotrophy Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test Type 1 diabetes mellitus with other CQ02: Diabetes HbA1c <8% CDC NA E10.49 ICD10CM diabetic neurological complication Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care CQ01: Diabetes HbA1c Test Type 1 diabetes mellitus with diabetic CQ02: Diabetes HbA1c <8% CDC NA E10.51 ICD10CM peripheral angiopathy without gangrene Diabetes Denominator Inclusion Codes to idenfity patients with diabetes HEDIS/PIP CQ03: Diabetes Eye Exam Comprehensive Diabetes Care

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19762-4. LOINC. General categories [interpretation] of Cervical or vaginal smear or scraping by Cyto stain. Cervical Cytology. Numerator Compliance.

Measure Abbreviation PIP Measure Title HEDIS Measure Title HEDIS/PIP CCS CQ04 PDF

519 Pages·2015·7.28 MB·English

by Caravello, Cassandra

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by Caravello, Cassandra| 2015| 519 pages| 7.28| English

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About Measure Abbreviation PIP Measure Title HEDIS Measure Title HEDIS/PIP CCS CQ04

19762-4. LOINC. General categories [interpretation] of Cervical or vaginal smear or scraping by Cyto stain. Cervical Cytology. Numerator Compliance.

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Author:	Caravello, Cassandra
Publication Year:	2015
Pages:	519
Language:	English
File Size:	7.28
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