0509F Urinary incontinence plan of care documented
0518F Falls plan of care documented
0521F Plan of care to address pain documented
1031F Smoking status and exposure to second hand smoke in the home assessed
1032F Current tobacco smoker OR currently exposed to secondhand smoke
1033F Current tobacco non-smoker AND not currently exposed to secondhand smoke
1034F Current tobacco smoker
1035F Current smokeless tobacco user (chew, snuff)
1036F Current tobacco non-user
1090F Presence or absence of urinary incontinence assessed
1091F Urinary incontinence characterized (frequency, volume, timing, symptoms)
1100F Patient screened for fall risk; 2 or more falls in last year or fall with injury in last year
1101F Patient screened for fall risk; no falls in last year or 1 fall with no injury in last year
1111F Discharge medications reconciled with the current medication list in outpatient medical record
1125F Pain severity quantified, pain present
1126F Pain severity quantified, no pain present
1157F Advance care plan or similar legal document present in medical record
1158F Advance care planning discussion documented in medical record
1159F Medication list documented in medical record
1160F Review of all meds by prescriber or clinical pharmacists documented in med record
1170F Functional status assessed
2022F Dilated retinal eye exam interpreted by ophthalmologist/optometrist documented/reviewed
2024F 7 standard filed stereoscopic photos w/interpretation by eye professional documented/reviewed
2026F Eye imaging validated to match dx from 7 std stereoscopic photos results documented/reviewed
3044F Most recent HbA1c level less than 7.0%
3045F Most recent HbA1c level between 7.0 – 9.0%
3046F Most recent HbA1c level greater than 9.0%
3008F BMI documented
3048F Most recent LDL-C <100 dl="" mg="" nbsp="" p="">3049F Most recent LDL-C 100-129 mg/dL
3050F Most recent LDL-C >= 130 mg/dL
3060F Positive microalbuminuria test result documented and reviewed
3061F Negative microalbuminuria test result documented and reviewed
3062F Positive microalbuminuria test result documented & reviewed (confirm + with lab results)
3066F Documentation of tx for nephropathy (dialysis, ESRD, CRF, ARF, renal insufficiency, nephrologist visit)
3072F Low risk for retinopathy (no evidence of retinopathy in prior year)
3074F Most recent systolic blood pressure <130 hg="" mm="" nbsp="" p="">3075F Most recent systolic blood pressure 130-139 mm Hg
3077F Most recent systolic blood pressure >=140 mm Hg
3078F Most recent diastolic blood pressure <80 hg="" mm="" nbsp="" p="">3079F Most recent diastolic blood pressure 80-89 mm Hg
3080F Most recent diastolic blood pressure >=90 mm Hg
3725F Screening for depression performed
4000F Tobacco use cessation intervention, counseling
4001F Tobacco use cessation intervention, pharmacologic therapy
4004F Screened for tobacco use & received cessation intervention, counseling, &/or pharmacotherapy
4009F/4010F ACEI or ARB therapy prescribed or currently being taken (4009F for 2011, 4010F for 2012)
Category II Code Description
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