The following tables list the ICD-9-CM, SNOMED-CT, and AMA-CPT that are associated with the clinical quality measures. For each set of codes, the relevant measure subjects and the associated codes for each of those subjects are given.
Table 1: ICD-9-CM Codes
Measure Subject |
Associated ICD-9-CM Codes |
Essential Hypertension |
401.0, 401.1, 401.9 |
BMI Management Follow-up Plan |
V65.3 |
BMI Percentile |
V85.5, V85.51, V85.52, V85.53, V85.54 |
Counseling for Nutrition |
V65.3 |
Counseling for Physical Activity |
V65.41 |
Dental Caries |
521.01, 521.02, 521.03, 521.09 |
ESRD |
38.95, 39.27, 39.42, 39.43, 39.53, 39.93, 39.94, 39.95, 54.98, 55.6, 55.61, 55.69, 585.5, 585.6, V42.0, V45.1, V45.11, V45.12, V56, V56.0, V56.1, V56.2, V56.3, V56.31, V56.32, V56.8 |
Pregnancy |
630-676.94, V22.0-V28.9 |
Table 2: SNOMED-CT Codes
Measure Subject |
Associated SNOMED-CT Codes |
Essential Hypertension |
10725009, 1201005, 371125006, 429198000, 429457004, 46481004, 52698002, 56218007, 59621000, 59720008, 62275004, 65518004, 78975002 |
Pregnancy |
16356006, 198624007, 198626009, 198627000, 239101008, 289908002, 31601007, 34801009, 38720006, 41991004, 43990006, 44782008, 60000008, 60810003, 64254006, 65147003, 69532007, 79290002, 79586000, 80997009, 82661006, 87605005, 90968009, 9899009 |
Terminal Illness |
162607003, 162608008, 300936002 |
ESRD |
194780003, 194781004, 236434000, 236435004, 236436003 |
Table 3: AMA-CPT Codes
Measure Subject |
Associated AMA-CPT Codes |
BMI Management Follow-up Plan |
43644, 43645, 43770, 43771, 43772, 43773, 43774, 43842, 43843, 43845, 43846, 43847, 43848, 97804, 98961, 98962, 99078 |
Counseling for Nutrition |
97802, 97803, 97804 |
Encounter Outpatient |
99201, 99202, 99203, 99204, 99205, 99211, 99212, 99213, 99214, 99215, 99217, 99218, 99219, 99220, 99241, 99242, 99243, 99244, 99245, 99341, 99342, 99343, 99344, 99345, 99347-99350, 99384, 99385, 99386, 99387, 99394, 99395, 99396, 99397, 99401, 99402, 99403, 99404, 99411, 99412, 99420, 99429, 99455, 99456 |
Tobacco Cessation Counseling |
99406, 99407 |
Counseling for Nutrition |
97802, 97803, 97804 |
Encounter Health and Behavior Assessment |
96150, 96152 |
Encounter Office Visit |
99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215 |
Encounter Prev Med Other Services |
99420, 99429 |
Encounter Prev Med Services 18 and Older |
99385, 99386, 99387, 99395, 99396, 99397 |
Encounter Prev Med-Individual counseling |
99401, 99402, 99403, 99404 |
Encounter Prev Med 40 and Older |
99386, 99387, 99396, 99397 |
Encounter Outpatient CPT with Clinician |
90801, 90802, 90804, 90805, 90806, 90807, 90808, 90809, 97001, 97003, 97802, 97803, 98960, 99201, 99202, 99203, 99204, 99205, 99211, 99212, 99213, 99214, 99215, 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350 |