CPT Reporting Codes

Question 1

Medication list documented in medical record

Answer 1

1159F

Question 2

Review of all medications by prescriber or clinical pharmacist documented in medical record

Answer 2

1160F

Question 3

Functional status assessed

Answer 3

1170F

Question 4

Pain severity quantified, pain present

Answer 4

1125F

Question 5

Pain severity quantified, no pain present

Answer 5

1126F

Question 6

Most recent HbA1c level less that 7.0%

Answer 6

3044F

Question 7

Most recent HbA1c level greater than 9.0%

Answer 7

3046F

Question 8

Most recent HbA1c level >=7.0% and <8.0%

Answer 8

3051F

Question 9

Most recent HbA1c level >=8.0% and <=9.0%

Answer 9

3052F

Question 10

Most recent systolic blood pressure less than 130 mm Hg (Commercial)

Answer 10

3074F

Question 11

Most recent systolic blood pressure 130-139 mm Hg (Commercial)

Answer 11

3075F

Question 12

Most recent systolic blood pressure greater than or equal to 140 mm Hg (Commercial)

Answer 12

3077F

Question 13

Most recent diastolic blood pressure less than 80 mm Hg (Commercial)

Answer 13

3078F

Question 14

Most recent diastolic blood pressure 80-89 mm Hg (Commercial)

Answer 14

3079F

Question 15

Most recent diastolic blood pressure greater than or equal to 90 mm Hg (Commercial)

Answer 15

3080F

Question 16

Most recent systolic blood pressure <140 mm Hg (Medicare)

Answer 16

G8752

Question 17

Most recent systolic blood pressure >=140 mm Hg (Medicare)

Answer 17

G8753

Question 18

Most recent diastolic blood pressure <90 mm Hg (Medicare)

Answer 18

G8754

Question 19

Most recent diastolic blood pressure >=90 mm Hg

Answer 19

G8759

Question 20

No documentation of blood pressure measurement, reason not otherwise specified

Answer 20

G8759

Question 21

BMI 19.9 or less, adult

Answer 21

Z68.1

Question 22

BMI 20-20.9, adult

Answer 22

Z68.20

Question 23

BMI 21.0-21.9, adult

Answer 23

Z68.21

Question 24

BMI 22.0-22.9, adult

Answer 24

Z68.22

Question 25

BMI 23.0-23.9, adult

Answer 25

Z68.23

Question 26

BMI 24.0-24.9, adult

Answer 26

Z68.24

Question 27

BMI 25.0-25.9, adult

Answer 27

Z68.25

Question 28

BMI 26.0-26.9, adult

Answer 28

Z68.26

Question 29

BMI 27.0-27.9, adult

Answer 29

Z68.27

Question 30

BMI 28.0-28.9, adult

Answer 30

Z68.28

Question 31

BMI 29.0-29.9, adult

Answer 31

Z68.29

Question 32

BMI 30.0-30.9, adult

Answer 32

Z68.30

Question 33

BMI 31.0-31.9, adult

Answer 33

Z68.31

Question 34

BMI 32.0-32.9, adult

Answer 34

Z68.32

Question 35

BMI 33.0-33.9, adult

Answer 35

Z68.33

Question 36

BMI 34.0-34.9, adult

Answer 36

Z68.34

Question 37

BMI 35.0-35.9, adult

Answer 37

Z68.35

Question 38

BMI 36.0-36.9, adult

Answer 38

Z68.36

Question 39

BMI 37.0-37.9, adult

Answer 39

Z68.37

Question 40

BMI 38.0-38.9, adult

Answer 40

Z68.38

Question 41

BMI 39.0-39.9, adult

Answer 41

Z68.39

Question 42

BMI 40.0-44.9, adult

Answer 42

Z68.41

Question 43

BMI 45.0-49.9, adult

Answer 43

Z68.42

Question 44

BMI 50.0-59.9, adult

Answer 44

Z68.43

Question 45

BMI 60.0-69.9, adult

Answer 45

Z68.44

Question 46

BMI 70 or greater, adult

Answer 46

Z68.45

Question 47

BMI less than 5th percentile for age, pediatric

Answer 47

Z68.51

Question 48

BMI 5th percentile to less than 85th percentile for age, pediatric

Answer 48

Z68.52

Question 49

BMI 85th percentile to less than 95th percentile for age

Answer 49

Z68.53

Question 50

BMI greater than or equal to 95th percentile for age

Answer 50

Z68.54

Question 51

BMI documented

Answer 51

3008F

Question 52

BMI is documented as above normal parameters (>30) and a follow-up plan is documented

Answer 52

G8417

Question 53

BMI is documented as below normal parameters (<22) and a follow-up plan is documented

Answer 53

G8418

Question 54

BMI is documented outside of normal parameters, (>30 or <22) no follow up plan is documented, no reason given

Answer 54

G8419

Question 55

BMI is documented within normal parameters (<30 and >=22) and no follow up plan is required

Answer 55

G8420

Question 56

BMI not documented and no reason is given

Answer 56

G8421