Audiology Quality Consortium

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Step 1: Review Patient Eligibility and Codes for Each Measure

Each MIPS measure is reportable via the CMS-1500 claim form (or electronic equivalent) using Current Procedural Terminology (CPT) codes; International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) codes; and codes specific for each measure.

CPT Codes

  • Indicate the procedure performed on the patient.
  • Represent the measure’s denominator (the eligible patients for a measure) in conjunction with ICD-10-CM codes.

ICD-10-CM Codes

  • Indicate the patient’s diagnosis.
  • Represent the measure’s denominator (the eligible patients for a measure) in conjunction with CPT codes.

G-Codes and CPT Measure Codes

  • Represents the measure’s numerator (action that the measure requires for reporting and performance).
    • For Measures #130, #134, and #261, these are G-codes.
    • For Measures #154 and #155 (both; one is a follow-up measure to the other), and for Measure #226, these are CPT codes with the possibility of modifiers.

Audiology Quality Consortium Members

  • American Speech-Language-Hearing Association
  • American Academy of Audiology
  • Academy of Doctors of Audiology
  • Academy of Rehabilitative Audiology
  • Association of VA Audiologists
  • Directors of Speech and Hearing Programs in State Health and Welfare Agencies
  • Educational Audiology Association
  • Military Audiology Association
  • National Hearing Conservation Association
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