PT ‐ 2020 Measure Value Set_Statin Therapy
Numerator Medication Set Description Prescription
Atorvastatin High Intensity Medications List High‐intensity statin therapy Atorvastatin 40‐80 mg
Amlodipine‐atorvastatin Amlodipine Atorvastatin High Intensity Medications List High‐intensity statin therapy 40‐80 mg
Rosuvastatin High Intensity Medications List High‐intensity statin therapy Rosuvastatin 20‐40 mg
Simvastatin High Intensity Medications List High‐intensity statin therapy Simvastatin 80 mg
Ezetimibe‐simvastatin 80 Ezetimibe Simvastatin High Intensity Medications List High‐intensity statin therapy mg
Atorvastatin Moderate Intensity Medications List Moderate‐intensity statin therapy Atorvastatin 10‐20 mg
Amlodipine Atorvastatin Moderate Intensity Medications Amlodipine‐atorvastatin Moderate‐intensity statin therapy List 10‐20 mg
Rosuvastatin Moderate Intensity Medications List Moderate‐intensity statin therapy Rosuvastatin 5‐10 mg
Simvastatin Moderate Intensity Medications List Moderate‐intensity statin therapy Simvastatin 20‐40 mg
Ezetimibe Simvastatin Moderate Intensity Medications Ezetimibe‐simvastatin 20‐ Moderate‐intensity statin therapy List 40 mg
Pravastatin Moderate Intensity Medications List Moderate‐intensity statin therapy Pravastatin 40‐80 mg
Lovastatin Moderate Intensity Medications List Moderate‐intensity statin therapy Lovastatin 40 mg
Fluvastatin Moderate Intensity Medications List Moderate‐intensity statin therapy Fluvastatin 40‐80 mg
1 of 64 December 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Numerator Medication Set Description Prescription
Pitavastatin Moderate Intensity Medications List Moderate‐intensity statin therapy Pitavastatin 2–4 mg
2 of 64 December 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System MI I21.01 [I21.01] ST elevation (STEMI) myocardial infarction involving left maICD10CM MI I21.02 [I21.02] ST elevation (STEMI) myocardial infarction involving left anICD10CM MI I21.09 [I21.09] ST elevation (STEMI) myocardial infarction involving other ICD10CM MI I21.11 [I21.11] ST elevation (STEMI) myocardial infarction involving right c ICD10CM MI I21.19 [I21.19] ST elevation (STEMI) myocardial infarction involving other ICD10CM MI I21.21 [I21.21] ST elevation (STEMI) myocardial infarction involving left cirICD10CM MI I21.29 [I21.29] ST elevation (STEMI) myocardial infarction involving other ICD10CM MI I21.3 [I21.3] ST elevation (STEMI) myocardial infarction of unspecified sit ICD10CM MI I21.4 [I21.4] Non‐ST elevation (NSTEMI) myocardial infarction ICD10CM MI I21.9 [I21.9] Acute myocardial infarction, unspecified ICD10CM MI I21.A1 [I21.A1] Myocardial infarction type 2 ICD10CM MI I21.A9 [I21.A9] Other myocardial infarction type ICD10CM MI I22.0 [I22.0] Subsequent ST elevation (STEMI) myocardial infarction of anICD10CM MI I22.1 [I22.1] Subsequent ST elevation (STEMI) myocardial infarction of infICD10CM MI I22.2 [I22.2] Subsequent non‐ST elevation (NSTEMI) myocardial infarctio ICD10CM MI I22.8 [I22.8] Subsequent ST elevation (STEMI) myocardial infarction of ot ICD10CM MI I22.9 [I22.9] Subsequent ST elevation (STEMI) myocardial infarction of unICD10CM MI I23.0 [I23.0] Hemopericardium as current complication following acute mICD10CM MI I23.1 [I23.1] Atrial septal defect as current complication following acute mICD10CM MI I23.2 [I23.2] Ventricular septal defect as current complication following aICD10CM MI I23.3 [I23.3] Rupture of cardiac wall without hemopericardium as curren ICD10CM MI I23.4 [I23.4] Rupture of chordae tendineae as current complication followICD10CM MI I23.5 [I23.5] Rupture of papillary muscle as current complication followinICD10CM MI I23.6 [I23.6] Thrombosis of atrium, auricular appendage, and ventricle asICD10CM MI I23.7 [I23.7] Postinfarction angina ICD10CM MI I23.8 [I23.8] Other current complications following acute myocardial infaICD10CM MI I25.2 [I25.2] Old myocardial infarction ICD10CM MI 282006 Acute myocardial infarction of basal‐lateral wall (disorder) SNOMED CT US Edition MI 1755008 Old myocardial infarction (disorder) SNOMED CT US Edition MI 10273003 Acute infarction of papillary muscle (disorder) SNOMED CT US Edition MI 15990001 Acute myocardial infarction of posterolateral wall (disorder) SNOMED CT US Edition MI 22298006 Myocardial infarction (disorder) SNOMED CT US Edition
3 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System MI 30277009 Acute myocardial infarction with rupture of ventricle (disorder) SNOMED CT US Edition MI 32574007 Past myocardial infarction diagnosed on electrocardiogram AND/O SNOMED CT US Edition MI 42531007 Microinfarct of heart (disorder) SNOMED CT US Edition MI 52035003 Acute anteroapical myocardial infarction (disorder) SNOMED CT US Edition MI 54329005 Acute myocardial infarction of anterior wall (disorder) SNOMED CT US Edition MI 57054005 Acute myocardial infarction (disorder) SNOMED CT US Edition MI 58612006 Acute myocardial infarction of lateral wall (disorder) SNOMED CT US Edition MI 59063002 Acute myocardial infarction of apical‐lateral wall (disorder) SNOMED CT US Edition MI 62695002 Acute anteroseptal myocardial infarction (disorder) SNOMED CT US Edition MI 64627002 Acute myocardial infarction of high lateral wall (disorder) SNOMED CT US Edition MI 65547006 Acute myocardial infarction of inferolateral wall (disorder) SNOMED CT US Edition MI 70211005 Acute myocardial infarction of anterolateral wall (disorder) SNOMED CT US Edition MI 70422006 Acute subendocardial infarction (disorder) SNOMED CT US Edition MI 70998009 Acute myocardial infarction of posterobasal wall (disorder) SNOMED CT US Edition MI 73795002 Acute myocardial infarction of inferior wall (disorder) SNOMED CT US Edition MI 76593002 Acute myocardial infarction of inferoposterior wall (disorder) SNOMED CT US Edition MI 79009004 Acute myocardial infarction of septum (disorder) SNOMED CT US Edition MI 129574000Postoperative myocardial infarction (disorder) SNOMED CT US Edition MI 194802003True posterior myocardial infarction (disorder) SNOMED CT US Edition MI 194809007Acute atrial infarction (disorder) SNOMED CT US Edition MI 194856005Subsequent myocardial infarction (disorder) SNOMED CT US Edition MI 194857001Subsequent myocardial infarction of anterior wall (disorder) SNOMED CT US Edition MI 194858006Subsequent myocardial infarction of inferior wall (disorder) SNOMED CT US Edition MI 233825009Acute Q wave infarction ‐ anteroseptal (disorder) SNOMED CT US Edition MI 233826005Acute non‐Q wave infarction ‐ anteroseptal (disorder) SNOMED CT US Edition MI 233827001Acute Q wave infarction ‐ anterolateral (disorder) SNOMED CT US Edition MI 233828006Acute non‐Q wave infarction ‐ anterolateral (disorder) SNOMED CT US Edition MI 233829003Acute Q wave infarction ‐ inferior (disorder) SNOMED CT US Edition MI 233830008Acute non‐Q wave infarction ‐ inferior (disorder) SNOMED CT US Edition MI 233831007Acute Q wave infarction ‐ inferolateral (disorder) SNOMED CT US Edition MI 233832000Acute non‐Q wave infarction ‐ inferolateral (disorder) SNOMED CT US Edition MI 233833005Acute Q wave infarction ‐ lateral (disorder) SNOMED CT US Edition
4 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System MI 233834004Acute non‐Q wave infarction ‐ lateral (disorder) SNOMED CT US Edition MI 233835003Acute widespread myocardial infarction (disorder) SNOMED CT US Edition MI 233836002Acute Q wave infarction ‐ widespread (disorder) SNOMED CT US Edition MI 233837006Acute non‐Q wave infarction ‐ widespread (disorder) SNOMED CT US Edition MI 233838001Acute posterior myocardial infarction (disorder) SNOMED CT US Edition MI 233839009Old anterior myocardial infarction (disorder) SNOMED CT US Edition MI 233840006Old inferior myocardial infarction (disorder) SNOMED CT US Edition MI 233841005Old lateral myocardial infarction (disorder) SNOMED CT US Edition MI 233842003Old posterior myocardial infarction (disorder) SNOMED CT US Edition MI 233843008Silent myocardial infarction (disorder) SNOMED CT US Edition MI 304914007Acute Q wave myocardial infarction (disorder) SNOMED CT US Edition MI 307140009Acute non‐Q wave infarction (disorder) SNOMED CT US Edition MI 311792005Postoperative transmural myocardial infarction of anterior wall (disSNOMED CT US Edition MI 311793000Postoperative transmural myocardial infarction of inferior wall (disoSNOMED CT US Edition MI 311796008Postoperative subendocardial myocardial infarction (disorder) SNOMED CT US Edition MI 314207007Non‐Q wave myocardial infarction (disorder) SNOMED CT US Edition MI 371068009Myocardial infarction with complication (disorder) SNOMED CT US Edition MI 394710008First myocardial infarction (disorder) SNOMED CT US Edition MI 401303003Acute ST segment elevation myocardial infarction (disorder) SNOMED CT US Edition MI 401314000Acute non‐ST segment elevation myocardial infarction (disorder) SNOMED CT US Edition MI 418044006Myocardial infarction in recovery phase (disorder) SNOMED CT US Edition MI 428196007Mixed myocardial ischemia and infarction (disorder) SNOMED CT US Edition MI 703164000Acute ST segment elevation myocardial infarction of anterior wall ( SNOMED CT US Edition MI 703165004Acute ST segment elevation myocardial infarction of anterior wall inSNOMED CT US Edition MI 703209002Subsequent ST segment elevation myocardial infarction of inferior wSNOMED CT US Edition MI 703210007Subsequent ST segment elevation myocardial infarction of anterior SNOMED CT US Edition MI 703211006Subsequent ST segment elevation myocardial infarction (disorder) SNOMED CT US Edition MI 703212004Acute myocardial infarction during procedure (disorder) SNOMED CT US Edition MI 703213009Acute ST segment elevation myocardial infarction of inferior wall (dSNOMED CT US Edition MI 703251009Acute myocardial infarction of inferior wall involving right ventricle SNOMED CT US Edition MI 703252002Acute myocardial infarction of anterior wall involving right ventricleSNOMED CT US Edition MI 703253007Acute ST segment elevation myocardial infarction of inferior wall inSNOMED CT US Edition
5 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System MI 703360004Subsequent non‐ST segment elevation myocardial infarction (disordSNOMED CT US Edition MI 175310001Acute myocardial infarction due to left coronary artery occlusion (dSNOMED CT US Edition MI 233110001Acute myocardial infarction due to right coronary artery occlusion (SNOMED CT US Edition MI 285981000Acute ST segment elevation myocardial infarction involving left ant SNOMED CT US Edition MI 285991000Acute ST segment elevation myocardial infarction involving left ma SNOMED CT US Edition MI 380001000Subendocardial myocardial infarction (disorder) SNOMED CT US Edition MI 122381110Acute ST segment elevation myocardial infarction of inferolateral wSNOMED CT US Edition MI 122381510Acute ST segment elevation myocardial infarction of inferoposterioSNOMED CT US Edition MI 157128410Acute ST segment elevation myocardial infarction of posterolateral SNOMED CT US Edition MI 157128810Acute ST segment elevation myocardial infarction of anterolateral wSNOMED CT US Edition MI 157129210Acute ST segment elevation myocardial infarction of lateral wall (di SNOMED CT US Edition MI 157129610Acute ST segment elevation myocardial infarction of anteroseptal wSNOMED CT US Edition MI 157130410Acute ST segment elevation myocardial infarction of posterior wall SNOMED CT US Edition MI 157130810Acute ST segment elevation myocardial infarction due to left coron SNOMED CT US Edition MI 157131210Acute ST segment elevation myocardial infarction due to right coro SNOMED CT US Edition MI 157131610Acute ST segment elevation myocardial infarction of septum (disordSNOMED CT US Edition MI 157132010Acute ST segment elevation myocardial infarction of posterobasal wSNOMED CT US Edition MI 159625410Acute ST segment elevation myocardial infarction of anteroapical wSNOMED CT US Edition MI 159631810Acute ST segment elevation myocardial infarction due to occlusion SNOMED CT US Edition Inpatient Stay 0100 UBREV Inpatient Stay 0101 UBREV Inpatient Stay 0110 UBREV Inpatient Stay 0111 UBREV Inpatient Stay 0112 UBREV Inpatient Stay 0113 UBREV Inpatient Stay 0114 UBREV Inpatient Stay 0116 UBREV Inpatient Stay 0117 UBREV Inpatient Stay 0118 UBREV Inpatient Stay 0119 UBREV Inpatient Stay 0120 UBREV Inpatient Stay 0121 UBREV
6 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System Inpatient Stay 0122 UBREV Inpatient Stay 0123 UBREV Inpatient Stay 0124 UBREV Inpatient Stay 0126 UBREV Inpatient Stay 0127 UBREV Inpatient Stay 0128 UBREV Inpatient Stay 0129 UBREV Inpatient Stay 0130 UBREV Inpatient Stay 0131 UBREV Inpatient Stay 0132 UBREV Inpatient Stay 0133 UBREV Inpatient Stay 0134 UBREV Inpatient Stay 0136 UBREV Inpatient Stay 0137 UBREV Inpatient Stay 0138 UBREV Inpatient Stay 0139 UBREV Inpatient Stay 0140 UBREV Inpatient Stay 0141 UBREV Inpatient Stay 0142 UBREV Inpatient Stay 0143 UBREV Inpatient Stay 0144 UBREV Inpatient Stay 0146 UBREV Inpatient Stay 0147 UBREV Inpatient Stay 0148 UBREV Inpatient Stay 0149 UBREV Inpatient Stay 0150 UBREV Inpatient Stay 0151 UBREV Inpatient Stay 0152 UBREV Inpatient Stay 0153 UBREV Inpatient Stay 0154 UBREV Inpatient Stay 0156 UBREV Inpatient Stay 0157 UBREV
7 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System Inpatient Stay 0158 UBREV Inpatient Stay 0159 UBREV Inpatient Stay 0160 UBREV Inpatient Stay 0164 UBREV Inpatient Stay 0167 UBREV Inpatient Stay 0169 UBREV Inpatient Stay 0170 UBREV Inpatient Stay 0171 UBREV Inpatient Stay 0172 UBREV Inpatient Stay 0173 UBREV Inpatient Stay 0174 UBREV Inpatient Stay 0179 UBREV Inpatient Stay 0190 UBREV Inpatient Stay 0191 UBREV Inpatient Stay 0192 UBREV Inpatient Stay 0193 UBREV Inpatient Stay 0194 UBREV Inpatient Stay 0199 UBREV Inpatient Stay 0200 UBREV Inpatient Stay 0201 UBREV Inpatient Stay 0202 UBREV Inpatient Stay 0203 UBREV Inpatient Stay 0204 UBREV Inpatient Stay 0206 UBREV Inpatient Stay 0207 UBREV Inpatient Stay 0208 UBREV Inpatient Stay 0209 UBREV Inpatient Stay 0210 UBREV Inpatient Stay 0211 UBREV Inpatient Stay 0212 UBREV Inpatient Stay 0213 UBREV Inpatient Stay 0214 UBREV
8 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System Inpatient Stay 0219 UBREV Inpatient Stay 1000 UBREV Inpatient Stay 1001 UBREV Inpatient Stay 1002 UBREV CABG 33510 CPT CABG 33511 CPT CABG 33512 CPT CABG 33513 CPT CABG 33514 CPT CABG 33516 CPT CABG 33517 CPT CABG 33518 CPT CABG 33519 CPT CABG 33521 CPT CABG 33522 CPT CABG 33523 CPT CABG 33533 CPT CABG 33534 CPT CABG 33535 CPT CABG 33536 CPT CABG S2205 Minimally invasive direct coronary artery bypass surgery involving mHCPCS CABG S2206 Minimally invasive direct coronary artery bypass surgery involving mHCPCS CABG S2207 Minimally invasive direct coronary artery bypass surgery involving mHCPCS CABG S2208 Minimally invasive direct coronary artery bypass surgery involving mHCPCS CABG S2209 Minimally invasive direct coronary artery bypass surgery involving mHCPCS CABG 0210083 [0210083] Bypass Coronary Artery, One Artery from Coronary ArterICD10PCS CABG 0210088 [0210088] Bypass Coronary Artery, One Artery from Right Internal MICD10PCS CABG 0210089 [0210089] Bypass Coronary Artery, One Artery from Left Internal MICD10PCS CABG 0210093 [0210093] Bypass Coronary Artery, One Artery from Coronary ArterICD10PCS CABG 0210098 [0210098] Bypass Coronary Artery, One Artery from Right Internal MICD10PCS CABG 0210099 [0210099] Bypass Coronary Artery, One Artery from Left Internal MICD10PCS CABG 0211083 [0211083] Bypass Coronary Artery, Two Arteries from Coronary ArtICD10PCS
9 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System CABG 0211088 [0211088] Bypass Coronary Artery, Two Arteries from Right InternaICD10PCS CABG 0211089 [0211089] Bypass Coronary Artery, Two Arteries from Left Internal ICD10PCS CABG 0211093 [0211093] Bypass Coronary Artery, Two Arteries from Coronary ArtICD10PCS CABG 0211098 [0211098] Bypass Coronary Artery, Two Arteries from Right InternaICD10PCS CABG 0211099 [0211099] Bypass Coronary Artery, Two Arteries from Left Internal ICD10PCS CABG 0212083 [0212083] Bypass Coronary Artery, Three Arteries from Coronary A ICD10PCS CABG 0212088 [0212088] Bypass Coronary Artery, Three Arteries from Right InternICD10PCS CABG 0212089 [0212089] Bypass Coronary Artery, Three Arteries from Left InternaICD10PCS CABG 0212093 [0212093] Bypass Coronary Artery, Three Arteries from Coronary A ICD10PCS CABG 0212098 [0212098] Bypass Coronary Artery, Three Arteries from Right InternICD10PCS CABG 0212099 [0212099] Bypass Coronary Artery, Three Arteries from Left InternaICD10PCS CABG 0213083 [0213083] Bypass Coronary Artery, Four or More Arteries from Cor ICD10PCS CABG 0213088 [0213088] Bypass Coronary Artery, Four or More Arteries from RighICD10PCS CABG 0213089 [0213089] Bypass Coronary Artery, Four or More Arteries from LeftICD10PCS CABG 0213093 [0213093] Bypass Coronary Artery, Four or More Arteries from Cor ICD10PCS CABG 0213098 [0213098] Bypass Coronary Artery, Four or More Arteries from RighICD10PCS CABG 0213099 [0213099] Bypass Coronary Artery, Four or More Arteries from LeftICD10PCS CABG 021008C [021008C] Bypass Coronary Artery, One Artery from Thoracic ArteryICD10PCS CABG 021008F [021008F] Bypass Coronary Artery, One Artery from Abdominal Art ICD10PCS CABG 021008W [021008W] Bypass Coronary Artery, One Artery from Aorta with Zo ICD10PCS CABG 021009C [021009C] Bypass Coronary Artery, One Artery from Thoracic ArteryICD10PCS CABG 021009F [021009F] Bypass Coronary Artery, One Artery from Abdominal Art ICD10PCS CABG 021009W [021009W] Bypass Coronary Artery, One Artery from Aorta with AuICD10PCS CABG 02100A3 [02100A3] Bypass Coronary Artery, One Artery from Coronary Arte ICD10PCS CABG 02100A8 [02100A8] Bypass Coronary Artery, One Artery from Right Internal ICD10PCS CABG 02100A9 [02100A9] Bypass Coronary Artery, One Artery from Left Internal MICD10PCS CABG 02100AC [02100AC] Bypass Coronary Artery, One Artery from Thoracic Arter ICD10PCS CABG 02100AF [02100AF] Bypass Coronary Artery, One Artery from Abdominal Art ICD10PCS CABG 02100AW [02100AW] Bypass Coronary Artery, One Artery from Aorta with AuICD10PCS CABG 02100J3 [02100J3] Bypass Coronary Artery, One Artery from Coronary Arter ICD10PCS CABG 02100J8 [02100J8] Bypass Coronary Artery, One Artery from Right Internal MICD10PCS CABG 02100J9 [02100J9] Bypass Coronary Artery, One Artery from Left Internal M ICD10PCS
10 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System CABG 02100JC [02100JC] Bypass Coronary Artery, One Artery from Thoracic ArteryICD10PCS CABG 02100JF [02100JF] Bypass Coronary Artery, One Artery from Abdominal ArteICD10PCS CABG 02100JW [02100JW] Bypass Coronary Artery, One Artery from Aorta with SynICD10PCS CABG 02100K3 [02100K3] Bypass Coronary Artery, One Artery from Coronary ArterICD10PCS CABG 02100K8 [02100K8] Bypass Coronary Artery, One Artery from Right Internal MICD10PCS CABG 02100K9 [02100K9] Bypass Coronary Artery, One Artery from Left Internal MICD10PCS CABG 02100KC [02100KC] Bypass Coronary Artery, One Artery from Thoracic ArteryICD10PCS CABG 02100KF [02100KF] Bypass Coronary Artery, One Artery from Abdominal Art ICD10PCS CABG 02100KW [02100KW] Bypass Coronary Artery, One Artery from Aorta with NoICD10PCS CABG 02100Z3 [02100Z3] Bypass Coronary Artery, One Artery from Coronary ArterICD10PCS CABG 02100Z8 [02100Z8] Bypass Coronary Artery, One Artery from Right Internal MICD10PCS CABG 02100Z9 [02100Z9] Bypass Coronary Artery, One Artery from Left Internal MICD10PCS CABG 02100ZC [02100ZC] Bypass Coronary Artery, One Artery from Thoracic ArteryICD10PCS CABG 02100ZF [02100ZF] Bypass Coronary Artery, One Artery from Abdominal Art ICD10PCS CABG 021108C [021108C] Bypass Coronary Artery, Two Arteries from Thoracic ArteICD10PCS CABG 021108F [021108F] Bypass Coronary Artery, Two Arteries from Abdominal A ICD10PCS CABG 021108W [021108W] Bypass Coronary Artery, Two Arteries from Aorta with ZICD10PCS CABG 021109C [021109C] Bypass Coronary Artery, Two Arteries from Thoracic ArteICD10PCS CABG 021109F [021109F] Bypass Coronary Artery, Two Arteries from Abdominal A ICD10PCS CABG 021109W [021109W] Bypass Coronary Artery, Two Arteries from Aorta with AICD10PCS CABG 02110A3 [02110A3] Bypass Coronary Artery, Two Arteries from Coronary ArtICD10PCS CABG 02110A8 [02110A8] Bypass Coronary Artery, Two Arteries from Right InternaICD10PCS CABG 02110A9 [02110A9] Bypass Coronary Artery, Two Arteries from Left Internal ICD10PCS CABG 02110AC [02110AC] Bypass Coronary Artery, Two Arteries from Thoracic ArteICD10PCS CABG 02110AF [02110AF] Bypass Coronary Artery, Two Arteries from Abdominal AICD10PCS CABG 02110AW [02110AW] Bypass Coronary Artery, Two Arteries from Aorta with AICD10PCS CABG 02110J3 [02110J3] Bypass Coronary Artery, Two Arteries from Coronary ArteICD10PCS CABG 02110J8 [02110J8] Bypass Coronary Artery, Two Arteries from Right Interna ICD10PCS CABG 02110J9 [02110J9] Bypass Coronary Artery, Two Arteries from Left Internal MICD10PCS CABG 02110JC [02110JC] Bypass Coronary Artery, Two Arteries from Thoracic ArteICD10PCS CABG 02110JF [02110JF] Bypass Coronary Artery, Two Arteries from Abdominal ArICD10PCS CABG 02110JW [02110JW] Bypass Coronary Artery, Two Arteries from Aorta with S ICD10PCS
11 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System CABG 02110K3 [02110K3] Bypass Coronary Artery, Two Arteries from Coronary ArtICD10PCS CABG 02110K8 [02110K8] Bypass Coronary Artery, Two Arteries from Right InternaICD10PCS CABG 02110K9 [02110K9] Bypass Coronary Artery, Two Arteries from Left Internal ICD10PCS CABG 02110KC [02110KC] Bypass Coronary Artery, Two Arteries from Thoracic ArteICD10PCS CABG 02110KF [02110KF] Bypass Coronary Artery, Two Arteries from Abdominal A ICD10PCS CABG 02110KW [02110KW] Bypass Coronary Artery, Two Arteries from Aorta with NICD10PCS CABG 02110Z3 [02110Z3] Bypass Coronary Artery, Two Arteries from Coronary Art ICD10PCS CABG 02110Z8 [02110Z8] Bypass Coronary Artery, Two Arteries from Right InternaICD10PCS CABG 02110Z9 [02110Z9] Bypass Coronary Artery, Two Arteries from Left Internal ICD10PCS CABG 02110ZC [02110ZC] Bypass Coronary Artery, Two Arteries from Thoracic ArteICD10PCS CABG 02110ZF [02110ZF] Bypass Coronary Artery, Two Arteries from Abdominal A ICD10PCS CABG 021208C [021208C] Bypass Coronary Artery, Three Arteries from Thoracic ArICD10PCS CABG 021208F [021208F] Bypass Coronary Artery, Three Arteries from Abdominal ICD10PCS CABG 021208W [021208W] Bypass Coronary Artery, Three Arteries from Aorta withICD10PCS CABG 021209C [021209C] Bypass Coronary Artery, Three Arteries from Thoracic ArICD10PCS CABG 021209F [021209F] Bypass Coronary Artery, Three Arteries from Abdominal ICD10PCS CABG 021209W [021209W] Bypass Coronary Artery, Three Arteries from Aorta withICD10PCS CABG 02120A3 [02120A3] Bypass Coronary Artery, Three Arteries from Coronary AICD10PCS CABG 02120A8 [02120A8] Bypass Coronary Artery, Three Arteries from Right InternICD10PCS CABG 02120A9 [02120A9] Bypass Coronary Artery, Three Arteries from Left InternaICD10PCS CABG 02120AC [02120AC] Bypass Coronary Artery, Three Arteries from Thoracic ArICD10PCS CABG 02120AF [02120AF] Bypass Coronary Artery, Three Arteries from Abdominal ICD10PCS CABG 02120AW [02120AW] Bypass Coronary Artery, Three Arteries from Aorta withICD10PCS CABG 02120J3 [02120J3] Bypass Coronary Artery, Three Arteries from Coronary ArICD10PCS CABG 02120J8 [02120J8] Bypass Coronary Artery, Three Arteries from Right InternICD10PCS CABG 02120J9 [02120J9] Bypass Coronary Artery, Three Arteries from Left Interna ICD10PCS CABG 02120JC [02120JC] Bypass Coronary Artery, Three Arteries from Thoracic ArtICD10PCS CABG 02120JF [02120JF] Bypass Coronary Artery, Three Arteries from Abdominal AICD10PCS CABG 02120JW [02120JW] Bypass Coronary Artery, Three Arteries from Aorta with ICD10PCS CABG 02120K3 [02120K3] Bypass Coronary Artery, Three Arteries from Coronary A ICD10PCS CABG 02120K8 [02120K8] Bypass Coronary Artery, Three Arteries from Right InternICD10PCS CABG 02120K9 [02120K9] Bypass Coronary Artery, Three Arteries from Left InternaICD10PCS
12 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System CABG 02120KC [02120KC] Bypass Coronary Artery, Three Arteries from Thoracic ArICD10PCS CABG 02120KF [02120KF] Bypass Coronary Artery, Three Arteries from Abdominal ICD10PCS CABG 02120KW [02120KW] Bypass Coronary Artery, Three Arteries from Aorta withICD10PCS CABG 02120Z3 [02120Z3] Bypass Coronary Artery, Three Arteries from Coronary A ICD10PCS CABG 02120Z8 [02120Z8] Bypass Coronary Artery, Three Arteries from Right InternICD10PCS CABG 02120Z9 [02120Z9] Bypass Coronary Artery, Three Arteries from Left InternaICD10PCS CABG 02120ZC [02120ZC] Bypass Coronary Artery, Three Arteries from Thoracic Ar ICD10PCS CABG 02120ZF [02120ZF] Bypass Coronary Artery, Three Arteries from Abdominal ICD10PCS CABG 021308C [021308C] Bypass Coronary Artery, Four or More Arteries from ThoICD10PCS CABG 021308F [021308F] Bypass Coronary Artery, Four or More Arteries from AbdICD10PCS CABG 021308W [021308W] Bypass Coronary Artery, Four or More Arteries from Ao ICD10PCS CABG 021309C [021309C] Bypass Coronary Artery, Four or More Arteries from ThoICD10PCS CABG 021309F [021309F] Bypass Coronary Artery, Four or More Arteries from AbdICD10PCS CABG 021309W [021309W] Bypass Coronary Artery, Four or More Arteries from Ao ICD10PCS CABG 02130A3 [02130A3] Bypass Coronary Artery, Four or More Arteries from Cor ICD10PCS CABG 02130A8 [02130A8] Bypass Coronary Artery, Four or More Arteries from RighICD10PCS CABG 02130A9 [02130A9] Bypass Coronary Artery, Four or More Arteries from LeftICD10PCS CABG 02130AC [02130AC] Bypass Coronary Artery, Four or More Arteries from ThoICD10PCS CABG 02130AF [02130AF] Bypass Coronary Artery, Four or More Arteries from AbdICD10PCS CABG 02130AW [02130AW] Bypass Coronary Artery, Four or More Arteries from AoICD10PCS CABG 02130J3 [02130J3] Bypass Coronary Artery, Four or More Arteries from CoroICD10PCS CABG 02130J8 [02130J8] Bypass Coronary Artery, Four or More Arteries from RighICD10PCS CABG 02130J9 [02130J9] Bypass Coronary Artery, Four or More Arteries from Left ICD10PCS CABG 02130JC [02130JC] Bypass Coronary Artery, Four or More Arteries from Tho ICD10PCS CABG 02130JF [02130JF] Bypass Coronary Artery, Four or More Arteries from AbdoICD10PCS CABG 02130JW [02130JW] Bypass Coronary Artery, Four or More Arteries from AorICD10PCS CABG 02130K3 [02130K3] Bypass Coronary Artery, Four or More Arteries from Cor ICD10PCS CABG 02130K8 [02130K8] Bypass Coronary Artery, Four or More Arteries from RighICD10PCS CABG 02130K9 [02130K9] Bypass Coronary Artery, Four or More Arteries from LeftICD10PCS CABG 02130KC [02130KC] Bypass Coronary Artery, Four or More Arteries from ThoICD10PCS CABG 02130KF [02130KF] Bypass Coronary Artery, Four or More Arteries from AbdICD10PCS CABG 02130KW [02130KW] Bypass Coronary Artery, Four or More Arteries from Ao ICD10PCS
13 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System CABG 02130Z3 [02130Z3] Bypass Coronary Artery, Four or More Arteries from CoroICD10PCS CABG 02130Z8 [02130Z8] Bypass Coronary Artery, Four or More Arteries from RighICD10PCS CABG 02130Z9 [02130Z9] Bypass Coronary Artery, Four or More Arteries from Left ICD10PCS CABG 02130ZC [02130ZC] Bypass Coronary Artery, Four or More Arteries from Tho ICD10PCS CABG 02130ZF [02130ZF] Bypass Coronary Artery, Four or More Arteries from AbdICD10PCS CABG 3546002 Aortocoronary artery bypass graft with saphenous vein graft (proceSNOMED CT US Edition CABG 8876004 Aortocoronary artery bypass graft with prosthesis (procedure) SNOMED CT US Edition CABG 10190003 Aortocoronary bypass of four or more coronary arteries (procedureSNOMED CT US Edition CABG 10326007 Coronary artery bypass with autogenous graft, three grafts (procedSNOMED CT US Edition CABG 14323007 Aortocoronary bypass of three coronary arteries (procedure) SNOMED CT US Edition CABG 17073005 Aortocoronary artery bypass graft with vein graft (procedure) SNOMED CT US Edition CABG 29819009 Aortocoronary bypass of one coronary artery (procedure) SNOMED CT US Edition CABG 30670000 Anastomosis of thoracic artery to coronary artery, double (proceduSNOMED CT US Edition CABG 39202005 Coronary artery bypass with autogenous graft, four grafts (proceduSNOMED CT US Edition CABG 39724006 Anastomosis of internal mammary artery to coronary artery, doubl SNOMED CT US Edition CABG 48431000 Anastomosis of thoracic artery to coronary artery, single (procedur SNOMED CT US Edition CABG 61236006 Aortocoronary artery bypass graft repeated (situation) SNOMED CT US Edition CABG 67166004 Aortocoronary artery bypass graft (procedure) SNOMED CT US Edition CABG 74371005 Coronary artery bypass with autogenous graft, two grafts (procedu SNOMED CT US Edition CABG 82247006 Coronary artery bypass with autogenous graft, five grafts (procedurSNOMED CT US Edition CABG 90487008 Aortocoronary bypass of two coronary arteries (procedure) SNOMED CT US Edition CABG 119564002Internal mammary‐coronary artery bypass graft (procedure) SNOMED CT US Edition CABG 119565001Coronary artery bypass graft, anastomosis of artery of thorax to co SNOMED CT US Edition CABG 175007008Saphenous vein graft replacement of one coronary artery (procedu SNOMED CT US Edition CABG 175008003Saphenous vein graft replacement of two coronary arteries (procedSNOMED CT US Edition CABG 175009006Saphenous vein graft replacement of three coronary arteries (proceSNOMED CT US Edition CABG 175011002Saphenous vein graft replacement of four or more coronary arterieSNOMED CT US Edition CABG 175021005Allograft bypass of coronary artery (procedure) SNOMED CT US Edition CABG 175022003Allograft replacement of one coronary artery (procedure) SNOMED CT US Edition CABG 175024002Allograft replacement of two coronary arteries (procedure) SNOMED CT US Edition CABG 175025001Allograft replacement of three coronary arteries (procedure) SNOMED CT US Edition CABG 175026000Allograft replacement of four or more coronary arteries (procedureSNOMED CT US Edition
14 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System CABG 175029007Prosthetic bypass of coronary artery (procedure) SNOMED CT US Edition CABG 175030002Prosthetic replacement of one coronary artery (procedure) SNOMED CT US Edition CABG 175031003Prosthetic replacement of two coronary arteries (procedure) SNOMED CT US Edition CABG 175032005Prosthetic replacement of three coronary arteries (procedure) SNOMED CT US Edition CABG 175033000Prosthetic replacement of four or more coronary arteries (procedu SNOMED CT US Edition CABG 175045009Connection of mammary artery to coronary artery (procedure) SNOMED CT US Edition CABG 175047001Double implantation of mammary arteries into coronary arteries (pSNOMED CT US Edition CABG 175048006Single anastomosis of mammary artery to left anterior descending cSNOMED CT US Edition CABG 175050003Single implantation of mammary artery into coronary artery (proce SNOMED CT US Edition CABG 232717009Coronary artery bypass grafting (procedure) SNOMED CT US Edition CABG 232719007Coronary artery bypass graft x 1 (procedure) SNOMED CT US Edition CABG 232720001Coronary artery bypass grafts x 2 (procedure) SNOMED CT US Edition CABG 232721002Coronary artery bypass grafts x 3 (procedure) SNOMED CT US Edition CABG 232722009Coronary artery bypass grafts x 4 (procedure) SNOMED CT US Edition CABG 232723004Coronary artery bypass grafts x 5 (procedure) SNOMED CT US Edition CABG 232724005Coronary artery bypass grafts greater than 5 (procedure) SNOMED CT US Edition CABG 265481001Double anastomosis of mammary arteries to coronary arteries (proSNOMED CT US Edition CABG 275215001Left internal mammary artery single anastomosis (procedure) SNOMED CT US Edition CABG 275216000Right internal mammary artery single anastomosis (procedure) SNOMED CT US Edition CABG 275252001Left internal mammary artery sequential anastomosis (procedure) SNOMED CT US Edition CABG 275253006Right internal mammary artery sequential anastomosis (procedure)SNOMED CT US Edition CABG 309814006Aortocoronary bypass grafting (procedure) SNOMED CT US Edition CABG 359597003Single internal mammary‐coronary artery bypass (procedure) SNOMED CT US Edition CABG 359601003Coronary artery bypass with autogenous graft of internal mammarySNOMED CT US Edition CABG 405598005Aortocoronary artery bypass graft with two vein grafts (procedure) SNOMED CT US Edition CABG 405599002Aortocoronary artery bypass graft with three vein grafts (procedureSNOMED CT US Edition CABG 414088005Emergency coronary artery bypass graft (procedure) SNOMED CT US Edition CABG 418551006Laparoscopic coronary artery bypass using robotic assistance (proceSNOMED CT US Edition CABG 726011000Placement of stent in coronary artery bypass graft (procedure) SNOMED CT US Edition CABG 736962007Bypass of four or more coronary arteries with prosthesis (procedur SNOMED CT US Edition CABG 736963002Bypass of one coronary artery with prosthesis (procedure) SNOMED CT US Edition CABG 736964008Bypass of three coronary arteries with prosthesis (procedure) SNOMED CT US Edition
15 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System CABG 736965009Bypass of two coronary arteries with prosthesis (procedure) SNOMED CT US Edition CABG 736966005Aortocoronary artery bypass of four or more coronary arteries withSNOMED CT US Edition CABG 736967001Aortocoronary artery bypass of one coronary artery with saphenouSNOMED CT US Edition CABG 736968006Aortocoronary artery bypass of three coronary arteries with saphenSNOMED CT US Edition CABG 736969003Aortocoronary artery bypass of two coronary arteries with saphenoSNOMED CT US Edition CABG 736970002Allograft bypass of four or more coronary arteries (procedure) SNOMED CT US Edition CABG 736971003Allograft bypass of one coronary artery (procedure) SNOMED CT US Edition CABG 736972005Allograft bypass of three coronary arteries (procedure) SNOMED CT US Edition CABG 736973000Allograft bypass of two coronary arteries (procedure) SNOMED CT US Edition PCI 92920 CPT PCI 92924 CPT PCI 92928 CPT PCI 92933 CPT PCI 92937 CPT PCI 92941 CPT PCI 92943 CPT PCI 92980 CPT PCI 92982 CPT PCI 92995 CPT PCI C9600 Percutaneous transcatheter placement of drug eluting intracoronarHCPCS PCI C9602 Percutaneous transluminal coronary atherectomy, with drug elutin HCPCS PCI C9604 Percutaneous transluminal revascularization of or through coronaryHCPCS PCI C9606 Percutaneous transluminal revascularization of acute total/subtota HCPCS PCI C9607 Percutaneous transluminal revascularization of chronic total occlus HCPCS PCI 0270346 [0270346] Dilation of Coronary Artery, One Artery, Bifurcation, withICD10PCS PCI 0270356 [0270356] Dilation of Coronary Artery, One Artery, Bifurcation, withICD10PCS PCI 0270366 [0270366] Dilation of Coronary Artery, One Artery, Bifurcation, withICD10PCS PCI 0270376 [0270376] Dilation of Coronary Artery, One Artery, Bifurcation, withICD10PCS PCI 0270446 [0270446] Dilation of Coronary Artery, One Artery, Bifurcation, withICD10PCS PCI 0270456 [0270456] Dilation of Coronary Artery, One Artery, Bifurcation, withICD10PCS PCI 0270466 [0270466] Dilation of Coronary Artery, One Artery, Bifurcation, withICD10PCS PCI 0270476 [0270476] Dilation of Coronary Artery, One Artery, Bifurcation, withICD10PCS
16 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System PCI 0271346 [0271346] Dilation of Coronary Artery, Two Arteries, Bifurcation, w ICD10PCS PCI 0271356 [0271356] Dilation of Coronary Artery, Two Arteries, Bifurcation, w ICD10PCS PCI 0271366 [0271366] Dilation of Coronary Artery, Two Arteries, Bifurcation, w ICD10PCS PCI 0271376 [0271376] Dilation of Coronary Artery, Two Arteries, Bifurcation, w ICD10PCS PCI 0271446 [0271446] Dilation of Coronary Artery, Two Arteries, Bifurcation, w ICD10PCS PCI 0271456 [0271456] Dilation of Coronary Artery, Two Arteries, Bifurcation, w ICD10PCS PCI 0271466 [0271466] Dilation of Coronary Artery, Two Arteries, Bifurcation, w ICD10PCS PCI 0271476 [0271476] Dilation of Coronary Artery, Two Arteries, Bifurcation, w ICD10PCS PCI 0272346 [0272346] Dilation of Coronary Artery, Three Arteries, Bifurcation, wICD10PCS PCI 0272356 [0272356] Dilation of Coronary Artery, Three Arteries, Bifurcation, wICD10PCS PCI 0272366 [0272366] Dilation of Coronary Artery, Three Arteries, Bifurcation, wICD10PCS PCI 0272376 [0272376] Dilation of Coronary Artery, Three Arteries, Bifurcation, wICD10PCS PCI 0272446 [0272446] Dilation of Coronary Artery, Three Arteries, Bifurcation, wICD10PCS PCI 0272456 [0272456] Dilation of Coronary Artery, Three Arteries, Bifurcation, wICD10PCS PCI 0272466 [0272466] Dilation of Coronary Artery, Three Arteries, Bifurcation, wICD10PCS PCI 0272476 [0272476] Dilation of Coronary Artery, Three Arteries, Bifurcation, wICD10PCS PCI 0273346 [0273346] Dilation of Coronary Artery, Four or More Arteries, Bifur ICD10PCS PCI 0273356 [0273356] Dilation of Coronary Artery, Four or More Arteries, Bifur ICD10PCS PCI 0273366 [0273366] Dilation of Coronary Artery, Four or More Arteries, Bifur ICD10PCS PCI 0273376 [0273376] Dilation of Coronary Artery, Four or More Arteries, Bifur ICD10PCS PCI 0273446 [0273446] Dilation of Coronary Artery, Four or More Arteries, Bifur ICD10PCS PCI 0273456 [0273456] Dilation of Coronary Artery, Four or More Arteries, Bifur ICD10PCS PCI 0273466 [0273466] Dilation of Coronary Artery, Four or More Arteries, Bifur ICD10PCS PCI 0273476 [0273476] Dilation of Coronary Artery, Four or More Arteries, Bifur ICD10PCS PCI 02703E6 [02703E6] Dilation of Coronary Artery, One Artery, Bifurcation, withICD10PCS PCI 02704E6 [02704E6] Dilation of Coronary Artery, One Artery, Bifurcation, withICD10PCS PCI 02713E6 [02713E6] Dilation of Coronary Artery, Two Arteries, Bifurcation, w ICD10PCS PCI 02714E6 [02714E6] Dilation of Coronary Artery, Two Arteries, Bifurcation, w ICD10PCS PCI 02723E6 [02723E6] Dilation of Coronary Artery, Three Arteries, Bifurcation, wICD10PCS PCI 02724E6 [02724E6] Dilation of Coronary Artery, Three Arteries, Bifurcation, wICD10PCS PCI 02733E6 [02733E6] Dilation of Coronary Artery, Four or More Arteries, Bifur ICD10PCS PCI 02734E6 [02734E6] Dilation of Coronary Artery, Four or More Arteries, Bifur ICD10PCS
17 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System PCI 027034Z [027034Z] Dilation of Coronary Artery, One Artery with Drug‐elutin ICD10PCS PCI 027035Z [027035Z] Dilation of Coronary Artery, One Artery with Two Drug‐eICD10PCS PCI 027036Z [027036Z] Dilation of Coronary Artery, One Artery with Three Drug‐ICD10PCS PCI 027037Z [027037Z] Dilation of Coronary Artery, One Artery with Four or Mo ICD10PCS PCI 02703D6 [02703D6] Dilation of Coronary Artery, One Artery, Bifurcation, wit ICD10PCS PCI 02703DZ [02703DZ] Dilation of Coronary Artery, One Artery with IntraluminaICD10PCS PCI 02703EZ [02703EZ] Dilation of Coronary Artery, One Artery with Two Intralu ICD10PCS PCI 02703F6 [02703F6] Dilation of Coronary Artery, One Artery, Bifurcation, withICD10PCS PCI 02703FZ [02703FZ] Dilation of Coronary Artery, One Artery with Three IntralICD10PCS PCI 02703G6 [02703G6] Dilation of Coronary Artery, One Artery, Bifurcation, wit ICD10PCS PCI 02703GZ [02703GZ] Dilation of Coronary Artery, One Artery with Four or Mo ICD10PCS PCI 02703T6 [02703T6] Dilation of Coronary Artery, One Artery, Bifurcation, withICD10PCS PCI 02703TZ [02703TZ] Dilation of Coronary Artery, One Artery with Radioactive ICD10PCS PCI 02703Z6 [02703Z6] Dilation of Coronary Artery, One Artery, Bifurcation, PercICD10PCS PCI 02703ZZ [02703ZZ] Dilation of Coronary Artery, One Artery, Percutaneous A ICD10PCS PCI 027044Z [027044Z] Dilation of Coronary Artery, One Artery with Drug‐elutin ICD10PCS PCI 027045Z [027045Z] Dilation of Coronary Artery, One Artery with Two Drug‐eICD10PCS PCI 027046Z [027046Z] Dilation of Coronary Artery, One Artery with Three Drug‐ICD10PCS PCI 027047Z [027047Z] Dilation of Coronary Artery, One Artery with Four or Mo ICD10PCS PCI 02704D6 [02704D6] Dilation of Coronary Artery, One Artery, Bifurcation, wit ICD10PCS PCI 02704DZ [02704DZ] Dilation of Coronary Artery, One Artery with IntraluminaICD10PCS PCI 02704EZ [02704EZ] Dilation of Coronary Artery, One Artery with Two Intralu ICD10PCS PCI 02704F6 [02704F6] Dilation of Coronary Artery, One Artery, Bifurcation, withICD10PCS PCI 02704FZ [02704FZ] Dilation of Coronary Artery, One Artery with Three IntralICD10PCS PCI 02704G6 [02704G6] Dilation of Coronary Artery, One Artery, Bifurcation, wit ICD10PCS PCI 02704GZ [02704GZ] Dilation of Coronary Artery, One Artery with Four or Mo ICD10PCS PCI 02704T6 [02704T6] Dilation of Coronary Artery, One Artery, Bifurcation, withICD10PCS PCI 02704TZ [02704TZ] Dilation of Coronary Artery, One Artery with Radioactive ICD10PCS PCI 02704Z6 [02704Z6] Dilation of Coronary Artery, One Artery, Bifurcation, PercICD10PCS PCI 02704ZZ [02704ZZ] Dilation of Coronary Artery, One Artery, Percutaneous EnICD10PCS PCI 027134Z [027134Z] Dilation of Coronary Artery, Two Arteries with Drug‐elut ICD10PCS PCI 027135Z [027135Z] Dilation of Coronary Artery, Two Arteries with Two Drug ICD10PCS
18 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System PCI 027136Z [027136Z] Dilation of Coronary Artery, Two Arteries with Three DruICD10PCS PCI 027137Z [027137Z] Dilation of Coronary Artery, Two Arteries with Four or MICD10PCS PCI 02713D6 [02713D6] Dilation of Coronary Artery, Two Arteries, Bifurcation, wICD10PCS PCI 02713DZ [02713DZ] Dilation of Coronary Artery, Two Arteries with Intralumi ICD10PCS PCI 02713EZ [02713EZ] Dilation of Coronary Artery, Two Arteries with Two Intra ICD10PCS PCI 02713F6 [02713F6] Dilation of Coronary Artery, Two Arteries, Bifurcation, w ICD10PCS PCI 02713FZ [02713FZ] Dilation of Coronary Artery, Two Arteries with Three IntrICD10PCS PCI 02713G6 [02713G6] Dilation of Coronary Artery, Two Arteries, Bifurcation, wICD10PCS PCI 02713GZ [02713GZ] Dilation of Coronary Artery, Two Arteries with Four or MICD10PCS PCI 02713T6 [02713T6] Dilation of Coronary Artery, Two Arteries, Bifurcation, w ICD10PCS PCI 02713TZ [02713TZ] Dilation of Coronary Artery, Two Arteries with RadioactivICD10PCS PCI 02713Z6 [02713Z6] Dilation of Coronary Artery, Two Arteries, Bifurcation, PeICD10PCS PCI 02713ZZ [02713ZZ] Dilation of Coronary Artery, Two Arteries, Percutaneous ICD10PCS PCI 027144Z [027144Z] Dilation of Coronary Artery, Two Arteries with Drug‐elut ICD10PCS PCI 027145Z [027145Z] Dilation of Coronary Artery, Two Arteries with Two Drug ICD10PCS PCI 027146Z [027146Z] Dilation of Coronary Artery, Two Arteries with Three DruICD10PCS PCI 027147Z [027147Z] Dilation of Coronary Artery, Two Arteries with Four or MICD10PCS PCI 02714D6 [02714D6] Dilation of Coronary Artery, Two Arteries, Bifurcation, wICD10PCS PCI 02714DZ [02714DZ] Dilation of Coronary Artery, Two Arteries with Intralumi ICD10PCS PCI 02714EZ [02714EZ] Dilation of Coronary Artery, Two Arteries with Two Intra ICD10PCS PCI 02714F6 [02714F6] Dilation of Coronary Artery, Two Arteries, Bifurcation, w ICD10PCS PCI 02714FZ [02714FZ] Dilation of Coronary Artery, Two Arteries with Three IntrICD10PCS PCI 02714G6 [02714G6] Dilation of Coronary Artery, Two Arteries, Bifurcation, wICD10PCS PCI 02714GZ [02714GZ] Dilation of Coronary Artery, Two Arteries with Four or MICD10PCS PCI 02714T6 [02714T6] Dilation of Coronary Artery, Two Arteries, Bifurcation, w ICD10PCS PCI 02714TZ [02714TZ] Dilation of Coronary Artery, Two Arteries with RadioactivICD10PCS PCI 02714Z6 [02714Z6] Dilation of Coronary Artery, Two Arteries, Bifurcation, PeICD10PCS PCI 02714ZZ [02714ZZ] Dilation of Coronary Artery, Two Arteries, Percutaneous ICD10PCS PCI 027234Z [027234Z] Dilation of Coronary Artery, Three Arteries with Drug‐eluICD10PCS PCI 027235Z [027235Z] Dilation of Coronary Artery, Three Arteries with Two DruICD10PCS PCI 027236Z [027236Z] Dilation of Coronary Artery, Three Arteries with Three DrICD10PCS PCI 027237Z [027237Z] Dilation of Coronary Artery, Three Arteries with Four or MICD10PCS
19 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System PCI 02723D6 [02723D6] Dilation of Coronary Artery, Three Arteries, Bifurcation, ICD10PCS PCI 02723DZ [02723DZ] Dilation of Coronary Artery, Three Arteries with IntralumICD10PCS PCI 02723EZ [02723EZ] Dilation of Coronary Artery, Three Arteries with Two IntrICD10PCS PCI 02723F6 [02723F6] Dilation of Coronary Artery, Three Arteries, Bifurcation, wICD10PCS PCI 02723FZ [02723FZ] Dilation of Coronary Artery, Three Arteries with Three In ICD10PCS PCI 02723G6 [02723G6] Dilation of Coronary Artery, Three Arteries, Bifurcation, ICD10PCS PCI 02723GZ [02723GZ] Dilation of Coronary Artery, Three Arteries with Four or ICD10PCS PCI 02723T6 [02723T6] Dilation of Coronary Artery, Three Arteries, Bifurcation, wICD10PCS PCI 02723TZ [02723TZ] Dilation of Coronary Artery, Three Arteries with RadioactICD10PCS PCI 02723Z6 [02723Z6] Dilation of Coronary Artery, Three Arteries, Bifurcation, PICD10PCS PCI 02723ZZ [02723ZZ] Dilation of Coronary Artery, Three Arteries, PercutaneouICD10PCS PCI 027244Z [027244Z] Dilation of Coronary Artery, Three Arteries with Drug‐eluICD10PCS PCI 027245Z [027245Z] Dilation of Coronary Artery, Three Arteries with Two DruICD10PCS PCI 027246Z [027246Z] Dilation of Coronary Artery, Three Arteries with Three DrICD10PCS PCI 027247Z [027247Z] Dilation of Coronary Artery, Three Arteries with Four or MICD10PCS PCI 02724D6 [02724D6] Dilation of Coronary Artery, Three Arteries, Bifurcation, ICD10PCS PCI 02724DZ [02724DZ] Dilation of Coronary Artery, Three Arteries with IntralumICD10PCS PCI 02724EZ [02724EZ] Dilation of Coronary Artery, Three Arteries with Two IntrICD10PCS PCI 02724F6 [02724F6] Dilation of Coronary Artery, Three Arteries, Bifurcation, wICD10PCS PCI 02724FZ [02724FZ] Dilation of Coronary Artery, Three Arteries with Three In ICD10PCS PCI 02724G6 [02724G6] Dilation of Coronary Artery, Three Arteries, Bifurcation, ICD10PCS PCI 02724GZ [02724GZ] Dilation of Coronary Artery, Three Arteries with Four or ICD10PCS PCI 02724T6 [02724T6] Dilation of Coronary Artery, Three Arteries, Bifurcation, wICD10PCS PCI 02724TZ [02724TZ] Dilation of Coronary Artery, Three Arteries with RadioactICD10PCS PCI 02724Z6 [02724Z6] Dilation of Coronary Artery, Three Arteries, Bifurcation, PICD10PCS PCI 02724ZZ [02724ZZ] Dilation of Coronary Artery, Three Arteries, PercutaneouICD10PCS PCI 027334Z [027334Z] Dilation of Coronary Artery, Four or More Arteries with DICD10PCS PCI 027335Z [027335Z] Dilation of Coronary Artery, Four or More Arteries with TICD10PCS PCI 027336Z [027336Z] Dilation of Coronary Artery, Four or More Arteries with TICD10PCS PCI 027337Z [027337Z] Dilation of Coronary Artery, Four or More Arteries with FICD10PCS PCI 02733D6 [02733D6] Dilation of Coronary Artery, Four or More Arteries, BifurICD10PCS PCI 02733DZ [02733DZ] Dilation of Coronary Artery, Four or More Arteries with IICD10PCS
20 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System PCI 02733EZ [02733EZ] Dilation of Coronary Artery, Four or More Arteries with TICD10PCS PCI 02733F6 [02733F6] Dilation of Coronary Artery, Four or More Arteries, BifurcICD10PCS PCI 02733FZ [02733FZ] Dilation of Coronary Artery, Four or More Arteries with TICD10PCS PCI 02733G6 [02733G6] Dilation of Coronary Artery, Four or More Arteries, BifurICD10PCS PCI 02733GZ [02733GZ] Dilation of Coronary Artery, Four or More Arteries with FICD10PCS PCI 02733T6 [02733T6] Dilation of Coronary Artery, Four or More Arteries, Bifur ICD10PCS PCI 02733TZ [02733TZ] Dilation of Coronary Artery, Four or More Arteries with RICD10PCS PCI 02733Z6 [02733Z6] Dilation of Coronary Artery, Four or More Arteries, BifurcICD10PCS PCI 02733ZZ [02733ZZ] Dilation of Coronary Artery, Four or More Arteries, PercuICD10PCS PCI 027344Z [027344Z] Dilation of Coronary Artery, Four or More Arteries with DICD10PCS PCI 027345Z [027345Z] Dilation of Coronary Artery, Four or More Arteries with TICD10PCS PCI 027346Z [027346Z] Dilation of Coronary Artery, Four or More Arteries with TICD10PCS PCI 027347Z [027347Z] Dilation of Coronary Artery, Four or More Arteries with FICD10PCS PCI 02734D6 [02734D6] Dilation of Coronary Artery, Four or More Arteries, BifurICD10PCS PCI 02734DZ [02734DZ] Dilation of Coronary Artery, Four or More Arteries with IICD10PCS PCI 02734EZ [02734EZ] Dilation of Coronary Artery, Four or More Arteries with TICD10PCS PCI 02734F6 [02734F6] Dilation of Coronary Artery, Four or More Arteries, BifurcICD10PCS PCI 02734FZ [02734FZ] Dilation of Coronary Artery, Four or More Arteries with TICD10PCS PCI 02734G6 [02734G6] Dilation of Coronary Artery, Four or More Arteries, BifurICD10PCS PCI 02734GZ [02734GZ] Dilation of Coronary Artery, Four or More Arteries with FICD10PCS PCI 02734T6 [02734T6] Dilation of Coronary Artery, Four or More Arteries, Bifur ICD10PCS PCI 02734TZ [02734TZ] Dilation of Coronary Artery, Four or More Arteries with RICD10PCS PCI 02734Z6 [02734Z6] Dilation of Coronary Artery, Four or More Arteries, BifurcICD10PCS PCI 02734ZZ [02734ZZ] Dilation of Coronary Artery, Four or More Arteries, PercuICD10PCS PCI 11101003 Percutaneous transluminal coronary angioplasty (procedure) SNOMED CT US Edition PCI 36969009 Placement of stent in coronary artery (procedure) SNOMED CT US Edition PCI 68466008 Removal of coronary artery obstruction by percutaneous translumi SNOMED CT US Edition PCI 75761004 Infusion of intra‐arterial thrombolytic agent with percutaneous tranSNOMED CT US Edition PCI 80762004 Infusion of intra‐arterial thrombolytic agent with percutaneous tranSNOMED CT US Edition PCI 85053006 Percutaneous transluminal coronary angioplasty, multiple vessels ( SNOMED CT US Edition PCI 91338001 Infusion of intra‐arterial thrombolytic agent with percutaneous tranSNOMED CT US Edition PCI 175066001Percutaneous transluminal balloon angioplasty of bypass graft of coSNOMED CT US Edition
21 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System PCI 232726007Percutaneous endarterectomy of coronary artery (procedure) SNOMED CT US Edition PCI 232727003Percutaneous directional coronary atherectomy (procedure) SNOMED CT US Edition PCI 232728008Percutaneous low speed rotational coronary atherectomy (proceduSNOMED CT US Edition PCI 232729000Percutaneous high speed rotational coronary atherectomy (proced SNOMED CT US Edition PCI 232731009Percutaneous thrombolysis of coronary artery (procedure) SNOMED CT US Edition PCI 397193006Percutaneous transluminal coronary angioplasty by rotoablation (p SNOMED CT US Edition PCI 397431004Percutaneous transluminal coronary angioplasty with rotoablation, SNOMED CT US Edition PCI 414089002Emergency percutaneous coronary intervention (procedure) SNOMED CT US Edition PCI 415070008Percutaneous coronary intervention (procedure) SNOMED CT US Edition PCI 428488008Placement of stent in anterior descending branch of left coronary aSNOMED CT US Edition PCI 429499003Placement of stent in circumflex branch of left coronary artery (proSNOMED CT US Edition PCI 429639007Percutaneous transluminal balloon angioplasty with insertion of steSNOMED CT US Edition PCI 429809004Fluoroscopic percutaneous transluminal angioplasty of coronary artSNOMED CT US Edition PCI 448652001Percutaneous transluminal injection of therapeutic substance into cSNOMED CT US Edition PCI 609153008Percutaneous insertion of drug eluting stent into coronary artery usSNOMED CT US Edition PCI 609154002Percutaneous transluminal insertion of metal stent into coronary a SNOMED CT US Edition PCI 707828002Percutaneous transluminal cutting balloon angioplasty of coronary SNOMED CT US Edition PCI 713617008Percutaneous transluminal revascularization of chronic total occlus SNOMED CT US Edition PCI 763725002Percutaneous transluminal angioplasty of coronary artery using druSNOMED CT US Edition Other Revascularization37220 CPT Other Revascularization37221 CPT Other Revascularization37224 CPT Other Revascularization37225 CPT Other Revascularization37226 CPT Other Revascularization37227 CPT Other Revascularization37228 CPT Other Revascularization37229 CPT Other Revascularization37230 CPT Other Revascularization37231 CPT Other Revascularization233497001Limb revascularization (procedure) SNOMED CT US Edition Other Revascularization233498006Revascularization of upper limb (procedure) SNOMED CT US Edition Other Revascularization233499003Revascularization of whole arm (procedure) SNOMED CT US Edition
22 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System Other Revascularization233500007Revascularization of forearm (procedure) SNOMED CT US Edition Other Revascularization233505002Revascularization of lower limb (procedure) SNOMED CT US Edition Other Revascularization233506001Revascularization of whole leg (procedure) SNOMED CT US Edition Outpatient 99201 CPT Outpatient 99202 CPT Outpatient 99203 CPT Outpatient 99204 CPT Outpatient 99205 CPT Outpatient 99211 CPT Outpatient 99212 CPT Outpatient 99213 CPT Outpatient 99214 CPT Outpatient 99215 CPT Outpatient 99241 CPT Outpatient 99242 CPT Outpatient 99243 CPT Outpatient 99244 CPT Outpatient 99245 CPT Outpatient 99341 CPT Outpatient 99342 CPT Outpatient 99343 CPT Outpatient 99344 CPT Outpatient 99345 CPT Outpatient 99347 CPT Outpatient 99348 CPT Outpatient 99349 CPT Outpatient 99350 CPT Outpatient 99381 CPT Outpatient 99382 CPT Outpatient 99383 CPT Outpatient 99384 CPT Outpatient 99385 CPT
23 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System Outpatient 99386 CPT Outpatient 99387 CPT Outpatient 99391 CPT Outpatient 99392 CPT Outpatient 99393 CPT Outpatient 99394 CPT Outpatient 99395 CPT Outpatient 99396 CPT Outpatient 99397 CPT Outpatient 99401 CPT Outpatient 99402 CPT Outpatient 99403 CPT Outpatient 99404 CPT Outpatient 99411 CPT Outpatient 99412 CPT Outpatient 99429 CPT Outpatient 99455 CPT Outpatient 99456 CPT Outpatient 99483 CPT Outpatient G0402 Initial preventive physical examination; face‐to‐face visit, services liHCPCS Outpatient G0438 Annual wellness visit; includes a personalized prevention plan of se HCPCS Outpatient G0439 Annual wellness visit, includes a personalized prevention plan of se HCPCS Outpatient G0463 Hospital outpatient clinic visit for assessment and management of aHCPCS Outpatient T1015 Clinic visit/encounter, all‐inclusive (T1015) HCPCS Outpatient 17436001 Medical consultation with outpatient (procedure) SNOMED CT US Edition Outpatient 30346009 Evaluation and management of established outpatient in office or oSNOMED CT US Edition Outpatient 37894004 Evaluation and management of new outpatient in office or other ouSNOMED CT US Edition Outpatient 77406008 Confirmatory medical consultation (procedure) SNOMED CT US Edition Outpatient 84251009 Comprehensive consultation (procedure) SNOMED CT US Edition Outpatient 185463005Visit out of hours (procedure) SNOMED CT US Edition Outpatient 185464004Out of hours visit ‐ not night visit (procedure) SNOMED CT US Edition Outpatient 185465003Weekend visit (procedure) SNOMED CT US Edition
24 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System Outpatient 281036007Follow‐up consultation (procedure) SNOMED CT US Edition Outpatient 439740005Postoperative follow‐up visit (procedure) SNOMED CT US Edition Outpatient 339100017Office visit for pediatric care and assessment (procedure) SNOMED CT US Edition Outpatient 444971000Annual wellness visit (procedure) SNOMED CT US Edition Outpatient 0510 UBREV Outpatient 0511 UBREV Outpatient 0512 UBREV Outpatient 0513 UBREV Outpatient 0514 UBREV Outpatient 0515 UBREV Outpatient 0516 UBREV Outpatient 0517 UBREV Outpatient 0519 UBREV Outpatient 0520 UBREV Outpatient 0521 UBREV Outpatient 0522 UBREV Outpatient 0523 UBREV Outpatient 0526 UBREV Outpatient 0527 UBREV Outpatient 0528 UBREV Outpatient 0529 UBREV Outpatient 0982 UBREV Outpatient 0983 UBREV Telephone Visits 98966 CPT Telephone Visits 98967 CPT Telephone Visits 98968 CPT Telephone Visits 99441 CPT Telephone Visits 99442 CPT Telephone Visits 99443 CPT Telephone Visits 11797002 Telephone call by physician to patient or for consultation (procedurSNOMED CT US Edition Telephone Visits 185317003Telephone encounter (procedure) SNOMED CT US Edition Telephone Visits 314849005Telephone contact by consultant (procedure) SNOMED CT US Edition
25 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System Telephone Visits 386472008Telephone consultation (procedure) SNOMED CT US Edition Telephone Visits 386473003Telephone follow‐up (procedure) SNOMED CT US Edition Telephone Visits 386479004Triage: telephone (procedure) SNOMED CT US Edition IVD I20.0 [I20.0] Unstable angina ICD10CM IVD I20.8 [I20.8] Other forms of angina pectoris ICD10CM IVD I20.9 [I20.9] Angina pectoris, unspecified ICD10CM IVD I24.0 [I24.0] Acute coronary thrombosis not resulting in myocardial infar ICD10CM IVD I24.8 [I24.8] Other forms of acute ischemic heart disease ICD10CM IVD I24.9 [I24.9] Acute ischemic heart disease, unspecified ICD10CM IVD I25.10 [I25.10] Atherosclerotic heart disease of native coronary artery wit ICD10CM IVD I25.110 [I25.110] Atherosclerotic heart disease of native coronary artery wiICD10CM IVD I25.111 [I25.111] Atherosclerotic heart disease of native coronary artery wiICD10CM IVD I25.118 [I25.118] Atherosclerotic heart disease of native coronary artery wiICD10CM IVD I25.119 [I25.119] Atherosclerotic heart disease of native coronary artery wiICD10CM IVD I25.5 [I25.5] Ischemic cardiomyopathy ICD10CM IVD I25.6 [I25.6] Silent myocardial ischemia ICD10CM IVD I25.700 [I25.700] Atherosclerosis of coronary artery bypass graft(s), unspec ICD10CM IVD I25.701 [I25.701] Atherosclerosis of coronary artery bypass graft(s), unspec ICD10CM IVD I25.708 [I25.708] Atherosclerosis of coronary artery bypass graft(s), unspec ICD10CM IVD I25.709 [I25.709] Atherosclerosis of coronary artery bypass graft(s), unspec ICD10CM IVD I25.710 [I25.710] Atherosclerosis of autologous vein coronary artery bypassICD10CM IVD I25.711 [I25.711] Atherosclerosis of autologous vein coronary artery bypassICD10CM IVD I25.718 [I25.718] Atherosclerosis of autologous vein coronary artery bypassICD10CM IVD I25.719 [I25.719] Atherosclerosis of autologous vein coronary artery bypassICD10CM IVD I25.720 [I25.720] Atherosclerosis of autologous artery coronary artery bypaICD10CM IVD I25.721 [I25.721] Atherosclerosis of autologous artery coronary artery bypaICD10CM IVD I25.728 [I25.728] Atherosclerosis of autologous artery coronary artery bypaICD10CM IVD I25.729 [I25.729] Atherosclerosis of autologous artery coronary artery bypaICD10CM IVD I25.730 [I25.730] Atherosclerosis of nonautologous biological coronary arteICD10CM IVD I25.731 [I25.731] Atherosclerosis of nonautologous biological coronary arteICD10CM IVD I25.738 [I25.738] Atherosclerosis of nonautologous biological coronary arteICD10CM IVD I25.739 [I25.739] Atherosclerosis of nonautologous biological coronary arteICD10CM
26 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System IVD I25.750 [I25.750] Atherosclerosis of native coronary artery of transplanted ICD10CM IVD I25.751 [I25.751] Atherosclerosis of native coronary artery of transplanted ICD10CM IVD I25.758 [I25.758] Atherosclerosis of native coronary artery of transplanted ICD10CM IVD I25.759 [I25.759] Atherosclerosis of native coronary artery of transplanted ICD10CM IVD I25.760 [I25.760] Atherosclerosis of bypass graft of coronary artery of transICD10CM IVD I25.761 [I25.761] Atherosclerosis of bypass graft of coronary artery of transICD10CM IVD I25.768 [I25.768] Atherosclerosis of bypass graft of coronary artery of transICD10CM IVD I25.769 [I25.769] Atherosclerosis of bypass graft of coronary artery of transICD10CM IVD I25.790 [I25.790] Atherosclerosis of other coronary artery bypass graft(s) wICD10CM IVD I25.791 [I25.791] Atherosclerosis of other coronary artery bypass graft(s) wICD10CM IVD I25.798 [I25.798] Atherosclerosis of other coronary artery bypass graft(s) wICD10CM IVD I25.799 [I25.799] Atherosclerosis of other coronary artery bypass graft(s) wICD10CM IVD I25.810 [I25.810] Atherosclerosis of coronary artery bypass graft(s) withoutICD10CM IVD I25.811 [I25.811] Atherosclerosis of native coronary artery of transplanted ICD10CM IVD I25.812 [I25.812] Atherosclerosis of bypass graft of coronary artery of transICD10CM IVD I25.82 [I25.82] Chronic total occlusion of coronary artery ICD10CM IVD I25.83 [I25.83] Coronary atherosclerosis due to lipid rich plaque ICD10CM IVD I25.84 [I25.84] Coronary atherosclerosis due to calcified coronary lesion ICD10CM IVD I25.89 [I25.89] Other forms of chronic ischemic heart disease ICD10CM IVD I25.9 [I25.9] Chronic ischemic heart disease, unspecified ICD10CM IVD I63.20 [I63.20] Cerebral infarction due to unspecified occlusion or stenosisICD10CM IVD I63.211 [I63.211] Cerebral infarction due to unspecified occlusion or stenosICD10CM IVD I63.212 [I63.212] Cerebral infarction due to unspecified occlusion or stenosICD10CM IVD I63.213 [I63.213] Cerebral infarction due to unspecified occlusion or stenosICD10CM IVD I63.219 [I63.219] Cerebral infarction due to unspecified occlusion or stenosICD10CM IVD I63.22 [I63.22] Cerebral infarction due to unspecified occlusion or stenosisICD10CM IVD I63.231 [I63.231] Cerebral infarction due to unspecified occlusion or stenosICD10CM IVD I63.232 [I63.232] Cerebral infarction due to unspecified occlusion or stenosICD10CM IVD I63.233 [I63.233] Cerebral infarction due to unspecified occlusion or stenosICD10CM IVD I63.239 [I63.239] Cerebral infarction due to unspecified occlusion or stenosICD10CM IVD I63.29 [I63.29] Cerebral infarction due to unspecified occlusion or stenosisICD10CM IVD I63.50 [I63.50] Cerebral infarction due to unspecified occlusion or stenosisICD10CM
27 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System IVD I63.511 [I63.511] Cerebral infarction due to unspecified occlusion or stenosICD10CM IVD I63.512 [I63.512] Cerebral infarction due to unspecified occlusion or stenosICD10CM IVD I63.513 [I63.513] Cerebral infarction due to unspecified occlusion or stenosICD10CM IVD I63.519 [I63.519] Cerebral infarction due to unspecified occlusion or stenosICD10CM IVD I63.521 [I63.521] Cerebral infarction due to unspecified occlusion or stenosICD10CM IVD I63.522 [I63.522] Cerebral infarction due to unspecified occlusion or stenosICD10CM IVD I63.523 [I63.523] Cerebral infarction due to unspecified occlusion or stenosICD10CM IVD I63.529 [I63.529] Cerebral infarction due to unspecified occlusion or stenosICD10CM IVD I63.531 [I63.531] Cerebral infarction due to unspecified occlusion or stenosICD10CM IVD I63.532 [I63.532] Cerebral infarction due to unspecified occlusion or stenosICD10CM IVD I63.533 [I63.533] Cerebral infarction due to unspecified occlusion or stenosICD10CM IVD I63.539 [I63.539] Cerebral infarction due to unspecified occlusion or stenosICD10CM IVD I63.541 [I63.541] Cerebral infarction due to unspecified occlusion or stenosICD10CM IVD I63.542 [I63.542] Cerebral infarction due to unspecified occlusion or stenosICD10CM IVD I63.543 [I63.543] Cerebral infarction due to unspecified occlusion or stenosICD10CM IVD I63.549 [I63.549] Cerebral infarction due to unspecified occlusion or stenosICD10CM IVD I63.59 [I63.59] Cerebral infarction due to unspecified occlusion or stenosisICD10CM IVD I65.01 [I65.01] Occlusion and stenosis of right vertebral artery ICD10CM IVD I65.02 [I65.02] Occlusion and stenosis of left vertebral artery ICD10CM IVD I65.03 [I65.03] Occlusion and stenosis of bilateral vertebral arteries ICD10CM IVD I65.09 [I65.09] Occlusion and stenosis of unspecified vertebral artery ICD10CM IVD I65.1 [I65.1] Occlusion and stenosis of basilar artery ICD10CM IVD I65.21 [I65.21] Occlusion and stenosis of right carotid artery ICD10CM IVD I65.22 [I65.22] Occlusion and stenosis of left carotid artery ICD10CM IVD I65.23 [I65.23] Occlusion and stenosis of bilateral carotid arteries ICD10CM IVD I65.29 [I65.29] Occlusion and stenosis of unspecified carotid artery ICD10CM IVD I65.8 [I65.8] Occlusion and stenosis of other precerebral arteries ICD10CM IVD I65.9 [I65.9] Occlusion and stenosis of unspecified precerebral artery ICD10CM IVD I66.01 [I66.01] Occlusion and stenosis of right middle cerebral artery ICD10CM IVD I66.02 [I66.02] Occlusion and stenosis of left middle cerebral artery ICD10CM IVD I66.03 [I66.03] Occlusion and stenosis of bilateral middle cerebral arteries ICD10CM IVD I66.09 [I66.09] Occlusion and stenosis of unspecified middle cerebral arterICD10CM
28 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System IVD I66.11 [I66.11] Occlusion and stenosis of right anterior cerebral artery ICD10CM IVD I66.12 [I66.12] Occlusion and stenosis of left anterior cerebral artery ICD10CM IVD I66.13 [I66.13] Occlusion and stenosis of bilateral anterior cerebral arterieICD10CM IVD I66.19 [I66.19] Occlusion and stenosis of unspecified anterior cerebral arteICD10CM IVD I66.21 [I66.21] Occlusion and stenosis of right posterior cerebral artery ICD10CM IVD I66.22 [I66.22] Occlusion and stenosis of left posterior cerebral artery ICD10CM IVD I66.23 [I66.23] Occlusion and stenosis of bilateral posterior cerebral arteri ICD10CM IVD I66.29 [I66.29] Occlusion and stenosis of unspecified posterior cerebral artICD10CM IVD I66.3 [I66.3] Occlusion and stenosis of cerebellar arteries ICD10CM IVD I66.8 [I66.8] Occlusion and stenosis of other cerebral arteries ICD10CM IVD I66.9 [I66.9] Occlusion and stenosis of unspecified cerebral artery ICD10CM IVD I67.2 [I67.2] Cerebral atherosclerosis ICD10CM IVD I70.1 [I70.1] Atherosclerosis of renal artery ICD10CM IVD I70.201 [I70.201] Unspecified atherosclerosis of native arteries of extremiti ICD10CM IVD I70.202 [I70.202] Unspecified atherosclerosis of native arteries of extremiti ICD10CM IVD I70.203 [I70.203] Unspecified atherosclerosis of native arteries of extremiti ICD10CM IVD I70.208 [I70.208] Unspecified atherosclerosis of native arteries of extremiti ICD10CM IVD I70.209 [I70.209] Unspecified atherosclerosis of native arteries of extremiti ICD10CM IVD I70.211 [I70.211] Atherosclerosis of native arteries of extremities with interICD10CM IVD I70.212 [I70.212] Atherosclerosis of native arteries of extremities with interICD10CM IVD I70.213 [I70.213] Atherosclerosis of native arteries of extremities with interICD10CM IVD I70.218 [I70.218] Atherosclerosis of native arteries of extremities with interICD10CM IVD I70.219 [I70.219] Atherosclerosis of native arteries of extremities with interICD10CM IVD I70.221 [I70.221] Atherosclerosis of native arteries of extremities with rest ICD10CM IVD I70.222 [I70.222] Atherosclerosis of native arteries of extremities with rest ICD10CM IVD I70.223 [I70.223] Atherosclerosis of native arteries of extremities with rest ICD10CM IVD I70.228 [I70.228] Atherosclerosis of native arteries of extremities with rest ICD10CM IVD I70.229 [I70.229] Atherosclerosis of native arteries of extremities with rest ICD10CM IVD I70.231 [I70.231] Atherosclerosis of native arteries of right leg with ulcerati ICD10CM IVD I70.232 [I70.232] Atherosclerosis of native arteries of right leg with ulcerati ICD10CM IVD I70.233 [I70.233] Atherosclerosis of native arteries of right leg with ulcerati ICD10CM IVD I70.234 [I70.234] Atherosclerosis of native arteries of right leg with ulcerati ICD10CM
29 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System IVD I70.235 [I70.235] Atherosclerosis of native arteries of right leg with ulcerati ICD10CM IVD I70.238 [I70.238] Atherosclerosis of native arteries of right leg with ulcerati ICD10CM IVD I70.239 [I70.239] Atherosclerosis of native arteries of right leg with ulcerati ICD10CM IVD I70.241 [I70.241] Atherosclerosis of native arteries of left leg with ulceratio ICD10CM IVD I70.242 [I70.242] Atherosclerosis of native arteries of left leg with ulceratio ICD10CM IVD I70.243 [I70.243] Atherosclerosis of native arteries of left leg with ulceratio ICD10CM IVD I70.244 [I70.244] Atherosclerosis of native arteries of left leg with ulceratio ICD10CM IVD I70.245 [I70.245] Atherosclerosis of native arteries of left leg with ulceratio ICD10CM IVD I70.248 [I70.248] Atherosclerosis of native arteries of left leg with ulceratio ICD10CM IVD I70.249 [I70.249] Atherosclerosis of native arteries of left leg with ulceratio ICD10CM IVD I70.25 [I70.25] Atherosclerosis of native arteries of other extremities with ICD10CM IVD I70.261 [I70.261] Atherosclerosis of native arteries of extremities with gangICD10CM IVD I70.262 [I70.262] Atherosclerosis of native arteries of extremities with gangICD10CM IVD I70.263 [I70.263] Atherosclerosis of native arteries of extremities with gangICD10CM IVD I70.268 [I70.268] Atherosclerosis of native arteries of extremities with gangICD10CM IVD I70.269 [I70.269] Atherosclerosis of native arteries of extremities with gangICD10CM IVD I70.291 [I70.291] Other atherosclerosis of native arteries of extremities, rig ICD10CM IVD I70.292 [I70.292] Other atherosclerosis of native arteries of extremities, lef ICD10CM IVD I70.293 [I70.293] Other atherosclerosis of native arteries of extremities, bil ICD10CM IVD I70.298 [I70.298] Other atherosclerosis of native arteries of extremities, othICD10CM IVD I70.299 [I70.299] Other atherosclerosis of native arteries of extremities, un ICD10CM IVD I70.301 [I70.301] Unspecified atherosclerosis of unspecified type of bypass ICD10CM IVD I70.302 [I70.302] Unspecified atherosclerosis of unspecified type of bypass ICD10CM IVD I70.303 [I70.303] Unspecified atherosclerosis of unspecified type of bypass ICD10CM IVD I70.308 [I70.308] Unspecified atherosclerosis of unspecified type of bypass ICD10CM IVD I70.309 [I70.309] Unspecified atherosclerosis of unspecified type of bypass ICD10CM IVD I70.311 [I70.311] Atherosclerosis of unspecified type of bypass graft(s) of thICD10CM IVD I70.312 [I70.312] Atherosclerosis of unspecified type of bypass graft(s) of thICD10CM IVD I70.313 [I70.313] Atherosclerosis of unspecified type of bypass graft(s) of thICD10CM IVD I70.318 [I70.318] Atherosclerosis of unspecified type of bypass graft(s) of thICD10CM IVD I70.319 [I70.319] Atherosclerosis of unspecified type of bypass graft(s) of thICD10CM IVD I70.321 [I70.321] Atherosclerosis of unspecified type of bypass graft(s) of thICD10CM
30 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System IVD I70.322 [I70.322] Atherosclerosis of unspecified type of bypass graft(s) of thICD10CM IVD I70.323 [I70.323] Atherosclerosis of unspecified type of bypass graft(s) of thICD10CM IVD I70.328 [I70.328] Atherosclerosis of unspecified type of bypass graft(s) of thICD10CM IVD I70.329 [I70.329] Atherosclerosis of unspecified type of bypass graft(s) of thICD10CM IVD I70.331 [I70.331] Atherosclerosis of unspecified type of bypass graft(s) of thICD10CM IVD I70.332 [I70.332] Atherosclerosis of unspecified type of bypass graft(s) of thICD10CM IVD I70.333 [I70.333] Atherosclerosis of unspecified type of bypass graft(s) of thICD10CM IVD I70.334 [I70.334] Atherosclerosis of unspecified type of bypass graft(s) of thICD10CM IVD I70.335 [I70.335] Atherosclerosis of unspecified type of bypass graft(s) of thICD10CM IVD I70.338 [I70.338] Atherosclerosis of unspecified type of bypass graft(s) of thICD10CM IVD I70.339 [I70.339] Atherosclerosis of unspecified type of bypass graft(s) of thICD10CM IVD I70.341 [I70.341] Atherosclerosis of unspecified type of bypass graft(s) of thICD10CM IVD I70.342 [I70.342] Atherosclerosis of unspecified type of bypass graft(s) of thICD10CM IVD I70.343 [I70.343] Atherosclerosis of unspecified type of bypass graft(s) of thICD10CM IVD I70.344 [I70.344] Atherosclerosis of unspecified type of bypass graft(s) of thICD10CM IVD I70.345 [I70.345] Atherosclerosis of unspecified type of bypass graft(s) of thICD10CM IVD I70.348 [I70.348] Atherosclerosis of unspecified type of bypass graft(s) of thICD10CM IVD I70.349 [I70.349] Atherosclerosis of unspecified type of bypass graft(s) of thICD10CM IVD I70.35 [I70.35] Atherosclerosis of unspecified type of bypass graft(s) of othICD10CM IVD I70.361 [I70.361] Atherosclerosis of unspecified type of bypass graft(s) of thICD10CM IVD I70.362 [I70.362] Atherosclerosis of unspecified type of bypass graft(s) of thICD10CM IVD I70.363 [I70.363] Atherosclerosis of unspecified type of bypass graft(s) of thICD10CM IVD I70.368 [I70.368] Atherosclerosis of unspecified type of bypass graft(s) of thICD10CM IVD I70.369 [I70.369] Atherosclerosis of unspecified type of bypass graft(s) of thICD10CM IVD I70.391 [I70.391] Other atherosclerosis of unspecified type of bypass graft( ICD10CM IVD I70.392 [I70.392] Other atherosclerosis of unspecified type of bypass graft( ICD10CM IVD I70.393 [I70.393] Other atherosclerosis of unspecified type of bypass graft( ICD10CM IVD I70.398 [I70.398] Other atherosclerosis of unspecified type of bypass graft( ICD10CM IVD I70.399 [I70.399] Other atherosclerosis of unspecified type of bypass graft( ICD10CM IVD I70.401 [I70.401] Unspecified atherosclerosis of autologous vein bypass graICD10CM IVD I70.402 [I70.402] Unspecified atherosclerosis of autologous vein bypass graICD10CM IVD I70.403 [I70.403] Unspecified atherosclerosis of autologous vein bypass graICD10CM
31 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System IVD I70.408 [I70.408] Unspecified atherosclerosis of autologous vein bypass graICD10CM IVD I70.409 [I70.409] Unspecified atherosclerosis of autologous vein bypass graICD10CM IVD I70.411 [I70.411] Atherosclerosis of autologous vein bypass graft(s) of the eICD10CM IVD I70.412 [I70.412] Atherosclerosis of autologous vein bypass graft(s) of the eICD10CM IVD I70.413 [I70.413] Atherosclerosis of autologous vein bypass graft(s) of the eICD10CM IVD I70.418 [I70.418] Atherosclerosis of autologous vein bypass graft(s) of the eICD10CM IVD I70.419 [I70.419] Atherosclerosis of autologous vein bypass graft(s) of the eICD10CM IVD I70.421 [I70.421] Atherosclerosis of autologous vein bypass graft(s) of the eICD10CM IVD I70.422 [I70.422] Atherosclerosis of autologous vein bypass graft(s) of the eICD10CM IVD I70.423 [I70.423] Atherosclerosis of autologous vein bypass graft(s) of the eICD10CM IVD I70.428 [I70.428] Atherosclerosis of autologous vein bypass graft(s) of the eICD10CM IVD I70.429 [I70.429] Atherosclerosis of autologous vein bypass graft(s) of the eICD10CM IVD I70.431 [I70.431] Atherosclerosis of autologous vein bypass graft(s) of the rICD10CM IVD I70.432 [I70.432] Atherosclerosis of autologous vein bypass graft(s) of the rICD10CM IVD I70.433 [I70.433] Atherosclerosis of autologous vein bypass graft(s) of the rICD10CM IVD I70.434 [I70.434] Atherosclerosis of autologous vein bypass graft(s) of the rICD10CM IVD I70.435 [I70.435] Atherosclerosis of autologous vein bypass graft(s) of the rICD10CM IVD I70.438 [I70.438] Atherosclerosis of autologous vein bypass graft(s) of the rICD10CM IVD I70.439 [I70.439] Atherosclerosis of autologous vein bypass graft(s) of the rICD10CM IVD I70.441 [I70.441] Atherosclerosis of autologous vein bypass graft(s) of the l ICD10CM IVD I70.442 [I70.442] Atherosclerosis of autologous vein bypass graft(s) of the l ICD10CM IVD I70.443 [I70.443] Atherosclerosis of autologous vein bypass graft(s) of the l ICD10CM IVD I70.444 [I70.444] Atherosclerosis of autologous vein bypass graft(s) of the l ICD10CM IVD I70.445 [I70.445] Atherosclerosis of autologous vein bypass graft(s) of the l ICD10CM IVD I70.448 [I70.448] Atherosclerosis of autologous vein bypass graft(s) of the l ICD10CM IVD I70.449 [I70.449] Atherosclerosis of autologous vein bypass graft(s) of the l ICD10CM IVD I70.45 [I70.45] Atherosclerosis of autologous vein bypass graft(s) of other ICD10CM IVD I70.461 [I70.461] Atherosclerosis of autologous vein bypass graft(s) of the eICD10CM IVD I70.462 [I70.462] Atherosclerosis of autologous vein bypass graft(s) of the eICD10CM IVD I70.463 [I70.463] Atherosclerosis of autologous vein bypass graft(s) of the eICD10CM IVD I70.468 [I70.468] Atherosclerosis of autologous vein bypass graft(s) of the eICD10CM IVD I70.469 [I70.469] Atherosclerosis of autologous vein bypass graft(s) of the eICD10CM
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Denominator Value Set Name Code Definition Code System IVD I70.491 [I70.491] Other atherosclerosis of autologous vein bypass graft(s) oICD10CM IVD I70.492 [I70.492] Other atherosclerosis of autologous vein bypass graft(s) oICD10CM IVD I70.493 [I70.493] Other atherosclerosis of autologous vein bypass graft(s) oICD10CM IVD I70.498 [I70.498] Other atherosclerosis of autologous vein bypass graft(s) oICD10CM IVD I70.499 [I70.499] Other atherosclerosis of autologous vein bypass graft(s) oICD10CM IVD I70.501 [I70.501] Unspecified atherosclerosis of nonautologous biological bICD10CM IVD I70.502 [I70.502] Unspecified atherosclerosis of nonautologous biological bICD10CM IVD I70.503 [I70.503] Unspecified atherosclerosis of nonautologous biological bICD10CM IVD I70.508 [I70.508] Unspecified atherosclerosis of nonautologous biological bICD10CM IVD I70.509 [I70.509] Unspecified atherosclerosis of nonautologous biological bICD10CM IVD I70.511 [I70.511] Atherosclerosis of nonautologous biological bypass graft(sICD10CM IVD I70.512 [I70.512] Atherosclerosis of nonautologous biological bypass graft(sICD10CM IVD I70.513 [I70.513] Atherosclerosis of nonautologous biological bypass graft(sICD10CM IVD I70.518 [I70.518] Atherosclerosis of nonautologous biological bypass graft(sICD10CM IVD I70.519 [I70.519] Atherosclerosis of nonautologous biological bypass graft(sICD10CM IVD I70.521 [I70.521] Atherosclerosis of nonautologous biological bypass graft(sICD10CM IVD I70.522 [I70.522] Atherosclerosis of nonautologous biological bypass graft(sICD10CM IVD I70.523 [I70.523] Atherosclerosis of nonautologous biological bypass graft(sICD10CM IVD I70.528 [I70.528] Atherosclerosis of nonautologous biological bypass graft(sICD10CM IVD I70.529 [I70.529] Atherosclerosis of nonautologous biological bypass graft(sICD10CM IVD I70.531 [I70.531] Atherosclerosis of nonautologous biological bypass graft(sICD10CM IVD I70.532 [I70.532] Atherosclerosis of nonautologous biological bypass graft(sICD10CM IVD I70.533 [I70.533] Atherosclerosis of nonautologous biological bypass graft(sICD10CM IVD I70.534 [I70.534] Atherosclerosis of nonautologous biological bypass graft(sICD10CM IVD I70.535 [I70.535] Atherosclerosis of nonautologous biological bypass graft(sICD10CM IVD I70.538 [I70.538] Atherosclerosis of nonautologous biological bypass graft(sICD10CM IVD I70.539 [I70.539] Atherosclerosis of nonautologous biological bypass graft(sICD10CM IVD I70.541 [I70.541] Atherosclerosis of nonautologous biological bypass graft(sICD10CM IVD I70.542 [I70.542] Atherosclerosis of nonautologous biological bypass graft(sICD10CM IVD I70.543 [I70.543] Atherosclerosis of nonautologous biological bypass graft(sICD10CM IVD I70.544 [I70.544] Atherosclerosis of nonautologous biological bypass graft(sICD10CM IVD I70.545 [I70.545] Atherosclerosis of nonautologous biological bypass graft(sICD10CM
33 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System IVD I70.548 [I70.548] Atherosclerosis of nonautologous biological bypass graft(sICD10CM IVD I70.549 [I70.549] Atherosclerosis of nonautologous biological bypass graft(sICD10CM IVD I70.55 [I70.55] Atherosclerosis of nonautologous biological bypass graft(s)ICD10CM IVD I70.561 [I70.561] Atherosclerosis of nonautologous biological bypass graft(sICD10CM IVD I70.562 [I70.562] Atherosclerosis of nonautologous biological bypass graft(sICD10CM IVD I70.563 [I70.563] Atherosclerosis of nonautologous biological bypass graft(sICD10CM IVD I70.568 [I70.568] Atherosclerosis of nonautologous biological bypass graft(sICD10CM IVD I70.569 [I70.569] Atherosclerosis of nonautologous biological bypass graft(sICD10CM IVD I70.591 [I70.591] Other atherosclerosis of nonautologous biological bypass ICD10CM IVD I70.592 [I70.592] Other atherosclerosis of nonautologous biological bypass ICD10CM IVD I70.593 [I70.593] Other atherosclerosis of nonautologous biological bypass ICD10CM IVD I70.598 [I70.598] Other atherosclerosis of nonautologous biological bypass ICD10CM IVD I70.599 [I70.599] Other atherosclerosis of nonautologous biological bypass ICD10CM IVD I70.601 [I70.601] Unspecified atherosclerosis of nonbiological bypass graft( ICD10CM IVD I70.602 [I70.602] Unspecified atherosclerosis of nonbiological bypass graft( ICD10CM IVD I70.603 [I70.603] Unspecified atherosclerosis of nonbiological bypass graft( ICD10CM IVD I70.608 [I70.608] Unspecified atherosclerosis of nonbiological bypass graft( ICD10CM IVD I70.609 [I70.609] Unspecified atherosclerosis of nonbiological bypass graft( ICD10CM IVD I70.611 [I70.611] Atherosclerosis of nonbiological bypass graft(s) of the ext ICD10CM IVD I70.612 [I70.612] Atherosclerosis of nonbiological bypass graft(s) of the ext ICD10CM IVD I70.613 [I70.613] Atherosclerosis of nonbiological bypass graft(s) of the ext ICD10CM IVD I70.618 [I70.618] Atherosclerosis of nonbiological bypass graft(s) of the ext ICD10CM IVD I70.619 [I70.619] Atherosclerosis of nonbiological bypass graft(s) of the ext ICD10CM IVD I70.621 [I70.621] Atherosclerosis of nonbiological bypass graft(s) of the ext ICD10CM IVD I70.622 [I70.622] Atherosclerosis of nonbiological bypass graft(s) of the ext ICD10CM IVD I70.623 [I70.623] Atherosclerosis of nonbiological bypass graft(s) of the ext ICD10CM IVD I70.628 [I70.628] Atherosclerosis of nonbiological bypass graft(s) of the ext ICD10CM IVD I70.629 [I70.629] Atherosclerosis of nonbiological bypass graft(s) of the ext ICD10CM IVD I70.631 [I70.631] Atherosclerosis of nonbiological bypass graft(s) of the righICD10CM IVD I70.632 [I70.632] Atherosclerosis of nonbiological bypass graft(s) of the righICD10CM IVD I70.633 [I70.633] Atherosclerosis of nonbiological bypass graft(s) of the righICD10CM IVD I70.634 [I70.634] Atherosclerosis of nonbiological bypass graft(s) of the righICD10CM
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Denominator Value Set Name Code Definition Code System IVD I70.635 [I70.635] Atherosclerosis of nonbiological bypass graft(s) of the righICD10CM IVD I70.638 [I70.638] Atherosclerosis of nonbiological bypass graft(s) of the righICD10CM IVD I70.639 [I70.639] Atherosclerosis of nonbiological bypass graft(s) of the righICD10CM IVD I70.641 [I70.641] Atherosclerosis of nonbiological bypass graft(s) of the leftICD10CM IVD I70.642 [I70.642] Atherosclerosis of nonbiological bypass graft(s) of the leftICD10CM IVD I70.643 [I70.643] Atherosclerosis of nonbiological bypass graft(s) of the leftICD10CM IVD I70.644 [I70.644] Atherosclerosis of nonbiological bypass graft(s) of the leftICD10CM IVD I70.645 [I70.645] Atherosclerosis of nonbiological bypass graft(s) of the leftICD10CM IVD I70.648 [I70.648] Atherosclerosis of nonbiological bypass graft(s) of the leftICD10CM IVD I70.649 [I70.649] Atherosclerosis of nonbiological bypass graft(s) of the leftICD10CM IVD I70.65 [I70.65] Atherosclerosis of nonbiological bypass graft(s) of other ex ICD10CM IVD I70.661 [I70.661] Atherosclerosis of nonbiological bypass graft(s) of the ext ICD10CM IVD I70.662 [I70.662] Atherosclerosis of nonbiological bypass graft(s) of the ext ICD10CM IVD I70.663 [I70.663] Atherosclerosis of nonbiological bypass graft(s) of the ext ICD10CM IVD I70.668 [I70.668] Atherosclerosis of nonbiological bypass graft(s) of the ext ICD10CM IVD I70.669 [I70.669] Atherosclerosis of nonbiological bypass graft(s) of the ext ICD10CM IVD I70.691 [I70.691] Other atherosclerosis of nonbiological bypass graft(s) of t ICD10CM IVD I70.692 [I70.692] Other atherosclerosis of nonbiological bypass graft(s) of t ICD10CM IVD I70.693 [I70.693] Other atherosclerosis of nonbiological bypass graft(s) of t ICD10CM IVD I70.698 [I70.698] Other atherosclerosis of nonbiological bypass graft(s) of t ICD10CM IVD I70.699 [I70.699] Other atherosclerosis of nonbiological bypass graft(s) of t ICD10CM IVD I70.701 [I70.701] Unspecified atherosclerosis of other type of bypass graft(sICD10CM IVD I70.702 [I70.702] Unspecified atherosclerosis of other type of bypass graft(sICD10CM IVD I70.703 [I70.703] Unspecified atherosclerosis of other type of bypass graft(sICD10CM IVD I70.708 [I70.708] Unspecified atherosclerosis of other type of bypass graft(sICD10CM IVD I70.709 [I70.709] Unspecified atherosclerosis of other type of bypass graft(sICD10CM IVD I70.711 [I70.711] Atherosclerosis of other type of bypass graft(s) of the extrICD10CM IVD I70.712 [I70.712] Atherosclerosis of other type of bypass graft(s) of the extrICD10CM IVD I70.713 [I70.713] Atherosclerosis of other type of bypass graft(s) of the extrICD10CM IVD I70.718 [I70.718] Atherosclerosis of other type of bypass graft(s) of the extrICD10CM IVD I70.719 [I70.719] Atherosclerosis of other type of bypass graft(s) of the extrICD10CM IVD I70.721 [I70.721] Atherosclerosis of other type of bypass graft(s) of the extrICD10CM
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Denominator Value Set Name Code Definition Code System IVD I70.722 [I70.722] Atherosclerosis of other type of bypass graft(s) of the extrICD10CM IVD I70.723 [I70.723] Atherosclerosis of other type of bypass graft(s) of the extrICD10CM IVD I70.728 [I70.728] Atherosclerosis of other type of bypass graft(s) of the extrICD10CM IVD I70.729 [I70.729] Atherosclerosis of other type of bypass graft(s) of the extrICD10CM IVD I70.731 [I70.731] Atherosclerosis of other type of bypass graft(s) of the righICD10CM IVD I70.732 [I70.732] Atherosclerosis of other type of bypass graft(s) of the righICD10CM IVD I70.733 [I70.733] Atherosclerosis of other type of bypass graft(s) of the righICD10CM IVD I70.734 [I70.734] Atherosclerosis of other type of bypass graft(s) of the righICD10CM IVD I70.735 [I70.735] Atherosclerosis of other type of bypass graft(s) of the righICD10CM IVD I70.738 [I70.738] Atherosclerosis of other type of bypass graft(s) of the righICD10CM IVD I70.739 [I70.739] Atherosclerosis of other type of bypass graft(s) of the righICD10CM IVD I70.741 [I70.741] Atherosclerosis of other type of bypass graft(s) of the left ICD10CM IVD I70.742 [I70.742] Atherosclerosis of other type of bypass graft(s) of the left ICD10CM IVD I70.743 [I70.743] Atherosclerosis of other type of bypass graft(s) of the left ICD10CM IVD I70.744 [I70.744] Atherosclerosis of other type of bypass graft(s) of the left ICD10CM IVD I70.745 [I70.745] Atherosclerosis of other type of bypass graft(s) of the left ICD10CM IVD I70.748 [I70.748] Atherosclerosis of other type of bypass graft(s) of the left ICD10CM IVD I70.749 [I70.749] Atherosclerosis of other type of bypass graft(s) of the left ICD10CM IVD I70.75 [I70.75] Atherosclerosis of other type of bypass graft(s) of other extICD10CM IVD I70.761 [I70.761] Atherosclerosis of other type of bypass graft(s) of the extrICD10CM IVD I70.762 [I70.762] Atherosclerosis of other type of bypass graft(s) of the extrICD10CM IVD I70.763 [I70.763] Atherosclerosis of other type of bypass graft(s) of the extrICD10CM IVD I70.768 [I70.768] Atherosclerosis of other type of bypass graft(s) of the extrICD10CM IVD I70.769 [I70.769] Atherosclerosis of other type of bypass graft(s) of the extrICD10CM IVD I70.791 [I70.791] Other atherosclerosis of other type of bypass graft(s) of thICD10CM IVD I70.792 [I70.792] Other atherosclerosis of other type of bypass graft(s) of thICD10CM IVD I70.793 [I70.793] Other atherosclerosis of other type of bypass graft(s) of thICD10CM IVD I70.798 [I70.798] Other atherosclerosis of other type of bypass graft(s) of thICD10CM IVD I70.799 [I70.799] Other atherosclerosis of other type of bypass graft(s) of thICD10CM IVD I70.92 [I70.92] Chronic total occlusion of artery of the extremities ICD10CM IVD I75.011 [I75.011] Atheroembolism of right upper extremity ICD10CM IVD I75.012 [I75.012] Atheroembolism of left upper extremity ICD10CM
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Denominator Value Set Name Code Definition Code System IVD I75.013 [I75.013] Atheroembolism of bilateral upper extremities ICD10CM IVD I75.019 [I75.019] Atheroembolism of unspecified upper extremity ICD10CM IVD I75.021 [I75.021] Atheroembolism of right lower extremity ICD10CM IVD I75.022 [I75.022] Atheroembolism of left lower extremity ICD10CM IVD I75.023 [I75.023] Atheroembolism of bilateral lower extremities ICD10CM IVD I75.029 [I75.029] Atheroembolism of unspecified lower extremity ICD10CM IVD I75.81 [I75.81] Atheroembolism of kidney ICD10CM IVD I75.89 [I75.89] Atheroembolism of other site ICD10CM IVD T82.855A [T82.855A] Stenosis of coronary artery stent, initial encounter ICD10CM IVD T82.855D [T82.855D] Stenosis of coronary artery stent, subsequent encounteICD10CM IVD T82.855S [T82.855S] Stenosis of coronary artery stent, sequela ICD10CM IVD T82.856A [T82.856A] Stenosis of peripheral vascular stent, initial encounter ICD10CM IVD T82.856D [T82.856D] Stenosis of peripheral vascular stent, subsequent encouICD10CM IVD T82.856S [T82.856S] Stenosis of peripheral vascular stent, sequela ICD10CM IVD 1055001 Stenosis of precerebral artery (disorder) SNOMED CT US Edition IVD 4557003 Preinfarction syndrome (disorder) SNOMED CT US Edition IVD 5534004 Senile arteritis (disorder) SNOMED CT US Edition IVD 10365005 Right main coronary artery thrombosis (disorder) SNOMED CT US Edition IVD 14977000 Multiple AND bilateral precerebral artery thrombosis (disorder) SNOMED CT US Edition IVD 19057007 Status anginosus (disorder) SNOMED CT US Edition IVD 20059004 Occlusion of cerebral artery (disorder) SNOMED CT US Edition IVD 21470009 Syncope anginosa (disorder) SNOMED CT US Edition IVD 23687008 Coronary artery spasm (disorder) SNOMED CT US Edition IVD 25106000 Impending infarction (disorder) SNOMED CT US Edition IVD 26900001 Coronary ostium stenosis (disorder) SNOMED CT US Edition IVD 28248000 Left anterior descending coronary artery thrombosis (disorder) SNOMED CT US Edition IVD 28790007 Obstruction of precerebral artery (disorder) SNOMED CT US Edition IVD 29899005 Coronary artery embolism (disorder) SNOMED CT US Edition IVD 35928006 Nocturnal angina (disorder) SNOMED CT US Edition IVD 37943007 Multiple AND bilateral precerebral artery embolism (disorder) SNOMED CT US Edition IVD 39823006 Generalized atherosclerosis (disorder) SNOMED CT US Edition IVD 40276003 Embolism of precerebral artery (disorder) SNOMED CT US Edition
37 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System IVD 41334000 Angina, class II (disorder) SNOMED CT US Edition IVD 42531007 Microinfarct of heart (disorder) SNOMED CT US Edition IVD 45281005 Atherosclerosis of renal artery (disorder) SNOMED CT US Edition IVD 46109009 Subendocardial ischemia (disorder) SNOMED CT US Edition IVD 48601002 Thrombosis of precerebral artery (disorder) SNOMED CT US Edition IVD 49176002 Arteriosclerotic gangrene (disorder) SNOMED CT US Edition IVD 50808002 Atheroma of artery (disorder) SNOMED CT US Edition IVD 51274000 Atherosclerosis of arteries of the extremities (disorder) SNOMED CT US Edition IVD 51677000 Atheroembolism of renal arteries (disorder) SNOMED CT US Edition IVD 52674009 Ischemia (disorder) SNOMED CT US Edition IVD 53741008 Coronary arteriosclerosis (disorder) SNOMED CT US Edition IVD 54519002 Basilar artery stenosis (disorder) SNOMED CT US Edition IVD 54687002 Arterial embolism (disorder) SNOMED CT US Edition IVD 55382008 Cerebral atherosclerosis (disorder) SNOMED CT US Edition IVD 56276002 Left main coronary artery thrombosis (disorder) SNOMED CT US Edition IVD 57357009 Transient ischemia (disorder) SNOMED CT US Edition IVD 59021001 Angina decubitus (disorder) SNOMED CT US Edition IVD 59062007 Coronary stricture (disorder) SNOMED CT US Edition IVD 60989005 Thromboembolism of renal arteries (disorder) SNOMED CT US Edition IVD 61490001 Angina, class I (disorder) SNOMED CT US Edition IVD 63739005 Coronary occlusion (disorder) SNOMED CT US Edition IVD 64586002 Carotid artery stenosis (disorder) SNOMED CT US Edition IVD 64775002 Vertebral artery thrombosis (disorder) SNOMED CT US Edition IVD 65084004 Vertebral artery embolism (disorder) SNOMED CT US Edition IVD 65198009 Arterial thrombosis (disorder) SNOMED CT US Edition IVD 65312002 Cerebral arteriosclerosis (disorder) SNOMED CT US Edition IVD 66189004 Postmyocardial infarction syndrome (disorder) SNOMED CT US Edition IVD 67682002 Coronary artery atheroma (disorder) SNOMED CT US Edition IVD 67992007 Multiple AND bilateral precerebral artery obstruction (disorder) SNOMED CT US Edition IVD 69742007 Monckeberg's medial sclerosis (disorder) SNOMED CT US Edition IVD 71444005 Cerebral arterial thrombosis (disorder) SNOMED CT US Edition IVD 72092001 Arteriosclerotic vascular disease (disorder) SNOMED CT US Edition
38 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System IVD 73192008 Multiple AND bilateral precerebral artery stenosis (disorder) SNOMED CT US Edition IVD 75543006 Cerebral embolism (disorder) SNOMED CT US Edition IVD 77255002 Thrombotic infarction (disorder) SNOMED CT US Edition IVD 80383008 Embolism of iliac artery (disorder) SNOMED CT US Edition IVD 80606009 Carotid artery embolism (disorder) SNOMED CT US Edition IVD 81817003 Atherosclerosis of aorta (disorder) SNOMED CT US Edition IVD 84272007 Thrombosis of abdominal aorta (disorder) SNOMED CT US Edition IVD 85284003 Angina, class III (disorder) SNOMED CT US Edition IVD 86003009 Carotid artery thrombosis (disorder) SNOMED CT US Edition IVD 87343002 Prinzmetal angina (disorder) SNOMED CT US Edition IVD 88174006 Basilar artery thrombosis (disorder) SNOMED CT US Edition IVD 89323001 Angina, class IV (disorder) SNOMED CT US Edition IVD 90520006 Vertebral artery stenosis (disorder) SNOMED CT US Edition IVD 92517006 Calcific coronary arteriosclerosis (disorder) SNOMED CT US Edition IVD 95458005 Cerebellar artery occlusion (disorder) SNOMED CT US Edition IVD 95459002 Cerebellar artery thrombosis (disorder) SNOMED CT US Edition IVD 95580006 Renal artery embolism (disorder) SNOMED CT US Edition IVD 109381003Sclerosis of saphenous vein (disorder) SNOMED CT US Edition IVD 111291001Senile endarteritis (disorder) SNOMED CT US Edition IVD 111296006Basilar artery embolism (disorder) SNOMED CT US Edition IVD 111298007Chronic cerebral ischemia (disorder) SNOMED CT US Edition IVD 111299004Atheroma of cerebral arteries (disorder) SNOMED CT US Edition IVD 123641001Left coronary artery occlusion (disorder) SNOMED CT US Edition IVD 123642008Right coronary artery occlusion (disorder) SNOMED CT US Edition IVD 129573006Atherosclerotic occlusive disease (disorder) SNOMED CT US Edition IVD 194821006Coronary thrombosis not resulting in myocardial infarction (disordeSNOMED CT US Edition IVD 194823009Acute coronary insufficiency (disorder) SNOMED CT US Edition IVD 194828000Angina (disorder) SNOMED CT US Edition IVD 194842008Single coronary vessel disease (disorder) SNOMED CT US Edition IVD 194843003Double coronary vessel disease (disorder) SNOMED CT US Edition IVD 194849004Generalized ischemic myocardial dysfunction (disorder) SNOMED CT US Edition IVD 195182007Vertebral artery occlusion (disorder) SNOMED CT US Edition
39 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System IVD 195183002Multiple and bilateral precerebral arterial occlusion (disorder) SNOMED CT US Edition IVD 195185009Cerebral infarct due to thrombosis of precerebral arteries (disorderSNOMED CT US Edition IVD 195186005Cerebral infarction due to embolism of precerebral arteries (disord SNOMED CT US Edition IVD 195189003Cerebral infarction due to thrombosis of cerebral arteries (disorder SNOMED CT US Edition IVD 195190007Cerebral infarction due to embolism of cerebral arteries (disorder) SNOMED CT US Edition IVD 195200006Carotid artery syndrome hemispheric (disorder) SNOMED CT US Edition IVD 195206000Intermittent cerebral ischemia (disorder) SNOMED CT US Edition IVD 195230003Cerebral infarction due to cerebral venous thrombosis, non‐pyogenSNOMED CT US Edition IVD 195231004Occlusion and stenosis of cerebral arteries, not resulting in cerebra SNOMED CT US Edition IVD 195232006Occlusion and stenosis of middle cerebral artery (disorder) SNOMED CT US Edition IVD 195233001Occlusion and stenosis of anterior cerebral artery (disorder) SNOMED CT US Edition IVD 195234007Occlusion and stenosis of posterior cerebral artery (disorder) SNOMED CT US Edition IVD 195235008Occlusion and stenosis of cerebellar arteries (disorder) SNOMED CT US Edition IVD 195236009Occlusion and stenosis of multiple and bilateral cerebral arteries (d SNOMED CT US Edition IVD 195254008Extremity artery atheroma (disorder) SNOMED CT US Edition IVD 195317001Embolism and thrombosis of the thoracic aorta (disorder) SNOMED CT US Edition IVD 195318006Embolism and thrombosis of an arm or leg artery (disorder) SNOMED CT US Edition IVD 195319003Embolism and thrombosis of the brachial artery (disorder) SNOMED CT US Edition IVD 195320009Embolism and thrombosis of the radial artery (disorder) SNOMED CT US Edition IVD 195321008Embolism and thrombosis of the ulnar artery (disorder) SNOMED CT US Edition IVD 195323006Embolism and thrombosis of the femoral artery (disorder) SNOMED CT US Edition IVD 195324000Embolism and thrombosis of the popliteal artery (disorder) SNOMED CT US Edition IVD 195325004Embolism and thrombosis of the anterior tibial artery (disorder) SNOMED CT US Edition IVD 195326003Embolism and thrombosis of the dorsalis pedis artery (disorder) SNOMED CT US Edition IVD 195327007Embolism and thrombosis of the posterior tibial artery (disorder) SNOMED CT US Edition IVD 195335005Embolism and/or thrombosis of the common iliac artery (disorder) SNOMED CT US Edition IVD 195336006Embolism and/or thrombosis of the internal iliac artery (disorder) SNOMED CT US Edition IVD 195337002Embolism and/or thrombosis of the external iliac artery (disorder) SNOMED CT US Edition IVD 195340002Embolism and thrombosis of the splenic artery (disorder) SNOMED CT US Edition IVD 195341003Embolism and thrombosis of the axillary artery (disorder) SNOMED CT US Edition IVD 195342005Embolism and thrombosis of the celiac artery (disorder) SNOMED CT US Edition IVD 195343000Embolism and thrombosis of hepatic artery (disorder) SNOMED CT US Edition
40 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System IVD 225566008Ischemic chest pain (finding) SNOMED CT US Edition IVD 230692004Infarction ‐ precerebral (disorder) SNOMED CT US Edition IVD 230693009Anterior cerebral circulation infarction (disorder) SNOMED CT US Edition IVD 230694003Total anterior cerebral circulation infarction (disorder) SNOMED CT US Edition IVD 230695002Partial anterior cerebral circulation infarction (disorder) SNOMED CT US Edition IVD 230696001Posterior cerebral circulation infarction (disorder) SNOMED CT US Edition IVD 230698000Lacunar infarction (disorder) SNOMED CT US Edition IVD 230699008Pure motor lacunar infarction (disorder) SNOMED CT US Edition IVD 230700009Pure sensory lacunar infarction (disorder) SNOMED CT US Edition IVD 230701008Pure sensorimotor lacunar infarction (disorder) SNOMED CT US Edition IVD 230702001Lacunar ataxic hemiparesis (disorder) SNOMED CT US Edition IVD 230703006Dysarthria‐clumsy hand syndrome (disorder) SNOMED CT US Edition IVD 230704000Multi‐infarct state (disorder) SNOMED CT US Edition IVD 230716006Carotid territory transient ischemic attack (disorder) SNOMED CT US Edition IVD 233817007Triple vessel disease of the heart (disorder) SNOMED CT US Edition IVD 233819005Stable angina (disorder) SNOMED CT US Edition IVD 233821000New onset angina (disorder) SNOMED CT US Edition IVD 233823002Silent myocardial ischemia (disorder) SNOMED CT US Edition IVD 233843008Silent myocardial infarction (disorder) SNOMED CT US Edition IVD 233844002Accelerated coronary artery disease in transplanted heart (disorderSNOMED CT US Edition IVD 233955003Abdominal aortic atherosclerosis (disorder) SNOMED CT US Edition IVD 233956002Aortoiliac atherosclerosis (disorder) SNOMED CT US Edition IVD 233958001Peripheral ischemia (disorder) SNOMED CT US Edition IVD 233959009Upper limb ischemia (disorder) SNOMED CT US Edition IVD 233960004Critical upper limb ischemia (disorder) SNOMED CT US Edition IVD 233961000Lower limb ischemia (disorder) SNOMED CT US Edition IVD 233962007Critical lower limb ischemia (disorder) SNOMED CT US Edition IVD 233964008Internal carotid artery stenosis (disorder) SNOMED CT US Edition IVD 233969003Superficial femoral artery stenosis (disorder) SNOMED CT US Edition IVD 233970002Coronary artery stenosis (disorder) SNOMED CT US Edition IVD 233972005Aortic bifurcation embolus (disorder) SNOMED CT US Edition IVD 233973000Femoral artery embolus (disorder) SNOMED CT US Edition
41 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System IVD 233974006Brachial artery embolus (disorder) SNOMED CT US Edition IVD 233976008Aortic bifurcation thrombosis (disorder) SNOMED CT US Edition IVD 236120009Ischemia of stoma (disorder) SNOMED CT US Edition IVD 251024009Coronary graft stenosis (disorder) SNOMED CT US Edition IVD 266253001Precerebral arterial occlusion (disorder) SNOMED CT US Edition IVD 266254007Occlusion of carotid artery (disorder) SNOMED CT US Edition IVD 266262004Arterial embolus and thrombosis (disorder) SNOMED CT US Edition IVD 266263009Embolism and thrombosis of the abdominal aorta (disorder) SNOMED CT US Edition IVD 274101000Aortic thromboembolism (disorder) SNOMED CT US Edition IVD 276219001Occipital cerebral infarction (disorder) SNOMED CT US Edition IVD 280871000Vascular degeneration (disorder) SNOMED CT US Edition IVD 281091000Ischemic myocardial dysfunction (disorder) SNOMED CT US Edition IVD 286959000Peripheral arterial embolism (disorder) SNOMED CT US Edition IVD 287731003Cerebral ischemia (disorder) SNOMED CT US Edition IVD 297136002Axillary artery embolus (disorder) SNOMED CT US Edition IVD 297138001Embolus of circle of Willis (disorder) SNOMED CT US Edition IVD 297141005Popliteal artery embolus (disorder) SNOMED CT US Edition IVD 300917007Ischemia of feet (disorder) SNOMED CT US Edition IVD 300920004Carotid atherosclerosis (disorder) SNOMED CT US Edition IVD 300995000Exercise‐induced angina (disorder) SNOMED CT US Edition IVD 301755001Ischemic foot (disorder) SNOMED CT US Edition IVD 302728008Endarteritis deformans (disorder) SNOMED CT US Edition IVD 302904002Infarction of visual cortex (disorder) SNOMED CT US Edition IVD 302910002Atherosclerotic renal artery stenosis (disorder) SNOMED CT US Edition IVD 302930003Endarteritis obliterans (disorder) SNOMED CT US Edition IVD 306856009Thrombosis of aortic bifurcation bypass graft (disorder) SNOMED CT US Edition IVD 307363008Multiple lacunar infarcts (disorder) SNOMED CT US Edition IVD 307406004Trash foot (disorder) SNOMED CT US Edition IVD 307407008Ischemic hand (disorder) SNOMED CT US Edition IVD 307408003Ischemic toe (disorder) SNOMED CT US Edition IVD 307409006Ischemic finger (disorder) SNOMED CT US Edition IVD 307766002Left sided cerebral infarction (disorder) SNOMED CT US Edition
42 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System IVD 307767006Right sided cerebral infarction (disorder) SNOMED CT US Edition IVD 309519009Left ventricular thrombus (disorder) SNOMED CT US Edition IVD 312375001Upper limb arterial embolus (disorder) SNOMED CT US Edition IVD 312378004Lower limb arterial embolus (disorder) SNOMED CT US Edition IVD 312594005Head and neck arterial thrombosis (disorder) SNOMED CT US Edition IVD 312822006Critical ischemia of foot (disorder) SNOMED CT US Edition IVD 312829002Common femoral artery stenosis (disorder) SNOMED CT US Edition IVD 314116003Post infarct angina (disorder) SNOMED CT US Edition IVD 315025001Refractory angina (disorder) SNOMED CT US Edition IVD 315026000Transient myocardial ischemia (disorder) SNOMED CT US Edition IVD 315348000Asymptomatic coronary heart disease (disorder) SNOMED CT US Edition IVD 361132001Senile arteriosclerosis (disorder) SNOMED CT US Edition IVD 361133006Arteriosclerosis obliterans (disorder) SNOMED CT US Edition IVD 363340006Vascular disorder of extremity (disorder) SNOMED CT US Edition IVD 371039008Thromboembolic disorder (disorder) SNOMED CT US Edition IVD 371040005Thrombotic stroke (disorder) SNOMED CT US Edition IVD 371041009Embolic stroke (disorder) SNOMED CT US Edition IVD 371803003Multi vessel coronary artery disease (disorder) SNOMED CT US Edition IVD 371804009Left main coronary artery disease (disorder) SNOMED CT US Edition IVD 371805005Significant coronary bypass graft disease (disorder) SNOMED CT US Edition IVD 371806006Progressive angina (disorder) SNOMED CT US Edition IVD 371807002Atypical angina (disorder) SNOMED CT US Edition IVD 371808007Recurrent angina status post percutaneous transluminal coronary aSNOMED CT US Edition IVD 371809004Recurrent angina status post coronary stent placement (disorder) SNOMED CT US Edition IVD 371810009Recurrent angina status post coronary artery bypass graft (disorderSNOMED CT US Edition IVD 371811008Recurrent angina status post rotational atherectomy (disorder) SNOMED CT US Edition IVD 371812001Recurrent angina status post directional coronary atherectomy (dis SNOMED CT US Edition IVD 386139002Stenotic coronary artery (finding) SNOMED CT US Edition IVD 394659003Acute coronary syndrome (disorder) SNOMED CT US Edition IVD 398274000Coronary artery thrombosis (disorder) SNOMED CT US Edition IVD 402861007Ischemic gangrene (disorder) SNOMED CT US Edition IVD 405556007Stenosis of lower limb artery (disorder) SNOMED CT US Edition
43 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System IVD 405588004Upper limb artery stenosis (disorder) SNOMED CT US Edition IVD 408546009Coronary artery bypass graft occlusion (disorder) SNOMED CT US Edition IVD 408665008Pontine artery thrombosis (disorder) SNOMED CT US Edition IVD 413102000Infarction of basal ganglia (disorder) SNOMED CT US Edition IVD 413439005Acute ischemic heart disease (disorder) SNOMED CT US Edition IVD 413444003Acute myocardial ischemia (disorder) SNOMED CT US Edition IVD 413552002Anterior segment ischemia (disorder) SNOMED CT US Edition IVD 413758000Cardioembolic stroke (disorder) SNOMED CT US Edition IVD 413838009Chronic ischemic heart disease (disorder) SNOMED CT US Edition IVD 413844008Chronic myocardial ischemia (disorder) SNOMED CT US Edition IVD 414545008Ischemic heart disease (disorder) SNOMED CT US Edition IVD 414795007Myocardial ischemia (disorder) SNOMED CT US Edition IVD 420006002Obliterative coronary artery disease (disorder) SNOMED CT US Edition IVD 422504002Ischemic stroke (disorder) SNOMED CT US Edition IVD 425420004Thrombosis of internal carotid artery (disorder) SNOMED CT US Edition IVD 425527003Atheromatous embolus of lower limb (disorder) SNOMED CT US Edition IVD 425932008Thrombosis of posterior communicating artery (disorder) SNOMED CT US Edition IVD 426107000Acute lacunar infarction (disorder) SNOMED CT US Edition IVD 426651005Occlusion of bilateral carotid arteries (disorder) SNOMED CT US Edition IVD 427296003Thalamic infarction (disorder) SNOMED CT US Edition IVD 427567003Atheromatous embolus of upper limb (disorder) SNOMED CT US Edition IVD 428196007Mixed myocardial ischemia and infarction (disorder) SNOMED CT US Edition IVD 428507003Atherosclerotic stenosis of brachiocephalic artery (disorder) SNOMED CT US Edition IVD 429245005Recurrent coronary arteriosclerosis after percutaneous transluminaSNOMED CT US Edition IVD 429559004Typical angina (disorder) SNOMED CT US Edition IVD 429673002Arteriosclerosis of coronary artery bypass graft (disorder) SNOMED CT US Edition IVD 431466007Occlusive disease of artery of upper extremity (disorder) SNOMED CT US Edition IVD 432083006Occlusive disease of artery of lower extremity (disorder) SNOMED CT US Edition IVD 432504007Cerebral infarction (disorder) SNOMED CT US Edition IVD 441574008Atherosclerosis of artery (disorder) SNOMED CT US Edition IVD 442224005Arteriosclerosis of autologous vein coronary artery bypass graft (disSNOMED CT US Edition IVD 442240008Arteriosclerosis of nonautologous coronary artery bypass graft (disoSNOMED CT US Edition
44 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System IVD 442421004Arteriosclerosis of arterial coronary artery bypass graft (disorder) SNOMED CT US Edition IVD 442439008Atherosclerosis of bypass graft of limb (disorder) SNOMED CT US Edition IVD 442693003Atherosclerosis of autologous vein bypass graft of limb (disorder) SNOMED CT US Edition IVD 442701004Atherosclerosis of nonautologous biological bypass graft of limb (diSNOMED CT US Edition IVD 442735001Atherosclerosis of nonautologous bypass graft of limb (disorder) SNOMED CT US Edition IVD 443502000Atherosclerosis of coronary artery (disorder) SNOMED CT US Edition IVD 443971004Arteriosclerosis of artery of extremity (disorder) SNOMED CT US Edition IVD 444855007Arteriosclerosis of coronary artery bypass graft of transplanted heaSNOMED CT US Edition IVD 444856008Arteriosclerosis of internal mammary artery coronary artery bypassSNOMED CT US Edition IVD 446712002Thromboembolus of precerebral artery (disorder) SNOMED CT US Edition IVD 448476001Subpulmonary stenosis (disorder) SNOMED CT US Edition IVD 697976003Microvascular ischemia of myocardium (disorder) SNOMED CT US Edition IVD 699706000Embolism of middle cerebral artery (disorder) SNOMED CT US Edition IVD 705128004Cerebral infarction due to embolism of middle cerebral artery (disoSNOMED CT US Edition IVD 705129007Thrombosis of middle cerebral artery (disorder) SNOMED CT US Edition IVD 705130002Cerebral infarction due to thrombosis of middle cerebral artery (disSNOMED CT US Edition IVD 710575003Transient ischemic attack due to embolism (disorder) SNOMED CT US Edition IVD 712866001Resting ischemia co‐occurrent and due to ischemic heart disease (dSNOMED CT US Edition IVD 713405002Subacute ischemic heart disease (disorder) SNOMED CT US Edition IVD 719678003Non‐obstructive atherosclerosis of coronary artery (disorder) SNOMED CT US Edition IVD 723869004Acute occlusion of aortoiliac artery co‐occurrent and due to thrombSNOMED CT US Edition IVD 723870003Acute occlusion of artery of lower limb co‐occurrent and due to thr SNOMED CT US Edition IVD 723873001Arterial obstruction due to thrombotic embolism from mural thromSNOMED CT US Edition IVD 723874007Arterial obstruction due to nonthrombotic embolism from heart (d SNOMED CT US Edition IVD 723875008Arterial obstruction due to thrombotic embolism from aneurysm ofSNOMED CT US Edition IVD 724002003Retinal ischemia, digestive tract small vessel hyalinosis, diffuse cereSNOMED CT US Edition IVD 724439005Microvascular embolism of arteriole (disorder) SNOMED CT US Edition IVD 724993002Cerebral ischemic stroke due to occlusion of extracranial large arte SNOMED CT US Edition IVD 733126003Acute occlusion of artery of upper limb caused by thromboembolusSNOMED CT US Edition IVD 733199002Multifocal cerebral infarction due to and following procedure on caSNOMED CT US Edition IVD 210001191Asymptomatic carotid artery stenosis (disorder) SNOMED CT US Edition IVD 791000119Angina associated with type II diabetes mellitus (disorder) SNOMED CT US Edition
45 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System IVD 164100011Coronary arteriosclerosis in native artery (disorder) SNOMED CT US Edition IVD 543100012Thrombosis of anterior cerebral artery (disorder) SNOMED CT US Edition IVD 544100012Thrombosis of middle cerebral artery (disorder) [5441000124105] SNOMED CT US Edition IVD 545100012Thrombosis of superior cerebellar artery (disorder) SNOMED CT US Edition IVD 546100012Thrombosis of anterior inferior cerebellar artery (disorder) SNOMED CT US Edition IVD 558100012Thrombosis of posterior cerebral artery (disorder) SNOMED CT US Edition IVD 560100012Thrombosis of posterior inferior cerebellar artery (disorder) SNOMED CT US Edition IVD 666100011Coronary arteriosclerosis in native artery of transplanted heart (dis SNOMED CT US Edition IVD 800100011Atherosclerosis of aortoiliac bypass graft (disorder) SNOMED CT US Edition IVD 961100011Symptomatic carotid artery stenosis (disorder) SNOMED CT US Edition IVD 990100011Occlusion of cerebral artery with stroke (disorder) SNOMED CT US Edition IVD 109710000Myocardial ischemia during surgery (disorder) SNOMED CT US Edition IVD 216310001Limb ischemia (disorder) SNOMED CT US Edition IVD 341810001Cerebral infarction due to occlusion of basilar artery (disorder) SNOMED CT US Edition IVD 994510001Cerebral infarction due to stenosis of carotid artery (disorder) SNOMED CT US Edition IVD 116291000Occlusion of renal artery due to embolism (disorder) SNOMED CT US Edition IVD 117051000Chronic total occlusion of coronary artery (disorder) SNOMED CT US Edition IVD 139011000Coronary arteriosclerosis following coronary artery bypass graft (di SNOMED CT US Edition IVD 140911000Ischemic stroke with coma (disorder) SNOMED CT US Edition IVD 140921000Ischemic stroke without coma (disorder) SNOMED CT US Edition IVD 145891000Atherosclerosis of native arteries of the extremities (disorder) SNOMED CT US Edition IVD 149821000Cerebral infarction due to carotid artery occlusion (disorder) SNOMED CT US Edition IVD 149841000Limb pain at rest due to atherosclerosis of native artery (disorder) SNOMED CT US Edition IVD 284861000Atherosclerosis of bilateral carotid arteries (disorder) SNOMED CT US Edition IVD 284871000Atherosclerosis of left carotid artery (disorder) SNOMED CT US Edition IVD 284881000Atherosclerosis of right carotid artery (disorder) SNOMED CT US Edition IVD 285141000Arteriosclerosis of autologous arterial coronary artery bypass graft SNOMED CT US Edition IVD 285151000Arteriosclerosis of autologous coronary artery bypass graft (disordeSNOMED CT US Edition IVD 285161000Occlusion of left carotid artery (disorder) SNOMED CT US Edition IVD 285171000Occlusion of right carotid artery (disorder) SNOMED CT US Edition IVD 285191000Left carotid artery stenosis (disorder) SNOMED CT US Edition IVD 285201000Right carotid artery stenosis (disorder) SNOMED CT US Edition
46 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System IVD 293821000Bilateral carotid artery stenosis (disorder) SNOMED CT US Edition IVD 293831000Cerebral infarction due to stenosis of precerebral artery (disorder) SNOMED CT US Edition IVD 329521000Occlusion of right anterior cerebral artery (disorder) SNOMED CT US Edition IVD 329531000Occlusion of left anterior cerebral artery (disorder) SNOMED CT US Edition IVD 329581000Occlusion of bilateral posterior cerebral arteries (disorder) SNOMED CT US Edition IVD 429811000Anterior cerebral artery embolism (disorder) SNOMED CT US Edition IVD 429821000Posterior cerebral artery embolism (disorder) SNOMED CT US Edition IVD 429831000Cerebellar artery embolism (disorder) SNOMED CT US Edition IVD 429841000Superior cerebellar artery embolism (disorder) SNOMED CT US Edition IVD 429851000Anterior inferior cerebellar artery embolism (disorder) SNOMED CT US Edition IVD 429861000Posterior inferior cerebellar artery embolism (disorder) SNOMED CT US Edition IVD 430721000Carotid artery occlusion without infarction (disorder) SNOMED CT US Edition IVD 430731000Basilar artery occlusion without infarction (disorder) SNOMED CT US Edition IVD 430781000Occlusion and stenosis of middle cerebral artery without infarction SNOMED CT US Edition IVD 430831000Occlusion and stenosis of posterior cerebral artery without infarctioSNOMED CT US Edition IVD 430841000Occlusion and stenosis of anterior cerebral artery without infarctio SNOMED CT US Edition IVD 430851000Multiple AND bilateral precerebral artery stenosis with infarction (dSNOMED CT US Edition IVD 430861000Multiple AND bilateral precerebral artery stenosis without infarctioSNOMED CT US Edition IVD 431391000Arteriosclerosis of aorta (disorder) SNOMED CT US Edition IVD 431401000Arteriosclerosis of abdominal aorta (disorder) SNOMED CT US Edition IVD 431411000Arteriosclerosis of thoracic aorta (disorder) SNOMED CT US Edition IVD 431421000Arteriosclerosis of carotid artery (disorder) SNOMED CT US Edition IVD 431431000Arteriosclerosis of renal artery (disorder) SNOMED CT US Edition IVD 433821000Occlusion of internal carotid artery (disorder) SNOMED CT US Edition IVD 433891000Cerebral infarction due to cerebral artery occlusion (disorder) SNOMED CT US Edition IVD 433901000Cerebral infarction due to basilar artery occlusion (disorder) SNOMED CT US Edition IVD 433911000Cerebral infarction due to posterior cerebral artery occlusion (disorSNOMED CT US Edition IVD 433931000Cerebral infarction due to internal carotid artery occlusion (disordeSNOMED CT US Edition IVD 433941000Occlusion and stenosis of middle cerebral artery with infarction (disSNOMED CT US Edition IVD 433951000Occlusion and stenosis of posterior cerebral artery with infarction ( SNOMED CT US Edition IVD 433961000Cerebral infarction due to cerebral venous thrombosis (disorder) SNOMED CT US Edition IVD 434151000Cerebral infarction due to anterior cerebral artery occlusion (disordSNOMED CT US Edition
47 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System IVD 434821000Vertebral artery occlusion with infarction (disorder) SNOMED CT US Edition IVD 434831000Vertebral artery stenosis with infarction (disorder) SNOMED CT US Edition IVD 434881000Multiple and bilateral precerebral arterial occlusion with infarction SNOMED CT US Edition IVD 434891000Internal carotid artery stenosis with infarction (disorder) SNOMED CT US Edition IVD 434951000Middle cerebral artery occlusion (disorder) SNOMED CT US Edition IVD 434961000Cerebral infarction due to middle cerebral artery occlusion (disordeSNOMED CT US Edition IVD 434991000Cerebral infarction due to basilar artery stenosis (disorder) SNOMED CT US Edition IVD 435271000Vertebral artery occlusion without infarction (disorder) SNOMED CT US Edition IVD 435281000Vertebral artery stenosis without infarction (disorder) SNOMED CT US Edition IVD 436021000Carotid artery stenosis without infarction (disorder) SNOMED CT US Edition IVD 436031000Anterior inferior cerebellar artery occlusion with infarction (disordeSNOMED CT US Edition IVD 436041000Posterior inferior cerebellar artery occlusion with infarction (disord SNOMED CT US Edition IVD 436781000Intracranial artery occlusion with infarction (disorder) SNOMED CT US Edition IVD 437911000Recurrent artery of Huebner occlusion with infarction (disorder) SNOMED CT US Edition IVD 451041000Atherosclerosis of coronary artery without angina pectoris (disordeSNOMED CT US Edition IVD 451361000Lipid‐rich atherosclerosis of coronary artery (disorder) SNOMED CT US Edition IVD 454031000Occlusion of superior cerebellar artery (disorder) SNOMED CT US Edition IVD 455011000Occlusion of anterior cerebral artery (disorder) SNOMED CT US Edition IVD 455031000Occlusion of right posterior communicating artery (disorder) SNOMED CT US Edition IVD 455041000Occlusion of left posterior communicating artery (disorder) SNOMED CT US Edition IVD 691471000Ischemia co‐occurrent and due to increased oxygen demand (disordSNOMED CT US Edition IVD 110187010Coronary arteriosclerosis after percutaneous coronary angioplasty SNOMED CT US Edition IVD 122369110Bilateral atherosclerosis of arteries of lower limbs (disorder) SNOMED CT US Edition IVD 122370310Atherosclerosis of arteries of left lower limb (disorder) SNOMED CT US Edition IVD 122371510Atherosclerosis of arteries of right lower limb (disorder) SNOMED CT US Edition IVD 127200010Stenosis of cavernous portion of right internal carotid artery (disordSNOMED CT US Edition IVD 157078410Thrombosis of right internal carotid artery (disorder) SNOMED CT US Edition IVD 157078810Thrombosis of left internal carotid artery (disorder) SNOMED CT US Edition IVD 157124810Ischemia of left lower extremity (disorder) SNOMED CT US Edition IVD 157125210Ischemia of right lower extremity (disorder) SNOMED CT US Edition IVD 157125610Ischemia of bilateral lower limbs (disorder) SNOMED CT US Edition IVD 157126010Ischemia of bilateral upper limbs (disorder) SNOMED CT US Edition
48 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System IVD 157126810Ischemia of left upper extremity (disorder) SNOMED CT US Edition IVD 159600610Unstable angina co‐occurrent and due to coronary arteriosclerosis SNOMED CT US Edition IVD 159601410Angina co‐occurrent and due to coronary arteriosclerosis (disorder)SNOMED CT US Edition IVD 159607810Angina co‐occurrent and due to arteriosclerosis of autologous arterSNOMED CT US Edition IVD 159667010Atheroembolism of right renal artery (disorder) SNOMED CT US Edition IVD 159667410Atheroembolism of bilateral renal arteries (disorder) SNOMED CT US Edition IVD 159667810Atheroembolism of left renal artery (disorder) SNOMED CT US Edition IVD 160027510Pain of bilateral upper limbs co‐occurrent and due to ischemia (disoSNOMED CT US Edition IVD 160093510Atheroembolism of left upper limb (disorder) SNOMED CT US Edition IVD 160093910Atheroembolism of right upper limb (disorder) SNOMED CT US Edition IVD 160124710Atheroembolism of left lower limb (disorder) SNOMED CT US Edition IVD 160126310Atheroembolism of right lower limb (disorder) SNOMED CT US Edition IVD 212900010Stenosis of middle cerebral artery (disorder) SNOMED CT US Edition IVD 278200010Stenosis of intracranial vessel (disorder) SNOMED CT US Edition Online Assessments 98969 CPT Online Assessments 99444 CPT Acute Inpatient 99221 CPT Acute Inpatient 99222 CPT Acute Inpatient 99223 CPT Acute Inpatient 99231 CPT Acute Inpatient 99232 CPT Acute Inpatient 99233 CPT Acute Inpatient 99238 CPT Acute Inpatient 99239 CPT Acute Inpatient 99251 CPT Acute Inpatient 99252 CPT Acute Inpatient 99253 CPT Acute Inpatient 99254 CPT Acute Inpatient 99255 CPT Acute Inpatient 99291 CPT Acute Inpatient 417005 Hospital re‐admission (procedure) SNOMED CT US Edition Acute Inpatient 1505002 Hospital admission for isolation (procedure) SNOMED CT US Edition
49 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System Acute Inpatient 2252009 Hospital admission, urgent, 48 hours (procedure) SNOMED CT US Edition Acute Inpatient 2876009 Hospital admission, type unclassified, explain by report (procedure)SNOMED CT US Edition Acute Inpatient 4563007 Hospital admission, transfer from other hospital or health care facilSNOMED CT US Edition Acute Inpatient 5161006 Specialty clinic admission (procedure) SNOMED CT US Edition Acute Inpatient 8715000 Hospital admission, elective (procedure) SNOMED CT US Edition Acute Inpatient 10378005 Hospital admission, emergency, from emergency room, accidental SNOMED CT US Edition Acute Inpatient 15584006 Hospital admission, elective, with partial pre‐admission work‐up (p SNOMED CT US Edition Acute Inpatient 18083007 Hospital admission, emergency, indirect (procedure) SNOMED CT US Edition Acute Inpatient 19951005 Hospital admission, emergency, from emergency room, medical na SNOMED CT US Edition Acute Inpatient 25986004 Hospital admission, under police custody (procedure) SNOMED CT US Edition Acute Inpatient 32485007 Hospital admission (procedure) SNOMED CT US Edition Acute Inpatient 45702004 Hospital admission, precertified by medical audit action (procedureSNOMED CT US Edition Acute Inpatient 47348005 Hospital admission, mother, for observation, delivered outside of h SNOMED CT US Edition Acute Inpatient 48183000 Hospital admission, special (procedure) SNOMED CT US Edition Acute Inpatient 50699000 Hospital admission, short‐term (procedure) SNOMED CT US Edition Acute Inpatient 51032003 Hospital admission, donor for transplant organ (procedure) SNOMED CT US Edition Acute Inpatient 51501005 Hospital admission, parent, for in‐hospital child care (procedure) SNOMED CT US Edition Acute Inpatient 52748007 Hospital admission, involuntary (procedure) SNOMED CT US Edition Acute Inpatient 60059000 Hospital admission, infant, for observation, delivered outside of ho SNOMED CT US Edition Acute Inpatient 63551005 Hospital admission, from remote area, by means of special transpo SNOMED CT US Edition Acute Inpatient 70755000 Hospital admission, by legal authority (commitment) (procedure) SNOMED CT US Edition Acute Inpatient 71290004 Hospital admission, limited to designated procedures (procedure) SNOMED CT US Edition Acute Inpatient 73607007 Hospital admission, emergency, from emergency room (procedure)SNOMED CT US Edition Acute Inpatient 74857009 Hospital admission, short‐term, 24 hours (procedure) SNOMED CT US Edition Acute Inpatient 76193006 Routinely scheduled operation (procedure) SNOMED CT US Edition Acute Inpatient 76464004 Hospital admission, for observation (procedure) SNOMED CT US Edition Acute Inpatient 78680009 Hospital admission, emergency, direct (procedure) SNOMED CT US Edition Acute Inpatient 81672003 Hospital admission, elective, without pre‐admission work‐up (proceSNOMED CT US Edition Acute Inpatient 82942009 Hospital admission, blood donor (procedure) SNOMED CT US Edition Acute Inpatient 112689000Hospital admission, elective, with complete pre‐admission work‐upSNOMED CT US Edition Acute Inpatient 183450002Admission to burn unit (procedure) SNOMED CT US Edition Acute Inpatient 183452005Emergency hospital admission (procedure) SNOMED CT US Edition
50 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System Acute Inpatient 183481006Non‐urgent hospital admission (procedure) SNOMED CT US Edition Acute Inpatient 183487005Non‐urgent medical admission (procedure) SNOMED CT US Edition Acute Inpatient 183488000Non‐urgent surgical admission (procedure) SNOMED CT US Edition Acute Inpatient 183489008Non‐urgent psychiatric admission (procedure) SNOMED CT US Edition Acute Inpatient 183491000Non‐urgent geriatric admission (procedure) SNOMED CT US Edition Acute Inpatient 183492007Non‐urgent pediatric admission (procedure) SNOMED CT US Edition Acute Inpatient 183493002Non‐urgent gynecological admission (procedure) SNOMED CT US Edition Acute Inpatient 183494008Non‐urgent obstetric admission (procedure) SNOMED CT US Edition Acute Inpatient 183495009Non‐urgent orthopedic admission (procedure) SNOMED CT US Edition Acute Inpatient 183496005Non‐urgent ear, nose and throat admission (procedure) SNOMED CT US Edition Acute Inpatient 183497001Non‐urgent trauma admission (procedure) SNOMED CT US Edition Acute Inpatient 183498006Non‐urgent ophthalmological admission (procedure) SNOMED CT US Edition Acute Inpatient 183499003Non‐urgent rheumatology admission (procedure) SNOMED CT US Edition Acute Inpatient 183500007Non‐urgent dermatology admission (procedure) SNOMED CT US Edition Acute Inpatient 183501006Non‐urgent neurology admission (procedure) SNOMED CT US Edition Acute Inpatient 183502004Non‐urgent urology admission (procedure) SNOMED CT US Edition Acute Inpatient 183503009Non‐urgent radiotherapy admission (procedure) SNOMED CT US Edition Acute Inpatient 183504003Non‐urgent hematology admission (procedure) SNOMED CT US Edition Acute Inpatient 183505002Non‐urgent plastic surgery admission (procedure) SNOMED CT US Edition Acute Inpatient 183506001Non‐urgent diabetic admission (procedure) SNOMED CT US Edition Acute Inpatient 183507005Non‐urgent respiratory admission (procedure) SNOMED CT US Edition Acute Inpatient 183508000Non‐urgent psychogeriatric admission (procedure) SNOMED CT US Edition Acute Inpatient 183509008Non‐urgent renal medicine admission (procedure) SNOMED CT US Edition Acute Inpatient 183510003Non‐urgent neurosurgical admission (procedure) SNOMED CT US Edition Acute Inpatient 183511004Non‐urgent cardiothoracic admission (procedure) SNOMED CT US Edition Acute Inpatient 183512006Non‐urgent oral surgical admission (procedure) SNOMED CT US Edition Acute Inpatient 235313004Non‐emergency appendectomy (procedure) SNOMED CT US Edition Acute Inpatient 287927002Dilatation and curettage: routine (procedure) SNOMED CT US Edition Acute Inpatient 304566005Admission for treatment (procedure) SNOMED CT US Edition Acute Inpatient 305337004Admission to community hospital (procedure) SNOMED CT US Edition Acute Inpatient 305338009Admission to general practice hospital (procedure) SNOMED CT US Edition Acute Inpatient 305339001Admission to private hospital (procedure) SNOMED CT US Edition
51 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System Acute Inpatient 305341000Admission to tertiary referral hospital (procedure) SNOMED CT US Edition Acute Inpatient 305342007Admission to ward (procedure) SNOMED CT US Edition Acute Inpatient 305350003Admission to anesthetic department (procedure) SNOMED CT US Edition Acute Inpatient 305354007Admission to medical department (procedure) SNOMED CT US Edition Acute Inpatient 305355008Admission to clinical allergy department (procedure) SNOMED CT US Edition Acute Inpatient 305356009Admission to audiology department (procedure) SNOMED CT US Edition Acute Inpatient 305357000Admission to cardiology department (procedure) SNOMED CT US Edition Acute Inpatient 305358005Admission to chest medicine department (procedure) SNOMED CT US Edition Acute Inpatient 305359002Admission to thoracic medicine department (procedure) SNOMED CT US Edition Acute Inpatient 305360007Admission to respiratory medicine department (procedure) SNOMED CT US Edition Acute Inpatient 305361006Admission to clinical immunology department (procedure) SNOMED CT US Edition Acute Inpatient 305362004Admission to clinical neurophysiology department (procedure) SNOMED CT US Edition Acute Inpatient 305363009Admission to clinical pharmacology department (procedure) SNOMED CT US Edition Acute Inpatient 305364003Admission to clinical physiology department (procedure) SNOMED CT US Edition Acute Inpatient 305365002Admission to dermatology department (procedure) SNOMED CT US Edition Acute Inpatient 305366001Admission to endocrinology department (procedure) SNOMED CT US Edition Acute Inpatient 305367005Admission to gastroenterology department (procedure) SNOMED CT US Edition Acute Inpatient 305368000Admission to general medical department (procedure) SNOMED CT US Edition Acute Inpatient 305369008Admission to genetics department (procedure) SNOMED CT US Edition Acute Inpatient 305370009Admission to clinical genetics department (procedure) SNOMED CT US Edition Acute Inpatient 305371008Admission to clinical cytogenetics department (procedure) SNOMED CT US Edition Acute Inpatient 305372001Admission to clinical molecular genetics department (procedure) SNOMED CT US Edition Acute Inpatient 305374000Admission to genitourinary medicine department (procedure) SNOMED CT US Edition Acute Inpatient 305375004Admission to care of the elderly department (procedure) SNOMED CT US Edition Acute Inpatient 305376003Admission to infectious diseases department (procedure) SNOMED CT US Edition Acute Inpatient 305377007Admission to medical ophthalmology department (procedure) SNOMED CT US Edition Acute Inpatient 305378002Admission to nephrology department (procedure) SNOMED CT US Edition Acute Inpatient 305379005Admission to neurology department (procedure) SNOMED CT US Edition Acute Inpatient 305380008Admission to nuclear medicine department (procedure) SNOMED CT US Edition Acute Inpatient 305382000Admission to rehabilitation department (procedure) SNOMED CT US Edition Acute Inpatient 305383005Admission to rheumatology department (procedure) SNOMED CT US Edition Acute Inpatient 305384004Admission to obstetrics and gynecology department (procedure) SNOMED CT US Edition
52 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System Acute Inpatient 305385003Admission to gynecology department (procedure) SNOMED CT US Edition Acute Inpatient 305386002Admission to obstetrics department (procedure) SNOMED CT US Edition Acute Inpatient 305387006Admission to pediatric department (procedure) SNOMED CT US Edition Acute Inpatient 305388001Admission to special care baby unit (procedure) SNOMED CT US Edition Acute Inpatient 305389009Admission to pediatric neurology department (procedure) SNOMED CT US Edition Acute Inpatient 305390000Admission to pediatric oncology department (procedure) SNOMED CT US Edition Acute Inpatient 305391001Admission to pain management department (procedure) SNOMED CT US Edition Acute Inpatient 305392008Admission to pathology department (procedure) SNOMED CT US Edition Acute Inpatient 305393003Admission to blood transfusion department (procedure) SNOMED CT US Edition Acute Inpatient 305394009Admission to chemical pathology department (procedure) SNOMED CT US Edition Acute Inpatient 305395005Admission to general pathology department (procedure) SNOMED CT US Edition Acute Inpatient 305396006Admission to hematology department (procedure) SNOMED CT US Edition Acute Inpatient 305397002Admission to medical microbiology department (procedure) SNOMED CT US Edition Acute Inpatient 305399004Admission to neuropathology department (procedure) SNOMED CT US Edition Acute Inpatient 305400006Admission to psychiatry department (procedure) SNOMED CT US Edition Acute Inpatient 305401005Admission to child and adolescent psychiatry department (proceduSNOMED CT US Edition Acute Inpatient 305402003Admission to forensic psychiatry department (procedure) SNOMED CT US Edition Acute Inpatient 305403008Admission to psychogeriatric department (procedure) SNOMED CT US Edition Acute Inpatient 305404002Admission to mental handicap psychiatry department (procedure) SNOMED CT US Edition Acute Inpatient 305405001Admission to rehabilitation psychiatry department (procedure) SNOMED CT US Edition Acute Inpatient 305406000Admission to radiology department (procedure) SNOMED CT US Edition Acute Inpatient 305407009Admission to occupational health department (procedure) SNOMED CT US Edition Acute Inpatient 305408004Admission to surgical department (procedure) SNOMED CT US Edition Acute Inpatient 305409007Admission to breast surgery department (procedure) SNOMED CT US Edition Acute Inpatient 305410002Admission to cardiothoracic surgery department (procedure) SNOMED CT US Edition Acute Inpatient 305411003Admission to thoracic surgery department (procedure) SNOMED CT US Edition Acute Inpatient 305412005Admission to cardiac surgery department (procedure) SNOMED CT US Edition Acute Inpatient 305413000Admission to dental surgery department (procedure) SNOMED CT US Edition Acute Inpatient 305414006Admission to orthodontics department (procedure) SNOMED CT US Edition Acute Inpatient 305415007Admission to pediatric dentistry department (procedure) SNOMED CT US Edition Acute Inpatient 305416008Admission to restorative dentistry department (procedure) SNOMED CT US Edition Acute Inpatient 305417004Admission to ear, nose and throat department (procedure) SNOMED CT US Edition
53 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System Acute Inpatient 305418009Admission to endocrine surgery department (procedure) SNOMED CT US Edition Acute Inpatient 305419001Admission to gastrointestinal surgery department (procedure) SNOMED CT US Edition Acute Inpatient 305420007Admission to general gastrointestinal surgery department (proceduSNOMED CT US Edition Acute Inpatient 305421006Admission to upper gastrointestinal surgery department (procedureSNOMED CT US Edition Acute Inpatient 305422004Admission to colorectal surgery department (procedure) SNOMED CT US Edition Acute Inpatient 305423009Admission to general surgical department (procedure) SNOMED CT US Edition Acute Inpatient 305424003Admission to hepatobiliary surgical department (procedure) SNOMED CT US Edition Acute Inpatient 305425002Admission to neurosurgical department (procedure) SNOMED CT US Edition Acute Inpatient 305426001Admission to ophthalmology department (procedure) SNOMED CT US Edition Acute Inpatient 305427005Admission to oral surgery department (procedure) SNOMED CT US Edition Acute Inpatient 305428000Admission to orthopedic department (procedure) SNOMED CT US Edition Acute Inpatient 305429008Admission to pancreatic surgery department (procedure) SNOMED CT US Edition Acute Inpatient 305430003Admission to pediatric surgical department (procedure) SNOMED CT US Edition Acute Inpatient 305431004Admission to plastic surgery department (procedure) SNOMED CT US Edition Acute Inpatient 305432006Admission to surgical transplant department (procedure) SNOMED CT US Edition Acute Inpatient 305433001Admission to trauma surgery department (procedure) SNOMED CT US Edition Acute Inpatient 305434007Admission to urology department (procedure) SNOMED CT US Edition Acute Inpatient 305435008Admission to vascular surgery department (procedure) SNOMED CT US Edition Acute Inpatient 306732000Admission to general dental surgery department (procedure) SNOMED CT US Edition Acute Inpatient 306803007Admission to stroke unit (procedure) SNOMED CT US Edition Acute Inpatient 306967009Admission to hand surgery department (procedure) SNOMED CT US Edition Acute Inpatient 308251003Admission to clinical oncology department (procedure) SNOMED CT US Edition Acute Inpatient 308252005Admission to radiotherapy department (procedure) SNOMED CT US Edition Acute Inpatient 308253000Admission to diabetic department (procedure) SNOMED CT US Edition Acute Inpatient 310361003Non‐urgent cardiological admission (procedure) SNOMED CT US Edition Acute Inpatient 373113001Routine procedure (procedure) SNOMED CT US Edition Acute Inpatient 397769005Unexpected admission to high dependency unit (procedure) SNOMED CT US Edition Acute Inpatient 398162007Admission to high dependency unit (procedure) SNOMED CT US Edition Acute Inpatient 405614004Unexpected hospital admission (procedure) SNOMED CT US Edition Acute Inpatient 699124006Admission to substance misuse detoxification center (procedure) SNOMED CT US Edition Acute Inpatient 324100017Hospital admission from non‐health care facility (procedure) SNOMED CT US Edition Acute Inpatient 432621000Hospital admission from dialysis facility (procedure) SNOMED CT US Edition
54 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System Acute Inpatient 442281000Emergency hospital admission from observation unit (procedure) SNOMED CT US Edition Acute Inpatient 447941000Hospital admission of newborn (procedure) SNOMED CT US Edition Acute Inpatient 448421000Hospital admission, transfer from physician office (procedure) SNOMED CT US Edition Acute Inpatient 448431000Hospital admission, transfer from assisted living facility (procedure)SNOMED CT US Edition Acute Inpatient 448441000Hospital admission, transfer from intermediate care facility (procedSNOMED CT US Edition Acute Inpatient 448851000Hospital admission from observation unit (procedure) SNOMED CT US Edition Nonacute Inpatient Stay0022 UBREV Nonacute Inpatient Stay0024 UBREV Nonacute Inpatient Stay0118 UBREV Nonacute Inpatient Stay0128 UBREV Nonacute Inpatient Stay0138 UBREV Nonacute Inpatient Stay0148 UBREV Nonacute Inpatient Stay0158 UBREV Nonacute Inpatient Stay0190 UBREV Nonacute Inpatient Stay0191 UBREV Nonacute Inpatient Stay0192 UBREV Nonacute Inpatient Stay0193 UBREV Nonacute Inpatient Stay0194 UBREV Nonacute Inpatient Stay0199 UBREV Nonacute Inpatient Stay0524 UBREV Nonacute Inpatient Stay0525 UBREV Nonacute Inpatient Stay0550 UBREV Nonacute Inpatient Stay0551 UBREV Nonacute Inpatient Stay0552 UBREV Nonacute Inpatient Stay0559 UBREV Nonacute Inpatient Stay0660 UBREV Nonacute Inpatient Stay0661 UBREV Nonacute Inpatient Stay0662 UBREV Nonacute Inpatient Stay0663 UBREV Nonacute Inpatient Stay0669 UBREV Nonacute Inpatient Stay1000 UBREV Nonacute Inpatient Stay1001 UBREV
55 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System Nonacute Inpatient Stay1002 UBREV Nonacute Inpatient Stay0180 UBTOB Nonacute Inpatient Stay0181 UBTOB Nonacute Inpatient Stay0182 UBTOB Nonacute Inpatient Stay0183 UBTOB Nonacute Inpatient Stay0184 UBTOB Nonacute Inpatient Stay0185 UBTOB Nonacute Inpatient Stay0187 UBTOB Nonacute Inpatient Stay0188 UBTOB Nonacute Inpatient Stay0210 UBTOB Nonacute Inpatient Stay0211 UBTOB Nonacute Inpatient Stay0212 UBTOB Nonacute Inpatient Stay0213 UBTOB Nonacute Inpatient Stay0214 UBTOB Nonacute Inpatient Stay0215 UBTOB Nonacute Inpatient Stay0217 UBTOB Nonacute Inpatient Stay0218 UBTOB Nonacute Inpatient Stay0220 UBTOB Nonacute Inpatient Stay0221 UBTOB Nonacute Inpatient Stay0222 UBTOB Nonacute Inpatient Stay0223 UBTOB Nonacute Inpatient Stay0224 UBTOB Nonacute Inpatient Stay0225 UBTOB Nonacute Inpatient Stay0227 UBTOB Nonacute Inpatient Stay0228 UBTOB Nonacute Inpatient Stay0280 UBTOB Nonacute Inpatient Stay0281 UBTOB Nonacute Inpatient Stay0282 UBTOB Nonacute Inpatient Stay0283 UBTOB Nonacute Inpatient Stay0284 UBTOB Nonacute Inpatient Stay0285 UBTOB Nonacute Inpatient Stay0287 UBTOB
56 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System Nonacute Inpatient Stay0288 UBTOB Nonacute Inpatient Stay0289 UBTOB Nonacute Inpatient Stay0650 UBTOB Nonacute Inpatient Stay0652 UBTOB Nonacute Inpatient Stay0653 UBTOB Nonacute Inpatient Stay0654 UBTOB Nonacute Inpatient Stay0655 UBTOB Nonacute Inpatient Stay0657 UBTOB Nonacute Inpatient Stay0658 UBTOB Nonacute Inpatient Stay0660 UBTOB Nonacute Inpatient Stay0662 UBTOB Nonacute Inpatient Stay0663 UBTOB Nonacute Inpatient Stay0664 UBTOB Nonacute Inpatient Stay0665 UBTOB Nonacute Inpatient Stay0667 UBTOB Nonacute Inpatient Stay0668 UBTOB Nonacute Inpatient Stay0860 UBTOB Nonacute Inpatient Stay0862 UBTOB Nonacute Inpatient Stay0863 UBTOB Nonacute Inpatient Stay0864 UBTOB Nonacute Inpatient Stay0865 UBTOB Nonacute Inpatient Stay0867 UBTOB Nonacute Inpatient Stay0868 UBTOB Nonacute Inpatient Stay018F UBTOB Nonacute Inpatient Stay018G UBTOB Nonacute Inpatient Stay018H UBTOB Nonacute Inpatient Stay018I UBTOB Nonacute Inpatient Stay018J UBTOB Nonacute Inpatient Stay018K UBTOB Nonacute Inpatient Stay018M UBTOB Nonacute Inpatient Stay018O UBTOB Nonacute Inpatient Stay018X UBTOB
57 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System Nonacute Inpatient Stay018Y UBTOB Nonacute Inpatient Stay018Z UBTOB Nonacute Inpatient Stay021F UBTOB Nonacute Inpatient Stay021G UBTOB Nonacute Inpatient Stay021H UBTOB Nonacute Inpatient Stay021I UBTOB Nonacute Inpatient Stay021J UBTOB Nonacute Inpatient Stay021K UBTOB Nonacute Inpatient Stay021M UBTOB Nonacute Inpatient Stay021O UBTOB Nonacute Inpatient Stay021X UBTOB Nonacute Inpatient Stay021Y UBTOB Nonacute Inpatient Stay021Z UBTOB Nonacute Inpatient Stay022F UBTOB Nonacute Inpatient Stay022G UBTOB Nonacute Inpatient Stay022H UBTOB Nonacute Inpatient Stay022I UBTOB Nonacute Inpatient Stay022J UBTOB Nonacute Inpatient Stay022K UBTOB Nonacute Inpatient Stay022M UBTOB Nonacute Inpatient Stay022O UBTOB Nonacute Inpatient Stay022X UBTOB Nonacute Inpatient Stay022Y UBTOB Nonacute Inpatient Stay022Z UBTOB Nonacute Inpatient Stay028F UBTOB Nonacute Inpatient Stay028G UBTOB Nonacute Inpatient Stay028H UBTOB Nonacute Inpatient Stay028I UBTOB Nonacute Inpatient Stay028J UBTOB Nonacute Inpatient Stay028K UBTOB Nonacute Inpatient Stay028M UBTOB Nonacute Inpatient Stay028O UBTOB
58 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System Nonacute Inpatient Stay028X UBTOB Nonacute Inpatient Stay028Y UBTOB Nonacute Inpatient Stay028Z UBTOB Nonacute Inpatient Stay065F UBTOB Nonacute Inpatient Stay065G UBTOB Nonacute Inpatient Stay065H UBTOB Nonacute Inpatient Stay065I UBTOB Nonacute Inpatient Stay065J UBTOB Nonacute Inpatient Stay065K UBTOB Nonacute Inpatient Stay065M UBTOB Nonacute Inpatient Stay065O UBTOB Nonacute Inpatient Stay065X UBTOB Nonacute Inpatient Stay065Y UBTOB Nonacute Inpatient Stay065Z UBTOB Nonacute Inpatient Stay066F UBTOB Nonacute Inpatient Stay066G UBTOB Nonacute Inpatient Stay066H UBTOB Nonacute Inpatient Stay066I UBTOB Nonacute Inpatient Stay066J UBTOB Nonacute Inpatient Stay066K UBTOB Nonacute Inpatient Stay066M UBTOB Nonacute Inpatient Stay066O UBTOB Nonacute Inpatient Stay066X UBTOB Nonacute Inpatient Stay066Y UBTOB Nonacute Inpatient Stay066Z UBTOB Nonacute Inpatient Stay086F UBTOB Nonacute Inpatient Stay086G UBTOB Nonacute Inpatient Stay086H UBTOB Nonacute Inpatient Stay086I UBTOB Nonacute Inpatient Stay086J UBTOB Nonacute Inpatient Stay086K UBTOB Nonacute Inpatient Stay086M UBTOB
59 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Denominator Value Set Name Code Definition Code System Nonacute Inpatient Stay086O UBTOB Nonacute Inpatient Stay086X UBTOB Nonacute Inpatient Stay086Y UBTOB Nonacute Inpatient Stay086Z UBTOB Telehealth Modifier 95 Synchronous Telemedicine Service Rendered Via a Real‐Time InteraModifier Telehealth Modifier GT Via interactive audio and video telecommunication systems [GT] Modifier Telehealth POS 02 Telehealth POS
60 of 64 January 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Exclusion Value Set Name Code Definition Code System Pregnancy O00.0 [O00.0] Abdominal pregnancy ICD10CM Pregnancy O00.00 [O00.00] Abdominal pregnancy without intrauterine preICD10CM Pregnancy O00.01 [O00.01] Abdominal pregnancy with intrauterine pregnaICD10CM
Pregnancy O00.1 [O00.1] Tubal pregnancy ICD10CM Pregnancy O00.10 [O00.10] Tubal pregnancy without intrauterine pregnan ICD10CM Pregnancy O00.101 [O00.101] Right tubal pregnancy without intrauterine prICD10CM Pregnancy O00.102 [O00.102] Left tubal pregnancy without intrauterine preICD10CM Pregnancy O00.109 [O00.109] Unspecified tubal pregnancy without intrauteICD10CM Pregnancy O00.11 [O00.11] Tubal pregnancy with intrauterine pregnancy ICD10CM Pregnancy O00.111 [O00.111] Right tubal pregnancy with intrauterine pregnICD10CM Pregnancy O00.112 [O00.112] Left tubal pregnancy with intrauterine pregnaICD10CM Pregnancy O00.119 [O00.119] Unspecified tubal pregnancy with intrauterineICD10CM Pregnancy O00.2 [O00.2] Ovarian pregnancy ICD10CM Pregnancy O00.20 [O00.20] Ovarian pregnancy without intrauterine pregnaICD10CM Pregnancy O00.201 [O00.201] Right ovarian pregnancy without intrauterine ICD10CM Pregnancy O00.202 [O00.202] Left ovarian pregnancy without intrauterine pICD10CM Pregnancy O00.209 [O00.209] Unspecified ovarian pregnancy without intrauICD10CM Pregnancy O00.21 [O00.21] Ovarian pregnancy with intrauterine pregnancyICD10CM
Pregnancy O00.211 [O00.211] Right ovarian pregnancy with intrauterine preICD10CM Pregnancy O00.212 [O00.212] Left ovarian pregnancy with intrauterine pregICD10CM Pregnancy O00.219 [O00.219] Unspecified ovarian pregnancy with intrauter ICD10CM Pregnancy O00.8 [O00.8] Other ectopic pregnancy ICD10CM Pregnancy O00.80 [O00.80] Other ectopic pregnancy without intrauterine ICD10CM Pregnancy O00.81 [O00.81] Other ectopic pregnancy with intrauterine pregICD10CM Pregnancy O00.9 [O00.9] Ectopic pregnancy, unspecified ICD10CM Pregnancy O00.90 [O00.90] Unspecified ectopic pregnancy without intraut ICD10CM Pregnancy O00.91 [O00.91] Unspecified ectopic pregnancy with intrauterinICD10CM Pregnancy O01.0 [O01.0] Classical hydatidiform mole ICD10CM Pregnancy O01.1 [O01.1] Incomplete and partial hydatidiform mole ICD10CM Pregnancy O01.9 [O01.9] Hydatidiform mole, unspecified ICD10CM Pregnancy O02.0 [O02.0] Blighted ovum and nonhydatidiform mole ICD10CM Pregnancy O02.1 [O02.1] Missed abortion ICD10CM Pregnancy O02.81 [O02.81] Inappropriate change in quantitative human chICD10CM Pregnancy O02.89 [O02.89] Other abnormal products of conception ICD10CM Pregnancy O02.9 [O02.9] Abnormal product of conception, unspecified ICD10CM Pregnancy O03.0 [O03.0] Genital tract and pelvic infection following incomICD10CM
Pregnancy O03.1 [O03.1] Delayed or excessive hemorrhage following incoICD10CM
Pregnancy O03.2 [O03.2] Embolism following incomplete spontaneous abICD10CM
61 of 64 December 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Exclusion Value Set Name Code Definition Code System
Pregnancy O03.30 [O03.30] Unspecified complication following incompleteICD10CM
Pregnancy O03.31 [O03.31] Shock following incomplete spontaneous abortICD10CM
Pregnancy O03.32 [O03.32] Renal failure following incomplete spontaneouICD10CM
Pregnancy O03.33 [O03.33] Metabolic disorder following incomplete spontICD10CM
Pregnancy O03.34 [O03.34] Damage to pelvic organs following incomplete ICD10CM
Pregnancy O03.35 [O03.35] Other venous complications following incompl ICD10CM
Pregnancy O03.36 [O03.36] Cardiac arrest following incomplete spontaneoICD10CM
Pregnancy O03.37 [O03.37] Sepsis following incomplete spontaneous abor ICD10CM
Pregnancy O03.38 [O03.38] Urinary tract infection following incomplete spICD10CM
Pregnancy O03.39 [O03.39] Incomplete spontaneous abortion with other cICD10CM
Pregnancy O03.4 [O03.4] Incomplete spontaneous abortion without compICD10CM
Pregnancy O03.5 [O03.5] Genital tract and pelvic infection following compICD10CM
Pregnancy O03.6 [O03.6] Delayed or excessive hemorrhage following comICD10CM
Pregnancy O03.7 [O03.7] Embolism following complete or unspecified spoICD10CM
Pregnancy O03.80 [O03.80] Unspecified complication following complete oICD10CM
Pregnancy O03.81 [O03.81] Shock following complete or unspecified spontICD10CM
Pregnancy O03.82 [O03.82] Renal failure following complete or unspecifiedICD10CM
Pregnancy O03.83 [O03.83] Metabolic disorder following complete or unspICD10CM
Pregnancy O03.84 [O03.84] Damage to pelvic organs following complete o ICD10CM
62 of 64 December 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Exclusion‐Medications Medications Set Description Prescription Estrogen Agonists Medications Estrogen agonists Clomiphene Dementia Medications Cholinesterase inhibitors Donepezil Dementia Medications Cholinesterase inhibitors Galantamine
Dementia Medications Rivastigmine Cholinesterase inhibitors Dementia Medications Miscellaneous central nervous system agents Memantine
63 of 64 December 2019 PT ‐ 2020 Measure Value Set_Statin Therapy
Exclusion‐Medications Medications Set Description Prescription
64 of 64 December 2019