Successful Reporting Scenario

Mr. Jones presents for office visit with Dr. Thomas

Mr. Jones has diagnosis of CAD

Situation 1:

Dr. Thomas documents that Mr. Jones is receiving antiplatelet therapy.

CPT II code 4011F*

Situation 2:
Dr. Thomas documents that antiplatelet therapy is contraindicated for Mr. Jones because he has a bleeding disorder. CPT II code 4011F-1P modifier

Situation 3:
There is no documentation that Dr. Thomas or other eligible professional addressed antiplatelet therapy for Mr. Jones.
CPT II code 4011F-8P modifier

*Oral Antiplatelet Therapy Prescribed for Patients with Coronary Artery Disease All of these situations represent successful 2007 PQRI reporting.