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.