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CMS145v5 Code List

Code List: CMS145v5, Coronary Artery Disease (CAD): Beta-Blocker Therapy – Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <40%)

MicroMD uses the following code lists to determine a patient’s inclusion in this measure.  To search for your code, simply press Ctrl + F on your keyboard, enter your code in the search field and press Enter on your keyboard.

ItemCodes
Active Diagnosis
Diagnosis: Coronary Artery Disease No MI: ICD-9411.0, 411.1, 411.81, 411.89, 413.0, 413.1, 413.9, 414.00, 414.01, 414.02, 414.03, 414.04, 414.05, 414.06, 414.07, 414.2, 414.3, 414.8, 414.9, V45.81, V45.82
Diagnosis: Coronary Artery Disease No MI: ICD-10I20.0, I20.1, I20.8, I20.9, I24.0, I24.1, I24.8, I24.9, I25.10, I25.110, I25.111, I25.118, I25.119, I25.5, I25.6, I25.700, I25.701, I25.708, I25.709, I25.710, I25.711, I25.718, I25.719, I25.720, I25.721, I25.728, I25.729, I25.730, I25.731, I25.738, I25.739, I25.750, I25.751, I25.758, I25.759, I25.760, I25.761, I25.768, I25.769, I25.790, I25.791, I25.798, I25.799, I25.810, I25.811, I25.812, I25.82, I25.83, I25.89, I25.9, Z95.1, Z95.5, Z98.61
Diagnosis: Coronary Artery Disease No MI: SNOMED4557003, 10365005, 19057007, 21470009, 28248000, 29899005, 35928006, 41334000, 50570003, 53741008, 59021001, 61490001, 62207008, 63739005, 66189004, 67682002, 74218008, 75398000, 85284003, 87343002, 89323001, 92517006, 123641001, 123642008, 194823009, 194828000, 194842008, 194843003, 233817007, 233819005, 233821000, 233970002, 300995000, 314116003, 315025001, 315348000, 371803003, 371804009, 371805005, 371806006, 371807002, 371808007, 371809004, 371810009, 371811008, 371812001, 398274000, 408546009, 420006002, 421327009, 427919004, 429245005, 429559004, 443502000
Cardiac Surgery
Procedure, Performed: Cardiac Surgery: CPT92980, 92981, 92982, 92984, 92995, 92996, 33140, 33510, 33511, 33512, 33513, 33514, 33516, 33517, 33518, 33519, 33521, 33522, 33523, 33533, 33534, 33535, 33536, 92920, 92924, 92928, 92933, 92937, 92941, 92943
Procedure, Performed: Cardiac Surgery: SNOMED10326007, 119564002, 119565001, 15256002, 174911007, 175007008, 175008003, 175009006, 175011002, 175021005, 175022003, 175024002, 175025001, 175026000, 175036008, 175037004, 175038009, 175039001, 175040004, 175041000, 175045009, 175047001, 175048006, 175050003, 232717009, 232719007, 232720001, 232721002, 232722009, 232723004, 232724005, 265481001, 275215001, 275216000, 275227003, 275252001, 275253006, 287277008, 30670000, 309814006, 3546002, 359597003, 359601003, 39202005, 39724006, 414088005, 48431000, 74371005, 81266008, 82247006, 90205004
Encounter Codes
Encounter, Performed: Care Services in Long-Term Residential Facility: CPT99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337
Encounter, Performed: Face-to-Face Interaction: SNOMED12843005, 18170008, 185349003, 185463005, 185465003, 19681004, 207195004, 270427003, 270430005, 308335008, 390906007, 406547006, 439708006, 4525004, 87790002, 90526000
Encounter, Performed: Home Healthcare Services: CPT99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350
Encounter, Performed: Nursing Facility Visit: CPT99304, 99305, 99306, 99307, 99308, 99309, 99310
Encounter, Performed: Office Visit: CPT99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215
Encounter, Performed: Outpatient Consultation: CPT99241, 99242, 99243, 99244, 99245
Encounter, Performed: Patient Provider Interaction: SNOMED11797002, 12843005, 18170008, 185316007, 185317003, 185318008, 185320006, 185321005, 185349003, 185463005, 185465003, 19681004, 207195004, 270424005, 270427003, 270430005, 308335008, 308720009, 386473003, 390906007, 401267002, 401271004, 406547006, 438515009, 438516005, 439708006, 445450000, 448337001, 4525004, 87790002, 90526000
Ejection Fraction Study LOINC Codes
Diagnostic Study, Result: Ejection Fraction: LOINC10230-1, 18043-0, 18044-8, 18045-5, 18046-3, 18047-1, 18048-9, 18049-7, 8806-2, 8807-0, 8808-8, 8809-6, 8810-4, 8811-2, 8812-0
Left Ventricular Systolic Dysfunction Diagnosis Codes
Diagnosis: Left Ventricular Systolic Dysfunction: SNOMED134401001
Diagnosis: Moderate or Severe LVSD: SNOMED981000124106, 991000124109
Diagnosis: Myocardial Infarction
Diagnosis, Resolved: Myocardial Infarction: ICD-9410.00, 410.01, 410.02, 410.10, 410.11, 410.12, 410.20, 410.21, 410.22, 410.30, 410.31, 410.32, 410.40, 410.41, 410.42, 410.50, 410.51, 410.52, 410.60, 410.61, 410.62, 410.70, 410.71, 410.72, 410.80, 410.81, 410.82, 410.90, 410.91, 410.92, 412
Diagnosis, Resolved: Myocardial Infarction: ICD-10I21.01, I21.02, I21.09, I21.11, I21.19, I21.21, I21.29, I21.3, I21.4, I22.0, I22.1, I22.2, I22.8, I22.9, I24.1, I25.2
Diagnosis, Resolved: Myocardial Infarction: SNOMED1755008, 10273003, 15990001, 22298006, 30277009, 32574007, 42531007, 52035003, 54329005, 57054005, 58612006, 62695002, 65547006, 70211005, 70422006, 73795002, 79009004, 129574000, 161502000, 161503005, 194802003, 194809007, 194856005, 233835003, 233838001, 233839009, 233840006, 233841005, 233842003, 233843008, 275905002, 304914007, 307140009, 308065005, 314207007, 371068009, 394710008, 399211009, 401303003, 401314000, 418044006, 428196007, 428752002
Medications
Medication, Active: Beta Blocker Therapy: Descriptions (RXNORM)24 HR carvedilol phosphate 10 MG Extended Release Oral Capsule, 24 HR carvedilol phosphate 20 MG Extended Release Oral Capsule, 24 HR carvedilol phosphate 40 MG Extended Release Oral Capsule, 24 HR carvedilol phosphate 80 MG Extended Release Oral Capsule, 24 HR Hydrochlorothiazide 12.5 MG / metoprolol succinate 100 MG Extended Release Oral Tablet, 24 HR Hydrochlorothiazide 12.5 MG / metoprolol succinate 25 MG Extended Release Oral Tablet, 24 HR Hydrochlorothiazide 12.5 MG / metoprolol succinate 50 MG Extended Release Oral Tablet, 24 HR metoprolol succinate 100 MG Extended Release Oral Tablet, 24 HR metoprolol succinate 200 MG Extended Release Oral Tablet, 24 HR metoprolol succinate 25 MG Extended Release Oral Tablet, 24 HR metoprolol succinate 50 MG Extended Release Oral Tablet, 24 HR Propranolol Hydrochloride 120 MG Extended Release Oral Capsule, 24 HR Propranolol Hydrochloride 160 MG Extended Release Oral Capsule, 24 HR Propranolol Hydrochloride 60 MG Extended Release Oral Capsule, 24 HR Propranolol Hydrochloride 80 MG Extended Release Oral Capsule, Acebutolol Hydrochloride 100 MG Oral Capsule, Acebutolol Hydrochloride 200 MG / Hydrochlorothiazide 12.5 MG Oral Tablet, Acebutolol Hydrochloride 200 MG Oral Capsule, Acebutolol Hydrochloride 400 MG Oral Capsule, Acebutolol Hydrochloride 400 MG Oral Tablet, Atenolol 100 MG / Chlorthalidone 25 MG Oral Tablet, Atenolol 100 MG Oral Tablet, Atenolol 25 MG Oral Tablet, Atenolol 50 MG / Chlorthalidone 12.5 MG Oral Tablet, Atenolol 50 MG / Chlorthalidone 25 MG Oral Tablet, Atenolol 50 MG Oral Tablet, Bendroflumethiazide 5 MG / Nadolol 40 MG Oral Tablet, Bendroflumethiazide 5 MG / Nadolol 80 MG Oral Tablet, Betaxolol Hydrochloride 10 MG Oral Tablet, Betaxolol Hydrochloride 20 MG Oral Tablet, Bisoprolol Fumarate 10 MG / Hydrochlorothiazide 6.25 MG Oral Tablet, Bisoprolol Fumarate 10 MG Oral Tablet, Bisoprolol Fumarate 2.5 MG / Hydrochlorothiazide 6.25 MG Oral Tablet, Bisoprolol Fumarate 5 MG / Hydrochlorothiazide 6.25 MG Oral Tablet, Bisoprolol Fumarate 5 MG Oral Tablet, Carteolol Hydrochloride 2.5 MG Oral Tablet, Carteolol Hydrochloride 5 MG Oral Tablet, carvedilol 12.5 MG Oral Tablet, carvedilol 25 MG Oral Tablet, carvedilol 3.125 MG Oral Tablet, carvedilol 6.25 MG Oral Tablet, Clopamide 5 MG / Pindolol 10 MG Oral Tablet, Hydrochlorothiazide 25 MG / Metoprolol Tartrate 100 MG Oral Tablet, Hydrochlorothiazide 25 MG / Metoprolol Tartrate 50 MG Oral Tablet, Hydrochlorothiazide 25 MG / Pindolol 10 MG Oral Tablet, Hydrochlorothiazide 25 MG / Propranolol Hydrochloride 40 MG Oral Tablet, Hydrochlorothiazide 25 MG / Propranolol Hydrochloride 80 MG Oral Tablet, Hydrochlorothiazide 25 MG / Timolol 10 MG Oral Tablet, Hydrochlorothiazide 50 MG / Metoprolol Tartrate 100 MG Oral Tablet, Hydrochlorothiazide 50 MG / Pindolol 10 MG Oral Tablet, Labetalol hydrochloride 100 MG Oral Tablet, Labetalol hydrochloride 200 MG Oral Tablet, Labetalol hydrochloride 300 MG Oral Tablet, Labetalol hydrochloride 400 MG Oral Tablet, Labetalol hydrochloride 50 MG Oral Tablet, Metoprolol Tartrate 100 MG Oral Tablet, Metoprolol Tartrate 25 MG Oral Tablet, Metoprolol Tartrate 50 MG Oral Tablet, Nadolol 160 MG Oral Tablet, Nadolol 20 MG Oral Tablet, Nadolol 40 MG Oral Tablet, Nadolol 80 MG Oral Tablet, nebivolol 10 MG Oral Tablet, nebivolol 2.5 MG Oral Tablet, nebivolol 20 MG Oral Tablet, nebivolol 5 MG Oral Tablet, Oxprenolol 160 MG Extended Release Oral Tablet, Oxprenolol 20 MG Oral Tablet, Oxprenolol 40 MG Oral Tablet, Oxprenolol 80 MG Oral Tablet, Penbutolol Sulfate 20 MG Oral Tablet, Pindolol 10 MG Oral Tablet, Pindolol 15 MG Oral Tablet, Pindolol 5 MG Oral Tablet, Propranolol Hydrochloride 10 MG Oral Tablet, Propranolol Hydrochloride 160 MG Oral Tablet, Propranolol Hydrochloride 20 MG Oral Tablet, Propranolol Hydrochloride 4 MG/ML Oral Solution, Propranolol Hydrochloride 4.28 MG/ML Oral Solution, Propranolol Hydrochloride 40 MG Oral Tablet, Propranolol Hydrochloride 60 MG Oral Tablet, Propranolol Hydrochloride 8 MG/ML Oral Solution, Propranolol Hydrochloride 80 MG Oral Tablet, Sotalol Hydrochloride 100 MG Oral Tablet, Sotalol Hydrochloride 120 MG Oral Tablet, Sotalol Hydrochloride 160 MG Oral Tablet, Sotalol Hydrochloride 240 MG Oral Tablet, Sotalol Hydrochloride 5 MG/ML Oral Solution, Sotalol Hydrochloride 80 MG Oral Tablet, Timolol 10 MG Oral Tablet, Timolol 20 MG Oral Tablet, Timolol 5 MG Oral Tablet
Medication, Active: Beta Blocker Therapy for LVSD: Descriptions (RXNORM)carvedilol 6.25 MG Oral Tablet, carvedilol 12.5 MG Oral Tablet, carvedilol 25 MG Oral Tablet, carvedilol 3.13 MG Oral Tablet, Bisoprolol Fumarate 10 MG Oral Tablet, Bisoprolol Fumarate 5 MG Oral Tablet, Bisoprolol Fumarate 10 MG / Hydrochlorothiazide 6.25 MG Oral Tablet, Bisoprolol Fumarate 2.5 MG / Hydrochlorothiazide 6.25 MG Oral Tablet, Bisoprolol Fumarate 5 MG / Hydrochlorothiazide 6.25 MG Oral Tablet, 24 HR carvedilol phosphate 10 MG Extended Release Capsule, 24 HR carvedilol phosphate 20 MG Extended Release Capsule, 24 HR carvedilol phosphate 40 MG Extended Release Capsule, 24 HR carvedilol phosphate 80 MG Extended Release Capsule, 24 HR Metoprolol Tartrate 100 MG Extended Release Tablet, 24 HR Metoprolol Tartrate 200 MG Extended Release Tablet, 24 HR Metoprolol Tartrate 25 MG Extended Release Tablet, 24 HR Metoprolol Tartrate 50 MG Extended Release Tablet, 24 HR Hydrochlorothiazide 12.5 MG / Metoprolol Tartrate 100 MG Extended Release Tablet, 24 HR Hydrochlorothiazide 12.5 MG / Metoprolol Tartrate 25 MG Extended Release Tablet, 24 HR Hydrochlorothiazide 12.5 MG / Metoprolol Tartrate 50 MG Extended Release Tablet
Medication, Allergy: Beta Blocker Therapy Ingredient: Descriptions (RXNORM)Acebutolol, Acebutolol / Hydrochlorothiazide, Acebutolol Hydrochloride, Atenolol, Atenolol / Chlorthalidone, Bendroflumethiazide / Nadolol, Betaxolol, Betaxolol Hydrochloride, Bisoprolol, Bisoprolol / Hydrochlorothiazide, Bisoprolol Fumarate, Carteolol, Carteolol Hydrochloride, carvedilol, carvedilol phosphate, Clopamide / Pindolol, Coreg, Corgard, Corzide, Dutoprol, Hydrochlorothiazide / Metoprolol, Hydrochlorothiazide / Pindolol, Hydrochlorothiazide / Propranolol, Hydrochlorothiazide / Timolol, Inderal, InnoPran, Kerlone, Labetalol, Labetalol hydrochloride, Lopressor, Lopressor HCT, Metoprolol, metoprolol succinate, Metoprolol Tartrate, Nadolol, Pindolol, Propranolol, Propranolol Hydrochloride, Sectral, Tenoretic, Tenormin, Timolol, Timolol Maleate, Toprol, Trandate, Visken, Zebeta, Ziac
Exceptions: Diagnosis Codes
Diagnosis: Arrhythmia: ICD-9427.89, 427.9
Diagnosis: Arrhythmia: ICD-10I49.8, I49.9
Diagnosis: Arrhythmia: SNOMED10164001, 10626002, 11157007, 11849007, 13640000, 17338001, 17366009, 17869006, 184004, 195060002, 195069001, 195071001, 195072008, 195083004, 233891009, 233892002, 233893007, 233894001, 233895000, 233904005, 233915000, 233922008, 233923003, 234172002, 251161003, 251162005, 251163000, 251164006, 251165007, 251166008, 251167004, 251168009, 251170000, 251172008, 251173003, 251174009, 251175005, 251176006, 251177002, 251178007, 251179004, 251180001, 251181002, 251182009, 251186007, 251187003, 251188008, 26950008, 27337007, 276796006, 284470004, 287057009, 29320008, 309809007, 33413000, 36083008, 38274001, 39260000, 39357005, 40593004, 406461004, 418341009, 418818005, 419752005, 421869004, 422348008, 429243003, 44808001, 47830009, 49982000, 55475008, 59272004, 60423000, 61277005, 63232000, 63593006, 69730002, 71908006, 72654001, 74390002, 74615001, 75532003, 81681009, 81898007, 88412007
Diagnosis: Asthma: ICD-9493.00, 493.01, 493.02, 493.10, 493.11, 493.12, 493.20, 493.21, 493.22, 493.81, 493.82, 493.90, 493.91, 493.92
Diagnosis: Asthma: ICD-10 J45.20, J45.21, J45.22, J45.30, J45.31, J45.32, J45.40, J45.41, J45.42, J45.50, J45.51, J45.52, J45.901, J45.902, J45.909, J45.990, J45.991, J45.998
Diagnosis: Asthma: SNOMED11641008, 12428000, 13151001, 30352005, 31387002, 55570000, 56968009, 59786004, 63088003, 85761009, 92807009, 93432008, 195949008, 195967001, 195977004, 225057002, 233672007, 233678006, 233679003, 233683003, 233688007, 266361008, 281239006, 304527002, 370218001, 370219009, 370220003, 370221004, 389145006, 405944004, 407674008, 409663006, 423889005, 424199006, 424643009, 425969006, 426656000, 426979002, 427295004, 427603009, 427679007, 442025000, 707445000, 707446004, 707447008, 708038006, 708090002, 708093000, 708094006, 708095007, 708096008
Diagnosis: Hypotension: ICD-9458.0, 458.1, 458.21, 458.29, 458.8, 458.9
Diagnosis: Hypotension: ICD-10I95.0, I95.1, I95.2, I95.3, I95.81, I95.89, I95.9
Diagnosis: Hypotension: SNOMED195506001, 200113008, 200114002, 230664009, 234171009, 271870002, 286963007, 371073003, 408667000, 408668005, 429561008, 45007003, 61933008, 70247006, 75181005, 77545000, 88887003
Diagnosis: Bradycardia: ICD-9427.81, 427.89
Diagnosis: Bradycardia: ICD-10I49.5, I49.8, R00.1
Diagnosis: Bradycardia: SNOMED251162005, 29894000, 397841007, 44602002, 49044005, 49710005
Diagnosis: Allergy to Beta Blocker Therapy: SNOMED293962009, 293963004, 293964005, 293965006, 293966007, 293967003, 293968008, 293969000, 293970004, 293971000, 293972007, 293973002, 293974008, 293975009, 293976005, 293977001, 293978006, 293979003, 293980000, 293981001, 293982008, 293983003, 293984009
Diagnosis: Intolerance to Beta Blocker Therapy: SNOMED292419005, 292420004, 292421000, 292424008, 292425009, 292426005, 292427001, 292428006, 292429003, 292430008, 292431007, 292432000, 292433005, 292434004, 292435003, 292436002, 292437006, 292438001, 292439009, 292440006, 292441005, 292442003, 418370000
Diagnosis: Atrioventricular Block: ICD-9426.0, 426.12, 426.13
Diagnosis: Atrioventricular Block: ICD-10I44.1, I44.2
Diagnosis: Atrioventricular Block: SNOMED195042002, 233917008, 233918003, 251114004, 27885002, 28189009, 283645003, 54016002, 93130009
Diagnosis: Cardiac Pacer in Situ: ICD-9V45.01
Diagnosis: Cardiac Pacer in Situ: ICD-10Z95.0
Diagnosis: Cardiac Pacer in Situ: SNOMED441509002
Device, Applied: Cardiac Pacer: SNOMED14106009, 360127006, 360128001, 424921004, 56961003
Exceptions: Reasons for Not Providing Medication
Medication, Order not done: Medical Reason: SNOMED
Medication, Order not done: Patient Reason: SNOMED105480006, 160932005, 160934006, 182890002, 182895007, 182897004, 182900006, 182902003, 183944003, 183945002, 184081006, 185479006, 185481008, 224187001, 225928004, 258147002, 266710000, 266966009, 275694009, 275936005, 281399006, 310343007, 373787003, 385648002, 406149000, 408367005, 413310006, 413311005, 413312003, 416432009, 423656007, 424739004, 443390004
Medication, Order not done: System Reason: SNOMED107724000, 182856006, 182857002, 185335007, 224194003, 224198000, 224199008, 242990004, 266756008, 270459005, 309017000, 309846006, 419808006, 424553001