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Type:
EC eCQMs - Eligible Clinicians
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Resolution: Unresolved
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Priority:
High
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Component/s: None
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None
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Amanda Lord
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310-713-9895
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Patient360
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We are asking you for the solution.
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CMS0138v13
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2025 submission for this measure.
For CMS 138v13, does the IPP requirement of "2 Qualifying Visits: Office Visit, Home Healthcare Services, Occupational Therapy Evaluation, Ophthalmological Services, Virtual Encounters, Psych Visit - Diagnostic Evaluation, Psych Visit - Psychotherapy, Psychoanalysis, Speech and Hearing Evaluation, or Telephone Visits during "measurement period"" specifically require 2 separate and unique encounter events, or would a single encounter that uses 2 or more qualifying codes also meet this requirement?
For example, if a patient is seen for an office visit and also has an audiological evaluation during the same visit, would billing 99203 and 92557 on the same date of service be considered 1 or 2 qualifying encounters with respect to the IPP requirement?