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HCPCS Range Quality Measures Related for Risk-adjusted Functional Status Scoring

• 1 Residual score for the knee impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0) ( G8647 )

• 2 Residual score for the knee impairment successfully calculated and the score was less than zero (< 0) ( G8648 )

• 3 Residual score for the hip impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0) ( G8651 )

• 4 Residual score for the hip impairment successfully calculated and the score was less than zero (< 0) ( G8652 )

• 5 Residual score for the lower leg, foot or ankle impairment successfully calculated and the score was equal to zero (0) or greater than zero ( > 0) ( G8655 )

• 6 Residual score for the lower leg, foot or ankle impairment successfully calculated and the score was less than zero (< 0) ( G8656 )

• 7 Residual score for the low back impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0) ( G8659 )

• 8 Residual score for the low back impairment successfully calculated and the score was less than zero (< 0) ( G8660 )

• 9 Residual score for the shoulder impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0) ( G8663 )

• 10 Residual score for the shoulder impairment successfully calculated and the score was less than zero (< 0) ( G8664 )

• 11 Residual score for the elbow, wrist or hand impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0) ( G8667 )

• 12 Residual score for the elbow, wrist or hand impairment successfully calculated and the score was less than zero (< 0) ( G8668 )

• 13 Residual score for the knee impairment not measured because the patient did not complete the lepf prom at initial evaluation and/or near discharge, reason not given ( G8650 )

• 14 Residual score for the hip impairment not measured because the patient did not complete the lepf prom at initial evaluation and/or near discharge, reason not given ( G8654 )

• 15 Residual score for the lower leg, foot or ankle impairment not measured because the patient did not complete the lepf prom at initial evaluation and/or near discharge, reason not given ( G8658 )

• 16 Risk-adjusted functional status change residual score for the low back impairment not measured because the patient did not complete the fs status survey near discharge, patient not appropriate ( G8661 )

• 17 Residual score for the low back impairment not measured because the patient did not complete the low back fs prom at initial evaluation and/or near discharge, reason not given ( G8662 )

• 18 Residual score for the shoulder impairment not measured because the patient did not complete the shoulder fs prom at initial evaluation and/or near discharge, reason not given ( G8666 )

• 19 Residual score for the elbow, wrist or hand impairment not measured because the patient did not complete the elbow/wrist/hand fs prom at initial evaluation and/or near discharge, reason not given ( G8670 )