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Provider News Digest

Correct Billing for SUPD Measure Exclusions


Don’t let missing exclusions impact your quality scores. By correctly billing exclusion diagnoses for the Statin Use in Persons with Diabetes (SUPD) measure, you can ensure accurate measure performance under the Quality Provider Program (QPP). Review your patients, code confidently, and close gaps.

The following conditions qualify for exclusion from the measure when reported with the appropriate ICD-10 code:

Diagnosis
Exclusion Code
Members in hospice or using hospice services
End Stage Renal Disease
I12.0, I13.11, I13.2, N18.5, N18.6, N19, Z91.15, Z99.2
Dialysis
Z91.15, Z99.2
Rhabdomyolysis or Myopathy
G72.0, G72.89, G72.9, M60.80, M60.819, M60.829, M60.839, M60.849, M60.859, M60.869, M60.879, M60.9, M62.82
Lactation
O91.03, O91.13, O91.23, O92.03, O92.5, O92.13, O92.70, O92.79, Z39.1
Pregnancy
(1000+ codes) O00.101, O09.00, O10.011, O20.0, O30.331, O99.019, O99.210, O99.340, O99.810, O99.820, Z33.1, Z34.00, Z34.83, Z34.90, Z34.91, Z34.92, Z34.93
Fertility
Captured via a pharmacy claim for Clomiphene adjudicated with Part D coverage
Cirrhosis
K70.30, K70.31, K71.7, K74.3, K74.4, K74.5, K74.60, K74.69
Polycystic ovary syndrome (PCOS)
E28.2
Pre-diabetes
R73.03, R73.09

 

Accurate coding is essential to ensure appropriate exclusion of patients. When a patient has a diagnosis from the CMS-approved exclusion list (above), providers should:

  • Submit the appropriate ICD-10 code that reflects the exclusion diagnosis.
  • Include the diagnosis code on the same claim as an eligible office visit CPT code (e.g., 99213, 99214). You cannot submit the ICD-10 code alone.

Note: Documentation in the medical record alone is not sufficient to exclude a patient. Providers must ensure the qualifying ICD-10 code is included on the claim.

Virtual Visit Submission Option

When appropriate, providers may confirm and document exclusion diagnoses during a virtual visit. To report:

  • Submit HCPCS code G9781 (non-reimbursable, $0.01)
  • Include the applicable ICD-10 exclusion diagnosis code

This allows the claim to process and ensures accurate removal from the SUPD measure without requiring an in-person visit.

Questions?

To learn more about Select Health’s Quality Provider Program, including program requirements, quality measures, and available resources, visit our website or contact us at: