Features Navigation

(800) 825-0224 Live Demo
 ID NQF # Measure Type High Priority Measure? NQS Domain Data Submission Method(s)
268 1814 Process No Effective Clinical Care Registry

Measure Description

All female patients of childbearing potential (12 – 44 years old) diagnosed with epilepsy who were counseled or referred for counseling for how epilepsy and its treatment may affect contraception OR pregnancy at least once a year


This measure is to be submitted a minimum of once per performance period for patients with a diagnosis of epilepsy during the performance period. This measure may be submitted by eligible clinicians who perform the quality actions described in the measure based on the services provided and the measure-specific denominator coding

NOTE: No notes related

Measure Submission

The listed denominator criteria is used to identify the intended patient population. The numerator quality-data codes included in this specification are used to submit the quality actions allowed by the measure. All measure-specific coding should be submitted on the claim(s) representing the eligible encounter.


Female patients or caregivers counseled at least once a year about how epilepsy and its treatment may affect contraception OR pregnancy


NUMERATOR NOTE: Denominator Exception(s) are determined on the date of the denominator eligible encounter.

Numerator Quality-Data Coding Options


Denominator Exception: 4340F With 1P:
Counseling for Women of Childbearing Potential with Epilepsy Not Performed for Medical Reasons

Append a modifier (1P) to Category II code 4340F to submit documented circumstances that appropriately exclude patients from the denominator.

Documentation of medical reason(s) why counseling was not performed for women of childbearing potential with epilepsy



Performance Met: CPT II 4340F:
Counseling for Women of Childbearing Potential with Epilepsy


Counseling for women of childbearing potential with epilepsy


Performance Not Met: 4340F with 8P:
Counseling for Women of Childbearing Potential with Epilepsy Not Performed, Reason Not Otherwise Specified

Append a submission modifier (8P) to CPT Category II code 4340F to submit circumstances when the action
described in the numerator is not performed and the reason is not otherwise specified

Counseling about epilepsy specific safety issues provided to patient or caregiver was not performed, reason not otherwise specified

Numerator Note: No data


All females of childbearing potential (12 – 44 years old) with a diagnosis of epilepsy

Eligible cases are determined and must be reported, if either of the following conditions

Option 1 – Denominator Criteria (Eligible Cases):

All females age 12 – 44 years old


Diagnosis for Epilepsy (ICD-10-CM): G40.A09, G40.A19, G40.109, G40.119, G40.209,G40.219, G40.309,
G40.409, G40.411, G40.822, G40.824, G40.909


Patient encounter during the performance period (CPT): 99201, 99202, 99203, 99204, 99205,99211,
99212, 99213, 99214, 99215


Telehealth Modifier: GQ, GT, 95, POS 02


Experience AdvancedMD Software in a Live Demo.

Schedule a short and personalized overview, guided by a live expert.

“[Our] patients are very well-educated and well-informed, and they want to see results quickly. The practice has to run extremely efficiently and be accessible to them. The nice thing about [AdvancedMD] is it has allowed me to be more efficient both in and out of the office. Now I don’t have to come back into the office, which is great for my family and everything else. It saves me a lot of time – probably an hour a day on the three days I work in the second office.”

Keith Berkowitz, MD
Center for Balanced Health

Read the story  ›

“If you want to be focused on your practice and not worry about infrastructure, this is it. It’s transparent, just like when I plug something into the wall I’m not worried about what the voltage is and what’s the availability; it’s just there—like AdvancedMD. It does it so well sometimes you don’t appreciate it until you really think about it.”

Judy Feingold
Occupational Therapist

“The money I have invested in AdvancedMD is miniscule compared to the return. I have never been more efficient – ever – in my professional life as I am now.”

Jed Shay, MD
The Pain Care Center

Read the story  ›

“Other companies made their offers, but they required so much more money up front, I’ve seen a lot of different systems in my 18 years in billing. If you are looking for an easy-to-learn, cost-effective solution, AdvancedMD is your answer.”

Gloria Johnson
Billing manager