PQRS Measure
Report via: Claim, Registry
The following codes apply for this PQRS measure:
CPT Codes | |||
| Code | Modifier | POS | Description |
|---|---|---|---|
| 88309 | N/A | N/A | Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil -resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection |
HCPCS Codes | |||
| Code | Modifier | POS | Description |
| G8723 | N/A | N/A | Specimen site is other than anatomic location of primary tumor |
| G8721 | N/A | N/A | Pt category (primary tumor), pn category (regional lymph nodes), and histologic grade were documented in pathology report |
| G8722 | N/A | N/A | Documentation of medical reason(s) for not including the pt category, the pn category or the histologic grade in the pathology report (e.g., re-excision without residual tumor; non-carcinomasanal canal) |
| G8724 | N/A | N/A | Pt category, pn category and histologic grade were not documented in the pathology report, reason not given |
ICD9 Codes | |||
| Code | Modifier | POS | Description |
| 153.0 | N/A | N/A | Malignant neoplasm of hepatic flexure |
| 153.1 | N/A | N/A | Malignant neoplasm of transverse colon |
| 153.2 | N/A | N/A | Malignant neoplasm of descending colon |
| 153.3 | N/A | N/A | Malignant neoplasm of sigmoid colon |
| 153.4 | N/A | N/A | Malignant neoplasm of cecum |
| 153.5 | N/A | N/A | Malignant neoplasm of appendix vermiformis |
| 153.6 | N/A | N/A | Malignant neoplasm of ascending colon |
| 153.7 | N/A | N/A | Malignant neoplasm of splenic flexure |
| 153.8 | N/A | N/A | Malignant neoplasm of other specified sites of large intestine |
| 153.9 | N/A | N/A | Malignant neoplasm of colon, unspecified site |
| 154.0 | N/A | N/A | Malignant neoplasm of rectosigmoid junction |
| 154.1 | N/A | N/A | Malignant neoplasm of rectum |
| 154.8 | N/A | N/A | Malignant neoplasm of other sites of rectum, rectosigmoid junction, and anus |
ICD10CM Codes | |||
| Code | Modifier | POS | Description |
| C18.0 | N/A | N/A | Malignant neoplasm of cecum |
| C18.1 | N/A | N/A | Malignant neoplasm of appendix |
| C18.2 | N/A | N/A | Malignant neoplasm of ascending colon |
| C18.3 | N/A | N/A | Malignant neoplasm of hepatic flexure |
| C18.4 | N/A | N/A | Malignant neoplasm of transverse colon |
| C18.5 | N/A | N/A | Malignant neoplasm of splenic flexure |
| C18.6 | N/A | N/A | Malignant neoplasm of descending colon |
| C18.7 | N/A | N/A | Malignant neoplasm of sigmoid colon |
| C18.8 | N/A | N/A | Malignant neoplasm of overlapping sites of colon |
| C18.9 | N/A | N/A | Malignant neoplasm of colon, unspecified |
| C19 | N/A | N/A | Malignant neoplasm of rectosigmoid junction |
| C20 | N/A | N/A | Malignant neoplasm of rectum |
| C21.2 | N/A | N/A | Malignant neoplasm of cloacogenic zone |
| C21.8 | N/A | N/A | Malignant neoplasm of overlapping sites of rectum, anus and anal canal |
Legend:
ClaimThis measure can be submitted via claim. Use the 'Data Collection' pdf associated with the measure.
GroupThis measure can be submitted through one or more groups. Click on the group name to view the group information.
RegistryThis measure can be submitted through registry.
EHRThis measure can be submitted via Electronic Health Record (EHR).
GPRO/ACOThis measure can be submitted via Group Practice Reporting Option, or GPRO Web Interface.
More information on these alternative reporting mechanisms is available at:
http://www.cms.gov/PQRS/20_AlternativeReportingMechanisms.asp.
ClaimThis measure can be submitted via claim. Use the 'Data Collection' pdf associated with the measure.
GroupThis measure can be submitted through one or more groups. Click on the group name to view the group information.
RegistryThis measure can be submitted through registry.
EHRThis measure can be submitted via Electronic Health Record (EHR).
GPRO/ACOThis measure can be submitted via Group Practice Reporting Option, or GPRO Web Interface.
More information on these alternative reporting mechanisms is available at:
http://www.cms.gov/PQRS/20_AlternativeReportingMechanisms.asp.
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