PQRS Measure
This measure may be submitted via Registry only
The following codes apply for this PQRS measure:
CPT Codes | |||
| Code | Modifier | POS | Description |
|---|---|---|---|
| 77427 | Radiation treatment management, 5 treatments | ||
| 77435 | Stereotactic body radiation therapy, treatment management, per treatment course, to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions | ||
| 4164F | 1P | Adjuvant (ie, in combination with external beam radiotherapy to the prostate for prostate cancer) hormonal therapy (gonadotropin-releasing hormone [GnRH] agonist or antagonist) prescribed/administered (PRCA) | |
| 4164F | 2P | Adjuvant (ie, in combination with external beam radiotherapy to the prostate for prostate cancer) hormonal therapy (gonadotropin-releasing hormone [GnRH] agonist or antagonist) prescribed/administered (PRCA) | |
| 4164F | Adjuvant (ie, in combination with external beam radiotherapy to the prostate for prostate cancer) hormonal therapy (gonadotropin-releasing hormone [GnRH] agonist or antagonist) prescribed/administered (PRCA) | ||
| 4164F | 8P | Adjuvant (ie, in combination with external beam radiotherapy to the prostate for prostate cancer) hormonal therapy (gonadotropin-releasing hormone [GnRH] agonist or antagonist) prescribed/administered (PRCA) | |
HCPCS Codes | |||
| Code | Modifier | POS | Description |
| G8465 | High or very high risk of recurrence of prostate cancer | ||
ICD9 Codes | |||
| Code | Modifier | POS | Description |
| 185 | Malignant neoplasm of prostate | ||
| 196.0 | Secondary and unspecified malignant neoplasm of lymph nodes of head, face, and neck | ||
| 196.1 | Secondary and unspecified malignant neoplasm of intrathoracic lymph nodes | ||
| 196.2 | Secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes | ||
| 196.3 | Secondary and unspecified malignant neoplasm of lymph nodes of axilla and upper limb | ||
| 196.5 | Secondary and unspecified malignant neoplasm of lymph nodes of inguinal region and lower limb | ||
| 196.6 | Secondary and unspecified malignant neoplasm of intrapelvic lymph nodes | ||
| 196.8 | Secondary and unspecified malignant neoplasm of lymph nodes of multiple sites | ||
| 196.9 | Secondary and unspecified malignant neoplasm of lymph nodes, site unspecified | ||
| 197.0 | Secondary malignant neoplasm of lung | ||
| 197.1 | Secondary malignant neoplasm of mediastinum | ||
| 197.2 | Secondary malignant neoplasm of pleura | ||
| 197.3 | Secondary malignant neoplasm of other respiratory organs | ||
| 197.4 | Secondary malignant neoplasm of small intestine including duodenum | ||
| 197.5 | Secondary malignant neoplasm of large intestine and rectum | ||
| 197.6 | Secondary malignant neoplasm of retroperitoneum and peritoneum | ||
| 197.7 | Malignant neoplasm of liver, secondary | ||
| 197.8 | Secondary malignant neoplasm of other digestive organs and spleen | ||
| 198.0 | Secondary malignant neoplasm of kidney | ||
| 198.1 | Secondary malignant neoplasm of other urinary organs | ||
| 198.2 | Secondary malignant neoplasm of skin | ||
| 198.3 | Secondary malignant neoplasm of brain and spinal cord | ||
| 198.4 | Secondary malignant neoplasm of other parts of nervous system | ||
| 198.5 | Secondary malignant neoplasm of bone and bone marrow | ||
| 198.6 | Secondary malignant neoplasm of ovary | ||
| 198.7 | Secondary malignant neoplasm of adrenal gland | ||
| 198.81 | Secondary malignant neoplasm of breast | ||
| 198.82 | Secondary malignant neoplasm of genital organs | ||
| 198.89 | Secondary malignant neoplasm of other specified sites | ||
ICD10CM Codes | |||
| Code | Modifier | POS | Description |
| C61 | Malignant neoplasm of prostate | ||
| C77.0 | Secondary and unspecified malignant neoplasm of lymph nodes of head, face and neck | ||
| C77.1 | Secondary and unspecified malignant neoplasm of intrathoracic lymph nodes | ||
| C77.2 | Secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes | ||
| C77.3 | Secondary and unspecified malignant neoplasm of axilla and upper limb lymph nodes | ||
| C77.4 | Secondary and unspecified malignant neoplasm of inguinal and lower limb lymph nodes | ||
| C77.5 | Secondary and unspecified malignant neoplasm of intrapelvic lymph nodes | ||
| C77.8 | Secondary and unspecified malignant neoplasm of lymph nodes of multiple regions | ||
| C77.9 | Secondary and unspecified malignant neoplasm of lymph node, unspecified | ||
| C78.00 | Secondary malignant neoplasm of unspecified lung | ||
| C78.01 | Secondary malignant neoplasm of right lung | ||
| C78.02 | Secondary malignant neoplasm of left lung | ||
| C78.1 | Secondary malignant neoplasm of mediastinum | ||
| C78.2 | Secondary malignant neoplasm of pleura | ||
| C78.30 | Secondary malignant neoplasm of unspecified respiratory organ | ||
| C78.39 | Secondary malignant neoplasm of other respiratory organs | ||
| C78.4 | Secondary malignant neoplasm of small intestine | ||
| C78.5 | Secondary malignant neoplasm of large intestine and rectum | ||
| C78.6 | Secondary malignant neoplasm of retroperitoneum and peritoneum | ||
| C78.7 | Secondary malignant neoplasm of liver and intrahepatic bile duct | ||
| C78.80 | Secondary malignant neoplasm of unspecified digestive organ | ||
| C78.89 | Secondary malignant neoplasm of other digestive organs | ||
| C79.00 | Secondary malignant neoplasm of unspecified kidney and renal pelvis | ||
| C79.01 | Secondary malignant neoplasm of right kidney and renal pelvis | ||
| C79.02 | Secondary malignant neoplasm of left kidney and renal pelvis | ||
| C79.10 | Secondary malignant neoplasm of unspecified urinary organs | ||
| C79.11 | Secondary malignant neoplasm of bladder | ||
| C79.19 | Secondary malignant neoplasm of other urinary organs | ||
| C79.2 | Secondary malignant neoplasm of skin | ||
| C79.31 | Secondary malignant neoplasm of brain | ||
| C79.32 | Secondary malignant neoplasm of cerebral meninges | ||
| C79.40 | Secondary malignant neoplasm of unspecified part of nervous system | ||
| C79.49 | Secondary malignant neoplasm of other parts of nervous system | ||
| C79.51 | Secondary malignant neoplasm of bone | ||
| C79.52 | Secondary malignant neoplasm of bone marrow | ||
| C79.60 | Secondary malignant neoplasm of unspecified ovary | ||
| C79.61 | Secondary malignant neoplasm of right ovary | ||
| C79.62 | Secondary malignant neoplasm of left ovary | ||
| C79.70 | Secondary malignant neoplasm of unspecified adrenal gland | ||
| C79.71 | Secondary malignant neoplasm of right adrenal gland | ||
| C79.72 | Secondary malignant neoplasm of left adrenal gland | ||
| C79.81 | Secondary malignant neoplasm of breast | ||
| C79.82 | Secondary malignant neoplasm of genital organs | ||
| C79.89 | Secondary malignant neoplasm of other specified sites | ||
| C79.9 | Secondary malignant neoplasm of unspecified site | ||
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).
GPROThis measure can be submitted via Group Practice Reporting Option, or GPRO Web Interface.
SurveyThis measure can be submitted/collected via a Certified Survey Vendor.
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).
GPROThis measure can be submitted via Group Practice Reporting Option, or GPRO Web Interface.
SurveyThis measure can be submitted/collected via a Certified Survey Vendor.
More information on these alternative reporting mechanisms is available at:
http://www.cms.gov/PQRS/20_AlternativeReportingMechanisms.asp.
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