PQRS Information

Year: 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007

PQRS Measure

#156Oncology: Radiation Dose Limits to Normal Tissues

Report via: Claim, Registry

The following codes apply for this PQRS measure:

Code	Modifier	POS	Description
CPT Codes
77295	N/A	N/A	3-dimensional radiotherapy plan, including dose-volume histograms
0520F	N/A	N/A	Radiation dose limits to normal tissues established prior to the initiation of a course of 3D conformal radiation for a minimum of 2 tissue/organ (ONC)
0520F	8P	N/A	Radiation dose limits to normal tissues established prior to the initiation of a course of 3D conformal radiation for a minimum of 2 tissue/organ (ONC)
ICD9 Codes
Code	Modifier	POS	Description
157.0	N/A	N/A	Malignant neoplasm of head of pancreas
157.1	N/A	N/A	Malignant neoplasm of body of pancreas
157.2	N/A	N/A	Malignant neoplasm of tail of pancreas
157.3	N/A	N/A	Malignant neoplasm of pancreatic duct
157.4	N/A	N/A	Malignant neoplasm of islets of langerhans
157.8	N/A	N/A	Malignant neoplasm of other specified sites of pancreas
157.9	N/A	N/A	Malignant neoplasm of pancreas, part unspecified
162.0	N/A	N/A	Malignant neoplasm of trachea
162.2	N/A	N/A	Malignant neoplasm of main bronchus
162.3	N/A	N/A	Malignant neoplasm of upper lobe, bronchus or lung
162.4	N/A	N/A	Malignant neoplasm of middle lobe, bronchus or lung
162.5	N/A	N/A	Malignant neoplasm of lower lobe, bronchus or lung
162.8	N/A	N/A	Malignant neoplasm of other parts of bronchus or lung
162.9	N/A	N/A	Malignant neoplasm of bronchus and lung, unspecified
196.0	N/A	N/A	Secondary and unspecified malignant neoplasm of lymph nodes of head, face, and neck
196.1	N/A	N/A	Secondary and unspecified malignant neoplasm of intrathoracic lymph nodes
196.2	N/A	N/A	Secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes
196.3	N/A	N/A	Secondary and unspecified malignant neoplasm of lymph nodes of axilla and upper limb
196.5	N/A	N/A	Secondary and unspecified malignant neoplasm of lymph nodes of inguinal region and lower limb
196.6	N/A	N/A	Secondary and unspecified malignant neoplasm of intrapelvic lymph nodes
196.8	N/A	N/A	Secondary and unspecified malignant neoplasm of lymph nodes of multiple sites
196.9	N/A	N/A	Secondary and unspecified malignant neoplasm of lymph nodes, site unspecified
197.0	N/A	N/A	Secondary malignant neoplasm of lung
197.1	N/A	N/A	Secondary malignant neoplasm of mediastinum
197.2	N/A	N/A	Secondary malignant neoplasm of pleura
197.3	N/A	N/A	Secondary malignant neoplasm of other respiratory organs
197.4	N/A	N/A	Secondary malignant neoplasm of small intestine including duodenum
197.5	N/A	N/A	Secondary malignant neoplasm of large intestine and rectum
197.6	N/A	N/A	Secondary malignant neoplasm of retroperitoneum and peritoneum
197.7	N/A	N/A	Malignant neoplasm of liver, secondary
197.8	N/A	N/A	Secondary malignant neoplasm of other digestive organs and spleen
198.0	N/A	N/A	Secondary malignant neoplasm of kidney
198.1	N/A	N/A	Secondary malignant neoplasm of other urinary organs
198.2	N/A	N/A	Secondary malignant neoplasm of skin
198.3	N/A	N/A	Secondary malignant neoplasm of brain and spinal cord
198.4	N/A	N/A	Secondary malignant neoplasm of other parts of nervous system
198.5	N/A	N/A	Secondary malignant neoplasm of bone and bone marrow
198.6	N/A	N/A	Secondary malignant neoplasm of ovary
198.7	N/A	N/A	Secondary malignant neoplasm of adrenal gland
198.81	N/A	N/A	Secondary malignant neoplasm of breast
198.82	N/A	N/A	Secondary malignant neoplasm of genital organs
198.89	N/A	N/A	Secondary malignant neoplasm of other specified sites
ICD10CM Codes
Code	Modifier	POS	Description
C25.0	N/A	N/A	Malignant neoplasm of head of pancreas
C25.1	N/A	N/A	Malignant neoplasm of body of pancreas
C25.2	N/A	N/A	Malignant neoplasm of tail of pancreas
C25.3	N/A	N/A	Malignant neoplasm of pancreatic duct
C25.4	N/A	N/A	Malignant neoplasm of endocrine pancreas
C25.7	N/A	N/A	Malignant neoplasm of other parts of pancreas
C25.8	N/A	N/A	Malignant neoplasm of overlapping sites of pancreas
C25.9	N/A	N/A	Malignant neoplasm of pancreas, unspecified
C33	N/A	N/A	Malignant neoplasm of trachea
C34.00	N/A	N/A	Malignant neoplasm of unspecified main bronchus
C34.01	N/A	N/A	Malignant neoplasm of right main bronchus
C34.02	N/A	N/A	Malignant neoplasm of left main bronchus
C34.10	N/A	N/A	Malignant neoplasm of upper lobe, unspecified bronchus or lung
C34.11	N/A	N/A	Malignant neoplasm of upper lobe, right bronchus or lung
C34.12	N/A	N/A	Malignant neoplasm of upper lobe, left bronchus or lung
C34.2	N/A	N/A	Malignant neoplasm of middle lobe, bronchus or lung
C34.30	N/A	N/A	Malignant neoplasm of lower lobe, unspecified bronchus or lung
C34.31	N/A	N/A	Malignant neoplasm of lower lobe, right bronchus or lung
C34.32	N/A	N/A	Malignant neoplasm of lower lobe, left bronchus or lung
C34.80	N/A	N/A	Malignant neoplasm of overlapping sites of unspecified bronchus and lung
C34.81	N/A	N/A	Malignant neoplasm of overlapping sites of right bronchus and lung
C34.82	N/A	N/A	Malignant neoplasm of overlapping sites of left bronchus and lung
C34.90	N/A	N/A	Malignant neoplasm of unspecified part of unspecified bronchus or lung
C34.91	N/A	N/A	Malignant neoplasm of unspecified part of right bronchus or lung
C34.92	N/A	N/A	Malignant neoplasm of unspecified part of left bronchus or lung
C77.0	N/A	N/A	Secondary and unspecified malignant neoplasm of lymph nodes of head, face and neck
C77.1	N/A	N/A	Secondary and unspecified malignant neoplasm of intrathoracic lymph nodes
C77.2	N/A	N/A	Secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes
C77.3	N/A	N/A	Secondary and unspecified malignant neoplasm of axilla and upper limb lymph nodes
C77.4	N/A	N/A	Secondary and unspecified malignant neoplasm of inguinal and lower limb lymph nodes
C77.5	N/A	N/A	Secondary and unspecified malignant neoplasm of intrapelvic lymph nodes
C77.8	N/A	N/A	Secondary and unspecified malignant neoplasm of lymph nodes of multiple regions
C77.9	N/A	N/A	Secondary and unspecified malignant neoplasm of lymph node, unspecified
C78.00	N/A	N/A	Secondary malignant neoplasm of unspecified lung
C78.01	N/A	N/A	Secondary malignant neoplasm of right lung
C78.02	N/A	N/A	Secondary malignant neoplasm of left lung
C78.1	N/A	N/A	Secondary malignant neoplasm of mediastinum
C78.2	N/A	N/A	Secondary malignant neoplasm of pleura
C78.30	N/A	N/A	Secondary malignant neoplasm of unspecified respiratory organ
C78.39	N/A	N/A	Secondary malignant neoplasm of other respiratory organs
C78.4	N/A	N/A	Secondary malignant neoplasm of small intestine
C78.5	N/A	N/A	Secondary malignant neoplasm of large intestine and rectum
C78.6	N/A	N/A	Secondary malignant neoplasm of retroperitoneum and peritoneum
C78.7	N/A	N/A	Secondary malignant neoplasm of liver and intrahepatic bile duct
C78.80	N/A	N/A	Secondary malignant neoplasm of unspecified digestive organ
C78.89	N/A	N/A	Secondary malignant neoplasm of other digestive organs
C79.00	N/A	N/A	Secondary malignant neoplasm of unspecified kidney and renal pelvis
C79.01	N/A	N/A	Secondary malignant neoplasm of right kidney and renal pelvis
C79.02	N/A	N/A	Secondary malignant neoplasm of left kidney and renal pelvis
C79.10	N/A	N/A	Secondary malignant neoplasm of unspecified urinary organs
C79.11	N/A	N/A	Secondary malignant neoplasm of bladder
C79.19	N/A	N/A	Secondary malignant neoplasm of other urinary organs
C79.2	N/A	N/A	Secondary malignant neoplasm of skin
C79.31	N/A	N/A	Secondary malignant neoplasm of brain
C79.32	N/A	N/A	Secondary malignant neoplasm of cerebral meninges
C79.40	N/A	N/A	Secondary malignant neoplasm of unspecified part of nervous system
C79.49	N/A	N/A	Secondary malignant neoplasm of other parts of nervous system
C79.51	N/A	N/A	Secondary malignant neoplasm of bone
C79.52	N/A	N/A	Secondary malignant neoplasm of bone marrow
C79.60	N/A	N/A	Secondary malignant neoplasm of unspecified ovary
C79.61	N/A	N/A	Secondary malignant neoplasm of right ovary
C79.62	N/A	N/A	Secondary malignant neoplasm of left ovary
C79.70	N/A	N/A	Secondary malignant neoplasm of unspecified adrenal gland
C79.71	N/A	N/A	Secondary malignant neoplasm of right adrenal gland
C79.72	N/A	N/A	Secondary malignant neoplasm of left adrenal gland
C79.81	N/A	N/A	Secondary malignant neoplasm of breast
C79.82	N/A	N/A	Secondary malignant neoplasm of genital organs
C79.89	N/A	N/A	Secondary malignant neoplasm of other specified sites
C79.9	N/A	N/A	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).
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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