PQRS Measure
Report via: Claim, Registry
The following codes apply for this PQRS measure:
CPT Codes | |||
| Code | Modifier | POS | Description |
|---|---|---|---|
| 77295 | 3-dimensional radiotherapy plan, including dose-volume histograms | ||
| 0520F | 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 | 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 | 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 | 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 |
| 154.0 | Malignant neoplasm of rectosigmoid junction | ||
| 154.1 | Malignant neoplasm of rectum | ||
| 154.8 | Malignant neoplasm of other sites of rectum, rectosigmoid junction, and anus | ||
| 157.0 | Malignant neoplasm of head of pancreas | ||
| 157.1 | Malignant neoplasm of body of pancreas | ||
| 157.2 | Malignant neoplasm of tail of pancreas | ||
| 157.3 | Malignant neoplasm of pancreatic duct | ||
| 157.4 | Malignant neoplasm of islets of langerhans | ||
| 157.8 | Malignant neoplasm of other specified sites of pancreas | ||
| 157.9 | Malignant neoplasm of pancreas, part unspecified | ||
| 162.2 | Malignant neoplasm of main bronchus | ||
| 162.3 | Malignant neoplasm of upper lobe, bronchus or lung | ||
| 162.4 | Malignant neoplasm of middle lobe, bronchus or lung | ||
| 162.5 | Malignant neoplasm of lower lobe, bronchus or lung | ||
| 162.8 | Malignant neoplasm of other parts of bronchus or lung | ||
| 162.9 | Malignant neoplasm of bronchus and lung, unspecified | ||
| 174.0 | Malignant neoplasm of nipple and areola of female breast | ||
| 174.1 | Malignant neoplasm of central portion of female breast | ||
| 174.2 | Malignant neoplasm of upper-inner quadrant of female breast | ||
| 174.3 | Malignant neoplasm of lower-inner quadrant of female breast | ||
| 174.4 | Malignant neoplasm of upper-outer quadrant of female breast | ||
| 174.5 | Malignant neoplasm of lower-outer quadrant of female breast | ||
| 174.6 | Malignant neoplasm of axillary tail of female breast | ||
| 174.8 | Malignant neoplasm of other specified sites of female breast | ||
| 174.9 | Malignant neoplasm of breast (female), unspecified | ||
| 175.0 | Malignant neoplasm of nipple and areola of male breast | ||
| 175.9 | Malignant neoplasm of other and unspecified sites of male breast | ||
| 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 |
| C19 | Malignant neoplasm of rectosigmoid junction | ||
| C20 | Malignant neoplasm of rectum | ||
| C21.2 | Malignant neoplasm of cloacogenic zone | ||
| C21.8 | Malignant neoplasm of overlapping sites of rectum, anus and anal canal | ||
| C25.0 | Malignant neoplasm of head of pancreas | ||
| C25.1 | Malignant neoplasm of body of pancreas | ||
| C25.2 | Malignant neoplasm of tail of pancreas | ||
| C25.3 | Malignant neoplasm of pancreatic duct | ||
| C25.4 | Malignant neoplasm of endocrine pancreas | ||
| C25.7 | Malignant neoplasm of other parts of pancreas | ||
| C25.8 | Malignant neoplasm of overlapping sites of pancreas | ||
| C25.9 | Malignant neoplasm of pancreas, unspecified | ||
| C34.00 | Malignant neoplasm of unspecified main bronchus | ||
| C34.01 | Malignant neoplasm of right main bronchus | ||
| C34.02 | Malignant neoplasm of left main bronchus | ||
| C34.10 | Malignant neoplasm of upper lobe, unspecified bronchus or lung | ||
| C34.11 | Malignant neoplasm of upper lobe, right bronchus or lung | ||
| C34.12 | Malignant neoplasm of upper lobe, left bronchus or lung | ||
| C34.2 | Malignant neoplasm of middle lobe, bronchus or lung | ||
| C34.30 | Malignant neoplasm of lower lobe, unspecified bronchus or lung | ||
| C34.31 | Malignant neoplasm of lower lobe, right bronchus or lung | ||
| C34.32 | Malignant neoplasm of lower lobe, left bronchus or lung | ||
| C34.80 | Malignant neoplasm of overlapping sites of unspecified bronchus and lung | ||
| C34.81 | Malignant neoplasm of overlapping sites of right bronchus and lung | ||
| C34.82 | Malignant neoplasm of overlapping sites of left bronchus and lung | ||
| C34.90 | Malignant neoplasm of unspecified part of unspecified bronchus or lung | ||
| C34.91 | Malignant neoplasm of unspecified part of right bronchus or lung | ||
| C34.92 | Malignant neoplasm of unspecified part of left bronchus or lung | ||
| C50.011 | Malignant neoplasm of nipple and areola, right female breast | ||
| C50.012 | Malignant neoplasm of nipple and areola, left female breast | ||
| C50.019 | Malignant neoplasm of nipple and areola, unspecified female breast | ||
| C50.021 | Malignant neoplasm of nipple and areola, right male breast | ||
| C50.022 | Malignant neoplasm of nipple and areola, left male breast | ||
| C50.029 | Malignant neoplasm of nipple and areola, unspecified male breast | ||
| C50.111 | Malignant neoplasm of central portion of right female breast | ||
| C50.112 | Malignant neoplasm of central portion of left female breast | ||
| C50.119 | Malignant neoplasm of central portion of unspecified female breast | ||
| C50.121 | Malignant neoplasm of central portion of right male breast | ||
| C50.122 | Malignant neoplasm of central portion of left male breast | ||
| C50.129 | Malignant neoplasm of central portion of unspecified male breast | ||
| C50.211 | Malignant neoplasm of upper-inner quadrant of right female breast | ||
| C50.212 | Malignant neoplasm of upper-inner quadrant of left female breast | ||
| C50.219 | Malignant neoplasm of upper-inner quadrant of unspecified female breast | ||
| C50.221 | Malignant neoplasm of upper-inner quadrant of right male breast | ||
| C50.222 | Malignant neoplasm of upper-inner quadrant of left male breast | ||
| C50.229 | Malignant neoplasm of upper-inner quadrant of unspecified male breast | ||
| C50.311 | Malignant neoplasm of lower-inner quadrant of right female breast | ||
| C50.312 | Malignant neoplasm of lower-inner quadrant of left female breast | ||
| C50.319 | Malignant neoplasm of lower-inner quadrant of unspecified female breast | ||
| C50.321 | Malignant neoplasm of lower-inner quadrant of right male breast | ||
| C50.322 | Malignant neoplasm of lower-inner quadrant of left male breast | ||
| C50.329 | Malignant neoplasm of lower-inner quadrant of unspecified male breast | ||
| C50.411 | Malignant neoplasm of upper-outer quadrant of right female breast | ||
| C50.412 | Malignant neoplasm of upper-outer quadrant of left female breast | ||
| C50.419 | Malignant neoplasm of upper-outer quadrant of unspecified female breast | ||
| C50.421 | Malignant neoplasm of upper-outer quadrant of right male breast | ||
| C50.422 | Malignant neoplasm of upper-outer quadrant of left male breast | ||
| C50.429 | Malignant neoplasm of upper-outer quadrant of unspecified male breast | ||
| C50.511 | Malignant neoplasm of lower-outer quadrant of right female breast | ||
| C50.512 | Malignant neoplasm of lower-outer quadrant of left female breast | ||
| C50.519 | Malignant neoplasm of lower-outer quadrant of unspecified female breast | ||
| C50.521 | Malignant neoplasm of lower-outer quadrant of right male breast | ||
| C50.522 | Malignant neoplasm of lower-outer quadrant of left male breast | ||
| C50.529 | Malignant neoplasm of lower-outer quadrant of unspecified male breast | ||
| C50.611 | Malignant neoplasm of axillary tail of right female breast | ||
| C50.612 | Malignant neoplasm of axillary tail of left female breast | ||
| C50.619 | Malignant neoplasm of axillary tail of unspecified female breast | ||
| C50.621 | Malignant neoplasm of axillary tail of right male breast | ||
| C50.622 | Malignant neoplasm of axillary tail of left male breast | ||
| C50.629 | Malignant neoplasm of axillary tail of unspecified male breast | ||
| C50.811 | Malignant neoplasm of overlapping sites of right female breast | ||
| C50.812 | Malignant neoplasm of overlapping sites of left female breast | ||
| C50.819 | Malignant neoplasm of overlapping sites of unspecified female breast | ||
| C50.821 | Malignant neoplasm of overlapping sites of right male breast | ||
| C50.822 | Malignant neoplasm of overlapping sites of left male breast | ||
| C50.829 | Malignant neoplasm of overlapping sites of unspecified male breast | ||
| C50.911 | Malignant neoplasm of unspecified site of right female breast | ||
| C50.912 | Malignant neoplasm of unspecified site of left female breast | ||
| C50.919 | Malignant neoplasm of unspecified site of unspecified female breast | ||
| C50.921 | Malignant neoplasm of unspecified site of right male breast | ||
| C50.922 | Malignant neoplasm of unspecified site of left male breast | ||
| C50.929 | Malignant neoplasm of unspecified site of unspecified male breast | ||
| 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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