PQRS Measure
#157Thoracic Surgery: Recording of Clinical Stage for Lung Cancer and Esophageal Cancer Resection
The following codes apply for this PQRS measure:
CPT Codes | |||
| Code | Modifier | POS | Description |
|---|---|---|---|
| 32440 | Removal of lung, pneumonectomy; | ||
| 32442 | Removal of lung, pneumonectomy; with resection of segment of trachea followed by broncho-tracheal anastomosis (sleeve pneumonectomy) | ||
| 32445 | Removal of lung, pneumonectomy; extrapleural | ||
| 32480 | Removal of lung, other than pneumonectomy; single lobe (lobectomy) | ||
| 32482 | Removal of lung, other than pneumonectomy; 2 lobes (bilobectomy) | ||
| 32484 | Removal of lung, other than pneumonectomy; single segment (segmentectomy) | ||
| 32486 | Removal of lung, other than pneumonectomy; with circumferential resection of segment of bronchus followed by broncho-bronchial anastomosis (sleeve lobectomy) | ||
| 32488 | Removal of lung, other than pneumonectomy; with all remaining lung following previous removal of a portion of lung (completion pneumonectomy) | ||
| 32500 | Removal of lung, other than total pneumonectomy; wedge resection, single or multiple | ||
| 32503 | Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular dissection, when performed; without chest wall reconstruction(s) | ||
| 32504 | Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular dissection, when performed; with chest wall reconstruction | ||
| 32657 | Thoracoscopy, surgical; with wedge resection of lung, single or multiple | ||
| 32663 | Thoracoscopy, surgical; with lobectomy (single lobe) | ||
| 43107 | Total or near total esophagectomy, without thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (transhiatal) | ||
| 43108 | Total or near total esophagectomy, without thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation and anastomosis(es) | ||
| 43112 | Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy) | ||
| 43113 | Total or near total esophagectomy, with thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es) | ||
| 43117 | Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with thoracic esophagogastrostomy, with or without pyloroplasty (Ivor Lewis) | ||
| 43118 | Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es) | ||
| 43121 | Partial esophagectomy, distal two-thirds, with thoracotomy only, with or without proximal gastrectomy, with thoracic esophagogastrostomy, with or without pyloroplasty | ||
| 43122 | Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with esophagogastrostomy, with or without pyloroplasty | ||
| 43123 | Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es) | ||
HCPCS Codes | |||
| Code | Modifier | POS | Description |
| G8518 | Clinical stage prior to surgery for lung cancer and esophageal cancer resection was recorded | ||
| G8519 | Clinician documented that patient was not eligible for clinical stage prior to surgery for lung cancer and esophageal cancer resection measure | ||
| G8520 | Clinician stage prior to surgery for lung cancer and esophageal cancer resection was not recorded, reason not specified | ||
ICD9 Codes | |||
| Code | Modifier | POS | Description |
| 150.3 | Malignant neoplasm of upper third of esophagus | ||
| 150.4 | Malignant neoplasm of middle third of esophagus | ||
| 150.5 | Malignant neoplasm of lower third of esophagus | ||
| 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 | ||
Legend:
Registry OKThis measure can be submitted through registry.
EHR OKThis measure can be submitted via Electronic Health Record (EHR).
More information on these alternative reporting mechanisms is available at:
http://www.cms.gov/PQRS/20_AlternativeReportingMechanisms.asp.
Registry OKThis measure can be submitted through registry.
EHR OKThis measure can be submitted via Electronic Health Record (EHR).
More information on these alternative reporting mechanisms is available at:
http://www.cms.gov/PQRS/20_AlternativeReportingMechanisms.asp.
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