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 |
|---|---|---|---|
| 3323F | Clinical tumor, node and metastases (TNM) staging documented and reviewed prior to surgery (Lung/Esop Cx) | ||
| 3323F | 8P | Clinical tumor, node and metastases (TNM) staging documented and reviewed prior to surgery (Lung/Esop Cx) | |
| 3323F | 1P | Clinical tumor, node and metastases (TNM) staging documented and reviewed prior to surgery (Lung/Esop Cx) | |
| 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) | ||
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:
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 IThis measure can be submitted via Group Practice Reporting Option 1.
GPRO IIThis measure can be submitted via Group Practice Reporting Option 2.
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 IThis measure can be submitted via Group Practice Reporting Option 1.
GPRO IIThis measure can be submitted via Group Practice Reporting Option 2.
More information on these alternative reporting mechanisms is available at:
http://www.cms.gov/PQRS/20_AlternativeReportingMechanisms.asp.
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