PQRS Measure
#157Thoracic Surgery: Recording of Clinical Stage Prior to Lung Cancer or Esophageal Cancer Resection
Report via: Claim, Registry
The following codes apply for this PQRS measure:
CPT Codes | |||
| Code | Modifier | POS | Description |
|---|---|---|---|
| 32440 | N/A | N/A | Removal of lung, pneumonectomy; |
| 32442 | N/A | N/A | Removal of lung, pneumonectomy; with resection of segment of trachea followed by broncho-tracheal anastomosis (sleeve pneumonectomy) |
| 32445 | N/A | N/A | Removal of lung, pneumonectomy; extrapleural |
| 32480 | N/A | N/A | Removal of lung, other than pneumonectomy; single lobe (lobectomy) |
| 32482 | N/A | N/A | Removal of lung, other than pneumonectomy; 2 lobes (bilobectomy) |
| 32484 | N/A | N/A | Removal of lung, other than pneumonectomy; single segment (segmentectomy) |
| 32486 | N/A | N/A | Removal of lung, other than pneumonectomy; with circumferential resection of segment of bronchus followed by broncho-bronchial anastomosis (sleeve lobectomy) |
| 32488 | N/A | N/A | Removal of lung, other than pneumonectomy; with all remaining lung following previous removal of a portion of lung (completion pneumonectomy) |
| 32503 | N/A | N/A | 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 | N/A | N/A | Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular dissection, when performed; with chest wall reconstruction |
| 32505 | N/A | N/A | Thoracotomy; with therapeutic wedge resection (eg, mass, nodule), initial |
| 32506 | N/A | N/A | Thoracotomy; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (List separately in addition to code for primary procedure) |
| 32507 | N/A | N/A | Thoracotomy; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code for primary procedure) |
| 32663 | N/A | N/A | Thoracoscopy, surgical; with lobectomy (single lobe) |
| 32666 | N/A | N/A | Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass, nodule), initial unilateral |
| 32667 | N/A | N/A | Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (List separately in addition to code for primary procedure) |
| 32668 | N/A | N/A | Thoracoscopy, surgical; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code for primary procedure) |
| 32669 | N/A | N/A | Thoracoscopy, surgical; with removal of a single lung segment (segmentectomy) |
| 32670 | N/A | N/A | Thoracoscopy, surgical; with removal of two lobes (bilobectomy) |
| 32671 | N/A | N/A | Thoracoscopy, surgical; with removal of lung (pneumonectomy) |
| 43107 | N/A | N/A | Total or near total esophagectomy, without thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (transhiatal) |
| 43108 | N/A | N/A | Total or near total esophagectomy, without thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation and anastomosis(es) |
| 43112 | N/A | N/A | Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy) |
| 43113 | N/A | N/A | Total or near total esophagectomy, with thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es) |
| 43116 | N/A | N/A | Partial esophagectomy, cervical, with free intestinal graft, including microvascular anastomosis, obtaining the graft and intestinal reconstruction |
| 43117 | N/A | N/A | 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 | N/A | N/A | 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 | N/A | N/A | Partial esophagectomy, distal two-thirds, with thoracotomy only, with or without proximal gastrectomy, with thoracic esophagogastrostomy, with or without pyloroplasty |
| 43122 | N/A | N/A | Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with esophagogastrostomy, with or without pyloroplasty |
| 43123 | N/A | N/A | 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) |
| 43124 | N/A | N/A | Total or partial esophagectomy, without reconstruction (any approach), with cervical esophagostomy |
| 3323F | N/A | N/A | Clinical tumor, node and metastases (TNM) staging documented and reviewed prior to surgery (Lung/Esop Cx) |
| 3323F | 8P | N/A | Clinical tumor, node and metastases (TNM) staging documented and reviewed prior to surgery (Lung/Esop Cx) |
| 3323F | N/A | N/A | Clinical tumor, node and metastases (TNM) staging documented and reviewed prior to surgery (Lung/Esop Cx) |
| 3323F | 8P | N/A | Clinical tumor, node and metastases (TNM) staging documented and reviewed prior to surgery (Lung/Esop Cx) |
ICD9 Codes | |||
| Code | Modifier | POS | Description |
| 150.3 | N/A | N/A | Malignant neoplasm of upper third of esophagus |
| 150.4 | N/A | N/A | Malignant neoplasm of middle third of esophagus |
| 150.5 | N/A | N/A | Malignant neoplasm of lower third of esophagus |
| 150.8 | N/A | N/A | Malignant neoplasm of other specified part of esophagus |
| 151.0 | N/A | N/A | Malignant neoplasm of cardia |
| 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 |
| 162.9 | N/A | N/A | Malignant neoplasm of bronchus and lung, unspecified |
ICD10CM Codes | |||
| Code | Modifier | POS | Description |
| C15.3 | N/A | N/A | Malignant neoplasm of upper third of esophagus |
| C15.4 | N/A | N/A | Malignant neoplasm of middle third of esophagus |
| C15.5 | N/A | N/A | Malignant neoplasm of lower third of esophagus |
| C15.8 | N/A | N/A | Malignant neoplasm of overlapping sites of esophagus |
| C16.0 | N/A | N/A | Malignant neoplasm of cardia |
| 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 |
| C34.90 | 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 |
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.
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).
GPRO/ACOThis 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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