PQRS Measure
#185Endoscopy & Polyp Surveillance: Colonoscopy Interval for Patients with a History of Adenomatous Polyps - Avoidance of Inappropriate Use
The following codes apply for this PQRS measure:
CPT Codes | |||
| Code | Modifier | POS | Description |
|---|---|---|---|
| 0529F | Interval of 3 or more years since patient's last colonoscopy, documented (End/Polyp) | ||
| 0529F | 8P | Interval of 3 or more years since patient's last colonoscopy, documented (End/Polyp) | |
| 0529F | 1P | Interval of 3 or more years since patient's last colonoscopy, documented (End/Polyp) | |
| 0529F | 3P | Interval of 3 or more years since patient's last colonoscopy, documented (End/Polyp) | |
| 44388 | 52, 53, | Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) | |
| 44389 | 52, 53, | Colonoscopy through stoma; with biopsy, single or multiple | |
| 44392 | 52, 53, | Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps | |
| 44393 | 52, 53, | Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique | |
| 44394 | 52, 53, | Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique | |
| 45355 | 52, 53, | Colonoscopy, rigid or flexible, transabdominal via colotomy, single or multiple | |
| 45378 | 52, 53, | Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) | |
| 45380 | 52, 53, | Colonoscopy, flexible; with biopsy, single or multiple | |
| 45381 | 52, 53, | Colonoscopy, flexible; with directed submucosal injection(s), any substance | |
| 45383 | 52, 53, | Colonoscopy, flexible, proximal to splenic flexure; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique | |
| 45384 | 52, 53, | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps | |
| 45385 | 52, 53, | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique | |
HCPCS Codes | |||
| Code | Modifier | POS | Description |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | ||
ICD9 Codes | |||
| Code | Modifier | POS | Description |
| V12.72 | Personal history of colonic polyps | ||
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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