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PQRS Measure

#262Image Confirmation of Successful Excision of Image-Localized Breast Lesion
 Report via: Claim, Registry

The following codes apply for this PQRS measure:

CPT Codes

CodeModifierPOSDescription
19125N/AN/AExcision of breast lesion identified by preoperative placement of radiological marker, open; single lesion
19301N/AN/AMastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy);
19302N/AN/AMastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); with axillary lymphadenectomy

HCPCS Codes

CodeModifierPOSDescription
G8872N/AN/AExcised tissue evaluated by imaging intraoperatively to confirm successful inclusion of targeted lesion
G8873N/AN/APatients with needle localization specimens which are not amenable to intraoperative imaging such as mri needle wire localization, or targets which are tentatively identified on mammogram or ultrasound which do not contain a biopsy marker but which can be verified on intraoperative inspection or pathology (e.g., needle biopsy site where the biopsy marker is remote from the actual biopsy site)
G8874N/AN/AExcised tissue not evaluated by imaging intraoperatively to confirm successful inclusion of targeted lesion
G8872N/AN/AExcised tissue evaluated by imaging intraoperatively to confirm successful inclusion of targeted lesion
G8874N/AN/AExcised tissue not evaluated by imaging intraoperatively to confirm successful inclusion of targeted lesion

ICD9 Codes

CodeModifierPOSDescription
174.0N/AN/AMalignant neoplasm of nipple and areola of female breast
174.1N/AN/AMalignant neoplasm of central portion of female breast
174.2N/AN/AMalignant neoplasm of upper-inner quadrant of female breast
174.3N/AN/AMalignant neoplasm of lower-inner quadrant of female breast
174.4N/AN/AMalignant neoplasm of upper-outer quadrant of female breast
174.5N/AN/AMalignant neoplasm of lower-outer quadrant of female breast
174.6N/AN/AMalignant neoplasm of axillary tail of female breast
174.8N/AN/AMalignant neoplasm of other specified sites of female breast
174.9N/AN/AMalignant neoplasm of breast (female), unspecified
175.0N/AN/AMalignant neoplasm of nipple and areola of male breast
175.9N/AN/AMalignant neoplasm of other and unspecified sites of male breast
198.81N/AN/ASecondary malignant neoplasm of breast
217N/AN/ABenign neoplasm of breast
239.3N/AN/ANeoplasm of unspecified nature of breast
610.0N/AN/ASolitary cyst of breast
610.1N/AN/ADiffuse cystic mastopathy
610.2N/AN/AFibroadenosis of breast
610.3N/AN/AFibrosclerosis of breast
610.4N/AN/AMammary duct ectasia
610.8N/AN/AOther specified benign mammary dysplasias
610.9N/AN/ABenign mammary dysplasia, unspecified
611.0N/AN/AInflammatory disease of breast
611.1N/AN/AHypertrophy of breast
611.2N/AN/AFissure of nipple
611.3N/AN/AFat necrosis of breast
611.4N/AN/AAtrophy of breast
611.5N/AN/AGalactocele
611.6N/AN/AGalactorrhea not associated with childbirth
611.71N/AN/AMastodynia
611.72N/AN/ALump or mass in breast
611.79N/AN/AOther signs and symptoms in breast
611.81N/AN/APtosis of breast
611.82N/AN/AHypoplasia of breast
611.83N/AN/ACapsular contracture of breast implant
611.89N/AN/AOther specified disorders of breast
611.9N/AN/AUnspecified breast disorder
793.80N/AN/AAbnormal mammogram, unspecified
793.81N/AN/AMammographic microcalcification
793.82N/AN/AInconclusive mammogram
793.89N/AN/AOther (abnormal) findings on radiological examination of breast
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.
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