PQRS Measure
This measure may be submitted via Registry only
The following codes apply for this PQRS measure:
CPT Codes | |||
| Code | Modifier | POS | Description |
|---|---|---|---|
| 11100 | Biopsy of skin, subcutaneous tissue and/or mucous membrane (including simple closure), unless otherwise listed; single lesion | ||
| 11755 | Biopsy of nail unit (eg, plate, bed, matrix, hyponychium, proximal and lateral nail folds) (separate procedure) | ||
| 19081 | Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including stereotactic guidance | ||
| 19083 | Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including ultrasound guidance | ||
| 19085 | Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including magnetic resonance guidance | ||
| 19100 | Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure) | ||
| 19101 | Biopsy of breast; open, incisional | ||
| 19125 | Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion | ||
| 20200 | Biopsy, muscle; superficial | ||
| 20205 | Biopsy, muscle; deep | ||
| 20206 | Biopsy, muscle, percutaneous needle | ||
| 20220 | Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs) | ||
| 20225 | Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur) | ||
| 20240 | Biopsy, bone, open; superficial (eg, sternum, spinous process, rib, patella, olecranon process, calcaneus, tarsal, metatarsal, carpal, metacarpal, phalanx) | ||
| 20245 | Biopsy, bone, open; deep (eg, humeral shaft, ischium, femoral shaft) | ||
| 20250 | Biopsy, vertebral body, open; thoracic | ||
| 20251 | Biopsy, vertebral body, open; lumbar or cervical | ||
| 21550 | Biopsy, soft tissue of neck or thorax | ||
| 21920 | Biopsy, soft tissue of back or flank; superficial | ||
| 21925 | Biopsy, soft tissue of back or flank; deep | ||
| 23065 | Biopsy, soft tissue of shoulder area; superficial | ||
| 23066 | Biopsy, soft tissue of shoulder area; deep | ||
| 23100 | Arthrotomy, glenohumeral joint, including biopsy | ||
| 23101 | Arthrotomy, acromioclavicular joint or sternoclavicular joint, including biopsy and/or excision of torn cartilage | ||
| 24065 | Biopsy, soft tissue of upper arm or elbow area; superficial | ||
| 24066 | Biopsy, soft tissue of upper arm or elbow area; deep (subfascial or intramuscular) | ||
| 24100 | Arthrotomy, elbow; with synovial biopsy only | ||
| 24101 | Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body | ||
| 25065 | Biopsy, soft tissue of forearm and/or wrist; superficial | ||
| 25066 | Biopsy, soft tissue of forearm and/or wrist; deep (subfascial or intramuscular) | ||
| 25100 | Arthrotomy, wrist joint; with biopsy | ||
| 25101 | Arthrotomy, wrist joint; with joint exploration, with or without biopsy, with or without removal of loose or foreign body | ||
| 26100 | Arthrotomy with biopsy; carpometacarpal joint, each | ||
| 26105 | Arthrotomy with biopsy; metacarpophalangeal joint, each | ||
| 26110 | Arthrotomy with biopsy; interphalangeal joint, each | ||
| 27040 | Biopsy, soft tissue of pelvis and hip area; superficial | ||
| 27041 | Biopsy, soft tissue of pelvis and hip area; deep, subfascial or intramuscular | ||
| 27050 | Arthrotomy, with biopsy; sacroiliac joint | ||
| 27052 | Arthrotomy, with biopsy; hip joint | ||
| 27323 | Biopsy, soft tissue of thigh or knee area; superficial | ||
| 27324 | Biopsy, soft tissue of thigh or knee area; deep (subfascial or intramuscular) | ||
| 27330 | Arthrotomy, knee; with synovial biopsy only | ||
| 27331 | Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies | ||
| 27613 | Biopsy, soft tissue of leg or ankle area; superficial | ||
| 27614 | Biopsy, soft tissue of leg or ankle area; deep (subfascial or intramuscular) | ||
| 27620 | Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body | ||
| 28050 | Arthrotomy with biopsy; intertarsal or tarsometatarsal joint | ||
| 28052 | Arthrotomy with biopsy; metatarsophalangeal joint | ||
| 28054 | Arthrotomy with biopsy; interphalangeal joint | ||
| 29800 | Arthroscopy, temporomandibular joint, diagnostic, with or without synovial biopsy (separate procedure) | ||
| 29805 | Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure) | ||
| 29830 | Arthroscopy, elbow, diagnostic, with or without synovial biopsy (separate procedure) | ||
| 29840 | Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure) | ||
| 29860 | Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) | ||
| 29870 | Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) | ||
| 29900 | Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy | ||
| 30100 | Biopsy, intranasal | ||
| 31050 | Sinusotomy, sphenoid, with or without biopsy; | ||
| 31051 | Sinusotomy, sphenoid, with or without biopsy; with mucosal stripping or removal of polyp(s) | ||
| 31237 | Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure) | ||
| 31510 | Laryngoscopy, indirect; with biopsy | ||
| 31576 | Laryngoscopy, flexible; with biopsy(ies) | ||
| 31625 | Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial or endobronchial biopsy(s), single or multiple sites | ||
| 31628 | Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), single lobe | ||
| 31629 | Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i) | ||
| 31632 | Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), each additional lobe (List separately in addition to code for primary procedure) | ||
| 31633 | Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial needle aspiration biopsy(s), each additional lobe (List separately in addition to code for primary procedure) | ||
| 31717 | Catheterization with bronchial brush biopsy | ||
| 32096 | Thoracotomy, with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral | ||
| 32097 | Thoracotomy, with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral | ||
| 32098 | Thoracotomy, with biopsy(ies) of pleura | ||
| 32400 | Biopsy, pleura, percutaneous needle | ||
| 32405 | Biopsy, lung or mediastinum, percutaneous needle | ||
| 32604 | Thoracoscopy, diagnostic (separate procedure); pericardial sac, with biopsy | ||
| 32606 | Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy | ||
| 32607 | Thoracoscopy; with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral | ||
| 32608 | Thoracoscopy; with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral | ||
| 32609 | Thoracoscopy; with biopsy(ies) of pleura | ||
| 37200 | Transcatheter biopsy | ||
| 37609 | Ligation or biopsy, temporal artery | ||
| 38221 | Diagnostic bone marrow; biopsy(ies) | ||
| 38500 | Biopsy or excision of lymph node(s); open, superficial | ||
| 38505 | Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary) | ||
| 38510 | Biopsy or excision of lymph node(s); open, deep cervical node(s) | ||
| 38520 | Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad | ||
| 38525 | Biopsy or excision of lymph node(s); open, deep axillary node(s) | ||
| 38530 | Biopsy or excision of lymph node(s); open, internal mammary node(s) | ||
| 38570 | Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple | ||
| 38572 | Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single or multiple | ||
| 40490 | Biopsy of lip | ||
| 40808 | Biopsy, vestibule of mouth | ||
| 41100 | Biopsy of tongue; anterior two-thirds | ||
| 41105 | Biopsy of tongue; posterior one-third | ||
| 41108 | Biopsy of floor of mouth | ||
| 42100 | Biopsy of palate, uvula | ||
| 42400 | Biopsy of salivary gland; needle | ||
| 42405 | Biopsy of salivary gland; incisional | ||
| 42800 | Biopsy; oropharynx | ||
| 42804 | Biopsy; nasopharynx, visible lesion, simple | ||
| 42806 | Biopsy; nasopharynx, survey for unknown primary lesion | ||
| 43193 | Esophagoscopy, rigid, transoral; with biopsy, single or multiple | ||
| 43197 | Esophagoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) | ||
| 43198 | Esophagoscopy, flexible, transnasal; with biopsy, single or multiple | ||
| 43202 | Esophagoscopy, flexible, transoral; with biopsy, single or multiple | ||
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | ||
| 43261 | Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple | ||
| 43605 | Biopsy of stomach, by laparotomy | ||
| 44010 | Duodenotomy, for exploration, biopsy(s), or foreign body removal | ||
| 44020 | Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal | ||
| 44025 | Colotomy, for exploration, biopsy(s), or foreign body removal | ||
| 44100 | Biopsy of intestine by capsule, tube, peroral (1 or more specimens) | ||
| 44322 | Colostomy or skin level cecostomy; with multiple biopsies (eg, for congenital megacolon) (separate procedure) | ||
| 44361 | Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with biopsy, single or multiple | ||
| 44377 | Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with biopsy, single or multiple | ||
| 44382 | Ileoscopy, through stoma; with biopsy, single or multiple | ||
| 44386 | Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); with biopsy, single or multiple | ||
| 44389 | Colonoscopy through stoma; with biopsy, single or multiple | ||
| 45100 | Biopsy of anorectal wall, anal approach (eg, congenital megacolon) | ||
| 45305 | Proctosigmoidoscopy, rigid; with biopsy, single or multiple | ||
| 45331 | Sigmoidoscopy, flexible; with biopsy, single or multiple | ||
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | ||
| 45392 | Colonoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures | ||
| 46606 | Anoscopy; with biopsy, single or multiple | ||
| 47000 | Biopsy of liver, needle; percutaneous | ||
| 47001 | Biopsy of liver, needle; when done for indicated purpose at time of other major procedure (List separately in addition to code for primary procedure) | ||
| 47100 | Biopsy of liver, wedge | ||
| 47553 | Biliary endoscopy, percutaneous via T-tube or other tract; with biopsy, single or multiple | ||
| 48100 | Biopsy of pancreas, open (eg, fine needle aspiration, needle core biopsy, wedge biopsy) | ||
| 48102 | Biopsy of pancreas, percutaneous needle | ||
| 49000 | Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure) | ||
| 49010 | Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) | ||
| 49180 | Biopsy, abdominal or retroperitoneal mass, percutaneous needle | ||
| 49321 | Laparoscopy, surgical; with biopsy (single or multiple) | ||
| 50200 | Renal biopsy; percutaneous, by trocar or needle | ||
| 50205 | Renal biopsy; by surgical exposure of kidney | ||
| 50555 | Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy | ||
| 50557 | Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy | ||
| 50574 | Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy | ||
| 50576 | Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy | ||
| 50955 | Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy | ||
| 50957 | Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy | ||
| 50974 | Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy | ||
| 50976 | Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy | ||
| 52007 | Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis | ||
| 52204 | Cystourethroscopy, with biopsy(s) | ||
| 52224 | Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy | ||
| 52250 | Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration | ||
| 52354 | Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion | ||
| 53200 | Biopsy of urethra | ||
| 54100 | Biopsy of penis; (separate procedure) | ||
| 54105 | Biopsy of penis; deep structures | ||
| 54500 | Biopsy of testis, needle (separate procedure) | ||
| 54505 | Biopsy of testis, incisional (separate procedure) | ||
| 54800 | Biopsy of epididymis, needle | ||
| 54865 | Exploration of epididymis, with or without biopsy | ||
| 55700 | Biopsy, prostate; needle or punch, single or multiple, any approach | ||
| 55705 | Biopsy, prostate; incisional, any approach | ||
| 55706 | Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance | ||
| 55812 | Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy) | ||
| 55842 | Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy) | ||
| 55862 | Exposure of prostate, any approach, for insertion of radioactive substance; with lymph node biopsy(s) (limited pelvic lymphadenectomy) | ||
| 56605 | Biopsy of vulva or perineum (separate procedure); 1 lesion | ||
| 56821 | Colposcopy of the vulva; with biopsy(s) | ||
| 57100 | Biopsy of vaginal mucosa; simple (separate procedure) | ||
| 57105 | Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) | ||
| 57421 | Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix | ||
| 57454 | Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage | ||
| 57455 | Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix | ||
| 57460 | Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix | ||
| 57500 | Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure) | ||
| 57520 | Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser | ||
| 58100 | Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure) | ||
| 58558 | Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C | ||
| 58900 | Biopsy of ovary, unilateral or bilateral (separate procedure) | ||
| 59015 | Chorionic villus sampling, any method | ||
| 60100 | Biopsy thyroid, percutaneous core needle | ||
| 60540 | Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); | ||
| 60545 | Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); with excision of adjacent retroperitoneal tumor | ||
| 60650 | Laparoscopy, surgical, with adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal | ||
| 61140 | Burr hole(s) or trephine; with biopsy of brain or intracranial lesion | ||
| 61575 | Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; | ||
| 61576 | Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy) | ||
| 61750 | Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; | ||
| 61751 | Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance | ||
| 62269 | Biopsy of spinal cord, percutaneous needle | ||
| 63275 | Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical | ||
| 63276 | Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic | ||
| 63277 | Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, lumbar | ||
| 63278 | Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, sacral | ||
| 63280 | Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, cervical | ||
| 63281 | Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, thoracic | ||
| 63282 | Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, lumbar | ||
| 63283 | Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, sacral | ||
| 63285 | Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, cervical | ||
| 63286 | Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic | ||
| 63287 | Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracolumbar | ||
| 63290 | Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion, any level | ||
| 63615 | Stereotactic biopsy, aspiration, or excision of lesion, spinal cord | ||
| 64795 | Biopsy of nerve | ||
| 65410 | Biopsy of cornea | ||
| 67346 | Biopsy of extraocular muscle | ||
| 67400 | Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy | ||
| 67450 | Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy | ||
| 67810 | Incisional biopsy of eyelid skin including lid margin | ||
| 68100 | Biopsy of conjunctiva | ||
| 68510 | Biopsy of lacrimal gland | ||
| 68525 | Biopsy of lacrimal sac | ||
| 69100 | Biopsy external ear | ||
| 69105 | Biopsy external auditory canal | ||
| 75970 | Transcatheter biopsy, radiological supervision and interpretation | ||
| 93505 | Endomyocardial biopsy | ||
| 99201 | Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family. | ||
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded. | ||
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded. | ||
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded. | ||
| 99205 | Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded. | ||
HCPCS Codes | |||
| Code | Modifier | POS | Description |
| G8883 | Biopsy results reviewed, communicated, tracked and documented | ||
| G8884 | Clinician documented reason that patient's biopsy results were not reviewed | ||
| G8885 | Biopsy results not reviewed, communicated, tracked or documented | ||
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).
GPROThis 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).
GPROThis 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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