PQRS Measure
This measure may be submitted via Registry only
The following codes apply for this PQRS measure:
CPT Codes | |||
| Code | Modifier | POS | Description |
|---|---|---|---|
| 45378 | 52, 53, | N/A | Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) |
| 45380 | 52, 53, | N/A | Colonoscopy, flexible; with biopsy, single or multiple |
| 45381 | 52, 53, | N/A | Colonoscopy, flexible; with directed submucosal injection(s), any substance |
| 45383 | 52, 53, | N/A | 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, | N/A | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps |
| 45385 | 52, 53, | N/A | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique |
HCPCS Codes | |||
| Code | Modifier | POS | Description |
| G0121 | N/A | N/A | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk |
| G9252 | N/A | N/A | Adenoma(s) or other neoplasm detected during screening colonoscopy |
| G9253 | N/A | N/A | Adenoma(s) or other neoplasm not detected during screening colonoscopy |
ICD9 Codes | |||
| Code | Modifier | POS | Description |
| V16.0 | N/A | N/A | Family history of malignant neoplasm of gastrointestinal tract |
| V18.51 | N/A | N/A | Family history of colonic polyps |
| V76.51 | N/A | N/A | Special screening for malignant neoplasms of colon |
ICD10CM Codes | |||
| Code | Modifier | POS | Description |
| Z80.0 | N/A | N/A | Family history of malignant neoplasm of digestive organs |
| Z83.71 | N/A | N/A | Family history of colonic polyps |
| Z12.11 | N/A | N/A | Encounter for screening for malignant neoplasm of colon |
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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