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PQRS Measure

 This measure may be submitted via Registry only

The following codes apply for this PQRS measure:

CPT Codes

CodeModifierPOSDescription
45378NOT 52, 53Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)
45380NOT 52, 53Colonoscopy, flexible; with biopsy, single or multiple
45381NOT 52, 53Colonoscopy, flexible; with directed submucosal injection(s), any substance
45384NOT 52, 53Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps
45385NOT 52, 53Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique
3775FAdenoma(s) or other neoplasm detected during screening colonoscopy (SCADR)
G9496
3776FAdenoma(s) or other neoplasm not detected during screening colonoscopy (SCADR)

HCPCS Codes

CodeModifierPOSDescription
G0121NOT 52, 53Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

ICD10CM Codes

CodeModifierPOSDescription
Z80.0Family history of malignant neoplasm of digestive organs
Z83.71Family history of colonic polyps
Z12.11Encounter 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).
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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