PQRS Measure
Report via: Claim, Registry
The following codes apply for this PQRS measure:
CPT Codes | |||
| Code | Modifier | POS | Description |
|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy | ||
HCPCS Codes | |||
| Code | Modifier | POS | Description |
| G9428 | Pathology report includes the pt category, thickness, ulceration and mitotic rate, peripheral and deep margin status and presence or absence of microsatellitosis for invasive tumors | ||
| G9428 | Pathology report includes the pt category, thickness, ulceration and mitotic rate, peripheral and deep margin status and presence or absence of microsatellitosis for invasive tumors | ||
| G9429 | Documentation of medical reason(s) for not including pt category, thickness, ulceration and mitotic rate, peripheral and deep margin status and presence or absence of microsatellitosis for invasive tumors (e.g., negative skin biopsies, insufficient tissue, or other documented medical reasons) | ||
| G9430 | Specimen site other than anatomic cutaneous location | ||
| G9431 | Pathology report does not include the pt category, thickness, ulceration and mitotic rate, peripheral and deep margin status and presence or absence of microsatellitosis for invasive tumors | ||
| G9431 | Pathology report does not include the pt category, thickness, ulceration and mitotic rate, peripheral and deep margin status and presence or absence of microsatellitosis for invasive tumors | ||
ICD9 Codes | |||
| Code | Modifier | POS | Description |
| 172.0 | Malignant melanoma of skin of lip | ||
| 172.1 | Malignant melanoma of skin of eyelid, including canthus | ||
| 172.2 | Malignant melanoma of skin of ear and external auditory canal | ||
| 172.3 | Malignant melanoma of skin of other and unspecified parts of face | ||
| 172.4 | Malignant melanoma of skin of scalp and neck | ||
| 172.5 | Malignant melanoma of skin of trunk, except scrotum | ||
| 172.6 | Malignant melanoma of skin of upper limb, including shoulder | ||
| 172.7 | Malignant melanoma of skin of lower limb, including hip | ||
| 172.8 | Malignant melanoma of other specified sites of skin | ||
| 172.9 | Melanoma of skin, site unspecified | ||
ICD10CM Codes | |||
| Code | Modifier | POS | Description |
| C43.0 | Malignant melanoma of lip | ||
| C43.20 | Malignant melanoma of unspecified ear and external auricular canal | ||
| C43.21 | Malignant melanoma of right ear and external auricular canal | ||
| C43.22 | Malignant melanoma of left ear and external auricular canal | ||
| C43.30 | Malignant melanoma of unspecified part of face | ||
| C43.31 | Malignant melanoma of nose | ||
| C43.39 | Malignant melanoma of other parts of face | ||
| C43.4 | Malignant melanoma of scalp and neck | ||
| C43.51 | Malignant melanoma of anal skin | ||
| C43.52 | Malignant melanoma of skin of breast | ||
| C43.59 | Malignant melanoma of other part of trunk | ||
| C43.60 | Malignant melanoma of unspecified upper limb, including shoulder | ||
| C43.61 | Malignant melanoma of right upper limb, including shoulder | ||
| C43.62 | Malignant melanoma of left upper limb, including shoulder | ||
| C43.70 | Malignant melanoma of unspecified lower limb, including hip | ||
| C43.71 | Malignant melanoma of right lower limb, including hip | ||
| C43.72 | Malignant melanoma of left lower limb, including hip | ||
| C43.8 | Malignant melanoma of overlapping sites of skin | ||
| C43.9 | Malignant melanoma of skin, unspecified | ||
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.
Thank you for choosing Find-A-Code, please Sign In to remove ads.
Quick, Current, Complete - www.findacode.com