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PQRS Measure

 Report via: Claim, Registry

The following codes apply for this PQRS measure:

CPT Codes

CodeModifierPOSDescription
45560Repair of rectocele (separate procedure)
57120Colpocleisis (Le Fort type)
57240Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed
57250Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy
57260Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed;
57265Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair
57268Repair of enterocele, vaginal approach (separate procedure)
57270Repair of enterocele, abdominal approach (separate procedure)
57280Colpopexy, abdominal approach
57282Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus)
57283Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy)
57284Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach
57285Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach
57423Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach
57425Laparoscopy, surgical, colpopexy (suspension of vaginal apex)
57556Excision of cervical stump, vaginal approach; with repair of enterocele
58263Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele
58270Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele
58280Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele
58292Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele
58294Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele
58400Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; (separate procedure)

HCPCS Codes

CodeModifierPOSDescription
G9618Documentation of screening for uterine malignancy or those that had an ultrasound and/or endometrial sampling of any kind
G9618Documentation of screening for uterine malignancy or those that had an ultrasound and/or endometrial sampling of any kind
G9619Documentation of reason(s) for not screening for uterine malignancy (e.g., prior hysterectomy)
G9620Patient not screened for uterine malignancy, or those that have not had an ultrasound and/or endometrial sampling of any kind, reason not given
G9620Patient not screened for uterine malignancy, or those that have not had an ultrasound and/or endometrial sampling of any kind, reason not given
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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