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PQRS Measure

#99Breast Cancer Resection Pathology Reporting: pT Category (Primary Tumor) and pN Category (Regional Lymph Nodes) with Histologic Grade
 Description  Data Collection Sheet  Coding Specifications Registry OK.

The following codes apply for this PQRS measure:

CPT Codes

CodeModifierPOSDescription
8830781Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse
8830981Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil -resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection
3250FSpecimen site other than anatomic location of primary tumor (PATH)
3260FpT category (primary tumor), pN category (regional lymph nodes), and histologic grade documented in pathology report (PATH)
3260F8PpT category (primary tumor), pN category (regional lymph nodes), and histologic grade documented in pathology report (PATH)
3260F1PpT category (primary tumor), pN category (regional lymph nodes), and histologic grade documented in pathology report (PATH)

ICD9 Codes

CodeModifierPOSDescription
174
174.1Malignant neoplasm of central portion of female breast
174.2Malignant neoplasm of upper-inner quadrant of female breast
174.3Malignant neoplasm of lower-inner quadrant of female breast
174.4Malignant neoplasm of upper-outer quadrant of female breast
174.5Malignant neoplasm of lower-outer quadrant of female breast
174.6Malignant neoplasm of axillary tail of female breast
174.8Malignant neoplasm of other specified sites of female breast
174.9Malignant neoplasm of breast (female), unspecified
175
175.9Malignant neoplasm of other and unspecified sites of male breast
Legend:
Registry OKThis measure can be submitted through registry.
EHR OKThis measure can be submitted via Electronic Health Record (EHR).

More information on these alternative reporting mechanisms is available at:
    http://www.cms.gov/PQRS/20_AlternativeReportingMechanisms.asp.
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