QPP Measure #397
Melanoma Reporting
Pathology reports for primary malignant cutaneous melanoma that include the pT category, thickness, ulceration and mitotic rate, peripheral and deep margin status and presence or absence of microsatellitosis for invasive tumors.
The following codes apply for this QPP measure:
CPT Codes | |||
| Code | Description | ||
|---|---|---|---|
| 88305 | CPT Code | ||
HCPCS Codes | |||
| Code | 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 | ||
| 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 | ||
ICD10CM Codes | |||
| Code | 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 | ||
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