QPP Measure #405
Appropriate Follow-up Imaging for Incidental Abdominal Lesions
Percentage of final reports for imaging studies for patients aged 18 years and older with one or more of the following noted incidentally with a specific recommendation for no follow‐up imaging recommended based on radiological findings: • Cystic renal lesion that is simple appearing* (Bosniak I or II) • Adrenal lesion less than or equal to 1.0 cm • Adrenal lesion greater than 1.0 cm but less than or equal to 4.0 cm classified as likely benign or diagnostic benign by unenhanced CT or washout protocol CT, or MRI with in- and opposed-phase sequences or other equivalent institutional imaging protocols
The following codes apply for this QPP measure:
CPT Codes | |||
| Code | Description | ||
|---|---|---|---|
| 71250 | CPT Code | ||
| 71260 | CPT Code | ||
| 71270 | CPT Code | ||
| 71271 | CPT Code | ||
| 71275 | CPT Code | ||
| 71555 | CPT Code | ||
| 72131 | CPT Code | ||
| 72191 | CPT Code | ||
| 72192 | CPT Code | ||
| 72193 | CPT Code | ||
| 72194 | CPT Code | ||
| 72195 | CPT Code | ||
| 72196 | CPT Code | ||
| 72197 | CPT Code | ||
| 72198 | CPT Code | ||
| 74150 | CPT Code | ||
| 74160 | CPT Code | ||
| 74170 | CPT Code | ||
| 74176 | CPT Code | ||
| 74177 | CPT Code | ||
| 74178 | CPT Code | ||
| 74181 | CPT Code | ||
| 74182 | CPT Code | ||
| 74183 | CPT Code | ||
HCPCS Codes | |||
| Code | Description | ||
| G9547 | Cystic renal lesion that is simple appearing (bosniak i or ii) , or adrenal lesion less than or equal to 1.0 cm or adrenal lesion greater than 1.0 cm but less than or equal to 4.0 cm classified as likely benign by unenhanced ct or washout protocol ct, or mri with in- and opposed-phase sequences or other equivalent institutional imaging protocols | ||
| G9548 | Final reports for imaging studies stating no follow-up imaging is recommended | ||
| G9549 | Documentation of medical reason(s) that follow-up imaging is indicated (e.g., patient has lymphadenopathy, signs of metastasis or an active diagnosis or history of cancer, and other medical reason(s)) | ||
| G9550 | Final reports for imaging studies with follow-up imaging recommended, or final reports that do not include a specific recommendation of no follow-up | ||
| G9551 | Final reports for imaging studies without an incidentally found lesion noted | ||
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