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PQRS Measure

 Report via: Claim, Registry

The following codes apply for this PQRS measure:

CPT Codes

CodeModifierPOSDescription
88309N/AN/ALevel 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

HCPCS Codes

CodeModifierPOSDescription
G8721N/AN/APt category (primary tumor), pn category (regional lymph nodes), and histologic grade were documented in pathology report
G8721N/AN/APt category (primary tumor), pn category (regional lymph nodes), and histologic grade were documented in pathology report
G8722N/AN/ADocumentation of medical reason(s) for not including the pt category, the pn category or the histologic grade in the pathology report (e.g., re-excision without residual tumor; non-carcinomasanal canal)
G8723N/AN/ASpecimen site is other than anatomic location of primary tumor
G8724N/AN/APt category, pn category and histologic grade were not documented in the pathology report, reason not given
G8724N/AN/APt category, pn category and histologic grade were not documented in the pathology report, reason not given

ICD9 Codes

CodeModifierPOSDescription
153.0N/AN/AMalignant neoplasm of hepatic flexure
153.1N/AN/AMalignant neoplasm of transverse colon
153.2N/AN/AMalignant neoplasm of descending colon
153.3N/AN/AMalignant neoplasm of sigmoid colon
153.4N/AN/AMalignant neoplasm of cecum
153.5N/AN/AMalignant neoplasm of appendix vermiformis
153.6N/AN/AMalignant neoplasm of ascending colon
153.7N/AN/AMalignant neoplasm of splenic flexure
153.8N/AN/AMalignant neoplasm of other specified sites of large intestine
153.9N/AN/AMalignant neoplasm of colon, unspecified site
154.0N/AN/AMalignant neoplasm of rectosigmoid junction
154.1N/AN/AMalignant neoplasm of rectum
154.8N/AN/AMalignant neoplasm of other sites of rectum, rectosigmoid junction, and anus

ICD10CM Codes

CodeModifierPOSDescription
C18.0N/AN/AMalignant neoplasm of cecum
C18.1N/AN/AMalignant neoplasm of appendix
C18.2N/AN/AMalignant neoplasm of ascending colon
C18.3N/AN/AMalignant neoplasm of hepatic flexure
C18.4N/AN/AMalignant neoplasm of transverse colon
C18.5N/AN/AMalignant neoplasm of splenic flexure
C18.6N/AN/AMalignant neoplasm of descending colon
C18.7N/AN/AMalignant neoplasm of sigmoid colon
C18.8N/AN/AMalignant neoplasm of overlapping sites of colon
C18.9N/AN/AMalignant neoplasm of colon, unspecified
C19N/AN/AMalignant neoplasm of rectosigmoid junction
C20N/AN/AMalignant neoplasm of rectum
C21.2N/AN/AMalignant neoplasm of cloacogenic zone
C21.8N/AN/AMalignant neoplasm of overlapping sites of rectum, anus and anal canal
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).
GPRO/ACOThis 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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