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PQRS Measure

#102Inappropriate Use of Bone Scan for Staging Low-Risk Prostate Cancer Patients
 Description/Specifications Data Collection Sheet 

The following codes apply for this PQRS measure:

CPT Codes

CodeModifierPOSDescription
3269F1PBone scan performed prior to initiation of treatment or at any time since diagnosis of prostate cancer (PRCA)
3269F3PBone scan performed prior to initiation of treatment or at any time since diagnosis of prostate cancer (PRCA)
3269FBone scan performed prior to initiation of treatment or at any time since diagnosis of prostate cancer (PRCA)
3270FBone scan not performed prior to initiation of treatment nor at any time since diagnosis of prostate cancer (PRCA)
3271FLow risk of recurrence, prostate cancer (PRCA)
3272FIntermediate risk of recurrence, prostate cancer (PRCA)
3273FHigh risk of recurrence, prostate cancer (PRCA)
3274FProstate cancer risk of recurrence not determined or neither low, intermediate nor high (PRCA)
55810Prostatectomy, perineal radical;
55812Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy)
55815Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes
55840Prostatectomy, retropubic radical, with or without nerve sparing;
55842Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy)
55845Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes
55866Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed
55873Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring)
77411Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks; 20 MeV or greater
77412Radiation treatment delivery, >=1 MeV; complex
77413Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 MeV
77414Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 MeV
77416Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 20 MeV or greater
77418Intensity modulated treatment delivery, single or multiple fields/arcs, via narrow spatially and temporally modulated beams, binary, dynamic MLC, per treatment session
77427Radiation treatment management, 5 treatments
77776Interstitial radiation source application; simple
77777Interstitial radiation source application; intermediate
77778Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed
77784REMOTE AFTLD HI NTSTY BRACHYTX > 12 SRC

ICD9 Codes

CodeModifierPOSDescription
185Malignant neoplasm of prostate
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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