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PQRS Measure

#102Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low-Risk Prostate Cancer Patients
 Description  Data Collection Sheet  Coding Specifications Report via: Claim, Registry, GPRO II

The following codes apply for this PQRS measure:

CPT Codes

CodeModifierPOSDescription
3271FLow risk of recurrence, prostate cancer (PRCA)
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)
3270FBone scan not performed prior to initiation of treatment nor 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)
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)
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
77787Remote afterloading high dose rate radionuclide brachytherapy; over 12 channels

ICD9 Codes

CodeModifierPOSDescription
185Malignant neoplasm of prostate
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 IThis measure can be submitted via Group Practice Reporting Option 1.
GPRO IIThis measure can be submitted via Group Practice Reporting Option 2.

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