PQRS Measure
#102Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low-Risk Prostate Cancer Patients
Report via: Claim, Registry, EHR
The following codes apply for this PQRS measure:
CPT Codes | |||
| Code | Modifier | POS | Description |
|---|---|---|---|
| 55810 | N/A | N/A | Prostatectomy, perineal radical; |
| 55812 | N/A | N/A | Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy) |
| 55815 | N/A | N/A | Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes |
| 55840 | N/A | N/A | Prostatectomy, retropubic radical, with or without nerve sparing; |
| 55842 | N/A | N/A | Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy) |
| 55845 | N/A | N/A | Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes |
| 55866 | N/A | N/A | Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed |
| 55873 | N/A | N/A | Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) |
| 55875 | N/A | N/A | Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy |
| 55876 | N/A | N/A | Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple |
| 77427 | N/A | N/A | Radiation treatment management, 5 treatments |
| 77776 | N/A | N/A | Interstitial radiation source application; simple |
| 77777 | N/A | N/A | Interstitial radiation source application; intermediate |
| 77778 | N/A | N/A | Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed |
| 77787 | N/A | N/A | Remote afterloading high dose rate radionuclide brachytherapy; over 12 channels |
| 3269F | 1P | N/A | Bone scan performed prior to initiation of treatment or at any time since diagnosis of prostate cancer (PRCA) |
| 3269F | 3P | N/A | Bone scan performed prior to initiation of treatment or at any time since diagnosis of prostate cancer (PRCA) |
| 3269F | N/A | N/A | Bone scan performed prior to initiation of treatment or at any time since diagnosis of prostate cancer (PRCA) |
| 3270F | N/A | N/A | Bone scan not performed prior to initiation of treatment nor at any time since diagnosis of prostate cancer (PRCA) |
| 3271F | N/A | N/A | Low risk of recurrence, prostate cancer (PRCA) |
| 3272F | N/A | N/A | Intermediate risk of recurrence, prostate cancer (PRCA) |
| 3273F | N/A | N/A | High risk of recurrence, prostate cancer (PRCA) |
| 3274F | N/A | N/A | Prostate cancer risk of recurrence not determined or neither low, intermediate nor high (PRCA) |
| 3269F | N/A | N/A | Bone scan performed prior to initiation of treatment or at any time since diagnosis of prostate cancer (PRCA) |
| 3270F | N/A | N/A | Bone scan not performed prior to initiation of treatment nor at any time since diagnosis of prostate cancer (PRCA) |
| 3271F | N/A | N/A | Low risk of recurrence, prostate cancer (PRCA) |
ICD9 Codes | |||
| Code | Modifier | POS | Description |
| 185 | N/A | N/A | Malignant 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.
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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