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PQRS Measure

 Report via: Claim, Registry, EHR

The following codes apply for this PQRS measure:

CPT Codes

CodeModifierPOSDescription
55810N/AN/AProstatectomy, perineal radical;
55812N/AN/AProstatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy)
55815N/AN/AProstatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes
55840N/AN/AProstatectomy, retropubic radical, with or without nerve sparing;
55842N/AN/AProstatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy)
55845N/AN/AProstatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes
55866N/AN/ALaparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed
55873N/AN/ACryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring)
55875N/AN/ATransperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy
55876N/AN/APlacement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple
77427N/AN/ARadiation treatment management, 5 treatments
77776N/AN/AInterstitial radiation source application; simple
77777N/AN/AInterstitial radiation source application; intermediate
77778N/AN/AInterstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed
77787N/AN/ARemote afterloading high dose rate radionuclide brachytherapy; over 12 channels
3271FN/AN/ALow risk of recurrence, prostate cancer (PRCA)
3269F1PN/ABone scan performed prior to initiation of treatment or at any time since diagnosis of prostate cancer (PRCA)
3269F3PN/ABone scan performed prior to initiation of treatment or at any time since diagnosis of prostate cancer (PRCA)
3270FN/AN/ABone scan not performed prior to initiation of treatment nor at any time since diagnosis of prostate cancer (PRCA)
3269FN/AN/ABone scan performed prior to initiation of treatment or at any time since diagnosis of prostate cancer (PRCA)
3272FN/AN/AIntermediate risk of recurrence, prostate cancer (PRCA)
3273FN/AN/AHigh risk of recurrence, prostate cancer (PRCA)
3274FN/AN/AProstate cancer risk of recurrence not determined or neither low, intermediate nor high (PRCA)

ICD9 Codes

CodeModifierPOSDescription
185N/AN/AMalignant neoplasm of prostate

ICD10CM Codes

CodeModifierPOSDescription
C61N/AN/AMalignant 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/ACOThis measure can be submitted via Group Practice Reporting Option, or GPRO Web Interface.

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