PQRS Information

Year: 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007

PQRS Measure

#251Immunohistochemical (IHC) Evaluation of Human Epidermal Growth Factor Receptor 2 Testing (HER2) for Breast Cancer Patients

Report via: Claim, Registry

The following codes apply for this PQRS measure:

Code	Modifier	POS	Description
CPT Codes
88360	N/A	N/A	Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual
88361	N/A	N/A	Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology
3394F	N/A	N/A	Quantitative HER2 immunohistochemistry (IHC) evaluation of breast cancer consistent with the scoring system defined in the ASCO/CAP guidelines (PATH)
3394F	8P	N/A	Quantitative HER2 immunohistochemistry (IHC) evaluation of breast cancer consistent with the scoring system defined in the ASCO/CAP guidelines (PATH)
3395F	N/A	N/A	Quantitative non-HER2 immunohistochemistry (IHC) evaluation of breast cancer (eg, testing for estrogen or progesterone receptors [ER/PR]) performed (PATH)
ICD9 Codes
Code	Modifier	POS	Description
174.0	N/A	N/A	Malignant neoplasm of nipple and areola of female breast
174.1	N/A	N/A	Malignant neoplasm of central portion of female breast
174.2	N/A	N/A	Malignant neoplasm of upper-inner quadrant of female breast
174.3	N/A	N/A	Malignant neoplasm of lower-inner quadrant of female breast
174.4	N/A	N/A	Malignant neoplasm of upper-outer quadrant of female breast
174.5	N/A	N/A	Malignant neoplasm of lower-outer quadrant of female breast
174.6	N/A	N/A	Malignant neoplasm of axillary tail of female breast
174.8	N/A	N/A	Malignant neoplasm of other specified sites of female breast
174.9	N/A	N/A	Malignant neoplasm of breast (female), unspecified
175.0	N/A	N/A	Malignant neoplasm of nipple and areola of male breast
175.9	N/A	N/A	Malignant neoplasm of other and unspecified sites of male breast
ICD10CM Codes
Code	Modifier	POS	Description
C50.011	N/A	N/A	Malignant neoplasm of nipple and areola, right female breast
C50.012	N/A	N/A	Malignant neoplasm of nipple and areola, left female breast
C50.019	N/A	N/A	Malignant neoplasm of nipple and areola, unspecified female breast
C50.021	N/A	N/A	Malignant neoplasm of nipple and areola, right male breast
C50.022	N/A	N/A	Malignant neoplasm of nipple and areola, left male breast
C50.029	N/A	N/A	Malignant neoplasm of nipple and areola, unspecified male breast
C50.111	N/A	N/A	Malignant neoplasm of central portion of right female breast
C50.112	N/A	N/A	Malignant neoplasm of central portion of left female breast
C50.119	N/A	N/A	Malignant neoplasm of central portion of unspecified female breast
C50.121	N/A	N/A	Malignant neoplasm of central portion of right male breast
C50.122	N/A	N/A	Malignant neoplasm of central portion of left male breast
C50.129	N/A	N/A	Malignant neoplasm of central portion of unspecified male breast
C50.211	N/A	N/A	Malignant neoplasm of upper-inner quadrant of right female breast
C50.212	N/A	N/A	Malignant neoplasm of upper-inner quadrant of left female breast
C50.219	N/A	N/A	Malignant neoplasm of upper-inner quadrant of unspecified female breast
C50.221	N/A	N/A	Malignant neoplasm of upper-inner quadrant of right male breast
C50.222	N/A	N/A	Malignant neoplasm of upper-inner quadrant of left male breast
C50.229	N/A	N/A	Malignant neoplasm of upper-inner quadrant of unspecified male breast
C50.311	N/A	N/A	Malignant neoplasm of lower-inner quadrant of right female breast
C50.312	N/A	N/A	Malignant neoplasm of lower-inner quadrant of left female breast
C50.319	N/A	N/A	Malignant neoplasm of lower-inner quadrant of unspecified female breast
C50.321	N/A	N/A	Malignant neoplasm of lower-inner quadrant of right male breast
C50.322	N/A	N/A	Malignant neoplasm of lower-inner quadrant of left male breast
C50.329	N/A	N/A	Malignant neoplasm of lower-inner quadrant of unspecified male breast
C50.411	N/A	N/A	Malignant neoplasm of upper-outer quadrant of right female breast
C50.412	N/A	N/A	Malignant neoplasm of upper-outer quadrant of left female breast
C50.419	N/A	N/A	Malignant neoplasm of upper-outer quadrant of unspecified female breast
C50.421	N/A	N/A	Malignant neoplasm of upper-outer quadrant of right male breast
C50.422	N/A	N/A	Malignant neoplasm of upper-outer quadrant of left male breast
C50.429	N/A	N/A	Malignant neoplasm of upper-outer quadrant of unspecified male breast
C50.511	N/A	N/A	Malignant neoplasm of lower-outer quadrant of right female breast
C50.512	N/A	N/A	Malignant neoplasm of lower-outer quadrant of left female breast
C50.519	N/A	N/A	Malignant neoplasm of lower-outer quadrant of unspecified female breast
C50.521	N/A	N/A	Malignant neoplasm of lower-outer quadrant of right male breast
C50.522	N/A	N/A	Malignant neoplasm of lower-outer quadrant of left male breast
C50.529	N/A	N/A	Malignant neoplasm of lower-outer quadrant of unspecified male breast
C50.611	N/A	N/A	Malignant neoplasm of axillary tail of right female breast
C50.612	N/A	N/A	Malignant neoplasm of axillary tail of left female breast
C50.619	N/A	N/A	Malignant neoplasm of axillary tail of unspecified female breast
C50.621	N/A	N/A	Malignant neoplasm of axillary tail of right male breast
C50.622	N/A	N/A	Malignant neoplasm of axillary tail of left male breast
C50.629	N/A	N/A	Malignant neoplasm of axillary tail of unspecified male breast
C50.811	N/A	N/A	Malignant neoplasm of overlapping sites of right female breast
C50.812	N/A	N/A	Malignant neoplasm of overlapping sites of left female breast
C50.819	N/A	N/A	Malignant neoplasm of overlapping sites of unspecified female breast
C50.821	N/A	N/A	Malignant neoplasm of overlapping sites of right male breast
C50.822	N/A	N/A	Malignant neoplasm of overlapping sites of left male breast
C50.829	N/A	N/A	Malignant neoplasm of overlapping sites of unspecified male breast
C50.911	N/A	N/A	Malignant neoplasm of unspecified site of right female breast
C50.912	N/A	N/A	Malignant neoplasm of unspecified site of left female breast
C50.919	N/A	N/A	Malignant neoplasm of unspecified site of unspecified female breast
C50.921	N/A	N/A	Malignant neoplasm of unspecified site of right male breast
C50.922	N/A	N/A	Malignant neoplasm of unspecified site of left male breast
C50.929	N/A	N/A	Malignant neoplasm of unspecified site of unspecified male breast

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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