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PQRS Measure

 Report via: Claim, Registry

The following codes apply for this PQRS measure:

CPT Codes

CodeModifierPOSDescription
88360N/AN/AMorphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual
88361N/AN/AMorphometric 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
3394FN/AN/AQuantitative HER2 immunohistochemistry (IHC) evaluation of breast cancer consistent with the scoring system defined in the ASCO/CAP guidelines (PATH)
3394FN/AN/AQuantitative HER2 immunohistochemistry (IHC) evaluation of breast cancer consistent with the scoring system defined in the ASCO/CAP guidelines (PATH)
3394F8PN/AQuantitative HER2 immunohistochemistry (IHC) evaluation of breast cancer consistent with the scoring system defined in the ASCO/CAP guidelines (PATH)
3394F8PN/AQuantitative HER2 immunohistochemistry (IHC) evaluation of breast cancer consistent with the scoring system defined in the ASCO/CAP guidelines (PATH)
3395FN/AN/AQuantitative non-HER2 immunohistochemistry (IHC) evaluation of breast cancer (eg, testing for estrogen or progesterone receptors [ER/PR]) performed (PATH)

ICD9 Codes

CodeModifierPOSDescription
174.0N/AN/AMalignant neoplasm of nipple and areola of female breast
174.1N/AN/AMalignant neoplasm of central portion of female breast
174.2N/AN/AMalignant neoplasm of upper-inner quadrant of female breast
174.3N/AN/AMalignant neoplasm of lower-inner quadrant of female breast
174.4N/AN/AMalignant neoplasm of upper-outer quadrant of female breast
174.5N/AN/AMalignant neoplasm of lower-outer quadrant of female breast
174.6N/AN/AMalignant neoplasm of axillary tail of female breast
174.8N/AN/AMalignant neoplasm of other specified sites of female breast
174.9N/AN/AMalignant neoplasm of breast (female), unspecified
175.0N/AN/AMalignant neoplasm of nipple and areola of male breast
175.9N/AN/AMalignant neoplasm of other and unspecified sites of male breast

ICD10CM Codes

CodeModifierPOSDescription
C50.011N/AN/AMalignant neoplasm of nipple and areola, right female breast
C50.012N/AN/AMalignant neoplasm of nipple and areola, left female breast
C50.019N/AN/AMalignant neoplasm of nipple and areola, unspecified female breast
C50.021N/AN/AMalignant neoplasm of nipple and areola, right male breast
C50.022N/AN/AMalignant neoplasm of nipple and areola, left male breast
C50.029N/AN/AMalignant neoplasm of nipple and areola, unspecified male breast
C50.111N/AN/AMalignant neoplasm of central portion of right female breast
C50.112N/AN/AMalignant neoplasm of central portion of left female breast
C50.119N/AN/AMalignant neoplasm of central portion of unspecified female breast
C50.121N/AN/AMalignant neoplasm of central portion of right male breast
C50.122N/AN/AMalignant neoplasm of central portion of left male breast
C50.129N/AN/AMalignant neoplasm of central portion of unspecified male breast
C50.211N/AN/AMalignant neoplasm of upper-inner quadrant of right female breast
C50.212N/AN/AMalignant neoplasm of upper-inner quadrant of left female breast
C50.219N/AN/AMalignant neoplasm of upper-inner quadrant of unspecified female breast
C50.221N/AN/AMalignant neoplasm of upper-inner quadrant of right male breast
C50.222N/AN/AMalignant neoplasm of upper-inner quadrant of left male breast
C50.229N/AN/AMalignant neoplasm of upper-inner quadrant of unspecified male breast
C50.311N/AN/AMalignant neoplasm of lower-inner quadrant of right female breast
C50.312N/AN/AMalignant neoplasm of lower-inner quadrant of left female breast
C50.319N/AN/AMalignant neoplasm of lower-inner quadrant of unspecified female breast
C50.321N/AN/AMalignant neoplasm of lower-inner quadrant of right male breast
C50.322N/AN/AMalignant neoplasm of lower-inner quadrant of left male breast
C50.329N/AN/AMalignant neoplasm of lower-inner quadrant of unspecified male breast
C50.411N/AN/AMalignant neoplasm of upper-outer quadrant of right female breast
C50.412N/AN/AMalignant neoplasm of upper-outer quadrant of left female breast
C50.419N/AN/AMalignant neoplasm of upper-outer quadrant of unspecified female breast
C50.421N/AN/AMalignant neoplasm of upper-outer quadrant of right male breast
C50.422N/AN/AMalignant neoplasm of upper-outer quadrant of left male breast
C50.429N/AN/AMalignant neoplasm of upper-outer quadrant of unspecified male breast
C50.511N/AN/AMalignant neoplasm of lower-outer quadrant of right female breast
C50.512N/AN/AMalignant neoplasm of lower-outer quadrant of left female breast
C50.519N/AN/AMalignant neoplasm of lower-outer quadrant of unspecified female breast
C50.521N/AN/AMalignant neoplasm of lower-outer quadrant of right male breast
C50.522N/AN/AMalignant neoplasm of lower-outer quadrant of left male breast
C50.529N/AN/AMalignant neoplasm of lower-outer quadrant of unspecified male breast
C50.611N/AN/AMalignant neoplasm of axillary tail of right female breast
C50.612N/AN/AMalignant neoplasm of axillary tail of left female breast
C50.619N/AN/AMalignant neoplasm of axillary tail of unspecified female breast
C50.621N/AN/AMalignant neoplasm of axillary tail of right male breast
C50.622N/AN/AMalignant neoplasm of axillary tail of left male breast
C50.629N/AN/AMalignant neoplasm of axillary tail of unspecified male breast
C50.811N/AN/AMalignant neoplasm of overlapping sites of right female breast
C50.812N/AN/AMalignant neoplasm of overlapping sites of left female breast
C50.819N/AN/AMalignant neoplasm of overlapping sites of unspecified female breast
C50.821N/AN/AMalignant neoplasm of overlapping sites of right male breast
C50.822N/AN/AMalignant neoplasm of overlapping sites of left male breast
C50.829N/AN/AMalignant neoplasm of overlapping sites of unspecified male breast
C50.911N/AN/AMalignant neoplasm of unspecified site of right female breast
C50.912N/AN/AMalignant neoplasm of unspecified site of left female breast
C50.919N/AN/AMalignant neoplasm of unspecified site of unspecified female breast
C50.921N/AN/AMalignant neoplasm of unspecified site of right male breast
C50.922N/AN/AMalignant neoplasm of unspecified site of left male breast
C50.929N/AN/AMalignant 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.
SurveyThis measure can be submitted/collected via a Certified Survey Vendor.

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