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PQRS Measure

 Report via: Registry, EHR

The following codes apply for this PQRS measure:

CPT Codes

CodeModifierPOSDescription
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)
55875Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy
77427Radiation treatment management, 5 treatments
77435Stereotactic body radiation therapy, treatment management, per treatment course, to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions
77778Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed
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)
3269FBone 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)
3271FLow risk of recurrence, prostate cancer (PRCA)

ICD10CM Codes

CodeModifierPOSDescription
C61Malignant 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).
GPROThis 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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