PQRS Measure
This measure may be submitted via Registry only
The following codes apply for this PQRS measure:
CPT Codes | |||
| Code | Modifier | POS | Description |
|---|---|---|---|
| 45378 | NOT 52, 53 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) | |
| 45380 | NOT 52, 53 | Colonoscopy, flexible; with biopsy, single or multiple | |
| 45381 | NOT 52, 53 | Colonoscopy, flexible; with directed submucosal injection(s), any substance | |
| 45384 | NOT 52, 53 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps | |
| 45385 | NOT 52, 53 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique | |
| 3775F | Adenoma(s) or other neoplasm detected during screening colonoscopy (SCADR) | ||
| G9496 | |||
| 3776F | Adenoma(s) or other neoplasm not detected during screening colonoscopy (SCADR) | ||
HCPCS Codes | |||
| Code | Modifier | POS | Description |
| G0121 | NOT 52, 53 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | |
ICD10CM Codes | |||
| Code | Modifier | POS | Description |
| Z80.0 | Family history of malignant neoplasm of digestive organs | ||
| Z83.71 | Family history of colonic polyps | ||
| Z12.11 | Encounter for screening for malignant neoplasm of colon | ||
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.
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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