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PQRS Measure

 Report via: Claim, Registry

The following codes apply for this PQRS measure:

CPT Codes

CodeModifierPOSDescription
57530Trachelectomy (cervicectomy), amputation of cervix (separate procedure)
58150Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s);
58152Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch)
58180Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s)
58260Vaginal hysterectomy, for uterus 250 g or less;
58262Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s)
58263Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele
58267Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control
58270Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele
58275Vaginal hysterectomy, with total or partial vaginectomy;
58280Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele
58290Vaginal hysterectomy, for uterus greater than 250 g;
58291Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)
58292Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele
58293Vaginal hysterectomy, for uterus greater than 250 g; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control
58294Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele
58541Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less;
58542Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)
58543Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g;
58544Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)
58550Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less;
58552Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)
58553Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g;
58554Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)
58570Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less;
58571Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)
58572Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g;
58573Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)

HCPCS Codes

CodeModifierPOSDescription
G9607Documented medical reasons for not performing intraoperative cystoscopy (e.g., urethral pathology precluding cystoscopy, any patient who has a congenital or acquired absence of the urethra) or in the case of patient death
G9606Intraoperative cystoscopy performed to evaluate for lower tract injury
G9606Intraoperative cystoscopy performed to evaluate for lower tract injury
G9608Intraoperative cystoscopy not performed to evaluate for lower tract injury
G9608Intraoperative cystoscopy not performed to evaluate for lower tract injury

ICD10CM Codes

CodeModifierPOSDescription
N81.10Cystocele, unspecified
N81.12Cystocele, lateral
N81.0Urethrocele
N81.6Rectocele
N81.81Perineocele
N81.2Incomplete uterovaginal prolapse
N81.3Complete uterovaginal prolapse
N81.4Uterovaginal prolapse, unspecified
N81.5Vaginal enterocele
N81.89Other female genital prolapse
N81.82Incompetence or weakening of pubocervical tissue
N81.83Incompetence or weakening of rectovaginal tissue
N81.84Pelvic muscle wasting
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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