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PQRS Measure

 Report via: Claim, Registry

The following codes apply for this PQRS measure:

CPT Codes

CodeModifierPOSDescription
44388NOT73, 74Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)
44389NOT73, 74Colonoscopy through stoma; with biopsy, single or multiple
44392NOT73, 74Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps
44394NOT73, 74Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique
44404NOT73, 74Colonoscopy through stoma; with directed submucosal injection(s), any substance
45378NOT73, 74Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)
45380NOT73, 74Colonoscopy, flexible; with biopsy, single or multiple
45381NOT73, 74Colonoscopy, flexible; with directed submucosal injection(s), any substance
45384NOT73, 74Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps
45385NOT73, 74Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique

HCPCS Codes

CodeModifierPOSDescription
G0105NOT73, 74Colorectal cancer screening; colonoscopy on individual at high risk
G0121NOT73, 74Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk
G9612Photodocumentation of two or more cecal landmarks to establish a complete examination
G9612Photodocumentation of two or more cecal landmarks to establish a complete examination
G9613Documentation of post-surgical anatomy (e.g., right hemicolectomy, ileocecal resection, etc.)
G9614Photodocumentation of less than two cecal landmarks (i.e., no cecal landmarks or only one cecal landmark) to establish a complete examination
G9614Photodocumentation of less than two cecal landmarks (i.e., no cecal landmarks or only one cecal landmark) to establish a complete examination
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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