Year:  2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 

PQRS Measure

 This measure may be submitted via Registry only

The following codes apply for this PQRS measure:

CPT Codes

CodeModifierPOSDescription
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
4164F1PAdjuvant (ie, in combination with external beam radiotherapy to the prostate for prostate cancer) hormonal therapy (gonadotropin-releasing hormone [GnRH] agonist or antagonist) prescribed/administered (PRCA)
4164F2PAdjuvant (ie, in combination with external beam radiotherapy to the prostate for prostate cancer) hormonal therapy (gonadotropin-releasing hormone [GnRH] agonist or antagonist) prescribed/administered (PRCA)
4164FAdjuvant (ie, in combination with external beam radiotherapy to the prostate for prostate cancer) hormonal therapy (gonadotropin-releasing hormone [GnRH] agonist or antagonist) prescribed/administered (PRCA)
4164F8PAdjuvant (ie, in combination with external beam radiotherapy to the prostate for prostate cancer) hormonal therapy (gonadotropin-releasing hormone [GnRH] agonist or antagonist) prescribed/administered (PRCA)

HCPCS Codes

CodeModifierPOSDescription
G8465High or very high risk of recurrence of prostate cancer

ICD9 Codes

CodeModifierPOSDescription
185Malignant neoplasm of prostate
196.0Secondary and unspecified malignant neoplasm of lymph nodes of head, face, and neck
196.1Secondary and unspecified malignant neoplasm of intrathoracic lymph nodes
196.2Secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes
196.3Secondary and unspecified malignant neoplasm of lymph nodes of axilla and upper limb
196.5Secondary and unspecified malignant neoplasm of lymph nodes of inguinal region and lower limb
196.6Secondary and unspecified malignant neoplasm of intrapelvic lymph nodes
196.8Secondary and unspecified malignant neoplasm of lymph nodes of multiple sites
196.9Secondary and unspecified malignant neoplasm of lymph nodes, site unspecified
197.0Secondary malignant neoplasm of lung
197.1Secondary malignant neoplasm of mediastinum
197.2Secondary malignant neoplasm of pleura
197.3Secondary malignant neoplasm of other respiratory organs
197.4Secondary malignant neoplasm of small intestine including duodenum
197.5Secondary malignant neoplasm of large intestine and rectum
197.6Secondary malignant neoplasm of retroperitoneum and peritoneum
197.7Malignant neoplasm of liver, secondary
197.8Secondary malignant neoplasm of other digestive organs and spleen
198.0Secondary malignant neoplasm of kidney
198.1Secondary malignant neoplasm of other urinary organs
198.2Secondary malignant neoplasm of skin
198.3Secondary malignant neoplasm of brain and spinal cord
198.4Secondary malignant neoplasm of other parts of nervous system
198.5Secondary malignant neoplasm of bone and bone marrow
198.6Secondary malignant neoplasm of ovary
198.7Secondary malignant neoplasm of adrenal gland
198.81Secondary malignant neoplasm of breast
198.82Secondary malignant neoplasm of genital organs
198.89Secondary malignant neoplasm of other specified sites

ICD10CM Codes

CodeModifierPOSDescription
C61Malignant neoplasm of prostate
C77.0Secondary and unspecified malignant neoplasm of lymph nodes of head, face and neck
C77.1Secondary and unspecified malignant neoplasm of intrathoracic lymph nodes
C77.2Secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes
C77.3Secondary and unspecified malignant neoplasm of axilla and upper limb lymph nodes
C77.4Secondary and unspecified malignant neoplasm of inguinal and lower limb lymph nodes
C77.5Secondary and unspecified malignant neoplasm of intrapelvic lymph nodes
C77.8Secondary and unspecified malignant neoplasm of lymph nodes of multiple regions
C77.9Secondary and unspecified malignant neoplasm of lymph node, unspecified
C78.00Secondary malignant neoplasm of unspecified lung
C78.01Secondary malignant neoplasm of right lung
C78.02Secondary malignant neoplasm of left lung
C78.1Secondary malignant neoplasm of mediastinum
C78.2Secondary malignant neoplasm of pleura
C78.30Secondary malignant neoplasm of unspecified respiratory organ
C78.39Secondary malignant neoplasm of other respiratory organs
C78.4Secondary malignant neoplasm of small intestine
C78.5Secondary malignant neoplasm of large intestine and rectum
C78.6Secondary malignant neoplasm of retroperitoneum and peritoneum
C78.7Secondary malignant neoplasm of liver and intrahepatic bile duct
C78.80Secondary malignant neoplasm of unspecified digestive organ
C78.89Secondary malignant neoplasm of other digestive organs
C79.00Secondary malignant neoplasm of unspecified kidney and renal pelvis
C79.01Secondary malignant neoplasm of right kidney and renal pelvis
C79.02Secondary malignant neoplasm of left kidney and renal pelvis
C79.10Secondary malignant neoplasm of unspecified urinary organs
C79.11Secondary malignant neoplasm of bladder
C79.19Secondary malignant neoplasm of other urinary organs
C79.2Secondary malignant neoplasm of skin
C79.31Secondary malignant neoplasm of brain
C79.32Secondary malignant neoplasm of cerebral meninges
C79.40Secondary malignant neoplasm of unspecified part of nervous system
C79.49Secondary malignant neoplasm of other parts of nervous system
C79.51Secondary malignant neoplasm of bone
C79.52Secondary malignant neoplasm of bone marrow
C79.60Secondary malignant neoplasm of unspecified ovary
C79.61Secondary malignant neoplasm of right ovary
C79.62Secondary malignant neoplasm of left ovary
C79.70Secondary malignant neoplasm of unspecified adrenal gland
C79.71Secondary malignant neoplasm of right adrenal gland
C79.72Secondary malignant neoplasm of left adrenal gland
C79.81Secondary malignant neoplasm of breast
C79.82Secondary malignant neoplasm of genital organs
C79.89Secondary malignant neoplasm of other specified sites
C79.9Secondary malignant neoplasm of unspecified site
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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