PQRS Measure
#185Endoscopy & Polyp Surveillance: Colonoscopy Interval for Patients with a History of Adenomatous Polyps - Avoidance of Inappropriate Use
The following codes apply for this PQRS measure:
CPT Codes | |||
| Code | Modifier | POS | Description |
|---|---|---|---|
| 44388 | 52, 53, | Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) | |
| 44389 | 52, 53, | Colonoscopy through stoma; with biopsy, single or multiple | |
| 44392 | 52, 53, | Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps | |
| 44393 | 52, 53, | Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique | |
| 44394 | 52, 53, | Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique | |
| 45355 | 52, 53, | Colonoscopy, rigid or flexible, transabdominal via colotomy, single or multiple | |
| 45378 | 52, 53, | Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) | |
| 45380 | 52, 53, | Colonoscopy, flexible; with biopsy, single or multiple | |
| 45381 | 52, 53, | Colonoscopy, flexible; with directed submucosal injection(s), any substance | |
| 45383 | 52, 53, | Colonoscopy, flexible, proximal to splenic flexure; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique | |
| 45384 | 52, 53, | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps | |
| 45385 | 52, 53, | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique | |
| 0529F | Interval of 3 or more years since patient's last colonoscopy, documented (End/Polyp) | ||
| 0529F | 1P | Interval of 3 or more years since patient's last colonoscopy, documented (End/Polyp) | |
| 0529F | 3P | Interval of 3 or more years since patient's last colonoscopy, documented (End/Polyp) | |
| 0529F | 8P | Interval of 3 or more years since patient's last colonoscopy, documented (End/Polyp) | |
HCPCS Codes | |||
| Code | Modifier | POS | Description |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | ||
ICD9 Codes | |||
| Code | Modifier | POS | Description |
| V12.72 | Personal history of colonic polyps | ||
Legend:
Registry OKThis measure can be submitted through registry.
EHR OKThis measure can be submitted via Electronic Health Record (EHR).
More information on these alternative reporting mechanisms is available at:
http://www.cms.gov/PQRS/20_AlternativeReportingMechanisms.asp.
Registry OKThis measure can be submitted through registry.
EHR OKThis measure can be submitted via Electronic Health Record (EHR).
More information on these alternative reporting mechanisms is available at:
http://www.cms.gov/PQRS/20_AlternativeReportingMechanisms.asp.
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