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PQRS Measure

#72Colon Cancer: Chemotherapy for Stage III Colon Cancer Patients
 Description  Data Collection Sheet  Coding Specifications Report via: Claim, Registry, GPRO II

The following codes apply for this PQRS measure:

CPT Codes

CodeModifierPOSDescription
3388FAJCC colon cancer, Stage III documented (ONC)
4180F1PAdjuvant chemotherapy referred, prescribed, or previously received for Stage III colon cancer (ONC)
4180F2PAdjuvant chemotherapy referred, prescribed, or previously received for Stage III colon cancer (ONC)
4180F3PAdjuvant chemotherapy referred, prescribed, or previously received for Stage III colon cancer (ONC)
4180FAdjuvant chemotherapy referred, prescribed, or previously received for Stage III colon cancer (ONC)
4180F8PAdjuvant chemotherapy referred, prescribed, or previously received for Stage III colon cancer (ONC)
3382FAJCC colon cancer, Stage 0 documented (ONC)
3382F8PAJCC colon cancer, Stage 0 documented (ONC)
3384FAJCC colon cancer, Stage I documented (ONC)
3386FAJCC colon cancer, Stage II documented (ONC)
3390FAJCC colon cancer, Stage IV documented (ONC)
99201Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family.
99202Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.
99203Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.
99204Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.
99205Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.
99212Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.
99213Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.
99214Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.
99215Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.

ICD9 Codes

CodeModifierPOSDescription
153.0Malignant neoplasm of hepatic flexure
153.1Malignant neoplasm of transverse colon
153.2Malignant neoplasm of descending colon
153.3Malignant neoplasm of sigmoid colon
153.4Malignant neoplasm of cecum
153.5Malignant neoplasm of appendix vermiformis
153.6Malignant neoplasm of ascending colon
153.7Malignant neoplasm of splenic flexure
153.8Malignant neoplasm of other specified sites of large intestine
153.9Malignant neoplasm of colon, unspecified site
V10.05Personal history of malignant neoplasm of large intestine
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).
GPRO IThis measure can be submitted via Group Practice Reporting Option 1.
GPRO IIThis measure can be submitted via Group Practice Reporting Option 2.

More information on these alternative reporting mechanisms is available at:
    http://www.cms.gov/PQRS/20_AlternativeReportingMechanisms.asp.
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