PQRS Information

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

PQRS Measure

#99Breast Cancer Resection Pathology Reporting: pT Category (Primary Tumor) and pN Category (Regional Lymph Nodes) with Histologic Grade

Report via: Claim, Registry

The following codes apply for this PQRS measure:

Code	Modifier	POS	Description
CPT Codes
88307	N/A	N/A	Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse
88309	N/A	N/A	Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil -resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection
3260F	N/A	N/A	pT category (primary tumor), pN category (regional lymph nodes), and histologic grade documented in pathology report (PATH)
3260F	8P	N/A	pT category (primary tumor), pN category (regional lymph nodes), and histologic grade documented in pathology report (PATH)
3250F	N/A	N/A	Specimen site other than anatomic location of primary tumor (PATH)
3260F	1P	N/A	pT category (primary tumor), pN category (regional lymph nodes), and histologic grade documented in pathology report (PATH)
ICD9 Codes
Code	Modifier	POS	Description
174.0	N/A	N/A	Malignant neoplasm of nipple and areola of female breast
174.1	N/A	N/A	Malignant neoplasm of central portion of female breast
174.2	N/A	N/A	Malignant neoplasm of upper-inner quadrant of female breast
174.3	N/A	N/A	Malignant neoplasm of lower-inner quadrant of female breast
174.4	N/A	N/A	Malignant neoplasm of upper-outer quadrant of female breast
174.5	N/A	N/A	Malignant neoplasm of lower-outer quadrant of female breast
174.6	N/A	N/A	Malignant neoplasm of axillary tail of female breast
174.8	N/A	N/A	Malignant neoplasm of other specified sites of female breast
174.9	N/A	N/A	Malignant neoplasm of breast (female), unspecified
175.0	N/A	N/A	Malignant neoplasm of nipple and areola of male breast
175.9	N/A	N/A	Malignant neoplasm of other and unspecified sites of male breast
ICD10CM Codes
Code	Modifier	POS	Description
C50.011	N/A	N/A	Malignant neoplasm of nipple and areola, right female breast
C50.012	N/A	N/A	Malignant neoplasm of nipple and areola, left female breast
C50.019	N/A	N/A	Malignant neoplasm of nipple and areola, unspecified female breast
C50.021	N/A	N/A	Malignant neoplasm of nipple and areola, right male breast
C50.022	N/A	N/A	Malignant neoplasm of nipple and areola, left male breast
C50.029	N/A	N/A	Malignant neoplasm of nipple and areola, unspecified male breast
C50.111	N/A	N/A	Malignant neoplasm of central portion of right female breast
C50.112	N/A	N/A	Malignant neoplasm of central portion of left female breast
C50.119	N/A	N/A	Malignant neoplasm of central portion of unspecified female breast
C50.121	N/A	N/A	Malignant neoplasm of central portion of right male breast
C50.122	N/A	N/A	Malignant neoplasm of central portion of left male breast
C50.129	N/A	N/A	Malignant neoplasm of central portion of unspecified male breast
C50.211	N/A	N/A	Malignant neoplasm of upper-inner quadrant of right female breast
C50.212	N/A	N/A	Malignant neoplasm of upper-inner quadrant of left female breast
C50.219	N/A	N/A	Malignant neoplasm of upper-inner quadrant of unspecified female breast
C50.221	N/A	N/A	Malignant neoplasm of upper-inner quadrant of right male breast
C50.222	N/A	N/A	Malignant neoplasm of upper-inner quadrant of left male breast
C50.229	N/A	N/A	Malignant neoplasm of upper-inner quadrant of unspecified male breast
C50.311	N/A	N/A	Malignant neoplasm of lower-inner quadrant of right female breast
C50.312	N/A	N/A	Malignant neoplasm of lower-inner quadrant of left female breast
C50.319	N/A	N/A	Malignant neoplasm of lower-inner quadrant of unspecified female breast
C50.321	N/A	N/A	Malignant neoplasm of lower-inner quadrant of right male breast
C50.322	N/A	N/A	Malignant neoplasm of lower-inner quadrant of left male breast
C50.329	N/A	N/A	Malignant neoplasm of lower-inner quadrant of unspecified male breast
C50.411	N/A	N/A	Malignant neoplasm of upper-outer quadrant of right female breast
C50.412	N/A	N/A	Malignant neoplasm of upper-outer quadrant of left female breast
C50.419	N/A	N/A	Malignant neoplasm of upper-outer quadrant of unspecified female breast
C50.421	N/A	N/A	Malignant neoplasm of upper-outer quadrant of right male breast
C50.422	N/A	N/A	Malignant neoplasm of upper-outer quadrant of left male breast
C50.429	N/A	N/A	Malignant neoplasm of upper-outer quadrant of unspecified male breast
C50.511	N/A	N/A	Malignant neoplasm of lower-outer quadrant of right female breast
C50.512	N/A	N/A	Malignant neoplasm of lower-outer quadrant of left female breast
C50.519	N/A	N/A	Malignant neoplasm of lower-outer quadrant of unspecified female breast
C50.521	N/A	N/A	Malignant neoplasm of lower-outer quadrant of right male breast
C50.522	N/A	N/A	Malignant neoplasm of lower-outer quadrant of left male breast
C50.529	N/A	N/A	Malignant neoplasm of lower-outer quadrant of unspecified male breast
C50.611	N/A	N/A	Malignant neoplasm of axillary tail of right female breast
C50.612	N/A	N/A	Malignant neoplasm of axillary tail of left female breast
C50.619	N/A	N/A	Malignant neoplasm of axillary tail of unspecified female breast
C50.621	N/A	N/A	Malignant neoplasm of axillary tail of right male breast
C50.622	N/A	N/A	Malignant neoplasm of axillary tail of left male breast
C50.629	N/A	N/A	Malignant neoplasm of axillary tail of unspecified male breast
C50.811	N/A	N/A	Malignant neoplasm of overlapping sites of right female breast
C50.812	N/A	N/A	Malignant neoplasm of overlapping sites of left female breast
C50.819	N/A	N/A	Malignant neoplasm of overlapping sites of unspecified female breast
C50.821	N/A	N/A	Malignant neoplasm of overlapping sites of right male breast
C50.822	N/A	N/A	Malignant neoplasm of overlapping sites of left male breast
C50.829	N/A	N/A	Malignant neoplasm of overlapping sites of unspecified male breast
C50.911	N/A	N/A	Malignant neoplasm of unspecified site of right female breast
C50.912	N/A	N/A	Malignant neoplasm of unspecified site of left female breast
C50.919	N/A	N/A	Malignant neoplasm of unspecified site of unspecified female breast
C50.921	N/A	N/A	Malignant neoplasm of unspecified site of right male breast
C50.922	N/A	N/A	Malignant neoplasm of unspecified site of left male breast
C50.929	N/A	N/A	Malignant neoplasm of unspecified site of unspecified male breast

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/ACOThis measure can be submitted via Group Practice Reporting Option, or GPRO Web Interface.

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

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