Year:  2017 2018 2019 2020 2021 2022 2023 2024 

QPP Measure #405

Appropriate Follow-up Imaging for Incidental Abdominal Lesions

Percentage of final reports for abdominal imaging studies for asymptomatic patients aged 18 years and older with one or more of the following noted incidentally with follow-up imaging recommended:

  • Liver lesion <= 0.5 cm
  • Cystic kidney lesion < 1.0 cm
  • Adrenal lesion <= 1.0 cm

Submission Methods: Claims, Registry
Measure Sets: Diagnostic Radiology

The following codes apply for this QPP measure:

CPT Codes

CodeDescription
74150CPT Code
74160CPT Code
74170CPT Code
74176CPT Code
74177CPT Code
74178CPT Code
74181CPT Code
74182CPT Code
74183CPT Code
76700CPT Code
76705CPT Code
76770CPT Code
76775CPT Code

HCPCS Codes

CodeDescription
G9547Cystic renal lesion that is simple appearing (bosniak i or ii) , or adrenal lesion less than or equal to 1.0 cm or adrenal lesion greater than 1.0 cm but less than or equal to 4.0 cm classified as likely benign by unenhanced ct or washout protocol ct, or mri with in- and opposed-phase sequences or other equivalent institutional imaging protocols
G9548Final reports for imaging studies stating no follow-up imaging is recommended
G9549Documentation of medical reason(s) that follow-up imaging is indicated (e.g., patient has lymphadenopathy, signs of metastasis or an active diagnosis or history of cancer, and other medical reason(s))
G9550Final reports for imaging studies with follow-up imaging recommended, or final reports that do not include a specific recommendation of no follow-up
G9551Final reports for imaging studies without an incidentally found lesion noted
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