QPP Measure #395
Lung Cancer Reporting (Biopsy/Cytology Specimens)
Pathology reports based on lung biopsy and/or cytology specimens with a diagnosis of primary non-small cell lung cancer classified into specific histologic type following the International Association for the Study of Lung Cancer (IASLC) guidance or classified as non-small cell lung cancer not otherwise specified (NSCLC-NOS) with an explanation included in the pathology report.
The following codes apply for this QPP measure:
CPT Codes | |||
| Code | Description | ||
|---|---|---|---|
| 88104 | CPT Code | ||
| 88108 | CPT Code | ||
| 88112 | CPT Code | ||
| 88173 | CPT Code | ||
| 88305 | CPT Code | ||
HCPCS Codes | |||
| Code | Description | ||
| G9418 | Primary non-small cell lung cancer lung biopsy and cytology specimen report documents classification into specific histologic type following iaslc guidance or classified as nsclc-nos with an explanation | ||
| G9419 | Documentation of medical reason(s) for not including the histological type or nsclc-nos classification with an explanation (e.g. specimen insufficient or non-diagnostic, specimen does not contain cancer, or other documented medical reasons) | ||
| G9420 | Specimen site other than anatomic location of lung or is not classified as primary non-small cell lung cancer | ||
| G9421 | Primary non-small cell lung cancer lung biopsy and cytology specimen report does not document classification into specific histologic type or histologic type does not follow iaslc guidance or is classified as nsclc-nos but without an explanation | ||
ICD10CM Codes | |||
| Code | Description | ||
| C34.00 | Malignant neoplasm of unspecified main bronchus | ||
| C34.01 | Malignant neoplasm of right main bronchus | ||
| C34.02 | Malignant neoplasm of left main bronchus | ||
| C34.10 | Malignant neoplasm of upper lobe, unspecified bronchus or lung | ||
| C34.11 | Malignant neoplasm of upper lobe, right bronchus or lung | ||
| C34.12 | Malignant neoplasm of upper lobe, left bronchus or lung | ||
| C34.2 | Malignant neoplasm of middle lobe, bronchus or lung | ||
| C34.30 | Malignant neoplasm of lower lobe, unspecified bronchus or lung | ||
| C34.31 | Malignant neoplasm of lower lobe, right bronchus or lung | ||
| C34.32 | Malignant neoplasm of lower lobe, left bronchus or lung | ||
| C34.80 | Malignant neoplasm of overlapping sites of unspecified bronchus and lung | ||
| C34.81 | Malignant neoplasm of overlapping sites of right bronchus and lung | ||
| C34.82 | Malignant neoplasm of overlapping sites of left bronchus and lung | ||
| C34.90 | Malignant neoplasm of unspecified part of unspecified bronchus or lung | ||
| C34.91 | Malignant neoplasm of unspecified part of right bronchus or lung | ||
| C34.92 | Malignant neoplasm of unspecified part of left bronchus or lung | ||
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