Part B News PQRI series: Quality measure breakdown Use this table to code General Surgery & Radiology measures

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article is part of a PQRI coding series focused on specialty-based quality measure reporting for general surgery and radiology. It outlines measure categories, the related reporting fields, and the code families involved so coders and billing staff can determine whether their claims support the relevant quality measure submissions. The content is most useful for professionals working with physician quality reporting, surgical claims, and radiology documentation.

Why This Topic Matters

PQRI reporting depends on matching clinical documentation and claim data to the correct quality measure framework. This article helps readers understand which general surgery and radiology measures are addressed and what broad reporting elements are associated with them.

Article Sections

  1. PQRI series introduction

    Introduces the article as part of a specialty-based PQRI coding chart series and notes the reporting context and timing.

  2. General surgery quality measures

    Covers surgical quality measures tied to perioperative prophylaxis and related reporting categories for adult patients.

  3. Radiology quality measures

    Covers CT, MRI, and carotid imaging report measures related to stroke and stroke rehabilitation documentation.

  4. Breast conserving surgery measure

    Summarizes a radiation oncology-related quality measure involving postoperative care reporting for breast cancer surgery.

  5. Source and exclusions note

    Provides the source reference and notes the exclusion modifiers listed with the chart.

What You Will Learn

  • Which PQRI measure categories are included in this specialty-focused chart
  • How the article organizes quality measures by clinical area and reporting type
  • Which broad code families are associated with the measures discussed
  • What documentation themes are associated with surgical and radiology quality reporting
  • Which reporting-related organizations and program context are referenced

Who Should Read This

  • Medical coders
  • Billing staff
  • Quality reporting specialists
  • Radiology coders
  • General surgery coding staff
  • Compliance teams

Codes Discussed

Code Ranges Discussed

  • ICD-9-CM: 435.0-435.3
  • ICD-9-CM: 435.8-435.9
  • ICD-9-CM: 433.1
  • ICD-9-CM: 433.11
  • ICD-9-CM: 433.21
  • ICD-9-CM: 433.31
  • ICD-9-CM: 433.81
  • ICD-9-CM: 433.91
  • ICD-9-CM: 434.01
  • ICD-9-CM: 434.11
  • ICD-9-CM: 434.91
  • ICD-9-CM: 174.0-174.6
  • ICD-9-CM: 174.8-174.9
  • CPT: 70551-70553
  • CPT: 70547-70549
  • CPT: 99241-99245

Modifiers Discussed


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