2016 General Surgery

The general surgery measures group is relevant to the following surgical procedures:

  • Ventral Hernia
  • Appendectomy
  • AV Fistula
  • Cholecystectomy
  • Thyroidectomy
  • Mastectomy +/- Lymphadenectomy or Sentinel Lymph Node Biopsy (SLNB)
  • Partial Mastectomy or Breast Biopsy/Lumpectomy +/- Lymphadenectomy or SLNB
  • Bariatric Laparoscopic or Open Roux en Y Gastric Bypass
  • Bariatric Sleeve Gastrectomy
  • Colectomy

Patient sample criteria for the General Surgery Measures Group are patients aged 18 years and older that have a specific surgical procedure performed:


One of the following procedure codes indicating general surgery:

19101, 19301, 19302, 19303, 19304, 19305, 19306, 19307, 36818, 36819, 36820, 36821, 36825, 36830, 43644, 43645, 43775, 43846, 43847, 44140, 44141, 44143, 44144, 44145, 44146, 44147, 44150, 44151, 44160, 44204, 44205, 44206, 44207, 44208, 44210, 44950, 44960, 44970, 47562, 47563, 47564, 47600, 47605, 47610, 49560, 49561, 49565, 49566, 49572, 49585, 49587, 49590, 49652, 49653, 49654, 49655, 49656, 49657, 60200, 60210, 60212, 60220, 60225, 60240, 60252, 60254, 60260, 60270, 60271

 

PQRS Group Measures:

#130 Documentation of Current Medications in the Medical Record 
#226 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 
#354 Anastomotic Leak Intervention 
#355 Unplanned Reoperation within the 30 Day Postoperative Period 
#356 Unplanned Hospital Readmission within 30 Days of Principal Procedure 
#357 Surgical Site Infection (SSI) 
#358 Patient-Centered Surgical Risk Assessment and Communication 

Measure #354 need only be reported when the patient has a procedure performed specific to gastric bypass surgery or colectomy as indicated by one of the following CPT procedure codes: 43644, 43645, 43846, 43847, 43775, 44140, 44141, 44143, 44144, 44145, 44146, 44147, 44150, 44151, 44160, 44204, 44205, 44206, 44207, 44208, 44210

Risk calculators based on multi-institutional, validated clinical data are acceptable for  measure #358. ACS NSQIP now offers a risk calculator which can be used for operations in many surgical subspecialty (http://www.riskcalculator.facs.org). Other risk calculators are available and acceptable for this measure, including but not limited to the risk calculator from the Society of Thoracic Surgeons.
 

Download PQRS General Surgery Measures Group Form: pdf.png  doc.png

Measure Group Description: pdf.png(from CMS)

Measure Group Flow: pdf.png(from CMS)
 

2016 General Surgery

Register now with MDinteractive, report on all applicable measures described above for a minimum of 20 unique patients (11 of which must be Part B Fee-For-Service patients) and avoid the 4% penalty.

Each provider needs to sign a PQRS consent at http://mdinteractive.com/webpen

Register with MDinteractive