High Priority MeasureNo
Percentage of breast cancer resection pathology reports that include the pT category (primary tumor), the pN category (regional lymph nodes), and the histologic grade
This measure is to be submitted each time a breast cancer resection surgical pathology examination is performed during the performance period for breast cancer patients. It is anticipated that eligible clinicians who examine breast tissue specimens following resection in a laboratory or institution will submit this measure.
The listed denominator criteria is used to identify the intended patient population. The numerator options included in this specification are used to submit the quality actions allowed by the measure. The quality-data codes listed do not need to be submitted for registry submissions; however, these codes may be submitted for those registries that utilize claims data.
All breast cancer resection pathology reports (excluding biopsies)
Denominator Criteria (Eligible Cases):
Diagnosis for breast cancer (ICD-10-CM): C50.011, C50.012, C50.019, C50.021, C50.022, C50.029, C50.111, C50.112, C50.119, C50.121, C50.122, C50.129, C50.211, C50.212, C50.219, C50.221, C50.222, C50.229, C50.311, C50.312, C50.319, C50.321, C50.322, C50.329, C50.411, C50.412, C50.419,C50.421, C50.422, C50.429, C50.511, C50.512, C50.519, C50.521, C50.522, C50.529, C50.611, C50.612,C50.619, C50.621, C50.622, C50.629, C50.811, C50.812, C50.819, C50.821, C50.822, C50.829, C50.911,C50.912, C50.919, C50.921, C50.922, C50.929
Patient procedure during the performance period (CPT): 88307, 88309
Specimen site other than anatomic location of primary tumor: 3250F
Reports that include the pT category, the pN category and the histologic grade
Performance Met: pT category (primary tumor), pN category (regional lymph nodes), and histologic grade documented in pathology report (3260F)
Denominator Exception: Documentation of medical reason(s) for not including the pT category, the pN category, or the histologic grade in the pathology report (eg, re-excision without residual tumor, non-carcinomas) (3260F with 1P)
Performance Not Met: pT category, pN category, and histologic grade were not documented in pathology report, reason not otherwise specified (3260F with 8P)