High Priority MeasureNo
Percentage of colon and rectum 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 colorectal cancer resection surgical pathology examination is performed during the performance period for colorectal cancer patients. It is anticipated that eligible clinicians who examine colorectal tissuespecimens 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 colon and rectum cancer resection pathology reports
Denominator Criteria (Eligible Cases):
Diagnosis for colon or rectum cancer (ICD-10-CM): C18.0, C18.1, C18.2, C18.3, C18.4, C18.5, C18.6, C18.7, C18.8, C18.9, C19, C20, C21.2, C21.8
Patient procedure during the performance period (CPT): 88309
Specimen site is other than anatomic location of primary tumor: G8723
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 were documented in pathology report (G8721)
Denominator Exception: Documentation of medical reason(s) for not including the pT category, the pN category or the histologic grade in the pathology report (e.g., re-excision without residual tumor; non-carcinomas, anal canal) (G8722)
Performance Not Met: pT category, pN category and histologic grade were not documented in the pathology report, reason not given (G8724)