#396: Lung Cancer Reporting (Resection Specimens)

Quality ID

396

High Priority Measure

Yes

Specifications

Registry

Measure Type

Outcome

Specialty

Pathology

Measure description

Pathology reports based on resection specimens with a diagnosis of primary lung carcinoma that include the pT category, pN category and for non-small cell lung cancer, histologic type

 

Instructions

This measure is to be submitted each time a patient’s pathology report addresses specimens with a diagnosis of non- small cell lung cancer; however, only one quality-data code (QDC) per date of service for a patient is required. This measure maybe submitted by eligible clinicians who perform the quality actions described in the measure based on theservices provided and the measure-specific denominator coding.

Measure Submission:

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.

 

Denominator

Pathology reports for resection specimens for primary lung carcinoma

Denominator Criteria (Eligible Cases):

Patients ≥18 years of age on date of encounter

AND

Diagnosis for lung cancer (ICD-10-CM): C34.00, C34.01, C34.02, C34.10, C34.11, C34.12, C34.2, C34.30, C34.31, C34.32, C34.80, C34.81, C34.82, C34.90, C34.91,C34.92

AND

Patient procedure during performance period (CPT): 88309

AND NOT

DENOMINATOR EXCLUSION:

Specimen site other than anatomic location of lung,OR classified as NSCLC-NOS: G9424

 

Numerator

Pathology reports based on resection specimens with a diagnosis of primary lung carcinoma that include thepT category, pN category and for non-small cell lung cancer, histologic type (squamous cell carcinoma,adenocarcinoma and NOT NSCLC-NOS)

Numerator Options:

Performance Met: Primary lung carcinoma resection report documents pT category, pN category and for Non-small Cell Lung Cancer, Histologic Type (Squamous Cell Carcinoma, Adenocarcinoma and NOT NSCLCNOS) (G9422)

OR

Denominator Exception: Documentation of medical reason for not including pT category, pN category and histologic type [For patient with appropriate exclusion criteria (e.g. metastatic disease, benign tumors, malignant tumors other than carcinomas, inadequate surgical specimens)] (G9423)

OR

Performance Not Met: Primary lung carcinoma resection report does not document pT category, pN category and for Nonsmall Cell Lung Cancer, Histologic Type (Squamous Cell Carcinoma, Adenocarcinoma) (G9425)

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