| Valid Data Submission Method(s) | Measure Type | High Priority Measure? | NQS Domain | Specialty Measure Sets |
|---|---|---|---|---|
| Claims, Registry | Outcome | Yes | Communication and Care Coordination | 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
Instruction
This measure is to be reported 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 reported by eligible clinicians who perform the quality actions described in the measure based on the services provided and the measure-specific denominator coding.
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 NSCLC-NOS) (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 Non-small Cell Lung Cancer, Histologic Type (Squamous Cell Carcinoma, Adenocarcinoma) (G9425)