| Valid Data Submission Method(s) | Measure Type | High Priority Measure? | NQS Domain | Specialty Measure Sets |
|---|---|---|---|---|
| Claims, Registry | Process | No | Effective Clinical Care | General Oncology, Pathology |
Measure Description
Percentage of radical prostatectomy pathology reports that include the pT category, the pN category, the Gleason score and a statement about margin status
Instruction
This measure is to be reported each time a radical prostatectomy surgical pathology examination is performed during the performance period for prostate patients. It is anticipated that eligible clinicians who examine prostate tissue specimens following resection in a laboratory or institution will submit this measure.
Denominator
All radical prostatectomy surgical pathology examinations performed during the measurement period for prostate cancer patients
Denominator Criteria (Eligible Cases):
Diagnosis for malignant neoplasm of prostate (ICD-10-CM): C61
AND
Patient procedure during the performance period (CPT): 88309
AND NOT
DENOMINATOR EXCLUSION:
Specimen site other than anatomic location of prostate: G8798
Numerator
Radical Prostatectomy reports that include the pT category, the pN category, Gleason score and a statement about margin status
Numerator Options:
Performance Met: Pathology report includes pT category, pN category, Gleason score and statement about margin status (3267F)
OR
Denominator Exception: Documentation of medical reason(s) for not including pT category, pN category, Gleason score and statement about margin status in the pathology report (e.g., specimen originated from other malignant neoplasms, transurethral resections of the prostate (TURP), or secondary site prostatic carcinomas) (3267F with 1P)
OR
Performance Not Met: pT category, pN category, Gleason score and statement
about margin status were not documented in pathology
report, reason not otherwise specified (3267F with 8P)