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CMS129v6 Code List

Code List: CMS129v6, Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients

MicroMD uses the following code lists to determine a patient’s inclusion in this measure.  To search for your code, simply press Ctrl + F on your keyboard, enter your code in the search field and press Enter on your keyboard.

ItemCodes
Diagnosis Codes
Diagnosis: Prostate Cancer: ICD-9185
Diagnosis: Prostate Cancer: ICD-10C61
Diagnosis: Prostate Cancer: SNOMED254900004, 278060005, 314969001, 369485004, 369486003, 396198006, 399068003, 399490008, 399590005, 427492003, 93974005, 94503003
Bone Scan Procedure Codes
Diagnostic Study, Performed: Bone Scan: LOINC25031-6, 25032-4, 39627-5, 39812-3, 39813-1, 39814-9, 39815-6, 39816-4, 39817-2, 39818-0, 39819-8, 39820-6, 39858-6, 39879-2, 39880-0, 39881-8, 39882-6, 39883-4, 39884-2, 39901-4, 39902-2, 39903-0, 39904-8, 39905-5, 41772-5, 41836-8, 42700-5, 44142-8
Gleason LOINC Codes
Laboratory Test, Result: Gleason Score: LOINC35266-6
Laboratory Antigen LOINC Codes
Laboratory Test, Result: Prostate Specific Antigen Test: LOINC10508-0, 10886-0, 12841-3, 15323-9, 15324-7, 15325-4, 19195-7, 19201-3, 2857-1, 33667-7, 34611-4, 35741-8
Cancer Treatment Procedure Codes
Procedure, Performed: Prostate Cancer Treatment: CPT55810, 55812, 55815, 55840, 55842, 55845, 55866, 55873, 55875, 77427, 77435, 77772, 77778, 77799
Procedure, Performed: Prostate Cancer Treatment: SNOMED10492003, 113120007, 116244007, 118161009, 118162002, 118163007, 14473006, 168922004, 169327006, 169328001, 169329009, 169340001, 169349000, 169359004, 169374002, 176106009, 176258007, 176260009, 176261008, 176262001, 176263006, 176267007, 176286004, 176288003, 176319004, 19149007, 21190008, 21372000, 228677009, 228684001, 228688003, 228690002, 228692005, 228693000, 228694006, 228695007, 228697004, 228698009, 228699001, 228701001, 228702008, 236252003, 24242005, 26294005, 265589001, 271291003, 27877006, 28579000, 29860002, 30426000, 312235007, 314202001, 359922007, 359926005, 36253005, 37851009, 384691004, 384692006, 38915000, 394902000, 394918006, 399124002, 399180008, 399315003, 41371003, 41416003, 420529003, 427357007, 427985002, 433224001, 433225000, 440093006, 440094000, 57525009, 62867004, 64978007, 65381004, 65551008, 67598001, 68986004, 72388004, 77613002, 81232004, 83154001, 84755001, 85768003, 87795007, 8782006, 90199006, 90470006, 91531008
Cancer Staging Codes
Procedure, Result: Cancer Staging: SNOMED258232002
Exclusion Diagnosis Codes
Diagnosis: Pain Related to Prostate Cancer: ICD-9338.3, 724.1, 724.5, 724.6, 724.79, 733.90, 786.50, 786.59, 789.00, V76.44, V84.03
Diagnosis: Pain Related to Prostate Cancer: ICD-10G89.3, M43.27, M43.28, M53.2X7, M53.2X8, M53.3, M53.86, M53.87, M53.88, M54.6, M54.89, M54.9, M85.9, M89.9, M94.9, R07.82, R07.89, R07.9, R10.0, R10.9, Z12.5, Z15.03
Diagnosis: Pain Related to Prostate Cancer: SNOMED12584003, 161977000, 203508001, 203509009, 20793008, 267981009, 282743009, 297217002, 298731003, 298740004, 301773003, 3200003, 34789001, 36729000, 426135001, 48926009, 89638008
Exclusion Procedure Codes
Procedure, Performed: Salvage Therapy: CPT51597, 55860, 55862, 55865
Procedure, Performed: Salvage Therapy: SNOMED236209003, 236211007
Exclusion Valid Reasons Documentation
Reason: Reason Documented433611000124109 – Procedure reason record (record artifact)