Radiology Question for the Week of February 22, 2016

Question:

For 2016 PQRS Measure #405—Appropriate Follow-up Imaging for Incidental Abdominal Lesions, the denominator criteria includes all three modalities of computed tomography (CT), magnetic resonance imaging (MRI), and ultrasound (US) but code G9547 only references incidental CT findings. Does the measure only apply to incidental CT findings?

Answer:

According to the Centers for Medicare & Medicaid Services (CMS), 2016 PQRS measure 405 does not just apply to only incidental CT findings. G9547 also includes incidental findings with the imaging modalities of MRI or ultrasound. For more information about this, CMS advises providers to contact the QualityNet Help Desk via 1-866-288-8912 or e-mail at qnetsupport@hcqis.org

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