The Pathologists Quality Registry offers 28 quality measures. Seven are Merit-based Incentive Payment System (MIPS) Clinical Quality Measures (CQMs). The remaining 21 are specific pathology measures, all developed by the CAP and approved by the CMS as qualified clinical data registry (QCDR) measures—exclusively available in the Pathologists Quality Registry.
Important 2019 Updates
Beginning January 1, 2019 these measures can no longer be reported on for MIPS.The CMS removed the following measures from the program:
- 99: Breast Cancer Resection Pathology Reporting
- 100: Colorectal Cancer Resection Pathology Reporting
- 251: Evaluation of HER2 for Breast Cancer
For quality measure 397, Melanoma Reporting, specifications updates were:
- Melanoma in situ added as a denominator exclusion
- Mitotic rate included for all pT categories
Pathology Specific QPP Measures
These measures can be reported to the CMS using the Pathologists Quality Registry, through billing/claims, and other registries.
|QPP 249: Barrett Esophagus Pathology Reporting Registry and Claims Specifications|
|QPP 250: Radical Prostatectomy Pathology Reporting Registry and Claims Specifications|
|QPP 395: Lung Cancer Reporting (biopsy/cytology specimens) * Registry and Claims Specifications|
|QPP 396: Lung Cancer Reporting* (resection specimens) * Registry and Claims Specifications|
|QPP 397: Melanoma Reporting* Registry and Claims Specifications|
These measures can be reported to the CMS using the Pathologists Quality Registry and other registries.
|QPP 265: Biopsy Follow-Up* Registry Specifications (American Academy of Dermatology measure)|
|QPP 440: Basal Cell Carcinoma (BCC)/Squamous Cell Carcinoma (SCC): Biopsy Reporting Time* Registry Specifications (American Academy of Dermatology measure)|
Pathologists Quality Registry QCDR Measures
These measures can be reported to the CMS only with the Pathologists Quality Registry.
* = high-priority measure
** = outcome measure
The CMS recommends that eligible professionals check with the QPP HelpDesk for more information on measures and the QPP.
Professionals may contact the QPP Help Desk.
7:00 AM–7:00 PM CT Monday - Friday
Claims-based Reporting Information
The CAP developed an instruction sheet on claims-based reporting to assist with submitting data on quality measures for MIPS through claims. The corresponding document provides the CPT II and quality data codes (QDC) and descriptors of the for 2019 QPP measures.
For the 2019 Reporting Period
Beginning January 1, 2019 pathologists in a group of 16 or more clinicians cannot submit quality measures using claims (or, billing company), regardless of whether participating as an individual or a group.