Quality Payment Program Measure · Medicare QPP 16 Codes

Lung Cancer Reporting (Biopsy/Cytology Specimens) ICD-10-CM

The quality measure Lung Cancer Reporting (Biopsy/Cytology Specimens) can apply to an encounter when one of 16 linked ICD-10-CM diagnosis codes appears on the claim. CMS designates it a high-priority measure, which MIPS scoring rewards. The full linked-code list is below, with billable status and each code's place in the tabular index.

✓ Built from CMS Quality Payment Program specificationsFY 2026 ICD-10-CM code set
16
Linked Codes
16
Billable
Yes
High Priority
FY 2026
Code Set
QPP

About This Measure

Pathology reports based on lung biopsy and/or cytology specimens with a diagnosis of primary non-small cell lung cancer classified into specific histologic type following the International Association for the Study of Lung Cancer (IASLC) guidance or classified as non-small cell lung cancer not otherwise specified (NSCLC-NOS) with an explanation included in the pathology report.

Submission methods

Claims,registry
ICD-10-CM

Linked ICD-10-CM Codes 16 codes · 16 billable

16 of 16 shown
CodeDescriptionCategory
C34.00Malignant neoplasm of unspecified main bronchus Malignant neoplasm of bronchus and lung (C34)
C34.01Malignant neoplasm of right main bronchus Malignant neoplasm of bronchus and lung (C34)
C34.02Malignant neoplasm of left main bronchus Malignant neoplasm of bronchus and lung (C34)
C34.10Malignant neoplasm of upper lobe, unspecified bronchus or lung Malignant neoplasm of bronchus and lung (C34)
C34.11Malignant neoplasm of upper lobe, right bronchus or lung Malignant neoplasm of bronchus and lung (C34)
C34.12Malignant neoplasm of upper lobe, left bronchus or lung Malignant neoplasm of bronchus and lung (C34)
C34.2Malignant neoplasm of middle lobe, bronchus or lung Malignant neoplasm of bronchus and lung (C34)
C34.30Malignant neoplasm of lower lobe, unspecified bronchus or lung Malignant neoplasm of bronchus and lung (C34)
C34.31Malignant neoplasm of lower lobe, right bronchus or lung Malignant neoplasm of bronchus and lung (C34)
C34.32Malignant neoplasm of lower lobe, left bronchus or lung Malignant neoplasm of bronchus and lung (C34)
C34.80Malignant neoplasm of overlapping sites of unspecified bronchus and lung Malignant neoplasm of bronchus and lung (C34)
C34.81Malignant neoplasm of overlapping sites of right bronchus and lung Malignant neoplasm of bronchus and lung (C34)
C34.82Malignant neoplasm of overlapping sites of left bronchus and lung Malignant neoplasm of bronchus and lung (C34)
C34.90Malignant neoplasm of unspecified part of unspecified bronchus or lung Malignant neoplasm of bronchus and lung (C34)
C34.91Malignant neoplasm of unspecified part of right bronchus or lung Malignant neoplasm of bronchus and lung (C34)
C34.92Malignant neoplasm of unspecified part of left bronchus or lung Malignant neoplasm of bronchus and lung (C34)

Related References

Source: Centers for Medicare & Medicaid Services, Quality Payment Program measure specifications, with linked codes validated against the official FY 2026 ICD-10-CM code set.