221. Treatment Post operative radiotherapy after breast conserving surgery for ca breast (Measure 74)

If patient had ca breast and has undergone breast conserving surgery (ICD-9 diagnosis codes: 174.0, 174.1, 174.2, 174.3, 174.4, 174.5, 174.6, 174.8, 174.9 AND CPT E/M service codes: 99241, 99242, 99243, 99244 and 99245), recommend post operative radiation therapy. Data from multiple large randomized trials have demonstrated that the addition of radiation after breast conserving surgery in patients with invasive breast cancer lowers the risk of local recurrence. The Oxford meta-analysis of these studies has also detected an improvement in overall survival with the use of radiation therapy in this setting.

DESCRIPTION: Percentage of invasive female breast cancer patients aged 18 through 70 years old who have undergone breast conserving surgery and who have received recommendation for radiation therapy within 12 months of the first office visit GUIDELINE If patient had ca breast and has undergone breast conserving surgery, recommend post operative radiation therapy. Data from multiple large randomized trials have demonstrated that the addition of radiation after breast conserving surgery in patients with invasive breast cancer lowers the risk of local recurrence. The Oxford meta-analysis of these studies has also detected an improvement in overall survival with the use of radiation therapy in this setting.

References:

• National Comprehensive Cancer Network Breast Cancer guideline recommendations v2.2007, BINV-2. http://www.nccn.org/patients/patient_gls/_english/_breast/1_introduction.asp