#113: Colorectal Cancer Screening

Quality ID

113

eMeasure ID

CMS130v6

NQF

0034

High Priority Measure

No

Specifications

EHR Registry

Measure Type

Process

Specialty

Family Medicine Preventive Medicine

Measure description

Percentage of patients 50-75 years of age who had appropriate screening for colorectal cancer

 

Instructions

This measure is to be submitted a minimum of once per performance period for patients seen during the performance period. There is no diagnosis associated with this measure. Performance for this measure is not limited to the performance period. This measure may be submitted by eligible clinicians who perform the quality actions described in the measure based on services provided and the measure-specific denominator coding.

Measure Submission:

The listed denominator criteria is used to identify the intended patient population. The numerator options included in this specification are used to submit the quality actions allowed by the measure. The quality-data codes listed do not need to be submitted for registry-based submissions; however, these codes may be submitted for those registries that utilize claims data.

The intent of the exclusion for individuals age 65 and older residing in long-term care facilities, including nursing homes, is to exclude individuals who may have limited life expectancy and increased frailty where the benefit of the process may not exceed the risks. This exclusion is not intended as a clinical recommendation regarding whether the measures process is inappropriate for specific populations, instead the exclusions allows clinicians to engage in shared decision making with patients about the benefits and risks of screening when an individual has limited life expectancy.

 

Denominator

Patients 50-75 years of age with a visit during the measurement period

Denominator Criteria (Eligible Cases):

Patients 50 to 75 years of age on date of encounter

AND

Patient encounter during the performance period (CPT or HCPCS): 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350, G0402, G0438, G0439

AND NOT

DENOMINATOR EXCLUSIONS:

Patients with a diagnosis or past history of total colectomy or colorectal cancer: G9711

OR

Patient was provided hospice services any time during the measurement period: G9710

OR

Patient age 65 or older in Institutional Special Needs Plans (SNP) or residing in long-term care with POS code 32, 33, 34, 54, or 56 any time during the measurement period: G9901

 

Numerator

Patients with one or more screenings for colorectal cancer. Appropriate screenings are defined by any one of the following criteria:

  • Fecal occult blood test (FOBT) during the measurement period
  • Flexible sigmoidoscopy during the measurement period or the four years prior to the measurement period
  • Colonoscopy during the measurement period or the nine years prior to the measurement period
  • Computed tomography (CT) colonography during the measurement period or the four years prior to the •measurement period.
  • Fecal immunochemical DNA test (FIT-DNA) during the measurement period or the two years prior to the •measurement period.

Numerator Options:

Performance Met: Colorectal cancer screening results documented and Reviewed (3017F)

OR

Performance Not Met: Colorectal cancer screening results were not documented and reviewed, reason not otherwise specified (3017F with 8P)

Register with MDinteractive