#425: Photodocumentation of Cecal Intubation

Quality ID

425

High Priority Measure

No

Specifications

Registry

Measure Type

Process

Specialty

Gastroenterology

Measure Description

The rate of screening and surveillance colonoscopies for which photodocumentation of landmarks of cecalintubation is performed to establish a complete examination

 

Instructions

This measure is to be submitted each time a colonoscopy is performed for patients during the performance period. This measure may be submitted by eligible clinicians who perform the quality actions described in the measure based onthe 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 submissions; however, these codes may be submitted for those registries that utilize claims data

 

Denominator

Patients for whom a screening or surveillance colonoscopy was performed

Denominator Criteria (Eligible Cases):

Patients regardless of age

AND

Patient procedure during the performance period (CPT or HCPCS): 44388, 44389, 44392, 44394, 44404, 45378, 45380, 45381, 45384, 45385, G0105, G0121

WITHOUT

Modifier: 73 or 74

AND NOT

DENOMINATOR EXCLUSION:

Documentation of post-surgical anatomy (e.g.,right hemicolectomy, ileocecal resection, etc.): G9613

 

Numerator

Number of patients undergoing screening or surveillance colonoscopy who have photodocumentation oflandmarks of cecal intubation to establish a complete examination

NUMERATOR NOTE: In the instance that the patient has an anatomical/physiological reason for not capturing photodocumentation of one or more of cecal landmarks (i.e., patient has no cecum), it wouldbe appropriate to submit G9613.

Numerator Options:

Performance Met: Photodocumentation of one or more cecal landmarks to establish a complete examination (G9612)

OR

Performance Not Met: No photodocumentation of cecal landmarks to establish a complete examination (G9614)

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