2017 MIPS Measure #425: Photodocumentation of Cecal Intubation

Valid Data Submission Method(s) Measure Type High Priority Measure? NQS Domain Specialty Measure Sets
Claims, Registry Process No Effective Clinical Care

Measure Description

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

Instruction

This measure is to be reported each time a colonoscopy is performed for patients during the performance period. This measure may be reported by eligible clinicians who perform the quality actions described in the measure based on the services provided and the measure-specific denominator coding.

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 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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