| Valid Data Submission Method(s) | Measure Type | High Priority Measure? | NQS Domain | Specialty Measure Sets |
|---|---|---|---|---|
| Claims, EHR, CMS Web Interface, Registry | Process | No | Effective Clinical Care | Internal Medicine, General Practice/Family Medicine |
Measure Description
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer.
Instruction
This measure is to be reported 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 reported by eligible clinicians who perform the quality actions described in the measure based on services provided and the measure-specific denominator coding.
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
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)