| Valid Data Submission Method(s) | Measure Type | High Priority Measure? | NQS Domain | Specialty Measure Sets |
|---|---|---|---|---|
| Registry | Structure | Yes | Communication and Care Coordination | Dermatology |
Measure Description
Percentage of patients, regardless of age, with a current diagnosis of melanoma or a history of melanoma whose information was entered, at least once within a 12 month period, into a recall system that includes: A target date for the next complete physical skin exam, AND A process to follow up with patients who either did not make an appointment within the specified timeframe or who missed a scheduled appointment
Instruction
This measure is to be reported a minimum of once per reporting period for patients with a current diagnosis of melanoma or a history of melanoma seen during the reporting period. It is anticipated that eligible clinicians providing care for patients with melanoma or a history of melanoma will submit this measure.
Denominator
All patients, regardless of age, with a current diagnosis of melanoma or a history of melanoma
Denominator Criteria (Eligible Cases):
Diagnosis for melanoma or history of melanoma (ICD-10-CM): C43.0, C43.10, C43.11, C43.12, C43.20, C43.21, C43.22, C43.30, C43.31, C43.39, C43.4, C43.51, C43.52, C43.59, C43.60, C43.61, C43.62, C43.70, C43.71, C43.72, C43.8, C43.9, D03.0, D03.10, D03.11, D03.12, D03.20, D03.21, D03.22, D03.30, D03.39, D03.4, D03.51, D03.52, D03.59, D03.60, D03.61, D03.62, D03.70, D03.71, D03.72, D03.8, D03.9, Z85.820
AND
Patient encounter during the reporting period (CPT): 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215
WITHOUT
Telehealth Modifier: GQ, GT
Numerator
Patients whose information is entered, at least once within a 12 month period, into a recall system that includes:
- A target date for the next complete physical exam AND
- A process to follow up with patients who either did not make an appointment within the specified timeframe or
who missed a scheduled appointment
Numerator Instructions: To satisfy this measure, the recall system must be linked to a process to notify patients when their next physical exam is due, and to follow up with patients who either did not make an appointment within the specified timeframe or who missed a scheduled appointment and must include the following elements at a minimum: patient identifier, patient contact information, cancer diagnosis(es), date(s) of initial cancer diagnosis (if known), and the target date for the next complete physical exam.
Numerator Options:
Patient information entered into a recall system that includes: target date for the next exam specified AND a process to follow up with patients regarding missed or unscheduled appointments (7010F)
OR
Denominator Exception: Documentation of system reason(s) for not entering patient’s information into a recall system (e.g., melanoma being monitored by another physician provider) (7010F with 3P)
OR
Performance Not Met: Recall system not utilized, reason not otherwise specified (7010F with 8P)