CMS 130v8: Colorectal Cancer Screening

Measure: Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
Measure Type High Priority Measure Scoring
Process No A higher percentage indicates better quality
Denominator Patients 50-75 years of age with a visit during the measurement period
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
  • FIT-DNA during the measurement period or the two years prior to the measurement period
  • CT Colonography during the measurement period or the four years prior to the measurement period
Denominator Exceptions None
Denominator Exclusions
  • Patients with a diagnosis or past history of total colectomy or colorectal cancer
  • Patients whose hospice care overlaps the measurement period
  • Patients 66 and older who are living long term in an institution for more than 90 days during the measurement period
  • Patients 66 and older with advanced illness and frailty because it is unlikely that patients will benefit from the services being measured

A lab interface can be used to meet this eCQM but is not required. Customers interested in a lab interface should contact Sevocity Support to begin the process of a new interface setup. Interface setup requirements and fees vary per request.

Patients who meet the following criteria will be included in the denominator:

  • Age is ≥ 50 years and < 75 years at the beginning of the Measurement Period

    AND

  • Have at least one eligible encounter during the Measurement Period finalized by the EC/EP

CPT: 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99395, 99396, 99397, 99385, 99386, 99387, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350

HCPCS: G0438, G0439

A patient will be excluded from the measure if they meet any of the following conditions:

  • Has an active diagnosis of colorectal cancer during the Measurement Period
  • Had a total colectomy
  • Is in hospice care during the Measurement Period
  • Age is ≥ 65 at the start of the Measurement Period and has spent more than 90 days during the Measurement Period living in long term care
  • Age is ≥ 65 at the start of the Measurement Period and has evidence of advanced illness
  • Age is ≥ 65 at the start of the Measurement Period and has evidence of frailty

Diagnoses are documented in the Assessment tab of an encounter. A comprehensive list of eligible diagnosis codes for malignant neoplasm of the colon can be located here.

To document a total colectomy procedure, go to Encounter > Orders/Procedure > Orders/Referrals and click Add to add one of the eligible codes listed below:

CPT: 44150, 44151, 44152, 44153, 44155, 44156, 44157, 44158, 44210, 44211, 44212

Order Status must be marked as Complete.

To document hospice care services as a procedure, go to Encounter > Orders/Procedure > Orders/Referrals and click Add to add one of the eligible codes listed below:

SNOMED CT: 385763009, 385765002

Order Status must be marked as Pending or Complete.

SNOMED CT codes must be added as a Favorite in Preferences > Form Data > Orders to be accessible from the Orders/Referrals tab.

To document days spent in long term care:

  1. Go to Chart > Admissions and click Add
  2. Select a Place of Service
  3. Optional: select a Facility
  4. Populate the Admit Date
  5. Optional: populate the Discharge Date
  6. Click OK

The cumulative total of the patient's admission events during the Measurement Period must be greater than 90 days.

If the admissions event does not have a Discharge Date, the length of stay will be calculated with a discharge date of the Reporting Period end date or the Measurement Period end date, whichever occurs first.

A patient has evidence of advanced illness if they meet any of the following criteria:

  • Had an inpatient encounter with an active diagnosis of Advanced Illness during the Measurement Period or in the year prior
  • Had 2 or more outpatient encounters with an active diagnosis of Advanced Illness during the Measurement Period or in the year prior
    • Diagnosis must be active during all eligible encounters
  • Was prescribed medication for dementia during the Measurement Period or in the year prior

"Advanced illness" refers to a wide range of conditions and includes diseases such as Alzheimer's disease, cancer, and heart failure.

Diagnoses are documented in the Assessment tab of an encounter. A comprehensive list of eligible diagnosis codes for advanced illness can be located here.

CPT: 99221, 99222, 99223, 99231, 99232, 99233, 99238, 99239, 99251, 99252, 99253, 99254, 99255, 99291

CPT: 99201, 99202, 99203, 99204, 99205, 99211, 99212, 99213, 99214, 99215, 99241, 99242, 99243, 99244, 99245, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350, 99381, 99382, 99383, 99384, 99385, 99386, 99387, 99391, 99392, 99393, 99394, 99395, 99396, 99397, 99401, 99402, 99403, 99404, 99411, 99412, 99429, 99455, 99456, 99483, 99217, 99218, 99219, 99220, 99281, 99282, 99283, 99284, 99285, 99304, 99305, 99306, 99307, 99308, 99309, 99310, 99315, 99316, 99318, 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337

HCPCS: G0402, G0438, G0439, G0463, T1015

To prescribe a medication, go to Encounter > Medications > Manage/Prescribe Meds > New Prescription. A comprehensive list of eligible dementia medications can be located here.

A patient has evidence of frailty if they meet any of the following criteria:

  • Has an active diagnosis of Frailty during the Measurement Period
  • Has an active diagnosis of Frailty Symptom during the Measurement Period
  • Has an order for a frailty device during the Measurement Period
  • Is using a frailty device during the Measurement Period
  • Has a frailty encounter during the Measurement Period

"Frailty" refers to a range of conditions that includes falls and problems affecting mobility.

Diagnoses are documented in the Assessment tab of an encounter. A comprehensive list of eligible diagnosis codes for frailty can be located here.

Diagnoses are documented in the Assessment tab of an encounter. The eligible diagnosis codes for frailty symptoms are:

ICD-10: R26.0, R26.1, R26.2, R26.89, R26.9, R41.81, R53.1, R53.81, R53.83, R54, R62.7, R63.4, R63.6, R64

To document the order of a frailty device, go to Encounter > Orders/Procedure > Orders/Referrals and click Add to add an order. Order Status must be marked as Pending or Complete.

A comprehensive list of eligible frailty devices can be located here.

To document the patient's use of a frailty device:

  1. Go to Encounter > Flowsheets/Labs > Standard Flowsheets
  2. Click Add New Flowsheet
  3. Select the Frailty Device flowsheet and click Add
  4. Click Add Column
  5. Select a Device and the type (Value) of device
  6. Populate a usage Start Date for the device
  7. Optional: populate a usage Stop Date for the device
    1. The Stop Date cannot occur prior to the start of the Measurement Period
  8. Optional: populate a Reason for use of the device
  9. Click OK to save

CPT: 99504, 99509

HCPCS: G0162, G0299, G0300, G0493, G0494, S0271, S0311, S9123, S9124, T1000, T1001, T1002, T1003, T1004, T1005, T1019, T1020, T1021, T1022, T1030, T1031

A patient will be counted in the numerator if they received at least one of the following colon cancer screenings:

  • FOBT during the Measurement Period
  • Flexible sigmoidoscopy during the Measurement Period or in the 4 years prior
  • Colonoscopy during the Measurement Period or in the 9 years prior
  • FIT-DNA test during the Measurement Period or in the 2 years prior
  • CT Colonography during the Measurement Period or in the 4 years prior

To document a colonoscopy or flexible sigmoidoscopy procedure, go to Encounter > Orders/Procedure > Orders/Referrals and click Add to add one of the eligible codes listed below. Order Status must be marked as Complete.

Colonoscopy

CPT: 44388, 44389, 44390, 44391, 44392, 44393, 44394, 44397, 44401, 44402, 44403, 44404, 44405, 44406, 44407, 44408, 45355, 45378, 45379, 45380, 45381, 45382, 45383, 45384, 45385, 45386, 45387, 45388, 45389, 45390, 45391, 45392, 45393, 45398

HCPCS: G0105, G0121

Flexible Sigmoidoscopy

CPT: 45330, 45331, 45332, 45333, 45334, 45335, 45337, 45338, 45339, 45340, 45341, 45342, 45345, 45346, 45347, 45349, 45350

HCPCS: G0104

To document that a CT Colonography, FOBT, or FIT-DNA test was performed, an e-Lab result for the test must be stored to the patient chart.

  1. From the Clinic Inbox, select the lab result to be stored and click View
  2. Click Select to search for and select a patient
  3. Verify patient displayed matches the lab result and select the I have verified the following lab results belong to the above patient checkbox
  4. Click Sign/Route
  5. Select the Sign checkbox and click OK

Stored e-Lab results can be viewed in the Flowsheets/Labs > Scanned/E-Labs tab of the patient chart.

https://ecqi.healthit.gov/ecqm/ep/2020/cms130v8

 

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