CMS 124v9: Cervical Cancer Screening

This eCQM requires a lab interface to be met. 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:

• Have a birth sex of female

  AND

• Age is ≥ 23 years and < 64 years at the beginning of the Measurement Period

  AND

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

Encounter Codes Eligible for Denominator

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

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

• Had a hysterectomy with no residual cervix performed any time before the end of the Measurement Period
• Has an active or resolved diagnosis of a hysterectomy with no residual cervix
• Has a documented medical history of congenital absence of the cervix
• Has an active diagnosis of congenital absence of the cervix
• Is in hospice care during the Measurement Period

Performance of a Hysterectomy

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

CPT: 51925, 57540, 57545, 57550, 57555, 57556, 58150, 58152, 58200, 58210, 58240, 58260, 58262, 58263, 58267, 58270, 58275, 58280, 58285, 58290, 58291, 58292, 58293, 58294, 58548, 58550, 58552, 58553, 58554, 58570, 58571, 58572, 58573, 58575, 58951, 58953, 58954, 58956, 59135

Order Status must be marked as Complete.

Hysterectomy with No Residual Cervix Diagnosis

Diagnoses are documented in the Assessment tab of an encounter. The eligible diagnosis codes for hysterectomy with no residual cervix are:

ICD-10: Z90.710, Z90.712

ICD-9: 618.5, 752.43, V88.01, V88.03

Congenital Absence of Cervix

Document Congenital Absence of Cervix in the Past History Tab

1. Go to Encounter > Past History > Structured > Medical History
2. Select the hardcoded Congenital absence of cervix node

Diagnosis

For this measure, the eligible diagnosis code for Congenital absence of cervix is available as a SNOMED CT code only:

SNOMED CT: 37687000

SNOMED codes can be added in the Assessment tab by mapping the code to an active ICD-10 using the Map SNO button.

Hospice Care Services

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.

Note

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

A patient will be counted in the numerator if they received at least one screening for cervical cancer. Appropriate screenings and time frames for cervical cancer are defined as follows:

• At least one Pap test performed during the Measurement Period or in the 2 years prior

  • The patient must be 21 years or older at the time of the test

  OR

• For patients aged ≥30 years, one HPV test performed during the Measurement Period or in the 4 years prior
  • The patient must be 30 years or older at the time of the test

Pap/HPV Test Performed

To document that a Pap test or an HPV test was performed, an e-Lab result for the test must be stored to the patient chart.

Store e-Lab Result

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/2021/cms124v9