Measure: Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria:
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| Measure Type | High Priority Measure | Scoring |
| Process | No | A higher percentage indicates better quality |
| Denominator | Women 24-64 years of age by the end of the measurement period with a visit during the measurement period |
| Numerator | Women with one or more screenings for cervical cancer. Appropriate screenings are defined by any one of the following criteria:
|
| Denominator Exceptions | None |
| Denominator Exclusions |
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Setup Note
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.
Denominator
Patients who meet the following criteria will be included in the denominator:
Have a birth sex of female
AND
Age is 24 years to 64 years at the end of the Measurement Period
AND
- Have at least one eligible encounter during the Measurement Period finalized by the EC
Encounter Codes Eligible for Denominator
CPT: 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99395, 99396, 99397, 99385, 99386, 99387, 99341, 99342, 99344, 99345, 99347, 99348, 99349, 99350, 98970, 98971, 98972, 99421, 99422, 99423, 99458, 98966, 98967, 98968, 99441, 99442, 99443, 98980, 98981, 99457
HCPCS: G0071, G2010, G2012, G2250, G2251, G2252
Denominator Exclusions
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 a documented medical history of congenital absence of the cervix
- Has an active diagnosis of congenital or acquired absence of the cervix
- Is in hospice care for any part of the Measurement Period
- Is receiving palliative for any part of 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: 57530, 57531, 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.
Congenital or Acquired Absence of Cervix
Document Congenital Absence of Cervix in the Past History Tab
- Go to Encounter > Past History > Structured > Medical History
- Select the hardcoded Congenital absence of cervix node
Diagnosis
Diagnoses are documented in the Assessment tab of an encounter. The eligible diagnosis codes for congenital or acquired absence of cervix are:
ICD-10: Q51.5, Z90.710, Z90.712
Hospice Care Services
To document hospice care ambulatory services, go to Encounter > Orders/Procedure > Orders/Referrals and click Add to add one of the eligible codes listed below:
CPT: 99377, 99378
HCPCS: G0182
Order Status must be marked as Pending or Complete.
To document hospice care encounter services, go to Encounter > Orders/Procedure > Orders/Referrals and click Add to add one of the eligible codes listed below:
HCPCS: G9473, G9474, G9475, G9476, G9477, G9478, G9479, Q5003, Q5004, Q5005, Q5006, Q5007, Q5008, Q5010, S9126, T2042, T2043, T2044, T2045, T2046
Order Status must be marked as Complete.
Palliative Care
Palliative care services can be documented using the FACIT-Pal Questionnaire flowsheet, as an order, or as a diagnosis.
FACIT-Pal Questionnaire Flowsheet
Go to Encounter > Flowsheets/Labs > Standard or Chart > Flowsheets/Labs > Standard
Click Add New Flowsheet
Select the FACIT-Pal Questionnaire flowsheet and click Add
Click Add Column
Populate the patient’s responses to the questions as appropriate
Click OK to save
Palliative Care Services Order
Go to Encounter > Orders/Procedure > Orders/Referrals and click Add to add one of the eligible codes listed below:
HCPCS: G9054
Order Status must be marked as Complete.
Palliative Care Diagnosis
Diagnoses are documented in the Assessment tab of an encounter. The eligible diagnosis code for palliative care is:
ICD-10: Z51.5
Numerator
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
- From the Clinic Inbox, select the lab result to be stored and click View
- If the lab result is systematically matched to a patient, the Patient section will be populated in the lab result display
- If the lab result is not matched or the matched patient needs to be changed, the user will need to search for the patient
- Optional: click Select to search for and select a patient
- Select the I have verified the following lab results belong to the above patient checkbox
- Click Sign/Route
- 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.
eCQI Reference
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