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CMS 124v9: Cervical Cancer Screening

Updated June 8, 2026 3 minute read

Measure: Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria:

  • Women age 21-64 who had cervical cytology performed within the last 3 years
  • Women age 30-64 who had cervical human papillomavirus (HPV) testing performed within the last 5 years
Measure TypeHigh Priority MeasureScoring
ProcessNoA higher percentage indicates better quality
DenominatorWomen 23-64 years of age 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:

  • Cervical cytology performed during the measurement period or the two years prior to the measurement period for women who are at least 21 years old at the time of the test
  • Cervical human papillomavirus (HPV) testing performed during the measurement period or the four years prior to the measurement period for women who are 30 years or older at the time of the test
Denominator ExceptionsNone
Denominator Exclusions
  • Women who had a hysterectomy with no residual cervix or a congenital absence of cervix
  • Women whose hospice care overlaps the measurement period
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 ≥ 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

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 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.

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
  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.

eCQI Reference

https://ecqi.healthit.gov/ecqm/ep/2021/cms124v9

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