| Measure: Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer in the 27 months prior to the end of the Measurement Period | ||
| Measure Type | High Priority Measure | Scoring |
| Process | No | A higher percentage indicates better quality |
| Denominator | Women 51-74 years of age with a visit during the measurement period |
| Numerator | Women with one or more mammograms during the 27 months prior to the measurement period |
| Denominator Exceptions | None |
| Denominator Exclusions |
|
Setup Note
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.
Denominator
Patients who meet the following criteria will be included in the denominator:
Have a birth sex of female
AND
Age is ≥ 51 years and < 74 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
HCPCS: G0438, G0439
Denominator Exclusions
A patient will be excluded from the measure if they meet any of the following conditions:
- Has an active or resolved diagnosis for two unilateral mastectomies
- Has a documented medical history of a bilateral mastectomy or two unilateral mastectomies
- Had two unilateral mastectomies
- 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
Bilateral Mastectomy or Two Unilateral Mastectomies
Diagnosis
Diagnoses are documented in the Assessment tab of an encounter. A comprehensive list of eligible diagnosis codes for unilateral mastectomies can be located here.
If documenting two unilateral mastectomies using a diagnosis code with unspecified laterality, the Anatomical Location Site for Left and Right must be specified when adding each diagnosis code.
Medical History of Bilateral Mastectomy or Two Unilateral Mastectomies
To document a bilateral or two unilateral mastectomies in the patient history:
- Go to Encounter > Past History > Structured > Surgical History
- Select the hardcoded Mastectomy node
- Select the appropriate bilateral or unilateral mastectomy type for the patient
- If selecting a unilateral mastectomy type, both Right Breast and Left Breast must be selected
- Populate the Date of Surgery for the mastectomy
- Click OK to save
Two Unilateral Mastectomies Performed
To document the performance of two unilateral mastectomies as a procedure, go to Encounter > Orders/Procedure >Orders/Referrals and click Add to add any of the eligible codes listed below:
CPT: 19180, 19200, 19220, 19240, 19307, 19306, 19305, 19304, 19303
Two orders must be added, and the Status for each order must be marked as Complete.
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.
Long Term Care
To document days spent in long term care:
- Go to Chart > Admissions and click Add
- Select a Place of Service
- Optional: select a Facility
- Populate the Admit Date
- Optional: populate the Discharge Date
- Click OK
The cumulative total of the patient’s admission events during the Measurement Period must be greater than 90 days.
Note
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.
Advanced Illness
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 Diagnosis
“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.
Inpatient Encounter Codes Eligible for Denominator Exclusion
CPT: 99221, 99222, 99223, 99231, 99232, 99233, 99238, 99239, 99251, 99252, 99253, 99254, 99255, 99291
Outpatient Encounter Codes Eligible for Denominator Exclusion
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
Medication
To prescribe a medication, go to Encounter > Medications > Manage/Prescribe Meds > New Prescription. A comprehensive list of eligible dementia medications can be located here.
Frailty
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 Diagnosis
“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.
Frailty Symptom Diagnosis
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
Frailty Device Order
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.
Frailty Device Use
To document the patient’s use of a frailty device:
- Go to Encounter > Flowsheets/Labs > Standard Flowsheets
- Click Add New Flowsheet
- Select the Frailty Device flowsheet and click Add
- Click Add Column
- Select a Device and the type (Value) of device
- Populate a usage Start Date for the device
- Optional: populate a usage Stop Date for the device
- The Stop Date cannot occur prior to the start of the Measurement Period
- Optional: populate a Reason for use of the device
- Click OK to save
Frailty Encounter Codes Eligible for Denominator Exclusion
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
Numerator
A patient will be counted in the numerator if they received a mammogram during the Measurement Period or in the 15 months before the start of the Measurement Period.
A mammogram can be documented as a procedure, as an e-lab result, or from the Breast Cancer Screening flowsheet.
Mammogram Procedure
To document the performance of a mammogram as a procedure, go to Encounter > Orders/Procedure > Orders/Referrals and click Add to add any of the eligible codes listed below:
HCPCS: G0202, G0204, G0206
Order Status must be marked as Complete.
Mammogram Test Results
To document that a mammogram 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
- Click Select to search for and select a patient
- Verify patient displayed matches the lab result and 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.
Document Mammogram Performed in the Breast Cancer Screening Flowsheet
- Go to Encounter > Flowsheets/Labs > Standard Flowsheets
- Click Add New Flowsheet
- Select the Breast Cancer Screening flowsheet and click Add
- Click Add Column
- Select Yes for Has the patient had a mammogram in the last two years?
- Populate a date for If yes, what date was it performed?
- Click OK to save
eCQI Reference
Return to 2020 eCQMs