| 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:
|
| Denominator Exceptions | None |
| Denominator Exclusions | Exclude patients:
|
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:
Age must be ⥠50 years and < 75 years at the beginning of the Measurement Period
AND
- Must have at least one 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
Total Colectomy or Colorectal Cancer
A patient will be excluded from the measure if they have an active diagnosis of malignant neoplasm of colon or if they received a total colectomy.
Diagnosis
Diagnoses are documented in the Assessment tab of an encounter. A comprehensive list of eligible diagnosis codes for malignant neoplasm of colon can be located here.
Procedure for Total Colectomy
To document a 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 in order to count as an exclusion.
Hospice Care Services
Patients who were in hospice care during the measurement year will be excluded from the measure.
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 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 of the following colon cancer screenings:
- FOBT during the Measurement Period
- Flexible sigmoidoscopy during the Measurement Period or the 4 years prior
- Colonoscopy during the Measurement Period or 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
Colonoscopy, CT Colonography, or Flexible Sigmoidoscopy Performed
To document the performance of any of these 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 in order to count toward the numerator.
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
CT Colonography
CPT: 74261, 74262, 74263
Flexible Sigmoidoscopy
CPT: 45330, 45331, 45332, 45333, 45334, 45335, 45337, 45338, 45339, 45340, 45341, 45342, 45345, 45346, 45347, 45349, 45350
HCPCS: G0104
FOBT and FIT-DNA Test Results
To document that an FOBT or FIT-DNA 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
- 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.
eCQI Reference
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