NQF 0034: Colorectal Cancer Screening

Measure: Record percentage of adults 50-75 years of age who had appropriate screening for Colorectal Cancer.
Numerator: Patients who meet the denominator criteria and have had one or more of the following screenings for Colorectal Cancer: Fecal occult blood test (FOBT) during the measurement period; flexible sigmoidoscopy during the measurement period or the four years prior to the measurement period; or colonoscopy during the measurement period or the nine years prior to the measurement period.
Denominator: All patients 50-75 years of age with a visit during the measurement period and do not meet one or more of the exclusions.
Exclusion: Patients with a diagnosis or past history of total colectomy or Colorectal Cancer.
NQS Domain: Clinical Process / Effectiveness

In ChartMaker Clinical:

In order to qualify for this measure, the provider must have seen the patient (age 50-75) at least one time during the reporting period and have the appropriate information documented in the chart:

Required Data Elements for the Denominator*:

• Office Visit Encounter or Face-to-Face Interaction Code during the measurement period
Office Visit Encounter Codes:
CPT:  
Code Description
99201 Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family.
99202 Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 20 minutes are spent face-to-face with the patient and/or family.
99203 Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity. Typically, 30 minutes are spent face-to-face with the patient and/or family.
99204 Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 45 minutes are spent face-to-face with the patient and/or family.
99205 Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 60 minutes are spent face-to-face with the patient and/or family.
99212 Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family.
99213 Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 15 minutes are spent face-to-face with the patient and/or family.
99214 Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 25 minutes are spent face-to-face with the patient and/or family.
99215 Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 40 minutes are spent face-to-face with the patient and/or family.
99341 Home visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low severity. Typically, 20 minutes are spent face-to-face with the patient and/or family.
99342 Home visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity. Typically, 30 minutes are spent face-to-face with the patient and/or family.
99343 Home visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 45 minutes are spent face-to-face with the patient and/or family.
99344 Home visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of high severity. Typically, 60 minutes are spent face-to-face with the patient and/or family.
99345 Home visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is unstable or has developed a significant new problem requiring immediate physician attention. Typically, 75 minutes are spent face-to-face with the patient and/or family.
99347 Home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused interval history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 15 minutes are spent face-to-face with the patient and/or family.
99348 Home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 25 minutes are spent face-to-face with the patient and/or family.
99349 Home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are moderate to high severity. Typically, 40 minutes are spent face-to-face with the patient and/or family.
99350 Home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A comprehensive interval history; A comprehensive examination; Medical decision making of moderate to high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. The patient may be unstable or may have developed a significant new problem requiring immediate physician attention. Typically, 60 minutes are spent face-to-face with the patient and/or family.
99385 Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 18-39 years
99386 Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 40-64 years
99387 Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 65 years and older
99395 Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 18-39 years
99396 Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 40-64 years
99397 Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 65 years and older
G0438 ANNUAL WELLNESS VISIT; INCLUDES A PERSONALIZED PREVENTION PLAN OF SERVICE (PPS), INITIAL VISIT
G0439 ANNUAL WELLNESS VISIT, INCLUDES A PERSONALIZED PREVENTION PLAN OF SERVICE (PPS), SUBSEQUENT VISIT
Face-to-Face Interaction Codes:
SNOMED:  
Code Description
4525004 Emergency department patient visit (procedure)
12843005 Subsequent hospital visit by physician (procedure)
18170008 Subsequent nursing facility visit (procedure)
19681004 Nursing evaluation of patient and report (procedure)
87790002 Follow-up inpatient consultation visit (procedure)
90526000 Initial evaluation and management of healthy individual (procedure)
185349003 Encounter for "check-up" (procedure)
185463005 Visit out of hours (procedure)
185465003 Weekend visit (procedure)
207195004 History and physical examination with evaluation and management of nursing facility patient (procedure)
270427003 Patient-initiated encounter (procedure)
270430005 Provider-initiated encounter (procedure)
308335008 Patient encounter procedure (procedure)
390906007 Follow-up encounter (procedure)
406547006 Urgent follow-up (procedure)
439708006 Home visit (procedure)

Required Data Elements for the Numerator*:

At least one of the following:  

• Fecal Blood Test Code (LOINC) during the measurement period
LOINC: 
CodeDescription
12503-9Hemoglobin.gastrointestinal [Presence] in Stool --4th specimen
12504-7Hemoglobin.gastrointestinal [Presence] in Stool --5th specimen
14563-1Hemoglobin.gastrointestinal [Presence] in Stool --1st specimen
14564-9Hemoglobin.gastrointestinal [Presence] in Stool --2nd specimen
14565-6Hemoglobin.gastrointestinal [Presence] in Stool --3rd specimen
2335-8Hemoglobin.gastrointestinal [Presence] in Stool
27396-1Hemoglobin.gastrointestinal [Mass/mass] in Stool
27401-9Hemoglobin.gastrointestinal [Presence] in Stool --6th specimen
27925-7Hemoglobin.gastrointestinal [Presence] in Stool --7th specimen
27926-5Hemoglobin.gastrointestinal [Presence] in Stool --8th specimen
29771-3Hemoglobin.gastrointestinal [Presence] in Stool by Immunologic method
56490-6Hemoglobin.gastrointestinal [Presence] in Stool by Immunologic method --2nd specimen
56491-4Hemoglobin.gastrointestinal [Presence] in Stool by Immunologic method --3rd specimen
57905-2Hemoglobin.gastrointestinal [Presence] in Stool by Immunologic method --1st specimen
58453-2Hemoglobin.gastrointestinal [Mass/volume] in Stool by Immunologic method
• Flexible Sigmoidoscopy Code within 4 years of or during the measurement period
CPT:    
Code Description
45330 Sigmoidoscopy, flexible; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)
45331 Sigmoidoscopy, flexible; with biopsy, single or multiple
45332 Sigmoidoscopy, flexible; with removal of foreign body
45333 Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery
45334 Sigmoidoscopy, flexible; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator)
45335 Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance
45337 Sigmoidoscopy, flexible; with decompression of volvulus, any method
45338 Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique
45339 Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique
45340 Sigmoidoscopy, flexible; with dilation by balloon, 1 or more strictures
45341 Sigmoidoscopy, flexible; with endoscopic ultrasound examination
45342 Sigmoidoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s)
45345 Sigmoidoscopy, flexible; with transendoscopic stent placement (includes predilation)
G0104 COLORECTAL CANCER SCREENING; FLEXIBLE SIGMOIDOSCOPY
SNOMED:   
Code Description
44441009 Flexible fiberoptic sigmoidoscopy (procedure)
112870002 Flexible fiberoptic sigmoidoscopy for removal of foreign body (procedure)
396226005 Flexible fiberoptic sigmoidoscopy with biopsy (procedure)
425634007 Diagnostic endoscopic examination of lower bowel and sampling for bacterial overgrowth using fiberoptic sigmoidoscope (procedure)
• Colonoscopy Code within 9 years of or during the measurement period
CPT/HCPCS: 
CodeDescription
44388Colonoscopy through stoma; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)
44389Colonoscopy through stoma; with biopsy, single or multiple
44390Colonoscopy through stoma; with removal of foreign body
44391Colonoscopy through stoma; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator)
44392Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery
44393Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique
44394Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique
44397Colonoscopy through stoma; with transendoscopic stent placement (includes predilation)
45355Colonoscopy, rigid or flexible, transabdominal via colotomy, single or multiple
45378Colonoscopy, flexible, proximal to splenic flexure; diagnostic, with or without collection of specimen(s) by brushing or washing, with or without colon decompression (separate procedure)
45379Colonoscopy, flexible, proximal to splenic flexure; with removal of foreign body
45380Colonoscopy, flexible, proximal to splenic flexure; with biopsy, single or multiple
45381Colonoscopy, flexible, proximal to splenic flexure; with directed submucosal injection(s), any substance
45382Colonoscopy, flexible, proximal to splenic flexure; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator)
45383Colonoscopy, flexible, proximal to splenic flexure; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique
45384Colonoscopy, flexible, proximal to splenic flexure; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery
45385Colonoscopy, flexible, proximal to splenic flexure; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique
45386Colonoscopy, flexible, proximal to splenic flexure; with dilation by balloon, 1 or more strictures
45387Colonoscopy, flexible, proximal to splenic flexure; with transendoscopic stent placement (includes predilation)
45391Colonoscopy, flexible, proximal to splenic flexure; with endoscopic ultrasound examination
45392Colonoscopy, flexible, proximal to splenic flexure; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s)
G0105Colorectal cancer screening; colonoscopy on individual at high risk
G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk
SNOMED: 
CodeDescription
73761001Colonoscopy (procedure)
8180007Fiberoptic colonoscopy through colostomy (procedure)
12350003Colonoscopy with rigid sigmoidoscope through colotomy (procedure)
174158000Open colonoscopy (procedure)
174184006Diagnostic endoscopic examination on colon (procedure)
235150006Total colonoscopy (procedure)
235151005Limited colonoscopy (procedure)
25732003Fiberoptic colonoscopy with biopsy (procedure)
303587008Therapeutic colonoscopy (procedure)
310634005Check colonoscopy (procedure)
34264006Intraoperative colonoscopy (procedure)
367535003Fiberoptic colonoscopy (procedure)
418714002Virtual computed tomography colonoscopy (procedure)
427459009Diagnostic endoscopic examination of colonic pouch and biopsy of colonic pouch using colonoscope (procedure)
443998000Colonoscopy through colostomy with endoscopic biopsy of colon (procedure)
444783004Screening colonoscopy (procedure)
446521004Colonoscopy and excision of mucosa of colon (procedure)
446745002Colonoscopy and biopsy of colon (procedure)
447021001Colonoscopy and tattooing (procedure)

EXCLUSION DETAILS:

Exclusion includes patients with a diagnosis or past history of Total Colectomy or Colorectal Cancer.  In order to meet the requirement for this exclusion, the appropriate information must be documented in the chart (at least one of the following):

• Colorectal Cancer Diagnosis Code (with attached SNOMED)
ICD-9: 
CodeDescription
153Malignant neoplasm of hepatic flexure
197.5Secondary malignant neoplasm of large intestine and rectum
154.1Malignant neoplasm of rectum
154Malignant neoplasm of rectosigmoid junction
153.9Malignant neoplasm of colon, unspecified site
153.8Malignant neoplasm of other specified sites of large intestine
153.7Malignant neoplasm of splenic flexure
153.6Malignant neoplasm of ascending colon
153.5Malignant neoplasm of appendix vermiformis
153.4Malignant neoplasm of cecum
153.3Malignant neoplasm of sigmoid colon
153.2Malignant neoplasm of descending colon
153.1Malignant neoplasm of transverse colon
ICD-10: 
CodeDescription
C18.0Malignant neoplasm of cecum
C78.5Secondary malignant neoplasm of large intestine and rectum
C20Malignant neoplasm of rectum
C19Malignant neoplasm of rectosigmoid junction
C18.9Malignant neoplasm of colon, unspecified
C18.8Malignant neoplasm of overlapping sites of colon
C18.7Malignant neoplasm of sigmoid colon
C18.6Malignant neoplasm of descending colon
C18.5Malignant neoplasm of splenic flexure
C18.4Malignant neoplasm of transverse colon
C18.3Malignant neoplasm of hepatic flexure
C18.2Malignant neoplasm of ascending colon
C18.1Malignant neoplasm of appendix
SNOMED: 
CodeDescription
109838007Overlapping malignant neoplasm of colon (disorder)
312112002Carcinoma of transverse colon (disorder)
312113007Carcinoma of descending colon (disorder)
312114001Carcinoma of hepatic flexure (disorder)
312115000Carcinoma of splenic flexure (disorder)
314965007Local recurrence of malignant tumor of colon (disorder)
315058005Hereditary nonpolyposis colon cancer (disorder)
363406005Malignant tumor of colon (disorder)
363407001Malignant tumor of hepatic flexure (disorder)
363408006Malignant tumor of transverse colon (disorder)
363409003Malignant tumor of descending colon (disorder)
363410008Malignant tumor of sigmoid colon (disorder)
363412000Malignant tumor of ascending colon (disorder)
363413005Malignant tumor of splenic flexure (disorder)
363414004Malignant tumor of rectosigmoid junction (disorder)
363510005Malignant tumor of large intestine (disorder)
425178004Adenocarcinoma of rectosigmoid junction (disorder)
449218003Lymphoma of sigmoid colon (disorder)
93683002Primary malignant neoplasm of ascending colon (disorder)
93761005Primary malignant neoplasm of colon (disorder)
93771007Primary malignant neoplasm of descending colon (disorder)
93826009Primary malignant neoplasm of hepatic flexure of colon (disorder)
93980002Primary malignant neoplasm of rectosigmoid junction (disorder)
94006002Primary malignant neoplasm of sigmoid colon (disorder)
94072004Primary malignant neoplasm of splenic flexure of colon (disorder)
94105000Primary malignant neoplasm of transverse colon (disorder)
94179005Secondary malignant neoplasm of ascending colon (disorder)
94260004Secondary malignant neoplasm of colon (disorder)
94271003Secondary malignant neoplasm of descending colon (disorder)
94328005Secondary malignant neoplasm of hepatic flexure of colon (disorder)
94509004Secondary malignant neoplasm of rectosigmoid junction (disorder)
94538001Secondary malignant neoplasm of sigmoid colon (disorder)
94604000Secondary malignant neoplasm of splenic flexure of colon (disorder)
94643001Secondary malignant neoplasm of transverse colon (disorder)
94105000Primary malignant neoplasm of transverse colon (disorder)
94179005Secondary malignant neoplasm of ascending colon (disorder)
94260004Secondary malignant neoplasm of colon (disorder)
94271003Secondary malignant neoplasm of descending colon (disorder)
94328005Secondary malignant neoplasm of hepatic flexure of colon (disorder)
94509004Secondary malignant neoplasm of rectosigmoid junction (disorder)
94538001Secondary malignant neoplasm of sigmoid colon (disorder)
94604000Secondary malignant neoplasm of splenic flexure of colon (disorder)
94643001Secondary malignant neoplasm of transverse colon (disorder)
• Total Colectomy Procedure or SNOMED (attached to Patient Surgical History) Code that occurred prior to or during the measurement period
CPT:  
Code Description
44150 Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy
44151 Colectomy, total, abdominal, without proctectomy; with continent ileostomy
44152 Colectomy, total, abdominal, without proctectomy; with rectal mucosectomy, ileoanal anastomosis, with or without loop ileostomy
44153 Colectomy, total, abdominal, without proctectomy; with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or without loop ileostomy
44155 Colectomy, total, abdominal, with proctectomy; with ileostomy
44156 Colectomy, total, abdominal, with proctectomy; with continent ileostomy
44157 Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and rectal mucosectomy, when performed
44158 Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal reservoir (S or J), includes loop ileostomy, and rectal mucosectomy, when performed
44210 Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomy
44211 Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileoanal anastomosis, creation of ileal reservoir (S or J), with loop ileostomy, includes rectal mucosectomy, when performed
44212 Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy
SNOMED:   
Code Description
456004 Total abdominal colectomy with ileostomy (procedure)
26390003 Total colectomy (procedure)
31130001 Total abdominal colectomy with proctectomy and ileostomy (procedure)
36192008 Total abdominal colectomy with ileoproctostomy (procedure)
44751009 Total abdominal colectomy with proctectomy and continent ileostomy (procedure)
80294005 Total abdominal colectomy with  rectal mucosectomy and ileoanal anastomosis (procedure)
235331003 Restorative proctocolectomy (procedure)
303401008 Parks panproctocolectomy, anastomosis of ileum to anus and creation of pouch (procedure)
307666008 Total colectomy and ileostomy (procedure)
307667004 Total colectomy, ileostomy and rectal mucous fistula (procedure)
307669001 Total colectomy, ileostomy and closure of rectal stump (procedure)
427816007 History of colectomy (situation)

SurgicalHx_SNOMED_TotalColectomy

*ADDITIONAL INFORMATION:

•   The patient must be at least 50 years and up to 75 years of age prior to the start of the measurement period.

•  The Fecal Blood Test LOINC code can be linked to the applicable result from an electronic interface or to procedure code.  Either item must have the result box checked in it's properties.  

0034 result screenshot

•   The exclusion diagnosis of Malignant Neoplasm of the Colon can be a status of resolved, inactive or active prior to or during the reporting period to count in the exclusion.

•   The only data used to determine the denominator is data from the ChartMaker Clinical Module. If a patient encounter was not entered into the ChartMaker Clinical Module, that encounter is not included in the denominator for the statistical calculations on the Meaningful Use Dashboard. Please add these additional patients to the denominator and recalculate the percentage for Attestation purposes.

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