| eCQM / NQF #: | CMS124v7 / 0032 |
| 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 every 3 years * Women age 30-64 who had cervical cytology/human papillomavirus (HPV) co-testing performed every 5 years. |
| Numerator: | Women with one or more screenings for cervical cancer during the measurement period or the two years prior to the measurement period.
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 cytology/human papillomavirus (HPV) co-testing performed during the measurement period or the four years prior to the measurement period for women who are at least 30 years old at the time of the test. |
| Denominator: | Women 23-64 years of age with a visit during the measurement period. |
| Denominator Exclusions: | Women who had a hysterectomy with no residual cervix. Exclude patients who were in hospice care during the measurement year. |
| Domain: | Effective Clinical Care |
In ChartMaker Clinical:
In order to qualify for this measure, the provider must have seen the female patient (age 23 to 64) 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, Face-to-Face Interaction Code, Preventive Care Service or Home Healthcare Service during the measurement period
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This is captured by adding a procedure with a valid CPT or SNOMED code using the Procedure widget in a note.
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. |
| 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 |
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) |
| 185463005 | Visit out of hours (procedure) |
| 185464004 | Out of hours visit - not night visit (procedure) |
| 185465003 | Weekend visit (procedure) |
| 30346009 | Evaluation and management of established outpatient in office or other outpatient facility (procedure) |
| 3391000175108 | Office visit for pediatric care and assessment (procedure) |
| 37894004 | Evaluation and management of new outpatient in office or other outpatient facility (procedure) |
| 439740005 | Postoperative follow-up visit (procedure) |
| 185460008 | Home visit request by patient (procedure) |
| 185462000 | Home visit request by relative (procedure) |
| 185466002 | Home visit for urgent condition (procedure) |
| 185467006 | Home visit for acute condition (procedure) |
| 185468001 | Home visit for chronic condition (procedure) |
| 185470005 | Home visit elderly assessment (procedure) |
| 225929007 | Joint home visit (procedure) |
| 315205008 | Bank holiday home visit (procedure) |
| 439708006 | Home visit (procedure) |
| 698704008 | Home visit for rheumatology service (procedure) |
| 704126008 | Home visit for anticoagulant drug monitoring (procedure) |
Required Data Elements for the Numerator:
• Pap Test (LOINC) within 2 year prior to or during the measurement period. Patient must be at least 21 years old at the time of the test.
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This is captured by:
• An electronic lab result with a valid LOINC code,
• Adding a finding with a valid LOINC code using the Checklist widget in a note,
or
• Adding a numeric result with a valid LOINC code using a Numeric control in a note.
| LOINC: | PAP TEST |
| Code | Description |
| 10524-7 | Microscopic observation [Identifier] in Cervix by Cyto stain |
| 18500-9 | Microscopic observation [Identifier] in Cervix by Cyto stain.thin prep |
| 19762-4 | General categories [interpretation] of Cervical or vaginal smear or scraping by Cyto stain |
| 19764-0 | Statement of adequacy [interpretation] of Cervical or vaginal smear or scraping by Cyto stain |
| 19765-7 | Microscopic observation [Identifier] in Cervical or vaginal smear or scraping by Cyto stain |
| 19766-5 | Microscopic observation [Identifier] in Cervical or vaginal smear or scraping by Cyto stain Narrative |
| 19774-9 | Cytology study comment Cervical or vaginal smear or scraping Cyto stain |
| 33717-0 | Cytology Cervical or vaginal smear or scraping study |
| 47527-7 | Cytology report of Cervical or vaginal smear or scraping Cyto stain.thin prep |
| 47528-5 | Cytology report of Cervical or vaginal smear or scraping Cyto stain |
Or the following:
• Pap/HPV Co-Test (LOINC) within 4 years prior to or during the measurement period. Patient must be at least 30 years old at the time of the test.
Expand
This is captured by:
• An electronic lab result with a valid LOINC code,
• Adding a finding with a valid LOINC code using the Checklist widget in a note,
or
• Adding a numeric result with a valid LOINC code using a Numeric control in a note.
| LOINC: | PAP TEST |
| Code | Description |
| 10524-7 | Microscopic observation [Identifier] in Cervix by Cyto stain |
| 18500-9 | Microscopic observation [Identifier] in Cervix by Cyto stain.thin prep |
| 19762-4 | General categories [interpretation] of Cervical or vaginal smear or scraping by Cyto stain |
| 19764-0 | Statement of adequacy [interpretation] of Cervical or vaginal smear or scraping by Cyto stain |
| 19765-7 | Microscopic observation [Identifier] in Cervical or vaginal smear or scraping by Cyto stain |
| 19766-5 | Microscopic observation [Identifier] in Cervical or vaginal smear or scraping by Cyto stain Narrative |
| 19774-9 | Cytology study comment Cervical or vaginal smear or scraping Cyto stain |
| 33717-0 | Cytology Cervical or vaginal smear or scraping study |
| 47527-7 | Cytology report of Cervical or vaginal smear or scraping Cyto stain.thin prep |
| 47528-5 | Cytology report of Cervical or vaginal smear or scraping Cyto stain |
| LOINC: | HPV TEST |
| 21440-3 | Human papilloma virus 16+18+31+33+35+45+51+52+56 DNA [Presence] in Cervix by Probe |
| 30167-1 | Human papilloma virus 16+18+31+33+35+39+45+51+52+56+58+59+68 DNA [Presence] in Cervix by Probe with signal amplification |
| 38372-9 | Human papilloma virus 6+11+16+18+31+33+35+39+42+43+44+45+51+52+56+58+59+68 DNA [Presence] in Cervix by Probe with signal amplification |
| 59263-4 | Human papilloma virus 16 DNA [Presence] in Cervix by Probe with signal amplification |
| 59264-2 | Human papilloma virus 18 DNA [Presence] in Cervix by Probe with signal amplification |
| 59420-0 | Human papilloma virus 16+18+31+33+35+39+45+51+52+56+58+59+66+68 DNA [Presence] in Cervix by Probe with signal amplification |
| 69002-4 | Human papilloma virus E6+E7 mRNA [Presence] in Cervix by NAA with probe detection |
| 71431-1 | Human papilloma virus 31+33+35+39+45+51+52+56+58+59+66+68 DNA [Presence] in Cervix by NAA with probe detection |
| 75406-9 | Human papilloma virus 16 and 18+45 E6+E7 mRNA [Presence] in Cervix by Probe with amplification |
| 75694-0 | Human papilloma virus 18+45 E6+E7 mRNA [Presence] in Cervix by NAA with probe detection |
| 77379-6 | Human papilloma virus 16 and 18 and 31+33+35+39+45+51+52+56+58+59+66+68 DNA [Interpretation] in Cervix |
| 77399-4 | Human papilloma virus 16 DNA [Presence] in Cervix by NAA with probe detection |
| 77400-0 | Human papilloma virus 18 DNA [Presence] in Cervix by NAA with probe detection |
| 82354-2 | Human papilloma virus 16 and 18+45 E6+E7 mRNA [Identifier] in Cervix by NAA with probe detection |
| 82456-5 | Human papilloma virus 16 E6+E7 mRNA [Presence] in Cervix by NAA with probe detection |
| 82675-0 | Human papilloma virus 16+18+31+33+35+39+45+51+52+56+58+59+66+68 DNA [Presence] in Cervix by NAA with probe detection |
EXCLUSION DETAILS:
Exclusion includes women who had a hysterectomy with no residual cervix OR patients in hospice care during the measurement period. In order to meet the requirements for this exclusion, the appropriate information must be documented in the chart:
• Hysterectomy with no Residual Cervix Procedure or SNOMED (attached to Patient Surgical History) with a date prior to or during the measurement period
Expand
This is captured by adding a procedure with a valid CPT or SNOMED code using the Procedure widget in a note.
| CPT: | |
| Code | Description |
| 51925 | Closure of vesicouterine fistula; with hysterectomy |
| 56308 | Laparoscopy, surgical; with vaginal hysterectomy with or without removal of tube(s), with or without removal of ovary(s) (laparoscopic assisted vaginal hysterectomy) |
| 57540 | Excision of cervical stump, abdominal approach; |
| 57545 | Excision of cervical stump, abdominal approach; with pelvic floor repair |
| 57550 | Excision of cervical stump, vaginal approach; |
| 57555 | Excision of cervical stump, vaginal approach; with anterior and/or posterior repair |
| 57556 | Excision of cervical stump, vaginal approach; with repair of enterocele |
| 58150 | Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); |
| 58152 | Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch) |
| 58200 | Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s) |
| 58210 | Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with or without removal of tube(s), with or without removal of ovary(s) |
| 58240 | Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), with removal of bladder and ureteral transplantations, and/or abdominoperineal resection of rectum and colon and colostomy, or any combination thereof |
| 58260 | Vaginal hysterectomy, for uterus 250 g or less; |
| 58262 | Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) |
| 58263 | Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele |
| 58267 | Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control |
| 58270 | Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele |
| 58275 | Vaginal hysterectomy, with total or partial vaginectomy; |
| 58280 | Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele |
| 58285 | Vaginal hysterectomy, radical (Schauta type operation) |
| 58290 | Vaginal hysterectomy, for uterus greater than 250 g; |
| 58291 | Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) |
| 58292 | Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele |
| 58293 | Vaginal hysterectomy, for uterus greater than 250 g; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control |
| 58294 | Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele |
| 58548 | Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed |
| 58550 | Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; |
| 58552 | Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) |
| 58553 | Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; |
| 58554 | Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) |
| 58570 | Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; |
| 58571 | Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) |
| 58572 | Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; |
| 58573 | Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) |
| 58951 | Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with total abdominal hysterectomy, pelvic and limited para-aortic lymphadenectomy |
| 58953 | Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; |
| 58954 | Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy |
| 58956 | Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy |
| 59135 | Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy requiring total hysterectomy |
| 56308 | Laparoscopy, surgical; with vaginal hysterectomy with or without removal of tube(s), with or without removal of ovary(s) (laparoscopic assisted vaginal hysterectomy) |
| SNOMED: | |
| Code | Description |
| 24293001 | Excision of cervical stump by abdominal approach (procedure) |
| 27185000 | Vaginal hysterectomy with partial colpectomy and repair of enterocele (procedure) |
| 27950001 | Total hysterectomy with unilateral removal of ovary (procedure) |
| 30160001 | Vaginal hysterectomy with total colpectomy and repair of enterocele (procedure) |
| 31545000 | Total hysterectomy with unilateral removal of tube (procedure) |
| 35955002 | Radical vaginal hysterectomy (procedure) |
| 41566006 | Excision of cervical stump by vaginal approach (procedure) |
| 43791001 | Vaginal hysterectomy with total colpectomy (procedure) |
| 54490004 | Vaginal hysterectomy with repair of enterocele (procedure) |
| 59750000 | Total hysterectomy with unilateral removal of tube and ovary (procedure) |
| 63516002 | Vaginal hysterectomy with colpo-urethrocystopexy, Pereyra type (procedure) |
| 75835007 | Laparoscopic-assisted vaginal hysterectomy (procedure) |
| 77902002 | Vaginal hysterectomy with partial colpectomy (procedure) |
| 86477000 | Total hysterectomy with removal of both tubes and ovaries (procedure) |
| 88144003 | Removal of ectopic interstitial uterine pregnancy requiring total hysterectomy (procedure) |
| 112918004 | Vaginal hysterectomy with colpo-urethrocystopexy, Marshall-Marchetti-Krantz type (procedure) |
| 116140006 | Total hysterectomy (procedure) |
| 116142003 | Radical hysterectomy (procedure) |
| 116143008 | Total abdominal hysterectomy (procedure) |
| 116144002 | Total abdominal hysterectomy with bilateral salpingo-oophorectomy (procedure) |
| 236888001 | Total laparoscopic hysterectomy (procedure) |
| 236891001 | Radical laparoscopic hysterectomy (procedure) |
| 265056007 | Vaginal hysterectomy (procedure) |
| 287924009 | Excision of cervix stump (procedure) |
| 307771009 | Radical abdominal hysterectomy (procedure) |
| 309880009 | Vaginal hysterocolpectomy (procedure) |
| 359971002 | Ward-Mayo operation for vaginal hysterectomy (procedure) |
| 359974005 | Tuffier operation for vaginal hysterectomy (procedure) |
| 359977003 | Mayo operation for vaginal hysterectomy (procedure) |
| 359983000 | Heaney operation for vaginal hysterectomy (procedure) |
| 361222003 | Wertheim-Meigs abdominal hysterectomy (procedure) |
| 361223008 | Wertheim operation (procedure) |
| 413145007 | Vaginal hysterectomy with conservation of ovaries (procedure) |
| 414575003 | Laparoscopic total abdominal hysterectomy and bilateral salpingo-oophorectomy (procedure) |
| 441820006 | Laparoscopy assisted vaginal hysterectomy with bilateral salpingo-oophorectomy (procedure) |
| 446446002 | Total abdominal hysterectomy and removal of vaginal cuff (procedure) |
| 446679008 | Total laparoscopic excision of uterus by abdominal approach (procedure) |
| 447771005 | Abdominal hysterectomy and excision of periuterine tissue (procedure) |
| 448539002 | Vaginal hysterectomy and excision of periuterine tissue (procedure) |
| 708877008 | Laparoscopic total hysterectomy using robotic assistance (procedure) |
| 708878003 | Laparoscopic radical hysterectomy using robotic assistance (procedure) |
To document this one of the following must be taken:
Option 1: Inpatient Code and Hospice Discharge Code documented together
Inpatient Encounter Code
- 183452005: Emergency hospital admission (procedure)
- 32485007: Hospital admission (procedure)
- 8715000: Hospital admission, elective (procedure)
AND
Hospice Care Discharge Status SNOMED (one of the following):
- 428371000124100: Discharged to Health Care Facility for Hospice Care
- 428361000124107: Discharged to Home for Hospice Care
Option #2 - Hospice care ambulatory code ORDERED and PERFORMED:
Intervention, Order and Performed: Hospice care ambulatory
-
385763009: Hospice care (regime/therapy)
-
385765002: Hospice care management (procedure)
ADDITIONAL INFORMATION:
• To ensure the measure is only looking for a cervical cytology test only after a woman turns 21 years of age, the youngest age in the initial population is 23. Therefore, the female patient must be at least 23 years and younger than 64 years of age prior to the start of the measurement period.
• It is recommend to include the code used to document the Pap Test in a health maintenance/preventive care procedure checklist.
• The LOINC code for the Pap Test preformed must be linked to a result and must contain the date that the Pap Test was done in the procedure order date. If a result does not exist, a fake procedure code can be added via Practice Manager and then marked as a result and linked the the appropriate LOINC Code in Clinical.
• The LOINC code should NOT be linked to the code used to order the Pap Test.
• If using the SNOMED code to indicate hysterectomy, it must be linked to an applicable entry in the patient's surgical history. This is done via the surgical history button in a note.
• 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