| eCQM / NQF #: | CMS130v7 / 0034 |
| Measure: | Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer. |
| Numerator: | Patients with one or more screenings for colorectal cancer. Appropriate screenings are defined by any one of the following criteria: - Fecal occult blood test (FOBT) during the measurement period - Flexible sigmoidoscopy during the measurement period or the four years prior to the measurement period - Colonoscopy during the measurement period or the nine years prior to the measurement period - FIT-DNA during the measurement period or the two years prior to the measurement period - CT Colonography during the measurement period or the four years prior to the measurement period. |
| Denominator: | Patients 50-75 years of age with a visit during the measurement period. |
| Denominator Exclusions: | Patients with a diagnosis or past history of total colectomy or colorectal cancer. 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 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, Home Healthcare Service, or Annual Wellness Visit during the measurement period
Expand
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 |
| 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:
At least one of the following:
The LOINC code needs to be linked to the applicable result from an electronic lab interface or from a numeric field in the chart note. Either item must be a configured as a result in it's properties.
| LOINC: | |
| Code | Description |
| 12503-9 | Hemoglobin.gastrointestinal [Presence] in Stool --4th specimen |
| 12504-7 | Hemoglobin.gastrointestinal [Presence] in Stool --5th specimen |
| 14563-1 | Hemoglobin.gastrointestinal [Presence] in Stool --1st specimen |
| 14564-9 | Hemoglobin.gastrointestinal [Presence] in Stool --2nd specimen |
| 14565-6 | Hemoglobin.gastrointestinal [Presence] in Stool --3rd specimen |
| 2335-8 | Hemoglobin.gastrointestinal [Presence] in Stool |
| 27396-1 | Hemoglobin.gastrointestinal [Mass/mass] in Stool |
| 27401-9 | Hemoglobin.gastrointestinal [Presence] in Stool --6th specimen |
| 27925-7 | Hemoglobin.gastrointestinal [Presence] in Stool --7th specimen |
| 27926-5 | Hemoglobin.gastrointestinal [Presence] in Stool --8th specimen |
| 29771-3 | Hemoglobin.gastrointestinal [Presence] in Stool by Immunologic method |
| 56490-6 | Hemoglobin.gastrointestinal [Presence] in Stool by Immunologic method --2nd specimen |
| 56491-4 | Hemoglobin.gastrointestinal [Presence] in Stool by Immunologic method --3rd specimen |
| 57905-2 | Hemoglobin.gastrointestinal [Presence] in Stool by Immunologic method --1st specimen |
| 58453-2 | Hemoglobin.gastrointestinal [Mass/volume] in Stool by Immunologic method |
| 80372-6 | Hemoglobin.gastrointestinal [Presence] in Stool by Rapid immunoassay |
• Flexible Sigmoidoscopy Code (CPT or SNOMED) during or within 4 years of the measurement period
Expand
| 396226005 | Flexible fiberoptic sigmoidoscopy with biopsy (procedure) |
| 425634007 | Diagnostic endoscopic examination of lower bowel and sampling for bacterial overgrowth using fiberoptic sigmoidoscope (procedure) |
| 44441009 | Flexible fiberoptic sigmoidoscopy (procedure) |
| 45330 | Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) |
| 45331 | Sigmoidoscopy, flexible; with biopsy, single or multiple |
| 45332 | Sigmoidoscopy, flexible; with removal of foreign body(s) |
| 45333 | Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps |
| 45334 | Sigmoidoscopy, flexible; with control of bleeding, any method |
| 45335 | Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance |
| 45337 | Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed |
| 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 transendoscopic balloon dilation |
| 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) |
| 45346 | Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) |
| 45347 | Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) |
| 45349 | Sigmoidoscopy, flexible; with endoscopic mucosal resection |
| 45350 | Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) |
| G0104 | Colorectal cancer screening; flexible sigmoidoscopy |
| 12350003 | Colonoscopy with rigid sigmoidoscope through colotomy (procedure) |
| 174158000 | Open colonoscopy (procedure) |
| 235150006 | Total colonoscopy (procedure) |
| 235151005 | Limited colonoscopy (procedure) |
| 25732003 | Fiberoptic colonoscopy with biopsy (procedure) |
| 310634005 | Check colonoscopy (procedure) |
| 34264006 | Intraoperative colonoscopy (procedure) |
| 367535003 | Fiberoptic colonoscopy (procedure) |
| 425672002 | Diagnostic endoscopic examination of ileoanal pouch and biopsy of ileoanal pouch using colonoscope (procedure) |
| 425937002 | Diagnostic endoscopic examination of enteric pouch using colonoscope (procedure) |
| 427459009 | Diagnostic endoscopic examination of colonic pouch and biopsy of colonic pouch using colonoscope (procedure) |
| 44388 | Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) |
| 44389 | Colonoscopy through stoma; with biopsy, single or multiple |
| 44390 | Colonoscopy through stoma; with removal of foreign body(s) |
| 44391 | Colonoscopy through stoma; with control of bleeding, any method |
| 44392 | Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps |
| 44393 | Colonoscopy 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 |
| 44394 | Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique |
| 44397 | Colonoscopy through stoma; with transendoscopic stent placement (includes predilation) |
| 443998000 | Colonoscopy through colostomy with endoscopic biopsy of colon (procedure) |
| 44401 | Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre-and post-dilation and guide wire passage, when performed) |
| 44402 | Colonoscopy through stoma; with endoscopic stent placement (including pre- and post-dilation and guide wire passage, when performed) |
| 44403 | Colonoscopy through stoma; with endoscopic mucosal resection |
| 44404 | Colonoscopy through stoma; with directed submucosal injection(s), any substance |
| 44405 | Colonoscopy through stoma; with transendoscopic balloon dilation |
| 44406 | Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures |
| 44407 | Colonoscopy through stoma; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures |
| 44408 | Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed |
| 444783004 | Screening colonoscopy (procedure) |
| 446521004 | Colonoscopy and excision of mucosa of colon (procedure) |
| 446745002 | Colonoscopy and biopsy of colon (procedure) |
| 447021001 | Colonoscopy and tattooing (procedure) |
| 45355 | Colonoscopy, rigid or flexible, transabdominal via colotomy, single or multiple |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) |
| 45379 | Colonoscopy, flexible; with removal of foreign body(s) |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple |
| 45381 | Colonoscopy, flexible; with directed submucosal injection(s), any substance |
| 45382 | Colonoscopy, flexible; with control of bleeding, any method |
| 45383 | Colonoscopy, 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 |
| 45384 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique |
| 45386 | Colonoscopy, flexible; with transendoscopic balloon dilation |
| 45387 | Colonoscopy, flexible, proximal to splenic flexure; with transendoscopic stent placement (includes predilation) |
| 45388 | Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) |
| 45389 | Colonoscopy, flexible; with endoscopic stent placement (includes pre- and post-dilation and guide wire passage, when performed) |
| 45390 | Colonoscopy, flexible; with endoscopic mucosal resection |
| 45391 | Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures |
| 45392 | Colonoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures |
| 45393 | Colonoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed |
| 45398 | Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) |
| 709421007 | Colonoscopy and dilatation of stricture of colon (procedure) |
| 710293001 | Colonoscopy using fluoroscopic guidance (procedure) |
| 711307001 | Colonoscopy using X-ray guidance (procedure) |
| 713154003 | Endoscopic submucosal dissection of rectum using colonoscope (procedure) |
| 73761001 | Colonoscopy (procedure) |
| 8180007 | Fiberoptic colonoscopy through colostomy (procedure) |
| 851000119109 | History of colonoscopy (situation) |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk |
The LOINC code needs to be linked to the applicable result from an electronic lab interface or from a numeric field in the chart note. Either item must be a configured as a result in it's properties.
LOINC:
| Code | Description |
| 77353-1 | Noninvasive colorectal cancer DNA and occult blood screening [Interpretation] in Stool Narrative |
| 77354-9 | Noninvasive colorectal cancer DNA and occult blood screening [Presence] in Stool |
| 418714002 | Virtual computed tomography colonoscopy (procedure) |
| 74261 | Computed tomographic (CT) colonography, diagnostic, including image postprocessing; without contrast material |
| 74262 | Computed tomographic (CT) colonography, diagnostic, including image postprocessing; with contrast material(s) including non-contrast images, if performed |
| 74263 | Computed tomographic (CT) colonography, screening, including image postprocessing |
EXCLUSION DETAILS:
Exclusion includes patients with a diagnosis or past history of Total Colectomy or Colorectal Cancer OR who were in hospice care during the measurement period. In order to meet the requirement for this exclusion, the appropriate information must be documented in the chart (at least one of the following):
| 109838007 | Overlapping malignant neoplasm of colon (disorder) |
| 133751000119102 | Lymphoma of colon (disorder) |
| 153.0 | Malignant neoplasm of hepatic flexure |
| 153.1 | Malignant neoplasm of transverse colon |
| 153.2 | Malignant neoplasm of descending colon |
| 153.3 | Malignant neoplasm of sigmoid colon |
| 153.4 | Malignant neoplasm of cecum |
| 153.5 | Malignant neoplasm of appendix vermiformis |
| 153.6 | Malignant neoplasm of ascending colon |
| 153.7 | Malignant neoplasm of splenic flexure |
| 153.8 | Malignant neoplasm of other specified sites of large intestine |
| 153.9 | Malignant neoplasm of colon, unspecified site |
| 154.0 | Malignant neoplasm of rectosigmoid junction |
| 154.1 | Malignant neoplasm of rectum |
| 1701000119104 | Primary adenocarcinoma of colon (disorder) |
| 184881000119106 | Primary adenocarcinoma of rectosigmoid junction (disorder) |
| 187757001 | Malignant neoplasm, overlapping lesion of colon (disorder) |
| 187758006 | Malignant neoplasm of other specified sites of colon (disorder) |
| 197.5 | Secondary malignant neoplasm of large intestine and rectum |
| 269533000 | Carcinoma of colon (disorder) |
| 269544008 | Carcinoma of the rectosigmoid junction (disorder) |
| 285312008 | Carcinoma of sigmoid colon (disorder) |
| 285611007 | Metastasis to colon of unknown primary (disorder) |
| 301756000 | Adenocarcinoma of sigmoid colon (disorder) |
| 312111009 | Carcinoma of ascending colon (disorder) |
| 312112002 | Carcinoma of transverse colon (disorder) |
| 312113007 | Carcinoma of descending colon (disorder) |
| 312114001 | Carcinoma of hepatic flexure (disorder) |
| 312115000 | Carcinoma of splenic flexure (disorder) |
| 314965007 | Local recurrence of malignant tumor of colon (disorder) |
| 315058005 | Hereditary nonpolyposis colon cancer (disorder) |
| 363406005 | Malignant neoplasm of colon (disorder) |
| 363407001 | Malignant tumor of hepatic flexure (disorder) |
| 363408006 | Malignant tumor of transverse colon (disorder) |
| 363409003 | Malignant tumor of descending colon (disorder) |
| 363410008 | Malignant tumor of sigmoid colon (disorder) |
| 363412000 | Malignant tumor of ascending colon (disorder) |
| 363413005 | Malignant tumor of splenic flexure (disorder) |
| 363414004 | Malignant tumor of rectosigmoid junction (disorder) |
| 363510005 | Malignant tumor of large intestine (disorder) |
| 425178004 | Adenocarcinoma of rectosigmoid junction (disorder) |
| 449218003 | Lymphoma of sigmoid colon (disorder) |
| 681601000119101 | Primary adenocarcinoma of ascending colon (disorder) |
| 716654007 | Non-polyposis Turcot syndrome (disorder) |
| 721695008 | Primary adenocarcinoma of ascending colon and right flexure (disorder) |
| 721696009 | Primary adenocarcinoma of transverse colon (disorder) |
| 721699002 | Primary adenocarcinoma of descending colon and splenic flexure (disorder) |
| 737058005 | Microsatellite instability-high colorectal cancer (disorder) |
| 93683002 | Primary malignant neoplasm of ascending colon (disorder) |
| 93761005 | Primary malignant neoplasm of colon (disorder) |
| 93771007 | Primary malignant neoplasm of descending colon (disorder) |
| 93826009 | Primary malignant neoplasm of hepatic flexure of colon (disorder) |
| 93980002 | Primary malignant neoplasm of rectosigmoid junction (disorder) |
| 94006002 | Primary malignant neoplasm of sigmoid colon (disorder) |
| 94072004 | Primary malignant neoplasm of splenic flexure of colon (disorder) |
| 94105000 | Primary malignant neoplasm of transverse colon (disorder) |
| 94179005 | Secondary malignant neoplasm of ascending colon (disorder) |
| 94260004 | Secondary malignant neoplasm of colon (disorder) |
| 94271003 | Secondary malignant neoplasm of descending colon (disorder) |
| 94328005 | Secondary malignant neoplasm of hepatic flexure of colon (disorder) |
| 94509004 | Secondary malignant neoplasm of rectosigmoid junction (disorder) |
| 94538001 | Secondary malignant neoplasm of sigmoid colon (disorder) |
| 94604000 | Secondary malignant neoplasm of splenic flexure of colon (disorder) |
| 94643001 | Secondary malignant neoplasm of transverse colon (disorder) |
| 96281000119107 | Overlapping malignant neoplasm of colon and rectum (disorder) |
| 96981000119102 | Malignant neoplasm of rectosigmoid junction metastatic to brain (disorder) |
| C18.0 | Malignant neoplasm of cecum |
| C18.1 | Malignant neoplasm of appendix |
| C18.2 | Malignant neoplasm of ascending colon |
| C18.3 | Malignant neoplasm of hepatic flexure |
| C18.4 | Malignant neoplasm of transverse colon |
| C18.5 | Malignant neoplasm of splenic flexure |
| C18.6 | Malignant neoplasm of descending colon |
| C18.7 | Malignant neoplasm of sigmoid colon |
| C18.8 | Malignant neoplasm of overlapping sites of colon |
| C18.9 | Malignant neoplasm of colon, unspecified |
| C19 | Malignant neoplasm of rectosigmoid junction |
| C20 | Malignant neoplasm of rectum |
| C21.2 | Malignant neoplasm of cloacogenic zone |
| C21.8 | Malignant neoplasm of overlapping sites of rectum, anus and anal canal |
| C78.5 | Secondary malignant neoplasm of large intestine and rectum |
• Total Colectomy Procedure or SNOMED (attached to Patient Surgical History) Code that occurred prior to or during the measurement period
Expand
| 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) |
| 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) |
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:
• 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 Occult Blood Test (FOBT) and FIT DNA LOINC code can be linked to the applicable result from an electronic interface or from a numeric field in the chart note. Either item must be configured as a result in it's properties.
• 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.