CMS 129 - Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients

Overview

CMS129v9 (2020)

CMS129v10 (2021)

CMS129v11 (2022)

Identifiers

CMS eCQM IDNQF eCQM IDNQFMIPS Quality ID
CMS129v110389e0389102

*MIE only supports data collection and reporting using eCQM specifications

Definitions

DescriptionPercentage of patients, regardless of age, with a diagnosis of prostate cancer at low (or very low) risk of recurrence receiving interstitial prostate brachytherapy, OR external beam radiotherapy to the prostate, OR radical prostatectomy who did not have a bone scan performed at any time since diagnosis of prostate cancer
Initial Patient PopulationAll patients, regardless of age, with a diagnosis of prostate cancer
DenominatorEquals Initial Population at low (or very low) risk of recurrence receiving interstitial prostate brachytherapy, OR external beam radiotherapy to the prostate, OR radical prostatectomy
Denominator Exclusions
NumeratorPatients who did not have a bone scan performed at any time since diagnosis of prostate cancer
Numerator Exclusions
Denominator ExceptionsDocumentation of reason(s) for performing a bone scan (including documented pain, salvage therapy, other medical reasons, or bone scan ordered by someone other than reporting clinician)

Additional Information

Measure TypeProcess measure
Measure ScoringProportion measure
GranularityPatient
Improvement NotationHigher score indicates better quality
DomainEfficiency and Cost Reduction

Clinical Instructions

New UI Visit Encounter (valid RC202109+)

Original Visit Encounter

Evidence

Initial Patient Population

NameValue Set
Diagnosis: Prostate Cancer2.16.840.1.113883.3.526.3.319
Laboratory Test, Performed: Gleason score in Specimen QualitativeLOINC Code 35266-6
Laboratory Test, Performed: Prostate Specific Antigen Test2.16.840.1.113883.3.526.3.401
Procedure, Performed: Cancer staging (tumor staging)SNOMEDCT Code 258232002

Denominator Exclusions

NameValue Set
Diagnosis: Pain Related to Prostate Cancer2.16.840.1.113883.3.526.3.451
Procedure, Performed: Prostate Cancer Treatment2.16.840.1.113883.3.526.3.398

Numerator

NameValue Set
Diagnostic Study, Performed: Bone Scan2.16.840.1.113883.3.526.3.320

Source(s)

eCQI CMS129


WebChart Documentation

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