CMS 130 - Colorectal Cancer Screening

CMS130v5 (2017)

CMS130v6 (2018)

CMS130v7 (2019)

Description: Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer.

Initial Patient Population: Patients 50-75 years of age with a visit during the measurement period.

Denominator: Equals Initial Population

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

Inverse Measure: No

Clinical Instructions

Ensure patients aged 50-75 are screened for colorectal cancer. Use the Past Procedures section of the encounter to record a previous Fecal Occult Blood Test (FOBT), Flexible Sigmoidoscopy, Colonoscopy Screening, FIT-DNA, or CT Colonography; otherwise, use the Visit Orders section of the encounter to order/perform one of the recognized procedures at the time of the encounter.

While documenting the Visit encounter, either record the previous procedure or the receipt of the colorectal screening, or order and perform the screening, as appropriate:
- Option 1: Document in the Past Procedures section
  - Open the Past Procedures section.
  - Using the Procedure autocomplete, begin typing the name of the diagnostic procedure (e.g., Colonoscopy) with the appropriate Concept ID.
  - Add the Date and any relevant Notes.
  - Click the Next button, or close the section.
- Option 2: Document in the Preventive Care section
  - Open the Preventive Care section.
  - Provide the date of the last reported procedure in the Enter New Date field (e.g., 01-17-2019). This date is the Last Reported Date.
  - Click the Next button, or close the section.
- Option 3: Document in the Tests and Procedures section IF performing the screening in-house
  - Open the Tests and Procedures section.
  - Using the autocomplete, begin typing the appropriate procedure name.
  - Click the Add to Exam button.
  - After adding the new section, open the procedure section and add any results or findings.
  - Click the Next button, or close the section.
Continue documenting the encounter, as needed.
When completed, Close and Archive the encounter.
Option 4: Scan/Index or Upload an accepted screening document
- Using WebScan, scan and index the appropriate document type configured with the necessary LOIN-C.
  - Scan/Index or Upload the Colonoscopy Screening document type (COLON) configured with the necessary Concept ID (73761001).
  - Scan/Index or Upload the Fecal Occult Blood Test document type (FOBT) configured with the necessary LOIN-C (2335-8); otherwise, add the FOBT observation and ensure it is configured with the 2335-8 LOIN-C.
  - Scan/Index or Upload the Flexible Sigmoidoscopy document type (FLEXSIG) configured with the necessary Concept ID (44441009).
  - Scan/Index or Upload the Computed Tomographic Colongraphy document type (CTC) configured with the necessary Concept ID (418714002).
  - Add the Fit DNA observation to the chart either manually, or via an established interface, and ensure the observation is configured with the 77354-9 LOIN-C.

Evidence

Initial Patient Population

Name	Value Set
Encounter, Performed: Annual Wellness Visit	2.16.840.1.113883.3.526.3.1240
Encounter, Performed: Home Healthcare Services	2.16.840.1.113883.3.464.1003.101.12.1016
Encounter, Performed: Office Visit	2.16.840.1.113883.3.464.1003.101.12.1001
Encounter, Performed: Preventive Care Services - Established Office Visit, 18 and Up	2.16.840.1.113883.3.464.1003.101.12.1025
Encounter, Performed: Preventive Care Services-Initial Office Visit, 18 and Up	2.16.840.1.113883.3.464.1003.101.12.1023

Denominator

Equals Initial Population

Numerator

Name	Value Set
Colonoscopy	2.16.840.1.113883.3.464.1003.108.12.1020
CT Colonography	2.16.840.1.113883.3.464.1003.108.12.1038
Fecal Occult Blood Test (FOBT)	2.16.840.1.113883.3.464.1003.198.12.1011
FIT DNA	2.16.840.1.113883.3.464.1003.108.12.1039
Flexible Sigmoidoscopy	2.16.840.1.113883.3.464.1003.198.12.1010

Denominator Exclusion

Name	Value Set
Intervention, Order: Hospice care ambulatory	2.16.840.1.113762.1.4.1108.15
Intervention, Performed: Hospice care ambulatory	2.16.840.1.113762.1.4.1108.15
Malignant Neoplasm of Colon	2.16.840.1.113883.3.464.1003.108.12.1001
Total Colectomy	2.16.840.1.113883.3.464.1003.198.12.1019

Source(s)

Medical Codify