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.
- Option 1: Document in the Past Procedures 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.
- Using WebScan, scan and index the appropriate document type configured with the necessary 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 |