Description

Percentage of women 40 - 74* years of age who had a mammogram to screen for breast cancer in the 27 months prior

to the end of the measurement period.


*As of 03/20/25 discrepancies were found in the CMS specification with conflicting age ranges. Patient360 is awaiting clarification from CMS. 


Download Template


Measure Template

Field

Description

Provider NPI

10-digit NPI number related to this instance

Provider TIN *

9-digit TIN number related to this instance

Patient ID *

Patient identifier from source system

First Name *

Patient first name, used for de-duplication

Last Name *

Patient last name, used for de-duplication

Gender *

Patient gender

Date of service, YYYY/MM/DD *

Service date for this instance, must be within reporting year

Patient date of birth, YYYY/MM/DD *

Patient birth date

Payer

Primary insurance payer

Suggested values are: “Medicare Part B FFS” or “Other”

Encounter code *

CPT/HCPCS code for this instance

Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy *

Must be TRUE for the G9708 exclusion
Otherwise, must be FALSE

Hospice services used by patient any time during the measurement period *

Must be TRUE for the G9709 exclusion

Otherwise, must be FALSE

Palliative care services used by patient any time during the measurement period *

Must be TRUE if asserting G9992 exclusion

Otherwise, must be FALSE

Patients age 66 or older in Institutional Special Needs Plans (SNP) or residing in long term care with POS code 32, 33, 34, 54, or 56 for more than 90 consecutive days during the measurement period*

Must be TRUE if asserting G9898 exclusion

Otherwise, must be FALSE

Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period AND a dispensed medication for dementia during the measurement period or the year prior to the measurement period *

Must be TRUE if asserting G2098 exclusion

Otherwise, must be FALSE

Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period AND an advanced illness diagnosis during the measurement period or the year prior to the measurement period *

Must be TRUE if asserting G2099 exclusion

Otherwise, must be FALSE

Measure 112 *

Numerator response code for this instance - see acceptable codes below

* Indicates a mandatory field 


Numerator Response Codes

The table below defines the acceptable numerator response codes for measure 112.


Numerator Code

Performance

Description

G9899

Met

Screening, diagnostic, film, digital or digital breast Tomosynthesis (3D) mammography results documented and reviewed

G9900

Not Met

Screening, diagnostic, film, digital or digital breast Tomosynthesis (3D) mammography results were not documented and reviewed, reason not otherwise specified 

G9708

Exclusion

Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy

G9709

Exclusion

Hospice services used by patient any time during the measurement period

G9992

Exclusion

Palliative care services used by patient any time during the measurement period 

G9898

Exclusion

Patients age 66 or older in Institutional Special Needs Plans (SNP) or residing in long term care with POS code 32, 33, 34, 54, or 56 for more than 90 consecutive days during the measurement period

G2098

Exclusion

Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period AND a dispensed medication for dementia during the measurement period or the year prior to the measurement period

G2099

Exclusion

Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period AND an advanced illness diagnosis during the measurement period or the year prior to the measurement period