Description
Percentage of patients 45-75 years of age who had appropriate screening for colorectal cancer.
Download Template (See below)
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 |
Patients with a diagnosis or past history of total colectomy or colorectal cancer * | Must be TRUE for the G9711 exclusion |
Patient was provided hospice services any time during the measurement period * | Must be TRUE for the G9710 exclusion Otherwise, must be FALSE |
Patient was provided palliative care services any time during the measurement period * | Must be TRUE if asserting G9993 exclusion Otherwise, must be FALSE |
Patient 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 G9901 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 G2100 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 G2101 exclusion Otherwise, must be FALSE |
Measure 113 * | 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 113.
Numerator Code | Performance | Description |
|---|---|---|
3017F | Met | Colorectal cancer screening results documented and reviewed |
3017F with 8P | Not Met | Colorectal cancer screening results were not documented and reviewed, reason not otherwise specified |
G9711 | Exclusion | Patients with a diagnosis or past history of total colectomy or colorectal cancer |
G9710 | Exclusion | Patient was provided hospice services any time during the measurement period |
G9993 | Exclusion | Palliative care services used by patient any time during the measurement period |
G9901 | Exclusion | Patient 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 |
G2100 | 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 |
G2101 | 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 |