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
Otherwise, must be FALSE

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