Colorectal Cancer Screening

Last updated: May 17, 2016

CMS Measure ID: CMS130v4
Version: 4
NQF Number: 0034
Measure 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 Statement:

Equals Initial Population

Denominator Exclusions:

Patients with a diagnosis or past history of total colectomy or colorectal cancer

Numerator Statement:

Patients with one or more screenings for colorectal cancer. Appropriate screenings are defined by any one of the following criteria below:

  • 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
Numerator Exclusions:

Not Applicable

Denominator Exceptions:

None

Measure Steward: National Committee for Quality Assurance
Domain: Effective Clinical Care
Next Version: Colorectal Cancer Screening
Previous Version: Colorectal Cancer Screening
Measure Score: Proportion
Improvement Notation:

Higher score indicates better quality

Guidance:

None

Specifications

Release Notes

Header

  • Copyright updated.
  • Disclaimer updated.
  • eMeasure version number incremented.

Logic

  • Changed data type of 'result' or 'finding' to 'performed'.
  • Replaced 'ends before or during' (EBOD) with 'ends before end of' (EBE). As necessary, edited the associated number of (days, months, years) to maintain the same time period to accommodate the new timing operator.
  • Replaced 'ORs' with 'Union of' operator.
  • Replaced 'Patient Characteristic Birthdate' with 'Age at' operator.
  • Replaced 'starts before or during' (SBOD) with 'starts before end of' (SBE).
  • The top level logical operator for the Numerator Exclusions, Denominator Exclusions, Denominator Exceptions, and Measure Population Exclusions defaults to 'OR'.

Value Sets

  • Value Set Colonoscopy (OID 2.16.840.1.113883.3.464.1003.108.12.1020): Deleted 1 SNOMED code (418714002).
  • Value set Malignant Neoplasm of Colon (OID 2.16.840.1.113883.3.464.1003.108.12.1001): Added 4 ICD-10CM (C21.0, C21.1, C21.2, C21.8) and 2 ICD9CM (154.2, 154.3) codes.

External Resources