CMS125v8 – Breast Cancer Screening

Women 51-74 years of age with a visit during the measurement period.

– DENOMINATOR 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.

Exclude patients whose hospice care overlaps the measurement period.

Exclude patients 66 and older who are living long term in an institution for more than 90 days during the measurement period.

Exclude patients 66 and older with advanced illness and frailty because it is unlikely that patients will benefit from the services being measured.

– NUMERATOR

Women with one or more mammograms during the 27 months prior to the end of the measurement period

For Denominator:
Women, 51-74 years of age, with a visit during the measurement period are included in the denominator of this measure. To record a visit, navigate to Patient > Provider Note > eSuperbill

For Numerator:
During the measurement period or the year prior to the measurement period, if the patient has one or more mammograms, then she gets included in the numerator. To record Mammogram, navigate to Patient > Clinical > Evaluations

Denominator Exclusions:
If a patient has a bilateral mastectomy or for whom there is evidence of two unilateral mastectomies, she gets excluded from the denominator. To record diagnosis for denominator exclusion, navigate to Patient > Clinical > Diagnosis