CMS125v7 – 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.

– NUMERATOR

Women with one or more mammograms during the measurement period or the 15 months prior to 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:

Women with one or more mammograms during the measurement period or 15 months prior to the measurement period is included in the numerator. To record a mammography, navigate to Patient > Clinical > Evaluations.

User can add Mammogram through eSuperbills (Patient > Provider Notes > eSuperbills) if HCPCS such as. G0202, G0203 and G0204 are used.

For Denominator Exclusions:

If the patient 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, then she gets excluded from the denominator.

Also, exclude patients whose hospice care overlaps the measurement period, to record it navigate to Patient > Clinical  > Evaluation.

To record any of the following, navigate to:

• Unilateral Mastectomy Procedure (Patient > Clinical > Orders and Results > Procedures or Patient > Clinical  > Evaluation)
• Right Mastectomy (Patient > Clinical > Diagnosis)
• Left Mastectomy (Patient > Clinical > Diagnosis)
• History Bilateral Mastectomy (Patient > Clinical > Diagnosis)
• Bilateral Mastectomy Procedure (Patient > Clinical > Orders and Results > Procedures or Patient > Clinical  > Evaluation)

To learn more about how to add Evaluations, click here.

NOTE:
For procedure orders attached with any provider note, relevant LOINC code is linked with each CPT.