CMS 124 - Cervical Cancer Screening

Overview

CMS124v12 (2024)

CMS124v11 (2023)

CMS124v10 (2022)

Identifiers

*MIE only supports data collection and reporting using eCQM specifications

Definitions

Additional Information

Clinical Instructions

Ensure all women aged 24-64 are screened for cervical cancer on the following schedule. Beginning at age 21, women should be screened using a Pap Test at least once every 3 years. Alternatively, beginning at age 30, women can be screened using an HPV Test at least once every 5 years. Laboratory screening tests will be recorded as observations with results either manually entered or received from a laboratory interface.

Numerator Compliance

Workflow A

1. To document a known test and result while documenting the Visit encounter, open the Tests and Procedures section
2. Search for the appropriate screening test

• For patients under 30, use a Pap Test (2.16.840.1.113883.3.464.1003.108.12.1017)
• For patients 30+, use either a Pap Test or HPV Test (2.16.840.1.113883.3.464.1003.110.12.1059)

3. Click Add to Exam
4. Open the newly added test section and record the test result
5. Complete the test and close the section
6. Continue documenting the encounter, as appropriate
7. When completed, Close and Archive the encounter

Workflow B

1. To order a future test while documenting the Visit encounter, open the Visit Orders section
2. Search for the appropriate screening test

• For patients under 30, use a Pap Test (2.16.840.1.113883.3.464.1003.108.12.1017)
• For patients 30+, use either a Pap Test or HPV Test (2.16.840.1.113883.3.464.1003.110.12.1059)

3. Click Add
4. Close the Visit Orders section
5. Continue documenting the encounter, as appropriate
6. When completed, Close and Archive the encounter
7. The order added during the encounter MUST be resulted and completed with an appropriately coded observation in order to meet numerator compliance

Denominator Exclusion Compliance

Workflow A

1. While documenting the encounter, record an active diagnosis of Congenital or Acquired Absence of Cervix (2.16.840.1.113883.3.464.1003.111.12.1016)

• Use the Smart Plan section quick lists to record the condition

OR

• Use the Past Medical History section quick lists to record the condition

OR

• Use the Symptoms/Diagnosis section quick lists to record the condition

2. Continue documenting the encounter, as appropriate
3. When completed, Close and Archive the encounter
4. This can also be documented outside of an encounter

Workflow B

1. While documenting the encounter, record a procedure of Hysterectomy with No Residual Cervix (2.16.840.1.113883.3.464.1003.198.12.1014)

• Use the Smart Plan section quick lists to record the procedure

OR

• Use the Past Procedures section quick lists to record the procedure

2. Continue documenting the encounter, as appropriate
3. When completed, Close and Archive the encounter
4. This can also be documented outside of an encounter

Workflow C

1. Use the Long-Term, Chronic, and End of Life Care instructions to document one or more of the following
   1. Palliative Care
   2. Hospice Care

Evidence

Initial Patient Population

Denominator Exclusions

Numerator

Source(s)

eCQI CMS124

Revision History