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CMS 130 Colorectal Cancer Screening

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      ​Thank you for your inquiry for CMS130v11, Colorectal Cancer Screening. FIT-DNA tests during the measurement period or the two years prior to the measurement period would qualify for the Numerator criteria. In the measure specification, qualifying FIT-DNA tests are defined by the codes listed in the following value set "FIT DNA", i.e., LOINC 77353-1 (Noninvasive colorectal cancer DNA and occult blood screening [Interpretation] in Stool Narrative) and LOINC 77354-9 (Noninvasive colorectal cancer DNA and occult blood screening [Presence] in Stool), which may be in use for but are not limited to the branded Cologuard FIT-DNA test. Equivalent services can be mapped to the measure's value sets. If mapping is done, you should maintain documentation in case of a CMS audit
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      ​Thank you for your inquiry for CMS130v11, Colorectal Cancer Screening. FIT-DNA tests during the measurement period or the two years prior to the measurement period would qualify for the Numerator criteria. In the measure specification, qualifying FIT-DNA tests are defined by the codes listed in the following value set "FIT DNA", i.e., LOINC 77353-1 (Noninvasive colorectal cancer DNA and occult blood screening [Interpretation] in Stool Narrative) and LOINC 77354-9 (Noninvasive colorectal cancer DNA and occult blood screening [Presence] in Stool), which may be in use for but are not limited to the branded Cologuard FIT-DNA test. Equivalent services can be mapped to the measure's value sets. If mapping is done, you should maintain documentation in case of a CMS audit
    • CMS0130v11

      I am looking for clarification for performance year 2023. If a patient has the Cologuard screening would it satisfy the measure for 2 years as a FIT -DNA?

            edave Mathematica EC eCQM Team
            renee.martinez Renee Martinez
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