2025 eCQM Measure 124 Cervical Cancer Screening - "Self Collect"

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    • Type: EC eCQMs - Eligible Clinicians
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • Kimberly Davis
    • 623-340-5882
    • Banner Health
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      Thank you for your inquiry regarding CMS124v13 (2025 Performance Period). Self-reported Cervical Cytology or HPV test are an acceptable criterion for this measure given they are performed within the required timeframe, are documented using a code from the "Pap Test" value set (OID: 2.16.840.1.113883.3.464.1003.108.12.1017) or "HPV Test" value set (OID: 2.16.840.1.113883.3.464.1003.110.12.1059), documented in a structured field in the EHR, have a non-null result, and approved for entry by a physician for the management of care. A non-null result can be interpreted as a result that is present in the electronic record in which any entry is acceptable; no specific value or code is required. Please see snippets of the logic below.

      If you have questions about understanding measure requirements, you may refer to the "Guide for Reading eCQMs" for additional guidance. If you have questions regarding implementing the measure, you may refer to the "Implementation Checklist for eCQM Annual Update" for additional guidance. These resources can be found in the eCQI Resource Center:
      https://ecqi.healthit.gov/ep-ec?qt-tabs_ep=ecqm-resources&global_measure_group=eCQMs.

      HPV Test Within 5 Years for Women Age 30 and Older
      ["Laboratory Test, Performed": "HPV Test"] HPVTest
      where AgeInYearsAt(date from Global."LatestOf"(HPVTest.relevantDatetime, HPVTest.relevantPeriod))>= 30
      and Global."LatestOf" ( HPVTest.relevantDatetime, HPVTest.relevantPeriod ) during day of Interval[start of "Measurement Period" - 4 years,
      end of "Measurement Period"]
      and HPVTest.result is not null

      Cervical Cytology Within 3 Years
      ["Laboratory Test, Performed": "Pap Test"] CervicalCytology
      where Global."LatestOf" ( CervicalCytology.relevantDatetime, CervicalCytology.relevantPeriod ) during day of Interval[start of "Measurement Period" - 2 years, end of "Measurement Period"]
      and CervicalCytology.result is not null
      Show
      Thank you for your inquiry regarding CMS124v13 (2025 Performance Period). Self-reported Cervical Cytology or HPV test are an acceptable criterion for this measure given they are performed within the required timeframe, are documented using a code from the "Pap Test" value set (OID: 2.16.840.1.113883.3.464.1003.108.12.1017) or "HPV Test" value set (OID: 2.16.840.1.113883.3.464.1003.110.12.1059), documented in a structured field in the EHR, have a non-null result, and approved for entry by a physician for the management of care. A non-null result can be interpreted as a result that is present in the electronic record in which any entry is acceptable; no specific value or code is required. Please see snippets of the logic below. If you have questions about understanding measure requirements, you may refer to the "Guide for Reading eCQMs" for additional guidance. If you have questions regarding implementing the measure, you may refer to the "Implementation Checklist for eCQM Annual Update" for additional guidance. These resources can be found in the eCQI Resource Center: https://ecqi.healthit.gov/ep-ec?qt-tabs_ep=ecqm-resources&global_measure_group=eCQMs . HPV Test Within 5 Years for Women Age 30 and Older ["Laboratory Test, Performed": "HPV Test"] HPVTest where AgeInYearsAt(date from Global."LatestOf"(HPVTest.relevantDatetime, HPVTest.relevantPeriod))>= 30 and Global."LatestOf" ( HPVTest.relevantDatetime, HPVTest.relevantPeriod ) during day of Interval[start of "Measurement Period" - 4 years, end of "Measurement Period"] and HPVTest.result is not null Cervical Cytology Within 3 Years ["Laboratory Test, Performed": "Pap Test"] CervicalCytology where Global."LatestOf" ( CervicalCytology.relevantDatetime, CervicalCytology.relevantPeriod ) during day of Interval[start of "Measurement Period" - 2 years, end of "Measurement Period"] and CervicalCytology.result is not null
    • CMS0124v13
    • CMS0124v12
    • minimal impact thus far

      2025 eCQM Measure 124 Cervical Cancer Screening 

      For the 2025 reporting period, eCQM measure 124, "Cervical Cancer Screening," can we use the "Self Collected" results for HPV testing as an acceptable screening method for eligible individuals? 

            Assignee:
            AIR EC eCQM Team
            Reporter:
            Kimberly Davis
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              Created:
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