Breast Cancer Screening CMS125v14

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    • Type: EC eCQMs - Eligible Clinicians
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • Chelsea Morrison
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      Thank you for your inquiry regarding CMS125v14 (2026 Performance Period). The intent of this measure is to evaluate primary screening, and it is not a diagnostic measure. It is based on the U.S. Preventive Services Task Force (USPSTF) guidelines, which recommend mammography screenings for women 42–74 years of age within the timeframe specified in the measure. Because the measure assesses whether practitioners are following the USPSTF guideline, it does not count biopsies, breast ultrasounds, MRIs, or other diagnostic mammography as numerator compliant, nor does it treat active breast cancer as an exclusion. Patients with breast cancer or a history of breast cancer are not excluded because women who complete treatment are expected to resume routine mammogram screenings.
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      Thank you for your inquiry regarding CMS125v14 (2026 Performance Period). The intent of this measure is to evaluate primary screening, and it is not a diagnostic measure. It is based on the U.S. Preventive Services Task Force (USPSTF) guidelines, which recommend mammography screenings for women 42–74 years of age within the timeframe specified in the measure. Because the measure assesses whether practitioners are following the USPSTF guideline, it does not count biopsies, breast ultrasounds, MRIs, or other diagnostic mammography as numerator compliant, nor does it treat active breast cancer as an exclusion. Patients with breast cancer or a history of breast cancer are not excluded because women who complete treatment are expected to resume routine mammogram screenings.
    • CMS0125v14
    • Patients being treated for breast cancer don't meet the measure nor are excluded if they don't get a mammogram even if they're undergoing more advanced breast imaging (e.g., breast MRI, CT, PET, breast ultrasound).

      Mammograms are recommended to screen for breast cancer and recurrence however they are not necessarily indicated for active breast cancer. Breast cancer treatment can span years during which a mammogram may not be indicated. 

            Assignee:
            AIR EC eCQM Team
            Reporter:
            Chelsea Morrison
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