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Cervical Cancer Screening (CCS)

HEDIS Measure

Cervical Cancer Screening (CCS)

Line of business: Commercial Medicaid

Data Collection Method: Administrative and Hybrid

Measure Description

The percentage of women 21–64 years of age who were screened for cervical cancer using either of the following criteria:

  • Women 21–64 years of age who had cervical cytology performed within the last 3 years.
  • Women 30–64 years of age who had cervical high-risk human papillomavirus (hrHPV) testing performed within the last 5 years.
  • Women 30–64 years of age who had cervical cytology/high-risk human papillomavirus (hrHPV) cotesting within the last 5 years.

Numerator Compliance

Women who were screened for cervical cancer. Either of the following meets criteria:

  • Women 24–64 years of age as of December 31 of the measurement year who had cervical cytology during the measurement year or the two years prior to the measurement year.
  • Women 30–64 years of age as of December 31 of the measurement year who had cervical high-risk human papillomavirus (hrHPV) testing during the measurement year or the four years prior to the measurement year and who were 30 years or older on the date of the test.

Documentation in the medical record must include both of the following:

  • A note indicating the date when the cervical cytology was performed
  • Lab result or findings

NOTE: Do not count biopsies because they are diagnostic and therapeutic only and are not for primary cervical cancer screening.

Evidence of hrHPV testing within the last 5 years also captures patients who had co-testing.

Best Practices

  • Assess existing barriers to regular cervical cancer screening (i.e. access to care, cost)
  • Educate the members about the importance of early detection and encourage screening
  • Request to have cervical cytology results sent to you if done at an OB/GYN office
  • Engage patients to discuss their fears
  • Set care gap “alerts” in your electronic medical record
  • Document the month, year and results of most recent cervical cancer screening in the medical record
  • Set care gap “alerts” in your electronic medical record
  • Reference The American Cancer Society Guidelines for the Prevention and Early Detection of Cervical Cancer
    cancer.org/cancer/cervical-cancer/detection-diagnosis-staging/ cervical-cancer-screening-guidelines.html

Quality Value Set Directory Coding Tips

Cervical Cytology Lab Test

CPT

  • 88141
  • 88142
  • 88143
  • 88147
  • 88148
  • 88150
  • 88152
  • 88153
  • 88154
  • 88164
  • 88165
  • 88166
  • 88174
  • 88175

HCPCS

  • G0123
  • G0124
  • G0141
  • G0143
  • G0144
  • G0145
  • G0147
  • G0148
  • P3000
  • P3001
  • Q0091

LOINC

  • 10524-7
  • 18500-9
  • 19762-4
  • 19764-0
  • 19765-7
  • 19766-5
  • 19774-9
  • 33717-0
  • 47527-7
  • 47528-5

SNOMED CT US Edition

  • 171149006
  • 416107004
  • 417036008
  • 440623000
  • 448651000124104

Cervical Cytology Result or Finding

SNOMED CT US Edition

  • 168406009
  • 168407000
  • 168408005
  • 168410007
  • 168414003
  • 168415002
  • 168416001
  • 168424006
  • 250538001
  • 268543007
  • 269957009
  • 269958004
  • 269959007
  • 269960002
  • 269961003
  • 269963000
  • 275805003
  • 281101005
  • 309081009
  • 310841002
  • 310842009
  • 416030007
  • 416032004
  • 416033009
  • 439074000
  • 439776006
  • 439888000
  • 441087007
  • 441088002
  • 441094005
  • 441219009
  • 441667007
  • 700399008
  • 700400001
  • 62051000119105
  • 62061000119107
  • 98791000119102

High Risk HPV Lab Test

CPT

  • 87624
  • 87625

HCPCS

  • G0476

LOINC

  • 21440-3
  • 30167-1
  • 38372-9
  • 59263-4
  • 59264-2
  • 59420-0
  • 69002-4
  • 71431-1
  • 75694-0
  • 77379-6
  • 77399-4
  • 77400-0
  • 82354-2
  • 82456-5
  • 82675-0
  • 95539-3

SNOMED CT US Edition

  • 35904009
  • 448651000124104

High Risk HPV Test Result or Finding

SNOMED CT US Edition

  • 718591004