Breast Cancer Screening (BCS-E)
HEDIS Measure
Breast Cancer Screening (BCS-E)
Line of business: Commercial Medicaid Medicare
Data Collection Method:
Administrative (Claims)
Supplemental Data Submission
- Standard - Electronic Clinical Data System (ECDS) Layout
- Non-Standard - Medical Record
Measure Description
The percentage of women 50–74 years of age who had a mammogram to screen for breast cancer.
Numerator Compliance
One or more mammograms any time on or between October 1 two years prior to the measurement year and December 31 of the measurement year.
Best Practices
- Educate members about the importance of early detection and encourage screening
- Engage patients to discuss their fears about mammograms and let women know that the test is less uncomfortable and uses less radiation than it did in the past
- Establish a standing order to obtain annual mammogram for eligible population
- Document the month and year of most recent mammogram and/or mastectomy status, in the medical record
Quality Value Set Directory Coding Tips
Mammography
CPT
- 77061
- 77062
- 77063
- 77065
- 77066
- 77067
LOINC
- 24604-1
- 24605-8
- 24606-6
- 24610-8
- 26175-0
- 26176-8
- 26177-6
- 26287-3
- 26289-9
- 26291-5
- 26346-7
- 26347-5
- 26348-3
- 26349-1
- 26350-9
- 26351-7
- 36319-2
- 36625-2
- 36626-0
- 36627-8
- 36642-7
- 36962-9
- 37005-6
- 37006-4
- 37016-3
- 37017-1
- 37028-8
- 37029-6
- 37030-4
- 37037-9
- 37038-7
- 37052-8
- 37053-6
- 37539-4
- 37542-8
- 37543-6
- 37551-9
- 37552-7
- 37553-5
- 37554-3
- 37768-9
- 37769-7
- 37770-5
- 37771-3
- 37772-1
- 37773-9
- 37774-7
- 37775-4
- 38070-9
- 38071-7
- 38072-5
- 38090-7
- 38091-5
- 38807-4
- 38820-7
- 38854-6
- 38855-3
- 39150-8
- 39152-4
- 39153-2
- 39154-0
- 42168-5
- 42169-3
- 42174-3
- 42415-0
- 42416-8
- 46335-6
- 46336-4
- 46337-2
- 46338-0
- 46339-8
- 46350-5
- 46351-3
- 46354-7
- 46355-4
- 46356-2
- 46380-2
- 48475-8
- 48492-3
- 69150-1
- 69251-7
- 69259-0
- 72137-3
- 72138-1
- 72139-9
- 72140-7
- 72141-5
- 72142-3
- 86462-9
- 86463-7
- 91517-3
- 91518-1
- 91519-9
- 91520-7
- 91521-5
- 91522-3
SNOMED CT US Edition
- 12389009
- 24623002
- 43204002
- 71651007
- 241055006
- 241057003
- 241058008
- 258172002
- 439324009
- 450566007
- 709657006
- 723778004
- 723779007
- 723780005
- 726551006
- 833310007
- 866234000
- 866235004
- 866236003
- 866237007
- 384151000119104
- 392521000119107
- 392531000119105
- 566571000119105
- 572701000119102