Cervical Cancer Screening (CCS) (CCS-E)
HEDIS Measure
Cervical Cancer Screening (CCS) (CCS-E)
Line of business: Commercial Medicaid
Data Collection Method:
CCS
Administrative (Claims)
Hybrid (HEDIS Chart Chase)
Supplemental Data Submission
- Standard - Electronic Clinical Data (ECDS) Layout
- Non-Standard - Medical Record
CCS-E
Administrative (Claims)
Supplemental Data Submission
- Standard - Electronic Clinical Data System (ECDS) Layout
- Non-Standard - Medical Record
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
- 88164
- 88165
- 88166
- 88167
- 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
- 1155766001
- 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