Colorectal Cancer Screening (COL) (COL-E)
HEDIS Measure
Colorectal Cancer Screening (COL) (COL-E)
Line of business: Commercial Medicare Medicaid
Data Collection Method:
COL
Administrative (Claims)
Hybrid (HEDIS Chart Chase)
Supplemental Data Submission
- Standard - Electronic Clinical Data (ECDS) Layout
- Non-Standard - Medical Record
COL-E
Administrative (Claims)
Supplemental Data Submission
- Standard - Electronic Clinical Data System (ECDS) Layout
- Non-Standard - Medical Record
Measure Description
The percentage of members 45–75 years of age who had appropriate screening for colorectal cancer.
Numerator Compliance
Fecal Occult Blood test during the measurement year.
Flexible Sigmoidoscopy during the measurement year or the four years prior to the measurement year.
Colonoscopy during the measurement year or the nine years prior to the measurement year.
CT Colonography during the measurement year or the four years prior to the measurement year.
Stool DNA (sDNA) with FIT test during the measurement year or the two years prior to the measurement year.
Best Practices
- Assess existing barriers to colorectal cancer screening (i.e. access to care, cost)
- Educate the members about the importance of early detection and encourage screening
- Request to have any colorectal cancer screening results sent to you if done at a specialty office
- Engage patients to discuss their fears
- Document the month, year and type of screening of most recent colorectal cancer screening in the medical record
- Set care gap “alerts” in your electronic medical record
- Emphasize personal choice and various modalities, especially for those who may fear having a colonoscopy
- Distribute FOBT or FIT test kits to members who need to be screened
- Act quickly for members who have a positive stool test result
Quality Value Set Directory Coding Tips
Colonoscopy
CPT
- 44388
- 44389
- 44390
- 44391
- 44392
- 44393
- 44394
- 44397
- 44401
- 44402
- 44403
- 44404
- 44405
- 44406
- 44407
- 44408
- 45355
- 45378
- 45379
- 45380
- 45381
- 45382
- 45383
- 45384
- 45385
- 45386
- 45387
- 45388
- 45389
- 45390
- 45391
- 45392
- 45393
- 45398
HCPCS
- G0105
- G0121
ICD9PCS
- 45.22
- 45.23
- 45.25
- 45.42
- 45.43
SNOMED CT US Edition
- 8180007
- 12350003
- 25732003
- 34264006
- 73761001
- 174158000
- 174185007
- 235150006
- 235151005
- 275251008
- 367535003
- 443998000
- 444783004
- 446521004
- 446745002
- 447021001
- 709421007
- 710293001
- 711307001
- 789778002
- 789778002
CT Colonography
CPT
- 74261
- 74262
- 74263
LOINC
- 60515-4
- 72531-7
- 79069-1
- 79071-7
- 79101-2
- 82688-3
SNOMED CT US Edition
- 418714002
FIT DNA Lab Test
CPT
- 81528
LOINC
- 77353-1
- 77354-9
FIT DNA Test Result or Finding
SNOMED CT US Edition
- 708699002
Flexible Sigmoidoscopy
CPT
- 45330
- 45331
- 45332
- 45333
- 45334
- 45335
- 45337
- 45338
- 45340
- 45341
- 45342
- 45346
- 45347
- 45349
- 45350
HCPCS
- G0104
ICD9PCS
- 45.24
SNOMED CT US Edition
- 44441009
- 396226005
- 425634007
FOBT Lab Test
CPT
- 82270
- 82274
HCPCS
- G0328
LOINC
- 2335-8
- 12503-9
- 12504-7
- 14563-1
- 14564-9
- 14565-6
- 27396-1
- 27401-9
- 27925-7
- 27926-5
- 29771-3
- 56490-6
- 56491-4
- 57905-2
- 58453-2
- 80372-6
SNOMED CT US Edition
- 104435004
- 441579003
- 442067009
- 442516004
- 442554004
- 442563002
FOBT Test Result or Finding
SNOMED CT US Edition
- 59614000
- 167667006
- 389076003
History of Colonoscopy
SNOMED CT US Edition
- 851000119109
History of Flexible Sigmoidoscopy
SNOMED CT US Edition
- 841000119107