Cervical Cancer Screening (CCS) – HEDIS Measure
Answer the questions to confirm eligibility and compliance criteria, this is applicable to Medicaid and Commercial members only.
Is the member* 21-64 years of age as of December 31 of the measurement year?
Does the member have a history of a total hysterectomy with no residual cervix, cervical agenesis or acquired absence of cervix?
Does the member have at least one screening for cervical cancer during the measurement year, or the two years prior to the measurement year?*
Is the member 30-64 years of age as of December 31 of the measurement year?
Does the member have at least one cervical high-risk human papillomavirus (hrHPV) testing during the measure year, or the four years prior to the measurement year AND 30 years or older on the date of testing?
Member does not meet compliance for this measure
Billing Codes
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CPT® HCPCS LOINC SNOMED CT 88141, 88142, 88143, 88147, 88148, 88150, 88152, 88153, 88154, 88164, 88165, 88166, 88167, 88174, 88175 G0123, G0124, G0141, G0143, G0144, G0145, G0147, G0148, P3000, P3001, Q0091 10524-7, 18500-9, 19762-4, 19764-0, 19765-7, 19766-5, 19774-9, 33717-0, 47527-7, 47528-5 171149006, 416107004, 417036008, 439958008, 440623000, 448651000124104 -
CPT® HCPCS LOINC SNOMED CT 87620, 87621, 87622, 87624, 87625 G0476 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 35904009, 48651000124104 -
SNOMED CT 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 -
SNOMED CT 718591004
Member meets compliance for this measure.