Overview
CMS129v9 (2020)
CMS129v10 (2021)
CMS129v11 (2022)
Identifiers
| CMS eCQM ID | NQF eCQM ID | NQF | MIPS Quality ID |
| CMS129v11 | 0389e | 0389 | 102 |
*MIE only supports data collection and reporting using eCQM specifications
Definitions
| Description | Percentage of patients, regardless of age, with a diagnosis of prostate cancer at low (or very low) risk of recurrence receiving interstitial prostate brachytherapy, OR external beam radiotherapy to the prostate, OR radical prostatectomy who did not have a bone scan performed at any time since diagnosis of prostate cancer |
| Initial Patient Population | All patients, regardless of age, with a diagnosis of prostate cancer |
| Denominator | Equals Initial Population at low (or very low) risk of recurrence receiving interstitial prostate brachytherapy, OR external beam radiotherapy to the prostate, OR radical prostatectomy |
| Denominator Exclusions | – |
| Numerator | Patients who did not have a bone scan performed at any time since diagnosis of prostate cancer |
| Numerator Exclusions | – |
| Denominator Exceptions | Documentation of reason(s) for performing a bone scan (including documented pain, salvage therapy, other medical reasons, or bone scan ordered by someone other than reporting clinician) |
Additional Information
| Measure Type | Process measure |
| Measure Scoring | Proportion measure |
| Granularity | Patient |
| Improvement Notation | Higher score indicates better quality |
| Domain | Efficiency and Cost Reduction |
Clinical Instructions
New UI Visit Encounter (valid RC202109+)
Original Visit Encounter
Evidence
Initial Patient Population
| Name | Value Set |
| Diagnosis: Prostate Cancer | 2.16.840.1.113883.3.526.3.319 |
| Laboratory Test, Performed: Gleason score in Specimen Qualitative | LOINC Code 35266-6 |
| Laboratory Test, Performed: Prostate Specific Antigen Test | 2.16.840.1.113883.3.526.3.401 |
| Procedure, Performed: Cancer staging (tumor staging) | SNOMEDCT Code 258232002 |
Denominator Exclusions
| Name | Value Set |
| Diagnosis: Pain Related to Prostate Cancer | 2.16.840.1.113883.3.526.3.451 |
| Procedure, Performed: Prostate Cancer Treatment | 2.16.840.1.113883.3.526.3.398 |
Numerator
| Name | Value Set |
| Diagnostic Study, Performed: Bone Scan | 2.16.840.1.113883.3.526.3.320 |