Code List: CMS130v6, Colorectal Cancer Screening

MicroMD uses the following code lists to determine a patient’s inclusion in this measure. To search for your code, simply press Ctrl + F on your keyboard, enter your code in the search field and press Enter on your keyboard.

This user-friendly code list is provided as a courtesy to our MicroMD users. For more in-depth information about codes and/or criteria or to compare version changes, visit the CMS eCQI Resource Center at https://ecqi.healthit.gov/ (no user account required) or the United States Health Information Knowledgebase at https://ushik.ahrq.gov/mdr/portals (requires a free user account to view codes).

Item	Codes
Encounter Codes
Encounter, Performed: Annual Wellness Visit: HCPCS	G0438, G0439
Encounter, Performed: Face-to-Face Interaction: SNOMED	12843005, 18170008, 185349003, 185463005, 185465003, 19681004, 207195004, 270427003, 270430005, 308335008, 390906007, 406547006, 439708006, 87790002, 90526000
Encounter, Performed: Home Healthcare Services: CPT	99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350
Encounter, Performed: Office Visit: CPT	99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215
Encounter, Performed: Preventive Care Services – Established Office Visit, 18 and Up: CPT	99395, 99396, 99397
Encounter, Performed: Preventive Care Services-Initial Office Visit, 18 and Up: CPT	99385, 99386, 99387
Colonoscopy Codes
Procedure, Performed: Colonoscopy: HCPCS	G0105, G0121
Procedure, Performed: 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
Procedure, Performed: Colonoscopy: SNOMED	12350003, 174158000, 174184006, 235150006, 235151005, 25732003, 303587008, 310634005, 34264006, 367535003, 427459009, 443998000, 444783004, 446521004, 446745002, 447021001, 73761001, 8180007
CT Colonography Codes
Procedure, Performed: CT Colonography: CPT	74263
Procedure, Performed: CT Colonography: SNOMED	418714002
Sigmoidoscopy Codes
Procedure, Performed: Flexible Sigmoidoscopy: HCPCS	G0104
Procedure, Performed: Flexible Sigmoidoscopy: CPT	45330, 45331, 45332, 45333, 45334, 45335, 45337, 45338, 45339, 45340, 45341, 45342, 45345, 45346, 45347, 45349, 45350
Procedure, Performed: Flexible Sigmoidoscopy: SNOMED	112870002, 396226005, 425634007, 44441009
Laboratory Codes
Laboratory Test, Performed: Fecal Occult Blood Test (FOBT): LOINC	2335-8, 12503-9, 12504-7, 14564-9, 14565-6, 14563-1, 27401-9, 27396-1, 27925-7, 27926-5, 29771-3, 56490-6, 56491-4, 57905-2, 58453-2, 80372-6
Laboratory Test, Performed: FIT DNA: LOINC	77353-1, 77354-9
Exclusion Diagnosis Codes
Diagnosis: Malignant Neoplasm of Colon: ICD-9	153.0, 153.1, 153.2, 153.3, 153.4, 153.5, 153.6, 153.7, 153.8, 153.9, 154.0, 154.1, 197.5
Diagnosis: Malignant Neoplasm of Colon: ICD-10	C18.0, C18.1, C18.2, C18.3, C18.4, C18.5, C18.6, C18.7, C18.8, C18.9, C19, C20, C21.2, C21.8, C78.5, C7A.021, C7A.022, C7A.023, C7A.024, C7A.025, C7A.026
Diagnosis: Malignant Neoplasm of Colon: SNOMED	109838007, 123701000119104, 123721000119108, 130381000119103, 133751000119102, 1701000119104, 184881000119106, 187757001, 187758006, 269533000, 269544008, 285312008, 285611007, 301756000, 312111009, 312112002, 312113007, 312114001, 312115000, 314965007, 315058005, 363406005, 363407001, 363408006, 363409003, 363410008, 363412000, 363413005, 363414004, 363510005, 425178004, 449218003, 681601000119101, 716654007, 721695008, 721696009, 721697000, 721698005, 721699002, 93683002, 93761005, 93771007, 93826009, 93980002, 94006002, 94072004, 94105000, 94179005, 94260004, 94271003, 94328005, 94509004, 94538001, 94604000, 94643001, 96281000119107, 96981000119102
Exclusion Procedure Codes
Procedure, Performed: Total Colectomy: CPT	44150, 44151, 44152, 44153, 44155, 44156, 44157, 44158, 44210, 44211, 44212
Procedure, Performed: Total Colectomy: SNOMED	235331003, 26390003, 303401008, 307666008, 307667004, 307669001, 31130001, 36192008, 44751009, 456004, 80294005
Hospice Exclusion Codes
Encounter, Performed: Encounter Inpatient	183452005, 32485007, 8715000
Intervention, Order: Hospice Care	385763009, 385765002
Discharge Codes to Health Care Facility for Hospice Care	428371000124100
Discharge Codes to Home for Hospice Care	428361000124107

Last updated: June 11, 2018 at 1:07 pm