QPP Measure #320
Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients
Percentage of patients aged 45 to 75 years of age receiving a screening colonoscopy without biopsy or polypectomy who had a recommended follow-up interval of 10 years for repeat colonoscopy documented in their colonoscopy report.
The following codes apply for this QPP measure:
CPT Codes | |||
| Code | Description | ||
|---|---|---|---|
| 44388 | CPT Code | ||
| 45378 | CPT Code | ||
HCPCS Codes | |||
| Code | Description | ||
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | ||
| M1377 | Recommended follow-up interval for repeat colonoscopy of 10 years documented in colonoscopy report and communicated with patient | ||
| M1378 | Documentation of medical reason(s) for not recommending a 10 year follow-up interval (e.g., inadequate prep, familial or personal history of colonic polyps, patient had no adenoma and age is >= 66 years old, or life expectancy < 10 years, other medical reasons) | ||
| M1379 | A 10 year follow-up interval for colonoscopy not recommended, reason not otherwise specified | ||
| M1422 | Gastroenterology care mips value pathway | ||
ICD10CM Codes | |||
| Code | Description | ||
| Z12.11 | Encounter for screening for malignant neoplasm of colon | ||
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