Breast Cancer Screening Measure Description

This document is a technical report detailing the Breast Cancer Screening measure for members aged 40-74. It outlines the criteria for members who are recommended for routine breast cancer screening, specifying that they must have undergone one or more mammograms within a defined time frame. The report includes explicit exclusions, such as members who have had a bilateral mastectomy or gender-affirming chest surgery. It also provides coding information for exclusions and screenings, including relevant CPT and ICD-10 codes. Additionally, the report offers tips for success in patient care, documentation, and coding practices. It emphasizes the importance of maintaining updated patient contact lists and facilitating the scheduling of mammograms. The document serves as a guide for healthcare providers to ensure compliance with the measure and improve patient outcomes through early detection of breast cancer.