Colorectal Cancer Screening Measure Guidelines

This document is a guide that outlines the colorectal cancer screening measures for members aged 45 to 75 years. It details the types of screenings that are considered appropriate, including fecal occult blood tests, stool DNA tests, flexible sigmoidoscopy, CT colonography, and colonoscopy, along with their respective time frames for eligibility. The guide specifies exclusions for certain members, such as those with a history of colorectal cancer, hospice care, or specific age-related conditions. It also provides coding information for both exclusions and screenings, listing relevant ICD-10, CPT, and LOINC codes. Additionally, the guide includes tips for successful patient care, emphasizing the importance of educating patients about screening options and addressing potential barriers to care. It stresses the need for accurate documentation in medical records and the electronic submission of data to health plans, ensuring compliance with measurement requirements.