HEDIS^® 2024 documentation for Colorectal Cancer Screening (COL-E)

Only Electronic Clinical Data Systems (ECDS) reporting will be used for this measure.

Measure description

The percentage of members 45 to 75 years of age who had appropriate screening for colorectal cancer (revised the age range from 50 to 75 years of age to 45 to 75 years of age).

What we are looking for in provider records

Documentation in the medical record indicating the date when the colorectal cancer screening was performed and result or finding of one or more of the following:

• A pathology report that indicates the type of screening (for example, colonoscopy, flexible sigmoidoscopy) and the date the screening was performed
• Documentation of a Fecal Occult Blood Test (FOBT) during the measurement year (2024)
• Documentation of a flexible sigmoidoscopy during the measurement year or the four years prior to the measurement year (January 1, 2020, to December 31, 2024)
• Documentation of a colonoscopy during the measurement year or the nine years prior to the measurement year (January 1, 2015, to December 31, 2024)
• Documentation of a CT colonography during the measurement year or the four years prior to the measurement year (January 1, 2020, to December 31, 2024)
• Documentation of Stool DNA (sDNA) with FIT test during the measurement year or two years prior to the measurement year (January 1, 2022, to December 31, 2024)
• Documentation of members who are diagnosed with colorectal cancer on or before December 31, 2024
• Documentation of a total colectomy on or before December 31, 2024 (documentation must state total, not partial)
• Evidence of hospice services in 2024
• Evidence patient expired prior to January 1, 2025

Helpful hints:

• Recommend colorectal cancer screening to all patients 45 to 75 years of age.
• If a patient is hesitant, discuss different screening options.
• Educate that screening is recommended, even if there is no family history of colon cancer.