Patients say they are more likely to have a cancer screening when their physician recommends it. What else can you do to influence cancer screenings?1

 

  • Understand the power of the physician recommendation.
    • Your recommendation is the most influential factor in whether a person decides to get screened.
    • Patients are 90% more likely to get a screening when they reported a physician recommendation.
    • “My doctor did not recommend it,” is the primary reason for screening avoidance.
  • Recognize cultural barriers that may impact your diverse patients.
    • Culturally sensitive conversations with your patients can help with fear, embarrassment, anxiety, and misconceptions about screenings.
    • Go to mydiversepatients.com for information and resources.
  • Measure the screening rates in your practice; it may not be as high as you think.
    • Set goals to get screening rates up.
    • Follow the HEDIS® guidelines included in this article to help accurately track your care gap closures.
  • More screening doesn’t have to mean more work for you.
    • Reach out to us about available member data – we may be able to help identify or supply access to data for those members who are due screenings.
    • Develop a reminder system, which has been demonstrated to be effective, to remind you and staff that patients have screenings due.
  • Help members access benefit information about screenings to eliminate the cost barrier.
    • Log onto availity.com and use the Patient Information tab to run an eligibility and benefits inquiry.
    • Members can access their benefit information by logging onto anthem.com, through Live Chat, or by downloading the Sydney Health App.
    • Blue Cross Blue Shield Service Benefit Plan members, also known as Federal Employee Program® members, can access their benefit information by logging onto fepblue.org, or by downloading the fepblue App from the Apple Store or on Google Play.

 

Measure up: Cancer screening for women HEDIS® measure specifications


Organized and continuous screenings along with removal of precancerous lesions can lead to a 60% decrease in cervical cancer.2

 

Cervical Cancer Screening (CCS) is measured by the percentage of women 21 to 64 years of age who were screened for cervical cancer using either of the following criteria:

  • Women 21–64 years of age who had cervical cytology performed within the last 3 years.
  • Women 30–64 years of age who had cervical high-risk human papillomavirus (hrHPV) testing performed within the last 5 years.
  • Women 30–64 years of age who had cervical cytology/high-risk human papillomavirus (hrHPV) co-testing within the last 5 years.

 

 

Description

Code

Cervical cytology lab test

CPT: 88141–88143, 88147, 88148, 88150, 88152–88153, 88164–88167, 88174, 88175

HCPCS: G0123, G0124, G0141, G0143-G0145, G0147, G0148, P3000, P3001, Q0091

LOINC: 10524-7, 18500-9, 19762-4, 19764-0, 19765-7, 19766-5, 19774-9, 33717-0, 47527-7, 47528-5

hrHPV lab test

CPT: 87620–87622, 87624–87625

HCPCS: G0476

LOINC: 21440-3, 30167-1, 38372-9, 59263-4, 59264-2, 59420-0, 69002-4, 71431-1, 75694-0, 77379-6, 77399-4, 77400-0, 82354-2, 82456-5, 82675-0

Absence of cervix diagnosis

ICD-10-CM: Q51.5, Z90.710, Z90.712

Hysterectomy with no residual cervix

CPT: 51925, 56308, 57530, 57531, 57540, 57545, 57550, 57555, 57556, 58150, 58152, 58200, 58210, 58240, 58260, 58262, 58263, 58267, 58270, 58275, 58280, 58285, 58290, 58291, 58292, 58293, 58294, 58548, 58550, 58552, 58553, 58554, 58570, 58571, 58572, 58573, 58575, 58951, 58953, 58954, 58956, 59135

ICD-10-PCS: 0UTC0ZZ, 0UTC4ZZ, 0UTC7ZZ, 0UTC8ZZ

 

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).

 

1 http://thecanceryoucanprevent.org/wp-content/uploads/14893-80_2018-PROVIDER-PHYS-4-PAGER-11-10.pdf

2 National Library of Medicine. https://pubmed.ncbi.nlm.nih.gov/9253676/

 

819-0322-PN-VA



Featured In:
March 2022 Anthem Provider News - Virginia