Age Appropriate Screening Colonoscopy
The percentage of screening colonoscopies performed in patients greater than or equal to 86 years of age from January 1 to December 31.
Date Reviewed: January 27, 2022
Do Not Support: Uncertain Validity
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Group/Practice
Individual Clinician
Measure Info
MIPS 439
CMS 439
Measure Type
Process
Measure Steward
American Gastroenterological Association
Clinical Topic Area
Appropriate Use of Healthcare
Cancer Screening
Cost and Efficiency
Prevention and Wellness
Care Setting
Outpatient
Data Source
Registry
The proportion of patients above 85 years old who get a colonoscopy is very small. Moreover, there is no performance gap data to demonstrate that the measure addresses an opportunity for improvement. The specifications for the measures are confusing and the age range where overuse is more likely is 76 to 85 years of age. The PMC recommends adding that age range to the specifications to also track the rates of colonoscopies in patients aged 76 to 85 years of age.