Measure ID: MIPS 113|Colorectal Cancer|2026 Performance Year

Colorectal Cancer Screening

Percentage of patients 45-75 years of age who had appropriate screening for colorectal cancer.

ProcessColorectal CancerPreventive Care

Last updated: January 15, 2026

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Measure Specification

Denominator (Eligible Population)

Patients 45 to 75 years of age on date of encounter
ANDPatient encounter during the performance period

Denominator Exclusions6

G9711Patients with a diagnosis or past history of total colectomy or colorectal cancer
G9710Patient was provided hospice services any time during the measurement period
G9993Patient was provided palliative care services any time during the measurement period
G9901Patient age 66 or older in Institutional Special Needs Plans (SNP) or residing in long-term care with POS code 32, 33, 34, 54, or 56 for more than 90 consecutive days during the measurement period
G2100Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period AND a dispensed medication for dementia during the measurement period or the year prior to the measurement period
G2101Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period AND an advanced illness diagnosis during the measurement period or the year prior to the measurement period: G2101

Numerator

Patients with one or more screenings for colorectal cancer. Appropriate screenings are defined by any one of the following criteria: • Fecal occult blood test (FOBT) during the measurement period • Flexible sigmoidoscopy during the measurement period or the four years prior to the measurement period • Colonoscopy during the measurement period or the nine years prior to the measurement period • Computed tomography (CT) colonography during the measurement period or the four years prior to the measurement period. • Stool DNA (sDNA) with FIT test during the measurement period or the two years prior to the measurement period.

Submission Codes (QDCs)

✓ Performance Met
3017FColorectal cancer screening results documented and reviewed
✗ Performance Not Met
3017F with 8PColorectal cancer screening results were not documented and reviewed, reason not otherwise specified

Denominator Exceptions

None — this measure has no denominator exceptions.

🧮MIPS Score Simulator

Estimate only — actual CMS scoring may vary based on reporting method, data completeness, and annual rule updates.

No benchmarks available for this measure.

VBCA Insights

💡Why This Measure Matters

This measure assesses colorectal cancer screeningcolonoscopy, sigmoidoscopy, or stool tests—in middle-aged and older adults to catch cancer early or prevent it. Screening reduces colorectal cancer deaths by 15-30% and can prevent disease by removing precancerous polyps. Establish a system to identify patients due for screening and track completion. Discuss screening options with each patient and document the choice made and results.

📖Clinical Rationale

Colorectal cancer represents eight percent of all new cancer cases in the United States. In 2020, there are an estimated 147,950 new cases of colorectal cancer and an estimated 53,200 deaths attributed to it. According to the National Cancer Institute, about 4.2 percent of men and women will be diagnosed with colorectal cancer at some point during their lifetimes.

For most adults, older age is the most important risk factor for colorectal cancer, although being male and black are also associated with higher incidence and mortality. Colorectal cancer is most frequently diagnosed among people 65 to 74 years old. Screening can be effective for finding precancerous lesions (polyps) that could later become malignant, and for detecting early cancers that can be more easily and effectively treated.

Precancerous polyps usually take about 10 to 15 years to develop into colorectal cancer, and most can be found and removed before turning into cancer. The five- year relative survival rate for people whose colorectal cancer is found in the early stage before it has spread is about 90 percent.

📝Clinical Recommendations

The U.S. Preventive Services Task Force (2021) recommends screening for colorectal cancer in adults aged 45 to 49 years. This is a Grade B recommendation (U.S. Preventive Services Task Force 2021). The U.S. Preventive Services Task Force (2021) recommends screening for colorectal cancer in adults aged 50 to 75 years. This is a Grade A recommendation (U.

S. Preventive Services Task Force, 2021).

📋Implementation Notes

This measure contains one strata defined by a single submission criteria. This measure produces a single performance rate. For the purposes of MIPS implementation, this patient-process measure is submitted a minimum of once per patient during the performance period. The most advantageous quality data code (QDC) will be used if the measure is submitted more than once.

This measure specification is only available for MIPS Value Pathway (MVP) reporting and is not available for traditional MIPS reporting.

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