Description:
Percentage of patients, regardless of age, with a diagnosis of prostate cancer at low (or very low) risk of recurrence receiving interstitial prostate brachytherapy, OR external beam radiotherapy to the prostate, OR radical prostatectomy who did not have a bone scan performed at any time since diagnosis of prostate cancer
Initial Population:
All patients, regardless of age, with a diagnosis of prostate cancer
Denominator:
Equals Initial Population at low (or very low) risk of recurrence receiving interstitial prostate brachytherapy, OR external beam radiotherapy to the prostate, OR radical prostatectomy
Numerator:
Patients who did not have a bone scan performed after diagnosis of prostate cancer and before the end of the measurement period
Denominator Exceptions:
Documentation of reason(s) for performing a bone scan (including documented pain related to prostate cancer, salvage therapy, or other medical reasons)
Measure Specification:
https://ecqi.healthit.gov/sites/default/files/ecqm/measures/CMS129-v15.0.000-QDM.html
Measure Work Flow:
https://ecqi.healthit.gov/sites/default/files/ecqm/measures/CMS129-v15.0.000-eCQM-Flow.pdf
eCQI Resources:
https://ecqi.healthit.gov/ecqm/ec/2026/cms0129v15
Common Data Issues That Prevent Patients Qualifying for the Guideline Denominator:
Note: illustrated using the 2025 version of the Measure
1. Fails to qualify as the PSA Test 2857-1 is after the Tumour Staging 254292007:
2. Fails to qualify as the patient has no Radiation Therapy treatment codes in the measurement period:
3. Fails to qualify as there is a Cancer Dx and are treatment codes present, but no Tumor Staging Code or PSA Test:
Below is an example of a patient correctly meeting all Numerator criteria with the required data highlighted - note the date order:
