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Needle biopsy to establish diagnosis of cancer precedes surgical excision/resection

CBE ID
0221
Project
Endorsed
New or Maintenance
Endorsement and Maintenance (E&M) Cycle
Is Under Review
No
Measure Description

Percentage of patients presenting with AJCC Stage Group 0, I, II, or III disease, who undergo a needle biopsy to establish diagnosis of breast cancer.

  • Measure Type
    Electronic Clinical Quality Measure (eCQM)
    Level Of Analysis
    Care Setting
    Numerator

    Patients who receive image or palpation-guided needle biopsy (core or FNA) for the diagnosis of breast cancer.

    Denominator

    Women with AJCC Stage 0, I, II, or II breast cancer undergoing surgery:
    • Women
    • Age >=18 at time of diagnosis
    • Primary tumors of the breast
    • Epithelial invasive malignancy only
    • Diagnosis and all or part of first course of treatment performed at the reporting facility

    Exclusions

    Exclusions:
    Men; not a first or only cancer diagnosis; non-epithelial tumors; metastatic disease (AJCC Stage IV); phyllodes tumor histology (9020);
    Patient refused biopsy,
    Patient medically unable to hold position for image guided biopsy,
    Patient requires sub-arolar excision for nipple discharge,
    Lesion too superficial,
    Breast too small,
    Lesion inaccessible by needle biopsy,
    Cancer found in prophylactic mastectomy,
    Benign high risk lesion diagnosed by needle biopsy, requiring excisional biopsy
    Discordant biopsy results compared to suspicious imaging

  • Most Recent Endorsement Activity
    Measure Retired and Endorsement Removed Cancer Project 2015-2016
    Initial Endorsement
    Endorsement Status
    Last Updated
    Removal Date