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Synopsis of MIPS Measure 146 (2020 Archive): Radiology: Inappropriate Use of Probably Benign Assessment Category in Screening Mammograms
Matthew B. Morgan, MD, MS
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KEY FACTS

  • Terminology

    TERMINOLOGY

    • Description

      • Deleted from 2021 Measures
      • Percentage of final reports for screening mammograms that are classified as "probably benign"
    • Rationale

      • "Probably benign" assessment category is reserved for findings that have high probability (≥ 98%) of being benign and should not be used as category for indeterminate findings. Inappropriate designation of findings as "probably benign" can result in unnecessary follow-up of lesions that could have been quickly classified or delayed diagnosis and treatment of cancerous lesions. Conduct complete diagnostic imaging evaluation before making "probably benign" (Category 3) assessment; it is inadvisable to use "probably benign categorization when interpreting screening mammogram. Immediate completion of diagnostic imaging evaluation for abnormal screening mammograms eliminates potential anxiety that women would endure with short-interval follow-up recommended for "probably benign" findings.
    • Instructions

      • This measure is to be submitted each time screening mammogram is performed during performance period. It is anticipated that Merit-Based Incentive Payment System (MIPS)-eligible clinicians who provide professional component of diagnostic imaging studies for screening mammograms will submit this measure.
    • Numerator

      • Final reports classified as "probably benign" defined as: Mammography Quality Standards Act (MQSA) assessment category of "probably benign," BI-RADS category 3, or FDA-approved equivalent assessment category
    • Denominator

      • All final reports for screening mammograms

    Selected References

    1. MIPS Measure 146: Radiology: Inappropriate Use of “Probably Benign” Assessment Category in Screening Mammograms
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    References
    Tables

    Tables

    KEY FACTS

    • Terminology

      TERMINOLOGY

      • Description

        • Deleted from 2021 Measures
        • Percentage of final reports for screening mammograms that are classified as "probably benign"
      • Rationale

        • "Probably benign" assessment category is reserved for findings that have high probability (≥ 98%) of being benign and should not be used as category for indeterminate findings. Inappropriate designation of findings as "probably benign" can result in unnecessary follow-up of lesions that could have been quickly classified or delayed diagnosis and treatment of cancerous lesions. Conduct complete diagnostic imaging evaluation before making "probably benign" (Category 3) assessment; it is inadvisable to use "probably benign categorization when interpreting screening mammogram. Immediate completion of diagnostic imaging evaluation for abnormal screening mammograms eliminates potential anxiety that women would endure with short-interval follow-up recommended for "probably benign" findings.
      • Instructions

        • This measure is to be submitted each time screening mammogram is performed during performance period. It is anticipated that Merit-Based Incentive Payment System (MIPS)-eligible clinicians who provide professional component of diagnostic imaging studies for screening mammograms will submit this measure.
      • Numerator

        • Final reports classified as "probably benign" defined as: Mammography Quality Standards Act (MQSA) assessment category of "probably benign," BI-RADS category 3, or FDA-approved equivalent assessment category
      • Denominator

        • All final reports for screening mammograms

      Selected References

      1. MIPS Measure 146: Radiology: Inappropriate Use of “Probably Benign” Assessment Category in Screening Mammograms