Diabetes: Medical Attention for Nephropathy

Last updated: May 5, 2017

CMS Measure ID: CMS134v5
Version: 5
NQF Number: 0062
Measure Description:

The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period.

Initial Patient Population:

Patients 18-75 years of age with diabetes with a visit during the measurement period

Denominator Statement:

Equals Initial Population

Denominator Exclusions:

None

Numerator Statement:

Patients with a screening for nephropathy or evidence of nephropathy during the measurement period

Numerator Exclusions:

Not Applicable

Denominator Exceptions:

None

Measure Steward: National Committee for Quality Assurance
Domain: Effective Clinical Care
Next Version: Diabetes: Medical Attention for Nephropathy
Previous Version: Diabetes: Urine Protein Screening
Improvement Notation:

Higher score indicates better quality

Guidance:

Only patients with a diagnosis of Type 1 or Type 2 diabetes should be included in the denominator of this measure; patients with a diagnosis of secondary diabetes due to another condition should not be included

Addendum Notes: ICD-10 Value Set addition

Specifications

Release Notes

Header

  • Updated Clinical Recommendation Statement.

    Section: Clinical Recommendation Statement

    Source: Measure Lead

  • ​Updated Copyright.

    Section: Copyright

    Source: Annual Update

  • Incremented eMeasure Version number.

    Section: eMeasure Version number

    Source: Annual Update

  • Updated Rationale.

    Section: Rationale

    Source: Measure Lead

  • Updated References.

    Section: Reference

    Source: Measure Lead

  • Updated measure name to harmonize with the endorsed measure name.

    Section: Title

    Source: Measure Lead

Logic

  • Replaced datatypes 'Diagnosis, Active; Diagnosis, Inactive; Diagnosis, Resolved' with the re-specified 'Diagnosis' datatype to conform to QDM 4.2 changes.

    Section: Initial Population

    Source: QDM Standards

  • Replaced datatypes 'Diagnosis, Active; Diagnosis, Inactive; Diagnosis, Resolved' with the re-specified 'Diagnosis' datatype to conform to QDM 4.2 changes.

    Section: Numerator

    Source: QDM Standards

  • Value set Kidney Failure (2.16.840.1.113883.3.464.1003.109.12.1028): Added Kidney Failure.

    Section: Numerator

    Source: None

  • Replaced datatypes 'Diagnosis, Active; Diagnosis, Inactive; Diagnosis, Resolved' with the re-specified 'Diagnosis' datatype to conform to QDM 4.2 changes.

    Section: QDM Data Elements

    Source: QDM Standards

  • Value set Kidney Failure (2.16.840.1.113883.3.464.1003.109.12.1028): Added Kidney Failure.

    Section: QDM Data Elements

    Source: None

Value Set

  • Value set ACE Inhibitor or ARB (2.16.840.1.113883.3.526.3.1139): Added 16 RXNORM codes and deleted 2 RXNORM codes (251857, 833237).

    Section: None

    Source: None

  • Value set Diabetes (2.16.840.1.113883.3.464.1003.103.12.1001): Added 11 ICD9CM codes (250.40, 357.2, 362.01, 362.02, 362.03, 362.04, 362.05, 362.06, 362.07, 366.41, 648.00).

    Section: None

    Source: None

  • Value set Kidney Failure (2.16.840.1.113883.3.464.1003.109.12.1028): Added Kidney Failure.

    Section: None

    Source: None

  • Value set Kidney Transplant (2.16.840.1.113883.3.464.1003.109.12.1012): Added 1 HCPCS code (S2065).

    Section: None

    Source: None

  • Value set Urine Protein Tests (2.16.840.1.113883.3.464.1003.109.12.1024): Added 4 LOINC codes (20454-5, 53525-2, 57369-1, 57735-3).

    Section: None

    Source: None

  • Value set Diabetes (2.16.840.1.113883.3.464.1003.103.12.1001): Added 156 ICD10CM codes.

    Section: None

    Source: ICD-10 Addendum

External Resources