eCQM Electronic Specifications

These electronic specifications are fully developed and represent the electronic Clinical Quality Measures (eCQMs)  for the ambulatory quality reporting programs. This page will be updated if changes are made to the final measure requirements.

Each year, CMS makes updates to the electronic specifications of the Clinical Quality Measures approved for submission in CMS programs. CMS encourages the implementation and use of the updates because they include new codes, logic corrections and clarifications.

For those attesting to eCQMs to demonstrate meaningful use for the EHR Incentive Programs: CMS will accept the most recent version of the eCQMs, (which would be the electronic specifications of the CQMs published by CMS in 2016) through attestation as finalized in the 2015 EHR Incentive Programs final rule (80 FR 62893). For eReporting of eCQMs to demonstrate meaningful use or for Quality Reporting Programs: An eligible professional or MIPS eligible clinician must use the most current version of the eCQMs identified below.  Information on Reporting Options is available on here.

The vocabulary value sets used by eCQMs consist of codes and terms drawn from standard vocabularies such as SNOMED CT®, RxNorm, and ICD-10-CM to represent the clinical concepts found in EHR patient data as defined by the eCQMs (e.g., patients with diabetes, clinical visit). Providers must ensure their health IT systems either capture or can map to these codes in order to report eCQMs. 2017 Performance Period code versions include CPT 2016, LOINC 2.54, RXNORM 2016-01, SNOMEDCT 2015-09 and more. To obtain the value sets for the eCQMs and a complete list of code versions used in any particular update, visit the Value Set Authority Center (VSAC).

The United States Health Information Knowledgebase (USHIK) provides the ability to compare past eCQMs as well as the downloading the eCQMs in various file formats such as SVS, CSV, XML, etc.

Eligible Professional (EP) and MIPS Eligible Clinician Downloads