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Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery

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Measure Information 2021 Performance Period
CMS eCQM ID CMS133v9
NQF Number 0565e
MIPS Quality ID 191
Description

Percentage of cataract surgeries for patients aged 18 and older with a diagnosis of uncomplicated cataract and no significant ocular conditions impacting the visual outcome of surgery and had best-corrected visual acuity of 20/40 or better (distance or near) achieved in the operative eye within 90 days following the cataract surgery
Initial Population

All cataract surgeries for patients aged 18 years and older who did not meet any exclusion criteria
Numerator

Cataract surgeries with best-corrected visual acuity of 20/40 or better (distance or near) achieved in the operative eye within 90 days following cataract surgery
Numerator Exclusions

Not Applicable
Denominator

Equals Initial Population
Denominator Exclusions

Cataract surgeries in patients with significant ocular conditions impacting the visual outcome of surgery
Denominator Exceptions

None
Steward PCPI(R) Foundation (PCPI[R])
Measure Scoring Proportion measure
Measure Type Outcome measure
Improvement Notation

Higher score indicates better quality
Guidance

This eCQM is an episode-based measure, meaning there may be more than one reportable event for a given patient during the measurement period. The level of analysis for this measure is each cataract surgery during the measurement period, including instances where more than one cataract procedure was performed during the measurement period. Every cataract surgery during the measurement period should be counted as a measurable denominator event for the measure calculation.

 

Only procedures performed during January 1 - September 30 of the reporting period will be considered for this measure, in order to determine if 20/40 or better visual acuity has been achieved within the 90 days following the cataract procedure. Cataract procedures performed during October 1 - December 31 are excluded from the initial population.

The measure, as written, does not specifically require documentation of laterality. Coding limitations in particular clinical terminologies do not currently allow for that level of specificity (ICD-10-CM includes laterality, but SNOMED-CT does not uniformly include this distinction). Therefore, at this time, it is not a requirement of this measure to indicate laterality of the diagnoses, findings or procedures. Available coding to capture the data elements specified in this measure has been provided. It is assumed that the eligible professional or eligible clinician will record laterality in the patient medical record, as quality care and clinical documentation should include laterality.

This measure is to be reported by the clinician performing the cataract surgery procedure. Clinicians who provide only preoperative or postoperative management of cataract patients are not eligible for this measure.

This version of the eCQM uses QDM version 5.5. Please refer to the eCQI resource center for more information on the QDM.
Telehealth Eligible No
Next Version
CMS133v10
Previous Version No Version Available

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Measure Information 2021 Performance Period 2022 Performance Period 2023 Performance Period 2024 Performance Period
Title Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
CMS eCQM ID CMS133v9 CMS133v10 CMS133v11 CMS133v12
NQF Number 0565e 0565e 0565e 0565e
Description

Percentage of cataract surgeries for patients aged 18 and older with a diagnosis of uncomplicated cataract and no significant ocular conditions impacting the visual outcome of surgery and had best-corrected visual acuity of 20/40 or better (distance or near) achieved in the operative eye within 90 days following the cataract surgery

Percentage of cataract surgeries for patients aged 18 and older with a diagnosis of uncomplicated cataract and no significant ocular conditions impacting the visual outcome of surgery and had best-corrected visual acuity of 20/40 or better (distance or near) achieved in the operative eye within 90 days following the cataract surgery

Percentage of cataract surgeries for patients aged 18 and older with a diagnosis of uncomplicated cataract and no significant ocular conditions impacting the visual outcome of surgery and had best-corrected visual acuity of 20/40 or better (distance or near) achieved in the operative eye within 90 days following the cataract surgery

Percentage of cataract surgeries for patients aged 18 and older with a diagnosis of uncomplicated cataract and no significant ocular conditions impacting the visual outcome of surgery and had best-corrected visual acuity of 20/40 or better (distance or near) achieved in the operative eye within 90 days following the cataract surgery
Initial Population

All cataract surgeries for patients aged 18 years and older who did not meet any exclusion criteria

All cataract surgeries for patients aged 18 years and older who did not meet any exclusion criteria

All cataract surgeries for patients aged 18 years and older who did not meet any exclusion criteria

All cataract surgeries performed between January and September of the measurement period for patients 18 years and older
Denominator

Equals Initial Population

Equals Initial Population

Equals Initial Population

Equals Initial Population
Denominator Exclusions Cataract surgeries in patients with significant ocular conditions impacting the visual outcome of surgery Cataract surgeries in patients with significant ocular conditions impacting the visual outcome of surgery Cataract surgeries in patients with significant ocular conditions impacting the visual outcome of surgery Cataract surgeries in patients with significant ocular conditions impacting the visual outcome of surgery
Numerator

Cataract surgeries with best-corrected visual acuity of 20/40 or better (distance or near) achieved in the operative eye within 90 days following cataract surgery

Cataract surgeries with best-corrected visual acuity of 20/40 or better (distance or near) achieved in the operative eye within 90 days following cataract surgery

Cataract surgeries with best-corrected visual acuity of 20/40 or better (distance or near) achieved in the operative eye within 90 days following cataract surgery

Cataract surgeries with best-corrected visual acuity of 20/40 or better (distance or near) achieved in the operative eye within 90 days following cataract surgery
Numerator Exclusions

Not Applicable

Not Applicable

Not Applicable

Not Applicable
Denominator Exceptions

None

None

None

None
Measure Steward PCPI(R) Foundation (PCPI[R]) American Academy of Ophthalmology American Academy of Ophthalmology American Academy of Ophthalmology
Measure Scoring Proportion measure Proportion measure Proportion measure Proportion measure
Measure Type Outcome measure Outcome measure Outcome measure Outcome measure
Improvement Notation

Higher score indicates better quality

Higher score indicates better quality

Higher score indicates better quality

Higher score indicates better quality
Guidance

This eCQM is an episode-based measure, meaning there may be more than one reportable event for a given patient during the measurement period. The level of analysis for this measure is each cataract surgery during the measurement period, including instances where more than one cataract procedure was performed during the measurement period. Every cataract surgery during the measurement period should be counted as a measurable denominator event for the measure calculation.

 

Only procedures performed during January 1 - September 30 of the reporting period will be considered for this measure, in order to determine if 20/40 or better visual acuity has been achieved within the 90 days following the cataract procedure. Cataract procedures performed during October 1 - December 31 are excluded from the initial population.

The measure, as written, does not specifically require documentation of laterality. Coding limitations in particular clinical terminologies do not currently allow for that level of specificity (ICD-10-CM includes laterality, but SNOMED-CT does not uniformly include this distinction). Therefore, at this time, it is not a requirement of this measure to indicate laterality of the diagnoses, findings or procedures. Available coding to capture the data elements specified in this measure has been provided. It is assumed that the eligible professional or eligible clinician will record laterality in the patient medical record, as quality care and clinical documentation should include laterality.

This measure is to be reported by the clinician performing the cataract surgery procedure. Clinicians who provide only preoperative or postoperative management of cataract patients are not eligible for this measure.

This version of the eCQM uses QDM version 5.5. Please refer to the eCQI resource center for more information on the QDM.

This eCQM is an episode-based measure. An episode for this measure is defined as each cataract surgery during the measurement period, including instances where more than one cataract procedure was performed during the measurement period. Every cataract surgery during the measurement period should be counted as a measurable denominator event for the measure calculation.

 

Only procedures performed during January 1 - September 30 of the reporting period will be considered for this measure, in order to determine if 20/40 or better visual acuity has been achieved within the 90 days following the cataract procedure. Cataract procedures performed during October 1 - December 31 are excluded from the initial population.

The measure, as written, does not specifically require documentation of laterality. Coding limitations in particular clinical terminologies do not currently allow for that level of specificity (ICD-10-CM includes laterality, but SNOMED-CT does not uniformly include this distinction). Therefore, at this time, it is not a requirement of this measure to indicate laterality of the diagnoses, findings or procedures. Available coding to capture the data elements specified in this measure has been provided. It is assumed that the eligible professional or eligible clinician will record laterality in the patient medical record, as quality care and clinical documentation should include laterality.

This measure is to be reported by the clinician performing the cataract surgery procedure. Clinicians who provide only preoperative or postoperative management of cataract patients are not eligible for this measure.

Telehealth encounters are not eligible for this measure because the measure does not contain telehealth-eligible encounter codes.

This version of the eCQM uses QDM version 5.5. Please refer to the eCQI resource center for more information on the QDM.

This eCQM is an episode-based measure. An episode for this measure is defined as each cataract surgery during the measurement period, including instances where more than one cataract procedure was performed during the measurement period. Every cataract surgery during the measurement period should be counted as a measurable denominator event for the measure calculation.

 

Only procedures performed during January 1 - September 30 of the reporting period will be considered for this measure, in order to determine if 20/40 or better visual acuity has been achieved within the 90 days following the cataract procedure. Cataract procedures performed during October 1 - December 31 are excluded from the initial population.

The measure, as written, does not specifically require documentation of laterality. Coding limitations in particular clinical terminologies do not currently allow for that level of specificity (ICD-10-CM includes laterality, but SNOMED-CT does not uniformly include this distinction). Therefore, at this time, it is not a requirement of this measure to indicate laterality of the diagnoses, findings or procedures. Available coding to capture the data elements specified in this measure has been provided. It is assumed that the eligible professional or eligible clinician will record laterality in the patient medical record, as quality care and clinical documentation should include laterality.

This measure is to be reported by the clinician performing the cataract surgery procedure. Clinicians who provide only preoperative or postoperative management of cataract patients are not eligible for this measure.

Telehealth encounters are not eligible for this measure because the measure does not contain telehealth-eligible encounter codes.

This version of the eCQM uses QDM version 5.6. Please refer to the QDM page for more information on the QDM.

This eCQM is an episode-based measure. An episode for this measure is defined as each cataract surgery during the measurement period, including instances where more than one cataract procedure was performed during the measurement period. Every cataract surgery during the measurement period should be counted as a measurable denominator event for the measure calculation.

 

Only procedures performed during January 1 - September 30 of the reporting period will be considered for this measure, in order to determine if 20/40 or better visual acuity has been achieved within the 90 days following the cataract procedure. Cataract procedures performed during October 1 - December 31 are excluded from the initial population.

The measure, as written, does not specifically require documentation of laterality. Coding limitations in particular clinical terminologies do not currently allow for that level of specificity (ICD-10-CM includes laterality, but SNOMED-CT does not uniformly include this distinction). Therefore, at this time, it is not a requirement of this measure to indicate laterality of the diagnoses, findings or procedures. Available coding to capture the data elements specified in this measure has been provided. It is assumed that the eligible professional or eligible clinician will record laterality in the patient medical record, as quality care and clinical documentation should include laterality.

This measure is to be reported by the clinician performing the cataract surgery procedure. Clinicians who provide only preoperative or postoperative management of cataract patients are not eligible for this measure.

Telehealth encounters are not eligible for this measure because the measure does not contain telehealth-eligible encounter codes.

This version of the eCQM uses QDM version 5.6. Please refer to the QDM page for more information on the QDM.
MIPS Quality ID 191 191 191 191
Telehealth Eligible No No No No
Next Version CMS133v10 CMS133v11 CMS133v12 No Version Available
Previous Version No Version Available
CMS133v9
CMS133v10
CMS133v11
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CMS133v9-TRN.xlsx 26.36 KB

Data Element Repository

Value Sets
Value Sets to be used with CMS133v9

Release Notes

CMS133v9-TRN.xlsx

Header

  • Updated eCQM Version Number.

    Measure Section: eCQM Version Number

    Source of Change: Standards Update

  • Updated copyright.

    Measure Section: Copyright

    Source of Change: Annual Update

  • Updated disclaimer.

    Measure Section: Disclaimer

    Source of Change: Standards Update

  • Revised in-text citations used within rationale to align with updated guideline and American Psychological Association (APA) formatting.

    Measure Section: Rationale

    Source of Change: Measure Lead

  • Updated references to align with updated guideline and APA formatting.

    Measure Section: Reference

    Source of Change: Measure Lead

  • Added text to identify the Quality Data Model (QDM) version used in the measure specification.

    Measure Section: Guidance

    Source of Change: Standards Update

  • Added text to indicate whether the measure is patient-based or episode-based.

    Measure Section: Guidance

    Source of Change: Standards Update

  • Revised guidance to remove reference to ICD-9-CM as this terminology is no longer included in the technical specifications.

    Measure Section: Guidance

    Source of Change: Measure Lead

Logic

  • Added new data element to capture best-corrected visual acuity using the Snellen chart.

    Measure Section: Numerator

    Source of Change: Measure Lead

  • Updated the names of Clinical Quality Language (CQL) definitions, functions, and/or aliases for clarification and to align with the CQL Style Guide.

    Measure Section: Definitions

    Source of Change: Standards Update

  • Updated the names of CQL definitions, functions, and/or aliases for clarification and to align with the CQL Style Guide.

    Measure Section: Functions

    Source of Change: Standards Update

  • QDM v5.5 standards update: Added 'relevantDatetime' attribute to QDM datatypes. 'RelevantDatetime' indicates when the action occurred whereas 'authorDatetime' indicates when the action was recorded.

    Measure Section: Multiple Sections

    Source of Change: Standards Update

  • Updated CQL expression to conform with the HL7 Standard: Clinical Quality Language Specification, Release 1 STU 4 (CQL 1.4).

    Measure Section: Multiple Sections

    Source of Change: Standards Update

  • Updated version number of the Measure Authoring Tool (MAT) Global Common Functions Library (MATGlobalCommonFunctions-5.0.000). Updated definitions and functions in the MAT Global Common Functions Library to align with standards changes, CQL Style Guide, and to include one new function related to calculating length of hospital stays with observation stays.

    Measure Section: Multiple Sections

    Source of Change: Standards Update

Value Set

The VSAC is the source of truth for the value set content, please visit the VSAC for downloads of current value sets.

  • Value set Best Corrected Visual Acuity Exam Using Snellen Chart (2.16.840.1.113883.3.526.3.1560): Added Best Corrected Visual Acuity Exam Using Snellen Chart to allow an alternative method to capture an exam commonly used in clinical practice.

    Measure Section: Multiple Sections

    Source of Change: Measure Lead

  • Value set Acute and Subacute Iridocyclitis (2.16.840.1.113883.3.526.3.1241): Deleted 6 ICD-9-CM codes (364.00, 364.01, 364.02, 364.03, 364.04, 364.05). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Burn Confined to Eye and Adnexa (2.16.840.1.113883.3.526.3.1409): Deleted 15 SNOMED CT codes based on terminology update. Deleted 7 ICD-9-CM codes (940.0, 940.1, 940.2, 940.3, 940.4, 940.5, 940.9). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Cataract Secondary to Ocular Disorders (2.16.840.1.113883.3.526.3.1410): Added 3 SNOMED CT codes (15738241000119106, 15738281000119101, 15738321000119106) and deleted 2 SNOMED CT codes (23273003, 766837000) based on terminology update. Deleted 2 ICD-9-CM codes (366.32, 366.33). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Certain Types of Iridocyclitis (2.16.840.1.113883.3.526.3.1415): Deleted 5 ICD-9-CM codes (364.21, 364.22, 364.23, 364.24, 364.3). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant. Added 4 SNOMED CT codes (15678641000119101, 15678681000119106, 15678761000119105, 15678801000119102) based on terminology update.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Chronic Iridocyclitis (2.16.840.1.113883.3.526.3.1416): Deleted 2 ICD-9-CM codes (364.10, 364.11). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Cloudy Cornea (2.16.840.1.113883.3.526.3.1417): Deleted 4 ICD-9-CM codes (371.01, 371.02, 371.03, 371.04). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant. Added 1 SNOMED CT code (64634000) based on expert review and/or public feedback.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Corneal Edema (2.16.840.1.113883.3.526.3.1418): Deleted 6 ICD-9-CM codes (371.20, 371.21, 371.22, 371.23, 371.43, 371.44). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant. Added 2 SNOMED CT codes (678991000119103, 679011000119100) based on terminology update.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Corneal Opacity and Other Disorders of Cornea (2.16.840.1.113883.3.526.3.1419): Deleted 3 ICD-9-CM codes (371.00, 371.03, 371.04). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant. Added 5 SNOMED CT codes (15999271000119108, 15999311000119108, 15999351000119109, 204148008, 370505008) based on terminology update.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Hereditary Corneal Dystrophies (2.16.840.1.113883.3.526.3.1424): Deleted 9 ICD-9-CM codes (371.50, 371.51, 371.52, 371.53, 371.54, 371.55, 371.56, 371.57, 371.58). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Injury to Optic Nerve and Pathways (2.16.840.1.113883.3.526.3.1427): Deleted 5 ICD-9-CM codes (950.0, 950.1, 950.2, 950.3, 950.9). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant. Added 6 SNOMED CT codes (735649003, 736321008, 762362006, 762363001, 762436001, 762617003) based on terminology update.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Central Corneal Ulcer (2.16.840.1.113883.3.526.3.1428): Deleted 1 ICD-9-CM code (370.03). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant. Added 3 SNOMED CT codes (332801000119108, 338411000119106, 344181000119103) based on terminology update.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Open Wound of Eyeball (2.16.840.1.113883.3.526.3.1430): Deleted 10 ICD-9-CM codes (871.0, 871.1, 871.2, 871.3, 871.4, 871.5, 871.6, 871.7, 871.9, 921.3). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant. Deleted 1 SNOMED CT code (210284008) based on terminology update.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Pathologic Myopia (2.16.840.1.113883.3.526.3.1432): Deleted 2 ICD-9-CM codes (360.20, 360.21). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant. Added 1 SNOMED CT code (16320791000119106) based on terminology update. Added 1 ICD-10-CM code (H44.2E3) based on expert review and/or public feedback.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Uveitis (2.16.840.1.113883.3.526.3.1444): Added 7 SNOMED CT codes (231947004, 336541000119107, 342151000119100, 347311000119100, 733317009, 314429009, 766933000) and deleted 1 SNOMED CT code (416491000) based on terminology update. Deleted 2 ICD-9-CM codes (360.11, 360.12). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Visual Field Defects (2.16.840.1.113883.3.526.3.1446): Deleted 1 ICD-9-CM code (368.41). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Amblyopia (2.16.840.1.113883.3.526.3.1448): Deleted 4 ICD-9-CM codes (368.00, 368.01, 368.02, 368.03). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant. Added 5 SNOMED CT codes (331961000119108, 332701000119101, 337581000119100, 338311000119102, 344081000119104) based on terminology update.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Choroidal Degenerations (2.16.840.1.113883.3.526.3.1450): Deleted 1 ICD-9-CM code (363.43). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Choroidal Detachment (2.16.840.1.113883.3.526.3.1451): Deleted 1 ICD-9-CM code (363.72). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant. Added 6 ICD-10-CM codes (H31.401, H31.402, H31.403, H31.421, H31.422, H31.423) based on expert review and/or public feedback. Added 1 SNOMED CT code (778049009) based on expert review and/or public feedback.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Choroidal Hemorrhage and Rupture (2.16.840.1.113883.3.526.3.1452): Deleted 3 ICD-9-CM codes (363.61, 363.62, 363.63). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Degenerative Disorders of Globe (2.16.840.1.113883.3.526.3.1454): Deleted 5 ICD-9-CM codes (360.20, 360.21, 360.23, 360.24, 360.29). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant. Added 1 ICD-10-CM code (H44.2E3) based on expert review and/or public feedback. Added 3 SNOMED CT codes (231918006, 231919003, 25277000) based on identification of additional relevant codes within the terminology.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Disorders of Optic Chiasm (2.16.840.1.113883.3.526.3.1457): Deleted 4 ICD-9-CM codes (377.51, 377.52, 377.53, 377.54). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant. Added 1 SNOMED CT code (703429003) and deleted 1 SNOMED CT code (50595002) based on terminology update.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Disorders of Visual Cortex (2.16.840.1.113883.3.526.3.1458): Deleted 1 ICD-9-CM code (377.75). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant. Deleted 3 SNOMED CT codes (43727009, 55456003, 57441008) based on terminology update.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Disseminated Chorioretinitis and Disseminated Retinochoroiditis (2.16.840.1.113883.3.526.3.1459): Deleted 6 ICD-9-CM codes (363.10, 363.11, 363.12, 363.13, 363.14, 363.15). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Focal Chorioretinitis and Focal Retinochoroiditis (2.16.840.1.113883.3.526.3.1460): Deleted 8 ICD-9-CM codes (363.00, 363.01, 363.03, 363.04, 363.05, 363.06, 363.07, 363.08). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Glaucoma Associated with Congenital Anomalies, Dystrophies, and Systemic Syndromes (2.16.840.1.113883.3.526.3.1461): Deleted 15 ICD-9-CM codes. Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Hereditary Choroidal Dystrophies (2.16.840.1.113883.3.526.3.1462): Deleted 8 ICD-9-CM codes (363.50, 363.51, 363.52, 363.53, 363.54, 363.55, 363.56, 363.57). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant. Added 1 SNOMED CT code (314467007) for alignment with ICD-10 value set. based on identification of additional relevant codes within the terminology.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Hereditary Retinal Dystrophies (2.16.840.1.113883.3.526.3.1463): Deleted 7 ICD-9-CM codes (362.70, 362.71, 362.72, 362.73, 362.74, 362.75, 362.76). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Nystagmus and Other Irregular Eye Movements (2.16.840.1.113883.3.526.3.1465): Deleted 10 ICD-9-CM codes (379.50, 379.51, 379.52, 379.53, 379.54, 379.55, 379.56, 379.57, 379.58, 379.59). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Optic Atrophy (2.16.840.1.113883.3.526.3.1466): Deleted 7 ICD-9-CM codes (377.10, 377.11, 377.12, 377.13, 377.14, 377.15, 377.16). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant. Deleted 1 SNOMED CT code (718221007) based on terminology update.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Optic Neuritis (2.16.840.1.113883.3.526.3.1467): Deleted 6 ICD-9-CM codes (377.30, 377.31, 377.32, 377.33, 377.34, 377.39). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Other and Unspecified Forms of Chorioretinitis and Retinochoroiditis (2.16.840.1.113883.3.526.3.1468): Deleted 3 ICD-9-CM codes (363.20, 363.21, 363.22). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Other Background Retinopathy and Retinal Vascular Changes (2.16.840.1.113883.3.526.3.1469): Deleted 3 ICD-9-CM codes (362.12, 362.16, 362.18). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Other Disorders of Optic Nerve (2.16.840.1.113883.3.526.3.1471): Deleted 1 ICD-9-CM code (377.41). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant. Added 3 SNOMED CT codes (334651000119101, 340251000119108, 345611000119102) based on terminology update.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Other Endophthalmitis (2.16.840.1.113883.3.526.3.1473): Deleted 5 ICD-9-CM codes (360.11, 360.12, 360.13, 360.14, 360.19). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant. Added 5 SNOMED CT codes (766933000, 231992006, 333391000119101, 339001000119107, 344751000119109) based on terminology update.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Prior Penetrating Keratoplasty (2.16.840.1.113883.3.526.3.1475): Deleted 3 ICD-9-CM codes (371.60, 371.61, 371.62). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant. Added 5 SNOMED CT codes (334571000119106, 340171000119105, 345531000119108, 348371000119109, 348821000119101) based on terminology update.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Purulent Endophthalmitis (2.16.840.1.113883.3.526.3.1477): Deleted 5 ICD-9-CM codes (360.00, 360.01, 360.02, 360.03, 360.04). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant. Added 2 SNOMED CT codes (348381000119107, 348831000119103) based on terminology update.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Retinal Detachment with Retinal Defect (2.16.840.1.113883.3.526.3.1478): Deleted 8 ICD-9-CM codes (361.00, 361.01, 361.02, 361.03, 361.04, 361.05, 361.06, 361.07). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Other Proliferative Retinopathy (2.16.840.1.113883.3.526.3.1480): Deleted 8 ICD-9-CM codes (362.20, 362.21, 362.22, 362.23, 362.24, 362.25, 362.26, 362.27). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant. Added 12 SNOMED CT codes based on terminology update.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Scleritis and Episcleritis (2.16.840.1.113883.3.526.3.1481): Deleted 5 ICD-9-CM codes (379.04, 379.05, 379.06, 379.07, 379.09). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant. Deleted 1 SNOMED CT code (231875003) based on terminology update.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Separation of Retinal Layers (2.16.840.1.113883.3.526.3.1482): Deleted 3 ICD-9-CM codes (362.41, 362.42, 362.43). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Degeneration of Macula and Posterior Pole (2.16.840.1.113883.3.526.3.1453): Deleted 8 ICD-9-CM codes (362.50, 362.51, 362.52, 362.53, 362.54, 362.55, 362.56, 362.57). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Diabetic Macular Edema (2.16.840.1.113883.3.526.3.1455): Deleted 1 ICD-9-CM code (362.07). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant. Added 2 SNOMED CT codes (769219006, 769220000) based on identification of additional relevant codes within the terminology.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Retinal Vascular Occlusion (2.16.840.1.113883.3.526.3.1479): Deleted 4 ICD-9-CM codes (362.31, 362.32, 362.35, 362.36). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant. Added 6 SNOMED CT codes (336191000119105, 341801000119101, 677781000119104, 677791000119101, 677821000119109, 677831000119107) based on terminology update.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Diabetic Retinopathy (2.16.840.1.113883.3.526.3.327): Deleted 6 ICD-9-CM codes (362.01, 362.02, 362.03, 362.04, 362.05, 362.06). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Glaucoma (2.16.840.1.113883.3.526.3.1423): Added 2 SNOMED CT codes (787051000, 787052007) and deleted 2 SNOMED CT codes (12239341000119100, 12239381000119105) based on terminology update. Deleted 26 ICD-9-CM codes. Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Cataract, Congenital (2.16.840.1.113883.3.526.3.1412): Deleted 3 SNOMED CT codes (204130004, 268159001, 63912009) based on terminology update. Deleted 1 ICD-9-CM code (743.30). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Cataract, Mature or Hypermature (2.16.840.1.113883.3.526.3.1413): Deleted 1 ICD-9-CM code (366.9). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant. Added 4 SNOMED CT codes (217791000119107, 347461000119107, 347521000119103, 347581000119104) based on terminology update.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Cataract, Posterior Polar (2.16.840.1.113883.3.526.3.1414): Deleted 1 ICD-9-CM code (743.31). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant. Added 6 SNOMED CT codes (1078791000119109, 1078801000119105, 335831000119107, 341441000119102, 346691000119104, 347561000119108) based on terminology update.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Hypotony of Eye (2.16.840.1.113883.3.526.3.1426): Deleted 5 ICD-9-CM codes (360.30, 360.31, 360.32, 360.33, 360.34). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Posterior Lenticonus (2.16.840.1.113883.3.526.3.1433): Deleted 1 ICD-9-CM code (743.36). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant. Added 4 SNOMED CT codes (204134008, 418653000, 419544009, 773690008) based on terminology update.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Retrolental Fibroplasias (2.16.840.1.113883.3.526.3.1438): Deleted 1 ICD-9-CM code (362.21). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant. Added 12 SNOMED CT codes based on terminology update.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Traumatic Cataract (2.16.840.1.113883.3.526.3.1443): Deleted 4 ICD-9-CM codes (366.20, 366.21, 366.22, 366.23). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Vascular Disorders of Iris and Ciliary Body (2.16.840.1.113883.3.526.3.1445): Deleted 1 ICD-9-CM code (364.42). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant. Added 3 SNOMED CT codes (678191000119101, 678201000119103, 678211000119100) based on terminology update.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Morgagnian Cataract (2.16.840.1.113883.3.526.3.1558): Deleted 1 ICD-9-CM code (366.18). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Macular Scar of Posterior Polar (2.16.840.1.113883.3.526.3.1559): Deleted 2 ICD-9-CM codes (363.32, 363.33). Removed ICD-9 codes from all measures that do not have lookback periods or removed ICD-9 codes from all measures with lookback period for which the ICD-9 codes were no longer relevant. Added 1 SNOMED CT code (774010000) and deleted 1 SNOMED CT code (15631571000119102) based on terminology update.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Removed ICD-9-CM extensional value sets from applicable Groupings due to ICD-9-CM no longer being maintained and the measure not requiring historical lookback period.

    Measure Section: Terminology

    Source of Change: Measure Lead

Last Updated: Apr 24, 2023