Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
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| Measure Information | 2022 Performance Period | 2023 Performance Period | 2024 Performance Period | 2025 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 over 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 | CMS133v10 | CMS133v11 | CMS133v12 | CMS133v13 |
| CBE ID* | 0565e | 0565e | 0565e | 0565e |
| MIPS Quality ID | 191 | 191 | 191 | 191 |
| Measure Steward | American Academy of Ophthalmology | American Academy of Ophthalmology | American Academy of Ophthalmology | American Academy of Ophthalmology |
| 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 |
| Measure Scoring | Proportion measure | Proportion measure | Proportion measure | Proportion measure |
| Measure Type | Outcome | Outcome | Outcome | Outcome |
| Stratification | *See CMS133v10.html | *See CMS133v11.html |
None |
None |
| Risk Adjustment | *See CMS133v10.html | *See CMS133v11.html |
None |
None |
| Rationale | *See CMS133v10.html | *See CMS133v11.html |
In the United States, cataracts affect more than 24 million adults over 40 years (National Eye Institute, 2019). According to the American Academy of Ophthalmology (2021), cataract surgery has a substantial beneficial impact on visual function and on quality of life. 1. Scientific basis for measuring visual acuity outcomes after cataract surgery The only reason to perform cataract surgery (other than for a limited set of medical indications) is to improve a patient's vision and associated functioning. The use of a 20/40 visual acuity threshold is based on several considerations. First, it is the level for unrestricted operation of a motor vehicle in the US. Second, it has been consistently used by the FDA in its assessment for approval of intraocular lens (IOL) and other vision devices. Third, it is the literature standard to denote success in cataract surgery. Fourth, work by West et al. in the Salisbury Eye Study suggests that 20/40 is a useful threshold for 50th percentile functioning for several vision-related tasks. Most patients achieve excellent visual acuity after cataract surgery (20/40 or better). This outcome is achieved consistently through careful attention through the accurate measurement of axial length and corneal power and the appropriate selection of an IOL power calculation formula. As such, it reflects the care and diligence with which the surgery is assessed, planned and executed. Failure to achieve this after surgery in eyes without comorbid ocular conditions that would impact the success of the surgery would reflect care that should be assessed for opportunities for improvement. The exclusion of patients with other ocular and systemic conditions known to increase the risk of an adverse outcome reflects the findings of the two published prediction rule papers for cataract surgery outcomes, by Mangione et al. (1995) and Steinberg et al. (1994). In both papers, the presence of comorbid glaucoma and macular degeneration negatively impacted the likelihood of successful outcomes of surgery. Further, as noted in the prior indicator, exclusion of eyes with ocular conditions that could impact the success of the surgery would NOT eliminate the large majority of eyes undergoing surgery while also minimizing the potential adverse selection that might otherwise occur relative to those patients with the most complex situations who might benefit the most from having surgery to maximize their remaining vision. 2. Evidence of a gap in care Cataract surgery successfully restores vision in the majority of people who have the procedure. Data from a study of 368,256 cataract surgeries show that corrected visual acuity (CDVA) of 0.5 (20/40) or better was achieved in 94.3% and CDVA of 1.0 (20/20) or better was achieved in 61.3% of cases (Lundstrom, Barry, Henry, Rosen & Stenevi, 2013). Additionally, data from a UK multi-center Cataract National Dataset found a postoperative visual acuity of 6/12 (20/40) or better was achieved for 94.7% of eyes with no co-pathologies and in 79.9% of eyes with one or more co-pathologies (Jaycock et al., 2009).
A rate of 85.5-94.7% of patients achieving a 20/40 or better visual acuity in the context of approximately 3 million cataract surgeries in the US annually would mean that between 160,000 to 435,000 individuals would not achieve a 20/40 or better visual acuity which suggests an opportunity for improvement. |
In the United States, cataracts affect more than 24 million adults over 40 years (National Eye Institute, 2019). According to (Miller et al., 2022), cataract surgery has a substantial beneficial impact on visual function and on quality of life. 1. Scientific basis for measuring visual acuity outcomes after cataract surgery The only reason to perform cataract surgery (other than for a limited set of medical indications) is to improve a patient's vision and associated functioning. The use of a 20/40 visual acuity threshold is based on several considerations. First, it is the level for unrestricted operation of a motor vehicle in the US. Second, it has been consistently used by the Food and Drug Administration in its assessment for approval of intraocular lens (IOL) and other vision devices. Third, it is the literature standard to denote success in cataract surgery. Fourth, work by West et al. in the Salisbury Eye Study suggests that 20/40 is a useful threshold for 50th percentile functioning for several vision-related tasks. Most patients achieve excellent visual acuity after cataract surgery (20/40 or better). This outcome is achieved consistently through careful attention through the accurate measurement of axial length and corneal power and the appropriate selection of an IOL power calculation formula. As such, it reflects the care and diligence with which the surgery is assessed, planned and executed. Failure to achieve this after surgery in eyes without comorbid ocular conditions that would impact the success of the surgery would reflect care that should be assessed for opportunities for improvement. The exclusion of patients with other ocular and systemic conditions known to increase the risk of an adverse outcome reflects the findings of the two published prediction rule papers for cataract surgery outcomes, by Mangione et al. (1995) and Steinberg et al. (1994). In both papers, the presence of comorbid glaucoma and macular degeneration negatively impacted the likelihood of successful outcomes of surgery. Further, as noted in the prior indicator, exclusion of eyes with ocular conditions that could impact the success of the surgery would NOT eliminate the large majority of eyes undergoing surgery while also minimizing the potential adverse selection that might otherwise occur relative to those patients with the most complex situations who might benefit the most from having surgery to maximize their remaining vision. 2. Evidence of a gap in care Cataract surgery successfully restores vision in the majority of people who have the procedure. Data from a study of 368,256 cataract surgeries show that corrected visual acuity (CDVA) of 0.5 (20/40) or better was achieved in 94.3% and CDVA of 1.0 (20/20) or better was achieved in 61.3% of cases (Lundstrom et al., 2013). Additionally, data from a UK multi-center Cataract National Dataset found a postoperative visual acuity of 6/12 (20/40) or better was achieved for 94.7% of eyes with no co-pathologies and in 79.9% of eyes with one or more co-pathologies (Jaycock et al., 2009).
A rate of 85.5-94.7% of patients achieving a 20/40 or better visual acuity in the context of approximately 3 million cataract surgeries in the US annually would mean that between 160,000 to 435,000 individuals would not achieve a 20/40 or better visual acuity which suggests an opportunity for improvement. |
| Clinical Recommendation Statement | *See CMS133v10.html | *See CMS133v11.html |
This is an outcome measure. As such, there is no statement in the guideline specific to this measurement topic. |
This is an outcome measure. As such, there is no statement in the guideline specific to this measurement topic. |
| Improvement Notation |
Higher score indicates better quality |
Higher score indicates better quality |
Higher score indicates better quality |
Higher score indicates better quality |
| Definition | *See CMS133v10.html | *See CMS133v11.html |
None |
None |
| Guidance |
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. |
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 measurement 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 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. |
| 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 performed between January and September of the measurement period for patients 18 years and older |
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 |
| Telehealth Eligible | No | No | No | No |
| Next Version | No Version Available | |||
| Previous Version | No Version Available |
Additional Resources for CMS133v10
Header
Updated the eCQM version number.
Measure Section: eCQM Version Number
Source of Change: Annual Update
Updated Measure Steward.
Measure Section: Measure Steward
Source of Change: Measure Lead
Updated Measure Developer.
Measure Section: Measure Developer
Source of Change: Measure Lead
Updated copyright.
Measure Section: Copyright
Source of Change: Annual Update
Updated disclaimer.
Measure Section: Disclaimer
Source of Change: Annual Update
Added clarifying language to guidance section indicating that the measure is not eligible for telehealth visits.
Measure Section: Guidance
Source of Change: Measure Lead
Added clarifying language to guidance section of episode-based measures to define the episode.
Measure Section: Guidance
Source of Change: Measure Lead
Logic
Replaced the 'Episcleritis and Scleritis' value set with a 'Scleritis' value set to reflect updated guidance that episcleritis does not affect central visual acuity and is therefore not a valid exclusion for this measure.
Measure Section: Denominator Exclusions
Source of Change: Measure Lead
Updated the version number of the Measure Authoring Tool (MAT) Global Common Functions Library (MATGlobalCommonFunctions-6.2.000). Updated the 'Inpatient Encounter' definition to include a 'day of' timing clarification. Added the following timing functions: Normalize Interval, Has Start, Has End, Latest, Latest Of, Earliest, and Earliest Of. Please see individual measure details for application of specific timing functions.
Measure Section: Multiple Sections
Source of Change: Standards Update
Added new NormalizeInterval function to timing attributes to decrease implementation burden due to variable use of timing attributes for select QDM data types. The NormalizeInterval function was applied, where applicable, for the following data elements: Assessment, Performed; Device, Applied; Diagnostic Study, Performed; Intervention, Performed; Laboratory Test, Performed; Medication, Administered; Medication, Dispensed; Physical Exam, Performed; Procedure, Performed; Substance, Administered.
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 Acute and Subacute Iridocyclitis (2.16.840.1.113883.3.526.3.1241): Added 6 SNOMED CT codes (332921000119107, 338531000119102, 344301000119109, 675361000119103, 675371000119109, 675381000119107) based on terminology update.
Measure Section: Terminology
Source of Change: Annual Update
Value set Cataract Surgery (2.16.840.1.113883.3.526.3.1411): Added 3 SNOMED CT codes (172523009, 860930005, 860934001) based on terminology update.
Measure Section: Terminology
Source of Change: Annual Update
Value set Cloudy Cornea (2.16.840.1.113883.3.526.3.1417): Added 3 SNOMED CT codes (333881000119109, 339481000119109, 344611000119101) based on terminology update.
Measure Section: Terminology
Source of Change: Annual Update
Value set Corneal Edema (2.16.840.1.113883.3.526.3.1418): Added 3 SNOMED CT codes (336241000119105, 341851000119102, 347061000119104) 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 2 SNOMED CT codes (418946006, 419087002) based on terminology update. Added 18 ICD-10-CM codes based on terminology update. Deleted 7 ICD-10-CM codes (H18.50, H18.51, H18.52, H18.53, H18.54, H18.55, H18.59) 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 SNOMED CT code (95731004) 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): Added 5 SNOMED CT codes (16837461000119106, 16837521000119102, 335471000119108, 346481000119100, 846621001) based on terminology update.
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 (870199008, 870273007, 870329005, 870331001, 870332008, 870333003, 870335005) based on terminology update.
Measure Section: Terminology
Source of Change: Annual Update
Value set Visual Field Defects (2.16.840.1.113883.3.526.3.1446): Added 5 SNOMED CT codes (16059151000119108, 16059191000119103, 336171000119109, 341781000119100, 346991000119107). Added 14 ICD-10-CM codes based on terminology update.
Measure Section: Terminology
Source of Change: Annual Update
Value set Amblyopia (2.16.840.1.113883.3.526.3.1448): Added 4 SNOMED CT codes (335461000119102, 341071000119100, 343371000119101, 346331000119107) based on terminology update.
Measure Section: Terminology
Source of Change: Annual Update
Value set Choroidal Detachment (2.16.840.1.113883.3.526.3.1451): Added 7 SNOMED CT codes (336071000119108, 334901000119109, 332111000119102, 343491000119109, 341681000119105, 340511000119109, 337721000119107) based on terminology update.
Measure Section: Terminology
Source of Change: Annual Update
Value set Choroidal Hemorrhage and Rupture (2.16.840.1.113883.3.526.3.1452): Added 4 SNOMED CT codes (336051000119104, 336061000119102, 341661000119101, 341671000119107) based on terminology update.
Measure Section: Terminology
Source of Change: Annual Update
Value set Degenerative Disorders of Globe (2.16.840.1.113883.3.526.3.1454): Deleted 3 SNOMED CT codes (247178009, 30523006, 3712000) 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): Added 6 ICD-10-CM codes (H47.621, H47.622, H47.631, H47.632, H47.641, H47.642) based on review by technical experts, SMEs, and/or public feedback.
Measure Section: Terminology
Source of Change: Measure Lead
Value set Glaucoma Associated with Congenital Anomalies, Dystrophies, and Systemic Syndromes (2.16.840.1.113883.3.526.3.1461): Added 5 SNOMED CT codes (15673041000119101, 15679801000119105, 333151000119108, 338761000119103, 370504007) based on terminology update.
Measure Section: Terminology
Source of Change: Annual Update
Value set Hereditary Choroidal Dystrophies (2.16.840.1.113883.3.526.3.1462): Deleted 1 SNOMED CT code (715417002) based on terminology update.
Measure Section: Terminology
Source of Change: Annual Update
Value set Optic Atrophy (2.16.840.1.113883.3.526.3.1466): Added 6 SNOMED CT codes (348051000119102, 348501000119108, 680991000119108, 838307002, 838345001, 870319003) based on terminology update.
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): Added 14 SNOMED CT codes based on terminology update.
Measure Section: Terminology
Source of Change: Annual Update
Value set Other Disorders of Optic Nerve (2.16.840.1.113883.3.526.3.1471): Added 4 SNOMED CT codes (838324008, 838363001, 860808008, 860884007) 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): Added 7 SNOMED CT codes (334551000119102, 334561000119100, 340151000119101, 340161000119104, 345511000119103, 345521000119105, 349321000119104) 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): Added 2 SNOMED CT codes (331831000119109, 337451000119106) 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): Added 3 SNOMED CT codes (334891000119105, 340501000119106, 345811000119101) based on terminology update.
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): Added 5 SNOMED CT codes (247200005, 335531000119109, 341141000119106, 346401000119108, 789220007) based on terminology update. Deleted 2 SNOMED CT codes (247145002, 247148000) based on terminology update.
Measure Section: Terminology
Source of Change: Annual Update
Value set Retinal Vascular Occlusion (2.16.840.1.113883.3.526.3.1479): Added 11 SNOMED CT codes (15997911000119103, 15997951000119102, 16279401000119108, 16279441000119105, 16711111000119100, 16711631000119103, 333281000119108, 337421000119103, 338891000119100, 677771000119102, 680941000119100) 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): Added 1 SNOMED CT code (870420005) based on terminology update.
Measure Section: Terminology
Source of Change: Annual Update
Value set Glaucoma (2.16.840.1.113883.3.526.3.1423): Added 1 SNOMED CT codes (15679801000119105) based on terminology update. Deleted 6 SNOMED CT codes (10100008, 193546005, 193549003, 367360002, 55129006, 66990007) based on terminology update.
Measure Section: Terminology
Source of Change: Annual Update
Value set Cataract, Congenital (2.16.840.1.113883.3.526.3.1412): Added 8 SNOMED CT codes (335841000119103, 341451000119100, 346711000119101, 346731000119106, 349281000119109, 679911000119104, 679931000119109, 681041000119106) 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): Added 2 SNOMED CT codes (15737681000119103, 16477021000119103) based on terminology update.
Measure Section: Terminology
Source of Change: Annual Update
Value set Posterior Lenticonus (2.16.840.1.113883.3.526.3.1433): Added 3 SNOMED CT codes (15987911000119102, 840458000, 15987871000119100) 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): Added 1 SNOMED CT code (866114005) based on terminology update.
Measure Section: Terminology
Source of Change: Annual Update
Value set Macular Scar of Posterior Polar (2.16.840.1.113883.3.526.3.1559): Added 1 SNOMED CT code (344341000119106) based on terminology update. Deleted 1 SNOMED CT code (246181000119100) 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): Added 4 SNOMED CT codes (10942751000119100, 10942791000119105, 735657000, 870312007) based on review by technical experts, SMEs, and/or public feedback.
Measure Section: Terminology
Source of Change: Measure Lead
Value Set Nystagmus and Other Irregular Eye Movements (2.16.840.1.113883.3.526.3.1465): Added 1 ICD-10-CM codes (H55.82) based on terminology update.
Measure Section: Terminology
Source of Change: Annual Update
Added value set Scleritis (2.16.840.1.113762.1.4.1226.1) based on review by technical experts, SMEs, and/or public feedback.
Measure Section: Terminology
Source of Change: Measure Lead
Removed value set Scleritis and Episcleritis (2.16.840.1.113883.3.526.3.1481) based on review by technical experts, SMEs, and/or public feedback.
Measure Section: Terminology
Source of Change: Measure Lead