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Diabetes: Eye Exam

eCQM Compare View

Compare Versions of: "Diabetes: Eye Exam"

The Compare function compares two years of the measure specifications found in the header of the measure's HTML. It does not include a comparison of any information in the body of the HTML, e.g., population criteria, Clinical Quality Language, or value sets.

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Table Options
Measure Information 2023 Performance Period
Title Diabetes: Eye Exam
CMS eCQM ID CMS131v11
CBE ID* Not Applicable
MIPS Quality ID 117
Measure Steward National Committee for Quality Assurance
Description

Percentage of patients 18-75 years of age with diabetes and an active diagnosis of retinopathy in any part of the measurement period who had a retinal or dilated eye exam by an eye care professional during the measurement period or diabetics with no diagnosis of retinopathy in any part...

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Measure Scoring Proportion
Measure Type Process
Stratification *See CMS131v11.html
Risk Adjustment *See CMS131v11.html
Rationale *See CMS131v11.html
Clinical Recommendation Statement *See CMS131v11.html
Improvement Notation

Higher score indicates better quality

Definition *See CMS131v11.html
Guidance

The eye exam must be performed by an ophthalmologist or optometrist, or there must be evidence that fundus photography results were read by a system that provides an artificial intelligence (AI) interpretation.

This eCQM is a patient-based measure.

 

This version of the eCQM uses QDM...

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Initial Population

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

Denominator

Equals Initial Population

Denominator Exclusions

Exclude patients who are in hospice care for any part of the measurement period.

Exclude patients 66 and older by the end of the measurement period who are living long term in a nursing home any time on or before the end of the measurement period.

Exclude patients 66 and older by the end...

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Numerator

Patients with an eye screening for diabetic retinal disease. This includes diabetics who had one of the following:

•Diabetic with a diagnosis of retinopathy in any part of the measurement period and a retinal or dilated eye exam by an eye care professional in the measurement period

•Diabet...

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Numerator Exclusions

Not Applicable

Denominator Exceptions

None

Telehealth Eligible Yes
Next Version
Previous Version No Version Available
Last Updated: May 01, 2025