Back to top
Top
U.S. flag

An official website of the United States government

Dot gov

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Https

Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.

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

Compare Versions of: "Cataracts: 20 over 40 or Better Visual Acuity within 90 Days Following Cataract Surgery"

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.

Strikethrough text highlighted in red indicates information changed from the previous version. Text highlighted in green indicates information updated in the new eCQM version.

Compare version to

Measure Information 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 over 40 or Better Visual Acuity within 90 Days Following Cataract Surgery
CMS eCQM ID CMS133v10 CMS133v11 CMS133v12
NQF Number 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

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

Denominator

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
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

Numerator Exclusions

Not Applicable

Not Applicable

Not Applicable

Denominator Exceptions

None

None

None

Measure Steward American Academy of Ophthalmology American Academy of Ophthalmology American Academy of Ophthalmology
Measure Scoring Proportion measure Proportion measure Proportion measure
Measure Type Outcome measure Outcome measure Outcome measure
Improvement Notation

Higher score indicates better quality

Higher score indicates better quality

Higher score indicates better quality

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.

MIPS Quality ID 191 191 191
Telehealth Eligible No No No
Next Version No Version Available
Previous Version No Version Available

Header

  • Updated copyright.

    Measure Section: Copyright

    Source of Change: Annual Update

  • Updated disclaimer.

    Measure Section: Disclaimer

    Source of Change: Annual Update

  • Updated rationale to align with references.

    Measure Section: Rationale

    Source of Change: Annual Update

  • Updated references.

    Measure Section: Reference

    Source of Change: Measure Lead

  • Revised initial population language to align with measure logic by replacing 'for patients 18 years and older who did not meet exclusion criteria' with 'between January and September of the measurement period for patients 18 years and older.'.

    Measure Section: Initial Population

    Source of Change: Measure Lead

Logic

  • Revised Cataract Surgery Between January and September of Measurement Period logic definition to include procedures starting 92 days or more before the end of the measurement period and better align with measure intent.

    Measure Section: Definitions

    Source of Change: ONC Project Tracking System (JIRA): CQM-5345

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 Degeneration of Macula and Posterior Pole (2.16.840.1.113883.3.526.3.1453): Added 1 SNOMED CT code (737273002) based on terminology update. Deleted 1 SNOMED CT code (267611002) 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 1 SNOMED CT code (267611002) based on terminology update.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set (2.16.840.1.113883.3.526.3.1419): Renamed to Disorders of Cornea Including Corneal Opacity based on recommended value set naming conventions.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Glaucoma (2.16.840.1.113883.3.526.3.1423): Added 1 SNOMED CT code (788947003) based on terminology update. Deleted 1 SNOMED CT code (267625001) 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 (1222888000) based on terminology update. Deleted 2 SNOMED CT codes (267611002, 21939006) based on terminology update.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Payer (2.16.840.1.114222.4.11.3591): Added 5 SOP codes (1111, 1112, 142, 344, 141) based on review by technical experts, SMEs, and/or public feedback.

    Measure Section: Terminology

    Source of Change: Measure Lead

Last Updated: Feb 06, 2024