Back to top
Top
U.S. flag

An official website of the United States government

Oncology: Medical and Radiation - Pain Intensity Quantified

Compare Versions of: "Oncology: Medical and Radiation - Pain Intensity Quantified"

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 2025 version to

Table Options
Measure Information 2025 Performance Period
Title Oncology: Medical and Radiation - Pain Intensity Quantified
CMS eCQM ID CMS157v13
CBE ID* 0384e
MIPS Quality ID 143
Measure Steward American Society of Clinical Oncology
Description

Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified

Measure Scoring Proportion measure
Measure Type Process
Stratification

None

Risk Adjustment

None

Rationale

Pain is a commonly occurring symptom for cancer patients as 30% to 50% (510,000 to 850,000 each year based on current statistics) will experience moderate to severe pain (Wiffen, Wee, Derry, Bell, & Moore, 2017). Initial and ongoing pain assessments are essential to determine the...

Show more >
Clinical Recommendation Statement

-Screen all patients for pain at each contact.

-Routinely quantify and document pain intensity and quality as characterized by the patient (whenever possible). Include patient reporting of breakthrough pain, treatments used and their impact on pain, satisfaction with pain relief, pain...

Show more >
Improvement Notation

Higher score indicates better quality

Definition

None

Guidance

This eCQM is an episode-based measure. An episode is defined as each eligible encounter for patients with a diagnosis of cancer who are also currently receiving chemotherapy or radiation therapy during the measurement period.

For patients receiving radiation therapy, pain intensity should...

Show more >
Initial Population

Population 1: All patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy

Population 2: All patient visits, regardless of patient age, with a diagnosis of cancer currently receiving radiation therapy

Denominator

Equals Initial Population

Denominator Exclusions

None

Numerator

Patient visits in which pain intensity is quantified

Numerator Exclusions

Not Applicable

Denominator Exceptions

None

Telehealth Eligible Yes
Next Version No Version Available
Previous Version

Header

  • Updated the eCQM version number.

    Measure Section:

    eCQM Version Number

    Source of Change:

    Annual Update

  • Changed all references from NQF to CBE to identify the consensus-based entity role.

    Measure Section:

    CBE Number

    Source of Change:

    Annual Update

  • Updated copyright.

    Measure Section:

    Copyright

    Source of Change:

    Annual Update

  • Updated disclaimer.

    Measure Section:

    Disclaimer

    Source of Change:

    Annual Update

  • Updated Initial Population to indicate two populations and align with measure logic.

    Measure Section:

    Initial Population

    Source of Change:

    Test Case Review

  • Updated references and measure header to reflect current evidence and new or updated literature.

    Measure Section:

    Multiple Sections

    Source of Change:

    Measure Lead

Logic

  • Revised numerator logic for Population 1 and Population 2 to add new CQL definition of 'Standard Pain Assessment with Result' to streamline logic.

    Measure Section:

    Numerator

    Source of Change:

    Annual Update

  • Renamed value set to 'Payer Type' to more accurately reflect the contents and intent of the value set.

    Measure Section:

    Definitions

    Source of Change:

    Standards/Technical Update

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

    Measure Section:

    Definitions

    Source of Change:

    Standards/Technical Update

  • Updated the version number of the Measure Authoring Tool (MAT) Global Common Functions Library to v8.0.000 and the library name from 'MATGlobalCommonFunctions' to 'MATGlobalCommonFunctionsQDM.'

    Measure Section:

    Definitions

    Source of Change:

    Annual Update

  • Updated the version number of the Measure Authoring Tool (MAT) Global Common Functions Library to v8.0.000 and the library name from 'MATGlobalCommonFunctions' to 'MATGlobalCommonFunctionsQDM.'

    Measure Section:

    Functions

    Source of Change:

    Annual 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 Cancer (2.16.840.1.113883.3.526.3.1010): Added 2810 SNOMED CT codes based on review by technical experts, SMEs, and/or public feedback. Deleted 9 SNOMED CT codes (237833006, 254889004, 254662007, 254939008, 254949006, 417264005, 424408000, 443643007, 446241005) based on review by technical experts, SMEs, and/or public feedback. Added 1 ICD-10-CM code (D48.19) based on terminology update. Deleted 16 ICD-10-CM codes based on review by technical experts, SMEs, and/or public feedback.

    Measure Section:

    Terminology

    Source of Change:

    Measure Lead

  • Value set Chemotherapy Administration (2.16.840.1.113883.3.526.3.1027): Added 43 SNOMED CT codes based on review by technical experts, SMEs, and/or public feedback. Added 1 CPT code (50391) based on review by technical experts, SMEs, and/or public feedback. Added 1 HCPCS code (G0498) based on review by technical experts, SMEs, and/or public feedback.

    Measure Section:

    Terminology

    Source of Change:

    Measure Lead

  • Value set Office Visit (2.16.840.1.113883.3.464.1003.101.12.1001): Deleted 2 SNOMED CT codes (30346009, 37894004) based on review by technical experts, SMEs, and/or public feedback. Deleted 1 CPT code (99201) based on review by technical experts, SMEs, and/or public feedback.

    Measure Section:

    Terminology

    Source of Change:

    Measure Lead

  • Value set (2.16.840.1.114222.4.11.3591): Renamed to Payer Type based on recommended value set naming conventions.

    Measure Section:

    Terminology

    Source of Change:

    Annual Update

Last Updated: Aug 01, 2024