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Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents

Measure Information
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Table Options
Measure Information 2023 Performance Period 2024 Performance Period 2025 Performance Period 2026 Performance Period
Title Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents
CMS eCQM ID CMS155v11 CMS155v12 CMS155v13 CMS155v14
CBE ID* Not Applicable Not Applicable Not Applicable Not Applicable
MIPS Quality ID 239 239 239 239
Measure Steward National Committee for Quality Assurance National Committee for Quality Assurance National Committee for Quality Assurance National Committee for Quality Assurance
Description

Percentage of patients 3-17 years of age who had an outpatient visit with a primary care physician (PCP) or obstetrician/gynecologist (OB/GYN) and who had evidence of the following during the measurement period.

- Percentage of patients with height, weight, and body mass index (BMI) percentile documentation

- Percentage of patients with counseling for nutrition

- Percentage of patients with counseling for physical activity

Percentage of patients 3-17 years of age who had an outpatient visit with a primary care physician (PCP) or obstetrician/gynecologist (OB/GYN) and who had evidence of the following during the measurement period.

- Percentage of patients with height, weight, and body mass index (BMI) percentile documentation

- Percentage of patients with counseling for nutrition

- Percentage of patients with counseling for physical activity

Percentage of patients 3-17 years of age who had an outpatient visit with a primary care physician (PCP) or obstetrician/gynecologist (OB/GYN) and who had evidence of the following during the measurement period.

- Percentage of patients with height, weight, and body mass index (BMI) percentile documentation

- Percentage of patients with counseling for nutrition

- Percentage of patients with counseling for physical activity

Percentage of patients 3-17 years of age who had an outpatient visit with a primary care physician (PCP) or obstetrician/gynecologist (OB/GYN) and who had evidence of the following during the measurement period.

- Percentage of patients with height, weight, and body mass index (BMI) percentile documentation 

- Percentage of patients with counseling for nutrition 

- Percentage of patients with counseling for physical activity

Measure Scoring Proportion measure Proportion measure Proportion measure Proportion measure
Measure Type Process Process Process Process
Stratification *See CMS155v11.html

Report a total score, and each of the following strata:

Stratum 1 - Patients age 3-11 years at the end of the measurement period

Stratum 2 - Patients age 12-17 years at the end of the measurement period

Report a total score, and each of the following strata:

Stratum 1 - Patients age 3-11 years at the end of the measurement period

Stratum 2 - Patients age 12-17 years at the end of the measurement period

Report a total score, and each of the following strata:

Stratum 1 - Patients age 3-11 years at the end of the measurement period

Stratum 2 - Patients age 12-17 years at the end of the measurement period

Risk Adjustment *See CMS155v11.html

None

None

None

Rationale *See CMS155v11.html

Over the last four decades, childhood obesity has more than tripled in children and adolescents 2 to 19 years of age (from a rate of approximately 5 percent to 18.5 percent) (Fryar, Carroll, & Ogden, 2014; Hales et al., 2017). Non-Hispanic black and Hispanic youth are more likely to be obese than their non-Hispanic white and non-Hispanic Asian counterparts. In 2015-2016, approximately 22 percent of non-Hispanic black and 26 percent of Hispanic youth were obese compared to approximately 14 percent of non-Hispanic white and 11 percent of non-Hispanic Asian youth (Hales et al., 2017).

Childhood obesity has both immediate and long-term effects on health and well-being. Children who are obese have higher rates of physical health conditions, such as risk factors for cardiovascular disease (like high blood pressure and high cholesterol), type 2 diabetes, asthma, sleep apnea, and joint problems. There is also a correlation between childhood obesity and mental health conditions, such as anxiety and depression (Centers for Disease Control and Prevention, 2016). In addition, children who are obese are more likely to be obese as adults and are therefore at risk for adult health problems, such as heart disease, type 2 diabetes, and several types of cancer (Centers for Disease Control and Prevention, 2016).

The direct medical costs associated with childhood obesity total about $19,000 per child, contributing to the $14 billion spent on care related to childhood obesity in the United States (Finkelstein, Graham, & Malhotra, 2014).

Because obesity can become a lifelong health issue, it is important to screen for obesity in children and adolescents, and to provide interventions that promote weight loss (U.S. Preventive Services Task Force, 2017).

Over the last four decades, childhood obesity has more than tripled in children and adolescents 2 to 19 years of age (from a rate of approximately 5 percent to 18.5 percent) (Fryar, Carroll, & Ogden, 2014; Hales et al., 2017). Non-Hispanic black and Hispanic youth are more likely to be obese than their non-Hispanic white and non-Hispanic Asian counterparts. In 2015-2016, approximately 22 percent of non-Hispanic black and 26 percent of Hispanic youth were obese compared to approximately 14 percent of non-Hispanic white and 11 percent of non-Hispanic Asian youth (Hales et al., 2017).

Childhood obesity has both immediate and long-term effects on health and well-being. Children who are obese have higher rates of physical health conditions, such as risk factors for cardiovascular disease (like high blood pressure and high cholesterol), type 2 diabetes, asthma, sleep apnea, and joint problems. There is also a correlation between childhood obesity and mental health conditions, such as anxiety and depression (Centers for Disease Control and Prevention [CDC], 2016). In addition, children who are obese are more likely to be obese as adults and are therefore at risk for adult health problems, such as heart disease, type 2 diabetes, and several types of cancer (CDC, 2016).

The direct medical costs associated with childhood obesity total $1.32 billion per year (Ward et al., 2021).

Because obesity can become a lifelong health issue, it is important to screen for obesity in children and adolescents, and to provide interventions that promote weight loss (U.S. Preventive Services Task Force, 2017).

Over the last four decades, childhood obesity has more than tripled in children and adolescents 2 to 19 years of age (from a rate of approximately 5 percent to 18.5 percent) (Fryar, Carroll, & Ogden, 2014; Hales et al., 2017). Non-Hispanic black and Hispanic youth are more likely to be obese than their non-Hispanic white and non-Hispanic Asian counterparts. In 2015-2016, approximately 22 percent of non-Hispanic black and 26 percent of Hispanic youth were obese compared to approximately 14 percent of non-Hispanic white and 11 percent of non-Hispanic Asian youth (Hales et al., 2017). 

Childhood obesity has both immediate and long-term effects on health and well-being. Children who are obese have higher rates of physical health conditions, such as risk factors for cardiovascular disease (like high blood pressure and high cholesterol), type 2 diabetes, asthma, sleep apnea, and joint problems. There is also a correlation between childhood obesity and mental health conditions, such as anxiety and depression (Centers for Disease Control and Prevention [CDC], 2016). In addition, children who are obese are more likely to be obese as adults and are therefore at risk for adult health problems, such as heart disease, type 2 diabetes, and several types of cancer (CDC, 2016).

The direct medical costs associated with childhood obesity total $1.32 billion per year (Ward et al., 2021).

Because obesity can become a lifelong health issue, it is important to screen for obesity in children and adolescents, and to provide interventions that promote weight loss (U.S. Preventive Services Task Force, 2017).

Clinical Recommendation Statement *See CMS155v11.html

U.S. Preventive Services Task Force (2017) - The Task Force recommends that clinicians screen for obesity in children and adolescents 6 years and older and offer or refer them to comprehensive, intensive behavioral interventions to promote improvements in weight status. (B recommendation)

 

American Academy of Pediatrics – Bright Futures (Hagan, Shaw, & Duncan, 2017)

- Plot and assess BMI percentiles routinely for early recognition of overweight and obesity.

- Assess barriers to healthy eating and physical activity.

- Provide anticipatory guidance for nutrition and physical activity.

U.S. Preventive Services Task Force (2017) - The Task Force recommends that clinicians screen for obesity in children and adolescents 6 years and older and offer or refer them to comprehensive, intensive behavioral interventions to promote improvements in weight status. (B recommendation)

 

American Academy of Pediatrics – Bright Futures (Hagan, Shaw, & Duncan, 2017)

- Plot and assess BMI percentiles routinely for early recognition of overweight and obesity.

- Assess barriers to healthy eating and physical activity.

- Provide anticipatory guidance for nutrition and physical activity.

U.S. Preventive Services Task Force (2017) - The Task Force recommends that clinicians screen for obesity in children and adolescents 6 years and older and offer or refer them to comprehensive, intensive behavioral interventions to promote improvements in weight status. (B recommendation)

American Academy of Pediatrics – Bright Futures (Hagan, Shaw, & Duncan, 2017)

- Plot and assess BMI percentiles routinely for early recognition of overweight and obesity.

- Assess barriers to healthy eating and physical activity.

- Provide anticipatory guidance for nutrition and physical activity.

Improvement Notation

Higher score indicates better quality

Higher score indicates better quality

Higher score indicates better quality

Higher score indicates better quality

Definition *See CMS155v11.html

None

None

None

Guidance

The visit must be performed by a PCP or OB/GYN.

Because BMI norms for youth vary with age and sex, this measure evaluates whether BMI percentile, rather than an absolute BMI value, is assessed.

This eCQM is a patient-based measure.

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

The visit must be performed by a PCP or OB/GYN.

Because BMI norms for youth vary with age and sex, this measure evaluates whether BMI percentile, rather than an absolute BMI value, is assessed.

This eCQM is a patient-based measure.

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

The visit must be performed by a PCP or OB/GYN.

Because BMI norms for youth vary with age and sex, this measure evaluates whether BMI percentile, rather than an absolute BMI value, is assessed.

This eCQM is a patient-based measure.

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

The visit must be performed by a PCP or OB/GYN. Because BMI norms for youth vary with age and sex, this measure evaluates whether BMI percentile, rather than an absolute BMI value, is assessed.

This eCQM is a patient-based measure.

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

Initial Population

Patients 3-17 years of age by the end of the measurement period, with at least one outpatient visit with a primary care physician (PCP) or an obstetrician/gynecologist (OB/GYN) during the measurement period

Patients 3-17 years of age by the end of the measurement period, with at least one outpatient visit with a primary care physician (PCP) or an obstetrician/gynecologist (OB/GYN) during the measurement period

Patients 3-17 years of age by the end of the measurement period, with at least one outpatient visit with a primary care physician (PCP) or an obstetrician/gynecologist (OB/GYN) during the measurement period

Patients 3-17 years of age by the end of the measurement period, with at least one outpatient visit with a primary care physician (PCP) or an obstetrician/gynecologist (OB/GYN) during the measurement period

Denominator

Equals Initial Population

Equals Initial Population

Equals Initial Population

Equals Initial Population

Denominator Exclusions

Patients who have a diagnosis of pregnancy during the measurement period.

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

Patients who have a diagnosis of pregnancy during the measurement period.

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

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

Patients who have a diagnosis of pregnancy during the measurement period.

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

Patients who have a diagnosis of pregnancy during the measurement period.

Numerator

Numerator 1: Patients who had a height, weight and body mass index (BMI) percentile recorded during the measurement period

Numerator 2: Patients who had counseling for nutrition during the measurement period

Numerator 3: Patients who had counseling for physical activity during the measurement period

Numerator 1: Patients who had a height, weight and body mass index (BMI) percentile recorded during the measurement period.

Numerator 2: Patients who had counseling for nutrition during the measurement period.

Numerator 3: Patients who had counseling for physical activity during the measurement period.

Numerator 1: Patients who had a height, weight and body mass index (BMI) percentile recorded during the measurement period.

Numerator 2: Patients who had counseling for nutrition during the measurement period.

Numerator 3: Patients who had counseling for physical activity during the measurement period.

Numerator 1: Patients who had a height, weight and body mass index (BMI) percentile recorded during the measurement period.

Numerator 2: Patients who had counseling for nutrition during the measurement period. 

Numerator 3: Patients who had counseling for physical activity during the measurement period.

Numerator Exclusions

Not Applicable

Not Applicable

Not Applicable

None

Denominator Exceptions

None

None

None

None

Telehealth Eligible Yes Yes Yes Yes
Next Version No Version Available
Previous Version No Version Available
Specifications and Data Elements
General eCQM Information
Release Notes
General eCQM Information

Header

TRN

Measure Section

Source of Change

Changed the 'eCQM Identifier (Measure Authoring Tool)' field name to 'CMS ID' based on tooling updates.

CMS ID

Standards/Technical Update

Updated the eCQM version number.

eCQM Version Number

Annual Update

Updated the generic measurement period from 'January 1, 20XX through December 31, 20XX' to specify 'January 1, 2026 through December 31, 2026' based on tooling updates.

Measurement Period

Standards/Technical Update

Updated copyright.

Copyright

Annual Update

Changed 'Numerator Exclusions' field to read 'None' instead of 'Not Applicable' when no exclusions are present.

Numerator Exclusions

Standards/Technical Update

Logic

TRN

Measure Section

Source of Change

Updated Measure Primary CQL Library Name from 'WeightAssessandCounselforNutritionandPhysicalActivityforKids' to 'CMS155WeightAssessandCounselforKids' for alignment with the CQL Style Guide.

Definitions

Standards/Technical Update

Updated the version number of the Global Common Functions Library to 9.0.000 and the library name from 'MATGlobalCommonFunctionsQDM' to 'CQMCommonQDM.'

Definitions

Annual Update

Updated the version number of the HospiceQDM library to 7.0.000.

Definitions

Annual Update

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

Definitions

Standards/Technical Update

Updated Measure Primary CQL Library Name from 'WeightAssessandCounselforNutritionandPhysicalActivityforKids' to 'CMS155WeightAssessandCounselforKids' for alignment with the CQL Style Guide.

Functions

Standards/Technical Update

Updated the version number of the Global Common Functions Library to 9.0.000 and the library name from 'MATGlobalCommonFunctionsQDM' to 'CQMCommonQDM.'

Functions

Annual Update

Updated the version number of the HospiceQDM library to 7.0.000.

Functions

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.

TRN

Measure Section

Source of Change

Value Set 'Office Visit' (2.16.840.1.113883.3.464.1003.101.12.1001): Added 1 SNOMEDCT code (185349003) based on review by technical experts, SMEs and/or public feedback.

Terminology

Annual Update

Replaced Value Set 'ONC Administrative Sex' (2.16.840.1.113762.1.4.1) with Value Set 'Federal Administrative Sex' (2.16.840.1.113762.1.4.1021.121) to represent Supplemental Data Element 'SDE Sex' based on revised standards.

Terminology

Standards/Technical Update

Value Set ‘Pregnancy’ (2.16.840.1.113883.3.526.3.378): Added 1 SNOMEDCT code (1290152008) based on code system/terminology updates. Deleted 1 SNOMEDCT code (237244005 ) based on code system/terminology updates.

Terminology

Annual Update

Value Set 'Telephone Visits' (2.16.840.1.113883.3.464.1003.101.12.1080): Added 8 CPT codes (98009, 98013, 98010, 98011, 98014, 98008, 98015, 98012) based on review by technical experts, SMEs and/or public feedback.

Terminology

Annual Update

Last Updated: May 06, 2025