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 2026 version to

Table Options
Measure Information 2026 Performance Period
Title Oncology: Medical and Radiation - Pain Intensity Quantified
CMS eCQM ID CMS157v14
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

None

Denominator Exceptions

None

Telehealth Eligible Yes
Next Version No Version Available
Previous Version

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

Updated disclaimer.

Disclaimer

Annual Update

Removed 'PCPI(R) Foundation (PCPI[R])' as a Measure Developer to reflect active Measure Developers.

Measure Developer

Annual Update

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

Multiple Sections

Measure Lead

Updated guidance to align with coding guidelines for radiation treatment management codes.

Guidance

Measure Lead

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 'OncologyPainIntensityQuantified' to 'CMS157PainIntensityQuantified' for alignment with the CQL Style Guide.

Definitions

Standards/Technical Update

Updated the version number of the Global Common Functions Library to v9.0.000 and the library name from 'MATGlobalCommonFunctionsQDM' to 'CQMCommonQDM.'

Definitions

Annual Update

Updated 'Face to Face or Telehealth Encounter with Ongoing Chemotherapy' definition to include Audiovisual Telehealth Encounters.

Definitions

Measure Lead

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 'OncologyPainIntensityQuantified' to 'CMS157PainIntensityQuantified' for alignment with the CQL Style Guide.

Functions

Standards/Technical Update

Updated the version number of the Global Common Functions Library to v9.0.000 and the library name from 'MATGlobalCommonFunctionsQDM' to 'CQMCommonQDM.'

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

Added Value Set 'Audio Visual Telehealth Encounter' (2.16.840.1.113883.3.1444.5.215) based on SME/expert recommendations.

Terminology

Annual Update

Value Set 'Cancer' (2.16.840.1.113883.3.526.3.1010): Added 15 ICD10CM codes (C83.390, C83.398, C86.00, C86.10, C86.20, C86.30, C86.40, C86.50, C86.60, C88.00, C88.20, C88.30, C88.40, C88.80, C88.90) based on code system/terminology updates. Added 97 SNOMEDCT codes (1306552008, 1306575001, 1306557002, 1306580005, 1306574002, 1306571005, 1306567007, 1306554009, 1306576000, 1306558007, 1306579007, 1306573008, 1306570006, 1306566003, 1306565004, 1306564000, 1306514007, 1306513001, 1286879001, 1288023007, 1288033004, 1287197000, 1306498006, 1306497001, 1306496005, 1306491000, 1306492007, 1306495009, 1306516009, 1306517000, 1306293004, 1306490004, 1306494008, 1306489008, 1306493002, 1306500007, 1306499003, 1288003006, 1290698008, 1286898004, 1290695006, 1286896000, 1290690001, 78001000146109, 1290697003, 1290125003, 1287332002, 1287336004, 1287333007, 811131000124105, 1306511004, 1306548008, 1340074000, 1293166002, 1290117000, 1290116009, 1287335000, 1287334001, 1306541002, 1306508000, 1306542009, 1306507005, 1288045008, 1306368003, 1306372004, 1306373009, 1306370007, 1306369006, 1306371006, 1332485001, 1290060007, 1290067005, 1290064003, 1290068000, 1288032009, 1290274008, 1286863002, 1286877004, 1288024001, 1332431001, 1332430000, 1332429005, 1332428002, 1332427007, 1306509008, 1306543004, 1306544005, 1306545006, 1306546007, 1306547003, 1306374003, 1306375002, 1306376001, 1306377005, 1306385001, 1306387009, 1306512006) based on code system/terminology updates.

Terminology

Annual Update

Value Set 'Chemotherapy Administration' (2.16.840.1.113883.3.526.3.1027): Added 3 SNOMEDCT codes (1290226008, 1290228009, 420965003) based on code system/terminology updates. Deleted 3 SNOMEDCT codes (265760000, 265762008, 268500004) based on code system/terminology updates.

Terminology

Annual Update

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

Last Updated: May 06, 2025