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HIV Screening

CMS Measure ID
NQF Number
Measure Description

Percentage of patients 15-65 years of age who have been tested for HIV within that age range

Initial Population

Patients 15 to 65 years of age who had an outpatient visit during the measurement period

Denominator Statement
Denominator Exclusions

Patients diagnosed with HIV prior to the start of the measurement period

Numerator Statement

Patients with documentation of an HIV test between age 15-65 before the end of the measurement period

Numerator Exclusions

Not Applicable

Denominator Exceptions


Next Version
Measure Scoring
Measure Type
Improvement Notation

Higher score indicates better quality


This measure evaluates the proportion of patients with an HIV test between their 15th and 66th birthdays. In order to satisfy the measure, the reporting provider must have documentation of the administration of the laboratory test present in the patient's medical record. On occasion, providers will view HIV screening results that were performed elsewhere and therefore the results are not present in the EHR in structured format. To allow such tests to be applied to this measure, they should be entered into the EHR as a laboratory test in a manner consistent with the EHR in use. If the specific Human Immunodeficiency Virus (HIV) Laboratory Test LOINC code of the test is not known, the entry should use the more generic code LOINC panel code [75622-1] which is present in the HIV test value set titled, "HIV Test Documentation Reviewed."

Quality ID
Meaningful Measure


Attachment Size
CMS349v1.html 48.99 KB 46.92 KB

Release Notes

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 Payer (2.16.840.1.114222.4.11.3591): Deleted 1 SOP code (24).

    Measure Section: QDM Data Elements

    Source of Change: 2019 Addendum

Last Updated: Oct 10, 2019