Last updated: May 3, 2018
CMS Measure ID: | CMS133v6 |
---|---|
Version: | 6 |
NQF Number: | 0565 |
Measure Description: |
Percentage of patients aged 18 years and older with a diagnosis of uncomplicated cataract who had cataract surgery 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 within 90 days following the cataract surgery |
Initial Patient Population: |
All patients aged 18 years and older who had cataract surgery and did not meet any exclusion criteria |
Denominator Statement: |
Equals Initial Population |
Denominator Exclusions: |
Patients with significant ocular conditions impacting the visual outcome of surgery |
Numerator Statement: |
Patients who had best-corrected visual acuity of 20/40 or better (distance or near) achieved within 90 days following cataract surgery |
Numerator Exclusions: |
Not Applicable |
Denominator Exceptions: |
None |
Measure Steward: | PCPI(R) Foundation (PCPI[R]) |
Domain: | Effective Clinical Care |
Next Version: | |
Previous Version: | |
Improvement Notation: |
Higher score indicates better quality |
Guidance: |
This is an episode-based measure, meaning there may be more than one reportable event for a given patient during the measurement period. The level of analysis for this measure is 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
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 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. |
Notes: | Value Set content updated Sept 2017 |
Specifications
CMS133v6.html
CMS133v6.xml
CMS133v6_SimpleXML.xml
EP_EC_CMS133v6_NQF0565_CATARACTS_2040.zip
CMS133v6_TRN_2018.xlsx
Release Notes
Header
Incremented eMeasure Version number.
Measure Section: eMeasure Version number
Source of Change: Measure Lead
Updated Copyright.
Measure Section: Copyright
Source of Change: Annual Update
Updated Disclaimer.
Measure Section: Disclaimer
Source of Change: Measure Lead
Updated Rationale.
Measure Section: Rationale
Source of Change: Measure Lead
Added 'and did not meet any exclusion criteria' to align Initial Population
language across similar cataracts measures.
Measure Section: Initial Population
Source of Change: Expert Work Group Review
The VSAC is the source of truth for the value set content, please visit the VSAC for downloads of current value sets
.
Value set Amblyopia (2.16.840.1.113883.3.526.3.1448): Added 4 ICD10CM codes (H53.041, H53.042, H53.043, H53.049).
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Hereditary Corneal Dystrophies (2.16.840.1.113883.3.526.3.1424): Added 1 SNOMEDCT code (129623003).
Measure Section: QDM Data Elements
Source of Change: 2018 Addendum
Value set Pathologic Myopia (2.16.840.1.113883.3.526.3.1432): Added 18 ICD10CM codes.
Measure Section: QDM Data Elements
Source of Change: 2018 Addendum
Value set Degenerative Disorders of Globe (2.16.840.1.113883.3.526.3.1454): Added 18 ICD10CM codes.
Measure Section: QDM Data Elements
Source of Change: 2018 Addendum
Value set Moderate or Severe Impairment, Better Eye, Profound Impairment Lesser Eye (2.16.840.1.113883.3.526.3.1464): Added 12 ICD10CM codes.
Measure Section: QDM Data Elements
Source of Change: 2018 Addendum
Value set Profound Impairment, Both Eyes (2.16.840.1.113883.3.526.3.1476): Added 9 ICD10CM codes (H54.0X33, H54.0X34, H54.0X35, H54.0X43, H54.0X44, H54.0X45, H54.0X53, H54.0X54, H54.0X55).
Measure Section: QDM Data Elements
Source of Change: 2018 Addendum