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Chlamydia Screening for Women

Last updated: May 3, 2018

CMS Measure ID: CMS153v5
Version: 5
NQF Number: 0033
Measure Description:

Percentage of women 16-24 years of age who were identified as sexually active and who had at least one test for chlamydia during the measurement period

Initial Patient Population:

Women 16 to 24 years of age who are sexually active and who had a visit in the measurement period

Denominator Statement:

Equals Initial Populationinfo-icon

Denominator Exclusions:

Women who are only eligible for the initial populationinfo-icon due to a pregnancy test and who had an x-ray or an order for a specified medication within 7 days of the pregnancy test

Numerator Statement:

Women with at least one chlamydia test during the measurement period

Numerator Exclusions:

Not Applicable

Denominator Exceptions:

None

Measure Steward: National Committee for Quality Assurance
Domain: Community/Population Health
Next Version:
Improvement Notation:

Higher score indicates better quality

Guidance:

Codes to identify sexually active women include codes for: pregnancy, sexually transmitted infections, contraceptives or contraceptive devices, and infertility treatments.

The denominator exclusioninfo-icon does not apply to patients who qualify for the initial populationinfo-icon (IP) based on services other than the pregnancy test alone. These other services include services for sexually transmitted infections, contraceptives or contraceptive devices and infertility treatments. For example, a patient who has both a pregnancy test and a chlamydia diagnosis, either of which would qualify them for the IP, would not be eligible for this denominator exclusion.

Notes: Value Set content updated
Quality ID: 310
High Priority Measure: No
Data Submission Method: EHR
Specialty Measure Set: Obstetrics/Gynecology,Pediatrics

Specifications

Release Notes

Header

  • Updated Clinical Recommendation Statement.

    Section: Clinical Recommendation Statement

    Source: Measure Lead

  • ​Updated Copyright.

    Section: Copyright

    Source: Annual Update

  • Clarified the description of the denominator exclusionsinfo-icon.

    Section: Denominator Exclusions

    Source: Measure Lead

  • Incremented eMeasure Version number.

    Section: eMeasure Version number

    Source: Annual Update

  • Added a sentence to clarify who was eligible for the denominator exclusioninfo-icon.

    Section: Guidance

    Source: Measure Lead

  • Updated Rationale.

    Section: Rationale

    Source: Measure Lead

  • Updated References.

    Section: Reference

    Source: Measure Lead

Logic

  • Added logic to match the guidance for the denominator exclusion.

    Section: Denominator Exclusions

    Source: JIRAinfo-icon (CQMinfo-icon-850)

  • Replaced datatypes 'Diagnosis, Active; Diagnosis, Inactive; Diagnosis, Resolved' with the re-specified 'Diagnosis' datatype to conform to QDMinfo-icon 4.2 changes.

    Section: Denominator Exclusions

    Source: QDM Standards

  • Replaced datatypes 'Diagnosis, Active; Diagnosis, Inactive; Diagnosis, Resolved' with the re-specified 'Diagnosis' datatype to conform to QDM 4.2 changes.

    Section: Initial Populationinfo-icon

    Source: QDM Standards

  • Changed value setinfo-icon name from 'AdministrativeSex' to 'AdministrativeGender' to align with code systeminfo-icon updates.

    Section: QDM Data Elements

    Source: Code System Update

  • Replaced datatypes 'Diagnosis, Active; Diagnosis, Inactive; Diagnosis, Resolved' with the re-specified 'Diagnosis' datatype to conform to QDM 4.2 changes.

    Section: QDM Data Elements

    Source: QDM Standards

  • Value set Female (2.16.840.1.113883.3.560.100.2): Changed code system from 'AdministrativeSex' to 'AdministrativeGender'.

    Section: QDM Data Elements

    Source: Code System Update

  • Updated age stratificationinfo-icon 1 to < 20 to clarify difference between 1st and 2nd stratification.

    Section: Stratification

    Source: Measure Lead

Value Set

  • Value set Chlamydia (2.16.840.1.113883.3.464.1003.112.12.1003): Added 4 SNOMEDCT codes (197172005, 236683007, 237043008, 237106009).

    Section: None

    Source: None

  • Value set Complications of Pregnancy, Childbirth and the Puerperium (2.16.840.1.113883.3.464.1003.111.12.1012): Deleted 3 SNOMEDCT codes (200015003, 200016002, 200026009).

    Section: None

    Source: None

  • Value set Contraceptive Medications (2.16.840.1.113883.3.464.1003.196.12.1080): Deleted 8 RXNORM codes (1000373, 1359293, 310226, 311556, 311557, 311558, 315098, 315146).

    Section: None

    Source: None

  • Value set Delivery Live Births (2.16.840.1.113883.3.464.1003.111.12.1015): Added 22 SNOMEDCT codes and deleted 1 SNOMEDCT code (1807002). Added 4 CPT codes (59412, 59414, 59430, 59525).

    Section: None

    Source: None

  • Value set Diagnostic Studies During Pregnancy (2.16.840.1.113883.3.464.1003.111.12.1008): Deleted 2 LOINC codes (33182-7, 33183-5).

    Section: None

    Source: None

  • Value set Female (2.16.840.1.113883.3.560.100.2): Changed code system from 'AdministrativeSex' to 'AdministrativeGender'.

    Section: None

    Source: Code System Update

  • Value set HIV (2.16.840.1.113883.3.464.1003.120.12.1003): Added 1 ICD9CM code (079.53). Added 1 ICD10CM code (B97.35).

    Section: None

    Source: None

  • Value set Inflammatory Diseases of Female Reproductive Organs (2.16.840.1.113883.3.464.1003.112.12.1004): Deleted 1 SNOMEDCT code (403481005).

    Section: None

    Source: None

  • Value set Isotretinoin (2.16.840.1.113883.3.464.1003.196.12.1143): Added 2 RXNORM codes (1547561, 1547565).

    Section: None

    Source: None

  • Value set Procedures During Pregnancy (2.16.840.1.113883.3.464.1003.111.12.1009): Added 33 SNOMEDCT codes.

    Section: None

    Source: None

  • Value set Syphilis (2.16.840.1.113883.3.464.1003.112.12.1002): Deleted 2 SNOMEDCT codes (186841000, 286882004).

    Section: None

    Source: None

  • Value set X-Ray Study (all inclusive) (2.16.840.1.113883.3.464.1003.198.12.1034): Deleted 45 LOINC codes.

    Section: None

    Source: None

  • Value set Complications of Pregnancy, Childbirth and the Puerperium (2.16.840.1.113883.3.464.1003.111.12.1012): Added 69 ICD10CM codes.

    Section: None

    Source: ICD-10 Addendum

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