Chlamydia Screening for Women

Last updated: May 3, 2018

CMS Measure ID: CMS153v6
Version: 6
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.

Exclude patients who were in hospice care during the measurement year.

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:
Previous 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 denominatorinfo-icon exclusion 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.

Patient self-report for procedures as well as diagnostic studies should be recorded in 'Procedure, Performed' template or 'Diagnostic Study, Performed' template in QRDAinfo-icon-1. Patient self-report is not allowed for laboratory tests.

Notes: Value Set content updated Sept 2017

Specifications

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

  • Added language to the Guidance to clarify how patient-reported information regarding procedures and diagnostic studies should be documented for calculation of the measure.

    Measure Section: Guidance

    Source of Change: JIRA (CQMinfo-icon-1739)

  • ​Updated the exclusion statement in the header to exclude patients in hospice care from the Denominatorinfo-icon. Measures that focus on screenings and procedures may not be appropriate or a priority for those who are at end of life (ie, on hospice).

    Measure Section: Denominator Exclusions

    Source of Change: Measure Lead

Logic

  • Added logic to the Initial Populationinfo-icon to include women who respond yes to a question about sexual activity as an additional way to identify a sexually active woman.

    Measure Section: Initial Population

    Source of Change: JIRA (CQM-2206)

  • Added new lines of logic to the Denominator Exclusions for all NCQA-stewarded measures (except CMS82) to ensure patients in hospice care are excluded from the Denominator.

    Measure Section: Denominator Exclusions

    Source of Change: Measure Lead

Value Setinfo-icon

The VSAC is the source of truth for the value set content, please visit the VSAC for downloads of current value setsinfo-icon.

  • Added new value set Sexually Active (2.16.840.1.113883.3.464.1003.121.12.1040). Value set contains 1 LOINC code (64728-9).

    Measure Section: QDMinfo-icon Data Elements

    Source of Change: JIRA (CQM-2206)

  • Added new value set Yes Response (2.16.840.1.113883.3.464.1003.122.12.1050). Value set contains 1 SNOMED code (373066001).

    Measure Section: QDM Data Elements

    Source of Change: JIRA (CQM-2206)

  • Value set Chlamydia Screening (2.16.840.1.113883.3.464.1003.110.12.1052): Added 7 LOINC codes (80360-1, 80361-9, 80362-7, 80363-5, 80364-3, 80365-0, 80367-6).

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Pregnancy Test (2.16.840.1.113883.3.464.1003.111.12.1011): Added 2 LOINC codes (80384-1, 80385-8).

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Gonococcal Infections and Venereal Diseases (2.16.840.1.113883.3.464.1003.112.12.1001): Deleted 5 SNOMEDCT codes (186932009, 239785008, 239808004, 415141001, 67224007). Added 21 ICD10CM codes and deleted 25 ICD10CM codes.

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Syphilis (2.16.840.1.113883.3.464.1003.112.12.1002): Added 1 SNOMEDCT code (713251003) and deleted 1 SNOMEDCT code (70983007).

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Chlamydia (2.16.840.1.113883.3.464.1003.112.12.1003): Deleted 2 ICD10CM codes (A74.89, A74.9).

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Inflammatory Diseases of Female Reproductive Organs (2.16.840.1.113883.3.464.1003.112.12.1004): Added 3 SNOMEDCT codes (186242002, 713454009, 74181004) and deleted 1 SNOMEDCT code (402338004). Added 6 ICD10CM codes (A55, A56.19, A56.2, A56.3, A56.4, A56.8).

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set X-Ray Study (all inclusive) (2.16.840.1.113883.3.464.1003.198.12.1034): Deleted 14 LOINC codes.

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Complications of Pregnancy, Childbirth and the Puerperium (2.16.840.1.113883.3.464.1003.111.12.1012): Deleted 2 SNOMEDCT codes (200074009, 200080001). Added 2 ICD9CM codes (649.81, 649.82). Added 513 ICD10CM codes.

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Contraceptive Medications (2.16.840.1.113883.3.464.1003.196.12.1080): Deleted 5 RXNORM codes (1099639, 1368974, 748866, 749568, 762812).

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Encounter Inpatient (2.16.840.1.113883.3.666.5.307): Added Encounter Inpatient.

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Hospice care ambulatory (2.16.840.1.113762.1.4.1108.15): Added Hospice care ambulatory.

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Discharged to Health Care Facility for Hospice Care (2.16.840.1.113883.3.117.1.7.1.207): Added Discharged to Health Care Facility for Hospice Care.

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Discharged to Home for Hospice Care (2.16.840.1.113883.3.117.1.7.1.209): Added Discharged to Home for Hospice Care.

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Chlamydia Screening (2.16.840.1.113883.3.464.1003.110.12.1052): Deleted 17 LOINC codes.

    Measure Section: QDM Data Elements

    Source of Change: 2018 Addendum

  • Value set Procedures During Pregnancy (2.16.840.1.113883.3.464.1003.111.12.1009): Added 4 SNOMEDCT codes (713117007, 713120004, 714812005, 716100006).

    Measure Section: QDM Data Elements

    Source of Change: 2018 Addendum

  • Value set Gonococcal Infections and Venereal Diseases (2.16.840.1.113883.3.464.1003.112.12.1001): Added 13 SNOMEDCT codes.

    Measure Section: QDM Data Elements

    Source of Change: 2018 Addendum

  • Value set Inflammatory Diseases of Female Reproductive Organs (2.16.840.1.113883.3.464.1003.112.12.1004): Added 7 SNOMEDCT codes (238669003, 402338004, 717697005, 717723007, 721591008, 721592001, 722830001).

    Measure Section: QDM Data Elements

    Source of Change: 2018 Addendum

  • Value set X-Ray Study (all inclusive) (2.16.840.1.113883.3.464.1003.198.12.1034): Deleted 5 LOINC codes (24993-8, 37603-8, 39100-3, 39101-1, 43464-7).

    Measure Section: QDM Data Elements

    Source of Change: 2018 Addendum

  • Value set Complications of Pregnancy, Childbirth and the Puerperium (2.16.840.1.113883.3.464.1003.111.12.1012): Deleted 1 SNOMEDCT code (199094009). Added 40 ICD10CM codes.

    Measure Section: QDM Data Elements

    Source of Change: 2018 Addendum

  • Value set Contraceptive Medications (2.16.840.1.113883.3.464.1003.196.12.1080): Deleted 4 RXNORM codes (1366343, 197679, 204407, 197680).

    Measure Section: QDM Data Elements

    Source of Change: 2018 Addendum

External Resources