Oncology: Medical and Radiation - Pain Intensity Quantified

Last updated: October 25, 2017

CMS Measure ID: CMS157v6
Version: 6
NQF Number: 0384
Measure 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

Initial Patient Population:

All patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy

Denominator Statement:

Equals Initial Population

Denominator Exclusions:

None

Numerator Statement:

Patient visits in which pain intensity is quantified

Numerator Exclusions:

Not Applicable

Denominator Exceptions:

None

Measure Steward: PCPI(R) Foundation (PCPI[R])
Domain: Person and Caregiver-Centered Experience and Outcomes
Previous Version: Oncology: Medical and Radiation - Pain Intensity Quantified
Improvement Notation:

Higher score indicates better quality

Guidance:

This measure is an episode-of-care measure; the level of analysis for this measure is every visit for patients with a diagnosis of cancer who are also receiving chemotherapy or radiation therapy during the measurement period. For patients receiving radiation therapy, pain intensity should be quantified at each radiation treatment management encounter. For patients receiving chemotherapy, pain intensity should be quantified at each face-to-face encounter with the physician while the patient is receiving treatment. For purposes of calculating this measure, eligible encounters for patients receiving chemotherapy will include those encounters where the patient has been administered chemotherapy within 30 days prior to the encounter and also been administered chemotherapy within 30 days after the date of the encounter. For example, at every visit for patients with a diagnosis of cancer who are also receiving chemotherapy or radiation therapy, the patient should have pain intensity quantified.

Pain intensity should be quantified using a standard instrument, such as a 0-10 numeric rating scale, visual analog scale, a categorical scale, or the pictorial scale. Examples include the Faces Pain Rating Scale and the Brief Pain Inventory (BPI).

Addendum 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

  • Updated Rationale.

    Measure Section: Rationale

    Source of Change: Measure Lead

  • Updated Clinical Recommendation Statement.

    Measure Section: Clinical Recommendation Statement

    Source of Change: Measure Lead

  • Updated Reference.

    Measure Section: Reference

    Source of Change: Measure Lead

Logic

  • Replaced 'Risk Category Assessment' datatype with 'Assessment, Performed' datatype to conform with QDM 4.3 changes.

    Measure Section: Numerator

    Source of Change: QDM Standards

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 Chemotherapy Administration (2.16.840.1.113883.3.526.3.1027): Added 1 SNOMEDCT code (716872004) and deleted 1 SNOMEDCT code (69960004).

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Cancer (2.16.840.1.113883.3.526.3.1010): Added 5 SNOMEDCT codes (107691000119101, 713718006, 713897006, 81000119104, 86406008).

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Cancer (2.16.840.1.113883.3.526.3.1010): Added 4 ICD10CM codes (C96.20, C96.21, C96.22, C96.29).

    Measure Section: QDM Data Elements

    Source of Change: 2018 Addendum

  • Value set Radiation Treatment Management (2.16.840.1.113883.3.526.3.1026): Deleted 1 CPT code (77470).

    Measure Section: QDM Data Elements

    Source of Change: 2018 Addendum

External Resources