Diabetes: Low Density Lipoprotein (LDL) Management

Last updated: May 3, 2018

CMS Measure ID: CMS163v3
Version: 3
NQF Number: 0064
Measure Description:

Percentage of patients 18–75 years of age with diabetes whose LDL-C was adequately controlled (<100 mg/dL) during the measurement period.

Initial Patient Population:

Patients 18-75 years of age with diabetes with a visit during the measurement period

Denominator Statement:

Equals Initial Patient Population

Denominator Exclusions:


Numerator Statement:

Patients whose most recent LDL-C level performed during the measurement period is <100 mg/dL

Numerator Exclusions:

Not Applicable

Denominator Exceptions:


Measure Steward: National Committee for Quality Assurance
Domain: Effective Clinical Care
Next Version:
Measure Score: Proportion
Score Type: Outcome
Improvement Notation:

Higher score indicates better quality


The patient is not numerator compliant if the result for the most recent LDL-C test during the measurement period is >= 100 mg/dL, or is missing, or if an LDL-C test was not performed during the measurement period.

Only patients with a diagnosis of Type 1 or Type 2 diabetes should be included in the denominator of this measure; patients with a diagnosis of secondary diabetes due to another condition should not be included.


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