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HIV Screening

Last updated: May 16, 2019

CMS Measure ID: CMS349v1
Version: 1
NQF Number: Not Applicable
Measure Description:

Percentage of patients 15-65 years of age who have been tested for HIV within that age range

Initial Patient Population:

Patients 15 to 65 years of age who had an outpatient visit during the measurement period

Denominator Statement:

Equals Initial Populationinfo-icon

Denominator Exclusions:

Patients diagnosed with HIV prior to the start of the measurement period

Numerator Statement:

Patients with documentation of an HIV test between age 15-65 before the end of the measurement period

Numerator Exclusions:

Not Applicable

Denominator Exceptions:


Measure Steward: Centers for Disease Control and Prevention (CDC)
Domain: Community/Population Health
Next Version:
Measure Scoring: Proportion
Measure Type: Process
Improvement Notation:

Higher score indicates better quality


This measure evaluates the proportioninfo-icon of patients with an HIV test between their 15th and 66th birthdays. In order to satisfy the measure, the reporting provider must have documentation of the administration of the laboratory test present in the patient's medical record. On occasion, providers will view HIV screening results that were performed elsewhere and therefore the results are not present in the EHRinfo-icon in structured format. To allow such tests to be applied to this measure, they should be entered into the EHR as a laboratory test in a manner consistent with the EHR in use. If the specific Human Immunodeficiency Virus (HIV) Laboratory Test LOINC code of the test is not known, the entry should use the more generic code LOINC panel code [75622-1] which is present in the HIV test value setinfo-icon titled, HIV Test Documentation Reviewed.

Quality ID: 475
Meaningful Measure: Preventive Care


Release Notes

Value Setinfo-icon

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

  • Value set Payer (2.16.840.1.114222.4.11.3591): Deleted 1 SOP code (24).

    Measure Section: QDM Data Elements

    Source of Change: 2019 Addendum

External Resources