Diabetes: Foot Exam

Last updated: June 9, 2017

CMS Measure ID: CMS123v5
Version: 5
NQF Number: 0056
Measure Description:

The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year

Initial Patient Population:

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

Denominator Statement:

Equals Initial Population

Denominator Exclusions:

Patients who have had either a bilateral amputation above or below the knee, or both a left and right amputation above or below the knee before or during the measurement period

Numerator Statement:

Patients who received visual, pulse and sensory foot examinations during the measurement period

Numerator Exclusions:

Not Applicable

Denominator Exceptions:

None

Measure Steward: National Committee for Quality Assurance
Domain: Effective Clinical Care
Next Version: Diabetes: Foot Exam
Previous Version: Diabetes: Foot Exam
Improvement Notation:

Higher score indicates better quality

Guidance:

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

Addendum Notes: ICD-10 Value Set addition
Quality ID: 163
High Priority Measure: No
Data Submission Method: EHR
Specialty Measure Set: Internal Medicine,General Practice/Family Medicine

Specifications

Release Notes

Header

  • Updated Clinical Recommendation Statement.

    Section: Clinical Recommendation Statement

    Source: Measure Lead

  • ​Updated Copyright.

    Section: Copyright

    Source: Annual Update

  • Updated measure description to align with the NQF-endorsed description.

    Section: Description

    Source: Measure Lead

  • Incremented eMeasure Version number.

    Section: eMeasure Version number

    Source: Annual Update

  • Updated Numerator Exclusion to Not Applicable to match the QDM standard when there are no exclusions.

    Section: Numerator Exclusions

    Source: Measure Lead

  • Updated Rationale.

    Section: Rationale

    Source: Measure Lead

  • Updated References.

    Section: Reference

    Source: Measure Lead

Logic

  • Replaced ‘laterality’ attribute with ‘anatomical location site’ attribute on ‘Procedure, performed’ and ‘Diagnosis’ datatypes to conform to QDM 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: 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 Population

    Source: QDM Standards

  • Replaced ‘laterality’ attribute with ‘anatomical location site’ attribute on ‘Procedure, performed’ and ‘Diagnosis’ datatypes to conform to QDM 4.2 changes.

    Section: QDM Data Elements

    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: QDM Data Elements

    Source: QDM Standards

Value Set

  • Value set Diabetes (2.16.840.1.113883.3.464.1003.103.12.1001): Added 11 ICD9CM codes (250.40, 357.2, 362.01, 362.02, 362.03, 362.04, 362.05, 362.06, 362.07, 366.41, 648.00).

    Section: None

    Source: None

  • Value set Left (2.16.840.1.113883.3.464.1003.122.12.1036): Added 1 SNOMEDCT code (419161000).

    Section: None

    Source: None

  • Value set Right (2.16.840.1.113883.3.464.1003.122.12.1035): Added 1 SNOMEDCT code (419465000).

    Section: None

    Source: None

  • Value set Diabetes (2.16.840.1.113883.3.464.1003.103.12.1001): Added 156 ICD10CM codes.

    Section: None

    Source: ICD-10 Addendum

External Resources