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Eligible Professional / Eligible Clinician eCQMs

The electronic clinical quality measuresinfo-icon (eCQMsinfo-icon) are updated for calendar year 2020 reporting for eligible cliniciansinfo-icon participating in the Quality Payment Program (QPP): the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (Advanced APMs); Comprehensive Primary Care Plus (CPC+); and eligible professionalsinfo-icon participating in the Medicaid Promoting Interoperability Program. Measures will not be eligible for 2020 reporting unless and until they are proposed and finalized through notice-and-comment rulemaking for each applicable program.

Each year, CMS makes updates to the eCQMs adopted for submission in CMS programs. CMS requires the use of updated eCQMs for all its quality programs because they include updated codes, logic corrections, and clarifications. Reporting eCQMinfo-icon data to CMS quality programs requires that an eligible professionalinfo-icon or eligible clinicianinfo-icon use the most current version of the eCQMs identified below for the applicable performance period. Performance period for eligible clinicians is defined as the measure data capture period of the calendar year between January 1 and December 31.

CMS may publish addenda to the eCQM updates.  The addenda provide updates to the codes used in value setsinfo-icon based on code systeminfo-icon changes.

CMS has updated eCQMs for potential inclusion in these programs

Use the eCQM Materials and follow the eCQM Implementation Checklist to update your electronic health record and processes for eCQM use and reporting.

2020 Performance Period Eligible Professional / Eligible Clinician eCQMs
For Use eCQM Materials Published
Jan 1 – Dec 31 2020 Mar 2019
Jan 1 – Dec 31 2020 May 2019
Jan 1 – Dec 31 2020 May 2019
Jan 1 – Dec 31 2020 May 2019
Jan 1 – Dec 31 2020 May 2019
Jan 1 – Dec 31 2020 May 2019
Jan 1 – Dec 31 2020 May 2019
Jan 1 – Dec 31 2020 May 2019
Jan 1 – Dec 31 2020 May 2019
Jan 1 – Dec 31 2020 May 2019
Jan 1 – Dec 31 2020 May 2019
Measure Name CMS eCQM ID Quality Domain NQF IDsort descending MIPS Quality ID Meaningful Measure Area
Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) CMS144v8 Effective Clinical Care 0083e 008 Management of Chronic Conditions
Depression Utilization of the PHQ-9 Tool CMS160v8 Effective Clinical Care 0712e 371 Prevention, Treatment, and Management of Mental Health
Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures CMS132v8 Patient Safety 0564e 192 Management of Chronic Conditions
Coronary Artery Disease (CAD): Beta-Blocker Therapy-Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <40%) CMS145v8 Effective Clinical Care 0070e 007 Management of Chronic Conditions
Preventive Care and Screening: Screening for Depression and Follow-Up Plan CMS2v9 Community/Population Health 0418e 134 Prevention, Treatment, and Management of Mental Health
Adult Major Depressive Disorder (MDD): Suicide Risk Assessment CMS161v8 Effective Clinical Care 0104e 107 Prevention, Treatment, and Management of Mental Health
Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery CMS133v8 Effective Clinical Care 0565e 191 Management of Chronic Conditions
Preventive Care and Screening: Influenza Immunization CMS147v9 Community/Population Health 0041e 110 Preventive Care
Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment CMS177v8 Patient Safety 1365e 382 Prevention, Treatment, and Management of Mental Health
Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD) CMS135v8 Effective Clinical Care 0081e 005 Management of Chronic Conditions
Dementia: Cognitive Assessment CMS149v8 Effective Clinical Care 2872e 281 Prevention, Treatment, and Management of Mental Health
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS138v8 Community/Population Health 0028e 226 Prevention and Treatment of Opioid and Substance Use Disorders
Documentation of Current Medications in the Medical Record CMS68v9 Patient Safety 0419e 130 Medication Management
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan CMS69v8 Community/Population Health 0421e 128 Preventive Care
Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients CMS129v9 Efficiency and Cost Reduction 0389e 102 Appropriate Use of Healthcare
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care CMS142v8 Communication and Care Coordination 0089e 019 Transfer of Health Information and Interoperability
Oncology: Medical and Radiation - Pain Intensity Quantified CMS157v8 Person and Caregiver-Centered Experience and Outcomes 0384e 143 Management of Chronic Conditions
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation CMS143v8 Effective Clinical Care 0086e 012 Management of Chronic Conditions
Depression Remission at Twelve Months CMS159v8 Effective Clinical Care 0710e 370 Prevention, Treatment, and Management of Mental Health
Diabetes: Eye Exam CMS131v8 Effective Clinical Care Not Applicable 117 Management of Chronic Conditions
Maternal Depression Screening CMS82v7 Community/Population Health Not Applicable 372 Prevention, Treatment, and Management of Mental Health
Functional Status Assessments for Congestive Heart Failure CMS90v9 Person and Caregiver-Centered Experience and Outcomes Not Applicable 377 Functional Outcomes
Appropriate Testing for Children with Pharyngitis CMS146v8 Efficiency and Cost Reduction Not Applicable 066 Appropriate Use of Healthcare
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented CMS22v8 Community/Population Health Not Applicable 317 Preventive Care
Controlling High Blood Pressure CMS165v8 Effective Clinical Care Not Applicable 236 Management of Chronic Conditions
Childhood Immunization Status CMS117v8 Community/Population Health Not Applicable 240 Preventive Care
Diabetes: Medical Attention for Nephropathy CMS134v8 Effective Clinical Care Not Applicable 119 Management of Chronic Conditions
Closing the Referral Loop: Receipt of Specialist Report CMS50v8 Communication and Care Coordination Not Applicable 374 Transfer of Health Information and Interoperability
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (> 9%) CMS122v8 Effective Clinical Care Not Applicable 001 Management of Chronic Conditions
HIV/AIDS: Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis CMS52v8 Effective Clinical Care Not Applicable 160 Management of Chronic Conditions
Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture CMS249v2 Efficiency and Cost Reduction Not Applicable 472 Appropriate Use of Healthcare
Cervical Cancer Screening CMS124v8 Effective Clinical Care Not Applicable 309 Preventive Care
Follow-Up Care for Children Prescribed ADHD Medication (ADD) CMS136v9 Effective Clinical Care Not Applicable 366 Prevention, Treatment, and Management of Mental Health
Chlamydia Screening for Women CMS153v8 Community/Population Health Not Applicable 310 Preventive Care
Functional Status Assessment for Total Hip Replacement CMS56v8 Person and Caregiver-Centered Experience and Outcomes Not Applicable 376 Functional Outcomes
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS347v3 Effective Clinical Care Not Applicable 438 Management of Chronic Conditions
Breast Cancer Screening CMS125v8 Effective Clinical Care Not Applicable 112 Preventive Care
Initiation and Engagement of Alcohol and Other Drug Dependence Treatment CMS137v8 Effective Clinical Care Not Applicable 305 Prevention and Treatment of Opioid and Substance Use Disorders
Appropriate Treatment for Children with Upper Respiratory Infection (URI) CMS154v8 Efficiency and Cost Reduction Not Applicable 065 Appropriate Use of Healthcare
Functional Status Assessment for Total Knee Replacement CMS66v8 Person and Caregiver-Centered Experience and Outcomes Not Applicable 375 Functional Outcomes
HIV Screening CMS349v2 Community/Population Health Not Applicable 475 Preventive Care
Pneumococcal Vaccination Status for Older Adults CMS127v8 Community/Population Health Not Applicable 111 Preventive Care
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents CMS155v8 Community/Population Health Not Applicable 239 Preventive Care
Bone density evaluation for patients with prostate cancer and receiving androgen deprivation therapy CMS645v3 Effective Clinical Care Not Applicable 462 Management of Chronic Conditions
Anti-depressant Medication Management CMS128v8 Effective Clinical Care Not Applicable 009 Prevention and Treatment of Opioid and Substance Use Disorders
Falls: Screening for Future Fall Risk CMS139v8 Patient Safety Not Applicable 318 Preventable Healthcare Harm
Use of High-Risk Medications in the Elderly CMS156v8 Patient Safety Not Applicable 238 Medication Management
International Prostate Symptom Score (IPSS) or American Urological Association-Symptom Index (AUA-SI) Change 6-12 Months After Diagnosis of Benign Prostatic Hyperplasia CMS771v1 Person and Caregiver-Centered Experience and Outcomes Not Applicable TBD Functional Outcomes
Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists CMS74v9 Effective Clinical Care Not Applicable 379 Preventive Care
Colorectal Cancer Screening CMS130v8 Effective Clinical Care Not Applicable 113 Preventive Care
Children Who Have Dental Decay or Cavities CMS75v8 Community/Population Health Not Applicable 378 Preventive Care
Last Updated: May 21, 2019