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Eligible Clinician eCQMs

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Find older eCQM specifications in the eCQM Standards and Tools Version table.

2021 Performance Period Eligible Clinician Resources for eCQMs
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eCQM Resources Short Description Published
Format for reporting eCQMs to CMS May 2021
Rules to validate eCQM reports with samples May 2021
What CMS uses to calculate MIPS measure scores Jun 2021
Value set metadata May 2020
Standards and code system versions for the eCQM Annual Update Oct 2020
eCQM Direct Reference Codes used in eCQMs May 2020
Assists implementers and measured entities with steps to take to calculate an eCQM Aug 2020
Assists implementers and measured entities with information on how to use eCQMs and report issues May 2020
eCQM technical specifications May 2020
Value sets used with eCQMs and Hybrid Measures May 2020
List of eCQMs available for use Jun 2020
Assists implementers and measured entities with how to read eCQM specifications May 2020
Implementation checklist --
Tools and standards versions measure developers used to create eCQMs and versions of standards and tools used for their reporting May 2020
Year over year changes to eCQM logic and terminology May 2020
Year over year changes to eCQM logic and terminology May 2020
List of eCQMs eligible clinicians can use for a telehealth visit Sep 2020
2021 Performance Period Eligible Clinician eCQMs
Total number of EC eCQMs: 47
Title CMS eCQM ID NQF Number MIPS Quality ID Telehealth Eligible* Specifications Notes
Adult Major Depressive Disorder (MDD): Suicide Risk Assessment CMS161v9 0104e 107 Yes CMS161v9.zip
Anti-depressant Medication Management CMS128v9 Not Applicable 009 Yes CMS128v9.zip
Appropriate Testing for Pharyngitis CMS146v9 Not Applicable 066 Yes CMS146v9.zip
Appropriate Treatment for Upper Respiratory Infection (URI) CMS154v9 Not Applicable 065 Yes CMS154v9.zip
Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture CMS249v3 3475e 472 Yes CMS249v3.zip
Bone density evaluation for patients with prostate cancer and receiving androgen deprivation therapy CMS645v4 Not Applicable 462 Yes CMS645v4.zip
Breast Cancer Screening CMS125v9 Not Applicable 112 Yes CMS125v9.zip
Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery CMS133v9 0565e 191 No CMS133v9.zip
Cervical Cancer Screening CMS124v9 Not Applicable 309 Yes CMS124v9.zip
Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment CMS177v9 1365e 382 Yes CMS177v9.zip
Childhood Immunization Status CMS117v9 Not Applicable 240 Yes CMS117v9.zip
Children Who Have Dental Decay or Cavities CMS75v9 Not Applicable 378 No CMS75v9.zip
Chlamydia Screening for Women CMS153v9 Not Applicable 310 Yes CMS153v9.zip
Closing the Referral Loop: Receipt of Specialist Report CMS50v9 Not Applicable 374 Yes CMS50v9.zip
Colorectal Cancer Screening CMS130v9 Not Applicable 113 Yes CMS130v9.zip
Controlling High Blood Pressure CMS165v9 Not Applicable 236 Yes CMS165v9.zip
Coronary Artery Disease (CAD): Beta-Blocker Therapy-Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF less than 40%) CMS145v9 0070e 007 Yes CMS145v9.zip

*There is a known issue on CMS145v9. See issue EKI-12 on the ONC eCQM Known Issues Dashboard for details.

Dementia: Cognitive Assessment CMS149v9 2872e 281 Yes CMS149v9.zip
Depression Remission at Twelve Months CMS159v9 0710e 370 Yes CMS159v9.zip
Diabetes: Eye Exam CMS131v9 Not Applicable 117 Yes CMS131v9.zip
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (> 9%) CMS122v9 Not Applicable 001 Yes CMS122v9.zip
Diabetes: Medical Attention for Nephropathy CMS134v9 Not Applicable 119 Yes CMS134v9.zip
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care CMS142v9 Not Applicable 019 No CMS142v9.zip
Documentation of Current Medications in the Medical Record CMS68v10 0419e 130 Yes CMS68v10.zip
Falls: Screening for Future Fall Risk CMS139v9 Not Applicable 318 Yes CMS139v9.zip
Follow-Up Care for Children Prescribed ADHD Medication (ADD) CMS136v10 Not Applicable 366 Yes CMS136v10.zip
Functional Status Assessment for Total Hip Replacement CMS56v9 Not Applicable 376 Yes CMS56v9.zip
Functional Status Assessment for Total Knee Replacement CMS66v9 Not Applicable 375 Yes CMS66v9.zip
Functional Status Assessments for Congestive Heart Failure CMS90v10 Not Applicable 377 Yes CMS90v10.zip
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) CMS135v9 0081e 005 Yes CMS135v9.zip
Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) CMS144v9 0083e 008 Yes CMS144v9.zip
HIV Screening CMS349v3 Not Applicable 475 Yes CMS349v3.zip
Initiation and Engagement of Alcohol and Other Drug Dependence Treatment CMS137v9 Not Applicable 305 Yes CMS137v9.zip
Oncology: Medical and Radiation - Pain Intensity Quantified CMS157v9 0384e 143 Yes CMS157v9.zip
Pneumococcal Vaccination Status for Older Adults CMS127v9 Not Applicable 111 Yes CMS127v9.zip
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan CMS69v9 Not Applicable 128 No CMS69v9.zip

*There is a known issue on CMS69v9. See issue EKI-13 on the ONC eCQM Known Issues Dashboard for details. See CMS 2021 Suppressed MIPS Quality Measure for guidance.

Preventive Care and Screening: Influenza Immunization CMS147v10 0041e 110 Yes CMS147v10.zip
Preventive Care and Screening: Screening for Depression and Follow-Up Plan CMS2v10 0418e 134 Yes CMS2v10.zip
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented CMS22v9 Not Applicable 317 No CMS22v9.zip
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS138v9 0028e 226 Yes CMS138v9.zip
Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists CMS74v10 Not Applicable 379 Yes CMS74v10.zip
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation CMS143v9 0086e 012 No CMS143v9.zip
Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients CMS129v10 0389e 102 No CMS129v10.zip
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS347v4 Not Applicable 438 Yes CMS347v4.zip
Urinary Symptom Score Change 6-12 Months After Diagnosis of Benign Prostatic Hyperplasia CMS771v2 Not Applicable 476 No CMS771v2.zip
Use of High-Risk Medications in Older Adults CMS156v9 Not Applicable 238 Yes CMS156v9.zip
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents CMS155v9 Not Applicable 239 Yes CMS155v9.zip

Each year, CMS updates the eCQMs for potential use in CMS quality reporting programs and publishes them on the eCQI Resource Center. CMS updates the specifications to align with current clinical guidelines and code systems so they remain relevant and actionable within the clinical care setting. CMS requires the use of most current version of the eCQMs as specified and intended for the applicable performance/reporting periods for all quality reporting programs.

CMS defines the performance period for eligible clinicians as the measure data capture period of the calendar year between January 1 and December 31. Eligible clinicians should use the updated eCQMs to electronically report 2021 clinical quality measure data for CMS quality reporting programs. Measures will not be eligible for 2021 reporting unless and until they are proposed and finalized through notice-and-comment rulemaking for each applicable program.

In 2021, CMS updated eCQMs for these programs:

 

Last Updated: Nov 20, 2023