Eligible Clinician eCQMs

2022 Performance Period Eligible Clinician Resources for eCQMs

eCQM Resources	Short Description	Published
Implementation Checklist eCQM Annual Update	Implementation checklist	--
Telehealth Guidance for eCQMs for Eligible Clinician 2022 Quality Reporting	List of eCQMs eligible clinicians can use for a telehealth visit	May 2021
Guide for Reading eCQMs v7.0	Assists implementers and measured entities with how information on how to read eCQM specifications	May 2021
Eligible Clinicians Table of eCQMs	List of eCQMs available for use	May 2021
eCQM Specifications for Eligible Clinicians	eCQM technical specifications	May 2021
eCQM and Hybrid Measure Value Sets	Value sets used with eCQMs and Hybrid Measures	May 2021
eCQM Direct Reference Codes List	eCQM Direct Reference Codes used in eCQMs	May 2021
Binding Parameter Specification (BPS) (ZIP)	Value set metadata	May 2021
eCQM Logic and Implementation Guidance v5.0	Assists implementers and measured entities with how to use eCQMs and report issues	May 2021
Technical Release Notes	Year over year changes to eCQM logic and terminology	Jan 2022
Technical Release Notes	Year over year changes to eCQM logic and terminology	Jan 2022
Standards and tool versions used for performance period	Tools and standards versions measure developers used to create eCQMs and versions of standards and tools used for their reporting	May 2021
eCQM Flows	Assists implementers and measured entities with steps to take to calculate an eCQM	Aug 2021
2022 Quality Benchmarks	What CMS uses to calculate MIPS measure scores	Jan 2022
2022 CMS QRDA III Implementation Guide for Eligible Clinicians	Format for reporting eCQMs to CMS	Dec 2021
2022 CMS QRDA III Schematrons and Sample Files	Rules to validate eCQM reports with samples	Dec 2021
eCQM Annual Update Pre-Publication Document	Standards and code system versions for the eCQM Annual Update	Feb 2021

2022 Performance Period Eligible Clinician eCQMs
Total number of EC eCQMs: 48

Title	CMS eCQM ID	CBE ID*	MIPS Quality ID	Telehealth Eligible	Notes
Adult Major Depressive Disorder (MDD): Suicide Risk Assessment	CMS161v10	0104e	107	Yes
Anti-depressant Medication Management	CMS128v10	Not Applicable	009	Yes
Appropriate Testing for Pharyngitis	CMS146v10	Not Applicable	066	Yes
Appropriate Treatment for Upper Respiratory Infection (URI)	CMS154v10	Not Applicable	065	Yes
Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture	CMS249v4	3475e	472	Yes
Bone density evaluation for patients with prostate cancer and receiving androgen deprivation therapy	CMS645v5	Not Applicable	462	Yes
Breast Cancer Screening	CMS125v10	Not Applicable	112	Yes
Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery	CMS133v10	0565e	191	No
Cervical Cancer Screening	CMS124v10	Not Applicable	309	Yes
Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment	CMS177v10	1365e	382	Yes
Childhood Immunization Status	CMS117v10	Not Applicable	240	Yes	There is a known issue on CMS117v10. See issue EKI-16 on the ONC eCQM Known Issues Dashboard for details.
Children Who Have Dental Decay or Cavities	CMS75v10	Not Applicable	378	No
Chlamydia Screening for Women	CMS153v10	Not Applicable	310	Yes
Closing the Referral Loop: Receipt of Specialist Report	CMS50v10	Not Applicable	374	Yes
Colorectal Cancer Screening	CMS130v10	Not Applicable	113	Yes
Controlling High Blood Pressure	CMS165v10	Not Applicable	236	Yes
Coronary Artery Disease (CAD): Beta-Blocker Therapy-Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF less than 40%)	CMS145v10	0070e	007	Yes	There is a known issue on CMS145v10. See issue EKI-12 on the ONC eCQM Known Issues Dashboard for details.
Dementia: Cognitive Assessment	CMS149v10	2872e	281	Yes
Depression Remission at Twelve Months	CMS159v10	0710e	370	Yes
Diabetes: Eye Exam	CMS131v10	Not Applicable	117	Yes	There is a known issue on CMS131v10. See issue EKI-10 on the ONC eCQM Known Issues Dashboard for details.
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (> 9%)	CMS122v10	Not Applicable	001	Yes
Diabetes: Medical Attention for Nephropathy	CMS134v10	Not Applicable	119	Yes
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care	CMS142v10	Not Applicable	019	No
Documentation of Current Medications in the Medical Record	CMS68v11	Not Applicable	130	Yes
Falls: Screening for Future Fall Risk	CMS139v10	Not Applicable	318	Yes
Follow-Up Care for Children Prescribed ADHD Medication (ADD)	CMS136v11	Not Applicable	366	Yes
Functional Status Assessment for Total Hip Replacement	CMS56v10	Not Applicable	376	Yes
Functional Status Assessment for Total Knee Replacement	CMS66v10	Not Applicable	375	Yes
Functional Status Assessments for Heart Failure	CMS90v11	Not Applicable	377	Yes	There is a known issue on CMS90v11. See issue EKI-16 on the ONC eCQM Known Issues Dashboard for details.
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)	CMS135v10	0081e	005	Yes
Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)	CMS144v10	0083e	008	Yes
HIV Screening	CMS349v4	Not Applicable	475	Yes
Initiation and Engagement of Alcohol and Other Drug Dependence Treatment	CMS137v10	Not Applicable	305	Yes
Intravesical Bacillus-Calmette-Guerin for non-muscle invasive bladder cancer	CMS646v2	Not Applicable	481	No
Oncology: Medical and Radiation - Pain Intensity Quantified	CMS157v10	0384e	143	Yes
Pneumococcal Vaccination Status for Older Adults	CMS127v10	Not Applicable	111	Yes	There is a known issue on CMS127v10. See issue EKI-14 on the ONC eCQM Known Issues Dashboard for details.
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	CMS69v10	Not Applicable	128	No	There is guidance on CMS69v10 and details on the ONC eCQM Known Issues Dashboard.
Preventive Care and Screening: Influenza Immunization	CMS147v11	0041e	110	Yes
Preventive Care and Screening: Screening for Depression and Follow-Up Plan	CMS2v11	Not Applicable	134	Yes
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	CMS22v10	Not Applicable	317	No
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	CMS138v10	0028e	226	Yes
Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists	CMS74v11	Not Applicable	379	Yes
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation	CMS143v10	0086e	012	No
Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients	CMS129v11	0389e	102	No
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	CMS347v5	Not Applicable	438	Yes
Urinary Symptom Score Change 6-12 Months After Diagnosis of Benign Prostatic Hyperplasia	CMS771v3	Not Applicable	476	No	There is a known issue on CMS771v3. See issue EKI-11 on the ONC eCQM Known Issues Dashboard for details.
Use of High-Risk Medications in Older Adults	CMS156v10	Not Applicable	238	Yes	There is a known issue on CMS156v10. See issue EKI-17 on the ONC eCQM Known Issues Dashboard for details.
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents	CMS155v10	Not Applicable	239	Yes

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 the most current version of the eCQMs as specified and intended for the applicable performance/reporting periods for all quality reporting programs.

The performance period for eligible clinicians is defined 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 2022 clinical quality measure data for CMS quality reporting programs. Measures will not be eligible for 2022 reporting unless and until they are proposed and finalized through notice-and-comment rulemaking for each applicable program.

In 2022, CMS updated eCQMs for these programs:

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