Last updated: May 18, 2016
|CMS Measure ID:||CMS64v4|
Percentage of patients aged 20 through 79 years who had a fasting LDL-C test performed and whose risk-stratified fasting LDL-C is at or below the recommended LDL-C goal.
|Initial Patient Population:||
All patients 20 through 79 years of age before the beginning of the measurement period
Denominator 1: (High Risk)
Denominator 2: (Moderate Risk)
Denominator 3: (Low Risk)
** For Denominator 2 and Denominator 3, HDL-C > or equal to 60 mg/dL subtracts 1 risk from the above (This is a negative risk factor.)
Patients who have an active diagnosis of pregnancy
Patients who are receiving palliative care
|Measure Steward:||Centers for Medicare & Medicaid Services|
|Domain:||Effective Clinical Care|
|Next Version:||Preventive Care and Screening: Risk-Stratified Cholesterol -Fasting Low Density Lipoprotein (LDL-C)|
Higher score indicates better quality.
This is a two -part measure which is paired with CMS 61: Preventive Care and Screening: Cholesterol – Fasting Low Density Lipoprotein (LDL-C) Test Performed. If the fasting LDL-C results are documented this measure CMS 64 should also be reported.
To be eligible for performance calculations, patients must have at least one face-to -face visit with the eligible professional during the measurement period and have one fasting LDL-C performed during the same measurement period with the exception of patients with 0 or 1 risk factors who may have an fasting LDL-C performed up to four (4) years prior to the current measurement period. To meet the numerator criteria for this measure, the patient’s fasting LDL-C (low density lipoprotein) meets or exceeds the recommended LDL-C goal.