Diabetes: Foot Exam

Last updated: May 17, 2016

CMS Measure ID: CMS123v4
Version: 4
NQF Number: 0056
Measure Description:

Percentage of patients aged 18-75 years of age with diabetes who had a foot exam during the measurement period.

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:

None

Denominator Exceptions:

None

Measure Steward: National Committee for Quality Assurance
National Quality Strategy Domain: Effective Clinical Care
Next Version: Diabetes: Foot Exam
Previous Version: Diabetes: Foot Exam
Measure Score: Proportion
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.

Specifications

Release Notes

Header

  • Copyright updated.
  • Denominator Exclusions updated.
  • eMeasure version number incremented.

Logic

  • Added an exclusion for patients with bilateral knee or higher amputations.
  • Introduced the new timing operator 'overlaps' to replace two lines of logic 'AND/AND NOT' or to enforce when an event or set of events occur to meet the measure intent.
  • Removed extraneous AND from Numerator.
  • Replaced 'ORs' with 'Union of' operator.
  • Replaced 'Patient Characteristic Birthdate' with 'Age at' operator.

Value Sets

  • Value set Bilateral Amputation of Leg Below or Above Knee (OID 2.16.840.1.113883.3.464.1003.113.12.1056): Added value set to the measure.
  • Value set Diabetes (OID 2.16.840.1.113883.3.464.1003.103.12.1001): Added 54 ICD10CM codes.
  • Value set Left (OID 2.16.840.1.113883.3.464.1003.113.12.1036): Added value set to the measure.
  • Value set Left Unilateral Amputation of Leg Below or Above Knee (OID 2.16.840.1.113883.3.464.1003.113.12.1058): Added value set to the measure.
  • Value set Right (OID 2.16.840.1.113883.3.464.1003.113.12.1035): Added value setto the measure.
  • Value set Right Unilateral Amputation of Leg Below or Above Knee (OID 2.16.840.1.113883.3.464.1003.113.12.1057): Added value set to the measure.
  • Value set Unilateral Amputation of Leg Below or Above Knee (OID 2.16.840.1.113883.3.464.1003.113.12.1059): Added value set to the measure.

External Resources