Diabetes: Urine Protein Screening

Last updated: May 17, 2016

CMS Measure ID: CMS134v4
Version: 4
NQF Number: 0062
Measure Description:

The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy 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:

None

Numerator Statement:

Patients with a screening for nephropathy or evidence of nephropathy during the measurement period

Numerator Exclusions:

Not Applicable

Denominator Exceptions:

None

Measure Steward: National Committee for Quality Assurance
Domain: Effective Clinical Care
Next Version: Diabetes: Medical Attention for Nephropathy
Previous Version: Diabetes: Urine Protein Screening
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.
  • Disclaimer updated.
  • eMeasure version number incremented.

Logic

  • Changed data type of 'result' or 'finding' to 'performed'.
  • 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.
  • Replaced 'ORs' with 'Union of' operator.
  • Replaced 'Patient Characteristic Birthdate' with 'Age at' operator.

Value Sets

  • Removed the requirement to have a positive finding associated with a urine protein test and changed the name of the value set to more accurately reflect the tests included. Value set now called 'Urine Protein Tests' grouping (OID 2.16.840.1.113883.3.464.1003.109.12.1024).
  • Value set Diabetes (OID 2.16.840.1.113883.3.464.1003.103.12.1001): Added 54 ICD10CM codes.
  • Value set Glomerulonephritis and Nephrotic Syndrome (OID 2.16.840.1.113883.3.464.1003.109.12.1018): Deleted 4 SNOMED codes (28918009, 43738009, 58276006, 8964003).
  • Value set Other Services Related to Dialysis (OID 2.16.840.1.113883.3.464.1003.109.12.1015): Added 2 SNOMED Codes (251000124108, 311000124103).
  • Value set Urine Protein Tests (OID 2.16.840.1.113883.3.464.1003.109.12.1024): Created to replace OID 2.16.840.1.113883.3.464.1003.109.12.1019 and OID 2.16.840.1.113883.3.464.1003.109.12.1005.

External Resources