NQF NULL: Functional Status Assessment for Complex Chronic Conditions

Measure: Record the percentage of patients aged 65 years and older with Heart Failure who completed initial and follow-up patient-reported functional status assessments.
Numerator: Patients who meet the denominator criteria and have patient reported functional status assessment results (e.g., VR-12; VR-36; MLHF-Q; KCCQ; PROMIS-10 Global Health, PROMIS-29) present in the EHR at least two weeks before or during the initial encounter and the follow-up encounter during the measurement year.
Denominator: Adults aged 65 years and older who had two outpatient encounters during the measurement year and an active diagnosis of Heart Failure.
Exclusion: Patients with Severe Cognitive Impairment or patients with an active diagnosis of Cancer.
NQS Domain: Patient and Family Engagement

In ChartMaker Clinical:

In order to qualify for this measure, the provider must have seen the patient (age 65 and older) at least two times during the reporting period and have the appropriate information documented in the chart:

Required Data Elements for the Denominator*:

• First Office Visit or Face-to-Face Encounter Code that occurs within the first 185 days of the measurement period
Valid Office Encounter Codes:
CPT: 
CodeDescription
99201Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family.
99202Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 20 minutes are spent face-to-face with the patient and/or family.
99203Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity. Typically, 30 minutes are spent face-to-face with the patient and/or family.
99204Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 45 minutes are spent face-to-face with the patient and/or family.
99205Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 60 minutes are spent face-to-face with the patient and/or family.
99212Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family.
99213Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 15 minutes are spent face-to-face with the patient and/or family.
99214Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 25 minutes are spent face-to-face with the patient and/or family.
99215Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 40 minutes are spent face-to-face with the patient and/or family.
Valid Face-to-Face Interaction Codes:
SNOMED:  
CodeDescription
4525004Emergency department patient visit (procedure)
12843005Subsequent hospital visit by physician (procedure)
18170008Subsequent nursing facility visit (procedure)
19681004Nursing evaluation of patient and report (procedure)
87790002Follow-up inpatient consultation visit (procedure)
90526000Initial evaluation and management of healthy individual (procedure)
185349003Encounter for "check-up" (procedure)
185463005Visit out of hours (procedure)
185465003Weekend visit (procedure)
207195004History and physical examination with evaluation and management of nursing facility patient (procedure)
270427003Patient-initiated encounter (procedure)
270430005Provider-initiated encounter (procedure)
308335008Patient encounter procedure (procedure)
390906007Follow-up encounter (procedure)
406547006Urgent follow-up (procedure)
439708006Home visit (procedure)

 

• Most recent Office Visit or Face-to-Face Encounter code that occurs at least 30 days but no more than 80 days after the initial encounter
Valid Office Encounter Codes:
CPT: 
CodeDescription
99201Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family.
99202Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 20 minutes are spent face-to-face with the patient and/or family.
99203Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity. Typically, 30 minutes are spent face-to-face with the patient and/or family.
99204Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 45 minutes are spent face-to-face with the patient and/or family.
99205Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 60 minutes are spent face-to-face with the patient and/or family.
99212Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family.
99213Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 15 minutes are spent face-to-face with the patient and/or family.
99214Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 25 minutes are spent face-to-face with the patient and/or family.
99215Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 40 minutes are spent face-to-face with the patient and/or family.
Valid Face-to-Face Interaction Codes:
SNOMED:  
CodeDescription
4525004Emergency department patient visit (procedure)
12843005Subsequent hospital visit by physician (procedure)
18170008Subsequent nursing facility visit (procedure)
19681004Nursing evaluation of patient and report (procedure)
87790002Follow-up inpatient consultation visit (procedure)
90526000Initial evaluation and management of healthy individual (procedure)
185349003Encounter for "check-up" (procedure)
185463005Visit out of hours (procedure)
185465003Weekend visit (procedure)
207195004History and physical examination with evaluation and management of nursing facility patient (procedure)
270427003Patient-initiated encounter (procedure)
270430005Provider-initiated encounter (procedure)
308335008Patient encounter procedure (procedure)
390906007Follow-up encounter (procedure)
406547006Urgent follow-up (procedure)
439708006Home visit (procedure)

 

• Heart Failure Diagnosis Code (with attached SNOMED) that starts before or during (and does not end prior to the start of) the measurement period
ICD-9: 
CodeDescription
402.01Malignant hypertensive heart disease with heart failure
402.11Benign hypertensive heart disease with heart failure
402.91Unspecified hypertensive heart disease with heart failure
404.01Hypertensive heart and chronic kidney disease, malignant, with heart failure and with chronic kidney disease stage I through stage IV, or unspecified
404.03Hypertensive heart and chronic kidney disease, malignant, with heart failure and with chronic kidney disease stage V or end stage renal disease
404.11Hypertensive heart and chronic kidney disease, benign, with heart failure and with chronic kidney disease stage I through stage IV, or unspecified
404.13Hypertensive heart and chronic kidney disease, benign, with heart failure and chronic kidney disease stage V or end stage renal disease
404.91Hypertensive heart and chronic kidney disease, unspecified, with heart failure and with chronic kidney disease stage I through stage IV, or unspecified
404.93Hypertensive heart and chronic kidney disease, unspecified, with heart failure and chronic kidney disease stage V or end stage renal disease
428.0Congestive heart failure, unspecified
428.1Left heart failure
428.20Systolic heart failure, unspecified
428.21Acute systolic heart failure
428.22Chronic systolic heart failure
428.23Acute on chronic systolic heart failure
428.30Diastolic heart failure, unspecified
428.31Acute diastolic heart failure
428.32Chronic diastolic heart failure
428.33Acute on chronic diastolic heart failure
428.40Combined systolic and diastolic heart failure, unspecified
428.41Acute combined systolic and diastolic heart failure
428.42Chronic combined systolic and diastolic heart failure
428.43Acute on chronic combined systolic and diastolic heart failure
428.9Heart failure, unspecified
ICD-10: 
CodeDescription
I11.0Hypertensive heart disease with heart failure
I13.0Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
I13.2Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease
I50.1Left ventricular failure
I50.20Unspecified systolic (congestive) heart failure
I50.21Acute systolic (congestive) heart failure
I50.22Chronic systolic (congestive) heart failure
I50.23Acute on chronic systolic (congestive) heart failure
I50.30Unspecified diastolic (congestive) heart failure
I50.31Acute diastolic (congestive) heart failure
I50.32Chronic diastolic (congestive) heart failure
I50.33Acute on chronic diastolic (congestive) heart failure
I50.40Unspecified combined systolic (congestive) and diastolic (congestive) heart failure
I50.41Acute combined systolic (congestive) and diastolic (congestive) heart failure
I50.42Chronic combined systolic (congestive) and diastolic (congestive) heart failure
I50.43Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure
I50.9Heart failure, unspecified
SNOMED: 
CodeDescription
364006Acute left-sided heart failure (disorder)
5053004Cardiac insufficiency due to prosthesis (disorder)
5148006Hypertensive heart disease with congestive heart failure (disorder)
5375005Chronic left-sided congestive heart failure (disorder)
10091002High output heart failure (disorder)
10335000Chronic right-sided heart failure (disorder)
10633002Acute congestive heart failure (disorder)
25544003Low output heart failure (disorder)
42343007Congestive heart failure (disorder)
43736008Rheumatic left ventricular failure (disorder)
44313006Right heart failure secondary to left heart failure (disorder)
46113002Hypertensive heart failure (disorder)
48447003Chronic heart failure (disorder)
56675007Acute heart failure (disorder)
60856006Cardiac insufficiency following cardiac surgery (disorder)
66989003Chronic right-sided congestive heart failure (disorder)
74960003Acute left-sided congestive heart failure (disorder)
77737007Benign hypertensive heart disease with congestive heart failure (disorder)
80479009Acute right-sided congestive heart failure (disorder)
82523003Congestive rheumatic heart failure (disorder)
83105008Malignant hypertensive heart disease with congestive heart failure (disorder)
84114007Heart failure (disorder)
85232009Left heart failure (disorder)
88805009Chronic congestive heart failure (disorder)
90727007Pleural effusion due to congestive heart failure (disorder)
92506005Biventricular congestive heart failure (disorder)
111283005Chronic left-sided heart failure (disorder)
128404006Right heart failure (disorder)
194767001Benign hypertensive heart disease with congestive cardiac failure (disorder)
194779001Hypertensive heart and renal disease with (congestive) heart failure (disorder)
194781004Hypertensive heart and renal disease with both (congestive) heart failure and renal failure (disorder)
195111005Decompensated cardiac failure (disorder)
195112003Compensated cardiac failure (disorder)
195114002Acute left ventricular failure (disorder)
206586007Congenital cardiac failure (disorder)
233924009Heart failure as a complication of care (disorder)
277639002Sepsis-associated right ventricular failure (disorder)
314206003Refractory heart failure (disorder)
359617009Acute right-sided heart failure (disorder)
359620001Acute right heart failure (disorder)
367363000Right ventricular failure (disorder)
410431009Cardiorespiratory failure (disorder)
417996009Systolic heart failure (disorder)
418304008Diastolic heart failure (disorder)
424404003Decompensated chronic heart failure (disorder)
426012001Right heart failure due to pulmonary hypertension (disorder)
426263006Congestive heart failure due to left ventricular systolic dysfunction (disorder)
426611007Congestive heart failure due to valvular disease (disorder)
441481004Chronic systolic heart failure (disorder)
441530006Chronic diastolic heart failure (disorder)

Required Data Elements for the Numerator*:

• Functional Status Assessment Result (LOINC) Code for Heart Failure within the 2 weeks prior to or during the initial encounter
LOINC: 
CodeDescription
71938-5Total score MLHFQ
71940-1Overall summary score KCCQ
71955-9PROMIS-29 - sleep disturbance - T score
71956-7PROMIS-29 - sleep disturbance - raw score
71957-5PROMIS-29 - satisfaction with participation in social roles - T score
71958-3PROMIS-29 - satisfaction with participation in social roles - raw score
71959-1PROMIS-29 - physical function - T score- raw score
71960-9PROMIS-29 - physical function - raw score- raw score
71961-7PROMIS-29 - pain interference - T score
71962-5PROMIS-29 - pain interference - raw score
71963-3PROMIS-29 - fatigue - T score
71964-1PROMIS-29 - fatigue - raw score
71965-8PROMIS-29 - depression - T score
71966-6PROMIS-29 - depression - raw score
71967-4PROMIS-29 - anxiety - T score
71968-2PROMIS-29 - anxiety - raw score
71969-0PROMIS-10 Global health - GMH - T score
71970-8PROMIS-10 Global health - GMH - raw score
71971-6PROMIS-10 Global health - GPH - T score
71972-4PROMIS-10 Global health - GPH - raw score
71973-2VR 36 MH - raw score - oblique method VR
71974-0VR 36 RE - raw score - oblique method VR
71975-7VR 36 SF - raw score - oblique method VR
71976-5VR 36 VT - raw score - oblique method VR
71977-3VR 36 GH - raw score - oblique method VR
71978-1VR 36 BP - raw score - oblique method VR
71979-9VR 36 RP - raw score - oblique method VR
71980-7VR 36 PF - raw score - oblique method VR
71981-5VR 36 MH - T score - oblique method VR
71982-3VR 36 RE - T score - oblique method VR
71983-1VR 36 SF - T score - oblique method VR
71984-9VR 36 VT - T score - oblique method VR
71985-6VR 36 GH - T score - oblique method VR
71986-4VR 36 BP - T score - oblique method VR
71987-2VR 36 RP - T score - oblique method VR
71988-0VR 36 PF - T score - oblique method VR
71989-8VR 36 PCS - T score - oblique method VR
71990-6VR 36 MCS - T score - oblique method VR
71991-4VR 36 MH - raw score - orthogonal method VR
71992-2VR 36 RE - raw score - orthogonal method VR
71993-0VR 36 SF - raw score - orthogonal method VR
71994-8VR 36 VT - raw score - orthogonal method VR
71995-5VR 36 GH - raw score - orthogonal method VR
71996-3VR 36 BP - raw score - orthogonal method VR
71997-1VR 36 RP - raw score - orthogonal method VR
71998-9VR 36 PF - raw score - orthogonal method VR
71999-7VR 36 MH - T score - orthogonal method VR
72000-3VR 36 RE - T score - orthogonal method VR
72001-1VR 36 SF - T score - orthogonal method VR
72002-9VR 36 VT - T score - orthogonal method VR
72003-7VR 36 GH - T score - orthogonal method VR
72004-5VR 36 BP - T score - orthogonal method VR
72005-2VR 36 RP - T score - orthogonal method VR
72006-0VR 36 PF - T score - orthogonal method VR
72007-8VR 36 PCS - T score - orthogonal method VR
72008-6VR 36 MCS - T score - orthogonal method VR
72009-4VR 12 MH - raw score - oblique method VR
72010-2VR 12 RE - raw score - oblique method VR
72011-0VR 12 SF - raw score - oblique method VR
72012-8VR 12 VT - raw score - oblique method VR
72013-6VR 12 GH - raw score - oblique method VR
72014-4VR 12 BP - raw score - oblique method VR
72015-1VR 12 RP - raw score - oblique method VR
72016-9VR 12 PF - raw score - oblique method VR
72017-7VR 12 MH - T score - oblique method VR
72018-5VR 12 RE - T score - oblique method VR
72019-3VR 12 SF - T score - oblique method VR
72020-1VR 12 VT - T score - oblique method VR
72021-9VR 12 GH - T score - oblique method VR
72022-7VR 12 BP - T score - oblique method VR
72023-5VR 12 RP - T score - oblique method VR
72024-3VR 12 PF - T score - oblique method VR
72025-0VR 12 PCS - T score - oblique method VR
72026-8VR 12 MCS - T score - oblique method VR
72027-6VR 12 PCS - T score - orthogonal method VR
72028-4VR 12 MCS - T score - orthogonal method VR
72188-6Clinical summary score KCCQ
72189-4Quality of life score KCCQ
72190-2Self-efficacy score KCCQ
72191-0Total symptom score KCCQ
72192-8Symptom burden score KCCQ
72193-6Symptom frequency score KCCQ
72194-4Symptom stability score KCCQ
72195-1Physical limitation score KCCQ
72196-9Social limitation score KCCQ
• Functional Status Assessment Result (LOINC) Code within the 2 weeks prior to or during the follow up encounter
LOINC: 
CodeDescription
71938-5Total score MLHFQ
71940-1Overall summary score KCCQ
71955-9PROMIS-29 - sleep disturbance - T score
71956-7PROMIS-29 - sleep disturbance - raw score
71957-5PROMIS-29 - satisfaction with participation in social roles - T score
71958-3PROMIS-29 - satisfaction with participation in social roles - raw score
71959-1PROMIS-29 - physical function - T score- raw score
71960-9PROMIS-29 - physical function - raw score- raw score
71961-7PROMIS-29 - pain interference - T score
71962-5PROMIS-29 - pain interference - raw score
71963-3PROMIS-29 - fatigue - T score
71964-1PROMIS-29 - fatigue - raw score
71965-8PROMIS-29 - depression - T score
71966-6PROMIS-29 - depression - raw score
71967-4PROMIS-29 - anxiety - T score
71968-2PROMIS-29 - anxiety - raw score
71969-0PROMIS-10 Global health - GMH - T score
71970-8PROMIS-10 Global health - GMH - raw score
71971-6PROMIS-10 Global health - GPH - T score
71972-4PROMIS-10 Global health - GPH - raw score
71973-2VR 36 MH - raw score - oblique method VR
71974-0VR 36 RE - raw score - oblique method VR
71975-7VR 36 SF - raw score - oblique method VR
71976-5VR 36 VT - raw score - oblique method VR
71977-3VR 36 GH - raw score - oblique method VR
71978-1VR 36 BP - raw score - oblique method VR
71979-9VR 36 RP - raw score - oblique method VR
71980-7VR 36 PF - raw score - oblique method VR
71981-5VR 36 MH - T score - oblique method VR
71982-3VR 36 RE - T score - oblique method VR
71983-1VR 36 SF - T score - oblique method VR
71984-9VR 36 VT - T score - oblique method VR
71985-6VR 36 GH - T score - oblique method VR
71986-4VR 36 BP - T score - oblique method VR
71987-2VR 36 RP - T score - oblique method VR
71988-0VR 36 PF - T score - oblique method VR
71989-8VR 36 PCS - T score - oblique method VR
71990-6VR 36 MCS - T score - oblique method VR
71991-4VR 36 MH - raw score - orthogonal method VR
71992-2VR 36 RE - raw score - orthogonal method VR
71993-0VR 36 SF - raw score - orthogonal method VR
71994-8VR 36 VT - raw score - orthogonal method VR
71995-5VR 36 GH - raw score - orthogonal method VR
71996-3VR 36 BP - raw score - orthogonal method VR
71997-1VR 36 RP - raw score - orthogonal method VR
71998-9VR 36 PF - raw score - orthogonal method VR
71999-7VR 36 MH - T score - orthogonal method VR
72000-3VR 36 RE - T score - orthogonal method VR
72001-1VR 36 SF - T score - orthogonal method VR
72002-9VR 36 VT - T score - orthogonal method VR
72003-7VR 36 GH - T score - orthogonal method VR
72004-5VR 36 BP - T score - orthogonal method VR
72005-2VR 36 RP - T score - orthogonal method VR
72006-0VR 36 PF - T score - orthogonal method VR
72007-8VR 36 PCS - T score - orthogonal method VR
72008-6VR 36 MCS - T score - orthogonal method VR
72009-4VR 12 MH - raw score - oblique method VR
72010-2VR 12 RE - raw score - oblique method VR
72011-0VR 12 SF - raw score - oblique method VR
72012-8VR 12 VT - raw score - oblique method VR
72013-6VR 12 GH - raw score - oblique method VR
72014-4VR 12 BP - raw score - oblique method VR
72015-1VR 12 RP - raw score - oblique method VR
72016-9VR 12 PF - raw score - oblique method VR
72017-7VR 12 MH - T score - oblique method VR
72018-5VR 12 RE - T score - oblique method VR
72019-3VR 12 SF - T score - oblique method VR
72020-1VR 12 VT - T score - oblique method VR
72021-9VR 12 GH - T score - oblique method VR
72022-7VR 12 BP - T score - oblique method VR
72023-5VR 12 RP - T score - oblique method VR
72024-3VR 12 PF - T score - oblique method VR
72025-0VR 12 PCS - T score - oblique method VR
72026-8VR 12 MCS - T score - oblique method VR
72027-6VR 12 PCS - T score - orthogonal method VR
72028-4VR 12 MCS - T score - orthogonal method VR
72188-6Clinical summary score KCCQ
72189-4Quality of life score KCCQ
72190-2Self-efficacy score KCCQ
72191-0Total symptom score KCCQ
72192-8Symptom burden score KCCQ
72193-6Symptom frequency score KCCQ
72194-4Symptom stability score KCCQ
72195-1Physical limitation score KCCQ
72196-9Social limitation score KCCQ

EXCLUSION DETAILS:

Exclusion includes patients with Severe Cognitive Impairment or patients with an active diagnosis of Cancer.  In order to meet the requirements for this exclusion, the appropriate information must be documented in the chart:

At least one of the following:

• Cancer Diagnosis Code (with attached SNOMED) that starts before or during (and does not end prior to the start of) the measurement period
• Severe Dementia Diagnosis (SNOMED) Code that starts before or during (and does not end prior to the start of) the measurement period*
SNOMED: 
CodeDescription
428351000124105Severe dementia (disorder)

*ADDITIONAL INFORMATION:

•  The patient must be at least 65 years of age before the start of the measurement period.

•  Initial encounter is defined as the first encounter during the first 185 days of the measurement year.  Follow-up encounter is defined as the last encounter that is at least 30 days but no more than 180 after the initial encounter.

•  A Functional Status Assessment (FSA) is based on administration of a validated instrument to eligible patients that asks patients to answer questions related to various domains including: pain, physical function, emotional well-being, health-related quality of life, symptom acuity. 

•  The FSA questionnaire must be present in the chart.  In order to indicate that it is present for calculation in the numerator, a valid LOINC code must be selected each time an FSA is completed.  This LOINC code must be linked to a procedure code (that is not the office code).  The procedure code will be office defined.  It must be indicated as a result in the procedure properties and tagged to the appropriate LOINC code.

• The MLHF and KCCQ Questionnaires are available as templates.  Please contact software support if they are not currently in your list of available templates.

•  The Severe Dementia Diagnosis Code is recognized only by the SNOMED indicated.  This code must be attached to an appropriate and applicable Diagnosis treated/addressed at the initial and follow up encounters.

•  The only data used to determine the denominator is data from the ChartMaker Clinical Module. If a patient encounter was not entered into the ChartMaker Clinical Module, that encounter is not included in the denominator for the statistical calculations on the Meaningful Use Dashboard. Please add these additional patients to the denominator and recalculate the percentage for Attestation purposes.

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