| eCQM / NQF #: |
CMS90v8 / XXXX |
| Measure: | Percentage of patients 18 years of age and older with congestive heart failure who completed initial and follow-up patient-reported functional status assessments |
| Numerator: | Patients with patient-reported functional status assessment results (ie, VR-12; VR-36; KCCQ; PROMIS-10 Global Health, PROMIS-29) present in the EHRinfo-icon two weeks before or during the initial FSA encounter and results for the follow-up FSA at least 30 days but no more than 180 days after the initial functional status assessment |
| Denominator: | Patients 18 years of age and older who had two outpatient encounters during the measurement year and a diagnosis of congestive heart failure |
| Denominator Exclusion: | Exclude patients with severe cognitive impairment and patients who were in hospice care during the measurement year. |
| Domain: | Person and Caregiver-Centered Experience and Outcomes |
In ChartMaker Clinical:
In order to qualify for this measure, the provider must have seen the patient (age 18 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
Expand
This is captured by adding a procedure with a valid CPT or SNOMED code using the Procedure widget in a note.
Valid Office Encounter Codes:
| CPT: | |
| Code | Description |
| 99201 | Office 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. |
| 99202 | Office 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. |
| 99203 | Office 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. |
| 99204 | Office 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. |
| 99205 | Office 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. |
| 99212 | Office 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. |
| 99213 | Office 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. |
| 99214 | Office 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. |
| 99215 | Office 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: | |
| Code | Description |
| 12843005 | Subsequent hospital visit by physician (procedure) |
| 18170008 | Subsequent nursing facility visit (procedure) |
| 19681004 | Nursing evaluation of patient and report (procedure) |
| 87790002 | Follow-up inpatient consultation visit (procedure) |
| 90526000 | Initial evaluation and management of healthy individual (procedure) |
| 185349003 | Encounter for "check-up" (procedure) |
| 185463005 | Visit out of hours (procedure) |
| 185465003 | Weekend visit (procedure) |
| 207195004 | History and physical examination with evaluation and management of nursing facility patient (procedure) |
| 270427003 | Patient-initiated encounter (procedure) |
| 270430005 | Provider-initiated encounter (procedure) |
| 308335008 | Patient encounter procedure (procedure) |
| 390906007 | Follow-up encounter (procedure) |
| 406547006 | Urgent follow-up (procedure) |
| 439708006 | Home visit (procedure) |
| 185463005 | Visit out of hours (procedure) |
| 185464004 | Out of hours visit - not night visit (procedure) |
| 185465003 | Weekend visit (procedure) |
| 30346009 | Evaluation and management of established outpatient in office or other outpatient facility (procedure) |
| 3391000175108 | Office visit for pediatric care and assessment (procedure) |
| 37894004 | Evaluation and management of new outpatient in office or other outpatient facility (procedure) |
| 439740005 | Postoperative follow-up visit (procedure) |
• Most recent Office Visit or Face-to-Face Encounter code that occurs at least 30 days but no more than 180 days after the initial encounter
Expand
This is captured by adding a procedure with a valid CPT or SNOMED code using the Procedure widget in a note.
Valid Office Encounter Codes:
| CPT: | |
| Code | Description |
| 99201 | Office 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. |
| 99202 | Office 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. |
| 99203 | Office 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. |
| 99204 | Office 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. |
| 99205 | Office 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. |
| 99212 | Office 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. |
| 99213 | Office 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. |
| 99214 | Office 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. |
| 99215 | Office 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: | |
| Code | Description |
| 12843005 | Subsequent hospital visit by physician (procedure) |
| 18170008 | Subsequent nursing facility visit (procedure) |
| 19681004 | Nursing evaluation of patient and report (procedure) |
| 87790002 | Follow-up inpatient consultation visit (procedure) |
| 90526000 | Initial evaluation and management of healthy individual (procedure) |
| 185349003 | Encounter for "check-up" (procedure) |
| 185463005 | Visit out of hours (procedure) |
| 185465003 | Weekend visit (procedure) |
| 207195004 | History and physical examination with evaluation and management of nursing facility patient (procedure) |
| 270427003 | Patient-initiated encounter (procedure) |
| 270430005 | Provider-initiated encounter (procedure) |
| 308335008 | Patient encounter procedure (procedure) |
| 390906007 | Follow-up encounter (procedure) |
| 406547006 | Urgent follow-up (procedure) |
| 439708006 | Home visit (procedure) |
| 185463005 | Visit out of hours (procedure) |
| 185464004 | Out of hours visit - not night visit (procedure) |
| 185465003 | Weekend visit (procedure) |
| 30346009 | Evaluation and management of established outpatient in office or other outpatient facility (procedure) |
| 3391000175108 | Office visit for pediatric care and assessment (procedure) |
| 37894004 | Evaluation and management of new outpatient in office or other outpatient facility (procedure) |
| 439740005 | Postoperative follow-up visit (procedure) |
• Heart Failure Diagnosis or SNOMED Code that starts before or during (and does not end prior to the start of) the measurement period
Expand
This is captured by adding a diagnosis with a valid ICD10/ICD9 or SNOMED code using the Diagnosis widget in a note.
| ICD-9: | |
| Code | Description |
| 402.01 | Malignant hypertensive heart disease with heart failure |
| 402.11 | Benign hypertensive heart disease with heart failure |
| 402.91 | Unspecified hypertensive heart disease with heart failure |
| 404.01 | Hypertensive heart and chronic kidney disease, malignant, with heart failure and with chronic kidney disease stage I through stage IV, or unspecified |
| 404.03 | Hypertensive heart and chronic kidney disease, malignant, with heart failure and with chronic kidney disease stage V or end stage renal disease |
| 404.11 | Hypertensive heart and chronic kidney disease, benign, with heart failure and with chronic kidney disease stage I through stage IV, or unspecified |
| 404.13 | Hypertensive heart and chronic kidney disease, benign, with heart failure and chronic kidney disease stage V or end stage renal disease |
| 404.91 | Hypertensive heart and chronic kidney disease, unspecified, with heart failure and with chronic kidney disease stage I through stage IV, or unspecified |
| 404.93 | Hypertensive heart and chronic kidney disease, unspecified, with heart failure and chronic kidney disease stage V or end stage renal disease |
| 428.0 | Congestive heart failure, unspecified |
| 428.1 | Left heart failure |
| 428.20 | Systolic heart failure, unspecified |
| 428.21 | Acute systolic heart failure |
| 428.22 | Chronic systolic heart failure |
| 428.23 | Acute on chronic systolic heart failure |
| 428.30 | Diastolic heart failure, unspecified |
| 428.31 | Acute diastolic heart failure |
| 428.32 | Chronic diastolic heart failure |
| 428.33 | Acute on chronic diastolic heart failure |
| 428.40 | Combined systolic and diastolic heart failure, unspecified |
| 428.41 | Acute combined systolic and diastolic heart failure |
| 428.42 | Chronic combined systolic and diastolic heart failure |
| 428.43 | Acute on chronic combined systolic and diastolic heart failure |
| 428.9 | Heart failure, unspecified |
| ICD-10: | |
| Code | Description |
| I11.0 | Hypertensive heart disease with heart failure |
| I13.0 | Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease |
| I13.2 | Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease |
| I50.1 | Left ventricular failure |
| I50.20 | Unspecified systolic (congestive) heart failure |
| I50.21 | Acute systolic (congestive) heart failure |
| I50.22 | Chronic systolic (congestive) heart failure |
| I50.23 | Acute on chronic systolic (congestive) heart failure |
| I50.30 | Unspecified diastolic (congestive) heart failure |
| I50.31 | Acute diastolic (congestive) heart failure |
| I50.32 | Chronic diastolic (congestive) heart failure |
| I50.33 | Acute on chronic diastolic (congestive) heart failure |
| I50.40 | Unspecified combined systolic (congestive) and diastolic (congestive) heart failure |
| I50.41 | Acute combined systolic (congestive) and diastolic (congestive) heart failure |
| I50.42 | Chronic combined systolic (congestive) and diastolic (congestive) heart failure |
| I50.43 | Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure |
| I50.9 | Heart failure, unspecified |
| SNOMED: | |
| Code | Description |
| 364006 | Acute left-sided heart failure (disorder) |
| 5053004 | Cardiac insufficiency due to prosthesis (disorder) |
| 5148006 | Hypertensive heart disease with congestive heart failure (disorder) |
| 5375005 | Chronic left-sided congestive heart failure (disorder) |
| 10091002 | High output heart failure (disorder) |
| 10335000 | Chronic right-sided heart failure (disorder) |
| 10633002 | Acute congestive heart failure (disorder) |
| 25544003 | Low output heart failure (disorder) |
| 42343007 | Congestive heart failure (disorder) |
| 43736008 | Rheumatic left ventricular failure (disorder) |
| 44313006 | Right heart failure secondary to left heart failure (disorder) |
| 46113002 | Hypertensive heart failure (disorder) |
| 48447003 | Chronic heart failure (disorder) |
| 56675007 | Acute heart failure (disorder) |
| 60856006 | Cardiac insufficiency following cardiac surgery (disorder) |
| 66989003 | Chronic right-sided congestive heart failure (disorder) |
| 74960003 | Acute left-sided congestive heart failure (disorder) |
| 80479009 | Acute right-sided congestive heart failure (disorder) |
| 82523003 | Congestive rheumatic heart failure (disorder) |
| 83105008 | Malignant hypertensive heart disease with congestive heart failure (disorder) |
| 84114007 | Heart failure (disorder) |
| 85232009 | Left heart failure (disorder) |
| 88805009 | Chronic congestive heart failure (disorder) |
| 90727007 | Pleural effusion due to congestive heart failure (disorder) |
| 92506005 | Biventricular congestive heart failure (disorder) |
| 111283005 | Chronic left-sided heart failure (disorder) |
| 128404006 | Right heart failure (disorder) |
| 194767001 | Benign hypertensive heart disease with congestive cardiac failure (disorder) |
| 194779001 | Hypertensive heart and renal disease with (congestive) heart failure (disorder) |
| 194781004 | Hypertensive heart and renal disease with both (congestive) heart failure and renal failure (disorder) |
| 195111005 | Decompensated cardiac failure (disorder) |
| 195112003 | Compensated cardiac failure (disorder) |
| 195114002 | Acute left ventricular failure (disorder) |
| 206586007 | Congenital cardiac failure (disorder) |
| 233924009 | Heart failure as a complication of care (disorder) |
| 277639002 | Sepsis-associated right ventricular failure (disorder) |
| 314206003 | Refractory heart failure (disorder) |
| 359617009 | Acute right-sided heart failure (disorder) |
| 367363000 | Right ventricular failure (disorder) |
| 410431009 | Cardiorespiratory failure (disorder) |
| 417996009 | Systolic heart failure (disorder) |
| 418304008 | Diastolic heart failure (disorder) |
| 424404003 | Decompensated chronic heart failure (disorder) |
| 426012001 | Right heart failure due to pulmonary hypertension (disorder) |
| 426263006 | Congestive heart failure due to left ventricular systolic dysfunction (disorder) |
| 426611007 | Congestive heart failure due to valvular disease (disorder) |
| 441481004 | Chronic systolic heart failure (disorder) |
| 441530006 | Chronic 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
Expand
This is captured by adding a finding with a valid LOINC code using the Checklist widget in a note.
| LOINC: | |
| Code | Description |
| 71938-5 | Total score MLHFQ |
| 71940-1 | Overall summary score KCCQ |
| 71955-9 | PROMIS-29 - sleep disturbance - T score |
| 71956-7 | PROMIS-29 - sleep disturbance - raw score |
| 71957-5 | PROMIS-29 - satisfaction with participation in social roles - T score |
| 71958-3 | PROMIS-29 - satisfaction with participation in social roles - raw score |
| 71959-1 | PROMIS-29 - physical function - T score- raw score |
| 71960-9 | PROMIS-29 - physical function - raw score- raw score |
| 71961-7 | PROMIS-29 - pain interference - T score |
| 71962-5 | PROMIS-29 - pain interference - raw score |
| 71963-3 | PROMIS-29 - fatigue - T score |
| 71964-1 | PROMIS-29 - fatigue - raw score |
| 71965-8 | PROMIS-29 - depression - T score |
| 71966-6 | PROMIS-29 - depression - raw score |
| 71967-4 | PROMIS-29 - anxiety - T score |
| 71968-2 | PROMIS-29 - anxiety - raw score |
| 71969-0 | PROMIS-10 Global health - GMH - T score |
| 71970-8 | PROMIS-10 Global health - GMH - raw score |
| 71971-6 | PROMIS-10 Global health - GPH - T score |
| 71972-4 | PROMIS-10 Global health - GPH - raw score |
| 71973-2 | VR 36 MH - raw score - oblique method VR |
| 71974-0 | VR 36 RE - raw score - oblique method VR |
| 71975-7 | VR 36 SF - raw score - oblique method VR |
| 71976-5 | VR 36 VT - raw score - oblique method VR |
| 71977-3 | VR 36 GH - raw score - oblique method VR |
| 71978-1 | VR 36 BP - raw score - oblique method VR |
| 71979-9 | VR 36 RP - raw score - oblique method VR |
| 71980-7 | VR 36 PF - raw score - oblique method VR |
| 71981-5 | VR 36 MH - T score - oblique method VR |
| 71982-3 | VR 36 RE - T score - oblique method VR |
| 71983-1 | VR 36 SF - T score - oblique method VR |
| 71984-9 | VR 36 VT - T score - oblique method VR |
| 71985-6 | VR 36 GH - T score - oblique method VR |
| 71986-4 | VR 36 BP - T score - oblique method VR |
| 71987-2 | VR 36 RP - T score - oblique method VR |
| 71988-0 | VR 36 PF - T score - oblique method VR |
| 71989-8 | VR 36 PCS - T score - oblique method VR |
| 71990-6 | VR 36 MCS - T score - oblique method VR |
| 71991-4 | VR 36 MH - raw score - orthogonal method VR |
| 71992-2 | VR 36 RE - raw score - orthogonal method VR |
| 71993-0 | VR 36 SF - raw score - orthogonal method VR |
| 71994-8 | VR 36 VT - raw score - orthogonal method VR |
| 71995-5 | VR 36 GH - raw score - orthogonal method VR |
| 71996-3 | VR 36 BP - raw score - orthogonal method VR |
| 71997-1 | VR 36 RP - raw score - orthogonal method VR |
| 71998-9 | VR 36 PF - raw score - orthogonal method VR |
| 71999-7 | VR 36 MH - T score - orthogonal method VR |
| 72000-3 | VR 36 RE - T score - orthogonal method VR |
| 72001-1 | VR 36 SF - T score - orthogonal method VR |
| 72002-9 | VR 36 VT - T score - orthogonal method VR |
| 72003-7 | VR 36 GH - T score - orthogonal method VR |
| 72004-5 | VR 36 BP - T score - orthogonal method VR |
| 72005-2 | VR 36 RP - T score - orthogonal method VR |
| 72006-0 | VR 36 PF - T score - orthogonal method VR |
| 72007-8 | VR 36 PCS - T score - orthogonal method VR |
| 72008-6 | VR 36 MCS - T score - orthogonal method VR |
| 72009-4 | VR 12 MH - raw score - oblique method VR |
| 72010-2 | VR 12 RE - raw score - oblique method VR |
| 72011-0 | VR 12 SF - raw score - oblique method VR |
| 72012-8 | VR 12 VT - raw score - oblique method VR |
| 72013-6 | VR 12 GH - raw score - oblique method VR |
| 72014-4 | VR 12 BP - raw score - oblique method VR |
| 72015-1 | VR 12 RP - raw score - oblique method VR |
| 72016-9 | VR 12 PF - raw score - oblique method VR |
| 72017-7 | VR 12 MH - T score - oblique method VR |
| 72018-5 | VR 12 RE - T score - oblique method VR |
| 72019-3 | VR 12 SF - T score - oblique method VR |
| 72020-1 | VR 12 VT - T score - oblique method VR |
| 72021-9 | VR 12 GH - T score - oblique method VR |
| 72022-7 | VR 12 BP - T score - oblique method VR |
| 72023-5 | VR 12 RP - T score - oblique method VR |
| 72024-3 | VR 12 PF - T score - oblique method VR |
| 72025-0 | VR 12 PCS - T score - oblique method VR |
| 72026-8 | VR 12 MCS - T score - oblique method VR |
| 72027-6 | VR 12 PCS - T score - orthogonal method VR |
| 72028-4 | VR 12 MCS - T score - orthogonal method VR |
| 72188-6 | Clinical summary score KCCQ |
| 72189-4 | Quality of life score KCCQ |
| 72190-2 | Self-efficacy score KCCQ |
| 72191-0 | Total symptom score KCCQ |
| 72192-8 | Symptom burden score KCCQ |
| 72193-6 | Symptom frequency score KCCQ |
| 72194-4 | Symptom stability score KCCQ |
| 72195-1 | Physical limitation score KCCQ |
| 72196-9 | Social limitation score KCCQ |
• Functional Status Assessment Result (LOINC) Code within the 2 weeks prior to or during the follow up encounter
Expand
This is captured by adding a finding with a valid LOINC code using the Checklist widget in a note.
| LOINC: | |
| Code | Description |
| 71938-5 | Total score MLHFQ |
| 71940-1 | Overall summary score KCCQ |
| 71955-9 | PROMIS-29 - sleep disturbance - T score |
| 71956-7 | PROMIS-29 - sleep disturbance - raw score |
| 71957-5 | PROMIS-29 - satisfaction with participation in social roles - T score |
| 71958-3 | PROMIS-29 - satisfaction with participation in social roles - raw score |
| 71959-1 | PROMIS-29 - physical function - T score- raw score |
| 71960-9 | PROMIS-29 - physical function - raw score- raw score |
| 71961-7 | PROMIS-29 - pain interference - T score |
| 71962-5 | PROMIS-29 - pain interference - raw score |
| 71963-3 | PROMIS-29 - fatigue - T score |
| 71964-1 | PROMIS-29 - fatigue - raw score |
| 71965-8 | PROMIS-29 - depression - T score |
| 71966-6 | PROMIS-29 - depression - raw score |
| 71967-4 | PROMIS-29 - anxiety - T score |
| 71968-2 | PROMIS-29 - anxiety - raw score |
| 71969-0 | PROMIS-10 Global health - GMH - T score |
| 71970-8 | PROMIS-10 Global health - GMH - raw score |
| 71971-6 | PROMIS-10 Global health - GPH - T score |
| 71972-4 | PROMIS-10 Global health - GPH - raw score |
| 71973-2 | VR 36 MH - raw score - oblique method VR |
| 71974-0 | VR 36 RE - raw score - oblique method VR |
| 71975-7 | VR 36 SF - raw score - oblique method VR |
| 71976-5 | VR 36 VT - raw score - oblique method VR |
| 71977-3 | VR 36 GH - raw score - oblique method VR |
| 71978-1 | VR 36 BP - raw score - oblique method VR |
| 71979-9 | VR 36 RP - raw score - oblique method VR |
| 71980-7 | VR 36 PF - raw score - oblique method VR |
| 71981-5 | VR 36 MH - T score - oblique method VR |
| 71982-3 | VR 36 RE - T score - oblique method VR |
| 71983-1 | VR 36 SF - T score - oblique method VR |
| 71984-9 | VR 36 VT - T score - oblique method VR |
| 71985-6 | VR 36 GH - T score - oblique method VR |
| 71986-4 | VR 36 BP - T score - oblique method VR |
| 71987-2 | VR 36 RP - T score - oblique method VR |
| 71988-0 | VR 36 PF - T score - oblique method VR |
| 71989-8 | VR 36 PCS - T score - oblique method VR |
| 71990-6 | VR 36 MCS - T score - oblique method VR |
| 71991-4 | VR 36 MH - raw score - orthogonal method VR |
| 71992-2 | VR 36 RE - raw score - orthogonal method VR |
| 71993-0 | VR 36 SF - raw score - orthogonal method VR |
| 71994-8 | VR 36 VT - raw score - orthogonal method VR |
| 71995-5 | VR 36 GH - raw score - orthogonal method VR |
| 71996-3 | VR 36 BP - raw score - orthogonal method VR |
| 71997-1 | VR 36 RP - raw score - orthogonal method VR |
| 71998-9 | VR 36 PF - raw score - orthogonal method VR |
| 71999-7 | VR 36 MH - T score - orthogonal method VR |
| 72000-3 | VR 36 RE - T score - orthogonal method VR |
| 72001-1 | VR 36 SF - T score - orthogonal method VR |
| 72002-9 | VR 36 VT - T score - orthogonal method VR |
| 72003-7 | VR 36 GH - T score - orthogonal method VR |
| 72004-5 | VR 36 BP - T score - orthogonal method VR |
| 72005-2 | VR 36 RP - T score - orthogonal method VR |
| 72006-0 | VR 36 PF - T score - orthogonal method VR |
| 72007-8 | VR 36 PCS - T score - orthogonal method VR |
| 72008-6 | VR 36 MCS - T score - orthogonal method VR |
| 72009-4 | VR 12 MH - raw score - oblique method VR |
| 72010-2 | VR 12 RE - raw score - oblique method VR |
| 72011-0 | VR 12 SF - raw score - oblique method VR |
| 72012-8 | VR 12 VT - raw score - oblique method VR |
| 72013-6 | VR 12 GH - raw score - oblique method VR |
| 72014-4 | VR 12 BP - raw score - oblique method VR |
| 72015-1 | VR 12 RP - raw score - oblique method VR |
| 72016-9 | VR 12 PF - raw score - oblique method VR |
| 72017-7 | VR 12 MH - T score - oblique method VR |
| 72018-5 | VR 12 RE - T score - oblique method VR |
| 72019-3 | VR 12 SF - T score - oblique method VR |
| 72020-1 | VR 12 VT - T score - oblique method VR |
| 72021-9 | VR 12 GH - T score - oblique method VR |
| 72022-7 | VR 12 BP - T score - oblique method VR |
| 72023-5 | VR 12 RP - T score - oblique method VR |
| 72024-3 | VR 12 PF - T score - oblique method VR |
| 72025-0 | VR 12 PCS - T score - oblique method VR |
| 72026-8 | VR 12 MCS - T score - oblique method VR |
| 72027-6 | VR 12 PCS - T score - orthogonal method VR |
| 72028-4 | VR 12 MCS - T score - orthogonal method VR |
| 72188-6 | Clinical summary score KCCQ |
| 72189-4 | Quality of life score KCCQ |
| 72190-2 | Self-efficacy score KCCQ |
| 72191-0 | Total symptom score KCCQ |
| 72192-8 | Symptom burden score KCCQ |
| 72193-6 | Symptom frequency score KCCQ |
| 72194-4 | Symptom stability score KCCQ |
| 72195-1 | Physical limitation score KCCQ |
| 72196-9 | Social limitation score KCCQ |
EXCLUSION DETAILS:
Exclusion includes patients with Severe Cognitive Impairment or patients who were in hospice care during the measurement year. In order to meet the requirements for this exclusion, the appropriate information must be documented in the chart:
At least one of the following:
NOTE: Documenting Severe Dementia 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.
This is captured by adding a diagnosis with a valid SNOMED code using the Diagnosis widget in a note.
| SNOMED: | |
| Code | Description |
| 428351000124105 | Severe dementia (disorder) |
To document this one of the following must be taken:
Option 1: Inpatient Code and Hospice Discharge Code documented together
Inpatient Encounter Code
- 183452005: Emergency hospital admission (procedure)
- 32485007: Hospital admission (procedure)
- 8715000: Hospital admission, elective (procedure)
AND
Hospice Care Discharge Status SNOMED (one of the following):
- 428371000124100: Discharged to Health Care Facility for Hospice Care
- 428361000124107: Discharged to Home for Hospice Care
Option #2 - Hospice care ambulatory code ORDERED and PERFORMED:
Intervention, Order and Performed: Hospice care ambulatory
-
385763009: Hospice care (regime/therapy)
-
385765002: Hospice care management (procedure)
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 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.