Diabetes Measures List
Here is a list of the Physician Quality Reporting System (PQRS) measures associated with providing care to patients with diabetes. We have included codes and a brief description for each measure. If you have any questions about quality reporting, please contact one of our local experts by visiting your state’s page on our website.
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Measure Title | Measure Number: CMS | Measure Number: NQF | Measure Number: PQRS | Measure Description |
---|---|---|---|---|
Diabetes: Hemoglobin A1c Poor Control | 122v4 | 59 | 1 | Percentage of patients 18 to 75 years of age with diabetes who had hemoglobin A1c > 9.0% during the measurement period |
Diabetes: Low Density Lipoprotein (LDL-C) Control (<100 mg/dL) | 163v4 | N/A | 2 | Percentage of patients 18 to 75 years of age with diabetes whose LDL-C was adequately controlled (< 100 mg/dL) during the measurement period |
Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy | 167v4 | 88 | 18 | Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed that included documentation of the level of severity of retinopathy and the presence or absence of macular edema during one or more office visits within 12 months |
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care | 142v4 | 89 | 19 | Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus regarding the findings of the macular or fundus exam at least once within 12 months |
Diabetes: Eye Exam | 131v4 | 55 | 117 | Percentage of patients 18 to 75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal or dilated eye exam (no evidence of retinopathy) in the 12 months prior to the measurement period |
Diabetes: Medical Attention for Nephropathy | 134v4 | 62 | 119 | The percentage of patients 18 to 75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period |
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy – Neurological Evaluation | N/A | 417 | 126 | Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who had a neurological examination of their lower extremities within 12 months |
Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention – Evaluation of Footwear | N/A | 416 | 127 | Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who were evaluated for proper footwear and sizing |
Diabetes: Eye Exam | 123v4 | 56 | 163 | Percentage of patients 18 to 75 years of age with diabetes who had a foot exam during the measurement period |