CMS 153v7: Chlamydia Screening for Women

Measure: Percentage of women 16-24 years of age who were identified as sexually active and who had at least one test for chlamydia during the measurement period
Measure Type	High Priority Measure	Scoring
Process	No	A higher percentage indicates better quality

Denominator	Women 16 to 24 years of age who are sexually active and who had a visit in the measurement period
Numerator	Women with at least one chlamydia test during the measurement period
Denominator Exceptions	None
Denominator Exclusions	Women: Who are only eligible for the initial population due to a pregnancy test and who had an x-ray or an order for a specified medication within 7 days of the pregnancy test Whose hospice care overlaps the measurement period

Setup Note

This eCQM requires a lab interface to be met. Customers interested in a lab interface should contact Sevocity Support to begin the process of a new interface setup. Interface setup requirements and fees vary per request.

Denominator

Patients who meet the following criteria will be included in the denominator:

Have a birth sex of female

AND
Age must be ≥ 16 years and < 24 years at the beginning of the Measurement Period

AND
Must be identified as sexually active

AND
Must have at least one encounter during the Measurement Period finalized by the EC/EP

Encounter Codes Eligible for Denominator

CPT: 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99395, 99396, 99397, 99385, 99386, 99387, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350, 99384, 99382, 99381, 99383, 99394, 99392, 99391, 99393

Characteristics of Sexual Activity

A patient can be identified as sexually active if they meet any of the following criteria during the Measurement Period:

Has an active diagnosis of genital herpes, syphilis, chlamydia, HIV, inflammatory diseases of the female reproductive organs, gonococcal infection, venereal disease, or other female reproductive conditions
Has an active diagnosis of complications of pregnancy, childbirth, and the puerperium
Has a current prescription for contraceptive medication
Received a prescription for contraceptive medication
Has an order for a pregnancy test, pap test, or sexually transmitted infection test
Has an order for a lab test or diagnostic study during pregnancy
Has a completed procedure involving contraceptive devices or a procedure during pregnancy
Has a completed procedure for a live delivery
Responded Yes to having vaginal sex

Diagnosis

Diagnoses are documented in the Assessment tab of an encounter. A comprehensive list of eligible diagnosis codes for sexual activity characteristics can be located here.

Medication

To prescribe a medication, go to Encounter > Medications > Manage/Prescribe Meds > Prescribe a Medication. A comprehensive list of eligible contraceptive medications can be located here.

Procedure Codes Eligible for Denominator

To document a procedure, go to Encounter > Orders/Procedure > Orders/Referrals and click Add to add one of the eligible codes listed below. The Order Status for procedures involving contraceptive devices, procedures during pregnancy, and delivery live births must be marked as Complete in order to count toward the denominator.

Pregnancy Test

CPT: 81025, 84702, 84703, 84704

Pap Test

CPT: 88141, 88142, 88143, 88147, 88148, 88150, 88152, 88153, 88154, 88155, 88164, 88165, 88166, 88167, 88174, 88175

HCPCS: G0101, G0123, G0124, G0141, G0143, G0144, G0145, G0147, G0148, P3000, P3001, Q0091

Sexually Transmitted Infection Test

CPT: 86592, 86593, 86631, 86632, 87110, 87164, 87166, 87270, 87320, 87490, 87491, 87492, 87590, 87591, 87592, 87620, 87621, 87622, 87660, 87800, 87801, 87808, 87810, 87850, 88141, 88142, 88143, 88147, 88148, 88150, 88152, 88153, 88154, 88155, 88164, 88165, 88166, 88167, 88174, 88175, 88235, 88267, 88269

Lab Test During Pregnancy

CPT: 82143, 82731, 83632, 83661, 83662, 83663, 83664, 84163

Diagnostic Study During Pregnancy

CPT: 76801, 76802, 76508, 76810, 76811, 76812, 76813, 76814, 76815, 76816, 76817, 76818, 76819, 76820, 76821, 76825, 76827

Procedures Involving Contraceptive Devices

CPT: 11976, 58301, 58300, 57170

HCPCS: S4981

Procedures During Pregnancy

CPT: 57022, 58600, 58605, 58970, 58974, 58976, 59000, 59001, 59012, 59015, 59020, 59025, 59030, 59050, 59051, 59070, 59072, 59074, 59076, 59100, 59120, 59121, 59130, 59135, 59136, 59140, 59150, 59151, 59160, 59200, 59300, 59320, 59325, 59350, 59412, 59414, 59430, 59525, 59812, 59820, 59821, 59830, 59840, 59841, 59850, 59851, 59852, 59855, 59856, 59857, 59866, 59870, 59871, 59897, 59898, 59899

Delivery Live Births

CPT: 59400, 59409, 59410, 59510, 59514, 59515, 59610, 59612, 59614, 59618, 59620, 59622

Affirmative Response to Sexual Activity – Vaginal Sex

Go to Encounter > Past History > Structured > Social History
Select the hardcoded Sexual Activity node
Select Type of sexual activity and Vaginal

Denominator Exclusions

A patient will be excluded from the measure if they were only included in the denominator due to a completed pregnancy test but received a prescription for isotretinoin or an x-ray study within 7 days of receiving the pregnancy test result. Patients who were in hospice care during the measurement year will also be excluded from the measure.

Medication

To prescribe a medication, go to Encounter > Medications > Manage/Prescribe Meds > Prescribe a Medication. A comprehensive list of eligible isotretinoin medications can be located here.

Procedure Codes Eligible for Denominator Exclusion

To document the order of an x-ray study, go to Encounter > Orders/Procedure > Orders/Referrals and click Add to add the eligible code listed below:

CPT: 79999

Hospice Care Services

To document hospice care services as a procedure, go to Encounter > Orders/Procedure > Orders/Referrals and click Add to add one of the eligible codes listed below:

SNOMED CT: 385763009, 385765002

Order Status must be marked as Complete.

Note

SNOMED CT codes must be added as a Favorite in Preferences > Form Data > Orders to be accessible from the Orders/Referrals tab.

Numerator

A patient will be counted in the numerator if they received at least one chlamydia screening during the Measurement Period.

To document that a chlamydia screening was performed, an e-Lab result for the test must be stored to the patient chart.

Store e-Lab Result

From the Clinic Inbox, select the lab result to be stored and click View
Click Select to search for and select a patient
Verify patient displayed matches the lab result and select the I have verified the following lab results belong to the above patient checkbox
Click Sign/Route
Select the Sign checkbox and click OK

Stored e-Lab results can be viewed in the Flowsheets/Labs > Scanned/E-Labs tab of the patient chart.

eCQI Reference

https://ecqi.healthit.gov/ecqm/ep/2019/cms153v7

Return to 2019 eCQMs

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