CMS 149v12: Dementia: Cognitive Assessment
Measure: Percentage of patients, regardless of age, with a diagnosis of dementia for whom an assessment of cognition is performed and the results reviewed at least once within a 12-month period | ||
Measure Type | High Priority Measure | Scoring |
Process | Yes | A higher percentage indicates better quality |
Denominator | All patients, regardless of age, with a diagnosis of dementia |
Numerator | Patients for whom an assessment of cognition is performed and the results reviewed at least once within a 12-month period |
Denominator Exceptions | Documentation of patient reason(s) for not assessing cognition |
Denominator Exclusions | None |
Patients who meet the following criteria will be included in the denominator:
-
Have an eligible encounter with an active diagnosis of dementia during the Measurement Period finalized by the EC
AND
- Have at least one eligible qualifying encounter during the Measurement Period finalized by the EC
CPT: 90791, 90792, 90832, 90834, 90837, 96116, 97165, 97166, 97167, 97168, 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99241, 99242, 99243, 99244, 99245, 99304, 99305, 99306, 99307, 99308, 99309, 99310, 99315, 99316, 99318, 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350
Diagnoses are documented in the Assessment tab of an encounter. The eligible diagnosis codes for dementia are:
ICD-10: A52.17, F01.50, F02.80, F03.90, F05, F06.8, G30.0, G30.1, G30.8, G30.9, G31.01, G31.09, G31.83
CPT: 90791, 90792, 90832, 90834, 90837, 96116, 97165, 97166, 97167, 97168, 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99241, 99242, 99243, 99244, 99245, 99304, 99305, 99306, 99307, 99308, 99309, 99310, 99315, 99316, 99318, 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350, 99441, 99442, 99443, 99421, 99422, 99423, 99024, 99251, 99252, 99253, 99254, 99255
A patient will be counted as an exception for this measure if there is a documented patient reason for not performing a cognitive assessment.
- Go to Encounter > Orders/Procedure > Orders/Referrals
-
Click Add to add one of the following eligible codes:
SNOMED CT: 113024001, 4719001
- Order Status must be Not Performed
- Not Performed Reason must be Refusal of treatment by patient
- Click Add to save
SNOMED CT codes must be added as a Favorite in Preferences > Form Data > Orders to be accessible from the Orders/Referrals tab
A patient will be counted in the numerator if they received a cognitive assessment using a standardized screening on the day of their eligible dementia encounter or in the 12 months before their eligible dementia encounter.
To document a screening using the Cognitive Assessment flowsheet:
- Go to Encounter > Flowsheets/Labs > Standard or Chart > Flowsheets/Labs > Standard
- Click Add New Flowsheet
- Select the Cognitive Assessment flowsheet and click Add
- Click Add Column
-
Populate the patient's score for the AD8, Mini-Cog, MMSE, MoCA, or SLUMS assessment
or
Select the Other cognitive assessment performed checkbox
- Click OK to save
If Other cognitive assessment performed is selected, the name of the screening tool should be documented in the encounter in which it was performed
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