CMS 951v2: Kidney Health Evaluation

Measure: Percentage of patients aged 18-75 years with a diagnosis of diabetes who received a kidney health evaluation defined by an Estimated Glomerular Filtration Rate (eGFR) AND Urine Albumin-Creatinine Ratio (uACR) within the measurement period
Measure Type High Priority Measure Scoring
Process No A higher percentage indicates better quality
Denominator All patients aged 18-75 years with a diagnosis of diabetes at the start of the measurement period with a visit during the measurement period
Numerator Patients who received a kidney health evaluation defined by an eGFR AND uACR within the measurement period
Denominator Exceptions None
Denominator Exclusions
  • Patients with a diagnosis of ESRD
  • Patients with a diagnosis of CKD Stage 5
  • Patients who have an order for or are receiving hospice or palliative care

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.

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

  • Age is 18 years to 75 years at the end of the Measurement Period

    AND

  • Have an active diagnosis of Type 1 or Type 2 diabetes during the Measurement Period

    AND

  • Have at least one eligible encounter during the Measurement Period finalized by the EC

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, 98966, 98967, 98968, 99441, 99442, 99443, 99241, 99242, 99243, 99244, 99245

HCPCS: G0438, G0439,

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

A patient will be excluded from this measure if they meet any of the following conditions:

  • Has an active diagnosis of ESRD or CKD Stage 5 during the Measurement Period
  • Have an order for or are receiving hospice or palliative care during the Measurement Period

Diagnoses are documented in the Assessment tab of an encounter. The eligible diagnosis codes for this exception are:

End Stage Renal Disease

ICD-10: N18.6

Chronic Kidney Disease, Stage 5

ICD-10: N18.5

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

CPT: 99377, 99378

HCPCS: G0182

Order Status must be marked as Pending or Complete.

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

HCPCS: G9996, G9473, G9474, G9475, G9476, G9477, G9478, G9479, Q5003, Q5004, Q5005, Q5006, Q5007, Q5008, Q5010, S9126, T2042, T2043, T2044, T2045, T2046

Order Status must be marked as Complete.

Palliative care services can be documented using the FACIT-Pal Questionnaire flowsheet, as an order, or as a diagnosis.

  1. Go to Encounter > Flowsheets/Labs > Standard or Chart > Flowsheets/Labs > Standard

  2. Click Add New Flowsheet

  3. Select the FACIT-Pal Questionnaire flowsheet and click Add

  4. Click Add Column

  5. Populate the patient's responses to the questions as appropriate

  6. Click OK to save

Go to Encounter > Orders/Procedure > Orders/Referrals and click Add to add one of the eligible codes listed below:

HCPCS: G9054, M1017

Order Status must be marked as Complete.

Diagnoses are documented in the Assessment tab of an encounter. The eligible diagnosis code for palliative care is:

ICD-10: Z51.5

A patient will be counted in the numerator if they have an e-Lab result for an eGFR and uACR stored to their chart during the Measurement Period.

  1. From the Clinic Inbox, select the lab result to be stored and click View
    1. If the lab result is systematically matched to a patient, the Patient section will be populated in the lab result display
    2. If the lab result is not matched or the matched patient needs to be changed, the user will need to search for the patient
  2. Optional: click Select to search for and select a patient
  3. Select the I have verified the following lab results belong to the above patient checkbox
  4. Click Sign/Route
  5. 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.

https://ecqi.healthit.gov/ecqm/ec/2024/cms0951v2

 

Return to 2024 eCQMs

 

Didn't find the answer you were looking for?

Contact Sevocity Support 24/7 at 877‑777‑2298 or support@sevocity.com