| Measure: Percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year | ||
| Measure Type | High Priority Measure | Scoring |
| Process | No | A higher percentage indicates better quality |
| Denominator | Patients 18-75 years of age with diabetes with a visit during the measurement period |
| Numerator | Patients who received visual, pulse and sensory foot examinations during the measurement period |
| Denominator Exceptions | None |
| Denominator Exclusions | Patients who:
|
Denominator
Patients who meet the following criteria will be included in the denominator:
Age must be ≥ 18 years and < 75 years at the beginning of the Measurement Period
AND
Must have an active diagnosis of Type 1 or Type 2 diabetes during the Measurement Period
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, 99231, 99232, 99233, 99234, 99235, 99236, 99241, 99242, 99243, 99244, 99245, 99281, 99282, 99283, 99284, 99285, 99304, 99305, 99306, 99307, 99308, 99309, 99310, 99318, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350, 99385, 99386, 99387, 99395, 99396, 99397, 99221, 99222, 99223, 99251, 99252, 99253, 99254, 99255, 99381, 99382, 99383, 99384, 99024, 99391, 99392, 99393, 99394, 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337
HCPCS: G0438, G0439
Diagnosis
The patient must have an active diagnosis of Type 1 or Type 2 diabetes during Measurement Period. Patients with a diagnosis of secondary diabetes due to another condition are not counted.
Diagnoses are documented in the Assessment tab of an encounter. A comprehensive list of eligible diagnosis codes for diabetes can be located here.
Denominator Exclusions
Diagnosis of a Bilateral or Two Unilateral Amputations
Patients with an active diagnosis for a bilateral amputation above or below the knee or both a left and right amputation above or below the knee will be excluded from the measure.
Diagnoses are documented in the Assessment tab of an encounter. A comprehensive list of eligible amputation diagnosis codes can be located here. If documenting two unilateral amputations, the Anatomical Location Site must be specified when adding each diagnosis code.
Hospice Care Services
Patients who were in hospice care during the measurement year will be excluded from the measure.
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 a diabetic foot exam during the Measurement Period.
Document a Diabetic Foot Exam in the Diabetes Care Flowsheet
- Go to Encounter > Flowsheets/Labs > Standard Flowsheets
- Click Add New Flowsheet
- Select the Diabetes Care flowsheet and click Add
- Click Add Column
- Populate a Date and a Value for Diabetic Foot Exam
- Click OK to save
eCQI Reference
Return to 2018 eCQMs