| 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:
|
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, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350, 99385, 99386, 99387, 99395, 99396, 99397, 99221, 99222, 99223, 99231, 99232, 99233, 99241, 99242, 99243, 99244, 99245, 99281, 99282, 99283, 99284, 99285, 99305, 99306, 99307, 99308, 99309, 99310, 99251, 99252, 99253, 99254, 99255, 99381, 99382, 99383, 99384, 99024, 99391, 99392, 99393, 99394, 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337
HCPCS: G0402, G0438, G0439
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: 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: 59020, 59025, 59030, 59050, 59051, 59070, 59072, 59074, 59076, 59200, 59400, 59409, 59410, 59412, 59414, 59425, 59426, 59430, 59510, 59610, 59612, 59614, 59618, 59620, 59622, 80055, 82105, 82106, 82143, 82731, 83632, 83661, 83662, 83663, 83664
Diagnostic Study During Pregnancy
CPT: 76801, 76802, 76805, 76810, 76811, 76812, 76813, 76814, 76815, 76816, 76817, 76818, 76819, 76820, 76821, 76825, 76827, 93325, 93976
Procedures Involving Contraceptive Devices
CPT: 11976, 58301, 58300
HCPCS: S4981
Procedures During Pregnancy
CPT: 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, 59412, 59414, 59425, 59426, 59430, 59510, 59514, 59515, 59525, 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 one of the eligible codes 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
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