CMS 68v8: Documentation of Current Medications in the Medical Record

Measure: Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications’ name, dosage, frequency and route of administration
Measure TypeHigh Priority MeasureScoring
ProcessYesA higher percentage indicates better quality
DenominatorAll visits occurring during the 12 month measurement period for patients aged 18 years and older
NumeratorEligible professional or eligible clinician attests to documenting, updating or reviewing the patient’s current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications’ name, dosages, frequency and route of administration
Denominator ExceptionsMedical Reason: Patient is in an urgent or emergent medical situation where time is of the essence and to delay treatment would jeopardize the patient’s health status
Denominator ExclusionsNone
Denominator

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

  • Age must be ≥ 18 years at the beginning of the Measurement Period

    AND

  • Have at least one encounter during the Measurement Period finalized by the EC/EP
Encounter Codes Eligible for Denominator

CPT: 59400, 59510, 59610, 59618, 90791, 90792, 90832, 90834, 90837, 90839, 92002, 92004, 92012, 92014, 92507, 92508, 92526, 92537, 92538, 92540, 92541, 92542, 92544, 92545, 92547, 92548, 92550, 92557, 92567, 92568, 92570, 92585, 92588, 92626, 96116, 96150, 96151, 96152, 97127, 97161, 97162, 97163, 97164, 97165, 97166, 97167, 97168, 97802, 97803, 97804, 98960, 98961, 98962, 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99221, 99222, 99223, 99236, 99281, 99282, 99283, 99284, 99285, 99304, 99305, 99306, 99307, 99308, 99309, 99310, 99315, 99316, 99318, 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337, 99339, 99340, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350, 99385, 99386, 99387, 99395, 99396, 99397, 99495, 99496

HCPCS: G0101, G0108, G0270, G0402, G0438, G0439, G0515

Denominator Exceptions

A patient will be counted as an exception if a medication reconciliation was not performed due to an urgent medical situation.

To document an exception, go to Encounter > Medications and select the Medication Reconciliation Not Performed Due to Urgent Medical Situation checkbox.

Numerator

A patient will be counted in the numerator if a medication reconciliation is performed at every eligible encounter during the Measurement Period.

To document a medication reconciliation was performed for the patient, go to Encounter > Medications and select the Medication Reconciliation Performed checkbox.

eCQI Reference

https://ecqi.healthit.gov/ecqm/ep/2019/cms068v8

Return to 2019 eCQMs