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  2. CQM-1408

Addition of encounter ophthalmological services to initial patient population

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      Thank you for the feedback. We would like to expand the IPP encounters to include these codes for the next annual update. We are also considering adding these codes to the IPP encounters in the Fall measure (CMS139) and the Closing the Referral Loop measure (CMS50). Please let us know if there are other measures where you feel it would be appropriate to add these codes.
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      Thank you for the feedback. We would like to expand the IPP encounters to include these codes for the next annual update. We are also considering adding these codes to the IPP encounters in the Fall measure (CMS139) and the Closing the Referral Loop measure (CMS50). Please let us know if there are other measures where you feel it would be appropriate to add these codes.

      CMS131v3 does not include ophthalmological services encounters within the initial patient population. The measures denominator does not align with the claims/registry version of the measure where these codes are included. We would request that the following ophthalmological services CPT codes be added to the eligible encounters of the initial patient population:

      92002 - Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient

      92004 - Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits

      92012 - Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient

      92014 - Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits

            edave Mathematica EC eCQM Team
            probertsonaao Peter Robertson (Inactive)
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