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CMS 133 Cataract Surgery

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    • Jesus L Velasquez
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      Thank you for the inquiry on CMS133 Cataracts: 20/40 or Better Visual Acuity within 90 days Following Cataract Surgery. The numerator states:

      "Cataract Surgery Between January and September of Measurement Period" CataractSurgeryPerformed

      with ( ["Physical Exam, Performed": "Best corrected visual acuity (observable entity)"]

      union ["Physical Exam, Performed": "Best Corrected Visual Acuity Exam Using Snellen Chart"] ) VisualAcuityExamPerformed

      such that Global."NormalizeInterval" ( VisualAcuityExamPerformed.relevantDatetime, VisualAcuityExamPerformed.relevantPeriod ) 90 days or less after day of

      end of Global."NormalizeInterval" ( CataractSurgeryPerformed.relevantDatetime, CataractSurgeryPerformed.relevantPeriod )

      and VisualAcuityExamPerformed.result in "Visual Acuity 20/40 or Better"

      To meet the numerator criteria, the visual acuity exam must be performed after the day the cataract surgery was performed with a best-corrected visual acuity of 20/40 or better (distance or near) achieved in the operative eye. Therefore, a patient who is seen for a follow-up on the same day of surgery and has 20/40 vision post-surgery would not meet the numerator criteria. We hope this helps.

      Show
      Thank you for the inquiry on CMS133 Cataracts: 20/40 or Better Visual Acuity within 90 days Following Cataract Surgery. The numerator states: "Cataract Surgery Between January and September of Measurement Period" CataractSurgeryPerformed with ( ["Physical Exam, Performed": "Best corrected visual acuity (observable entity)"] union ["Physical Exam, Performed": "Best Corrected Visual Acuity Exam Using Snellen Chart"] ) VisualAcuityExamPerformed such that Global."NormalizeInterval" ( VisualAcuityExamPerformed.relevantDatetime, VisualAcuityExamPerformed.relevantPeriod ) 90 days or less after day of end of Global."NormalizeInterval" ( CataractSurgeryPerformed.relevantDatetime, CataractSurgeryPerformed.relevantPeriod ) and VisualAcuityExamPerformed.result in "Visual Acuity 20/40 or Better" To meet the numerator criteria, the visual acuity exam must be performed after the day the cataract surgery was performed with a best-corrected visual acuity of 20/40 or better (distance or near) achieved in the operative eye. Therefore, a patient who is seen for a follow-up on the same day of surgery and has 20/40 vision post-surgery would not meet the numerator criteria. We hope this helps.
    • CMS0816v2
    • Failing of measure from patients who are seen on day zero of post operative cataract surgery..

      Do patients that fall onto the CMS 133: Cataracts: 20/40 or better visual acuity within 90 days following cataract surgery fail if they are seen for follow-up on same day of surgery and have 20/40 vision post-surgery? 

            edave Mathematica EC eCQM Team
            Jvela001 Jesus L Velasquez
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