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  2. CQM-6895

CMS 155 BMI

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      Thank you for your question for CMS155v12: Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents. As per measure logic specification, qualifying denominator encounters include office visits, preventive care services (both individual and group counseling, initial and established office visits), home healthcare services, and telephone visits. You may use any codes from the following specified value sets to meet the qualifying denominator encounter criteria. For additional guidance, you may refer to the guide for reading eCQMs: https://ecqi.healthit.gov/sites/default/files/Guide-for-Reading-eCQMs-v9.pdf.


      "Office Visit (2.16.840.1.113883.3.464.1003.101.12.1001)"
      "Preventive Care Services Group Counseling (2.16.840.1.113883.3.464.1003.101.12.1027)"
      "Preventive Care Services Individual Counseling (2.16.840.1.113883.3.464.1003.101.12.1026)"
      "Preventive Care Services, Initial Office Visit, 0 to 17 (2.16.840.1.113883.3.464.1003.101.12.1022)"
      "Preventive Care, Established Office Visit, 0 to 17 (2.16.840.1.113883.3.464.1003.101.12.1024)"
      "Home Healthcare Services (2.16.840.1.113883.3.464.1003.101.12.1016)"
      "Telephone Visits (2.16.840.1.113883.3.464.1003.101.12.1080)"
      Show
      Thank you for your question for CMS155v12: Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents. As per measure logic specification, qualifying denominator encounters include office visits, preventive care services (both individual and group counseling, initial and established office visits), home healthcare services, and telephone visits. You may use any codes from the following specified value sets to meet the qualifying denominator encounter criteria. For additional guidance, you may refer to the guide for reading eCQMs: https://ecqi.healthit.gov/sites/default/files/Guide-for-Reading-eCQMs-v9.pdf . "Office Visit (2.16.840.1.113883.3.464.1003.101.12.1001)" "Preventive Care Services Group Counseling (2.16.840.1.113883.3.464.1003.101.12.1027)" "Preventive Care Services Individual Counseling (2.16.840.1.113883.3.464.1003.101.12.1026)" "Preventive Care Services, Initial Office Visit, 0 to 17 (2.16.840.1.113883.3.464.1003.101.12.1022)" "Preventive Care, Established Office Visit, 0 to 17 (2.16.840.1.113883.3.464.1003.101.12.1024)" "Home Healthcare Services (2.16.840.1.113883.3.464.1003.101.12.1016)" "Telephone Visits (2.16.840.1.113883.3.464.1003.101.12.1080)"
    • CMS0155v12

      Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP)

      Who determines what visit types to include in this report? We typically address BMI at the yearly wellness visit. Should we continue to use only the yearly wellness visit or should we include ALL office visits (sicks visits & immunization visits)? 

            edave Mathematica EC eCQM Team
            cshanno02 Carrie Shanno (Inactive)
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