CMS 131 - Diabetes: Eye Exam

Overview

CMS131v8 (2020)

CMS131v9 (2021)

CMS131v10 (2022)

Identifiers

*MIE only supports data collection and reporting using eCQM specifications

Definitions

Additional Information

Clinical Instructions

New UI Visit Encounter (valid RC202109+)

Original Visit Encounter

2. Ensure all diabetic patients aged 18-75 have been screened for diabetic retinal disease. Use the Past Procedures section of the encounter to record a previous dilated or negative retinal exam, or use the Preventive Care section of the encounter to document the last Retinal Screening; otherwise, document a recognized eye exam by scanning and indexing an established document type (e.g., RETINAL) configured with the appropriate Concept ID.
   1. Option 1: Document in the Past Procedures section
      1. Open the Past Procedures section
      2. Using the Procedure autocomplete, begin typing the name of the diagnostic procedure (e.g., Dilated Fundus Evaluation, Retinal Screening, etc.) with the appropriate Concept ID (e.g., LOINC).
      3. Add the Date and any relevant Notes.
      4. Click the Next button, or close the section
   2. Option 2: Document in the Preventive Care section
      1. Open the Preventive Care section
      2. Provide the date of the last reported procedure in the Enter New Date field (e.g., 01-17-2020). This date is the Last Reported Date
      3. Click the Next button, or close the section
   • Option 3: Scan/Index or Upload an accepted Document
     1. Using WebScan, scan and index the appropriate document type configured with the necessary LOINC.

Evidence

Initial Patient Population

Denominator Exclusions

Numerator

Source(s)

eCQI CMS131