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NQF 0055 (PQRI 117) - Additional
Diabetes: Eye Exam
Percentage of male and female patients 18-75 years of age with diabetes (type 1 or type 2) who had a retinal or dilated eye exam or a negative retinal exam (no evidence of retinopathy) by an eye care professional.
Description & Implementation within the certified EMR (EHR) software
Denominator: All male and female patients 18-75 years of age with at least 1 encounter during the reporting period having one of the following diagnosis codes selected in ASSESSMENT/DIAGNOSIS section:
250.00, 250.01, 250.02, 250.03, 250.10, 250.11, 250.12, 250.13, 250.20, 250.21, 250.22, 250.23, 250.30, 250.31, 250.32, 250.33, 250.40, 250.41, 250.42, 250.43, 250.50, 250.51, 250.52, 250.53, 250.60, 250.61, 250.62, 250.63, 250.70, 250.71, 250.72, 250.73, 250.80, 250.81, 250.82, 250.83, 250.90, 250.91, 250.92, 250.93, 357.2, 362.01, 362.02, 362.03, 362.04, 362.05, 362.06, 362.07, 366.41, 648.00, 648.01, 648.02, 648.03, 648.04
Numerator: Patients in the above list who had a retinal or dilated eye exam or a negative retinal exam. UniCharts EMR looks for the custom code QM055A: [Quality Measure] Eye/Retinal exam performed by an eye care professional, documented/reviewed (2022F) within the DIAGNOSTICS/PROCEDURES section on the ENCOUNTER form as the required documentation.
Exclusions: UniCharts EMR looks for the custom code QM055E: [Exclusion] Action specified in NFQ 0055 not performed due to medical, patient, or system reasons within the DIAGNOSTICS/PROCEDURES section on the ENCOUNTER form as the required documentation.
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