2016 Diabetic Retinopathy Measures Group

This measures group is to be reported for patients are patients aged 18 through 75 years with a specific diagnosis of diabetic retinopathy accompanied by a specific patient encounter:

The following diagnosis codes indicating diabetic retinopathy:

ICD-10-CM: E10.311, E10.319, E10.321, E10.329, E10.331, E10.339, E10.341, E10.349, E10.351, E10.359, E11.311, E11.319, E11.321, E11.329, E11.331, E11.339, E11.341, E11.349, E11.351, E11.359, E13.311, E13.319, E13.321, E13.329, E13.331, E13.339, E13.341, E13.349, E13.351, E13.359

Accompanied by:

One of the following patient encounter codes:

99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215 


PQRS Group Measures:

#1 Diabetes: Hemoglobin A1c Poor Control
#18 Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy 
#19 Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
#117 Diabetes: Eye Exam
#130 Documentation of Current Medications in the Medical Record
#226 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
#317 Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

Measure Group Description pdf.png(from CMS)

Measure Group Flow pdf.png(from CMS)

Screen Shot DaibeticRetinoMG.png (CAD

Register now with MDinteractive, report on all applicable measures described above for a minimum of  20 unique patients (11 of which must be Part B Fee-For-Service patients) and  avoid the 4% penalty.

An answer of "Not Done" on all patients on one measure will result in a performance rate of 0% and the provider will  get a PQRS penalty.

Each provider needs to sign a PQRS consent at http://mdinteractive.com/webpen

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