Features Navigation

(800) 825-0224 Live Demo
 ID NQF # Measure Type High Priority Measure? NQS Domain Data Submission Method(s)
050 0000 Process Yes Person and Caregiver-Centered Experience
and Outcomes

Measure Description

Percentage of female patients aged 65 years and older with a diagnosis of urinary incontinence with a documented plan of care for urinary incontinence at least once within 12 months


This measure is to be submitted a minimum of once per performance period for patients seen during the performance period. This measure is appropriate for use in the ambulatory setting only. It is anticipated that eligible clinicians who provide services for patients with the diagnosis of urinary incontinence will submit this measure.

NOTE: No note related

Measure Submission

The listed denominator criteria is used to identify the intended patient population. The numerator quality-data codes included in this specification are used to submit the quality actions allowed by the measure. All measure-specific coding should be submitted on the claim(s) representing the eligible encounter


Patients with a documented plan of care for urinary incontinence at least once within 12 months


Plan of Care – May include behavioral interventions (e.g., bladder training, pelvic floor muscle training, prompted voiding), referral to specialist, surgical treatment, reassess at follow-up visit, lifestyle interventions, addressing co-morbid factors, modification or discontinuation of medications contributing to urinary incontinence, or pharmacologic therapy

Numerator Quality-Data Coding Options

Performance Met: CPT II 0509F:
Plan of Care for Urinary Incontinence Documented:

Urinary incontinence plan of care documented

Denominator Exception: G9694:
Patient receiving Hospice Services, Patient Not Eligible:

Hospice services utilized by patient any time during the measurement period

Performance Not Met: 0509F with 8P:

Presence or Absence of Urinary Incontinence not Assessed, Reason not Otherwise Specified

Append a submission modifier (8P) to CPT Category II code 0509F to submit circumstances when the action described in the numerator is not performed and the reason is not otherwise specified.

Urinary incontinence plan of care not documented,reason not otherwise specified

NUMERATOR NOTE No notes related


All female patients aged 65 years and older with a diagnosis of urinary incontinence

Option 1 – Denominator Criteria (Eligible Cases):

All female patients aged ≥ 65 years on date of encounter


Diagnosis for urinary incontinence (ICD-10-CM): F98.0, N39.3, N39.41, N39.42, N39.43, N39.44, N39.45, N39.46, N39.490, N39.491, N39.492, N39.498, R32

Experience AdvancedMD Software in a Live Demo.

Schedule a short and personalized overview, guided by a live expert.

“We have seen approximately a three-fold improvement on a month-to-month basis of increased collections using AdvancedMD technology as compared to our previous technology provider. That has really been a step-change improvement with respect to the economics of the company.”

Michael Paul, CEO
Lineagen, Inc.

“The nice thing about AdvancedMD is claims are cleared before they are forwarded to various insurance companies. We know very, very quickly if we have some defective portion on our claim.”

Dwight Romriell, DMD

Read the story  ›

“With the new scheduler and EHR, we get a lot of the information up front, so when the patient comes in, unless they have something changed insurance-wise they’re already verified and ready to be taken back right away, it also makes it much easier for billing.”

Nancy Sutter
Office manager

“Other companies made their offers, but they required so much more money up front, I’ve seen a lot of different systems in my 18 years in billing. If you are looking for an easy-to-learn, cost-effective solution, AdvancedMD is your answer.”

Gloria Johnson
Billing manager