Features Navigation

(800) 825-0224 Live Demo
 ID NQF # Measure Type High Priority Measure? NQS Domain Data Submission Method(s)
144 0383 Process Yes Person and Caregiver-Centered Experience and Outcomes Registry

Measure Description

Percentage of visits for patients, regardless of age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy who report having pain with a documented plan of care to address pain

Instructions

This measure is to be submitted at each denominator eligible visit occurring during the performance period for patients with a diagnosis of cancer and in which pain is present who are seen during the performance period. It is anticipated that eligible clinicians providing care for patients with cancer will submit this measure.

NOTE: No additional notes related

Measure Submission

The listed denominator criteria is used to identify the intended patient population. The numerator options included in this specification are used to submit the quality actions allowed by the measure. The quality-data codes listed do not need to be submitted for registry submissions; however, these codes may be submitted for those registries that utilize claims data.

Numerator

Patient visits that included a documented plan of care to address pain

Definition

Numerator Instructions:  A documented plan of care may include: use of opioids, nonopioid analgesics, psychological support, patient and/or family education, referral to a pain clinic, or reassessment of pain at an appropriate time interval.

Numerator Quality-Data Coding Options

Performance Met:

Plan of care to address pain documented (0521F)

Denominator Exception:

No data related

Performance Not Met:

Plan of care for pain not documented, reason not otherwise specified (0521F with 8P)

NUMERATOR NOTE: No data related

Denominator

All visits for patients, regardless of age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy who report having pain

Option 1 – Denominator Criteria (Eligible Cases):

All eligible instances when pain severity quantified; pain present (1125F) is submitted in the numerator for Measure #143

Diagnosis for cancer (ICD-10-CM): C00.0, C00.1, C00.2, C00.3, C00.4, C00.5, C00.6, C00.8, C00.9,C01,
C02.0, C02.1, C02.2, C02.3, C02.4, C02.8, C02.9, C03.0, C03.1, C03.9, C04.0, C04.1, C04.8, C04.9, C05.0,
C05.1, C05.2, C05.8, C05.9, C06.0, C06.1, C06.2, C06.80, C06.89, C06.9, C07, C08.0, C08.1, C08.9,
C09.0, C09.1, C09.8, C09.9, C10.0, C10.1, C10.2, C10.3, C10.4, C10.8, C10.9, C11.0, C11.1, C11.2, C11.3,
C11.8, C11.9, C12, C13.0, C13.1, C13.2, C13.8, C13.9, C14.0, C14.2, C14.8, C15.3, C15.4, C15.5, C15.8,
C15.9, C16.0, C16.1, C16.2, C16.3, C16.4, C16.5, C16.6, C16.8, C16.9, C17.0, C17.1, C17.2, C17.3,
C17.8, C17.9, C18.0, C18.1, C18.2, C18.3, C18.4, C18.5, C18.6, C18.7, C18.8, C18.9, C19, C20, C21.0,
C21.1, C21.2, C21.8, C22.0, C22.1, C22.2, C22.3, C22.4, C22.7, C22.8, C22.9, C23, C24.0, C24.1, C24.8,
C24.9, C25.0, C25.1, C25.2, C25.3, C25.4, C25.7, C25.8, C25.9, C26.0, C26.1, C26.9, C30.0, C30.1, C31.0,
C31.1, C31.2, C31.3, C31.8, C31.9, C32.0, C32.1, C32.2, C32.3, C32.8, C32.9, C33, C34.00, C34.01,
C34.02, C34.10, C34.11, C34.12, C34.2, C34.30, C34.31, C34.32, C34.80, C34.81, C34.82, C34.90,
C34.91, C34.92, C37, C38.0, C38.1, C38.2, C38.3, C38.4, C38.8, C39.0, C39.9,C40.00, C40.01, C40.02,
C40.10, C40.11, C40.12, C40.20, C40.21, C40.22, C40.30, C40.31, C40.32,C40.80, C40.81, C40.82,
C40.90, C40.91, C40.92, C41.0, C41.1, C41.2, C41.3, C41.4, C41.9, C43.0,C43.10, C43.11, C43.12,
C43.20, C43.21, C43.22, C43.30, C43.31, C43.39, C43.4, C43.51, C43.52,C43.59, C43.60, C43.61,
C43.62, C43.70, C43.71, C43.72, C43.8, C43.9, C44.00, C44.01, C44.02, C44.09, C44.101, C44.102,
C44.109, C44.111, C44.112, C44.119, C44.121, C44.122, C44.129, C44.191, C44.192, C44.199, C44.201,
C44.202, C44.209, C44.211, C44.212, C44.219, C44.221, C44.222, C44.229, C44.291, C44.292, C44.299,
C44.300, C44.301, C44.309, C44.310, C44.311, C44.319, C44.320, C44.321, C44.329, C44.390, C44.391, C44.399, C44.40, C44.41, C44.42, C44.49, C44.500, C44.501, C44.509,C44.510, C44.511, C44.519,
C44.520, C44.521, C44.529, C44.590, C44.591, C44.599, C44.601, C44.602, C44.609, C44.611, C44.612,
C44.619, C44.621, C44.622, C44.629, C44.691, C44.692, C44.699, C44.701, C44.702, C44.709, C44.711,
C44.712, C44.719, C44.721, C44.722, C44.729, C44.791, C44.792, C44.799, C44.80, C44.81, C44.82,
C44.89, C44.90, C44.91, C44.92, C44.99, C45.0, C45.1, C45.2, C45.7, C45.9, C46.0, C46.1, C46.2, C46.3,
C46.4, C46.50, C46.51, C46.52, C46.7, C46.9, C47.0, C47.10, C47.11, C47.12, C47.20, C47.21, C47.22,
C47.3, C47.4, C47.5, C47.6, C47.8, C47.9, C48.0, C48.1, C48.2, C48.8, C49.0, C49.A0, C49.A1, C49.A2,
C49.A3, C49.A4, C49.A5, C49.A9, C49.10, C49.11, C49.12, C49.20, C49.21, C49.22, C49.3, C49.4, C49.5,
C49.6, C49.8, C49.9,C4A.0, C4A.10, C4A.11, C4A.12, C4A.20, C4A.21, C4A.22, C4A.30, C4A.31, C4A.39,
C4A.4, C4A.51, C4A.52, C4A.59, C4A.60, C4A.61, C4A.62, C4A.70, C4A.71, C4A.72, C4A.8, C4A.9,
C50.011, C50.012, C50.019, C50.021, C50.022, C50.029, C50.111, C50.112, C50.119, C50.121, C50.122,
C50.129, C50.211, C50.212, C50.219, C50.221, C50.222, C50.229, C50.311, C50.312, C50.319, C50.321,
C50.322, C50.329, C50.411, C50.412, C50.419, C50.421, C50.422, C50.429, C50.511, C50.512, C50.519,
C50.521, C50.522, C50.529, C50.611, C50.612, C50.619, C50.621, C50.622, C50.629, C50.811, C50.812,
C50.819, C50.821, C50.822, C50.829, C50.911, C50.912, C50.919, C50.921, C50.922, C50.929, C51.0,
C51.1, C51.2, C51.8, C51.9, C52, C53.0, C53.1, C53.8, C53.9, C54.0, C54.1, C54.2, C54.3, C54.8, C54.9,
C55, C56.1, C56.2,C56.9, C57.00, C57.01, C57.02, C57.10, C57.11, C57.12, C57.20, C57.21, C57.22,
C57.3, C57.4, C57.7,C57.8, C57.9, C58, C60.0, C60.1, C60.2, C60.8, C60.9, C61, C62.00, C62.01,
C62.02, C62.10, C62.11,C62.12, C62.90, C62.91, C62.92, C63.00, C63.01, C63.02, C63.10, C63.11,
C63.12, C63.2, C63.7, C63.8,C63.9, C64.1, C64.2, C64.9, C65.1, C65.2, C65.9, C66.1, C66.2, C66.9,
C67.0, C67.1, C67.2, C67.3, C67.4, C67.5, C67.6, C67.7, C67.8, C67.9, C68.0, C68.1, C68.8, C68.9,
C69.00, C69.01, C69.02, C69.10, C69.11, C69.12, C69.20, C69.21, C69.22, C69.30, C69.31, C69.32,
C69.40, C69.41, C69.42, C69.50,C69.51, C69.52, C69.60, C69.61, C69.62, C69.80, C69.81, C69.82,
C69.90, C69.91, C69.92, C70.0, C70.1, C70.9, C71.0, C71.1, C71.2, C71.3, C71.4, C71.5, C71.6, C71.7,
C71.8, C71.9, C72.0, C72.1, C72.20,C72.21, C72.22, C72.30, C72.31, C72.32, C72.40, C72.41, C72.42,
C72.50, C72.59, C72.9, C73, C74.00, C74.01, C74.02, C74.10, C74.11, C74.12, C74.90, C74.91, C74.92,
C75.0, C75.1, C75.2, C75.3, C75.4, C75.5, C75.8, C75.9, C76.0, C76.1, C76.2, C76.3, C76.40, C76.41,
C76.42, C76.50, C76.51, C76.52, C76.8, C77.0, C77.1, C77.2, C77.3, C77.4, C77.5, C77.8, C77.9, C78.00,
C78.01, C78.02, C78.1, C78.2, C78.30, C78.39, C78.4, C78.5, C78.6, C78.7, C78.80, C78.89, C79.00,
C79.01, C79.02, C79.10, C79.11, C79.19, C79.2, C79.31, C79.32, C79.40, C79.49, C79.51, C79.52,
C79.60, C79.61, C79.62, C79.70, C79.71, C79.72, C79.81, C79.82, C79.89, C79.9, C7A.00, C7A.010,
C7A.011, C7A.012, C7A.019, C7A.020, C7A.021, C7A.022, C7A.023, C7A.024, C7A.025, C7A.026,
C7A.029, C7A.090, C7A.091, C7A.092, C7A.093, C7A.094, C7A.095, C7A.096, C7A.098, C7A.1, C7A.8,
C7B.00, C7B.01, C7B.02, C7B.03, C7B.04, C7B.09, C7B.1, C7B.8, C80.0, C80.1, C80.2, C81.00, C81.01,
C81.02, C81.03, C81.04,C81.05, C81.06, C81.07, C81.08, C81.09, C81.10, C81.11, C81.12, C81.13,
C81.14, C81.15, C81.16,C81.17, C81.18, C81.19, C81.20, C81.21, C81.22, C81.23, C81.24, C81.25,
C81.26, C81.27, C81.28,C81.29, C81.30, C81.31, C81.32, C81.33, C81.34, C81.35, C81.36, C81.37,
C81.38, C81.39, C81.40,C81.41, C81.42, C81.43, C81.44, C81.45, C81.46, C81.47, C81.48, C81.49,
C81.70, C81.71, C81.72,C81.73, C81.74, C81.75, C81.76, C81.77, C81.78, C81.79, C81.90, C81.91,
C81.92, C81.93, C81.94,C81.95, C81.96, C81.97, C81.98, C81.99, C82.00, C82.01, C82.02, C82.03,
C82.04, C82.05, C82.06,C82.07, C82.08, C82.09, C82.10, C82.11, C82.12, C82.13, C82.14, C82.15,
C82.16, C82.17, C82.18,C82.19, C82.20, C82.21, C82.22, C82.23, C82.24, C82.25, C82.26, C82.27,
C82.28, C82.29, C82.30,C82.31, C82.32, C82.33, C82.34, C82.35, C82.36, C82.37, C82.38, C82.39,
C82.40, C82.41, C82.42,C82.43, C82.44, C82.45, C82.46, C82.47, C82.48, C82.49, C82.50, C82.51,
C82.52, C82.53, C82.54,C82.55, C82.56, C82.57, C82.58, C82.59, C82.60, C82.61, C82.62, C82.63,
C82.64, C82.65, C82.66,C82.67, C82.68, C82.69, C82.80, C82.81, C82.82, C82.83, C82.84, C82.85,
C82.86, C82.87, C82.88,C82.89, C82.90, C82.91, C82.92, C82.93, C82.94, C82.95, C82.96, C82.97,
C82.98, C82.99, C83.00,C83.01, C83.02, C83.03, C83.04, C83.05, C83.06, C83.07, C83.08, C83.09,
C83.10, C83.11, C83.12,C83.13, C83.14, C83.15, C83.16, C83.17, C83.18, C83.19, C83.30, C83.31,
C83.32, C83.33, C83.34,C83.35, C83.36, C83.37, C83.38, C83.39, C83.50, C83.51, C83.52, C83.53,
C83.54, C83.55, C83.56,C83.57, C83.58, C83.59, C83.70, C83.71, C83.72, C83.73, C83.74, C83.75,
C83.76, C83.77, C83.78,C83.79, C83.80, C83.81, C83.82, C83.83, C83.84, C83.85, C83.86, C83.87,
C83.88, C83.89, C83.90, C83.91, C83.92, C83.93, C83.94, C83.95, C83.96, C83.97, C83.98, C83.99,
C84.00, C84.01, C84.02, C84.03, C84.04, C84.05, C84.06, C84.07, C84.08, C84.09, C84.10, C84.11,
C84.12, C84.13, C84.14, C84.15, C84.16, C84.17, C84.18, C84.19, C84.40, C84.41, C84.42, C84.43,
C84.44, C84.45, C84.46,C84.47, C84.48, C84.49, C84.60, C84.61, C84.62, C84.63, C84.64, C84.65,
C84.66, C84.67, C84.68, C84.69, C84.70, C84.71, C84.72, C84.73, C84.74, C84.75, C84.76, C84.77,
C84.78, C84.79, C84.90, C84.91, C84.92, C84.93, C84.94, C84.95, C84.96, C84.97, C84.98, C84.99,
C84.A0, C84.A1, C84.A2,C84.A3, C84.A4, C84.A5, C84.A6, C84.A7, C84.A8, C84.A9, C84.Z0, C84.Z1,
C84.Z2, C84.Z3, C84.Z4, C84.Z5, C84.Z6, C84.Z7, C84.Z8, C84.Z9, C85.10, C85.11, C85.12, C85.13,
C85.14, C85.15, C85.16,C85.17, C85.18, C85.19, C85.20, C85.21, C85.22, C85.23, C85.24, C85.25,
C85.26, C85.27, C85.28, C85.29, C85.80, C85.81, C85.82, C85.83, C85.84, C85.85, C85.86, C85.87,
C85.88, C85.89, C85.90, C85.91, C85.92, C85.93, C85.94, C85.95, C85.96, C85.97, C85.98, C85.99,
C86.0, C86.1, C86.2, C86.3, C86.4, C86.5, C86.6, C88.0, C88.2, C88.3, C88.4, C88.8, C88.9, C90.00,
C90.01, C90.02, C90.10,C90.11, C90.12, C90.20, C90.21, C90.22, C90.30, C90.31, C90.32, C91.00,
C91.01, C91.02, C91.10, C91.11, C91.12, C91.30, C91.31, C91.32, C91.40, C91.41, C91.42, C91.50,
C91.51, C91.52, C91.60, C91.61, C91.62, C91.90, C91.91, C91.92, C91.A0, C91.A1, C91.A2, C91.Z0,
C91.Z1, C91.Z2, C92.00, C92.01, C92.02, C92.10, C92.11, C92.12, C92.20, C92.21, C92.22, C92.30,
C92.31, C92.32, C92.40,C92.41, C92.42, C92.50, C92.51, C92.52, C92.60, C92.61, C92.62, C92.90,
C92.91, C92.92, C92.A0, C92.A1, C92.A2, C92.Z0, C92.Z1, C92.Z2, C93.00, C93.01, C93.02, C93.10,
C93.11, C93.12, C93.30,C93.31, C93.32, C93.90, C93.91, C93.92, C93.Z0, C93.Z1, C93.Z2, C94.00,
C94.01, C94.02, C94.20,C94.21, C94.22, C94.30, C94.31, C94.32, C94.40, C94.41, C94.42, C94.6,
C94.80, C94.81, C94.82,C95.00, C95.01, C95.02, C95.10, C95.11, C95.12, C95.90, C95.91, C95.92,
C96.0, C96.20, C96.21, C96.22, C96.29, C96.4, C96.5, C96.6, C96.9, C96.A, C96.Z, D37.01, D37.02,
D37.030, D37.031, D37.032, D37.039, D37.04, D37.05,D37.09, D37.1, D37.2, D37.3, D37.4, D37.5, D37.6,
D37.8, D37.9, D38.0, D38.1, D38.2, D38.3, D38.4, D38.5, D38.6, D39.0, D39.10, D39.11, D39.12, D39.2,
D39.8, D39.9, D40.0, D40.10, D40.11, D40.12,D40.8, D40.9, D41.00, D41.01, D41.02, D41.10, D41.11,
D41.12, D41.20, D41.21, D41.22, D41.3, D41.4,D41.8, D41.9, D42.0, D42.1, D42.9, D43.0, D43.1, D43.2,
D43.3, D43.4, D43.8, D43.9, D44.0, D44.10, D44.11, D44.12, D44.2, D44.3, D44.4, D44.5, D44.6, D44.7,
D44.9, D45, D46.0, D46.1, D46.20, D46.21, D46.22, D46.4, D46.9, D46.A, D46.B, D46.C, D46.Z, D47.1,
D47.2, D47.3, D47.4, D47.9, D47.Z1, D47.Z2, D47.Z9, D48.0, D48.1, D48.2, D48.3, D48.4, D48.5, D48.60,
D48.61, D48.62, D48.7, D48.9, D49.0, D49.1, D49.2, D49.3, D49.4, D49.5, D49.511, D49.512, D49.519,
D49.59, D49.6, D49.7, D49.81, D49.89, D49.9, Q85.00, Q85.01, Q85.02, Q85.03,Q85.09

AND

Patient procedure during the performance period (CPT) – Procedure codes: 77427, 77431, 77432, 77435

OR

Patient encounter during the performance period (CPT) – Service codes: 99201, 99202, 99203,99204, 99205, 99212, 99213, 99214, 99215

WITHOUT

Telehealth Modifier: GQ, GT, 95, POS 02

AND

Patient procedure during the performance period (CPT) – Procedure codes: 51720, 96401, 96402, 96405, 96406, 96409, 96411, 96413, 96415, 96416, 96417, 96420, 96422, 96423, 96425, 96440, 96446, 96450, 96521, 96522, 96523, 96542, 96549

 

Experience AdvancedMD Software in a Live Demo.

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

“If we are waiting for a delivery or in between surgeries, we can log in, check messages or patient information and send electronic prescriptions as needed. Mobility is a good thing, and certainly being able to coordinate care with our patients from multiple locations is definitely a plus.”

Lisbeth Chang, MD
Sunrise Women’s Medical Group

Read the story  ›

“[Our] patients are very well-educated and well-informed, and they want to see results quickly. The practice has to run extremely efficiently and be accessible to them. The nice thing about [AdvancedMD] is it has allowed me to be more efficient both in and out of the office. Now I don’t have to come back into the office, which is great for my family and everything else. It saves me a lot of time – probably an hour a day on the three days I work in the second office.”

Keith Berkowitz, MD
Center for Balanced Health

Read the story  ›

“If you want to be focused on your practice and not worry about infrastructure, this is it. It’s transparent, just like when I plug something into the wall I’m not worried about what the voltage is and what’s the availability; it’s just there—like AdvancedMD. It does it so well sometimes you don’t appreciate it until you really think about it.”

Judy Feingold
Occupational Therapist

“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