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 ID NQF # Measure Type High Priority Measure? NQS Domain Data Submission Method(s)
338 2082 Outcome Yes Effective Clinical Care Registry

Measure Description

The percentage of patients, regardless of age, with a diagnosis of HIV with a HIV viral load less than 200 copies/mL at last HIV viral load test during the measurement year

Instructions

This measure is to be submitted a minimum of once per performance period for patients with HIV seen during the performance period. This measure is intended to reflect the quality of services provided for the primary management of patients with HIV.

NOTE: No data related

Measure Submission

The listed denominator criteria are 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

Number of patients with a HIV viral load less than 200 copies/mL at last viral load test

Definition

No Data

Numerator Quality-Data Coding Options

Performance Met:

Documentation of viral load less than 200 copies/mL(G9243)

Denominator Exception:

No data

Performance Not Met:

Documentation of viral load equal to or greater than200 copies/mL or viral load not performed (G9242)

NUMERATOR NOTE:  No notes

Denominator

Patients, regardless of age, with a diagnosis of HIV who had at least one medical visit during the performance period

Option 1Physical Therapy Denominator Criteria (Eligible Cases):

Patients, regardless of age

AND

Diagnosis of HIV/AIDS (ICD-10-CM): B20, Z21

AND

Patient encounter during the performance period (CPT or HCPCS): 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, G0402

 

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