Registry
| 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 1 – Physical 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
