Measure 1 (NQF 0059)

NQF 0059:

Diabetes: HbA1c Poor Control
The percentage of patients 18-75 years of age with diabetes (type 1 or type 2) who had HbA1c >9.0%.

 

Correct Reporting

Not in Numerator and in Denominator

Has CPT 3046F and modifier "8P"

In numerator and denominator

- Looks for CPT code "3046F" or looks for CPT code "3044F" or "3045F"

In Denominator
- Patients with one of the following diabetes mellitus ICD9 codes in the appointment information: "250.00", "250.01", "250.02", "250.03", "250.10", "250.11", "250.12", "250.13", "250.20", "250.21", "250.22", "250.23", "250.30", "250.31", "250.32", "250.33", "250.40", "250.41", "250.42", "250.43", "250.50", "250.51", "250.52", "250.53", "250.60", "250.61", "250.62", "250.63", "250.70", "250.71", "250.72", "250.73", "250.80", "250.81", "250.82", "250.83", "250.90", "250.91", "250.92", "250.93", "357.2", "362.01", "362.02", "362.03", "362.04", "362.05", "362.06", "362.07", "366.41", "648.00", "648.01", "648.02", "648.03", "648.04"

Incorrectly Reporting

If the information above isn't entered in every appointment, that patient will not be counted in the numerator or denominator.

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Comments

  • Avatar
    Thomas Gannon

    Will 249.01 work?

  • Avatar
    Ryan Witt

    Hi Dr. Gannon,

    We're discussing this with our development team and will keep you and this article updated with what we discover.

    all the best,

    Ryan

    ryan@drchrono.com

  • Avatar
    Ryan Witt

    249.01 is actually an "exclusion" according to the CMS documentation, thus is counted as correctly reporting but won't show in the "numerator" or "denominator". If you'd like to take a look in depth at the CMS documentation, feel free to download their ZIP file: https://www.cms.gov/apps/ama/license.asp?file=/QualityMeasures/Downloads/EP_MeasureSpecifications.zip ;  or if you have more questions, let me know.

     

    ~Ryan

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