Electronic Clinical Quality Measures (eCQMs) are tools that help healthcare providers track and report on the quality of care they deliver to patients. Each year, the Centers for Medicare & Medicaid Services (CMS) updates these measures to reflect the latest evidence-based practices and healthcare standards.
For the 2025 performance period, there are 47 eligible clinician eCQMs available for quality reporting. The majority of these measures have been updated from their 2024 versions with improvements to measure logic, specifications, or value sets.
What This Means for Your Practice
Version updates indicate that the measure specifications have changed. These changes may include:
- Updated clinical criteria or guidelines
- New or revised value sets (lists of diagnosis or procedure codes)
- Changes to how the measure is calculated
- Updates to the patient population included in the measure
When a measure receives a version update, you should review the specific changes to understand how they may impact your reporting and quality improvement activities. Even minor updates can affect which patients qualify for the measure or how performance is calculated.
2025 Update Summary
- Total eCQMs Available: 47 measures
- Measures with Updates: 45 measures received version updates
- Measures Unchanged: 2 measures remain the same as 2024 (CMS249v6, CMS1157v1)
Version updates indicate changes in measure logic, specifications, value sets, or other technical updates. Practices should review the specific change documentation for each updated measure to understand the impact on reporting and quality improvement activities.
2025 Eligible Clinician eCQMs: Changes Summary Measures with Version Updates (Changes in Measure Logic)
CMS128v13 - Antidepressant Medication Management
2024 Version: CMS128v12
Change: Version updated from v12 to v13
CMS146v13 - Appropriate Testing for Pharyngitis
2024 Version: CMS146v12
Change: Version updated from v12 to v13
CMS154v13 - Appropriate Treatment for Upper Respiratory Infection (URI)
2024 Version: CMS154v12
Change: Version updated from v12 to v13
CMS645v8 - Bone Density Evaluation for Patients with Prostate Cancer and Receiving Androgen Deprivation Therapy
2024 Version: CMS645v7
Change: Version updated from v7 to v8
CMS125v13 - Breast Cancer Screening
2024 Version: CMS125v12
Change: Version updated from v12 to v13
CMS133v13 - Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
2024 Version: CMS133v12
Change: Version updated from v12 to v13
CMS124v13 - Cervical Cancer Screening
2024 Version: CMS124v12
Change: Version updated from v12 to v13
CMS177v13 - Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment
2024 Version: CMS177v12
Change: Version updated from v12 to v13
CMS117v13 - Childhood Immunization Status
2024 Version: CMS117v12
Change: Version updated from v12 to v13
CMS75v13 - Children Who Have Dental Decay or Cavities
2024 Version: CMS75v12
Change: Version updated from v12 to v13
CMS153v13 - Chlamydia Screening in Women
2024 Version: CMS153v12
Change: Version updated from v12 to v13
CMS50v13 - Closing the Referral Loop: Receipt of Specialist Report
2024 Version: CMS50v12
Change: Version updated from v12 to v13
CMS130v13 - Colorectal Cancer Screening
2024 Version: CMS130v12
Change: Version updated from v12 to v13
CMS165v13 - Controlling High Blood Pressure
2024 Version: CMS165v12
Change: Version updated from v12 to v13
CMS145v13 - Coronary Artery Disease (CAD): Beta-Blocker Therapy-Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF less than or equal to 40%)
2024 Version: CMS145v12
Change: Version updated from v12 to v13
CMS149v13 - Dementia: Cognitive Assessment
2024 Version: CMS149v12
Change: Version updated from v12 to v13
CMS159v13 - Depression Remission at Twelve Months
2024 Version: CMS159v12
Change: Version updated from v12 to v13
CMS131v13 - Diabetes: Eye Exam
2024 Version: CMS131v12
Change: Version updated from v12 to v13
CMS122v13 - Diabetes: Hemoglobin A1c (HbA1c) Poor Control (> 9%)
2024 Version: CMS122v12
Change: Version updated from v12 to v13
CMS142v13 - Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
2024 Version: CMS142v12
Change: Version updated from v12 to v13
CMS68v14 - Documentation of Current Medications in the Medical Record
2024 Version: CMS68v13
Change: Version updated from v13 to v14
CMS139v13 - Falls: Screening for Future Fall Risk
2024 Version: CMS139v12
Change: Version updated from v12 to v13
CMS136v14 - Follow-Up Care for Children Prescribed ADHD Medication (ADD)
2024 Version: CMS136v13
Change: Version updated from v13 to v14
CMS56v13 - Functional Status Assessment for Total Hip Replacement
2024 Version: CMS56v12
Change: Version updated from v12 to v13
CMS90v14 - Functional Status Assessments for Heart Failure
2024 Version: CMS90v13
Change: Version updated from v13 to v14
CMS135v13 - Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)
2024 Version: CMS135v12
Change: Version updated from v12 to v13
CMS144v13 - Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)
2024 Version: CMS144v12
Change: Version updated from v12 to v13
CMS157v13 - Oncology: Medical and Radiation - Pain Intensity Quantified
2024 Version: CMS157v12
Change: Version updated from v12 to v13
CMS69v13 - Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
2024 Version: CMS69v12
Change: Version updated from v12 to v13
CMS2v14 - Preventive Care and Screening: Screening for Depression and Follow-Up Plan
2024 Version: CMS2v13
Change: Version updated from v13 to v14
CMS22v13 - Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
2024 Version: CMS22v12
Change: Version updated from v12 to v13
CMS138v13 - Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
2024 Version: CMS138v12
Change: Version updated from v12 to v13
CMS74v14 - Primary Caries Prevention Intervention as Offered by Dentists
2024 Version: CMS74v13
Change: Version updated from v13 to v14
CMS143v13 - Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
2024 Version: CMS143v12
Change: Version updated from v12 to v13
CMS129v14 - Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients
2024 Version: CMS129v13
Change: Version updated from v13 to v14
CMS156v13 - Use of High-Risk Medications in Older Adults
2024 Version: CMS156v12
Change: Version updated from v12 to v13
CMS155v13 - Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents
2024 Version: CMS155v12
Change: Version updated from v12 to v13
Measures with No Changes (Same Version)
CMS249v6 - Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
2024 Version: CMS249v6
Status: No changes in measure logic
CMS1056v2 - Excessive Radiation Dose or Inadequate Image Quality for Diagnostic Computed Tomography (CT) in Adults (Clinician Level)
2024 Version: CMS1056v2
Status: No changes in measure logic
CMS349v7 - HIV Screening
2024 Version: CMS349v6
Status: Version updated from v6 to v7
CMS314v2 - HIV Viral Suppression
2024 Version: CMS314v1
Status: Version updated from v1 to v2
CMS137v13 - Initiation and Engagement of Substance Use Disorder Treatment
2024 Version: CMS137v12
Status: Version updated from v12 to v13
CMS646v5 - Intravesical Bacillus-Calmette-Guerin for Non-Muscle Invasive Bladder Cancer
2024 Version: CMS646v4
Status: Version updated from v4 to v5
CMS951v3 - Kidney Health Evaluation
2024 Version: CMS951v2
Status: Version updated from v2 to v3
CMS1188v2 - Sexually Transmitted Infection (STI) Testing for People with HIV
2024 Version: CMS1188v1
Status: Version updated from v1 to v2
CMS347v8 - Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
2024 Version: CMS347v7
Status: Version updated from v7 to v8
CMS771v6 - Urinary Symptom Score Change 6-12 Months After Diagnosis of Benign Prostatic Hyperplasia
2024 Version: CMS771v5
Status: Version updated from v5 to v6
CMS1157v1 - HIV Annual Retention in Care
2024 Version: CMS1157v1
Status: No changes in measure logic