CMS 122 - Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Medical Codify
CMS122v5 (2017)
CMS122v6 (2018)
CMS122v7 (2019)
Description: Percentage of patients 18-75 years of age with diabetes who had hemoglobin A1c > 9.0% during the measurement period.
Initial Patient Population: Patients 18-75 years of age with diabetes with a visit during the measurement period.
Denominator: Equals Initial Population
Numerator: Patients whose most recent HbA1c level (performed during the measurement period) is >9.0%.
Inverse Measure: Yes
Clinical Instructions
Track all patients between the ages of 18-75 whose most recent HbA1c level, performed during the measurement period, is >9.0%. Use either the Test and Procedures section of the encounter, or add the Lab Results - Set 1 to the encounter template.
Tip
Regardless of how the HbA1c observation is added to the chart, clients will need to ensure that the appropriate observation is configured with LOINC 17856-6. Clients should search the Observation Codes editor
for the Hemoglobin A1c observation to determine if multiple HbA1c observations need to be merged.
- While documenting the Visit encounter, document the results of the HbA1c one of two ways:
- Option 1: Test and Procedures Section
- Open the Tests and Procedures section.
- Using the autocomplete, begin typing Hemoglobin A1c.
- Click the Add to Exam button.
- After adding the new section, open the Hemoglobin A1c section and add the result.
- Click the Next button, or close the section.
- Option 2: Add Lab Results - Set 1 to Encounter
- Click the Tools icon in the upper-right corner of the encounter.
- Click the Lab Results - Set 1 header to add the section to the encounter template. Close the Tools window.
- Click the Lab Results - Set 1 header to open the section and add the result.
- Click the Next button, or close the section.
- Option 1: Test and Procedures Section
- Continue documenting the encounter, as needed.
- When completed, Close and Archive the encounter.
Evidence
Initial Patient Population
Name | Value Set |
Encounter, Performed: Annual Wellness Visit | 2.16.840.1.113883.3.526.3.1240 |
Encounter, Performed: Home Healthcare Services | 2.16.840.1.113883.3.464.1003.101.12.1016 |
Encounter, Performed: Office Visit | 2.16.840.1.113883.3.464.1003.101.12.1001 |
Encounter, Performed: Preventive Care Services - Established Office Visit, 18 and Up | 2.16.840.1.113883.3.464.1003.101.12.1025 |
Encounter, Performed: Preventive Care Services-Initial Office Visit, 18 and Up | 2.16.840.1.113883.3.464.1003.101.12.1023 |
Diagnosis: Diabetes | 2.16.840.1.113883.3.464.1003.103.12.1001 |
Denominator
Equals Initial Population
Numerator
Name | Value Set |
Laboratory Test, Performed: HbA1c Laboratory Test | 2.16.840.1.113883.3.464.1003.198.12.1013 |
Denominator Exclusion
Name | Value Set |
Intervention, Order: Hospice care ambulatory | 2.16.840.1.113762.1.4.1108.15 |
Intervention, Performed: Hospice care ambulatory | 2.16.840.1.113762.1.4.1108.15 |