CMS 155 - Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
CMS155v5 (2017)
CMS155v6 (2018)
CMS155v7 (2019)
Description: Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
- Percentage of patients with height, weight, and body mass index (BMI) percentile documentation
- Percentage of patients with counseling for nutrition
- Percentage of patients with counseling for physical activity
Initial Patient Population: Patients 3-17 years of age with at least one outpatient visit with a primary care physician (PCP) or an obstetrician/gynecologist (OB/GYN) during the measurement period.
Denominator: Equals Initial Population
Numerator:
Numerator 1: Patients who had a height, weight and body mass index (BMI) percentile recorded during the measurement period
Numerator 2: Patients who had counseling for nutrition during a visit that occurs during the measurement period
Numerator 3: Patients who had counseling for physical activity during a visit that occurs during the measurement period
Inverse Measure: No
Clinical Instructions
- Height, weight and BMI observations will need to be documented for the patient within the Visit encounter. If the patient’s BMI is out of range, a warning message will display asking if a dietary consult order should be created. User should click Ok to have the Dietary Consult order ordered within the Plan section of the Visit encounter. An order item of Physical Activity consult should also be ordered as well.
Evidence
| Name | Value Set |
| Diagnosis | 2.16.840.1.113883.3.526.3.378 |
| Encounter, Performed | 2.16.840.1.113883.3.666.5.307 |
| Encounter, Performed | 2.16.840.1.113883.3.464.1003.101.12.1016 |
| Encounter, Performed | 2.16.840.1.113883.3.464.1003.101.12.1001 |
| Encounter, Performed | 2.16.840.1.113883.3.464.1003.101.12.1024 |
| Encounter, Performed | 2.16.840.1.113883.3.464.1003.101.12.1027 |
| Encounter, Performed | 2.16.840.1.113883.3.464.1003.101.12.1026 |
| Encounter, Performed | 2.16.840.1.113883.3.464.1003.101.12.1022 |
| Intervention, Order | 2.16.840.1.113762.1.4.1108.15 |
| Intervention, Performed | 2.16.840.1.113883.3.464.1003.195.12.1003 |
| Intervention, Performed | 2.16.840.1.113883.3.464.1003.118.12.1035 |
| Intervention, Performed | 2.16.840.1.113762.1.4.1108.15 |
| Patient Characteristic Ethnicity | 2.16.840.1.114222.4.11.837 |
| Patient Characteristic Payer | 2.16.840.1.114222.4.11.3591 |
| Patient Characteristic Race | 2.16.840.1.114222.4.11.836 |
| Patient Characteristic Sex | 2.16.840.1.113762.1.4.1 |
| Physical Exam, Performed | 2.16.840.1.113883.3.464.1003.121.12.1012 |
| Physical Exam, Performed | 2.16.840.1.113883.3.464.1003.121.12.1014 |
| Physical Exam, Performed | 2.16.840.1.113883.3.464.1003.121.12.1015 |