CMS 22 - Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented

CMS22v5 (2017)

CMS22v6 (2018)

CMS22v7 (2019)

Description:  Percentage of patients aged 18 years and older seen during the reporting period who were screened for high blood pressure AND a recommended follow-up plan is documented based on the current blood pressure (BP) reading as indicated.

Initial Patient Population:  All patients aged 18 years and older before the start of the measurement period with at least one eligible encounter during the measurement period.

Denominator:  Equals Initial Population

Numerator: Patients who were screened for high blood pressure AND have a recommended follow-up plan documented, as indicated if the blood pressure is pre-hypertensive or hypertensive.

Inverse Measure:  No

Clinical Instructions

Track all 18+ year-old patients screened for high blood pressure, and ensure those with a pre-hypertensive or hypertensive blood pressure reading have a follow-up plan recommended and documented. Pre-hypertension is blood pressure readings with a systolic pressure from 120 to 139 mm/Hg or a diastolic pressure from 80 to 89 mm/Hg. Readings greater than or equal to 140/90 mm/HG are considered hypertension. While documenting the Visit encounter, record the blood pressure, as appropriate.

  • Open the Vitals section and enter the diastolic and systolic pressures
  • If the blood pressure is high and the patient is assessed prehypertensive or hypertensive, recommend a follow-up plan and document, accordingly
  • Ensure the Follow Up Plan observation is configured with LOINC 56851-9
  • Complete and provide the follow-up plan, as appropriate
  • Continue documenting the encounter, as needed
  • When completed, Close and Archive the encounter


Name Value Set
Diagnosis 2.16.840.1.113883.3.600.263
Diagnostic Study, Not Ordered 2.16.840.1.113883.3.600.2448
Diagnostic Study, Order 2.16.840.1.113883.3.600.2448
Encounter, Performed 2.16.840.1.113883.3.600.1920
Intervention, Not Ordered 2.16.840.1.113883.3.600.1515
Intervention, Not Ordered 2.16.840.1.113883.3.600.1508
Intervention, Not Ordered 2.16.840.1.113883.3.600.823
Intervention, Not Ordered 2.16.840.1.113883.3.600.1518
Intervention, Not Ordered 2.16.840.1.113883.3.600.1475
Intervention, Not Ordered 2.16.840.1.113883.3.600.1510
Intervention, Order 2.16.840.1.113883.3.600.1515
Intervention, Order 2.16.840.1.113883.3.600.1537
Intervention, Order 2.16.840.1.113883.3.600.1474
Intervention, Order 2.16.840.1.113883.3.600.1508
Intervention, Order 2.16.840.1.113883.3.600.823
Intervention, Order 2.16.840.1.113883.3.600.1518
Intervention, Order 2.16.840.1.113883.3.600.1475
Intervention, Order 2.16.840.1.113883.3.600.1510
Laboratory Test, Not Ordered 2.16.840.1.113883.3.600.1482
Laboratory Test, Order 2.16.840.1.113883.3.600.1482
Medication, Not Ordered 2.16.840.1.113883.3.600.1476
Medication, Order 2.16.840.1.113883.3.600.1476
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


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