CMS 133 - Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery

Overview

CMS133v8 (2020)
CMS133v9 (2021)
CMS133v10 (2022)

Identifiers

CMS eCQM ID	NQF eCQM ID	NQF	MIPS Quality ID
CMS133v10	0565e	0565	191

*MIE only supports data collection and reporting using eCQM specifications

Definitions

Description	Percentage of cataract surgeries for patients aged 18 and older with a diagnosis of uncomplicated cataract and no significant ocular conditions impacting the visual outcome of surgery and had best-corrected visual acuity of 20/40 or better (distance or near) achieved in the operative eye within 90 days following the cataract surgery
Initial Patient Population	All cataract surgeries for patients aged 18 years and older who did not meet any exclusion criteria
Denominator	Equals Initial Population
Denominator Exclusions	Cataract surgeries in patients with significant ocular conditions impacting the visual outcome of surgery
Numerator	Cataract surgeries with best-corrected visual acuity of 20/40 or better (distance or near) achieved in the operative eye within 90 days following cataract surgery
Numerator Exclusions	–
Denominator Exceptions	–

Additional Information

Measure Type	Outcome measure
Measure Scoring	Proportion measure
Granularity	Episode
Improvement Notation	Higher score indicates better quality
Domain	Effective Clinical Care

Clinical Instructions

New UI Visit Encounter (valid RC202109+)

Original Visit Encounter

Evidence

Initial Patient Population

Name	Value Set
Procedure, Performed: Cataract Surgery	2.16.840.1.113883.3.526.3.1411

Denominator Exclusions

Name	Value Set
Diagnosis: Acute and Subacute Iridocyclitis	2.16.840.1.113883.3.526.3.1241
Diagnosis: Amblyopia	2.16.840.1.113883.3.526.3.1448
Diagnosis: Burn Confined to Eye and Adnexa	2.16.840.1.113883.3.526.3.1409
Diagnosis: Cataract Secondary to Ocular Disorders	2.16.840.1.113883.3.526.3.1410
Diagnosis: Cataract, Congenital	2.16.840.1.113883.3.526.3.1412
Diagnosis: Cataract, Mature or Hypermature	2.16.840.1.113883.3.526.3.1413
Diagnosis: Cataract, Posterior Polar	2.16.840.1.113883.3.526.3.1414
Diagnosis: Central Corneal Ulcer	2.16.840.1.113883.3.526.3.1428
Diagnosis: Certain Types of Iridocyclitis	2.16.840.1.113883.3.526.3.1415
Diagnosis: Choroidal Degenerations	2.16.840.1.113883.3.526.3.1450
Diagnosis: Choroidal Detachment	2.16.840.1.113883.3.526.3.1451
Diagnosis: Choroidal Hemorrhage and Rupture	2.16.840.1.113883.3.526.3.1452
Diagnosis: Chronic Iridocyclitis	2.16.840.1.113883.3.526.3.1416
Diagnosis: Cloudy Cornea	2.16.840.1.113883.3.526.3.1417
Diagnosis: Corneal Edema	2.16.840.1.113883.3.526.3.1418
Diagnosis: Corneal Opacity and Other Disorders of Cornea	2.16.840.1.113883.3.526.3.1419
Diagnosis: Degeneration of Macula and Posterior Pole	2.16.840.1.113883.3.526.3.1453
Diagnosis: Degenerative Disorders of Globe	2.16.840.1.113883.3.526.3.1454
Diagnosis: Diabetic Macular Edema	2.16.840.1.113883.3.526.3.1455
Diagnosis: Diabetic Retinopathy	2.16.840.1.113883.3.526.3.327
Diagnosis: Disorders of Optic Chiasm	2.16.840.1.113883.3.526.3.1457
Diagnosis: Disorders of Visual Cortex	2.16.840.1.113883.3.526.3.1458
Diagnosis: Disseminated Chorioretinitis and Disseminated Retinochoroiditis	2.16.840.1.113883.3.526.3.1459
Diagnosis: Focal Chorioretinitis and Focal Retinochoroiditis	2.16.840.1.113883.3.526.3.1460
Diagnosis: Glaucoma	2.16.840.1.113883.3.526.3.1423
Diagnosis: Glaucoma Associated with Congenital Anomalies, Dystrophies, and Systemic Syndromes	2.16.840.1.113883.3.526.3.1461
Diagnosis: Hereditary Choroidal Dystrophies	2.16.840.1.113883.3.526.3.1462
Diagnosis: Hereditary Corneal Dystrophies	2.16.840.1.113883.3.526.3.1424
Diagnosis: Hereditary Retinal Dystrophies	2.16.840.1.113883.3.526.3.1463
Diagnosis: Hypotony of Eye	2.16.840.1.113883.3.526.3.1426
Diagnosis: Injury to Optic Nerve and Pathways	2.16.840.1.113883.3.526.3.1427
Diagnosis: Macular Scar of Posterior Polar	2.16.840.1.113883.3.526.3.1559
Diagnosis: Morgagnian Cataract	2.16.840.1.113883.3.526.3.1558
Diagnosis: Nystagmus and Other Irregular Eye Movements	2.16.840.1.113883.3.526.3.1465
Diagnosis: Open Wound of Eyeball	2.16.840.1.113883.3.526.3.1430
Diagnosis: Optic Atrophy	2.16.840.1.113883.3.526.3.1466
Diagnosis: Optic Neuritis	2.16.840.1.113883.3.526.3.1467
Diagnosis: Other and Unspecified Forms of Chorioretinitis and Retinochoroiditis	2.16.840.1.113883.3.526.3.1468
Diagnosis: Other Background Retinopathy and Retinal Vascular Changes	2.16.840.1.113883.3.526.3.1469
Diagnosis: Other Disorders of Optic Nerve	2.16.840.1.113883.3.526.3.1471
Diagnosis: Other Endophthalmitis	2.16.840.1.113883.3.526.3.1473
Diagnosis: Other Proliferative Retinopathy	2.16.840.1.113883.3.526.3.1480
Diagnosis: Pathologic Myopia	2.16.840.1.113883.3.526.3.1432
Diagnosis: Posterior Lenticonus	2.16.840.1.113883.3.526.3.1433
Diagnosis: Prior Penetrating Keratoplasty	2.16.840.1.113883.3.526.3.1475
Diagnosis: Purulent Endophthalmitis	2.16.840.1.113883.3.526.3.1477
Diagnosis: Retinal Detachment with Retinal Defect	2.16.840.1.113883.3.526.3.1478
Diagnosis: Retinal Vascular Occlusion	2.16.840.1.113883.3.526.3.1479
Diagnosis: Retrolental Fibroplasias	2.16.840.1.113883.3.526.3.1438
Diagnosis: Scleritis	2.16.840.1.113762.1.4.1226.1
Diagnosis: Separation of Retinal Layers	2.16.840.1.113883.3.526.3.1482
Diagnosis: Traumatic Cataract	2.16.840.1.113883.3.526.3.1443
Diagnosis: Uveitis	2.16.840.1.113883.3.526.3.1444
Diagnosis: Vascular Disorders of Iris and Ciliary Body	2.16.840.1.113883.3.526.3.1445
Diagnosis: Visual Field Defects	2.16.840.1.113883.3.526.3.1446

Numerator

Name	Value Set
Physical Exam, Performed: Best corrected visual acuity (observable entity)	SNOMEDCT Code 419775003
Physical Exam, Performed: Best Corrected Visual Acuity Exam Using Snellen Chart	2.16.840.1.113883.3.526.3.1560

Source(s)

eCQI CMS133