CMS123v6 – Diabetes: Foot Exam

Diabetes: Foot Exam CMS123v7 The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
DENOMINATOR

Patients 18-75 years of age with diabetes with a visit during the measurement period.

– DENOMINATOR EXCLUSION

Patients who have had either a bilateral amputation above or below the knee, or both a left and right amputation above or below the knee before or during the measurement period.

Exclude patients whose hospice care overlaps the measurement period.

– NUMERATOR

Patients who received visual, pulse and sensory foot examinations during the measurement period.

APPLICATION WORKFLOW

For Denominator: 

All patients 18-75 years of age with diabetes with a visit during the measurement period are included in denominator.

To record an encounter, navigate to Patient > Provider Note > eSuperbillThe documentation of the first encounter takes place when one visit code gets attached with the patient’s eSuperbill/ charge.

For Numerator:

Patients who received one of the following visual, pulse and sensory foot examinations during the measurement period are included in numerator.

  • Visual Exam of Foot
  • Sensory Exam of Foot
  • Pulse Exam of Foot

To record physical exam, navigate to Patient > Clinical > Evaluations.

To know more about How to Add an Evaluation click here.

DENOMINATOR EXCLUSION

  1. Patients who are discharged to home for hospice care are excluded from denominator. To document encounter, navigate to Patient<Clinical<Evaluations.
  2. Similarly, on the evaluation screen, record patients who were in hospice care during the measurement year.

    To know more about How to Add an Evaluation click here.

  3. Patients who have had either a bilateral amputation above or below the knee, or both a left and right amputation above or below the knee before or during the measurement period can be documented by navigating to Patient > Clinical > Diagnosis.