CMS155v8 – Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents

Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents CMS155v8 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
– DENOMINATOR

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.

– 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 the measurement period
– NUMERATOR – 3
Patients who had counseling for physical activity during the measurement period
– DENOMINATOR EXCLUSIONS

Patients who have a diagnosis of pregnancy during the measurement period.
Exclude patients whose hospice care overlaps the measurement period.

– APPLICATION WORKFLOW

For Denominator:

Patients 3-17 years of age with at least one outpatient visit with a primary care physician (PCP) during the measurement period are included in the denominator of this measure.

For this measure, a patient visit can be documented by navigating to Patient > Provider Note > eSuperbill.

For Numerator  1:

Patients who had height, weight and body mass index (BMI) percentile recorded during the measurement period are included in numerator 1. These can be recorded by navigating to Patient > Clinical > Vitals.

For Numerator 2:

Patients who had counseling for nutrition measurement period are included in numerator 2.

To record counseling, navigate to Patient > Clinical > Evaluations. Following codes may be used:

  • 183059007
  • 183060002
  • 183061003

For Numerator  3:

Patients who had counseling for physical activity during a visit that occurs during the measurement period are included in numerator 3.

To record this, navigate to Patient > Clinical > Evaluations. Following codes may be used:

  • 103736005
  • 183073003
  • 281090004

For Denominator Exclusions:

Patients who have a diagnosis of pregnancy or were in hospice care during the measurement period are included in denominator exclusion.

To record diagnosis, navigate to Patient > Clinical > Diagnosis.

To record hospice care, navigate to Patient > Clinical > Evaluations and use the below mentioned codes:

  • 385763009
  • 385765002