CMS66v8 – Functional Status Assessment for Total Knee Replacement
| Functional Status Assessment for Total Knee Replacement | CMS66v8 | Percentage of patients 18 years of age and older who received an elective primary total knee arthroplasty (TKA) and completed a functional status assessment within 90 days prior to the surgery and in the 270-365 days after the surgery |
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| – INITIAL POPULATION
Patients 19 years of age and older who had a primary total knee arthroplasty (TKA) in the year prior to the measurement period and who had an outpatient encounter during the measurement period – DENOMINATOR Patients 19 years of age and older who had a primary total knee arthroplasty (TKA) in the year prior to the measurement period and who had an outpatient encounter during the measurement period. – NUMERATOR Patients with patient-reported functional status assessment results (i.e., VR-12, PROMIS-10 Global Health, KOOS, KOOS Jr.) in the 90 days prior to or on the day of the primary TKA procedure, and in the 270 – 365 days after the TKA procedure. – DENOMINATOR EXCLUSIONS Patients with two or more fractures indicating trauma at the time of the total knee arthroplasty or patients with severe cognitive impairment that overlaps the measurement period. Exclude patients whose hospice care overlaps the measurement period. |
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| – APPLICATION WORKFLOW
For Denominator: Patients 19 years of age and older who had a primary total knee arthroplasty (TKA) in the year prior to the measurement period and who had an outpatient encounter during the measurement period. To record procedures, navigate to Patient > Provider Notes > Create eSuperbill
For Numerator: Patients with patient-reported functional status assessment results (i.e., VR-12, PROMIS-10 Global Health, KOOS, KOOS Jr.) in the 90 days prior to or on the day of the primary TKA procedure, and in the 270 – 365 days after the TKA procedure. To record performed assessments, navigate to Patient > Clinical > Evaluations
For Denominator Exclusion Exclude patients whose hospice care overlaps the measurement period.
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