CMS 155 - Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents

Overview

CMS155v8 (2020)
CMS155v9 (2021)
CMS155v10 (2022)

Identifiers

CMS eCQM ID	NQF eCQM ID	NQF	MIPS Quality ID
CMS155v10	–	–	239

*MIE only supports data collection and reporting using eCQM specifications

Definitions

Description	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
Initial Patient Population	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
Denominator	Equals Initial Population
Denominator Exclusions	Patients who have a diagnosis of pregnancy during the measurement period. Exclude patients who are in hospice care for any part of the measurement period.
Numerator	Patients who had a height, weight and body mass index (BMI) percentile recorded during the measurement period	Patients who had counseling for nutrition during the measurement period	Patients who had counseling for physical activity during the measurement period
Numerator Exclusions	–
Denominator Exceptions	–

Additional Information

Measure Type	Process measure
Measure Scoring	Proportion measure
Stratification	3-11 years 12-17 years
Granularity	Patient
Improvement Notation	Higher score indicates better quality
Domain	Community/Population Health

Clinical Instructions

New UI Visit Encounter (valid RC202109+)

Original Visit Encounter

2.  Height, weight and BMI observations will need to be documented for the patient within the Visit encounter.  If the patient’s BMI is out of range, a warning message will display asking if a dietary consult order should be created.  User should click Ok to have the Dietary Consult order ordered within the Plan section of the Visit encounter.  An order item of Physical Activity consult should also be ordered as well.

Evidence

Initial Patient Population

Name	Value Set
Encounter, Performed: Home Healthcare Services	2.16.840.1.113883.3.464.1003.101.12.1016
Encounter, Performed: Office Visit	2.16.840.1.113883.3.464.1003.101.12.1001
Encounter, Performed: Preventive Care Services - Group Counseling	2.16.840.1.113883.3.464.1003.101.12.1027
Encounter, Performed: Preventive Care Services, Initial Office Visit, 0 to 17	2.16.840.1.113883.3.464.1003.101.12.1022
Encounter, Performed: Preventive Care Services-Individual Counseling	2.16.840.1.113883.3.464.1003.101.12.1026
Encounter, Performed: Preventive Care, Established Office Visit, 0 to 17	2.16.840.1.113883.3.464.1003.101.12.1024
Encounter, Performed: Telephone Visits	2.16.840.1.113883.3.464.1003.101.12.1080

Denominator Exclusions

Name	Value Set
Diagnosis: Pregnancy	2.16.840.1.113883.3.526.3.378
Encounter, Performed: Encounter Inpatient	2.16.840.1.113883.3.666.5.307
Intervention, Order: Hospice care ambulatory	2.16.840.1.113762.1.4.1108.15
Intervention, Performed: Hospice care ambulatory	2.16.840.1.113762.1.4.1108.15

Numerator

Name	Value Set
Intervention, Performed: Counseling for Nutrition	2.16.840.1.113883.3.464.1003.195.12.1003
Intervention, Performed: Counseling for Physical Activity	2.16.840.1.113883.3.464.1003.118.12.1035
Physical Exam, Performed: BMI percentile	2.16.840.1.113883.3.464.1003.121.12.1012
Physical Exam, Performed: Height	2.16.840.1.113883.3.464.1003.121.12.1014
Physical Exam, Performed: Weight	2.16.840.1.113883.3.464.1003.121.12.1015

Source(s)

eCQI CMS155