M1200 Ace inhibitor (ace-i) or arb therapy prescribed during the measurement period billable
M1201 Documentation of medical reason(s) for not prescribing ace inhibitor (ace-i) or arb therapy during the measurement period (e.g., pregnancy, history of angioedema to ace-i, other allergy to ace-i and arb, hyperkalemia or history of hyperkalemia while on ace-i or arb therapy, acute kidney injury due to ace-i or arb therapy), other medical reasons) billable
M1202 Documentation of patient reason(s) for not prescribing ace inhibitor or arb therapy during the measurement period, (e.g., patient declined, other patient reasons) billable
M1203 Ace inhibitor or arb therapy not prescribed during the measurement period, reason not given billable
M1204 Initial (index visit) numeric rating scale (nrs), visual rating scale (vrs), or itchyquant assessment score of greater than or equal to 4 billable
M1205 Itch severity assessment score is reduced by 3 or more points from the initial (index) assessment score to the follow-up visit score billable
M1206 Itch severity assessment score was not reduced by at least 3 points from initial (index) score to the follow-up visit score or assessment was not completed during the follow-up encounter billable
M1207 Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety billable
M1208 Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety billable
M1209 At least two orders for high-risk medications from the same drug class, (table 4), without appropriate diagnoses billable
M1210 At least two orders for high-risk medications from the same drug class, (table 4), not ordered billable
M1211 Most recent glycemic status assessment (hba1c or gmi) level > 9.0% billable
M1212 Glycemic status assessment (hba1c or gmi) level is missing, or was not performed during the measurement period billable
M1213 No history of spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) and present spirometry is >= 70% billable
M1214 Spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) documented and reviewed billable
M1215 Documentation of medical reason(s) for not documenting and reviewing spirometry results (e.g., patients with dementia or tracheostomy) billable
M1216 No spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) documented and/or no spirometry performed with results documented during the encounter billable
M1217 Documentation of system reason(s) for not documenting and reviewing spirometry results (e.g., spirometry equipment not available at the time of the encounter) billable
M1218 Patient has copd symptoms (e.g., dyspnea, cough/sputum, wheezing) billable
M1220 Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist or artificial intelligence (ai) interpretation documented and reviewed; with evidence of retinopathy billable
M1221 Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist or artificial intelligence (ai) interpretation documented and reviewed; without evidence of retinopathy billable
M1222 Glaucoma plan of care not documented, reason not otherwise specified billable
M1224 Intraocular pressure (iop) reduced by a value less than 20% from the pre-intervention level billable
M1225 Intraocular pressure (iop) reduced by a value of greater than or equal to 20% from the pre-intervention level billable
M1226 Iop measurement not documented, reason not otherwise specified billable
M1227 Evidence-based therapy was prescribed billable
M1228 Patient, who has a reactive hcv antibody test, and has a follow up hcv viral test that detected hcv viremia, has hcv treatment initiated within 3 months of the reactive hcv antibody test billable
M1229 Patient, who has a reactive hcv antibody test, and has a follow up hcv viral test that detected hcv viremia, is referred within 1 month of the reactive hcv antibody test to a clinician who treats hcv infection billable
M1230 Patient has a reactive hcv antibody test and does not have a follow up hcv viral test, or patient has a reactive hcv antibody test and has a follow up hcv viral test that detects hcv viremia and is not referred to a clinician who treats hcv infection within 1 month and does not have hcv treatment initiated within 3 months of the reactive hcv antibody test, reason not given billable
M1231 Patient receives hcv antibody test with nonreactive result billable
M1232 Patient receives hcv antibody test with reactive result billable
M1233 Patient does not receive hcv antibody test or patient does receive hcv antibody test but results not documented, reason not given billable
M1234 Patient has a reactive hcv antibody test, and has a follow up hcv viral test that does not detect hcv viremia billable
M1235 Documentation or patient report of hcv antibody test or hcv rna test which occurred prior to the performance period billable
M1237 Patient reason for not screening for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety (e.g., patient declined or other patient reasons) billable
M1238 Documentation that administration of second recombinant zoster vaccine could not occur during the performance period due to the recommended 2-6 month interval between doses (i.e, first dose received after october 31) billable
M1239 Patient did not respond to the question of patient felt heard and understood by this provider and team billable
M1240 Patient did not respond to the question of patient felt this provider and team put my best interests first when making recommendations about my care billable
M1241 Patient did not respond to the question of patient felt this provider and team saw me as a person, not just someone with a medical problem billable
M1242 Patient did not respond to the question of patient felt this provider and team understood what is important to me in my life billable
M1243 Patient provided a response other than "completely true" for the question of patient felt heard and understood by this provider and team billable
M1244 Patient provided a response other than "completely true" for the question of patient felt this provider and team put my best interests first when making recommendations about my care billable
M1245 Patient provided a response other than "completely true" for the question of patient felt this provider and team saw me as a person, not just someone with a medical problem billable
M1246 Patient provided a response other than "completely true" for the question of patient felt this provider and team understood what is important to me in my life billable
M1247 Patient responded "completely true" for the question of patient felt this provider and team put my best interests first when making recommendations about my care billable
M1248 Patient responded "completely true" for the question of patient felt this provider and team saw me as a person, not just someone with a medical problem billable
M1249 Patient responded "completely true" for the question of patient felt this provider and team understood what is important to me in my life billable
M1250 Patient responded as "completely true" for the question of patient felt heard and understood by this provider and team billable
M1251 Patients for whom a proxy completed the entire hu survey on their behalf for any reason (no patient involvement) billable
M1252 Patients who did not complete at least one of the four patient experience hu survey items and return the hu survey within 60 days of the ambulatory palliative care visit billable
M1253 Patients who respond on the patient experience hu survey that they did not receive care by the listed ambulatory palliative care provider in the last 60 days (disavowal) billable
M1254 Patients who were deceased when the hu survey reached them billable
M1255 Patients who have another reason for visiting the clinic [not prenatal or postpartum care] and have a positive pregnancy test but have not established the clinic as an ob provider (e.g., plan to terminate the pregnancy or seek prenatal services elsewhere) billable
M1257 Cvd risk assessment not performed or incomplete (e.g., cvd risk assessment was not documented), reason not otherwise specified billable
M1258 Cvd risk assessment performed, have a documented calculated risk score billable
M1259 Patient status documented within the first year of initiating dialysis billable
M1260 Patient status not documented within the first year of initiating dialysis billable
M1261 Patients that were on the kidney or kidney-pancreas waitlist prior to initiation of dialysis billable
M1262 Patients who had a transplant prior to initiation of dialysis billable
M1263 Patients in hospice on their initiation of dialysis date or during the month of evaluation billable
M1265 Cms medical evidence form 2728 for dialysis patients: initial form completed billable
M1266 Patients admitted to a skilled nursing facility (snf) billable
M1267 Patients not observed in active status on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period billable
M1268 Patients observed in active status on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period billable
M1269 Receiving esrd mcp dialysis services by the provider on the last day of the reporting month billable
M1270 Patients not on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period billable
M1271 Patients with dementia at any time prior to or during the month billable
M1272 Patients observed on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period billable
M1273 Patients who were admitted to a skilled nursing facility (snf) within one year of dialysis initiation according to the cms-2728 form billable
M1274 Patients who were admitted to a skilled nursing facility (snf) during the month of evaluation were excluded from that month billable
M1275 Patients determined to be in hospice were excluded from month of evaluation and the remainder of reporting period billable
M1276 Bmi documented outside normal parameters, no follow-up plan documented, no reason given billable
M1277 Colorectal cancer screening results documented and reviewed billable
M1278 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented billable
M1279 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given billable
M1280 Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy billable
M1281 Blood pressure reading not documented, reason not given billable
M1282 Patient screened for tobacco use and identified as a tobacco non-user billable
M1283 Patient screened for tobacco use and identified as a tobacco user billable
M1284 Patients age 66 or older in institutional special needs plans (snp) or residing in long term care with pos code 32, 33, 34, 54, or 56 for more than 90 consecutive days during the measurement period billable
M1285 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified billable
M1286 Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason billable
M1287 Bmi is documented below normal parameters and a follow-up plan is documented billable
M1288 Documented reason for not screening or recommending a follow-up for high blood pressure billable
M1289 Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) billable
M1290 Patient not eligible due to active diagnosis of hypertension billable
M1291 Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period billable
M1292 Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and an advanced illness diagnosis during the measurement period or the year prior to the measurement period billable
M1293 Bmi is documented above normal parameters and a follow-up plan is documented billable
M1294 Normal blood pressure reading documented, follow-up not required billable
M1295 Patients with a diagnosis or past history of total colectomy or colorectal cancer billable
M1296 Bmi is documented within normal parameters and no follow-up plan is required billable
M1297 Bmi not documented due to medical reason or patient refusal of height or weight measurement billable
M1298 Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter billable
M1299 Influenza immunization administered or previously received billable