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Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy

CBE ID
0088
Endorsed
Endorsement Status
1.1 New or Maintenance
Is Under Review
No
Next Planned Maintenance Review
Spring 2025
1.3 Measure Description

Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy and the presence or absence of macular edema during one or more office visits within 12 months

        • 1.14 Numerator

          Patients who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy AND the presence or absence of macular edema during one or more office visits within 12 months

        • 1.15 Denominator

          All patients aged 18 years and older with a diagnosis of diabetic retinopathy

        • Exclusions

          Denominator Exceptions:
          Documentation of medical reason(s) for not performing a dilated macular or fundus examination.

          Documentation of patient reason(s) for not performing a dilated macular or fundus examination.

          Denominator Exclusions: not applicable

        • OLD 1.12 MAT output not attached
          Attached
        • Most Recent Endorsement Activity
          Endorsed EENT Endorsement Maintenance Project 2014
          Initial Endorsement
          Last Updated
              • Risk adjustment approach
                Off
                Risk adjustment approach
                Off
                Conceptual model for risk adjustment
                Off
                Conceptual model for risk adjustment
                Off