128. Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

This measure is available to ExamWRITER users only. You will not be able to complete this measure in Eyefinity EHR.

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous six months and with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous six months of the current encounter

Normal BMI parameters are between 18.5 and 24.9 kg/m2.

There is no diagnosis associated with this measure, except in the case of the EHR reporting method. This measure is to be reported a minimum of once per performance period for patients seen during the performance period. This measure may be reported by eligible clinicians who perform the quality actions described in the measure based on the services provided at the time of the qualifying visit and the measure-specific denominator coding. The BMI may be documented in the medical record of the provider or in outside medical records obtained by the provider. If the most recently documented BMI is outside of normal parameters, then a follow-up plan must be documented during the encounter or during the previous six months of the current encounter. The documented follow-up plan must be based on the most recent document BMI outside of normal parameters. If more than one BMI is reported during the measure period, the most recent BMI will be used to determine if the performance has been met.

Screen the patient for BMI:

  1. In a patient’s exam record in ExamWRITER, record the office visit.
  2. Click the Exam - Special Tests tab.
  3. Click the yellow Vital Signs button.
  4. Click your cursor in the Height (inches) box, record the patient’s height in the Height window, and click Save/Exit.
  5. Click your cursor in the Weight (pounds) box, record the patient’s weight in the Weight window, and click Save/Exit.
  6. Click the Coding toolbar icon, click the Procedures tab, and select one of the following:
    • G8417 (BMI above normal, follow-up plan documented)
    • G8418 (BMI below normal, follow-up plan documented)

    OR click the Diagnosis tab and select Z71.3 for dietary counseling and surveillance.

  7. Click Save/Exit.

Eyefinity products and documentation refer to the MIPS quality numbers. Other measure numbering systems are listed here for your reference.

Quality 128
NQF 0421
CMS 69
  • Claims
  • EHR

Reporting methods vary by measure and EHR system. For more information about how different measures and reporting methods are scored, refer to the topic that corresponds with your EHR:

Patients 18 years of age or older on date of encounter;

AND who had a visit during the measurement period:

90791, 90792, 90832, 90834, 90837, 96150, 96151, 96152, 97161, 97162, 97163, 97165, 97166, 97167, 97802, 97803, 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99236, 99304, 99305, 99306, 99307, 99308, 99309, 99310, 99315, 99316, 99318, 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337, 99339, 99340, 99385*, 99386*, 99387*, 99395*, 99396*, 99397*, 99401, 99402, D7140, D7210, G0101, G0108, G0270, G0271, G0402, G0438, G0439, G0447, G0473

  • 92000 series codes are not included in this measure.
  • CPT codes listed with an asterisk (*) are noncovered services under the Physician Fee Schedule and will not be counted toward the denominator in claims-based reporting.

Denominator Exclusions

BMI not documented, documentation the patient is not eligible for BMI calculation with the following CPT Category II code:

G8422

BMI is documented as being outside of normal limits, follow-up plan is not documented, documentation the patient is not eligible with the following CPT Category II code:

G8938

OR BMI not documented due to patient refusal with one of the following SNOMED codes:

105480006, 183944003, 183945002, 413310006, 413311005, 413312003

OR patient receives palliative care prior to the encounter with one of the following SNOMED codes:

133918004, 182964004, 305284002, 305381007, 305981001, 306237005, 306288008, 385736008, 385763009

OR the patient becomes pregnant during the measurement period with one of the following SNOMED codes:

102872000, 102873005, 102875003, 127363001, 14418008, 16356006, 169560008, 169561007, 169562000, 169563005, 169564004, 169565003, 169566002, 169567006, 169568001, 198624007, 198626009, 198627000, 199715003, 237233002, 237238006, 237239003, 237240001, 237241002, 237242009, 237244005, 239101008, 248985009, 281307002, 29399001, 314204000, 31601007, 34801009, 38720006, 41587001, 41991004, 43990006, 442478007, 44782008, 45307008, 47200007, 57630001, 58532003, 59466002, 60000008, 60810003, 64254006, 65147003, 65727000, 69532007, 72892002, 77386006, 79290002, 79586000, 80997009, 82661006, 83074005, 87605005, 90968009, 9279009, 9899009

Denominator Exceptions

BMI is documented as being outside of normal limits, follow-up plan is not completed for documented reason with the following CPT Category II code:

G9716

OR with one of the following SNOMED codes:

105480006, 183932001, 183944003, 183945002, 305284002, 305381007, 305981001, 306237005, 306288008, 397745006, 407563006, 413310006, 413311005, 413312003

Patients with a documented BMI during the encounter or during the previous six months;

AND when the BMI is outside of normal parameters, a follow-up plan is documented during the encounter or during the previous six months of the current encounter.

Performance Met

BMI is documented within normal parameters and no follow-up plan is required documented with the following CPT Category II code:

G8420

OR with the following LOINC:

39156-5

OR

BMI is documented outside normal parameters

AND

Documented follow-up plan with one of the following Category II codes:

G8417, G8418

OR [for EHR reporting] counseling coded with the following diagnosis code:

Z71.3

OR the following SNOMED codes

91251008,103698003, 103699006, 183515008, 183524004, 183583007, 185359002, 304549008, 305922005, 306136006, 306163007, 306164001, 306165000, 306166004, 306167008, 306168003, 306226009, 306227000, 306252003, 306344004, 306353006, 306354000, 307818003, 308459004, 308470006, 308477009, 361231003, 370847001, 386291006, 386292004, 386373004, 386463000, 386464006, 390864007, 390866009, 390893007, 408289007, 410160006, 416790000, 424203006, 410177006, 413315001, 418995006, 424753004, 443288003