384. Adult Primary Rhegmatogenous Retinal Detachment Surgery: No Return to the Operating Room Within 90 Days of Surgery

Patients aged 18 years and older who had surgery for primary rhegmatogenous retinal detachment who did not require a return to the operating room within 90 days of surgery.

This measure is to be submitted each time for denominator eligible cases as defined in the denominator criteria. This measure is intended to reflect the quality of services provided for patients receiving primary rhegmatogenous retinal detachment surgery. This measure may be submitted by MIPS-eligible clinicians who perform the quality actions as defined by the numerator based on the services provided and the measure-specific denominator coding.

When the patient arrives for the postop visit, perform the following steps:

  1. Document a postop retinal detachment Diagnosis.
  2. Select a postop retinal detachment evaluation Plan and tap Save.
  3. Locate the Postop Evaluation Retinal Detachment plan you just added and tap Resume.
  4. On the Details tab, document the Postop Day.
  5. Tap Done.
  6. If the patient requires a return to the operating room, add an additional plan (otherwise, skip to step 7):
    1. Locate the Postop Retinal Detachment diagnosis you just added and tap Add Plans.
    2. Select the plan of Counseling, Post Op Retinal Detachment Surgery and tap Save.
    3. Locate the Counseling, Post Op Retinal Detachment Surgery plan you just added and tap Resume.
    4. On the Details tab, select the applicable option from the Quality 384 drop-down.
    5. Tap Done.
  7. Document the rest of the visit and Finalize.

    If the patient does not require a return to the operating room, the patient will automatically be favorable.

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

Quality 384
NQF —
CMS —
  • Registry
  • AAO IRIS
  • MVP

This topic describes how points are calculated for this measure. To learn more about scoring, go to Scoring.

Benchmarks are displayed here as both a chart and a table. The chart gives you a visual representation and helps you quickly compare benchmarks across different reporting methods. The table lists the specific benchmark criteria for each available reporting method.

 

Submission Method 3rd Decile 4th Decile 5th Decile 6th Decile 7th Decile 8th Decile 9th Decile 10th Decile
Registry 91.95– 93.32 93.33– 94.66 94.67– 96.66 96.67– 97.13 97.14– 99.99 — — 100
AAO IRIS 91.95– 93.32 93.33– 94.66 94.67– 96.66 96.67– 97.13 97.14– 99.99 — — 100
MVP 91.95– 93.32 93.33– 94.66 94.67– 96.66 96.67– 97.13 97.14– 99.99 — — 100

All surgeries for primary rhegmatogenous retinal detachment performed between January and September of the performance period for patients 18 years and older:

67107, 67108, 67110

Denominator Exclusions

Surgical procedures that included the use of silicone oil:

G9756

Patients who did not return to the operating room within 90 days for complications within the operative eye.

Performance Met

Patient did not require a return to the operating room within 90 days of surgery:

G9515

Performance Not Met

Patient required a return to the operating room within 90 days of surgery:

G9514