385. Adult Primary Rhegmatogenous Retinal Detachment Surgery: Visual Acuity Improvement within 90 Days of Surgery

Patients aged 18 years and older who had surgery for primary rhegmatogenous retinal detachment and achieved an improvement in their visual acuity, from their preoperative level, within 90 days of surgery in the operative eye.

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 the patient receiving primary rhegmatogenous retinal detachment surgery.

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

  1. Document the patient's current visual acuity in the Vision Exam.
  2. Document a postop retinal detachment Diagnosis.
  3. Select a postop retinal detachment evaluation Plan and tap Save.
  4. Locate the Postop Evaluation Retinal Detachment plan you just added and tap Resume.
  5. On the Details tab, document the Postop Day.
  6. Tap Done.
  7. If the patient has achieved an improvement in visual acuity from their preoperative level, within 90 days of surgery, add an additional plan (otherwise, skip to step 8):
    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 options from the Quality 385 drop-downs.
    5. Tap Done.
  8. Document the rest of the visit and Finalize.

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

Quality 385
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 71.88– 74.99 75.00– 77.38 77.39– 79.99 80.00– 81.81 81.82– 83.66 83.67– 85.75 85.76– 89.79 ≥89.80
AAO IRIS 71.88– 74.99 75.00– 77.38 77.39– 79.99 80.00– 81.81 81.82– 83.66 83.67– 85.75 85.76– 89.79 ≥89.80
MVP 71.88– 74.99 75.00– 77.38 77.39– 79.99 80.00– 81.81 81.82– 83.66 83.67– 85.75 85.76– 89.79 ≥89.80

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

Patients with a preoperative visual acuity better than 20/40:

M1453

OR surgical procedures that included the use of silicone oil:

G9756

Patients who achieved an improvement in their visual acuity, from their preoperative level, within 90 days of surgery in the operative eye.

Performance Met

Patient achieved an improvement in visual acuity, from their preoperative level, within 90 days of surgery:

G9516

Performance Not Met

Patient did not achieve an improvement in visual acuity, from their preoperative level, within 90 days of surgery, reason not given:

G9517