389. Cataract Surgery: Difference Between Planned and Final Refraction

Percentage of patients aged 18 years and older who had cataract surgery performed and who achieved a final refraction within +/- 1.0 diopters of their planned (target) refraction.

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 cataract 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 surgery is recommended for the patient, perform the following steps:

  1. Document a cataract Diagnosis.
  2. Select the Optical Biometry Plan and tap Save.
  3. Locate the Optical Biometry plan you just added and tap Resume.
  4. On the Details tab, document the Targeted Refraction (Diopters).
  5. Tap Done.
  6. Document the rest of the visit and Finalize.

When the patient arrives for the postop visit within 90 days, perform the following steps:

  1. Document the patient's current refraction in the Vision Exam.
  2. Document a cataract or postop cataract Diagnosis.
  3. Select a postop cataract evaluation Plan and tap Save.
  4. Locate the Postop Evaluation Cataract plan you just added and tap Resume.
  5. On the Details tab, document the Postop Day.
  6. Tap Done.
  7. Document the rest of the visit and Finalize.

    If the patient’s refraction is +/- 1.0 diopters of their planned refraction within 90 days of surgery, the patient will render as favorable.

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

Quality 389
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* — — — — — — — 100.00
AAO IRIS* — — — — — — — 100.00
MVP* — — — — — — — 100.00

* Benchmarking data for this submission method was unavailable at the time of publication.

All cataract surgeries performed between January and September of the performance period for patients 18 years and older:

66840, 66850, 66852, 66920, 66930, 66940, 66982, 66983, 66984, 66987, 66988, 66989, 66991

Denominator Exclusions

Preoperative modifier:

55, 56

Patients who achieved a final refraction (spherical equivalent) of +/- 1.0 diopters of their planned (target) refraction (spherical equivalent) within 90 days following cataract surgery. The refraction planned and final refraction values should correspond to the eye that underwent the cataract procedure.

Performance Met

Patient achieves final refraction (spherical equivalent) +/- 1.0 diopters of their planned refraction within 90 days of surgery:

G9519

Performance Not Met

Patient does not achieve final refraction (spherical equivalent) +/- 1.0 diopters of their planned refraction within 90 days of surgery:

G9520