131. Pain Assessment and Follow-Up

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

Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present.

This measure is to be reported at each denominator eligible visit occurring during the performance period for patients seen during the performance period. There is no diagnosis associated with this measure. This measure may be reported by eligible clinicians who perform the quality actions described in the measure based on the services provided and the measure-specific denominator coding. The documented follow-up plan must be related to the presence of pain. For example, “Patient referred to pain management specialist for back pain” or “Return in two weeks for reassessment of pain.”

Attest to documenting or not documenting current medications:

  1. Open the Ocular Exam.
  2. Select diagnosis with pain from Impressions.
  3. Tap Morph.
  4. Select a Pain Intensity.

    If the patient has no pain, the visit will render a favorable result.

  5. If the patient has any pain, select a follow-up Plan.
  6. Document the rest of the exam and Finalize.

Alternatively, code quality with a special plan:

  1. Open the Ocular Exam.
  2. Select diagnosis with pain from Impressions.
  3. Tap Morph.
  4. Tap Special Plans and select MIPS.
  5. From Popular Plans, select MIPS Quality.
  6. Tap the More tab.
  7. Select Pain.
  8. Select the appropriate procedure from the Quality 131 drop-down.
  9. Tap Done.
  10. Document the rest of the exam and Finalize.

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

Quality 131
NQF 0420
CMS —
  • Registry

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:

All visits for patients 18 years of age or older on date of encounter;

AND who had a visit during the measurement period:

90791, 90792, 92002, 92004, 92012, 92014, 92507, 92508, 92526, 96116, 96121, 96130, 96131, 96132, 96133, 96136, 96136, 96137, 96138, 96139, 96146, 96150, 96151, 97127, 97161, 97162, 97163, 97164, 97165, 97166, 97167, 97168, 98940, 98941, 98942, 98943, 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99221, 99222, 99223, 99234, 99235, 99236, 99238, 99239, 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350, D7140, D7210, G0101, G0402, G0438, G0439

Denominator Exclusions

Telehealth modifier:

GQ, GT, 95, POS 02

Denominator Exceptions

Pain assessment NOT documented as being performed, documentation the patient is not eligible for a pain assessment using a standardized tool:

G8442

Pain assessment documented as positive, follow-up plan not documented, documentation the patient is not eligible:

G8939

Patient visits with a documented pain assessment using a standardized tool(s) AND documentation of a follow-up plan when pain is present.

Performance Met

Pain assessment documented as positive using a standardized tool AND a follow-up plan is documented:

G8730

Pain assessment using a standardized tool is documented as negative, no follow-up plan required:

G8731

Performance Not Met

No documentation of pain assessment, reason not given:

G8732

Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given:

G8509