192. Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures

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.

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

Percentage of patients aged 18 years and older with a diagnosis of uncomplicated cataract who had cataract surgery and had any of a specified list of surgical procedures in the 30 days following cataract surgery which would indicate the occurrence of any of the following major complications: retained nuclear fragments, endophthalmitis, dislocated or wrong power IOL, retinal detachment, or wound dehiscence.

This measure is to be calculated each time a procedure for uncomplicated cataract is performed during the performance period. This measure is intended to reflect the quality of services provided for the patients receiving uncomplicated cataract surgery. This measure is to be submitted by the clinician performing the cataract surgery procedure. Clinicians who provide only preoperative or postoperative management of cataract patients are not eligible for this measure.

This is an inverse measure. A lower calculated performance rate for this measure indicates better clinical care or control. The “Performance Not Met” numerator option for this measure is the representation of the better clinical quality or control. Reporting that numerator option will produce a performance rate that trends closer to 0%, as quality increases.

Achieving this Measure in Eyefinity EHR

During the initial visit, document a full eye exam with dilation:

Open the Ocular Exam.
Select a cataract-related Diagnosis.
Select a Plan.
Complete and finalize the visit.

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

Document the postop chief complaint.
Open the Ocular Exam.
Select Postop Cataract from Diagnosis.
Select the Postop Evaluation Cataract Plan.
On the Postop Cataract screen, select one of the smartQaulity 192 options.
Tap Done.

Measure Numbers

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

Quality	192
NQF	0564
CMS	132

Reporting Methods

Registry (Eyefinity EHR only)

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:

Eyefinity EHR Quality Scoring and Benchmarking
ExamWRITER Quality Scoring and Benchmarking

Denominator

All patients aged 18 years and older who had cataract surgery and no significant ocular conditions impacting the surgical complication rate;

AND who had a visit during the measurement period:

66982, 66983, 66984

Denominator Exclusions

Preoperative modifier:

55, 56

Any of the following active diagnoses before the cataract surgery:

Acute and Subacute Iridocyclitis

H20.00, H20.011, H20.012, H20.013, H20.021, H20.022, H20.023, H20.031, H20.032, H20.033, H20.041, H20.042, H20.043, H20.051, H20.052, H20.053

Adhesions and Disruptions of Iris and Ciliary Body

H21.41, H21.42, H21.43, H21.511, H21.512, H21.513, H21.521, H21.522, H21.523, H21.531, H21.532, H21.533, H21.541, H21.542, H21.543, H21.551, H21.552, H21.553, H21.561, H21.562, H21.563, H21.81, H21.82, H21.89, H22

Anomalies of Pupillary Function

H57.03

Aphakia and Other Disorders of Lens

H27.10, H27.111, H27.112, H27.113, H27.121, H27.122, H27.123, H27.131, H27.132, H27.133

Burn Confined to Eye and Adnexa

T26.01XA, T26.02XA, T26.11XA, T26.12XA, T26.21XA, T26.22XA, T26.31XA, T26.32XA, T26.41XA, T26.42XA, T26.51XA, T26.52XA, T26.61XA, T26.62XA, T26.71XA, T26.72XA, T26.81XA, T26.82XA, T26.91XA, T26.92XA

Cataract Secondary to Ocular Disorders

H26.211, H26.212, H26.213, H26.221, H26.222, H26.223

Cataract, Congenital

Q12.0

Cataract, Mature or Hypermature

H26.9

Cataract, Posterior Polar

Q12.0

Central Corneal Ulcer

H16.011, H16.012, H16.013

Certain Types of Iridocyclitis

H20.21, H20.22, H20.23, H20.811, H20.812, H20.813, H20.821, H20.822, H20.823, H20.9

Chronic Iridocyclitis

A18.54, H20.11, H20.12, H20.13, H20.9

Cloudy Cornea

H17.01, H17.02, H17.03, H17.11, H17.12, H17.13, H17.811, H17.812, H17.813, H17.821, H17.822, H17.823

Corneal Edema

H18.11, H18.12, H18.13, H18.20, H18.221, H18.222, H18.223, H18.231, H18.232, H18.233, H18.421, H18.422, H18.423, H18.43

Corneal Opacity and Other Disorders of Cornea

H17.01, H17.02, H17.03, H17.11, H17.12, H17.13, H17.89, H17.9

Cysts of Iris, Ciliary Body, and Anterior Chamber

H21.301, H21.302, H21.303, H21.311, H21.312, H21.313, H21.321, H21.322, H21.323, H21.331, H21.332, H21.333, H21.341, H21.342, H21.343, H21.351, H21.352, H21.353

Enophthalmos

H05.401, H05.402, H05.403, H05.411, H05.412, H05.413, H05.421, H05.422, H05.423

Glaucoma

H40.10X0, H40.10X1, H40.10X2, H40.10X3, H40.10X4, H40.1110, H40.1111, H40.1112, H40.1113, H40.1114, H40.1120, H40.1121, H40.1122, H40.1123, H40.1124, H40.1130, H40.1131, H40.1132, H40.1133, H40.1134, H40.1210, H40.1211, H40.1212, H40.1213, H40.1214, H40.1220, H40.1221, H40.1222, H40.1223, H40.1224, H40.1230, H40.1231, H40.1232, H40.1233, H40.1234, H40.1310, H40.1311, H40.1312, H40.1313, H40.1314, H40.1320, H40.1321, H40.1322, H40.1323, H40.1324, H40.1330, H40.1331, H40.1332, H40.1333, H40.1334, H40.1410, H40.1411, H40.1412, H40.1413, H40.1414, H40.1420, H40.1421, H40.1422, H40.1423, H40.1424, H40.1430, H40.1431, H40.1432, H40.1433, H40.1434, H40.151, H40.152, H40.153, H40.20X0, H40.20X1, H40.20X2, H40.20X3, H40.20X4, H40.211, H40.212, H40.213, H40.2210, H40.2211, H40.2212, H40.2213, H40.2214, H40.2220, H40.2221, H40.2222, H40.2223, H40.2224, H40.2230, H40.2231, H40.2232, H40.2233, H40.2234, H40.231, H40.232, H40.233, H40.241, H40.242, H40.243, H40.31X0, H40.31X1, H40.31X2, H40.31X3, H40.31X4, H40.32X0, H40.32X1, H40.32X2, H40.32X3, H40.32X4, H40.33X0, H40.33X1, H40.33X2, H40.33X3, H40.33X4, H40.41X0, H40.41X1, H40.41X2, H40.41X3, H40.41X4, H40.42X0, H40.42X1, H40.42X2, H40.42X3, H40.42X4, H40.43X0, H40.43X1, H40.43X2, H40.43X3, H40.43X4, H40.51X0, H40.51X1, H40.51X2, H40.51X3, H40.51X4, H40.52X0, H40.52X1, H40.52X2, H40.52X3, H40.52X4, H40.53X0, H40.53X1, H40.53X2, H40.53X3, H40.53X4, H40.61X0, H40.61X1, H40.61X2, H40.61X3, H40.61X4, H40.62X0, H40.62X1, H40.62X2, H40.62X3, H40.62X4, H40.63X0, H40.63X1, H40.63X2, H40.63X3, H40.63X4, H40.811, H40.812, H40.813, H40.821, H40.822, H40.823, H40.831, H40.832, H40.833, H40.89, Q15.0

Hereditary Corneal Dystrophies

H18.50, H18.51, H18.52, H18.53, H18.54, H18.55, H18.59

High Hyperopia

H52.00, H52.01, H52.02, H52.03

Hypotony of Eye

H44.40, H44.411, H44.412, H44.413, H44.421, H44.422, H44.423, H44.431, H44.432, H44.433, H44.441, H44.442, H44.443

Injury to Optic Nerve and Pathways

S04.011A, S04.012A, S04.02XA, S04.031A, S04.032A, S04.041A, S04.042A

Morgagnian Cataract

H25.21, H25.22, H25.23A

Open Wound of Eyeball

S05.11XA, S05.12XA, S05.21XA, S05.22XA, S05.31XA, S05.32XA, S05.51XA, S05.52XA, S05.61XA, S05.62XA, S05.71XA, S05.72XA, S05.8X1A, S05.8X2A, S05.91XA, S05.92XA

Pathologic Myopia

H44.2A1, H44.2A2, H44.2A3, H44.2B1, H44.2B2, H44.2B3, H44.2C1, H44.2C2, H44.2C3, H44.2D1, H44.2D2, H44.2D3, H44.2E1, H44.2E2, H44.21, H44.22, H44.23, H44.30

Posterior Lenticonus

Q12.2, Q12.4, Q12.8

Prior Pars Plana Vitrectomy

67036, 67039, 67040, 67041, 67042, 67043 (patient with history of this procedure)

Pseudoexfoliation Syndrome

H40.1410, H40.1411, H40.1412, H40.1413, H40.1414, H40.1420, H40.1421, H40.1422, H40.1423, H40.1424, H40.1430, H40.1431, H40.1432, H40.1433, H40.1434

Retrolental Fibroplasias

H35.171, H35.172, H35.173

Traumatic Cataract

H26.101, H26.102, H26.103, H26.111, H26.112, H26.113, H26.121, H26.122, H26.123, H26.131, H26.132, H26.133

Patient taking tamsulosin hydrochloride:

G9503

Uveitis

H44.111, H44.112, H44.113, H44.119, H44.131, H44.132, H44.133

Vascular Disorders of Iris and Ciliary Body

H21.1X1, H21.1X2, H21.1X3

Numerator

Patients who had one or more specified operative procedures for any of the following major complications within 30 days following cataract surgery: retained nuclear fragments, endophthalmitis, dislocated or wrong power IOL, retinal detachment, or wound dehiscence.

Performance Met

Surgical procedure performed within 30 days following cataract surgery for major complications (e.g., retained nuclear fragments, endophthalmitis, dislocated or wrong power IOL, retinal detachment or wound dehiscence):

G8627

Performance Not Met

Surgical procedure not performed within 30 days following cataract surgery for major complications (e.g., retained nuclear fragments, endophthalmitis, dislocated or wrong power IOL, retinal detachment or wound dehiscence):

G8628