128. Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Screen the patient for BMI:

1. In a patient’s exam record in ExamWRITER, record the office visit.
2. Click the Exam - Special Tests tab.
3. Click the yellow Vital Signs button.
4. Click your cursor in the Height (inches) box, record the patient’s height in the Height window, and click Save/Exit.
5. Click your cursor in the Weight (pounds) box, record the patient’s weight in the Weight window, and click Save/Exit.
6. Click the Coding toolbar icon, click the Procedures tab, and select one of the following:
   • G8417 (BMI above normal, follow-up plan documented)
   • G8418 (BMI below normal, follow-up plan documented)

   OR click the Diagnosis tab and select Z71.3 for dietary counseling and surveillance.

7. Click Save/Exit.

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

Quality	128
NQF	0421e
CMS	69

• Claims (ExamWRITER only)
• EHR (ExamWRITER only)
• AAO IRIS (ExamWRITER)

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
Claims (ExamWRITER only)	91.47– 98.57	98.58– 99.72	99.73– 99.99	—	—	—	—	100
EHR (ExamWRITER only)	23.26– 27.41	27.42– 32.64	32.65– 40.9	40.91– 53.42	53.43– 69.26	69.27– 83.79	83.8– 95.11	≥ 95.12
AAO IRIS (ExamWRITER only)	32.73– 51.05	51.06– 70.16	70.17– 84.68	84.69– 93.27	93.28– 98.05	98.06– 99.75	99.76– 99.99	100

Patients 18 years of age or older on date of encounter;

AND who had a visit during the measurement period:

Denominator Exclusions

BMI not documented, documentation the patient is not eligible for BMI calculation with the following CPT Category II code:

BMI is documented as being outside of normal limits, follow-up plan is not documented, documentation the patient is not eligible with the following CPT Category II code:

OR BMI not documented due to patient refusal with one of the following SNOMED codes:

OR patient receives palliative care prior to the encounter with one of the following SNOMED codes:

OR the patient becomes pregnant during the measurement period with one of the following SNOMED codes:

Denominator Exceptions

BMI not documented due to medical reason OR patient refusal of height or weight measurement:

BMI is documented as being outside of normal limits, follow-up plan is not completed for documented reason with the following CPT Category II code:

OR with one of the following SNOMED codes:

Patients with a documented BMI during the encounter or during the previous six months;

AND when the BMI is outside of normal parameters, a follow-up plan is documented during the encounter or during the previous six months of the current encounter.

Performance Met

BMI is documented within normal parameters and no follow-up plan is required documented with the following CPT Category II code:

OR with the following LOINC:

OR

BMI is documented outside normal parameters

AND