Denominator: All patients aged 18 years and older with an active diagnosis of primary open-angle glaucoma and one or more office visits during the performance period.
- An exception is available when a medical reason is provided for not performing an optic nerve head evaluation.
Numerator: Patients who have an optic nerve head evaluation during one or more office visits within the performance period.
Notes
- “Office visit” is an encounter with at least one service with CPT code: 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99241, 99242, 99243, 99244, 99245, 99304, 99305, 99306, 99307, 99308, 99309, 99310, 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337, 92002, 92004, 92012, 92014.
- “Optic nerve evaluation” requires use of the Optic Nerve test to document each of the following for at least one eye: Vert C/D, NR Rim, Color, Margins. See Example
- Included primary open-angle glaucoma ICD codes can be found in Appendix F.
- Allowed medical reason exception SNOMED codes can be found in Appendix H.