CMS 68/MIPS 130 – Documentation of Current Medications in the Medical Record

What is this Measure?

This measure evaluates whether healthcare providers document a patient's current medications during each eligible visit.

Populating the Denominator:

Percentage of visits for patients aged 18 years and older who have a billable office visit encounter note.

Populating visit code

Step 1: Open a Chart

Step 2: Open a Progress Note for the Patient for a billable office visit

Step 3: Enter procedure code representing qualified encounter in the procedure section

Applicable Codes:

SNOMEDCT:

185463005, 185464004, 185465003, 30346009, 3391000175108, 37894004, 439740005        
CPT:

99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215

Populating the Numerator:

Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications using all immediate resources available on the date of the encounter.​

Input SNOMED code

Step 1: Enter procedure code representing qualified encounter in the procedure section

Applicable Codes:

SNOMEDCT:  

428191000124101

Important Note:

This should be done for each patient with an encounter in the reporting period.

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