| Valid Data Submission Method(s) | Measure Type | High Priority Measure? | NQS Domain | Specialty Measure Sets |
|---|---|---|---|---|
| Registry | Outcome | Yes | Effective Clinical Care | Ophthalmology |
Measure Description
Patients aged 18 years and older who had surgery for primary rhegmatogenous retinal detachment who did not require a return to the operating room within 90 days of surgery
Instruction
This measure is to be calculated each time a procedure for primary rhegmatogenous retinal detachment is performed during the performance period. This measure is intended to reflect the quality of services provided for the patient receiving primary rhegmatogenous retinal detachment surgery.
Note: This is an outcome measure and will be calculated solely using registry data.
- For patients who receive the surgical procedures specified in the denominator coding, it should be reportedwhether or not the patient had to return to the operating room within 90 days of surgery.
- Include only procedures performed through September 30 of the performance period. This will allow the post- operative period to occur before registries must submit data to CMS.
Denominator
Patients aged 18 years or older who had surgery for primary rhegmatogenous retinal detachment
Denominator Criteria (Eligible Cases):
Patients aged ≥ 18 years on the date of the procedure
AND
Patient procedure during the performance period (CPT): 67107, 67108, 67110
AND NOT
DENOMINATOR EXCLUSION:
Surgical procedures that included the use of silicone oil: G9756
Numerator
Patients who did not return to the operating room within 90 days for complications within the operative eye
Numerator Options:
Performance Met: Patient did not require a return to the operating room within 90 days of surgery (G9515)
OR
Performance Not Met: Patient required a return to the operating room within 90 days of surgery (G9514)