| Valid Data Submission Method(s) | Measure Type | High Priority Measure? | NQS Domain | Specialty Measure Sets |
|---|---|---|---|---|
| Registry | Outcome | Yes | Effective Clinical Care | General Practice/Family Medicine |
Measure Description
The percentage of patients, regardless of age, with a diagnosis of HIV with a HIV viral load less than 200 copies/mL at last HIV viral load test during the measurement year
Instruction
This measure is to be reported a minimum of once per performance period for patients with HIV seen during the performance period. This measure is intended to reflect the quality of services provided for the primary management of patients with HIV.
Denominator
Patients, regardless of age, with a diagnosis of HIV who had at least one medical visit during the performance period
Denominator Criteria (Eligible Cases):
Patients, regardless of age
AND
Diagnosis of HIV/AIDS (ICD-10-CM): B20, Z21
AND
Patient encounter during the performance period (CPT or HCPCS): 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, G0402
Numerator
Number of patients with a HIV viral load less than 200 copies/mL at last viral load test
Numerator Options:
Performance Met: Documentation of viral load less than 200 copies/mL (G9243)
OR
Performance Not Met: Documentation of viral load equal to or greater than 200 copies/mL or viral load not performed (G9242)