Diabetes: Foot Exam
Effective Clinical Care
MIPS High Priority Measure:
Eligible for Quality Programs:
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with monofilament and a pulse exam) during the measurement year.
- Numerator: Patients who received visual, pulse and sensory foot examinations during the measurement period.
- Denominator: Patients 18-75 years of age (>=18 and <75) with diabetes with an eligible visit (defined as a signed chart note with one of the following encounter types: Office Visit, Nurse Visit, Nursing Home Visit, or Home Visit) during the measurement period.
Denominator Exclusions: Patients who have had either a bilateral amputation above or below the knee, or both a left and right amputation above or below the knee before or during the measurement period.
Denominator Exceptions: None
Practice Fusion Workflow
Practice Fusion suggests the following workflow to help ensure that you are able to meet the requirements of this measure within the Practice Fusion EHR.
Ensure that patients age 18-75 years with diabetes have an appropriate diagnosis, with a start date, recorded in the medical record.
Examples of diabetes diagnosis codes that can be used for this measure can be found in Table 1.
Perform and/or record completion of a visual, pulse and sensory foot exam in the patient chart using the suggested workflow in Table 2.
Table 1: Examples of Coded Values that can be Recorded for CMS 123v5
Diabetes Diagnosis Codes*
Table 2: Practice Fusion Suggested Workflow for Recording a Foot Exam
Practice Fusion Suggested Workflow
Diabetic foot exam
This 2016 measure version has been updated from the previous 2015 version specifications, incorporating the following change:
Updated measure description to align with the NQF-endorsed description.
To be recognized for the denominator exclusion, the patient must have a qualifying diagnosis recorded in his or her chart. Examples of qualifying diagnoses can be found in Table 3 below.
To access a complete list of qualifying diagnosis codes, visit the United States Health Information Knowledgebase (USHIK). This site is produced by the Agency for Healthcare Research and Quality (AHRQ) in partnership with CMS and the National Library of Medicine (NLM). A free Unified Medical Language System® (UMLS) license, available from NLM, is required to access USHIK.
Table 3: Diagnosis Code Examples for CMS 123v5 Denominator Exclusions
Denominator Exclusion Criteria
Diagnosis Code Examples
Bilateral Amputation of Leg Below or Above Knee
Left Unilateral Amputation Above or Below Knee
Right Unilateral Amputation Above or Below Knee
Unilateral Amputation Below or Above Knee, Unspecified Laterality
- For more information on the CMS specifications for this measure, please click here.
- To learn more about MIPS quality measure reporting requirements for 2017, visit What are the Quality measure reporting requirements for MIPS?
- For additional information about quality measures, you may also visit the CQM Quality Payment Programs website and Practice Fusion’s Quality Payment Program Center.