eCQM: Chlamydia Screening for Women (CMS 153v5)


Chlamydia Screening for Women


CMS 153v5

NQF Number:


NQS Domain:

Community/Population Health

Measure Type:


MIPS High Priority Measure:


Eligible for Quality Programs:

  • Merit-Based Incentive Payment System (MIPS)
  • Medicaid EHR Incentive Program (Meaningful Use)


Percentage of women 16-24 years of age who were identified as sexually active and who had at least one test for chlamydia during the measurement period.

  • Numerator: Women with at least one chlamydia test during the measurement period.
  • Denominator: Women 16 to 20 and 20 to 24 years of age who are sexually active and who had an eligible visit (defined as chart notes with one of the following encounter types: Office Visit, Nursing Home Visit, Nurse Visit or Home Visit) during the measurement period.
    • Denominator Exclusions: Women who are only eligible for the initial population due to a pregnancy test and who had an x-ray or an order for a specified medication within 7 days of the pregnancy test.

    • Denominator Exceptions: None

Performance Benchmark for MIPS: 61.54%
For further benchmarks and details on how this measure will be scored within the Quality performance category of MIPS, please click

Practice Fusion Suggested 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.

  1. For all visits with female patients age 16-24 years of age, determine if she is sexually active as defined by the measure and ensure the correct data identifying her as such is entered in the medical record.

    1. Examples of diagnosis codes and lab tests that identify sexually active patients can be found in Table 1.

  2. For female patients who are deemed to be sexually active as defined by the measure, ensure that she has received a chlamydia test during the measurement period or ensure that a chlamydia test is completed.

  3. Once the chlamydia test is completed, receive or record structured lab results for Pap Smear or Chlamydia Screening tests in the Practice Fusion EHR.

    1. Pap Smear and Chlamydia Screening Test codes that will be included in this measure when manually recording structured lab results in the Practice Fusion EHR or when receiving structured lab results from connected labs can be found in Table 1.

Table 1: Examples of Coded Values that can be recorded for CMS 153v5

Data Type

Example Codes

Diagnosis Codes that identify Sexually Active Patients

  • Z34.92 (ICD-10)
  • A60.03 (ICD-10)
  • A54.24 (ICD-10)
  • B20 (ICD-10)
  • A56.02 (ICD-10)
  • A63.0 (ICD-10)

Lab Tests that identify Sexually Active Patients

  • Treponema pallidum IgM Ab [Presence] in Serum by Immunofluorescence (LOINC 17729-5)
  • Reagin Ab [Presence] in Serum by RPR (LOINC 20507-0)

Procedures that identify Sexually Active Patients

  • Insertion of subcutaneous contraceptive (procedure)
  • Fitting of cervical cap (procedure)

Medication Orders that identify Sexually Active Patients

  • Ethinyl Estradiol 0.01 MG Oral Tablet (RXNORM 248310)
  • Levonorgestrel 0.00354 MG/HR Drug Implant (RXNORM 1366343)

Pap Smear Test Codes

  • Microscopic observation [Identifier] in Cervix by Cyto stain (LOINC 10524-7)
  • General categories [Interpretation] of Cervical or vaginal smear or scraping by Cyto stain (LOINC 19762-4)

Chlamydia Screening Test Codes

  • Chlamydia trachomatis [Presence] in Unspecified specimen by Organism specific culture (LOINC 6349-5)
  • Chlamydia trachomatis rRNA [Presence] in Cervix by Probe and target amplification method (LOINC 50387-0)
To access a complete list of the qualifying data for this measure, 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.

Additional Measure Information

  • This 2016 measure version has been updated from the previous 2015 version specifications, incorporating the following change:

    • Clarified the description of the denominator exclusions.

    • Added a sentence in the guidance to clarify who was eligible for the denominator  exclusion.

    • Added logic to match the guidance for the denominator exclusion.

  • To be recognized for the denominator exclusion, the patient must have the appropriate diagnosis code, X-ray, or medication order recorded in her chart. Women who receive a pregnancy test solely as a safety precaution before ordering an X-ray or specified medications are also excluded from this measure. Please ensure that the pregnancy test and the associated x-ray are recorded in the patient chart if a patient should be excluded.

    • Please note that the denominator exclusion does not apply to patients who qualify for the denominator based on services other than the pregnancy test alone. These other services include services for sexually transmitted infections, contraceptives or contraceptive devices and infertility treatments.

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