january 2014

Quality Measures for Cataract Procedures

Three new Quality Measures were added to the Ambulatory Surgical Center Quality Reporting Program (ASCQR) for 2014.  Two of these measures focus on colonoscopy procedures but the measure I want to discuss is called ASC-11 which relates to cataract procedures. The Particulars:
  • The data related to these measures will be reported in 2015.
  • The data collection period starts on Apr. 1, 2014 and   runs through Dec. 31, 2014 CMS has delayed. datacollection for the first quarter of 2014).
  • For ASC’s that perform 0-900 cataract procedures the sample size will be 63 patients.
  • For ASC’s that perform 901 or more cataract procedures the sample size will be 96 patients.

Denominator “the patient population being evaluated”:  ASC-11 - All patients aged 18 years and older who had cataract surgery and completed BOTH a   pre-operative and post-operative visual function instrument


  • Patients 18 years and older
  • CPT codes - 66840, 66850, 66852, 66920, 66930, 66940, 66982, 66983, 66984
Exclusions:  (Exclude patients that did not complete BOTH a pre- and post-op survey)
  • Patients who did not complete BOTH a pre-operative and post-operative survey
Numerator“the patient population experiencing the outcome or process of care being measured”: Patients who had improvement in visual function achieved within 90 days following cataract surgery, based on completing BOTH a pre-operative and post-operative visual function instrument. What is a “visual function instrument”? Examples of tools for visual function assessment include, but are not limited to:
  • National Eye Institute-Visual Function Questionnaire
  • Visual Function (VF)-14
  • The modified VF-8
  • The Activities of Daily Vision Scale (ADVS)
  • The Catquest
  • The modified Catquest-9.
  • The same data collection instrument used pre-operatively should be used post-operatively.
  • The surveys can be completed by phone, mail, or email during physician follow-up.
  • The ASC will be required to obtain the assessment outcome from the operating physician’s office.





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