New measure for 2021

Measure description

Members 18–85 years of age with diabetes (Type 1 and Type 2) who received a kidney health evaluation, defined by an estimated glomerular filtration rate (eGFR) and a urine albumin-creatinine ratio (uACR), during the measurement year.

CPT Codes that close the gaps

eGFR

80047, 80048, 80050, 80053, 80069, 82565

uACR

82043, 82570

Exclusions specific to this measure

Members with evidence of ESRD or dialysis any time during the member’s history on or prior to December 31 of the measurement year.

Members 81 year of age and older as of December 31 of the measurement year with frailty during the measurement year (cannot be impacted by supplemental data).

For a complete list of exclusions see the performance measures guide available in the Theon® welcome kit on Care Collaborator® or Care Optimizer®.