When we’re reviewing your clinicians’ data, it may be helpful to know what we are looking for in order for us to verify to CMS that your data is accurate and complete. Measure 126 requires documentation that a patient with a diagnosis of diabetes mellitus received a lower extremity neurological exam during the performance period.
This documentation may be found in the patient’s medical record. The relevant document should be made available to the auditor for the patient requested.
What are you looking for?
This measure requires an evaluation of the motor and sensory abilities in a patient’s lower extremities. The evaluation should include:
- 10-g Monofilament
- Any one of the following:
- Vibration using 128-Hz Tuning Fork
- Pinprick Sensation
- Ankle Reflexes
- Vibration Perception Threshold
How this is documented in the medical record will depend on practice policies and the individual clinician. If reporting this measure ensure that documentation of the exam is included in the record with at least a notation of “Lower extremity neurological exam for peripheral neuropathy”.