Measure 127: Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention – Evaluation of Footwear

This article is a guide for 1.0 measure reporting. For 2.0 measure reporting, click here.

Measure 127 is about preventing amputations for patients diagnosed with diabetes. Mechanical changes in the feet (e.g., bunions, hammertoes, etc.) combined with peripheral neuropathy increase the risk of skin breakdown. Shoes that do not fit properly (i.e., too tight OR too loose) or are worn out can contribute to this problem, a situation that is entirely preventable if addressed regularly by providers (like PTs) in contact with individuals with diabetes.

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Who can report this measure?

PTs can report this measure.

Patient Qualifications

  • Patient age (18 or older)
  • Visit type: Initial Evaluation or Re-Evaluation
  • A diagnosis code for diabetes is needed. This may seem like an obvious statement, but most measures that therapists are eligible to report on do not have a diagnosis code requirement.

When do I report on this measure?

During each eligible visit within the performance period for patients with a qualifying diagnosis (e.g., Diabetes Mellitus) and only when an eligible procedure code is billed. Evaluation frequency is decided by the Risk Profile determined during the examination, which is included in the Measure Specification Guide.

You must report Measure 127 any time an Eligible Procedure Code is billed: 

  • PT: 97161, 97162, 97163, 97164

Measure Requirements

In addition to performing the neurological evaluation described by Measure #126, you also should also:

  • Measure the feet using a standardized device.
  • Provide counseling on appropriate footwear based on the degree of risk for ulceration.
  • Document all of these actions and findings in your visit note.

Measure Specification

For more information on Measure 127, please see the Measure Specification Guide.

Measure Reporting in WebPT

  1. On the Objective tab, add the Footwear Evaluation test to satisfy measure requirements.
  2. In the Observation section, select the Yes radio button next to the Footwear Evaluation. Remember, providing counseling on the best footwear for the patient’s needs is a required part of this measure, so ensure that you select the Counseling provided checkbox.
  3. When finished documenting, validate the selection in the MIPS tab. The Performance Met code will automatically be selected for you if you’ve successfully completed the measure requirements.

MIPS Tab: Reporting Selections

In the MIPS tab, the system will automatically select the Performance Met measure code once the Footwear Evaluation radio button is set to Yes. Below, we’ve indicated which selections meet the performance expectations.

Selecting Footwear Evaluation Not Performed, Documentation that Patient is not Eligible will pre-populate the Comments section with the following text "Patient not an eligible candidate because of contraindications or other medical reason.”

Diagnoses that Trigger Reporting (ICD-10)

E10.10, E10.11, E10.21, E10.22, E10.29, E10.311, E10.319, E10.3211, E10.3212, E10.3213, E10.3219, E10.3291, E10.3292, E10.3293, E10.3299, E10.3311, E10.3312, E10.3313, E10.3319, E10.3391, E10.3392, E10.3393, E10.3399, E10.3411, E10.3412, E10.3413, E10.3419, E10.3491, E10.3492, E10.3493, E10.3499, E10.3511, E10.3512, E10.3513, E10.3519, E10.3521, E10.3522, E10.3523, E10.3529, E10.3531, E10.3532, E10.3533, E10.3539, E10.3541, E10.3542, E10.3543, E10.3549, E10.3551, E10.3552, E10.3553, E10.3559, E10.3591, E10.3592, E10.3593, E10.3599, E10.37X1, E10.37X2, E10.37X3, E10.37X9, E10.36, E10.39, E10.40, E10.41, E10.42, E10.43, E10.44, E10.49, E10.51, E10.52, E10.59, E10.610, E10.618, E10.620, E10.621, E10.622, E10.628, E10.630, E10.638, E10.641, E10.649, E10.65, E10.69, E10.8, E10.9, E11.00, E11.01, E11.10, E11.11, E11.21, E11.22, E11.29, E11.311, E11.319, E11.3211, E11.3212, E11.3213, E11.3219, E11.3291, E11.3292, E11.3293, E11.3299, E11.3311, E11.3312, E11.3313, E11.3319, E11.3391, E11.3392, E11.3393, E11.3399, E11.3411, E11.3412, E11.3413, E11.3419, E11.3491, E11.3492, E11.3493, E11.3499, E11.3511, E11.3512, E11.3513, E11.3519, E11.3521, E11.3522, E11.3523, E11.3529, E11.3531, E11.3532, E11.3533, E11.3539, E11.3541, E11.3542, E11.3543, E11.3549, E11.3551, E11.3552, E11.3553, E11.3559, E11.3591, E11.3592, E11.3593, E11.3599, E11.37X1, E11.37X2, E11.37X3, E11.37X9, E11.36, E11.39, E11.40, E11.41, E11.42, E11.43, E11.44, E11.49, E11.51, E11.52, E11.59, E11.610, E11.618, E11.620, E11.621, E11.622, E11.628, E11.630, E11.638, E11.641, E11.649, E11.65, E11.69, E11.8, E11.9, E13.00, E13.01, E13.10, E13.11, E13.21, E13.22, E13.29, E13.311, E13.319, E13.321, E13.3211, E13.3212, E13.3213, E13.3219, E13.3291, E13.3292, E13.3293, E13.3299, E13.3311, E13.3312, E13.3313, E13.3319, E13.3391, E13.3392, E13.3393, E13.3399, E13.3411, E13.3412, E13.3413, E13.3419, E13.3491, E13.3492, E13.3493, E13.3499, E13.3511, E13.3512, E13.3513, E13.3519, E13.3521, E13.3522, E13.3523, E13.3529, E13.3531, E13.3532, E13.3533, E13.3539, E13.3541, E13.3542, E13.3543, E13.3549, E13.3551, E13.3552, E13.3553, E13.3559, E13.3591, E13.3592, E13.3593, E13.3599, E13.37X1, E13.37X2, E13.37X3, E13.37X9, E13.36, E13.39, E13.40, E13.41, E13.42, E13.43, E13.44, E13.49, E13.51, E13.52, E13.59, E13.610, E13.618, E13.620, E13.621, E13.622, E13.628, E13.630, E13.638, E13.641, E13.649, E13.65, E13.69, E13.8, E13.9

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