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 ID NQF # Measure Type High Priority Measure? NQS Domain Data Submission Method(s)
048 0000 Process No Effective Clinical Care
Registry

Measure Description

Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months

Instructions

This measure is to be submitted a minimum of once per performance period for patients seen during the performance period. This measure is appropriate for use in the ambulatory setting only and is considered a general screening measure. There is no diagnosis associated with this measure. This measure may be submitted by eligible clinicians who perform the quality actions described in the measure based on the services provided and the measure-specific denominator coding.

NOTE: No note related

Measure Submission

The listed denominator criteria is used to identify the intended patient population. The numerator quality-data codes included in this specification are used to submit the quality actions allowed by the measure. All measure-specific coding should be submitted on the claim(s) representing the eligible encounter.

Numerator

Patients who were assessed for the presence or absence of urinary incontinence within 12 months

Definition

Urinary Incontinence – Any involuntary leakage of urine

Numerator Quality-Data Coding Options

Performance Met: CPT II 1090F:
Presence or Absence of Urinary Incontinence Assessed:

Presence or absence of urinary incontinence assessed

Denominator Exception: G9693:
Patient receiving Hospice Services, Patient Not Eligible:

Patient use of hospice services any time during the measurement period

Performance Not Met: 1090F with 8P:

Presence or Absence of Urinary Incontinence not Assessed, Reason not Otherwise Specified

Append a submission modifier (8P) to CPT Category II code 1090F to submit circumstances when the action described in the numerator is not performed and the reason is not otherwise specified.

Presence or absence of urinary incontinence not assessed, reason not otherwise specified

NUMERATOR NOTE No notes related

Denominator

All female patients aged 65 years and older with a visit during the measurement period

Option 1 – Denominator Criteria (Eligible Cases):

All female patients aged ≥ 65 years on date of encounter

AND

Patient encounter during the performance period (CPT or HCPCS): 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350, G0402


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