Percentage of final reports for all patients, regardless of age, undergoing bone scintigraphy that include physician
documentation of correlation with existing relevant imaging studies (e.g., x-ray, MRI, CT, etc.) that were performed
This measure is to be submitted each time bone scintigraphy is performed during the performance period. There is no diagnosis associated with this measure. It is anticipated eligible clinicians who perform the professional component of the bone scintigraphy study will submit this measure.
NOTE: No notes for this Quality ID
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.
Final reports that include physician documentation of correlation with existing relevant imaging studies (e.g., x-ray, MRI, CT, etc.)
Data not available
Numerator Quality-Data Coding Options
Denominator Exception: 3570F with 3P:
Bone Scintigraphy Report not Correlated for System Reasons
Append a submission modifier (3P) to CPT Category II code 3570F to submit documented circumstances that appropriately exclude patients from the denominator.
Documentation of system reason(s) for not documenting correlation with existing relevant imaging studies in final report (e.g.,no existing relevant imaging study available, patient did not have a previous relevant imaging study)
Note: Correlative studies are considered to be unavailable if relevant studies (reports and/or actual examination material) from other imaging modalities exist but could not be obtained after reasonable efforts to retrieve the studies are made by the interpreting physician prior to the finalization of the bone scintigraphy report.
Performance Met: CPT II 3570F:
Bone Scintigraphy Report Correlated with Existing Studies
Final report for bone scintigraphy study includes correlation with existing relevant imaging studies (e.g., x- ray, MRI, CT) corresponding to the same anatomical region in question
Performance Not Met: 3570F with 8P:
Bone Scintigraphy Report not Correlated, Reason not Otherwise Specified
Append a submission modifier (8P) to CPT Category II code 3570F to submit circumstances when the action described in the numerator is not performed and the reason is not otherwise specified.
Bone scintigraphy report not correlated in the final report with existing relevant imaging studies, reason not otherwise specified
Data not available
All final reports for patients, regardless of age, undergoing bone scintigraphy
Eligible cases are determined and must be reported, if either of the following conditions
Option 1 – Denominator Criteria (Eligible Cases):
Patient encounter during the performance period (CPT): 78300, 78305, 78306, 78315, 78320