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 ID NQF # Measure Type High Priority Measure? NQS Domain Data Submission Method(s)
345 1543 Outcome Yes Effective Clinical Care Registry

Measure Description

Percent of asymptomatic patients undergoing CAS who are stroke free while in the hospital or discharged alive following surgery

Instructions

This measure is to be submitted each time a CAS is performed during the performance period. It is anticipated that eligible clinicians who provide services of CAS, as described in the measure, based on the services provided and the measure-specific denominator coding will submit 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 data related

Measure Submission

The listed denominator criteria is used to identify the intended patient population. The numerator options included in this specification are used to submit the quality actions allowed by the measure. The quality-data codes listed do not need to be submitted for registry-based submissions; however, these codes may be submitted for those registries that utilize claims data.

Numerator

Patients who are stroke free or in the hospital or discharged alive following CAS

Definition

No Data

Numerator Quality-Data Coding Options

Performance Met:

Documentation of patient survival and absence of stroke following CAS (G9259)

Denominator Exception:

No data

Performance Not Met:

Documentation of patient stroke following CAS (G9257)

OR

Documentation of patient death following CAS (G9256)

 

NUMERATOR NOTE:  No notes

Denominator

Patients aged 18 and older who are asymptomatic undergoing CAS

Option 1Physical Therapy Denominator Criteria (Eligible Cases):

Patients aged 18 and older

AND

Patient procedure during performance period (CPT): 37215, 37216

AND NOT
DENOMINATOR EXCLUSIONS:
Symptomatic carotid stenosis: Ipsilateral carotid territory TIA or stroke less than 120 days prior to procedure:
9006F

OR
Other carotid stenosis: Ipsilateral TIA or stroke 120 days or greater prior to procedure or any prior contralateral carotid territory or vertebrobasilar TIA or stroke:
9007F

 

 

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