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 ID NQF # Measure Type High Priority Measure? NQS Domain Data Submission Method(s)
347 1534 Outcome Yes Patient Safety Registry

Measure Description

Percent of patients undergoing endovascular repair of small or moderate non-ruptured infrarenal abdominal aortic aneurysms (AAA) who are discharged alive

Instructions

This measure is to be submitted each time an EVAR is performed during the performance period. It is anticipated that eligible clinicians who provide services of EVAR, 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 discharged alive following endovascular AAA repair

Definition

No Data

Numerator Quality-Data Coding Options

Performance Met:

Documentation of patient discharged alive following endovascular AAA repair (G9263)

Denominator Exception:

No data

Performance Not Met:

Documentation of patient death in the hospital following endovascular AAA repair (G9262)

 

 

NUMERATOR NOTE:  No notes

Denominator

Patients aged 18 and older with infrarenal non-ruptured endovascular AAA repairs

 

Option 1Physical Therapy Denominator Criteria (Eligible Cases):

Patients aged 18 and older

AND

Diagnosis for infrarenal non-ruptured AAA (ICD-10-CM): I71.4

AND

Patient procedure during performance period (CPT): 34701, 34703, 34705

AND NOT
DENOMINATOR EXCLUSIONS:
For women:
Aortic aneurysm 5.5 – 5.9 cm maximum diameter on centerline formatted CT or minor diameter on
axial formatted CT: 9003F

OR

Aortic aneurysm 6.0 cm or greater maximum diameter on centerline formatted CT or minor diameter
on axial formatted CT: 9004F

OR

For men:
Aortic aneurysm 6.0 cm or greater maximum diameter on centerline formatted CT or minor diameter
on axial formatted CT: 9004F

 

 

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