Download Diagnostic Radiology Measure Specifications Measure Number Title

Diagnostic Radiology Measure Specifications
Measure
Number
145
Title
Radiology: Exposure Dose or
Time Reported for Procedures
Using Fluoroscopy
Claims Spec | Registry Spec
Description
Percentage of final reports for procedures
using fluoroscopy that document radiation
exposure indices, or exposure time AND
number of fluorographic images (if
radiation exposure indices are not
available)
Code Changes/Notes
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146
Radiology: Inappropriate Use of
“Probably Benign” Assessment
Category in Mammography
Screening
Claims Spec | Registry Spec
Percentage of final reports for screening
mammograms that are classified as
“probably benign”
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Updated Title, Denominator Note, Numerator Definition
(Radiation exposure indices), Numerator Option (G9500,
G9501), Clinical Recommendation Statements
Added Denominator Coding, CPT 22526, 36901, 36902,
36903, 36904, 36905, 36906, 37216, 37246, 37247,
37248, 37249, 61640, 62303, G0122, Numerator Note
Deleted Denominator Coding, CPT 22510, 22511, 22513,
22514, 36147, 74250, 75791, 75962, 75966, 75978
Updated Numerator Instructions
Added Denominator Coding, CPT 77067
Deleted Denominator Coding, CPT 77057, HCPCS G0202,
Numerator Option Instructions
Update 12/15/2016 Version 1.1: Added Denominator
Coding, HCPCS G0202, Denominator Note, Asterisk
(77067)
195
Radiology: Stenosis
Measurement in Carotid Imaging
Reports
Claims Spec | Registry Spec
225
Radiology: Reminder System for
Mammograms
Claims Spec | Registry Spec
265
Biopsy Follow-Up
Registry Spec
322
Cardiac Stress Imaging Not
Meeting Appropriate Use
Criteria: Preoperative Evaluation
in Low Risk Surgery Patients
Registry Spec
Percentage of final reports for carotid
imaging studies (neck magnetic resonance
angiography [MRA], neck computed
tomography angiography [CTA], neck
duplex ultrasound, carotid angiogram)
performed that include direct or indirect
reference to measurements of distal
internal carotid diameter as the
denominator for stenosis measurement
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Updated Numerator Instructions
Added Denominator Note, Denominator Coding, CPT
36221, 36223, 36224, 37215, 37216, 37217, 37218
Percentage of patients undergoing a
screening mammogram whose information
is entered into a reminder system with a
target due date for the next mammogram
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Percentage of new patients whose biopsy
results have been reviewed and
communicated to the primary
care/referring physician and patient by the
performing physician
Added Denominator Coding, CPT 77067
Deleted Denominator Coding, CPT 77057, G0202
Update 12/15/2016 Version 1.1: Added Denominator
Coding, HCPCS G0202, Denominator Note, Asterisk
(77067)
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Added Denominator Criteria (Telehealth Modifier
Exclusion)
Percentage of stress single-photon emission
computed tomography (SPECT) myocardial
perfusion imaging (MPI), stress
echocardiogram (ECHO), cardiac computed
tomography angiography (CCTA), or cardiac
magnetic resonance (CMR) performed in
low risk surgery patients 18 years or older
for preoperative evaluation during the 12-
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Updated Instructions
month reporting period
323
Cardiac Stress Imaging Not
Meeting Appropriate Use
Criteria: Routine Testing After
Percutaneous Coronary
Intervention (PCI)
Registry Spec
324
Cardiac Stress Imaging Not
Meeting Appropriate Use
Criteria: Testing in
Asymptomatic, Low-Risk Patients
Registry Spec
359
Optimizing Patient Exposure to
Ionizing Radiation: Utilization of
a Standardized Nomenclature for
Computed Tomography (CT)
Imaging Description
Registry Spec
Percentage of all stress single-photon
emission computed tomography (SPECT)
myocardial perfusion imaging (MPI), stress
echocardiogram (ECHO), cardiac computed
tomography angiography (CCTA), and
cardiovascular magnetic resonance (CMR)
performed in patients aged 18 years and
older routinely after percutaneous coronary
intervention (PCI), with reference to timing
of test after PCI and symptom status
Percentage of all stress single-photon
emission computed tomography (SPECT)
myocardial perfusion imaging (MPI), stress
echocardiogram (ECHO), cardiac computed
tomography angiography (CCTA), and
cardiovascular magnetic resonance (CMR)
performed in asymptomatic, low coronary
heart disease (CHD) risk patients 18 years
and older for initial detection and risk
assessment
Percentage of computed tomography (CT)
imaging reports for all patients, regardless
of age, with the imaging study named
according to a standardized nomenclature
and the standardized nomenclature is used
in institution’s computer systems
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Updated Instructions
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Updated Instructions
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Added Individual Registry Reporting Option,
Denominator Coding, CPT 74263, Numerator Note
Update 12/15/2016 Version 1.1: Added Denominator
Note, Asterisk (74263)
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360
Optimizing Patient Exposure to
Ionizing Radiation: Count of
Potential High Dose Radiation
Imaging Studies: Computed
Tomography (CT) and Cardiac
Nuclear Medicine Studies
Registry Spec
361
Optimizing Patient Exposure to
Ionizing Radiation: Reporting to a
Radiation Dose Index Registry
Registry Spec
362
Optimizing Patient Exposure to
Ionizing Radiation: Computed
Tomography (CT) Images
Available for Patient Follow-up
and Comparison
Registry Spec
363
Optimizing Patient Exposure to
Ionizing Radiation: Search for
Prior Computed Tomography (CT)
Studies Through a Secure,
Authorized, Media-Free, Shared
Archive
Registry Spec
Percentage of computed tomography (CT)
and cardiac nuclear medicine (myocardial
perfusion studies) imaging reports for all
patients, regardless of age, that document a
count of known previous CT (any type of CT)
and cardiac nuclear medicine (myocardial
perfusion) studies that the patient has
received in the 12-month period prior to
the current study
Percentage of total computed tomography
(CT) studies performed for all patients,
regardless of age, that are reported to a
radiation dose index registry AND that
include at a minimum selected data
elements
Percentage of final reports for computed
tomography (CT) studies performed for all
patients, regardless of age, which document
that Digital Imaging and Communications in
Medicine (DICOM) format image data are
available to non-affiliated external
healthcare facilities or entities on a secure,
media free, reciprocally searchable basis
with patient authorization for at least a 12month period after the study
Percentage of final reports of computed
tomography (CT) studies performed for all
patients, regardless of age, which document
that a search for Digital Imaging and
Communications in Medicine (DICOM)
format images was conducted for prior
patient CT imaging studies completed at
non-affiliated external healthcare facilities
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Added Individual Registry Reporting Option,
Denominator Coding, CPT 74263, 78451, 78452, 78453,
78454, 78491, 78492
Update 12/15/2016 Version 1.1: Added Denominator
Note, Asterisk (74263)
Updated Description, Numerator Option (G9327, G9326)
Added Individual Registry Reporting Option,
Denominator Coding, CPT 74263
Deleted Numerator Option (G9324)
Update 12/15/2016 Version 1.1: Added Denominator
Note, Asterisk (74263)
Updated Instructions
Added Individual Registry Reporting Option,
Denominator Coding, CPT 74263
Update 12/15/2016 Version 1.1: Added Denominator
Note, Asterisk (74263)
Updated Instructions
Added Individual Registry Reporting Option,
Denominator Coding, CPT 74263, Numerator Option
(G9753)
Update 12/15/2016 Version 1.1: Added Denominator
Note, Asterisk (74263)
364
Optimizing Patient Exposure to
Ionizing Radiation:
Appropriateness: Follow-up CT
Imaging for Incidentally Detected
Pulmonary Nodules According to
Recommended Guidelines
Registry Spec
405
Appropriate Follow-up Imaging
for Incidental Abdominal Lesions
Claims Spec | Registry Spec
406
Appropriate Follow-up Imaging
for Incidental Thyroid Nodules in
Patients
Claims Spec | Registry Spec
436
Radiation Consideration for Adult
CT: Utilization of Dose Lowering
or entities within the past 12-months and
are available through a secure, authorized,
media free, shared archive prior to an
imaging study being performed
Percentage of final reports for computed
tomography (CT) imaging studies of the
thorax for patients aged 18 years and older
with documented follow-up
recommendations for incidentally detected
pulmonary nodules (e.g., follow-up CT
imaging studies needed or that no followup is needed) based at a minimum on
nodule size AND patient risk factors
Percentage of final reports for abdominal
imaging studies for asymptomatic patients
aged 18 years and older with one or more
of the following noted incidentally with
follow‐up imaging recommended:
• Liver lesion ≤ 0.5 cm
• Cystic kidney lesion < 1.0 cm
• Adrenal lesion ≤ 1.0 cm
Percentage of final reports for computed
tomography (CT), CT angiography (CTA) or
magnetic resonance imaging (MRI) or
magnetic resonance angiogram (MRA)
studies of the chest or neck or ultrasound of
the neck for patients aged 18 years and
older with no known thyroid disease with a
thyroid nodule < 1.0 cm noted incidentally
with follow-up imaging recommended
Percentage of final reports for patients
aged 18 years and older undergoing CT with
documentation that one or more of the
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Updated Instructions
Added Individual Registry Reporting Option,
Denominator Criteria (G9754), Numerator Option
(G9755)
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Updated Instructions, Denominator Note (Registry),
Numerator Note (Claims), Numerator Option (G9547,
G9551, G9549)
Adjusted Measure Analytics Specific to the Registry
Reporting Option (G9547, G9551)
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Updated Description, Denominator Statement,
Numerator Statement, Numerator Option (G9554,
G9555, G9556, G9557) Denominator Note (Registry)
Added Denominator Coding, CPT 71275, 71555, 93886,
93888, Numerator Note (Claims)
Deleted Denominator Coding, CPT 76536
Adjusted Measure Analytics Specific to the Registry
Reporting Option (G9552, G9557)
Added Denominator Note, Denominator Coding, CPT
74263, HCPCS G0297, Numerator Note
Techniques
Claims Spec | Registry Spec
following dose reduction techniques were
used:
• Automated exposure control
• Adjustment of the mA and/or kV
according to patient size
• Use of iterative reconstruction
technique