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Appropriate Testing for Children with Pharyngitis

New or Maintenance
Endorsement and Maintenance (E&M) Cycle
Is Under Review
Measure Description

The percentage of children 2–18 years of age who were diagnosed with pharyngitis, dispensed an antibiotic and received a group A streptococcus (strep) test for the episode. A higher rate represents better performance (i.e., appropriate testing).

  • Measure Type
    Electronic Clinical Quality Measure (eCQM)
    Care Setting

    A group A streptococcus test (Group A Strep Tests Value Set) in the seven-day period from three days prior to the Index Episode Start Date (IESD) through three days after the IESD.

    Codes are detailed in the attached value set directory (VSD).


    Children age 2 years as of July 1 of the year prior to the measurement year to 18 years as of June 30 of measurement year who had an outpatient or ED visit with only a diagnosis of pharyngitis and were dispensed an antibiotic for the episode of care during the 6 months prior to through the 6 months after the beginning of the measurement year.


    1) Exclude encounters with more than one diagnosis and ED visits that result in an inpatient admission.
    2) Exclude episodes if the patient did not receive antibiotics on or within three days after the date of service.
    3) Exclude episodes where a new or refill prescription for an antibiotic medication (Table CWP-C) was filled 30 days prior to the date of service or which was active on the date of service.

    Testing Data Sources
  • Most Recent Endorsement Activity
    Measure Retired and Endorsement Removed EENT Endorsement Maintenance Project 2014
    Initial Endorsement
    Endorsement Status
    Last Updated
    Removal Date