Percentage of patient visits during which either systolic blood pressure >= 140 mm Hg or diastolic blood pressure >= 90 mm Hg, with documented plan of care for hypertension.
Measure Specs
General Information
Numerator
Patient visits with a documented plan of care for hypertension.
Plan of care should include one or more of the following: recheck blood pressure at specified future date, initiate or alter antihypertensive pharmacological therapy, and/or initiate or alter non-pharmacologic therapy. Non pharmacological therapy may include weight reduction, decreased sodium and alcohol intake, and exercise.
Denominator
All visits for patients > 18 years of age with diagnosed hypertension during which either systolic blood pressure > 140 mm Hg or diastolic blood pressure > 90 mm Hg.
Patient Selection:
ICD-9-CM codes for Hypertension: 401.0, 401.1, 401.9, 402.xx, 403.xx, 404.xx
And
CPT office or other outpatient service codes: 99201-99205, 99212-99215, 99241-99245, 99354, 99355, 99385-99387, 99395-99397, 99401-99404
And
Additional individual medical record review must be completed to identify patient visits with a systolic blood pressure = 140 mm Hg or a diastolic blood pressure = 90 mm Hg
And
Patient’s age is > 18 years.
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