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Management plan for people with asthma

CBE ID
0025
Endorsed
Endorsement Status
1.1 New or Maintenance
E&M Cycle
Is Under Review
No
1.3 Measure Description

Percentage of patients for whom there is documentation that a written asthma management plan was provided either to the patient or the patient’s caregiver OR, at a minimum, specific written instructions on under what conditions the patient’s doctor should be contacted or the patient should go to the emergency room

        • 1.14 Numerator

          Patients for whom there is documentation, at any time during the abstraction period, that a written asthma management plan was provided either to the patient or the patient’s caregiver OR at a minimum, specific written instructions on under what conditions the patient’s doctor should be contacted or the patient should go to the emergency room:
          Inclusions: Copy of asthma management plan on record OR written note by provider documenting having given the patient/parent/caregiver written asthma management instructions. Instructions can include when to use PEFR or change medications in response to a change in patient symptoms &/or when to contact a physician &/or when to go directly to the emergency room.

        • 1.15 Denominator

          Patients who had at least two (2) separate Ambulatory visits to your practice site for asthma during the time period January through December.

          A visit is considered an asthma visit if, in any claims-diagnostic field, the patient has an ICD-9-CM diagnosis code of 493.xx (i.e., 493 alone or with any extension- the common code combinations are 493, 493.0, 493.1, 493.9, there may be a fifth digit which is either a 0 or 1- for example 493.90).
          If your claims/encounter system also uses CPT codes- acceptable CPT codes with these ICD-9-CM are listed below.

          Acceptable CPT codes with ICD 9 codes above include: 99201-99205; 99211-99215; 99241-99245; 99271-99275.

        • Most Recent Endorsement Activity
          Measure Retired and Endorsement Removed Pulmonary Endorsement Maintenance Project
          Initial Endorsement
          Last Updated
          Removal Date