The percentage of patients with a primary diagnosis of low back pain who did not have an imaging study (plain X-ray, MRI, CT scan) within 28 days of diagnosis.
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1.5 Measure Type1.7 Electronic Clinical Quality Measure (eCQM)1.8 Level Of Analysis1.9 Care Setting1.20 Testing Data Sources
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1.14 Numerator
Patients who received an imaging study (x-ray, CT, MRI) within the 28 days following a diagnosis of low back pain.
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1.15 Denominator
All patients 18 years as of January 1 of the measurement year to 50 years as of December 31 of the measurement year with a claim/encounter for an outpatient, observation, emergency department, physical therapy, or telehealth visit, or osteopathic or chiropractic manipulative treatment, with a principal diagnosis of low back pain during the Intake Period (January 1 – December 3 of the measurement year).
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Exclusions
Because the intent of the measure is to assess imaging for patients with a new episode of low back pain, exclude patients with a recent diagnosis of low back pain.
Also, exclude any patient who had a diagnosis for which imaging is clinically appropriate. Any of the following meet criteria:
(1) Cancer
(2) Trauma
(3) Recent IV drug abuse
(4) Neurologic impairment
(5) HIV
(6) Spinal infection
(7) Major organ transplant
(8) Prolonged use of corticosteroids
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Most Recent Endorsement ActivityMeasure Retired and Endorsement Removed 2016-2017 Off-Cycle Activities: Measure ReviewInitial EndorsementLast UpdatedRemoval Date
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Steward Organization EmailSteward Organization Copyright
© [2005] by the National Committee for Quality Assurance
1100 13th Street, NW, Suite 1000
Washington, DC 20005
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Risk Adjustment
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6.1.2 Current or Planned Use(s)
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