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Heart Failure (HF) : Assessment of Clinical Symptoms of Volume Overload (Excess)

CBE ID
0078
1.4 Project
Cardiovascular
Endorsed
Endorsement Status
Endorsement Removed
1.1 New or Maintenance
Maintenance
E&M Cycle
Full Year 2013
Is Under Review
No
1.3 Measure Description

Percentage of patient visits or patients with HF with assessment of clinical symptoms of volume overload (excess).

    • 1.14 Numerator

      Patient visits with assessment of clinical symptoms of volume overload (excess) or documentation of standardized scale or completion of assessment tool*

      Medical record must include:
      Assessment for the absence or presence of symptoms of volume overload – Dyspnea or orthopnea;
      or
      Documentation of standardized scale or completion of assessment tool
      or
      CPT-II code: 1004F Clinical symptoms of volume overload (excess) assessed

      *Standardized scale or assessment tools may include the New York Heart Association Functional Classification of Congestive Heart Failure (level of activity only); Kansas City Cardiomyopathy Questionnaire; Minnesota Living with Heart Failure™ Questionnaire; or Chronic Heart Failure Questionnaire (Guyatt)

    • 1.15 Denominator

      All patient visits for patients aged > 18 years with HF

      Patient Selection:
      ICD-9-CM codes for HF: 402.01, 402.11, 402.91, 404.01, 404.03, 404.11, 404.13, 404.91, 404.93, 428.0, 428.1, 428.20-428.23, 428.30-428.33, 428.40-428.43, 428.9
      And
      CPT codes for patient visit: 99201-99205, 99212-99215, 99241-99245, 99354, 99355, 99385-99387, 99395-99397, 99401-99404
      And
      Patient’s age is > 18 years

    • Most Recent Endorsement Activity
      Measure Retired and Endorsement Removed Cardiovascular Project 2013-2014
      Initial Endorsement
      Last Updated
      Removal Date