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

CBE ID
0078
1.4 Project
Endorsement Status
1.1 New or Maintenance
Previous Endorsement Cycle
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
        • Steward
          Physician Consortium for Performance Improvement
          Steward Organization POC Email