Percentage of patient visits or patients with HF with assessment of clinical symptoms of volume overload (excess).
Measure Specs
General Information
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)
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
Public Comments