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Back Pain: Initial Visit

CBE ID
0322
Endorsed
New or Maintenance
Endorsement and Maintenance (E&M) Cycle
Is Under Review
No
Measure Description

Percentage of patients at least 18 years of age and younger than 80 with a diagnosis of back pain who have medical record documentation of all of the following on the date of the initial visit to the physician:
1. Pain assessment
2. Functional status
3. Patient history, including notation of presence or absence of “red flags”
4. Assessment of prior treatment and response, and
5. Employment status

  • Measure Type
    Electronic Clinical Quality Measure (eCQM)
    Care Setting
    Numerator

    Patients with a diagnosis of back pain who have medical record documentation of all of the following on the date of the initial visit to the physician.

    FACTOR 1: PAIN ASSESSMENT
    The number of patients with documentation of assessment of pain on the date of the initial visit with the physician.

    FACTOR 2: FUNCTIONAL STATUS
    The number of patients with documentation of assessment of functional status on the date of the initial visit with the physician.

    FACTOR 3: PATIENT HISTORY
    The number of patients with documentation of a patient history that notes absence or presence of “red flags” as listed below on the date of the initial visit with the physician.

    FACTOR 4: ASSESSMENT OF PRIOR TREATMENT AND RESPONSE
    The number of patients with documentation of assessment of their previous history of back pain treatment and response, if applicable, on the date of the initial visit with the physician.

    FACTOR 5: EMPLOYMENT STATUS
    The number of patients with assessment of employment status on the date of the initial visit with the physician.

    Denominator

    NCQA Back Pain Recognition Program: Total patient sample from at least 18 years of age and younger than 80.

    PQRI Denominator: Patients 18 through 79 years with a diagnosis of back pain or undergoing back surgery

    Exclusions

    N/A

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