CBE ID
0470
1.4 Project
Endorsement Status
1.1 New or Maintenance
Previous Endorsement Cycle
Is Under Review
No
Next Maintenance Cycle
Perinatal and Women's Health Fall 2024
1.3 Measure Description
Percentage of vaginal deliveries (excluding those coded with shoulder dystocia) during which an episiotomy is performed.
-
-
1.5 Measure Type1.7 Electronic Clinical Quality Measure (eCQM)1.8 Level Of Analysis1.9 Care Setting1.20 Testing Data Sources
-
1.14 Numerator
Number of episiotomy procedures (ICD-9 code 72.1, 72.21, 72.31, 72.71, 73.6; ICD-10 PCS:0W8NXZZ performed on women undergoing a vaginal delivery (excluding those with shoulder dystocia ICD-10; O66.0) during the analytic period- monthly,quarterly, yearly etc.
-
1.15 Denominator
All vaginal deliveries during the analytic period- monthly, quarterly, yearly etc. excluding those coded with a shoulder dystocia ICD-10: O66.0).
-
Exclusions
Women who have a coded complication of shoulder dystocia. In the case of shoulder dystocia, an episiotomy is performed to free the shoulder and prevent/mitigate birth injury to the infant.
-
Most Recent Endorsement ActivityEndorsed Perinatal and Women's Health Fall Cycle 2020Initial EndorsementLast Updated
-
StewardChristiana Care Health SystemSteward Organization POC Email
-
-
-
Risk Adjustment
-
-
-
6.1.2 Current or Planned Use(s)6.1.3 Current Use(s)
-