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Patient(s) with hypertension that had a serum creatinine in last 12 reported months.

CBE ID
0605
Endorsement Status
1.1 New or Maintenance
Previous Endorsement Cycle
Is Under Review
No
1.3 Measure Description

This measure identifies patients with hypertension (HTN) that had a serum creatinine in last 12 reported months

        • 1.14 Numerator

          Was there a test for serum creatinine (code set PR0081, LC0033) during the following period: 12 month report period thru 90 days after the end of the report period?

        • 1.15 Denominator

          For condition confirmation, the following criteria must be met:
          1. All males or females that are 18 years or older at the end of the report
          2. Patient must have been continuously enrolled:
          Medical benefits throughout the 12 months prior to the end of the report period
          AND
          Pharmacy benefit plan for 6 months prior to the end of the report period
          Note: The standard enrollment break logic allows unlimited breaks of no more than 45 days and no breaks greater than 45 days.

          3. Either one of the following (A or B):
          A. The patient is listed on the Disease Registry. Input File for this condition, if a Disease Registry Input File is available. Note: Disease Registry is NOT a required Input File.
          OR
          B. During the 24 months prior to the end of the report period, patient has 1 or more of the following services or events, where the diagnosis is Hypertension (code set DX0071):
          Professional Encounter Code Set (code set PR0107, RV0107)
          Professional Supervision (code set PR0108)
          Facility Event – Confinement/Admission
          Facility Event – Emergency Room
          Facility Event – Outpatient Surgery

          Time Window: 24 months prior to the end of the report period

        • Exclusions

          End stage renal disease including dialysis - This exclusion criteria is applied if numerator compliance is not met.

        • Most Recent Endorsement Activity
          Measure Retired and Endorsement Removed National Voluntary Consensus Standards For Clinically Enriched Administrative Data
          Initial Endorsement
          Last Updated
          Removal Date