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

CBE ID
0605
Endorsed
Endorsement Status
1.1 New or Maintenance
E&M 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