Skip to main content

Percutaneous Coronary Intervention (PCI): Comprehensive Documentation of Indications for PCI

CBE ID
2411
1.4 Project
Endorsed
Endorsement Status
1.1 New or Maintenance
E&M Cycle
Is Under Review
No
1.3 Measure Description

Percentage of patients, aged 18 years and older, for whom percutaneous coronary intervention (PCI) is performed with comprehensive documentation for the procedure that includes, at a minimum, the following elements: priority (acute coronary syndrome, urgent, elective, emergency/salvage); presence and severity of angina symptoms; use of antianginal medical therapies within two weeks prior to the procedure, if any; presence, results, and timing of non-invasive stress test, fractional flow reserve (FFR), or intravascular ultrasound (IVUS), if performed; and significance of angiographic stenosis (may be quantitative or qualitative) on coronary angiography for treated lesion.

        • 1.14 Numerator

          Patients with comprehensive documentation for the procedure that includes, at a minimum, the following elements:
          - Priority: acute coronary syndrome, urgent, elective, emergency/salvage
          - Presence and severity of angina symptoms [eg, Canadian Cardiovascular Society Classification (CCS) system]
          - Use of antianginal medical therapies within two weeks prior to the procedure, if any
          - Presence, results, and timing of non-invasive stress test FFR or IVUS, if performed
          - Significance of angiographic stenosis (may be quantitative or qualitative) on coronary angiography for treated lesion

        • 1.15 Denominator

          All patients aged 18 years and older for whom PCI is performed

        • Exclusions

          None

        • Most Recent Endorsement Activity
          Measure Retired and Endorsement Removed Cardiovascular Spring Cycle 2018
          Initial Endorsement
          Last Updated
          Removal Date
        • Steward Organization Email
          Steward Organization Copyright

          Physician performance measures and related data specifications were developed by the American Medical Association (AMA) convened Physician Consortium for Performance Improvement® (PCPI®), the American College of Cardiology (ACC), the American Heart Association (AHA) and the National Committee for Quality Assurance (NCQA) to facilitate quality improvement activities by physicians. These performance measures are not clinical guidelines and do not establish a standard of medical care, and have not been tested for all potential applications. While copyrighted, they can be reproduced and distributed, without modification, for noncommercial purposes, e.g., use by health care providers in connection with their practices. Commercial use is defined as the sale, license, or distribution of the performance measures for commercial gain, or incorporation of the performance measures into a product or service that is sold, licensed or distributed for commercial gain. Commercial uses of the measures require a license agreement between the user and the AMA (on behalf of the PCPI), or the ACC, or the AHA or the NCQA. Neither the AMA, ACC, AHA, NCQA, the PCPI nor its members shall be responsible for any use of these measures.

          THE MEASURES AND SPECIFICATIONS ARE PROVIDED “AS IS” WITHOUT WARRANTY OF ANY KIND.

          © 2013 American College of Cardiology, American Heart Association, American Medical Association and National Committee for Quality Assurance. All Rights Reserved.

          Limited proprietary coding is contained in the measures specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of the code sets. The AMA, the ACC, the AHA, the NCQA, the PCPI and its members disclaim all liability for use or accuracy of any Current Procedural Terminology (CPT®) or other coding contained in the specifications.

          CPT® contained in the measures specifications is copyright 2004-2012 American Medical Association. LOINC® copyright 2004-2012 Regenstrief Institute, Inc. This material contains SNOMED CLINICAL TERMS (SNOMED CT®) copyright 2004-2012 International Health Terminology Standards Development Organisation. All Rights Reserved.