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Laboratory Investigation for Secondary Causes of Fracture

CBE ID
2416
Endorsed
Endorsement Status
1.1 New or Maintenance
E&M Cycle
Is Under Review
No
1.3 Measure Description

Percentage of patients age 50 and over with fragility fracture who have had appropriate laboratory investigation for secondary causes of fracture ordered or performed prior to discharge from inpatient status.

        • 1.14 Numerator

          Patients who have all the specified laboratory tests ordered or performed prior to discharge:

          1. Complete blood cell count (CBC)
          2. Kidney function test
          3. Liver function test
          4. Serum calcium
          5. 25(OH) Vitamin D level OR Oral Administration of Vitamin D

        • 1.15 Denominator

          Patients age 50 and over discharged from inpatient status with an ICD-10-CM Principal or Other Diagnosis Code of selected fractures as defined in Table 3.1 Vertebral Fracture, Table 4.1 Hip Fracture, or Table 5.1 Other Fracture

        • Exclusions

          Exclusions are those patients with:
          • Age less than 50 years
          • “Comfort Measures Only” documented
          • Enrollment in a clinical trial pertaining to osteoporosis
          • Laboratory testing performed in the prior 12 months
          • Expired

        • Most Recent Endorsement Activity
          Measure Retired and Endorsement Removed Primary Care and Chronic Illness Fall Cycle 2017
          Initial Endorsement
          Last Updated
          Removal Date