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One-Time Screening for Hepatitis C Virus (HCV) for Patients at Risk

CBE ID
3059e
Endorsement Status
1.1 New or Maintenance
Previous Endorsement Cycle
Is Under Review
No
Next Maintenance Cycle
Fall 2025
1.3 Measure Description

Percentage of patients aged 18 years and older with one or more of the following: a history of injection drug use, receipt of a blood transfusion prior to 1992, receiving maintenance hemodialysis, OR birthdate in the years 1945–1965 who received one-time screening for hepatitis C virus (HCV) infection

        • 1.14 Numerator

          Patients who received one-time screening for HCV infection

        • 1.15 Denominator

          All patients aged 18 years and older who were seen twice for any visit or who had at least one preventive visit within the 12 month reporting period with one or more of the following: a history of injection drug use, receipt of a blood transfusion prior to 1992, receiving maintenance hemodialysis, OR birthdate in the years 1945–1965

        • Exclusions

          Denominator Exclusions
          Patients with a diagnosis of chronic hepatitis C

          Denominator Exceptions
          Documentation of medical reason(s) for not receiving one-time screening for HCV infection (eg, decompensated cirrhosis indicating advanced disease [ie, ascites, esophageal variceal bleeding, hepatic encephalopathy], hepatocellular carcinoma, waitlist for organ transplant, limited life expectancy, other medical reasons)

          Documentation of patient reason(s) for not receiving one-time screening for HCV infection (eg, patient declined, other patient reasons)

        • 1.13a Data dictionary not attached
          No
        • Most Recent Endorsement Activity
          Approved for Trial Use Primary Care and Chronic Illness Spring Cycle 2019
          Initial Endorsement
          Last Updated
        • Steward
          American Gastroenterological Association
          Steward Organization POC Email
          Steward Organization Copyright

          Copyright 2019 PCPI(R) Foundation. All Rights Reserved. 

          The Measure is not a clinical guideline, does not establish a standard of medical care, and has not been tested for all potential applications. 

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          AMA and PCPI encourage use of the Measure by other health care professionals, where appropriate.

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

          Limited proprietary coding is contained in the Measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. The AMA, the PCPI and its members and former members of the AMA-PCPI disclaim all liability for use or accuracy of any Current Procedural Terminology (CPT[R]) or other coding contained in the specifications. 

          CPT(R) contained in the Measure specifications is copyright 2004-2018 American Medical Association. LOINC(R) is copyright 2004-2018 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2018 International Health Terminology Standards Development Organisation. ICD-10 is copyright 2018 World Health Organization. All Rights Reserved.

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                Conceptual model for risk adjustment
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