| Valid Data Submission Method(s) | Measure Type | High Priority Measure? | NQS Domain | Specialty Measure Sets |
|---|---|---|---|---|
| Registry | Process | Yes | Efficiency and Cost Reduction | Allergy/Immunology, Internal Medicine, Otolaryngology, General Practice/Family Medicine |
Measure Description
Percentage of patients, aged 18 years and older, with a diagnosis of acute sinusitis who were prescribed an antibiotic within 10 days after onset of symptoms
Instruction
This measure may be reported based on the actions of the reporting eligible clinician who performs the quality action, described in the measure, based on services provided within measure-specific denominator coding. This measure is to be reported once for each occurrence for patients with acute sinusitis during the performance period.
Denominator
All patients aged 18 years and older with a diagnosis of acute sinusitis
Definition:
Acute Sinusitis/Rhinosinusitis- Up to 4 weeks of purulent nasal drainage (anterior, posterior, or both) accompanied by nasal obstruction, facial pain-pressure-fullness, or both:
- Purulent nasal discharge is cloudy or colored, in contrast to the clear secretions that typicallyaccompany viral upper respiratory infection, and may be reported by the patient or observed onphysical examination. Nasal obstruction may be reported by the patient as nasal obstruction,congestion, blockage, or stuffiness, or may be diagnosed by physical examinatio
- Facial pain-pressure-fullness may involve the anterior face, periorbital region, or manifest withheadache that is localized or diffuse
Denominator Criteria (Eligible Cases):
Patients aged ≥ 18 years on date of encounter
AND
Diagnosis for acute sinusitis (ICD-10-CM): J01.00, J01.01, J01.10, J01.11, J01.20, J01.21, J01.30, J01.31, J01.40, J01.41, J01.80, J01.90
AND
Patient encounter during performance period (CPT): 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99281, 99282, 99283, 99284, 99285, 99304, 99305, 99306, 99307, 99308, 99309, 99310, 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350
WITHOUT
Telehealth Modifier: GQ, GT
Numerator
Patients prescribed any antibiotic within 10 days after onset of symptoms
Numerator Instructions:
INVERSE MEASURE – A lower calculated performance rate for this measure indicates better clinical care or control. The “Performance Not Met” numerator option for this measure is the representation of the better clinical quality or control. Reporting that numerator option will produce a performance rate that trends closer to 0%, as quality increases. For inverse measures a rate of 100% m tor eligible patients did not receive the appropriate care or were not in proper control.
Numerator Options:
Performance Met: Antibiotic regimen prescribed within 10 days after onset of symptoms (G9286)
OR
Denominator Exception: Antibiotic regimen prescribed within 10 days after onset of symptoms for documented medical reason (G9505)
OR
Performance Not Met: Antibiotic regimen not prescribed within 10 days after onset of symptoms (G9287)