2017 MIPS Measure #051: Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation

Measure Description

Percentage of patients aged 18 years and older with a diagnosis of COPD who had spirometry results documented

Instruction

This measure is to be reported a minimum of once per performance period using the most recent spirometry results in the patient record for all COPD patients seen during the performance period. Do not limit the search for spirometry results to the performance period. This measure may be reported by eligible clinicians who perform the quality actions described in the measure based on the services provided and the measure-specific denominator coding.

Denominator

All patients aged 18 and older with a diagnosis of COPD

Denominator Criteria (Eligible Cases):
Patients aged ≥ 18 years on date of encounter
AND
Diagnosis for COPD (ICD-10-CM): J41.0, J41.1, J41.8, J42, J43.0, J43.1, J43.2, J43.8, J43.9, J44.0, J44.1, J44.9
AND
Patient encounter during the performance period (CPT): 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215
WITHOUT
Telehealth Modifier: GQ, GT

Numerator

Patients with documented spirometry results in the medical record (FEV1 and FEV1/FVC)

Numerator Instructions: Look for most recent documentation of spirometry results in the medical record; do not limit the search to the performance period.

Numerator Options:
Performance Met: Spirometry results documented and reviewed (3023F)
OR
Denominator Exception: Documentation of medical reason(s) for not documenting and reviewing spirometry results (3023F with 1P)
OR
Denominator Exception: Documentation of patient reason(s) for not documenting and reviewing spirometry results (
3023F with 2P)
OR
Denominator Exception: Documentation of system reason(s) for not documenting and reviewing spirometry results (3023F with 3P)
OR
Performance Not Met:
Spirometry results not documented and reviewed,
reason not otherwise specified (3023F with 8P)