| Valid Data Submission Method(s) | Measure Type | High Priority Measure? | NQS Domain | Specialty Measure Sets |
|---|---|---|---|---|
| Registry | Outcome | Yes | Effective Clinical Care | Interventional Radiology, Vascular Surgery |
Measure Description
Percent of asymptomatic patients undergoing CAS who experience stroke or death following surgery while in the hospital
Instruction
This measure is to be reported each time a CAS is performed during the performance period. It is anticipated that eligible clinicians who provide services of CAS, as described in the measure, based on the services provided and the measure-specific denominator coding will report this measure. 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
Patients aged 18 and older who are asymptomatic undergoing CAS
Denominator Criteria (Eligible Cases):
Patients aged 18 and older
AND
Patient procedure during performance period (CPT): 37215
AND NOT
DENOMINATOR EXCLUSIONS:
Symptomatic carotid stenosis: Ipsilateral carotid territory TIA or stroke less than 120 days prior
to procedure: 9006F
OR
Other carotid stenosis: Ipsilateral TIA or stroke 120 days or greater prior to procedure or any prior contralateral carotid territory or vertebrobasilar TIA or stroke: 9007F
Numerator
Patients who experience stroke or death in the hospital following CAS
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% means all of the denominator eligible patients did not receive the appropriate care or were not in proper control.
Numerator Options:
Performance Met: Documentation of patient stroke following CAS (G9257)
OR
Performance Met: Documentation of patient death following CAS (G9256)
OR
Performance Not Met: Documentation of patient survival and absence of stroke following CAS (G9259)