| Valid Data Submission Method(s) | Measure Type | High Priority Measure? | NQS Domain | Specialty Measure Sets |
|---|---|---|---|---|
| Claims, Registry | Process | Yes | Communication and Care Coordination |
Measure Description
Percentage of patients aged birth and older referred to a physician (preferably a physician specially trained in disorders of the ear) for an otologic evaluation subsequent to an audiologic evaluation after presenting with acute or chronic dizziness
Instruction
This measure is to be reported a minimum of once per performance period for all patients seen during the performance period who present with acute or chronic dizziness. This measure is intended to ensure that patients with acute or chronic dizziness receive a referral in order to receive appropriate care. 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 birth and older presenting with acute or chronic dizziness
Denominator Criteria (Eligible Cases):
Patients aged birth and older
AND
Diagnosis for Dizziness (ICD-10-CM): H81.10, H81.11, H81.12, H81.13, R42
AND
Patient encounter during the performance period (CPT): 2544, 92545, 92546, 92547, 92548, 92550, 92557, 92567, 92568, 92570, 92575
Numerator
Patients referred to a physician for an otologic evaluation subsequent to an audiologic evaluation
who present with acute or chronic dizziness
NUMERATOR NOTE: The physician receiving the referral, or providing care currently, should
preferably be specially trained in disorders of the ear.
Numerator Options:
Performance Met: Referral to a physician for an otologic evaluation performed (G8856)
OR
Denominator Exception: Patient is not eligible for the referral for otologic evaluation measure (e.g., patients who are already under the care of a physician for acute or chronic dizziness) (G8857)
OR
Performance Not Met: Referral to a physician for an otologic evaluation not performed, reason not given (G8858)