2018 MIPS Measure #418: Osteoporosis Management in Women Who Had a Fracture

Measure Description

The percentage of women age 50-85 who suffered a fracture and who either had a bone mineral density test or received a prescription for a drug to treat osteoporosis in the six months after the fracture

Instructions

This measure is to be submitted after each occurrence of a fracture during the six months prior to the performance period through June 30 of the performance period. It is anticipated that clinicians who treat any fracture except fractures of the finger, toe, face or skull will submit this measure. Each occurrence of a fracture is identified by either an ICD-10CM diagnosis code for fracture and a CPT service code OR an ICD-10-CM diagnosis code for a fracture and a CPT procedure code for surgical treatment of fractures.

NOTE: Patients with any fracture except fractures of the finger, toe, face or skull should have a bone mineral density (BMD) measurement performed or pharmacologic therapy prescribed. The management (BMD performed or pharmacologic therapy prescribed) should occur within six months of the fracture. If multiple fractures occurring on the same date of service are submitted on the same claim form, only one instance of submission will be counted. Claims data will be analyzed to determine unique occurrences. Patients already receiving pharmacologic therapy would automatically meet the intent of this measure.

Measure Submission:

The listed denominator criteria is used to identify the intended patient population. The numerator options included in this specification are used to submit the quality actions allowed by the measure. The quality-data codes listed do not need to be submitted for registry-based submissions; however, these codes may be submitted for those registries that utilize claims data.

The intent of the exclusion for individuals age 65 and older residing in long-term care facilities, including nursing homes, is to exclude individuals who may have limited life expectancy and increased frailty where the benefit of the process may not exceed the risks. This exclusion is not intended as a clinical recommendation regarding whether the measures process is inappropriate for specific populations, instead the exclusions allows clinicians to engage in shared decision making with patients about the benefits and risks of screening when an individual has limited life expectancy.

Denominator

Women who experienced a fracture, except fractures of the finger, toe, face or skull, during the six months prior to the performance period through June 30 of the performance period.

Option 1 – Denominator Criteria (Eligible Cases):

Patients aged 50-85 years on date of encounter 

AND

Diagnosis for any fracture except fractures of the finger, toe, face or skull (ICD-10-CM): M48.40XA, M48.41XA, M48.42XA, M48.43XA, M48.44XA, M48.45XA, M48.46XA, M48.47XA, M48.48XA, M84.311A, M84.312A, M84.319A, M84.321A, M84.322A, M84.329A, M84.331A, M84.332A, M84.333A, M84.334A, M84.339A, M84.341A, M84.342A, M84.343A, M84.350A, M84.351A, M84.352A, M84.353A, M84.359A, M84.361A, M84.362A, M84.363A, M84.364A, M84.369A, M84.371A, M84.372A, M84.373A, M84.374A, M84.375A, M84.376A, M84.38XA, M84.750A, M84.751A, M84.752A, M84.753A, M84.754A, M84.755A, M84.756A, M84.757A, M84.759A, S12.000A, S12.000B, S12.001A, S12.001B, S12.01XA, S12.01XB, S12.02XA, S12.02XB, S12.030A, S12.030B, S12.031A, S12.031B, S12.040A, S12.040B, S12.041A, S12.041B, S12.090A, S12.090B, S12.091A, S12.091B, S12.100A, S12.100B, S12.101A, S12.101B, S12.110A, S12.110B, S12.111A, S12.111B, S12.112A, S12.112B, S12.120A, S12.120B, S12.121A, S12.121B, S12.130A, S12.130B, S12.131A, S12.131B, S12.14XA, S12.14XB, S12.150A, S12.150B, S12.151A, S12.151B, S12.190A, S12.190B, S12.191A, S12.191B, S12.200A, S12.200B, S12.201A, S12.201B, S12.230A, S12.230B, S12.231A, S12.231B, S12.24XA, S12.24XB, S12.250A, S12.250B, S12.251A, S12.251B, S12.290A, S12.290B, S12.291A, S12.291B, S12.300A, S12.300B, S12.301A, S12.301B, S12.330A, S12.330B, S12.331A, S12.331B, S12.34XA, S12.34XB, S12.350A, S12.350B, S12.351A, S12.351B, S12.390A, S12.390B, S12.391A, S12.391B, S12.400A, S12.400B, S12.401A, S12.401B, S12.430A, S12.430B, S12.431A, S12.431B, S12.44XA, S12.44XB, S12.450A, S12.450B, S12.451A, S12.451B, S12.490A, S12.490B, S12.491A, S12.491B, S12.500A, S12.500B, S12.501A, S12.501B, S12.530A, S12.530B, S12.531A, S12.531B, S12.54XA, S12.54XB, S12.550A, S12.550B, S12.551A, S12.551B, S12.590A, S12.590B, S12.591A, S12.591B, S12.600A, S12.600B, S12.601A, S12.601B, S12.630A, S12.630B, S12.631A, S12.631B, S12.64XA, S12.64XB, S12.650A, S12.650B, S12.651A, S12.651B, S12.690A, S12.690B, S12.691A, S12.691B, S12.8XXA, S12.9XXA, S22.000A, S22.000B, S22.001A, S22.001B, S22.002A, S22.002B, S22.008A, S22.008B, S22.009A, S22.009B, S22.010A, S22.010B, S22.011A, S22.011B, S22.012A, S22.012B, S22.018A, S22.018B, S22.019A, S22.019B, S22.020A, S22.020B, S22.021A, S22.021B, S22.022A, S22.022B, S22.028A, S22.028B, S22.029A, S22.029B, S22.030A, S22.030B, S22.031A, S22.031B, S22.032A, S22.032B, S22.038A, S22.038B, S22.039A, S22.039B, S22.040A, S22.040B, S22.041A, S22.041B, S22.042A, S22.042B, S22.048A, S22.048B, S22.049A, S22.049B, S22.050A, S22.050B, S22.051A, S22.051B, S22.052A, S22.052B, S22.058A, S22.058B, S22.059A, S22.059B, S22.060A, S22.060B, S22.061A, S22.061B, S22.062A, S22.062B, S22.068A, S22.068B, S22.069A, S22.069B, S22.070A, S22.070B, S22.071A, S22.071B, S22.072A, S22.072B, S22.078A, S22.078B, S22.079A, S22.079B, S22.080A, S22.080B, S22.081A, S22.081B, S22.082A, S22.082B, S22.088A, S22.088B, S22.089A, S22.089B, S22.20XA, S22.20XB, S22.21XA, S22.21XB, S22.22XA, S22.22XB, S22.23XA, S22.23XB, S22.24XA, S22.24XB, S22.31XA, S22.31XB, S22.32XA, S22.32XB, S22.39XA, S22.39XB, S22.41XA, S22.41XB, S22.42XA, S22.42XB, S22.43XA, S22.43XB, S22.49XA, S22.49XB, S22.5XXA, S22.5XXB, S22.9XXA, S22.9XXB, S32.000A, S32.000B, S32.001A, S32.001B, S32.002A, S32.002B, S32.008A, S32.008B, S32.009A, S32.009B, S32.010A, S32.010B, S32.011A, S32.011B, S32.012A, S32.012B, S32.018A, S32.018B, S32.019A, S32.019B, S32.020A, S32.020B, S32.021A, S32.021B, S32.022A, S32.022B, S32.028A, S32.028B, S32.029A, S32.029B, S32.030A, S32.030B, S32.031A, S32.031B, S32.032A, S32.032B, S32.038A, S32.038B, S32.039A, S32.039B, S32.040A, S32.040B, S32.041A, S32.041B, S32.042A, S32.042B, S32.048A, S32.048B, S32.049A, S32.049B, S32.050A, S32.050B, S32.051A, S32.051B, S32.052A, S32.052B, S32.058A, S32.058B, S32.059A, S32.059B, S32.10XA, S32.10XB, S32.110A, S32.110B, S32.111A, S32.111B,

S32.112A, S32.112B, S32.119A, S32.119B, S32.120A, S32.120B, S32.121A, S32.121B, S32.122A, S32.122B, S32.129A, S32.129B, S32.130A, S32.130B, S32.131A, S32.131B, S32.132A, S32.132B, S32.139A, S32.139B, S32.14XA, S32.14XB, S32.15XA, S32.15XB, S32.16XA, S32.16XB, S32.17XA, S32.17XB, S32.19XA, S32.19XB, S32.2XXA, S32.2XXB, S32.301A, S32.301B, S32.302A, S32.302B, S32.309A, S32.309B, S32.311A, S32.311B, S32.312A, S32.312B, S32.313A, S32.313B, S32.314A, S32.314B, S32.315A, S32.315B, S32.316A, S32.316B, S32.391A, S32.391B, S32.392A, S32.392B, S32.399A, S32.399B, S32.401A, S32.401B, S32.402A, S32.402B, S32.409A, S32.409B, S32.411A, S32.411B, S32.412A, S32.412B, S32.413A, S32.413B, S32.414A, S32.414B, S32.415A, S32.415B, S32.416A, S32.416B, S32.421A, S32.421B, S32.422A, S32.422B, S32.423A, S32.423B, S32.424A, S32.424B, S32.425A, S32.425B, S32.426A, S32.426B, S32.431A, S32.431B, S32.432A, S32.432B, S32.433A, S32.433B, S32.434A, S32.434B, S32.435A, S32.435B, S32.436A, S32.436B, S32.441A, S32.441B, S32.442A, S32.442B, S32.443A, S32.443B, S32.444A, S32.444B, S32.445A, S32.445B, S32.446A, S32.446B, S32.451A, S32.451B, S32.452A, S32.452B, S32.453A, S32.453B, S32.454A, S32.454B, S32.455A, S32.455B, S32.456A, S32.456B, S32.461A, S32.461B, S32.462A, S32.462B, S32.463A, S32.463B, S32.464A, S32.464B, S32.465A, S32.465B, S32.466A, S32.466B, S32.471A, S32.471B, S32.472A, S32.472B, S32.473A, S32.473B, S32.474A, S32.474B, S32.475A, S32.475B, S32.476A, S32.476B, S32.481A, S32.481B, S32.482A, S32.482B, S32.483A, S32.483B, S32.484A, S32.484B, S32.485A, S32.485B, S32.486A, S32.486B, S32.491A, S32.491B, S32.492A, S32.492B, S32.499A, S32.499B, S32.501A, S32.501B, S32.502A, S32.502B, S32.509A, S32.509B, S32.511A, S32.511B, S32.512A, S32.512B, S32.519A, S32.519B, S32.591A, S32.591B, S32.592A, S32.592B, S32.599A, S32.599B, S32.601A, S32.601B, S32.602A, S32.602B, S32.609A, S32.609B, S32.611A, S32.611B, S32.612A, S32.612B, S32.613A, S32.613B, S32.614A, S32.614B, S32.615A, S32.615B, S32.616A, S32.616B, S32.691A, S32.691B, S32.692A, S32.692B, S32.699A, S32.699B, S32.810A, S32.810B, S32.811A, S32.811B, S32.82XA, S32.82XB, S32.89XA, S32.89XB, S32.9XXA, S32.9XXB, S42.001A, S42.001B, S42.002A, S42.002B, S42.009A, S42.009B, S42.011A, S42.011B, S42.012A, S42.012B, S42.013A, S42.013B, S42.014A, S42.014B, S42.015A, S42.015B, S42.016A, S42.016B, S42.017A, S42.017B, S42.018A, S42.018B, S42.019A, S42.019B, S42.021A, S42.021B, S42.022A, S42.022B, S42.023A, S42.023B, S42.024A, S42.024B, S42.025A, S42.025B, S42.026A, S42.026B, S42.031A, S42.031B, S42.032A, S42.032B, S42.033A, S42.033B, S42.034A, S42.034B, S42.035A, S42.035B, S42.036A, S42.036B, S42.101A, S42.101B, S42.102A, S42.102B, S42.109A, S42.109B, S42.111A, S42.111B, S42.112A, S42.112B, S42.113A, S42.113B, S42.114A, S42.114B, S42.115A, S42.115B, S42.116A, S42.116B, S42.121A, S42.121B, S42.122A, S42.122B, S42.123A, S42.123B, S42.124A, S42.124B, S42.125A, S42.125B, S42.126A, S42.126B, S42.131A, S42.131B, S42.132A, S42.132B, S42.133A, S42.133B, S42.134A, S42.134B, S42.135A, S42.135B, S42.136A, S42.136B, S42.141A, S42.141B, S42.142A, S42.142B, S42.143A, S42.143B, S42.144A, S42.144B, S42.145A, S42.145B, S42.146A, S42.146B, S42.151A, S42.151B, S42.152A, S42.152B, S42.153A, S42.153B, S42.154A, S42.154B, S42.155A, S42.155B, S42.156A, S42.156B, S42.191A, S42.191B, S42.192A, S42.192B, S42.199A, S42.199B, S42.201A, S42.201B, S42.202A, S42.202B, S42.209A, S42.209B, S42.211A, S42.211B, S42.212A, S42.212B, S42.213A, S42.213B, S42.214A, S42.214B, S42.215A, S42.215B, S42.216A, S42.216B, S42.221A, S42.221B, S42.222A, S42.222B, S42.223A, S42.223B, S42.224A, S42.224B, S42.225A, S42.225B, S42.226A, S42.226B, S42.231A, S42.231B, S42.232A, S42.232B, S42.239A, S42.239B, S42.241A, S42.241B, S42.242A, S42.242B, S42.249A, S42.249B, S42.251A, S42.251B, S42.252A, S42.252B, S42.253A, S42.253B, S42.254A, S42.254B, S42.255A, S42.255B, S42.256A, S42.256B, S42.261A, S42.261B, S42.262A, S42.262B, S42.263A, S42.263B, S42.264A, S42.264B, S42.265A, S42.265B, S42.266A, S42.266B, S42.271A, S42.272A, S42.279A, S42.291A, S42.291B, S42.292A, S42.292B, S42.293A, S42.293B, S42.294A, S42.294B, S42.295A, S42.295B, S42.296A, S42.296B, S42.301A, S42.301B, S42.302A, S42.302B, S42.309A, S42.309B, S42.311A, S42.312A, S42.319A, S42.321A, S42.321B, S42.322A, S42.322B, S42.323A, S42.323B, S42.324A, S42.324B, S42.325A, S42.325B, S42.326A, S42.326B, S42.331A, S42.331B, S42.332A, S42.332B, S42.333A, S42.333B, S42.334A, S42.334B, S42.335A, S42.335B, S42.336A, S42.336B, S42.341A, S42.341B, S42.342A, S42.342B, S42.343A, S42.343B, S42.344A, S42.344B, S42.345A, S42.345B, S42.346A, S42.346B, S42.351A, S42.351B, S42.352A, S42.352B, S42.353A, S42.353B, S42.354A, S42.354B, S42.355A, S42.355B, S42.356A, S42.356B, S42.361A, S42.361B, S42.362A, S42.362B, S42.363A, S42.363B, S42.364A, S42.364B, S42.365A, S42.365B, S42.366A, S42.366B, S42.391A, S42.391B, S42.392A, S42.392B, S42.399A, S42.399B, S42.401A, S42.401B, S42.402A, S42.402B, S42.409A, S42.409B, S42.411A, S42.411B, S42.412A, S42.412B, S42.413A, S42.413B, S42.414A, S42.414B, S42.415A, S42.415B, S42.416A, S42.416B, S42.421A, S42.421B, S42.422A, S42.422B, S42.423A, S42.423B, S42.424A, S42.424B, S42.425A, S42.425B, S42.426A, S42.426B, S42.431A, S42.431B, S42.432A, S42.432B, S42.433A, S42.433B, S42.434A, S42.434B, S42.435A, S42.435B, S42.436A, S42.436B, S42.441A, S42.441B, S42.442A, S42.442B, S42.443A, S42.443B, S42.444A, S42.444B, S42.445A, S42.445B, S42.446A, S42.446B, S42.447A, S42.447B, S42.448A, S42.448B, S42.449A, S42.449B, S42.451A, S42.451B, S42.452A, S42.452B, S42.453A, S42.453B, S42.454A, S42.454B, S42.455A, S42.455B, S42.456A, S42.456B, S42.461A, S42.461B, S42.462A, S42.462B, S42.463A, S42.463B, S42.464A, S42.464B, S42.465A, S42.465B, S42.466A, S42.466B, S42.471A, S42.471B, S42.472A, S42.472B, S42.473A, S42.473B, S42.474A, S42.474B, S42.475A, S42.475B, S42.476A, S42.476B, S42.481A, S42.482A, S42.489A, S42.491A, S42.491B, S42.492A, S42.492B, S42.493A, S42.493B, S42.494A, S42.494B, S42.495A, S42.495B, S42.496A, S42.496B, S42.90XA, S42.90XB, S42.91XA, S42.91XB, S42.92XA, S42.92XB, S49.001A, S49.002A, S49.009A, S49.011A, S49.012A, S49.019A, S49.021A, S49.022A, S49.029A, S49.031A, S49.032A, S49.039A, S49.041A, S49.042A, S49.049A, S49.091A, S49.092A, S49.099A, S49.101A, S49.102A, S49.109A, S49.111A, S49.112A, S49.119A, S49.121A, S49.122A, S49.129A, S49.131A, S49.132A, S49.139A, S49.141A, S49.142A, S49.149A, S49.191A, S49.192A, S49.199A, S52.001A, S52.001B, S52.001C, S52.002A, S52.002B, S52.002C, S52.009A, S52.009B, S52.009C, S52.011A, S52.012A, S52.019A, S52.021A, S52.021B, S52.021C, S52.022A, S52.022B, S52.022C, S52.023A, S52.023B, S52.023C, S52.024A, S52.024B, S52.024C, S52.025A, S52.025B, S52.025C, S52.026A, S52.026B, S52.026C, S52.031A, S52.031B, S52.031C, S52.032A, S52.032B, S52.032C, S52.033A, S52.033B, S52.033C, S52.034A, S52.034B, S52.034C, S52.035A, S52.035B, S52.035C, S52.036A, S52.036B, S52.036C, S52.041A, S52.041B, S52.041C, S52.042A, S52.042B, S52.042C, S52.043A, S52.043B, S52.043C, S52.044A, S52.044B, S52.044C, S52.045A, S52.045B, S52.045C, S52.046A, S52.046B, S52.046C, S52.091A, S52.091B, S52.091C, S52.092A, S52.092B, S52.092C, S52.099A, S52.099B, S52.099C, S52.101A, S52.101B, S52.101C, S52.102A, S52.102B, S52.102C, S52.109A, S52.109B, S52.109C, S52.111A, S52.112A, S52.119A, S52.121A, S52.121B, S52.121C, S52.122A, S52.122B, S52.122C, S52.123A, S52.123B, S52.123C, S52.124A, S52.124B, S52.124C, S52.125A, S52.125B, S52.125C, S52.126A, S52.126B, S52.126C, S52.131A, S52.131B, S52.131C, S52.132A, S52.132B, S52.132C, S52.133A, S52.133B, S52.133C, S52.134A, S52.134B, S52.134C, S52.135A, S52.135B, S52.135C, S52.136A, S52.136B, S52.136C, S52.181A, S52.181B, S52.181C, S52.182A, S52.182B, S52.182C, S52.189A, S52.189B, S52.189C, S52.201A, S52.201B, S52.201C, S52.202A, S52.202B, S52.202C, S52.209A, S52.209B, S52.209C, S52.211A, S52.212A, S52.219A, S52.221A, S52.221B, S52.221C, S52.222A, S52.222B, S52.222C, S52.223A, S52.223B, S52.223C, S52.224A, S52.224B, 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S72.092A, S72.092B, S72.092C, S72.099A, S72.099B, S72.099C, S72.101A S72.101B, S72.101C, S72.102A, S72.102B, S72.102C, S72.109A, S72.109B, S72.109C, S72.111A, S72.111B, S72.111C, S72.112A, S72.112B, S72.112C, S72.113A, S72.113B, S72.113C, S72.114A, S72.114B, S72.114C, S72.115A, S72.115B, S72.115C, S72.116A, S72.116B, S72.116C, S72.121A, S72.121B, S72.121C, S72.122A, S72.122B, S72.122C, S72.123A, S72.123B, S72.123C, S72.124A, S72.124B, S72.124C, S72.125A, S72.125B, S72.125C, S72.126A, S72.126B, S72.126C, S72.131A, S72.131B, S72.131C, S72.132A, S72.132B, S72.132C, S72.133A, S72.133B, S72.133C, S72.134A, S72.134B, S72.134C, S72.135A, S72.135B, S72.135C, S72.136A, S72.136B, S72.136C, S72.141A, S72.141B, S72.141C, S72.142A, S72.142B, S72.142C, S72.143A, S72.143B, S72.143C, S72.144A, S72.144B, S72.144C, S72.145A, S72.145B, S72.145C, S72.146A, S72.146B, S72.146C, S72.21XA, S72.21XB, S72.21XC, S72.22XA, S72.22XB, S72.22XC, S72.23XA, S72.23XB, S72.23XC, S72.24XA, S72.24XB, S72.24XC, S72.25XA, S72.25XB, S72.25XC, S72.26XA, S72.26XB, S72.26XC, S72.301A, S72.301B, S72.301C, S72.302A, S72.302B, S72.302C, S72.309A, S72.309B, S72.309C, S72.321A, S72.321B, S72.321C, S72.322A, S72.322B, S72.322C, S72.323A, S72.323B, S72.323C, S72.324A, S72.324B, S72.324C, S72.325A, S72.325B, S72.325C, S72.326A, S72.326B, S72.326C, S72.331A, S72.331B, S72.331C, S72.332A, S72.332B, S72.332C, S72.333A, S72.333B, S72.333C, S72.334A, S72.334B, S72.334C, S72.335A, S72.335B, S72.335C, S72.336A, S72.336B, S72.336C, S72.341A, S72.341B, S72.341C, S72.342A, S72.342B, S72.342C, S72.343A, S72.343B, S72.343C, S72.344A, S72.344B, S72.344C, S72.345A, S72.345B, S72.345C, S72.346A, S72.346B, S72.346C, S72.351A, S72.351B, S72.351C, S72.352A, S72.352B, S72.352C, S72.353A, S72.353B, S72.353C, S72.354A, S72.354B, S72.354C, S72.355A, S72.355B, S72.355C, S72.356A, S72.356B, S72.356C, S72.361A, S72.361B, S72.361C, S72.362A, S72.362B, S72.362C, S72.363A, S72.363B, S72.363C, S72.364A, S72.364B, S72.364C, S72.365A, S72.365B, S72.365C, S72.366A, S72.366B, S72.366C, S72.391A, S72.391B, S72.391C, S72.392A, S72.392B, S72.392C, S72.399A, S72.399B, S72.399C, S72.401A, S72.401B, S72.401C, S72.402A, S72.402B, S72.402C, S72.409A, S72.409B, S72.409C, S72.411A, S72.411B, S72.411C, S72.412A, S72.412B, S72.412C, S72.413A, S72.413B, S72.413C, S72.414A, S72.414B, S72.414C, S72.415A, S72.415B, S72.415C, S72.416A, S72.416B, S72.416C, S72.421A, S72.421B, S72.421C, S72.422A, S72.422B, S72.422C, S72.423A, S72.423B, S72.423C, S72.424A, S72.424B, S72.424C, S72.425A, S72.425B, S72.425C, S72.426A, S72.426B, S72.426C, S72.431A, S72.431B, S72.431C, S72.432A, S72.432B, S72.432C, S72.433A, S72.433B, S72.433C, S72.434A, S72.434B, S72.434C, S72.435A, S72.435B, S72.435C, S72.436A, S72.436B, S72.436C, S72.441A, S72.441B, S72.441C, S72.442A, S72.442B, S72.442C, S72.443A, S72.443B, S72.443C, S72.444A, S72.444B, S72.444C, S72.445A, S72.445B, S72.445C, S72.446A, S72.446B, S72.446C, S72.451A, S72.451B, S72.451C, S72.452A, S72.452B, S72.452C, S72.453A, S72.453B, S72.453C, S72.454A, S72.454B, S72.454C, S72.455A, S72.455B, S72.455C, S72.456A, S72.456B, S72.456C, S72.461A, S72.461B, S72.461C, S72.462A, S72.462B, S72.462C, S72.463A, S72.463B, S72.463C, S72.464A, S72.464B, S72.464C, S72.465A, S72.465B, S72.465C, S72.466A, S72.466B, S72.466C, S72.471A, S72.472A, S72.479A, S72.491A, S72.491B, S72.491C, S72.492A, S72.492B, S72.492C, S72.499A, S72.499B, S72.499C, S72.8X1A, S72.8X1B, S72.8X1C, S72.8X2A, S72.8X2B, S72.8X2C, S72.8X9A, S72.8X9B, S72.8X9C, S72.90XA, S72.90XB, S72.90XC, S72.91XA, S72.91XB, S72.91XC, S72.92XA, S72.92XB, S72.92XC, S79.001A, S79.002A, S79.009A, S79.011A, S79.012A, S79.019A, S79.091A, S79.092A, S79.099A, S79.101A, S79.102A, S79.109A, S79.111A, S79.112A, S79.119A, S79.121A, S79.122A, S79.129A, S79.131A, S79.132A, S79.139A, S79.141A, S79.142A, S79.149A, S79.191A, S79.192A, S79.199A, S82.001A, S82.001B, S82.001C, S82.002A, S82.002B, S82.002C, S82.009A, S82.009B, S82.009C, S82.011A, S82.011B, S82.011C, S82.012A, S82.012B, S82.012C, S82.013A, S82.013B, S82.013C, S82.014A, S82.014B, S82.014C, S82.015A, S82.015B, S82.015C, S82.016A, S82.016B, S82.016C, S82.021A, S82.021B, S82.021C, S82.022A, S82.022B, S82.022C, S82.023A, S82.023B, S82.023C, S82.024A, S82.024B, S82.024C, S82.025A, S82.025B, S82.025C, S82.026A, S82.026B, S82.026C, S82.031A, S82.031B, S82.031C, S82.032A, S82.032B, S82.032C, S82.033A, S82.033B, S82.033C, S82.034A, S82.034B, S82.034C, S82.035A, S82.035B, S82.035C, S82.036A, S82.036B, S82.036C, S82.041A, S82.041B, S82.041C, S82.042A, S82.042B, S82.042C, S82.043A, S82.043B, S82.043C, S82.044A, S82.044B, S82.044C, S82.045A, S82.045B, S82.045C, S82.046A, S82.046B, S82.046C, S82.091A, S82.091B, S82.091C, S82.092A, S82.092B, S82.092C, S82.099A, S82.099B, S82.099C, S82.101A, S82.101B, S82.101C, S82.102A, S82.102B, S82.102C, S82.109A, S82.109B, S82.109C, S82.111A, S82.111B, S82.111C, S82.112A, S82.112B, S82.112C, S82.113A, S82.113B, S82.113C, S82.114A, S82.114B, S82.114C, S82.115A, S82.115B, S82.115C, S82.116A, S82.116B, S82.116C, S82.121A, S82.121B, S82.121C, S82.122A, S82.122B, S82.122C, S82.123A, S82.123B, S82.123C, S82.124A, S82.124B, S82.124C, S82.125A, S82.125B, S82.125C, S82.126A, S82.126B, S82.126C, S82.131A, S82.131B, S82.131C, S82.132A, S82.132B, S82.132C, S82.133A, S82.133B, S82.133C, S82.134A, S82.134B, S82.134C, S82.135A, S82.135B, S82.135C, S82.136A, S82.136B, S82.136C, S82.141A, S82.141B, S82.141C, S82.142A, S82.142B, S82.142C, S82.143A, S82.143B, S82.143C, S82.144A, S82.144B, S82.144C, S82.145A, S82.145B, S82.145C, S82.146A, S82.146B, S82.146C, S82.151A, S82.151B, S82.151C, S82.152A, S82.152B, S82.152C, S82.153A, S82.153B, S82.153C, S82.154A, S82.154B, S82.154C, S82.155A, S82.155B, S82.155C, S82.156A, S82.156B, S82.156C, S82.161A, S82.162A, S82.169A, S82.191A, S82.191B, S82.191C, S82.192A, S82.192B, S82.192C, S82.199A, S82.199B, S82.199C, S82.201A, S82.201B, S82.201C, S82.202A, S82.202B, S82.202C, S82.209A, S82.209B, S82.209C, S82.221A, S82.221B, S82.221C, S82.222A, S82.222B, S82.222C, S82.223A, S82.223B, S82.223C, S82.224A, S82.224B, S82.224C, S82.225A, S82.225B, S82.225C, S82.226A, S82.226B, S82.226C, S82.231A, S82.231B, S82.231C, S82.232A, S82.232B, S82.232C, S82.233A, S82.233B, S82.233C, S82.234A, S82.234B, S82.234C, S82.235A, S82.235B, S82.235C, S82.236A, S82.236B, S82.236C, S82.241A, S82.241B, S82.241C, S82.242A, S82.242B, S82.242C, S82.243A, S82.243B, S82.243C, S82.244A, S82.244B, S82.244C, S82.245A, S82.245B, S82.245C, S82.246A, S82.246B, S82.246C, S82.251A, S82.251B, S82.251C, S82.252A, S82.252B, S82.252C, S82.253A, S82.253B, S82.253C, S82.254A, S82.254B, S82.254C, S82.255A, S82.255B, S82.255C, S82.256A, S82.256B, S82.256C, S82.261A, S82.261B, S82.261C, S82.262A, S82.262B, S82.262C, S82.263A, S82.263B, S82.263C, S82.264A, S82.264B, S82.264C, S82.265A, S82.265B, S82.265C, S82.266A, S82.266B, S82.266C, S82.291A, S82.291B, S82.291C, S82.292A, S82.292B, S82.292C, S82.299A, S82.299B, S82.299C, S82.301A,

S82.301B, S82.301C, S82.302A, S82.302B, S82.302C, S82.309A, S82.309B, S82.309C, S82.311A, S82.312A, S82.319A, S82.391A, S82.391B, S82.391C, S82.392A, S82.392B, S82.392C, S82.399A, S82.399B, S82.399C, S82.401A, S82.401B, S82.401C, S82.402A, S82.402B, S82.402C, S82.409A, S82.409B, S82.409C, S82.421A, S82.421B, S82.421C, S82.422A, S82.422B, S82.422C, S82.423A, S82.423B, S82.423C, S82.424A, S82.424B, S82.424C, S82.425A, S82.425B, S82.425C, S82.426A, S82.426B, S82.426C, S82.431A, S82.431B, S82.431C, S82.432A, S82.432B, S82.432C, S82.433A, S82.433B, S82.433C, S82.434A, S82.434B, S82.434C, S82.435A, S82.435B, S82.435C, S82.436A, S82.436B, S82.436C, S82.441A, S82.441B, S82.441C, S82.442A, S82.442B, S82.442C, S82.443A, S82.443B, S82.443C, S82.444A, S82.444B, S82.444C, S82.445A, S82.445B, S82.445C, S82.446A, S82.446B, S82.446C, S82.451A, S82.451B, S82.451C, S82.452A, S82.452B, S82.452C, S82.453A, S82.453B, S82.453C, S82.454A, S82.454B, S82.454C, S82.455A, S82.455B, S82.455C, S82.456A, S82.456B, S82.456C, S82.461A, S82.461B, S82.461C, S82.462A, S82.462B, S82.462C, S82.463A, S82.463B, S82.463C, S82.464A, S82.464B, S82.464C, S82.465A, S82.465B, S82.465C, S82.466A, S82.466B, S82.466C, S82.491A, S82.491B, S82.491C, S82.492A, S82.492B, S82.492C, S82.499A, S82.499B, S82.499C, S82.51XA, S82.51XB, S82.51XC, S82.52XA, S82.52XB, S82.52XC, S82.53XA, S82.53XB, S82.53XC, S82.54XA, S82.54XB, S82.54XC, S82.55XA, S82.55XB, S82.55XC, S82.56XA, S82.56XB, S82.56XC, S82.61XA, S82.61XB, S82.61XC, S82.62XA, S82.62XB, S82.62XC, S82.63XA, S82.63XB, S82.63XC, S82.64XA, S82.64XB, S82.64XC, S82.65XA, S82.65XB, S82.65XC, S82.66XA, S82.66XB, S82.66XC, S82.811A, S82.812A, S82.819A, S82.821A, S82.822A, S82.829A, S82.831A, S82.831B, S82.831C, S82.832A, S82.832B, S82.832C, S82.839A, S82.839B, S82.839C, S82.841A, S82.841B, S82.841C, S82.842A, S82.842B, S82.842C, S82.843A, S82.843B, S82.843C, S82.844A, S82.844B, S82.844C, S82.845A, S82.845B, S82.845C, S82.846A, S82.846B, S82.846C, S82.851A, S82.851B, S82.851C, S82.852A, S82.852B, S82.852C, S82.853A, S82.853B, S82.853C, S82.854A, S82.854B, S82.854C, S82.855A, S82.855B, S82.855C, S82.856A, S82.856B, S82.856C, S82.861A, S82.861B, S82.861C, S82.862A, S82.862B, S82.862C, S82.863A, S82.863B, S82.863C, S82.864A, S82.864B, S82.864C, S82.865A, S82.865B, S82.865C, S82.866A, S82.866B, S82.866C, S82.871A, S82.871B, S82.871C, S82.872A, S82.872B, S82.872C, S82.873A, S82.873B, S82.873C, S82.874A, S82.874B, S82.874C, S82.875A, S82.875B, S82.875C, S82.876A, S82.876B, S82.876C, S82.891A, S82.891B, S82.891C, S82.892A, S82.892B, S82.892C, S82.899A, S82.899B, S82.899C, S82.90XA, S82.90XB, S82.90XC, S82.91XA, S82.91XB, S82.91XC, S82.92XA, S82.92XB, S82.92XC, S89.001A, S89.002A, S89.009A, S89.011A, S89.012A, S89.019A, S89.021A, S89.022A, S89.029A, S89.031A, S89.032A, S89.039A, S89.041A, S89.042A, S89.049A, S89.091A, S89.092A, S89.099A, S89.101A, S89.102A, S89.109A, S89.111A, S89.112A, S89.119A, S89.121A, S89.122A, S89.129A, S89.131A, S89.132A, S89.139A, S89.141A, S89.142A, S89.149A, S89.191A, S89.192A, S89.199A, S89.201A, S89.202A, S89.209A, S89.211A, S89.212A, S89.219A, S89.221A, S89.222A, S89.229A, S89.291A, S89.292A, S89.299A, S89.301A, S89.302A, S89.309A, 

Numerator

Patients who received either a bone mineral density test or a prescription for a drug to treat osteoporosis in the six months after the fracture

Numerator Note: While the Central Dual Energy X-Ray Absorptiometry (DXA) is the most common measurement for measuring bone mineral density (BMD), for the purposes of submitting this measure, spinal densitometry X-ray, ultrasonography for densitometry, CT bone density axial and Peripheral Dual-energy X-Ray Absorptiometry (DXA) would meet performance and the intent of the measure and 3095F would be submitted.  

Definitions:

Pharmacologic Therapy – U.S. Food and Drug Administration approved pharmacologic options for osteoporosis prevention and/or treatment of postmenopausal osteoporosis include, in alphabetical order: bisphosphonates (alendronate, alendronate-cholecalciferol, ibandronate, risedronate, zoledronic acid, calcitonin, teriparatide, denosumab, and raloxifine.

Prescribed – May include prescription given to the patient for treatment of osteoporosis (as listed above) at one or more encounters during the performance period, or documentation that patient is already taking pharmacologic therapy for osteoporosis, as documented in the current medical list.

Bone Mineral Density (BMD)– A bone density test is an examination by either special x-rays or ultrasound to determine how much bone mineral content (calcium and other minerals) is present in any section of bone.

Numerator Options:

Performance Met:

Central Dual-energy X-Ray Absorptiometry (DXA) results documented (3095F)

OR

Performance Met:

Pharmacologic therapy (other than minerals/vitamins) for osteoporosis prescribed (G8633)

OR

Performance Not Met:  

Central Dual energy X-ray absorptiometry (DXA) measurement was not performed, reason not otherwise specified (3095F with 8P)

OR

Performance Not Met:

Pharmacologic therapy for osteoporosis was not prescribed, reason not given (G8635)