| Valid Data Submission Method(s) | Measure Type | High Priority Measure? | NQS Domain | Specialty Measure Sets |
|---|---|---|---|---|
| Registry | Process | No | Effective Clinical Care | Anesthesiology |
Measure Description
Percentage of isolated Coronary Artery Bypass Graft (CABG) surgeries for patients aged 18 years and older who received a beta-blocker within 24 hours prior to surgical incision
Instruction
This measure is to be reported each time an isolated CABG procedure is performed during the performance period. It is anticipated that eligible clinicians who provide services for isolated CABG will submit this measure. The timeframe for this measure includes the entire 24 hour period prior to the surgical incision time.
Denominator
Isolated CABG surgeries for patients aged 18 years and older
Definition:
Isolated CABG – Refers to CABG using arterial and/or venous grafts only
DENOMINATOR NOTE: In order to ensure the only surgeries allowed into the denominator for the
measure are isolated CABG surgeries, the anesthesiologist CPT code (00562) (which is not specific
to isolated CABG), would need to be in conjunction with the CPT indicated for the CABG surgery
(33530) and one of the other CABG codes (33510, 33511, 33512, 33513, 33514, 33516, 33517, 33518,
33519, 33521, 33522,
33523, 33533, 33534, 33535, 33536).
Denominator Criteria (Eligible Cases):
Patients aged ≥ 18 years on date of encounter
AND
Patient procedure during the performance period (CPT): 00566, 00567, 33510, 33511, 33512, 33513,
33514, 33516, 33517, 33518, 33519, 33521, 33522, 33523, 33533, 33534, 33535, 33536
OR
Patient procedure during the performance period (CPT): 33510, 33511, 33512, 33513, 33514,
33516, 33517, 33518, 33519, 33521, 33522, 33523, 33533, 33534, 33535, 33536
AND
Patient procedure during the performance period (CPT): 00562, 33530
Numerator
Patients who received a beta-blocker within 24 hours prior to surgical incision of isolated CABG surgeries
Definition:
Medical Reason – Eligible clinician must document specific reason(s) for not administering beta-
blockers
Numerator Options:
Performance Met: Beta blocker administered within 24 hours
prior to surgical incision (4115F)
OR
Denominator Exception: Documentation of medical reason(s) for not
administering beta blocker within 24 hours prior to surgical incision (e.g., not indicated,
contraindicated, other medical reason) (4115F with 1P)
OR
Performance Not Met: Beta blocker not administered
within 24 hours prior to cal incision, reason not otherwise specified (4115F
with 8P)