| Valid Data Submission Method(s) | Measure Type | High Priority Measure? | NQS Domain | Specialty Measure Sets |
|---|---|---|---|---|
| Claims, Registry | Process | No | Effective Clinical Care | Neurology |
Measure Description
All female patients of childbearing potential (12 – 44 years old) diagnosed with epilepsy who were counseled or referred for counseling for how epilepsy and its treatment may affect contraception OR pregnancy at least once a year
Instruction
This measure is to be reported minimum of once per performance period for patients with a diagnosis of epilepsy during the performance period. This measure may be reported by eligible clinicians who perform the quality actions describedin the measure based on the services provided and the measure-specific denominatorcoding.
Denominator
All females of childbearing potential (12-44 years old) with a diagnosis ofepilepsy
Denominator Criteria (Eligible Cases):
All females age 12-44 years old
AND
Diagnosis for Epilepsy (ICD-10-CM): G40.A09, G40.A19, G40.109, G40.119, G40.209,G40.219, G40.309, G40.409, G40.411, G40.822, G40.824, G40.909
AND
Patient encounter during the performance period (CPT): 99201, 99202, 99203, 99204, 99205, 99211, 99212, 99213, 99214, 99215
WITHOUT
Telehealth Modifier: GQ, GT
Numerator
Female patients or caregivers counseled at least once a year about how epilepsy and its treatment may affect contraception OR pregnancy
Numerator Options:
Performance Met: Counseling for women of childbearing potential with epilepsy (4340F)
OR
Denominator Exception: Documentation of medical reason(s) why counseling was not performed for women of childbearing potential with epilepsy (4340F with 1P)
OR
Performance Not Met: Counseling about epilepsy specific safety issues provided to patient or caregiver was not performed, reason not otherwise specified (4340F with 8P)