2015 PQRS Individual Quality Measures

All PQRS individual quality measures can be reported with the MDinteractive registry.  Measure selection begins with a review of the 2015 PQRS Measures List to determine which measures may be of interest to the practice. The list is available at the CMS PQRS website. You also can check the 2015 Release Notes for PQRS Individual Measures or the 2015 PQRS Measure Specifications Manual for Reporting of Individual Measures.
Each provider will need to submit data on ≥ 50% of applicable Medicare patients on at least 9 individual measures (across 3 NQF Domains) in order to avoid the penalty.  If less than 9 measures apply to the eligible professional, report 1—8 measures, AND report each measure for at least 50 percent of the eligible professional’s Medicare Part B FFS patients seen during the reporting period to which the measure applies. Measures with a 0 percent performance rate would not be counted. For an eligible professional who reports fewer than 9 measures, the eligible professional would be subject to the Measures Applicability Validation MAV process, which would allow CMS to determine whether an eligible professional should have reported quality data codes for additional measures. The 9 measures need to cover at least 3 NQF domains: Patient Safety; Person and Caregiver-Centered Experience and Outcomes; Communication and Care Coordination; Effective Clinical Care; Community/Population Health; Efficiency and Cost Reduction.
To report individual measures, you should register for free with MDinteractive. You will need to contact MDinteractive (800.634.4731)  if one of the measures described below is missing in your account. 
Please use this Code Master file, if you are looking for the individual PQRS measures that apply to the specific ICD9 and/or CPT codes that you use to bill Medicare.
#1. Hemoglobin A1c poor control in diabetes mellitus

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#5. Heart Failure: Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD)

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#6. Oral antiplatelet therapy prescribed for patients with coronary artery disease

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#7. Coronary Artery Disease (CAD): Beta-Blocker Therapy for CAD Patients with Prior Myocardial Infarction (MI)

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#8. Heart Failure: Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)

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#12. Optic nerve evaluation

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#14. Dilated macular examination

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#19. Communication with the physician managing ongoing diabetes care

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#21. Selection of prophylactic antibiotic - First OR second generation cephalosporin

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#22. Discontinuation of prophylactic antibiotics (Non-cardiac procedures)

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#23. Venous thromboembolism (VTE) prophylaxis (When indicated in ALL patients)

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#24. Communication with the physician managing ongoing care post-fracture

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#32. Discharged on antiplatelet therapy

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#33: Anticoagulant Therapy Prescribed for Atrial Fibrillation at Discharge

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#39. Screening or therapy for osteoporosis for women aged 65 years and older

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#40. Management following fracture

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#41. Pharmacologic therapy

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#43. Use of internal mammary artery (IMA) in patients with isolated CABG surgery

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#44. Preoperative beta-blocker in patients with isolated CABG surgery

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#46. Medication reconciliation: Reconciliation after discharge from an inpatient facility

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#47. Advance care plan

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#48. Assessment of presence or absence of urinary incontinence in women aged 65 years and older

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#50. Plan of care for urinary incontinence in women aged 65 years and older

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#51. Spirometry evaluation

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#52. Bronchodilator therapy

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#53. Pharmacologic therapy for Persistent Asthma

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#54. 12-Lead electrocardiogram (ECG) Performed for Non-Traumatic Chest Pain

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#65. Treatment for children with upper respiratory infection - avoidance of inappropriate use

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#66. Appropriate testing for children with pharyngitis

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#67. Baseline cytogenetic testing performed on bone marrow

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#68. Documentation of iron stores in patients receiving erythropoietin therapy

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#69. Treatment with bisphosphonates

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#70. Baseline flow cytometry

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#71. Hormonal therapy for stage IC-III, ER/PR positive breast cancer

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#72. Chemotherapy for stage III colon cancer patients

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#76. Prevention of catheter-related bloodstream infections (CRBSI) – central venous catheter insertion protocol

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#81. Adult Kidney Disease: Hemodialysis Adequacy: Solute

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#82. Adult Kidney Disease: Peritoneal Dialysis Adequacy: Solute

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#91. Topical therapy

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#93. Systemic antimicrobial therapy – avoidance of inappropriate use

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#99 . Breast cancer resection pathology reporting: pT category (primary tumor) and pN category (regional lymph nodes) with histologic grade

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#100. Colorectal cancer resection pathology reporting: pT category (primary tumor) and pN category (regional lymph nodes) with histologic grade

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#102. Avoidance of overuse of bone scan for staging low-risk prostate cancer patients

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#104. Adjuvant hormonal therapy for high-risk prostate cancer patients

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#109. Function and pain assessment (NQS Domain: Person and Caregiver-Centered Experience and Outcomes)

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#110. Influenza immunization

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#111. Pneumonia vaccination for patients 65 years and older

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#112. Screening mammography

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#113. Colorectal cancer screening

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#116. Antibiotic treatment for adults with acute bronchitis - avoidance of inappropriate use

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#117. Dilated eye exam in diabetic patient

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#118. Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Patients with CAD and Diabetes and/or Left Ventricular Systolic Dysfunction (LVSD)

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#119. Urine screening for microalbumin or medical attention for nephropathy in diabetic patients

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#121. Laboratory testing (Lipid profile)

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#122. Blood pressure management

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#126. Diabetic foot and ankle care, peripheral neuropathy: neurological evaluation

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#127. Diabetic foot and ankle care, ulcer prevention: evaluation of footwear

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#128. Body mass index (BMI) screening and follow-up (NQS Domain: Community/Population Health)

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#130. Documentation and verification of current medications in the medical record (NQS Domain: Patient Safety)

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#131. Pain Assessment and Follow-Up (NQS Domain: Community/Population Health)

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#134. Screening for clinical depression and follow-up plan (NQS Domain: Community/Population Health)

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#137: Melanoma: Continuity of Care – Recall System

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#138: Melanoma: Coordination of Care

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#140. Counseling on antioxidant supplement

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#141. Reduction of intraocular pressure (IOP) by 15% OR documentation of a plan of care

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#143: Pain Intensity Quantified

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#144: Plan of Care for Pain

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#145. Exposure time reported for procedures using fluoroscopy (NQS Domain: Patient Safety)

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#146. Inappropriate use of "probably benign" assessment category in mammography screening

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#147. Correlation with existing imaging studies for all patients undergoing bone scintigraphy

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#154. Risk assessment

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#155. Plan of care

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#156. Radiation dose limits to normal tissues

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#163. Foot exam

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#164. Coronary Artery Bypass Graft (CABG): Prolonged Intubation

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#165. Coronary Artery Bypass Graft (CABG): Deep Sternal Wound Infection Rate

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#166. Coronary Artery Bypass Graft (CABG): Stroke

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#167. Coronary Artery Bypass Graft (CABG): Postoperative Renal Failure

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#168. Coronary Artery Bypass Graft (CABG): Surgical Re-Exploration

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#172. Hemodialysis vascular access decision-making by surgeon to maximize placement of autogenous arterial venous (AV) fistula

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#173. Unhealthy alcohol use - screening (NQS Domain: Community/Population Health)

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#178. Functional status assessment

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#181. Elder maltreatment screen and follow-up plan

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#182. Functional Outcome Assessment

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#185. Colonoscopy interval for patients with a history of adenomatous polyps – Avoidance of inappropriate use

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#187. Stroke and Stroke Rehabilitation: Thrombolytic Therapy

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#191. Cataracts: 20/40 or Better visual Acuity within 90 Days Following Cataract Surgery

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#192. Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures

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#193. Perioperative temperature management

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#194. Cancer stage documented

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#195. Stenosis measurement in carotid imaging reports

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#204. Use of aspirin or another antithrombotic

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#205. HIV/AIDS: Sexually Transmitted Disease Screening for Chlamydia, Gonorrhea and Syphilis

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#217. Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Knee Impairments

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#218. Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Hip Impairments

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#219. Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Lower Leg, Foot or Ankle Impairments

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#220. Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Lumbar Spine Impairments

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#221. Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Shoulder Impairments

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#222. Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Elbow, Wrist or Hand Impairments

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#223. Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Neck, Cranium, Mandible, Thoracic Spine, Ribs, or Other General Orthopedic Impairments

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#224: Melanoma: Overutilization of Imaging Studies

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#225. Reminder System for Mammograms

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#226. Tobacco Use: Screening and Cessation Intervention (NQS Domain: Community/Population Health)

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#236. Hypertension (HTN): Controlling High Blood Pressure

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#238.  Use of High-Risk Medications in the Elderly (NQS Domain: Patient Safety)

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#242. Coronary Artery Disease (CAD): Symptom Management

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#243. Cardiac Rehabilitation Patient Referral From an Outpatient Setting

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#249. Barrett's Esophagus

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#250. Radical Prostatectomy Pathology Reporting

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#251. Immunohistochemical (IHC) Evaluation of Human Epidermal Growth Factor Receptor 2 Testing (HER2) for Breast Cancer Patients

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#254. Ultrasound Determination of Pregnancy Location for Pregnant Patients with Abdominal Pain

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#255. Rh Immunoglobulin (Rhogam) for Rh-Negative Pregnant Women at Risk of Fetal Blood Exposure

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#257. Statin Therapy at Discharge after Lower Extremity Bypass (LEB)

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#258. Rate of Open Elective Repair of Small or Moderate Abdominal Aortic Aneurysms (AAA) without Major Complications (Discharged to Home by Post-Operative Day #7)

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#259. Rate of Elective Endovascular Aortic Repair (EVAR) of Small or Moderate Abdominal Aortic Aneurysms (AAA) without Major Complications (Discharged to Home by Post Operative Day #2)

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#260. Rate of Carotid Endarterectomy (CEA) for Asymptomatic Patients, without Major Complications (Discharged to Home by Post-Operative Day #2)

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#261. Referral for Otologic Evaluation for Patients with Acute or Chronic Dizziness

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#262. Image Confirmation of Successful Excision of Image-Localized Breast Lesion

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#263. Preoperative Diagnosis of Breast Cancer

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#264. Sentinel Lymph Node Biopsy for Invasive Breast Cancer

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#265: Biopsy Follow-Up

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#268. Epilepsy: Counseling for Women of Childbearing Potential with Epilepsy

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#270. Inflammatory Bowel Disease (IBD): Preventive Care: Corticosteroid Sparing Therapy

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#271. Inflammatory Bowel Disease (IBD): Preventive Care: Corticosteroid Related Iatrogenic Injury – Bone Loss Assessment

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#274. Inflammatory Bowel Disease (IBD): Testing for Latent Tuberculosis (TB) Before Initiating Anti-TNF (Tumor Necrosis Factor)

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#275.nflammatory Bowel Disease (IBD): Assessment of Hepatitis B Virus (HBV) Status Before Initiating Anti-TNF (Tumor Necrosis Factor)

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#303. Improvement in Patient’s Visual Function within 90 Days Following Cataract Surgery

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#304. Patient Satisfaction within 90 Days Following Cataract Surgery

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#317. Preventive Care and Screening: Screening for High Blood Pressure

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#320. Endoscopy/Polyp Surveilance: Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients

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#322. Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Preoperative Evaluation in Low Risk Surgery Patients

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#323. Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Routine Testing After Percutaneous Coronary Intervention (PCI)

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#324. Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Testing in Asymptomatic, Low-Risk Patients

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#325. Adult Major Depressive Disorder (MDD): Coordination of Care of Patients with Specific Comorbid Conditions

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 #326. Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy

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#327. Pediatric Kidney Disease: Adequacy of Volume Management

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#328. Pediatric Kidney Disease: ESRD Patients Receiving Dialysis: Hemoglobin Level < 10g/dL

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#329. Adult Kidney Disease: Catheter Use at Initiation of Hemodialysis

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#330. Adult Kidney Disease: Catheter Use for Greater Than or Equal to 90 Day

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#331. Adult Sinusitis: Antibiotic Prescribed for Acute Sinusitis (Appropriate Use)

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#332. Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin Prescribed for Patients with Acute Bacterial Sinusitis

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#333. Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse):

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 #334. Adult Sinusitis: More than One Computerized Tomography (CT) Scan Within 90 Days for Chronic Sinusitis (Overuse)

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 #335. Maternity Care: Elective Delivery or Early Induction Without Medical Indication at ≥ 37 and < 39 Weeks

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 #336.  Maternity Care: Post-Partum Follow-Up and Care Coordination

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 #337. Tuberculosis Prevention for Psoriasis and Psoriatic Arthritis Patients on a Biological Immune Response Modifier

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 #342. Pain Brought Under Control within 48 Hours

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 #343. Screening Colonoscopy Adenoma Detection Rate

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 #344. Rate of Carotid Artery Stenting (CAS) for Asymptomatic Patients, Without Major Complications (Discharged to Home by Post-Operative Day #2

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 #345. Rate of Postoperative Stroke or Death in Asymptomatic Patients Undergoing Carotid Artery Stenting (CAS):

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#346. Rate of Postoperative Stroke or Death in Asymptomatic Patients Undergoing Carotid Endarterectomy (CEA)

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#347. Rate of Endovascular Aneurysm Repair (EVAR) of Small or Moderate Non-Ruptured Abdominal Aortic Aneurysms (AAA) Who Die While in Hospital:

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#348. HRS-3: Implantable Cardioverter-Defibrillator (ICD) Complications Rate

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#349. Optimal Vascular Care Composite

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#358. Patient-centered Surgical Risk Assessment and Communication

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#383. Adherence to Antipsychotic Medications For Individuals with Schizophrenia

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#384. Adult Primary Rhegmatogenous Retinal Detachment Repair Success Rate

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#385. Adult Primary Rhegmatogenous Retinal Detachment Surgery Success Rate

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#386. Amyotrophic Lateral Sclerosis (ALS) Patient Care Preferences

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#387. Annual Hepatitis C Virus (HCV) Screening for Patients who are Active Injection Drug Users

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#388. Cataract Surgery with Intra-Operative Complications (Unplanned Rupture of Posterior Capsule requiring unplanned vitrectomy)

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#389.Cataract Surgery: Difference Between Planned and Final Refraction

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#390. Discussion and Shared Decision Making Surrounding Treatment Options

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#391. Follow-Up After Hospitalization for Mental Illness (FUH)

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#392. HRS-12: Cardiac Tamponade and/or Pericardiocentesis Following Atrial Fibrillation Ablation

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#393. HRS-9: Infection within 180 Days of Cardiac Implantable Electronic Device (CIED) Implantation, Replacement, or Revision

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#394.  Immunizations for Adolescents

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#395. Lung Cancer Reporting (Biopsy/Cytology Specimens)

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#396. Lung Cancer Reporting (Resection Specimens) 

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#397. Melanoma Reporting

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#398. Optimal Asthma Control 

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#399. Post-Procedural Optimal Medical Therapy Composite (Percutaneous Coronary Intervention)

Measure Description  pdf.png (CMS)

Measure Flow pdf.png (CMS)

#400. Hepatitis C: One-Time Screening for Hepatitis C Virus (HCV) for Patients at Risk

Measure Description  pdf.png (CMS)

Measure Flow pdf.png (CMS)

#401. Screening for Hepatocellular Carcinoma (HCC) in Patients with Hepatitis C Cirrhosis

Measure Description  pdf.png (CMS)

Measure Flow pdf.png (CMS)

#402.Tobacco Use and Help with Quitting Among Adolescents 

Measure Description  pdf.png (CMS)

Measure Flow pdf.png (CMS)

 

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