High Priority MeasureYes
Percent of asymptomatic patients undergoing CEA who are discharged to home no later than post-operative day #2
This measure is to be submitted each time a CEA is performed during the performance period. It is anticipated that eligible clinicians who provide services of CEA, as described in the measure, based on the services provided and the measure-specific denominator coding will submit this measure. This measure may be submitted by eligible clinicians who perform the quality actions described in the measure based on the services provided and the measure-specific denominator coding.
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.
All carotid endarterectomy procedures
Denominator Criteria (Eligible Cases):
Patients aged ≥ 18 years on date of encounter
Patient procedure during the performance period (CPT): 35301
Symptomatic carotid stenosis: Ipsilateral carotid territory TIA or stroke less than 120 days prior to procedure: 9006F
Other carotid stenosis: Ipsilateral TIA or stroke 120 days or greater prior to procedure or any prior contralateral carotid territory or vertebrobasilar TIA or stroke: 9007F
Patients that are asymptomatic neurologically who were discharged alive, to home no later than post-operative day #2 following CEA
Home – For purposes of submitting this measure, home is the point of origin prior to hospital admission for procedure of CEA. For example, if the patient comes from a skilled facility and returns to the skilled facility post CEA, this would meet criteria for discharged to home.
Performance Met: Patient discharged to home no later than post-operative day #2 following CEA (G8834)
Performance Not Met: Patient not discharged to home by post-operative day #2 following CEA (G8838)