#448: Appropriate Workup Prior to Endometrial Ablation

Quality ID

448

NQF

0567

High Priority Measure

Yes

Specifications

Registry

Measure Type

Process

Specialty

Obstetrics/Gynecology

Measure Description

Percentage of women, aged 18 years and older, who undergo endometrial sampling or hysteroscopy with biopsy and results documented before undergoing an endometrial ablation

 

Instructions

This measure is to be submitted each time a procedure for endometrial ablation is performed during the measurement period. This measure is to 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.

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.

 

Denominator

All women aged 18 years and older who undergo an endometrial ablation procedure during the measurement year

Definition:

Index Date (exclusive of the index date): This date is in reference to the date of procedure for endometrial sampling or hysteroscopy with biopsy

Denominator Criteria (Eligible Cases):

All female patients

AND

Codes for endometrial ablation (ICD-10-PCS): 0U5B0ZZ, 0U5B3ZZ, 0U5B4ZZ, 0U5B7ZZ, 0U5B8ZZ, 0UDB7ZZ, 0UDB8ZZ

AND/OR

Patient procedure during the performance period (CPT): 58353, 58356, 58563

AND NOT

DENOMINATOR EXCLUSION:

Women who had an endometrial ablation procedure during the year prior to the index date (exclusive of the index date): G9822

 

Numerator

Women who received endometrial sampling or hysteroscopy with biopsy and results documented during the year prior to the index date (exclusive of the index date) of the endometrial ablation

Numerator Options:

Performance Met: Endometrial sampling or hysteroscopy with biopsy and results documented (G9823)

OR

Performance Not Met: Endometrial sampling or hysteroscopy with biopsy and results not documented (G9824)

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