| Measure: Percentage of patients 18-85 years of age who had a diagnosis of hypertension and whose blood pressure was adequately controlled (<140/90mmHg) during the measurement period | ||
| Measure Type | High Priority Measure | Scoring |
| Outcome | Yes | A higher percentage indicates better quality |
| Denominator | Patients 18-85 years of age who had a diagnosis of essential hypertension within the first six months of the measurement period or any time prior to the measurement period |
| Numerator | Patients whose blood pressure at the most recent visit is adequately controlled (systolic blood pressure < 140 mmHg and diastolic blood pressure < 90 mmHg) during the measurement period |
| Denominator Exceptions | None |
| Denominator Exclusions | Exclude patients:
|
Denominator
Patients who meet the following criteria will be included in the denominator:
Age must be ≥ 18 years and < 85 years at the beginning of the Measurement Period
AND
Must have an existing diagnosis of essential hypertension or be diagnosed with essential hypertension within the first six months of the Measurement Period
AND
- Must have at least one encounter during the Measurement Period finalized by the EC/EP
Encounter Codes Eligible for Denominator
CPT: 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99395, 99396, 99397, 99385, 99386, 99387, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350
HCPCS: G0438, G0439
Diagnosis Codes Eligible for Denominator
Diagnoses are documented in the Assessment tab of an encounter.
ICD-10: I10
ICD-9: 401.0, 401.1, 401.9
Denominator Exclusions
A patient will be excluded from this measure if they meet any of the following conditions:
- Have an active diagnosis of pregnancy, end stage renal disease, or chronic kidney disease, stage 5 during the Measurement Period
- Received services related to kidney disease or a kidney transplant before or during the Measurement Period
- Were in hospice care during the measurement year
Diagnosis
Diagnoses are documented in the Assessment tab of an encounter. A comprehensive list of eligible diagnosis codes for this exclusion can be located here.
Encounter Codes Eligible for Denominator Exclusion
CPT: 90951, 90952, 90953, 90954, 90955, 90956, 90957, 90958, 90959, 90960, 90961, 90962, 90963, 90964, 90965, 90966, 90967, 90968, 90969, 90970, 90989, 90993, 90997, 90999, 99512,
Procedure Codes Eligible for Denominator Exclusion
To document the performance of a services received related to kidney disease or a kidney transplant, go to Encounter > Orders/Procedure > Orders/Referrals and click Add to add one of the eligible codes listed below. Order Status must be marked as Complete in order to count as an exclusion.
Dialysis Services
CPT: 90920, 90947, 90945, 90940, 90937, 90935, 90925, 90924, 90921
HCPCS: G0257
Vascular Access for Dialysis
CPT: 36147, 36833, 36832, 36831, 36821, 36820, 36819, 36818, 36815, 36810, 36800, 36148
Kidney Transplant
CPT: 50300, 50320, 50340, 50380, 50370, 50365, 50360
HCPCS: S2065
Hospice Care Services
To document hospice care services as a procedure, go to Encounter > Orders/Procedure > Orders/Referrals and click Add to add one of the eligible codes listed below:
SNOMED CT: 385763009, 385765002
Order Status must be marked as Complete.
Note
SNOMED CT codes must be added as a Favorite in Preferences > Form Data > Orders to be accessible from the Orders/Referrals tab.
Numerator
A patient will be counted in the numerator if they have a documented blood pressure reading of
< 140/90 during their most recent encounter during the Measurement Period.
- If no blood pressure is recorded during the Measurement Period, the patient’s blood pressure is assumed not controlled
- If there are multiple blood pressure readings on the same day, the lowest reading will be counted toward the numerator
Documenting Blood Pressure
Blood pressure is documented in the Vitals tab of an encounter.
To document blood pressure, go to Encounter > Vitals > click Add/Retake Vitals
eCQI Reference
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