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CQR-USE OF IMAGING FOR LOW BACK PAIN

MU, CQR, PQRS, etc.

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lyocher

(@lyocher)

Posts: 41

Trusted Member

Topic starter

Hello all,

Would anyone happen to know if CQR is programmed to record CPT codes for this measure? Our results in CQR seem to be inaccurate. Where we have a patient between the age of 18-50 yrs. old that was diagnosed with low back pain [or any applicable ICD-10 code within the value set] on the initial visit, was ordered a plain x-ray of the lower spine [or any applicable view within the value set] on the same day, this same patient is being counted in the numerator as meeting the measure.

As I understand it, the numerator count is of patients 18-50 years of age with a diagnosis of low back pain who DID NOT have an imaging study (plain X-ray, MRI, CT scan) within 28 days of the diagnosis.

I can't understand why the entire IPP we have accounted for are meeting this measure, even though an xray was ordered, and completed. Now, our x-ray orders have CPT codes on them- not LOINC codes. Could this be the problem? Does anyone have experience to share if whether we should be mapping an OBS term to a LOINC code, or is anyone else having this same issue?

Any insight is greatly appreciated!
Thanks in advance.

Lyndsay

Posted : July 1, 2016 2:30 am

mvolkert

(@mvolkert)

Posts: 143

Reputable Member

Several measures are not calculating and displaying properly in CQR since the upgrade this past weekend. We are noticing it on this same measure. Was it calculating properly for you prior to the upgrade?

Posted : July 1, 2016 6:21 am

mcwilson

(@mcwilson)

Posts: 92

Estimable Member

Lyndsay,

Did you ever get a resolution to this?

We have the exact same issue/situation that you describe. Our CQR reports for this measure are showing 100% for all our providers even though we know we have cases where an image study was ordered on the same day as the first visit. However, like you, the order is done with a CPT code verses a LOINC code.

Mike

Posted : September 23, 2016 6:32 am

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