NQF 0075 Ischemic Vascular Disease (IVD): Cmplete Lipid Panel and LDL Cntrl Initial Patient Ppulatin: Numeratr(1): Numeratr(2): N Exclusin: Denminatr: D Exceptin: D Exclusin: Patients 18 years f age and lder with a visit during the measurement perid, and an active diagnsis f ischemic vascular disease (IVD) during the measurement perid, r wh were discharged alive fr acute mycardial infarctin (AMI), crnary artery bypass graft (C ABG) r percutaneus crnary interventins (PC I) in the 12 mnths prir t the measurement perid Patients with a cmplete lipid prfile perfrmed during the measurement perid Patients whse mst recent LDL C level perfrmed during the measurement perid is <100 mg/dl N/A Equals Initial Patient Ppulatin Nne Nne Initial Patient Ppulatin/Denminatr T be cnsidered a part f the denminatr, the patient must be 18 years f age r lder, and must have a visit during the measurement perid. The patient must als have ne f the fllwing diagnses recrded befre r during the measurement perid, and the diagnsis must still be active at the start f the measurement perid: Active diagnsis f AMI in the year prir t the start f the measurement perid Acute infarctin f papillary muscle (disrder) Acute mycardial infarctin f psterlateral wall (disrder) Acute anterapical infarctin (disrder) True psterir mycardial infarctin (disrder) Acute atrial infarctin (disrder) Acute Q wave infarctin anterseptal (disrder) Acute nn Q wave infarctin anterseptal (disrder) Acute Q wave infarctin anterlateral (disrder) Acute nn Q wave infarctin anterlateral (disrder) Acute Q wave infarctin inferir (disrder) Acute nn Q wave infarctin inferir (disrder) Acute Q wave infarctin inferlateral (disrder) Acute nn Q wave infarctin inferlateral (disrder) Acute Q wave infarctin lateral (disrder) Acute nn Q wave infarctin lateral (disrder) Acute widespread mycardial infarctin (disrder) Acute Q wave infarctin widespread (disrder) Acute nn Q wave infarctin widespread (disrder) Acute psterir mycardial infarctin (disrder) Acute mycardial infarctin f basal lateral wall (disrder) Acute mycardial infarctin with rupture f ventricle (disrder) Acute Q wave mycardial infarctin (disrder) Acute nn Q wave infarctin (disrder) Acute ST segment elevatin mycardial infarctin (disrder) Acute nn ST segment elevatin mycardial infarctin (disrder) Acute anterapical mycardial infarctin (disrder) Acute mycardial infarctin f anterir wall (disrder) Acute mycardial infarctin (disrder) Acute mycardial infarctin f lateral wall (disrder) Acute mycardial infarctin f apical lateral wall (disrder) Acute anterseptal mycardial infarctin (disrder) Acute mycardial infarctin f high lateral wall (disrder)
Acute mycardial infarctin f inferlateral wall (disrder) Acute mycardial infarctin f anterlateral wall (disrder) Acute subendcardial infarctin (disrder) Acute mycardial infarctin f psterbasal wall (disrder) Acute mycardial infarctin f inferir wall (disrder) Acute mycardial infarctin f inferpsterir wall (disrder) Acute mycardial infarctin f septum (disrder) Active diagnsis f IVD during the measurement perid Stensis f precerebral artery (disrder) Arterisclersis f saphenus vein (disrder) Senile endarteritis (disrder) Basilar artery emblism (disrder) Chrnic cerebral ischemia (disrder) Atherma f cerebral arteries (disrder) Left crnary artery cclusin (disrder) Right crnary artery cclusin (disrder) Athersclertic cclusive disease (disrder) Multiple AND bilateral precerebral artery thrmbsis (disrder) Status anginsus (disrder) Acute crnary insufficiency (disrder) Angina (disrder) Single crnary vessel disease (disrder) Duble crnary vessel disease (disrder) Generalized ischemic mycardial dysfunctin (disrder) Vertebral artery cclusin (disrder) Multiple and bilateral precerebral arterial cclusin (disrder) Cerebral infarct due t thrmbsis f precerebral arteries (disrder) Cerebral infarctin due t emblism f precerebral arteries (disrder) Cerebral infarctin due t thrmbsis f cerebral arteries (disrder) Cerebral infarctin due t emblism f cerebral arteries (disrder) Cartid artery syndrme hemispheric (disrder) Intermittent cerebral ischemia (disrder) Cerebral infarctin due t cerebral venus thrmbsis, nn pygenic (disrder) Occlusin and stensis f cerebral arteries, nt resulting in cerebral infarctin (disrder) Occlusin and stensis f middle cerebral artery (disrder) Occlusin and stensis f anterir cerebral artery (disrder) Occlusin and stensis f psterir cerebral artery (disrder) Occlusin and stensis f cerebellar arteries (disrder) Occlusin and stensis f multiple and bilateral cerebral arteries (disrder) Extremity artery atherma (disrder) Emblism and thrmbsis f the thracic arta (disrder) Emblism and thrmbsis f an arm r leg artery (disrder) Emblism and thrmbsis f the brachial artery (disrder) Emblism and thrmbsis f the radial artery (disrder) Emblism and thrmbsis f the ulnar artery (disrder) Emblism and thrmbsis f the femral artery (disrder) Emblism and thrmbsis f the ppliteal artery (disrder) Emblism and thrmbsis f the anterir tibial artery (disrder) Emblism and thrmbsis f the drsalis pedis artery (disrder) Emblism and thrmbsis f the psterir tibial artery (disrder) Emblism and/r thrmbsis f the cmmn iliac artery (disrder) Emblism and/r thrmbsis f the internal iliac artery (disrder) Emblism and/r thrmbsis f the external iliac artery (disrder)
Emblism and thrmbsis f the splenic artery (disrder) Emblism and thrmbsis f the axillary artery (disrder) Emblism and thrmbsis f the celiac artery (disrder) Emblism and thrmbsis f the hepatic artery (disrder) Cerebral artery cclusin (disrder) Syncpe anginsa (disrder) Ischemic chest pain (finding) Infarctin precerebral (disrder) Anterir cerebral circulatin infarctin (disrder) Ttal anterir cerebral circulatin infarctin (disrder) Partial anterir cerebral circulatin infarctin (disrder) Lacunar infarctin (disrder) Pure mtr lacunar infarctin (disrder) Pure sensry lacunar infarctin (disrder) Pure sensrimtr lacunar infarctin (disrder) Lacunar ataxic hemiparesis (disrder) Dysarthria clumsy hand syndrme (disrder) Multi infarct state (disrder) Hemrrhagic cerebral infarctin (disrder) Anterir cerebral circulatin hemrrhagic infarctin (disrder) Psterir cerebral circulatin hemrrhagic infarctin (disrder) Triple vessel disease f the heart (disrder) Stable angina (disrder) New nset angina (disrder) Silent mycardial ischemia (disrder) Accelerated crnary artery disease in transplanted heart (disrder) Abdminal artic athersclersis (disrder) Artiliac athersclersis (disrder) Peripheral ischemia (disrder) Upper limb ischemia (disrder) Critical upper limb ischemia (disrder) Lwer limb ischemia (disrder) Critical lwer limb ischemia (disrder) Internal cartid artery stensis (disrder) Crnary artery stensis (disrder) Artic bifurcatin emblus (disrder) Femral artery emblus (disrder) Brachial artery emblus (disrder) Ischemia f stma (disrder) Crnary artery spasm (disrder) Crnary graft stensis (disrder) Impending infarctin (disrder) Precerebral arterial cclusin (disrder) Cartid artery cclusin (disrder) Arterial emblus and thrmbsis (disrder) Emblism and thrmbsis f the abdminal arta (disrder) Crnary stium stensis (disrder) Artic thrmbemblism (disrder) Occipital cerebral infarctin (disrder) Vascular degeneratin (disrder) Ischemic mycardial dysfunctin (disrder) Cerebral ischemia (disrder) Obstructin f precerebral artery (disrder)
Axillary artery emblus (disrder) Emblus f circle f Willis (disrder) Ppliteal artery emblus (disrder) Crnary artery emblism (disrder) Ischemia f feet (disrder) Cartid athersclersis (disrder) Exercise induced angina (disrder) Ischemic ft (disrder) Endarteritis defrmans (disrder) Infarctin f visual crtex (disrder) Athersclertic renal artery stensis (disrder) Endarteritis bliterans (disrder) Multiple lacunar infarcts (disrder) Trash ft (disrder) Ischemic hand (disrder) Ischemic te (disrder) Ischemic finger (disrder) Left sided cerebral infarctin (disrder) Right sided cerebral infarctin (disrder) Upper limb arterial emblus (disrder) Lwer limb arterial emblus (disrder) Critical ischemia f ft (disrder) Pst infarct angina (disrder) Refractry angina (disrder) Asymptmatic crnary heart disease (disrder) Ncturnal angina (disrder) Senile arterisclersis (disrder) Arterisclersis bliterans (disrder) Vascular disrder f extremity (disrder) Thrmbemblic disrder (disrder) Multi vessel crnary artery disease (disrder) Left main crnary artery disease (disrder) Significant crnary bypass graft disease (disrder) Prgressive Angina (disrder) Atypical angina (disrder) Recurrent angina status pst percutaneus transluminal crnary angiplasty (disrder) Recurrent angina status pst crnary stent placement (disrder) Recurrent angina status pst crnary artery bypass graft (disrder) Recurrent angina status pst rtatinal atherectmy (disrder) Recurrent angina status pst directinal crnary atherectmy (disrder) Acute crnary syndrme (disrder) Generalized athersclersis (disrder) Ischemic gangrene (disrder) Crnary artery bypass graft cclusin (disrder) Pntine artery thrmbsis (disrder) Infarctin f basal ganglia (disrder) Angina, class II (disrder) Acute ischemic heart disease (disrder) Acute mycardial ischemia (disrder) Anterir segment ischemia (disrder) Chrnic ischemic heart disease (disrder) Chrnic mycardial ischemia (disrder) Ischemic heart disease (disrder)
Mycardial ischemia (disrder) Obliterative crnary artery disease (disrder) Athermatus emblus f lwer limb (disrder) Acute lacunar infarctin (disrder) Bilateral cartid artery cclusin (disrder) Thalamic infarctin (disrder) Athermatus emblus f upper limb (disrder) Mixed mycardial ischemia and infarctin (disrder) Athersclertic stensis f brachicephalic artery (disrder) Recurrent crnary arterisclersis after percutaneus transluminal crnary angiplasty (disrder) Typical angina (disrder) Arterisclersis f crnary artery bypass graft (disrder) Occlusive disease f artery f upper extremity (disrder) Occlusive disease f artery f lwer extremity (disrder) Cerebral infarctin (disrder) Athersclersis f artery (disrder) Arterisclersis f autlgus vein crnary artery bypass graft (disrder) Arterisclersis f nnautlgus crnary artery bypass graft (disrder) Arterisclersis f arterial crnary artery bypass graft (disrder) Athersclersis f bypass graft f limb (disrder) Athersclersis f autlgus vein bypass graft f limb (disrder) Athersclersis f nnautlgus bilgical bypass graft f limb (disrder) Athersclersis f nnautlgus bypass graft f limb (disrder) Athersclersis f crnary artery (disrder) Arterisclersis f artery f extremity (disrder) Arterisclersis f crnary artery bypass graft f transplanted heart (disrder) Arterisclersis f internal mammary artery crnary artery bypass graft (disrder) Thrmbemblus f precerebral artery (disrder) Athersclersis f renal artery (disrder) Preinfarctin syndrme (disrder) Thrmbsis f precerebral artery (disrder) Arterisclertic gangrene (disrder) Atherma f artery (disrder) Athersclersis f arteries f the extremities (disrder) Atheremblism f renal arteries (disrder) Ischemia (disrder) Crnary arterisclersis (disrder) Basilar artery stensis (disrder) Arterial emblism (disrder) Senile arteritis (disrder) Cerebral athersclersis (disrder) Transient ischemia (disrder) Angina decubitus (disrder) Crnary stricture (disrder) Thrmbemblism f renal arteries (disrder) Angina, class I (disrder) Crnary cclusin (disrder) Cartid artery stensis (disrder) Vertebral artery thrmbsis (disrder) Vertebral artery emblism (disrder) Arterial thrmbsis (disrder) Pstmycardial infarctin syndrme (disrder) Crnary artery atherma (disrder)
Multiple AND bilateral precerebral artery bstructin (disrder) Mnckeberg's medial sclersis (disrder) Cerebral arterial thrmbsis (disrder) Arterisclertic vascular disease (disrder) Multiple AND bilateral precerebral artery stensis (disrder) Cerebral emblism (disrder) Athersclersis f arta (disrder) Angina, class III (disrder) Prinzmetal angina (disrder) Basilar artery thrmbsis (disrder) Angina, class IV (disrder) Vertebral artery stensis (disrder) Calcific crnary arterisclersis (disrder) Cerebellar artery cclusin (disrder) Cerebellar artery thrmbsis (disrder) Renal artery emblism (disrder) Crnary prcedure in the year prir t the start f the measurement perid Crnary Prcedure, CPT Cdes: 33510 33511 33512 33513 33514 33516 33517 33518 33519 33521 33522 33523 33533 33534 33535 33536 Crnary Prcedure, Diagnsis Descriptins: Crnary artery bypass with autgenus graft, three grafts (prcedure) Internal mammary crnary artery bypass graft (prcedure) Crnary artery bypass graft, anastmsis f artery f thrax t crnary artery (prcedure) Saphenus vein graft replacement f ne crnary artery (prcedure) Saphenus vein graft replacement f tw crnary arteries (prcedure) Saphenus vein graft replacement f three crnary arteries (prcedure) Saphenus vein graft replacement f fur r mre crnary arteries (prcedure) Allgraft bypass f crnary artery (prcedure) Allgraft replacement f ne crnary artery (prcedure) Allgraft replacement f tw crnary arteries (prcedure) Allgraft replacement f three crnary arteries (prcedure) Allgraft replacement f fur r mre crnary arteries (prcedure) Prsthetic bypass f crnary artery (prcedure) Prsthetic replacement f ne crnary artery (prcedure) Prsthetic replacement f tw crnary arteries (prcedure) Prsthetic replacement f three crnary arteries (prcedure) Prsthetic replacement f fur r mre crnary arteries (prcedure) Cnnectin f mammary artery t crnary artery (prcedure)
Duble implantatin f mammary arteries int crnary arteries (prcedure) Single anastmsis f mammary artery t left anterir descending crnary artery (prcedure) Single implantatin f mammary artery int crnary artery (prcedure) Crnary artery bypass grafting (prcedure) Crnary artery bypass graft x 1 (prcedure) Crnary artery bypass grafts x 2 (prcedure) Crnary artery bypass grafts x 3 (prcedure) Crnary artery bypass grafts x 4 (prcedure) Crnary artery bypass grafts x 5 (prcedure) Crnary artery bypass grafts greater than 5 (prcedure) Duble anastmsis f mammary arteries t crnary arteries (prcedure) Left internal mammary artery single anastmsis (prcedure) Right internal mammary artery single anastmsis (prcedure) Left internal mammary artery sequential anastmsis (prcedure) Right internal mammary artery sequential anastmsis (prcedure) Anastmsis f thracic artery t crnary artery, duble (prcedure) Artcrnary bypass grafting (prcedure) Artcrnary artery bypass graft with saphenus vein graft (prcedure) Single internal mammary crnary artery bypass (prcedure) Crnary artery bypass with autgenus graft f internal mammary artery, single graft (prcedure) Crnary artery bypass with autgenus graft, fur grafts (prcedure) Anastmsis f internal mammary artery t crnary artery, duble vessel (prcedure) Emergency crnary artery bypass graft (prcedure) Rbt assisted crnary artery bypass (prcedure) Minimally invasive direct crnary artery bypass (prcedure) Anastmsis f thracic artery t crnary artery, single (prcedure) Crnary artery bypass with autgenus graft, tw grafts (prcedure) Crnary artery bypass with autgenus graft, five grafts (prcedure) Percutaneus Crnary Interventins in the year prir t the start f the measurement perid Percutaneus Crnary Interventins, CPT Cdes: 92980 92982 92995 92920 92924 92928 92933 92937 92941 92943 Percutaneus Crnary Interventins, Diagnsis Descriptins: Percutaneus transluminal crnary angiplasty (prcedure) Transmycardial revascularizatin by laser technique (prcedure) Percutaneus transluminal balln angiplasty f bypass graft f crnary artery (prcedure) Percutaneus directinal crnary atherectmy (prcedure) Percutaneus lw speed rtatinal crnary atherectmy (prcedure) Percutaneus high speed rtatinal crnary atherectmy (prcedure) Percutaneus transluminal crnary angiplasty by rtablatin (prcedure) Percutaneus transluminal crnary angiplasty with rtablatin, single vessel (prcedure) Emergency percutaneus crnary interventin (prcedure) Insertin f drug cated stent (prcedure) Percutaneus crnary interventin (prcedure)
Placement f stent in anterir descending branch f left crnary artery (prcedure) Placement f stent in circumflex branch f left crnary artery (prcedure) Percutaneus transluminal balln angiplasty with insertin f stent int crnary artery (prcedure) Percutaneus transluminal atherectmy using flurscpic guidance (prcedure) Infusin f intra arterial thrmblytic agent with percutaneus transluminal crnary angiplasty (prcedure) Infusin f intra arterial thrmblytic agent with percutaneus transluminal crnary angiplasty, multiple vessels (prcedure) Percutaneus transluminal crnary angiplasty, multiple vessels (prcedure) Infusin f intra arterial thrmblytic agent with percutaneus transluminal crnary angiplasty, single vessel (prcedure) In additin t having ne f the Diagnses r Prcedures abve, the patient must have an encunter during the measurement perid with a superbill that includes ne f the fllwing CPT cdes, r they must have a prblem added t their prblem list that indicates a face t face interactin: CPT cdes added t the superbill: Office Visit: 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215 Established Office Visit, 18 and up: 99395, 99396, 99397 Preventative Care Services Initial Office Visit, 18 and up: 99385, 99386, 99387 Hme Healthcare Services: 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350 Prblem added t the Prblem list indicating a Face t Face Interactin Subsequent hspital visit by physician (prcedure) Subsequent nursing facility visit (prcedure) Encunter fr "check up" (prcedure) Visit ut f hurs (prcedure) Weekend visit (prcedure) Nursing evaluatin f patient and reprt (prcedure) Histry and physical examinatin with evaluatin and management f nursing facility patient (prcedure) Patient initiated encunter (prcedure) Prvider initiated encunter (prcedure) Patient encunter prcedure (prcedure) Fllw up encunter (prcedure) Urgent fllw up (prcedure) Hme visit (prcedure) Emergency department patient visit (prcedure) Fllw up inpatient cnsultatin visit (prcedure) Initial evaluatin and management f healthy individual (prcedure) Denminatr Exclusins N/A Fr this CQM, there are n exclusins. Numeratr (1): Patients in the denminatr wh have a cmplete lipid prfile test perfrmed during the measurement perid will be included in the numeratr (1). Lipid Prfile Lab Tests LOINC Cde Test Descriptin 24331 1 Lipid 1996 panel Serum r Plasma 57698 3 Lipid panel with direct LDL Serum r Plasma
Nte: Test results must be received thrugh a lab interface manually imprted r entered results will nt be cunted. Numeratr (2): Patients in the denminatr whse mst recent LDL C level result was <100 mg/dl fr a LDL C test perfrmed during the measurement perid will be included in the numeratr (2). LDL C Lab Tests LOINC Cde Test Descriptin 13457 7 Chlesterl in LDL [Mass/vlume] in Serum r Plasma by calculatin 18262 6 Chlesterl in LDL [Mass/vlume] in Serum r Plasma by Direct assay 2089 1 Chlesterl in LDL [Mass/vlume] in Serum r Plasma Nte: Test results must be received thrugh a lab interface manually imprted r entered results will nt be cunted.