period. during measurement period AND - Documentation that diagnosis was At least one established patient coded in error office visit (Established Pt - Patient had only urgent care visits Diabetes & Vasc Value Set) for during the measurement period any reason during the measurement period Lumbar Spine CT or MRI of the lumbar CT or MRI of the lumbar Indications for measure exclusion Imaging for Low spine studies with a studies with a diagnosis of low include any patients with diagnosis Back Pain diagnosis of low back back pain on the imaging claim. codes associated with: cancer, pain (from the congenital spine & spinal cord denominator) without malformations, human the patient having immunodeficiency virus (HIV), claims-based evidence infectious conditions, inflammatory of prior antecedent and autoimmune disorders, conservative therapy. intraspinal abscess, intravenous drug abuse, lumbar spine surgery, neoplastic abnormalities, neurologic impairment, postoperative fluid collections and soft-tissue changes, spinal abnormalities associated with scoliosis, spinal cord infarctions, spinal vascular malformations, syringohydromyelia, treatment fields for radiation therapy, trauma, and unspecified immune deficiencies.
period. AND At least one established patient office visit (Established Pt Diabetes & Vasc Value Set) for any reason during the measurement period during measurement period - Documentation that diagnosis was coded in error - Patient had only urgent care visits during the measurement period Lumbar Spine Imaging for Low Back Pain CT or MRI of the lumbar spine studies with a diagnosis of low back pain (from the denominator) without the patient having claims-based evidence of prior antecedent conservative therapy. CT or MRI of the lumbar studies with a diagnosis of low back pain on the imaging claim. Indications for measure exclusion include any patients with diagnosis codes associated with: cancer, congenital spine & spinal cord malformations, human immunodeficiency virus (HIV), infectious conditions, inflammatory and autoimmune disorders, intraspinal abscess, intravenous drug abuse, lumbar spine surgery, neoplastic abnormalities, neurologic impairment, postoperative fluid collections and soft-tissue changes, spinal abnormalities associated with scoliosis, spinal cord infarctions, spinal vascular malformations, syringohydromyelia, treatment fields for radiation therapy, trauma, and unspecified immune deficiencies.