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Cardiovascular Monitoring for People With Cardiovascular Disease and Schizophrenia (SMC)

HEDIS Measure

Cardiovascular Monitoring for People With Cardiovascular Disease and Schizophrenia (SMC)

Line of business: Medicaid

Data Collection Method: Administrative

Measure Description

The percentage of members 18–64 years of age with schizophrenia or schizoaffective disorder and cardiovascular disease, who had an LDL-C test during the measurement year.

Numerator Compliance

An LDL-C test performed during the measurement year.

Best Practices

  • Incorporate standard orders for screening test every year
  • Set care gap “alerts” in your electronic medical record
  • Follow up with patients to discuss and educate on lab results
  • Coordinate care with patients’ other providers
  • Outreach patients who cancel appointments and reschedule them as soon as possible

Quality Value Set Directory Coding Tips

LDL-C Lab Test

CPT

  • 80061
  • 83700
  • 83701
  • 83704
  • 83721

LOINC

  • 12773-8
  • 13457-7
  • 18261-8
  • 18262-6
  • 2089-1
  • 49132-4
  • 55440-2
  • 96259-7

LDL-C Test Result or Finding

CPT-CAT-II

  • 3048F
  • 3049F
  • 3050F