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Use of Spirometry Testing in the Assessment and Diagnosis of COPD (SPR)

HEDIS Measure

Use of Spirometry Testing in the Assessment and Diagnosis of COPD (SPR)

Line of business: Commercial Medicaid Medicare

Data Collection Method: Administrative

Measure Description

The percentage of members 40 years of age and older with a new diagnosis of COPD or newly active COPD who received appropriate spirometry testing to confirm the diagnosis.

Numerator Compliance

At least one claim/encounter for spirometry during the 730 days (2 years) prior to the IESD through 180 days (6 months) after the IESD.

IESD - Index Episode Start Date. The earliest date of service for an eligible visit during the Intake Period with any diagnosis of COPD.

  • For an outpatient, observation or ED visit, the IESD is the date of service
  • For an acute inpatient encounter identified only by a professional claim (where the discharge date cannot be determined), the IESD is the date of service
  • For an acute inpatient discharge, the IESD is the date of discharge
  • For an acute inpatient discharge with a direct transfer, the IESD is the discharge date of the original admission

Quality Value Set Directory Coding Tips

Spirometry

CPT

  • 94010
  • 94014
  • 94015
  • 94016
  • 94060
  • 94070
  • 94375
  • 94620

SNOMED CT US Edition

  • 33875008
  • 56445006
  • 63947001
  • 67666003
  • 69706004
  • 78967008
  • 113016006
  • 127783003
  • 171255006
  • 258058009
  • 702788003
  • 767906009