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 (Claims)
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
- 2089-1
- 12773-8
- 13457-7
- 18261-8
- 18262-6
- 49132-4
- 55440-2
- 96259-7
- 113079009
- 166833005
- 166840006
- 166841005
- 167074000
- 167075004
- 314036004
LDL-C Test Result or Finding
CPT-CAT-II
- 3048F
- 3049F
- 3050F