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 (Claims)
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