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