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AAO13: Bell’s Palsy: Inappropriate Use of Magnetic Resonance Imaging or Computed Tomography Scan (Inverse Measure)+

AAO13: Bell’s Palsy: Inappropriate Use of Magnetic Resonance Imaging or Computed Tomography Scan (Inverse Measure)+

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High Priority: Yes; Appropriate Use
NQF Number: N/A

Percentage of patients age 16 years and older with a new onset diagnosis of Bell’s palsy within the past 3 months who had a magnetic resonance imaging (MRI) or a computed tomography scan (CT) of the internal auditory canal, head, neck or brain ordered for the primary diagnosis of Bell’s palsy.

Denominator:

All patients age 16 years and older with a diagnosis of new onset Bell’s palsy within the past 3 months.

Denominator Exclusions:

None

Denominator Exceptions:

Medical reason for ordering an MRI or CT scan of the internal auditory canal, head, neck or brain for the primary diagnosis of Bell’s palsy including:

  • Patient with diagnosis of Bell’s palsy more than 3 months prior to the date of the referral or performance of imaging with no signs of recovery.
  • Patient with recurrent diagnosis of Bell’s palsy.
  • Patient with paralysis limited to a specific branch, or branches, of the facial nerve.
  • Patients with paralysis associated with other cranial nerve abnormalities, including olfactory nerve,
    glossopharyngeal nerve, vagus nerve, and hypoglossal nerve.
  • Patient with other diagnosed neurological abnormalities, including simultaneous sudden hearing loss, tinnitus, and/or dizziness; stroke; tumor; seizures; extremity weakness; and/or extremity hypoesthesia.

Numerator:

Patients with whom a MRI or CT scan of the internal auditory canal, head, neck, or brain was ordered for a primary diagnosis of Bell’s palsy.

Numerator Exclusions:

None

Measure Classifications:

  • Measure Type: Process
  • National Quality Strategy (NQS) domain: Efficiency and Cost Reduction
    Meaningful Measure Area: Appropriate Use of Healthcare
  • Care Setting(s): Ambulatory Care: Clinician Office/Clinic
  • Includes Telehealth: Yes
  • Calculation: 1st Performance Rate
    • Inverse measure: Yes
    • Continuous measure: No
    • Proportional measure: Yes
    • Ratio measure: No
    • Risk Adjusted measure: No

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Disclaimer:

The Measures are not clinical guidelines, do not establish a standard of medical care, and have not been tested for all potential applications. THE MEASURES AND SPECIFICATIONS ARE PROVIDED “AS IS” WITHOUT WARRANTY OF ANY KIND. Neither the AAO-HNSF nor its members shall be responsible for any use of the Measures. The AAO-HNSF and its members disclaim all liability for use or accuracy of any Current Procedural Terminology (CPT®) or other coding contained in the specifications.

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