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AAO17: Age-related Hearing Loss: Advanced Diagnostic Imaging of Bilateral Presbycusis or Symmetric SNHL

AAO17: Age-related Hearing Loss: Advanced Diagnostic Imaging of Bilateral Presbycusis or Symmetric SNHL

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High Priority: Yes; Appropriate Use
Percentage of patients age 60 years and older with a diagnosis of bilateral presbycusis or symmetric sensorineural
hearing loss who were NOT ordered magnetic resonance imaging (MRI) or a computed tomography scan (CT scan) of the
brain, temporal bone or internal auditory canal for the primary indication of hearing loss.

Denominator:
All patients age 60 years and older diagnosed with bilateral presbycusis or symmetric sensorineural hearing loss.

Denominator Exclusions:
None

Denominator Exceptions:
Medical reason that may require an MRI or CT scan of the brain, temporal bone or internal auditory canal, including:
• Evaluation for cochlear implantation or surgical management of hearing loss
• Unilateral or pulsatile tinnitus
• Vertigo, disequilibrium, dizziness
• Asymmetrical hearing loss
• Acquired hearing loss following meningitis, measles, mumps
• Chronic otitis media, otosclerosis
• Head injury or trauma

Numerator:
Patients who were NOT ordered magnetic resonance imaging (MRI) or a computed tomography scan (CT scan) of the
brain, temporal bone or internal auditory canal for the primary indication of age-related hearing loss. This restriction is
relevant at any time interval after the diagnosis of age-related hearing loss.

Measure Classifications:

  • Measure Type: Process
  • National Quality Strategy (NQS) domain: Efficiency and Cost Reduction
  • Meaningful Measure Area: Appropriate Use of Healthcare
  • Calculation: 1st Performance Rate
    • Inverse measure: No
    • Continuous measure: No
    • Proportional measure: Yes
    • Ratio measure: No
    • Risk Adjusted measure: No
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