High Priority Status: No / N/A
NQF Number: N/A
Measure Description:
Percentage of patients aged 6 months through 12 years with a diagnosis of otitis media with effusion (OME) who received tympanostomy tube insertion and received a comprehensive audiometric evaluation within 6 months prior to tympanostomy tube insertion.
Instructions:
This measure is to be submitted a minimum of once per performance period for patients diagnosed with OME who undergo tympanostomy tube insertion during the measurement period. This measure may be submitted by clinicians based on the services provided and the measure-specific denominator coding.
Denominator:
All patients aged 6 months through 12 years with a diagnosis of OME who received tympanostomy tube insertion.
Denominator Note:
To meet the denominator criteria, a patient must have been diagnosed with OME AND have undergone tympanostomy tube insertion within the performance period.
Denominator Exclusions:
None
Numerator:
Patients who received a comprehensive audiometric evaluation within 6 months prior to tympanostomy tube insertion.
Numerator Note:
To meet the intent of the measure, documentation is required that a comprehensive audiometric evaluation was performed within 6 months before tympanostomy tube insertion. Comprehensive audiometric evaluation is typically performed by an audiologist, but the specific methods will vary with the age of the child.
Denominator Exceptions:
Patient or caregiver(s) refusal of hearing test.
Measure Classifications:
Submission Pathway: Traditional MIPS
Measure Type: Process
National Quality Strategy (NQS) domain: Effective Clinical Care
Meaningful Measures Area: Appropriate Use of Healthcare
Care Setting(s): Ambulatory Care: Clinician Office/Clinic
Includes Telehealth: No
Number of Performance Rates: 1
Inverse measure: No
Continuous measure: No
Proportional measure: Yes
Ratio measure: No
Risk Adjusted measure: No
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Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. The measures, while copyrighted, can be reproduced and distributed, without modification, for noncommercial purposes, e.g. use by health care providers in connection with their practices. Commercial use is defined as the sale, license, or distribution of the measures for commercial gain, or incorporation of the measures into a product or service that is sold, licensed or distributed for commercial gain. Commercial uses of the measures require a license agreement between the user and the American Academy of Otolaryngology – Head and Neck Surgery Foundation.
The measure is not a clinical guideline, does not establish a standard of medical care, and has not been tested for all potential applications. The measure and specifications are provided “as is” without warranty of any kind. Neither the American Academy of Otolaryngology – Head and Neck Surgery Foundation (AAO-HNSF), nor its members shall be responsible for any use of the measure. 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.
