High Priority Status: No / N/A
NFQ Number: N/A
Measure Description:
Percentage of patients aged 6 months to 12 years of age with a diagnosis of otitis media with effusion (OME) including chronic serous, mucoid, or nonsuppurative OME of ≥ 3 months duration who had or received an order or referral for comprehensive audiometric evaluation
Instructions:
This measure is to be submitted a minimum of once per performance period for patients diagnosed with OME including chronic serous, mucoid, or nonsuppurative OME of ≥ 3 months duration. The measure requires 2 visits for OME. 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 of age with a diagnosis of OME including chronic serous, mucoid, or nonsuppurative OME of ≥ 3 months duration
Denominator Note:
To meet the denominator criteria, the measure requires 2 visits for OME. The diagnosis must be charted for both encounters to establish OME as chronic and of greater than 3 months duration. The diagnosis code does not need to be the same for both visits. A patient may have acute OME during the first visit and acute or chronic OME during the second visit. OME must be diagnosed on the same side during each visit (e.g., OME in left ear during first visit must be in left ear or bilateral during second visit; or bilateral OME during 1st visit can be either bilateral, left, or right during second visit)
Denominator Exclusions:
None
Denominator Exceptions:
Patients who had a hearing test within 6 months of the original diagnosis of OME including chronic serous, mucoid, or nonsuppurative OME.
Numerator:
Patients who had or received an order or referral for comprehensive audiometric evaluation.
Numerator Note:
To meet the intent of the measure, documentation is required that a comprehensive audiometric evaluation was performed or a referral was made during the encounter in which OME is diagnosed. Comprehensive audiometric evaluation is typically performed by an audiologist, but the specific methods will vary with the age of the child.
Denominator Exceptions:
Patients who had a hearing test within 6 months of the original diagnosis of OME including chronic serous, mucoid, or nonsuppurative OME.
Measure Classifications:
Submission Pathway: Traditional MIPS
- Measure Type: Process
- National Quality Strategy (NQS) domain: Effective Clinical Care
- Meaningful Measures Area: Preventive Care
- Care Setting(s): Ambulatory Care: Clinician Office/Clinic
- Includes Telehealth: Yes
- Number of Performance Rates: 1
- Inverse measure: No
- Continuous measure: No
- Proportional measure: Yes
- Ratio measure: No
- Risk Adjusted measure: No
© 2023 American Academy of Otolaryngology–Head and Neck Surgery Foundation. All rights reserved.
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.
