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AAO23: Allergic Rhinitis: Intranasal Corticosteroids or Oral Antihistamines

AAO23: Allergic Rhinitis: Intranasal Corticosteroids or Oral Antihistamines

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High Priority: No; N/A

NQF Number: N/A

Percentage of patients age 2 years and older with allergic rhinitis who are offered intranasal corticosteroids (INS) or nonsedating oral antihistamines.


All patients age 2 years and older with a diagnosis of allergic rhinitis.

Denominator Exclusions:


Denominator Exceptions:

  • Patients with an allergy to oral antihistamines or intranasal corticosteroids.
  • Patients with prostate cancer or benign prostatic hypertrophy as these patients may be intolerant of medications.
  • Patients with a history of epistaxis due to intranasal steroids use.
  • Patient refusal


Patients who are taking intranasal steroids (INS) or non-sedating oral antihistamines. A prescription for or medication reconciliation of over the counter medications can be used to identify patients taking medications.

Numerator Exclusions:


Measure Classifications:

  • Measure Type: Process
  • National Quality Strategy (NQS) domain: Effective Clinical Care
  • Meaningful Measure Area: Medication Management
  • Care Setting(s): Ambulatory Care: Clinician Office/Clinic
  • Includes Telehealth: Yes
  • Calculation: 1st Performance Rate
    • Inverse measure: No
    • Continuous measure: No
    • Proportional measure: Yes
    • Ratio measure: No
    • Risk Adjusted measure: No

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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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