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2021 AQI71: Ambulatory Glucose Management

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Measure Description

Percentage of diabetic patients, aged 18 years and older, who receive an office-based or ambulatory surgery whose blood glucose level is appropriately managed throughout the perioperative period.

The measure consists of four performance rates:

a. Percentage of patients, aged 18 years and older, with a current diagnosis of diabetes mellitus receiving anesthesia services for office-based or ambulatory surgery whose blood glucose level is tested prior to the start of anesthesia

b. Percentage of patients, aged 18 years and older, with a current diagnosis of diabetes mellitus receiving anesthesia services for office-based or ambulatory surgery who experienced a blood glucose level >180 mg/dL (10.0 mmol/L) who received insulin prior to anesthesia end time

c. Percentage of patients, aged 18 years and older, with a current diagnosis of diabetes mellitus receiving anesthesia services for office-based or ambulatory surgery who received insulin perioperatively and who received a follow-up blood glucose level check following the administration of insulin and prior to discharge

d. Percentage of patients, aged 18 years and older, with a current diagnosis of diabetes mellitus receiving anesthesia services for office-based or ambulatory surgery who experienced a blood glucose level >180 mg/dL (10.0 mmol/L) who received education on managing their glucose in the postoperative period prior to discharge

Denominator

All patients, aged 18 years and older
AND
Diagnosis of diabetes mellitus: 11A41
OR
ICD-10CM code: E10.10, E10.11, E10.21, E10.22, E10.29, E10.311, E10.319, E10.3211, E10.3212, E10.3213, E10.3219, E10.3291, E10.3292, E10.3293, E10.3299, E10.3311, E10.3312, E10.3313, E10.3319, E10.3391, E10.3392, E10.3393, E10.3399, E10.3411, E10.3412, E10.3413, E10.3419, E10.3491, E10.3492, E10.3493, E10.3499, E10.3511, E10.3512, E10.3513, E10.3519, E10.3521, E10.3522, E10.3523, E10.3529, E10.3531, E10.3532, E10.3533, E10.3539, E10.3541, E10.3542, E10.3543, E10.3549, E10.3551, E10.3552, E10.3553, E10.3559, E10.3591, E10.3592, E10.3593, E10.3599, E10.36, E10.37X1, E10.37X2, E10.37X3, E10.37X9, E10.39, E10.40, E10.41, E10.42, E10.43, E10.44, E10.49, E10.51, E10.52, E10.59, E10.610, E10.618, E10.620, E10.621, E10.622, E10.628, E10.630, E10.638, E10.641, E10.649, E10.65, E10.69, E10.8, E10.9, E11.00, E11.01, E11.10, E11.11, E11.21, E11.22, E11.29, E11.311, E11.319, E11.3211, E11.3212, E11.3213, E11.3219, E11.3291, E11.3292, E11.3293, E11.3299, E11.3311, E11.3312, E11.3313, E11.3319, E11.3391, E11.3392, E11.3393, E11.3399, E11.3411, E11.3412, E11.3413, E11.3419, E11.3491, E11.3492, E11.3493, E11.3499, E11.3511, E11.3512, E11.3513, E11.3519, E11.3521, E11.3522, E11.3523, E11.3529, E11.3531, E11.3532, E11.3533, E11.3539, E11.3541, E11.3542, E11.3543, E11.3549, E11.3551, E11.3552, E11.3553, E11.3559, E11.3591, E11.3592, E11.3593, E11.3599, E11.36, E11.37X1, E11.37X2, E11.37X3, E11.37X9, E11.39, E11.40, E11.41, E11.42, E11.43, E11.44, E11.49, E11.51, E11.52, E11.59, E11.610, E11.618, E11.620, E11.621, E11.622, E11.628, E11.630, E11.638, E11.641, E11.649, E11.65, E11.69, E11.8, E11.9, E13.00, E13.01, E13.10, E13.11, E13.21, E13.22, E13.29, E13.311, E13.319, E13.3211, E13.3212, E13.3213, E13.3219, E13.3291, E13.3292, E13.3293, E13.3299, E13.3311, E13.3312, E13.3313, E13.3319, E13.3391, E13.3392, E13.3393, E13.3399, E13.3411, E13.3412, E13.3413, E13.3419, E13.3491, E13.3492, E13.3493, E13.3499, E13.3511, E13.3512, E13.3513, E13.3519, E13.3521, E13.3522, E13.3523, E13.3529, E13.3531, E13.3532, E13.3533, E13.3539, E13.3541, E13.3542, E13.3543, E13.3549, E13.3551, E13.3552, E13.3553, E13.3559, E13.3591, E13.3592, E13.3593, E13.3599, E13.36, E13.37X1, E13.37X2, E13.37X3, E13.37X9, E13.39, E13.40, E13.41, E13.42, E13.43, E13.44, E13.49, E13.51, E13.52, E13.59, E13.610, E13.618, E13.620, E13.621, E13.622, E13.628, E13.630, E13.638, E13.641, E13.649, E13.65, E13.69, E13.8, E13.9
AND
Off Campus-Outpatient Hospital, On Campus – Outpatient Hospital, Ambulatory Surgical Center, and Office-Based Setting: Place of Service Codes 11, 19, 22 or 24
AND
Patient encounter during the reporting period (CPT): 00100, 00102, 00103, 00104, 00120, 00124, 00126, 00140, 00142, 00144, 00145, 00147, 00148, 00160, 00164, 00170, 00172, 00174, 00176, 00300, 00320, 00322, 00400, 00402, 00404, 00410, 00450, 00454, 00520, 00522, 00524, 00530, 00532, 00534, 00537, 00700, 00702, 00730, 00731, 00732, 00750, 00752, 00790, 00797, 00800, 00802, 00811, 00812, 00813, 00820, 00830, 00832, 00851, 00870, 00872, 00873, 00902, 00906,
00910, 00912, 00914, 00918, 00920, 00921, 00922, 00924, 00926, 00928, 00930, 00938, 00940, 00942, 00944, 00948, 00950, 00952, 01112, 01120, 01202, 01250, 01260, 01320, 01380, 01382, 01390, 01392, 01400, 01402, 01404, 01464, 01470, 01472, 01474, 01480, 01520, 01610, 01620, 01622, 01630, 01634, 01638, 01670, 01710, 01712, 01714, 01716, 01730, 01732, 01740, 01742, 01744, 01758, 01760, 01810, 01820, 01829, 01830, 01832, 01840, 01842, 01844, 01850, 01852,
01860, 01916, 01920, 01930, 01935, 01936, 01965, 01966, 01991, 01992

Denominator Exclusions:

  • Procedure <30 minutes duration: 11A45

Numerator

a. Performance Met:
11A51 Patient received a blood glucose test prior to start of anesthesia
OR
Performance Not Met:
11A52 Patient did NOT receive a glucose test prior to start of anesthesia

b. Performance Met:
11A53 Patient received insulin prior to anesthesia end time.
OR
Performance Not Met:
11A54 Patient did NOT receive insulin prior to anesthesia end time.

c. Performance Met:
11A56 Patient received a follow-up blood glucose level check following the administration of insulin and prior to discharge.
OR
Performance Not Met:
11A57 Patient did NOT receive a follow-up blood glucose level check following the administration of insulin and prior to discharge.

d. Performance Met:
11A58 Patient received education on managing their glucose in the postoperative period prior to discharge.
OR
Performance Not Met:
11A59 Patient did NOT receive education on managing their glucose in the postoperative period prior to discharge.

Numerator Exclusions

None

NQF ID Number

N/A

NQS Domain

Effective Clinical Care

High Priority Measure

No

Includes Telehealth?

No

Inverse Measure

No

Proportional Measure

Yes

Continuous Variable Measure

No

Ratio Measure

No

Number of performance rates to be calculated and submitted

1

Risk-Adjusted Status?

No

Meaningful Measure

Patient-Focused Episode of Care

Measure Type

Process

Care Settings

Ambulatory Care, Hospital

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