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2023 # ECPR39 Avoid Head CT for Patients with Uncomplicated Syncope



Measure Title: Avoid Head CT for Patients with Uncomplicated Syncope

Description: Percentage of Adult Syncope Patients Who Did Not Receive a Head CT Scan Ordered by the Provider


  • Any patient ≥18 years of age evaluated by the Eligible Professional in the Emergency Department or Urgent Care Clinic (E/M Codes 99202-99205, 99212-99215, 99281- 99285, & 99291-99292 AND Place of Service Indicator: 02, 11, 19, 20, 22 or 23) PLUS
  •  Diagnosis of Syncope:
    •  ICD-10: R55
  • Transferred, eloped or AMA patients are excluded (V0700)

Numerator: Patients who did not have a head CT ordered

Denominator Exclusions: None

Denominator Exceptions: Patients who did have a head CT ordered for medical reason documented by the eligible professional (i.e., Seizure; alcohol/drug intoxication; vomiting; altered mental status; abnormal neurologic exam; concern for intracranial injury/hemorrhage, stroke, or mass lesion).

National Quality Forum (NQF) number, if applicable

Care setting(s) 
Ambulatory Care: Urgent Care; Emergency Department and Services; Hospital Inpatient

Telehealth, if applicable

Number of performance rates required for measures

Traditional vs. inverse measure

Proportional, continuous variable, and/or ratio measure indicator

Risk adjustment, if applicable

Submission pathway 
Traditional MIPS

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