ACRAD45 –  Interpretation of CT Pulmonary Angiography (CTPA) for Pulmonary Embolism

Measure Title: Interpretation of CT Pulmonary Angiography (CTPA) for Pulmonary Embolism

Measure Description: Percentage of final reports for patients aged 18 years and older undergoing CT pulmonary angiography (CTPA) with a finding of PE that specifies the branching order level of the most proximal level of embolus (i.e., main, lobar, interlobar, segmental, subsegmental); AND right ventricle to left ventricle (RV/LV) ratio, when assessable. If the RV/LV ratio is? 1.0, report the specific ratio value, as this may be associated with increased risk for adverse outcomes, and if the RV/LV ratio is <1.0, report that the ratio is within normal limits, optionally including a range (e.g., 0.7-0.9) to support clinical context.

Denominator: All final reports for patients aged 18 years or older undergoing CT pulmonary angiography (CTPA) with a finding of pulmonary embolism.

Numerator: Final reports that specify the following elements:
1. Branching order level of the most proximal level of embolus (i.e., main, lobar, interlobar, segmental, subsegmental), AND
2. Right ventricle to left ventricle (RV/LV) ratio, when assessable:
– If the RV/LV ratio is? 1.0, report the specific ratio value, as this may be associated with increased risk for adverse outcomes.
– If the RV/LV ratio is <1.0, report that the ratio is within normal limits, optionally including a range (e.g., 0.7-0.9) to support clinical context.

Numerator Note: This measure does not require or imply a diagnostic determination of right heart strain.

Denominator Exclusions: None

Denominator Exceptions: Instances in which right heart strain assessment is not assessable due to technical limitations (e.g., scanner protocols), suboptimal image quality due to motion artifact, or incomplete visualization of cardiac structures.

Numerator Exclusions: None

CBE ID Number: N/A

High-Priority Measure: Yes

High-Priority Type: Care Coordination

Measure Type: Process

Care Setting: Ambulatory; Emergency Department and Services; Hospital Inpatient; Hospital Outpatient; Imaging Facility

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

MIPS Reporting Options: Traditional MIPS