Radiology Question for the Week of December 26, 2016

Question:

My question relates to reporting PQRS measure 145—radiology exposure time reported for procedures using fluoroscopy. Does the final report need to include radiation exposure indices, exposure time OR number of fluorographic images? Or is it radiation exposure indices, or exposure time AND number of fluorographic images (if radiation exposure indices are not available)?

Answer:

According to guidance from the Centers for Medicare & Medicaid Services (CMS), for the 2016 PQRS, the final report would need to include radiation exposure indices or exposure time AND the number of fluorographic images in order to meet performance for measure 145.

The numerator statement found with the measure (final reports for procedures using fluoroscopy that include radiation exposure indices or exposure time and number of fluorographic images, if radiation exposure indices are not available) correctly describes what should be reported. It is appropriate to report G9500 if the final report either contains radiation exposure indices or exposure time AND number of fluorographic images.

Additionally, the definition for image count includes only images that require additional exposure to ionizing radiation, not those that are captured electronically from the imaging chain without additional exposure.

For further questions about this, CMS recommends contacting the QualityNet Help Desk at 1-866-288-8912 or via e-mail at qnetsupport@hcqis.org.

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.