Functional Status Change for Patients With Low Back Functional Status Deficit - ICD-10-CM Quality Payment Program Measure

Quality Measure Description Measure Type High Priority Submission Methods
Functional Status Change for Patients With Low Back Functional Status DeficitPercentage of patients aged 18 years or older with a functional deficit related to the low back who achieve a Minimal Clinically Important Difference (MCID) in the Modified Oswestry Low Back Pain Questionnaire (ODI) or equivalent score that indicates a functional improvement greater than zero. Two rates will be reported: · The overall proportion of patients achieving an MCID in NDI change score. · The Risk-Adjusted MCID proportional difference where the difference between the risk adjusted predicted MCID and the observed MCID (measured via NDI or equivalent tool) proportion is greater than zero. The measure contains two goals: 1) for patients to achieve an unadjusted MCID greater than zero and, 2) for patients to achieve a risk adjusted MCID where the difference between the risk adjusted predicted MCID and the observed MCID proportion will be greater than zero. The measure is adjusted to patient characteristics known to be associated with functional status and quality of life outcomes (risk adjusted) and used as a performance measure at the patient level, at the individual clinician level, and at the clinic level to assess quality.YESRegistry

Linked ICD-10 Codes

The following ICD-10-CM codes are linked to the quality measure functional status change for patients with low back functional status deficit when used as part of a patient's medical record. This Quality Measure is part of Medicare's Quality Payment Program (QPP).

ICD CodeDescriptionCategory

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