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KEY FACTS
Terminology
TERMINOLOGY
Description
- Percentage of final reports for patients aged 18+ years undergoing CT with documentation that 1+ of following dose-reduction techniques were used
- Automated exposure control
- Adjustment of mA &/or kV according to patient size
- Use of iterative reconstruction technique
- Percentage of final reports for patients aged 18+ years undergoing CT with documentation that 1+ of following dose-reduction techniques were used
Rationale
- There are estimates that CT scans account for 17% of total imaging procedures performed in United States each year and 49% of collective radiation dose from imaging procedures. Current advances in technology have resulted in several methods to reduce radiation dose for patients undergoing CT. Studies show that CT dose-optimization techniques can reduce radiation dose by 40-50% without sacrificing image quality or diagnostic ability.
Instructions
- This measure is to be submitted each time patient has CT scan during performance period. There is no diagnosis associated with this measure. It is anticipated that Merit-Based Incentive Payment System (MIPS)-eligible clinicians who provide professional component of diagnostic imaging studies for CT will submit this measure.
Numerator
- Final reports with documentation that indicate individualized dose-optimization technique was used for performed procedure. Dose-optimization techniques include following
- Automated exposure control
- Adjustment of mA &/or kV according to patient size
- Use of iterative reconstruction technique
- Final reports with documentation that indicate individualized dose-optimization technique was used for performed procedure. Dose-optimization techniques include following
Denominator
- All final reports for patients aged 18+ years undergoing CT
Selected References
- MIPS Measure 436: Radiation Consideration for Adult CT: Utilization of Dose-Lowering Techniques (for reference if using CQMS). Centers for Medicare and Medicaid Services (CMS). 2021.
- MIPS Measure 436: Radiation Consideration for Adult CT: Utilization of Dose-Lowering Techniques (for reference if using Medicare Part B claims). Centers for Medicare and Medicaid Services (CMS). 2021.
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References
Tables
Tables
KEY FACTS
Terminology
TERMINOLOGY
Description
- Percentage of final reports for patients aged 18+ years undergoing CT with documentation that 1+ of following dose-reduction techniques were used
- Automated exposure control
- Adjustment of mA &/or kV according to patient size
- Use of iterative reconstruction technique
- Percentage of final reports for patients aged 18+ years undergoing CT with documentation that 1+ of following dose-reduction techniques were used
Rationale
- There are estimates that CT scans account for 17% of total imaging procedures performed in United States each year and 49% of collective radiation dose from imaging procedures. Current advances in technology have resulted in several methods to reduce radiation dose for patients undergoing CT. Studies show that CT dose-optimization techniques can reduce radiation dose by 40-50% without sacrificing image quality or diagnostic ability.
Instructions
- This measure is to be submitted each time patient has CT scan during performance period. There is no diagnosis associated with this measure. It is anticipated that Merit-Based Incentive Payment System (MIPS)-eligible clinicians who provide professional component of diagnostic imaging studies for CT will submit this measure.
Numerator
- Final reports with documentation that indicate individualized dose-optimization technique was used for performed procedure. Dose-optimization techniques include following
- Automated exposure control
- Adjustment of mA &/or kV according to patient size
- Use of iterative reconstruction technique
- Final reports with documentation that indicate individualized dose-optimization technique was used for performed procedure. Dose-optimization techniques include following
Denominator
- All final reports for patients aged 18+ years undergoing CT
Selected References
- MIPS Measure 436: Radiation Consideration for Adult CT: Utilization of Dose-Lowering Techniques (for reference if using CQMS). Centers for Medicare and Medicaid Services (CMS). 2021.
- MIPS Measure 436: Radiation Consideration for Adult CT: Utilization of Dose-Lowering Techniques (for reference if using Medicare Part B claims). Centers for Medicare and Medicaid Services (CMS). 2021.
