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Adult Sinusitis: CT for Acute Sinusitis (Overuse)

Percentage of patients aged 18 years and older, with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis.

Date Reviewed: November 19, 2017
Support
    Group/Practice Individual Clinician

Measure Info

MIPS 333 CMS 333
Measure Type
Efficiency
Measure Steward
American Academy of Otolaryngology - Head and Neck Surgery
Clinical Topic Area
Sinusitis
Utilization and Cost
Care Setting
Outpatient
Data Source
Registry

ACP supports QPP measure 333: "Adult Sinusitis: CT for Acute Sinusitis" because it is clinically important to promote appropriate use of CT scans in patients diagnosed with acute sinusitis. While we support this measure, developers do not clearly define denominator exclusion criteria and as such, implementation could promote underuse of CT scans in clinically appropriate cases. Developers should consider revising exclusion criteria to explicitly align with Infectious Diseases Society of America (IDSA) recommendations on treatment of acute sinusitis (i.e., patients with symptoms> 10 days, severe or worsening symptoms (102 degrees F fever with nasal discharge) > 3 days, onset with worsening symptoms/double sickening patients (new onset of fever, headache, or increased nasal discharge following viral URI) > 5-6 days).