eCQM / NQF #: | CMS146v7 / XXXX |
Measure: | Percentage of children 3-18 years of age who were diagnosed with pharyngitis, ordered an antibiotic and received a group A streptococcus (strep) test for the episode. |
Numerator: | Children with a group A streptococcus test in the 7-day period from 3 days prior through 3 days after the diagnosis of pharyngitis. |
Denominator: | Children 3-18 years of age who had an outpatient or emergency department (ED) visit with a diagnosis of pharyngitis during the measurement period and an antibiotic ordered on or three days after the visit. |
Denominator Exclusions: | Children who are taking antibiotics in the 30 days prior to the diagnosis of pharyngitis. Exclude patients who were in hospice care during the measurement year. |
Domain: | Efficiency and Cost Reduction |
In ChartMaker Clinical:
In order to qualify for this measure, the provider must have seen the patient, aged 3 to 18 years, at least one time during the reporting period and have the appropriate information documented in the chart:
Required Data Elements for the Denominator:
CPT: | |
Code | Description |
99201 | Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family. |
99202 | Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 20 minutes are spent face-to-face with the patient and/or family. |
99203 | Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity. Typically, 30 minutes are spent face-to-face with the patient and/or family. |
99204 | Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 45 minutes are spent face-to-face with the patient and/or family. |
99205 | Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 60 minutes are spent face-to-face with the patient and/or family. |
99212 | Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family. |
99213 | Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 15 minutes are spent face-to-face with the patient and/or family. |
99214 | Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 25 minutes are spent face-to-face with the patient and/or family. |
99215 | Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 40 minutes are spent face-to-face with the patient and/or family. |
99217 | Observation care discharge day management (This code is to be utilized to report all services provided to a patient on discharge from "observation status" if the discharge is on other than the initial date of "observation status." To report services to a patient designated as "observation status" or "inpatient status" and discharged on the same date, use the codes for Observation or Inpatient Care Services [including Admission and Discharge Services, 99234-99236 as appropriate.]) |
99218 | Initial observation care, per day, for the evaluation and management of a patient which requires these 3 key components: A detailed or comprehensive history; A detailed or comprehensive examination; and Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission to "observation status" are of low severity. Typically, 30 minutes are spent at the bedside and on the patient's hospital floor or unit. |
99219 | Initial observation care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission to "observation status" are of moderate severity. Typically, 50 minutes are spent at the bedside and on the patient's hospital floor or unit. |
99220 | Initial observation care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission to "observation status" are of high severity. Typically, 70 minutes are spent at the bedside and on the patient's hospital floor or unit. |
99241 | Office consultation for a new or established patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 15 minutes are spent face-to-face with the patient and/or family. |
99242 | Office consultation for a new or established patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low severity. Typically, 30 minutes are spent face-to-face with the patient and/or family. |
99243 | Office consultation for a new or established patient, which requires these 3 key components: A detailed history; A detailed examination; and Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity. Typically, 40 minutes are spent face-to-face with the patient and/or family. |
99244 | Office consultation for a new or established patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 60 minutes are spent face-to-face with the patient and/or family. |
99245 | Office consultation for a new or established patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 80 minutes are spent face-to-face with the patient and/or family. |
99281 | Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. |
99282 | Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. |
99283 | Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity. |
99284 | Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: A detailed history; A detailed examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of high severity, and require urgent evaluation by the physician, or other qualified health care professionals but do not pose an immediate significant threat to life or physiologic function. |
99285 | Emergency department visit for the evaluation and management of a patient, which requires these 3 key components within the constraints imposed by the urgency of the patient's clinical condition and/or mental status: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of high severity and pose an immediate significant threat to life or physiologic function. |
99341 | Home visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low severity. Typically, 20 minutes are spent face-to-face with the patient and/or family. |
99342 | Home visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity. Typically, 30 minutes are spent face-to-face with the patient and/or family. |
99343 | Home visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 45 minutes are spent face-to-face with the patient and/or family. |
99344 | Home visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of high severity. Typically, 60 minutes are spent face-to-face with the patient and/or family. |
99345 | Home visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is unstable or has developed a significant new problem requiring immediate physician attention. Typically, 75 minutes are spent face-to-face with the patient and/or family. |
99347 | Home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused interval history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 15 minutes are spent face-to-face with the patient and/or family. |
99348 | Home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 25 minutes are spent face-to-face with the patient and/or family. |
99349 | Home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are moderate to high severity. Typically, 40 minutes are spent face-to-face with the patient and/or family. |
99350 | Home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A comprehensive interval history; A comprehensive examination; Medical decision making of moderate to high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. The patient may be unstable or may have developed a significant new problem requiring immediate physician attention. Typically, 60 minutes are spent face-to-face with the patient and/or family. |
99381 | Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; infant (age younger than 1 year) |
99382 | Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; early childhood (age 1 through 4 years) |
99383 | Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; late childhood (age 5 through 11 years) |
99384 | Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; adolescent (age 12 through 17 years) |
99385 | Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 18-39 years |
99386 | Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 40-64 years |
99387 | Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 65 years and older |
99391 | Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; infant (age younger than 1 year) |
99392 | Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; early childhood (age 1 through 4 years) |
99393 | Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years) |
99394 | Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; adolescent (age 12 through 17 years) |
99395 | Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 18-39 years |
99396 | Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 40-64 years |
99397 | Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 65 years and older |
99401 | Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 15 minutes |
99402 | Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 30 minutes |
99403 | Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 45 minutes |
99404 | Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 60 minutes |
99411 | Preventive medicine counseling and/or risk factor reduction intervention(s) provided to individuals in a group setting (separate procedure); approximately 30 minutes |
99412 | Preventive medicine counseling and/or risk factor reduction intervention(s) provided to individuals in a group setting (separate procedure); approximately 60 minutes |
99420 | Administration and interpretation of health risk assessment instrument (eg, health hazard appraisal) |
99429 | Unlisted preventive medicine service |
99455 | Work related or medical disability examination by the treating physician that includes: Completion of a medical history commensurate with the patient's condition; Performance of an examination commensurate with the patient's condition; Formulation of a diagnosis, assessment of capabilities and stability, and calculation of impairment; Development of future medical treatment plan; and Completion of necessary documentation/certificates and report. |
99456 | Work related or medical disability examination by other than the treating physician that includes: Completion of a medical history commensurate with the patient's condition; Performance of an examination commensurate with the patient's condition; Formulation of a diagnosis, assessment of capabilities and stability, and calculation of impairment; Development of future medical treatment plan; and Completion of necessary documentation/certificates and report. |
SNOMED: | |
Code | Description |
12843005 | Subsequent hospital visit by physician (procedure) |
18170008 | Subsequent nursing facility visit (procedure) |
185349003 | Encounter for "check-up" (procedure) |
185463005 | Visit out of hours (procedure) |
185465003 | Weekend visit (procedure) |
19681004 | Nursing evaluation of patient and report (procedure) |
207195004 | History and physical examination with evaluation and management of nursing facility patient (procedure) |
270427003 | Patient-initiated encounter (procedure) |
270430005 | Provider-initiated encounter (procedure) |
308335008 | Patient encounter procedure (procedure) |
390906007 | Follow-up encounter (procedure) |
406547006 | Urgent follow-up (procedure) |
439708006 | Home visit (procedure) |
87790002 | Follow-up inpatient consultation visit (procedure) |
90526000 | Initial evaluation and management of healthy individual (procedure) |
1013659 | 24 HR Minocycline 105 MG Extended Release Oral Tablet |
1013662 | 24 HR Minocycline 55 MG Extended Release Oral Tablet |
1013665 | 24 HR Minocycline 80 MG Extended Release Oral Tablet |
1043022 | Cefixime 100 MG Chewable Tablet |
1043027 | Cefixime 150 MG Chewable Tablet |
1043030 | Cefixime 200 MG Chewable Tablet |
105171 | Cefadroxil 100 MG/ML Oral Suspension |
1088677 | Penicillin V Potassium 250 MG Oral Capsule |
1148107 | {6 (Azithromycin 500 MG Oral Tablet) } Pack |
1302650 | 24 HR Minocycline 45 MG Extended Release Oral Capsule |
1302659 | 24 HR Minocycline 67.5 MG Extended Release Oral Capsule |
1302664 | 24 HR Minocycline 90 MG Extended Release Oral Capsule |
1302669 | 24 HR Minocycline 112.5 MG Extended Release Oral Capsule |
1302674 | 24 HR Minocycline 135 MG Extended Release Oral Capsule |
1373014 | Cefixime 100 MG/ML Oral Suspension |
141963 | Azithromycin 40 MG/ML Oral Suspension |
142118 | Sulfamethoxazole 100 MG / Trimethoprim 20 MG Oral Tablet |
1423080 | doxycycline hyclate 200 MG Delayed Release Oral Tablet |
1648755 | NITROFURANTOIN, MACROCRYSTALS 25 MG / Nitrofurantoin, Monohydrate 75 MG Oral Capsule |
1648759 | NITROFURANTOIN, MACROCRYSTALS 100 MG Oral Capsule |
1649401 | Doxycycline Monohydrate 50 MG Oral Capsule |
1649405 | doxycycline hyclate 50 MG Oral Capsule |
1649425 | doxycycline hyclate 75 MG Oral Tablet |
1649429 | Doxycycline Monohydrate 75 MG Oral Tablet |
1649988 | doxycycline hyclate 100 MG Oral Capsule |
1649990 | Doxycycline Monohydrate 100 MG Oral Capsule |
1650030 | Doxycycline Monohydrate 5 MG/ML Oral Suspension |
1650142 | Doxycycline Monohydrate 100 MG Oral Tablet |
1650143 | doxycycline hyclate 100 MG Oral Tablet |
1650444 | Doxycycline Monohydrate 150 MG Oral Tablet |
1650446 | doxycycline hyclate 150 MG Oral Tablet |
1652673 | Doxycycline Monohydrate 50 MG Oral Tablet |
1652674 | doxycycline hyclate 50 MG Oral Tablet |
1653433 | doxycycline hyclate 50 MG Delayed Release Oral Tablet |
1656313 | Cefotaxime 1000 MG Injection |
1656318 | Cefotaxime 2000 MG Injection |
1659131 | Piperacillin 2000 MG / tazobactam 250 MG Injection |
1659137 | Piperacillin 3000 MG / tazobactam 375 MG Injection |
1659149 | Piperacillin 4000 MG / tazobactam 500 MG Injection |
1659278 | Ceftazidime 500 MG Injection |
1659283 | Ceftazidime 1000 MG Injection |
1659287 | Ceftazidime 2000 MG Injection |
1659592 | Ampicillin 1000 MG / Sulbactam 500 MG Injection |
1659598 | Ampicillin 2000 MG / Sulbactam 1000 MG Injection |
1662285 | 300 ML linezolid 2 MG/ML Injection |
1664981 | Aztreonam 1000 MG Injection |
1664986 | Aztreonam 2000 MG Injection |
1665005 | Ceftriaxone 500 MG Injection |
1665021 | Ceftriaxone 1000 MG Injection |
1665046 | Ceftriaxone 2000 MG Injection |
1665050 | Cefazolin 1000 MG Injection |
1665052 | Cefazolin 500 MG Injection |
1665060 | Cefazolin 2000 MG Injection |
1665088 | cefepime 2000 MG Injection |
1665093 | cefepime 1000 MG Injection |
1665097 | cefepime 500 MG Injection |
1665102 | Cefoxitin 1000 MG Injection |
1665107 | Cefoxitin 2000 MG Injection |
1665210 | 100 ML Ciprofloxacin 2 MG/ML Injection |
1665212 | 200 ML Ciprofloxacin 2 MG/ML Injection |
1665227 | 20 ML Ciprofloxacin 10 MG/ML Injection |
1665229 | 40 ML Ciprofloxacin 10 MG/ML Injection |
1665444 | Cefuroxime 1500 MG Injection |
1665449 | Cefuroxime 750 MG Injection |
1665497 | 50 ML Levofloxacin 5 MG/ML Injection |
1665507 | 100 ML Levofloxacin 5 MG/ML Injection |
1665515 | 150 ML Levofloxacin 5 MG/ML Injection |
1665517 | 20 ML Levofloxacin 25 MG/ML Injection |
1665519 | 30 ML Levofloxacin 25 MG/ML Injection |
1668238 | Azithromycin 500 MG Injection |
1668264 | erythromycin lactobionate 500 MG Injection |
1721458 | Nafcillin 1000 MG Injection |
1721460 | Nafcillin 2000 MG Injection |
1721473 | Ampicillin 250 MG Injection |
1721474 | Ampicillin 500 MG Injection |
1721475 | Ampicillin 1000 MG Injection |
1721476 | Ampicillin 2000 MG Injection |
1722916 | Cefotetan 180 MG/ML Injectable Solution |
1722919 | Cefotetan 1000 MG Injection |
1722921 | Cefotetan 2000 MG Injection |
1723156 | 2 ML Amikacin 250 MG/ML Injection |
1723160 | 4 ML Amikacin 250 MG/ML Injection |
1728082 | telavancin 750 MG Injection |
1728087 | telavancin 250 MG Injection |
1737244 | 2 ML Clindamycin 150 MG/ML Injection |
1737578 | 4 ML Clindamycin 150 MG/ML Injection |
1737581 | 6 ML Clindamycin 150 MG/ML Injection |
1739890 | Cefoxitin 100 MG/ML Injectable Solution |
1743547 | Oxacillin 1000 MG Injection |
1743549 | Oxacillin 2000 MG Injection |
1747115 | 50 ML Cefotaxime 20 MG/ML Injection |
1747121 | 50 ML Cefotaxime 40 MG/ML Injection |
1791505 | doxycycline hyclate 75 MG Oral Capsule |
1801138 | doxycycline hyclate 120 MG Delayed Release Oral Tablet |
1807508 | 200 ML Vancomycin 5 MG/ML Injection |
1807510 | 150 ML Vancomycin 5 MG/ML Injection |
1807511 | 100 ML Vancomycin 5 MG/ML Injection |
1807513 | Vancomycin 1000 MG Injection |
1807516 | Vancomycin 500 MG Injection |
1807518 | Vancomycin 750 MG Injection |
1870631 | 100 ML Gentamicin 1.2 MG/ML Injection |
1870633 | 50 ML Gentamicin 1.2 MG/ML Injection |
1870650 | 2 ML Gentamicin 40 MG/ML Injection |
1870676 | 2 ML Gentamicin 10 MG/ML Injection |
1870681 | 6 ML Gentamicin 10 MG/ML Injection |
1870685 | 8 ML Gentamicin 10 MG/ML Injection |
1870686 | 10 ML Gentamicin 10 MG/ML Injection |
197449 | Cefaclor 500 MG Oral Capsule |
197451 | Cefixime 400 MG Oral Tablet |
197452 | cefprozil 250 MG Oral Tablet |
197453 | cefprozil 500 MG Oral Tablet |
197454 | Cephalexin 500 MG Oral Tablet |
197511 | Ciprofloxacin 250 MG Oral Tablet |
197512 | Ciprofloxacin 750 MG Oral Tablet |
197516 | Clarithromycin 250 MG Oral Tablet |
197517 | Clarithromycin 500 MG Oral Tablet |
197518 | Clindamycin 150 MG Oral Capsule |
197595 | Dicloxacillin 250 MG Oral Capsule |
197596 | Dicloxacillin 500 MG Oral Capsule |
197650 | Erythromycin 500 MG Oral Tablet |
197984 | Minocycline 100 MG Oral Capsule |
197985 | Minocycline 50 MG Oral Capsule |
198044 | Norfloxacin 400 MG Oral Tablet |
198048 | Ofloxacin 200 MG Oral Tablet |
198049 | Ofloxacin 300 MG Oral Tablet |
198050 | Ofloxacin 400 MG Oral Tablet |
198201 | Rifampin 150 MG Oral Capsule |
198202 | Rifampin 300 MG Oral Capsule |
198250 | tetracycline hydrochloride 250 MG Oral Capsule |
198252 | tetracycline hydrochloride 500 MG Oral Capsule |
198332 | Trimethoprim 100 MG Oral Tablet |
198334 | Sulfamethoxazole 400 MG / Trimethoprim 80 MG Oral Tablet |
198335 | Sulfamethoxazole 800 MG / Trimethoprim 160 MG Oral Tablet |
199055 | Metronidazole 375 MG Oral Capsule |
199327 | Metronidazole 400 MG Oral Tablet |
199332 | Trimethoprim 300 MG Oral Tablet |
199370 | Ciprofloxacin 100 MG Oral Tablet |
199497 | Penicillin V 500 MG Oral Capsule |
199620 | Rifampin 600 MG Oral Tablet |
1996246 | Daptomycin 350 MG Injection |
199710 | Clarithromycin 500 MG/ML Injectable Solution |
199802 | Rifampin 450 MG Oral Tablet |
1998483 | doxycycline hyclate 200 MG Injection |
199884 | Levofloxacin 250 MG Oral Tablet |
199885 | Levofloxacin 500 MG Oral Tablet |
2000127 | Vancomycin 25 MG/ML Oral Solution |
2000134 | Vancomycin 50 MG/ML Oral Solution |
200346 | cefdinir 300 MG Oral Capsule |
204466 | 50 ML Penicillin G Potassium 40000 UNT/ML Injection |
204844 | Azithromycin 600 MG Oral Tablet |
205964 | Clindamycin 150 MG/ML Injectable Solution |
207362 | Minocycline 50 MG Oral Tablet |
207364 | Minocycline 100 MG Oral Tablet |
207390 | 50 ML Penicillin G Potassium 20000 UNT/ML Injection |
207391 | 50 ML Penicillin G Potassium 60000 UNT/ML Injection |
239189 | Nafcillin 100 MG/ML Injectable Solution |
239191 | Amoxicillin 50 MG/ML Oral Suspension |
239204 | Gentamicin 10 MG/ML Injectable Solution |
239209 | Vancomycin 100 MG/ML Injectable Solution |
240637 | 50 ML Oxacillin 40 MG/ML Injection |
240741 | Clarithromycin 25 MG/ML Oral Suspension |
240984 | Ampicillin 100 MG/ML / Sulbactam 50 MG/ML Injectable Solution |
242800 | Ceftazidime 200 MG/ML Injectable Solution |
242825 | 50 ML Tobramycin 1.2 MG/ML Injection |
245240 | Erythromycin 333 MG Delayed Release Oral Capsule |
245837 | Sulfadiazine 410 MG / Trimethoprim 90 MG Oral Tablet |
245838 | Sulfadiazine 41 MG/ML / Trimethoprim 9 MG/ML Oral Suspension |
248656 | Azithromycin 500 MG Oral Tablet |
259290 | dalfopristin 350 MG / quinupristin 150 MG Injection |
283535 | doxycycline hyclate 20 MG Oral Tablet |
284215 | Clindamycin 300 MG Oral Capsule |
308177 | Amoxicillin 125 MG Chewable Tablet |
308181 | Amoxicillin 200 MG Chewable Tablet |
308182 | Amoxicillin 250 MG Oral Capsule |
308188 | Amoxicillin 400 MG Chewable Tablet |
308189 | Amoxicillin 80 MG/ML Oral Suspension |
308191 | Amoxicillin 500 MG Oral Capsule |
308192 | Amoxicillin 500 MG Oral Tablet |
308194 | Amoxicillin 875 MG Oral Tablet |
308207 | Ampicillin 125 MG Injection |
308210 | Ampicillin 50 MG/ML Oral Suspension |
308212 | Ampicillin 500 MG Oral Capsule |
308459 | Azithromycin 20 MG/ML Oral Suspension |
308460 | Azithromycin 250 MG Oral Tablet |
309040 | Cefaclor 37.4 MG/ML Oral Suspension |
309043 | 12 HR Cefaclor 500 MG Extended Release Oral Tablet |
309044 | Cefaclor 25 MG/ML Oral Suspension |
309045 | Cefaclor 250 MG Oral Capsule |
309047 | Cefadroxil 1000 MG Oral Tablet |
309048 | Cefadroxil 50 MG/ML Oral Suspension |
309049 | Cefadroxil 500 MG Oral Capsule |
309054 | cefdinir 25 MG/ML Oral Suspension |
309058 | Cefixime 20 MG/ML Oral Suspension |
309065 | Cefotaxime 200 MG/ML Injectable Solution |
309068 | Cefotaxime 500 MG Injection |
309072 | Cefoxitin 200 MG/ML Injectable Solution |
309076 | cefpodoxime 100 MG Oral Tablet |
309077 | cefpodoxime 20 MG/ML Oral Suspension |
309078 | cefpodoxime 200 MG Oral Tablet |
309079 | cefpodoxime 10 MG/ML Oral Suspension |
309080 | cefprozil 25 MG/ML Oral Suspension |
309081 | cefprozil 50 MG/ML Oral Suspension |
309085 | ceftibuten 36 MG/ML Oral Suspension |
309086 | ceftibuten 400 MG Oral Capsule |
309087 | ceftibuten 18 MG/ML Oral Suspension |
309090 | Ceftriaxone 100 MG/ML Injectable Solution |
309092 | Ceftriaxone 250 MG Injection |
309095 | Cefuroxime 125 MG Oral Tablet |
309096 | Cefuroxime 25 MG/ML Oral Suspension |
309097 | Cefuroxime 250 MG Oral Tablet |
309098 | Cefuroxime 500 MG Oral Tablet |
309101 | Cefuroxime 95 MG/ML Injectable Solution |
309110 | Cephalexin 25 MG/ML Oral Suspension |
309112 | Cephalexin 250 MG Oral Capsule |
309113 | Cephalexin 50 MG/ML Oral Suspension |
309114 | Cephalexin 500 MG Oral Capsule |
309115 | Cephalexin 250 MG Oral Tablet |
309308 | Ciprofloxacin 50 MG/ML Oral Suspension |
309309 | Ciprofloxacin 500 MG Oral Tablet |
309310 | Ciprofloxacin 100 MG/ML Oral Suspension |
309322 | Clarithromycin 50 MG/ML Oral Suspension |
309329 | Clindamycin 75 MG Oral Capsule |
309335 | 50 ML Clindamycin 12 MG/ML Injection |
309336 | 50 ML Clindamycin 18 MG/ML Injection |
309339 | 50 ML Clindamycin 6 MG/ML Injection |
310026 | Doxycycline Calcium 10 MG/ML Oral Suspension |
310027 | doxycycline hyclate 100 MG Injection |
310028 | doxycycline hyclate 20 MG Oral Capsule |
310154 | Erythromycin 250 MG Delayed Release Oral Capsule |
310155 | Erythromycin 250 MG Delayed Release Oral Tablet |
310157 | Erythromycin 500 MG Delayed Release Oral Tablet |
311296 | Levofloxacin 750 MG Oral Tablet |
311681 | Metronidazole 500 MG Oral Tablet |
311787 | moxifloxacin 400 MG Oral Tablet |
311989 | Nitrofurantoin 5 MG/ML Oral Suspension |
311991 | Nitrofurantoin 50 MG Oral Tablet |
311994 | NITROFURANTOIN, MACROCRYSTALS 25 MG Oral Capsule |
311995 | NITROFURANTOIN, MACROCRYSTALS 50 MG Oral Capsule |
312127 | Oxacillin 100 MG/ML Injectable Solution |
312128 | 50 ML Oxacillin 20 MG/ML Injection |
312447 | Piperacillin 200 MG/ML / tazobactam 25 MG/ML Injectable Solution |
313115 | Streptomycin 1000 MG Injection |
313134 | Sulfamethoxazole 40 MG/ML / Trimethoprim 8 MG/ML Oral Suspension |
313137 | Sulfamethoxazole 80 MG/ML / Trimethoprim 16 MG/ML Injectable Solution |
313416 | Tobramycin 10 MG/ML Injectable Solution |
313570 | Vancomycin 125 MG Oral Capsule |
313571 | Vancomycin 250 MG Oral Capsule |
313572 | Vancomycin 50 MG/ML Injectable Solution |
313797 | Amoxicillin 25 MG/ML Oral Suspension |
313799 | Ampicillin 25 MG/ML Oral Suspension |
313800 | Ampicillin 250 MG Oral Capsule |
313850 | Amoxicillin 40 MG/ML Oral Suspension |
313888 | Cefaclor 50 MG/ML Oral Suspension |
313920 | Cefazolin 200 MG/ML Injectable Solution |
313926 | Cefuroxime 50 MG/ML Oral Suspension |
313996 | Gentamicin 40 MG/ML Injectable Solution |
314106 | Metronidazole 250 MG Oral Tablet |
314108 | Minocycline 75 MG Oral Capsule |
315090 | Erythromycin 333 MG Delayed Release Oral Tablet |
317127 | Minocycline 100 MG Injection |
348869 | doxycycline hyclate 100 MG Delayed Release Oral Capsule |
348870 | doxycycline hyclate 75 MG Delayed Release Oral Capsule |
351127 | cefditoren pivoxil 200 MG Oral Tablet |
351156 | 250 ML moxifloxacin 1.6 MG/ML Injection |
359383 | 24 HR Ciprofloxacin 500 MG Extended Release Oral Tablet |
359385 | 24 HR Clarithromycin 500 MG Extended Release Oral Tablet |
388510 | telithromycin 400 MG Oral Tablet |
403840 | Minocycline 75 MG Oral Tablet |
403920 | Daptomycin 500 MG Injection |
403921 | 24 HR Ciprofloxacin 1000 MG Extended Release Oral Tablet |
406524 | doxycycline hyclate 75 MG Delayed Release Oral Tablet |
409823 | Cefixime 400 MG Oral Capsule |
419849 | Cefixime 40 MG/ML Oral Suspension |
434018 | doxycycline hyclate 100 MG Delayed Release Oral Tablet |
476576 | cefdinir 50 MG/ML Oral Suspension |
477391 | Levofloxacin 25 MG/ML Oral Solution |
562251 | Amoxicillin 250 MG / Clavulanate 125 MG Oral Tablet |
562266 | Clindamycin 15 MG/ML Oral Solution |
562508 | Amoxicillin 875 MG / Clavulanate 125 MG Oral Tablet |
562707 | Trimethoprim 10 MG/ML Oral Solution |
577378 | Azithromycin 33.3 MG/ML Extended Release Suspension |
597455 | Clarithromycin 1000 MG Extended Release Oral Tablet |
597761 | telithromycin 300 MG Oral Tablet |
597823 | Tobramycin 40 MG/ML Injectable Solution |
598006 | Erythromycin 250 MG Oral Tablet |
598025 | Amoxicillin 250 MG Chewable Tablet |
617296 | Amoxicillin 500 MG / Clavulanate 125 MG Oral Tablet |
617302 | Amoxicillin 25 MG/ML / Clavulanate 6.25 MG/ML Oral Suspension |
617309 | Amoxicillin 200 MG / Clavulanate 28.5 MG Chewable Tablet |
617316 | Amoxicillin 400 MG / Clavulanate 57 MG Chewable Tablet |
617322 | Amoxicillin 50 MG/ML / Clavulanate 12.5 MG/ML Oral Suspension |
617423 | Amoxicillin 40 MG/ML / Clavulanate 5.7 MG/ML Oral Suspension |
617430 | Amoxicillin 80 MG/ML / Clavulanate 11.4 MG/ML Oral Suspension |
617993 | Amoxicillin 120 MG/ML / Clavulanate 8.58 MG/ML Oral Suspension |
617995 | 12 HR Amoxicillin 1000 MG / Clavulanate 62.5 MG Extended Release Oral Tablet |
629695 | 24 HR Minocycline 135 MG Extended Release Oral Tablet |
629697 | 24 HR Minocycline 45 MG Extended Release Oral Tablet |
629699 | 24 HR Minocycline 90 MG Extended Release Oral Tablet |
636559 | 24 HR Metronidazole 750 MG Extended Release Oral Tablet |
637173 | Cephalexin 750 MG Oral Capsule |
637560 | gemifloxacin 320 MG Oral Tablet |
645617 | Cephalexin 333 MG Oral Capsule |
686355 | erythromycin stearate 250 MG Oral Tablet |
686383 | Erythromycin Ethylsuccinate 40 MG/ML / Sulfisoxazole 120 MG/ML Oral Suspension |
686400 | Erythromycin Ethylsuccinate 40 MG/ML Oral Suspension |
686405 | Erythromycin Ethylsuccinate 400 MG Oral Tablet |
686406 | erythromycin stearate 500 MG Oral Tablet |
686418 | Erythromycin Ethylsuccinate 80 MG/ML Oral Suspension |
700408 | Doxycycline Monohydrate 75 MG Oral Capsule |
728207 | Doxycycline Monohydrate 150 MG Oral Capsule |
731538 | 2 ML penicillin G benzathine 300000 UNT/ML / penicillin G procaine 300000 UNT/ML Prefilled Syringe |
731564 | 1 ML penicillin G benzathine 600000 UNT/ML Prefilled Syringe |
731567 | 2 ML penicillin G benzathine 600000 UNT/ML Prefilled Syringe |
731570 | 4 ML penicillin G benzathine 600000 UNT/ML Prefilled Syringe |
745302 | Penicillin G Sodium 100000 UNT/ML Injectable Solution |
745462 | 2 ML penicillin G procaine 600000 UNT/ML Prefilled Syringe |
745560 | 1 ML penicillin G procaine 600000 UNT/ML Prefilled Syringe |
749780 | {3 (Azithromycin 500 MG Oral Tablet) } Pack |
749783 | {6 (Azithromycin 250 MG Oral Tablet) } Pack |
757460 | {31 (Doxycycline Monohydrate 100 MG Oral Tablet) } Pack |
757464 | {31 (Doxycycline Monohydrate 75 MG Oral Tablet) } Pack |
757466 | {60 (Doxycycline Monohydrate 100 MG Oral Tablet) } Pack |
761979 | {5 (moxifloxacin 400 MG Oral Tablet) } Pack |
789980 | Ampicillin 100 MG/ML Injectable Solution |
799048 | doxycycline hyclate 150 MG Delayed Release Oral Tablet |
802550 | Amoxicillin 775 MG Extended Release Oral Tablet |
834040 | Penicillin V Potassium 50 MG/ML Oral Solution |
834046 | Penicillin V Potassium 25 MG/ML Oral Solution |
834061 | Penicillin V Potassium 250 MG Oral Tablet |
834102 | Penicillin V Potassium 500 MG Oral Tablet |
835700 | {30 (Doxycycline Monohydrate 150 MG Oral Tablet) } Pack |
836306 | 2 ML penicillin G benzathine 450000 UNT/ML / penicillin G procaine 150000 UNT/ML Prefilled Syringe |
847360 | cefditoren pivoxil 400 MG Oral Tablet |
858062 | 24 HR Minocycline 115 MG Extended Release Oral Tablet |
858372 | 24 HR Minocycline 65 MG Extended Release Oral Tablet |
863538 | Penicillin G Potassium 1000000 UNT/ML Injectable Solution |
901399 | doxycycline anhydrous 40 MG Delayed Release Oral Capsule |
And at least one of the following:
ICD-10: | |
Code | Description |
J02.0 | Streptococcal pharyngitis |
J02.8 | Acute pharyngitis due to other specified organisms |
J02.9 | Acute pharyngitis, unspecified |
SNOMED: | |
Code | Description |
1532007 | Viral pharyngitis (disorder) |
40766000 | Enteroviral lymphonodular pharyngitis (disorder) |
43878008 | Streptococcal sore throat (disorder) |
58031004 | Suppurative pharyngitis (disorder) |
195655000 | Acute gangrenous pharyngitis (disorder) |
195656004 | Acute phlegmonous pharyngitis (disorder) |
195657008 | Acute ulcerative pharyngitis (disorder) |
195658003 | Acute bacterial pharyngitis (disorder) |
195659006 | Acute pneumococcal pharyngitis (disorder) |
195660001 | Acute staphylococcal pharyngitis (disorder) |
195662009 | Acute viral pharyngitis (disorder) |
232399005 | Acute herpes simplex pharyngitis (disorder) |
232400003 | Acute herpes zoster pharyngitis (disorder) |
363746003 | Acute pharyngitis (disorder) |
ICD-10: | |
Code | Description |
J03.00 | Acute streptococcal tonsillitis, unspecified |
J03.91 | Acute recurrent tonsillitis, unspecified |
J03.90 | Acute tonsillitis, unspecified |
J03.81 | Acute recurrent tonsillitis due to other specified organisms |
J03.80 | Acute tonsillitis due to other specified organisms |
J03.01 | Acute recurrent streptococcal tonsillitis |
SNOMED | |
Code | Description |
17741008 | Acute tonsillitis (disorder) |
195666007 | Acute erythematous tonsillitis (disorder) |
195667003 | Acute follicular tonsillitis (disorder) |
195668008 | Acute ulcerative tonsillitis (disorder) |
195669000 | Acute catarrhal tonsillitis (disorder) |
195670004 | Acute gangrenous tonsillitis (disorder) |
195671000 | Acute bacterial tonsillitis (disorder) |
195672007 | Acute pneumococcal tonsillitis (disorder) |
195673002 | Acute staphylococcal tonsillitis (disorder) |
195676005 | Acute viral tonsillitis (disorder) |
195677001 | Recurrent acute tonsillitis (disorder) |
302911003 | Acute lingual tonsillitis (disorder) |
10629271000119107 | Acute tonsillitis caused by Streptococcus (disorder) |
Required Data Elements for the Numerator:
LOINC: | |
Code | Description |
11268-0 | Streptococcus pyogenes [Presence] in Throat by Organism specific culture |
17656-0 | Streptococcus pyogenes [Presence] in Unspecified specimen by Organism specific culture |
18481-2 | Streptococcus pyogenes Ag [Presence] in Throat |
31971-5 | Streptococcus pyogenes Ag [Presence] in Unspecified specimen |
49610-9 | Streptococcus pyogenes DNA [Identifier] in Unspecified specimen by Probe and target amplification method |
5036-9 | Streptococcus pyogenes rRNA [Presence] in Unspecified specimen by DNA probe |
60489-2 | Streptococcus pyogenes DNA [Presence] in Throat by Probe and target amplification method |
626-2 | Bacteria identified in Throat by Culture |
6557-3 | Streptococcus pyogenes Ag [Presence] in Throat by Immunofluorescence |
6558-1 | Streptococcus pyogenes Ag [Presence] in Unspecified specimen by Immunoassay |
6559-9 | Streptococcus pyogenes Ag [Presence] in Unspecified specimen by Immunofluorescence |
68954-7 | Streptococcus pyogenes rRNA [Presence] in Throat by DNA probe |
EXCLUSION DETAILS:
Exclusion includes patients who are taking antibiotics in the 30 days prior to the diagnosis of Pharyngitis. In order to meet the requirements for this exclusion, the appropriate information must be documented in the chart:
1013659 | 24 HR Minocycline 105 MG Extended Release Oral Tablet |
1013662 | 24 HR Minocycline 55 MG Extended Release Oral Tablet |
1013665 | 24 HR Minocycline 80 MG Extended Release Oral Tablet |
1043022 | Cefixime 100 MG Chewable Tablet |
1043027 | Cefixime 150 MG Chewable Tablet |
1043030 | Cefixime 200 MG Chewable Tablet |
105171 | Cefadroxil 100 MG/ML Oral Suspension |
1088677 | Penicillin V Potassium 250 MG Oral Capsule |
1148107 | {6 (Azithromycin 500 MG Oral Tablet) } Pack |
1302650 | 24 HR Minocycline 45 MG Extended Release Oral Capsule |
1302659 | 24 HR Minocycline 67.5 MG Extended Release Oral Capsule |
1302664 | 24 HR Minocycline 90 MG Extended Release Oral Capsule |
1302669 | 24 HR Minocycline 112.5 MG Extended Release Oral Capsule |
1302674 | 24 HR Minocycline 135 MG Extended Release Oral Capsule |
1373014 | Cefixime 100 MG/ML Oral Suspension |
141963 | Azithromycin 40 MG/ML Oral Suspension |
142118 | Sulfamethoxazole 100 MG / Trimethoprim 20 MG Oral Tablet |
1423080 | doxycycline hyclate 200 MG Delayed Release Oral Tablet |
1648755 | NITROFURANTOIN, MACROCRYSTALS 25 MG / Nitrofurantoin, Monohydrate 75 MG Oral Capsule |
1648759 | NITROFURANTOIN, MACROCRYSTALS 100 MG Oral Capsule |
1649401 | Doxycycline Monohydrate 50 MG Oral Capsule |
1649405 | doxycycline hyclate 50 MG Oral Capsule |
1649425 | doxycycline hyclate 75 MG Oral Tablet |
1649429 | Doxycycline Monohydrate 75 MG Oral Tablet |
1649988 | doxycycline hyclate 100 MG Oral Capsule |
1649990 | Doxycycline Monohydrate 100 MG Oral Capsule |
1650030 | Doxycycline Monohydrate 5 MG/ML Oral Suspension |
1650142 | Doxycycline Monohydrate 100 MG Oral Tablet |
1650143 | doxycycline hyclate 100 MG Oral Tablet |
1650444 | Doxycycline Monohydrate 150 MG Oral Tablet |
1650446 | doxycycline hyclate 150 MG Oral Tablet |
1652673 | Doxycycline Monohydrate 50 MG Oral Tablet |
1652674 | doxycycline hyclate 50 MG Oral Tablet |
1653433 | doxycycline hyclate 50 MG Delayed Release Oral Tablet |
1656313 | Cefotaxime 1000 MG Injection |
1656318 | Cefotaxime 2000 MG Injection |
1659131 | Piperacillin 2000 MG / tazobactam 250 MG Injection |
1659137 | Piperacillin 3000 MG / tazobactam 375 MG Injection |
1659149 | Piperacillin 4000 MG / tazobactam 500 MG Injection |
1659278 | Ceftazidime 500 MG Injection |
1659283 | Ceftazidime 1000 MG Injection |
1659287 | Ceftazidime 2000 MG Injection |
1659592 | Ampicillin 1000 MG / Sulbactam 500 MG Injection |
1659598 | Ampicillin 2000 MG / Sulbactam 1000 MG Injection |
1662285 | 300 ML linezolid 2 MG/ML Injection |
1664981 | Aztreonam 1000 MG Injection |
1664986 | Aztreonam 2000 MG Injection |
1665005 | Ceftriaxone 500 MG Injection |
1665021 | Ceftriaxone 1000 MG Injection |
1665046 | Ceftriaxone 2000 MG Injection |
1665050 | Cefazolin 1000 MG Injection |
1665052 | Cefazolin 500 MG Injection |
1665060 | Cefazolin 2000 MG Injection |
1665088 | cefepime 2000 MG Injection |
1665093 | cefepime 1000 MG Injection |
1665097 | cefepime 500 MG Injection |
1665102 | Cefoxitin 1000 MG Injection |
1665107 | Cefoxitin 2000 MG Injection |
1665210 | 100 ML Ciprofloxacin 2 MG/ML Injection |
1665212 | 200 ML Ciprofloxacin 2 MG/ML Injection |
1665227 | 20 ML Ciprofloxacin 10 MG/ML Injection |
1665229 | 40 ML Ciprofloxacin 10 MG/ML Injection |
1665444 | Cefuroxime 1500 MG Injection |
1665449 | Cefuroxime 750 MG Injection |
1665497 | 50 ML Levofloxacin 5 MG/ML Injection |
1665507 | 100 ML Levofloxacin 5 MG/ML Injection |
1665515 | 150 ML Levofloxacin 5 MG/ML Injection |
1665517 | 20 ML Levofloxacin 25 MG/ML Injection |
1665519 | 30 ML Levofloxacin 25 MG/ML Injection |
1668238 | Azithromycin 500 MG Injection |
1668264 | erythromycin lactobionate 500 MG Injection |
1721458 | Nafcillin 1000 MG Injection |
1721460 | Nafcillin 2000 MG Injection |
1721473 | Ampicillin 250 MG Injection |
1721474 | Ampicillin 500 MG Injection |
1721475 | Ampicillin 1000 MG Injection |
1721476 | Ampicillin 2000 MG Injection |
1722916 | Cefotetan 180 MG/ML Injectable Solution |
1722919 | Cefotetan 1000 MG Injection |
1722921 | Cefotetan 2000 MG Injection |
1723156 | 2 ML Amikacin 250 MG/ML Injection |
1723160 | 4 ML Amikacin 250 MG/ML Injection |
1728082 | telavancin 750 MG Injection |
1728087 | telavancin 250 MG Injection |
1737244 | 2 ML Clindamycin 150 MG/ML Injection |
1737578 | 4 ML Clindamycin 150 MG/ML Injection |
1737581 | 6 ML Clindamycin 150 MG/ML Injection |
1739890 | Cefoxitin 100 MG/ML Injectable Solution |
1743547 | Oxacillin 1000 MG Injection |
1743549 | Oxacillin 2000 MG Injection |
1747115 | 50 ML Cefotaxime 20 MG/ML Injection |
1747121 | 50 ML Cefotaxime 40 MG/ML Injection |
1791505 | doxycycline hyclate 75 MG Oral Capsule |
1801138 | doxycycline hyclate 120 MG Delayed Release Oral Tablet |
1807508 | 200 ML Vancomycin 5 MG/ML Injection |
1807510 | 150 ML Vancomycin 5 MG/ML Injection |
1807511 | 100 ML Vancomycin 5 MG/ML Injection |
1807513 | Vancomycin 1000 MG Injection |
1807516 | Vancomycin 500 MG Injection |
1807518 | Vancomycin 750 MG Injection |
1870631 | 100 ML Gentamicin 1.2 MG/ML Injection |
1870633 | 50 ML Gentamicin 1.2 MG/ML Injection |
1870650 | 2 ML Gentamicin 40 MG/ML Injection |
1870676 | 2 ML Gentamicin 10 MG/ML Injection |
1870681 | 6 ML Gentamicin 10 MG/ML Injection |
1870685 | 8 ML Gentamicin 10 MG/ML Injection |
1870686 | 10 ML Gentamicin 10 MG/ML Injection |
197449 | Cefaclor 500 MG Oral Capsule |
197451 | Cefixime 400 MG Oral Tablet |
197452 | cefprozil 250 MG Oral Tablet |
197453 | cefprozil 500 MG Oral Tablet |
197454 | Cephalexin 500 MG Oral Tablet |
197511 | Ciprofloxacin 250 MG Oral Tablet |
197512 | Ciprofloxacin 750 MG Oral Tablet |
197516 | Clarithromycin 250 MG Oral Tablet |
197517 | Clarithromycin 500 MG Oral Tablet |
197518 | Clindamycin 150 MG Oral Capsule |
197595 | Dicloxacillin 250 MG Oral Capsule |
197596 | Dicloxacillin 500 MG Oral Capsule |
197650 | Erythromycin 500 MG Oral Tablet |
197984 | Minocycline 100 MG Oral Capsule |
197985 | Minocycline 50 MG Oral Capsule |
198044 | Norfloxacin 400 MG Oral Tablet |
198048 | Ofloxacin 200 MG Oral Tablet |
198049 | Ofloxacin 300 MG Oral Tablet |
198050 | Ofloxacin 400 MG Oral Tablet |
198201 | Rifampin 150 MG Oral Capsule |
198202 | Rifampin 300 MG Oral Capsule |
198250 | tetracycline hydrochloride 250 MG Oral Capsule |
198252 | tetracycline hydrochloride 500 MG Oral Capsule |
198332 | Trimethoprim 100 MG Oral Tablet |
198334 | Sulfamethoxazole 400 MG / Trimethoprim 80 MG Oral Tablet |
198335 | Sulfamethoxazole 800 MG / Trimethoprim 160 MG Oral Tablet |
199055 | Metronidazole 375 MG Oral Capsule |
199327 | Metronidazole 400 MG Oral Tablet |
199332 | Trimethoprim 300 MG Oral Tablet |
199370 | Ciprofloxacin 100 MG Oral Tablet |
199497 | Penicillin V 500 MG Oral Capsule |
199620 | Rifampin 600 MG Oral Tablet |
1996246 | Daptomycin 350 MG Injection |
199710 | Clarithromycin 500 MG/ML Injectable Solution |
199802 | Rifampin 450 MG Oral Tablet |
1998483 | doxycycline hyclate 200 MG Injection |
199884 | Levofloxacin 250 MG Oral Tablet |
199885 | Levofloxacin 500 MG Oral Tablet |
2000127 | Vancomycin 25 MG/ML Oral Solution |
2000134 | Vancomycin 50 MG/ML Oral Solution |
200346 | cefdinir 300 MG Oral Capsule |
204466 | 50 ML Penicillin G Potassium 40000 UNT/ML Injection |
204844 | Azithromycin 600 MG Oral Tablet |
205964 | Clindamycin 150 MG/ML Injectable Solution |
207362 | Minocycline 50 MG Oral Tablet |
207364 | Minocycline 100 MG Oral Tablet |
207390 | 50 ML Penicillin G Potassium 20000 UNT/ML Injection |
207391 | 50 ML Penicillin G Potassium 60000 UNT/ML Injection |
239189 | Nafcillin 100 MG/ML Injectable Solution |
239191 | Amoxicillin 50 MG/ML Oral Suspension |
239204 | Gentamicin 10 MG/ML Injectable Solution |
239209 | Vancomycin 100 MG/ML Injectable Solution |
240637 | 50 ML Oxacillin 40 MG/ML Injection |
240741 | Clarithromycin 25 MG/ML Oral Suspension |
240984 | Ampicillin 100 MG/ML / Sulbactam 50 MG/ML Injectable Solution |
242800 | Ceftazidime 200 MG/ML Injectable Solution |
242825 | 50 ML Tobramycin 1.2 MG/ML Injection |
245240 | Erythromycin 333 MG Delayed Release Oral Capsule |
245837 | Sulfadiazine 410 MG / Trimethoprim 90 MG Oral Tablet |
245838 | Sulfadiazine 41 MG/ML / Trimethoprim 9 MG/ML Oral Suspension |
248656 | Azithromycin 500 MG Oral Tablet |
259290 | dalfopristin 350 MG / quinupristin 150 MG Injection |
283535 | doxycycline hyclate 20 MG Oral Tablet |
284215 | Clindamycin 300 MG Oral Capsule |
308177 | Amoxicillin 125 MG Chewable Tablet |
308181 | Amoxicillin 200 MG Chewable Tablet |
308182 | Amoxicillin 250 MG Oral Capsule |
308188 | Amoxicillin 400 MG Chewable Tablet |
308189 | Amoxicillin 80 MG/ML Oral Suspension |
308191 | Amoxicillin 500 MG Oral Capsule |
308192 | Amoxicillin 500 MG Oral Tablet |
308194 | Amoxicillin 875 MG Oral Tablet |
308207 | Ampicillin 125 MG Injection |
308210 | Ampicillin 50 MG/ML Oral Suspension |
308212 | Ampicillin 500 MG Oral Capsule |
308459 | Azithromycin 20 MG/ML Oral Suspension |
308460 | Azithromycin 250 MG Oral Tablet |
309040 | Cefaclor 37.4 MG/ML Oral Suspension |
309043 | 12 HR Cefaclor 500 MG Extended Release Oral Tablet |
309044 | Cefaclor 25 MG/ML Oral Suspension |
309045 | Cefaclor 250 MG Oral Capsule |
309047 | Cefadroxil 1000 MG Oral Tablet |
309048 | Cefadroxil 50 MG/ML Oral Suspension |
309049 | Cefadroxil 500 MG Oral Capsule |
309054 | cefdinir 25 MG/ML Oral Suspension |
309058 | Cefixime 20 MG/ML Oral Suspension |
309065 | Cefotaxime 200 MG/ML Injectable Solution |
309068 | Cefotaxime 500 MG Injection |
309072 | Cefoxitin 200 MG/ML Injectable Solution |
309076 | cefpodoxime 100 MG Oral Tablet |
309077 | cefpodoxime 20 MG/ML Oral Suspension |
309078 | cefpodoxime 200 MG Oral Tablet |
309079 | cefpodoxime 10 MG/ML Oral Suspension |
309080 | cefprozil 25 MG/ML Oral Suspension |
309081 | cefprozil 50 MG/ML Oral Suspension |
309085 | ceftibuten 36 MG/ML Oral Suspension |
309086 | ceftibuten 400 MG Oral Capsule |
309087 | ceftibuten 18 MG/ML Oral Suspension |
309090 | Ceftriaxone 100 MG/ML Injectable Solution |
309092 | Ceftriaxone 250 MG Injection |
309095 | Cefuroxime 125 MG Oral Tablet |
309096 | Cefuroxime 25 MG/ML Oral Suspension |
309097 | Cefuroxime 250 MG Oral Tablet |
309098 | Cefuroxime 500 MG Oral Tablet |
309101 | Cefuroxime 95 MG/ML Injectable Solution |
309110 | Cephalexin 25 MG/ML Oral Suspension |
309112 | Cephalexin 250 MG Oral Capsule |
309113 | Cephalexin 50 MG/ML Oral Suspension |
309114 | Cephalexin 500 MG Oral Capsule |
309115 | Cephalexin 250 MG Oral Tablet |
309308 | Ciprofloxacin 50 MG/ML Oral Suspension |
309309 | Ciprofloxacin 500 MG Oral Tablet |
309310 | Ciprofloxacin 100 MG/ML Oral Suspension |
309322 | Clarithromycin 50 MG/ML Oral Suspension |
309329 | Clindamycin 75 MG Oral Capsule |
309335 | 50 ML Clindamycin 12 MG/ML Injection |
309336 | 50 ML Clindamycin 18 MG/ML Injection |
309339 | 50 ML Clindamycin 6 MG/ML Injection |
310026 | Doxycycline Calcium 10 MG/ML Oral Suspension |
310027 | doxycycline hyclate 100 MG Injection |
310028 | doxycycline hyclate 20 MG Oral Capsule |
310154 | Erythromycin 250 MG Delayed Release Oral Capsule |
310155 | Erythromycin 250 MG Delayed Release Oral Tablet |
310157 | Erythromycin 500 MG Delayed Release Oral Tablet |
311296 | Levofloxacin 750 MG Oral Tablet |
311681 | Metronidazole 500 MG Oral Tablet |
311787 | moxifloxacin 400 MG Oral Tablet |
311989 | Nitrofurantoin 5 MG/ML Oral Suspension |
311991 | Nitrofurantoin 50 MG Oral Tablet |
311994 | NITROFURANTOIN, MACROCRYSTALS 25 MG Oral Capsule |
311995 | NITROFURANTOIN, MACROCRYSTALS 50 MG Oral Capsule |
312127 | Oxacillin 100 MG/ML Injectable Solution |
312128 | 50 ML Oxacillin 20 MG/ML Injection |
312447 | Piperacillin 200 MG/ML / tazobactam 25 MG/ML Injectable Solution |
313115 | Streptomycin 1000 MG Injection |
313134 | Sulfamethoxazole 40 MG/ML / Trimethoprim 8 MG/ML Oral Suspension |
313137 | Sulfamethoxazole 80 MG/ML / Trimethoprim 16 MG/ML Injectable Solution |
313416 | Tobramycin 10 MG/ML Injectable Solution |
313570 | Vancomycin 125 MG Oral Capsule |
313571 | Vancomycin 250 MG Oral Capsule |
313572 | Vancomycin 50 MG/ML Injectable Solution |
313797 | Amoxicillin 25 MG/ML Oral Suspension |
313799 | Ampicillin 25 MG/ML Oral Suspension |
313800 | Ampicillin 250 MG Oral Capsule |
313850 | Amoxicillin 40 MG/ML Oral Suspension |
313888 | Cefaclor 50 MG/ML Oral Suspension |
313920 | Cefazolin 200 MG/ML Injectable Solution |
313926 | Cefuroxime 50 MG/ML Oral Suspension |
313996 | Gentamicin 40 MG/ML Injectable Solution |
314106 | Metronidazole 250 MG Oral Tablet |
314108 | Minocycline 75 MG Oral Capsule |
315090 | Erythromycin 333 MG Delayed Release Oral Tablet |
317127 | Minocycline 100 MG Injection |
348869 | doxycycline hyclate 100 MG Delayed Release Oral Capsule |
348870 | doxycycline hyclate 75 MG Delayed Release Oral Capsule |
351127 | cefditoren pivoxil 200 MG Oral Tablet |
351156 | 250 ML moxifloxacin 1.6 MG/ML Injection |
359383 | 24 HR Ciprofloxacin 500 MG Extended Release Oral Tablet |
359385 | 24 HR Clarithromycin 500 MG Extended Release Oral Tablet |
388510 | telithromycin 400 MG Oral Tablet |
403840 | Minocycline 75 MG Oral Tablet |
403920 | Daptomycin 500 MG Injection |
403921 | 24 HR Ciprofloxacin 1000 MG Extended Release Oral Tablet |
406524 | doxycycline hyclate 75 MG Delayed Release Oral Tablet |
409823 | Cefixime 400 MG Oral Capsule |
419849 | Cefixime 40 MG/ML Oral Suspension |
434018 | doxycycline hyclate 100 MG Delayed Release Oral Tablet |
476576 | cefdinir 50 MG/ML Oral Suspension |
477391 | Levofloxacin 25 MG/ML Oral Solution |
562251 | Amoxicillin 250 MG / Clavulanate 125 MG Oral Tablet |
562266 | Clindamycin 15 MG/ML Oral Solution |
562508 | Amoxicillin 875 MG / Clavulanate 125 MG Oral Tablet |
562707 | Trimethoprim 10 MG/ML Oral Solution |
577378 | Azithromycin 33.3 MG/ML Extended Release Suspension |
597455 | Clarithromycin 1000 MG Extended Release Oral Tablet |
597761 | telithromycin 300 MG Oral Tablet |
597823 | Tobramycin 40 MG/ML Injectable Solution |
598006 | Erythromycin 250 MG Oral Tablet |
598025 | Amoxicillin 250 MG Chewable Tablet |
617296 | Amoxicillin 500 MG / Clavulanate 125 MG Oral Tablet |
617302 | Amoxicillin 25 MG/ML / Clavulanate 6.25 MG/ML Oral Suspension |
617309 | Amoxicillin 200 MG / Clavulanate 28.5 MG Chewable Tablet |
617316 | Amoxicillin 400 MG / Clavulanate 57 MG Chewable Tablet |
617322 | Amoxicillin 50 MG/ML / Clavulanate 12.5 MG/ML Oral Suspension |
617423 | Amoxicillin 40 MG/ML / Clavulanate 5.7 MG/ML Oral Suspension |
617430 | Amoxicillin 80 MG/ML / Clavulanate 11.4 MG/ML Oral Suspension |
617993 | Amoxicillin 120 MG/ML / Clavulanate 8.58 MG/ML Oral Suspension |
617995 | 12 HR Amoxicillin 1000 MG / Clavulanate 62.5 MG Extended Release Oral Tablet |
629695 | 24 HR Minocycline 135 MG Extended Release Oral Tablet |
629697 | 24 HR Minocycline 45 MG Extended Release Oral Tablet |
629699 | 24 HR Minocycline 90 MG Extended Release Oral Tablet |
636559 | 24 HR Metronidazole 750 MG Extended Release Oral Tablet |
637173 | Cephalexin 750 MG Oral Capsule |
637560 | gemifloxacin 320 MG Oral Tablet |
645617 | Cephalexin 333 MG Oral Capsule |
686355 | erythromycin stearate 250 MG Oral Tablet |
686383 | Erythromycin Ethylsuccinate 40 MG/ML / Sulfisoxazole 120 MG/ML Oral Suspension |
686400 | Erythromycin Ethylsuccinate 40 MG/ML Oral Suspension |
686405 | Erythromycin Ethylsuccinate 400 MG Oral Tablet |
686406 | erythromycin stearate 500 MG Oral Tablet |
686418 | Erythromycin Ethylsuccinate 80 MG/ML Oral Suspension |
700408 | Doxycycline Monohydrate 75 MG Oral Capsule |
728207 | Doxycycline Monohydrate 150 MG Oral Capsule |
731538 | 2 ML penicillin G benzathine 300000 UNT/ML / penicillin G procaine 300000 UNT/ML Prefilled Syringe |
731564 | 1 ML penicillin G benzathine 600000 UNT/ML Prefilled Syringe |
731567 | 2 ML penicillin G benzathine 600000 UNT/ML Prefilled Syringe |
731570 | 4 ML penicillin G benzathine 600000 UNT/ML Prefilled Syringe |
745302 | Penicillin G Sodium 100000 UNT/ML Injectable Solution |
745462 | 2 ML penicillin G procaine 600000 UNT/ML Prefilled Syringe |
745560 | 1 ML penicillin G procaine 600000 UNT/ML Prefilled Syringe |
749780 | {3 (Azithromycin 500 MG Oral Tablet) } Pack |
749783 | {6 (Azithromycin 250 MG Oral Tablet) } Pack |
757460 | {31 (Doxycycline Monohydrate 100 MG Oral Tablet) } Pack |
757464 | {31 (Doxycycline Monohydrate 75 MG Oral Tablet) } Pack |
757466 | {60 (Doxycycline Monohydrate 100 MG Oral Tablet) } Pack |
761979 | {5 (moxifloxacin 400 MG Oral Tablet) } Pack |
789980 | Ampicillin 100 MG/ML Injectable Solution |
799048 | doxycycline hyclate 150 MG Delayed Release Oral Tablet |
802550 | Amoxicillin 775 MG Extended Release Oral Tablet |
834040 | Penicillin V Potassium 50 MG/ML Oral Solution |
834046 | Penicillin V Potassium 25 MG/ML Oral Solution |
834061 | Penicillin V Potassium 250 MG Oral Tablet |
834102 | Penicillin V Potassium 500 MG Oral Tablet |
835700 | {30 (Doxycycline Monohydrate 150 MG Oral Tablet) } Pack |
836306 | 2 ML penicillin G benzathine 450000 UNT/ML / penicillin G procaine 150000 UNT/ML Prefilled Syringe |
847360 | cefditoren pivoxil 400 MG Oral Tablet |
858062 | 24 HR Minocycline 115 MG Extended Release Oral Tablet |
858372 | 24 HR Minocycline 65 MG Extended Release Oral Tablet |
863538 | Penicillin G Potassium 1000000 UNT/ML Injectable Solution |
901399 | doxycycline anhydrous 40 MG Delayed Release Oral Capsule |
To document this one of the following must be taken:
Option 1: Inpatient Code and Hospice Discharge Code documented together
Inpatient Encounter Code
- 183452005: Emergency hospital admission (procedure)
- 32485007: Hospital admission (procedure)
- 8715000: Hospital admission, elective (procedure)
AND
Hospice Care Discharge Status SNOMED (one of the following):
- 428371000124100: Discharged to Health Care Facility for Hospice Care
- 428361000124107: Discharged to Home for Hospice Care
Option #2 - Hospice care ambulatory code ORDERED and PERFORMED:
Intervention, Order and Performed: Hospice care ambulatory
-
385763009: Hospice care (regime/therapy)
-
385765002: Hospice care management (procedure)
ADDITIONAL INFORMATION:
• The patient must be at least 3 years old and younger than 18 prior to the start of the measurement period.
• The Strep A test result LOINC code must be linked to a result code in the conditions table. The result code can be user-created procedure code or be a result code sent to you by an electronic lab interface.
• The codes used to indicate the Strep A order and the Strep A result should remain separate for tracking and reporting purposes. There should be two codes: the result will be marked as a result with the LOINC code and the order will be marked as a Lab procedure and set to track.
• The Group A Streptococcus Test result must occur within 3 days prior, during, or within 3 days after the first encounter during the measurement period where the diagnosis of Pharyngitis or Acute Tonsillitis occurred.
• The only data used to determine the denominator is data from the ChartMaker Clinical Module. If a patient encounter was not entered into the ChartMaker Clinical Module, that encounter is not included in the denominator for the statistical calculations on the Meaningful Use Dashboard. Please add these additional patients to the denominator and recalculate the percentage for Attestation purposes