CMS164v5 – Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet

Patients 18 years of age and older with a visit during the measurement period who had an AMI, CABG, or PCI during the 12 months prior to the measurement year or who had a diagnosis of IVD overlapping the measurement year.

– NUMERATOR:

Patients who had an active medication of aspirin or another antiplatelet during the measurement year.

– DENOMINATOR EXCLUSION:

Patients who had documentation of use of anticoagulant medications overlapping the measurement year.

For Denominator:
Patients 18 years of age and older with a visit during the measurement period who had any one of the following are included in the denominator:

• Acute Myocardial Infarction (Patient > Provider Note > Diagnosis)
• Coronary Artery Bypass Graft (Patient > Provider Note > eSuperbill > Procedures). This procedure can be recorded using the CPT codes such as 33510, 33519, and 33536.
• Percutaneous Coronary Interventions during the 12 months prior to the measurement year (Patient > Provider Note > eSupebill > Procedures)
• Diagnosis of IVD overlapping the measurement year (Patient > Provider Note > Diagnosis)

For Numerator:

Patients who had an active medication of aspirin or another antiplatelet during the measurement year are included in the numerator of this measure. To record these medications, navigate to Patient > Clinical > Medications

• The medication list for prescribed medication includes:
• Dabigatran Etexilate
• Rivaroxaban
• Heparin sodium, porcine
• Edoxaban
• Betrixaban

Denominator Exclusion:

Patients who had documentation of use of anticoagulant medications overlapping the measurement year.