jdavenport02
Networker
For the Radiology MIPS Measure 364, if the radiologist only provides the below information, is this considered MET or NOT MET?
The impression states that there is a 7mm nodule in the left upper lobe. The radiologist does not say that follow up is warranted in 6-12 months but provides the below information as a standard template on the reports. Would this be MET or NOT MET?
Any help is greatly appreciated.
Fleischner Society Guidelines for Incidental Pulmonary Nodules:
SOLID NODULES
Single low-risk:
<6 mm No follow up.
6-8 mm CT at 6-12 months, then consider CT at 8-24 months.
>8mm Consider CT at 3 months, PET/CT or bx.
Single high risk:
<6mm Optional CT at 12 months.
6-8 mm CT at 6-12 months, then consider CT at 18-24 months.
>8mm Consider CT at 3 months, PET/CT or bx.
Multiple Iow risk:
<6 mm No follow.
6-8 mm CT at 3-6 months, then consider CT at 18-24 months.
>8mm CT at 3-6 months, then consider CT at 18-24 months.
Multiple high risk:
<6mm Optional CT at 12 months.
6-8 mm CT at 3-6 months, then CT at 18-24 months.
>8 mm CT at 3-6 months, then CT at 18-24 months.
SUBSOLlD NODULES
Ground glass:
<6 mm No follow up.
>6 mm CT at 6-12 months, then consider CT every 2 years for 5 years.
Part solid:
<6mm No follow up.
>6mm CT at 3-6 months. If stable with solid component <6mm, annual CT for 5 years.
Multiple:
<6 mm CT at 3-6 months. If stable, consider CT at 2 and 4 years.
>6 mm CT at 3-6 months. Subsequent based on most suspicious nodule.
Notes: Recommendations do not apply to cancer screening, patient with immunosuppression or known primary cancer.
Reference: Radiology 2017; MacMahon et al; 000:1-16
The impression states that there is a 7mm nodule in the left upper lobe. The radiologist does not say that follow up is warranted in 6-12 months but provides the below information as a standard template on the reports. Would this be MET or NOT MET?
Any help is greatly appreciated.
Fleischner Society Guidelines for Incidental Pulmonary Nodules:
SOLID NODULES
Single low-risk:
<6 mm No follow up.
6-8 mm CT at 6-12 months, then consider CT at 8-24 months.
>8mm Consider CT at 3 months, PET/CT or bx.
Single high risk:
<6mm Optional CT at 12 months.
6-8 mm CT at 6-12 months, then consider CT at 18-24 months.
>8mm Consider CT at 3 months, PET/CT or bx.
Multiple Iow risk:
<6 mm No follow.
6-8 mm CT at 3-6 months, then consider CT at 18-24 months.
>8mm CT at 3-6 months, then consider CT at 18-24 months.
Multiple high risk:
<6mm Optional CT at 12 months.
6-8 mm CT at 3-6 months, then CT at 18-24 months.
>8 mm CT at 3-6 months, then CT at 18-24 months.
SUBSOLlD NODULES
Ground glass:
<6 mm No follow up.
>6 mm CT at 6-12 months, then consider CT every 2 years for 5 years.
Part solid:
<6mm No follow up.
>6mm CT at 3-6 months. If stable with solid component <6mm, annual CT for 5 years.
Multiple:
<6 mm CT at 3-6 months. If stable, consider CT at 2 and 4 years.
>6 mm CT at 3-6 months. Subsequent based on most suspicious nodule.
Notes: Recommendations do not apply to cancer screening, patient with immunosuppression or known primary cancer.
Reference: Radiology 2017; MacMahon et al; 000:1-16