You are using an outdated browser. Please upgrade your browser to improve your experience.

You are using an outdated browser.

To ensure optimal security, this website will soon be unavailable on this browser. Please upgrade your browser to allow continued use of ACP websites.

More Than One CT Scan Within 90 Days for Chronic Sinusitis

Percentage of patients aged 18 years and older with a diagnosis of chronic sinusitis who had more than one CT scan of the paranasal sinuses ordered or received within 90 days after the date of diagnosis.

Date Reviewed: November 19, 2017

Measure Info

MIPS 334CMS 334
Measure Type: 
Measure Steward: 
American Academy of Otolaryngology - Head and Neck Surgery
Clinical Topic Area: 
Utilization and Cost

Care Setting: 
Data Source: 

ACP does not support QPP measure 334: “Adult Sinusitis: More Than One CT Scan within 90 Days for Chronic Sinusitis (Overuse).” Implementation will likely promote appropriate use of CT scan in patients diagnosed with chronic sinusitis and the measure specifications include appropriate exclusion criteria for documented reason of appropriate use of CT scan. However, developers do not cite a performance gap, validity, or reliability data and the measure should be risk-adjusted to avoid potentially penalizing clinicians who care for patients with complicated ear, nose, and throat problems. While this measure may appropriately assess performance of otolaryngology clinicians, it is not an appropriate accountability measure for general internists.

As part of an ongoing effort to improve user experience, we have made some updates to the Performance Measures section of ACP. Tell us what you think!