LSC-E - Lead Screening in Children - HEDIS
Product Lines:
Priority Partners.
Measurement Period: January 1 - December 31
Description:
The percentage of persons 2 years of age who had one or more capillary or venous lead blood test for lead poisoning by their second birthday.
Measure Reporting:
Population Health Incentive Program (PHIP).
HealthChoice Performance Measure reporting for Priority Partners.
Improvement Notation:
Increased score indicates improvement.
Data Collection:
- ECDS.
Initial Population:
- Measure Item Count: Person.
- Age: Persons who turn 2 years of age during the measurement period.
- Benefits: Medical.
- Continuous Enrollment: 365 days prior to the person’s second birthday and the second birthday.
- Allowable Gap: No more than one gap of ≤45 days during the continuous period. No gaps on the second birthday.
Denominator:
The initial population minus denominator exclusions.
Numerator:
Lead capillary or venous blood test.
Persons with at least one lead capillary or venous blood test on or before the person’s second birthday.
Summary of changes:
- This is the first year this measure is reported using ECDS.
- Removed the Administrative and Hybrid Data Collection Methods.
Best Practice and Measure Tips
- Assessment alone does not meet criteria for this measure – be sure to order the blood test and be sure it is completed.
- Document in the medical record the date the test was performed and the result or findings. “Unknown” is not considered a result/finding.
- Educate parents on the importance of screening for lead poisoning – while the child may not be exposed at home, other environments may present a new risk.
- Visit the MD Department of Health and the Centers for Disease Control and Prevention (CDC) website for additional information for providers and parents / caregivers:
Measure Exclusions
Denominator Exclusion:
- Persons in hospice or using hospice services any time during the measurement period.
- Persons who died any time during the measurement period.
Measure Codes
Lead Test
- CPT Codes: 83655
- LOINC Codes: 10368-9, 10912-4, 14807-2, 17052-2, 25459-9, 27129-6, 32325-3, 5674-7, 77307-7