2025 HCPR29 Avoidance of DVT Ultrasound for Patients Diagnosed with Cellulitis 

Measure Title: Avoidance of DVT Ultrasound for Patients Diagnosed with Cellulitis

Measure description: Percentage of patients aged 18 years and older with diagnosis of cellulitis that did not have a DVT ultrasound ordered.

Denominator: Any patient greater than or equal to 18 years of age evaluated by the Eligible Professional in the
inpatient acute care setting (E/M Codes 99221- 99223, 99231-99233, 99234-99236 & 99291-99292
AND Place of Service Indicator: 02 or 21 OR equivalent in standardized code sets) PLUS
57 Last Updated: 12.2.2024
• Admitted or Placed in Observation Status (V0717) PLUS
• Diagnosis of Cellulitis: L03.011, L03.012, L03.019, L03.031, L03.032, L03.039, L03.111, L03.112, L03.113,
L03.114, L03.115, L03.116, L03.119, L03.211, L03.212, L03.213, L03.221, L03.311, L03.312,
L03.313, L03.314, L03.315, L03.316, L03.317, L03.319, L03.811, L03.818, L03.90
• Transferred, eloped, AMA patients are excluded (V0700)

Denominator Exclusions:

• None

Numerator: Patients Who Did Not Have Order for DVT Ultrasound.

• Performance Met (VH279): DVT ultrasound not ordered
• Medical Performance Exclusion (Denominator Exception) (VH280): DVT ultrasound ordered AND
  acceptable rationale for ordering DVT documented (e.g. history of venous thromboembolism
  (DVT, PE); risk factors for thromboembolic disease (immobility, thrombophilia, trauma, recent
  surgery); CHF; CVA; failure of improvement with antibiotics)
• Performance Not Met (VH281): DVT ultrasound ordered; acceptable rationale not documented