2025 HCPR31 Point-of-Care Ultrasound for Evaluation and Management of Shock 

Measure Title: Point-of-Care Ultrasound for Evaluation and Management of Shock

Measure description: Percentage of patients aged 18 years and older with diagnosis of Shock that had Pointof-Care Ultrasound performed

Denominator: Any patient greater than or equal to 18 years of age evaluated by the Eligible Professional in
Emergency Department or Intensive Care Unit Settings (E/M Codes 99221- 99223, 99234-99236,
99281-99285 & 99291-99292 AND Place of Service Indicator: 02, 21 or 23 OR equivalent in
standardized code sets) PLUS
• Diagnosis of Shock
• O0331; O0381; O0481; O0731; O083; O751; R570; R571; R578; R579; R6521; T782XXA;
T782XXD; T782XXS; T794XXA; T794XXD; T794XXS; T8110XA ; T8110XD ; T8110XS ;
T8111XA; T8111XD; T8111XS; T8112XA ; T8112XD ; T8112XS ; T8119XA ; T8119XD ;
T8119XS

Denominator Exclusions:

• Transferred, eloped, AMA patients are excluded (V0700)

Numerator: Patients that Received a Point-of-Care Ultrasound for Evaluation and Management of Shock.

• Performance Met (VH282): Point-of-Care Ultrasound evaluation performed
  • POCUS study may include but is not limited to cardiac echo (including IVC view) or RUSH
    (Rapid Ultrasound for Shock and Hypotension) exam.
• Medical Performance Exclusion (Denominator Exception) (VH283): Documented medical
  reason for not performing Point-of-Care Ultrasound (e.g. no ultrasound machine available, patient
  refusal).
• Performance Not Met (VH284): Point-of-Care Ultrasound evaluation not performed