2025 HCPR27 Point-of-Care Ultrasound: Evaluation for Pneumothorax after Central Venous Catheter (CVC) Placement

Measure Title: Point-of-Care Ultrasound: Evaluation for Pneumothorax after Central Venous Catheter (CVC) Placement

Description: Percentage of Patients Aged 18 years and Older Who Undergo Central Venous Catheter (CVC) Insertion for Whom Point-of-Care Ultrasound Was Performed to Evaluate for Pneumothorax.

Denominator: Any patient greater than or equal to 18 years of age who undergoes CVC insertion (limited to internal jugular or subclavian lines) by the Eligible Professional in Emergency Department or
Intensive Care Unit Settings (CPTs 36555-36596 AND Place of Service Indicator: 02, 21 or 23 OR
equivalent in standardized code sets).
• Transferred, eloped, AMA, or expired patients are excluded (V0704)

Denominator Criteria (Eligible Cases):

None

Numerator: Patients who received point-of-care ultrasound evaluation for pneumothorax after central venous catheter (CVC) placement.

Performance Met (VH273): Point-of-Care Ultrasound evaluation for Pneumothorax performed.
• Medical Performance Exclusion (Denominator Exception) (VH274): Documented medical
reason for not performing Point-of-Care Ultrasound (e.g. no ultrasound machine available,
patient refusal)
• Performance Not Met (VH275): Point-of-Care Ultrasound evaluation for pneumothorax not
performed.

Denominator Exclusions:

None

Denomiator Exceptions: Documented medical reason for not performing point-of-care ultrasound (e.g., no ultrasound machine available, patient refusal)

National Quality Forum (NQF) number, if applicable

N/A

Care setting(s)

Hospital; Hospital Inpatient; Emergency Department and Services; Hospital Outpatient

Telehealth, if applicable
No

Number of performance rates required for measures
1

Traditional vs. inverse measure
Traditional

Proportional, continuous variable, and/or ratio measure indicator
Proportional

Risk adjustment, if applicable
No

Submission pathway
Traditional MIPS