2025 PQRANES1 Use of Peripheral Nerve Block within the Emergency Department in Patients Admitted with Low Energy Hip Fracture 

Measure Title: Use of Peripheral Nerve Block within the Emergency Department in Patients Admitted with Low Energy Hip Fracture

Measure description:Percentage of patients aged 65 years and older that receive a peripheral nerve block for analgesia following diagnosis of isolated hip fracture within the Emergency Department

Denominator: Instructions: This measure is to be reported each time a patient is diagnosed with a low energy hip fracture within the Emergency Department. It is anticipated that all eligible clinicians who provide denominator-eligible services will submit this measure.

Patient age = or > 65 AND diagnosed with hip fracture in the emergency department
Place of Service = 23

AND
CPT: 99281, 99282, 99283, 99284, 99285

AND
Hip Fracture Diagnosis

Denominator Exceptions: None

Denominator Exclusions:

• None

Numerator: Patients aged 65 years and older who are diagnosed with an isolated low energy hip fracture for whom a peripheral nerve block is performed for analgesia in the Emergency Department

Numerator Options:

Performance Met: Patients for whom a peripheral nerve block is performed in the Emergency Department as evidenced by Presence of CPT Code, OR Documentation that peripheral nerve block was performed

Numerator Exclusion 1: Documented medical reason for exclusion
Numerator Exclusion 2: Documented patient refusal