For CPT codes 36902 and 36905, quality measures listed for MIPS are:

measures   FLUORO recorded with dose: 145

                    Venous Thromboembolism Prophylaxis:  23

                    Antibiotic Prophylaxis:   21

                     Calculation of surg risk:  358

Measures 23 and 21 seem irrelevant for 36902 and 36905.  If you use these measures for these cases, you will check off "exempt" for each case you don't use prophylaxis.  You can get points for this, but in order to score a full number of points, you have to do at least 20 cases of prophylaxis for each measure.  Is anyone actually doing this?  Does anyone know why these measures are even linked to these CPT codes?  We have been in touch with CMS and they are silent on "why".  They simply state how they are used and how they score.

I routinely use 145 and 358.  But I need he other two measures to achieve compliance with the number of required measures.

Thoughts?

Thanks,

GMGaylord MD FSIR