Appropriate Testing for Children with Pharyngitis

Last updated: May 3, 2018

CMS Measure ID: CMS146v3
Version: 3
NQF Number: 0002
Measure Description:

Percentage of children 2-18 years of age who were diagnosed with pharyngitis, ordered an antibiotic and received a group A streptococcus (strep) test for the episode.

Initial Patient Population:

Children 2-18 years of age who had an outpatient or emergency department (ED) visit with a diagnosis of pharyngitis during the measurement period and an antibiotic ordered on or three days after the visit

Denominator Statement:

Equals Initial Patient Population

Denominator Exclusions:

Children who are taking antibiotics in the 30 days prior to the diagnosis of pharyngitis

Numerator Statement:

Children with a group A streptococcus test in the 7-day period from 3 days prior through 3 days after the diagnosis of pharyngitis

Numerator Exclusions:

Not Applicable

Denominator Exceptions:


Measure Steward: National Committee for Quality Assurance
Domain: Efficiency and Cost Reduction Use of Healthcare Resources
Next Version:
Measure Score: Proportion
Score Type: Process
Improvement Notation:

Higher score indicates better quality


This is an episode of care measure that examines all eligible episodes for the patient during the measurement period. If the patient has more than one episode, include all episodes in the measure.


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