Surgery Measure (OP-36)

The following links provide resources and additional information about the Surgery Measure:

  • Fact Sheet, PDF-343 KB (Updated 09/28/18) – A general overview of the measure, outline of the development and purpose of the measure, information for the 2017 measure dry run, and links to QualityNet resources and Q&A email addresses.
  • Frequently Asked Questions, PDF-419 KB (Updated 09/28/18) - A list of frequently asked questions and responses including both general questions related to measure dry run processes and measure specifications questions.
  • 2018 Surgery Measure Updates and Specifications Report, PDF-747 KB (09/28/18) – A report describing the background and rationale for measure development, the approach to risk model development and testing, and detailed measure specifications. This report describes the measure methodology for the 2018 performance period (2020 payment determination and public reporting).
    • 2018 Surgery Measure Data Dictionary, XLSX-975 KB (09/28/18) – Contains the codes used to identify the measure denominator, exclusions, numerator, and risk factors, as well as risk adjustment model weights. Shows the assignment of ICD-9 and ICD-10-CM codes to condition categories (CCs) used to adjust for patient risk factors in the surgery measure.

Previous years’ resources can be found on the Archived Resources page.

Questions and Comments

Please submit questions about the outpatient Surgery measure to the Outpatient Question and Answer tool. To ensure proper handling of inquiries, please reference the hospital’s CMS Certification Number (CCN). Do NOT email your CDR or FSR nor submit patient-identifiable information (e.g., Date of Birth, Social Security Number, Health Insurance Claim Number, dates, procedure codes) to this address. Sending screenshots and/or describing a patient listed in your FSR is considered Protected Health Information (PHI).

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