Health Indicator Report of Lower Back Pain with Imaging Procedures
Most cases of low back pain eventually go away without significant medical intervention. The use of imaging procedures in these cases wastes money, needlessly increases exposure to radiation, and can lead to unnecessary surgery. This measure was primarily tabulated to focus further efforts on understanding potential geographic areas of imaging procedure overutilization.
Percentage of Lower Back Pain Claims with Magnetic Resonance Imaging (MRI) by Utah Small Area (Bar Chart), 2011-2013
NotesThe Utah Small Area definitions used for this indicator are identical to those used in IBIS with the following exceptions: # Areas 9 [Roy/Hooper] and 11 [Clearfield/Hill Air Force Base] are combined into Area 96. # Areas 10 [Riverdale] and 12 [Layton] are combined into Area 97. [[br]] The numbers associated with each area are listed in the Notes column of the data table supporting the bar graph. [[br]] [[br]] A description of the Utah Small Areas may be found on IBIS at the following URL: http://ibis.health.utah.gov/query/Help.html.
Data SourceUtah All Payer Claims Data, Office of Health Care Statistics, Utah Department of Health
Data Interpretation IssuesImaging procedures can be appropriate in cases of low back pain. As currently structured, this measure makes no attempt to determine if imaging was appropriate.
DefinitionPercentage of claims with a primary diagnosis of low back pain (ICD-9 724.5 or 724.2) with an imaging procedure, as specified by CPT 72010-72120 (plain x-ray), 72125-72133 (CT scan), and 72141-72158 (MRI). A breakout of the percentage of claims with an MRI procedure is also provided.
NumeratorFor MRI graphical views - claims with an MRI 72141-72158 (MRI). For all imaging graphical views - claims with any imaging procedure as defined by CPT 72010-72120 (plain x-ray), 72125-72133 (CT scan), and 72141-72158 (MRI).
DenominatorClaims with a primary diagnosis of low back pain (ICD-9 724.5 or 724.2).
Health Program InformationThe project described was supported by Funding Opportunity Number PR-PRP-13-001 from the U.S Department of Health and Human Services, Centers for Medicare & Medicaid Services. The contents provided are solely the responsibility of the authors and do not necessarily represent the official views of HHS or any of its agencies.
Page Content Updated On 11/17/2014, Published on 11/19/2014