Measure ID

Percentage of pediatric patients ≥ 6 months to 18 years old who recieved a blood transfusion and had a valid hemoglobin or hematocrit value documented prior to transfusion.

Measure Type
Available for Provider Feedback
Measure Time Period

Up to 36 hours prior to the first transfusion during the case


Pediatric patients  ≥ 6 months to 18 years of age who receive a transfusion of packed red blood cells intraoperatively

  • Age < 6 months and ≥ 18 years 
  • ASA 6 including Organ Procurement (CPT: 01990)
  • Cardiac cases (determined by Procedure Type: Cardiac value codes > 0)
  • Obstetric cases (determined by Obstetric Anesthesia Type value codes > 0)
  • Massive Transfusion or blood loss: Defined as volume of 40mL/kg
Success Criteria

Documentation of hemoglobin and/or hematocrit within 90 minutes prior to each blood transfusion volume ≥ 15mL/kg

Other Measure Details
  • Hematocrit values < 1 reported in L/L (liters of blood cells per liter of blood volume) are multiplied by 100
  • Documentation of a Hgb/Hct value must be present within 90 minutes before each transfused volume of 15mL/Kg.
  • Exceptions
    • If the Hgb/Hct was  < 8/24 within 36 hours of the first transfusion, 15mL/kg may be transfused without a lab check 
    • If the most recent hgb/hct drawn before the first transfusion is ≤ 5/16, a volume of ≤ 30mL/kg can be administered without a lab check.

*This measure will include valid MPOG cases defined by the Is Valid Case phenotype.

Risk Adjustment

Not applicable

Provider Attribution

Provider(s) signed in at time of blood product administration

MPOG Concept Used

Blood Products

  • 10489   Packed Red Blood Cells- Autologous
  • 10490   Packed Red Blood Cells- Homologous
  • 10492   Whole Blood- Homologous
  • 10616   Packed Red Blood Cells- Unknown Type
  • 10617   Whole Blood- Unknown Type
  • 10618   Categorized Note- Blood Products
  • 10499   EBL

Point of Care Testing 

  • 3415     POC-Blood gas-Hct measured
  • 3435     POC- hematocrit spun
  • 3440     POC- Coulter counter- Hemoglobin
  • 3450     POC- Coulter counter- Hematocrit
  • 5081     POC- Blood gas- Hemoglobin

Formal Labs

  • 5005     Formal lab- Hemoglobin
  • 5006     Formal lab- Hematocrit
  • 5038     Formal lab- Blood gas- Hct measured
  • 5080     Formal lab- Blood gas- Hemoglobin
MPOG Phenotypes Used
Measure Authors
 Measure Authors  Institution
 Meridith Wade MSN, RN  University of Michigan
 Bishr Haydar, MD  University of Michigan
 Jay Jeong  University of Michigan
 MPOG Pediatric Subcommittee  


Measure Reviewer(s)
Next Review: 2025
 Date Reviewed  Reviewer  Institution  Summary  QC Vote






Published Date: 04/2022
 Date  Criteria  Revision