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  1. eCQM Issue Tracker
  2. CQM-1040

CMS127v2/NQF0043 value set 2.16.840.1.113883.3.464.1003.110.12.1027 is missing CVX code 133

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    • Giselle Bleecker
    • 301-656-4339
    • MMS, Inc.
    • Addition of pneumococcal conjugate vaccine 13 antigen (PCV13), CVX 133, to the value set
    • This value set is being reviewed and edited for the 2014 eCQM Annual Update. Measure developers will look to add CVX code 133 to Pneumococcal Vaccine Value Set for measure CMS127v2 according to guidance from the measure steward.
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      The limitation in CVX codes included in this value sets are negatively affecting the performance in this measure. The absence of PCV13 runs counter to the latest guidance by Centers for Disease Control and Prevention (CDC) in terms of appropriate vaccination for high risk individuals. CDC recommends that providers give PCV13 at the next possible opportunity for certain high risk patients, even if they have received PPSV23 before. Leaving PCV13 off this list will not allow providers to be recognized for following the latest clinical guidelines. For the full CDC recommendation see: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6140a4.htm).
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      The limitation in CVX codes included in this value sets are negatively affecting the performance in this measure. The absence of PCV13 runs counter to the latest guidance by Centers for Disease Control and Prevention (CDC) in terms of appropriate vaccination for high risk individuals. CDC recommends that providers give PCV13 at the next possible opportunity for certain high risk patients, even if they have received PPSV23 before. Leaving PCV13 off this list will not allow providers to be recognized for following the latest clinical guidelines. For the full CDC recommendation see: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6140a4.htm) .

      The Pneumococcal vaccine value set chosen for eCQM CMS127v2/NQF0043 is missing CVX code 133 for the pneumococcal vaccine called Pneumococcal Conjugate Vaccine 13 antigen (PCV13). There are two types of pneumococcal vaccine, PCV13 and PPSV23. PPSV23=CVX 33 and PCV13 = CVX 133. Both are recognized as pneumococcal vaccines by the CDC and CMS and both codes should be included in the Pneumococcal Vaccine Value Set for measure CMS127v2.

            julia.skapik Julia Skapik (Inactive)
            gbleecker Giselle Bleecker (Inactive)
            Giselle Bleecker (Inactive)
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