NQF 31 - We have a request to qualify Mammogram as a procedure/charge documenting the HCPCS codes included in the value set as charges.

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    • Type: EC eCQMs - Eligible Clinicians
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: Guidance
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      The mammogram is required to have a result to meet the numerator criteria for NQF 31.
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      The mammogram is required to have a result to meet the numerator criteria for NQF 31.
    • CMS125v1/NQF0031

      CQM Issue TrackerCQM-1113
      NQF 31 - We have a request to qualify a Mammogram as a procedure/charge that's documented using he HCPCS codes included in the value set as charges.

      They are not documenting this as a result. The specifications indicate a category and state of Diagnostic Study, Result as opposed to Diagnostic Study, Performed, which seems like they are expecting a result to be present. Not that an order has been placed for a procedure.

      Would like confirmation on whether or not a result is required in order to meet the numerator criteria for NQF 31.

      •Numerator =
      ◦AND: "Diagnostic Study, Result: Mammogram (result)" <= 12 month(s) ends before or during "Measurement Period"

            Assignee:
            Ramya Tallapragada (Inactive)
            Reporter:
            Jeff Jennings (Inactive)
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              Created:
              Updated:
              Resolved: