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  2. CQM-1389

CMS 117: coding issue

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    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
    • Resolution: Answered
    • Icon: Minor Minor
    • ValueSet
    • None
    • Elissa Chandler
    • 267-725-5354
    • NextGen Healthcare
    • CPT 90672 is not included in the value set because, we only use codes for medications that have received FDA approval. We would not add this code to the value set until after it received FDA approval for children 2 years of age and younger.
    • Impacts EHR vendor / clients

      QUESTION: CMS 117/ Flumist CPT 90672:

      90672 is not in the list of qualifying CPT codes for HiB. It is not in the value set provided for this measure. Should 90672 be included in the CMS117 value set? If not, what is the rationale for CPT 90672 not being included.

      Encoder search yields verbiage: "Code 90672 is pending FDA approval".

            edave Mathematica EC eCQM Team
            elissa Elissa Chandler (Inactive)
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