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  2. CQM-1621

Several value sets with CMS113 only contain code sytem ICD9CM

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    • Resolution: Answered
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      The concept of delivery is represented as a procedure in SNOMED CT and ICD-10-PCS and as a diagnosis in ICD-9. The Delivery Procedures and Diagnosis value sets are not grouped as they represent different concepts and grouping would suggest equivalence. The IPP logic of “Procedure, Performed: Delivery Procedures” uses a grouping value set that contains SNOMEDCT and ICD-10-PCS codes for delivery procedures. The remaining “Diagnosis, Active” logic statements use only ICD-9 value sets, but represent the same concept- delivery.

      To summarize, eCQM reports will not be negatively impacted upon transition to ICD-10, as the ICD-10 representation of delivery is already included in the measure.
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      The concept of delivery is represented as a procedure in SNOMED CT and ICD-10-PCS and as a diagnosis in ICD-9. The Delivery Procedures and Diagnosis value sets are not grouped as they represent different concepts and grouping would suggest equivalence. The IPP logic of “Procedure, Performed: Delivery Procedures” uses a grouping value set that contains SNOMEDCT and ICD-10-PCS codes for delivery procedures. The remaining “Diagnosis, Active” logic statements use only ICD-9 value sets, but represent the same concept- delivery. To summarize, eCQM reports will not be negatively impacted upon transition to ICD-10, as the ICD-10 representation of delivery is already included in the measure.
    • Several value sets for CMS113 only contain code system ICD9CM. We are concerned as of Oct. 1st 2015 ICD10CM will go into effect. These value sets are evaluated in the IPP.

      Several value sets for CMS113 only contain code system ICD9CM. We are concerned as of Oct. 1st 2015 ICD10CM will go into effect. These value sets are evaluated in the IPP. Please see below value sets that are affected:
      2.16.840.1.113883.3117.1.7.1.372
      2.16.840.1.113883.3.117.1.7.1.375
      2.16.840.1.113883.3.117.1.7.1.391
      2.16.840.1.113883.3.117.1.7.1.397

            JLeflore Mathematica EH eCQM Team
            gcunningham Nichole Cunningham
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