NQF 0421: Dx Obesity vs overweight (different snowmed codes)

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    • Type: Value Sets
    • Resolution: Answered
    • Priority: Minor
    • Component/s: None
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      The SNOMEDCT concept “238131007 Overweight (finding)” is a member of the value set “Overweight” (OID 2.16.840.1.113883.3.600.2387). In measure CMS69 (NQF 0421) this value set is used to qualify the reason for a follow-up action as being related to a finding of the patient being overweight. The SNOMEDCT concept “414916001 Obesity (disorder)” is not included however, it would meet the intent of the measure.

      It is appropriate to map concepts that meet the clinical intent of the codes listed in the measure where alternative codes are being natively used. It is expected that, if audited, a review would find these codes clinically appropriate to meet the intent of the measure.
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      The SNOMEDCT concept “238131007 Overweight (finding)” is a member of the value set “Overweight” (OID 2.16.840.1.113883.3.600.2387). In measure CMS69 (NQF 0421) this value set is used to qualify the reason for a follow-up action as being related to a finding of the patient being overweight. The SNOMEDCT concept “414916001 Obesity (disorder)” is not included however, it would meet the intent of the measure. It is appropriate to map concepts that meet the clinical intent of the codes listed in the measure where alternative codes are being natively used. It is expected that, if audited, a review would find these codes clinically appropriate to meet the intent of the measure.

      Why is the snowmed code differnt for the diagnosis of overweight vs Obesity. To receive credit on CQM measureNQF 0421: Preventive Care and Screening Body Mass Index and Follow up the Snowmed code 238131007 is linked to overweight and Obesity has Snowmed code 414916001.
      Our patients with the diagnosis of Obesity receiving counseling and education are not counting in the numerator because the Snowmed for Obesity is different and the snowmed counting in the measure is for the dx overweight

            Assignee:
            Julia Skapik (Inactive)
            Reporter:
            shannon Dockins (Inactive)
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