Questioning these three sets related to Amputees. ICD codes vs. removed aren't making sense as to why.

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    • Type: EC eCQMs - Eligible Clinicians
    • Resolution: Done
    • Priority: Minor
    • Component/s: ValueSet
    • Sheila Danielson
    • 509-664-4868 ext 5139
    • Confluence Health
    • Clarification
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      Our expert panel agreed that only people with bilateral above and below the knee amputations should be excluded from the measure. Other amputations would need additional surveillance. Therefore, we could only use codes in the value set that were specific to above and below the knee amputations. ICD-9 and ICD-10 did not have many codes that were specific enough to include in the value set.

      To ensure the amputation is above or below the knee, the EHR should record the level of the amputation which could then be mapped to the appropriate codes for reporting.
      Show
      Our expert panel agreed that only people with bilateral above and below the knee amputations should be excluded from the measure. Other amputations would need additional surveillance. Therefore, we could only use codes in the value set that were specific to above and below the knee amputations. ICD-9 and ICD-10 did not have many codes that were specific enough to include in the value set. To ensure the amputation is above or below the knee, the EHR should record the level of the amputation which could then be mapped to the appropriate codes for reporting.
    • CMS123v5/NQF0056
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      2017 VSA Specs CMS-123 Diabetic Foot Exam:
      2.16.840.1.113883.3.67.1.101.1.140 (Bilateral Amputee)
      2.16.840.1.113883.3.67.1.101.11.718 (Left Foot Amputee)
      2.16.840.1.113883.3.67.1.101.11.719 (RIght Foot Amputee)
      Show
      2017 VSA Specs CMS-123 Diabetic Foot Exam: 2.16.840.1.113883.3.67.1.101.1.140 (Bilateral Amputee) 2.16.840.1.113883.3.67.1.101.11.718 (Left Foot Amputee) 2.16.840.1.113883.3.67.1.101.11.719 (RIght Foot Amputee)

      Amputee ICD-10 and ICD-9 groups for exclusion there are numerous codes removed for 2017 specs and additional added. Many of the codes removed don't make sense and seem they should be kept in. Some added codes essentially mean the same as ones no longer in there. Questioning these three sets related to Amputees.

            Assignee:
            Mathematica EC eCQM Team (Inactive)
            Reporter:
            Sheila Danielson (Inactive)
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