CMS 137 Initiation and Engagement of AODA treatment

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    • Type: EC eCQMs - Eligible Clinicians
    • Resolution: Done
    • Priority: Moderate
    • Component/s: ValueSet
    • Pat Reinbold
    • 314-768-8159
    • SSM Health
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      CPT code 90833 is an add-on code that is only allowed to be utilized if reported in conjunction with other E&M codes. Based on its applicability, CPT 90833 would be reported in conjunction with the other encounter codes included in CMS137. Since it cannot be reported by itself, and the appropriate base E&M codes have been included in the measure specification – and therefore, would capture instances of when services provided under 90833 were provided – 90833 is not included in the extensional Psych Visit – Psychotherapy value set (OID: 2.16.840.1.113883.3.526.2.1297).​
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      CPT code 90833 is an add-on code that is only allowed to be utilized if reported in conjunction with other E&M codes. Based on its applicability, CPT 90833 would be reported in conjunction with the other encounter codes included in CMS137. Since it cannot be reported by itself, and the appropriate base E&M codes have been included in the measure specification – and therefore, would capture instances of when services provided under 90833 were provided – 90833 is not included in the extensional Psych Visit – Psychotherapy value set (OID: 2.16.840.1.113883.3.526.2.1297).​
    • EP
    • CMS137v6/NQF0004
    • Hide
      CMS 137 Initiation and Engagement of AODA treatment
      Missing value in dataset- 90833
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      CMS 137 Initiation and Engagement of AODA treatment Missing value in dataset- 90833

      CMS 137 Inititation and Engagement of AODA Treatment, Missing Value set item- 90833 PSYTX Pt and Or Fam W E and in 30 min. in Encounter, Performed: Psych Visit Psychotherapy Grouping Value Set, Template OID 2.16.840.1.113883.10.20.28.3 5

            Assignee:
            Mathematica EC eCQM Team (Inactive)
            Reporter:
            Pat (Inactive)
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              Created:
              Updated:
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