CMS-164 - need more ICD-10 in value set diagnosis IVD

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    • Type: EC eCQMs - Eligible Clinicians
    • Resolution: Done
    • Priority: Moderate
    • Component/s: None
    • None
    • I99.8 is defined as "Other disorder of circulatory system" and is not specific enough to identify IVD. Therefore, it is not included in the value set.
    • CMS164v6/NQF0068
    • Commonly used ICD-10 code not included in value set

      We have ICD-10 codes mapped by IMO vendor and found that I99.8 is mapped to indicate Ischemic Vascular Disease. Their response to our question about this code was:
      _The IMO term “ischemic vascular disease” is correctly mapped to ICD-10-CM preferred primary code I99.8. This follows ICD-10 index guidance for: Ischemia, ischemic I99.8. This mapping has been validated by AHIMA. ICD-10 code I99.8 is a valid, complete code.

      IMO terms are mapped context free using only the term description meaning itself and mapped to ICD-10-CM following the ICD-10-CM Official guidelines for Coding and Reporting index and tabular instructions. ICD-10Data.com is a General Equivalence Mapping (GEM) cross mapping (cross walk) between ICD-9-CM and ICD-10-CM. It is not a substitute for the official ICD-10-CM index and tabular. IMO terms are mapped independently to each classification system following the index and tabular guidelines. We do not cross-map between code sets._

      Requesting addition of I99.8 to be added to value set
      2.16.840.1.113883.3.464.1003.104.12.1003 - Diagnosis: Ischemic Vascular Disease

            Assignee:
            Mathematica EC eCQM Team (Inactive)
            Reporter:
            Cass Jones (Inactive)
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