Thank you for your question. CPT Category II codes are not recommended terminologies for eCQM reporting and are typically included in claims/CQM reporting. With respect to the OB related E+M HCPCS codes included in the comment, CPT codes 59400, 59510, and 59618, are included in theCMS2 denominator value set. Therefore, we recommend mapping any equivalent institutional-specific codes for the purposes of reporting. Similarly, for CMS124, equivalent services can be mapped to the measure's value sets. For both CMS2 and CMS124, if mapping is done, you should maintain documentation in the case of a CMS audit.

IL Medicaid only accepts 0500F, 0502F, and 0503F as billing codes for prenatal and postnatal patients. However, as a result, our EHR vendor does not recognize these obstetric patients or any data from their OB encounters as part of many quality measures that are included in UDS, including CMS2v8 and CMS124v8. We would like to request that these codes be added to the visit value sets for these measures.