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  1. eCQM Issue Tracker
  2. CQM-4893

Add new ICD-10-CM cancer codes for denominator eligibility

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Details

    • EP/EC eCQMs
    • Status: Open
    • Moderate
    • Resolution: Unresolved
    • None

    Description

      Brief Description of Measure:

      CMS157: Oncology: Medical and Radiation - Pain Intensity Quantified:
      Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified

      Description of Issue:

      ​The most recent ICD-10-CM coding updates include the following 3 new cancer codes:
      C56.3, C79.63, C84.7A
      These codes represent cancer diagnoses that would be appropriate to include in the denominator of this measure.

      Proposed Solution:

      ​The measure steward proposes to update the extensional 'Cancer' value set OID: 2.16.840.1.113883.3.526.2.1078 and add the following 3 new ICD-10-CM cancer codes: C56.3, C79.63, C84.7A

      Rationale for Change:

      ​The proposed update will ensure that the new ICD-10-CM cancer codes are included in the measure.

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            khancock Mathematica EC eCQM Team
            sgearhart Mathematica EH eCQM Team
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            Dates

              Created:
              Updated: