Thank you for your inquiry regarding CMS66v10, specifically the inclusion of SNOMED CT 764932008 in two value sets, one to determine denominator eligibility (Primary TKA Procedure) and the other to determine whether a denominator exclusion was met (Lower Body Fracture). The intent of the measure is to exclude patients that have two or more lower body fractures at the time of their TKA using SNOMEDCT 764932008. Unfortunately, PY2022 specifications are final and we are unable to make changes. However, we will consider your feedback to remove this code from the "Lower Body Fracture" value set during the upcoming eCQM Annual Update cycle for PY2023.