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  2. CQM-5026

Encounter Codes Excluded from CMS122

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    • Resolution: Answered
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    • Sarah Habeeb
    • Baylor Scott & White Health
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      ​Thank you for your question about the eligible encounter codes for the denominator for CMS122v10 Diabetes: Hemoglobin A1c (HBA1c) Poor Control (>9%). The codes in the "Emergency Department" (2.16.840.1.113883.3.464.1003.101.12.1010) value set are not considered eligible encounters for the denominator. Any codes from the "Office Visit", "Annual Wellness Visit", "Preventive Care Services - Established Office Visit, 18 and Up", "Preventive Care Services-Initial Office Visit, 18 and Up", or "Home Healthcare Services" value sets would be counted towards the measure's denominator.​
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      ​Thank you for your question about the eligible encounter codes for the denominator for CMS122v10 Diabetes: Hemoglobin A1c (HBA1c) Poor Control (>9%). The codes in the "Emergency Department" (2.16.840.1.113883.3.464.1003.101.12.1010) value set are not considered eligible encounters for the denominator. Any codes from the "Office Visit", "Annual Wellness Visit", "Preventive Care Services - Established Office Visit, 18 and Up", "Preventive Care Services-Initial Office Visit, 18 and Up", or "Home Healthcare Services" value sets would be counted towards the measure's denominator.​
    • CMS0122v10

      Are ED encounter codes (CPT 99281-99285) excluded from the denominator for CMS122 eCQM?

            edave Mathematica EC eCQM Team
            shabeeb500 Sarah Habeeb (Inactive)
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