Compliant codes for CMS130v9

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    • Type: EC eCQMs - Eligible Clinicians
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
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    • Justin Killebrew
    • 513.204.1869
    • Quest Diagnostics - Quanum EHR
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      ​Thank you for your inquiry for CMS130v9, Colorectal Cancer Screening (2021 Performance Period). The list of value sets/codes available to satisfy this measure is specified in the eCQM measure specification; for guidance on how to read eCQM measure specifications, please see resource links below for your reference.


      To answer your question about colorectal screening codes, any codes from the following value sets, as specified by the measure, can be used towards satisfying the numerator criteria, given the appropriate datatype documentation and timing compliance. A value set is a specific set of codes drawn from codes systems such as CPT or ICD-10-CM. To understand the codes listed in the value sets, you can visit the Value Set Authority Center (VSAC) and download "eCQM Value Sets for Eligible Professional and Eligible Clinicians Published May 09, 2020" from the "2021 Reporting/Performance Period of eCQM Value Sets" drop-down.


      - valueset "Colonoscopy" (2.16.840.1.113883.3.464.1003.108.12.1020)
      - valueset "Fecal Occult Blood Test (FOBT)" (2.16.840.1.113883.3.464.1003.198.12.1011)
      - valueset "Flexible Sigmoidoscopy" (2.16.840.1.113883.3.464.1003.198.12.1010)
      - valueset "FIT DNA" (2.16.840.1.113883.3.464.1003.108.12.1039)
      - valueset "CT Colonography" (2.16.840.1.113883.3.464.1003.108.12.1038)

      CMS130v9 Specifications and Data Elements: https://ecqi.healthit.gov/ecqm/ep/2021/cms130v9?qt-tabs_measure=1


      Value Set Authority Center (VSAC) Downloadable Resources: https://vsac.nlm.nih.gov/download/ecqm?rel=20200507


      Guide for Reading eCQMs for 2021 Reporting: https://ecqi.healthit.gov/sites/default/files/Guide-for-Reading-eCQMs-v6.pdf
      Show
      ​Thank you for your inquiry for CMS130v9, Colorectal Cancer Screening (2021 Performance Period). The list of value sets/codes available to satisfy this measure is specified in the eCQM measure specification; for guidance on how to read eCQM measure specifications, please see resource links below for your reference. To answer your question about colorectal screening codes, any codes from the following value sets, as specified by the measure, can be used towards satisfying the numerator criteria, given the appropriate datatype documentation and timing compliance. A value set is a specific set of codes drawn from codes systems such as CPT or ICD-10-CM. To understand the codes listed in the value sets, you can visit the Value Set Authority Center (VSAC) and download "eCQM Value Sets for Eligible Professional and Eligible Clinicians Published May 09, 2020" from the "2021 Reporting/Performance Period of eCQM Value Sets" drop-down. - valueset "Colonoscopy" (2.16.840.1.113883.3.464.1003.108.12.1020) - valueset "Fecal Occult Blood Test (FOBT)" (2.16.840.1.113883.3.464.1003.198.12.1011) - valueset "Flexible Sigmoidoscopy" (2.16.840.1.113883.3.464.1003.198.12.1010) - valueset "FIT DNA" (2.16.840.1.113883.3.464.1003.108.12.1039) - valueset "CT Colonography" (2.16.840.1.113883.3.464.1003.108.12.1038) CMS130v9 Specifications and Data Elements: https://ecqi.healthit.gov/ecqm/ep/2021/cms130v9?qt-tabs_measure=1 Value Set Authority Center (VSAC) Downloadable Resources: https://vsac.nlm.nih.gov/download/ecqm?rel=20200507 Guide for Reading eCQMs for 2021 Reporting: https://ecqi.healthit.gov/sites/default/files/Guide-for-Reading-eCQMs-v6.pdf
    • Please provide me with a list of codes that will satisfy the measure, or that would make the patient compliant with the measure.

      Doctor is using a code that states that a colorectal screen was performed, but it doesn't seem to be clearing the measure.

        1. ep_ec_only_cms_20200507.xlsx
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          Mathematica EC eCQM Team
        2. image001.jpg
          6 kB
          Justin Killebrew

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            Mathematica EC eCQM Team (Inactive)
            Reporter:
            Justin Killebrew (Inactive)
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