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  2. CQM-5297

Measure Clarification

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      ​​​Thank you for your inquiry on CMS66v10, Functional Status Assessment for Total Knee Replacement. In the measure specification, qualifying total knee arthroplasties are defined by the codes listed in the following value set "Primary TKA Procedure" (2.16.840.1.113883.3.464.1003.198.12.1007). Please review the SNOMED codes contained within the values set that are relevant to revisions. Equivalent services can be mapped to the measure's value set. If mapping is done, you should maintain documentation in case of a CMS audit.
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      ​​​Thank you for your inquiry on CMS66v10, Functional Status Assessment for Total Knee Replacement. In the measure specification, qualifying total knee arthroplasties are defined by the codes listed in the following value set "Primary TKA Procedure" (2.16.840.1.113883.3.464.1003.198.12.1007). Please review the SNOMED codes contained within the values set that are relevant to revisions. Equivalent services can be mapped to the measure's value set. If mapping is done, you should maintain documentation in case of a CMS audit.
    • CMS0066v10
    • We need to know if these patients would qualify or not for the denominator for measures 375 and 376, so we do everything we can to meet this measure and comply.

      Does the measure for Functional Status Assessment for Total Knee Replacement (QPP375) include revisions to total knee? Or would it only include primary total knee replacements?

            edave Mathematica EC eCQM Team
            triumphealth Nitya
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