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  2. CQM-5298

Measure Clarification

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    • Resolution: Answered
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      ​​​Thank you for your inquiry about CMS56v10, Functional Status Assessment for Total Hip Replacement. In the measure specification, qualifying total hip arthroplasties are defined by the codes listed in the following value set "Primary THA Procedure" (2.16.840.1.113883.3.464.1003.198.12.1006). Please review for codes that may be appropriate for denoting 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.
      Show
      ​​​Thank you for your inquiry about CMS56v10, Functional Status Assessment for Total Hip Replacement. In the measure specification, qualifying total hip arthroplasties are defined by the codes listed in the following value set "Primary THA Procedure" (2.16.840.1.113883.3.464.1003.198.12.1006). Please review for codes that may be appropriate for denoting 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.
    • CMS0056v10
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      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 Hip Replacement (QPP376) include revisions to total hip? Or would it only include primary total hip replacements?
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      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 Hip Replacement (QPP376) include revisions to total hip? Or would it only include primary total hip replacements?

      Does the measure for Functional Status Assessment for Total Hip Replacement (QPP376) include revisions to total hip? Or would it only include primary total hip replacements?

            edave Mathematica EC eCQM Team
            triumphealth Nitya
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