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  1. eCQM Issue Tracker
  2. CQM-5478

Palliative Care Code

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    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
    • Resolution: Answered
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    • Kimberly Davis
    • 623-340-5882
    • Banner Health
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      Thank you for your question. Please note that ICD10 code Z51.5 was added to CMS165v11 for the 2023 Performance Period. For CMS165v10 (2022 Performance Period), we are unable to change the value set content. Equivalent services can be mapped to the measure's value set. If equivalent services are mapped to the measure’s value set, please maintain clear documentation in case of a CMS audit. For more information on CMS165 measure specifications for different performance periods, please refer to the eCQI Resource Center: https://ecqi.healthit.gov/ep-ec?qt-tabs_ep=1&globalyearfilter=2023.

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      Thank you for your question. Please note that ICD10 code Z51.5 was added to CMS165v11 for the 2023 Performance Period. For CMS165v10 (2022 Performance Period), we are unable to change the value set content. Equivalent services can be mapped to the measure's value set. If equivalent services are mapped to the measure’s value set, please maintain clear documentation in case of a CMS audit. For more information on CMS165 measure specifications for different performance periods, please refer to the eCQI Resource Center: https://ecqi.healthit.gov/ep-ec?qt-tabs_ep=1&globalyearfilter=2023 .
    • CMS0165v11
    • Denominator Exclusion for 165 Controlling High BP

      Encounter for Palliative Care ICD 10 Code Z51.5 has not been included in the Value Set Directory for Denominator Exclusion for Measure #165 eCQM Controlling High Blood Pressure.  Should this Palliative Care code be included?  Thank you!

            edave Mathematica EC eCQM Team
            kimberly.davis2 Kimberly Davis
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