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  1. eCQM Issue Tracker
  2. CQM-5621

Z-code for Afib/flutter not in Values Set

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    • Icon: EH/CAH eCQMs EH/CAH eCQMs
    • Resolution: Answered
    • Icon: Moderate Moderate
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    • Stephanie Battista
    • 12025037556
    • MedStar Health
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      Thank you for your questions.

      The history code of Z86.79 for Afib/Flutter (personal history of other diseases of the circulatory system) is not included in the value set of Atrial Fibrillation/Flutter (2.16.840.1.113883.3.117.1.7.1.202) because this code is too broad to represent concepts of disorders for atrial fibrillation/ flutter only. We recommend mapping to either of the following 2 codes if the patient had chronic atrial fib condition:

      Code: I48.20

      Descriptor: Chronic atrial fibrillation, unspecified

      Code: 425615007

      Descriptor: Chronic atrial flutter (disorder)


      The LOS <= 120 days is a standard criteria included in most inpatient hospital eCQMs. STK and VTE eCQMs have this criteria to align the eCQM with the chart-based STK and VTE measures. We hope this helps.
      Show
      Thank you for your questions. The history code of Z86.79 for Afib/Flutter (personal history of other diseases of the circulatory system) is not included in the value set of Atrial Fibrillation/Flutter (2.16.840.1.113883.3.117.1.7.1.202) because this code is too broad to represent concepts of disorders for atrial fibrillation/ flutter only. We recommend mapping to either of the following 2 codes if the patient had chronic atrial fib condition: Code: I48.20 Descriptor: Chronic atrial fibrillation, unspecified Code: 425615007 Descriptor: Chronic atrial flutter (disorder) The LOS <= 120 days is a standard criteria included in most inpatient hospital eCQMs. STK and VTE eCQMs have this criteria to align the eCQM with the chart-based STK and VTE measures. We hope this helps.
    • CMS0108v10
    • Patient's are not meeting the numerator for VTE

      1. We are seeing patients admitted to the hospital with home medication of Apixaban 5mg twice daily, with a history of Afib/Flutter. Although the Afib/Flutter had not been diagnosed during this encounter, the patient states they had been diagnosed in the past at another hospital. They are coded with Z86.79 for Afib/Flutter (personal history of other diseases of the circulatory system). These patients are falling out of the numerator because Z codes are not included in the Value Sets. Why are the Z codes excluded from the VTE Value Set?
      2. Why is the length of stay less than or equal to 120 days for all eCQM measures Initial Population

            JLeflore Mathematica EH eCQM Team
            sab104 Stephanie Battista (Inactive)
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