XMLWordPrintable

    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
    • Resolution: Answered
    • Icon: Moderate Moderate
    • None
    • None
    • Hide
      Correct, if a 4-year-old patient had ICD10 code O35.5XX0, they would be excluded. The measure specification does not attempt to enforce rules from coding guidelines, or correct coding errors.

      Please refer to CQM-5482 for a response to your original question.
      Show
      Correct, if a 4-year-old patient had ICD10 code O35.5XX0, they would be excluded. The measure specification does not attempt to enforce rules from coding guidelines, or correct coding errors. Please refer to CQM-5482 for a response to your original question.

       CMS 155 states to exclude Patients who have a diagnosis of pregnancy during the measurement period. Should patient (4 years old) be excluded for a dx of Maternal Care For Suspected Damage To Fetus By Drugs Single Gestation (HCC) code O035.5XX0
      Looking at value set for pregnancy CMS 155 this code is listed. Should patient be excluded? 

      Additional Question: CMS 155v10
      Even if this patient is 4 years of age they should be excluded for Maternal Care For Suspected Damage To Fetus By Drugs Single Gestation (HCC) code O035.5XX0??

            edave Mathematica EC eCQM Team
            hollerich.amber@mayo.edu Amber Hollerich (Inactive)
            Votes:
            0 Vote for this issue
            Watchers:
            2 Start watching this issue

              Created:
              Updated:
              Resolved:
              Solution Posted On: