Brief description of measure ​CMS986: Global Malnutrition Composite Score: This measure assesses the percentage of hospitalizations for adults aged 65 years and older prior to the start of the measurement period with a length of stay equal to or greater than 24 hours who received optimal malnutrition care during the current inpatient hospitalizations where care performed was appropriate to the patient's level of malnutrition risk and severity. Malnutrition care best practices recommend that for each hospitalization, adult inpatients are screened for malnutrition risk, assessed to confirm findings of malnutrition risk, and if identified with a "moderate" or "severe"  malnutrition status in the current performed malnutrition assessment, receive a current "moderate" or "severe" malnutrition diagnosis and have a current nutrition care plan performed. Description of issue The measure developer received a recommendation to remove CPT coding from the "Nutrition Care Plan" value set. The CPT codes are not applicable to this logic of this eligible hospital eCQM. The developer will make this change and remove CPT codes - 97802, 97803, and 97804 - from the "Nutrition Care Plan" value set. Goal of review Obtain technical feedback

Proposed solution Delete the "Medical Nutrition Therapy Procedures" CPT extensional Value Set (OID: 2.16.840.1.113762.1.4.1095.90) from the "Nutrition Care Plan" Grouping Value Set (OID: 2.16.840.1.113762.1.4.1095.88). Rationale for change Removing the CPT codes from the "Nutrition Care Plan" Value Set aligns the applied coding with the CMS Blueprint vocabulary recommendations.