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 E44.0 Moderate protein calorie malnutrition (ICD-10-CM) from the "Nutritional Status Moderately Malnourished" Value Set (OID: 2.16.840.1.113762.1.4.1095.47) and remove E43 Unspecified severe protein calorie malnutrition (ICD-10-CM) from the "Nutritional Status Severely Malnourished" Value Set (OID: 2.16.840.1.113762.1.4.1095.43). The CMS Blueprint for Measure Development Clinical Vocabulary Standards recommend using SNOMED-CT or LOINC Normative Responses for Assessment.Performed Results logic. Goal of review Obtain technical feedback

Proposed solution Remove E44.0 Moderate protein calorie malnutrition (ICD-10-CM) from the"Nutritional Status Moderately Malnourished" Value Set (OID: 2.16.840.1.113762.1.4.1095.47) and E43 Unspecified severe protein calorie malnutrition (ICD-10-CM) from the "Nutritional Status Severely Malnourished" Value Set (OID: 2.16.840.1.113762.1.4.1095.43). Rationale for change Removing ICD-10-CM aligns with the Clinical Vocabulary Standards recommendations of the CMS Measures Blueprint to only use SNOMED CT or LOINC Normative Responses codes for an Assessment, Performed result.