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  1. eCQM Issue Tracker
  2. CQM-5880

SNOMED 185349003 qualifies for CMS2 but not CMS122 and CMS165?

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    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
    • Resolution: Answered
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    • Jessica Shepard
    • Clinigence Health
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      ​Thank you for your inquiry regarding CMS122v10 and CMS165v11. The Measure Developer reviews and updates the value sets on a yearly basis where appropriate. We are unable to change the value set content for published specifications. Clinically equivalent services can be mapped to the codes within a measure's value sets. We suggest you confer with your EHR vendor for mapping. If mapping is done, you should maintain documentation in case of a CMS audit.
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      ​Thank you for your inquiry regarding CMS122v10 and CMS165v11. The Measure Developer reviews and updates the value sets on a yearly basis where appropriate. We are unable to change the value set content for published specifications. Clinically equivalent services can be mapped to the codes within a measure's value sets. We suggest you confer with your EHR vendor for mapping. If mapping is done, you should maintain documentation in case of a CMS audit.
    • CMS0165v11
    • CMS0122v10
    • For ACO customer, EMR labels as "Office Visit" and is being used by clinicians for otherwise qualifying office visits, causing hundreds of patients to not qualify for both CMS122 and CMS165 where they do qualify for CMS2.

      SNOMED 185349003    Encounter for check up (procedure)

      This code is included in the CMS2 value set group Encounter to Screen for Depression but is not included in any of the value sets for CMS122 and CMS165.  Why is SNOMED 185349003 appropriate for a screening measure but not for the A1c and BP outcome measures?

            edave Mathematica EC eCQM Team
            debbie.mobley@clinigence.com Debbie Mobley
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