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  1. eCQM Issue Tracker
  2. CQM-6103

CMS-138 Tobacco Use: Screening and Cessation Intervention

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    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
    • Resolution: Answered
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    • 405-231-3895
    • SSM Health
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      Thank you for your inquiry about CMS138v11 (2023 performance period). Please note that the value sets for the 2024 performance period now include additional codes indicating e-cigarette use ( https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1170/expansion/eCQM%20Update%202023-05-04 ). If needed, clinically equivalent observations may be mapped to the measure's value sets to satisfy the screening requirements of CMS138v11. If mapping is done, you should maintain documentation in case of a CMS audit.
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      Thank you for your inquiry about CMS138v11 (2023 performance period). Please note that the value sets for the 2024 performance period now include additional codes indicating e-cigarette use ( https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1170/expansion/eCQM%20Update%202023-05-04 ). If needed, clinically equivalent observations may be mapped to the measure's value sets to satisfy the screening requirements of CMS138v11. If mapping is done, you should maintain documentation in case of a CMS audit.
    • CMS0138v11
    • e-Cigarette use as described in definition and guidance is not supported as a tobacco user in the measure logic and/or value set.

      When reading the definitions and guidance for tobacco user, e-cigarettes were newly included for 2023 however, the value set 2.16.840.1.113883.3.526.3.1170 (Tobacco User) does not include e-cigarettes. The measure logic also does not capture e-cigarettes as tobacco use. How should we be including the use of e-cigarettes as tobacco use?

            edave Mathematica EC eCQM Team
            jezzel Jennifer Ezzell (Inactive)
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