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  2. CQM-6293

CMS 951v1 LOINC code value set for Laboratory Test, Performed: Estimated Glomerular Filtration Rate

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    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
    • Resolution: Answered
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    • Erica Bosko
    • Saint Luke's Health System
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      Thank you for your inquiry specific to CMS951v1 (Kidney Health Evaluation Measure). The LOINC code 98979-8 was added to the Estimated Glomerular Filtration Rate OID: 2.16.840.1.113883.3.6929.3.1000 during the eCQM VSAC annual update process for PY 2024. The LOINC code 98979-8 is valid for the CMS951v2 measure only, as no other changes can be made to CMS951v1 at this time. We encourage you to use LOINC code 77147-7 at this time and prepare for the adoption and utilization of LOINC code 98979-8 in January 2024. Please let us know if you have any additional questions.

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      Thank you for your inquiry specific to CMS951v1 (Kidney Health Evaluation Measure). The LOINC code 98979-8 was added to the Estimated Glomerular Filtration Rate OID: 2.16.840.1.113883.3.6929.3.1000 during the eCQM VSAC annual update process for PY 2024. The LOINC code 98979-8 is valid for the CMS951v2 measure only, as no other changes can be made to CMS951v1 at this time. We encourage you to use LOINC code 77147-7 at this time and prepare for the adoption and utilization of LOINC code 98979-8 in January 2024. Please let us know if you have any additional questions.
    • CMS0951v1
    • Numerator incorrect as completed labs not considered

      The most updated recommendation from the National Kidney Foundation and the American Society of Nephrology is to utilize equations without a race-based variable for Diagnosing Kidney Disease. 

      The task force recommends immediate implementation of these new equations in all United States laboratories. The American Association of Clinical Chemistry has published guidance on implementation National Kidney Foundation Laboratory Engagement Working Group Recommendations for Implementing the CKD-EPI 2021 Race-Free Equations for Estimated Glomerular Filtration Rate: Practical Guidance for Clinical Laboratories.

       

      Please refer to this website for details regarding these recommendations. https://loinc.org/kb/users-guide/loinc-technical-briefs/choosing-the-correct-loinc-for-estimated-glomerular-filtration-rate/

       

      Looking at the value set code expanded code list from here: 
      https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.6929.3.1000/expansion/Latest
      The recommended LOINC 98979-8 for the Creatinine-based formula is listed; however, it is not actually included in the value set code.
       

            edave Mathematica EC eCQM Team
            EBosko Erica Bosko
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