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  2. CQM-6308

CMS 139 and exclusion using Z51.5

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    • Icon: EC eCQMs EC eCQMs
    • Resolution: Answered
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    • Tracy Tipton
    • 480-861-2514
    • Banner Health
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      ​Thank you for your inquiry for CMS139v11: Falls: Screening for Future Fall Risk. Palliative care is not considered the same as hospice care. ICD-10 code Z51.5 is defined as "encounter for palliative care", therefore, this code does not meet criteria for the hospice exclusion.
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      ​Thank you for your inquiry for CMS139v11: Falls: Screening for Future Fall Risk. Palliative care is not considered the same as hospice care. ICD-10 code Z51.5 is defined as "encounter for palliative care", therefore, this code does not meet criteria for the hospice exclusion.
    • Not measure related
    • Not measure related
    • Not measure related
    • CMS0139v11
    • Unable to locate hospice codes for Den. Excl. pts other than Z51.5 which is Palliative Care.

      I have several Denominator Exclusion patients in CMS 139 who are on hospice but the only code found in the EHR is Z51.5 for Palliative Care.  Is this an acceptable/interchangeable code used for Hospice?

            edave Mathematica EC eCQM Team
            Tracy T Tracy Tipton
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