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  2. CQM-6688

2024 CMS 138 - Certain former e-cig users cannot be reported as tobacco non users

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    • Resolution: Answered
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      Thank you for your inquiry about CMS138v12, Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention. The three codes listed are the only codes available for this concept per the SNOMED CT Browser (https://browser.ihtsdotools.org/?). Equivalent services can be mapped to the measure's value set. Since the intent is to find ex users regardless of duration, there is no need to map to specific duration. Once a mapping scheme is chosen, apply it consistently and maintain documentation in case of a CMS audit.
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      Thank you for your inquiry about CMS138v12, Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention. The three codes listed are the only codes available for this concept per the SNOMED CT Browser ( https://browser.ihtsdotools.org/? ). Equivalent services can be mapped to the measure's value set. Since the intent is to find ex users regardless of duration, there is no need to map to specific duration. Once a mapping scheme is chosen, apply it consistently and maintain documentation in case of a CMS audit.
    • CMS0138v12
    • It makes it difficult to meet the spirit of the measure.

      In the 2024 update for CMS 138, codes for e-cig users were added to the "Tobacco Non User" value set.

      There are these 3:
      1137688001    Ex-electronic cigarette user for less than one year (finding)
      1137692008    Ex-electronic cigarette user for more than one year (finding)
      1137690000    Never used electronic cigarette (finding)

      With only these three codes, you cannot report the following patients as tobacco non users:
      1. Patient was an ex-electronic cigarette user for exactly one year.
      2. Patient was an ex-electronic cigarette user, but the duration is unknown.

            edave Mathematica EC eCQM Team
            GeorgeWu George Wu
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