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  2. CQM-6720

CMS108v11 Apixaban

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    • Icon: EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals
    • Resolution: Answered
    • Icon: Moderate Moderate
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    • Anne Jundt
    • 3143228403
    • Mercy Health
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      Thank you for your inquiry on CMS108, Venous Thromboembolism Prophylaxis . According to the inclusion criteria of the value set Venous Thromboembolism ICD10CM (OID: 2.16.840.1.113883.3.117.1.7.1.328), it includes concepts that represent a diagnosis of proximal venous thromboembolism (VTE) and pulmonary embolism of popliteal veins, femoral/superficial femoral veins, deep femoral veins, iliofemoral veins, iliac veins and inferior vena cava.

      The Code I82.4Z3 is referring to distal veins which is not included in the value set. We do not include any of the I82.4z family within the value set. This is why the case is not meeting the criteria.
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      Thank you for your inquiry on CMS108, Venous Thromboembolism Prophylaxis . According to the inclusion criteria of the value set Venous Thromboembolism ICD10CM (OID: 2.16.840.1.113883.3.117.1.7.1.328), it includes concepts that represent a diagnosis of proximal venous thromboembolism (VTE) and pulmonary embolism of popliteal veins, femoral/superficial femoral veins, deep femoral veins, iliofemoral veins, iliac veins and inferior vena cava. The Code I82.4Z3 is referring to distal veins which is not included in the value set. We do not include any of the I82.4z family within the value set. This is why the case is not meeting the criteria.
    • CMS0108v11
    • Cases not passing the measure.

      Can you tell us why patients with prior DVT note on problem list with code beloa and on Apixaban for continued treatment are not passing the numerator for CMS108v11?

      ICD-10 Code I82.4Z3 Acute deep vein thrombosis of calf, bilateral

            JLeflore Joelencia Leflore
            ajundt Anne Jundt (Inactive)
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