Thank you for your question about CMS1028/PC-07 Severe Obstetric Complications. After considering feedback from the field, the Technical Advisory Panel approved a logic update for the next reporting year that adds a numerator exclusion for blood transfusion or hysterectomy with a diagnosis of placenta percreta or placenta increta and no other Severe Maternal Morbidity. Other reasons for a planned hysterectomy may be risk adjusted or are rare and not believed to make a significant impact to measure rates.

For the measure ePC07 one of Severe Maternal Morbidity Procedures is hysterectomy. See the codes below 2.16.840.1.113762.1.4.1029.256 Severe Maternal Morbidity Procedures [ 0UT90ZZ] Severe Maternal Morbidity Procedures If the hysterectomy is planned and discussed prior to delivery how do these patients get coded so they do not fall into the measure as a Severe Maternal Morbidity Procedure since the procedure is a planned procedure rather than a procedure performed unplanned at time of delivery