EP 0031 Value Set Discrepancies

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    • Type: Value Sets
    • Resolution: Answered
    • Priority: Minor
    • Component/s: ValueSet
    • Eric Gunther
    • Because the eligible physician measures are typically generated from an outpatient EHR, NCQA chose not include inpatient billing codes in the value sets for our measures.

      The old NQF specifications for the Breast Cancer Screening Measure (0031) reference a handful of ICD-9-CM codes used to identify a bilateral mastectomy (85.42, 85.44, 85.46, 85.48). The new specification included in the Cypress test bundle does not seem to reference those ICD-9-CM codes – at least the JSON value set for bilateral mastectomy doesn’t reference them. Any particular reason for this?

            Assignee:
            Ramya Tallapragada (Inactive)
            Reporter:
            Moderator - C-CDA (Inactive)
            Minet Javellana (Inactive), Rob McClure
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              Created:
              Updated:
              Resolved: