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EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals
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Resolution: Answered
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Moderate
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None
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None
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CMS0334v4
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A case is excluding from the denominator even though it should be included.
We have a Cesarean section eCQM case that is being excluded from the denominator that we would appreciate some feedback on.
On arrival the fetal position was in breech presentation, the providers conducted a version procedure, and were successful in changing the fetal position to vertex. A vaginal delivery was successful and felt the patient should be included in the denominator. However, the patient has two ICD-10 codes for presentation (as there were 2 during the encounter), lending the case as a Denominator Exclusion. Is this the correct measure status? Can anything be done to mapping to indicate the presentation at the time of delivery not at the time of arrival?