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  1. eCQM Issue Tracker
  2. CQM-7067

PC-07 Numerator Mapping

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    • Resolution: Unresolved
    • Icon: Moderate Moderate
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    • Rebecca Pelkey
    • 9196514596
    • WakeMed Hospitals
    • CMS1028v2
    • Patient placed in the numerator due to code listed on the reason for admission.

      We recently had a case where a patient was grouped in the numerator for a severe obstetric complication of O88.219 Pulmonary embolism during pregnancy, antepartum. When reviewing this chart, we noticed that this code was not included in the Final Diagnosis list as it occurred at 10 weeks gestation and was no longer present. Final diagnosis coding did code Z-code for personal hx of PE. We were able to see that the current hospital problem list still included PE during pregnancy. We were wondering if it is still listed as an active problem (with no POA data) would that be enough to classify it as a numerator case?

            JLeflore Mathematica EH eCQM Team
            rpelkey@wakemed.org Rebecca Pelkey
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