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  1. eCQM Issue Tracker
  2. CQM-7077

CMS1028 PC-07

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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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    • Amy Oppong-Bawuah
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      Thank you for your question about CMS1028v2 Severe Obstetric Complications. To meet the denominator exclusion criteria, both an encounter diagnosis in the "COVID 19 Confirmed" (OID: 2.16.840.1.113762.1.4.1029.373) value set AND either a diagnosis code in the "Respiratory Conditions Related to COVID 19" (OID: 2.16.840.1.113762.1.4.1029.376) value set or a procedure in the "Respiratory Support Procedures Related to COVID 19" (OID: 2.16.840.1.113762.1.4.1029.379) value set during the encounter must be present. In the example provided, there is no encounter diagnosis in the "COVID 19 confirmed" value set. This scenario would not meet denominator exclusion criteria. We hope this helps.
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      Thank you for your question about CMS1028v2 Severe Obstetric Complications. To meet the denominator exclusion criteria, both an encounter diagnosis in the "COVID 19 Confirmed" (OID: 2.16.840.1.113762.1.4.1029.373) value set AND either a diagnosis code in the "Respiratory Conditions Related to COVID 19" (OID: 2.16.840.1.113762.1.4.1029.376) value set or a procedure in the "Respiratory Support Procedures Related to COVID 19" (OID: 2.16.840.1.113762.1.4.1029.379) value set during the encounter must be present. In the example provided, there is no encounter diagnosis in the "COVID 19 confirmed" value set. This scenario would not meet denominator exclusion criteria. We hope this helps.
    • CMS1028v2
    • High, Denominator Exclusion

      I am validating a case which is in the numerator population. There is a diagnosis code for  ICD10PCS 5A09557 Respiratory Support Procedures Related to COVID 19 on 5/12/2024. Encounter inpatient , relevant period interval: 5/7/24-5/17/24. There is no encounter diagnosis code in "COVID 19 confirmed". Does the patient meet the denominator exclusion criteria?
       

            JLeflore Joelencia Leflore
            Opponga Amy Oppong-Bawuah
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