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Thank you for your inquiry regarding CMS154v12 (2024 Performance Period). The measure intent is to include acute tonsillitis as a competing diagnosis for CMS154 (URI). "Acute Tonsillitis" (2.16.840.1.113883.3.464.1003.102.12.1012) has been added as a competing condition in the most recent publication of this measure for the 2025 performance year. This value set includes the ICD-10 code J03.00 - Acute streptococcal tonsillitis, unspecified.

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Thank you for your inquiry regarding CMS154v12 (2024 Performance Period). The measure intent is to include acute tonsillitis as a competing diagnosis for CMS154 (URI). "Acute Tonsillitis" (2.16.840.1.113883.3.464.1003.102.12.1012) has been added as a competing condition in the most recent publication of this measure for the 2025 performance year. This value set includes the ICD-10 code J03.00 - Acute streptococcal tonsillitis, unspecified.
2024 Performance Period EC eCQMs:

CMS0154v12
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Diagnosis: Steph tonsilitis, URI is not in the value set for CMS-154 (URI)
ICD-10 CM JO3.00 or ICD-9-CM: 034.0
we do not get credit for this competing diagnosis.

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Diagnosis: Steph tonsilitis, URI is not in the value set for CMS-154 (URI) ICD-10 CM JO3.00 or ICD-9-CM: 034.0 we do not get credit for this competing diagnosis.

CMS 154 URI

This Diagnosis: Steph tonsilitis, URI is not in the value set for CMS-154 (URI)

ICD-10 CM JO3.00 or ICD-9-CM: 034.0

Why are these codes not considered competing diagnosis codes for Upper respiratory Infections?