eCQM CMS-156 Appropriate Treatment for URI - ICD 10 codes missing from competing conditions

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    • Type: EC eCQMs - Eligible Clinicians
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • Thank you for your inquiry for CMS154v13 Appropriate Treatment for Upper Respiratory Infection (URI). We will review the codes for consideration in a future measure update.
    • Not measure related
    • Not measure related
    • CMS0154v13
    • Not measure related
    • CMS0154v12
    • Not measure related
    • Our ECs are failing eCQM CMS-154 Appropriate Treatment for Upper Respiratory Infection because they are treating competing conditions with antibiotics that are not listed in the value set.

      Our ECs are failing eCQM CMS-154 Appropriate Treatment for Upper Respiratory Infection because they are treating competing conditions with antibiotics that are not listed in the value set. Examples are listed out below. These conditions were treated appropriately with antibiotics while URI was listed on the chart. 

      S61.051A Dog bit of right thumb, initial encounter -Primary

      K04.7 Dental infection

      J44.1 COPD exacerbation - Primary

            Assignee:
            Mathematica EC eCQM Team (Inactive)
            Reporter:
            Melanie Martino (Inactive)
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              Created:
              Updated:
              Resolved:
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