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  1. eCQM Issue Tracker
  2. CQM-7308

CMS146: Mapping related query

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    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
    • Resolution: Answered
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      Thank you for your inquiry regarding CMS146v12 (2024 Performance Period). According to the measure steward, the National Committee for Quality Assurance (NCQA), clinically equivalent services may be mapped to the codes used in a measure's value sets to satisfy a value set requirement. If mapping is conducted, you should maintain documentation in case of a CMS audit.
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      Thank you for your inquiry regarding CMS146v12 (2024 Performance Period). According to the measure steward, the National Committee for Quality Assurance (NCQA), clinically equivalent services may be mapped to the codes used in a measure's value sets to satisfy a value set requirement. If mapping is conducted, you should maintain documentation in case of a CMS audit.
    • CMS0146v12
    • Initial population count is impacted

      ECQM No: 146

      Measure Title: Appropriate Testing for Pharyngitis
      Query:

      One of the IPP condition is i.e “Medication Order: Antibiotic Medications for Pharyngitis”.

      In case of one of the practice, we found that nonstandard codes are getting charted along with medication names instead of codes mentioned in the value set Antibiotic Medications for Pharyngitis" (2.16.840.1.113883.3.464.1003.196.12.1001).

      Medication name charted along with these codes under Ordered/Completed section are same as code descriptions given in the value set.

      The medication name charted is Amoxicillin 250 mg/ 400mg as ordered.

      Can we consider it equivalent with the RxNorm code 308182 (amoxicillin 250 MG Oral Capsule) or 308188 (amoxicillin 400 MG Chewable Tablet) to qualify the case for initial population?

            AIR EC eCQM Team AIR EC eCQM Team
            kalyani.nandedkar Kalyani Nandedkar
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