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  2. CQM-7331

PC02 Missing Exclusions

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    • Icon: EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals
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      Thank you for the inquiry about CMS334v6 Cesarean Birth. The TAP (Technical Advisory Panel) reviewed multiple presentations and determined that the cord prolapse (which the code includes both funic presentation and prolapse) is usually a mismanagement of labor while in the hospital that makes it necessary for an emergent cesarean. This is why it is not an exclusion for PC-02.

      We will consult the TAP about SNOMED code #46200004 Funic presentation for future consideration.
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      Thank you for the inquiry about CMS334v6 Cesarean Birth. The TAP (Technical Advisory Panel) reviewed multiple presentations and determined that the cord prolapse (which the code includes both funic presentation and prolapse) is usually a mismanagement of labor while in the hospital that makes it necessary for an emergent cesarean. This is why it is not an exclusion for PC-02. We will consult the TAP about SNOMED code #46200004 Funic presentation for future consideration.
    • CMS0334v6
    • CMS0334v5
    • PC02 missing clinical indication for funic presentation and other reason for cesarean indication.

      I checked with my clinician and confirmed funic presentation should be a clinical indication for cesarean but am unable to map it to a SNOMED code that makes sense. Could you please advise which one to choose?

      Also cord prolapse is a PC01 exclusion but not PC02, clinically the code set should be considered for denominator exclusion.

      Consider inclusion of SNOMED

      Funic Presentation: 46200004

       or possibly a more general snomed one available 15028002 and also the relevant ICD10's

            aweber Mathematica EH eCQM Team
            chirav Chira Vathanaprida
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