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  2. CQM-7362

CMS996v4 Active Bleeding Exclusion

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    • Icon: OQR eCQMs - Outpatient Quality Reporting OQR eCQMs - Outpatient Quality Reporting
    • Resolution: Answered
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    • Meghan Hocks
    • 2516895308
    • USA Health
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      Thank you for your inquiry regarding CMS996v4: Appropriate Treatment for ST-Segment Elevation Myocardial Infarction (STEMI) Patients in the Emergency Department (ED). We appreciate your input and examples of active bleeding such as hematemesis as well as comorbidities that may place a patient at risk of bleeding, such as a patient undergoing chemotherapy. We will consider refinements to the code set in a future Annual Update.
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      Thank you for your inquiry regarding CMS996v4: Appropriate Treatment for ST-Segment Elevation Myocardial Infarction (STEMI) Patients in the Emergency Department (ED). We appreciate your input and examples of active bleeding such as hematemesis as well as comorbidities that may place a patient at risk of bleeding, such as a patient undergoing chemotherapy. We will consider refinements to the code set in a future Annual Update.
    • CMS0996v5
    • CMS0996v4

      I have a patient with ICD10 codes D65 (Disseminated intravascular coagulation [defibrination syndrome]), K92.0 (Hematemesis), D69.6 (D69.6 Y Thrombocytopenia, unspecified), and D63.0 (Anemia in neoplastic disease). None of those codes are included as eligible diagnoses for "Active bleeding" for the patient to be in the exclusion when the MD decided to not perform the PCI. Why are these codes excluded? To note, I only added D63.0 because it was a direct result from a chemo treatment the previous week and might need to be taken into consideration for a possible exclusion.

            aweber Mathematica EH eCQM Team
            mhocks Meghan Hocks
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