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  1. eCQM Issue Tracker
  2. CQM-7418

eCQI CMS 506 list of Opioid and Benzo

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    • Icon: EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals
    • Resolution: Answered
    • Icon: Moderate Moderate
    • None
    • None
    • Charlene Noblejas
    • UCLA
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      Thank you for your question regarding CMS506v6 Safe Use of Opioids - Concurrent Prescribing. If you are using a clinically equivalent RxNorm code that is not in the "Schedule II & III Opioid Medications (OID 2.16.840.1.113762.1.4.1111.165) or "Schedule IV Benzodiazepines" (OID 2.16.840.1.113762.1.4.1125.1) value sets, you can map the codes documented in the medical record to the codes used in the value sets to meet the measure. We are unable to provide specific guidance related to the mapping of codes. If mapping is conducted, you should maintain documentation in case of a CMS audit. You can reference the applicable codes contained in this value set on the Value Set Authority Center (VSAC) at https://vsac.nlm.nih.gov/. Click on the “Search Value Sets” tab and enter the value set ID to review codes included in the respective value set.
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      Thank you for your question regarding CMS506v6 Safe Use of Opioids - Concurrent Prescribing. If you are using a clinically equivalent RxNorm code that is not in the "Schedule II & III Opioid Medications (OID 2.16.840.1.113762.1.4.1111.165) or "Schedule IV Benzodiazepines" (OID 2.16.840.1.113762.1.4.1125.1) value sets, you can map the codes documented in the medical record to the codes used in the value sets to meet the measure. We are unable to provide specific guidance related to the mapping of codes. If mapping is conducted, you should maintain documentation in case of a CMS audit. You can reference the applicable codes contained in this value set on the Value Set Authority Center (VSAC) at https://vsac.nlm.nih.gov/ . Click on the “Search Value Sets” tab and enter the value set ID to review codes included in the respective value set.
    • CMS0506v6
    • Appropriate EMR mapping of medication

      Are the medications listed on the eCQI VSAC link for CMS 506 are the ONLY Opioid and Benzo medication that should be mapped in the patient's EMR that will determine if a case is a numerator or denominator? 

            aweber Mathematica EH eCQM Team
            Cbnoblejas Charlene Noblejas
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