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  1. eCQM Issue Tracker
  2. CQM-7630

Interpretation of age

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    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
    • Resolution: Answered
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    • Salma Basnet
    • NCQA
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      Thank you for your inquiry related to CMS347v8. For any patient in which statin therapy is not indicated, please utilize the
      "Medical Reason" exception. For future iterations of the measure, codes defining ASCVD will be reviewed to ensure the appropriate population of patients are being captured in the measure.
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      Thank you for your inquiry related to CMS347v8. For any patient in which statin therapy is not indicated, please utilize the "Medical Reason" exception. For future iterations of the measure, codes defining ASCVD will be reviewed to ensure the appropriate population of patients are being captured in the measure.
    • CMS0347v8
    • CMS0347v7

      We've encountered several patients under 18 years old flagged for this measure due to conditions like ASCVD linked to hemorrhagic stroke at birth (e.g., associated with cerebral palsy). While these patients may be disabled, they are not clinically appropriate for statin therapy.

      Our pharmacy teams have noted that statins are generally not indicated for children under 10 years old. While we can document a 'medical reason' for not prescribing statins, it seems the measure's age criteria may not fully align with clinical practice.

      Could you clarify if there is any existing guidance from the measure owner regarding the interpretation of age within this measure?

            AIR EC eCQM Team AIR EC eCQM Team
            sbasnet Salma
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