STEMI Suggestion - Utilizing Primary Diagnosis Only

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    • Type: Hosp Outpt eCQMs - Hospital Outpatient eCQMs
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • Heather Homampour, MSN, RN
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      Thank you for your inquiry regarding CMS996: Appropriate Treatment for ST-Segment Elevation Myocardial Infarction (STEMI) Patients in the Emergency Department (ED). We acknowledge your feedback regarding the measure’s design and best practices for coding STEMI. We will consider refinements in a future annual update.
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      Thank you for your inquiry regarding CMS996: Appropriate Treatment for ST-Segment Elevation Myocardial Infarction (STEMI) Patients in the Emergency Department (ED). We acknowledge your feedback regarding the measure’s design and best practices for coding STEMI. We will consider refinements in a future annual update.
    • CMS0996v5
    • CMS0996v4
    • Capturing of patients in Denominator even though the STEMI is resolved.

      The code for Acute Myocardial Infarction per ICD-10 can continue to be coded "For encounters occurring while the myocardial infarction is equal to, or less than, four weeks old, including transfers to another acute setting or a postacute setting, and the myocardial infarction meets the definition for "other diagnoses" (see Section III, Reporting Additional Diagnoses), codes from category I21 may continue to be reported."

      We have had several STEMI patients return after successful treatment complaining of a non-cardiac issues (i.e. cough, COVID, etc.). They are being pulled into eCQM996, and for this reason we request that only the primary diagnosis code or primary ED Diagnosis code be utilized for inclusion.

            Assignee:
            Augustine Weber
            Reporter:
            Heather Homampour (Inactive)
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              Created:
              Updated:
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