Opioid Use Concurrent Prescribing Value set

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    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
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      Thank you for your question regarding CMS506v7 Safe Use of Opioids - Concurrent Prescribing. Patients receiving medication for opioid use disorder should be excluded from the measure. We will consider adding ICD-10 code F11.10 to the Opioid Use Disorder value set (OID 2.16.840.1.113762.1.4.1111.171) value set during the next Annual Update.
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      Thank you for your question regarding CMS506v7 Safe Use of Opioids - Concurrent Prescribing. Patients receiving medication for opioid use disorder should be excluded from the measure. We will consider adding ICD-10 code F11.10 to the Opioid Use Disorder value set (OID 2.16.840.1.113762.1.4.1111.171) value set during the next Annual Update.
    • CMS1218v1
    • CMS0506v7
    • Inaccurate performance score because Opioid Use Abuse code needs to be in relevant Value set

      Hello. Regarding exclusion criteria for Hospital eCQM Safe Use of Opioids - Concurrent Prescribing v 7.  One of the allowable exclusions is "Diagnosis": "Opioid Use Disorder".   The Opioid Use Disorder value set 2.16.840.1.113762.1.4.1111.171 contains F11.2 codes and up. However, it does not contain F11.10 code which is also an Opioid abuse code. This is what our Providers frequently code with. Therefore, patients that we believe should have an exclusion in our reports, are considered Numerator Met and are erroneously raising their performance score. Can you please look into this?

            Assignee:
            Augustine Weber
            Reporter:
            Susan Maillis (Inactive)
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