OP STEMI Guidance for CMS996v6 (2026 Reporting Period)

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    • Type: Hosp Outpt eCQMs - Hospital Outpatient eCQMs
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
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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). In alignment with clinical best practice, the measure intends to capture the time from ED arrival to reperfusion, which typically starts with crossing the lesion, balloon inflation, and then possible stent deployment. It is ideal to capture the earliest time of reperfusion, and map to the relevantPeriod.startTime attribute of the “Procedure, Performed” QDM data element. The value set for Percutaneous Coronary Intervention (2.16.840.1.113883.3.3157.2000.5) includes CPT codes for balloon dilation. Regarding timestamps in the electronic health record (EHR), we recommend working with your EHR vendor on determining the best way to capture this information since we are aware that it is may be captured in other ways clinically. 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). In alignment with clinical best practice, the measure intends to capture the time from ED arrival to reperfusion, which typically starts with crossing the lesion, balloon inflation, and then possible stent deployment. It is ideal to capture the earliest time of reperfusion, and map to the relevantPeriod.startTime attribute of the “Procedure, Performed” QDM data element. The value set for Percutaneous Coronary Intervention (2.16.840.1.113883.3.3157.2000.5) includes CPT codes for balloon dilation. Regarding timestamps in the electronic health record (EHR), we recommend working with your EHR vendor on determining the best way to capture this information since we are aware that it is may be captured in other ways clinically. We will consider refinements in a future Annual Update.
    • CMS0996v6
    • Accurate data capture

      Per CMS996v6 (2026 reporting period) Guidance "In order to support the best outcomes for patients and align with other guidelines, PCI device deployment time should be used for calculating the “PCI is performed within 90 minutes of ED arrival” numerator criteria and not the start time of the procedure."

      "PCI device deployment time" means capturing earliest balloon inflation or stent deployment date/time?

            Assignee:
            Augustine Weber (Inactive)
            Reporter:
            Charlene Noblejas
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