Herpes exclusion for PC-02

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    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • Mychelle Lima
    • 7322337572
    • CentraState Medical Center
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      Thank you for your question regarding CMS334v6 / PC-02 Cesarean Birth. Encounters that meet the denominator exclusion related to active genital herpes must include an ICD-10 or SNOMED encounter diagnosis codes as identified in the value set "Genital Herpes" (2.16.840.1.113883.3.464.1003.110.12.1049). If neither an ICD-10 nor a SNOMED code is entered, the patient will not meet the criteria for the denominator exclusion.

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      Thank you for your question regarding CMS334v6 / PC-02 Cesarean Birth. Encounters that meet the denominator exclusion related to active genital herpes must include an ICD-10 or SNOMED encounter diagnosis codes as identified in the value set "Genital Herpes" (2.16.840.1.113883.3.464.1003.110.12.1049). If neither an ICD-10 nor a SNOMED code is entered, the patient will not meet the criteria for the denominator exclusion.
    • CMS0334v6
    • Increased rate as a result of not being excluded from measure

      We had a patient in labor that had a primary Cesarean section due to suspected genital herpes lesions .  Testing was done at the time of discovery. Test results came back after delivery and were negative for HSV therefore no ICD10 code for Herpes was applied.   Is this scenario an acceptable exclusion for NTSV?  If so, is there any suggestion on how to capture this electronically to prevent patient being in the numerator?  Would capturing by snomed code be the best route since ICD10 is not an option?

            Assignee:
            Mathematica EH eCQM Team
            Reporter:
            Mychelle Lima
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