• Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • sandeep singh bajaj
    • 6303442421
    • UIH
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      Thank you for your question about CMS334v6 / PC-02 Cesarean Birth. The logic for this measure does not look for treatment but rather, the diagnosis of genital herpes which would, as a Denominator Exclusion, remove the case from the Denominator. Please see logic below:

      Encounter with Genital Herpes, Placenta Previa, Vasa Previa or Placenta Accreta Spectrum
      "Singleton Delivery Encounters at 37 Plus Weeks Gravida 1 Parity 0, No Previous Births" ThirtysevenWeeksPlusEncounter

        where exists ( ThirtysevenWeeksPlusEncounter.diagnoses EncounterDiagnoses

            where EncounterDiagnoses.code in "Placenta Accreta Spectrum Previa or Vasa Previa"

              or EncounterDiagnoses.code in "Genital Herpes"

        )
      Show
      Thank you for your question about CMS334v6 / PC-02 Cesarean Birth. The logic for this measure does not look for treatment but rather, the diagnosis of genital herpes which would, as a Denominator Exclusion, remove the case from the Denominator. Please see logic below: Encounter with Genital Herpes, Placenta Previa, Vasa Previa or Placenta Accreta Spectrum "Singleton Delivery Encounters at 37 Plus Weeks Gravida 1 Parity 0, No Previous Births" ThirtysevenWeeksPlusEncounter   where exists ( ThirtysevenWeeksPlusEncounter.diagnoses EncounterDiagnoses       where EncounterDiagnoses.code in "Placenta Accreta Spectrum Previa or Vasa Previa"         or EncounterDiagnoses.code in "Genital Herpes"   )
    • CMS0334v6

      Hi

      For PC-2 Denominator Exclusions criteria 

      Does the genital herpes have to treated during the encounter or is it only considered active when there are active lesions? For example - we have some cases where the patient is treated for genital herpes but does have active lesions and the ICD 10 codes are excluding the cases automatically from our Denominator. 

            Assignee:
            Mathematica EH eCQM Team
            Reporter:
            Sandeep Singh Bajaj
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              Created:
              Updated:
              Resolved:
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