eCQM 506

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    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • Cynthia Indelicato
    • 631 444-4491
    • StonyBrook University Hospital
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      Thank you for your question regarding CMS506v7 Safe Use of Opioids - Concurrent Prescribing. There are 47 RXNORM codes related to Fentanyl in the "Schedule II, III and IV Opioid Medications" (2.16.840.1.113762.1.4.1046.241) value set.



      If you are using a clinically equivalent RxNorm code that is not in the "Schedule II, III and IV Opioid Medications" (2.16.840.1.113762.1.4.1046.241), you can map the codes documented in the medical record to the codes used in the value sets to meet the measure. We are unable to provide specific guidance related to the mapping of codes. If mapping is conducted, you should maintain documentation in case of a CMS audit. You can reference the applicable codes contained in this value set on the Value Set Authority Center (VSAC) at https://vsac.nlm.nih.gov/. Click on the “Search Value Sets” tab and enter the value set ID to review codes included in the respective value set.
      Show
      Thank you for your question regarding CMS506v7 Safe Use of Opioids - Concurrent Prescribing. There are 47 RXNORM codes related to Fentanyl in the "Schedule II, III and IV Opioid Medications" (2.16.840.1.113762.1.4.1046.241) value set. If you are using a clinically equivalent RxNorm code that is not in the "Schedule II, III and IV Opioid Medications" (2.16.840.1.113762.1.4.1046.241), you can map the codes documented in the medical record to the codes used in the value sets to meet the measure. We are unable to provide specific guidance related to the mapping of codes. If mapping is conducted, you should maintain documentation in case of a CMS audit. You can reference the applicable codes contained in this value set on the Value Set Authority Center (VSAC) at https://vsac.nlm.nih.gov/ . Click on the “Search Value Sets” tab and enter the value set ID to review codes included in the respective value set.
    • CMS0506v8
    • CMS0506v7
    • The value set 2.16.840.1.113762.1.4.1046.241 for "Schedule II, III and IV Opioid Medications"

      The value set 2.16.840.1.113762.1.4.1046.241 for "Schedule II, III and IV Opioid Medications" appears to only accept Fentanyl transdermal Q 72 hr. Is that correct?
      If so, at our facility, Fentanyl is currently prescribed for 3 days interval. Would warrant consideration for future update to the frequency criteria?

            Assignee:
            Mathematica EH eCQM Team
            Reporter:
            Cynthia Indelicato
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              Created:
              Updated:
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