PC-2 Prior Uterine Surgery Exclusion

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    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Answered
    • Priority: Moderate
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      Thank you for your question about CMS334v6/PC02. Codes in the value sets identify the Nulliparous, Term, Singleton, Vertex (NTSV) population, along with select conditions coded as indications for cesarean birth. A history of uterine surgery or myomectomy is not an exclusion for CMS334v6/PC02, as current myomectomy codes are too broad and may include cases not warranting cesarean delivery. We continue to monitor coding updates and consult with the Perinatal Technical Advisory Panels for potential revisions.
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      Thank you for your question about CMS334v6/PC02. Codes in the value sets identify the Nulliparous, Term, Singleton, Vertex (NTSV) population, along with select conditions coded as indications for cesarean birth. A history of uterine surgery or myomectomy is not an exclusion for CMS334v6/PC02, as current myomectomy codes are too broad and may include cases not warranting cesarean delivery. We continue to monitor coding updates and consult with the Perinatal Technical Advisory Panels for potential revisions.
    • CMS0334v6
    • affecting our PC-2 Rates

      We have a couple of patients who delivered via c-sestion due to past medical history or prior uterine surgery or myomectomy.  Since this is not currently a denominator exclusion or a numerator exclusion, this is affected our PC-2 Rates.  Why is not currently considered an exclusion? IS this something that can be added in the future. 

            Assignee:
            Mathematica EH eCQM Team
            Reporter:
            Sandeep Singh Bajaj
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