2 Questions:

• If a patient presents with anemia and receives a blood transfusion prior to delivery, should this intervention be counted in the numerator as a complication? Currently, EPIC appears to be flagging these cases as complications, even when the transfusion is administered in response to a pre-existing condition rather than as a result of an adverse event related to labor or delivery.

• In a recent case, the provider documented Acute Kidney Injury, which was subsequently coded by the coding team as N17.9 – Acute Kidney Failure. This coding led to the encounter being flagged as a complication for the measure.

Per our coding team Acute Kidney Injury codes to N17.9 Acute Kidney Failure and Acute Kidney Failure is listed as complication for the measure.