XMLWordPrintable

    • Type: EC eCQMs - Eligible Clinicians
    • Resolution: Answered
    • Priority: High
    • Component/s: None
    • None
    • 513-460-4704
    • Charleston Area Medical Center, Inc.
    • Hide
      Thank you for your inquiry about CMS125v13 (2025 Performance Period). The eCQM value set for this measure utilizes LOINC codes in alignment with the CMS Measures Management System (MMS) Blueprint. Specifically, the data criteria for 'Mammography' are categorized under the clinical concept of 'Diagnostic Study,' which per Blueprint requirements, must use the LOINC coding system. For your reference, please find the relevant Blueprint documentation linked below. Equivalent services may be mapped to the measure's value sets. If mapping is done, you should maintain documentation in case of a CMS audit.

      Supplemental Material to the CMS MMS Blueprint, Codes, Code Systems, and Value Sets, Appendix. QDM Categories with ONC Health Information Technology Standards Committee (HITSC) Recommended Vocabularies: https://www.cms.gov/files/document/blueprint-codes-code-systems-value-sets.pdf#page=25 CMS Measures Management System Blueprint Version 17.0: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/MMS-Blueprint
      Show
      Thank you for your inquiry about CMS125v13 (2025 Performance Period). The eCQM value set for this measure utilizes LOINC codes in alignment with the CMS Measures Management System (MMS) Blueprint. Specifically, the data criteria for 'Mammography' are categorized under the clinical concept of 'Diagnostic Study,' which per Blueprint requirements, must use the LOINC coding system. For your reference, please find the relevant Blueprint documentation linked below. Equivalent services may be mapped to the measure's value sets. If mapping is done, you should maintain documentation in case of a CMS audit. Supplemental Material to the CMS MMS Blueprint, Codes, Code Systems, and Value Sets, Appendix. QDM Categories with ONC Health Information Technology Standards Committee (HITSC) Recommended Vocabularies: https://www.cms.gov/files/document/blueprint-codes-code-systems-value-sets.pdf#page=25 CMS Measures Management System Blueprint Version 17.0: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/MMS-Blueprint
    • CMS0125v13
    • MIPS CMS 125 CPT mammography codes not meeting measure.

      Our vendor is currently not including the below CPT codes to meet the eCQM CMS125 Breast Cancer Screening. Should they be including the below codes to increment the numerator/meet the measure of a screening being completed?  CPT mammogram codes that meet CMS125 (Breast Cancer Screening eCQM) include 77061, 77062, 77063, 77065, 77066, and 77067

            Assignee:
            AIR EC eCQM Team
            Reporter:
            Kate Walther
            Votes:
            0 Vote for this issue
            Watchers:
            2 Start watching this issue

              Created:
              Updated:
              Resolved:
              Solution Posted On: