ePC07 1028

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    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • L. Kenny
    • JHH
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      Thank you for your question about CMS1028v4/PC-07- Severe Obstetric Complications. N17.9, Acute kidney failure, unspecified, is included in the severe maternal morbidity (SMM) value set which also considers the POA indicator for inclusion in the numerator. A POA indicator of N (No) or UTD (Unable to Determine) is required for SMM diagnoses to qualify for the numerator.
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      Thank you for your question about CMS1028v4/PC-07- Severe Obstetric Complications. N17.9, Acute kidney failure, unspecified, is included in the severe maternal morbidity (SMM) value set which also considers the POA indicator for inclusion in the numerator. A POA indicator of N (No) or UTD (Unable to Determine) is required for SMM diagnoses to qualify for the numerator.
    • CMS1028v4
    • High

      We are seeing an increase in cases for CY 2025 fall into the numerator for N179. Any documentation that contains AKI is being coded at N179 ( Acute Kidney  Failure)  and then being pulled into the numerator for PC07 under Acute Renal Failure. Can you confirm if this is a maternal morbidity diagnosis  (N179 Acute Kidney Failure)  and it is correct for pulling in under Acute Renal Failure in the value set for this measure? 

            Assignee:
            Mathematica EH eCQM Team
            Reporter:
            Laura Kenny
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