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    • Type: EC eCQMs - Eligible Clinicians
    • Resolution: Unresolved
    • Priority: High
    • Component/s: None
    • None
    • Amanda Lord
    • 310-713-9895
    • Patient360
    • We are asking you for the solution.
    • CMS0138v13
    • 2025 submission for this measure.

      For CMS 138v13, does the IPP requirement of "2 Qualifying Visits: Office Visit, Home Healthcare Services, Occupational Therapy Evaluation, Ophthalmological Services, Virtual Encounters, Psych Visit - Diagnostic Evaluation, Psych Visit - Psychotherapy, Psychoanalysis, Speech and Hearing Evaluation, or Telephone Visits during "measurement period"" specifically require 2 separate and unique encounter events, or would a single encounter that uses 2 or more qualifying codes also meet this requirement?

      For example, if a patient is seen for an office visit and also has an audiological evaluation during the same visit, would billing 99203 and 92557 on the same date of service be considered 1 or 2 qualifying encounters with respect to the IPP requirement?

            Assignee:
            AIR EC eCQM Team
            Reporter:
            Amanda Lord
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              Created:
              Updated: