VTE 1 & 2-Low Dose Unfractionated Heparin as Anticoagulant (or Reason for no VTE Prophylaxis(

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    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • cari jones
    • 4054738842
    • INTEGRIS Healthcare
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      Thank you for your question regarding Venous Thromboembolism Prophylaxis (CMS0108v13) and Intensive Care Unit Venous Thromboembolism Prophylaxis (CMS190v13). Low dose administration of unfractionated heparin would not count as administration of VTE prophylaxis or a reason for non-administration. Intravenous administration of the 1000 unit/mL Heparin is insufficient. Regarding the route, the measure specification provides guidance as "when low dose unfractionated heparin is administered for VTE Prophylaxis, the intended administration route for low dose unfractionated heparin, included in the value set of Low Dose Unfractionated Heparin for VTE Prophylaxis, is subcutaneous."
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      Thank you for your question regarding Venous Thromboembolism Prophylaxis (CMS0108v13) and Intensive Care Unit Venous Thromboembolism Prophylaxis (CMS190v13). Low dose administration of unfractionated heparin would not count as administration of VTE prophylaxis or a reason for non-administration. Intravenous administration of the 1000 unit/mL Heparin is insufficient. Regarding the route, the measure specification provides guidance as "when low dose unfractionated heparin is administered for VTE Prophylaxis, the intended administration route for low dose unfractionated heparin, included in the value set of Low Dose Unfractionated Heparin for VTE Prophylaxis, is subcutaneous."
    • CMS0108v13

      RXNorm code 1658659 is included in the value set for Low Dose Unfractionated Heparin and represents a dosage of 1000 unit/mL.

      To be considered "VTE prophylaxis" this dosage would need to be administered SQ.

      My question is regarding this dosage if given Intravenously therefore would be assigned the RxNorm code 1658659 for the 1000 unit/mL Heparin, and the SNOMEDCT code 47625008 for the intravenous route administration. 

      Again, the 1000 unit/mL heparin is included in the "Low Dose Unfractionated Heparin" value set.  This dose is not also listed in the value set for "Unfractionated Heparin." 

      Would the intravenous administration of the 1000 unit/mL Heparin (Low Dose Unfractionated Heparin) be counted as an anticoagulant, therefore would be considered a "reason why no VTE Prophylaxis was given, therefore qualify a patient for the NUMERATOR category?

       

       

            Assignee:
            Mathematica EH eCQM Team
            Reporter:
            Cari Ann Jones
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