VTE 2- Heparin administration and RXNorm in QRDA file- correct coding?

XMLWordPrintable

    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • Cari Jones
    • 40547388412
    • Banner Healthcare
    • Hide
      Thank you for your question for CMS190v13/VTE-2, Intensive Care Unit Venous Thromboembolism Prophylaxis. The 1,000 unit/mL 30 mL mdv seems better to reflect the code 1361226 heparin sodium, porcine 1000 UNT/ML Injectable Solution, which is included in the value set of Low Dose Unfractionated Heparin for VTE Prophylaxis (OID: 2.16.840.1.113762.1.4.1045.39). Low Dose Unfractionated Heparin that is administered as an IV push does not apply to the measure, only subcutaneous (SQ) administration applies. If the patient receives Low Dose Unfractionated Heparin continuously via an intravenous line, a “medical reason” should be provided to be included in the numerator population.
      Show
      Thank you for your question for CMS190v13/VTE-2, Intensive Care Unit Venous Thromboembolism Prophylaxis. The 1,000 unit/mL 30 mL mdv seems better to reflect the code 1361226 heparin sodium, porcine 1000 UNT/ML Injectable Solution, which is included in the value set of Low Dose Unfractionated Heparin for VTE Prophylaxis (OID: 2.16.840.1.113762.1.4.1045.39). Low Dose Unfractionated Heparin that is administered as an IV push does not apply to the measure, only subcutaneous (SQ) administration applies. If the patient receives Low Dose Unfractionated Heparin continuously via an intravenous line, a “medical reason” should be provided to be included in the numerator population.
    • CMS0190v13
    • Hide
      Correct RXNorm for IV Heparin Administration
      Show
      Correct RXNorm for IV Heparin Administration

      Hello- 
      In a particular pt record an IV Injection of Heparin was administered within the specified timeframe.   The concentration of the administered Heparin was 1,000 unit/mL 30 mL mdv (1,000 unit/mL in a 30 mL syringe).  The dosage administered was 12,000 unit/mL 12mL.  This heparin administration is qualifying the patient for the NUMERATOR category. 

      The RXNorm code showing in the QRDA file is from the “Unfractionated Heparin” value set -RXNorm 1658717.  The Description of the Heparin in this value set for this particular code is “250mL heparin sodium, porcine 100UNT/ML injection.”

      Does the Heparin that was administered (1,000unit/mL- as described above) qualify for RXNorm 1658717?

            Assignee:
            Mathematica EH eCQM Team
            Reporter:
            Cari Ann Jones
            Votes:
            0 Vote for this issue
            Watchers:
            3 Start watching this issue

              Created:
              Updated:
              Resolved:
              Solution Posted On: