CMS144v14 Denominator - Confirmation of G8923 Application for Qualitative LVSD

XMLWordPrintable

    • Type: EC eCQMs - Eligible Clinicians
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • Jessica Teles
    • 848-374-3451
    • Hackensack Meridican Health
    • Hide
      Thank you for your question related to CMS144v12. The code G8923 is not a mandatory requirement, and the code is not a sufficient mechanism for reporting a patient meets the Moderate or Severe LVSD criterion. The list of codes used for eCQM denominator reporting are available in VSAC under OID 2.16.840.1.113883.3.526.3.1090 Moderate or Severe LVSD. Currently, two SNOMED codes are included in this value set to capture Moderate or Severe LVSD:
      Moderate left ventricular systolic dysfunction (disorder) 981000124106 and
      Severe left ventricular systolic dysfunction (disorder) 991000124109
      Please find additional information on CMS144v12, including specifications and data elements, here: https://ecqi.healthit.gov/ecqm/ec/2024/cms0144v12. We do note that the code G8923 is used in Quality ID #8, which is the MIPS Clinical Quality Measure (CQM), not the eCQM. If you have questions about this measure or its specifications, we recommend that you create a new inquiry referencing the CQM (Quality ID #8) rather than the eCQM.
      Show
      Thank you for your question related to CMS144v12. The code G8923 is not a mandatory requirement, and the code is not a sufficient mechanism for reporting a patient meets the Moderate or Severe LVSD criterion. The list of codes used for eCQM denominator reporting are available in VSAC under OID 2.16.840.1.113883.3.526.3.1090 Moderate or Severe LVSD. Currently, two SNOMED codes are included in this value set to capture Moderate or Severe LVSD: Moderate left ventricular systolic dysfunction (disorder) 981000124106 and Severe left ventricular systolic dysfunction (disorder) 991000124109 Please find additional information on CMS144v12, including specifications and data elements, here: https://ecqi.healthit.gov/ecqm/ec/2024/cms0144v12 . We do note that the code G8923 is used in Quality ID #8, which is the MIPS Clinical Quality Measure (CQM), not the eCQM. If you have questions about this measure or its specifications, we recommend that you create a new inquiry referencing the CQM (Quality ID #8) rather than the eCQM.
    • Not measure related
    • Not measure related
    • CMS0144v14
    • Not measure related
    • Not measure related
    • Not measure related
    • Not measure related
    • Not measure related
    • Hide
      Need this clarification in order to continue to build for CMS 144 for our organization
      Show
      Need this clarification in order to continue to build for CMS 144 for our organization

      We are finalizing the build logic for our CMS144v12 report and require definitive clarification on the denominator criteria.

      The measure specification states that a patient qualifies for the denominator if they have a: 'Current or prior left ventricular ejection fraction (LVEF) ≤ 40% or documentation of moderately or severely depressed left ventricular systolic function: G8923'

      Our interpretation of this requirement is as follows:

      1. A clinician can identify a patient as having LVSD based on a qualitative finding, such as the text 'severely depressed left ventricular systolic function' in a historical echocardiogram report.
      2. To include this patient in the denominator for the eCQM, the required action is to align the Quality Data Code G8923 for that patient during the performance period.
      3. The eCQM's calculation logic will then identify the patient based on the presence of this G8923 code (in addition to the other age, diagnosis, and encounter criteria).

      Can you please confirm with a 'Yes' or 'No' that this interpretation is correct? Specifically, is the assertion of code G8923 the mandatory and sufficient mechanism for reporting that a patient meets this LVSD criterion based on a qualitative assessment?

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

              Created:
              Updated:
              Resolved:
              Solution Posted On: