PC-07 severe maternal morbidity procedures

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    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Answered
    • Priority: Moderate
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      Thank you for your question about CMS1028v3/PC-07, Severe Obstetric Complications. For a person with obstructive sleep apnea (OSA), perhaps consider SNOMEDCT 34281000175105 Nocturnal continuous positive airway pressure (regime/therapy) as a more appropriate code than the codes contained in the value set for PC-07. We recommend that you confirm with your coding experts.
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      Thank you for your question about CMS1028v3/PC-07, Severe Obstetric Complications. For a person with obstructive sleep apnea (OSA), perhaps consider SNOMEDCT 34281000175105 Nocturnal continuous positive airway pressure (regime/therapy) as a more appropriate code than the codes contained in the value set for PC-07. We recommend that you confirm with your coding experts.
    • CMS1028v3
    • Inclusion in numerator for a POA

      Scenario: Patient has obstructive sleep apnea (OSA) POA = Yes, on home CPAP. included in the numerator for PC-07 for Severe Maternal Morbidity Procedures > NIPPV. This was not a procedure performed due to a delivery complication, rather, continuation of the patient's regular care for OSA. 

      From what we understand, there does not appear to be a way to recognize this was a "POA" procedure. Is the intent of the measure to still capture these cases in the numerator? If not, what recommendations might you have - so patient is denominator only (no other qualifiers for num)?

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            Assignee:
            Mathematica EH eCQM Team
            Reporter:
            Lisa Puett
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