CMS 122 Diabetes Diagnosis Value Set Question

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    • Type: EC eCQMs - Eligible Clinicians
    • Resolution: Answered
    • Priority: Moderate
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      Thank you for your inquiry regarding CMS122v14 (2026 Performance Period). The denominator for this measure requires patients to have a qualifying encounter and an active diabetes diagnosis, identified using a code from the Diabetes value set (OID: 2.16.840.1.113883.3.464.1003.103.12.1001) during the measurement period. The diagnosis must come from this value set, and the measure logic requires that it overlap the measurement period to qualify for the initial population.
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      Thank you for your inquiry regarding CMS122v14 (2026 Performance Period). The denominator for this measure requires patients to have a qualifying encounter and an active diabetes diagnosis, identified using a code from the Diabetes value set (OID: 2.16.840.1.113883.3.464.1003.103.12.1001) during the measurement period. The diagnosis must come from this value set, and the measure logic requires that it overlap the measurement period to qualify for the initial population.
    • CMS0122v14
    • CMS0122v13
    • CMS0122v12
    • Patient's outcome is not as expected.

      Can you tell me if diagnosis code E11.A should be reported for CMS 122? I have a patient who has this diagnosis and is not being included in the numerator for this measure. I also do not see E11.A in the diabetes diagnosis value set (2.16.840.1.113883.3.464.1003.103.12.1001).

            Assignee:
            AIR EC eCQM Team
            Reporter:
            Nathan Kormos (Inactive)
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