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    • EP/EC
    • Status: To Do
    • Moderate
    • Resolution: Unresolved
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      The measure’s CPT value set to capture the procedure of administering the pneumococcal vaccine does not currently contain the specific codes to capture administration of the pneumococcal conjugate vaccine 15 valent or the pneumococcal conjugate vaccine 20 valent.

      Implementers that would otherwise utilize the CPT value set to satisfy numerator requirements can map:
      • administration of PCV15 to CVX code 215
      • administration of PCV20 to CVX code 216
      in the Adult Pneumococcal Vaccine (OID: 2.16.840.1.113883.3.464.1003.1161) value set.
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      The measure’s CPT value set to capture the procedure of administering the pneumococcal vaccine does not currently contain the specific codes to capture administration of the pneumococcal conjugate vaccine 15 valent or the pneumococcal conjugate vaccine 20 valent. Implementers that would otherwise utilize the CPT value set to satisfy numerator requirements can map: • administration of PCV15 to CVX code 215 • administration of PCV20 to CVX code 216 in the Adult Pneumococcal Vaccine (OID: 2.16.840.1.113883.3.464.1003.1161) value set.
    • 2023

    Description

      eCQM Impacted – CMS127v11 Pneumococcal Vaccination Status for Older Adults

      Issue – Measure does not include all relevant coding specific to the newly approved formulations, PCV15 and PCV20, to meet numerator requirements. This does not align with recently updated Advisory Committee on Immunization Practices guidelines.

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            edave Mathematica EC eCQM Team
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