[CQM-1796] CPT codes in Procedure, Performed: Hemodialysis and Procedure, Performed: Peritoneal Dialysis for CMS 147 (an adult measure) include many CPT codes for pediatric patients Created: 12/01/15 Updated: 12/14/17 Resolved: 12/10/15 |
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| Status: | Closed |
| Project: | eCQM Issue Tracker |
| Component/s: | ValueSet |
| Type: | EC eCQMs - Eligible Clinicians | Priority: | Minor |
| Reporter: | Sharon Sebastian (Inactive) | Assignee: | Mathematica EC eCQM Team (Inactive) |
| Resolution: | Answered | Votes: | 0 |
| Labels: | None | ||
| Institution/Name: | MITRE |
| Solution: | CMS147/0041 is the PCPI stewarded ‘Preventive Care and Screening: Influenza Immunization’ measure. Your finding that the ‘Hemodialysis’ and ‘Peritoneal Dialysis’ value sets contain pediatric codes is correct and aligns with the intent of the value set. In CMS147, the measure population is intended to include the pediatric population and the measure includes patients that are >= 6 months of age. As such, the age requirement of the measure will remove any patients under 6 months of age from the measure, regardless of dialysis billing code assignment. These broad value sets, which are not limited on age, allow for reuse across measures; any measure specific age constraints will be captured in the population requirements. |
| 2016 Performance Period EP eCQMs : |
CMS147v5/NQF0041
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| Impact: | Inaccuracies in value set |
| Description |
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Pediatric CPT codes are present in an adult measure (CMS 147 - Procedure, Performed: Hemodialysis and Procedure, Performed: Peritoneal Dialysis) |
| Comments |
| Comment by Sharon Sebastian (Inactive) [ 12/03/15 ] |
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Thanks for your response. You are right, the pediatric codes are appropriate in CMS 147. |