[CQM-1997] Bipolar value set not including many 296* ICD-9 codes Created: 05/19/16  Updated: 04/30/19  Resolved: 04/30/19

Status: Closed
Project: eCQM Issue Tracker
Component/s: ValueSet

Type: EC eCQMs - Eligible Clinicians Priority: Minor
Reporter: Eric Gunther (Inactive) Assignee: Mathematica EC eCQM Team (Inactive)
Resolution: Done Votes: 2
Labels: CRP

Issue Links:
Relates
Contact Name: Eric Gunther
Contact Email: eric.gunther@azarahealthcare.com
Institution/Name: Azara Healthcare
Solution: We will review the ICD 9 codes mentioned during the next annual update.
2017 Performance Period EC eCQMs:
CMS2v6/NQF0418
2016 Performance Period EP eCQMs :
CMS2v5/NQF0418
CRP Overview: There are other bipolar ICD-9, ICD-10, and SnomedCT codes that should be included in the Bipolar value set, OID 2.16.840.1.113883.3.600.450

https://ecqi.healthit.gov/ep/ecqms-2017-performance-period/preventive-care-and-screening-screening-depression-and-follow-plan

We reviewed coding for the bipolar diagnosis value set with our expert work group and will update grouping OID 2.16.840.1.113883.3.600.450 accordingly:
 
We will include the following ICD- 9 Bipolar codes in OID 2.16.840.1.113883.3.600.447:
296.00 through 296.06 (Bipolar I disorder, single manic episode codes)
296.60 through 296.66 (Bipolar I disorder, most recent episode (or current) mixed)
296.7 (Bipolar I disorder, most recent episode (or current) unspecified)
 
We will include the following ICD-10 Bipolar codes to OID 2.16.840.1.113883.3.600.448:
F31.10 F31.30 F31.31 F31.32 F31.4 F31.5 F31.60 F31.61 F31.62 F31.63 F31.64 F31.70 F31.71
F31.72 F31.75 F31.76 F31.77 F31.78 F31.81 F31.89
 
We will add the following to the SNOMED value set OID 2.16.840.1.113883.3.600.449:
133091000119105 (rapid cycling bipolar I diso​rder)
23741000119105 (severe manic bipolar I disorder )
261000119107 (severe depressed bipolar I disorder)
271000119101 (severe mixed bipolar I disorder)
61771000119106 (bipolar II disorder, most recent episode rapid cycling)
CRP Recommendations: ​No changes to proposed recommendations.

 Description   

The bipolar diagnosis value set only includes ICD-9 296.40-46, 296.52 and 296.80. There are many other bipolar ICD-9 codes such as 296.0*, 296.6*, 296.7. Should these (and their associated ICD-10 / SNOMED-CT codes) be included in the value set?



 Comments   
Comment by Derrick Owusu (Inactive) [ 01/04/17 ]

Thank you for all of the feedback, the CRP public comment period is now over. We will review these comments and discuss amongst EP measure developers.

Comment by Howard Bregman (Inactive) [ 12/26/16 ]

Agree with update

Comment by Julia Skapik (Inactive) [ 07/20/16 ]

A link between CQM-1997 and CAU-529 has been created

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