[CQM-7861] Opioid Medication Assisted Treatment (MAT) Value Set Created: 05/02/25 Updated: 05/19/25 Resolved: 05/19/25 |
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| Status: | Closed |
| Project: | eCQM Issue Tracker |
| Component/s: | None |
| Type: | Hosp Outpt eCQMs - Hospital Outpatient eCQMs | Priority: | Moderate |
| Reporter: | Alexis Patterson | Assignee: | Augustine Weber |
| Resolution: | Answered | Votes: | 0 |
| Labels: | None | ||
| Contact Name: | Alexis Patterson |
| Contact Email: | alexis.patterson@va.gov |
| Institution/Name: | VHA |
| Solution: | Thank you for your question on CMS506v7, Safe Use of Opioids--Concurrent Prescribing. “HG” is a HCPCS modifier and it is not appropriate to use this modifier code without an associated CPT or HCPCS code. To qualify the patient for the OUD exclusion using the "HG" code, any CPT or HCPCS code that has this modifier can be used. |
| Solution Posted On: | |
| 2025 Reporting Period Hosp Outpt eCQMs: |
CMS0996v5
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| Description |
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*CMS996v6 For Safe Use of Opioids, OID 2.16.840.1.113762.1.4.1111.177, we noticed one of the items listed shows a Code System CPT showing code HG. Is this a HCPCS or CPT modifier? Also, does this mean ANY CPT/HCPCS code that has this modifier should be used to qualify the patient for the OID exclusion? |
| Comments |
| Comment by Augustine Weber [ 05/19/25 ] |
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We apologize for the delay in providing a response for your question. We continue to investigate the issue noted in your ticket and will provide a response as soon as we are able. Thank you for your continued patience. |
| Comment by Augustine Weber [ 05/12/25 ] |
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We continue to investigate the issue noted in your ticket and will provide a response as soon as we are able. Thank you for your patience. |
| Comment by Augustine Weber [ 05/05/25 ] |
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Thank you for submitting your question. We will review your ticket and provide a response as soon as possible. |