An addendum to eCQM (Electronic Clinical Quality Measure) specifications has been recently posted by CMS (Centers for Medicare & Medicaid Services) that is affecting ICD-10 value sets.
A latest addendum to the 2016 eCQM specifications upgrades ICD-10 Clinical Modification (CM) and Procedure Coding System (PCS) eCQM value sets for the 2017 performing year. The CMS and the National Library of Medicine (NLM) released the modifications and changes.
Following programs have been affected by the latest changes: The Hospital Inpatient Quality Reporting Program, Medicare EHR Incentive Programs for eligible hospitals and critical access hospitals, and the Merit-Based Incentive Payment System (MIPS) for eligible clinicians.
The value set OIDs (object identifiers), HQMF (The Health Quality Measure Format) specifications, and the measure version numbers for 2017 eCQM reporting will sustain to be consistent with previously posted designations.
The modifications and changes to the ICD-10 value sets involve expired codes’ deletion and the addition of replacement codes as well as latest codes for concepts relating to the corresponding measures and value set.
Entire changes to ICD-10 value sets are mentioned and specified in edited technical release notes, involving OIDs impacted by the changes.
These changes should be reviewed by the Measure implementers and revise ICD-10 codes so that submissions align with the new updated requirements for 2017 reporting. The clinicians are expected and hoped to revise the workflows to align with the new modifications and changes.
To review the full list of revisions to the eCQM value sets, please visit NLM’s Value Set Authority Center.