General Question for the Week of October 19, 2015

General Compliance Question of the Week

Question:

Is an ICD-10 version of the final pneumonia cohort definition available somewhere?

Answer:

The most current definitions have been posted at https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/Measure-Methodology.html. Version 9.2 contains the ICD-9 defined populations for the expanded pneumonia cohort. Note that some vendors have established metrics using ICD-10 codes already and have done so by creating their own crosswalk using various tools such as the GEMS or OPTUM. Final adjustments will undoubtedly be made if needed following official publication of revised technical specifications containing ICD-10 logic.

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.