Functional Status Assessments for Heart Failure

Measure Information	2024 Performance Period	2025 Performance Period	2026 Performance Period	2027 Performance Period
Title	Functional Status Assessments for Heart Failure	Functional Status Assessments for Heart Failure	Functional Status Assessments for Heart Failure	Functional Status Assessments for Heart Failure
CMS eCQM ID	CMS90v13	CMS90v14	CMS90v15	CMS90v16
CBE ID*	Not Applicable	Not Applicable	Not Applicable	Not Applicable
MIPS Quality ID	377	377	377	377
Measure Steward	Centers for Medicare & Medicaid Services (CMS)	Centers for Medicare & Medicaid Services (CMS)	Centers for Medicare & Medicaid Services (CMS)	Centers for Medicare & Medicaid Services (CMS)
Description	Percentage of patients 18 years of age and older with heart failure who completed initial and follow-up patient-reported functional status assessments	Percentage of patients 18 years of age and older with heart failure who completed initial and follow-up patient-reported functional status assessments	Percentage of patients 18 years of age and older with heart failure who completed initial and follow-up patient-reported functional status assessments	Percentage of patients 18 years of age and older with heart failure who completed initial and follow-up patient-reported functional status assessments
Measure Scoring	Proportion	Proportion	Proportion	Proportion
Measure Type	Process	Process	Process	Process
Stratification	None	None	None	None
Risk Adjustment	None	None	None	None
Rationale	Patients living with heart failure often have poor functional status and health-related quality of life, which declines as the disease progresses (Allen et al., 2012). In addition, their care is often complicated by multiple comorbidities. To assist in managing these complex patients, the American College of Cardiology Foundation and American Heart Association recommend collecting initial and repeat assessments of a patient's function and ability to complete desired activities of daily living (Hunt et al., 2009). The American Heart Association has also released scientific statements emphasizing the collection of patient-reported health status (for example, functional limitations, symptom burden, quality of life) from heart failure patients as an important means of establishing a dynamic conversation between patient and provider regarding care goals and the patient's priorities (Allen et al., 2012; Rumsfeld et al., 2013).	Patients living with heart failure often have poor functional status and health-related quality of life, which declines as the disease progresses (Allen et al., 2012). In addition, their care is often complicated by multiple comorbidities. To assist in managing these complex patients, the American College of Cardiology Foundation and American Heart Association recommend collecting initial and repeat assessments of a patient's function and ability to complete desired activities of daily living (Hunt et al., 2009). The American Heart Association also released scientific statements emphasizing the collection of patient-reported health status (for example, functional limitations, symptom burden, quality of life) from heart failure patients as an important means of establishing a dynamic conversation between patient and provider regarding care goals and the patient's priorities (Allen et al., 2012; Rumsfeld et al., 2013). The most recent update to clinical guidelines by the American Heart Association, the American College of Cardiology, and the Heart Failure Society of America further emphasizes that better understanding of symptom burden and prognosis may improve the quality of treatment decisions. The guideline also indicates that routine assessment can facilitate population health management by identifying high-risk patients needing closer monitoring or referral to specialized centers and that patient-reported health status assessment increases the patient’s role in care, which can motivate initiation and uptake of medical therapy (Heidenreich et al., 2022).	Patients living with heart failure often have poor functional status and health-related quality of life, which declines as the disease progresses (Allen et al., 2012). In addition, their care is often complicated by multiple comorbidities. To assist in managing these complex patients, the American College of Cardiology Foundation and American Heart Association recommend collecting initial and repeat assessments of a patient's function and ability to complete desired activities of daily living (Hunt et al., 2009). The American Heart Association also released scientific statements emphasizing the collection of patient-reported health status (for example, functional limitations, symptom burden, quality of life) from heart failure patients as an important means of establishing a dynamic conversation between patient and provider regarding care goals and the patient's priorities (Allen et al., 2012; Rumsfeld et al., 2013). The most recent update to clinical guidelines by the American Heart Association, the American College of Cardiology, and the Heart Failure Society of America further emphasizes that better understanding of symptom burden and prognosis may improve the quality of treatment decisions. The guideline also indicates that routine assessment can facilitate population health management by identifying high-risk patients needing closer monitoring or referral to specialized centers and that patient-reported health status assessment increases the patient’s role in care, which can motivate initiation and uptake of medical therapy (Heidenreich et al., 2022).	Patients living with heart failure often have poor functional status and health-related quality of life, which declines as the disease progresses (Allen et al., 2012). In addition, their care is often complicated by multiple comorbidities. To assist in managing these complex patients, the American College of Cardiology Foundation and American Heart Association recommend collecting initial and repeat assessments of a patient's function and ability to complete desired activities of daily living (Hunt et al., 2009). The American Heart Association also released scientific statements emphasizing the collection of patient-reported health status (for example, functional limitations, symptom burden, quality of life) from heart failure patients as an important means of establishing a dynamic conversation between patient and provider regarding care goals and the patient's priorities (Allen et al., 2012; Rumsfeld et al., 2013). The most recent update to clinical guidelines by the American Heart Association, the American College of Cardiology, and the Heart Failure Society of America further emphasizes that better understanding of symptom burden and prognosis may improve the quality of treatment decisions. The guideline also indicates that routine assessment can facilitate population health management by identifying high-risk patients needing closer monitoring or referral to specialized centers and that patient-reported health status assessment increases the patient’s role in care, which can motivate initiation and uptake of medical therapy (Heidenreich et al., 2022).
Clinical Recommendation Statement	American College of Cardiology Foundation and American Heart Association (2013): While this guideline does not explicitly recommend the use of patient-reported functional status or quality of life assessments (such as the Kansas City Cardiomyopathy Questionnaire or Minnesota Living with Heart Failure Questionnaire), it does “refer to meaningful survival as a state in which HRQOL [health-related quality of life] is satisfactory to the patient.” The guideline also includes quality of life assessments in its description of a detailed plan of care for patients with chronic heart failure.	The American Heart Association, the American College of Cardiology, and the Heart Failure Society of America (2022): This guideline provides patient-centric recommendations for clinicians to prevent, diagnose, and manage patients with heart failure and specifically recommends assessing patient-reported health status using a validated questionnaire to provide incremental information for patient functional status, symptom burden, and prognosis. Tools specifically recommended in the guideline are as follows: - The Kansas City Cardiomyopathy Questionnaire or, - The Minnesota Living with Heart Failure Questionnaire - PROMIS-Plus-HF [Patient Reported Outcomes Measurement Information System Plus-Heart Failure]	The American Heart Association, the American College of Cardiology, and the Heart Failure Society of America (2022): This guideline provides patient-centric recommendations for clinicians to prevent, diagnose, and manage patients with heart failure and specifically recommends assessing patient-reported health status using a validated questionnaire to provide incremental information for patient functional status, symptom burden, and prognosis. Tools specifically recommended in the guideline are as follows: - The Kansas City Cardiomyopathy Questionnaire or, - The Minnesota Living with Heart Failure Questionnaire - PROMIS-Plus-HF [Patient Reported Outcomes Measurement Information System Plus-Heart Failure]	The American Heart Association, the American College of Cardiology, and the Heart Failure Society of America (2022): This guideline provides patient-centric recommendations for clinicians to prevent, diagnose, and manage patients with heart failure and specifically recommends assessing patient-reported health status using a validated questionnaire to provide incremental information for patient functional status, symptom burden, and prognosis. Tools specifically recommended in the guideline are as follows: The Kansas City Cardiomyopathy Questionnaire or, The Minnesota Living with Heart Failure Questionnaire PROMIS-Plus-HF [Patient Reported Outcomes Measurement Information System Plus-Heart Failure]
Improvement Notation	A higher score indicates better quality	A higher score indicates better quality	Higher score indicates better quality	Higher score indicates better quality
Definition	None	None	None	None
Guidance	Initial functional status assessment (FSA) and encounter: The initial FSA is an FSA that occurs within two weeks before or during an encounter, in the 180 days or more before the end of the measurement period. Follow-up FSA: The follow-up FSA must be completed at least 30 days but no more than 180 days after the initial FSA. The same FSA instrument must be used for the initial and follow-up assessment. This eCQM is a patient-based measure. This version of the eCQM uses QDM version 5.6. Please refer to the QDM page for more information on the QDM.	Initial functional status assessment (FSA) and encounter: The initial FSA is an FSA that occurs within two weeks before or during an encounter, in the 180 days or more before the end of the measurement period. Follow-up FSA: The follow-up FSA must be completed at least 30 days but no more than 180 days after the initial FSA. The same FSA instrument must be used for the initial and follow-up assessment. This eCQM is a patient-based measure. This version of the eCQM uses QDM version 5.6. Please refer to the QDM page for more information on the QDM.	Initial functional status assessment (FSA) and encounter: The initial FSA is an FSA that occurs within two weeks before or during an encounter, in the 180 days or more before the end of the measurement period. Follow-up FSA: The follow-up FSA must be completed at least 30 days but no more than 180 days after the initial FSA. The same FSA instrument must be used for the initial and follow-up assessment. This eCQM is a patient-based measure. This version of the eCQM uses QDM version 5.6. Please refer to the QDM page for more information on the QDM.	Initial functional status assessment (FSA) and encounter: The initial FSA is an FSA that occurs within two weeks before or during an encounter, in the 180 days or more before the end of the measurement period. Follow-up FSA: The follow-up FSA must be completed at least 30 days but no more than 180 days after the initial FSA. The same FSA instrument must be used for the initial and follow-up assessment. This eCQM is a patient-based measure. This version of the eCQM uses QDM version 5.6. Please refer to the QDM page for more information on the QDM.
Initial Population	Patients 18 years of age and older who had two outpatient encounters during the measurement period and a diagnosis of heart failure that starts any time before and continues into the measurement period.	Patients 18 years of age and older who had two outpatient encounters during the measurement period and a diagnosis of heart failure that starts any time before and continues into the measurement period	Patients 18 years of age and older who had two outpatient encounters during the measurement period and a diagnosis of heart failure that starts any time before and continues into the measurement period	Patients 18 years of age and older who had two outpatient encounters during the measurement period and a diagnosis of heart failure that starts any time before and continues into the measurement period
Denominator	Equals Initial Population	Equals Initial Population	Equals Initial Population	Equals Initial Population
Denominator Exclusions	Exclude patients with severe cognitive impairment in any part of the measurement period. Exclude patients who are in hospice care for any part of the measurement period.	Exclude patients who are in hospice care for any part of the measurement period. Exclude patients with severe cognitive impairment in any part of the measurement period.	Exclude patients who are in hospice care or have a hospice care order documented during any part of the measurement period. Exclude patients with severe cognitive impairment in any part of the measurement period.	Exclude patients who are in hospice care or have a hospice care order documented during any part of the measurement period. Exclude patients with severe cognitive impairment in any part of the measurement period.
Numerator	Patients with patient-reported functional status assessment results (i.e., Veterans RAND 12-item health survey [VR-12]; VR-36; Kansas City Cardiomyopathy Questionnaire [KCCQ]; KCCQ-12; Minnesota Living with Heart Failure Questionnaire [MLHFQ]; Patient-Reported Outcomes Measurement Information System [PROMIS]-10 Global Health; PROMIS-29) present in the EHR within two weeks before or during the initial FSA encounter and results for the follow-up FSA at least 30 days but no more than 180 days after the initial FSA	Patients with patient-reported functional status assessment results (i.e., Veterans RAND 12-item health survey [VR-12]; VR-36; Kansas City Cardiomyopathy Questionnaire [KCCQ]; KCCQ-12; Minnesota Living with Heart Failure Questionnaire [MLHFQ]; Patient-Reported Outcomes Measurement Information System [PROMIS]-10 Global Health; PROMIS-29) present in the EHR within two weeks before or during the initial FSA encounter and results for the follow-up FSA at least 30 days but no more than 180 days after the initial FSA	Patients with patient-reported functional status assessment results (i.e., Veterans RAND 12-item health survey [VR-12]; VR-36; Kansas City Cardiomyopathy Questionnaire [KCCQ]; KCCQ-12; Minnesota Living with Heart Failure Questionnaire [MLHFQ]; Patient-Reported Outcomes Measurement Information System [PROMIS]-10 Global Health; PROMIS-29) present in the EHR within two weeks before or during the initial FSA encounter and results for the follow-up FSA at least 30 days but no more than 180 days after the initial FSA	Patients with patient-reported functional status assessment results (i.e., Veterans RAND 12-item health survey [VR-12]; VR-36; Kansas City Cardiomyopathy Questionnaire [KCCQ]; KCCQ-12; Minnesota Living with Heart Failure Questionnaire [MLHFQ]; Patient-Reported Outcomes Measurement Information System [PROMIS]-10 Global Health; PROMIS-29) present in the EHR within two weeks before or during the initial FSA encounter and results for the follow-up FSA at least 30 days but no more than 180 days after the initial FSA
Numerator Exclusions	Not Applicable	Not Applicable	None	None
Denominator Exceptions	None	None	None	None
Telehealth Eligible	Yes	Yes	Yes	Yes
Reporting Options	MIPS, Primary Care First, MVP	MIPS, MVP	MIPS, MVP	Not yet available
MVP ID	G0055	G0055	G0055	Not yet available
Next Version	CMS90v14	CMS90v15	CMS90v16	No Version Available
Previous Version	No Version Available	CMS90v13	CMS90v14	CMS90v15

Measure Information

2024 Performance Period

2025 Performance Period

2026 Performance Period

2027 Performance Period

Title

Functional Status Assessments for Heart Failure

CMS eCQM ID

CMS90v13

CMS90v14

CMS90v15

CMS90v16

CBE ID*

Not Applicable

MIPS Quality ID

377

Measure Steward

Centers for Medicare & Medicaid Services (CMS)

Description

Percentage of patients 18 years of age and older with heart failure who completed initial and follow-up patient-reported functional status assessments

Measure Scoring

Proportion

Measure Type

Process

Stratification

None

Risk Adjustment

None

Rationale

Patients living with heart failure often have poor functional status and health-related quality of life, which declines as the disease progresses (Allen et al., 2012). In addition, their care is often complicated by multiple comorbidities. To assist in managing these complex patients, the American College of Cardiology Foundation and American Heart Association recommend collecting initial and repeat assessments of a patient's function and ability to complete desired activities of daily living (Hunt et al., 2009). The American Heart Association has also released scientific statements emphasizing the collection of patient-reported health status (for example, functional limitations, symptom burden, quality of life) from heart failure patients as an important means of establishing a dynamic conversation between patient and provider regarding care goals and the patient's priorities (Allen et al., 2012; Rumsfeld et al., 2013).

Patients living with heart failure often have poor functional status and health-related quality of life, which declines as the disease progresses (Allen et al., 2012). In addition, their care is often complicated by multiple comorbidities. To assist in managing these complex patients, the American College of Cardiology Foundation and American Heart Association recommend collecting initial and repeat assessments of a patient's function and ability to complete desired activities of daily living (Hunt et al., 2009). The American Heart Association also released scientific statements emphasizing the collection of patient-reported health status (for example, functional limitations, symptom burden, quality of life) from heart failure patients as an important means of establishing a dynamic conversation between patient and provider regarding care goals and the patient's priorities (Allen et al., 2012; Rumsfeld et al., 2013).

The most recent update to clinical guidelines by the American Heart Association, the American College of Cardiology, and the Heart Failure Society of America further emphasizes that better understanding of symptom burden and prognosis may improve the quality of treatment decisions. The guideline also indicates that routine assessment can facilitate population health management by identifying high-risk patients needing closer monitoring or referral to specialized centers and that patient-reported health status assessment increases the patient’s role in care, which can motivate initiation and uptake of medical therapy (Heidenreich et al., 2022).

Patients living with heart failure often have poor functional status and health-related quality of life, which declines as the disease progresses (Allen et al., 2012). In addition, their care is often complicated by multiple comorbidities. To assist in managing these complex patients, the American College of Cardiology Foundation and American Heart Association recommend collecting initial and repeat assessments of a patient's function and ability to complete desired activities of daily living (Hunt et al., 2009). The American Heart Association also released scientific statements emphasizing the collection of patient-reported health status (for example, functional limitations, symptom burden, quality of life) from heart failure patients as an important means of establishing a dynamic conversation between patient and provider regarding care goals and the patient's priorities (Allen et al., 2012; Rumsfeld et al., 2013).

Clinical Recommendation Statement

American College of Cardiology Foundation and American Heart Association (2013): While this guideline does not explicitly recommend the use of patient-reported functional status or quality of life assessments (such as the Kansas City Cardiomyopathy Questionnaire or Minnesota Living with Heart Failure Questionnaire), it does “refer to meaningful survival as a state in which HRQOL [health-related quality of life] is satisfactory to the patient.” The guideline also includes quality of life assessments in its description of a detailed plan of care for patients with chronic heart failure.

The American Heart Association, the American College of Cardiology, and the Heart Failure Society of America (2022):

This guideline provides patient-centric recommendations for clinicians to prevent, diagnose, and manage patients with heart failure and specifically recommends assessing patient-reported health status using a validated questionnaire to provide incremental information for patient functional status, symptom burden, and prognosis. Tools specifically recommended in the guideline are as follows:

- The Kansas City Cardiomyopathy Questionnaire or,

- The Minnesota Living with Heart Failure Questionnaire

- PROMIS-Plus-HF [Patient Reported Outcomes Measurement Information System Plus-Heart Failure]

The American Heart Association, the American College of Cardiology, and the Heart Failure Society of America (2022): This guideline provides patient-centric recommendations for clinicians to prevent, diagnose, and manage patients with heart failure and specifically recommends assessing patient-reported health status using a validated questionnaire to provide incremental information for patient functional status, symptom burden, and prognosis. Tools specifically recommended in the guideline are as follows:

- The Kansas City Cardiomyopathy Questionnaire or,

- The Minnesota Living with Heart Failure Questionnaire

- PROMIS-Plus-HF [Patient Reported Outcomes Measurement Information System Plus-Heart Failure]

The Kansas City Cardiomyopathy Questionnaire or,
The Minnesota Living with Heart Failure Questionnaire
PROMIS-Plus-HF [Patient Reported Outcomes Measurement Information System Plus-Heart Failure]

Improvement Notation

A higher score indicates better quality

Higher score indicates better quality

Definition

None

Guidance

Follow-up FSA: The follow-up FSA must be completed at least 30 days but no more than 180 days after the initial FSA.

The same FSA instrument must be used for the initial and follow-up assessment.

This eCQM is a patient-based measure.

This version of the eCQM uses QDM version 5.6. Please refer to the QDM page for more information on the QDM.

Follow-up FSA: The follow-up FSA must be completed at least 30 days but no more than 180 days after the initial FSA.

The same FSA instrument must be used for the initial and follow-up assessment.

This eCQM is a patient-based measure.

This version of the eCQM uses QDM version 5.6. Please refer to the QDM page for more information on the QDM.

Follow-up FSA: The follow-up FSA must be completed at least 30 days but no more than 180 days after the initial FSA.

The same FSA instrument must be used for the initial and follow-up assessment.

This eCQM is a patient-based measure.

This version of the eCQM uses QDM version 5.6. Please refer to the QDM page for more information on the QDM.

Initial functional status assessment (FSA) and encounter: The initial FSA is an FSA that occurs within two weeks before or during an encounter, in the 180 days or more before the end of the measurement period.

Follow-up FSA: The follow-up FSA must be completed at least 30 days but no more than 180 days after the initial FSA.

The same FSA instrument must be used for the initial and follow-up assessment.

This eCQM is a patient-based measure.

This version of the eCQM uses QDM version 5.6. Please refer to the QDM page for more information on the QDM.

Initial Population

Patients 18 years of age and older who had two outpatient encounters during the measurement period and a diagnosis of heart failure that starts any time before and continues into the measurement period.

Denominator

Equals Initial Population

Denominator Exclusions

Exclude patients with severe cognitive impairment in any part of the measurement period.

Exclude patients who are in hospice care for any part of the measurement period.

Exclude patients with severe cognitive impairment in any part of the measurement period.

Exclude patients who are in hospice care or have a hospice care order documented during any part of the measurement period.

Exclude patients with severe cognitive impairment in any part of the measurement period.

Exclude patients who are in hospice care or have a hospice care order documented during any part of the measurement period.

Exclude patients with severe cognitive impairment in any part of the measurement period.

Numerator

Patients with patient-reported functional status assessment results (i.e., Veterans RAND 12-item health survey [VR-12]; VR-36; Kansas City Cardiomyopathy Questionnaire [KCCQ]; KCCQ-12; Minnesota Living with Heart Failure Questionnaire [MLHFQ]; Patient-Reported Outcomes Measurement Information System [PROMIS]-10 Global Health; PROMIS-29) present in the EHR within two weeks before or during the initial FSA encounter and results for the follow-up FSA at least 30 days but no more than 180 days after the initial FSA

Numerator Exclusions

Not Applicable

None

Denominator Exceptions

None

Telehealth Eligible

Yes

Reporting Options

MIPS, Primary Care First, MVP

MIPS, MVP

Not yet available

MVP ID

G0055

Not yet available

Next Version

CMS90v14

CMS90v15

CMS90v16

No Version Available

Previous Version

No Version Available

CMS90v13

CMS90v14

CMS90v15

CMS90-v16.0.000-QDM-TRN.xlsx

TRN	Measure Section	Source of Change
Updated the eCQM version number.	eCQM Version Number	Annual Update
Updated the measurement period from 'January 1, 2026 through December 31, 2026' to 'January 1, 2027 through December 31, 2027.'	Measurement Period	Annual Update
Updated copyright.	Copyright	Annual Update
Updated all References from APA6 style to APA7 style.	Reference	Standards/Technical Update
Updated all in-text citations from APA6 style to APA7 style.	Multiple Sections	Standards/Technical Update

TRN

Measure Section

Source of Change

Updated the eCQM version number.

eCQM Version Number

Annual Update

Updated the measurement period from 'January 1, 2026 through December 31, 2026' to 'January 1, 2027 through December 31, 2027.'

Measurement Period

Annual Update

Updated copyright.

Annual Update

Updated all References from APA6 style to APA7 style.

Reference

Standards/Technical Update

Updated all in-text citations from APA6 style to APA7 style.

Multiple Sections

Standards/Technical Update

TRN	Measure Section	Source of Change
Updated Measure Primary CQL Library Name from 'CMS90FSAforHeartFailureQDM' to 'CMS90FSAforHeartFailure' for alignment with the CQL Style Guide.	Definitions	Standards/Technical Update
Updated CQL definitions, functions, and/or aliases for clarification and to align with the CQL Style Guide.	Definitions	Standards/Technical Update
Updated all logic definitions to be written in initial case for alignment with the CQL Style Guide.	Definitions	Annual Update
Updated Measure Primary CQL Library Name from 'CMS90FSAforHeartFailureQDM' to 'CMS90FSAforHeartFailure' for alignment with the CQL Style Guide.	Functions	Standards/Technical Update

TRN

Measure Section

Source of Change

Updated Measure Primary CQL Library Name from 'CMS90FSAforHeartFailureQDM' to 'CMS90FSAforHeartFailure' for alignment with the CQL Style Guide.

Definitions

Standards/Technical Update

Updated CQL definitions, functions, and/or aliases for clarification and to align with the CQL Style Guide.

Definitions

Standards/Technical Update

Updated all logic definitions to be written in initial case for alignment with the CQL Style Guide.

Definitions

Annual Update

Updated Measure Primary CQL Library Name from 'CMS90FSAforHeartFailureQDM' to 'CMS90FSAforHeartFailure' for alignment with the CQL Style Guide.

Functions

Standards/Technical Update

TRN	Measure Section	Source of Change
Value Set 'Encounter Inpatient' (2.16.840.1.113883.3.666.5.307): Added 4 SNOMEDCT codes (112689000, 15584006, 442281000124108, 81672003) based on SME/Expert recommendations.	Terminology	Annual Update
Value Set 'Heart Failure' (2.16.840.1.113883.3.526.3.376): Deleted 1 SNOMEDCT code (233924009) based on code system/terminology updates.	Terminology	Annual Update
Value Set 'Office Visit' (2.16.840.1.113883.3.464.1003.101.12.1001): Added 8 CPT codes (98000, 98001, 98002, 98003, 98004, 98005, 98006, 98007) based on SME/Expert recommendations. Added 2 SNOMEDCT codes (30346009, 37894004) based on SME/Expert recommendations.	Terminology	Annual Update
Value Set 'Payer Type' (2.16.840.1.114222.4.11.3591): Deleted 42 SOPT codes (111, 1112, 3111, 3112, 3114, 3115, 3116, 3119, 3121, 3122, 3211, 3212, 32121, 32122, 32123, 32124, 32125, 32126, 32127, 32128, 3222, 3223, 3229, 3711, 3712, 3713, 3811, 3812, 3813, 3819, 6, 61, 611, 612, 613, 614, 619, 62, 621, 622, 623, 629) based on new or changed coding guidance.	Terminology	Annual Update
Value Set 'Telephone Visits' (2.16.840.1.113883.3.464.1003.101.12.1080): Added 6 CPT codes (98979, 98980, 98981, 99457, 99458, 99470) based on SME/Expert recommendations.	Terminology	Annual Update
Value Set 'Virtual Encounter' (2.16.840.1.113883.3.464.1003.101.12.1089): Added 1 CPT code (98016) based on SME/Expert recommendations. Deleted 4 CPT codes (98980, 98981, 99457, 99458) based on SME/Expert recommendations.	Terminology	Annual Update

TRN

Measure Section

Source of Change

Value Set 'Encounter Inpatient' (2.16.840.1.113883.3.666.5.307): Added 4 SNOMEDCT codes (112689000, 15584006, 442281000124108, 81672003) based on SME/Expert recommendations.

Terminology

Annual Update

Value Set 'Heart Failure' (2.16.840.1.113883.3.526.3.376): Deleted 1 SNOMEDCT code (233924009) based on code system/terminology updates.

Terminology

Annual Update

Value Set 'Office Visit' (2.16.840.1.113883.3.464.1003.101.12.1001): Added 8 CPT codes (98000, 98001, 98002, 98003, 98004, 98005, 98006, 98007) based on SME/Expert recommendations. Added 2 SNOMEDCT codes (30346009, 37894004) based on SME/Expert recommendations.

Terminology

Annual Update

Value Set 'Payer Type' (2.16.840.1.114222.4.11.3591): Deleted 42 SOPT codes (111, 1112, 3111, 3112, 3114, 3115, 3116, 3119, 3121, 3122, 3211, 3212, 32121, 32122, 32123, 32124, 32125, 32126, 32127, 32128, 3222, 3223, 3229, 3711, 3712, 3713, 3811, 3812, 3813, 3819, 6, 61, 611, 612, 613, 614, 619, 62, 621, 622, 623, 629) based on new or changed coding guidance.

Terminology

Annual Update

Value Set 'Telephone Visits' (2.16.840.1.113883.3.464.1003.101.12.1080): Added 6 CPT codes (98979, 98980, 98981, 99457, 99458, 99470) based on SME/Expert recommendations.

Terminology

Annual Update

Value Set 'Virtual Encounter' (2.16.840.1.113883.3.464.1003.101.12.1089): Added 1 CPT code (98016) based on SME/Expert recommendations. Deleted 4 CPT codes (98980, 98981, 99457, 99458) based on SME/Expert recommendations.

Terminology

Annual Update

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Functional Status Assessments for Heart Failure

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