URSA-HCC-R02: Qualifying CMS-HCC Diagnoses
  • 28 Jun 2025
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URSA-HCC-R02: Qualifying CMS-HCC Diagnoses

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Article summary

Measure Description

Registry of distinct qualifying CMS-HCC ICD-10-CM diagnosis codes. Each record is a distinct patient-code-date triple; that is, multiple instances of the same diagnosis code documented on the same day for the same patient are captured as a single record in the registry.

Metadata

  • Measure Type: Registry
  • Temporal Structure: Event
  • Component Class: Normal-Form
  • Denominator Case Field: Patient ID, Diagnosis Effective Date, Diagnosis ICD-10-CM Code
  • Target Direction: None

Published Fields

  • Data Model Keys

    • Patient ID
    • Primary Diagnosis Document ID
    • Primary Encounter ID
    • Primary Encounter Facility Provider ID
    • Primary Encounter Attending Provider ID
    • Primary Encounter Service Provider ID
    • Primary Encounter Provider Group ID
  • Date Fields

    • Diagnosis Effective Date
    • Segment Start Date -- The start date of the reporting segment. (See also [URSA-CORE] Reporting Segment)
    • Segment End Date -- The end date of the reporting segment. (See also [URSA-CORE] Reporting Segment)
  • Diagnosis Fields

    • Diagnosis ICD-10-CM Code
    • Diagnosis ICD-10-CM Description
  • Module Fields

    • Is CMS MAO-004 Diagnosis
  • Encounter Fields

    • Is Diagnoses within URSA-CORE Encounter
    • Ursa Encounter Type Tier 1 Category
    • Ursa Encounter Type Tier 2 Category
    • Is Clinician Office Visit Encounter
    • Is Primary Care Clinician Office Visit
  • Provider Fields

    • Primary Encounter Facility Provider Description
    • Primary Encounter Facility Provider Taxonomy Description
    • Primary Encounter Attending Provider Description
    • Primary Encounter Service Provider Description
    • Primary Encounter Service Provider Taxonomy Description
    • Primary Encounter Provider Group Description
  • Metadata Fields

    • Is Claim Diagnosis
    • Is Bill Diagnosis
    • Is Acceptable Diagnosis Document Type
  • Measure Fields

    • Denominator

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