FAQ Directory

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4.15.2014 Encounter Rate by Service Type (ENRST) We noticed some rate fluctuations this year and found that many of the laboratory/pathology procedure codes from the MY 2012 code tables were not included in the MY 2013 Value Set Directory. MY 2012 included CPT codes 80047-89398. This year, the codes only go up to 80076 and then skip to the 89xxx series. These changes are not documented in the VSD Summary of Changes. Should these codes be included in this year’s P4P reporting?

The December 2, 2013, release of the MY2013 P4P Value Set Directory (VSD) was incomplete for two value sets used to report the Encounter Rate by Service Type (ENRST) measure. Therefore, we are releasing a 2014-03-19 version of the VSD that contains the following changes:
· Laboratory and Pathology Services Value Set: Added 1331 CPT codes
· Radiology and Imaging Services Value Set: Added 21 CPT codes

The added codes can be identified in the VSD as follows:
· In the P4P Value Sets to Codes spreadsheet, set the filter in column C (Value Set Version) to “2014-03-19” to identify added codes.
· In the P4P Summary of Changes spreadsheet, set the filter in column F (Revised) to “2014-03-19” to identify added codes.

To access the correct value sets, go to the download center at https://downloads.ncqa.org/customer/Login.aspx and log in.

If you have any questions, contact p4p@ncqa.org.

ALL 2013