PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Numerator Value Set Name Code Definition Code System Outpatient Without UBREV 99201 CPT

Outpatient Without UBREV 99202 CPT

Outpatient Without UBREV 99203 CPT

Outpatient Without UBREV 99204 CPT

Outpatient Without UBREV 99205 CPT

Outpatient Without UBREV 99211 CPT

Outpatient Without UBREV 99212 CPT Outpatient Without UBREV 99213 CPT Outpatient Without UBREV 99214 CPT Outpatient Without UBREV 99215 CPT Outpatient Without UBREV 99241 CPT Outpatient Without UBREV 99242 CPT Outpatient Without UBREV 99243 CPT Outpatient Without UBREV 99244 CPT Outpatient Without UBREV 99245 CPT Outpatient Without UBREV 99341 CPT Outpatient Without UBREV 99342 CPT Outpatient Without UBREV 99343 CPT Outpatient Without UBREV 99344 CPT Outpatient Without UBREV 99345 CPT Outpatient Without UBREV 99347 CPT Outpatient Without UBREV 99348 CPT Outpatient Without UBREV 99349 CPT Outpatient Without UBREV 99350 CPT Outpatient Without UBREV 99381 CPT Outpatient Without UBREV 99382 CPT

Page 1 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Numerator Value Set Name Code Definition Code System Outpatient Without UBREV 99383 CPT Outpatient Without UBREV 99384 CPT Outpatient Without UBREV 99385 CPT Outpatient Without UBREV 99386 CPT Outpatient Without UBREV 99387 CPT Outpatient Without UBREV 99391 CPT Outpatient Without UBREV 99392 CPT Outpatient Without UBREV 99393 CPT Outpatient Without UBREV 99394 CPT Outpatient Without UBREV 99395 CPT Outpatient Without UBREV 99396 CPT Outpatient Without UBREV 99397 CPT Outpatient Without UBREV 99401 CPT Outpatient Without UBREV 99402 CPT Outpatient Without UBREV 99403 CPT Outpatient Without UBREV 99404 CPT Outpatient Without UBREV 99411 CPT Outpatient Without UBREV 99412 CPT Outpatient Without UBREV 99429 CPT Outpatient Without UBREV 99455 CPT Outpatient Without UBREV 99456 CPT Outpatient Without UBREV 99483 CPT

Initial preventive physical examination; face‐to‐face visit, services limited to new Outpatient Without UBREV G0402 HCPCS beneficiary during the first 12 months of medicare enrollment (G0402)

Annual wellness visit; includes a personalized prevention plan of service (pps), Outpatient Without UBREV G0438 HCPCS initial visit (G0438) Annual wellness visit, includes a personalized prevention plan of service (pps), Outpatient Without UBREV G0439 HCPCS subsequent visit (G0439) Hospital outpatient clinic visit for assessment and management of a patient Outpatient Without UBREV G0463 HCPCS (G0463)

Page 2 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Numerator Value Set Name Code Definition Code System

Outpatient Without UBREV T1015 Clinic visit/encounter, all‐inclusive (T1015) HCPCS

Remote Blood Pressure 93784 CPT Monitoring Remote Blood Pressure 93788 CPT Monitoring Remote Blood Pressure 93790 CPT Monitoring Remote Blood Pressure 99091 CPT Monitoring Remote Blood Pressure 99453 CPT Monitoring Remote Blood Pressure 99454 CPT Monitoring Remote Blood Pressure 99457 CPT Monitoring Remote Blood Pressure SNOMED CT US 448678005 Application of ambulatory blood pressure monitor (procedure) Monitoring Edition Remote Blood Pressure SNOMED CT US 725956001 Ambulatory blood pressure monitoring report (record artifact) Monitoring Edition Systolic Less Than 140 3074F Most recent systolic blood pressure less than 130 mm Hg (DM), (HTN, CKD, CAD) CPT‐CAT‐II

Systolic Less Than 140 3075F Most recent systolic blood pressure 130‐139 mm Hg (DM),(HTN, CKD, CAD) CPT‐CAT‐II

Diastolic 80‐89 3079F Most recent diastolic blood pressure 80‐89 mm Hg (HTN, CKD, CAD) (DM) CPT‐CAT‐II

Diastolic Less Than 80 3078F Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM) CPT‐CAT‐II

Page 3 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Denominator Value Set Name Code Definition Code System Outpatient Without UBREV 99201 CPT Outpatient Without UBREV 99202 CPT Outpatient Without UBREV 99203 CPT Outpatient Without UBREV 99204 CPT Outpatient Without UBREV 99205 CPT Outpatient Without UBREV 99211 CPT Outpatient Without UBREV 99212 CPT Outpatient Without UBREV 99213 CPT Outpatient Without UBREV 99214 CPT Outpatient Without UBREV 99215 CPT Outpatient Without UBREV 99241 CPT Outpatient Without UBREV 99242 CPT Outpatient Without UBREV 99243 CPT Outpatient Without UBREV 99244 CPT Outpatient Without UBREV 99245 CPT Outpatient Without UBREV 99341 CPT Outpatient Without UBREV 99342 CPT Outpatient Without UBREV 99343 CPT Outpatient Without UBREV 99344 CPT Outpatient Without UBREV 99345 CPT Outpatient Without UBREV 99347 CPT Outpatient Without UBREV 99348 CPT Outpatient Without UBREV 99349 CPT Outpatient Without UBREV 99350 CPT Outpatient Without UBREV 99381 CPT Outpatient Without UBREV 99382 CPT Outpatient Without UBREV 99383 CPT Outpatient Without UBREV 99384 CPT Outpatient Without UBREV 99385 CPT Outpatient Without UBREV 99386 CPT Outpatient Without UBREV 99387 CPT Outpatient Without UBREV 99391 CPT Outpatient Without UBREV 99392 CPT

Page 4 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Denominator Value Set Name Code Definition Code System Outpatient Without UBREV 99393 CPT Outpatient Without UBREV 99394 CPT Outpatient Without UBREV 99395 CPT Outpatient Without UBREV 99396 CPT Outpatient Without UBREV 99397 CPT Outpatient Without UBREV 99401 CPT Outpatient Without UBREV 99402 CPT Outpatient Without UBREV 99403 CPT Outpatient Without UBREV 99404 CPT Outpatient Without UBREV 99411 CPT Outpatient Without UBREV 99412 CPT Outpatient Without UBREV 99429 CPT Outpatient Without UBREV 99455 CPT Outpatient Without UBREV 99456 CPT Outpatient Without UBREV 99483 CPT Initial preventive physical examination; face‐to‐face visit, services Outpatient Without UBREV G0402 limited to new beneficiary during the first 12 months of medicare HCPCS enrollment (G0402) Annual wellness visit; includes a personalized prevention plan of service Outpatient Without UBREV G0438 HCPCS (pps), initial visit (G0438) Annual wellness visit, includes a personalized prevention plan of service Outpatient Without UBREV G0439 HCPCS (pps), subsequent visit (G0439) Hospital outpatient clinic visit for assessment and management of a Outpatient Without UBREV G0463 HCPCS patient (G0463) Outpatient Without UBREV T1015 Clinic visit/encounter, all‐inclusive (T1015) HCPCS

Page 5 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Frailty Device E0100 Cane, includes canes of all materials, adjustable or fixed, with tip (E0100) HCPCS Cane, quad or three prong, includes canes of all materials, adjustable or fixed, Frailty Device E0105 HCPCS with tips (E0105) Frailty Device E0130 Walker, rigid (pickup), adjustable or fixed height (E0130) HCPCS Frailty Device E0135 Walker, folding (pickup), adjustable or fixed height (E0135) HCPCS Frailty Device E0140 Walker, with trunk support, adjustable or fixed height, any type (E0140) HCPCS Frailty Device E0141 Walker, rigid, wheeled, adjustable or fixed height (E0141) HCPCS Frailty Device E0143 Walker, folding, wheeled, adjustable or fixed height (E0143) HCPCS Walker, enclosed, four sided framed, rigid or folding, wheeled with posterior seat Frailty Device E0144 HCPCS (E0144) Frailty Device E0147 Walker, heavy duty, multiple braking system, variable wheel resistance (E0147) HCPCS

Frailty Device E0148 Walker, heavy duty, without wheels, rigid or folding, any type, each (E0148) HCPCS Frailty Device E0149 Walker, heavy duty, wheeled, rigid or folding, any type (E0149) HCPCS Frailty Device E0163 Commode chair, mobile or stationary, with fixed arms (E0163) HCPCS Frailty Device E0165 Commode chair, mobile or stationary, with detachable arms (E0165) HCPCS Frailty Device E0167 Pail or pan for use with commode chair, replacement only (E0167) HCPCS Commode chair, extra wide and/or heavy duty, stationary or mobile, with or Frailty Device E0168 HCPCS without arms, any type, each (E0168) Frailty Device E0170 Commode chair with integrated seat lift mechanism, electric, any type (E0170) HCPCS Commode chair with integrated seat lift mechanism, non‐electric, any type Frailty Device E0171 HCPCS (E0171) Frailty Device E0250 Hospital bed, fixed height, with any type side rails, with mattress (E0250) HCPCS

Frailty Device E0251 Hospital bed, fixed height, with any type side rails, without mattress (E0251) HCPCS

Frailty Device E0255 Hospital bed, variable height, hi‐lo, with any type side rails, with mattress (E0255) HCPCS

Page 6 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Hospital bed, variable height, hi‐lo, with any type side rails, without mattress Frailty Device E0256 HCPCS (E0256) Hospital bed, semi‐electric (head and foot adjustment), with any type side rails, Frailty Device E0260 HCPCS with mattress (E0260) Hospital bed, semi‐electric (head and foot adjustment), with any type side rails, Frailty Device E0261 HCPCS without mattress (E0261) Hospital bed, total electric (head, foot and height adjustments), with any type Frailty Device E0265 HCPCS side rails, with mattress (E0265) Hospital bed, total electric (head, foot and height adjustments), with any type Frailty Device E0266 HCPCS side rails, without mattress (E0266) Hospital bed, institutional type includes: oscillating, circulating and stryker frame, Frailty Device E0270 HCPCS with mattress (E0270) Frailty Device E0290 Hospital bed, fixed height, without side rails, with mattress (E0290) HCPCS Frailty Device E0291 Hospital bed, fixed height, without side rails, without mattress (E0291) HCPCS Frailty Device E0292 Hospital bed, variable height, hi‐lo, without side rails, with mattress (E0292) HCPCS

Frailty Device E0293 Hospital bed, variable height, hi‐lo, without side rails, without mattress (E0293) HCPCS Hospital bed, semi‐electric (head and foot adjustment), without side rails, with Frailty Device E0294 HCPCS mattress (E0294) Hospital bed, semi‐electric (head and foot adjustment), without side rails, Frailty Device E0295 HCPCS without mattress (E0295) Hospital bed, total electric (head, foot and height adjustments), without side Frailty Device E0296 HCPCS rails, with mattress (E0296) Hospital bed, total electric (head, foot and height adjustments), without side Frailty Device E0297 HCPCS rails, without mattress (E0297) Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 Frailty Device E0301 pounds, but less than or equal to 600 pounds, with any type side rails, without HCPCS mattress (E0301) Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 Frailty Device E0302 HCPCS pounds, with any type side rails, without mattress (E0302)

Page 7 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 Frailty Device E0303 pounds, but less than or equal to 600 pounds, with any type side rails, with HCPCS mattress (E0303) Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 Frailty Device E0304 HCPCS pounds, with any type side rails, with mattress (E0304) Stationary compressed gaseous oxygen system, rental; includes container, Frailty Device E0424 contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and HCPCS tubing (E0424) Stationary compressed gas system, purchase; includes regulator, flowmeter, Frailty Device E0425 HCPCS humidifier, nebulizer, cannula or mask, and tubing (E0425) Portable gaseous oxygen system, purchase; includes regulator, flowmeter, Frailty Device E0430 HCPCS humidifier, cannula or mask, and tubing (E0430) Portable gaseous oxygen system, rental; includes portable container, regulator, Frailty Device E0431 HCPCS flowmeter, humidifier, cannula or mask, and tubing (E0431) Portable liquid oxygen system, rental; home liquefier used to fill portable liquid oxygen containers, includes portable containers, regulator, flowmeter, Frailty Device E0433 HCPCS humidifier, cannula or mask and tubing, with or without supply reservoir and contents gauge (E0433) Portable liquid oxygen system, rental; includes portable container, supply Frailty Device E0434 reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, HCPCS and tubing (E0434) Portable liquid oxygen system, purchase; includes portable container, supply Frailty Device E0435 reservoir, flowmeter, humidifier, contents gauge, cannula or mask, tubing and HCPCS refill adaptor (E0435) Stationary liquid oxygen system, rental; includes container, contents, regulator, Frailty Device E0439 HCPCS flowmeter, humidifier, nebulizer, cannula or mask, & tubing (E0439) Stationary liquid oxygen system, purchase; includes use of reservoir, contents Frailty Device E0440 indicator, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and HCPCS tubing (E0440) Frailty Device E0441 Stationary oxygen contents, gaseous, 1 month's supply = 1 unit (E0441) HCPCS Frailty Device E0442 Stationary oxygen contents, liquid, 1 month's supply = 1 unit (E0442) HCPCS

Page 8 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Frailty Device E0443 Portable oxygen contents, gaseous, 1 month's supply = 1 unit (E0443) HCPCS Frailty Device E0444 Portable oxygen contents, liquid, 1 month's supply = 1 unit (E0444) HCPCS Frailty Device E0462 Rocking bed with or without side rails (E0462) HCPCS Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) Frailty Device E0465 HCPCS (E0465) Home ventilator, any type, used with non‐invasive interface, (e.g., mask, chest Frailty Device E0466 HCPCS shell) (E0466) Respiratory assist device, bi‐level pressure capability, without backup rate Frailty Device E0470 feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent HCPCS assist device with continuous positive airway pressure device) (E0470)

Respiratory assist device, bi‐level pressure capability, with back‐up rate feature, Frailty Device E0471 used with noninvasive interface, e.g., nasal or facial mask (intermittent assist HCPCS device with continuous positive airway pressure device) (E0471)

Respiratory assist device, bi‐level pressure capability, with backup rate feature, Frailty Device E0472 used with invasive interface, e.g., tracheostomy tube (intermittent assist device HCPCS with continuous positive airway pressure device) (E0472)

Frailty Device E0561 Humidifier, non‐heated, used with positive airway pressure device (E0561) HCPCS Frailty Device E0562 Humidifier, heated, used with positive airway pressure device (E0562) HCPCS Standard wheelchair, fixed full length arms, fixed or swing away detachable Frailty Device E1130 HCPCS footrests (E1130) Wheelchair, detachable arms, desk or full length, swing away detachable Frailty Device E1140 HCPCS footrests (E1140) Wheelchair, detachable arms, desk or full length swing away detachable elevating Frailty Device E1150 HCPCS legrests (E1150) Wheelchair, fixed full length arms, swing away detachable elevating legrests Frailty Device E1160 HCPCS (E1160) Frailty Device E1161 Manual adult size wheelchair, includes tilt in space (E1161) HCPCS

Page 9 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Lightweight wheelchair, detachable arms, (desk or full length) swing away Frailty Device E1240 HCPCS detachable, elevating legrest (E1240) Lightweight wheelchair, fixed full length arms, swing away detachable footrest Frailty Device E1250 HCPCS (E1250) Lightweight wheelchair, detachable arms (desk or full length) swing away Frailty Device E1260 HCPCS detachable footrest (E1260) Lightweight wheelchair, fixed full length arms, swing away detachable elevating Frailty Device E1270 HCPCS legrests (E1270) Heavy duty wheelchair, detachable arms (desk or full length) elevating legrests Frailty Device E1280 HCPCS (E1280) Heavy duty wheelchair, fixed full length arms, swing away detachable footrest Frailty Device E1285 HCPCS (E1285) Heavy duty wheelchair, detachable arms (desk or full length) swing away Frailty Device E1290 HCPCS detachable footrest (E1290) Frailty Device E1295 Heavy duty wheelchair, fixed full length arms, elevating legrest (E1295) HCPCS Frailty Device E1296 Special wheelchair seat height from floor (E1296) HCPCS Frailty Device E1297 Special wheelchair seat depth, by upholstery (E1297) HCPCS Frailty Device E1298 Special wheelchair seat depth and/or width, by construction (E1298) HCPCS Frailty Diagnosis L89.119 [L89.119] Pressure ulcer of right upper back, unspecified stage ICD10CM Frailty Diagnosis L89.139 [L89.139] Pressure ulcer of right lower back, unspecified stage ICD10CM Frailty Diagnosis L89.149 [L89.149] Pressure ulcer of left lower back, unspecified stage ICD10CM Frailty Diagnosis L89.159 [L89.159] Pressure ulcer of sacral region, unspecified stage ICD10CM Frailty Diagnosis L89.209 [L89.209] Pressure ulcer of unspecified hip, unspecified stage ICD10CM Frailty Diagnosis L89.309 [L89.309] Pressure ulcer of unspecified buttock, unspecified stage ICD10CM Frailty Diagnosis L89.899 [L89.899] Pressure ulcer of other site, unspecified stage ICD10CM Frailty Diagnosis L89.90 [L89.90] Pressure ulcer of unspecified site, unspecified stage ICD10CM Frailty Diagnosis M62.50 [M62.50] Muscle wasting and atrophy, not elsewhere classified, unspecified site ICD10CM Frailty Diagnosis M62.81 [M62.81] Muscle weakness (generalized) ICD10CM Frailty Diagnosis M62.84 [M62.84] Sarcopenia ICD10CM [W01.0XXA] Fall on same level from slipping, tripping and stumbling without Frailty Diagnosis W01.0XXA ICD10CM subsequent striking against object, initial encounter

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Exclusion Value Set Name Code Definition Code System [W01.0XXD] Fall on same level from slipping, tripping and stumbling without Frailty Diagnosis W01.0XXD ICD10CM subsequent striking against object, subsequent encounter [W01.0XXS] Fall on same level from slipping, tripping and stumbling without Frailty Diagnosis W01.0XXS ICD10CM subsequent striking against object, sequela [W01.10XA] Fall on same level from slipping, tripping and stumbling with Frailty Diagnosis W01.10XA ICD10CM subsequent striking against unspecified object, initial encounter [W01.10XD] Fall on same level from slipping, tripping and stumbling with Frailty Diagnosis W01.10XD ICD10CM subsequent striking against unspecified object, subsequent encounter [W01.10XS] Fall on same level from slipping, tripping and stumbling with Frailty Diagnosis W01.10XS ICD10CM subsequent striking against unspecified object, sequela [W01.110A] Fall on same level from slipping, tripping and stumbling with Frailty Diagnosis W01.110A ICD10CM subsequent striking against sharp glass, initial encounter [W01.110D] Fall on same level from slipping, tripping and stumbling with Frailty Diagnosis W01.110D ICD10CM subsequent striking against sharp glass, subsequent encounter [W01.110S] Fall on same level from slipping, tripping and stumbling with Frailty Diagnosis W01.110S ICD10CM subsequent striking against sharp glass, sequela [W01.111A] Fall on same level from slipping, tripping and stumbling with Frailty Diagnosis W01.111A ICD10CM subsequent striking against power tool or machine, initial encounter

[W01.111D] Fall on same level from slipping, tripping and stumbling with Frailty Diagnosis W01.111D ICD10CM subsequent striking against power tool or machine, subsequent encounter [W01.111S] Fall on same level from slipping, tripping and stumbling with Frailty Diagnosis W01.111S ICD10CM subsequent striking against power tool or machine, sequela [W01.118A] Fall on same level from slipping, tripping and stumbling with Frailty Diagnosis W01.118A ICD10CM subsequent striking against other sharp object, initial encounter [W01.118D] Fall on same level from slipping, tripping and stumbling with Frailty Diagnosis W01.118D ICD10CM subsequent striking against other sharp object, subsequent encounter [W01.118S] Fall on same level from slipping, tripping and stumbling with Frailty Diagnosis W01.118S ICD10CM subsequent striking against other sharp object, sequela

Page 11 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System [W01.119A] Fall on same level from slipping, tripping and stumbling with Frailty Diagnosis W01.119A ICD10CM subsequent striking against unspecified sharp object, initial encounter

[W01.119D] Fall on same level from slipping, tripping and stumbling with Frailty Diagnosis W01.119D ICD10CM subsequent striking against unspecified sharp object, subsequent encounter [W01.119S] Fall on same level from slipping, tripping and stumbling with Frailty Diagnosis W01.119S ICD10CM subsequent striking against unspecified sharp object, sequela [W01.190A] Fall on same level from slipping, tripping and stumbling with Frailty Diagnosis W01.190A ICD10CM subsequent striking against furniture, initial encounter [W01.190D] Fall on same level from slipping, tripping and stumbling with Frailty Diagnosis W01.190D ICD10CM subsequent striking against furniture, subsequent encounter [W01.190S] Fall on same level from slipping, tripping and stumbling with Frailty Diagnosis W01.190S ICD10CM subsequent striking against furniture, sequela [W01.198A] Fall on same level from slipping, tripping and stumbling with Frailty Diagnosis W01.198A ICD10CM subsequent striking against other object, initial encounter [W01.198D] Fall on same level from slipping, tripping and stumbling with Frailty Diagnosis W01.198D ICD10CM subsequent striking against other object, subsequent encounter [W01.198S] Fall on same level from slipping, tripping and stumbling with Frailty Diagnosis W01.198S ICD10CM subsequent striking against other object, sequela Frailty Diagnosis W06.XXXA [W06.XXXA] Fall from bed, initial encounter ICD10CM Frailty Diagnosis W06.XXXD [W06.XXXD] Fall from bed, subsequent encounter ICD10CM Frailty Diagnosis W06.XXXS [W06.XXXS] Fall from bed, sequela ICD10CM Frailty Diagnosis W07.XXXA [W07.XXXA] Fall from chair, initial encounter ICD10CM Frailty Diagnosis W07.XXXD [W07.XXXD] Fall from chair, subsequent encounter ICD10CM Frailty Diagnosis W07.XXXS [W07.XXXS] Fall from chair, sequela ICD10CM Frailty Diagnosis W08.XXXA [W08.XXXA] Fall from other furniture, initial encounter ICD10CM Frailty Diagnosis W08.XXXD [W08.XXXD] Fall from other furniture, subsequent encounter ICD10CM Frailty Diagnosis W08.XXXS [W08.XXXS] Fall from other furniture, sequela ICD10CM Frailty Diagnosis W10.0XXA [W10.0XXA] Fall (on)(from) escalator, initial encounter ICD10CM Frailty Diagnosis W10.0XXD [W10.0XXD] Fall (on)(from) escalator, subsequent encounter ICD10CM Frailty Diagnosis W10.0XXS [W10.0XXS] Fall (on)(from) escalator, sequela ICD10CM

Page 12 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Frailty Diagnosis W10.1XXA [W10.1XXA] Fall (on)(from) sidewalk curb, initial encounter ICD10CM Frailty Diagnosis W10.1XXD [W10.1XXD] Fall (on)(from) sidewalk curb, subsequent encounter ICD10CM Frailty Diagnosis W10.1XXS [W10.1XXS] Fall (on)(from) sidewalk curb, sequela ICD10CM Frailty Diagnosis W10.2XXA [W10.2XXA] Fall (on)(from) incline, initial encounter ICD10CM Frailty Diagnosis W10.2XXD [W10.2XXD] Fall (on)(from) incline, subsequent encounter ICD10CM Frailty Diagnosis W10.2XXS [W10.2XXS] Fall (on)(from) incline, sequela ICD10CM Frailty Diagnosis W10.8XXA [W10.8XXA] Fall (on) (from) other stairs and steps, initial encounter ICD10CM Frailty Diagnosis W10.8XXD [W10.8XXD] Fall (on) (from) other stairs and steps, subsequent encounter ICD10CM Frailty Diagnosis W10.8XXS [W10.8XXS] Fall (on) (from) other stairs and steps, sequela ICD10CM Frailty Diagnosis W10.9XXA [W10.9XXA] Fall (on) (from) unspecified stairs and steps, initial encounter ICD10CM

Frailty Diagnosis W10.9XXD [W10.9XXD] Fall (on) (from) unspecified stairs and steps, subsequent encounter ICD10CM Frailty Diagnosis W10.9XXS [W10.9XXS] Fall (on) (from) unspecified stairs and steps, sequela ICD10CM [W18.00XA] Striking against unspecified object with subsequent fall, initial Frailty Diagnosis W18.00XA ICD10CM encounter [W18.00XD] Striking against unspecified object with subsequent fall, subsequent Frailty Diagnosis W18.00XD ICD10CM encounter Frailty Diagnosis W18.00XS [W18.00XS] Striking against unspecified object with subsequent fall, sequela ICD10CM

Frailty Diagnosis W18.02XA [W18.02XA] Striking against glass with subsequent fall, initial encounter ICD10CM

Frailty Diagnosis W18.02XD [W18.02XD] Striking against glass with subsequent fall, subsequent encounter ICD10CM Frailty Diagnosis W18.02XS [W18.02XS] Striking against glass with subsequent fall, sequela ICD10CM Frailty Diagnosis W18.09XA [W18.09XA] Striking against other object with subsequent fall, initial encounter ICD10CM [W18.09XD] Striking against other object with subsequent fall, subsequent Frailty Diagnosis W18.09XD ICD10CM encounter Frailty Diagnosis W18.09XS [W18.09XS] Striking against other object with subsequent fall, sequela ICD10CM

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Exclusion Value Set Name Code Definition Code System [W18.11XA] Fall from or off toilet without subsequent striking against object, Frailty Diagnosis W18.11XA ICD10CM initial encounter [W18.11XD] Fall from or off toilet without subsequent striking against object, Frailty Diagnosis W18.11XD ICD10CM subsequent encounter [W18.11XS] Fall from or off toilet without subsequent striking against object, Frailty Diagnosis W18.11XS ICD10CM sequela [W18.12XA] Fall from or off toilet with subsequent striking against object, initial Frailty Diagnosis W18.12XA ICD10CM encounter [W18.12XD] Fall from or off toilet with subsequent striking against object, Frailty Diagnosis W18.12XD ICD10CM subsequent encounter Frailty Diagnosis W18.12XS [W18.12XS] Fall from or off toilet with subsequent striking against object, sequela ICD10CM Frailty Diagnosis W18.2XXA [W18.2XXA] Fall in (into) shower or empty bathtub, initial encounter ICD10CM Frailty Diagnosis W18.2XXD [W18.2XXD] Fall in (into) shower or empty bathtub, subsequent encounter ICD10CM Frailty Diagnosis W18.2XXS [W18.2XXS] Fall in (into) shower or empty bathtub, sequela ICD10CM Frailty Diagnosis W18.30XA [W18.30XA] Fall on same level, unspecified, initial encounter ICD10CM Frailty Diagnosis W18.30XD [W18.30XD] Fall on same level, unspecified, subsequent encounter ICD10CM Frailty Diagnosis W18.30XS [W18.30XS] Fall on same level, unspecified, sequela ICD10CM Frailty Diagnosis W18.31XA [W18.31XA] Fall on same level due to stepping on an object, initial encounter ICD10CM [W18.31XD] Fall on same level due to stepping on an object, subsequent Frailty Diagnosis W18.31XD ICD10CM encounter Frailty Diagnosis W18.31XS [W18.31XS] Fall on same level due to stepping on an object, sequela ICD10CM Frailty Diagnosis W18.39XA [W18.39XA] Other fall on same level, initial encounter ICD10CM Frailty Diagnosis W18.39XD [W18.39XD] Other fall on same level, subsequent encounter ICD10CM Frailty Diagnosis W18.39XS [W18.39XS] Other fall on same level, sequela ICD10CM Frailty Diagnosis W19.XXXA [W19.XXXA] Unspecified fall, initial encounter ICD10CM Frailty Diagnosis W19.XXXD [W19.XXXD] Unspecified fall, subsequent encounter ICD10CM Frailty Diagnosis W19.XXXS [W19.XXXS] Unspecified fall, sequela ICD10CM [Y92.199] Unspecified place in other specified residential institution as the place Frailty Diagnosis Y92.199 ICD10CM of occurrence of the external cause

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Exclusion Value Set Name Code Definition Code System Frailty Diagnosis Z59.3 [Z59.3] Problems related to living in residential institution ICD10CM Frailty Diagnosis Z73.6 [Z73.6] Limitation of activities due to disability ICD10CM Frailty Diagnosis Z74.01 [Z74.01] Bed confinement status ICD10CM Frailty Diagnosis Z74.09 [Z74.09] Other reduced mobility ICD10CM Frailty Diagnosis Z74.1 [Z74.1] Need for assistance with personal care ICD10CM [Z74.2] Need for assistance at home and no other household member able to Frailty Diagnosis Z74.2 ICD10CM render care Frailty Diagnosis Z74.3 [Z74.3] Need for continuous supervision ICD10CM Frailty Diagnosis Z74.8 [Z74.8] Other problems related to care provider dependency ICD10CM Frailty Diagnosis Z74.9 [Z74.9] Problem related to care provider dependency, unspecified ICD10CM Frailty Diagnosis Z91.81 [Z91.81] History of falling ICD10CM Frailty Diagnosis Z99.11 [Z99.11] Dependence on respirator [ventilator] status ICD10CM Frailty Diagnosis Z99.3 [Z99.3] Dependence on wheelchair ICD10CM Frailty Diagnosis Z99.81 [Z99.81] Dependence on supplemental oxygen ICD10CM Frailty Diagnosis Z99.89 [Z99.89] Dependence on other enabling machines and devices ICD10CM SNOMED CT US Frailty Diagnosis 16728003 Inherited spastic (disorder) Edition SNOMED CT US Frailty Diagnosis 17886000 Fall from wheelchair (event) Edition SNOMED CT US Frailty Diagnosis 20902002 Fall from bed (event) Edition SNOMED CT US Frailty Diagnosis 33036003 Fall on same level (event) Edition SNOMED CT US Frailty Diagnosis 40104005 Fall in home (event) Edition SNOMED CT US Frailty Diagnosis 44188002 Fall in shower (event) Edition SNOMED CT US Frailty Diagnosis 54840006 Failure to thrive (disorder) Edition SNOMED CT US Frailty Diagnosis 56307009 Fall from table (event) Edition

Page 15 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Frailty Diagnosis 67223001 Fall on escalator (event) Edition SNOMED CT US Frailty Diagnosis 74541001 Fall from bench (event) Edition SNOMED CT US Frailty Diagnosis 83468000 Fall from chair (event) Edition SNOMED CT US Frailty Diagnosis 90619006 Fall in bathtub (event) Edition SNOMED CT US Frailty Diagnosis 129588001 Adult failure to thrive syndrome (disorder) Edition SNOMED CT US Frailty Diagnosis 162845004 On examination ‐ failure to thrive (disorder) Edition SNOMED CT US Frailty Diagnosis 217082002 Accidental fall (event) Edition SNOMED CT US Frailty Diagnosis 217083007 Fall on or from stairs or steps (event) Edition SNOMED CT US Frailty Diagnosis 217084001 Fall on or from escalator (event) Edition SNOMED CT US Frailty Diagnosis 217086004 Fall from escalator (event) Edition SNOMED CT US Frailty Diagnosis 217088003 Fall on or from stairs (event) Edition SNOMED CT US Frailty Diagnosis 217090002 Fall from stairs (event) Edition SNOMED CT US Frailty Diagnosis 217092005 Fall on or from steps (event) Edition SNOMED CT US Frailty Diagnosis 217093000 Fall on steps (event) Edition SNOMED CT US Frailty Diagnosis 217094006 Fall from steps (event) Edition SNOMED CT US Frailty Diagnosis 217142006 Fall from chair or bed (event) Edition

Page 16 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Frailty Diagnosis 217154006 Fall on same level from slipping, tripping or stumbling (event) Edition SNOMED CT US Frailty Diagnosis 217155007 Fall on same level from slipping (event) Edition SNOMED CT US Frailty Diagnosis 217156008 Fall on same level from tripping (event) Edition SNOMED CT US Frailty Diagnosis 217157004 Fall on same level from stumbling (event) Edition SNOMED CT US Frailty Diagnosis 217158009 Fall on moving sidewalk (event) Edition SNOMED CT US Frailty Diagnosis 217173005 Fall from bump against object (event) Edition SNOMED CT US Frailty Diagnosis 225558004 Pressure ulcer of back (disorder) Edition SNOMED CT US Frailty Diagnosis 225562005 Pressure ulcer of sacral region (disorder) Edition SNOMED CT US Frailty Diagnosis 225563000 Pressure ulcer of buttock (disorder) Edition SNOMED CT US Frailty Diagnosis 242388006 Fall on ice wearing ice‐skates (event) Edition SNOMED CT US Frailty Diagnosis 242389003 Fall due to wet surface (event) Edition SNOMED CT US Frailty Diagnosis 242390007 Fall due to polished surface (event) Edition SNOMED CT US Frailty Diagnosis 242391006 Fall due to discarded object (event) Edition SNOMED CT US Frailty Diagnosis 242392004 Fall in bath or shower (event) Edition SNOMED CT US Frailty Diagnosis 242393009 Fall due to defective pavement (event) Edition SNOMED CT US Frailty Diagnosis 242394003 Fall due to accidental trip by another person (event) Edition

Page 17 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Frailty Diagnosis 242395002 Fall due to trip on loose carpet (event) Edition SNOMED CT US Frailty Diagnosis 242396001 Fall due to uneven surface indoors (event) Edition SNOMED CT US Frailty Diagnosis 242402009 Fall on same level due to accidental impact with another person (event) Edition SNOMED CT US Frailty Diagnosis 242404005 Fall due to impact against pedestrian conveyance (event) Edition SNOMED CT US Frailty Diagnosis 242405006 Fall due to impact against baby buggy (event) Edition SNOMED CT US Frailty Diagnosis 242406007 Fall due to impact against supermarket shopping cart (event) Edition SNOMED CT US Frailty Diagnosis 242407003 Fall due to impact against wheelbarrow (event) Edition SNOMED CT US Frailty Diagnosis 242413007 Fall from furniture (event) Edition SNOMED CT US Frailty Diagnosis 242414001 Fall from stool (event) Edition SNOMED CT US Frailty Diagnosis 242419006 Fall from toilet seat (event) Edition SNOMED CT US Frailty Diagnosis 250054005 Frontal gait disorder (disorder) Edition SNOMED CT US Frailty Diagnosis 269699007 Fall on same level from impact against object (event) Edition SNOMED CT US Frailty Diagnosis 274918000 Fall on same level due to nature of surface (event) Edition SNOMED CT US Frailty Diagnosis 274919008 Fall on same level due to impact against another person (event) Edition SNOMED CT US Frailty Diagnosis 288296009 Fall ‐ collision/push/shove (event) Edition SNOMED CT US Frailty Diagnosis 414188008 Fall down stairs (event) Edition

Page 18 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Frailty Diagnosis 414189000 Fall down steps (event) Edition SNOMED CT US Frailty Diagnosis 414190009 Fall on stairs (event) Edition SNOMED CT US Frailty Diagnosis 427849003 Fall on hard surface (event) Edition SNOMED CT US Frailty Diagnosis 428484005 Organic failure to thrive (disorder) Edition SNOMED CT US Frailty Diagnosis 429621003 Fall on concrete (event) Edition SNOMED CT US Frailty Diagnosis 699214007 Pressure ulcer of hip (disorder) Edition SNOMED CT US Frailty Diagnosis 699215008 Pressure ulcer of lower back (disorder) Edition SNOMED CT US Frailty Diagnosis 699216009 Pressure ulcer of coccygeal region (disorder) Edition SNOMED CT US Frailty Diagnosis 699218005 Pressure ulcer of upper back (disorder) Edition SNOMED CT US Frailty Diagnosis 715504003 Spastic paraparesis co‐occurrent with deafness (disorder) Edition Dissociative neurological symptom disorder co‐occurrent with symptoms of gait SNOMED CT US Frailty Diagnosis 736313002 disorder (disorder) Edition SNOMED CT US Frailty Diagnosis 763829004 Oculopharyngodistal myopathy (disorder) Edition SNOMED CT US Frailty Diagnosis 92341000119107 Weakness of extremities as sequela of stroke (disorder) Edition SNOMED CT US Frailty Diagnosis 138371000119104 Paresis as late effect of poliomyelitis (disorder) Edition SNOMED CT US Frailty Diagnosis 459821000124104 McArdle sign (disorder) Edition SNOMED CT US Frailty Diagnosis 8960001000004106 Pressure ulcer of skin of right ischial tuberosity region (disorder) Edition

Page 19 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Frailty Diagnosis 10637031000119106 Pressure ulcer of buttock stage 1 (disorder) Edition SNOMED CT US Frailty Diagnosis 10637071000119109 Pressure ulcer of buttock stage 2 (disorder) Edition SNOMED CT US Frailty Diagnosis 10637111000119102 Pressure ulcer of buttock stage 3 (disorder) Edition SNOMED CT US Frailty Diagnosis 10637151000119101 Pressure ulcer of buttock stage 4 (disorder) Edition Frailty Encounter 99504 0 CPT Frailty Encounter 99509 0 CPT Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication Frailty Encounter G0162 HCPCS requires an rn to ensure that essential non‐skilled care achieves its purpose in the home health or hospice setting) (G0162) Direct skilled nursing services of a registered nurse (rn) in the home health or Frailty Encounter G0299 HCPCS hospice setting, each 15 minutes (G0299) Direct skilled nursing services of a licensed practical nurse (lpn) in the home Frailty Encounter G0300 HCPCS health or hospice setting, each 15 minutes (G0300) Skilled services of a registered nurse (rn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition Frailty Encounter G0493 requires skilled nursing personnel to identify and evaluate the patient's need for HCPCS possible modification of treatment in the home health or hospice setting) (G0493) Skilled services of a licensed practical nurse (lpn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the Frailty Encounter G0494 patient's condition requires skilled nursing personnel to identify and evaluate the HCPCS patient's need for possible modification of treatment in the home health or hospice setting) (G0494) management of patient home care, hospice monthly case rate (per 30 Frailty Encounter S0271 HCPCS days) (S0271)

Page 20 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Comprehensive management and care coordination for advanced illness, per Frailty Encounter S0311 HCPCS calendar month (S0311) Nursing care, in the home; by registered nurse, per hour (use for general nursing Frailty Encounter S9123 HCPCS care only, not to be used when cpt codes 99500‐99602 can be used) (S9123) Frailty Encounter S9124 Nursing care, in the home; by licensed practical nurse, per hour (S9124) HCPCS Frailty Encounter T1000 Private duty / independent nursing service(s) ‐ licensed, up to 15 minutes (T1000) HCPCS Frailty Encounter T1001 Nursing assessment / evaluation (T1001) HCPCS Frailty Encounter T1002 Rn services, up to 15 minutes (T1002) HCPCS Frailty Encounter T1003 Lpn/lvn services, up to 15 minutes (T1003) HCPCS Frailty Encounter T1004 Services of a qualified nursing aide, up to 15 minutes (T1004) HCPCS Frailty Encounter T1005 Respite care services, up to 15 minutes (T1005) HCPCS Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of Frailty Encounter T1019 HCPCS treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) (T1019) Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code Frailty Encounter T1020 HCPCS may not be used to identify services provided by home health aide or certified nurse assistant) (T1020) Frailty Encounter T1021 Home health aide or certified nurse assistant, per visit (T1021) HCPCS Contracted home health agency services, all services provided under contract, Frailty Encounter T1022 HCPCS per day (T1022) Frailty Encounter T1030 Nursing care, in the home, by registered nurse, per diem (T1030) HCPCS Frailty Encounter T1031 Nursing care, in the home, by licensed practical nurse, per diem (T1031) HCPCS SNOMED CT US Frailty Encounter 413467001 Aftercare (regime/) Edition Frailty Symptom R26.0 [R26.0] Ataxic gait ICD10CM Frailty Symptom R26.1 [R26.1] Paralytic gait ICD10CM Frailty Symptom R26.2 [R26.2] Difficulty in walking, not elsewhere classified ICD10CM Frailty Symptom R26.89 [R26.89] Other abnormalities of gait and mobility ICD10CM

Page 21 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Frailty Symptom R26.9 [R26.9] Unspecified abnormalities of gait and mobility ICD10CM Frailty Symptom R41.81 [R41.81] Age‐related cognitive decline ICD10CM Frailty Symptom R53.1 [R53.1] Weakness ICD10CM Frailty Symptom R53.81 [R53.81] Other malaise ICD10CM Frailty Symptom R53.83 [R53.83] Other fatigue ICD10CM Frailty Symptom R54 [R54] Age‐related physical debility ICD10CM Frailty Symptom R62.7 [R62.7] Adult failure to thrive ICD10CM Frailty Symptom R63.4 [R63.4] Abnormal weight loss ICD10CM Frailty Symptom R63.6 [R63.6] Underweight ICD10CM Frailty Symptom R64 [R64] Cachexia ICD10CM SNOMED CT US Frailty Symptom 4468000 Oppenheim's gait (finding) Edition SNOMED CT US Frailty Symptom 8461001 Heel toe gait (finding) Edition SNOMED CT US Frailty Symptom 8510008 Reduced mobility (finding) Edition SNOMED CT US Frailty Symptom 9447003 (finding) Edition SNOMED CT US Frailty Symptom 11172006 Double step gait (finding) Edition SNOMED CT US Frailty Symptom 11237000 4 point gait (finding) Edition SNOMED CT US Frailty Symptom 13791008 Asthenia (finding) Edition SNOMED CT US Frailty Symptom 16973004 Limping (finding) Edition SNOMED CT US Frailty Symptom 18726006 Senile asthenia (finding) Edition SNOMED CT US Frailty Symptom 20940004 Spinal (finding) Edition SNOMED CT US Frailty Symptom 22090007 Scissoring gait (finding) Edition

Page 22 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Frailty Symptom 22325002 Abnormal gait (finding) Edition SNOMED CT US Frailty Symptom 22631008 Unsteady when walking (finding) Edition SNOMED CT US Frailty Symptom 23042008 Spinal paraparesis (finding) Edition SNOMED CT US Frailty Symptom 25136009 Ataxic gait (finding) Edition SNOMED CT US Frailty Symptom 26544005 Muscle weakness (finding) Edition SNOMED CT US Frailty Symptom 27253007 Foot‐drop gait (finding) Edition SNOMED CT US Frailty Symptom 30767006 Gait apraxia (finding) Edition SNOMED CT US Frailty Symptom 31464009 Calcaneal gait (finding) Edition SNOMED CT US Frailty Symptom 35136003 Retropulsion (finding) Edition SNOMED CT US Frailty Symptom 40192003 Buttocks prominent when walking (finding) Edition SNOMED CT US Frailty Symptom 41786007 Neurological muscle weakness (finding) Edition SNOMED CT US Frailty Symptom 43005009 Shuffling gait (finding) Edition SNOMED CT US Frailty Symptom 44227003 Intermittent double‐step gait (finding) Edition SNOMED CT US Frailty Symptom 48304002 Gluteus maximus gait (finding) Edition SNOMED CT US Frailty Symptom 50314001 Partial bilateral paresis (finding) Edition SNOMED CT US Frailty Symptom 52751000 Hemiplegic gait (finding) Edition

Page 23 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Frailty Symptom 53626000 Drag‐to gait (finding) Edition SNOMED CT US Frailty Symptom 55791005 Charcot's gait (finding) Edition SNOMED CT US Frailty Symptom 62334008 Athetotic gait (finding) Edition SNOMED CT US Frailty Symptom 67141003 Antalgic gait (finding) Edition SNOMED CT US Frailty Symptom 69021004 Cerebellar gait (finding) Edition SNOMED CT US Frailty Symptom 73514000 Circling gait (finding) Edition SNOMED CT US Frailty Symptom 75742003 Swing‐through gait (finding) Edition SNOMED CT US Frailty Symptom 78119002 Complete bilateral paresis (finding) Edition SNOMED CT US Frailty Symptom 78691002 Staggering gait (finding) Edition SNOMED CT US Frailty Symptom 84153003 Short‐leg (finding) Edition SNOMED CT US Frailty Symptom 84229001 Fatigue (finding) Edition SNOMED CT US Frailty Symptom 87242005 Extensor thrust pattern (finding) Edition SNOMED CT US Frailty Symptom 88471006 Three‐point gait (finding) Edition SNOMED CT US Frailty Symptom 89362005 Weight loss (finding) Edition SNOMED CT US Frailty Symptom 95438009 Diaphragmatic paresis (finding) Edition SNOMED CT US Frailty Symptom 102492002 Failure to maintain weight (finding) Edition

Page 24 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Frailty Symptom 102568007 Paresis of lower extremity (finding) Edition SNOMED CT US Frailty Symptom 102891000 Age‐related cognitive decline (finding) Edition SNOMED CT US Frailty Symptom 102992006 Scissors gait on eyes closed straight line walking test (finding) Edition SNOMED CT US Frailty Symptom 105501005 Dependence on enabling machine or device (finding) Edition SNOMED CT US Frailty Symptom 105503008 Dependence on wheelchair (finding) Edition SNOMED CT US Frailty Symptom 105504002 Dependence on walking stick (finding) Edition SNOMED CT US Frailty Symptom 126013009 Subjective muscle weakness (finding) Edition SNOMED CT US Frailty Symptom 127378008 Bilateral paresis (finding) Edition SNOMED CT US Frailty Symptom 129567005 Pharyngeal paresis (finding) Edition SNOMED CT US Frailty Symptom 129568000 Laryngeal paresis (finding) Edition SNOMED CT US Frailty Symptom 129584004 Palatal paresis (finding) Edition SNOMED CT US Frailty Symptom 135834002 Pseudoparalysis (finding) Edition SNOMED CT US Frailty Symptom 160681005 Mobile outside with aid (finding) Edition SNOMED CT US Frailty Symptom 160683008 Needs walking aid in home (finding) Edition SNOMED CT US Frailty Symptom 160684002 Confined to chair (finding) Edition SNOMED CT US Frailty Symptom 160685001 Bed‐ridden (finding) Edition

Page 25 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Frailty Symptom 160692006 Mobility very poor (finding) Edition SNOMED CT US Frailty Symptom 160693001 Mobility poor (finding) Edition SNOMED CT US Frailty Symptom 160734000 Lives in a nursing home (finding) Edition SNOMED CT US Frailty Symptom 160737007 Lives in an old peoples home (finding) Edition SNOMED CT US Frailty Symptom 161832001 Weight decreasing (finding) Edition SNOMED CT US Frailty Symptom 161873000 Heavy legs (finding) Edition SNOMED CT US Frailty Symptom 161874006 Heavy feeling (finding) Edition SNOMED CT US Frailty Symptom 162236007 Weakness present (finding) Edition SNOMED CT US Frailty Symptom 162239000 Abdominal weakness (finding) Edition SNOMED CT US Frailty Symptom 163600007 On examination ‐ paresis (weakness) (finding) Edition SNOMED CT US Frailty Symptom 163685000 On examination ‐ gait spastic (finding) Edition SNOMED CT US Frailty Symptom 163686004 On examination ‐ gait ataxic (finding) Edition SNOMED CT US Frailty Symptom 163688003 On examination ‐ waddling gait (finding) Edition SNOMED CT US Frailty Symptom 163689006 On examination ‐ (finding) Edition SNOMED CT US Frailty Symptom 163690002 On examination ‐ hysterical gait (finding) Edition SNOMED CT US Frailty Symptom 163691003 On examination ‐ limping gait (finding) Edition

Page 26 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Frailty Symptom 163695007 On examination ‐ muscle power reduced (finding) Edition SNOMED CT US Frailty Symptom 165243005 Independent in wheelchair (finding) Edition SNOMED CT US Frailty Symptom 165244004 Minimal help in wheelchair (finding) Edition SNOMED CT US Frailty Symptom 224960004 Tired (finding) Edition SNOMED CT US Frailty Symptom 225612007 Wheelchair bound (finding) Edition SNOMED CT US Frailty Symptom 238108007 Cachexia (finding) Edition SNOMED CT US Frailty Symptom 248269005 Tired on least exertion (finding) Edition SNOMED CT US Frailty Symptom 248278004 Attacks of weakness (finding) Edition SNOMED CT US Frailty Symptom 248279007 Frailty (finding) Edition SNOMED CT US Frailty Symptom 249888000 Weakness of sternomastoid (finding) Edition SNOMED CT US Frailty Symptom 249937002 Truncal muscle weakness (finding) Edition SNOMED CT US Frailty Symptom 249938007 Weakness of back (finding) Edition SNOMED CT US Frailty Symptom 249939004 Proximal muscle weakness (finding) Edition SNOMED CT US Frailty Symptom 249940002 Shoulder girdle weakness (finding) Edition SNOMED CT US Frailty Symptom 249941003 Pelvic girdle weakness (finding) Edition SNOMED CT US Frailty Symptom 249942005 Distal muscle weakness (finding) Edition

Page 27 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Frailty Symptom 249943000 Weakness of distal arms and legs (finding) Edition SNOMED CT US Frailty Symptom 249946008 Pyramidal type muscle weakness (finding) Edition SNOMED CT US Frailty Symptom 250002000 Rapid fatigue of gait (finding) Edition SNOMED CT US Frailty Symptom 250003005 Low level sensorimotor gait disorder (finding) Edition SNOMED CT US Frailty Symptom 250004004 Peripheral skeletomuscular gait disorder (finding) Edition SNOMED CT US Frailty Symptom 250005003 Interrupted gait (finding) Edition SNOMED CT US Frailty Symptom 250006002 Overcomes interrupted gait spontaneously (finding) Edition SNOMED CT US Frailty Symptom 250008001 Amputee gait (finding) Edition SNOMED CT US Frailty Symptom 250009009 Prosthetic limb gait (finding) Edition SNOMED CT US Frailty Symptom 250011000 3 point swing through gait (finding) Edition SNOMED CT US Frailty Symptom 250012007 3 point swing to gait (finding) Edition SNOMED CT US Frailty Symptom 250013002 Stiff legged gait (finding) Edition SNOMED CT US Frailty Symptom 250014008 Stiff knee gait (finding) Edition SNOMED CT US Frailty Symptom 250015009 Arthritic gait (finding) Edition SNOMED CT US Frailty Symptom 250016005 Crouch gait (finding) Edition SNOMED CT US Frailty Symptom 250018006 Toe‐walking gait (finding) Edition

Page 28 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Frailty Symptom 250019003 In‐toeing gait (finding) Edition SNOMED CT US Frailty Symptom 250020009 (finding) Edition SNOMED CT US Frailty Symptom 250021008 Bouncy gait (finding) Edition SNOMED CT US Frailty Symptom 250023006 Lurching gait (finding) Edition SNOMED CT US Frailty Symptom 250024000 Peripheral neuropathic gait (finding) Edition SNOMED CT US Frailty Symptom 250027007 Peripheral sensory gait disorder (finding) Edition SNOMED CT US Frailty Symptom 250028002 Spinning gait (finding) Edition SNOMED CT US Frailty Symptom 250029005 Sensory ataxic gait (finding) Edition SNOMED CT US Frailty Symptom 250032008 Vestibular ataxic gait (finding) Edition SNOMED CT US Frailty Symptom 250033003 Visual ataxic gait (finding) Edition SNOMED CT US Frailty Symptom 250034009 Middle level sensorimotor gait disorder (finding) Edition SNOMED CT US Frailty Symptom 250035005 Paraplegic gait (finding) Edition SNOMED CT US Frailty Symptom 250036006 Extrapyramidal gait (finding) Edition SNOMED CT US Frailty Symptom 250038007 Retropulsion when walking (finding) Edition SNOMED CT US Frailty Symptom 250040002 Choreic gait (finding) Edition SNOMED CT US Frailty Symptom 250042005 Dystonic gait (finding) Edition

Page 29 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Frailty Symptom 250043000 High level sensorimotor gait disorder (finding) Edition SNOMED CT US Frailty Symptom 250044006 Cautious gait (finding) Edition SNOMED CT US Frailty Symptom 250045007 Tottering gait (finding) Edition SNOMED CT US Frailty Symptom 250047004 Thalamic astasia (finding) Edition SNOMED CT US Frailty Symptom 250048009 Frontal (finding) Edition SNOMED CT US Frailty Symptom 250049001 Marche a petits pas (finding) Edition SNOMED CT US Frailty Symptom 250050001 (finding) Edition SNOMED CT US Frailty Symptom 250051002 Slipping clutch gait (finding) Edition SNOMED CT US Frailty Symptom 250052009 Petren's gait (finding) Edition SNOMED CT US Frailty Symptom 250055006 Incongruous gait (finding) Edition SNOMED CT US Frailty Symptom 250056007 Bizarre gait (finding) Edition SNOMED CT US Frailty Symptom 250057003 Pretended abnormality of gait (finding) Edition SNOMED CT US Frailty Symptom 262285001 Weight decreased (finding) Edition SNOMED CT US Frailty Symptom 267024001 Abnormal weight loss (finding) Edition SNOMED CT US Frailty Symptom 267031002 Tiredness symptom (finding) Edition SNOMED CT US Frailty Symptom 267032009 Tired all the time (finding) Edition

Page 30 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Frailty Symptom 268964003 On examination ‐ festination‐Parkinson gait (finding) Edition SNOMED CT US Frailty Symptom 271706000 Waddling gait (finding) Edition SNOMED CT US Frailty Symptom 271707009 Hysterical gait (finding) Edition SNOMED CT US Frailty Symptom 271795006 Malaise and fatigue (finding) Edition SNOMED CT US Frailty Symptom 271875007 Senile debility (finding) Edition SNOMED CT US Frailty Symptom 272036004 Complaining of debility and malaise (finding) Edition SNOMED CT US Frailty Symptom 272060000 Fatigue ‐ symptom (finding) Edition SNOMED CT US Frailty Symptom 272062008 Complaining of "tired all the time" (finding) Edition SNOMED CT US Frailty Symptom 275313006 Dragging leg (finding) Edition SNOMED CT US Frailty Symptom 284529003 Cardiac cachexia (finding) Edition SNOMED CT US Frailty Symptom 298283006 Hand muscle weakness (finding) Edition SNOMED CT US Frailty Symptom 300948004 Quadriceps weakness (finding) Edition SNOMED CT US Frailty Symptom 309249007 Calf muscle weakness (finding) Edition SNOMED CT US Frailty Symptom 309257005 Excessive weight loss (finding) Edition SNOMED CT US Frailty Symptom 312444006 Spastic paraparesis (finding) Edition SNOMED CT US Frailty Symptom 314109004 Feeling tired (finding) Edition

Page 31 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Frailty Symptom 365884000 Cerebellar ataxic gait (finding) Edition SNOMED CT US Frailty Symptom 367391008 Malaise (finding) Edition SNOMED CT US Frailty Symptom 371028005 Spastic paresis (finding) Edition SNOMED CT US Frailty Symptom 373931001 Sensation of heaviness in limbs (finding) Edition SNOMED CT US Frailty Symptom 394616008 Unsteady gait (finding) Edition SNOMED CT US Frailty Symptom 397776000 Festinating gait (finding) Edition SNOMED CT US Frailty Symptom 398218008 Accelerating gait (finding) Edition SNOMED CT US Frailty Symptom 401211005 Tandem gait test ‐ abnormal (finding) Edition SNOMED CT US Frailty Symptom 404904002 Frail elderly (finding) Edition SNOMED CT US Frailty Symptom 413121008 Dependent on helper pushing wheelchair (finding) Edition SNOMED CT US Frailty Symptom 414562003 Knuckling over (finding) Edition SNOMED CT US Frailty Symptom 418073009 Pseudoparalysis due to generalized arthritis (finding) Edition SNOMED CT US Frailty Symptom 422868009 Unexplained weight loss (finding) Edition SNOMED CT US Frailty Symptom 424429009 Gait dyspraxia (finding) Edition SNOMED CT US Frailty Symptom 426977000 Recent weight loss (finding) Edition SNOMED CT US Frailty Symptom 428116008 Multifactorial gait problem (finding) Edition

Page 32 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Frailty Symptom 428264009 Painful gait (finding) Edition SNOMED CT US Frailty Symptom 429091008 Dependence on biphasic positive airway pressure ventilation (finding) Edition SNOMED CT US Frailty Symptom 429487005 Dependence on continuous positive airway pressure ventilation (finding) Edition SNOMED CT US Frailty Symptom 431524008 Abnormal gait due to impairment of balance (finding) Edition SNOMED CT US Frailty Symptom 432559006 Abnormal gait due to muscle weakness (finding) Edition SNOMED CT US Frailty Symptom 442099003 Psychogenic fatigue (finding) Edition SNOMED CT US Frailty Symptom 443544006 Freezing of gait (finding) Edition SNOMED CT US Frailty Symptom 444042007 Excessive postexertional fatigue (finding) Edition SNOMED CT US Frailty Symptom 444932008 Dependence on ventilator (finding) Edition SNOMED CT US Frailty Symptom 448765001 Unintentional weight loss (finding) Edition SNOMED CT US Frailty Symptom 713512009 Muscle weakness of upper limb (finding) Edition SNOMED CT US Frailty Symptom 713514005 Muscle weakness of limb (finding) Edition SNOMED CT US Frailty Symptom 713568000 Occasionally tired (finding) Edition SNOMED CT US Frailty Symptom 713655003 Dependence on non‐invasive ventilation (finding) Edition SNOMED CT US Frailty Symptom 931000119107 Dependence on supplemental oxygen (finding) Edition SNOMED CT US Frailty Symptom 60631000119109 Dependence on home ventilator (finding) Edition

Page 33 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Frailty Symptom 60651000119103 Dependence on continuous supplemental oxygen (finding) Edition SNOMED CT US Frailty Symptom 69161000119103 Functional (finding) Edition SNOMED CT US Frailty Symptom 79021000119104 Dependence on aspirator (finding) Edition SNOMED CT US Frailty Symptom 79031000119101 Dependence on respirator (finding) Edition SNOMED CT US Frailty Symptom 85711000119103 Stumbling due to lack of coordination (finding) Edition SNOMED CT US Frailty Symptom 89201000119106 Dependence on supplemental oxygen when ambulating (finding) Edition SNOMED CT US Frailty Symptom 152921000119101 Dependence on respiratory device (finding) Edition SNOMED CT US Frailty Symptom 250991000119100 Stumbling gait (finding) Edition SNOMED CT US Frailty Symptom 15634971000119107 Weakness of bilateral upper limbs (finding) Edition SNOMED CT US Frailty Symptom 15929301000119104 Problem related to living in residential institution (finding) Edition SNOMED CT US Frailty Symptom 16018391000119104 Paresis of left lower limb (finding) Edition SNOMED CT US Frailty Symptom 16018431000119109 Paresis of right lower limb (finding) Edition Dependence on biphasic positive airway pressure ventilation co‐occurrent and SNOMED CT US Frailty Symptom 16419651000119103 due to central sleep apnea syndrome (finding) Edition Outpatient 99201 CPT Outpatient 99202 CPT Outpatient 99203 CPT Outpatient 99204 CPT Outpatient 99205 CPT Outpatient 99211 CPT

Page 34 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Outpatient 99212 CPT Outpatient 99213 CPT Outpatient 99214 CPT Outpatient 99215 CPT Outpatient 99241 CPT Outpatient 99242 CPT Outpatient 99243 CPT Outpatient 99244 CPT Outpatient 99245 CPT Outpatient 99341 CPT Outpatient 99342 CPT Outpatient 99343 CPT Outpatient 99344 CPT Outpatient 99345 CPT Outpatient 99347 CPT Outpatient 99348 CPT Outpatient 99349 CPT Outpatient 99350 CPT Outpatient 99381 CPT Outpatient 99382 CPT Outpatient 99383 CPT Outpatient 99384 CPT Outpatient 99385 CPT Outpatient 99386 CPT Outpatient 99387 CPT Outpatient 99391 CPT Outpatient 99392 CPT Outpatient 99393 CPT Outpatient 99394 CPT Outpatient 99395 CPT Outpatient 99396 CPT Outpatient 99397 CPT

Page 35 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Outpatient 99401 CPT Outpatient 99402 CPT Outpatient 99403 CPT Outpatient 99404 CPT Outpatient 99411 CPT Outpatient 99412 CPT Outpatient 99429 CPT Outpatient 99455 CPT Outpatient 99456 CPT Outpatient 99483 CPT Initial preventive physical examination; face‐to‐face visit, services limited to new Outpatient G0402 HCPCS beneficiary during the first 12 months of medicare enrollment (G0402) Annual wellness visit; includes a personalized prevention plan of service (pps), Outpatient G0438 HCPCS initial visit (G0438) Annual wellness visit, includes a personalized prevention plan of service (pps), Outpatient G0439 HCPCS subsequent visit (G0439) Hospital outpatient clinic visit for assessment and management of a patient Outpatient G0463 HCPCS (G0463) Outpatient T1015 Clinic visit/encounter, all‐inclusive (T1015) HCPCS SNOMED CT US Outpatient 17436001 Medical consultation with outpatient (procedure) Edition Evaluation and management of established outpatient in office or other SNOMED CT US Outpatient 30346009 outpatient facility (procedure) Edition Evaluation and management of new outpatient in office or other outpatient SNOMED CT US Outpatient 37894004 facility (procedure) Edition SNOMED CT US Outpatient 77406008 Confirmatory medical consultation (procedure) Edition SNOMED CT US Outpatient 84251009 Comprehensive consultation (procedure) Edition SNOMED CT US Outpatient 185463005 Visit out of hours (procedure) Edition

Page 36 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Outpatient 185464004 Out of hours visit ‐ not night visit (procedure) Edition SNOMED CT US Outpatient 185465003 Weekend visit (procedure) Edition SNOMED CT US Outpatient 281036007 Follow‐up consultation (procedure) Edition SNOMED CT US Outpatient 439740005 Postoperative follow‐up visit (procedure) Edition SNOMED CT US Outpatient 3391000175108 Office visit for pediatric care and assessment (procedure) Edition SNOMED CT US Outpatient 444971000124105 Annual wellness visit (procedure) Edition Outpatient 0510 UBREV Outpatient 0511 UBREV Outpatient 0512 UBREV Outpatient 0513 UBREV Outpatient 0514 UBREV Outpatient 0515 UBREV Outpatient 0516 UBREV Outpatient 0517 UBREV Outpatient 0519 UBREV Outpatient 0520 UBREV Outpatient 0521 UBREV Outpatient 0522 UBREV Outpatient 0523 UBREV Outpatient 0526 UBREV Outpatient 0527 UBREV Outpatient 0528 UBREV Outpatient 0529 UBREV Outpatient 0982 UBREV Outpatient 0983 UBREV Observation 99217 CPT

Page 37 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Observation 99218 CPT Observation 99219 CPT Observation 99220 CPT ED 99281 CPT ED 99282 CPT ED 99283 CPT ED 99284 CPT ED 99285 CPT SNOMED CT US ED 4525004 Emergency department patient visit (procedure) Edition ED 0450 UBREV ED 0451 UBREV ED 0452 UBREV ED 0456 UBREV ED 0459 UBREV ED 0981 UBREV Nonacute Inpatient 99304 CPT Nonacute Inpatient 99305 CPT Nonacute Inpatient 99306 CPT Nonacute Inpatient 99307 CPT Nonacute Inpatient 99308 CPT Nonacute Inpatient 99309 CPT Nonacute Inpatient 99310 CPT Nonacute Inpatient 99315 CPT Nonacute Inpatient 99316 CPT Nonacute Inpatient 99318 CPT Nonacute Inpatient 99324 CPT Nonacute Inpatient 99325 CPT Nonacute Inpatient 99326 CPT Nonacute Inpatient 99327 CPT Nonacute Inpatient 99328 CPT Nonacute Inpatient 99334 CPT

Page 38 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Nonacute Inpatient 99335 CPT Nonacute Inpatient 99336 CPT Nonacute Inpatient 99337 CPT SNOMED CT US Nonacute Inpatient 36723004 Hospital admission, pre‐nursing home placement (procedure) Edition SNOMED CT US Nonacute Inpatient 112690009 Hospital admission, boarder, for social reasons (procedure) Edition SNOMED CT US Nonacute Inpatient 183430001 Holiday relief admission (procedure) Edition SNOMED CT US Nonacute Inpatient 183921001 Admission to hospice for respite (procedure) Edition SNOMED CT US Nonacute Inpatient 304567001 Admission for long‐term care (procedure) Edition SNOMED CT US Nonacute Inpatient 304568006 Admission for respite care (procedure) Edition SNOMED CT US Nonacute Inpatient 305336008 Admission to hospice (procedure) Edition SNOMED CT US Nonacute Inpatient 305340004 Admission to long stay hospital (procedure) Edition SNOMED CT US Nonacute Inpatient 305381007 Admission to department (procedure) Edition SNOMED CT US Nonacute Inpatient 306804001 Admission to young disabled unit (procedure) Edition SNOMED CT US Nonacute Inpatient 449411000124106 Admission to skilled nursing facility (procedure) Edition SNOMED CT US Nonacute Inpatient 449421000124103 Admission to nursing home (procedure) Edition SNOMED CT US Nonacute Inpatient 449431000124100 Admission to inpatient rehabilitation facility (procedure) Edition Nonacute Inpatient 0022 UBREV Stay

Page 39 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Nonacute Inpatient 0024 UBREV Stay Nonacute Inpatient 0118 UBREV Stay Nonacute Inpatient 0128 UBREV Stay Nonacute Inpatient 0138 UBREV Stay Nonacute Inpatient 0148 UBREV Stay Nonacute Inpatient 0158 UBREV Stay Nonacute Inpatient 0190 UBREV Stay Nonacute Inpatient 0191 UBREV Stay Nonacute Inpatient 0192 UBREV Stay Nonacute Inpatient 0193 UBREV Stay Nonacute Inpatient 0194 UBREV Stay Nonacute Inpatient 0199 UBREV Stay Nonacute Inpatient 0524 UBREV Stay Nonacute Inpatient 0525 UBREV Stay Nonacute Inpatient 0550 UBREV Stay Nonacute Inpatient 0551 UBREV Stay

Page 40 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Nonacute Inpatient 0552 UBREV Stay Nonacute Inpatient 0559 UBREV Stay Nonacute Inpatient 0660 UBREV Stay Nonacute Inpatient 0661 UBREV Stay Nonacute Inpatient 0662 UBREV Stay Nonacute Inpatient 0663 UBREV Stay Nonacute Inpatient 0669 UBREV Stay Nonacute Inpatient 1000 UBREV Stay Nonacute Inpatient 1001 UBREV Stay Nonacute Inpatient 1002 UBREV Stay Nonacute Inpatient 0180 UBTOB Stay Nonacute Inpatient 0181 UBTOB Stay Nonacute Inpatient 0182 UBTOB Stay Nonacute Inpatient 0183 UBTOB Stay Nonacute Inpatient 0184 UBTOB Stay Nonacute Inpatient 0185 UBTOB Stay

Page 41 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Nonacute Inpatient 0187 UBTOB Stay Nonacute Inpatient 0188 UBTOB Stay Nonacute Inpatient 0210 UBTOB Stay Nonacute Inpatient 0211 UBTOB Stay Nonacute Inpatient 0212 UBTOB Stay Nonacute Inpatient 0213 UBTOB Stay Nonacute Inpatient 0214 UBTOB Stay Nonacute Inpatient 0215 UBTOB Stay Nonacute Inpatient 0217 UBTOB Stay Nonacute Inpatient 0218 UBTOB Stay Nonacute Inpatient 0220 UBTOB Stay Nonacute Inpatient 0221 UBTOB Stay Nonacute Inpatient 0222 UBTOB Stay Nonacute Inpatient 0223 UBTOB Stay Nonacute Inpatient 0224 UBTOB Stay Nonacute Inpatient 0225 UBTOB Stay

Page 42 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Nonacute Inpatient 0227 UBTOB Stay Nonacute Inpatient 0228 UBTOB Stay Nonacute Inpatient 0280 UBTOB Stay Nonacute Inpatient 0281 UBTOB Stay Nonacute Inpatient 0282 UBTOB Stay Nonacute Inpatient 0283 UBTOB Stay Nonacute Inpatient 0284 UBTOB Stay Nonacute Inpatient 0285 UBTOB Stay Nonacute Inpatient 0287 UBTOB Stay Nonacute Inpatient 0288 UBTOB Stay Nonacute Inpatient 0289 UBTOB Stay Nonacute Inpatient 0650 UBTOB Stay Nonacute Inpatient 0652 UBTOB Stay Nonacute Inpatient 0653 UBTOB Stay Nonacute Inpatient 0654 UBTOB Stay Nonacute Inpatient 0655 UBTOB Stay

Page 43 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Nonacute Inpatient 0657 UBTOB Stay Nonacute Inpatient 0658 UBTOB Stay Nonacute Inpatient 0660 UBTOB Stay Nonacute Inpatient 0662 UBTOB Stay Nonacute Inpatient 0663 UBTOB Stay Nonacute Inpatient 0664 UBTOB Stay Nonacute Inpatient 0665 UBTOB Stay Nonacute Inpatient 0667 UBTOB Stay Nonacute Inpatient 0668 UBTOB Stay Nonacute Inpatient 0860 UBTOB Stay Nonacute Inpatient 0862 UBTOB Stay Nonacute Inpatient 0863 UBTOB Stay Nonacute Inpatient 0864 UBTOB Stay Nonacute Inpatient 0865 UBTOB Stay Nonacute Inpatient 0867 UBTOB Stay Nonacute Inpatient 0868 UBTOB Stay

Page 44 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Nonacute Inpatient 018F UBTOB Stay Nonacute Inpatient 018G UBTOB Stay Nonacute Inpatient 018H UBTOB Stay Nonacute Inpatient 018I UBTOB Stay Nonacute Inpatient 018J UBTOB Stay Nonacute Inpatient 018K UBTOB Stay Nonacute Inpatient 018M UBTOB Stay Nonacute Inpatient 018O UBTOB Stay Nonacute Inpatient 018X UBTOB Stay Nonacute Inpatient 018Y UBTOB Stay Nonacute Inpatient 018Z UBTOB Stay Nonacute Inpatient 021F UBTOB Stay Nonacute Inpatient 021G UBTOB Stay Nonacute Inpatient 021H UBTOB Stay Nonacute Inpatient 021I UBTOB Stay Nonacute Inpatient 021J UBTOB Stay

Page 45 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Nonacute Inpatient 021K UBTOB Stay Nonacute Inpatient 021M UBTOB Stay Nonacute Inpatient 021O UBTOB Stay Nonacute Inpatient 021X UBTOB Stay Nonacute Inpatient 021Y UBTOB Stay Nonacute Inpatient 021Z UBTOB Stay Nonacute Inpatient 022F UBTOB Stay Nonacute Inpatient 022G UBTOB Stay Nonacute Inpatient 022H UBTOB Stay Nonacute Inpatient 022I UBTOB Stay Nonacute Inpatient 022J UBTOB Stay Nonacute Inpatient 022K UBTOB Stay Nonacute Inpatient 022M UBTOB Stay Nonacute Inpatient 022O UBTOB Stay Nonacute Inpatient 022X UBTOB Stay Nonacute Inpatient 022Y UBTOB Stay

Page 46 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Nonacute Inpatient 022Z UBTOB Stay Nonacute Inpatient 028F UBTOB Stay Nonacute Inpatient 028G UBTOB Stay Nonacute Inpatient 028H UBTOB Stay Nonacute Inpatient 028I UBTOB Stay Nonacute Inpatient 028J UBTOB Stay Nonacute Inpatient 028K UBTOB Stay Nonacute Inpatient 028M UBTOB Stay Nonacute Inpatient 028O UBTOB Stay Nonacute Inpatient 028X UBTOB Stay Nonacute Inpatient 028Y UBTOB Stay Nonacute Inpatient 028Z UBTOB Stay Nonacute Inpatient 065F UBTOB Stay Nonacute Inpatient 065G UBTOB Stay Nonacute Inpatient 065H UBTOB Stay Nonacute Inpatient 065I UBTOB Stay

Page 47 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Nonacute Inpatient 065J UBTOB Stay Nonacute Inpatient 065K UBTOB Stay Nonacute Inpatient 065M UBTOB Stay Nonacute Inpatient 065O UBTOB Stay Nonacute Inpatient 065X UBTOB Stay Nonacute Inpatient 065Y UBTOB Stay Nonacute Inpatient 065Z UBTOB Stay Nonacute Inpatient 066F UBTOB Stay Nonacute Inpatient 066G UBTOB Stay Nonacute Inpatient 066H UBTOB Stay Nonacute Inpatient 066I UBTOB Stay Nonacute Inpatient 066J UBTOB Stay Nonacute Inpatient 066K UBTOB Stay Nonacute Inpatient 066M UBTOB Stay Nonacute Inpatient 066O UBTOB Stay Nonacute Inpatient 066X UBTOB Stay

Page 48 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Nonacute Inpatient 066Y UBTOB Stay Nonacute Inpatient 066Z UBTOB Stay Nonacute Inpatient 086F UBTOB Stay Nonacute Inpatient 086G UBTOB Stay Nonacute Inpatient 086H UBTOB Stay Nonacute Inpatient 086I UBTOB Stay Nonacute Inpatient 086J UBTOB Stay Nonacute Inpatient 086K UBTOB Stay Nonacute Inpatient 086M UBTOB Stay Nonacute Inpatient 086O UBTOB Stay Nonacute Inpatient 086X UBTOB Stay Nonacute Inpatient 086Y UBTOB Stay Nonacute Inpatient 086Z UBTOB Stay Advanced Illness A81.00 [A81.00] Creutzfeldt‐Jakob disease, unspecified ICD10CM Advanced Illness A81.01 [A81.01] Variant Creutzfeldt‐Jakob disease ICD10CM Advanced Illness A81.09 [A81.09] Other Creutzfeldt‐Jakob disease ICD10CM Advanced Illness C25.0 [C25.0] Malignant neoplasm of head of pancreas ICD10CM Advanced Illness C25.1 [C25.1] Malignant neoplasm of body of pancreas ICD10CM Advanced Illness C25.2 [C25.2] Malignant neoplasm of tail of pancreas ICD10CM

Page 49 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Advanced Illness C25.3 [C25.3] Malignant neoplasm of pancreatic duct ICD10CM Advanced Illness C25.4 [C25.4] Malignant neoplasm of endocrine pancreas ICD10CM Advanced Illness C25.7 [C25.7] Malignant neoplasm of other parts of pancreas ICD10CM Advanced Illness C25.8 [C25.8] Malignant neoplasm of overlapping sites of pancreas ICD10CM Advanced Illness C25.9 [C25.9] Malignant neoplasm of pancreas, unspecified ICD10CM Advanced Illness C71.0 [C71.0] Malignant neoplasm of cerebrum, except lobes and ventricles ICD10CM Advanced Illness C71.1 [C71.1] Malignant neoplasm of frontal lobe ICD10CM Advanced Illness C71.2 [C71.2] Malignant neoplasm of temporal lobe ICD10CM Advanced Illness C71.3 [C71.3] Malignant neoplasm of parietal lobe ICD10CM Advanced Illness C71.4 [C71.4] Malignant neoplasm of occipital lobe ICD10CM Advanced Illness C71.5 [C71.5] Malignant neoplasm of cerebral ventricle ICD10CM Advanced Illness C71.6 [C71.6] Malignant neoplasm of cerebellum ICD10CM Advanced Illness C71.7 [C71.7] Malignant neoplasm of brain stem ICD10CM Advanced Illness C71.8 [C71.8] Malignant neoplasm of overlapping sites of brain ICD10CM Advanced Illness C71.9 [C71.9] Malignant neoplasm of brain, unspecified ICD10CM [C77.0] Secondary and unspecified malignant neoplasm of lymph nodes of head, Advanced Illness C77.0 ICD10CM face and neck [C77.1] Secondary and unspecified malignant neoplasm of intrathoracic lymph Advanced Illness C77.1 ICD10CM nodes [C77.2] Secondary and unspecified malignant neoplasm of intra‐abdominal lymph Advanced Illness C77.2 ICD10CM nodes [C77.3] Secondary and unspecified malignant neoplasm of axilla and upper limb Advanced Illness C77.3 ICD10CM lymph nodes [C77.4] Secondary and unspecified malignant neoplasm of inguinal and lower Advanced Illness C77.4 ICD10CM limb lymph nodes [C77.5] Secondary and unspecified malignant neoplasm of intrapelvic lymph Advanced Illness C77.5 ICD10CM nodes [C77.8] Secondary and unspecified malignant neoplasm of lymph nodes of Advanced Illness C77.8 ICD10CM multiple regions [C77.9] Secondary and unspecified malignant neoplasm of lymph node, Advanced Illness C77.9 ICD10CM unspecified Advanced Illness C78.00 [C78.00] Secondary malignant neoplasm of unspecified lung ICD10CM

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Exclusion Value Set Name Code Definition Code System Advanced Illness C78.01 [C78.01] Secondary malignant neoplasm of right lung ICD10CM Advanced Illness C78.02 [C78.02] Secondary malignant neoplasm of left lung ICD10CM Advanced Illness C78.1 [C78.1] Secondary malignant neoplasm of mediastinum ICD10CM Advanced Illness C78.2 [C78.2] Secondary malignant neoplasm of pleura ICD10CM Advanced Illness C78.30 [C78.30] Secondary malignant neoplasm of unspecified respiratory organ ICD10CM Advanced Illness C78.39 [C78.39] Secondary malignant neoplasm of other respiratory organs ICD10CM Advanced Illness C78.4 [C78.4] Secondary malignant neoplasm of small intestine ICD10CM Advanced Illness C78.5 [C78.5] Secondary malignant neoplasm of large intestine and rectum ICD10CM Advanced Illness C78.6 [C78.6] Secondary malignant neoplasm of retroperitoneum and peritoneum ICD10CM

Advanced Illness C78.7 [C78.7] Secondary malignant neoplasm of liver and intrahepatic bile duct ICD10CM Advanced Illness C78.80 [C78.80] Secondary malignant neoplasm of unspecified digestive organ ICD10CM Advanced Illness C78.89 [C78.89] Secondary malignant neoplasm of other digestive organs ICD10CM Advanced Illness C79.00 [C79.00] Secondary malignant neoplasm of unspecified kidney and renal pelvis ICD10CM Advanced Illness C79.01 [C79.01] Secondary malignant neoplasm of right kidney and renal pelvis ICD10CM Advanced Illness C79.02 [C79.02] Secondary malignant neoplasm of left kidney and renal pelvis ICD10CM Advanced Illness C79.10 [C79.10] Secondary malignant neoplasm of unspecified urinary organs ICD10CM Advanced Illness C79.11 [C79.11] Secondary malignant neoplasm of bladder ICD10CM Advanced Illness C79.19 [C79.19] Secondary malignant neoplasm of other urinary organs ICD10CM Advanced Illness C79.2 [C79.2] Secondary malignant neoplasm of skin ICD10CM Advanced Illness C79.31 [C79.31] Secondary malignant neoplasm of brain ICD10CM Advanced Illness C79.32 [C79.32] Secondary malignant neoplasm of cerebral meninges ICD10CM Advanced Illness C79.40 [C79.40] Secondary malignant neoplasm of unspecified part of nervous system ICD10CM

Advanced Illness C79.49 [C79.49] Secondary malignant neoplasm of other parts of nervous system ICD10CM Advanced Illness C79.51 [C79.51] Secondary malignant neoplasm of bone ICD10CM Advanced Illness C79.52 [C79.52] Secondary malignant neoplasm of bone marrow ICD10CM Advanced Illness C79.60 [C79.60] Secondary malignant neoplasm of unspecified ovary ICD10CM

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Exclusion Value Set Name Code Definition Code System Advanced Illness C79.61 [C79.61] Secondary malignant neoplasm of right ovary ICD10CM Advanced Illness C79.62 [C79.62] Secondary malignant neoplasm of left ovary ICD10CM Advanced Illness C79.70 [C79.70] Secondary malignant neoplasm of unspecified adrenal gland ICD10CM Advanced Illness C79.71 [C79.71] Secondary malignant neoplasm of right adrenal gland ICD10CM Advanced Illness C79.72 [C79.72] Secondary malignant neoplasm of left adrenal gland ICD10CM Advanced Illness C79.81 [C79.81] Secondary malignant neoplasm of breast ICD10CM Advanced Illness C79.82 [C79.82] Secondary malignant neoplasm of genital organs ICD10CM Advanced Illness C79.89 [C79.89] Secondary malignant neoplasm of other specified sites ICD10CM Advanced Illness C79.9 [C79.9] Secondary malignant neoplasm of unspecified site ICD10CM Advanced Illness C91.00 [C91.00] Acute lymphoblastic leukemia not having achieved remission ICD10CM Advanced Illness C91.02 [C91.02] Acute lymphoblastic leukemia, in relapse ICD10CM Advanced Illness C92.00 [C92.00] Acute myeloblastic leukemia, not having achieved remission ICD10CM Advanced Illness C92.02 [C92.02] Acute myeloblastic leukemia, in relapse ICD10CM Advanced Illness C93.00 [C93.00] Acute monoblastic/monocytic leukemia, not having achieved remission ICD10CM Advanced Illness C93.02 [C93.02] Acute monoblastic/monocytic leukemia, in relapse ICD10CM Advanced Illness C93.90 [C93.90] Monocytic leukemia, unspecified, not having achieved remission ICD10CM Advanced Illness C93.92 [C93.92] Monocytic leukemia, unspecified in relapse ICD10CM Advanced Illness C93.Z0 [C93.Z0] Other monocytic leukemia, not having achieved remission ICD10CM Advanced Illness C93.Z2 [C93.Z2] Other monocytic leukemia, in relapse ICD10CM Advanced Illness C94.30 [C94.30] Mast cell leukemia not having achieved remission ICD10CM Advanced Illness C94.32 [C94.32] Mast cell leukemia, in relapse ICD10CM Advanced Illness F01.50 [F01.50] Vascular dementia without behavioral disturbance ICD10CM Advanced Illness F01.51 [F01.51] Vascular dementia with behavioral disturbance ICD10CM [F02.80] Dementia in other diseases classified elsewhere without behavioral Advanced Illness F02.80 ICD10CM disturbance [F02.81] Dementia in other diseases classified elsewhere with behavioral Advanced Illness F02.81 ICD10CM disturbance Advanced Illness F03.90 [F03.90] Unspecified dementia without behavioral disturbance ICD10CM Advanced Illness F03.91 [F03.91] Unspecified dementia with behavioral disturbance ICD10CM Advanced Illness F04 [F04] Amnestic disorder due to known physiological condition ICD10CM

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Exclusion Value Set Name Code Definition Code System Advanced Illness F10.27 [F10.27] Alcohol dependence with alcohol‐induced persisting dementia ICD10CM [F10.96] Alcohol use, unspecified with alcohol‐induced persisting amnestic Advanced Illness F10.96 ICD10CM disorder Advanced Illness F10.97 [F10.97] Alcohol use, unspecified with alcohol‐induced persisting dementia ICD10CM Advanced Illness G10 [G10] Huntington's disease ICD10CM Advanced Illness G12.21 [G12.21] Amyotrophic lateral sclerosis ICD10CM Advanced Illness G20 [G20] Parkinson's disease ICD10CM Advanced Illness G30.0 [G30.0] Alzheimer's disease with early onset ICD10CM Advanced Illness G30.1 [G30.1] Alzheimer's disease with late onset ICD10CM Advanced Illness G30.8 [G30.8] Other Alzheimer's disease ICD10CM Advanced Illness G30.9 [G30.9] Alzheimer's disease, unspecified ICD10CM Advanced Illness G31.01 [G31.01] Pick's disease ICD10CM Advanced Illness G31.09 [G31.09] Other frontotemporal dementia ICD10CM Advanced Illness G31.83 [G31.83] Dementia with Lewy bodies ICD10CM Advanced Illness I09.81 [I09.81] Rheumatic heart failure ICD10CM Advanced Illness I11.0 [I11.0] Hypertensive heart disease with heart failure ICD10CM [I12.0] Hypertensive chronic kidney disease with stage 5 chronic kidney disease Advanced Illness I12.0 ICD10CM or end stage renal disease [I13.0] Hypertensive heart and chronic kidney disease with heart failure and stage Advanced Illness I13.0 ICD10CM 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease [I13.11] Hypertensive heart and chronic kidney disease without heart failure, Advanced Illness I13.11 ICD10CM with stage 5 chronic kidney disease, or end stage renal disease [I13.2] Hypertensive heart and chronic kidney disease with heart failure and with Advanced Illness I13.2 ICD10CM stage 5 chronic kidney disease, or end stage renal disease Advanced Illness I50.1 [I50.1] Left ventricular failure, unspecified ICD10CM Advanced Illness I50.20 [I50.20] Unspecified systolic (congestive) heart failure ICD10CM Advanced Illness I50.21 [I50.21] Acute systolic (congestive) heart failure ICD10CM Advanced Illness I50.22 [I50.22] Chronic systolic (congestive) heart failure ICD10CM

Page 53 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Advanced Illness I50.23 [I50.23] Acute on chronic systolic (congestive) heart failure ICD10CM Advanced Illness I50.30 [I50.30] Unspecified diastolic (congestive) heart failure ICD10CM Advanced Illness I50.31 [I50.31] Acute diastolic (congestive) heart failure ICD10CM Advanced Illness I50.32 [I50.32] Chronic diastolic (congestive) heart failure ICD10CM Advanced Illness I50.33 [I50.33] Acute on chronic diastolic (congestive) heart failure ICD10CM [I50.40] Unspecified combined systolic (congestive) and diastolic (congestive) Advanced Illness I50.40 ICD10CM heart failure [I50.41] Acute combined systolic (congestive) and diastolic (congestive) heart Advanced Illness I50.41 ICD10CM failure [I50.42] Chronic combined systolic (congestive) and diastolic (congestive) heart Advanced Illness I50.42 ICD10CM failure [I50.43] Acute on chronic combined systolic (congestive) and diastolic Advanced Illness I50.43 ICD10CM (congestive) heart failure Advanced Illness I50.810 [I50.810] Right heart failure, unspecified ICD10CM Advanced Illness I50.811 [I50.811] Acute right heart failure ICD10CM Advanced Illness I50.812 [I50.812] Chronic right heart failure ICD10CM Advanced Illness I50.813 [I50.813] Acute on chronic right heart failure ICD10CM Advanced Illness I50.814 [I50.814] Right heart failure due to left heart failure ICD10CM Advanced Illness I50.82 [I50.82] Biventricular heart failure ICD10CM Advanced Illness I50.83 [I50.83] High output heart failure ICD10CM Advanced Illness I50.84 [I50.84] End stage heart failure ICD10CM Advanced Illness I50.89 [I50.89] Other heart failure ICD10CM Advanced Illness I50.9 [I50.9] Heart failure, unspecified ICD10CM Advanced Illness J43.0 [J43.0] Unilateral pulmonary emphysema [MacLeod's syndrome] ICD10CM Advanced Illness J43.1 [J43.1] Panlobular emphysema ICD10CM Advanced Illness J43.2 [J43.2] Centrilobular emphysema ICD10CM Advanced Illness J43.8 [J43.8] Other emphysema ICD10CM Advanced Illness J43.9 [J43.9] Emphysema, unspecified ICD10CM Advanced Illness J68.4 [J68.4] Chronic respiratory conditions due to chemicals, gases, fumes and vapors ICD10CM Advanced Illness J84.10 [J84.10] Pulmonary fibrosis, unspecified ICD10CM Advanced Illness J84.112 [J84.112] Idiopathic pulmonary fibrosis ICD10CM

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Exclusion Value Set Name Code Definition Code System [J84.17] Other interstitial pulmonary diseases with fibrosis in diseases classified Advanced Illness J84.17 ICD10CM elsewhere [J96.10] Chronic respiratory failure, unspecified whether with hypoxia or Advanced Illness J96.10 ICD10CM hypercapnia Advanced Illness J96.11 [J96.11] Chronic respiratory failure with hypoxia ICD10CM Advanced Illness J96.12 [J96.12] Chronic respiratory failure with hypercapnia ICD10CM [J96.20] Acute and chronic respiratory failure, unspecified whether with hypoxia Advanced Illness J96.20 ICD10CM or hypercapnia Advanced Illness J96.21 [J96.21] Acute and chronic respiratory failure with hypoxia ICD10CM Advanced Illness J96.22 [J96.22] Acute and chronic respiratory failure with hypercapnia ICD10CM [J96.90] Respiratory failure, unspecified, unspecified whether with hypoxia or Advanced Illness J96.90 ICD10CM hypercapnia Advanced Illness J96.91 [J96.91] Respiratory failure, unspecified with hypoxia ICD10CM Advanced Illness J96.92 [J96.92] Respiratory failure, unspecified with hypercapnia ICD10CM Advanced Illness J98.2 [J98.2] Interstitial emphysema ICD10CM Advanced Illness J98.3 [J98.3] Compensatory emphysema ICD10CM Advanced Illness K70.10 [K70.10] Alcoholic hepatitis without ascites ICD10CM Advanced Illness K70.11 [K70.11] Alcoholic hepatitis with ascites ICD10CM Advanced Illness K70.2 [K70.2] Alcoholic fibrosis and sclerosis of liver ICD10CM Advanced Illness K70.30 [K70.30] Alcoholic cirrhosis of liver without ascites ICD10CM Advanced Illness K70.31 [K70.31] Alcoholic cirrhosis of liver with ascites ICD10CM Advanced Illness K70.40 [K70.40] Alcoholic hepatic failure without coma ICD10CM Advanced Illness K70.41 [K70.41] Alcoholic hepatic failure with coma ICD10CM Advanced Illness K70.9 [K70.9] Alcoholic liver disease, unspecified ICD10CM Advanced Illness K74.0 [K74.0] Hepatic fibrosis ICD10CM Advanced Illness K74.1 [K74.1] Hepatic sclerosis ICD10CM Advanced Illness K74.2 [K74.2] Hepatic fibrosis with hepatic sclerosis ICD10CM Advanced Illness K74.4 [K74.4] Secondary biliary cirrhosis ICD10CM Advanced Illness K74.5 [K74.5] Biliary cirrhosis, unspecified ICD10CM Advanced Illness K74.60 [K74.60] Unspecified cirrhosis of liver ICD10CM Advanced Illness K74.69 [K74.69] Other cirrhosis of liver ICD10CM Advanced Illness L89.000 [L89.000] Pressure ulcer of unspecified elbow, unstageable ICD10CM

Page 55 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Advanced Illness L89.001 [L89.001] Pressure ulcer of unspecified elbow, stage 1 ICD10CM Advanced Illness L89.002 [L89.002] Pressure ulcer of unspecified elbow, stage 2 ICD10CM Advanced Illness L89.003 [L89.003] Pressure ulcer of unspecified elbow, stage 3 ICD10CM Advanced Illness L89.004 [L89.004] Pressure ulcer of unspecified elbow, stage 4 ICD10CM Advanced Illness L89.006 [L89.006] Pressure‐induced deep tissue damage of unspecified elbow ICD10CM Advanced Illness L89.009 [L89.009] Pressure ulcer of unspecified elbow, unspecified stage ICD10CM Advanced Illness L89.010 [L89.010] Pressure ulcer of right elbow, unstageable ICD10CM Advanced Illness L89.011 [L89.011] Pressure ulcer of right elbow, stage 1 ICD10CM Advanced Illness L89.012 [L89.012] Pressure ulcer of right elbow, stage 2 ICD10CM Advanced Illness L89.013 [L89.013] Pressure ulcer of right elbow, stage 3 ICD10CM Advanced Illness L89.014 [L89.014] Pressure ulcer of right elbow, stage 4 ICD10CM Advanced Illness L89.016 [L89.016] Pressure‐induced deep tissue damage of right elbow ICD10CM Advanced Illness L89.019 [L89.019] Pressure ulcer of right elbow, unspecified stage ICD10CM Advanced Illness L89.020 [L89.020] Pressure ulcer of left elbow, unstageable ICD10CM Advanced Illness L89.021 [L89.021] Pressure ulcer of left elbow, stage 1 ICD10CM Advanced Illness L89.022 [L89.022] Pressure ulcer of left elbow, stage 2 ICD10CM Advanced Illness L89.023 [L89.023] Pressure ulcer of left elbow, stage 3 ICD10CM Advanced Illness L89.024 [L89.024] Pressure ulcer of left elbow, stage 4 ICD10CM Advanced Illness L89.026 [L89.026] Pressure‐induced deep tissue damage of left elbow ICD10CM Advanced Illness L89.029 [L89.029] Pressure ulcer of left elbow, unspecified stage ICD10CM Advanced Illness L89.100 [L89.100] Pressure ulcer of unspecified part of back, unstageable ICD10CM Advanced Illness L89.101 [L89.101] Pressure ulcer of unspecified part of back, stage 1 ICD10CM Advanced Illness L89.102 [L89.102] Pressure ulcer of unspecified part of back, stage 2 ICD10CM Advanced Illness L89.103 [L89.103] Pressure ulcer of unspecified part of back, stage 3 ICD10CM Advanced Illness L89.104 [L89.104] Pressure ulcer of unspecified part of back, stage 4 ICD10CM Advanced Illness L89.106 [L89.106] Pressure‐induced deep tissue damage of unspecified part of back ICD10CM Advanced Illness L89.109 [L89.109] Pressure ulcer of unspecified part of back, unspecified stage ICD10CM Advanced Illness L89.110 [L89.110] Pressure ulcer of right upper back, unstageable ICD10CM Advanced Illness L89.111 [L89.111] Pressure ulcer of right upper back, stage 1 ICD10CM Advanced Illness L89.112 [L89.112] Pressure ulcer of right upper back, stage 2 ICD10CM Advanced Illness L89.113 [L89.113] Pressure ulcer of right upper back, stage 3 ICD10CM

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Exclusion Value Set Name Code Definition Code System Advanced Illness L89.114 [L89.114] Pressure ulcer of right upper back, stage 4 ICD10CM Advanced Illness L89.116 [L89.116] Pressure‐induced deep tissue damage of right upper back ICD10CM Advanced Illness L89.119 [L89.119] Pressure ulcer of right upper back, unspecified stage ICD10CM Advanced Illness L89.120 [L89.120] Pressure ulcer of left upper back, unstageable ICD10CM Advanced Illness L89.121 [L89.121] Pressure ulcer of left upper back, stage 1 ICD10CM Advanced Illness L89.122 [L89.122] Pressure ulcer of left upper back, stage 2 ICD10CM Advanced Illness L89.123 [L89.123] Pressure ulcer of left upper back, stage 3 ICD10CM Advanced Illness L89.124 [L89.124] Pressure ulcer of left upper back, stage 4 ICD10CM Advanced Illness L89.126 [L89.126] Pressure‐induced deep tissue damage of left upper back ICD10CM Advanced Illness L89.129 [L89.129] Pressure ulcer of left upper back, unspecified stage ICD10CM Advanced Illness L89.130 [L89.130] Pressure ulcer of right lower back, unstageable ICD10CM Advanced Illness L89.131 [L89.131] Pressure ulcer of right lower back, stage 1 ICD10CM Advanced Illness L89.132 [L89.132] Pressure ulcer of right lower back, stage 2 ICD10CM Advanced Illness L89.133 [L89.133] Pressure ulcer of right lower back, stage 3 ICD10CM Advanced Illness L89.134 [L89.134] Pressure ulcer of right lower back, stage 4 ICD10CM Advanced Illness L89.136 [L89.136] Pressure‐induced deep tissue damage of right lower back ICD10CM Advanced Illness L89.139 [L89.139] Pressure ulcer of right lower back, unspecified stage ICD10CM Advanced Illness L89.140 [L89.140] Pressure ulcer of left lower back, unstageable ICD10CM Advanced Illness L89.141 [L89.141] Pressure ulcer of left lower back, stage 1 ICD10CM Advanced Illness L89.142 [L89.142] Pressure ulcer of left lower back, stage 2 ICD10CM Advanced Illness L89.143 [L89.143] Pressure ulcer of left lower back, stage 3 ICD10CM Advanced Illness L89.144 [L89.144] Pressure ulcer of left lower back, stage 4 ICD10CM Advanced Illness L89.146 [L89.146] Pressure‐induced deep tissue damage of left lower back ICD10CM Advanced Illness L89.149 [L89.149] Pressure ulcer of left lower back, unspecified stage ICD10CM Advanced Illness L89.150 [L89.150] Pressure ulcer of sacral region, unstageable ICD10CM Advanced Illness L89.151 [L89.151] Pressure ulcer of sacral region, stage 1 ICD10CM Advanced Illness L89.152 [L89.152] Pressure ulcer of sacral region, stage 2 ICD10CM Advanced Illness L89.153 [L89.153] Pressure ulcer of sacral region, stage 3 ICD10CM Advanced Illness L89.154 [L89.154] Pressure ulcer of sacral region, stage 4 ICD10CM Advanced Illness L89.156 [L89.156] Pressure‐induced deep tissue damage of sacral region ICD10CM Advanced Illness L89.159 [L89.159] Pressure ulcer of sacral region, unspecified stage ICD10CM Advanced Illness L89.200 [L89.200] Pressure ulcer of unspecified hip, unstageable ICD10CM

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Exclusion Value Set Name Code Definition Code System Advanced Illness L89.201 [L89.201] Pressure ulcer of unspecified hip, stage 1 ICD10CM Advanced Illness L89.202 [L89.202] Pressure ulcer of unspecified hip, stage 2 ICD10CM Advanced Illness L89.203 [L89.203] Pressure ulcer of unspecified hip, stage 3 ICD10CM Advanced Illness L89.204 [L89.204] Pressure ulcer of unspecified hip, stage 4 ICD10CM Advanced Illness L89.206 [L89.206] Pressure‐induced deep tissue damage of unspecified hip ICD10CM Advanced Illness L89.209 [L89.209] Pressure ulcer of unspecified hip, unspecified stage ICD10CM Advanced Illness L89.210 [L89.210] Pressure ulcer of right hip, unstageable ICD10CM Advanced Illness L89.211 [L89.211] Pressure ulcer of right hip, stage 1 ICD10CM Advanced Illness L89.212 [L89.212] Pressure ulcer of right hip, stage 2 ICD10CM Advanced Illness L89.213 [L89.213] Pressure ulcer of right hip, stage 3 ICD10CM Advanced Illness L89.214 [L89.214] Pressure ulcer of right hip, stage 4 ICD10CM Advanced Illness L89.216 [L89.216] Pressure‐induced deep tissue damage of right hip ICD10CM Advanced Illness L89.219 [L89.219] Pressure ulcer of right hip, unspecified stage ICD10CM Advanced Illness L89.220 [L89.220] Pressure ulcer of left hip, unstageable ICD10CM Advanced Illness L89.221 [L89.221] Pressure ulcer of left hip, stage 1 ICD10CM Advanced Illness L89.222 [L89.222] Pressure ulcer of left hip, stage 2 ICD10CM Advanced Illness L89.223 [L89.223] Pressure ulcer of left hip, stage 3 ICD10CM Advanced Illness L89.224 [L89.224] Pressure ulcer of left hip, stage 4 ICD10CM Advanced Illness L89.226 [L89.226] Pressure‐induced deep tissue damage of left hip ICD10CM Advanced Illness L89.229 [L89.229] Pressure ulcer of left hip, unspecified stage ICD10CM Advanced Illness L89.300 [L89.300] Pressure ulcer of unspecified buttock, unstageable ICD10CM Advanced Illness L89.301 [L89.301] Pressure ulcer of unspecified buttock, stage 1 ICD10CM Advanced Illness L89.302 [L89.302] Pressure ulcer of unspecified buttock, stage 2 ICD10CM Advanced Illness L89.303 [L89.303] Pressure ulcer of unspecified buttock, stage 3 ICD10CM Advanced Illness L89.304 [L89.304] Pressure ulcer of unspecified buttock, stage 4 ICD10CM Advanced Illness L89.306 [L89.306] Pressure‐induced deep tissue damage of unspecified buttock ICD10CM Advanced Illness L89.309 [L89.309] Pressure ulcer of unspecified buttock, unspecified stage ICD10CM Advanced Illness L89.310 [L89.310] Pressure ulcer of right buttock, unstageable ICD10CM Advanced Illness L89.311 [L89.311] Pressure ulcer of right buttock, stage 1 ICD10CM Advanced Illness L89.312 [L89.312] Pressure ulcer of right buttock, stage 2 ICD10CM Advanced Illness L89.313 [L89.313] Pressure ulcer of right buttock, stage 3 ICD10CM Advanced Illness L89.314 [L89.314] Pressure ulcer of right buttock, stage 4 ICD10CM

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Exclusion Value Set Name Code Definition Code System Advanced Illness L89.316 [L89.316] Pressure‐induced deep tissue damage of right buttock ICD10CM Advanced Illness L89.319 [L89.319] Pressure ulcer of right buttock, unspecified stage ICD10CM Advanced Illness L89.320 [L89.320] Pressure ulcer of left buttock, unstageable ICD10CM Advanced Illness L89.321 [L89.321] Pressure ulcer of left buttock, stage 1 ICD10CM Advanced Illness L89.322 [L89.322] Pressure ulcer of left buttock, stage 2 ICD10CM Advanced Illness L89.323 [L89.323] Pressure ulcer of left buttock, stage 3 ICD10CM Advanced Illness L89.324 [L89.324] Pressure ulcer of left buttock, stage 4 ICD10CM Advanced Illness L89.326 [L89.326] Pressure‐induced deep tissue damage of left buttock ICD10CM Advanced Illness L89.329 [L89.329] Pressure ulcer of left buttock, unspecified stage ICD10CM [L89.40] Pressure ulcer of contiguous site of back, buttock and hip, unspecified Advanced Illness L89.40 ICD10CM stage Advanced Illness L89.41 [L89.41] Pressure ulcer of contiguous site of back, buttock and hip, stage 1 ICD10CM

Advanced Illness L89.42 [L89.42] Pressure ulcer of contiguous site of back, buttock and hip, stage 2 ICD10CM

Advanced Illness L89.43 [L89.43] Pressure ulcer of contiguous site of back, buttock and hip, stage 3 ICD10CM

Advanced Illness L89.44 [L89.44] Pressure ulcer of contiguous site of back, buttock and hip, stage 4 ICD10CM

Advanced Illness L89.45 [L89.45] Pressure ulcer of contiguous site of back, buttock and hip, unstageable ICD10CM [L89.46] Pressure‐induced deep tissue damage of contiguous site of back, buttock Advanced Illness L89.46 ICD10CM and hip Advanced Illness L89.500 [L89.500] Pressure ulcer of unspecified ankle, unstageable ICD10CM Advanced Illness L89.501 [L89.501] Pressure ulcer of unspecified ankle, stage 1 ICD10CM Advanced Illness L89.502 [L89.502] Pressure ulcer of unspecified ankle, stage 2 ICD10CM Advanced Illness L89.503 [L89.503] Pressure ulcer of unspecified ankle, stage 3 ICD10CM Advanced Illness L89.504 [L89.504] Pressure ulcer of unspecified ankle, stage 4 ICD10CM Advanced Illness L89.506 [L89.506] Pressure‐induced deep tissue damage of unspecified ankle ICD10CM Advanced Illness L89.509 [L89.509] Pressure ulcer of unspecified ankle, unspecified stage ICD10CM Advanced Illness L89.510 [L89.510] Pressure ulcer of right ankle, unstageable ICD10CM Advanced Illness L89.511 [L89.511] Pressure ulcer of right ankle, stage 1 ICD10CM

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Exclusion Value Set Name Code Definition Code System Advanced Illness L89.512 [L89.512] Pressure ulcer of right ankle, stage 2 ICD10CM Advanced Illness L89.513 [L89.513] Pressure ulcer of right ankle, stage 3 ICD10CM Advanced Illness L89.514 [L89.514] Pressure ulcer of right ankle, stage 4 ICD10CM Advanced Illness L89.516 [L89.516] Pressure‐induced deep tissue damage of right ankle ICD10CM Advanced Illness L89.519 [L89.519] Pressure ulcer of right ankle, unspecified stage ICD10CM Advanced Illness L89.520 [L89.520] Pressure ulcer of left ankle, unstageable ICD10CM Advanced Illness L89.521 [L89.521] Pressure ulcer of left ankle, stage 1 ICD10CM Advanced Illness L89.522 [L89.522] Pressure ulcer of left ankle, stage 2 ICD10CM Advanced Illness L89.523 [L89.523] Pressure ulcer of left ankle, stage 3 ICD10CM Advanced Illness L89.524 [L89.524] Pressure ulcer of left ankle, stage 4 ICD10CM Advanced Illness L89.526 [L89.526] Pressure‐induced deep tissue damage of left ankle ICD10CM Advanced Illness L89.529 [L89.529] Pressure ulcer of left ankle, unspecified stage ICD10CM Advanced Illness L89.600 [L89.600] Pressure ulcer of unspecified heel, unstageable ICD10CM Advanced Illness L89.601 [L89.601] Pressure ulcer of unspecified heel, stage 1 ICD10CM Advanced Illness L89.602 [L89.602] Pressure ulcer of unspecified heel, stage 2 ICD10CM Advanced Illness L89.603 [L89.603] Pressure ulcer of unspecified heel, stage 3 ICD10CM Advanced Illness L89.604 [L89.604] Pressure ulcer of unspecified heel, stage 4 ICD10CM Advanced Illness L89.606 [L89.606] Pressure‐induced deep tissue damage of unspecified heel ICD10CM Advanced Illness L89.609 [L89.609] Pressure ulcer of unspecified heel, unspecified stage ICD10CM Advanced Illness L89.610 [L89.610] Pressure ulcer of right heel, unstageable ICD10CM Advanced Illness L89.611 [L89.611] Pressure ulcer of right heel, stage 1 ICD10CM Advanced Illness L89.612 [L89.612] Pressure ulcer of right heel, stage 2 ICD10CM Advanced Illness L89.613 [L89.613] Pressure ulcer of right heel, stage 3 ICD10CM Advanced Illness L89.614 [L89.614] Pressure ulcer of right heel, stage 4 ICD10CM Advanced Illness L89.616 [L89.616] Pressure‐induced deep tissue damage of right heel ICD10CM Advanced Illness L89.619 [L89.619] Pressure ulcer of right heel, unspecified stage ICD10CM Advanced Illness L89.620 [L89.620] Pressure ulcer of left heel, unstageable ICD10CM Advanced Illness L89.621 [L89.621] Pressure ulcer of left heel, stage 1 ICD10CM Advanced Illness L89.622 [L89.622] Pressure ulcer of left heel, stage 2 ICD10CM Advanced Illness L89.623 [L89.623] Pressure ulcer of left heel, stage 3 ICD10CM Advanced Illness L89.624 [L89.624] Pressure ulcer of left heel, stage 4 ICD10CM Advanced Illness L89.626 [L89.626] Pressure‐induced deep tissue damage of left heel ICD10CM

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Exclusion Value Set Name Code Definition Code System Advanced Illness L89.629 [L89.629] Pressure ulcer of left heel, unspecified stage ICD10CM Advanced Illness L89.810 [L89.810] Pressure ulcer of head, unstageable ICD10CM Advanced Illness L89.811 [L89.811] Pressure ulcer of head, stage 1 ICD10CM Advanced Illness L89.812 [L89.812] Pressure ulcer of head, stage 2 ICD10CM Advanced Illness L89.813 [L89.813] Pressure ulcer of head, stage 3 ICD10CM Advanced Illness L89.814 [L89.814] Pressure ulcer of head, stage 4 ICD10CM Advanced Illness L89.816 [L89.816] Pressure‐induced deep tissue damage of head ICD10CM Advanced Illness L89.819 [L89.819] Pressure ulcer of head, unspecified stage ICD10CM Advanced Illness L89.890 [L89.890] Pressure ulcer of other site, unstageable ICD10CM Advanced Illness L89.891 [L89.891] Pressure ulcer of other site, stage 1 ICD10CM Advanced Illness L89.892 [L89.892] Pressure ulcer of other site, stage 2 ICD10CM Advanced Illness L89.893 [L89.893] Pressure ulcer of other site, stage 3 ICD10CM Advanced Illness L89.894 [L89.894] Pressure ulcer of other site, stage 4 ICD10CM Advanced Illness L89.896 [L89.896] Pressure‐induced deep tissue damage of other site ICD10CM Advanced Illness L89.899 [L89.899] Pressure ulcer of other site, unspecified stage ICD10CM Advanced Illness L89.90 [L89.90] Pressure ulcer of unspecified site, unspecified stage ICD10CM Advanced Illness L89.91 [L89.91] Pressure ulcer of unspecified site, stage 1 ICD10CM Advanced Illness L89.92 [L89.92] Pressure ulcer of unspecified site, stage 2 ICD10CM Advanced Illness L89.93 [L89.93] Pressure ulcer of unspecified site, stage 3 ICD10CM Advanced Illness L89.94 [L89.94] Pressure ulcer of unspecified site, stage 4 ICD10CM Advanced Illness L89.95 [L89.95] Pressure ulcer of unspecified site, unstageable ICD10CM Advanced Illness L89.96 [L89.96] Pressure‐induced deep tissue damage of unspecified site ICD10CM Advanced Illness N18.5 [N18.5] Chronic kidney disease, stage 5 ICD10CM Advanced Illness N18.6 [N18.6] End stage renal disease ICD10CM SNOMED CT US Advanced Illness 281004 Dementia associated with alcoholism (disorder) Edition SNOMED CT US Advanced Illness 364006 Acute left‐sided heart failure (disorder) Edition SNOMED CT US Advanced Illness 536002 Glissonian cirrhosis (disorder) Edition SNOMED CT US Advanced Illness 792004 Jakob‐Creutzfeldt disease (disorder) Edition

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Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 1761006 Biliary cirrhosis (disorder) Edition SNOMED CT US Advanced Illness 2912004 Cystic‐bullous disease of the lung (disorder) Edition SNOMED CT US Advanced Illness 3298001 Amnestic disorder (disorder) Edition SNOMED CT US Advanced Illness 3514002 Peribronchial fibrosis of lung (disorder) Edition Primary degenerative dementia of the Alzheimer type, senile onset, with delirium SNOMED CT US Advanced Illness 4817008 (disorder) Edition SNOMED CT US Advanced Illness 4981000 Panacinar emphysema (disorder) Edition SNOMED CT US Advanced Illness 5053004 Cardiac insufficiency due to prosthesis (disorder) Edition SNOMED CT US Advanced Illness 5148006 Hypertensive heart disease with congestive heart failure (disorder) Edition SNOMED CT US Advanced Illness 5375005 Chronic left‐sided congestive heart failure (disorder) Edition SNOMED CT US Advanced Illness 6183001 Indian childhood cirrhosis (disorder) Edition Primary degenerative dementia of the Alzheimer type, presenile onset, SNOMED CT US Advanced Illness 6475002 uncomplicated (disorder) Edition SNOMED CT US Advanced Illness 9345005 Dialysis dementia (disorder) Edition SNOMED CT US Advanced Illness 9953008 Acute alcoholic liver disease (disorder) Edition SNOMED CT US Advanced Illness 10091002 High output heart failure (disorder) Edition SNOMED CT US Advanced Illness 10335000 Chronic right‐sided heart failure (disorder) Edition SNOMED CT US Advanced Illness 10349009 Multi‐infarct dementia with delirium (disorder) Edition

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Exclusion Value Set Name Code Definition Code System Primary degenerative dementia of the Alzheimer type, presenile onset, with SNOMED CT US Advanced Illness 10532003 depression (disorder) Edition SNOMED CT US Advanced Illness 10633002 Acute congestive heart failure (disorder) Edition SNOMED CT US Advanced Illness 12348006 Presenile dementia (disorder) Edition SNOMED CT US Advanced Illness 12368000 Secondary biliary cirrhosis (disorder) Edition SNOMED CT US Advanced Illness 13092008 Pick's disease (disorder) Edition SNOMED CT US Advanced Illness 13274008 Atrophic fibrosis of lung (disorder) Edition SNOMED CT US Advanced Illness 13839000 Bernheim's syndrome (disorder) Edition SNOMED CT US Advanced Illness 14070001 Multi‐infarct dementia with depression (disorder) Edition SNOMED CT US Advanced Illness 14700006 Bauxite fibrosis of lung (disorder) Edition SNOMED CT US Advanced Illness 15662003 Senile dementia (disorder) Edition SNOMED CT US Advanced Illness 15999000 Mixed micro AND macronodular cirrhosis (disorder) Edition SNOMED CT US Advanced Illness 16003001 Giant bullous emphysema (disorder) Edition SNOMED CT US Advanced Illness 16070004 Syphilitic cirrhosis (disorder) Edition SNOMED CT US Advanced Illness 16846004 Obstructive emphysema (disorder) Edition SNOMED CT US Advanced Illness 17262008 Non‐alcoholic Korsakoff's psychosis (disorder) Edition SNOMED CT US Advanced Illness 17385007 Graphite fibrosis of lung (disorder) Edition

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Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 19943007 Cirrhosis of liver (disorder) Edition SNOMED CT US Advanced Illness 21861000 Micronodular cirrhosis (disorder) Edition SNOMED CT US Advanced Illness 23958009 Vanishing lung (disorder) Edition SNOMED CT US Advanced Illness 24700007 Multiple sclerosis (disorder) Edition SNOMED CT US Advanced Illness 25544003 Low output heart failure (disorder) Edition SNOMED CT US Advanced Illness 25772007 Multi‐infarct dementia with delusions (disorder) Edition Primary degenerative dementia of the Alzheimer type, senile onset, with SNOMED CT US Advanced Illness 26852004 depression (disorder) Edition SNOMED CT US Advanced Illness 26929004 Alzheimer's disease (disorder) Edition SNOMED CT US Advanced Illness 27156006 Posthepatitic cirrhosis (disorder) Edition SNOMED CT US Advanced Illness 30042003 Confluent fibrosis of lung (disorder) Edition SNOMED CT US Advanced Illness 31712002 Primary biliary cholangitis (disorder) Edition SNOMED CT US Advanced Illness 31898008 Paraseptal emphysema (disorder) Edition SNOMED CT US Advanced Illness 32875003 Inhalant‐induced persisting dementia (disorder) Edition SNOMED CT US Advanced Illness 33144001 Parasitic cirrhosis (disorder) Edition SNOMED CT US Advanced Illness 33325001 Compensatory emphysema (disorder) Edition SNOMED CT US Advanced Illness 33644002 Postvalvulotomy syndrome (disorder) Edition

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Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 36599006 Chronic fibrosis of lung (disorder) Edition SNOMED CT US Advanced Illness 37688005 Clonorchiasis with biliary cirrhosis (disorder) Edition SNOMED CT US Advanced Illness 39871006 Chronic respiratory failure (disorder) Edition SNOMED CT US Advanced Illness 40312006 Pericarditis co‐occurrent and due to tumor metastatic to pericardium (disorder) Edition SNOMED CT US Advanced Illness 40425004 Postconcussion syndrome (disorder) Edition SNOMED CT US Advanced Illness 40640008 Massive fibrosis of lung co‐occurrent and due to silicosis (disorder) Edition SNOMED CT US Advanced Illness 41309000 Alcoholic liver damage (disorder) Edition SNOMED CT US Advanced Illness 42343007 Congestive heart failure (disorder) Edition SNOMED CT US Advanced Illness 43736008 Rheumatic left ventricular failure (disorder) Edition SNOMED CT US Advanced Illness 43904005 Macronodular cirrhosis (disorder) Edition SNOMED CT US Advanced Illness 44047000 Zieve's syndrome (disorder) Edition SNOMED CT US Advanced Illness 44088000 Low cardiac output syndrome (disorder) Edition SNOMED CT US Advanced Illness 44274007 Lymphoid interstitial pneumonia (disorder) Edition SNOMED CT US Advanced Illness 44313006 Right heart failure secondary to left heart failure (disorder) Edition SNOMED CT US Advanced Illness 45256007 Cruveilhier‐Baumgarten syndrome (disorder) Edition SNOMED CT US Advanced Illness 46113002 Hypertensive heart failure (disorder) Edition

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Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 46177005 End‐stage renal disease (disorder) Edition SNOMED CT US Advanced Illness 48447003 Chronic heart failure (disorder) Edition SNOMED CT US Advanced Illness 49049000 Parkinson's disease (disorder) Edition SNOMED CT US Advanced Illness 49584005 Acute cor pulmonale (disorder) Edition SNOMED CT US Advanced Illness 49708008 Anemia of chronic renal failure (disorder) Edition SNOMED CT US Advanced Illness 50196008 Perialveolar fibrosis of lung (disorder) Edition SNOMED CT US Advanced Illness 50325005 Alcoholic fatty liver (disorder) Edition SNOMED CT US Advanced Illness 51615001 Fibrosis of lung (disorder) Edition SNOMED CT US Advanced Illness 51928006 General paresis ‐ neurosyphilis (disorder) Edition SNOMED CT US Advanced Illness 52448006 Dementia (disorder) Edition Primary degenerative dementia of the Alzheimer type, presenile onset, with SNOMED CT US Advanced Illness 54502004 delusions (disorder) Edition SNOMED CT US Advanced Illness 54867000 Rheumatoid fibrosing alveolitis (disorder) Edition Primary degenerative dementia of the Alzheimer type, senile onset, with SNOMED CT US Advanced Illness 55009008 delusions (disorder) Edition Cardiac failure after obstetrical AND/OR other procedure including SNOMED CT US Advanced Illness 55565007 delivery (disorder) Edition SNOMED CT US Advanced Illness 56267009 Multi‐infarct dementia (disorder) Edition SNOMED CT US Advanced Illness 56675007 Acute heart failure (disorder) Edition

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Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 56841008 Massive fibrosis of lung (disorder) Edition Chronic pulmonary fibrosis due to inhalation of chemical fumes AND/OR vapors SNOMED CT US Advanced Illness 57488007 (disorder) Edition SNOMED CT US Advanced Illness 57557005 Chronic milk alkali syndrome (disorder) Edition SNOMED CT US Advanced Illness 57686001 Emphysematous bleb of lung (disorder) Edition SNOMED CT US Advanced Illness 58756001 Huntington's chorea (disorder) Edition SNOMED CT US Advanced Illness 59651006 Sedative, hypnotic AND/OR anxiolytic‐induced persisting dementia (disorder) Edition SNOMED CT US Advanced Illness 59773008 Simple pulmonary alveolitis (disorder) Edition SNOMED CT US Advanced Illness 60805002 Hemolytic anemia with emphysema AND cutis laxa (disorder) Edition SNOMED CT US Advanced Illness 60856006 Cardiac insufficiency following (disorder) Edition SNOMED CT US Advanced Illness 62239001 Parkinson‐dementia complex of Guam (disorder) Edition Primary degenerative dementia of the Alzheimer type, presenile onset, with SNOMED CT US Advanced Illness 65096006 delirium (disorder) Edition SNOMED CT US Advanced Illness 65710008 Acute respiratory failure (disorder) Edition Primary degenerative dementia of the Alzheimer type, senile onset, SNOMED CT US Advanced Illness 66108005 uncomplicated (disorder) Edition Chronic diffuse emphysema caused by inhalation of chemical fumes AND/OR SNOMED CT US Advanced Illness 66110007 vapors (disorder) Edition SNOMED CT US Advanced Illness 66989003 Chronic right‐sided congestive heart failure (disorder) Edition SNOMED CT US Advanced Illness 67905004 Acute‐on‐chronic respiratory failure (disorder) Edition

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Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 68328006 Centriacinar emphysema (disorder) Edition SNOMED CT US Advanced Illness 69482004 Korsakoff's psychosis (disorder) Edition SNOMED CT US Advanced Illness 70936005 Multi‐infarct dementia, uncomplicated (disorder) Edition SNOMED CT US Advanced Illness 71193007 Fibrosis of lung caused by radiation (disorder) Edition SNOMED CT US Advanced Illness 71892000 Cardiac asthma (disorder) Edition SNOMED CT US Advanced Illness 73097000 Alcohol amnestic disorder (disorder) Edition SNOMED CT US Advanced Illness 74669004 Cardiac cirrhosis (disorder) Edition SNOMED CT US Advanced Illness 74960003 Acute left‐sided congestive heart failure (disorder) Edition SNOMED CT US Advanced Illness 76301009 Florid cirrhosis (disorder) Edition SNOMED CT US Advanced Illness 77690003 Interstitial emphysema of lung (disorder) Edition SNOMED CT US Advanced Illness 78208005 Pigment cirrhosis (disorder) Edition SNOMED CT US Advanced Illness 78862003 Ayerza's syndrome (disorder) Edition SNOMED CT US Advanced Illness 79955004 Chronic cor pulmonale (disorder) Edition SNOMED CT US Advanced Illness 80479009 Acute right‐sided congestive heart failure (disorder) Edition SNOMED CT US Advanced Illness 80614003 Prolonged pulmonary alveolitis (disorder) Edition SNOMED CT US Advanced Illness 82523003 Congestive rheumatic heart failure (disorder) Edition

Page 68 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 82959004 Dementia paralytica juvenilis (disorder) Edition SNOMED CT US Advanced Illness 83105008 Malignant hypertensive heart disease with congestive heart failure (disorder) Edition SNOMED CT US Advanced Illness 83168008 Psychoactive substance‐induced organic amnestic disorder (disorder) Edition SNOMED CT US Advanced Illness 83291003 Cor pulmonale (disorder) Edition SNOMED CT US Advanced Illness 84114007 Heart failure (disorder) Edition SNOMED CT US Advanced Illness 85232009 Left heart failure (disorder) Edition SNOMED CT US Advanced Illness 86044005 Amyotrophic lateral sclerosis (disorder) Edition SNOMED CT US Advanced Illness 86454000 Postnecrotic cirrhosis (disorder) Edition SNOMED CT US Advanced Illness 86680006 Ruptured emphysematous bleb of lung (disorder) Edition SNOMED CT US Advanced Illness 87317003 Respiratory arrest (disorder) Edition SNOMED CT US Advanced Illness 87433001 Pulmonary emphysema (disorder) Edition SNOMED CT US Advanced Illness 88805009 Chronic congestive heart failure (disorder) Edition SNOMED CT US Advanced Illness 89580002 Cryptogenic cirrhosis (disorder) Edition SNOMED CT US Advanced Illness 89819002 Cardiac insufficiency during AND/OR resulting from a procedure (disorder) Edition SNOMED CT US Advanced Illness 90099008 Subcortical leukoencephalopathy (disorder) Edition SNOMED CT US Advanced Illness 90117007 Tuberculous fibrosis of lung (disorder) Edition

Page 69 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 90610005 Interstitial pulmonary fibrosis of prematurity (disorder) Edition SNOMED CT US Advanced Illness 90688005 Chronic renal failure syndrome (disorder) Edition SNOMED CT US Advanced Illness 92506005 Biventricular congestive heart failure (disorder) Edition SNOMED CT US Advanced Illness 93145002 Leukemic reticuloendotheliosis of intrapelvic lymph nodes (disorder) Edition SNOMED CT US Advanced Illness 93715005 Primary malignant neoplasm of body of pancreas (disorder) Edition SNOMED CT US Advanced Illness 93726004 Primary malignant neoplasm of brain stem (disorder) Edition SNOMED CT US Advanced Illness 93727008 Primary malignant neoplasm of brain (disorder) Edition SNOMED CT US Advanced Illness 93746009 Primary malignant neoplasm of cerebellum (disorder) Edition SNOMED CT US Advanced Illness 93748005 Primary malignant neoplasm of cerebral ventricle (disorder) Edition SNOMED CT US Advanced Illness 93749002 Primary malignant neoplasm of cerebrum (disorder) Edition SNOMED CT US Advanced Illness 93768004 Primary malignant neoplasm of craniopharyngeal duct (disorder) Edition SNOMED CT US Advanced Illness 93807001 Primary malignant neoplasm of frontal lobe (disorder) Edition SNOMED CT US Advanced Illness 93843007 Primary malignant neoplasm of islets of Langerhans (disorder) Edition SNOMED CT US Advanced Illness 93928006 Primary malignant neoplasm of occipital lobe (disorder) Edition SNOMED CT US Advanced Illness 93930008 Primary malignant neoplasm of olfactory nerve (disorder) Edition SNOMED CT US Advanced Illness 93939009 Primary malignant neoplasm of pancreatic duct (disorder) Edition

Page 70 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 93946000 Primary malignant neoplasm of parietal lobe (disorder) Edition SNOMED CT US Advanced Illness 93962006 Primary malignant neoplasm of pineal gland (disorder) Edition SNOMED CT US Advanced Illness 93964007 Primary malignant neoplasm of pituitary gland (disorder) Edition SNOMED CT US Advanced Illness 94082003 Primary malignant neoplasm of tail of pancreas (disorder) Edition SNOMED CT US Advanced Illness 94086000 Primary malignant neoplasm of temporal lobe (disorder) Edition SNOMED CT US Advanced Illness 94152006 Secondary malignant neoplasm of abdominal esophagus (disorder) Edition SNOMED CT US Advanced Illness 94153001 Secondary malignant neoplasm of abducens nerve (disorder) Edition SNOMED CT US Advanced Illness 94154007 Secondary malignant neoplasm of accessory nerve (disorder) Edition SNOMED CT US Advanced Illness 94155008 Secondary malignant neoplasm of accessory sinus (disorder) Edition SNOMED CT US Advanced Illness 94156009 Secondary malignant neoplasm of acoustic nerve (disorder) Edition SNOMED CT US Advanced Illness 94157000 Secondary malignant neoplasm of acromion (disorder) Edition SNOMED CT US Advanced Illness 94158005 Secondary malignant neoplasm of adenoid (disorder) Edition SNOMED CT US Advanced Illness 94159002 Secondary malignant neoplasm of adnexa of skin (disorder) Edition SNOMED CT US Advanced Illness 94160007 Secondary malignant neoplasm of adrenal cortex (disorder) Edition SNOMED CT US Advanced Illness 94161006 Secondary malignant neoplasm of adrenal gland (disorder) Edition SNOMED CT US Advanced Illness 94162004 Secondary malignant neoplasm of adrenal medulla (disorder) Edition

Page 71 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 94163009 Secondary malignant neoplasm of alveolar ridge mucosa (disorder) Edition SNOMED CT US Advanced Illness 94164003 Secondary malignant neoplasm of ampulla of Vater (disorder) Edition SNOMED CT US Advanced Illness 94165002 Secondary malignant neoplasm of anal canal (disorder) Edition SNOMED CT US Advanced Illness 94166001 Secondary malignant neoplasm of anterior aspect of epiglottis (disorder) Edition SNOMED CT US Advanced Illness 94167005 Secondary malignant neoplasm of anterior mediastinum (disorder) Edition SNOMED CT US Advanced Illness 94168000 Secondary malignant neoplasm of anterior portion of floor of mouth (disorder) Edition SNOMED CT US Advanced Illness 94169008 Secondary malignant neoplasm of anterior two‐thirds of tongue (disorder) Edition SNOMED CT US Advanced Illness 94170009 Secondary malignant neoplasm of anterior wall of nasopharynx (disorder) Edition SNOMED CT US Advanced Illness 94171008 Secondary malignant neoplasm of anterior wall of urinary bladder (disorder) Edition SNOMED CT US Advanced Illness 94172001 Secondary malignant neoplasm of anus (disorder) Edition SNOMED CT US Advanced Illness 94173006 Secondary malignant neoplasm of aortic body (disorder) Edition SNOMED CT US Advanced Illness 94175004 Secondary malignant neoplasm of appendix (disorder) Edition SNOMED CT US Advanced Illness 94176003 Secondary malignant neoplasm of areola of female breast (disorder) Edition SNOMED CT US Advanced Illness 94177007 Secondary malignant neoplasm of areola of male breast (disorder) Edition SNOMED CT US Advanced Illness 94179005 Secondary malignant neoplasm of ascending colon (disorder) Edition SNOMED CT US Advanced Illness 94180008 Secondary malignant neoplasm of axilla (disorder) Edition

Page 72 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 94181007 Secondary malignant neoplasm of axillary lymph nodes (disorder) Edition SNOMED CT US Advanced Illness 94182000 Secondary malignant neoplasm of axillary tail of female breast (disorder) Edition SNOMED CT US Advanced Illness 94183005 Secondary malignant neoplasm of back (disorder) Edition SNOMED CT US Advanced Illness 94184004 Secondary malignant neoplasm of base of tongue (disorder) Edition SNOMED CT US Advanced Illness 94185003 Secondary malignant neoplasm of biliary tract (disorder) Edition SNOMED CT US Advanced Illness 94186002 Secondary malignant neoplasm of bladder (disorder) Edition SNOMED CT US Advanced Illness 94187006 Secondary malignant neoplasm of blood vessel of abdomen (disorder) Edition SNOMED CT US Advanced Illness 94189009 Secondary malignant neoplasm of blood vessel of axilla (disorder) Edition SNOMED CT US Advanced Illness 94190000 Secondary malignant neoplasm of blood vessel of buttock (disorder) Edition SNOMED CT US Advanced Illness 94191001 Secondary malignant neoplasm of blood vessel of face (disorder) Edition SNOMED CT US Advanced Illness 94192008 Secondary malignant neoplasm of blood vessel of finger (disorder) Edition SNOMED CT US Advanced Illness 94193003 Secondary malignant neoplasm of blood vessel of foot (disorder) Edition SNOMED CT US Advanced Illness 94194009 Secondary malignant neoplasm of blood vessel of forearm (disorder) Edition SNOMED CT US Advanced Illness 94195005 Secondary malignant neoplasm of blood vessel of hand (disorder) Edition SNOMED CT US Advanced Illness 94196006 Secondary malignant neoplasm of blood vessel of head (disorder) Edition SNOMED CT US Advanced Illness 94197002 Secondary malignant neoplasm of blood vessel of hip (disorder) Edition

Page 73 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 94198007 Secondary malignant neoplasm of blood vessel of inguinal region (disorder) Edition SNOMED CT US Advanced Illness 94200001 Secondary malignant neoplasm of blood vessel of lower limb (disorder) Edition SNOMED CT US Advanced Illness 94201002 Secondary malignant neoplasm of blood vessel of neck (disorder) Edition SNOMED CT US Advanced Illness 94202009 Secondary malignant neoplasm of blood vessel of pelvis (disorder) Edition SNOMED CT US Advanced Illness 94203004 Secondary malignant neoplasm of blood vessel of perineum (disorder) Edition SNOMED CT US Advanced Illness 94204005 Secondary malignant neoplasm of blood vessel of popliteal space (disorder) Edition SNOMED CT US Advanced Illness 94205006 Secondary malignant neoplasm of blood vessel of shoulder (disorder) Edition SNOMED CT US Advanced Illness 94206007 Secondary malignant neoplasm of blood vessel of thigh (disorder) Edition SNOMED CT US Advanced Illness 94207003 Secondary malignant neoplasm of blood vessel of thorax (disorder) Edition SNOMED CT US Advanced Illness 94208008 Secondary malignant neoplasm of blood vessel of toe (disorder) Edition SNOMED CT US Advanced Illness 94209000 Secondary malignant neoplasm of blood vessel of trunk (disorder) Edition SNOMED CT US Advanced Illness 94210005 Secondary malignant neoplasm of blood vessel of upper limb (disorder) Edition SNOMED CT US Advanced Illness 94211009 Secondary malignant neoplasm of blood vessel (disorder) Edition SNOMED CT US Advanced Illness 94212002 Secondary malignant neoplasm of body of pancreas (disorder) Edition SNOMED CT US Advanced Illness 94213007 Secondary malignant neoplasm of body of penis (disorder) Edition SNOMED CT US Advanced Illness 94214001 Secondary malignant neoplasm of body of stomach (disorder) Edition

Page 74 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 94215000 Secondary malignant neoplasm of body of uterus (disorder) Edition SNOMED CT US Advanced Illness 94217008 Secondary malignant neoplasm of bone marrow (disorder) Edition SNOMED CT US Advanced Illness 94218003 Secondary malignant neoplasm of bone of face (disorder) Edition SNOMED CT US Advanced Illness 94219006 Secondary malignant neoplasm of bone of lower limb (disorder) Edition SNOMED CT US Advanced Illness 94220000 Secondary malignant neoplasm of bone of skull (disorder) Edition SNOMED CT US Advanced Illness 94221001 Secondary malignant neoplasm of bone of upper limb (disorder) Edition SNOMED CT US Advanced Illness 94222008 Secondary malignant neoplasm of bone (disorder) Edition SNOMED CT US Advanced Illness 94224009 Secondary malignant neoplasm of brain stem (disorder) Edition SNOMED CT US Advanced Illness 94225005 Secondary malignant neoplasm of brain (disorder) Edition SNOMED CT US Advanced Illness 94226006 Secondary malignant neoplasm of broad ligament (disorder) Edition SNOMED CT US Advanced Illness 94227002 Secondary malignant neoplasm of bronchopulmonary lymph nodes (disorder) Edition SNOMED CT US Advanced Illness 94228007 Secondary malignant neoplasm of bronchus of left lower lobe (disorder) Edition SNOMED CT US Advanced Illness 94229004 Secondary malignant neoplasm of bronchus of left upper lobe (disorder) Edition SNOMED CT US Advanced Illness 94230009 Secondary malignant neoplasm of bronchus of right lower lobe (disorder) Edition SNOMED CT US Advanced Illness 94231008 Secondary malignant neoplasm of bronchus of right middle lobe (disorder) Edition SNOMED CT US Advanced Illness 94232001 Secondary malignant neoplasm of bronchus of right upper lobe (disorder) Edition

Page 75 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 94233006 Secondary malignant neoplasm of bronchus (disorder) Edition SNOMED CT US Advanced Illness 94234000 Secondary malignant neoplasm of buccal mucosa (disorder) Edition SNOMED CT US Advanced Illness 94235004 Secondary malignant neoplasm of cecum (disorder) Edition SNOMED CT US Advanced Illness 94236003 Secondary malignant neoplasm of calcaneus (disorder) Edition SNOMED CT US Advanced Illness 94237007 Secondary malignant neoplasm of cardia of stomach (disorder) Edition SNOMED CT US Advanced Illness 94238002 Secondary malignant neoplasm of carina (disorder) Edition SNOMED CT US Advanced Illness 94239005 Secondary malignant neoplasm of carotid body (disorder) Edition SNOMED CT US Advanced Illness 94240007 Secondary malignant neoplasm of carpal bone (disorder) Edition SNOMED CT US Advanced Illness 94241006 Secondary malignant neoplasm of cartilage of nose (disorder) Edition SNOMED CT US Advanced Illness 94242004 Secondary malignant neoplasm of cauda equina (disorder) Edition SNOMED CT US Advanced Illness 94243009 Secondary malignant neoplasm of central nervous system (disorder) Edition SNOMED CT US Advanced Illness 94244003 Secondary malignant neoplasm of central portion of female breast (disorder) Edition SNOMED CT US Advanced Illness 94245002 Secondary malignant neoplasm of cerebellum (disorder) Edition SNOMED CT US Advanced Illness 94246001 Secondary malignant neoplasm of cerebral meninges (disorder) Edition SNOMED CT US Advanced Illness 94247005 Secondary malignant neoplasm of cerebral ventricle (disorder) Edition SNOMED CT US Advanced Illness 94248000 Secondary malignant neoplasm of cerebrum (disorder) Edition

Page 76 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 94249008 Secondary malignant neoplasm of cervical esophagus (disorder) Edition SNOMED CT US Advanced Illness 94250008 Secondary malignant neoplasm of cervical vertebral column (disorder) Edition SNOMED CT US Advanced Illness 94252000 Secondary malignant neoplasm of cheek (disorder) Edition SNOMED CT US Advanced Illness 94253005 Secondary malignant neoplasm of chest wall (disorder) Edition SNOMED CT US Advanced Illness 94254004 Secondary malignant neoplasm of choroid (disorder) Edition SNOMED CT US Advanced Illness 94255003 Secondary malignant neoplasm of ciliary body (disorder) Edition SNOMED CT US Advanced Illness 94256002 Secondary malignant neoplasm of clavicle (disorder) Edition SNOMED CT US Advanced Illness 94257006 Secondary malignant neoplasm of clitoris (disorder) Edition SNOMED CT US Advanced Illness 94258001 Secondary malignant neoplasm of coccygeal body (disorder) Edition SNOMED CT US Advanced Illness 94259009 Secondary malignant neoplasm of coccyx (disorder) Edition SNOMED CT US Advanced Illness 94260004 Secondary malignant neoplasm of colon (disorder) Edition SNOMED CT US Advanced Illness 94261000 Secondary malignant neoplasm of commissure of lip (disorder) Edition SNOMED CT US Advanced Illness 94262007 Secondary malignant neoplasm of common bile duct (disorder) Edition SNOMED CT US Advanced Illness 94263002 Secondary malignant neoplasm of conjunctiva (disorder) Edition SNOMED CT US Advanced Illness 94264008 Secondary malignant neoplasm of soft tissues (disorder) Edition SNOMED CT US Advanced Illness 94265009 Secondary malignant neoplasm of cornea (disorder) Edition

Page 77 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 94266005 Secondary malignant neoplasm of cranial nerve (disorder) Edition SNOMED CT US Advanced Illness 94267001 Secondary malignant neoplasm of craniopharyngeal duct (disorder) Edition SNOMED CT US Advanced Illness 94268006 Secondary malignant neoplasm of cubital lymph nodes (disorder) Edition SNOMED CT US Advanced Illness 94269003 Secondary malignant neoplasm of cuboid (disorder) Edition SNOMED CT US Advanced Illness 94270002 Secondary malignant neoplasm of cystic duct (disorder) Edition SNOMED CT US Advanced Illness 94271003 Secondary malignant neoplasm of descending colon (disorder) Edition SNOMED CT US Advanced Illness 94272005 Secondary malignant neoplasm of diaphragm (disorder) Edition SNOMED CT US Advanced Illness 94273000 Secondary malignant neoplasm of dorsal surface of tongue (disorder) Edition SNOMED CT US Advanced Illness 94274006 Secondary malignant neoplasm of thoracic vertebral column (disorder) Edition SNOMED CT US Advanced Illness 94275007 Secondary malignant neoplasm of duodenum (disorder) Edition SNOMED CT US Advanced Illness 94276008 Secondary malignant neoplasm of ectopic female breast tissue (disorder) Edition SNOMED CT US Advanced Illness 94277004 Secondary malignant neoplasm of ectopic male breast tissue (disorder) Edition SNOMED CT US Advanced Illness 94278009 Secondary malignant neoplasm of endocardium (disorder) Edition SNOMED CT US Advanced Illness 94279001 Secondary malignant neoplasm of endocervix (disorder) Edition SNOMED CT US Advanced Illness 94280003 Secondary malignant neoplasm of endocrine gland (disorder) Edition SNOMED CT US Advanced Illness 94281004 Secondary malignant neoplasm of endometrium (disorder) Edition

Page 78 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 94282006 Secondary malignant neoplasm of epicardium (disorder) Edition SNOMED CT US Advanced Illness 94283001 Secondary malignant neoplasm of epididymis (disorder) Edition SNOMED CT US Advanced Illness 94284007 Secondary malignant neoplasm of epiglottis (disorder) Edition SNOMED CT US Advanced Illness 94285008 Secondary malignant neoplasm of epitrochlear lymph nodes (disorder) Edition SNOMED CT US Advanced Illness 94286009 Secondary malignant neoplasm of esophagus (disorder) Edition SNOMED CT US Advanced Illness 94287000 Secondary malignant neoplasm of ethmoid bone (disorder) Edition SNOMED CT US Advanced Illness 94288005 Secondary malignant neoplasm of ethmoidal sinus (disorder) Edition SNOMED CT US Advanced Illness 94289002 Secondary malignant neoplasm of eustachian tube (disorder) Edition SNOMED CT US Advanced Illness 94290006 Secondary malignant neoplasm of exocervix (disorder) Edition SNOMED CT US Advanced Illness 94291005 Secondary malignant neoplasm of extrahepatic bile ducts (disorder) Edition SNOMED CT US Advanced Illness 94292003 Secondary malignant neoplasm of eye (disorder) Edition SNOMED CT US Advanced Illness 94293008 Secondary malignant neoplasm of face (disorder) Edition SNOMED CT US Advanced Illness 94294002 Secondary malignant neoplasm of facial nerve (disorder) Edition SNOMED CT US Advanced Illness 94295001 Secondary malignant neoplasm of fallopian tube (disorder) Edition SNOMED CT US Advanced Illness 94296000 Secondary malignant neoplasm of false vocal cord (disorder) Edition SNOMED CT US Advanced Illness 94297009 Secondary malignant neoplasm of female breast (disorder) Edition

Page 79 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 94298004 Secondary malignant neoplasm of female genital organ (disorder) Edition SNOMED CT US Advanced Illness 94299007 Secondary malignant neoplasm of femoral lymph nodes (disorder) Edition SNOMED CT US Advanced Illness 94300004 Secondary malignant neoplasm of femur (disorder) Edition SNOMED CT US Advanced Illness 94301000 Secondary malignant neoplasm of fibula (disorder) Edition SNOMED CT US Advanced Illness 94302007 Secondary malignant neoplasm of first cuneiform bone of foot (disorder) Edition SNOMED CT US Advanced Illness 94303002 Secondary malignant neoplasm of flank (disorder) Edition SNOMED CT US Advanced Illness 94304008 Secondary malignant neoplasm of floor of mouth (disorder) Edition SNOMED CT US Advanced Illness 94305009 Secondary malignant neoplasm of foot (disorder) Edition SNOMED CT US Advanced Illness 94306005 Secondary malignant neoplasm of forearm (disorder) Edition SNOMED CT US Advanced Illness 94307001 Secondary malignant neoplasm of prepuce (disorder) Edition SNOMED CT US Advanced Illness 94308006 Secondary malignant neoplasm of frontal bone (disorder) Edition SNOMED CT US Advanced Illness 94309003 Secondary malignant neoplasm of frontal lobe (disorder) Edition SNOMED CT US Advanced Illness 94310008 Secondary malignant neoplasm of frontal sinus (disorder) Edition SNOMED CT US Advanced Illness 94311007 Secondary malignant neoplasm of fundus of stomach (disorder) Edition SNOMED CT US Advanced Illness 94312000 Secondary malignant neoplasm of gallbladder (disorder) Edition SNOMED CT US Advanced Illness 94313005 Secondary malignant neoplasm of gastrointestinal tract (disorder) Edition

Page 80 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 94314004 Secondary malignant neoplasm of gingival mucosa (disorder) Edition SNOMED CT US Advanced Illness 94315003 Secondary malignant neoplasm of glans penis (disorder) Edition SNOMED CT US Advanced Illness 94316002 Secondary malignant neoplasm of glomus jugulare (disorder) Edition SNOMED CT US Advanced Illness 94317006 Secondary malignant neoplasm of glossopharyngeal nerve (disorder) Edition SNOMED CT US Advanced Illness 94318001 Secondary malignant neoplasm of glottis (disorder) Edition SNOMED CT US Advanced Illness 94319009 Secondary malignant neoplasm of great vessels (disorder) Edition SNOMED CT US Advanced Illness 94320003 Secondary malignant neoplasm of greater curvature of stomach (disorder) Edition SNOMED CT US Advanced Illness 94321004 Secondary malignant neoplasm of gum (disorder) Edition SNOMED CT US Advanced Illness 94322006 Secondary malignant neoplasm of hamate bone (disorder) Edition SNOMED CT US Advanced Illness 94323001 Secondary malignant neoplasm of hand (disorder) Edition SNOMED CT US Advanced Illness 94324007 Secondary malignant neoplasm of hard palate (disorder) Edition SNOMED CT US Advanced Illness 94325008 Secondary malignant neoplasm of head of pancreas (disorder) Edition SNOMED CT US Advanced Illness 94326009 Secondary malignant neoplasm of head (disorder) Edition SNOMED CT US Advanced Illness 94327000 Secondary malignant neoplasm of heart (disorder) Edition SNOMED CT US Advanced Illness 94328005 Secondary malignant neoplasm of hepatic flexure of colon (disorder) Edition SNOMED CT US Advanced Illness 94329002 Secondary malignant neoplasm of hilus of lung (disorder) Edition

Page 81 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 94330007 Secondary malignant neoplasm of hypogastric lymph nodes (disorder) Edition SNOMED CT US Advanced Illness 94331006 Secondary malignant neoplasm of hypoglossal nerve (disorder) Edition Secondary malignant neoplasm of hypopharyngeal aspect of aryepiglottic fold SNOMED CT US Advanced Illness 94332004 (disorder) Edition Secondary malignant neoplasm of hypopharyngeal aspect of interarytenoid fold SNOMED CT US Advanced Illness 94333009 (disorder) Edition SNOMED CT US Advanced Illness 94334003 Secondary malignant neoplasm of hypopharynx (disorder) Edition SNOMED CT US Advanced Illness 94335002 Secondary malignant neoplasm of ileum (disorder) Edition SNOMED CT US Advanced Illness 94336001 Secondary malignant neoplasm of iliac lymph nodes (disorder) Edition SNOMED CT US Advanced Illness 94337005 Secondary malignant neoplasm of ilium (disorder) Edition SNOMED CT US Advanced Illness 94338000 Secondary malignant neoplasm of infraclavicular lymph nodes (disorder) Edition SNOMED CT US Advanced Illness 94339008 Secondary malignant neoplasm of inguinal lymph nodes (disorder) Edition SNOMED CT US Advanced Illness 94340005 Secondary malignant neoplasm of inguinal region (disorder) Edition SNOMED CT US Advanced Illness 94341009 Secondary malignant neoplasm of inner aspect of lip (disorder) Edition SNOMED CT US Advanced Illness 94342002 Secondary malignant neoplasm of inner aspect of lower lip (disorder) Edition SNOMED CT US Advanced Illness 94343007 Secondary malignant neoplasm of inner aspect of upper lip (disorder) Edition SNOMED CT US Advanced Illness 94344001 Secondary malignant neoplasm of intercostal lymph nodes (disorder) Edition SNOMED CT US Advanced Illness 94345000 Secondary malignant neoplasm of intestinal lymph nodes (disorder) Edition

Page 82 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 94346004 Secondary malignant neoplasm of intestinal tract (disorder) Edition SNOMED CT US Advanced Illness 94347008 Secondary malignant neoplasm of intra‐abdominal lymph nodes (disorder) Edition SNOMED CT US Advanced Illness 94348003 Secondary malignant neoplasm of intra‐abdominal organs (disorder) Edition SNOMED CT US Advanced Illness 94349006 Secondary malignant neoplasm of intrahepatic bile ducts (disorder) Edition SNOMED CT US Advanced Illness 94350006 Secondary malignant neoplasm of intrapelvic lymph nodes (disorder) Edition SNOMED CT US Advanced Illness 94351005 Secondary malignant neoplasm of intrathoracic lymph nodes (disorder) Edition SNOMED CT US Advanced Illness 94352003 Secondary malignant neoplasm of intrathoracic organs (disorder) Edition SNOMED CT US Advanced Illness 94353008 Secondary malignant neoplasm of ischium (disorder) Edition SNOMED CT US Advanced Illness 94354002 Secondary malignant neoplasm of islets of Langerhans (disorder) Edition SNOMED CT US Advanced Illness 94355001 Secondary malignant neoplasm of isthmus of uterus (disorder) Edition SNOMED CT US Advanced Illness 94356000 Secondary malignant neoplasm of jaw (disorder) Edition SNOMED CT US Advanced Illness 94357009 Secondary malignant neoplasm of jejunum (disorder) Edition SNOMED CT US Advanced Illness 94358004 Secondary malignant neoplasm of junctional region of epiglottis (disorder) Edition SNOMED CT US Advanced Illness 94359007 Secondary malignant neoplasm of junctional zone of tongue (disorder) Edition SNOMED CT US Advanced Illness 94360002 Secondary malignant neoplasm of kidney (disorder) Edition SNOMED CT US Advanced Illness 94361003 Secondary malignant neoplasm of labia majora (disorder) Edition

Page 83 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 94362005 Secondary malignant neoplasm of labia minora (disorder) Edition SNOMED CT US Advanced Illness 94364006 Secondary malignant neoplasm of lacrimal gland (disorder) Edition SNOMED CT US Advanced Illness 94365007 Secondary malignant neoplasm of large intestine (disorder) Edition SNOMED CT US Advanced Illness 94366008 Secondary malignant neoplasm of laryngeal aspect of aryepiglottic fold (disorder) Edition Secondary malignant neoplasm of laryngeal aspect of interarytenoid fold SNOMED CT US Advanced Illness 94367004 (disorder) Edition SNOMED CT US Advanced Illness 94368009 Secondary malignant neoplasm of laryngeal commissure (disorder) Edition SNOMED CT US Advanced Illness 94369001 Secondary malignant neoplasm of laryngeal surface of epiglottis (disorder) Edition SNOMED CT US Advanced Illness 94370000 Secondary malignant neoplasm of larynx (disorder) Edition SNOMED CT US Advanced Illness 94371001 Secondary malignant neoplasm of lateral portion of floor of mouth (disorder) Edition SNOMED CT US Advanced Illness 94372008 Secondary malignant neoplasm of lateral wall of nasopharynx (disorder) Edition SNOMED CT US Advanced Illness 94373003 Secondary malignant neoplasm of lateral wall of oropharynx (disorder) Edition SNOMED CT US Advanced Illness 94374009 Secondary malignant neoplasm of lateral wall of urinary bladder (disorder) Edition SNOMED CT US Advanced Illness 94375005 Secondary malignant neoplasm of left lower lobe of lung (disorder) Edition SNOMED CT US Advanced Illness 94376006 Secondary malignant neoplasm of left upper lobe of lung (disorder) Edition SNOMED CT US Advanced Illness 94378007 Secondary malignant neoplasm of lesser curvature of stomach (disorder) Edition SNOMED CT US Advanced Illness 94379004 Secondary malignant neoplasm of lingual tonsil (disorder) Edition

Page 84 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 94380001 Secondary malignant neoplasm of lip (disorder) Edition SNOMED CT US Advanced Illness 94381002 Secondary malignant neoplasm of liver (disorder) Edition SNOMED CT US Advanced Illness 94382009 Secondary malignant neoplasm of long bone of lower limb (disorder) Edition SNOMED CT US Advanced Illness 94383004 Secondary malignant neoplasm of long bone of upper limb (disorder) Edition SNOMED CT US Advanced Illness 94384005 Secondary malignant neoplasm of lower gum (disorder) Edition Secondary malignant neoplasm of lower inner quadrant of female breast SNOMED CT US Advanced Illness 94385006 (disorder) Edition SNOMED CT US Advanced Illness 94386007 Secondary malignant neoplasm of lower limb (disorder) Edition Secondary malignant neoplasm of lower outer quadrant of female breast SNOMED CT US Advanced Illness 94387003 (disorder) Edition SNOMED CT US Advanced Illness 94388008 Secondary malignant neoplasm of lower third of esophagus (disorder) Edition SNOMED CT US Advanced Illness 94389000 Secondary malignant neoplasm of lumbar vertebral column (disorder) Edition SNOMED CT US Advanced Illness 94390009 Secondary malignant neoplasm of lunate bone (disorder) Edition SNOMED CT US Advanced Illness 94391008 Secondary malignant neoplasm of lung (disorder) Edition SNOMED CT US Advanced Illness 94392001 Secondary malignant neoplasm of lymph node (disorder) Edition SNOMED CT US Advanced Illness 94393006 Secondary malignant neoplasm of lymph nodes of face (disorder) Edition SNOMED CT US Advanced Illness 94394000 Secondary malignant neoplasm of lymph nodes of head (disorder) Edition SNOMED CT US Advanced Illness 94395004 Secondary malignant neoplasm of lymph nodes of lower limb (disorder) Edition

Page 85 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 94396003 Secondary malignant neoplasm of lymph nodes of multiple sites (disorder) Edition SNOMED CT US Advanced Illness 94397007 Secondary malignant neoplasm of lymph nodes of neck (disorder) Edition SNOMED CT US Advanced Illness 94398002 Secondary malignant neoplasm of lymph nodes of upper limb (disorder) Edition SNOMED CT US Advanced Illness 94399005 Secondary malignant neoplasm of main bronchus (disorder) Edition SNOMED CT US Advanced Illness 94400003 Secondary malignant neoplasm of major salivary gland (disorder) Edition SNOMED CT US Advanced Illness 94401004 Secondary malignant neoplasm of male breast (disorder) Edition SNOMED CT US Advanced Illness 94402006 Secondary malignant neoplasm of male genital organ (disorder) Edition SNOMED CT US Advanced Illness 94403001 Secondary malignant neoplasm of mandible (disorder) Edition SNOMED CT US Advanced Illness 94404007 Secondary malignant neoplasm of mastoid air cells (disorder) Edition SNOMED CT US Advanced Illness 94405008 Secondary malignant neoplasm of maxilla (disorder) Edition SNOMED CT US Advanced Illness 94406009 Secondary malignant neoplasm of maxillary sinus (disorder) Edition SNOMED CT US Advanced Illness 94407000 Secondary malignant neoplasm of Meckel's diverticulum (disorder) Edition SNOMED CT US Advanced Illness 94408005 Secondary malignant neoplasm of mediastinal lymph nodes (disorder) Edition SNOMED CT US Advanced Illness 94409002 Secondary malignant neoplasm of mediastinum (disorder) Edition SNOMED CT US Advanced Illness 94410007 Secondary malignant neoplasm of mesenteric lymph nodes (disorder) Edition SNOMED CT US Advanced Illness 94411006 Secondary malignant neoplasm of metacarpal bone (disorder) Edition

Page 86 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 94412004 Secondary malignant neoplasm of metatarsal bone (disorder) Edition SNOMED CT US Advanced Illness 94413009 Secondary malignant neoplasm of middle ear (disorder) Edition SNOMED CT US Advanced Illness 94414003 Secondary malignant neoplasm of middle third of esophagus (disorder) Edition SNOMED CT US Advanced Illness 94415002 Secondary malignant neoplasm of minor salivary gland (disorder) Edition SNOMED CT US Advanced Illness 94416001 Secondary malignant neoplasm of mouth (disorder) Edition SNOMED CT US Advanced Illness 94417005 Secondary malignant neoplasm of multiple endocrine glands (disorder) Edition SNOMED CT US Advanced Illness 94418000 Secondary malignant neoplasm of muscle of abdomen (disorder) Edition SNOMED CT US Advanced Illness 94419008 Secondary malignant neoplasm of muscle of buttock (disorder) Edition SNOMED CT US Advanced Illness 94420002 Secondary malignant neoplasm of muscle of face (disorder) Edition SNOMED CT US Advanced Illness 94421003 Secondary malignant neoplasm of muscle of head (disorder) Edition SNOMED CT US Advanced Illness 94422005 Secondary malignant neoplasm of muscle of hip (disorder) Edition SNOMED CT US Advanced Illness 94423000 Secondary malignant neoplasm of muscle of inguinal region (disorder) Edition SNOMED CT US Advanced Illness 94424006 Secondary malignant neoplasm of muscle of lower limb (disorder) Edition SNOMED CT US Advanced Illness 94425007 Secondary malignant neoplasm of muscle of neck (disorder) Edition SNOMED CT US Advanced Illness 94426008 Secondary malignant neoplasm of muscle of pelvis (disorder) Edition SNOMED CT US Advanced Illness 94427004 Secondary malignant neoplasm of muscle of perineum (disorder) Edition

Page 87 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 94428009 Secondary malignant neoplasm of muscle of shoulder (disorder) Edition SNOMED CT US Advanced Illness 94429001 Secondary malignant neoplasm of muscle of thorax (disorder) Edition SNOMED CT US Advanced Illness 94430006 Secondary malignant neoplasm of muscle of trunk (disorder) Edition SNOMED CT US Advanced Illness 94431005 Secondary malignant neoplasm of muscle of upper limb (disorder) Edition SNOMED CT US Advanced Illness 94432003 Secondary malignant neoplasm of muscle (disorder) Edition SNOMED CT US Advanced Illness 94433008 Secondary malignant neoplasm of myocardium (disorder) Edition SNOMED CT US Advanced Illness 94434002 Secondary malignant neoplasm of myometrium (disorder) Edition SNOMED CT US Advanced Illness 94435001 Secondary malignant neoplasm of nasal bone (disorder) Edition SNOMED CT US Advanced Illness 94436000 Secondary malignant neoplasm of nasal cavity (disorder) Edition SNOMED CT US Advanced Illness 94437009 Secondary malignant neoplasm of nasal concha (disorder) Edition SNOMED CT US Advanced Illness 94439007 Secondary malignant neoplasm of navicular bone of foot (disorder) Edition SNOMED CT US Advanced Illness 94440009 Secondary malignant neoplasm of scaphoid bone (disorder) Edition SNOMED CT US Advanced Illness 94441008 Secondary malignant neoplasm of neck (disorder) Edition SNOMED CT US Advanced Illness 94442001 Secondary malignant neoplasm of nervous system (disorder) Edition SNOMED CT US Advanced Illness 94443006 Secondary malignant neoplasm of nipple of female breast (disorder) Edition SNOMED CT US Advanced Illness 94444000 Secondary malignant neoplasm of nipple of male breast (disorder) Edition

Page 88 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 94445004 Secondary malignant neoplasm of nose (disorder) Edition SNOMED CT US Advanced Illness 94446003 Secondary malignant neoplasm of obturator lymph nodes (disorder) Edition SNOMED CT US Advanced Illness 94447007 Secondary malignant neoplasm of occipital bone (disorder) Edition SNOMED CT US Advanced Illness 94448002 Secondary malignant neoplasm of occipital lobe (disorder) Edition SNOMED CT US Advanced Illness 94449005 Secondary malignant neoplasm of occipital lymph nodes (disorder) Edition SNOMED CT US Advanced Illness 94450005 Secondary malignant neoplasm of oculomotor nerve (disorder) Edition SNOMED CT US Advanced Illness 94451009 Secondary malignant neoplasm of olfactory nerve (disorder) Edition SNOMED CT US Advanced Illness 94452002 Secondary malignant neoplasm of optic nerve (disorder) Edition SNOMED CT US Advanced Illness 94453007 Secondary malignant neoplasm of orbit proper (disorder) Edition SNOMED CT US Advanced Illness 94454001 Secondary malignant neoplasm of oropharynx (disorder) Edition SNOMED CT US Advanced Illness 94455000 Secondary malignant neoplasm of ovary (disorder) Edition SNOMED CT US Advanced Illness 94456004 Secondary malignant neoplasm of palate (disorder) Edition SNOMED CT US Advanced Illness 94457008 Secondary malignant neoplasm of palatine bone (disorder) Edition SNOMED CT US Advanced Illness 94458003 Secondary malignant neoplasm of tonsil (disorder) Edition SNOMED CT US Advanced Illness 94459006 Secondary malignant neoplasm of pancreas (disorder) Edition SNOMED CT US Advanced Illness 94460001 Secondary malignant neoplasm of pancreatic duct (disorder) Edition

Page 89 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 94461002 Secondary malignant neoplasm of para‐aortic body (disorder) Edition SNOMED CT US Advanced Illness 94462009 Secondary malignant neoplasm of paraganglion (disorder) Edition SNOMED CT US Advanced Illness 94463004 Secondary malignant neoplasm of paramammary lymph nodes (disorder) Edition SNOMED CT US Advanced Illness 94464005 Secondary malignant neoplasm of parametrial lymph nodes (disorder) Edition SNOMED CT US Advanced Illness 94465006 Secondary malignant neoplasm of parametrium (disorder) Edition SNOMED CT US Advanced Illness 94466007 Secondary malignant neoplasm of pararectal lymph nodes (disorder) Edition SNOMED CT US Advanced Illness 94467003 Secondary malignant neoplasm of parathyroid gland (disorder) Edition SNOMED CT US Advanced Illness 94468008 Secondary malignant neoplasm of paraurethral glands (disorder) Edition SNOMED CT US Advanced Illness 94469000 Secondary malignant neoplasm of paravaginal lymph nodes (disorder) Edition SNOMED CT US Advanced Illness 94470004 Secondary malignant neoplasm of parietal bone (disorder) Edition SNOMED CT US Advanced Illness 94471000 Secondary malignant neoplasm of parietal lobe (disorder) Edition SNOMED CT US Advanced Illness 94472007 Secondary malignant neoplasm of parietal peritoneum (disorder) Edition SNOMED CT US Advanced Illness 94473002 Secondary malignant neoplasm of parietal pleura (disorder) Edition SNOMED CT US Advanced Illness 94474008 Secondary malignant neoplasm of parotid gland (disorder) Edition SNOMED CT US Advanced Illness 94475009 Secondary malignant neoplasm of parotid lymph nodes (disorder) Edition SNOMED CT US Advanced Illness 94476005 Secondary malignant neoplasm of patella (disorder) Edition

Page 90 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 94477001 Secondary malignant neoplasm of pectoral axillary lymph nodes (disorder) Edition SNOMED CT US Advanced Illness 94478006 Secondary malignant neoplasm of pelvic bone (disorder) Edition SNOMED CT US Advanced Illness 94479003 Secondary malignant neoplasm of pelvic peritoneum (disorder) Edition SNOMED CT US Advanced Illness 94480000 Secondary malignant neoplasm of pelvis (disorder) Edition SNOMED CT US Advanced Illness 94481001 Secondary malignant neoplasm of penis (disorder) Edition SNOMED CT US Advanced Illness 94482008 Secondary malignant neoplasm of periadrenal tissue (disorder) Edition SNOMED CT US Advanced Illness 94483003 Secondary malignant neoplasm of perianal skin (disorder) Edition SNOMED CT US Advanced Illness 94484009 Secondary malignant neoplasm of pericardium (disorder) Edition SNOMED CT US Advanced Illness 94485005 Secondary malignant neoplasm of perirenal tissue (disorder) Edition SNOMED CT US Advanced Illness 94486006 Secondary malignant neoplasm of phalanx of foot (disorder) Edition SNOMED CT US Advanced Illness 94487002 Secondary malignant neoplasm of phalanx of hand (disorder) Edition SNOMED CT US Advanced Illness 94488007 Secondary malignant neoplasm of pharynx (disorder) Edition SNOMED CT US Advanced Illness 94489004 Secondary malignant neoplasm of pineal gland (disorder) Edition SNOMED CT US Advanced Illness 94490008 Secondary malignant neoplasm of pisiform bone of hand (disorder) Edition SNOMED CT US Advanced Illness 94491007 Secondary malignant neoplasm of pituitary gland (disorder) Edition SNOMED CT US Advanced Illness 94492000 Secondary malignant neoplasm of placenta (disorder) Edition

Page 91 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 94493005 Secondary malignant neoplasm of pleura (disorder) Edition SNOMED CT US Advanced Illness 94494004 Secondary malignant neoplasm of popliteal lymph nodes (disorder) Edition SNOMED CT US Advanced Illness 94495003 Secondary malignant neoplasm of postcricoid region (disorder) Edition SNOMED CT US Advanced Illness 94496002 Secondary malignant neoplasm of posterior hypopharyngeal wall (disorder) Edition SNOMED CT US Advanced Illness 94497006 Secondary malignant neoplasm of posterior mediastinum (disorder) Edition SNOMED CT US Advanced Illness 94498001 Secondary malignant neoplasm of posterior wall of nasopharynx (disorder) Edition SNOMED CT US Advanced Illness 94499009 Secondary malignant neoplasm of posterior wall of oropharynx (disorder) Edition SNOMED CT US Advanced Illness 94500000 Secondary malignant neoplasm of posterior wall of urinary bladder (disorder) Edition SNOMED CT US Advanced Illness 94501001 Secondary malignant neoplasm of preauricular lymph nodes (disorder) Edition SNOMED CT US Advanced Illness 94502008 Secondary malignant neoplasm of presacral region (disorder) Edition SNOMED CT US Advanced Illness 94503003 Secondary malignant neoplasm of prostate (disorder) Edition SNOMED CT US Advanced Illness 94504009 Secondary malignant neoplasm of pubis (disorder) Edition SNOMED CT US Advanced Illness 94505005 Secondary malignant neoplasm of pyloric antrum (disorder) Edition SNOMED CT US Advanced Illness 94506006 Secondary malignant neoplasm of pylorus (disorder) Edition SNOMED CT US Advanced Illness 94507002 Secondary malignant neoplasm of pyriform sinus (disorder) Edition SNOMED CT US Advanced Illness 94508007 Secondary malignant neoplasm of radius (disorder) Edition

Page 92 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 94509004 Secondary malignant neoplasm of rectosigmoid junction (disorder) Edition SNOMED CT US Advanced Illness 94510009 Secondary malignant neoplasm of rectouterine pouch (disorder) Edition SNOMED CT US Advanced Illness 94511008 Secondary malignant neoplasm of rectovaginal septum (disorder) Edition SNOMED CT US Advanced Illness 94512001 Secondary malignant neoplasm of rectovesical septum (disorder) Edition SNOMED CT US Advanced Illness 94513006 Secondary malignant neoplasm of rectum (disorder) Edition SNOMED CT US Advanced Illness 94514000 Secondary malignant neoplasm of renal pelvis (disorder) Edition SNOMED CT US Advanced Illness 94515004 Secondary malignant neoplasm of respiratory tract (disorder) Edition SNOMED CT US Advanced Illness 94516003 Secondary malignant neoplasm of retina (disorder) Edition SNOMED CT US Advanced Illness 94517007 Secondary malignant neoplasm of retrocecal tissue (disorder) Edition SNOMED CT US Advanced Illness 94518002 Secondary malignant neoplasm of retromolar area (disorder) Edition SNOMED CT US Advanced Illness 94519005 Secondary malignant neoplasm of retroperitoneal lymph nodes (disorder) Edition SNOMED CT US Advanced Illness 94520004 Secondary malignant neoplasm of retropharyngeal lymph nodes (disorder) Edition SNOMED CT US Advanced Illness 94521000 Secondary malignant neoplasm of rib (disorder) Edition SNOMED CT US Advanced Illness 94522007 Secondary malignant neoplasm of right lower lobe of lung (disorder) Edition SNOMED CT US Advanced Illness 94523002 Secondary malignant neoplasm of right middle lobe of lung (disorder) Edition SNOMED CT US Advanced Illness 94524008 Secondary malignant neoplasm of right upper lobe of lung (disorder) Edition

Page 93 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 94525009 Secondary malignant neoplasm of round ligament of uterus (disorder) Edition SNOMED CT US Advanced Illness 94526005 Secondary malignant neoplasm of sacrococcygeal region (disorder) Edition SNOMED CT US Advanced Illness 94527001 Secondary malignant neoplasm of sacrum (disorder) Edition SNOMED CT US Advanced Illness 94528006 Secondary malignant neoplasm of scalene lymph nodes (disorder) Edition SNOMED CT US Advanced Illness 94529003 Secondary malignant neoplasm of scapula (disorder) Edition SNOMED CT US Advanced Illness 94530008 Secondary malignant neoplasm of sclera (disorder) Edition SNOMED CT US Advanced Illness 94531007 Secondary malignant neoplasm of scrotum (disorder) Edition SNOMED CT US Advanced Illness 94532000 Secondary malignant neoplasm of sebaceous gland (disorder) Edition SNOMED CT US Advanced Illness 94533005 Secondary malignant neoplasm of second cuneiform bone of foot (disorder) Edition SNOMED CT US Advanced Illness 94534004 Secondary malignant neoplasm of septum of nose (disorder) Edition SNOMED CT US Advanced Illness 94535003 Secondary malignant neoplasm of short bone of lower limb (disorder) Edition SNOMED CT US Advanced Illness 94536002 Secondary malignant neoplasm of short bone of upper limb (disorder) Edition SNOMED CT US Advanced Illness 94537006 Secondary malignant neoplasm of shoulder (disorder) Edition SNOMED CT US Advanced Illness 94538001 Secondary malignant neoplasm of sigmoid colon (disorder) Edition SNOMED CT US Advanced Illness 94539009 Secondary malignant neoplasm of skin of abdomen (disorder) Edition SNOMED CT US Advanced Illness 94540006 Secondary malignant neoplasm of skin of ankle (disorder) Edition

Page 94 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 94542003 Secondary malignant neoplasm of skin of axilla (disorder) Edition SNOMED CT US Advanced Illness 94543008 Secondary malignant neoplasm of skin of back (disorder) Edition SNOMED CT US Advanced Illness 94544002 Secondary malignant neoplasm of skin of breast (disorder) Edition SNOMED CT US Advanced Illness 94545001 Secondary malignant neoplasm of skin of buttock (disorder) Edition SNOMED CT US Advanced Illness 94546000 Secondary malignant neoplasm of skin of cheek (disorder) Edition SNOMED CT US Advanced Illness 94547009 Secondary malignant neoplasm of skin of chest (disorder) Edition SNOMED CT US Advanced Illness 94548004 Secondary malignant neoplasm of skin of chin (disorder) Edition SNOMED CT US Advanced Illness 94549007 Secondary malignant neoplasm of skin of ear (disorder) Edition SNOMED CT US Advanced Illness 94550007 Secondary malignant neoplasm of skin of elbow (disorder) Edition SNOMED CT US Advanced Illness 94551006 Secondary malignant neoplasm of skin of external auditory canal (disorder) Edition SNOMED CT US Advanced Illness 94552004 Secondary malignant neoplasm of skin of eyebrow (disorder) Edition SNOMED CT US Advanced Illness 94553009 Secondary malignant neoplasm of skin of eyelid (disorder) Edition SNOMED CT US Advanced Illness 94554003 Secondary malignant neoplasm of skin of face (disorder) Edition SNOMED CT US Advanced Illness 94555002 Secondary malignant neoplasm of skin of finger (disorder) Edition SNOMED CT US Advanced Illness 94556001 Secondary malignant neoplasm of skin of foot (disorder) Edition SNOMED CT US Advanced Illness 94557005 Secondary malignant neoplasm of skin of forearm (disorder) Edition

Page 95 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 94558000 Secondary malignant neoplasm of skin of forehead (disorder) Edition SNOMED CT US Advanced Illness 94559008 Secondary malignant neoplasm of skin of groin (disorder) Edition SNOMED CT US Advanced Illness 94560003 Secondary malignant neoplasm of skin of hand (disorder) Edition SNOMED CT US Advanced Illness 94561004 Secondary malignant neoplasm of skin of hip (disorder) Edition SNOMED CT US Advanced Illness 94562006 Secondary malignant neoplasm of skin of knee (disorder) Edition SNOMED CT US Advanced Illness 94564007 Secondary malignant neoplasm of skin of lip (disorder) Edition SNOMED CT US Advanced Illness 94565008 Secondary malignant neoplasm of skin of lower limb (disorder) Edition SNOMED CT US Advanced Illness 94566009 Secondary malignant neoplasm of skin of neck (disorder) Edition SNOMED CT US Advanced Illness 94567000 Secondary malignant neoplasm of skin of nose (disorder) Edition SNOMED CT US Advanced Illness 94568005 Secondary malignant neoplasm of skin of perineum (disorder) Edition SNOMED CT US Advanced Illness 94569002 Secondary malignant neoplasm of skin of popliteal area (disorder) Edition SNOMED CT US Advanced Illness 94570001 Secondary malignant neoplasm of skin of scalp (disorder) Edition SNOMED CT US Advanced Illness 94571002 Secondary malignant neoplasm of skin of shoulder (disorder) Edition SNOMED CT US Advanced Illness 94572009 Secondary malignant neoplasm of skin of temporal region (disorder) Edition SNOMED CT US Advanced Illness 94573004 Secondary malignant neoplasm of skin of thigh (disorder) Edition SNOMED CT US Advanced Illness 94574005 Secondary malignant neoplasm of skin of toe (disorder) Edition

Page 96 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 94575006 Secondary malignant neoplasm of skin of trunk (disorder) Edition SNOMED CT US Advanced Illness 94576007 Secondary malignant neoplasm of skin of umbilicus (disorder) Edition SNOMED CT US Advanced Illness 94577003 Secondary malignant neoplasm of skin of upper limb (disorder) Edition SNOMED CT US Advanced Illness 94578008 Secondary malignant neoplasm of skin of wrist (disorder) Edition SNOMED CT US Advanced Illness 94579000 Secondary malignant neoplasm of skin (disorder) Edition SNOMED CT US Advanced Illness 94580002 Secondary malignant neoplasm of small intestine (disorder) Edition SNOMED CT US Advanced Illness 94581003 Secondary malignant neoplasm of soft palate (disorder) Edition SNOMED CT US Advanced Illness 94582005 Secondary malignant neoplasm of soft tissues of abdomen (disorder) Edition SNOMED CT US Advanced Illness 94583000 Secondary malignant neoplasm of soft tissues of axilla (disorder) Edition SNOMED CT US Advanced Illness 94584006 Secondary malignant neoplasm of soft tissues of buttock (disorder) Edition SNOMED CT US Advanced Illness 94585007 Secondary malignant neoplasm of soft tissues of face (disorder) Edition SNOMED CT US Advanced Illness 94586008 Secondary malignant neoplasm of soft tissues of head (disorder) Edition SNOMED CT US Advanced Illness 94587004 Secondary malignant neoplasm of soft tissues of hip (disorder) Edition SNOMED CT US Advanced Illness 94588009 Secondary malignant neoplasm of soft tissues of inguinal region (disorder) Edition SNOMED CT US Advanced Illness 94589001 Secondary malignant neoplasm of soft tissues of lower limb (disorder) Edition SNOMED CT US Advanced Illness 94590005 Secondary malignant neoplasm of soft tissues of neck (disorder) Edition

Page 97 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 94591009 Secondary malignant neoplasm of soft tissues of pelvis (disorder) Edition SNOMED CT US Advanced Illness 94592002 Secondary malignant neoplasm of soft tissues of perineum (disorder) Edition SNOMED CT US Advanced Illness 94593007 Secondary malignant neoplasm of soft tissues of shoulder (disorder) Edition SNOMED CT US Advanced Illness 94594001 Secondary malignant neoplasm of soft tissues of thorax (disorder) Edition SNOMED CT US Advanced Illness 94595000 Secondary malignant neoplasm of soft tissues of trunk (disorder) Edition SNOMED CT US Advanced Illness 94596004 Secondary malignant neoplasm of soft tissues of upper limb (disorder) Edition SNOMED CT US Advanced Illness 94597008 Secondary malignant neoplasm of spermatic cord (disorder) Edition SNOMED CT US Advanced Illness 94598003 Secondary malignant neoplasm of sphenoid bone (disorder) Edition SNOMED CT US Advanced Illness 94599006 Secondary malignant neoplasm of sphenoidal sinus (disorder) Edition SNOMED CT US Advanced Illness 94600009 Secondary malignant neoplasm of spinal cord (disorder) Edition SNOMED CT US Advanced Illness 94601008 Secondary malignant neoplasm of spinal meninges (disorder) Edition SNOMED CT US Advanced Illness 94602001 Secondary malignant neoplasm of vertebral column (disorder) Edition SNOMED CT US Advanced Illness 94603006 Secondary malignant neoplasm of spleen (disorder) Edition SNOMED CT US Advanced Illness 94604000 Secondary malignant neoplasm of splenic flexure of colon (disorder) Edition SNOMED CT US Advanced Illness 94605004 Secondary malignant neoplasm of sternum (disorder) Edition SNOMED CT US Advanced Illness 94606003 Secondary malignant neoplasm of stomach (disorder) Edition

Page 98 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 94607007 Secondary malignant neoplasm of subglottis (disorder) Edition SNOMED CT US Advanced Illness 94608002 Secondary malignant neoplasm of sublingual gland (disorder) Edition SNOMED CT US Advanced Illness 94609005 Secondary malignant neoplasm of submandibular lymph nodes (disorder) Edition SNOMED CT US Advanced Illness 94610000 Secondary malignant neoplasm of submaxillary gland (disorder) Edition SNOMED CT US Advanced Illness 94611001 Secondary malignant neoplasm of submental lymph nodes (disorder) Edition SNOMED CT US Advanced Illness 94612008 Secondary malignant neoplasm of superficial inguinal lymph nodes (disorder) Edition SNOMED CT US Advanced Illness 94613003 Secondary malignant neoplasm of superior wall of nasopharynx (disorder) Edition SNOMED CT US Advanced Illness 94614009 Secondary malignant neoplasm of supraclavicular lymph nodes (disorder) Edition SNOMED CT US Advanced Illness 94615005 Secondary malignant neoplasm of supraclavicular region (disorder) Edition SNOMED CT US Advanced Illness 94616006 Secondary malignant neoplasm of supraglottis (disorder) Edition SNOMED CT US Advanced Illness 94617002 Secondary malignant neoplasm of sweat gland (disorder) Edition SNOMED CT US Advanced Illness 94618007 Secondary malignant neoplasm of tail of pancreas (disorder) Edition SNOMED CT US Advanced Illness 94619004 Secondary malignant neoplasm of talus (disorder) Edition SNOMED CT US Advanced Illness 94620005 Secondary malignant neoplasm of tarsal bone (disorder) Edition SNOMED CT US Advanced Illness 94621009 Secondary malignant neoplasm of temporal bone (disorder) Edition SNOMED CT US Advanced Illness 94622002 Secondary malignant neoplasm of temporal lobe (disorder) Edition

Page 99 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 94623007 Secondary malignant neoplasm of testis (disorder) Edition SNOMED CT US Advanced Illness 94624001 Secondary malignant neoplasm of the mesentery (disorder) Edition SNOMED CT US Advanced Illness 94625000 Secondary malignant neoplasm of the mesocolon (disorder) Edition SNOMED CT US Advanced Illness 94626004 Secondary malignant neoplasm of omentum (disorder) Edition SNOMED CT US Advanced Illness 94627008 Secondary malignant neoplasm of peritoneum (disorder) Edition SNOMED CT US Advanced Illness 94628003 Secondary malignant neoplasm of retroperitoneum (disorder) Edition SNOMED CT US Advanced Illness 94629006 Secondary malignant neoplasm of thigh (disorder) Edition SNOMED CT US Advanced Illness 94630001 Secondary malignant neoplasm of third cuneiform bone of foot (disorder) Edition SNOMED CT US Advanced Illness 94631002 Secondary malignant neoplasm of thoracic esophagus (disorder) Edition SNOMED CT US Advanced Illness 94632009 Secondary malignant neoplasm of thymus (disorder) Edition SNOMED CT US Advanced Illness 94633004 Secondary malignant neoplasm of thyroglossal duct (disorder) Edition SNOMED CT US Advanced Illness 94634005 Secondary malignant neoplasm of thyroid gland (disorder) Edition SNOMED CT US Advanced Illness 94635006 Secondary malignant neoplasm of tibia (disorder) Edition SNOMED CT US Advanced Illness 94636007 Secondary malignant neoplasm of tibial lymph nodes (disorder) Edition SNOMED CT US Advanced Illness 94637003 Secondary malignant neoplasm of tip and lateral border of tongue (disorder) Edition SNOMED CT US Advanced Illness 94638008 Secondary malignant neoplasm of tongue (disorder) Edition

Page 100 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 94639000 Secondary malignant neoplasm of tonsillar fossa (disorder) Edition SNOMED CT US Advanced Illness 94640003 Secondary malignant neoplasm of tonsillar pillar (disorder) Edition SNOMED CT US Advanced Illness 94641004 Secondary malignant neoplasm of trachea (disorder) Edition SNOMED CT US Advanced Illness 94642006 Secondary malignant neoplasm of tracheobronchial lymph nodes (disorder) Edition SNOMED CT US Advanced Illness 94643001 Secondary malignant neoplasm of transverse colon (disorder) Edition SNOMED CT US Advanced Illness 94644007 Secondary malignant neoplasm of trapezium (disorder) Edition SNOMED CT US Advanced Illness 94645008 Secondary malignant neoplasm of trapezoid bone (disorder) Edition SNOMED CT US Advanced Illness 94646009 Secondary malignant neoplasm of trigeminal nerve (disorder) Edition SNOMED CT US Advanced Illness 94647000 Secondary malignant neoplasm of trigone of urinary bladder (disorder) Edition SNOMED CT US Advanced Illness 94648005 Secondary malignant neoplasm of trochlear nerve (disorder) Edition SNOMED CT US Advanced Illness 94649002 Secondary malignant neoplasm of trunk (disorder) Edition SNOMED CT US Advanced Illness 94650002 Secondary malignant neoplasm of ulna (disorder) Edition SNOMED CT US Advanced Illness 94651003 Secondary malignant neoplasm of undescended testis (disorder) Edition SNOMED CT US Advanced Illness 94652005 Secondary malignant neoplasm of upper gum (disorder) Edition Secondary malignant neoplasm of upper inner quadrant of female breast SNOMED CT US Advanced Illness 94653000 (disorder) Edition SNOMED CT US Advanced Illness 94654006 Secondary malignant neoplasm of upper limb (disorder) Edition

Page 101 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Secondary malignant neoplasm of upper outer quadrant of female breast SNOMED CT US Advanced Illness 94655007 (disorder) Edition SNOMED CT US Advanced Illness 94656008 Secondary malignant neoplasm of upper respiratory tract (disorder) Edition SNOMED CT US Advanced Illness 94657004 Secondary malignant neoplasm of upper third of esophagus (disorder) Edition SNOMED CT US Advanced Illness 94658009 Secondary malignant neoplasm of urachus (disorder) Edition SNOMED CT US Advanced Illness 94659001 Secondary malignant neoplasm of ureter (disorder) Edition SNOMED CT US Advanced Illness 94660006 Secondary malignant neoplasm of ureteric orifice of urinary bladder (disorder) Edition SNOMED CT US Advanced Illness 94661005 Secondary malignant neoplasm of urethra (disorder) Edition SNOMED CT US Advanced Illness 94662003 Secondary malignant neoplasm of urinary bladder neck (disorder) Edition SNOMED CT US Advanced Illness 94663008 Secondary malignant neoplasm of urinary system (disorder) Edition SNOMED CT US Advanced Illness 94664002 Secondary malignant neoplasm of uterine adnexa (disorder) Edition SNOMED CT US Advanced Illness 94665001 Secondary malignant neoplasm of uterus (disorder) Edition SNOMED CT US Advanced Illness 94666000 Secondary malignant neoplasm of uveal tract (disorder) Edition SNOMED CT US Advanced Illness 94667009 Secondary malignant neoplasm of uvula (disorder) Edition SNOMED CT US Advanced Illness 94668004 Secondary malignant neoplasm of vagina (disorder) Edition SNOMED CT US Advanced Illness 94669007 Secondary malignant neoplasm of vagus nerve (disorder) Edition SNOMED CT US Advanced Illness 94670008 Secondary malignant neoplasm of vallecula (disorder) Edition

Page 102 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 94671007 Secondary malignant neoplasm of vas deferens (disorder) Edition SNOMED CT US Advanced Illness 94672000 Secondary malignant neoplasm of ventral surface of tongue (disorder) Edition SNOMED CT US Advanced Illness 94673005 Secondary malignant neoplasm of vermilion border of lip (disorder) Edition SNOMED CT US Advanced Illness 94674004 Secondary malignant neoplasm of vermilion border of lower lip (disorder) Edition SNOMED CT US Advanced Illness 94675003 Secondary malignant neoplasm of vermilion border of upper lip (disorder) Edition SNOMED CT US Advanced Illness 94676002 Secondary malignant neoplasm of vestibule of mouth (disorder) Edition SNOMED CT US Advanced Illness 94677006 Secondary malignant neoplasm of vestibule of nose (disorder) Edition SNOMED CT US Advanced Illness 94678001 Secondary malignant neoplasm of visceral pleura (disorder) Edition SNOMED CT US Advanced Illness 94679009 Secondary malignant neoplasm of vocal cord (disorder) Edition SNOMED CT US Advanced Illness 94680007 Secondary malignant neoplasm of vomer (disorder) Edition SNOMED CT US Advanced Illness 94681006 Secondary malignant neoplasm of vulva (disorder) Edition SNOMED CT US Advanced Illness 94682004 Secondary malignant neoplasm of Waldeyer's ring (disorder) Edition SNOMED CT US Advanced Illness 94683009 Secondary malignant neoplasm of zygomatic bone (disorder) Edition SNOMED CT US Advanced Illness 95634003 Neonatal respiratory arrest (disorder) Edition SNOMED CT US Advanced Illness 109819003 Obstructive biliary cirrhosis (disorder) Edition SNOMED CT US Advanced Illness 109848009 Overlapping malignant neoplasm of pancreas (disorder) Edition

Page 103 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 109912006 Overlapping malignant neoplasm of brain (disorder) Edition SNOMED CT US Advanced Illness 111283005 Chronic left‐sided heart failure (disorder) Edition SNOMED CT US Advanced Illness 111480006 Psychoactive substance‐induced organic dementia (disorder) Edition SNOMED CT US Advanced Illness 123604002 Toxic cirrhosis (disorder) Edition SNOMED CT US Advanced Illness 123605001 Nutritional cirrhosis (disorder) Edition SNOMED CT US Advanced Illness 123606000 Cholangiolitic cirrhosis (disorder) Edition SNOMED CT US Advanced Illness 123716002 Latent cirrhosis (disorder) Edition SNOMED CT US Advanced Illness 123717006 Advanced cirrhosis (disorder) Edition SNOMED CT US Advanced Illness 128404006 Right heart failure (disorder) Edition SNOMED CT US Advanced Illness 128462008 Secondary malignant neoplastic disease (disorder) Edition SNOMED CT US Advanced Illness 128465005 Secondary malignant neoplasm of articular cartilage (disorder) Edition SNOMED CT US Advanced Illness 129458007 Bronchiolitis obliterans organizing pneumonia (disorder) Edition SNOMED CT US Advanced Illness 162711000 On examination ‐ collapse ‐ respiratory arrest (disorder) Edition SNOMED CT US Advanced Illness 162712007 On examination ‐ collapse ‐ asphyxia (disorder) Edition SNOMED CT US Advanced Illness 162974009 On examination ‐ fibrosis of lung present (disorder) Edition SNOMED CT US Advanced Illness 181869007 Neonatal cardiorespiratory arrest (disorder) Edition

Page 104 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 187786003 Malignant neoplasm of sphincter of Oddi (disorder) Edition SNOMED CT US Advanced Illness 187791002 Malignant tumor of body of pancreas (disorder) Edition SNOMED CT US Advanced Illness 187792009 Malignant tumor of tail of pancreas (disorder) Edition SNOMED CT US Advanced Illness 187793004 Malignant tumor of pancreatic duct (disorder) Edition SNOMED CT US Advanced Illness 187794005 Malignant tumor of Islets of Langerhans (disorder) Edition SNOMED CT US Advanced Illness 187798008 Malignant neoplasm of ectopic pancreatic tissue (disorder) Edition SNOMED CT US Advanced Illness 188280007 Malignant neoplasm of cerebrum (excluding lobes and ventricles) (disorder) Edition SNOMED CT US Advanced Illness 188281006 Malignant neoplasm of basal ganglia (disorder) Edition SNOMED CT US Advanced Illness 188282004 Malignant neoplasm of cerebral cortex (disorder) Edition SNOMED CT US Advanced Illness 188283009 Malignant neoplasm of corpus striatum (disorder) Edition SNOMED CT US Advanced Illness 188285002 Malignant neoplasm of globus pallidus (disorder) Edition SNOMED CT US Advanced Illness 188286001 Malignant tumor of hypothalamus (disorder) Edition SNOMED CT US Advanced Illness 188287005 Malignant neoplasm of thalamus (disorder) Edition SNOMED CT US Advanced Illness 188289008 Malignant neoplasm of hippocampus (disorder) Edition SNOMED CT US Advanced Illness 188290004 Malignant neoplasm of uncus (disorder) Edition SNOMED CT US Advanced Illness 188292007 Malignant tumor of choroid plexus (disorder) Edition

Page 105 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 188293002 Malignant neoplasm of floor of cerebral ventricle (disorder) Edition SNOMED CT US Advanced Illness 188295009 Malignant neoplasm of cerebral peduncle (disorder) Edition SNOMED CT US Advanced Illness 188296005 Malignant neoplasm of medulla oblongata (disorder) Edition SNOMED CT US Advanced Illness 188297001 Malignant neoplasm of midbrain (disorder) Edition SNOMED CT US Advanced Illness 188298006 Malignant neoplasm of pons (disorder) Edition SNOMED CT US Advanced Illness 188301005 Malignant neoplasm of corpus callosum (disorder) Edition SNOMED CT US Advanced Illness 188302003 Malignant neoplasm of tapetum (disorder) Edition SNOMED CT US Advanced Illness 188308004 Malignant neoplasm of olfactory bulb (disorder) Edition SNOMED CT US Advanced Illness 188339002 Malignant neoplasm of pituitary gland and craniopharyngeal duct (disorder) Edition SNOMED CT US Advanced Illness 188340000 Malignant tumor of craniopharyngeal duct (disorder) Edition SNOMED CT US Advanced Illness 188445006 Secondary malignant neoplasm of retroperitoneum and peritoneum (disorder) Edition SNOMED CT US Advanced Illness 188454009 Secondary malignant neoplasm of skin of head (disorder) Edition SNOMED CT US Advanced Illness 188458007 Secondary malignant neoplasm of skin of shoulder and arm (disorder) Edition SNOMED CT US Advanced Illness 188459004 Secondary malignant neoplasm of skin of hip and leg (disorder) Edition SNOMED CT US Advanced Illness 188462001 Secondary malignant neoplasm of brain and spinal cord (disorder) Edition SNOMED CT US Advanced Illness 188469005 Secondary malignant neoplasm of cervix uteri (disorder) Edition

Page 106 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 188471005 Secondary malignant neoplasm of epididymis AND vas deferens (disorder) Edition SNOMED CT US Advanced Illness 188645002 Leukemic reticuloendotheliosis of lymph nodes of head, face and neck (disorder) Edition SNOMED CT US Advanced Illness 188648000 Leukemic reticuloendotheliosis of lymph nodes of axilla and upper limb (disorder) Edition Leukemic reticuloendotheliosis of lymph nodes of inguinal region and lower limb SNOMED CT US Advanced Illness 188649008 (disorder) Edition SNOMED CT US Advanced Illness 191449005 Uncomplicated senile dementia (disorder) Edition SNOMED CT US Advanced Illness 191451009 Uncomplicated presenile dementia (disorder) Edition SNOMED CT US Advanced Illness 191452002 Presenile dementia with delirium (disorder) Edition SNOMED CT US Advanced Illness 191454001 Presenile dementia with paranoia (disorder) Edition SNOMED CT US Advanced Illness 191455000 Presenile dementia with depression (disorder) Edition SNOMED CT US Advanced Illness 191457008 Senile dementia with depressive or paranoid features (disorder) Edition SNOMED CT US Advanced Illness 191458003 Senile dementia with paranoia (disorder) Edition SNOMED CT US Advanced Illness 191459006 Senile dementia with depression (disorder) Edition SNOMED CT US Advanced Illness 191461002 Senile dementia with delirium (disorder) Edition SNOMED CT US Advanced Illness 191463004 Uncomplicated arteriosclerotic dementia (disorder) Edition SNOMED CT US Advanced Illness 191464005 Arteriosclerotic dementia with delirium (disorder) Edition SNOMED CT US Advanced Illness 191465006 Arteriosclerotic dementia with paranoia (disorder) Edition

Page 107 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 191466007 Arteriosclerotic dementia with depression (disorder) Edition SNOMED CT US Advanced Illness 191471000 Korsakov's alcoholic psychosis with peripheral neuritis (disorder) Edition SNOMED CT US Advanced Illness 191493005 Drug‐induced dementia (disorder) Edition SNOMED CT US Advanced Illness 191494004 Drug‐induced amnestic syndrome (disorder) Edition SNOMED CT US Advanced Illness 191519005 Dementia associated with another disease (disorder) Edition SNOMED CT US Advanced Illness 192926004 Multiple sclerosis of the brainstem (disorder) Edition SNOMED CT US Advanced Illness 192927008 Multiple sclerosis of the spinal cord (disorder) Edition SNOMED CT US Advanced Illness 192928003 Generalized multiple sclerosis (disorder) Edition SNOMED CT US Advanced Illness 192929006 Exacerbation of multiple sclerosis (disorder) Edition SNOMED CT US Advanced Illness 194767001 Benign hypertensive heart disease with congestive cardiac failure (disorder) Edition SNOMED CT US Advanced Illness 194779001 Hypertensive heart and renal disease with (congestive) heart failure (disorder) Edition Hypertensive heart and renal disease with both (congestive) heart failure and SNOMED CT US Advanced Illness 194781004 renal failure (disorder) Edition SNOMED CT US Advanced Illness 195111005 Decompensated cardiac failure (disorder) Edition SNOMED CT US Advanced Illness 195112003 Compensated cardiac failure (disorder) Edition SNOMED CT US Advanced Illness 195114002 Acute left ventricular failure (disorder) Edition SNOMED CT US Advanced Illness 195957006 Chronic bullous emphysema (disorder) Edition

Page 108 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 195958001 Segmental bullous emphysema (disorder) Edition SNOMED CT US Advanced Illness 195959009 Zonal bullous emphysema (disorder) Edition SNOMED CT US Advanced Illness 195963002 Acute vesicular emphysema (disorder) Edition SNOMED CT US Advanced Illness 196026004 Chronic emphysema caused by chemical fumes (disorder) Edition SNOMED CT US Advanced Illness 196028003 Chronic pulmonary fibrosis caused by chemical fumes (disorder) Edition SNOMED CT US Advanced Illness 196125002 Diffuse interstitial pulmonary fibrosis (disorder) Edition SNOMED CT US Advanced Illness 197279005 Cirrhosis and chronic liver disease (disorder) Edition SNOMED CT US Advanced Illness 197291001 Unilobular portal cirrhosis (disorder) Edition SNOMED CT US Advanced Illness 197293003 Diffuse nodular cirrhosis (disorder) Edition SNOMED CT US Advanced Illness 197294009 Fatty portal cirrhosis (disorder) Edition SNOMED CT US Advanced Illness 197296006 Capsular portal cirrhosis (disorder) Edition SNOMED CT US Advanced Illness 197299004 Pigmentary portal cirrhosis (disorder) Edition SNOMED CT US Advanced Illness 197301006 Toxic portal cirrhosis (disorder) Edition SNOMED CT US Advanced Illness 197303009 Bacterial portal cirrhosis (disorder) Edition SNOMED CT US Advanced Illness 197305002 Syphilitic portal cirrhosis (disorder) Edition SNOMED CT US Advanced Illness 197310003 Biliary cirrhosis of children (disorder) Edition

Page 109 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 206586007 Congenital cardiac failure (disorder) Edition SNOMED CT US Advanced Illness 213215000 Cardiorespiratory failure as a complication of care (disorder) Edition SNOMED CT US Advanced Illness 230156002 Malignant meningitis (disorder) Edition SNOMED CT US Advanced Illness 230258005 Amyotrophic lateral sclerosis with dementia (disorder) Edition SNOMED CT US Advanced Illness 230265002 Familial Alzheimer's disease of early onset (disorder) Edition SNOMED CT US Advanced Illness 230266001 Non‐familial Alzheimer's disease of early onset (disorder) Edition SNOMED CT US Advanced Illness 230267005 Familial Alzheimer's disease of late onset (disorder) Edition SNOMED CT US Advanced Illness 230268000 Non‐familial Alzheimer's disease of late onset (disorder) Edition SNOMED CT US Advanced Illness 230269008 Focal Alzheimer's disease (disorder) Edition SNOMED CT US Advanced Illness 230271008 Pick's disease with Pick bodies (disorder) Edition SNOMED CT US Advanced Illness 230272001 Pick's disease with Pick cells and no Pick bodies (disorder) Edition SNOMED CT US Advanced Illness 230280008 Progressive aphasia in Alzheimer's disease (disorder) Edition SNOMED CT US Advanced Illness 230282000 Post‐traumatic dementia (disorder) Edition SNOMED CT US Advanced Illness 230283005 Punch drunk syndrome (disorder) Edition SNOMED CT US Advanced Illness 230285003 Vascular dementia of acute onset (disorder) Edition SNOMED CT US Advanced Illness 230286002 Subcortical vascular dementia (disorder) Edition

Page 110 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 230287006 Mixed cortical and subcortical vascular dementia (disorder) Edition SNOMED CT US Advanced Illness 230288001 Semantic dementia (disorder) Edition SNOMED CT US Advanced Illness 230289009 Patchy dementia (disorder) Edition SNOMED CT US Advanced Illness 230299004 Juvenile onset Huntington's disease (disorder) Edition SNOMED CT US Advanced Illness 230300007 Late onset Huntington's disease (disorder) Edition SNOMED CT US Advanced Illness 230301006 Akinetic‐rigid form of Huntington's disease (disorder) Edition SNOMED CT US Advanced Illness 230372003 Acute relapsing multiple sclerosis (disorder) Edition SNOMED CT US Advanced Illness 230373008 Chronic progressive multiple sclerosis (disorder) Edition SNOMED CT US Advanced Illness 230374002 Remittent‐progressive multiple sclerosis (disorder) Edition SNOMED CT US Advanced Illness 230499002 Sleep‐related respiratory failure (disorder) Edition Pulmonary emphysema in alpha‐1 primary immunodeficiency deficiency SNOMED CT US Advanced Illness 233674008 (disorder) Edition SNOMED CT US Advanced Illness 233675009 Toxic emphysema (disorder) Edition SNOMED CT US Advanced Illness 233677001 Scar emphysema (disorder) Edition Seasonal cryptogenic organizing pneumonia with biochemical cholestasis SNOMED CT US Advanced Illness 233713004 (disorder) Edition SNOMED CT US Advanced Illness 233724002 Toxic diffuse interstitial pulmonary fibrosis (disorder) Edition SNOMED CT US Advanced Illness 233725001 Drug‐induced diffuse interstitial pulmonary fibrosis (disorder) Edition

Page 111 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 233726000 Localized pulmonary fibrosis (disorder) Edition SNOMED CT US Advanced Illness 233758005 Mica pneumoconiosis (disorder) Edition SNOMED CT US Advanced Illness 233761006 Subacute silicosis (disorder) Edition SNOMED CT US Advanced Illness 233765002 Respiratory failure without hypercapnia (disorder) Edition SNOMED CT US Advanced Illness 233924009 Heart failure as a complication of care (disorder) Edition SNOMED CT US Advanced Illness 233940007 Pulmonary tumor embolism (disorder) Edition SNOMED CT US Advanced Illness 235875008 Alcoholic hepatitis (disorder) Edition SNOMED CT US Advanced Illness 235881000 Alcoholic hepatic failure (disorder) Edition SNOMED CT US Advanced Illness 235895002 Laennec's cirrhosis, non‐alcoholic (disorder) Edition SNOMED CT US Advanced Illness 235896001 Infectious cirrhosis (disorder) Edition SNOMED CT US Advanced Illness 235897005 Hypoxia‐associated cirrhosis (disorder) Edition SNOMED CT US Advanced Illness 235899008 Hepatic sclerosis (disorder) Edition SNOMED CT US Advanced Illness 235901004 Hepatic fibrosis with hepatic sclerosis (disorder) Edition SNOMED CT US Advanced Illness 235902006 Intrahepatic phlebosclerosis and fibrosis (disorder) Edition SNOMED CT US Advanced Illness 235965006 Malignant cystic tumor of exocrine pancreas (disorder) Edition SNOMED CT US Advanced Illness 235966007 Cystadenocarcinoma of pancreas (disorder) Edition

Page 112 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 236433006 Acute‐on‐chronic renal failure (disorder) Edition SNOMED CT US Advanced Illness 236434000 End stage renal failure untreated by renal replacement therapy (disorder) Edition SNOMED CT US Advanced Illness 236435004 End stage renal failure on dialysis (disorder) Edition SNOMED CT US Advanced Illness 236436003 End stage renal failure with renal transplant (disorder) Edition SNOMED CT US Advanced Illness 236512004 Leukemic infiltrate of kidney (disorder) Edition SNOMED CT US Advanced Illness 236513009 Lymphoma of kidney (disorder) Edition SNOMED CT US Advanced Illness 241861008 Metastatic malignant neoplasm to nasopharynx (disorder) Edition SNOMED CT US Advanced Illness 242862004 Secondary malignant neoplasm of nasopharyngeal wall (disorder) Edition SNOMED CT US Advanced Illness 254609000 Carcinoma of ampulla of Vater (disorder) Edition SNOMED CT US Advanced Illness 254611009 Malignant tumor of endocrine pancreas (disorder) Edition SNOMED CT US Advanced Illness 254612002 Carcinoma of endocrine pancreas (disorder) Edition SNOMED CT US Advanced Illness 254938000 Astrocytoma of brain (disorder) Edition SNOMED CT US Advanced Illness 254940005 Oligodendroglioma of brain (disorder) Edition SNOMED CT US Advanced Illness 254955001 Pituitary carcinoma (disorder) Edition SNOMED CT US Advanced Illness 254969001 Malignant tumor of olfactory tract (disorder) Edition SNOMED CT US Advanced Illness 255044008 Malignant pinealoma (disorder) Edition

Page 113 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 255088001 Malignant tumor of exocrine pancreas (disorder) Edition SNOMED CT US Advanced Illness 255112006 Malignant tumor of pituitary and hypothalamus (disorder) Edition SNOMED CT US Advanced Illness 255118005 Secondary lymphangitic carcinoma (disorder) Edition SNOMED CT US Advanced Illness 255119002 Lymphangitis carcinomatosa (disorder) Edition SNOMED CT US Advanced Illness 255121007 Carcinomatosis of peritoneal cavity (disorder) Edition SNOMED CT US Advanced Illness 255123005 Metastasis to nervous system and eye (disorder) Edition SNOMED CT US Advanced Illness 255124004 Metastasis to peripheral nerve (disorder) Edition SNOMED CT US Advanced Illness 266355005 Bullous emphysema with collapse (disorder) Edition SNOMED CT US Advanced Illness 266356006 Atrophic (senile) emphysema (disorder) Edition SNOMED CT US Advanced Illness 266368002 Post‐inflammatory pulmonary fibrosis (disorder) Edition SNOMED CT US Advanced Illness 266468003 Cirrhosis ‐ non‐alcoholic (disorder) Edition SNOMED CT US Advanced Illness 266469006 Multilobular portal cirrhosis (disorder) Edition SNOMED CT US Advanced Illness 266470007 Cardiac portal cirrhosis (disorder) Edition SNOMED CT US Advanced Illness 266471006 Juvenile portal cirrhosis (disorder) Edition SNOMED CT US Advanced Illness 268612007 Senile and presenile organic psychotic conditions (disorder) Edition SNOMED CT US Advanced Illness 269473008 Secondary malignant neoplasm of respiratory and digestive systems (disorder) Edition

Page 114 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 269616004 Secondary nodes ‐ axilla/arm (disorder) Edition SNOMED CT US Advanced Illness 269617008 Secondary nodes ‐ inguinal/leg (disorder) Edition SNOMED CT US Advanced Illness 271440004 Cirrhosis secondary to cholestasis (disorder) Edition SNOMED CT US Advanced Illness 274088005 Secondary malignant neoplasm of unknown site (disorder) Edition SNOMED CT US Advanced Illness 274282003 On examination ‐ respiratory arrest (disorder) Edition SNOMED CT US Advanced Illness 275266006 Metastasis to digestive organs (disorder) Edition SNOMED CT US Advanced Illness 276259003 Respiratory arrest preceding cardiac arrest (disorder) Edition SNOMED CT US Advanced Illness 276514007 Neonatal cardiac failure (disorder) Edition SNOMED CT US Advanced Illness 276826005 Malignant glioma of brain (disorder) Edition SNOMED CT US Advanced Illness 276828006 Glioblastoma multiforme of brain (disorder) Edition SNOMED CT US Advanced Illness 276836002 Primary cerebral lymphoma (disorder) Edition SNOMED CT US Advanced Illness 277461004 Anaplastic astrocytoma of brain (disorder) Edition SNOMED CT US Advanced Illness 277505007 Medulloblastoma of cerebellum (disorder) Edition SNOMED CT US Advanced Illness 277638005 Sepsis‐associated left ventricular failure (disorder) Edition SNOMED CT US Advanced Illness 277639002 Sepsis‐associated right ventricular failure (disorder) Edition SNOMED CT US Advanced Illness 278051002 Malignant lymphoma of thyroid gland (disorder) Edition

Page 115 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 278433008 Malignant infiltration of soft tissue (disorder) Edition SNOMED CT US Advanced Illness 278857002 Dementia of frontal lobe type (disorder) Edition SNOMED CT US Advanced Illness 281560004 Neuroblastoma of brain (disorder) Edition SNOMED CT US Advanced Illness 285598005 Metastasis to trachea of unknown primary (disorder) Edition SNOMED CT US Advanced Illness 285603002 Metastasis to bronchus of unknown primary (disorder) Edition SNOMED CT US Advanced Illness 285604008 Metastasis to lung of unknown primary (disorder) Edition SNOMED CT US Advanced Illness 285605009 Metastasis to pleura of unknown primary (disorder) Edition SNOMED CT US Advanced Illness 285606005 Metastasis to heart of unknown primary (disorder) Edition SNOMED CT US Advanced Illness 285607001 Metastasis to mediastinum of unknown primary (disorder) Edition SNOMED CT US Advanced Illness 285608006 Metastasis to thymus of unknown primary (disorder) Edition SNOMED CT US Advanced Illness 285609003 Metastasis to small intestine of unknown primary (disorder) Edition SNOMED CT US Advanced Illness 285610008 Metastasis to large intestine of unknown primary (disorder) Edition SNOMED CT US Advanced Illness 285611007 Metastasis to colon of unknown primary (disorder) Edition SNOMED CT US Advanced Illness 285612000 Metastasis to rectum of unknown primary (disorder) Edition SNOMED CT US Advanced Illness 285613005 Metastasis to liver of unknown primary (disorder) Edition SNOMED CT US Advanced Illness 285614004 Metastasis to pancreas of unknown primary (disorder) Edition

Page 116 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 285615003 Metastasis to spleen of unknown primary (disorder) Edition SNOMED CT US Advanced Illness 285616002 Metastasis to peritoneum of unknown primary (disorder) Edition SNOMED CT US Advanced Illness 285617006 Metastasis to retroperitoneum of unknown primary (disorder) Edition SNOMED CT US Advanced Illness 285618001 Metastasis to bone of unknown primary (disorder) Edition SNOMED CT US Advanced Illness 285619009 Metastasis to vertebral column of unknown primary (disorder) Edition SNOMED CT US Advanced Illness 285631006 Metastasis to skin of unknown primary (disorder) Edition SNOMED CT US Advanced Illness 285633009 Metastasis to soft tissue of unknown primary (disorder) Edition SNOMED CT US Advanced Illness 285634003 Metastasis to breast of unknown primary (disorder) Edition SNOMED CT US Advanced Illness 285635002 Metastasis to uterus of unknown primary (disorder) Edition SNOMED CT US Advanced Illness 285637005 Metastasis to ovary of unknown primary (disorder) Edition SNOMED CT US Advanced Illness 285638000 Metastasis to vagina of unknown primary (disorder) Edition SNOMED CT US Advanced Illness 285639008 Metastasis to kidney of unknown primary (disorder) Edition SNOMED CT US Advanced Illness 285640005 Metastasis to bladder of unknown primary (disorder) Edition SNOMED CT US Advanced Illness 285641009 Metastasis to brain of unknown primary (disorder) Edition SNOMED CT US Advanced Illness 285642002 Metastasis to eye of unknown primary (disorder) Edition SNOMED CT US Advanced Illness 285643007 Metastasis to adrenal gland of unknown primary (disorder) Edition

Page 117 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 285644001 Metastasis to lymph node of unknown primary (disorder) Edition SNOMED CT US Advanced Illness 285645000 Disseminated malignancy of unknown primary (disorder) Edition SNOMED CT US Advanced Illness 286902000 Secondary carcinoma of gastrointestinal tract (disorder) Edition Sedative, hypnotic AND/OR anxiolytic‐induced persisting amnestic disorder SNOMED CT US Advanced Illness 301643003 (disorder) Edition SNOMED CT US Advanced Illness 302507002 Sedative amnestic disorder (disorder) Edition SNOMED CT US Advanced Illness 303194003 Metastasis to head and neck lymph node (disorder) Edition SNOMED CT US Advanced Illness 303201005 Metastasis to multiple lymph nodes (disorder) Edition SNOMED CT US Advanced Illness 304603007 Variant Creutzfeldt‐Jakob disease (disorder) Edition SNOMED CT US Advanced Illness 307226002 Metastatic adenocarcinoma of unknown origin (disorder) Edition SNOMED CT US Advanced Illness 307593001 Carcinomatosis (disorder) Edition SNOMED CT US Advanced Illness 307601000 Pseudomyxoma peritonei (disorder) Edition SNOMED CT US Advanced Illness 307757001 Chronic alcoholic hepatitis (disorder) Edition SNOMED CT US Advanced Illness 309775007 Postprocedural respiratory failure (disorder) Edition SNOMED CT US Advanced Illness 312991009 Senile dementia of the Lewy body type (disorder) Edition SNOMED CT US Advanced Illness 314206003 Refractory heart failure (disorder) Edition SNOMED CT US Advanced Illness 314408000 Leukemic infiltrate of choroid (disorder) Edition

Page 118 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 314418005 Leukemic infiltrate of retina (disorder) Edition SNOMED CT US Advanced Illness 314964006 Local recurrence of malignant tumor of pancreas (disorder) Edition SNOMED CT US Advanced Illness 314987003 Metastasis from malignant melanoma of skin (disorder) Edition SNOMED CT US Advanced Illness 314988008 Metastasis from malignant tumor of skin (disorder) Edition SNOMED CT US Advanced Illness 314989000 Metastasis from malignant tumor of soft tissues (disorder) Edition SNOMED CT US Advanced Illness 314990009 Metastasis from malignant tumor of bone (disorder) Edition SNOMED CT US Advanced Illness 314991008 Metastasis from malignant tumor of adrenal gland (disorder) Edition SNOMED CT US Advanced Illness 314992001 Metastasis from malignant tumor of cervix (disorder) Edition SNOMED CT US Advanced Illness 314993006 Metastasis from malignant tumor of uterus (disorder) Edition SNOMED CT US Advanced Illness 314994000 Metastasis from malignant tumor of prostate (disorder) Edition SNOMED CT US Advanced Illness 314995004 Metastasis from malignant tumor of bladder (disorder) Edition SNOMED CT US Advanced Illness 314996003 Metastasis from malignant tumor of kidney (disorder) Edition SNOMED CT US Advanced Illness 314997007 Metastasis from malignant tumor of rectum (disorder) Edition SNOMED CT US Advanced Illness 314998002 Metastasis from malignant tumor of colon (disorder) Edition SNOMED CT US Advanced Illness 314999005 Metastasis from malignant tumor of pancreas (disorder) Edition SNOMED CT US Advanced Illness 315000005 Metastasis from malignant tumor of liver (disorder) Edition

Page 119 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 315001009 Metastasis from malignant tumor of gallbladder (disorder) Edition SNOMED CT US Advanced Illness 315002002 Metastasis from malignant tumor of stomach (disorder) Edition SNOMED CT US Advanced Illness 315003007 Metastasis from malignant tumor of esophagus (disorder) Edition SNOMED CT US Advanced Illness 315004001 Metastasis from malignant tumor of breast (disorder) Edition SNOMED CT US Advanced Illness 315005000 Metastasis from malignant tumor of bronchus (disorder) Edition SNOMED CT US Advanced Illness 315006004 Metastasis from malignant neoplasm of lung (disorder) Edition SNOMED CT US Advanced Illness 315007008 Metastasis from malignant tumor of thyroid (disorder) Edition SNOMED CT US Advanced Illness 315008003 Metastasis from malignant tumor of buccal cavity (disorder) Edition SNOMED CT US Advanced Illness 315009006 Metastasis from malignant tumor of tongue (disorder) Edition SNOMED CT US Advanced Illness 326072005 Carcinoma of head of pancreas (disorder) Edition SNOMED CT US Advanced Illness 359617009 Acute right‐sided heart failure (disorder) Edition SNOMED CT US Advanced Illness 359780007 Metastatic malignant neoplasm to lateral axillary lymph nodes (disorder) Edition SNOMED CT US Advanced Illness 359782004 Metastatic malignant neoplasm to apex of urinary bladder (disorder) Edition SNOMED CT US Advanced Illness 359785002 Metastatic malignant neoplasm to dome of urinary bladder (disorder) Edition SNOMED CT US Advanced Illness 359987004 Krukenberg tumor (disorder) Edition SNOMED CT US Advanced Illness 363368005 Carcinoma of body of pancreas (disorder) Edition

Page 120 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 363369002 Carcinoma of tail of pancreas (disorder) Edition SNOMED CT US Advanced Illness 363417006 Malignant tumor of ampulla of Vater (disorder) Edition SNOMED CT US Advanced Illness 363418001 Malignant tumor of pancreas (disorder) Edition SNOMED CT US Advanced Illness 363419009 Malignant tumor of head of pancreas (disorder) Edition SNOMED CT US Advanced Illness 363467004 Malignant neoplasm of frontal lobe (disorder) Edition SNOMED CT US Advanced Illness 363468009 Malignant neoplasm of temporal lobe (disorder) Edition SNOMED CT US Advanced Illness 363469001 Malignant neoplasm of parietal lobe (disorder) Edition SNOMED CT US Advanced Illness 363470000 Malignant neoplasm of occipital lobe (disorder) Edition SNOMED CT US Advanced Illness 363471001 Malignant neoplasm of cerebral ventricles (disorder) Edition SNOMED CT US Advanced Illness 363473003 Malignant neoplasm of brainstem (disorder) Edition SNOMED CT US Advanced Illness 363482009 Malignant tumor of pituitary gland (disorder) Edition SNOMED CT US Advanced Illness 363483004 Malignant tumor of pineal gland (disorder) Edition SNOMED CT US Advanced Illness 367363000 Right ventricular failure (disorder) Edition Malignant tumor involving rectum by separate metastasis from endometrium SNOMED CT US Advanced Illness 369455009 (disorder) Edition Malignant tumor involving rectum by separate metastasis from fallopian tube SNOMED CT US Advanced Illness 369456005 (disorder) Edition SNOMED CT US Advanced Illness 369457001 Malignant tumor involving rectum by separate metastasis from ovary (disorder) Edition

Page 121 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Malignant tumor involving rectum by separate metastasis from prostate SNOMED CT US Advanced Illness 369458006 (disorder) Edition Malignant tumor involving rectum by separate metastasis from uterine cervix SNOMED CT US Advanced Illness 369459003 (disorder) Edition SNOMED CT US Advanced Illness 369460008 Malignant tumor involving rectum by separate metastasis from uterus (disorder) Edition SNOMED CT US Advanced Illness 369461007 Malignant tumor involving rectum by separate metastasis from vagina (disorder) Edition SNOMED CT US Advanced Illness 369464004 Malignant tumor involving ureter by separate metastasis from bladder (disorder) Edition Malignant tumor involving urethra by separate metastasis from bladder SNOMED CT US Advanced Illness 369467006 (disorder) Edition Malignant tumor involving urethra by separate metastasis from prostate SNOMED CT US Advanced Illness 369468001 (disorder) Edition Malignant tumor involving bladder by separate metastasis from endometrium SNOMED CT US Advanced Illness 369476004 (disorder) Edition Malignant tumor involving bladder by separate metastasis from fallopian tube SNOMED CT US Advanced Illness 369477008 (disorder) Edition SNOMED CT US Advanced Illness 369478003 Malignant tumor involving bladder by separate metastasis from ovary (disorder) Edition Malignant tumor involving bladder by separate metastasis from prostate SNOMED CT US Advanced Illness 369479006 (disorder) Edition Malignant tumor involving bladder by separate metastasis from uterine cervix SNOMED CT US Advanced Illness 369480009 (disorder) Edition SNOMED CT US Advanced Illness 369481008 Malignant tumor involving bladder by separate metastasis from uterus (disorder) Edition SNOMED CT US Advanced Illness 369482001 Malignant tumor involving bladder by separate metastasis from vagina (disorder) Edition Malignant tumor involving vasa deferentia by separate metastasis from prostate SNOMED CT US Advanced Illness 369484000 (disorder) Edition Malignant tumor involving prostate by separate metastasis from bladder SNOMED CT US Advanced Illness 369486003 (disorder) Edition

Page 122 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Malignant tumor involving uterine cervix by separate metastasis from fallopian SNOMED CT US Advanced Illness 369500009 tube (disorder) Edition Malignant tumor involving uterine cervix by separate metastasis from ovary SNOMED CT US Advanced Illness 369501008 (disorder) Edition Malignant tumor involving uterine corpus by separate metastasis from bladder SNOMED CT US Advanced Illness 369502001 (disorder) Edition SNOMED CT US Advanced Illness 369514009 Secondary malignant neoplasm of left fallopian tube (disorder) Edition SNOMED CT US Advanced Illness 369521009 Secondary malignant neoplasm of right fallopian tube (disorder) Edition SNOMED CT US Advanced Illness 369523007 Secondary malignant neoplasm of left ovary (disorder) Edition SNOMED CT US Advanced Illness 369530001 Secondary malignant neoplasm of right ovary (disorder) Edition SNOMED CT US Advanced Illness 369535006 Secondary neoplasm of left broad ligament (disorder) Edition SNOMED CT US Advanced Illness 369536007 Secondary neoplasm of right broad ligament (disorder) Edition Malignant tumor involving left broad ligament by metastasis from ovary SNOMED CT US Advanced Illness 369538008 (disorder) Edition Malignant tumor involving right broad ligament by metastasis from ovary SNOMED CT US Advanced Illness 369540003 (disorder) Edition Malignant tumor involving left fallopian tube by separate metastasis from SNOMED CT US Advanced Illness 369542006 endometrium (disorder) Edition Malignant tumor involving left fallopian tube by separate metastasis from ovary SNOMED CT US Advanced Illness 369543001 (disorder) Edition Malignant tumor involving left fallopian tube by separate metastasis from right SNOMED CT US Advanced Illness 369544007 fallopian tube (disorder) Edition Malignant tumor involving left fallopian tube by separate metastasis from uterus SNOMED CT US Advanced Illness 369545008 (disorder) Edition Malignant tumor involving left fallopian tube by separate metastasis from vagina SNOMED CT US Advanced Illness 369546009 (disorder) Edition

Page 123 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Malignant tumor involving right fallopian tube by separate metastasis from SNOMED CT US Advanced Illness 369553000 endometrium (disorder) Edition Malignant tumor involving right fallopian tube by separate metastasis from left SNOMED CT US Advanced Illness 369554006 fallopian tube (disorder) Edition Malignant tumor involving right fallopian tube by separate metastasis from ovary SNOMED CT US Advanced Illness 369555007 (disorder) Edition Malignant tumor involving right fallopian tube by separate metastasis from SNOMED CT US Advanced Illness 369556008 uterine cervix (disorder) Edition Malignant tumor involving right fallopian tube by separate metastasis from SNOMED CT US Advanced Illness 369557004 uterus (disorder) Edition Malignant tumor involving right fallopian tube by separate metastasis from SNOMED CT US Advanced Illness 369558009 vagina (disorder) Edition Malignant tumor involving left ovary by separate metastasis from endometrium SNOMED CT US Advanced Illness 369560006 (disorder) Edition Malignant tumor involving left ovary by separate metastasis from fallopian tube SNOMED CT US Advanced Illness 369561005 (disorder) Edition Malignant tumor involving left ovary by separate metastasis from right ovary SNOMED CT US Advanced Illness 369562003 (disorder) Edition Malignant tumor involving left ovary by separate metastasis from uterine cervix SNOMED CT US Advanced Illness 369563008 (disorder) Edition Malignant tumor involving left ovary by separate metastasis from vagina SNOMED CT US Advanced Illness 369564002 (disorder) Edition SNOMED CT US Advanced Illness 369565001 Malignant tumor involving left ovary by separate metastasis uterus (disorder) Edition Malignant tumor involving right ovary by separate metastasis from endometrium SNOMED CT US Advanced Illness 369568004 (disorder) Edition Malignant tumor involving right ovary by separate metastasis from fallopian tube SNOMED CT US Advanced Illness 369569007 (disorder) Edition Malignant tumor involving right ovary by separate metastasis from left ovary SNOMED CT US Advanced Illness 369570008 (disorder) Edition Malignant tumor involving right ovary by separate metastasis from uterine cervix SNOMED CT US Advanced Illness 369571007 (disorder) Edition

Page 124 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Malignant tumor involving right ovary by separate metastasis from uterus SNOMED CT US Advanced Illness 369572000 (disorder) Edition Malignant tumor involving right ovary by separate metastasis from vagina SNOMED CT US Advanced Illness 369573005 (disorder) Edition Malignant tumor involving uterine cervix by separate metastasis from vagina SNOMED CT US Advanced Illness 369574004 (disorder) Edition Malignant tumor involving uterine corpus by separate metastasis from fallopian SNOMED CT US Advanced Illness 369575003 tube (disorder) Edition Malignant tumor involving uterine corpus by separate metastasis from ovary SNOMED CT US Advanced Illness 369576002 (disorder) Edition Malignant tumor involving uterine corpus by separate metastasis from uterine SNOMED CT US Advanced Illness 369577006 cervix (disorder) Edition Malignant tumor involving uterine corpus by separate metastasis from vagina SNOMED CT US Advanced Illness 369578001 (disorder) Edition SNOMED CT US Advanced Illness 369581006 Malignant tumor involving vagina by separate metastasis from bladder (disorder) Edition Malignant tumor involving vagina by separate metastasis from endometrium SNOMED CT US Advanced Illness 369582004 (disorder) Edition Malignant tumor involving vagina by separate metastasis from fallopian tube SNOMED CT US Advanced Illness 369583009 (disorder) Edition SNOMED CT US Advanced Illness 369584003 Malignant tumor involving vagina by separate metastasis from ovary (disorder) Edition Malignant tumor involving vagina by separate metastasis from uterine cervix SNOMED CT US Advanced Illness 369585002 (disorder) Edition SNOMED CT US Advanced Illness 369586001 Malignant tumor involving vagina by separate metastasis from uterus (disorder) Edition Malignant tumor involving vulva by separate metastasis from endometrium SNOMED CT US Advanced Illness 369588000 (disorder) Edition Malignant tumor involving vulva by separate metastasis from fallopian tube SNOMED CT US Advanced Illness 369589008 (disorder) Edition SNOMED CT US Advanced Illness 369590004 Malignant tumor involving vulva by separate metastasis from ovary (disorder) Edition

Page 125 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Malignant tumor involving vulva by separate metastasis from uterine cervix SNOMED CT US Advanced Illness 369591000 (disorder) Edition SNOMED CT US Advanced Illness 369592007 Malignant tumor involving vulva by separate metastasis from uterus (disorder) Edition SNOMED CT US Advanced Illness 369593002 Malignant tumor involving vulva by separate metastasis from vagina (disorder) Edition Malignant tumor involving an organ by separate metastasis from bladder SNOMED CT US Advanced Illness 369602008 (disorder) Edition Malignant tumor involving an organ by separate metastasis from endometrium SNOMED CT US Advanced Illness 369603003 (disorder) Edition Malignant tumor involving an organ by separate metastasis from fallopian tube SNOMED CT US Advanced Illness 369604009 (disorder) Edition SNOMED CT US Advanced Illness 369605005 Malignant tumor involving an organ by separate metastasis from ovary (disorder) Edition Malignant tumor involving an organ by separate metastasis from prostate SNOMED CT US Advanced Illness 369606006 (disorder) Edition Malignant tumor involving an organ by separate metastasis from uterine cervix SNOMED CT US Advanced Illness 369607002 (disorder) Edition Malignant tumor involving an organ by separate metastasis from uterus SNOMED CT US Advanced Illness 369608007 (disorder) Edition Malignant tumor involving an organ by separate metastasis from vagina SNOMED CT US Advanced Illness 369609004 (disorder) Edition Malignant tumor involving left fallopian tube by separate metastasis from uterine SNOMED CT US Advanced Illness 369610009 cervix (disorder) Edition SNOMED CT US Advanced Illness 371024007 Senile dementia with delusion (disorder) Edition SNOMED CT US Advanced Illness 371026009 Senile dementia with psychosis (disorder) Edition SNOMED CT US Advanced Illness 371139006 Early cirrhosis (disorder) Edition SNOMED CT US Advanced Illness 371967001 Primary malignant neoplasm of ampulla of Vater (disorder) Edition

Page 126 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 372003004 Primary malignant neoplasm of pancreas (disorder) Edition SNOMED CT US Advanced Illness 372093008 Secondary malignant neoplasm of axillary tail of breast (disorder) Edition SNOMED CT US Advanced Illness 372119009 Primary malignant neoplasm of head of pancreas (disorder) Edition SNOMED CT US Advanced Illness 372142002 Carcinoma of pancreas (disorder) Edition SNOMED CT US Advanced Illness 397767007 Acute respiratory failure requiring reintubation (disorder) Edition SNOMED CT US Advanced Illness 399969009 Secondary malignant neoplasm of blood vessel of upper arm (disorder) Edition SNOMED CT US Advanced Illness 400058002 Secondary malignant neoplasm of blood vessel of lower leg (disorder) Edition SNOMED CT US Advanced Illness 402563000 Metastatic malignant melanoma with diffuse hypermelanosis (disorder) Edition SNOMED CT US Advanced Illness 402879006 T‐cell leukemic infiltration of skin (disorder) Edition SNOMED CT US Advanced Illness 403906006 Metastatic squamous cell carcinoma (disorder) Edition SNOMED CT US Advanced Illness 404090003 Malignant infiltration of oral cavity by underlying tumor (disorder) Edition SNOMED CT US Advanced Illness 404091004 Malignant infiltration of skin by underlying tumor (disorder) Edition SNOMED CT US Advanced Illness 404092006 Carcinomatous metastasis in skin (disorder) Edition SNOMED CT US Advanced Illness 404093001 Sarcomatous metastasis in skin (disorder) Edition SNOMED CT US Advanced Illness 404094007 Metastasis involving oral cavity (disorder) Edition SNOMED CT US Advanced Illness 404122003 Leukemic infiltration of skin (chronic T‐cell lymphocytic leukemia) (disorder) Edition

Page 127 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 404123008 Leukemic infiltration of skin (T‐cell prolymphocytic leukemia) (disorder) Edition SNOMED CT US Advanced Illness 404124002 Leukemic infiltration of skin (T‐cell lymphoblastic leukemia) (disorder) Edition SNOMED CT US Advanced Illness 404156009 Leukemic infiltration of skin (disorder) Edition SNOMED CT US Advanced Illness 405570007 Pulmonary fibrosis due to and following radiotherapy (disorder) Edition SNOMED CT US Advanced Illness 405843009 Widespread metastatic malignant neoplastic disease (disorder) Edition SNOMED CT US Advanced Illness 409622000 Respiratory failure (disorder) Edition SNOMED CT US Advanced Illness 410430005 Cardiorespiratory arrest (disorder) Edition SNOMED CT US Advanced Illness 410431009 Cardiorespiratory failure (disorder) Edition SNOMED CT US Advanced Illness 414676007 Metastatic neuroblastoma of orbit proper (disorder) Edition SNOMED CT US Advanced Illness 416780008 Primary degenerative dementia of the Alzheimer type, presenile onset (disorder) Edition SNOMED CT US Advanced Illness 416975007 Primary degenerative dementia of the Alzheimer type, senile onset (disorder) Edition SNOMED CT US Advanced Illness 417996009 Systolic heart failure (disorder) Edition SNOMED CT US Advanced Illness 418304008 Diastolic heart failure (disorder) Edition SNOMED CT US Advanced Illness 418529003 Secondary malignant neoplasm of lacrimal drainage structure (disorder) Edition SNOMED CT US Advanced Illness 419728003 Portal cirrhosis (disorder) Edition SNOMED CT US Advanced Illness 420054005 Alcoholic cirrhosis (disorder) Edition

Page 128 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Organic dementia associated with acquired immunodeficiency syndrome SNOMED CT US Advanced Illness 420614009 (disorder) Edition Presenile dementia associated with acquired immunodeficiency syndrome SNOMED CT US Advanced Illness 421023003 (disorder) Edition Primary lymphoma of brain associated with acquired immunodeficiency SNOMED CT US Advanced Illness 421283008 syndrome (disorder) Edition SNOMED CT US Advanced Illness 421529006 Dementia associated with acquired immunodeficiency syndrome (disorder) Edition Primary malignant neoplasm of ovary, with widespread metastatic disease SNOMED CT US Advanced Illness 422782004 (disorder) Edition SNOMED CT US Advanced Illness 423032007 Leukemic infiltration of orbit (disorder) Edition SNOMED CT US Advanced Illness 423384009 Secondary malignant neoplasm of lacrimal gland duct (disorder) Edition SNOMED CT US Advanced Illness 423595004 Adenocarcinoma carcinomatosis (disorder) Edition Primary malignant neoplasm of vulva, with widespread metastatic disease SNOMED CT US Advanced Illness 423987006 (disorder) Edition SNOMED CT US Advanced Illness 424052001 Small cell carcinoma carcinomatosis (disorder) Edition SNOMED CT US Advanced Illness 424151006 Anaplastic glioma of brain (disorder) Edition SNOMED CT US Advanced Illness 424276002 Malignant glioma of brainstem (disorder) Edition SNOMED CT US Advanced Illness 424404003 Decompensated chronic heart failure (disorder) Edition SNOMED CT US Advanced Illness 424887002 Primary malignant neoplasm of thyroid gland, metastatic to bone (disorder) Edition SNOMED CT US Advanced Illness 424954002 Undifferentiated large cell carcinomatosis (disorder) Edition SNOMED CT US Advanced Illness 425303004 Squamous cell carcinomatosis (disorder) Edition

Page 129 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 425369003 Chronic progressive renal failure (disorder) Edition SNOMED CT US Advanced Illness 425390006 Dementia associated with Parkinson's Disease (disorder) Edition SNOMED CT US Advanced Illness 425413006 Drug‐induced cirrhosis of liver (disorder) Edition SNOMED CT US Advanced Illness 425500002 Secondary progressive multiple sclerosis (disorder) Edition SNOMED CT US Advanced Illness 426012001 Right heart failure due to pulmonary hypertension (disorder) Edition SNOMED CT US Advanced Illness 426263006 Congestive heart failure due to left ventricular systolic dysfunction (disorder) Edition SNOMED CT US Advanced Illness 426373005 Relapsing remitting multiple sclerosis (disorder) Edition SNOMED CT US Advanced Illness 426437004 Familial idiopathic pulmonary fibrosis (disorder) Edition SNOMED CT US Advanced Illness 426611007 Congestive heart failure due to valvular disease (disorder) Edition SNOMED CT US Advanced Illness 426896000 Chronic hypercapnic respiratory failure (disorder) Edition SNOMED CT US Advanced Illness 428061005 Malignant neoplasm of brain (disorder) Edition SNOMED CT US Advanced Illness 428173007 Chronic hypoxemic respiratory failure (disorder) Edition SNOMED CT US Advanced Illness 428700003 Primary progressive multiple sclerosis (disorder) Edition SNOMED CT US Advanced Illness 429033009 Malignant neoplasm of cerebrum (disorder) Edition SNOMED CT US Advanced Illness 429458009 Dementia due to Creutzfeldt Jakob disease (disorder) Edition SNOMED CT US Advanced Illness 429998004 Vascular dementia (disorder) Edition

Page 130 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 433146000 Chronic kidney disease stage 5 (disorder) Edition SNOMED CT US Advanced Illness 438511000 Benign multiple sclerosis (disorder) Edition SNOMED CT US Advanced Illness 439567002 Malignant multiple sclerosis (disorder) Edition SNOMED CT US Advanced Illness 441481004 Chronic systolic heart failure (disorder) Edition SNOMED CT US Advanced Illness 441530006 Chronic diastolic heart failure (disorder) Edition SNOMED CT US Advanced Illness 442344002 Dementia due to Huntington chorea (disorder) Edition SNOMED CT US Advanced Illness 443144000 Metastatic sarcoma (disorder) Edition SNOMED CT US Advanced Illness 443253003 Acute on chronic systolic heart failure (disorder) Edition SNOMED CT US Advanced Illness 443254009 Acute systolic heart failure (disorder) Edition SNOMED CT US Advanced Illness 443343001 Acute diastolic heart failure (disorder) Edition SNOMED CT US Advanced Illness 443344007 Acute on chronic diastolic heart failure (disorder) Edition SNOMED CT US Advanced Illness 443493003 Metastatic malignant melanoma (disorder) Edition SNOMED CT US Advanced Illness 445236007 Cardiorenal syndrome (disorder) Edition SNOMED CT US Advanced Illness 446221000 Heart failure with normal ejection fraction (disorder) Edition SNOMED CT US Advanced Illness 448218008 Malignant neoplasm of cerebellopontine angle (disorder) Edition SNOMED CT US Advanced Illness 448248006 Malignant neoplasm of axial suprasellar region of brain (disorder) Edition

Page 131 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 448250003 Malignant teratoma of pineal region (disorder) Edition SNOMED CT US Advanced Illness 448863000 Malignant epithelial neoplasm of pineal gland (disorder) Edition Secondary malignant neoplasm of large intestine and rectum (disorder) SNOMED CT US Advanced Illness 448922007 [448922007] Edition SNOMED CT US Advanced Illness 448989001 Malignant epithelial neoplasm of brain (disorder) Edition SNOMED CT US Advanced Illness 449253005 Malignant epithelial neoplasm of hypothalamus (disorder) Edition SNOMED CT US Advanced Illness 449420002 Malignant neoplasm of cerebellum (disorder) Edition SNOMED CT US Advanced Illness 449630001 Secondary malignant neoplasm of skin of lower leg (disorder) Edition SNOMED CT US Advanced Illness 449631002 Secondary malignant neoplasm of skin of upper arm (disorder) Edition SNOMED CT US Advanced Illness 449632009 Secondary malignant neoplasm of lower leg (disorder) Edition SNOMED CT US Advanced Illness 449633004 Secondary malignant neoplasm of upper arm (disorder) Edition SNOMED CT US Advanced Illness 462172006 Fetal heart failure (disorder) Edition SNOMED CT US Advanced Illness 462174007 Fetal heart failure with myocardial hypertrophy (disorder) Edition SNOMED CT US Advanced Illness 462175008 Fetal heart failure with redistribution of cardiac output (disorder) Edition SNOMED CT US Advanced Illness 471880001 Heart failure due to end stage congenital heart disease (disorder) Edition SNOMED CT US Advanced Illness 473419009 Intraductal papillary mucinous carcinoma in situ of pancreas (disorder) Edition SNOMED CT US Advanced Illness 609507007 Induced termination of pregnancy complicated by cardiac failure (disorder) Edition

Page 132 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 698296002 Acute exacerbation of chronic congestive heart failure (disorder) Edition SNOMED CT US Advanced Illness 698504006 Postoperative cardiopulmonary failure (disorder) Edition SNOMED CT US Advanced Illness 698594003 Symptomatic congestive heart failure (disorder) Edition SNOMED CT US Advanced Illness 698624003 Dementia associated with cerebral lipidosis (disorder) Edition SNOMED CT US Advanced Illness 698625002 Dementia associated with normal pressure hydrocephalus (disorder) Edition SNOMED CT US Advanced Illness 698626001 Dementia associated with multiple sclerosis (disorder) Edition SNOMED CT US Advanced Illness 698687007 Post‐traumatic dementia with behavioral change (disorder) Edition SNOMED CT US Advanced Illness 698725008 Dementia associated with neurosyphilis (disorder) Edition SNOMED CT US Advanced Illness 698726009 Dementia associated with viral encephalitis (disorder) Edition SNOMED CT US Advanced Illness 698781002 Dementia associated with cerebral anoxia (disorder) Edition SNOMED CT US Advanced Illness 698810000 Hypertensive renal disease with end stage renal failure (disorder) Edition SNOMED CT US Advanced Illness 698948009 Vascular dementia in remission (disorder) Edition SNOMED CT US Advanced Illness 698949001 Dementia in remission (disorder) Edition Primary degenerative dementia of the Alzheimer type, senile onset in remission SNOMED CT US Advanced Illness 698954005 (disorder) Edition Primary degenerative dementia of the Alzheimer type, presenile onset in SNOMED CT US Advanced Illness 698955006 remission (disorder) Edition SNOMED CT US Advanced Illness 699318007 Supratentorial primitive neuroectodermal tumor (disorder) Edition

Page 133 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 699748007 Cardiorespiratory arrest with successful resuscitation (disorder) Edition SNOMED CT US Advanced Illness 700250006 Idiopathic pulmonary fibrosis (disorder) Edition SNOMED CT US Advanced Illness 700251005 Chronic idiopathic pulmonary fibrosis (disorder) Edition SNOMED CT US Advanced Illness 700252003 Subacute idiopathic pulmonary fibrosis (disorder) Edition SNOMED CT US Advanced Illness 700423003 Adenocarcinoma of pancreas (disorder) Edition SNOMED CT US Advanced Illness 702373006 Hereditary myopathy with early respiratory failure (disorder) Edition SNOMED CT US Advanced Illness 702392008 Metastatic renal cell carcinoma (disorder) Edition SNOMED CT US Advanced Illness 703272007 Heart failure with reduced ejection fraction (disorder) Edition Heart failure with reduced ejection fraction due to coronary artery disease SNOMED CT US Advanced Illness 703273002 (disorder) Edition SNOMED CT US Advanced Illness 703274008 Heart failure with reduced ejection fraction due to myocarditis (disorder) Edition SNOMED CT US Advanced Illness 703275009 Heart failure with reduced ejection fraction due to cardiomyopathy (disorder) Edition SNOMED CT US Advanced Illness 703276005 Heart failure with reduced ejection fraction due to heart valve disease (disorder) Edition SNOMED CT US Advanced Illness 704152002 Metastatic neuroblastoma (disorder) Edition SNOMED CT US Advanced Illness 704242009 Fetal heart failure due to extracardiac disease (disorder) Edition SNOMED CT US Advanced Illness 704667004 Hypertension concurrent and due to end stage renal disease on dialysis (disorder) Edition SNOMED CT US Advanced Illness 705176003 Metastatic carcinoid tumor (disorder) Edition

Page 134 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 707324008 Anemia co‐occurrent and due to end stage renal disease (disorder) Edition SNOMED CT US Advanced Illness 707434003 Pulmonary fibrosis due to Hermansky‐Pudlak syndrome (disorder) Edition SNOMED CT US Advanced Illness 708030004 Pulmonary emphysema co‐occurrent with fibrosis of lung (disorder) Edition SNOMED CT US Advanced Illness 708537005 Acute idiopathic pulmonary fibrosis (disorder) Edition SNOMED CT US Advanced Illness 709109004 Hypercapnic respiratory failure (disorder) Edition SNOMED CT US Advanced Illness 709110009 Acute hypercapnic respiratory failure (disorder) Edition SNOMED CT US Advanced Illness 709111008 Acute hypoxemic respiratory failure (disorder) Edition SNOMED CT US Advanced Illness 709285002 Secondary malignant neoplasm of lumbosacral plexus (disorder) Edition SNOMED CT US Advanced Illness 712487000 End stage renal disease due to benign hypertension (disorder) Edition SNOMED CT US Advanced Illness 712849003 Primary malignant neoplasm of prostate metastatic to bone (disorder) Edition SNOMED CT US Advanced Illness 713060000 Sporadic Creutzfeldt‐Jakob disease (disorder) Edition SNOMED CT US Advanced Illness 713181003 Chronic alcoholic liver disease (disorder) Edition SNOMED CT US Advanced Illness 713189001 Malignant insulinoma (disorder) Edition SNOMED CT US Advanced Illness 713244007 Drug induced pulmonary fibrosis (disorder) Edition Primary cerebral lymphoma co‐occurrent with human immunodeficiency virus SNOMED CT US Advanced Illness 713325002 infection (disorder) Edition SNOMED CT US Advanced Illness 713370005 Acute on chronic alcoholic liver disease (disorder) Edition

Page 135 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 713419002 Intraoperative cardiorespiratory arrest (disorder) Edition Presenile dementia co‐occurrent with human immunodeficiency virus infection SNOMED CT US Advanced Illness 713488003 (disorder) Edition SNOMED CT US Advanced Illness 713844000 Dementia co‐occurrent with human immunodeficiency virus infection (disorder) Edition SNOMED CT US Advanced Illness 715345007 Young onset Parkinson disease (disorder) Edition SNOMED CT US Advanced Illness 715401008 Primary biliary cirrhosis co‐occurrent with systemic scleroderma (disorder) Edition SNOMED CT US Advanced Illness 715414009 Familial malignant neoplasm of pancreas (disorder) Edition SNOMED CT US Advanced Illness 715662009 Iatrogenic Jakob‐Creutzfeldt disease (disorder) Edition SNOMED CT US Advanced Illness 715737004 Parkinsonism co‐occurrent with dementia of Guadeloupe (disorder) Edition SNOMED CT US Advanced Illness 715807002 Familial Creutzfeldt‐Jakob (disorder) Edition SNOMED CT US Advanced Illness 715864007 Non‐Wilsonian hepatic copper toxicosis of infancy and childhood (disorder) Edition SNOMED CT US Advanced Illness 715904005 Pineal parenchymal tumor of intermediate differentiation (disorder) Edition SNOMED CT US Advanced Illness 716107009 Early onset parkinsonism and intellectual disability syndrome (disorder) Edition SNOMED CT US Advanced Illness 716203000 Decompensated cirrhosis of liver (disorder) Edition SNOMED CT US Advanced Illness 716662004 Autosomal dominant late onset Parkinson disease (disorder) Edition SNOMED CT US Advanced Illness 717840005 Congestive heart failure stage B (disorder) Edition SNOMED CT US Advanced Illness 718089001 Acute respiratory failure requiring reintubation following extubation (disorder) Edition

Page 136 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 718555006 Juvenile amyotrophic lateral sclerosis (disorder) Edition SNOMED CT US Advanced Illness 718685006 Orthostatic hypotension co‐occurrent and due to Parkinson's disease (disorder) Edition SNOMED CT US Advanced Illness 719218000 Cryptogenic organizing pneumonia (disorder) Edition SNOMED CT US Advanced Illness 720587009 Donor derived melanoma (disorder) Edition SNOMED CT US Advanced Illness 721718003 Primary adenocarcinoma of ampulla of Vater (disorder) Edition SNOMED CT US Advanced Illness 721977007 Lung fibrosis, immunodeficiency, 46,XX gonadal dysgenesis syndrome (disorder) Edition SNOMED CT US Advanced Illness 722095005 Acute kidney injury due to circulatory failure (disorder) Edition SNOMED CT US Advanced Illness 722600006 Non‐amnestic Alzheimer disease (disorder) Edition SNOMED CT US Advanced Illness 722671009 Metastatic malignant neoplasm of meninges (disorder) Edition SNOMED CT US Advanced Illness 722707001 Metastatic malignant neoplasm of peripheral nervous system (disorder) Edition SNOMED CT US Advanced Illness 722919003 Neonatal cardiac failure due to decreased left ventricular output (disorder) Edition SNOMED CT US Advanced Illness 722962002 Amnestic disorder caused by substance (disorder) Edition SNOMED CT US Advanced Illness 722977005 Dementia co‐occurrent and due to neurocysticercosis (disorder) Edition SNOMED CT US Advanced Illness 722978000 Dementia caused by toxin (disorder) Edition SNOMED CT US Advanced Illness 722979008 Dementia due to metabolic abnormality (disorder) Edition SNOMED CT US Advanced Illness 722980006 Dementia due to chromosomal anomaly (disorder) Edition

Page 137 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 722987009 Amyotrophic lateral sclerosis plus syndrome (disorder) Edition SNOMED CT US Advanced Illness 723123001 Ischemic vascular dementia (disorder) Edition SNOMED CT US Advanced Illness 723390000 Rapidly progressive dementia (disorder) Edition Pulmonary fibrosis, hepatic hyperplasia, bone marrow hypoplasia syndrome SNOMED CT US Advanced Illness 723829000 (disorder) Edition SNOMED CT US Advanced Illness 724550005 Neonatal cardiac failure due to pulmonary overperfusion (disorder) Edition SNOMED CT US Advanced Illness 724685000 Amnestic disorder caused by sedative (disorder) Edition SNOMED CT US Advanced Illness 724686004 Amnestic disorder caused by hypnotic (disorder) Edition SNOMED CT US Advanced Illness 724687008 Amnestic disorder caused by anxiolytic (disorder) Edition SNOMED CT US Advanced Illness 724747009 Amnestic disorder due to multiple etiological factors (disorder) Edition SNOMED CT US Advanced Illness 724761004 Sporadic Parkinson disease (disorder) Edition SNOMED CT US Advanced Illness 724776007 Dementia due to disorder of central nervous system (disorder) Edition SNOMED CT US Advanced Illness 724777003 Dementia due to infectious disease (disorder) Edition SNOMED CT US Advanced Illness 724778008 Progressive relapsing multiple sclerosis (disorder) Edition SNOMED CT US Advanced Illness 724992007 Epilepsy co‐occurrent and due to dementia (disorder) Edition SNOMED CT US Advanced Illness 725146001 Atypical juvenile parkinsonism (disorder) Edition SNOMED CT US Advanced Illness 725416005 Cardiomyopathy co‐occurrent and due to cirrhosis of liver (disorder) Edition

Page 138 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 725898002 Delirium co‐occurrent with dementia (disorder) Edition SNOMED CT US Advanced Illness 725938001 Cirrhosis of liver caused by methotrexate (disorder) Edition SNOMED CT US Advanced Illness 725939009 Cirrhosis of liver caused by amiodarone (disorder) Edition SNOMED CT US Advanced Illness 725940006 Cirrhosis of liver caused by methyldopa (disorder) Edition SNOMED CT US Advanced Illness 733028000 Multiple sclerosis, ichthyosis, factor VIII deficiency syndrome (disorder) Edition SNOMED CT US Advanced Illness 733184002 Dementia caused by heavy metal exposure (disorder) Edition SNOMED CT US Advanced Illness 733185001 Dementia following injury caused by exposure to ionizing radiation (disorder) Edition SNOMED CT US Advanced Illness 733190003 Dementia due to primary malignant neoplasm of brain (disorder) Edition SNOMED CT US Advanced Illness 733191004 Dementia due to chronic subdural hematoma (disorder) Edition SNOMED CT US Advanced Illness 733192006 Dementia due to herpes encephalitis (disorder) Edition Dementia co‐occurrent and due to progressive multifocal leukoencephalopathy SNOMED CT US Advanced Illness 733193001 (disorder) Edition SNOMED CT US Advanced Illness 733194007 Dementia co‐occurrent and due to Down syndrome (disorder) Edition SNOMED CT US Advanced Illness 733351008 Primary malignant neuroendocrine neoplasm of ampulla of Vater (disorder) Edition Acute hypoxemic respiratory failure co‐occurrent with acute hypercapnic SNOMED CT US Advanced Illness 735386008 respiratory failure (disorder) Edition SNOMED CT US Advanced Illness 735733008 Cirrhosis of liver co‐occurrent and due to primary sclerosing cholangitis (disorder) Edition SNOMED CT US Advanced Illness 735735001 Primary malignant neuroendocrine neoplasm of pancreas (disorder) Edition

Page 139 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 735757008 Primary ganglioneuroblastoma of brain (disorder) Edition SNOMED CT US Advanced Illness 762350007 Dementia due to prion disease (disorder) Edition SNOMED CT US Advanced Illness 762351006 Dementia due to and following injury of head (disorder) Edition SNOMED CT US Advanced Illness 762457009 Astroblastoma of brain (disorder) Edition SNOMED CT US Advanced Illness 762707000 Subcortical dementia (disorder) Edition SNOMED CT US Advanced Illness 766246000 Marburg acute multiple sclerosis (disorder) Edition Germline BRCA‐mutated human epidermal growth factor receptor 2 negative SNOMED CT US Advanced Illness 767444009 metastatic carcinoma of breast (disorder) Edition SNOMED CT US Advanced Illness 767448007 Pineoblastoma (disorder) Edition SNOMED CT US Advanced Illness 770602005 Squamous cell carcinoma of exocrine pancreas (disorder) Edition SNOMED CT US Advanced Illness 770727008 Spinal muscular atrophy with respiratory distress type 2 (disorder) Edition Hereditary fibrosing poikiloderma, tendon contractures, myopathy, pulmonary SNOMED CT US Advanced Illness 771306007 fibrosis syndrome (disorder) Edition Protein kinase cAMP‐dependent type I regulatory subunit beta‐related SNOMED CT US Advanced Illness 774069007 neurodegenerative dementia with intermediate filaments (disorder) Edition Hyperuricemia, pulmonary hypertension, renal failure, alkalosis syndrome SNOMED CT US Advanced Illness 776416004 (disorder) Edition SNOMED CT US Advanced Illness 780821007 Invasive intraductal papillary‐mucinous carcinoma of pancreas (disorder) Edition SNOMED CT US Advanced Illness 781076008 Secondary malignant neoplasm of colon and/or rectum (disorder) Edition SNOMED CT US Advanced Illness 831000119103 Cirrhosis of liver due to chronic hepatitis C (disorder) Edition

Page 140 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 1581000119101 Dementia of the Alzheimer type with behavioral disturbance (disorder) Edition SNOMED CT US Advanced Illness 1591000119103 Dementia with behavioral disturbance (disorder) Edition SNOMED CT US Advanced Illness 1651000119109 Primary adenocarcinoma of pancreas (disorder) Edition SNOMED CT US Advanced Illness 1661000119106 Metastasis to lung from adenocarcinoma (disorder) Edition SNOMED CT US Advanced Illness 1671000119100 Metastasis to lymph node from squamous cell carcinoma (disorder) Edition SNOMED CT US Advanced Illness 1681000119102 Metastasis to lymph node from adenocarcinoma (disorder) Edition SNOMED CT US Advanced Illness 1691000119104 Metastasis to liver from adenocarcinoma (disorder) Edition SNOMED CT US Advanced Illness 1801000119106 Anemia, pre‐end stage renal disease on erythropoietin protocol (disorder) Edition SNOMED CT US Advanced Illness 2421000119107 Hallucinations co‐occurrent and due to late onset dementia (disorder) Edition SNOMED CT US Advanced Illness 7361000175106 Acute‐on‐chronic hypercapnic respiratory failure (disorder) Edition Reduced ejection fraction co‐occurrent and due to acute on chronic heart failure SNOMED CT US Advanced Illness 7371000175103 (disorder) Edition SNOMED CT US Advanced Illness 7381000175100 Reduced ejection fraction co‐occurrent and due to chronic heart failure (disorder) Edition SNOMED CT US Advanced Illness 7391000175102 Reduced ejection fraction co‐occurrent and due to acute heart failure (disorder) Edition Acute on chronic heart failure co‐occurrent with normal ejection fraction SNOMED CT US Advanced Illness 7401000175100 (disorder) Edition SNOMED CT US Advanced Illness 7411000175102 Chronic heart failure co‐occurrent with normal ejection fraction (disorder) Edition SNOMED CT US Advanced Illness 7421000175106 Acute heart failure co‐occurrent with normal ejection fraction (disorder) Edition

Page 141 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Hypertensive heart AND chronic kidney disease with congestive heart failure SNOMED CT US Advanced Illness 15781000119107 (disorder) Edition SNOMED CT US Advanced Illness 20091000175107 Acute on chronic hypoxemic and hypercapnic respiratory failure (disorder) Edition SNOMED CT US Advanced Illness 21921000119103 Dementia co‐occurrent and due to Pick's disease (disorder) Edition SNOMED CT US Advanced Illness 22381000119105 Primary degenerative dementia (disorder) Edition SNOMED CT US Advanced Illness 23341000119109 Congestive heart failure with right heart failure (disorder) Edition SNOMED CT US Advanced Illness 31081000119101 Presenile dementia with delusions (disorder) Edition SNOMED CT US Advanced Illness 67431000119105 Congestive heart failure stage D (disorder) Edition SNOMED CT US Advanced Illness 67441000119101 Congestive heart failure stage C (disorder) Edition SNOMED CT US Advanced Illness 67771000119102 Grade 2 astrocytoma of brain (disorder) Edition SNOMED CT US Advanced Illness 72481000119103 Congestive heart failure as early postoperative complication (disorder) Edition SNOMED CT US Advanced Illness 79341000119107 Mixed dementia (disorder) Edition SNOMED CT US Advanced Illness 82351000119105 Altered behavior co‐occurrent and due to Pick's disease (disorder) Edition SNOMED CT US Advanced Illness 82361000119107 Altered behavior in dementia due to Huntington chorea (disorder) Edition SNOMED CT US Advanced Illness 82371000119101 Dementia due to multiple sclerosis with altered behavior (disorder) Edition SNOMED CT US Advanced Illness 82381000119103 Epileptic dementia with behavioral disturbance (disorder) Edition SNOMED CT US Advanced Illness 87091000119101 Malignant glioma of cerebrum (disorder) Edition

Page 142 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 87101000119106 Primary malignant glioma of brain (disorder) Edition SNOMED CT US Advanced Illness 87111000119109 Malignant glioma of hypothalamus (disorder) Edition SNOMED CT US Advanced Illness 87121000119102 Malignant glioma of cerebellum (disorder) Edition SNOMED CT US Advanced Illness 90771000119100 End stage renal disease on dialysis due to type 1 diabetes mellitus (disorder) Edition SNOMED CT US Advanced Illness 90791000119104 End stage renal disease on dialysis due to type 2 diabetes mellitus (disorder) Edition SNOMED CT US Advanced Illness 90811000119100 Low grade malignant glioma of brain (disorder) Edition SNOMED CT US Advanced Illness 90831000119105 Grade 4 malignant glioma of brain (disorder) Edition SNOMED CT US Advanced Illness 91181000119105 Squamous cell carcinoma metastatic to pleura (disorder) Edition SNOMED CT US Advanced Illness 91251000119105 Small cell carcinoma metastatic to skin (disorder) Edition SNOMED CT US Advanced Illness 91281000119103 Secondary adenocarcinoma of bone (disorder) Edition SNOMED CT US Advanced Illness 96311000119109 Exacerbation of congestive heart failure (disorder) Edition SNOMED CT US Advanced Illness 96901000119105 Prostate cancer metastatic to eye (disorder) Edition SNOMED CT US Advanced Illness 96981000119102 Malignant neoplasm of rectosigmoid junction metastatic to brain (disorder) Edition SNOMED CT US Advanced Illness 97051000119105 Malignant melanoma metastatic to pancreas (disorder) Edition SNOMED CT US Advanced Illness 97751000119108 Altered behavior in Alzheimer's disease (disorder) Edition SNOMED CT US Advanced Illness 99131000119108 Astrocytoma of cerebrum (disorder) Edition

Page 143 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 100721000119109 High grade astrocytoma of brain (disorder) Edition SNOMED CT US Advanced Illness 100731000119107 Low grade astrocytoma of brain (disorder) Edition SNOMED CT US Advanced Illness 101281000119107 Congestive heart failure due to cardiomyopathy (disorder) Edition SNOMED CT US Advanced Illness 101301000119106 Acute hypercapnic respiratory failure due to obstructive sleep apnea (disorder) Edition SNOMED CT US Advanced Illness 101421000119107 Dementia due to Parkinson's disease (disorder) Edition SNOMED CT US Advanced Illness 103511000119103 Melanoma carcinomatosis (disorder) Edition SNOMED CT US Advanced Illness 103611000119102 Cirrhosis of liver due to hepatitis B (disorder) Edition SNOMED CT US Advanced Illness 104981000119104 Oligodendroglioma of cerebrum (disorder) Edition SNOMED CT US Advanced Illness 105421000119105 Early onset Alzheimer's disease with behavioral disturbance (disorder) Edition SNOMED CT US Advanced Illness 105451000119102 Amnestic disorder associated with general medical condition (disorder) Edition SNOMED CT US Advanced Illness 106021000119105 Multi‐infarct dementia due to atherosclerosis (disorder) Edition SNOMED CT US Advanced Illness 107571000119101 Oligodendroglioma of brain stem (disorder) Edition SNOMED CT US Advanced Illness 107581000119103 Astrocytoma of brain stem (disorder) Edition SNOMED CT US Advanced Illness 108101000119101 Malignant melanoma metastatic to kidney (disorder) Edition SNOMED CT US Advanced Illness 108131000119108 Small cell carcinoma metastatic to kidney (disorder) Edition SNOMED CT US Advanced Illness 108201000119105 Undifferentiated large cell carcinoma metastatic to kidney (disorder) Edition

Page 144 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 108211000119108 Secondary adenocarcinoma of kidney (disorder) Edition SNOMED CT US Advanced Illness 111411000119103 End stage renal disease due to hypertension (disorder) Edition Non‐Hodgkin lymphoma of central nervous system metastatic to lymph node of SNOMED CT US Advanced Illness 116811000119106 lower limb (disorder) Edition Non‐Hodgkin lymphoma of central nervous system metastatic to lymph node of SNOMED CT US Advanced Illness 116821000119104 upper limb (disorder) Edition SNOMED CT US Advanced Illness 120851000119104 Systolic heart failure stage D (disorder) Edition SNOMED CT US Advanced Illness 120861000119102 Systolic heart failure stage C (disorder) Edition SNOMED CT US Advanced Illness 120871000119108 Systolic heart failure stage B (disorder) Edition SNOMED CT US Advanced Illness 120881000119106 Diastolic heart failure stage D (disorder) Edition SNOMED CT US Advanced Illness 120891000119109 Diastolic heart failure stage C (disorder) Edition SNOMED CT US Advanced Illness 120901000119108 Diastolic heart failure stage B (disorder) Edition Hypertension concurrent and due to end stage renal disease on dialysis due to SNOMED CT US Advanced Illness 127991000119101 type 2 diabetes mellitus (disorder) Edition Hypertension concurrent and due to end stage renal disease on dialysis due to SNOMED CT US Advanced Illness 128001000119105 type 1 diabetes mellitus (disorder) Edition SNOMED CT US Advanced Illness 130121000119104 Dementia due to Rett's syndrome (disorder) Edition SNOMED CT US Advanced Illness 135091000119106 Secondary neuroendocrine carcinoma of peritoneum (disorder) Edition SNOMED CT US Advanced Illness 141991000119109 Delusions in Alzheimer's disease (disorder) Edition SNOMED CT US Advanced Illness 142001000119106 Depressed mood in Alzheimer's disease (disorder) Edition

Page 145 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 142011000119109 Alzheimer's disease co‐occurrent with delirium (disorder) Edition Primary malignant neuroendocrine neoplasm of pancreas (disorder) SNOMED CT US Advanced Illness 143391000119109 [143391000119109] Edition SNOMED CT US Advanced Illness 143401000119106 Malignant carcinoid tumor of pancreas (disorder) Edition SNOMED CT US Advanced Illness 153891000119101 End stage renal disease on dialysis due to hypertension (disorder) Edition SNOMED CT US Advanced Illness 153931000119109 Acute combined systolic and diastolic heart failure (disorder) Edition SNOMED CT US Advanced Illness 153941000119100 Chronic combined systolic and diastolic heart failure (disorder) Edition SNOMED CT US Advanced Illness 153951000119103 Acute on chronic combined systolic and diastolic heart failure (disorder) Edition Congestive heart failure as post‐operative complication of cardiac surgery SNOMED CT US Advanced Illness 285211000119102 (disorder) Edition Congestive heart failure as post‐operative complication of non‐cardiac surgery SNOMED CT US Advanced Illness 285221000119109 (disorder) Edition SNOMED CT US Advanced Illness 285841000119104 Malignant hypertensive end stage renal disease (disorder) Edition SNOMED CT US Advanced Illness 286371000119107 Malignant hypertensive end stage renal disease on dialysis (disorder) Edition SNOMED CT US Advanced Illness 288631000119104 Vascular dementia with behavioral disturbance (disorder) Edition SNOMED CT US Advanced Illness 353561000119103 Secondary malignant neoplasm of right lung (disorder) Edition SNOMED CT US Advanced Illness 353741000119106 Secondary malignant neoplasm of left lung (disorder) Edition SNOMED CT US Advanced Illness 428051000124108 Mild dementia (disorder) Edition SNOMED CT US Advanced Illness 428351000124105 Severe dementia (disorder) Edition

Page 146 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Primary degenerative dementia of the Alzheimer type, senile onset, with SNOMED CT US Advanced Illness 429161000124103 behavioral disturbance (disorder) Edition SNOMED CT US Advanced Illness 430771000124100 Moderate dementia (disorder) Edition SNOMED CT US Advanced Illness 434431000124103 Hypertensive end stage renal disease (disorder) Edition SNOMED CT US Advanced Illness 457721000124104 Metastatic non‐small cell lung cancer (disorder) Edition SNOMED CT US Advanced Illness 458321000124102 Metastatic urothelial carcinoma (disorder) Edition SNOMED CT US Advanced Illness 458581000124106 Metastatic HER2 positive neoplasm of gastroesophageal junction (disorder) Edition SNOMED CT US Advanced Illness 459371000124108 Metastasis from gastroesophageal adenocarcinoma (disorder) Edition SNOMED CT US Advanced Illness 459381000124106 Metastasis from hormone‐refractory prostate cancer (disorder) Edition Metastasis from human epidermal growth factor 2 positive carcinoma of breast SNOMED CT US Advanced Illness 459391000124109 (disorder) Edition SNOMED CT US Advanced Illness 459401000124106 Metastasis from pancreatic endocrine carcinoma (disorder) Edition SNOMED CT US Advanced Illness 459411000124109 Metastasis from collecting duct carcinoma of nipple (disorder) Edition SNOMED CT US Advanced Illness 459421000124101 Metastasis from malignant tumor of penis (disorder) Edition SNOMED CT US Advanced Illness 460561000124109 Progressive fibrosing interstitial lung disease (disorder) Edition SNOMED CT US Advanced Illness 681621000119105 Primary adenocarcinoma of body of pancreas (disorder) Edition SNOMED CT US Advanced Illness 681721000119103 Primary adenocarcinoma of head of pancreas (disorder) Edition SNOMED CT US Advanced Illness 684911000119105 Primary glioblastoma multiforme of frontal lobe (disorder) Edition

Page 147 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 690801000119108 Serous cystadenocarcinoma of pancreas (disorder) Edition SNOMED CT US Advanced Illness 10672271000119100 Acute‐on‐chronic hypoxemic respiratory failure (disorder) Edition SNOMED CT US Advanced Illness 10676831000119101 Hypoxemic respiratory failure (disorder) Edition SNOMED CT US Advanced Illness 10762071000119109 Acute‐on‐chronic respiratory failure following trauma (disorder) Edition SNOMED CT US Advanced Illness 12246561000119101 Secondary malignant neoplasm of bilateral adrenal glands (disorder) Edition SNOMED CT US Advanced Illness 12246601000119101 Secondary malignant neoplasm of bilateral lungs (disorder) Edition SNOMED CT US Advanced Illness 13351431000119102 Secondary malignant neoplasm of lymph nodes of neck from thyroid (disorder) Edition SNOMED CT US Advanced Illness 15629541000119106 Congestive heart failure stage C due to Ischemic cardiomyopathy (disorder) Edition SNOMED CT US Advanced Illness 15629591000119103 Congestive heart failure stage B due to ischemic cardiomyopathy (disorder) Edition SNOMED CT US Advanced Illness 15629641000119107 Systolic heart failure stage B due to ischemic cardiomyopathy (disorder) Edition SNOMED CT US Advanced Illness 15629741000119102 Systolic heart failure stage C due to ischemic cardiomyopathy (disorder) Edition SNOMED CT US Advanced Illness 15956181000119102 Secondary adenocarcinoma of bilateral lungs (disorder) Edition Acute cor pulmonale co‐occurrent and due to saddle embolus of pulmonary SNOMED CT US Advanced Illness 15964701000119109 artery (disorder) Edition SNOMED CT US Advanced Illness 16055271000119107 Respiratory failure following trauma (disorder) Edition Behavioral disturbance co‐occurrent and due to late onset Alzheimer dementia SNOMED CT US Advanced Illness 16219201000119101 (disorder) Edition Secondary malignant neoplasm of lymph node from neoplasm of female breast SNOMED CT US Advanced Illness 16260631000119101 (disorder) Edition

Page 148 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Advanced Illness 16276361000119109 Vascular dementia without behavioral disturbance (disorder) Edition SNOMED CT US Advanced Illness 19090001000004101 Metastatic neoplasm of left basal ganglion (disorder) Edition Inpatient Stay 0100 UBREV Inpatient Stay 0101 UBREV Inpatient Stay 0110 UBREV Inpatient Stay 0111 UBREV Inpatient Stay 0112 UBREV Inpatient Stay 0113 UBREV Inpatient Stay 0114 UBREV Inpatient Stay 0116 UBREV Inpatient Stay 0117 UBREV Inpatient Stay 0118 UBREV Inpatient Stay 0119 UBREV Inpatient Stay 0120 UBREV Inpatient Stay 0121 UBREV Inpatient Stay 0122 UBREV Inpatient Stay 0123 UBREV Inpatient Stay 0124 UBREV Inpatient Stay 0126 UBREV Inpatient Stay 0127 UBREV Inpatient Stay 0128 UBREV Inpatient Stay 0129 UBREV Inpatient Stay 0130 UBREV Inpatient Stay 0131 UBREV Inpatient Stay 0132 UBREV Inpatient Stay 0133 UBREV Inpatient Stay 0134 UBREV Inpatient Stay 0136 UBREV Inpatient Stay 0137 UBREV Inpatient Stay 0138 UBREV

Page 149 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Inpatient Stay 0139 UBREV Inpatient Stay 0140 UBREV Inpatient Stay 0141 UBREV Inpatient Stay 0142 UBREV Inpatient Stay 0143 UBREV Inpatient Stay 0144 UBREV Inpatient Stay 0146 UBREV Inpatient Stay 0147 UBREV Inpatient Stay 0148 UBREV Inpatient Stay 0149 UBREV Inpatient Stay 0150 UBREV Inpatient Stay 0151 UBREV Inpatient Stay 0152 UBREV Inpatient Stay 0153 UBREV Inpatient Stay 0154 UBREV Inpatient Stay 0156 UBREV Inpatient Stay 0157 UBREV Inpatient Stay 0158 UBREV Inpatient Stay 0159 UBREV Inpatient Stay 0160 UBREV Inpatient Stay 0164 UBREV Inpatient Stay 0167 UBREV Inpatient Stay 0169 UBREV Inpatient Stay 0170 UBREV Inpatient Stay 0171 UBREV Inpatient Stay 0172 UBREV Inpatient Stay 0173 UBREV Inpatient Stay 0174 UBREV Inpatient Stay 0179 UBREV Inpatient Stay 0190 UBREV Inpatient Stay 0191 UBREV Inpatient Stay 0192 UBREV

Page 150 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Inpatient Stay 0193 UBREV Inpatient Stay 0194 UBREV Inpatient Stay 0199 UBREV Inpatient Stay 0200 UBREV Inpatient Stay 0201 UBREV Inpatient Stay 0202 UBREV Inpatient Stay 0203 UBREV Inpatient Stay 0204 UBREV Inpatient Stay 0206 UBREV Inpatient Stay 0207 UBREV Inpatient Stay 0208 UBREV Inpatient Stay 0209 UBREV Inpatient Stay 0210 UBREV Inpatient Stay 0211 UBREV Inpatient Stay 0212 UBREV Inpatient Stay 0213 UBREV Inpatient Stay 0214 UBREV Inpatient Stay 0219 UBREV Inpatient Stay 1000 UBREV Inpatient Stay 1001 UBREV Inpatient Stay 1002 UBREV Acute Inpatient 99221 CPT Acute Inpatient 99222 CPT Acute Inpatient 99223 CPT Acute Inpatient 99231 CPT Acute Inpatient 99232 CPT Acute Inpatient 99233 CPT Acute Inpatient 99238 CPT Acute Inpatient 99239 CPT Acute Inpatient 99251 CPT Acute Inpatient 99252 CPT Acute Inpatient 99253 CPT

Page 151 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Acute Inpatient 99254 CPT Acute Inpatient 99255 CPT Acute Inpatient 99291 CPT SNOMED CT US Acute Inpatient 417005 Hospital re‐admission (procedure) Edition SNOMED CT US Acute Inpatient 1505002 Hospital admission for isolation (procedure) Edition SNOMED CT US Acute Inpatient 2252009 Hospital admission, urgent, 48 hours (procedure) Edition SNOMED CT US Acute Inpatient 2876009 Hospital admission, type unclassified, explain by report (procedure) Edition Hospital admission, transfer from other hospital or health care facility SNOMED CT US Acute Inpatient 4563007 (procedure) Edition SNOMED CT US Acute Inpatient 5161006 Specialty clinic admission (procedure) Edition SNOMED CT US Acute Inpatient 8715000 Hospital admission, elective (procedure) Edition Hospital admission, emergency, from emergency room, accidental injury SNOMED CT US Acute Inpatient 10378005 (procedure) Edition SNOMED CT US Acute Inpatient 15584006 Hospital admission, elective, with partial pre‐admission work‐up (procedure) Edition SNOMED CT US Acute Inpatient 18083007 Hospital admission, emergency, indirect (procedure) Edition Hospital admission, emergency, from emergency room, medical nature SNOMED CT US Acute Inpatient 19951005 (procedure) Edition SNOMED CT US Acute Inpatient 25986004 Hospital admission, under police custody (procedure) Edition SNOMED CT US Acute Inpatient 32485007 Hospital admission (procedure) Edition SNOMED CT US Acute Inpatient 45702004 Hospital admission, precertified by medical audit action (procedure) Edition

Page 152 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Hospital admission, mother, for observation, delivered outside of hospital SNOMED CT US Acute Inpatient 47348005 (procedure) Edition SNOMED CT US Acute Inpatient 48183000 Hospital admission, special (procedure) Edition SNOMED CT US Acute Inpatient 50699000 Hospital admission, short‐term (procedure) Edition SNOMED CT US Acute Inpatient 51032003 Hospital admission, donor for transplant organ (procedure) Edition SNOMED CT US Acute Inpatient 51501005 Hospital admission, parent, for in‐hospital child care (procedure) Edition SNOMED CT US Acute Inpatient 52748007 Hospital admission, involuntary (procedure) Edition Hospital admission, infant, for observation, delivered outside of hospital SNOMED CT US Acute Inpatient 60059000 (procedure) Edition Hospital admission, from remote area, by means of special transportation SNOMED CT US Acute Inpatient 63551005 (procedure) Edition SNOMED CT US Acute Inpatient 70755000 Hospital admission, by legal authority (commitment) (procedure) Edition SNOMED CT US Acute Inpatient 71290004 Hospital admission, limited to designated procedures (procedure) Edition SNOMED CT US Acute Inpatient 73607007 Hospital admission, emergency, from emergency room (procedure) Edition SNOMED CT US Acute Inpatient 74857009 Hospital admission, short‐term, 24 hours (procedure) Edition SNOMED CT US Acute Inpatient 76193006 Routinely scheduled operation (procedure) Edition SNOMED CT US Acute Inpatient 76464004 Hospital admission, for observation (procedure) Edition SNOMED CT US Acute Inpatient 78680009 Hospital admission, emergency, direct (procedure) Edition SNOMED CT US Acute Inpatient 81672003 Hospital admission, elective, without pre‐admission work‐up (procedure) Edition

Page 153 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Acute Inpatient 82942009 Hospital admission, blood donor (procedure) Edition SNOMED CT US Acute Inpatient 112689000 Hospital admission, elective, with complete pre‐admission work‐up (procedure) Edition SNOMED CT US Acute Inpatient 183450002 Admission to burn unit (procedure) Edition SNOMED CT US Acute Inpatient 183452005 Emergency hospital admission (procedure) Edition SNOMED CT US Acute Inpatient 183481006 Non‐urgent hospital admission (procedure) Edition SNOMED CT US Acute Inpatient 183487005 Non‐urgent medical admission (procedure) Edition SNOMED CT US Acute Inpatient 183488000 Non‐urgent surgical admission (procedure) Edition SNOMED CT US Acute Inpatient 183489008 Non‐urgent psychiatric admission (procedure) Edition SNOMED CT US Acute Inpatient 183491000 Non‐urgent geriatric admission (procedure) Edition SNOMED CT US Acute Inpatient 183492007 Non‐urgent pediatric admission (procedure) Edition SNOMED CT US Acute Inpatient 183493002 Non‐urgent gynecological admission (procedure) Edition SNOMED CT US Acute Inpatient 183494008 Non‐urgent obstetric admission (procedure) Edition SNOMED CT US Acute Inpatient 183495009 Non‐urgent orthopedic admission (procedure) Edition SNOMED CT US Acute Inpatient 183496005 Non‐urgent ear, nose and throat admission (procedure) Edition SNOMED CT US Acute Inpatient 183497001 Non‐urgent trauma admission (procedure) Edition SNOMED CT US Acute Inpatient 183498006 Non‐urgent ophthalmological admission (procedure) Edition

Page 154 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Acute Inpatient 183499003 Non‐urgent admission (procedure) Edition SNOMED CT US Acute Inpatient 183500007 Non‐urgent admission (procedure) Edition SNOMED CT US Acute Inpatient 183501006 Non‐urgent admission (procedure) Edition SNOMED CT US Acute Inpatient 183502004 Non‐urgent admission (procedure) Edition SNOMED CT US Acute Inpatient 183503009 Non‐urgent radiotherapy admission (procedure) Edition SNOMED CT US Acute Inpatient 183504003 Non‐urgent admission (procedure) Edition SNOMED CT US Acute Inpatient 183505002 Non‐urgent admission (procedure) Edition SNOMED CT US Acute Inpatient 183506001 Non‐urgent diabetic admission (procedure) Edition SNOMED CT US Acute Inpatient 183507005 Non‐urgent respiratory admission (procedure) Edition SNOMED CT US Acute Inpatient 183508000 Non‐urgent psychogeriatric admission (procedure) Edition SNOMED CT US Acute Inpatient 183509008 Non‐urgent renal admission (procedure) Edition SNOMED CT US Acute Inpatient 183510003 Non‐urgent neurosurgical admission (procedure) Edition SNOMED CT US Acute Inpatient 183511004 Non‐urgent cardiothoracic admission (procedure) Edition SNOMED CT US Acute Inpatient 183512006 Non‐urgent oral surgical admission (procedure) Edition SNOMED CT US Acute Inpatient 235313004 Non‐emergency appendectomy (procedure) Edition SNOMED CT US Acute Inpatient 287927002 Dilatation and curettage: routine (procedure) Edition

Page 155 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Acute Inpatient 304566005 Admission for treatment (procedure) Edition SNOMED CT US Acute Inpatient 305337004 Admission to community hospital (procedure) Edition SNOMED CT US Acute Inpatient 305338009 Admission to general practice hospital (procedure) Edition SNOMED CT US Acute Inpatient 305339001 Admission to private hospital (procedure) Edition SNOMED CT US Acute Inpatient 305341000 Admission to tertiary referral hospital (procedure) Edition SNOMED CT US Acute Inpatient 305342007 Admission to ward (procedure) Edition SNOMED CT US Acute Inpatient 305350003 Admission to anesthetic department (procedure) Edition SNOMED CT US Acute Inpatient 305354007 Admission to medical department (procedure) Edition SNOMED CT US Acute Inpatient 305355008 Admission to clinical department (procedure) Edition SNOMED CT US Acute Inpatient 305356009 Admission to audiology department (procedure) Edition SNOMED CT US Acute Inpatient 305357000 Admission to department (procedure) Edition SNOMED CT US Acute Inpatient 305358005 Admission to chest medicine department (procedure) Edition SNOMED CT US Acute Inpatient 305359002 Admission to thoracic medicine department (procedure) Edition SNOMED CT US Acute Inpatient 305360007 Admission to respiratory medicine department (procedure) Edition SNOMED CT US Acute Inpatient 305361006 Admission to clinical department (procedure) Edition SNOMED CT US Acute Inpatient 305362004 Admission to department (procedure) Edition

Page 156 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Acute Inpatient 305363009 Admission to clinical pharmacology department (procedure) Edition SNOMED CT US Acute Inpatient 305364003 Admission to clinical physiology department (procedure) Edition SNOMED CT US Acute Inpatient 305365002 Admission to dermatology department (procedure) Edition SNOMED CT US Acute Inpatient 305366001 Admission to department (procedure) Edition SNOMED CT US Acute Inpatient 305367005 Admission to department (procedure) Edition SNOMED CT US Acute Inpatient 305368000 Admission to general medical department (procedure) Edition SNOMED CT US Acute Inpatient 305369008 Admission to genetics department (procedure) Edition SNOMED CT US Acute Inpatient 305370009 Admission to clinical genetics department (procedure) Edition SNOMED CT US Acute Inpatient 305371008 Admission to clinical cytogenetics department (procedure) Edition SNOMED CT US Acute Inpatient 305372001 Admission to clinical molecular genetics department (procedure) Edition SNOMED CT US Acute Inpatient 305374000 Admission to genitourinary medicine department (procedure) Edition SNOMED CT US Acute Inpatient 305375004 Admission to care of the elderly department (procedure) Edition SNOMED CT US Acute Inpatient 305376003 Admission to infectious diseases department (procedure) Edition SNOMED CT US Acute Inpatient 305377007 Admission to medical department (procedure) Edition SNOMED CT US Acute Inpatient 305378002 Admission to department (procedure) Edition SNOMED CT US Acute Inpatient 305379005 Admission to neurology department (procedure) Edition

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Exclusion Value Set Name Code Definition Code System SNOMED CT US Acute Inpatient 305380008 Admission to department (procedure) Edition SNOMED CT US Acute Inpatient 305382000 Admission to rehabilitation department (procedure) Edition SNOMED CT US Acute Inpatient 305383005 Admission to rheumatology department (procedure) Edition SNOMED CT US Acute Inpatient 305384004 Admission to and gynecology department (procedure) Edition SNOMED CT US Acute Inpatient 305385003 Admission to gynecology department (procedure) Edition SNOMED CT US Acute Inpatient 305386002 Admission to obstetrics department (procedure) Edition SNOMED CT US Acute Inpatient 305387006 Admission to pediatric department (procedure) Edition SNOMED CT US Acute Inpatient 305388001 Admission to special care baby unit (procedure) Edition SNOMED CT US Acute Inpatient 305389009 Admission to pediatric neurology department (procedure) Edition SNOMED CT US Acute Inpatient 305390000 Admission to pediatric department (procedure) Edition SNOMED CT US Acute Inpatient 305391001 Admission to department (procedure) Edition SNOMED CT US Acute Inpatient 305392008 Admission to department (procedure) Edition SNOMED CT US Acute Inpatient 305393003 Admission to blood transfusion department (procedure) Edition SNOMED CT US Acute Inpatient 305394009 Admission to chemical pathology department (procedure) Edition SNOMED CT US Acute Inpatient 305395005 Admission to general pathology department (procedure) Edition SNOMED CT US Acute Inpatient 305396006 Admission to hematology department (procedure) Edition

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Exclusion Value Set Name Code Definition Code System SNOMED CT US Acute Inpatient 305397002 Admission to department (procedure) Edition SNOMED CT US Acute Inpatient 305399004 Admission to neuropathology department (procedure) Edition SNOMED CT US Acute Inpatient 305400006 Admission to department (procedure) Edition SNOMED CT US Acute Inpatient 305401005 Admission to child and adolescent psychiatry department (procedure) Edition SNOMED CT US Acute Inpatient 305402003 Admission to forensic psychiatry department (procedure) Edition SNOMED CT US Acute Inpatient 305403008 Admission to psychogeriatric department (procedure) Edition SNOMED CT US Acute Inpatient 305404002 Admission to mental handicap psychiatry department (procedure) Edition SNOMED CT US Acute Inpatient 305405001 Admission to rehabilitation psychiatry department (procedure) Edition SNOMED CT US Acute Inpatient 305406000 Admission to department (procedure) Edition SNOMED CT US Acute Inpatient 305407009 Admission to occupational health department (procedure) Edition SNOMED CT US Acute Inpatient 305408004 Admission to surgical department (procedure) Edition SNOMED CT US Acute Inpatient 305409007 Admission to breast surgery department (procedure) Edition SNOMED CT US Acute Inpatient 305410002 Admission to department (procedure) Edition SNOMED CT US Acute Inpatient 305411003 Admission to thoracic surgery department (procedure) Edition SNOMED CT US Acute Inpatient 305412005 Admission to cardiac surgery department (procedure) Edition SNOMED CT US Acute Inpatient 305413000 Admission to dental surgery department (procedure) Edition

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Exclusion Value Set Name Code Definition Code System SNOMED CT US Acute Inpatient 305414006 Admission to orthodontics department (procedure) Edition SNOMED CT US Acute Inpatient 305415007 Admission to pediatric department (procedure) Edition SNOMED CT US Acute Inpatient 305416008 Admission to restorative dentistry department (procedure) Edition SNOMED CT US Acute Inpatient 305417004 Admission to ear, nose and throat department (procedure) Edition SNOMED CT US Acute Inpatient 305418009 Admission to endocrine surgery department (procedure) Edition SNOMED CT US Acute Inpatient 305419001 Admission to gastrointestinal surgery department (procedure) Edition SNOMED CT US Acute Inpatient 305420007 Admission to general gastrointestinal surgery department (procedure) Edition SNOMED CT US Acute Inpatient 305421006 Admission to upper gastrointestinal surgery department (procedure) Edition SNOMED CT US Acute Inpatient 305422004 Admission to department (procedure) Edition SNOMED CT US Acute Inpatient 305423009 Admission to general surgical department (procedure) Edition SNOMED CT US Acute Inpatient 305424003 Admission to hepatobiliary surgical department (procedure) Edition SNOMED CT US Acute Inpatient 305425002 Admission to neurosurgical department (procedure) Edition SNOMED CT US Acute Inpatient 305426001 Admission to ophthalmology department (procedure) Edition SNOMED CT US Acute Inpatient 305427005 Admission to oral surgery department (procedure) Edition SNOMED CT US Acute Inpatient 305428000 Admission to orthopedic department (procedure) Edition SNOMED CT US Acute Inpatient 305429008 Admission to pancreatic surgery department (procedure) Edition

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Exclusion Value Set Name Code Definition Code System SNOMED CT US Acute Inpatient 305430003 Admission to pediatric surgical department (procedure) Edition SNOMED CT US Acute Inpatient 305431004 Admission to plastic surgery department (procedure) Edition SNOMED CT US Acute Inpatient 305432006 Admission to surgical transplant department (procedure) Edition SNOMED CT US Acute Inpatient 305433001 Admission to department (procedure) Edition SNOMED CT US Acute Inpatient 305434007 Admission to urology department (procedure) Edition SNOMED CT US Acute Inpatient 305435008 Admission to department (procedure) Edition SNOMED CT US Acute Inpatient 306732000 Admission to general dental surgery department (procedure) Edition SNOMED CT US Acute Inpatient 306803007 Admission to stroke unit (procedure) Edition SNOMED CT US Acute Inpatient 306967009 Admission to department (procedure) Edition SNOMED CT US Acute Inpatient 308251003 Admission to clinical oncology department (procedure) Edition SNOMED CT US Acute Inpatient 308252005 Admission to radiotherapy department (procedure) Edition SNOMED CT US Acute Inpatient 308253000 Admission to diabetic department (procedure) Edition SNOMED CT US Acute Inpatient 310361003 Non‐urgent cardiological admission (procedure) Edition SNOMED CT US Acute Inpatient 373113001 Routine procedure (procedure) Edition SNOMED CT US Acute Inpatient 397769005 Unexpected admission to high dependency unit (procedure) Edition SNOMED CT US Acute Inpatient 398162007 Admission to high dependency unit (procedure) Edition

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Exclusion Value Set Name Code Definition Code System SNOMED CT US Acute Inpatient 405614004 Unexpected hospital admission (procedure) Edition SNOMED CT US Acute Inpatient 699124006 Admission to substance misuse detoxification center (procedure) Edition SNOMED CT US Acute Inpatient 3241000175106 Hospital admission from non‐health care facility (procedure) Edition SNOMED CT US Acute Inpatient 432621000124105 Hospital admission from dialysis facility (procedure) Edition SNOMED CT US Acute Inpatient 442281000124108 Emergency hospital admission from observation unit (procedure) Edition SNOMED CT US Acute Inpatient 447941000124106 Hospital admission of newborn (procedure) Edition SNOMED CT US Acute Inpatient 448421000124105 Hospital admission, transfer from physician office (procedure) Edition SNOMED CT US Acute Inpatient 448431000124108 Hospital admission, transfer from assisted living facility (procedure) Edition SNOMED CT US Acute Inpatient 448441000124103 Hospital admission, transfer from intermediate care facility (procedure) Edition SNOMED CT US Acute Inpatient 448851000124103 Hospital admission from observation unit (procedure) Edition ESRD Diagnosis N18.5 [N18.5] Chronic kidney disease, stage 5 ICD10CM ESRD Diagnosis N18.6 [N18.6] End stage renal disease ICD10CM ESRD Diagnosis Z99.2 [Z99.2] Dependence on renal dialysis ICD10CM

SNOMED CT US ESRD Diagnosis 46177005 End‐stage renal disease (disorder) Edition SNOMED CT US ESRD Diagnosis 236434000 End stage renal failure untreated by renal replacement therapy (disorder) Edition SNOMED CT US ESRD Diagnosis 236435004 End stage renal failure on dialysis (disorder) Edition

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Exclusion Value Set Name Code Definition Code System SNOMED CT US ESRD Diagnosis 236436003 End stage renal failure with renal transplant (disorder) Edition SNOMED CT US ESRD Diagnosis 428937001 Dependence on peritoneal dialysis due to end stage renal disease (finding) Edition SNOMED CT US ESRD Diagnosis 428982002 Dependence on hemodialysis due to end stage renal disease (finding) Edition SNOMED CT US ESRD Diagnosis 429075005 Dependence on dialysis due to end stage renal disease (finding) Edition SNOMED CT US ESRD Diagnosis 433146000 Chronic kidney disease stage 5 (disorder) Edition SNOMED CT US ESRD Diagnosis 698810000 Hypertensive renal disease with end stage renal failure (disorder) Edition SNOMED CT US ESRD Diagnosis 704667004 Hypertension concurrent and due to end stage renal disease on dialysis (disorder) Edition SNOMED CT US ESRD Diagnosis 707324008 Anemia co‐occurrent and due to end stage renal disease (disorder) Edition SNOMED CT US ESRD Diagnosis 712487000 End stage renal disease due to benign hypertension (disorder) Edition SNOMED CT US ESRD Diagnosis 714152005 Chronic kidney disease stage 5 on dialysis (disorder) Edition SNOMED CT US ESRD Diagnosis 714153000 Chronic kidney disease stage 5 with transplant (disorder) Edition SNOMED CT US ESRD Diagnosis 711000119100 Chronic kidney disease stage 5 due to type 2 diabetes mellitus (disorder) Edition SNOMED CT US ESRD Diagnosis 90761000119106 Chronic kidney disease stage 5 due to type 1 diabetes mellitus (disorder) Edition SNOMED CT US ESRD Diagnosis 90771000119100 End stage renal disease on dialysis due to type 1 diabetes mellitus (disorder) Edition SNOMED CT US ESRD Diagnosis 90791000119104 End stage renal disease on dialysis due to type 2 diabetes mellitus (disorder) Edition SNOMED CT US ESRD Diagnosis 96711000119105 Hypertensive heart AND chronic kidney disease stage 5 (disorder) Edition

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Exclusion Value Set Name Code Definition Code System SNOMED CT US ESRD Diagnosis 111411000119103 End stage renal disease due to hypertension (disorder) Edition SNOMED CT US ESRD Diagnosis 120261000119101 Benign hypertensive heart disease and chronic renal disease stage 5 (disorder) Edition Hypertension concurrent and due to end stage renal disease on dialysis due to SNOMED CT US ESRD Diagnosis 127991000119101 type 2 diabetes mellitus (disorder) Edition Hypertension concurrent and due to end stage renal disease on dialysis due to SNOMED CT US ESRD Diagnosis 128001000119105 type 1 diabetes mellitus (disorder) Edition SNOMED CT US ESRD Diagnosis 129161000119100 Chronic kidney disease stage 5 due to hypertension (disorder) Edition Hypertension in chronic kidney disease stage 5 due to type 2 diabetes mellitus SNOMED CT US ESRD Diagnosis 140101000119109 (disorder) Edition SNOMED CT US ESRD Diagnosis 153851000119106 Malignant hypertensive chronic kidney disease stage 5 (disorder) Edition SNOMED CT US ESRD Diagnosis 153891000119101 End stage renal disease on dialysis due to hypertension (disorder) Edition SNOMED CT US ESRD Diagnosis 285011000119108 Chronic kidney disease stage 5 due to benign hypertension (disorder) Edition SNOMED CT US ESRD Diagnosis 285841000119104 Malignant hypertensive end stage renal disease (disorder) Edition SNOMED CT US ESRD Diagnosis 286371000119107 Malignant hypertensive end stage renal disease on dialysis (disorder) Edition SNOMED CT US ESRD Diagnosis 434431000124103 Hypertensive end stage renal disease (disorder) Edition Nephrectomy 50340 CPT Nephrectomy 50370 CPT Nephrectomy 0TB00ZX [0TB00ZX] Excision of Right Kidney, Open Approach, Diagnostic ICD10PCS Nephrectomy 0TB00ZZ [0TB00ZZ] Excision of Right Kidney, Open Approach ICD10PCS Nephrectomy 0TB03ZX [0TB03ZX] Excision of Right Kidney, Percutaneous Approach, Diagnostic ICD10PCS Nephrectomy 0TB03ZZ [0TB03ZZ] Excision of Right Kidney, Percutaneous Approach ICD10PCS [0TB04ZX] Excision of Right Kidney, Percutaneous Endoscopic Approach, Nephrectomy 0TB04ZX ICD10PCS Diagnostic

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Exclusion Value Set Name Code Definition Code System Nephrectomy 0TB04ZZ [0TB04ZZ] Excision of Right Kidney, Percutaneous Endoscopic Approach ICD10PCS Nephrectomy 0TB07ZX [0TB07ZX] Excision of Right Kidney, Via Natural or Artificial Opening, Diagnostic ICD10PCS Nephrectomy 0TB07ZZ [0TB07ZZ] Excision of Right Kidney, Via Natural or Artificial Opening ICD10PCS [0TB08ZX] Excision of Right Kidney, Via Natural or Artificial Opening Endoscopic, Nephrectomy 0TB08ZX ICD10PCS Diagnostic Nephrectomy 0TB08ZZ [0TB08ZZ] Excision of Right Kidney, Via Natural or Artificial Opening Endoscopic ICD10PCS Nephrectomy 0TB10ZX [0TB10ZX] Excision of Left Kidney, Open Approach, Diagnostic ICD10PCS Nephrectomy 0TB10ZZ [0TB10ZZ] Excision of Left Kidney, Open Approach ICD10PCS Nephrectomy 0TB13ZX [0TB13ZX] Excision of Left Kidney, Percutaneous Approach, Diagnostic ICD10PCS Nephrectomy 0TB13ZZ [0TB13ZZ] Excision of Left Kidney, Percutaneous Approach ICD10PCS Nephrectomy 0TB14ZX [0TB14ZX] Excision of Left Kidney, Percutaneous Endoscopic Approach, Diagnostic ICD10PCS Nephrectomy 0TB14ZZ [0TB14ZZ] Excision of Left Kidney, Percutaneous Endoscopic Approach ICD10PCS Nephrectomy 0TB17ZX [0TB17ZX] Excision of Left Kidney, Via Natural or Artificial Opening, Diagnostic ICD10PCS Nephrectomy 0TB17ZZ [0TB17ZZ] Excision of Left Kidney, Via Natural or Artificial Opening ICD10PCS [0TB18ZX] Excision of Left Kidney, Via Natural or Artificial Opening Endoscopic, Nephrectomy 0TB18ZX ICD10PCS Diagnostic Nephrectomy 0TB18ZZ [0TB18ZZ] Excision of Left Kidney, Via Natural or Artificial Opening Endoscopic ICD10PCS SNOMED CT US Nephrectomy 88930008 Total nephrectomy in recipient (procedure) Edition History of Kidney Z94.0 [Z94.0] Kidney transplant status ICD10CM Transplant

History of Kidney SNOMED CT US 48994000 Renal homotransplantation with unilateral recipient nephrectomy (situation) Transplant Edition History of Kidney SNOMED CT US 161665007 History of renal transplant (situation) Transplant Edition Kidney Transplant 50360 CPT

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Exclusion Value Set Name Code Definition Code System Kidney Transplant 50365 CPT Kidney Transplant 50380 CPT Kidney Transplant S2065 Simultaneous pancreas kidney transplantation (S2065) HCPCS Kidney Transplant 0TY00Z0 [0TY00Z0] Transplantation of Right Kidney, Allogeneic, Open Approach ICD10PCS Kidney Transplant 0TY00Z1 [0TY00Z1] Transplantation of Right Kidney, Syngeneic, Open Approach ICD10PCS Kidney Transplant 0TY00Z2 [0TY00Z2] Transplantation of Right Kidney, Zooplastic, Open Approach ICD10PCS Kidney Transplant 0TY10Z0 [0TY10Z0] Transplantation of Left Kidney, Allogeneic, Open Approach ICD10PCS Kidney Transplant 0TY10Z1 [0TY10Z1] Transplantation of Left Kidney, Syngeneic, Open Approach ICD10PCS Kidney Transplant 0TY10Z2 [0TY10Z2] Transplantation of Left Kidney, Zooplastic, Open Approach ICD10PCS

Renal homotransplantation excluding donor and recipient nephrectomy SNOMED CT US Kidney Transplant 52213001 (procedure) Edition SNOMED CT US Kidney Transplant 70536003 Transplant of kidney (procedure) Edition SNOMED CT US Kidney Transplant 175899003 Autotransplantation of kidney (procedure) Edition SNOMED CT US Kidney Transplant 175901007 Live donor renal transplant (procedure) Edition SNOMED CT US Kidney Transplant 175902000 Cadaveric renal transplant (procedure) Edition SNOMED CT US Kidney Transplant 236138007 Xenograft renal transplant (procedure) Edition SNOMED CT US Kidney Transplant 313030004 Donor renal transplantation (procedure) Edition SNOMED CT US Kidney Transplant 711411006 Allotransplantation of kidney from beating heart cadaver (procedure) Edition SNOMED CT US Kidney Transplant 711413009 Allotransplantation of kidney from non‐beating heart cadaver (procedure) Edition SNOMED CT US Kidney Transplant 765478004 Allotransplantation of left kidney (procedure) Edition

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Exclusion Value Set Name Code Definition Code System SNOMED CT US Kidney Transplant 765479007 Allotransplantation of right kidney (procedure) Edition SNOMED CT US Kidney Transplant 6471000179103 Transplantation of kidney and pancreas (procedure) Edition Pregnancy O00.0 [O00.0] Abdominal pregnancy ICD10CM Pregnancy O00.00 [O00.00] Abdominal pregnancy without intrauterine pregnancy ICD10CM Pregnancy O00.01 [O00.01] Abdominal pregnancy with intrauterine pregnancy ICD10CM Pregnancy O00.1 [O00.1] Tubal pregnancy ICD10CM Pregnancy O00.10 [O00.10] Tubal pregnancy without intrauterine pregnancy ICD10CM Pregnancy O00.101 [O00.101] Right tubal pregnancy without intrauterine pregnancy ICD10CM Pregnancy O00.102 [O00.102] Left tubal pregnancy without intrauterine pregnancy ICD10CM Pregnancy O00.109 [O00.109] Unspecified tubal pregnancy without intrauterine pregnancy ICD10CM Pregnancy O00.11 [O00.11] Tubal pregnancy with intrauterine pregnancy ICD10CM Pregnancy O00.111 [O00.111] Right tubal pregnancy with intrauterine pregnancy ICD10CM Pregnancy O00.112 [O00.112] Left tubal pregnancy with intrauterine pregnancy ICD10CM Pregnancy O00.119 [O00.119] Unspecified tubal pregnancy with intrauterine pregnancy ICD10CM Pregnancy O00.2 [O00.2] Ovarian pregnancy ICD10CM Pregnancy O00.20 [O00.20] Ovarian pregnancy without intrauterine pregnancy ICD10CM Pregnancy O00.201 [O00.201] Right ovarian pregnancy without intrauterine pregnancy ICD10CM Pregnancy O00.202 [O00.202] Left ovarian pregnancy without intrauterine pregnancy ICD10CM Pregnancy O00.209 [O00.209] Unspecified ovarian pregnancy without intrauterine pregnancy ICD10CM Pregnancy O00.21 [O00.21] Ovarian pregnancy with intrauterine pregnancy ICD10CM Pregnancy O00.211 [O00.211] Right ovarian pregnancy with intrauterine pregnancy ICD10CM Pregnancy O00.212 [O00.212] Left ovarian pregnancy with intrauterine pregnancy ICD10CM Pregnancy O00.219 [O00.219] Unspecified ovarian pregnancy with intrauterine pregnancy ICD10CM Pregnancy O00.8 [O00.8] Other ectopic pregnancy ICD10CM Pregnancy O00.80 [O00.80] Other ectopic pregnancy without intrauterine pregnancy ICD10CM Pregnancy O00.81 [O00.81] Other ectopic pregnancy with intrauterine pregnancy ICD10CM Pregnancy O00.9 [O00.9] Ectopic pregnancy, unspecified ICD10CM Pregnancy O00.90 [O00.90] Unspecified ectopic pregnancy without intrauterine pregnancy ICD10CM

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Exclusion Value Set Name Code Definition Code System Pregnancy O00.91 [O00.91] Unspecified ectopic pregnancy with intrauterine pregnancy ICD10CM Pregnancy O01.0 [O01.0] Classical hydatidiform mole ICD10CM Pregnancy O01.1 [O01.1] Incomplete and partial hydatidiform mole ICD10CM Pregnancy O01.9 [O01.9] Hydatidiform mole, unspecified ICD10CM Pregnancy O02.0 [O02.0] Blighted ovum and nonhydatidiform mole ICD10CM Pregnancy O02.1 [O02.1] Missed abortion ICD10CM [O02.81] Inappropriate change in quantitative human chorionic gonadotropin Pregnancy O02.81 ICD10CM (hCG) in early pregnancy Pregnancy O02.89 [O02.89] Other abnormal products of conception ICD10CM Pregnancy O02.9 [O02.9] Abnormal product of conception, unspecified ICD10CM [O03.0] Genital tract and pelvic infection following incomplete spontaneous Pregnancy O03.0 ICD10CM abortion [O03.1] Delayed or excessive hemorrhage following incomplete spontaneous Pregnancy O03.1 ICD10CM abortion Pregnancy O03.2 [O03.2] Embolism following incomplete spontaneous abortion ICD10CM Pregnancy O03.30 [O03.30] Unspecified complication following incomplete spontaneous abortion ICD10CM Pregnancy O03.31 [O03.31] Shock following incomplete spontaneous abortion ICD10CM Pregnancy O03.32 [O03.32] Renal failure following incomplete spontaneous abortion ICD10CM Pregnancy O03.33 [O03.33] Metabolic disorder following incomplete spontaneous abortion ICD10CM

Pregnancy O03.34 [O03.34] Damage to pelvic organs following incomplete spontaneous abortion ICD10CM

Pregnancy O03.35 [O03.35] Other venous complications following incomplete spontaneous abortion ICD10CM Pregnancy O03.36 [O03.36] Cardiac arrest following incomplete spontaneous abortion ICD10CM Pregnancy O03.37 [O03.37] Sepsis following incomplete spontaneous abortion ICD10CM Pregnancy O03.38 [O03.38] Urinary tract infection following incomplete spontaneous abortion ICD10CM Pregnancy O03.39 [O03.39] Incomplete spontaneous abortion with other complications ICD10CM Pregnancy O03.4 [O03.4] Incomplete spontaneous abortion without complication ICD10CM

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Exclusion Value Set Name Code Definition Code System [O03.5] Genital tract and pelvic infection following complete or unspecified Pregnancy O03.5 ICD10CM spontaneous abortion [O03.6] Delayed or excessive hemorrhage following complete or unspecified Pregnancy O03.6 ICD10CM spontaneous abortion Pregnancy O03.7 [O03.7] Embolism following complete or unspecified spontaneous abortion ICD10CM [O03.80] Unspecified complication following complete or unspecified Pregnancy O03.80 ICD10CM spontaneous abortion Pregnancy O03.81 [O03.81] Shock following complete or unspecified spontaneous abortion ICD10CM

Pregnancy O03.82 [O03.82] Renal failure following complete or unspecified spontaneous abortion ICD10CM [O03.83] Metabolic disorder following complete or unspecified spontaneous Pregnancy O03.83 ICD10CM abortion [O03.84] Damage to pelvic organs following complete or unspecified Pregnancy O03.84 ICD10CM spontaneous abortion [O03.85] Other venous complications following complete or unspecified Pregnancy O03.85 ICD10CM spontaneous abortion Pregnancy O03.86 [O03.86] Cardiac arrest following complete or unspecified spontaneous abortion ICD10CM

Pregnancy O03.87 [O03.87] Sepsis following complete or unspecified spontaneous abortion ICD10CM [O03.88] Urinary tract infection following complete or unspecified spontaneous Pregnancy O03.88 ICD10CM abortion [O03.89] Complete or unspecified spontaneous abortion with other Pregnancy O03.89 ICD10CM complications Pregnancy O03.9 [O03.9] Complete or unspecified spontaneous abortion without complication ICD10CM [O04.5] Genital tract and pelvic infection following (induced) termination of Pregnancy O04.5 ICD10CM pregnancy [O04.6] Delayed or excessive hemorrhage following (induced) termination of Pregnancy O04.6 ICD10CM pregnancy

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Exclusion Value Set Name Code Definition Code System Pregnancy O04.7 [O04.7] Embolism following (induced) termination of pregnancy ICD10CM Pregnancy O04.80 [O04.80] (Induced) termination of pregnancy with unspecified complications ICD10CM Pregnancy O04.81 [O04.81] Shock following (induced) termination of pregnancy ICD10CM Pregnancy O04.82 [O04.82] Renal failure following (induced) termination of pregnancy ICD10CM Pregnancy O04.83 [O04.83] Metabolic disorder following (induced) termination of pregnancy ICD10CM

Pregnancy O04.84 [O04.84] Damage to pelvic organs following (induced) termination of pregnancy ICD10CM [O04.85] Other venous complications following (induced) termination of Pregnancy O04.85 ICD10CM pregnancy Pregnancy O04.86 [O04.86] Cardiac arrest following (induced) termination of pregnancy ICD10CM Pregnancy O04.87 [O04.87] Sepsis following (induced) termination of pregnancy ICD10CM Pregnancy O04.88 [O04.88] Urinary tract infection following (induced) termination of pregnancy ICD10CM Pregnancy O04.89 [O04.89] (Induced) termination of pregnancy with other complications ICD10CM [O07.0] Genital tract and pelvic infection following failed attempted termination Pregnancy O07.0 ICD10CM of pregnancy [O07.1] Delayed or excessive hemorrhage following failed attempted termination Pregnancy O07.1 ICD10CM of pregnancy Pregnancy O07.2 [O07.2] Embolism following failed attempted termination of pregnancy ICD10CM [O07.30] Failed attempted termination of pregnancy with unspecified Pregnancy O07.30 ICD10CM complications Pregnancy O07.31 [O07.31] Shock following failed attempted termination of pregnancy ICD10CM Pregnancy O07.32 [O07.32] Renal failure following failed attempted termination of pregnancy ICD10CM

Pregnancy O07.33 [O07.33] Metabolic disorder following failed attempted termination of pregnancy ICD10CM [O07.34] Damage to pelvic organs following failed attempted termination of Pregnancy O07.34 ICD10CM pregnancy [O07.35] Other venous complications following failed attempted termination of Pregnancy O07.35 ICD10CM pregnancy

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Exclusion Value Set Name Code Definition Code System Pregnancy O07.36 [O07.36] Cardiac arrest following failed attempted termination of pregnancy ICD10CM Pregnancy O07.37 [O07.37] Sepsis following failed attempted termination of pregnancy ICD10CM [O07.38] Urinary tract infection following failed attempted termination of Pregnancy O07.38 ICD10CM pregnancy Pregnancy O07.39 [O07.39] Failed attempted termination of pregnancy with other complications ICD10CM

Pregnancy O07.4 [O07.4] Failed attempted termination of pregnancy without complication ICD10CM

Pregnancy O08.0 [O08.0] Genital tract and pelvic infection following ectopic and molar pregnancy ICD10CM

Pregnancy O08.1 [O08.1] Delayed or excessive hemorrhage following ectopic and molar pregnancy ICD10CM Pregnancy O08.2 [O08.2] Embolism following ectopic and molar pregnancy ICD10CM Pregnancy O08.3 [O08.3] Shock following ectopic and molar pregnancy ICD10CM Pregnancy O08.4 [O08.4] Renal failure following ectopic and molar pregnancy ICD10CM Pregnancy O08.5 [O08.5] Metabolic disorders following an ectopic and molar pregnancy ICD10CM [O08.6] Damage to pelvic organs and tissues following an ectopic and molar Pregnancy O08.6 ICD10CM pregnancy Pregnancy O08.7 [O08.7] Other venous complications following an ectopic and molar pregnancy ICD10CM Pregnancy O08.81 [O08.81] Cardiac arrest following an ectopic and molar pregnancy ICD10CM Pregnancy O08.82 [O08.82] Sepsis following ectopic and molar pregnancy ICD10CM Pregnancy O08.83 [O08.83] Urinary tract infection following an ectopic and molar pregnancy ICD10CM Pregnancy O08.89 [O08.89] Other complications following an ectopic and molar pregnancy ICD10CM Pregnancy O08.9 [O08.9] Unspecified complication following an ectopic and molar pregnancy ICD10CM [O09.00] Supervision of pregnancy with history of infertility, unspecified Pregnancy O09.00 ICD10CM trimester Pregnancy O09.01 [O09.01] Supervision of pregnancy with history of infertility, first trimester ICD10CM

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Exclusion Value Set Name Code Definition Code System Pregnancy O09.02 [O09.02] Supervision of pregnancy with history of infertility, second trimester ICD10CM

Pregnancy O09.03 [O09.03] Supervision of pregnancy with history of infertility, third trimester ICD10CM [O09.10] Supervision of pregnancy with history of ectopic pregnancy, unspecified Pregnancy O09.10 ICD10CM trimester [O09.11] Supervision of pregnancy with history of ectopic pregnancy, first Pregnancy O09.11 ICD10CM trimester [O09.12] Supervision of pregnancy with history of ectopic pregnancy, second Pregnancy O09.12 ICD10CM trimester [O09.13] Supervision of pregnancy with history of ectopic pregnancy, third Pregnancy O09.13 ICD10CM trimester Pregnancy O09.211 [O09.211] Supervision of pregnancy with history of pre‐term labor, first trimester ICD10CM [O09.212] Supervision of pregnancy with history of pre‐term labor, second Pregnancy O09.212 ICD10CM trimester [O09.213] Supervision of pregnancy with history of pre‐term labor, third Pregnancy O09.213 ICD10CM trimester [O09.219] Supervision of pregnancy with history of pre‐term labor, unspecified Pregnancy O09.219 ICD10CM trimester [O09.291] Supervision of pregnancy with other poor reproductive or obstetric Pregnancy O09.291 ICD10CM history, first trimester [O09.292] Supervision of pregnancy with other poor reproductive or obstetric Pregnancy O09.292 ICD10CM history, second trimester [O09.293] Supervision of pregnancy with other poor reproductive or obstetric Pregnancy O09.293 ICD10CM history, third trimester [O09.299] Supervision of pregnancy with other poor reproductive or obstetric Pregnancy O09.299 ICD10CM history, unspecified trimester [O09.30] Supervision of pregnancy with insufficient antenatal care, unspecified Pregnancy O09.30 ICD10CM trimester Pregnancy O09.31 [O09.31] Supervision of pregnancy with insufficient antenatal care, first trimester ICD10CM

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Exclusion Value Set Name Code Definition Code System [O09.32] Supervision of pregnancy with insufficient antenatal care, second Pregnancy O09.32 ICD10CM trimester [O09.33] Supervision of pregnancy with insufficient antenatal care, third Pregnancy O09.33 ICD10CM trimester Pregnancy O09.40 [O09.40] Supervision of pregnancy with grand multiparity, unspecified trimester ICD10CM

Pregnancy O09.41 [O09.41] Supervision of pregnancy with grand multiparity, first trimester ICD10CM

Pregnancy O09.42 [O09.42] Supervision of pregnancy with grand multiparity, second trimester ICD10CM

Pregnancy O09.43 [O09.43] Supervision of pregnancy with grand multiparity, third trimester ICD10CM Pregnancy O09.511 [O09.511] Supervision of elderly primigravida, first trimester ICD10CM Pregnancy O09.512 [O09.512] Supervision of elderly primigravida, second trimester ICD10CM Pregnancy O09.513 [O09.513] Supervision of elderly primigravida, third trimester ICD10CM Pregnancy O09.519 [O09.519] Supervision of elderly primigravida, unspecified trimester ICD10CM Pregnancy O09.521 [O09.521] Supervision of elderly multigravida, first trimester ICD10CM Pregnancy O09.522 [O09.522] Supervision of elderly multigravida, second trimester ICD10CM Pregnancy O09.523 [O09.523] Supervision of elderly multigravida, third trimester ICD10CM Pregnancy O09.529 [O09.529] Supervision of elderly multigravida, unspecified trimester ICD10CM Pregnancy O09.611 [O09.611] Supervision of young primigravida, first trimester ICD10CM Pregnancy O09.612 [O09.612] Supervision of young primigravida, second trimester ICD10CM Pregnancy O09.613 [O09.613] Supervision of young primigravida, third trimester ICD10CM Pregnancy O09.619 [O09.619] Supervision of young primigravida, unspecified trimester ICD10CM Pregnancy O09.621 [O09.621] Supervision of young multigravida, first trimester ICD10CM Pregnancy O09.622 [O09.622] Supervision of young multigravida, second trimester ICD10CM Pregnancy O09.623 [O09.623] Supervision of young multigravida, third trimester ICD10CM Pregnancy O09.629 [O09.629] Supervision of young multigravida, unspecified trimester ICD10CM [O09.70] Supervision of high risk pregnancy due to social problems, unspecified Pregnancy O09.70 ICD10CM trimester Pregnancy O09.71 [O09.71] Supervision of high risk pregnancy due to social problems, first trimester ICD10CM

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Exclusion Value Set Name Code Definition Code System [O09.72] Supervision of high risk pregnancy due to social problems, second Pregnancy O09.72 ICD10CM trimester [O09.73] Supervision of high risk pregnancy due to social problems, third Pregnancy O09.73 ICD10CM trimester [O09.811] Supervision of pregnancy resulting from assisted reproductive Pregnancy O09.811 ICD10CM technology, first trimester [O09.812] Supervision of pregnancy resulting from assisted reproductive Pregnancy O09.812 ICD10CM technology, second trimester [O09.813] Supervision of pregnancy resulting from assisted reproductive Pregnancy O09.813 ICD10CM technology, third trimester [O09.819] Supervision of pregnancy resulting from assisted reproductive Pregnancy O09.819 ICD10CM technology, unspecified trimester [O09.821] Supervision of pregnancy with history of in utero procedure during Pregnancy O09.821 ICD10CM previous pregnancy, first trimester [O09.822] Supervision of pregnancy with history of in utero procedure during Pregnancy O09.822 ICD10CM previous pregnancy, second trimester [O09.823] Supervision of pregnancy with history of in utero procedure during Pregnancy O09.823 ICD10CM previous pregnancy, third trimester [O09.829] Supervision of pregnancy with history of in utero procedure during Pregnancy O09.829 ICD10CM previous pregnancy, unspecified trimester Pregnancy O09.891 [O09.891] Supervision of other high risk pregnancies, first trimester ICD10CM Pregnancy O09.892 [O09.892] Supervision of other high risk pregnancies, second trimester ICD10CM Pregnancy O09.893 [O09.893] Supervision of other high risk pregnancies, third trimester ICD10CM Pregnancy O09.899 [O09.899] Supervision of other high risk pregnancies, unspecified trimester ICD10CM

Pregnancy O09.90 [O09.90] Supervision of high risk pregnancy, unspecified, unspecified trimester ICD10CM Pregnancy O09.91 [O09.91] Supervision of high risk pregnancy, unspecified, first trimester ICD10CM Pregnancy O09.92 [O09.92] Supervision of high risk pregnancy, unspecified, second trimester ICD10CM

Pregnancy O09.93 [O09.93] Supervision of high risk pregnancy, unspecified, third trimester ICD10CM

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Exclusion Value Set Name Code Definition Code System [O09.A0] Supervision of pregnancy with history of molar pregnancy, unspecified Pregnancy O09.A0 ICD10CM trimester [O09.A1] Supervision of pregnancy with history of molar pregnancy, first Pregnancy O09.A1 ICD10CM trimester [O09.A2] Supervision of pregnancy with history of molar pregnancy, second Pregnancy O09.A2 ICD10CM trimester [O09.A3] Supervision of pregnancy with history of molar pregnancy, third Pregnancy O09.A3 ICD10CM trimester [O10.011] Pre‐existing essential hypertension complicating pregnancy, first Pregnancy O10.011 ICD10CM trimester [O10.012] Pre‐existing essential hypertension complicating pregnancy, second Pregnancy O10.012 ICD10CM trimester [O10.013] Pre‐existing essential hypertension complicating pregnancy, third Pregnancy O10.013 ICD10CM trimester [O10.019] Pre‐existing essential hypertension complicating pregnancy, Pregnancy O10.019 ICD10CM unspecified trimester Pregnancy O10.02 [O10.02] Pre‐existing essential hypertension complicating childbirth ICD10CM Pregnancy O10.03 [O10.03] Pre‐existing essential hypertension complicating the puerperium ICD10CM [O10.111] Pre‐existing hypertensive heart disease complicating pregnancy, first Pregnancy O10.111 ICD10CM trimester [O10.112] Pre‐existing hypertensive heart disease complicating pregnancy, Pregnancy O10.112 ICD10CM second trimester [O10.113] Pre‐existing hypertensive heart disease complicating pregnancy, third Pregnancy O10.113 ICD10CM trimester [O10.119] Pre‐existing hypertensive heart disease complicating pregnancy, Pregnancy O10.119 ICD10CM unspecified trimester Pregnancy O10.12 [O10.12] Pre‐existing hypertensive heart disease complicating childbirth ICD10CM

Pregnancy O10.13 [O10.13] Pre‐existing hypertensive heart disease complicating the puerperium ICD10CM

Page 175 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System [O10.211] Pre‐existing hypertensive chronic kidney disease complicating Pregnancy O10.211 ICD10CM pregnancy, first trimester [O10.212] Pre‐existing hypertensive chronic kidney disease complicating Pregnancy O10.212 ICD10CM pregnancy, second trimester [O10.213] Pre‐existing hypertensive chronic kidney disease complicating Pregnancy O10.213 ICD10CM pregnancy, third trimester [O10.219] Pre‐existing hypertensive chronic kidney disease complicating Pregnancy O10.219 ICD10CM pregnancy, unspecified trimester Pregnancy O10.22 [O10.22] Pre‐existing hypertensive chronic kidney disease complicating childbirth ICD10CM [O10.23] Pre‐existing hypertensive chronic kidney disease complicating the Pregnancy O10.23 ICD10CM puerperium [O10.311] Pre‐existing hypertensive heart and chronic kidney disease Pregnancy O10.311 ICD10CM complicating pregnancy, first trimester [O10.312] Pre‐existing hypertensive heart and chronic kidney disease Pregnancy O10.312 ICD10CM complicating pregnancy, second trimester [O10.313] Pre‐existing hypertensive heart and chronic kidney disease Pregnancy O10.313 ICD10CM complicating pregnancy, third trimester [O10.319] Pre‐existing hypertensive heart and chronic kidney disease Pregnancy O10.319 ICD10CM complicating pregnancy, unspecified trimester [O10.32] Pre‐existing hypertensive heart and chronic kidney disease complicating Pregnancy O10.32 ICD10CM childbirth [O10.33] Pre‐existing hypertensive heart and chronic kidney disease complicating Pregnancy O10.33 ICD10CM the puerperium [O10.411] Pre‐existing secondary hypertension complicating pregnancy, first Pregnancy O10.411 ICD10CM trimester [O10.412] Pre‐existing secondary hypertension complicating pregnancy, second Pregnancy O10.412 ICD10CM trimester [O10.413] Pre‐existing secondary hypertension complicating pregnancy, third Pregnancy O10.413 ICD10CM trimester [O10.419] Pre‐existing secondary hypertension complicating pregnancy, Pregnancy O10.419 ICD10CM unspecified trimester

Page 176 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Pregnancy O10.42 [O10.42] Pre‐existing secondary hypertension complicating childbirth ICD10CM Pregnancy O10.43 [O10.43] Pre‐existing secondary hypertension complicating the puerperium ICD10CM [O10.911] Unspecified pre‐existing hypertension complicating pregnancy, first Pregnancy O10.911 ICD10CM trimester [O10.912] Unspecified pre‐existing hypertension complicating pregnancy, second Pregnancy O10.912 ICD10CM trimester [O10.913] Unspecified pre‐existing hypertension complicating pregnancy, third Pregnancy O10.913 ICD10CM trimester [O10.919] Unspecified pre‐existing hypertension complicating pregnancy, Pregnancy O10.919 ICD10CM unspecified trimester Pregnancy O10.92 [O10.92] Unspecified pre‐existing hypertension complicating childbirth ICD10CM Pregnancy O10.93 [O10.93] Unspecified pre‐existing hypertension complicating the puerperium ICD10CM Pregnancy O11.1 [O11.1] Pre‐existing hypertension with pre‐eclampsia, first trimester ICD10CM Pregnancy O11.2 [O11.2] Pre‐existing hypertension with pre‐eclampsia, second trimester ICD10CM Pregnancy O11.3 [O11.3] Pre‐existing hypertension with pre‐eclampsia, third trimester ICD10CM Pregnancy O11.4 [O11.4] Pre‐existing hypertension with pre‐eclampsia, complicating childbirth ICD10CM [O11.5] Pre‐existing hypertension with pre‐eclampsia, complicating the Pregnancy O11.5 ICD10CM puerperium Pregnancy O11.9 [O11.9] Pre‐existing hypertension with pre‐eclampsia, unspecified trimester ICD10CM Pregnancy O12.00 [O12.00] Gestational edema, unspecified trimester ICD10CM Pregnancy O12.01 [O12.01] Gestational edema, first trimester ICD10CM Pregnancy O12.02 [O12.02] Gestational edema, second trimester ICD10CM Pregnancy O12.03 [O12.03] Gestational edema, third trimester ICD10CM Pregnancy O12.04 [O12.04] Gestational edema, complicating childbirth ICD10CM Pregnancy O12.05 [O12.05] Gestational edema, complicating the puerperium ICD10CM Pregnancy O12.10 [O12.10] Gestational proteinuria, unspecified trimester ICD10CM Pregnancy O12.11 [O12.11] Gestational proteinuria, first trimester ICD10CM

Page 177 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Pregnancy O12.12 [O12.12] Gestational proteinuria, second trimester ICD10CM Pregnancy O12.13 [O12.13] Gestational proteinuria, third trimester ICD10CM Pregnancy O12.14 [O12.14] Gestational proteinuria, complicating childbirth ICD10CM Pregnancy O12.15 [O12.15] Gestational proteinuria, complicating the puerperium ICD10CM Pregnancy O12.20 [O12.20] Gestational edema with proteinuria, unspecified trimester ICD10CM Pregnancy O12.21 [O12.21] Gestational edema with proteinuria, first trimester ICD10CM Pregnancy O12.22 [O12.22] Gestational edema with proteinuria, second trimester ICD10CM Pregnancy O12.23 [O12.23] Gestational edema with proteinuria, third trimester ICD10CM Pregnancy O12.24 [O12.24] Gestational edema with proteinuria, complicating childbirth ICD10CM Pregnancy O12.25 [O12.25] Gestational edema with proteinuria, complicating the puerperium ICD10CM [O13.1] Gestational [pregnancy‐induced] hypertension without significant Pregnancy O13.1 ICD10CM proteinuria, first trimester [O13.2] Gestational [pregnancy‐induced] hypertension without significant Pregnancy O13.2 ICD10CM proteinuria, second trimester [O13.3] Gestational [pregnancy‐induced] hypertension without significant Pregnancy O13.3 ICD10CM proteinuria, third trimester [O13.4] Gestational [pregnancy‐induced] hypertension without significant Pregnancy O13.4 ICD10CM proteinuria, complicating childbirth [O13.5] Gestational [pregnancy‐induced] hypertension without significant Pregnancy O13.5 ICD10CM proteinuria, complicating the puerperium [O13.9] Gestational [pregnancy‐induced] hypertension without significant Pregnancy O13.9 ICD10CM proteinuria, unspecified trimester Pregnancy O14.00 [O14.00] Mild to moderate pre‐eclampsia, unspecified trimester ICD10CM Pregnancy O14.02 [O14.02] Mild to moderate pre‐eclampsia, second trimester ICD10CM Pregnancy O14.03 [O14.03] Mild to moderate pre‐eclampsia, third trimester ICD10CM Pregnancy O14.04 [O14.04] Mild to moderate pre‐eclampsia, complicating childbirth ICD10CM Pregnancy O14.05 [O14.05] Mild to moderate pre‐eclampsia, complicating the puerperium ICD10CM Pregnancy O14.10 [O14.10] Severe pre‐eclampsia, unspecified trimester ICD10CM Pregnancy O14.12 [O14.12] Severe pre‐eclampsia, second trimester ICD10CM Pregnancy O14.13 [O14.13] Severe pre‐eclampsia, third trimester ICD10CM

Page 178 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Pregnancy O14.14 [O14.14] Severe pre‐eclampsia complicating childbirth ICD10CM Pregnancy O14.15 [O14.15] Severe pre‐eclampsia, complicating the puerperium ICD10CM Pregnancy O14.20 [O14.20] HELLP syndrome (HELLP), unspecified trimester ICD10CM Pregnancy O14.22 [O14.22] HELLP syndrome (HELLP), second trimester ICD10CM Pregnancy O14.23 [O14.23] HELLP syndrome (HELLP), third trimester ICD10CM Pregnancy O14.24 [O14.24] HELLP syndrome, complicating childbirth ICD10CM Pregnancy O14.25 [O14.25] HELLP syndrome, complicating the puerperium ICD10CM Pregnancy O14.90 [O14.90] Unspecified pre‐eclampsia, unspecified trimester ICD10CM Pregnancy O14.92 [O14.92] Unspecified pre‐eclampsia, second trimester ICD10CM Pregnancy O14.93 [O14.93] Unspecified pre‐eclampsia, third trimester ICD10CM Pregnancy O14.94 [O14.94] Unspecified pre‐eclampsia, complicating childbirth ICD10CM Pregnancy O14.95 [O14.95] Unspecified pre‐eclampsia, complicating the puerperium ICD10CM Pregnancy O15.00 [O15.00] Eclampsia complicating pregnancy, unspecified trimester ICD10CM Pregnancy O15.02 [O15.02] Eclampsia complicating pregnancy, second trimester ICD10CM Pregnancy O15.03 [O15.03] Eclampsia complicating pregnancy, third trimester ICD10CM Pregnancy O15.1 [O15.1] Eclampsia complicating labor ICD10CM Pregnancy O15.2 [O15.2] Eclampsia complicating the puerperium ICD10CM Pregnancy O15.9 [O15.9] Eclampsia, unspecified as to time period ICD10CM Pregnancy O16.1 [O16.1] Unspecified maternal hypertension, first trimester ICD10CM Pregnancy O16.2 [O16.2] Unspecified maternal hypertension, second trimester ICD10CM Pregnancy O16.3 [O16.3] Unspecified maternal hypertension, third trimester ICD10CM Pregnancy O16.4 [O16.4] Unspecified maternal hypertension, complicating childbirth ICD10CM Pregnancy O16.5 [O16.5] Unspecified maternal hypertension, complicating the puerperium ICD10CM Pregnancy O16.9 [O16.9] Unspecified maternal hypertension, unspecified trimester ICD10CM Pregnancy O20.0 [O20.0] Threatened abortion ICD10CM Pregnancy O20.8 [O20.8] Other hemorrhage in early pregnancy ICD10CM Pregnancy O20.9 [O20.9] Hemorrhage in early pregnancy, unspecified ICD10CM Pregnancy O21.0 [O21.0] Mild hyperemesis gravidarum ICD10CM Pregnancy O21.1 [O21.1] Hyperemesis gravidarum with metabolic disturbance ICD10CM Pregnancy O21.2 [O21.2] Late vomiting of pregnancy ICD10CM Pregnancy O21.8 [O21.8] Other vomiting complicating pregnancy ICD10CM

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Exclusion Value Set Name Code Definition Code System Pregnancy O21.9 [O21.9] Vomiting of pregnancy, unspecified ICD10CM Pregnancy O22.00 [O22.00] Varicose veins of lower extremity in pregnancy, unspecified trimester ICD10CM Pregnancy O22.01 [O22.01] Varicose veins of lower extremity in pregnancy, first trimester ICD10CM Pregnancy O22.02 [O22.02] Varicose veins of lower extremity in pregnancy, second trimester ICD10CM

Pregnancy O22.03 [O22.03] Varicose veins of lower extremity in pregnancy, third trimester ICD10CM Pregnancy O22.10 [O22.10] Genital varices in pregnancy, unspecified trimester ICD10CM Pregnancy O22.11 [O22.11] Genital varices in pregnancy, first trimester ICD10CM Pregnancy O22.12 [O22.12] Genital varices in pregnancy, second trimester ICD10CM Pregnancy O22.13 [O22.13] Genital varices in pregnancy, third trimester ICD10CM Pregnancy O22.20 [O22.20] Superficial thrombophlebitis in pregnancy, unspecified trimester ICD10CM Pregnancy O22.21 [O22.21] Superficial thrombophlebitis in pregnancy, first trimester ICD10CM Pregnancy O22.22 [O22.22] Superficial thrombophlebitis in pregnancy, second trimester ICD10CM Pregnancy O22.23 [O22.23] Superficial thrombophlebitis in pregnancy, third trimester ICD10CM Pregnancy O22.30 [O22.30] Deep phlebothrombosis in pregnancy, unspecified trimester ICD10CM Pregnancy O22.31 [O22.31] Deep phlebothrombosis in pregnancy, first trimester ICD10CM Pregnancy O22.32 [O22.32] Deep phlebothrombosis in pregnancy, second trimester ICD10CM Pregnancy O22.33 [O22.33] Deep phlebothrombosis in pregnancy, third trimester ICD10CM Pregnancy O22.40 [O22.40] Hemorrhoids in pregnancy, unspecified trimester ICD10CM Pregnancy O22.41 [O22.41] Hemorrhoids in pregnancy, first trimester ICD10CM Pregnancy O22.42 [O22.42] Hemorrhoids in pregnancy, second trimester ICD10CM Pregnancy O22.43 [O22.43] Hemorrhoids in pregnancy, third trimester ICD10CM Pregnancy O22.50 [O22.50] Cerebral venous thrombosis in pregnancy, unspecified trimester ICD10CM Pregnancy O22.51 [O22.51] Cerebral venous thrombosis in pregnancy, first trimester ICD10CM Pregnancy O22.52 [O22.52] Cerebral venous thrombosis in pregnancy, second trimester ICD10CM Pregnancy O22.53 [O22.53] Cerebral venous thrombosis in pregnancy, third trimester ICD10CM Pregnancy O22.8X1 [O22.8X1] Other venous complications in pregnancy, first trimester ICD10CM Pregnancy O22.8X2 [O22.8X2] Other venous complications in pregnancy, second trimester ICD10CM

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Exclusion Value Set Name Code Definition Code System Pregnancy O22.8X3 [O22.8X3] Other venous complications in pregnancy, third trimester ICD10CM Pregnancy O22.8X9 [O22.8X9] Other venous complications in pregnancy, unspecified trimester ICD10CM

Pregnancy O22.90 [O22.90] Venous complication in pregnancy, unspecified, unspecified trimester ICD10CM Pregnancy O22.91 [O22.91] Venous complication in pregnancy, unspecified, first trimester ICD10CM Pregnancy O22.92 [O22.92] Venous complication in pregnancy, unspecified, second trimester ICD10CM

Pregnancy O22.93 [O22.93] Venous complication in pregnancy, unspecified, third trimester ICD10CM Pregnancy O23.00 [O23.00] Infections of kidney in pregnancy, unspecified trimester ICD10CM Pregnancy O23.01 [O23.01] Infections of kidney in pregnancy, first trimester ICD10CM Pregnancy O23.02 [O23.02] Infections of kidney in pregnancy, second trimester ICD10CM Pregnancy O23.03 [O23.03] Infections of kidney in pregnancy, third trimester ICD10CM Pregnancy O23.10 [O23.10] Infections of bladder in pregnancy, unspecified trimester ICD10CM Pregnancy O23.11 [O23.11] Infections of bladder in pregnancy, first trimester ICD10CM Pregnancy O23.12 [O23.12] Infections of bladder in pregnancy, second trimester ICD10CM Pregnancy O23.13 [O23.13] Infections of bladder in pregnancy, third trimester ICD10CM Pregnancy O23.20 [O23.20] Infections of urethra in pregnancy, unspecified trimester ICD10CM Pregnancy O23.21 [O23.21] Infections of urethra in pregnancy, first trimester ICD10CM Pregnancy O23.22 [O23.22] Infections of urethra in pregnancy, second trimester ICD10CM Pregnancy O23.23 [O23.23] Infections of urethra in pregnancy, third trimester ICD10CM [O23.30] Infections of other parts of urinary tract in pregnancy, unspecified Pregnancy O23.30 ICD10CM trimester Pregnancy O23.31 [O23.31] Infections of other parts of urinary tract in pregnancy, first trimester ICD10CM

Pregnancy O23.32 [O23.32] Infections of other parts of urinary tract in pregnancy, second trimester ICD10CM

Pregnancy O23.33 [O23.33] Infections of other parts of urinary tract in pregnancy, third trimester ICD10CM [O23.40] Unspecified infection of urinary tract in pregnancy, unspecified Pregnancy O23.40 ICD10CM trimester

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Exclusion Value Set Name Code Definition Code System Pregnancy O23.41 [O23.41] Unspecified infection of urinary tract in pregnancy, first trimester ICD10CM

Pregnancy O23.42 [O23.42] Unspecified infection of urinary tract in pregnancy, second trimester ICD10CM

Pregnancy O23.43 [O23.43] Unspecified infection of urinary tract in pregnancy, third trimester ICD10CM Pregnancy O23.511 [O23.511] Infections of cervix in pregnancy, first trimester ICD10CM Pregnancy O23.512 [O23.512] Infections of cervix in pregnancy, second trimester ICD10CM Pregnancy O23.513 [O23.513] Infections of cervix in pregnancy, third trimester ICD10CM Pregnancy O23.519 [O23.519] Infections of cervix in pregnancy, unspecified trimester ICD10CM Pregnancy O23.521 [O23.521] Salpingo‐oophoritis in pregnancy, first trimester ICD10CM Pregnancy O23.522 [O23.522] Salpingo‐oophoritis in pregnancy, second trimester ICD10CM Pregnancy O23.523 [O23.523] Salpingo‐oophoritis in pregnancy, third trimester ICD10CM Pregnancy O23.529 [O23.529] Salpingo‐oophoritis in pregnancy, unspecified trimester ICD10CM Pregnancy O23.591 [O23.591] Infection of other part of genital tract in pregnancy, first trimester ICD10CM

Pregnancy O23.592 [O23.592] Infection of other part of genital tract in pregnancy, second trimester ICD10CM

Pregnancy O23.593 [O23.593] Infection of other part of genital tract in pregnancy, third trimester ICD10CM [O23.599] Infection of other part of genital tract in pregnancy, unspecified Pregnancy O23.599 ICD10CM trimester [O23.90] Unspecified genitourinary tract infection in pregnancy, unspecified Pregnancy O23.90 ICD10CM trimester Pregnancy O23.91 [O23.91] Unspecified genitourinary tract infection in pregnancy, first trimester ICD10CM

Pregnancy O23.92 [O23.92] Unspecified genitourinary tract infection in pregnancy, second trimester ICD10CM

Pregnancy O23.93 [O23.93] Unspecified genitourinary tract infection in pregnancy, third trimester ICD10CM

Pregnancy O24.011 [O24.011] Pre‐existing type 1 diabetes mellitus, in pregnancy, first trimester ICD10CM

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Exclusion Value Set Name Code Definition Code System Pregnancy O24.012 [O24.012] Pre‐existing type 1 diabetes mellitus, in pregnancy, second trimester ICD10CM

Pregnancy O24.013 [O24.013] Pre‐existing type 1 diabetes mellitus, in pregnancy, third trimester ICD10CM [O24.019] Pre‐existing type 1 diabetes mellitus, in pregnancy, unspecified Pregnancy O24.019 ICD10CM trimester Pregnancy O24.02 [O24.02] Pre‐existing type 1 diabetes mellitus, in childbirth ICD10CM Pregnancy O24.03 [O24.03] Pre‐existing type 1 diabetes mellitus, in the puerperium ICD10CM Pregnancy O24.111 [O24.111] Pre‐existing type 2 diabetes mellitus, in pregnancy, first trimester ICD10CM

Pregnancy O24.112 [O24.112] Pre‐existing type 2 diabetes mellitus, in pregnancy, second trimester ICD10CM

Pregnancy O24.113 [O24.113] Pre‐existing type 2 diabetes mellitus, in pregnancy, third trimester ICD10CM [O24.119] Pre‐existing type 2 diabetes mellitus, in pregnancy, unspecified Pregnancy O24.119 ICD10CM trimester Pregnancy O24.12 [O24.12] Pre‐existing type 2 diabetes mellitus, in childbirth ICD10CM Pregnancy O24.13 [O24.13] Pre‐existing type 2 diabetes mellitus, in the puerperium ICD10CM Pregnancy O24.311 [O24.311] Unspecified pre‐existing diabetes mellitus in pregnancy, first trimester ICD10CM [O24.312] Unspecified pre‐existing diabetes mellitus in pregnancy, second Pregnancy O24.312 ICD10CM trimester Pregnancy O24.313 [O24.313] Unspecified pre‐existing diabetes mellitus in pregnancy, third trimester ICD10CM [O24.319] Unspecified pre‐existing diabetes mellitus in pregnancy, unspecified Pregnancy O24.319 ICD10CM trimester Pregnancy O24.32 [O24.32] Unspecified pre‐existing diabetes mellitus in childbirth ICD10CM Pregnancy O24.33 [O24.33] Unspecified pre‐existing diabetes mellitus in the puerperium ICD10CM Pregnancy O24.410 [O24.410] Gestational diabetes mellitus in pregnancy, diet controlled ICD10CM Pregnancy O24.414 [O24.414] Gestational diabetes mellitus in pregnancy, insulin controlled ICD10CM

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Exclusion Value Set Name Code Definition Code System [O24.415] Gestational diabetes mellitus in pregnancy, controlled by oral Pregnancy O24.415 ICD10CM hypoglycemic drugs Pregnancy O24.419 [O24.419] Gestational diabetes mellitus in pregnancy, unspecified control ICD10CM Pregnancy O24.420 [O24.420] Gestational diabetes mellitus in childbirth, diet controlled ICD10CM Pregnancy O24.424 [O24.424] Gestational diabetes mellitus in childbirth, insulin controlled ICD10CM [O24.425] Gestational diabetes mellitus in childbirth, controlled by oral Pregnancy O24.425 ICD10CM hypoglycemic drugs Pregnancy O24.429 [O24.429] Gestational diabetes mellitus in childbirth, unspecified control ICD10CM

Pregnancy O24.430 [O24.430] Gestational diabetes mellitus in the puerperium, diet controlled ICD10CM

Pregnancy O24.434 [O24.434] Gestational diabetes mellitus in the puerperium, insulin controlled ICD10CM [O24.435] Gestational diabetes mellitus in puerperium, controlled by oral Pregnancy O24.435 ICD10CM hypoglycemic drugs Pregnancy O24.439 [O24.439] Gestational diabetes mellitus in the puerperium, unspecified control ICD10CM

Pregnancy O24.811 [O24.811] Other pre‐existing diabetes mellitus in pregnancy, first trimester ICD10CM

Pregnancy O24.812 [O24.812] Other pre‐existing diabetes mellitus in pregnancy, second trimester ICD10CM

Pregnancy O24.813 [O24.813] Other pre‐existing diabetes mellitus in pregnancy, third trimester ICD10CM [O24.819] Other pre‐existing diabetes mellitus in pregnancy, unspecified Pregnancy O24.819 ICD10CM trimester Pregnancy O24.82 [O24.82] Other pre‐existing diabetes mellitus in childbirth ICD10CM Pregnancy O24.83 [O24.83] Other pre‐existing diabetes mellitus in the puerperium ICD10CM Pregnancy O24.911 [O24.911] Unspecified diabetes mellitus in pregnancy, first trimester ICD10CM Pregnancy O24.912 [O24.912] Unspecified diabetes mellitus in pregnancy, second trimester ICD10CM Pregnancy O24.913 [O24.913] Unspecified diabetes mellitus in pregnancy, third trimester ICD10CM

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Exclusion Value Set Name Code Definition Code System Pregnancy O24.919 [O24.919] Unspecified diabetes mellitus in pregnancy, unspecified trimester ICD10CM Pregnancy O24.92 [O24.92] Unspecified diabetes mellitus in childbirth ICD10CM Pregnancy O24.93 [O24.93] Unspecified diabetes mellitus in the puerperium ICD10CM Pregnancy O25.10 [O25.10] Malnutrition in pregnancy, unspecified trimester ICD10CM Pregnancy O25.11 [O25.11] Malnutrition in pregnancy, first trimester ICD10CM Pregnancy O25.12 [O25.12] Malnutrition in pregnancy, second trimester ICD10CM Pregnancy O25.13 [O25.13] Malnutrition in pregnancy, third trimester ICD10CM Pregnancy O25.2 [O25.2] Malnutrition in childbirth ICD10CM Pregnancy O25.3 [O25.3] Malnutrition in the puerperium ICD10CM Pregnancy O26.00 [O26.00] Excessive weight gain in pregnancy, unspecified trimester ICD10CM Pregnancy O26.01 [O26.01] Excessive weight gain in pregnancy, first trimester ICD10CM Pregnancy O26.02 [O26.02] Excessive weight gain in pregnancy, second trimester ICD10CM Pregnancy O26.03 [O26.03] Excessive weight gain in pregnancy, third trimester ICD10CM Pregnancy O26.10 [O26.10] Low weight gain in pregnancy, unspecified trimester ICD10CM Pregnancy O26.11 [O26.11] Low weight gain in pregnancy, first trimester ICD10CM Pregnancy O26.12 [O26.12] Low weight gain in pregnancy, second trimester ICD10CM Pregnancy O26.13 [O26.13] Low weight gain in pregnancy, third trimester ICD10CM [O26.20] Pregnancy care for patient with recurrent pregnancy loss, unspecified Pregnancy O26.20 ICD10CM trimester Pregnancy O26.21 [O26.21] Pregnancy care for patient with recurrent pregnancy loss, first trimester ICD10CM [O26.22] Pregnancy care for patient with recurrent pregnancy loss, second Pregnancy O26.22 ICD10CM trimester [O26.23] Pregnancy care for patient with recurrent pregnancy loss, third Pregnancy O26.23 ICD10CM trimester [O26.30] Retained intrauterine contraceptive device in pregnancy, unspecified Pregnancy O26.30 ICD10CM trimester Pregnancy O26.31 [O26.31] Retained intrauterine contraceptive device in pregnancy, first trimester ICD10CM [O26.32] Retained intrauterine contraceptive device in pregnancy, second Pregnancy O26.32 ICD10CM trimester

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Exclusion Value Set Name Code Definition Code System Pregnancy O26.33 [O26.33] Retained intrauterine contraceptive device in pregnancy, third trimester ICD10CM Pregnancy O26.40 [O26.40] Herpes gestationis, unspecified trimester ICD10CM Pregnancy O26.41 [O26.41] Herpes gestationis, first trimester ICD10CM Pregnancy O26.42 [O26.42] Herpes gestationis, second trimester ICD10CM Pregnancy O26.43 [O26.43] Herpes gestationis, third trimester ICD10CM Pregnancy O26.50 [O26.50] Maternal hypotension syndrome, unspecified trimester ICD10CM Pregnancy O26.51 [O26.51] Maternal hypotension syndrome, first trimester ICD10CM Pregnancy O26.52 [O26.52] Maternal hypotension syndrome, second trimester ICD10CM Pregnancy O26.53 [O26.53] Maternal hypotension syndrome, third trimester ICD10CM Pregnancy O26.611 [O26.611] Liver and biliary tract disorders in pregnancy, first trimester ICD10CM Pregnancy O26.612 [O26.612] Liver and biliary tract disorders in pregnancy, second trimester ICD10CM Pregnancy O26.613 [O26.613] Liver and biliary tract disorders in pregnancy, third trimester ICD10CM Pregnancy O26.619 [O26.619] Liver and biliary tract disorders in pregnancy, unspecified trimester ICD10CM Pregnancy O26.62 [O26.62] Liver and biliary tract disorders in childbirth ICD10CM Pregnancy O26.63 [O26.63] Liver and biliary tract disorders in the puerperium ICD10CM Pregnancy O26.711 [O26.711] Subluxation of symphysis (pubis) in pregnancy, first trimester ICD10CM

Pregnancy O26.712 [O26.712] Subluxation of symphysis (pubis) in pregnancy, second trimester ICD10CM

Pregnancy O26.713 [O26.713] Subluxation of symphysis (pubis) in pregnancy, third trimester ICD10CM

Pregnancy O26.719 [O26.719] Subluxation of symphysis (pubis) in pregnancy, unspecified trimester ICD10CM Pregnancy O26.72 [O26.72] Subluxation of symphysis (pubis) in childbirth ICD10CM Pregnancy O26.73 [O26.73] Subluxation of symphysis (pubis) in the puerperium ICD10CM Pregnancy O26.811 [O26.811] Pregnancy related exhaustion and fatigue, first trimester ICD10CM Pregnancy O26.812 [O26.812] Pregnancy related exhaustion and fatigue, second trimester ICD10CM Pregnancy O26.813 [O26.813] Pregnancy related exhaustion and fatigue, third trimester ICD10CM

Page 186 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Pregnancy O26.819 [O26.819] Pregnancy related exhaustion and fatigue, unspecified trimester ICD10CM Pregnancy O26.821 [O26.821] Pregnancy related peripheral neuritis, first trimester ICD10CM Pregnancy O26.822 [O26.822] Pregnancy related peripheral neuritis, second trimester ICD10CM Pregnancy O26.823 [O26.823] Pregnancy related peripheral neuritis, third trimester ICD10CM Pregnancy O26.829 [O26.829] Pregnancy related peripheral neuritis, unspecified trimester ICD10CM Pregnancy O26.831 [O26.831] Pregnancy related renal disease, first trimester ICD10CM Pregnancy O26.832 [O26.832] Pregnancy related renal disease, second trimester ICD10CM Pregnancy O26.833 [O26.833] Pregnancy related renal disease, third trimester ICD10CM Pregnancy O26.839 [O26.839] Pregnancy related renal disease, unspecified trimester ICD10CM Pregnancy O26.841 [O26.841] Uterine size‐date discrepancy, first trimester ICD10CM Pregnancy O26.842 [O26.842] Uterine size‐date discrepancy, second trimester ICD10CM Pregnancy O26.843 [O26.843] Uterine size‐date discrepancy, third trimester ICD10CM Pregnancy O26.849 [O26.849] Uterine size‐date discrepancy, unspecified trimester ICD10CM Pregnancy O26.851 [O26.851] Spotting complicating pregnancy, first trimester ICD10CM Pregnancy O26.852 [O26.852] Spotting complicating pregnancy, second trimester ICD10CM Pregnancy O26.853 [O26.853] Spotting complicating pregnancy, third trimester ICD10CM Pregnancy O26.859 [O26.859] Spotting complicating pregnancy, unspecified trimester ICD10CM Pregnancy O26.86 [O26.86] Pruritic urticarial papules and plaques of pregnancy (PUPPP) ICD10CM Pregnancy O26.872 [O26.872] Cervical shortening, second trimester ICD10CM Pregnancy O26.873 [O26.873] Cervical shortening, third trimester ICD10CM Pregnancy O26.879 [O26.879] Cervical shortening, unspecified trimester ICD10CM Pregnancy O26.891 [O26.891] Other specified pregnancy related conditions, first trimester ICD10CM Pregnancy O26.892 [O26.892] Other specified pregnancy related conditions, second trimester ICD10CM Pregnancy O26.893 [O26.893] Other specified pregnancy related conditions, third trimester ICD10CM Pregnancy O26.899 [O26.899] Other specified pregnancy related conditions, unspecified trimester ICD10CM

Pregnancy O26.90 [O26.90] Pregnancy related conditions, unspecified, unspecified trimester ICD10CM Pregnancy O26.91 [O26.91] Pregnancy related conditions, unspecified, first trimester ICD10CM Pregnancy O26.92 [O26.92] Pregnancy related conditions, unspecified, second trimester ICD10CM

Page 187 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Pregnancy O26.93 [O26.93] Pregnancy related conditions, unspecified, third trimester ICD10CM Pregnancy O28.0 [O28.0] Abnormal hematological finding on antenatal screening of mother ICD10CM

Pregnancy O28.1 [O28.1] Abnormal biochemical finding on antenatal screening of mother ICD10CM Pregnancy O28.2 [O28.2] Abnormal cytological finding on antenatal screening of mother ICD10CM Pregnancy O28.3 [O28.3] Abnormal ultrasonic finding on antenatal screening of mother ICD10CM Pregnancy O28.4 [O28.4] Abnormal radiological finding on antenatal screening of mother ICD10CM [O28.5] Abnormal chromosomal and genetic finding on antenatal screening of Pregnancy O28.5 ICD10CM mother Pregnancy O28.8 [O28.8] Other abnormal findings on antenatal screening of mother ICD10CM Pregnancy O28.9 [O28.9] Unspecified abnormal findings on antenatal screening of mother ICD10CM [O29.011] Aspiration pneumonitis due to anesthesia during pregnancy, first Pregnancy O29.011 ICD10CM trimester [O29.012] Aspiration pneumonitis due to anesthesia during pregnancy, second Pregnancy O29.012 ICD10CM trimester [O29.013] Aspiration pneumonitis due to anesthesia during pregnancy, third Pregnancy O29.013 ICD10CM trimester [O29.019] Aspiration pneumonitis due to anesthesia during pregnancy, Pregnancy O29.019 ICD10CM unspecified trimester [O29.021] Pressure collapse of lung due to anesthesia during pregnancy, first Pregnancy O29.021 ICD10CM trimester [O29.022] Pressure collapse of lung due to anesthesia during pregnancy, second Pregnancy O29.022 ICD10CM trimester [O29.023] Pressure collapse of lung due to anesthesia during pregnancy, third Pregnancy O29.023 ICD10CM trimester [O29.029] Pressure collapse of lung due to anesthesia during pregnancy, Pregnancy O29.029 ICD10CM unspecified trimester [O29.091] Other pulmonary complications of anesthesia during pregnancy, first Pregnancy O29.091 ICD10CM trimester

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Exclusion Value Set Name Code Definition Code System [O29.092] Other pulmonary complications of anesthesia during pregnancy, Pregnancy O29.092 ICD10CM second trimester [O29.093] Other pulmonary complications of anesthesia during pregnancy, third Pregnancy O29.093 ICD10CM trimester [O29.099] Other pulmonary complications of anesthesia during pregnancy, Pregnancy O29.099 ICD10CM unspecified trimester Pregnancy O29.111 [O29.111] Cardiac arrest due to anesthesia during pregnancy, first trimester ICD10CM

Pregnancy O29.112 [O29.112] Cardiac arrest due to anesthesia during pregnancy, second trimester ICD10CM

Pregnancy O29.113 [O29.113] Cardiac arrest due to anesthesia during pregnancy, third trimester ICD10CM [O29.119] Cardiac arrest due to anesthesia during pregnancy, unspecified Pregnancy O29.119 ICD10CM trimester Pregnancy O29.121 [O29.121] Cardiac failure due to anesthesia during pregnancy, first trimester ICD10CM

Pregnancy O29.122 [O29.122] Cardiac failure due to anesthesia during pregnancy, second trimester ICD10CM

Pregnancy O29.123 [O29.123] Cardiac failure due to anesthesia during pregnancy, third trimester ICD10CM [O29.129] Cardiac failure due to anesthesia during pregnancy, unspecified Pregnancy O29.129 ICD10CM trimester [O29.191] Other cardiac complications of anesthesia during pregnancy, first Pregnancy O29.191 ICD10CM trimester [O29.192] Other cardiac complications of anesthesia during pregnancy, second Pregnancy O29.192 ICD10CM trimester [O29.193] Other cardiac complications of anesthesia during pregnancy, third Pregnancy O29.193 ICD10CM trimester [O29.199] Other cardiac complications of anesthesia during pregnancy, Pregnancy O29.199 ICD10CM unspecified trimester Pregnancy O29.211 [O29.211] Cerebral anoxia due to anesthesia during pregnancy, first trimester ICD10CM

Page 189 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Pregnancy O29.212 [O29.212] Cerebral anoxia due to anesthesia during pregnancy, second trimester ICD10CM

Pregnancy O29.213 [O29.213] Cerebral anoxia due to anesthesia during pregnancy, third trimester ICD10CM [O29.219] Cerebral anoxia due to anesthesia during pregnancy, unspecified Pregnancy O29.219 ICD10CM trimester [O29.291] Other central nervous system complications of anesthesia during Pregnancy O29.291 ICD10CM pregnancy, first trimester [O29.292] Other central nervous system complications of anesthesia during Pregnancy O29.292 ICD10CM pregnancy, second trimester [O29.293] Other central nervous system complications of anesthesia during Pregnancy O29.293 ICD10CM pregnancy, third trimester [O29.299] Other central nervous system complications of anesthesia during Pregnancy O29.299 ICD10CM pregnancy, unspecified trimester Pregnancy O29.3X1 [O29.3X1] Toxic reaction to local anesthesia during pregnancy, first trimester ICD10CM

Pregnancy O29.3X2 [O29.3X2] Toxic reaction to local anesthesia during pregnancy, second trimester ICD10CM

Pregnancy O29.3X3 [O29.3X3] Toxic reaction to local anesthesia during pregnancy, third trimester ICD10CM [O29.3X9] Toxic reaction to local anesthesia during pregnancy, unspecified Pregnancy O29.3X9 ICD10CM trimester [O29.40] Spinal and epidural anesthesia induced headache during pregnancy, Pregnancy O29.40 ICD10CM unspecified trimester [O29.41] Spinal and epidural anesthesia induced headache during pregnancy, first Pregnancy O29.41 ICD10CM trimester [O29.42] Spinal and epidural anesthesia induced headache during pregnancy, Pregnancy O29.42 ICD10CM second trimester [O29.43] Spinal and epidural anesthesia induced headache during pregnancy, Pregnancy O29.43 ICD10CM third trimester [O29.5X1] Other complications of spinal and epidural anesthesia during Pregnancy O29.5X1 ICD10CM pregnancy, first trimester

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Exclusion Value Set Name Code Definition Code System [O29.5X2] Other complications of spinal and epidural anesthesia during Pregnancy O29.5X2 ICD10CM pregnancy, second trimester [O29.5X3] Other complications of spinal and epidural anesthesia during Pregnancy O29.5X3 ICD10CM pregnancy, third trimester [O29.5X9] Other complications of spinal and epidural anesthesia during Pregnancy O29.5X9 ICD10CM pregnancy, unspecified trimester [O29.60] Failed or difficult intubation for anesthesia during pregnancy, Pregnancy O29.60 ICD10CM unspecified trimester [O29.61] Failed or difficult intubation for anesthesia during pregnancy, first Pregnancy O29.61 ICD10CM trimester [O29.62] Failed or difficult intubation for anesthesia during pregnancy, second Pregnancy O29.62 ICD10CM trimester [O29.63] Failed or difficult intubation for anesthesia during pregnancy, third Pregnancy O29.63 ICD10CM trimester Pregnancy O29.8X1 [O29.8X1] Other complications of anesthesia during pregnancy, first trimester ICD10CM

Pregnancy O29.8X2 [O29.8X2] Other complications of anesthesia during pregnancy, second trimester ICD10CM

Pregnancy O29.8X3 [O29.8X3] Other complications of anesthesia during pregnancy, third trimester ICD10CM [O29.8X9] Other complications of anesthesia during pregnancy, unspecified Pregnancy O29.8X9 ICD10CM trimester [O29.90] Unspecified complication of anesthesia during pregnancy, unspecified Pregnancy O29.90 ICD10CM trimester Pregnancy O29.91 [O29.91] Unspecified complication of anesthesia during pregnancy, first trimester ICD10CM [O29.92] Unspecified complication of anesthesia during pregnancy, second Pregnancy O29.92 ICD10CM trimester [O29.93] Unspecified complication of anesthesia during pregnancy, third Pregnancy O29.93 ICD10CM trimester [O30.001] Twin pregnancy, unspecified number of placenta and unspecified Pregnancy O30.001 ICD10CM number of amniotic sacs, first trimester

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Exclusion Value Set Name Code Definition Code System [O30.002] Twin pregnancy, unspecified number of placenta and unspecified Pregnancy O30.002 ICD10CM number of amniotic sacs, second trimester [O30.003] Twin pregnancy, unspecified number of placenta and unspecified Pregnancy O30.003 ICD10CM number of amniotic sacs, third trimester [O30.009] Twin pregnancy, unspecified number of placenta and unspecified Pregnancy O30.009 ICD10CM number of amniotic sacs, unspecified trimester Pregnancy O30.011 [O30.011] Twin pregnancy, monochorionic/monoamniotic, first trimester ICD10CM

Pregnancy O30.012 [O30.012] Twin pregnancy, monochorionic/monoamniotic, second trimester ICD10CM

Pregnancy O30.013 [O30.013] Twin pregnancy, monochorionic/monoamniotic, third trimester ICD10CM

Pregnancy O30.019 [O30.019] Twin pregnancy, monochorionic/monoamniotic, unspecified trimester ICD10CM Pregnancy O30.021 [O30.021] Conjoined twin pregnancy, first trimester ICD10CM Pregnancy O30.022 [O30.022] Conjoined twin pregnancy, second trimester ICD10CM Pregnancy O30.023 [O30.023] Conjoined twin pregnancy, third trimester ICD10CM Pregnancy O30.029 [O30.029] Conjoined twin pregnancy, unspecified trimester ICD10CM Pregnancy O30.031 [O30.031] Twin pregnancy, monochorionic/diamniotic, first trimester ICD10CM Pregnancy O30.032 [O30.032] Twin pregnancy, monochorionic/diamniotic, second trimester ICD10CM Pregnancy O30.033 [O30.033] Twin pregnancy, monochorionic/diamniotic, third trimester ICD10CM Pregnancy O30.039 [O30.039] Twin pregnancy, monochorionic/diamniotic, unspecified trimester ICD10CM Pregnancy O30.041 [O30.041] Twin pregnancy, dichorionic/diamniotic, first trimester ICD10CM Pregnancy O30.042 [O30.042] Twin pregnancy, dichorionic/diamniotic, second trimester ICD10CM Pregnancy O30.043 [O30.043] Twin pregnancy, dichorionic/diamniotic, third trimester ICD10CM Pregnancy O30.049 [O30.049] Twin pregnancy, dichorionic/diamniotic, unspecified trimester ICD10CM [O30.091] Twin pregnancy, unable to determine number of placenta and number Pregnancy O30.091 ICD10CM of amniotic sacs, first trimester

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Exclusion Value Set Name Code Definition Code System [O30.092] Twin pregnancy, unable to determine number of placenta and number Pregnancy O30.092 ICD10CM of amniotic sacs, second trimester [O30.093] Twin pregnancy, unable to determine number of placenta and number Pregnancy O30.093 ICD10CM of amniotic sacs, third trimester [O30.099] Twin pregnancy, unable to determine number of placenta and number Pregnancy O30.099 ICD10CM of amniotic sacs, unspecified trimester [O30.101] Triplet pregnancy, unspecified number of placenta and unspecified Pregnancy O30.101 ICD10CM number of amniotic sacs, first trimester [O30.102] Triplet pregnancy, unspecified number of placenta and unspecified Pregnancy O30.102 ICD10CM number of amniotic sacs, second trimester [O30.103] Triplet pregnancy, unspecified number of placenta and unspecified Pregnancy O30.103 ICD10CM number of amniotic sacs, third trimester [O30.109] Triplet pregnancy, unspecified number of placenta and unspecified Pregnancy O30.109 ICD10CM number of amniotic sacs, unspecified trimester [O30.111] Triplet pregnancy with two or more monochorionic fetuses, first Pregnancy O30.111 ICD10CM trimester [O30.112] Triplet pregnancy with two or more monochorionic fetuses, second Pregnancy O30.112 ICD10CM trimester [O30.113] Triplet pregnancy with two or more monochorionic fetuses, third Pregnancy O30.113 ICD10CM trimester [O30.119] Triplet pregnancy with two or more monochorionic fetuses, Pregnancy O30.119 ICD10CM unspecified trimester [O30.121] Triplet pregnancy with two or more monoamniotic fetuses, first Pregnancy O30.121 ICD10CM trimester [O30.122] Triplet pregnancy with two or more monoamniotic fetuses, second Pregnancy O30.122 ICD10CM trimester [O30.123] Triplet pregnancy with two or more monoamniotic fetuses, third Pregnancy O30.123 ICD10CM trimester [O30.129] Triplet pregnancy with two or more monoamniotic fetuses, Pregnancy O30.129 ICD10CM unspecified trimester Pregnancy O30.131 [O30.131] Triplet pregnancy, trichorionic/triamniotic, first trimester ICD10CM Pregnancy O30.132 [O30.132] Triplet pregnancy, trichorionic/triamniotic, second trimester ICD10CM

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Exclusion Value Set Name Code Definition Code System Pregnancy O30.133 [O30.133] Triplet pregnancy, trichorionic/triamniotic, third trimester ICD10CM Pregnancy O30.139 [O30.139] Triplet pregnancy, trichorionic/triamniotic, unspecified trimester ICD10CM [O30.191] Triplet pregnancy, unable to determine number of placenta and Pregnancy O30.191 ICD10CM number of amniotic sacs, first trimester [O30.192] Triplet pregnancy, unable to determine number of placenta and Pregnancy O30.192 ICD10CM number of amniotic sacs, second trimester [O30.193] Triplet pregnancy, unable to determine number of placenta and Pregnancy O30.193 ICD10CM number of amniotic sacs, third trimester [O30.199] Triplet pregnancy, unable to determine number of placenta and Pregnancy O30.199 ICD10CM number of amniotic sacs, unspecified trimester [O30.201] Quadruplet pregnancy, unspecified number of placenta and Pregnancy O30.201 ICD10CM unspecified number of amniotic sacs, first trimester [O30.202] Quadruplet pregnancy, unspecified number of placenta and Pregnancy O30.202 ICD10CM unspecified number of amniotic sacs, second trimester [O30.203] Quadruplet pregnancy, unspecified number of placenta and Pregnancy O30.203 ICD10CM unspecified number of amniotic sacs, third trimester [O30.209] Quadruplet pregnancy, unspecified number of placenta and Pregnancy O30.209 ICD10CM unspecified number of amniotic sacs, unspecified trimester [O30.211] Quadruplet pregnancy with two or more monochorionic fetuses, first Pregnancy O30.211 ICD10CM trimester [O30.212] Quadruplet pregnancy with two or more monochorionic fetuses, Pregnancy O30.212 ICD10CM second trimester [O30.213] Quadruplet pregnancy with two or more monochorionic fetuses, third Pregnancy O30.213 ICD10CM trimester [O30.219] Quadruplet pregnancy with two or more monochorionic fetuses, Pregnancy O30.219 ICD10CM unspecified trimester [O30.221] Quadruplet pregnancy with two or more monoamniotic fetuses, first Pregnancy O30.221 ICD10CM trimester [O30.222] Quadruplet pregnancy with two or more monoamniotic fetuses, Pregnancy O30.222 ICD10CM second trimester

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Exclusion Value Set Name Code Definition Code System [O30.223] Quadruplet pregnancy with two or more monoamniotic fetuses, third Pregnancy O30.223 ICD10CM trimester [O30.229] Quadruplet pregnancy with two or more monoamniotic fetuses, Pregnancy O30.229 ICD10CM unspecified trimester [O30.231] Quadruplet pregnancy, quadrachorionic/quadra‐amniotic, first Pregnancy O30.231 ICD10CM trimester [O30.232] Quadruplet pregnancy, quadrachorionic/quadra‐amniotic, second Pregnancy O30.232 ICD10CM trimester [O30.233] Quadruplet pregnancy, quadrachorionic/quadra‐amniotic, third Pregnancy O30.233 ICD10CM trimester [O30.239] Quadruplet pregnancy, quadrachorionic/quadra‐amniotic, unspecified Pregnancy O30.239 ICD10CM trimester [O30.291] Quadruplet pregnancy, unable to determine number of placenta and Pregnancy O30.291 ICD10CM number of amniotic sacs, first trimester [O30.292] Quadruplet pregnancy, unable to determine number of placenta and Pregnancy O30.292 ICD10CM number of amniotic sacs, second trimester [O30.293] Quadruplet pregnancy, unable to determine number of placenta and Pregnancy O30.293 ICD10CM number of amniotic sacs, third trimester [O30.299] Quadruplet pregnancy, unable to determine number of placenta and Pregnancy O30.299 ICD10CM number of amniotic sacs, unspecified trimester [O30.801] Other specified multiple gestation, unspecified number of placenta Pregnancy O30.801 ICD10CM and unspecified number of amniotic sacs, first trimester [O30.802] Other specified multiple gestation, unspecified number of placenta Pregnancy O30.802 ICD10CM and unspecified number of amniotic sacs, second trimester [O30.803] Other specified multiple gestation, unspecified number of placenta Pregnancy O30.803 ICD10CM and unspecified number of amniotic sacs, third trimester [O30.809] Other specified multiple gestation, unspecified number of placenta Pregnancy O30.809 ICD10CM and unspecified number of amniotic sacs, unspecified trimester [O30.811] Other specified multiple gestation with two or more monochorionic Pregnancy O30.811 ICD10CM fetuses, first trimester

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Exclusion Value Set Name Code Definition Code System [O30.812] Other specified multiple gestation with two or more monochorionic Pregnancy O30.812 ICD10CM fetuses, second trimester [O30.813] Other specified multiple gestation with two or more monochorionic Pregnancy O30.813 ICD10CM fetuses, third trimester [O30.819] Other specified multiple gestation with two or more monochorionic Pregnancy O30.819 ICD10CM fetuses, unspecified trimester [O30.821] Other specified multiple gestation with two or more monoamniotic Pregnancy O30.821 ICD10CM fetuses, first trimester [O30.822] Other specified multiple gestation with two or more monoamniotic Pregnancy O30.822 ICD10CM fetuses, second trimester [O30.823] Other specified multiple gestation with two or more monoamniotic Pregnancy O30.823 ICD10CM fetuses, third trimester [O30.829] Other specified multiple gestation with two or more monoamniotic Pregnancy O30.829 ICD10CM fetuses, unspecified trimester [O30.831] Other specified multiple gestation, number of chorions and amnions Pregnancy O30.831 ICD10CM are both equal to the number of fetuses, first trimester [O30.832] Other specified multiple gestation, number of chorions and amnions Pregnancy O30.832 ICD10CM are both equal to the number of fetuses, second trimester [O30.833] Other specified multiple gestation, number of chorions and amnions Pregnancy O30.833 ICD10CM are both equal to the number of fetuses, third trimester [O30.839] Other specified multiple gestation, number of chorions and amnions Pregnancy O30.839 ICD10CM are both equal to the number of fetuses, unspecified trimester [O30.891] Other specified multiple gestation, unable to determine number of Pregnancy O30.891 ICD10CM placenta and number of amniotic sacs, first trimester [O30.892] Other specified multiple gestation, unable to determine number of Pregnancy O30.892 ICD10CM placenta and number of amniotic sacs, second trimester [O30.893] Other specified multiple gestation, unable to determine number of Pregnancy O30.893 ICD10CM placenta and number of amniotic sacs, third trimester [O30.899] Other specified multiple gestation, unable to determine number of Pregnancy O30.899 ICD10CM placenta and number of amniotic sacs, unspecified trimester

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Exclusion Value Set Name Code Definition Code System Pregnancy O30.90 [O30.90] Multiple gestation, unspecified, unspecified trimester ICD10CM Pregnancy O30.91 [O30.91] Multiple gestation, unspecified, first trimester ICD10CM Pregnancy O30.92 [O30.92] Multiple gestation, unspecified, second trimester ICD10CM Pregnancy O30.93 [O30.93] Multiple gestation, unspecified, third trimester ICD10CM [O31.00X0] Papyraceous fetus, unspecified trimester, not applicable or Pregnancy O31.00X0 ICD10CM unspecified Pregnancy O31.00X1 [O31.00X1] Papyraceous fetus, unspecified trimester, fetus 1 ICD10CM Pregnancy O31.00X2 [O31.00X2] Papyraceous fetus, unspecified trimester, fetus 2 ICD10CM Pregnancy O31.00X3 [O31.00X3] Papyraceous fetus, unspecified trimester, fetus 3 ICD10CM Pregnancy O31.00X4 [O31.00X4] Papyraceous fetus, unspecified trimester, fetus 4 ICD10CM Pregnancy O31.00X5 [O31.00X5] Papyraceous fetus, unspecified trimester, fetus 5 ICD10CM Pregnancy O31.00X9 [O31.00X9] Papyraceous fetus, unspecified trimester, other fetus ICD10CM Pregnancy O31.01X0 [O31.01X0] Papyraceous fetus, first trimester, not applicable or unspecified ICD10CM Pregnancy O31.01X1 [O31.01X1] Papyraceous fetus, first trimester, fetus 1 ICD10CM Pregnancy O31.01X2 [O31.01X2] Papyraceous fetus, first trimester, fetus 2 ICD10CM Pregnancy O31.01X3 [O31.01X3] Papyraceous fetus, first trimester, fetus 3 ICD10CM Pregnancy O31.01X4 [O31.01X4] Papyraceous fetus, first trimester, fetus 4 ICD10CM Pregnancy O31.01X5 [O31.01X5] Papyraceous fetus, first trimester, fetus 5 ICD10CM Pregnancy O31.01X9 [O31.01X9] Papyraceous fetus, first trimester, other fetus ICD10CM Pregnancy O31.02X0 [O31.02X0] Papyraceous fetus, second trimester, not applicable or unspecified ICD10CM Pregnancy O31.02X1 [O31.02X1] Papyraceous fetus, second trimester, fetus 1 ICD10CM Pregnancy O31.02X2 [O31.02X2] Papyraceous fetus, second trimester, fetus 2 ICD10CM Pregnancy O31.02X3 [O31.02X3] Papyraceous fetus, second trimester, fetus 3 ICD10CM Pregnancy O31.02X4 [O31.02X4] Papyraceous fetus, second trimester, fetus 4 ICD10CM Pregnancy O31.02X5 [O31.02X5] Papyraceous fetus, second trimester, fetus 5 ICD10CM Pregnancy O31.02X9 [O31.02X9] Papyraceous fetus, second trimester, other fetus ICD10CM Pregnancy O31.03X0 [O31.03X0] Papyraceous fetus, third trimester, not applicable or unspecified ICD10CM Pregnancy O31.03X1 [O31.03X1] Papyraceous fetus, third trimester, fetus 1 ICD10CM Pregnancy O31.03X2 [O31.03X2] Papyraceous fetus, third trimester, fetus 2 ICD10CM

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Exclusion Value Set Name Code Definition Code System Pregnancy O31.03X3 [O31.03X3] Papyraceous fetus, third trimester, fetus 3 ICD10CM Pregnancy O31.03X4 [O31.03X4] Papyraceous fetus, third trimester, fetus 4 ICD10CM Pregnancy O31.03X5 [O31.03X5] Papyraceous fetus, third trimester, fetus 5 ICD10CM Pregnancy O31.03X9 [O31.03X9] Papyraceous fetus, third trimester, other fetus ICD10CM [O31.10X0] Continuing pregnancy after spontaneous abortion of one fetus or Pregnancy O31.10X0 ICD10CM more, unspecified trimester, not applicable or unspecified [O31.10X1] Continuing pregnancy after spontaneous abortion of one fetus or Pregnancy O31.10X1 ICD10CM more, unspecified trimester, fetus 1 [O31.10X2] Continuing pregnancy after spontaneous abortion of one fetus or Pregnancy O31.10X2 ICD10CM more, unspecified trimester, fetus 2 [O31.10X3] Continuing pregnancy after spontaneous abortion of one fetus or Pregnancy O31.10X3 ICD10CM more, unspecified trimester, fetus 3 [O31.10X4] Continuing pregnancy after spontaneous abortion of one fetus or Pregnancy O31.10X4 ICD10CM more, unspecified trimester, fetus 4 [O31.10X5] Continuing pregnancy after spontaneous abortion of one fetus or Pregnancy O31.10X5 ICD10CM more, unspecified trimester, fetus 5 [O31.10X9] Continuing pregnancy after spontaneous abortion of one fetus or Pregnancy O31.10X9 ICD10CM more, unspecified trimester, other fetus [O31.11X0] Continuing pregnancy after spontaneous abortion of one fetus or Pregnancy O31.11X0 ICD10CM more, first trimester, not applicable or unspecified [O31.11X1] Continuing pregnancy after spontaneous abortion of one fetus or Pregnancy O31.11X1 ICD10CM more, first trimester, fetus 1 [O31.11X2] Continuing pregnancy after spontaneous abortion of one fetus or Pregnancy O31.11X2 ICD10CM more, first trimester, fetus 2 [O31.11X3] Continuing pregnancy after spontaneous abortion of one fetus or Pregnancy O31.11X3 ICD10CM more, first trimester, fetus 3 [O31.11X4] Continuing pregnancy after spontaneous abortion of one fetus or Pregnancy O31.11X4 ICD10CM more, first trimester, fetus 4 [O31.11X5] Continuing pregnancy after spontaneous abortion of one fetus or Pregnancy O31.11X5 ICD10CM more, first trimester, fetus 5 [O31.11X9] Continuing pregnancy after spontaneous abortion of one fetus or Pregnancy O31.11X9 ICD10CM more, first trimester, other fetus

Page 198 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System [O31.12X0] Continuing pregnancy after spontaneous abortion of one fetus or Pregnancy O31.12X0 ICD10CM more, second trimester, not applicable or unspecified [O31.12X1] Continuing pregnancy after spontaneous abortion of one fetus or Pregnancy O31.12X1 ICD10CM more, second trimester, fetus 1 [O31.12X2] Continuing pregnancy after spontaneous abortion of one fetus or Pregnancy O31.12X2 ICD10CM more, second trimester, fetus 2 [O31.12X3] Continuing pregnancy after spontaneous abortion of one fetus or Pregnancy O31.12X3 ICD10CM more, second trimester, fetus 3 [O31.12X4] Continuing pregnancy after spontaneous abortion of one fetus or Pregnancy O31.12X4 ICD10CM more, second trimester, fetus 4 [O31.12X5] Continuing pregnancy after spontaneous abortion of one fetus or Pregnancy O31.12X5 ICD10CM more, second trimester, fetus 5 [O31.12X9] Continuing pregnancy after spontaneous abortion of one fetus or Pregnancy O31.12X9 ICD10CM more, second trimester, other fetus [O31.13X0] Continuing pregnancy after spontaneous abortion of one fetus or Pregnancy O31.13X0 ICD10CM more, third trimester, not applicable or unspecified [O31.13X1] Continuing pregnancy after spontaneous abortion of one fetus or Pregnancy O31.13X1 ICD10CM more, third trimester, fetus 1 [O31.13X2] Continuing pregnancy after spontaneous abortion of one fetus or Pregnancy O31.13X2 ICD10CM more, third trimester, fetus 2 [O31.13X3] Continuing pregnancy after spontaneous abortion of one fetus or Pregnancy O31.13X3 ICD10CM more, third trimester, fetus 3 [O31.13X4] Continuing pregnancy after spontaneous abortion of one fetus or Pregnancy O31.13X4 ICD10CM more, third trimester, fetus 4 [O31.13X5] Continuing pregnancy after spontaneous abortion of one fetus or Pregnancy O31.13X5 ICD10CM more, third trimester, fetus 5 [O31.13X9] Continuing pregnancy after spontaneous abortion of one fetus or Pregnancy O31.13X9 ICD10CM more, third trimester, other fetus [O31.20X0] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.20X0 ICD10CM unspecified trimester, not applicable or unspecified [O31.20X1] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.20X1 ICD10CM unspecified trimester, fetus 1

Page 199 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System [O31.20X2] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.20X2 ICD10CM unspecified trimester, fetus 2 [O31.20X3] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.20X3 ICD10CM unspecified trimester, fetus 3 [O31.20X4] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.20X4 ICD10CM unspecified trimester, fetus 4 [O31.20X5] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.20X5 ICD10CM unspecified trimester, fetus 5 [O31.20X9] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.20X9 ICD10CM unspecified trimester, other fetus [O31.21X0] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.21X0 ICD10CM first trimester, not applicable or unspecified [O31.21X1] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.21X1 ICD10CM first trimester, fetus 1 [O31.21X2] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.21X2 ICD10CM first trimester, fetus 2 [O31.21X3] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.21X3 ICD10CM first trimester, fetus 3 [O31.21X4] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.21X4 ICD10CM first trimester, fetus 4 [O31.21X5] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.21X5 ICD10CM first trimester, fetus 5 [O31.21X9] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.21X9 ICD10CM first trimester, other fetus [O31.22X0] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.22X0 ICD10CM second trimester, not applicable or unspecified [O31.22X1] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.22X1 ICD10CM second trimester, fetus 1 [O31.22X2] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.22X2 ICD10CM second trimester, fetus 2 [O31.22X3] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.22X3 ICD10CM second trimester, fetus 3

Page 200 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System [O31.22X4] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.22X4 ICD10CM second trimester, fetus 4 [O31.22X5] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.22X5 ICD10CM second trimester, fetus 5 [O31.22X9] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.22X9 ICD10CM second trimester, other fetus [O31.23X0] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.23X0 ICD10CM third trimester, not applicable or unspecified [O31.23X1] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.23X1 ICD10CM third trimester, fetus 1 [O31.23X2] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.23X2 ICD10CM third trimester, fetus 2 [O31.23X3] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.23X3 ICD10CM third trimester, fetus 3 [O31.23X4] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.23X4 ICD10CM third trimester, fetus 4 [O31.23X5] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.23X5 ICD10CM third trimester, fetus 5 [O31.23X9] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.23X9 ICD10CM third trimester, other fetus [O31.30X0] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.30X0 ICD10CM more, unspecified trimester, not applicable or unspecified [O31.30X1] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.30X1 ICD10CM more, unspecified trimester, fetus 1 [O31.30X2] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.30X2 ICD10CM more, unspecified trimester, fetus 2 [O31.30X3] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.30X3 ICD10CM more, unspecified trimester, fetus 3 [O31.30X4] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.30X4 ICD10CM more, unspecified trimester, fetus 4 [O31.30X5] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.30X5 ICD10CM more, unspecified trimester, fetus 5

Page 201 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System [O31.30X9] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.30X9 ICD10CM more, unspecified trimester, other fetus [O31.31X0] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.31X0 ICD10CM more, first trimester, not applicable or unspecified [O31.31X1] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.31X1 ICD10CM more, first trimester, fetus 1 [O31.31X2] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.31X2 ICD10CM more, first trimester, fetus 2 [O31.31X3] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.31X3 ICD10CM more, first trimester, fetus 3 [O31.31X4] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.31X4 ICD10CM more, first trimester, fetus 4 [O31.31X5] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.31X5 ICD10CM more, first trimester, fetus 5 [O31.31X9] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.31X9 ICD10CM more, first trimester, other fetus [O31.32X0] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.32X0 ICD10CM more, second trimester, not applicable or unspecified [O31.32X1] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.32X1 ICD10CM more, second trimester, fetus 1 [O31.32X2] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.32X2 ICD10CM more, second trimester, fetus 2 [O31.32X3] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.32X3 ICD10CM more, second trimester, fetus 3 [O31.32X4] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.32X4 ICD10CM more, second trimester, fetus 4 [O31.32X5] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.32X5 ICD10CM more, second trimester, fetus 5 [O31.32X9] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.32X9 ICD10CM more, second trimester, other fetus [O31.33X0] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.33X0 ICD10CM more, third trimester, not applicable or unspecified

Page 202 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System [O31.33X1] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.33X1 ICD10CM more, third trimester, fetus 1 [O31.33X2] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.33X2 ICD10CM more, third trimester, fetus 2 [O31.33X3] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.33X3 ICD10CM more, third trimester, fetus 3 [O31.33X4] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.33X4 ICD10CM more, third trimester, fetus 4 [O31.33X5] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.33X5 ICD10CM more, third trimester, fetus 5 [O31.33X9] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.33X9 ICD10CM more, third trimester, other fetus [O31.8X10] Other complications specific to multiple gestation, first trimester, not Pregnancy O31.8X10 ICD10CM applicable or unspecified [O31.8X11] Other complications specific to multiple gestation, first trimester, Pregnancy O31.8X11 ICD10CM fetus 1 [O31.8X12] Other complications specific to multiple gestation, first trimester, Pregnancy O31.8X12 ICD10CM fetus 2 [O31.8X13] Other complications specific to multiple gestation, first trimester, Pregnancy O31.8X13 ICD10CM fetus 3 [O31.8X14] Other complications specific to multiple gestation, first trimester, Pregnancy O31.8X14 ICD10CM fetus 4 [O31.8X15] Other complications specific to multiple gestation, first trimester, Pregnancy O31.8X15 ICD10CM fetus 5 [O31.8X19] Other complications specific to multiple gestation, first trimester, Pregnancy O31.8X19 ICD10CM other fetus [O31.8X20] Other complications specific to multiple gestation, second trimester, Pregnancy O31.8X20 ICD10CM not applicable or unspecified [O31.8X21] Other complications specific to multiple gestation, second trimester, Pregnancy O31.8X21 ICD10CM fetus 1 [O31.8X22] Other complications specific to multiple gestation, second trimester, Pregnancy O31.8X22 ICD10CM fetus 2

Page 203 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System [O31.8X23] Other complications specific to multiple gestation, second trimester, Pregnancy O31.8X23 ICD10CM fetus 3 [O31.8X24] Other complications specific to multiple gestation, second trimester, Pregnancy O31.8X24 ICD10CM fetus 4 [O31.8X25] Other complications specific to multiple gestation, second trimester, Pregnancy O31.8X25 ICD10CM fetus 5 [O31.8X29] Other complications specific to multiple gestation, second trimester, Pregnancy O31.8X29 ICD10CM other fetus [O31.8X30] Other complications specific to multiple gestation, third trimester, Pregnancy O31.8X30 ICD10CM not applicable or unspecified [O31.8X31] Other complications specific to multiple gestation, third trimester, Pregnancy O31.8X31 ICD10CM fetus 1 [O31.8X32] Other complications specific to multiple gestation, third trimester, Pregnancy O31.8X32 ICD10CM fetus 2 [O31.8X33] Other complications specific to multiple gestation, third trimester, Pregnancy O31.8X33 ICD10CM fetus 3 [O31.8X34] Other complications specific to multiple gestation, third trimester, Pregnancy O31.8X34 ICD10CM fetus 4 [O31.8X35] Other complications specific to multiple gestation, third trimester, Pregnancy O31.8X35 ICD10CM fetus 5 [O31.8X39] Other complications specific to multiple gestation, third trimester, Pregnancy O31.8X39 ICD10CM other fetus [O31.8X90] Other complications specific to multiple gestation, unspecified Pregnancy O31.8X90 ICD10CM trimester, not applicable or unspecified [O31.8X91] Other complications specific to multiple gestation, unspecified Pregnancy O31.8X91 ICD10CM trimester, fetus 1 [O31.8X92] Other complications specific to multiple gestation, unspecified Pregnancy O31.8X92 ICD10CM trimester, fetus 2 [O31.8X93] Other complications specific to multiple gestation, unspecified Pregnancy O31.8X93 ICD10CM trimester, fetus 3 [O31.8X94] Other complications specific to multiple gestation, unspecified Pregnancy O31.8X94 ICD10CM trimester, fetus 4

Page 204 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System [O31.8X95] Other complications specific to multiple gestation, unspecified Pregnancy O31.8X95 ICD10CM trimester, fetus 5 [O31.8X99] Other complications specific to multiple gestation, unspecified Pregnancy O31.8X99 ICD10CM trimester, other fetus Pregnancy O32.0XX0 [O32.0XX0] Maternal care for unstable lie, not applicable or unspecified ICD10CM Pregnancy O32.0XX1 [O32.0XX1] Maternal care for unstable lie, fetus 1 ICD10CM Pregnancy O32.0XX2 [O32.0XX2] Maternal care for unstable lie, fetus 2 ICD10CM Pregnancy O32.0XX3 [O32.0XX3] Maternal care for unstable lie, fetus 3 ICD10CM Pregnancy O32.0XX4 [O32.0XX4] Maternal care for unstable lie, fetus 4 ICD10CM Pregnancy O32.0XX5 [O32.0XX5] Maternal care for unstable lie, fetus 5 ICD10CM Pregnancy O32.0XX9 [O32.0XX9] Maternal care for unstable lie, other fetus ICD10CM Pregnancy O32.1XX0 [O32.1XX0] Maternal care for breech presentation, not applicable or unspecified ICD10CM Pregnancy O32.1XX1 [O32.1XX1] Maternal care for breech presentation, fetus 1 ICD10CM Pregnancy O32.1XX2 [O32.1XX2] Maternal care for breech presentation, fetus 2 ICD10CM Pregnancy O32.1XX3 [O32.1XX3] Maternal care for breech presentation, fetus 3 ICD10CM Pregnancy O32.1XX4 [O32.1XX4] Maternal care for breech presentation, fetus 4 ICD10CM Pregnancy O32.1XX5 [O32.1XX5] Maternal care for breech presentation, fetus 5 ICD10CM Pregnancy O32.1XX9 [O32.1XX9] Maternal care for breech presentation, other fetus ICD10CM [O32.2XX0] Maternal care for transverse and oblique lie, not applicable or Pregnancy O32.2XX0 ICD10CM unspecified Pregnancy O32.2XX1 [O32.2XX1] Maternal care for transverse and oblique lie, fetus 1 ICD10CM Pregnancy O32.2XX2 [O32.2XX2] Maternal care for transverse and oblique lie, fetus 2 ICD10CM Pregnancy O32.2XX3 [O32.2XX3] Maternal care for transverse and oblique lie, fetus 3 ICD10CM Pregnancy O32.2XX4 [O32.2XX4] Maternal care for transverse and oblique lie, fetus 4 ICD10CM Pregnancy O32.2XX5 [O32.2XX5] Maternal care for transverse and oblique lie, fetus 5 ICD10CM Pregnancy O32.2XX9 [O32.2XX9] Maternal care for transverse and oblique lie, other fetus ICD10CM [O32.3XX0] Maternal care for face, brow and chin presentation, not applicable or Pregnancy O32.3XX0 ICD10CM unspecified Pregnancy O32.3XX1 [O32.3XX1] Maternal care for face, brow and chin presentation, fetus 1 ICD10CM Pregnancy O32.3XX2 [O32.3XX2] Maternal care for face, brow and chin presentation, fetus 2 ICD10CM Pregnancy O32.3XX3 [O32.3XX3] Maternal care for face, brow and chin presentation, fetus 3 ICD10CM

Page 205 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Pregnancy O32.3XX4 [O32.3XX4] Maternal care for face, brow and chin presentation, fetus 4 ICD10CM Pregnancy O32.3XX5 [O32.3XX5] Maternal care for face, brow and chin presentation, fetus 5 ICD10CM Pregnancy O32.3XX9 [O32.3XX9] Maternal care for face, brow and chin presentation, other fetus ICD10CM

Pregnancy O32.4XX0 [O32.4XX0] Maternal care for high head at term, not applicable or unspecified ICD10CM Pregnancy O32.4XX1 [O32.4XX1] Maternal care for high head at term, fetus 1 ICD10CM Pregnancy O32.4XX2 [O32.4XX2] Maternal care for high head at term, fetus 2 ICD10CM Pregnancy O32.4XX3 [O32.4XX3] Maternal care for high head at term, fetus 3 ICD10CM Pregnancy O32.4XX4 [O32.4XX4] Maternal care for high head at term, fetus 4 ICD10CM Pregnancy O32.4XX5 [O32.4XX5] Maternal care for high head at term, fetus 5 ICD10CM Pregnancy O32.4XX9 [O32.4XX9] Maternal care for high head at term, other fetus ICD10CM [O32.6XX0] Maternal care for compound presentation, not applicable or Pregnancy O32.6XX0 ICD10CM unspecified Pregnancy O32.6XX1 [O32.6XX1] Maternal care for compound presentation, fetus 1 ICD10CM Pregnancy O32.6XX2 [O32.6XX2] Maternal care for compound presentation, fetus 2 ICD10CM Pregnancy O32.6XX3 [O32.6XX3] Maternal care for compound presentation, fetus 3 ICD10CM Pregnancy O32.6XX4 [O32.6XX4] Maternal care for compound presentation, fetus 4 ICD10CM Pregnancy O32.6XX5 [O32.6XX5] Maternal care for compound presentation, fetus 5 ICD10CM Pregnancy O32.6XX9 [O32.6XX9] Maternal care for compound presentation, other fetus ICD10CM [O32.8XX0] Maternal care for other malpresentation of fetus, not applicable or Pregnancy O32.8XX0 ICD10CM unspecified Pregnancy O32.8XX1 [O32.8XX1] Maternal care for other malpresentation of fetus, fetus 1 ICD10CM Pregnancy O32.8XX2 [O32.8XX2] Maternal care for other malpresentation of fetus, fetus 2 ICD10CM Pregnancy O32.8XX3 [O32.8XX3] Maternal care for other malpresentation of fetus, fetus 3 ICD10CM Pregnancy O32.8XX4 [O32.8XX4] Maternal care for other malpresentation of fetus, fetus 4 ICD10CM Pregnancy O32.8XX5 [O32.8XX5] Maternal care for other malpresentation of fetus, fetus 5 ICD10CM Pregnancy O32.8XX9 [O32.8XX9] Maternal care for other malpresentation of fetus, other fetus ICD10CM [O32.9XX0] Maternal care for malpresentation of fetus, unspecified, not Pregnancy O32.9XX0 ICD10CM applicable or unspecified

Page 206 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Pregnancy O32.9XX1 [O32.9XX1] Maternal care for malpresentation of fetus, unspecified, fetus 1 ICD10CM

Pregnancy O32.9XX2 [O32.9XX2] Maternal care for malpresentation of fetus, unspecified, fetus 2 ICD10CM

Pregnancy O32.9XX3 [O32.9XX3] Maternal care for malpresentation of fetus, unspecified, fetus 3 ICD10CM

Pregnancy O32.9XX4 [O32.9XX4] Maternal care for malpresentation of fetus, unspecified, fetus 4 ICD10CM

Pregnancy O32.9XX5 [O32.9XX5] Maternal care for malpresentation of fetus, unspecified, fetus 5 ICD10CM

Pregnancy O32.9XX9 [O32.9XX9] Maternal care for malpresentation of fetus, unspecified, other fetus ICD10CM [O33.0] Maternal care for disproportion due to deformity of maternal pelvic Pregnancy O33.0 ICD10CM bones Pregnancy O33.1 [O33.1] Maternal care for disproportion due to generally contracted pelvis ICD10CM

Pregnancy O33.2 [O33.2] Maternal care for disproportion due to inlet contraction of pelvis ICD10CM [O33.3XX0] Maternal care for disproportion due to outlet contraction of pelvis, Pregnancy O33.3XX0 ICD10CM not applicable or unspecified [O33.3XX1] Maternal care for disproportion due to outlet contraction of pelvis, Pregnancy O33.3XX1 ICD10CM fetus 1 [O33.3XX2] Maternal care for disproportion due to outlet contraction of pelvis, Pregnancy O33.3XX2 ICD10CM fetus 2 [O33.3XX3] Maternal care for disproportion due to outlet contraction of pelvis, Pregnancy O33.3XX3 ICD10CM fetus 3 [O33.3XX4] Maternal care for disproportion due to outlet contraction of pelvis, Pregnancy O33.3XX4 ICD10CM fetus 4 [O33.3XX5] Maternal care for disproportion due to outlet contraction of pelvis, Pregnancy O33.3XX5 ICD10CM fetus 5 [O33.3XX9] Maternal care for disproportion due to outlet contraction of pelvis, Pregnancy O33.3XX9 ICD10CM other fetus

Page 207 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System [O33.4XX0] Maternal care for disproportion of mixed maternal and fetal origin, Pregnancy O33.4XX0 ICD10CM not applicable or unspecified [O33.4XX1] Maternal care for disproportion of mixed maternal and fetal origin, Pregnancy O33.4XX1 ICD10CM fetus 1 [O33.4XX2] Maternal care for disproportion of mixed maternal and fetal origin, Pregnancy O33.4XX2 ICD10CM fetus 2 [O33.4XX3] Maternal care for disproportion of mixed maternal and fetal origin, Pregnancy O33.4XX3 ICD10CM fetus 3 [O33.4XX4] Maternal care for disproportion of mixed maternal and fetal origin, Pregnancy O33.4XX4 ICD10CM fetus 4 [O33.4XX5] Maternal care for disproportion of mixed maternal and fetal origin, Pregnancy O33.4XX5 ICD10CM fetus 5 [O33.4XX9] Maternal care for disproportion of mixed maternal and fetal origin, Pregnancy O33.4XX9 ICD10CM other fetus [O33.5XX0] Maternal care for disproportion due to unusually large fetus, not Pregnancy O33.5XX0 ICD10CM applicable or unspecified Pregnancy O33.5XX1 [O33.5XX1] Maternal care for disproportion due to unusually large fetus, fetus 1 ICD10CM

Pregnancy O33.5XX2 [O33.5XX2] Maternal care for disproportion due to unusually large fetus, fetus 2 ICD10CM

Pregnancy O33.5XX3 [O33.5XX3] Maternal care for disproportion due to unusually large fetus, fetus 3 ICD10CM

Pregnancy O33.5XX4 [O33.5XX4] Maternal care for disproportion due to unusually large fetus, fetus 4 ICD10CM

Pregnancy O33.5XX5 [O33.5XX5] Maternal care for disproportion due to unusually large fetus, fetus 5 ICD10CM [O33.5XX9] Maternal care for disproportion due to unusually large fetus, other Pregnancy O33.5XX9 ICD10CM fetus [O33.6XX0] Maternal care for disproportion due to hydrocephalic fetus, not Pregnancy O33.6XX0 ICD10CM applicable or unspecified Pregnancy O33.6XX1 [O33.6XX1] Maternal care for disproportion due to hydrocephalic fetus, fetus 1 ICD10CM

Page 208 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Pregnancy O33.6XX2 [O33.6XX2] Maternal care for disproportion due to hydrocephalic fetus, fetus 2 ICD10CM

Pregnancy O33.6XX3 [O33.6XX3] Maternal care for disproportion due to hydrocephalic fetus, fetus 3 ICD10CM

Pregnancy O33.6XX4 [O33.6XX4] Maternal care for disproportion due to hydrocephalic fetus, fetus 4 ICD10CM

Pregnancy O33.6XX5 [O33.6XX5] Maternal care for disproportion due to hydrocephalic fetus, fetus 5 ICD10CM [O33.6XX9] Maternal care for disproportion due to hydrocephalic fetus, other Pregnancy O33.6XX9 ICD10CM fetus Pregnancy O33.7 [O33.7] Maternal care for disproportion due to other fetal deformities ICD10CM [O33.7XX0] Maternal care for disproportion due to other fetal deformities, not Pregnancy O33.7XX0 ICD10CM applicable or unspecified [O33.7XX1] Maternal care for disproportion due to other fetal deformities, fetus Pregnancy O33.7XX1 ICD10CM 1 [O33.7XX2] Maternal care for disproportion due to other fetal deformities, fetus Pregnancy O33.7XX2 ICD10CM 2 [O33.7XX3] Maternal care for disproportion due to other fetal deformities, fetus Pregnancy O33.7XX3 ICD10CM 3 [O33.7XX4] Maternal care for disproportion due to other fetal deformities, fetus Pregnancy O33.7XX4 ICD10CM 4 [O33.7XX5] Maternal care for disproportion due to other fetal deformities, fetus Pregnancy O33.7XX5 ICD10CM 5 [O33.7XX9] Maternal care for disproportion due to other fetal deformities, other Pregnancy O33.7XX9 ICD10CM fetus Pregnancy O33.8 [O33.8] Maternal care for disproportion of other origin ICD10CM Pregnancy O33.9 [O33.9] Maternal care for disproportion, unspecified ICD10CM [O34.00] Maternal care for unspecified congenital malformation of uterus, Pregnancy O34.00 ICD10CM unspecified trimester [O34.01] Maternal care for unspecified congenital malformation of uterus, first Pregnancy O34.01 ICD10CM trimester

Page 209 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System [O34.02] Maternal care for unspecified congenital malformation of uterus, Pregnancy O34.02 ICD10CM second trimester [O34.03] Maternal care for unspecified congenital malformation of uterus, third Pregnancy O34.03 ICD10CM trimester Pregnancy O34.10 [O34.10] Maternal care for benign tumor of corpus uteri, unspecified trimester ICD10CM Pregnancy O34.11 [O34.11] Maternal care for benign tumor of corpus uteri, first trimester ICD10CM Pregnancy O34.12 [O34.12] Maternal care for benign tumor of corpus uteri, second trimester ICD10CM Pregnancy O34.13 [O34.13] Maternal care for benign tumor of corpus uteri, third trimester ICD10CM Pregnancy O34.21 [O34.21] Maternal care for scar from previous cesarean delivery ICD10CM Pregnancy O34.211 [O34.211] Maternal care for low transverse scar from previous cesarean delivery ICD10CM

Pregnancy O34.212 [O34.212] Maternal care for vertical scar from previous cesarean delivery ICD10CM [O34.219] Maternal care for unspecified type scar from previous cesarean Pregnancy O34.219 ICD10CM delivery Pregnancy O34.29 [O34.29] Maternal care due to uterine scar from other previous surgery ICD10CM Pregnancy O34.30 [O34.30] Maternal care for cervical incompetence, unspecified trimester ICD10CM Pregnancy O34.31 [O34.31] Maternal care for cervical incompetence, first trimester ICD10CM Pregnancy O34.32 [O34.32] Maternal care for cervical incompetence, second trimester ICD10CM Pregnancy O34.33 [O34.33] Maternal care for cervical incompetence, third trimester ICD10CM Pregnancy O34.40 [O34.40] Maternal care for other abnormalities of cervix, unspecified trimester ICD10CM Pregnancy O34.41 [O34.41] Maternal care for other abnormalities of cervix, first trimester ICD10CM Pregnancy O34.42 [O34.42] Maternal care for other abnormalities of cervix, second trimester ICD10CM

Pregnancy O34.43 [O34.43] Maternal care for other abnormalities of cervix, third trimester ICD10CM

Pregnancy O34.511 [O34.511] Maternal care for incarceration of gravid uterus, first trimester ICD10CM

Page 210 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Pregnancy O34.512 [O34.512] Maternal care for incarceration of gravid uterus, second trimester ICD10CM

Pregnancy O34.513 [O34.513] Maternal care for incarceration of gravid uterus, third trimester ICD10CM

Pregnancy O34.519 [O34.519] Maternal care for incarceration of gravid uterus, unspecified trimester ICD10CM Pregnancy O34.521 [O34.521] Maternal care for prolapse of gravid uterus, first trimester ICD10CM Pregnancy O34.522 [O34.522] Maternal care for prolapse of gravid uterus, second trimester ICD10CM Pregnancy O34.523 [O34.523] Maternal care for prolapse of gravid uterus, third trimester ICD10CM Pregnancy O34.529 [O34.529] Maternal care for prolapse of gravid uterus, unspecified trimester ICD10CM

Pregnancy O34.531 [O34.531] Maternal care for retroversion of gravid uterus, first trimester ICD10CM

Pregnancy O34.532 [O34.532] Maternal care for retroversion of gravid uterus, second trimester ICD10CM

Pregnancy O34.533 [O34.533] Maternal care for retroversion of gravid uterus, third trimester ICD10CM

Pregnancy O34.539 [O34.539] Maternal care for retroversion of gravid uterus, unspecified trimester ICD10CM

Pregnancy O34.591 [O34.591] Maternal care for other abnormalities of gravid uterus, first trimester ICD10CM [O34.592] Maternal care for other abnormalities of gravid uterus, second Pregnancy O34.592 ICD10CM trimester Pregnancy O34.593 [O34.593] Maternal care for other abnormalities of gravid uterus, third trimester ICD10CM [O34.599] Maternal care for other abnormalities of gravid uterus, unspecified Pregnancy O34.599 ICD10CM trimester Pregnancy O34.60 [O34.60] Maternal care for abnormality of vagina, unspecified trimester ICD10CM Pregnancy O34.61 [O34.61] Maternal care for abnormality of vagina, first trimester ICD10CM Pregnancy O34.62 [O34.62] Maternal care for abnormality of vagina, second trimester ICD10CM Pregnancy O34.63 [O34.63] Maternal care for abnormality of vagina, third trimester ICD10CM

Page 211 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System [O34.70] Maternal care for abnormality of vulva and perineum, unspecified Pregnancy O34.70 ICD10CM trimester Pregnancy O34.71 [O34.71] Maternal care for abnormality of vulva and perineum, first trimester ICD10CM

Pregnancy O34.72 [O34.72] Maternal care for abnormality of vulva and perineum, second trimester ICD10CM

Pregnancy O34.73 [O34.73] Maternal care for abnormality of vulva and perineum, third trimester ICD10CM [O34.80] Maternal care for other abnormalities of pelvic organs, unspecified Pregnancy O34.80 ICD10CM trimester Pregnancy O34.81 [O34.81] Maternal care for other abnormalities of pelvic organs, first trimester ICD10CM

Pregnancy O34.82 [O34.82] Maternal care for other abnormalities of pelvic organs, second trimester ICD10CM

Pregnancy O34.83 [O34.83] Maternal care for other abnormalities of pelvic organs, third trimester ICD10CM [O34.90] Maternal care for abnormality of pelvic organ, unspecified, unspecified Pregnancy O34.90 ICD10CM trimester [O34.91] Maternal care for abnormality of pelvic organ, unspecified, first Pregnancy O34.91 ICD10CM trimester [O34.92] Maternal care for abnormality of pelvic organ, unspecified, second Pregnancy O34.92 ICD10CM trimester [O34.93] Maternal care for abnormality of pelvic organ, unspecified, third Pregnancy O34.93 ICD10CM trimester [O35.0XX0] Maternal care for (suspected) central nervous system malformation Pregnancy O35.0XX0 ICD10CM in fetus, not applicable or unspecified [O35.0XX1] Maternal care for (suspected) central nervous system malformation Pregnancy O35.0XX1 ICD10CM in fetus, fetus 1 [O35.0XX2] Maternal care for (suspected) central nervous system malformation Pregnancy O35.0XX2 ICD10CM in fetus, fetus 2 [O35.0XX3] Maternal care for (suspected) central nervous system malformation Pregnancy O35.0XX3 ICD10CM in fetus, fetus 3

Page 212 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System [O35.0XX4] Maternal care for (suspected) central nervous system malformation Pregnancy O35.0XX4 ICD10CM in fetus, fetus 4 [O35.0XX5] Maternal care for (suspected) central nervous system malformation Pregnancy O35.0XX5 ICD10CM in fetus, fetus 5 [O35.0XX9] Maternal care for (suspected) central nervous system malformation Pregnancy O35.0XX9 ICD10CM in fetus, other fetus [O35.1XX0] Maternal care for (suspected) chromosomal abnormality in fetus, not Pregnancy O35.1XX0 ICD10CM applicable or unspecified [O35.1XX1] Maternal care for (suspected) chromosomal abnormality in fetus, Pregnancy O35.1XX1 ICD10CM fetus 1 [O35.1XX2] Maternal care for (suspected) chromosomal abnormality in fetus, Pregnancy O35.1XX2 ICD10CM fetus 2 [O35.1XX3] Maternal care for (suspected) chromosomal abnormality in fetus, Pregnancy O35.1XX3 ICD10CM fetus 3 [O35.1XX4] Maternal care for (suspected) chromosomal abnormality in fetus, Pregnancy O35.1XX4 ICD10CM fetus 4 [O35.1XX5] Maternal care for (suspected) chromosomal abnormality in fetus, Pregnancy O35.1XX5 ICD10CM fetus 5 [O35.1XX9] Maternal care for (suspected) chromosomal abnormality in fetus, Pregnancy O35.1XX9 ICD10CM other fetus [O35.2XX0] Maternal care for (suspected) hereditary disease in fetus, not Pregnancy O35.2XX0 ICD10CM applicable or unspecified Pregnancy O35.2XX1 [O35.2XX1] Maternal care for (suspected) hereditary disease in fetus, fetus 1 ICD10CM

Pregnancy O35.2XX2 [O35.2XX2] Maternal care for (suspected) hereditary disease in fetus, fetus 2 ICD10CM

Pregnancy O35.2XX3 [O35.2XX3] Maternal care for (suspected) hereditary disease in fetus, fetus 3 ICD10CM

Pregnancy O35.2XX4 [O35.2XX4] Maternal care for (suspected) hereditary disease in fetus, fetus 4 ICD10CM

Pregnancy O35.2XX5 [O35.2XX5] Maternal care for (suspected) hereditary disease in fetus, fetus 5 ICD10CM

Page 213 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Pregnancy O35.2XX9 [O35.2XX9] Maternal care for (suspected) hereditary disease in fetus, other fetus ICD10CM [O35.3XX0] Maternal care for (suspected) damage to fetus from viral disease in Pregnancy O35.3XX0 ICD10CM mother, not applicable or unspecified [O35.3XX1] Maternal care for (suspected) damage to fetus from viral disease in Pregnancy O35.3XX1 ICD10CM mother, fetus 1 [O35.3XX2] Maternal care for (suspected) damage to fetus from viral disease in Pregnancy O35.3XX2 ICD10CM mother, fetus 2 [O35.3XX3] Maternal care for (suspected) damage to fetus from viral disease in Pregnancy O35.3XX3 ICD10CM mother, fetus 3 [O35.3XX4] Maternal care for (suspected) damage to fetus from viral disease in Pregnancy O35.3XX4 ICD10CM mother, fetus 4 [O35.3XX5] Maternal care for (suspected) damage to fetus from viral disease in Pregnancy O35.3XX5 ICD10CM mother, fetus 5 [O35.3XX9] Maternal care for (suspected) damage to fetus from viral disease in Pregnancy O35.3XX9 ICD10CM mother, other fetus [O35.4XX0] Maternal care for (suspected) damage to fetus from alcohol, not Pregnancy O35.4XX0 ICD10CM applicable or unspecified Pregnancy O35.4XX1 [O35.4XX1] Maternal care for (suspected) damage to fetus from alcohol, fetus 1 ICD10CM

Pregnancy O35.4XX2 [O35.4XX2] Maternal care for (suspected) damage to fetus from alcohol, fetus 2 ICD10CM

Pregnancy O35.4XX3 [O35.4XX3] Maternal care for (suspected) damage to fetus from alcohol, fetus 3 ICD10CM

Pregnancy O35.4XX4 [O35.4XX4] Maternal care for (suspected) damage to fetus from alcohol, fetus 4 ICD10CM

Pregnancy O35.4XX5 [O35.4XX5] Maternal care for (suspected) damage to fetus from alcohol, fetus 5 ICD10CM [O35.4XX9] Maternal care for (suspected) damage to fetus from alcohol, other Pregnancy O35.4XX9 ICD10CM fetus [O35.5XX0] Maternal care for (suspected) damage to fetus by drugs, not Pregnancy O35.5XX0 ICD10CM applicable or unspecified

Page 214 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Pregnancy O35.5XX1 [O35.5XX1] Maternal care for (suspected) damage to fetus by drugs, fetus 1 ICD10CM

Pregnancy O35.5XX2 [O35.5XX2] Maternal care for (suspected) damage to fetus by drugs, fetus 2 ICD10CM

Pregnancy O35.5XX3 [O35.5XX3] Maternal care for (suspected) damage to fetus by drugs, fetus 3 ICD10CM

Pregnancy O35.5XX4 [O35.5XX4] Maternal care for (suspected) damage to fetus by drugs, fetus 4 ICD10CM

Pregnancy O35.5XX5 [O35.5XX5] Maternal care for (suspected) damage to fetus by drugs, fetus 5 ICD10CM

Pregnancy O35.5XX9 [O35.5XX9] Maternal care for (suspected) damage to fetus by drugs, other fetus ICD10CM [O35.6XX0] Maternal care for (suspected) damage to fetus by radiation, not Pregnancy O35.6XX0 ICD10CM applicable or unspecified Pregnancy O35.6XX1 [O35.6XX1] Maternal care for (suspected) damage to fetus by radiation, fetus 1 ICD10CM

Pregnancy O35.6XX2 [O35.6XX2] Maternal care for (suspected) damage to fetus by radiation, fetus 2 ICD10CM

Pregnancy O35.6XX3 [O35.6XX3] Maternal care for (suspected) damage to fetus by radiation, fetus 3 ICD10CM

Pregnancy O35.6XX4 [O35.6XX4] Maternal care for (suspected) damage to fetus by radiation, fetus 4 ICD10CM

Pregnancy O35.6XX5 [O35.6XX5] Maternal care for (suspected) damage to fetus by radiation, fetus 5 ICD10CM [O35.6XX9] Maternal care for (suspected) damage to fetus by radiation, other Pregnancy O35.6XX9 ICD10CM fetus [O35.7XX0] Maternal care for (suspected) damage to fetus by other medical Pregnancy O35.7XX0 ICD10CM procedures, not applicable or unspecified [O35.7XX1] Maternal care for (suspected) damage to fetus by other medical Pregnancy O35.7XX1 ICD10CM procedures, fetus 1 [O35.7XX2] Maternal care for (suspected) damage to fetus by other medical Pregnancy O35.7XX2 ICD10CM procedures, fetus 2

Page 215 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System [O35.7XX3] Maternal care for (suspected) damage to fetus by other medical Pregnancy O35.7XX3 ICD10CM procedures, fetus 3 [O35.7XX4] Maternal care for (suspected) damage to fetus by other medical Pregnancy O35.7XX4 ICD10CM procedures, fetus 4 [O35.7XX5] Maternal care for (suspected) damage to fetus by other medical Pregnancy O35.7XX5 ICD10CM procedures, fetus 5 [O35.7XX9] Maternal care for (suspected) damage to fetus by other medical Pregnancy O35.7XX9 ICD10CM procedures, other fetus [O35.8XX0] Maternal care for other (suspected) fetal abnormality and damage, Pregnancy O35.8XX0 ICD10CM not applicable or unspecified [O35.8XX1] Maternal care for other (suspected) fetal abnormality and damage, Pregnancy O35.8XX1 ICD10CM fetus 1 [O35.8XX2] Maternal care for other (suspected) fetal abnormality and damage, Pregnancy O35.8XX2 ICD10CM fetus 2 [O35.8XX3] Maternal care for other (suspected) fetal abnormality and damage, Pregnancy O35.8XX3 ICD10CM fetus 3 [O35.8XX4] Maternal care for other (suspected) fetal abnormality and damage, Pregnancy O35.8XX4 ICD10CM fetus 4 [O35.8XX5] Maternal care for other (suspected) fetal abnormality and damage, Pregnancy O35.8XX5 ICD10CM fetus 5 [O35.8XX9] Maternal care for other (suspected) fetal abnormality and damage, Pregnancy O35.8XX9 ICD10CM other fetus [O35.9XX0] Maternal care for (suspected) fetal abnormality and damage, Pregnancy O35.9XX0 ICD10CM unspecified, not applicable or unspecified [O35.9XX1] Maternal care for (suspected) fetal abnormality and damage, Pregnancy O35.9XX1 ICD10CM unspecified, fetus 1 [O35.9XX2] Maternal care for (suspected) fetal abnormality and damage, Pregnancy O35.9XX2 ICD10CM unspecified, fetus 2 [O35.9XX3] Maternal care for (suspected) fetal abnormality and damage, Pregnancy O35.9XX3 ICD10CM unspecified, fetus 3 [O35.9XX4] Maternal care for (suspected) fetal abnormality and damage, Pregnancy O35.9XX4 ICD10CM unspecified, fetus 4

Page 216 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System [O35.9XX5] Maternal care for (suspected) fetal abnormality and damage, Pregnancy O35.9XX5 ICD10CM unspecified, fetus 5 [O35.9XX9] Maternal care for (suspected) fetal abnormality and damage, Pregnancy O35.9XX9 ICD10CM unspecified, other fetus [O36.0110] Maternal care for anti‐D [Rh] antibodies, first trimester, not Pregnancy O36.0110 ICD10CM applicable or unspecified Pregnancy O36.0111 [O36.0111] Maternal care for anti‐D [Rh] antibodies, first trimester, fetus 1 ICD10CM

Pregnancy O36.0112 [O36.0112] Maternal care for anti‐D [Rh] antibodies, first trimester, fetus 2 ICD10CM

Pregnancy O36.0113 [O36.0113] Maternal care for anti‐D [Rh] antibodies, first trimester, fetus 3 ICD10CM

Pregnancy O36.0114 [O36.0114] Maternal care for anti‐D [Rh] antibodies, first trimester, fetus 4 ICD10CM

Pregnancy O36.0115 [O36.0115] Maternal care for anti‐D [Rh] antibodies, first trimester, fetus 5 ICD10CM

Pregnancy O36.0119 [O36.0119] Maternal care for anti‐D [Rh] antibodies, first trimester, other fetus ICD10CM [O36.0120] Maternal care for anti‐D [Rh] antibodies, second trimester, not Pregnancy O36.0120 ICD10CM applicable or unspecified Pregnancy O36.0121 [O36.0121] Maternal care for anti‐D [Rh] antibodies, second trimester, fetus 1 ICD10CM

Pregnancy O36.0122 [O36.0122] Maternal care for anti‐D [Rh] antibodies, second trimester, fetus 2 ICD10CM

Pregnancy O36.0123 [O36.0123] Maternal care for anti‐D [Rh] antibodies, second trimester, fetus 3 ICD10CM

Pregnancy O36.0124 [O36.0124] Maternal care for anti‐D [Rh] antibodies, second trimester, fetus 4 ICD10CM

Pregnancy O36.0125 [O36.0125] Maternal care for anti‐D [Rh] antibodies, second trimester, fetus 5 ICD10CM [O36.0129] Maternal care for anti‐D [Rh] antibodies, second trimester, other Pregnancy O36.0129 ICD10CM fetus

Page 217 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System [O36.0130] Maternal care for anti‐D [Rh] antibodies, third trimester, not Pregnancy O36.0130 ICD10CM applicable or unspecified Pregnancy O36.0131 [O36.0131] Maternal care for anti‐D [Rh] antibodies, third trimester, fetus 1 ICD10CM

Pregnancy O36.0132 [O36.0132] Maternal care for anti‐D [Rh] antibodies, third trimester, fetus 2 ICD10CM

Pregnancy O36.0133 [O36.0133] Maternal care for anti‐D [Rh] antibodies, third trimester, fetus 3 ICD10CM

Pregnancy O36.0134 [O36.0134] Maternal care for anti‐D [Rh] antibodies, third trimester, fetus 4 ICD10CM

Pregnancy O36.0135 [O36.0135] Maternal care for anti‐D [Rh] antibodies, third trimester, fetus 5 ICD10CM

Pregnancy O36.0139 [O36.0139] Maternal care for anti‐D [Rh] antibodies, third trimester, other fetus ICD10CM [O36.0190] Maternal care for anti‐D [Rh] antibodies, unspecified trimester, not Pregnancy O36.0190 ICD10CM applicable or unspecified [O36.0191] Maternal care for anti‐D [Rh] antibodies, unspecified trimester, fetus Pregnancy O36.0191 ICD10CM 1 [O36.0192] Maternal care for anti‐D [Rh] antibodies, unspecified trimester, fetus Pregnancy O36.0192 ICD10CM 2 [O36.0193] Maternal care for anti‐D [Rh] antibodies, unspecified trimester, fetus Pregnancy O36.0193 ICD10CM 3 [O36.0194] Maternal care for anti‐D [Rh] antibodies, unspecified trimester, fetus Pregnancy O36.0194 ICD10CM 4 [O36.0195] Maternal care for anti‐D [Rh] antibodies, unspecified trimester, fetus Pregnancy O36.0195 ICD10CM 5 [O36.0199] Maternal care for anti‐D [Rh] antibodies, unspecified trimester, other Pregnancy O36.0199 ICD10CM fetus [O36.0910] Maternal care for other rhesus isoimmunization, first trimester, not Pregnancy O36.0910 ICD10CM applicable or unspecified [O36.0911] Maternal care for other rhesus isoimmunization, first trimester, fetus Pregnancy O36.0911 ICD10CM 1

Page 218 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System [O36.0912] Maternal care for other rhesus isoimmunization, first trimester, fetus Pregnancy O36.0912 ICD10CM 2 [O36.0913] Maternal care for other rhesus isoimmunization, first trimester, fetus Pregnancy O36.0913 ICD10CM 3 [O36.0914] Maternal care for other rhesus isoimmunization, first trimester, fetus Pregnancy O36.0914 ICD10CM 4 [O36.0915] Maternal care for other rhesus isoimmunization, first trimester, fetus Pregnancy O36.0915 ICD10CM 5 [O36.0919] Maternal care for other rhesus isoimmunization, first trimester, other Pregnancy O36.0919 ICD10CM fetus [O36.0920] Maternal care for other rhesus isoimmunization, second trimester, Pregnancy O36.0920 ICD10CM not applicable or unspecified [O36.0921] Maternal care for other rhesus isoimmunization, second trimester, Pregnancy O36.0921 ICD10CM fetus 1 [O36.0922] Maternal care for other rhesus isoimmunization, second trimester, Pregnancy O36.0922 ICD10CM fetus 2 [O36.0923] Maternal care for other rhesus isoimmunization, second trimester, Pregnancy O36.0923 ICD10CM fetus 3 [O36.0924] Maternal care for other rhesus isoimmunization, second trimester, Pregnancy O36.0924 ICD10CM fetus 4 [O36.0925] Maternal care for other rhesus isoimmunization, second trimester, Pregnancy O36.0925 ICD10CM fetus 5 [O36.0929] Maternal care for other rhesus isoimmunization, second trimester, Pregnancy O36.0929 ICD10CM other fetus [O36.0930] Maternal care for other rhesus isoimmunization, third trimester, not Pregnancy O36.0930 ICD10CM applicable or unspecified [O36.0931] Maternal care for other rhesus isoimmunization, third trimester, Pregnancy O36.0931 ICD10CM fetus 1 [O36.0932] Maternal care for other rhesus isoimmunization, third trimester, Pregnancy O36.0932 ICD10CM fetus 2 [O36.0933] Maternal care for other rhesus isoimmunization, third trimester, Pregnancy O36.0933 ICD10CM fetus 3

Page 219 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System [O36.0934] Maternal care for other rhesus isoimmunization, third trimester, Pregnancy O36.0934 ICD10CM fetus 4 [O36.0935] Maternal care for other rhesus isoimmunization, third trimester, Pregnancy O36.0935 ICD10CM fetus 5 [O36.0939] Maternal care for other rhesus isoimmunization, third trimester, Pregnancy O36.0939 ICD10CM other fetus [O36.0990] Maternal care for other rhesus isoimmunization, unspecified Pregnancy O36.0990 ICD10CM trimester, not applicable or unspecified [O36.0991] Maternal care for other rhesus isoimmunization, unspecified Pregnancy O36.0991 ICD10CM trimester, fetus 1 [O36.0992] Maternal care for other rhesus isoimmunization, unspecified Pregnancy O36.0992 ICD10CM trimester, fetus 2 [O36.0993] Maternal care for other rhesus isoimmunization, unspecified Pregnancy O36.0993 ICD10CM trimester, fetus 3 [O36.0994] Maternal care for other rhesus isoimmunization, unspecified Pregnancy O36.0994 ICD10CM trimester, fetus 4 [O36.0995] Maternal care for other rhesus isoimmunization, unspecified Pregnancy O36.0995 ICD10CM trimester, fetus 5 [O36.0999] Maternal care for other rhesus isoimmunization, unspecified Pregnancy O36.0999 ICD10CM trimester, other fetus [O36.1110] Maternal care for Anti‐A sensitization, first trimester, not applicable Pregnancy O36.1110 ICD10CM or unspecified Pregnancy O36.1111 [O36.1111] Maternal care for Anti‐A sensitization, first trimester, fetus 1 ICD10CM

Pregnancy O36.1112 [O36.1112] Maternal care for Anti‐A sensitization, first trimester, fetus 2 ICD10CM

Pregnancy O36.1113 [O36.1113] Maternal care for Anti‐A sensitization, first trimester, fetus 3 ICD10CM

Pregnancy O36.1114 [O36.1114] Maternal care for Anti‐A sensitization, first trimester, fetus 4 ICD10CM

Pregnancy O36.1115 [O36.1115] Maternal care for Anti‐A sensitization, first trimester, fetus 5 ICD10CM

Page 220 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Pregnancy O36.1119 [O36.1119] Maternal care for Anti‐A sensitization, first trimester, other fetus ICD10CM [O36.1120] Maternal care for Anti‐A sensitization, second trimester, not Pregnancy O36.1120 ICD10CM applicable or unspecified Pregnancy O36.1121 [O36.1121] Maternal care for Anti‐A sensitization, second trimester, fetus 1 ICD10CM

Pregnancy O36.1122 [O36.1122] Maternal care for Anti‐A sensitization, second trimester, fetus 2 ICD10CM

Pregnancy O36.1123 [O36.1123] Maternal care for Anti‐A sensitization, second trimester, fetus 3 ICD10CM

Pregnancy O36.1124 [O36.1124] Maternal care for Anti‐A sensitization, second trimester, fetus 4 ICD10CM

Pregnancy O36.1125 [O36.1125] Maternal care for Anti‐A sensitization, second trimester, fetus 5 ICD10CM

Pregnancy O36.1129 [O36.1129] Maternal care for Anti‐A sensitization, second trimester, other fetus ICD10CM [O36.1130] Maternal care for Anti‐A sensitization, third trimester, not applicable Pregnancy O36.1130 ICD10CM or unspecified Pregnancy O36.1131 [O36.1131] Maternal care for Anti‐A sensitization, third trimester, fetus 1 ICD10CM

Pregnancy O36.1132 [O36.1132] Maternal care for Anti‐A sensitization, third trimester, fetus 2 ICD10CM

Pregnancy O36.1133 [O36.1133] Maternal care for Anti‐A sensitization, third trimester, fetus 3 ICD10CM

Pregnancy O36.1134 [O36.1134] Maternal care for Anti‐A sensitization, third trimester, fetus 4 ICD10CM

Pregnancy O36.1135 [O36.1135] Maternal care for Anti‐A sensitization, third trimester, fetus 5 ICD10CM

Pregnancy O36.1139 [O36.1139] Maternal care for Anti‐A sensitization, third trimester, other fetus ICD10CM [O36.1190] Maternal care for Anti‐A sensitization, unspecified trimester, not Pregnancy O36.1190 ICD10CM applicable or unspecified

Page 221 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Pregnancy O36.1191 [O36.1191] Maternal care for Anti‐A sensitization, unspecified trimester, fetus 1 ICD10CM

Pregnancy O36.1192 [O36.1192] Maternal care for Anti‐A sensitization, unspecified trimester, fetus 2 ICD10CM

Pregnancy O36.1193 [O36.1193] Maternal care for Anti‐A sensitization, unspecified trimester, fetus 3 ICD10CM

Pregnancy O36.1194 [O36.1194] Maternal care for Anti‐A sensitization, unspecified trimester, fetus 4 ICD10CM

Pregnancy O36.1195 [O36.1195] Maternal care for Anti‐A sensitization, unspecified trimester, fetus 5 ICD10CM [O36.1199] Maternal care for Anti‐A sensitization, unspecified trimester, other Pregnancy O36.1199 ICD10CM fetus [O36.1910] Maternal care for other isoimmunization, first trimester, not Pregnancy O36.1910 ICD10CM applicable or unspecified Pregnancy O36.1911 [O36.1911] Maternal care for other isoimmunization, first trimester, fetus 1 ICD10CM

Pregnancy O36.1912 [O36.1912] Maternal care for other isoimmunization, first trimester, fetus 2 ICD10CM

Pregnancy O36.1913 [O36.1913] Maternal care for other isoimmunization, first trimester, fetus 3 ICD10CM

Pregnancy O36.1914 [O36.1914] Maternal care for other isoimmunization, first trimester, fetus 4 ICD10CM

Pregnancy O36.1915 [O36.1915] Maternal care for other isoimmunization, first trimester, fetus 5 ICD10CM

Pregnancy O36.1919 [O36.1919] Maternal care for other isoimmunization, first trimester, other fetus ICD10CM [O36.1920] Maternal care for other isoimmunization, second trimester, not Pregnancy O36.1920 ICD10CM applicable or unspecified Pregnancy O36.1921 [O36.1921] Maternal care for other isoimmunization, second trimester, fetus 1 ICD10CM

Pregnancy O36.1922 [O36.1922] Maternal care for other isoimmunization, second trimester, fetus 2 ICD10CM

Page 222 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Pregnancy O36.1923 [O36.1923] Maternal care for other isoimmunization, second trimester, fetus 3 ICD10CM

Pregnancy O36.1924 [O36.1924] Maternal care for other isoimmunization, second trimester, fetus 4 ICD10CM

Pregnancy O36.1925 [O36.1925] Maternal care for other isoimmunization, second trimester, fetus 5 ICD10CM [O36.1929] Maternal care for other isoimmunization, second trimester, other Pregnancy O36.1929 ICD10CM fetus [O36.1930] Maternal care for other isoimmunization, third trimester, not Pregnancy O36.1930 ICD10CM applicable or unspecified Pregnancy O36.1931 [O36.1931] Maternal care for other isoimmunization, third trimester, fetus 1 ICD10CM

Pregnancy O36.1932 [O36.1932] Maternal care for other isoimmunization, third trimester, fetus 2 ICD10CM

Pregnancy O36.1933 [O36.1933] Maternal care for other isoimmunization, third trimester, fetus 3 ICD10CM

Pregnancy O36.1934 [O36.1934] Maternal care for other isoimmunization, third trimester, fetus 4 ICD10CM

Pregnancy O36.1935 [O36.1935] Maternal care for other isoimmunization, third trimester, fetus 5 ICD10CM

Pregnancy O36.1939 [O36.1939] Maternal care for other isoimmunization, third trimester, other fetus ICD10CM [O36.1990] Maternal care for other isoimmunization, unspecified trimester, not Pregnancy O36.1990 ICD10CM applicable or unspecified [O36.1991] Maternal care for other isoimmunization, unspecified trimester, fetus Pregnancy O36.1991 ICD10CM 1 [O36.1992] Maternal care for other isoimmunization, unspecified trimester, fetus Pregnancy O36.1992 ICD10CM 2 [O36.1993] Maternal care for other isoimmunization, unspecified trimester, fetus Pregnancy O36.1993 ICD10CM 3 [O36.1994] Maternal care for other isoimmunization, unspecified trimester, fetus Pregnancy O36.1994 ICD10CM 4

Page 223 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System [O36.1995] Maternal care for other isoimmunization, unspecified trimester, fetus Pregnancy O36.1995 ICD10CM 5 [O36.1999] Maternal care for other isoimmunization, unspecified trimester, Pregnancy O36.1999 ICD10CM other fetus [O36.20X0] Maternal care for hydrops fetalis, unspecified trimester, not Pregnancy O36.20X0 ICD10CM applicable or unspecified Pregnancy O36.20X1 [O36.20X1] Maternal care for hydrops fetalis, unspecified trimester, fetus 1 ICD10CM

Pregnancy O36.20X2 [O36.20X2] Maternal care for hydrops fetalis, unspecified trimester, fetus 2 ICD10CM

Pregnancy O36.20X3 [O36.20X3] Maternal care for hydrops fetalis, unspecified trimester, fetus 3 ICD10CM

Pregnancy O36.20X4 [O36.20X4] Maternal care for hydrops fetalis, unspecified trimester, fetus 4 ICD10CM

Pregnancy O36.20X5 [O36.20X5] Maternal care for hydrops fetalis, unspecified trimester, fetus 5 ICD10CM

Pregnancy O36.20X9 [O36.20X9] Maternal care for hydrops fetalis, unspecified trimester, other fetus ICD10CM [O36.21X0] Maternal care for hydrops fetalis, first trimester, not applicable or Pregnancy O36.21X0 ICD10CM unspecified Pregnancy O36.21X1 [O36.21X1] Maternal care for hydrops fetalis, first trimester, fetus 1 ICD10CM Pregnancy O36.21X2 [O36.21X2] Maternal care for hydrops fetalis, first trimester, fetus 2 ICD10CM Pregnancy O36.21X3 [O36.21X3] Maternal care for hydrops fetalis, first trimester, fetus 3 ICD10CM Pregnancy O36.21X4 [O36.21X4] Maternal care for hydrops fetalis, first trimester, fetus 4 ICD10CM Pregnancy O36.21X5 [O36.21X5] Maternal care for hydrops fetalis, first trimester, fetus 5 ICD10CM Pregnancy O36.21X9 [O36.21X9] Maternal care for hydrops fetalis, first trimester, other fetus ICD10CM [O36.22X0] Maternal care for hydrops fetalis, second trimester, not applicable or Pregnancy O36.22X0 ICD10CM unspecified Pregnancy O36.22X1 [O36.22X1] Maternal care for hydrops fetalis, second trimester, fetus 1 ICD10CM Pregnancy O36.22X2 [O36.22X2] Maternal care for hydrops fetalis, second trimester, fetus 2 ICD10CM Pregnancy O36.22X3 [O36.22X3] Maternal care for hydrops fetalis, second trimester, fetus 3 ICD10CM Pregnancy O36.22X4 [O36.22X4] Maternal care for hydrops fetalis, second trimester, fetus 4 ICD10CM

Page 224 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Pregnancy O36.22X5 [O36.22X5] Maternal care for hydrops fetalis, second trimester, fetus 5 ICD10CM Pregnancy O36.22X9 [O36.22X9] Maternal care for hydrops fetalis, second trimester, other fetus ICD10CM [O36.23X0] Maternal care for hydrops fetalis, third trimester, not applicable or Pregnancy O36.23X0 ICD10CM unspecified Pregnancy O36.23X1 [O36.23X1] Maternal care for hydrops fetalis, third trimester, fetus 1 ICD10CM Pregnancy O36.23X2 [O36.23X2] Maternal care for hydrops fetalis, third trimester, fetus 2 ICD10CM Pregnancy O36.23X3 [O36.23X3] Maternal care for hydrops fetalis, third trimester, fetus 3 ICD10CM Pregnancy O36.23X4 [O36.23X4] Maternal care for hydrops fetalis, third trimester, fetus 4 ICD10CM Pregnancy O36.23X5 [O36.23X5] Maternal care for hydrops fetalis, third trimester, fetus 5 ICD10CM Pregnancy O36.23X9 [O36.23X9] Maternal care for hydrops fetalis, third trimester, other fetus ICD10CM

Pregnancy O36.4XX0 [O36.4XX0] Maternal care for intrauterine death, not applicable or unspecified ICD10CM Pregnancy O36.4XX1 [O36.4XX1] Maternal care for intrauterine death, fetus 1 ICD10CM Pregnancy O36.4XX2 [O36.4XX2] Maternal care for intrauterine death, fetus 2 ICD10CM Pregnancy O36.4XX3 [O36.4XX3] Maternal care for intrauterine death, fetus 3 ICD10CM Pregnancy O36.4XX4 [O36.4XX4] Maternal care for intrauterine death, fetus 4 ICD10CM Pregnancy O36.4XX5 [O36.4XX5] Maternal care for intrauterine death, fetus 5 ICD10CM Pregnancy O36.4XX9 [O36.4XX9] Maternal care for intrauterine death, other fetus ICD10CM [O36.5110] Maternal care for known or suspected , first Pregnancy O36.5110 ICD10CM trimester, not applicable or unspecified [O36.5111] Maternal care for known or suspected placental insufficiency, first Pregnancy O36.5111 ICD10CM trimester, fetus 1 [O36.5112] Maternal care for known or suspected placental insufficiency, first Pregnancy O36.5112 ICD10CM trimester, fetus 2 [O36.5113] Maternal care for known or suspected placental insufficiency, first Pregnancy O36.5113 ICD10CM trimester, fetus 3 [O36.5114] Maternal care for known or suspected placental insufficiency, first Pregnancy O36.5114 ICD10CM trimester, fetus 4 [O36.5115] Maternal care for known or suspected placental insufficiency, first Pregnancy O36.5115 ICD10CM trimester, fetus 5

Page 225 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System [O36.5119] Maternal care for known or suspected placental insufficiency, first Pregnancy O36.5119 ICD10CM trimester, other fetus [O36.5120] Maternal care for known or suspected placental insufficiency, second Pregnancy O36.5120 ICD10CM trimester, not applicable or unspecified [O36.5121] Maternal care for known or suspected placental insufficiency, second Pregnancy O36.5121 ICD10CM trimester, fetus 1 [O36.5122] Maternal care for known or suspected placental insufficiency, second Pregnancy O36.5122 ICD10CM trimester, fetus 2 [O36.5123] Maternal care for known or suspected placental insufficiency, second Pregnancy O36.5123 ICD10CM trimester, fetus 3 [O36.5124] Maternal care for known or suspected placental insufficiency, second Pregnancy O36.5124 ICD10CM trimester, fetus 4 [O36.5125] Maternal care for known or suspected placental insufficiency, second Pregnancy O36.5125 ICD10CM trimester, fetus 5 [O36.5129] Maternal care for known or suspected placental insufficiency, second Pregnancy O36.5129 ICD10CM trimester, other fetus [O36.5130] Maternal care for known or suspected placental insufficiency, third Pregnancy O36.5130 ICD10CM trimester, not applicable or unspecified [O36.5131] Maternal care for known or suspected placental insufficiency, third Pregnancy O36.5131 ICD10CM trimester, fetus 1 [O36.5132] Maternal care for known or suspected placental insufficiency, third Pregnancy O36.5132 ICD10CM trimester, fetus 2 [O36.5133] Maternal care for known or suspected placental insufficiency, third Pregnancy O36.5133 ICD10CM trimester, fetus 3 [O36.5134] Maternal care for known or suspected placental insufficiency, third Pregnancy O36.5134 ICD10CM trimester, fetus 4 [O36.5135] Maternal care for known or suspected placental insufficiency, third Pregnancy O36.5135 ICD10CM trimester, fetus 5 [O36.5139] Maternal care for known or suspected placental insufficiency, third Pregnancy O36.5139 ICD10CM trimester, other fetus [O36.5190] Maternal care for known or suspected placental insufficiency, Pregnancy O36.5190 ICD10CM unspecified trimester, not applicable or unspecified

Page 226 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System [O36.5191] Maternal care for known or suspected placental insufficiency, Pregnancy O36.5191 ICD10CM unspecified trimester, fetus 1 [O36.5192] Maternal care for known or suspected placental insufficiency, Pregnancy O36.5192 ICD10CM unspecified trimester, fetus 2 [O36.5193] Maternal care for known or suspected placental insufficiency, Pregnancy O36.5193 ICD10CM unspecified trimester, fetus 3 [O36.5194] Maternal care for known or suspected placental insufficiency, Pregnancy O36.5194 ICD10CM unspecified trimester, fetus 4 [O36.5195] Maternal care for known or suspected placental insufficiency, Pregnancy O36.5195 ICD10CM unspecified trimester, fetus 5 [O36.5199] Maternal care for known or suspected placental insufficiency, Pregnancy O36.5199 ICD10CM unspecified trimester, other fetus [O36.5910] Maternal care for other known or suspected poor fetal growth, first Pregnancy O36.5910 ICD10CM trimester, not applicable or unspecified [O36.5911] Maternal care for other known or suspected poor fetal growth, first Pregnancy O36.5911 ICD10CM trimester, fetus 1 [O36.5912] Maternal care for other known or suspected poor fetal growth, first Pregnancy O36.5912 ICD10CM trimester, fetus 2 [O36.5913] Maternal care for other known or suspected poor fetal growth, first Pregnancy O36.5913 ICD10CM trimester, fetus 3 [O36.5914] Maternal care for other known or suspected poor fetal growth, first Pregnancy O36.5914 ICD10CM trimester, fetus 4 [O36.5915] Maternal care for other known or suspected poor fetal growth, first Pregnancy O36.5915 ICD10CM trimester, fetus 5 [O36.5919] Maternal care for other known or suspected poor fetal growth, first Pregnancy O36.5919 ICD10CM trimester, other fetus [O36.5920] Maternal care for other known or suspected poor fetal growth, Pregnancy O36.5920 ICD10CM second trimester, not applicable or unspecified [O36.5921] Maternal care for other known or suspected poor fetal growth, Pregnancy O36.5921 ICD10CM second trimester, fetus 1 [O36.5922] Maternal care for other known or suspected poor fetal growth, Pregnancy O36.5922 ICD10CM second trimester, fetus 2

Page 227 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System [O36.5923] Maternal care for other known or suspected poor fetal growth, Pregnancy O36.5923 ICD10CM second trimester, fetus 3 [O36.5924] Maternal care for other known or suspected poor fetal growth, Pregnancy O36.5924 ICD10CM second trimester, fetus 4 [O36.5925] Maternal care for other known or suspected poor fetal growth, Pregnancy O36.5925 ICD10CM second trimester, fetus 5 [O36.5929] Maternal care for other known or suspected poor fetal growth, Pregnancy O36.5929 ICD10CM second trimester, other fetus [O36.5930] Maternal care for other known or suspected poor fetal growth, third Pregnancy O36.5930 ICD10CM trimester, not applicable or unspecified [O36.5931] Maternal care for other known or suspected poor fetal growth, third Pregnancy O36.5931 ICD10CM trimester, fetus 1 [O36.5932] Maternal care for other known or suspected poor fetal growth, third Pregnancy O36.5932 ICD10CM trimester, fetus 2 [O36.5933] Maternal care for other known or suspected poor fetal growth, third Pregnancy O36.5933 ICD10CM trimester, fetus 3 [O36.5934] Maternal care for other known or suspected poor fetal growth, third Pregnancy O36.5934 ICD10CM trimester, fetus 4 [O36.5935] Maternal care for other known or suspected poor fetal growth, third Pregnancy O36.5935 ICD10CM trimester, fetus 5 [O36.5939] Maternal care for other known or suspected poor fetal growth, third Pregnancy O36.5939 ICD10CM trimester, other fetus [O36.5990] Maternal care for other known or suspected poor fetal growth, Pregnancy O36.5990 ICD10CM unspecified trimester, not applicable or unspecified [O36.5991] Maternal care for other known or suspected poor fetal growth, Pregnancy O36.5991 ICD10CM unspecified trimester, fetus 1 [O36.5992] Maternal care for other known or suspected poor fetal growth, Pregnancy O36.5992 ICD10CM unspecified trimester, fetus 2 [O36.5993] Maternal care for other known or suspected poor fetal growth, Pregnancy O36.5993 ICD10CM unspecified trimester, fetus 3 [O36.5994] Maternal care for other known or suspected poor fetal growth, Pregnancy O36.5994 ICD10CM unspecified trimester, fetus 4

Page 228 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System [O36.5995] Maternal care for other known or suspected poor fetal growth, Pregnancy O36.5995 ICD10CM unspecified trimester, fetus 5 [O36.5999] Maternal care for other known or suspected poor fetal growth, Pregnancy O36.5999 ICD10CM unspecified trimester, other fetus [O36.60X0] Maternal care for excessive fetal growth, unspecified trimester, not Pregnancy O36.60X0 ICD10CM applicable or unspecified [O36.60X1] Maternal care for excessive fetal growth, unspecified trimester, fetus Pregnancy O36.60X1 ICD10CM 1 [O36.60X2] Maternal care for excessive fetal growth, unspecified trimester, fetus Pregnancy O36.60X2 ICD10CM 2 [O36.60X3] Maternal care for excessive fetal growth, unspecified trimester, fetus Pregnancy O36.60X3 ICD10CM 3 [O36.60X4] Maternal care for excessive fetal growth, unspecified trimester, fetus Pregnancy O36.60X4 ICD10CM 4 [O36.60X5] Maternal care for excessive fetal growth, unspecified trimester, fetus Pregnancy O36.60X5 ICD10CM 5 [O36.60X9] Maternal care for excessive fetal growth, unspecified trimester, other Pregnancy O36.60X9 ICD10CM fetus [O36.61X0] Maternal care for excessive fetal growth, first trimester, not Pregnancy O36.61X0 ICD10CM applicable or unspecified Pregnancy O36.61X1 [O36.61X1] Maternal care for excessive fetal growth, first trimester, fetus 1 ICD10CM

Pregnancy O36.61X2 [O36.61X2] Maternal care for excessive fetal growth, first trimester, fetus 2 ICD10CM

Pregnancy O36.61X3 [O36.61X3] Maternal care for excessive fetal growth, first trimester, fetus 3 ICD10CM

Pregnancy O36.61X4 [O36.61X4] Maternal care for excessive fetal growth, first trimester, fetus 4 ICD10CM

Pregnancy O36.61X5 [O36.61X5] Maternal care for excessive fetal growth, first trimester, fetus 5 ICD10CM

Pregnancy O36.61X9 [O36.61X9] Maternal care for excessive fetal growth, first trimester, other fetus ICD10CM

Page 229 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System [O36.62X0] Maternal care for excessive fetal growth, second trimester, not Pregnancy O36.62X0 ICD10CM applicable or unspecified Pregnancy O36.62X1 [O36.62X1] Maternal care for excessive fetal growth, second trimester, fetus 1 ICD10CM

Pregnancy O36.62X2 [O36.62X2] Maternal care for excessive fetal growth, second trimester, fetus 2 ICD10CM

Pregnancy O36.62X3 [O36.62X3] Maternal care for excessive fetal growth, second trimester, fetus 3 ICD10CM

Pregnancy O36.62X4 [O36.62X4] Maternal care for excessive fetal growth, second trimester, fetus 4 ICD10CM

Pregnancy O36.62X5 [O36.62X5] Maternal care for excessive fetal growth, second trimester, fetus 5 ICD10CM [O36.62X9] Maternal care for excessive fetal growth, second trimester, other Pregnancy O36.62X9 ICD10CM fetus [O36.63X0] Maternal care for excessive fetal growth, third trimester, not Pregnancy O36.63X0 ICD10CM applicable or unspecified Pregnancy O36.63X1 [O36.63X1] Maternal care for excessive fetal growth, third trimester, fetus 1 ICD10CM

Pregnancy O36.63X2 [O36.63X2] Maternal care for excessive fetal growth, third trimester, fetus 2 ICD10CM

Pregnancy O36.63X3 [O36.63X3] Maternal care for excessive fetal growth, third trimester, fetus 3 ICD10CM

Pregnancy O36.63X4 [O36.63X4] Maternal care for excessive fetal growth, third trimester, fetus 4 ICD10CM

Pregnancy O36.63X5 [O36.63X5] Maternal care for excessive fetal growth, third trimester, fetus 5 ICD10CM

Pregnancy O36.63X9 [O36.63X9] Maternal care for excessive fetal growth, third trimester, other fetus ICD10CM [O36.70X0] Maternal care for viable fetus in abdominal pregnancy, unspecified Pregnancy O36.70X0 ICD10CM trimester, not applicable or unspecified [O36.70X1] Maternal care for viable fetus in abdominal pregnancy, unspecified Pregnancy O36.70X1 ICD10CM trimester, fetus 1

Page 230 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System [O36.70X2] Maternal care for viable fetus in abdominal pregnancy, unspecified Pregnancy O36.70X2 ICD10CM trimester, fetus 2 [O36.70X3] Maternal care for viable fetus in abdominal pregnancy, unspecified Pregnancy O36.70X3 ICD10CM trimester, fetus 3 [O36.70X4] Maternal care for viable fetus in abdominal pregnancy, unspecified Pregnancy O36.70X4 ICD10CM trimester, fetus 4 [O36.70X5] Maternal care for viable fetus in abdominal pregnancy, unspecified Pregnancy O36.70X5 ICD10CM trimester, fetus 5 [O36.70X9] Maternal care for viable fetus in abdominal pregnancy, unspecified Pregnancy O36.70X9 ICD10CM trimester, other fetus [O36.71X0] Maternal care for viable fetus in abdominal pregnancy, first trimester, Pregnancy O36.71X0 ICD10CM not applicable or unspecified [O36.71X1] Maternal care for viable fetus in abdominal pregnancy, first trimester, Pregnancy O36.71X1 ICD10CM fetus 1 [O36.71X2] Maternal care for viable fetus in abdominal pregnancy, first trimester, Pregnancy O36.71X2 ICD10CM fetus 2 [O36.71X3] Maternal care for viable fetus in abdominal pregnancy, first trimester, Pregnancy O36.71X3 ICD10CM fetus 3 [O36.71X4] Maternal care for viable fetus in abdominal pregnancy, first trimester, Pregnancy O36.71X4 ICD10CM fetus 4 [O36.71X5] Maternal care for viable fetus in abdominal pregnancy, first trimester, Pregnancy O36.71X5 ICD10CM fetus 5 [O36.71X9] Maternal care for viable fetus in abdominal pregnancy, first trimester, Pregnancy O36.71X9 ICD10CM other fetus [O36.72X0] Maternal care for viable fetus in abdominal pregnancy, second Pregnancy O36.72X0 ICD10CM trimester, not applicable or unspecified [O36.72X1] Maternal care for viable fetus in abdominal pregnancy, second Pregnancy O36.72X1 ICD10CM trimester, fetus 1 [O36.72X2] Maternal care for viable fetus in abdominal pregnancy, second Pregnancy O36.72X2 ICD10CM trimester, fetus 2 [O36.72X3] Maternal care for viable fetus in abdominal pregnancy, second Pregnancy O36.72X3 ICD10CM trimester, fetus 3

Page 231 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System [O36.72X4] Maternal care for viable fetus in abdominal pregnancy, second Pregnancy O36.72X4 ICD10CM trimester, fetus 4 [O36.72X5] Maternal care for viable fetus in abdominal pregnancy, second Pregnancy O36.72X5 ICD10CM trimester, fetus 5 [O36.72X9] Maternal care for viable fetus in abdominal pregnancy, second Pregnancy O36.72X9 ICD10CM trimester, other fetus [O36.73X0] Maternal care for viable fetus in abdominal pregnancy, third Pregnancy O36.73X0 ICD10CM trimester, not applicable or unspecified [O36.73X1] Maternal care for viable fetus in abdominal pregnancy, third Pregnancy O36.73X1 ICD10CM trimester, fetus 1 [O36.73X2] Maternal care for viable fetus in abdominal pregnancy, third Pregnancy O36.73X2 ICD10CM trimester, fetus 2 [O36.73X3] Maternal care for viable fetus in abdominal pregnancy, third Pregnancy O36.73X3 ICD10CM trimester, fetus 3 [O36.73X4] Maternal care for viable fetus in abdominal pregnancy, third Pregnancy O36.73X4 ICD10CM trimester, fetus 4 [O36.73X5] Maternal care for viable fetus in abdominal pregnancy, third Pregnancy O36.73X5 ICD10CM trimester, fetus 5 [O36.73X9] Maternal care for viable fetus in abdominal pregnancy, third Pregnancy O36.73X9 ICD10CM trimester, other fetus [O36.80X0] Pregnancy with inconclusive fetal viability, not applicable or Pregnancy O36.80X0 ICD10CM unspecified Pregnancy O36.80X1 [O36.80X1] Pregnancy with inconclusive fetal viability, fetus 1 ICD10CM Pregnancy O36.80X2 [O36.80X2] Pregnancy with inconclusive fetal viability, fetus 2 ICD10CM Pregnancy O36.80X3 [O36.80X3] Pregnancy with inconclusive fetal viability, fetus 3 ICD10CM Pregnancy O36.80X4 [O36.80X4] Pregnancy with inconclusive fetal viability, fetus 4 ICD10CM Pregnancy O36.80X5 [O36.80X5] Pregnancy with inconclusive fetal viability, fetus 5 ICD10CM Pregnancy O36.80X9 [O36.80X9] Pregnancy with inconclusive fetal viability, other fetus ICD10CM [O36.8120] Decreased fetal movements, second trimester, not applicable or Pregnancy O36.8120 ICD10CM unspecified Pregnancy O36.8121 [O36.8121] Decreased fetal movements, second trimester, fetus 1 ICD10CM Pregnancy O36.8122 [O36.8122] Decreased fetal movements, second trimester, fetus 2 ICD10CM

Page 232 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Pregnancy O36.8123 [O36.8123] Decreased fetal movements, second trimester, fetus 3 ICD10CM Pregnancy O36.8124 [O36.8124] Decreased fetal movements, second trimester, fetus 4 ICD10CM Pregnancy O36.8125 [O36.8125] Decreased fetal movements, second trimester, fetus 5 ICD10CM Pregnancy O36.8129 [O36.8129] Decreased fetal movements, second trimester, other fetus ICD10CM [O36.8130] Decreased fetal movements, third trimester, not applicable or Pregnancy O36.8130 ICD10CM unspecified Pregnancy O36.8131 [O36.8131] Decreased fetal movements, third trimester, fetus 1 ICD10CM Pregnancy O36.8132 [O36.8132] Decreased fetal movements, third trimester, fetus 2 ICD10CM Pregnancy O36.8133 [O36.8133] Decreased fetal movements, third trimester, fetus 3 ICD10CM Pregnancy O36.8134 [O36.8134] Decreased fetal movements, third trimester, fetus 4 ICD10CM Pregnancy O36.8135 [O36.8135] Decreased fetal movements, third trimester, fetus 5 ICD10CM Pregnancy O36.8139 [O36.8139] Decreased fetal movements, third trimester, other fetus ICD10CM [O36.8190] Decreased fetal movements, unspecified trimester, not applicable or Pregnancy O36.8190 ICD10CM unspecified Pregnancy O36.8191 [O36.8191] Decreased fetal movements, unspecified trimester, fetus 1 ICD10CM Pregnancy O36.8192 [O36.8192] Decreased fetal movements, unspecified trimester, fetus 2 ICD10CM Pregnancy O36.8193 [O36.8193] Decreased fetal movements, unspecified trimester, fetus 3 ICD10CM Pregnancy O36.8194 [O36.8194] Decreased fetal movements, unspecified trimester, fetus 4 ICD10CM Pregnancy O36.8195 [O36.8195] Decreased fetal movements, unspecified trimester, fetus 5 ICD10CM Pregnancy O36.8199 [O36.8199] Decreased fetal movements, unspecified trimester, other fetus ICD10CM [O36.8210] Fetal anemia and thrombocytopenia, first trimester, not applicable or Pregnancy O36.8210 ICD10CM unspecified Pregnancy O36.8211 [O36.8211] Fetal anemia and thrombocytopenia, first trimester, fetus 1 ICD10CM Pregnancy O36.8212 [O36.8212] Fetal anemia and thrombocytopenia, first trimester, fetus 2 ICD10CM Pregnancy O36.8213 [O36.8213] Fetal anemia and thrombocytopenia, first trimester, fetus 3 ICD10CM Pregnancy O36.8214 [O36.8214] Fetal anemia and thrombocytopenia, first trimester, fetus 4 ICD10CM Pregnancy O36.8215 [O36.8215] Fetal anemia and thrombocytopenia, first trimester, fetus 5 ICD10CM Pregnancy O36.8219 [O36.8219] Fetal anemia and thrombocytopenia, first trimester, other fetus ICD10CM [O36.8220] Fetal anemia and thrombocytopenia, second trimester, not applicable Pregnancy O36.8220 ICD10CM or unspecified

Page 233 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Pregnancy O36.8221 [O36.8221] Fetal anemia and thrombocytopenia, second trimester, fetus 1 ICD10CM

Pregnancy O36.8222 [O36.8222] Fetal anemia and thrombocytopenia, second trimester, fetus 2 ICD10CM

Pregnancy O36.8223 [O36.8223] Fetal anemia and thrombocytopenia, second trimester, fetus 3 ICD10CM

Pregnancy O36.8224 [O36.8224] Fetal anemia and thrombocytopenia, second trimester, fetus 4 ICD10CM

Pregnancy O36.8225 [O36.8225] Fetal anemia and thrombocytopenia, second trimester, fetus 5 ICD10CM

Pregnancy O36.8229 [O36.8229] Fetal anemia and thrombocytopenia, second trimester, other fetus ICD10CM [O36.8230] Fetal anemia and thrombocytopenia, third trimester, not applicable Pregnancy O36.8230 ICD10CM or unspecified Pregnancy O36.8231 [O36.8231] Fetal anemia and thrombocytopenia, third trimester, fetus 1 ICD10CM Pregnancy O36.8232 [O36.8232] Fetal anemia and thrombocytopenia, third trimester, fetus 2 ICD10CM Pregnancy O36.8233 [O36.8233] Fetal anemia and thrombocytopenia, third trimester, fetus 3 ICD10CM Pregnancy O36.8234 [O36.8234] Fetal anemia and thrombocytopenia, third trimester, fetus 4 ICD10CM Pregnancy O36.8235 [O36.8235] Fetal anemia and thrombocytopenia, third trimester, fetus 5 ICD10CM Pregnancy O36.8239 [O36.8239] Fetal anemia and thrombocytopenia, third trimester, other fetus ICD10CM [O36.8290] Fetal anemia and thrombocytopenia, unspecified trimester, not Pregnancy O36.8290 ICD10CM applicable or unspecified Pregnancy O36.8291 [O36.8291] Fetal anemia and thrombocytopenia, unspecified trimester, fetus 1 ICD10CM

Pregnancy O36.8292 [O36.8292] Fetal anemia and thrombocytopenia, unspecified trimester, fetus 2 ICD10CM

Pregnancy O36.8293 [O36.8293] Fetal anemia and thrombocytopenia, unspecified trimester, fetus 3 ICD10CM

Pregnancy O36.8294 [O36.8294] Fetal anemia and thrombocytopenia, unspecified trimester, fetus 4 ICD10CM

Page 234 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Pregnancy O36.8295 [O36.8295] Fetal anemia and thrombocytopenia, unspecified trimester, fetus 5 ICD10CM [O36.8299] Fetal anemia and thrombocytopenia, unspecified trimester, other Pregnancy O36.8299 ICD10CM fetus [O36.8310] Maternal care for abnormalities of the fetal heart rate or rhythm, first Pregnancy O36.8310 ICD10CM trimester, not applicable or unspecified [O36.8311] Maternal care for abnormalities of the fetal heart rate or rhythm, first Pregnancy O36.8311 ICD10CM trimester, fetus 1 [O36.8312] Maternal care for abnormalities of the fetal heart rate or rhythm, first Pregnancy O36.8312 ICD10CM trimester, fetus 2 [O36.8313] Maternal care for abnormalities of the fetal heart rate or rhythm, first Pregnancy O36.8313 ICD10CM trimester, fetus 3 [O36.8314] Maternal care for abnormalities of the fetal heart rate or rhythm, first Pregnancy O36.8314 ICD10CM trimester, fetus 4 [O36.8315] Maternal care for abnormalities of the fetal heart rate or rhythm, first Pregnancy O36.8315 ICD10CM trimester, fetus 5 [O36.8319] Maternal care for abnormalities of the fetal heart rate or rhythm, first Pregnancy O36.8319 ICD10CM trimester, other fetus [O36.8320] Maternal care for abnormalities of the fetal heart rate or rhythm, Pregnancy O36.8320 ICD10CM second trimester, not applicable or unspecified [O36.8321] Maternal care for abnormalities of the fetal heart rate or rhythm, Pregnancy O36.8321 ICD10CM second trimester, fetus 1 [O36.8322] Maternal care for abnormalities of the fetal heart rate or rhythm, Pregnancy O36.8322 ICD10CM second trimester, fetus 2 [O36.8323] Maternal care for abnormalities of the fetal heart rate or rhythm, Pregnancy O36.8323 ICD10CM second trimester, fetus 3 [O36.8324] Maternal care for abnormalities of the fetal heart rate or rhythm, Pregnancy O36.8324 ICD10CM second trimester, fetus 4 [O36.8325] Maternal care for abnormalities of the fetal heart rate or rhythm, Pregnancy O36.8325 ICD10CM second trimester, fetus 5 [O36.8329] Maternal care for abnormalities of the fetal heart rate or rhythm, Pregnancy O36.8329 ICD10CM second trimester, other fetus

Page 235 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System [O36.8330] Maternal care for abnormalities of the fetal heart rate or rhythm, Pregnancy O36.8330 ICD10CM third trimester, not applicable or unspecified [O36.8331] Maternal care for abnormalities of the fetal heart rate or rhythm, Pregnancy O36.8331 ICD10CM third trimester, fetus 1 [O36.8332] Maternal care for abnormalities of the fetal heart rate or rhythm, Pregnancy O36.8332 ICD10CM third trimester, fetus 2 [O36.8333] Maternal care for abnormalities of the fetal heart rate or rhythm, Pregnancy O36.8333 ICD10CM third trimester, fetus 3 [O36.8334] Maternal care for abnormalities of the fetal heart rate or rhythm, Pregnancy O36.8334 ICD10CM third trimester, fetus 4 [O36.8335] Maternal care for abnormalities of the fetal heart rate or rhythm, Pregnancy O36.8335 ICD10CM third trimester, fetus 5 [O36.8339] Maternal care for abnormalities of the fetal heart rate or rhythm, Pregnancy O36.8339 ICD10CM third trimester, other fetus [O36.8390] Maternal care for abnormalities of the fetal heart rate or rhythm, Pregnancy O36.8390 ICD10CM unspecified trimester, not applicable or unspecified [O36.8391] Maternal care for abnormalities of the fetal heart rate or rhythm, Pregnancy O36.8391 ICD10CM unspecified trimester, fetus 1 [O36.8392] Maternal care for abnormalities of the fetal heart rate or rhythm, Pregnancy O36.8392 ICD10CM unspecified trimester, fetus 2 [O36.8393] Maternal care for abnormalities of the fetal heart rate or rhythm, Pregnancy O36.8393 ICD10CM unspecified trimester, fetus 3 [O36.8394] Maternal care for abnormalities of the fetal heart rate or rhythm, Pregnancy O36.8394 ICD10CM unspecified trimester, fetus 4 [O36.8395] Maternal care for abnormalities of the fetal heart rate or rhythm, Pregnancy O36.8395 ICD10CM unspecified trimester, fetus 5 [O36.8399] Maternal care for abnormalities of the fetal heart rate or rhythm, Pregnancy O36.8399 ICD10CM unspecified trimester, other fetus [O36.8910] Maternal care for other specified fetal problems, first trimester, not Pregnancy O36.8910 ICD10CM applicable or unspecified [O36.8911] Maternal care for other specified fetal problems, first trimester, fetus Pregnancy O36.8911 ICD10CM 1

Page 236 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System [O36.8912] Maternal care for other specified fetal problems, first trimester, fetus Pregnancy O36.8912 ICD10CM 2 [O36.8913] Maternal care for other specified fetal problems, first trimester, fetus Pregnancy O36.8913 ICD10CM 3 [O36.8914] Maternal care for other specified fetal problems, first trimester, fetus Pregnancy O36.8914 ICD10CM 4 [O36.8915] Maternal care for other specified fetal problems, first trimester, fetus Pregnancy O36.8915 ICD10CM 5 [O36.8919] Maternal care for other specified fetal problems, first trimester, other Pregnancy O36.8919 ICD10CM fetus [O36.8920] Maternal care for other specified fetal problems, second trimester, Pregnancy O36.8920 ICD10CM not applicable or unspecified [O36.8921] Maternal care for other specified fetal problems, second trimester, Pregnancy O36.8921 ICD10CM fetus 1 [O36.8922] Maternal care for other specified fetal problems, second trimester, Pregnancy O36.8922 ICD10CM fetus 2 [O36.8923] Maternal care for other specified fetal problems, second trimester, Pregnancy O36.8923 ICD10CM fetus 3 [O36.8924] Maternal care for other specified fetal problems, second trimester, Pregnancy O36.8924 ICD10CM fetus 4 [O36.8925] Maternal care for other specified fetal problems, second trimester, Pregnancy O36.8925 ICD10CM fetus 5 [O36.8929] Maternal care for other specified fetal problems, second trimester, Pregnancy O36.8929 ICD10CM other fetus [O36.8930] Maternal care for other specified fetal problems, third trimester, not Pregnancy O36.8930 ICD10CM applicable or unspecified [O36.8931] Maternal care for other specified fetal problems, third trimester, Pregnancy O36.8931 ICD10CM fetus 1 [O36.8932] Maternal care for other specified fetal problems, third trimester, Pregnancy O36.8932 ICD10CM fetus 2 [O36.8933] Maternal care for other specified fetal problems, third trimester, Pregnancy O36.8933 ICD10CM fetus 3

Page 237 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System [O36.8934] Maternal care for other specified fetal problems, third trimester, Pregnancy O36.8934 ICD10CM fetus 4 [O36.8935] Maternal care for other specified fetal problems, third trimester, Pregnancy O36.8935 ICD10CM fetus 5 [O36.8939] Maternal care for other specified fetal problems, third trimester, Pregnancy O36.8939 ICD10CM other fetus [O36.8990] Maternal care for other specified fetal problems, unspecified Pregnancy O36.8990 ICD10CM trimester, not applicable or unspecified [O36.8991] Maternal care for other specified fetal problems, unspecified Pregnancy O36.8991 ICD10CM trimester, fetus 1 [O36.8992] Maternal care for other specified fetal problems, unspecified Pregnancy O36.8992 ICD10CM trimester, fetus 2 [O36.8993] Maternal care for other specified fetal problems, unspecified Pregnancy O36.8993 ICD10CM trimester, fetus 3 [O36.8994] Maternal care for other specified fetal problems, unspecified Pregnancy O36.8994 ICD10CM trimester, fetus 4 [O36.8995] Maternal care for other specified fetal problems, unspecified Pregnancy O36.8995 ICD10CM trimester, fetus 5 [O36.8999] Maternal care for other specified fetal problems, unspecified Pregnancy O36.8999 ICD10CM trimester, other fetus [O36.90X0] Maternal care for fetal problem, unspecified, unspecified trimester, Pregnancy O36.90X0 ICD10CM not applicable or unspecified [O36.90X1] Maternal care for fetal problem, unspecified, unspecified trimester, Pregnancy O36.90X1 ICD10CM fetus 1 [O36.90X2] Maternal care for fetal problem, unspecified, unspecified trimester, Pregnancy O36.90X2 ICD10CM fetus 2 [O36.90X3] Maternal care for fetal problem, unspecified, unspecified trimester, Pregnancy O36.90X3 ICD10CM fetus 3 [O36.90X4] Maternal care for fetal problem, unspecified, unspecified trimester, Pregnancy O36.90X4 ICD10CM fetus 4 [O36.90X5] Maternal care for fetal problem, unspecified, unspecified trimester, Pregnancy O36.90X5 ICD10CM fetus 5

Page 238 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System [O36.90X9] Maternal care for fetal problem, unspecified, unspecified trimester, Pregnancy O36.90X9 ICD10CM other fetus [O36.91X0] Maternal care for fetal problem, unspecified, first trimester, not Pregnancy O36.91X0 ICD10CM applicable or unspecified Pregnancy O36.91X1 [O36.91X1] Maternal care for fetal problem, unspecified, first trimester, fetus 1 ICD10CM

Pregnancy O36.91X2 [O36.91X2] Maternal care for fetal problem, unspecified, first trimester, fetus 2 ICD10CM

Pregnancy O36.91X3 [O36.91X3] Maternal care for fetal problem, unspecified, first trimester, fetus 3 ICD10CM

Pregnancy O36.91X4 [O36.91X4] Maternal care for fetal problem, unspecified, first trimester, fetus 4 ICD10CM

Pregnancy O36.91X5 [O36.91X5] Maternal care for fetal problem, unspecified, first trimester, fetus 5 ICD10CM [O36.91X9] Maternal care for fetal problem, unspecified, first trimester, other Pregnancy O36.91X9 ICD10CM fetus [O36.92X0] Maternal care for fetal problem, unspecified, second trimester, not Pregnancy O36.92X0 ICD10CM applicable or unspecified [O36.92X1] Maternal care for fetal problem, unspecified, second trimester, fetus Pregnancy O36.92X1 ICD10CM 1 [O36.92X2] Maternal care for fetal problem, unspecified, second trimester, fetus Pregnancy O36.92X2 ICD10CM 2 [O36.92X3] Maternal care for fetal problem, unspecified, second trimester, fetus Pregnancy O36.92X3 ICD10CM 3 [O36.92X4] Maternal care for fetal problem, unspecified, second trimester, fetus Pregnancy O36.92X4 ICD10CM 4 [O36.92X5] Maternal care for fetal problem, unspecified, second trimester, fetus Pregnancy O36.92X5 ICD10CM 5 [O36.92X9] Maternal care for fetal problem, unspecified, second trimester, other Pregnancy O36.92X9 ICD10CM fetus [O36.93X0] Maternal care for fetal problem, unspecified, third trimester, not Pregnancy O36.93X0 ICD10CM applicable or unspecified

Page 239 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Pregnancy O36.93X1 [O36.93X1] Maternal care for fetal problem, unspecified, third trimester, fetus 1 ICD10CM

Pregnancy O36.93X2 [O36.93X2] Maternal care for fetal problem, unspecified, third trimester, fetus 2 ICD10CM

Pregnancy O36.93X3 [O36.93X3] Maternal care for fetal problem, unspecified, third trimester, fetus 3 ICD10CM

Pregnancy O36.93X4 [O36.93X4] Maternal care for fetal problem, unspecified, third trimester, fetus 4 ICD10CM

Pregnancy O36.93X5 [O36.93X5] Maternal care for fetal problem, unspecified, third trimester, fetus 5 ICD10CM [O36.93X9] Maternal care for fetal problem, unspecified, third trimester, other Pregnancy O36.93X9 ICD10CM fetus Pregnancy O40.1XX0 [O40.1XX0] Polyhydramnios, first trimester, not applicable or unspecified ICD10CM Pregnancy O40.1XX1 [O40.1XX1] Polyhydramnios, first trimester, fetus 1 ICD10CM Pregnancy O40.1XX2 [O40.1XX2] Polyhydramnios, first trimester, fetus 2 ICD10CM Pregnancy O40.1XX3 [O40.1XX3] Polyhydramnios, first trimester, fetus 3 ICD10CM Pregnancy O40.1XX4 [O40.1XX4] Polyhydramnios, first trimester, fetus 4 ICD10CM Pregnancy O40.1XX5 [O40.1XX5] Polyhydramnios, first trimester, fetus 5 ICD10CM Pregnancy O40.1XX9 [O40.1XX9] Polyhydramnios, first trimester, other fetus ICD10CM Pregnancy O40.2XX0 [O40.2XX0] Polyhydramnios, second trimester, not applicable or unspecified ICD10CM Pregnancy O40.2XX1 [O40.2XX1] Polyhydramnios, second trimester, fetus 1 ICD10CM Pregnancy O40.2XX2 [O40.2XX2] Polyhydramnios, second trimester, fetus 2 ICD10CM Pregnancy O40.2XX3 [O40.2XX3] Polyhydramnios, second trimester, fetus 3 ICD10CM Pregnancy O40.2XX4 [O40.2XX4] Polyhydramnios, second trimester, fetus 4 ICD10CM Pregnancy O40.2XX5 [O40.2XX5] Polyhydramnios, second trimester, fetus 5 ICD10CM Pregnancy O40.2XX9 [O40.2XX9] Polyhydramnios, second trimester, other fetus ICD10CM Pregnancy O40.3XX0 [O40.3XX0] Polyhydramnios, third trimester, not applicable or unspecified ICD10CM Pregnancy O40.3XX1 [O40.3XX1] Polyhydramnios, third trimester, fetus 1 ICD10CM Pregnancy O40.3XX2 [O40.3XX2] Polyhydramnios, third trimester, fetus 2 ICD10CM

Page 240 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Pregnancy O40.3XX3 [O40.3XX3] Polyhydramnios, third trimester, fetus 3 ICD10CM Pregnancy O40.3XX4 [O40.3XX4] Polyhydramnios, third trimester, fetus 4 ICD10CM Pregnancy O40.3XX5 [O40.3XX5] Polyhydramnios, third trimester, fetus 5 ICD10CM Pregnancy O40.3XX9 [O40.3XX9] Polyhydramnios, third trimester, other fetus ICD10CM Pregnancy O40.9XX0 [O40.9XX0] Polyhydramnios, unspecified trimester, not applicable or unspecified ICD10CM Pregnancy O40.9XX1 [O40.9XX1] Polyhydramnios, unspecified trimester, fetus 1 ICD10CM Pregnancy O40.9XX2 [O40.9XX2] Polyhydramnios, unspecified trimester, fetus 2 ICD10CM Pregnancy O40.9XX3 [O40.9XX3] Polyhydramnios, unspecified trimester, fetus 3 ICD10CM Pregnancy O40.9XX4 [O40.9XX4] Polyhydramnios, unspecified trimester, fetus 4 ICD10CM Pregnancy O40.9XX5 [O40.9XX5] Polyhydramnios, unspecified trimester, fetus 5 ICD10CM Pregnancy O40.9XX9 [O40.9XX9] Polyhydramnios, unspecified trimester, other fetus ICD10CM Pregnancy O41.00X0 [O41.00X0] Oligohydramnios, unspecified trimester, not applicable or unspecified ICD10CM Pregnancy O41.00X1 [O41.00X1] Oligohydramnios, unspecified trimester, fetus 1 ICD10CM Pregnancy O41.00X2 [O41.00X2] Oligohydramnios, unspecified trimester, fetus 2 ICD10CM Pregnancy O41.00X3 [O41.00X3] Oligohydramnios, unspecified trimester, fetus 3 ICD10CM Pregnancy O41.00X4 [O41.00X4] Oligohydramnios, unspecified trimester, fetus 4 ICD10CM Pregnancy O41.00X5 [O41.00X5] Oligohydramnios, unspecified trimester, fetus 5 ICD10CM Pregnancy O41.00X9 [O41.00X9] Oligohydramnios, unspecified trimester, other fetus ICD10CM Pregnancy O41.01X0 [O41.01X0] Oligohydramnios, first trimester, not applicable or unspecified ICD10CM Pregnancy O41.01X1 [O41.01X1] Oligohydramnios, first trimester, fetus 1 ICD10CM Pregnancy O41.01X2 [O41.01X2] Oligohydramnios, first trimester, fetus 2 ICD10CM Pregnancy O41.01X3 [O41.01X3] Oligohydramnios, first trimester, fetus 3 ICD10CM Pregnancy O41.01X4 [O41.01X4] Oligohydramnios, first trimester, fetus 4 ICD10CM Pregnancy O41.01X5 [O41.01X5] Oligohydramnios, first trimester, fetus 5 ICD10CM Pregnancy O41.01X9 [O41.01X9] Oligohydramnios, first trimester, other fetus ICD10CM Pregnancy O41.02X0 [O41.02X0] Oligohydramnios, second trimester, not applicable or unspecified ICD10CM Pregnancy O41.02X1 [O41.02X1] Oligohydramnios, second trimester, fetus 1 ICD10CM Pregnancy O41.02X2 [O41.02X2] Oligohydramnios, second trimester, fetus 2 ICD10CM

Page 241 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Pregnancy O41.02X3 [O41.02X3] Oligohydramnios, second trimester, fetus 3 ICD10CM Pregnancy O41.02X4 [O41.02X4] Oligohydramnios, second trimester, fetus 4 ICD10CM Pregnancy O41.02X5 [O41.02X5] Oligohydramnios, second trimester, fetus 5 ICD10CM Pregnancy O41.02X9 [O41.02X9] Oligohydramnios, second trimester, other fetus ICD10CM Pregnancy O41.03X0 [O41.03X0] Oligohydramnios, third trimester, not applicable or unspecified ICD10CM Pregnancy O41.03X1 [O41.03X1] Oligohydramnios, third trimester, fetus 1 ICD10CM Pregnancy O41.03X2 [O41.03X2] Oligohydramnios, third trimester, fetus 2 ICD10CM Pregnancy O41.03X3 [O41.03X3] Oligohydramnios, third trimester, fetus 3 ICD10CM Pregnancy O41.03X4 [O41.03X4] Oligohydramnios, third trimester, fetus 4 ICD10CM Pregnancy O41.03X5 [O41.03X5] Oligohydramnios, third trimester, fetus 5 ICD10CM Pregnancy O41.03X9 [O41.03X9] Oligohydramnios, third trimester, other fetus ICD10CM [O41.1010] Infection of amniotic sac and membranes, unspecified, first trimester, Pregnancy O41.1010 ICD10CM not applicable or unspecified [O41.1011] Infection of amniotic sac and membranes, unspecified, first trimester, Pregnancy O41.1011 ICD10CM fetus 1 [O41.1012] Infection of amniotic sac and membranes, unspecified, first trimester, Pregnancy O41.1012 ICD10CM fetus 2 [O41.1013] Infection of amniotic sac and membranes, unspecified, first trimester, Pregnancy O41.1013 ICD10CM fetus 3 [O41.1014] Infection of amniotic sac and membranes, unspecified, first trimester, Pregnancy O41.1014 ICD10CM fetus 4 [O41.1015] Infection of amniotic sac and membranes, unspecified, first trimester, Pregnancy O41.1015 ICD10CM fetus 5 [O41.1019] Infection of amniotic sac and membranes, unspecified, first trimester, Pregnancy O41.1019 ICD10CM other fetus [O41.1020] Infection of amniotic sac and membranes, unspecified, second Pregnancy O41.1020 ICD10CM trimester, not applicable or unspecified [O41.1021] Infection of amniotic sac and membranes, unspecified, second Pregnancy O41.1021 ICD10CM trimester, fetus 1 [O41.1022] Infection of amniotic sac and membranes, unspecified, second Pregnancy O41.1022 ICD10CM trimester, fetus 2

Page 242 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System [O41.1023] Infection of amniotic sac and membranes, unspecified, second Pregnancy O41.1023 ICD10CM trimester, fetus 3 [O41.1024] Infection of amniotic sac and membranes, unspecified, second Pregnancy O41.1024 ICD10CM trimester, fetus 4 [O41.1025] Infection of amniotic sac and membranes, unspecified, second Pregnancy O41.1025 ICD10CM trimester, fetus 5 [O41.1029] Infection of amniotic sac and membranes, unspecified, second Pregnancy O41.1029 ICD10CM trimester, other fetus [O41.1030] Infection of amniotic sac and membranes, unspecified, third Pregnancy O41.1030 ICD10CM trimester, not applicable or unspecified [O41.1031] Infection of amniotic sac and membranes, unspecified, third Pregnancy O41.1031 ICD10CM trimester, fetus 1 [O41.1032] Infection of amniotic sac and membranes, unspecified, third Pregnancy O41.1032 ICD10CM trimester, fetus 2 [O41.1033] Infection of amniotic sac and membranes, unspecified, third Pregnancy O41.1033 ICD10CM trimester, fetus 3 [O41.1034] Infection of amniotic sac and membranes, unspecified, third Pregnancy O41.1034 ICD10CM trimester, fetus 4 [O41.1035] Infection of amniotic sac and membranes, unspecified, third Pregnancy O41.1035 ICD10CM trimester, fetus 5 [O41.1039] Infection of amniotic sac and membranes, unspecified, third Pregnancy O41.1039 ICD10CM trimester, other fetus [O41.1090] Infection of amniotic sac and membranes, unspecified, unspecified Pregnancy O41.1090 ICD10CM trimester, not applicable or unspecified [O41.1091] Infection of amniotic sac and membranes, unspecified, unspecified Pregnancy O41.1091 ICD10CM trimester, fetus 1 [O41.1092] Infection of amniotic sac and membranes, unspecified, unspecified Pregnancy O41.1092 ICD10CM trimester, fetus 2 [O41.1093] Infection of amniotic sac and membranes, unspecified, unspecified Pregnancy O41.1093 ICD10CM trimester, fetus 3 [O41.1094] Infection of amniotic sac and membranes, unspecified, unspecified Pregnancy O41.1094 ICD10CM trimester, fetus 4

Page 243 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System [O41.1095] Infection of amniotic sac and membranes, unspecified, unspecified Pregnancy O41.1095 ICD10CM trimester, fetus 5 [O41.1099] Infection of amniotic sac and membranes, unspecified, unspecified Pregnancy O41.1099 ICD10CM trimester, other fetus Pregnancy O41.1210 [O41.1210] Chorioamnionitis, first trimester, not applicable or unspecified ICD10CM Pregnancy O41.1211 [O41.1211] Chorioamnionitis, first trimester, fetus 1 ICD10CM Pregnancy O41.1212 [O41.1212] Chorioamnionitis, first trimester, fetus 2 ICD10CM Pregnancy O41.1213 [O41.1213] Chorioamnionitis, first trimester, fetus 3 ICD10CM Pregnancy O41.1214 [O41.1214] Chorioamnionitis, first trimester, fetus 4 ICD10CM Pregnancy O41.1215 [O41.1215] Chorioamnionitis, first trimester, fetus 5 ICD10CM Pregnancy O41.1219 [O41.1219] Chorioamnionitis, first trimester, other fetus ICD10CM Pregnancy O41.1220 [O41.1220] Chorioamnionitis, second trimester, not applicable or unspecified ICD10CM Pregnancy O41.1221 [O41.1221] Chorioamnionitis, second trimester, fetus 1 ICD10CM Pregnancy O41.1222 [O41.1222] Chorioamnionitis, second trimester, fetus 2 ICD10CM Pregnancy O41.1223 [O41.1223] Chorioamnionitis, second trimester, fetus 3 ICD10CM Pregnancy O41.1224 [O41.1224] Chorioamnionitis, second trimester, fetus 4 ICD10CM Pregnancy O41.1225 [O41.1225] Chorioamnionitis, second trimester, fetus 5 ICD10CM Pregnancy O41.1229 [O41.1229] Chorioamnionitis, second trimester, other fetus ICD10CM Pregnancy O41.1230 [O41.1230] Chorioamnionitis, third trimester, not applicable or unspecified ICD10CM Pregnancy O41.1231 [O41.1231] Chorioamnionitis, third trimester, fetus 1 ICD10CM Pregnancy O41.1232 [O41.1232] Chorioamnionitis, third trimester, fetus 2 ICD10CM Pregnancy O41.1233 [O41.1233] Chorioamnionitis, third trimester, fetus 3 ICD10CM Pregnancy O41.1234 [O41.1234] Chorioamnionitis, third trimester, fetus 4 ICD10CM Pregnancy O41.1235 [O41.1235] Chorioamnionitis, third trimester, fetus 5 ICD10CM Pregnancy O41.1239 [O41.1239] Chorioamnionitis, third trimester, other fetus ICD10CM Pregnancy O41.1290 [O41.1290] Chorioamnionitis, unspecified trimester, not applicable or unspecified ICD10CM Pregnancy O41.1291 [O41.1291] Chorioamnionitis, unspecified trimester, fetus 1 ICD10CM Pregnancy O41.1292 [O41.1292] Chorioamnionitis, unspecified trimester, fetus 2 ICD10CM

Page 244 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Pregnancy O41.1293 [O41.1293] Chorioamnionitis, unspecified trimester, fetus 3 ICD10CM Pregnancy O41.1294 [O41.1294] Chorioamnionitis, unspecified trimester, fetus 4 ICD10CM Pregnancy O41.1295 [O41.1295] Chorioamnionitis, unspecified trimester, fetus 5 ICD10CM Pregnancy O41.1299 [O41.1299] Chorioamnionitis, unspecified trimester, other fetus ICD10CM Pregnancy O41.1410 [O41.1410] Placentitis, first trimester, not applicable or unspecified ICD10CM Pregnancy O41.1411 [O41.1411] Placentitis, first trimester, fetus 1 ICD10CM Pregnancy O41.1412 [O41.1412] Placentitis, first trimester, fetus 2 ICD10CM Pregnancy O41.1413 [O41.1413] Placentitis, first trimester, fetus 3 ICD10CM Pregnancy O41.1414 [O41.1414] Placentitis, first trimester, fetus 4 ICD10CM Pregnancy O41.1415 [O41.1415] Placentitis, first trimester, fetus 5 ICD10CM Pregnancy O41.1419 [O41.1419] Placentitis, first trimester, other fetus ICD10CM Pregnancy O41.1420 [O41.1420] Placentitis, second trimester, not applicable or unspecified ICD10CM Pregnancy O41.1421 [O41.1421] Placentitis, second trimester, fetus 1 ICD10CM Pregnancy O41.1422 [O41.1422] Placentitis, second trimester, fetus 2 ICD10CM Pregnancy O41.1423 [O41.1423] Placentitis, second trimester, fetus 3 ICD10CM Pregnancy O41.1424 [O41.1424] Placentitis, second trimester, fetus 4 ICD10CM Pregnancy O41.1425 [O41.1425] Placentitis, second trimester, fetus 5 ICD10CM Pregnancy O41.1429 [O41.1429] Placentitis, second trimester, other fetus ICD10CM Pregnancy O41.1430 [O41.1430] Placentitis, third trimester, not applicable or unspecified ICD10CM Pregnancy O41.1431 [O41.1431] Placentitis, third trimester, fetus 1 ICD10CM Pregnancy O41.1432 [O41.1432] Placentitis, third trimester, fetus 2 ICD10CM Pregnancy O41.1433 [O41.1433] Placentitis, third trimester, fetus 3 ICD10CM Pregnancy O41.1434 [O41.1434] Placentitis, third trimester, fetus 4 ICD10CM Pregnancy O41.1435 [O41.1435] Placentitis, third trimester, fetus 5 ICD10CM Pregnancy O41.1439 [O41.1439] Placentitis, third trimester, other fetus ICD10CM Pregnancy O41.1490 [O41.1490] Placentitis, unspecified trimester, not applicable or unspecified ICD10CM Pregnancy O41.1491 [O41.1491] Placentitis, unspecified trimester, fetus 1 ICD10CM Pregnancy O41.1492 [O41.1492] Placentitis, unspecified trimester, fetus 2 ICD10CM Pregnancy O41.1493 [O41.1493] Placentitis, unspecified trimester, fetus 3 ICD10CM Pregnancy O41.1494 [O41.1494] Placentitis, unspecified trimester, fetus 4 ICD10CM Pregnancy O41.1495 [O41.1495] Placentitis, unspecified trimester, fetus 5 ICD10CM

Page 245 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Pregnancy O41.1499 [O41.1499] Placentitis, unspecified trimester, other fetus ICD10CM [O41.8X10] Other specified disorders of amniotic fluid and membranes, first Pregnancy O41.8X10 ICD10CM trimester, not applicable or unspecified [O41.8X11] Other specified disorders of amniotic fluid and membranes, first Pregnancy O41.8X11 ICD10CM trimester, fetus 1 [O41.8X12] Other specified disorders of amniotic fluid and membranes, first Pregnancy O41.8X12 ICD10CM trimester, fetus 2 [O41.8X13] Other specified disorders of amniotic fluid and membranes, first Pregnancy O41.8X13 ICD10CM trimester, fetus 3 [O41.8X14] Other specified disorders of amniotic fluid and membranes, first Pregnancy O41.8X14 ICD10CM trimester, fetus 4 [O41.8X15] Other specified disorders of amniotic fluid and membranes, first Pregnancy O41.8X15 ICD10CM trimester, fetus 5 [O41.8X19] Other specified disorders of amniotic fluid and membranes, first Pregnancy O41.8X19 ICD10CM trimester, other fetus [O41.8X20] Other specified disorders of amniotic fluid and membranes, second Pregnancy O41.8X20 ICD10CM trimester, not applicable or unspecified [O41.8X21] Other specified disorders of amniotic fluid and membranes, second Pregnancy O41.8X21 ICD10CM trimester, fetus 1 [O41.8X22] Other specified disorders of amniotic fluid and membranes, second Pregnancy O41.8X22 ICD10CM trimester, fetus 2 [O41.8X23] Other specified disorders of amniotic fluid and membranes, second Pregnancy O41.8X23 ICD10CM trimester, fetus 3 [O41.8X24] Other specified disorders of amniotic fluid and membranes, second Pregnancy O41.8X24 ICD10CM trimester, fetus 4 [O41.8X25] Other specified disorders of amniotic fluid and membranes, second Pregnancy O41.8X25 ICD10CM trimester, fetus 5 [O41.8X29] Other specified disorders of amniotic fluid and membranes, second Pregnancy O41.8X29 ICD10CM trimester, other fetus [O41.8X30] Other specified disorders of amniotic fluid and membranes, third Pregnancy O41.8X30 ICD10CM trimester, not applicable or unspecified

Page 246 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System [O41.8X31] Other specified disorders of amniotic fluid and membranes, third Pregnancy O41.8X31 ICD10CM trimester, fetus 1 [O41.8X32] Other specified disorders of amniotic fluid and membranes, third Pregnancy O41.8X32 ICD10CM trimester, fetus 2 [O41.8X33] Other specified disorders of amniotic fluid and membranes, third Pregnancy O41.8X33 ICD10CM trimester, fetus 3 [O41.8X34] Other specified disorders of amniotic fluid and membranes, third Pregnancy O41.8X34 ICD10CM trimester, fetus 4 [O41.8X35] Other specified disorders of amniotic fluid and membranes, third Pregnancy O41.8X35 ICD10CM trimester, fetus 5 [O41.8X39] Other specified disorders of amniotic fluid and membranes, third Pregnancy O41.8X39 ICD10CM trimester, other fetus [O41.8X90] Other specified disorders of amniotic fluid and membranes, Pregnancy O41.8X90 ICD10CM unspecified trimester, not applicable or unspecified [O41.8X91] Other specified disorders of amniotic fluid and membranes, Pregnancy O41.8X91 ICD10CM unspecified trimester, fetus 1 [O41.8X92] Other specified disorders of amniotic fluid and membranes, Pregnancy O41.8X92 ICD10CM unspecified trimester, fetus 2 [O41.8X93] Other specified disorders of amniotic fluid and membranes, Pregnancy O41.8X93 ICD10CM unspecified trimester, fetus 3 [O41.8X94] Other specified disorders of amniotic fluid and membranes, Pregnancy O41.8X94 ICD10CM unspecified trimester, fetus 4 [O41.8X95] Other specified disorders of amniotic fluid and membranes, Pregnancy O41.8X95 ICD10CM unspecified trimester, fetus 5 [O41.8X99] Other specified disorders of amniotic fluid and membranes, Pregnancy O41.8X99 ICD10CM unspecified trimester, other fetus [O41.90X0] Disorder of amniotic fluid and membranes, unspecified, unspecified Pregnancy O41.90X0 ICD10CM trimester, not applicable or unspecified [O41.90X1] Disorder of amniotic fluid and membranes, unspecified, unspecified Pregnancy O41.90X1 ICD10CM trimester, fetus 1 [O41.90X2] Disorder of amniotic fluid and membranes, unspecified, unspecified Pregnancy O41.90X2 ICD10CM trimester, fetus 2

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Exclusion Value Set Name Code Definition Code System [O41.90X3] Disorder of amniotic fluid and membranes, unspecified, unspecified Pregnancy O41.90X3 ICD10CM trimester, fetus 3 [O41.90X4] Disorder of amniotic fluid and membranes, unspecified, unspecified Pregnancy O41.90X4 ICD10CM trimester, fetus 4 [O41.90X5] Disorder of amniotic fluid and membranes, unspecified, unspecified Pregnancy O41.90X5 ICD10CM trimester, fetus 5 [O41.90X9] Disorder of amniotic fluid and membranes, unspecified, unspecified Pregnancy O41.90X9 ICD10CM trimester, other fetus [O41.91X0] Disorder of amniotic fluid and membranes, unspecified, first Pregnancy O41.91X0 ICD10CM trimester, not applicable or unspecified [O41.91X1] Disorder of amniotic fluid and membranes, unspecified, first Pregnancy O41.91X1 ICD10CM trimester, fetus 1 [O41.91X2] Disorder of amniotic fluid and membranes, unspecified, first Pregnancy O41.91X2 ICD10CM trimester, fetus 2 [O41.91X3] Disorder of amniotic fluid and membranes, unspecified, first Pregnancy O41.91X3 ICD10CM trimester, fetus 3 [O41.91X4] Disorder of amniotic fluid and membranes, unspecified, first Pregnancy O41.91X4 ICD10CM trimester, fetus 4 [O41.91X5] Disorder of amniotic fluid and membranes, unspecified, first Pregnancy O41.91X5 ICD10CM trimester, fetus 5 [O41.91X9] Disorder of amniotic fluid and membranes, unspecified, first Pregnancy O41.91X9 ICD10CM trimester, other fetus [O41.92X0] Disorder of amniotic fluid and membranes, unspecified, second Pregnancy O41.92X0 ICD10CM trimester, not applicable or unspecified [O41.92X1] Disorder of amniotic fluid and membranes, unspecified, second Pregnancy O41.92X1 ICD10CM trimester, fetus 1 [O41.92X2] Disorder of amniotic fluid and membranes, unspecified, second Pregnancy O41.92X2 ICD10CM trimester, fetus 2 [O41.92X3] Disorder of amniotic fluid and membranes, unspecified, second Pregnancy O41.92X3 ICD10CM trimester, fetus 3 [O41.92X4] Disorder of amniotic fluid and membranes, unspecified, second Pregnancy O41.92X4 ICD10CM trimester, fetus 4

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Exclusion Value Set Name Code Definition Code System [O41.92X5] Disorder of amniotic fluid and membranes, unspecified, second Pregnancy O41.92X5 ICD10CM trimester, fetus 5 [O41.92X9] Disorder of amniotic fluid and membranes, unspecified, second Pregnancy O41.92X9 ICD10CM trimester, other fetus [O41.93X0] Disorder of amniotic fluid and membranes, unspecified, third Pregnancy O41.93X0 ICD10CM trimester, not applicable or unspecified [O41.93X1] Disorder of amniotic fluid and membranes, unspecified, third Pregnancy O41.93X1 ICD10CM trimester, fetus 1 [O41.93X2] Disorder of amniotic fluid and membranes, unspecified, third Pregnancy O41.93X2 ICD10CM trimester, fetus 2 [O41.93X3] Disorder of amniotic fluid and membranes, unspecified, third Pregnancy O41.93X3 ICD10CM trimester, fetus 3 [O41.93X4] Disorder of amniotic fluid and membranes, unspecified, third Pregnancy O41.93X4 ICD10CM trimester, fetus 4 [O41.93X5] Disorder of amniotic fluid and membranes, unspecified, third Pregnancy O41.93X5 ICD10CM trimester, fetus 5 [O41.93X9] Disorder of amniotic fluid and membranes, unspecified, third Pregnancy O41.93X9 ICD10CM trimester, other fetus [O42.00] Premature rupture of membranes, onset of labor within 24 hours of Pregnancy O42.00 ICD10CM rupture, unspecified weeks of gestation [O42.011] Preterm premature rupture of membranes, onset of labor within 24 Pregnancy O42.011 ICD10CM hours of rupture, first trimester [O42.012] Preterm premature rupture of membranes, onset of labor within 24 Pregnancy O42.012 ICD10CM hours of rupture, second trimester [O42.013] Preterm premature rupture of membranes, onset of labor within 24 Pregnancy O42.013 ICD10CM hours of rupture, third trimester [O42.019] Preterm premature rupture of membranes, onset of labor within 24 Pregnancy O42.019 ICD10CM hours of rupture, unspecified trimester [O42.02] Full‐term premature rupture of membranes, onset of labor within 24 Pregnancy O42.02 ICD10CM hours of rupture [O42.10] Premature rupture of membranes, onset of labor more than 24 hours Pregnancy O42.10 ICD10CM following rupture, unspecified weeks of gestation

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Exclusion Value Set Name Code Definition Code System [O42.111] Preterm premature rupture of membranes, onset of labor more than Pregnancy O42.111 ICD10CM 24 hours following rupture, first trimester [O42.112] Preterm premature rupture of membranes, onset of labor more than Pregnancy O42.112 ICD10CM 24 hours following rupture, second trimester [O42.113] Preterm premature rupture of membranes, onset of labor more than Pregnancy O42.113 ICD10CM 24 hours following rupture, third trimester [O42.119] Preterm premature rupture of membranes, onset of labor more than Pregnancy O42.119 ICD10CM 24 hours following rupture, unspecified trimester [O42.12] Full‐term premature rupture of membranes, onset of labor more than Pregnancy O42.12 ICD10CM 24 hours following rupture [O42.90] Premature rupture of membranes, unspecified as to length of time Pregnancy O42.90 ICD10CM between rupture and onset of labor, unspecified weeks of gestation [O42.911] Preterm premature rupture of membranes, unspecified as to length of Pregnancy O42.911 ICD10CM time between rupture and onset of labor, first trimester [O42.912] Preterm premature rupture of membranes, unspecified as to length of Pregnancy O42.912 ICD10CM time between rupture and onset of labor, second trimester [O42.913] Preterm premature rupture of membranes, unspecified as to length of Pregnancy O42.913 ICD10CM time between rupture and onset of labor, third trimester [O42.919] Preterm premature rupture of membranes, unspecified as to length of Pregnancy O42.919 ICD10CM time between rupture and onset of labor, unspecified trimester [O42.92] Full‐term premature rupture of membranes, unspecified as to length of Pregnancy O42.92 ICD10CM time between rupture and onset of labor Pregnancy O43.011 [O43.011] Fetomaternal placental transfusion syndrome, first trimester ICD10CM Pregnancy O43.012 [O43.012] Fetomaternal placental transfusion syndrome, second trimester ICD10CM

Pregnancy O43.013 [O43.013] Fetomaternal placental transfusion syndrome, third trimester ICD10CM

Pregnancy O43.019 [O43.019] Fetomaternal placental transfusion syndrome, unspecified trimester ICD10CM

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Exclusion Value Set Name Code Definition Code System Pregnancy O43.021 [O43.021] Fetus‐to‐fetus placental transfusion syndrome, first trimester ICD10CM

Pregnancy O43.022 [O43.022] Fetus‐to‐fetus placental transfusion syndrome, second trimester ICD10CM

Pregnancy O43.023 [O43.023] Fetus‐to‐fetus placental transfusion syndrome, third trimester ICD10CM

Pregnancy O43.029 [O43.029] Fetus‐to‐fetus placental transfusion syndrome, unspecified trimester ICD10CM Pregnancy O43.101 [O43.101] Malformation of placenta, unspecified, first trimester ICD10CM Pregnancy O43.102 [O43.102] Malformation of placenta, unspecified, second trimester ICD10CM Pregnancy O43.103 [O43.103] Malformation of placenta, unspecified, third trimester ICD10CM Pregnancy O43.109 [O43.109] Malformation of placenta, unspecified, unspecified trimester ICD10CM Pregnancy O43.111 [O43.111] Circumvallate placenta, first trimester ICD10CM Pregnancy O43.112 [O43.112] Circumvallate placenta, second trimester ICD10CM Pregnancy O43.113 [O43.113] Circumvallate placenta, third trimester ICD10CM Pregnancy O43.119 [O43.119] Circumvallate placenta, unspecified trimester ICD10CM Pregnancy O43.121 [O43.121] Velamentous insertion of umbilical cord, first trimester ICD10CM Pregnancy O43.122 [O43.122] Velamentous insertion of umbilical cord, second trimester ICD10CM Pregnancy O43.123 [O43.123] Velamentous insertion of umbilical cord, third trimester ICD10CM Pregnancy O43.129 [O43.129] Velamentous insertion of umbilical cord, unspecified trimester ICD10CM Pregnancy O43.191 [O43.191] Other malformation of placenta, first trimester ICD10CM Pregnancy O43.192 [O43.192] Other malformation of placenta, second trimester ICD10CM Pregnancy O43.193 [O43.193] Other malformation of placenta, third trimester ICD10CM Pregnancy O43.199 [O43.199] Other malformation of placenta, unspecified trimester ICD10CM Pregnancy O43.211 [O43.211] Placenta accreta, first trimester ICD10CM Pregnancy O43.212 [O43.212] Placenta accreta, second trimester ICD10CM Pregnancy O43.213 [O43.213] Placenta accreta, third trimester ICD10CM Pregnancy O43.219 [O43.219] Placenta accreta, unspecified trimester ICD10CM Pregnancy O43.221 [O43.221] Placenta increta, first trimester ICD10CM Pregnancy O43.222 [O43.222] Placenta increta, second trimester ICD10CM Pregnancy O43.223 [O43.223] Placenta increta, third trimester ICD10CM

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Exclusion Value Set Name Code Definition Code System Pregnancy O43.229 [O43.229] Placenta increta, unspecified trimester ICD10CM Pregnancy O43.231 [O43.231] Placenta percreta, first trimester ICD10CM Pregnancy O43.232 [O43.232] Placenta percreta, second trimester ICD10CM Pregnancy O43.233 [O43.233] Placenta percreta, third trimester ICD10CM Pregnancy O43.239 [O43.239] Placenta percreta, unspecified trimester ICD10CM Pregnancy O43.811 [O43.811] Placental infarction, first trimester ICD10CM Pregnancy O43.812 [O43.812] Placental infarction, second trimester ICD10CM Pregnancy O43.813 [O43.813] Placental infarction, third trimester ICD10CM Pregnancy O43.819 [O43.819] Placental infarction, unspecified trimester ICD10CM Pregnancy O43.891 [O43.891] Other placental disorders, first trimester ICD10CM Pregnancy O43.892 [O43.892] Other placental disorders, second trimester ICD10CM Pregnancy O43.893 [O43.893] Other placental disorders, third trimester ICD10CM Pregnancy O43.899 [O43.899] Other placental disorders, unspecified trimester ICD10CM Pregnancy O43.90 [O43.90] Unspecified placental disorder, unspecified trimester ICD10CM Pregnancy O43.91 [O43.91] Unspecified placental disorder, first trimester ICD10CM Pregnancy O43.92 [O43.92] Unspecified placental disorder, second trimester ICD10CM Pregnancy O43.93 [O43.93] Unspecified placental disorder, third trimester ICD10CM [O44.00] Complete placenta previa NOS or without hemorrhage, unspecified Pregnancy O44.00 ICD10CM trimester Pregnancy O44.01 [O44.01] Complete placenta previa NOS or without hemorrhage, first trimester ICD10CM [O44.02] Complete placenta previa NOS or without hemorrhage, second Pregnancy O44.02 ICD10CM trimester Pregnancy O44.03 [O44.03] Complete placenta previa NOS or without hemorrhage, third trimester ICD10CM

Pregnancy O44.10 [O44.10] Complete placenta previa with hemorrhage, unspecified trimester ICD10CM Pregnancy O44.11 [O44.11] Complete placenta previa with hemorrhage, first trimester ICD10CM Pregnancy O44.12 [O44.12] Complete placenta previa with hemorrhage, second trimester ICD10CM Pregnancy O44.13 [O44.13] Complete placenta previa with hemorrhage, third trimester ICD10CM [O44.20] Partial placenta previa NOS or without hemorrhage, unspecified Pregnancy O44.20 ICD10CM trimester

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Exclusion Value Set Name Code Definition Code System Pregnancy O44.21 [O44.21] Partial placenta previa NOS or without hemorrhage, first trimester ICD10CM

Pregnancy O44.22 [O44.22] Partial placenta previa NOS or without hemorrhage, second trimester ICD10CM

Pregnancy O44.23 [O44.23] Partial placenta previa NOS or without hemorrhage, third trimester ICD10CM

Pregnancy O44.30 [O44.30] Partial placenta previa with hemorrhage, unspecified trimester ICD10CM Pregnancy O44.31 [O44.31] Partial placenta previa with hemorrhage, first trimester ICD10CM Pregnancy O44.32 [O44.32] Partial placenta previa with hemorrhage, second trimester ICD10CM Pregnancy O44.33 [O44.33] Partial placenta previa with hemorrhage, third trimester ICD10CM Pregnancy O44.40 [O44.40] Low lying placenta NOS or without hemorrhage, unspecified trimester ICD10CM Pregnancy O44.41 [O44.41] Low lying placenta NOS or without hemorrhage, first trimester ICD10CM Pregnancy O44.42 [O44.42] Low lying placenta NOS or without hemorrhage, second trimester ICD10CM

Pregnancy O44.43 [O44.43] Low lying placenta NOS or without hemorrhage, third trimester ICD10CM Pregnancy O44.50 [O44.50] Low lying placenta with hemorrhage, unspecified trimester ICD10CM Pregnancy O44.51 [O44.51] Low lying placenta with hemorrhage, first trimester ICD10CM Pregnancy O44.52 [O44.52] Low lying placenta with hemorrhage, second trimester ICD10CM Pregnancy O44.53 [O44.53] Low lying placenta with hemorrhage, third trimester ICD10CM [O45.001] Premature separation of placenta with coagulation defect, unspecified, Pregnancy O45.001 ICD10CM first trimester [O45.002] Premature separation of placenta with coagulation defect, unspecified, Pregnancy O45.002 ICD10CM second trimester [O45.003] Premature separation of placenta with coagulation defect, unspecified, Pregnancy O45.003 ICD10CM third trimester [O45.009] Premature separation of placenta with coagulation defect, unspecified, Pregnancy O45.009 ICD10CM unspecified trimester Pregnancy O45.011 [O45.011] Premature separation of placenta with afibrinogenemia, first trimester ICD10CM

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Exclusion Value Set Name Code Definition Code System [O45.012] Premature separation of placenta with afibrinogenemia, second Pregnancy O45.012 ICD10CM trimester [O45.013] Premature separation of placenta with afibrinogenemia, third Pregnancy O45.013 ICD10CM trimester [O45.019] Premature separation of placenta with afibrinogenemia, unspecified Pregnancy O45.019 ICD10CM trimester [O45.021] Premature separation of placenta with disseminated intravascular Pregnancy O45.021 ICD10CM coagulation, first trimester [O45.022] Premature separation of placenta with disseminated intravascular Pregnancy O45.022 ICD10CM coagulation, second trimester [O45.023] Premature separation of placenta with disseminated intravascular Pregnancy O45.023 ICD10CM coagulation, third trimester [O45.029] Premature separation of placenta with disseminated intravascular Pregnancy O45.029 ICD10CM coagulation, unspecified trimester [O45.091] Premature separation of placenta with other coagulation defect, first Pregnancy O45.091 ICD10CM trimester [O45.092] Premature separation of placenta with other coagulation defect, Pregnancy O45.092 ICD10CM second trimester [O45.093] Premature separation of placenta with other coagulation defect, third Pregnancy O45.093 ICD10CM trimester [O45.099] Premature separation of placenta with other coagulation defect, Pregnancy O45.099 ICD10CM unspecified trimester Pregnancy O45.8X1 [O45.8X1] Other premature separation of placenta, first trimester ICD10CM Pregnancy O45.8X2 [O45.8X2] Other premature separation of placenta, second trimester ICD10CM Pregnancy O45.8X3 [O45.8X3] Other premature separation of placenta, third trimester ICD10CM Pregnancy O45.8X9 [O45.8X9] Other premature separation of placenta, unspecified trimester ICD10CM

Pregnancy O45.90 [O45.90] Premature separation of placenta, unspecified, unspecified trimester ICD10CM Pregnancy O45.91 [O45.91] Premature separation of placenta, unspecified, first trimester ICD10CM Pregnancy O45.92 [O45.92] Premature separation of placenta, unspecified, second trimester ICD10CM

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Exclusion Value Set Name Code Definition Code System Pregnancy O45.93 [O45.93] Premature separation of placenta, unspecified, third trimester ICD10CM [O46.001] Antepartum hemorrhage with coagulation defect, unspecified, first Pregnancy O46.001 ICD10CM trimester [O46.002] Antepartum hemorrhage with coagulation defect, unspecified, second Pregnancy O46.002 ICD10CM trimester [O46.003] Antepartum hemorrhage with coagulation defect, unspecified, third Pregnancy O46.003 ICD10CM trimester [O46.009] Antepartum hemorrhage with coagulation defect, unspecified, Pregnancy O46.009 ICD10CM unspecified trimester Pregnancy O46.011 [O46.011] Antepartum hemorrhage with afibrinogenemia, first trimester ICD10CM

Pregnancy O46.012 [O46.012] Antepartum hemorrhage with afibrinogenemia, second trimester ICD10CM

Pregnancy O46.013 [O46.013] Antepartum hemorrhage with afibrinogenemia, third trimester ICD10CM

Pregnancy O46.019 [O46.019] Antepartum hemorrhage with afibrinogenemia, unspecified trimester ICD10CM [O46.021] Antepartum hemorrhage with disseminated intravascular coagulation, Pregnancy O46.021 ICD10CM first trimester [O46.022] Antepartum hemorrhage with disseminated intravascular coagulation, Pregnancy O46.022 ICD10CM second trimester [O46.023] Antepartum hemorrhage with disseminated intravascular coagulation, Pregnancy O46.023 ICD10CM third trimester [O46.029] Antepartum hemorrhage with disseminated intravascular coagulation, Pregnancy O46.029 ICD10CM unspecified trimester Pregnancy O46.091 [O46.091] Antepartum hemorrhage with other coagulation defect, first trimester ICD10CM [O46.092] Antepartum hemorrhage with other coagulation defect, second Pregnancy O46.092 ICD10CM trimester Pregnancy O46.093 [O46.093] Antepartum hemorrhage with other coagulation defect, third trimester ICD10CM

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Exclusion Value Set Name Code Definition Code System [O46.099] Antepartum hemorrhage with other coagulation defect, unspecified Pregnancy O46.099 ICD10CM trimester Pregnancy O46.8X1 [O46.8X1] Other antepartum hemorrhage, first trimester ICD10CM Pregnancy O46.8X2 [O46.8X2] Other antepartum hemorrhage, second trimester ICD10CM Pregnancy O46.8X3 [O46.8X3] Other antepartum hemorrhage, third trimester ICD10CM Pregnancy O46.8X9 [O46.8X9] Other antepartum hemorrhage, unspecified trimester ICD10CM Pregnancy O46.90 [O46.90] Antepartum hemorrhage, unspecified, unspecified trimester ICD10CM Pregnancy O46.91 [O46.91] Antepartum hemorrhage, unspecified, first trimester ICD10CM Pregnancy O46.92 [O46.92] Antepartum hemorrhage, unspecified, second trimester ICD10CM Pregnancy O46.93 [O46.93] Antepartum hemorrhage, unspecified, third trimester ICD10CM [O47.00] False labor before 37 completed weeks of gestation, unspecified Pregnancy O47.00 ICD10CM trimester Pregnancy O47.02 [O47.02] False labor before 37 completed weeks of gestation, second trimester ICD10CM

Pregnancy O47.03 [O47.03] False labor before 37 completed weeks of gestation, third trimester ICD10CM Pregnancy O47.1 [O47.1] False labor at or after 37 completed weeks of gestation ICD10CM Pregnancy O47.9 [O47.9] False labor, unspecified ICD10CM Pregnancy O48.0 [O48.0] Post‐term pregnancy ICD10CM Pregnancy O48.1 [O48.1] Prolonged pregnancy ICD10CM Pregnancy O60.00 [O60.00] Preterm labor without delivery, unspecified trimester ICD10CM Pregnancy O60.02 [O60.02] Preterm labor without delivery, second trimester ICD10CM Pregnancy O60.03 [O60.03] Preterm labor without delivery, third trimester ICD10CM [O60.10X0] Preterm labor with preterm delivery, unspecified trimester, not Pregnancy O60.10X0 ICD10CM applicable or unspecified Pregnancy O60.10X1 [O60.10X1] Preterm labor with preterm delivery, unspecified trimester, fetus 1 ICD10CM

Pregnancy O60.10X2 [O60.10X2] Preterm labor with preterm delivery, unspecified trimester, fetus 2 ICD10CM

Pregnancy O60.10X3 [O60.10X3] Preterm labor with preterm delivery, unspecified trimester, fetus 3 ICD10CM

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Exclusion Value Set Name Code Definition Code System Pregnancy O60.10X4 [O60.10X4] Preterm labor with preterm delivery, unspecified trimester, fetus 4 ICD10CM

Pregnancy O60.10X5 [O60.10X5] Preterm labor with preterm delivery, unspecified trimester, fetus 5 ICD10CM [O60.10X9] Preterm labor with preterm delivery, unspecified trimester, other Pregnancy O60.10X9 ICD10CM fetus [O60.12X0] Preterm labor second trimester with preterm delivery second Pregnancy O60.12X0 ICD10CM trimester, not applicable or unspecified [O60.12X1] Preterm labor second trimester with preterm delivery second Pregnancy O60.12X1 ICD10CM trimester, fetus 1 [O60.12X2] Preterm labor second trimester with preterm delivery second Pregnancy O60.12X2 ICD10CM trimester, fetus 2 [O60.12X3] Preterm labor second trimester with preterm delivery second Pregnancy O60.12X3 ICD10CM trimester, fetus 3 [O60.12X4] Preterm labor second trimester with preterm delivery second Pregnancy O60.12X4 ICD10CM trimester, fetus 4 [O60.12X5] Preterm labor second trimester with preterm delivery second Pregnancy O60.12X5 ICD10CM trimester, fetus 5 [O60.12X9] Preterm labor second trimester with preterm delivery second Pregnancy O60.12X9 ICD10CM trimester, other fetus [O60.13X0] Preterm labor second trimester with preterm delivery third trimester, Pregnancy O60.13X0 ICD10CM not applicable or unspecified [O60.13X1] Preterm labor second trimester with preterm delivery third trimester, Pregnancy O60.13X1 ICD10CM fetus 1 [O60.13X2] Preterm labor second trimester with preterm delivery third trimester, Pregnancy O60.13X2 ICD10CM fetus 2 [O60.13X3] Preterm labor second trimester with preterm delivery third trimester, Pregnancy O60.13X3 ICD10CM fetus 3 [O60.13X4] Preterm labor second trimester with preterm delivery third trimester, Pregnancy O60.13X4 ICD10CM fetus 4 [O60.13X5] Preterm labor second trimester with preterm delivery third trimester, Pregnancy O60.13X5 ICD10CM fetus 5

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Exclusion Value Set Name Code Definition Code System [O60.13X9] Preterm labor second trimester with preterm delivery third trimester, Pregnancy O60.13X9 ICD10CM other fetus [O60.14X0] Preterm labor third trimester with preterm delivery third trimester, Pregnancy O60.14X0 ICD10CM not applicable or unspecified [O60.14X1] Preterm labor third trimester with preterm delivery third trimester, Pregnancy O60.14X1 ICD10CM fetus 1 [O60.14X2] Preterm labor third trimester with preterm delivery third trimester, Pregnancy O60.14X2 ICD10CM fetus 2 [O60.14X3] Preterm labor third trimester with preterm delivery third trimester, Pregnancy O60.14X3 ICD10CM fetus 3 [O60.14X4] Preterm labor third trimester with preterm delivery third trimester, Pregnancy O60.14X4 ICD10CM fetus 4 [O60.14X5] Preterm labor third trimester with preterm delivery third trimester, Pregnancy O60.14X5 ICD10CM fetus 5 [O60.14X9] Preterm labor third trimester with preterm delivery third trimester, Pregnancy O60.14X9 ICD10CM other fetus [O60.20X0] Term delivery with preterm labor, unspecified trimester, not Pregnancy O60.20X0 ICD10CM applicable or unspecified Pregnancy O60.20X1 [O60.20X1] Term delivery with preterm labor, unspecified trimester, fetus 1 ICD10CM

Pregnancy O60.20X2 [O60.20X2] Term delivery with preterm labor, unspecified trimester, fetus 2 ICD10CM

Pregnancy O60.20X3 [O60.20X3] Term delivery with preterm labor, unspecified trimester, fetus 3 ICD10CM

Pregnancy O60.20X4 [O60.20X4] Term delivery with preterm labor, unspecified trimester, fetus 4 ICD10CM

Pregnancy O60.20X5 [O60.20X5] Term delivery with preterm labor, unspecified trimester, fetus 5 ICD10CM

Pregnancy O60.20X9 [O60.20X9] Term delivery with preterm labor, unspecified trimester, other fetus ICD10CM [O60.22X0] Term delivery with preterm labor, second trimester, not applicable or Pregnancy O60.22X0 ICD10CM unspecified

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Exclusion Value Set Name Code Definition Code System Pregnancy O60.22X1 [O60.22X1] Term delivery with preterm labor, second trimester, fetus 1 ICD10CM Pregnancy O60.22X2 [O60.22X2] Term delivery with preterm labor, second trimester, fetus 2 ICD10CM Pregnancy O60.22X3 [O60.22X3] Term delivery with preterm labor, second trimester, fetus 3 ICD10CM Pregnancy O60.22X4 [O60.22X4] Term delivery with preterm labor, second trimester, fetus 4 ICD10CM Pregnancy O60.22X5 [O60.22X5] Term delivery with preterm labor, second trimester, fetus 5 ICD10CM Pregnancy O60.22X9 [O60.22X9] Term delivery with preterm labor, second trimester, other fetus ICD10CM [O60.23X0] Term delivery with preterm labor, third trimester, not applicable or Pregnancy O60.23X0 ICD10CM unspecified Pregnancy O60.23X1 [O60.23X1] Term delivery with preterm labor, third trimester, fetus 1 ICD10CM Pregnancy O60.23X2 [O60.23X2] Term delivery with preterm labor, third trimester, fetus 2 ICD10CM Pregnancy O60.23X3 [O60.23X3] Term delivery with preterm labor, third trimester, fetus 3 ICD10CM Pregnancy O60.23X4 [O60.23X4] Term delivery with preterm labor, third trimester, fetus 4 ICD10CM Pregnancy O60.23X5 [O60.23X5] Term delivery with preterm labor, third trimester, fetus 5 ICD10CM Pregnancy O60.23X9 [O60.23X9] Term delivery with preterm labor, third trimester, other fetus ICD10CM Pregnancy O61.0 [O61.0] Failed medical induction of labor ICD10CM Pregnancy O61.1 [O61.1] Failed instrumental induction of labor ICD10CM Pregnancy O61.8 [O61.8] Other failed induction of labor ICD10CM Pregnancy O61.9 [O61.9] Failed induction of labor, unspecified ICD10CM Pregnancy O62.0 [O62.0] Primary inadequate contractions ICD10CM Pregnancy O62.1 [O62.1] Secondary uterine inertia ICD10CM Pregnancy O62.2 [O62.2] Other uterine inertia ICD10CM Pregnancy O62.3 [O62.3] Precipitate labor ICD10CM Pregnancy O62.4 [O62.4] Hypertonic, incoordinate, and prolonged uterine contractions ICD10CM Pregnancy O62.8 [O62.8] Other abnormalities of forces of labor ICD10CM Pregnancy O62.9 [O62.9] Abnormality of forces of labor, unspecified ICD10CM Pregnancy O63.0 [O63.0] Prolonged first stage (of labor) ICD10CM Pregnancy O63.1 [O63.1] Prolonged second stage (of labor) ICD10CM Pregnancy O63.2 [O63.2] Delayed delivery of second twin, triplet, etc. ICD10CM Pregnancy O63.9 [O63.9] Long labor, unspecified ICD10CM

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Exclusion Value Set Name Code Definition Code System [O64.0XX0] Obstructed labor due to incomplete rotation of fetal head, not Pregnancy O64.0XX0 ICD10CM applicable or unspecified Pregnancy O64.0XX1 [O64.0XX1] Obstructed labor due to incomplete rotation of fetal head, fetus 1 ICD10CM

Pregnancy O64.0XX2 [O64.0XX2] Obstructed labor due to incomplete rotation of fetal head, fetus 2 ICD10CM

Pregnancy O64.0XX3 [O64.0XX3] Obstructed labor due to incomplete rotation of fetal head, fetus 3 ICD10CM

Pregnancy O64.0XX4 [O64.0XX4] Obstructed labor due to incomplete rotation of fetal head, fetus 4 ICD10CM

Pregnancy O64.0XX5 [O64.0XX5] Obstructed labor due to incomplete rotation of fetal head, fetus 5 ICD10CM [O64.0XX9] Obstructed labor due to incomplete rotation of fetal head, other Pregnancy O64.0XX9 ICD10CM fetus [O64.1XX0] Obstructed labor due to breech presentation, not applicable or Pregnancy O64.1XX0 ICD10CM unspecified Pregnancy O64.1XX1 [O64.1XX1] Obstructed labor due to breech presentation, fetus 1 ICD10CM Pregnancy O64.1XX2 [O64.1XX2] Obstructed labor due to breech presentation, fetus 2 ICD10CM Pregnancy O64.1XX3 [O64.1XX3] Obstructed labor due to breech presentation, fetus 3 ICD10CM Pregnancy O64.1XX4 [O64.1XX4] Obstructed labor due to breech presentation, fetus 4 ICD10CM Pregnancy O64.1XX5 [O64.1XX5] Obstructed labor due to breech presentation, fetus 5 ICD10CM Pregnancy O64.1XX9 [O64.1XX9] Obstructed labor due to breech presentation, other fetus ICD10CM [O64.2XX0] Obstructed labor due to face presentation, not applicable or Pregnancy O64.2XX0 ICD10CM unspecified Pregnancy O64.2XX1 [O64.2XX1] Obstructed labor due to face presentation, fetus 1 ICD10CM Pregnancy O64.2XX2 [O64.2XX2] Obstructed labor due to face presentation, fetus 2 ICD10CM Pregnancy O64.2XX3 [O64.2XX3] Obstructed labor due to face presentation, fetus 3 ICD10CM Pregnancy O64.2XX4 [O64.2XX4] Obstructed labor due to face presentation, fetus 4 ICD10CM Pregnancy O64.2XX5 [O64.2XX5] Obstructed labor due to face presentation, fetus 5 ICD10CM Pregnancy O64.2XX9 [O64.2XX9] Obstructed labor due to face presentation, other fetus ICD10CM [O64.3XX0] Obstructed labor due to brow presentation, not applicable or Pregnancy O64.3XX0 ICD10CM unspecified

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Exclusion Value Set Name Code Definition Code System Pregnancy O64.3XX1 [O64.3XX1] Obstructed labor due to brow presentation, fetus 1 ICD10CM Pregnancy O64.3XX2 [O64.3XX2] Obstructed labor due to brow presentation, fetus 2 ICD10CM Pregnancy O64.3XX3 [O64.3XX3] Obstructed labor due to brow presentation, fetus 3 ICD10CM Pregnancy O64.3XX4 [O64.3XX4] Obstructed labor due to brow presentation, fetus 4 ICD10CM Pregnancy O64.3XX5 [O64.3XX5] Obstructed labor due to brow presentation, fetus 5 ICD10CM Pregnancy O64.3XX9 [O64.3XX9] Obstructed labor due to brow presentation, other fetus ICD10CM [O64.4XX0] Obstructed labor due to shoulder presentation, not applicable or Pregnancy O64.4XX0 ICD10CM unspecified Pregnancy O64.4XX1 [O64.4XX1] Obstructed labor due to shoulder presentation, fetus 1 ICD10CM Pregnancy O64.4XX2 [O64.4XX2] Obstructed labor due to shoulder presentation, fetus 2 ICD10CM Pregnancy O64.4XX3 [O64.4XX3] Obstructed labor due to shoulder presentation, fetus 3 ICD10CM Pregnancy O64.4XX4 [O64.4XX4] Obstructed labor due to shoulder presentation, fetus 4 ICD10CM Pregnancy O64.4XX5 [O64.4XX5] Obstructed labor due to shoulder presentation, fetus 5 ICD10CM Pregnancy O64.4XX9 [O64.4XX9] Obstructed labor due to shoulder presentation, other fetus ICD10CM [O64.5XX0] Obstructed labor due to compound presentation, not applicable or Pregnancy O64.5XX0 ICD10CM unspecified Pregnancy O64.5XX1 [O64.5XX1] Obstructed labor due to compound presentation, fetus 1 ICD10CM Pregnancy O64.5XX2 [O64.5XX2] Obstructed labor due to compound presentation, fetus 2 ICD10CM Pregnancy O64.5XX3 [O64.5XX3] Obstructed labor due to compound presentation, fetus 3 ICD10CM Pregnancy O64.5XX4 [O64.5XX4] Obstructed labor due to compound presentation, fetus 4 ICD10CM Pregnancy O64.5XX5 [O64.5XX5] Obstructed labor due to compound presentation, fetus 5 ICD10CM Pregnancy O64.5XX9 [O64.5XX9] Obstructed labor due to compound presentation, other fetus ICD10CM [O64.8XX0] Obstructed labor due to other malposition and malpresentation, not Pregnancy O64.8XX0 ICD10CM applicable or unspecified [O64.8XX1] Obstructed labor due to other malposition and malpresentation, Pregnancy O64.8XX1 ICD10CM fetus 1 [O64.8XX2] Obstructed labor due to other malposition and malpresentation, Pregnancy O64.8XX2 ICD10CM fetus 2 [O64.8XX3] Obstructed labor due to other malposition and malpresentation, Pregnancy O64.8XX3 ICD10CM fetus 3

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Exclusion Value Set Name Code Definition Code System [O64.8XX4] Obstructed labor due to other malposition and malpresentation, Pregnancy O64.8XX4 ICD10CM fetus 4 [O64.8XX5] Obstructed labor due to other malposition and malpresentation, Pregnancy O64.8XX5 ICD10CM fetus 5 [O64.8XX9] Obstructed labor due to other malposition and malpresentation, Pregnancy O64.8XX9 ICD10CM other fetus [O64.9XX0] Obstructed labor due to malposition and malpresentation, Pregnancy O64.9XX0 ICD10CM unspecified, not applicable or unspecified [O64.9XX1] Obstructed labor due to malposition and malpresentation, Pregnancy O64.9XX1 ICD10CM unspecified, fetus 1 [O64.9XX2] Obstructed labor due to malposition and malpresentation, Pregnancy O64.9XX2 ICD10CM unspecified, fetus 2 [O64.9XX3] Obstructed labor due to malposition and malpresentation, Pregnancy O64.9XX3 ICD10CM unspecified, fetus 3 [O64.9XX4] Obstructed labor due to malposition and malpresentation, Pregnancy O64.9XX4 ICD10CM unspecified, fetus 4 [O64.9XX5] Obstructed labor due to malposition and malpresentation, Pregnancy O64.9XX5 ICD10CM unspecified, fetus 5 [O64.9XX9] Obstructed labor due to malposition and malpresentation, Pregnancy O64.9XX9 ICD10CM unspecified, other fetus Pregnancy O65.0 [O65.0] Obstructed labor due to deformed pelvis ICD10CM Pregnancy O65.1 [O65.1] Obstructed labor due to generally contracted pelvis ICD10CM Pregnancy O65.2 [O65.2] Obstructed labor due to pelvic inlet contraction ICD10CM Pregnancy O65.3 [O65.3] Obstructed labor due to pelvic outlet and mid‐cavity contraction ICD10CM Pregnancy O65.4 [O65.4] Obstructed labor due to fetopelvic disproportion, unspecified ICD10CM Pregnancy O65.5 [O65.5] Obstructed labor due to abnormality of maternal pelvic organs ICD10CM Pregnancy O65.8 [O65.8] Obstructed labor due to other maternal pelvic abnormalities ICD10CM Pregnancy O65.9 [O65.9] Obstructed labor due to maternal pelvic abnormality, unspecified ICD10CM Pregnancy O66.0 [O66.0] Obstructed labor due to shoulder dystocia ICD10CM Pregnancy O66.1 [O66.1] Obstructed labor due to locked twins ICD10CM

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Exclusion Value Set Name Code Definition Code System Pregnancy O66.2 [O66.2] Obstructed labor due to unusually large fetus ICD10CM Pregnancy O66.3 [O66.3] Obstructed labor due to other abnormalities of fetus ICD10CM Pregnancy O66.40 [O66.40] Failed trial of labor, unspecified ICD10CM Pregnancy O66.41 [O66.41] Failed attempted vaginal birth after previous cesarean delivery ICD10CM Pregnancy O66.5 [O66.5] Attempted application of vacuum extractor and forceps ICD10CM Pregnancy O66.6 [O66.6] Obstructed labor due to other multiple fetuses ICD10CM Pregnancy O66.8 [O66.8] Other specified obstructed labor ICD10CM Pregnancy O66.9 [O66.9] Obstructed labor, unspecified ICD10CM Pregnancy O67.0 [O67.0] Intrapartum hemorrhage with coagulation defect ICD10CM Pregnancy O67.8 [O67.8] Other intrapartum hemorrhage ICD10CM Pregnancy O67.9 [O67.9] Intrapartum hemorrhage, unspecified ICD10CM Pregnancy O68 [O68] Labor and delivery complicated by abnormality of fetal acid‐base balance ICD10CM [O69.0XX0] Labor and delivery complicated by prolapse of cord, not applicable or Pregnancy O69.0XX0 ICD10CM unspecified Pregnancy O69.0XX1 [O69.0XX1] Labor and delivery complicated by prolapse of cord, fetus 1 ICD10CM Pregnancy O69.0XX2 [O69.0XX2] Labor and delivery complicated by prolapse of cord, fetus 2 ICD10CM Pregnancy O69.0XX3 [O69.0XX3] Labor and delivery complicated by prolapse of cord, fetus 3 ICD10CM Pregnancy O69.0XX4 [O69.0XX4] Labor and delivery complicated by prolapse of cord, fetus 4 ICD10CM Pregnancy O69.0XX5 [O69.0XX5] Labor and delivery complicated by prolapse of cord, fetus 5 ICD10CM Pregnancy O69.0XX9 [O69.0XX9] Labor and delivery complicated by prolapse of cord, other fetus ICD10CM [O69.1XX0] Labor and delivery complicated by cord around neck, with Pregnancy O69.1XX0 ICD10CM compression, not applicable or unspecified [O69.1XX1] Labor and delivery complicated by cord around neck, with Pregnancy O69.1XX1 ICD10CM compression, fetus 1 [O69.1XX2] Labor and delivery complicated by cord around neck, with Pregnancy O69.1XX2 ICD10CM compression, fetus 2 [O69.1XX3] Labor and delivery complicated by cord around neck, with Pregnancy O69.1XX3 ICD10CM compression, fetus 3

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Exclusion Value Set Name Code Definition Code System [O69.1XX4] Labor and delivery complicated by cord around neck, with Pregnancy O69.1XX4 ICD10CM compression, fetus 4 [O69.1XX5] Labor and delivery complicated by cord around neck, with Pregnancy O69.1XX5 ICD10CM compression, fetus 5 [O69.1XX9] Labor and delivery complicated by cord around neck, with Pregnancy O69.1XX9 ICD10CM compression, other fetus [O69.2XX0] Labor and delivery complicated by other cord entanglement, with Pregnancy O69.2XX0 ICD10CM compression, not applicable or unspecified [O69.2XX1] Labor and delivery complicated by other cord entanglement, with Pregnancy O69.2XX1 ICD10CM compression, fetus 1 [O69.2XX2] Labor and delivery complicated by other cord entanglement, with Pregnancy O69.2XX2 ICD10CM compression, fetus 2 [O69.2XX3] Labor and delivery complicated by other cord entanglement, with Pregnancy O69.2XX3 ICD10CM compression, fetus 3 [O69.2XX4] Labor and delivery complicated by other cord entanglement, with Pregnancy O69.2XX4 ICD10CM compression, fetus 4 [O69.2XX5] Labor and delivery complicated by other cord entanglement, with Pregnancy O69.2XX5 ICD10CM compression, fetus 5 [O69.2XX9] Labor and delivery complicated by other cord entanglement, with Pregnancy O69.2XX9 ICD10CM compression, other fetus [O69.3XX0] Labor and delivery complicated by short cord, not applicable or Pregnancy O69.3XX0 ICD10CM unspecified Pregnancy O69.3XX1 [O69.3XX1] Labor and delivery complicated by short cord, fetus 1 ICD10CM Pregnancy O69.3XX2 [O69.3XX2] Labor and delivery complicated by short cord, fetus 2 ICD10CM Pregnancy O69.3XX3 [O69.3XX3] Labor and delivery complicated by short cord, fetus 3 ICD10CM Pregnancy O69.3XX4 [O69.3XX4] Labor and delivery complicated by short cord, fetus 4 ICD10CM Pregnancy O69.3XX5 [O69.3XX5] Labor and delivery complicated by short cord, fetus 5 ICD10CM Pregnancy O69.3XX9 [O69.3XX9] Labor and delivery complicated by short cord, other fetus ICD10CM [O69.4XX0] Labor and delivery complicated by vasa previa, not applicable or Pregnancy O69.4XX0 ICD10CM unspecified Pregnancy O69.4XX1 [O69.4XX1] Labor and delivery complicated by vasa previa, fetus 1 ICD10CM Pregnancy O69.4XX2 [O69.4XX2] Labor and delivery complicated by vasa previa, fetus 2 ICD10CM

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Exclusion Value Set Name Code Definition Code System Pregnancy O69.4XX3 [O69.4XX3] Labor and delivery complicated by vasa previa, fetus 3 ICD10CM Pregnancy O69.4XX4 [O69.4XX4] Labor and delivery complicated by vasa previa, fetus 4 ICD10CM Pregnancy O69.4XX5 [O69.4XX5] Labor and delivery complicated by vasa previa, fetus 5 ICD10CM Pregnancy O69.4XX9 [O69.4XX9] Labor and delivery complicated by vasa previa, other fetus ICD10CM [O69.5XX0] Labor and delivery complicated by vascular lesion of cord, not Pregnancy O69.5XX0 ICD10CM applicable or unspecified Pregnancy O69.5XX1 [O69.5XX1] Labor and delivery complicated by vascular lesion of cord, fetus 1 ICD10CM

Pregnancy O69.5XX2 [O69.5XX2] Labor and delivery complicated by vascular lesion of cord, fetus 2 ICD10CM

Pregnancy O69.5XX3 [O69.5XX3] Labor and delivery complicated by vascular lesion of cord, fetus 3 ICD10CM

Pregnancy O69.5XX4 [O69.5XX4] Labor and delivery complicated by vascular lesion of cord, fetus 4 ICD10CM

Pregnancy O69.5XX5 [O69.5XX5] Labor and delivery complicated by vascular lesion of cord, fetus 5 ICD10CM

Pregnancy O69.5XX9 [O69.5XX9] Labor and delivery complicated by vascular lesion of cord, other fetus ICD10CM [O69.81X0] Labor and delivery complicated by cord around neck, without Pregnancy O69.81X0 ICD10CM compression, not applicable or unspecified [O69.81X1] Labor and delivery complicated by cord around neck, without Pregnancy O69.81X1 ICD10CM compression, fetus 1 [O69.81X2] Labor and delivery complicated by cord around neck, without Pregnancy O69.81X2 ICD10CM compression, fetus 2 [O69.81X3] Labor and delivery complicated by cord around neck, without Pregnancy O69.81X3 ICD10CM compression, fetus 3 [O69.81X4] Labor and delivery complicated by cord around neck, without Pregnancy O69.81X4 ICD10CM compression, fetus 4 [O69.81X5] Labor and delivery complicated by cord around neck, without Pregnancy O69.81X5 ICD10CM compression, fetus 5 [O69.81X9] Labor and delivery complicated by cord around neck, without Pregnancy O69.81X9 ICD10CM compression, other fetus

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Exclusion Value Set Name Code Definition Code System [O69.82X0] Labor and delivery complicated by other cord entanglement, without Pregnancy O69.82X0 ICD10CM compression, not applicable or unspecified [O69.82X1] Labor and delivery complicated by other cord entanglement, without Pregnancy O69.82X1 ICD10CM compression, fetus 1 [O69.82X2] Labor and delivery complicated by other cord entanglement, without Pregnancy O69.82X2 ICD10CM compression, fetus 2 [O69.82X3] Labor and delivery complicated by other cord entanglement, without Pregnancy O69.82X3 ICD10CM compression, fetus 3 [O69.82X4] Labor and delivery complicated by other cord entanglement, without Pregnancy O69.82X4 ICD10CM compression, fetus 4 [O69.82X5] Labor and delivery complicated by other cord entanglement, without Pregnancy O69.82X5 ICD10CM compression, fetus 5 [O69.82X9] Labor and delivery complicated by other cord entanglement, without Pregnancy O69.82X9 ICD10CM compression, other fetus [O69.89X0] Labor and delivery complicated by other cord complications, not Pregnancy O69.89X0 ICD10CM applicable or unspecified Pregnancy O69.89X1 [O69.89X1] Labor and delivery complicated by other cord complications, fetus 1 ICD10CM

Pregnancy O69.89X2 [O69.89X2] Labor and delivery complicated by other cord complications, fetus 2 ICD10CM

Pregnancy O69.89X3 [O69.89X3] Labor and delivery complicated by other cord complications, fetus 3 ICD10CM

Pregnancy O69.89X4 [O69.89X4] Labor and delivery complicated by other cord complications, fetus 4 ICD10CM

Pregnancy O69.89X5 [O69.89X5] Labor and delivery complicated by other cord complications, fetus 5 ICD10CM [O69.89X9] Labor and delivery complicated by other cord complications, other Pregnancy O69.89X9 ICD10CM fetus [O69.9XX0] Labor and delivery complicated by cord complication, unspecified, Pregnancy O69.9XX0 ICD10CM not applicable or unspecified [O69.9XX1] Labor and delivery complicated by cord complication, unspecified, Pregnancy O69.9XX1 ICD10CM fetus 1

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Exclusion Value Set Name Code Definition Code System [O69.9XX2] Labor and delivery complicated by cord complication, unspecified, Pregnancy O69.9XX2 ICD10CM fetus 2 [O69.9XX3] Labor and delivery complicated by cord complication, unspecified, Pregnancy O69.9XX3 ICD10CM fetus 3 [O69.9XX4] Labor and delivery complicated by cord complication, unspecified, Pregnancy O69.9XX4 ICD10CM fetus 4 [O69.9XX5] Labor and delivery complicated by cord complication, unspecified, Pregnancy O69.9XX5 ICD10CM fetus 5 [O69.9XX9] Labor and delivery complicated by cord complication, unspecified, Pregnancy O69.9XX9 ICD10CM other fetus Pregnancy O70.0 [O70.0] First degree perineal laceration during delivery ICD10CM Pregnancy O70.1 [O70.1] Second degree perineal laceration during delivery ICD10CM Pregnancy O70.2 [O70.2] Third degree perineal laceration during delivery ICD10CM Pregnancy O70.20 [O70.20] Third degree perineal laceration during delivery, unspecified ICD10CM Pregnancy O70.21 [O70.21] Third degree perineal laceration during delivery, IIIa ICD10CM Pregnancy O70.22 [O70.22] Third degree perineal laceration during delivery, IIIb ICD10CM Pregnancy O70.23 [O70.23] Third degree perineal laceration during delivery, IIIc ICD10CM Pregnancy O70.3 [O70.3] Fourth degree perineal laceration during delivery ICD10CM [O70.4] Anal sphincter tear complicating delivery, not associated with third Pregnancy O70.4 ICD10CM degree laceration Pregnancy O70.9 [O70.9] Perineal laceration during delivery, unspecified ICD10CM Pregnancy O71.00 [O71.00] Rupture of uterus before onset of labor, unspecified trimester ICD10CM Pregnancy O71.02 [O71.02] Rupture of uterus before onset of labor, second trimester ICD10CM Pregnancy O71.03 [O71.03] Rupture of uterus before onset of labor, third trimester ICD10CM Pregnancy O71.1 [O71.1] Rupture of uterus during labor ICD10CM Pregnancy O71.2 [O71.2] Postpartum inversion of uterus ICD10CM Pregnancy O71.3 [O71.3] Obstetric laceration of cervix ICD10CM Pregnancy O71.4 [O71.4] Obstetric high vaginal laceration alone ICD10CM Pregnancy O71.5 [O71.5] Other obstetric injury to pelvic organs ICD10CM Pregnancy O71.6 [O71.6] Obstetric damage to pelvic joints and ligaments ICD10CM Pregnancy O71.7 [O71.7] Obstetric hematoma of pelvis ICD10CM Pregnancy O71.81 [O71.81] Laceration of uterus, not elsewhere classified ICD10CM

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Exclusion Value Set Name Code Definition Code System Pregnancy O71.82 [O71.82] Other specified trauma to perineum and vulva ICD10CM Pregnancy O71.89 [O71.89] Other specified obstetric trauma ICD10CM Pregnancy O71.9 [O71.9] Obstetric trauma, unspecified ICD10CM Pregnancy O72.0 [O72.0] Third‐stage hemorrhage ICD10CM Pregnancy O72.1 [O72.1] Other immediate postpartum hemorrhage ICD10CM Pregnancy O72.2 [O72.2] Delayed and secondary postpartum hemorrhage ICD10CM Pregnancy O72.3 [O72.3] Postpartum coagulation defects ICD10CM Pregnancy O73.0 [O73.0] Retained placenta without hemorrhage ICD10CM Pregnancy O73.1 [O73.1] Retained portions of placenta and membranes, without hemorrhage ICD10CM

Pregnancy O74.0 [O74.0] Aspiration pneumonitis due to anesthesia during labor and delivery ICD10CM

Pregnancy O74.1 [O74.1] Other pulmonary complications of anesthesia during labor and delivery ICD10CM Pregnancy O74.2 [O74.2] Cardiac complications of anesthesia during labor and delivery ICD10CM [O74.3] Central nervous system complications of anesthesia during labor and Pregnancy O74.3 ICD10CM delivery Pregnancy O74.4 [O74.4] Toxic reaction to local anesthesia during labor and delivery ICD10CM [O74.5] Spinal and epidural anesthesia‐induced headache during labor and Pregnancy O74.5 ICD10CM delivery [O74.6] Other complications of spinal and epidural anesthesia during labor and Pregnancy O74.6 ICD10CM delivery Pregnancy O74.7 [O74.7] Failed or difficult intubation for anesthesia during labor and delivery ICD10CM Pregnancy O74.8 [O74.8] Other complications of anesthesia during labor and delivery ICD10CM Pregnancy O74.9 [O74.9] Complication of anesthesia during labor and delivery, unspecified ICD10CM Pregnancy O75.0 [O75.0] Maternal distress during labor and delivery ICD10CM Pregnancy O75.1 [O75.1] Shock during or following labor and delivery ICD10CM Pregnancy O75.2 [O75.2] Pyrexia during labor, not elsewhere classified ICD10CM Pregnancy O75.3 [O75.3] Other infection during labor ICD10CM Pregnancy O75.4 [O75.4] Other complications of obstetric surgery and procedures ICD10CM

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Exclusion Value Set Name Code Definition Code System Pregnancy O75.5 [O75.5] Delayed delivery after artificial rupture of membranes ICD10CM Pregnancy O75.81 [O75.81] Maternal exhaustion complicating labor and delivery ICD10CM [O75.82] Onset (spontaneous) of labor after 37 completed weeks of gestation but Pregnancy O75.82 before 39 completed weeks gestation, with delivery by (planned) cesarean ICD10CM section Pregnancy O75.89 [O75.89] Other specified complications of labor and delivery ICD10CM Pregnancy O75.9 [O75.9] Complication of labor and delivery, unspecified ICD10CM Pregnancy O76 [O76] Abnormality in fetal heart rate and rhythm complicating labor and delivery ICD10CM Pregnancy O77.0 [O77.0] Labor and delivery complicated by meconium in amniotic fluid ICD10CM Pregnancy O77.1 [O77.1] Fetal stress in labor or delivery due to drug administration ICD10CM Pregnancy O77.8 [O77.8] Labor and delivery complicated by other evidence of fetal stress ICD10CM Pregnancy O77.9 [O77.9] Labor and delivery complicated by fetal stress, unspecified ICD10CM Pregnancy O80 [O80] Encounter for full‐term uncomplicated delivery ICD10CM Pregnancy O82 [O82] Encounter for cesarean delivery without indication ICD10CM Pregnancy O85 [O85] Puerperal sepsis ICD10CM Pregnancy O86.0 [O86.0] Infection of obstetric surgical wound ICD10CM Pregnancy O86.00 [O86.00] Infection of obstetric surgical wound, unspecified ICD10CM Pregnancy O86.01 [O86.01] Infection of obstetric surgical wound, superficial incisional site ICD10CM Pregnancy O86.02 [O86.02] Infection of obstetric surgical wound, deep incisional site ICD10CM Pregnancy O86.03 [O86.03] Infection of obstetric surgical wound, organ and space site ICD10CM Pregnancy O86.04 [O86.04] Sepsis following an obstetrical procedure ICD10CM Pregnancy O86.09 [O86.09] Infection of obstetric surgical wound, other surgical site ICD10CM Pregnancy O86.11 [O86.11] Cervicitis following delivery ICD10CM Pregnancy O86.12 [O86.12] Endometritis following delivery ICD10CM Pregnancy O86.13 [O86.13] Vaginitis following delivery ICD10CM Pregnancy O86.19 [O86.19] Other infection of genital tract following delivery ICD10CM Pregnancy O86.20 [O86.20] Urinary tract infection following delivery, unspecified ICD10CM Pregnancy O86.21 [O86.21] Infection of kidney following delivery ICD10CM Pregnancy O86.22 [O86.22] Infection of bladder following delivery ICD10CM

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Exclusion Value Set Name Code Definition Code System Pregnancy O86.29 [O86.29] Other urinary tract infection following delivery ICD10CM Pregnancy O86.4 [O86.4] Pyrexia of unknown origin following delivery ICD10CM Pregnancy O86.81 [O86.81] Puerperal septic thrombophlebitis ICD10CM Pregnancy O86.89 [O86.89] Other specified puerperal infections ICD10CM Pregnancy O87.0 [O87.0] Superficial thrombophlebitis in the puerperium ICD10CM Pregnancy O87.1 [O87.1] Deep phlebothrombosis in the puerperium ICD10CM Pregnancy O87.2 [O87.2] Hemorrhoids in the puerperium ICD10CM Pregnancy O87.3 [O87.3] Cerebral venous thrombosis in the puerperium ICD10CM Pregnancy O87.4 [O87.4] Varicose veins of lower extremity in the puerperium ICD10CM Pregnancy O87.8 [O87.8] Other venous complications in the puerperium ICD10CM Pregnancy O87.9 [O87.9] Venous complication in the puerperium, unspecified ICD10CM Pregnancy O88.011 [O88.011] Air embolism in pregnancy, first trimester ICD10CM Pregnancy O88.012 [O88.012] Air embolism in pregnancy, second trimester ICD10CM Pregnancy O88.013 [O88.013] Air embolism in pregnancy, third trimester ICD10CM Pregnancy O88.019 [O88.019] Air embolism in pregnancy, unspecified trimester ICD10CM Pregnancy O88.02 [O88.02] Air embolism in childbirth ICD10CM Pregnancy O88.03 [O88.03] Air embolism in the puerperium ICD10CM Pregnancy O88.111 [O88.111] Amniotic fluid embolism in pregnancy, first trimester ICD10CM Pregnancy O88.112 [O88.112] Amniotic fluid embolism in pregnancy, second trimester ICD10CM Pregnancy O88.113 [O88.113] Amniotic fluid embolism in pregnancy, third trimester ICD10CM Pregnancy O88.119 [O88.119] Amniotic fluid embolism in pregnancy, unspecified trimester ICD10CM Pregnancy O88.12 [O88.12] Amniotic fluid embolism in childbirth ICD10CM Pregnancy O88.13 [O88.13] Amniotic fluid embolism in the puerperium ICD10CM Pregnancy O88.211 [O88.211] Thromboembolism in pregnancy, first trimester ICD10CM Pregnancy O88.212 [O88.212] Thromboembolism in pregnancy, second trimester ICD10CM Pregnancy O88.213 [O88.213] Thromboembolism in pregnancy, third trimester ICD10CM Pregnancy O88.219 [O88.219] Thromboembolism in pregnancy, unspecified trimester ICD10CM Pregnancy O88.22 [O88.22] Thromboembolism in childbirth ICD10CM Pregnancy O88.23 [O88.23] Thromboembolism in the puerperium ICD10CM Pregnancy O88.311 [O88.311] Pyemic and septic embolism in pregnancy, first trimester ICD10CM Pregnancy O88.312 [O88.312] Pyemic and septic embolism in pregnancy, second trimester ICD10CM Pregnancy O88.313 [O88.313] Pyemic and septic embolism in pregnancy, third trimester ICD10CM

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Exclusion Value Set Name Code Definition Code System Pregnancy O88.319 [O88.319] Pyemic and septic embolism in pregnancy, unspecified trimester ICD10CM Pregnancy O88.32 [O88.32] Pyemic and septic embolism in childbirth ICD10CM Pregnancy O88.33 [O88.33] Pyemic and septic embolism in the puerperium ICD10CM Pregnancy O88.811 [O88.811] Other embolism in pregnancy, first trimester ICD10CM Pregnancy O88.812 [O88.812] Other embolism in pregnancy, second trimester ICD10CM Pregnancy O88.813 [O88.813] Other embolism in pregnancy, third trimester ICD10CM Pregnancy O88.819 [O88.819] Other embolism in pregnancy, unspecified trimester ICD10CM Pregnancy O88.82 [O88.82] Other embolism in childbirth ICD10CM Pregnancy O88.83 [O88.83] Other embolism in the puerperium ICD10CM Pregnancy O89.01 [O89.01] Aspiration pneumonitis due to anesthesia during the puerperium ICD10CM

Pregnancy O89.09 [O89.09] Other pulmonary complications of anesthesia during the puerperium ICD10CM Pregnancy O89.1 [O89.1] Cardiac complications of anesthesia during the puerperium ICD10CM [O89.2] Central nervous system complications of anesthesia during the Pregnancy O89.2 ICD10CM puerperium Pregnancy O89.3 [O89.3] Toxic reaction to local anesthesia during the puerperium ICD10CM Pregnancy O89.4 [O89.4] Spinal and epidural anesthesia‐induced headache during the puerperium ICD10CM [O89.5] Other complications of spinal and epidural anesthesia during the Pregnancy O89.5 ICD10CM puerperium Pregnancy O89.6 [O89.6] Failed or difficult intubation for anesthesia during the puerperium ICD10CM Pregnancy O89.8 [O89.8] Other complications of anesthesia during the puerperium ICD10CM Pregnancy O89.9 [O89.9] Complication of anesthesia during the puerperium, unspecified ICD10CM Pregnancy O90.0 [O90.0] Disruption of cesarean delivery wound ICD10CM Pregnancy O90.1 [O90.1] Disruption of perineal obstetric wound ICD10CM Pregnancy O90.2 [O90.2] Hematoma of obstetric wound ICD10CM Pregnancy O90.3 [O90.3] Peripartum cardiomyopathy ICD10CM Pregnancy O90.4 [O90.4] Postpartum acute kidney failure ICD10CM Pregnancy O90.5 [O90.5] Postpartum thyroiditis ICD10CM

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Exclusion Value Set Name Code Definition Code System Pregnancy O90.6 [O90.6] Postpartum mood disturbance ICD10CM Pregnancy O90.81 [O90.81] Anemia of the puerperium ICD10CM Pregnancy O90.89 [O90.89] Other complications of the puerperium, not elsewhere classified ICD10CM Pregnancy O90.9 [O90.9] Complication of the puerperium, unspecified ICD10CM Pregnancy O91.011 [O91.011] Infection of nipple associated with pregnancy, first trimester ICD10CM Pregnancy O91.012 [O91.012] Infection of nipple associated with pregnancy, second trimester ICD10CM

Pregnancy O91.013 [O91.013] Infection of nipple associated with pregnancy, third trimester ICD10CM

Pregnancy O91.019 [O91.019] Infection of nipple associated with pregnancy, unspecified trimester ICD10CM Pregnancy O91.02 [O91.02] Infection of nipple associated with the puerperium ICD10CM Pregnancy O91.03 [O91.03] Infection of nipple associated with lactation ICD10CM Pregnancy O91.111 [O91.111] Abscess of breast associated with pregnancy, first trimester ICD10CM Pregnancy O91.112 [O91.112] Abscess of breast associated with pregnancy, second trimester ICD10CM Pregnancy O91.113 [O91.113] Abscess of breast associated with pregnancy, third trimester ICD10CM Pregnancy O91.119 [O91.119] Abscess of breast associated with pregnancy, unspecified trimester ICD10CM Pregnancy O91.12 [O91.12] Abscess of breast associated with the puerperium ICD10CM Pregnancy O91.13 [O91.13] Abscess of breast associated with lactation ICD10CM Pregnancy O91.211 [O91.211] Nonpurulent mastitis associated with pregnancy, first trimester ICD10CM

Pregnancy O91.212 [O91.212] Nonpurulent mastitis associated with pregnancy, second trimester ICD10CM

Pregnancy O91.213 [O91.213] Nonpurulent mastitis associated with pregnancy, third trimester ICD10CM

Pregnancy O91.219 [O91.219] Nonpurulent mastitis associated with pregnancy, unspecified trimester ICD10CM Pregnancy O91.22 [O91.22] Nonpurulent mastitis associated with the puerperium ICD10CM Pregnancy O91.23 [O91.23] Nonpurulent mastitis associated with lactation ICD10CM

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Exclusion Value Set Name Code Definition Code System Pregnancy O92.011 [O92.011] Retracted nipple associated with pregnancy, first trimester ICD10CM Pregnancy O92.012 [O92.012] Retracted nipple associated with pregnancy, second trimester ICD10CM Pregnancy O92.013 [O92.013] Retracted nipple associated with pregnancy, third trimester ICD10CM Pregnancy O92.019 [O92.019] Retracted nipple associated with pregnancy, unspecified trimester ICD10CM Pregnancy O92.02 [O92.02] Retracted nipple associated with the puerperium ICD10CM Pregnancy O92.03 [O92.03] Retracted nipple associated with lactation ICD10CM Pregnancy O92.111 [O92.111] Cracked nipple associated with pregnancy, first trimester ICD10CM Pregnancy O92.112 [O92.112] Cracked nipple associated with pregnancy, second trimester ICD10CM Pregnancy O92.113 [O92.113] Cracked nipple associated with pregnancy, third trimester ICD10CM Pregnancy O92.119 [O92.119] Cracked nipple associated with pregnancy, unspecified trimester ICD10CM Pregnancy O92.12 [O92.12] Cracked nipple associated with the puerperium ICD10CM Pregnancy O92.13 [O92.13] Cracked nipple associated with lactation ICD10CM [O92.20] Unspecified disorder of breast associated with pregnancy and the Pregnancy O92.20 ICD10CM puerperium [O92.29] Other disorders of breast associated with pregnancy and the Pregnancy O92.29 ICD10CM puerperium Pregnancy O92.3 [O92.3] Agalactia ICD10CM Pregnancy O92.4 [O92.4] Hypogalactia ICD10CM Pregnancy O92.5 [O92.5] Suppressed lactation ICD10CM Pregnancy O92.6 [O92.6] Galactorrhea ICD10CM Pregnancy O92.70 [O92.70] Unspecified disorders of lactation ICD10CM Pregnancy O92.79 [O92.79] Other disorders of lactation ICD10CM Pregnancy O98.011 [O98.011] Tuberculosis complicating pregnancy, first trimester ICD10CM Pregnancy O98.012 [O98.012] Tuberculosis complicating pregnancy, second trimester ICD10CM Pregnancy O98.013 [O98.013] Tuberculosis complicating pregnancy, third trimester ICD10CM Pregnancy O98.019 [O98.019] Tuberculosis complicating pregnancy, unspecified trimester ICD10CM Pregnancy O98.02 [O98.02] Tuberculosis complicating childbirth ICD10CM Pregnancy O98.03 [O98.03] Tuberculosis complicating the puerperium ICD10CM Pregnancy O98.111 [O98.111] Syphilis complicating pregnancy, first trimester ICD10CM

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Exclusion Value Set Name Code Definition Code System Pregnancy O98.112 [O98.112] Syphilis complicating pregnancy, second trimester ICD10CM Pregnancy O98.113 [O98.113] Syphilis complicating pregnancy, third trimester ICD10CM Pregnancy O98.119 [O98.119] Syphilis complicating pregnancy, unspecified trimester ICD10CM Pregnancy O98.12 [O98.12] Syphilis complicating childbirth ICD10CM Pregnancy O98.13 [O98.13] Syphilis complicating the puerperium ICD10CM Pregnancy O98.211 [O98.211] Gonorrhea complicating pregnancy, first trimester ICD10CM Pregnancy O98.212 [O98.212] Gonorrhea complicating pregnancy, second trimester ICD10CM Pregnancy O98.213 [O98.213] Gonorrhea complicating pregnancy, third trimester ICD10CM Pregnancy O98.219 [O98.219] Gonorrhea complicating pregnancy, unspecified trimester ICD10CM Pregnancy O98.22 [O98.22] Gonorrhea complicating childbirth ICD10CM Pregnancy O98.23 [O98.23] Gonorrhea complicating the puerperium ICD10CM [O98.311] Other infections with a predominantly sexual mode of transmission Pregnancy O98.311 ICD10CM complicating pregnancy, first trimester [O98.312] Other infections with a predominantly sexual mode of transmission Pregnancy O98.312 ICD10CM complicating pregnancy, second trimester [O98.313] Other infections with a predominantly sexual mode of transmission Pregnancy O98.313 ICD10CM complicating pregnancy, third trimester [O98.319] Other infections with a predominantly sexual mode of transmission Pregnancy O98.319 ICD10CM complicating pregnancy, unspecified trimester [O98.32] Other infections with a predominantly sexual mode of transmission Pregnancy O98.32 ICD10CM complicating childbirth [O98.33] Other infections with a predominantly sexual mode of transmission Pregnancy O98.33 ICD10CM complicating the puerperium Pregnancy O98.411 [O98.411] Viral hepatitis complicating pregnancy, first trimester ICD10CM Pregnancy O98.412 [O98.412] Viral hepatitis complicating pregnancy, second trimester ICD10CM Pregnancy O98.413 [O98.413] Viral hepatitis complicating pregnancy, third trimester ICD10CM Pregnancy O98.419 [O98.419] Viral hepatitis complicating pregnancy, unspecified trimester ICD10CM Pregnancy O98.42 [O98.42] Viral hepatitis complicating childbirth ICD10CM Pregnancy O98.43 [O98.43] Viral hepatitis complicating the puerperium ICD10CM Pregnancy O98.511 [O98.511] Other viral diseases complicating pregnancy, first trimester ICD10CM Pregnancy O98.512 [O98.512] Other viral diseases complicating pregnancy, second trimester ICD10CM

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Exclusion Value Set Name Code Definition Code System Pregnancy O98.513 [O98.513] Other viral diseases complicating pregnancy, third trimester ICD10CM Pregnancy O98.519 [O98.519] Other viral diseases complicating pregnancy, unspecified trimester ICD10CM Pregnancy O98.52 [O98.52] Other viral diseases complicating childbirth ICD10CM Pregnancy O98.53 [O98.53] Other viral diseases complicating the puerperium ICD10CM Pregnancy O98.611 [O98.611] Protozoal diseases complicating pregnancy, first trimester ICD10CM Pregnancy O98.612 [O98.612] Protozoal diseases complicating pregnancy, second trimester ICD10CM Pregnancy O98.613 [O98.613] Protozoal diseases complicating pregnancy, third trimester ICD10CM Pregnancy O98.619 [O98.619] Protozoal diseases complicating pregnancy, unspecified trimester ICD10CM Pregnancy O98.62 [O98.62] Protozoal diseases complicating childbirth ICD10CM Pregnancy O98.63 [O98.63] Protozoal diseases complicating the puerperium ICD10CM [O98.711] Human immunodeficiency virus [HIV] disease complicating pregnancy, Pregnancy O98.711 ICD10CM first trimester [O98.712] Human immunodeficiency virus [HIV] disease complicating pregnancy, Pregnancy O98.712 ICD10CM second trimester [O98.713] Human immunodeficiency virus [HIV] disease complicating pregnancy, Pregnancy O98.713 ICD10CM third trimester [O98.719] Human immunodeficiency virus [HIV] disease complicating pregnancy, Pregnancy O98.719 ICD10CM unspecified trimester Pregnancy O98.72 [O98.72] Human immunodeficiency virus [HIV] disease complicating childbirth ICD10CM [O98.73] Human immunodeficiency virus [HIV] disease complicating the Pregnancy O98.73 ICD10CM puerperium [O98.811] Other maternal infectious and parasitic diseases complicating Pregnancy O98.811 ICD10CM pregnancy, first trimester [O98.812] Other maternal infectious and parasitic diseases complicating Pregnancy O98.812 ICD10CM pregnancy, second trimester [O98.813] Other maternal infectious and parasitic diseases complicating Pregnancy O98.813 ICD10CM pregnancy, third trimester [O98.819] Other maternal infectious and parasitic diseases complicating Pregnancy O98.819 ICD10CM pregnancy, unspecified trimester

Page 275 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Pregnancy O98.82 [O98.82] Other maternal infectious and parasitic diseases complicating childbirth ICD10CM [O98.83] Other maternal infectious and parasitic diseases complicating the Pregnancy O98.83 ICD10CM puerperium [O98.911] Unspecified maternal infectious and parasitic disease complicating Pregnancy O98.911 ICD10CM pregnancy, first trimester [O98.912] Unspecified maternal infectious and parasitic disease complicating Pregnancy O98.912 ICD10CM pregnancy, second trimester [O98.913] Unspecified maternal infectious and parasitic disease complicating Pregnancy O98.913 ICD10CM pregnancy, third trimester [O98.919] Unspecified maternal infectious and parasitic disease complicating Pregnancy O98.919 ICD10CM pregnancy, unspecified trimester [O98.92] Unspecified maternal infectious and parasitic disease complicating Pregnancy O98.92 ICD10CM childbirth [O98.93] Unspecified maternal infectious and parasitic disease complicating the Pregnancy O98.93 ICD10CM puerperium Pregnancy O99.011 [O99.011] Anemia complicating pregnancy, first trimester ICD10CM Pregnancy O99.012 [O99.012] Anemia complicating pregnancy, second trimester ICD10CM Pregnancy O99.013 [O99.013] Anemia complicating pregnancy, third trimester ICD10CM Pregnancy O99.019 [O99.019] Anemia complicating pregnancy, unspecified trimester ICD10CM Pregnancy O99.02 [O99.02] Anemia complicating childbirth ICD10CM Pregnancy O99.03 [O99.03] Anemia complicating the puerperium ICD10CM [O99.111] Other diseases of the blood and blood‐forming organs and certain Pregnancy O99.111 disorders involving the immune mechanism complicating pregnancy, first ICD10CM trimester [O99.112] Other diseases of the blood and blood‐forming organs and certain Pregnancy O99.112 disorders involving the immune mechanism complicating pregnancy, second ICD10CM trimester [O99.113] Other diseases of the blood and blood‐forming organs and certain Pregnancy O99.113 disorders involving the immune mechanism complicating pregnancy, third ICD10CM trimester

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Exclusion Value Set Name Code Definition Code System [O99.119] Other diseases of the blood and blood‐forming organs and certain Pregnancy O99.119 disorders involving the immune mechanism complicating pregnancy, unspecified ICD10CM trimester [O99.12] Other diseases of the blood and blood‐forming organs and certain Pregnancy O99.12 ICD10CM disorders involving the immune mechanism complicating childbirth

[O99.13] Other diseases of the blood and blood‐forming organs and certain Pregnancy O99.13 ICD10CM disorders involving the immune mechanism complicating the puerperium Pregnancy O99.210 [O99.210] Obesity complicating pregnancy, unspecified trimester ICD10CM Pregnancy O99.211 [O99.211] Obesity complicating pregnancy, first trimester ICD10CM Pregnancy O99.212 [O99.212] Obesity complicating pregnancy, second trimester ICD10CM Pregnancy O99.213 [O99.213] Obesity complicating pregnancy, third trimester ICD10CM Pregnancy O99.214 [O99.214] Obesity complicating childbirth ICD10CM Pregnancy O99.215 [O99.215] Obesity complicating the puerperium ICD10CM [O99.280] Endocrine, nutritional and metabolic diseases complicating pregnancy, Pregnancy O99.280 ICD10CM unspecified trimester [O99.281] Endocrine, nutritional and metabolic diseases complicating pregnancy, Pregnancy O99.281 ICD10CM first trimester [O99.282] Endocrine, nutritional and metabolic diseases complicating pregnancy, Pregnancy O99.282 ICD10CM second trimester [O99.283] Endocrine, nutritional and metabolic diseases complicating pregnancy, Pregnancy O99.283 ICD10CM third trimester Pregnancy O99.284 [O99.284] Endocrine, nutritional and metabolic diseases complicating childbirth ICD10CM [O99.285] Endocrine, nutritional and metabolic diseases complicating the Pregnancy O99.285 ICD10CM puerperium Pregnancy O99.310 [O99.310] Alcohol use complicating pregnancy, unspecified trimester ICD10CM Pregnancy O99.311 [O99.311] Alcohol use complicating pregnancy, first trimester ICD10CM Pregnancy O99.312 [O99.312] Alcohol use complicating pregnancy, second trimester ICD10CM Pregnancy O99.313 [O99.313] Alcohol use complicating pregnancy, third trimester ICD10CM Pregnancy O99.314 [O99.314] Alcohol use complicating childbirth ICD10CM

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Exclusion Value Set Name Code Definition Code System Pregnancy O99.315 [O99.315] Alcohol use complicating the puerperium ICD10CM Pregnancy O99.320 [O99.320] Drug use complicating pregnancy, unspecified trimester ICD10CM Pregnancy O99.321 [O99.321] Drug use complicating pregnancy, first trimester ICD10CM Pregnancy O99.322 [O99.322] Drug use complicating pregnancy, second trimester ICD10CM Pregnancy O99.323 [O99.323] Drug use complicating pregnancy, third trimester ICD10CM Pregnancy O99.324 [O99.324] Drug use complicating childbirth ICD10CM Pregnancy O99.325 [O99.325] Drug use complicating the puerperium ICD10CM Pregnancy O99.330 [O99.330] Smoking (tobacco) complicating pregnancy, unspecified trimester ICD10CM Pregnancy O99.331 [O99.331] Smoking (tobacco) complicating pregnancy, first trimester ICD10CM Pregnancy O99.332 [O99.332] Smoking (tobacco) complicating pregnancy, second trimester ICD10CM Pregnancy O99.333 [O99.333] Smoking (tobacco) complicating pregnancy, third trimester ICD10CM Pregnancy O99.334 [O99.334] Smoking (tobacco) complicating childbirth ICD10CM Pregnancy O99.335 [O99.335] Smoking (tobacco) complicating the puerperium ICD10CM Pregnancy O99.340 [O99.340] Other mental disorders complicating pregnancy, unspecified trimester ICD10CM

Pregnancy O99.341 [O99.341] Other mental disorders complicating pregnancy, first trimester ICD10CM

Pregnancy O99.342 [O99.342] Other mental disorders complicating pregnancy, second trimester ICD10CM

Pregnancy O99.343 [O99.343] Other mental disorders complicating pregnancy, third trimester ICD10CM Pregnancy O99.344 [O99.344] Other mental disorders complicating childbirth ICD10CM Pregnancy O99.345 [O99.345] Other mental disorders complicating the puerperium ICD10CM [O99.350] Diseases of the nervous system complicating pregnancy, unspecified Pregnancy O99.350 ICD10CM trimester Pregnancy O99.351 [O99.351] Diseases of the nervous system complicating pregnancy, first trimester ICD10CM [O99.352] Diseases of the nervous system complicating pregnancy, second Pregnancy O99.352 ICD10CM trimester [O99.353] Diseases of the nervous system complicating pregnancy, third Pregnancy O99.353 ICD10CM trimester

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Exclusion Value Set Name Code Definition Code System Pregnancy O99.354 [O99.354] Diseases of the nervous system complicating childbirth ICD10CM Pregnancy O99.355 [O99.355] Diseases of the nervous system complicating the puerperium ICD10CM [O99.411] Diseases of the circulatory system complicating pregnancy, first Pregnancy O99.411 ICD10CM trimester [O99.412] Diseases of the circulatory system complicating pregnancy, second Pregnancy O99.412 ICD10CM trimester [O99.413] Diseases of the circulatory system complicating pregnancy, third Pregnancy O99.413 ICD10CM trimester [O99.419] Diseases of the circulatory system complicating pregnancy, unspecified Pregnancy O99.419 ICD10CM trimester Pregnancy O99.42 [O99.42] Diseases of the circulatory system complicating childbirth ICD10CM Pregnancy O99.43 [O99.43] Diseases of the circulatory system complicating the puerperium ICD10CM [O99.511] Diseases of the respiratory system complicating pregnancy, first Pregnancy O99.511 ICD10CM trimester [O99.512] Diseases of the respiratory system complicating pregnancy, second Pregnancy O99.512 ICD10CM trimester [O99.513] Diseases of the respiratory system complicating pregnancy, third Pregnancy O99.513 ICD10CM trimester [O99.519] Diseases of the respiratory system complicating pregnancy, Pregnancy O99.519 ICD10CM unspecified trimester Pregnancy O99.52 [O99.52] Diseases of the respiratory system complicating childbirth ICD10CM Pregnancy O99.53 [O99.53] Diseases of the respiratory system complicating the puerperium ICD10CM [O99.611] Diseases of the digestive system complicating pregnancy, first Pregnancy O99.611 ICD10CM trimester [O99.612] Diseases of the digestive system complicating pregnancy, second Pregnancy O99.612 ICD10CM trimester [O99.613] Diseases of the digestive system complicating pregnancy, third Pregnancy O99.613 ICD10CM trimester [O99.619] Diseases of the digestive system complicating pregnancy, unspecified Pregnancy O99.619 ICD10CM trimester

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Exclusion Value Set Name Code Definition Code System Pregnancy O99.62 [O99.62] Diseases of the digestive system complicating childbirth ICD10CM Pregnancy O99.63 [O99.63] Diseases of the digestive system complicating the puerperium ICD10CM [O99.711] Diseases of the skin and subcutaneous tissue complicating pregnancy, Pregnancy O99.711 ICD10CM first trimester [O99.712] Diseases of the skin and subcutaneous tissue complicating pregnancy, Pregnancy O99.712 ICD10CM second trimester [O99.713] Diseases of the skin and subcutaneous tissue complicating pregnancy, Pregnancy O99.713 ICD10CM third trimester [O99.719] Diseases of the skin and subcutaneous tissue complicating pregnancy, Pregnancy O99.719 ICD10CM unspecified trimester Pregnancy O99.72 [O99.72] Diseases of the skin and subcutaneous tissue complicating childbirth ICD10CM [O99.73] Diseases of the skin and subcutaneous tissue complicating the Pregnancy O99.73 ICD10CM puerperium Pregnancy O99.810 [O99.810] Abnormal glucose complicating pregnancy ICD10CM Pregnancy O99.814 [O99.814] Abnormal glucose complicating childbirth ICD10CM Pregnancy O99.815 [O99.815] Abnormal glucose complicating the puerperium ICD10CM Pregnancy O99.820 [O99.820] Streptococcus B carrier state complicating pregnancy ICD10CM Pregnancy O99.824 [O99.824] Streptococcus B carrier state complicating childbirth ICD10CM Pregnancy O99.825 [O99.825] Streptococcus B carrier state complicating the puerperium ICD10CM Pregnancy O99.830 [O99.830] Other infection carrier state complicating pregnancy ICD10CM Pregnancy O99.834 [O99.834] Other infection carrier state complicating childbirth ICD10CM Pregnancy O99.835 [O99.835] Other infection carrier state complicating the puerperium ICD10CM Pregnancy O99.840 [O99.840] Bariatric surgery status complicating pregnancy, unspecified trimester ICD10CM

Pregnancy O99.841 [O99.841] Bariatric surgery status complicating pregnancy, first trimester ICD10CM

Pregnancy O99.842 [O99.842] Bariatric surgery status complicating pregnancy, second trimester ICD10CM

Pregnancy O99.843 [O99.843] Bariatric surgery status complicating pregnancy, third trimester ICD10CM Pregnancy O99.844 [O99.844] Bariatric surgery status complicating childbirth ICD10CM

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Exclusion Value Set Name Code Definition Code System Pregnancy O99.845 [O99.845] Bariatric surgery status complicating the puerperium ICD10CM [O99.89] Other specified diseases and conditions complicating pregnancy, Pregnancy O99.89 ICD10CM childbirth and the puerperium Pregnancy O9A.111 [O9A.111] Malignant neoplasm complicating pregnancy, first trimester ICD10CM Pregnancy O9A.112 [O9A.112] Malignant neoplasm complicating pregnancy, second trimester ICD10CM Pregnancy O9A.113 [O9A.113] Malignant neoplasm complicating pregnancy, third trimester ICD10CM Pregnancy O9A.119 [O9A.119] Malignant neoplasm complicating pregnancy, unspecified trimester ICD10CM Pregnancy O9A.12 [O9A.12] Malignant neoplasm complicating childbirth ICD10CM Pregnancy O9A.13 [O9A.13] Malignant neoplasm complicating the puerperium ICD10CM [O9A.211] Injury, poisoning and certain other consequences of external causes Pregnancy O9A.211 ICD10CM complicating pregnancy, first trimester [O9A.212] Injury, poisoning and certain other consequences of external causes Pregnancy O9A.212 ICD10CM complicating pregnancy, second trimester [O9A.213] Injury, poisoning and certain other consequences of external causes Pregnancy O9A.213 ICD10CM complicating pregnancy, third trimester [O9A.219] Injury, poisoning and certain other consequences of external causes Pregnancy O9A.219 ICD10CM complicating pregnancy, unspecified trimester [O9A.22] Injury, poisoning and certain other consequences of external causes Pregnancy O9A.22 ICD10CM complicating childbirth [O9A.23] Injury, poisoning and certain other consequences of external causes Pregnancy O9A.23 ICD10CM complicating the puerperium Pregnancy O9A.311 [O9A.311] Physical abuse complicating pregnancy, first trimester ICD10CM Pregnancy O9A.312 [O9A.312] Physical abuse complicating pregnancy, second trimester ICD10CM Pregnancy O9A.313 [O9A.313] Physical abuse complicating pregnancy, third trimester ICD10CM Pregnancy O9A.319 [O9A.319] Physical abuse complicating pregnancy, unspecified trimester ICD10CM Pregnancy O9A.32 [O9A.32] Physical abuse complicating childbirth ICD10CM Pregnancy O9A.33 [O9A.33] Physical abuse complicating the puerperium ICD10CM Pregnancy O9A.411 [O9A.411] Sexual abuse complicating pregnancy, first trimester ICD10CM Pregnancy O9A.412 [O9A.412] Sexual abuse complicating pregnancy, second trimester ICD10CM

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Exclusion Value Set Name Code Definition Code System Pregnancy O9A.413 [O9A.413] Sexual abuse complicating pregnancy, third trimester ICD10CM Pregnancy O9A.419 [O9A.419] Sexual abuse complicating pregnancy, unspecified trimester ICD10CM Pregnancy O9A.42 [O9A.42] Sexual abuse complicating childbirth ICD10CM Pregnancy O9A.43 [O9A.43] Sexual abuse complicating the puerperium ICD10CM Pregnancy O9A.511 [O9A.511] Psychological abuse complicating pregnancy, first trimester ICD10CM Pregnancy O9A.512 [O9A.512] Psychological abuse complicating pregnancy, second trimester ICD10CM Pregnancy O9A.513 [O9A.513] Psychological abuse complicating pregnancy, third trimester ICD10CM Pregnancy O9A.519 [O9A.519] Psychological abuse complicating pregnancy, unspecified trimester ICD10CM Pregnancy O9A.52 [O9A.52] Psychological abuse complicating childbirth ICD10CM Pregnancy O9A.53 [O9A.53] Psychological abuse complicating the puerperium ICD10CM [Z03.71] Encounter for suspected problem with amniotic cavity and membrane Pregnancy Z03.71 ICD10CM ruled out Pregnancy Z03.72 [Z03.72] Encounter for suspected placental problem ruled out ICD10CM Pregnancy Z03.73 [Z03.73] Encounter for suspected fetal anomaly ruled out ICD10CM Pregnancy Z03.74 [Z03.74] Encounter for suspected problem with fetal growth ruled out ICD10CM Pregnancy Z03.75 [Z03.75] Encounter for suspected cervical shortening ruled out ICD10CM Pregnancy Z03.79 [Z03.79] Encounter for other suspected maternal and fetal conditions ruled out ICD10CM Pregnancy Z33.1 [Z33.1] Pregnant state, incidental ICD10CM Pregnancy Z33.2 [Z33.2] Encounter for elective termination of pregnancy ICD10CM Pregnancy Z33.3 [Z33.3] Pregnant state, gestational carrier ICD10CM [Z34.00] Encounter for supervision of normal first pregnancy, unspecified Pregnancy Z34.00 ICD10CM trimester Pregnancy Z34.01 [Z34.01] Encounter for supervision of normal first pregnancy, first trimester ICD10CM

Pregnancy Z34.02 [Z34.02] Encounter for supervision of normal first pregnancy, second trimester ICD10CM

Pregnancy Z34.03 [Z34.03] Encounter for supervision of normal first pregnancy, third trimester ICD10CM

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Exclusion Value Set Name Code Definition Code System [Z34.80] Encounter for supervision of other normal pregnancy, unspecified Pregnancy Z34.80 ICD10CM trimester Pregnancy Z34.81 [Z34.81] Encounter for supervision of other normal pregnancy, first trimester ICD10CM

Pregnancy Z34.82 [Z34.82] Encounter for supervision of other normal pregnancy, second trimester ICD10CM

Pregnancy Z34.83 [Z34.83] Encounter for supervision of other normal pregnancy, third trimester ICD10CM [Z34.90] Encounter for supervision of normal pregnancy, unspecified, unspecified Pregnancy Z34.90 ICD10CM trimester [Z34.91] Encounter for supervision of normal pregnancy, unspecified, first Pregnancy Z34.91 ICD10CM trimester [Z34.92] Encounter for supervision of normal pregnancy, unspecified, second Pregnancy Z34.92 ICD10CM trimester [Z34.93] Encounter for supervision of normal pregnancy, unspecified, third Pregnancy Z34.93 ICD10CM trimester Pregnancy Z36 [Z36] Encounter for antenatal screening of mother ICD10CM Pregnancy Z36.0 [Z36.0] Encounter for antenatal screening for chromosomal anomalies ICD10CM Pregnancy Z36.1 [Z36.1] Encounter for antenatal screening for raised alphafetoprotein level ICD10CM Pregnancy Z36.2 [Z36.2] Encounter for other antenatal screening follow‐up ICD10CM Pregnancy Z36.3 [Z36.3] Encounter for antenatal screening for malformations ICD10CM Pregnancy Z36.4 [Z36.4] Encounter for antenatal screening for fetal growth retardation ICD10CM Pregnancy Z36.5 [Z36.5] Encounter for antenatal screening for isoimmunization ICD10CM Pregnancy Z36.81 [Z36.81] Encounter for antenatal screening for hydrops fetalis ICD10CM Pregnancy Z36.82 [Z36.82] Encounter for antenatal screening for nuchal translucency ICD10CM Pregnancy Z36.83 [Z36.83] Encounter for fetal screening for congenital cardiac abnormalities ICD10CM Pregnancy Z36.84 [Z36.84] Encounter for antenatal screening for fetal lung maturity ICD10CM Pregnancy Z36.85 [Z36.85] Encounter for antenatal screening for Streptococcus B ICD10CM Pregnancy Z36.86 [Z36.86] Encounter for antenatal screening for cervical length ICD10CM Pregnancy Z36.87 [Z36.87] Encounter for antenatal screening for uncertain dates ICD10CM

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Exclusion Value Set Name Code Definition Code System Pregnancy Z36.88 [Z36.88] Encounter for antenatal screening for fetal macrosomia ICD10CM Pregnancy Z36.89 [Z36.89] Encounter for other specified antenatal screening ICD10CM Pregnancy Z36.8A [Z36.8A] Encounter for antenatal screening for other genetic defects ICD10CM Pregnancy Z36.9 [Z36.9] Encounter for antenatal screening, unspecified ICD10CM SNOMED CT US Pregnancy 127009 Miscarriage with laceration of cervix (disorder) Edition SNOMED CT US Pregnancy 172001 Endometritis following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 195005 Illegal abortion with endometritis (disorder) Edition SNOMED CT US Pregnancy 223003 Tumor of body of uterus affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 320003 Cervical dilatation, 1cm (finding) Edition SNOMED CT US Pregnancy 443006 Cystocele affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 663008 Pulmonary embolism following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 682004 Thrombosis complicating pregnancy AND/OR puerperium (disorder) Edition SNOMED CT US Pregnancy 871005 Contracted pelvis (disorder) Edition SNOMED CT US Pregnancy 904002 Pinard's sign (finding) Edition SNOMED CT US Pregnancy 931004 Gestation period, 9 weeks (finding) Edition SNOMED CT US Pregnancy 1124005 Postpartum period, 6 days (finding) Edition SNOMED CT US Pregnancy 1125006 Sepsis during labor (disorder) Edition SNOMED CT US Pregnancy 1343000 Deep transverse arrest (disorder) Edition

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Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 1469007 Miscarriage with urinary tract infection (disorder) Edition Hypertensive heart AND renal disease complicating AND/OR reason for care SNOMED CT US Pregnancy 1474004 during childbirth (disorder) Edition SNOMED CT US Pregnancy 1538006 Central nervous system malformation in fetus affecting obstetrical care (disorder) Edition SNOMED CT US Pregnancy 1592005 Failed attempted abortion with uremia (disorder) Edition Abnormality of organs AND/OR soft tissues of pelvis affecting pregnancy SNOMED CT US Pregnancy 1639007 (disorder) Edition SNOMED CT US Pregnancy 2239004 Previous pregnancies 6 (finding) Edition SNOMED CT US Pregnancy 2261009 Obstetrical pulmonary fat embolism (disorder) Edition SNOMED CT US Pregnancy 2437000 Placenta circumvallata (disorder) Edition SNOMED CT US Pregnancy 2781009 Miscarriage complicated by delayed and/or excessive hemorrhage (disorder) Edition SNOMED CT US Pregnancy 2858002 Puerperal sepsis (disorder) Edition SNOMED CT US Pregnancy 2989004 Complication following molar AND/OR ectopic pregnancy (disorder) Edition Bone AND/OR joint disorder of pelvis in mother complicating pregnancy, SNOMED CT US Pregnancy 3033000 childbirth AND/OR puerperium (disorder) Edition SNOMED CT US Pregnancy 3230006 Illegal abortion with afibrinogenemia (disorder) Edition SNOMED CT US Pregnancy 3634007 Legal abortion complicated by metabolic disorder (disorder) Edition SNOMED CT US Pregnancy 3798002 Premature birth of identical twins, both stillborn (finding) Edition SNOMED CT US Pregnancy 3873005 Failed attempted abortion with acute yellow atrophy of liver (disorder) Edition

Page 285 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 3885002 ABO isoimmunization affecting pregnancy (disorder) Edition Placental sulfatase deficiency (X‐linked steryl‐sulfatase deficiency) in a female SNOMED CT US Pregnancy 3944006 (disorder) Edition SNOMED CT US Pregnancy 3950001 Birth (finding) Edition SNOMED CT US Pregnancy 4006006 Fetal tachycardia affecting management of mother (disorder) Edition SNOMED CT US Pregnancy 4026005 Interstitial mastitis associated with childbirth (disorder) Edition SNOMED CT US Pregnancy 4174008 Placenta tripartita (disorder) Edition SNOMED CT US Pregnancy 4426000 Ten previous induced terminations of pregnancy (finding) Edition SNOMED CT US Pregnancy 4451004 Illegal abortion with renal tubular necrosis (disorder) Edition SNOMED CT US Pregnancy 4576001 Legal abortion complicated by renal failure (disorder) Edition Maternal diabetes mellitus with hypoglycemia affecting fetus OR newborn SNOMED CT US Pregnancy 4783006 (disorder) Edition SNOMED CT US Pregnancy 4787007 Fetal or neonatal effect of breech delivery and extraction (disorder) Edition SNOMED CT US Pregnancy 4886009 Premature birth of newborn male (finding) Edition SNOMED CT US Pregnancy 4907004 Non‐involution of uterus (disorder) Edition SNOMED CT US Pregnancy 4910006 Premature abnormal placenta (disorder) Edition SNOMED CT US Pregnancy 5010004 Amniotic fluid embolism following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 5577003 Legal abortion with laceration of bowel (disorder) Edition

Page 286 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 5626004 Varicose veins of legs complicating pregnancy AND/OR puerperium (disorder) Edition SNOMED CT US Pregnancy 5740008 Pelvic hematoma during delivery (disorder) Edition SNOMED CT US Pregnancy 5792004 Legal abortion with acute yellow atrophy of liver (disorder) Edition SNOMED CT US Pregnancy 5939002 Failed attempted abortion complicated by metabolic disorder (disorder) Edition SNOMED CT US Pregnancy 5945005 Legal abortion with urinary tract infection (disorder) Edition Fetal or neonatal effect of malpresentation, malposition and/or disproportion SNOMED CT US Pregnancy 5984000 during labor and/or delivery (disorder) Edition SNOMED CT US Pregnancy 6134000 Illegal abortion with oliguria (disorder) Edition SNOMED CT US Pregnancy 6176008 Mycotic abortion (disorder) Edition SNOMED CT US Pregnancy 6234006 Second degree perineal laceration (disorder) Edition SNOMED CT US Pregnancy 6383007 Premature labor (finding) Edition SNOMED CT US Pregnancy 6509007 Electrolyte imbalance following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 6594005 Cerebrovascular disorder in the puerperium (disorder) Edition Congenital cardiovascular disorder in mother complicating pregnancy, childbirth SNOMED CT US Pregnancy 6636004 AND/OR puerperium (disorder) Edition SNOMED CT US Pregnancy 6647006 Legal abortion with defibrination syndrome (disorder) Edition SNOMED CT US Pregnancy 6678005 Gestation period, 15 weeks (finding) Edition SNOMED CT US Pregnancy 6802007 Illegal abortion with perforation of broad ligament (disorder) Edition

Page 287 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 6825008 Perineal laceration involving rectovaginal septum (disorder) Edition SNOMED CT US Pregnancy 6867004 Previous pregnancies more than 10 (finding) Edition SNOMED CT US Pregnancy 6891008 Uterine incoordination, second degree (disorder) Edition SNOMED CT US Pregnancy 6893006 First stage of labor (finding) Edition SNOMED CT US Pregnancy 7166002 Legal abortion with laceration of cervix (disorder) Edition SNOMED CT US Pregnancy 7245003 Fetal dystocia (disorder) Edition SNOMED CT US Pregnancy 7266006 Total placenta previa with intrapartum hemorrhage (disorder) Edition SNOMED CT US Pregnancy 7504005 Trauma to vulva during delivery (disorder) Edition SNOMED CT US Pregnancy 7707000 Gestation period, 32 weeks (finding) Edition SNOMED CT US Pregnancy 7768008 Failure of cervical dilation (disorder) Edition SNOMED CT US Pregnancy 7792000 Placenta previa without hemorrhage (disorder) Edition SNOMED CT US Pregnancy 7802000 Illegal abortion without complication (disorder) Edition SNOMED CT US Pregnancy 7809009 Miscarriage with laceration of uterus (disorder) Edition Failed attempted abortion complicated by damage to pelvic organs AND/OR SNOMED CT US Pregnancy 7822001 tissues (disorder) Edition SNOMED CT US Pregnancy 7860005 Stillbirth of mature male (2500 gms. or more) (finding) Edition SNOMED CT US Pregnancy 7888004 Term birth of newborn quadruplets (finding) Edition

Page 288 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 7907005 Cylindrical embryo (disorder) Edition SNOMED CT US Pregnancy 7910003 Miscarriage with salpingitis (disorder) Edition SNOMED CT US Pregnancy 8071005 Miscarriage with perforation of bowel (disorder) Edition SNOMED CT US Pregnancy 8076000 Postmature abnormal placenta (disorder) Edition Chronic hypertension complicating AND/OR reason for care during childbirth SNOMED CT US Pregnancy 8218002 (disorder) Edition SNOMED CT US Pregnancy 8333008 Term birth of newborn triplets (finding) Edition SNOMED CT US Pregnancy 8393005 Tetanic contractions of uterus (disorder) Edition SNOMED CT US Pregnancy 8445003 Tumor of vulva affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 8468007 Legal abortion with uremia (disorder) Edition SNOMED CT US Pregnancy 8670007 Illegal abortion with salpingo‐oophoritis (disorder) Edition SNOMED CT US Pregnancy 8762007 Chronic hypertension in obstetric context (disorder) Edition SNOMED CT US Pregnancy 8884000 Fetal ascites causing disproportion (disorder) Edition SNOMED CT US Pregnancy 8996006 Illegal abortion complicated by renal failure (disorder) Edition SNOMED CT US Pregnancy 9107002 Perineal laceration involving perineal muscles (disorder) Edition SNOMED CT US Pregnancy 9279009 Extra‐amniotic pregnancy (finding) Edition SNOMED CT US Pregnancy 9293002 Atony of uterus (disorder) Edition

Page 289 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 9297001 Uterus bicornis affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 9343003 Term birth of newborn female (finding) Edition SNOMED CT US Pregnancy 9402004 Five previous induced terminations of pregnancy (finding) Edition SNOMED CT US Pregnancy 9442009 Parturient hemorrhage associated with afibrinogenemia (disorder) Edition SNOMED CT US Pregnancy 9516007 Salpingitis following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 9686009 Goodell's sign (finding) Edition SNOMED CT US Pregnancy 9720009 Cicatrix of cervix affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 9780006 Presentation of prolapsed arm of fetus (disorder) Edition SNOMED CT US Pregnancy 9864005 Placenta multipartita (disorder) Edition SNOMED CT US Pregnancy 9899009 Ovarian pregnancy (disorder) Edition Essential hypertension complicating AND/OR reason for care during puerperium SNOMED CT US Pregnancy 9901000 (disorder) Edition SNOMED CT US Pregnancy 10058006 Miscarriage with amniotic fluid embolism (disorder) Edition SNOMED CT US Pregnancy 10152009 Postpartum state, 4 weeks (finding) Edition SNOMED CT US Pregnancy 10217006 Third degree perineal laceration (disorder) Edition SNOMED CT US Pregnancy 10423003 Braun von Fernwald's sign (finding) Edition Malignant hypertension complicating AND/OR reason for care during childbirth SNOMED CT US Pregnancy 10562009 (disorder) Edition

Page 290 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 10573002 Infection of amniotic cavity (disorder) Edition SNOMED CT US Pregnancy 10697004 Miscarriage complicated by renal failure (disorder) Edition SNOMED CT US Pregnancy 10853001 Obstetrical complication of general anesthesia (disorder) Edition SNOMED CT US Pregnancy 10884004 Threatened abortion in third trimester (disorder) Edition SNOMED CT US Pregnancy 11026009 Miscarriage with renal tubular necrosis (disorder) Edition SNOMED CT US Pregnancy 11082009 Abnormal pregnancy (finding) Edition SNOMED CT US Pregnancy 11109001 Miscarriage with uremia (disorder) Edition SNOMED CT US Pregnancy 11209007 Cord entanglement without compression (disorder) Edition SNOMED CT US Pregnancy 11337002 Quickening of fetus (finding) Edition SNOMED CT US Pregnancy 11373009 Illegal abortion with sepsis (disorder) Edition SNOMED CT US Pregnancy 11454006 Failed attempted abortion with amniotic fluid embolism (disorder) Edition Hypertensive heart AND renal disease complicating AND/OR reason for care SNOMED CT US Pregnancy 11511004 during puerperium (disorder) Edition SNOMED CT US Pregnancy 11669000 Postoperative shock following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 11687002 Gestational diabetes mellitus (disorder) Edition SNOMED CT US Pregnancy 11763009 Placenta increta (disorder) Edition SNOMED CT US Pregnancy 11914001 Transverse OR oblique presentation of fetus (disorder) Edition

Page 291 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 11942004 Perineal laceration involving pelvic floor (disorder) Edition SNOMED CT US Pregnancy 12062007 Puerperal pelvic cellulitis (disorder) Edition SNOMED CT US Pregnancy 12095001 Legal abortion with cardiac arrest AND/OR failure (disorder) Edition SNOMED CT US Pregnancy 12296009 Legal abortion with intravascular hemolysis (disorder) Edition SNOMED CT US Pregnancy 12349003 Danforth's sign (finding) Edition SNOMED CT US Pregnancy 12394009 Miscarriage with cerebral anoxia (disorder) Edition SNOMED CT US Pregnancy 12729009 Prolonged rupture of membranes (disorder) Edition SNOMED CT US Pregnancy 12803000 High maternal weight gain (finding) Edition SNOMED CT US Pregnancy 12867002 Fetal distress affecting management of mother (disorder) Edition SNOMED CT US Pregnancy 12983003 Failed attempted abortion with septic shock (disorder) Edition SNOMED CT US Pregnancy 13100007 Legal abortion with laceration of uterus (disorder) Edition SNOMED CT US Pregnancy 13273002 Postpartum period, 4 days (finding) Edition SNOMED CT US Pregnancy 13384007 Miscarriage complicated by metabolic disorder (disorder) Edition SNOMED CT US Pregnancy 13404009 Twin‐to‐twin blood transfer (disorder) Edition SNOMED CT US Pregnancy 13763000 Gestation period, 34 weeks (finding) Edition SNOMED CT US Pregnancy 13798002 Gestation period, 38 weeks (finding) Edition

Page 292 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 13842006 Sub‐involution of uterus (disorder) Edition SNOMED CT US Pregnancy 13859001 Premature birth of newborn twins (finding) Edition SNOMED CT US Pregnancy 13866000 Fetal acidemia affecting management of mother (disorder) Edition SNOMED CT US Pregnancy 13868004 Para 5 (finding) Edition SNOMED CT US Pregnancy 13943000 Failed attempted abortion complicated by embolism (disorder) Edition SNOMED CT US Pregnancy 14022007 Fetal death, affecting management of mother (disorder) Edition SNOMED CT US Pregnancy 14049007 Chaussier's sign (finding) Edition SNOMED CT US Pregnancy 14094001 Excessive vomiting in pregnancy (disorder) Edition SNOMED CT US Pregnancy 14136000 Miscarriage with perforation of broad ligament (disorder) Edition SNOMED CT US Pregnancy 14209008 Para 1 (finding) Edition SNOMED CT US Pregnancy 14331002 Failed vacuum extraction delivery (disorder) Edition SNOMED CT US Pregnancy 14418008 Precocious pregnancy (finding) Edition SNOMED CT US Pregnancy 14918004 Disruption of perineal wound in the puerperium (disorder) Edition SNOMED CT US Pregnancy 15100005 Postpartum state, 2 weeks (finding) Edition SNOMED CT US Pregnancy 15196006 Intraplacental hematoma (disorder) Edition SNOMED CT US Pregnancy 15230009 Liver disorder in pregnancy (disorder) Edition

Page 293 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 15394000 Toxemia of pregnancy (disorder) Edition SNOMED CT US Pregnancy 15400003 Obstetrical air embolism (disorder) Edition SNOMED CT US Pregnancy 15406009 Retromammary abscess associated with childbirth (disorder) Edition SNOMED CT US Pregnancy 15467003 Term birth of identical twins, both living (finding) Edition SNOMED CT US Pregnancy 15504009 Rupture of gravid uterus (disorder) Edition SNOMED CT US Pregnancy 15511008 Legal abortion with parametritis (disorder) Edition SNOMED CT US Pregnancy 15539009 Hydrops fetalis due to isoimmunization (disorder) Edition SNOMED CT US Pregnancy 15592002 Previous pregnancy 1 (finding) Edition SNOMED CT US Pregnancy 15633004 Gestation period, 16 weeks (finding) Edition SNOMED CT US Pregnancy 15663008 Placenta previa centralis (disorder) Edition SNOMED CT US Pregnancy 15809008 Miscarriage with perforation of uterus (disorder) Edition SNOMED CT US Pregnancy 15898009 Third stage of labor (finding) Edition SNOMED CT US Pregnancy 15938005 Eclampsia (disorder) Edition SNOMED CT US Pregnancy 16038004 Abortion due to Leptospira (disorder) Edition Damage to pelvic organs AND/OR tissues following molar AND/OR ectopic SNOMED CT US Pregnancy 16083003 pregnancy (disorder) Edition SNOMED CT US Pregnancy 16356006 Multiple pregnancy (disorder) Edition

Page 294 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 16538005 Early postpartum state (finding) Edition Cardiac arrest after obstetrical surgery AND/OR other procedure including SNOMED CT US Pregnancy 16574001 delivery (disorder) Edition SNOMED CT US Pregnancy 16607004 Missed abortion (disorder) Edition SNOMED CT US Pregnancy 16714009 Miscarriage with laceration of bowel (disorder) Edition SNOMED CT US Pregnancy 16756008 Albuminuria in pregnancy without hypertension (disorder) Edition SNOMED CT US Pregnancy 16950007 Fourth degree perineal laceration involving anal mucosa (disorder) Edition SNOMED CT US Pregnancy 17263003 Amniotic fluid embolism (disorder) Edition SNOMED CT US Pregnancy 17285009 Intraperitoneal pregnancy (disorder) Edition SNOMED CT US Pregnancy 17333005 Term birth of multiple newborns (finding) Edition SNOMED CT US Pregnancy 17335003 Illegal abortion with laceration of bowel (disorder) Edition SNOMED CT US Pregnancy 17369002 Miscarriage (disorder) Edition SNOMED CT US Pregnancy 17380002 Failed attempted abortion with acute renal failure (disorder) Edition SNOMED CT US Pregnancy 17382005 Cervical incompetence (disorder) Edition SNOMED CT US Pregnancy 17433009 Ruptured ectopic pregnancy (disorder) Edition Breech malpresentation successfully converted to cephalic presentation SNOMED CT US Pregnancy 17532001 (disorder) Edition SNOMED CT US Pregnancy 17588005 Abnormal yolk sac (disorder) Edition

Page 295 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 17594002 Fetal bradycardia affecting management of mother (disorder) Edition SNOMED CT US Pregnancy 17618008 Previous pregnancies 9 (finding) Edition SNOMED CT US Pregnancy 17787002 Peripheral neuritis in pregnancy (disorder) Edition SNOMED CT US Pregnancy 18122002 Normal uterine contraction wave (finding) Edition SNOMED CT US Pregnancy 18237006 Parenchymatous mastitis associated with childbirth (disorder) Edition SNOMED CT US Pregnancy 18260003 Postpartum psychosis (disorder) Edition SNOMED CT US Pregnancy 18391007 Elective abortion (disorder) Edition Essential hypertension complicating AND/OR reason for care during childbirth SNOMED CT US Pregnancy 18416000 (disorder) Edition SNOMED CT US Pregnancy 18606002 Dyscoordinate labor (disorder) Edition SNOMED CT US Pregnancy 18613002 Miscarriage with septic shock (disorder) Edition SNOMED CT US Pregnancy 18656007 Grand multipara (finding) Edition SNOMED CT US Pregnancy 18684002 Illegal abortion complicated by metabolic disorder (disorder) Edition SNOMED CT US Pregnancy 18872002 Illegal abortion with laceration of cervix (disorder) Edition SNOMED CT US Pregnancy 18894005 Legal abortion with cerebral anoxia (disorder) Edition SNOMED CT US Pregnancy 18909006 Fetal or neonatal effect of transverse lie (disorder) Edition SNOMED CT US Pregnancy 19099008 Failed attempted abortion with laceration of bladder (disorder) Edition

Page 296 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 19117007 Placenta reflexa (disorder) Edition SNOMED CT US Pregnancy 19169002 Miscarriage in first trimester (disorder) Edition SNOMED CT US Pregnancy 19228003 Failed attempted abortion with perforation of bladder (disorder) Edition SNOMED CT US Pregnancy 19236007 Immature abnormal placenta (disorder) Edition SNOMED CT US Pregnancy 19258009 Placenta extrachorales (disorder) Edition SNOMED CT US Pregnancy 19337000 Fully effaced cervix (finding) Edition SNOMED CT US Pregnancy 19363005 Failed attempted abortion with blood‐clot embolism (disorder) Edition SNOMED CT US Pregnancy 19564003 Illegal abortion with laceration of periurethral tissue (disorder) Edition SNOMED CT US Pregnancy 19569008 Mild hyperemesis gravidarum (disorder) Edition SNOMED CT US Pregnancy 19729005 Prolapse of anterior lip of cervix obstructing labor (disorder) Edition SNOMED CT US Pregnancy 19773009 Infection of the breast AND/OR nipple associated with childbirth (disorder) Edition SNOMED CT US Pregnancy 19866007 Previous operation to cervix affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 20084001 Intravascular hemolysis following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 20216003 Legal abortion with perforation of uterus (disorder) Edition SNOMED CT US Pregnancy 20236002 Labor established (finding) Edition SNOMED CT US Pregnancy 20259008 Finding of ballottement of fetal parts (finding) Edition

Page 297 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 20272009 Premature birth of multiple newborns (finding) Edition SNOMED CT US Pregnancy 20286008 Gorissenne's sign (finding) Edition SNOMED CT US Pregnancy 20391007 Amniotic cyst (disorder) Edition SNOMED CT US Pregnancy 20483002 Legal abortion with renal tubular necrosis (disorder) Edition SNOMED CT US Pregnancy 20625004 Obstruction caused by position of fetus at onset of labor (disorder) Edition Hypertensive heart disease complicating AND/OR reason for care during SNOMED CT US Pregnancy 20753005 pregnancy (disorder) Edition SNOMED CT US Pregnancy 20845005 Meconium in amniotic fluid affecting management of mother (disorder) Edition SNOMED CT US Pregnancy 20932005 Puerperal salpingitis (disorder) Edition SNOMED CT US Pregnancy 20956009 Phlebitis complicating pregnancy AND/OR puerperium (disorder) Edition SNOMED CT US Pregnancy 21127004 Term birth of newborn male (finding) Edition SNOMED CT US Pregnancy 21243004 Term birth of newborn (finding) Edition SNOMED CT US Pregnancy 21280005 Legal abortion with postoperative shock (disorder) Edition SNOMED CT US Pregnancy 21334005 Failed attempted abortion with oliguria (disorder) Edition SNOMED CT US Pregnancy 21346009 Double uterus affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 21360006 Miscarriage with afibrinogenemia (disorder) Edition Pressure collapse of lung after anesthesia AND/OR sedation in labor AND/OR SNOMED CT US Pregnancy 21504004 delivery (disorder) Edition

Page 298 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 21604008 Illegal abortion with blood‐clot embolism (disorder) Edition SNOMED CT US Pregnancy 21737000 Retained fetal tissue (disorder) Edition SNOMED CT US Pregnancy 21987001 Delayed delivery of second of multiple births (disorder) Edition SNOMED CT US Pregnancy 22046002 Illegal abortion with salpingitis (disorder) Edition SNOMED CT US Pregnancy 22173004 Excessive fetal growth affecting management of mother (disorder) Edition SNOMED CT US Pregnancy 22178008 Postpartum state, 8 weeks (finding) Edition Abnormal fetal heart beat first noted during labor AND/OR delivery in liveborn SNOMED CT US Pregnancy 22271007 infant (disorder) Edition SNOMED CT US Pregnancy 22288000 Tumor of cervix affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 22399000 Puerperal endometritis (disorder) Edition SNOMED CT US Pregnancy 22514005 Term birth of fraternal twins, one living, one stillborn (finding) Edition SNOMED CT US Pregnancy 22753004 Fetal AND/OR placental disorder affecting management of mother (disorder) Edition SNOMED CT US Pregnancy 22758008 Spalding‐Horner sign (finding) Edition SNOMED CT US Pregnancy 22846003 Hepatorenal syndrome following delivery (disorder) Edition SNOMED CT US Pregnancy 22879003 Previous pregnancies 2 (finding) Edition Hypertensive heart AND renal disease complicating AND/OR reason for care SNOMED CT US Pregnancy 22966008 during pregnancy (disorder) Edition SNOMED CT US Pregnancy 23001005 Stenosis AND/OR stricture of cervix affecting pregnancy (disorder) Edition

Page 299 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 23037000 Parity ten or more (finding) Edition SNOMED CT US Pregnancy 23128002 Cervical dilatation, 5cm (finding) Edition SNOMED CT US Pregnancy 23171006 Delayed AND/OR secondary postpartum hemorrhage (disorder) Edition SNOMED CT US Pregnancy 23177005 Crepitus uteri (finding) Edition SNOMED CT US Pregnancy 23332002 Failed trial of labor (disorder) Edition SNOMED CT US Pregnancy 23401002 Illegal abortion with perforation of bowel (disorder) Edition SNOMED CT US Pregnancy 23464008 Gestation period, 20 weeks (finding) Edition SNOMED CT US Pregnancy 23508005 Uterine incoordination, first degree (disorder) Edition SNOMED CT US Pregnancy 23652008 Cervical dilatation, 3cm (finding) Edition SNOMED CT US Pregnancy 23667007 Term pregnancy delivered (finding) Edition Benign essential hypertension complicating AND/OR reason for care during SNOMED CT US Pregnancy 23717007 pregnancy (disorder) Edition Malignant hypertension complicating AND/OR reason for care during puerperium SNOMED CT US Pregnancy 23786008 (disorder) Edition SNOMED CT US Pregnancy 23793007 Miscarriage without complication (disorder) Edition SNOMED CT US Pregnancy 23885003 Inversion of uterus during delivery (disorder) Edition SNOMED CT US Pregnancy 23960006 Funicular hernia of umbilical cord (disorder) Edition Chronic hypertension complicating AND/OR reason for care during puerperium SNOMED CT US Pregnancy 24042004 (disorder) Edition

Page 300 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 24051007 Septic shock following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 24082006 Bruising of cord (disorder) Edition SNOMED CT US Pregnancy 24095001 Placenta previa partialis (disorder) Edition SNOMED CT US Pregnancy 24146004 Premature birth of newborn quintuplets (finding) Edition SNOMED CT US Pregnancy 24258008 Damage to pelvic joints AND/OR ligaments during delivery (disorder) Edition SNOMED CT US Pregnancy 24342007 Infection of cesarean section AND/OR perineal wound (disorder) Edition SNOMED CT US Pregnancy 24444009 Failed attempted abortion with sepsis (disorder) Edition SNOMED CT US Pregnancy 24699006 Arrested active phase of labor (disorder) Edition SNOMED CT US Pregnancy 25026004 Gestation period, 18 weeks (finding) Edition SNOMED CT US Pregnancy 25032009 Failed attempted abortion with laceration of cervix (disorder) Edition Obstetrical central nervous system complication of anesthesia AND/OR sedation SNOMED CT US Pregnancy 25053000 (disorder) Edition SNOMED CT US Pregnancy 25113000 Chorea gravidarum (disorder) Edition SNOMED CT US Pregnancy 25192009 Premature birth of fraternal twins, both living (finding) Edition SNOMED CT US Pregnancy 25404008 Illegal abortion with electrolyte imbalance (disorder) Edition SNOMED CT US Pregnancy 25519006 Illegal abortion with perforation of vagina (disorder) Edition SNOMED CT US Pregnancy 25585008 Placenta percreta (disorder) Edition

Page 301 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 25691001 Legal abortion with septic shock (disorder) Edition SNOMED CT US Pregnancy 25725007 Septic embolism following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 25749005 Disproportion between fetus and pelvis (disorder) Edition SNOMED CT US Pregnancy 25825004 Hemorrhage in early pregnancy (disorder) Edition SNOMED CT US Pregnancy 25922000 Major depressive disorder, single episode with postpartum onset (disorder) Edition SNOMED CT US Pregnancy 26010008 Legal abortion with pelvic peritonitis (disorder) Edition Hypertension secondary to renal disease complicating AND/OR reason for care SNOMED CT US Pregnancy 26078007 during childbirth (disorder) Edition SNOMED CT US Pregnancy 26158002 Uterine inertia (disorder) Edition SNOMED CT US Pregnancy 26224003 Failed attempted abortion complicated by genital‐pelvic infection (disorder) Edition SNOMED CT US Pregnancy 26235008 Renal tubular necrosis following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 26358008 Ectopic placenta (disorder) Edition SNOMED CT US Pregnancy 26528001 Hemorrhage of cesarean section AND/OR perineal wound (disorder) Edition SNOMED CT US Pregnancy 26611006 Para 7 (finding) Edition Failed attempted termination of pregnancy complicated by delayed and/or SNOMED CT US Pregnancy 26623000 excessive hemorrhage (disorder) Edition SNOMED CT US Pregnancy 26690008 Gestation period, 8 weeks (finding) Edition SNOMED CT US Pregnancy 26741000 Abnormal amnion (disorder) Edition

Page 302 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 26743002 Illegal abortion complicated by embolism (disorder) Edition SNOMED CT US Pregnancy 26828006 Rectocele affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 26840006 Ante AND/OR intrapartum hemorrhage associated with leiomyoma (disorder) Edition Phlebitis AND/OR thrombosis complicating pregnancy AND/OR puerperium SNOMED CT US Pregnancy 26850007 (disorder) Edition SNOMED CT US Pregnancy 26886008 Para 6 (finding) Edition SNOMED CT US Pregnancy 27015006 Legal abortion with amniotic fluid embolism (disorder) Edition SNOMED CT US Pregnancy 27068000 Failed attempted abortion with afibrinogenemia (disorder) Edition Venereal disease in mother complicating pregnancy, childbirth AND/OR SNOMED CT US Pregnancy 27075004 puerperium (disorder) Edition Hyperemesis gravidarum before end of 22 week gestation with carbohydrate SNOMED CT US Pregnancy 27152008 depletion (disorder) Edition SNOMED CT US Pregnancy 27169005 Legal abortion complicated by shock (disorder) Edition SNOMED CT US Pregnancy 27214003 Atonic postpartum hemorrhage (disorder) Edition SNOMED CT US Pregnancy 27215002 Uterine inversion (disorder) Edition SNOMED CT US Pregnancy 27342004 Anemia of pregnancy (disorder) Edition SNOMED CT US Pregnancy 27388005 Partial placenta previa with intrapartum hemorrhage (disorder) Edition SNOMED CT US Pregnancy 27552001 Damage to bladder following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 27574007 Fertilization in vivo (finding) Edition

Page 303 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 27696007 True knot of umbilical cord (disorder) Edition SNOMED CT US Pregnancy 28030000 Twin birth (finding) Edition SNOMED CT US Pregnancy 28079008 Multiparous (finding) Edition SNOMED CT US Pregnancy 28196006 Uremia following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 28493005 Two previous induced terminations of pregnancy (finding) Edition SNOMED CT US Pregnancy 28608002 Choriovitelline placenta (disorder) Edition SNOMED CT US Pregnancy 28701003 Low maternal weight gain (finding) Edition SNOMED CT US Pregnancy 28735000 Blood clot embolism following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 28773001 Thrombosis of vessels of cord (disorder) Edition SNOMED CT US Pregnancy 28911003 Adherent placenta (disorder) Edition SNOMED CT US Pregnancy 28996007 Stillbirth of premature female (1000‐2499 gms.) (finding) Edition SNOMED CT US Pregnancy 29123003 Postpartum state, 3 weeks (finding) Edition SNOMED CT US Pregnancy 29171003 Trapped placenta (disorder) Edition Malignant hypertension complicating AND/OR reason for care during pregnancy SNOMED CT US Pregnancy 29259002 (disorder) Edition SNOMED CT US Pregnancy 29399001 Elderly primigravida (finding) Edition SNOMED CT US Pregnancy 29421008 Failed attempted abortion complicated by renal failure (disorder) Edition

Page 304 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 29583006 Illegal abortion with laceration of broad ligament (disorder) Edition SNOMED CT US Pregnancy 29847008 Obstetrical complication of anesthesia AND/OR sedation (disorder) Edition SNOMED CT US Pregnancy 29851005 Halo sign (finding) Edition SNOMED CT US Pregnancy 29908007 Oliguria following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 29950007 Legal abortion with septic embolism (disorder) Edition SNOMED CT US Pregnancy 29995000 Illegal abortion with fat embolism (disorder) Edition SNOMED CT US Pregnancy 29997008 Premature birth of newborn triplets (finding) Edition SNOMED CT US Pregnancy 30118000 Postpartum period, 1 day (finding) Edition SNOMED CT US Pregnancy 30165006 Premature birth of fraternal twins, one living, one stillborn (finding) Edition SNOMED CT US Pregnancy 30243004 Cerebral anoxia following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 30479005 Legal abortion with afibrinogenemia (disorder) Edition SNOMED CT US Pregnancy 30653008 Previous pregnancies 5 (finding) Edition SNOMED CT US Pregnancy 30806007 Miscarriage with endometritis (disorder) Edition SNOMED CT US Pregnancy 30850008 Hemorrhage in early pregnancy, antepartum (disorder) Edition SNOMED CT US Pregnancy 31026002 Obstetrical complication of sedation (disorder) Edition SNOMED CT US Pregnancy 31159001 Bluish discoloration of cervix (finding) Edition

Page 305 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 31207002 Self‐induced abortion (disorder) Edition SNOMED CT US Pregnancy 31227001 Twelve previous induced terminations of pregnancy (finding) Edition SNOMED CT US Pregnancy 31383003 Tumor of vagina affecting pregnancy (disorder) Edition Pre‐existing hypertension complicating AND/OR reason for care during SNOMED CT US Pregnancy 31407004 puerperium (disorder) Edition SNOMED CT US Pregnancy 31465005 Cervical effacement, 80% (finding) Edition SNOMED CT US Pregnancy 31481000 Vascular anomaly of umbilical cord (disorder) Edition Viral disease in mother complicating pregnancy, childbirth AND/OR puerperium SNOMED CT US Pregnancy 31516002 (disorder) Edition SNOMED CT US Pregnancy 31563000 Asymptomatic bacteriuria in pregnancy (disorder) Edition SNOMED CT US Pregnancy 31601007 Combined pregnancy (disorder) Edition SNOMED CT US Pregnancy 31805001 Fetal disproportion (disorder) Edition SNOMED CT US Pregnancy 31821006 Uterine scar from previous surgery affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 32644009 Braxton Hicks contractions (finding) Edition SNOMED CT US Pregnancy 32999002 Complication of obstetrical surgical wound (disorder) Edition SNOMED CT US Pregnancy 33046001 Illegal abortion with urinary tract infection (disorder) Edition SNOMED CT US Pregnancy 33058001 Placenta accreta without hemorrhage (disorder) Edition SNOMED CT US Pregnancy 33128005 Air embolism following molar AND/OR ectopic pregnancy (disorder) Edition

Page 306 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 33340004 Multiple conception (finding) Edition SNOMED CT US Pregnancy 33348006 Previous pregnancies 7 (finding) Edition Hyperemesis gravidarum before end of 22 week gestation with electrolyte SNOMED CT US Pregnancy 33370009 imbalance (disorder) Edition SNOMED CT US Pregnancy 33490001 Failed attempted abortion with fat embolism (disorder) Edition SNOMED CT US Pregnancy 33552005 Anomaly of placenta (disorder) Edition SNOMED CT US Pregnancy 33561005 Illegal abortion with acute renal failure (disorder) Edition SNOMED CT US Pregnancy 33627001 Prolonged first stage of labor (disorder) Edition SNOMED CT US Pregnancy 34089005 Premature birth of newborn quadruplets (finding) Edition SNOMED CT US Pregnancy 34100008 Premature birth of identical twins, both living (finding) Edition Drug dependence in mother complicating pregnancy, childbirth AND/OR SNOMED CT US Pregnancy 34150001 puerperium (disorder) Edition SNOMED CT US Pregnancy 34165000 Gestational proteinuria (disorder) Edition Syphilis in mother complicating pregnancy, childbirth AND/OR puerperium SNOMED CT US Pregnancy 34242002 (disorder) Edition SNOMED CT US Pregnancy 34262005 Fourth degree perineal laceration involving rectal mucosa (disorder) Edition SNOMED CT US Pregnancy 34270000 Miscarriage complicated by shock (disorder) Edition Hypertensive heart disease complicating AND/OR reason for care during SNOMED CT US Pregnancy 34273003 puerperium (disorder) Edition SNOMED CT US Pregnancy 34327003 Parturient hemorrhage associated with hyperfibrinolysis (disorder) Edition

Page 307 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 34367002 Failed attempted abortion with perforation of bowel (disorder) Edition SNOMED CT US Pregnancy 34478009 Failed attempted abortion with defibrination syndrome (disorder) Edition SNOMED CT US Pregnancy 34500003 Legal abortion without complication (disorder) Edition SNOMED CT US Pregnancy 34530006 Failed attempted abortion with electrolyte imbalance (disorder) Edition SNOMED CT US Pregnancy 34614007 Miscarriage with complication (disorder) Edition Pre‐existing hypertension complicating AND/OR reason for care during childbirth SNOMED CT US Pregnancy 34694006 (disorder) Edition SNOMED CT US Pregnancy 34701001 Illegal abortion with postoperative shock (disorder) Edition SNOMED CT US Pregnancy 34801009 Ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 34842007 Antepartum hemorrhage (disorder) Edition SNOMED CT US Pregnancy 34981006 Hypertonic uterine dysfunction (disorder) Edition SNOMED CT US Pregnancy 35208003 Metabolic disorder following molar AND/OR ectopic pregnancy (disorder) Edition Gonorrhea in mother complicating pregnancy, childbirth AND/OR puerperium SNOMED CT US Pregnancy 35255008 (disorder) Edition SNOMED CT US Pregnancy 35258005 Placenta cirsoides (disorder) Edition Benign essential hypertension complicating AND/OR reason for care during SNOMED CT US Pregnancy 35303009 puerperium (disorder) Edition SNOMED CT US Pregnancy 35347003 Delayed delivery after artificial rupture of membranes (disorder) Edition SNOMED CT US Pregnancy 35537000 Ladin's sign (finding) Edition

Page 308 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 35608009 Stillbirth of immature male (500‐999 gms.) (finding) Edition SNOMED CT US Pregnancy 35656003 Intraligamentous pregnancy (disorder) Edition SNOMED CT US Pregnancy 35716006 Cracked nipple associated with childbirth (disorder) Edition SNOMED CT US Pregnancy 35746009 Uterine fibroids affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 35874009 Normal labor (finding) Edition SNOMED CT US Pregnancy 35882009 Abnormality of forces of labor (disorder) Edition SNOMED CT US Pregnancy 35999006 Blighted ovum (disorder) Edition SNOMED CT US Pregnancy 36144008 McClintock's sign (finding) Edition SNOMED CT US Pregnancy 36297009 Septate vagina affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 36323001 Soap embolism following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 36428009 Gestation period, 42 weeks (finding) Edition SNOMED CT US Pregnancy 36473002 Legal abortion with oliguria (disorder) Edition SNOMED CT US Pregnancy 36497006 Traumatic extension of episiotomy (disorder) Edition SNOMED CT US Pregnancy 36614009 Parity eight (finding) Edition SNOMED CT US Pregnancy 36664002 Failed attempted abortion with air embolism (disorder) Edition SNOMED CT US Pregnancy 36697001 False knot of umbilical cord (disorder) Edition

Page 309 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 36798000 Cervical effacement, 10% (finding) Edition SNOMED CT US Pregnancy 36813001 Placenta previa (disorder) Edition SNOMED CT US Pregnancy 36854009 Inlet contraction of pelvis (disorder) Edition Bone AND/OR joint disorder of back in mother complicating pregnancy, childbirth SNOMED CT US Pregnancy 36916008 AND/OR puerperium (disorder) Edition SNOMED CT US Pregnancy 37005007 Gestation period, 5 weeks (finding) Edition Varicose veins of vulva AND/OR perineum complicating pregnancy AND/OR SNOMED CT US Pregnancy 37139009 puerperium (disorder) Edition SNOMED CT US Pregnancy 37141005 Maternal pyrexia during labor (disorder) Edition Acute yellow atrophy of liver following molar AND/OR ectopic pregnancy SNOMED CT US Pregnancy 37292007 (disorder) Edition Known OR suspected fetal spina bifida with myelomeningocele affecting SNOMED CT US Pregnancy 37382001 obstetrical care (disorder) Edition Chronic hypertension complicating AND/OR reason for care during pregnancy SNOMED CT US Pregnancy 37618003 (disorder) Edition SNOMED CT US Pregnancy 37762002 Face OR brow presentation of fetus (disorder) Edition SNOMED CT US Pregnancy 37787009 Legal abortion with blood‐clot embolism (disorder) Edition SNOMED CT US Pregnancy 38010008 Intrapartum hemorrhage (disorder) Edition SNOMED CT US Pregnancy 38039008 Gestation period, 10 weeks (finding) Edition SNOMED CT US Pregnancy 38099005 Failed attempted abortion with endometritis (disorder) Edition SNOMED CT US Pregnancy 38176009 Urinary tract infection following molar AND/OR ectopic pregnancy (disorder) Edition

Page 310 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 38250004 Arrested labor (finding) Edition SNOMED CT US Pregnancy 38257001 Term birth of identical twins, one living, one stillborn (finding) Edition SNOMED CT US Pregnancy 38331001 Late vomiting of pregnancy (disorder) [38331001] Edition Aspiration of stomach contents after anesthesia AND/OR sedation in labor SNOMED CT US Pregnancy 38534008 AND/OR delivery (disorder) Edition SNOMED CT US Pregnancy 38720006 Septuplet pregnancy (disorder) Edition Illegal abortion complicated by damage to pelvic organs AND/OR tissues SNOMED CT US Pregnancy 38784004 (disorder) Edition SNOMED CT US Pregnancy 38802008 Postpartum state, 5 weeks (finding) Edition SNOMED CT US Pregnancy 38835003 One previous induced termination of pregnancy (finding) Edition SNOMED CT US Pregnancy 38905006 Illegal abortion with amniotic fluid embolism (disorder) Edition SNOMED CT US Pregnancy 38951007 Failed attempted abortion with laceration of bowel (disorder) Edition SNOMED CT US Pregnancy 39120007 Failed attempted abortion with salpingo‐oophoritis (disorder) Edition SNOMED CT US Pregnancy 39199000 Miscarriage with laceration of bladder (disorder) Edition SNOMED CT US Pregnancy 39208009 Fetal hydrops causing disproportion (disorder) Edition SNOMED CT US Pregnancy 39213008 Premature birth of identical twins, one living, one stillborn (finding) Edition SNOMED CT US Pregnancy 39239006 Legal abortion with electrolyte imbalance (disorder) Edition SNOMED CT US Pregnancy 39246002 Legal abortion with sepsis (disorder) Edition

Page 311 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 39249009 Placentitis (disorder) Edition SNOMED CT US Pregnancy 39333005 Cervical dilatation, 8cm (finding) Edition SNOMED CT US Pregnancy 39406005 Legally induced abortion (disorder) Edition Hypertension secondary to renal disease complicating AND/OR reason for care SNOMED CT US Pregnancy 39727004 during puerperium (disorder) Edition Abnormal glucose tolerance in mother complicating pregnancy, childbirth SNOMED CT US Pregnancy 39763004 AND/OR puerperium (disorder) Edition SNOMED CT US Pregnancy 39804004 Abnormal products of conception (disorder) Edition SNOMED CT US Pregnancy 40096002 Major abnormality of bony pelvis (disorder) Edition SNOMED CT US Pregnancy 40125005 Major puerperal infection (disorder) Edition SNOMED CT US Pregnancy 40156002 Postpartum state, 7 weeks (finding) Edition SNOMED CT US Pregnancy 40193008 Single vessel of umbilical cord (disorder) Edition SNOMED CT US Pregnancy 40405003 Illegal abortion with cerebral anoxia (disorder) Edition SNOMED CT US Pregnancy 40444006 Miscarriage with acute necrosis of liver (disorder) Edition SNOMED CT US Pregnancy 40500006 Illegal abortion with laceration of uterus (disorder) Edition Infectious disease in mother complicating pregnancy, childbirth AND/OR SNOMED CT US Pregnancy 40609001 puerperium (disorder) Edition SNOMED CT US Pregnancy 41114007 Mild pre‐eclampsia (disorder) Edition SNOMED CT US Pregnancy 41215002 Congenital abnormality of uterus, affecting pregnancy (disorder) Edition

Page 312 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 41438001 Gestation period, 21 weeks (finding) Edition SNOMED CT US Pregnancy 41587001 Third trimester pregnancy (finding) Edition SNOMED CT US Pregnancy 41806003 Legal abortion with laceration of broad ligament (disorder) Edition SNOMED CT US Pregnancy 41957003 Ruptured membranes (disorder) Edition SNOMED CT US Pregnancy 41962002 Oligohydramnios sequence (disorder) Edition SNOMED CT US Pregnancy 41991004 Angiectasis pregnancy (disorder) Edition SNOMED CT US Pregnancy 42070007 Embolism following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 42170009 Abnormal amniotic fluid (disorder) Edition SNOMED CT US Pregnancy 42279001 Para 4 (finding) Edition SNOMED CT US Pregnancy 42294002 Damage to cervix following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 42466007 Cervical effacement, 70% (finding) Edition Damage to periurethral tissue following molar AND/OR ectopic pregnancy SNOMED CT US Pregnancy 42536002 (disorder) Edition SNOMED CT US Pregnancy 42537006 Secondary perineal tear in the puerperium (disorder) Edition SNOMED CT US Pregnancy 42553009 Deficiency of placental barrier function (disorder) Edition SNOMED CT US Pregnancy 42571002 Failed induction of labor (disorder) Edition SNOMED CT US Pregnancy 42599006 Trauma from instrument during delivery (disorder) Edition

Page 313 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 42686001 Chromosomal abnormality in fetus affecting obstetrical care (disorder) Edition SNOMED CT US Pregnancy 42718004 Cervical effacement, 90% (finding) Edition SNOMED CT US Pregnancy 42783002 Spontaneous placental expulsion, Schultz mechanism (finding) Edition SNOMED CT US Pregnancy 42814007 Mid postpartum state (finding) Edition SNOMED CT US Pregnancy 42857002 Second stage of labor (finding) Edition SNOMED CT US Pregnancy 43195002 Tenney changes of placenta (disorder) Edition SNOMED CT US Pregnancy 43293004 Failed attempted abortion with septic embolism (disorder) Edition SNOMED CT US Pregnancy 43306002 Miscarriage complicated by embolism (disorder) Edition SNOMED CT US Pregnancy 43629001 Renal failure following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 43651009 Acquired stenosis of vagina affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 43673002 Fetal souffle (finding) Edition SNOMED CT US Pregnancy 43697006 Gestation period, 37 weeks (finding) Edition SNOMED CT US Pregnancy 43715006 Secondary uterine inertia (disorder) Edition SNOMED CT US Pregnancy 43808007 Cervical dilatation, 4cm (finding) Edition SNOMED CT US Pregnancy 43970002 Congenital stenosis of vagina affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 43990006 Sextuplet pregnancy (disorder) Edition

Page 314 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 44017002 Damage to bowel following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 44101005 Illegal abortion with air embolism (disorder) Edition SNOMED CT US Pregnancy 44108004 Seven previous induced terminations of pregnancy (finding) Edition SNOMED CT US Pregnancy 44216000 Retained products of conception, following delivery with hemorrhage (disorder) Edition SNOMED CT US Pregnancy 44223004 Premature rupture of membranes (disorder) Edition SNOMED CT US Pregnancy 44398003 Gestation period, 4 weeks (finding) Edition SNOMED CT US Pregnancy 44464006 Postpartum AND/OR puerperal erysipelas (disorder) Edition SNOMED CT US Pregnancy 44638009 No previous induced termination of pregnancy (finding) Edition SNOMED CT US Pregnancy 44640004 Failed attempted abortion with parametritis (disorder) Edition SNOMED CT US Pregnancy 44772007 Maternal obesity syndrome (disorder) Edition SNOMED CT US Pregnancy 44782008 Molar pregnancy (disorder) Edition SNOMED CT US Pregnancy 44795003 Rhesus isoimmunization affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 44814008 Miscarriage with laceration of periurethral tissue (disorder) Edition SNOMED CT US Pregnancy 44918005 Varicose veins complicating pregnancy AND/OR puerperium (disorder) Edition SNOMED CT US Pregnancy 44979007 Carneous mole (disorder) Edition SNOMED CT US Pregnancy 44992005 Failed attempted abortion with intravascular hemolysis (disorder) Edition

Page 315 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 45139008 Gestation period, 29 weeks (finding) Edition SNOMED CT US Pregnancy 45307008 Extrachorial pregnancy (finding) Edition SNOMED CT US Pregnancy 45384004 Multiple birth (finding) Edition SNOMED CT US Pregnancy 45757002 Labor problem (finding) Edition SNOMED CT US Pregnancy 45759004 Rigid perineum affecting pregnancy (disorder) Edition Anemia in mother complicating pregnancy, childbirth AND/OR puerperium SNOMED CT US Pregnancy 45828008 (disorder) Edition SNOMED CT US Pregnancy 46022004 Bearing down reflex (finding) Edition SNOMED CT US Pregnancy 46230007 Gestation period, 40 weeks (finding) Edition SNOMED CT US Pregnancy 46273003 Abscess of nipple associated with childbirth (disorder) Edition SNOMED CT US Pregnancy 46311005 Perineal laceration involving fourchette (disorder) Edition SNOMED CT US Pregnancy 46365005 Failed attempted abortion with perforation of periurethral tissue (disorder) Edition SNOMED CT US Pregnancy 46502006 Hematoma of vagina during delivery (disorder) Edition SNOMED CT US Pregnancy 46764007 Severe pre‐eclampsia (disorder) Edition SNOMED CT US Pregnancy 46848006 Sepsis following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 46894009 Gestational diabetes mellitus, class A>2< (disorder) Edition SNOMED CT US Pregnancy 46906003 Gestation period, 27 weeks (finding) Edition

Page 316 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 46914009 Intact fetal membranes (finding) Edition SNOMED CT US Pregnancy 47161002 Failed attempted abortion with perforation of cervix (disorder) Edition SNOMED CT US Pregnancy 47200007 High risk pregnancy (finding) Edition SNOMED CT US Pregnancy 47236005 Third stage hemorrhage (disorder) Edition Fetal or neonatal effect of destructive operation on live fetus to facilitate delivery SNOMED CT US Pregnancy 47267007 (disorder) Edition SNOMED CT US Pregnancy 47537002 Miscarriage with postoperative shock (disorder) Edition SNOMED CT US Pregnancy 47574003 Immature cervix (finding) Edition Superficial thrombophlebitis complicating pregnancy AND/OR puerperium SNOMED CT US Pregnancy 47780009 (disorder) Edition SNOMED CT US Pregnancy 47821001 Postpartum hemorrhage (disorder) Edition SNOMED CT US Pregnancy 48194001 Pregnancy‐induced hypertension (disorder) Edition Bone AND/OR joint disorder of lower extremities in mother complicating SNOMED CT US Pregnancy 48200009 pregnancy, childbirth AND/OR puerperium (disorder) Edition SNOMED CT US Pregnancy 48287005 Umbilical cord complication (disorder) Edition SNOMED CT US Pregnancy 48395006 Para 2 (finding) Edition SNOMED CT US Pregnancy 48433002 Legal abortion with complication (disorder) Edition SNOMED CT US Pregnancy 48485000 Miscarriage in third trimester (disorder) Edition Hypertension secondary to renal disease complicating AND/OR reason for care SNOMED CT US Pregnancy 48552006 during pregnancy (disorder) Edition

Page 317 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 48688005 Gestation period, 26 weeks (finding) Edition SNOMED CT US Pregnancy 48739004 Miscarriage with cardiac arrest and/or cardiac failure (disorder) Edition SNOMED CT US Pregnancy 48782003 Delivery normal (finding) Edition Placenta previa found before labor AND delivery by cesarean section without SNOMED CT US Pregnancy 48888007 hemorrhage (disorder) Edition SNOMED CT US Pregnancy 48975005 Stimulated labor (finding) Edition SNOMED CT US Pregnancy 49071005 Postpartum period, 2 days (finding) Edition SNOMED CT US Pregnancy 49102001 Hypertensive heart AND renal disease in obstetric context (disorder) Edition Hypertensive renal disease complicating AND/OR reason for care during SNOMED CT US Pregnancy 49171007 childbirth (disorder) Edition SNOMED CT US Pregnancy 49177006 Postpartum coagulation defect with hemorrhage (disorder) Edition SNOMED CT US Pregnancy 49279000 Slow slope active phase of labor (disorder) Edition SNOMED CT US Pregnancy 49342001 Stricture of vagina affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 49364005 Subareolar abscess associated with childbirth (disorder) Edition SNOMED CT US Pregnancy 49416000 Failed attempted abortion (disorder) Edition SNOMED CT US Pregnancy 49550006 Premature pregnancy delivered (finding) Edition SNOMED CT US Pregnancy 49561003 Rupture of gravid uterus before onset of labor (disorder) Edition SNOMED CT US Pregnancy 49632008 Illegally induced abortion (disorder) Edition

Page 318 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 49794002 Auscultatory sign (finding) Edition SNOMED CT US Pregnancy 49815007 Damage to coccyx during delivery (disorder) Edition SNOMED CT US Pregnancy 49955008 Para 3 (finding) Edition SNOMED CT US Pregnancy 49964003 Ectopic fetus (disorder) Edition SNOMED CT US Pregnancy 50120008 Abnormal acid‐base balance affecting management of mother (disorder) Edition SNOMED CT US Pregnancy 50258003 Fetal or neonatal effect of hypotonic uterine dysfunction (disorder) Edition SNOMED CT US Pregnancy 50367001 Gestation period, 11 weeks (finding) Edition SNOMED CT US Pregnancy 50404009 Postpartum state, 9 weeks (finding) Edition SNOMED CT US Pregnancy 50557007 Healed pelvic floor repair affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 50726009 Failed attempted abortion with perforation of uterus (disorder) Edition SNOMED CT US Pregnancy 50758004 Term birth of newborn twins (finding) Edition SNOMED CT US Pregnancy 50764006 Vomiting due to organic disease during pregnancy (disorder) Edition SNOMED CT US Pregnancy 50770000 Miscarriage with defibrination syndrome (disorder) Edition SNOMED CT US Pregnancy 50844007 Failed attempted abortion with pelvic peritonitis (disorder) Edition SNOMED CT US Pregnancy 51096002 Legal abortion with pulmonary embolism (disorder) Edition SNOMED CT US Pregnancy 51154004 Obstetrical pulmonary complication of anesthesia AND/OR sedation (disorder) Edition

Page 319 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 51195001 Placental polyp (disorder) Edition Cerebral anoxia following anesthesia AND/OR sedation in labor AND/OR delivery SNOMED CT US Pregnancy 51495008 (disorder) Edition SNOMED CT US Pregnancy 51519001 Marginal insertion of umbilical cord (disorder) Edition SNOMED CT US Pregnancy 51707007 Legal abortion with salpingo‐oophoritis (disorder) Edition SNOMED CT US Pregnancy 51885006 Morning sickness (finding) Edition SNOMED CT US Pregnancy 51953009 Legal abortion with perforation of broad ligament (disorder) Edition SNOMED CT US Pregnancy 51954003 Miscarriage with perforation of periurethral tissue (disorder) Edition SNOMED CT US Pregnancy 52327008 Fetal myelomeningocele causing disproportion (disorder) Edition SNOMED CT US Pregnancy 52342006 Legal abortion with acute renal failure (disorder) Edition SNOMED CT US Pregnancy 52483005 Term birth of newborn sextuplets (finding) Edition SNOMED CT US Pregnancy 52588004 Robert's sign (finding) Edition SNOMED CT US Pregnancy 52700006 Obstetrical pyemic AND/OR septic embolism (disorder) Edition SNOMED CT US Pregnancy 52772002 Postpartum thyroiditis (disorder) Edition SNOMED CT US Pregnancy 52942000 Term birth of stillborn twins (finding) Edition SNOMED CT US Pregnancy 53024001 Insufficient weight gain of pregnancy (disorder) Edition SNOMED CT US Pregnancy 53098006 Legal abortion with salpingitis (disorder) Edition

Page 320 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 53111003 Failed attempted abortion with postoperative shock (disorder) Edition SNOMED CT US Pregnancy 53183006 Miscarriage with intravascular hemolysis (disorder) Edition SNOMED CT US Pregnancy 53247006 Illegal abortion with laceration of bladder (disorder) Edition SNOMED CT US Pregnancy 53419009 Cord entanglement (disorder) Edition SNOMED CT US Pregnancy 53443007 Prolonged labor (disorder) Edition SNOMED CT US Pregnancy 53638009 Therapeutic abortion (disorder) Edition SNOMED CT US Pregnancy 53881005 Gravida 0 (finding) Edition SNOMED CT US Pregnancy 54044001 Legal abortion with laceration of vagina (disorder) Edition SNOMED CT US Pregnancy 54048003 Threatened abortion (disorder) Edition SNOMED CT US Pregnancy 54155004 Illegal abortion with uremia (disorder) Edition SNOMED CT US Pregnancy 54212005 Irregular uterine contractions (disorder) Edition SNOMED CT US Pregnancy 54213000 Oligohydramnios without rupture of membranes (disorder) Edition SNOMED CT US Pregnancy 54318006 Gestation period, 19 weeks (finding) Edition SNOMED CT US Pregnancy 54449002 Forced uterine inversion (disorder) Edition SNOMED CT US Pregnancy 54529009 Illegal abortion with cardiac arrest AND/OR failure (disorder) Edition SNOMED CT US Pregnancy 54559004 Uterine souffle (finding) Edition

Page 321 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 54650005 Premature birth of stillborn twins (finding) Edition SNOMED CT US Pregnancy 54679003 Obstetrical trauma to bladder (disorder) Edition SNOMED CT US Pregnancy 54844002 Prolapse of gravid uterus (disorder) Edition SNOMED CT US Pregnancy 55187005 Tarnier's sign (finding) Edition SNOMED CT US Pregnancy 55466006 Missed labor (finding) Edition SNOMED CT US Pregnancy 55472006 Submammary abscess associated with childbirth (disorder) Edition SNOMED CT US Pregnancy 55543007 Previous pregnancies 3 (finding) Edition Cardiac failure after obstetrical surgery AND/OR other procedure including SNOMED CT US Pregnancy 55565007 delivery (disorder) Edition Meconium in amniotic fluid first noted during labor AND/OR delivery in liveborn SNOMED CT US Pregnancy 55581002 infant (disorder) Edition SNOMED CT US Pregnancy 55589000 Illegal abortion with pulmonary embolism (disorder) Edition SNOMED CT US Pregnancy 55613002 Engorgement of breasts associated with childbirth (disorder) Edition SNOMED CT US Pregnancy 55639004 Failed attempted abortion with laceration of vagina (disorder) Edition SNOMED CT US Pregnancy 55704005 Abscess of breast, associated with childbirth (disorder) Edition SNOMED CT US Pregnancy 55861007 Postpartum period, 5 days (finding) Edition SNOMED CT US Pregnancy 55933000 Legal abortion with perforation of bowel (disorder) Edition SNOMED CT US Pregnancy 55976003 Miscarriage with blood‐clot embolism (disorder) Edition

Page 322 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 56026007 Late postpartum state (finding) Edition SNOMED CT US Pregnancy 56029000 Three previous induced terminations of pregnancy (finding) Edition SNOMED CT US Pregnancy 56160003 Hydrorrhea gravidarum (finding) Edition SNOMED CT US Pregnancy 56272000 Postpartum deep phlebothrombosis (disorder) Edition SNOMED CT US Pregnancy 56313000 Abnormal placenta affecting management of mother (disorder) Edition SNOMED CT US Pregnancy 56404003 False uterine contraction (finding) Edition SNOMED CT US Pregnancy 56425003 Placenta edematous (disorder) Edition SNOMED CT US Pregnancy 56451001 Failed attempted abortion with perforation of broad ligament (disorder) Edition SNOMED CT US Pregnancy 56462001 Failed attempted abortion with soap embolism (disorder) Edition SNOMED CT US Pregnancy 56624009 Cervical effacement, 20% (finding) Edition SNOMED CT US Pregnancy 57197002 Nine previous induced terminations of pregnancy (finding) Edition SNOMED CT US Pregnancy 57220000 Obstetrical complication of local anesthesia (disorder) Edition SNOMED CT US Pregnancy 57296000 Incarcerated gravid uterus (disorder) Edition SNOMED CT US Pregnancy 57420002 Listeria abortion (disorder) Edition SNOMED CT US Pregnancy 57468008 Salpingo‐oophoritis following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 57469000 Miscarriage with acute renal failure (disorder) Edition

Page 323 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 57480000 Known OR suspected fetal anencephaly affecting obstetrical care (disorder) Edition SNOMED CT US Pregnancy 57576007 Retroverted gravid uterus (disorder) Edition SNOMED CT US Pregnancy 57630001 First trimester pregnancy (finding) Edition SNOMED CT US Pregnancy 57734001 Legal abortion complicated by embolism (disorder) Edition SNOMED CT US Pregnancy 57759005 First degree perineal laceration (disorder) Edition SNOMED CT US Pregnancy 57797005 Induced termination of pregnancy (disorder) Edition Hypertensive renal disease complicating AND/OR reason for care during SNOMED CT US Pregnancy 57873008 puerperium (disorder) Edition SNOMED CT US Pregnancy 57907009 Gestation period, 36 weeks (finding) Edition SNOMED CT US Pregnancy 58071009 Legal abortion complicated by delayed AND/OR excessive hemorrhage (disorder) Edition SNOMED CT US Pregnancy 58123006 Failed attempted abortion with pulmonary embolism (disorder) Edition SNOMED CT US Pregnancy 58289000 Prodromal stage labor (finding) Edition SNOMED CT US Pregnancy 58532003 Unwanted pregnancy (finding) Edition SNOMED CT US Pregnancy 58699001 Cervical dilatation, 2cm (finding) Edition SNOMED CT US Pregnancy 58703003 Postpartum depression (disorder) Edition SNOMED CT US Pregnancy 58881007 Polyp of cervix affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 58990004 Miscarriage complicated by damage to pelvic organs and/or tissues (disorder) Edition

Page 324 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Thyroid disease in mother complicating pregnancy, childbirth AND/OR SNOMED CT US Pregnancy 59136001 puerperium (disorder) Edition SNOMED CT US Pregnancy 59204004 Miscarriage with septic embolism (disorder) Edition SNOMED CT US Pregnancy 59363009 Inevitable abortion (disorder) Edition SNOMED CT US Pregnancy 59403008 Premature birth of newborn female (finding) Edition SNOMED CT US Pregnancy 59466002 Second trimester pregnancy (finding) Edition SNOMED CT US Pregnancy 59566000 Oligohydramnios (disorder) Edition Hypertensive heart disease complicating AND/OR reason for care during SNOMED CT US Pregnancy 59733002 childbirth (disorder) Edition SNOMED CT US Pregnancy 59795007 Short cord (disorder) Edition SNOMED CT US Pregnancy 59859005 Legal abortion with laceration of bladder (disorder) Edition SNOMED CT US Pregnancy 59919008 Failed attempted abortion with complication (disorder) Edition SNOMED CT US Pregnancy 59932003 Cervical effacement, 50% (finding) Edition SNOMED CT US Pregnancy 60000008 Mesometric pregnancy (disorder) Edition SNOMED CT US Pregnancy 60001007 Not pregnant (finding) Edition SNOMED CT US Pregnancy 60265009 Miscarriage with air embolism (disorder) Edition SNOMED CT US Pregnancy 60328005 Previous pregnancies 4 (finding) Edition SNOMED CT US Pregnancy 60574005 Twin placenta (disorder) Edition

Page 325 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 60601008 Obstetrical blood clot embolism (disorder) Edition SNOMED CT US Pregnancy 60755004 Persistent hymen affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 60810003 Quadruplet pregnancy (disorder) Edition SNOMED CT US Pregnancy 61007003 Separation of symphysis pubis during delivery (disorder) Edition SNOMED CT US Pregnancy 61452007 Failed attempted abortion with laceration of uterus (disorder) Edition SNOMED CT US Pregnancy 61568004 Miscarriage with salpingo‐oophoritis (disorder) Edition SNOMED CT US Pregnancy 61714007 Metabolic disturbance in labor AND/OR delivery (disorder) Edition SNOMED CT US Pregnancy 61752008 Illegal abortion complicated by shock (disorder) Edition SNOMED CT US Pregnancy 61810006 Illegal abortion with defibrination syndrome (disorder) Edition SNOMED CT US Pregnancy 61881000 Osiander's sign (finding) Edition SNOMED CT US Pregnancy 61951009 Failed attempted abortion with laceration of periurethral tissue (disorder) Edition SNOMED CT US Pregnancy 62098001 Head not engaged (disorder) Edition SNOMED CT US Pregnancy 62129004 Contraction ring dystocia (disorder) Edition SNOMED CT US Pregnancy 62131008 Couvelaire uterus (disorder) Edition SNOMED CT US Pregnancy 62331000 Six previous induced terminations of pregnancy (finding) Edition SNOMED CT US Pregnancy 62333002 Gestation period, 13 weeks (finding) Edition

Page 326 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 62377009 Postpartum cardiomyopathy (disorder) Edition SNOMED CT US Pregnancy 62410004 Postpartum fibrinolysis with hemorrhage (disorder) Edition SNOMED CT US Pregnancy 62472004 Cervix fully dilated (finding) Edition SNOMED CT US Pregnancy 62531004 Placenta previa marginalis (disorder) Edition SNOMED CT US Pregnancy 62583006 Puerperal phlegmasia alba dolens (disorder) Edition SNOMED CT US Pregnancy 62612003 Fibrosis of perineum affecting pregnancy (disorder) Edition Cardiac arrest AND/OR failure following anesthesia AND/OR sedation in labor SNOMED CT US Pregnancy 62657007 AND/OR delivery (disorder) Edition SNOMED CT US Pregnancy 62698000 Defibrination syndrome following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 62774004 Cervical dilatation, 9cm (finding) Edition SNOMED CT US Pregnancy 62888008 Legal abortion with perforation of bladder (disorder) Edition SNOMED CT US Pregnancy 63040001 Hemorrhoids complicating pregnancy AND/OR puerperium (disorder) Edition SNOMED CT US Pregnancy 63110000 Gestation period, 7 weeks (finding) Edition SNOMED CT US Pregnancy 63287004 Benign essential hypertension in obstetric context (disorder) Edition SNOMED CT US Pregnancy 63503002 Gestation period, 41 weeks (finding) Edition SNOMED CT US Pregnancy 63637002 Failed attempted abortion with laceration of broad ligament (disorder) Edition SNOMED CT US Pregnancy 63662002 Purulent mastitis associated with childbirth (disorder) Edition

Page 327 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 63750008 Oblique lie (disorder) Edition Thrombosis of intracranial venous sinus of pregnancy AND/OR puerperium SNOMED CT US Pregnancy 63795001 (disorder) Edition SNOMED CT US Pregnancy 64171002 Obstetrical cardiac complication of anesthesia AND/OR sedation (disorder) Edition SNOMED CT US Pregnancy 64181003 Failed attempted abortion with perforation of vagina (disorder) Edition SNOMED CT US Pregnancy 64229006 Traumatic lesion during delivery (disorder) Edition SNOMED CT US Pregnancy 64254006 Triplet pregnancy (disorder) Edition SNOMED CT US Pregnancy 64541000 Postpartum period, 3 days (finding) Edition SNOMED CT US Pregnancy 64646001 Failed forceps delivery (disorder) Edition SNOMED CT US Pregnancy 64814003 Miscarriage with electrolyte imbalance (disorder) Edition SNOMED CT US Pregnancy 64890008 Stone mole (disorder) Edition SNOMED CT US Pregnancy 64920003 Gestation period, 31 weeks (finding) Edition SNOMED CT US Pregnancy 64954002 Avulsion of inner symphyseal cartilage during delivery (disorder) Edition SNOMED CT US Pregnancy 65035007 Gestation period, 22 weeks (finding) Edition SNOMED CT US Pregnancy 65147003 Twin pregnancy (disorder) Edition SNOMED CT US Pregnancy 65336003 Cervical effacement, 60% (finding) Edition SNOMED CT US Pregnancy 65375007 Postpartum state, 6 weeks (finding) Edition

Page 328 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 65377004 Polygalactia (disorder) Edition Pre‐existing hypertension complicating AND/OR reason for care during pregnancy SNOMED CT US Pregnancy 65402008 (disorder) Edition SNOMED CT US Pregnancy 65409004 Obstetrical complication of anesthesia (disorder) Edition SNOMED CT US Pregnancy 65483000 Placenta of multiple birth higher than twin (disorder) Edition SNOMED CT US Pregnancy 65539006 Impetigo herpetiformis (disorder) Edition SNOMED CT US Pregnancy 65683006 Gestation period, 17 weeks (finding) Edition SNOMED CT US Pregnancy 65727000 Intrauterine pregnancy (finding) Edition SNOMED CT US Pregnancy 65809005 Cervical effacement, 40% (finding) Edition SNOMED CT US Pregnancy 66119008 Disruption of perineal laceration repair in the puerperium (disorder) Edition SNOMED CT US Pregnancy 66131005 Miscarriage with fat embolism (disorder) Edition Fetal OR intrauterine asphyxia, not clear if noted before OR after onset of labor in SNOMED CT US Pregnancy 66231000 liveborn infant (disorder) Edition SNOMED CT US Pregnancy 66294006 Obstruction by abnormal pelvic soft tissues (disorder) Edition Hypertensive renal disease complicating AND/OR reason for care during SNOMED CT US Pregnancy 66709007 pregnancy (disorder) Edition SNOMED CT US Pregnancy 66844003 Generalized infection during labor (disorder) Edition SNOMED CT US Pregnancy 66892003 Failed attempted abortion with urinary tract infection (disorder) Edition SNOMED CT US Pregnancy 66895001 Cervical dilatation, 6cm (finding) Edition

Page 329 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Isoimmunization from non‐ABO, non‐Rh blood‐group incompatibility affecting SNOMED CT US Pregnancy 66958002 pregnancy (disorder) Edition SNOMED CT US Pregnancy 67042008 Failed attempted abortion complicated by shock (disorder) Edition SNOMED CT US Pregnancy 67229002 Spontaneous uterine inversion (disorder) Edition SNOMED CT US Pregnancy 67359005 Pre‐eclampsia added to pre‐existing hypertension (disorder) Edition SNOMED CT US Pregnancy 67465009 Miscarriage with sepsis (disorder) Edition SNOMED CT US Pregnancy 67480003 Indication for care AND/OR intervention in labor AND/OR delivery (disorder) Edition SNOMED CT US Pregnancy 67486009 Postpartum pelvic thrombophlebitis (disorder) Edition Malpresentation other than breech, successfully converted to cephalic SNOMED CT US Pregnancy 67802002 presentation (disorder) Edition SNOMED CT US Pregnancy 67881007 Annular placenta (disorder) Edition SNOMED CT US Pregnancy 68189005 Illegal abortion with perforation of periurethral tissue (disorder) Edition SNOMED CT US Pregnancy 68214002 Lymphangitis of breast associated with childbirth (disorder) Edition SNOMED CT US Pregnancy 68509000 Stillbirth of immature female (500‐999 gms.) (finding) Edition SNOMED CT US Pregnancy 68635007 Deficiency of placental function (disorder) Edition SNOMED CT US Pregnancy 69217004 Outlet contraction of pelvis (disorder) Edition SNOMED CT US Pregnancy 69270005 Rupture of uterus during AND/OR after labor (disorder) Edition SNOMED CT US Pregnancy 69302000 Abortion on demand (disorder) Edition

Page 330 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 69338007 Kanter's sign (finding) Edition SNOMED CT US Pregnancy 69344006 Shock following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 69532007 Mural pregnancy (disorder) Edition SNOMED CT US Pregnancy 69777007 Interlocked twins (finding) Edition SNOMED CT US Pregnancy 69802008 Cervical cerclage suture present (disorder) Edition SNOMED CT US Pregnancy 69840006 Normal breast feeding (finding) Edition SNOMED CT US Pregnancy 69897008 Icterus gravis of pregnancy (disorder) Edition SNOMED CT US Pregnancy 69909000 Eclampsia added to pre‐existing hypertension (disorder) Edition SNOMED CT US Pregnancy 70068004 Persistent occipitoposterior position (disorder) Edition SNOMED CT US Pregnancy 70112005 Stillbirth of mature female (2500 gms. or more) (finding) Edition SNOMED CT US Pregnancy 70129008 Placenta accreta (disorder) Edition SNOMED CT US Pregnancy 70137000 Deficiency of placental endocrine function (disorder) Edition SNOMED CT US Pregnancy 70425008 Piskacek's sign (finding) Edition SNOMED CT US Pregnancy 70537007 Hegar's sign (finding) Edition SNOMED CT US Pregnancy 70603007 Rupture of cord (disorder) Edition SNOMED CT US Pregnancy 70651004 Calkin's sign (finding) Edition

Page 331 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 70823006 Illegal abortion with intravascular hemolysis (disorder) Edition SNOMED CT US Pregnancy 70964000 Postparturient hemoglobinuria (disorder) Edition SNOMED CT US Pregnancy 71028008 Fetal‐maternal hemorrhage (disorder) Edition SNOMED CT US Pregnancy 71096001 Inversion of uterine contraction (finding) Edition SNOMED CT US Pregnancy 71216006 Legal abortion with laceration of periurethral tissue (disorder) Edition SNOMED CT US Pregnancy 71355009 Gestation period, 30 weeks (finding) Edition SNOMED CT US Pregnancy 71362000 Illegal abortion with septic embolism (disorder) Edition SNOMED CT US Pregnancy 71473008 Amnion nodosum (disorder) Edition SNOMED CT US Pregnancy 71612002 Postpartum uterine hypertrophy (disorder) Edition SNOMED CT US Pregnancy 71639005 Galactorrhea associated with childbirth (disorder) Edition SNOMED CT US Pregnancy 71848002 Bolt's sign (finding) Edition Benign essential hypertension complicating AND/OR reason for care during SNOMED CT US Pregnancy 71874008 childbirth (disorder) Edition SNOMED CT US Pregnancy 71901000 Congenital contracted pelvis (disorder) Edition SNOMED CT US Pregnancy 71909003 Acute renal failure following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 72014004 Abnormal fetal duplication (disorder) Edition SNOMED CT US Pregnancy 72022006 Essential hypertension in obstetric context (disorder) Edition

Page 332 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 72209007 Damage to vagina following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 72417002 Tumultuous uterine contraction (finding) Edition SNOMED CT US Pregnancy 72543004 Stillbirth of immature fetus, sex undetermined (500‐999 gms.) (finding) Edition SNOMED CT US Pregnancy 72544005 Gestation period, 25 weeks (finding) Edition SNOMED CT US Pregnancy 72613009 Miscarriage with oliguria (disorder) Edition SNOMED CT US Pregnancy 72846000 Gestation period, 14 weeks (finding) Edition SNOMED CT US Pregnancy 72860003 Disorder of amniotic cavity AND/OR membrane (disorder) Edition SNOMED CT US Pregnancy 72892002 Normal pregnancy (finding) Edition SNOMED CT US Pregnancy 73030000 Hypertensive renal disease in obstetric context (disorder) Edition SNOMED CT US Pregnancy 73161006 Transverse lie (disorder) Edition SNOMED CT US Pregnancy 73280003 Illegal abortion with laceration of vagina (disorder) Edition SNOMED CT US Pregnancy 73790007 Threatened abortion in first trimester (disorder) Edition SNOMED CT US Pregnancy 73837001 Failed attempted abortion with cardiac arrest AND/OR failure (disorder) Edition SNOMED CT US Pregnancy 73972002 Postpartum neurosis (disorder) Edition SNOMED CT US Pregnancy 74369005 Miscarriage with perforation of cervix (disorder) Edition SNOMED CT US Pregnancy 74437002 Ahlfeld's sign (finding) Edition

Page 333 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 74522004 Cervical dilatation, 7cm (finding) Edition SNOMED CT US Pregnancy 74952004 Gestation period, 3 weeks (finding) Edition SNOMED CT US Pregnancy 74955002 Retracted nipple associated with childbirth (disorder) Edition SNOMED CT US Pregnancy 74978008 Illegal abortion with complication (disorder) Edition SNOMED CT US Pregnancy 75013000 Legal abortion with perforation of vagina (disorder) Edition SNOMED CT US Pregnancy 75022004 Gestational diabetes mellitus, class A>1< (disorder) Edition SNOMED CT US Pregnancy 75094005 Hydrops of placenta (disorder) Edition SNOMED CT US Pregnancy 75150001 Renal disease in pregnancy AND/OR puerperium without hypertension (disorder) Edition SNOMED CT US Pregnancy 75428007 Chorioallantoic placenta (disorder) Edition SNOMED CT US Pregnancy 75697004 Term birth of identical twins, both stillborn (finding) Edition SNOMED CT US Pregnancy 75798003 Twin dichorionic diamniotic placenta (disorder) Edition SNOMED CT US Pregnancy 75825001 Legal abortion with fat embolism (disorder) Edition SNOMED CT US Pregnancy 75836008 Ante AND/OR intrapartum hemorrhage associated with trauma (disorder) Edition SNOMED CT US Pregnancy 75933004 Threatened abortion in second trimester (disorder) Edition SNOMED CT US Pregnancy 75947000 Legal abortion with endometritis (disorder) Edition SNOMED CT US Pregnancy 76012002 Fetal or neonatal effect of complication of labor and/or delivery (disorder) Edition

Page 334 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 76037007 Rigid cervix uteri affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 76380008 Placenta membranacea (disorder) Edition SNOMED CT US Pregnancy 76472002 Legal abortion with perforation of periurethral tissue (disorder) Edition SNOMED CT US Pregnancy 76491002 Four previous induced terminations of pregnancy (finding) Edition Diabetes mellitus in mother complicating pregnancy, childbirth AND/OR SNOMED CT US Pregnancy 76751001 puerperium (disorder) Edition SNOMED CT US Pregnancy 76771005 Parturient hemorrhage associated with hypofibrinogenemia (disorder) Edition SNOMED CT US Pregnancy 76843005 Tetanus complicating ectopic AND/OR molar pregnancy (disorder) Edition SNOMED CT US Pregnancy 76871004 Previous surgery to vagina affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 76889003 Failed attempted abortion with cerebral anoxia (disorder) Edition SNOMED CT US Pregnancy 77099001 Illegal abortion with perforation of uterus (disorder) Edition SNOMED CT US Pregnancy 77186001 Failed attempted abortion with renal tubular necrosis (disorder) Edition SNOMED CT US Pregnancy 77206006 Puerperal pelvic sepsis (disorder) Edition SNOMED CT US Pregnancy 77259008 Prolonged second stage of labor (disorder) Edition SNOMED CT US Pregnancy 77278008 Velamentous insertion of umbilical cord (disorder) Edition SNOMED CT US Pregnancy 77285007 Placental infarct affecting management of mother (disorder) Edition SNOMED CT US Pregnancy 77376005 Gestational edema without hypertension (disorder) Edition

Page 335 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 77386006 Pregnant (finding) Edition SNOMED CT US Pregnancy 77563000 Obstruction by bony pelvis (disorder) Edition SNOMED CT US Pregnancy 77814006 Stillbirth of premature male (1000‐2499 gms.) (finding) Edition SNOMED CT US Pregnancy 77854008 Failed medical induction of labor (disorder) Edition SNOMED CT US Pregnancy 77913004 Submammary mastitis associated with childbirth (disorder) Edition Heart disease in mother complicating pregnancy, childbirth AND/OR puerperium SNOMED CT US Pregnancy 78381004 (disorder) Edition SNOMED CT US Pregnancy 78395001 Gestation period, 33 weeks (finding) Edition SNOMED CT US Pregnancy 78408007 Complication of obstetrical surgery AND/OR procedure (disorder) Edition SNOMED CT US Pregnancy 78697003 Nonpurulent mastitis associated with childbirth (disorder) Edition SNOMED CT US Pregnancy 78789000 Mature abnormal placenta (disorder) Edition Essential hypertension complicating AND/OR reason for care during pregnancy SNOMED CT US Pregnancy 78808002 (disorder) Edition SNOMED CT US Pregnancy 79114003 Fetal head molding (finding) Edition Delayed AND/OR excessive hemorrhage following molar AND/OR ectopic SNOMED CT US Pregnancy 79133008 pregnancy (disorder) Edition SNOMED CT US Pregnancy 79179003 Desultory labor (disorder) Edition SNOMED CT US Pregnancy 79222000 Compression of umbilical cord (disorder) Edition SNOMED CT US Pregnancy 79255005 Mentum presentation of fetus (disorder) Edition

Page 336 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 79290002 Cervical pregnancy (disorder) Edition SNOMED CT US Pregnancy 79333004 Damage to uterus following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 79355007 Hypertensive heart disease in obstetric context (disorder) Edition SNOMED CT US Pregnancy 79414005 Retraction ring dystocia (disorder) Edition SNOMED CT US Pregnancy 79586000 Tubal pregnancy (disorder) Edition SNOMED CT US Pregnancy 79668009 Vasa previa (disorder) Edition SNOMED CT US Pregnancy 79748007 Maternal dystocia (disorder) Edition SNOMED CT US Pregnancy 79839005 Perineal laceration involving vulva (disorder) Edition SNOMED CT US Pregnancy 79986005 Incomplete amnion (disorder) Edition SNOMED CT US Pregnancy 79992004 Gestation period, 12 weeks (finding) Edition SNOMED CT US Pregnancy 80002007 Malpresentation of fetus (disorder) Edition SNOMED CT US Pregnancy 80113008 Complication of the puerperium (disorder) Edition SNOMED CT US Pregnancy 80190007 Known OR suspected fetal hydrocephalus affecting obstetrical care (disorder) Edition SNOMED CT US Pregnancy 80224003 Multiple gestation with one OR more fetal malpresentations (disorder) Edition SNOMED CT US Pregnancy 80228000 Lightening of fetus (finding) Edition SNOMED CT US Pregnancy 80256005 Intervillous thrombosis (disorder) Edition

Page 337 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 80438008 Illegal abortion with perforation of bladder (disorder) Edition SNOMED CT US Pregnancy 80487005 Gestation period, 39 weeks (finding) Edition SNOMED CT US Pregnancy 80818002 Previous surgery to perineum AND/OR vulva affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 80847009 Tubal‐cornual placenta (disorder) Edition SNOMED CT US Pregnancy 80856001 Previous pregnancies 8 (finding) Edition SNOMED CT US Pregnancy 80997009 Quintuplet pregnancy (disorder) Edition SNOMED CT US Pregnancy 81131001 Eleven previous induced terminations of pregnancy (finding) Edition SNOMED CT US Pregnancy 81328008 Fundal dominance of uterine contraction (finding) Edition SNOMED CT US Pregnancy 81448000 Hemorrhage in early pregnancy, delivered (disorder) Edition SNOMED CT US Pregnancy 81514003 Parity nine (finding) Edition SNOMED CT US Pregnancy 81521003 Failed attempted abortion with salpingitis (disorder) Edition Parasitic disease in mother complicating pregnancy, childbirth AND/OR SNOMED CT US Pregnancy 81557008 puerperium (disorder) Edition SNOMED CT US Pregnancy 81626002 Malignant hypertension in obstetric context (disorder) Edition SNOMED CT US Pregnancy 81677009 Lactation (disorder) Edition SNOMED CT US Pregnancy 82118009 Gestation period, 2 weeks (finding) Edition SNOMED CT US Pregnancy 82153002 Miscarriage with pulmonary embolism (disorder) Edition

Page 338 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 82204006 Illegal abortion with parametritis (disorder) Edition SNOMED CT US Pregnancy 82338001 Illegal abortion with septic shock (disorder) Edition SNOMED CT US Pregnancy 82634006 Previous pregnancies 10 (finding) Edition SNOMED CT US Pregnancy 82661006 Abdominal pregnancy (disorder) Edition SNOMED CT US Pregnancy 82664003 Placenta succenturiata (disorder) Edition SNOMED CT US Pregnancy 82897000 Spontaneous placental expulsion, Duncan mechanism (finding) Edition SNOMED CT US Pregnancy 83056001 Cervical effacement, 30% (finding) Edition SNOMED CT US Pregnancy 83074005 Unplanned pregnancy (finding) Edition SNOMED CT US Pregnancy 83094001 Perineal hematoma during delivery (disorder) Edition SNOMED CT US Pregnancy 83121003 Term birth of fraternal twins, both stillborn (finding) Edition SNOMED CT US Pregnancy 83243004 Rigid pelvic floor affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 83712005 Eight previous induced terminations of pregnancy (finding) Edition SNOMED CT US Pregnancy 83741001 Placenta spuria (disorder) Edition SNOMED CT US Pregnancy 83787007 Twin monochorionic diamniotic placenta (disorder) Edition SNOMED CT US Pregnancy 83916000 Postpartum thrombophlebitis (disorder) Edition SNOMED CT US Pregnancy 83922009 Miscarriage with parametritis (disorder) Edition

Page 339 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 84007008 Shock during AND/OR following labor AND/OR delivery (disorder) Edition SNOMED CT US Pregnancy 84032005 Halban's sign (finding) Edition SNOMED CT US Pregnancy 84132007 Gestation period, 35 weeks (finding) Edition SNOMED CT US Pregnancy 84143004 Illegal abortion with perforation of cervix (disorder) Edition SNOMED CT US Pregnancy 84216001 Cerebral venous thrombosis of pregnancy AND/OR puerperium (disorder) Edition SNOMED CT US Pregnancy 84235001 Cephalic version (disorder) Edition SNOMED CT US Pregnancy 84357006 Twin monochorionic monoamniotic placenta (disorder) Edition SNOMED CT US Pregnancy 84382006 Premature birth of fraternal twins, both stillborn (finding) Edition SNOMED CT US Pregnancy 84457005 Spontaneous onset of labor (finding) Edition SNOMED CT US Pregnancy 84693004 Intervillous hemorrhage of placenta (disorder) Edition Rubella in mother complicating pregnancy, childbirth AND/OR puerperium SNOMED CT US Pregnancy 84939004 (disorder) Edition SNOMED CT US Pregnancy 85039006 Postpartum amenorrhea‐galactorrhea syndrome (disorder) Edition SNOMED CT US Pregnancy 85076009 Placenta fenestrata (disorder) Edition SNOMED CT US Pregnancy 85116003 Miscarriage in second trimester (disorder) Edition SNOMED CT US Pregnancy 85331004 Miscarriage with laceration of broad ligament (disorder) Edition SNOMED CT US Pregnancy 85467007 Miscarriage with perforation of bladder (disorder) Edition

Page 340 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 85542007 Perineal laceration involving skin (disorder) Edition SNOMED CT US Pregnancy 85632001 Miscarriage with laceration of vagina (disorder) Edition SNOMED CT US Pregnancy 85652000 Legal abortion with perforation of cervix (disorder) Edition SNOMED CT US Pregnancy 85796009 Afibrinogenemia following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 85991008 Miscarriage with pelvic peritonitis (disorder) Edition SNOMED CT US Pregnancy 86041002 Pre‐existing hypertension in obstetric context (disorder) Edition SNOMED CT US Pregnancy 86081009 Herpes gestationis (disorder) Edition SNOMED CT US Pregnancy 86196005 Disorder of breast associated with childbirth (disorder) Edition SNOMED CT US Pregnancy 86203003 Polyhydramnios (disorder) Edition SNOMED CT US Pregnancy 86256001 Hematoma of cord (disorder) Edition SNOMED CT US Pregnancy 86356004 Unstable lie (disorder) Edition SNOMED CT US Pregnancy 86569001 Postpartum state (finding) Edition SNOMED CT US Pregnancy 86687009 Fat embolism following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 86709000 Pelvic peritonitis following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 86801005 Gestation period, 6 weeks (finding) Edition SNOMED CT US Pregnancy 86803008 Term birth of newborn quintuplets (finding) Edition

Page 341 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 86883006 Gestation period, 23 weeks (finding) Edition SNOMED CT US Pregnancy 86891002 Illegal abortion complicated by delayed AND/OR excessive hemorrhage (disorder) Edition SNOMED CT US Pregnancy 87038002 Postpartum alopecia (disorder) Edition Cerebral anoxia after obstetrical surgery AND/OR other procedure including SNOMED CT US Pregnancy 87043009 delivery (disorder) Edition SNOMED CT US Pregnancy 87169001 Parametritis following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 87178007 Gestation period, 1 week (finding) Edition SNOMED CT US Pregnancy 87383005 Maternal distress (disorder) Edition SNOMED CT US Pregnancy 87527008 Term pregnancy (finding) Edition SNOMED CT US Pregnancy 87605005 Cornual pregnancy (disorder) Edition Hyperemesis gravidarum before end of 22 week gestation with dehydration SNOMED CT US Pregnancy 87621000 (disorder) Edition SNOMED CT US Pregnancy 87662006 Term birth of fraternal twins, both living (finding) Edition SNOMED CT US Pregnancy 87814002 Marginal placenta previa with intrapartum hemorrhage (disorder) Edition SNOMED CT US Pregnancy 87840008 Galactocele associated with childbirth (disorder) Edition SNOMED CT US Pregnancy 87967003 Miscarriage with perforation of vagina (disorder) Edition SNOMED CT US Pregnancy 88178009 Puerperal peritonitis (disorder) Edition SNOMED CT US Pregnancy 88387008 Postpartum period, 7 days (finding) Edition

Page 342 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 88697005 Papular dermatitis of pregnancy (disorder) Edition SNOMED CT US Pregnancy 88887003 Maternal hypotension syndrome (disorder) Edition SNOMED CT US Pregnancy 88895004 Fatigue during pregnancy (disorder) Edition SNOMED CT US Pregnancy 89244003 Entanglement of cords of twins in monoamniotic sac (disorder) Edition SNOMED CT US Pregnancy 89573004 Damage to broad ligament following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 89672000 Retromammary mastitis associated with childbirth (disorder) Edition SNOMED CT US Pregnancy 89700002 Shoulder girdle dystocia (disorder) Edition SNOMED CT US Pregnancy 89934007 Crowning (finding) Edition SNOMED CT US Pregnancy 90009001 Abnormal umbilical cord (disorder) Edition SNOMED CT US Pregnancy 90188009 Failed mechanical induction (disorder) Edition SNOMED CT US Pregnancy 90306000 Trial labor (finding) Edition SNOMED CT US Pregnancy 90325002 Vomiting of pregnancy (disorder) Edition SNOMED CT US Pregnancy 90450000 Illegal abortion with pelvic peritonitis (disorder) Edition SNOMED CT US Pregnancy 90532005 Central laceration during delivery (disorder) Edition SNOMED CT US Pregnancy 90645002 Failed attempted abortion without complication (disorder) Edition SNOMED CT US Pregnancy 90751002 Linea nigra (finding) Edition

Page 343 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 90781005 Illegal abortion with acute yellow atrophy of liver (disorder) Edition SNOMED CT US Pregnancy 90797000 Gestation period, 28 weeks (finding) Edition SNOMED CT US Pregnancy 90968009 Prolonged pregnancy (disorder) Edition SNOMED CT US Pregnancy 91153002 Placenta marginalis (disorder) Edition SNOMED CT US Pregnancy 91162000 Necrosis of liver of pregnancy (disorder) Edition SNOMED CT US Pregnancy 91217009 Megaloblastic anemia due to pregnancy (disorder) Edition SNOMED CT US Pregnancy 91271004 Superfetation (finding) Edition SNOMED CT US Pregnancy 91484005 Failure of induction of labor by oxytocic drugs (disorder) Edition SNOMED CT US Pregnancy 91948008 Asymptomatic human immunodeficiency virus infection in pregnancy (disorder) Edition SNOMED CT US Pregnancy 91957002 Back pain complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 92297008 Benign neoplasm of placenta (disorder) Edition SNOMED CT US Pregnancy 92684002 Carcinoma in situ of placenta (disorder) Edition SNOMED CT US Pregnancy 95605009 Hemolysis‐elevated liver enzymes‐low platelet count syndrome (disorder) Edition SNOMED CT US Pregnancy 95606005 Maternal drug exposure (disorder) Edition SNOMED CT US Pregnancy 95607001 Maternal drug use (disorder) Edition SNOMED CT US Pregnancy 95608006 Necrosis of placenta (disorder) Edition

Page 344 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 102500002 Good neonatal condition at birth (finding) Edition SNOMED CT US Pregnancy 102501003 Well male newborn (finding) Edition SNOMED CT US Pregnancy 102502005 Well female newborn (finding) Edition SNOMED CT US Pregnancy 102503000 Well premature newborn (finding) Edition SNOMED CT US Pregnancy 102504006 Well premature male newborn (finding) Edition SNOMED CT US Pregnancy 102505007 Well premature female newborn (finding) Edition SNOMED CT US Pregnancy 102872000 Pregnancy on oral contraceptive (finding) Edition SNOMED CT US Pregnancy 102873005 Pregnancy on intrauterine device (finding) Edition SNOMED CT US Pregnancy 102874004 Possible pregnancy (finding) Edition SNOMED CT US Pregnancy 102875003 Surrogate pregnancy (finding) Edition SNOMED CT US Pregnancy 102876002 Multigravida (finding) Edition SNOMED CT US Pregnancy 102877006 Nulliparous (finding) Edition SNOMED CT US Pregnancy 102878001 Recurrent miscarriage (disorder) Edition SNOMED CT US Pregnancy 102879009 Post‐term delivery (finding) Edition SNOMED CT US Pregnancy 102881006 Normal placental secretion of chorionic gonadotropin (finding) Edition SNOMED CT US Pregnancy 102882004 Abnormal placental secretion of chorionic gonadotropin (disorder) Edition

Page 345 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 102883009 Increased placental secretion of chorionic gonadotropin (finding) Edition SNOMED CT US Pregnancy 102884003 Decreased placental secretion of chorionic gonadotropin (finding) Edition SNOMED CT US Pregnancy 102885002 Absence of placental secretion of chorionic gonadotropin (disorder) Edition SNOMED CT US Pregnancy 102886001 Increased amniotic fluid production (finding) Edition SNOMED CT US Pregnancy 102887005 Decreased amniotic fluid production (finding) Edition SNOMED CT US Pregnancy 103008008 Postpartum headache (finding) Edition SNOMED CT US Pregnancy 106004004 Hemorrhagic complication of pregnancy (disorder) Edition Hypertension AND/OR vomiting complicating pregnancy childbirth AND/OR SNOMED CT US Pregnancy 106005003 puerperium (disorder) Edition SNOMED CT US Pregnancy 106007006 Maternal AND/OR fetal condition affecting labor AND/OR delivery (disorder) Edition SNOMED CT US Pregnancy 106008001 Delivery AND/OR maternal condition affecting management (disorder) Edition SNOMED CT US Pregnancy 106009009 Fetal condition affecting obstetrical care of mother (disorder) Edition SNOMED CT US Pregnancy 106010004 Pelvic dystocia AND/OR uterine disorder (disorder) Edition SNOMED CT US Pregnancy 106109006 Number of previous induced termination of pregnancy (finding) Edition SNOMED CT US Pregnancy 106111002 Clinical sign related to pregnancy (finding) Edition SNOMED CT US Pregnancy 109562007 Abnormal chorion (disorder) Edition SNOMED CT US Pregnancy 109891004 Detached products of conception (disorder) Edition

Page 346 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 109892006 Detached chorionic villi (disorder) Edition SNOMED CT US Pregnancy 109893001 Detached trophoblast (disorder) Edition SNOMED CT US Pregnancy 109894007 Retained placenta (disorder) Edition SNOMED CT US Pregnancy 109895008 Retained placental fragment (disorder) Edition SNOMED CT US Pregnancy 111208003 Melasma gravidarum (disorder) Edition SNOMED CT US Pregnancy 111424000 Retained products of conception not following abortion (disorder) Edition Genital tract AND/OR pelvic infection following molar AND/OR ectopic pregnancy SNOMED CT US Pregnancy 111425004 (disorder) Edition Legal abortion complicated by damage to pelvic organs AND/OR tissues SNOMED CT US Pregnancy 111431001 (disorder) Edition SNOMED CT US Pregnancy 111432008 Legal abortion with air embolism (disorder) Edition SNOMED CT US Pregnancy 111438007 Hypertension secondary to renal disease in obstetric context (disorder) Edition SNOMED CT US Pregnancy 111440002 Conjoined twins causing disproportion (disorder) Edition SNOMED CT US Pregnancy 111443000 Congenital OR acquired abnormality of cervix affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 111444006 Congenital OR acquired abnormality of vagina affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 111445007 Congenital OR acquired abnormality of vulva affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 111447004 Placental condition affecting management of mother (disorder) Edition SNOMED CT US Pregnancy 111451002 Obstetrical injury to pelvic organ (disorder) Edition

Page 347 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 111452009 Postpartum afibrinogenemia with hemorrhage (disorder) Edition SNOMED CT US Pregnancy 111453004 Retained placenta, without hemorrhage (disorder) Edition Retained portions of placenta AND/OR membranes without hemorrhage SNOMED CT US Pregnancy 111454005 (disorder) Edition SNOMED CT US Pregnancy 111458008 Postpartum venous thrombosis (disorder) Edition SNOMED CT US Pregnancy 111459000 Infection of nipple, associated with childbirth (disorder) Edition SNOMED CT US Pregnancy 112070001 Onset of labor induced (finding) Edition SNOMED CT US Pregnancy 112071002 Postmature pregnancy delivered (finding) Edition SNOMED CT US Pregnancy 112074005 Condition of fetal membrane (finding) Edition SNOMED CT US Pregnancy 112075006 Premature birth of newborn sextuplets (finding) Edition SNOMED CT US Pregnancy 118178000 Finding of placental function (finding) Edition SNOMED CT US Pregnancy 118179008 Finding related to placental secretion of chorionic gonadotropin (finding) Edition SNOMED CT US Pregnancy 118180006 Finding related to amniotic fluid function (finding) Edition SNOMED CT US Pregnancy 118181005 Finding related to amniotic fluid production (finding) Edition SNOMED CT US Pregnancy 118182003 Finding related to amniotic fluid turnover (finding) Edition SNOMED CT US Pregnancy 118185001 Finding related to pregnancy (finding) Edition SNOMED CT US Pregnancy 118189007 Prenatal finding (finding) Edition

Page 348 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 118212000 Parity finding (finding) Edition SNOMED CT US Pregnancy 118213005 Postpartum finding (finding) Edition SNOMED CT US Pregnancy 118215003 Delivery finding (finding) Edition SNOMED CT US Pregnancy 118216002 Labor finding (finding) Edition SNOMED CT US Pregnancy 123667006 Abnormal mature chorion (disorder) Edition SNOMED CT US Pregnancy 124735008 Late onset of labor (finding) Edition SNOMED CT US Pregnancy 125586008 Disorder of placenta (disorder) Edition SNOMED CT US Pregnancy 126941005 Subdural intracranial hemorrhage due to birth trauma (disorder) Edition SNOMED CT US Pregnancy 127362006 Previous pregnancies (finding) Edition SNOMED CT US Pregnancy 127363001 Number of pregnancies, currently pregnant (finding) Edition SNOMED CT US Pregnancy 127364007 Primigravida (finding) Edition SNOMED CT US Pregnancy 127365008 Gravida 2 (finding) Edition SNOMED CT US Pregnancy 127366009 Gravida 3 (finding) Edition SNOMED CT US Pregnancy 127367000 Gravida 4 (finding) Edition SNOMED CT US Pregnancy 127368005 Gravida 5 (finding) Edition SNOMED CT US Pregnancy 127369002 Gravida 6 (finding) Edition

Page 349 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 127370001 Gravida 7 (finding) Edition SNOMED CT US Pregnancy 127371002 Gravida 8 (finding) Edition SNOMED CT US Pregnancy 127372009 Gravida 9 (finding) Edition SNOMED CT US Pregnancy 127373004 Gravida 10 (finding) Edition SNOMED CT US Pregnancy 127374005 Gravida more than 10 (finding) Edition SNOMED CT US Pregnancy 127375006 Cervical dilatation finding (finding) Edition SNOMED CT US Pregnancy 127376007 Cervical effacement finding (finding) Edition Bone AND/OR joint disorder in mother complicating pregnancy, childbirth SNOMED CT US Pregnancy 128076000 AND/OR puerperium (disorder) Edition SNOMED CT US Pregnancy 128077009 Trauma to vagina during delivery (disorder) Edition SNOMED CT US Pregnancy 128604004 Disorder of product of conception (disorder) Edition SNOMED CT US Pregnancy 129597002 Moderate hyperemesis gravidarum (disorder) Edition SNOMED CT US Pregnancy 129598007 Severe hyperemesis gravidarum (disorder) Edition SNOMED CT US Pregnancy 129600001 Placental hemangioma syndrome (disorder) Edition SNOMED CT US Pregnancy 130958001 Disorder of placental circulatory function (disorder) Edition SNOMED CT US Pregnancy 130959009 Disorder of amniotic fluid turnover (disorder) Edition SNOMED CT US Pregnancy 130960004 Disorder of amniotic fluid production (disorder) Edition

Page 350 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 156072005 Incomplete miscarriage (disorder) Edition SNOMED CT US Pregnancy 156073000 Complete miscarriage (disorder) Edition SNOMED CT US Pregnancy 163403004 On examination ‐ vaginal examination ‐ gravid uterus (finding) Edition SNOMED CT US Pregnancy 163498004 On examination ‐ gravid uterus size (finding) Edition SNOMED CT US Pregnancy 163499007 On examination ‐ fundus 12‐16 week size (finding) Edition SNOMED CT US Pregnancy 163500003 On examination ‐ fundus 16‐20 week size (finding) Edition SNOMED CT US Pregnancy 163501004 On examination ‐ fundus 20‐24 week size (finding) Edition SNOMED CT US Pregnancy 163502006 On examination ‐ fundus 24‐28 week size (finding) Edition SNOMED CT US Pregnancy 163504007 On examination ‐ fundus 28‐32 week size (finding) Edition SNOMED CT US Pregnancy 163505008 On examination ‐ fundus 32‐34 week size (finding) Edition SNOMED CT US Pregnancy 163506009 On examination ‐ fundus 34‐36 week size (finding) Edition SNOMED CT US Pregnancy 163507000 On examination ‐ fundus 36‐38 week size (finding) Edition SNOMED CT US Pregnancy 163508005 On examination ‐ fundus 38 weeks‐term size (finding) Edition SNOMED CT US Pregnancy 163509002 On examination ‐ fundus = term size (finding) Edition SNOMED CT US Pregnancy 163510007 On examination ‐ fundal size = dates (finding) Edition SNOMED CT US Pregnancy 163515002 On examination ‐ oblique lie (disorder) Edition

Page 351 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 163516001 On examination ‐ transverse lie (disorder) Edition SNOMED CT US Pregnancy 163520002 On examination ‐ presenting part position (finding) Edition SNOMED CT US Pregnancy 163521003 On examination ‐ presenting part left occipitoanterior (finding) Edition SNOMED CT US Pregnancy 163522005 On examination ‐ presenting right occipitoanterior (finding) Edition SNOMED CT US Pregnancy 163524006 On examination ‐ presenting part right occipitoposterior (finding) Edition SNOMED CT US Pregnancy 163525007 On examination ‐ presenting part left sacroanterior (finding) Edition SNOMED CT US Pregnancy 163526008 On examination ‐ presenting part right sacroanterior (finding) Edition SNOMED CT US Pregnancy 163531005 On examination ‐ partial engagement ‐ 3/5 (finding) Edition SNOMED CT US Pregnancy 163532003 On examination ‐ partial engagement ‐ 2/5 (finding) Edition SNOMED CT US Pregnancy 163533008 On examination ‐ presentation engaged‐1/5 (finding) Edition SNOMED CT US Pregnancy 163535001 On examination ‐ fetal movements (finding) Edition SNOMED CT US Pregnancy 163539007 On examination ‐ fetus very active (finding) Edition SNOMED CT US Pregnancy 163540009 On examination ‐ fetal movement diminished (finding) Edition SNOMED CT US Pregnancy 163542001 On examination ‐ fetal heart heard (finding) Edition SNOMED CT US Pregnancy 163555000 On examination ‐ vaginal examination for pelvic assessment (finding) Edition SNOMED CT US Pregnancy 163556004 On examination ‐ vaginal examination ‐ pelvis adequate (finding) Edition

Page 352 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 163559006 On examination ‐ vaginal examination ‐ cervical ripeness (finding) Edition SNOMED CT US Pregnancy 163561002 On examination ‐ vaginal examination ‐ cervix ripe (finding) Edition SNOMED CT US Pregnancy 163563004 On examination ‐ vaginal examination ‐ cervical dilatation (finding) Edition SNOMED CT US Pregnancy 163564005 On examination ‐ vaginal examination ‐ cervical os closed (finding) Edition SNOMED CT US Pregnancy 163565006 On examination ‐ vaginal examination ‐ os 0‐1 cm dilated (finding) Edition SNOMED CT US Pregnancy 163566007 On examination ‐ vaginal examination ‐ os 1‐2cm dilated (finding) Edition SNOMED CT US Pregnancy 163567003 On examination ‐ vaginal examination ‐ os 2‐4 cm dilated (finding) Edition SNOMED CT US Pregnancy 163568008 On examination ‐ vaginal examination ‐ os 4‐6cm dilated (finding) Edition SNOMED CT US Pregnancy 163569000 On examination ‐ vaginal examination ‐ os 6‐8cm dilated (finding) Edition SNOMED CT US Pregnancy 163570004 On examination ‐ vaginal examination ‐ os 8‐10cm dilated (finding) Edition SNOMED CT US Pregnancy 163571000 On examination ‐ vaginal examination ‐ os fully dilated (finding) Edition SNOMED CT US Pregnancy 163574008 On examination ‐ vaginal examination ‐ presenting part high (finding) Edition SNOMED CT US Pregnancy 163575009 On examination ‐ vaginal examination ‐ presenting part in mid cavity (finding) Edition SNOMED CT US Pregnancy 163576005 On examination ‐ vaginal examination ‐ presenting part at spines (finding) Edition SNOMED CT US Pregnancy 163577001 On examination ‐ vaginal examination ‐ presenting part visible (finding) Edition SNOMED CT US Pregnancy 168097000 Amniotic fluid cell content OK (finding) Edition

Page 353 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 169560008 Pregnant ‐ urine test confirms (finding) Edition SNOMED CT US Pregnancy 169561007 Pregnant ‐ blood test confirms (finding) Edition SNOMED CT US Pregnancy 169562000 Pregnant ‐ vaginal examination confirms (finding) Edition SNOMED CT US Pregnancy 169563005 Pregnant ‐ on history (finding) Edition SNOMED CT US Pregnancy 169564004 Pregnant ‐ on abdominal palpation (finding) Edition SNOMED CT US Pregnancy 169565003 Pregnant ‐ planned (finding) Edition SNOMED CT US Pregnancy 169566002 Pregnant ‐ unplanned ‐ wanted (finding) Edition SNOMED CT US Pregnancy 169567006 Pregnant ‐unplanned‐not wanted (finding) Edition SNOMED CT US Pregnancy 169568001 Unplanned pregnancy unknown if child is wanted (finding) Edition SNOMED CT US Pregnancy 169569009 Questionable if pregnancy was planned (finding) Edition SNOMED CT US Pregnancy 169613008 Antenatal care provider (finding) Edition SNOMED CT US Pregnancy 169614002 Antenatal care from general practitioner (finding) Edition SNOMED CT US Pregnancy 169615001 Antenatal care from consultant (finding) Edition SNOMED CT US Pregnancy 169616000 Antenatal ‐ shared care (finding) Edition SNOMED CT US Pregnancy 169620001 Delivery: no place booked (finding) Edition SNOMED CT US Pregnancy 169628008 Delivery booking ‐ length of stay (finding) Edition

Page 354 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 169632002 Parent craft classes (finding) Edition SNOMED CT US Pregnancy 169633007 Parent craft classes offered (finding) [169633007] Edition SNOMED CT US Pregnancy 169636004 Parent craft class attended (finding) Edition SNOMED CT US Pregnancy 169637008 Parent craft ‐individual class (finding) Edition SNOMED CT US Pregnancy 169638003 Parent craft ‐ group class (finding) Edition SNOMED CT US Pregnancy 169646002 Antenatal amniocentesis (finding) Edition SNOMED CT US Pregnancy 169648001 Antenatal amniocentesis ‐ offered (finding) Edition SNOMED CT US Pregnancy 169650009 Antenatal amniocentesis wanted (finding) Edition SNOMED CT US Pregnancy 169651008 Antenatal amniocentesis ‐ awaited (finding) Edition SNOMED CT US Pregnancy 169657007 Antenatal ultrasound scan status (finding) Edition SNOMED CT US Pregnancy 169659005 Antenatal ultrasound scan offered (finding) Edition SNOMED CT US Pregnancy 169661001 Antenatal ultrasound scan wanted (finding) Edition SNOMED CT US Pregnancy 169662008 Antenatal ultrasound scan awaited (finding) Edition SNOMED CT US Pregnancy 169667002 Antenatal ultrasound scan for slow growth (finding) Edition SNOMED CT US Pregnancy 169675008 Antenatal RhD screening offered (finding) Edition SNOMED CT US Pregnancy 169684008 Alpha‐fetoprotein blood test offered (finding) Edition

Page 355 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 169686005 Alpha‐fetoprotein blood test wanted (finding) Edition SNOMED CT US Pregnancy 169688006 Alpha‐fetoprotein blood sent (finding) Edition SNOMED CT US Pregnancy 169692004 Rubella screening offered (finding) Edition SNOMED CT US Pregnancy 169694003 Rubella screening wanted (finding) Edition SNOMED CT US Pregnancy 169695002 Rubella screening ‐ blood sent (finding) Edition SNOMED CT US Pregnancy 169696001 Rubella status not known (finding) Edition SNOMED CT US Pregnancy 169734005 Spontaneous rupture of membranes (finding) Edition SNOMED CT US Pregnancy 169750002 Mother currently breast‐feeding (finding) Edition SNOMED CT US Pregnancy 169783009 Postnatal examination minor problem found (finding) Edition SNOMED CT US Pregnancy 169784003 Postnatal examination normal (finding) Edition SNOMED CT US Pregnancy 169813005 Home birth (finding) Edition SNOMED CT US Pregnancy 169814004 General practice unit birth (finding) Edition SNOMED CT US Pregnancy 169815003 Consultant unit birth (finding) Edition SNOMED CT US Pregnancy 169817006 Ambulance birth (finding) Edition SNOMED CT US Pregnancy 169826009 Single live birth (finding) Edition SNOMED CT US Pregnancy 169827000 Single stillbirth (finding) Edition

Page 356 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 169828005 Twins ‐ both live born (finding) Edition SNOMED CT US Pregnancy 169829002 Twins ‐ one still and one live born (finding) Edition SNOMED CT US Pregnancy 169830007 Twins ‐ both stillborn (finding) Edition SNOMED CT US Pregnancy 169831006 Triplets ‐ all live born (finding) Edition SNOMED CT US Pregnancy 169832004 Triplets ‐ two live and one stillborn (finding) Edition SNOMED CT US Pregnancy 169833009 Triplets ‐ one live and two stillborn (finding) Edition SNOMED CT US Pregnancy 169834003 Triplets ‐ three stillborn (finding) Edition SNOMED CT US Pregnancy 169836001 Birth of child (finding) Edition SNOMED CT US Pregnancy 169952004 Placental finding (finding) Edition SNOMED CT US Pregnancy 169954003 Placenta normal O/E (finding) Edition SNOMED CT US Pregnancy 169957005 Placental abnormality (finding) Edition SNOMED CT US Pregnancy 169958000 Placenta incomplete (disorder) Edition SNOMED CT US Pregnancy 169960003 Labor details (finding) Edition SNOMED CT US Pregnancy 169961004 Normal birth (finding) Edition SNOMED CT US Pregnancy 169963001 Birth details not known (finding) Edition SNOMED CT US Pregnancy 173300003 Disorder of pregnancy (disorder) Edition

Page 357 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 178280004 Postnatal infection (disorder) Edition SNOMED CT US Pregnancy 184339009 Miscarriage at 8 to 28 weeks (disorder) Edition SNOMED CT US Pregnancy 198332009 Old uterine laceration due to obstetric cause (disorder) Edition SNOMED CT US Pregnancy 198347000 Cicatrix (postpartum) of cervix (disorder) Edition SNOMED CT US Pregnancy 198609003 Complication of pregnancy, childbirth and/or the puerperium (disorder) Edition SNOMED CT US Pregnancy 198617006 Delivery of viable fetus in abdominal pregnancy (disorder) Edition SNOMED CT US Pregnancy 198620003 Ruptured tubal pregnancy (disorder) Edition SNOMED CT US Pregnancy 198624007 Membranous pregnancy (disorder) Edition SNOMED CT US Pregnancy 198626009 Mesenteric pregnancy (disorder) Edition SNOMED CT US Pregnancy 198627000 Angular pregnancy (disorder) Edition SNOMED CT US Pregnancy 198644001 Incomplete miscarriage with genital tract or pelvic infection (disorder) Edition SNOMED CT US Pregnancy 198645000 Incomplete miscarriage with delayed or excessive hemorrhage (disorder) Edition SNOMED CT US Pregnancy 198646004 Incomplete miscarriage with damage to pelvic organs or tissues (disorder) Edition SNOMED CT US Pregnancy 198647008 Incomplete miscarriage with renal failure (disorder) Edition SNOMED CT US Pregnancy 198648003 Incomplete miscarriage with metabolic disorder (disorder) Edition SNOMED CT US Pregnancy 198649006 Incomplete miscarriage with shock (disorder) Edition

Page 358 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 198650006 Incomplete miscarriage with embolism (disorder) Edition SNOMED CT US Pregnancy 198655001 Complete miscarriage with genital tract or pelvic infection (disorder) Edition SNOMED CT US Pregnancy 198656000 Complete miscarriage with delayed or excessive hemorrhage (disorder) Edition SNOMED CT US Pregnancy 198657009 Complete miscarriage with damage to pelvic organs or tissues (disorder) Edition SNOMED CT US Pregnancy 198659007 Complete miscarriage with renal failure (disorder) Edition SNOMED CT US Pregnancy 198660002 Complete miscarriage with metabolic disorder (disorder) Edition SNOMED CT US Pregnancy 198661003 Complete miscarriage with shock (disorder) Edition SNOMED CT US Pregnancy 198663000 Complete miscarriage with embolism (disorder) Edition SNOMED CT US Pregnancy 198705001 Incomplete legal abortion with genital tract or pelvic infection (disorder) Edition SNOMED CT US Pregnancy 198706000 Incomplete legal abortion with delayed or excessive hemorrhage (disorder) Edition SNOMED CT US Pregnancy 198707009 Incomplete legal abortion with damage to pelvic organs or tissues (disorder) Edition SNOMED CT US Pregnancy 198708004 Incomplete legal abortion with renal failure (disorder) Edition SNOMED CT US Pregnancy 198709007 Incomplete legal abortion with metabolic disorder (disorder) Edition SNOMED CT US Pregnancy 198710002 Incomplete legal abortion with shock (disorder) Edition SNOMED CT US Pregnancy 198711003 Incomplete legal abortion with embolism (disorder) Edition SNOMED CT US Pregnancy 198718009 Complete legal abortion with genital tract or pelvic infection (disorder) Edition

Page 359 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 198719001 Complete legal abortion with delayed or excessive hemorrhage (disorder) Edition SNOMED CT US Pregnancy 198720007 Complete legal abortion with damage to pelvic organs or tissues (disorder) Edition SNOMED CT US Pregnancy 198721006 Complete legal abortion with renal failure (disorder) Edition SNOMED CT US Pregnancy 198722004 Complete legal abortion with metabolic disorder (disorder) Edition SNOMED CT US Pregnancy 198723009 Complete legal abortion with shock (disorder) Edition SNOMED CT US Pregnancy 198724003 Complete legal abortion with embolism (disorder) Edition SNOMED CT US Pregnancy 198743003 Illegal abortion incomplete (disorder) Edition SNOMED CT US Pregnancy 198744009 Incomplete illegal abortion with genital tract or pelvic infection (disorder) Edition SNOMED CT US Pregnancy 198745005 Incomplete illegal abortion with delayed or excessive hemorrhage (disorder) Edition SNOMED CT US Pregnancy 198746006 Incomplete illegal abortion with damage to pelvic organs or tissues (disorder) Edition SNOMED CT US Pregnancy 198747002 Incomplete illegal abortion with renal failure (disorder) Edition SNOMED CT US Pregnancy 198748007 Incomplete illegal abortion with metabolic disorder (disorder) Edition SNOMED CT US Pregnancy 198749004 Incomplete illegal abortion with shock (disorder) Edition SNOMED CT US Pregnancy 198750004 Incomplete illegal abortion with embolism (disorder) Edition SNOMED CT US Pregnancy 198755009 Illegal abortion complete (disorder) Edition SNOMED CT US Pregnancy 198757001 Complete illegal abortion with delayed or excessive hemorrhage (disorder) Edition

Page 360 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 198758006 Complete illegal abortion with damage to pelvic organs or tissues (disorder) Edition SNOMED CT US Pregnancy 198759003 Complete illegal abortion with renal failure (disorder) Edition SNOMED CT US Pregnancy 198760008 Complete illegal abortion with metabolic disorder (disorder) Edition SNOMED CT US Pregnancy 198761007 Complete illegal abortion with shock (disorder) Edition SNOMED CT US Pregnancy 198762000 Complete illegal abortion with embolism (disorder) Edition SNOMED CT US Pregnancy 198806007 Failed attempted abortion with genital tract or pelvic infection (disorder) Edition SNOMED CT US Pregnancy 198807003 Failed attempted abortion with delayed or excessive hemorrhage (disorder) Edition SNOMED CT US Pregnancy 198808008 Failed attempted abortion with damage to pelvic organs or tissues (disorder) Edition SNOMED CT US Pregnancy 198809000 Failed attempted abortion with renal failure (disorder) Edition SNOMED CT US Pregnancy 198810005 Failed attempted abortion with metabolic disorder (disorder) Edition SNOMED CT US Pregnancy 198811009 Failed attempted abortion with shock (disorder) Edition SNOMED CT US Pregnancy 198812002 Failed attempted abortion with embolism (disorder) Edition Readmission for retained products of conception, spontaneous abortion SNOMED CT US Pregnancy 198861000 (disorder) Edition SNOMED CT US Pregnancy 198862007 Readmission for retained products of conception, legal abortion (disorder) Edition SNOMED CT US Pregnancy 198863002 Readmission for retained products of conception, illegal abortion (disorder) Edition Failed medical abortion, complicated by genital tract and pelvic infection SNOMED CT US Pregnancy 198874006 (disorder) Edition

Page 361 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Failed medical abortion, complicated by delayed or excessive hemorrhage SNOMED CT US Pregnancy 198875007 (disorder) Edition SNOMED CT US Pregnancy 198876008 Failed medical abortion, complicated by embolism (disorder) Edition SNOMED CT US Pregnancy 198878009 Failed medical abortion, without complication (disorder) Edition SNOMED CT US Pregnancy 198899007 Placenta previa without hemorrhage ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 198900002 Placenta previa without hemorrhage ‐ not delivered (disorder) Edition SNOMED CT US Pregnancy 198903000 Placenta previa with hemorrhage (disorder) Edition SNOMED CT US Pregnancy 198905007 Placenta previa with hemorrhage ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 198906008 Placenta previa with hemorrhage ‐ not delivered (disorder) Edition SNOMED CT US Pregnancy 198910006 Placental abruption ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 198911005 Placental abruption ‐ not delivered (disorder) Edition SNOMED CT US Pregnancy 198912003 Premature separation of placenta with coagulation defect (disorder) Edition SNOMED CT US Pregnancy 198917009 Antepartum hemorrhage with coagulation defect ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 198918004 Antepartum hemorrhage with coagulation defect ‐ not delivered (disorder) Edition SNOMED CT US Pregnancy 198920001 Antepartum hemorrhage with trauma (disorder) Edition SNOMED CT US Pregnancy 198922009 Antepartum hemorrhage with trauma ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 198923004 Antepartum hemorrhage with trauma ‐ not delivered (disorder) Edition

Page 362 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 198925006 Antepartum hemorrhage with uterine leiomyoma (disorder) Edition SNOMED CT US Pregnancy 198927003 Antepartum hemorrhage with uterine leiomyoma ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 198928008 Antepartum hemorrhage with uterine leiomyoma ‐ not delivered (disorder) Edition SNOMED CT US Pregnancy 198941007 Hypertension complicating pregnancy, childbirth and the puerperium (disorder) Edition Benign essential hypertension complicating pregnancy, childbirth and the SNOMED CT US Pregnancy 198942000 puerperium (disorder) Edition Benign essential hypertension complicating pregnancy, childbirth and the SNOMED CT US Pregnancy 198944004 puerperium ‐ delivered (disorder) Edition Benign essential hypertension complicating pregnancy, childbirth and the SNOMED CT US Pregnancy 198945003 puerperium ‐ delivered with postnatal complication (disorder) Edition Benign essential hypertension complicating pregnancy, childbirth and the SNOMED CT US Pregnancy 198946002 puerperium ‐ not delivered (disorder) Edition Benign essential hypertension complicating pregnancy, childbirth and the SNOMED CT US Pregnancy 198947006 puerperium with postnatal complication (disorder) Edition Renal hypertension complicating pregnancy, childbirth and the puerperium SNOMED CT US Pregnancy 198949009 (disorder) Edition Renal hypertension complicating pregnancy, childbirth and the puerperium ‐ SNOMED CT US Pregnancy 198951008 delivered (disorder) Edition Renal hypertension complicating pregnancy, childbirth and the puerperium ‐ SNOMED CT US Pregnancy 198952001 delivered with postnatal complication (disorder) Edition Renal hypertension complicating pregnancy, childbirth and the puerperium ‐ not SNOMED CT US Pregnancy 198953006 delivered (disorder) Edition Renal hypertension complicating pregnancy, childbirth and the puerperium with SNOMED CT US Pregnancy 198954000 postnatal complication (disorder) Edition SNOMED CT US Pregnancy 198965005 Transient hypertension of pregnancy ‐ delivered (disorder) Edition Transient hypertension of pregnancy ‐ delivered with postnatal complication SNOMED CT US Pregnancy 198966006 (disorder) Edition

Page 363 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 198967002 Transient hypertension of pregnancy ‐ not delivered (disorder) Edition SNOMED CT US Pregnancy 198968007 Transient hypertension of pregnancy with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 198983002 Severe pre‐eclampsia ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 198984008 Severe pre‐eclampsia ‐ delivered with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 198985009 Severe pre‐eclampsia ‐ not delivered (disorder) Edition SNOMED CT US Pregnancy 198986005 Severe pre‐eclampsia with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 198990007 Eclampsia ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 198991006 Eclampsia ‐ delivered with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 198992004 Eclampsia in pregnancy (disorder) Edition SNOMED CT US Pregnancy 198993009 Eclampsia with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 198997005 Pre‐eclampsia or eclampsia with pre‐existing hypertension (disorder) Edition SNOMED CT US Pregnancy 198999008 Pre‐eclampsia or eclampsia with pre‐existing hypertension ‐ delivered (disorder) Edition Pre‐eclampsia or eclampsia with pre‐existing hypertension ‐ delivered with SNOMED CT US Pregnancy 199000005 postnatal complication (disorder) Edition Pre‐eclampsia or eclampsia with pre‐existing hypertension ‐ not delivered SNOMED CT US Pregnancy 199002002 (disorder) Edition Pre‐eclampsia or eclampsia with pre‐existing hypertension with postnatal SNOMED CT US Pregnancy 199003007 complication (disorder) Edition Pre‐existing hypertension complicating pregnancy, childbirth and puerperium SNOMED CT US Pregnancy 199005000 (disorder) Edition

Page 364 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Pre‐existing hypertensive heart disease complicating pregnancy, childbirth and SNOMED CT US Pregnancy 199006004 the puerperium (disorder) Edition Pre‐existing hypertensive heart and renal disease complicating pregnancy, SNOMED CT US Pregnancy 199007008 childbirth and the puerperium (disorder) Edition SNOMED CT US Pregnancy 199022003 Mild hyperemesis‐delivered (disorder) Edition SNOMED CT US Pregnancy 199023008 Mild hyperemesis‐not delivered (disorder) Edition SNOMED CT US Pregnancy 199025001 Hyperemesis gravidarum with metabolic disturbance (disorder) Edition SNOMED CT US Pregnancy 199027009 Hyperemesis gravidarum with metabolic disturbance ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199028004 Hyperemesis gravidarum with metabolic disturbance ‐ not delivered (disorder) Edition SNOMED CT US Pregnancy 199032005 Late pregnancy vomiting ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199033000 Late pregnancy vomiting ‐ not delivered (disorder) Edition SNOMED CT US Pregnancy 199047001 False labor (finding) Edition SNOMED CT US Pregnancy 199049003 Threatened premature labor ‐ not delivered (finding) Edition SNOMED CT US Pregnancy 199050003 False labor at or after 37 completed weeks of gestation (finding) Edition SNOMED CT US Pregnancy 199063009 Post‐term pregnancy ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199064003 Post‐term pregnancy ‐ not delivered (disorder) Edition SNOMED CT US Pregnancy 199087006 Habitual aborter ‐ delivered (finding) Edition SNOMED CT US Pregnancy 199088001 Habitual aborter ‐ not delivered (finding) Edition

Page 365 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 199093003 Peripheral neuritis in pregnancy ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199095005 Peripheral neuritis in pregnancy ‐ not delivered (disorder) Edition SNOMED CT US Pregnancy 199096006 Peripheral neuritis in pregnancy with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 199099004 Asymptomatic bacteriuria in pregnancy ‐ delivered (disorder) Edition Asymptomatic bacteriuria in pregnancy ‐ delivered with postnatal complication SNOMED CT US Pregnancy 199100007 (disorder) Edition SNOMED CT US Pregnancy 199101006 Asymptomatic bacteriuria in pregnancy ‐ not delivered (disorder) Edition SNOMED CT US Pregnancy 199102004 Asymptomatic bacteriuria in pregnancy with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 199106001 Genitourinary tract infection in pregnancy ‐ delivered (disorder) Edition Genitourinary tract infection in pregnancy ‐ delivered with postnatal complication SNOMED CT US Pregnancy 199107005 (disorder) Edition SNOMED CT US Pregnancy 199108000 Genitourinary tract infection in pregnancy ‐ not delivered (disorder) Edition SNOMED CT US Pregnancy 199109008 Genitourinary tract infection in pregnancy with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 199110003 Infections of kidney in pregnancy (disorder) Edition SNOMED CT US Pregnancy 199111004 Urinary tract infection following delivery (disorder) Edition SNOMED CT US Pregnancy 199112006 Infections of the genital tract in pregnancy (disorder) Edition SNOMED CT US Pregnancy 199117000 Liver disorder in pregnancy ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199118005 Liver disorder in pregnancy ‐ not delivered (disorder) Edition

Page 366 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 199121007 Fatigue during pregnancy ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199122000 Fatigue during pregnancy ‐ delivered with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 199123005 Fatigue during pregnancy ‐ not delivered (disorder) Edition SNOMED CT US Pregnancy 199124004 Fatigue during pregnancy with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 199127006 Herpes gestationis ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199128001 Herpes gestationis ‐ delivered with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 199129009 Herpes gestationis ‐ not delivered (disorder) Edition SNOMED CT US Pregnancy 199130004 Herpes gestationis with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 199132007 Pregnancy‐related glycosuria (disorder) Edition SNOMED CT US Pregnancy 199134008 Glycosuria during pregnancy ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199135009 Glycosuria during pregnancy ‐ delivered with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 199136005 Glycosuria during pregnancy ‐ not delivered (disorder) Edition SNOMED CT US Pregnancy 199137001 Glycosuria during pregnancy with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 199139003 Pregnancy‐induced edema and proteinuria without hypertension (disorder) Edition SNOMED CT US Pregnancy 199141002 Gestational edema with proteinuria (disorder) Edition SNOMED CT US Pregnancy 199153003 Infective/parasitic disease in preg/childbirth/puerperium (disorder) Edition

Page 367 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 199154009 Maternal syphilis during pregnancy, childbirth and the puerperium (disorder) Edition SNOMED CT US Pregnancy 199156006 Maternal syphilis during pregnancy ‐ baby delivered (disorder) Edition Maternal syphilis in the puerperium ‐ baby delivered during current episode of SNOMED CT US Pregnancy 199157002 care (disorder) Edition SNOMED CT US Pregnancy 199158007 Maternal syphilis during pregnancy ‐ baby not yet delivered (disorder) Edition Maternal syphilis in the puerperium ‐ baby delivered during previous episode of SNOMED CT US Pregnancy 199159004 care (disorder) Edition SNOMED CT US Pregnancy 199161008 Maternal gonorrhea during pregnancy, childbirth and the puerperium (disorder) Edition SNOMED CT US Pregnancy 199163006 Maternal gonorrhea during pregnancy ‐ baby delivered (disorder) Edition Maternal gonorrhea in the puerperium ‐ baby delivered during current episode of SNOMED CT US Pregnancy 199164000 care (disorder) Edition SNOMED CT US Pregnancy 199165004 Maternal gonorrhea during pregnancy ‐ baby not yet delivered (disorder) Edition Maternal gonorrhea in the puerperium ‐ baby delivered during previous episode SNOMED CT US Pregnancy 199166003 of care (disorder) Edition SNOMED CT US Pregnancy 199175001 Maternal tuberculosis during pregnancy, childbirth and the puerperium (disorder) Edition SNOMED CT US Pregnancy 199178004 Tuberculosis in pregnancy, childbirth and the puerperium ‐ delivered (disorder) Edition Maternal tuberculosis in the puerperium ‐ baby delivered during current episode SNOMED CT US Pregnancy 199179007 of care (disorder) Edition SNOMED CT US Pregnancy 199180005 Maternal tuberculosis during pregnancy ‐ baby not yet delivered (disorder) Edition Maternal tuberculosis in the puerperium ‐ baby delivered during previous SNOMED CT US Pregnancy 199181009 episode of care (disorder) Edition SNOMED CT US Pregnancy 199183007 Maternal malaria during pregnancy, childbirth and the puerperium (disorder) Edition

Page 368 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 199185000 Maternal malaria during pregnancy ‐ baby delivered (disorder) Edition Maternal malaria in the puerperium ‐ baby delivered during current episode of SNOMED CT US Pregnancy 199186004 care (disorder) Edition SNOMED CT US Pregnancy 199187008 Maternal malaria during pregnancy ‐ baby not yet delivered (disorder) Edition Maternal malaria in the puerperium ‐ baby delivered during previous episode of SNOMED CT US Pregnancy 199188003 care (disorder) Edition SNOMED CT US Pregnancy 199192005 Maternal rubella during pregnancy ‐ baby delivered (disorder) Edition Maternal rubella in the puerperium ‐ baby delivered during current episode of SNOMED CT US Pregnancy 199193000 care (disorder) Edition SNOMED CT US Pregnancy 199194006 Maternal rubella during pregnancy ‐ baby not yet delivered (disorder) Edition Maternal rubella in the puerperium ‐ baby delivered during previous episode of SNOMED CT US Pregnancy 199195007 care (disorder) Edition SNOMED CT US Pregnancy 199203001 Viral hepatitis complicating pregnancy, childbirth and the puerperium (disorder) Edition SNOMED CT US Pregnancy 199205008 Infections of bladder in pregnancy (disorder) Edition SNOMED CT US Pregnancy 199225007 Diabetes mellitus during pregnancy ‐ baby delivered (disorder) Edition SNOMED CT US Pregnancy 199227004 Diabetes mellitus during pregnancy ‐ baby not yet delivered (disorder) Edition SNOMED CT US Pregnancy 199244000 Anemia during pregnancy ‐ baby delivered (disorder) Edition Anemia in the puerperium ‐ baby delivered during current episode of care SNOMED CT US Pregnancy 199245004 (disorder) Edition SNOMED CT US Pregnancy 199246003 Anemia during pregnancy ‐ baby not yet delivered (disorder) Edition Anemia in the puerperium ‐ baby delivered during previous episode of care SNOMED CT US Pregnancy 199247007 (disorder) Edition

Page 369 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 199252002 Drug dependence during pregnancy ‐ baby delivered (disorder) Edition SNOMED CT US Pregnancy 199253007 Drug dependence in the puerperium ‐ baby delivered (disorder) Edition SNOMED CT US Pregnancy 199254001 Drug dependence during pregnancy ‐ baby not yet delivered (disorder) Edition Drug dependence in the puerperium ‐ baby delivered during previous episode of SNOMED CT US Pregnancy 199255000 care (disorder) Edition SNOMED CT US Pregnancy 199257008 Mental disorders during pregnancy, childbirth and the puerperium (disorder) Edition SNOMED CT US Pregnancy 199259006 Mental disorder during pregnancy ‐ baby delivered (disorder) Edition SNOMED CT US Pregnancy 199260001 Mental disorder in the puerperium ‐ baby delivered (disorder) Edition SNOMED CT US Pregnancy 199261002 Mental disorder during pregnancy ‐ baby not yet delivered (disorder) Edition Mental disorder in the puerperium ‐ baby delivered during previous episode of SNOMED CT US Pregnancy 199262009 care (disorder) Edition SNOMED CT US Pregnancy 199266007 Congenital cardiovascular disorder during pregnancy ‐ baby delivered (disorder) Edition Congenital cardiovascular disorder in the puerperium ‐ baby delivered during SNOMED CT US Pregnancy 199267003 current episode of care (disorder) Edition Congenital cardiovascular disorder during pregnancy ‐ baby not yet delivered SNOMED CT US Pregnancy 199268008 (disorder) Edition Congenital cardiovascular disorder in the puerperium ‐ baby delivered during SNOMED CT US Pregnancy 199269000 previous episode of care (disorder) Edition SNOMED CT US Pregnancy 199279003 Orthopedic disorders during pregnancy, childbirth and the puerperium (disorder) Edition SNOMED CT US Pregnancy 199281001 Orthopedic disorder during pregnancy ‐ baby delivered (disorder) Edition Orthopedic disorder in the puerperium ‐ baby delivered during current episode of SNOMED CT US Pregnancy 199282008 care (disorder) Edition

Page 370 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 199283003 Orthopedic disorder during pregnancy ‐ baby not yet delivered (disorder) Edition Orthopedic disorder in the puerperium ‐ baby delivered during previous episode SNOMED CT US Pregnancy 199284009 of care (disorder) Edition Disease of the respiratory system complicating pregnancy, childbirth and/or the SNOMED CT US Pregnancy 199293005 puerperium (disorder) Edition Disease of the digestive system complicating pregnancy, childbirth and/or the SNOMED CT US Pregnancy 199294004 puerperium (disorder) Edition Disease of the skin and subcutaneous tissue complicating pregnancy, childbirth SNOMED CT US Pregnancy 199295003 and/or the puerperium (disorder) Edition Endocrine, nutritional and metabolic disease complicating pregnancy, childbirth SNOMED CT US Pregnancy 199296002 and puerperium (disorder) Edition Disease of nervous system complicating pregnancy, childbirth and puerperium SNOMED CT US Pregnancy 199297006 (disorder) Edition SNOMED CT US Pregnancy 199305006 Complications specific to multiple gestation (disorder) Edition SNOMED CT US Pregnancy 199306007 Continuing pregnancy after abortion of one fetus or more (disorder) Edition SNOMED CT US Pregnancy 199307003 Continuing pregnancy after intrauterine death of one or more fetuses (disorder) Edition SNOMED CT US Pregnancy 199314001 Normal delivery but ante‐ or post‐ natal conditions present (disorder) Edition SNOMED CT US Pregnancy 199317008 Twin pregnancy ‐ delivered (finding) Edition SNOMED CT US Pregnancy 199318003 Twin pregnancy with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199321001 Triplet pregnancy ‐ delivered (finding) Edition SNOMED CT US Pregnancy 199322008 Triplet pregnancy with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199325005 Quadruplet pregnancy ‐ delivered (finding) Edition

Page 371 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 199326006 Quadruplet pregnancy with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199329004 Multiple delivery, all spontaneous (finding) Edition SNOMED CT US Pregnancy 199330009 Multiple delivery, all by forceps and vacuum extractor (finding) Edition SNOMED CT US Pregnancy 199331008 Multiple delivery, all by cesarean section (finding) Edition SNOMED CT US Pregnancy 199344003 Unstable lie ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199345002 Unstable lie with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199358001 Oblique lie ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199359009 Oblique lie with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199362007 Transverse lie ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199363002 Transverse lie with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199373000 High head at term (disorder) Edition SNOMED CT US Pregnancy 199375007 High head at term ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199376008 High head at term with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199378009 Multiple pregnancy with malpresentation (disorder) Edition SNOMED CT US Pregnancy 199380003 Multiple pregnancy with malpresentation ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199381004 Multiple pregnancy with malpresentation with antenatal problem (disorder) Edition

Page 372 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 199384007 Prolapsed arm ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199385008 Prolapsed arm with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199397009 Cephalopelvic disproportion (disorder) Edition SNOMED CT US Pregnancy 199405005 Generally contracted pelvis ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199406006 Generally contracted pelvis with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199409004 Inlet pelvic contraction ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199410009 Inlet pelvic contraction with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199413006 Outlet pelvic contraction ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199414000 Outlet pelvic contraction with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199416003 Mixed feto‐pelvic disproportion (disorder) Edition SNOMED CT US Pregnancy 199418002 Mixed feto‐pelvic disproportion ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199419005 Mixed feto‐pelvic disproportion with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199422007 Large fetus causing disproportion ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199423002 Large fetus causing disproportion with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199425009 Hydrocephalic disproportion (disorder) Edition SNOMED CT US Pregnancy 199427001 Hydrocephalic disproportion ‐ delivered (disorder) Edition

Page 373 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 199428006 Hydrocephalic disproportion with antenatal problem (disorder) Edition Pelvic soft tissue abnormality in pregnancy, childbirth and the puerperium SNOMED CT US Pregnancy 199446000 (disorder) Edition Uterine scar from previous surgery in pregnancy, childbirth and the puerperium SNOMED CT US Pregnancy 199461004 (disorder) Edition Uterine scar from previous surgery in pregnancy, childbirth and the puerperium ‐ SNOMED CT US Pregnancy 199463001 delivered (disorder) Edition Uterine scar from previous surgery in pregnancy, childbirth and the puerperium SNOMED CT US Pregnancy 199464007 with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199466009 Retroverted incarcerated gravid uterus (disorder) Edition SNOMED CT US Pregnancy 199468005 Retroverted incarcerated gravid uterus ‐ delivered (disorder) Edition Retroverted incarcerated gravid uterus ‐ delivered with postnatal complication SNOMED CT US Pregnancy 199469002 (disorder) Edition SNOMED CT US Pregnancy 199470001 Retroverted incarcerated gravid uterus with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199471002 Retroverted incarcerated gravid uterus with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 199482005 Cervical incompetence ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199483000 Cervical incompetence ‐ delivered with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 199484006 Cervical incompetence with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199485007 Cervical incompetence with postnatal complication (disorder) Edition Pelvic soft tissue abnormality in pregnancy, childbirth and the puerperium ‐ SNOMED CT US Pregnancy 199511005 delivered (disorder) Edition Pelvic soft tissue abnormality in pregnancy, childbirth and the puerperium ‐ SNOMED CT US Pregnancy 199512003 delivered with postnatal complication (disorder) Edition

Page 374 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Pelvic soft tissue abnormality in pregnancy, childbirth and the puerperium with SNOMED CT US Pregnancy 199513008 antenatal problem (disorder) Edition Pelvic soft tissue abnormality in pregnancy, childbirth and the puerperium with SNOMED CT US Pregnancy 199514002 postnatal complication (disorder) Edition SNOMED CT US Pregnancy 199551008 Maternal care for (suspected) damage to fetus from alcohol (disorder) Edition SNOMED CT US Pregnancy 199577000 Fetal‐maternal hemorrhage ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199578005 Fetal‐maternal hemorrhage with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199582007 Rhesus isoimmunization ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199583002 Rhesus isoimmunization with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199595002 Labor and delivery complication by meconium in amniotic fluid (disorder) Edition Labor and delivery complicated by fetal heart rate anomaly with meconium in SNOMED CT US Pregnancy 199596001 amniotic fluid (disorder) Edition SNOMED CT US Pregnancy 199597005 Labor and delivery complicated by biochemical evidence of fetal stress (disorder) Edition SNOMED CT US Pregnancy 199598000 Maternal care for fetal hypoxia (disorder) Edition SNOMED CT US Pregnancy 199625002 Placental transfusion syndromes (disorder) Edition SNOMED CT US Pregnancy 199646006 Polyhydramnios ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199647002 Polyhydramnios with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199653002 Oligohydramnios ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199654008 Oligohydramnios with antenatal problem (disorder) Edition

Page 375 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 199658006 Premature rupture of membranes ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199659003 Premature rupture of membranes with antenatal problem (disorder) Edition Premature rupture of membranes with onset of labor within 24 hours of the SNOMED CT US Pregnancy 199660008 rupture (disorder) Edition SNOMED CT US Pregnancy 199661007 Premature rupture of membranes, labor delayed by therapy (disorder) Edition Premature rupture of membranes with onset of labor after 24 hours of the SNOMED CT US Pregnancy 199662000 rupture (disorder) Edition SNOMED CT US Pregnancy 199670005 Prolonged artificial rupture of membranes (disorder) Edition SNOMED CT US Pregnancy 199672002 Prolonged artificial rupture of membranes ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199673007 Prolonged artificial rupture of membranes with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199677008 Amniotic cavity infection ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199678003 Amniotic cavity infection with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199694005 Failed mechanical induction ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199695006 Failed mechanical induction with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199710008 Sepsis during labor, delivered (disorder) Edition SNOMED CT US Pregnancy 199711007 Sepsis during labor with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199714004 Grand multiparity ‐ delivered (finding) Edition SNOMED CT US Pregnancy 199715003 Grand multiparity with antenatal problem (finding) Edition

Page 376 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 199718001 Elderly primigravida ‐ delivered (finding) Edition SNOMED CT US Pregnancy 199719009 Elderly primigravida with antenatal problem (finding) Edition SNOMED CT US Pregnancy 199732004 Abnormal findings on antenatal screening of mother (disorder) Edition SNOMED CT US Pregnancy 199733009 Abnormal hematologic finding on antenatal screening of mother (finding) Edition SNOMED CT US Pregnancy 199741009 Malnutrition in pregnancy (disorder) Edition SNOMED CT US Pregnancy 199745000 Complication occurring during labor and delivery (disorder) Edition SNOMED CT US Pregnancy 199746004 Obstructed labor (finding) Edition SNOMED CT US Pregnancy 199747008 Obstructed labor due to fetal malposition (finding) Edition SNOMED CT US Pregnancy 199749006 Obstructed labor due to fetal malposition ‐ delivered (finding) Edition SNOMED CT US Pregnancy 199750006 Obstructed labor due to fetal malposition with antenatal problem (finding) Edition SNOMED CT US Pregnancy 199751005 Obstructed labor due to breech presentation (finding) Edition SNOMED CT US Pregnancy 199752003 Obstructed labor due to face presentation (finding) Edition SNOMED CT US Pregnancy 199753008 Obstructed labor due to brow presentation (finding) Edition SNOMED CT US Pregnancy 199754002 Obstructed labor due to shoulder presentation (finding) Edition SNOMED CT US Pregnancy 199755001 Obstructed labor due to compound presentation (finding) Edition SNOMED CT US Pregnancy 199757009 Obstructed labor caused by bony pelvis (finding) Edition

Page 377 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 199759007 Obstructed labor caused by bony pelvis ‐ delivered (finding) Edition SNOMED CT US Pregnancy 199760002 Obstructed labor caused by bony pelvis with antenatal problem (finding) Edition SNOMED CT US Pregnancy 199761003 Obstructed labor due to deformed pelvis (finding) Edition SNOMED CT US Pregnancy 199762005 Obstructed labor due to generally contracted pelvis (finding) Edition SNOMED CT US Pregnancy 199763000 Obstructed labor due to pelvic inlet contraction (finding) Edition SNOMED CT US Pregnancy 199764006 Obstructed labor due to pelvic outlet and mid‐cavity contraction (finding) Edition SNOMED CT US Pregnancy 199765007 Obstructed labor due to abnormality of maternal pelvic organs (finding) Edition SNOMED CT US Pregnancy 199767004 Obstructed labor caused by pelvic soft tissues (finding) Edition SNOMED CT US Pregnancy 199769001 Obstructed labor caused by pelvic soft tissues ‐ delivered (finding) Edition SNOMED CT US Pregnancy 199770000 Obstructed labor caused by pelvic soft tissues with antenatal problem (finding) Edition SNOMED CT US Pregnancy 199774009 Deep transverse arrest ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199775005 Deep transverse arrest with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199777002 Persistent occipitoposterior or occipitoanterior position (finding) Edition SNOMED CT US Pregnancy 199779004 Persistent occipitoposterior or occipitoanterior position ‐ delivered (finding) Edition Persistent occipitoposterior or occipitoanterior position with antenatal problem SNOMED CT US Pregnancy 199780001 (finding) Edition SNOMED CT US Pregnancy 199783004 Shoulder dystocia ‐ delivered (disorder) Edition

Page 378 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 199784005 Shoulder dystocia with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199787003 Locked twins ‐ delivered (finding) Edition SNOMED CT US Pregnancy 199788008 Locked twins with antenatal problem (finding) Edition SNOMED CT US Pregnancy 199806003 Obstructed labor due to unusually large fetus (finding) Edition SNOMED CT US Pregnancy 199819004 Primary uterine inertia ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199821009 Primary uterine inertia with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199824001 Secondary uterine inertia ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199825000 Secondary uterine inertia with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199838008 Hypertonic uterine inertia ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199839000 Hypertonic uterine inertia with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199847000 Prolonged first stage ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199848005 Prolonged first stage with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199857004 Prolonged second stage ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199858009 Prolonged second stage with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199860006 Delayed delivery of second twin, triplet etc (disorder) Edition SNOMED CT US Pregnancy 199862003 Delayed delivery second twin ‐ delivered (disorder) Edition

Page 379 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 199863008 Delayed delivery second twin with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199869007 Prolapse of cord ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199870008 Prolapse of cord with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199874004 Umbilical cord tight around neck ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199875003 Umbilical cord tight around neck with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199880007 Cord tangled with compression ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199881006 Cord tangled with compression with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199889008 Short cord ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199890004 Short cord with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199895009 Vasa previa ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199896005 Vasa previa with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199916005 First degree perineal tear during delivery ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199917001 First degree perineal tear during delivery with postnatal problem (disorder) Edition SNOMED CT US Pregnancy 199925004 Second degree perineal tear during delivery ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199926003 Second degree perineal tear during delivery with postnatal problem (disorder) Edition SNOMED CT US Pregnancy 199930000 Third degree perineal tear during delivery ‐ delivered (disorder) Edition

Page 380 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 199931001 Third degree perineal tear during delivery with postnatal problem (disorder) Edition SNOMED CT US Pregnancy 199934009 Fourth degree perineal tear during delivery ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199935005 Fourth degree perineal tear during delivery with postnatal problem (disorder) Edition SNOMED CT US Pregnancy 199958008 Ruptured uterus before labor (disorder) Edition SNOMED CT US Pregnancy 199960005 Rupture of uterus before labor ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199961009 Rupture of uterus before labor with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199964001 Rupture of uterus during and after labor ‐ delivered (disorder) Edition Rupture of uterus during and after labor ‐ delivered with postnatal problem SNOMED CT US Pregnancy 199965000 (disorder) Edition SNOMED CT US Pregnancy 199969006 Obstetric inversion of uterus ‐ delivered with postnatal problem (disorder) Edition SNOMED CT US Pregnancy 199970007 Obstetric inversion of uterus with postnatal problem (disorder) Edition SNOMED CT US Pregnancy 199972004 Laceration of cervix ‐ obstetric (disorder) Edition SNOMED CT US Pregnancy 199974003 Obstetric laceration of cervix ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199975002 Obstetric laceration of cervix with postnatal problem (disorder) Edition SNOMED CT US Pregnancy 199977005 Obstetric high vaginal laceration (disorder) Edition SNOMED CT US Pregnancy 199979008 Obstetric high vaginal laceration ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199980006 Obstetric high vaginal laceration with postnatal problem (disorder) Edition

Page 381 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 199990003 Obstetric damage to pelvic joints and ligaments ‐ delivered (disorder) Edition Obstetric damage to pelvic joints and ligaments with postnatal problem SNOMED CT US Pregnancy 199991004 (disorder) Edition SNOMED CT US Pregnancy 199993001 Obstetric trauma causing pelvic hematoma (disorder) Edition SNOMED CT US Pregnancy 199995008 Obstetric pelvic hematoma ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 199997000 Obstetric pelvic hematoma with postnatal problem (disorder) Edition SNOMED CT US Pregnancy 200025008 Secondary postpartum hemorrhage ‐ delivered with postnatal problem (disorder) Edition SNOMED CT US Pregnancy 200030007 Postpartum coagulation defects ‐ delivered with postnatal problem (disorder) Edition SNOMED CT US Pregnancy 200031006 Postpartum coagulation defects with postnatal problem (disorder) Edition SNOMED CT US Pregnancy 200038000 Retained placenta with no hemorrhage with postnatal problem (disorder) Edition SNOMED CT US Pregnancy 200040005 Retained portion of placenta or membranes with no hemorrhage (disorder) Edition SNOMED CT US Pregnancy 200043007 Retained products with no hemorrhage with postnatal problem (disorder) Edition SNOMED CT US Pregnancy 200046004 Complications of anesthesia during labor and delivery (disorder) Edition SNOMED CT US Pregnancy 200049006 Obstetric anesthesia with pulmonary complications ‐ delivered (disorder) Edition Obstetric anesthesia with pulmonary complications ‐ delivered with postnatal SNOMED CT US Pregnancy 200050006 problem (disorder) Edition Obstetric anesthesia with pulmonary complications with antenatal problem SNOMED CT US Pregnancy 200051005 (disorder) Edition Obstetric anesthesia with pulmonary complications with postnatal problem SNOMED CT US Pregnancy 200052003 (disorder) Edition

Page 382 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 200054002 Obstetric anesthesia with cardiac complications (disorder) Edition SNOMED CT US Pregnancy 200056000 Obstetric anesthesia with cardiac complications ‐ delivered (disorder) Edition Obstetric anesthesia with cardiac complications ‐ delivered with postnatal SNOMED CT US Pregnancy 200057009 problem (disorder) Edition Obstetric anesthesia with cardiac complications with antenatal problem SNOMED CT US Pregnancy 200058004 (disorder) Edition Obstetric anesthesia with cardiac complications with postnatal problem SNOMED CT US Pregnancy 200059007 (disorder) Edition SNOMED CT US Pregnancy 200061003 Obstetric anesthesia with central nervous system complications (disorder) Edition Obstetric anesthesia with central nervous system complications ‐ delivered SNOMED CT US Pregnancy 200063000 (disorder) Edition Obstetric anesthesia with central nervous system complication ‐ delivered with SNOMED CT US Pregnancy 200064006 postnatal problem (disorder) Edition Obstetric anesthesia with central nervous system complication with antenatal SNOMED CT US Pregnancy 200065007 problem (disorder) Edition Obstetric anesthesia with central nervous system complication with postnatal SNOMED CT US Pregnancy 200066008 problem (disorder) Edition SNOMED CT US Pregnancy 200068009 Obstetric toxic reaction caused by local anesthesia (disorder) Edition SNOMED CT US Pregnancy 200069001 Toxic reaction caused by local anesthesia during pregnancy (disorder) Edition SNOMED CT US Pregnancy 200070000 Toxic reaction caused by local anesthesia during puerperium (disorder) Edition SNOMED CT US Pregnancy 200075005 Toxic reaction caused by local anesthetic during labor and delivery (disorder) Edition SNOMED CT US Pregnancy 200077002 Cardiac complications of anesthesia during labor and delivery (disorder) Edition SNOMED CT US Pregnancy 200099005 Maternal distress ‐ delivered (disorder) Edition

Page 383 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 200100002 Maternal distress ‐ delivered with postnatal problem (disorder) Edition SNOMED CT US Pregnancy 200101003 Maternal distress with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 200102005 Maternal distress with postnatal problem (disorder) Edition SNOMED CT US Pregnancy 200105007 Obstetric shock ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 200106008 Obstetric shock ‐ delivered with postnatal problem (disorder) Edition SNOMED CT US Pregnancy 200107004 Obstetric shock with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 200108009 Obstetric shock with postnatal problem (disorder) Edition SNOMED CT US Pregnancy 200111005 Maternal hypotension syndrome ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 200112003 Maternal hypotension syndrome ‐ delivered with postnatal problem (disorder) Edition SNOMED CT US Pregnancy 200113008 Maternal hypotension syndrome with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 200114002 Maternal hypotension syndrome with postnatal problem (disorder) Edition SNOMED CT US Pregnancy 200118004 Post‐delivery acute renal failure with postnatal problem (disorder) Edition SNOMED CT US Pregnancy 200125006 Infection of obstetric surgical wound (disorder) Edition SNOMED CT US Pregnancy 200130005 Forceps delivery ‐ delivered (finding) Edition SNOMED CT US Pregnancy 200133007 Delivery by combination of forceps and vacuum extractor (finding) Edition SNOMED CT US Pregnancy 200134001 Delivered by mid‐cavity forceps with rotation (finding) Edition

Page 384 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 200138003 Vacuum extractor delivery ‐ delivered (finding) Edition SNOMED CT US Pregnancy 200142000 Breech extraction ‐ delivered (finding) Edition SNOMED CT US Pregnancy 200144004 Deliveries by cesarean (finding) Edition SNOMED CT US Pregnancy 200146002 Cesarean delivery ‐ delivered (finding) Edition SNOMED CT US Pregnancy 200147006 Cesarean section ‐ pregnancy at term (finding) Edition SNOMED CT US Pregnancy 200148001 Delivery by elective cesarean section (finding) Edition SNOMED CT US Pregnancy 200149009 Delivery by emergency cesarean section (finding) Edition SNOMED CT US Pregnancy 200150009 Delivery by cesarean hysterectomy (finding) Edition SNOMED CT US Pregnancy 200151008 Cesarean section following previous cesarean section (finding) Edition SNOMED CT US Pregnancy 200154000 Deliveries by destructive operation (finding) Edition SNOMED CT US Pregnancy 200164009 Exhaustion during labor (disorder) Edition SNOMED CT US Pregnancy 200173001 Intrapartum hemorrhage with coagulation defect (disorder) Edition SNOMED CT US Pregnancy 200181000 Puerperal endometritis ‐ delivered with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200182007 Puerperal endometritis with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200185009 Puerperal salpingitis ‐ delivered with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200187001 Puerperal salpingitis with postnatal complication (disorder) Edition

Page 385 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 200190007 Puerperal peritonitis ‐ delivered with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200191006 Puerperal peritonitis with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200195002 Puerperal septicemia ‐ delivered with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200196001 Puerperal sepsis with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200204002 Varicose veins of legs in pregnancy and the puerperium (disorder) Edition SNOMED CT US Pregnancy 200206000 Varicose veins of legs in pregnancy and the puerperium ‐ delivered (disorder) Edition Varicose veins of legs in pregnancy and the puerperium ‐ delivered with postnatal SNOMED CT US Pregnancy 200207009 complication (disorder) Edition Varicose veins of legs in pregnancy and the puerperium with antenatal SNOMED CT US Pregnancy 200208004 complication (disorder) Edition Varicose veins of legs in pregnancy and the puerperium with postnatal SNOMED CT US Pregnancy 200209007 complication (disorder) Edition Varicose veins of perineum and vulva in pregnancy and the puerperium ‐ SNOMED CT US Pregnancy 200215007 delivered (disorder) Edition Varicose veins of perineum and vulva in pregnancy and the puerperium ‐ SNOMED CT US Pregnancy 200216008 delivered with postnatal complication (disorder) Edition Varicose veins of perineum and vulva in pregnancy and the puerperium with SNOMED CT US Pregnancy 200217004 antenatal complication (disorder) Edition Varicose veins of perineum and vulva in pregnancy and the puerperium with SNOMED CT US Pregnancy 200218009 postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200222004 Superficial thrombophlebitis in pregnancy and the puerperium (disorder) Edition Superficial thrombophlebitis in pregnancy and the puerperium ‐ delivered SNOMED CT US Pregnancy 200224003 (disorder) Edition Superficial thrombophlebitis in pregnancy and the puerperium with antenatal SNOMED CT US Pregnancy 200226001 complication (disorder) Edition

Page 386 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Superficial thrombophlebitis in pregnancy and the puerperium with postnatal SNOMED CT US Pregnancy 200227005 complication (disorder) Edition SNOMED CT US Pregnancy 200237000 Postnatal deep vein thrombosis ‐ delivered with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200238005 Postnatal deep vein thrombosis with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200249004 Hemorrhoids in pregnancy and the puerperium (disorder) Edition SNOMED CT US Pregnancy 200251000 Hemorrhoids in pregnancy and the puerperium ‐ delivered (disorder) Edition Hemorrhoids in pregnancy and the puerperium ‐ delivered with postnatal SNOMED CT US Pregnancy 200252007 complication (disorder) Edition Hemorrhoids in pregnancy and the puerperium with antenatal complication SNOMED CT US Pregnancy 200253002 (disorder) Edition Hemorrhoids in pregnancy and the puerperium with postnatal complication SNOMED CT US Pregnancy 200254008 (disorder) Edition SNOMED CT US Pregnancy 200277008 Puerperal pyrexia of unknown origin (disorder) Edition Puerperal pyrexia of unknown origin ‐ delivered with postnatal complication SNOMED CT US Pregnancy 200280009 (disorder) Edition SNOMED CT US Pregnancy 200281008 Puerperal pyrexia of unknown origin with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200284000 Obstetric pulmonary embolism (disorder) Edition SNOMED CT US Pregnancy 200286003 Obstetric air pulmonary embolism (disorder) Edition SNOMED CT US Pregnancy 200288002 Obstetric air pulmonary embolism ‐ delivered (disorder) Edition Obstetric air pulmonary embolism ‐ delivered with postnatal complication SNOMED CT US Pregnancy 200289005 (disorder) Edition SNOMED CT US Pregnancy 200290001 Obstetric air pulmonary embolism with antenatal complication (disorder) Edition

Page 387 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 200291002 Obstetric air pulmonary embolism with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200294005 Amniotic fluid pulmonary embolism ‐ delivered (disorder) Edition Amniotic fluid pulmonary embolism ‐ delivered with postnatal complication SNOMED CT US Pregnancy 200295006 (disorder) Edition SNOMED CT US Pregnancy 200296007 Amniotic fluid pulmonary embolism with antenatal complication (disorder) Edition SNOMED CT US Pregnancy 200297003 Amniotic fluid pulmonary embolism with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200299000 Obstetric blood‐clot pulmonary embolism (disorder) Edition SNOMED CT US Pregnancy 200301007 Obstetric blood‐clot pulmonary embolism ‐ delivered (disorder) Edition Obstetric blood‐clot pulmonary embolism ‐ delivered with postnatal complication SNOMED CT US Pregnancy 200302000 (disorder) Edition SNOMED CT US Pregnancy 200303005 Obstetric blood‐clot pulmonary embolism with antenatal complication (disorder) Edition SNOMED CT US Pregnancy 200304004 Obstetric blood‐clot pulmonary embolism with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200308001 Obstetric pyemic and septic pulmonary embolism ‐ delivered (disorder) Edition Obstetric pyemic and septic pulmonary embolism ‐ delivered with postnatal SNOMED CT US Pregnancy 200309009 complication (disorder) Edition Obstetric pyemic and septic pulmonary embolism with antenatal complication SNOMED CT US Pregnancy 200310004 (disorder) Edition Obstetric pyemic and septic pulmonary embolism with postnatal complication SNOMED CT US Pregnancy 200311000 (disorder) Edition SNOMED CT US Pregnancy 200330000 Puerperal cerebrovascular disorder ‐ delivered (disorder) Edition Puerperal cerebrovascular disorder ‐ delivered with postnatal complication SNOMED CT US Pregnancy 200331001 (disorder) Edition

Page 388 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 200332008 Puerperal cerebrovascular disorder with antenatal complication (disorder) Edition SNOMED CT US Pregnancy 200333003 Puerperal cerebrovascular disorder with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200337002 Cesarean wound disruption ‐ delivered with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200338007 Cesarean wound disruption with postnatal complication (disorder) Edition Obstetric perineal wound disruption ‐ delivered with postnatal complication SNOMED CT US Pregnancy 200342005 (disorder) Edition SNOMED CT US Pregnancy 200343000 Obstetric perineal wound disruption with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200351002 Placental polyp ‐ delivered with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200352009 Placental polyp with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200364001 Obstetric breast infections (disorder) Edition SNOMED CT US Pregnancy 200367008 Obstetric nipple infection ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 200368003 Obstetric nipple infection ‐ delivered with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200369006 Obstetric nipple infection with antenatal complication (disorder) Edition SNOMED CT US Pregnancy 200370007 Obstetric nipple infection with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200374003 Obstetric breast abscess ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 200375002 Obstetric breast abscess ‐ delivered with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200376001 Obstetric breast abscess with antenatal complication (disorder) Edition

Page 389 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 200377005 Obstetric breast abscess with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200381005 Obstetric non‐purulent mastitis ‐ delivered (disorder) Edition SNOMED CT US Pregnancy 200382003 Obstetric non‐purulent mastitis ‐ delivered with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200383008 Obstetric non‐purulent mastitis with antenatal complication (disorder) Edition SNOMED CT US Pregnancy 200385001 Obstetric non‐purulent mastitis with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200444007 Galactorrhea in pregnancy and the puerperium (disorder) Edition SNOMED CT US Pregnancy 200446009 Galactorrhea in pregnancy and the puerperium ‐ delivered (disorder) Edition Galactorrhea in pregnancy and the puerperium ‐ delivered with postnatal SNOMED CT US Pregnancy 200447000 complication (disorder) Edition Galactorrhea in pregnancy and the puerperium with antenatal complication SNOMED CT US Pregnancy 200448005 (disorder) Edition Galactorrhea in pregnancy and the puerperium with postnatal complication SNOMED CT US Pregnancy 200449002 (disorder) Edition SNOMED CT US Pregnancy 200468004 Maternal care for fetus (disorder) Edition SNOMED CT US Pregnancy 200469007 Maternal care for compound presentation (disorder) Edition SNOMED CT US Pregnancy 200471007 Maternal care for hydrops fetalis (disorder) Edition SNOMED CT US Pregnancy 200472000 Maternal care for viable fetus in abdominal pregnancy (disorder) Edition SNOMED CT US Pregnancy 200473005 Maternal care for diminished fetal movements (disorder) Edition SNOMED CT US Pregnancy 200474004 Maternal care for poor fetal growth (disorder) [200474004] Edition

Page 390 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 201134009 Alopecia of pregnancy (disorder) Edition SNOMED CT US Pregnancy 204470001 Single umbilical artery (disorder) Edition SNOMED CT US Pregnancy 206057002 Fetal or neonatal effect of transverse lie before labor (disorder) Edition Fetal or neonatal effect of placental damage caused by cesarean section SNOMED CT US Pregnancy 206070006 (disorder) Edition Fetal or neonatal effect of maternal bony pelvis abnormality during labor and SNOMED CT US Pregnancy 206112008 delivery (disorder) Edition Fetal or neonatal effect of maternal contracted pelvis during labor and delivery SNOMED CT US Pregnancy 206113003 (disorder) Edition Fetal or neonatal effect of persistent occipito‐posterior malposition during labor SNOMED CT US Pregnancy 206114009 and delivery (disorder) Edition Fetal or neonatal effect of shoulder presentation during labor and delivery SNOMED CT US Pregnancy 206115005 (disorder) Edition SNOMED CT US Pregnancy 206116006 Fetal or neonatal effect of transverse lie during labor and delivery (disorder) Edition SNOMED CT US Pregnancy 206117002 Fetal or neonatal effect of face presentation during labor and delivery (disorder) Edition SNOMED CT US Pregnancy 206118007 Fetal or neonatal effect of disproportion during labor and delivery (disorder) Edition SNOMED CT US Pregnancy 206121009 Fetal or neonatal effect of forceps delivery (disorder) Edition SNOMED CT US Pregnancy 206122002 Fetal or neonatal effect of vacuum extraction delivery (disorder) Edition SNOMED CT US Pregnancy 206123007 Fetal or neonatal effect of cesarean section (disorder) Edition SNOMED CT US Pregnancy 206134005 Fetal or neonatal effect of precipitate delivery (disorder) Edition SNOMED CT US Pregnancy 206137003 Fetal or neonatal effect of maternal contraction ring (disorder) Edition

Page 391 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 206138008 Fetal or neonatal effect of hypertonic labor (disorder) Edition SNOMED CT US Pregnancy 206139000 Fetal or neonatal effect of hypertonic uterine dysfunction (disorder) Edition SNOMED CT US Pregnancy 206146009 Fetal or neonatal effect of induction of labor (disorder) Edition SNOMED CT US Pregnancy 206148005 Fetal or neonatal effect of long labor (disorder) Edition SNOMED CT US Pregnancy 206149002 Fetal or neonatal effect of instrumental delivery (disorder) Edition SNOMED CT US Pregnancy 206191000 Local intracranial subdural hematoma due to birth trauma (disorder) Edition SNOMED CT US Pregnancy 206242003 Liver subcapsular hematoma due to birth trauma (disorder) Edition SNOMED CT US Pregnancy 206244002 Vulval hematoma due to birth trauma (disorder) Edition SNOMED CT US Pregnancy 206365006 Clostridial intra‐amniotic fetal infection (disorder) Edition SNOMED CT US Pregnancy 206538000 Idiopathic hydrops fetalis (disorder) Edition SNOMED CT US Pregnancy 234058009 Genital varices in pregnancy (disorder) Edition SNOMED CT US Pregnancy 234380002 Kell isoimmunization of the newborn (disorder) Edition SNOMED CT US Pregnancy 235888006 Cholestasis of pregnancy (disorder) Edition SNOMED CT US Pregnancy 237036002 Habitual aborter‐not pregnant (finding) Edition SNOMED CT US Pregnancy 237186006 Stenosis of cervix in pregnancy, childbirth and the puerperium (disorder) Edition Stenosis of cervix complicating postnatal care ‐ baby delivered during previous SNOMED CT US Pregnancy 237188007 episode of care (disorder) Edition

Page 392 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 237189004 Stenosis of cervix complicating antenatal care ‐ baby not yet delivered (disorder) Edition SNOMED CT US Pregnancy 237190008 Stenosis of cervix ‐ baby delivered with postpartum complication (disorder) Edition Rectocele complicating postpartum care ‐ baby delivered during previous episode SNOMED CT US Pregnancy 237198001 of care (disorder) Edition SNOMED CT US Pregnancy 237201006 Rectocele complicating antenatal care ‐ baby not yet delivered (disorder) Edition SNOMED CT US Pregnancy 237202004 Rectocele ‐ delivered with postpartum complication (disorder) Edition SNOMED CT US Pregnancy 237205002 Rectocele affecting obstetric care (disorder) Edition SNOMED CT US Pregnancy 237206001 Rectocele ‐ baby delivered (disorder) Edition SNOMED CT US Pregnancy 237208000 Rectocele in pregnancy, childbirth and the puerperium (disorder) Edition SNOMED CT US Pregnancy 237209008 Pendulous abdomen in pregnancy, childbirth and/or the puerperium (disorder) Edition Bicornuate uterus complicating postpartum care ‐ baby delivered during previous SNOMED CT US Pregnancy 237219002 episode of care (disorder) Edition SNOMED CT US Pregnancy 237220008 Bicornuate uterus complicating antenatal care, baby not yet delivered (disorder) Edition SNOMED CT US Pregnancy 237221007 Bicornuate uterus ‐ baby delivered with postpartum complication (disorder) Edition SNOMED CT US Pregnancy 237223005 Bicornuate uterus ‐ baby delivered (disorder) Edition SNOMED CT US Pregnancy 237224004 Bicornuate uterus affecting obstetric care (disorder) Edition SNOMED CT US Pregnancy 237225003 Bicornuate uterus in pregnancy, childbirth and the puerperium (disorder) Edition SNOMED CT US Pregnancy 237227006 Congenital heart disease in pregnancy (disorder) Edition

Page 393 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 237228001 Pregnancy and drug dependence (disorder) Edition SNOMED CT US Pregnancy 237230004 Uremia in pregnancy without hypertension (disorder) Edition SNOMED CT US Pregnancy 237233002 Concealed pregnancy (finding) Edition SNOMED CT US Pregnancy 237234008 Undiagnosed pregnancy (finding) Edition SNOMED CT US Pregnancy 237235009 Undiagnosed breech (disorder) Edition SNOMED CT US Pregnancy 237236005 Undiagnosed multiple pregnancy (disorder) Edition SNOMED CT US Pregnancy 237237001 Undiagnosed twin (disorder) Edition SNOMED CT US Pregnancy 237238006 Pregnancy with uncertain dates (finding) Edition SNOMED CT US Pregnancy 237239003 Low risk pregnancy (finding) Edition SNOMED CT US Pregnancy 237240001 Teenage pregnancy (finding) Edition SNOMED CT US Pregnancy 237241002 Viable pregnancy (finding) Edition SNOMED CT US Pregnancy 237242009 Non‐viable pregnancy (finding) Edition SNOMED CT US Pregnancy 237243004 Biochemical pregnancy (finding) Edition SNOMED CT US Pregnancy 237244005 Single pregnancy (finding) Edition SNOMED CT US Pregnancy 237245006 Vanishing twin syndrome (disorder) Edition SNOMED CT US Pregnancy 237247003 Continuing pregnancy after abortion of sibling fetus (disorder) Edition

Page 394 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 237249000 Complete hydatidiform mole (disorder) Edition SNOMED CT US Pregnancy 237250000 Incomplete hydatidiform mole (disorder) Edition SNOMED CT US Pregnancy 237252008 Placental site trophoblastic tumor (disorder) Edition SNOMED CT US Pregnancy 237253003 Viable fetus in abdominal pregnancy (disorder) Edition SNOMED CT US Pregnancy 237254009 Unruptured tubal pregnancy (disorder) Edition SNOMED CT US Pregnancy 237256006 Disorder of pelvic size and disproportion (disorder) Edition SNOMED CT US Pregnancy 237257002 Midpelvic contraction (disorder) Edition SNOMED CT US Pregnancy 237259004 Variation of placental position (disorder) Edition SNOMED CT US Pregnancy 237260009 Variation of umbilical cord (disorder) Edition SNOMED CT US Pregnancy 237261008 Long umbilical cord (disorder) Edition SNOMED CT US Pregnancy 237262001 Bleeding from umbilical cord (disorder) Edition SNOMED CT US Pregnancy 237264000 Spontaneous hindwater rupture of membranes (finding) Edition SNOMED CT US Pregnancy 237265004 Spontaneous forewater rupture of membranes (finding) Edition SNOMED CT US Pregnancy 237266003 Preterm rupture of membranes (disorder) Edition SNOMED CT US Pregnancy 237267007 Prolonged premature rupture of membranes (disorder) Edition SNOMED CT US Pregnancy 237268002 Chorioangioma (disorder) Edition

Page 395 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 237270006 Antepartum hemorrhage with hypofibrinogenemia (disorder) Edition SNOMED CT US Pregnancy 237271005 Antepartum hemorrhage with hyperfibrinolysis (disorder) Edition SNOMED CT US Pregnancy 237272003 Antepartum hemorrhage with afibrinogenemia (disorder) Edition SNOMED CT US Pregnancy 237273008 Revealed accidental hemorrhage (disorder) Edition SNOMED CT US Pregnancy 237274002 Concealed accidental hemorrhage (disorder) Edition SNOMED CT US Pregnancy 237275001 Mixed accidental hemorrhage (disorder) Edition SNOMED CT US Pregnancy 237276000 Indeterminate antepartum hemorrhage (disorder) Edition SNOMED CT US Pregnancy 237277009 Marginal placental hemorrhage (disorder) Edition SNOMED CT US Pregnancy 237279007 Transient hypertension of pregnancy (disorder) Edition SNOMED CT US Pregnancy 237281009 Moderate proteinuric hypertension of pregnancy (disorder) Edition SNOMED CT US Pregnancy 237282002 Impending eclampsia (disorder) Edition SNOMED CT US Pregnancy 237283007 Eclampsia in labor (disorder) Edition SNOMED CT US Pregnancy 237284001 Symptomatic disorders in pregnancy (disorder) Edition SNOMED CT US Pregnancy 237285000 Gestational edema (disorder) Edition SNOMED CT US Pregnancy 237286004 Vulval varices in pregnancy (disorder) Edition SNOMED CT US Pregnancy 237288003 Abnormal weight gain in pregnancy (disorder) Edition

Page 396 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 237292005 Placental insufficiency (disorder) Edition SNOMED CT US Pregnancy 237294006 Retained placenta and membranes (disorder) Edition SNOMED CT US Pregnancy 237296008 Morbidly adherent placenta (disorder) Edition SNOMED CT US Pregnancy 237297004 Placenta adherent to previous uterine scar (disorder) Edition SNOMED CT US Pregnancy 237298009 Maternofetal transfusion (disorder) Edition SNOMED CT US Pregnancy 237300009 Pregnancy with isoimmunization (disorder) Edition SNOMED CT US Pregnancy 237302001 Kell isoimmunization in pregnancy (disorder) Edition SNOMED CT US Pregnancy 237303006 Duffy isoimmunization in pregnancy (disorder) Edition SNOMED CT US Pregnancy 237304000 Lewis isoimmunization in pregnancy (disorder) Edition SNOMED CT US Pregnancy 237305004 Presentation of cord (disorder) Edition SNOMED CT US Pregnancy 237306003 Cord beside head (disorder) Edition SNOMED CT US Pregnancy 237307007 Umbilical cord around body (disorder) Edition SNOMED CT US Pregnancy 237309005 Knot in umbilical cord (disorder) Edition SNOMED CT US Pregnancy 237310000 Umbilical cord trauma (disorder) Edition SNOMED CT US Pregnancy 237313003 Vaginal delivery following previous cesarean section (finding) Edition SNOMED CT US Pregnancy 237319004 Failure to progress in labor (finding) Edition

Page 397 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 237320005 Failure to progress in first stage of labor (finding) Edition SNOMED CT US Pregnancy 237321009 Delayed delivery of triplet (disorder) Edition SNOMED CT US Pregnancy 237324001 Cervical dystocia (finding) Edition SNOMED CT US Pregnancy 237325000 Head entrapment during breech delivery (disorder) Edition SNOMED CT US Pregnancy 237327008 Obstetric pelvic ligament damage (disorder) Edition SNOMED CT US Pregnancy 237328003 Obstetric pelvic joint damage (disorder) Edition SNOMED CT US Pregnancy 237329006 Urethra injury ‐ obstetric (disorder) Edition SNOMED CT US Pregnancy 237336007 Fibrinolysis ‐ postpartum (disorder) Edition SNOMED CT US Pregnancy 237337003 Afibrinogenemia ‐ postpartum (disorder) Edition SNOMED CT US Pregnancy 237338008 Blood dyscrasia puerperal (disorder) Edition SNOMED CT US Pregnancy 237342006 Fat embolism ‐ obstetric (disorder) Edition SNOMED CT US Pregnancy 237343001 Puerperal phlebitis (disorder) Edition SNOMED CT US Pregnancy 237345008 Varicose veins ‐ obstetric (disorder) Edition SNOMED CT US Pregnancy 237346009 Vulval obstetric varicose veins (disorder) Edition SNOMED CT US Pregnancy 237347000 Perineal obstetric varicose veins (disorder) Edition SNOMED CT US Pregnancy 237348005 Puerperal pyrexia (disorder) Edition

Page 398 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 237349002 Mild postnatal depression (disorder) Edition SNOMED CT US Pregnancy 237350002 Severe postnatal depression (disorder) Edition SNOMED CT US Pregnancy 237351003 Mild postnatal psychosis (disorder) Edition SNOMED CT US Pregnancy 237352005 Severe postnatal psychosis (disorder) Edition SNOMED CT US Pregnancy 237353000 Obstetric disorders of breast and lactation (disorder) Edition SNOMED CT US Pregnancy 237355007 Milk engorgement of breast (disorder) Edition SNOMED CT US Pregnancy 237357004 Vascular engorgement of breast (disorder) Edition SNOMED CT US Pregnancy 237364002 Stillbirth (finding) Edition SNOMED CT US Pregnancy 237365001 Fresh stillbirth (finding) Edition SNOMED CT US Pregnancy 237366000 Macerated stillbirth (finding) Edition SNOMED CT US Pregnancy 237506002 Thyrotoxicosis in pregnancy (disorder) Edition SNOMED CT US Pregnancy 237507006 Human chorionic gonadotrophin‐induced thyrotoxicosis (disorder) Edition SNOMED CT US Pregnancy 238820002 Erythema multiforme of pregnancy (disorder) Edition SNOMED CT US Pregnancy 239101008 Pregnancy eruption (disorder) Edition SNOMED CT US Pregnancy 239102001 Pruritus of pregnancy (disorder) Edition SNOMED CT US Pregnancy 239103006 Prurigo of pregnancy (disorder) Edition

Page 399 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 239104000 Pruritic folliculitis of pregnancy (disorder) Edition SNOMED CT US Pregnancy 239105004 Transplacental herpes gestationis (disorder) Edition SNOMED CT US Pregnancy 240160002 Transient osteoporosis of hip in pregnancy (disorder) Edition SNOMED CT US Pregnancy 240167004 Osteomalacia secondary to pregnancy (disorder) Edition SNOMED CT US Pregnancy 243826008 Antenatal care status (finding) Edition SNOMED CT US Pregnancy 243827004 Antenatal RhD antibody status (finding) Edition SNOMED CT US Pregnancy 243828009 Alpha‐fetoprotein blood test status (finding) Edition SNOMED CT US Pregnancy 243829001 Rubella screening status (finding) Edition SNOMED CT US Pregnancy 248896000 Products of conception in vagina (finding) Edition SNOMED CT US Pregnancy 248937008 Products of conception at uterine os cervix (finding) Edition SNOMED CT US Pregnancy 248982007 Pregnancy, childbirth and puerperium finding (finding) Edition SNOMED CT US Pregnancy 248985009 Presentation of pregnancy (finding) Edition SNOMED CT US Pregnancy 248994003 Obstetric pelvic finding (finding) Edition SNOMED CT US Pregnancy 248996001 Transversely contracted pelvis (disorder) Edition SNOMED CT US Pregnancy 248997005 Position of ischial tuberosities (finding) Edition SNOMED CT US Pregnancy 249004001 Pelvic side wall finding (finding) Edition

Page 400 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 249005000 Convergent pelvic side walls (finding) Edition SNOMED CT US Pregnancy 249006004 Divergent pelvic side walls (finding) Edition SNOMED CT US Pregnancy 249007008 Subpubic arch (finding) Edition SNOMED CT US Pregnancy 249013004 Pregnant abdomen finding (finding) Edition SNOMED CT US Pregnancy 249014005 Finding of shape of pregnant abdomen (finding) Edition SNOMED CT US Pregnancy 249017003 Pregnant uterus displaced laterally (finding) Edition SNOMED CT US Pregnancy 249018008 Irritable uterus (finding) Edition SNOMED CT US Pregnancy 249020006 Cervical observation during pregnancy and labor (finding) Edition SNOMED CT US Pregnancy 249032005 Finding of speed of delivery (finding) Edition SNOMED CT US Pregnancy 249034006 Position of umbilical cord during labor (finding) Edition SNOMED CT US Pregnancy 249037004 Caul membrane over baby's head at delivery (finding) Edition SNOMED CT US Pregnancy 249064003 Oblique lie, head in iliac fossa (disorder) Edition SNOMED CT US Pregnancy 249065002 Oblique lie, breech in iliac fossa (disorder) Edition SNOMED CT US Pregnancy 249073006 Sutures touching without overlapping (finding) Edition SNOMED CT US Pregnancy 249074000 Reducible suture overlap (finding) Edition SNOMED CT US Pregnancy 249075004 Fixed suture overlap (finding) Edition

Page 401 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 249089009 Fetal mouth presenting (disorder) Edition SNOMED CT US Pregnancy 249090000 Fetal ear presenting (disorder) Edition SNOMED CT US Pregnancy 249091001 Fetal nose presenting (disorder) Edition SNOMED CT US Pregnancy 249098007 Knee presentation (disorder) Edition SNOMED CT US Pregnancy 249099004 Single knee presentation (disorder) Edition SNOMED CT US Pregnancy 249100007 Double knee presentation (disorder) Edition SNOMED CT US Pregnancy 249104003 Dorsoanterior shoulder presentation (disorder) Edition SNOMED CT US Pregnancy 249105002 Dorsoposterior shoulder presentation (disorder) Edition SNOMED CT US Pregnancy 249122000 Baby overdue (finding) Edition SNOMED CT US Pregnancy 249124004 Condition of amniotic membranes (finding) Edition SNOMED CT US Pregnancy 249125003 Intact membranes (finding) Edition SNOMED CT US Pregnancy 249127006 Intact membranes bulging through cervix (finding) Edition SNOMED CT US Pregnancy 249128001 Hourglass membranes (finding) Edition SNOMED CT US Pregnancy 249131000 Finding of quantity of liquor (finding) Edition SNOMED CT US Pregnancy 249132007 Change in quantity of liquor (finding) Edition SNOMED CT US Pregnancy 249134008 Bloodstained liquor (finding) Edition

Page 402 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 249135009 Meconium stained liquor (finding) Edition SNOMED CT US Pregnancy 249136005 Fresh meconium staining liquor (finding) Edition SNOMED CT US Pregnancy 249137001 Old meconium staining liquor (finding) Edition SNOMED CT US Pregnancy 249141002 Labor not established (finding) Edition SNOMED CT US Pregnancy 249142009 Slow progress in first stage of labor (finding) Edition SNOMED CT US Pregnancy 249144005 Rapid first stage of labor (finding) Edition SNOMED CT US Pregnancy 249145006 Uterine observation in labor (finding) Edition SNOMED CT US Pregnancy 249146007 Segments of uterus distinguishable in labor (finding) Edition SNOMED CT US Pregnancy 249147003 State of upper segment retraction during labor (finding) Edition SNOMED CT US Pregnancy 249148008 Hypertonic lower uterine segment during labor (finding) Edition SNOMED CT US Pregnancy 249149000 Contraction of uterus during labor (finding) Edition SNOMED CT US Pregnancy 249150000 Transmission of uterine contraction wave (finding) Edition SNOMED CT US Pregnancy 249151001 Reversal of uterine contraction wave (finding) Edition SNOMED CT US Pregnancy 249161008 Maternal effort during second stage of labor (finding) Edition SNOMED CT US Pregnancy 249162001 Desire to push in labor (finding) Edition SNOMED CT US Pregnancy 249166003 Failure to progress in second stage of labor (finding) Edition

Page 403 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 249170006 Complete placenta at delivery (finding) Edition SNOMED CT US Pregnancy 249172003 Finding of consistency of placenta (finding) Edition SNOMED CT US Pregnancy 249173008 Placenta gritty (finding) Edition SNOMED CT US Pregnancy 249174002 Placenta calcified (finding) Edition SNOMED CT US Pregnancy 249175001 Placental vessel finding (finding) Edition SNOMED CT US Pregnancy 249177009 Retroplacental clot (finding) Edition SNOMED CT US Pregnancy 249179007 Condition of membranes at delivery (finding) Edition SNOMED CT US Pregnancy 249180005 Membranes absent (finding) Edition SNOMED CT US Pregnancy 249181009 Membranes complete (finding) Edition SNOMED CT US Pregnancy 249182002 Membranes incomplete (finding) Edition SNOMED CT US Pregnancy 249186004 Blood clots in membranes (finding) Edition SNOMED CT US Pregnancy 249187008 Condition of umbilical cord at delivery (finding) Edition SNOMED CT US Pregnancy 249189006 Wharton's jelly excessive (disorder) Edition SNOMED CT US Pregnancy 249195007 Maternal condition during labor (finding) Edition SNOMED CT US Pregnancy 249196008 Distress from pain in labor (disorder) Edition SNOMED CT US Pregnancy 249202006 Flaccid uterus after delivery (finding) Edition

Page 404 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 249203001 Loss of fundal mass after delivery (finding) Edition SNOMED CT US Pregnancy 249205008 Placental fragments in uterus (finding) Edition SNOMED CT US Pregnancy 249206009 Placental fragments at cervical os (finding) Edition SNOMED CT US Pregnancy 249207000 Membrane at cervical os (finding) Edition SNOMED CT US Pregnancy 249211006 Lochia finding (finding) Edition SNOMED CT US Pregnancy 249213009 Finding of consistency of lochia (finding) Edition SNOMED CT US Pregnancy 249215002 Odor of lochia (finding) Edition SNOMED CT US Pregnancy 249218000 Postpartum vulval hematoma (disorder) Edition SNOMED CT US Pregnancy 249219008 Genital tear resulting from childbirth (disorder) Edition SNOMED CT US Pregnancy 249220002 Vaginal tear resulting from childbirth (disorder) Edition SNOMED CT US Pregnancy 251665008 Obstetric investigative finding (finding) Edition SNOMED CT US Pregnancy 267193004 Incomplete legal abortion (disorder) Edition SNOMED CT US Pregnancy 267194005 Complete legal abortion (disorder) Edition SNOMED CT US Pregnancy 267197003 Antepartum hemorrhage, abruptio placentae and placenta previa (disorder) Edition SNOMED CT US Pregnancy 267199000 Antepartum hemorrhage with coagulation defect (disorder) Edition SNOMED CT US Pregnancy 267204006 Genitourinary tract infection in pregnancy (disorder) Edition

Page 405 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 267206008 Drug dependence during pregnancy, childbirth and the puerperium (disorder) Edition Congenital cardiovascular disorders during pregnancy, childbirth and the SNOMED CT US Pregnancy 267207004 puerperium (disorder) Edition Congenital abnormality of uterus in pregnancy, childbirth and the puerperium SNOMED CT US Pregnancy 267212003 (disorder) Edition SNOMED CT US Pregnancy 267213008 Congenital abnormality of uterus affecting obstetric care (disorder) Edition SNOMED CT US Pregnancy 267214002 Congenital abnormality of uterus ‐ baby delivered (disorder) Edition Congenital abnormality of uterus ‐ baby delivered with postpartum complication SNOMED CT US Pregnancy 267215001 (disorder) Edition Congenital abnormality of uterus complicating antenatal care, baby not yet SNOMED CT US Pregnancy 267216000 delivered (disorder) Edition Congenital abnormality of uterus complicating postpartum care ‐ baby delivered SNOMED CT US Pregnancy 267217009 during previous episode of care (disorder) Edition SNOMED CT US Pregnancy 267257007 Labor and delivery complicated by fetal heart rate anomaly (disorder) Edition SNOMED CT US Pregnancy 267262008 Prolonged spontaneous rupture of membranes (disorder) Edition SNOMED CT US Pregnancy 267265005 Hypertonic uterine inertia (disorder) Edition SNOMED CT US Pregnancy 267266006 Cord tangled or knotted with compression (disorder) Edition SNOMED CT US Pregnancy 267268007 Trauma to perineum and/or vulva during delivery (disorder) Edition SNOMED CT US Pregnancy 267271004 Obstetric trauma damaging pelvic joints and ligaments (disorder) Edition SNOMED CT US Pregnancy 267272006 Postpartum coagulation defects (disorder) Edition SNOMED CT US Pregnancy 267273001 Retained placenta or membranes with no hemorrhage (disorder) Edition

Page 406 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 267276009 Obstetric anesthesia with pulmonary complications (disorder) Edition SNOMED CT US Pregnancy 267278005 Deliveries by vacuum extractor (finding) Edition SNOMED CT US Pregnancy 267280004 Venous complication of pregnancy and/or the puerperium (disorder) Edition SNOMED CT US Pregnancy 267282007 Varicose veins of perineum and vulva in pregnancy and the puerperium (disorder) Edition Superficial thrombophlebitis in pregnancy and the puerperium ‐ delivered with SNOMED CT US Pregnancy 267283002 postnatal complication (disorder) Edition SNOMED CT US Pregnancy 267284008 Obstetric pyemic and septic pulmonary embolism (disorder) Edition SNOMED CT US Pregnancy 267289003 Obstetric nipple infection (disorder) Edition SNOMED CT US Pregnancy 267317007 Tuberculosis in pregnancy (disorder) Edition SNOMED CT US Pregnancy 267320004 Pregnancy with mental disorders (disorder) Edition SNOMED CT US Pregnancy 267322007 Pregnancy with orthopedic problem (disorder) Edition SNOMED CT US Pregnancy 267335003 Fetoplacental problems (disorder) Edition SNOMED CT US Pregnancy 267340006 Maternal pyrexia in labor (disorder) Edition SNOMED CT US Pregnancy 267350007 Obstetric anesthesia problems (disorder) Edition SNOMED CT US Pregnancy 268479002 Incomplete placenta at delivery (finding) Edition SNOMED CT US Pregnancy 268585006 Placental infarct (disorder) Edition Fetal or neonatal effect of malposition or disproportion during labor or delivery SNOMED CT US Pregnancy 268809007 (disorder) Edition

Page 407 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 268811003 Fetal or neonatal effect of abnormal uterine contractions (disorder) Edition SNOMED CT US Pregnancy 268812005 Fetal or neonatal effect of uterine inertia or dysfunction (disorder) Edition SNOMED CT US Pregnancy 268813000 Fetal or neonatal effect of destructive operation to aid delivery (disorder) Edition SNOMED CT US Pregnancy 268863005 Had umbilical cord around neck (disorder) Edition SNOMED CT US Pregnancy 268864004 Had knot in umbilical cord (disorder) Edition SNOMED CT US Pregnancy 268865003 Had short umbilical cord (disorder) Edition SNOMED CT US Pregnancy 268954007 On examination ‐ presenting part station (finding) Edition SNOMED CT US Pregnancy 268955008 On examination ‐ vaginal examination ‐ descent of presenting part (finding) Edition SNOMED CT US Pregnancy 270498000 Malposition and malpresentation of fetus (disorder) Edition SNOMED CT US Pregnancy 270500004 Prolapsed cord (disorder) Edition SNOMED CT US Pregnancy 270502007 Obstetric breast abscess (disorder) Edition SNOMED CT US Pregnancy 271368004 Delivered by low forceps delivery (finding) Edition SNOMED CT US Pregnancy 271369007 Delivered by mid‐cavity forceps delivery (finding) Edition SNOMED CT US Pregnancy 271370008 Deliveries by breech extraction (finding) Edition SNOMED CT US Pregnancy 271372000 Obstetric non‐purulent mastitis (disorder) Edition SNOMED CT US Pregnancy 271373005 Deliveries by spontaneous breech delivery (finding) Edition

Page 408 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 271403007 Placenta infarcted (finding) Edition SNOMED CT US Pregnancy 271693006 Pelvis adequate for delivery (finding) Edition SNOMED CT US Pregnancy 271887000 On examination ‐ obstetric (finding) Edition SNOMED CT US Pregnancy 271954000 Failed attempted medical abortion (disorder) Edition SNOMED CT US Pregnancy 273982004 Obstetric problem affecting fetus (disorder) Edition SNOMED CT US Pregnancy 273983009 Maternal cord or placental problem (disorder) Edition SNOMED CT US Pregnancy 273984003 Delivery problem for fetus (finding) Edition SNOMED CT US Pregnancy 274117006 Pregnancy and infectious disease (disorder) Edition SNOMED CT US Pregnancy 274118001 Venereal disease in pregnancy (disorder) Edition SNOMED CT US Pregnancy 274119009 Rubella in pregnancy (disorder) Edition SNOMED CT US Pregnancy 274120003 Thyroid disease in pregnancy (disorder) Edition SNOMED CT US Pregnancy 274121004 Cardiac disease in pregnancy (disorder) Edition SNOMED CT US Pregnancy 274122006 Gravid uterus ‐ retroverted (finding) Edition SNOMED CT US Pregnancy 274124007 Grand multip in labor (finding) Edition SNOMED CT US Pregnancy 274125008 Elderly primiparous with labor (finding) Edition SNOMED CT US Pregnancy 274126009 Failed forceps/ventouse (disorder) Edition

Page 409 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 274127000 Abnormal delivery (finding) Edition SNOMED CT US Pregnancy 274128005 Brow delivery (finding) Edition SNOMED CT US Pregnancy 274129002 Face delivery (finding) Edition SNOMED CT US Pregnancy 274131006 Mastitis ‐ obstetric (disorder) Edition SNOMED CT US Pregnancy 274297000 On examination ‐ vaginal exam ‐ obstetric (finding) Edition SNOMED CT US Pregnancy 275306006 Postnatal data (finding) Edition SNOMED CT US Pregnancy 275412000 Cystitis of pregnancy (disorder) Edition SNOMED CT US Pregnancy 275421004 Miscarriage with heavy bleeding (disorder) Edition SNOMED CT US Pregnancy 275425008 Retained products after miscarriage (disorder) Edition SNOMED CT US Pregnancy 275426009 Pelvic disproportion (disorder) Edition SNOMED CT US Pregnancy 275427000 Retained membrane without hemorrhage (disorder) Edition SNOMED CT US Pregnancy 275429002 Delayed delivery of second twin (disorder) Edition SNOMED CT US Pregnancy 275433009 Lymphangitis of breast ‐ obstetric (disorder) Edition SNOMED CT US Pregnancy 275434003 Stroke in the puerperium (disorder) Edition SNOMED CT US Pregnancy 275969005 On examination ‐ presenting part engaged (finding) Edition SNOMED CT US Pregnancy 276367008 Wanted pregnancy (finding) Edition

Page 410 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 276375002 Offensive lochia (finding) Edition SNOMED CT US Pregnancy 276479009 Retained membrane (disorder) Edition SNOMED CT US Pregnancy 276508000 Hydrops fetalis (disorder) Edition SNOMED CT US Pregnancy 276509008 Non‐immune hydrops fetalis (disorder) Edition SNOMED CT US Pregnancy 276580005 Atypical isoimmunization of newborn (disorder) Edition SNOMED CT US Pregnancy 276641008 Intrauterine asphyxia (disorder) Edition SNOMED CT US Pregnancy 276642001 Antepartum fetal asphyxia (disorder) Edition SNOMED CT US Pregnancy 276879000 Hydropic degeneration (disorder) Edition SNOMED CT US Pregnancy 276881003 Secondary abdominal pregnancy (disorder) Edition SNOMED CT US Pregnancy 278056007 Uneffaced cervix (finding) Edition SNOMED CT US Pregnancy 278058008 Partially effaced cervix (finding) Edition SNOMED CT US Pregnancy 278072004 Lochia rubra (finding) Edition SNOMED CT US Pregnancy 278087009 Concave sacral curve (finding) Edition SNOMED CT US Pregnancy 278088004 Flat sacral curve (finding) Edition SNOMED CT US Pregnancy 278092006 Normal liquor volume (finding) Edition SNOMED CT US Pregnancy 278094007 Rapid rate of delivery (finding) Edition

Page 411 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 278095008 Normal rate of delivery (finding) Edition SNOMED CT US Pregnancy 278096009 Slow rate of delivery (finding) Edition SNOMED CT US Pregnancy 279225001 Maternity blues (disorder) Edition SNOMED CT US Pregnancy 280732008 Obstetric disorder of uterus (disorder) Edition SNOMED CT US Pregnancy 281050002 Livebirth (finding) Edition SNOMED CT US Pregnancy 281052005 Triplet birth (finding) Edition SNOMED CT US Pregnancy 281307002 Uncertain viability of pregnancy (finding) Edition SNOMED CT US Pregnancy 281687006 Face to pubes birth (finding) Edition SNOMED CT US Pregnancy 282020008 Premature delivery (finding) Edition SNOMED CT US Pregnancy 284075002 Spotting per vagina in pregnancy (finding) Edition SNOMED CT US Pregnancy 286996009 Blighted ovum and/or carneous mole (disorder) Edition SNOMED CT US Pregnancy 287979001 Premature/false labor (finding) Edition SNOMED CT US Pregnancy 288207006 Membrane rupture with delivery delay (disorder) [288207006] Edition SNOMED CT US Pregnancy 288208001 Obstetric bladder/urethra damage (disorder) Edition SNOMED CT US Pregnancy 288209009 Normal delivery ‐ occipitoanterior (finding) Edition SNOMED CT US Pregnancy 288210004 Abnormal head presentation delivery (finding) Edition

Page 412 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 288250001 Maternal hypertension (disorder) Edition SNOMED CT US Pregnancy 288259000 Born after multiple pregnancy (disorder) Edition SNOMED CT US Pregnancy 288261009 Was malpresentation pre‐labor (disorder) Edition SNOMED CT US Pregnancy 288265000 Born after precipitate delivery (finding) Edition SNOMED CT US Pregnancy 288266004 Born after induced labor (finding) Edition SNOMED CT US Pregnancy 289080009 Able to perform breast‐feeding (finding) Edition SNOMED CT US Pregnancy 289081008 Unable to perform breast‐feeding (finding) Edition SNOMED CT US Pregnancy 289083006 Does not perform breast‐feeding (finding) Edition SNOMED CT US Pregnancy 289084000 Difficulty performing breast‐feeding (finding) Edition SNOMED CT US Pregnancy 289086003 Able to position baby at breast for feeding (finding) Edition SNOMED CT US Pregnancy 289087007 Unable to position baby at breast for feeding (finding) Edition SNOMED CT US Pregnancy 289088002 Does position baby at breast for feeding (finding) Edition SNOMED CT US Pregnancy 289089005 Does not position baby at breast for feeding (finding) Edition SNOMED CT US Pregnancy 289090001 Difficulty positioning baby at breast for feeding (finding) Edition SNOMED CT US Pregnancy 289203002 Finding of pattern of pregnancy (finding) Edition SNOMED CT US Pregnancy 289204008 Finding of quantity of pregnancy (finding) Edition

Page 413 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 289205009 Finding of measures of pregnancy (finding) Edition SNOMED CT US Pregnancy 289208006 Finding of viability of pregnancy (finding) Edition SNOMED CT US Pregnancy 289209003 Pregnancy problem (finding) Edition SNOMED CT US Pregnancy 289210008 Finding of first stage of labor (finding) Edition SNOMED CT US Pregnancy 289211007 First stage of labor established (finding) Edition SNOMED CT US Pregnancy 289212000 First stage of labor not established (finding) Edition SNOMED CT US Pregnancy 289213005 Normal length of first stage of labor (finding) Edition SNOMED CT US Pregnancy 289214004 Normal first stage of labor (finding) Edition SNOMED CT US Pregnancy 289215003 First stage of labor problem (finding) Edition SNOMED CT US Pregnancy 289216002 Finding of second stage of labor (finding) Edition SNOMED CT US Pregnancy 289217006 Second stage of labor established (finding) Edition SNOMED CT US Pregnancy 289218001 Second stage of labor not established (finding) Edition SNOMED CT US Pregnancy 289219009 Rapid second stage of labor (finding) Edition SNOMED CT US Pregnancy 289220003 Progressing well in second stage (finding) Edition SNOMED CT US Pregnancy 289221004 Normal length of second stage of labor (finding) Edition SNOMED CT US Pregnancy 289222006 Second stage of labor problem (finding) Edition

Page 414 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 289223001 Normal second stage of labor (finding) Edition SNOMED CT US Pregnancy 289224007 Finding of delivery push in labor (finding) Edition SNOMED CT US Pregnancy 289226009 Pushing effectively in labor (finding) Edition SNOMED CT US Pregnancy 289227000 Not pushing well in labor (finding) Edition SNOMED CT US Pregnancy 289228005 Urge to push in labor (finding) Edition SNOMED CT US Pregnancy 289229002 Reluctant to push in labor (finding) Edition SNOMED CT US Pregnancy 289230007 Pushing voluntarily in labor (finding) Edition SNOMED CT US Pregnancy 289231006 Pushing involuntarily in labor (finding) Edition SNOMED CT US Pregnancy 289232004 Finding of third stage of labor (finding) Edition SNOMED CT US Pregnancy 289233009 Normal length of third stage of labor (finding) Edition SNOMED CT US Pregnancy 289234003 Prolonged third stage of labor (finding) Edition SNOMED CT US Pregnancy 289235002 Rapid expulsion of placenta (finding) Edition SNOMED CT US Pregnancy 289236001 Delayed expulsion of placenta (finding) Edition SNOMED CT US Pregnancy 289237005 Normal rate of expulsion of placenta (finding) Edition SNOMED CT US Pregnancy 289238000 Finding of pattern of labor (finding) Edition SNOMED CT US Pregnancy 289239008 Finding of duration of labor (finding) Edition

Page 415 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 289240005 Long duration of labor (finding) Edition SNOMED CT US Pregnancy 289241009 Short duration of labor (finding) Edition SNOMED CT US Pregnancy 289242002 Finding of blood loss in labor (finding) Edition SNOMED CT US Pregnancy 289243007 Maternal blood loss minimal (finding) Edition SNOMED CT US Pregnancy 289244001 Maternal blood loss within normal limits (finding) Edition SNOMED CT US Pregnancy 289245000 Maternal blood loss moderate (finding) Edition SNOMED CT US Pregnancy 289246004 Maternal blood loss heavy (finding) Edition SNOMED CT US Pregnancy 289247008 Finding of measures of labor (finding) Edition SNOMED CT US Pregnancy 289252003 Estimated maternal blood loss (finding) Edition SNOMED CT US Pregnancy 289253008 Device‐associated finding of labor (finding) Edition SNOMED CT US Pregnancy 289254002 Expulsion of intrauterine contraceptive device during third stage of labor (finding) Edition SNOMED CT US Pregnancy 289256000 Mother delivered (finding) Edition SNOMED CT US Pregnancy 289257009 Mother not delivered (finding) Edition SNOMED CT US Pregnancy 289258004 Finding of pattern of delivery (finding) Edition SNOMED CT US Pregnancy 289259007 Vaginal delivery (finding) Edition SNOMED CT US Pregnancy 289261003 Delivery problem (finding) Edition

Page 416 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 289262005 Finding of structures of conception (finding) Edition SNOMED CT US Pregnancy 289263000 Large placenta (finding) Edition SNOMED CT US Pregnancy 289264006 Small placenta (finding) Edition SNOMED CT US Pregnancy 289265007 Placenta normal size (finding) Edition SNOMED CT US Pregnancy 289266008 Finding of form of placenta (finding) Edition SNOMED CT US Pregnancy 289267004 Finding of completeness of placenta (finding) Edition SNOMED CT US Pregnancy 289269001 Lesion of placenta (finding) Edition SNOMED CT US Pregnancy 289270000 Fresh retroplacental clot (finding) Edition SNOMED CT US Pregnancy 289271001 Old retroplacental clot (finding) Edition SNOMED CT US Pregnancy 289272008 Placenta infected (finding) Edition SNOMED CT US Pregnancy 289273003 Placenta fatty deposits (finding) Edition SNOMED CT US Pregnancy 289275005 Placenta offensive odor (finding) Edition SNOMED CT US Pregnancy 289276006 Finding of color of placenta (finding) Edition SNOMED CT US Pregnancy 289277002 Placenta pale (finding) Edition SNOMED CT US Pregnancy 289278007 Finding of measures of placenta (finding) Edition SNOMED CT US Pregnancy 289279004 Placenta healthy (finding) Edition

Page 417 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 289280001 Placenta unhealthy (finding) Edition SNOMED CT US Pregnancy 289281002 Placenta problem (finding) Edition SNOMED CT US Pregnancy 289282009 Amniotic membrane finding (finding) Edition SNOMED CT US Pregnancy 289283004 Amniotic membranes present (finding) Edition SNOMED CT US Pregnancy 289284005 Finding of form of amniotic membrane (finding) Edition SNOMED CT US Pregnancy 289285006 Finding of completeness of membranes (finding) Edition SNOMED CT US Pregnancy 289286007 Finding of number of amniotic membranes (finding) Edition SNOMED CT US Pregnancy 289287003 Two placental membranes present (finding) Edition SNOMED CT US Pregnancy 289288008 One placental membrane present (finding) Edition SNOMED CT US Pregnancy 289289000 Lesion of amniotic membrane (finding) Edition SNOMED CT US Pregnancy 289290009 Finding of measures of amniotic membranes (finding) Edition SNOMED CT US Pregnancy 289291008 Amniotic membranes normal (finding) Edition SNOMED CT US Pregnancy 289292001 Reduced amniotic fluid (finding) Edition SNOMED CT US Pregnancy 289293006 Excessive amniotic fluid (finding) Edition SNOMED CT US Pregnancy 289294000 Thick meconium stained liquor (finding) Edition SNOMED CT US Pregnancy 289295004 Finding of fluid thrill of amniotic fluid (finding) Edition

Page 418 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 289296003 Fluid thrill of amniotic fluid present (finding) Edition SNOMED CT US Pregnancy 289297007 Fluid thrill of amniotic fluid absent (finding) Edition SNOMED CT US Pregnancy 289298002 Amniotic fluid normal (finding) Edition SNOMED CT US Pregnancy 289299005 Umbilical cord finding (finding) Edition SNOMED CT US Pregnancy 289300002 Finding of form of umbilical cord (finding) Edition SNOMED CT US Pregnancy 289301003 Umbilical cord thin (finding) Edition SNOMED CT US Pregnancy 289302005 Umbilical cord thick (finding) Edition SNOMED CT US Pregnancy 289303000 Finding of pulsation of cord (finding) Edition SNOMED CT US Pregnancy 289304006 Finding of pulsation of cord through intact membranes (finding) Edition SNOMED CT US Pregnancy 289305007 Pulsation of umbilical cord palpable through intact membrane (finding) Edition SNOMED CT US Pregnancy 289306008 Pulsation umbilical cord not palp through intact membranes (finding) Edition SNOMED CT US Pregnancy 289307004 Finding of pulsation of prolapsed cord (finding) Edition SNOMED CT US Pregnancy 289308009 Pulsation present in prolapsed cord (finding) Edition SNOMED CT US Pregnancy 289309001 Pulsation absent in prolapsed cord (finding) Edition SNOMED CT US Pregnancy 289310006 Finding of arrangement of umbilical cord (finding) Edition SNOMED CT US Pregnancy 289311005 Umbilical cord tight around baby's neck (disorder) Edition

Page 419 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 289312003 Umbilical cord entangled around baby's limbs (disorder) Edition SNOMED CT US Pregnancy 289313008 Umbilical cord not around baby's neck at delivery (finding) Edition SNOMED CT US Pregnancy 289314002 Finding of measures of umbilical cord (finding) Edition SNOMED CT US Pregnancy 289315001 Umbilical cord normal (finding) Edition SNOMED CT US Pregnancy 289316000 Umbilical cord problem (finding) Edition SNOMED CT US Pregnancy 289349009 Presenting part ballottable (finding) Edition SNOMED CT US Pregnancy 289350009 Ballottement of fetal head abdominally (finding) Edition SNOMED CT US Pregnancy 289351008 Ballottement of fetal head at fundus (finding) Edition SNOMED CT US Pregnancy 289352001 Ballottement of fetal head in suprapubic area (finding) Edition SNOMED CT US Pregnancy 289353006 Ballottement of fetal head vaginally (finding) Edition SNOMED CT US Pregnancy 289354000 Presenting part not ballottable (finding) Edition SNOMED CT US Pregnancy 289355004 Oblique lie head in right iliac fossa (disorder) Edition SNOMED CT US Pregnancy 289356003 Oblique lie head in left iliac fossa (disorder) Edition SNOMED CT US Pregnancy 289357007 Oblique lie breech in right iliac fossa (disorder) Edition SNOMED CT US Pregnancy 289358002 Oblique lie breech in left iliac fossa (disorder) Edition SNOMED CT US Pregnancy 289450008 Finding of size of female pelvis (finding) Edition

Page 420 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 289451007 Finding of pubic arch (finding) Edition SNOMED CT US Pregnancy 289452000 Small pubic arch (finding) Edition SNOMED CT US Pregnancy 289453005 Narrow pubic arch (finding) Edition SNOMED CT US Pregnancy 289454004 Prominent ischial spines (finding) Edition SNOMED CT US Pregnancy 289455003 Finding of sacrosciatic notch (finding) Edition SNOMED CT US Pregnancy 289456002 Wide sacrosciatic notch (finding) Edition SNOMED CT US Pregnancy 289457006 Narrow sacrosciatic notch (finding) Edition SNOMED CT US Pregnancy 289458001 Rounded sacrosciatic notch (finding) Edition SNOMED CT US Pregnancy 289459009 Finding of arrangement of female pelvis (finding) Edition SNOMED CT US Pregnancy 289460004 Finding of proportion of female pelvis (finding) Edition SNOMED CT US Pregnancy 289461000 Finding of measures of female pelvis (finding) Edition SNOMED CT US Pregnancy 289463002 Pelvis not adequate for delivery (finding) Edition SNOMED CT US Pregnancy 289464008 Problem of pelvis for delivery (finding) Edition SNOMED CT US Pregnancy 289572007 No liquor observed vaginally (finding) Edition SNOMED CT US Pregnancy 289573002 Finding of passing of operculum (finding) Edition SNOMED CT US Pregnancy 289574008 Operculum passed (finding) Edition

Page 421 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 289575009 Operculum not passed (finding) Edition SNOMED CT US Pregnancy 289576005 Lochia present (finding) Edition SNOMED CT US Pregnancy 289577001 Lochia reducing (finding) Edition SNOMED CT US Pregnancy 289578006 Lochia absent (finding) Edition SNOMED CT US Pregnancy 289579003 Lochia ceased (finding) Edition SNOMED CT US Pregnancy 289580000 Lochia heavy (finding) Edition SNOMED CT US Pregnancy 289581001 Lochia scanty (finding) Edition SNOMED CT US Pregnancy 289582008 Lochia minimal (finding) Edition SNOMED CT US Pregnancy 289583003 Lochia watery (finding) Edition SNOMED CT US Pregnancy 289584009 Lochia thick (finding) Edition SNOMED CT US Pregnancy 289585005 Lochia normal (finding) Edition SNOMED CT US Pregnancy 289586006 Lochia abnormal (finding) Edition SNOMED CT US Pregnancy 289606001 Maternity pad damp with liquor (finding) Edition SNOMED CT US Pregnancy 289607005 Maternity pad wet with liquor (finding) Edition SNOMED CT US Pregnancy 289608000 Maternity pad soaked with liquor (finding) Edition SNOMED CT US Pregnancy 289675001 Finding of gravid uterus (finding) Edition

Page 422 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 289676000 Gravid uterus present (finding) Edition SNOMED CT US Pregnancy 289677009 Gravid uterus absent (finding) Edition SNOMED CT US Pregnancy 289678004 Gravid uterus not observed (finding) Edition SNOMED CT US Pregnancy 289679007 Finding of size of gravid uterus (finding) Edition SNOMED CT US Pregnancy 289680005 Gravid uterus large‐for‐dates (finding) Edition SNOMED CT US Pregnancy 289681009 Gravid uterus small‐for‐dates (finding) Edition SNOMED CT US Pregnancy 289682002 Finding of height of gravid uterus (finding) Edition SNOMED CT US Pregnancy 289683007 Fundal height high for dates (finding) Edition SNOMED CT US Pregnancy 289684001 Fundal height equal to dates (finding) Edition SNOMED CT US Pregnancy 289685000 Fundal height low for dates (finding) Edition SNOMED CT US Pregnancy 289686004 Ovoid pregnant abdomen (finding) Edition SNOMED CT US Pregnancy 289687008 Rounded pregnant abdomen (finding) Edition SNOMED CT US Pregnancy 289688003 Transversely enlarged pregnant abdomen (finding) Edition SNOMED CT US Pregnancy 289689006 Finding of arrangement of gravid uterus (finding) Edition SNOMED CT US Pregnancy 289690002 Gravid uterus central (finding) Edition SNOMED CT US Pregnancy 289691003 Gravid uterus deviated to left (finding) Edition

Page 423 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 289692005 Gravid uterus deviated to right (finding) Edition SNOMED CT US Pregnancy 289693000 Normal position of gravid uterus (finding) Edition SNOMED CT US Pregnancy 289694006 Finding of sensation of gravid uterus (finding) Edition SNOMED CT US Pregnancy 289695007 Tender scar of gravid uterus (finding) Edition SNOMED CT US Pregnancy 289696008 Tender scar of upper uterine segment (finding) Edition SNOMED CT US Pregnancy 289697004 Tender scar of lower uterine segment (finding) Edition SNOMED CT US Pregnancy 289698009 Non‐tender scar of gravid uterus (finding) Edition SNOMED CT US Pregnancy 289699001 Finding of uterine contractions (finding) Edition SNOMED CT US Pregnancy 289700000 Uterine contractions present (finding) Edition SNOMED CT US Pregnancy 289701001 Uterine contractions absent (finding) Edition SNOMED CT US Pregnancy 289702008 Uterine contractions ceased (finding) Edition SNOMED CT US Pregnancy 289703003 Finding of pattern of uterine contractions (finding) Edition SNOMED CT US Pregnancy 289704009 Finding of frequency of uterine contraction (finding) Edition SNOMED CT US Pregnancy 289705005 Intermittent uterine contractions (finding) Edition SNOMED CT US Pregnancy 289706006 Occasional uterine tightenings (finding) Edition SNOMED CT US Pregnancy 289707002 Finding of regularity of uterine contraction (finding) Edition

Page 424 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 289708007 Regular uterine contractions (finding) Edition SNOMED CT US Pregnancy 289709004 Finding of quantity of uterine contraction (finding) Edition SNOMED CT US Pregnancy 289710009 Excessive uterine contraction (finding) Edition SNOMED CT US Pregnancy 289711008 Reduced uterine contraction (finding) Edition SNOMED CT US Pregnancy 289712001 Niggling uterine contractions (finding) Edition SNOMED CT US Pregnancy 289714000 Finding of strength of uterine contraction (finding) Edition SNOMED CT US Pregnancy 289715004 Mild uterine contractions (finding) Edition SNOMED CT US Pregnancy 289716003 Moderate uterine contractions (finding) Edition SNOMED CT US Pregnancy 289717007 Fair uterine contractions (finding) Edition SNOMED CT US Pregnancy 289718002 Good uterine contractions (finding) Edition SNOMED CT US Pregnancy 289719005 Strong uterine contractions (finding) Edition SNOMED CT US Pregnancy 289720004 Very strong uterine contractions (finding) Edition SNOMED CT US Pregnancy 289721000 Variable strength uterine contractions (finding) Edition SNOMED CT US Pregnancy 289722007 Normal strength uterine contractions (finding) Edition SNOMED CT US Pregnancy 289723002 Finding of duration of uterine contraction (finding) Edition SNOMED CT US Pregnancy 289724008 Continuous contractions (finding) Edition

Page 425 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 289725009 Hypertonic contractions (finding) Edition SNOMED CT US Pregnancy 289726005 Finding of effectiveness of uterine contraction (finding) Edition SNOMED CT US Pregnancy 289727001 Effective uterine contractions (finding) Edition SNOMED CT US Pregnancy 289728006 Non‐effective uterine contractions (finding) Edition SNOMED CT US Pregnancy 289729003 Expulsive uterine contractions (finding) Edition SNOMED CT US Pregnancy 289730008 Finding of painfulness of uterine contraction (finding) Edition SNOMED CT US Pregnancy 289731007 Painless uterine contractions (finding) Edition SNOMED CT US Pregnancy 289732000 Painful uterine contractions (finding) Edition SNOMED CT US Pregnancy 289733005 Premature uterine contraction (finding) Edition SNOMED CT US Pregnancy 289734004 Delayed uterine contraction (finding) Edition SNOMED CT US Pregnancy 289735003 Persistent uterine contraction (finding) Edition SNOMED CT US Pregnancy 289736002 Inappropriate uterine contraction (finding) Edition SNOMED CT US Pregnancy 289737006 Finding of measures of uterine contractions (finding) Edition SNOMED CT US Pregnancy 289738001 Uterine contractions normal (finding) Edition SNOMED CT US Pregnancy 289739009 Uterine contractions problem (finding) Edition SNOMED CT US Pregnancy 289740006 Finding of contraction state of uterus (finding) Edition

Page 426 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 289741005 Uterus contracted (finding) Edition SNOMED CT US Pregnancy 289742003 Uterus relaxed (finding) Edition SNOMED CT US Pregnancy 289743008 Finding of upper segment retraction (finding) Edition SNOMED CT US Pregnancy 289744002 Poor retraction of upper segment (finding) Edition SNOMED CT US Pregnancy 289745001 Excessive retraction of upper segment (finding) Edition SNOMED CT US Pregnancy 289746000 Normal retraction of upper segment (finding) Edition SNOMED CT US Pregnancy 289747009 Finding of measures of gravid uterus (finding) Edition SNOMED CT US Pregnancy 289748004 Gravid uterus normal (finding) Edition SNOMED CT US Pregnancy 289749007 Gravid uterus problem (finding) Edition SNOMED CT US Pregnancy 289750007 Finding of involution of uterus (finding) Edition SNOMED CT US Pregnancy 289751006 Uterus involuting (finding) Edition SNOMED CT US Pregnancy 289752004 Uterus involuted (finding) Edition SNOMED CT US Pregnancy 289753009 No further involution of the uterus (finding) Edition SNOMED CT US Pregnancy 289761004 Finding of cervical dilatation (finding) Edition SNOMED CT US Pregnancy 289762006 Cervix dilated (finding) Edition SNOMED CT US Pregnancy 289763001 Rim of cervix palpable (finding) Edition

Page 427 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 289764007 Cervix undilated (finding) Edition SNOMED CT US Pregnancy 289765008 Ripe cervix (finding) Edition SNOMED CT US Pregnancy 289766009 Finding of thickness of cervix (finding) Edition SNOMED CT US Pregnancy 289768005 Cervix thick (finding) Edition SNOMED CT US Pregnancy 289769002 Cervix thinning (finding) Edition SNOMED CT US Pregnancy 289770001 Cervix thin (finding) Edition SNOMED CT US Pregnancy 289771002 Cervix paper thin (finding) Edition SNOMED CT US Pregnancy 289783000 Cervix central (finding) Edition SNOMED CT US Pregnancy 289827009 Finding of cervical cerclage suture (finding) Edition SNOMED CT US Pregnancy 289828004 Cervical cerclage suture absent (finding) Edition SNOMED CT US Pregnancy 290653008 Postpartum hypopituitarism (disorder) Edition SNOMED CT US Pregnancy 291665000 Postpartum intrapituitary hemorrhage (disorder) Edition SNOMED CT US Pregnancy 300571009 Finding of gestational sac (finding) Edition SNOMED CT US Pregnancy 300572002 Gestational sac present (finding) Edition SNOMED CT US Pregnancy 300573007 Gestational sac absent (finding) Edition SNOMED CT US Pregnancy 300927001 Episiotomy infection (disorder) Edition

Page 428 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 301801008 Finding of position of pregnancy (finding) Edition SNOMED CT US Pregnancy 302078000 Abnormal immature chorionic villi (disorder) Edition SNOMED CT US Pregnancy 302080006 Finding of birth outcome (finding) Edition SNOMED CT US Pregnancy 302253005 Delivered by cesarean section ‐ pregnancy at term (finding) Edition SNOMED CT US Pregnancy 302254004 Delivered by cesarean delivery following previous cesarean delivery (finding) Edition SNOMED CT US Pregnancy 302644007 Abnormal immature chorion (disorder) Edition SNOMED CT US Pregnancy 302929008 Umbilical cord around neck (disorder) Edition SNOMED CT US Pregnancy 302945005 Absent blood vessel in umbilical cord (disorder) Edition SNOMED CT US Pregnancy 303063000 Eclampsia in puerperium (disorder) Edition SNOMED CT US Pregnancy 304598004 Postnatal examination finding (finding) Edition SNOMED CT US Pregnancy 307337003 Duffy isoimmunization of the newborn (disorder) Edition SNOMED CT US Pregnancy 307338008 Kidd isoimmunization of the newborn (disorder) Edition SNOMED CT US Pregnancy 307517001 Pregnancy‐related factor VIII deficiency (disorder) Edition SNOMED CT US Pregnancy 307534009 Urinary tract infection in pregnancy (disorder) Edition SNOMED CT US Pregnancy 307632004 Non‐proteinuric hypertension of pregnancy (disorder) Edition SNOMED CT US Pregnancy 307733001 Inevitable abortion complete (disorder) Edition

Page 429 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Complete inevitable abortion complicated by genital tract and pelvic infection SNOMED CT US Pregnancy 307734007 (disorder) Edition Complete inevitable abortion complicated by delayed or excessive hemorrhage SNOMED CT US Pregnancy 307735008 (disorder) Edition SNOMED CT US Pregnancy 307737000 Inevitable abortion incomplete (disorder) Edition SNOMED CT US Pregnancy 307738005 Complete inevitable abortion without complication (disorder) Edition SNOMED CT US Pregnancy 307746006 Incomplete inevitable abortion complicated by embolism (disorder) Edition SNOMED CT US Pregnancy 307748007 Incomplete inevitable abortion without complication (disorder) Edition Incomplete inevitable abortion complicated by genital tract and pelvic infection SNOMED CT US Pregnancy 307749004 (disorder) Edition SNOMED CT US Pregnancy 307750004 Complete inevitable abortion complicated by embolism (disorder) Edition Incomplete inevitable abortion complicated by delayed or excessive hemorrhage SNOMED CT US Pregnancy 307752007 (disorder) Edition SNOMED CT US Pregnancy 308133005 Varicose veins of legs in pregnancy (disorder) Edition SNOMED CT US Pregnancy 308134004 Varicose veins of legs in the puerperium (disorder) Edition SNOMED CT US Pregnancy 308135003 Genital varices in the puerperium (disorder) Edition SNOMED CT US Pregnancy 308136002 Superficial thrombophlebitis in pregnancy (disorder) Edition SNOMED CT US Pregnancy 308137006 Superficial thrombophlebitis in the puerperium (disorder) Edition SNOMED CT US Pregnancy 308140006 Hemorrhoids in pregnancy (disorder) Edition SNOMED CT US Pregnancy 308187004 Vaginal varices in the puerperium (disorder) Edition

Page 430 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 309469004 Spontaneous vertex delivery (finding) Edition SNOMED CT US Pregnancy 309670007 On examination ‐ fetus (finding) Edition SNOMED CT US Pregnancy 310248000 Antenatal care midwifery led (finding) Edition SNOMED CT US Pregnancy 310592002 Pregnancy prolonged ‐ 41 weeks (disorder) Edition SNOMED CT US Pregnancy 310594001 Pregnancy prolonged ‐ 42 weeks (disorder) Edition SNOMED CT US Pregnancy 310650002 Ragged placenta (disorder) Edition SNOMED CT US Pregnancy 312354009 On examination ‐ viable fetus (finding) Edition Maternal care for suspected central nervous system malformation in fetus SNOMED CT US Pregnancy 312652001 (disorder) [312652001] Edition Maternal care for central nervous system malformation in fetus (disorder) SNOMED CT US Pregnancy 312653006 [312653006] Edition Maternal care for suspected chromosomal abnormality in fetus (disorder) SNOMED CT US Pregnancy 312654000 [312654000] Edition SNOMED CT US Pregnancy 312656003 Maternal care for chromosomal abnormality in fetus (disorder) [312656003] Edition SNOMED CT US Pregnancy 312657007 Maternal care for damage to fetus from maternal rubella (disorder) [312657007] Edition SNOMED CT US Pregnancy 312974005 Preterm premature rupture of membranes (disorder) Edition SNOMED CT US Pregnancy 312977003 Maternal care for fetal bradycardia during pregnancy (disorder) [312977003] Edition SNOMED CT US Pregnancy 312988009 Maternal care for fetal decelerations during pregnancy (disorder) [312988009] Edition SNOMED CT US Pregnancy 312989001 Maternal care for fetal tachycardia during pregnancy (disorder) [312989001] Edition

Page 431 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 312990005 Maternal care for fetal acidosis during pregnancy (disorder) [312990005] Edition SNOMED CT US Pregnancy 313017000 Anhydramnios (disorder) Edition SNOMED CT US Pregnancy 313130001 Uterine membrane finding (finding) Edition SNOMED CT US Pregnancy 313178001 Gestation less than 24 weeks (finding) Edition SNOMED CT US Pregnancy 313179009 Gestation period, 24 weeks (finding) Edition SNOMED CT US Pregnancy 313180007 Gestation greater than 24 weeks (finding) Edition SNOMED CT US Pregnancy 313291009 Anemia during the puerperium (disorder) Edition SNOMED CT US Pregnancy 314204000 Early stage of pregnancy (finding) Edition SNOMED CT US Pregnancy 361095003 Dehiscence AND/OR disruption of uterine wound in the puerperium (disorder) Edition SNOMED CT US Pregnancy 361096002 Disruption of cesarean wound in the puerperium (disorder) Edition SNOMED CT US Pregnancy 363681007 Pregnancy with abortive outcome (disorder) Edition SNOMED CT US Pregnancy 364738009 Finding of outcome of delivery (finding) Edition SNOMED CT US Pregnancy 364826005 Finding related to ability to perform breast‐feeding (finding) Edition SNOMED CT US Pregnancy 364827001 Finding related to ability to position baby at breast for feeding (finding) Edition SNOMED CT US Pregnancy 366298006 Finding of color of lochia (finding) Edition SNOMED CT US Pregnancy 366299003 Finding of quantity of lochia (finding) Edition

Page 432 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 366321006 Finding of gravida (finding) Edition SNOMED CT US Pregnancy 366322004 Finding of estimated date of delivery (finding) Edition SNOMED CT US Pregnancy 366323009 Finding of length of gestation (finding) Edition SNOMED CT US Pregnancy 366325002 Finding of progress of labor ‐ first stage (finding) Edition SNOMED CT US Pregnancy 366327005 Finding of progress of second stage of labor (finding) Edition SNOMED CT US Pregnancy 366328000 Finding related to ability to push in labor (finding) Edition SNOMED CT US Pregnancy 366329008 Finding of speed of delivery of placenta (finding) Edition SNOMED CT US Pregnancy 366330003 Finding of size of placenta (finding) Edition SNOMED CT US Pregnancy 366332006 Finding of odor of placenta (finding) Edition SNOMED CT US Pregnancy 366333001 Finding of number of membranes (finding) Edition SNOMED CT US Pregnancy 366334007 Finding of condition of amniotic fluid (finding) Edition SNOMED CT US Pregnancy 366335008 Finding of consistency of liquor (finding) Edition SNOMED CT US Pregnancy 366339002 Finding of general shape of pelvis (finding) Edition SNOMED CT US Pregnancy 366340000 Finding of shape of sacral curve (finding) Edition SNOMED CT US Pregnancy 366341001 Finding of position of ischial spines (finding) Edition SNOMED CT US Pregnancy 366343003 Finding of birth details (finding) Edition

Page 433 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 366344009 Finding of place of birth (finding) Edition SNOMED CT US Pregnancy 366345005 Finding of antenatal data (finding) Edition SNOMED CT US Pregnancy 367390009 Hypertension in the obstetric context (disorder) Edition SNOMED CT US Pregnancy 367494004 Premature birth of newborn (finding) Edition SNOMED CT US Pregnancy 371106008 Idiopathic maternal thrombocytopenia (disorder) Edition SNOMED CT US Pregnancy 371374003 Retained products of conception (disorder) Edition SNOMED CT US Pregnancy 371375002 Retained secundines (disorder) Edition SNOMED CT US Pregnancy 371380006 Amniotic fluid leaking (disorder) Edition SNOMED CT US Pregnancy 371607000 Hematoma of cesarean section (disorder) Edition SNOMED CT US Pregnancy 372043009 Hydrops of allantois (disorder) Edition SNOMED CT US Pregnancy 373663005 Perinatal period (finding) Edition SNOMED CT US Pregnancy 373680009 Avulsion of cord (disorder) Edition SNOMED CT US Pregnancy 373896005 Miscarriage complicated by genital‐pelvic infection (disorder) Edition SNOMED CT US Pregnancy 373901007 Legal abortion complicated by genital‐pelvic infection (disorder) Edition SNOMED CT US Pregnancy 373902000 Illegal abortion complicated by genital‐pelvic infection (disorder) Edition SNOMED CT US Pregnancy 387692004 Hypotonic uterine inertia (disorder) Edition

Page 434 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 387696001 Primary hypotonic uterine dysfunction (disorder) Edition SNOMED CT US Pregnancy 387699008 Primary uterine inertia (disorder) Edition SNOMED CT US Pregnancy 387700009 Prolonged latent phase of labor (disorder) Edition SNOMED CT US Pregnancy 388602007 Villitis of unknown etiology (disorder) Edition SNOMED CT US Pregnancy 388604008 Villitis (disorder) Edition SNOMED CT US Pregnancy 388605009 Disorder of chorion (disorder) Edition SNOMED CT US Pregnancy 390959009 Live birth surviving more than one year (finding) Edition SNOMED CT US Pregnancy 392280004 Obstetrical laceration (disorder) Edition SNOMED CT US Pregnancy 396544001 Cesarean wound disruption (disorder) Edition SNOMED CT US Pregnancy 397752008 Obstetric perineal wound disruption (disorder) Edition SNOMED CT US Pregnancy 397949005 Poor fetal growth affecting management (disorder) Edition SNOMED CT US Pregnancy 397952002 Trauma to perineum during delivery (disorder) Edition SNOMED CT US Pregnancy 398019008 Perineal laceration during delivery (disorder) Edition SNOMED CT US Pregnancy 398254007 Pre‐eclampsia (disorder) Edition SNOMED CT US Pregnancy 398262004 Disruption of episiotomy wound in the puerperium (disorder) Edition SNOMED CT US Pregnancy 398276003 Placental insufficiency affecting management of mother (disorder) Edition

Page 435 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 399031001 Fourth degree perineal laceration (disorder) Edition SNOMED CT US Pregnancy 399363000 Late fetal death affecting management of mother (disorder) Edition SNOMED CT US Pregnancy 400170001 Hypocalcemia of puerperium (disorder) Edition SNOMED CT US Pregnancy 402836009 Spider telangiectasis in association with pregnancy (disorder) Edition SNOMED CT US Pregnancy 403528000 Pregnancy‐related exacerbation of dermatosis (disorder) Edition SNOMED CT US Pregnancy 405256006 Parturient paresis (disorder) Edition SNOMED CT US Pregnancy 405733001 Hypocalcemia of late pregnancy or lactation (disorder) Edition SNOMED CT US Pregnancy 405736009 Accidental antepartum hemorrhage (disorder) Edition SNOMED CT US Pregnancy 408780005 Finding of color of amniotic fluid (finding) Edition SNOMED CT US Pregnancy 408781009 Straw colored amniotic fluid (finding) Edition SNOMED CT US Pregnancy 408782002 Purulent amniotic fluid (finding) Edition SNOMED CT US Pregnancy 408783007 Antenatal Anti‐D prophylaxis status (finding) Edition SNOMED CT US Pregnancy 408784001 Antenatal Anti‐D prophylaxis offered (finding) Edition SNOMED CT US Pregnancy 408786004 Antenatal Anti‐D prophylaxis refused (finding) Edition SNOMED CT US Pregnancy 408792005 Meconium stained liquor ‐ grade I (finding) Edition SNOMED CT US Pregnancy 408793000 Meconium stained liquor ‐ grade II (finding) Edition

Page 436 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 408794006 Meconium stained liquor ‐ grade III (finding) Edition SNOMED CT US Pregnancy 408796008 Stillbirth ‐ unknown if fetal death intrapartum or prior to labor (finding) Edition SNOMED CT US Pregnancy 408800002 Antenatal chorionic villus sampling status (finding) Edition SNOMED CT US Pregnancy 408801003 Antenatal chorionic villus sampling refused (finding) Edition SNOMED CT US Pregnancy 408802005 On examination ‐ presentation engaged‐ 0/5 (finding) Edition SNOMED CT US Pregnancy 408823004 Antenatal hepatitis B blood screening test status (finding) Edition SNOMED CT US Pregnancy 408825006 Antenatal hepatitis B blood screening test sent (finding) Edition SNOMED CT US Pregnancy 408826007 Antenatal hepatitis B blood screening test refused (finding) Edition SNOMED CT US Pregnancy 408827003 Antenatal human immunodeficiency virus blood screening test status (finding) Edition SNOMED CT US Pregnancy 408828008 Antenatal human immunodeficiency virus blood screening test sent (finding) Edition SNOMED CT US Pregnancy 408830005 Antenatal human immunodeficiency virus blood screening test refused (finding) Edition SNOMED CT US Pregnancy 408831009 Antenatal thalassemia blood screening test status (finding) Edition SNOMED CT US Pregnancy 408833007 Antenatal thalassemia blood screening test sent (finding) Edition SNOMED CT US Pregnancy 408834001 Antenatal thalassemia blood screening test refused (finding) Edition SNOMED CT US Pregnancy 408838003 Unplanned home birth (finding) Edition SNOMED CT US Pregnancy 408839006 Planned home birth (finding) Edition

Page 437 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 408841007 Antenatal hepatitis B blood screening test offered (finding) Edition Antenatal human immunodeficiency virus blood screening test requested SNOMED CT US Pregnancy 408842000 (finding) Edition SNOMED CT US Pregnancy 408843005 Antenatal thalassemia blood screening test requested (finding) Edition SNOMED CT US Pregnancy 408844004 Antenatal thalassemia blood screening test offered (finding) Edition SNOMED CT US Pregnancy 413338003 Incomplete miscarriage with complication (disorder) Edition SNOMED CT US Pregnancy 413339006 Failed trial of labor ‐ delivered (disorder) Edition Fetal or neonatal effect of diethylstilbestrol transmitted via placenta and/or SNOMED CT US Pregnancy 413340008 breast milk (disorder) Edition SNOMED CT US Pregnancy 413567003 Aplastic anemia associated with pregnancy (disorder) Edition SNOMED CT US Pregnancy 415105001 Placental abruption (disorder) Edition SNOMED CT US Pregnancy 415810004 Varices of umbilical cord (disorder) Edition SNOMED CT US Pregnancy 416402001 Gestational trophoblastic disease (disorder) Edition SNOMED CT US Pregnancy 416413003 Advanced maternal age gravida (finding) Edition SNOMED CT US Pregnancy 416669000 Invasive hydatidiform mole (disorder) Edition SNOMED CT US Pregnancy 417006004 Twin reversal arterial perfusion syndrome (disorder) Edition SNOMED CT US Pregnancy 417044008 Hydatidiform mole, benign (disorder) Edition SNOMED CT US Pregnancy 417150000 Exaggerated placental site (disorder) Edition

Page 438 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 417364008 Placental site nodule (disorder) Edition SNOMED CT US Pregnancy 417426005 Four vessels in umbilical cord (disorder) Edition SNOMED CT US Pregnancy 417570003 Gestational choriocarcinoma (disorder) Edition SNOMED CT US Pregnancy 423445003 Difficulty following prenatal diet (finding) Edition SNOMED CT US Pregnancy 423502007 Difficulty with postpartum rest pattern (finding) Edition SNOMED CT US Pregnancy 423675002 Difficulty following postpartum exercise routine (finding) Edition SNOMED CT US Pregnancy 423834007 Difficulty with prenatal rest pattern (finding) Edition SNOMED CT US Pregnancy 424009001 Fears delivery procedure (finding) Edition SNOMED CT US Pregnancy 424037008 Difficulty following prenatal exercise routine (finding) Edition SNOMED CT US Pregnancy 424474002 Difficulty coping with postpartum changes (finding) Edition SNOMED CT US Pregnancy 424712007 Difficulty following postpartum diet (finding) Edition SNOMED CT US Pregnancy 425708006 Placental aromatase deficiency (disorder) Edition SNOMED CT US Pregnancy 426403007 Late entry into prenatal care (finding) Edition SNOMED CT US Pregnancy 426997005 Traumatic injury during pregnancy (disorder) Edition SNOMED CT US Pregnancy 427013000 Alcohol consumption during pregnancy (finding) Edition SNOMED CT US Pregnancy 427139004 Third trimester bleeding (disorder) Edition

Page 439 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 428017002 Condyloma acuminata of vulva in pregnancy (disorder) Edition SNOMED CT US Pregnancy 428058009 Gestation less than 9 weeks (finding) Edition SNOMED CT US Pregnancy 428164004 Mitral valve disorder in pregnancy (disorder) Edition SNOMED CT US Pregnancy 428165003 Hypothyroidism in pregnancy (disorder) Edition SNOMED CT US Pregnancy 428230005 Trichomonal vaginitis in pregnancy (disorder) Edition SNOMED CT US Pregnancy 428252001 Vaginitis in pregnancy (disorder) Edition SNOMED CT US Pregnancy 428508008 Abortion due to Brucella abortus (disorder) Edition SNOMED CT US Pregnancy 428511009 Multiple pregnancy with one fetal loss (disorder) Edition SNOMED CT US Pregnancy 428566005 Gestation less than 20 weeks (finding) Edition SNOMED CT US Pregnancy 428567001 Gestation 14 ‐ 20 weeks (finding) Edition SNOMED CT US Pregnancy 428593008 Abortion due to Brucella canis (disorder) Edition SNOMED CT US Pregnancy 428707000 Nutritional deficiency in pregnancy (disorder) Edition SNOMED CT US Pregnancy 428930004 Gestation 9‐ 13 weeks (finding) Edition SNOMED CT US Pregnancy 429187001 Continuing pregnancy after intrauterine death of twin fetus (disorder) Edition SNOMED CT US Pregnancy 429240000 Third trimester pregnancy less than 36 weeks (finding) Edition SNOMED CT US Pregnancy 429715006 Gestation greater than 20 weeks (finding) Edition

Page 440 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 430881000 Second trimester bleeding (disorder) Edition SNOMED CT US Pregnancy 430883002 Failed instrumental delivery (disorder) Edition SNOMED CT US Pregnancy 430933008 Gravid uterus size for dates discrepancy (finding) Edition SNOMED CT US Pregnancy 439107005 Constriction band abnormality of placental amnion (disorder) Edition SNOMED CT US Pregnancy 439311009 Intends to continue pregnancy (finding) Edition SNOMED CT US Pregnancy 441697004 Thrombophilia associated with pregnancy (disorder) Edition SNOMED CT US Pregnancy 441924001 Gestational age unknown (finding) Edition Multiple pregnancy involving intrauterine pregnancy and tubal pregnancy SNOMED CT US Pregnancy 442478007 (disorder) Edition SNOMED CT US Pregnancy 443460007 Multigravida of advanced maternal age (finding) Edition SNOMED CT US Pregnancy 444661007 High risk pregnancy due to history of preterm labor (finding) Edition SNOMED CT US Pregnancy 445086005 Chemical pregnancy (disorder) Edition SNOMED CT US Pregnancy 445122007 Low lying placenta (finding) Edition SNOMED CT US Pregnancy 445149007 Residual trophoblastic disease (disorder) Edition SNOMED CT US Pregnancy 445548006 Dead fetus in utero (finding) Edition SNOMED CT US Pregnancy 449807005 Type 3a third degree laceration of perineum (disorder) Edition SNOMED CT US Pregnancy 449808000 Type 3b third degree laceration of perineum (disorder) Edition

Page 441 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 449809008 Type 3c third degree laceration of perineum (disorder) Edition SNOMED CT US Pregnancy 449827006 Lochia alba (finding) Edition SNOMED CT US Pregnancy 449828001 Lochia serosa (finding) Edition SNOMED CT US Pregnancy 450852006 Yolk sac present (finding) Edition SNOMED CT US Pregnancy 459166009 Dichorionic diamniotic twin pregnancy (disorder) Edition SNOMED CT US Pregnancy 459167000 Monochorionic twin pregnancy (disorder) Edition SNOMED CT US Pregnancy 459168005 Monochorionic diamniotic twin pregnancy (disorder) Edition Monochorionic diamniotic twin pregnancy with similar amniotic fluid volumes SNOMED CT US Pregnancy 459169002 (disorder) Edition Monochorionic diamniotic twin pregnancy with dissimilar amniotic fluid volumes SNOMED CT US Pregnancy 459170001 (disorder) Edition SNOMED CT US Pregnancy 459171002 Monochorionic monoamniotic twin pregnancy (disorder) Edition Continuing pregnancy after intrauterine death of one twin with intrauterine SNOMED CT US Pregnancy 472321009 retention of dead twin (disorder) Edition SNOMED CT US Pregnancy 472836003 Yolk sac absent (finding) Edition SNOMED CT US Pregnancy 609133009 Short cervical length in pregnancy (finding) Edition SNOMED CT US Pregnancy 609204004 Subchorionic hematoma (disorder) Edition SNOMED CT US Pregnancy 609441001 Fetal or neonatal effect of breech delivery (disorder) Edition Retained products of conception following induced termination of pregnancy SNOMED CT US Pregnancy 609443003 (disorder) Edition

Page 442 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 609446006 Induced termination of pregnancy with complication (disorder) Edition Induced termination of pregnancy complicated by damage to pelvic organs SNOMED CT US Pregnancy 609447002 and/or tissues (disorder) Edition Induced termination of pregnancy complicated by delayed and/or excessive SNOMED CT US Pregnancy 609448007 hemorrhage (disorder) Edition SNOMED CT US Pregnancy 609449004 Induced termination of pregnancy complicated by embolism (disorder) Edition Induced termination of pregnancy complicated by genital‐pelvic infection SNOMED CT US Pregnancy 609450004 (disorder) Edition SNOMED CT US Pregnancy 609451000 Induced termination of pregnancy complicated by metabolic disorder (disorder) Edition SNOMED CT US Pregnancy 609452007 Induced termination of pregnancy complicated by renal failure (disorder) Edition SNOMED CT US Pregnancy 609453002 Induced termination of pregnancy complicated by shock (disorder) Edition Induced termination of pregnancy complicated by acute necrosis of liver SNOMED CT US Pregnancy 609454008 (disorder) Edition SNOMED CT US Pregnancy 609455009 Induced termination of pregnancy complicated by acute renal failure (disorder) Edition SNOMED CT US Pregnancy 609456005 Induced termination of pregnancy complicated by afibrinogenemia (disorder) Edition SNOMED CT US Pregnancy 609457001 Induced termination of pregnancy complicated by air embolism (disorder) Edition Induced termination of pregnancy complicated by amniotic fluid embolism SNOMED CT US Pregnancy 609458006 (disorder) Edition SNOMED CT US Pregnancy 609459003 Induced termination of pregnancy complicated by blood‐clot embolism (disorder) Edition Induced termination of pregnancy complicated by cardiac arrest and/or failure SNOMED CT US Pregnancy 609460008 (disorder) Edition SNOMED CT US Pregnancy 609461007 Induced termination of pregnancy complicated by cerebral anoxia (disorder) Edition

Page 443 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Induced termination of pregnancy complicated by defibrination syndrome SNOMED CT US Pregnancy 609462000 (disorder) Edition Induced termination of pregnancy complicated by electrolyte imbalance SNOMED CT US Pregnancy 609463005 (disorder) Edition SNOMED CT US Pregnancy 609464004 Induced termination of pregnancy complicated by endometritis (disorder) Edition SNOMED CT US Pregnancy 609465003 Induced termination of pregnancy complicated by fat embolism (disorder) Edition Induced termination of pregnancy complicated by intravascular hemolysis SNOMED CT US Pregnancy 609466002 (disorder) Edition SNOMED CT US Pregnancy 609467006 Induced termination of pregnancy complicated by laceration of bowel (disorder) Edition Induced termination of pregnancy complicated by laceration of broad ligament SNOMED CT US Pregnancy 609468001 (disorder) Edition SNOMED CT US Pregnancy 609469009 Induced termination of pregnancy complicated by laceration of cervix (disorder) Edition SNOMED CT US Pregnancy 609470005 Induced termination of pregnancy complicated by laceration of uterus (disorder) Edition SNOMED CT US Pregnancy 609471009 Induced termination of pregnancy complicated by laceration of vagina (disorder) Edition Induced termination of pregnancy complicated by acute renal failure with oliguria SNOMED CT US Pregnancy 609472002 (disorder) Edition SNOMED CT US Pregnancy 609473007 Induced termination of pregnancy complicated by parametritis (disorder) Edition SNOMED CT US Pregnancy 609474001 Induced termination of pregnancy complicated by pelvic peritonitis (disorder) Edition SNOMED CT US Pregnancy 609475000 Induced termination of pregnancy complicated by perforation of bowel (disorder) Edition SNOMED CT US Pregnancy 609476004 Induced termination of pregnancy complicated by perforation of cervix (disorder) Edition Induced termination of pregnancy complicated by perforation of uterus SNOMED CT US Pregnancy 609477008 (disorder) Edition

Page 444 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Induced termination of pregnancy complicated by perforation of vagina SNOMED CT US Pregnancy 609478003 (disorder) Edition SNOMED CT US Pregnancy 609479006 Induced termination of pregnancy complicated by postoperative shock (disorder) Edition Induced termination of pregnancy complicated by pulmonary embolism SNOMED CT US Pregnancy 609480009 (disorder) Edition Induced termination of pregnancy complicated by renal tubular necrosis SNOMED CT US Pregnancy 609482001 (disorder) Edition SNOMED CT US Pregnancy 609483006 Induced termination of pregnancy complicated by salpingitis (disorder) Edition SNOMED CT US Pregnancy 609484000 Induced termination of pregnancy complicated by salpingo‐oophoritis (disorder) Edition SNOMED CT US Pregnancy 609485004 Induced termination of pregnancy complicated by sepsis (disorder) Edition SNOMED CT US Pregnancy 609486003 Induced termination of pregnancy complicated by septic embolism (disorder) Edition SNOMED CT US Pregnancy 609487007 Induced termination of pregnancy complicated by septic shock (disorder) Edition SNOMED CT US Pregnancy 609489005 Induced termination of pregnancy complicated by soap embolism (disorder) Edition SNOMED CT US Pregnancy 609490001 Induced termination of pregnancy complicated by uremia (disorder) Edition Induced termination of pregnancy complicated by urinary tract infection SNOMED CT US Pregnancy 609491002 (disorder) Edition SNOMED CT US Pregnancy 609492009 Induced termination of pregnancy without complication (disorder) Edition SNOMED CT US Pregnancy 609493004 Induced termination of pregnancy complicated by tetanus (disorder) Edition SNOMED CT US Pregnancy 609494005 Induced termination of pregnancy complicated by pelvic disorder (disorder) Edition SNOMED CT US Pregnancy 609496007 Complication occurring during pregnancy (disorder) Edition

Page 445 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 609497003 Venous complication in the puerperium (disorder) Edition SNOMED CT US Pregnancy 609498008 Induced termination of pregnancy complicated by laceration of bladder (disorder) Edition Induced termination of pregnancy complicated by laceration of periurethral SNOMED CT US Pregnancy 609499000 tissue (disorder) Edition Induced termination of pregnancy complicated by perforation of bladder SNOMED CT US Pregnancy 609500009 (disorder) Edition Induced termination of pregnancy complicated by perforation of broad ligament SNOMED CT US Pregnancy 609501008 (disorder) Edition Induced termination of pregnancy complicated by perforation of periurethral SNOMED CT US Pregnancy 609502001 tissue (disorder) Edition SNOMED CT US Pregnancy 609503006 Induced termination of pregnancy complicated by bladder damage (disorder) Edition SNOMED CT US Pregnancy 609504000 Induced termination of pregnancy complicated by bowel damage (disorder) Edition Induced termination of pregnancy complicated by broad ligament damage SNOMED CT US Pregnancy 609505004 (disorder) Edition SNOMED CT US Pregnancy 609506003 Induced termination of pregnancy complicated by cardiac arrest (disorder) Edition SNOMED CT US Pregnancy 609507007 Induced termination of pregnancy complicated by cardiac failure (disorder) Edition SNOMED CT US Pregnancy 609508002 Induced termination of pregnancy complicated by cervix damage (disorder) Edition SNOMED CT US Pregnancy 609510000 Induced termination of pregnancy complicated by infectious disease (disorder) Edition Induced termination of pregnancy complicated by periurethral tissue damage SNOMED CT US Pregnancy 609511001 (disorder) Edition SNOMED CT US Pregnancy 609512008 Induced termination of pregnancy complicated by oliguria (disorder) Edition SNOMED CT US Pregnancy 609513003 Induced termination of pregnancy complicated by uterus damage (disorder) Edition

Page 446 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 609514009 Induced termination of pregnancy complicated by vaginal damage (disorder) Edition SNOMED CT US Pregnancy 609515005 Epithelioid trophoblastic tumor (disorder) Edition SNOMED CT US Pregnancy 609516006 Gestational trophoblastic lesion (disorder) Edition SNOMED CT US Pregnancy 609519004 Gestational trophoblastic neoplasia (disorder) Edition SNOMED CT US Pregnancy 609525000 Miscarriage of tubal ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 698414000 Fetal or neonatal effect of complication of labor (disorder) Edition SNOMED CT US Pregnancy 698415004 Fetal or neonatal effect of complication of delivery (disorder) Edition SNOMED CT US Pregnancy 698497008 Fetal or neonatal effect of disproportion during labor (disorder) Edition SNOMED CT US Pregnancy 698498003 Fetal or neonatal effect of disproportion during delivery (disorder) Edition SNOMED CT US Pregnancy 698554000 Fetal or neonatal effect of malposition during labor (disorder) Edition SNOMED CT US Pregnancy 698555004 Fetal or neonatal effect of malposition during delivery (disorder) Edition SNOMED CT US Pregnancy 698582007 Fetal or neonatal effect of diethylstilbestrol transmitted via placenta (disorder) Edition SNOMED CT US Pregnancy 698583002 Fetal or neonatal effect of diethylstilbestrol transmitted via breast milk (disorder) Edition SNOMED CT US Pregnancy 698586005 Complete legal abortion complicated by excessive hemorrhage (disorder) Edition SNOMED CT US Pregnancy 698587001 Complete illegal abortion complicated by excessive hemorrhage (disorder) Edition SNOMED CT US Pregnancy 698632006 Pregnancy induced edema (disorder) Edition

Page 447 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 698636009 Complete legal abortion with complication (disorder) Edition SNOMED CT US Pregnancy 698638005 Pregnancy induced hypertension with pulmonary edema (disorder) Edition SNOMED CT US Pregnancy 698640000 Hypertension in the puerperium with pulmonary edema (disorder) Edition SNOMED CT US Pregnancy 698702007 Deep transverse arrest with persistent occipitoposterior position (disorder) Edition SNOMED CT US Pregnancy 698708006 Antepartum hemorrhage due to placenta previa type I (disorder) Edition SNOMED CT US Pregnancy 698709003 Antepartum hemorrhage due to placenta previa type II (disorder) Edition SNOMED CT US Pregnancy 698710008 Antepartum hemorrhage due to placenta previa type III (disorder) Edition SNOMED CT US Pregnancy 698711007 Antepartum hemorrhage due to placenta previa type IV (disorder) Edition SNOMED CT US Pregnancy 698712000 Antepartum hemorrhage due to cervical polyp (disorder) Edition SNOMED CT US Pregnancy 698713005 Antepartum haemorrhage due to cervical erosion (disorder) Edition SNOMED CT US Pregnancy 698716002 Preterm spontaneous labor with preterm delivery (finding) Edition SNOMED CT US Pregnancy 698717006 Preterm spontaneous labor with term delivery (finding) Edition SNOMED CT US Pregnancy 698791008 Fetal or neonatal effect of malpresentation during labor (disorder) Edition SNOMED CT US Pregnancy 698795004 Fetal or neonatal effect of malpresentation during delivery (disorder) Edition SNOMED CT US Pregnancy 699240001 Combined intrauterine and ovarian pregnancy (disorder) Edition SNOMED CT US Pregnancy 699949009 Retained placenta due to morbidly adherent placenta (disorder) Edition

Page 448 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 699950009 Anti‐D isoimmunization affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 700038005 Mastitis associated with lactation (disorder) Edition SNOMED CT US Pregnancy 702452007 Quadruplet birth (finding) Edition SNOMED CT US Pregnancy 702453002 Quintuplet birth (finding) Edition SNOMED CT US Pregnancy 702454008 Sextuplet birth (finding) Edition SNOMED CT US Pregnancy 702711004 Mental disorder in mother complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 703309000 Familial gestational hyperthyroidism (disorder) Edition SNOMED CT US Pregnancy 707089008 Genital tract infection in puerperium (disorder) Edition SNOMED CT US Pregnancy 707207004 Incomplete induced termination of pregnancy (disorder) Edition SNOMED CT US Pregnancy 712653003 Delivery by cesarean section for footling breech presentation (finding) Edition SNOMED CT US Pregnancy 712654009 Delivery by cesarean section for breech presentation (finding) Edition SNOMED CT US Pregnancy 712655005 Delivery by cesarean section for flexed breech presentation (finding) Edition SNOMED CT US Pregnancy 713187004 Polyhydramnios due to maternal disease (disorder) Edition SNOMED CT US Pregnancy 713191009 Polyhydramnios due to placental anomaly (disorder) Edition SNOMED CT US Pregnancy 713192002 Oligohydramnios due to rupture of membranes (disorder) Edition SNOMED CT US Pregnancy 713202001 Antepartum stillbirth (finding) Edition

Page 449 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 713204000 Non immune hydrops in newborn (disorder) Edition SNOMED CT US Pregnancy 713232009 Prolonged second stage of labor due to poor maternal effort (disorder) Edition SNOMED CT US Pregnancy 713249002 Pyogenic granuloma of gingiva co‐occurrent and due to pregnancy (disorder) Edition SNOMED CT US Pregnancy 713575004 Dizygotic twin pregnancy (disorder) Edition SNOMED CT US Pregnancy 713576003 Monozygotic twin pregnancy (disorder) Edition SNOMED CT US Pregnancy 715880002 Obstructed labor due to fetal abnormality (finding) Edition SNOMED CT US Pregnancy 716379000 Acute fatty liver of pregnancy (disorder) Edition SNOMED CT US Pregnancy 717816002 Infection of nipple associated with childbirth with attachment difficulty (disorder) Edition SNOMED CT US Pregnancy 717817006 Abscess of breast associated with childbirth with attachment difficulty (disorder) Edition Nonpurulent mastitis associated with childbirth with attachment difficulty SNOMED CT US Pregnancy 717818001 (disorder) Edition SNOMED CT US Pregnancy 717819009 Retracted nipple associated with childbirth with attachment difficulty (disorder) Edition SNOMED CT US Pregnancy 717820003 Cracked nipple associated with childbirth with attachment difficulty (disorder) Edition SNOMED CT US Pregnancy 717959008 Cardiac complication of anesthesia during the puerperium (disorder) Edition Central nervous system complication of anesthesia during the puerperium SNOMED CT US Pregnancy 717960003 (disorder) Edition SNOMED CT US Pregnancy 721022000 Complication of anesthesia during the puerperium (disorder) Edition SNOMED CT US Pregnancy 721153000 Congenital anomaly of mother complicating pregnancy (disorder) Edition

Page 450 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Human immunodeficiency virus complicating pregnancy childbirth and the SNOMED CT US Pregnancy 721166000 puerperium (disorder) Edition SNOMED CT US Pregnancy 721177006 Injury complicating pregnancy (disorder) Edition Protozoal disease complicating pregnancy childbirth and the puerperium SNOMED CT US Pregnancy 721201001 (disorder) Edition SNOMED CT US Pregnancy 722570003 Fetal or neonatal effect of meconium passage during delivery (disorder) Edition SNOMED CT US Pregnancy 723541004 Disease of respiratory system complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 723665008 Vaginal bleeding complicating early pregnancy (disorder) Edition SNOMED CT US Pregnancy 724483001 Concern about body image related to pregnancy (finding) Edition SNOMED CT US Pregnancy 724484007 Incomplete legal abortion without complication (disorder) Edition SNOMED CT US Pregnancy 724485008 Gestational proteinuria without hypertension (disorder) Edition SNOMED CT US Pregnancy 724486009 Venous disorder co‐occurrent with pregnancy (disorder) Edition SNOMED CT US Pregnancy 724488005 Preterm delivery following induction of labor (finding) Edition SNOMED CT US Pregnancy 724489002 Preterm delivery following Cesarean section (finding) Edition Intrapartum hemorrhage co‐occurrent and due to obstructed labor with uterine SNOMED CT US Pregnancy 724490006 rupture (disorder) Edition Vesicovaginal fistula with involvement of urinary continence mechanism SNOMED CT US Pregnancy 724491005 following normal delivery (disorder) Edition Vesicovaginal fistula with involvement of urinary continence mechanism due to SNOMED CT US Pregnancy 724492003 and following obstructed labor (disorder) Edition Vesicovaginal fistula with involvement of urinary continence mechanism SNOMED CT US Pregnancy 724493008 following obstetric delivery procedure (disorder) Edition

Page 451 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Vesicovaginal fistula with involvement of urinary continence mechanism SNOMED CT US Pregnancy 724494002 following termination of pregnancy procedure (disorder) Edition Postpartum hemorrhage co‐occurrent and due to uterine rupture following SNOMED CT US Pregnancy 724496000 obstructed labor (disorder) Edition Disease of circulatory system complicating pregnancy childbirth and puerperium SNOMED CT US Pregnancy 724497009 (disorder) Edition SNOMED CT US Pregnancy 733142005 Sepsis following obstructed labor (disorder) Edition SNOMED CT US Pregnancy 733839001 Postpartum acute renal failure (disorder) Edition SNOMED CT US Pregnancy 734857007 Injury of female genital organ due to obstetric procedure (disorder) Edition SNOMED CT US Pregnancy 735492001 Obstructed labor co‐occurrent and due to shoulder dystocia (finding) Edition SNOMED CT US Pregnancy 737318003 Delayed hemorrhage due to and following miscarriage (disorder) Edition SNOMED CT US Pregnancy 737320000 Delayed hemorrhage due to and following molar pregnancy (disorder) Edition SNOMED CT US Pregnancy 737321001 Excessive hemorrhage due to and following molar pregnancy (disorder) Edition SNOMED CT US Pregnancy 737322008 Delayed hemorrhage due to and following ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 737323003 Excessive hemorrhage due to and following ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 737324009 Embolism due to and following ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 737325005 Embolism due to and following molar pregnancy (disorder) Edition SNOMED CT US Pregnancy 737326006 Physiological shock due to and following molar pregnancy (disorder) Edition SNOMED CT US Pregnancy 737327002 Renal failure following molar pregnancy (disorder) Edition

Page 452 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 737329004 Damage to pelvic organs and tissues following ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 737330009 Damage to pelvic organs and tissues following molar pregnancy (disorder) Edition SNOMED CT US Pregnancy 737331008 Disorder of vein following miscarriage (disorder) Edition SNOMED CT US Pregnancy 737332001 Disorder of vein following ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 737333006 Disorder of vein following molar pregnancy (disorder) Edition SNOMED CT US Pregnancy 739668007 Rupture of uterus due to obstetric procedure (disorder) Edition SNOMED CT US Pregnancy 740597009 Umbilical cord complication during labor and delivery (disorder) Edition SNOMED CT US Pregnancy 762612009 Quadruplets with all four stillborn (finding) Edition SNOMED CT US Pregnancy 762613004 Quintuplets with all five stillborn (finding) Edition SNOMED CT US Pregnancy 762614005 Sextuplets with all six stillborn (finding) Edition SNOMED CT US Pregnancy 765182005 Pre‐eclampsia in puerperium (disorder) Edition SNOMED CT US Pregnancy 769087009 Vomiting during third trimester of pregnancy (disorder) Edition SNOMED CT US Pregnancy 161000119101 Placental abnormality, antepartum (finding) Edition Maternal obesity complicating pregnancy, childbirth and the puerperium, SNOMED CT US Pregnancy 171000119107 antepartum (disorder) Edition SNOMED CT US Pregnancy 521000119104 Acute cystitis in pregnancy, antepartum (disorder) Edition SNOMED CT US Pregnancy 531000119101 Hypothyroidism in pregnancy, antepartum (disorder) Edition

Page 453 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System Hypertension complicating pregnancy, childbirth and the puerperium, SNOMED CT US Pregnancy 541000119105 antepartum (disorder) Edition SNOMED CT US Pregnancy 1031000119109 Insufficient prenatal care (finding) Edition SNOMED CT US Pregnancy 1621000119101 Chlamydia trachomatis infection in pregnancy (disorder) Edition SNOMED CT US Pregnancy 4961000124100 White or yellow‐green tinged lochia (finding) Edition SNOMED CT US Pregnancy 4971000124107 Red or brown‐green tinged lochia (finding) Edition SNOMED CT US Pregnancy 5361000124103 Red‐green tinged lochia (finding) Edition SNOMED CT US Pregnancy 6251000119101 Induced termination of pregnancy in first trimester (disorder) Edition SNOMED CT US Pregnancy 6261000119104 Induced termination of pregnancy in second trimester (disorder) Edition SNOMED CT US Pregnancy 9111000119104 Musculoskeletal problem in pregnancy (disorder) Edition SNOMED CT US Pregnancy 9121000119106 Low back pain in pregnancy (finding) Edition SNOMED CT US Pregnancy 10211000132109 Perinatal depression (disorder) Edition SNOMED CT US Pregnancy 10231000132102 In‐vitro fertilization pregnancy (finding) Edition SNOMED CT US Pregnancy 16101000119107 Incomplete induced termination of pregnancy with complication (disorder) Edition SNOMED CT US Pregnancy 16111000119105 Incomplete spontaneous abortion due to hemorrhage (disorder) Edition SNOMED CT US Pregnancy 16271000119108 Pyelonephritis in pregnancy (disorder) Edition SNOMED CT US Pregnancy 18491000119109 Psychological disorder during pregnancy (disorder) Edition

Page 454 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 22281000119101 Post‐term pregnancy of 40 to 42 weeks (disorder) Edition SNOMED CT US Pregnancy 23431000119106 Rupture of uterus during labor (disorder) Edition SNOMED CT US Pregnancy 31801000146106 Pre‐existing maternal disease complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 32801000119106 Infectious disease in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 35381000119101 Quadruplet pregnancy with loss of one or more fetuses (disorder) Edition Continuing triplet pregnancy after spontaneous abortion of one or more fetuses SNOMED CT US Pregnancy 36801000119105 (disorder) Edition SNOMED CT US Pregnancy 38451000119105 Failed attempted vaginal birth after previous cesarean section (disorder) Edition Pregnancy with isoimmunization from irregular blood group incompatibility SNOMED CT US Pregnancy 39101000119109 (disorder) Edition SNOMED CT US Pregnancy 39121000119100 Pelvic mass in pregnancy (disorder) Edition SNOMED CT US Pregnancy 40511000119107 Postpartum pre‐existing essential hypertension (disorder) Edition SNOMED CT US Pregnancy 40521000119100 Postpartum pregnancy‐induced hypertension (disorder) Edition SNOMED CT US Pregnancy 40691000119104 Infectious disease of mother complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 40791000119105 Postpartum gestational diabetes mellitus (disorder) Edition SNOMED CT US Pregnancy 40801000119106 Gestational diabetes mellitus complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 60401000119104 Postpartum psychosis in remission (disorder) Edition SNOMED CT US Pregnancy 71151000119105 Umbilical cord three times around neck (disorder) Edition

Page 455 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 72161000119100 Antiphospholipid syndrome in pregnancy (disorder) Edition SNOMED CT US Pregnancy 72271000119100 Hyperthyroidism in pregnancy (disorder) Edition SNOMED CT US Pregnancy 72301000119103 Asthma in pregnancy (disorder) Edition SNOMED CT US Pregnancy 72321000119107 Sickle cell trait in mother complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 72331000119105 Thalassemia in mother complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 72771000119107 Postpartum episiotomy pain (finding) Edition SNOMED CT US Pregnancy 82771000119102 Hypertension complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 88201000119101 Failure of cervical dilation due to primary uterine inertia (disorder) Edition SNOMED CT US Pregnancy 94631000119100 Depressive disorder in mother complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 94641000119109 Anxiety in pregnancy (disorder) Edition SNOMED CT US Pregnancy 97101000119105 Viral disease of mother during pregnancy (disorder) Edition SNOMED CT US Pregnancy 97161000119106 Calculus in biliary tract in mother complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 100801000119107 Maternal tobacco use in pregnancy (finding) Edition SNOMED CT US Pregnancy 100841000119109 Previous bariatric surgery complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 100941000119100 Epilepsy in mother complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 104011000119109 Genital herpes simplex in mother complicating pregnancy (disorder) Edition

Page 456 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 104851000119103 Postpartum major depression in remission (disorder) Edition SNOMED CT US Pregnancy 106281000119103 Pre‐existing diabetes mellitus in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 110081000119109 Bacterial vaginosis in pregnancy (disorder) Edition SNOMED CT US Pregnancy 110091000119107 Candidiasis of vagina in pregnancy (disorder) Edition SNOMED CT US Pregnancy 114881000119108 Maternal gonorrhea during pregnancy (disorder) Edition Pre‐existing hypertensive chronic kidney disease in mother complicating SNOMED CT US Pregnancy 118781000119108 pregnancy (disorder) Edition SNOMED CT US Pregnancy 119891000119105 Postpartum hemorrhage due to total placenta previa (disorder) Edition SNOMED CT US Pregnancy 119901000119109 Hemorrhage co‐occurrent and due to partial placenta previa (disorder) Edition SNOMED CT US Pregnancy 120001000119107 Group B streptococcus carrier complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 134781000119106 High risk pregnancy due to recurrent miscarriage (finding) Edition SNOMED CT US Pregnancy 151441000119105 Twin live born in hospital by vaginal delivery (finding) Edition SNOMED CT US Pregnancy 152231000119106 Pregnancy not yet confirmed (finding) Edition SNOMED CT US Pregnancy 433601000124106 Gestation period greater than or equal to 37 weeks (finding) Edition SNOMED CT US Pregnancy 451881000124101 Tobacco use in mother complicating puerperium (finding) Edition SNOMED CT US Pregnancy 451891000124103 Tobacco use in mother complicating pregnancy (finding) Edition SNOMED CT US Pregnancy 451901000124104 Tobacco smoking in mother complicating puerperium (finding) Edition

Page 457 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 451911000124101 Tobacco smoking in mother complicating childbirth (finding) Edition SNOMED CT US Pregnancy 451921000124109 Tobacco smoking in mother complicating pregnancy (finding) Edition SNOMED CT US Pregnancy 457811000124103 Normal pregnancy in primigravida (finding) Edition SNOMED CT US Pregnancy 457821000124106 Normal pregnancy in multigravida (finding) Edition SNOMED CT US Pregnancy 10629511000119102 Rhinitis of pregnancy (disorder) Edition SNOMED CT US Pregnancy 10741751000119100 Anemia in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10741871000119101 Alcohol dependence in pregnancy (disorder) Edition SNOMED CT US Pregnancy 10742121000119104 Asthma in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10742471000119108 Previous bariatric surgery in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10743001000119103 Anxiety disorder in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10743121000119108 Aortic valve disorder in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10743651000119105 Inflammation of cervix in pregnancy (disorder) Edition SNOMED CT US Pregnancy 10743741000119103 Cardiac arrhythmia in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10743831000119100 Neoplasm of uterus affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 10743881000119104 Suspected fetal abnormality affecting management of mother (disorder) Edition Cardiac arrest due to administration of anesthesia for obstetric procedure in SNOMED CT US Pregnancy 10745231000119102 pregnancy (disorder) Edition

Page 458 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 10745291000119103 Malignant neoplastic disease in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10746341000119109 Acquired immune deficiency syndrome complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10749581000119100 Blood coagulation disorder complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10749641000119106 Blood coagulation disorder complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 10749691000119103 Obstetric anesthesia with cardiac complication in childbirth (disorder) Edition Obstetric anesthesia with central nervous system complication in childbirth SNOMED CT US Pregnancy 10749811000119108 (disorder) Edition SNOMED CT US Pregnancy 10749871000119100 Malignant neoplastic disease in pregnancy (disorder) Edition SNOMED CT US Pregnancy 10750051000119105 Chlamydia trachomatis infection in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10750111000119108 Breast lump in pregnancy (finding) Edition SNOMED CT US Pregnancy 10750161000119106 Cholestasis of pregnancy complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10750411000119102 Nonpurulent mastitis associated with lactation (disorder) Edition SNOMED CT US Pregnancy 10750551000119100 Obesity in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10750801000119102 False labor before 37 completed weeks of gestation (finding) Edition SNOMED CT US Pregnancy 10750951000119106 Epilepsy in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10750991000119101 Cyst of ovary in pregnancy (disorder) Edition SNOMED CT US Pregnancy 10751471000119101 Nutritional deficiency in mother complicating childbirth (disorder) Edition

Page 459 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 10751511000119105 Obstructed labor due to incomplete rotation of fetal head (finding) Edition SNOMED CT US Pregnancy 10751581000119104 Obstructed labor due to disproportion between fetus and pelvis (finding) Edition SNOMED CT US Pregnancy 10751631000119101 Obstructed labor due to abnormality of maternal pelvis (finding) Edition Spontaneous onset of labor between 37 and 39 weeks gestation with planned SNOMED CT US Pregnancy 10751701000119102 cesarean section (finding) Edition SNOMED CT US Pregnancy 10751771000119107 Placental abruption due to afibrinogenemia (disorder) Edition SNOMED CT US Pregnancy 10752251000119103 Galactorrhea in pregnancy (disorder) Edition SNOMED CT US Pregnancy 10752641000119102 Eclampsia with pre‐existing hypertension in childbirth (disorder) Edition SNOMED CT US Pregnancy 10752771000119100 Renal failure after ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 10753101000119102 Heart disease in mother complicating childbirth (disorder) Edition Premature rupture of membranes in full term pregnancy with onset of labor SNOMED CT US Pregnancy 10753181000119105 within 24 hours of rupture (disorder) Edition Premature rupture of membranes in full term pregnancy with onset of labor SNOMED CT US Pregnancy 10753231000119104 more than 24 hours after rupture (disorder) Edition Premature rupture of membranes in full term pregnancy with onset of labor SNOMED CT US Pregnancy 10753281000119103 unknown (disorder) Edition SNOMED CT US Pregnancy 10753491000119101 Gestational diabetes mellitus in childbirth (disorder) Edition SNOMED CT US Pregnancy 10754031000119105 Gonorrhea in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10754331000119108 Air embolism in childbirth (disorder) Edition SNOMED CT US Pregnancy 10754701000119100 Genital herpes simplex in mother complicating childbirth (disorder) Edition

Page 460 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 10754781000119108 Gallbladder calculus in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10754881000119104 Diabetes mellitus in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10754921000119106 Hyperthyroidism in childbirth (disorder) Edition SNOMED CT US Pregnancy 10755041000119100 Alcohol dependence in childbirth (disorder) Edition SNOMED CT US Pregnancy 10755161000119102 Drug dependence in childbirth (disorder) Edition SNOMED CT US Pregnancy 10755671000119100 Human immunodeficiency virus in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10755951000119102 Heart murmur in mother in childbirth (finding) Edition SNOMED CT US Pregnancy 10756101000119107 Group B streptococcus infection in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10756261000119102 Physical abuse complicating childbirth (finding) Edition SNOMED CT US Pregnancy 10756301000119105 Physical abuse complicating pregnancy (finding) Edition Pre‐existing hypertensive heart and chronic kidney disease in mother SNOMED CT US Pregnancy 10757401000119104 complicating childbirth (disorder) Edition Pre‐existing hypertensive heart disease in mother complicating childbirth SNOMED CT US Pregnancy 10757441000119102 (disorder) Edition Pre‐existing hypertensive heart and chronic kidney disease in mother SNOMED CT US Pregnancy 10757481000119107 complicating pregnancy (disorder) Edition Pre‐existing hypertensive heart disease in mother complicating pregnancy SNOMED CT US Pregnancy 10759031000119106 (disorder) Edition SNOMED CT US Pregnancy 10759111000119102 Viral hepatitis in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10759151000119101 Viral hepatitis in mother complicating pregnancy (disorder) Edition

Page 461 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 10759191000119106 Postpartum septic thrombophlebitis (disorder) Edition SNOMED CT US Pregnancy 10759231000119102 Salpingo‐oophoritis in pregnancy (disorder) Edition SNOMED CT US Pregnancy 10759311000119104 Pulmonary embolism in childbirth (disorder) Edition SNOMED CT US Pregnancy 10759351000119103 Sickle cell anemia in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10759401000119105 Sickle cell trait in mother complicating childbirth (disorder) Edition Preterm premature rupture of membranes with onset of labor later than 24 SNOMED CT US Pregnancy 10759611000119105 hours after rupture (disorder) Edition Preterm premature rupture of membranes with onset of labor unknown SNOMED CT US Pregnancy 10759661000119108 (disorder) Edition Preterm premature rupture of membranes with onset of labor within 24 hours of SNOMED CT US Pregnancy 10759711000119103 rupture (disorder) Edition SNOMED CT US Pregnancy 10759761000119100 Rubella in mother complicating childbirth (disorder) Edition Sexually transmitted infectious disease in mother complicating childbirth SNOMED CT US Pregnancy 10759841000119105 (disorder) Edition SNOMED CT US Pregnancy 10759881000119100 Tuberculosis in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10759921000119107 Syphilis in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10759961000119102 Viral disease in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10760001000119100 Thyroid disease in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10760041000119103 Thyroiditis in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10760081000119108 Pyemic and septic embolism in childbirth (disorder) Edition

Page 462 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 10760131000119108 Pyemic and septic embolism in pregnancy (disorder) Edition SNOMED CT US Pregnancy 10760221000119101 Uterine prolapse in pregnancy (disorder) Edition SNOMED CT US Pregnancy 10760261000119106 Uterine laceration during delivery (disorder) Edition SNOMED CT US Pregnancy 10760301000119103 Retraction of nipple associated with lactation (disorder) Edition SNOMED CT US Pregnancy 10760381000119106 Thyroiditis in pregnancy (disorder) Edition SNOMED CT US Pregnancy 10760421000119102 Psychotic disorder in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10760461000119107 Psychotic disorder in mother complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 10760541000119109 Traumatic injury to vulva during pregnancy (disorder) Edition SNOMED CT US Pregnancy 10760581000119104 Pain in round ligament in pregnancy (finding) Edition SNOMED CT US Pregnancy 10760661000119109 Triplets, some live born (finding) Edition SNOMED CT US Pregnancy 10760701000119102 Quadruplets, all live born (finding) Edition SNOMED CT US Pregnancy 10760741000119100 Quadruplets, some live born (finding) Edition SNOMED CT US Pregnancy 10760781000119105 Quintuplets, all live born (finding) Edition SNOMED CT US Pregnancy 10760821000119100 Quintuplets, some live born (finding) Edition SNOMED CT US Pregnancy 10760861000119105 Sextuplets, all live born (finding) Edition SNOMED CT US Pregnancy 10760901000119104 Sextuplets, some live born (finding) Edition

Page 463 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 10760981000119107 Psychological abuse complicating pregnancy (finding) Edition SNOMED CT US Pregnancy 10761021000119102 Sexual abuse complicating childbirth (finding) Edition SNOMED CT US Pregnancy 10761061000119107 Sexual abuse complicating pregnancy (finding) Edition SNOMED CT US Pregnancy 10761101000119105 Vacuum assisted vaginal delivery (finding) Edition Preterm labor in second trimester with preterm delivery in second trimester SNOMED CT US Pregnancy 10761141000119107 (finding) Edition SNOMED CT US Pregnancy 10761191000119104 Preterm labor in third trimester with preterm delivery in third trimester (finding) Edition SNOMED CT US Pregnancy 10761241000119104 Preterm labor with preterm delivery (finding) Edition SNOMED CT US Pregnancy 10761341000119105 Preterm labor without delivery (finding) Edition SNOMED CT US Pregnancy 10761391000119102 Tobacco use in mother complicating childbirth (finding) Edition SNOMED CT US Pregnancy 10805641000119102 Congenital cardiovascular anomaly in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10806041000119104 Infection of nipple associated with lactation (disorder) Edition SNOMED CT US Pregnancy 10806241000119108 Thalassemia in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10807061000119103 Liver disorder in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10808861000119105 Maternal distress during childbirth (disorder) Edition SNOMED CT US Pregnancy 10809061000119106 Malaria in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10809101000119109 Hypothyroidism in childbirth (disorder) Edition

Page 464 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 10809641000119100 Mitral valve disorder in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10811121000119102 Major depressive disorder in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10811161000119107 Major depressive disorder in mother complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 10811201000119102 Mental disorder in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10812041000119103 Urinary tract infection due to incomplete miscarriage (disorder) Edition SNOMED CT US Pregnancy 10812081000119108 Iron deficiency anemia in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10812131000119108 Malnutrition in mother complicating childbirth (disorder) Edition Antepartum hemorrhage due to disseminated intravascular coagulation SNOMED CT US Pregnancy 10835571000119102 (disorder) Edition SNOMED CT US Pregnancy 10835621000119104 Congenital anomaly of vagina in mother complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 10835701000119102 Congenital anomaly of vulva in mother complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 10835781000119105 Amniotic fluid embolism in childbirth (disorder) Edition SNOMED CT US Pregnancy 10835871000119104 Depressive disorder in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10835971000119109 Anti‐A sensitization in pregnancy (disorder) Edition SNOMED CT US Pregnancy 10836071000119101 Dislocation of symphysis pubis in pregnancy (disorder) Edition SNOMED CT US Pregnancy 10836241000119104 Cracked nipple associated with lactation (disorder) Edition SNOMED CT US Pregnancy 11718971000119100 Diarrhea in pregnancy (disorder) Edition

Page 465 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Value Set Name Code Definition Code System SNOMED CT US Pregnancy 15643101000119103 Gastroesophageal reflux disease in pregnancy (disorder) Edition SNOMED CT US Pregnancy 15750121000119108 Pre‐existing severe obesity in mother complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 16320551000119109 Bleeding from female genital tract co‐occurrent with pregnancy (disorder) Edition

Page 466 of 467 November 2019 PT‐ 2020 Measure Value Set_Controlling Blood Pressure

Exclusion Medication Set Description Prescription Dementia Medications Cholinesterase inhibitors Donepezil Dementia Medications Cholinesterase inhibitors Galantamine Dementia Medications Cholinesterase inhibitors Rivastigmine Dementia Medications Miscellaneous central nervous system agents Memantine

Page 467 of 467 November 2019