CMS-10210 Perinatal Care (PC)-01 Measure

Hospital Inpatient Quality Reporting Program
Perinatal Care (PC)-01 Measure
Please Note: A data collection tool available within the Hospital Quality Reporting system via
the Hospital Quality Reporting Secure Portal allows hospitals to complete and submit their PC01 measure data. This document is a representation of the text contained in the PC-01 measure
data form and is for reference purposes only.

PC-01
Elective Delivery

Population
* What was your hospital’s Total Mother Population?
Ex. 0, 1, 2, 3, ……, 999999
* What was your hospital’s sample size?
Ex. 0, 1, 2, 3, ……, 999999
* What was your hospital’s sample size? (Drop Down)
•
•
•
•

Monthly
Quarterly
Not Sampled
N/A, Submission of Data Not Required

Numerator
* What was the number of patients with elective delivery?
Ex. 0, 1, 2, 3, ……, 999999
Denominator
* What was the total number of patients delivering newborns with > = 37 and < 39 weeks
of gestation completed?
Ex. 0, 1, 2, 3, ……, 999999
Exclusions
* What was the exclusion count for the ICD-10-CM Principal or Other Diagnosis Code for
elective delivery?
Ex. 0, 1, 2, 3, ……, 999999

January 2022

Hospital Inpatient Quality Reporting Program
Perinatal Care (PC)-01 Measure
* What was the exclusion count for Gestational age patients < 37 or > = 39 weeks?
Ex. 0, 1, 2, 3, ……, 999999
* What was the exclusion count for those with a History of Stillbirth?
Ex. 0, 1, 2, 3, ……, 999999

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January 2022