Updated 12/27/2022
The CMS-2746 Form (Death Notification) is required by CMS to be submitted in EQRS within 14 days of the patient's date of death (DOD).
If you are trying to complete the 2746 but have lost Scope of the patient, please do the following:
- delete the Discharge info from the Admit page
- Add Date of Death/Cause of Death to the Attributes page
- check that the discharge info Re-Appears on the Admit page
- check if the 2746 becomes populated
COVID-19 Codes:
Form 2746 Death Code | ICD 10 Code | Description | Additional Information |
105 | U07.1 | COVID19 | https://www.cdc.gov/nchs/data/icd/COVID-19-guidelines-final.pdf |
106 | U07.2 | COVID19 Unconfirmed |
The list of ESRD Death Codes can be found on page 2 of the 2746 Form:
https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/downloads/CMS2746.pdf
Updated