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

https://www.who.int/classifications/icd/covid19/en/

 

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