Disease State | ICD-9 Codes |
---|---|
Hospitalizations | |
Community Acquired | 1) 480.x-486.x, 487.0 Pneumonia as a principal diagnosis; OR |
Pneumonia (CAP) | 2) 518.8× Respiratory Failure or 038.xx Septicemia as a principal diagnosis with Pneumonia as a secondary diagnosis on the same claim line |
Acute Myocardial Infarction | 410.xx |
Stroke | 433.×1, 434.×1, 436.xx |
Osteoporotic Fractures | |
 Hip, closed | 820.0, 820.2, 820.8, 733.14 |
 Forearm, closed | 813.0, 813.2, 813.4, 813.8, 733.12 |
 Pelvis, closed | 808.0, 808.2, 808.4, 808.8 |
 Distal femur, closed | 821.0, 821.2, 733.15 |
 Wrist, closed | 813.4, 733.12 |
 Humerus, closed | 812.0, 812.2, 812.4, 733.11 |
 Tibia/fibula, closed | 823.0, 823.2, 823.8, 733.16 |
 Clavicle, closed | 810.0 |
 | (excluding E-codes for fractures due to accident or trauma (E800-E848, E881-E884, E908-E909, E916-E928) and revision surgeries (ICD-9 procedure codes 00.71, 81.53, 78.6; ICD-9 Diagnosis codes 733.81, 733.82) |
Comorbidities | |
Chronic Pulmonary Disease | 490.xx-496.xx, 500.xx-505.xx, 506.4 |
Cancer (Including Leukemia and Lymphoma) | 140.xx-172.xx, 174.xx-195.xx, 200.xx-208.xx |
Asthma | ICD-9 Diagnosis: 493.0×-493.2× |
Heart failure | ICD-9 Diagnosis: 428.xx |
Cardiomyopathy | ICD-9 Diagnosis: 425.xx |
Diabetes | ICD-9 Diagnosis: 249.xx-250.xx, 648.xx |
Liver disease | ICD-9 Diagnosis: 570.xx-573.xx, V10.017 |
Coronary artery disease | ICD-9 Diagnosis: 414.0× |