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Table 1 Claims-Based Surrogates of Frailty

From: Accuracy of diagnosis and health service codes in identifying frailty in Medicare data

Conditions Suggestive of Frailty

ICD-9/10 or HCPCS Codes

Pressure ulcer

(ICD9) 707.0X, 707.2X, (ICD10) L89.XX

Cachexia

(ICD9) 799.4, (ICD10) R64

Adult failure to thrive

(ICD9) 783.7, (ICD10) R62.7

Muscle weakness

(ICD9) 728.87, (ICD10) M62.81

Debility

(ICD9) 799.3, (ICD10) R54

Difficulty in walking

(ICD9) 719.7, (ICD10) R26.2

History of fall

(ICD9) V15.88, (ICD10) Z91.81

Abnormality of gait

(ICD9) 781.2, (ICD10) R26.0, R26.1, R26.89, R26.9

Anorexia

(ICD9) 783.0, (ICD10) R63.0

Abnormal loss of weight and underweight

(ICD9) 783.21, 783.22 (ICD10) R63.4, R63.6

Muscular wasting and disuse atrophy

(ICD9) 728.2, (ICD10) M62.50

Senility without mention of psychosis

(ICD9) 797, (ICD10) R41.81

Malaise and fatigue

(ICD9) 780.79, (ICD10) R53.1, R53.81, R53.83

Hospital beds and associated supplies

(HCPCS) E0250-E0373

Wheelchairs, components, and accessories

(HCPCS) E0950-E1298, E2201-E2294, E2300-E2399, E2601-E2621, K0001-K0195, K0669

Accessories for oxygen delivery devices

(HCPCS) E1353-E1406

Walking aids and attachments

(HCPCS) E0100-E0159

Transportation services including ambulance

(HCPCS) A0021-A0999

  1. Abbreviations: HCPCS Healthcare Common Procedure Coding System, ICD International Classification of Diseases