Table 2 Definitions for Conditions That Comprise Poor Health Status

End-Stage Medical Conditions

Metastatic cancer

196.x - 199.x

C77.x - C80.x

N/A

Oxygen-dependent lung disease

V46.2

Z99.81

 N/A

Chronic kidney disease, stages IV-V

585.4, 585.5

N18.4, N18.5

 N/A

End-stage renal disease

585.6, V45.11

N18.6, Z99.2

 N/A

Heart failure^a

398.91, 402.01, 402.11, 402.91, 404.01, 404.03, 404.11, 404.13, 404.91, 404.93, 425.4, 425.5, 425.7, 425.8, 425.9, 428.x, 37.66, 37.51, 37.52, V42.1, 996.83, V43.21

I09.9, I11.0, I13.0, I13.2, I25.5, I42.0, I42.5, I42.6, I42.7, I42.8, 142.9, I43.x, I50.x, Z95.811, T86.2x, Z48.21, Z94.1, 02HA0QZ, 02YA0Z0, 02YA0Z1,

N/A

Dementia

331.0, 331.01, 331.11, 331.19, 331.2, 331.7, 331.82 290.0, 290.10, 290.11, 290.12, 290.13, 290.20, 290.21, 290.3, 290.10, 290.41, 290.42, 290.43, 291.2, 294.0, 294.10, 294.11, 294.20, 294.21, 294.8, 797

F01.50, F01.51, F02.80, F02.81, F03.90, F03.91, F04, G13.8, F05, F06.1, F06.8, F10.27, G30.0, G30.1, G30.8, G30.9, G31.1, G31.2, G31.01, G31.09, G31.83, G94, R41.81, R54

N/A

Long-term nursing facility residence^b

99301-99303, 99311-99313, 99,315, 99,316, 99,379, 99,380, G0066