-
effectivehealthcare.ahrq.gov/products/performance-measure-codes/method-report
-
effectivehealthcare.ahrq.gov/sites/default/files/s81.pdf
October 01, 2007 - Given approximately 20,000
ICD-9-CM codes in use, individual codes possibly predictive
of a type of ADE … The complete
list of codes is available from the authors. … These
fields included adverse event codes. … We created dummy variables
that aggregated the codes. … Because
the at-risk indicator was positive if any of the selected codes
were present, all codes had equal
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/rheumatoid-arthritis-hospitalizations_research.pdf
October 01, 2008 - ICD9-CM Codes Used in Computerized Definitions ................................................... 8 … The PPV for pneumonia codes listed in the
primary diagnosis field was 95% (95% CI: 90-98). … The PPV for codes in secondary fields was 75% (95% CI: 58-88). … diagnosis codes among hospitalized veterans. … Validation
of diagnostic codes within medical services
claims.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/diabetes-foot-ulcer-amputation-prevalence_research.pdf
February 01, 2011 - Algorithm 2: An individual was determined to have diabetes if he or she had
two or more ICD-9 codes … consistent with diabetes or at least one
inpatient claim with ICD-9 codes consistent with diabetes … consistent with diabetes or at least one
inpatient claim with ICD-9 codes consistent with diabetes … PAD was ascertained based on the following ICD-9
codes: 250.70, 440.20-24, 443.9. … PAD was ascertained based on the following
ICD-9 codes: 250.70, 440.20-24, 443.9.
REFERENCES
1.
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/diabetes-foot-ulcer-amputation-incidence_research.pdf
January 01, 2011 - consistent with
diabetes or at least one inpatient claim with ICD-9
codes consistent with diabetes … (84.10-17, 84.3), or
ICD-9 diagnosis codes (895.0, 895.1, 896.0-3, 897.0-7,
V497.0-6) and a previous … 6-month period without
any of these CPT codes or ICD-9 codes. … The
former set of ICD-9 codes represents the following
macrovascular diseases: peripheral arterial … The latter set of ICD-9 codes
represents the following microvascular diseases: diabetic
renal disease
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/icd-categories-prevalence-reimbursement_research.pdf
January 01, 2011 - supplementary classification of factors
influencing health status and contact with
health services (V-codes … The total per
claim reimbursement was also greatest
for V-codes, nearly $5,200 per skilled
nursing … For each of
the 18 ICD-9 chapters (plus E-codes), Table 2 lists the 3-digit
ICD-9 categories representing … an
d
Neoplasms
Nervous system diseases
Complications of pregnancy, childbirth, and puerperium
E-codes … ICD-9 chapters among skilled nursing facility claims
40
30
20
10
0
%
2006 2007 2008 2009
V-codes
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/cardiology-health-outcomes_research.pdf
July 01, 2010 - (codes 70498, 75660, 75662, 75665, 75671, 75676,
and 75680). … , and 425.4-425.9),
coronary artery disease (codes 410.x-414.x, 429.2, and V45.81), dementia (codes … 290.x, 294.1,
and 331.2), diabetes mellitus (code 250), hypertension (codes 401-405 and 437.2), and … V43.4) and
cerebrovascular disease (codes 434.x-438.x). … Accuracy of ICD-9-CM codes for
identifying cardiovascular and stroke risk
factors.
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/bariatric-surgery_research.pdf
June 01, 2010 - Classification of Disease-9 Clinical Modification (ICD-9-CM) codes, National Drug Codes
(NDC) or … Diagnosis Related Group (DRG) codes. … , prescription NDC codes,
and costs and charges (submitted, allowed, and paid). … Bariatric Operations
DRG
codes 288 Procedures for Obesity Other
CPT
codes
43644 Laparoscopy, … treatment for disease who may not have been identified using ICD diagnosis
codes).
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/cancer-end-of-life-quality-meaures_research.pdf
April 01, 2010 - Cancer type was defined by SEER histology codes. … retrospective cohort using Medicare J-codes for drugs used by Earle.8 Additional J-codes for
chemotherapy … • PACE/ PAAD NDC codes for drugs listed in
Appendix 2. … • PACE/ PAAD NDC codes for drugs listed in
Appendix 2. … • Medicare claims
ICD-9 diagnosis codes DRGs
(36)
Codes are documented in
Appendix C.
-
effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/white-paper-library-asthma.pdf
April 01, 2019 - )
2.16.840.1.113883.3.117.1.7.1.271
• Asthma (PCPI Foundation, 83 codes)
2.16.840.1.113883.3.526.3.362 … • Asthma Diagnosis Grouping (AAAAI, 104 codes)
2.16.840.1.113762.1.4.1047.309
• Preferred Asthma … Therapy (NCQA, 105 codes)
16.840.1.113883.3.464.1003.196.12.1212
Reasons for differences include … • +/- inclusion of retired codes.
• Different groups find different codes. … • +/- inclusion on non-billable ICD codes.
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/radiotherapy-proton-beam_research.pdf
May 01, 2012 - LCDs, which specify
conditions for payment of claims, includ-
ing acceptable procedure and diagnosis
codes … APC codes 664 and 667 and HCPCS
codes 77520, 77522, 77523, and 77525 are used to bill for proton
beam … In
cases where multiple diagnosis codes are
associated with proton beam radiotherapy
for a single … patient, we choose the most
common diagnosis code within the neo-
plasm range of ICD-9 codes (140-239 … We assigned
proton beam recipients to
their provider by matching
ZIP Codes for service provid-
ers
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/diabetes-foot-ulcer-amputation-economics_research.pdf
January 01, 2011 - diabetes if he or she had two
or more claims with International Classification of Diseases
(ICD-9) codes … consistent with diabetes or at least one
inpatient claim with ICD-9 codes consistent with diabetes … nonprimary) diagnosis of foot
ulcer during the given calendar year (based on the fol-
lowing ICD-9 codes … Any benefi-
ciary with diabetes and a venous leg ulcer (based on the
following ICD-9 codes: 454.0, 454.1 … populations by the presence in an outpatient or
carrier claim with one of the following procedure codes
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/cancer-drugs-utilization-cost_research.pdf
January 01, 2011 - HCPCS and CPT codes used to identify biologics of interest during the
study period
Biologic HCPCS … (e.g., J codes, A codes) and Current
Procedural Terminology (CPT) codes
(see Table 2). … Biologics were identified
in Medicare Part D claims via National
Drug Codes (NDCs) (codes available … When biologics are
introduced to the market, they are often
assigned nonspecific HCPCS codes
(e.g … throughout the year; (b) used the
CWF to extract all Parts A and B claims containing HCPCS or CPT
codes
-
effectivehealthcare.ahrq.gov/sites/default/files/ch_8-user-guide-to-ocer_130129.pdf
October 01, 2013 - The ICD, Ninth Revision, Clinical
Modification (ICD-9-CM) is the official system
of assigning codes … The validity of codes for procedures
exceeds the validity of diagnostic codes, as
procedural billing … For
diagnosis codes, however, a diagnosis that is under
evaluation (e.g., a medical visit or a test … Food and Drug Administration
(FDA) has authority over the NDC codes. … Validation of ICD-9-CM diagnostic codes for
inflammatory bowel disease among veterans.
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/diabetes-medicare-use_research.pdf
January 01, 2014 - Persons with type 2 diabetes who had
evidence of insulin use from HCPCS†
codes in either the Carrier … eligibility status of each beneficiary, us-
ing the monthly State Reported Dual
Eligibility Status Codes … 90724, 90658, 90659, G0008,
and 90656 to identify flu shots, and CPT
codes 67028, 67030, 67031, 67036 … CPT codes 83036, 83037, 3044F, 3045F,
3046F, and 3047F were used to identify
HbA1c tests, and CPT codes … First, our classification of diabetics is based on diagnosis
codes and procedure codes related to insulin
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/heart-failure-rehospitalization_research.pdf
November 01, 2007 - These codes have been shown to have a
positive predictive value of more than 95% for clinical heart … Relevant
diagnoses were identified using ICD-9 codes and procedures were identified using both ICD-9 … -
CM and current procedural terminology (CPT) codes. … )
Drugs: PIMS (Kaiser outpatient pharmacy database) (NDC Codes and AHFS Classifications)
Harvard … Drugs: Pharmacy claims for filled prescriptions (NDC Codes and AHFS Classifications)
29
3
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/distributed-network-expansion_research.pdf
April 01, 2012 - , inpatient procedure
codes, and enrollment. … Changed “Outpatient Procedure Codes” to “ICD-9
Procedure Codes” throughout. … , inpatient procedure codes, and enrollment. … Parameters for ICD-9 procedure codes query
Parameter Description
Procedure Code List of procedure codes … codes and names.
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-assessing-impact.pdf
September 01, 2018 - Assessing the Impact of Indexing Performance Measure Codes on the Perceived Value of EPC Reports to Health … Systems
Methods Research Report
Assessing the Impact of Indexing Performance
Measure Codes on the … Systems
Methods Research Report
Assessing the Impact of Indexing Performance
Measure Codes … Assessing the Impact of Indexing
Performance Measure Codes on the Perceived Value of EPC Reports to … University Health System
Raleigh-Durham, NC
vi
Assessing the Impact of Indexing Performance
Measure Codes
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/administrative-data-validity_research.pdf
January 01, 2007 - Table 1 includes diagnosis codes of interest and was developed in concert with an expert
cardiologist … with attention to codes utilized in similar studies. … SCD/VA ICD-9 diagnosis codes
ICD-9 Code Description
427.1 Paroxysmal Ventricular Tachycardia; Ventricular … Discussion: The positive predictive value (PPV) of SCD/VA diagnosis codes of 18% was much lower than
-
effectivehealthcare.ahrq.gov/sites/default/files/upenn-final-report-2005-certs-ce-supplement.pdf
January 01, 2005 - Table 1 includes diagnosis codes of interest and was developed in concert with an expert
cardiologist … with attention to codes utilized in similar studies. … SCD/VA ICD-9 diagnosis codes
ICD-9 Code Description
427.1 Paroxysmal Ventricular Tachycardia; Ventricular … Discussion: The positive predictive value (PPV) of SCD/VA diagnosis codes of 18% was much lower than