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qualityindicators.ahrq.gov/Downloads/Modules/PQI/v2020/TechSpecs/PQI_05_Chronic_Obstructive_Pulmonary_Disease_(COPD)_or_Asthma_in_Older_Adults_Admission_Rate.pdf
July 01, 2020 - Rate
July 2020
DESCRIPTION
Admissions with a principal diagnosis of chronic obstructive pulmonary disease … with (acute) exacerbation
J42 Unspecified chronic bronchitis J449 Chronic obstructive pulmonary disease … 3 of 6July 2020
AHRQ QI™ ICD-10-CM/PCS Specification v2020
PQI 05 Chronic Obstructive Pulmonary Disease … capillary dysplasia with vein
misalignment
Q333 Agenesis of lung
J84848 Other interstitial lung diseases … perinatal period
Q336 Congenital hypoplasia and dysplasia of
lung
P278 Other chronic respiratory diseases
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qualityindicators.ahrq.gov/Downloads/Modules/PDI/v2019/TechSpecs/PDI_16_Gastroenteritis_Admission_Rate.pdf
July 01, 2019 - rectal bleeding
K51412 Inflammatory polyps of colon with
intestinal obstruction
K50012 Crohn's disease … of large intestine with
fistula
K51514 Left sided colitis with abscess
K50114 Crohn's disease of … large intestine with
abscess
K51518 Left sided colitis with other complication
K50118 Crohn's disease … Cyclosporiasis
A047 Enterocolitis due to Clostridium
difficile
A078 Other specified protozoal intestinal
diseases … A048 Other specified bacterial intestinal
infections
A079 Protozoal intestinal disease, unspecified
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qualityindicators.ahrq.gov/Downloads/Modules/PDI/v2020/TechSpecs/PDI_16_Gastroenteritis_Admission_Rate.pdf
March 01, 2021 - without
complications
K51411 Inflammatory polyps of colon with rectal
bleeding
K50011 Crohn's disease … of large intestine with
fistula
K51514 Left sided colitis with abscess
K50114 Crohn's disease of … large intestine with
abscess
K51518 Left sided colitis with Other complication
K50118 Crohn's disease … , unspecified, with fistula K51914 Ulcerative colitis, Unspecified with
abscess
K50914 Crohn's disease … Enterocolitis due to clostridium difficile,
recurrent
A078 Other specified protozoal intestinal
diseases
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qualityindicators.ahrq.gov/Downloads/Modules/PDI/v2021/TechSpecs/PDI_16_Gastroenteritis_Admission_Rate.pdf
July 01, 2021 - rectal bleeding
K51412 Inflammatory polyps of colon with
intestinal obstruction
K50012 Crohn's disease … small intestine with
fistula
K51414 Inflammatory polyps of colon with
abscess
K50014 Crohn's disease … of large intestine with
fistula
K51514 Left sided colitis with abscess
K50114 Crohn's disease of … large intestine with
abscess
K51518 Left sided colitis with Other complication
K50118 Crohn's disease … Enterocolitis due to clostridium difficile,
recurrent
A078 Other specified protozoal intestinal
diseases
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qualityindicators.ahrq.gov/Downloads/Modules/PQI/v2019/TechSpecs/PQI_05_Chronic_Obstructive_Pulmonary_Disease_(COPD)_or_Asthma_in_Older_Adults_Admission_Rate.pdf
July 01, 2019 - Indicator
Type of Score: Rate
Prevention Quality Indicator 05 (PQI 05) Chronic Obstructive
Pulmonary Disease … Rate
July 2019
DESCRIPTION
Admissions with a principal diagnosis of chronic obstructive pulmonary disease … Emphysema, unspecified
J411 Mucopurulent chronic bronchitis J440 Chronic obstructive pulmonary disease … capillary dysplasia with vein
misalignment
Q333 Agenesis of lung
J84848 Other interstitial lung diseases … perinatal period
Q336 Congenital hypoplasia and dysplasia of
lung
P278 Other chronic respiratory diseases
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qualityindicators.ahrq.gov/Downloads/Modules/PQI/v2021/TechSpecs/PQI_05_Chronic_Obstructive_Pulmonary_Disease_(COPD)_or_Asthma_in_Older_Adults_Admission_Rate.pdf
July 01, 2021 - Indicator
Type of Score: Rate
Prevention Quality Indicator 05 (PQI 05) Chronic Obstructive
Pulmonary Disease … Rate
July 2021
DESCRIPTION
Admissions with a principal diagnosis of chronic obstructive pulmonary disease … with (acute) exacerbation
J42 Unspecified chronic bronchitis J449 Chronic obstructive pulmonary disease … capillary dysplasia with vein
misalignment
Q333 Agenesis of lung
J84848 Other interstitial lung diseases … perinatal period
Q336 Congenital hypoplasia and dysplasia of
lung
P278 Other chronic respiratory diseases
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qualityindicators.ahrq.gov/Downloads/ICD10/PQI%2010%20Dehydration%20Admission%20Rate.xlsx
January 01, 2010 - renal disease
403.11 Hypertensive chronic kidney disease, benign, with chronic kidney disease stage … disease, unspecified, with chronic kidney disease stage V or end stage renal disease N18.5 Chronic kidney … and with chronic kidney disease stage V or end stage renal disease N18.6 End stage renal disease
404.03 … disease stage V or end stage renal disease
404.12 Hypertensive heart and chronic kidney disease, benign … stage renal disease
585.5 Chronic kidney disease, Stage V
585.6 End stage renal disease
Delete ICD
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qualityindicators.ahrq.gov/Downloads/Modules/IQI/v2020/TechSpecs/IQI_18_Gastrointestinal_Hemorrhage_Mortality_Rate.pdf
March 01, 2021 - ICD-10-CM diagnosis code for esophageal varices with bleeding (FTR6GV*) when
there is an underlying disease … Carcinoma in situ of liver, gallbladder and
bile ducts
K7589 Other specified inflammatory liver
diseases … , unspecified K7689 Other specified diseases of liver
K710 Toxic liver disease with cholestasis K769 … Liver disease, unspecified
K7110 Toxic liver disease with hepatic necrosis,
without coma
K77 Liver … disorders in diseases classified
elsewhere
K7111 Toxic liver disease with hepatic necrosis,
with
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qualityindicators.ahrq.gov/Downloads/Modules/IQI/v2021/TechSpecs/IQI_18_Gastrointestinal_Hemorrhage_Mortality_Rate.pdf
July 01, 2021 - of large intestine with
rectal bleeding
K2101 Gastro-Esophageal reflux disease with
esophagitis … uncertain behavior of liver,
gallbladder and bile ducts
K7589 Other specified inflammatory liver
diseases … diseases of liver
K7110 Toxic liver disease with hepatic necrosis,
without coma
K769 Liver disease … , unspecified
K7111 Toxic liver disease with hepatic necrosis,
with coma
K77 Liver disorders in diseases … disease with chronic lobular
hepatitis
K9182 Postprocedural hepatic failure
K7150 Toxic liver disease
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qualityindicators.ahrq.gov/Downloads/Modules/IQI/v2019/TechSpecs/IQI_18_Gastrointestinal_Hemorrhage_Mortality_Rate.pdf
July 01, 2019 - Carcinoma in situ of liver, gallbladder
and bile ducts
K7589 Other specified inflammatory liver
diseases … , unspecified K7689 Other specified diseases of liver
K710 Toxic liver disease with cholestasis K769 … Liver disease, unspecified
K7110 Toxic liver disease with hepatic necrosis,
without coma
K77 Liver … disorders in diseases classified
elsewhere
K7111 Toxic liver disease with hepatic necrosis,
with … K714 Toxic liver disease with chronic lobular
hepatitis
Q266 Portal vein-hepatic artery fistula
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qualityindicators.ahrq.gov/Downloads/ICD10/IQI%2016%20Heart%20Failure%20Mortality%20Rate.xlsx
January 01, 2016 - disease with heart failure I13.0 Hypertensive heart and chronic kidney disease with heart failure and … hypertensive heart disease with heart failure I13.2 Hypertensive heart and chronic kidney disease with … heart failure and with stage 5 chronic kidney disease, or end stage renal disease
404.01 Hypertensive … heart and chronic kidney disease, malignant, with heart failure and with chronic kidney disease stage … , unspecified, with heart failure and chronic kidney disease stage V or end stage renal disease I50.30
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qualityindicators.ahrq.gov/Downloads/ICD10/IQI%2025%20Bilateral%20Cardiac%20Catheterization%20Rate.xlsx
November 01, 2013 - heart disease with heart failure I09.1 Rheumatic diseases of endocardium, valve unspecified
402.10 … hypertensive heart disease without heart failure I09.89 Other specified rheumatic heart diseases
402.91 … diseases I28.1 Aneurysm of pulmonary artery
416.9 Chronic pulmonary heart disease, unspecified I28.8 … Other diseases of pulmonary vessels
417.0 Arteriovenous fistula of pulmonary vessels I28.9 Disease … of pericardium
422.0 Acute myocarditis in diseases classified elsewhere I31.9 Disease of pericardium
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qualityindicators.ahrq.gov/Downloads/Modules/PQI/v2021/TechSpecs/PQI_11_Community_Acquired%20_Pneumonia_Admission_Rate.pdf
July 01, 2021 - Transfers
Exclude cases:
• with any listed ICD-10-CM diagnosis codes for sickle cell anemia or HB-S disease … crisis, unspecified D57431 Sickle-Cell thalassemia beta zero with acute
chest syndrome
D5701 Hb-SS disease … crisis D57439 Sickle-Cell thalassemia beta zero with crisis,
unspecified
D57211 Sickle-Cell/Hb-C disease … chest
syndrome
D5744 Sickle-Cell thalassemia beta plus without
crisis
D57212 Sickle-Cell/Hb-C disease … crisis
D57819 Other sickle-cell disorders with crisis,
unspecified
Sickle cell anemia or HB-S disease
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qualityindicators.ahrq.gov/Downloads/ICD10/PQI%2007%20Hypertension%20Admission%20Rate.xlsx
January 01, 2007 - disease
402.10 Benign hypertensive heart disease without heart failure I13.10 Hypertensive heart and … chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or … 403.00 Hypertensive chronic kidney disease, malignant, with chronic kidney disease stage I through … and chronic kidney disease, unspecified, without heart failure and with chronic kidney disease stage … disease
403.10 Hypertensive chronic kidney disease, benign, with chronic kidney disease stage I through
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qualityindicators.ahrq.gov/Downloads/ICD10/PQI%2011%20Bacterial%20Pneumonia%20Admission%20Rate.xlsx
January 01, 2011 - chest syndrome
282.60 Sickle-cell disease, unspecified D57.02 Hb-SS disease with splenic sequestration … 282.61 Hb-SS disease without crisis D57.1 Sickle-cell disease without crisis
282.62 Hb-SS disease … D57.211 Sickle-cell/Hb-C disease with acute chest syndrome
282.64 Sickle-cell/Hb-C disease with crisis … D57.212 Sickle-cell/Hb-C disease with splenic sequestration
282.68 Other sickle-cell disease without … crisis D57.219 Sickle-cell/Hb-C disease with crisis, unspecified
282.69 Other sickle-cell disease with
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qualityindicators.ahrq.gov/Downloads/Modules/PQI/v2020/TechSpecs/PQI_11_Community_Acquired%20_Pneumonia_Admission_Rate.pdf
July 01, 2020 - with crisis, unspecified D5740 Sickle-Cell thalassemia without crisis
D5701 Hb-SS disease with acute … chest syndrome D57411 Sickle-Cell thalassemia with acute chest
syndrome
D5702 Hb-SS disease with … splenic sequestration D57412 Sickle-Cell thalassemia with splenic
sequestration
D571 Sickle-Cell disease … without crisis D57419 Sickle-Cell thalassemia with crisis, unspecified
D5720 Sickle-Cell/Hb-C disease … without crisis D5780 Other sickle-cell disorders without crisis
D57211 Sickle-Cell/Hb-C disease with
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qualityindicators.ahrq.gov/Downloads/ICD10/PDI%2016%20Gastroenteritis%20Admission%20Rate.xlsx
January 01, 2016 - 555.0 Regional enteritis of small intestine K50.013 Crohn's disease of small intestine with fistula … 555.1 Regional enteritis of large intestine K50.014 Crohn's disease of small intestine with abscess … disease, unspecified, without complications
579.1 Tropical sprue K50.911 Crohn's disease, unspecified … Cyclosporiasis A05.5 Foodborne Vibrio vulnificus intoxication
007.8 Other specified protozoal intestinal diseases … 008.2 Intestinal infection due to aerobacter aerogenes A07.8 Other specified protozoal intestinal diseases
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qualityindicators.ahrq.gov/Downloads/ICD10/PQI%2008%20Heart%20Failure%20Admission%20Rate.xlsx
January 01, 2008 - disease with heart failure
402.91 Unspecified hypertensive heart disease with heart failure
404.01 … disease stage I through stage IV, or unspecified
404.03 Hypertensive heart and chronic kidney disease … , with heart failure and chronic kidney disease stage V or end stage renal disease
404.91 Hypertensive … heart and chronic kidney disease, unspecified, with heart failure and with chronic kidney disease stage … , with heart failure and chronic kidney disease stage V or end stage renal disease
428.0 Congestive
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qualityindicators.ahrq.gov/Downloads/Modules/IQI/v60-ICD10/TechSpecs/IQI_25_Bilateral_Cardiac_Catheterization_Rate.pdf
July 01, 2016 - endocarditis I429 Cardiomyopathy, unspecified
I012 Acute rheumatic myocarditis I43 Cardiomyopathy in diseases … aortic and tricuspid valves
P293 Persistent fetal circulation
I088 Other rheumatic multiple valve diseases … right ventricle
I090 Rheumatic myocarditis Q202 Double outlet left ventricle
I091 Rheumatic diseases … heart failure Q205 Discordant atrioventricular connection
I0989 Other specified rheumatic heart diseases … ) Q228 Other congenital malformations of
tricuspid valve
I2789 Other specified pulmonary heart diseases
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qualityindicators.ahrq.gov/Downloads/ICD10/PSI%2010%20Postoperative%20Physiologic%20and%20Metabolic%20Derangement%20Rate.xlsx
January 01, 2010 - Esophageal varices with bleeding I85.01 Esophageal varices with bleeding
456.20 Esophageal varices in diseases … kidney disease with stage 5 chronic kidney disease or end stage renal disease
403.11 Hypertensive chronic … stage renal disease
403.91 Hypertensive chronic kidney disease, unspecified, with chronic kidney disease … renal disease N18.5 Chronic kidney disease, stage 5
404.03 Hypertensive heart and chronic kidney disease … disease
585.5 Chronic kidney disease, Stage V
585.6 End stage renal disease
Delete ICD-9-CM Codes