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qualityindicators.ahrq.gov/Downloads/Modules/PDI/V2021/Parameter_Estimates_PDI_v2021.pdf
July 01, 2021 - W MCC
03 M 0311 158 DENTAL & ORAL DISEASES W CC
03 M 0311 159 DENTAL & ORAL DISEASES W/O CC/MCC … W MCC
04 M 0411 197 INTERSTITIAL LUNG DISEASE W CC
04 M 0411 198 INTERSTITIAL LUNG DISEASE W/O CC … W MCC
06 M 0618 386 INFLAMMATORY BOWEL DISEASE W CC
06 M 0618 387 INFLAMMATORY BOWEL DISEASE W/O … & ARTHROPATHIES W MCC
08 M 0835 554 BONE DISEASES & ARTHROPATHIES W/O MCC
08 M 0836 555 SIGNS & … PROCEDURE W CC
18 S 1801 855 INFECTIOUS & PARASITIC DISEASES W O.R.
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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/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/Software/V2020/SAS-WinQI_comparison_ICD-10v2020.pdf
July 01, 2020 - Routine annual updates include yearly International Classification of
Diseases, 10th revision, Clinical
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qualityindicators.ahrq.gov/Downloads/Software/V2021/SAS-WinQI_comparison_ICD-10v2021.pdf
July 01, 2021 - Routine annual updates include yearly International Classification of
Diseases, 10
th
revision, Clinical
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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/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/Resources/COVID19_UserNote_Oct2020.pdf
November 01, 2020 - diagnosis code positions
It should be noted that B9729 covers “other coronavirus as the cause of diseases
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qualityindicators.ahrq.gov/Downloads/Resources/COVID19_UserNote_July2021.pdf
July 01, 2021 - diagnosis code positions
It should be noted that B97.29 covers “other coronavirus as the cause of diseases
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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/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/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/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/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
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qualityindicators.ahrq.gov/Downloads/Modules/PQI/V2020/ChangeLog_PQI_v2020.pdf
September 30, 2020 - THE LUNG
51664 ALVEOLAR CAPILLARY DYSPLASIA WITH VEIN
MISALIGNMENT
51669 OTHER INTERSTITIAL LUNG DISEASES … Add codes:
403.00 Hypertensive chronic kidney disease, malignant, withchronic
kidney disease stage … with chronic kidney disease stage V or end stagerenal
disease
404.11 Hypertensive heart and chronic … OF THE LUNG 51664 ALVEOLAR CAPILLARY DYSPLASIA WITH VEIN MISALIGNMENT 51669 OTHER INTERSTITIAL LUNG DISEASES … chronic kidney disease stage V or end stagerenal
disease
disease
404.11 Hypertensive heart and
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qualityindicators.ahrq.gov/Downloads/Modules/PQI/v2018/TechSpecs/PQI_10_Dehydration_Admission_Rate.pdf
June 01, 2018 - with
stage 5 chronic kidney disease or end stage
renal disease
N185 Chronic kidney disease, stage … 5
I1311 Hypertensive heart and chronic kidney disease
without heart failure, with stage 5 chronic … kidney disease, or end stage renal disease
N186 End stage renal disease
I132 Hypertensive heart … and chronic kidney disease
with heart failure and with stage 5 chronic
kidney disease, or end stage … renal disease
June 2018 7 of 7
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qualityindicators.ahrq.gov/Downloads/Modules/PQI/v2020/TechSpecs/PQI_08_Heart_Failure_Admission_Rate.pdf
July 01, 2020 - combined systolic (congestive) and
diastolic (congestive) heart failure
I110 Hypertensive heart disease … with heart failure and stage 1 through stage 4
chronic kidney disease, or unspecified chronic … kidney disease
I5043 Acute on chronic combined systolic
(congestive) and diastolic (congestive) heart … failure
I132 Hypertensive heart and chronic kidney disease
with heart failure and with stage 5 … chronic
kidney disease, or end stage renal disease
I50810 Right heart failure, unspecified
I501 Left
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qualityindicators.ahrq.gov/Downloads/Modules/PQI/v2021/TechSpecs/PQI_08_Heart_Failure_Admission_Rate.pdf
July 01, 2021 - combined systolic (congestive) and
diastolic (congestive) heart failure
I110 Hypertensive heart disease … with heart failure and stage 1 through stage 4
chronic kidney disease, or unspecified chronic … kidney disease
I5043 Acute on chronic combined systolic
(congestive) and diastolic (congestive) heart … failure
I132 Hypertensive heart and chronic kidney disease
with heart failure and with stage 5 … chronic
kidney disease, or end stage renal disease
I50810 Right heart failure, unspecified
I501 Left