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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/ICD-and-CPT-codes.xlsx
January 01, 2018 - ICD 10 Include J45.21 Mild Intermittent Asthma with Status Asthmaticus
Asthma ICD 10 Include J45.22 … ICD 10 Include J45.32 Mild Persistent Asthma, with Status Asthmaticus
Asthma ICD 10 Include J45.40 … Asthma ICD 10 Include J45.50 Severe Persistent Asthma, Uncomplicated
Asthma ICD 10 Include J45.51 … ICD 10 Include J45.991 Cough Variant Asthma
Asthma ICD 10 Include J45.998 Other Asthma
Asthma ICD … ICD 10 Exclude J43.0 Unilateral Pulmonary Emphysema
Asthma ICD 10 Exclude J43.1 Panlobular Emphysema
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-section-1-tables-6-10.pdf
April 17, 2019 - CHIPRA 194: Section 1, Tables 6-10
Table 6 [=IMG4]: ICD-9-CM Codes to Identify Infection
General … Diagnosis
Diagnosis Detail
ICD-9-CM
Code
Amebic brain abscess 006.5
Tuberculosis of meninges … -9-CM Codes to Identify Neoplasm/Blood Disorder
General Diagnosis Diagnosis Detail ICD-9-CM
Code … personal history presenting
hazards to health
Surgery to heart and great vessels V15.1
Table 10 … [=IMG8]: ICD-9-CM Codes to Identify Vascular Disease
General Diagnosis
Diagnosis Detail
ICD
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/measurespec-code-tables.pdf
January 29, 2021 - ICD-10: Children with sickle cell anemia are identified as those with at least one
outpatient visit … ICD-10-CM Diagnosis Codes for Identification of Denominator Population
Description Code Type Code … Hb-SS disease with crisis, unspecified ICD-10-CM D5700
Hb-SS disease with acute chest syndrome ICD … -10-CM D5701
Hb-SS disease with splenic sequestration ICD-10-CM D5702
Sickle-cell disease without … crisis ICD-10-CM D571
3
Table 3b.
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-195-section-2.pdf
January 01, 2016 - ICD-9-CM Code Description
ICD-9-CM
Code ICD-10-CM Code ICD-10-CM Code Description
Post-traumatic … ICD-9-CM Code Description
ICD-9-CM
Code
ICD-10-CM
Code ICD-10-CM Code Description
Child … -9-CM Code Description
ICD-9-CM
Code
ICD-10-CM
Code ICD-10-CM Code Description
Neurofibromatosis … -9-CM Code Description
ICD-9-CM
Code
ICD-10-CM
Code ICD-10-CM Code Description
Occlusion of the … -9-CM Code Description
ICD-9-CM
Code
ICD-10-CM
Code ICD-10-CM Code Description
Other specified
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-213-section-2-tech-specs.pdf
January 24, 2019 - Table 10-A: Codes to Identify Ambulatory or Preventive Care Visits
Description CPT HCPCS ICD-9-CM … exclusions noted below; there are several sickle cell variants that
may be recorded under the 282.49 ICD … Medical records for cases with ICD-9 code 282.49 should not
be reviewed unless a diagnosis of Hb beta … Table 10-B: Codes to Identify Sickle Cell Anemia
Condition Name Hemoglobin Screening Result ICD-9 Code … ICD-9 Code(s)
Hb S beta-thalassemia Hb F,S,A 282.41, 282.42
Hb C-disease Hb F,C 282.7
Hb SC-disease
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www.talkingquality.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
December 01, 2017 - -10 AHRQ QIs
Preliminary testing with limited state dual-coded data
2016
Released v6.0 of ICD-10 … -10 software
Slide 15
ICD-10 Software
Observed rates reported
No risk adjustment or smoothing … rates
Anticipate a full-year of all-payer ICD-10 data in mid-2017
Expect risk adjustment in … ICD-9 parameter estimates
Slide 16
ICD-10 Software and Provider-Level Composites
No provider-level … -‐9 to ICD-‐10
2016 version tested with 20 hospitals
In-depth evaluation with 6 hospitals
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA205-Materials_XIA.pdf
February 29, 2016 - DSF Measures 2-3 Attachment 11.1
Attachment 11A.1 Additional ICD-9 and ICD-10 Codes … ICD-9-CM Codes Used to Describe a Positive Developmental Screening Result
1. 783.42 Delayed milestones … V40.9 Unspecified mental or behavioral problem
10. V60.0 Lack of housing
11. … Macias, MD, 2007
ICD-10-CM Codes Used to Describe … F69 Unspecified mental or behavioral problem
10. Z59.0 Lack of housing
11.
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_XIA.pdf
February 29, 2016 - DSF Measures 2-3 Attachment 11.1
Attachment 11A.1 Additional ICD-9 and ICD-10 Codes … ICD-9-CM Codes Used to Describe a Positive Developmental Screening Result
1. 783.42 Delayed milestones … V40.9 Unspecified mental or behavioral problem
10. V60.0 Lack of housing
11. … Macias, MD, 2007
ICD-10-CM Codes Used to Describe … F69 Unspecified mental or behavioral problem
10. Z59.0 Lack of housing
11.
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www.talkingquality.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/about.html
July 01, 2021 - A change to ICD-10-CM from ICD-9-CM coding required re-specification of the measure and extensive testing … Transition from ICD-9-CM to ICD-10-CM codes
Because the measure had been validated and endorsed by … NQF using ICD-9-CM codes, it was necessary to revalidate the measure using ICD-10-CM codes. … This methodology can be used to monitor trends and use of health services after transition to ICD-10- … Performance of ICD-10-CM diagnosis codes for identifying children with SCA.
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1c_combo_pdifactsheet.pdf
October 01, 2015 - Perioperative Hemorrhage or Hematoma Rate 5.2
PDI 09 Postoperative Respiratory Failure Rate 14.52
PDI 10 … Based on AHRQ QI software version 5.0 for ICD-9 as of March 2015; 2012 is the most recent version of … -10-CM). … As of
spring 2016, AHRQ has updated the QI software (v6.0) to account for the change to ICD-10. … Because hospitals have just begun coding with ICD-10 codes, there are no available national data
that
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3a_combo_chartinstructions.pdf
June 05, 2016 - include information about risk adjustment that will be
relevant when looking at past performance (using ICD … In addition,
national average data using ICD-10 data are not currently available from AHRQ but are expected … i ICD-9 = International Classification of Diseases, 9th Revision. ICD-10 is the 10th Revision. … Note: At this time, the following are only available for versions of the software that use ICD-
9-CM … Note: National average data for indicators calculated with ICD-10-CM rates are not yet
available from
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-136-table-4.pdf
July 31, 2018 - Professional Fees (096x)
Emergency Room
981 Professional Fees emergency
room
Diagnosis of Asthma ICD … ICD 10 Codes Inclusion:
J45.20
J45.22
J45.21
J45.20
J45.22
J45.21
J45.990
J45.991
J45.909
J45.998 … J45.50
J45.51
J45.52
J45.909
J42
Children with any of the
following diagnoses are
excluded
ICD … ICD 10 Codes Exclusion:
J44.9
E84.9
E84.11
E84.0
E84.19
E84.8
J43.9
J43.9
J44.9
J44.0
J44.1
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a2_combo_boardpresentation.pdf
October 01, 2015 - -9-CM to ICD-10-CM occurred in
October 2015:
– Addition of information relevant to ambulatory and managed … ICD-10-CM Conversion
ICD-10-CM = International Classification of Diseases, 10th Revision, Clinical Modification … -10-CM diagnosis codes for
pressure ulcer and any secondary ICD-10-CM
diagnosis codes for pressure … • Numerator: Discharges with ICD-10-CM code of
pressure ulcer in any secondary diagnosis field
among … ICD-10-CM Conversion�
How are the AHRQ QIs structured?
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b2a_combo_ratesgenbysas.pdf
March 01, 2016 - iICD-10 = International Classification if Diseases, 10th Revision. ICD-9 is the 9th Revision. … -10 software. … *These programs are not available when using ICD-10 data in v6.0 of the ICD-10 QI software but will be … available
in a future version of the ICD-10 QI software. … Please note that this step is not applicable for ICD-10 using currently available (v6.0)
software, but
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-139-fullreport.pdf
May 01, 2017 - Conversion of ICD-9-CM to ICD-10-CM
The goal of ICD-9-CM to ICD-10-CM conversion was to convert this … using the diagnosis code
descriptions for the source ICD-9-CM and converted ICD-10-CM codes. … ICD-9-CM to ICD-10-CM diagnosis GEM -2015_I9gem.txt
https://www.cms.gov/Medicare/Coding/ICD10/2015-ICD … ICD-10-CM-and-GEMs.html
3. … ICD-10-CM code of
D57.1 (sickle-cell disease without crisis).
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
January 01, 2019 - Due to changes in how some conditions and adverse events are described in ICD-9 and
ICD-10, the data … -9 (through quarter 3 of 2015) or ICD-10 (beginning with quarter 4 of 2015). … Because data based on ICD-9 and ICD-10 cannot be directly compared with each other, we
cannot compare … -9) to 10th Revision (ICD-10) coding. … began using ICD-10 coded data in place of ICD-9 coded data.
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3a_combo_chartsforpresentations.xlsx
January 01, 2006 - -10 software. … Please note that AHRQ does not currently provide national averages using ICD-10 data. … Please note that AHRQ does not currently provide national averages using ICD-10 data. … Please note that AHRQ does not currently provide national averages using ICD-10 data. … of 2014 and later use ICD-10.
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
March 15, 2016 - This is particularly important with ICD-10-PCS code assignment. … This is especially important during the current ICD-10 transition years. … ICD-10-CM Official Guidelines for Coding and
Reporting, FY 2016. … ICD-10-
PCS Official Guidelines for Coding and Reporting; 2016. … 10-PCS-Coding-Guidelines-.pdf
https://www.cms.gov/Medicare/Coding/ICD10/Downloads/2016-Official-ICD-10
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-standardized-quality-measures.pdf
January 07, 2022 - ICD-10 and CPT codes
ICD-10 codes are diagnostic codes and often used to define the population being … measures/
https://www.ahrq.gov/cahps/cahps-database/index.html
https://www.cms.gov/Medicare/Coding/ICD10/ICD … Provider-level benchmarks: identify the top 10% of performers in the practice for the
standardized measure
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/lessons/lessons-challenges-successes.pdf
January 01, 2019 - -9
to ICD-10 billing codes and using them for reporting, Caskey et al … were associated with “convoluted”
ICD-10-CM codes. … -9 codes)
using ICD-10 codes to support accurate reporting over time. … -9 to ICD-10 codes in order to accurately reflect the measure specifications and consistently
measure … The Transition
to ICD-10-CM: Challenges for Pediatric Practice. Pediatrics, 134(1), 31–36.