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qualityindicators.ahrq.gov/Downloads/ICD10/PQI%2012%20Urinary%20Tract%20Infection%20Admission%20Rate.xlsx
January 01, 2012 - Acute tubulo-interstitial nephritis
590.11 Acute pyelonephritis with lesion of renal medullary necrosis … N11.9 Chronic tubulo-interstitial nephritis, unspecified
590.2 Renal and perinephric abscess N12. … dysplasia Q60.0 Renal agenesis, unilateral
753.16 Medullary cystic kidney Q60.1 Renal agenesis, bilateral … disease Q60.3 Renal hypoplasia, unilateral
753.20 Unspecified obstructive defect of renal pelvis and … defects of renal pelvis and ureter Q61.01 Congenital single renal cyst
753.3 Other specified anomalies
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qualityindicators.ahrq.gov/Downloads/Modules/PQI/v2019/TechSpecs/PQI_12_Urinary_Tract_Infection_Admission_Rate.pdf
July 01, 2019 - and perinephric abscess N3001 Acute cystitis with hematuria
N159 Renal tubulo-interstitial disease … , unspecified N3090 Cystitis, unspecified without hematuria
N16 Renal tubulo-interstitial disorders … congenital malformations of
kidney
Q602 Renal agenesis, unspecified Q639 Congenital malformation … Q604 Renal hypoplasia, bilateral Q6411 Supravesical fissure of urinary bladder
Q605 Renal hypoplasia … cyst, unspecified Q642 Congenital posterior urethral valves
Q6101 Congenital single renal cyst Q6431
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qualityindicators.ahrq.gov/Downloads/Modules/PQI/v2020/TechSpecs/PQI_12_Urinary_Tract_Infection_Admission_Rate.pdf
July 01, 2020 - and perinephric abscess N3001 Acute cystitis with hematuria
N159 Renal tubulo-interstitial disease, … unspecified N3090 Cystitis, unspecified without hematuria
N16 Renal tubulo-interstitial disorders in … congenital malformations of
kidney
Q602 Renal agenesis, unspecified Q639 Congenital malformation … Q604 Renal hypoplasia, bilateral Q6411 Supravesical fissure of urinary bladder
Q605 Renal hypoplasia … cyst, unspecified Q642 Congenital posterior urethral valves
Q6101 Congenital single renal cyst Q6431
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qualityindicators.ahrq.gov/Downloads/Modules/PQI/v2021/TechSpecs/PQI_12_Urinary_Tract_Infection_Admission_Rate.pdf
July 01, 2021 - and perinephric abscess N3001 Acute cystitis with hematuria
N159 Renal tubulo-interstitial disease, … unspecified N3090 Cystitis, unspecified without hematuria
N16 Renal tubulo-interstitial disorders in … congenital malformations
of kidney
Q602 Renal agenesis, unspecified Q639 Congenital malformation … Q604 Renal hypoplasia, bilateral Q6411 Supravesical fissure of urinary bladder
Q605 Renal hypoplasia … cyst, unspecified Q642 Congenital posterior urethral valves
Q6101 Congenital single renal cyst Q6431
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qualityindicators.ahrq.gov/Downloads/ICD10/PQI%2010%20Dehydration%20Admission%20Rate.xlsx
January 01, 2010 - necrosis N17.0 Acute kidney failure with tubular necrosis
584.6 Acute kidney failure with lesion of renal … N17.1 Acute kidney failure with acute cortical necrosis
584.7 Acute kidney failure with lesion of renal … Renal failure, unspecified N19. … disease N18.6 End stage renal disease
404.03 Hypertensive heart and chronic kidney disease, malignant … 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/ICD10/PDI%2018%20Urinary%20Tract%20Infection%20Admission%20Rate.xlsx
January 01, 2018 - Acute tubulo-interstitial nephritis
590.11 Acute pyelonephritis with lesion of renal medullary necrosis … N11.9 Chronic tubulo-interstitial nephritis, unspecified
590.2 Renal and perinephric abscess N12. … dysplasia Q60.0 Renal agenesis, unilateral
753.16 Medullary cystic kidney Q60.1 Renal agenesis, bilateral … disease Q60.3 Renal hypoplasia, unilateral
753.20 Unspecified obstructive defect of renal pelvis and … defects of renal pelvis and ureter Q61.01 Congenital single renal cyst
753.3 Other specified anomalies
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qualityindicators.ahrq.gov/Downloads/Modules/PQI/v2018/TechSpecs/PQI_10_Dehydration_Admission_Rate.pdf
June 01, 2018 - Appendix A) (UB04 Point of Origin - 4,5,6)
• with any-listed ICD-10-CM diagnosis codes for chronic renal … PCS Specification v2018
PQI 10 Dehydration Admission Rate
www.qualityindicators.ahrq.gov
Chronic renal … 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/ICD10/IQI%2016%20Heart%20Failure%20Mortality%20Rate.xlsx
January 01, 2016 - and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal … kidney disease, malignant, with heart failure and with chronic kidney disease stage V or end stage renal … chronic kidney disease, benign, with heart failure and chronic kidney disease stage V or end stage renal … chronic kidney disease, unspecified, with heart failure and chronic kidney disease stage V or end stage renal
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qualityindicators.ahrq.gov/Downloads/ICD10/PSI%2010%20Postoperative%20Physiologic%20and%20Metabolic%20Derangement%20Rate.xlsx
January 01, 2010 - necrosis N17.0 Acute kidney failure with tubular necrosis
584.6 Acute kidney failure with lesion of renal … N17.1 Acute kidney failure with acute cortical necrosis
584.7 Acute kidney failure with lesion of renal … Renal failure, unspecified N19. … Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease … disease N18.6 End stage renal disease
404.12 Hypertensive heart and chronic kidney disease, benign,
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qualityindicators.ahrq.gov/Downloads/ICD10/IQI%2025%20Bilateral%20Cardiac%20Catheterization%20Rate.xlsx
November 01, 2013 - kidney disease, malignant, with heart failure and with chronic kidney disease stage V or end stage renal … and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal … and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal … kidney disease, benign, without heart failure and with chronic kidney disease stage V or end stage renal … chronic kidney disease, benign, with heart failure and chronic kidney disease stage V or end stage renal
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qualityindicators.ahrq.gov/Downloads/ICD10/PQI%2008%20Heart%20Failure%20Admission%20Rate.xlsx
January 01, 2008 - kidney disease, malignant, with heart failure and with chronic kidney disease stage V or end stage renal … chronic kidney disease, benign, with heart failure and chronic kidney disease stage V or end stage renal … chronic kidney disease, unspecified, with heart failure and chronic kidney disease stage V or end stage renal
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qualityindicators.ahrq.gov/Downloads/ICD10/PQI%2003%20Diabetes%20Long-term%20Complications%20Admission%20Rate.xlsx
January 01, 2003 - long-term complications diagnosis codes
ICD-9-CM Description ICD-10-CM Description
250.40 Diabetes with renal … stated as uncontrolled E10.21 Type 1 diabetes mellitus with diabetic nephropathy
250.41 Diabetes with renal … uncontrolled E10.22 Type 1 diabetes mellitus with diabetic chronic kidney disease
250.42 Diabetes with renal … uncontrolled E10.29 Type 1 diabetes mellitus with other diabetic kidney complication
250.43 Diabetes with renal
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qualityindicators.ahrq.gov/Downloads/Modules/IQI/v60-ICD10/TechSpecs/IQI_25_Bilateral_Cardiac_Catheterization_Rate.pdf
July 01, 2016 - chronic kidney
disease without heart failure, with stage 5
chronic kidney disease, or end stage renal … chronic kidney
disease with heart failure and with stage 5
chronic kidney disease, or end stage renal … hypoplasia of
umbilical artery
I371 Nonrheumatic pulmonary valve
insufficiency
Q271 Congenital renal … Nonrheumatic pulmonary valve stenosis
with insufficiency
Q272 Other congenital malformations of renal … malformation of digestive
system vessel
I400 Infective myocarditis Q2734 Arteriovenous malformation of renal
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qualityindicators.ahrq.gov/Downloads/ICD10/PQI%2007%20Hypertension%20Admission%20Rate.xlsx
January 01, 2007 - access procedure codes
ICD-9-CM Description ICD-10-PCS Description
38.95 Venous catheterization for renal … Innominate Artery to Upper Arm Vein with Autologous Venous Tissue, Open Approach
39.27 Arteriovenostomy for renal … Arm Vein with Autologous Arterial Tissue, Open Approach
39.42 Revision of arteriovenous shunt for renal … Lower Arm Vein with Autologous Arterial Tissue, Open Approach
39.43 Removal of arteriovenous shunt for renal
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qualityindicators.ahrq.gov/Downloads/Modules/PQI/V2020/ChangeLog_PQI_v2020.pdf
September 30, 2020 - dialysis
39.27 Arteriovenostomy for renal dialysis
39.29 Other (peripheral) vascular shunt or bypass … 39.42 Revision of arteriovenous shunt for renal dialysis
39.43 Removal of arteriovenous shunt for … dialysis
38.95 Venous catheterization for renal dialysis
39.27 Arteriovenostomy for renal dialysis … renal dialysis
39.43 Removal of arteriovenous shunt for renal dialysis
39.93 Insertion of vessel-to-vessel … disease
heart failure and chronic kidney disease stage V or end stage renal disease
V4.0
V4.0
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qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Moy_National_Healthcare_Reporting_Quality_and_Disparities_Reports.ppt
January 01, 2005 - Discharge Survey (NHDS), 1998-2000
CDC-NCHS National Nursing Home Survey (NNHS), 1999
CMS, End-Stage Renal … Discharge Survey (NHDS), 1998-2000
NCHS’s National Nursing Home Survey (NNHS), 1999
NIH, United States Renal
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qualityindicators.ahrq.gov/Downloads/Modules/PQI/V2021/ChangeLog_PQI_v2021.pdf
September 30, 2021 - dehydration
and principal diagnosis of hyperosmolality/hypernatremia, gastroenteritis,
or acute renal … Added numerator exclusion for chronic renal failure. … CHF – dropped diagnosis codes from numerator inclusion for
hypertension with heart disease and/or renal … 279.52 Chronic graft-versus-host disease
279.53 Acute on chronic graft-versus-host disease
V45.11 Renal … 39.42 Revision of arteriovenous shunt for renal dialysis
39.43 Removal of arteriovenous shunt for
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qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Schichilone_Romano_Implications_of_ICD-9-CM_Coding_Rules_for_Measuring_QIs.ppt
January 01, 2005 - Specificity
Highest level of specificity
Overuse of NEC and NOS designation
Examples:
Using 586 (renal … failure NOS) instead of 584.x (acute renal failure) excludes case from denominator of PSI 3 (failure … 518.81 with 997.3 to describe postop respiratory failure
Use 584 code with 997.5 to describe postop renal
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qualityindicators.ahrq.gov/Downloads/Modules/PQI/v2020/TechSpecs/PQI_14_Uncontrolled_Diabetes_Admission_Rate.pdf
July 01, 2020 - of diabetes without mention of short-term (ketoacidosis,
hyperosmolarity, or coma) or long-term (renal
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qualityindicators.ahrq.gov/Downloads/Modules/PQI/v2021/TechSpecs/PQI_14_Uncontrolled_Diabetes_Admission_Rate.pdf
July 01, 2021 - of diabetes without mention of short-term (ketoacidosis,
hyperosmolarity, or coma) or long-term (renal