Statin Therapy for the Prevention and Treatment of Cardiovascular Disease (2024)
| eCQMs / NQF #: | CMS347v7 / XXXX |
| Measure: | Percentage of the following patients – all considered at high risk of cardiovascular events – who were prescribed or were on statin therapy during the measurement period:
|
| Numerator: | Patients who are actively using or who receive an order (prescription) for statin therapy at any time during the measurement period. |
| Denominator: | Population 1: All patients who were previously diagnosed with or currently have a diagnosis of clinical ASCVD, including an ASCVD procedure.
Population 2: Patients aged 20 to 75 years at the beginning of the measurement period who have ever had a laboratory result of LDL-C >=190 mg/dL or were previously diagnosed with or currently have an active diagnosis of familial hypercholesterolemia. Population 3: Patients aged 40 to 75 years at the beginning of the measurement period with Type 1 or Type 2 diabetes. Population 4: Patients aged 40 to 75 at the beginning of the measurement period with a 10-year ASCVD risk score (i.e., 2013 ACC/AHA ASCVD Risk Estimator or the ACC Risk Estimator Plus) of >= 20 percent during the measurement period. |
| Denominator Exclusions: | Patients who are breastfeeding at any time during the measurement period.
Patients who have a diagnosis of rhabdomyolysis at any time during the measurement period. |
| Denominator Exceptions: | Patients with statin-associated muscle symptoms or an allergy to statin medication.
Patients who are receiving palliative or hospice care. Patients with active liver disease or hepatic disease or insufficiency. Patients with end-stage renal disease (ESRD). Patients with documentation of a medical reason for not being prescribed statin therapy. |
| Domain: | Effective Clinical Care |
In ChartMaker Clinical:
In order to qualify for this measure, the provider must have seen the patient for an encounter during the reporting period and have the appropriate information documented in the chart:
Required Data Elements for the Denominator:
Population 1:
All patients who were previously diagnosed with or currently have a diagnosis of clinical ASCVD, including an ASCVD procedure; and who had a valid encounter during the measurement period.
This is captured by adding a procedure with a valid CPT, HCPCS, or SNOMED code using the Procedure widget in a note.
Annual Wellness Visit
| HCPCS: | |
| Code | Description |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
| SNOMED: | |
| Code | Description |
| 444971000124105 | Annual wellness visit (procedure) |
| 456201000124103 | Medicare annual wellness visit (procedure) |
Office Visit
| CPT: | |
| Code | Description |
| 99201 | Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family. |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter. |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 30-44 minutes of total time is spent on the date of the encounter. |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 45-59 minutes of total time is spent on the date of the encounter. |
| 99205 | Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 60-74 minutes of total time is spent on the date of the encounter. |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 10-19 minutes of total time is spent on the date of the encounter. |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 20-29 minutes of total time is spent on the date of the encounter. |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 30-39 minutes of total time is spent on the date of the encounter. |
| 99215 | Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter. |
| SNOMED: | |
| Code | Description |
| 185463005 | Visit out of hours (procedure) |
| 185464004 | Out of hours visit – not night visit (procedure) |
| 185465003 | Weekend visit (procedure) |
| 30346009 | Evaluation and management of established outpatient in office or other outpatient facility (procedure) |
| 3391000175108 | Office visit for pediatric care and assessment (procedure) |
| 37894004 | Evaluation and management of new outpatient in office or other outpatient facility (procedure) |
| 439740005 | Postoperative follow-up visit (procedure) |
Outpatient Consultation
| SNOMED: | |
| Code | Description |
| 281036007 | Follow-up consultation (procedure) |
| 77406008 | Confirmatory medical consultation (procedure) |
| CPT: | |
| Code | Description |
| 99241 | Office consultation for a new or established patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are self limited or minor. Typically, 15 minutes are spent face-to-face with the patient and/or family. |
| 99242 | Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded. |
| 99243 | Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded. |
| 99244 | Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded. |
| 99245 | Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 55 minutes must be met or exceeded. |
Outpatient Encounters for Preventive Care
| SNOMED: | |
| Code | Description |
| 108219001 | Physician visit with evaluation AND/OR management service (procedure) |
| 108220007 | Evaluation AND/OR management – new patient (procedure) |
| 108221006 | Evaluation AND/OR management – established patient (procedure) |
| 108224003 | Preventive patient evaluation (procedure) |
| 14736009 | History and physical examination with evaluation and management of patient (procedure) |
| 185349003 | Encounter for check up (procedure) |
| 185389009 | Follow-up visit (procedure) |
| 270427003 | Patient-initiated encounter (procedure) |
| 270430005 | Provider-initiated encounter (procedure) |
| 281036007 | Follow-up consultation (procedure) |
| 308335008 | Patient encounter procedure (procedure) |
| 390906007 | Follow-up encounter (procedure) |
| 410187005 | Physical evaluation management (procedure) |
| 78318003 | History and physical examination, annual for health maintenance (procedure) |
| 86013001 | Periodic reevaluation and management of healthy individual (procedure) |
| 90526000 | Initial evaluation and management of healthy individual (procedure) |
Preventive Care Services, 18 years old and Up
| CPT: | |
| Code | Description |
| 99385 | Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 18-39 years |
| 99386 | Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 40-64 years |
| 99387 | Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 65 years and older |
| 99395 | Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 18-39 years |
| 99396 | Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 40-64 years |
| 99397 | Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 65 years and older |
Preventive Care Services Individual Counseling
| CPT: | |
| Code | Description |
| 99401 | Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 15 minutes |
| 99402 | Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 30 minutes |
| 99403 | Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 45 minutes |
| 99404 | Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 60 minutes |
Unlisted preventive medicine service
| CPT: | |
| Code | Description |
| 99429 | Unlisted preventive medicine service |
This is captured by adding a diagnosis with a valid SNOMED, ICD-9, or ICD-10 code using the Diagnosis widget in a note; or, by adding a procedure with a valid SNOMED, CPT or HCPCS code using the Procedure widget in a note.
Myocardial Infarction Diagnoses
| SNOMED: | |
| Code | Description |
| 10273003 | Acute infarction of papillary muscle (disorder) |
| 1163440003 | Postoperative acute myocardial infarction (disorder) |
| 1204151009 | Acute inferior non-ST segment elevation myocardial infarction of right ventricle (disorder) |
| 1204152002 | Acute inferior non-ST segment elevation myocardial infarction (disorder) |
| 1204154001 | Acute anterior non-ST segment elevation myocardial infarction with right ventricular involvement (disorder) |
| 1204155000 | Acute anterior non-ST segment elevation myocardial infarction (disorder) |
| 1204222000 | Acute non-ST segment elevation myocardial infarction of right ventricle (disorder) |
| 129574000 | Postoperative myocardial infarction (disorder) |
| 15990001 | Acute myocardial infarction of posterolateral wall (disorder) |
| 194802003 | True posterior myocardial infarction (disorder) |
| 194809007 | Acute atrial infarction (disorder) |
| 194856005 | Subsequent myocardial infarction (disorder) |
| 22298006 | Myocardial infarction (disorder) |
| 233835003 | Acute widespread myocardial infarction (disorder) |
| 233838001 | Acute posterior myocardial infarction (disorder) |
| 233843008 | Silent myocardial infarction (disorder) |
| 30277009 | Rupture of ventricle due to acute myocardial infarction (disorder) |
| 304914007 | Acute Q wave myocardial infarction (disorder) |
| 307140009 | Acute non-Q wave infarction (disorder) |
| 314207007 | Non-Q wave myocardial infarction (disorder) |
| 32574007 | Past myocardial infarction diagnosed on electrocardiogram AND/OR other special investigation, but currently presenting no symptoms (disorder) |
| 394710008 | First myocardial infarction (disorder) |
| 401303003 | Acute ST segment elevation myocardial infarction (disorder) |
| 401314000 | Acute non-ST segment elevation myocardial infarction (disorder) |
| 418044006 | Myocardial infarction in recovery phase (disorder) |
| 42531007 | Microinfarct of heart (disorder) |
| 428196007 | Mixed myocardial ischemia and infarction (disorder) |
| 428752002 | Recent myocardial infarction (situation) |
| 52035003 | Acute anteroapical myocardial infarction (disorder) |
| 54329005 | Acute myocardial infarction of anterior wall (disorder) |
| 57054005 | Acute myocardial infarction (disorder) |
| 58612006 | Acute myocardial infarction of lateral wall (disorder) |
| 62695002 | Acute anteroseptal myocardial infarction (disorder) |
| 65547006 | Acute myocardial infarction of inferolateral wall (disorder) |
| 70211005 | Acute myocardial infarction of anterolateral wall (disorder) |
| 703164000 | Acute ST segment elevation myocardial infarction of anterior wall (disorder) |
| 703165004 | Acute ST segment elevation myocardial infarction of anterior wall involving right ventricle (disorder) |
| 703212004 | Acute myocardial infarction during procedure (disorder) |
| 703213009 | Acute ST segment elevation myocardial infarction of inferior wall (disorder) |
| 703251009 | Acute myocardial infarction of inferior wall involving right ventricle (disorder) |
| 703252002 | Acute myocardial infarction of anterior wall involving right ventricle (disorder) |
| 703253007 | Acute ST segment elevation myocardial infarction of inferior wall involving right ventricle (disorder) |
| 70422006 | Acute subendocardial infarction (disorder) |
| 70998009 | Acute myocardial infarction of basal inferior segment of left ventricle (disorder) |
| 726499301000119105 | Myocardial infarction due to atherothrombotic coronary artery disease (disorder) |
| 73795002 | Acute myocardial infarction of inferior wall (disorder) |
| 76593002 | Acute myocardial infarction of inferoposterior wall (disorder) |
| 79009004 | Acute myocardial infarction of septum (disorder) |
| 836293000 | Acute myocardial infarction of right ventricle (disorder) |
| 836294006 | Acute myocardial infarction of apex of heart (disorder) |
| 836295007 | Acute myocardial infarction of inferolateral wall with posterior extension (disorder) |
| 840309000 | Acute ST segment elevation myocardial infarction due to occlusion of proximal portion of anterior descending branch of left coronary artery (disorder) |
| 840312002 | Acute ST segment elevation myocardial infarction due to occlusion of mid portion of anterior descending branch of left coronary artery (disorder) |
| 840316004 | Acute ST segment elevation myocardial infarction due to occlusion of distal portion of anterior descending branch of left coronary artery (disorder) |
| 840609007 | Acute ST segment elevation myocardial infarction due to occlusion of anterior descending branch of left coronary artery (disorder) |
| 840680009 | Acute ST segment elevation myocardial infarction due to occlusion of septal branch of anterior descending branch of left coronary artery (disorder) |
| 879955009 | Myocardial infarction with non-obstructive coronary artery (disorder) |
| 896689003 | Acute myocardial infarction due to occlusion of circumflex branch of left coronary artery (disorder) |
| 896691006 | Acute ST segment elevation myocardial infarction due to occlusion of circumflex branch of left coronary artery (disorder) |
| 896696001 | Acute ST segment elevation myocardial infarction of apex of heart (disorder) |
| 896697005 | Acute ST segment elevation myocardial infarction of right ventricle (disorder) |
| ICD-9: | |
| Code | Description |
| 410.00 | Acute myocardial infarction of anterolateral wall, episode of care unspecified |
| 410.01 | Acute myocardial infarction of anterolateral wall, initial episode of care |
| 410.02 | Acute myocardial infarction of anterolateral wall, subsequent episode of care |
| 410.10 | Acute myocardial infarction of other anterior wall, episode of care unspecified |
| 410.11 | Acute myocardial infarction of other anterior wall, initial episode of care |
| 410.12 | Acute myocardial infarction of other anterior wall, subsequent episode of care |
| 410.20 | Acute myocardial infarction of inferolateral wall, episode of care unspecified |
| 410.21 | Acute myocardial infarction of inferolateral wall, initial episode of care |
| 410.22 | Acute myocardial infarction of inferolateral wall, subsequent episode of care |
| 410.30 | Acute myocardial infarction of inferoposterior wall, episode of care unspecified |
| 410.31 | Acute myocardial infarction of inferoposterior wall, initial episode of care |
| 410.32 | Acute myocardial infarction of inferoposterior wall, subsequent episode of care |
| 410.40 | Acute myocardial infarction of other inferior wall, episode of care unspecified |
| 410.41 | Acute myocardial infarction of other inferior wall, initial episode of care |
| 410.42 | Acute myocardial infarction of other inferior wall, subsequent episode of care |
| 410.50 | Acute myocardial infarction of other lateral wall, episode of care unspecified |
| 410.51 | Acute myocardial infarction of other lateral wall, initial episode of care |
| 410.52 | Acute myocardial infarction of other lateral wall, subsequent episode of care |
| 410.60 | True posterior wall infarction, episode of care unspecified |
| 410.61 | True posterior wall infarction, initial episode of care |
| 410.62 | True posterior wall infarction, subsequent episode of care |
| 410.70 | Subendocardial infarction, episode of care unspecified |
| 410.71 | Subendocardial infarction, initial episode of care |
| 410.72 | Subendocardial infarction, subsequent episode of care |
| 410.80 | Acute myocardial infarction of other specified sites, episode of care unspecified |
| 410.81 | Acute myocardial infarction of other specified sites, initial episode of care |
| 410.82 | Acute myocardial infarction of other specified sites, subsequent episode of care |
| 410.90 | Acute myocardial infarction of unspecified site, episode of care unspecified |
| 410.91 | Acute myocardial infarction of unspecified site, initial episode of care |
| 410.92 | Acute myocardial infarction of unspecified site, subsequent episode of care |
| ICD-10: | |
| Code | Description |
| I21.01 | ST elevation (STEMI) myocardial infarction involving left main coronary artery |
| I21.02 | ST elevation (STEMI) myocardial infarction involving left anterior descending coronary artery |
| I21.09 | ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall |
| I21.11 | ST elevation (STEMI) myocardial infarction involving right coronary artery |
| I21.19 | ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall |
| I21.21 | ST elevation (STEMI) myocardial infarction involving left circumflex coronary artery |
| I21.29 | ST elevation (STEMI) myocardial infarction involving other sites |
| I21.3 | ST elevation (STEMI) myocardial infarction of unspecified site |
| I21.4 | Non-ST elevation (NSTEMI) myocardial infarction |
| I21.9 | Acute myocardial infarction, unspecified |
| I21.A9 | Other myocardial infarction type |
| I22.0 | Subsequent ST elevation (STEMI) myocardial infarction of anterior wall |
| I22.1 | Subsequent ST elevation (STEMI) myocardial infarction of inferior wall |
| I22.8 | Subsequent ST elevation (STEMI) myocardial infarction of other sites |
| I22.9 | Subsequent ST elevation (STEMI) myocardial infarction of unspecified site |
Cerebrovascular Disease Stroke or TIA Diagnoses
| SNOMED: | |
| Code | Description |
| 102831000119104 | Paralytic syndrome of both lower limbs as sequela of stroke (disorder) |
| 103761000119107 | Paralytic syndrome of all four limbs as sequela of stroke (disorder) |
| 108691000119102 | Spasticity as sequela of stroke (disorder) |
| 111297002 | Nonparalytic stroke (disorder) |
| 111298007 | Chronic cerebral ischemia (disorder) |
| 116288000 | Paralytic stroke (disorder) |
| 133981000119106 | Dysarthria as late effects of cerebrovascular disease (disorder) |
| 133991000119109 | Fluency disorder as sequela of cerebrovascular disease (disorder) |
| 134771000119108 | Alteration of sensation as late effect of stroke (disorder) |
| 137991000119103 | Seizure disorder as sequela of stroke (disorder) |
| 140281000119108 | Hemiparesis as late effect of cerebrovascular disease (disorder) |
| 140911000119109 | Ischemic stroke with coma (disorder) |
| 140921000119102 | Ischemic stroke without coma (disorder) |
| 145741000119101 | Apraxia as late effect of cerebrovascular disease (disorder) |
| 148871000119109 | Weakness as a late effect of cerebrovascular accident (disorder) |
| 149821000119103 | Cerebral infarction due to carotid artery occlusion (disorder) |
| 18761000119108 | Monoplegia of arm dominant side as sequela of cerebrovascular disease (disorder) |
| 192813004 | Cerebral degeneration due to cerebrovascular disease (disorder) |
| 195185009 | Cerebral infarct due to thrombosis of precerebral arteries (disorder) |
| 195186005 | Cerebral infarction due to embolism of precerebral arteries (disorder) |
| 195189003 | Cerebral infarction due to thrombosis of cerebral arteries (disorder) |
| 195190007 | Cerebral infarction due to embolism of cerebral arteries (disorder) |
| 195212005 | Brainstem stroke syndrome (disorder) |
| 195213000 | Cerebellar stroke syndrome (disorder) |
| 195230003 | Cerebral infarction due to cerebral venous thrombosis, non-pyogenic (disorder) |
| 195239002 | Late effects of cerebrovascular disease (disorder) |
| 195243003 | Sequelae of cerebral infarction (disorder) |
| 20059004 | Occlusion of cerebral artery (disorder) |
| 230690007 | Cerebrovascular accident (disorder) |
| 230693009 | Anterior cerebral circulation infarction (disorder) |
| 230694003 | Total anterior cerebral circulation infarction (disorder) |
| 230695002 | Partial anterior cerebral circulation infarction (disorder) |
| 230696001 | Posterior cerebral circulation infarction (disorder) |
| 230698000 | Lacunar infarction (disorder) |
| 230706003 | Hemorrhagic cerebral infarction (disorder) |
| 230707007 | Anterior cerebral circulation hemorrhagic infarction (disorder) |
| 230708002 | Posterior cerebral circulation hemorrhagic infarction (disorder) |
| 230713003 | Stroke of uncertain pathology (disorder) |
| 230714009 | Anterior circulation stroke of uncertain pathology (disorder) |
| 230715005 | Posterior circulation stroke of uncertain pathology (disorder) |
| 230738008 | Asymptomatic cerebrovascular disease (disorder) |
| 23671000119107 | Sequela of ischemic cerebral infarction (disorder) |
| 25133001 | Completed stroke (disorder) |
| 26021000119107 | Vertigo as sequela of cerebrovascular disease (disorder) |
| 266257000 | Transient ischemic attack (disorder) |
| 275434003 | Stroke in the puerperium (disorder) |
| 276219001 | Occipital cerebral infarction (disorder) |
| 281240008 | Extension of cerebrovascular accident (disorder) |
| 29941000119105 | Ataxia as sequela of cerebrovascular disease (disorder) |
| 302909007 | Diffuse cerebrovascular disease (disorder) |
| 307766002 | Left sided cerebral infarction (disorder) |
| 307767006 | Right sided cerebral infarction (disorder) |
| 33301000119105 | Sequela of cardioembolic stroke (disorder) |
| 33331000119103 | Sequela of lacunar stroke (disorder) |
| 34191000119104 | Cerebral infarction due to vertebral artery occlusion (disorder) |
| 361000119103 | Paralytic syndrome on one side of the body as late effect of cerebrovascular accident (disorder) |
| 371040005 | Thrombotic stroke (disorder) |
| 371041009 | Embolic stroke (disorder) |
| 373606000 | Occlusive stroke (disorder) |
| 390936003 | Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (disorder) |
| 40161000119102 | Weakness of face muscles as sequela of stroke (disorder) |
| 413102000 | Infarction of basal ganglia (disorder) |
| 413758000 | Cardioembolic stroke (disorder) |
| 422504002 | Ischemic stroke (disorder) |
| 425642008 | Monoplegia of dominant lower limb as a late effect of cerebrovascular accident (disorder) |
| 425882004 | Paralytic syndrome as late effect of stroke (disorder) |
| 426033005 | Dysphagia as a late effect of cerebrovascular accident (disorder) |
| 426788002 | Vertigo as late effect of stroke (disorder) |
| 426983002 | Infarction of medulla oblongata (disorder) |
| 427065003 | Monoplegia of dominant upper limb as a late effect of cerebrovascular accident (disorder) |
| 427296003 | Thalamic infarction (disorder) |
| 427432001 | Paralytic syndrome as late effect of thalamic stroke (disorder) |
| 428668000 | Apraxia due to cerebrovascular accident (disorder) |
| 430947007 | Paralytic syndrome of nondominant side as late effect of stroke (disorder) |
| 430959006 | Paralytic syndrome of dominant side as late effect of stroke (disorder) |
| 432504007 | Cerebral infarction (disorder) |
| 433183000 | Neurogenic bladder as late effect of cerebrovascular accident (disorder) |
| 433891000124100 | Cerebral infarction due to cerebral artery occlusion (disorder) |
| 433911000124103 | Cerebral infarction due to posterior cerebral artery occlusion (disorder) |
| 433931000124109 | Cerebral infarction due to internal carotid artery occlusion (disorder) |
| 433941000124104 | Occlusion and stenosis of middle cerebral artery with infarction (disorder) |
| 433951000124102 | Occlusion and stenosis of posterior cerebral artery with infarction (disorder) |
| 433961000124100 | Cerebral infarction due to cerebral venous thrombosis (disorder) |
| 433971000124107 | Cerebral venous thrombosis of cortical vein with infarction (disorder) |
| 434141000124103 | Chronic cerebrovascular accident (disorder) |
| 434151000124101 | Cerebral infarction due to anterior cerebral artery occlusion (disorder) |
| 434961000124102 | Cerebral infarction due to middle cerebral artery occlusion (disorder) |
| 434991000124105 | Cerebral infarction due to basilar artery stenosis (disorder) |
| 441526008 | Infarct of cerebrum due to iatrogenic cerebrovascular accident (disorder) |
| 441529001 | Dysphasia as late effect of cerebrovascular disease (disorder) |
| 441630004 | Aphasia as late effect of cerebrovascular disease (disorder) |
| 441735003 | Sensory disorder as a late effect of cerebrovascular disease (disorder) |
| 441759008 | Abnormal vision as a late effect of cerebrovascular disease (disorder) |
| 441887006 | Monoplegia of lower limb as late effect of cerebrovascular disease (disorder) |
| 441894009 | Monoplegia of nondominant lower limb as a late effect of cerebrovascular accident (disorder) |
| 441960006 | Speech and language deficit as late effect of cerebrovascular accident (disorder) |
| 441991000 | Hemiparesis as late effect of cerebrovascular accident (disorder) |
| 442024001 | Hemiplegia as late effect of cerebrovascular disease (disorder) |
| 442097001 | Monoplegia of upper limb as late effect of cerebrovascular disease (disorder) |
| 442181008 | Monoplegia of nondominant upper limb as a late effect of cerebrovascular accident (disorder) |
| 442212003 | Residual cognitive deficit as late effect of cerebrovascular accident (disorder) |
| 442617003 | Aphasia as late effect of cerebrovascular accident (disorder) |
| 442668000 | Hemiplegia of nondominant side as late effect of cerebrovascular disease (disorder) |
| 442676003 | Hemiplegia of dominant side as late effect of cerebrovascular disease (disorder) |
| 442733008 | Hemiplegia as late effect of cerebrovascular accident (disorder) |
| 443929000 | Small vessel cerebrovascular disease (disorder) |
| 46421000119102 | Behavior disorder as sequela of cerebral infarction (disorder) |
| 48601000119107 | Paralytic syndrome on one side of the body as effect of cerebrovascular accident (disorder) |
| 5571000124103 | Cerebrovascular accident with intracranial hemorrhage (disorder) |
| 57981008 | Progressing stroke (disorder) |
| 62914000 | Cerebrovascular disease (disorder) |
| 703163006 | Secondary cerebrovascular disease (disorder) |
| 705128004 | Cerebral infarction due to embolism of middle cerebral artery (disorder) |
| 705130002 | Cerebral infarction due to thrombosis of middle cerebral artery (disorder) |
| 87551000119101 | Visual disturbance as sequela of cerebrovascular disease (disorder) |
| 91601000119109 | Sequela of thrombotic stroke (disorder) |
| 92341000119107 | Weakness of extremities as sequela of stroke (disorder) |
| 95457000 | Brain stem infarction (disorder) |
| 9901000119100 | Occlusion of cerebral artery with stroke (disorder) |
| 99451000119105 | Cerebral infarction due to stenosis of carotid artery (disorder) |
| ICD-9: | |
| Code | Description |
| 433.00 | Occlusion and stenosis of basilar artery without mention of cerebral infarction |
| 433.01 | Occlusion and stenosis of basilar artery with cerebral infarction |
| 433.10 | Occlusion and stenosis of carotid artery without mention of cerebral infarction |
| 433.11 | Occlusion and stenosis of carotid artery with cerebral infarction |
| 433.20 | Occlusion and stenosis of vertebral artery without mention of cerebral infarction |
| 433.21 | Occlusion and stenosis of vertebral artery with cerebral infarction |
| 433.30 | Occlusion and stenosis of multiple and bilateral precerebral arteries without mention of cerebral infarction |
| 433.31 | Occlusion and stenosis of multiple and bilateral precerebral arteries with cerebral infarction |
| 433.80 | Occlusion and stenosis of other specified precerebral artery without mention of cerebral infarction |
| 433.81 | Occlusion and stenosis of other specified precerebral artery with cerebral infarction |
| 433.90 | Occlusion and stenosis of unspecified precerebral artery without mention of cerebral infarction |
| 433.91 | Occlusion and stenosis of unspecified precerebral artery with cerebral infarction |
| 434.00 | Cerebral thrombosis without mention of cerebral infarction |
| 434.01 | Cerebral thrombosis with cerebral infarction |
| 434.10 | Cerebral embolism without mention of cerebral infarction |
| 434.11 | Cerebral embolism with cerebral infarction |
| 434.90 | Cerebral artery occlusion, unspecified without mention of cerebral infarction |
| 434.91 | Cerebral artery occlusion, unspecified with cerebral infarction |
| 435.0 | Basilar artery syndrome |
| 435.1 | Vertebral artery syndrome |
| 435.3 | Vertebrobasilar artery syndrome |
| 435.8 | Other specified transient cerebral ischemias |
| 435.9 | Unspecified transient cerebral ischemia |
| 436 | Acute, but ill-defined, cerebrovascular disease |
| 437.1 | Other generalized ischemic cerebrovascular disease |
| 438.0 | Late effects of cerebrovascular disease, cognitive deficits |
| 438.10 | Late effects of cerebrovascular disease, speech and language deficit, unspecified |
| 438.11 | Late effects of cerebrovascular disease, aphasia |
| 438.12 | Late effects of cerebrovascular disease, dysphasia |
| 438.13 | Late effects of cerebrovascular disease, dysarthria |
| 438.14 | Late effects of cerebrovascular disease, fluency disorder |
| 438.19 | Late effects of cerebrovascular disease, other speech and language deficits |
| 438.20 | Late effects of cerebrovascular disease, hemiplegia affecting unspecified side |
| 438.21 | Late effects of cerebrovascular disease, hemiplegia affecting dominant side |
| 438.22 | Late effects of cerebrovascular disease, hemiplegia affecting nondominant side |
| 438.30 | Late effects of cerebrovascular disease, monoplegia of upper limb affecting unspecified side |
| 438.31 | Late effects of cerebrovascular disease, monoplegia of upper limb affecting dominant side |
| 438.32 | Late effects of cerebrovascular disease, monoplegia of upper limb affecting nondominant side |
| 438.40 | Late effects of cerebrovascular disease, monoplegia of lower limb affecting unspecified side |
| 438.41 | Late effects of cerebrovascular disease, monoplegia of lower limb affecting dominant side |
| 438.42 | Late effects of cerebrovascular disease, monoplegia of lower limb affecting nondominant side |
| 438.50 | Late effects of cerebrovascular disease, other paralytic syndrome affecting unspecified side |
| 438.51 | Late effects of cerebrovascular disease, other paralytic syndrome affecting dominant side |
| 438.52 | Late effects of cerebrovascular disease, other paralytic syndrome affecting nondominant side |
| 438.53 | Late effects of cerebrovascular disease, other paralytic syndrome, bilateral |
| 438.6 | Late effects of cerebrovascular disease, alterations of sensations |
| 438.7 | Late effects of cerebrovascular disease, disturbances of vision |
| 438.81 | Other late effects of cerebrovascular disease, apraxia |
| 438.82 | Other late effects of cerebrovascular disease, dysphagia |
| 438.83 | Other late effects of cerebrovascular disease, facial weakness |
| 438.84 | Other late effects of cerebrovascular disease, ataxia |
| 438.85 | Other late effects of cerebrovascular disease, vertigo |
| 438.89 | Other late effects of cerebrovascular disease |
| 438.9 | Unspecified late effects of cerebrovascular disease |
| ICD-10: | |
| Code | Description |
| G45.0 | Vertebro-basilar artery syndrome |
| G45.1 | Carotid artery syndrome (hemispheric) |
| G45.2 | Multiple and bilateral precerebral artery syndromes |
| G45.8 | Other transient cerebral ischemic attacks and related syndromes |
| G45.9 | Transient cerebral ischemic attack, unspecified |
| G46.0 | Middle cerebral artery syndrome |
| G46.1 | Anterior cerebral artery syndrome |
| G46.2 | Posterior cerebral artery syndrome |
| G46.3 | Brain stem stroke syndrome |
| G46.4 | Cerebellar stroke syndrome |
| G46.5 | Pure motor lacunar syndrome |
| G46.6 | Pure sensory lacunar syndrome |
| G46.7 | Other lacunar syndromes |
| G46.8 | Other vascular syndromes of brain in cerebrovascular diseases |
| I63.00 | Cerebral infarction due to thrombosis of unspecified precerebral artery |
| I63.011 | Cerebral infarction due to thrombosis of right vertebral artery |
| I63.012 | Cerebral infarction due to thrombosis of left vertebral artery |
| I63.013 | Cerebral infarction due to thrombosis of bilateral vertebral arteries |
| I63.019 | Cerebral infarction due to thrombosis of unspecified vertebral artery |
| I63.02 | Cerebral infarction due to thrombosis of basilar artery |
| I63.031 | Cerebral infarction due to thrombosis of right carotid artery |
| I63.032 | Cerebral infarction due to thrombosis of left carotid artery |
| I63.033 | Cerebral infarction due to thrombosis of bilateral carotid arteries |
| I63.039 | Cerebral infarction due to thrombosis of unspecified carotid artery |
| I63.09 | Cerebral infarction due to thrombosis of other precerebral artery |
| I63.10 | Cerebral infarction due to embolism of unspecified precerebral artery |
| I63.111 | Cerebral infarction due to embolism of right vertebral artery |
| I63.112 | Cerebral infarction due to embolism of left vertebral artery |
| I63.113 | Cerebral infarction due to embolism of bilateral vertebral arteries |
| I63.119 | Cerebral infarction due to embolism of unspecified vertebral artery |
| I63.12 | Cerebral infarction due to embolism of basilar artery |
| I63.131 | Cerebral infarction due to embolism of right carotid artery |
| I63.132 | Cerebral infarction due to embolism of left carotid artery |
| I63.133 | Cerebral infarction due to embolism of bilateral carotid arteries |
| I63.139 | Cerebral infarction due to embolism of unspecified carotid artery |
| I63.19 | Cerebral infarction due to embolism of other precerebral artery |
| I63.20 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified precerebral arteries |
| I63.211 | Cerebral infarction due to unspecified occlusion or stenosis of right vertebral artery |
| I63.212 | Cerebral infarction due to unspecified occlusion or stenosis of left vertebral artery |
| I63.213 | Cerebral infarction due to unspecified occlusion or stenosis of bilateral vertebral arteries |
| I63.219 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified vertebral artery |
| I63.22 | Cerebral infarction due to unspecified occlusion or stenosis of basilar artery |
| I63.231 | Cerebral infarction due to unspecified occlusion or stenosis of right carotid arteries |
| I63.232 | Cerebral infarction due to unspecified occlusion or stenosis of left carotid arteries |
| I63.233 | Cerebral infarction due to unspecified occlusion or stenosis of bilateral carotid arteries |
| I63.239 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified carotid artery |
| I63.29 | Cerebral infarction due to unspecified occlusion or stenosis of other precerebral arteries |
| I63.30 | Cerebral infarction due to thrombosis of unspecified cerebral artery |
| I63.311 | Cerebral infarction due to thrombosis of right middle cerebral artery |
| I63.312 | Cerebral infarction due to thrombosis of left middle cerebral artery |
| I63.313 | Cerebral infarction due to thrombosis of bilateral middle cerebral arteries |
| I63.319 | Cerebral infarction due to thrombosis of unspecified middle cerebral artery |
| I63.321 | Cerebral infarction due to thrombosis of right anterior cerebral artery |
| I63.322 | Cerebral infarction due to thrombosis of left anterior cerebral artery |
| I63.323 | Cerebral infarction due to thrombosis of bilateral anterior cerebral arteries |
| I63.329 | Cerebral infarction due to thrombosis of unspecified anterior cerebral artery |
| I63.331 | Cerebral infarction due to thrombosis of right posterior cerebral artery |
| I63.332 | Cerebral infarction due to thrombosis of left posterior cerebral artery |
| I63.333 | Cerebral infarction due to thrombosis of bilateral posterior cerebral arteries |
| I63.339 | Cerebral infarction due to thrombosis of unspecified posterior cerebral artery |
| I63.341 | Cerebral infarction due to thrombosis of right cerebellar artery |
| I63.342 | Cerebral infarction due to thrombosis of left cerebellar artery |
| I63.343 | Cerebral infarction due to thrombosis of bilateral cerebellar arteries |
| I63.349 | Cerebral infarction due to thrombosis of unspecified cerebellar artery |
| I63.39 | Cerebral infarction due to thrombosis of other cerebral artery |
| I63.40 | Cerebral infarction due to embolism of unspecified cerebral artery |
| I63.411 | Cerebral infarction due to embolism of right middle cerebral artery |
| I63.412 | Cerebral infarction due to embolism of left middle cerebral artery |
| I63.413 | Cerebral infarction due to embolism of bilateral middle cerebral arteries |
| I63.419 | Cerebral infarction due to embolism of unspecified middle cerebral artery |
| I63.421 | Cerebral infarction due to embolism of right anterior cerebral artery |
| I63.422 | Cerebral infarction due to embolism of left anterior cerebral artery |
| I63.423 | Cerebral infarction due to embolism of bilateral anterior cerebral arteries |
| I63.429 | Cerebral infarction due to embolism of unspecified anterior cerebral artery |
| I63.431 | Cerebral infarction due to embolism of right posterior cerebral artery |
| I63.432 | Cerebral infarction due to embolism of left posterior cerebral artery |
| I63.433 | Cerebral infarction due to embolism of bilateral posterior cerebral arteries |
| I63.439 | Cerebral infarction due to embolism of unspecified posterior cerebral artery |
| I63.441 | Cerebral infarction due to embolism of right cerebellar artery |
| I63.442 | Cerebral infarction due to embolism of left cerebellar artery |
| I63.443 | Cerebral infarction due to embolism of bilateral cerebellar arteries |
| I63.449 | Cerebral infarction due to embolism of unspecified cerebellar artery |
| I63.49 | Cerebral infarction due to embolism of other cerebral artery |
| I63.50 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebral artery |
| I63.511 | Cerebral infarction due to unspecified occlusion or stenosis of right middle cerebral artery |
| I63.512 | Cerebral infarction due to unspecified occlusion or stenosis of left middle cerebral artery |
| I63.513 | Cerebral infarction due to unspecified occlusion or stenosis of bilateral middle cerebral arteries |
| I63.519 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified middle cerebral artery |
| I63.521 | Cerebral infarction due to unspecified occlusion or stenosis of right anterior cerebral artery |
| I63.522 | Cerebral infarction due to unspecified occlusion or stenosis of left anterior cerebral artery |
| I63.523 | Cerebral infarction due to unspecified occlusion or stenosis of bilateral anterior cerebral arteries |
| I63.529 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified anterior cerebral artery |
| I63.531 | Cerebral infarction due to unspecified occlusion or stenosis of right posterior cerebral artery |
| I63.532 | Cerebral infarction due to unspecified occlusion or stenosis of left posterior cerebral artery |
| I63.533 | Cerebral infarction due to unspecified occlusion or stenosis of bilateral posterior cerebral arteries |
| I63.539 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified posterior cerebral artery |
| I63.541 | Cerebral infarction due to unspecified occlusion or stenosis of right cerebellar artery |
| I63.542 | Cerebral infarction due to unspecified occlusion or stenosis of left cerebellar artery |
| I63.543 | Cerebral infarction due to unspecified occlusion or stenosis of bilateral cerebellar arteries |
| I63.549 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebellar artery |
| I63.59 | Cerebral infarction due to unspecified occlusion or stenosis of other cerebral artery |
| I63.6 | Cerebral infarction due to cerebral venous thrombosis, nonpyogenic |
| I63.81 | Other cerebral infarction due to occlusion or stenosis of small artery |
| I63.89 | Other cerebral infarction |
| I63.9 | Cerebral infarction, unspecified |
| I69.00 | Unspecified sequelae of nontraumatic subarachnoid hemorrhage |
| I69.010 | Attention and concentration deficit following nontraumatic subarachnoid hemorrhage |
| I69.011 | Memory deficit following nontraumatic subarachnoid hemorrhage |
| I69.012 | Visuospatial deficit and spatial neglect following nontraumatic subarachnoid hemorrhage |
| I69.013 | Psychomotor deficit following nontraumatic subarachnoid hemorrhage |
| I69.014 | Frontal lobe and executive function deficit following nontraumatic subarachnoid hemorrhage |
| I69.015 | Cognitive social or emotional deficit following nontraumatic subarachnoid hemorrhage |
| I69.018 | Other symptoms and signs involving cognitive functions following nontraumatic subarachnoid hemorrhage |
| I69.019 | Unspecified symptoms and signs involving cognitive functions following nontraumatic subarachnoid hemorrhage |
| I69.020 | Aphasia following nontraumatic subarachnoid hemorrhage |
| I69.021 | Dysphasia following nontraumatic subarachnoid hemorrhage |
| I69.022 | Dysarthria following nontraumatic subarachnoid hemorrhage |
| I69.023 | Fluency disorder following nontraumatic subarachnoid hemorrhage |
| I69.028 | Other speech and language deficits following nontraumatic subarachnoid hemorrhage |
| I69.031 | Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting right dominant side |
| I69.032 | Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting left dominant side |
| I69.033 | Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting right non-dominant side |
| I69.034 | Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting left non-dominant side |
| I69.039 | Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting unspecified side |
| I69.041 | Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting right dominant side |
| I69.042 | Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting left dominant side |
| I69.043 | Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting right non-dominant side |
| I69.044 | Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting left non-dominant side |
| I69.049 | Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting unspecified side |
| I69.051 | Hemiplegia and hemiparesis following nontraumatic subarachnoid hemorrhage affecting right dominant side |
| I69.052 | Hemiplegia and hemiparesis following nontraumatic subarachnoid hemorrhage affecting left dominant side |
| I69.053 | Hemiplegia and hemiparesis following nontraumatic subarachnoid hemorrhage affecting right non-dominant side |
| I69.054 | Hemiplegia and hemiparesis following nontraumatic subarachnoid hemorrhage affecting left non-dominant side |
| I69.059 | Hemiplegia and hemiparesis following nontraumatic subarachnoid hemorrhage affecting unspecified side |
| I69.061 | Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting right dominant side |
| I69.062 | Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting left dominant side |
| I69.063 | Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting right non-dominant side |
| I69.064 | Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting left non-dominant side |
| I69.065 | Other paralytic syndrome following nontraumatic subarachnoid hemorrhage, bilateral |
| I69.069 | Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting unspecified side |
| I69.090 | Apraxia following nontraumatic subarachnoid hemorrhage |
| I69.091 | Dysphagia following nontraumatic subarachnoid hemorrhage |
| I69.092 | Facial weakness following nontraumatic subarachnoid hemorrhage |
| I69.093 | Ataxia following nontraumatic subarachnoid hemorrhage |
| I69.098 | Other sequelae following nontraumatic subarachnoid hemorrhage |
| I69.10 | Unspecified sequelae of nontraumatic intracerebral hemorrhage |
| I69.110 | Attention and concentration deficit following nontraumatic intracerebral hemorrhage |
| I69.111 | Memory deficit following nontraumatic intracerebral hemorrhage |
| I69.112 | Visuospatial deficit and spatial neglect following nontraumatic intracerebral hemorrhage |
| I69.113 | Psychomotor deficit following nontraumatic intracerebral hemorrhage |
| I69.114 | Frontal lobe and executive function deficit following nontraumatic intracerebral hemorrhage |
| I69.115 | Cognitive social or emotional deficit following nontraumatic intracerebral hemorrhage |
| I69.118 | Other symptoms and signs involving cognitive functions following nontraumatic intracerebral hemorrhage |
| I69.119 | Unspecified symptoms and signs involving cognitive functions following nontraumatic intracerebral hemorrhage |
| I69.120 | Aphasia following nontraumatic intracerebral hemorrhage |
| I69.121 | Dysphasia following nontraumatic intracerebral hemorrhage |
| I69.122 | Dysarthria following nontraumatic intracerebral hemorrhage |
| I69.123 | Fluency disorder following nontraumatic intracerebral hemorrhage |
| I69.128 | Other speech and language deficits following nontraumatic intracerebral hemorrhage |
| I69.131 | Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting right dominant side |
| I69.132 | Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting left dominant side |
| I69.133 | Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting right non-dominant side |
| I69.134 | Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting left non-dominant side |
| I69.139 | Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting unspecified side |
| I69.141 | Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting right dominant side |
| I69.142 | Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting left dominant side |
| I69.143 | Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting right non-dominant side |
| I69.144 | Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting left non-dominant side |
| I69.149 | Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting unspecified side |
| I69.151 | Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting right dominant side |
| I69.152 | Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting left dominant side |
| I69.153 | Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting right non-dominant side |
| I69.154 | Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting left non-dominant side |
| I69.159 | Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting unspecified side |
| I69.161 | Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting right dominant side |
| I69.162 | Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting left dominant side |
| I69.163 | Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting right non-dominant side |
| I69.164 | Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting left non-dominant side |
| I69.165 | Other paralytic syndrome following nontraumatic intracerebral hemorrhage, bilateral |
| I69.169 | Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting unspecified side |
| I69.190 | Apraxia following nontraumatic intracerebral hemorrhage |
| I69.191 | Dysphagia following nontraumatic intracerebral hemorrhage |
| I69.192 | Facial weakness following nontraumatic intracerebral hemorrhage |
| I69.193 | Ataxia following nontraumatic intracerebral hemorrhage |
| I69.198 | Other sequelae of nontraumatic intracerebral hemorrhage |
| I69.20 | Unspecified sequelae of other nontraumatic intracranial hemorrhage |
| I69.210 | Attention and concentration deficit following other nontraumatic intracranial hemorrhage |
| I69.211 | Memory deficit following other nontraumatic intracranial hemorrhage |
| I69.212 | Visuospatial deficit and spatial neglect following other nontraumatic intracranial hemorrhage |
| I69.213 | Psychomotor deficit following other nontraumatic intracranial hemorrhage |
| I69.214 | Frontal lobe and executive function deficit following other nontraumatic intracranial hemorrhage |
| I69.215 | Cognitive social or emotional deficit following other nontraumatic intracranial hemorrhage |
| I69.218 | Other symptoms and signs involving cognitive functions following other nontraumatic intracranial hemorrhage |
| I69.219 | Unspecified symptoms and signs involving cognitive functions following other nontraumatic intracranial hemorrhage |
| I69.220 | Aphasia following other nontraumatic intracranial hemorrhage |
| I69.221 | Dysphasia following other nontraumatic intracranial hemorrhage |
| I69.222 | Dysarthria following other nontraumatic intracranial hemorrhage |
| I69.223 | Fluency disorder following other nontraumatic intracranial hemorrhage |
| I69.228 | Other speech and language deficits following other nontraumatic intracranial hemorrhage |
| I69.231 | Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting right dominant side |
| I69.232 | Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting left dominant side |
| I69.233 | Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting right non-dominant side |
| I69.234 | Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting left non-dominant side |
| I69.239 | Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting unspecified side |
| I69.241 | Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting right dominant side |
| I69.242 | Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting left dominant side |
| I69.243 | Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting right non-dominant side |
| I69.244 | Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting left non-dominant side |
| I69.249 | Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting unspecified side |
| I69.251 | Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting right dominant side |
| I69.252 | Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting left dominant side |
| I69.253 | Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting right non-dominant side |
| I69.254 | Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting left non-dominant side |
| I69.259 | Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting unspecified side |
| I69.261 | Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting right dominant side |
| I69.262 | Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting left dominant side |
| I69.263 | Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting right non-dominant side |
| I69.264 | Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting left non-dominant side |
| I69.265 | Other paralytic syndrome following other nontraumatic intracranial hemorrhage, bilateral |
| I69.269 | Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting unspecified side |
| I69.290 | Apraxia following other nontraumatic intracranial hemorrhage |
| I69.291 | Dysphagia following other nontraumatic intracranial hemorrhage |
| I69.292 | Facial weakness following other nontraumatic intracranial hemorrhage |
| I69.293 | Ataxia following other nontraumatic intracranial hemorrhage |
| I69.298 | Other sequelae of other nontraumatic intracranial hemorrhage |
| I69.30 | Unspecified sequelae of cerebral infarction |
| I69.310 | Attention and concentration deficit following cerebral infarction |
| I69.311 | Memory deficit following cerebral infarction |
| I69.312 | Visuospatial deficit and spatial neglect following cerebral infarction |
| I69.313 | Psychomotor deficit following cerebral infarction |
| I69.314 | Frontal lobe and executive function deficit following cerebral infarction |
| I69.315 | Cognitive social or emotional deficit following cerebral infarction |
| I69.318 | Other symptoms and signs involving cognitive functions following cerebral infarction |
| I69.319 | Unspecified symptoms and signs involving cognitive functions following cerebral infarction |
| I69.320 | Aphasia following cerebral infarction |
| I69.321 | Dysphasia following cerebral infarction |
| I69.322 | Dysarthria following cerebral infarction |
| I69.323 | Fluency disorder following cerebral infarction |
| I69.328 | Other speech and language deficits following cerebral infarction |
| I69.331 | Monoplegia of upper limb following cerebral infarction affecting right dominant side |
| I69.332 | Monoplegia of upper limb following cerebral infarction affecting left dominant side |
| I69.333 | Monoplegia of upper limb following cerebral infarction affecting right non-dominant side |
| I69.334 | Monoplegia of upper limb following cerebral infarction affecting left non-dominant side |
| I69.339 | Monoplegia of upper limb following cerebral infarction affecting unspecified side |
| I69.341 | Monoplegia of lower limb following cerebral infarction affecting right dominant side |
| I69.342 | Monoplegia of lower limb following cerebral infarction affecting left dominant side |
| I69.343 | Monoplegia of lower limb following cerebral infarction affecting right non-dominant side |
| I69.344 | Monoplegia of lower limb following cerebral infarction affecting left non-dominant side |
| I69.349 | Monoplegia of lower limb following cerebral infarction affecting unspecified side |
| I69.351 | Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side |
| I69.352 | Hemiplegia and hemiparesis following cerebral infarction affecting left dominant side |
| I69.353 | Hemiplegia and hemiparesis following cerebral infarction affecting right non-dominant side |
| I69.354 | Hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side |
| I69.359 | Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side |
| I69.361 | Other paralytic syndrome following cerebral infarction affecting right dominant side |
| I69.362 | Other paralytic syndrome following cerebral infarction affecting left dominant side |
| I69.363 | Other paralytic syndrome following cerebral infarction affecting right non-dominant side |
| I69.364 | Other paralytic syndrome following cerebral infarction affecting left non-dominant side |
| I69.365 | Other paralytic syndrome following cerebral infarction, bilateral |
| I69.369 | Other paralytic syndrome following cerebral infarction affecting unspecified side |
| I69.390 | Apraxia following cerebral infarction |
| I69.391 | Dysphagia following cerebral infarction |
| I69.392 | Facial weakness following cerebral infarction |
| I69.393 | Ataxia following cerebral infarction |
| I69.398 | Other sequelae of cerebral infarction |
| I69.80 | Unspecified sequelae of other cerebrovascular disease |
| I69.810 | Attention and concentration deficit following other cerebrovascular disease |
| I69.811 | Memory deficit following other cerebrovascular disease |
| I69.812 | Visuospatial deficit and spatial neglect following other cerebrovascular disease |
| I69.813 | Psychomotor deficit following other cerebrovascular disease |
| I69.814 | Frontal lobe and executive function deficit following other cerebrovascular disease |
| I69.815 | Cognitive social or emotional deficit following other cerebrovascular disease |
| I69.818 | Other symptoms and signs involving cognitive functions following other cerebrovascular disease |
| I69.819 | Unspecified symptoms and signs involving cognitive functions following other cerebrovascular disease |
| I69.820 | Aphasia following other cerebrovascular disease |
| I69.821 | Dysphasia following other cerebrovascular disease |
| I69.822 | Dysarthria following other cerebrovascular disease |
| I69.823 | Fluency disorder following other cerebrovascular disease |
| I69.828 | Other speech and language deficits following other cerebrovascular disease |
| I69.831 | Monoplegia of upper limb following other cerebrovascular disease affecting right dominant side |
| I69.832 | Monoplegia of upper limb following other cerebrovascular disease affecting left dominant side |
| I69.833 | Monoplegia of upper limb following other cerebrovascular disease affecting right non-dominant side |
| I69.834 | Monoplegia of upper limb following other cerebrovascular disease affecting left non-dominant side |
| I69.839 | Monoplegia of upper limb following other cerebrovascular disease affecting unspecified side |
| I69.841 | Monoplegia of lower limb following other cerebrovascular disease affecting right dominant side |
| I69.842 | Monoplegia of lower limb following other cerebrovascular disease affecting left dominant side |
| I69.843 | Monoplegia of lower limb following other cerebrovascular disease affecting right non-dominant side |
| I69.844 | Monoplegia of lower limb following other cerebrovascular disease affecting left non-dominant side |
| I69.849 | Monoplegia of lower limb following other cerebrovascular disease affecting unspecified side |
| I69.851 | Hemiplegia and hemiparesis following other cerebrovascular disease affecting right dominant side |
| I69.852 | Hemiplegia and hemiparesis following other cerebrovascular disease affecting left dominant side |
| I69.853 | Hemiplegia and hemiparesis following other cerebrovascular disease affecting right non-dominant side |
| I69.854 | Hemiplegia and hemiparesis following other cerebrovascular disease affecting left non-dominant side |
| I69.859 | Hemiplegia and hemiparesis following other cerebrovascular disease affecting unspecified side |
| I69.861 | Other paralytic syndrome following other cerebrovascular disease affecting right dominant side |
| I69.862 | Other paralytic syndrome following other cerebrovascular disease affecting left dominant side |
| I69.863 | Other paralytic syndrome following other cerebrovascular disease affecting right non-dominant side |
| I69.864 | Other paralytic syndrome following other cerebrovascular disease affecting left non-dominant side |
| I69.865 | Other paralytic syndrome following other cerebrovascular disease, bilateral |
| I69.869 | Other paralytic syndrome following other cerebrovascular disease affecting unspecified side |
| I69.890 | Apraxia following other cerebrovascular disease |
| I69.891 | Dysphagia following other cerebrovascular disease |
| I69.892 | Facial weakness following other cerebrovascular disease |
| I69.893 | Ataxia following other cerebrovascular disease |
| I69.898 | Other sequelae of other cerebrovascular disease |
| I69.90 | Unspecified sequelae of unspecified cerebrovascular disease |
| I69.910 | Attention and concentration deficit following unspecified cerebrovascular disease |
| I69.911 | Memory deficit following unspecified cerebrovascular disease |
| I69.912 | Visuospatial deficit and spatial neglect following unspecified cerebrovascular disease |
| I69.913 | Psychomotor deficit following unspecified cerebrovascular disease |
| I69.914 | Frontal lobe and executive function deficit following unspecified cerebrovascular disease |
| I69.915 | Cognitive social or emotional deficit following unspecified cerebrovascular disease |
| I69.918 | Other symptoms and signs involving cognitive functions following unspecified cerebrovascular disease |
| I69.919 | Unspecified symptoms and signs involving cognitive functions following unspecified cerebrovascular disease |
| I69.920 | Aphasia following unspecified cerebrovascular disease |
| I69.921 | Dysphasia following unspecified cerebrovascular disease |
| I69.922 | Dysarthria following unspecified cerebrovascular disease |
| I69.923 | Fluency disorder following unspecified cerebrovascular disease |
| I69.928 | Other speech and language deficits following unspecified cerebrovascular disease |
| I69.931 | Monoplegia of upper limb following unspecified cerebrovascular disease affecting right dominant side |
| I69.932 | Monoplegia of upper limb following unspecified cerebrovascular disease affecting left dominant side |
| I69.933 | Monoplegia of upper limb following unspecified cerebrovascular disease affecting right non-dominant side |
| I69.934 | Monoplegia of upper limb following unspecified cerebrovascular disease affecting left non-dominant side |
| I69.939 | Monoplegia of upper limb following unspecified cerebrovascular disease affecting unspecified side |
| I69.941 | Monoplegia of lower limb following unspecified cerebrovascular disease affecting right dominant side |
| I69.942 | Monoplegia of lower limb following unspecified cerebrovascular disease affecting left dominant side |
| I69.943 | Monoplegia of lower limb following unspecified cerebrovascular disease affecting right non-dominant side |
| I69.944 | Monoplegia of lower limb following unspecified cerebrovascular disease affecting left non-dominant side |
| I69.949 | Monoplegia of lower limb following unspecified cerebrovascular disease affecting unspecified side |
| I69.951 | Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting right dominant side |
| I69.952 | Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting left dominant side |
| I69.953 | Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting right non-dominant side |
| I69.954 | Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting left non-dominant side |
| I69.959 | Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side |
| I69.961 | Other paralytic syndrome following unspecified cerebrovascular disease affecting right dominant side |
| I69.962 | Other paralytic syndrome following unspecified cerebrovascular disease affecting left dominant side |
| I69.963 | Other paralytic syndrome following unspecified cerebrovascular disease affecting right non-dominant side |
| I69.964 | Other paralytic syndrome following unspecified cerebrovascular disease affecting left non-dominant side |
| I69.965 | Other paralytic syndrome following unspecified cerebrovascular disease, bilateral |
| I69.969 | Other paralytic syndrome following unspecified cerebrovascular disease affecting unspecified side |
| I69.990 | Apraxia following unspecified cerebrovascular disease |
| I69.991 | Dysphagia following unspecified cerebrovascular disease |
| I69.992 | Facial weakness following unspecified cerebrovascular disease |
| I69.993 | Ataxia following unspecified cerebrovascular disease |
| I69.998 | Other sequelae following unspecified cerebrovascular disease |
| V12.54 | Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits |
| Z86.73 | Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits |
Atherosclerosis and Peripheral Arterial Disease Diagnoses
| SNOMED: | |
| Code | Description |
| 127014009 | Peripheral angiopathy due to diabetes mellitus (disorder) |
| 13954005 | Ischemic ulcer (disorder) |
| 233955003 | Abdominal aortic atherosclerosis (disorder) |
| 233956002 | Aortoiliac atherosclerosis (disorder) |
| 238794007 | Ischemic foot ulcer (disorder) |
| 284871000119105 | Atherosclerosis of left carotid artery (disorder) |
| 284881000119108 | Atherosclerosis of right carotid artery (disorder) |
| 300920004 | Carotid atherosclerosis (disorder) |
| 39823006 | Generalized atherosclerosis (disorder) |
| 399957001 | Peripheral arterial occlusive disease (disorder) |
| 413838009 | Chronic ischemic heart disease (disorder) |
| 421365002 | Peripheral circulatory disorder due to type 1 diabetes mellitus (disorder) |
| 421895002 | Peripheral vascular disorder due to diabetes mellitus (disorder) |
| 422166005 | Peripheral circulatory disorder due to type 2 diabetes mellitus (disorder) |
| 429768000 | Ischemic ulcer of toe (disorder) |
| 441574008 | Atherosclerosis of artery (disorder) |
| 442439008 | Atherosclerosis of bypass graft of limb (disorder) |
| 442693003 | Atherosclerosis of autologous vein bypass graft of limb (disorder) |
| 442701004 | Atherosclerosis of nonautologous biological bypass graft of limb (disorder) |
| 442735001 | Atherosclerosis of nonautologous bypass graft of limb (disorder) |
| 443502000 | Atherosclerosis of coronary artery (disorder) |
| 45281005 | Atherosclerosis of renal artery (disorder) |
| 51274000 | Atherosclerosis of arteries of the extremities (disorder) |
| 55382008 | Cerebral atherosclerosis (disorder) |
| 63491006 | Intermittent claudication (finding) |
| 709584004 | Atherosclerosis of bypass graft of lower limb (disorder) |
| 709585003 | Atherosclerosis of nonautologous biological bypass graft of lower limb (disorder) |
| 792843009 | Gangrene of limb due to atherosclerosis of artery of limb (disorder) |
| 792844003 | Limb pain at rest due to atherosclerosis of artery of lower limb (disorder) |
| 792845002 | Intermittent claudication due to atherosclerosis of artery of limb (finding) |
| 8001000119106 | Atherosclerosis of aortoiliac bypass graft (disorder) |
| 81817003 | Atherosclerosis of aorta (disorder) |
| ICD-9: | |
| Code | Description |
| 414.00 | Coronary atherosclerosis of unspecified type of vessel, native or graft |
| 414.01 | Coronary atherosclerosis of native coronary artery |
| 414.02 | Coronary atherosclerosis of autologous vein bypass graft |
| 414.03 | Coronary atherosclerosis of nonautologous biological bypass graft |
| 414.04 | Coronary atherosclerosis of artery bypass graft |
| 414.05 | Coronary atherosclerosis of unspecified bypass graft |
| 414.06 | Coronary atherosclerosis of native coronary artery of transplanted heart |
| 414.07 | Coronary atherosclerosis of bypass graft (artery) (vein) of transplanted heart |
| 414.3 | Coronary atherosclerosis due to lipid rich plaque |
| 414.4 | Coronary atherosclerosis due to calcified coronary lesion |
| 437.0 | Cerebral atherosclerosis |
| 440.0 | Atherosclerosis of aorta |
| 440.1 | Atherosclerosis of renal artery |
| 440.20 | Atherosclerosis of native arteries of the extremities, unspecified |
| 440.21 | Atherosclerosis of native arteries of the extremities with intermittent claudication |
| 440.22 | Atherosclerosis of native arteries of the extremities with rest pain |
| 440.23 | Atherosclerosis of native arteries of the extremities with ulceration |
| 440.24 | Atherosclerosis of native arteries of the extremities with gangrene |
| 440.29 | Other atherosclerosis of native arteries of the extremities |
| 440.30 | Atherosclerosis of unspecified bypass graft of the extremities |
| 440.31 | Atherosclerosis of autologous vein bypass graft of the extremities |
| 440.32 | Atherosclerosis of nonautologous biological bypass graft of the extremities |
| 440.4 | Chronic total occlusion of artery of the extremities |
| 440.8 | Atherosclerosis of other specified arteries |
| 440.9 | Generalized and unspecified atherosclerosis |
| ICD-10: | |
| Code | Description |
| E08.51 | Diabetes mellitus due to underlying condition with diabetic peripheral angiopathy without gangrene |
| E08.52 | Diabetes mellitus due to underlying condition with diabetic peripheral angiopathy with gangrene |
| E09.51 | Drug or chemical induced diabetes mellitus with diabetic peripheral angiopathy without gangrene |
| E09.52 | Drug or chemical induced diabetes mellitus with diabetic peripheral angiopathy with gangrene |
| I25.10 | Atherosclerotic heart disease of native coronary artery without angina pectoris |
| I25.110 | Atherosclerotic heart disease of native coronary artery with unstable angina pectoris |
| I25.111 | Atherosclerotic heart disease of native coronary artery with angina pectoris with documented spasm |
| I25.112 | Atherosclerosic heart disease of native coronary artery with refractory angina pectoris |
| I25.118 | Atherosclerotic heart disease of native coronary artery with other forms of angina pectoris |
| I25.119 | Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris |
| I25.2 | Old myocardial infarction |
| I25.5 | Ischemic cardiomyopathy |
| I25.700 | Atherosclerosis of coronary artery bypass graft(s), unspecified, with unstable angina pectoris |
| I25.701 | Atherosclerosis of coronary artery bypass graft(s), unspecified, with angina pectoris with documented spasm |
| I25.702 | Atherosclerosis of coronary artery bypass graft(s), unspecified, with refractory angina pectoris |
| I25.708 | Atherosclerosis of coronary artery bypass graft(s), unspecified, with other forms of angina pectoris |
| I25.709 | Atherosclerosis of coronary artery bypass graft(s), unspecified, with unspecified angina pectoris |
| I25.710 | Atherosclerosis of autologous vein coronary artery bypass graft(s) with unstable angina pectoris |
| I25.711 | Atherosclerosis of autologous vein coronary artery bypass graft(s) with angina pectoris with documented spasm |
| I25.712 | Atherosclerosis of autologous vein coronary artery bypass graft(s) with refractory angina pectoris |
| I25.718 | Atherosclerosis of autologous vein coronary artery bypass graft(s) with other forms of angina pectoris |
| I25.719 | Atherosclerosis of autologous vein coronary artery bypass graft(s) with unspecified angina pectoris |
| I25.720 | Atherosclerosis of autologous artery coronary artery bypass graft(s) with unstable angina pectoris |
| I25.721 | Atherosclerosis of autologous artery coronary artery bypass graft(s) with angina pectoris with documented spasm |
| I25.722 | Atherosclerosis of autologous artery coronary artery bypass graft(s) with refractory angina pectoris |
| I25.728 | Atherosclerosis of autologous artery coronary artery bypass graft(s) with other forms of angina pectoris |
| I25.729 | Atherosclerosis of autologous artery coronary artery bypass graft(s) with unspecified angina pectoris |
| I25.730 | Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with unstable angina pectoris |
| I25.731 | Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with angina pectoris with documented spasm |
| I25.732 | Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with refractory angina pectoris |
| I25.738 | Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with other forms of angina pectoris |
| I25.739 | Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with unspecified angina pectoris |
| I25.750 | Atherosclerosis of native coronary artery of transplanted heart with unstable angina |
| I25.751 | Atherosclerosis of native coronary artery of transplanted heart with angina pectoris with documented spasm |
| I25.752 | Atherosclerosis of native coronary artery of transplanted heart with refractory angina pectoris |
| I25.758 | Atherosclerosis of native coronary artery of transplanted heart with other forms of angina pectoris |
| I25.759 | Atherosclerosis of native coronary artery of transplanted heart with unspecified angina pectoris |
| I25.760 | Atherosclerosis of bypass graft of coronary artery of transplanted heart with unstable angina |
| I25.761 | Atherosclerosis of bypass graft of coronary artery of transplanted heart with angina pectoris with documented spasm |
| I25.762 | Atherosclerosis of bypass graft of coronary artery of transplanted heart with refractory angina pectoris |
| I25.768 | Atherosclerosis of bypass graft of coronary artery of transplanted heart with other forms of angina pectoris |
| I25.769 | Atherosclerosis of bypass graft of coronary artery of transplanted heart with unspecified angina pectoris |
| I25.790 | Atherosclerosis of other coronary artery bypass graft(s) with unstable angina pectoris |
| I25.791 | Atherosclerosis of other coronary artery bypass graft(s) with angina pectoris with documented spasm |
| I25.792 | Atherosclerosis of other coronary artery bypass graft(s) with refractory angina pectoris |
| I25.798 | Atherosclerosis of other coronary artery bypass graft(s) with other forms of angina pectoris |
| I25.799 | Atherosclerosis of other coronary artery bypass graft(s) with unspecified angina pectoris |
| I25.810 | Atherosclerosis of coronary artery bypass graft(s) without angina pectoris |
| I25.811 | Atherosclerosis of native coronary artery of transplanted heart without angina pectoris |
| I25.812 | Atherosclerosis of bypass graft of coronary artery of transplanted heart without angina pectoris |
| I25.82 | Chronic total occlusion of coronary artery |
| I25.83 | Coronary atherosclerosis due to lipid rich plaque |
| I25.84 | Coronary atherosclerosis due to calcified coronary lesion |
| I25.89 | Other forms of chronic ischemic heart disease |
| I25.9 | Chronic ischemic heart disease, unspecified |
| I65.01 | Occlusion and stenosis of right vertebral artery |
| I65.02 | Occlusion and stenosis of left vertebral artery |
| I65.03 | Occlusion and stenosis of bilateral vertebral arteries |
| I65.09 | Occlusion and stenosis of unspecified vertebral artery |
| I65.1 | Occlusion and stenosis of basilar artery |
| I65.21 | Occlusion and stenosis of right carotid artery |
| I65.22 | Occlusion and stenosis of left carotid artery |
| I65.23 | Occlusion and stenosis of bilateral carotid arteries |
| I65.29 | Occlusion and stenosis of unspecified carotid artery |
| I65.8 | Occlusion and stenosis of other precerebral arteries |
| I65.9 | Occlusion and stenosis of unspecified precerebral artery |
| I67.2 | Cerebral atherosclerosis |
| I70.0 | Atherosclerosis of aorta |
| I70.1 | Atherosclerosis of renal artery |
| I70.201 | Unspecified atherosclerosis of native arteries of extremities, right leg |
| I70.202 | Unspecified atherosclerosis of native arteries of extremities, left leg |
| I70.203 | Unspecified atherosclerosis of native arteries of extremities, bilateral legs |
| I70.208 | Unspecified atherosclerosis of native arteries of extremities, other extremity |
| I70.209 | Unspecified atherosclerosis of native arteries of extremities, unspecified extremity |
| I70.211 | Atherosclerosis of native arteries of extremities with intermittent claudication, right leg |
| I70.212 | Atherosclerosis of native arteries of extremities with intermittent claudication, left leg |
| I70.213 | Atherosclerosis of native arteries of extremities with intermittent claudication, bilateral legs |
| I70.218 | Atherosclerosis of native arteries of extremities with intermittent claudication, other extremity |
| I70.219 | Atherosclerosis of native arteries of extremities with intermittent claudication, unspecified extremity |
| I70.221 | Atherosclerosis of native arteries of extremities with rest pain, right leg |
| I70.222 | Atherosclerosis of native arteries of extremities with rest pain, left leg |
| I70.223 | Atherosclerosis of native arteries of extremities with rest pain, bilateral legs |
| I70.228 | Atherosclerosis of native arteries of extremities with rest pain, other extremity |
| I70.229 | Atherosclerosis of native arteries of extremities with rest pain, unspecified extremity |
| I70.231 | Atherosclerosis of native arteries of right leg with ulceration of thigh |
| I70.232 | Atherosclerosis of native arteries of right leg with ulceration of calf |
| I70.233 | Atherosclerosis of native arteries of right leg with ulceration of ankle |
| I70.234 | Atherosclerosis of native arteries of right leg with ulceration of heel and midfoot |
| I70.235 | Atherosclerosis of native arteries of right leg with ulceration of other part of foot |
| I70.238 | Atherosclerosis of native arteries of right leg with ulceration of other part of lower leg |
| I70.239 | Atherosclerosis of native arteries of right leg with ulceration of unspecified site |
| I70.241 | Atherosclerosis of native arteries of left leg with ulceration of thigh |
| I70.242 | Atherosclerosis of native arteries of left leg with ulceration of calf |
| I70.243 | Atherosclerosis of native arteries of left leg with ulceration of ankle |
| I70.244 | Atherosclerosis of native arteries of left leg with ulceration of heel and midfoot |
| I70.245 | Atherosclerosis of native arteries of left leg with ulceration of other part of foot |
| I70.248 | Atherosclerosis of native arteries of left leg with ulceration of other part of lower leg |
| I70.249 | Atherosclerosis of native arteries of left leg with ulceration of unspecified site |
| I70.25 | Atherosclerosis of native arteries of other extremities with ulceration |
| I70.261 | Atherosclerosis of native arteries of extremities with gangrene, right leg |
| I70.262 | Atherosclerosis of native arteries of extremities with gangrene, left leg |
| I70.263 | Atherosclerosis of native arteries of extremities with gangrene, bilateral legs |
| I70.268 | Atherosclerosis of native arteries of extremities with gangrene, other extremity |
| I70.269 | Atherosclerosis of native arteries of extremities with gangrene, unspecified extremity |
| I70.291 | Other atherosclerosis of native arteries of extremities, right leg |
| I70.292 | Other atherosclerosis of native arteries of extremities, left leg |
| I70.293 | Other atherosclerosis of native arteries of extremities, bilateral legs |
| I70.298 | Other atherosclerosis of native arteries of extremities, other extremity |
| I70.299 | Other atherosclerosis of native arteries of extremities, unspecified extremity |
| I70.301 | Unspecified atherosclerosis of unspecified type of bypass graft(s) of the extremities, right leg |
| I70.302 | Unspecified atherosclerosis of unspecified type of bypass graft(s) of the extremities, left leg |
| I70.303 | Unspecified atherosclerosis of unspecified type of bypass graft(s) of the extremities, bilateral legs |
| I70.308 | Unspecified atherosclerosis of unspecified type of bypass graft(s) of the extremities, other extremity |
| I70.309 | Unspecified atherosclerosis of unspecified type of bypass graft(s) of the extremities, unspecified extremity |
| I70.311 | Atherosclerosis of unspecified type of bypass graft(s) of the extremities with intermittent claudication, right leg |
| I70.312 | Atherosclerosis of unspecified type of bypass graft(s) of the extremities with intermittent claudication, left leg |
| I70.313 | Atherosclerosis of unspecified type of bypass graft(s) of the extremities with intermittent claudication, bilateral legs |
| I70.318 | Atherosclerosis of unspecified type of bypass graft(s) of the extremities with intermittent claudication, other extremity |
| I70.319 | Atherosclerosis of unspecified type of bypass graft(s) of the extremities with intermittent claudication, unspecified extremity |
| I70.321 | Atherosclerosis of unspecified type of bypass graft(s) of the extremities with rest pain, right leg |
| I70.322 | Atherosclerosis of unspecified type of bypass graft(s) of the extremities with rest pain, left leg |
| I70.323 | Atherosclerosis of unspecified type of bypass graft(s) of the extremities with rest pain, bilateral legs |
| I70.328 | Atherosclerosis of unspecified type of bypass graft(s) of the extremities with rest pain, other extremity |
| I70.329 | Atherosclerosis of unspecified type of bypass graft(s) of the extremities with rest pain, unspecified extremity |
| I70.331 | Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of thigh |
| I70.332 | Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of calf |
| I70.333 | Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of ankle |
| I70.334 | Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of heel and midfoot |
| I70.335 | Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of other part of foot |
| I70.338 | Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of other part of lower leg |
| I70.339 | Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of unspecified site |
| I70.341 | Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of thigh |
| I70.342 | Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of calf |
| I70.343 | Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of ankle |
| I70.344 | Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of heel and midfoot |
| I70.345 | Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of other part of foot |
| I70.348 | Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of other part of lower leg |
| I70.349 | Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of unspecified site |
| I70.35 | Atherosclerosis of unspecified type of bypass graft(s) of other extremity with ulceration |
| I70.361 | Atherosclerosis of unspecified type of bypass graft(s) of the extremities with gangrene, right leg |
| I70.362 | Atherosclerosis of unspecified type of bypass graft(s) of the extremities with gangrene, left leg |
| I70.363 | Atherosclerosis of unspecified type of bypass graft(s) of the extremities with gangrene, bilateral legs |
| I70.368 | Atherosclerosis of unspecified type of bypass graft(s) of the extremities with gangrene, other extremity |
| I70.369 | Atherosclerosis of unspecified type of bypass graft(s) of the extremities with gangrene, unspecified extremity |
| I70.391 | Other atherosclerosis of unspecified type of bypass graft(s) of the extremities, right leg |
| I70.392 | Other atherosclerosis of unspecified type of bypass graft(s) of the extremities, left leg |
| I70.393 | Other atherosclerosis of unspecified type of bypass graft(s) of the extremities, bilateral legs |
| I70.398 | Other atherosclerosis of unspecified type of bypass graft(s) of the extremities, other extremity |
| I70.399 | Other atherosclerosis of unspecified type of bypass graft(s) of the extremities, unspecified extremity |
| I70.401 | Unspecified atherosclerosis of autologous vein bypass graft(s) of the extremities, right leg |
| I70.402 | Unspecified atherosclerosis of autologous vein bypass graft(s) of the extremities, left leg |
| I70.403 | Unspecified atherosclerosis of autologous vein bypass graft(s) of the extremities, bilateral legs |
| I70.408 | Unspecified atherosclerosis of autologous vein bypass graft(s) of the extremities, other extremity |
| I70.409 | Unspecified atherosclerosis of autologous vein bypass graft(s) of the extremities, unspecified extremity |
| I70.411 | Atherosclerosis of autologous vein bypass graft(s) of the extremities with intermittent claudication, right leg |
| I70.412 | Atherosclerosis of autologous vein bypass graft(s) of the extremities with intermittent claudication, left leg |
| I70.413 | Atherosclerosis of autologous vein bypass graft(s) of the extremities with intermittent claudication, bilateral legs |
| I70.418 | Atherosclerosis of autologous vein bypass graft(s) of the extremities with intermittent claudication, other extremity |
| I70.419 | Atherosclerosis of autologous vein bypass graft(s) of the extremities with intermittent claudication, unspecified extremity |
| I70.421 | Atherosclerosis of autologous vein bypass graft(s) of the extremities with rest pain, right leg |
| I70.422 | Atherosclerosis of autologous vein bypass graft(s) of the extremities with rest pain, left leg |
| I70.423 | Atherosclerosis of autologous vein bypass graft(s) of the extremities with rest pain, bilateral legs |
| I70.428 | Atherosclerosis of autologous vein bypass graft(s) of the extremities with rest pain, other extremity |
| I70.429 | Atherosclerosis of autologous vein bypass graft(s) of the extremities with rest pain, unspecified extremity |
| I70.431 | Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of thigh |
| I70.432 | Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of calf |
| I70.433 | Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of ankle |
| I70.434 | Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of heel and midfoot |
| I70.435 | Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of other part of foot |
| I70.438 | Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of other part of lower leg |
| I70.439 | Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of unspecified site |
| I70.441 | Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of thigh |
| I70.442 | Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of calf |
| I70.443 | Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of ankle |
| I70.444 | Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of heel and midfoot |
| I70.445 | Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of other part of foot |
| I70.448 | Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of other part of lower leg |
| I70.449 | Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of unspecified site |
| I70.45 | Atherosclerosis of autologous vein bypass graft(s) of other extremity with ulceration |
| I70.461 | Atherosclerosis of autologous vein bypass graft(s) of the extremities with gangrene, right leg |
| I70.462 | Atherosclerosis of autologous vein bypass graft(s) of the extremities with gangrene, left leg |
| I70.463 | Atherosclerosis of autologous vein bypass graft(s) of the extremities with gangrene, bilateral legs |
| I70.468 | Atherosclerosis of autologous vein bypass graft(s) of the extremities with gangrene, other extremity |
| I70.469 | Atherosclerosis of autologous vein bypass graft(s) of the extremities with gangrene, unspecified extremity |
| I70.491 | Other atherosclerosis of autologous vein bypass graft(s) of the extremities, right leg |
| I70.492 | Other atherosclerosis of autologous vein bypass graft(s) of the extremities, left leg |
| I70.493 | Other atherosclerosis of autologous vein bypass graft(s) of the extremities, bilateral legs |
| I70.498 | Other atherosclerosis of autologous vein bypass graft(s) of the extremities, other extremity |
| I70.499 | Other atherosclerosis of autologous vein bypass graft(s) of the extremities, unspecified extremity |
| I70.501 | Unspecified atherosclerosis of nonautologous biological bypass graft(s) of the extremities, right leg |
| I70.502 | Unspecified atherosclerosis of nonautologous biological bypass graft(s) of the extremities, left leg |
| I70.503 | Unspecified atherosclerosis of nonautologous biological bypass graft(s) of the extremities, bilateral legs |
| I70.508 | Unspecified atherosclerosis of nonautologous biological bypass graft(s) of the extremities, other extremity |
| I70.509 | Unspecified atherosclerosis of nonautologous biological bypass graft(s) of the extremities, unspecified extremity |
| I70.511 | Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with intermittent claudication, right leg |
| I70.512 | Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with intermittent claudication, left leg |
| I70.513 | Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with intermittent claudication, bilateral legs |
| I70.518 | Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with intermittent claudication, other extremity |
| I70.519 | Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with intermittent claudication, unspecified extremity |
| I70.521 | Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with rest pain, right leg |
| I70.522 | Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with rest pain, left leg |
| I70.523 | Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with rest pain, bilateral legs |
| I70.528 | Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with rest pain, other extremity |
| I70.529 | Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with rest pain, unspecified extremity |
| I70.531 | Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of thigh |
| I70.532 | Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of calf |
| I70.533 | Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of ankle |
| I70.534 | Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of heel and midfoot |
| I70.535 | Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of other part of foot |
| I70.538 | Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of other part of lower leg |
| I70.539 | Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of unspecified site |
| I70.541 | Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of thigh |
| I70.542 | Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of calf |
| I70.543 | Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of ankle |
| I70.544 | Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of heel and midfoot |
| I70.545 | Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of other part of foot |
| I70.548 | Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of other part of lower leg |
| I70.549 | Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of unspecified site |
| I70.55 | Atherosclerosis of nonautologous biological bypass graft(s) of other extremity with ulceration |
| I70.561 | Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene, right leg |
| I70.562 | Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene, left leg |
| I70.563 | Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene, bilateral legs |
| I70.568 | Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene, other extremity |
| I70.569 | Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene, unspecified extremity |
| I70.591 | Other atherosclerosis of nonautologous biological bypass graft(s) of the extremities, right leg |
| I70.592 | Other atherosclerosis of nonautologous biological bypass graft(s) of the extremities, left leg |
| I70.593 | Other atherosclerosis of nonautologous biological bypass graft(s) of the extremities, bilateral legs |
| I70.598 | Other atherosclerosis of nonautologous biological bypass graft(s) of the extremities, other extremity |
| I70.599 | Other atherosclerosis of nonautologous biological bypass graft(s) of the extremities, unspecified extremity |
| I70.601 | Unspecified atherosclerosis of nonbiological bypass graft(s) of the extremities, right leg |
| I70.602 | Unspecified atherosclerosis of nonbiological bypass graft(s) of the extremities, left leg |
| I70.603 | Unspecified atherosclerosis of nonbiological bypass graft(s) of the extremities, bilateral legs |
| I70.608 | Unspecified atherosclerosis of nonbiological bypass graft(s) of the extremities, other extremity |
| I70.609 | Unspecified atherosclerosis of nonbiological bypass graft(s) of the extremities, unspecified extremity |
| I70.611 | Atherosclerosis of nonbiological bypass graft(s) of the extremities with intermittent claudication, right leg |
| I70.612 | Atherosclerosis of nonbiological bypass graft(s) of the extremities with intermittent claudication, left leg |
| I70.613 | Atherosclerosis of nonbiological bypass graft(s) of the extremities with intermittent claudication, bilateral legs |
| I70.618 | Atherosclerosis of nonbiological bypass graft(s) of the extremities with intermittent claudication, other extremity |
| I70.619 | Atherosclerosis of nonbiological bypass graft(s) of the extremities with intermittent claudication, unspecified extremity |
| I70.621 | Atherosclerosis of nonbiological bypass graft(s) of the extremities with rest pain, right leg |
| I70.622 | Atherosclerosis of nonbiological bypass graft(s) of the extremities with rest pain, left leg |
| I70.623 | Atherosclerosis of nonbiological bypass graft(s) of the extremities with rest pain, bilateral legs |
| I70.628 | Atherosclerosis of nonbiological bypass graft(s) of the extremities with rest pain, other extremity |
| I70.629 | Atherosclerosis of nonbiological bypass graft(s) of the extremities with rest pain, unspecified extremity |
| I70.631 | Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of thigh |
| I70.632 | Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of calf |
| I70.633 | Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of ankle |
| I70.634 | Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of heel and midfoot |
| I70.635 | Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of other part of foot |
| I70.638 | Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of other part of lower leg |
| I70.639 | Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of unspecified site |
| I70.641 | Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of thigh |
| I70.642 | Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of calf |
| I70.643 | Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of ankle |
| I70.644 | Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of heel and midfoot |
| I70.645 | Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of other part of foot |
| I70.648 | Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of other part of lower leg |
| I70.649 | Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of unspecified site |
| I70.65 | Atherosclerosis of nonbiological bypass graft(s) of other extremity with ulceration |
| I70.661 | Atherosclerosis of nonbiological bypass graft(s) of the extremities with gangrene, right leg |
| I70.662 | Atherosclerosis of nonbiological bypass graft(s) of the extremities with gangrene, left leg |
| I70.663 | Atherosclerosis of nonbiological bypass graft(s) of the extremities with gangrene, bilateral legs |
| I70.668 | Atherosclerosis of nonbiological bypass graft(s) of the extremities with gangrene, other extremity |
| I70.669 | Atherosclerosis of nonbiological bypass graft(s) of the extremities with gangrene, unspecified extremity |
| I70.691 | Other atherosclerosis of nonbiological bypass graft(s) of the extremities, right leg |
| I70.692 | Other atherosclerosis of nonbiological bypass graft(s) of the extremities, left leg |
| I70.693 | Other atherosclerosis of nonbiological bypass graft(s) of the extremities, bilateral legs |
| I70.698 | Other atherosclerosis of nonbiological bypass graft(s) of the extremities, other extremity |
| I70.699 | Other atherosclerosis of nonbiological bypass graft(s) of the extremities, unspecified extremity |
| I70.701 | Unspecified atherosclerosis of other type of bypass graft(s) of the extremities, right leg |
| I70.702 | Unspecified atherosclerosis of other type of bypass graft(s) of the extremities, left leg |
| I70.703 | Unspecified atherosclerosis of other type of bypass graft(s) of the extremities, bilateral legs |
| I70.708 | Unspecified atherosclerosis of other type of bypass graft(s) of the extremities, other extremity |
| I70.709 | Unspecified atherosclerosis of other type of bypass graft(s) of the extremities, unspecified extremity |
| I70.711 | Atherosclerosis of other type of bypass graft(s) of the extremities with intermittent claudication, right leg |
| I70.712 | Atherosclerosis of other type of bypass graft(s) of the extremities with intermittent claudication, left leg |
| I70.713 | Atherosclerosis of other type of bypass graft(s) of the extremities with intermittent claudication, bilateral legs |
| I70.718 | Atherosclerosis of other type of bypass graft(s) of the extremities with intermittent claudication, other extremity |
| I70.719 | Atherosclerosis of other type of bypass graft(s) of the extremities with intermittent claudication, unspecified extremity |
| I70.721 | Atherosclerosis of other type of bypass graft(s) of the extremities with rest pain, right leg |
| I70.722 | Atherosclerosis of other type of bypass graft(s) of the extremities with rest pain, left leg |
| I70.723 | Atherosclerosis of other type of bypass graft(s) of the extremities with rest pain, bilateral legs |
| I70.728 | Atherosclerosis of other type of bypass graft(s) of the extremities with rest pain, other extremity |
| I70.729 | Atherosclerosis of other type of bypass graft(s) of the extremities with rest pain, unspecified extremity |
| I70.731 | Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of thigh |
| I70.732 | Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of calf |
| I70.733 | Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of ankle |
| I70.734 | Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of heel and midfoot |
| I70.735 | Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of other part of foot |
| I70.738 | Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of other part of lower leg |
| I70.739 | Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of unspecified site |
| I70.741 | Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of thigh |
| I70.742 | Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of calf |
| I70.743 | Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of ankle |
| I70.744 | Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of heel and midfoot |
| I70.745 | Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of other part of foot |
| I70.748 | Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of other part of lower leg |
| I70.749 | Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of unspecified site |
| I70.75 | Atherosclerosis of other type of bypass graft(s) of other extremity with ulceration |
| I70.761 | Atherosclerosis of other type of bypass graft(s) of the extremities with gangrene, right leg |
| I70.762 | Atherosclerosis of other type of bypass graft(s) of the extremities with gangrene, left leg |
| I70.763 | Atherosclerosis of other type of bypass graft(s) of the extremities with gangrene, bilateral legs |
| I70.768 | Atherosclerosis of other type of bypass graft(s) of the extremities with gangrene, other extremity |
| I70.769 | Atherosclerosis of other type of bypass graft(s) of the extremities with gangrene, unspecified extremity |
| I70.791 | Other atherosclerosis of other type of bypass graft(s) of the extremities, right leg |
| I70.792 | Other atherosclerosis of other type of bypass graft(s) of the extremities, left leg |
| I70.793 | Other atherosclerosis of other type of bypass graft(s) of the extremities, bilateral legs |
| I70.798 | Other atherosclerosis of other type of bypass graft(s) of the extremities, other extremity |
| I70.799 | Other atherosclerosis of other type of bypass graft(s) of the extremities, unspecified extremity |
| I70.8 | Atherosclerosis of other arteries |
| I70.90 | Unspecified atherosclerosis |
| I70.91 | Generalized atherosclerosis |
| I70.92 | Chronic total occlusion of artery of the extremities |
Ischemic Heart Disease or Related Diagnoses
| SNOMED: | |
| Code | Description |
| 10365005 | Right main coronary artery thrombosis (disorder) |
| 123641001 | Left coronary artery occlusion (disorder) |
| 123642008 | Right coronary artery occlusion (disorder) |
| 194821006 | Coronary thrombosis not resulting in myocardial infarction (disorder) |
| 194862000 | Hemopericardium due to and following acute myocardial infarction (disorder) |
| 194863005 | Atrial septal defect due to and following acute myocardial infarction (disorder) |
| 194865003 | Rupture of cardiac wall without hemopericardium as current complication following acute myocardial infarction (disorder) |
| 194867006 | Rupture of papillary muscle as current complication following acute myocardial infarction (disorder) |
| 194868001 | Thrombosis of atrium, auricular appendage, and ventricle due to and following acute myocardial infarction (disorder) |
| 233823002 | Silent myocardial ischemia (disorder) |
| 233846000 | Post-infarction ventricular septal defect (disorder) |
| 233847009 | Cardiac rupture due to and following acute myocardial infarction (disorder) |
| 233860003 | Post-infarction mitral papillary muscle rupture (disorder) |
| 233889001 | Post-infarction hemopericardium (disorder) |
| 28248000 | Left anterior descending coronary artery thrombosis (disorder) |
| 28931004 | Coronary artery rupture (disorder) |
| 315026000 | Transient myocardial ischemia (disorder) |
| 398274000 | Coronary artery thrombosis (disorder) |
| 408546009 | Coronary artery bypass graft occlusion (disorder) |
| 413439005 | Acute ischemic heart disease (disorder) |
| 413444003 | Acute myocardial ischemia (disorder) |
| 413838009 | Chronic ischemic heart disease (disorder) |
| 413844008 | Chronic myocardial ischemia (disorder) |
| 414545008 | Ischemic heart disease (disorder) |
| 414795007 | Myocardial ischemia (disorder) |
| 421327009 | Coronary artery stent thrombosis (disorder) |
| 428196007 | Mixed myocardial ischemia and infarction (disorder) |
| 457592003 | Occlusion of coronary sinus (disorder) |
| 46109009 | Subendocardial ischemia (disorder) |
| 461417000 | Acquired occlusion of coronary sinus (disorder) |
| 56276002 | Left main coronary artery thrombosis (disorder) |
| 63739005 | Coronary occlusion (disorder) |
| 697976003 | Microvascular ischemia of myocardium (disorder) |
| 703328007 | Mitral valve regurgitation due to acute myocardial infarction without papillary muscle and chordal rupture (disorder) |
| 703330009 | Mitral valve regurgitation due to acute myocardial infarction with papillary muscle and chordal rupture (disorder) |
| 712866001 | Resting ischemia co-occurrent and due to ischemic heart disease (disorder) |
| 713405002 | Subacute ischemic heart disease (disorder) |
| 78741000119103 | Acute coronary artery occlusion not resulting in myocardial infarction (disorder) |
| ICD-9: | |
| Code | Description |
| 411.0 | Postmyocardial infarction syndrome |
| 411.1 | Intermediate coronary syndrome |
| 411.81 | Acute coronary occlusion without myocardial infarction |
| 411.89 | Other acute and subacute forms of ischemic heart disease, other |
| 414.2 | Chronic total occlusion of coronary artery |
| 414.8 | Other specified forms of chronic ischemic heart disease |
| 414.9 | Chronic ischemic heart disease, unspecified |
| ICD-10: | |
| Code | Description |
| I23.0 | Hemopericardium as current complication following acute myocardial infarction |
| I23.1 | Atrial septal defect as current complication following acute myocardial infarction |
| I23.2 | Ventricular septal defect as current complication following acute myocardial infarction |
| I23.3 | Rupture of cardiac wall without hemopericardium as current complication following acute myocardial infarction |
| I23.4 | Rupture of chordae tendineae as current complication following acute myocardial infarction |
| I23.5 | Rupture of papillary muscle as current complication following acute myocardial infarction |
| I23.6 | Thrombosis of atrium, auricular appendage, and ventricle as current complications following acute myocardial infarction |
| I23.8 | Other current complications following acute myocardial infarction |
| I24.0 | Acute coronary thrombosis not resulting in myocardial infarction |
| I24.8 | Other forms of acute ischemic heart disease |
| I24.9 | Acute ischemic heart disease, unspecified |
| I25.5 | Ischemic cardiomyopathy |
| I25.6 | Silent myocardial ischemia |
| I25.82 | Chronic total occlusion of coronary artery |
| I25.89 | Other forms of chronic ischemic heart disease |
| I25.9 | Chronic ischemic heart disease, unspecified |
Stable and Unstable Angina Diagnoses
| SNOMED: | |
| Code | Description |
| 194828000 | Angina (disorder) |
| 233819005 | Stable angina (disorder) |
| 233821000 | New onset angina (disorder) |
| 314116003 | Post infarct angina (disorder) |
| 4557003 | Preinfarction syndrome (disorder) |
| 59021001 | Angina decubitus (disorder) |
| ICD-10: | |
| Code | Description |
| 411.0 | Postmyocardial infarction syndrome |
| 411.1 | Intermediate coronary syndrome |
| 413.0 | Angina decubitus |
| 413.9 | Other and unspecified angina pectoris |
| 429.79 | Certain sequelae of myocardial infarction, not elsewhere classified, other |
| ICD-10: | |
| Code | Description |
| I20.0 | Unstable angina |
| I20.1 | Angina pectoris with documented spasm |
| I20.8 | Other forms of angina pectoris |
| I20.9 | Angina pectoris, unspecified |
| I23.7 | Postinfarction angina |
PCI Procedure
| SNOMED: | |
| Code | Description |
| 11101003 | Percutaneous transluminal coronary angioplasty (procedure) |
| 175066001 | Percutaneous transluminal balloon angioplasty of bypass graft of coronary artery (procedure) |
| 36969009 | Placement of stent in coronary artery (procedure) |
| 397193006 | Percutaneous transluminal coronary angioplasty by rotoablation (procedure) |
| 397431004 | Percutaneous transluminal coronary angioplasty with rotoablation, single vessel (procedure) |
| 414089002 | Emergency percutaneous coronary intervention (procedure) |
| 415070008 | Percutaneous coronary intervention (procedure) |
| 428488008 | Placement of stent in anterior descending branch of left coronary artery (procedure) |
| 429499003 | Placement of stent in circumflex branch of left coronary artery (procedure) |
| 429639007 | Percutaneous transluminal balloon angioplasty with insertion of stent into coronary artery (procedure) |
| 429809004 | Percutaneous transluminal angioplasty of coronary artery using fluoroscopic guidance with contrast (procedure) |
| 609153008 | Percutaneous insertion of drug eluting stent into coronary artery using fluoroscopic guidance with contrast (procedure) |
| 609154002 | Percutaneous transluminal insertion of metal stent into coronary artery using fluoroscopic guidance with contrast (procedure) |
| 68466008 | Removal of coronary artery obstruction by percutaneous transluminal balloon, single vessel (procedure) |
| 698740005 | Percutaneous transluminal atherectomy of coronary artery by rotary cutter using fluoroscopic guidance with contrast (procedure) |
| 707828002 | Percutaneous transluminal cutting balloon angioplasty of coronary artery (procedure) |
| 737085003 | Percutaneous insertion of bioresorbable stent into coronary artery using fluoroscopic guidance (procedure) |
| 85053006 | Percutaneous transluminal coronary angioplasty, multiple vessels (procedure) |
CABG Surgeries Procedures
| SNOMED: | |
| Code | Description |
| 39202005 | Coronary artery bypass with autogenous graft, four grafts (procedure) |
| 39724006 | Anastomosis of internal mammary artery to coronary artery, double vessel (procedure) |
| 405598005 | Aortocoronary artery bypass graft with two vein grafts (procedure) |
| 405599002 | Aortocoronary artery bypass graft with three vein grafts (procedure) |
| 414088005 | Emergency coronary artery bypass graft (procedure) |
| 418551006 | Laparoscopic coronary artery bypass using robotic assistance (procedure) |
| 419132001 | Minimally invasive direct coronary artery bypass (procedure) |
| 438530000 | Magnetic resonance angiography of coronary artery bypass graft (procedure) |
| 440332008 | Fluoroscopic angiography of left ventricle and coronary artery bypass graft with contrast (procedure) |
| 450506009 | Computed tomography angiography of coronary artery bypass graft with contrast (procedure) |
| 67166004 | Aortocoronary artery bypass graft (procedure) |
| 736970002 | Allograft bypass of four or more coronary arteries (procedure) |
| 736971003 | Allograft bypass of one coronary artery (procedure) |
| 736972005 | Allograft bypass of three coronary arteries (procedure) |
| 736973000 | Allograft bypass of two coronary arteries (procedure) |
| 74371005 | Coronary artery bypass with autogenous graft, two grafts (procedure) |
| 82247006 | Coronary artery bypass with autogenous graft, five grafts (procedure) |
| 8876004 | Aortocoronary artery bypass graft with prosthesis (procedure) |
| 90487008 | Aortocoronary bypass of two coronary arteries (procedure) |
Carotid Intervention Procedures
| SNOMED: | |
| Code | Description |
| 39887009 | Thrombectomy with catheter of carotid artery by neck incision (procedure) |
| 405326004 | Angioplasty of internal carotid artery (procedure) |
| 405379009 | Repair of internal carotid artery (procedure) |
| 405407008 | Endarterectomy and angioplasty of internal carotid artery (procedure) |
| 405408003 | Endarterectomy and angioplasty of internal carotid artery with prosthesis (procedure) |
| 405409006 | Endarterectomy and angioplasty of internal carotid artery with vein (procedure) |
| 405411002 | Endarterectomy and angioplasty of external carotid artery (procedure) |
| 405412009 | Endarterectomy of internal carotid artery with eversion and end-to-end anastomosis (procedure) |
| 405415006 | Angioplasty of internal carotid artery with vein (procedure) |
| 417884003 | Angioplasty of external carotid artery using fluoroscopic guidance with contrast (procedure) |
| 418405008 | Fluoroscopic angiography of carotid artery with contrast and insertion of stent (procedure) |
| 418838006 | Fluoroscopic angiography of internal carotid artery with contrast (procedure) |
| 419014003 | Angioplasty of internal carotid artery using fluoroscopic guidance with contrast (procedure) |
| 420026003 | Angioplasty of common carotid artery using fluoroscopic guidance with contrast (procedure) |
| 420046008 | Angioplasty of carotid artery using fluoroscopic guidance with contrast (procedure) |
| 420171008 | Fluoroscopic angiography of carotid artery with contrast (procedure) |
| 425611003 | Percutaneous transluminal insertion of stent into carotid artery (procedure) |
| 427486009 | Bypass of carotid artery by anastomosis of superficial temporal artery to middle cerebral artery (procedure) |
| 428802000 | Endovascular repair of carotid artery (procedure) |
| 429287007 | Angioplasty of carotid artery (procedure) |
| 431515004 | Fluoroscopic angiography of external carotid artery using contrast with insertion of stent (procedure) |
| 431519005 | Fluoroscopic angiography of common carotid artery using contrast with insertion of stent (procedure) |
| 431535003 | Percutaneous transluminal angioplasty of external carotid artery using fluoroscopic guidance with contrast (procedure) |
| 431659001 | Percutaneous transluminal angioplasty of common carotid artery using fluoroscopic guidance with contrast (procedure) |
| 432039002 | Percutaneous transluminal angioplasty of internal carotid artery using fluoroscopic guidance with contrast (procedure) |
| 432785007 | Fluoroscopic angiography of common carotid artery using contrast with insertion of drug eluting stent (procedure) |
| 433056003 | Fluoroscopic angiography of internal carotid artery using contrast with insertion of stent (procedure) |
| 433061001 | Fluoroscopic intravenous digital subtraction angiography of carotid artery with contrast (procedure) |
| 433591001 | Fluoroscopic angiography of common carotid artery using contrast with insertion of stent graft (procedure) |
| 433683001 | Fluoroscopic angiography of internal carotid artery using contrast with insertion of drug eluting stent (procedure) |
| 433690006 | Fluoroscopic angiography of external carotid artery using contrast with insertion of drug eluting stent (procedure) |
| 433711000 | Percutaneous transluminal cutting balloon angioplasty of external carotid artery using fluoroscopic guidance with contrast (procedure) |
| 433734009 | Percutaneous transluminal cutting balloon angioplasty of internal carotid artery using fluoroscopic guidance with contrast (procedure) |
| 434159001 | Fluoroscopic angiography of external carotid artery using contrast with insertion of stent graft (procedure) |
| 434378006 | Fluoroscopic angiography of internal carotid artery using contrast with insertion of stent graft (procedure) |
| 434433007 | Percutaneous transluminal cutting balloon angioplasty of common carotid artery using fluoroscopic guidance with contrast (procedure) |
| 43628009 | Insertion of needle into carotid artery (procedure) |
| 438615003 | Procedure on carotid artery using imaging guidance (procedure) |
| 440221006 | Bypass of carotid artery to brachial artery using vein graft (procedure) |
| 440453000 | Fluoroscopic angiography of aortic arch and carotid artery with contrast (procedure) |
| 440518005 | Fluoroscopic angiography of carotid artery by direct puncture with contrast (procedure) |
| 449242004 | Clipping of carotid artery by cervical approach (procedure) |
| 46912008 | Ligation of external carotid artery for nasal hemorrhage (procedure) |
| 51382002 | Creation of carotid-carotid shunt (procedure) |
| 53412000 | Ligation of common carotid artery (procedure) |
| 59012002 | Carotid-subclavian artery bypass graft with vein (procedure) |
| 59109003 | Ligation of external carotid artery (procedure) |
| 66951008 | Carotid endarterectomy (procedure) |
| 74720005 | Embolectomy with catheter of carotid artery by neck incision (procedure) |
| 79507006 | Carotid-vertebral artery bypass graft with vein (procedure) |
| 80102005 | Creation of external-internal carotid bypass (procedure) |
| 80104006 | Exteriorization of carotid artery (procedure) |
| 87314005 | Exploration of carotid artery (procedure) |
| 90931006 | Introduction of catheter into carotid artery (procedure) |
| 9339002 | Perfusion of carotid artery (procedure) |
CABG or PCI Procedures
| CPT: | |
| Code | Description |
| 33510 | Coronary artery bypass, vein only; single coronary venous graft |
| 33511 | Coronary artery bypass, vein only; 2 coronary venous grafts |
| 33512 | Coronary artery bypass, vein only; 3 coronary venous grafts |
| 33513 | Coronary artery bypass, vein only; 4 coronary venous grafts |
| 33514 | Coronary artery bypass, vein only; 5 coronary venous grafts |
| 33516 | Coronary artery bypass, vein only; 6 or more coronary venous grafts |
| 33517 | Coronary artery bypass, using venous graft(s) and arterial graft(s); single vein graft (List separately in addition to code for primary procedure) |
| 33518 | Coronary artery bypass, using venous graft(s) and arterial graft(s); 2 venous grafts (List separately in addition to code for primary procedure) |
| 33519 | Coronary artery bypass, using venous graft(s) and arterial graft(s); 3 venous grafts (List separately in addition to code for primary procedure) |
| 33521 | Coronary artery bypass, using venous graft(s) and arterial graft(s); 4 venous grafts (List separately in addition to code for primary procedure) |
| 33522 | Coronary artery bypass, using venous graft(s) and arterial graft(s); 5 venous grafts (List separately in addition to code for primary procedure) |
| 33523 | Coronary artery bypass, using venous graft(s) and arterial graft(s); 6 or more venous grafts (List separately in addition to code for primary procedure) |
| 33533 | Coronary artery bypass, using arterial graft(s); single arterial graft |
| 33534 | Coronary artery bypass, using arterial graft(s); 2 coronary arterial grafts |
| 33535 | Coronary artery bypass, using arterial graft(s); 3 coronary arterial grafts |
| 33536 | Coronary artery bypass, using arterial graft(s); 4 or more coronary arterial grafts |
| 92920 | Percutaneous transluminal coronary angioplasty; single major coronary artery or branch |
| 92924 | Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; single major coronary artery or branch |
| 92928 | Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch |
| 92933 | Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch |
| 92937 | Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel |
| 92941 | Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of intracoronary stent, atherectomy and angioplasty, including aspiration thrombectomy when performed, single vessel |
| 92943 | Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy and angioplasty; single vessel |
| HCPCS: | |
| Code | Description |
| S2205 | Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using arterial graft(s), single coronary arterial graft |
| S2206 | Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using arterial graft(s), two coronary arterial grafts |
| S2207 | Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using venous graft only, single coronary venous graft |
| S2208 | Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using single arterial and venous graft(s), single venous graft |
| S2209 | Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using two arterial grafts and single venous graft |
Population 2:
Patients aged 20 to 75 years at the beginning of the measurement period who have ever had a laboratory result of LDL-C >=190 mg/dL or were previously diagnosed with or currently have an active diagnosis of familial hypercholesterolemia; and who had a valid encounter during the measurement period.
This is captured by adding a procedure with a valid CPT, HCPCS, or SNOMED code using the Procedure widget in a note.
Annual Wellness Visit
| HCPCS: | |
| Code | Description |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
| SNOMED: | |
| Code | Description |
| 444971000124105 | Annual wellness visit (procedure) |
| 456201000124103 | Medicare annual wellness visit (procedure) |
Office Visit
| CPT: | |
| Code | Description |
| 99201 | Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family. |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter. |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 30-44 minutes of total time is spent on the date of the encounter. |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 45-59 minutes of total time is spent on the date of the encounter. |
| 99205 | Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 60-74 minutes of total time is spent on the date of the encounter. |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 10-19 minutes of total time is spent on the date of the encounter. |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 20-29 minutes of total time is spent on the date of the encounter. |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 30-39 minutes of total time is spent on the date of the encounter. |
| 99215 | Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter. |
| SNOMED: | |
| Code | Description |
| 185463005 | Visit out of hours (procedure) |
| 185464004 | Out of hours visit – not night visit (procedure) |
| 185465003 | Weekend visit (procedure) |
| 30346009 | Evaluation and management of established outpatient in office or other outpatient facility (procedure) |
| 3391000175108 | Office visit for pediatric care and assessment (procedure) |
| 37894004 | Evaluation and management of new outpatient in office or other outpatient facility (procedure) |
| 439740005 | Postoperative follow-up visit (procedure) |
Outpatient Consultation
| SNOMED: | |
| Code | Description |
| 281036007 | Follow-up consultation (procedure) |
| 77406008 | Confirmatory medical consultation (procedure) |
| CPT: | |
| Code | Description |
| 99241 | Office consultation for a new or established patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are self limited or minor. Typically, 15 minutes are spent face-to-face with the patient and/or family. |
| 99242 | Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded. |
| 99243 | Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded. |
| 99244 | Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded. |
| 99245 | Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 55 minutes must be met or exceeded. |
Outpatient Encounters for Preventive Care
| SNOMED: | |
| Code | Description |
| 108219001 | Physician visit with evaluation AND/OR management service (procedure) |
| 108220007 | Evaluation AND/OR management – new patient (procedure) |
| 108221006 | Evaluation AND/OR management – established patient (procedure) |
| 108224003 | Preventive patient evaluation (procedure) |
| 14736009 | History and physical examination with evaluation and management of patient (procedure) |
| 185349003 | Encounter for check up (procedure) |
| 185389009 | Follow-up visit (procedure) |
| 270427003 | Patient-initiated encounter (procedure) |
| 270430005 | Provider-initiated encounter (procedure) |
| 281036007 | Follow-up consultation (procedure) |
| 308335008 | Patient encounter procedure (procedure) |
| 390906007 | Follow-up encounter (procedure) |
| 410187005 | Physical evaluation management (procedure) |
| 78318003 | History and physical examination, annual for health maintenance (procedure) |
| 86013001 | Periodic reevaluation and management of healthy individual (procedure) |
| 90526000 | Initial evaluation and management of healthy individual (procedure) |
Preventive Care Services, 18 years old and Up
| CPT: | |
| Code | Description |
| 99385 | Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 18-39 years |
| 99386 | Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 40-64 years |
| 99387 | Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 65 years and older |
| 99395 | Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 18-39 years |
| 99396 | Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 40-64 years |
| 99397 | Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 65 years and older |
Preventive Care Services Individual Counseling
| CPT: | |
| Code | Description |
| 99401 | Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 15 minutes |
| 99402 | Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 30 minutes |
| 99403 | Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 45 minutes |
| 99404 | Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 60 minutes |
Unlisted preventive medicine service
| CPT: | |
| Code | Description |
| 99429 | Unlisted preventive medicine service |
AND one of the following:
If a LDL-C laboratory test was performed, it can be captured by:
- An electronic lab result with a valid LOINC code,
- Adding a numeric result with a valid LOINC code using a numeric control in a note,
or
- Adding a procedure with a valid LOINC code using the Procedure widget in a note
| LOINC: | |
| Code | Description |
| 13457-7 | Cholesterol in LDL [Mass/volume] in Serum or Plasma by calculation |
| 18261-8 | Cholesterol in LDL [Mass/volume] in Serum or Plasma ultracentrifugate |
| 18262-6 | Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay |
| 2089-1 | Cholesterol in LDL [Mass/volume] in Serum or Plasma |
| 43394-6 | Cholesterol in LDL acylated [Mass/volume] in Serum or Plasma |
| 49132-4 | Cholesterol in LDL [Mass/volume] in Serum or Plasma by Electrophoresis |
| 50193-2 | Cholesterol in LDL.narrow density [Mass/volume] in Serum or Plasma |
| 55440-2 | Cholesterol.in LDL (real) [Mass/volume] in Serum or Plasma by VAP |
| 86911-5 | Cholesterol in LDL goal [Mass/volume] Serum or Plasma |
| 90364-1 | Cholesterol.in LDL.small dense [Mass/volume] in Serum by Immunoassay |
| 91105-7 | Cholesterol in LDL 1 [Mass/volume] in Serum or Plasma |
| 91106-5 | Cholesterol in LDL 2 [Mass/volume] in Serum or Plasma |
| 91107-3 | Cholesterol in LDL 3 [Mass/volume] in Serum or Plasma |
| 91108-1 | Cholesterol in LDL 4 [Mass/volume] in Serum or Plasma |
| 91109-9 | Cholesterol in LDL 5 [Mass/volume] in Serum or Plasma |
| 91110-7 | Cholesterol in LDL 6 [Mass/volume] in Serum or Plasma |
| 91111-5 | Cholesterol in LDL 7 [Mass/volume] in Serum or Plasma |
| 96259-7 | Cholesterol in LDL [Mass/volume] in Serum or Plasma by Calculated by Martin-Hopkins |
| 96597-0 | Cholesterol in LDL [Mass/volume] in DBS by Direct assay |
This is captured by adding a diagnosis with a valid ICD10 or SNOMED code using the Diagnosis widget in a note.
| ICD-10: | |
| Code | Description |
| E78.01 | Familial hypercholesterolemia |
| SNOMED: | |
| Code | Description |
| 238077000 | Polygenic hypercholesterolemia (disorder) |
| 238078005 | Familial hypercholesterolemia – homozygous (disorder) |
| 238079002 | Familial hypercholesterolemia – heterozygous (disorder) |
| 398036000 | Familial hypercholesterolemia (disorder) |
| 398796005 | Familial type 3 hyperlipoproteinemia (disorder) |
| 403829002 | Familial hypercholesterolemia due to heterozygous low density lipoprotein receptor mutation (disorder) |
| 403830007 | Familial hypercholesterolemia due to homozygous low density lipoprotein receptor mutation (disorder) |
| 403831006 | Familial hypercholesterolemia due to genetic defect of apolipoprotein B (disorder) |
Population 3:
Patients aged 40 to 75 years at the beginning of the measurement period with Type 1 or Type 2 diabetes; and who had a valid encounter during the measurement period.
This is captured by adding a procedure with a valid CPT, HCPCS, or SNOMED code using the Procedure widget in a note.
Annual Wellness Visit
| HCPCS: | |
| Code | Description |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
| SNOMED: | |
| Code | Description |
| 444971000124105 | Annual wellness visit (procedure) |
| 456201000124103 | Medicare annual wellness visit (procedure) |
Office Visit
| CPT: | |
| Code | Description |
| 99201 | Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family. |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter. |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 30-44 minutes of total time is spent on the date of the encounter. |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 45-59 minutes of total time is spent on the date of the encounter. |
| 99205 | Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 60-74 minutes of total time is spent on the date of the encounter. |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 10-19 minutes of total time is spent on the date of the encounter. |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 20-29 minutes of total time is spent on the date of the encounter. |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 30-39 minutes of total time is spent on the date of the encounter. |
| 99215 | Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter. |
| SNOMED: | |
| Code | Description |
| 185463005 | Visit out of hours (procedure) |
| 185464004 | Out of hours visit – not night visit (procedure) |
| 185465003 | Weekend visit (procedure) |
| 30346009 | Evaluation and management of established outpatient in office or other outpatient facility (procedure) |
| 3391000175108 | Office visit for pediatric care and assessment (procedure) |
| 37894004 | Evaluation and management of new outpatient in office or other outpatient facility (procedure) |
| 439740005 | Postoperative follow-up visit (procedure) |
Outpatient Consultation
| SNOMED: | |
| Code | Description |
| 281036007 | Follow-up consultation (procedure) |
| 77406008 | Confirmatory medical consultation (procedure) |
| CPT: | |
| Code | Description |
| 99241 | Office consultation for a new or established patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are self limited or minor. Typically, 15 minutes are spent face-to-face with the patient and/or family. |
| 99242 | Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded. |
| 99243 | Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded. |
| 99244 | Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded. |
| 99245 | Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 55 minutes must be met or exceeded. |
Outpatient Encounters for Preventive Care
| SNOMED: | |
| Code | Description |
| 108219001 | Physician visit with evaluation AND/OR management service (procedure) |
| 108220007 | Evaluation AND/OR management – new patient (procedure) |
| 108221006 | Evaluation AND/OR management – established patient (procedure) |
| 108224003 | Preventive patient evaluation (procedure) |
| 14736009 | History and physical examination with evaluation and management of patient (procedure) |
| 185349003 | Encounter for check up (procedure) |
| 185389009 | Follow-up visit (procedure) |
| 270427003 | Patient-initiated encounter (procedure) |
| 270430005 | Provider-initiated encounter (procedure) |
| 281036007 | Follow-up consultation (procedure) |
| 308335008 | Patient encounter procedure (procedure) |
| 390906007 | Follow-up encounter (procedure) |
| 410187005 | Physical evaluation management (procedure) |
| 78318003 | History and physical examination, annual for health maintenance (procedure) |
| 86013001 | Periodic reevaluation and management of healthy individual (procedure) |
| 90526000 | Initial evaluation and management of healthy individual (procedure) |
Preventive Care Services, 18 years old and Up
| CPT: | |
| Code | Description |
| 99385 | Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 18-39 years |
| 99386 | Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 40-64 years |
| 99387 | Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 65 years and older |
| 99395 | Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 18-39 years |
| 99396 | Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 40-64 years |
| 99397 | Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 65 years and older |
Preventive Care Services Individual Counseling
| CPT: | |
| Code | Description |
| 99401 | Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 15 minutes |
| 99402 | Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 30 minutes |
| 99403 | Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 45 minutes |
| 99404 | Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 60 minutes |
Unlisted preventive medicine service
| CPT: | |
| Code | Description |
| 99429 | Unlisted preventive medicine service |
This is captured by adding a diagnosis with a valid ICD10 or SNOMED code using the Diagnosis widget in a note.
| ICD-10: | |
| Code | Description |
| E10.10 | Type 1 diabetes mellitus with ketoacidosis without coma |
| E10.11 | Type 1 diabetes mellitus with ketoacidosis with coma |
| E10.21 | Type 1 diabetes mellitus with diabetic nephropathy |
| E10.22 | Type 1 diabetes mellitus with diabetic chronic kidney disease |
| E10.29 | Type 1 diabetes mellitus with other diabetic kidney complication |
| E10.311 | Type 1 diabetes mellitus with unspecified diabetic retinopathy with macular edema |
| E10.319 | Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema |
| E10.3211 | Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye |
| E10.3212 | Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye |
| E10.3213 | Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral |
| E10.3219 | Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye |
| E10.3291 | Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye |
| E10.3292 | Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye |
| E10.3293 | Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral |
| E10.3299 | Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, unspecified eye |
| E10.3311 | Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye |
| E10.3312 | Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye |
| E10.3313 | Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral |
| E10.3319 | Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye |
| E10.3391 | Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye |
| E10.3392 | Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye |
| E10.3393 | Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral |
| E10.3399 | Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye |
| E10.3411 | Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye |
| E10.3412 | Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye |
| E10.3413 | Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral |
| E10.3419 | Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye |
| E10.3491 | Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye |
| E10.3492 | Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye |
| E10.3493 | Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral |
| E10.3499 | Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, unspecified eye |
| E10.3511 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye |
| E10.3512 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye |
| E10.3513 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral |
| E10.3519 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye |
| E10.3521 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye |
| E10.3522 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye |
| E10.3523 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral |
| E10.3529 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye |
| E10.3531 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye |
| E10.3532 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye |
| E10.3533 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral |
| E10.3539 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye |
| E10.3541 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye |
| E10.3542 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye |
| E10.3543 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral |
| E10.3549 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye |
| E10.3551 | Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, right eye |
| E10.3552 | Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, left eye |
| E10.3553 | Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, bilateral |
| E10.3559 | Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye |
| E10.3591 | Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye |
| E10.3592 | Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye |
| E10.3593 | Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral |
| E10.3599 | Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye |
| E10.36 | Type 1 diabetes mellitus with diabetic cataract |
| E10.37X1 | Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, right eye |
| E10.37X2 | Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, left eye |
| E10.37X3 | Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral |
| E10.37X9 | Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, unspecified eye |
| E10.39 | Type 1 diabetes mellitus with other diabetic ophthalmic complication |
| E10.40 | Type 1 diabetes mellitus with diabetic neuropathy, unspecified |
| E10.41 | Type 1 diabetes mellitus with diabetic mononeuropathy |
| E10.42 | Type 1 diabetes mellitus with diabetic polyneuropathy |
| E10.43 | Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy |
| E10.44 | Type 1 diabetes mellitus with diabetic amyotrophy |
| E10.49 | Type 1 diabetes mellitus with other diabetic neurological complication |
| E10.51 | Type 1 diabetes mellitus with diabetic peripheral angiopathy without gangrene |
| E10.52 | Type 1 diabetes mellitus with diabetic peripheral angiopathy with gangrene |
| E10.59 | Type 1 diabetes mellitus with other circulatory complications |
| E10.610 | Type 1 diabetes mellitus with diabetic neuropathic arthropathy |
| E10.618 | Type 1 diabetes mellitus with other diabetic arthropathy |
| E10.620 | Type 1 diabetes mellitus with diabetic dermatitis |
| E10.621 | Type 1 diabetes mellitus with foot ulcer |
| E10.622 | Type 1 diabetes mellitus with other skin ulcer |
| E10.628 | Type 1 diabetes mellitus with other skin complications |
| E10.630 | Type 1 diabetes mellitus with periodontal disease |
| E10.638 | Type 1 diabetes mellitus with other oral complications |
| E10.641 | Type 1 diabetes mellitus with hypoglycemia with coma |
| E10.649 | Type 1 diabetes mellitus with hypoglycemia without coma |
| E10.65 | Type 1 diabetes mellitus with hyperglycemia |
| E10.69 | Type 1 diabetes mellitus with other specified complication |
| E10.8 | Type 1 diabetes mellitus with unspecified complications |
| E10.9 | Type 1 diabetes mellitus without complications |
| E11.00 | Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) |
| E11.01 | Type 2 diabetes mellitus with hyperosmolarity with coma |
| E11.10 | Type 2 diabetes mellitus with ketoacidosis without coma |
| E11.11 | Type 2 diabetes mellitus with ketoacidosis with coma |
| E11.21 | Type 2 diabetes mellitus with diabetic nephropathy |
| E11.22 | Type 2 diabetes mellitus with diabetic chronic kidney disease |
| E11.29 | Type 2 diabetes mellitus with other diabetic kidney complication |
| E11.311 | Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema |
| E11.319 | Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema |
| E11.3211 | Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye |
| E11.3212 | Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye |
| E11.3213 | Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral |
| E11.3219 | Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye |
| E11.3291 | Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye |
| E11.3292 | Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye |
| E11.3293 | Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral |
| E11.3299 | Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, unspecified eye |
| E11.3311 | Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye |
| E11.3312 | Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye |
| E11.3313 | Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral |
| E11.3319 | Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye |
| E11.3391 | Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye |
| E11.3392 | Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye |
| E11.3393 | Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral |
| E11.3399 | Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye |
| E11.3411 | Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye |
| E11.3412 | Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye |
| E11.3413 | Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral |
| E11.3419 | Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye |
| E11.3491 | Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye |
| E11.3492 | Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye |
| E11.3493 | Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral |
| SNOMED: | |
| Code | Description |
| 102781000119107 | Sensory neuropathy due to type 1 diabetes mellitus (disorder) |
| 104941000119109 | Ischemia of retina due to type 1 diabetes mellitus (disorder) |
| 104961000119108 | Ischemia of retina due to type 2 diabetes mellitus (disorder) |
| 109171000119104 | Retinal edema due to type 1 diabetes mellitus (disorder) |
| 110181000119105 | Peripheral sensory neuropathy due to type 2 diabetes mellitus (disorder) |
| 138881000119106 | Mild nonproliferative retinopathy due to type 1 diabetes mellitus (disorder) |
| 138891000119109 | Moderate nonproliferative retinopathy due to type 1 diabetes mellitus (disorder) |
| 138901000119108 | Severe nonproliferative retinopathy due to diabetes mellitus type 1 (disorder) |
| 138911000119106 | Mild nonproliferative retinopathy due to type 2 diabetes mellitus (disorder) |
| 138921000119104 | Moderate nonproliferative retinopathy due to type 2 diabetes mellitus (disorder) |
| 138941000119105 | Severe nonproliferative retinopathy due to diabetes mellitus type 2 (disorder) |
| 1481000119100 | Diabetes mellitus type 2 without retinopathy (disorder) |
| 1501000119109 | Proliferative retinopathy due to type 2 diabetes mellitus (disorder) |
| 1511000119107 | Peripheral neuropathy due to type 2 diabetes mellitus (disorder) |
| 1551000119108 | Nonproliferative retinopathy due to type 2 diabetes mellitus (disorder) |
| 190330002 | Hyperosmolar coma due to type 1 diabetes mellitus (disorder) |
| 190331003 | Hyperosmolar coma due to type 2 diabetes mellitus (disorder) |
| 190368000 | Type I diabetes mellitus with ulcer (disorder) |
| 190372001 | Type I diabetes mellitus maturity onset (disorder) |
| 190389009 | Type II diabetes mellitus with ulcer (disorder) |
| 199229001 | Pre-existing type 1 diabetes mellitus (disorder) |
| 199230006 | Pre-existing type 2 diabetes mellitus (disorder) |
| 23045005 | Insulin dependent diabetes mellitus type IA (disorder) |
| 237599002 | Insulin treated type 2 diabetes mellitus (disorder) |
| 237604008 | Maturity onset diabetes of the young, type 2 (disorder) |
| 28032008 | Insulin dependent diabetes mellitus type IB (disorder) |
| 28331000119107 | Retinal edema due to type 2 diabetes mellitus (disorder) |
| 31211000119101 | Peripheral angiopathy due to type 1 diabetes mellitus (disorder) |
| 31321000119102 | Diabetes mellitus type 1 without retinopathy (disorder) |
| 313435000 | Type I diabetes mellitus without complication (disorder) |
| 313436004 | Type II diabetes mellitus without complication (disorder) |
| 314893005 | Arthropathy due to type 1 diabetes mellitus (disorder) |
| 314902007 | Peripheral angiopathy due to type 2 diabetes mellitus (disorder) |
| 314903002 | Arthropathy due to type 2 diabetes mellitus (disorder) |
| 314904008 | Type II diabetes mellitus with neuropathic arthropathy (disorder) |
| 359642000 | Diabetes mellitus type 2 in nonobese (disorder) |
| 368101000119109 | Periodontal disease co-occurrent and due to diabetes mellitus type 2 (disorder) |
| 368521000119107 | Disorder of nerve co-occurrent and due to type 1 diabetes mellitus (disorder) |
| 368581000119106 | Neuropathy due to type 2 diabetes mellitus (disorder) |
| 41911000119107 | Glaucoma due to type 2 diabetes mellitus (disorder) |
| 420279001 | Renal disorder due to type 2 diabetes mellitus (disorder) |
| 420436000 | Mononeuropathy due to type 2 diabetes mellitus (disorder) |
| 420486006 | Exudative maculopathy due to type 1 diabetes mellitus (disorder) |
| 420789003 | Retinopathy due to type 1 diabetes mellitus (disorder) |
| 420918009 | Mononeuropathy due to type 1 diabetes mellitus (disorder) |
| 421075007 | Ketoacidotic coma due to type 1 diabetes mellitus (disorder) |
| 421326000 | Disorder of nervous system due to type 2 diabetes mellitus (disorder) |
| 421365002 | Peripheral circulatory disorder due to type 1 diabetes mellitus (disorder) |
| 421437000 | Hypoglycemic coma due to type 1 diabetes mellitus (disorder) |
| 421468001 | Disorder of nervous system due to type 1 diabetes mellitus (disorder) |
| 421779007 | Exudative maculopathy due to type 2 diabetes mellitus (disorder) |
| 421847006 | Ketoacidotic coma due to type 2 diabetes mellitus (disorder) |
| 421893009 | Renal disorder due to type 1 diabetes mellitus (disorder) |
| 422034002 | Retinopathy due to type 2 diabetes mellitus (disorder) |
| 422099009 | Disorder of eye due to type 2 diabetes mellitus (disorder) |
| 422166005 | Peripheral circulatory disorder due to type 2 diabetes mellitus (disorder) |
| 427027005 | Lumbosacral radiculoplexus neuropathy due to type 2 diabetes mellitus (disorder) |
| 427571000 | Lumbosacral radiculoplexus neuropathy due to type 1 diabetes mellitus (disorder) |
| 428007007 | Erectile dysfunction due to type 2 diabetes mellitus (disorder) |
| 44054006 | Diabetes mellitus type 2 (disorder) |
| 46635009 | Diabetes mellitus type 1 (disorder) |
| 60951000119105 | Blindness due to type 2 diabetes mellitus (disorder) |
| 609562003 | Maturity onset diabetes of the young, type 1 (disorder) |
| 609564002 | Pre-existing type 1 diabetes mellitus in pregnancy (disorder) |
| 609566000 | Pregnancy and type 1 diabetes mellitus (disorder) |
| 609567009 | Pre-existing type 2 diabetes mellitus in pregnancy (disorder) |
| 60961000119107 | Nonproliferative diabetic retinopathy due to type 1 diabetes mellitus (disorder) |
| 60971000119101 | Proliferative retinopathy due to type 1 diabetes mellitus (disorder) |
| 60991000119100 | Blindness due to type 1 diabetes mellitus (disorder) |
| 691000119103 | Erectile dysfunction due to type 1 diabetes mellitus (disorder) |
| 712882000 | Autonomic neuropathy due to type 1 diabetes mellitus (disorder) |
| 712883005 | Autonomic neuropathy due to type 2 diabetes mellitus (disorder) |
| 713702000 | Gastroparesis due to type 1 diabetes mellitus (disorder) |
| 713703005 | Gastroparesis due to type 2 diabetes mellitus (disorder) |
| 713705003 | Polyneuropathy due to type 1 diabetes mellitus (disorder) |
| 713706002 | Polyneuropathy due to type 2 diabetes mellitus (disorder) |
| 71441000119104 | Nephrotic syndrome due to type 2 diabetes mellitus (disorder) |
| 71721000119101 | Nephrotic syndrome due to type 1 diabetes mellitus (disorder) |
| 71791000119104 | Peripheral neuropathy due to type 1 diabetes mellitus (disorder) |
| 719216001 | Hypoglycemic coma due to type 2 diabetes mellitus (disorder) |
| 739681000 | Disorder of eye due to type 1 diabetes mellitus (disorder) |
| 770098001 | Cranial nerve palsy due to type 1 diabetes mellitus (disorder) |
| 81531005 | Diabetes mellitus type 2 in obese (disorder) |
| 82541000119100 | Traction detachment of retina due to type 2 diabetes mellitus (disorder) |
| 82551000119103 | Rubeosis iridis due to type 2 diabetes mellitus (disorder) |
| 82571000119107 | Traction detachment of retina due to type 1 diabetes mellitus (disorder) |
| 82581000119105 | Rubeosis iridis due to type 1 diabetes mellitus (disorder) |
| 87921000119104 | Cranial nerve palsy due to type 2 diabetes mellitus (disorder) |
| 97331000119101 | Macular edema and retinopathy due to type 2 diabetes mellitus (disorder) |
| 9859006 | Acanthosis nigricans due to type 2 diabetes mellitus (disorder) |
Population 4:
Patients aged 40 to 75 at the beginning of the measurement period with a 10-year ASCVD risk score (i.e., 2013 ACC/AHA ASCVD Risk Estimator or the ACC Risk Estimator Plus) of >= 20 percent during the measurement period; and who had a valid encounter during the measurement period.
This is captured by adding a procedure with a valid CPT, HCPCS, or SNOMED code using the Procedure widget in a note.
Annual Wellness Visit
| HCPCS: | |
| Code | Description |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
| SNOMED: | |
| Code | Description |
| 444971000124105 | Annual wellness visit (procedure) |
| 456201000124103 | Medicare annual wellness visit (procedure) |
Office Visit
| CPT: | |
| Code | Description |
| 99201 | Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family. |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter. |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 30-44 minutes of total time is spent on the date of the encounter. |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 45-59 minutes of total time is spent on the date of the encounter. |
| 99205 | Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 60-74 minutes of total time is spent on the date of the encounter. |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 10-19 minutes of total time is spent on the date of the encounter. |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 20-29 minutes of total time is spent on the date of the encounter. |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 30-39 minutes of total time is spent on the date of the encounter. |
| 99215 | Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter. |
| SNOMED: | |
| Code | Description |
| 185463005 | Visit out of hours (procedure) |
| 185464004 | Out of hours visit – not night visit (procedure) |
| 185465003 | Weekend visit (procedure) |
| 30346009 | Evaluation and management of established outpatient in office or other outpatient facility (procedure) |
| 3391000175108 | Office visit for pediatric care and assessment (procedure) |
| 37894004 | Evaluation and management of new outpatient in office or other outpatient facility (procedure) |
| 439740005 | Postoperative follow-up visit (procedure) |
Outpatient Consultation
| SNOMED: | |
| Code | Description |
| 281036007 | Follow-up consultation (procedure) |
| 77406008 | Confirmatory medical consultation (procedure) |
| CPT: | |
| Code | Description |
| 99241 | Office consultation for a new or established patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are self limited or minor. Typically, 15 minutes are spent face-to-face with the patient and/or family. |
| 99242 | Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded. |
| 99243 | Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded. |
| 99244 | Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded. |
| 99245 | Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 55 minutes must be met or exceeded. |
Outpatient Encounters for Preventive Care
| SNOMED: | |
| Code | Description |
| 108219001 | Physician visit with evaluation AND/OR management service (procedure) |
| 108220007 | Evaluation AND/OR management – new patient (procedure) |
| 108221006 | Evaluation AND/OR management – established patient (procedure) |
| 108224003 | Preventive patient evaluation (procedure) |
| 14736009 | History and physical examination with evaluation and management of patient (procedure) |
| 185349003 | Encounter for check up (procedure) |
| 185389009 | Follow-up visit (procedure) |
| 270427003 | Patient-initiated encounter (procedure) |
| 270430005 | Provider-initiated encounter (procedure) |
| 281036007 | Follow-up consultation (procedure) |
| 308335008 | Patient encounter procedure (procedure) |
| 390906007 | Follow-up encounter (procedure) |
| 410187005 | Physical evaluation management (procedure) |
| 78318003 | History and physical examination, annual for health maintenance (procedure) |
| 86013001 | Periodic reevaluation and management of healthy individual (procedure) |
| 90526000 | Initial evaluation and management of healthy individual (procedure) |
Preventive Care Services, 18 years old and Up
| CPT: | |
| Code | Description |
| 99385 | Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 18-39 years |
| 99386 | Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 40-64 years |
| 99387 | Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 65 years and older |
| 99395 | Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 18-39 years |
| 99396 | Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 40-64 years |
| 99397 | Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 65 years and older |
Preventive Care Services Individual Counseling
| CPT: | |
| Code | Description |
| 99401 | Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 15 minutes |
| 99402 | Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 30 minutes |
| 99403 | Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 45 minutes |
| 99404 | Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 60 minutes |
Unlisted preventive medicine service
| CPT: | |
| Code | Description |
| 99429 | Unlisted preventive medicine service |
This is captured by:
- An electronic lab result with a valid LOINC code,
- Adding a finding with a valid LOINC code using the Checklist widget in a note,
- Adding a numeric result with a valid LOINC code using a Numeric control in a note, or
- Adding a procedure with a valid LOINC code using the procedure widget in a note.
| LOINC: | |
| Code | Description |
| 79423-0 | Cardiovascular disease 10Y risk [Likelihood] ACC-AHA Pooled Cohort by Goff 2013 |
| 99055-6 | Cardiovascular disease 10Y risk [Likelihood] |
Denominator Exclusions & Exceptions:
Denominator exclusions include patients who are breastfeeding, or have been diagnosed with rhabdomyolysis, any time during the measurement period.
Denominator exceptions include patients with statin-associated muscle symptoms or an allergy to statin medication, patients receiving palliative or hospice care, patients with an active liver disease or hepatic disease or insufficiency, patients with end-stage renal disease (ESRD), or patients with documentation of a medical reason for not being prescribed statin therapy.
If one of the following is documented in the chart, the patient will not be included in the denominator:
This is captured by adding a diagnosis with a valid SNOMED or ICD10 code using the Diagnosis widget in a note.
| SNOMED: | |
| Code | Description |
| 169643005 | Feeding intention – breast (finding) |
| 169745008 | Breastfeeding started (finding) |
| 199004 | Decreased lactation (finding) |
| 200416006 | Breast engorgement in pregnancy, the puerperium or lactation (finding) |
| 200418007 | Breast engorgement in pregnancy, the puerperium or lactation – delivered (finding) |
| 200419004 | Breast engorgement in pregnancy, the puerperium or lactation – delivered with postnatal complication (finding) |
| 200420005 | Breast engorgement in pregnancy, the puerperium or lactation with antenatal complication (finding) |
| 200430001 | Breastfeeding painful (finding) |
| 225604004 | Lactation established (finding) |
| 247415009 | Painful lactation (finding) |
| 289084000 | Difficulty performing breast-feeding (finding) |
| 290122005 | Finding of lactation (finding) |
| 290124006 | Finding of quantity of lactation (finding) |
| 290126008 | Finding of measures of lactation (finding) |
| 58219009 | Lactation problem (finding) |
| 69840006 | Normal breast feeding (finding) |
| 82374005 | Lactation normal (finding) |
| 866041003 | Mother currently breastfeeding (situation) |
| ICD-10: | |
| Code | Description |
| O91.03 | Infection of nipple associated with lactation |
| O91.13 | Abscess of breast associated with lactation |
| O91.23 | Nonpurulent mastitis associated with lactation |
| O92.03 | Retracted nipple associated with lactation |
| O92.13 | Cracked nipple associated with lactation |
| O92.5 | Suppressed lactation |
| O92.70 | Unspecified disorders of lactation |
| O92.79 | Other disorders of lactation |
| Z39.1 | Encounter for care and examination of lactating mother |
This is captured by adding a diagnosis with a valid SNOMED or ICD10 code using the Diagnosis widget in a note.
| SNOMED: | |
| Code | Description |
| 23697004 | Crush syndrome (disorder) |
| 240125008 | Muscle crush syndrome (disorder) |
| 240131006 | Rhabdomyolysis (disorder) |
| 240132004 | Non-traumatic rhabdomyolysis (disorder) |
| 72960004 | Exertional rhabdomyolysis (disorder) |
| ICD-10: | |
| Code | Description |
| M62.82 | Rhabdomyolysis |
| T79.6XXA | Traumatic ischemia of muscle, initial encounter |
| T79.6XXD | Traumatic ischemia of muscle, subsequent encounter |
| T79.6XXS | Traumatic ischemia of muscle, sequela |
This is captured by entering a medication with a valid RXNORM or SNOMED code in the Allergy widget.
| RXNORM: | |
| Code | Description |
| 301542 | rosuvastatin |
| 36567 | simvastatin |
| 41127 | fluvastatin |
| 42463 | pravastatin |
| 6472 | lovastatin |
| 83367 | atorvastatin |
| 861634 | pitavastatin |
| SNOMED: | |
| Code | Description |
| 372912004 | Substance with 3-hydroxy-3-methylglutaryl-coenzyme A reductase inhibitor mechanism of action (substance) |
Hospice Services is captured by having an Inpatient Encounter with a Discharge for Hospice Care, or a Hospice Encounter, or Hospice Care Ambulatory Procedure Ordered or Performed, or a Hospice Diagnosis, or a Hospice Assessment with a result of Yes, during the measure period. In order to meet the requirements for the Hospice exclusion, at least one of the aforementioned must be documented in the chart and start before or during the measurement period:
Inpatient Encounter (SNOMED) during the measurement period that ends with Discharge for Hospice Care (SNOMED)
This is captured by adding a procedure with a valid SNOMED code using the Procedure widget in a note.
Encounter – Inpatient
| SNOMED: | |
| Code | Description |
| 183452005 | Emergency hospital admission (procedure) |
| 32485007 | Hospital admission (procedure) |
| 8715000 | Hospital admission, elective (procedure) |
and
Discharge Code
| SNOMED: | |
| Code | Description |
| 428361000124107 | Discharge to home for hospice care (procedure) |
| 428371000124100 | Discharge to healthcare facility for hospice care (procedure) |
Hospice Encounter (SNOMED or HCPCS) during or overlapping the measurement period
This is captured by adding a procedure with a valid SNOMED code using the Procedure widget in a note.
| SNOMED: | |
| Code | Description |
| 183919006 | Urgent admission to hospice (procedure) |
| 183920000 | Routine admission to hospice (procedure) |
| 183921001 | Admission to hospice for respite (procedure) |
| 305336008 | Admission to hospice (procedure) |
| 305911006 | Seen in hospice (finding) |
| 385765002 | Hospice care management (procedure) |
| HCPCS: | |
| Code | Description |
| G9473 | Services performed by chaplain in the hospice setting, each 15 minutes |
| G9474 | Services performed by dietary counselor in the hospice setting, each 15 minutes |
| G9475 | Services performed by other counselor in the hospice setting, each 15 minutes |
| G9476 | Services performed by volunteer in the hospice setting, each 15 minutes |
| G9477 | Services performed by care coordinator in the hospice setting, each 15 minutes |
| G9478 | Services performed by other qualified therapist in the hospice setting, each 15 minutes |
| G9479 | Services performed by qualified pharmacist in the hospice setting, each 15 minutes |
| Q5003 | Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf) |
| Q5004 | Hospice care provided in skilled nursing facility (snf) |
| Q5005 | Hospice care provided in inpatient hospital |
| Q5006 | Hospice care provided in inpatient hospice facility |
| Q5007 | Hospice care provided in long term care facility |
| Q5008 | Hospice care provided in inpatient psychiatric facility |
| Q5010 | Hospice home care provided in a hospice facility |
| S9126 | Hospice care, in the home, per diem |
| T2042 | Hospice routine home care; per diem |
| T2043 | Hospice continuous home care; per hour |
| T2044 | Hospice inpatient respite care; per diem |
| T2045 | Hospice general inpatient care; per diem |
| T2046 | Hospice long term care, room and board only; per diem |
Hospice Care Ambulatory Procedure (SNOMED, CPT, or HCPCS) during or overlapping the measurement period
This is captured by adding a procedure with a valid SNOMED, CPT, or HCPCS code using the Procedure widget in a note.
| SNOMED: | |
| Code | Description |
| 385763009 | Hospice care (regime/therapy) |
| 385765002 | Hospice care management (procedure) |
| CPT: | |
| Code | Description |
| 99377 | Supervision of a hospice patient (patient not present) requiring complex and multidisciplinary care modalities involving regular development and/or revision of care plans by that individual, review of subsequent reports of patient status, review of related laboratory and other studies, communication (including telephone calls) for purposes of assessment or care decisions with health care professional(s), family member(s), surrogate decision maker(s) (eg, legal guardian) and/or key caregiver(s) involved in patient’s care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month; 15-29 minutes |
| 99378 | Supervision of a hospice patient (patient not present) requiring complex and multidisciplinary care modalities involving regular development and/or revision of care plans by that individual, review of subsequent reports of patient status, review of related laboratory and other studies, communication (including telephone calls) for purposes of assessment or care decisions with health care professional(s), family member(s), surrogate decision maker(s) (eg, legal guardian) and/or key caregiver(s) involved in patient’s care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month; 30 minutes or more |
| HCPCS: | |
| Code | Description |
| G0182 | Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patient status, review of laboratory and other studies, communication (including telephone calls) with other health care professionals involved in the patient’s care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month, 30 minutes or more |
Hospice Diagnosis (SNOMED) during or overlapping the measure period
This is captured by adding a diagnosis with a valid SNOMED code using the Diagnosis widget in a note.
| SNOMED: | |
| Code | Description |
| 170935008 | Full care by hospice (finding) |
| 170936009 | Shared care – hospice and general practitioner (finding) |
| 305911006 | Seen in hospice (finding) |
Hospice Assessment overlapping the measure period
To qualify for the Hospice Assessment denominator exclusion, the patient must have a Hospice Assessment with a LOINC code of 45755-6 with a result finding of Yes, with a SNOMED code 373066001, that overlaps the measurement period.
This can be achieved by configuring a checklist with a Hospice Care checklist item, and then selecting that checklist item for applicable patients.
First, create or modify a procedure/result condition via Edit > System Tables > All Conditions.
In the Conditions Properties dialog, be sure to select the Procedure option and attach the 45755-6 code in the corresponding LOINC Code field.
Check the Result option, the 45755-6 code should also appear in the corresponding LOINC Code field.
Next, in the Template Editor, access the template you want to create or modify a checklist to include the Hospice Care item.
In the checklist, right click and select Insert finding…
In the Finding dialog, configure an applicable Heading; then and create Normal finding, for example Receiving Hospice Care; and then click Tag and attach the procedure/result configured above.
Click the SNOMED button and then attach the 373066001 SNOMED code to the tagged item.
After the checklist has been configured with the Hospice Care, and configured for the note template, whenever a patient is receiving hospice care, simply select this option in the checklist for the patient.
Palliative Care is captured by having a Palliative Diagnosis, or a Palliative Encounter, or a Palliative Intervention, or a Palliative Care Assessment, during or overlapping the measure period. In order to meet the requirements for the Palliative Care exclusion, at least one of the aforementioned must be documented in the chart and start before or during the measurement period:
Palliative Diagnosis (ICD10 or SNOMED) overlapping the measure period
This is captured by adding a diagnosis with a valid SNOMED or ICD10 code using the Diagnosis widget in a note.
| SNOMED: | |
| Code | Description |
| 305686008 | Seen by palliative care physician (finding) |
| 305824005 | Seen by palliative care medicine service (finding) |
| 441874000 | Seen by palliative care service (finding) |
| ICD10: | |
| Code | Description |
| Z51.5 | Encounter for palliative care |
Palliative Encounter (SNOMED or HCPCS) overlapping the measure period
This is captured by adding a procedure with a valid SNOMED or HCPCS code using the Procedure widget in a note.
| SNOMED: | |
| Code | Description |
| 305284002 | Admission by palliative care physician (procedure) |
| 305381007 | Admission to palliative care department (procedure) |
| 4901000124101 | Palliative care education (procedure) |
| 713281006 | Consultation for palliative care (procedure) |
| HCPCS: | |
| Code | Description |
| G9054 | Oncology; primary focus of visit; supervising, coordinating or managing care of patient with terminal cancer or for whom other medical illness prevents further cancer treatment; includes symptom management, end-of-life care planning, management of palliative therapies (for use in a medicare-approved demonstration project) |
| M1017 | Patient admitted to palliative care services |
Palliative Intervention (SNOMED) overlapping the measure period
This is captured by adding a procedure with a valid SNOMED code using the Procedure widget in a note.
| SNOMED: | |
| Code | Description |
| 103735009 | Palliative care (regime/therapy) |
| 105402000 | Visit of patient by chaplain during palliative care (regime/therapy) |
| 1841000124106 | Palliative care medication review (procedure) |
| 395669003 | Specialist palliative care treatment (regime/therapy) |
| 395670002 | Specialist palliative care treatment – inpatient (regime/therapy) |
| 395694002 | Specialist palliative care treatment – daycare (regime/therapy) |
| 395695001 | Specialist palliative care treatment – outpatient (regime/therapy) |
| 433181000124107 | Documentation of palliative care medication action plan (procedure) |
| 443761007 | Anticipatory palliative care (regime/therapy) |
Palliative Care Assessment overlapping the measure period
To qualify for the Palliative Assessment denominator exclusion, the patient must have a Palliative Assessment with a LOINC code of 71007-9 that overlaps the measurement period.
This can be achieved by configuring a checklist with a Palliative Care checklist item, and then selecting that checklist item for applicable patients.
First, create or modify a procedure/result condition via Edit > System Tables > All Conditions.
In the Conditions Properties dialog, be sure to select the Procedure option and attach the 45755-6 code in the corresponding LOINC Code field.
Check the Result option, the 45755-6 code should also appear in the corresponding LOINC Code field.
Next, in the Template Editor, access the template you want to create or modify a checklist to include the Hospice Care item.
In the checklist, right click and select Insert finding…
In the Finding dialog, configure an applicable Heading; then and create Normal finding, for example Receiving Palliative Care; and then click Tag and attach the procedure/result configured above.
After the checklist has been configured with the Palliative Care option, and configured for the note template, whenever a patient is receiving palliative care, simply select this option in the checklist for the patient.
This is captured by adding a diagnosis with a valid SNOMED or ICD-10 code using the Diagnosis widget in a note.
| SNOMED: | |
| Code | Description |
| 105801000119103 | Immunity to hepatitis A by positive serology (finding) |
| 111879004 | Viral hepatitis A without hepatic coma (disorder) |
| 16060001 | Hepatic coma due to viral hepatitis A (disorder) |
| 165997004 | Hepatitis A test positive (finding) |
| 18917003 | Acute fulminating type A viral hepatitis (disorder) |
| 206373002 | Congenital hepatitis A infection (disorder) |
| 25102003 | Acute type A viral hepatitis (disorder) |
| 278971009 | Hepatitis A immune (finding) |
| 310875001 | Hepatitis A – current infection (finding) |
| 40468003 | Viral hepatitis, type A (disorder) |
| 424758008 | Viral hepatitis A without hepatic coma, without hepatitis delta (disorder) |
| 428030001 | History of hepatitis A (situation) |
| 43634002 | Relapsing type A viral hepatitis (disorder) |
| 79031007 | Anicteric type A viral hepatitis (disorder) |
| ICD-10: | |
| Code | Description |
| B15.0 | Hepatitis A with hepatic coma |
| B15.9 | Hepatitis A without hepatic coma |
This is captured by adding a diagnosis with a valid SNOMED or ICD-10 code using the Diagnosis widget in a note.
| SNOMED: | |
| Code | Description |
| 1116000 | Chronic aggressive type B viral hepatitis (disorder) |
| 111891008 | Viral hepatitis B without hepatic coma (disorder) |
| 13265006 | Acute fulminating type B viral hepatitis (disorder) |
| 186624004 | Hepatic coma due to acute hepatitis B with delta agent (disorder) |
| 186626002 | Acute hepatitis B with delta-agent (coinfection) without hepatic coma (disorder) |
| 186639003 | Chronic viral hepatitis B without delta-agent (disorder) |
| 235864009 | Acute hepatitis B with hepatitis D (disorder) |
| 235865005 | Hepatitis D superinfection of hepatitis B carrier (disorder) |
| 235869004 | Chronic viral hepatitis B with hepatitis D (disorder) |
| 235871004 | Hepatitis B carrier (finding) |
| 26206000 | Hepatic coma due to viral hepatitis B (disorder) |
| 38662009 | Chronic persistent type B viral hepatitis (disorder) |
| 424099008 | Hepatic coma due to acute hepatitis B (disorder) |
| 424340000 | Hepatic coma due to chronic hepatitis B (disorder) |
| 442134007 | Hepatitis B associated with Human immunodeficiency virus infection (disorder) |
| 442374005 | Hepatitis B and hepatitis C (disorder) |
| 446698005 | Reactivation of hepatitis B viral hepatitis (disorder) |
| 50167007 | Chronic active type B viral hepatitis (disorder) |
| 53425008 | Anicteric type B viral hepatitis (disorder) |
| 60498001 | Congenital viral hepatitis B infection (disorder) |
| 61977001 | Chronic type B viral hepatitis (disorder) |
| 66071002 | Viral hepatitis type B (disorder) |
| 76795007 | Acute type B viral hepatitis (disorder) |
| 838380002 | Chronic hepatitis B co-occurrent with hepatitis C and hepatitis D (disorder) |
| ICD-10: | |
| Code | Description |
| B16.0 | Acute hepatitis B with delta-agent with hepatic coma |
| B16.1 | Acute hepatitis B with delta-agent without hepatic coma |
| B16.2 | Acute hepatitis B without delta-agent with hepatic coma |
| B16.9 | Acute hepatitis B without delta-agent and without hepatic coma |
| B18.0 | Chronic viral hepatitis B with delta-agent |
| B18.1 | Chronic viral hepatitis B without delta-agent |
| B19.10 | Unspecified viral hepatitis B without hepatic coma |
| B19.11 | Unspecified viral hepatitis B with hepatic coma |
This is captured by adding a diagnosis with a valid SNOMED or ICD-10 code using the Diagnosis widget in a note.
| SNOMED: | |
| Code | Description |
| 10295004 | Chronic viral hepatitis (disorder) |
| 10759111000119102 | Viral hepatitis in mother complicating childbirth (disorder) |
| 10759151000119101 | Viral hepatitis in mother complicating pregnancy (disorder) |
| 109819003 | Obstructive biliary cirrhosis (disorder) |
| 111896003 | Viral hepatitis without hepatic coma (disorder) |
| 123717006 | Advanced cirrhosis (disorder) |
| 128302006 | Chronic hepatitis C (disorder) |
| 16069000 | Toxic noninfectious hepatitis (disorder) |
| 186628001 | Hepatic coma due to viral hepatitis C (disorder) |
| 197268000 | Acute and subacute liver necrosis (disorder) |
| 197270009 | Acute hepatic failure (disorder) |
| 197271008 | Acute hepatitis – non-infective (disorder) |
| 197284004 | Chronic active hepatitis (disorder) |
| 197286002 | Recurrent hepatitis (disorder) |
| 197352008 | Toxic hepatitis (disorder) |
| 197359004 | Toxic liver disease with chronic persistent hepatitis (disorder) |
| 197360009 | Toxic liver disease with chronic lobular hepatitis (disorder) |
| 197361008 | Toxic liver disease with chronic active hepatitis (disorder) |
| 199203001 | Viral hepatitis complicating pregnancy, childbirth and the puerperium (disorder) |
| 19943007 | Cirrhosis of liver (disorder) |
| 206372007 | Congenital viral hepatitis (disorder) |
| 235865005 | Hepatitis D superinfection of hepatitis B carrier (disorder) |
| 235866006 | Acute hepatitis C (disorder) |
| 235867002 | Acute hepatitis E (disorder) |
| 235869004 | Chronic viral hepatitis B with hepatitis D (disorder) |
| 235875008 | Alcoholic hepatitis (disorder) |
| 235876009 | Drug-induced hepatitis (disorder) |
| 235889003 | Drug-induced chronic hepatitis (disorder) |
| 266468003 | Cirrhosis – non-alcoholic (disorder) |
| 278929008 | Congenital hepatitis C infection (disorder) |
| 307757001 | Chronic alcoholic hepatitis (disorder) |
| 31005002 | Hepatorenal syndrome due to a procedure (disorder) |
| 328383001 | Chronic liver disease (disorder) |
| 347891000119103 | Chronic hepatitis C with stage 3 fibrosis (disorder) |
| 370889009 | Lymphocytic portal hepatitis (disorder) |
| 3738000 | Viral hepatitis (disorder) |
| 37871000 | Acute hepatitis (disorder) |
| 397575003 | Viral hepatitis, type G (disorder) |
| 408335007 | Autoimmune hepatitis (disorder) |
| 41309000 | Alcoholic liver damage (disorder) |
| 41889008 | Chronic persistent hepatitis (disorder) |
| 420054005 | Alcoholic cirrhosis (disorder) |
| 425413006 | Drug-induced cirrhosis of liver (disorder) |
| 435091000124105 | Hepatitis with hepatic coma (disorder) |
| 435101000124104 | Chronic viral hepatitis C with hepatic coma (disorder) |
| 450880008 | Chronic hepatitis E (disorder) |
| 4846001 | Anicteric viral hepatitis (disorder) |
| 4896000 | Acute toxic hepatitis (disorder) |
| 50325005 | Alcoholic fatty liver (disorder) |
| 50711007 | Viral hepatitis type C (disorder) |
| 51292008 | Hepatorenal syndrome (disorder) |
| 57412004 | Acute viral hepatitis (disorder) |
| 58282009 | Relapsing viral hepatitis (disorder) |
| 59927004 | Hepatic failure (disorder) |
| 60037002 | Chronic persistent viral hepatitis (disorder) |
| 62216007 | Familial arthrogryposis-cholestatic hepatorenal syndrome (disorder) |
| 66870002 | Chronic active viral hepatitis (disorder) |
| 702969000 | Reactivation of hepatitis C viral hepatitis (disorder) |
| 703866000 | Chronic hepatitis C with stage 2 fibrosis (disorder) |
| 707341005 | Viral hepatitis type D (disorder) |
| 708198006 | Chronic active hepatitis C (disorder) |
| 72445008 | Subacute noninfective hepatitis (disorder) |
| 76783007 | Chronic hepatitis (disorder) |
| 79720007 | Chronic nonalcoholic liver disease (disorder) |
| 831000119103 | Cirrhosis of liver due to chronic hepatitis C (disorder) |
| 89789003 | Chronic aggressive viral hepatitis (disorder) |
| 95556007 | Cholestatic hepatitis (disorder) |
| 9953008 | Acute alcoholic liver disease (disorder) |
| ICD-10: | |
| Code | Description |
| B17.0 | Acute delta-(super) infection of hepatitis B carrier |
| B17.10 | Acute hepatitis C without hepatic coma |
| B17.11 | Acute hepatitis C with hepatic coma |
| B17.2 | Acute hepatitis E |
| B17.8 | Other specified acute viral hepatitis |
| B17.9 | Acute viral hepatitis, unspecified |
| B18.2 | Chronic viral hepatitis C |
| B18.8 | Other chronic viral hepatitis |
| B18.9 | Chronic viral hepatitis, unspecified |
| B19.0 | Unspecified viral hepatitis with hepatic coma |
| B19.20 | Unspecified viral hepatitis C without hepatic coma |
| B19.21 | Unspecified viral hepatitis C with hepatic coma |
| B19.9 | Unspecified viral hepatitis without hepatic coma |
| K70.0 | Alcoholic fatty liver |
| K70.10 | Alcoholic hepatitis without ascites |
| K70.11 | Alcoholic hepatitis with ascites |
| K70.2 | Alcoholic fibrosis and sclerosis of liver |
| K70.30 | Alcoholic cirrhosis of liver without ascites |
| K70.31 | Alcoholic cirrhosis of liver with ascites |
| K70.40 | Alcoholic hepatic failure without coma |
| K70.41 | Alcoholic hepatic failure with coma |
| K70.9 | Alcoholic liver disease, unspecified |
| K71.0 | Toxic liver disease with cholestasis |
| K71.10 | Toxic liver disease with hepatic necrosis, without coma |
| K71.11 | Toxic liver disease with hepatic necrosis, with coma |
| K71.2 | Toxic liver disease with acute hepatitis |
| K71.3 | Toxic liver disease with chronic persistent hepatitis |
| K71.4 | Toxic liver disease with chronic lobular hepatitis |
| K71.50 | Toxic liver disease with chronic active hepatitis without ascites |
| K71.51 | Toxic liver disease with chronic active hepatitis with ascites |
| K71.6 | Toxic liver disease with hepatitis, not elsewhere classified |
| K71.7 | Toxic liver disease with fibrosis and cirrhosis of liver |
| K71.8 | Toxic liver disease with other disorders of liver |
| K71.9 | Toxic liver disease, unspecified |
| K72.00 | Acute and subacute hepatic failure without coma |
| K72.01 | Acute and subacute hepatic failure with coma |
| K72.10 | Chronic hepatic failure without coma |
| K72.11 | Chronic hepatic failure with coma |
| K72.90 | Hepatic failure, unspecified without coma |
| K72.91 | Hepatic failure, unspecified with coma |
| K73.0 | Chronic persistent hepatitis, not elsewhere classified |
| K73.1 | Chronic lobular hepatitis, not elsewhere classified |
| K73.2 | Chronic active hepatitis, not elsewhere classified |
| K73.8 | Other chronic hepatitis, not elsewhere classified |
| K73.9 | Chronic hepatitis, unspecified |
| K74.00 | Hepatic fibrosis, unspecified |
| K74.01 | Hepatic fibrosis, early fibrosis |
| K74.02 | Hepatic fibrosis, advanced fibrosis |
| K74.1 | Hepatic sclerosis |
| K74.2 | Hepatic fibrosis with hepatic sclerosis |
| K74.3 | Primary biliary cirrhosis |
| K74.4 | Secondary biliary cirrhosis |
| K74.5 | Biliary cirrhosis, unspecified |
| K74.60 | Unspecified cirrhosis of liver |
| K74.69 | Other cirrhosis of liver |
| K75.4 | Autoimmune hepatitis |
| O98.411 | Viral hepatitis complicating pregnancy, first trimester |
| O98.412 | Viral hepatitis complicating pregnancy, second trimester |
| O98.413 | Viral hepatitis complicating pregnancy, third trimester |
| O98.419 | Viral hepatitis complicating pregnancy, unspecified trimester |
This is captured by adding a diagnosis with a valid SNOMED, ICD-9, or ICD-10 code using the Diagnosis widget in a note.
| SNOMED: | |
| Code | Description |
| 16462851000119106 | Myalgia caused by statin (finding) |
| 240101000 | Drug-induced myopathy (disorder) |
| 288225004 | Myalgia/myositis – multiple (finding) |
| ICD-9: | |
| Code | Description |
| 359.9 | Myopathy, unspecified |
| 729.1 | Myalgia and myositis, unspecified |
| ICD-10: | |
| Code | Description |
| G72.0 | Drug-induced myopathy |
| G72.9 | Myopathy, unspecified |
| M60.9 | Myositis, unspecified |
| M79.10 | Myalgia, unspecified site |
This is captured by adding a diagnosis with a valid SNOMED or ICD10 code using the diagnosis widget in a note.
| SNOMED: | |
| Code | Description |
| 236434000 | End stage renal failure untreated by renal replacement therapy (disorder) |
| 236435004 | End stage renal failure on dialysis (disorder) |
| 236436003 | End stage renal failure with renal transplant (disorder) |
| 46177005 | End-stage renal disease (disorder) |
| ICD-10: | |
| Code | Description |
| N18.6 | End stage renal disease |
This is captured by adding a medication not ordered with a valid RXNORM code and attaching a valid SNOMED code for the Medical Reason not done using the medication button in a note for the patient.
Low Intensity Statin Therapy
| RXNORM: | |
| Code | Description |
| 1790679 | simvastatin 4 MG/ML Oral Suspension |
| 197903 | lovastatin 10 MG Oral Tablet |
| 197904 | lovastatin 20 MG Oral Tablet |
| 2001254 | pitavastatin magnesium 1 MG Oral Tablet |
| 310404 | fluvastatin 20 MG Oral Capsule |
| 312962 | simvastatin 5 MG Oral Tablet |
| 314231 | simvastatin 10 MG Oral Tablet |
| 433849 | 24 HR lovastatin 20 MG Extended Release Oral Tablet |
| 476345 | ezetimibe 10 MG / simvastatin 10 MG Oral Tablet |
| 861643 | pitavastatin calcium 1 MG Oral Tablet |
| 904458 | pravastatin sodium 10 MG Oral Tablet |
| 904467 | pravastatin sodium 20 MG Oral Tablet |
Moderate Intensity Statin Therapy
| RXNORM: | |
| Code | Description |
| 1422086 | atorvastatin 10 MG / ezetimibe 10 MG Oral Tablet |
| 1422093 | atorvastatin 20 MG / ezetimibe 10 MG Oral Tablet |
| 1944264 | simvastatin 8 MG/ML Oral Suspension |
| 197905 | lovastatin 40 MG Oral Tablet |
| 198211 | simvastatin 40 MG Oral Tablet |
| 2001262 | pitavastatin magnesium 2 MG Oral Tablet |
| 2001266 | pitavastatin magnesium 4 MG Oral Tablet |
| 200345 | simvastatin 80 MG Oral Tablet |
| 2167557 | rosuvastatin 10 MG Oral Capsule |
| 2167573 | rosuvastatin 5 MG Oral Capsule |
| 2535747 | ezetimibe 10 MG / rosuvastatin 5 MG Oral Tablet |
| 2535750 | ezetimibe 10 MG / rosuvastatin 10 MG Oral Tablet |
| 310405 | fluvastatin 40 MG Oral Capsule |
| 312961 | simvastatin 20 MG Oral Tablet |
| 359731 | 24 HR lovastatin 40 MG Extended Release Oral Tablet |
| 359732 | 24 HR lovastatin 60 MG Extended Release Oral Tablet |
| 360507 | 24 HR fluvastatin 80 MG Extended Release Oral Tablet |
| 476349 | ezetimibe 10 MG / simvastatin 20 MG Oral Tablet |
| 476350 | ezetimibe 10 MG / simvastatin 40 MG Oral Tablet |
| 597967 | amlodipine 10 MG / atorvastatin 20 MG Oral Tablet |
| 597971 | amlodipine 2.5 MG / atorvastatin 10 MG Oral Tablet |
| 597974 | amlodipine 2.5 MG / atorvastatin 20 MG Oral Tablet |
| 597977 | amlodipine 5 MG / atorvastatin 10 MG Oral Tablet |
| 597980 | amlodipine 5 MG / atorvastatin 20 MG Oral Tablet |
| 597987 | amlodipine 10 MG / atorvastatin 10 MG Oral Tablet |
| 617310 | atorvastatin 20 MG Oral Tablet |
| 617312 | atorvastatin 10 MG Oral Tablet |
| 859424 | rosuvastatin calcium 5 MG Oral Tablet |
| 859747 | rosuvastatin calcium 10 MG Oral Tablet |
| 861648 | pitavastatin calcium 2 MG Oral Tablet |
| 861652 | pitavastatin calcium 4 MG Oral Tablet |
| 904475 | pravastatin sodium 40 MG Oral Tablet |
| 904481 | pravastatin sodium 80 MG Oral Tablet |
High Intensity Statin Therapy
| RXNORM: | |
| Code | Description |
| 1422096 | atorvastatin 40 MG / ezetimibe 10 MG Oral Tablet |
| 1422099 | atorvastatin 80 MG / ezetimibe 10 MG Oral Tablet |
| 2167565 | rosuvastatin 20 MG Oral Capsule |
| 2167569 | rosuvastatin 40 MG Oral Capsule |
| 2535745 | ezetimibe 10 MG / rosuvastatin 20 MG Oral Tablet |
| 2535749 | ezetimibe 10 MG / rosuvastatin 40 MG Oral Tablet |
| 259255 | atorvastatin 80 MG Oral Tablet |
| 404011 | amlodipine 5 MG / atorvastatin 80 MG Oral Tablet |
| 404013 | amlodipine 10 MG / atorvastatin 80 MG Oral Tablet |
| 476351 | ezetimibe 10 MG / simvastatin 80 MG Oral Tablet |
| 597984 | amlodipine 5 MG / atorvastatin 40 MG Oral Tablet |
| 597990 | amlodipine 10 MG / atorvastatin 40 MG Oral Tablet |
| 597993 | amlodipine 2.5 MG / atorvastatin 40 MG Oral Tablet |
| 617311 | atorvastatin 40 MG Oral Tablet |
| 859419 | rosuvastatin calcium 40 MG Oral Tablet |
| 859751 | rosuvastatin calcium 20 MG Oral Tablet |
Medical Reason
| SNOMED: | |
| Code | Description |
| 183932001 | Procedure contraindicated (situation) |
| 183964008 | Treatment not indicated (situation) |
| 183966005 | Drug treatment not indicated (situation) |
| 266721009 | Absent response to treatment (situation) |
| 269191009 | Late effect of medical and surgical care complication (disorder) |
| 31438003 | Drug resistance (disorder) |
| 35688006 | Complication of medical care (disorder) |
| 407563006 | Treatment not tolerated (situation) |
| 410534003 | Not indicated (qualifier value) |
| 410536001 | Contraindicated (qualifier value) |
| 416098002 | Allergy to drug (finding) |
| 428119001 | Procedure not indicated (situation) |
| 59037007 | Intolerance to drug (finding) |
| 62014003 | Adverse reaction caused by drug (disorder) |
| 79899007 | Drug interaction (finding) |
Required Data Elements for the Numerator:
This is captured by prescribing or renewing a medication with a valid RXNORM code.
Low Intensity Statin Therapy
| RXNORM: | |
| Code | Description |
| 1790679 | simvastatin 4 MG/ML Oral Suspension |
| 197903 | lovastatin 10 MG Oral Tablet |
| 197904 | lovastatin 20 MG Oral Tablet |
| 2001254 | pitavastatin magnesium 1 MG Oral Tablet |
| 310404 | fluvastatin 20 MG Oral Capsule |
| 312962 | simvastatin 5 MG Oral Tablet |
| 314231 | simvastatin 10 MG Oral Tablet |
| 433849 | 24 HR lovastatin 20 MG Extended Release Oral Tablet |
| 476345 | ezetimibe 10 MG / simvastatin 10 MG Oral Tablet |
| 861643 | pitavastatin calcium 1 MG Oral Tablet |
| 904458 | pravastatin sodium 10 MG Oral Tablet |
| 904467 | pravastatin sodium 20 MG Oral Tablet |
Moderate Intensity Statin Therapy
| RXNORM: | |
| Code | Description |
| 1422086 | atorvastatin 10 MG / ezetimibe 10 MG Oral Tablet |
| 1422093 | atorvastatin 20 MG / ezetimibe 10 MG Oral Tablet |
| 1944264 | simvastatin 8 MG/ML Oral Suspension |
| 197905 | lovastatin 40 MG Oral Tablet |
| 198211 | simvastatin 40 MG Oral Tablet |
| 2001262 | pitavastatin magnesium 2 MG Oral Tablet |
| 2001266 | pitavastatin magnesium 4 MG Oral Tablet |
| 200345 | simvastatin 80 MG Oral Tablet |
| 2167557 | rosuvastatin 10 MG Oral Capsule |
| 2167573 | rosuvastatin 5 MG Oral Capsule |
| 2535747 | ezetimibe 10 MG / rosuvastatin 5 MG Oral Tablet |
| 2535750 | ezetimibe 10 MG / rosuvastatin 10 MG Oral Tablet |
| 310405 | fluvastatin 40 MG Oral Capsule |
| 312961 | simvastatin 20 MG Oral Tablet |
| 359731 | 24 HR lovastatin 40 MG Extended Release Oral Tablet |
| 359732 | 24 HR lovastatin 60 MG Extended Release Oral Tablet |
| 360507 | 24 HR fluvastatin 80 MG Extended Release Oral Tablet |
| 476349 | ezetimibe 10 MG / simvastatin 20 MG Oral Tablet |
| 476350 | ezetimibe 10 MG / simvastatin 40 MG Oral Tablet |
| 597967 | amlodipine 10 MG / atorvastatin 20 MG Oral Tablet |
| 597971 | amlodipine 2.5 MG / atorvastatin 10 MG Oral Tablet |
| 597974 | amlodipine 2.5 MG / atorvastatin 20 MG Oral Tablet |
| 597977 | amlodipine 5 MG / atorvastatin 10 MG Oral Tablet |
| 597980 | amlodipine 5 MG / atorvastatin 20 MG Oral Tablet |
| 597987 | amlodipine 10 MG / atorvastatin 10 MG Oral Tablet |
| 617310 | atorvastatin 20 MG Oral Tablet |
| 617312 | atorvastatin 10 MG Oral Tablet |
| 859424 | rosuvastatin calcium 5 MG Oral Tablet |
| 859747 | rosuvastatin calcium 10 MG Oral Tablet |
| 861648 | pitavastatin calcium 2 MG Oral Tablet |
| 861652 | pitavastatin calcium 4 MG Oral Tablet |
| 904475 | pravastatin sodium 40 MG Oral Tablet |
| 904481 | pravastatin sodium 80 MG Oral Tablet |
High Intensity Statin Therapy
| RXNORM: | |
| Code | Description |
| 1422096 | atorvastatin 40 MG / ezetimibe 10 MG Oral Tablet |
| 1422099 | atorvastatin 80 MG / ezetimibe 10 MG Oral Tablet |
| 2167565 | rosuvastatin 20 MG Oral Capsule |
| 2167569 | rosuvastatin 40 MG Oral Capsule |
| 2535745 | ezetimibe 10 MG / rosuvastatin 20 MG Oral Tablet |
| 2535749 | ezetimibe 10 MG / rosuvastatin 40 MG Oral Tablet |
| 259255 | atorvastatin 80 MG Oral Tablet |
| 404011 | amlodipine 5 MG / atorvastatin 80 MG Oral Tablet |
| 404013 | amlodipine 10 MG / atorvastatin 80 MG Oral Tablet |
| 476351 | ezetimibe 10 MG / simvastatin 80 MG Oral Tablet |
| 597984 | amlodipine 5 MG / atorvastatin 40 MG Oral Tablet |
| 597990 | amlodipine 10 MG / atorvastatin 40 MG Oral Tablet |
| 597993 | amlodipine 2.5 MG / atorvastatin 40 MG Oral Tablet |
| 617311 | atorvastatin 40 MG Oral Tablet |
| 859419 | rosuvastatin calcium 40 MG Oral Tablet |
| 859751 | rosuvastatin calcium 20 MG Oral Tablet |