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. Author manuscript; available in PMC: 2015 Aug 21.
Published in final edited form as: J Am Board Fam Med. 2013 Nov-Dec;26(6):658–668. doi: 10.3122/jabfm.2013.06.130017

Appendix Table 1.

ICD-9 Code Criteria for Comorbidity and Coronary Heart Disease Risk Factors Used to Construct JNC7 Guideline Concordance Algorithm (Figure 1)

  1. Higher Risk Patients (BP Goal <130/80)

    1. Diabetes

      1. 249.xx Secondary diabetes mellitus

      2. 250.xx Diabetes mellitus

    2. Chronic kidney disease

      1. 403.xx Hypertensive chronic kidney disease

      2. 404.xx Hypertensive heart and chronic kidney disease

      3. 581 Nephrotic Syndrome

      4. 582 Chronic glomerulonephritis

      5. 585.x Chronic kidney disease (CKD)

      6. 585 Renal failure, unspecified

      7. V42 Organ or tissue replaced by transplant:

        1. V42.0 Kidney

      8. V45 Other postprocedural states

        1. V45.1x Renal dialysis status

      9. V56.xx Encounter for dialysis and dialysis catheter care

  2. Lower Risk (Goal <140/90)

    1. No diabetes diagnoses (see above)

    2. No chronic kidney disease diagnoses (see above)

Source Material:

Chobanian, A.V.; Bakris, G.L.; Black, H.R.; Cushman, W.C.; Green, L.A.; Izzo, J.L., Jr.; Jones, D.W.; Materson, B.J.; Oparil, S.; Wright, J.T., Jr.; Roccella, E.J. Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension 2003;42(6):1205–1252. or http://www.nhlbi.nih.gov/guidelines/hypertension/jnc7full.htm 2009 ICD-9-CM. http://icd9cm.chrisendres.com/