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. 2015 Oct 5;182(9):808–819. doi: 10.1093/aje/kwv116

Table 5.

Number of Participants Without Coronary Heart Disease (CHD) Claims in Medicare and Percentage Reporting CHD in 2-Year Look-Back Periods, by CHD Claims Algorithm, REGARDS Study, 1999–2007

CHD History Claims Algorithm 2-Year Fixed-Window Look-Back Period
≥2-Year All-Available Look-Back Period
No. Without CHD Claims % Reporting CHDa No. Without CHD Claims % Reporting CHDa
Base algorithmb 6,756 12.9 6,411 8.9
Base algorithm or ≥1 inpatient or ≥2 E/M outpatient claims with ICD-9 code 410 6,751 12.8 6,407 8.8
Base algorithm or ≥1 inpatient or ≥2 E/M outpatient claims with ICD-9 code 410 or 411 6,714 12.7 6,343 8.7
Base algorithm or ≥1 inpatient or ≥2 E/M outpatient claims with ICD-9 code 410, 411, or 413 6,618 12.3 6,177 8.0
Base algorithm or ≥1 inpatient or ≥2 E/M outpatient claims with ICD-9 code 410, 411, 413, or 414 5,854 6.4 5,438 4.1
Base algorithm or ≥1 inpatient or ≥1 E/M outpatient claim with ICD-9 code 412 6,700 12.4 6,357 8.4
Base algorithm or ≥1 inpatient or ≥1 E/M outpatient claim with ICD-9 code 410 or 412 6,685 12.3 6,335 8.3
Base algorithm or ≥1 inpatient or ≥1 E/M outpatient claim with ICD-9 code 410, 411, or 412 6,596 12.0 6,193 7.9
Base algorithm or ≥1 inpatient or ≥1 E/M outpatient claim with ICD-9 code 410, 411, 412, or 413 6,391 11.3 5,893 7.2
Base algorithm or ≥1 inpatient or ≥1 E/M outpatient claim with ICD-9 code 410, 411, 412, 413, or 414 (expanded algorithm) 5,446 4.9 4,999 3.4
Base algorithm or cardiologist visit 5,199 7.7 4,646 5.6
Base algorithm or ≥1 inpatient or ≥2 E/M outpatient claims with ICD-9 code 410, 411, 413, or 414 or cardiologist visit 4,904 5.5 4,325 3.6

Abbreviations: CHD, coronary heart disease; E/M, evaluation and management; ICD-9, International Classification of Diseases, Ninth Revision; REGARDS, Reasons for Geographic and Racial Differences in Stroke.

a Self-reported CHD was defined as reporting a previous myocardial infarction or coronary revascularization.

b The base algorithm identified persons with CHD claims containing ICD-9 codes for myocardial infarction or ICD-9 and Current Procedural Terminology codes for coronary revascularization (see text for details).