Table 1.
Comorbidities | ICD-9 | ICD-10 | Physician visit requirement | Hospital discharge requirement |
---|---|---|---|---|
Asthma | 493 | J45-46 | 2 visits or more within any 2-year period during study for asthma | 1 discharge during study with asthma in any diagnostic field |
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Diabetes | 250 | E10–E14 | 2 visits or more within any 2-year period during study for diabetes | 1 discharge during study with diabetes in any diagnostic field |
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Hypertension | 401–405 | I10–I13, I15 | 2 visits or more within any 2-year period during study for hypertension | 1 discharge during study with hypertension in any diagnostic field |
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Chronic heart diseases | 428 | I50 | 2 visits or more within any 1-year period during study for chronic heart disease | 1 discharge during study with chronic heart disease in any diagnostic field |
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Ischemic heart diseases | 410–414 | I20–I25 | 2 visits or more within any 1-year period during study for ischemic heart disease | 1 discharge with any diagnostic field or 1 treatment code1 for ischemic heart disease during study |
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Osteoporosis | 733 | M80-M81 | 1 visit during the study for osteoporosis ever | 1 discharge with osteoporosis in any diagnostic field ever |
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Mood or anxiety disorder | 296, 300, 311 | F30–F39, F40–F48, F68 | 1 visit during the study for mood disorder or anxiety disorder in one year (has to requalify every year) | 1 discharge during the study for mood disorder or anxiety disorder in any diagnostic field in one year (has to requalify every year) |
1CCADTC: 48.02, 48.03, 48.11–48.19/CCI: 1.IJ.50, 1.IJ.57.GQ, 1.IJ.54, 1.IJ.76.