Table 1.
Diagnosis criteria and ICD-9-CM and ICD-10-CM codes used to determine computed and recorded diagnoses
| Condition | Signal and diagnosis criteria |
|---|---|
| Hypertension | Denominator: Outpatient systolic ≥ 140 or diastolic ≥ 90 (mmHg) |
| 2 readings ≥ 30 days apart and no prior diagnosis | |
| Numerator: New diagnosis of any of the following | |
| ICD-9 groups: 401, 402, 403, 404, 405, 642 | |
| ICD-10 groups: I10, I11, I12, I13, I15, I16, I27, O13 | |
| Diabetes | Denominator: A1c ≥ 6.5 (%) |
| 2 readings ≥ 30 days apart and no prior diagnosis | |
| Numerator: New diagnosis of any of the following | |
| ICD-9 groups: 249, 250 | |
| ICD-10 groups: E08, E09, E10, E11, E13 | |
| Hyperlipidemia | Denominator: LDL ≥ 130 (mg/dL) |
| 2 readings ≥30 days apart and no prior diagnosis | |
| Numerator: New diagnosis of any of the following | |
| ICD-9: 272.0, 272.2, 272.3, 272.4, 272.9 | |
| ICD-10: E78.0, E78.2, E78.3, E78.4, E78.5, E78.7, E78.8, E78.9 |
ICD-9-CM International Classification of Diseases, Ninth Revision, Clinical Modification, ICD-10-CM International Classification of Diseases, Tenth Revision, Clinical Modification, LDL Low-density lipoprotein cholesterol