Description of ICD-9 comorbidity codes used by VACS
revised November 9, 2006
Condition
HIV disease
Subcategory
All ICD-9
Codes
considered
042
043
044
Congestive Heart
Failure
079.53
V08
398.91
Description of code
Human Immunodeficiency virus
(HIV) disease
HIV infection with other
specified manifestations in the
absence of either specified
secondary infections or malignant
neoplasms
- this code became inactive in
1994
HIV not classifiable above
-this code became inactive in
1994
HIV, type 2
Asymptomatic HIV
Rheumatic heart failure
Elixhauser
Charlson
CCS
VACS
Prior
codes
X
X
X
X
402.01
CQM VACS
updated
X
K
X
N
X
N
X
N
K
N
Malignant hypertensive heart
X
K
disease w/CHF
402.11
Benign hypertensive heart disease
X
X
K
w/chf
402.91
Unspecified hypertensive heart
X
X
K
disease w/chf
404.01
Hypertensive heart and renal
X
K
disease, with congestive heart
failure, malignant
404.03
W/congestive and renal failure,
X
K
malignant
404.11
Hypertensive heart and renal
X
X
K
disease w/chf, benign
* Denotes these was no comparison category available ** These codes are no longer in the renal failure category ^OLD stands for Obstructive Lung Disease
X1 – Included in Emphysema Category
X5 – Included in Diabetes Type 2 category
X9 – Included in Depression category
X2 – Included in Asthma Category
X6 - Included in Alcohol use category
X10 – Included in Renal failure, acute
X3 – Included in Other Chronic Obstructive Pulmonary Disease X7 – Included in Hard drug Use Category
X11 – Included in Renal failure, chronic
X4 – Included in Diabetes Type 1 category
X8 – Included other Unspecified drug use
A – Add D – Drop K – Keep N – Not included
Created by Melissa Skanderson on 7/10/2002
revised 11/09/2006
Page 1 of 38
Condition
Subcategory
All ICD-9
Codes
considered
404.13
Description of code
Elixhauser
Hypertensive heart and renal
disease benign w/ chf and renal
failure
Unspecified w/chf
Unspecified w/chf and renal
failure
Congestive heart failure
Left heart failure
Systolic Heart Failure
Diastolic Heart Failure
Combined systolic and diastolic
heart failure
Heart failure unspecified
Chronic respiratory conditions
due to fumes and vapors
Interstitial emphysema
Compensatory emphysema
Nb interstitial emphysema
X
VACS
Prior
codes
X
X
X
X
X
416.0
Chronic pulmonary heart disease
– hypertension
X
X
K
416.1
416.8
416.9
Kyphoscoliotic disease
Other pulmonary heart disease
Chronic pulmonary heart disease
unspecified
Unspecified disease of pulmonary
circulation
Bronchitis
Simple chronic bronchitis
Mucoprulent chronic bronchitis
Obstructive chronic bronchitis
X
X
X
X
X
X
K
K
K
404.91
404.93
428.0
428.1
428.2
428.3
428.4
428.9
506.4
Pulmonary
disorder
518.1
518.2
770.2
Pulmonary HTN/ or
pulmonale and
OLD^
417.9
COPD and OLD
490
491.0
491.1
491.2
Charlson
CCS
CQM VACS
updated
K
K
K
X
X
x
x
x
X
X
x
x
x
X
X
x
x
x
X
X
x
x
x
X
X
x
x
x
K
K
K
K
K
X
X
X
X
X
X
X
X
K
K
X
X
X
X1
X1
D
D
D
X
X
X
X
N
X
X
X
X
X
X
X
X
X
X
X
X3
K
K
K
K
* Denotes these was no comparison category available ** These codes are no longer in the renal failure category ^OLD stands for Obstructive Lung Disease
X1 – Included in Emphysema Category
X5 – Included in Diabetes Type 2 category
X9 – Included in Depression category
X2 – Included in Asthma Category
X6 - Included in Alcohol use category
X10 – Included in Renal failure, acute
X3 – Included in Other Chronic Obstructive Pulmonary Disease X7 – Included in Hard drug Use Category
X11 – Included in Renal failure, chronic
X4 – Included in Diabetes Type 1 category
X8 – Included other Unspecified drug use
A – Add D – Drop K – Keep N – Not included
Created by Melissa Skanderson on 7/10/2002
revised 11/09/2006
Page 2 of 38
Condition
Subcategory
All ICD-9
Codes
considered
491.20
Description of code
Elixhauser
Charlson
W/out mention of acute
exacerbation
W/acute exacerbation
Other chronic exacerbation
Unspecified chronic bronchitis
Emphysematous bleb
Emphysema nec
Chronic airway obstruction – nec
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
493.21
Extrinsic asthma w/o status
asthmaticus
Ext asthma w status asth
W/acute exacerbation
Intrinsic asthma w/o stat asth
Int asthma w/status asth
W/acute exacerbation
Chronic obstructive asthma w/o
stat asth
Ch ob asthma w stat asth
493.22
CQM VACS
updated
K
X
X
X
X
X
X
X3
X1
X1
X3
K
K
K
K
K
K
X
X
X2
K
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
K
K
K
K
K
K
X
X
X
X
W/acute exacerbation
X
X
X
X
493.90
Asthma w/o status asthm
X
X
X
X
493.91
Asthma w status asthm
X
X
X
X
493.92
W/acute exacerbation
X
X
X2
X2
X2
X2
X2
X2
X3
X2
X3
X2
X3
X2
X3
X2
X3
X2
X3
494
494.0
494.1
Bronchiectasis
W/o acute exacerbation
W/acute exacerbation
493.00
493.01
493.02
493.10
493.11
493.12
493.20
Bronchiectasis
VACS
Prior
codes
X
X3
491.21
491.8
491.9
492.0
492.8
496
Asthma and OLD
CCS
X
X
X
X
X
X
X
X
X
K
K
K
K
K
K
K
K
Extrinsic allergic alveolitis –
X
X
X
K
farmer’s lung
* Denotes these was no comparison category available ** These codes are no longer in the renal failure category ^OLD stands for Obstructive Lung Disease
X1 – Included in Emphysema Category
X5 – Included in Diabetes Type 2 category
X9 – Included in Depression category
X2 – Included in Asthma Category
X6 - Included in Alcohol use category
X10 – Included in Renal failure, acute
X3 – Included in Other Chronic Obstructive Pulmonary Disease X7 – Included in Hard drug Use Category
X11 – Included in Renal failure, chronic
X4 – Included in Diabetes Type 1 category
X8 – Included other Unspecified drug use
A – Add D – Drop K – Keep N – Not included
Allergic alveoliltis
495.0
Created by Melissa Skanderson on 7/10/2002
revised 11/09/2006
Page 3 of 38
Condition
Subcategory
Pneumoconioses
All ICD-9
Codes
considered
495.1
495.2
495.3
495.4
495.5
495.6
495.7
495.8
495.9
500
501
502
503
504
505
Interstitial/fibrotic
lung dx
Peripheral
vascular disease
515.xx
Description of code
Elixhauser
Charlson
CCS
Bagassosis
Bird-fancier’s lung
Suberosis
Malt worker’s lung
Mushroom worker’s lung
Maple bark stripper’s lung
Ventilation pneumonitis
Other
Unspecified
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
VACS
Prior
codes
X
X
X
X
X
X
X
X
X
Coal worker’s pneumoconiosis
Asbestosis
Pneumoconiosis due to silicas or
silicate
Pneumoconiosis due to inorganic
dust
Pneumonopathy due to inhalation
Pneumoconoiosis, unspecified
X
X
X
X
X
X
X
X
X
K
K
K
X
X
X
K
X
X
X
X
X
X
K
K
516.xx
440.0
Postinflammatory pulmonary
fibrosis
Idiopathic fibrosing alveolitis
Atherosclerosis of aorta
X
X
X
440.1
440.2
440.20
440.21
440.22
440.23
440.24
440.29
Of renal artery
Of native arteries of extremities
Unspecified
With intermittent claudication
With rest pain
With ulceration
With gangrene
Other
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
CQM VACS
updated
K
K
K
K
K
K
K
K
K
A
X
*
A
K
K
K
K
K
K
K
K
K
* Denotes these was no comparison category available ** These codes are no longer in the renal failure category ^OLD stands for Obstructive Lung Disease
X1 – Included in Emphysema Category
X5 – Included in Diabetes Type 2 category
X9 – Included in Depression category
X2 – Included in Asthma Category
X6 - Included in Alcohol use category
X10 – Included in Renal failure, acute
X3 – Included in Other Chronic Obstructive Pulmonary Disease X7 – Included in Hard drug Use Category
X11 – Included in Renal failure, chronic
X4 – Included in Diabetes Type 1 category
X8 – Included other Unspecified drug use
A – Add D – Drop K – Keep N – Not included
Created by Melissa Skanderson on 7/10/2002
revised 11/09/2006
Page 4 of 38
Condition
Subcategory
All ICD-9
Codes
considered
440.30
440.31
440.32
440.8
440.9
441
441.00441.03
441.1
441.2
441.3
441.4
441.5
441.6
441.7
441.9
443
443.1
443.8
443.81
443.89
443.9
Description of code
Elixhauser
Of unspecified bypass graft of the
extremities
Of autologous vein of bypass
graft
Of nonautologous vein of bypass
graft
Of other specified arteries
Generalized and unspecified
atherosclerosis
Aortic aneurysm and dissection
Dissection of aorta
X
VACS
Prior
codes
X
X
X
K
X
X
K
X
X
X
X
K
K
X
X
X
X
K
K
X
X
X
K
K
X
X
X
K
K
X
X
K
X
X
K
X
X
X
K
X
X
X
K
X
X
X
X
K
K
K
K
X
X
K
K
Thoracic aneurysm, ruptured
Thoracic aneurysm w/o mention
of rupture
Abdominal aneurysm, ruptured
Abdominal aneurysm w/o
mention of rupture
Aortic aneurysm of unspecified
site, ruptured
Thoracoabdominal aneurysm
w/rupture
Thoracoabdominal aneurysm w/o
rupture
Aortic aneurysm of unspec site
w/o rupture
Other peripheral vascular disease
Thromboangiitis obliterans
Other specified pvd
Peripheral angiopathy in disease
classified elsewhere
Other
Pvd unspec
Charlson
CCS
X
X
X
X
X
X
X
X
CQM VACS
updated
K
* Denotes these was no comparison category available ** These codes are no longer in the renal failure category ^OLD stands for Obstructive Lung Disease
X1 – Included in Emphysema Category
X5 – Included in Diabetes Type 2 category
X9 – Included in Depression category
X2 – Included in Asthma Category
X6 - Included in Alcohol use category
X10 – Included in Renal failure, acute
X3 – Included in Other Chronic Obstructive Pulmonary Disease X7 – Included in Hard drug Use Category
X11 – Included in Renal failure, chronic
X4 – Included in Diabetes Type 1 category
X8 – Included other Unspecified drug use
A – Add D – Drop K – Keep N – Not included
Created by Melissa Skanderson on 7/10/2002
revised 11/09/2006
Page 5 of 38
Condition
Subcategory
All ICD-9
Codes
considered
447.1
557.0
557.1
557.9
Hypertension
785.40
V43.4
401
401.0
401.1
401.9
402
402.0
402.00
402.01
402.1
402.10
402.11
402.9
402.90
402.91
403.X
404.x
404.10
404.90
405.x
405
Description of code
Elixhauser
Stricture of artery
Acute vascular insufficiency of
intestine
Chronic vascular insufficiency of
intestine
Unspec vascular insufficiency of
intestine
Gangrene (785.4)
Blood vessel replaced
Essential hypertension
Malignant hypertension
Benign hypertension
Hypertension nos
Hypertensive heart disease
Malignant hypertension
Malignant w/out CHF
Malignant with CHF
Benign
Benign hyper w/out CHF
Benign hypertension w/ CHF
Unspecified
Unspecified w/out CHF
Unspecified w/ CHF
Hypertensive renal disease
Hypertensive heart and renal
disease
Benign hypertensive heart and
renal disease
Unspecified
Secondary hypertension
Secondary hypertension
X
Charlson
CCS
X
VACS
Prior
codes
X
X
X
X
X
K
X
X
X
K
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
K
X
X
X
X
X
X
X
X
X
K
K
K
X
X
X
X
X
*
CQM VACS
updated
X
X
X
X
X
* Denotes these was no comparison category available ** These codes are no longer in the renal failure category ^OLD stands for Obstructive Lung Disease
X1 – Included in Emphysema Category
X5 – Included in Diabetes Type 2 category
X9 – Included in Depression category
X2 – Included in Asthma Category
X6 - Included in Alcohol use category
X10 – Included in Renal failure, acute
X3 – Included in Other Chronic Obstructive Pulmonary Disease X7 – Included in Hard drug Use Category
X11 – Included in Renal failure, chronic
X4 – Included in Diabetes Type 1 category
X8 – Included other Unspecified drug use
A – Add D – Drop K – Keep N – Not included
Created by Melissa Skanderson on 7/10/2002
revised 11/09/2006
Page 6 of 38
Condition
Diabetes
Subcategory
All ICD-9
Codes
considered
405.0
405.01
405.09
405.1
405.11
405.19
405.9
405.91
405.99
437.2
250.00
250.01
250.02
250.03
250.10
250.11
250.12
250.13
250.20
250.21
250.22
250.23
250.3
250.30
250.31
250.32
250.33
Description of code
Mal second hypertension
Renovascular
Other
Benign
Renovascular
Other
Second hypertension nos
Unspecified, renovascular
Second hypertension nec
Hypertensive encephalopathy
DM w/o complication – type 2
not uncontrolled
Type 1 not uncontrolled
Type 2 uncontrolled
Type 1 uncontrolled
Diabetes with ketoacidosis – type
2 not uncontrolled
Type 1 not uncontrolled
Type2 uncontrolled
Type 1 uncontrolled
Diabetes with hyperosmolarity –
type 2 not uncontrolled
Type 1 not uncontrolled
Type 2 uncontrolled
Type 1 uncontrolled
Diabetes with other coma
Diabetes with other coma – t2 not
uncon
T1 not uncon
T2 uncon
T1 uncon
Elixhauser
Charlson
CCS
X
X
X
X
X
X
VACS
Prior
codes
X
X
X
X
X
X
X
X
X
X
X
CQM VACS
updated
X5
K
K
K
K
K
K
K
K
K
K
K
X
X
X
X
X4
X5
X4
X5
K
K
K
K
X
X
X
X
X
X
X
X
X4
X5
X4
X5
K
K
K
K
X
X
X
X4
X5
X4
X
X5
K
K
K
K
K
X4
X5
X4
K
K
K
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
* Denotes these was no comparison category available ** These codes are no longer in the renal failure category ^OLD stands for Obstructive Lung Disease
X1 – Included in Emphysema Category
X5 – Included in Diabetes Type 2 category
X9 – Included in Depression category
X2 – Included in Asthma Category
X6 - Included in Alcohol use category
X10 – Included in Renal failure, acute
X3 – Included in Other Chronic Obstructive Pulmonary Disease X7 – Included in Hard drug Use Category
X11 – Included in Renal failure, chronic
X4 – Included in Diabetes Type 1 category
X8 – Included other Unspecified drug use
A – Add D – Drop K – Keep N – Not included
Created by Melissa Skanderson on 7/10/2002
revised 11/09/2006
Page 7 of 38
Condition
Subcategory
All ICD-9
Codes
considered
250.40
250.41
250.42
250.43
250.50
250.51
250.52
250.53
250.6
250.60
250.61
250.62
250.63
250.7
250.70
250.71
250.72
250.73
250.8
250.80
250.81
250.82
250.83
250.90
250.91
Description of code
Elixhauser
Charlson
CCS
W/ renal manifestations – t2 not
uncon
T1 not uncon
T2 uncon
T1 uncon
W/ opthalmic manifestations – t2
not uncon
T1 not uncon
T2 uncon
T1 uncon
With neurological manifestations
W/neurological man – t2 not
uncon
T1 not uncon
T2 uncon
T1 uncon
With peripheral circulatory
disorder
W/peripheral circulatory disorder
– t2 not uncon
T1 not uncon
T2 uncon
T1 uncon
Diabetes with other specified
manifestations
T2 not uncontrolled
T1 not uncon
T2 uncon
T1 uncon
Diabetes w/ unspecified
complication – t2 not uncon
T1 not uncon
X
X
X
VACS
Prior
codes
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
CQM VACS
updated
X5
K
X
X
X
X
X4
X5
X4
X5
K
K
K
K
X
X
X
X
X
X
X
X
X
X
X
X4
X5
X4
x
X5
K
K
K
K
K
X
X
X
X
X
X
X
X
X
X
X4
X5
X4
x
K
K
K
K
X
X
X
X5
K
X
X
X
X
X
X
X
X
X
X
X
X4
X5
X4
x
K
K
K
K
X
X
X
X
X
X
X
X
X
X
X
X5
X4
X5
X4
X5
K
K
K
K
K
X
X
X
X4
K
X
* Denotes these was no comparison category available ** These codes are no longer in the renal failure category ^OLD stands for Obstructive Lung Disease
X1 – Included in Emphysema Category
X5 – Included in Diabetes Type 2 category
X9 – Included in Depression category
X2 – Included in Asthma Category
X6 - Included in Alcohol use category
X10 – Included in Renal failure, acute
X3 – Included in Other Chronic Obstructive Pulmonary Disease X7 – Included in Hard drug Use Category
X11 – Included in Renal failure, chronic
X4 – Included in Diabetes Type 1 category
X8 – Included other Unspecified drug use
A – Add D – Drop K – Keep N – Not included
Created by Melissa Skanderson on 7/10/2002
revised 11/09/2006
Page 8 of 38
Condition
Alcohol Abuse
Subcategory
All ICD-9
Codes
considered
250.92
250.93
357.2
790.2
791.5
791.6
291
291.0
291.1
291.2
291.3
291.4
291.5
291.8
291.81
291.89
291.9
303
303.0
303.00
303.01
303.02
303.03
303.9
303.90
303.91
303.92
303.93
305.0
305.00
Description of code
Elixhauser
T2 uncon
T1 uncon
Neuropathy in diabetes
Abnormal glucose tolerance test
Glycosuria
Acetonuria
Alcoholic psychosis
Alcohol withdrawal delirium
Alcohol amnesic synd
Alcoholic dementia nec
Alcohol hallucinosis
Pathologic alcohol intox
Alcoholic jealousy
Alcoholic psychosis nec
Alcohol withdrawal
Alcoholic psychosis nec
Alcoholic psychosis nos
Alcohol dependence syndrome
Ac alcohol intoxication
Ac alcohol intox-unspec
Ac alcohol intox-continuous
Ac alcohol intox-episodic
In remission
Alcohol depend nec/nos
Unspecified
Continuous
Episodic
In remission
Alcohol abuse
Alcohol abuse-unspecified
X
X
Charlson
CCS
X
X
X
X
X
*
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
VACS
Prior
codes
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
CQM VACS
updated
X5
X4
x
X6
X6
X6
X6
X6
X6
X6
X6
X6
X6
X6
X6
X6
X6
X6
X6
X6
X6
X6
X6
X6
X6
X6
K
K
K
D
D
D
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
* Denotes these was no comparison category available ** These codes are no longer in the renal failure category ^OLD stands for Obstructive Lung Disease
X1 – Included in Emphysema Category
X5 – Included in Diabetes Type 2 category
X9 – Included in Depression category
X2 – Included in Asthma Category
X6 - Included in Alcohol use category
X10 – Included in Renal failure, acute
X3 – Included in Other Chronic Obstructive Pulmonary Disease X7 – Included in Hard drug Use Category
X11 – Included in Renal failure, chronic
X4 – Included in Diabetes Type 1 category
X8 – Included other Unspecified drug use
A – Add D – Drop K – Keep N – Not included
Created by Melissa Skanderson on 7/10/2002
revised 11/09/2006
Page 9 of 38
Condition
Subcategory
Complications from
alcohol use
History of alcohol
use
Methyl alcohol
use
All ICD-9
Codes
considered
305.01
305.02
305.03
790.3
980.0
980.8
980.9
E860.0
E860.1
E860.8
E860.9
Description of code
Elixhauser
Alcohol abuse-continuous
Alcohol abuse-episodic
Alcohol abuse-in remission
Excess blood-alcohol level
Toxic effect ethyl alcohol
Toxic effect alcohol nec
Toxic effect alcohol nos
Acc poison-alcohol beverage
Acc poison-ethyl alcohol
Acc poison-alcohol nec
Acc poison-alcohol nos
X
X
X
357.5
Alcoholic neuropathy
*
425.5
535.3
571.0
571.1
571.2
571.3
Alcoholic cardiomyopathy
Alcoholic gastritis
Alcoholic fatty liver
Ac alcoholic hepatitis
Alcohol cirrhosis liver
Alcohol liver damage nos
V11.3
Alcoholism
X
*
980.1
Methyl alcohol
*
*
E860.2
Drug abuse
292
292.0
292.1
292.11
292.12
Accidental poisoning - Methyl
alcohol
Drug psychosis
Drug withdrawal syndrome
Paranoid and/or hallucinatory
states
Drug-induced organic delusion
Drug-induced hallucinosis
Charlson
CCS
X
X
X
VACS
Prior
codes
X
X
X
X
X
X
X
X
X
X
X
X6
X6
X6
K
K
K
D
D
D
D
D
D
D
D
X
X6
K
X
X
X
X
X
X
X6
X6
X6
X6
X6
X6
K
K
K
K
K
K
*
X
X6
K
*
X
D
X
D
X
X
X
X
K
K
K
X
X
X
X
K
K
*
*
X
CQM VACS
updated
* Denotes these was no comparison category available ** These codes are no longer in the renal failure category ^OLD stands for Obstructive Lung Disease
X1 – Included in Emphysema Category
X5 – Included in Diabetes Type 2 category
X9 – Included in Depression category
X2 – Included in Asthma Category
X6 - Included in Alcohol use category
X10 – Included in Renal failure, acute
X3 – Included in Other Chronic Obstructive Pulmonary Disease X7 – Included in Hard drug Use Category
X11 – Included in Renal failure, chronic
X4 – Included in Diabetes Type 1 category
X8 – Included other Unspecified drug use
A – Add D – Drop K – Keep N – Not included
Created by Melissa Skanderson on 7/10/2002
revised 11/09/2006
Page 10 of 38
Condition
Subcategory
All ICD-9
Codes
considered
292.2
292.8
Description of code
Elixhauser
Charlson
CCS
VACS
Prior
codes
X
X
CQM VACS
updated
Pathologic drug intoxication
X
K
Other drug-induced mental
N
disorders
292.81
Delirium
X
X
D
292.82
Dementia
X
X
X
D
292.83
Amnesic syndrome
X
X
X
D
292.84
Organic affective syndrome
X
X
X
D
292.89
Other
X
X
X
D
292.9
Unspecified
X
X
X
D
304
Drug dependence
X
X7
K
304.00
Opiod type dependence –
X
X
X
X7
K
unspecified
304.01
Continuous
X
X
X
X7
K
304.02
Episodic
X
X
X
X7
K
304.03
In remission
X
X
X
X7
K
304.10
Barbiturate – unspecified
X
X
X
X8
K
304.11
Continuous
X
X
X
X8
K
304.12
Episodic
X
X
X
X8
K
304.13
In remission
X
X
X
X8
K
304.20
Cocaine dependence – unspec
X
X
X
X7
K
304.21
Continuous
X
X
X
X7
K
304.22
Episodic
X
X
X
X7
K
304.23
In remission
X
X
X
X7
K
304.30
Cannabis dependence – unspec
X
X
X
X8
K
304.31
Continuous
X
X
X
X8
K
304.32
Episodic
X
X
X
X8
K
304.33
In remission
X
X
X
X8
K
304.40
Amphetamine – unspec
X
X
X
X7
K
304.41
Continuous
X
X
X
X7
K
304.42
Episodic
X
X
X
X7
K
304.43
In remission
X
X
X
X7
K
* Denotes these was no comparison category available ** These codes are no longer in the renal failure category ^OLD stands for Obstructive Lung Disease
X1 – Included in Emphysema Category
X5 – Included in Diabetes Type 2 category
X9 – Included in Depression category
X2 – Included in Asthma Category
X6 - Included in Alcohol use category
X10 – Included in Renal failure, acute
X3 – Included in Other Chronic Obstructive Pulmonary Disease X7 – Included in Hard drug Use Category
X11 – Included in Renal failure, chronic
X4 – Included in Diabetes Type 1 category
X8 – Included other Unspecified drug use
A – Add D – Drop K – Keep N – Not included
Created by Melissa Skanderson on 7/10/2002
revised 11/09/2006
Page 11 of 38
Condition
Subcategory
All ICD-9
Codes
considered
304.50
304.51
304.52
304.53
304.6
304.60
304.61
304.62
304.63
304.7
304.70
304.71
304.72
304.73
304.8
304.80
304.81
304.82
304.83
304.9
304.90
304.91
304.92
304.93
305.1X
305.20
305.21
305.22
Description of code
Elixhauser
Charlson
CCS
Hallucinogen dependence –
unspec
Continuous
Episodic
In remission
Other specified drug dependence
Unspecified
Continuous
Episodic
In remission
Combination of opiod type drug
with any other
Unspec
Continuous
Episodic
In remission
Combinations of drug dependence
exc opiod
Unspec
Continuous
Episodic
In remission
Unspec drug dependence
Unspec
Continuous
Episodic
In remission
Tobacco use
Cannabis abuse – unspec
Continuous
Cannabis abuse – episodic
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
VACS
Prior
codes
X
CQM VACS
updated
X8
K
X
X
X
X
X
X
X
X
X
X8
X8
X8
X8
X8
X8
X8
X8
X7
K
K
K
K
K
K
K
K
K
X
X
X
X
X
X
X
X
X
X7
X7
X7
X7
X8
K
K
K
K
K
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X8
X8
X8
X8
X8
X8
X8
X8
X8
X
X
X
X8
X8
X8
K
K
K
K
K
K
K
K
K
N
K
K
K
X
X
X
* Denotes these was no comparison category available ** These codes are no longer in the renal failure category ^OLD stands for Obstructive Lung Disease
X1 – Included in Emphysema Category
X5 – Included in Diabetes Type 2 category
X9 – Included in Depression category
X2 – Included in Asthma Category
X6 - Included in Alcohol use category
X10 – Included in Renal failure, acute
X3 – Included in Other Chronic Obstructive Pulmonary Disease X7 – Included in Hard drug Use Category
X11 – Included in Renal failure, chronic
X4 – Included in Diabetes Type 1 category
X8 – Included other Unspecified drug use
A – Add D – Drop K – Keep N – Not included
Created by Melissa Skanderson on 7/10/2002
revised 11/09/2006
Page 12 of 38
Condition
Subcategory
All ICD-9
Codes
considered
305.23
305.30
305.31
305.32
305.33
305.40
305.41
305.42
305.43
305.50
305.51
305.52
305.53
305.60
305.61
305.62
305.63
305.70
305.71
305.72
305.73
305.80
305.81
305.82
305.83
305.9
305.90
305.91
Description of code
Elixhauser
Charlson
CCS
In remission
Hallucinogen abuse – unspec
Continuous
Episodic
In remission
Barbiturate abuse – unspec
Continuous
Episodic
In remission
Opiod abuse – unspec
Continuous
Episodic
In remission
Cocaine abuse – unspec
Continuous
Episodic
In remission
Amphetamine abuse – unspec
Continuous
Episodic
In remission
Antidepressant type abuse –
unspec
Continuous
Episodic
In remission
Other, mixed or unspecified drug
abuse
Unspec
Continuous
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
VACS
Prior
codes
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
CQM VACS
updated
X8
X8
X8
X8
X8
X8
X8
X8
X8
X7
X7
X7
X7
X7
X7
X7
X7
X7
X7
X7
X7
X8
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
X
X
X
X
X8
X8
X8
X8
K
K
K
K
X
X
X8
X8
K
K
* Denotes these was no comparison category available ** These codes are no longer in the renal failure category ^OLD stands for Obstructive Lung Disease
X1 – Included in Emphysema Category
X5 – Included in Diabetes Type 2 category
X9 – Included in Depression category
X2 – Included in Asthma Category
X6 - Included in Alcohol use category
X10 – Included in Renal failure, acute
X3 – Included in Other Chronic Obstructive Pulmonary Disease X7 – Included in Hard drug Use Category
X11 – Included in Renal failure, chronic
X4 – Included in Diabetes Type 1 category
X8 – Included other Unspecified drug use
A – Add D – Drop K – Keep N – Not included
Created by Melissa Skanderson on 7/10/2002
revised 11/09/2006
Page 13 of 38
Condition
Subcategory
All ICD-9
Codes
considered
305.92
305.93
V15.82
E855.x
Description of code
Elixhauser
Charlson
CCS
VACS
Prior
codes
X
X
CQM VACS
updated
Episodic
X
X
X8
K
In remission
X
X
X8
K
History of tobacco use
X
N
Acc poisoning by other drugs
*
*
*
X
D
Drug poisoning
acting on cns and ans
E858.x
Accidental poisoning by other
X
D
drugs
410
Acute MI
*
X
X
X
K
MI/CAD
410.0
Of anterolateral wall
X
X
X
X
K
410.00
Of Anterolateral wall – episode of
X
X
X
X
K
care unspec
410.01
Of ant wall – initial ep of care
X
X
X
X
K
410.02
Of ant wall – subsequent episode
X
X
X
X
K
410.1
Of other anterior wall
X
X
X
X
K
410.10
Episode of care unspecified
X
X
X
X
K
410.11
Initial episode of care
X
X
X
X
K
410.12
Subsequent episode of care
X
X
X
X
K
410.2
Of inferolateral wall
X
X
X
X
K
410.20
Episode of care unspecified
X
X
X
X
K
410.21
Initial episode of care
X
X
X
X
K
410.22
Subsequent episode of care
X
X
X
X
K
410.3
Of inferoposterior wall
X
X
X
X
K
410.30
Episode of care unspecified
X
X
X
X
K
410.31
Initial episode of care
X
X
X
X
K
410.32
Subsequent episode of care
X
X
X
X
K
410.4
Of other inferior wall
X
X
X
X
K
410.40
Episode of care unspecified
X
X
X
X
K
410.41
Initial episode of care
X
X
X
X
K
410.42
Subsequent episode of care
X
X
X
X
K
410.5
Of other lateral wall
X
X
X
X
K
410.50
Episode of care unspecified
X
X
X
X
K
* Denotes these was no comparison category available ** These codes are no longer in the renal failure category ^OLD stands for Obstructive Lung Disease
X1 – Included in Emphysema Category
X5 – Included in Diabetes Type 2 category
X9 – Included in Depression category
X2 – Included in Asthma Category
X6 - Included in Alcohol use category
X10 – Included in Renal failure, acute
X3 – Included in Other Chronic Obstructive Pulmonary Disease X7 – Included in Hard drug Use Category
X11 – Included in Renal failure, chronic
X4 – Included in Diabetes Type 1 category
X8 – Included other Unspecified drug use
A – Add D – Drop K – Keep N – Not included
Created by Melissa Skanderson on 7/10/2002
revised 11/09/2006
Page 14 of 38
Condition
Subcategory
All ICD-9
Codes
considered
410.51
410.52
410.6
410.60
410.61
410.62
410.7
410.70
410.71
410.72
410.8
410.80
410.81
410.82
410.9
410.90
410.91
410.92
411
411.0
411.1
411.8
411.81
411.89
412
413
413.0
413.1
Description of code
Initial episode of care
Subsequent episode of care
True posterior wall infarction
Episode of care unspecified
Initial episode of care
Subsequent episode of care
Subendocardial infarction
Episode of care unspecified
Initial episode of care
Subsequent episode of care
Of other specified sites
Episode of care unspecified
Initial episode of care
Subsequent episode of care
Unspecified site
Episode of care unspecified
Initial episode of care
Subsequent episode of care
Acute and subacute forms of
ischemic heart disease
Postmyocardial infaction
syndrome
Intermediate coronary syndrome
Other acute and subacute forms of
ischemic heart disease
Coronary occlusion without mi
Other
Old myocardial infaction
Angina pectoris
Angina decubitus
Prinzmetal angina
Elixhauser
Charlson
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
CCS
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
VACS
Prior
codes
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
CQM VACS
updated
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
X
X
X
K
X
X
X
X
X
X
K
K
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
K
K
K
K
K
K
X
X
* Denotes these was no comparison category available ** These codes are no longer in the renal failure category ^OLD stands for Obstructive Lung Disease
X1 – Included in Emphysema Category
X5 – Included in Diabetes Type 2 category
X9 – Included in Depression category
X2 – Included in Asthma Category
X6 - Included in Alcohol use category
X10 – Included in Renal failure, acute
X3 – Included in Other Chronic Obstructive Pulmonary Disease X7 – Included in Hard drug Use Category
X11 – Included in Renal failure, chronic
X4 – Included in Diabetes Type 1 category
X8 – Included other Unspecified drug use
A – Add D – Drop K – Keep N – Not included
Created by Melissa Skanderson on 7/10/2002
revised 11/09/2006
Page 15 of 38
Condition
Subcategory
All ICD-9
Codes
considered
413.9
Description of code
Elixhauser
Charlson
CCS
VACS
Prior
codes
X
CQM VACS
updated
Other and unspecified angina
X
X
K
pectoris
414
Other forms of chronic ischemic
X
X
K
heart disease
414.0
Coronary atherosclerosis
X
X
X
K
414.00
Of unspecified type of vessel,
X
X
X
K
native or graft
414.01
Of native coronary artery
X
X
X
K
414.8
Other specified forms of chronic
X
X
X
K
ischemic heart disease
414.9
Chronic ischemic heart disease
X
X
X
K
unspecified
429.7
Certain sequelae of myocardial
X
A
infarction, not elsewhere
classified
V45.81
Aortocoronary bypass status
X
X
K
V45.82
Percutaneous transluminal
X
X
K
coronary angioplasty status
577.0
Acute pancreatitis
*
*
X
X
X
K
Pancreatitis
577.1
Chronic pancreatitis
X
X
X
K
577.2
Cyst and pseudocyst of pancreas
X
X
X
K
577.8
Other specified diseases of
X
X
X
K
pancreas
577.9
Unspecified disease of pancreas
X
X
X
K
579.4
Pancreatic steatorrhea
X
X
X
K
295.0
Schizophrenic disorders – simple
*
*
X
X
X
K
Schizophrenia
type
295.00
Schizophrenic disorders- simple
X
X
X
K
type-unspecified
295.01
Subchronic
X
X
X
K
295.02
Chronic
X
X
X
K
295.03
Subchronic with acute
X
X
X
K
exacerbation
* Denotes these was no comparison category available ** These codes are no longer in the renal failure category ^OLD stands for Obstructive Lung Disease
X1 – Included in Emphysema Category
X5 – Included in Diabetes Type 2 category
X9 – Included in Depression category
X2 – Included in Asthma Category
X6 - Included in Alcohol use category
X10 – Included in Renal failure, acute
X3 – Included in Other Chronic Obstructive Pulmonary Disease X7 – Included in Hard drug Use Category
X11 – Included in Renal failure, chronic
X4 – Included in Diabetes Type 1 category
X8 – Included other Unspecified drug use
A – Add D – Drop K – Keep N – Not included
Created by Melissa Skanderson on 7/10/2002
revised 11/09/2006
Page 16 of 38
Condition
Subcategory
All ICD-9
Codes
considered
295.04
295.05
295.1
295.10
295.11
295.12
295.13
295.14
295.15
295.2
295.20
295.21
295.22
295.23
295.24
295.25
295.3
295.30
295.31
295.32
295.33
295.34
295.35
295.4
295.40
295.41
295.42
Description of code
Chronic with acute exacerbation
In remission
Disorganized type
Unspecified
Subchronic
Chronic
Subchronic with acute
exacerbation
Chronic with acute exacerbation
In remission
Catatonic type
Unspecified
Subchronic
Chronic
Subchronic with acute
exacerbation
Chronic with acute exacerbation
In remission
Paranoid type
Unspecified
Subchronic
Chronic
Subchronic with acute
exacerbation
Chronic with acute exacerbation
In remission
Acute schizophrenic episode
Unspecified
Subchronic
Chronic
Elixhauser
Charlson
CCS
X
X
X
X
X
X
X
VACS
Prior
codes
X
X
X
X
X
X
X
X
X
X
X
X
X
X
CQM VACS
updated
X
X
X
X
X
X
X
K
K
K
K
K
K
K
X
X
X
X
X
X
X
X
X
X
X
X
X
X
K
K
K
K
K
K
K
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
K
K
K
K
K
K
K
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
K
K
K
K
K
K
* Denotes these was no comparison category available ** These codes are no longer in the renal failure category ^OLD stands for Obstructive Lung Disease
X1 – Included in Emphysema Category
X5 – Included in Diabetes Type 2 category
X9 – Included in Depression category
X2 – Included in Asthma Category
X6 - Included in Alcohol use category
X10 – Included in Renal failure, acute
X3 – Included in Other Chronic Obstructive Pulmonary Disease X7 – Included in Hard drug Use Category
X11 – Included in Renal failure, chronic
X4 – Included in Diabetes Type 1 category
X8 – Included other Unspecified drug use
A – Add D – Drop K – Keep N – Not included
Created by Melissa Skanderson on 7/10/2002
revised 11/09/2006
Page 17 of 38
Condition
Subcategory
All ICD-9
Codes
considered
295.43
295.44
295.45
295.5
295.50
295.51
295.52
295.53
295.54
295.55
295.6
295.60
295.61
295.62
295.63
295.64
295.65
295.8
295.80
295.81
295.82
295.83
295.84
295.85
295.9
295.90
Description of code
Subchronic with acute
exacerbation
Chronic with acute exacerbation
In remission
Latent schizophrenia
Unspecified
Subchronic
Chronic
Subchronic with acute
exacerbation
Chronic with acute exacerbation
In remission
Residual schizophrenia
Unspecified
Subchronic
Chronic
Subchronic with acute
exacerbation
Chronic with acute exacerbation
In remission
Other specified types of
schizophrenia
Unspecified
Subchronic
Chronic
Subchronic with acute
exacerbation
Chronic with acute exacerbation
In remission
Unspecified schizophrenia
Unspecified
Elixhauser
Charlson
CCS
X
VACS
Prior
codes
X
X
X
X
X
X
X
X
CQM VACS
updated
X
K
X
X
X
X
X
X
X
X
X
X
X
X
X
X
K
K
K
K
K
K
K
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
K
K
K
K
K
K
K
X
X
X
X
X
X
X
X
X
K
K
K
X
X
X
X
X
X
X
X
X
X
X
X
K
K
K
K
X
X
X
X
X
X
X
X
X
X
X
X
K
K
K
K
* Denotes these was no comparison category available ** These codes are no longer in the renal failure category ^OLD stands for Obstructive Lung Disease
X1 – Included in Emphysema Category
X5 – Included in Diabetes Type 2 category
X9 – Included in Depression category
X2 – Included in Asthma Category
X6 - Included in Alcohol use category
X10 – Included in Renal failure, acute
X3 – Included in Other Chronic Obstructive Pulmonary Disease X7 – Included in Hard drug Use Category
X11 – Included in Renal failure, chronic
X4 – Included in Diabetes Type 1 category
X8 – Included other Unspecified drug use
A – Add D – Drop K – Keep N – Not included
Created by Melissa Skanderson on 7/10/2002
revised 11/09/2006
Page 18 of 38
Condition
Other psychosis
Subcategory
All ICD-9
Codes
considered
295.91
295.92
295.93
295.94
295.95
299.00
299.01
V11.0
293.x
294.x
Subchronic
Chronic
Subchronic with acute
exacerbation
Chronic with acute exacerbation
In remission
Infantile autism current or active
Autism residual state
Personal History of schizophrenia
Transient organic psychotic
conditions
Elixhauser
Charlson
CCS
X
X
X
VACS
Prior
codes
X
X
X
X
X
X
X
X
X
CQM VACS
updated
X
X
X
K
K
K
X
X
K
K
N
N
A
A
X
299.81
299.90
299.91
Other organic psychotic
conditions (chronic)
Other nonorganic psychoses
Psychoses with origin specific to
childhood
Disintegrative psychosis –current
or active state
Residual state
Other specified early childhood
psyches-current or active
Residual
Unspecified – current or active
Residual state
295.7
Schizoid-affective type
X
X
X
K
295.70
295.71
295.72
295.73
Unspecified
Subchronic
Chronic
Subchronic with acute
exacerbation
X
X
X
X
X
X
X
X
X
X
X
X
K
K
K
K
298.x
299.x
299.10
299.11
299.80
Schizoaffective
disorder
Description of code
A
A
A
X
K
X
X
K
K
X
X
X
K
K
K
* Denotes these was no comparison category available ** These codes are no longer in the renal failure category ^OLD stands for Obstructive Lung Disease
X1 – Included in Emphysema Category
X5 – Included in Diabetes Type 2 category
X9 – Included in Depression category
X2 – Included in Asthma Category
X6 - Included in Alcohol use category
X10 – Included in Renal failure, acute
X3 – Included in Other Chronic Obstructive Pulmonary Disease X7 – Included in Hard drug Use Category
X11 – Included in Renal failure, chronic
X4 – Included in Diabetes Type 1 category
X8 – Included other Unspecified drug use
A – Add D – Drop K – Keep N – Not included
Created by Melissa Skanderson on 7/10/2002
revised 11/09/2006
Page 19 of 38
Condition
Bipolar disorder
Subcategory
All ICD-9
Codes
considered
295.74
295.75
296.0
296.00
296.01
296.02
296.03
296.04
296.05
296.06
296.1
296.10
296.11
296.12
296.13
296.14
296.15
296.16
296.4
296.40
296.41
296.42
296.43
296.44
296.45
Description of code
Chronic with acute exacerbation
In remission
Manic disorder, single episode
Unspecified
Mild
Moderate
Severe, without mention of
psychotic behavior
Severe, specified as with
psychotic behavior
In partial or unspecified remission
In full remission
Manic disorder, recurrent episode
Unspecified
Mild
Moderate
Severe, without mention of
psychotic behavior
Severe, specified as with
psychotic behavior
In partial or unspecified remission
In full remission
Bipolar affective disorder, manic
Unspecified
Mild
Moderate
Severe, without mention of
psychotic behavior
Severe, specified as with
psychotic behavior
In partial or unspecified remission
Elixhauser
*
Charlson
*
CCS
X
X
X
X
X
X
X
VACS
Prior
codes
X
X
X
X
X
X
X
X
CQM VACS
updated
X
X
X
X
X
X
X
K
K
K
K
K
K
K
X
X
K
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
K
K
K
K
K
K
K
X
X
X
K
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
K
K
K
K
K
K
K
X
X
X
K
X
X
X
K
* Denotes these was no comparison category available ** These codes are no longer in the renal failure category ^OLD stands for Obstructive Lung Disease
X1 – Included in Emphysema Category
X5 – Included in Diabetes Type 2 category
X9 – Included in Depression category
X2 – Included in Asthma Category
X6 - Included in Alcohol use category
X10 – Included in Renal failure, acute
X3 – Included in Other Chronic Obstructive Pulmonary Disease X7 – Included in Hard drug Use Category
X11 – Included in Renal failure, chronic
X4 – Included in Diabetes Type 1 category
X8 – Included other Unspecified drug use
A – Add D – Drop K – Keep N – Not included
Created by Melissa Skanderson on 7/10/2002
revised 11/09/2006
Page 20 of 38
Condition
Subcategory
All ICD-9
Codes
considered
296.46
296.5
296.50
296.51
296.52
296.53
296.54
296.55
296.56
296.6
296.60
296.61
296.62
296.63
296.64
296.65
296.66
296.7
296.70
296.71
296.72
296.73
296.74
296.75
Description of code
In full remission
Bipolar affective disorder,
depressed
Unspecified
Mild
Moderate
Severe, without mention of
psychotic behavior
Severe, specified as with
psychotic behavior
In partial or unspecified remission
In full remission
Bipolar affective disorder, mixed
Unspecified
Mild
Moderate
Severe, without mention of
psychotic behavior
Severe, specified as with
psychotic behavior
In partial or unspecified remission
In full remission
Bipolar affective disorder,
unspecified
Unspecified
Mild
Moderate
Severe, without mention of
psychotic behavior
Severe, specified as with
psychotic behavior
In partial or unspecified remission
Elixhauser
Charlson
CCS
X
X
VACS
Prior
codes
X
X
X
X
X
X
CQM VACS
updated
X
X
K
K
X
X
X
X
X
X
X
X
K
K
K
K
X
X
X
K
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
K
K
K
K
K
K
K
X
X
X
K
X
X
X
X
X
X
X
X
X
K
K
K
X
X
X
X
X
X
X
X
K
K
K
K
X
X
K
X
X
K
* Denotes these was no comparison category available ** These codes are no longer in the renal failure category ^OLD stands for Obstructive Lung Disease
X1 – Included in Emphysema Category
X5 – Included in Diabetes Type 2 category
X9 – Included in Depression category
X2 – Included in Asthma Category
X6 - Included in Alcohol use category
X10 – Included in Renal failure, acute
X3 – Included in Other Chronic Obstructive Pulmonary Disease X7 – Included in Hard drug Use Category
X11 – Included in Renal failure, chronic
X4 – Included in Diabetes Type 1 category
X8 – Included other Unspecified drug use
A – Add D – Drop K – Keep N – Not included
Created by Melissa Skanderson on 7/10/2002
revised 11/09/2006
Page 21 of 38
Condition
Subcategory
All ICD-9
Codes
considered
296.76
296.8
Description of code
Elixhauser
Charlson
CCS
VACS
Prior
codes
X
X
CQM VACS
updated
In full remission
X
K
Manic-depressive psychosis,
X
K
other and unspecified
296.80
Manic-depressive psychosis,
X
X
X
K
unspecified
296.81
Atypical manic disorder
X
X
X
K
296.82
Atypical depressive disorder
X
X
X
K
296.89
Other
X
X
X
K
296.9
Other and unspecified affective
X
K
psychoses
296.90
Unspecified affective psychosis
X
X
K
296.99
Other specified affective
X
X
K
psychoses
301.11
Chronic hypomanic personality
X
N
disorder
V11.1
Personal history of manicX
A
depressive psychosis
293.83
Mood disorder in conditions
*
*
X
N
Major depression
classified elsewhere
296.20
Major depressive disorder, single
X
X
X
K
episode, unspecified
296.21
Mild
X
X
X
K
296.22
Moderate
X
X
X
K
296.23
Severe, w/o mention of psychotic
X
X
X
K
behavior
296.24
Severe, specified as with
X
X
X
K
psychotic behavior
296.25
In partial or unspecified remission
X
X
X
K
296.26
In full remission
X
X
X
K
296.3x
Major depressive disorder,
X
X
X
K
recurrent episode
296.5x
Bipolar 1 disorder, most recent
X
N
episode (or current) depressed
* Denotes these was no comparison category available ** These codes are no longer in the renal failure category ^OLD stands for Obstructive Lung Disease
X1 – Included in Emphysema Category
X5 – Included in Diabetes Type 2 category
X9 – Included in Depression category
X2 – Included in Asthma Category
X6 - Included in Alcohol use category
X10 – Included in Renal failure, acute
X3 – Included in Other Chronic Obstructive Pulmonary Disease X7 – Included in Hard drug Use Category
X11 – Included in Renal failure, chronic
X4 – Included in Diabetes Type 1 category
X8 – Included other Unspecified drug use
A – Add D – Drop K – Keep N – Not included
Created by Melissa Skanderson on 7/10/2002
revised 11/09/2006
Page 22 of 38
Condition
Other depression
formerly mild
depression
Subcategory
All ICD-9
Codes
considered
298.0
300.4
307.44
300.4
301.12
301.13
309
309.0
309.1
309.21
309.22
309.23
309.24
309.28
309.29
309.3
309.4
309.8
309.82
Description of code
Depressive type psychosis
Dysthymic disorder
Persistent disorder of initiating or
maintaining wakefulness,
including hypersomnia associated
with depression
Neurotic depression
Chronic depressive personality
disorder
Cyclothymic disorder
Adjustment reaction
Brief depressive reaction
Prolonged depressive reaction
Separation anxiety disorder
Emancipation disorder of
adolescence and early adult life
Specific academic or work
inhibition
Adjustment reaction with anxious
mood
Adjustment reaction with mixed
emotional features
Other
With predominant disturbance of
conduct
With mixed disturbance of
emotions and conduct
Other specified adjustment
reactions
Adjustment reaction with physical
symptoms
Elixhauser
Charlson
CCS
VACS
Prior
codes
CQM VACS
updated
X
X
X
X
X
X
X
K
X
D
X
X
X
N
N
N
A
X9
X9
A
A
N
N
N
N
X9
N
N
N
N
N
N
* Denotes these was no comparison category available ** These codes are no longer in the renal failure category ^OLD stands for Obstructive Lung Disease
X1 – Included in Emphysema Category
X5 – Included in Diabetes Type 2 category
X9 – Included in Depression category
X2 – Included in Asthma Category
X6 - Included in Alcohol use category
X10 – Included in Renal failure, acute
X3 – Included in Other Chronic Obstructive Pulmonary Disease X7 – Included in Hard drug Use Category
X11 – Included in Renal failure, chronic
X4 – Included in Diabetes Type 1 category
X8 – Included other Unspecified drug use
A – Add D – Drop K – Keep N – Not included
Created by Melissa Skanderson on 7/10/2002
revised 11/09/2006
Page 23 of 38
Condition
Subcategory
All ICD-9
Codes
considered
309.83
Description of code
Elixhauser
Charlson
CCS
VACS
Prior
codes
CQM VACS
updated
Adjustment reaction with
N
withdrawal
309.89
Other
N
311
Depressive disorder, not
X
X
X9
K
elsewhere classified
309.81
Prolonged posttraumatic stress
*
*
X
X
K
PTSD
disorder
430
Subarachnoil hemorrhage
*
*
X
X
X
K
Stroke
431
Intracerebral hemorrhage
X
X
X
K
432
Other and unspecified intracranial
X
X
K
hemorrhage
432.0
Nontraumatic extradural
X
X
X
K
hemorrhage
432.1
Subdural hemorrhage
X
X
X
K
432.9
Unspecified intracranial
X
X
X
K
hemorrhage
433.01
Basilar artery – with cerebral
X
X
X
K
infarction
433.11
Carotid artery – with cerebral
X
X
X
K
infarction
433.21
Vertebral artery – with cerebral
X
X
X
K
infarction
433.31
W mention of cerebral infarction
X
X
X
K
433.81
Other specified precebral artery –
X
X
X
K
with cerebral infarction
433.91
With cerebral infarction
X
X
X
K
434.0
Cerebral thrombosis
X
X
X
K
434.00
Cerebral thrombosis – without
X
X
X
K
mention of cerebral infarction
434.01
With cerebral infarction
X
X
X
K
434.1
Cerebral embolism
X
X
X
K
434.10
Cerebral embolism – without
X
X
X
K
mention of cerebral infarction
* Denotes these was no comparison category available ** These codes are no longer in the renal failure category ^OLD stands for Obstructive Lung Disease
X1 – Included in Emphysema Category
X5 – Included in Diabetes Type 2 category
X9 – Included in Depression category
X2 – Included in Asthma Category
X6 - Included in Alcohol use category
X10 – Included in Renal failure, acute
X3 – Included in Other Chronic Obstructive Pulmonary Disease X7 – Included in Hard drug Use Category
X11 – Included in Renal failure, chronic
X4 – Included in Diabetes Type 1 category
X8 – Included other Unspecified drug use
A – Add D – Drop K – Keep N – Not included
Created by Melissa Skanderson on 7/10/2002
revised 11/09/2006
Page 24 of 38
Condition
Subcategory
All ICD-9
Codes
considered
434.11
434.91
437.1
Description of code
Elixhauser
Charlson
CCS
VACS
Prior
codes
X
X
X
CQM VACS
updated
With cerebral infarction
X
X
K
With cerebral infarction
X
X
K
Other generalized ischemic
X
K
cerebrovascular disease
437.2
Hypertensive encephalopathy
X
X
D
437.3
Cerebral aneurysm, nonruptured
X
X
D
437.4
Cerebral arteritis
X
X
D
437.5
Moyamoya disease
X
X
D
437.6
Nonpyogenic thrombosis of
X
X
K
intracranial venous sinus
438.0
Cognitive deficits
X
X
K
438.10
Speech and language deficits X
X
K
unspecified
438.11
Aphasia
X
X
K
438.12
Dysphasia
X
X
K
438.20
Hemiplegia affecting unspecified
X
X
K
side
438.21
Hemiplegia affecting dominant
X
X
K
side
438.22
Hemiplegia affecting
X
X
K
nondominant side
438.30
Monoplegia of upper limb
X
X
K
affecting unspecified side
438.31
Monoplegia of upper limb
X
X
K
affecting dominant side
438.32
Monoplegia of upper limb
X
X
K
affecting nondominant side
438.40
Monoplegia of lower limb
X
X
K
affecting unspecified side
438.41
Affecting dominant side
X
X
K
438.42
Affecting nondominant side
X
X
K
438.50
Other paralytic syndrome
X
X
K
affecting unspecified side
* Denotes these was no comparison category available ** These codes are no longer in the renal failure category ^OLD stands for Obstructive Lung Disease
X1 – Included in Emphysema Category
X5 – Included in Diabetes Type 2 category
X9 – Included in Depression category
X2 – Included in Asthma Category
X6 - Included in Alcohol use category
X10 – Included in Renal failure, acute
X3 – Included in Other Chronic Obstructive Pulmonary Disease X7 – Included in Hard drug Use Category
X11 – Included in Renal failure, chronic
X4 – Included in Diabetes Type 1 category
X8 – Included other Unspecified drug use
A – Add D – Drop K – Keep N – Not included
Created by Melissa Skanderson on 7/10/2002
revised 11/09/2006
Page 25 of 38
Condition
Subcategory
All ICD-9
Codes
considered
438.51
438.52
438.53
438.81
438.82
438.89
438.9
CVD/TIA
433.00
433.10
433.20
433.30
433.80
433.90
434.90
435
435.0
435.1
435.2
436
Description of code
Affecting dominant side
Affecting nondominant side
Bilateral
Other late effect of
cerebrovascular disease - apraxia
Dysphagia
Other late effects of
cerebrovascular disease
Unspecified late effects of
cerebrovascular disease
Basilar artery – without mention
of cerebral infarction
Carotid artery – without mention
of cerebral infarction
Vertebral artery – without
mention of cerebral infarction
W/o mention of cerebral
infarction
Other specified precebral artery –
without mention of cerebral
infarction
Unspecified precerebral artery –
without mention of cerebral
infarction
Cerebral artery occlusion,
unspecified – without mention of
cerebral infarction
Transient cerebral ischemia
Basilar artery syndrome
Vertebral artery syndrome
Subclavian steal syndrome
Acute, but ill-defined,
cerebrovascular disease
Elixhauser
Charlson
CCS
X
X
X
X
VACS
Prior
codes
X
X
X
X
CQM VACS
updated
X
X
X
X
K
K
X
X
K
X
X
X
K
X
X
X
K
X
X
X
K
X
X
X
K
X
X
X
K
X
X
K
X
X
X
K
X
X
X
X
X
X
X
X
X
X
X
X
X
X
K
K
K
K
K
K
K
K
K
* Denotes these was no comparison category available ** These codes are no longer in the renal failure category ^OLD stands for Obstructive Lung Disease
X1 – Included in Emphysema Category
X5 – Included in Diabetes Type 2 category
X9 – Included in Depression category
X2 – Included in Asthma Category
X6 - Included in Alcohol use category
X10 – Included in Renal failure, acute
X3 – Included in Other Chronic Obstructive Pulmonary Disease X7 – Included in Hard drug Use Category
X11 – Included in Renal failure, chronic
X4 – Included in Diabetes Type 1 category
X8 – Included other Unspecified drug use
A – Add D – Drop K – Keep N – Not included
Created by Melissa Skanderson on 7/10/2002
revised 11/09/2006
Page 26 of 38
Condition
Subcategory
All ICD-9
Codes
considered
435.3
435.8
435.9
437.0
437.7
437.8
437.9
Chronic
Hepatitis B
070.2x
070.20
070.21
Description of code
Vertebrobasilar artery syndrome
Other specified transient cerebral
ischemias
Unspecified transient cerebral
ischemia
Cerebral atherosclerosis
Transient global amnesia
Other
Unspecified
Elixhauser
Charlson
CCS
X
X
VACS
Prior
codes
X
X
X
X
X
X
X
X
X
X
X
X
Viral Hepatitis B with hepatic
coma Viral hep B with hepatic coma –
acute or sunspecified without
mentionof hepatitis delta
Viral hepatitis B with hepatic
coma – acute or unspec, with
hepatitis delta
CQM VACS
updated
X
X
K
K
X
K
K
K
K
K
X
A
X
A
X
A
* Denotes these was no comparison category available ** These codes are no longer in the renal failure category ^OLD stands for Obstructive Lung Disease
X1 – Included in Emphysema Category
X5 – Included in Diabetes Type 2 category
X9 – Included in Depression category
X2 – Included in Asthma Category
X6 - Included in Alcohol use category
X10 – Included in Renal failure, acute
X3 – Included in Other Chronic Obstructive Pulmonary Disease X7 – Included in Hard drug Use Category
X11 – Included in Renal failure, chronic
X4 – Included in Diabetes Type 1 category
X8 – Included other Unspecified drug use
A – Add D – Drop K – Keep N – Not included
Created by Melissa Skanderson on 7/10/2002
revised 11/09/2006
Page 27 of 38
Condition
Subcategory
All ICD-9
Codes
considered
070.22
070.23
070.3x
070.30
070.31
070.32
070.33
070.42
070.52
V02.61
Hepatitis C
070.41
070.44
070.51
070.54
V02.62
Anemia
280
280.0
Description of code
Elixhauser
Charlson
CCS
Viral hepatitis B with hepatic
coma – chronic, w/out mention of
hepatitis delta
W/ mention of hepatitis delta
Viral Hepatitis B without mention
of hepatic come
Acute or unspec, without mention
of hepatitis delta
Acute or unspec, with hepatitis
delta
Viral hepatitis B without mention
of hepatic coma – w/out mention
of hepatitis delta
W/ mention of hepatitis delta
Hepatitis delta without mention of
active hepatitis B disease with
hepatic coma
Hepatitic delta without mention
of active hepatitis B disease or
hepatic coma
Hepatitis B carrier
VACS
Prior
codes
X
Iron deficiency anemias
Iron deficiency anemia secondary
to blood loss (chronic)
X
K
X
X
K
A
X
A
X
A
X
X
K
X
X
X
K
A
X
A
X
X
K
X
X
K
X
X
K
X
X
K
X
X
K
X
X
K
X
X
X
D
N
X
Acute or unspecified hepatitis C
with hepatic coma
Chronic hepatitis C with hepatic
coma
Acute or unspecified hepatitis C
without mention of hepatic coma
Chronic hepatitis C w/out
mention of hepatic coma
Hepatitis C carrier
*
X-Blood
loss anemia
XAnemia
CQM VACS
updated
* Denotes these was no comparison category available ** These codes are no longer in the renal failure category ^OLD stands for Obstructive Lung Disease
X1 – Included in Emphysema Category
X5 – Included in Diabetes Type 2 category
X9 – Included in Depression category
X2 – Included in Asthma Category
X6 - Included in Alcohol use category
X10 – Included in Renal failure, acute
X3 – Included in Other Chronic Obstructive Pulmonary Disease X7 – Included in Hard drug Use Category
X11 – Included in Renal failure, chronic
X4 – Included in Diabetes Type 1 category
X8 – Included other Unspecified drug use
A – Add D – Drop K – Keep N – Not included
Created by Melissa Skanderson on 7/10/2002
revised 11/09/2006
Page 28 of 38
Condition
Subcategory
All ICD-9
Codes
considered
280.1
Description of code
Elixhauser
Iron deficiency anemia second to
inadequate dietary iron intake
Xdeficiency
anemias
X
X
280.8
280.9
281
281.0
281.1
Charlson
CCS
X
VACS
Prior
codes
X
CQM VACS
updated
X
K
Oth spec iron deficiency anemias
X
X
X
K
Iron deficiency anemia, unspec
X
X
X
K
Oth deficiency anemias
X
X
K
Pernicious anemia
X
X
X
X
K
Oth vitamin b12 deficiency
X
X
X
X
K
anemia
281.2
Folate-deficiency anemia
X
X
X
X
K
281.3
Oth spec megaloblastic anemias
X
X
X
X
K
281.4
Protein-deficiency anemia
X
X
X
X
K
281.8
Anemia assoc w/ oth spec
X
X
X
X
K
nutritional deficiency
281.9
Unspec deficiency anemia
X
X
X
X
K
282
Heredity hemolytic anemias
X
X
K
282.0
Hereditary spherocytosis
X
X
X
K
282.1
Hereditary elliptocytosis
X
X
X
K
282.2
Anemias due to disorders of
X
X
X
K
glutathione metabolism
282.3
Other hemolytic anemias due to
X
X
X
K
enzyme deficiency
282.4
Thalassemias
X
X
X
K
282.5
Sickle-cell anemia
X
X
X
K
282.60
Sickle-cell anemia unspec
X
X
X
K
282.61
Hb-s disease no crisis
X
X
X
K
282.62
Hb-s disease with crisis
X
X
X
K
282.63
Sickle-cell/hb-c disease
X
X
X
K
282.69
Other sickle-cell anemia
X
X
X
K
282.7
Other hemoglobinopathies
X
X
X
K
282.8
Other spec hereditary hemolytic
X
X
X
K
anemias
* Denotes these was no comparison category available ** These codes are no longer in the renal failure category ^OLD stands for Obstructive Lung Disease
X1 – Included in Emphysema Category
X5 – Included in Diabetes Type 2 category
X9 – Included in Depression category
X2 – Included in Asthma Category
X6 - Included in Alcohol use category
X10 – Included in Renal failure, acute
X3 – Included in Other Chronic Obstructive Pulmonary Disease X7 – Included in Hard drug Use Category
X11 – Included in Renal failure, chronic
X4 – Included in Diabetes Type 1 category
X8 – Included other Unspecified drug use
A – Add D – Drop K – Keep N – Not included
Created by Melissa Skanderson on 7/10/2002
revised 11/09/2006
Page 29 of 38
Condition
Subcategory
All ICD-9
Codes
considered
282.9
285.22
285.29
285.8
285.9
Hereditary hemolytic anemia,
unspec
Acquired hemolytic anemias
Autoimmune hemolytic anemias
Non-autoimmune hemolytic
anemias
Non-autoimmune hemolytic
anemia, unspec
Hemolytic-uremic syndrome
Other non-autoimmune hemolytic
anemias
Hemoglobinuria due to hemolysis
from external causes
Acquired hemolytic anemia,
unspec
Aplastic Anemia
Constitutional aplastic anemia
Other spec aplastic anemias
Aplastic anemia, unspec
Other and unspecified anemias
Sideroblastic anemia
Anemia in chronic illness – endstage renal disease
In neoplastic disease
Of other chronic illness
Other specified anemias
Anemia, Unspecified
272
272.0
272.1
272.2
Disorders of lipoid metabolism
Pure hypercholesterolemia
Pure hyperglyceridemia
Mixed hyperlipidemia
283
283.0
283.1
283.10
283.11
283.19
283.2
283.9
284
284.0
284.8
284.9
285
285.0
285.21
Hyperlipidemia
Description of code
Elixhauser
Charlson
CCS
X
VACS
Prior
codes
X
X
X
X
K
X
X
X
X
X
X
K
K
K
X
X
X
K
X
X
X
X
X
X
K
K
X
X
X
K
X
X
X
K
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
K
K
K
K
K
K
K
X
X
X
X
X
X
X
X
X
X
X
X
K
K
K
K
X
X
X
X
X
X
X
X
X
X
X
K
K
K
K
X
X
X
X
X
X
X
CQM VACS
updated
* Denotes these was no comparison category available ** These codes are no longer in the renal failure category ^OLD stands for Obstructive Lung Disease
X1 – Included in Emphysema Category
X5 – Included in Diabetes Type 2 category
X9 – Included in Depression category
X2 – Included in Asthma Category
X6 - Included in Alcohol use category
X10 – Included in Renal failure, acute
X3 – Included in Other Chronic Obstructive Pulmonary Disease X7 – Included in Hard drug Use Category
X11 – Included in Renal failure, chronic
X4 – Included in Diabetes Type 1 category
X8 – Included other Unspecified drug use
A – Add D – Drop K – Keep N – Not included
Created by Melissa Skanderson on 7/10/2002
revised 11/09/2006
Page 30 of 38
Condition
Subcategory
All ICD-9
Codes
considered
272.3
272.4
272.5
272.6
272.7
272.8
272.9
Renal
insufficiency
403.01
403.11
403.91
404.02
404.03
404.12
404.13
404.92
404.93
585
586
587
588
Description of code
Hyperchylomicronemia
Other unspecified hyperlipidemia
Lipoprotein deficiencies
lipodystrophy
Lipidoses
Other disorders of lipoid
metabolism
Unspecified disorder of lipoid
metabolism
Hypertensive renal disease –
malignant with renal failure
Hyp renal disease benign with
renal failure
Hyp renal disease unspecified
with renal failure
Hyp heart and renal disease –
malignant with renal failure
Malignant with renal and heart
failure
Benign with renal failure
Benign with renal and heart
failure
Unspecified with renal failure
Unspecified with heart and renal
failure
Chronic renal failure
Renal failure, unspec
Renal scelrosis, unspec
Disorders resulting fromimpaired
renal function
Elixhauser
Charlson
CCS
X
X
VACS
Prior
codes
X
X
CQM VACS
updated
X
X
X
X
X
X
X
K
K
A
K
A
K
X
X
K
X11
A
X
X
X
X11
K
X
X
X11
K
X
X11
K
X
X
X
K
X11
X
X
X
K
X11
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
K
K
K
X11
K
K
K
K
* Denotes these was no comparison category available ** These codes are no longer in the renal failure category ^OLD stands for Obstructive Lung Disease
X1 – Included in Emphysema Category
X5 – Included in Diabetes Type 2 category
X9 – Included in Depression category
X2 – Included in Asthma Category
X6 - Included in Alcohol use category
X10 – Included in Renal failure, acute
X3 – Included in Other Chronic Obstructive Pulmonary Disease X7 – Included in Hard drug Use Category
X11 – Included in Renal failure, chronic
X4 – Included in Diabetes Type 1 category
X8 – Included other Unspecified drug use
A – Add D – Drop K – Keep N – Not included
Created by Melissa Skanderson on 7/10/2002
revised 11/09/2006
Page 31 of 38
Condition
Subcategory
All ICD-9
Codes
considered
588.0
588.1
588.8
588.9
589
589.0
589.1
589.9
591
592
592.0
592.1
592.9
593
593.0
593.1
593.2
593.3
593.4
593.5
593.6
593.7
593.70
593.71
593.72
593.73
Description of code
Renal osteofystrophy
Nephrogenic diabetes insipidus
Other spec disorders resulting
from impaired renal function
Unspec disorder resulting from
impaired renal function
Small kidney of unknown cause
Unilateral small kidney
Bilateral small kidneys
Small kidney, unspec
Hydronephrosis
Calculus of kidney and ureter
Calculus of kidney
Calculus of ureter
Urinary calculus, unspec
Other disorders of kidney and
ureter
Nephoptosis
Hypertrophy of kidney
Cyst of kidney, acquired
Stricture of kinking of ureter
Other ureteric obstruction
Hydroureter
Postural proteinuria
Vesicoureteral reflux
Unspec or without reflux
nephropathy
With reflux nephropathy,
unilateral
With reflux nephropathy, bilateral
With reflux nephropathy NOS
Elixhauser
Charlson
CCS
X
X
X
X
X
X
VACS
Prior
codes
X
X
X
X
X
X
K
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
D
D
D
D
D
D
D
D
D
D
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
D
D
D
D
D
D
D
D
D
X
X
D
X
X
X
X
D
D
X
X
X
CQM VACS
updated
K
K
K
* Denotes these was no comparison category available ** These codes are no longer in the renal failure category ^OLD stands for Obstructive Lung Disease
X1 – Included in Emphysema Category
X5 – Included in Diabetes Type 2 category
X9 – Included in Depression category
X2 – Included in Asthma Category
X6 - Included in Alcohol use category
X10 – Included in Renal failure, acute
X3 – Included in Other Chronic Obstructive Pulmonary Disease X7 – Included in Hard drug Use Category
X11 – Included in Renal failure, chronic
X4 – Included in Diabetes Type 1 category
X8 – Included other Unspecified drug use
A – Add D – Drop K – Keep N – Not included
Created by Melissa Skanderson on 7/10/2002
revised 11/09/2006
Page 32 of 38
Condition
Subcategory
All ICD-9
Codes
considered
593.8
593.81
593.82
593.89
593.9
594
594.0
594.1
594.2
594.8
594.9
788.0
792.5
V13.01
V42
V42.0
V45.1
V56
V56.0
V56.1
V56.2
Description of code
Other spec disorders of kidney
and ureter
Vascular disorders of kidney
Ureteral fistula
Other
Unspec disorder of kidney and
ureter
Calculus of lower urinary tract
Calculus in diverticulum of
bladder
Other calculus in bladder
Calculus in urethra
Other lower urinary tract calculus
Calculus of lower urinary tract,
unspec
Renal colic
Cloudy
(hemodialysis)(peritoneal)
dialysis effluent
Personal history of urinary calculi
Organ or tissue replaced by
transplant
Kidney transplant status
Renal dialysis status
Encounter for dialysis and
dialysis catheter care
Extracorporeal dialysis
Fitting and adjustment of
extracorporeal dialysis catheter
Fitting and adjustment of
peritoneal dialysis catheter
Elixhauser
Charlson
CCS
VACS
Prior
codes
X
CQM VACS
updated
D
X
X
X
X
X
X
X
X
D
D
D
D
X
X
X
X
D
D
X
X
X
X
X
X
X
X
D
D
D
D
X
X
X
X
D
K
X
X
X
D
K
X
X
X
X
X
X
X
K
K
K
X
X
X
X
X
K
K
X
X
K
* Denotes these was no comparison category available ** These codes are no longer in the renal failure category ^OLD stands for Obstructive Lung Disease
X1 – Included in Emphysema Category
X5 – Included in Diabetes Type 2 category
X9 – Included in Depression category
X2 – Included in Asthma Category
X6 - Included in Alcohol use category
X10 – Included in Renal failure, acute
X3 – Included in Other Chronic Obstructive Pulmonary Disease X7 – Included in Hard drug Use Category
X11 – Included in Renal failure, chronic
X4 – Included in Diabetes Type 1 category
X8 – Included other Unspecified drug use
A – Add D – Drop K – Keep N – Not included
Created by Melissa Skanderson on 7/10/2002
revised 11/09/2006
Page 33 of 38
Condition
Subcategory
All ICD-9
Codes
considered
V56.3
V5631
V5632
V56.8
Glomerulonephitis
580
580.0
580.4
580.8
580.81
580.89
580.9
581
581.0
581.1
581.2
581.3
581.8
Description of code
Encounter for adequacy testing
for dialysis
Encounter for adequacy testing
for hemodialysis
Encounter for adequacy testing
for peritoneal dialysis
Other dialysis
Acuteglomerulonephritis
With lesion of proliferative
glomerulonephritis
With lesion of rapidly progressive
glomerulonephritis
With other specified pathological
lesion in kidney
Acute glomeruloonephritis in
diseases class elsewhere
other
Acute glomerulonephritis with
usnpec pathological lesion in
kidney
Nephrotic syndrome
With lesion of proliferative
glomerulonephritis
With lesin of membranous
glomerulonephritis
With lesion of
membranoproliferative
glomerulonephritis
With lesion of minimal change
glomerulonephritis
With other spec pathological
lesion in kidney
Elixhauser
Charlson
CCS
VACS
Prior
codes
CQM VACS
updated
A
X
X
X
K
X
X
X
K
X
X
X
K
X
X
X
K
K
X
X
K
X
K
X
X
K
X
X
X
X
K
K
X
X
X
K
K
X
X
K
X
X
K
X
X
K
X
K
* Denotes these was no comparison category available ** These codes are no longer in the renal failure category ^OLD stands for Obstructive Lung Disease
X1 – Included in Emphysema Category
X5 – Included in Diabetes Type 2 category
X9 – Included in Depression category
X2 – Included in Asthma Category
X6 - Included in Alcohol use category
X10 – Included in Renal failure, acute
X3 – Included in Other Chronic Obstructive Pulmonary Disease X7 – Included in Hard drug Use Category
X11 – Included in Renal failure, chronic
X4 – Included in Diabetes Type 1 category
X8 – Included other Unspecified drug use
A – Add D – Drop K – Keep N – Not included
Created by Melissa Skanderson on 7/10/2002
revised 11/09/2006
Page 34 of 38
Condition
Subcategory
All ICD-9
Codes
considered
581.81
Description of code
Elixhauser
Charlson
CCS
VACS
Prior
codes
X
CQM VACS
updated
Nephritic syndromei n diseases
X
K
class elsewhere
581.89
Other
X
X
K
582
Chronic glomerulonephritis
X
X
K
582.0
With lesion of proliferative
X
X
X
K
glomerulonephritis
582.1
With lesion of membranous
X
X
X
K
glomerulonephritis
582.2
With lesion of
X
X
X
K
membranoproliferative
glomerulonephritis
582.4
With lesion of rapidly progressive
X
X
X
K
glomerulonephritis
582.8
With other specified pathological
X
X
X
K
lesion in kidney
582.81
Chronic glomerulonephritis in
X
X
X
K
diseases class elsewhere
582.89
other
X
X
X
K
582.9
Chronic glomerulonephritis with
X
X
X
K
unspec pathological lesion in
kidney
583
Nephritis and nephropathy, not
X
X
K
spec as acute or chronic
583.0
With lesion of proliferative
X
X
X
K
glomerulonephritis
583.1
With lesion of membranous
X
X
X
K
glomerulonephritis
583.2
With lesion of
X
X
X
K
membranoproliferative
glomerulonephritis
583.4
With lesion of rapidly progressive
X
X
X
K
glomerulonephritis
583.6
With lesion of renal cortical
X
X
X
K
necrosis
* Denotes these was no comparison category available ** These codes are no longer in the renal failure category ^OLD stands for Obstructive Lung Disease
X1 – Included in Emphysema Category
X5 – Included in Diabetes Type 2 category
X9 – Included in Depression category
X2 – Included in Asthma Category
X6 - Included in Alcohol use category
X10 – Included in Renal failure, acute
X3 – Included in Other Chronic Obstructive Pulmonary Disease X7 – Included in Hard drug Use Category
X11 – Included in Renal failure, chronic
X4 – Included in Diabetes Type 1 category
X8 – Included other Unspecified drug use
A – Add D – Drop K – Keep N – Not included
Created by Melissa Skanderson on 7/10/2002
revised 11/09/2006
Page 35 of 38
Condition
Subcategory
All ICD-9
Codes
considered
583.7
583.8
583.81
583.89
584
584.5
584.6
584.7
584.8
Urine Stone-**
584.9
592.0
592.1
592.9
594
594.0
594.1
594.2
594.8
594.9
788.0
V13.01
Cirrhhosis
571.2
Description of code
Elixhauser
With lesion of renal medullary
necrosis
With other specified pathological
lesion in kidney
Nephritis and nephropathy, not
spec as acute or chronic, in
diseases class elsewhere
Other
Acute renal failure
With lesion of tabular necrosis
With lesion of renal cortical
necrosis
With lesion of renal medullary
necrosis
With other specified pathological
lesion in kidney
Acute renal failure, unspec
Calculus of kidney
Calculus of ureter
Urinary calculus, unspec
Calculus of lower urinary tract
Calculus in diverticulum of
bladder
Other calculus in bladder
Calculus in urethra
Other lower urinary tract calculus
Calculus of lower urinary tract,
unspec
Renal colic
Personal history of urinary calculi
Alcoholic cirrhosis of liver
Charlson
X
*
*
CCS
X
VACS
Prior
codes
X
CQM VACS
updated
K
X
K
X
X
K
X
X
X
X
X
X
X
X10
X10
X10
K
K
K
K
X
X
X10
K
X
X
X10
K
X
X
X
X
X
X
X
X
X
X
X
X
X10
K
K
K
K
K
K
X
X
X
X
X
X
X
X
K
K
K
K
X
X
X
X
K
K
*
X
X
K
* Denotes these was no comparison category available ** These codes are no longer in the renal failure category ^OLD stands for Obstructive Lung Disease
X1 – Included in Emphysema Category
X5 – Included in Diabetes Type 2 category
X9 – Included in Depression category
X2 – Included in Asthma Category
X6 - Included in Alcohol use category
X10 – Included in Renal failure, acute
X3 – Included in Other Chronic Obstructive Pulmonary Disease X7 – Included in Hard drug Use Category
X11 – Included in Renal failure, chronic
X4 – Included in Diabetes Type 1 category
X8 – Included other Unspecified drug use
A – Add D – Drop K – Keep N – Not included
Created by Melissa Skanderson on 7/10/2002
revised 11/09/2006
Page 36 of 38
Condition
Subcategory
All ICD-9
Codes
considered
571.5
571.6
Decompensated
liver disease
070.0
070.2x
070.4x
070.6
570
572.2
572.3
572.4
456.0
456.1
456.2
789.5
End stage liver
disease
070.22
070.23
070.44
571.2
571.5
Description of code
Elixhauser
Charlson
CCS
Cirrhosis of liver without mention
of alcohol
Biliary cirrhosis
VACS
Prior
codes
X
X
Viral hepatitis A with hepatic
coma
Viral hepatitis B with hepatic
coma
Viral hepatitis B without mention
of hepatic coma
Unspecified viral hepatitis with
hepatic coma
Acute and subacute necrosis of
liver
Hepatic coma
Portal hypertension
Hepatorenal syndrome
Esophageal varices with bleeding
Esophageal varices without
bleeding
Esophageal varices in diseases
classified elsewhere
Ascites
Viral hepatitis B with hepatic
coma – chronic, whithout mention
of hepatitis delta
Viral hepatitis B with hepatic
coma –chronic, with hepatits delta
Chronic hepatitis C with hepatic
coma
Alcoholic cirrhosis of liver
Cirrhosis of liver without mention
of alcohol
CQM VACS
updated
X
K
X
K
X
K
X
K
X
D
X
K
X
K
X
X
X
X
X
X
X
X
K
A
K
K
A
X
A
X
*
*
*
X
K
*
K
X
K
X
K
X
X
K
K
* Denotes these was no comparison category available ** These codes are no longer in the renal failure category ^OLD stands for Obstructive Lung Disease
X1 – Included in Emphysema Category
X5 – Included in Diabetes Type 2 category
X9 – Included in Depression category
X2 – Included in Asthma Category
X6 - Included in Alcohol use category
X10 – Included in Renal failure, acute
X3 – Included in Other Chronic Obstructive Pulmonary Disease X7 – Included in Hard drug Use Category
X11 – Included in Renal failure, chronic
X4 – Included in Diabetes Type 1 category
X8 – Included other Unspecified drug use
A – Add D – Drop K – Keep N – Not included
Created by Melissa Skanderson on 7/10/2002
revised 11/09/2006
Page 37 of 38
Condition
Subcategory
All ICD-9
Codes
considered
571.6
572.2
572.3
572.4
572.8
456.0
456.1
789.5
Description of code
Biliary cirrhosis
Hepatic coma
Portal hypertension
Hepatorenal syndrome
Other sequelae of chronic liver
disease
Esophageal varices with bleeding
Esophageal varices without
bleeding
Ascites
Elixhauser
Charlson
CCS
VACS
Prior
codes
X
X
X
X
CQM VACS
updated
K
K
N
K
K
X
K
N
X
K
* Denotes these was no comparison category available ** These codes are no longer in the renal failure category ^OLD stands for Obstructive Lung Disease
X1 – Included in Emphysema Category
X5 – Included in Diabetes Type 2 category
X9 – Included in Depression category
X2 – Included in Asthma Category
X6 - Included in Alcohol use category
X10 – Included in Renal failure, acute
X3 – Included in Other Chronic Obstructive Pulmonary Disease X7 – Included in Hard drug Use Category
X11 – Included in Renal failure, chronic
X4 – Included in Diabetes Type 1 category
X8 – Included other Unspecified drug use
A – Add D – Drop K – Keep N – Not included
Created by Melissa Skanderson on 7/10/2002
revised 11/09/2006
Page 38 of 38