List of Chronic Conditions under the Community Health Assist Scheme (CHAS)
|
|
|
- Sylvia Curtis
- 6 years ago
- Views:
Transcription
1 List of Chronic s under the Community Health Assist Scheme (CHAS) Chronic Diabetes Mellitus Hypertension Lipid Disorders Stroke Asthma Chronic Obstructive Pulmonary Disease (COPD) Schizophrenia Major Depression E10 E11 E13 E14 I10 I11 I12 I13 Type 1 diabetes mellitus Type 2 diabetes mellitus Other specified diabetes mellitus Unspecified diabetes mellitus Essential (primary) hypertension Hypertensive heart disease Hypertensive kidney disease Hypertensive heart and kidney disease E78.0 Pure hypercholesterolaemia E78.1 Pure hyperglyceridaemia E78.2 Mixed hyperlipidaemia E78.3 Hyperchylomicronaemia E78.4 Other hyperlipidaemia E78.5 Hyperlipidaemia, unspecified I60 I61 I62 I63 I64 J45 J46 J41 J42 J43 J44 J47 F20 F21 F22 Subarachnoid haemorrhage Intracerebral haemorrhage Other nontraumatic intracranial haemorrhage Cerebral infarction Stroke, not specified as haemorrhage or infarction Asthma Status asthmaticus Simple and mucopurulent chronic bronchitis Unspecified chronic bronchitis Emphysema Other chronic obstructive pulmonary disease Bronchiectasis Schizophrenia Schizotypal disorder Persistent delusional disorders F32.2 Severe depressive episode without psychotic symptoms F32.3 Severe depressive episode with psychotic symptoms F33.2 Recurrent depressive disorder, current episode severe without psychotic symptoms F33.3 Recurrent depressive disorder, current episode severe with psychotic symptoms F34 Persistent mood [affective] disorders F38 F39 Other mood [affective] disorders Unspecified mood [affective] disorder
2 Dementia Bipolar Disorder Anxiety Osteoarthritis: Hip F00 F01 F02 F03 Dementia in Alzheimer's disease (G30.-+) Vascular dementia Dementia in other diseases classified elsewhere Unspecified dementia F05.1 Delirium superimposed on dementia F10.7 Mental and behavioural disorders due to use of alcohol, residual and late-onset psychotic disorder G31.0 Circumscribed brain atrophy G31.1 Senile degeneration of brain, not elsewhere classified F31.0 Bipolar affective disorder, current episode hypomanic F31.1 Bipolar affective disorder, current episode manic without psychotic symptoms F31.2 Bipolar affective disorder, current episode manic with psychotic symptoms F31.3 Bipolar affective disorder, current episode mild or moderate depression F31.4 Bipolar affective disorder, current episode severe depression without psychotic symptoms F31.5 Bipolar affective disorder, current episode severe depression with psychotic symptoms F31.6 Bipolar affective disorder, current episode mixed F31.7 Bipolar affective disorder, currently in remission F31.8 Other bipolar affective disorders F31.9 Bipolar affective disorder, unspecified F40.0 Agoraphobia F40.1 Social phobias F40.2 Specific phobias F41.0 Panic disorder F41.1 Generalised anxiety disorder F42.0 Predominantly obsessional thoughts or ruminations F42.1 Predominantly compulsive acts [obsessional rituals] F42.2 Mixed obsessional thoughts and acts F43.1 Post traumatic stress disorder M16.0 Primary coxarthrosis, bilateral M16.1 Other primary coxarthrosis M16.2 Coxarthrosis resulting from dysplasia, bilateral M16.3 Other dysplastic coxarthrosis M16.4 Post traumatic coxarthrosis, bilateral M16.5 Other post traumatic coxarthrosis M16.6 Other secondary coxarthrosis, bilateral M16.7 Other secondary coxarthrosis
3 Osteoarthritis: Hip M16.9 Coxarthrosis, unspecified Osteoathritis: Knee Osteoarthritis: Others M17.0 Primary gonarthrosis, bilateral M17.1 Other primary gonarthrosis M17.2 Post traumatic gonarthrosis, bilateral M17.3 Other post traumatic gonarthrosis M17.4 Other secondary gonarthrosis, bilateral M17.5 Other secondary gonarthrosis M17.9 Gonarthrosis, unspecified M15.0 Primary generalised (osteo)arthrosis M15.1 Heberden's nodes (with arthropathy) M15.2 Bouchard's nodes (with arthropathy) M15.3 Secondary multiple arthrosis M15.4 Erosive (osteo)arthrosis M15.8 Other polyarthrosis M15.9 Polyarthrosis, unspecified M18.0 Primary arthrosis of first carpometacarpal joints, bilateral M18.1 Other primary arthrosis of first carpometacarpal joint M18.2 Post traumatic arthrosis of first carpometacarpal joints, bilateral M18.3 Other post traumatic arthrosis of first carpometacarpal joint M18.4 Other secondary arthrosis of first carpometacarpal joints, bilateral M18.5 Other secondary arthrosis of first carpometacarpal joint M18.9 Arthrosis of first carpometacarpal joint, unspecified M19.01 Primary arthrosis of other joints, shoulder region M19.02 Primary arthrosis of other joints, upper arm M19.03 Primary arthrosis of other joints, forearm M19.04 Primary arthrosis of other joints, hand M19.07 Primary arthrosis of other joints, ankle and foot M19.08 Primary arthrosis of other joints, other site M19.09 Primary arthrosis of other joints, site unspecified M19.11 Post traumatic arthrosis of other joints, shoulder region M19.12 Post traumatic arthrosis of other joints, upper arm M19.13 Post traumatic arthrosis of other joints, forearm M19.14 Post traumatic arthrosis of other joints, hand M19.17 Post traumatic arthrosis of other joints, ankle and foot M19.18 Post traumatic arthrosis of other joints, other site M19.19 Post traumatic arthrosis of other joints, site unspecified M19.21 Other secondary arthrosis, shoulder region M19.22 Other secondary arthrosis, upper arm
4 Osteoarthritis: Others Benign Prostatic Hyperplasia (BPH) Nephritis / Nephrosis M19.23 Other secondary arthrosis, forearm M19.24 Other secondary arthrosis, hand M19.27 Other secondary arthrosis, ankle and foot M19.28 Other secondary arthrosis, other site M19.29 Other secondary arthrosis, site unspecified M19.81 Other specified arthrosis, shoulder region M19.82 Other specified arthrosis, upper arm M19.83 Other specified arthrosis, forearm M19.84 Other specified arthrosis, hand M19.87 Other specified arthrosis, ankle and foot M19.88 Other specified arthrosis, other site M19.89 Other specified arthrosis, site unspecified M19.91 Arthrosis, unspecified, shoulder region M19.92 Arthrosis, unspecified, upper arm M19.93 Arthrosis, unspecified, forearm M19.94 Arthrosis, unspecified, hand M19.97 Arthrosis, unspecified, ankle and foot M19.98 Arthrosis, unspecified, other site M19.99 Arthrosis, unspecified, site unspecified N40 Hyperplasia of prostate N03.0 Chronic nephritic syndrome, minor glomerular abnormality Chronic nephritic syndrome, focal and segmental glomerular N03.1 lesions Chronic nephritic syndrome, diffuse membranous N03.2 glomerulonephritis Chronic nephritic syndrome, diffuse mesangial proliferative N03.3 glomerulonephritis Chronic nephritic syndrome, diffuse endocapillary proliferative N03.4 glomerulonephritis Chronic nephritic syndrome, diffuse mesangiocapillary N03.5 glomerulonephritis N03.6 Chronic nephritic syndrome, dense deposit disease N03.7 Chronic nephritic syndrome, diffuse crescentic glomerulonephritis N03.8 Chronic nephritic syndrome, other N03.9 Chronic nephritic syndrome, unspecified N04.0 Nephrotic syndrome, minor glomerular abnormality N04.1 Nephrotic syndrome, focal and segmental glomerular lesions
5 Nephritis / Nephrosis N04.2 Nephrotic syndrome, diffuse membranous glomerulonephritis Nephrotic syndrome, diffuse mesangial proliferative N04.3 glomerulonephritis Nephrotic syndrome, diffuse endocapillary proliferative N04.4 glomerulonephritis N04.5 Nephrotic syndrome, diffuse mesangiocapillary glomerulonephritis N04.6 Nephrotic syndrome, dense deposit disease N04.7 Nephrotic syndrome, diffuse crescentic glomerulonephritis N04.8 Nephrotic syndrome, other N04.9 Nephrotic syndrome, unspecified N06 Isolated proteinuria with specified morphological lesion N06.0 Isolated proteinuria with minor glomerular abnormality N06.1 Isolated proteinuria with focal and segmental glomerular lesions N06.2 Isolated proteinuria with diffuse membranous glomerulonephritis Isolated proteinuria with diffuse mesangial proliferative N06.3 glomerulonephritis Isolated proteinuria with diffuse endocapillary proliferative N06.4 glomerulonephritis Isolated proteinuria with diffuse mesangiocapillary N06.5 glomerulonephritis N06.6 Isolated proteinuria with dense deposit disease N06.7 Isolated proteinuria with diffuse crescentic glomerulonephritis N06.8 Isolated proteinuria with specified morphological lesion, other Isolated proteinuria with specified morphological lesion, N06.9 unspecified N07 N07.0 N07.1 N07.2 N07.3 N07.4 N07.5 N07.6 N07.7 Hereditary nephropathy, not elsewhere classified Hereditary nephropathy, not elsewhere classified, minor glomerular abnormality Hereditary nephropathy, not elsewhere classified, focal and segmental glomerular lesions membranous glomerulonephritis mesangial proliferative glomerulonephritis endocapillary proliferative glomerulonephritis mesangiocapillary glomerulonephritis Hereditary nephropathy, not elsewhere classified, dense deposit disease crescentic glomerulonephritis
6 Nephritis / Nephrosis Parkinsonism Epilepsy Osteoporosis with pathological fracture N07.8 Hereditary nephropathy, not elsewhere classified, other N07.9 Hereditary nephropathy, not elsewhere classified, unspecified N11 Chronic tubulo-interstitial nephritis N11.0 Nonobstructive reflux-associated chronic pyelonephritis N11.1 Chronic obstructive pyelonephritis N11.8 Other chronic tubulo-interstitial nephritis N11.9 Chronic tubulo-interstitial nephritis, unspecified N18 Chronic kidney disease N18.1 Chronic kidney disease, stage 1 N18.2 Chronic kidney disease, stage 2 N18.3 Chronic kidney disease, stage 3 N18.4 Chronic kidney disease, stage 4 N18.5 Chronic kidney disease, stage 5 N18.9 Chronic kidney disease, unspecified G20 G21 Parkinson's disease Secondary parkinsonism G21.0 Malignant neuroleptic syndrome G21.1 Other drug-induced secondary parkinsonism G21.2 Secondary parkinsonism due to other external agents G21.3 Postencephalitic parkinsonism G21.4 Vascular parkinsonism G21.8 Other secondary parkinsonism G21.9 Secondary parkinsonism, unspecified G22 Parkinsonism in diseases classified elsewhere F80.3 Acquired aphasia with epilepsy [Landau-Kleffner] G40 G40.0 G40.1 G40.2 Epilepsy Localisation-related (focal)(partial) idiopathic epilepsy and epileptic syndromes with seizures of localised onset Localisation-related (focal)(partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures Localisation-related (focal)(partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures G40.3 Generalised idiopathic epilepsy and epileptic syndromes G40.4 Other generalised epilepsy and epileptic syndromes G40.8 Other epilepsy G40.9 Epilepsy, unspecified M80 Osteoporosis with pathological fracture M80.0 Postmenopausal osteoporosis with pathological fracture M80.1 Postoophorectomy osteoporosis with pathological fracture M80.2 Osteoporosis of disuse with pathological fracture
7 Osteoporosis with pathological fracture Osteoporosis without pathological fracture Psoriasis RA: Seropositive Rheumatoid Arthritis RA: Other Rheumatoid Arthritis M80.3 Postprocedural malabsorption osteoporosis with pathological fracture M80.4 Drug-induced osteoporosis with pathological fracture M80.5 Idiopathic osteoporosis with pathological fracture M80.8 Other osteoporosis with pathological fracture M80.9 Unspecified osteoporosis with pathological fracture M81 Osteoporosis without pathological fracture M81.0 Postmenopausal osteoporosis M81.1 Postoophorectomy osteoporosis M81.2 Osteoporosis of disuse M81.3 Postprocedural malabsorption osteoporosis M81.4 Drug-induced osteoporosis M81.5 Idiopathic osteoporosis M81.6 Localised osteoporosis [Lequesne] M81.8 Other osteoporosis M81.9 Unspecified osteoporosis M81.99 Unspecified osteoporosis, site unspecified L40 Psoriasis L40.0 Psoriasis vulgaris L40.1 Generalised pustular psoriasis L40.2 Acrodermatitis continua L40.3 Pustulosis palmaris et plantaris L40.4 Guttate psoriasis L40.5 Arthropathic psoriasis (M07.0-* - M07.3-*, M09.0-*) L40.8 Other psoriasis L40.9 Psoriasis, unspecified M07.0 Distal interphalangeal psoriatic arthropathy (L40.5+) M07.2 Psoriatic spondylitis (L40.5+) M07.3 Other psoriatic arthropathies (L40.5+) M09.0 Juvenile arthritis in psoriasis (L40.5+) M05 Seropositive rheumatoid arthritis M05.0 Felty's syndrome M05.1 Rheumatoid lung disease M05.2 Rheumatoid vasculitis M05.3 Rheumatoid arthritis with involvement of other organs and systems M05.8 Other seropositive rheumatoid arthritis M05.9 Seropositive rheumatoid arthritis, unspecified M06.0 Seronegative rheumatoid arthritis M06.2 Rheumatoid bursitis M06.3 Rheumatoid nodule
8 RA: Other M06.8 Other specified rheumatoid arthritis Rheumatoid Arthritis M06.9 Rheumatoid arthritis, unspecified RA: Juvenile Rheumatoid Arthritis M08.0 Juvenile rheumatoid arthritis
PICK N PAY MEDICAL SCHEME
PICK N PAY MEDICAL SCHEME ICD10 CODES FOR ELIGIBLE CHRONIC CONDITIONS ICD-10 diagnosis codes are required when a patient's chronic condition is registered with Swift Online. The applicable codes are listed
PROFMED MEDICAL SCHEME
PROFMED MEDICAL SCHEME OPTIONS APPLICABLE: ALL OPTIONS ICD10 CODES FOR ELIGIBLE CHRONIC CONDITIONS ICD-10 codes are required when a patient's chronic condition is registered with SwiftOnline. The applicable
FOLLOW-UP AFTER EMERGENCY DEPARTMENT VISIT FOR PEOPLE WITH HIGH-RISK MULTIPLE CHRONIC CONDITIONS (FMC) HEDIS (Administrative)
FOLLOW-UP AFTER EMERGENCY DEPARTMENT VISIT FOR PEOPLE WITH HIGH-RISK MULTIPLE CHRONIC CONDITIONS (FMC) APPLICATIONS OBJECTIVE Purpose of Measure: ELIGIBLE POPULATION Which members are included? STANDARD
Supplementary Appendix 1. Coding definitions (ICD-10) for conditions included in Charlson and Tonelli measures. (%) Chronic
Supplementary Appendix 1. Coding definitions () for conditions included in Charlson and Tonelli measures Charlson conditions (Quan 2005) Condition Chronic I27.8 Other specified pulmonary heart s 11.3 pulmonary
Prior Authorization Neurontin (gabapentin) 2016
Drugs Requiring Prior Authorization Label Name GCN GABAPENTIN 100 MG CAPSULE 00780 GABAPENTIN 300 MG CAPSULE 00781 GABAPENTIN 400 MG CAPSULE 00782 GABAPENTIN 250 MG/5 ML SOLN 13235 GABAPENTIN 600 MG TABLET
ICD-9 to ICD-10 Crosswalk Adult Codes
ICD- to ICD- Crosswalk Adult Codes On October 1, 2015, the Centers for Medicare & Medicaid Services (CMS) transitioned to the new International Classification of Diseases, th Revision System (ICD-), which
ICD-9 to ICD-10 Conversion Sample for Physical, Occupational and Speech Therapy - SNF Setting
1 ICD-9 to ICD-10 Conversion Sample for Physical, Occupational and Speech Therapy - SNF Setting ICD-9 Code ICD-9 Description New ICD-10 New ICD-10 Description DM with Neuropathy E11.21 Type 2 diabetes
0301 Anemia Others. Endocrine nutritional and metabolic disorders Others Vascular dementia and unspecified dementia
Certain infectious and parasitic diseases 0101 Intestinal infectious diseases 0102 Tuberculosis 0103 Infections with a predominantly sexual mode of transmission 0104 Viral infections characterized by skin
532.6 (chronic or unspecified duodenal
Supplementary table 1: ICD-9 and ICD-10 codes used for the identification of major bleeding and endoscopy Bleeding episode type ICD-9 codes ICD-10 codes Intracranial 430 (Subarachnoid), 431 (intracerebral),
CPT Codes: The following ICD-10-CM codes support the medical necessity of CPT code 82306:
CPT s: 82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 82652 Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed The following ICD-10-CM codes support the medical necessity of
Vitamin D Assay Testing For services performed on or after
2018 MEDICARE LOCAL COVERAGE DETERMINATION (LCD) - L36692 CPT CODES: 82306, 82652 Vitamin D Assay Testing For services performed on or after 2-3-2017 DLS TEST CODE AND NAME 49907 (1,25 DIHYDROXY) (CPT
S2 File. Clinical Classifications Software (CCS). The CCS is a
S2 File. Clinical Classifications Software (CCS). The CCS is a diagnosis categorization scheme based on the ICD-9-CM that aggregates all diagnosis codes into 262 mutually exclusive, clinically homogeneous
ICD-9-CM CODING FUNDAMENTALS CODING EXERCISES
Steps to Accurate Coding Underline the main term, then locate code: Stenosis of Carotid Artery Transient Ischemic Attack Gastrointestinal hemorrhage Degenerative Joint Disease Coronary Artery Disease Alcoholic
Glomerular pathology in systemic disease
Glomerular pathology in systemic disease Lecture outline Lupus nephritis Diabetic nephropathy Glomerulonephritis Associated with Bacterial Endocarditis and Other Systemic Infections Henoch-Schonlein Purpura
Health Care Agency, Behavioral Health Service, AQIS CYBH Support
Health Care Agency, Behavioral Health Service, AQIS CYBH Support DX Code F20.0 Paranoid schizophrenia F20.1 Disorganized schizophrenia F20.2 Catatonic schizophrenia F20.3 Undifferentiated schizophrenia
Asthma J45.20 Mild, uncomplicated J45.21 Mild, with (acute) exacerbation J45.22 Mild, with status asthmaticus
A Fib & Flutter I48.0 Paroxysmal atrial fibrillation I48.1 Persistent atrial fibrillation I48.2 Chronic atrial fibrillation I48.3 Typical atrial flutter Asthma J45.20 Mild, uncomplicated J45.21 Mild, with
Attending Physician s Statement
( Form A A This form is used for claiming the social insurance benefit. This form should be completed and signed by the attending physician outpatient and One form for each month, one form for hospitalization
OUTPATIENT INCLUDED ICD-10 CODES
MHSUDS IN 18-053 ICD-10 OUTPATIENT INCLUDED ICD-10 CODES F20.0 Paranoid Schizophrenia F20.1 Disorganized Schizophrenia F20.2 Catatonic Schizophrenia F20.3 Undifferentiated Schizophrenia F20.5 Residual
COMPREHENSIVE DIABETES CARE
COMPREHENSIVE DIABETES CARE APPLICATIONS OBJECTIVE Purpose of Measure: ELIGIBLE POPULATION Which members are included? STANDARD OF CARE What screening should be done? HbA1c Eye Exam Blood Pressure Nephropathy
9/1/2015. Studies (AHIMA)
9/1/2015 IC CD 10 Coding Supplemental Case Studies Amy Franklin, RN, RAC MT, ICD 10 CM/PCS Trainer (AHIMA) 1. DM Case Study 62 y.o. Mr. X has DM with insulin in use, DM Neuropathy and DM Renal insufficiency.
Fast Forward. ICD-9-CM Code ICD-10-CM Code(s) ICD-9-CM Code ICD-10-CM Code(s) 311 Depressive disorder, not elsewhere classified.
Top 50 ICD-9-CM Code Code(s) ICD-9-CM Code Code(s) 789.00 Abdominal pain, unspecified site 311 Depressive disorder, not elsewhere classified R10.9 Unspecified abdominal pain. These include: R10.0 Acute
INFLIXIMAB (REMICADE, INFLECTRA, RENFLEXIS )
UnitedHealthcare Commercial Medical Benefit Drug Policy INFLIXIMAB (REMICADE, INFLECTRA, RENFLEXIS ) Policy Number: 2019D0004X Effective Date: January 1, 2019 Table of Contents Page INSTRUCTIONS FOR USE...
ESRD Dialysis Prevalence - One Year Statistics
Age Group IL Other Total 00-04 12 1 13 05-09 5 2 7 10-14 15 1 16 15-19 55 2 57 20-24 170 10 180 25-29 269 14 283 30-34 381 9 390 35-39 583 14 597 40-44 871 20 891 45-49 1,119 20 1,139 50-54 1,505 35 1,540
INPATIENT INCLUDED ICD-10 CODES
INPATIENT INCLUDED ICD-10 CODES MHSUDS IN 18-053 ICD-10 F01.51 Vascular Dementia With Behavioral Disturbance F10.14 Alcohol Abuse With Alcohol-Induced Mood Disorder F10.150 Alcohol Abuse With Alcohol-Induced
A clinical syndrome, composed mainly of:
Nephritic syndrome We will discuss: 1)Nephritic syndrome: -Acute postinfectious (poststreptococcal) GN -IgA nephropathy -Hereditary nephritis 2)Rapidly progressive GN (RPGN) A clinical syndrome, composed
Annual High Claims Survey. Year Ending 31 December 2016
Annual High Claims Survey Year Ending 31 December 2016 Released July 2017 Summary The Private Healthcare Australia Annual High Claims Survey Report analyses the nature and magnitude of high claims met
Diagnosis-specific morbidity - European shortlist
I Certain infectious and parasitic diseases 1 Tuberculosis A15-A19 X X Z 2 Sexually transmitted diseases (STD) A50-A64 Y Z 3 Viral hepatitis (incl. hepatitis B) B15-B19 X Z 4 Human immunodeficiency virus
Crosswalk File of ICD9 Diagnosis Codes to Risk Group Assignment 1-Apr-15
1 1500 MALIGNANT NEOPLASM OF CERVICAL ESOPHAGUS 1 1501 MALIGNANT NEOPLASM OF THORACIC ESOPHAGUS 1 1502 MALIGNANT NEOPLASM OF ABDOMINAL ESOPHAGUS 1 1503 MALIGNANT NEOPLASM OF UPPER THIRD OF ESOPHAGUS 1
Archived SECTION 18 - DIAGNOSIS CODES. Section 18 - Diagnosis Codes 18.1 GENERAL INFORMATION PRIOR CONTENTS NO LONGER APPLICABLE...
SECTION 18 - DIAGNOSIS CODES 18.1 GENERAL INFORMATION... 2 18.2 PRIOR CONTENTS NO LONGER APPLICABLE... 2 18.3 DIAGNOSIS CODE LISTING... 2 Ambulance Manual 1 SECTION 18 DIAGNOSIS CODES 18.1 GENERAL INFORMATION
CHRONIC TREATMENT GUIDELINES
CHRONIC TREATMENT GUIDELINES REGISTRATION OF CHRONIC CONDITIONS You can only access benefits for chronic medication, as listed below, if your prescribing/treating doctor or pharmacist registers your chronic
Specialty Mental Health Services ICD-10 Outpatient Diagnosis Table
Specialty Mental Health Services ICD-10 Table Enclosure 3 295.10 Schizophrenia, Disorganized Type F20.1 Disorganized schizophrenia 295.20 Schizophrenia, Catatonic Type F20.2 Catatonic schizophrenia 295.30
Dr Ian Roberts Oxford. Oxford Pathology Course 2010 for FRCPath Illustration-Cellular Pathology. Oxford Radcliffe NHS Trust
Dr Ian Roberts Oxford Oxford Pathology Course 2010 for FRCPath Present the basic diagnostic features of the commonest conditions causing proteinuria & haematuria Highlight diagnostic pitfalls Nephrotic
The new ERA-EDTA PRDs UK Renal SNOMED CT subset TheProject
The new ERA-EDTA PRDs UK Renal SNOMED CT subset TheProject Keith Simpson UKRR Advisor keith.simpson@nhs.net Thanks to ERA-EDTA Registry: Kitty Jager Managing Dir and members of the Coding and Terminology
Texas Prior Authorization Program Clinical Edit Criteria
Texas Prior Authorization Program Clinical Edit Criteria Drug/Drug Class Thiazolidinediones Clinical Edit Information Included in this Document Thiazolidinediones Drugs requiring prior authorization: the
PROFMED MEDICAL SCHEME CHRONIC MEDICINE BENEFIT GENERAL INFORMATION
PROFMED MEDICAL SCHEME CHRONIC MEDICINE BENEFIT GENERAL INFORMATION The Prescribed Minimum Benefit Chronic Disease List In terms of the Medical Schemes Act Regulations that came into effect on 1 January
OECD Health Data National Correspondents
For Official Use For Official Use Organisation de Coopération et de Développement Economiques Organisation for Economic Co-operation and Development 13-Sep- English - Or. English DIRECTORATE FOR EMPLOYMENT,
SPECIALISED SERVICES NATIONAL DEFINITIONS SET (THIRD EDITION 2008) Specialised Renal Services (adult) - Definition No. 11
SPECIALISED SERVICES NATIONAL DEFINITIONS SET (THIRD EDITION 2008) Specialised Renal Services (adult) - Definition No. 11 Preface This definition is part of the third edition of the Specialised Services
ASSIGNMENT 5-1 REVIEW QUESTIONS
ASSIGNMENT 5-1 REVIEW QUESTIONS Part I Fill in the Blank on ICD-9-CM 1. primary, principal 2. Systematized Nomenclature of Human and Veterinary Medicine (SNOMED) International. 3. International Classification
Prioritized ShortList MORBIDITY
Report on in-depth analysis of pilot studies in 16 Member States on diagnosis-specific morbidity statistics Annex 2 (Rev 11_11_13) Prioritized ShortList MORBIDITY Legend: X recommended for collection Y
2.1 Numerator: The number of denominator continuous inpatient spells (i.e. spells excluding those with a diagnosis
2) Hospital case-fatality 2.1 Numerator: The number of denominator continuous inpatient spells (i.e. spells excluding those with a diagnosis of cancer anywhere in the spell) where the patient dies in hospital
Expanded Fall Risk Factors, Locations of Data Extraction, and Coding. Diastolic blood pressure value (mmhg) Calculated body mass index
Appendix B Expanded Fall Risk Factors, Locations of Data Extraction, and Coding Factor Location Coding Blood pressure systolic Blood pressure diastolic Body mass index Systolic blood pressure value (mmhg)
ACBHCS Mental Health Outpatient (includes PES/CSU) Medi-Cal Included Diagnosis List - Alpha by Name
Instructions: DHCS publishes the list of diagnoses covered by Medi-Cal in format. The DSM is used because does not provide specific diagnostic criteria. Providers must always use DSM-5 first and whenever
Links in PDF documents are not guaranteed to work. To follow a web link, please use the MCD Website.
PROPOSED/DRAFT Local Coverage Determination (LCD): Retroperitoneal Ultrasound (DL34577) Links in PDF documents are not guaranteed to work. To follow a web link, please use the MCD Website. Please note:
INDIANA HEALTH COVERAGE PROGRAMS
INDIANA HEALTH COVERAGE PROGRAMS PROVIDER CODE TABLES Medicaid Rehabilitation Option (MRO) Services Codes Note: Due to possible changes in Indiana Health Coverage Programs (IHCP) policy or national coding
Supplementary appendix
Supplementary appendix This appendix formed part of the original submission and has been peer reviewed. We post it as supplied by the authors. Supplement to: Williams CM, Maher CG, Latimer J, et al. Efficacy
ICD10 Code List for 27130
ICD10 Code List for 27130 A18.02 TB A52.16 Charcot s arthropathy A52.77 Syphilis of bone and joint E08.610 DM with diabetic neuropathic arthropathy E09.610 Drug or chemical DM with diabetic arthropathy
ereferral QUICK REFERENCE: Advice Request Reasons for Referral
ereferral QUICK REFERENCE: Advice Request Reasons for Referral The following is a list of specialties and reasons for referral that can be used to help you complete the Reason For Referral field when you
ICD 10 CM Codes for Evaluation & Management October 1, 2017
ICD 10 CM Codes for Evaluation & Management October 1, 2017 Code Description Comments F01.50 Vascular dementia without behavioral disturbance F01.51 Vascular dementia with behavioral disturbance F02.80
Office Practice Coding Assistance - Overview
Office Practice Coding Assistance - Overview Three office coding assistance resources are provided in the STABLE Resource Toolkit. Depression & Bipolar Coding Reference: n Provides ICD9CM and DSM-IV-TR
Selected tables standardised to Segi population
Selected tables standardised to Segi population LIST OF TABLES Table 4.2S: Selected causes of death, all-ages, 2000 2004 (Segi Standard) Table 5.3S: Public hospitalisations by major cause of admission
ACBHCS Outpatient Included List DHCS ICD-10
12-19-17 ACBHCS Mental Health Outpatient (includes PES/CSU) Crosswalk Medi-Cal Included Dx List Numeric by Code (Crossed out diagnoses are not allowed. Always use the code) Instructions: Crossed out diagnoses
ACBHCS Outpatient Included List DHCS ICD-10
12-19-17 ACBHCS Mental Health Outpatient (includes PES/CSU) Crosswalk Medi-Cal Included Dx List-Alpha by Name (Crossed out diagnoses are not allowed. Always use the code) Instructions: Crossed out diagnoses
Premium Specialty: Pediatrics
Premium Specialty: Pediatrics Credentialed Specialties include: Adolescent Medicine, Pediatric Adolescent, and Pediatrics This document is designed to be used in conjunction with the UnitedHealth Premium
Contractor Information. LCD Information. Local Coverage Determination (LCD): Retroperitoneal Ultrasound (L34577) Document Information
Local Coverage Determination (LCD): Retroperitoneal Ultrasound (L34577) Links in PDF documents are not guaranteed to work. To follow a web link, please use the MCD Website. Contractor Information Contractor
SPECIALTY MENTAL HEALTH OUTPATIENT SERVICES ICD-10 COVERED DIAGNOSIS TABLE Diagnosis Code
SPECIALTY MENTAL HEALTH OUTPATIENT SERVICES F20.0 Paranoid schizophrenia F20.1 Disorganized schizophrenia F20.2 Catatonic schizophrenia F20.3 Undifferentiated schizophrenia F20.5 Residual schizophrenia
WITBANK COALFIELDS MEDICAL AID SCHEME (WCMAS) CHRONIC MEDICINE PROGRAMME GENERAL INFORMATION LETTER
WITBANK COALFIELDS MEDICAL AID SCHEME (WCMAS) CHRONIC MEDICINE PROGRAMME GENERAL INFORMATION LETTER The Prescribed Minimum Benefit Chronic Disease List In terms of the Medical Scheme Act Regulations that
Intensity: 0-10 (10 is the worse pain you have ever experienced in your life that you would want to jump from a building, 0 is no pain)
Patient Questionnaire: Name: Date: Occupation: Date of Birth: Age: Sex: Male Female Referring Physician: Chief Complaint: Describe your Pain: sudden onset gradual constant intermittent worsening improving
CHRONIC MEDICINE PROGRAMME GENERAL INFORMATION LETTER
RAND WATER MEDICAL SCHEME RAND WATER MEDICAL SCHEME CHRONIC MEDICINE PROGRAMME GENERAL INFORMATION LETTER LIST OF CHRONIC CONDITIONS Conditions covered under s chronic medication benefit are detailed below.
How much do you know about illnesses or health problems for your parents, grandparents, brothers, sisters, and/or children? 1 A lot Some None at all
Family Health History Please answer each question as honestly as possible. There are no right or wrong answers to nay of the questions. It is important that you answer as many questions as you can. We
DATA REQUEST RESPONSE- RHEUMATOLOGY CLAIMS
Date: 20 th July 2018 DATA REQUEST RESPONSE- RHEUMATOLOGY CLAIMS Request & Response Diagnoses claims and expenditure related to selected rheumatology diagnoses. 1 Overseas claims, related to rheumatology
Table of substance use disorder diagnoses:
Table of substance use disorder diagnoses: ICD-9 Codes Description 291 Alcohol withdrawal delirium 291.3 Alcohol-induced psychotic disorder with hallucinations 291.4 Idiosyncratic alcohol intoxication
INDIANA HEALTH COVERAGE PROGRAMS
INDIANA HEALTH COVERAGE PROGRAMS PROVIDER CODE TABLES Division of Mental Health and Addiction (DMHA) Behavioral and Primary Healthcare Coordination (BPHC) Codes Note: Due to possible changes in Indiana
Glomerular Pathology- 1 Nephrotic Syndrome. Dr. Nisreen Abu Shahin
Glomerular Pathology- 1 Nephrotic Syndrome Dr. Nisreen Abu Shahin The Nephrotic Syndrome a clinical complex resulting from glomerular disease & includes the following: (1) massive proteinuria (3.5 gm /day
Glomerular diseases mostly presenting with Nephritic syndrome
Glomerular diseases mostly presenting with Nephritic syndrome 1 The Nephritic Syndrome Pathogenesis: proliferation of the cells in glomeruli & leukocytic infiltrate Injured capillary walls escape of RBCs
Notifiable Medical Conditions
Notifiable Medical Conditions A Acoustic neuroma Addison s disease Agoraphobia AIDS Alcohol problems Alzheimer s disease Amyotrophic Lateral Sclerosis - see Motor Neurone Disease Amputations Aneurysm Angina
SMI and SED Qualifying Diagnoses Table
295.00 Simple Type Schizophrenia, Unspecified State 295.01 Simple Type Schizophrenia, Subchronic State 295.02 Simple Type Schizophrenia, Chronic State 295.03 Simple Type Schizophrenia, Subchronic State
Clinical and pathological characteristics of patients with glomerular diseases at a university teaching hospital: 5-year prospective review
Clinical and pathological characteristics of patients with glomerular diseases at a university teaching hospital: 5-year prospective review KW Chan, TM Chan, IKP Cheng Objective. To examine the prevalence
ACBHCS Mental Health Outpatient (includes PES/CSU) Medi-Cal Included Diagnosis List by ICD-10 Code
Instructions: DHCS publishes the list of diagnoses covered by Medi-Cal in format. The DSM is used because does not provide specific diagnostic criteria. Providers must always use DSM-5 first and whenever
ENROLLMENT : Line of Business Summary
ENROLLMENT : Line of Business Summary Date Range : JAN 2017 through DEC 2017 COMPREHENSIVE MAJOR MEDICAL Print Date : 1/19/2018 9:43:49AM Page 1 of 1 Month Year Single 2 Person : Emp/Spouse 2 Person :
Phoenix Remembrance Life
Phoenix Remembrance Life Field Underwriting Guide For agent use only. Not for distribution to the public as sales literature. Phoenix Remembrance Life is whole life insurance underwritten on a simplified
FY 2017 ICD-10-CM Code Updates
FY 2017 ICD-10-CM Code Updates Webinar I Presented by: Melanie Endicott, MBA/HCM, RHIA, CHDA, CDIP, CCS, CCS-P, FAHIMA AHIMA- Approved ICD-10-CM/PCS Trainer Senior Director, HIM Practice Excellence, AHIMA
Dr Ian Roberts Oxford. Oxford Pathology Course 2010 for FRCPath Illustration-Cellular Pathology. Oxford Radcliffe NHS Trust
Dr Ian Roberts Oxford Oxford Pathology Course 2010 for FRCPath Plan of attack: Diagnostic approach to the renal biopsy Differential diagnosis of the clinical syndromes of renal disease Microscopy Step
SPAMIS Medical Separation Codes for Job Corps Centers
SPAMIS Medical Separation Codes for Job Corps Centers CODE DESCRIPTION/DIAGNOSIS 1 Infectious & Parasitic Diseases 11 Pulmonary Tuberculosis 33 Pertussis 36.2 Meningococcemia 42 AIDS 47.9 Viral Meningitis
Definitions of chronic conditions used to define the number of serious comorbidities in the study.
Supplementary Table 1 Definitions of chronic conditions used to define the number of serious comorbidities in the study. Comorbidity ICD-9 Code Description CAD/MI 410.x Acute myocardial infarction 411.x
CUMULATIVE ILLNESS RATING SCALE (CIRS)
CUMULATIVE ILLNESS RATING SCALE (CIRS) The CIRS used in this protocol is designed to provide an assessment of recurrent or ongoing chronic comorbid conditions, classified by 14 organ systems. Using the
ICD-10 for Beginners Four-Part Series
ICD-10 for Beginners Four-Part Series www.jluhealth.com 1 ICD-10-CM: Introduction to Coding Fundamentals PRESENTER: Joan L. Usher, BS, RHIA, ACE AHIMA Approved ICD-10-CM Trainer JLU HEALTH RECORD SYSTEMS
CHRONIC MEDICATION PROGRAMME INCLUDES PRESCRIBED MINIMUM BENEFIT CHRONIC DISEASE LIST (CDL)
CHRONIC MEDICATION PROGRAMME INCLUDES PRESCRIBED MINIMUM BENEFIT CHRONIC DISEASE LIST (CDL) A. GENERAL INFORMATION LIST OF CHRONIC CONDITIONS Conditions covered under KeyHealth s chronic medication benefit
Using 3-Digit ICD-9-CM Codes with the Elixhauser Comorbidity Index
Congestive Heart Failure 398.91 Rheumatic heart failure (congestive) 398 Other rheumatic heart disease 402.01, 402.11, 402.91 402 Hypertensive heart disease 404.01, 404.03, 404.11, 404.13, 404.91, 404.93
Large Claimant Report
Description Group(s) LUBBOCK INDEPENDENT SCHOOL DISTRICT Date Run 10/4/20 Claim Source: Non Rx Claims Table - Medical Threshold: 50000 Large Claimant Report Period Paid: 1/20-10/20 Fill: 1/20-10/20 Large
Specialty Mapping Guides ICD-9 to ICD-10
Specialty Mapping Guides ICD-9 to ICD-10 The conversions contained within this crosswalk were the most current version at the time of development. All efforts should be made by the attendee to stay current
NurseAchieve. CHAPTERS INCLUDED IN THE NURSEACHIEVE COMPREHENSIVE NCLEX REVIEW NURSING SKILLS AND FUNDAMENTALS:
NurseAchieve www.nurseachieve.com CHAPTERS INCLUDED IN THE NURSEACHIEVE COMPREHENSIVE NCLEX REVIEW NCLEX TEST STRATEGIES: NCLEX EXAM OVERVIEW TEST TAKING STRATEGIES NURSING SKILLS AND FUNDAMENTALS: ADMINISTRATION
SECTION I: ACTIVE DIAGNOSES. Active Diagnoses in the Last 7 Days
SECTION I: ACTIVE DIAGNOSES Intent: The items in this section are intended to code diseases that have a relationship to the resident s current functional status, cognitive status, mood or behavior status,
GLUCOSE TESTING-BLOOD
648.83 ABNORMAL GLUCOSE TOLERANCE COMPLICATING PREGNANCY, CHILDBIRTH OR THE PUERPERIUM, ANTEPARTUM CONDITION OR 648.84 ABNORMAL GLUCOSE TOLERANCE COMPLICATING PREGNANCY, CHILDBIRTH OR THE PUERPERIUM, POSTPARTUM
Supplementary Online Content
Supplementary Online Content Lau WCY, Chan EW, Cheung CL, et al. Association between dabigatran vs warfarin and risk of osteoporotic fractures among patients with nonvalvular atrial fibrillation. JAMA.
How a universal health system reduces inequalities: lessons from England
How a universal health system reduces inequalities: lessons from England Appendix 1: Indicator Definitions Primary care supply Definition: Primary care supply is defined as the number of patients per full
A chapter by chapter look at the ICD-10-CM code set Coding Tip Sheet
Coding Tip Sheet Chapter 1 - Certain Infectious and Parasitic Diseases Terminology changes: The term Sepsis (ICD-10-CM) has replaced the term Septicemia (ICD-9-CM) Urosepsis is a nonspecific term and is
EVIDENCE-BASED VITAMIN AND MINERAL USAGE SUMMARY TABLE (APRIL 2002)
Acne Acrodermatitis Enteropathica Adrenal Support Age Related Cognitive Decline Alcoholism/Alcohol Withdrawal Alzheimer's Disease Amenorrhoea Anaemia Angina Anorexia Nervosa Anxiety Asthma Atherosclerosis
Sample page. Urology/Nephrology. A comprehensive illustrated guide to coding and reimbursement CODING COMPANION
CODING COMPNION 2018 Urology/Nephrology comprehensive illustrated guide to coding and reimbursement POWER UP YOUR CODING with Optum360, your trusted coding partner for 32 years. Visit optum360coding.com.
Appendix 2 (as supplied by the authors): ICD codes to identify high-risk children
Appendix 2 (as supplied by the authors): ICD codes to identify high-risk children ICD-9 codes to identify high risk children in physician claims database Category of condition Condition ICD-9 code Bacterial
Women s Imaging ICD-10-CM
Women s Imaging ICD-10-CM Clinical Documentation Guides Brought to you by www.codingstrategies.com The Resource for Physician and Outpatient Coding, Compliance & ICD-10-CM OTHER CLINICAL DOCUMENTATION
Measuring Long-Term Conditions in Scotland - A summary report
Measuring Long-Term Conditions in Scotland - A summary report Introduction This summary report provides insight into: What are the most common long-term conditions in Scotland? What is the population prevalence
Contents. copyrighted material by PRO-ED, Inc. Chapter 1. Chapter 2. Chapter 3. Chapter 4. Chapter 5. Conditions in Athletic Injuries
Acknowledgments xiii Introduction to the First Edition xv Introduction to the Second Edition xvii Chapter 1 Conditions in Athletic Injuries Anterior Cruciate Ligament (ACL) Tear 2 Biceps Tendon Strain
Contractor Name: Novitas Solutions, Inc. Contractor Number: Contractor Type: MAC B. LCD ID Number: L34914 Status: A-Approved
LCD for Assays for Vitamins and Metabolic Function (L34914) Contractor Name: Novitas Solutions, Inc. Contractor Number: 12502 Contractor Type: MAC B LCD ID Number: L34914 Status: A-Approved Contractor
Wisconsin Longitudinal Study Codebook. Information about the Graduate Spouse s current marriage was collected in the following manner:
Phone: Marriage HMARR - Marriage Module Graduate-Spouse Phone Instrument OVERVIEW Information about the Graduate Spouse s current marriage was collected in the following manner: -Information about the
Southwest Service Life Insurance Company
Southwest Service Life Insurance Company UNDERWRITING GUIDE 2/2012 95587v1Proof.indd 1 95587v1Proof.indd 2 95587v1Proof.indd 3 Acne A A A ADD A A A Addison s Disease D A D AIDS, ARC, HIV Infection D D
2014 /2018 ERA-EDTA PRD Code ERA-EDTA PRD code 1996 ERA-EDTA. SNOMED CT concept identifier Convert ERA-EDTA Primary Renal Diagnosis (PRD) Term
Convert Primary Renal Diagnosis (PRD) Term ERA_EDTA diagnosis 3380 901.1.C 90 Acute kidney injury Acute Renal Failure 14669001 Miscellaneous renal disorders 3398 901.2.C 90 Acute kidney injury due to hypovolaemia
Pharmacotherapy Handbook
Pharmacotherapy Handbook Eighth Edition Barbara G. Wells, PharmD, HP, FCCP, BCPP Dean and Professor Executive Director, Research Institute of Pharmaceutical Sciences School of Pharmacy, The University
PERSONAL HISTORY CURRENT HEALTH CONDITION
PERSONAL HISTORY Name: Date S.S.# Address: City: State Zip code Home phone Cell Other: E-Mail Date of Birth Age Sex Male Female Business/Employer Address Type of Work Years Employed Check One Married Single
Initial Patient Health Assessment Form
Initial Patient Health Assessment Form General Information: Patient Name:, Date: / /20 Patient s Address:. City:, State:, Zip Code: Home Phone #: - -, Work Phone #: - -, Cell #: - - E-mail address:, Date
CHRONIC MEDICINE PROGRAMME: GENERAL INFORMATION LETTER
CHRONIC MEDICINE PROGRAMME: GENERAL INFORMATION LETTER The Prescribed Minimum Benefit Chronic Disease List In terms of the Medical Scheme Act Regulations that came into effect on 1 January 2004, Medical