Community Home Care & Hospice - ICD Diagnosis Quality Outcomes - July 2019 to Sep 2019


Dexur analyzed Q3 2019 (July 2019 to Sep 2019) Medicare claims data to show quality outcomes (Revenue per User, Revenue per Day) by ICD Diagnosis Code level for Community Home Care & Hospice.

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ICD Code ICD Description Total Users Total Payments Revenue per User Revenue per Day Hospice Median LOS
I10 (Primary or Secondary) Essential (primary) hypertension 512
G309 (Primary or Secondary) Alzheimer's disease, unspecified 250
J449 (Primary or Secondary) Chronic obstructive pulmonary disease, unspecified 217
E785 (Primary or Secondary) Hyperlipidemia, unspecified 193
I2510 (Primary or Secondary) Atherosclerotic heart disease of native coronary artery without angina pectoris 174
F0390 (Primary or Secondary) Unspecified dementia without behavioral disturbance 166
K219 (Primary or Secondary) Gastro-esophageal reflux disease without esophagitis 162
E119 (Primary or Secondary) Type 2 diabetes mellitus without complications 159
I509 (Primary or Secondary) Heart failure, unspecified 140
Z66 (Primary or Secondary) Do not resuscitate 132
I4891 (Primary or Secondary) Unspecified atrial fibrillation 105
E039 (Primary or Secondary) Hypothyroidism, unspecified 100
F419 (Primary or Secondary) Anxiety disorder, unspecified 94
N390 (Primary or Secondary) Urinary tract infection, site not specified 84
R627 (Primary or Secondary) Adult failure to thrive 83
N183 (Primary or Secondary) Chronic kidney disease, stage 3 (moderate) 83
D649 (Primary or Secondary) Anemia, unspecified 77
M6281 (Primary or Secondary) Muscle weakness (generalized) 71
F0280 (Primary or Secondary) Dementia in other diseases classified elsewhere without behavioral disturbance 70
M1990 (Primary or Secondary) Unspecified osteoarthritis, unspecified site 63
R1310 (Primary or Secondary) Dysphagia, unspecified 62
G301 (Primary or Secondary) Alzheimer's disease with late onset 58
K5900 (Primary or Secondary) Constipation, unspecified 56
I739 (Primary or Secondary) Peripheral vascular disease, unspecified 55
G4700 (Primary or Secondary) Insomnia, unspecified 48
F0391 (Primary or Secondary) Unspecified dementia with behavioral disturbance 46
F0281 (Primary or Secondary) Dementia in other diseases classified elsewhere with behavioral disturbance 44
G20 (Primary or Secondary) Parkinson's disease 43
R634 (Primary or Secondary) Abnormal weight loss 42
E559 (Primary or Secondary) Vitamin D deficiency, unspecified 40
I639 (Primary or Secondary) Cerebral infarction, unspecified 40
E7800 (Primary or Secondary) Pure hypercholesterolemia, unspecified 38
I480 (Primary or Secondary) Paroxysmal atrial fibrillation 38
Z9181 (Primary or Secondary) History of falling 36
R1312 (Primary or Secondary) Dysphagia, oropharyngeal phase 35
J189 (Primary or Secondary) Pneumonia, unspecified organism 33
F411 (Primary or Secondary) Generalized anxiety disorder 33
R630 (Primary or Secondary) Anorexia 32
C3490 (Primary or Secondary) Malignant neoplasm of unspecified part of unspecified bronchus or lung 32
F329 (Primary or Secondary) Major depressive disorder, single episode, unspecified 31
N189 (Primary or Secondary) Chronic kidney disease, unspecified 31
M810 (Primary or Secondary) Age-related osteoporosis without current pathological fracture 31
R296 (Primary or Secondary) Repeated falls 31
E782 (Primary or Secondary) Mixed hyperlipidemia 30
I482 (Primary or Secondary) Chronic atrial fibrillation 29
F0150 (Primary or Secondary) Vascular dementia without behavioral disturbance 27
R0600 (Primary or Secondary) Dyspnea, unspecified 26
J069 (Primary or Secondary) Acute upper respiratory infection, unspecified 24
N401 (Primary or Secondary) Benign prostatic hyperplasia with lower urinary tract symptoms 24
C787 (Primary or Secondary) Secondary malignant neoplasm of liver and intrahepatic bile duct 23
N184 (Primary or Secondary) Chronic kidney disease, stage 4 (severe) 23
Z87440 (Primary or Secondary) Personal history of urinary (tract) infections 23
R531 (Primary or Secondary) Weakness 22
R55 (Primary or Secondary) Syncope and collapse 22
J8410 (Primary or Secondary) Pulmonary fibrosis, unspecified 22
I129 (Primary or Secondary) Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease 22
E1122 (Primary or Secondary) Type 2 diabetes mellitus with diabetic chronic kidney disease 22
E43 (Primary or Secondary) Unspecified severe protein-calorie malnutrition 21
E876 (Primary or Secondary) Hypokalemia 21
F331 (Primary or Secondary) Major depressive disorder, recurrent, moderate 21
I5022 (Primary or Secondary) Chronic systolic (congestive) heart failure 20
Z8673 (Primary or Secondary) Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits 20
I5032 (Primary or Secondary) Chronic diastolic (congestive) heart failure 20
G4733 (Primary or Secondary) Obstructive sleep apnea (adult) (pediatric) 20
I69391 (Primary or Secondary) Dysphagia following cerebral infarction 20
F330 (Primary or Secondary) Major depressive disorder, recurrent, mild 20
G4089 (Primary or Secondary) Other seizures 19
G459 (Primary or Secondary) Transient cerebral ischemic attack, unspecified 19
R339 (Primary or Secondary) Retention of urine, unspecified 19
D509 (Primary or Secondary) Iron deficiency anemia, unspecified 19
F339 (Primary or Secondary) Major depressive disorder, recurrent, unspecified 19
I350 (Primary or Secondary) Nonrheumatic aortic (valve) stenosis 19
R1311 (Primary or Secondary) Dysphagia, oral phase 18
M545 (Primary or Secondary) Low back pain 18
Z853 (Primary or Secondary) Personal history of malignant neoplasm of breast 18
I679 (Primary or Secondary) Cerebrovascular disease, unspecified 18
M109 (Primary or Secondary) Gout, unspecified 18
N179 (Primary or Secondary) Acute kidney failure, unspecified 18
I5030 (Primary or Secondary) Unspecified diastolic (congestive) heart failure 18
G9341 (Primary or Secondary) Metabolic encephalopathy 17
R001 (Primary or Secondary) Bradycardia, unspecified 17
Z950 (Primary or Secondary) Presence of cardiac pacemaker 17
J441 (Primary or Secondary) Chronic obstructive pulmonary disease with (acute) exacerbation 17
R0602 (Primary or Secondary) Shortness of breath 17
G300 (Primary or Secondary) Alzheimer's disease with early onset 17
I5020 (Primary or Secondary) Unspecified systolic (congestive) heart failure 16
J9601 (Primary or Secondary) Acute respiratory failure with hypoxia 16
J440 (Primary or Secondary) Chronic obstructive pulmonary disease with acute lower respiratory infection 16
I69398 (Primary or Secondary) Other sequelae of cerebral infarction 15
E118 (Primary or Secondary) Type 2 diabetes mellitus with unspecified complications 15
G894 (Primary or Secondary) Chronic pain syndrome 15
G40909 (Primary or Secondary) Epilepsy, unspecified, not intractable, without status epilepticus 15
R600 (Primary or Secondary) Localized edema 15
I130 (Primary or Secondary) Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease 15
I714 (Primary or Secondary) Abdominal aortic aneurysm, without rupture 15
R609 (Primary or Secondary) Edema, unspecified 15
I214 (Primary or Secondary) Non-ST elevation (NSTEMI) myocardial infarction 15
I110 (Primary or Secondary) Hypertensive heart disease with heart failure 15
J309 (Primary or Secondary) Allergic rhinitis, unspecified 14
K210 (Primary or Secondary) Gastro-esophageal reflux disease with esophagitis 14
R079 (Primary or Secondary) Chest pain, unspecified 14
I69354 (Primary or Secondary) Hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side 14
M159 (Primary or Secondary) Polyosteoarthritis, unspecified 14
G2581 (Primary or Secondary) Restless legs syndrome 14
C7951 (Primary or Secondary) Secondary malignant neoplasm of bone 14
R5381 (Primary or Secondary) Other malaise 14
I50814 (Primary or Secondary) Right heart failure due to left heart failure 13
G8929 (Primary or Secondary) Other chronic pain 13
Z9981 (Primary or Secondary) Dependence on supplemental oxygen 13
I6789 (Primary or Secondary) Other cerebrovascular disease 13
C50919 (Primary or Secondary) Malignant neoplasm of unspecified site of unspecified female breast 13
E871 (Primary or Secondary) Hypo-osmolality and hyponatremia 13
E1140 (Primary or Secondary) Type 2 diabetes mellitus with diabetic neuropathy, unspecified 13
R4182 (Primary or Secondary) Altered mental status, unspecified 13
R54 (Primary or Secondary) Age-related physical debility 13
I959 (Primary or Secondary) Hypotension, unspecified 13
J9610 (Primary or Secondary) Chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 13
N400 (Primary or Secondary) Benign prostatic hyperplasia without lower urinary tract symptoms 12
F0151 (Primary or Secondary) Vascular dementia with behavioral disturbance 12
I270 (Primary or Secondary) Primary pulmonary hypertension 12
R569 (Primary or Secondary) Unspecified convulsions 12
R2689 (Primary or Secondary) Other abnormalities of gait and mobility 12
I252 (Primary or Secondary) Old myocardial infarction 12
I69351 (Primary or Secondary) Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side 12
G9340 (Primary or Secondary) Encephalopathy, unspecified 12
N186 (Primary or Secondary) End stage renal disease 12
A419 (Primary or Secondary) Sepsis, unspecified organism 11
R2681 (Primary or Secondary) Unsteadiness on feet 11
H409 (Primary or Secondary) Unspecified glaucoma 11
E440 (Primary or Secondary) Moderate protein-calorie malnutrition 11
E1165 (Primary or Secondary) Type 2 diabetes mellitus with hyperglycemia 11
R278 (Primary or Secondary) Other lack of coordination 11
Z8546 (Primary or Secondary) Personal history of malignant neoplasm of prostate 11
I6990 (Primary or Secondary) Unspecified sequelae of unspecified cerebrovascular disease 11
H3530 (Primary or Secondary) Unspecified macular degeneration 11
R5383 (Primary or Secondary) Other fatigue 11
J918 (Primary or Secondary) Pleural effusion in other conditions classified elsewhere 11
R269 (Primary or Secondary) Unspecified abnormalities of gait and mobility 11
C61 (Primary or Secondary) Malignant neoplasm of prostate 11
R41841 (Primary or Secondary) Cognitive communication deficit 11