Hospice Austin - ICD Diagnosis Quality Outcomes - Apr 2016 to June 2016


Dexur analyzed Q2 2016 (Apr 2016 to June 2016) Medicare claims data to show quality outcomes (Revenue per User, Revenue per Day) by ICD Diagnosis Code level for Hospice Austin.

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ICD Code ICD Description Total Users Total Payments Revenue per User Revenue per Day Hospice Median LOS
Z515 (Primary or Secondary) Encounter for palliative care 384
Z66 (Primary or Secondary) Do not resuscitate 329
Z741 (Primary or Secondary) Need for assistance with personal care 181
I10 (Primary or Secondary) Essential (primary) hypertension 171
Z9981 (Primary or Secondary) Dependence on supplemental oxygen 160
R1310 (Primary or Secondary) Dysphagia, unspecified 121
R630 (Primary or Secondary) Anorexia 115
E785 (Primary or Secondary) Hyperlipidemia, unspecified 106
Z7401 (Primary or Secondary) Bed confinement status 100
F329 (Primary or Secondary) Major depressive disorder, single episode, unspecified 94
E039 (Primary or Secondary) Hypothyroidism, unspecified 94
R32 (Primary or Secondary) Unspecified urinary incontinence 86
I2510 (Primary or Secondary) Atherosclerotic heart disease of native coronary artery without angina pectoris 83
Z681 (Primary or Secondary) Body mass index (BMI) 19 or less, adult 80
F0280 (Primary or Secondary) Dementia in other diseases classified elsewhere without behavioral disturbance 78
K219 (Primary or Secondary) Gastro-esophageal reflux disease without esophagitis 76
R400 (Primary or Secondary) Somnolence 74
J449 (Primary or Secondary) Chronic obstructive pulmonary disease, unspecified 67
G311 (Primary or Secondary) Senile degeneration of brain, not elsewhere classified 63
G893 (Primary or Secondary) Neoplasm related pain (acute) (chronic) 62
I129 (Primary or Secondary) Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease 59
E119 (Primary or Secondary) Type 2 diabetes mellitus without complications 58
F419 (Primary or Secondary) Anxiety disorder, unspecified 58
I4891 (Primary or Secondary) Unspecified atrial fibrillation 57
Z466 (Primary or Secondary) Encounter for fitting and adjustment of urinary device 56
Z993 (Primary or Secondary) Dependence on wheelchair 52
Z452 (Primary or Secondary) Encounter for adjustment and management of vascular access device 50
R530 (Primary or Secondary) Neoplastic (malignant) related fatigue 49
G309 (Primary or Secondary) Alzheimer's disease, unspecified 48
C7951 (Primary or Secondary) Secondary malignant neoplasm of bone 47
R159 (Primary or Secondary) Full incontinence of feces 46
M810 (Primary or Secondary) Age-related osteoporosis without current pathological fracture 46
R634 (Primary or Secondary) Abnormal weight loss 45
C787 (Primary or Secondary) Secondary malignant neoplasm of liver and intrahepatic bile duct 45
K5900 (Primary or Secondary) Constipation, unspecified 45
R64 (Primary or Secondary) Cachexia 43
R627 (Primary or Secondary) Adult failure to thrive 43
N179 (Primary or Secondary) Acute kidney failure, unspecified 40
Z7181 (Primary or Secondary) Spiritual or religious counseling 37
Z9221 (Primary or Secondary) Personal history of antineoplastic chemotherapy 37
N189 (Primary or Secondary) Chronic kidney disease, unspecified 36
I480 (Primary or Secondary) Paroxysmal atrial fibrillation 36
F0390 (Primary or Secondary) Unspecified dementia without behavioral disturbance 35
G40909 (Primary or Secondary) Epilepsy, unspecified, not intractable, without status epilepticus 34
Z87891 (Primary or Secondary) Personal history of nicotine dependence 34
Z79891 (Primary or Secondary) Long term (current) use of opiate analgesic 34
N400 (Primary or Secondary) Benign prostatic hyperplasia without lower urinary tract symptoms 33
I509 (Primary or Secondary) Heart failure, unspecified 33
R296 (Primary or Secondary) Repeated falls 33
M1990 (Primary or Secondary) Unspecified osteoarthritis, unspecified site 31
N183 (Primary or Secondary) Chronic kidney disease, stage 3 (moderate) 31
Z9181 (Primary or Secondary) History of falling 30
R231 (Primary or Secondary) Pallor 29
Z6820 (Primary or Secondary) Body mass index (BMI) 20.0-20.9, adult 27
J189 (Primary or Secondary) Pneumonia, unspecified organism 26
Z950 (Primary or Secondary) Presence of cardiac pacemaker 26
R188 (Primary or Secondary) Other ascites 25
R451 (Primary or Secondary) Restlessness and agitation 25
N390 (Primary or Secondary) Urinary tract infection, site not specified 25
G8929 (Primary or Secondary) Other chronic pain 24
J441 (Primary or Secondary) Chronic obstructive pulmonary disease with (acute) exacerbation 24
I739 (Primary or Secondary) Peripheral vascular disease, unspecified 23
C7801 (Primary or Secondary) Secondary malignant neoplasm of right lung 23
R112 (Primary or Secondary) Nausea with vomiting, unspecified 23
F0281 (Primary or Secondary) Dementia in other diseases classified elsewhere with behavioral disturbance 23
D649 (Primary or Secondary) Anemia, unspecified 23
C786 (Primary or Secondary) Secondary malignant neoplasm of retroperitoneum and peritoneum 22
Z4682 (Primary or Secondary) Encounter for fitting and adjustment of non-vascular catheter 22
C7802 (Primary or Secondary) Secondary malignant neoplasm of left lung 22
Z923 (Primary or Secondary) Personal history of irradiation 22
Z6821 (Primary or Secondary) Body mass index (BMI) 21.0-21.9, adult 22
H409 (Primary or Secondary) Unspecified glaucoma 21
Z87440 (Primary or Secondary) Personal history of urinary (tract) infections 21
R000 (Primary or Secondary) Tachycardia, unspecified 21
Z8701 (Primary or Secondary) Personal history of pneumonia (recurrent) 21
J90 (Primary or Secondary) Pleural effusion, not elsewhere classified 20
R4020 (Primary or Secondary) Unspecified coma 20
I350 (Primary or Secondary) Nonrheumatic aortic (valve) stenosis 20
Z6823 (Primary or Secondary) Body mass index (BMI) 23.0-23.9, adult 20
J45909 (Primary or Secondary) Unspecified asthma, uncomplicated 20
R401 (Primary or Secondary) Stupor 20
G20 (Primary or Secondary) Parkinson's disease 20
G4733 (Primary or Secondary) Obstructive sleep apnea (adult) (pediatric) 20
I5030 (Primary or Secondary) Unspecified diastolic (congestive) heart failure 19
M6281 (Primary or Secondary) Muscle weakness (generalized) 19
J309 (Primary or Secondary) Allergic rhinitis, unspecified 19
G629 (Primary or Secondary) Polyneuropathy, unspecified 19
I5032 (Primary or Secondary) Chronic diastolic (congestive) heart failure 18
J690 (Primary or Secondary) Pneumonitis due to inhalation of food and vomit 17
Z8673 (Primary or Secondary) Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits 17
C7989 (Primary or Secondary) Secondary malignant neoplasm of other specified sites 17
C779 (Primary or Secondary) Secondary and unspecified malignant neoplasm of lymph node, unspecified 17
D631 (Primary or Secondary) Anemia in chronic kidney disease 17
C7931 (Primary or Secondary) Secondary malignant neoplasm of brain 17
J9811 (Primary or Secondary) Atelectasis 16
J9601 (Primary or Secondary) Acute respiratory failure with hypoxia 16
C3490 (Primary or Secondary) Malignant neoplasm of unspecified part of unspecified bronchus or lung 16
J302 (Primary or Secondary) Other seasonal allergic rhinitis 16
Z6822 (Primary or Secondary) Body mass index (BMI) 22.0-22.9, adult 16
I272 (Primary or Secondary) Other secondary pulmonary hypertension 16
I340 (Primary or Secondary) Nonrheumatic mitral (valve) insufficiency 16
R1312 (Primary or Secondary) Dysphagia, oropharyngeal phase 15
Z853 (Primary or Secondary) Personal history of malignant neoplasm of breast 15
A419 (Primary or Secondary) Sepsis, unspecified organism 15
Z6824 (Primary or Secondary) Body mass index (BMI) 24.0-24.9, adult 15
Z9989 (Primary or Secondary) Dependence on other enabling machines and devices 15
Z6826 (Primary or Secondary) Body mass index (BMI) 26.0-26.9, adult 15
J440 (Primary or Secondary) Chronic obstructive pulmonary disease with acute lower respiratory infection 15
Z5329 (Primary or Secondary) Procedure and treatment not carried out because of patient's decision for other reasons 14
I252 (Primary or Secondary) Old myocardial infarction 14
Z6827 (Primary or Secondary) Body mass index (BMI) 27.0-27.9, adult 14
T451X5D (Primary or Secondary) Adverse effect of antineoplastic and immunosuppressive drugs, subsequent encounter 14
C772 (Primary or Secondary) Secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes 14
E43 (Primary or Secondary) Unspecified severe protein-calorie malnutrition 13
E871 (Primary or Secondary) Hypo-osmolality and hyponatremia 13
M6250 (Primary or Secondary) Muscle wasting and atrophy, not elsewhere classified, unspecified site 13
I2699 (Primary or Secondary) Other pulmonary embolism without acute cor pulmonale 13
C771 (Primary or Secondary) Secondary and unspecified malignant neoplasm of intrathoracic lymph nodes 13
R110 (Primary or Secondary) Nausea 13
E876 (Primary or Secondary) Hypokalemia 13
Z955 (Primary or Secondary) Presence of coronary angioplasty implant and graft 13
I959 (Primary or Secondary) Hypotension, unspecified 13
N186 (Primary or Secondary) End stage renal disease 13
I69354 (Primary or Secondary) Hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side 12
I120 (Primary or Secondary) Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease 12
C7800 (Primary or Secondary) Secondary malignant neoplasm of unspecified lung 12
I6931 (Primary or Secondary) Cognitive deficits following cerebral infarction 12
E872 (Primary or Secondary) Acidosis 12
R0902 (Primary or Secondary) Hypoxemia 12
E875 (Primary or Secondary) Hyperkalemia 11
C61 (Primary or Secondary) Malignant neoplasm of prostate 11
L89152 (Primary or Secondary) Pressure ulcer of sacral region, stage 2 11
D509 (Primary or Secondary) Iron deficiency anemia, unspecified 11
E780 (Primary or Secondary) Pure hypercholesterolemia 11
R4701 (Primary or Secondary) Aphasia 11
Z7901 (Primary or Secondary) Long term (current) use of anticoagulants 11
R4182 (Primary or Secondary) Altered mental status, unspecified 11
H3530 (Primary or Secondary) Unspecified macular degeneration 11
Z794 (Primary or Secondary) Long term (current) use of insulin 11