Hospice Austin - ICD Diagnosis Quality Outcomes - July 2018 to Sep 2018


Dexur analyzed Q3 2018 (July 2018 to Sep 2018) 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 366
Z66 (Primary or Secondary) Do not resuscitate 319
Z741 (Primary or Secondary) Need for assistance with personal care 248
Z9981 (Primary or Secondary) Dependence on supplemental oxygen 164
Z7401 (Primary or Secondary) Bed confinement status 149
R400 (Primary or Secondary) Somnolence 149
I10 (Primary or Secondary) Essential (primary) hypertension 149
R3981 (Primary or Secondary) Functional urinary incontinence 141
Z9181 (Primary or Secondary) History of falling 129
R159 (Primary or Secondary) Full incontinence of feces 125
Z993 (Primary or Secondary) Dependence on wheelchair 123
E785 (Primary or Secondary) Hyperlipidemia, unspecified 120
R634 (Primary or Secondary) Abnormal weight loss 119
Z7409 (Primary or Secondary) Other reduced mobility 110
R630 (Primary or Secondary) Anorexia 99
G893 (Primary or Secondary) Neoplasm related pain (acute) (chronic) 97
R530 (Primary or Secondary) Neoplastic (malignant) related fatigue 91
Z79891 (Primary or Secondary) Long term (current) use of opiate analgesic 91
I2510 (Primary or Secondary) Atherosclerotic heart disease of native coronary artery without angina pectoris 83
E039 (Primary or Secondary) Hypothyroidism, unspecified 81
F329 (Primary or Secondary) Major depressive disorder, single episode, unspecified 81
K219 (Primary or Secondary) Gastro-esophageal reflux disease without esophagitis 79
R1310 (Primary or Secondary) Dysphagia, unspecified 76
F0280 (Primary or Secondary) Dementia in other diseases classified elsewhere without behavioral disturbance 72
Z7982 (Primary or Secondary) Long term (current) use of aspirin 64
Z87891 (Primary or Secondary) Personal history of nicotine dependence 59
Z9221 (Primary or Secondary) Personal history of antineoplastic chemotherapy 57
Z743 (Primary or Secondary) Need for continuous supervision 57
Z681 (Primary or Secondary) Body mass index (BMI) 19 or less, adult 56
Z7952 (Primary or Secondary) Long term (current) use of systemic steroids 55
Z452 (Primary or Secondary) Encounter for adjustment and management of vascular access device 54
F419 (Primary or Secondary) Anxiety disorder, unspecified 54
Z466 (Primary or Secondary) Encounter for fitting and adjustment of urinary device 53
I110 (Primary or Secondary) Hypertensive heart disease with heart failure 51
I4891 (Primary or Secondary) Unspecified atrial fibrillation 50
E119 (Primary or Secondary) Type 2 diabetes mellitus without complications 49
J449 (Primary or Secondary) Chronic obstructive pulmonary disease, unspecified 48
Z87440 (Primary or Secondary) Personal history of urinary (tract) infections 47
R296 (Primary or Secondary) Repeated falls 46
K5900 (Primary or Secondary) Constipation, unspecified 46
G309 (Primary or Secondary) Alzheimer's disease, unspecified 45
R627 (Primary or Secondary) Adult failure to thrive 45
Z79899 (Primary or Secondary) Other long term (current) drug therapy 44
C7951 (Primary or Secondary) Secondary malignant neoplasm of bone 42
F0281 (Primary or Secondary) Dementia in other diseases classified elsewhere with behavioral disturbance 42
C787 (Primary or Secondary) Secondary malignant neoplasm of liver and intrahepatic bile duct 40
Z923 (Primary or Secondary) Personal history of irradiation 37
R64 (Primary or Secondary) Cachexia 37
Z7901 (Primary or Secondary) Long term (current) use of anticoagulants 36
N400 (Primary or Secondary) Benign prostatic hyperplasia without lower urinary tract symptoms 35
G4700 (Primary or Secondary) Insomnia, unspecified 35
N183 (Primary or Secondary) Chronic kidney disease, stage 3 (moderate) 34
I509 (Primary or Secondary) Heart failure, unspecified 34
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 31
M1991 (Primary or Secondary) Primary osteoarthritis, unspecified site 31
I482 (Primary or Secondary) Chronic atrial fibrillation 30
F0390 (Primary or Secondary) Unspecified dementia without behavioral disturbance 29
R4020 (Primary or Secondary) Unspecified coma 29
I129 (Primary or Secondary) Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease 28
M810 (Primary or Secondary) Age-related osteoporosis without current pathological fracture 28
N390 (Primary or Secondary) Urinary tract infection, site not specified 27
N189 (Primary or Secondary) Chronic kidney disease, unspecified 26
G319 (Primary or Secondary) Degenerative disease of nervous system, unspecified 26
D649 (Primary or Secondary) Anemia, unspecified 26
Z8701 (Primary or Secondary) Personal history of pneumonia (recurrent) 26
I480 (Primary or Secondary) Paroxysmal atrial fibrillation 26
Z8673 (Primary or Secondary) Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits 25
K5909 (Primary or Secondary) Other constipation 25
J309 (Primary or Secondary) Allergic rhinitis, unspecified 25
G20 (Primary or Secondary) Parkinson's disease 25
E1122 (Primary or Secondary) Type 2 diabetes mellitus with diabetic chronic kidney disease 24
T451X5D (Primary or Secondary) Adverse effect of antineoplastic and immunosuppressive drugs, subsequent encounter 23
R1312 (Primary or Secondary) Dysphagia, oropharyngeal phase 23
F05 (Primary or Secondary) Delirium due to known physiological condition 23
Z5329 (Primary or Secondary) Procedure and treatment not carried out because of patient's decision for other reasons 23
H409 (Primary or Secondary) Unspecified glaucoma 23
R110 (Primary or Secondary) Nausea 23
J302 (Primary or Secondary) Other seasonal allergic rhinitis 23
N179 (Primary or Secondary) Acute kidney failure, unspecified 22
E559 (Primary or Secondary) Vitamin D deficiency, unspecified 21
Z634 (Primary or Secondary) Disappearance and death of family member 21
E1142 (Primary or Secondary) Type 2 diabetes mellitus with diabetic polyneuropathy 20
Z990 (Primary or Secondary) Dependence on aspirator 20
J9601 (Primary or Secondary) Acute respiratory failure with hypoxia 20
L89152 (Primary or Secondary) Pressure ulcer of sacral region, stage 2 20
Z950 (Primary or Secondary) Presence of cardiac pacemaker 20
E860 (Primary or Secondary) Dehydration 20
E871 (Primary or Secondary) Hypo-osmolality and hyponatremia 20
G40909 (Primary or Secondary) Epilepsy, unspecified, not intractable, without status epilepticus 19
E876 (Primary or Secondary) Hypokalemia 19
I252 (Primary or Secondary) Old myocardial infarction 19
C786 (Primary or Secondary) Secondary malignant neoplasm of retroperitoneum and peritoneum 19
J910 (Primary or Secondary) Malignant pleural effusion 19
R197 (Primary or Secondary) Diarrhea, unspecified 19
F4321 (Primary or Secondary) Adjustment disorder with depressed mood 19
Z9229 (Primary or Secondary) Personal history of other drug therapy 18
Z794 (Primary or Secondary) Long term (current) use of insulin 18
E43 (Primary or Secondary) Unspecified severe protein-calorie malnutrition 18
R5383 (Primary or Secondary) Other fatigue 17
R531 (Primary or Secondary) Weakness 17
G629 (Primary or Secondary) Polyneuropathy, unspecified 17
Z9289 (Primary or Secondary) Personal history of other medical treatment 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 16
J189 (Primary or Secondary) Pneumonia, unspecified organism 16
I5032 (Primary or Secondary) Chronic diastolic (congestive) heart failure 16
R5381 (Primary or Secondary) Other malaise 16
C7801 (Primary or Secondary) Secondary malignant neoplasm of right lung 16
I69318 (Primary or Secondary) Other symptoms and signs involving cognitive functions following cerebral infarction 15
D696 (Primary or Secondary) Thrombocytopenia, unspecified 15
R638 (Primary or Secondary) Other symptoms and signs concerning food and fluid intake 15
Z95828 (Primary or Secondary) Presence of other vascular implants and grafts 15
I69391 (Primary or Secondary) Dysphagia following cerebral infarction 15
R600 (Primary or Secondary) Localized edema 15
Z9689 (Primary or Secondary) Presence of other specified functional implants 15
E7800 (Primary or Secondary) Pure hypercholesterolemia, unspecified 15
C7931 (Primary or Secondary) Secondary malignant neoplasm of brain 15
I119 (Primary or Secondary) Hypertensive heart disease without heart failure 14
C7802 (Primary or Secondary) Secondary malignant neoplasm of left lung 14
I5030 (Primary or Secondary) Unspecified diastolic (congestive) heart failure 14
C771 (Primary or Secondary) Secondary and unspecified malignant neoplasm of intrathoracic lymph nodes 14
H3530 (Primary or Secondary) Unspecified macular degeneration 14
K5903 (Primary or Secondary) Drug induced constipation 14
R682 (Primary or Secondary) Dry mouth, unspecified 14
Z955 (Primary or Secondary) Presence of coronary angioplasty implant and graft 14
D509 (Primary or Secondary) Iron deficiency anemia, unspecified 14
Z602 (Primary or Secondary) Problems related to living alone 14
D631 (Primary or Secondary) Anemia in chronic kidney disease 13
E669 (Primary or Secondary) Obesity, unspecified 13
G301 (Primary or Secondary) Alzheimer's disease with late onset 13
Z7181 (Primary or Secondary) Spiritual or religious counseling 13
N3281 (Primary or Secondary) Overactive bladder 13
Z438 (Primary or Secondary) Encounter for attention to other artificial openings 13
C7800 (Primary or Secondary) Secondary malignant neoplasm of unspecified lung 13
Z6822 (Primary or Secondary) Body mass index (BMI) 22.0-22.9, adult 13
I350 (Primary or Secondary) Nonrheumatic aortic (valve) stenosis 13
F17210 (Primary or Secondary) Nicotine dependence, cigarettes, uncomplicated 13
Z748 (Primary or Secondary) Other problems related to care provider dependency 13
M109 (Primary or Secondary) Gout, unspecified 13
M1990 (Primary or Secondary) Unspecified osteoarthritis, unspecified site 13
I69351 (Primary or Secondary) Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side 13
R410 (Primary or Secondary) Disorientation, unspecified 13
I5033 (Primary or Secondary) Acute on chronic diastolic (congestive) heart failure 12
Z951 (Primary or Secondary) Presence of aortocoronary bypass graft 12
I25119 (Primary or Secondary) Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris 12
Z9049 (Primary or Secondary) Acquired absence of other specified parts of digestive tract 12
D630 (Primary or Secondary) Anemia in neoplastic disease 12
E538 (Primary or Secondary) Deficiency of other specified B group vitamins 12
T402X5D (Primary or Secondary) Adverse effect of other opioids, subsequent encounter 12
I679 (Primary or Secondary) Cerebrovascular disease, unspecified 12
I739 (Primary or Secondary) Peripheral vascular disease, unspecified 12
I700 (Primary or Secondary) Atherosclerosis of aorta 12
G4733 (Primary or Secondary) Obstructive sleep apnea (adult) (pediatric) 12
Z90710 (Primary or Secondary) Acquired absence of both cervix and uterus 12
Z9989 (Primary or Secondary) Dependence on other enabling machines and devices 12
C61 (Primary or Secondary) Malignant neoplasm of prostate 12
F0150 (Primary or Secondary) Vascular dementia without behavioral disturbance 12
Z7984 (Primary or Secondary) Long term (current) use of oral hypoglycemic drugs 12
G311 (Primary or Secondary) Senile degeneration of brain, not elsewhere classified 11
C772 (Primary or Secondary) Secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes 11
R32 (Primary or Secondary) Unspecified urinary incontinence 11
K117 (Primary or Secondary) Disturbances of salivary secretion 11
Z8249 (Primary or Secondary) Family history of ischemic heart disease and other diseases of the circulatory system 11
G894 (Primary or Secondary) Chronic pain syndrome 11
Z853 (Primary or Secondary) Personal history of malignant neoplasm of breast 11
R441 (Primary or Secondary) Visual hallucinations 11
G9341 (Primary or Secondary) Metabolic encephalopathy 11
R180 (Primary or Secondary) Malignant ascites 11
Z6820 (Primary or Secondary) Body mass index (BMI) 20.0-20.9, adult 11