Allegheny Health Network Healthcare at Home Hospice - ICD Diagnosis Quality Outcomes - Apr 2019 to June 2019


Dexur analyzed Q2 2019 (Apr 2019 to June 2019) Medicare claims data to show quality outcomes (Revenue per User, Revenue per Day) by ICD Diagnosis Code level for Allegheny Health Network Healthcare at Home Hospice.

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ICD Code ICD Description Total Users Total Payments Revenue per User Revenue per Day Hospice Median LOS
Z9181 (Primary or Secondary) History of falling 514
Z9981 (Primary or Secondary) Dependence on supplemental oxygen 350
I10 (Primary or Secondary) Essential (primary) hypertension 271
E785 (Primary or Secondary) Hyperlipidemia, unspecified 259
I2510 (Primary or Secondary) Atherosclerotic heart disease of native coronary artery without angina pectoris 206
K219 (Primary or Secondary) Gastro-esophageal reflux disease without esophagitis 187
D649 (Primary or Secondary) Anemia, unspecified 184
E039 (Primary or Secondary) Hypothyroidism, unspecified 175
M1990 (Primary or Secondary) Unspecified osteoarthritis, unspecified site 154
R630 (Primary or Secondary) Anorexia 146
Z87891 (Primary or Secondary) Personal history of nicotine dependence 146
I4891 (Primary or Secondary) Unspecified atrial fibrillation 141
Z515 (Primary or Secondary) Encounter for palliative care 140
F329 (Primary or Secondary) Major depressive disorder, single episode, unspecified 138
Z7982 (Primary or Secondary) Long term (current) use of aspirin 138
F419 (Primary or Secondary) Anxiety disorder, unspecified 132
R5383 (Primary or Secondary) Other fatigue 121
J449 (Primary or Secondary) Chronic obstructive pulmonary disease, unspecified 121
Z7901 (Primary or Secondary) Long term (current) use of anticoagulants 114
R634 (Primary or Secondary) Abnormal weight loss 114
I509 (Primary or Secondary) Heart failure, unspecified 114
R5381 (Primary or Secondary) Other malaise 111
G309 (Primary or Secondary) Alzheimer's disease, unspecified 105
Z681 (Primary or Secondary) Body mass index (BMI) 19 or less, adult 105
E119 (Primary or Secondary) Type 2 diabetes mellitus without complications 102
M6281 (Primary or Secondary) Muscle weakness (generalized) 101
Z8673 (Primary or Secondary) Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits 101
F0280 (Primary or Secondary) Dementia in other diseases classified elsewhere without behavioral disturbance 98
I110 (Primary or Secondary) Hypertensive heart disease with heart failure 97
R4182 (Primary or Secondary) Altered mental status, unspecified 93
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 91
N400 (Primary or Secondary) Benign prostatic hyperplasia without lower urinary tract symptoms 88
F0390 (Primary or Secondary) Unspecified dementia without behavioral disturbance 84
N183 (Primary or Secondary) Chronic kidney disease, stage 3 (moderate) 84
Z466 (Primary or Secondary) Encounter for fitting and adjustment of urinary device 79
M810 (Primary or Secondary) Age-related osteoporosis without current pathological fracture 78
Z9221 (Primary or Secondary) Personal history of antineoplastic chemotherapy 77
R1310 (Primary or Secondary) Dysphagia, unspecified 75
N179 (Primary or Secondary) Acute kidney failure, unspecified 68
I739 (Primary or Secondary) Peripheral vascular disease, unspecified 67
I252 (Primary or Secondary) Old myocardial infarction 64
R296 (Primary or Secondary) Repeated falls 62
I480 (Primary or Secondary) Paroxysmal atrial fibrillation 61
R600 (Primary or Secondary) Localized edema 60
Z950 (Primary or Secondary) Presence of cardiac pacemaker 59
E559 (Primary or Secondary) Vitamin D deficiency, unspecified 59
Z923 (Primary or Secondary) Personal history of irradiation 59
J9601 (Primary or Secondary) Acute respiratory failure with hypoxia 56
Z87440 (Primary or Secondary) Personal history of urinary (tract) infections 55
E1122 (Primary or Secondary) Type 2 diabetes mellitus with diabetic chronic kidney disease 54
Z79891 (Primary or Secondary) Long term (current) use of opiate analgesic 54
J439 (Primary or Secondary) Emphysema, unspecified 53
K5900 (Primary or Secondary) Constipation, unspecified 50
J441 (Primary or Secondary) Chronic obstructive pulmonary disease with (acute) exacerbation 50
N189 (Primary or Secondary) Chronic kidney disease, unspecified 48
G4700 (Primary or Secondary) Insomnia, unspecified 46
Z452 (Primary or Secondary) Encounter for adjustment and management of vascular access device 46
E7800 (Primary or Secondary) Pure hypercholesterolemia, unspecified 46
Z951 (Primary or Secondary) Presence of aortocoronary bypass graft 46
R269 (Primary or Secondary) Unspecified abnormalities of gait and mobility 45
E440 (Primary or Secondary) Moderate protein-calorie malnutrition 44
M8580 (Primary or Secondary) Other specified disorders of bone density and structure, unspecified site 43
R531 (Primary or Secondary) Weakness 43
I129 (Primary or Secondary) Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease 43
G8929 (Primary or Secondary) Other chronic pain 43
R1312 (Primary or Secondary) Dysphagia, oropharyngeal phase 42
R262 (Primary or Secondary) Difficulty in walking, not elsewhere classified 40
Z741 (Primary or Secondary) Need for assistance with personal care 39
I2720 (Primary or Secondary) Pulmonary hypertension, unspecified 39
H3530 (Primary or Secondary) Unspecified macular degeneration 39
J189 (Primary or Secondary) Pneumonia, unspecified organism 39
F0281 (Primary or Secondary) Dementia in other diseases classified elsewhere with behavioral disturbance 38
N390 (Primary or Secondary) Urinary tract infection, site not specified 38
G20 (Primary or Secondary) Parkinson's disease 37
C787 (Primary or Secondary) Secondary malignant neoplasm of liver and intrahepatic bile duct 37
Z86718 (Primary or Secondary) Personal history of other venous thrombosis and embolism 37
Z794 (Primary or Secondary) Long term (current) use of insulin 36
R627 (Primary or Secondary) Adult failure to thrive 36
R451 (Primary or Secondary) Restlessness and agitation 34
I482 (Primary or Secondary) Chronic atrial fibrillation 34
G40909 (Primary or Secondary) Epilepsy, unspecified, not intractable, without status epilepticus 33
H9193 (Primary or Secondary) Unspecified hearing loss, bilateral 33
Z955 (Primary or Secondary) Presence of coronary angioplasty implant and graft 33
A419 (Primary or Secondary) Sepsis, unspecified organism 33
G893 (Primary or Secondary) Neoplasm related pain (acute) (chronic) 33
C7951 (Primary or Secondary) Secondary malignant neoplasm of bone 33
I5032 (Primary or Secondary) Chronic diastolic (congestive) heart failure 33
G629 (Primary or Secondary) Polyneuropathy, unspecified 31
M545 (Primary or Secondary) Low back pain 31
F17210 (Primary or Secondary) Nicotine dependence, cigarettes, uncomplicated 31
I429 (Primary or Secondary) Cardiomyopathy, unspecified 31
Z7952 (Primary or Secondary) Long term (current) use of systemic steroids 31
E43 (Primary or Secondary) Unspecified severe protein-calorie malnutrition 30
H409 (Primary or Secondary) Unspecified glaucoma 30
Z8701 (Primary or Secondary) Personal history of pneumonia (recurrent) 30
H9190 (Primary or Secondary) Unspecified hearing loss, unspecified ear 30
Z960 (Primary or Secondary) Presence of urogenital implants 29
R339 (Primary or Secondary) Retention of urine, unspecified 29
J9611 (Primary or Secondary) Chronic respiratory failure with hypoxia 29
I350 (Primary or Secondary) Nonrheumatic aortic (valve) stenosis 28
G4733 (Primary or Secondary) Obstructive sleep apnea (adult) (pediatric) 28
I5030 (Primary or Secondary) Unspecified diastolic (congestive) heart failure 28
R64 (Primary or Secondary) Cachexia 28
E46 (Primary or Secondary) Unspecified protein-calorie malnutrition 27
R918 (Primary or Secondary) Other nonspecific abnormal finding of lung field 27
E1140 (Primary or Secondary) Type 2 diabetes mellitus with diabetic neuropathy, unspecified 27
C3490 (Primary or Secondary) Malignant neoplasm of unspecified part of unspecified bronchus or lung 27
J690 (Primary or Secondary) Pneumonitis due to inhalation of food and vomit 27
I255 (Primary or Secondary) Ischemic cardiomyopathy 26
Z7984 (Primary or Secondary) Long term (current) use of oral hypoglycemic drugs 26
Z9049 (Primary or Secondary) Acquired absence of other specified parts of digestive tract 25
Z6821 (Primary or Secondary) Body mass index (BMI) 21.0-21.9, adult 24
J90 (Primary or Secondary) Pleural effusion, not elsewhere classified 24
F05 (Primary or Secondary) Delirium due to known physiological condition 24
M4800 (Primary or Secondary) Spinal stenosis, site unspecified 24
D696 (Primary or Secondary) Thrombocytopenia, unspecified 24
Z86711 (Primary or Secondary) Personal history of pulmonary embolism 24
Z6820 (Primary or Secondary) Body mass index (BMI) 20.0-20.9, adult 24
I6529 (Primary or Secondary) Occlusion and stenosis of unspecified carotid artery 23
M549 (Primary or Secondary) Dorsalgia, unspecified 23
F339 (Primary or Secondary) Major depressive disorder, recurrent, unspecified 23
J440 (Primary or Secondary) Chronic obstructive pulmonary disease with acute lower respiratory infection 23
M109 (Primary or Secondary) Gout, unspecified 22
Z6822 (Primary or Secondary) Body mass index (BMI) 22.0-22.9, adult 22
I69351 (Primary or Secondary) Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side 22
I714 (Primary or Secondary) Abdominal aortic aneurysm, without rupture 22
N184 (Primary or Secondary) Chronic kidney disease, stage 4 (severe) 21
K449 (Primary or Secondary) Diaphragmatic hernia without obstruction or gangrene 20
E1151 (Primary or Secondary) Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene 20
R410 (Primary or Secondary) Disorientation, unspecified 20
J45909 (Primary or Secondary) Unspecified asthma, uncomplicated 20
Z98890 (Primary or Secondary) Other specified postprocedural states 18
J9621 (Primary or Secondary) Acute and chronic respiratory failure with hypoxia 18
Z853 (Primary or Secondary) Personal history of malignant neoplasm of breast 18
Z8546 (Primary or Secondary) Personal history of malignant neoplasm of prostate 18
J8410 (Primary or Secondary) Pulmonary fibrosis, unspecified 18
I5022 (Primary or Secondary) Chronic systolic (congestive) heart failure 17
Z95810 (Primary or Secondary) Presence of automatic (implantable) cardiac defibrillator 17
E669 (Primary or Secondary) Obesity, unspecified 17
F0150 (Primary or Secondary) Vascular dementia without behavioral disturbance 17
R911 (Primary or Secondary) Solitary pulmonary nodule 17
A499 (Primary or Secondary) Bacterial infection, unspecified 16
Z6823 (Primary or Secondary) Body mass index (BMI) 23.0-23.9, adult 16
R2689 (Primary or Secondary) Other abnormalities of gait and mobility 16
N186 (Primary or Secondary) End stage renal disease 16
F418 (Primary or Secondary) Other specified anxiety disorders 16
Z931 (Primary or Secondary) Gastrostomy status 16
I5043 (Primary or Secondary) Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure 15
K922 (Primary or Secondary) Gastrointestinal hemorrhage, unspecified 15
R188 (Primary or Secondary) Other ascites 15
M150 (Primary or Secondary) Primary generalized (osteo)arthritis 15
R0600 (Primary or Secondary) Dyspnea, unspecified 15
Z95828 (Primary or Secondary) Presence of other vascular implants and grafts 15
Z7409 (Primary or Secondary) Other reduced mobility 15
D72829 (Primary or Secondary) Elevated white blood cell count, unspecified 15
Z7401 (Primary or Secondary) Bed confinement status 15
I340 (Primary or Secondary) Nonrheumatic mitral (valve) insufficiency 14
M6250 (Primary or Secondary) Muscle wasting and atrophy, not elsewhere classified, unspecified site 14
C7931 (Primary or Secondary) Secondary malignant neoplasm of brain 14
R413 (Primary or Secondary) Other amnesia 14
Z90710 (Primary or Secondary) Acquired absence of both cervix and uterus 13
R54 (Primary or Secondary) Age-related physical debility 13
F0391 (Primary or Secondary) Unspecified dementia with behavioral disturbance 13
M170 (Primary or Secondary) Bilateral primary osteoarthritis of knee 13
G2581 (Primary or Secondary) Restless legs syndrome 13
G301 (Primary or Secondary) Alzheimer's disease with late onset 13
I5023 (Primary or Secondary) Acute on chronic systolic (congestive) heart failure 13
N401 (Primary or Secondary) Benign prostatic hyperplasia with lower urinary tract symptoms 13
J918 (Primary or Secondary) Pleural effusion in other conditions classified elsewhere 13
L89152 (Primary or Secondary) Pressure ulcer of sacral region, stage 2 13
R112 (Primary or Secondary) Nausea with vomiting, unspecified 13
I214 (Primary or Secondary) Non-ST elevation (NSTEMI) myocardial infarction 13
R569 (Primary or Secondary) Unspecified convulsions 13
R109 (Primary or Secondary) Unspecified abdominal pain 13
J9600 (Primary or Secondary) Acute respiratory failure, unspecified whether with hypoxia or hypercapnia 13
Z933 (Primary or Secondary) Colostomy status 13
B370 (Primary or Secondary) Candidal stomatitis 13
R55 (Primary or Secondary) Syncope and collapse 13
Z8619 (Primary or Secondary) Personal history of other infectious and parasitic diseases 13
Z602 (Primary or Secondary) Problems related to living alone 13
E538 (Primary or Secondary) Deficiency of other specified B group vitamins 13
I5033 (Primary or Secondary) Acute on chronic diastolic (congestive) heart failure 12
R945 (Primary or Secondary) Abnormal results of liver function studies 12
Z9989 (Primary or Secondary) Dependence on other enabling machines and devices 12
Z96641 (Primary or Secondary) Presence of right artificial hip joint 12
I2699 (Primary or Secondary) Other pulmonary embolism without acute cor pulmonale 12
D500 (Primary or Secondary) Iron deficiency anemia secondary to blood loss (chronic) 12
G9341 (Primary or Secondary) Metabolic encephalopathy 12
G9340 (Primary or Secondary) Encephalopathy, unspecified 12
A0472 (Primary or Secondary) Enterocolitis due to Clostridium difficile, not specified as recurrent 12
I083 (Primary or Secondary) Combined rheumatic disorders of mitral, aortic and tricuspid valves 12
R42 (Primary or Secondary) Dizziness and giddiness 12
R400 (Primary or Secondary) Somnolence 12
F319 (Primary or Secondary) Bipolar disorder, unspecified 12
I69318 (Primary or Secondary) Other symptoms and signs involving cognitive functions following cerebral infarction 12
I959 (Primary or Secondary) Hypotension, unspecified 12
K7460 (Primary or Secondary) Unspecified cirrhosis of liver 12
I872 (Primary or Secondary) Venous insufficiency (chronic) (peripheral) 12
D509 (Primary or Secondary) Iron deficiency anemia, unspecified 12
G4730 (Primary or Secondary) Sleep apnea, unspecified 12
Z85038 (Primary or Secondary) Personal history of other malignant neoplasm of large intestine 12
C189 (Primary or Secondary) Malignant neoplasm of colon, unspecified 12
R05 (Primary or Secondary) Cough 11
J9622 (Primary or Secondary) Acute and chronic respiratory failure with hypercapnia 11
C61 (Primary or Secondary) Malignant neoplasm of prostate 11
C786 (Primary or Secondary) Secondary malignant neoplasm of retroperitoneum and peritoneum 11
Z9089 (Primary or Secondary) Acquired absence of other organs 11
I9589 (Primary or Secondary) Other hypotension 11
E872 (Primary or Secondary) Acidosis 11
R530 (Primary or Secondary) Neoplastic (malignant) related fatigue 11
C679 (Primary or Secondary) Malignant neoplasm of bladder, unspecified 11
C50919 (Primary or Secondary) Malignant neoplasm of unspecified site of unspecified female breast 11
I69320 (Primary or Secondary) Aphasia following cerebral infarction 11
M1991 (Primary or Secondary) Primary osteoarthritis, unspecified site 11
D631 (Primary or Secondary) Anemia in chronic kidney disease 11
Z952 (Primary or Secondary) Presence of prosthetic heart valve 11
F411 (Primary or Secondary) Generalized anxiety disorder 11
B9689 (Primary or Secondary) Other specified bacterial agents as the cause of diseases classified elsewhere 11
Z7951 (Primary or Secondary) Long term (current) use of inhaled steroids 11
I700 (Primary or Secondary) Atherosclerosis of aorta 11
Z938 (Primary or Secondary) Other artificial opening status 11