Allegheny Health Network Healthcare at Home Hospice - 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 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 381
Z9981 (Primary or Secondary) Dependence on supplemental oxygen 289
I10 (Primary or Secondary) Essential (primary) hypertension 255
I2510 (Primary or Secondary) Atherosclerotic heart disease of native coronary artery without angina pectoris 201
E785 (Primary or Secondary) Hyperlipidemia, unspecified 184
M1990 (Primary or Secondary) Unspecified osteoarthritis, unspecified site 144
K219 (Primary or Secondary) Gastro-esophageal reflux disease without esophagitis 139
R630 (Primary or Secondary) Anorexia 134
D649 (Primary or Secondary) Anemia, unspecified 134
F0280 (Primary or Secondary) Dementia in other diseases classified elsewhere without behavioral disturbance 129
E039 (Primary or Secondary) Hypothyroidism, unspecified 127
I4891 (Primary or Secondary) Unspecified atrial fibrillation 126
I509 (Primary or Secondary) Heart failure, unspecified 125
Z466 (Primary or Secondary) Encounter for fitting and adjustment of urinary device 124
M6281 (Primary or Secondary) Muscle weakness (generalized) 124
J449 (Primary or Secondary) Chronic obstructive pulmonary disease, unspecified 122
Z87891 (Primary or Secondary) Personal history of nicotine dependence 122
G309 (Primary or Secondary) Alzheimer's disease, unspecified 115
Z7982 (Primary or Secondary) Long term (current) use of aspirin 111
Z7901 (Primary or Secondary) Long term (current) use of anticoagulants 111
F329 (Primary or Secondary) Major depressive disorder, single episode, unspecified 111
F419 (Primary or Secondary) Anxiety disorder, unspecified 105
E119 (Primary or Secondary) Type 2 diabetes mellitus without complications 100
R5381 (Primary or Secondary) Other malaise 100
Z681 (Primary or Secondary) Body mass index (BMI) 19 or less, adult 99
Z8673 (Primary or Secondary) Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits 97
I110 (Primary or Secondary) Hypertensive heart disease with heart failure 93
R4182 (Primary or Secondary) Altered mental status, unspecified 90
R5383 (Primary or Secondary) Other fatigue 88
R634 (Primary or Secondary) Abnormal weight loss 87
Z9221 (Primary or Secondary) Personal history of antineoplastic chemotherapy 79
N183 (Primary or Secondary) Chronic kidney disease, stage 3 (moderate) 76
R1310 (Primary or Secondary) Dysphagia, unspecified 76
F0390 (Primary or Secondary) Unspecified dementia without behavioral disturbance 74
I739 (Primary or Secondary) Peripheral vascular disease, unspecified 69
Z87440 (Primary or Secondary) Personal history of urinary (tract) infections 66
I252 (Primary or Secondary) Old myocardial infarction 64
N400 (Primary or Secondary) Benign prostatic hyperplasia without lower urinary tract symptoms 60
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 60
Z923 (Primary or Secondary) Personal history of irradiation 58
J441 (Primary or Secondary) Chronic obstructive pulmonary disease with (acute) exacerbation 54
R1312 (Primary or Secondary) Dysphagia, oropharyngeal phase 53
E43 (Primary or Secondary) Unspecified severe protein-calorie malnutrition 52
N189 (Primary or Secondary) Chronic kidney disease, unspecified 51
Z950 (Primary or Secondary) Presence of cardiac pacemaker 51
E559 (Primary or Secondary) Vitamin D deficiency, unspecified 50
M810 (Primary or Secondary) Age-related osteoporosis without current pathological fracture 48
I129 (Primary or Secondary) Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease 47
Z794 (Primary or Secondary) Long term (current) use of insulin 46
K5900 (Primary or Secondary) Constipation, unspecified 46
E1122 (Primary or Secondary) Type 2 diabetes mellitus with diabetic chronic kidney disease 44
G20 (Primary or Secondary) Parkinson's disease 44
R600 (Primary or Secondary) Localized edema 44
C7951 (Primary or Secondary) Secondary malignant neoplasm of bone 43
N179 (Primary or Secondary) Acute kidney failure, unspecified 42
Z8701 (Primary or Secondary) Personal history of pneumonia (recurrent) 41
J189 (Primary or Secondary) Pneumonia, unspecified organism 41
Z955 (Primary or Secondary) Presence of coronary angioplasty implant and graft 40
I480 (Primary or Secondary) Paroxysmal atrial fibrillation 38
J9601 (Primary or Secondary) Acute respiratory failure with hypoxia 37
I350 (Primary or Secondary) Nonrheumatic aortic (valve) stenosis 36
R64 (Primary or Secondary) Cachexia 35
R269 (Primary or Secondary) Unspecified abnormalities of gait and mobility 35
G8929 (Primary or Secondary) Other chronic pain 35
Z452 (Primary or Secondary) Encounter for adjustment and management of vascular access device 34
N390 (Primary or Secondary) Urinary tract infection, site not specified 34
M549 (Primary or Secondary) Dorsalgia, unspecified 34
E7800 (Primary or Secondary) Pure hypercholesterolemia, unspecified 34
H3530 (Primary or Secondary) Unspecified macular degeneration 34
R627 (Primary or Secondary) Adult failure to thrive 33
Z951 (Primary or Secondary) Presence of aortocoronary bypass graft 33
G40909 (Primary or Secondary) Epilepsy, unspecified, not intractable, without status epilepticus 33
Z741 (Primary or Secondary) Need for assistance with personal care 31
C787 (Primary or Secondary) Secondary malignant neoplasm of liver and intrahepatic bile duct 31
Z9049 (Primary or Secondary) Acquired absence of other specified parts of digestive tract 31
J690 (Primary or Secondary) Pneumonitis due to inhalation of food and vomit 30
H409 (Primary or Secondary) Unspecified glaucoma 30
Z86718 (Primary or Secondary) Personal history of other venous thrombosis and embolism 30
I2720 (Primary or Secondary) Pulmonary hypertension, unspecified 29
I482 (Primary or Secondary) Chronic atrial fibrillation 28
M545 (Primary or Secondary) Low back pain 27
R918 (Primary or Secondary) Other nonspecific abnormal finding of lung field 27
Z515 (Primary or Secondary) Encounter for palliative care 27
G893 (Primary or Secondary) Neoplasm related pain (acute) (chronic) 26
F0281 (Primary or Secondary) Dementia in other diseases classified elsewhere with behavioral disturbance 26
I5032 (Primary or Secondary) Chronic diastolic (congestive) heart failure 26
I255 (Primary or Secondary) Ischemic cardiomyopathy 26
C3490 (Primary or Secondary) Malignant neoplasm of unspecified part of unspecified bronchus or lung 25
J440 (Primary or Secondary) Chronic obstructive pulmonary disease with acute lower respiratory infection 25
G4700 (Primary or Secondary) Insomnia, unspecified 25
M4800 (Primary or Secondary) Spinal stenosis, site unspecified 24
E1140 (Primary or Secondary) Type 2 diabetes mellitus with diabetic neuropathy, unspecified 24
C7800 (Primary or Secondary) Secondary malignant neoplasm of unspecified lung 23
I714 (Primary or Secondary) Abdominal aortic aneurysm, without rupture 23
Z86711 (Primary or Secondary) Personal history of pulmonary embolism 23
J9611 (Primary or Secondary) Chronic respiratory failure with hypoxia 23
Z853 (Primary or Secondary) Personal history of malignant neoplasm of breast 22
N186 (Primary or Secondary) End stage renal disease 22
H9190 (Primary or Secondary) Unspecified hearing loss, unspecified ear 21
I6529 (Primary or Secondary) Occlusion and stenosis of unspecified carotid artery 21
R531 (Primary or Secondary) Weakness 21
R0600 (Primary or Secondary) Dyspnea, unspecified 20
R400 (Primary or Secondary) Somnolence 20
F0150 (Primary or Secondary) Vascular dementia without behavioral disturbance 20
R339 (Primary or Secondary) Retention of urine, unspecified 20
G4733 (Primary or Secondary) Obstructive sleep apnea (adult) (pediatric) 20
C61 (Primary or Secondary) Malignant neoplasm of prostate 20
R410 (Primary or Secondary) Disorientation, unspecified 20
I69351 (Primary or Secondary) Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side 19
D631 (Primary or Secondary) Anemia in chronic kidney disease 19
M109 (Primary or Secondary) Gout, unspecified 19
G629 (Primary or Secondary) Polyneuropathy, unspecified 19
I872 (Primary or Secondary) Venous insufficiency (chronic) (peripheral) 19
F17210 (Primary or Secondary) Nicotine dependence, cigarettes, uncomplicated 19
J45909 (Primary or Secondary) Unspecified asthma, uncomplicated 19
Z7401 (Primary or Secondary) Bed confinement status 19
I429 (Primary or Secondary) Cardiomyopathy, unspecified 18
J9621 (Primary or Secondary) Acute and chronic respiratory failure with hypoxia 18
D509 (Primary or Secondary) Iron deficiency anemia, unspecified 18
F418 (Primary or Secondary) Other specified anxiety disorders 18
Z6820 (Primary or Secondary) Body mass index (BMI) 20.0-20.9, adult 18
N401 (Primary or Secondary) Benign prostatic hyperplasia with lower urinary tract symptoms 17
Z7984 (Primary or Secondary) Long term (current) use of oral hypoglycemic drugs 17
Z9012 (Primary or Secondary) Acquired absence of left breast and nipple 17
L89152 (Primary or Secondary) Pressure ulcer of sacral region, stage 2 17
D72829 (Primary or Secondary) Elevated white blood cell count, unspecified 17
R451 (Primary or Secondary) Restlessness and agitation 17
R188 (Primary or Secondary) Other ascites 16
F05 (Primary or Secondary) Delirium due to known physiological condition 16
I69320 (Primary or Secondary) Aphasia following cerebral infarction 16
Z95810 (Primary or Secondary) Presence of automatic (implantable) cardiac defibrillator 16
E538 (Primary or Secondary) Deficiency of other specified B group vitamins 16
I5022 (Primary or Secondary) Chronic systolic (congestive) heart failure 16
E46 (Primary or Secondary) Unspecified protein-calorie malnutrition 16
J8410 (Primary or Secondary) Pulmonary fibrosis, unspecified 15
I5033 (Primary or Secondary) Acute on chronic diastolic (congestive) heart failure 15
I69354 (Primary or Secondary) Hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side 15
I69318 (Primary or Secondary) Other symptoms and signs involving cognitive functions following cerebral infarction 15
J439 (Primary or Secondary) Emphysema, unspecified 15
H9193 (Primary or Secondary) Unspecified hearing loss, bilateral 14
E440 (Primary or Secondary) Moderate protein-calorie malnutrition 14
A499 (Primary or Secondary) Bacterial infection, unspecified 14
R911 (Primary or Secondary) Solitary pulmonary nodule 14
M8580 (Primary or Secondary) Other specified disorders of bone density and structure, unspecified site 14
A419 (Primary or Secondary) Sepsis, unspecified organism 14
E669 (Primary or Secondary) Obesity, unspecified 14
C189 (Primary or Secondary) Malignant neoplasm of colon, unspecified 14
R413 (Primary or Secondary) Other amnesia 14
Z6821 (Primary or Secondary) Body mass index (BMI) 21.0-21.9, adult 14
Z90710 (Primary or Secondary) Acquired absence of both cervix and uterus 14
Z952 (Primary or Secondary) Presence of prosthetic heart valve 14
G4730 (Primary or Secondary) Sleep apnea, unspecified 13
K449 (Primary or Secondary) Diaphragmatic hernia without obstruction or gangrene 13
F339 (Primary or Secondary) Major depressive disorder, recurrent, unspecified 13
F17200 (Primary or Secondary) Nicotine dependence, unspecified, uncomplicated 13
Z6822 (Primary or Secondary) Body mass index (BMI) 22.0-22.9, adult 13
I5023 (Primary or Secondary) Acute on chronic systolic (congestive) heart failure 13
G301 (Primary or Secondary) Alzheimer's disease with late onset 13
I25119 (Primary or Secondary) Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris 13
I2699 (Primary or Secondary) Other pulmonary embolism without acute cor pulmonale 13
Z9689 (Primary or Secondary) Presence of other specified functional implants 13
I5084 (Primary or Secondary) End stage heart failure 12
I9589 (Primary or Secondary) Other hypotension 12
I051 (Primary or Secondary) Rheumatic mitral insufficiency 12
I6930 (Primary or Secondary) Unspecified sequelae of cerebral infarction 12
C50919 (Primary or Secondary) Malignant neoplasm of unspecified site of unspecified female breast 12
D696 (Primary or Secondary) Thrombocytopenia, unspecified 12
G2581 (Primary or Secondary) Restless legs syndrome 12
Z85038 (Primary or Secondary) Personal history of other malignant neoplasm of large intestine 12
I712 (Primary or Secondary) Thoracic aortic aneurysm, without rupture 12
I495 (Primary or Secondary) Sick sinus syndrome 12
Z9989 (Primary or Secondary) Dependence on other enabling machines and devices 12
R0902 (Primary or Secondary) Hypoxemia 12
K922 (Primary or Secondary) Gastrointestinal hemorrhage, unspecified 12
E890 (Primary or Secondary) Postprocedural hypothyroidism 11
J90 (Primary or Secondary) Pleural effusion, not elsewhere classified 11
Z96641 (Primary or Secondary) Presence of right artificial hip joint 11
D630 (Primary or Secondary) Anemia in neoplastic disease 11
G9340 (Primary or Secondary) Encephalopathy, unspecified 11
R4189 (Primary or Secondary) Other symptoms and signs involving cognitive functions and awareness 11
J910 (Primary or Secondary) Malignant pleural effusion 11
Z602 (Primary or Secondary) Problems related to living alone 11
C7931 (Primary or Secondary) Secondary malignant neoplasm of brain 11
I69391 (Primary or Secondary) Dysphagia following cerebral infarction 11
E1165 (Primary or Secondary) Type 2 diabetes mellitus with hyperglycemia 11