Allegheny Health Network Healthcare at Home 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 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 664
Z9981 (Primary or Secondary) Dependence on supplemental oxygen 391
E785 (Primary or Secondary) Hyperlipidemia, unspecified 325
I10 (Primary or Secondary) Essential (primary) hypertension 314
K219 (Primary or Secondary) Gastro-esophageal reflux disease without esophagitis 263
I2510 (Primary or Secondary) Atherosclerotic heart disease of native coronary artery without angina pectoris 253
E039 (Primary or Secondary) Hypothyroidism, unspecified 219
Z87891 (Primary or Secondary) Personal history of nicotine dependence 198
D649 (Primary or Secondary) Anemia, unspecified 192
M1990 (Primary or Secondary) Unspecified osteoarthritis, unspecified site 184
F329 (Primary or Secondary) Major depressive disorder, single episode, unspecified 179
Z515 (Primary or Secondary) Encounter for palliative care 178
F419 (Primary or Secondary) Anxiety disorder, unspecified 177
R630 (Primary or Secondary) Anorexia 175
I4891 (Primary or Secondary) Unspecified atrial fibrillation 172
M6281 (Primary or Secondary) Muscle weakness (generalized) 161
Z7901 (Primary or Secondary) Long term (current) use of anticoagulants 161
R5383 (Primary or Secondary) Other fatigue 155
Z7982 (Primary or Secondary) Long term (current) use of aspirin 154
J449 (Primary or Secondary) Chronic obstructive pulmonary disease, unspecified 151
I110 (Primary or Secondary) Hypertensive heart disease with heart failure 151
R634 (Primary or Secondary) Abnormal weight loss 145
G309 (Primary or Secondary) Alzheimer's disease, unspecified 142
I509 (Primary or Secondary) Heart failure, unspecified 135
R5381 (Primary or Secondary) Other malaise 135
Z681 (Primary or Secondary) Body mass index (BMI) 19 or less, adult 131
E119 (Primary or Secondary) Type 2 diabetes mellitus without complications 130
F0280 (Primary or Secondary) Dementia in other diseases classified elsewhere without behavioral disturbance 127
N183 (Primary or Secondary) Chronic kidney disease, stage 3 (moderate) 117
F0390 (Primary or Secondary) Unspecified dementia without behavioral disturbance 108
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 108
Z8673 (Primary or Secondary) Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits 104
Z9221 (Primary or Secondary) Personal history of antineoplastic chemotherapy 101
M810 (Primary or Secondary) Age-related osteoporosis without current pathological fracture 100
R1310 (Primary or Secondary) Dysphagia, unspecified 99
I739 (Primary or Secondary) Peripheral vascular disease, unspecified 97
R296 (Primary or Secondary) Repeated falls 97
R4182 (Primary or Secondary) Altered mental status, unspecified 92
I252 (Primary or Secondary) Old myocardial infarction 88
Z87440 (Primary or Secondary) Personal history of urinary (tract) infections 86
I480 (Primary or Secondary) Paroxysmal atrial fibrillation 85
Z466 (Primary or Secondary) Encounter for fitting and adjustment of urinary device 80
J439 (Primary or Secondary) Emphysema, unspecified 78
Z79891 (Primary or Secondary) Long term (current) use of opiate analgesic 77
K5900 (Primary or Secondary) Constipation, unspecified 77
E559 (Primary or Secondary) Vitamin D deficiency, unspecified 75
N400 (Primary or Secondary) Benign prostatic hyperplasia without lower urinary tract symptoms 74
Z950 (Primary or Secondary) Presence of cardiac pacemaker 72
E440 (Primary or Secondary) Moderate protein-calorie malnutrition 72
R600 (Primary or Secondary) Localized edema 72
N189 (Primary or Secondary) Chronic kidney disease, unspecified 67
I129 (Primary or Secondary) Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease 63
Z923 (Primary or Secondary) Personal history of irradiation 63
F0281 (Primary or Secondary) Dementia in other diseases classified elsewhere with behavioral disturbance 62
Z794 (Primary or Secondary) Long term (current) use of insulin 59
R269 (Primary or Secondary) Unspecified abnormalities of gait and mobility 59
N179 (Primary or Secondary) Acute kidney failure, unspecified 58
Z452 (Primary or Secondary) Encounter for adjustment and management of vascular access device 58
Z741 (Primary or Secondary) Need for assistance with personal care 58
Z960 (Primary or Secondary) Presence of urogenital implants 56
E7800 (Primary or Secondary) Pure hypercholesterolemia, unspecified 56
R451 (Primary or Secondary) Restlessness and agitation 53
E1122 (Primary or Secondary) Type 2 diabetes mellitus with diabetic chronic kidney disease 53
G8929 (Primary or Secondary) Other chronic pain 52
R627 (Primary or Secondary) Adult failure to thrive 52
I2720 (Primary or Secondary) Pulmonary hypertension, unspecified 51
R64 (Primary or Secondary) Cachexia 51
Z951 (Primary or Secondary) Presence of aortocoronary bypass graft 48
Z86718 (Primary or Secondary) Personal history of other venous thrombosis and embolism 48
I5032 (Primary or Secondary) Chronic diastolic (congestive) heart failure 48
R531 (Primary or Secondary) Weakness 48
H9193 (Primary or Secondary) Unspecified hearing loss, bilateral 47
I350 (Primary or Secondary) Nonrheumatic aortic (valve) stenosis 47
G20 (Primary or Secondary) Parkinson's disease 46
G4700 (Primary or Secondary) Insomnia, unspecified 46
J441 (Primary or Secondary) Chronic obstructive pulmonary disease with (acute) exacerbation 46
H9190 (Primary or Secondary) Unspecified hearing loss, unspecified ear 45
Z955 (Primary or Secondary) Presence of coronary angioplasty implant and graft 44
H3530 (Primary or Secondary) Unspecified macular degeneration 44
M549 (Primary or Secondary) Dorsalgia, unspecified 44
Z7952 (Primary or Secondary) Long term (current) use of systemic steroids 44
Z853 (Primary or Secondary) Personal history of malignant neoplasm of breast 44
E1140 (Primary or Secondary) Type 2 diabetes mellitus with diabetic neuropathy, unspecified 43
H409 (Primary or Secondary) Unspecified glaucoma 43
R339 (Primary or Secondary) Retention of urine, unspecified 42
M545 (Primary or Secondary) Low back pain 42
C7951 (Primary or Secondary) Secondary malignant neoplasm of bone 42
G4733 (Primary or Secondary) Obstructive sleep apnea (adult) (pediatric) 42
R262 (Primary or Secondary) Difficulty in walking, not elsewhere classified 42
N390 (Primary or Secondary) Urinary tract infection, site not specified 42
I255 (Primary or Secondary) Ischemic cardiomyopathy 41
M8580 (Primary or Secondary) Other specified disorders of bone density and structure, unspecified site 41
R1312 (Primary or Secondary) Dysphagia, oropharyngeal phase 41
J9601 (Primary or Secondary) Acute respiratory failure with hypoxia 40
I482 (Primary or Secondary) Chronic atrial fibrillation 40
F17210 (Primary or Secondary) Nicotine dependence, cigarettes, uncomplicated 39
G629 (Primary or Secondary) Polyneuropathy, unspecified 39
E46 (Primary or Secondary) Unspecified protein-calorie malnutrition 38
G40909 (Primary or Secondary) Epilepsy, unspecified, not intractable, without status epilepticus 37
R2689 (Primary or Secondary) Other abnormalities of gait and mobility 36
E43 (Primary or Secondary) Unspecified severe protein-calorie malnutrition 36
C787 (Primary or Secondary) Secondary malignant neoplasm of liver and intrahepatic bile duct 36
Z86711 (Primary or Secondary) Personal history of pulmonary embolism 35
Z8701 (Primary or Secondary) Personal history of pneumonia (recurrent) 34
R918 (Primary or Secondary) Other nonspecific abnormal finding of lung field 34
I714 (Primary or Secondary) Abdominal aortic aneurysm, without rupture 34
J189 (Primary or Secondary) Pneumonia, unspecified organism 34
J9611 (Primary or Secondary) Chronic respiratory failure with hypoxia 33
G893 (Primary or Secondary) Neoplasm related pain (acute) (chronic) 33
I872 (Primary or Secondary) Venous insufficiency (chronic) (peripheral) 31
Z6821 (Primary or Secondary) Body mass index (BMI) 21.0-21.9, adult 31
Z7984 (Primary or Secondary) Long term (current) use of oral hypoglycemic drugs 31
Z98890 (Primary or Secondary) Other specified postprocedural states 31
I429 (Primary or Secondary) Cardiomyopathy, unspecified 31
F05 (Primary or Secondary) Delirium due to known physiological condition 31
I5022 (Primary or Secondary) Chronic systolic (congestive) heart failure 31
M109 (Primary or Secondary) Gout, unspecified 30
D509 (Primary or Secondary) Iron deficiency anemia, unspecified 30
Z6820 (Primary or Secondary) Body mass index (BMI) 20.0-20.9, adult 29
D696 (Primary or Secondary) Thrombocytopenia, unspecified 29
K449 (Primary or Secondary) Diaphragmatic hernia without obstruction or gangrene 28
Z602 (Primary or Secondary) Problems related to living alone 28
N184 (Primary or Secondary) Chronic kidney disease, stage 4 (severe) 28
Z7409 (Primary or Secondary) Other reduced mobility 27
Z9049 (Primary or Secondary) Acquired absence of other specified parts of digestive tract 27
F339 (Primary or Secondary) Major depressive disorder, recurrent, unspecified 26
I6529 (Primary or Secondary) Occlusion and stenosis of unspecified carotid artery 26
C3490 (Primary or Secondary) Malignant neoplasm of unspecified part of unspecified bronchus or lung 25
C61 (Primary or Secondary) Malignant neoplasm of prostate 25
E669 (Primary or Secondary) Obesity, unspecified 25
R54 (Primary or Secondary) Age-related physical debility 24
R410 (Primary or Secondary) Disorientation, unspecified 24
J690 (Primary or Secondary) Pneumonitis due to inhalation of food and vomit 24
F0150 (Primary or Secondary) Vascular dementia without behavioral disturbance 24
E538 (Primary or Secondary) Deficiency of other specified B group vitamins 23
M6250 (Primary or Secondary) Muscle wasting and atrophy, not elsewhere classified, unspecified site 23
I119 (Primary or Secondary) Hypertensive heart disease without heart failure 23
N401 (Primary or Secondary) Benign prostatic hyperplasia with lower urinary tract symptoms 23
Z6822 (Primary or Secondary) Body mass index (BMI) 22.0-22.9, adult 22
A419 (Primary or Secondary) Sepsis, unspecified organism 22
I214 (Primary or Secondary) Non-ST elevation (NSTEMI) myocardial infarction 22
I69354 (Primary or Secondary) Hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side 22
R569 (Primary or Secondary) Unspecified convulsions 22
R911 (Primary or Secondary) Solitary pulmonary nodule 22
J8410 (Primary or Secondary) Pulmonary fibrosis, unspecified 22
J45909 (Primary or Secondary) Unspecified asthma, uncomplicated 22
E1121 (Primary or Secondary) Type 2 diabetes mellitus with diabetic nephropathy 21
I5030 (Primary or Secondary) Unspecified diastolic (congestive) heart failure 21
K922 (Primary or Secondary) Gastrointestinal hemorrhage, unspecified 21
I5033 (Primary or Secondary) Acute on chronic diastolic (congestive) heart failure 21
I340 (Primary or Secondary) Nonrheumatic mitral (valve) insufficiency 21
I69351 (Primary or Secondary) Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side 21
L89152 (Primary or Secondary) Pressure ulcer of sacral region, stage 2 21
M4800 (Primary or Secondary) Spinal stenosis, site unspecified 21
Z8546 (Primary or Secondary) Personal history of malignant neoplasm of prostate 20
C7931 (Primary or Secondary) Secondary malignant neoplasm of brain 20
Z95828 (Primary or Secondary) Presence of other vascular implants and grafts 20
E782 (Primary or Secondary) Mixed hyperlipidemia 20
R112 (Primary or Secondary) Nausea with vomiting, unspecified 20
Z9989 (Primary or Secondary) Dependence on other enabling machines and devices 20
I5042 (Primary or Secondary) Chronic combined systolic (congestive) and diastolic (congestive) heart failure 20
Z8781 (Primary or Secondary) Personal history of (healed) traumatic fracture 20
D72829 (Primary or Secondary) Elevated white blood cell count, unspecified 19
M069 (Primary or Secondary) Rheumatoid arthritis, unspecified 19
M150 (Primary or Secondary) Primary generalized (osteo)arthritis 19
Z95810 (Primary or Secondary) Presence of automatic (implantable) cardiac defibrillator 19
J90 (Primary or Secondary) Pleural effusion, not elsewhere classified 19
F418 (Primary or Secondary) Other specified anxiety disorders 19
K7460 (Primary or Secondary) Unspecified cirrhosis of liver 18
Z6824 (Primary or Secondary) Body mass index (BMI) 24.0-24.9, adult 18
R188 (Primary or Secondary) Other ascites 18
G4730 (Primary or Secondary) Sleep apnea, unspecified 18
Z85828 (Primary or Secondary) Personal history of other malignant neoplasm of skin 18
E1151 (Primary or Secondary) Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene 18
Z7401 (Primary or Secondary) Bed confinement status 18
N186 (Primary or Secondary) End stage renal disease 18
C189 (Primary or Secondary) Malignant neoplasm of colon, unspecified 17
Z6823 (Primary or Secondary) Body mass index (BMI) 23.0-23.9, adult 17
M1991 (Primary or Secondary) Primary osteoarthritis, unspecified site 17
I517 (Primary or Secondary) Cardiomegaly 17
G301 (Primary or Secondary) Alzheimer's disease with late onset 17
Z9689 (Primary or Secondary) Presence of other specified functional implants 17
J918 (Primary or Secondary) Pleural effusion in other conditions classified elsewhere 16
A499 (Primary or Secondary) Bacterial infection, unspecified 16
Z905 (Primary or Secondary) Acquired absence of kidney 16
Z931 (Primary or Secondary) Gastrostomy status 16
M48061 (Primary or Secondary) Spinal stenosis, lumbar region without neurogenic claudication 16
Z85038 (Primary or Secondary) Personal history of other malignant neoplasm of large intestine 16
G9341 (Primary or Secondary) Metabolic encephalopathy 16
M170 (Primary or Secondary) Bilateral primary osteoarthritis of knee 16
Z9089 (Primary or Secondary) Acquired absence of other organs 16
R55 (Primary or Secondary) Syncope and collapse 16
D631 (Primary or Secondary) Anemia in chronic kidney disease 16
F17200 (Primary or Secondary) Nicotine dependence, unspecified, uncomplicated 16
J9621 (Primary or Secondary) Acute and chronic respiratory failure with hypoxia 16
I5023 (Primary or Secondary) Acute on chronic systolic (congestive) heart failure 16
R413 (Primary or Secondary) Other amnesia 16
I69318 (Primary or Secondary) Other symptoms and signs involving cognitive functions following cerebral infarction 15
B370 (Primary or Secondary) Candidal stomatitis 15
I69320 (Primary or Secondary) Aphasia following cerebral infarction 15
R197 (Primary or Secondary) Diarrhea, unspecified 15
I25119 (Primary or Secondary) Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris 15
I9589 (Primary or Secondary) Other hypotension 15
J440 (Primary or Secondary) Chronic obstructive pulmonary disease with acute lower respiratory infection 14
G311 (Primary or Secondary) Senile degeneration of brain, not elsewhere classified 14
K589 (Primary or Secondary) Irritable bowel syndrome without diarrhea 14
Z6827 (Primary or Secondary) Body mass index (BMI) 27.0-27.9, adult 14
R443 (Primary or Secondary) Hallucinations, unspecified 14
F0391 (Primary or Secondary) Unspecified dementia with behavioral disturbance 14
D500 (Primary or Secondary) Iron deficiency anemia secondary to blood loss (chronic) 14
Z6830 (Primary or Secondary) Body mass index (BMI) 30.0-30.9, adult 14
Z952 (Primary or Secondary) Presence of prosthetic heart valve 14
C7800 (Primary or Secondary) Secondary malignant neoplasm of unspecified lung 14
I447 (Primary or Secondary) Left bundle-branch block, unspecified 14
Z8619 (Primary or Secondary) Personal history of other infectious and parasitic diseases 14
I361 (Primary or Secondary) Nonrheumatic tricuspid (valve) insufficiency 14
Z6825 (Primary or Secondary) Body mass index (BMI) 25.0-25.9, adult 14
G9340 (Primary or Secondary) Encephalopathy, unspecified 13
J910 (Primary or Secondary) Malignant pleural effusion 13
I495 (Primary or Secondary) Sick sinus syndrome 13
D508 (Primary or Secondary) Other iron deficiency anemias 13
E872 (Primary or Secondary) Acidosis 13
Z7951 (Primary or Secondary) Long term (current) use of inhaled steroids 13
Z938 (Primary or Secondary) Other artificial opening status 13
F319 (Primary or Secondary) Bipolar disorder, unspecified 13
R109 (Primary or Secondary) Unspecified abdominal pain 13
M797 (Primary or Secondary) Fibromyalgia 13
D6489 (Primary or Secondary) Other specified anemias 12
J9610 (Primary or Secondary) Chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 12
I69391 (Primary or Secondary) Dysphagia following cerebral infarction 12
E079 (Primary or Secondary) Disorder of thyroid, unspecified 12
C259 (Primary or Secondary) Malignant neoplasm of pancreas, unspecified 12
L89322 (Primary or Secondary) Pressure ulcer of left buttock, stage 2 12
D61818 (Primary or Secondary) Other pancytopenia 12
Z90710 (Primary or Secondary) Acquired absence of both cervix and uterus 12
Z6826 (Primary or Secondary) Body mass index (BMI) 26.0-26.9, adult 12
R400 (Primary or Secondary) Somnolence 12
E871 (Primary or Secondary) Hypo-osmolality and hyponatremia 12
I083 (Primary or Secondary) Combined rheumatic disorders of mitral, aortic and tricuspid valves 12
I081 (Primary or Secondary) Rheumatic disorders of both mitral and tricuspid valves 12
R2681 (Primary or Secondary) Unsteadiness on feet 12
I2699 (Primary or Secondary) Other pulmonary embolism without acute cor pulmonale 12
R0902 (Primary or Secondary) Hypoxemia 12
R1311 (Primary or Secondary) Dysphagia, oral phase 12
E1159 (Primary or Secondary) Type 2 diabetes mellitus with other circulatory complications 12
I5043 (Primary or Secondary) Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure 11
C786 (Primary or Secondary) Secondary malignant neoplasm of retroperitoneum and peritoneum 11
C679 (Primary or Secondary) Malignant neoplasm of bladder, unspecified 11
I051 (Primary or Secondary) Rheumatic mitral insufficiency 11
R350 (Primary or Secondary) Frequency of micturition 11
I890 (Primary or Secondary) Lymphedema, not elsewhere classified 11
R17 (Primary or Secondary) Unspecified jaundice 11
I5084 (Primary or Secondary) End stage heart failure 11
I519 (Primary or Secondary) Heart disease, unspecified 11
I959 (Primary or Secondary) Hypotension, unspecified 11
I951 (Primary or Secondary) Orthostatic hypotension 11
F1011 (Primary or Secondary) Alcohol abuse, in remission 11
E041 (Primary or Secondary) Nontoxic single thyroid nodule 11
I712 (Primary or Secondary) Thoracic aortic aneurysm, without rupture 11
C9000 (Primary or Secondary) Multiple myeloma not having achieved remission 11
R4701 (Primary or Secondary) Aphasia 11
R41841 (Primary or Secondary) Cognitive communication deficit 11