Allegheny Health Network Healthcare at Home Hospice - ICD Diagnosis Quality Outcomes - Oct 2018 to Dec 2018


Dexur analyzed Q4 2018 (Oct 2018 to Dec 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 414
Z9981 (Primary or Secondary) Dependence on supplemental oxygen 300
I10 (Primary or Secondary) Essential (primary) hypertension 254
I2510 (Primary or Secondary) Atherosclerotic heart disease of native coronary artery without angina pectoris 242
E785 (Primary or Secondary) Hyperlipidemia, unspecified 222
K219 (Primary or Secondary) Gastro-esophageal reflux disease without esophagitis 180
I4891 (Primary or Secondary) Unspecified atrial fibrillation 167
E039 (Primary or Secondary) Hypothyroidism, unspecified 158
J449 (Primary or Secondary) Chronic obstructive pulmonary disease, unspecified 157
F329 (Primary or Secondary) Major depressive disorder, single episode, unspecified 148
M1990 (Primary or Secondary) Unspecified osteoarthritis, unspecified site 148
D649 (Primary or Secondary) Anemia, unspecified 144
R630 (Primary or Secondary) Anorexia 143
Z87891 (Primary or Secondary) Personal history of nicotine dependence 136
Z7982 (Primary or Secondary) Long term (current) use of aspirin 125
F0280 (Primary or Secondary) Dementia in other diseases classified elsewhere without behavioral disturbance 125
I509 (Primary or Secondary) Heart failure, unspecified 123
R634 (Primary or Secondary) Abnormal weight loss 119
Z7901 (Primary or Secondary) Long term (current) use of anticoagulants 119
Z466 (Primary or Secondary) Encounter for fitting and adjustment of urinary device 118
R5383 (Primary or Secondary) Other fatigue 118
G309 (Primary or Secondary) Alzheimer's disease, unspecified 115
F419 (Primary or Secondary) Anxiety disorder, unspecified 115
M6281 (Primary or Secondary) Muscle weakness (generalized) 114
R5381 (Primary or Secondary) Other malaise 109
Z681 (Primary or Secondary) Body mass index (BMI) 19 or less, adult 107
I110 (Primary or Secondary) Hypertensive heart disease with heart failure 106
E119 (Primary or Secondary) Type 2 diabetes mellitus without complications 93
R4182 (Primary or Secondary) Altered mental status, unspecified 92
Z8673 (Primary or Secondary) Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits 91
I739 (Primary or Secondary) Peripheral vascular disease, unspecified 83
N400 (Primary or Secondary) Benign prostatic hyperplasia without lower urinary tract symptoms 81
Z9221 (Primary or Secondary) Personal history of antineoplastic chemotherapy 80
R1310 (Primary or Secondary) Dysphagia, unspecified 78
N183 (Primary or Secondary) Chronic kidney disease, stage 3 (moderate) 78
N189 (Primary or Secondary) Chronic kidney disease, unspecified 74
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 74
F0390 (Primary or Secondary) Unspecified dementia without behavioral disturbance 63
K5900 (Primary or Secondary) Constipation, unspecified 63
I252 (Primary or Secondary) Old myocardial infarction 62
E559 (Primary or Secondary) Vitamin D deficiency, unspecified 62
M810 (Primary or Secondary) Age-related osteoporosis without current pathological fracture 62
I129 (Primary or Secondary) Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease 62
E1122 (Primary or Secondary) Type 2 diabetes mellitus with diabetic chronic kidney disease 60
Z923 (Primary or Secondary) Personal history of irradiation 60
Z87440 (Primary or Secondary) Personal history of urinary (tract) infections 58
R600 (Primary or Secondary) Localized edema 57
N179 (Primary or Secondary) Acute kidney failure, unspecified 57
J9601 (Primary or Secondary) Acute respiratory failure with hypoxia 55
Z951 (Primary or Secondary) Presence of aortocoronary bypass graft 53
Z950 (Primary or Secondary) Presence of cardiac pacemaker 53
Z794 (Primary or Secondary) Long term (current) use of insulin 52
R627 (Primary or Secondary) Adult failure to thrive 51
J441 (Primary or Secondary) Chronic obstructive pulmonary disease with (acute) exacerbation 51
I480 (Primary or Secondary) Paroxysmal atrial fibrillation 49
R1312 (Primary or Secondary) Dysphagia, oropharyngeal phase 46
R269 (Primary or Secondary) Unspecified abnormalities of gait and mobility 46
R339 (Primary or Secondary) Retention of urine, unspecified 46
C7951 (Primary or Secondary) Secondary malignant neoplasm of bone 45
Z8701 (Primary or Secondary) Personal history of pneumonia (recurrent) 44
R64 (Primary or Secondary) Cachexia 43
E7800 (Primary or Secondary) Pure hypercholesterolemia, unspecified 42
E43 (Primary or Secondary) Unspecified severe protein-calorie malnutrition 41
Z955 (Primary or Secondary) Presence of coronary angioplasty implant and graft 40
H3530 (Primary or Secondary) Unspecified macular degeneration 39
J189 (Primary or Secondary) Pneumonia, unspecified organism 39
I5032 (Primary or Secondary) Chronic diastolic (congestive) heart failure 38
C3490 (Primary or Secondary) Malignant neoplasm of unspecified part of unspecified bronchus or lung 38
R296 (Primary or Secondary) Repeated falls 38
F17210 (Primary or Secondary) Nicotine dependence, cigarettes, uncomplicated 37
G20 (Primary or Secondary) Parkinson's disease 36
N390 (Primary or Secondary) Urinary tract infection, site not specified 36
I350 (Primary or Secondary) Nonrheumatic aortic (valve) stenosis 35
Z79891 (Primary or Secondary) Long term (current) use of opiate analgesic 35
H9190 (Primary or Secondary) Unspecified hearing loss, unspecified ear 34
J690 (Primary or Secondary) Pneumonitis due to inhalation of food and vomit 34
R531 (Primary or Secondary) Weakness 34
I482 (Primary or Secondary) Chronic atrial fibrillation 33
G4700 (Primary or Secondary) Insomnia, unspecified 33
F0281 (Primary or Secondary) Dementia in other diseases classified elsewhere with behavioral disturbance 33
Z452 (Primary or Secondary) Encounter for adjustment and management of vascular access device 33
M545 (Primary or Secondary) Low back pain 32
G8929 (Primary or Secondary) Other chronic pain 32
Z86718 (Primary or Secondary) Personal history of other venous thrombosis and embolism 31
G4733 (Primary or Secondary) Obstructive sleep apnea (adult) (pediatric) 31
C787 (Primary or Secondary) Secondary malignant neoplasm of liver and intrahepatic bile duct 31
E440 (Primary or Secondary) Moderate protein-calorie malnutrition 31
Z741 (Primary or Secondary) Need for assistance with personal care 30
I255 (Primary or Secondary) Ischemic cardiomyopathy 30
M549 (Primary or Secondary) Dorsalgia, unspecified 29
M109 (Primary or Secondary) Gout, unspecified 29
G40909 (Primary or Secondary) Epilepsy, unspecified, not intractable, without status epilepticus 29
I2720 (Primary or Secondary) Pulmonary hypertension, unspecified 29
I6529 (Primary or Secondary) Occlusion and stenosis of unspecified carotid artery 28
Z515 (Primary or Secondary) Encounter for palliative care 28
H409 (Primary or Secondary) Unspecified glaucoma 28
I429 (Primary or Secondary) Cardiomyopathy, unspecified 28
J440 (Primary or Secondary) Chronic obstructive pulmonary disease with acute lower respiratory infection 26
I872 (Primary or Secondary) Venous insufficiency (chronic) (peripheral) 25
M4800 (Primary or Secondary) Spinal stenosis, site unspecified 25
E1140 (Primary or Secondary) Type 2 diabetes mellitus with diabetic neuropathy, unspecified 24
I5022 (Primary or Secondary) Chronic systolic (congestive) heart failure 24
G629 (Primary or Secondary) Polyneuropathy, unspecified 24
H9193 (Primary or Secondary) Unspecified hearing loss, bilateral 24
N186 (Primary or Secondary) End stage renal disease 23
Z7984 (Primary or Secondary) Long term (current) use of oral hypoglycemic drugs 23
J9621 (Primary or Secondary) Acute and chronic respiratory failure with hypoxia 23
R918 (Primary or Secondary) Other nonspecific abnormal finding of lung field 23
E46 (Primary or Secondary) Unspecified protein-calorie malnutrition 23
N401 (Primary or Secondary) Benign prostatic hyperplasia with lower urinary tract symptoms 23
I714 (Primary or Secondary) Abdominal aortic aneurysm, without rupture 23
Z9049 (Primary or Secondary) Acquired absence of other specified parts of digestive tract 23
N184 (Primary or Secondary) Chronic kidney disease, stage 4 (severe) 22
F0150 (Primary or Secondary) Vascular dementia without behavioral disturbance 22
Z952 (Primary or Secondary) Presence of prosthetic heart valve 22
D631 (Primary or Secondary) Anemia in chronic kidney disease 21
C61 (Primary or Secondary) Malignant neoplasm of prostate 21
Z6820 (Primary or Secondary) Body mass index (BMI) 20.0-20.9, adult 21
R0600 (Primary or Secondary) Dyspnea, unspecified 21
G893 (Primary or Secondary) Neoplasm related pain (acute) (chronic) 21
I9589 (Primary or Secondary) Other hypotension 21
Z98890 (Primary or Secondary) Other specified postprocedural states 21
R911 (Primary or Secondary) Solitary pulmonary nodule 21
Z86711 (Primary or Secondary) Personal history of pulmonary embolism 20
E669 (Primary or Secondary) Obesity, unspecified 20
L89152 (Primary or Secondary) Pressure ulcer of sacral region, stage 2 19
R262 (Primary or Secondary) Difficulty in walking, not elsewhere classified 19
C7931 (Primary or Secondary) Secondary malignant neoplasm of brain 18
J45909 (Primary or Secondary) Unspecified asthma, uncomplicated 18
I5030 (Primary or Secondary) Unspecified diastolic (congestive) heart failure 18
K922 (Primary or Secondary) Gastrointestinal hemorrhage, unspecified 18
E1151 (Primary or Secondary) Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene 18
J90 (Primary or Secondary) Pleural effusion, not elsewhere classified 18
Z853 (Primary or Secondary) Personal history of malignant neoplasm of breast 18
R188 (Primary or Secondary) Other ascites 18
R410 (Primary or Secondary) Disorientation, unspecified 18
R109 (Primary or Secondary) Unspecified abdominal pain 18
D500 (Primary or Secondary) Iron deficiency anemia secondary to blood loss (chronic) 17
I081 (Primary or Secondary) Rheumatic disorders of both mitral and tricuspid valves 17
F339 (Primary or Secondary) Major depressive disorder, recurrent, unspecified 17
F05 (Primary or Secondary) Delirium due to known physiological condition 17
R451 (Primary or Secondary) Restlessness and agitation 17
I69351 (Primary or Secondary) Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side 17
Z7401 (Primary or Secondary) Bed confinement status 16
A499 (Primary or Secondary) Bacterial infection, unspecified 16
D72829 (Primary or Secondary) Elevated white blood cell count, unspecified 16
G301 (Primary or Secondary) Alzheimer's disease with late onset 16
A419 (Primary or Secondary) Sepsis, unspecified organism 16
C679 (Primary or Secondary) Malignant neoplasm of bladder, unspecified 16
J439 (Primary or Secondary) Emphysema, unspecified 16
G4730 (Primary or Secondary) Sleep apnea, unspecified 16
C7800 (Primary or Secondary) Secondary malignant neoplasm of unspecified lung 16
D696 (Primary or Secondary) Thrombocytopenia, unspecified 16
Z602 (Primary or Secondary) Problems related to living alone 16
R0602 (Primary or Secondary) Shortness of breath 16
J8410 (Primary or Secondary) Pulmonary fibrosis, unspecified 15
I69354 (Primary or Secondary) Hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side 15
J9611 (Primary or Secondary) Chronic respiratory failure with hypoxia 15
I340 (Primary or Secondary) Nonrheumatic mitral (valve) insufficiency 15
Z6821 (Primary or Secondary) Body mass index (BMI) 21.0-21.9, adult 15
Z95810 (Primary or Secondary) Presence of automatic (implantable) cardiac defibrillator 15
I214 (Primary or Secondary) Non-ST elevation (NSTEMI) myocardial infarction 15
E538 (Primary or Secondary) Deficiency of other specified B group vitamins 14
K7460 (Primary or Secondary) Unspecified cirrhosis of liver 14
L89312 (Primary or Secondary) Pressure ulcer of right buttock, stage 2 14
R601 (Primary or Secondary) Generalized edema 14
R159 (Primary or Secondary) Full incontinence of feces 14
J9600 (Primary or Secondary) Acute respiratory failure, unspecified whether with hypoxia or hypercapnia 14
I69318 (Primary or Secondary) Other symptoms and signs involving cognitive functions following cerebral infarction 14
J181 (Primary or Secondary) Lobar pneumonia, unspecified organism 14
F418 (Primary or Secondary) Other specified anxiety disorders 14
I69320 (Primary or Secondary) Aphasia following cerebral infarction 14
Z6825 (Primary or Secondary) Body mass index (BMI) 25.0-25.9, adult 14
Z8546 (Primary or Secondary) Personal history of malignant neoplasm of prostate 14
I6930 (Primary or Secondary) Unspecified sequelae of cerebral infarction 13
Z95828 (Primary or Secondary) Presence of other vascular implants and grafts 13
R413 (Primary or Secondary) Other amnesia 13
Z9989 (Primary or Secondary) Dependence on other enabling machines and devices 13
Z938 (Primary or Secondary) Other artificial opening status 13
R112 (Primary or Secondary) Nausea with vomiting, unspecified 13
E872 (Primary or Secondary) Acidosis 12
M8580 (Primary or Secondary) Other specified disorders of bone density and structure, unspecified site 12
K449 (Primary or Secondary) Diaphragmatic hernia without obstruction or gangrene 12
D638 (Primary or Secondary) Anemia in other chronic diseases classified elsewhere 12
I051 (Primary or Secondary) Rheumatic mitral insufficiency 12
Z7952 (Primary or Secondary) Long term (current) use of systemic steroids 12
R55 (Primary or Secondary) Syncope and collapse 12
J910 (Primary or Secondary) Malignant pleural effusion 12
I5033 (Primary or Secondary) Acute on chronic diastolic (congestive) heart failure 12
G9341 (Primary or Secondary) Metabolic encephalopathy 12
Z931 (Primary or Secondary) Gastrostomy status 12
R2689 (Primary or Secondary) Other abnormalities of gait and mobility 12
R400 (Primary or Secondary) Somnolence 12
D509 (Primary or Secondary) Iron deficiency anemia, unspecified 11
M069 (Primary or Secondary) Rheumatoid arthritis, unspecified 11
L89322 (Primary or Secondary) Pressure ulcer of left buttock, stage 2 11
R945 (Primary or Secondary) Abnormal results of liver function studies 11
Z9225 (Primary or Secondary) Personal history of immunosupression therapy 11
Z6827 (Primary or Secondary) Body mass index (BMI) 27.0-27.9, adult 11
Z96653 (Primary or Secondary) Presence of artificial knee joint, bilateral 11
M48061 (Primary or Secondary) Spinal stenosis, lumbar region without neurogenic claudication 11
K589 (Primary or Secondary) Irritable bowel syndrome without diarrhea 11
R4189 (Primary or Secondary) Other symptoms and signs involving cognitive functions and awareness 11
S72001D (Primary or Secondary) Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with routine healing 11
B182 (Primary or Secondary) Chronic viral hepatitis C 11
M150 (Primary or Secondary) Primary generalized (osteo)arthritis 11
R4701 (Primary or Secondary) Aphasia 11
R1311 (Primary or Secondary) Dysphagia, oral phase 11
Z6824 (Primary or Secondary) Body mass index (BMI) 24.0-24.9, adult 11
Z6828 (Primary or Secondary) Body mass index (BMI) 28.0-28.9, adult 11
Z8619 (Primary or Secondary) Personal history of other infectious and parasitic diseases 11
Z902 (Primary or Secondary) Acquired absence of lung [part of] 11
R110 (Primary or Secondary) Nausea 11