Examples: ICD M32, ICD R6521, ICD 8210, ICD 1970

M545 - ICD 10 Diagnosis Code - Low back pain - Market Size, Prevalence, Incidence, Quality Outcomes, Top Hospitals & Physicians


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Key Statistics Related to M545 - Low back pain

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

M545 - Low back pain - as a primary diagnosis code M545 - Low back pain - as a primary or secondary diagnosis code
OUTCOMES
Avg. LOS 6.01
Readmission Rate (%) 22.15
Unplanned Readmission Rate (%) 13.58
Mortality Rate (%)
SNF Discharge Rate (%)
Home Discharge Rate (%)
PAYMENTS AND CHARGES
Total Medicare Payments
Payment Per Day
Payment Per Hospitalization
Total Medicare Charges
Avg. Charges
MARKET SIZING & INCIDENCE RATES
Total National Projected Hospitalizations - Annualized (Present on Admission - All)
Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All)
Total National Projected Hospitalizations - Annualized (Present on Admission - Yes)
Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Yes)
Total National Projected Hospitalizations - Annualized (Present on Admission - Not Y)
Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Not Y)
Total Medicare Hospitalizations after Exclusion

Top DRGs Associated With M545 - Low back pain - as a primary diagnosis code

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Top 1 to 5 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 518: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICE OR NEUROSTIMULATOR DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 195,476
Total Hospitalizations with ICD M545 - Low back pain 14,117
DRG Share of Total Hospitalizations 0.59
% of Total ICD M545 - Low back pain in DRG 82.95
Avg LOS at DRG 4.48
Avg LOS with ICD M545 - Low back pain 3.66
Readmission Rate at DRG 20.57
Readmission Rate with ICD M545 - Low back pain 20.61
Unplanned Readmission Rate at DRG 9.88
Unplanned Readmission Rate with ICD M545 - Low back pain 12.39
Total Medicare payments at DRG $1,320,662,237
Total Medicare payments with ICD M545 - Low back pain $83,792,298
Total Medicare payment per Day at DRG $1,508
Total Medicare payment per Day with ICD M545 - Low back pain $1,621
Total Medicare payment per Hospitalization at DRG $6,756
Total Medicare payment per Hospitalization with ICD M545 - Low back pain $5,936
Total Medicare Charges at DRG $6,024,639,461
Total Medicare Charges with ICD M545 - Low back pain $341,309,187
Avg Charges at DRG $30,820
Avg Charges with ICD M545 - Low back pain $24,177
Mortality Rate at DRG 0.24
Mortality Rate with ICD M545 - Low back pain 0.18
SNF Discharge Rate at DRG 33.36
SNF Discharge Rate with ICD M545 - Low back pain 29.63
Home Discharge Rate at DRG 30.98
Home Discharge Rate with ICD M545 - Low back pain 36.63

Top 5 to 10 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) DRG 520: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 479: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 477: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 21,107
Total Hospitalizations with ICD M545 - Low back pain 57
DRG Share of Total Hospitalizations 0.06
% of Total ICD M545 - Low back pain in DRG 0.33
Avg LOS at DRG 6.49
Avg LOS with ICD M545 - Low back pain 6.54
Readmission Rate at DRG 26.91
Readmission Rate with ICD M545 - Low back pain 29.82
Unplanned Readmission Rate at DRG 14.11
Unplanned Readmission Rate with ICD M545 - Low back pain 21.05
Total Medicare payments at DRG $299,258,488
Total Medicare payments with ICD M545 - Low back pain $750,256
Total Medicare payment per Day at DRG $2,183
Total Medicare payment per Day with ICD M545 - Low back pain $2,011
Total Medicare payment per Hospitalization at DRG $14,178
Total Medicare payment per Hospitalization with ICD M545 - Low back pain $13,162
Total Medicare Charges at DRG $1,625,982,661
Total Medicare Charges with ICD M545 - Low back pain $3,218,236
Avg Charges at DRG $77,035
Avg Charges with ICD M545 - Low back pain $56,460
Mortality Rate at DRG 0.28
Mortality Rate with ICD M545 - Low back pain NA
SNF Discharge Rate at DRG 35.38
SNF Discharge Rate with ICD M545 - Low back pain NA
Home Discharge Rate at DRG 25.84
Home Discharge Rate with ICD M545 - Low back pain 54.39

Top 10 to 15 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) DRG 497: LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC)
Total Hospitalizations at DRG 109,018
Total Hospitalizations with ICD M545 - Low back pain 19
DRG Share of Total Hospitalizations 0.33
% of Total ICD M545 - Low back pain in DRG 0.11
Avg LOS at DRG 12.66
Avg LOS with ICD M545 - Low back pain 12.11
Readmission Rate at DRG 35.31
Readmission Rate with ICD M545 - Low back pain NA
Unplanned Readmission Rate at DRG 20.73
Unplanned Readmission Rate with ICD M545 - Low back pain NA
Total Medicare payments at DRG $3,554,922,428
Total Medicare payments with ICD M545 - Low back pain $613,708
Total Medicare payment per Day at DRG $2,575
Total Medicare payment per Day with ICD M545 - Low back pain $2,668
Total Medicare payment per Hospitalization at DRG $32,609
Total Medicare payment per Hospitalization with ICD M545 - Low back pain $32,300
Total Medicare Charges at DRG $15,445,232,132
Total Medicare Charges with ICD M545 - Low back pain $2,499,268
Avg Charges at DRG $141,676
Avg Charges with ICD M545 - Low back pain $131,540
Mortality Rate at DRG 8.99
Mortality Rate with ICD M545 - Low back pain NA
SNF Discharge Rate at DRG 27.26
SNF Discharge Rate with ICD M545 - Low back pain NA
Home Discharge Rate at DRG 27.78
Home Discharge Rate with ICD M545 - Low back pain NA

Top Hospitals Associated With M545 - Low back pain - as a primary diagnosis code

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Hospital Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
ADVENTHEALTH ORLANDO 601 E ROLLINS ST ORLANDO FL 32803 90
BEAUMONT HOSPITAL ROYAL OAK 3601 W 13 MILE RD ROYAL OAK MI 48073 85
MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS 1216 2ND ST SW ROCHESTER MN 55902 75

Top Operating Physicians Associated With M545 - Low back pain - as a primary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. DAVID M ROGERS 5645 MAIN ST FLUSHING NY 11355 12

Top Attending Physicians Associated With M545 - Low back pain - as a primary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. ADNAN M DAHDUL 14 CHESTNUT PL LUDLOW MA 01056 32
Dr. MARK A FREDRICKSON 1800 HERITAGE BLVD MIDLAND TX 79707 31
Dr. ASHOK K DHINGRA 4100 COVERT AVE EVANSVILLE IN 47714 20

Top DRGs Associated With M545 - Low back pain - as a primary or secondary diagnosis code

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Top 1 to 5 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 885: PSYCHOSES DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 1,100,860
Total Hospitalizations with ICD M545 - Low back pain 36,965
DRG Share of Total Hospitalizations 3.35
% of Total ICD M545 - Low back pain in DRG 5.85
Avg LOS at DRG 11.86
Avg LOS with ICD M545 - Low back pain 11.41
Readmission Rate at DRG 27.58
Readmission Rate with ICD M545 - Low back pain 28.33
Unplanned Readmission Rate at DRG 13.34
Unplanned Readmission Rate with ICD M545 - Low back pain 12.92
Total Medicare payments at DRG $9,312,828,663
Total Medicare payments with ICD M545 - Low back pain $307,120,367
Total Medicare payment per Day at DRG $713
Total Medicare payment per Day with ICD M545 - Low back pain $728
Total Medicare payment per Hospitalization at DRG $8,460
Total Medicare payment per Hospitalization with ICD M545 - Low back pain $8,308
Total Medicare Charges at DRG $32,341,464,302
Total Medicare Charges with ICD M545 - Low back pain $1,003,073,532
Avg Charges at DRG $29,378
Avg Charges with ICD M545 - Low back pain $27,136
Mortality Rate at DRG 0.04
Mortality Rate with ICD M545 - Low back pain NA
SNF Discharge Rate at DRG 5.83
SNF Discharge Rate with ICD M545 - Low back pain 4.7
Home Discharge Rate at DRG 79.47
Home Discharge Rate with ICD M545 - Low back pain 82.66

Top 5 to 10 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 522,791
Total Hospitalizations with ICD M545 - Low back pain 12,054
DRG Share of Total Hospitalizations 1.59
% of Total ICD M545 - Low back pain in DRG 1.91
Avg LOS at DRG 3.14
Avg LOS with ICD M545 - Low back pain 3.22
Readmission Rate at DRG 17.1
Readmission Rate with ICD M545 - Low back pain 17.5
Unplanned Readmission Rate at DRG 12.62
Unplanned Readmission Rate with ICD M545 - Low back pain 12.74
Total Medicare payments at DRG $2,290,151,156
Total Medicare payments with ICD M545 - Low back pain $54,198,328
Total Medicare payment per Day at DRG $1,394
Total Medicare payment per Day with ICD M545 - Low back pain $1,397
Total Medicare payment per Hospitalization at DRG $4,381
Total Medicare payment per Hospitalization with ICD M545 - Low back pain $4,496
Total Medicare Charges at DRG $13,619,287,561
Total Medicare Charges with ICD M545 - Low back pain $315,255,446
Avg Charges at DRG $26,051
Avg Charges with ICD M545 - Low back pain $26,154
Mortality Rate at DRG 0.18
Mortality Rate with ICD M545 - Low back pain 0.1
SNF Discharge Rate at DRG 8.57
SNF Discharge Rate with ICD M545 - Low back pain 9.21
Home Discharge Rate at DRG 72.49
Home Discharge Rate with ICD M545 - Low back pain 71.67

Top 10 to 15 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 539,642
Total Hospitalizations with ICD M545 - Low back pain 10,221
DRG Share of Total Hospitalizations 1.64
% of Total ICD M545 - Low back pain in DRG 1.62
Avg LOS at DRG 6.42
Avg LOS with ICD M545 - Low back pain 5.95
Readmission Rate at DRG 26.55
Readmission Rate with ICD M545 - Low back pain 27.5
Unplanned Readmission Rate at DRG 20.01
Unplanned Readmission Rate with ICD M545 - Low back pain 21.32
Total Medicare payments at DRG $5,267,842,463
Total Medicare payments with ICD M545 - Low back pain $95,385,990
Total Medicare payment per Day at DRG $1,520
Total Medicare payment per Day with ICD M545 - Low back pain $1,569
Total Medicare payment per Hospitalization at DRG $9,762
Total Medicare payment per Hospitalization with ICD M545 - Low back pain $9,332
Total Medicare Charges at DRG $25,503,568,329
Total Medicare Charges with ICD M545 - Low back pain $438,673,948
Avg Charges at DRG $47,260
Avg Charges with ICD M545 - Low back pain $42,919
Mortality Rate at DRG 5.62
Mortality Rate with ICD M545 - Low back pain 2.77
SNF Discharge Rate at DRG 19.26
SNF Discharge Rate with ICD M545 - Low back pain 17.3
Home Discharge Rate at DRG 39.65
Home Discharge Rate with ICD M545 - Low back pain 44.05

Top 15 to 20 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 443,386
Total Hospitalizations with ICD M545 - Low back pain 7,274
DRG Share of Total Hospitalizations 1.35
% of Total ICD M545 - Low back pain in DRG 1.15
Avg LOS at DRG 5.27
Avg LOS with ICD M545 - Low back pain 5.24
Readmission Rate at DRG 21.6
Readmission Rate with ICD M545 - Low back pain 21.9
Unplanned Readmission Rate at DRG 15.91
Unplanned Readmission Rate with ICD M545 - Low back pain 16.25
Total Medicare payments at DRG $3,812,834,208
Total Medicare payments with ICD M545 - Low back pain $63,543,949
Total Medicare payment per Day at DRG $1,632
Total Medicare payment per Day with ICD M545 - Low back pain $1,667
Total Medicare payment per Hospitalization at DRG $8,599
Total Medicare payment per Hospitalization with ICD M545 - Low back pain $8,736
Total Medicare Charges at DRG $18,110,468,211
Total Medicare Charges with ICD M545 - Low back pain $281,970,108
Avg Charges at DRG $40,846
Avg Charges with ICD M545 - Low back pain $38,764
Mortality Rate at DRG 3.59
Mortality Rate with ICD M545 - Low back pain 2.3
SNF Discharge Rate at DRG 22.57
SNF Discharge Rate with ICD M545 - Low back pain 22.57
Home Discharge Rate at DRG 40.95
Home Discharge Rate with ICD M545 - Low back pain 42.93

Top Hospitals Associated With M545 - Low back pain - as a primary or secondary diagnosis code

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Hospital Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
BEAUMONT HOSPITAL ROYAL OAK 3601 W 13 MILE RD ROYAL OAK MI 48073 2,068
MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS 1216 2ND ST SW ROCHESTER MN 55902 1,710
BAYSTATE MEDICAL CENTER 759 CHESTNUT ST SPRINGFIELD MA 01199 1,604

Top Operating Physicians Associated With M545 - Low back pain - as a primary or secondary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. DAVID MARK GORDON 28455 HAGGERTY RD NOVI MI 48377 409
Dr. MUHAMMAD MAHMOOD ALAM 1019 E WATER ST ELMIRA NY 14901 355
Dr. GREGORY DALE SMITH 2412 RING RD ELIZABETHTOWN KY 42701 264

Top Attending Physicians Associated With M545 - Low back pain - as a primary or secondary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. MUHAMMAD MAHMOOD ALAM 1019 E WATER ST ELMIRA NY 14901 417
Dr. DAVID MARK GORDON 28455 HAGGERTY RD NOVI MI 48377 409
Dr. PATRICK WILLIAM DONOVAN 1011 COLLIER ST FORT WORTH TX 76102 402

AI Identified Top 50 Most Common Comorbid Conditions Associated With M545 - Low back pain   |  Back to Top


No ICD Diagnosis Code Description
1 M25552 Pain in left hip
2 M25551 Pain in right hip
3 M79605 Pain in left leg
4 M79604 Pain in right leg
5 M62830 Muscle spasm of back
6 R262 Difficulty in walking, not elsewhere classified
7 R531 Weakness
8 Z66 Do not resuscitate
9 R5381 Other malaise
10 M4800 Spinal stenosis, site unspecified
11 G8929 Other chronic pain
12 R2689 Other abnormalities of gait and mobility
13 F0390 Unspecified dementia without behavioral disturbance
14 Z9181 History of falling
15 R269 Unspecified abnormalities of gait and mobility
16 E860 Dehydration
17 R600 Localized edema
18 R296 Repeated falls
19 B9620 Unspecified Escherichia coli [E. coli] as the cause of diseases classified elsewhere
20 F1120 Opioid dependence, uncomplicated
21 M6281 Muscle weakness (generalized)
22 M542 Cervicalgia
23 N390 Urinary tract infection, site not specified
24 I482 Chronic atrial fibrillation
25 Z98890 Other specified postprocedural states
26 M62838 Other muscle spasm
27 Z992 Dependence on renal dialysis
28 Z9981 Dependence on supplemental oxygen
29 D638 Anemia in other chronic diseases classified elsewhere
30 R200 Anesthesia of skin
31 I120 Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease
32 I509 Heart failure, unspecified
33 Z950 Presence of cardiac pacemaker
34 N186 End stage renal disease
35 I5032 Chronic diastolic (congestive) heart failure
36 Z7901 Long term (current) use of anticoagulants
37 D631 Anemia in chronic kidney disease
38 R32 Unspecified urinary incontinence
39 K5900 Constipation, unspecified
40 I130 Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
41 D509 Iron deficiency anemia, unspecified
42 M479 Spondylosis, unspecified
43 N179 Acute kidney failure, unspecified
44 G894 Chronic pain syndrome
45 I4891 Unspecified atrial fibrillation
46 I110 Hypertensive heart disease with heart failure
47 E871 Hypo-osmolality and hyponatremia
48 E876 Hypokalemia
49 M810 Age-related osteoporosis without current pathological fracture
50 G20 Parkinson's disease