ESRD PPS Comorbidity Categories and Diagnosis Codes

ESRD PPS Comorbidity Categories and Diagnosis Codes

Acute Comorbidity Categories

Gastrointestinal Bleeding

ICD-10-CM diagnosis K22.11 K25.0 K25.2 K25.4 K25.6 K26.0 K26.2 K26.4 K26.6 K27.0 K27.2 K27.4 K27.6 K28.0 K28.2 K28.4 K28.6 K31.811 K55.21 K57.01 K57.11 K57.13 K57.21 K57.31 K57.33 K57.41 K57.51 K57.53 K57.81 K57.91 K57.93

Descriptor

Ulcer of esophagus with bleeding Acute gastric ulcer with hemorrhage Acute gastric ulcer with both hemorrhage and perforation Chronic or unspecified gastric ulcer with hemorrhage Chronic or unspecified gastric ulcer with both hemorrhage and perforation Acute duodenal ulcer with hemorrhage Acute duodenal ulcer with both hemorrhage and perforation Chronic or unspecified duodenal ulcer with hemorrhage Chronic or unspecified duodenal ulcer with both hemorrhage and perforation Acute peptic ulcer, site unspecified, with hemorrhage Acute peptic ulcer, site unspecified, with both hemorrhage and perforation Chronic or unspecified peptic ulcer, site unspecified, with hemorrhage Chronic or unspecified peptic ulcer, site unspecified, with both hemorrhage and perforation Acute gastrojejunal ulcer with hemorrhage Acute gastrojejunal ulcer with both hemorrhage and perforation Chronic or unspecified gastrojejunal ulcer with hemorrhage Chronic or unspecified gastrojejunal ulcer with both hemorrhage and perforation Angiodysplasia of stomach and duodenum with bleeding Angiodysplasia of colon with hemorrhage Diverticulitis of small intestine with perforation and abscess with bleeding Diverticulosis of small intestine without perforation or abscess with bleeding Diverticulitis of small intestine without perforation or abscess with bleeding Diverticulitis of large intestine with perforation and abscess with bleeding Diverticulosis of large intestine without perforation or abscess with bleeding Diverticulitis of large intestine without perforation or abscess with bleeding Diverticulitis of both small and large intestine with perforation and abscess with bleeding Diverticulosis of both small and large intestine without perforation or abscess with bleeding Diverticulitis of both small and large intestine without perforation or abscess with bleeding Diverticulitis of intestine, part unspecified, with perforation and abscess with bleeding Diverticulosis of intestine, part unspecified, without perforation or abscess with bleeding Diverticulitis of intestine, part unspecified, without perforation or abscess with bleeding

Pericarditis

ICD-10-CM diagnosis A18.84 I30.0 I30.1 I30.8 I30.9 I32 M32.12

Descriptor

Tuberculosis of heart Acute nonspecific idiopathic pericarditis Infective pericarditis Other forms of acute pericarditis Acute pericarditis, unspecified Pericarditis in diseases classified elsewhere Pericarditis in diseases classified elsewhere

Chronic Comorbidity Categories

Hereditary Hemolytic and Sickle Cell Anemia

ICD-10-CM diagnosis D55.0 D55.1 D55.2 D55.3 D55.8 D55.9 D56.0 D56.1 D56.2 D56.3 D56.5 D56.8 D57.00 D57.01 D57.02 D57.03 D57.09 D57.1 D57.20 D57.211 D57.212 D57.213 D57.218 D57.219 D57.40 D57.411

Descriptor

Anemia due to glucose-6-phosphate dehydrogenase [G6PD] deficiency Anemia due to other disorders of glutathione metabolism Anemia due to disorders of glycolytic enzymes Anemia due to disorders of nucleotide metabolism Other anemias due to enzyme disorders Anemia due to enzyme disorder, unspecified Alpha thalassemia Beta thalassemia Delta-beta thalassemia Thalassemia minor Hemoglobin E-beta thalassemia Other thalassemias Hb-SS disease with crisis, unspecified Hb-SS disease with acute chest syndrome Hb-SS disease with splenic sequestration Hb-SS disease with cerebral vascular involvement Hb-SS disease with crisis with other specified complication Sickle-cell disease without crisis Sickle-cell/Hb-C disease without crisis Sickle-cell/Hb-C disease with acute chest syndrome Sickle-cell/Hb-C disease with splenic sequestration Sickle-cell/Hb-C disease with cerebral vascular involvement Sickle-cell/Hb-C disease with crisis with other specified complication Sickle-cell/Hb-C disease with crisis, unspecified Sickle-cell thalassemia without crisis Sickle-cell thalassemia with acute chest syndrome

ICD-10-CM Diagnosis D57.412 D57.413 D57.418 D57.419 D57.42 D57.431 D57.432 D57.433 D57.438 D57.439 D57.44 D57.451 D57.452 D57.453 D57.458 D57.459 D57.80 D57.811 D57.812 D57.813 D57.818 D57.819 D58.0 D58.1

Descriptor

Sickle-cell thalassemia with splenic sequestration Sickle-cell thalassemia, unspecified, with cerebral vascular involvement Sickle-cell thalassemia, unspecified, with crisis with other specified complication Sickle-cell thalassemia with crisis, unspecified Sickle-cell-thalassemia beta zero without crisis Sickle-cell-thalassemia beta zero with acute chest syndrome Sickle-cell thalassemia beta zero with splenic sequestration Sickle cell-thalassemia beta zero with cerebral vascular involvement Sickle cell-thalassemia beta zero with crisis with other specified complication Sickle-cell thalassemia beta zero with crisis, unspecified Sickle cell-thalassemia beta plus without crisis Sickle cell-thalassemia beta plus with acute chest syndrome Sickle-cell thalassemia beta plus with splenic sequestration Sickle cell-thalassemia beta plus with cerebral vascular involvement Sickle cell-thalassemia beta plus with crisis with other specified complication Sickle-cell thalassemia beta plus with crisis, unspecified Other sickle-cell disorders without crisis Other sickle-cell disorders with acute chest syndrome Other sickle-cell disorders with splenic sequestration Other sickle-cell disorders with cerebral vascular involvement Other sickle-cell disorders with crisis with other specified complication Other sickle-cell disorders with crisis, unspecified Hereditary spherocytosis Hereditary elliptocytosis

Myelodysplastic Syndrome

ICD-10-CM Diagnosis D46.0 D46.1 D46.20 D46.21 D46.22 D46.4 D46.9 D46.A D46.B D46.C D46.Z D47.1 D47.3

Descriptor

Refractory anemia without ring sideroblasts, so stated Refractory anemia with ring sideroblasts Refractory anemia with excess of blasts, unspecified Refractory anemia with excess of blasts 1 Refractory anemia with excess of blasts 2 Refractory anemia, unspecified Myelodysplastic syndrome, unspecified Refractory cytopenia with multilineage dysplasia Refractory cytopenia with multilineage dysplasia and ring sideroblasts Myelodysplastic syndrome with isolated del(5q) chromosomal abnormality Other myelodysplastic syndromes Chronic myeloproliferative disease Essential (hemorrhagic) thrombocythemia

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