CHRONIC CARE MANAGEMENT SERVICES
Chronic diseases are defined broadly as conditions that last 1 year or more and require ongoing medical attention or limit activities of daily living or both. Chronic diseases such as heart disease, cancer, and diabetes are the leading causes of death and disability in the United States.
Sequencing guideline for acute and chronic conditions, if the condition has separate subentries with the same indentation level for acute and chronic in the Index of ICD-10, code both the acute and chronic condition, with the acute listed first followed by the chronic condition.
46 Chronic condition ICD-10 codes
1. Anemia D50–D53, D55–D58, D59.0–D59.2,
D59.4–D59.9, D60.0, D60.8, D60.9,
D61, D63–D64
2. Allergy H01.1, J30, L23, L27.2, L56.4,
K52.2, K90.0, T78.1, T78.4, T88.7
3. Anxiety F40–F41
4. Asthma/COPD J40–J45, J47
5. Atherosclerosis/PAOD I65–I66, I67.2, I70, I73.9
6. Cancer C00–C14, C15–C26, C30–C39,
C40–C41, C43–C44, C45–C49,
C50, C51–C58, C60–C63,
C64–C68, C69–C72, C73–C75,
C81–C96, C76–C80, C97,
D00–D09, D37–D48
7. Cardiac arrhythmias I44–I45, I46.0, I46.9, I47–I48,
I49.1–I49.9
8. Cardiac insufficiency I50
9. Cardiac valve disorders I34–I37
10. Cerebral ischemia/chronic
stroke
I60–I64, I69, G45
11. Chronic cholecystitis/gallstones K80, K81.1
12. Chronic gastritis/GERD K21, K25.4–K25.9, K26.4–K26.9,
K27.4–K27.9, K28.4–K28.9,
K29.2–K29.9
13. Chronic ischemic heart disease I20, I25, I21
14. Chronic low back pain M40–M45, M47, M48.0–M48.2,
M48.5–M48.9 M50–M54
15. Dementia F00–F03, F05.1, G30, G31,
R54
16. Depression F32–F33
17. Diabetes mellitus E10–E14
18. Dizziness H81–H82, R42
19. Gynecological problems N81, N84–N90, N93, N95
20. Hemorrhoids I84
21. Hypertension I10–I15
22. Hyperuricemia/gout E79, M10
23. Hypotension I95
24. Insomnia G47, F51
25. Intestinal diverticulosis K57
26. Joint arthrosis M15–M19
27. Lipid metabolism disorders E78
28. Liver disease K70, K71.3–K71.5, K71.7, K72.1,
K72.7, K72.9, K73–K74, K76
29. Lower limb varicosis I83, I87.2
30. Migraine/chronic headache G43, G44
31. Neuropathies G50–G64
32. Obesity E66
33. Osteoporosis M80–M82
34. Parkinson’s disease G20–G22
35. Prostatic hyperplasia N40
36. Psoriasis L40
37. Renal insufficiency N18–N19
38. Rheumatoid arthritis/chronic
polyarthritis
M05–M06, M79.0
39. Severe vision reduction H17–H18, H25–H28, H31, H33,
H34.1–H34.2, H34.8–H34.9,
H35–H36, H40, H43, H47, H54
40. Severe hearing loss H90, H91.0, H91.1, H91.3,
H91.8, H91.9
41. Sexual dysfunction F52, N48.4
42. Somatoform disorders F45
43. Thyroid diseases E01–E05, E06.1–E06.3, E06.5,
E06.9, E07
44. Tobacco abuse F17
45. Urinary incontinence N39.3–N39.4, R32
46. Urinary tract calculi N20
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Chronic diseases are defined broadly as conditions that last 1 year or more and require ongoing medical attention or limit activities of daily living or both. Chronic diseases such as heart disease, cancer, and diabetes are the leading causes of death and disability in the United States.
Sequencing guideline for acute and chronic conditions, if the condition has separate subentries with the same indentation level for acute and chronic in the Index of ICD-10, code both the acute and chronic condition, with the acute listed first followed by the chronic condition.
Chronic Conditions
Prevalence and Medicare utilization and spending are presented for the 21 chronic conditionsCo-morbidity
Prevalence and Medicare spending are presented for chronic condition co-morbidity at the national level. Co-morbidity is illustrated by the combinations of the 21 chronic conditions. Dyads represent the combinations of two chronic conditions among Medicare beneficiaries with at least two of the conditions. There are 210 dyads. Triads represent the combinations of three chronic conditions among Medicare beneficiaries with at least three of the conditions. There are 1,330 triads.| Alcohol Abuse | Drug Abuse/ Substance Abuse |
| Alzheimer’s Disease and Related Dementia | Heart Failure |
| Arthritis (Osteoarthritis and Rheumatoid) | Hepatitis (Chronic Viral B & C) |
| Asthma | HIV/AIDS |
| Atrial Fibrillation | Hyperlipidemia (High cholesterol) |
| Autism Spectrum Disorders | Hypertension (High blood pressure) |
| Cancer (Breast, Colorectal, Lung, and Prostate) | Ischemic Heart Disease |
| Chronic Kidney Disease | Osteoporosis |
| Chronic Obstructive Pulmonary Disease | Schizophrenia and Other Psychotic Disorders |
| Depression | Stroke |
| Diabetes |
46 Chronic condition ICD-10 codes
1. Anemia D50–D53, D55–D58, D59.0–D59.2,
D59.4–D59.9, D60.0, D60.8, D60.9,
D61, D63–D64
2. Allergy H01.1, J30, L23, L27.2, L56.4,
K52.2, K90.0, T78.1, T78.4, T88.7
3. Anxiety F40–F41
4. Asthma/COPD J40–J45, J47
5. Atherosclerosis/PAOD I65–I66, I67.2, I70, I73.9
6. Cancer C00–C14, C15–C26, C30–C39,
C40–C41, C43–C44, C45–C49,
C50, C51–C58, C60–C63,
C64–C68, C69–C72, C73–C75,
C81–C96, C76–C80, C97,
D00–D09, D37–D48
7. Cardiac arrhythmias I44–I45, I46.0, I46.9, I47–I48,
I49.1–I49.9
8. Cardiac insufficiency I50
9. Cardiac valve disorders I34–I37
10. Cerebral ischemia/chronic
stroke
I60–I64, I69, G45
11. Chronic cholecystitis/gallstones K80, K81.1
12. Chronic gastritis/GERD K21, K25.4–K25.9, K26.4–K26.9,
K27.4–K27.9, K28.4–K28.9,
K29.2–K29.9
13. Chronic ischemic heart disease I20, I25, I21
14. Chronic low back pain M40–M45, M47, M48.0–M48.2,
M48.5–M48.9 M50–M54
15. Dementia F00–F03, F05.1, G30, G31,
R54
16. Depression F32–F33
17. Diabetes mellitus E10–E14
18. Dizziness H81–H82, R42
19. Gynecological problems N81, N84–N90, N93, N95
20. Hemorrhoids I84
21. Hypertension I10–I15
22. Hyperuricemia/gout E79, M10
23. Hypotension I95
24. Insomnia G47, F51
25. Intestinal diverticulosis K57
26. Joint arthrosis M15–M19
27. Lipid metabolism disorders E78
28. Liver disease K70, K71.3–K71.5, K71.7, K72.1,
K72.7, K72.9, K73–K74, K76
29. Lower limb varicosis I83, I87.2
30. Migraine/chronic headache G43, G44
31. Neuropathies G50–G64
32. Obesity E66
33. Osteoporosis M80–M82
34. Parkinson’s disease G20–G22
35. Prostatic hyperplasia N40
36. Psoriasis L40
37. Renal insufficiency N18–N19
38. Rheumatoid arthritis/chronic
polyarthritis
M05–M06, M79.0
39. Severe vision reduction H17–H18, H25–H28, H31, H33,
H34.1–H34.2, H34.8–H34.9,
H35–H36, H40, H43, H47, H54
40. Severe hearing loss H90, H91.0, H91.1, H91.3,
H91.8, H91.9
41. Sexual dysfunction F52, N48.4
42. Somatoform disorders F45
43. Thyroid diseases E01–E05, E06.1–E06.3, E06.5,
E06.9, E07
44. Tobacco abuse F17
45. Urinary incontinence N39.3–N39.4, R32
46. Urinary tract calculi N20
Clarity on “Chronic” Conditions – MedLearn Publishing
Answers to listeners’ questions posed during last week’s edition of Talk Ten Tuesdays are provided here by the author. There is a disconnect among coders and clinicians regarding the concept of “chronic” conditions. All clinicians have interviewed a patient who denies any past medical history...
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Properly Coding Chronic Conditions Is Essential in Today’s Value-Based World – MedLearn Publishing
Chronic conditions are the driving force in determining healthcare outcomes and costs in today’s value-based world, hence the interest in the Hierarchical Condition Category (HCC) coding payment model. Coding chronic conditions and co-morbidities is becoming increasingly critical as the...
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