Text Table A
International Statistical Classification of Diseases and Related Health Problems, 10th Revision, Canada (ICD-10-CA) codes used to define ambulatory care sensitive conditions
| Ambulatory care sensitive condition | ICD 10 CA code range |
|---|---|
| Diabetes | E10, E11, E13, E14 AND none of: E109, E119, E139, E149 |
| Chronic obstructive pulmonary disease | J41, J42, J43, J44, J47 AND chronic lower respiratory disease diagnosis (J41, J43, J44, J47) |
| Asthma | J45 excluding records with any diagnosis code of cystic fibrosis and anomalies of the respiratory system |
| Angina | I20, I240, I248, I249, I2382, AND angina surgical exlusions (codes below) not present |
| Grand mal status and other epileptic convulsions | G40, G41 |
| Heart failure and pulmonary edema | I50, J81 |
| Hypertension | I100, I101, I11 AND hypertension exclusions (codes below) not present |
| Exclusion qualifiers | |
| Bronchitis with chronic lower respiratory disease | J40 with any of the following codes for diagnosed chronic respiratory conditions: J41, J43, J44, J47 |
| Diagnosed cystic fibrosis and anomalies of the respiratory system | E840, E84, E848, E8409, P270, P271, P278, P279, Q254, Q311, Q312, Q313, Q315, Q318, Q319, Q320, Q322, Q323, Q324, Q330, Q331, Q332, Q333, Q334, Q335, Q336, Q338, Q339, Q340, Q341, Q348, Q349, Q390, Q391, Q392, Q393, Q394, Q398, Q893 |
| Heart hypertension exclusions | 1IJ50, 1HZ85, 1IJ76, 1HB53 |
| 1HD53, 1HZ53, 1HB55, 1HD55, 1HZ55, 1HB54, 1HD54, 1IJ57GQ | |
| Angina surgical intervention exclusions | First digit of surgical intervention code is equal to 1 or 2 or 5 |
| Source: Canadian Institute for Health Information. Health Indicators 2013.Ottawa: Canadian Institute for Health Information, 2013. | |
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