PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A A09 Infectious gastroenteritis and colitis, unspecified ICD10CM N/A A630 Anogenital (venereal) warts ICD10CM N/A B069 Rubella without complication ICD10CM N/A B070 Plantar wart ICD10CM N/A B078 Other viral warts ICD10CM N/A B079 Viral wart, unspecified ICD10CM N/A B179 Acute viral hepatitis, unspecified ICD10CM N/A B199 Unspecified viral hepatitis without hepatic coma ICD10CM N/A B309 Viral conjunctivitis, unspecified ICD10CM N/A B354 Tinea corporis ICD10CM N/A B355 Tinea imbricata ICD10CM N/A B356 Tinea cruris ICD10CM N/A B483 Geotrichosis ICD10CM N/A B49 Unspecified mycosis ICD10CM N/A B80 Enterobiasis ICD10CM N/A B852 Pediculosis, unspecified ICD10CM N/A B853 Phthiriasis ICD10CM N/A B889 Infestation, unspecified ICD10CM N/A C61 Malignant neoplasm of prostate ICD10CM N/A E039 Hypothyroidism, unspecified ICD10CM N/A E215 Disorder of parathyroid gland, unspecified ICD10CM N/A E780 Pure hypercholesterolemia ICD10CM N/A E786 Lipoprotein deficiency ICD10CM N/A E849 Cystic fibrosis, unspecified ICD10CM N/A G5600 Carpal tunnel syndrome, unspecified upper limb ICD10CM N/A G5601 Carpal tunnel syndrome, right upper limb ICD10CM N/A G5602 Carpal tunnel syndrome, left upper limb ICD10CM N/A H00011 Hordeolum externum right upper eyelid ICD10CM N/A H00012 Hordeolum externum right lower eyelid ICD10CM N/A H00013 Hordeolum externum right eye, unspecified eyelid ICD10CM N/A H00014 Hordeolum externum left upper eyelid ICD10CM N/A H00015 Hordeolum externum left lower eyelid ICD10CM N/A H00016 Hordeolum externum left eye, unspecified eyelid ICD10CM N/A H00019 Hordeolum externum unspecified eye, unspecified eyelid ICD10CM N/A H00031 Abscess of right upper eyelid ICD10CM N/A H00032 Abscess of right lower eyelid ICD10CM N/A H00033 Abscess of eyelid right eye, unspecified eyelid ICD10CM N/A H00034 Abscess of left upper eyelid ICD10CM N/A H00035 Abscess of left lower eyelid ICD10CM N/A H00036 Abscess of eyelid left eye, unspecified eyelid ICD10CM N/A H00039 Abscess of eyelid unspecified eye, unspecified eyelid ICD10CM N/A H04121 Dry eye syndrome of right lacrimal gland ICD10CM N/A H04122 Dry eye syndrome of left lacrimal gland ICD10CM N/A H04123 Dry eye syndrome of bilateral lacrimal glands ICD10CM N/A H04129 Dry eye syndrome of unspecified lacrimal gland ICD10CM N/A H16211 Exposure keratoconjunctivitis, right eye ICD10CM N/A H16212 Exposure keratoconjunctivitis, left eye ICD10CM

1 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A H16213 Exposure keratoconjunctivitis, bilateral ICD10CM N/A H16219 Exposure keratoconjunctivitis, unspecified eye ICD10CM N/A H18821 Corneal disorder due to contact lens, right eye ICD10CM N/A H18822 Corneal disorder due to contact lens, left eye ICD10CM N/A H18823 Corneal disorder due to contact lens, bilateral ICD10CM N/A H18829 Corneal disorder due to contact lens, unspecified eye ICD10CM N/A H44811 Hemophthalmos, right eye ICD10CM N/A H44812 Hemophthalmos, left eye ICD10CM N/A H44813 Hemophthalmos, bilateral ICD10CM N/A H44819 Hemophthalmos, unspecified eye ICD10CM N/A H5000 Unspecified esotropia ICD10CM N/A H66001 Acute suppurative otitis media without spontaneous rupture of ear drum, right ear ICD10CM

N/A H66002 Acute suppurative otitis media without spontaneous rupture of ear drum, left ear ICD10CM

N/A H66003 Acute suppurative otitis media without spontaneous rupture of ear drum, bilateral ICD10CM Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, N/A H66004 ICD10CM right ear Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, N/A H66005 ICD10CM left ear Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, N/A H66006 ICD10CM bilateral Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, N/A H66007 ICD10CM unspecified ear Acute suppurative otitis media without spontaneous rupture of ear drum, N/A H66009 ICD10CM unspecified ear N/A H73891 Other specified disorders of tympanic membrane, right ear ICD10CM N/A H73892 Other specified disorders of tympanic membrane, left ear ICD10CM N/A H73893 Other specified disorders of tympanic membrane, bilateral ICD10CM N/A H73899 Other specified disorders of tympanic membrane, unspecified ear ICD10CM N/A H7390 Unspecified disorder of tympanic membrane, unspecified ear ICD10CM N/A H7391 Unspecified disorder of tympanic membrane, right ear ICD10CM N/A H7392 Unspecified disorder of tympanic membrane, left ear ICD10CM N/A H7393 Unspecified disorder of tympanic membrane, bilateral ICD10CM N/A H9190 Unspecified hearing loss, unspecified ear ICD10CM N/A H9191 Unspecified hearing loss, right ear ICD10CM N/A H9192 Unspecified hearing loss, left ear ICD10CM N/A H9193 Unspecified hearing loss, bilateral ICD10CM N/A H9210 Otorrhea, unspecified ear ICD10CM N/A H9211 Otorrhea, right ear ICD10CM N/A H9212 Otorrhea, left ear ICD10CM N/A H9213 Otorrhea, bilateral ICD10CM N/A I776 Arteritis, unspecified ICD10CM N/A J0100 Acute maxillary sinusitis, unspecified ICD10CM N/A J0101 Acute recurrent maxillary sinusitis ICD10CM N/A J0190 Acute sinusitis, unspecified ICD10CM

2 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A J0191 Acute recurrent sinusitis, unspecified ICD10CM N/A J310 Chronic rhinitis ICD10CM N/A J42 Unspecified chronic bronchitis ICD10CM N/A J430 Unilateral pulmonary emphysema [MacLeod's syndrome] ICD10CM N/A J431 Panlobular emphysema ICD10CM N/A J432 Centrilobular emphysema ICD10CM N/A J438 Other emphysema ICD10CM N/A J82 Pulmonary eosinophilia, not elsewhere classified ICD10CM N/A K044 Acute apical periodontitis of pulpal origin ICD10CM N/A K088 Other specified disorders of teeth and supporting structures ICD10CM N/A K146 Glossodynia ICD10CM N/A K311 Adult hypertrophic pyloric stenosis ICD10CM N/A K603 Anal fistula ICD10CM N/A K604 Rectal fistula ICD10CM N/A K605 Anorectal fistula ICD10CM N/A L02821 Furuncle of head [any part, except face] ICD10CM N/A L02828 Furuncle of other sites ICD10CM N/A L02831 Carbuncle of head [any part, except face] ICD10CM N/A L02838 Carbuncle of other sites ICD10CM N/A L080 Pyoderma ICD10CM N/A L0881 Pyoderma vegetans ICD10CM N/A L219 Seborrheic , unspecified ICD10CM N/A L270 Generalized skin eruption due to drugs and medicaments taken internally ICD10CM N/A L271 Localized skin eruption due to drugs and medicaments taken internally ICD10CM N/A L272 Dermatitis due to ingested food ICD10CM N/A L291 Pruritus scroti ICD10CM N/A L292 ICD10CM N/A L293 Anogenital pruritus, unspecified ICD10CM N/A L298 Other pruritus ICD10CM N/A L299 Pruritus, unspecified ICD10CM N/A L400 Psoriasis vulgaris ICD10CM N/A L402 continua ICD10CM N/A L403 Pustulosis palmaris et plantaris ICD10CM N/A L404 Guttate psoriasis ICD10CM N/A L408 Other psoriasis ICD10CM N/A L409 Psoriasis, unspecified ICD10CM N/A L503 Dermatographic urticaria ICD10CM N/A L506 Contact urticaria ICD10CM N/A L508 Other urticaria ICD10CM N/A L550 Sunburn of first degree ICD10CM N/A L559 Sunburn, unspecified ICD10CM N/A L740 Miliaria rubra ICD10CM N/A L741 Miliaria crystallina ICD10CM N/A L742 Miliaria profunda ICD10CM N/A L743 Miliaria, unspecified ICD10CM N/A L748 Other eccrine sweat disorders ICD10CM N/A L750 Bromhidrosis ICD10CM

3 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A L751 Chromhidrosis ICD10CM N/A L758 Other apocrine sweat disorders ICD10CM N/A L88 Pyoderma gangrenosum ICD10CM N/A L905 Scar conditions and fibrosis of skin ICD10CM N/A L923 Foreign body granuloma of the skin and subcutaneous tissue ICD10CM N/A M25471 Effusion, right ankle ICD10CM N/A M25472 Effusion, left ankle ICD10CM N/A M25473 Effusion, unspecified ankle ICD10CM N/A M25474 Effusion, right foot ICD10CM N/A M25475 Effusion, left foot ICD10CM N/A M25476 Effusion, unspecified foot ICD10CM N/A M25551 Pain in right hip ICD10CM N/A M25552 Pain in left hip ICD10CM N/A M25559 Pain in unspecified hip ICD10CM N/A M2570 Osteophyte, unspecified joint ICD10CM N/A M270 Developmental disorders of jaws ICD10CM N/A M279 Disease of jaws, unspecified ICD10CM N/A M41112 Juvenile idiopathic scoliosis, cervical region ICD10CM N/A M41113 Juvenile idiopathic scoliosis, cervicothoracic region ICD10CM N/A M41114 Juvenile idiopathic scoliosis, thoracic region ICD10CM N/A M41115 Juvenile idiopathic scoliosis, thoracolumbar region ICD10CM N/A M41116 Juvenile idiopathic scoliosis, lumbar region ICD10CM N/A M41117 Juvenile idiopathic scoliosis, lumbosacral region ICD10CM N/A M41119 Juvenile idiopathic scoliosis, site unspecified ICD10CM N/A M41122 Adolescent idiopathic scoliosis, cervical region ICD10CM N/A M41123 Adolescent idiopathic scoliosis, cervicothoracic region ICD10CM N/A M41124 Adolescent idiopathic scoliosis, thoracic region ICD10CM N/A M41125 Adolescent idiopathic scoliosis, thoracolumbar region ICD10CM N/A M41126 Adolescent idiopathic scoliosis, lumbar region ICD10CM N/A M41127 Adolescent idiopathic scoliosis, lumbosacral region ICD10CM N/A M41129 Adolescent idiopathic scoliosis, site unspecified ICD10CM N/A M4120 Other idiopathic scoliosis, site unspecified ICD10CM N/A M4122 Other idiopathic scoliosis, cervical region ICD10CM N/A M4123 Other idiopathic scoliosis, cervicothoracic region ICD10CM N/A M4124 Other idiopathic scoliosis, thoracic region ICD10CM N/A M4125 Other idiopathic scoliosis, thoracolumbar region ICD10CM N/A M4126 Other idiopathic scoliosis, lumbar region ICD10CM N/A M4127 Other idiopathic scoliosis, lumbosacral region ICD10CM N/A M5411 Radiculopathy, occipito-atlanto-axial region ICD10CM N/A M5412 Radiculopathy, cervical region ICD10CM N/A M5413 Radiculopathy, cervicothoracic region ICD10CM N/A M5414 Radiculopathy, thoracic region ICD10CM N/A M5415 Radiculopathy, thoracolumbar region ICD10CM N/A M5416 Radiculopathy, lumbar region ICD10CM N/A M5417 Radiculopathy, lumbosacral region ICD10CM N/A M6510 Other infective (teno)synovitis, unspecified site ICD10CM N/A M65111 Other infective (teno)synovitis, right shoulder ICD10CM

4 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A M65112 Other infective (teno)synovitis, left shoulder ICD10CM N/A M65119 Other infective (teno)synovitis, unspecified shoulder ICD10CM N/A M65121 Other infective (teno)synovitis, right elbow ICD10CM N/A M65122 Other infective (teno)synovitis, left elbow ICD10CM N/A M65129 Other infective (teno)synovitis, unspecified elbow ICD10CM N/A M65131 Other infective (teno)synovitis, right wrist ICD10CM N/A M65132 Other infective (teno)synovitis, left wrist ICD10CM N/A M65139 Other infective (teno)synovitis, unspecified wrist ICD10CM N/A M65141 Other infective (teno)synovitis, right hand ICD10CM N/A M65142 Other infective (teno)synovitis, left hand ICD10CM N/A M65149 Other infective (teno)synovitis, unspecified hand ICD10CM N/A M65151 Other infective (teno)synovitis, right hip ICD10CM N/A M65152 Other infective (teno)synovitis, left hip ICD10CM N/A M65159 Other infective (teno)synovitis, unspecified hip ICD10CM N/A M65161 Other infective (teno)synovitis, right knee ICD10CM N/A M65162 Other infective (teno)synovitis, left knee ICD10CM N/A M65169 Other infective (teno)synovitis, unspecified knee ICD10CM N/A M65171 Other infective (teno)synovitis, right ankle and foot ICD10CM N/A M65172 Other infective (teno)synovitis, left ankle and foot ICD10CM N/A M65179 Other infective (teno)synovitis, unspecified ankle and foot ICD10CM N/A M6518 Other infective (teno)synovitis, other site ICD10CM N/A M6519 Other infective (teno)synovitis, multiple sites ICD10CM N/A M65811 Other synovitis and tenosynovitis, right shoulder ICD10CM N/A M65812 Other synovitis and tenosynovitis, left shoulder ICD10CM N/A M65819 Other synovitis and tenosynovitis, unspecified shoulder ICD10CM N/A M65821 Other synovitis and tenosynovitis, right upper arm ICD10CM N/A M65822 Other synovitis and tenosynovitis, left upper arm ICD10CM N/A M65829 Other synovitis and tenosynovitis, unspecified upper arm ICD10CM N/A M65831 Other synovitis and tenosynovitis, right forearm ICD10CM N/A M65832 Other synovitis and tenosynovitis, left forearm ICD10CM N/A M65839 Other synovitis and tenosynovitis, unspecified forearm ICD10CM N/A M65841 Other synovitis and tenosynovitis, right hand ICD10CM N/A M65842 Other synovitis and tenosynovitis, left hand ICD10CM N/A M65849 Other synovitis and tenosynovitis, unspecified hand ICD10CM N/A M65851 Other synovitis and tenosynovitis, right thigh ICD10CM N/A M65852 Other synovitis and tenosynovitis, left thigh ICD10CM N/A M65859 Other synovitis and tenosynovitis, unspecified thigh ICD10CM N/A M65861 Other synovitis and tenosynovitis, right lower leg ICD10CM N/A M65862 Other synovitis and tenosynovitis, left lower leg ICD10CM N/A M65869 Other synovitis and tenosynovitis, unspecified lower leg ICD10CM N/A M6588 Other synovitis and tenosynovitis, other site ICD10CM N/A M6589 Other synovitis and tenosynovitis, multiple sites ICD10CM N/A M6730 Transient synovitis, unspecified site ICD10CM N/A M67311 Transient synovitis, right shoulder ICD10CM N/A M67312 Transient synovitis, left shoulder ICD10CM N/A M67319 Transient synovitis, unspecified shoulder ICD10CM N/A M67321 Transient synovitis, right elbow ICD10CM

5 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A M67322 Transient synovitis, left elbow ICD10CM N/A M67329 Transient synovitis, unspecified elbow ICD10CM N/A M67331 Transient synovitis, right wrist ICD10CM N/A M67332 Transient synovitis, left wrist ICD10CM N/A M67339 Transient synovitis, unspecified wrist ICD10CM N/A M67341 Transient synovitis, right hand ICD10CM N/A M67342 Transient synovitis, left hand ICD10CM N/A M67349 Transient synovitis, unspecified hand ICD10CM N/A M67351 Transient synovitis, right hip ICD10CM N/A M67352 Transient synovitis, left hip ICD10CM N/A M67359 Transient synovitis, unspecified hip ICD10CM N/A M67361 Transient synovitis, right knee ICD10CM N/A M67362 Transient synovitis, left knee ICD10CM N/A M67369 Transient synovitis, unspecified knee ICD10CM N/A M67371 Transient synovitis, right ankle and foot ICD10CM N/A M67372 Transient synovitis, left ankle and foot ICD10CM N/A M67379 Transient synovitis, unspecified ankle and foot ICD10CM N/A M6738 Transient synovitis, other site ICD10CM N/A M6739 Transient synovitis, multiple sites ICD10CM N/A M7670 Peroneal tendinitis, unspecified leg ICD10CM N/A M7671 Peroneal tendinitis, right leg ICD10CM N/A M7672 Peroneal tendinitis, left leg ICD10CM N/A M7750 Other enthesopathy of unspecified foot ICD10CM N/A M7751 Other enthesopathy of right foot ICD10CM N/A M7752 Other enthesopathy of left foot ICD10CM N/A M779 Enthesopathy, unspecified ICD10CM N/A M795 Residual foreign body in soft tissue ICD10CM N/A M9240 Juvenile osteochondrosis of patella, unspecified knee ICD10CM N/A M9241 Juvenile osteochondrosis of patella, right knee ICD10CM N/A M9242 Juvenile osteochondrosis of patella, left knee ICD10CM N/A M9250 Juvenile osteochondrosis of tibia and fibula, unspecified leg ICD10CM N/A M9251 Juvenile osteochondrosis of tibia and fibula, right leg ICD10CM N/A M9252 Juvenile osteochondrosis of tibia and fibula, left leg ICD10CM N/A N342 Other urethritis ICD10CM N/A N430 Encysted hydrocele ICD10CM N/A N491 Inflammatory disorders of spermatic cord, tunica vaginalis and vas deferens ICD10CM N/A N492 Inflammatory disorders of scrotum ICD10CM N/A N493 Fournier gangrene ICD10CM N/A N498 Inflammatory disorders of other specified male genital organs ICD10CM N/A N499 Inflammatory disorder of unspecified male genital organ ICD10CM N/A N509 Disorder of male genital organs, unspecified ICD10CM N/A N6081 Other benign mammary dysplasias of right breast ICD10CM N/A N6082 Other benign mammary dysplasias of left breast ICD10CM N/A N6089 Other benign mammary dysplasias of unspecified breast ICD10CM N/A N61 Inflammatory disorders of breast ICD10CM N/A N62 Hypertrophy of breast ICD10CM

6 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A N63 Unspecified lump in breast ICD10CM N/A N920 Excessive and frequent menstruation with regular cycle ICD10CM N/A N950 Postmenopausal bleeding ICD10CM N/A P381 Omphalitis with mild hemorrhage ICD10CM N/A P389 Omphalitis without hemorrhage ICD10CM N/A P593 Neonatal jaundice from breast milk inhibitor ICD10CM N/A Q8500 Neurofibromatosis, unspecified ICD10CM N/A Q8503 Schwannomatosis ICD10CM N/A Q8509 Other neurofibromatosis ICD10CM N/A R160 Hepatomegaly, not elsewhere classified ICD10CM N/A R194 Change in bowel habit ICD10CM N/A R200 Anesthesia of skin ICD10CM N/A R201 Hypoesthesia of skin ICD10CM N/A R202 Paresthesia of skin ICD10CM N/A R203 Hyperesthesia ICD10CM N/A R208 Other disturbances of skin sensation ICD10CM N/A R209 Unspecified disturbances of skin sensation ICD10CM N/A R233 Spontaneous ecchymoses ICD10CM N/A R6884 Jaw pain ICD10CM N/A R7611 Nonspecific reaction to tuberculin skin test without active tuberculosis ICD10CM N/A Z005 Encounter for examination of potential donor of organ and tissue ICD10CM Encounter for examination for period of delayed growth in childhood without N/A Z0070 ICD10CM abnormal findings Encounter for examination for period of delayed growth in childhood with abnormal N/A Z0071 ICD10CM findings N/A Z0100 Encounter for examination of eyes and vision without abnormal findings ICD10CM N/A Z0101 Encounter for examination of eyes and vision with abnormal findings ICD10CM N/A Z0110 Encounter for examination of ears and hearing without abnormal findings ICD10CM N/A Z01110 Encounter for hearing examination following failed hearing screening ICD10CM N/A Z01118 Encounter for examination of ears and hearing with other abnormal findings ICD10CM N/A Z0112 Encounter for hearing conservation and treatment ICD10CM N/A Z0120 Encounter for dental examination and cleaning without abnormal findings ICD10CM N/A Z0121 Encounter for dental examination and cleaning with abnormal findings ICD10CM N/A Z0130 Encounter for examination of blood pressure without abnormal findings ICD10CM N/A Z0131 Encounter for examination of blood pressure with abnormal findings ICD10CM N/A Z01411 Encounter for gynecological examination (general) (routine) with abnormal findings ICD10CM Encounter for gynecological examination (general) (routine) without abnormal N/A Z01419 ICD10CM findings Encounter for cervical smear to confirm findings of recent normal smear following N/A Z0142 ICD10CM initial abnormal smear N/A Z01810 Encounter for preprocedural cardiovascular examination ICD10CM N/A Z01811 Encounter for preprocedural respiratory examination ICD10CM N/A Z01812 Encounter for preprocedural laboratory examination ICD10CM N/A Z01818 Encounter for other preprocedural examination ICD10CM

7 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A Z0182 Encounter for allergy testing ICD10CM N/A Z0183 Encounter for blood typing ICD10CM N/A Z0184 Encounter for antibody response examination ICD10CM N/A Z0189 Encounter for other specified special examinations ICD10CM N/A Z049 Encounter for examination and observation for unspecified reason ICD10CM N/A Z111 Encounter for screening for respiratory tuberculosis ICD10CM N/A Z3200 Encounter for pregnancy test, result unknown ICD10CM N/A Z3201 Encounter for pregnancy test, result positive ICD10CM N/A Z3202 Encounter for pregnancy test, result negative ICD10CM N/A Z411 Encounter for cosmetic surgery ICD10CM N/A Z9621 Cochlear implant status ICD10CM N/A Z9622 Myringotomy tube(s) status ICD10CM N/A Z974 Presence of external hearing-aid ICD10CM N/A Z978 Presence of other specified devices ICD10CM N/A Z983 Post therapeutic collapse of lung status ICD10CM N/A Z9862 Peripheral vascular angioplasty status ICD10CM N/A Z9889 Other specified postprocedural states ICD10CM N/A O2511 Malnutrition in pregnancy, first trimester ICD10CM N/A O2512 Malnutrition in pregnancy, second trimester ICD10CM N/A O2513 Malnutrition in pregnancy, third trimester ICD10CM N/A O99281 Endocrine, nutritional and metabolic diseases complicating pregnancy, first trimester ICD10CM Endocrine, nutritional and metabolic diseases complicating pregnancy, second N/A O99282 ICD10CM trimester Endocrine, nutritional and metabolic diseases complicating pregnancy, third N/A O99283 ICD10CM trimester N/A O99511 Diseases of the respiratory system complicating pregnancy, first trimester ICD10CM N/A O99512 Diseases of the respiratory system complicating pregnancy, second trimester ICD10CM

N/A O99513 Diseases of the respiratory system complicating pregnancy, third trimester ICD10CM N/A O99611 Diseases of the digestive system complicating pregnancy, first trimester ICD10CM N/A O99612 Diseases of the digestive system complicating pregnancy, second trimester ICD10CM N/A O99613 Diseases of the digestive system complicating pregnancy, third trimester ICD10CM N/A O99711 Diseases of the skin and subcutaneous tissue complicating pregnancy, first trimester ICD10CM Diseases of the skin and subcutaneous tissue complicating pregnancy, second N/A O99712 ICD10CM trimester N/A O99713 Diseases of the skin and subcutaneous tissue complicating pregnancy, third trimester ICD10CM N/A O9A111 Malignant neoplasm complicating pregnancy, first trimester ICD10CM N/A O9A112 Malignant neoplasm complicating pregnancy, second trimester ICD10CM N/A O9A113 Malignant neoplasm complicating pregnancy, third trimester ICD10CM Injury, poisoning and certain other consequences of external causes complicating N/A O9A211 ICD10CM pregnancy, first trimester

8 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Injury, poisoning and certain other consequences of external causes complicating N/A O9A212 ICD10CM pregnancy, second trimester Injury, poisoning and certain other consequences of external causes complicating N/A O9A213 ICD10CM pregnancy, third trimester N/A O9A311 Physical abuse complicating pregnancy, first trimester ICD10CM N/A O9A312 Physical abuse complicating pregnancy, second trimester ICD10CM N/A O9A313 Physical abuse complicating pregnancy, third trimester ICD10CM N/A O9A411 Sexual abuse complicating pregnancy, first trimester ICD10CM N/A O9A412 Sexual abuse complicating pregnancy, second trimester ICD10CM N/A O9A413 Sexual abuse complicating pregnancy, third trimester ICD10CM N/A O9A511 Psychological abuse complicating pregnancy, first trimester ICD10CM N/A O9A512 Psychological abuse complicating pregnancy, second trimester ICD10CM N/A O9A513 Psychological abuse complicating pregnancy, third trimester ICD10CM N/A M2679 Other specified alveolar anomalies ICD10CM N/A M6580 Other synovitis and tenosynovitis, unspecified site ICD10CM N/A Z008 Encounter for other general examination ICD10CM N/A L401 Generalized pustular psoriasis ICD10CM Nonspecific reaction to cell mediated immunity measurement of gamma interferon N/A R7612 ICD10CM antigen response without active tuberculosis N/A J439 Emphysema, unspecified ICD10CM N/A H6520 Chronic serous otitis media, unspecified ear ICD10CM N/A H6521 Chronic serous otitis media, right ear ICD10CM N/A H6522 Chronic serous otitis media, left ear ICD10CM N/A H6523 Chronic serous otitis media, bilateral ICD10CM N/A H9311 Tinnitus, right ear ICD10CM N/A H9312 Tinnitus, left ear ICD10CM N/A H9313 Tinnitus, bilateral ICD10CM N/A H9319 Tinnitus, unspecified ear ICD10CM N/A M436 Torticollis ICD10CM N/A M4721 Other spondylosis with radiculopathy, occipito-atlanto-axial region ICD10CM N/A M4722 Other spondylosis with radiculopathy, cervical region ICD10CM N/A M4723 Other spondylosis with radiculopathy, cervicothoracic region ICD10CM N/A M47811 Spondylosis without myelopathy or radiculopathy, occipito-atlanto-axial region ICD10CM N/A M47812 Spondylosis without myelopathy or radiculopathy, cervical region ICD10CM N/A M47813 Spondylosis without myelopathy or radiculopathy, cervicothoracic region ICD10CM N/A M47891 Other spondylosis, occipito-atlanto-axial region ICD10CM N/A M47892 Other spondylosis, cervical region ICD10CM N/A M47893 Other spondylosis, cervicothoracic region ICD10CM N/A M542 Cervicalgia ICD10CM N/A N978 Female infertility of other origin ICD10CM N/A J392 Other diseases of pharynx ICD10CM N/A A64 Unspecified sexually transmitted disease ICD10CM Other specified conditions associated with female genital organs and menstrual N/A N9489 ICD10CM cycle N/A K089 Disorder of teeth and supporting structures, unspecified ICD10CM N/A N898 Other specified noninflammatory disorders of vagina ICD10CM

9 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A L509 Urticaria, unspecified ICD10CM N/A H6120 Impacted cerumen, unspecified ear ICD10CM N/A H6121 Impacted cerumen, right ear ICD10CM N/A H6122 Impacted cerumen, left ear ICD10CM N/A H6123 Impacted cerumen, bilateral ICD10CM N/A K056 Periodontal disease, unspecified ICD10CM N/A K069 Disorder of gingiva and edentulous alveolar ridge, unspecified ICD10CM N/A L600 Ingrowing nail ICD10CM N/A L989 Disorder of the skin and subcutaneous tissue, unspecified ICD10CM N/A Z760 Encounter for issue of repeat prescription ICD10CM N/A B86 Scabies ICD10CM N/A L720 Epidermal cyst ICD10CM N/A L722 Steatocystoma multiplex ICD10CM N/A L723 Sebaceous cyst ICD10CM N/A L728 Other follicular cysts of the skin and subcutaneous tissue ICD10CM N/A L729 Follicular cyst of the skin and subcutaneous tissue, unspecified ICD10CM N/A H6000 Abscess of external ear, unspecified ear ICD10CM N/A H6001 Abscess of right external ear ICD10CM N/A H6002 Abscess of left external ear ICD10CM N/A H6003 Abscess of external ear, bilateral ICD10CM N/A H6010 Cellulitis of external ear, unspecified ear ICD10CM N/A H6011 Cellulitis of right external ear ICD10CM N/A H6012 Cellulitis of left external ear ICD10CM N/A H6013 Cellulitis of external ear, bilateral ICD10CM N/A H60311 Diffuse otitis externa, right ear ICD10CM N/A H60312 Diffuse otitis externa, left ear ICD10CM N/A H60313 Diffuse otitis externa, bilateral ICD10CM N/A H60319 Diffuse otitis externa, unspecified ear ICD10CM N/A H60321 Hemorrhagic otitis externa, right ear ICD10CM N/A H60322 Hemorrhagic otitis externa, left ear ICD10CM N/A H60323 Hemorrhagic otitis externa, bilateral ICD10CM N/A H60329 Hemorrhagic otitis externa, unspecified ear ICD10CM N/A H60391 Other infective otitis externa, right ear ICD10CM N/A H60392 Other infective otitis externa, left ear ICD10CM N/A H60393 Other infective otitis externa, bilateral ICD10CM N/A H60399 Other infective otitis externa, unspecified ear ICD10CM N/A K131 Cheek and lip biting ICD10CM N/A K134 Granuloma and granuloma-like lesions of oral mucosa ICD10CM N/A K136 Irritative hyperplasia of oral mucosa ICD10CM N/A K1370 Unspecified lesions of oral mucosa ICD10CM N/A K1379 Other lesions of oral mucosa ICD10CM N/A N476 Balanoposthitis ICD10CM N/A N481 Balanitis ICD10CM N/A H9201 Otalgia, right ear ICD10CM N/A H9202 Otalgia, left ear ICD10CM N/A H9203 Otalgia, bilateral ICD10CM N/A H9209 Otalgia, unspecified ear ICD10CM

10 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Encounter for follow-up examination after completed treatment for malignant N/A Z08 ICD10CM neoplasm N/A G43909 Migraine, unspecified, not intractable, without status migrainosus ICD10CM N/A G441 Vascular headache, not elsewhere classified ICD10CM N/A R51 Headache ICD10CM N/A G44209 Tension-type headache, unspecified, not intractable ICD10CM N/A L200 Besnier's ICD10CM N/A L2081 Atopic neurodermatitis ICD10CM N/A L2082 Flexural eczema ICD10CM N/A L2084 Intrinsic (allergic) eczema ICD10CM N/A L2089 Other ICD10CM N/A L209 Atopic dermatitis, unspecified ICD10CM N/A L237 Allergic due to plants, except food ICD10CM N/A L239 Allergic contact dermatitis, unspecified cause ICD10CM N/A L247 Irritant contact dermatitis due to plants, except food ICD10CM N/A L249 Irritant contact dermatitis, unspecified cause ICD10CM N/A L255 Unspecified contact dermatitis due to plants, except food ICD10CM N/A L259 Unspecified contact dermatitis, unspecified cause ICD10CM N/A L300 ICD10CM N/A L302 Cutaneous autosensitization ICD10CM N/A L308 Other specified dermatitis ICD10CM N/A L309 Dermatitis, unspecified ICD10CM N/A R21 Rash and other nonspecific skin eruption ICD10CM N/A B029 Zoster without complications ICD10CM N/A M129 Arthropathy, unspecified ICD10CM N/A M2550 Pain in unspecified joint ICD10CM N/A M25511 Pain in right shoulder ICD10CM N/A M25512 Pain in left shoulder ICD10CM N/A M25519 Pain in unspecified shoulder ICD10CM N/A M25531 Pain in right wrist ICD10CM N/A M25532 Pain in left wrist ICD10CM N/A M25539 Pain in unspecified wrist ICD10CM N/A M25561 Pain in right knee ICD10CM N/A M25562 Pain in left knee ICD10CM N/A M25569 Pain in unspecified knee ICD10CM N/A J300 Vasomotor rhinitis ICD10CM N/A J309 Allergic rhinitis, unspecified ICD10CM N/A J320 Chronic maxillary sinusitis ICD10CM N/A J329 Chronic sinusitis, unspecified ICD10CM Encounter for follow-up examination after completed treatment for conditions other N/A Z09 ICD10CM than malignant neoplasm N/A M1990 Unspecified osteoarthritis, unspecified site ICD10CM N/A M4720 Other spondylosis with radiculopathy, site unspecified ICD10CM N/A M47819 Spondylosis without myelopathy or radiculopathy, site unspecified ICD10CM N/A M47899 Other spondylosis, site unspecified ICD10CM N/A M479 Spondylosis, unspecified ICD10CM N/A M5403 Panniculitis affecting regions of neck and back, cervicothoracic region ICD10CM

11 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A M5404 Panniculitis affecting regions of neck and back, thoracic region ICD10CM N/A M5405 Panniculitis affecting regions of neck and back, thoracolumbar region ICD10CM N/A M5406 Panniculitis affecting regions of neck and back, lumbar region ICD10CM N/A M5407 Panniculitis affecting regions of neck and back, lumbosacral region ICD10CM N/A M5408 Panniculitis affecting regions of neck and back, sacral and sacrococcygeal region ICD10CM N/A M5409 Panniculitis affecting regions, neck and back, multiple sites in spine ICD10CM N/A M545 Low back pain ICD10CM N/A M5489 Other dorsalgia ICD10CM N/A M549 Dorsalgia, unspecified ICD10CM N/A M62830 Muscle spasm of back ICD10CM N/A N926 Irregular menstruation, unspecified ICD10CM N/A B373 Candidiasis of vulva and vagina ICD10CM N/A O210 Mild hyperemesis gravidarum ICD10CM N/A O211 Hyperemesis gravidarum with metabolic disturbance ICD10CM N/A O468X1 Other antepartum hemorrhage, first trimester ICD10CM N/A O468X2 Other antepartum hemorrhage, second trimester ICD10CM N/A O468X3 Other antepartum hemorrhage, third trimester ICD10CM N/A R42 Dizziness and giddiness ICD10CM N/A M79646 Pain in unspecified finger(s) ICD10CM N/A M79601 Pain in right arm ICD10CM N/A M79602 Pain in left arm ICD10CM N/A M79603 Pain in arm, unspecified ICD10CM N/A M79604 Pain in right leg ICD10CM N/A M79605 Pain in left leg ICD10CM N/A M79606 Pain in leg, unspecified ICD10CM N/A M79609 Pain in unspecified limb ICD10CM N/A M79621 Pain in right upper arm ICD10CM N/A M79622 Pain in left upper arm ICD10CM N/A M79629 Pain in unspecified upper arm ICD10CM N/A M79631 Pain in right forearm ICD10CM N/A M79632 Pain in left forearm ICD10CM N/A M79639 Pain in unspecified forearm ICD10CM N/A M79641 Pain in right hand ICD10CM N/A M79642 Pain in left hand ICD10CM N/A M79643 Pain in unspecified hand ICD10CM N/A M79644 Pain in right finger(s) ICD10CM N/A M79645 Pain in left finger(s) ICD10CM N/A M79651 Pain in right thigh ICD10CM N/A M79652 Pain in left thigh ICD10CM N/A M79659 Pain in unspecified thigh ICD10CM N/A M79661 Pain in right lower leg ICD10CM N/A M79662 Pain in left lower leg ICD10CM N/A M79669 Pain in unspecified lower leg ICD10CM N/A M79671 Pain in right foot ICD10CM N/A M79672 Pain in left foot ICD10CM N/A M79673 Pain in unspecified foot ICD10CM

12 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A M79674 Pain in right toe(s) ICD10CM N/A M79675 Pain in left toe(s) ICD10CM N/A M79676 Pain in unspecified toe(s) ICD10CM N/A M159 Polyosteoarthritis, unspecified ICD10CM N/A B350 Tinea barbae and tinea capitis ICD10CM N/A B353 Tinea pedis ICD10CM N/A B359 Dermatophytosis, unspecified ICD10CM N/A B360 Pityriasis versicolor ICD10CM N/A A5402 Gonococcal vulvovaginitis, unspecified ICD10CM N/A A5409 Other gonococcal infection of lower genitourinary tract ICD10CM Gonococcal infection of lower genitourinary tract with periurethral and accessory N/A A541 ICD10CM gland abscess N/A R360 Urethral discharge without blood ICD10CM N/A R369 Urethral discharge, unspecified ICD10CM N/A B358 Other dermatophytoses ICD10CM N/A A5400 Gonococcal infection of lower genitourinary tract, unspecified ICD10CM N/A H10021 Other mucopurulent conjunctivitis, right eye ICD10CM N/A H10022 Other mucopurulent conjunctivitis, left eye ICD10CM N/A H10023 Other mucopurulent conjunctivitis, bilateral ICD10CM N/A H10029 Other mucopurulent conjunctivitis, unspecified eye ICD10CM N/A H1030 Unspecified acute conjunctivitis, unspecified eye ICD10CM N/A H1031 Unspecified acute conjunctivitis, right eye ICD10CM N/A H1032 Unspecified acute conjunctivitis, left eye ICD10CM N/A H1033 Unspecified acute conjunctivitis, bilateral ICD10CM N/A H10411 Chronic giant papillary conjunctivitis, right eye ICD10CM N/A H10412 Chronic giant papillary conjunctivitis, left eye ICD10CM N/A H10413 Chronic giant papillary conjunctivitis, bilateral ICD10CM N/A H10419 Chronic giant papillary conjunctivitis, unspecified eye ICD10CM N/A H1045 Other chronic allergic conjunctivitis ICD10CM N/A H109 Unspecified conjunctivitis ICD10CM N/A A530 Latent syphilis, unspecified as early or late ICD10CM N/A B379 Candidiasis, unspecified ICD10CM N/A H9220 Otorrhagia, unspecified ear ICD10CM N/A H9221 Otorrhagia, right ear ICD10CM N/A H9222 Otorrhagia, left ear ICD10CM N/A H9223 Otorrhagia, bilateral ICD10CM N/A K904 Malabsorption due to intolerance, not elsewhere classified ICD10CM N/A K9089 Other intestinal malabsorption ICD10CM N/A M25571 Pain in right ankle and joints of right foot ICD10CM N/A M25572 Pain in left ankle and joints of left foot ICD10CM N/A M25579 Pain in unspecified ankle and joints of unspecified foot ICD10CM N/A R140 Abdominal distension (gaseous) ICD10CM N/A R141 Gas pain ICD10CM N/A R142 Eructation ICD10CM N/A R143 Flatulence ICD10CM N/A R2230 Localized swelling, mass and lump, unspecified upper limb ICD10CM N/A R2231 Localized swelling, mass and lump, right upper limb ICD10CM

13 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A R2232 Localized swelling, mass and lump, left upper limb ICD10CM N/A R2233 Localized swelling, mass and lump, upper limb, bilateral ICD10CM N/A R2240 Localized swelling, mass and lump, unspecified lower limb ICD10CM N/A R2241 Localized swelling, mass and lump, right lower limb ICD10CM N/A R2242 Localized swelling, mass and lump, left lower limb ICD10CM N/A R2243 Localized swelling, mass and lump, lower limb, bilateral ICD10CM N/A R229 Localized swelling, mass and lump, unspecified ICD10CM N/A R300 Dysuria ICD10CM N/A R309 Painful micturition, unspecified ICD10CM N/A R350 Frequency of micturition ICD10CM N/A R351 Nocturia ICD10CM N/A R358 Other polyuria ICD10CM N/A R632 Polyphagia ICD10CM N/A M25461 Effusion, right knee ICD10CM N/A M25462 Effusion, left knee ICD10CM N/A M25469 Effusion, unspecified knee ICD10CM N/A R05 Cough ICD10CM N/A G933 Postviral fatigue syndrome ICD10CM N/A R530 Neoplastic (malignant) related fatigue ICD10CM N/A R531 Weakness ICD10CM N/A R532 Functional quadriplegia ICD10CM N/A R5382 Chronic fatigue, unspecified ICD10CM N/A R5383 Other fatigue ICD10CM N/A R5381 Other malaise ICD10CM N/A N925 Other specified irregular menstruation ICD10CM N/A M6080 Other myositis, unspecified site ICD10CM N/A M60811 Other myositis, right shoulder ICD10CM N/A M60812 Other myositis, left shoulder ICD10CM N/A M60819 Other myositis, unspecified shoulder ICD10CM N/A M60821 Other myositis, right upper arm ICD10CM N/A M60822 Other myositis, left upper arm ICD10CM N/A M60829 Other myositis, unspecified upper arm ICD10CM N/A M60831 Other myositis, right forearm ICD10CM N/A M60832 Other myositis, left forearm ICD10CM N/A M60839 Other myositis, unspecified forearm ICD10CM N/A M60841 Other myositis, right hand ICD10CM N/A M60842 Other myositis, left hand ICD10CM N/A M60849 Other myositis, unspecified hand ICD10CM N/A M60851 Other myositis, right thigh ICD10CM N/A M60852 Other myositis, left thigh ICD10CM N/A M60859 Other myositis, unspecified thigh ICD10CM N/A M60861 Other myositis, right lower leg ICD10CM N/A M60862 Other myositis, left lower leg ICD10CM N/A M60869 Other myositis, unspecified lower leg ICD10CM N/A M60871 Other myositis, right ankle and foot ICD10CM N/A M60872 Other myositis, left ankle and foot ICD10CM N/A M60879 Other myositis, unspecified ankle and foot ICD10CM

14 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A M6088 Other myositis, other site ICD10CM N/A M6089 Other myositis, multiple sites ICD10CM N/A M609 Myositis, unspecified ICD10CM N/A M791 Myalgia ICD10CM N/A M797 Fibromyalgia ICD10CM N/A N72 Inflammatory disease of uteri ICD10CM N/A N760 Acute ICD10CM N/A N761 Subacute and chronic vaginitis ICD10CM N/A N762 Acute ICD10CM N/A N763 Subacute and chronic vulvitis ICD10CM N/A N897 ICD10CM N/A N938 Other specified abnormal uterine and ICD10CM N/A N939 Abnormal uterine and vaginal bleeding, unspecified ICD10CM N/A N451 Epididymitis ICD10CM N/A N452 Orchitis ICD10CM N/A N453 Epididymo-orchitis ICD10CM N/A K649 Unspecified hemorrhoids ICD10CM N/A M7989 Other specified soft tissue disorders ICD10CM N/A R110 Nausea ICD10CM N/A R1112 Projectile vomiting ICD10CM N/A R112 Nausea with vomiting, unspecified ICD10CM N/A R1111 Vomiting without nausea ICD10CM N/A R1110 Vomiting, unspecified ICD10CM N/A Z331 Pregnant state, incidental ICD10CM Unilateral inguinal hernia, without obstruction or gangrene, not specified as N/A K4090 ICD10CM recurrent N/A B084 Enteroviral vesicular stomatitis with exanthem ICD10CM N/A H11001 Unspecified pterygium of right eye ICD10CM N/A H11002 Unspecified pterygium of left eye ICD10CM N/A H11003 Unspecified pterygium of eye, bilateral ICD10CM N/A H11009 Unspecified pterygium of unspecified eye ICD10CM N/A H11011 Amyloid pterygium of right eye ICD10CM N/A H11012 Amyloid pterygium of left eye ICD10CM N/A H11013 Amyloid pterygium of eye, bilateral ICD10CM N/A H11019 Amyloid pterygium of unspecified eye ICD10CM N/A K130 Diseases of lips ICD10CM N/A K600 Acute anal fissure ICD10CM N/A K601 Chronic anal fissure ICD10CM N/A K602 Anal fissure, unspecified ICD10CM N/A M2290 Unspecified disorder of patella, unspecified knee ICD10CM N/A M2291 Unspecified disorder of patella, right knee ICD10CM N/A M2292 Unspecified disorder of patella, left knee ICD10CM N/A M2390 Unspecified internal derangement of unspecified knee ICD10CM N/A M2391 Unspecified internal derangement of right knee ICD10CM N/A M2392 Unspecified internal derangement of left knee ICD10CM N/A M25521 Pain in right elbow ICD10CM N/A M25522 Pain in left elbow ICD10CM

15 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A M25529 Pain in unspecified elbow ICD10CM N/A M6740 Ganglion, unspecified site ICD10CM N/A N485 Ulcer of penis ICD10CM N/A N4881 Thrombosis of superficial vein of penis ICD10CM N/A N4882 Acquired torsion of penis ICD10CM N/A N4883 Acquired buried penis ICD10CM N/A N943 Premenstrual tension syndrome ICD10CM N/A R197 Diarrhea, unspecified ICD10CM N/A R590 Localized enlarged lymph nodes ICD10CM N/A R591 Generalized enlarged lymph nodes ICD10CM N/A R599 Enlarged lymph nodes, unspecified ICD10CM N/A Z00121 Encounter for routine child health examination with abnormal findings ICD10CM N/A Z00129 Encounter for routine child health examination without abnormal findings ICD10CM Procedure and treatment not carried out because of patient's decision for N/A Z5320 ICD10CM unspecified reasons Procedure and treatment not carried out due to patient leaving prior to being seen N/A Z5321 ICD10CM by health care provider Procedure and treatment not carried out because of patient's decision for other N/A Z5329 ICD10CM reasons N/A Z531 Procedure and treatment not carried out because of patient's decision for reasons of ICD10CM N/A H8301 Labyrinthitis, right ear ICD10CM N/A H8302 Labyrinthitis, left ear ICD10CM N/A H8303 Labyrinthitis, bilateral ICD10CM N/A H8309 Labyrinthitis, unspecified ear ICD10CM N/A B019 Varicella without complication ICD10CM N/A B2700 Gammaherpesviral mononucleosis without complication ICD10CM N/A B2701 Gammaherpesviral mononucleosis with polyneuropathy ICD10CM N/A B2702 Gammaherpesviral mononucleosis with meningitis ICD10CM N/A B2709 Gammaherpesviral mononucleosis with other complications ICD10CM N/A B2710 Cytomegaloviral mononucleosis without complications ICD10CM N/A B2711 Cytomegaloviral mononucleosis with polyneuropathy ICD10CM N/A B2712 Cytomegaloviral mononucleosis with meningitis ICD10CM N/A B2719 Cytomegaloviral mononucleosis with other complication ICD10CM N/A B2780 Other infectious mononucleosis without complication ICD10CM N/A B2781 Other infectious mononucleosis with polyneuropathy ICD10CM N/A B2782 Other infectious mononucleosis with meningitis ICD10CM N/A B2789 Other infectious mononucleosis with other complication ICD10CM N/A B2790 Infectious mononucleosis, unspecified without complication ICD10CM N/A B2791 Infectious mononucleosis, unspecified with polyneuropathy ICD10CM N/A B2792 Infectious mononucleosis, unspecified with meningitis ICD10CM N/A B2799 Infectious mononucleosis, unspecified with other complication ICD10CM N/A B9710 Unspecified enterovirus as the cause of diseases classified elsewhere ICD10CM N/A B9711 Coxsackievirus as the cause of diseases classified elsewhere ICD10CM N/A B002 Herpesviral gingivostomatitis and pharyngotonsillitis ICD10CM N/A B085 Enteroviral vesicular pharyngitis ICD10CM N/A K120 Recurrent oral aphthae ICD10CM

16 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A B9789 Other viral agents as the cause of diseases classified elsewhere ICD10CM N/A A039 Shigellosis, unspecified ICD10CM N/A A049 Bacterial intestinal infection, unspecified ICD10CM N/A A059 Bacterial foodborne intoxication, unspecified ICD10CM N/A A084 Viral intestinal infection, unspecified ICD10CM N/A A088 Other specified intestinal infections ICD10CM N/A B370 Candidal stomatitis ICD10CM N/A B3783 Candidal cheilitis ICD10CM N/A Z711 Person with feared health complaint in whom no diagnosis is made ICD10CM N/A A380 Scarlet fever with otitis media ICD10CM N/A A381 Scarlet fever with myocarditis ICD10CM N/A A388 Scarlet fever with other complications ICD10CM N/A A389 Scarlet fever, uncomplicated ICD10CM N/A H7290 Unspecified perforation of tympanic membrane, unspecified ear ICD10CM N/A H7291 Unspecified perforation of tympanic membrane, right ear ICD10CM N/A H7292 Unspecified perforation of tympanic membrane, left ear ICD10CM N/A H7293 Unspecified perforation of tympanic membrane, bilateral ICD10CM N/A J301 Allergic rhinitis due to pollen ICD10CM N/A L22 Diaper dermatitis ICD10CM N/A S0920XA Traumatic rupture of unspecified ear drum, initial encounter ICD10CM N/A S0921XA Traumatic rupture of right ear drum, initial encounter ICD10CM N/A S0922XA Traumatic rupture of left ear drum, initial encounter ICD10CM N/A A5901 Trichomonal vulvovaginitis ICD10CM N/A A599 Trichomoniasis, unspecified ICD10CM N/A K200 Eosinophilic esophagitis ICD10CM N/A K208 Other esophagitis ICD10CM N/A K209 Esophagitis, unspecified ICD10CM N/A K210 Gastro-esophageal reflux disease with esophagitis ICD10CM N/A K219 Gastro-esophageal reflux disease without esophagitis ICD10CM N/A B09 Unspecified viral infection characterized by skin and mucous membrane lesions ICD10CM N/A M429 Spinal osteochondrosis, unspecified ICD10CM N/A M8480 Other disorders of continuity of bone, unspecified site ICD10CM N/A M84811 Other disorders of continuity of bone, right shoulder ICD10CM N/A M84812 Other disorders of continuity of bone, left shoulder ICD10CM N/A M84819 Other disorders of continuity of bone, unspecified shoulder ICD10CM N/A M84821 Other disorders of continuity of bone, right humerus ICD10CM N/A M84822 Other disorders of continuity of bone, left humerus ICD10CM N/A M84829 Other disorders of continuity of bone, unspecified humerus ICD10CM N/A M84831 Other disorders of continuity of bone, right ulna ICD10CM N/A M84832 Other disorders of continuity of bone, left ulna ICD10CM N/A M84833 Other disorders of continuity of bone, right radius ICD10CM N/A M84834 Other disorders of continuity of bone, left radius ICD10CM N/A M84839 Other disorders of continuity of bone, unspecified ulna and radius ICD10CM N/A M84841 Other disorders of continuity of bone, right hand ICD10CM N/A M84842 Other disorders of continuity of bone, left hand ICD10CM N/A M84849 Other disorders of continuity of bone, unspecified hand ICD10CM

17 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A M84851 Other disorders of continuity of bone, right pelvic region and thigh ICD10CM N/A M84852 Other disorders of continuity of bone, left pelvic region and thigh ICD10CM N/A M84859 Other disorders of continuity of bone, unspecified pelvic region and thigh ICD10CM N/A M84861 Other disorders of continuity of bone, right tibia ICD10CM N/A M84862 Other disorders of continuity of bone, left tibia ICD10CM N/A M84863 Other disorders of continuity of bone, right fibula ICD10CM N/A M84864 Other disorders of continuity of bone, left fibula ICD10CM N/A M84869 Other disorders of continuity of bone, unspecified tibia and fibula ICD10CM N/A M84871 Other disorders of continuity of bone, right ankle and foot ICD10CM N/A M84872 Other disorders of continuity of bone, left ankle and foot ICD10CM N/A M84879 Other disorders of continuity of bone, unspecified ankle and foot ICD10CM N/A M8488 Other disorders of continuity of bone, other site ICD10CM N/A M849 Disorder of continuity of bone, unspecified ICD10CM N/A M8510 Skeletal fluorosis, unspecified site ICD10CM N/A M85111 Skeletal fluorosis, right shoulder ICD10CM N/A M85112 Skeletal fluorosis, left shoulder ICD10CM N/A M85119 Skeletal fluorosis, unspecified shoulder ICD10CM N/A M85121 Skeletal fluorosis, right upper arm ICD10CM N/A M85122 Skeletal fluorosis, left upper arm ICD10CM N/A M85129 Skeletal fluorosis, unspecified upper arm ICD10CM N/A M85131 Skeletal fluorosis, right forearm ICD10CM N/A M85132 Skeletal fluorosis, left forearm ICD10CM N/A M85139 Skeletal fluorosis, unspecified forearm ICD10CM N/A M85141 Skeletal fluorosis, right hand ICD10CM N/A M85142 Skeletal fluorosis, left hand ICD10CM N/A M85149 Skeletal fluorosis, unspecified hand ICD10CM N/A M85151 Skeletal fluorosis, right thigh ICD10CM N/A M85152 Skeletal fluorosis, left thigh ICD10CM N/A M85159 Skeletal fluorosis, unspecified thigh ICD10CM N/A M85161 Skeletal fluorosis, right lower leg ICD10CM N/A M85162 Skeletal fluorosis, left lower leg ICD10CM N/A M85169 Skeletal fluorosis, unspecified lower leg ICD10CM N/A M85171 Skeletal fluorosis, right ankle and foot ICD10CM N/A M85172 Skeletal fluorosis, left ankle and foot ICD10CM N/A M85179 Skeletal fluorosis, unspecified ankle and foot ICD10CM N/A M8518 Skeletal fluorosis, other site ICD10CM N/A M8519 Skeletal fluorosis, multiple sites ICD10CM N/A M8580 Other specified disorders of bone density and structure, unspecified site ICD10CM N/A M85811 Other specified disorders of bone density and structure, right shoulder ICD10CM N/A M85812 Other specified disorders of bone density and structure, left shoulder ICD10CM N/A M85819 Other specified disorders of bone density and structure, unspecified shoulder ICD10CM N/A M85821 Other specified disorders of bone density and structure, right upper arm ICD10CM N/A M85822 Other specified disorders of bone density and structure, left upper arm ICD10CM N/A M85829 Other specified disorders of bone density and structure, unspecified upper arm ICD10CM N/A M85831 Other specified disorders of bone density and structure, right forearm ICD10CM

18 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A M85832 Other specified disorders of bone density and structure, left forearm ICD10CM N/A M85839 Other specified disorders of bone density and structure, unspecified forearm ICD10CM N/A M85841 Other specified disorders of bone density and structure, right hand ICD10CM N/A M85842 Other specified disorders of bone density and structure, left hand ICD10CM N/A M85849 Other specified disorders of bone density and structure, unspecified hand ICD10CM N/A M85851 Other specified disorders of bone density and structure, right thigh ICD10CM N/A M85852 Other specified disorders of bone density and structure, left thigh ICD10CM N/A M85859 Other specified disorders of bone density and structure, unspecified thigh ICD10CM N/A M85861 Other specified disorders of bone density and structure, right lower leg ICD10CM N/A M85862 Other specified disorders of bone density and structure, left lower leg ICD10CM N/A M85869 Other specified disorders of bone density and structure, unspecified lower leg ICD10CM

N/A M85871 Other specified disorders of bone density and structure, right ankle and foot ICD10CM

N/A M85872 Other specified disorders of bone density and structure, left ankle and foot ICD10CM

N/A M85879 Other specified disorders of bone density and structure, unspecified ankle and foot ICD10CM N/A M8588 Other specified disorders of bone density and structure, other site ICD10CM N/A M8589 Other specified disorders of bone density and structure, multiple sites ICD10CM N/A M8920 Other disorders of bone development and growth, unspecified site ICD10CM N/A M89211 Other disorders of bone development and growth, right shoulder ICD10CM N/A M89212 Other disorders of bone development and growth, left shoulder ICD10CM N/A M89219 Other disorders of bone development and growth, unspecified shoulder ICD10CM N/A M89221 Other disorders of bone development and growth, right humerus ICD10CM N/A M89222 Other disorders of bone development and growth, left humerus ICD10CM N/A M89229 Other disorders of bone development and growth, unspecified humerus ICD10CM N/A M89231 Other disorders of bone development and growth, right ulna ICD10CM N/A M89232 Other disorders of bone development and growth, left ulna ICD10CM N/A M89233 Other disorders of bone development and growth, right radius ICD10CM N/A M89234 Other disorders of bone development and growth, left radius ICD10CM N/A M89239 Other disorders of bone development and growth, unspecified ulna and radius ICD10CM N/A M89241 Other disorders of bone development and growth, right hand ICD10CM N/A M89242 Other disorders of bone development and growth, left hand ICD10CM N/A M89249 Other disorders of bone development and growth, unspecified hand ICD10CM N/A M89251 Other disorders of bone development and growth, right femur ICD10CM N/A M89252 Other disorders of bone development and growth, left femur ICD10CM N/A M89259 Other disorders of bone development and growth, unspecified femur ICD10CM N/A M89261 Other disorders of bone development and growth, right tibia ICD10CM N/A M89262 Other disorders of bone development and growth, left tibia ICD10CM N/A M89263 Other disorders of bone development and growth, right fibula ICD10CM N/A M89264 Other disorders of bone development and growth, left fibula ICD10CM N/A M89269 Other disorders of bone development and growth, unspecified lower leg ICD10CM

19 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A M89271 Other disorders of bone development and growth, right ankle and foot ICD10CM N/A M89272 Other disorders of bone development and growth, left ankle and foot ICD10CM N/A M89279 Other disorders of bone development and growth, unspecified ankle and foot ICD10CM N/A M8928 Other disorders of bone development and growth, other site ICD10CM N/A M8929 Other disorders of bone development and growth, multiple sites ICD10CM N/A M8930 Hypertrophy of bone, unspecified site ICD10CM N/A M89311 Hypertrophy of bone, right shoulder ICD10CM N/A M89312 Hypertrophy of bone, left shoulder ICD10CM N/A M89319 Hypertrophy of bone, unspecified shoulder ICD10CM N/A M89321 Hypertrophy of bone, right humerus ICD10CM N/A M89322 Hypertrophy of bone, left humerus ICD10CM N/A M89329 Hypertrophy of bone, unspecified humerus ICD10CM N/A M89331 Hypertrophy of bone, right ulna ICD10CM N/A M89332 Hypertrophy of bone, left ulna ICD10CM N/A M89333 Hypertrophy of bone, right radius ICD10CM N/A M89334 Hypertrophy of bone, left radius ICD10CM N/A M89339 Hypertrophy of bone, unspecified ulna and radius ICD10CM N/A M89341 Hypertrophy of bone, right hand ICD10CM N/A M89342 Hypertrophy of bone, left hand ICD10CM N/A M89349 Hypertrophy of bone, unspecified hand ICD10CM N/A M89351 Hypertrophy of bone, right femur ICD10CM N/A M89352 Hypertrophy of bone, left femur ICD10CM N/A M89359 Hypertrophy of bone, unspecified femur ICD10CM N/A M89361 Hypertrophy of bone, right tibia ICD10CM N/A M89362 Hypertrophy of bone, left tibia ICD10CM N/A M89363 Hypertrophy of bone, right fibula ICD10CM N/A M89364 Hypertrophy of bone, left fibula ICD10CM N/A M89369 Hypertrophy of bone, unspecified tibia and fibula ICD10CM N/A M89371 Hypertrophy of bone, right ankle and foot ICD10CM N/A M89372 Hypertrophy of bone, left ankle and foot ICD10CM N/A M89379 Hypertrophy of bone, unspecified ankle and foot ICD10CM N/A M8939 Hypertrophy of bone, multiple sites ICD10CM N/A M8950 Osteolysis, unspecified site ICD10CM N/A M89511 Osteolysis, right shoulder ICD10CM N/A M89512 Osteolysis, left shoulder ICD10CM N/A M89519 Osteolysis, unspecified shoulder ICD10CM N/A M89521 Osteolysis, right upper arm ICD10CM N/A M89522 Osteolysis, left upper arm ICD10CM N/A M89529 Osteolysis, unspecified upper arm ICD10CM N/A M89531 Osteolysis, right forearm ICD10CM N/A M89532 Osteolysis, left forearm ICD10CM N/A M89539 Osteolysis, unspecified forearm ICD10CM N/A M89541 Osteolysis, right hand ICD10CM N/A M89542 Osteolysis, left hand ICD10CM N/A M89549 Osteolysis, unspecified hand ICD10CM N/A M89551 Osteolysis, right thigh ICD10CM

20 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A M89552 Osteolysis, left thigh ICD10CM N/A M89559 Osteolysis, unspecified thigh ICD10CM N/A M89561 Osteolysis, right lower leg ICD10CM N/A M89562 Osteolysis, left lower leg ICD10CM N/A M89569 Osteolysis, unspecified lower leg ICD10CM N/A M89571 Osteolysis, right ankle and foot ICD10CM N/A M89572 Osteolysis, left ankle and foot ICD10CM N/A M89579 Osteolysis, unspecified ankle and foot ICD10CM N/A M8958 Osteolysis, other site ICD10CM N/A M8959 Osteolysis, multiple sites ICD10CM N/A M898X0 Other specified disorders of bone, multiple sites ICD10CM N/A M898X1 Other specified disorders of bone, shoulder ICD10CM N/A M898X2 Other specified disorders of bone, upper arm ICD10CM N/A M898X3 Other specified disorders of bone, forearm ICD10CM N/A M898X4 Other specified disorders of bone, hand ICD10CM N/A M898X5 Other specified disorders of bone, thigh ICD10CM N/A M898X6 Other specified disorders of bone, lower leg ICD10CM N/A M898X7 Other specified disorders of bone, ankle and foot ICD10CM N/A M898X9 Other specified disorders of bone, unspecified site ICD10CM N/A M9390 Osteochondropathy, unspecified of unspecified site ICD10CM N/A M93911 Osteochondropathy, unspecified, right shoulder ICD10CM N/A M93912 Osteochondropathy, unspecified, left shoulder ICD10CM N/A M93919 Osteochondropathy, unspecified, unspecified shoulder ICD10CM N/A M93921 Osteochondropathy, unspecified, right upper arm ICD10CM N/A M93922 Osteochondropathy, unspecified, left upper arm ICD10CM N/A M93929 Osteochondropathy, unspecified, unspecified upper arm ICD10CM N/A M93931 Osteochondropathy, unspecified, right forearm ICD10CM N/A M93932 Osteochondropathy, unspecified, left forearm ICD10CM N/A M93939 Osteochondropathy, unspecified, unspecified forearm ICD10CM N/A M93941 Osteochondropathy, unspecified, right hand ICD10CM N/A M93942 Osteochondropathy, unspecified, left hand ICD10CM N/A M93949 Osteochondropathy, unspecified, unspecified hand ICD10CM N/A M93951 Osteochondropathy, unspecified, right thigh ICD10CM N/A M93952 Osteochondropathy, unspecified, left thigh ICD10CM N/A M93959 Osteochondropathy, unspecified, unspecified thigh ICD10CM N/A M93961 Osteochondropathy, unspecified, right lower leg ICD10CM N/A M93962 Osteochondropathy, unspecified, left lower leg ICD10CM N/A M93969 Osteochondropathy, unspecified, unspecified lower leg ICD10CM N/A M93971 Osteochondropathy, unspecified, right ankle and foot ICD10CM N/A M93972 Osteochondropathy, unspecified, left ankle and foot ICD10CM N/A M93979 Osteochondropathy, unspecified, unspecified ankle and foot ICD10CM N/A M9398 Osteochondropathy, unspecified other ICD10CM N/A M9399 Osteochondropathy, unspecified multiple sites ICD10CM N/A M941 Relapsing polychondritis ICD10CM N/A M94351 Chondrolysis, right hip ICD10CM N/A M94352 Chondrolysis, left hip ICD10CM N/A M94359 Chondrolysis, unspecified hip ICD10CM

21 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A M948X0 Other specified disorders of cartilage, multiple sites ICD10CM N/A M948X1 Other specified disorders of cartilage, shoulder ICD10CM N/A M948X2 Other specified disorders of cartilage, upper arm ICD10CM N/A M948X3 Other specified disorders of cartilage, forearm ICD10CM N/A M948X4 Other specified disorders of cartilage, hand ICD10CM N/A M948X5 Other specified disorders of cartilage, thigh ICD10CM N/A M948X6 Other specified disorders of cartilage, lower leg ICD10CM N/A M948X7 Other specified disorders of cartilage, ankle and foot ICD10CM N/A M948X8 Other specified disorders of cartilage, other site ICD10CM N/A M948X9 Other specified disorders of cartilage, unspecified sites ICD10CM N/A M8938 Hypertrophy of bone, other site ICD10CM N/A M898X8 Other specified disorders of bone, other site ICD10CM N/A K648 Other hemorrhoids ICD10CM N/A R220 Localized swelling, mass and lump, head ICD10CM N/A R221 Localized swelling, mass and lump, neck ICD10CM N/A A020 Salmonella enteritis ICD10CM N/A A46 Erysipelas ICD10CM N/A A57 Chancroid ICD10CM N/A B89 Unspecified parasitic disease ICD10CM N/A B999 Unspecified infectious disease ICD10CM N/A E0590 Thyrotoxicosis, unspecified without thyrotoxic crisis or storm ICD10CM N/A E6601 Morbid (severe) obesity due to excess calories ICD10CM N/A E6609 Other obesity due to excess calories ICD10CM N/A E661 Drug-induced obesity ICD10CM N/A E663 Overweight ICD10CM N/A E668 Other obesity ICD10CM N/A E669 Obesity, unspecified ICD10CM N/A G20 Parkinson's disease ICD10CM N/A G214 Vascular parkinsonism ICD10CM N/A G253 Myoclonus ICD10CM N/A H00021 Hordeolum internum right upper eyelid ICD10CM N/A H00022 Hordeolum internum right lower eyelid ICD10CM N/A H00023 Hordeolum internum right eye, unspecified eyelid ICD10CM N/A H00024 Hordeolum internum left upper eyelid ICD10CM N/A H00025 Hordeolum internum left lower eyelid ICD10CM N/A H00026 Hordeolum internum left eye, unspecified eyelid ICD10CM N/A H00029 Hordeolum internum unspecified eye, unspecified eyelid ICD10CM N/A H0011 Chalazion right upper eyelid ICD10CM N/A H0012 Chalazion right lower eyelid ICD10CM N/A H0013 Chalazion right eye, unspecified eyelid ICD10CM N/A H0014 Chalazion left upper eyelid ICD10CM N/A H0015 Chalazion left lower eyelid ICD10CM N/A H0016 Chalazion left eye, unspecified eyelid ICD10CM N/A H0019 Chalazion unspecified eye, unspecified eyelid ICD10CM N/A H209 Unspecified iridocyclitis ICD10CM N/A H269 Unspecified cataract ICD10CM N/A H3500 Unspecified background retinopathy ICD10CM

22 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A H5200 Hypermetropia, unspecified eye ICD10CM N/A H5201 Hypermetropia, right eye ICD10CM N/A H5202 Hypermetropia, left eye ICD10CM N/A H5203 Hypermetropia, bilateral ICD10CM N/A H5710 Ocular pain, unspecified eye ICD10CM N/A H5711 Ocular pain, right eye ICD10CM N/A H5712 Ocular pain, left eye ICD10CM N/A H5713 Ocular pain, bilateral ICD10CM N/A H65191 Other acute nonsuppurative otitis media, right ear ICD10CM N/A H65192 Other acute nonsuppurative otitis media, left ear ICD10CM N/A H65193 Other acute nonsuppurative otitis media, bilateral ICD10CM N/A H65194 Other acute nonsuppurative otitis media, recurrent, right ear ICD10CM N/A H65195 Other acute nonsuppurative otitis media, recurrent, left ear ICD10CM N/A H65196 Other acute nonsuppurative otitis media, recurrent, bilateral ICD10CM N/A H65197 Other acute nonsuppurative otitis media recurrent, unspecified ear ICD10CM N/A H65199 Other acute nonsuppurative otitis media, unspecified ear ICD10CM N/A H6590 Unspecified nonsuppurative otitis media, unspecified ear ICD10CM N/A H6591 Unspecified nonsuppurative otitis media, right ear ICD10CM N/A H6592 Unspecified nonsuppurative otitis media, left ear ICD10CM N/A H6593 Unspecified nonsuppurative otitis media, bilateral ICD10CM N/A H938X1 Other specified disorders of right ear ICD10CM N/A H938X2 Other specified disorders of left ear ICD10CM N/A H938X3 Other specified disorders of ear, bilateral ICD10CM N/A H938X9 Other specified disorders of ear, unspecified ear ICD10CM N/A H9480 Other specified disorders of ear in diseases classified elsewhere, unspecified ear ICD10CM N/A H9481 Other specified disorders of right ear in diseases classified elsewhere ICD10CM N/A H9482 Other specified disorders of left ear in diseases classified elsewhere ICD10CM N/A H9483 Other specified disorders of ear in diseases classified elsewhere, bilateral ICD10CM N/A I809 Phlebitis and thrombophlebitis of unspecified site ICD10CM N/A I83001 Varicose veins of unspecified lower extremity with ulcer of thigh ICD10CM N/A I83002 Varicose veins of unspecified lower extremity with ulcer of calf ICD10CM N/A I83003 Varicose veins of unspecified lower extremity with ulcer of ankle ICD10CM N/A I83004 Varicose veins of unspecified lower extremity with ulcer of heel and midfoot ICD10CM

N/A I83005 Varicose veins of unspecified lower extremity with ulcer other part of foot ICD10CM

N/A I83008 Varicose veins of unspecified lower extremity with ulcer other part of lower leg ICD10CM

N/A I83009 Varicose veins of unspecified lower extremity with ulcer of unspecified site ICD10CM N/A I83011 Varicose veins of right lower extremity with ulcer of thigh ICD10CM N/A I83012 Varicose veins of right lower extremity with ulcer of calf ICD10CM N/A I83013 Varicose veins of right lower extremity with ulcer of ankle ICD10CM N/A I83014 Varicose veins of right lower extremity with ulcer of heel and midfoot ICD10CM N/A I83015 Varicose veins of right lower extremity with ulcer other part of foot ICD10CM

23 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A I83018 Varicose veins of right lower extremity with ulcer other part of lower leg ICD10CM N/A I83019 Varicose veins of right lower extremity with ulcer of unspecified site ICD10CM N/A I83021 Varicose veins of left lower extremity with ulcer of thigh ICD10CM N/A I83022 Varicose veins of left lower extremity with ulcer of calf ICD10CM N/A I83023 Varicose veins of left lower extremity with ulcer of ankle ICD10CM N/A I83024 Varicose veins of left lower extremity with ulcer of heel and midfoot ICD10CM N/A I83025 Varicose veins of left lower extremity with ulcer other part of foot ICD10CM N/A I83028 Varicose veins of left lower extremity with ulcer other part of lower leg ICD10CM N/A I83029 Varicose veins of left lower extremity with ulcer of unspecified site ICD10CM N/A I8390 Asymptomatic varicose veins of unspecified lower extremity ICD10CM N/A I8391 Asymptomatic varicose veins of right lower extremity ICD10CM N/A I8392 Asymptomatic varicose veins of left lower extremity ICD10CM N/A I8393 Asymptomatic varicose veins of bilateral lower extremities ICD10CM N/A J0410 Acute tracheitis without obstruction ICD10CM N/A K259 Gastric ulcer, unspecified as acute or chronic, without hemorrhage or perforation ICD10CM N/A K2940 Chronic atrophic gastritis without bleeding ICD10CM N/A K2950 Unspecified chronic gastritis without bleeding ICD10CM N/A K560 Paralytic ileus ICD10CM N/A K567 Ileus, unspecified ICD10CM N/A K625 Hemorrhage of anus and rectum ICD10CM N/A K634 Enteroptosis ICD10CM N/A K6389 Other specified diseases of intestine ICD10CM N/A K9289 Other specified diseases of the digestive system ICD10CM N/A L0501 Pilonidal cyst with abscess ICD10CM N/A L0502 Pilonidal sinus with abscess ICD10CM N/A L0591 Pilonidal cyst without abscess ICD10CM N/A L0592 Pilonidal sinus without abscess ICD10CM N/A L42 Pityriasis rosea ICD10CM N/A L449 Papulosquamous disorder, unspecified ICD10CM N/A L632 Ophiasis ICD10CM N/A L638 Other alopecia areata ICD10CM N/A L639 Alopecia areata, unspecified ICD10CM N/A L663 capitis abscedens ICD10CM N/A L700 Acne vulgaris ICD10CM N/A L701 Acne conglobata ICD10CM N/A L703 Acne tropica ICD10CM N/A L704 Infantile acne ICD10CM N/A L705 Acne excoriee des jeunes filles ICD10CM N/A L708 Other acne ICD10CM N/A L709 Acne, unspecified ICD10CM N/A L7211 Pilar cyst ICD10CM N/A L7212 Trichodermal cyst ICD10CM N/A L730 Acne keloid ICD10CM N/A L731 Pseudofolliculitis barbae ICD10CM N/A L738 Other specified follicular disorders ICD10CM N/A L944 Gottron's papules ICD10CM

24 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A L988 Other specified disorders of the skin and subcutaneous tissue ICD10CM N/A M25751 Osteophyte, right hip ICD10CM N/A M25752 Osteophyte, left hip ICD10CM N/A M25759 Osteophyte, unspecified hip ICD10CM N/A M26219 Malocclusion, Angle's class, unspecified ICD10CM N/A M264 Malocclusion, unspecified ICD10CM N/A M7060 Trochanteric bursitis, unspecified hip ICD10CM N/A M7061 Trochanteric bursitis, right hip ICD10CM N/A M7062 Trochanteric bursitis, left hip ICD10CM N/A M7070 Other bursitis of hip, unspecified hip ICD10CM N/A M7071 Other bursitis of hip, right hip ICD10CM N/A M7072 Other bursitis of hip, left hip ICD10CM N/A M7600 Gluteal tendinitis, unspecified hip ICD10CM N/A M7601 Gluteal tendinitis, right hip ICD10CM N/A M7602 Gluteal tendinitis, left hip ICD10CM N/A M7610 Psoas tendinitis, unspecified hip ICD10CM N/A M7611 Psoas tendinitis, right hip ICD10CM N/A M7612 Psoas tendinitis, left hip ICD10CM N/A M7620 Iliac crest spur, unspecified hip ICD10CM N/A M7621 Iliac crest spur, right hip ICD10CM N/A M7622 Iliac crest spur, left hip ICD10CM N/A M7630 Iliotibial band syndrome, unspecified leg ICD10CM N/A M7631 Iliotibial band syndrome, right leg ICD10CM N/A M7632 Iliotibial band syndrome, left leg ICD10CM N/A M7650 Patellar tendinitis, unspecified knee ICD10CM N/A M7651 Patellar tendinitis, right knee ICD10CM N/A M7652 Patellar tendinitis, left knee ICD10CM N/A N211 Calculus in urethra ICD10CM N/A N289 Disorder of kidney and ureter, unspecified ICD10CM N/A N29 Other disorders of kidney and ureter in diseases classified elsewhere ICD10CM N/A N470 Adherent prepuce, newborn ICD10CM N/A N471 Phimosis ICD10CM N/A N472 Paraphimosis ICD10CM N/A N473 Deficient foreskin ICD10CM N/A N474 Benign cyst of prepuce ICD10CM N/A N475 Adhesions of prepuce and glans penis ICD10CM N/A N477 Other inflammatory diseases of prepuce ICD10CM N/A N478 Other disorders of prepuce ICD10CM N/A N644 Mastodynia ICD10CM N/A N750 Cyst of Bartholin's gland ICD10CM N/A N758 Other diseases of Bartholin's gland ICD10CM N/A N913 Primary ICD10CM N/A N914 Secondary oligomenorrhea ICD10CM N/A N915 Oligomenorrhea, unspecified ICD10CM N/A P549 Neonatal hemorrhage, unspecified ICD10CM N/A R010 Benign and innocent cardiac murmurs ICD10CM N/A R011 Cardiac murmur, unspecified ICD10CM

25 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A R072 Precordial pain ICD10CM N/A R12 Heartburn ICD10CM N/A R1900 Intra-abdominal and pelvic swelling, mass and lump, unspecified site ICD10CM N/A R234 Changes in skin texture ICD10CM N/A R491 Aphonia ICD10CM N/A R58 Hemorrhage, not elsewhere classified ICD10CM N/A S0000XD Unspecified superficial injury of scalp, subsequent encounter ICD10CM N/A S0001XD Abrasion of scalp, subsequent encounter ICD10CM N/A S0002XD Blister (nonthermal) of scalp, subsequent encounter ICD10CM N/A S0003XD Contusion of scalp, subsequent encounter ICD10CM N/A S0004XD External constriction of part of scalp, subsequent encounter ICD10CM N/A S0005XD Superficial foreign body of scalp, subsequent encounter ICD10CM N/A S0006XD Insect bite (nonvenomous) of scalp, subsequent encounter ICD10CM N/A S0007XD Other superficial bite of scalp, subsequent encounter ICD10CM N/A S0010XD Contusion of unspecified eyelid and periocular area, subsequent encounter ICD10CM N/A S0011XD Contusion of right eyelid and periocular area, subsequent encounter ICD10CM N/A S0012XD Contusion of left eyelid and periocular area, subsequent encounter ICD10CM Unspecified superficial injury of right eyelid and periocular area, subsequent N/A S00201D ICD10CM encounter Unspecified superficial injury of left eyelid and periocular area, subsequent N/A S00202D ICD10CM encounter Unspecified superficial injury of unspecified eyelid and periocular area, subsequent N/A S00209D ICD10CM encounter N/A S00211D Abrasion of right eyelid and periocular area, subsequent encounter ICD10CM N/A S00212D Abrasion of left eyelid and periocular area, subsequent encounter ICD10CM N/A S00219D Abrasion of unspecified eyelid and periocular area, subsequent encounter ICD10CM

N/A S00221D Blister (nonthermal) of right eyelid and periocular area, subsequent encounter ICD10CM

N/A S00222D Blister (nonthermal) of left eyelid and periocular area, subsequent encounter ICD10CM Blister (nonthermal) of unspecified eyelid and periocular area, subsequent N/A S00229D ICD10CM encounter N/A S00241D External constriction of right eyelid and periocular area, subsequent encounter ICD10CM

N/A S00242D External constriction of left eyelid and periocular area, subsequent encounter ICD10CM External constriction of unspecified eyelid and periocular area, subsequent N/A S00249D ICD10CM encounter N/A S00251D Superficial foreign body of right eyelid and periocular area, subsequent encounter ICD10CM

N/A S00252D Superficial foreign body of left eyelid and periocular area, subsequent encounter ICD10CM Superficial foreign body of unspecified eyelid and periocular area, subsequent N/A S00259D ICD10CM encounter

26 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Insect bite (nonvenomous) of right eyelid and periocular area, subsequent N/A S00261D ICD10CM encounter N/A S00262D Insect bite (nonvenomous) of left eyelid and periocular area, subsequent encounter ICD10CM Insect bite (nonvenomous) of unspecified eyelid and periocular area, subsequent N/A S00269D ICD10CM encounter N/A S00271D Other superficial bite of right eyelid and periocular area, subsequent encounter ICD10CM

N/A S00272D Other superficial bite of left eyelid and periocular area, subsequent encounter ICD10CM Other superficial bite of unspecified eyelid and periocular area, subsequent N/A S00279D ICD10CM encounter N/A S0030XD Unspecified superficial injury of nose, subsequent encounter ICD10CM N/A S0031XD Abrasion of nose, subsequent encounter ICD10CM N/A S0032XD Blister (nonthermal) of nose, subsequent encounter ICD10CM N/A S0033XD Contusion of nose, subsequent encounter ICD10CM N/A S0034XD External constriction of nose, subsequent encounter ICD10CM N/A S0035XD Superficial foreign body of nose, subsequent encounter ICD10CM N/A S0036XD Insect bite (nonvenomous) of nose, subsequent encounter ICD10CM N/A S0037XD Other superficial bite of nose, subsequent encounter ICD10CM N/A S00401D Unspecified superficial injury of right ear, subsequent encounter ICD10CM N/A S00402D Unspecified superficial injury of left ear, subsequent encounter ICD10CM N/A S00409D Unspecified superficial injury of unspecified ear, subsequent encounter ICD10CM N/A S00411D Abrasion of right ear, subsequent encounter ICD10CM N/A S00412D Abrasion of left ear, subsequent encounter ICD10CM N/A S00419D Abrasion of unspecified ear, subsequent encounter ICD10CM N/A S00421D Blister (nonthermal) of right ear, subsequent encounter ICD10CM N/A S00422D Blister (nonthermal) of left ear, subsequent encounter ICD10CM N/A S00429D Blister (nonthermal) of unspecified ear, subsequent encounter ICD10CM N/A S00431D Contusion of right ear, subsequent encounter ICD10CM N/A S00432D Contusion of left ear, subsequent encounter ICD10CM N/A S00439D Contusion of unspecified ear, subsequent encounter ICD10CM N/A S00441D External constriction of right ear, subsequent encounter ICD10CM N/A S00442D External constriction of left ear, subsequent encounter ICD10CM N/A S00449D External constriction of unspecified ear, subsequent encounter ICD10CM N/A S00451D Superficial foreign body of right ear, subsequent encounter ICD10CM N/A S00452D Superficial foreign body of left ear, subsequent encounter ICD10CM N/A S00459D Superficial foreign body of unspecified ear, subsequent encounter ICD10CM N/A S00461D Insect bite (nonvenomous) of right ear, subsequent encounter ICD10CM N/A S00462D Insect bite (nonvenomous) of left ear, subsequent encounter ICD10CM N/A S00469D Insect bite (nonvenomous) of unspecified ear, subsequent encounter ICD10CM N/A S00471D Other superficial bite of right ear, subsequent encounter ICD10CM N/A S00472D Other superficial bite of left ear, subsequent encounter ICD10CM N/A S00479D Other superficial bite of unspecified ear, subsequent encounter ICD10CM N/A S00501D Unspecified superficial injury of lip, subsequent encounter ICD10CM N/A S00502D Unspecified superficial injury of oral cavity, subsequent encounter ICD10CM N/A S00511D Abrasion of lip, subsequent encounter ICD10CM

27 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S00512D Abrasion of oral cavity, subsequent encounter ICD10CM N/A S00521D Blister (nonthermal) of lip, subsequent encounter ICD10CM N/A S00522D Blister (nonthermal) of oral cavity, subsequent encounter ICD10CM N/A S00531D Contusion of lip, subsequent encounter ICD10CM N/A S00532D Contusion of oral cavity, subsequent encounter ICD10CM N/A S00541D External constriction of lip, subsequent encounter ICD10CM N/A S00542D External constriction of oral cavity, subsequent encounter ICD10CM N/A S00551D Superficial foreign body of lip, subsequent encounter ICD10CM N/A S00552D Superficial foreign body of oral cavity, subsequent encounter ICD10CM N/A S00561D Insect bite (nonvenomous) of lip, subsequent encounter ICD10CM N/A S00562D Insect bite (nonvenomous) of oral cavity, subsequent encounter ICD10CM N/A S00571D Other superficial bite of lip, subsequent encounter ICD10CM N/A S00572D Other superficial bite of oral cavity, subsequent encounter ICD10CM N/A S0080XD Unspecified superficial injury of other part of head, subsequent encounter ICD10CM N/A S0081XD Abrasion of other part of head, subsequent encounter ICD10CM N/A S0082XD Blister (nonthermal) of other part of head, subsequent encounter ICD10CM N/A S0083XD Contusion of other part of head, subsequent encounter ICD10CM N/A S0084XD External constriction of other part of head, subsequent encounter ICD10CM N/A S0085XD Superficial foreign body of other part of head, subsequent encounter ICD10CM N/A S0086XD Insect bite (nonvenomous) of other part of head, subsequent encounter ICD10CM N/A S0087XD Other superficial bite of other part of head, subsequent encounter ICD10CM N/A S0090XD Unspecified superficial injury of unspecified part of head, subsequent encounter ICD10CM N/A S0091XD Abrasion of unspecified part of head, subsequent encounter ICD10CM N/A S0092XD Blister (nonthermal) of unspecified part of head, subsequent encounter ICD10CM N/A S0093XD Contusion of unspecified part of head, subsequent encounter ICD10CM N/A S0094XD External constriction of unspecified part of head, subsequent encounter ICD10CM N/A S0095XD Superficial foreign body of unspecified part of head, subsequent encounter ICD10CM

N/A S0096XD Insect bite (nonvenomous) of unspecified part of head, subsequent encounter ICD10CM N/A S0097XD Other superficial bite of unspecified part of head, subsequent encounter ICD10CM N/A S0100XD Unspecified open wound of scalp, subsequent encounter ICD10CM N/A S0101XD Laceration without foreign body of scalp, subsequent encounter ICD10CM N/A S0102XD Laceration with foreign body of scalp, subsequent encounter ICD10CM N/A S0103XD Puncture wound without foreign body of scalp, subsequent encounter ICD10CM N/A S0104XD Puncture wound with foreign body of scalp, subsequent encounter ICD10CM N/A S0105XD Open bite of scalp, subsequent encounter ICD10CM N/A S01101D Unspecified open wound of right eyelid and periocular area, subsequent encounter ICD10CM

N/A S01102D Unspecified open wound of left eyelid and periocular area, subsequent encounter ICD10CM Unspecified open wound of unspecified eyelid and periocular area, subsequent N/A S01109D ICD10CM encounter Laceration without foreign body of right eyelid and periocular area, subsequent N/A S01111D ICD10CM encounter

28 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Laceration without foreign body of left eyelid and periocular area, subsequent N/A S01112D ICD10CM encounter Laceration without foreign body of unspecified eyelid and periocular area, N/A S01119D ICD10CM subsequent encounter Laceration with foreign body of right eyelid and periocular area, subsequent N/A S01121D ICD10CM encounter Laceration with foreign body of left eyelid and periocular area, subsequent N/A S01122D ICD10CM encounter Laceration with foreign body of unspecified eyelid and periocular area, subsequent N/A S01129D ICD10CM encounter Puncture wound without foreign body of right eyelid and periocular area, N/A S01131D ICD10CM subsequent encounter Puncture wound without foreign body of left eyelid and periocular area, subsequent N/A S01132D ICD10CM encounter Puncture wound without foreign body of unspecified eyelid and periocular area, N/A S01139D ICD10CM subsequent encounter Puncture wound with foreign body of right eyelid and periocular area, subsequent N/A S01141D ICD10CM encounter Puncture wound with foreign body of left eyelid and periocular area, subsequent N/A S01142D ICD10CM encounter Puncture wound with foreign body of unspecified eyelid and periocular area, N/A S01149D ICD10CM subsequent encounter N/A S01151D Open bite of right eyelid and periocular area, subsequent encounter ICD10CM N/A S01152D Open bite of left eyelid and periocular area, subsequent encounter ICD10CM N/A S01159D Open bite of unspecified eyelid and periocular area, subsequent encounter ICD10CM N/A S0120XD Unspecified open wound of nose, subsequent encounter ICD10CM N/A S0121XD Laceration without foreign body of nose, subsequent encounter ICD10CM N/A S0122XD Laceration with foreign body of nose, subsequent encounter ICD10CM N/A S0123XD Puncture wound without foreign body of nose, subsequent encounter ICD10CM N/A S0124XD Puncture wound with foreign body of nose, subsequent encounter ICD10CM N/A S0125XD Open bite of nose, subsequent encounter ICD10CM N/A S01301D Unspecified open wound of right ear, subsequent encounter ICD10CM N/A S01302D Unspecified open wound of left ear, subsequent encounter ICD10CM N/A S01309D Unspecified open wound of unspecified ear, subsequent encounter ICD10CM N/A S01311D Laceration without foreign body of right ear, subsequent encounter ICD10CM N/A S01312D Laceration without foreign body of left ear, subsequent encounter ICD10CM N/A S01319D Laceration without foreign body of unspecified ear, subsequent encounter ICD10CM N/A S01321D Laceration with foreign body of right ear, subsequent encounter ICD10CM N/A S01322D Laceration with foreign body of left ear, subsequent encounter ICD10CM N/A S01329D Laceration with foreign body of unspecified ear, subsequent encounter ICD10CM N/A S01331D Puncture wound without foreign body of right ear, subsequent encounter ICD10CM N/A S01332D Puncture wound without foreign body of left ear, subsequent encounter ICD10CM N/A S01339D Puncture wound without foreign body of unspecified ear, subsequent encounter ICD10CM N/A S01341D Puncture wound with foreign body of right ear, subsequent encounter ICD10CM

29 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S01342D Puncture wound with foreign body of left ear, subsequent encounter ICD10CM N/A S01349D Puncture wound with foreign body of unspecified ear, subsequent encounter ICD10CM N/A S01351D Open bite of right ear, subsequent encounter ICD10CM N/A S01352D Open bite of left ear, subsequent encounter ICD10CM N/A S01359D Open bite of unspecified ear, subsequent encounter ICD10CM Unspecified open wound of right cheek and temporomandibular area, subsequent N/A S01401D ICD10CM encounter Unspecified open wound of left cheek and temporomandibular area, subsequent N/A S01402D ICD10CM encounter Unspecified open wound of unspecified cheek and temporomandibular area, N/A S01409D ICD10CM subsequent encounter Laceration without foreign body of right cheek and temporomandibular area, N/A S01411D ICD10CM subsequent encounter Laceration without foreign body of left cheek and temporomandibular area, N/A S01412D ICD10CM subsequent encounter Laceration without foreign body of unspecified cheek and temporomandibular area, N/A S01419D ICD10CM subsequent encounter Laceration with foreign body of right cheek and temporomandibular area, N/A S01421D ICD10CM subsequent encounter Laceration with foreign body of left cheek and temporomandibular area, subsequent N/A S01422D ICD10CM encounter Laceration with foreign body of unspecified cheek and temporomandibular area, N/A S01429D ICD10CM subsequent encounter Puncture wound without foreign body of right cheek and temporomandibular area, N/A S01431D ICD10CM subsequent encounter Puncture wound without foreign body of left cheek and temporomandibular area, N/A S01432D ICD10CM subsequent encounter Puncture wound without foreign body of unspecified cheek and temporomandibular N/A S01439D ICD10CM area, subsequent encounter Puncture wound with foreign body of right cheek and temporomandibular area, N/A S01441D ICD10CM subsequent encounter Puncture wound with foreign body of left cheek and temporomandibular area, N/A S01442D ICD10CM subsequent encounter Puncture wound with foreign body of unspecified cheek and temporomandibular N/A S01449D ICD10CM area, subsequent encounter N/A S01451D Open bite of right cheek and temporomandibular area, subsequent encounter ICD10CM

N/A S01452D Open bite of left cheek and temporomandibular area, subsequent encounter ICD10CM

N/A S01459D Open bite of unspecified cheek and temporomandibular area, subsequent encounter ICD10CM N/A S01501D Unspecified open wound of lip, subsequent encounter ICD10CM N/A S01502D Unspecified open wound of oral cavity, subsequent encounter ICD10CM N/A S01511D Laceration without foreign body of lip, subsequent encounter ICD10CM N/A S01512D Laceration without foreign body of oral cavity, subsequent encounter ICD10CM N/A S01521D Laceration with foreign body of lip, subsequent encounter ICD10CM

30 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S01522D Laceration with foreign body of oral cavity, subsequent encounter ICD10CM N/A S01531D Puncture wound without foreign body of lip, subsequent encounter ICD10CM N/A S01532D Puncture wound without foreign body of oral cavity, subsequent encounter ICD10CM N/A S01541D Puncture wound with foreign body of lip, subsequent encounter ICD10CM N/A S01542D Puncture wound with foreign body of oral cavity, subsequent encounter ICD10CM N/A S01551D Open bite of lip, subsequent encounter ICD10CM N/A S01552D Open bite of oral cavity, subsequent encounter ICD10CM N/A S0180XD Unspecified open wound of other part of head, subsequent encounter ICD10CM N/A S0181XD Laceration without foreign body of other part of head, subsequent encounter ICD10CM N/A S0182XD Laceration with foreign body of other part of head, subsequent encounter ICD10CM N/A S0183XD Puncture wound without foreign body of other part of head, subsequent encounter ICD10CM

N/A S0184XD Puncture wound with foreign body of other part of head, subsequent encounter ICD10CM N/A S0185XD Open bite of other part of head, subsequent encounter ICD10CM N/A S0190XD Unspecified open wound of unspecified part of head, subsequent encounter ICD10CM

N/A S0191XD Laceration without foreign body of unspecified part of head, subsequent encounter ICD10CM

N/A S0192XD Laceration with foreign body of unspecified part of head, subsequent encounter ICD10CM Puncture wound without foreign body of unspecified part of head, subsequent N/A S0193XD ICD10CM encounter Puncture wound with foreign body of unspecified part of head, subsequent N/A S0194XD ICD10CM encounter N/A S0195XD Open bite of unspecified part of head, subsequent encounter ICD10CM N/A S030XXD Dislocation of jaw, subsequent encounter ICD10CM N/A S031XXD Dislocation of septal cartilage of nose, subsequent encounter ICD10CM N/A S032XXD Dislocation of tooth, subsequent encounter ICD10CM N/A S034XXD Sprain of jaw, subsequent encounter ICD10CM N/A S038XXD Sprain of joints and ligaments of other parts of head, subsequent encounter ICD10CM

N/A S039XXD Sprain of joints and ligaments of unspecified parts of head, subsequent encounter ICD10CM N/A S04011D Injury of optic nerve, right eye, subsequent encounter ICD10CM N/A S04012D Injury of optic nerve, left eye, subsequent encounter ICD10CM N/A S04019D Injury of optic nerve, unspecified eye, subsequent encounter ICD10CM N/A S0402XD Injury of optic chiasm, subsequent encounter ICD10CM N/A S04031D Injury of optic tract and pathways, right eye, subsequent encounter ICD10CM N/A S04032D Injury of optic tract and pathways, left eye, subsequent encounter ICD10CM N/A S04039D Injury of optic tract and pathways, unspecified eye, subsequent encounter ICD10CM N/A S04041D Injury of visual cortex, right eye, subsequent encounter ICD10CM N/A S04042D Injury of visual cortex, left eye, subsequent encounter ICD10CM N/A S04049D Injury of visual cortex, unspecified eye, subsequent encounter ICD10CM

31 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S0410XD Injury of oculomotor nerve, unspecified side, subsequent encounter ICD10CM N/A S0411XD Injury of oculomotor nerve, right side, subsequent encounter ICD10CM N/A S0412XD Injury of oculomotor nerve, left side, subsequent encounter ICD10CM N/A S0420XD Injury of trochlear nerve, unspecified side, subsequent encounter ICD10CM N/A S0421XD Injury of trochlear nerve, right side, subsequent encounter ICD10CM N/A S0422XD Injury of trochlear nerve, left side, subsequent encounter ICD10CM N/A S0430XD Injury of trigeminal nerve, unspecified side, subsequent encounter ICD10CM N/A S0431XD Injury of trigeminal nerve, right side, subsequent encounter ICD10CM N/A S0432XD Injury of trigeminal nerve, left side, subsequent encounter ICD10CM N/A S0440XD Injury of abducent nerve, unspecified side, subsequent encounter ICD10CM N/A S0441XD Injury of abducent nerve, right side, subsequent encounter ICD10CM N/A S0442XD Injury of abducent nerve, left side, subsequent encounter ICD10CM N/A S0450XD Injury of facial nerve, unspecified side, subsequent encounter ICD10CM N/A S0451XD Injury of facial nerve, right side, subsequent encounter ICD10CM N/A S0452XD Injury of facial nerve, left side, subsequent encounter ICD10CM N/A S0460XD Injury of acoustic nerve, unspecified side, subsequent encounter ICD10CM N/A S0461XD Injury of acoustic nerve, right side, subsequent encounter ICD10CM N/A S0462XD Injury of acoustic nerve, left side, subsequent encounter ICD10CM N/A S0470XD Injury of accessory nerve, unspecified side, subsequent encounter ICD10CM N/A S0471XD Injury of accessory nerve, right side, subsequent encounter ICD10CM N/A S0472XD Injury of accessory nerve, left side, subsequent encounter ICD10CM N/A S04811D Injury of olfactory [1st ] nerve, right side, subsequent encounter ICD10CM N/A S04812D Injury of olfactory [1st ] nerve, left side, subsequent encounter ICD10CM N/A S04819D Injury of olfactory [1st ] nerve, unspecified side, subsequent encounter ICD10CM N/A S04891D Injury of other cranial nerves, right side, subsequent encounter ICD10CM N/A S04892D Injury of other cranial nerves, left side, subsequent encounter ICD10CM N/A S04899D Injury of other cranial nerves, unspecified side, subsequent encounter ICD10CM N/A S049XXD Injury of unspecified cranial nerve, subsequent encounter ICD10CM Injury of conjunctiva and corneal abrasion without foreign body, unspecified eye, N/A S0500XD ICD10CM subsequent encounter Injury of conjunctiva and corneal abrasion without foreign body, right eye, N/A S0501XD ICD10CM subsequent encounter Injury of conjunctiva and corneal abrasion without foreign body, left eye, N/A S0502XD ICD10CM subsequent encounter N/A S0510XD Contusion of eyeball and orbital tissues, unspecified eye, subsequent encounter ICD10CM N/A S0511XD Contusion of eyeball and orbital tissues, right eye, subsequent encounter ICD10CM N/A S0512XD Contusion of eyeball and orbital tissues, left eye, subsequent encounter ICD10CM Ocular laceration and rupture with prolapse or loss of intraocular tissue, unspecified N/A S0520XD ICD10CM eye subsequent encounter Ocular laceration and rupture with prolapse or loss of intraocular tissue, right eye, N/A S0521XD ICD10CM subsequent encounter Ocular laceration and rupture with prolapse or loss of intraocular tissue, left eye, N/A S0522XD ICD10CM subsequent encounter Ocular laceration without prolapse or loss of intraocular tissue, unspecified eye, N/A S0530XD ICD10CM subsequent encounter

32 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Ocular laceration without prolapse or loss of intraocular tissue, right eye, N/A S0531XD ICD10CM subsequent encounter Ocular laceration without prolapse or loss of intraocular tissue, left eye, subsequent N/A S0532XD ICD10CM encounter Penetrating wound of orbit with or without foreign body, unspecified eye, N/A S0540XD ICD10CM subsequent encounter Penetrating wound of orbit with or without foreign body, right eye, subsequent N/A S0541XD ICD10CM encounter Penetrating wound of orbit with or without foreign body, left eye, subsequent N/A S0542XD ICD10CM encounter N/A S0550XD Penetrating wound with foreign body of unspecified eyeball, subsequent encounter ICD10CM

N/A S0551XD Penetrating wound with foreign body of right eyeball, subsequent encounter ICD10CM

N/A S0552XD Penetrating wound with foreign body of left eyeball, subsequent encounter ICD10CM Penetrating wound without foreign body of unspecified eyeball, subsequent N/A S0560XD ICD10CM encounter N/A S0561XD Penetrating wound without foreign body of right eyeball, subsequent encounter ICD10CM

N/A S0562XD Penetrating wound without foreign body of left eyeball, subsequent encounter ICD10CM N/A S0570XD Avulsion of unspecified eye, subsequent encounter ICD10CM N/A S0571XD Avulsion of right eye, subsequent encounter ICD10CM N/A S0572XD Avulsion of left eye, subsequent encounter ICD10CM N/A S058X1D Other injuries of right eye and orbit, subsequent encounter ICD10CM N/A S058X2D Other injuries of left eye and orbit, subsequent encounter ICD10CM N/A S058X9D Other injuries of unspecified eye and orbit, subsequent encounter ICD10CM N/A S0590XD Unspecified injury of unspecified eye and orbit, subsequent encounter ICD10CM N/A S0591XD Unspecified injury of right eye and orbit, subsequent encounter ICD10CM N/A S0592XD Unspecified injury of left eye and orbit, subsequent encounter ICD10CM N/A S060X0D Concussion without loss of consciousness, subsequent encounter ICD10CM N/A S060X1D Concussion with loss of consciousness of 30 minutes or less, subsequent encounter ICD10CM Concussion with loss of consciousness of 31 minutes to 59 minutes, subsequent N/A S060X2D ICD10CM encounter Concussion with loss of consciousness of 1 hour to 5 hours 59 minutes, subsequent N/A S060X3D ICD10CM encounter N/A S060X4D Concussion with loss of consciousness of 6 hours to 24 hours, subsequent encounter ICD10CM Concussion with loss of consciousness greater than 24 hours with return to pre- N/A S060X5D ICD10CM existing conscious level, subsequent encounter Concussion with loss of consciousness greater than 24 hours without return to pre- N/A S060X6D ICD10CM existing conscious level with patient surviving, subsequent encounter Concussion with loss of consciousness of any duration with death due to brain injury N/A S060X7D ICD10CM prior to regaining consciousness, subsequent encounter

33 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Concussion with loss of consciousness of any duration with death due to other cause N/A S060X8D ICD10CM prior to regaining consciousness, subsequent encounter Concussion with loss of consciousness of unspecified duration, subsequent N/A S060X9D ICD10CM encounter N/A S061X0D Traumatic cerebral edema without loss of consciousness, subsequent encounter ICD10CM Traumatic cerebral edema with loss of consciousness of 30 minutes or less, N/A S061X1D ICD10CM subsequent encounter Traumatic cerebral edema with loss of consciousness of 31 minutes to 59 minutes, N/A S061X2D ICD10CM subsequent encounter Traumatic cerebral edema with loss of consciousness of 1 hour to 5 hours 59 N/A S061X3D ICD10CM minutes, subsequent encounter Traumatic cerebral edema with loss of consciousness of 6 hours to 24 hours, N/A S061X4D ICD10CM subsequent encounter Traumatic cerebral edema with loss of consciousness greater than 24 hours with N/A S061X5D ICD10CM return to pre-existing conscious level, subsequent encounter Traumatic cerebral edema with loss of consciousness greater than 24 hours without N/A S061X6D ICD10CM return to pre-existing conscious level with patient surviving, subsequent encounter

Traumatic cerebral edema with loss of consciousness of any duration with death due N/A S061X7D ICD10CM to brain injury prior to regaining consciousness, subsequent encounter

Traumatic cerebral edema with loss of consciousness of any duration with death due N/A S061X8D ICD10CM to other cause prior to regaining consciousness, subsequent encounter Traumatic cerebral edema with loss of consciousness of unspecified duration, N/A S061X9D ICD10CM subsequent encounter N/A S062X0D Diffuse traumatic brain injury without loss of consciousness, subsequent encounter ICD10CM Diffuse traumatic brain injury with loss of consciousness of 30 minutes or less, N/A S062X1D ICD10CM subsequent encounter Diffuse traumatic brain injury with loss of consciousness of 31 minutes to 59 N/A S062X2D ICD10CM minutes, subsequent encounter Diffuse traumatic brain injury with loss of consciousness of 1 hour to 5 hours 59 N/A S062X3D ICD10CM minutes, subsequent encounter Diffuse traumatic brain injury with loss of consciousness of 6 hours to 24 hours, N/A S062X4D ICD10CM subsequent encounter Diffuse traumatic brain injury with loss of consciousness greater than 24 hours with N/A S062X5D ICD10CM return to pre-existing conscious levels, subsequent encounter Diffuse traumatic brain injury with loss of consciousness greater than 24 hours N/A S062X6D without return to pre-existing conscious level with patient surviving, subsequent ICD10CM encounter Diffuse traumatic brain injury with loss of consciousness of any duration with death N/A S062X7D ICD10CM due to brain injury prior to regaining consciousness, subsequent encounter

34 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Diffuse traumatic brain injury with loss of consciousness of any duration with death N/A S062X8D ICD10CM due to other cause prior to regaining consciousness, subsequent encounter Diffuse traumatic brain injury with loss of consciousness of unspecified duration, N/A S062X9D ICD10CM subsequent encounter Unspecified focal traumatic brain injury without loss of consciousness, subsequent N/A S06300D ICD10CM encounter Unspecified focal traumatic brain injury with loss of consciousness of 30 minutes or N/A S06301D ICD10CM less, subsequent encounter Unspecified focal traumatic brain injury with loss of consciousness of 31 minutes to N/A S06302D ICD10CM 59 minutes, subsequent encounter Unspecified focal traumatic brain injury with loss of consciousness of 1 hour to 5 N/A S06303D ICD10CM hours 59 minutes, subsequent encounter Unspecified focal traumatic brain injury with loss of consciousness of 6 hours to 24 N/A S06304D ICD10CM hours, subsequent encounter Unspecified focal traumatic brain injury with loss of consciousness greater than 24 N/A S06305D ICD10CM hours with return to pre-existing conscious level, subsequent encounter Unspecified focal traumatic brain injury with loss of consciousness greater than 24 N/A S06306D hours without return to pre-existing conscious level with patient surviving, ICD10CM subsequent e Unspecified focal traumatic brain injury with loss of consciousness of any duration N/A S06307D with death due to brain injury prior to regaining consciousness, subsequent ICD10CM encounter Unspecified focal traumatic brain injury with loss of consciousness of any duration N/A S06308D with death due to other cause prior to regaining consciousness, subsequent ICD10CM encounter Unspecified focal traumatic brain injury with loss of consciousness of unspecified N/A S06309D ICD10CM duration, subsequent encounter Contusion and laceration of right cerebrum without loss of consciousness, N/A S06310D ICD10CM subsequent encounter Contusion and laceration of right cerebrum with loss of consciousness of 30 minutes N/A S06311D ICD10CM or less, subsequent encounter Contusion and laceration of right cerebrum with loss of consciousness of 31 minutes N/A S06312D ICD10CM to 59 minutes, subsequent encounter Contusion and laceration of right cerebrum with loss of consciousness of 1 hour to 5 N/A S06313D ICD10CM hours 59 minutes, subsequent encounter Contusion and laceration of right cerebrum with loss of consciousness of 6 hours to N/A S06314D ICD10CM 24 hours, subsequent encounter Contusion and laceration of right cerebrum with loss of consciousness greater than N/A S06315D ICD10CM 24 hours with return to pre-existing conscious level, subsequent encounter Contusion and laceration of right cerebrum with loss of consciousness greater than N/A S06316D 24 hours without return to pre-existing conscious level with patient surviving, ICD10CM subsequent

35 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Contusion and laceration of right cerebrum with loss of consciousness of any N/A S06317D duration with death due to brain injury prior to regaining consciousness, subsequent ICD10CM encounter Contusion and laceration of right cerebrum with loss of consciousness of any N/A S06318D duration with death due to other cause prior to regaining consciousness, subsequent ICD10CM encounter Contusion and laceration of right cerebrum with loss of consciousness of unspecified N/A S06319D ICD10CM duration, subsequent encounter Contusion and laceration of left cerebrum without loss of consciousness, subsequent N/A S06320D ICD10CM encounter Contusion and laceration of left cerebrum with loss of consciousness of 30 minutes N/A S06321D ICD10CM or less, subsequent encounter Contusion and laceration of left cerebrum with loss of consciousness of 31 minutes N/A S06322D ICD10CM to 59 minutes, subsequent encounter Contusion and laceration of left cerebrum with loss of consciousness of 1 hour to 5 N/A S06323D ICD10CM hours 59 minutes, subsequent encounter Contusion and laceration of left cerebrum with loss of consciousness of 6 hours to 24 N/A S06324D ICD10CM hours, subsequent encounter Contusion and laceration of left cerebrum with loss of consciousness greater than 24 N/A S06325D ICD10CM hours with return to pre-existing conscious level, subsequent encounter Contusion and laceration of left cerebrum with loss of consciousness greater than 24 N/A S06326D hours without return to pre-existing conscious level with patient surviving, ICD10CM subsequent Contusion and laceration of left cerebrum with loss of consciousness of any duration N/A S06327D with death due to brain injury prior to regaining consciousness, subsequent ICD10CM encounter Contusion and laceration of left cerebrum with loss of consciousness of any duration N/A S06328D with death due to other cause prior to regaining consciousness, subsequent ICD10CM encounter Contusion and laceration of left cerebrum with loss of consciousness of unspecified N/A S06329D ICD10CM duration, subsequent encounter Contusion and laceration of cerebrum, unspecified, without loss of consciousness, N/A S06330D ICD10CM subsequent encounter Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 30 N/A S06331D ICD10CM minutes or less, subsequent encounter Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 31 N/A S06332D ICD10CM minutes to 59 minutes, subsequent encounter Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 1 N/A S06333D ICD10CM hour to 5 hours 59 minutes, subsequent encounter Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 6 N/A S06334D ICD10CM hours to 24 hours, subsequent encounter Contusion and laceration of cerebrum, unspecified, with loss of consciousness N/A S06335D greater than 24 hours with return to pre-existing conscious level, subsequent ICD10CM encounter

36 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Contusion and laceration of cerebrum, unspecified, with loss of consciousness N/A S06336D greater than 24 hours without return to pre-existing conscious level with patient ICD10CM surviving, su Contusion and laceration of cerebrum, unspecified, with loss of consciousness of any N/A S06337D duration with death due to brain injury prior to regaining consciousness, subsequent ICD10CM enc Contusion and laceration of cerebrum, unspecified, with loss of consciousness of any N/A S06338D duration with death due to other cause prior to regaining consciousness, subsequent ICD10CM enco Contusion and laceration of cerebrum, unspecified, with loss of consciousness of N/A S06339D ICD10CM unspecified duration, subsequent encounter Traumatic hemorrhage of right cerebrum without loss of consciousness, subsequent N/A S06340D ICD10CM encounter Traumatic hemorrhage of right cerebrum with loss of consciousness of 30 minutes or N/A S06341D ICD10CM less, subsequent encounter Traumatic hemorrhage of right cerebrum with loss of consciousness of 31 minutes to N/A S06342D ICD10CM 59 minutes, subsequent encounter Traumatic hemorrhage of right cerebrum with loss of consciousness of 1 hours to 5 N/A S06343D ICD10CM hours 59 minutes, subsequent encounter Traumatic hemorrhage of right cerebrum with loss of consciousness of 6 hours to 24 N/A S06344D ICD10CM hours, subsequent encounter Traumatic hemorrhage of right cerebrum with loss of consciousness greater than 24 N/A S06345D ICD10CM hours with return to pre-existing conscious level, subsequent encounter Traumatic hemorrhage of right cerebrum with loss of consciousness greater than 24 N/A S06346D hours without return to pre-existing conscious level with patient surviving, ICD10CM subsequent enc Traumatic hemorrhage of right cerebrum with loss of consciousness of any duration N/A S06347D with death due to brain injury prior to regaining consciousness, subsequent ICD10CM encounter Traumatic hemorrhage of right cerebrum with loss of consciousness of any duration N/A S06348D with death due to other cause prior to regaining consciousness, subsequent ICD10CM encounter Traumatic hemorrhage of right cerebrum with loss of consciousness of unspecified N/A S06349D ICD10CM duration, subsequent encounter Traumatic hemorrhage of left cerebrum without loss of consciousness, subsequent N/A S06350D ICD10CM encounter Traumatic hemorrhage of left cerebrum with loss of consciousness of 30 minutes or N/A S06351D ICD10CM less, subsequent encounter Traumatic hemorrhage of left cerebrum with loss of consciousness of 31 minutes to N/A S06352D ICD10CM 59 minutes, subsequent encounter Traumatic hemorrhage of left cerebrum with loss of consciousness of 1 hours to 5 N/A S06353D ICD10CM hours 59 minutes, subsequent encounter Traumatic hemorrhage of left cerebrum with loss of consciousness of 6 hours to 24 N/A S06354D ICD10CM hours, subsequent encounter

37 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Traumatic hemorrhage of left cerebrum with loss of consciousness greater than 24 N/A S06355D ICD10CM hours with return to pre-existing conscious level, subsequent encounter Traumatic hemorrhage of left cerebrum with loss of consciousness greater than 24 N/A S06356D hours without return to pre-existing conscious level with patient surviving, ICD10CM subsequent enco Traumatic hemorrhage of left cerebrum with loss of consciousness of any duration N/A S06357D with death due to brain injury prior to regaining consciousness, subsequent ICD10CM encounter Traumatic hemorrhage of left cerebrum with loss of consciousness of any duration N/A S06358D with death due to other cause prior to regaining consciousness, subsequent ICD10CM encounter Traumatic hemorrhage of left cerebrum with loss of consciousness of unspecified N/A S06359D ICD10CM duration, subsequent encounter Traumatic hemorrhage of cerebrum, unspecified, without loss of consciousness, N/A S06360D ICD10CM subsequent encounter Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 30 N/A S06361D ICD10CM minutes or less, subsequent encounter Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 31 N/A S06362D ICD10CM minutes to 59 minutes, subsequent encounter Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 1 N/A S06363D ICD10CM hours to 5 hours 59 minutes, subsequent encounter Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 6 N/A S06364D ICD10CM hours to 24 hours, subsequent encounter Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness greater N/A S06365D ICD10CM than 24 hours with return to pre-existing conscious level, subsequent encounter Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness greater N/A S06366D than 24 hours without return to pre-existing conscious level with patient surviving, ICD10CM subseq Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of any N/A S06367D duration with death due to brain injury prior to regaining consciousness, subsequent ICD10CM encount Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of any N/A S06368D duration with death due to other cause prior to regaining consciousness, subsequent ICD10CM encounte Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of N/A S06369D ICD10CM unspecified duration, subsequent encounter Contusion, laceration, and hemorrhage of cerebellum without loss of consciousness, N/A S06370D ICD10CM subsequent encounter Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of N/A S06371D ICD10CM 30 minutes or less, subsequent encounter Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of N/A S06372D ICD10CM 31 minutes to 59 minutes, subsequent encounter Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 1 N/A S06373D ICD10CM hour to 5 hours 59 minutes, subsequent encounter

38 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 6 N/A S06374D ICD10CM hours to 24 hours, subsequent encounter Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness N/A S06375D greater than 24 hours with return to pre-existing conscious level, subsequent ICD10CM encounter Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness N/A S06376D greater than 24 hours without return to pre-existing conscious level with patient ICD10CM surviving, s Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of N/A S06377D any duration with death due to brain injury prior to regaining consciousness, ICD10CM subsequent en Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of N/A S06378D any duration with death due to other cause prior to regaining consciousness, ICD10CM subsequent enc Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of N/A S06379D ICD10CM unspecified duration, subsequent encounter Contusion, laceration, and hemorrhage of brainstem without loss of consciousness, N/A S06380D ICD10CM subsequent encounter Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 30 N/A S06381D ICD10CM minutes or less, subsequent encounter Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 31 N/A S06382D ICD10CM minutes to 59 minutes, subsequent encounter Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 1 N/A S06383D ICD10CM hour to 5 hours 59 minutes, subsequent encounter Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 6 N/A S06384D ICD10CM hours to 24 hours, subsequent encounter Contusion, laceration, and hemorrhage of brainstem with loss of consciousness N/A S06385D greater than 24 hours with return to pre-existing conscious level, subsequent ICD10CM encounter Contusion, laceration, and hemorrhage of brainstem with loss of consciousness N/A S06386D greater than 24 hours without return to pre-existing conscious level with patient ICD10CM surviving, su Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of N/A S06387D any duration with death due to brain injury prior to regaining consciousness, ICD10CM subsequent enc Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of N/A S06388D any duration with death due to other cause prior to regaining consciousness, ICD10CM subsequent enco Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of N/A S06389D ICD10CM unspecified duration, subsequent encounter N/A S064X0D Epidural hemorrhage without loss of consciousness, subsequent encounter ICD10CM Epidural hemorrhage with loss of consciousness of 30 minutes or less, subsequent N/A S064X1D ICD10CM encounter Epidural hemorrhage with loss of consciousness of 31 minutes to 59 minutes, N/A S064X2D ICD10CM subsequent encounter

39 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Epidural hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, N/A S064X3D ICD10CM subsequent encounter Epidural hemorrhage with loss of consciousness of 6 hours to 24 hours, subsequent N/A S064X4D ICD10CM encounter Epidural hemorrhage with loss of consciousness greater than 24 hours with return to N/A S064X5D ICD10CM pre-existing conscious level, subsequent encounter Epidural hemorrhage with loss of consciousness greater than 24 hours without N/A S064X6D ICD10CM return to pre-existing conscious level with patient surviving, subsequent encounter

Epidural hemorrhage with loss of consciousness of any duration with death due to N/A S064X7D ICD10CM brain injury prior to regaining consciousness, subsequent encounter

Epidural hemorrhage with loss of consciousness of any duration with death due to N/A S064X8D ICD10CM other causes prior to regaining consciousness, subsequent encounter Epidural hemorrhage with loss of consciousness of unspecified duration, subsequent N/A S064X9D ICD10CM encounter Traumatic subdural hemorrhage without loss of consciousness, subsequent N/A S065X0D ICD10CM encounter Traumatic subdural hemorrhage with loss of consciousness of 30 minutes or less, N/A S065X1D ICD10CM subsequent encounter Traumatic subdural hemorrhage with loss of consciousness of 31 minutes to 59 N/A S065X2D ICD10CM minutes, subsequent encounter Traumatic subdural hemorrhage with loss of consciousness of 1 hour to 5 hours 59 N/A S065X3D ICD10CM minutes, subsequent encounter Traumatic subdural hemorrhage with loss of consciousness of 6 hours to 24 hours, N/A S065X4D ICD10CM subsequent encounter Traumatic subdural hemorrhage with loss of consciousness greater than 24 hours N/A S065X5D ICD10CM with return to pre-existing conscious level, subsequent encounter Traumatic subdural hemorrhage with loss of consciousness greater than 24 hours N/A S065X6D without return to pre-existing conscious level with patient surviving, subsequent ICD10CM encounter Traumatic subdural hemorrhage with loss of consciousness of any duration with N/A S065X7D ICD10CM death due to brain injury before regaining consciousness, subsequent encounter

Traumatic subdural hemorrhage with loss of consciousness of any duration with N/A S065X8D ICD10CM death due to other cause before regaining consciousness, subsequent encounter Traumatic subdural hemorrhage with loss of consciousness of unspecified duration, N/A S065X9D ICD10CM subsequent encounter Traumatic subarachnoid hemorrhage without loss of consciousness, subsequent N/A S066X0D ICD10CM encounter Traumatic subarachnoid hemorrhage with loss of consciousness of 30 minutes or N/A S066X1D ICD10CM less, subsequent encounter Traumatic subarachnoid hemorrhage with loss of consciousness of 31 minutes to 59 N/A S066X2D ICD10CM minutes, subsequent encounter

40 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Traumatic subarachnoid hemorrhage with loss of consciousness of 1 hour to 5 hours N/A S066X3D ICD10CM 59 minutes, subsequent encounter Traumatic subarachnoid hemorrhage with loss of consciousness of 6 hours to 24 N/A S066X4D ICD10CM hours, subsequent encounter Traumatic subarachnoid hemorrhage with loss of consciousness greater than 24 N/A S066X5D ICD10CM hours with return to pre-existing conscious level, subsequent encounter Traumatic subarachnoid hemorrhage with loss of consciousness greater than 24 N/A S066X6D hours without return to pre-existing conscious level with patient surviving, ICD10CM subsequent encounte Traumatic subarachnoid hemorrhage with loss of consciousness of any duration with N/A S066X7D ICD10CM death due to brain injury prior to regaining consciousness, subsequent encounter

Traumatic subarachnoid hemorrhage with loss of consciousness of any duration with N/A S066X8D ICD10CM death due to other cause prior to regaining consciousness, subsequent encounter Traumatic subarachnoid hemorrhage with loss of consciousness of unspecified N/A S066X9D ICD10CM duration, subsequent encounter Injury of right internal carotid artery, intracranial portion, not elsewhere classified N/A S06810D ICD10CM without loss of consciousness, subsequent encounter Injury of right internal carotid artery, intracranial portion, not elsewhere classified N/A S06811D ICD10CM with loss of consciousness of 30 minutes or less, subsequent encounter

Injury of right internal carotid artery, intracranial portion, not elsewhere classified N/A S06812D ICD10CM with loss of consciousness of 31 minutes to 59 minutes, subsequent encounter

Injury of right internal carotid artery, intracranial portion, not elsewhere classified N/A S06813D ICD10CM with loss of consciousness of 1 hour to 5 hours 59 minutes, subsequent encounter

Injury of right internal carotid artery, intracranial portion, not elsewhere classified N/A S06814D ICD10CM with loss of consciousness of 6 hours to 24 hours, subsequent encounter

Injury of right internal carotid artery, intracranial portion, not elsewhere classified N/A S06815D ICD10CM with loss of consciousness greater than 24 hours with return to pre-existing consciou

Injury of right internal carotid artery, intracranial portion, not elsewhere classified N/A S06816D ICD10CM with loss of consciousness greater than 24 hours without return to pre-existing consc

Injury of right internal carotid artery, intracranial portion, not elsewhere classified N/A S06817D ICD10CM with loss of consciousness of any duration with death due to brain injury prior to re

Injury of right internal carotid artery, intracranial portion, not elsewhere classified N/A S06818D ICD10CM with loss of consciousness of any duration with death due to other cause prior to reg

Injury of right internal carotid artery, intracranial portion, not elsewhere classified N/A S06819D ICD10CM with loss of consciousness of unspecified duration, subsequent encounter

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Numerator Value Set Name Code Definition Code System Injury of left internal carotid artery, intracranial portion, not elsewhere classified N/A S06820D ICD10CM without loss of consciousness, subsequent encounter Injury of left internal carotid artery, intracranial portion, not elsewhere classified N/A S06821D ICD10CM with loss of consciousness of 30 minutes or less, subsequent encounter

Injury of left internal carotid artery, intracranial portion, not elsewhere classified N/A S06822D ICD10CM with loss of consciousness of 31 minutes to 59 minutes, subsequent encounter

Injury of left internal carotid artery, intracranial portion, not elsewhere classified N/A S06823D ICD10CM with loss of consciousness of 1 hour to 5 hours 59 minutes, subsequent encounter

Injury of left internal carotid artery, intracranial portion, not elsewhere classified N/A S06824D ICD10CM with loss of consciousness of 6 hours to 24 hours, subsequent encounter Injury of left internal carotid artery, intracranial portion, not elsewhere classified N/A S06825D with loss of consciousness greater than 24 hours with return to pre-existing ICD10CM conscious Injury of left internal carotid artery, intracranial portion, not elsewhere classified N/A S06826D with loss of consciousness greater than 24 hours without return to pre-existing ICD10CM consci Injury of left internal carotid artery, intracranial portion, not elsewhere classified N/A S06827D ICD10CM with loss of consciousness of any duration with death due to brain injury prior to reg Injury of left internal carotid artery, intracranial portion, not elsewhere classified N/A S06828D with loss of consciousness of any duration with death due to other cause prior to ICD10CM rega Injury of left internal carotid artery, intracranial portion, not elsewhere classified N/A S06829D ICD10CM with loss of consciousness of unspecified duration, subsequent encounter Other specified intracranial injury without loss of consciousness, subsequent N/A S06890D ICD10CM encounter Other specified intracranial injury with loss of consciousness of 30 minutes or less, N/A S06891D ICD10CM subsequent encounter Other specified intracranial injury with loss of consciousness of 31 minutes to 59 N/A S06892D ICD10CM minutes, subsequent encounter Other specified intracranial injury with loss of consciousness of 1 hour to 5 hours 59 N/A S06893D ICD10CM minutes, subsequent encounter Other specified intracranial injury with loss of consciousness of 6 hours to 24 hours, N/A S06894D ICD10CM subsequent encounter Other specified intracranial injury with loss of consciousness greater than 24 hours N/A S06895D ICD10CM with return to pre-existing conscious level, subsequent encounter Other specified intracranial injury with loss of consciousness greater than 24 hours N/A S06896D without return to pre-existing conscious level with patient surviving, subsequent ICD10CM encoun

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Numerator Value Set Name Code Definition Code System Other specified intracranial injury with loss of consciousness of any duration with N/A S06897D ICD10CM death due to brain injury prior to regaining consciousness, subsequent encounter

Other specified intracranial injury with loss of consciousness of any duration with N/A S06898D ICD10CM death due to other cause prior to regaining consciousness, subsequent encounter Other specified intracranial injury with loss of consciousness of unspecified duration, N/A S06899D ICD10CM subsequent encounter N/A S069X0D Unspecified intracranial injury without loss of consciousness, subsequent encounter ICD10CM Unspecified intracranial injury with loss of consciousness of 30 minutes or less, N/A S069X1D ICD10CM subsequent encounter Unspecified intracranial injury with loss of consciousness of 31 minutes to 59 N/A S069X2D ICD10CM minutes, subsequent encounter Unspecified intracranial injury with loss of consciousness of 1 hour to 5 hours 59 N/A S069X3D ICD10CM minutes, subsequent encounter Unspecified intracranial injury with loss of consciousness of 6 hours to 24 hours, N/A S069X4D ICD10CM subsequent encounter Unspecified intracranial injury with loss of consciousness greater than 24 hours with N/A S069X5D ICD10CM return to pre-existing conscious level, subsequent encounter Unspecified intracranial injury with loss of consciousness greater than 24 hours N/A S069X6D without return to pre-existing conscious level with patient surviving, subsequent ICD10CM encounter Unspecified intracranial injury with loss of consciousness of any duration with death N/A S069X7D ICD10CM due to brain injury prior to regaining consciousness, subsequent encounter

Unspecified intracranial injury with loss of consciousness of any duration with death N/A S069X8D ICD10CM due to other cause prior to regaining consciousness, subsequent encounter Unspecified intracranial injury with loss of consciousness of unspecified duration, N/A S069X9D ICD10CM subsequent encounter N/A S070XXD Crushing injury of face, subsequent encounter ICD10CM N/A S071XXD Crushing injury of skull, subsequent encounter ICD10CM N/A S078XXD Crushing injury of other parts of head, subsequent encounter ICD10CM N/A S079XXD Crushing injury of head, part unspecified, subsequent encounter ICD10CM N/A S080XXD Avulsion of scalp, subsequent encounter ICD10CM N/A S08111D Complete traumatic amputation of right ear, subsequent encounter ICD10CM N/A S08112D Complete traumatic amputation of left ear, subsequent encounter ICD10CM N/A S08119D Complete traumatic amputation of unspecified ear, subsequent encounter ICD10CM N/A S08121D Partial traumatic amputation of right ear, subsequent encounter ICD10CM N/A S08122D Partial traumatic amputation of left ear, subsequent encounter ICD10CM N/A S08129D Partial traumatic amputation of unspecified ear, subsequent encounter ICD10CM N/A S08811D Complete traumatic amputation of nose, subsequent encounter ICD10CM N/A S08812D Partial traumatic amputation of nose, subsequent encounter ICD10CM N/A S0889XD Traumatic amputation of other parts of head, subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System N/A S090XXD Injury of blood vessels of head, not elsewhere classified, subsequent encounter ICD10CM N/A S0910XD Unspecified injury of muscle and tendon of head, subsequent encounter ICD10CM N/A S0911XD Strain of muscle and tendon of head, subsequent encounter ICD10CM N/A S0912XD Laceration of muscle and tendon of head, subsequent encounter ICD10CM N/A S0919XD Other specified injury of muscle and tendon of head, subsequent encounter ICD10CM N/A S0920XD Traumatic rupture of unspecified ear drum, subsequent encounter ICD10CM N/A S0921XD Traumatic rupture of right ear drum, subsequent encounter ICD10CM N/A S0922XD Traumatic rupture of left ear drum, subsequent encounter ICD10CM N/A S09301D Unspecified injury of right middle and inner ear, subsequent encounter ICD10CM N/A S09302D Unspecified injury of left middle and inner ear, subsequent encounter ICD10CM N/A S09309D Unspecified injury of unspecified middle and inner ear, subsequent encounter ICD10CM N/A S09311D Primary blast injury of right ear, subsequent encounter ICD10CM N/A S09312D Primary blast injury of left ear, subsequent encounter ICD10CM N/A S09313D Primary blast injury of ear, bilateral, subsequent encounter ICD10CM N/A S09319D Primary blast injury of unspecified ear, subsequent encounter ICD10CM N/A S09391D Other specified injury of right middle and inner ear, subsequent encounter ICD10CM N/A S09392D Other specified injury of left middle and inner ear, subsequent encounter ICD10CM N/A S09399D Other specified injury of unspecified middle and inner ear, subsequent encounter ICD10CM N/A S098XXD Other specified injuries of head, subsequent encounter ICD10CM N/A S0990XD Unspecified injury of head, subsequent encounter ICD10CM N/A S0991XD Unspecified injury of ear, subsequent encounter ICD10CM N/A S0992XD Unspecified injury of nose, subsequent encounter ICD10CM N/A S0993XD Unspecified injury of face, subsequent encounter ICD10CM N/A S100XXD Contusion of throat, subsequent encounter ICD10CM N/A S1010XD Unspecified superficial injuries of throat, subsequent encounter ICD10CM N/A S1011XD Abrasion of throat, subsequent encounter ICD10CM N/A S1012XD Blister (nonthermal) of throat, subsequent encounter ICD10CM N/A S1014XD External constriction of part of throat, subsequent encounter ICD10CM N/A S1015XD Superficial foreign body of throat, subsequent encounter ICD10CM N/A S1016XD Insect bite (nonvenomous) of throat, subsequent encounter ICD10CM N/A S1017XD Other superficial bite of throat, subsequent encounter ICD10CM N/A S1080XD Unspecified superficial injury of other specified part of neck, subsequent encounter ICD10CM N/A S1081XD Abrasion of other specified part of neck, subsequent encounter ICD10CM N/A S1082XD Blister (nonthermal) of other specified part of neck, subsequent encounter ICD10CM N/A S1083XD Contusion of other specified part of neck, subsequent encounter ICD10CM N/A S1084XD External constriction of other specified part of neck, subsequent encounter ICD10CM

N/A S1085XD Superficial foreign body of other specified part of neck, subsequent encounter ICD10CM N/A S1086XD Insect bite of other specified part of neck, subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System N/A S1087XD Other superficial bite of other specified part of neck, subsequent encounter ICD10CM

N/A S1090XD Unspecified superficial injury of unspecified part of neck, subsequent encounter ICD10CM N/A S1091XD Abrasion of unspecified part of neck, subsequent encounter ICD10CM N/A S1092XD Blister (nonthermal) of unspecified part of neck, subsequent encounter ICD10CM N/A S1093XD Contusion of unspecified part of neck, subsequent encounter ICD10CM N/A S1094XD External constriction of unspecified part of neck, subsequent encounter ICD10CM N/A S1095XD Superficial foreign body of unspecified part of neck, subsequent encounter ICD10CM N/A S1096XD Insect bite of unspecified part of neck, subsequent encounter ICD10CM N/A S1097XD Other superficial bite of unspecified part of neck, subsequent encounter ICD10CM N/A S11011D Laceration without foreign body of larynx, subsequent encounter ICD10CM N/A S11012D Laceration with foreign body of larynx, subsequent encounter ICD10CM N/A S11013D Puncture wound without foreign body of larynx, subsequent encounter ICD10CM N/A S11014D Puncture wound with foreign body of larynx, subsequent encounter ICD10CM N/A S11015D Open bite of larynx, subsequent encounter ICD10CM N/A S11019D Unspecified open wound of larynx, subsequent encounter ICD10CM N/A S11021D Laceration without foreign body of trachea, subsequent encounter ICD10CM N/A S11022D Laceration with foreign body of trachea, subsequent encounter ICD10CM N/A S11023D Puncture wound without foreign body of trachea, subsequent encounter ICD10CM N/A S11024D Puncture wound with foreign body of trachea, subsequent encounter ICD10CM N/A S11025D Open bite of trachea, subsequent encounter ICD10CM N/A S11029D Unspecified open wound of trachea, subsequent encounter ICD10CM N/A S11031D Laceration without foreign body of vocal cord, subsequent encounter ICD10CM N/A S11032D Laceration with foreign body of vocal cord, subsequent encounter ICD10CM N/A S11033D Puncture wound without foreign body of vocal cord, subsequent encounter ICD10CM N/A S11034D Puncture wound with foreign body of vocal cord, subsequent encounter ICD10CM N/A S11035D Open bite of vocal cord, subsequent encounter ICD10CM N/A S11039D Unspecified open wound of vocal cord, subsequent encounter ICD10CM N/A S1110XD Unspecified open wound of thyroid gland, subsequent encounter ICD10CM N/A S1111XD Laceration without foreign body of thyroid gland, subsequent encounter ICD10CM N/A S1112XD Laceration with foreign body of thyroid gland, subsequent encounter ICD10CM N/A S1113XD Puncture wound without foreign body of thyroid gland, subsequent encounter ICD10CM

N/A S1114XD Puncture wound with foreign body of thyroid gland, subsequent encounter ICD10CM N/A S1115XD Open bite of thyroid gland, subsequent encounter ICD10CM N/A S1120XD Unspecified open wound of pharynx and cervical esophagus, subsequent encounter ICD10CM Laceration without foreign body of pharynx and cervical esophagus, subsequent N/A S1121XD ICD10CM encounter Laceration with foreign body of pharynx and cervical esophagus, subsequent N/A S1122XD ICD10CM encounter Puncture wound without foreign body of pharynx and cervical esophagus, N/A S1123XD ICD10CM subsequent encounter

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Numerator Value Set Name Code Definition Code System Puncture wound with foreign body of pharynx and cervical esophagus, subsequent N/A S1124XD ICD10CM encounter N/A S1125XD Open bite of pharynx and cervical esophagus, subsequent encounter ICD10CM N/A S1180XD Unspecified open wound of other specified part of neck, subsequent encounter ICD10CM Laceration without foreign body of other specified part of neck, subsequent N/A S1181XD ICD10CM encounter N/A S1182XD Laceration with foreign body of other specified part of neck, subsequent encounter ICD10CM Puncture wound without foreign body of other specified part of neck, subsequent N/A S1183XD ICD10CM encounter Puncture wound with foreign body of other specified part of neck, subsequent N/A S1184XD ICD10CM encounter N/A S1185XD Open bite of other specified part of neck, subsequent encounter ICD10CM N/A S1189XD Other open wound of other specified part of neck, subsequent encounter ICD10CM N/A S1190XD Unspecified open wound of unspecified part of neck, subsequent encounter ICD10CM

N/A S1191XD Laceration without foreign body of unspecified part of neck, subsequent encounter ICD10CM

N/A S1192XD Laceration with foreign body of unspecified part of neck, subsequent encounter ICD10CM Puncture wound without foreign body of unspecified part of neck, subsequent N/A S1193XD ICD10CM encounter Puncture wound with foreign body of unspecified part of neck, subsequent N/A S1194XD ICD10CM encounter N/A S1195XD Open bite of unspecified part of neck, subsequent encounter ICD10CM N/A S130XXD Traumatic rupture of cervical intervertebral disc, subsequent encounter ICD10CM N/A S13100D Subluxation of unspecified cervical vertebrae, subsequent encounter ICD10CM N/A S13101D Dislocation of unspecified cervical vertebrae, subsequent encounter ICD10CM N/A S13110D Subluxation of C0/C1 cervical vertebrae, subsequent encounter ICD10CM N/A S13111D Dislocation of C0/C1 cervical vertebrae, subsequent encounter ICD10CM N/A S13120D Subluxation of C1/C2 cervical vertebrae, subsequent encounter ICD10CM N/A S13121D Dislocation of C1/C2 cervical vertebrae, subsequent encounter ICD10CM N/A S13130D Subluxation of C2/C3 cervical vertebrae, subsequent encounter ICD10CM N/A S13131D Dislocation of C2/C3 cervical vertebrae, subsequent encounter ICD10CM N/A S13140D Subluxation of C3/C4 cervical vertebrae, subsequent encounter ICD10CM N/A S13141D Dislocation of C3/C4 cervical vertebrae, subsequent encounter ICD10CM N/A S13150D Subluxation of C4/C5 cervical vertebrae, subsequent encounter ICD10CM N/A S13151D Dislocation of C4/C5 cervical vertebrae, subsequent encounter ICD10CM N/A S13160D Subluxation of C5/C6 cervical vertebrae, subsequent encounter ICD10CM N/A S13161D Dislocation of C5/C6 cervical vertebrae, subsequent encounter ICD10CM N/A S13170D Subluxation of C6/C7 cervical vertebrae, subsequent encounter ICD10CM N/A S13171D Dislocation of C6/C7 cervical vertebrae, subsequent encounter ICD10CM N/A S13180D Subluxation of C7/T1 cervical vertebrae, subsequent encounter ICD10CM N/A S13181D Dislocation of C7/T1 cervical vertebrae, subsequent encounter ICD10CM N/A S1320XD Dislocation of unspecified parts of neck, subsequent encounter ICD10CM N/A S1329XD Dislocation of other parts of neck, subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System N/A S134XXD Sprain of ligaments of cervical spine, subsequent encounter ICD10CM N/A S135XXD Sprain of thyroid region, subsequent encounter ICD10CM N/A S138XXD Sprain of joints and ligaments of other parts of neck, subsequent encounter ICD10CM

N/A S139XXD Sprain of joints and ligaments of unspecified parts of neck, subsequent encounter ICD10CM N/A S140XXD Concussion and edema of cervical spinal cord, subsequent encounter ICD10CM N/A S14101D Unspecified injury at C1 level of cervical spinal cord, subsequent encounter ICD10CM

N/A S14102D Unspecified injury at C2 level of cervical spinal cord, subsequent encounter ICD10CM

N/A S14103D Unspecified injury at C3 level of cervical spinal cord, subsequent encounter ICD10CM

N/A S14104D Unspecified injury at C4 level of cervical spinal cord, subsequent encounter ICD10CM

N/A S14105D Unspecified injury at C5 level of cervical spinal cord, subsequent encounter ICD10CM

N/A S14106D Unspecified injury at C6 level of cervical spinal cord, subsequent encounter ICD10CM

N/A S14107D Unspecified injury at C7 level of cervical spinal cord, subsequent encounter ICD10CM

N/A S14108D Unspecified injury at C8 level of cervical spinal cord, subsequent encounter ICD10CM

N/A S14109D Unspecified injury at unspecified level of cervical spinal cord, subsequent encounter ICD10CM N/A S14111D Complete lesion at C1 level of cervical spinal cord, subsequent encounter ICD10CM N/A S14112D Complete lesion at C2 level of cervical spinal cord, subsequent encounter ICD10CM N/A S14113D Complete lesion at C3 level of cervical spinal cord, subsequent encounter ICD10CM N/A S14114D Complete lesion at C4 level of cervical spinal cord, subsequent encounter ICD10CM N/A S14115D Complete lesion at C5 level of cervical spinal cord, subsequent encounter ICD10CM N/A S14116D Complete lesion at C6 level of cervical spinal cord, subsequent encounter ICD10CM N/A S14117D Complete lesion at C7 level of cervical spinal cord, subsequent encounter ICD10CM N/A S14118D Complete lesion at C8 level of cervical spinal cord, subsequent encounter ICD10CM N/A S14119D Complete lesion at unspecified level of cervical spinal cord, subsequent encounter ICD10CM

N/A S14121D Central cord syndrome at C1 level of cervical spinal cord, subsequent encounter ICD10CM

N/A S14122D Central cord syndrome at C2 level of cervical spinal cord, subsequent encounter ICD10CM

N/A S14123D Central cord syndrome at C3 level of cervical spinal cord, subsequent encounter ICD10CM

N/A S14124D Central cord syndrome at C4 level of cervical spinal cord, subsequent encounter ICD10CM

N/A S14125D Central cord syndrome at C5 level of cervical spinal cord, subsequent encounter ICD10CM

N/A S14126D Central cord syndrome at C6 level of cervical spinal cord, subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System N/A S14127D Central cord syndrome at C7 level of cervical spinal cord, subsequent encounter ICD10CM

N/A S14128D Central cord syndrome at C8 level of cervical spinal cord, subsequent encounter ICD10CM Central cord syndrome at unspecified level of cervical spinal cord, subsequent N/A S14129D ICD10CM encounter N/A S14131D Anterior cord syndrome at C1 level of cervical spinal cord, subsequent encounter ICD10CM

N/A S14132D Anterior cord syndrome at C2 level of cervical spinal cord, subsequent encounter ICD10CM

N/A S14133D Anterior cord syndrome at C3 level of cervical spinal cord, subsequent encounter ICD10CM

N/A S14134D Anterior cord syndrome at C4 level of cervical spinal cord, subsequent encounter ICD10CM

N/A S14135D Anterior cord syndrome at C5 level of cervical spinal cord, subsequent encounter ICD10CM

N/A S14136D Anterior cord syndrome at C6 level of cervical spinal cord, subsequent encounter ICD10CM

N/A S14137D Anterior cord syndrome at C7 level of cervical spinal cord, subsequent encounter ICD10CM

N/A S14138D Anterior cord syndrome at C8 level of cervical spinal cord, subsequent encounter ICD10CM Anterior cord syndrome at unspecified level of cervical spinal cord, subsequent N/A S14139D ICD10CM encounter N/A S14141D Brown-Sequard syndrome at C1 level of cervical spinal cord, subsequent encounter ICD10CM

N/A S14142D Brown-Sequard syndrome at C2 level of cervical spinal cord, subsequent encounter ICD10CM

N/A S14143D Brown-Sequard syndrome at C3 level of cervical spinal cord, subsequent encounter ICD10CM

N/A S14144D Brown-Sequard syndrome at C4 level of cervical spinal cord, subsequent encounter ICD10CM

N/A S14145D Brown-Sequard syndrome at C5 level of cervical spinal cord, subsequent encounter ICD10CM

N/A S14146D Brown-Sequard syndrome at C6 level of cervical spinal cord, subsequent encounter ICD10CM

N/A S14147D Brown-Sequard syndrome at C7 level of cervical spinal cord, subsequent encounter ICD10CM

N/A S14148D Brown-Sequard syndrome at C8 level of cervical spinal cord, subsequent encounter ICD10CM Brown-Sequard syndrome at unspecified level of cervical spinal cord, subsequent N/A S14149D ICD10CM encounter N/A S14151D Other incomplete lesion at C1 level of cervical spinal cord, subsequent encounter ICD10CM

N/A S14152D Other incomplete lesion at C2 level of cervical spinal cord, subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System N/A S14153D Other incomplete lesion at C3 level of cervical spinal cord, subsequent encounter ICD10CM

N/A S14154D Other incomplete lesion at C4 level of cervical spinal cord, subsequent encounter ICD10CM

N/A S14155D Other incomplete lesion at C5 level of cervical spinal cord, subsequent encounter ICD10CM

N/A S14156D Other incomplete lesion at C6 level of cervical spinal cord, subsequent encounter ICD10CM

N/A S14157D Other incomplete lesion at C7 level of cervical spinal cord, subsequent encounter ICD10CM

N/A S14158D Other incomplete lesion at C8 level of cervical spinal cord, subsequent encounter ICD10CM Other incomplete lesion at unspecified level of cervical spinal cord, subsequent N/A S14159D ICD10CM encounter N/A S142XXD Injury of nerve root of cervical spine, subsequent encounter ICD10CM N/A S143XXD Injury of brachial plexus, subsequent encounter ICD10CM N/A S144XXD Injury of peripheral nerves of neck, subsequent encounter ICD10CM N/A S145XXD Injury of cervical sympathetic nerves, subsequent encounter ICD10CM N/A S148XXD Injury of other specified nerves of neck, subsequent encounter ICD10CM N/A S149XXD Injury of unspecified nerves of neck, subsequent encounter ICD10CM N/A S15001D Unspecified injury of right carotid artery, subsequent encounter ICD10CM N/A S15002D Unspecified injury of left carotid artery, subsequent encounter ICD10CM N/A S15009D Unspecified injury of unspecified carotid artery, subsequent encounter ICD10CM N/A S15011D Minor laceration of right carotid artery, subsequent encounter ICD10CM N/A S15012D Minor laceration of left carotid artery, subsequent encounter ICD10CM N/A S15019D Minor laceration of unspecified carotid artery, subsequent encounter ICD10CM N/A S15021D Major laceration of right carotid artery, subsequent encounter ICD10CM N/A S15022D Major laceration of left carotid artery, subsequent encounter ICD10CM N/A S15029D Major laceration of unspecified carotid artery, subsequent encounter ICD10CM N/A S15091D Other specified injury of right carotid artery, subsequent encounter ICD10CM N/A S15092D Other specified injury of left carotid artery, subsequent encounter ICD10CM N/A S15099D Other specified injury of unspecified carotid artery, subsequent encounter ICD10CM N/A S15101D Unspecified injury of right vertebral artery, subsequent encounter ICD10CM N/A S15102D Unspecified injury of left vertebral artery, subsequent encounter ICD10CM N/A S15109D Unspecified injury of unspecified vertebral artery, subsequent encounter ICD10CM N/A S15111D Minor laceration of right vertebral artery, subsequent encounter ICD10CM N/A S15112D Minor laceration of left vertebral artery, subsequent encounter ICD10CM N/A S15119D Minor laceration of unspecified vertebral artery, subsequent encounter ICD10CM N/A S15121D Major laceration of right vertebral artery, subsequent encounter ICD10CM N/A S15122D Major laceration of left vertebral artery, subsequent encounter ICD10CM N/A S15129D Major laceration of unspecified vertebral artery, subsequent encounter ICD10CM N/A S15191D Other specified injury of right vertebral artery, subsequent encounter ICD10CM N/A S15192D Other specified injury of left vertebral artery, subsequent encounter ICD10CM N/A S15199D Other specified injury of unspecified vertebral artery, subsequent encounter ICD10CM N/A S15201D Unspecified injury of right external jugular vein, subsequent encounter ICD10CM

49 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S15202D Unspecified injury of left external jugular vein, subsequent encounter ICD10CM N/A S15209D Unspecified injury of unspecified external jugular vein, subsequent encounter ICD10CM N/A S15211D Minor laceration of right external jugular vein, subsequent encounter ICD10CM N/A S15212D Minor laceration of left external jugular vein, subsequent encounter ICD10CM N/A S15219D Minor laceration of unspecified external jugular vein, subsequent encounter ICD10CM N/A S15221D Major laceration of right external jugular vein, subsequent encounter ICD10CM N/A S15222D Major laceration of left external jugular vein, subsequent encounter ICD10CM N/A S15229D Major laceration of unspecified external jugular vein, subsequent encounter ICD10CM

N/A S15291D Other specified injury of right external jugular vein, subsequent encounter ICD10CM N/A S15292D Other specified injury of left external jugular vein, subsequent encounter ICD10CM N/A S15299D Other specified injury of unspecified external jugular vein, subsequent encounter ICD10CM N/A S15301D Unspecified injury of right internal jugular vein, subsequent encounter ICD10CM N/A S15302D Unspecified injury of left internal jugular vein, subsequent encounter ICD10CM N/A S15309D Unspecified injury of unspecified internal jugular vein, subsequent encounter ICD10CM N/A S15311D Minor laceration of right internal jugular vein, subsequent encounter ICD10CM N/A S15312D Minor laceration of left internal jugular vein, subsequent encounter ICD10CM N/A S15319D Minor laceration of unspecified internal jugular vein, subsequent encounter ICD10CM N/A S15321D Major laceration of right internal jugular vein, subsequent encounter ICD10CM N/A S15322D Major laceration of left internal jugular vein, subsequent encounter ICD10CM N/A S15329D Major laceration of unspecified internal jugular vein, subsequent encounter ICD10CM

N/A S15391D Other specified injury of right internal jugular vein, subsequent encounter ICD10CM N/A S15392D Other specified injury of left internal jugular vein, subsequent encounter ICD10CM N/A S15399D Other specified injury of unspecified internal jugular vein, subsequent encounter ICD10CM

N/A S158XXD Injury of other specified blood vessels at neck level, subsequent encounter ICD10CM N/A S159XXD Injury of unspecified blood vessel at neck level, subsequent encounter ICD10CM N/A S161XXD Strain of muscle, fascia and tendon at neck level, subsequent encounter ICD10CM N/A S162XXD Laceration of muscle, fascia and tendon at neck level, subsequent encounter ICD10CM Other specified injury of muscle, fascia and tendon at neck level, subsequent N/A S168XXD ICD10CM encounter N/A S169XXD Unspecified injury of muscle, fascia and tendon at neck level, subsequent encounter ICD10CM N/A S170XXD Crushing injury of larynx and trachea, subsequent encounter ICD10CM N/A S178XXD Crushing injury of other specified parts of neck, subsequent encounter ICD10CM N/A S179XXD Crushing injury of neck, part unspecified, subsequent encounter ICD10CM

50 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S1980XD Other specified injuries of unspecified part of neck, subsequent encounter ICD10CM N/A S1981XD Other specified injuries of larynx, subsequent encounter ICD10CM N/A S1982XD Other specified injuries of cervical trachea, subsequent encounter ICD10CM N/A S1983XD Other specified injuries of vocal cord, subsequent encounter ICD10CM N/A S1984XD Other specified injuries of thyroid gland, subsequent encounter ICD10CM N/A S1985XD Other specified injuries of pharynx and cervical esophagus, subsequent encounter ICD10CM

N/A S1989XD Other specified injuries of other specified part of neck, subsequent encounter ICD10CM N/A S199XXD Unspecified injury of neck, subsequent encounter ICD10CM N/A S2000XD Contusion of breast, unspecified breast, subsequent encounter ICD10CM N/A S2001XD Contusion of right breast, subsequent encounter ICD10CM N/A S2002XD Contusion of left breast, subsequent encounter ICD10CM N/A S20101D Unspecified superficial injuries of breast, right breast, subsequent encounter ICD10CM

N/A S20102D Unspecified superficial injuries of breast, left breast, subsequent encounter ICD10CM

N/A S20109D Unspecified superficial injuries of breast, unspecified breast, subsequent encounter ICD10CM N/A S20111D Abrasion of breast, right breast, subsequent encounter ICD10CM N/A S20112D Abrasion of breast, left breast, subsequent encounter ICD10CM N/A S20119D Abrasion of breast, unspecified breast, subsequent encounter ICD10CM N/A S20121D Blister (nonthermal) of breast, right breast, subsequent encounter ICD10CM N/A S20122D Blister (nonthermal) of breast, left breast, subsequent encounter ICD10CM N/A S20129D Blister (nonthermal) of breast, unspecified breast, subsequent encounter ICD10CM N/A S20141D External constriction of part of breast, right breast, subsequent encounter ICD10CM N/A S20142D External constriction of part of breast, left breast, subsequent encounter ICD10CM N/A S20149D External constriction of part of breast, unspecified breast, subsequent encounter ICD10CM N/A S20151D Superficial foreign body of breast, right breast, subsequent encounter ICD10CM N/A S20152D Superficial foreign body of breast, left breast, subsequent encounter ICD10CM N/A S20159D Superficial foreign body of breast, unspecified breast, subsequent encounter ICD10CM N/A S20161D Insect bite (nonvenomous) of breast, right breast, subsequent encounter ICD10CM N/A S20162D Insect bite (nonvenomous) of breast, left breast, subsequent encounter ICD10CM N/A S20169D Insect bite (nonvenomous) of breast, unspecified breast, subsequent encounter ICD10CM N/A S20171D Other superficial bite of breast, right breast, subsequent encounter ICD10CM N/A S20172D Other superficial bite of breast, left breast, subsequent encounter ICD10CM N/A S20179D Other superficial bite of breast, unspecified breast, subsequent encounter ICD10CM N/A S2020XD Contusion of thorax, unspecified, subsequent encounter ICD10CM N/A S20211D Contusion of right front wall of thorax, subsequent encounter ICD10CM N/A S20212D Contusion of left front wall of thorax, subsequent encounter ICD10CM N/A S20219D Contusion of unspecified front wall of thorax, subsequent encounter ICD10CM N/A S20221D Contusion of right back wall of thorax, subsequent encounter ICD10CM

51 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S20222D Contusion of left back wall of thorax, subsequent encounter ICD10CM N/A S20229D Contusion of unspecified back wall of thorax, subsequent encounter ICD10CM N/A S20301D Unspecified superficial injuries of right front wall of thorax, subsequent encounter ICD10CM

N/A S20302D Unspecified superficial injuries of left front wall of thorax, subsequent encounter ICD10CM Unspecified superficial injuries of unspecified front wall of thorax, subsequent N/A S20309D ICD10CM encounter N/A S20311D Abrasion of right front wall of thorax, subsequent encounter ICD10CM N/A S20312D Abrasion of left front wall of thorax, subsequent encounter ICD10CM N/A S20319D Abrasion of unspecified front wall of thorax, subsequent encounter ICD10CM N/A S20321D Blister (nonthermal) of right front wall of thorax, subsequent encounter ICD10CM N/A S20322D Blister (nonthermal) of left front wall of thorax, subsequent encounter ICD10CM N/A S20329D Blister (nonthermal) of unspecified front wall of thorax, subsequent encounter ICD10CM N/A S20341D External constriction of right front wall of thorax, subsequent encounter ICD10CM N/A S20342D External constriction of left front wall of thorax, subsequent encounter ICD10CM N/A S20349D External constriction of unspecified front wall of thorax, subsequent encounter ICD10CM

N/A S20351D Superficial foreign body of right front wall of thorax, subsequent encounter ICD10CM

N/A S20352D Superficial foreign body of left front wall of thorax, subsequent encounter ICD10CM

N/A S20359D Superficial foreign body of unspecified front wall of thorax, subsequent encounter ICD10CM

N/A S20361D Insect bite (nonvenomous) of right front wall of thorax, subsequent encounter ICD10CM

N/A S20362D Insect bite (nonvenomous) of left front wall of thorax, subsequent encounter ICD10CM Insect bite (nonvenomous) of unspecified front wall of thorax, subsequent N/A S20369D ICD10CM encounter N/A S20371D Other superficial bite of right front wall of thorax, subsequent encounter ICD10CM N/A S20372D Other superficial bite of left front wall of thorax, subsequent encounter ICD10CM N/A S20379D Other superficial bite of unspecified front wall of thorax, subsequent encounter ICD10CM

N/A S20401D Unspecified superficial injuries of right back wall of thorax, subsequent encounter ICD10CM

N/A S20402D Unspecified superficial injuries of left back wall of thorax, subsequent encounter ICD10CM Unspecified superficial injuries of unspecified back wall of thorax, subsequent N/A S20409D ICD10CM encounter N/A S20411D Abrasion of right back wall of thorax, subsequent encounter ICD10CM N/A S20412D Abrasion of left back wall of thorax, subsequent encounter ICD10CM N/A S20419D Abrasion of unspecified back wall of thorax, subsequent encounter ICD10CM N/A S20421D Blister (nonthermal) of right back wall of thorax, subsequent encounter ICD10CM N/A S20422D Blister (nonthermal) of left back wall of thorax, subsequent encounter ICD10CM

52 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S20429D Blister (nonthermal) of unspecified back wall of thorax, subsequent encounter ICD10CM N/A S20441D External constriction of right back wall of thorax, subsequent encounter ICD10CM N/A S20442D External constriction of left back wall of thorax, subsequent encounter ICD10CM N/A S20449D External constriction of unspecified back wall of thorax, subsequent encounter ICD10CM

N/A S20451D Superficial foreign body of right back wall of thorax, subsequent encounter ICD10CM N/A S20452D Superficial foreign body of left back wall of thorax, subsequent encounter ICD10CM N/A S20459D Superficial foreign body of unspecified back wall of thorax, subsequent encounter ICD10CM

N/A S20461D Insect bite (nonvenomous) of right back wall of thorax, subsequent encounter ICD10CM

N/A S20462D Insect bite (nonvenomous) of left back wall of thorax, subsequent encounter ICD10CM

N/A S20469D Insect bite (nonvenomous) of unspecified back wall of thorax, subsequent encounter ICD10CM N/A S20471D Other superficial bite of right back wall of thorax, subsequent encounter ICD10CM N/A S20472D Other superficial bite of left back wall of thorax, subsequent encounter ICD10CM N/A S20479D Other superficial bite of unspecified back wall of thorax, subsequent encounter ICD10CM

N/A S2090XD Unspecified superficial injury of unspecified parts of thorax, subsequent encounter ICD10CM N/A S2091XD Abrasion of unspecified parts of thorax, subsequent encounter ICD10CM N/A S2092XD Blister (nonthermal) of unspecified parts of thorax, subsequent encounter ICD10CM

N/A S2094XD External constriction of unspecified parts of thorax, subsequent encounter ICD10CM

N/A S2095XD Superficial foreign body of unspecified parts of thorax, subsequent encounter ICD10CM

N/A S2096XD Insect bite (nonvenomous) of unspecified parts of thorax, subsequent encounter ICD10CM

N/A S2097XD Other superficial bite of unspecified parts of thorax, subsequent encounter ICD10CM N/A S21001D Unspecified open wound of right breast, subsequent encounter ICD10CM N/A S21002D Unspecified open wound of left breast, subsequent encounter ICD10CM N/A S21009D Unspecified open wound of unspecified breast, subsequent encounter ICD10CM N/A S21011D Laceration without foreign body of right breast, subsequent encounter ICD10CM N/A S21012D Laceration without foreign body of left breast, subsequent encounter ICD10CM N/A S21019D Laceration without foreign body of unspecified breast, subsequent encounter ICD10CM N/A S21021D Laceration with foreign body of right breast, subsequent encounter ICD10CM N/A S21022D Laceration with foreign body of left breast, subsequent encounter ICD10CM N/A S21029D Laceration with foreign body of unspecified breast, subsequent encounter ICD10CM

N/A S21031D Puncture wound without foreign body of right breast, subsequent encounter ICD10CM

53 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S21032D Puncture wound without foreign body of left breast, subsequent encounter ICD10CM

N/A S21039D Puncture wound without foreign body of unspecified breast, subsequent encounter ICD10CM N/A S21041D Puncture wound with foreign body of right breast, subsequent encounter ICD10CM N/A S21042D Puncture wound with foreign body of left breast, subsequent encounter ICD10CM N/A S21049D Puncture wound with foreign body of unspecified breast, subsequent encounter ICD10CM N/A S21051D Open bite of right breast, subsequent encounter ICD10CM N/A S21052D Open bite of left breast, subsequent encounter ICD10CM N/A S21059D Open bite of unspecified breast, subsequent encounter ICD10CM Unspecified open wound of right front wall of thorax without penetration into N/A S21101D ICD10CM thoracic cavity, subsequent encounter Unspecified open wound of left front wall of thorax without penetration into N/A S21102D ICD10CM thoracic cavity, subsequent encounter Unspecified open wound of unspecified front wall of thorax without penetration into N/A S21109D ICD10CM thoracic cavity, subsequent encounter Laceration without foreign body of right front wall of thorax without penetration N/A S21111D ICD10CM into thoracic cavity, subsequent encounter Laceration without foreign body of left front wall of thorax without penetration into N/A S21112D ICD10CM thoracic cavity, subsequent encounter Laceration without foreign body of unspecified front wall of thorax without N/A S21119D ICD10CM penetration into thoracic cavity, subsequent encounter Laceration with foreign body of right front wall of thorax without penetration into N/A S21121D ICD10CM thoracic cavity, subsequent encounter Laceration with foreign body of left front wall of thorax without penetration into N/A S21122D ICD10CM thoracic cavity, subsequent encounter Laceration with foreign body of unspecified front wall of thorax without penetration N/A S21129D ICD10CM into thoracic cavity, subsequent encounter Puncture wound without foreign body of right front wall of thorax without N/A S21131D ICD10CM penetration into thoracic cavity, subsequent encounter Puncture wound without foreign body of left front wall of thorax without N/A S21132D ICD10CM penetration into thoracic cavity, subsequent encounter Puncture wound without foreign body of unspecified front wall of thorax without N/A S21139D ICD10CM penetration into thoracic cavity, subsequent encounter Puncture wound with foreign body of right front wall of thorax without penetration N/A S21141D ICD10CM into thoracic cavity, subsequent encounter Puncture wound with foreign body of left front wall of thorax without penetration N/A S21142D ICD10CM into thoracic cavity, subsequent encounter Puncture wound with foreign body of unspecified front wall of thorax without N/A S21149D ICD10CM penetration into thoracic cavity, subsequent encounter Open bite of right front wall of thorax without penetration into thoracic cavity, N/A S21151D ICD10CM subsequent encounter Open bite of left front wall of thorax without penetration into thoracic cavity, N/A S21152D ICD10CM subsequent encounter Open bite of unspecified front wall of thorax without penetration into thoracic N/A S21159D ICD10CM cavity, subsequent encounter

54 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Unspecified open wound of right back wall of thorax without penetration into N/A S21201D ICD10CM thoracic cavity, subsequent encounter Unspecified open wound of left back wall of thorax without penetration into thoracic N/A S21202D ICD10CM cavity, subsequent encounter Unspecified open wound of unspecified back wall of thorax without penetration into N/A S21209D ICD10CM thoracic cavity, subsequent encounter Laceration without foreign body of right back wall of thorax without penetration into N/A S21211D ICD10CM thoracic cavity, subsequent encounter Laceration without foreign body of left back wall of thorax without penetration into N/A S21212D ICD10CM thoracic cavity, subsequent encounter Laceration without foreign body of unspecified back wall of thorax without N/A S21219D ICD10CM penetration into thoracic cavity, subsequent encounter Laceration with foreign body of right back wall of thorax without penetration into N/A S21221D ICD10CM thoracic cavity, subsequent encounter Laceration with foreign body of left back wall of thorax without penetration into N/A S21222D ICD10CM thoracic cavity, subsequent encounter Laceration with foreign body of unspecified back wall of thorax without penetration N/A S21229D ICD10CM into thoracic cavity, subsequent encounter Puncture wound without foreign body of right back wall of thorax without N/A S21231D ICD10CM penetration into thoracic cavity, subsequent encounter Puncture wound without foreign body of left back wall of thorax without N/A S21232D ICD10CM penetration into thoracic cavity, subsequent encounter Puncture wound without foreign body of unspecified back wall of thorax without N/A S21239D ICD10CM penetration into thoracic cavity, subsequent encounter Puncture wound with foreign body of right back wall of thorax without penetration N/A S21241D ICD10CM into thoracic cavity, subsequent encounter Puncture wound with foreign body of left back wall of thorax without penetration N/A S21242D ICD10CM into thoracic cavity, subsequent encounter Puncture wound with foreign body of unspecified back wall of thorax without N/A S21249D ICD10CM penetration into thoracic cavity, subsequent encounter Open bite of right back wall of thorax without penetration into thoracic cavity, N/A S21251D ICD10CM subsequent encounter Open bite of left back wall of thorax without penetration into thoracic cavity, N/A S21252D ICD10CM subsequent encounter Open bite of unspecified back wall of thorax without penetration into thoracic N/A S21259D ICD10CM cavity, subsequent encounter Unspecified open wound of right front wall of thorax with penetration into thoracic N/A S21301D ICD10CM cavity, subsequent encounter Unspecified open wound of left front wall of thorax with penetration into thoracic N/A S21302D ICD10CM cavity, subsequent encounter Unspecified open wound of unspecified front wall of thorax with penetration into N/A S21309D ICD10CM thoracic cavity, subsequent encounter Laceration without foreign body of right front wall of thorax with penetration into N/A S21311D ICD10CM thoracic cavity, subsequent encounter Laceration without foreign body of left front wall of thorax with penetration into N/A S21312D ICD10CM thoracic cavity, subsequent encounter

55 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Laceration without foreign body of unspecified front wall of thorax with penetration N/A S21319D ICD10CM into thoracic cavity, subsequent encounter Laceration with foreign body of right front wall of thorax with penetration into N/A S21321D ICD10CM thoracic cavity, subsequent encounter Laceration with foreign body of left front wall of thorax with penetration into N/A S21322D ICD10CM thoracic cavity, subsequent encounter Laceration with foreign body of unspecified front wall of thorax with penetration N/A S21329D ICD10CM into thoracic cavity, subsequent encounter Puncture wound without foreign body of right front wall of thorax with penetration N/A S21331D ICD10CM into thoracic cavity, subsequent encounter Puncture wound without foreign body of left front wall of thorax with penetration N/A S21332D ICD10CM into thoracic cavity, subsequent encounter Puncture wound without foreign body of unspecified front wall of thorax with N/A S21339D ICD10CM penetration into thoracic cavity, subsequent encounter Puncture wound with foreign body of right front wall of thorax with penetration into N/A S21341D ICD10CM thoracic cavity, subsequent encounter Puncture wound with foreign body of left front wall of thorax with penetration into N/A S21342D ICD10CM thoracic cavity, subsequent encounter Puncture wound with foreign body of unspecified front wall of thorax with N/A S21349D ICD10CM penetration into thoracic cavity, subsequent encounter Open bite of right front wall of thorax with penetration into thoracic cavity, N/A S21351D ICD10CM subsequent encounter Open bite of left front wall of thorax with penetration into thoracic cavity, N/A S21352D ICD10CM subsequent encounter Open bite of unspecified front wall of thorax with penetration into thoracic cavity, N/A S21359D ICD10CM subsequent encounter Unspecified open wound of right back wall of thorax with penetration into thoracic N/A S21401D ICD10CM cavity, subsequent encounter Unspecified open wound of left back wall of thorax with penetration into thoracic N/A S21402D ICD10CM cavity, subsequent encounter Unspecified open wound of unspecified back wall of thorax with penetration into N/A S21409D ICD10CM thoracic cavity, subsequent encounter Laceration without foreign body of right back wall of thorax with penetration into N/A S21411D ICD10CM thoracic cavity, subsequent encounter Laceration without foreign body of left back wall of thorax with penetration into N/A S21412D ICD10CM thoracic cavity, subsequent encounter Laceration without foreign body of unspecified back wall of thorax with penetration N/A S21419D ICD10CM into thoracic cavity, subsequent encounter Laceration with foreign body of right back wall of thorax with penetration into N/A S21421D ICD10CM thoracic cavity, subsequent encounter Laceration with foreign body of left back wall of thorax with penetration into N/A S21422D ICD10CM thoracic cavity, subsequent encounter Laceration with foreign body of unspecified back wall of thorax with penetration into N/A S21429D ICD10CM thoracic cavity, subsequent encounter Puncture wound without foreign body of right back wall of thorax with penetration N/A S21431D ICD10CM into thoracic cavity, subsequent encounter

56 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Puncture wound without foreign body of left back wall of thorax with penetration N/A S21432D ICD10CM into thoracic cavity, subsequent encounter Puncture wound without foreign body of unspecified back wall of thorax with N/A S21439D ICD10CM penetration into thoracic cavity, subsequent encounter Puncture wound with foreign body of right back wall of thorax with penetration into N/A S21441D ICD10CM thoracic cavity, subsequent encounter Puncture wound with foreign body of left back wall of thorax with penetration into N/A S21442D ICD10CM thoracic cavity, subsequent encounter Puncture wound with foreign body of unspecified back wall of thorax with N/A S21449D ICD10CM penetration into thoracic cavity, subsequent encounter Open bite of right back wall of thorax with penetration into thoracic cavity, N/A S21451D ICD10CM subsequent encounter Open bite of left back wall of thorax with penetration into thoracic cavity, N/A S21452D ICD10CM subsequent encounter Open bite of unspecified back wall of thorax with penetration into thoracic cavity, N/A S21459D ICD10CM subsequent encounter N/A S2190XD Unspecified open wound of unspecified part of thorax, subsequent encounter ICD10CM

N/A S2191XD Laceration without foreign body of unspecified part of thorax, subsequent encounter ICD10CM

N/A S2192XD Laceration with foreign body of unspecified part of thorax, subsequent encounter ICD10CM Puncture wound without foreign body of unspecified part of thorax, subsequent N/A S2193XD ICD10CM encounter Puncture wound with foreign body of unspecified part of thorax, subsequent N/A S2194XD ICD10CM encounter N/A S2195XD Open bite of unspecified part of thorax, subsequent encounter ICD10CM N/A S230XXD Traumatic rupture of thoracic intervertebral disc, subsequent encounter ICD10CM N/A S23100D Subluxation of unspecified thoracic vertebra, subsequent encounter ICD10CM N/A S23101D Dislocation of unspecified thoracic vertebra, subsequent encounter ICD10CM N/A S23110D Subluxation of T1/T2 thoracic vertebra, subsequent encounter ICD10CM N/A S23111D Dislocation of T1/T2 thoracic vertebra, subsequent encounter ICD10CM N/A S23120D Subluxation of T2/T3 thoracic vertebra, subsequent encounter ICD10CM N/A S23121D Dislocation of T2/T3 thoracic vertebra, subsequent encounter ICD10CM N/A S23122D Subluxation of T3/T4 thoracic vertebra, subsequent encounter ICD10CM N/A S23123D Dislocation of T3/T4 thoracic vertebra, subsequent encounter ICD10CM N/A S23130D Subluxation of T4/T5 thoracic vertebra, subsequent encounter ICD10CM N/A S23131D Dislocation of T4/T5 thoracic vertebra, subsequent encounter ICD10CM N/A S23132D Subluxation of T5/T6 thoracic vertebra, subsequent encounter ICD10CM N/A S23133D Dislocation of T5/T6 thoracic vertebra, subsequent encounter ICD10CM N/A S23140D Subluxation of T6/T7 thoracic vertebra, subsequent encounter ICD10CM N/A S23141D Dislocation of T6/T7 thoracic vertebra, subsequent encounter ICD10CM N/A S23142D Subluxation of T7/T8 thoracic vertebra, subsequent encounter ICD10CM N/A S23143D Dislocation of T7/T8 thoracic vertebra, subsequent encounter ICD10CM N/A S23150D Subluxation of T8/T9 thoracic vertebra, subsequent encounter ICD10CM N/A S23151D Dislocation of T8/T9 thoracic vertebra, subsequent encounter ICD10CM N/A S23152D Subluxation of T9/T10 thoracic vertebra, subsequent encounter ICD10CM

57 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S23153D Dislocation of T9/T10 thoracic vertebra, subsequent encounter ICD10CM N/A S23160D Subluxation of T10/T11 thoracic vertebra, subsequent encounter ICD10CM N/A S23161D Dislocation of T10/T11 thoracic vertebra, subsequent encounter ICD10CM N/A S23162D Subluxation of T11/T12 thoracic vertebra, subsequent encounter ICD10CM N/A S23163D Dislocation of T11/T12 thoracic vertebra, subsequent encounter ICD10CM N/A S23170D Subluxation of T12/L1 thoracic vertebra, subsequent encounter ICD10CM N/A S23171D Dislocation of T12/L1 thoracic vertebra, subsequent encounter ICD10CM N/A S2320XD Dislocation of unspecified part of thorax, subsequent encounter ICD10CM N/A S2329XD Dislocation of other parts of thorax, subsequent encounter ICD10CM N/A S233XXD Sprain of ligaments of thoracic spine, subsequent encounter ICD10CM N/A S2341XD Sprain of ribs, subsequent encounter ICD10CM N/A S23420D Sprain of sternoclavicular (joint) (ligament), subsequent encounter ICD10CM N/A S23421D Sprain of chondrosternal joint, subsequent encounter ICD10CM N/A S23428D Other sprain of sternum, subsequent encounter ICD10CM N/A S23429D Unspecified sprain of sternum, subsequent encounter ICD10CM N/A S238XXD Sprain of other specified parts of thorax, subsequent encounter ICD10CM N/A S239XXD Sprain of unspecified parts of thorax, subsequent encounter ICD10CM N/A S240XXD Concussion and edema of thoracic spinal cord, subsequent encounter ICD10CM N/A S24101D Unspecified injury at T1 level of thoracic spinal cord, subsequent encounter ICD10CM

N/A S24102D Unspecified injury at T2-T6 level of thoracic spinal cord, subsequent encounter ICD10CM

N/A S24103D Unspecified injury at T7-T10 level of thoracic spinal cord, subsequent encounter ICD10CM

N/A S24104D Unspecified injury at T11-T12 level of thoracic spinal cord, subsequent encounter ICD10CM

N/A S24109D Unspecified injury at unspecified level of thoracic spinal cord, subsequent encounter ICD10CM N/A S24111D Complete lesion at T1 level of thoracic spinal cord, subsequent encounter ICD10CM N/A S24112D Complete lesion at T2-T6 level of thoracic spinal cord, subsequent encounter ICD10CM

N/A S24113D Complete lesion at T7-T10 level of thoracic spinal cord, subsequent encounter ICD10CM

N/A S24114D Complete lesion at T11-T12 level of thoracic spinal cord, subsequent encounter ICD10CM

N/A S24119D Complete lesion at unspecified level of thoracic spinal cord, subsequent encounter ICD10CM

N/A S24131D Anterior cord syndrome at T1 level of thoracic spinal cord, subsequent encounter ICD10CM

N/A S24132D Anterior cord syndrome at T2-T6 level of thoracic spinal cord, subsequent encounter ICD10CM Anterior cord syndrome at T7-T10 level of thoracic spinal cord, subsequent N/A S24133D ICD10CM encounter Anterior cord syndrome at T11-T12 level of thoracic spinal cord, subsequent N/A S24134D ICD10CM encounter Anterior cord syndrome at unspecified level of thoracic spinal cord, subsequent N/A S24139D ICD10CM encounter

58 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S24141D Brown-Sequard syndrome at T1 level of thoracic spinal cord, subsequent encounter ICD10CM Brown-Sequard syndrome at T2-T6 level of thoracic spinal cord, subsequent N/A S24142D ICD10CM encounter Brown-Sequard syndrome at T7-T10 level of thoracic spinal cord, subsequent N/A S24143D ICD10CM encounter Brown-Sequard syndrome at T11-T12 level of thoracic spinal cord, subsequent N/A S24144D ICD10CM encounter Brown-Sequard syndrome at unspecified level of thoracic spinal cord, subsequent N/A S24149D ICD10CM encounter N/A S24151D Other incomplete lesion at T1 level of thoracic spinal cord, subsequent encounter ICD10CM

N/A S24152D Other incomplete lesion at T2-T6 level of thoracic spinal cord, subsequent encounter ICD10CM Other incomplete lesion at T7-T10 level of thoracic spinal cord, subsequent N/A S24153D ICD10CM encounter Other incomplete lesion at T11-T12 level of thoracic spinal cord, subsequent N/A S24154D ICD10CM encounter Other incomplete lesion at unspecified level of thoracic spinal cord, subsequent N/A S24159D ICD10CM encounter N/A S242XXD Injury of nerve root of thoracic spine, subsequent encounter ICD10CM N/A S243XXD Injury of peripheral nerves of thorax, subsequent encounter ICD10CM N/A S244XXD Injury of thoracic sympathetic nervous system, subsequent encounter ICD10CM N/A S248XXD Injury of other specified nerves of thorax, subsequent encounter ICD10CM N/A S249XXD Injury of unspecified nerve of thorax, subsequent encounter ICD10CM N/A S2500XD Unspecified injury of thoracic aorta, subsequent encounter ICD10CM N/A S2501XD Minor laceration of thoracic aorta, subsequent encounter ICD10CM N/A S2502XD Major laceration of thoracic aorta, subsequent encounter ICD10CM N/A S2509XD Other specified injury of thoracic aorta, subsequent encounter ICD10CM N/A S25101D Unspecified injury of right innominate or subclavian artery, subsequent encounter ICD10CM

N/A S25102D Unspecified injury of left innominate or subclavian artery, subsequent encounter ICD10CM Unspecified injury of unspecified innominate or subclavian artery, subsequent N/A S25109D ICD10CM encounter N/A S25111D Minor laceration of right innominate or subclavian artery, subsequent encounter ICD10CM

N/A S25112D Minor laceration of left innominate or subclavian artery, subsequent encounter ICD10CM Minor laceration of unspecified innominate or subclavian artery, subsequent N/A S25119D ICD10CM encounter N/A S25121D Major laceration of right innominate or subclavian artery, subsequent encounter ICD10CM

N/A S25122D Major laceration of left innominate or subclavian artery, subsequent encounter ICD10CM Major laceration of unspecified innominate or subclavian artery, subsequent N/A S25129D ICD10CM encounter

59 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Other specified injury of right innominate or subclavian artery, subsequent N/A S25191D ICD10CM encounter N/A S25192D Other specified injury of left innominate or subclavian artery, subsequent encounter ICD10CM Other specified injury of unspecified innominate or subclavian artery, subsequent N/A S25199D ICD10CM encounter N/A S2520XD Unspecified injury of superior vena cava, subsequent encounter ICD10CM N/A S2521XD Minor laceration of superior vena cava, subsequent encounter ICD10CM N/A S2522XD Major laceration of superior vena cava, subsequent encounter ICD10CM N/A S2529XD Other specified injury of superior vena cava, subsequent encounter ICD10CM N/A S25301D Unspecified injury of right innominate or subclavian vein, subsequent encounter ICD10CM

N/A S25302D Unspecified injury of left innominate or subclavian vein, subsequent encounter ICD10CM Unspecified injury of unspecified innominate or subclavian vein, subsequent N/A S25309D ICD10CM encounter N/A S25311D Minor laceration of right innominate or subclavian vein, subsequent encounter ICD10CM

N/A S25312D Minor laceration of left innominate or subclavian vein, subsequent encounter ICD10CM Minor laceration of unspecified innominate or subclavian vein, subsequent N/A S25319D ICD10CM encounter N/A S25321D Major laceration of right innominate or subclavian vein, subsequent encounter ICD10CM

N/A S25322D Major laceration of left innominate or subclavian vein, subsequent encounter ICD10CM Major laceration of unspecified innominate or subclavian vein, subsequent N/A S25329D ICD10CM encounter N/A S25391D Other specified injury of right innominate or subclavian vein, subsequent encounter ICD10CM

N/A S25392D Other specified injury of left innominate or subclavian vein, subsequent encounter ICD10CM Other specified injury of unspecified innominate or subclavian vein, subsequent N/A S25399D ICD10CM encounter N/A S25401D Unspecified injury of right pulmonary blood vessels, subsequent encounter ICD10CM

N/A S25402D Unspecified injury of left pulmonary blood vessels, subsequent encounter ICD10CM

N/A S25409D Unspecified injury of unspecified pulmonary blood vessels, subsequent encounter ICD10CM N/A S25411D Minor laceration of right pulmonary blood vessels, subsequent encounter ICD10CM N/A S25412D Minor laceration of left pulmonary blood vessels, subsequent encounter ICD10CM N/A S25419D Minor laceration of unspecified pulmonary blood vessels, subsequent encounter ICD10CM N/A S25421D Major laceration of right pulmonary blood vessels, subsequent encounter ICD10CM N/A S25422D Major laceration of left pulmonary blood vessels, subsequent encounter ICD10CM

60 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S25429D Major laceration of unspecified pulmonary blood vessels, subsequent encounter ICD10CM

N/A S25491D Other specified injury of right pulmonary blood vessels, subsequent encounter ICD10CM

N/A S25492D Other specified injury of left pulmonary blood vessels, subsequent encounter ICD10CM Other specified injury of unspecified pulmonary blood vessels, subsequent N/A S25499D ICD10CM encounter N/A S25501D Unspecified injury of intercostal blood vessels, right side, subsequent encounter ICD10CM

N/A S25502D Unspecified injury of intercostal blood vessels, left side, subsequent encounter ICD10CM Unspecified injury of intercostal blood vessels, unspecified side, subsequent N/A S25509D ICD10CM encounter N/A S25511D Laceration of intercostal blood vessels, right side, subsequent encounter ICD10CM N/A S25512D Laceration of intercostal blood vessels, left side, subsequent encounter ICD10CM N/A S25519D Laceration of intercostal blood vessels, unspecified side, subsequent encounter ICD10CM

N/A S25591D Other specified injury of intercostal blood vessels, right side, subsequent encounter ICD10CM

N/A S25592D Other specified injury of intercostal blood vessels, left side, subsequent encounter ICD10CM Other specified injury of intercostal blood vessels, unspecified side, subsequent N/A S25599D ICD10CM encounter N/A S25801D Unspecified injury of other blood vessels of thorax, right side, subsequent encounter ICD10CM

N/A S25802D Unspecified injury of other blood vessels of thorax, left side, subsequent encounter ICD10CM Unspecified injury of other blood vessels of thorax, unspecified side, subsequent N/A S25809D ICD10CM encounter N/A S25811D Laceration of other blood vessels of thorax, right side, subsequent encounter ICD10CM

N/A S25812D Laceration of other blood vessels of thorax, left side, subsequent encounter ICD10CM

N/A S25819D Laceration of other blood vessels of thorax, unspecified side, subsequent encounter ICD10CM Other specified injury of other blood vessels of thorax, right side, subsequent N/A S25891D ICD10CM encounter Other specified injury of other blood vessels of thorax, left side, subsequent N/A S25892D ICD10CM encounter Other specified injury of other blood vessels of thorax, unspecified side, subsequent N/A S25899D ICD10CM encounter N/A S2590XD Unspecified injury of unspecified blood vessel of thorax, subsequent encounter ICD10CM N/A S2591XD Laceration of unspecified blood vessel of thorax, subsequent encounter ICD10CM N/A S2599XD Other specified injury of unspecified blood vessel of thorax, subsequent encounter ICD10CM

61 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S2600XD Unspecified injury of heart with hemopericardium, subsequent encounter ICD10CM N/A S2601XD Contusion of heart with hemopericardium, subsequent encounter ICD10CM N/A S26020D Mild laceration of heart with hemopericardium, subsequent encounter ICD10CM N/A S26021D Moderate laceration of heart with hemopericardium, subsequent encounter ICD10CM N/A S26022D Major laceration of heart with hemopericardium, subsequent encounter ICD10CM N/A S2609XD Other injury of heart with hemopericardium, subsequent encounter ICD10CM N/A S2610XD Unspecified injury of heart without hemopericardium, subsequent encounter ICD10CM N/A S2611XD Contusion of heart without hemopericardium, subsequent encounter ICD10CM N/A S2612XD Laceration of heart without hemopericardium, subsequent encounter ICD10CM N/A S2619XD Other injury of heart without hemopericardium, subsequent encounter ICD10CM Unspecified injury of heart, unspecified with or without hemopericardium, N/A S2690XD ICD10CM subsequent encounter Contusion of heart, unspecified with or without hemopericardium, subsequent N/A S2691XD ICD10CM encounter Laceration of heart, unspecified with or without hemopericardium, subsequent N/A S2692XD ICD10CM encounter Other injury of heart, unspecified with or without hemopericardium, subsequent N/A S2699XD ICD10CM encounter N/A S270XXD Traumatic pneumothorax, subsequent encounter ICD10CM N/A S271XXD Traumatic hemothorax, subsequent encounter ICD10CM N/A S272XXD Traumatic hemopneumothorax, subsequent encounter ICD10CM N/A S27301D Unspecified injury of lung, unilateral, subsequent encounter ICD10CM N/A S27302D Unspecified injury of lung, bilateral, subsequent encounter ICD10CM N/A S27309D Unspecified injury of lung, unspecified, subsequent encounter ICD10CM N/A S27311D Primary blast injury of lung, unilateral, subsequent encounter ICD10CM N/A S27312D Primary blast injury of lung, bilateral, subsequent encounter ICD10CM N/A S27319D Primary blast injury of lung, unspecified, subsequent encounter ICD10CM N/A S27321D Contusion of lung, unilateral, subsequent encounter ICD10CM N/A S27322D Contusion of lung, bilateral, subsequent encounter ICD10CM N/A S27329D Contusion of lung, unspecified, subsequent encounter ICD10CM N/A S27331D Laceration of lung, unilateral, subsequent encounter ICD10CM N/A S27332D Laceration of lung, bilateral, subsequent encounter ICD10CM N/A S27339D Laceration of lung, unspecified, subsequent encounter ICD10CM N/A S27391D Other injuries of lung, unilateral, subsequent encounter ICD10CM N/A S27392D Other injuries of lung, bilateral, subsequent encounter ICD10CM N/A S27399D Other injuries of lung, unspecified, subsequent encounter ICD10CM N/A S27401D Unspecified injury of bronchus, unilateral, subsequent encounter ICD10CM N/A S27402D Unspecified injury of bronchus, bilateral, subsequent encounter ICD10CM N/A S27409D Unspecified injury of bronchus, unspecified, subsequent encounter ICD10CM N/A S27411D Primary blast injury of bronchus, unilateral, subsequent encounter ICD10CM N/A S27412D Primary blast injury of bronchus, bilateral, subsequent encounter ICD10CM N/A S27419D Primary blast injury of bronchus, unspecified, subsequent encounter ICD10CM N/A S27421D Contusion of bronchus, unilateral, subsequent encounter ICD10CM N/A S27422D Contusion of bronchus, bilateral, subsequent encounter ICD10CM

62 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S27429D Contusion of bronchus, unspecified, subsequent encounter ICD10CM N/A S27431D Laceration of bronchus, unilateral, subsequent encounter ICD10CM N/A S27432D Laceration of bronchus, bilateral, subsequent encounter ICD10CM N/A S27439D Laceration of bronchus, unspecified, subsequent encounter ICD10CM N/A S27491D Other injury of bronchus, unilateral, subsequent encounter ICD10CM N/A S27492D Other injury of bronchus, bilateral, subsequent encounter ICD10CM N/A S27499D Other injury of bronchus, unspecified, subsequent encounter ICD10CM N/A S2750XD Unspecified injury of thoracic trachea, subsequent encounter ICD10CM N/A S2751XD Primary blast injury of thoracic trachea, subsequent encounter ICD10CM N/A S2752XD Contusion of thoracic trachea, subsequent encounter ICD10CM N/A S2753XD Laceration of thoracic trachea, subsequent encounter ICD10CM N/A S2759XD Other injury of thoracic trachea, subsequent encounter ICD10CM N/A S2760XD Unspecified injury of pleura, subsequent encounter ICD10CM N/A S2763XD Laceration of pleura, subsequent encounter ICD10CM N/A S2769XD Other injury of pleura, subsequent encounter ICD10CM N/A S27802D Contusion of diaphragm, subsequent encounter ICD10CM N/A S27803D Laceration of diaphragm, subsequent encounter ICD10CM N/A S27808D Other injury of diaphragm, subsequent encounter ICD10CM N/A S27809D Unspecified injury of diaphragm, subsequent encounter ICD10CM N/A S27812D Contusion of esophagus (thoracic part), subsequent encounter ICD10CM N/A S27813D Laceration of esophagus (thoracic part), subsequent encounter ICD10CM N/A S27818D Other injury of esophagus (thoracic part), subsequent encounter ICD10CM N/A S27819D Unspecified injury of esophagus (thoracic part), subsequent encounter ICD10CM N/A S27892D Contusion of other specified intrathoracic organs, subsequent encounter ICD10CM N/A S27893D Laceration of other specified intrathoracic organs, subsequent encounter ICD10CM N/A S27898D Other injury of other specified intrathoracic organs, subsequent encounter ICD10CM

N/A S27899D Unspecified injury of other specified intrathoracic organs, subsequent encounter ICD10CM N/A S279XXD Injury of unspecified intrathoracic organ, subsequent encounter ICD10CM N/A S280XXD Crushed chest, subsequent encounter ICD10CM Traumatic amputation (partial) of part of thorax, except breast, subsequent N/A S281XXD ICD10CM encounter N/A S28211D Complete traumatic amputation of right breast, subsequent encounter ICD10CM N/A S28212D Complete traumatic amputation of left breast, subsequent encounter ICD10CM N/A S28219D Complete traumatic amputation of unspecified breast, subsequent encounter ICD10CM N/A S28221D Partial traumatic amputation of right breast, subsequent encounter ICD10CM N/A S28222D Partial traumatic amputation of left breast, subsequent encounter ICD10CM N/A S28229D Partial traumatic amputation of unspecified breast, subsequent encounter ICD10CM Unspecified injury of muscle and tendon of front wall of thorax, subsequent N/A S29001D ICD10CM encounter Unspecified injury of muscle and tendon of back wall of thorax, subsequent N/A S29002D ICD10CM encounter Unspecified injury of muscle and tendon of unspecified wall of thorax, subsequent N/A S29009D ICD10CM encounter

63 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S29011D Strain of muscle and tendon of front wall of thorax, subsequent encounter ICD10CM N/A S29012D Strain of muscle and tendon of back wall of thorax, subsequent encounter ICD10CM N/A S29019D Strain of muscle and tendon of unspecified wall of thorax, subsequent encounter ICD10CM

N/A S29021D Laceration of muscle and tendon of front wall of thorax, subsequent encounter ICD10CM

N/A S29022D Laceration of muscle and tendon of back wall of thorax, subsequent encounter ICD10CM Laceration of muscle and tendon of unspecified wall of thorax, subsequent N/A S29029D ICD10CM encounter N/A S29091D Other injury of muscle and tendon of front wall of thorax, subsequent encounter ICD10CM

N/A S29092D Other injury of muscle and tendon of back wall of thorax, subsequent encounter ICD10CM Other injury of muscle and tendon of unspecified wall of thorax, subsequent N/A S29099D ICD10CM encounter N/A S298XXD Other specified injuries of thorax, subsequent encounter ICD10CM N/A S299XXD Unspecified injury of thorax, subsequent encounter ICD10CM N/A S300XXD Contusion of lower back and pelvis, subsequent encounter ICD10CM N/A S301XXD Contusion of abdominal wall, subsequent encounter ICD10CM N/A S30201D Contusion of unspecified external genital organ, male, subsequent encounter ICD10CM

N/A S30202D Contusion of unspecified external genital organ, female, subsequent encounter ICD10CM N/A S3021XD Contusion of penis, subsequent encounter ICD10CM N/A S3022XD Contusion of scrotum and testes, subsequent encounter ICD10CM N/A S3023XD Contusion of vagina and vulva, subsequent encounter ICD10CM N/A S303XXD Contusion of anus, subsequent encounter ICD10CM N/A S30810D Abrasion of lower back and pelvis, subsequent encounter ICD10CM N/A S30811D Abrasion of abdominal wall, subsequent encounter ICD10CM N/A S30812D Abrasion of penis, subsequent encounter ICD10CM N/A S30813D Abrasion of scrotum and testes, subsequent encounter ICD10CM N/A S30814D Abrasion of vagina and vulva, subsequent encounter ICD10CM N/A S30815D Abrasion of unspecified external genital organs, male, subsequent encounter ICD10CM

N/A S30816D Abrasion of unspecified external genital organs, female, subsequent encounter ICD10CM N/A S30817D Abrasion of anus, subsequent encounter ICD10CM N/A S30820D Blister (nonthermal) of lower back and pelvis, subsequent encounter ICD10CM N/A S30821D Blister (nonthermal) of abdominal wall, subsequent encounter ICD10CM N/A S30822D Blister (nonthermal) of penis, subsequent encounter ICD10CM N/A S30823D Blister (nonthermal) of scrotum and testes, subsequent encounter ICD10CM N/A S30824D Blister (nonthermal) of vagina and vulva, subsequent encounter ICD10CM Blister (nonthermal) of unspecified external genital organs, male, subsequent N/A S30825D ICD10CM encounter

64 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Blister (nonthermal) of unspecified external genital organs, female, subsequent N/A S30826D ICD10CM encounter N/A S30827D Blister (nonthermal) of anus, subsequent encounter ICD10CM N/A S30840D External constriction of lower back and pelvis, subsequent encounter ICD10CM N/A S30841D External constriction of abdominal wall, subsequent encounter ICD10CM N/A S30842D External constriction of penis, subsequent encounter ICD10CM N/A S30843D External constriction of scrotum and testes, subsequent encounter ICD10CM N/A S30844D External constriction of vagina and vulva, subsequent encounter ICD10CM External constriction of unspecified external genital organs, male, subsequent N/A S30845D ICD10CM encounter External constriction of unspecified external genital organs, female, subsequent N/A S30846D ICD10CM encounter N/A S30850D Superficial foreign body of lower back and pelvis, subsequent encounter ICD10CM N/A S30851D Superficial foreign body of abdominal wall, subsequent encounter ICD10CM N/A S30852D Superficial foreign body of penis, subsequent encounter ICD10CM N/A S30853D Superficial foreign body of scrotum and testes, subsequent encounter ICD10CM N/A S30854D Superficial foreign body of vagina and vulva, subsequent encounter ICD10CM Superficial foreign body of unspecified external genital organs, male, subsequent N/A S30855D ICD10CM encounter Superficial foreign body of unspecified external genital organs, female, subsequent N/A S30856D ICD10CM encounter N/A S30857D Superficial foreign body of anus, subsequent encounter ICD10CM N/A S30860D Insect bite (nonvenomous) of lower back and pelvis, subsequent encounter ICD10CM N/A S30861D Insect bite (nonvenomous) of abdominal wall, subsequent encounter ICD10CM N/A S30862D Insect bite (nonvenomous) of penis, subsequent encounter ICD10CM N/A S30863D Insect bite (nonvenomous) of scrotum and testes, subsequent encounter ICD10CM N/A S30864D Insect bite (nonvenomous) of vagina and vulva, subsequent encounter ICD10CM Insect bite (nonvenomous) of unspecified external genital organs, male, subsequent N/A S30865D ICD10CM encounter Insect bite (nonvenomous) of unspecified external genital organs, female, N/A S30866D ICD10CM subsequent encounter N/A S30867D Insect bite (nonvenomous) of anus, subsequent encounter ICD10CM N/A S30870D Other superficial bite of lower back and pelvis, subsequent encounter ICD10CM N/A S30871D Other superficial bite of abdominal wall, subsequent encounter ICD10CM N/A S30872D Other superficial bite of penis, subsequent encounter ICD10CM N/A S30873D Other superficial bite of scrotum and testes, subsequent encounter ICD10CM N/A S30874D Other superficial bite of vagina and vulva, subsequent encounter ICD10CM Other superficial bite of unspecified external genital organs, male, subsequent N/A S30875D ICD10CM encounter Other superficial bite of unspecified external genital organs, female, subsequent N/A S30876D ICD10CM encounter N/A S30877D Other superficial bite of anus, subsequent encounter ICD10CM N/A S3091XD Unspecified superficial injury of lower back and pelvis, subsequent encounter ICD10CM N/A S3092XD Unspecified superficial injury of abdominal wall, subsequent encounter ICD10CM N/A S3093XD Unspecified superficial injury of penis, subsequent encounter ICD10CM

65 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S3094XD Unspecified superficial injury of scrotum and testes, subsequent encounter ICD10CM N/A S3095XD Unspecified superficial injury of vagina and vulva, subsequent encounter ICD10CM Unspecified superficial injury of unspecified external genital organs, male, N/A S3096XD ICD10CM subsequent encounter Unspecified superficial injury of unspecified external genital organs, female, N/A S3097XD ICD10CM subsequent encounter N/A S3098XD Unspecified superficial injury of anus, subsequent encounter ICD10CM Unspecified open wound of lower back and pelvis without penetration into N/A S31000D ICD10CM retroperitoneum, subsequent encounter Unspecified open wound of lower back and pelvis with penetration into N/A S31001D ICD10CM retroperitoneum, subsequent encounter Laceration without foreign body of lower back and pelvis without penetration into N/A S31010D ICD10CM retroperitoneum, subsequent encounter Laceration without foreign body of lower back and pelvis with penetration into N/A S31011D ICD10CM retroperitoneum, subsequent encounter Laceration with foreign body of lower back and pelvis without penetration into N/A S31020D ICD10CM retroperitoneum, subsequent encounter Laceration with foreign body of lower back and pelvis with penetration into N/A S31021D ICD10CM retroperitoneum, subsequent encounter Puncture wound without foreign body of lower back and pelvis without penetration N/A S31030D ICD10CM into retroperitoneum, subsequent encounter Puncture wound without foreign body of lower back and pelvis with penetration into N/A S31031D ICD10CM retroperitoneum, subsequent encounter Puncture wound with foreign body of lower back and pelvis without penetration into N/A S31040D ICD10CM retroperitoneum, subsequent encounter Puncture wound with foreign body of lower back and pelvis with penetration into N/A S31041D ICD10CM retroperitoneum, subsequent encounter Open bite of lower back and pelvis without penetration into retroperitoneum, N/A S31050D ICD10CM subsequent encounter Open bite of lower back and pelvis with penetration into retroperitoneum, N/A S31051D ICD10CM subsequent encounter Unspecified open wound of abdominal wall, right upper quadrant without N/A S31100D ICD10CM penetration into peritoneal cavity, subsequent encounter Unspecified open wound of abdominal wall, left upper quadrant without penetration N/A S31101D ICD10CM into peritoneal cavity, subsequent encounter Unspecified open wound of abdominal wall, epigastric region without penetration N/A S31102D ICD10CM into peritoneal cavity, subsequent encounter Unspecified open wound of abdominal wall, right lower quadrant without N/A S31103D ICD10CM penetration into peritoneal cavity, subsequent encounter Unspecified open wound of abdominal wall, left lower quadrant without penetration N/A S31104D ICD10CM into peritoneal cavity, subsequent encounter Unspecified open wound of abdominal wall, periumbilic region without penetration N/A S31105D ICD10CM into peritoneal cavity, subsequent encounter Unspecified open wound of abdominal wall, unspecified quadrant without N/A S31109D ICD10CM penetration into peritoneal cavity, subsequent encounter

66 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Laceration without foreign body of abdominal wall, right upper quadrant without N/A S31110D ICD10CM penetration into peritoneal cavity, subsequent encounter Laceration without foreign body of abdominal wall, left upper quadrant without N/A S31111D ICD10CM penetration into peritoneal cavity, subsequent encounter Laceration without foreign body of abdominal wall, epigastric region without N/A S31112D ICD10CM penetration into peritoneal cavity, subsequent encounter Laceration without foreign body of abdominal wall, right lower quadrant without N/A S31113D ICD10CM penetration into peritoneal cavity, subsequent encounter Laceration without foreign body of abdominal wall, left lower quadrant without N/A S31114D ICD10CM penetration into peritoneal cavity, subsequent encounter Laceration without foreign body of abdominal wall, periumbilic region without N/A S31115D ICD10CM penetration into peritoneal cavity, subsequent encounter Laceration without foreign body of abdominal wall, unspecified quadrant without N/A S31119D ICD10CM penetration into peritoneal cavity, subsequent encounter Laceration of abdominal wall with foreign body, right upper quadrant without N/A S31120D ICD10CM penetration into peritoneal cavity, subsequent encounter Laceration of abdominal wall with foreign body, left upper quadrant without N/A S31121D ICD10CM penetration into peritoneal cavity, subsequent encounter Laceration of abdominal wall with foreign body, epigastric region without N/A S31122D ICD10CM penetration into peritoneal cavity, subsequent encounter Laceration of abdominal wall with foreign body, right lower quadrant without N/A S31123D ICD10CM penetration into peritoneal cavity, subsequent encounter Laceration of abdominal wall with foreign body, left lower quadrant without N/A S31124D ICD10CM penetration into peritoneal cavity, subsequent encounter Laceration of abdominal wall with foreign body, periumbilic region without N/A S31125D ICD10CM penetration into peritoneal cavity, subsequent encounter Laceration of abdominal wall with foreign body, unspecified quadrant without N/A S31129D ICD10CM penetration into peritoneal cavity, subsequent encounter Puncture wound of abdominal wall without foreign body, right upper quadrant N/A S31130D ICD10CM without penetration into peritoneal cavity, subsequent encounter

Puncture wound of abdominal wall without foreign body, left upper quadrant N/A S31131D ICD10CM without penetration into peritoneal cavity, subsequent encounter Puncture wound of abdominal wall without foreign body, epigastric region without N/A S31132D ICD10CM penetration into peritoneal cavity, subsequent encounter Puncture wound of abdominal wall without foreign body, right lower quadrant N/A S31133D ICD10CM without penetration into peritoneal cavity, subsequent encounter

Puncture wound of abdominal wall without foreign body, left lower quadrant N/A S31134D ICD10CM without penetration into peritoneal cavity, subsequent encounter Puncture wound of abdominal wall without foreign body, periumbilic region without N/A S31135D ICD10CM penetration into peritoneal cavity, subsequent encounter Puncture wound of abdominal wall without foreign body, unspecified quadrant N/A S31139D ICD10CM without penetration into peritoneal cavity, subsequent encounter

67 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Puncture wound of abdominal wall with foreign body, right upper quadrant without N/A S31140D ICD10CM penetration into peritoneal cavity, subsequent encounter

Puncture wound of abdominal wall with foreign body, left upper quadrant without N/A S31141D ICD10CM penetration into peritoneal cavity, subsequent encounter Puncture wound of abdominal wall with foreign body, epigastric region without N/A S31142D ICD10CM penetration into peritoneal cavity, subsequent encounter Puncture wound of abdominal wall with foreign body, right lower quadrant without N/A S31143D ICD10CM penetration into peritoneal cavity, subsequent encounter

Puncture wound of abdominal wall with foreign body, left lower quadrant without N/A S31144D ICD10CM penetration into peritoneal cavity, subsequent encounter Puncture wound of abdominal wall with foreign body, periumbilic region without N/A S31145D ICD10CM penetration into peritoneal cavity, subsequent encounter Puncture wound of abdominal wall with foreign body, unspecified quadrant without N/A S31149D ICD10CM penetration into peritoneal cavity, subsequent encounter Open bite of abdominal wall, right upper quadrant without penetration into N/A S31150D ICD10CM peritoneal cavity, subsequent encounter Open bite of abdominal wall, left upper quadrant without penetration into N/A S31151D ICD10CM peritoneal cavity, subsequent encounter Open bite of abdominal wall, epigastric region without penetration into peritoneal N/A S31152D ICD10CM cavity, subsequent encounter Open bite of abdominal wall, right lower quadrant without penetration into N/A S31153D ICD10CM peritoneal cavity, subsequent encounter Open bite of abdominal wall, left lower quadrant without penetration into N/A S31154D ICD10CM peritoneal cavity, subsequent encounter Open bite of abdominal wall, periumbilic region without penetration into peritoneal N/A S31155D ICD10CM cavity, subsequent encounter Open bite of abdominal wall, unspecified quadrant without penetration into N/A S31159D ICD10CM peritoneal cavity, subsequent encounter N/A S3120XD Unspecified open wound of penis, subsequent encounter ICD10CM N/A S3121XD Laceration without foreign body of penis, subsequent encounter ICD10CM N/A S3122XD Laceration with foreign body of penis, subsequent encounter ICD10CM N/A S3123XD Puncture wound without foreign body of penis, subsequent encounter ICD10CM N/A S3124XD Puncture wound with foreign body of penis, subsequent encounter ICD10CM N/A S3125XD Open bite of penis, subsequent encounter ICD10CM N/A S3130XD Unspecified open wound of scrotum and testes, subsequent encounter ICD10CM N/A S3131XD Laceration without foreign body of scrotum and testes, subsequent encounter ICD10CM

N/A S3132XD Laceration with foreign body of scrotum and testes, subsequent encounter ICD10CM

N/A S3133XD Puncture wound without foreign body of scrotum and testes, subsequent encounter ICD10CM

68 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S3134XD Puncture wound with foreign body of scrotum and testes, subsequent encounter ICD10CM N/A S3135XD Open bite of scrotum and testes, subsequent encounter ICD10CM N/A S3140XD Unspecified open wound of vagina and vulva, subsequent encounter ICD10CM N/A S3141XD Laceration without foreign body of vagina and vulva, subsequent encounter ICD10CM N/A S3142XD Laceration with foreign body of vagina and vulva, subsequent encounter ICD10CM N/A S3143XD Puncture wound without foreign body of vagina and vulva, subsequent encounter ICD10CM

N/A S3144XD Puncture wound with foreign body of vagina and vulva, subsequent encounter ICD10CM N/A S3145XD Open bite of vagina and vulva, subsequent encounter ICD10CM Unspecified open wound of unspecified external genital organs, male, subsequent N/A S31501D ICD10CM encounter Unspecified open wound of unspecified external genital organs, female, subsequent N/A S31502D ICD10CM encounter Laceration without foreign body of unspecified external genital organs, male, N/A S31511D ICD10CM subsequent encounter Laceration without foreign body of unspecified external genital organs, female, N/A S31512D ICD10CM subsequent encounter Laceration with foreign body of unspecified external genital organs, male, N/A S31521D ICD10CM subsequent encounter Laceration with foreign body of unspecified external genital organs, female, N/A S31522D ICD10CM subsequent encounter Puncture wound without foreign body of unspecified external genital organs, male, N/A S31531D ICD10CM subsequent encounter Puncture wound without foreign body of unspecified external genital organs, N/A S31532D ICD10CM female, subsequent encounter Puncture wound with foreign body of unspecified external genital organs, male, N/A S31541D ICD10CM subsequent encounter Puncture wound with foreign body of unspecified external genital organs, female, N/A S31542D ICD10CM subsequent encounter N/A S31551D Open bite of unspecified external genital organs, male, subsequent encounter ICD10CM

N/A S31552D Open bite of unspecified external genital organs, female, subsequent encounter ICD10CM Unspecified open wound of abdominal wall, right upper quadrant with penetration N/A S31600D ICD10CM into peritoneal cavity, subsequent encounter Unspecified open wound of abdominal wall, left upper quadrant with penetration N/A S31601D ICD10CM into peritoneal cavity, subsequent encounter Unspecified open wound of abdominal wall, epigastric region with penetration into N/A S31602D ICD10CM peritoneal cavity, subsequent encounter Unspecified open wound of abdominal wall, right lower quadrant with penetration N/A S31603D ICD10CM into peritoneal cavity, subsequent encounter Unspecified open wound of abdominal wall, left lower quadrant with penetration N/A S31604D ICD10CM into peritoneal cavity, subsequent encounter

69 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Unspecified open wound of abdominal wall, periumbilic region with penetration into N/A S31605D ICD10CM peritoneal cavity, subsequent encounter Unspecified open wound of abdominal wall, unspecified quadrant with penetration N/A S31609D ICD10CM into peritoneal cavity, subsequent encounter Laceration without foreign body of abdominal wall, right upper quadrant with N/A S31610D ICD10CM penetration into peritoneal cavity, subsequent encounter Laceration without foreign body of abdominal wall, left upper quadrant with N/A S31611D ICD10CM penetration into peritoneal cavity, subsequent encounter Laceration without foreign body of abdominal wall, epigastric region with N/A S31612D ICD10CM penetration into peritoneal cavity, subsequent encounter Laceration without foreign body of abdominal wall, right lower quadrant with N/A S31613D ICD10CM penetration into peritoneal cavity, subsequent encounter Laceration without foreign body of abdominal wall, left lower quadrant with N/A S31614D ICD10CM penetration into peritoneal cavity, subsequent encounter Laceration without foreign body of abdominal wall, periumbilic region with N/A S31615D ICD10CM penetration into peritoneal cavity, subsequent encounter Laceration without foreign body of abdominal wall, unspecified quadrant with N/A S31619D ICD10CM penetration into peritoneal cavity, subsequent encounter Laceration with foreign body of abdominal wall, right upper quadrant with N/A S31620D ICD10CM penetration into peritoneal cavity, subsequent encounter Laceration with foreign body of abdominal wall, left upper quadrant with N/A S31621D ICD10CM penetration into peritoneal cavity, subsequent encounter Laceration with foreign body of abdominal wall, epigastric region with penetration N/A S31622D ICD10CM into peritoneal cavity, subsequent encounter Laceration with foreign body of abdominal wall, right lower quadrant with N/A S31623D ICD10CM penetration into peritoneal cavity, subsequent encounter Laceration with foreign body of abdominal wall, left lower quadrant with N/A S31624D ICD10CM penetration into peritoneal cavity, subsequent encounter Laceration with foreign body of abdominal wall, periumbilic region with penetration N/A S31625D ICD10CM into peritoneal cavity, subsequent encounter Laceration with foreign body of abdominal wall, unspecified quadrant with N/A S31629D ICD10CM penetration into peritoneal cavity, subsequent encounter Puncture wound without foreign body of abdominal wall, right upper quadrant with N/A S31630D ICD10CM penetration into peritoneal cavity, subsequent encounter Puncture wound without foreign body of abdominal wall, left upper quadrant with N/A S31631D ICD10CM penetration into peritoneal cavity, subsequent encounter Puncture wound without foreign body of abdominal wall, epigastric region with N/A S31632D ICD10CM penetration into peritoneal cavity, subsequent encounter Puncture wound without foreign body of abdominal wall, right lower quadrant with N/A S31633D ICD10CM penetration into peritoneal cavity, subsequent encounter Puncture wound without foreign body of abdominal wall, left lower quadrant with N/A S31634D ICD10CM penetration into peritoneal cavity, subsequent encounter Puncture wound without foreign body of abdominal wall, periumbilic region with N/A S31635D ICD10CM penetration into peritoneal cavity, subsequent encounter Puncture wound without foreign body of abdominal wall, unspecified quadrant with N/A S31639D ICD10CM penetration into peritoneal cavity, subsequent encounter

70 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Puncture wound with foreign body of abdominal wall, right upper quadrant with N/A S31640D ICD10CM penetration into peritoneal cavity, subsequent encounter Puncture wound with foreign body of abdominal wall, left upper quadrant with N/A S31641D ICD10CM penetration into peritoneal cavity, subsequent encounter Puncture wound with foreign body of abdominal wall, epigastric region with N/A S31642D ICD10CM penetration into peritoneal cavity, subsequent encounter Puncture wound with foreign body of abdominal wall, right lower quadrant with N/A S31643D ICD10CM penetration into peritoneal cavity, subsequent encounter Puncture wound with foreign body of abdominal wall, left lower quadrant with N/A S31644D ICD10CM penetration into peritoneal cavity, subsequent encounter Puncture wound with foreign body of abdominal wall, periumbilic region with N/A S31645D ICD10CM penetration into peritoneal cavity, subsequent encounter Puncture wound with foreign body of abdominal wall, unspecified quadrant with N/A S31649D ICD10CM penetration into peritoneal cavity, subsequent encounter Open bite of abdominal wall, right upper quadrant with penetration into peritoneal N/A S31650D ICD10CM cavity, subsequent encounter Open bite of abdominal wall, left upper quadrant with penetration into peritoneal N/A S31651D ICD10CM cavity, subsequent encounter Open bite of abdominal wall, epigastric region with penetration into peritoneal N/A S31652D ICD10CM cavity, subsequent encounter Open bite of abdominal wall, right lower quadrant with penetration into peritoneal N/A S31653D ICD10CM cavity, subsequent encounter Open bite of abdominal wall, left lower quadrant with penetration into peritoneal N/A S31654D ICD10CM cavity, subsequent encounter Open bite of abdominal wall, periumbilic region with penetration into peritoneal N/A S31655D ICD10CM cavity, subsequent encounter Open bite of abdominal wall, unspecified quadrant with penetration into peritoneal N/A S31659D ICD10CM cavity, subsequent encounter N/A S31801D Laceration without foreign body of unspecified buttock, subsequent encounter ICD10CM

N/A S31802D Laceration with foreign body of unspecified buttock, subsequent encounter ICD10CM

N/A S31803D Puncture wound without foreign body of unspecified buttock, subsequent encounter ICD10CM

N/A S31804D Puncture wound with foreign body of unspecified buttock, subsequent encounter ICD10CM N/A S31805D Open bite of unspecified buttock, subsequent encounter ICD10CM N/A S31809D Unspecified open wound of unspecified buttock, subsequent encounter ICD10CM N/A S31811D Laceration without foreign body of right buttock, subsequent encounter ICD10CM N/A S31812D Laceration with foreign body of right buttock, subsequent encounter ICD10CM N/A S31813D Puncture wound without foreign body of right buttock, subsequent encounter ICD10CM

N/A S31814D Puncture wound with foreign body of right buttock, subsequent encounter ICD10CM N/A S31815D Open bite of right buttock, subsequent encounter ICD10CM N/A S31819D Unspecified open wound of right buttock, subsequent encounter ICD10CM N/A S31821D Laceration without foreign body of left buttock, subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System N/A S31822D Laceration with foreign body of left buttock, subsequent encounter ICD10CM N/A S31823D Puncture wound without foreign body of left buttock, subsequent encounter ICD10CM N/A S31824D Puncture wound with foreign body of left buttock, subsequent encounter ICD10CM N/A S31825D Open bite of left buttock, subsequent encounter ICD10CM N/A S31829D Unspecified open wound of left buttock, subsequent encounter ICD10CM N/A S31831D Laceration without foreign body of anus, subsequent encounter ICD10CM N/A S31832D Laceration with foreign body of anus, subsequent encounter ICD10CM N/A S31833D Puncture wound without foreign body of anus, subsequent encounter ICD10CM N/A S31834D Puncture wound with foreign body of anus, subsequent encounter ICD10CM N/A S31835D Open bite of anus, subsequent encounter ICD10CM N/A S31839D Unspecified open wound of anus, subsequent encounter ICD10CM N/A S330XXD Traumatic rupture of lumbar intervertebral disc, subsequent encounter ICD10CM N/A S33100D Subluxation of unspecified lumbar vertebra, subsequent encounter ICD10CM N/A S33101D Dislocation of unspecified lumbar vertebra, subsequent encounter ICD10CM N/A S33110D Subluxation of L1/L2 lumbar vertebra, subsequent encounter ICD10CM N/A S33111D Dislocation of L1/L2 lumbar vertebra, subsequent encounter ICD10CM N/A S33120D Subluxation of L2/L3 lumbar vertebra, subsequent encounter ICD10CM N/A S33121D Dislocation of L2/L3 lumbar vertebra, subsequent encounter ICD10CM N/A S33130D Subluxation of L3/L4 lumbar vertebra, subsequent encounter ICD10CM N/A S33131D Dislocation of L3/L4 lumbar vertebra, subsequent encounter ICD10CM N/A S33140D Subluxation of L4/L5 lumbar vertebra, subsequent encounter ICD10CM N/A S33141D Dislocation of L4/L5 lumbar vertebra, subsequent encounter ICD10CM N/A S332XXD Dislocation of sacroiliac and sacrococcygeal joint, subsequent encounter ICD10CM N/A S3330XD Dislocation of unspecified parts of lumbar spine and pelvis, subsequent encounter ICD10CM

N/A S3339XD Dislocation of other parts of lumbar spine and pelvis, subsequent encounter ICD10CM N/A S334XXD Traumatic rupture of symphysis pubis, subsequent encounter ICD10CM N/A S335XXD Sprain of ligaments of lumbar spine, subsequent encounter ICD10CM N/A S336XXD Sprain of sacroiliac joint, subsequent encounter ICD10CM N/A S338XXD Sprain of other parts of lumbar spine and pelvis, subsequent encounter ICD10CM N/A S339XXD Sprain of unspecified parts of lumbar spine and pelvis, subsequent encounter ICD10CM N/A S3401XD Concussion and edema of lumbar spinal cord, subsequent encounter ICD10CM N/A S3402XD Concussion and edema of sacral spinal cord, subsequent encounter ICD10CM N/A S34101D Unspecified injury to L1 level of lumbar spinal cord, subsequent encounter ICD10CM

N/A S34102D Unspecified injury to L2 level of lumbar spinal cord, subsequent encounter ICD10CM

N/A S34103D Unspecified injury to L3 level of lumbar spinal cord, subsequent encounter ICD10CM

N/A S34104D Unspecified injury to L4 level of lumbar spinal cord, subsequent encounter ICD10CM

N/A S34105D Unspecified injury to L5 level of lumbar spinal cord, subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System N/A S34109D Unspecified injury to unspecified level of lumbar spinal cord, subsequent encounter ICD10CM N/A S34111D Complete lesion of L1 level of lumbar spinal cord, subsequent encounter ICD10CM N/A S34112D Complete lesion of L2 level of lumbar spinal cord, subsequent encounter ICD10CM N/A S34113D Complete lesion of L3 level of lumbar spinal cord, subsequent encounter ICD10CM N/A S34114D Complete lesion of L4 level of lumbar spinal cord, subsequent encounter ICD10CM N/A S34115D Complete lesion of L5 level of lumbar spinal cord, subsequent encounter ICD10CM N/A S34119D Complete lesion of unspecified level of lumbar spinal cord, subsequent encounter ICD10CM

N/A S34121D Incomplete lesion of L1 level of lumbar spinal cord, subsequent encounter ICD10CM

N/A S34122D Incomplete lesion of L2 level of lumbar spinal cord, subsequent encounter ICD10CM

N/A S34123D Incomplete lesion of L3 level of lumbar spinal cord, subsequent encounter ICD10CM

N/A S34124D Incomplete lesion of L4 level of lumbar spinal cord, subsequent encounter ICD10CM

N/A S34125D Incomplete lesion of L5 level of lumbar spinal cord, subsequent encounter ICD10CM

N/A S34129D Incomplete lesion of unspecified level of lumbar spinal cord, subsequent encounter ICD10CM N/A S34131D Complete lesion of sacral spinal cord, subsequent encounter ICD10CM N/A S34132D Incomplete lesion of sacral spinal cord, subsequent encounter ICD10CM N/A S34139D Unspecified injury to sacral spinal cord, subsequent encounter ICD10CM N/A S3421XD Injury of nerve root of lumbar spine, subsequent encounter ICD10CM N/A S3422XD Injury of nerve root of sacral spine, subsequent encounter ICD10CM N/A S343XXD Injury of cauda equina, subsequent encounter ICD10CM N/A S344XXD Injury of lumbosacral plexus, subsequent encounter ICD10CM N/A S345XXD Injury of lumbar, sacral and pelvic sympathetic nerves, subsequent encounter ICD10CM Injury of peripheral nerve(s) at abdomen, lower back and pelvis level, subsequent N/A S346XXD ICD10CM encounter Injury of other nerves at abdomen, lower back and pelvis level, subsequent N/A S348XXD ICD10CM encounter Injury of unspecified nerves at abdomen, lower back and pelvis level, subsequent N/A S349XXD ICD10CM encounter N/A S3500XD Unspecified injury of abdominal aorta, subsequent encounter ICD10CM N/A S3501XD Minor laceration of abdominal aorta, subsequent encounter ICD10CM N/A S3502XD Major laceration of abdominal aorta, subsequent encounter ICD10CM N/A S3509XD Other injury of abdominal aorta, subsequent encounter ICD10CM N/A S3510XD Unspecified injury of inferior vena cava, subsequent encounter ICD10CM N/A S3511XD Minor laceration of inferior vena cava, subsequent encounter ICD10CM N/A S3512XD Major laceration of inferior vena cava, subsequent encounter ICD10CM N/A S3519XD Other injury of inferior vena cava, subsequent encounter ICD10CM N/A S35211D Minor laceration of celiac artery, subsequent encounter ICD10CM N/A S35212D Major laceration of celiac artery, subsequent encounter ICD10CM N/A S35218D Other injury of celiac artery, subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System N/A S35219D Unspecified injury of celiac artery, subsequent encounter ICD10CM N/A S35221D Minor laceration of superior mesenteric artery, subsequent encounter ICD10CM N/A S35222D Major laceration of superior mesenteric artery, subsequent encounter ICD10CM N/A S35228D Other injury of superior mesenteric artery, subsequent encounter ICD10CM N/A S35229D Unspecified injury of superior mesenteric artery, subsequent encounter ICD10CM N/A S35231D Minor laceration of inferior mesenteric artery, subsequent encounter ICD10CM N/A S35232D Major laceration of inferior mesenteric artery, subsequent encounter ICD10CM N/A S35238D Other injury of inferior mesenteric artery, subsequent encounter ICD10CM N/A S35239D Unspecified injury of inferior mesenteric artery, subsequent encounter ICD10CM N/A S35291D Minor laceration of branches of celiac and mesenteric artery, subsequent encounter ICD10CM

N/A S35292D Major laceration of branches of celiac and mesenteric artery, subsequent encounter ICD10CM

N/A S35298D Other injury of branches of celiac and mesenteric artery, subsequent encounter ICD10CM Unspecified injury of branches of celiac and mesenteric artery, subsequent N/A S35299D ICD10CM encounter N/A S35311D Laceration of portal vein, subsequent encounter ICD10CM N/A S35318D Other specified injury of portal vein, subsequent encounter ICD10CM N/A S35319D Unspecified injury of portal vein, subsequent encounter ICD10CM N/A S35321D Laceration of splenic vein, subsequent encounter ICD10CM N/A S35328D Other specified injury of splenic vein, subsequent encounter ICD10CM N/A S35329D Unspecified injury of splenic vein, subsequent encounter ICD10CM N/A S35331D Laceration of superior mesenteric vein, subsequent encounter ICD10CM N/A S35338D Other specified injury of superior mesenteric vein, subsequent encounter ICD10CM N/A S35339D Unspecified injury of superior mesenteric vein, subsequent encounter ICD10CM N/A S35341D Laceration of inferior mesenteric vein, subsequent encounter ICD10CM N/A S35348D Other specified injury of inferior mesenteric vein, subsequent encounter ICD10CM N/A S35349D Unspecified injury of inferior mesenteric vein, subsequent encounter ICD10CM N/A S35401D Unspecified injury of right renal artery, subsequent encounter ICD10CM N/A S35402D Unspecified injury of left renal artery, subsequent encounter ICD10CM N/A S35403D Unspecified injury of unspecified renal artery, subsequent encounter ICD10CM N/A S35404D Unspecified injury of right renal vein, subsequent encounter ICD10CM N/A S35405D Unspecified injury of left renal vein, subsequent encounter ICD10CM N/A S35406D Unspecified injury of unspecified renal vein, subsequent encounter ICD10CM N/A S35411D Laceration of right renal artery, subsequent encounter ICD10CM N/A S35412D Laceration of left renal artery, subsequent encounter ICD10CM N/A S35413D Laceration of unspecified renal artery, subsequent encounter ICD10CM N/A S35414D Laceration of right renal vein, subsequent encounter ICD10CM N/A S35415D Laceration of left renal vein, subsequent encounter ICD10CM N/A S35416D Laceration of unspecified renal vein, subsequent encounter ICD10CM N/A S35491D Other specified injury of right renal artery, subsequent encounter ICD10CM N/A S35492D Other specified injury of left renal artery, subsequent encounter ICD10CM N/A S35493D Other specified injury of unspecified renal artery, subsequent encounter ICD10CM N/A S35494D Other specified injury of right renal vein, subsequent encounter ICD10CM N/A S35495D Other specified injury of left renal vein, subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System N/A S35496D Other specified injury of unspecified renal vein, subsequent encounter ICD10CM N/A S3550XD Injury of unspecified iliac blood vessel(s), subsequent encounter ICD10CM N/A S35511D Injury of right iliac artery, subsequent encounter ICD10CM N/A S35512D Injury of left iliac artery, subsequent encounter ICD10CM N/A S35513D Injury of unspecified iliac artery, subsequent encounter ICD10CM N/A S35514D Injury of right iliac vein, subsequent encounter ICD10CM N/A S35515D Injury of left iliac vein, subsequent encounter ICD10CM N/A S35516D Injury of unspecified iliac vein, subsequent encounter ICD10CM N/A S35531D Injury of right uterine artery, subsequent encounter ICD10CM N/A S35532D Injury of left uterine artery, subsequent encounter ICD10CM N/A S35533D Injury of unspecified uterine artery, subsequent encounter ICD10CM N/A S35534D Injury of right uterine vein, subsequent encounter ICD10CM N/A S35535D Injury of left uterine vein, subsequent encounter ICD10CM N/A S35536D Injury of unspecified uterine vein, subsequent encounter ICD10CM N/A S3559XD Injury of other iliac blood vessels, subsequent encounter ICD10CM Laceration of other blood vessels at abdomen, lower back and pelvis level, N/A S358X1D ICD10CM subsequent encounter Other specified injury of other blood vessels at abdomen, lower back and pelvis N/A S358X8D ICD10CM level, subsequent encounter Unspecified injury of other blood vessels at abdomen, lower back and pelvis level, N/A S358X9D ICD10CM subsequent encounter Unspecified injury of unspecified blood vessel at abdomen, lower back and pelvis N/A S3590XD ICD10CM level, subsequent encounter Laceration of unspecified blood vessel at abdomen, lower back and pelvis level, N/A S3591XD ICD10CM subsequent encounter Other specified injury of unspecified blood vessel at abdomen, lower back and pelvis N/A S3599XD ICD10CM level, subsequent encounter N/A S3600XD Unspecified injury of spleen, subsequent encounter ICD10CM N/A S36020D Minor contusion of spleen, subsequent encounter ICD10CM N/A S36021D Major contusion of spleen, subsequent encounter ICD10CM N/A S36029D Unspecified contusion of spleen, subsequent encounter ICD10CM N/A S36030D Superficial (capsular) laceration of spleen, subsequent encounter ICD10CM N/A S36031D Moderate laceration of spleen, subsequent encounter ICD10CM N/A S36032D Major laceration of spleen, subsequent encounter ICD10CM N/A S36039D Unspecified laceration of spleen, subsequent encounter ICD10CM N/A S3609XD Other injury of spleen, subsequent encounter ICD10CM N/A S36112D Contusion of liver, subsequent encounter ICD10CM N/A S36113D Laceration of liver, unspecified degree, subsequent encounter ICD10CM N/A S36114D Minor laceration of liver, subsequent encounter ICD10CM N/A S36115D Moderate laceration of liver, subsequent encounter ICD10CM N/A S36116D Major laceration of liver, subsequent encounter ICD10CM N/A S36118D Other injury of liver, subsequent encounter ICD10CM N/A S36119D Unspecified injury of liver, subsequent encounter ICD10CM N/A S36122D Contusion of gallbladder, subsequent encounter ICD10CM N/A S36123D Laceration of gallbladder, subsequent encounter ICD10CM N/A S36128D Other injury of gallbladder, subsequent encounter ICD10CM N/A S36129D Unspecified injury of gallbladder, subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System N/A S3613XD Injury of bile duct, subsequent encounter ICD10CM N/A S36200D Unspecified injury of head of pancreas, subsequent encounter ICD10CM N/A S36201D Unspecified injury of body of pancreas, subsequent encounter ICD10CM N/A S36202D Unspecified injury of tail of pancreas, subsequent encounter ICD10CM N/A S36209D Unspecified injury of unspecified part of pancreas, subsequent encounter ICD10CM N/A S36220D Contusion of head of pancreas, subsequent encounter ICD10CM N/A S36221D Contusion of body of pancreas, subsequent encounter ICD10CM N/A S36222D Contusion of tail of pancreas, subsequent encounter ICD10CM N/A S36229D Contusion of unspecified part of pancreas, subsequent encounter ICD10CM N/A S36230D Laceration of head of pancreas, unspecified degree, subsequent encounter ICD10CM

N/A S36231D Laceration of body of pancreas, unspecified degree, subsequent encounter ICD10CM N/A S36232D Laceration of tail of pancreas, unspecified degree, subsequent encounter ICD10CM Laceration of unspecified part of pancreas, unspecified degree, subsequent N/A S36239D ICD10CM encounter N/A S36240D Minor laceration of head of pancreas, subsequent encounter ICD10CM N/A S36241D Minor laceration of body of pancreas, subsequent encounter ICD10CM N/A S36242D Minor laceration of tail of pancreas, subsequent encounter ICD10CM N/A S36249D Minor laceration of unspecified part of pancreas, subsequent encounter ICD10CM N/A S36250D Moderate laceration of head of pancreas, subsequent encounter ICD10CM N/A S36251D Moderate laceration of body of pancreas, subsequent encounter ICD10CM N/A S36252D Moderate laceration of tail of pancreas, subsequent encounter ICD10CM N/A S36259D Moderate laceration of unspecified part of pancreas, subsequent encounter ICD10CM N/A S36260D Major laceration of head of pancreas, subsequent encounter ICD10CM N/A S36261D Major laceration of body of pancreas, subsequent encounter ICD10CM N/A S36262D Major laceration of tail of pancreas, subsequent encounter ICD10CM N/A S36269D Major laceration of unspecified part of pancreas, subsequent encounter ICD10CM N/A S36290D Other injury of head of pancreas, subsequent encounter ICD10CM N/A S36291D Other injury of body of pancreas, subsequent encounter ICD10CM N/A S36292D Other injury of tail of pancreas, subsequent encounter ICD10CM N/A S36299D Other injury of unspecified part of pancreas, subsequent encounter ICD10CM N/A S3630XD Unspecified injury of stomach, subsequent encounter ICD10CM N/A S3632XD Contusion of stomach, subsequent encounter ICD10CM N/A S3633XD Laceration of stomach, subsequent encounter ICD10CM N/A S3639XD Other injury of stomach, subsequent encounter ICD10CM N/A S36400D Unspecified injury of duodenum, subsequent encounter ICD10CM N/A S36408D Unspecified injury of other part of small intestine, subsequent encounter ICD10CM N/A S36409D Unspecified injury of unspecified part of small intestine, subsequent encounter ICD10CM N/A S36410D Primary blast injury of duodenum, subsequent encounter ICD10CM N/A S36418D Primary blast injury of other part of small intestine, subsequent encounter ICD10CM

N/A S36419D Primary blast injury of unspecified part of small intestine, subsequent encounter ICD10CM N/A S36420D Contusion of duodenum, subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System N/A S36428D Contusion of other part of small intestine, subsequent encounter ICD10CM N/A S36429D Contusion of unspecified part of small intestine, subsequent encounter ICD10CM N/A S36430D Laceration of duodenum, subsequent encounter ICD10CM N/A S36438D Laceration of other part of small intestine, subsequent encounter ICD10CM N/A S36439D Laceration of unspecified part of small intestine, subsequent encounter ICD10CM N/A S36490D Other injury of duodenum, subsequent encounter ICD10CM N/A S36498D Other injury of other part of small intestine, subsequent encounter ICD10CM N/A S36499D Other injury of unspecified part of small intestine, subsequent encounter ICD10CM N/A S36500D Unspecified injury of ascending [right] colon, subsequent encounter ICD10CM N/A S36501D Unspecified injury of transverse colon, subsequent encounter ICD10CM N/A S36502D Unspecified injury of descending [left] colon, subsequent encounter ICD10CM N/A S36503D Unspecified injury of sigmoid colon, subsequent encounter ICD10CM N/A S36508D Unspecified injury of other part of colon, subsequent encounter ICD10CM N/A S36509D Unspecified injury of unspecified part of colon, subsequent encounter ICD10CM N/A S36510D Primary blast injury of ascending [right] colon, subsequent encounter ICD10CM N/A S36511D Primary blast injury of transverse colon, subsequent encounter ICD10CM N/A S36512D Primary blast injury of descending [left] colon, subsequent encounter ICD10CM N/A S36513D Primary blast injury of sigmoid colon, subsequent encounter ICD10CM N/A S36518D Primary blast injury of other part of colon, subsequent encounter ICD10CM N/A S36519D Primary blast injury of unspecified part of colon, subsequent encounter ICD10CM N/A S36520D Contusion of ascending [right] colon, subsequent encounter ICD10CM N/A S36521D Contusion of transverse colon, subsequent encounter ICD10CM N/A S36522D Contusion of descending [left] colon, subsequent encounter ICD10CM N/A S36523D Contusion of sigmoid colon, subsequent encounter ICD10CM N/A S36528D Contusion of other part of colon, subsequent encounter ICD10CM N/A S36529D Contusion of unspecified part of colon, subsequent encounter ICD10CM N/A S36530D Laceration of ascending [right] colon, subsequent encounter ICD10CM N/A S36531D Laceration of transverse colon, subsequent encounter ICD10CM N/A S36532D Laceration of descending [left] colon, subsequent encounter ICD10CM N/A S36533D Laceration of sigmoid colon, subsequent encounter ICD10CM N/A S36538D Laceration of other part of colon, subsequent encounter ICD10CM N/A S36539D Laceration of unspecified part of colon, subsequent encounter ICD10CM N/A S36590D Other injury of ascending [right] colon, subsequent encounter ICD10CM N/A S36591D Other injury of transverse colon, subsequent encounter ICD10CM N/A S36592D Other injury of descending [left] colon, subsequent encounter ICD10CM N/A S36593D Other injury of sigmoid colon, subsequent encounter ICD10CM N/A S36598D Other injury of other part of colon, subsequent encounter ICD10CM N/A S36599D Other injury of unspecified part of colon, subsequent encounter ICD10CM N/A S3660XD Unspecified injury of rectum, subsequent encounter ICD10CM N/A S3661XD Primary blast injury of rectum, subsequent encounter ICD10CM N/A S3662XD Contusion of rectum, subsequent encounter ICD10CM N/A S3663XD Laceration of rectum, subsequent encounter ICD10CM N/A S3669XD Other injury of rectum, subsequent encounter ICD10CM N/A S3681XD Injury of peritoneum, subsequent encounter ICD10CM N/A S36892D Contusion of other intra-abdominal organs, subsequent encounter ICD10CM N/A S36893D Laceration of other intra-abdominal organs, subsequent encounter ICD10CM N/A S36898D Other injury of other intra-abdominal organs, subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System N/A S36899D Unspecified injury of other intra-abdominal organs, subsequent encounter ICD10CM

N/A S3690XD Unspecified injury of unspecified intra-abdominal organ, subsequent encounter ICD10CM N/A S3692XD Contusion of unspecified intra-abdominal organ, subsequent encounter ICD10CM N/A S3693XD Laceration of unspecified intra-abdominal organ, subsequent encounter ICD10CM N/A S3699XD Other injury of unspecified intra-abdominal organ, subsequent encounter ICD10CM N/A S37001D Unspecified injury of right kidney, subsequent encounter ICD10CM N/A S37002D Unspecified injury of left kidney, subsequent encounter ICD10CM N/A S37009D Unspecified injury of unspecified kidney, subsequent encounter ICD10CM N/A S37011D Minor contusion of right kidney, subsequent encounter ICD10CM N/A S37012D Minor contusion of left kidney, subsequent encounter ICD10CM N/A S37019D Minor contusion of unspecified kidney, subsequent encounter ICD10CM N/A S37021D Major contusion of right kidney, subsequent encounter ICD10CM N/A S37022D Major contusion of left kidney, subsequent encounter ICD10CM N/A S37029D Major contusion of unspecified kidney, subsequent encounter ICD10CM N/A S37031D Laceration of right kidney, unspecified degree, subsequent encounter ICD10CM N/A S37032D Laceration of left kidney, unspecified degree, subsequent encounter ICD10CM N/A S37039D Laceration of unspecified kidney, unspecified degree, subsequent encounter ICD10CM N/A S37041D Minor laceration of right kidney, subsequent encounter ICD10CM N/A S37042D Minor laceration of left kidney, subsequent encounter ICD10CM N/A S37049D Minor laceration of unspecified kidney, subsequent encounter ICD10CM N/A S37051D Moderate laceration of right kidney, subsequent encounter ICD10CM N/A S37052D Moderate laceration of left kidney, subsequent encounter ICD10CM N/A S37059D Moderate laceration of unspecified kidney, subsequent encounter ICD10CM N/A S37061D Major laceration of right kidney, subsequent encounter ICD10CM N/A S37062D Major laceration of left kidney, subsequent encounter ICD10CM N/A S37069D Major laceration of unspecified kidney, subsequent encounter ICD10CM N/A S37091D Other injury of right kidney, subsequent encounter ICD10CM N/A S37092D Other injury of left kidney, subsequent encounter ICD10CM N/A S37099D Other injury of unspecified kidney, subsequent encounter ICD10CM N/A S3710XD Unspecified injury of ureter, subsequent encounter ICD10CM N/A S3712XD Contusion of ureter, subsequent encounter ICD10CM N/A S3713XD Laceration of ureter, subsequent encounter ICD10CM N/A S3719XD Other injury of ureter, subsequent encounter ICD10CM N/A S3720XD Unspecified injury of bladder, subsequent encounter ICD10CM N/A S3722XD Contusion of bladder, subsequent encounter ICD10CM N/A S3723XD Laceration of bladder, subsequent encounter ICD10CM N/A S3729XD Other injury of bladder, subsequent encounter ICD10CM N/A S3730XD Unspecified injury of urethra, subsequent encounter ICD10CM N/A S3732XD Contusion of urethra, subsequent encounter ICD10CM N/A S3733XD Laceration of urethra, subsequent encounter ICD10CM N/A S3739XD Other injury of urethra, subsequent encounter ICD10CM N/A S37401D Unspecified injury of ovary, unilateral, subsequent encounter ICD10CM N/A S37402D Unspecified injury of ovary, bilateral, subsequent encounter ICD10CM N/A S37409D Unspecified injury of ovary, unspecified, subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System N/A S37421D Contusion of ovary, unilateral, subsequent encounter ICD10CM N/A S37422D Contusion of ovary, bilateral, subsequent encounter ICD10CM N/A S37429D Contusion of ovary, unspecified, subsequent encounter ICD10CM N/A S37431D Laceration of ovary, unilateral, subsequent encounter ICD10CM N/A S37432D Laceration of ovary, bilateral, subsequent encounter ICD10CM N/A S37439D Laceration of ovary, unspecified, subsequent encounter ICD10CM N/A S37491D Other injury of ovary, unilateral, subsequent encounter ICD10CM N/A S37492D Other injury of ovary, bilateral, subsequent encounter ICD10CM N/A S37499D Other injury of ovary, unspecified, subsequent encounter ICD10CM N/A S37501D Unspecified injury of , unilateral, subsequent encounter ICD10CM N/A S37502D Unspecified injury of fallopian tube, bilateral, subsequent encounter ICD10CM N/A S37509D Unspecified injury of fallopian tube, unspecified, subsequent encounter ICD10CM N/A S37511D Primary blast injury of fallopian tube, unilateral, subsequent encounter ICD10CM N/A S37512D Primary blast injury of fallopian tube, bilateral, subsequent encounter ICD10CM N/A S37519D Primary blast injury of fallopian tube, unspecified, subsequent encounter ICD10CM N/A S37521D Contusion of fallopian tube, unilateral, subsequent encounter ICD10CM N/A S37522D Contusion of fallopian tube, bilateral, subsequent encounter ICD10CM N/A S37529D Contusion of fallopian tube, unspecified, subsequent encounter ICD10CM N/A S37531D Laceration of fallopian tube, unilateral, subsequent encounter ICD10CM N/A S37532D Laceration of fallopian tube, bilateral, subsequent encounter ICD10CM N/A S37539D Laceration of fallopian tube, unspecified, subsequent encounter ICD10CM N/A S37591D Other injury of fallopian tube, unilateral, subsequent encounter ICD10CM N/A S37592D Other injury of fallopian tube, bilateral, subsequent encounter ICD10CM N/A S37599D Other injury of fallopian tube, unspecified, subsequent encounter ICD10CM N/A S3760XD Unspecified injury of , subsequent encounter ICD10CM N/A S3762XD Contusion of uterus, subsequent encounter ICD10CM N/A S3763XD Laceration of uterus, subsequent encounter ICD10CM N/A S3769XD Other injury of uterus, subsequent encounter ICD10CM N/A S37812D Contusion of adrenal gland, subsequent encounter ICD10CM N/A S37813D Laceration of adrenal gland, subsequent encounter ICD10CM N/A S37818D Other injury of adrenal gland, subsequent encounter ICD10CM N/A S37819D Unspecified injury of adrenal gland, subsequent encounter ICD10CM N/A S37822D Contusion of prostate, subsequent encounter ICD10CM N/A S37823D Laceration of prostate, subsequent encounter ICD10CM N/A S37828D Other injury of prostate, subsequent encounter ICD10CM N/A S37829D Unspecified injury of prostate, subsequent encounter ICD10CM N/A S37892D Contusion of other urinary and pelvic organ, subsequent encounter ICD10CM N/A S37893D Laceration of other urinary and pelvic organ, subsequent encounter ICD10CM N/A S37898D Other injury of other urinary and pelvic organ, subsequent encounter ICD10CM N/A S37899D Unspecified injury of other urinary and pelvic organ, subsequent encounter ICD10CM

N/A S3790XD Unspecified injury of unspecified urinary and pelvic organ, subsequent encounter ICD10CM N/A S3792XD Contusion of unspecified urinary and pelvic organ, subsequent encounter ICD10CM N/A S3793XD Laceration of unspecified urinary and pelvic organ, subsequent encounter ICD10CM N/A S3799XD Other injury of unspecified urinary and pelvic organ, subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System N/A S38001D Crushing injury of unspecified external genital organs, male, subsequent encounter ICD10CM

N/A S38002D Crushing injury of unspecified external genital organs, female, subsequent encounter ICD10CM N/A S3801XD Crushing injury of penis, subsequent encounter ICD10CM N/A S3802XD Crushing injury of scrotum and testis, subsequent encounter ICD10CM N/A S3803XD Crushing injury of vulva, subsequent encounter ICD10CM N/A S381XXD Crushing injury of abdomen, lower back, and pelvis, subsequent encounter ICD10CM Complete traumatic amputation of female external genital organs, subsequent N/A S38211D ICD10CM encounter Partial traumatic amputation of female external genital organs, subsequent N/A S38212D ICD10CM encounter N/A S38221D Complete traumatic amputation of penis, subsequent encounter ICD10CM N/A S38222D Partial traumatic amputation of penis, subsequent encounter ICD10CM N/A S38231D Complete traumatic amputation of scrotum and testis, subsequent encounter ICD10CM

N/A S38232D Partial traumatic amputation of scrotum and testis, subsequent encounter ICD10CM N/A S383XXD Transection (partial) of abdomen, subsequent encounter ICD10CM N/A S39001D Unspecified injury of muscle, fascia and tendon of abdomen, subsequent encounter ICD10CM Unspecified injury of muscle, fascia and tendon of lower back, subsequent N/A S39002D ICD10CM encounter N/A S39003D Unspecified injury of muscle, fascia and tendon of pelvis, subsequent encounter ICD10CM N/A S39011D Strain of muscle, fascia and tendon of abdomen, subsequent encounter ICD10CM N/A S39012D Strain of muscle, fascia and tendon of lower back, subsequent encounter ICD10CM N/A S39013D Strain of muscle, fascia and tendon of pelvis, subsequent encounter ICD10CM N/A S39021D Laceration of muscle, fascia and tendon of abdomen, subsequent encounter ICD10CM

N/A S39022D Laceration of muscle, fascia and tendon of lower back, subsequent encounter ICD10CM N/A S39023D Laceration of muscle, fascia and tendon of pelvis, subsequent encounter ICD10CM N/A S39091D Other injury of muscle, fascia and tendon of abdomen, subsequent encounter ICD10CM

N/A S39092D Other injury of muscle, fascia and tendon of lower back, subsequent encounter ICD10CM

N/A S39093D Other injury of muscle, fascia and tendon of pelvis, subsequent encounter ICD10CM N/A S3981XD Other specified injuries of abdomen, subsequent encounter ICD10CM N/A S3982XD Other specified injuries of lower back, subsequent encounter ICD10CM N/A S3983XD Other specified injuries of pelvis, subsequent encounter ICD10CM N/A S39840D Fracture of corpus cavernosum penis, subsequent encounter ICD10CM N/A S39848D Other specified injuries of external genitals, subsequent encounter ICD10CM N/A S3991XD Unspecified injury of abdomen, subsequent encounter ICD10CM N/A S3992XD Unspecified injury of lower back, subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System N/A S3993XD Unspecified injury of pelvis, subsequent encounter ICD10CM N/A S3994XD Unspecified injury of external genitals, subsequent encounter ICD10CM N/A S40011D Contusion of right shoulder, subsequent encounter ICD10CM N/A S40012D Contusion of left shoulder, subsequent encounter ICD10CM N/A S40019D Contusion of unspecified shoulder, subsequent encounter ICD10CM N/A S40021D Contusion of right upper arm, subsequent encounter ICD10CM N/A S40022D Contusion of left upper arm, subsequent encounter ICD10CM N/A S40029D Contusion of unspecified upper arm, subsequent encounter ICD10CM N/A S40211D Abrasion of right shoulder, subsequent encounter ICD10CM N/A S40212D Abrasion of left shoulder, subsequent encounter ICD10CM N/A S40219D Abrasion of unspecified shoulder, subsequent encounter ICD10CM N/A S40221D Blister (nonthermal) of right shoulder, subsequent encounter ICD10CM N/A S40222D Blister (nonthermal) of left shoulder, subsequent encounter ICD10CM N/A S40229D Blister (nonthermal) of unspecified shoulder, subsequent encounter ICD10CM N/A S40241D External constriction of right shoulder, subsequent encounter ICD10CM N/A S40242D External constriction of left shoulder, subsequent encounter ICD10CM N/A S40249D External constriction of unspecified shoulder, subsequent encounter ICD10CM N/A S40251D Superficial foreign body of right shoulder, subsequent encounter ICD10CM N/A S40252D Superficial foreign body of left shoulder, subsequent encounter ICD10CM N/A S40259D Superficial foreign body of unspecified shoulder, subsequent encounter ICD10CM N/A S40261D Insect bite (nonvenomous) of right shoulder, subsequent encounter ICD10CM N/A S40262D Insect bite (nonvenomous) of left shoulder, subsequent encounter ICD10CM N/A S40269D Insect bite (nonvenomous) of unspecified shoulder, subsequent encounter ICD10CM N/A S40271D Other superficial bite of right shoulder, subsequent encounter ICD10CM N/A S40272D Other superficial bite of left shoulder, subsequent encounter ICD10CM N/A S40279D Other superficial bite of unspecified shoulder, subsequent encounter ICD10CM N/A S40811D Abrasion of right upper arm, subsequent encounter ICD10CM N/A S40812D Abrasion of left upper arm, subsequent encounter ICD10CM N/A S40819D Abrasion of unspecified upper arm, subsequent encounter ICD10CM N/A S40821D Blister (nonthermal) of right upper arm, subsequent encounter ICD10CM N/A S40822D Blister (nonthermal) of left upper arm, subsequent encounter ICD10CM N/A S40829D Blister (nonthermal) of unspecified upper arm, subsequent encounter ICD10CM N/A S40841D External constriction of right upper arm, subsequent encounter ICD10CM N/A S40842D External constriction of left upper arm, subsequent encounter ICD10CM N/A S40849D External constriction of unspecified upper arm, subsequent encounter ICD10CM N/A S40851D Superficial foreign body of right upper arm, subsequent encounter ICD10CM N/A S40852D Superficial foreign body of left upper arm, subsequent encounter ICD10CM N/A S40859D Superficial foreign body of unspecified upper arm, subsequent encounter ICD10CM N/A S40861D Insect bite (nonvenomous) of right upper arm, subsequent encounter ICD10CM N/A S40862D Insect bite (nonvenomous) of left upper arm, subsequent encounter ICD10CM N/A S40869D Insect bite (nonvenomous) of unspecified upper arm, subsequent encounter ICD10CM N/A S40871D Other superficial bite of right upper arm, subsequent encounter ICD10CM N/A S40872D Other superficial bite of left upper arm, subsequent encounter ICD10CM N/A S40879D Other superficial bite of unspecified upper arm, subsequent encounter ICD10CM N/A S40911D Unspecified superficial injury of right shoulder, subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System N/A S40912D Unspecified superficial injury of left shoulder, subsequent encounter ICD10CM N/A S40919D Unspecified superficial injury of unspecified shoulder, subsequent encounter ICD10CM N/A S40921D Unspecified superficial injury of right upper arm, subsequent encounter ICD10CM N/A S40922D Unspecified superficial injury of left upper arm, subsequent encounter ICD10CM N/A S40929D Unspecified superficial injury of unspecified upper arm, subsequent encounter ICD10CM N/A S41001D Unspecified open wound of right shoulder, subsequent encounter ICD10CM N/A S41002D Unspecified open wound of left shoulder, subsequent encounter ICD10CM N/A S41009D Unspecified open wound of unspecified shoulder, subsequent encounter ICD10CM N/A S41011D Laceration without foreign body of right shoulder, subsequent encounter ICD10CM N/A S41012D Laceration without foreign body of left shoulder, subsequent encounter ICD10CM N/A S41019D Laceration without foreign body of unspecified shoulder, subsequent encounter ICD10CM N/A S41021D Laceration with foreign body of right shoulder, subsequent encounter ICD10CM N/A S41022D Laceration with foreign body of left shoulder, subsequent encounter ICD10CM N/A S41029D Laceration with foreign body of unspecified shoulder, subsequent encounter ICD10CM

N/A S41031D Puncture wound without foreign body of right shoulder, subsequent encounter ICD10CM

N/A S41032D Puncture wound without foreign body of left shoulder, subsequent encounter ICD10CM Puncture wound without foreign body of unspecified shoulder, subsequent N/A S41039D ICD10CM encounter N/A S41041D Puncture wound with foreign body of right shoulder, subsequent encounter ICD10CM

N/A S41042D Puncture wound with foreign body of left shoulder, subsequent encounter ICD10CM

N/A S41049D Puncture wound with foreign body of unspecified shoulder, subsequent encounter ICD10CM N/A S41051D Open bite of right shoulder, subsequent encounter ICD10CM N/A S41052D Open bite of left shoulder, subsequent encounter ICD10CM N/A S41059D Open bite of unspecified shoulder, subsequent encounter ICD10CM N/A S41101D Unspecified open wound of right upper arm, subsequent encounter ICD10CM N/A S41102D Unspecified open wound of left upper arm, subsequent encounter ICD10CM N/A S41109D Unspecified open wound of unspecified upper arm, subsequent encounter ICD10CM

N/A S41111D Laceration without foreign body of right upper arm, subsequent encounter ICD10CM N/A S41112D Laceration without foreign body of left upper arm, subsequent encounter ICD10CM N/A S41119D Laceration without foreign body of unspecified upper arm, subsequent encounter ICD10CM N/A S41121D Laceration with foreign body of right upper arm, subsequent encounter ICD10CM N/A S41122D Laceration with foreign body of left upper arm, subsequent encounter ICD10CM N/A S41129D Laceration with foreign body of unspecified upper arm, subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System N/A S41131D Puncture wound without foreign body of right upper arm, subsequent encounter ICD10CM

N/A S41132D Puncture wound without foreign body of left upper arm, subsequent encounter ICD10CM Puncture wound without foreign body of unspecified upper arm, subsequent N/A S41139D ICD10CM encounter N/A S41141D Puncture wound with foreign body of right upper arm, subsequent encounter ICD10CM

N/A S41142D Puncture wound with foreign body of left upper arm, subsequent encounter ICD10CM

N/A S41149D Puncture wound with foreign body of unspecified upper arm, subsequent encounter ICD10CM N/A S41151D Open bite of right upper arm, subsequent encounter ICD10CM N/A S41152D Open bite of left upper arm, subsequent encounter ICD10CM N/A S41159D Open bite of unspecified upper arm, subsequent encounter ICD10CM N/A S43001D Unspecified subluxation of right shoulder joint, subsequent encounter ICD10CM N/A S43002D Unspecified subluxation of left shoulder joint, subsequent encounter ICD10CM N/A S43003D Unspecified subluxation of unspecified shoulder joint, subsequent encounter ICD10CM N/A S43004D Unspecified dislocation of right shoulder joint, subsequent encounter ICD10CM N/A S43005D Unspecified dislocation of left shoulder joint, subsequent encounter ICD10CM N/A S43006D Unspecified dislocation of unspecified shoulder joint, subsequent encounter ICD10CM N/A S43011D Anterior subluxation of right humerus, subsequent encounter ICD10CM N/A S43012D Anterior subluxation of left humerus, subsequent encounter ICD10CM N/A S43013D Anterior subluxation of unspecified humerus, subsequent encounter ICD10CM N/A S43014D Anterior dislocation of right humerus, subsequent encounter ICD10CM N/A S43015D Anterior dislocation of left humerus, subsequent encounter ICD10CM N/A S43016D Anterior dislocation of unspecified humerus, subsequent encounter ICD10CM N/A S43021D Posterior subluxation of right humerus, subsequent encounter ICD10CM N/A S43022D Posterior subluxation of left humerus, subsequent encounter ICD10CM N/A S43023D Posterior subluxation of unspecified humerus, subsequent encounter ICD10CM N/A S43024D Posterior dislocation of right humerus, subsequent encounter ICD10CM N/A S43025D Posterior dislocation of left humerus, subsequent encounter ICD10CM N/A S43026D Posterior dislocation of unspecified humerus, subsequent encounter ICD10CM N/A S43031D Inferior subluxation of right humerus, subsequent encounter ICD10CM N/A S43032D Inferior subluxation of left humerus, subsequent encounter ICD10CM N/A S43033D Inferior subluxation of unspecified humerus, subsequent encounter ICD10CM N/A S43034D Inferior dislocation of right humerus, subsequent encounter ICD10CM N/A S43035D Inferior dislocation of left humerus, subsequent encounter ICD10CM N/A S43036D Inferior dislocation of unspecified humerus, subsequent encounter ICD10CM N/A S43081D Other subluxation of right shoulder joint, subsequent encounter ICD10CM N/A S43082D Other subluxation of left shoulder joint, subsequent encounter ICD10CM N/A S43083D Other subluxation of unspecified shoulder joint, subsequent encounter ICD10CM N/A S43084D Other dislocation of right shoulder joint, subsequent encounter ICD10CM N/A S43085D Other dislocation of left shoulder joint, subsequent encounter ICD10CM N/A S43086D Other dislocation of unspecified shoulder joint, subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System N/A S43101D Unspecified dislocation of right acromioclavicular joint, subsequent encounter ICD10CM

N/A S43102D Unspecified dislocation of left acromioclavicular joint, subsequent encounter ICD10CM

N/A S43109D Unspecified dislocation of unspecified acromioclavicular joint, subsequent encounter ICD10CM N/A S43111D Subluxation of right acromioclavicular joint, subsequent encounter ICD10CM N/A S43112D Subluxation of left acromioclavicular joint, subsequent encounter ICD10CM N/A S43119D Subluxation of unspecified acromioclavicular joint, subsequent encounter ICD10CM Dislocation of right acromioclavicular joint, 100%-200% displacement, subsequent N/A S43121D ICD10CM encounter Dislocation of left acromioclavicular joint, 100%-200% displacement, subsequent N/A S43122D ICD10CM encounter Dislocation of unspecified acromioclavicular joint, 100%-200% displacement, N/A S43129D ICD10CM subsequent encounter Dislocation of right acromioclavicular joint, greater than 200% displacement, N/A S43131D ICD10CM subsequent encounter Dislocation of left acromioclavicular joint, greater than 200% displacement, N/A S43132D ICD10CM subsequent encounter Dislocation of unspecified acromioclavicular joint, greater than 200% displacement, N/A S43139D ICD10CM subsequent encounter N/A S43141D Inferior dislocation of right acromioclavicular joint, subsequent encounter ICD10CM N/A S43142D Inferior dislocation of left acromioclavicular joint, subsequent encounter ICD10CM N/A S43149D Inferior dislocation of unspecified acromioclavicular joint, subsequent encounter ICD10CM

N/A S43151D Posterior dislocation of right acromioclavicular joint, subsequent encounter ICD10CM

N/A S43152D Posterior dislocation of left acromioclavicular joint, subsequent encounter ICD10CM

N/A S43159D Posterior dislocation of unspecified acromioclavicular joint, subsequent encounter ICD10CM

N/A S43201D Unspecified subluxation of right sternoclavicular joint, subsequent encounter ICD10CM

N/A S43202D Unspecified subluxation of left sternoclavicular joint, subsequent encounter ICD10CM

N/A S43203D Unspecified subluxation of unspecified sternoclavicular joint, subsequent encounter ICD10CM

N/A S43204D Unspecified dislocation of right sternoclavicular joint, subsequent encounter ICD10CM

N/A S43205D Unspecified dislocation of left sternoclavicular joint, subsequent encounter ICD10CM

N/A S43206D Unspecified dislocation of unspecified sternoclavicular joint, subsequent encounter ICD10CM

N/A S43211D Anterior subluxation of right sternoclavicular joint, subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System N/A S43212D Anterior subluxation of left sternoclavicular joint, subsequent encounter ICD10CM N/A S43213D Anterior subluxation of unspecified sternoclavicular joint, subsequent encounter ICD10CM N/A S43214D Anterior dislocation of right sternoclavicular joint, subsequent encounter ICD10CM N/A S43215D Anterior dislocation of left sternoclavicular joint, subsequent encounter ICD10CM N/A S43216D Anterior dislocation of unspecified sternoclavicular joint, subsequent encounter ICD10CM

N/A S43221D Posterior subluxation of right sternoclavicular joint, subsequent encounter ICD10CM N/A S43222D Posterior subluxation of left sternoclavicular joint, subsequent encounter ICD10CM N/A S43223D Posterior subluxation of unspecified sternoclavicular joint, subsequent encounter ICD10CM

N/A S43224D Posterior dislocation of right sternoclavicular joint, subsequent encounter ICD10CM N/A S43225D Posterior dislocation of left sternoclavicular joint, subsequent encounter ICD10CM N/A S43226D Posterior dislocation of unspecified sternoclavicular joint, subsequent encounter ICD10CM

N/A S43301D Subluxation of unspecified parts of right shoulder girdle, subsequent encounter ICD10CM

N/A S43302D Subluxation of unspecified parts of left shoulder girdle, subsequent encounter ICD10CM Subluxation of unspecified parts of unspecified shoulder girdle, subsequent N/A S43303D ICD10CM encounter N/A S43304D Dislocation of unspecified parts of right shoulder girdle, subsequent encounter ICD10CM

N/A S43305D Dislocation of unspecified parts of left shoulder girdle, subsequent encounter ICD10CM Dislocation of unspecified parts of unspecified shoulder girdle, subsequent N/A S43306D ICD10CM encounter N/A S43311D Subluxation of right scapula, subsequent encounter ICD10CM N/A S43312D Subluxation of left scapula, subsequent encounter ICD10CM N/A S43313D Subluxation of unspecified scapula, subsequent encounter ICD10CM N/A S43314D Dislocation of right scapula, subsequent encounter ICD10CM N/A S43315D Dislocation of left scapula, subsequent encounter ICD10CM N/A S43316D Dislocation of unspecified scapula, subsequent encounter ICD10CM N/A S43391D Subluxation of other parts of right shoulder girdle, subsequent encounter ICD10CM N/A S43392D Subluxation of other parts of left shoulder girdle, subsequent encounter ICD10CM N/A S43393D Subluxation of other parts of unspecified shoulder girdle, subsequent encounter ICD10CM N/A S43394D Dislocation of other parts of right shoulder girdle, subsequent encounter ICD10CM N/A S43395D Dislocation of other parts of left shoulder girdle, subsequent encounter ICD10CM N/A S43396D Dislocation of other parts of unspecified shoulder girdle, subsequent encounter ICD10CM N/A S43401D Unspecified sprain of right shoulder joint, subsequent encounter ICD10CM N/A S43402D Unspecified sprain of left shoulder joint, subsequent encounter ICD10CM N/A S43409D Unspecified sprain of unspecified shoulder joint, subsequent encounter ICD10CM N/A S43411D Sprain of right coracohumeral (ligament), subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System N/A S43412D Sprain of left coracohumeral (ligament), subsequent encounter ICD10CM N/A S43419D Sprain of unspecified coracohumeral (ligament), subsequent encounter ICD10CM N/A S43421D Sprain of right rotator cuff capsule, subsequent encounter ICD10CM N/A S43422D Sprain of left rotator cuff capsule, subsequent encounter ICD10CM N/A S43429D Sprain of unspecified rotator cuff capsule, subsequent encounter ICD10CM N/A S43431D Superior glenoid labrum lesion of right shoulder, subsequent encounter ICD10CM N/A S43432D Superior glenoid labrum lesion of left shoulder, subsequent encounter ICD10CM N/A S43439D Superior glenoid labrum lesion of unspecified shoulder, subsequent encounter ICD10CM N/A S43491D Other sprain of right shoulder joint, subsequent encounter ICD10CM N/A S43492D Other sprain of left shoulder joint, subsequent encounter ICD10CM N/A S43499D Other sprain of unspecified shoulder joint, subsequent encounter ICD10CM N/A S4350XD Sprain of unspecified acromioclavicular joint, subsequent encounter ICD10CM N/A S4351XD Sprain of right acromioclavicular joint, subsequent encounter ICD10CM N/A S4352XD Sprain of left acromioclavicular joint, subsequent encounter ICD10CM N/A S4360XD Sprain of unspecified sternoclavicular joint, subsequent encounter ICD10CM N/A S4361XD Sprain of right sternoclavicular joint, subsequent encounter ICD10CM N/A S4362XD Sprain of left sternoclavicular joint, subsequent encounter ICD10CM N/A S4380XD Sprain of other specified parts of unspecified shoulder girdle, subsequent encounter ICD10CM

N/A S4381XD Sprain of other specified parts of right shoulder girdle, subsequent encounter ICD10CM

N/A S4382XD Sprain of other specified parts of left shoulder girdle, subsequent encounter ICD10CM

N/A S4390XD Sprain of unspecified parts of unspecified shoulder girdle, subsequent encounter ICD10CM

N/A S4391XD Sprain of unspecified parts of right shoulder girdle, subsequent encounter ICD10CM N/A S4392XD Sprain of unspecified parts of left shoulder girdle, subsequent encounter ICD10CM N/A S4400XD Injury of ulnar nerve at upper arm level, unspecified arm, subsequent encounter ICD10CM N/A S4401XD Injury of ulnar nerve at upper arm level, right arm, subsequent encounter ICD10CM N/A S4402XD Injury of ulnar nerve at upper arm level, left arm, subsequent encounter ICD10CM N/A S4410XD Injury of median nerve at upper arm level, unspecified arm, subsequent encounter ICD10CM

N/A S4411XD Injury of median nerve at upper arm level, right arm, subsequent encounter ICD10CM

N/A S4412XD Injury of median nerve at upper arm level, left arm, subsequent encounter ICD10CM

N/A S4420XD Injury of radial nerve at upper arm level, unspecified arm, subsequent encounter ICD10CM N/A S4421XD Injury of radial nerve at upper arm level, right arm, subsequent encounter ICD10CM N/A S4422XD Injury of radial nerve at upper arm level, left arm, subsequent encounter ICD10CM N/A S4430XD Injury of axillary nerve, unspecified arm, subsequent encounter ICD10CM N/A S4431XD Injury of axillary nerve, right arm, subsequent encounter ICD10CM N/A S4432XD Injury of axillary nerve, left arm, subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System N/A S4440XD Injury of musculocutaneous nerve, unspecified arm, subsequent encounter ICD10CM N/A S4441XD Injury of musculocutaneous nerve, right arm, subsequent encounter ICD10CM N/A S4442XD Injury of musculocutaneous nerve, left arm, subsequent encounter ICD10CM Injury of cutaneous sensory nerve at shoulder and upper arm level, unspecified arm, N/A S4450XD ICD10CM subsequent encounter Injury of cutaneous sensory nerve at shoulder and upper arm level, right arm, N/A S4451XD ICD10CM subsequent encounter Injury of cutaneous sensory nerve at shoulder and upper arm level, left arm, N/A S4452XD ICD10CM subsequent encounter Injury of other nerves at shoulder and upper arm level, right arm, subsequent N/A S448X1D ICD10CM encounter Injury of other nerves at shoulder and upper arm level, left arm, subsequent N/A S448X2D ICD10CM encounter Injury of other nerves at shoulder and upper arm level, unspecified arm, subsequent N/A S448X9D ICD10CM encounter Injury of unspecified nerve at shoulder and upper arm level, unspecified arm, N/A S4490XD ICD10CM subsequent encounter Injury of unspecified nerve at shoulder and upper arm level, right arm, subsequent N/A S4491XD ICD10CM encounter Injury of unspecified nerve at shoulder and upper arm level, left arm, subsequent N/A S4492XD ICD10CM encounter N/A S45001D Unspecified injury of axillary artery, right side, subsequent encounter ICD10CM N/A S45002D Unspecified injury of axillary artery, left side, subsequent encounter ICD10CM N/A S45009D Unspecified injury of axillary artery, unspecified side, subsequent encounter ICD10CM N/A S45011D Laceration of axillary artery, right side, subsequent encounter ICD10CM N/A S45012D Laceration of axillary artery, left side, subsequent encounter ICD10CM N/A S45019D Laceration of axillary artery, unspecified side, subsequent encounter ICD10CM N/A S45091D Other specified injury of axillary artery, right side, subsequent encounter ICD10CM N/A S45092D Other specified injury of axillary artery, left side, subsequent encounter ICD10CM N/A S45099D Other specified injury of axillary artery, unspecified side, subsequent encounter ICD10CM N/A S45101D Unspecified injury of brachial artery, right side, subsequent encounter ICD10CM N/A S45102D Unspecified injury of brachial artery, left side, subsequent encounter ICD10CM N/A S45109D Unspecified injury of brachial artery, unspecified side, subsequent encounter ICD10CM N/A S45111D Laceration of brachial artery, right side, subsequent encounter ICD10CM N/A S45112D Laceration of brachial artery, left side, subsequent encounter ICD10CM N/A S45119D Laceration of brachial artery, unspecified side, subsequent encounter ICD10CM N/A S45191D Other specified injury of brachial artery, right side, subsequent encounter ICD10CM N/A S45192D Other specified injury of brachial artery, left side, subsequent encounter ICD10CM N/A S45199D Other specified injury of brachial artery, unspecified side, subsequent encounter ICD10CM

N/A S45201D Unspecified injury of axillary or brachial vein, right side, subsequent encounter ICD10CM

87 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S45202D Unspecified injury of axillary or brachial vein, left side, subsequent encounter ICD10CM Unspecified injury of axillary or brachial vein, unspecified side, subsequent N/A S45209D ICD10CM encounter N/A S45211D Laceration of axillary or brachial vein, right side, subsequent encounter ICD10CM N/A S45212D Laceration of axillary or brachial vein, left side, subsequent encounter ICD10CM N/A S45219D Laceration of axillary or brachial vein, unspecified side, subsequent encounter ICD10CM

N/A S45291D Other specified injury of axillary or brachial vein, right side, subsequent encounter ICD10CM

N/A S45292D Other specified injury of axillary or brachial vein, left side, subsequent encounter ICD10CM Other specified injury of axillary or brachial vein, unspecified side, subsequent N/A S45299D ICD10CM encounter Unspecified injury of superficial vein at shoulder and upper arm level, right arm, N/A S45301D ICD10CM subsequent encounter Unspecified injury of superficial vein at shoulder and upper arm level, left arm, N/A S45302D ICD10CM subsequent encounter Unspecified injury of superficial vein at shoulder and upper arm level, unspecified N/A S45309D ICD10CM arm, subsequent encounter Laceration of superficial vein at shoulder and upper arm level, right arm, subsequent N/A S45311D ICD10CM encounter Laceration of superficial vein at shoulder and upper arm level, left arm, subsequent N/A S45312D ICD10CM encounter Laceration of superficial vein at shoulder and upper arm level, unspecified arm, N/A S45319D ICD10CM subsequent encounter Other specified injury of superficial vein at shoulder and upper arm level, right arm, N/A S45391D ICD10CM subsequent encounter Other specified injury of superficial vein at shoulder and upper arm level, left arm, N/A S45392D ICD10CM subsequent encounter Other specified injury of superficial vein at shoulder and upper arm level, N/A S45399D ICD10CM unspecified arm, subsequent encounter Unspecified injury of other specified blood vessels at shoulder and upper arm level, N/A S45801D ICD10CM right arm, subsequent encounter Unspecified injury of other specified blood vessels at shoulder and upper arm level, N/A S45802D ICD10CM left arm, subsequent encounter Unspecified injury of other specified blood vessels at shoulder and upper arm level, N/A S45809D ICD10CM unspecified arm, subsequent encounter Laceration of other specified blood vessels at shoulder and upper arm level, right N/A S45811D ICD10CM arm, subsequent encounter Laceration of other specified blood vessels at shoulder and upper arm level, left arm, N/A S45812D ICD10CM subsequent encounter Laceration of other specified blood vessels at shoulder and upper arm level, N/A S45819D ICD10CM unspecified arm, subsequent encounter Other specified injury of other specified blood vessels at shoulder and upper arm N/A S45891D ICD10CM level, right arm, subsequent encounter

88 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Other specified injury of other specified blood vessels at shoulder and upper arm N/A S45892D ICD10CM level, left arm, subsequent encounter Other specified injury of other specified blood vessels at shoulder and upper arm N/A S45899D ICD10CM level, unspecified arm, subsequent encounter Unspecified injury of unspecified blood vessel at shoulder and upper arm level, right N/A S45901D ICD10CM arm, subsequent encounter Unspecified injury of unspecified blood vessel at shoulder and upper arm level, left N/A S45902D ICD10CM arm, subsequent encounter Unspecified injury of unspecified blood vessel at shoulder and upper arm level, N/A S45909D ICD10CM unspecified arm, subsequent encounter Laceration of unspecified blood vessel at shoulder and upper arm level, right arm, N/A S45911D ICD10CM subsequent encounter Laceration of unspecified blood vessel at shoulder and upper arm level, left arm, N/A S45912D ICD10CM subsequent encounter Laceration of unspecified blood vessel at shoulder and upper arm level, unspecified N/A S45919D ICD10CM arm, subsequent encounter Other specified injury of unspecified blood vessel at shoulder and upper arm level, N/A S45991D ICD10CM right arm, subsequent encounter Other specified injury of unspecified blood vessel at shoulder and upper arm level, N/A S45992D ICD10CM left arm, subsequent encounter Other specified injury of unspecified blood vessel at shoulder and upper arm level, N/A S45999D ICD10CM unspecified arm, subsequent encounter Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of right shoulder, N/A S46001D ICD10CM subsequent encounter Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of left shoulder, N/A S46002D ICD10CM subsequent encounter Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of unspecified N/A S46009D ICD10CM shoulder, subsequent encounter Strain of muscle(s) and tendon(s) of the rotator cuff of right shoulder, subsequent N/A S46011D ICD10CM encounter Strain of muscle(s) and tendon(s) of the rotator cuff of left shoulder, subsequent N/A S46012D ICD10CM encounter Strain of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, N/A S46019D ICD10CM subsequent encounter Laceration of muscle(s) and tendon(s) of the rotator cuff of right shoulder, N/A S46021D ICD10CM subsequent encounter Laceration of muscle(s) and tendon(s) of the rotator cuff of left shoulder, N/A S46022D ICD10CM subsequent encounter Laceration of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, N/A S46029D ICD10CM subsequent encounter Other injury of muscle(s) and tendon(s) of the rotator cuff of right shoulder, N/A S46091D ICD10CM subsequent encounter Other injury of muscle(s) and tendon(s) of the rotator cuff of left shoulder, N/A S46092D ICD10CM subsequent encounter Other injury of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, N/A S46099D ICD10CM subsequent encounter

89 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Unspecified injury of muscle, fascia and tendon of long head of biceps, right arm, N/A S46101D ICD10CM subsequent encounter Unspecified injury of muscle, fascia and tendon of long head of biceps, left arm, N/A S46102D ICD10CM subsequent encounter Unspecified injury of muscle, fascia and tendon of long head of biceps, unspecified N/A S46109D ICD10CM arm, subsequent encounter Strain of muscle, fascia and tendon of long head of biceps, right arm, subsequent N/A S46111D ICD10CM encounter Strain of muscle, fascia and tendon of long head of biceps, left arm, subsequent N/A S46112D ICD10CM encounter Strain of muscle, fascia and tendon of long head of biceps, unspecified arm, N/A S46119D ICD10CM subsequent encounter Laceration of muscle, fascia and tendon of long head of biceps, right arm, N/A S46121D ICD10CM subsequent encounter Laceration of muscle, fascia and tendon of long head of biceps, left arm, subsequent N/A S46122D ICD10CM encounter Laceration of muscle, fascia and tendon of long head of biceps, unspecified arm, N/A S46129D ICD10CM subsequent encounter Other injury of muscle, fascia and tendon of long head of biceps, right arm, N/A S46191D ICD10CM subsequent encounter Other injury of muscle, fascia and tendon of long head of biceps, left arm, N/A S46192D ICD10CM subsequent encounter Other injury of muscle, fascia and tendon of long head of biceps, unspecified arm, N/A S46199D ICD10CM subsequent encounter Unspecified injury of muscle, fascia and tendon of other parts of biceps, right arm, N/A S46201D ICD10CM subsequent encounter Unspecified injury of muscle, fascia and tendon of other parts of biceps, left arm, N/A S46202D ICD10CM subsequent encounter Unspecified injury of muscle, fascia and tendon of other parts of biceps, unspecified N/A S46209D ICD10CM arm, subsequent encounter Strain of muscle, fascia and tendon of other parts of biceps, right arm, subsequent N/A S46211D ICD10CM encounter Strain of muscle, fascia and tendon of other parts of biceps, left arm, subsequent N/A S46212D ICD10CM encounter Strain of muscle, fascia and tendon of other parts of biceps, unspecified arm, N/A S46219D ICD10CM subsequent encounter Laceration of muscle, fascia and tendon of other parts of biceps, right arm, N/A S46221D ICD10CM subsequent encounter Laceration of muscle, fascia and tendon of other parts of biceps, left arm, N/A S46222D ICD10CM subsequent encounter Laceration of muscle, fascia and tendon of other parts of biceps, unspecified arm, N/A S46229D ICD10CM subsequent encounter Other injury of muscle, fascia and tendon of other parts of biceps, right arm, N/A S46291D ICD10CM subsequent encounter Other injury of muscle, fascia and tendon of other parts of biceps, left arm, N/A S46292D ICD10CM subsequent encounter

90 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Other injury of muscle, fascia and tendon of other parts of biceps, unspecified arm, N/A S46299D ICD10CM subsequent encounter Unspecified injury of muscle, fascia and tendon of triceps, right arm, subsequent N/A S46301D ICD10CM encounter Unspecified injury of muscle, fascia and tendon of triceps, left arm, subsequent N/A S46302D ICD10CM encounter Unspecified injury of muscle, fascia and tendon of triceps, unspecified arm, N/A S46309D ICD10CM subsequent encounter N/A S46311D Strain of muscle, fascia and tendon of triceps, right arm, subsequent encounter ICD10CM

N/A S46312D Strain of muscle, fascia and tendon of triceps, left arm, subsequent encounter ICD10CM Strain of muscle, fascia and tendon of triceps, unspecified arm, subsequent N/A S46319D ICD10CM encounter N/A S46321D Laceration of muscle, fascia and tendon of triceps, right arm, subsequent encounter ICD10CM

N/A S46322D Laceration of muscle, fascia and tendon of triceps, left arm, subsequent encounter ICD10CM Laceration of muscle, fascia and tendon of triceps, unspecified arm, subsequent N/A S46329D ICD10CM encounter Other injury of muscle, fascia and tendon of triceps, right arm, subsequent N/A S46391D ICD10CM encounter N/A S46392D Other injury of muscle, fascia and tendon of triceps, left arm, subsequent encounter ICD10CM Other injury of muscle, fascia and tendon of triceps, unspecified arm, subsequent N/A S46399D ICD10CM encounter Unspecified injury of other muscles, fascia and tendons at shoulder and upper arm N/A S46801D ICD10CM level, right arm, subsequent encounter Unspecified injury of other muscles, fascia and tendons at shoulder and upper arm N/A S46802D ICD10CM level, left arm, subsequent encounter Unspecified injury of other muscles, fascia and tendons at shoulder and upper arm N/A S46809D ICD10CM level, unspecified arm, subsequent encounter Strain of other muscles, fascia and tendons at shoulder and upper arm level, right N/A S46811D ICD10CM arm, subsequent encounter Strain of other muscles, fascia and tendons at shoulder and upper arm level, left N/A S46812D ICD10CM arm, subsequent encounter Strain of other muscles, fascia and tendons at shoulder and upper arm level, N/A S46819D ICD10CM unspecified arm, subsequent encounter Laceration of other muscles, fascia and tendons at shoulder and upper arm level, N/A S46821D ICD10CM right arm, subsequent encounter Laceration of other muscles, fascia and tendons at shoulder and upper arm level, left N/A S46822D ICD10CM arm, subsequent encounter Laceration of other muscles, fascia and tendons at shoulder and upper arm level, N/A S46829D ICD10CM unspecified arm, subsequent encounter Other injury of other muscles, fascia and tendons at shoulder and upper arm level, N/A S46891D ICD10CM right arm, subsequent encounter

91 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Other injury of other muscles, fascia and tendons at shoulder and upper arm level, N/A S46892D ICD10CM left arm, subsequent encounter Other injury of other muscles, fascia and tendons at shoulder and upper arm level, N/A S46899D ICD10CM unspecified arm, subsequent encounter Unspecified injury of unspecified muscle, fascia and tendon at shoulder and upper N/A S46901D ICD10CM arm level, right arm, subsequent encounter Unspecified injury of unspecified muscle, fascia and tendon at shoulder and upper N/A S46902D ICD10CM arm level, left arm, subsequent encounter Unspecified injury of unspecified muscle, fascia and tendon at shoulder and upper N/A S46909D ICD10CM arm level, unspecified arm, subsequent encounter Strain of unspecified muscle, fascia and tendon at shoulder and upper arm level, N/A S46911D ICD10CM right arm, subsequent encounter Strain of unspecified muscle, fascia and tendon at shoulder and upper arm level, left N/A S46912D ICD10CM arm, subsequent encounter Strain of unspecified muscle, fascia and tendon at shoulder and upper arm level, N/A S46919D ICD10CM unspecified arm, subsequent encounter Laceration of unspecified muscle, fascia and tendon at shoulder and upper arm level, N/A S46921D ICD10CM right arm, subsequent encounter Laceration of unspecified muscle, fascia and tendon at shoulder and upper arm level, N/A S46922D ICD10CM left arm, subsequent encounter Laceration of unspecified muscle, fascia and tendon at shoulder and upper arm level, N/A S46929D ICD10CM unspecified arm, subsequent encounter Other injury of unspecified muscle, fascia and tendon at shoulder and upper arm N/A S46991D ICD10CM level, right arm, subsequent encounter Other injury of unspecified muscle, fascia and tendon at shoulder and upper arm N/A S46992D ICD10CM level, left arm, subsequent encounter Other injury of unspecified muscle, fascia and tendon at shoulder and upper arm N/A S46999D ICD10CM level, unspecified arm, subsequent encounter N/A S471XXD Crushing injury of right shoulder and upper arm, subsequent encounter ICD10CM N/A S472XXD Crushing injury of left shoulder and upper arm, subsequent encounter ICD10CM N/A S479XXD Crushing injury of shoulder and upper arm, unspecified arm, subsequent encounter ICD10CM

N/A S48011D Complete traumatic amputation at right shoulder joint, subsequent encounter ICD10CM

N/A S48012D Complete traumatic amputation at left shoulder joint, subsequent encounter ICD10CM

N/A S48019D Complete traumatic amputation at unspecified shoulder joint, subsequent encounter ICD10CM

N/A S48021D Partial traumatic amputation at right shoulder joint, subsequent encounter ICD10CM N/A S48022D Partial traumatic amputation at left shoulder joint, subsequent encounter ICD10CM N/A S48029D Partial traumatic amputation at unspecified shoulder joint, subsequent encounter ICD10CM Complete traumatic amputation at level between right shoulder and elbow, N/A S48111D ICD10CM subsequent encounter Complete traumatic amputation at level between left shoulder and elbow, N/A S48112D ICD10CM subsequent encounter

92 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Complete traumatic amputation at level between unspecified shoulder and elbow, N/A S48119D ICD10CM subsequent encounter Partial traumatic amputation at level between right shoulder and elbow, subsequent N/A S48121D ICD10CM encounter Partial traumatic amputation at level between left shoulder and elbow, subsequent N/A S48122D ICD10CM encounter Partial traumatic amputation at level between unspecified shoulder and elbow, N/A S48129D ICD10CM subsequent encounter Complete traumatic amputation of right shoulder and upper arm, level unspecified, N/A S48911D ICD10CM subsequent encounter Complete traumatic amputation of left shoulder and upper arm, level unspecified, N/A S48912D ICD10CM subsequent encounter Complete traumatic amputation of unspecified shoulder and upper arm, level N/A S48919D ICD10CM unspecified, subsequent encounter Partial traumatic amputation of right shoulder and upper arm, level unspecified, N/A S48921D ICD10CM subsequent encounter Partial traumatic amputation of left shoulder and upper arm, level unspecified, N/A S48922D ICD10CM subsequent encounter Partial traumatic amputation of unspecified shoulder and upper arm, level N/A S48929D ICD10CM unspecified, subsequent encounter Other specified injuries of shoulder and upper arm, unspecified arm, subsequent N/A S4980XD ICD10CM encounter N/A S4981XD Other specified injuries of right shoulder and upper arm, subsequent encounter ICD10CM

N/A S4982XD Other specified injuries of left shoulder and upper arm, subsequent encounter ICD10CM Unspecified injury of shoulder and upper arm, unspecified arm, subsequent N/A S4990XD ICD10CM encounter N/A S4991XD Unspecified injury of right shoulder and upper arm, subsequent encounter ICD10CM N/A S4992XD Unspecified injury of left shoulder and upper arm, subsequent encounter ICD10CM N/A S5000XD Contusion of unspecified elbow, subsequent encounter ICD10CM N/A S5001XD Contusion of right elbow, subsequent encounter ICD10CM N/A S5002XD Contusion of left elbow, subsequent encounter ICD10CM N/A S5010XD Contusion of unspecified forearm, subsequent encounter ICD10CM N/A S5011XD Contusion of right forearm, subsequent encounter ICD10CM N/A S5012XD Contusion of left forearm, subsequent encounter ICD10CM N/A S50311D Abrasion of right elbow, subsequent encounter ICD10CM N/A S50312D Abrasion of left elbow, subsequent encounter ICD10CM N/A S50319D Abrasion of unspecified elbow, subsequent encounter ICD10CM N/A S50321D Blister (nonthermal) of right elbow, subsequent encounter ICD10CM N/A S50322D Blister (nonthermal) of left elbow, subsequent encounter ICD10CM N/A S50329D Blister (nonthermal) of unspecified elbow, subsequent encounter ICD10CM N/A S50341D External constriction of right elbow, subsequent encounter ICD10CM N/A S50342D External constriction of left elbow, subsequent encounter ICD10CM N/A S50349D External constriction of unspecified elbow, subsequent encounter ICD10CM N/A S50351D Superficial foreign body of right elbow, subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System N/A S50352D Superficial foreign body of left elbow, subsequent encounter ICD10CM N/A S50359D Superficial foreign body of unspecified elbow, subsequent encounter ICD10CM N/A S50361D Insect bite (nonvenomous) of right elbow, subsequent encounter ICD10CM N/A S50362D Insect bite (nonvenomous) of left elbow, subsequent encounter ICD10CM N/A S50369D Insect bite (nonvenomous) of unspecified elbow, subsequent encounter ICD10CM N/A S50371D Other superficial bite of right elbow, subsequent encounter ICD10CM N/A S50372D Other superficial bite of left elbow, subsequent encounter ICD10CM N/A S50379D Other superficial bite of unspecified elbow, subsequent encounter ICD10CM N/A S50811D Abrasion of right forearm, subsequent encounter ICD10CM N/A S50812D Abrasion of left forearm, subsequent encounter ICD10CM N/A S50819D Abrasion of unspecified forearm, subsequent encounter ICD10CM N/A S50821D Blister (nonthermal) of right forearm, subsequent encounter ICD10CM N/A S50822D Blister (nonthermal) of left forearm, subsequent encounter ICD10CM N/A S50829D Blister (nonthermal) of unspecified forearm, subsequent encounter ICD10CM N/A S50841D External constriction of right forearm, subsequent encounter ICD10CM N/A S50842D External constriction of left forearm, subsequent encounter ICD10CM N/A S50849D External constriction of unspecified forearm, subsequent encounter ICD10CM N/A S50851D Superficial foreign body of right forearm, subsequent encounter ICD10CM N/A S50852D Superficial foreign body of left forearm, subsequent encounter ICD10CM N/A S50859D Superficial foreign body of unspecified forearm, subsequent encounter ICD10CM N/A S50861D Insect bite (nonvenomous) of right forearm, subsequent encounter ICD10CM N/A S50862D Insect bite (nonvenomous) of left forearm, subsequent encounter ICD10CM N/A S50869D Insect bite (nonvenomous) of unspecified forearm, subsequent encounter ICD10CM N/A S50871D Other superficial bite of right forearm, subsequent encounter ICD10CM N/A S50872D Other superficial bite of left forearm, subsequent encounter ICD10CM N/A S50879D Other superficial bite of unspecified forearm, subsequent encounter ICD10CM N/A S50901D Unspecified superficial injury of right elbow, subsequent encounter ICD10CM N/A S50902D Unspecified superficial injury of left elbow, subsequent encounter ICD10CM N/A S50909D Unspecified superficial injury of unspecified elbow, subsequent encounter ICD10CM N/A S50911D Unspecified superficial injury of right forearm, subsequent encounter ICD10CM N/A S50912D Unspecified superficial injury of left forearm, subsequent encounter ICD10CM N/A S50919D Unspecified superficial injury of unspecified forearm, subsequent encounter ICD10CM N/A S51001D Unspecified open wound of right elbow, subsequent encounter ICD10CM N/A S51002D Unspecified open wound of left elbow, subsequent encounter ICD10CM N/A S51009D Unspecified open wound of unspecified elbow, subsequent encounter ICD10CM N/A S51011D Laceration without foreign body of right elbow, subsequent encounter ICD10CM N/A S51012D Laceration without foreign body of left elbow, subsequent encounter ICD10CM N/A S51019D Laceration without foreign body of unspecified elbow, subsequent encounter ICD10CM N/A S51021D Laceration with foreign body of right elbow, subsequent encounter ICD10CM N/A S51022D Laceration with foreign body of left elbow, subsequent encounter ICD10CM N/A S51029D Laceration with foreign body of unspecified elbow, subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System N/A S51031D Puncture wound without foreign body of right elbow, subsequent encounter ICD10CM

N/A S51032D Puncture wound without foreign body of left elbow, subsequent encounter ICD10CM

N/A S51039D Puncture wound without foreign body of unspecified elbow, subsequent encounter ICD10CM N/A S51041D Puncture wound with foreign body of right elbow, subsequent encounter ICD10CM N/A S51042D Puncture wound with foreign body of left elbow, subsequent encounter ICD10CM N/A S51049D Puncture wound with foreign body of unspecified elbow, subsequent encounter ICD10CM N/A S51051D Open bite, right elbow, subsequent encounter ICD10CM N/A S51052D Open bite, left elbow, subsequent encounter ICD10CM N/A S51059D Open bite, unspecified elbow, subsequent encounter ICD10CM N/A S51801D Unspecified open wound of right forearm, subsequent encounter ICD10CM N/A S51802D Unspecified open wound of left forearm, subsequent encounter ICD10CM N/A S51809D Unspecified open wound of unspecified forearm, subsequent encounter ICD10CM N/A S51811D Laceration without foreign body of right forearm, subsequent encounter ICD10CM N/A S51812D Laceration without foreign body of left forearm, subsequent encounter ICD10CM N/A S51819D Laceration without foreign body of unspecified forearm, subsequent encounter ICD10CM N/A S51821D Laceration with foreign body of right forearm, subsequent encounter ICD10CM N/A S51822D Laceration with foreign body of left forearm, subsequent encounter ICD10CM N/A S51829D Laceration with foreign body of unspecified forearm, subsequent encounter ICD10CM

N/A S51831D Puncture wound without foreign body of right forearm, subsequent encounter ICD10CM

N/A S51832D Puncture wound without foreign body of left forearm, subsequent encounter ICD10CM Puncture wound without foreign body of unspecified forearm, subsequent N/A S51839D ICD10CM encounter N/A S51841D Puncture wound with foreign body of right forearm, subsequent encounter ICD10CM

N/A S51842D Puncture wound with foreign body of left forearm, subsequent encounter ICD10CM

N/A S51849D Puncture wound with foreign body of unspecified forearm, subsequent encounter ICD10CM N/A S51851D Open bite of right forearm, subsequent encounter ICD10CM N/A S51852D Open bite of left forearm, subsequent encounter ICD10CM N/A S51859D Open bite of unspecified forearm, subsequent encounter ICD10CM N/A S53001D Unspecified subluxation of right radial head, subsequent encounter ICD10CM N/A S53002D Unspecified subluxation of left radial head, subsequent encounter ICD10CM N/A S53003D Unspecified subluxation of unspecified radial head, subsequent encounter ICD10CM N/A S53004D Unspecified dislocation of right radial head, subsequent encounter ICD10CM N/A S53005D Unspecified dislocation of left radial head, subsequent encounter ICD10CM N/A S53006D Unspecified dislocation of unspecified radial head, subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System N/A S53011D Anterior subluxation of right radial head, subsequent encounter ICD10CM N/A S53012D Anterior subluxation of left radial head, subsequent encounter ICD10CM N/A S53013D Anterior subluxation of unspecified radial head, subsequent encounter ICD10CM N/A S53014D Anterior dislocation of right radial head, subsequent encounter ICD10CM N/A S53015D Anterior dislocation of left radial head, subsequent encounter ICD10CM N/A S53016D Anterior dislocation of unspecified radial head, subsequent encounter ICD10CM N/A S53021D Posterior subluxation of right radial head, subsequent encounter ICD10CM N/A S53022D Posterior subluxation of left radial head, subsequent encounter ICD10CM N/A S53023D Posterior subluxation of unspecified radial head, subsequent encounter ICD10CM N/A S53024D Posterior dislocation of right radial head, subsequent encounter ICD10CM N/A S53025D Posterior dislocation of left radial head, subsequent encounter ICD10CM N/A S53026D Posterior dislocation of unspecified radial head, subsequent encounter ICD10CM N/A S53031D Nursemaid's elbow, right elbow, subsequent encounter ICD10CM N/A S53032D Nursemaid's elbow, left elbow, subsequent encounter ICD10CM N/A S53033D Nursemaid's elbow, unspecified elbow, subsequent encounter ICD10CM N/A S53091D Other subluxation of right radial head, subsequent encounter ICD10CM N/A S53092D Other subluxation of left radial head, subsequent encounter ICD10CM N/A S53093D Other subluxation of unspecified radial head, subsequent encounter ICD10CM N/A S53094D Other dislocation of right radial head, subsequent encounter ICD10CM N/A S53095D Other dislocation of left radial head, subsequent encounter ICD10CM N/A S53096D Other dislocation of unspecified radial head, subsequent encounter ICD10CM N/A S53101D Unspecified subluxation of right ulnohumeral joint, subsequent encounter ICD10CM N/A S53102D Unspecified subluxation of left ulnohumeral joint, subsequent encounter ICD10CM N/A S53103D Unspecified subluxation of unspecified ulnohumeral joint, subsequent encounter ICD10CM N/A S53104D Unspecified dislocation of right ulnohumeral joint, subsequent encounter ICD10CM N/A S53105D Unspecified dislocation of left ulnohumeral joint, subsequent encounter ICD10CM N/A S53106D Unspecified dislocation of unspecified ulnohumeral joint, subsequent encounter ICD10CM N/A S53111D Anterior subluxation of right ulnohumeral joint, subsequent encounter ICD10CM N/A S53112D Anterior subluxation of left ulnohumeral joint, subsequent encounter ICD10CM N/A S53113D Anterior subluxation of unspecified ulnohumeral joint, subsequent encounter ICD10CM N/A S53114D Anterior dislocation of right ulnohumeral joint, subsequent encounter ICD10CM N/A S53115D Anterior dislocation of left ulnohumeral joint, subsequent encounter ICD10CM N/A S53116D Anterior dislocation of unspecified ulnohumeral joint, subsequent encounter ICD10CM N/A S53121D Posterior subluxation of right ulnohumeral joint, subsequent encounter ICD10CM N/A S53122D Posterior subluxation of left ulnohumeral joint, subsequent encounter ICD10CM N/A S53123D Posterior subluxation of unspecified ulnohumeral joint, subsequent encounter ICD10CM N/A S53124D Posterior dislocation of right ulnohumeral joint, subsequent encounter ICD10CM N/A S53125D Posterior dislocation of left ulnohumeral joint, subsequent encounter ICD10CM N/A S53126D Posterior dislocation of unspecified ulnohumeral joint, subsequent encounter ICD10CM N/A S53131D Medial subluxation of right ulnohumeral joint, subsequent encounter ICD10CM

96 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S53132D Medial subluxation of left ulnohumeral joint, subsequent encounter ICD10CM N/A S53133D Medial subluxation of unspecified ulnohumeral joint, subsequent encounter ICD10CM N/A S53134D Medial dislocation of right ulnohumeral joint, subsequent encounter ICD10CM N/A S53135D Medial dislocation of left ulnohumeral joint, subsequent encounter ICD10CM N/A S53136D Medial dislocation of unspecified ulnohumeral joint, subsequent encounter ICD10CM N/A S53141D Lateral subluxation of right ulnohumeral joint, subsequent encounter ICD10CM N/A S53142D Lateral subluxation of left ulnohumeral joint, subsequent encounter ICD10CM N/A S53143D Lateral subluxation of unspecified ulnohumeral joint, subsequent encounter ICD10CM N/A S53144D Lateral dislocation of right ulnohumeral joint, subsequent encounter ICD10CM N/A S53145D Lateral dislocation of left ulnohumeral joint, subsequent encounter ICD10CM N/A S53146D Lateral dislocation of unspecified ulnohumeral joint, subsequent encounter ICD10CM N/A S53191D Other subluxation of right ulnohumeral joint, subsequent encounter ICD10CM N/A S53192D Other subluxation of left ulnohumeral joint, subsequent encounter ICD10CM N/A S53193D Other subluxation of unspecified ulnohumeral joint, subsequent encounter ICD10CM N/A S53194D Other dislocation of right ulnohumeral joint, subsequent encounter ICD10CM N/A S53195D Other dislocation of left ulnohumeral joint, subsequent encounter ICD10CM N/A S53196D Other dislocation of unspecified ulnohumeral joint, subsequent encounter ICD10CM

N/A S5320XD Traumatic rupture of unspecified radial collateral ligament, subsequent encounter ICD10CM

N/A S5321XD Traumatic rupture of right radial collateral ligament, subsequent encounter ICD10CM

N/A S5322XD Traumatic rupture of left radial collateral ligament, subsequent encounter ICD10CM

N/A S5330XD Traumatic rupture of unspecified ulnar collateral ligament, subsequent encounter ICD10CM

N/A S5331XD Traumatic rupture of right ulnar collateral ligament, subsequent encounter ICD10CM N/A S5332XD Traumatic rupture of left ulnar collateral ligament, subsequent encounter ICD10CM N/A S53401D Unspecified sprain of right elbow, subsequent encounter ICD10CM N/A S53402D Unspecified sprain of left elbow, subsequent encounter ICD10CM N/A S53409D Unspecified sprain of unspecified elbow, subsequent encounter ICD10CM N/A S53411D Radiohumeral (joint) sprain of right elbow, subsequent encounter ICD10CM N/A S53412D Radiohumeral (joint) sprain of left elbow, subsequent encounter ICD10CM N/A S53419D Radiohumeral (joint) sprain of unspecified elbow, subsequent encounter ICD10CM N/A S53421D Ulnohumeral (joint) sprain of right elbow, subsequent encounter ICD10CM N/A S53422D Ulnohumeral (joint) sprain of left elbow, subsequent encounter ICD10CM N/A S53429D Ulnohumeral (joint) sprain of unspecified elbow, subsequent encounter ICD10CM N/A S53431D Radial collateral ligament sprain of right elbow, subsequent encounter ICD10CM N/A S53432D Radial collateral ligament sprain of left elbow, subsequent encounter ICD10CM N/A S53439D Radial collateral ligament sprain of unspecified elbow, subsequent encounter ICD10CM

97 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S53441D Ulnar collateral ligament sprain of right elbow, subsequent encounter ICD10CM N/A S53442D Ulnar collateral ligament sprain of left elbow, subsequent encounter ICD10CM N/A S53449D Ulnar collateral ligament sprain of unspecified elbow, subsequent encounter ICD10CM N/A S53491D Other sprain of right elbow, subsequent encounter ICD10CM N/A S53492D Other sprain of left elbow, subsequent encounter ICD10CM N/A S53499D Other sprain of unspecified elbow, subsequent encounter ICD10CM N/A S5400XD Injury of ulnar nerve at forearm level, unspecified arm, subsequent encounter ICD10CM N/A S5401XD Injury of ulnar nerve at forearm level, right arm, subsequent encounter ICD10CM N/A S5402XD Injury of ulnar nerve at forearm level, left arm, subsequent encounter ICD10CM N/A S5410XD Injury of median nerve at forearm level, unspecified arm, subsequent encounter ICD10CM N/A S5411XD Injury of median nerve at forearm level, right arm, subsequent encounter ICD10CM N/A S5412XD Injury of median nerve at forearm level, left arm, subsequent encounter ICD10CM N/A S5420XD Injury of radial nerve at forearm level, unspecified arm, subsequent encounter ICD10CM N/A S5421XD Injury of radial nerve at forearm level, right arm, subsequent encounter ICD10CM N/A S5422XD Injury of radial nerve at forearm level, left arm, subsequent encounter ICD10CM Injury of cutaneous sensory nerve at forearm level, unspecified arm, subsequent N/A S5430XD ICD10CM encounter N/A S5431XD Injury of cutaneous sensory nerve at forearm level, right arm, subsequent encounter ICD10CM

N/A S5432XD Injury of cutaneous sensory nerve at forearm level, left arm, subsequent encounter ICD10CM

N/A S548X1D Unspecified injury of other nerves at forearm level, right arm, subsequent encounter ICD10CM

N/A S548X2D Unspecified injury of other nerves at forearm level, left arm, subsequent encounter ICD10CM Unspecified injury of other nerves at forearm level, unspecified arm, subsequent N/A S548X9D ICD10CM encounter N/A S5490XD Injury of unspecified nerve at forearm level, unspecified arm, subsequent encounter ICD10CM

N/A S5491XD Injury of unspecified nerve at forearm level, right arm, subsequent encounter ICD10CM

N/A S5492XD Injury of unspecified nerve at forearm level, left arm, subsequent encounter ICD10CM

N/A S55001D Unspecified injury of ulnar artery at forearm level, right arm, subsequent encounter ICD10CM

N/A S55002D Unspecified injury of ulnar artery at forearm level, left arm, subsequent encounter ICD10CM Unspecified injury of ulnar artery at forearm level, unspecified arm, subsequent N/A S55009D ICD10CM encounter N/A S55011D Laceration of ulnar artery at forearm level, right arm, subsequent encounter ICD10CM

N/A S55012D Laceration of ulnar artery at forearm level, left arm, subsequent encounter ICD10CM

98 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S55019D Laceration of ulnar artery at forearm level, unspecified arm, subsequent encounter ICD10CM Other specified injury of ulnar artery at forearm level, right arm, subsequent N/A S55091D ICD10CM encounter Other specified injury of ulnar artery at forearm level, left arm, subsequent N/A S55092D ICD10CM encounter Other specified injury of ulnar artery at forearm level, unspecified arm, subsequent N/A S55099D ICD10CM encounter N/A S55101D Unspecified injury of radial artery at forearm level, right arm, subsequent encounter ICD10CM

N/A S55102D Unspecified injury of radial artery at forearm level, left arm, subsequent encounter ICD10CM Unspecified injury of radial artery at forearm level, unspecified arm, subsequent N/A S55109D ICD10CM encounter N/A S55111D Laceration of radial artery at forearm level, right arm, subsequent encounter ICD10CM

N/A S55112D Laceration of radial artery at forearm level, left arm, subsequent encounter ICD10CM

N/A S55119D Laceration of radial artery at forearm level, unspecified arm, subsequent encounter ICD10CM Other specified injury of radial artery at forearm level, right arm, subsequent N/A S55191D ICD10CM encounter Other specified injury of radial artery at forearm level, left arm, subsequent N/A S55192D ICD10CM encounter Other specified injury of radial artery at forearm level, unspecified arm, subsequent N/A S55199D ICD10CM encounter N/A S55201D Unspecified injury of vein at forearm level, right arm, subsequent encounter ICD10CM

N/A S55202D Unspecified injury of vein at forearm level, left arm, subsequent encounter ICD10CM

N/A S55209D Unspecified injury of vein at forearm level, unspecified arm, subsequent encounter ICD10CM N/A S55211D Laceration of vein at forearm level, right arm, subsequent encounter ICD10CM N/A S55212D Laceration of vein at forearm level, left arm, subsequent encounter ICD10CM N/A S55219D Laceration of vein at forearm level, unspecified arm, subsequent encounter ICD10CM

N/A S55291D Other specified injury of vein at forearm level, right arm, subsequent encounter ICD10CM

N/A S55292D Other specified injury of vein at forearm level, left arm, subsequent encounter ICD10CM Other specified injury of vein at forearm level, unspecified arm, subsequent N/A S55299D ICD10CM encounter Unspecified injury of other blood vessels at forearm level, right arm, subsequent N/A S55801D ICD10CM encounter Unspecified injury of other blood vessels at forearm level, left arm, subsequent N/A S55802D ICD10CM encounter

99 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Unspecified injury of other blood vessels at forearm level, unspecified arm, N/A S55809D ICD10CM subsequent encounter N/A S55811D Laceration of other blood vessels at forearm level, right arm, subsequent encounter ICD10CM

N/A S55812D Laceration of other blood vessels at forearm level, left arm, subsequent encounter ICD10CM Laceration of other blood vessels at forearm level, unspecified arm, subsequent N/A S55819D ICD10CM encounter Other specified injury of other blood vessels at forearm level, right arm, subsequent N/A S55891D ICD10CM encounter Other specified injury of other blood vessels at forearm level, left arm, subsequent N/A S55892D ICD10CM encounter Other specified injury of other blood vessels at forearm level, unspecified arm, N/A S55899D ICD10CM subsequent encounter Unspecified injury of unspecified blood vessel at forearm level, right arm, N/A S55901D ICD10CM subsequent encounter Unspecified injury of unspecified blood vessel at forearm level, left arm, subsequent N/A S55902D ICD10CM encounter Unspecified injury of unspecified blood vessel at forearm level, unspecified arm, N/A S55909D ICD10CM subsequent encounter Laceration of unspecified blood vessel at forearm level, right arm, subsequent N/A S55911D ICD10CM encounter Laceration of unspecified blood vessel at forearm level, left arm, subsequent N/A S55912D ICD10CM encounter Laceration of unspecified blood vessel at forearm level, unspecified arm, subsequent N/A S55919D ICD10CM encounter Other specified injury of unspecified blood vessel at forearm level, right arm, N/A S55991D ICD10CM subsequent encounter Other specified injury of unspecified blood vessel at forearm level, left arm, N/A S55992D ICD10CM subsequent encounter Other specified injury of unspecified blood vessel at forearm level, unspecified arm, N/A S55999D ICD10CM subsequent encounter Unspecified injury of flexor muscle, fascia and tendon of right thumb at forearm N/A S56001D ICD10CM level, subsequent encounter Unspecified injury of flexor muscle, fascia and tendon of left thumb at forearm level, N/A S56002D ICD10CM subsequent encounter Unspecified injury of flexor muscle, fascia and tendon of unspecified thumb at N/A S56009D ICD10CM forearm level, subsequent encounter Strain of flexor muscle, fascia and tendon of right thumb at forearm level, N/A S56011D ICD10CM subsequent encounter Strain of flexor muscle, fascia and tendon of left thumb at forearm level, subsequent N/A S56012D ICD10CM encounter Strain of flexor muscle, fascia and tendon of unspecified thumb at forearm level, N/A S56019D ICD10CM subsequent encounter Laceration of flexor muscle, fascia and tendon of right thumb at forearm level, N/A S56021D ICD10CM subsequent encounter

100 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Laceration of flexor muscle, fascia and tendon of left thumb at forearm level, N/A S56022D ICD10CM subsequent encounter Laceration of flexor muscle, fascia and tendon of unspecified thumb at forearm N/A S56029D ICD10CM level, subsequent encounter Other injury of flexor muscle, fascia and tendon of right thumb at forearm level, N/A S56091D ICD10CM subsequent encounter Other injury of flexor muscle, fascia and tendon of left thumb at forearm level, N/A S56092D ICD10CM subsequent encounter Other injury of flexor muscle, fascia and tendon of unspecified thumb at forearm N/A S56099D ICD10CM level, subsequent encounter Unspecified injury of flexor muscle, fascia and tendon of right index finger at N/A S56101D ICD10CM forearm level, subsequent encounter Unspecified injury of flexor muscle, fascia and tendon of left index finger at forearm N/A S56102D ICD10CM level, subsequent encounter Unspecified injury of flexor muscle, fascia and tendon of right middle finger at N/A S56103D ICD10CM forearm level, subsequent encounter Unspecified injury of flexor muscle, fascia and tendon of left middle finger at N/A S56104D ICD10CM forearm level, subsequent encounter Unspecified injury of flexor muscle, fascia and tendon of right ring finger at forearm N/A S56105D ICD10CM level, subsequent encounter Unspecified injury of flexor muscle, fascia and tendon of left ring finger at forearm N/A S56106D ICD10CM level, subsequent encounter Unspecified injury of flexor muscle, fascia and tendon of right little finger at forearm N/A S56107D ICD10CM level, subsequent encounter Unspecified injury of flexor muscle, fascia and tendon of left little finger at forearm N/A S56108D ICD10CM level, subsequent encounter Unspecified injury of flexor muscle, fascia and tendon of unspecified finger at N/A S56109D ICD10CM forearm level, subsequent encounter Strain of flexor muscle, fascia and tendon of right index finger at forearm level, N/A S56111D ICD10CM subsequent encounter Strain of flexor muscle, fascia and tendon of left index finger at forearm level, N/A S56112D ICD10CM subsequent encounter Strain of flexor muscle, fascia and tendon of right middle finger at forearm level, N/A S56113D ICD10CM subsequent encounter Strain of flexor muscle, fascia and tendon of left middle finger at forearm level, N/A S56114D ICD10CM subsequent encounter Strain of flexor muscle, fascia and tendon of right ring finger at forearm level, N/A S56115D ICD10CM subsequent encounter Strain of flexor muscle, fascia and tendon of left ring finger at forearm level, N/A S56116D ICD10CM subsequent encounter Strain of flexor muscle, fascia and tendon of right little finger at forearm level, N/A S56117D ICD10CM subsequent encounter Strain of flexor muscle, fascia and tendon of left little finger at forearm level, N/A S56118D ICD10CM subsequent encounter Strain of flexor muscle, fascia and tendon of finger of unspecified finger at forearm N/A S56119D ICD10CM level, subsequent encounter

101 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Laceration of flexor muscle, fascia and tendon of right index finger at forearm level, N/A S56121D ICD10CM subsequent encounter Laceration of flexor muscle, fascia and tendon of left index finger at forearm level, N/A S56122D ICD10CM subsequent encounter Laceration of flexor muscle, fascia and tendon of right middle finger at forearm level, N/A S56123D ICD10CM subsequent encounter Laceration of flexor muscle, fascia and tendon of left middle finger at forearm level, N/A S56124D ICD10CM subsequent encounter Laceration of flexor muscle, fascia and tendon of right ring finger at forearm level, N/A S56125D ICD10CM subsequent encounter Laceration of flexor muscle, fascia and tendon of left ring finger at forearm level, N/A S56126D ICD10CM subsequent encounter Laceration of flexor muscle, fascia and tendon of right little finger at forearm level, N/A S56127D ICD10CM subsequent encounter Laceration of flexor muscle, fascia and tendon of left little finger at forearm level, N/A S56128D ICD10CM subsequent encounter Laceration of flexor muscle, fascia and tendon of unspecified finger at forearm level, N/A S56129D ICD10CM subsequent encounter Other injury of flexor muscle, fascia and tendon of right index finger at forearm N/A S56191D ICD10CM level, subsequent encounter Other injury of flexor muscle, fascia and tendon of left index finger at forearm level, N/A S56192D ICD10CM subsequent encounter Other injury of flexor muscle, fascia and tendon of right middle finger at forearm N/A S56193D ICD10CM level, subsequent encounter Other injury of flexor muscle, fascia and tendon of left middle finger at forearm N/A S56194D ICD10CM level, subsequent encounter Other injury of flexor muscle, fascia and tendon of right ring finger at forearm level, N/A S56195D ICD10CM subsequent encounter Other injury of flexor muscle, fascia and tendon of left ring finger at forearm level, N/A S56196D ICD10CM subsequent encounter Other injury of flexor muscle, fascia and tendon of right little finger at forearm level, N/A S56197D ICD10CM subsequent encounter Other injury of flexor muscle, fascia and tendon of left little finger at forearm level, N/A S56198D ICD10CM subsequent encounter Other injury of flexor muscle, fascia and tendon of unspecified finger at forearm N/A S56199D ICD10CM level, subsequent encounter Unspecified injury of other flexor muscle, fascia and tendon at forearm level, right N/A S56201D ICD10CM arm, subsequent encounter Unspecified injury of other flexor muscle, fascia and tendon at forearm level, left N/A S56202D ICD10CM arm, subsequent encounter Unspecified injury of other flexor muscle, fascia and tendon at forearm level, N/A S56209D ICD10CM unspecified arm, subsequent encounter Strain of other flexor muscle, fascia and tendon at forearm level, right arm, N/A S56211D ICD10CM subsequent encounter Strain of other flexor muscle, fascia and tendon at forearm level, left arm, N/A S56212D ICD10CM subsequent encounter

102 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Strain of other flexor muscle, fascia and tendon at forearm level, unspecified arm, N/A S56219D ICD10CM subsequent encounter Laceration of other flexor muscle, fascia and tendon at forearm level, right arm, N/A S56221D ICD10CM subsequent encounter Laceration of other flexor muscle, fascia and tendon at forearm level, left arm, N/A S56222D ICD10CM subsequent encounter Laceration of other flexor muscle, fascia and tendon at forearm level, unspecified N/A S56229D ICD10CM arm, subsequent encounter Other injury of other flexor muscle, fascia and tendon at forearm level, right arm, N/A S56291D ICD10CM subsequent encounter Other injury of other flexor muscle, fascia and tendon at forearm level, left arm, N/A S56292D ICD10CM subsequent encounter Other injury of other flexor muscle, fascia and tendon at forearm level, unspecified N/A S56299D ICD10CM arm, subsequent encounter Unspecified injury of extensor or abductor muscles, fascia and tendons of right N/A S56301D ICD10CM thumb at forearm level, subsequent encounter Unspecified injury of extensor or abductor muscles, fascia and tendons of left thumb N/A S56302D ICD10CM at forearm level, subsequent encounter Unspecified injury of extensor or abductor muscles, fascia and tendons of N/A S56309D ICD10CM unspecified thumb at forearm level, subsequent encounter Strain of extensor or abductor muscles, fascia and tendons of right thumb at forearm N/A S56311D ICD10CM level, subsequent encounter Strain of extensor or abductor muscles, fascia and tendons of left thumb at forearm N/A S56312D ICD10CM level, subsequent encounter Strain of extensor or abductor muscles, fascia and tendons of unspecified thumb at N/A S56319D ICD10CM forearm level, subsequent encounter Laceration of extensor or abductor muscles, fascia and tendons of right thumb at N/A S56321D ICD10CM forearm level, subsequent encounter Laceration of extensor or abductor muscles, fascia and tendons of left thumb at N/A S56322D ICD10CM forearm level, subsequent encounter Laceration of extensor or abductor muscles, fascia and tendons of unspecified N/A S56329D ICD10CM thumb at forearm level, subsequent encounter Other injury of extensor or abductor muscles, fascia and tendons of right thumb at N/A S56391D ICD10CM forearm level, subsequent encounter Other injury of extensor or abductor muscles, fascia and tendons of left thumb at N/A S56392D ICD10CM forearm level, subsequent encounter Other injury of extensor or abductor muscles, fascia and tendons of unspecified N/A S56399D ICD10CM thumb at forearm level, subsequent encounter Unspecified injury of extensor muscle, fascia and tendon of right index finger at N/A S56401D ICD10CM forearm level, subsequent encounter Unspecified injury of extensor muscle, fascia and tendon of left index finger at N/A S56402D ICD10CM forearm level, subsequent encounter Unspecified injury of extensor muscle, fascia and tendon of right middle finger at N/A S56403D ICD10CM forearm level, subsequent encounter Unspecified injury of extensor muscle, fascia and tendon of left middle finger at N/A S56404D ICD10CM forearm level, subsequent encounter

103 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Unspecified injury of extensor muscle, fascia and tendon of right ring finger at N/A S56405D ICD10CM forearm level, subsequent encounter Unspecified injury of extensor muscle, fascia and tendon of left ring finger at N/A S56406D ICD10CM forearm level, subsequent encounter Unspecified injury of extensor muscle, fascia and tendon of right little finger at N/A S56407D ICD10CM forearm level, subsequent encounter Unspecified injury of extensor muscle, fascia and tendon of left little finger at N/A S56408D ICD10CM forearm level, subsequent encounter Unspecified injury of extensor muscle, fascia and tendon of unspecified finger at N/A S56409D ICD10CM forearm level, subsequent encounter Strain of extensor muscle, fascia and tendon of right index finger at forearm level, N/A S56411D ICD10CM subsequent encounter Strain of extensor muscle, fascia and tendon of left index finger at forearm level, N/A S56412D ICD10CM subsequent encounter Strain of extensor muscle, fascia and tendon of right middle finger at forearm level, N/A S56413D ICD10CM subsequent encounter Strain of extensor muscle, fascia and tendon of left middle finger at forearm level, N/A S56414D ICD10CM subsequent encounter Strain of extensor muscle, fascia and tendon of right ring finger at forearm level, N/A S56415D ICD10CM subsequent encounter Strain of extensor muscle, fascia and tendon of left ring finger at forearm level, N/A S56416D ICD10CM subsequent encounter Strain of extensor muscle, fascia and tendon of right little finger at forearm level, N/A S56417D ICD10CM subsequent encounter Strain of extensor muscle, fascia and tendon of left little finger at forearm level, N/A S56418D ICD10CM subsequent encounter Strain of extensor muscle, fascia and tendon of finger, unspecified finger at forearm N/A S56419D ICD10CM level, subsequent encounter Laceration of extensor muscle, fascia and tendon of right index finger at forearm N/A S56421D ICD10CM level, subsequent encounter Laceration of extensor muscle, fascia and tendon of left index finger at forearm N/A S56422D ICD10CM level, subsequent encounter Laceration of extensor muscle, fascia and tendon of right middle finger at forearm N/A S56423D ICD10CM level, subsequent encounter Laceration of extensor muscle, fascia and tendon of left middle finger at forearm N/A S56424D ICD10CM level, subsequent encounter Laceration of extensor muscle, fascia and tendon of right ring finger at forearm level, N/A S56425D ICD10CM subsequent encounter Laceration of extensor muscle, fascia and tendon of left ring finger at forearm level, N/A S56426D ICD10CM subsequent encounter Laceration of extensor muscle, fascia and tendon of right little finger at forearm N/A S56427D ICD10CM level, subsequent encounter Laceration of extensor muscle, fascia and tendon of left little finger at forearm level, N/A S56428D ICD10CM subsequent encounter Laceration of extensor muscle, fascia and tendon of unspecified finger at forearm N/A S56429D ICD10CM level, subsequent encounter

104 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Other injury of extensor muscle, fascia and tendon of right index finger at forearm N/A S56491D ICD10CM level, subsequent encounter Other injury of extensor muscle, fascia and tendon of left index finger at forearm N/A S56492D ICD10CM level, subsequent encounter Other injury of extensor muscle, fascia and tendon of right middle finger at forearm N/A S56493D ICD10CM level, subsequent encounter Other injury of extensor muscle, fascia and tendon of left middle finger at forearm N/A S56494D ICD10CM level, subsequent encounter Other injury of extensor muscle, fascia and tendon of right ring finger at forearm N/A S56495D ICD10CM level, subsequent encounter Other injury of extensor muscle, fascia and tendon of left ring finger at forearm N/A S56496D ICD10CM level, subsequent encounter Other injury of extensor muscle, fascia and tendon of right little finger at forearm N/A S56497D ICD10CM level, subsequent encounter Other injury of extensor muscle, fascia and tendon of left little finger at forearm N/A S56498D ICD10CM level, subsequent encounter Other injury of extensor muscle, fascia and tendon of unspecified finger at forearm N/A S56499D ICD10CM level, subsequent encounter Unspecified injury of other extensor muscle, fascia and tendon at forearm level, right N/A S56501D ICD10CM arm, subsequent encounter Unspecified injury of other extensor muscle, fascia and tendon at forearm level, left N/A S56502D ICD10CM arm, subsequent encounter Unspecified injury of other extensor muscle, fascia and tendon at forearm level, N/A S56509D ICD10CM unspecified arm, subsequent encounter Strain of other extensor muscle, fascia and tendon at forearm level, right arm, N/A S56511D ICD10CM subsequent encounter Strain of other extensor muscle, fascia and tendon at forearm level, left arm, N/A S56512D ICD10CM subsequent encounter Strain of other extensor muscle, fascia and tendon at forearm level, unspecified arm, N/A S56519D ICD10CM subsequent encounter Laceration of other extensor muscle, fascia and tendon at forearm level, right arm, N/A S56521D ICD10CM subsequent encounter Laceration of other extensor muscle, fascia and tendon at forearm level, left arm, N/A S56522D ICD10CM subsequent encounter Laceration of other extensor muscle, fascia and tendon at forearm level, unspecified N/A S56529D ICD10CM arm, subsequent encounter Other injury of other extensor muscle, fascia and tendon at forearm level, right arm, N/A S56591D ICD10CM subsequent encounter Other injury of other extensor muscle, fascia and tendon at forearm level, left arm, N/A S56592D ICD10CM subsequent encounter Other injury of other extensor muscle, fascia and tendon at forearm level, N/A S56599D ICD10CM unspecified arm, subsequent encounter Unspecified injury of other muscles, fascia and tendons at forearm level, right arm, N/A S56801D ICD10CM subsequent encounter Unspecified injury of other muscles, fascia and tendons at forearm level, left arm, N/A S56802D ICD10CM subsequent encounter

105 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Unspecified injury of other muscles, fascia and tendons at forearm level, unspecified N/A S56809D ICD10CM arm, subsequent encounter Strain of other muscles, fascia and tendons at forearm level, right arm, subsequent N/A S56811D ICD10CM encounter Strain of other muscles, fascia and tendons at forearm level, left arm, subsequent N/A S56812D ICD10CM encounter Strain of other muscles, fascia and tendons at forearm level, unspecified arm, N/A S56819D ICD10CM subsequent encounter Laceration of other muscles, fascia and tendons at forearm level, right arm, N/A S56821D ICD10CM subsequent encounter Laceration of other muscles, fascia and tendons at forearm level, left arm, N/A S56822D ICD10CM subsequent encounter Laceration of other muscles, fascia and tendons at forearm level, unspecified arm, N/A S56829D ICD10CM subsequent encounter Other injury of other muscles, fascia and tendons at forearm level, right arm, N/A S56891D ICD10CM subsequent encounter Other injury of other muscles, fascia and tendons at forearm level, left arm, N/A S56892D ICD10CM subsequent encounter Other injury of other muscles, fascia and tendons at forearm level, unspecified arm, N/A S56899D ICD10CM subsequent encounter Unspecified injury of unspecified muscles, fascia and tendons at forearm level, right N/A S56901D ICD10CM arm, subsequent encounter Unspecified injury of unspecified muscles, fascia and tendons at forearm level, left N/A S56902D ICD10CM arm, subsequent encounter Unspecified injury of unspecified muscles, fascia and tendons at forearm level, N/A S56909D ICD10CM unspecified arm, subsequent encounter Strain of unspecified muscles, fascia and tendons at forearm level, right arm, N/A S56911D ICD10CM subsequent encounter Strain of unspecified muscles, fascia and tendons at forearm level, left arm, N/A S56912D ICD10CM subsequent encounter Strain of unspecified muscles, fascia and tendons at forearm level, unspecified arm, N/A S56919D ICD10CM subsequent encounter Laceration of unspecified muscles, fascia and tendons at forearm level, right arm, N/A S56921D ICD10CM subsequent encounter Laceration of unspecified muscles, fascia and tendons at forearm level, left arm, N/A S56922D ICD10CM subsequent encounter Laceration of unspecified muscles, fascia and tendons at forearm level, unspecified N/A S56929D ICD10CM arm, subsequent encounter Other injury of unspecified muscles, fascia and tendons at forearm level, right arm, N/A S56991D ICD10CM subsequent encounter Other injury of unspecified muscles, fascia and tendons at forearm level, left arm, N/A S56992D ICD10CM subsequent encounter Other injury of unspecified muscles, fascia and tendons at forearm level, unspecified N/A S56999D ICD10CM arm, subsequent encounter N/A S5700XD Crushing injury of unspecified elbow, subsequent encounter ICD10CM N/A S5701XD Crushing injury of right elbow, subsequent encounter ICD10CM N/A S5702XD Crushing injury of left elbow, subsequent encounter ICD10CM

106 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S5780XD Crushing injury of unspecified forearm, subsequent encounter ICD10CM N/A S5781XD Crushing injury of right forearm, subsequent encounter ICD10CM N/A S5782XD Crushing injury of left forearm, subsequent encounter ICD10CM N/A S58011D Complete traumatic amputation at elbow level, right arm, subsequent encounter ICD10CM

N/A S58012D Complete traumatic amputation at elbow level, left arm, subsequent encounter ICD10CM Complete traumatic amputation at elbow level, unspecified arm, subsequent N/A S58019D ICD10CM encounter N/A S58021D Partial traumatic amputation at elbow level, right arm, subsequent encounter ICD10CM

N/A S58022D Partial traumatic amputation at elbow level, left arm, subsequent encounter ICD10CM

N/A S58029D Partial traumatic amputation at elbow level, unspecified arm, subsequent encounter ICD10CM Complete traumatic amputation at level between elbow and wrist, right arm, N/A S58111D ICD10CM subsequent encounter Complete traumatic amputation at level between elbow and wrist, left arm, N/A S58112D ICD10CM subsequent encounter Complete traumatic amputation at level between elbow and wrist, unspecified arm, N/A S58119D ICD10CM subsequent encounter Partial traumatic amputation at level between elbow and wrist, right arm, N/A S58121D ICD10CM subsequent encounter Partial traumatic amputation at level between elbow and wrist, left arm, subsequent N/A S58122D ICD10CM encounter Partial traumatic amputation at level between elbow and wrist, unspecified arm, N/A S58129D ICD10CM subsequent encounter Complete traumatic amputation of right forearm, level unspecified, subsequent N/A S58911D ICD10CM encounter Complete traumatic amputation of left forearm, level unspecified, subsequent N/A S58912D ICD10CM encounter Complete traumatic amputation of unspecified forearm, level unspecified, N/A S58919D ICD10CM subsequent encounter Partial traumatic amputation of right forearm, level unspecified, subsequent N/A S58921D ICD10CM encounter Partial traumatic amputation of left forearm, level unspecified, subsequent N/A S58922D ICD10CM encounter Partial traumatic amputation of unspecified forearm, level unspecified, subsequent N/A S58929D ICD10CM encounter N/A S59801D Other specified injuries of right elbow, subsequent encounter ICD10CM N/A S59802D Other specified injuries of left elbow, subsequent encounter ICD10CM N/A S59809D Other specified injuries of unspecified elbow, subsequent encounter ICD10CM N/A S59811D Other specified injuries right forearm, subsequent encounter ICD10CM N/A S59812D Other specified injuries left forearm, subsequent encounter ICD10CM N/A S59819D Other specified injuries unspecified forearm, subsequent encounter ICD10CM N/A S59901D Unspecified injury of right elbow, subsequent encounter ICD10CM N/A S59902D Unspecified injury of left elbow, subsequent encounter ICD10CM

107 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S59909D Unspecified injury of unspecified elbow, subsequent encounter ICD10CM N/A S59911D Unspecified injury of right forearm, subsequent encounter ICD10CM N/A S59912D Unspecified injury of left forearm, subsequent encounter ICD10CM N/A S59919D Unspecified injury of unspecified forearm, subsequent encounter ICD10CM N/A S6000XD Contusion of unspecified finger without damage to nail, subsequent encounter ICD10CM N/A S60011D Contusion of right thumb without damage to nail, subsequent encounter ICD10CM N/A S60012D Contusion of left thumb without damage to nail, subsequent encounter ICD10CM N/A S60019D Contusion of unspecified thumb without damage to nail, subsequent encounter ICD10CM

N/A S60021D Contusion of right index finger without damage to nail, subsequent encounter ICD10CM

N/A S60022D Contusion of left index finger without damage to nail, subsequent encounter ICD10CM

N/A S60029D Contusion of unspecified index finger without damage to nail, subsequent encounter ICD10CM

N/A S60031D Contusion of right middle finger without damage to nail, subsequent encounter ICD10CM

N/A S60032D Contusion of left middle finger without damage to nail, subsequent encounter ICD10CM Contusion of unspecified middle finger without damage to nail, subsequent N/A S60039D ICD10CM encounter N/A S60041D Contusion of right ring finger without damage to nail, subsequent encounter ICD10CM

N/A S60042D Contusion of left ring finger without damage to nail, subsequent encounter ICD10CM

N/A S60049D Contusion of unspecified ring finger without damage to nail, subsequent encounter ICD10CM

N/A S60051D Contusion of right little finger without damage to nail, subsequent encounter ICD10CM

N/A S60052D Contusion of left little finger without damage to nail, subsequent encounter ICD10CM

N/A S60059D Contusion of unspecified little finger without damage to nail, subsequent encounter ICD10CM

N/A S6010XD Contusion of unspecified finger with damage to nail, subsequent encounter ICD10CM N/A S60111D Contusion of right thumb with damage to nail, subsequent encounter ICD10CM N/A S60112D Contusion of left thumb with damage to nail, subsequent encounter ICD10CM N/A S60119D Contusion of unspecified thumb with damage to nail, subsequent encounter ICD10CM

N/A S60121D Contusion of right index finger with damage to nail, subsequent encounter ICD10CM N/A S60122D Contusion of left index finger with damage to nail, subsequent encounter ICD10CM N/A S60129D Contusion of unspecified index finger with damage to nail, subsequent encounter ICD10CM

N/A S60131D Contusion of right middle finger with damage to nail, subsequent encounter ICD10CM

108 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S60132D Contusion of left middle finger with damage to nail, subsequent encounter ICD10CM

N/A S60139D Contusion of unspecified middle finger with damage to nail, subsequent encounter ICD10CM N/A S60141D Contusion of right ring finger with damage to nail, subsequent encounter ICD10CM N/A S60142D Contusion of left ring finger with damage to nail, subsequent encounter ICD10CM N/A S60149D Contusion of unspecified ring finger with damage to nail, subsequent encounter ICD10CM

N/A S60151D Contusion of right little finger with damage to nail, subsequent encounter ICD10CM N/A S60152D Contusion of left little finger with damage to nail, subsequent encounter ICD10CM N/A S60159D Contusion of unspecified little finger with damage to nail, subsequent encounter ICD10CM N/A S60211D Contusion of right wrist, subsequent encounter ICD10CM N/A S60212D Contusion of left wrist, subsequent encounter ICD10CM N/A S60219D Contusion of unspecified wrist, subsequent encounter ICD10CM N/A S60221D Contusion of right hand, subsequent encounter ICD10CM N/A S60222D Contusion of left hand, subsequent encounter ICD10CM N/A S60229D Contusion of unspecified hand, subsequent encounter ICD10CM N/A S60311D Abrasion of right thumb, subsequent encounter ICD10CM N/A S60312D Abrasion of left thumb, subsequent encounter ICD10CM N/A S60319D Abrasion of unspecified thumb, subsequent encounter ICD10CM N/A S60321D Blister (nonthermal) of right thumb, subsequent encounter ICD10CM N/A S60322D Blister (nonthermal) of left thumb, subsequent encounter ICD10CM N/A S60329D Blister (nonthermal) of unspecified thumb, subsequent encounter ICD10CM N/A S60341D External constriction of right thumb, subsequent encounter ICD10CM N/A S60342D External constriction of left thumb, subsequent encounter ICD10CM N/A S60349D External constriction of unspecified thumb, subsequent encounter ICD10CM N/A S60351D Superficial foreign body of right thumb, subsequent encounter ICD10CM N/A S60352D Superficial foreign body of left thumb, subsequent encounter ICD10CM N/A S60359D Superficial foreign body of unspecified thumb, subsequent encounter ICD10CM N/A S60361D Insect bite (nonvenomous) of right thumb, subsequent encounter ICD10CM N/A S60362D Insect bite (nonvenomous) of left thumb, subsequent encounter ICD10CM N/A S60369D Insect bite (nonvenomous) of unspecified thumb, subsequent encounter ICD10CM N/A S60371D Other superficial bite of right thumb, subsequent encounter ICD10CM N/A S60372D Other superficial bite of left thumb, subsequent encounter ICD10CM N/A S60379D Other superficial bite of unspecified thumb, subsequent encounter ICD10CM N/A S60391D Other superficial injuries of right thumb, subsequent encounter ICD10CM N/A S60392D Other superficial injuries of left thumb, subsequent encounter ICD10CM N/A S60399D Other superficial injuries of unspecified thumb, subsequent encounter ICD10CM N/A S60410D Abrasion of right index finger, subsequent encounter ICD10CM N/A S60411D Abrasion of left index finger, subsequent encounter ICD10CM N/A S60412D Abrasion of right middle finger, subsequent encounter ICD10CM N/A S60413D Abrasion of left middle finger, subsequent encounter ICD10CM N/A S60414D Abrasion of right ring finger, subsequent encounter ICD10CM N/A S60415D Abrasion of left ring finger, subsequent encounter ICD10CM N/A S60416D Abrasion of right little finger, subsequent encounter ICD10CM

109 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S60417D Abrasion of left little finger, subsequent encounter ICD10CM N/A S60418D Abrasion of other finger, subsequent encounter ICD10CM N/A S60419D Abrasion of unspecified finger, subsequent encounter ICD10CM N/A S60420D Blister (nonthermal) of right index finger, subsequent encounter ICD10CM N/A S60421D Blister (nonthermal) of left index finger, subsequent encounter ICD10CM N/A S60422D Blister (nonthermal) of right middle finger, subsequent encounter ICD10CM N/A S60423D Blister (nonthermal) of left middle finger, subsequent encounter ICD10CM N/A S60424D Blister (nonthermal) of right ring finger, subsequent encounter ICD10CM N/A S60425D Blister (nonthermal) of left ring finger, subsequent encounter ICD10CM N/A S60426D Blister (nonthermal) of right little finger, subsequent encounter ICD10CM N/A S60427D Blister (nonthermal) of left little finger, subsequent encounter ICD10CM N/A S60428D Blister (nonthermal) of other finger, subsequent encounter ICD10CM N/A S60429D Blister (nonthermal) of unspecified finger, subsequent encounter ICD10CM N/A S60440D External constriction of right index finger, subsequent encounter ICD10CM N/A S60441D External constriction of left index finger, subsequent encounter ICD10CM N/A S60442D External constriction of right middle finger, subsequent encounter ICD10CM N/A S60443D External constriction of left middle finger, subsequent encounter ICD10CM N/A S60444D External constriction of right ring finger, subsequent encounter ICD10CM N/A S60445D External constriction of left ring finger, subsequent encounter ICD10CM N/A S60446D External constriction of right little finger, subsequent encounter ICD10CM N/A S60447D External constriction of left little finger, subsequent encounter ICD10CM N/A S60448D External constriction of other finger, subsequent encounter ICD10CM N/A S60449D External constriction of unspecified finger, subsequent encounter ICD10CM N/A S60450D Superficial foreign body of right index finger, subsequent encounter ICD10CM N/A S60451D Superficial foreign body of left index finger, subsequent encounter ICD10CM N/A S60452D Superficial foreign body of right middle finger, subsequent encounter ICD10CM N/A S60453D Superficial foreign body of left middle finger, subsequent encounter ICD10CM N/A S60454D Superficial foreign body of right ring finger, subsequent encounter ICD10CM N/A S60455D Superficial foreign body of left ring finger, subsequent encounter ICD10CM N/A S60456D Superficial foreign body of right little finger, subsequent encounter ICD10CM N/A S60457D Superficial foreign body of left little finger, subsequent encounter ICD10CM N/A S60458D Superficial foreign body of other finger, subsequent encounter ICD10CM N/A S60459D Superficial foreign body of unspecified finger, subsequent encounter ICD10CM N/A S60460D Insect bite (nonvenomous) of right index finger, subsequent encounter ICD10CM N/A S60461D Insect bite (nonvenomous) of left index finger, subsequent encounter ICD10CM N/A S60462D Insect bite (nonvenomous) of right middle finger, subsequent encounter ICD10CM N/A S60463D Insect bite (nonvenomous) of left middle finger, subsequent encounter ICD10CM N/A S60464D Insect bite (nonvenomous) of right ring finger, subsequent encounter ICD10CM N/A S60465D Insect bite (nonvenomous) of left ring finger, subsequent encounter ICD10CM N/A S60466D Insect bite (nonvenomous) of right little finger, subsequent encounter ICD10CM N/A S60467D Insect bite (nonvenomous) of left little finger, subsequent encounter ICD10CM N/A S60468D Insect bite (nonvenomous) of other finger, subsequent encounter ICD10CM N/A S60469D Insect bite (nonvenomous) of unspecified finger, subsequent encounter ICD10CM N/A S60470D Other superficial bite of right index finger, subsequent encounter ICD10CM N/A S60471D Other superficial bite of left index finger, subsequent encounter ICD10CM N/A S60472D Other superficial bite of right middle finger, subsequent encounter ICD10CM N/A S60473D Other superficial bite of left middle finger, subsequent encounter ICD10CM

110 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S60474D Other superficial bite of right ring finger, subsequent encounter ICD10CM N/A S60475D Other superficial bite of left ring finger, subsequent encounter ICD10CM N/A S60476D Other superficial bite of right little finger, subsequent encounter ICD10CM N/A S60477D Other superficial bite of left little finger, subsequent encounter ICD10CM N/A S60478D Other superficial bite of other finger, subsequent encounter ICD10CM N/A S60479D Other superficial bite of unspecified finger, subsequent encounter ICD10CM N/A S60511D Abrasion of right hand, subsequent encounter ICD10CM N/A S60512D Abrasion of left hand, subsequent encounter ICD10CM N/A S60519D Abrasion of unspecified hand, subsequent encounter ICD10CM N/A S60521D Blister (nonthermal) of right hand, subsequent encounter ICD10CM N/A S60522D Blister (nonthermal) of left hand, subsequent encounter ICD10CM N/A S60529D Blister (nonthermal) of unspecified hand, subsequent encounter ICD10CM N/A S60541D External constriction of right hand, subsequent encounter ICD10CM N/A S60542D External constriction of left hand, subsequent encounter ICD10CM N/A S60549D External constriction of unspecified hand, subsequent encounter ICD10CM N/A S60551D Superficial foreign body of right hand, subsequent encounter ICD10CM N/A S60552D Superficial foreign body of left hand, subsequent encounter ICD10CM N/A S60559D Superficial foreign body of unspecified hand, subsequent encounter ICD10CM N/A S60561D Insect bite (nonvenomous) of right hand, subsequent encounter ICD10CM N/A S60562D Insect bite (nonvenomous) of left hand, subsequent encounter ICD10CM N/A S60569D Insect bite (nonvenomous) of unspecified hand, subsequent encounter ICD10CM N/A S60571D Other superficial bite of hand of right hand, subsequent encounter ICD10CM N/A S60572D Other superficial bite of hand of left hand, subsequent encounter ICD10CM N/A S60579D Other superficial bite of hand of unspecified hand, subsequent encounter ICD10CM N/A S60811D Abrasion of right wrist, subsequent encounter ICD10CM N/A S60812D Abrasion of left wrist, subsequent encounter ICD10CM N/A S60819D Abrasion of unspecified wrist, subsequent encounter ICD10CM N/A S60821D Blister (nonthermal) of right wrist, subsequent encounter ICD10CM N/A S60822D Blister (nonthermal) of left wrist, subsequent encounter ICD10CM N/A S60829D Blister (nonthermal) of unspecified wrist, subsequent encounter ICD10CM N/A S60841D External constriction of right wrist, subsequent encounter ICD10CM N/A S60842D External constriction of left wrist, subsequent encounter ICD10CM N/A S60849D External constriction of unspecified wrist, subsequent encounter ICD10CM N/A S60851D Superficial foreign body of right wrist, subsequent encounter ICD10CM N/A S60852D Superficial foreign body of left wrist, subsequent encounter ICD10CM N/A S60859D Superficial foreign body of unspecified wrist, subsequent encounter ICD10CM N/A S60861D Insect bite (nonvenomous) of right wrist, subsequent encounter ICD10CM N/A S60862D Insect bite (nonvenomous) of left wrist, subsequent encounter ICD10CM N/A S60869D Insect bite (nonvenomous) of unspecified wrist, subsequent encounter ICD10CM N/A S60871D Other superficial bite of right wrist, subsequent encounter ICD10CM N/A S60872D Other superficial bite of left wrist, subsequent encounter ICD10CM N/A S60879D Other superficial bite of unspecified wrist, subsequent encounter ICD10CM N/A S60911D Unspecified superficial injury of right wrist, subsequent encounter ICD10CM N/A S60912D Unspecified superficial injury of left wrist, subsequent encounter ICD10CM N/A S60919D Unspecified superficial injury of unspecified wrist, subsequent encounter ICD10CM N/A S60921D Unspecified superficial injury of right hand, subsequent encounter ICD10CM N/A S60922D Unspecified superficial injury of left hand, subsequent encounter ICD10CM

111 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S60929D Unspecified superficial injury of unspecified hand, subsequent encounter ICD10CM N/A S60931D Unspecified superficial injury of right thumb, subsequent encounter ICD10CM N/A S60932D Unspecified superficial injury of left thumb, subsequent encounter ICD10CM N/A S60939D Unspecified superficial injury of unspecified thumb, subsequent encounter ICD10CM N/A S60940D Unspecified superficial injury of right index finger, subsequent encounter ICD10CM N/A S60941D Unspecified superficial injury of left index finger, subsequent encounter ICD10CM N/A S60942D Unspecified superficial injury of right middle finger, subsequent encounter ICD10CM

N/A S60943D Unspecified superficial injury of left middle finger, subsequent encounter ICD10CM N/A S60944D Unspecified superficial injury of right ring finger, subsequent encounter ICD10CM N/A S60945D Unspecified superficial injury of left ring finger, subsequent encounter ICD10CM N/A S60946D Unspecified superficial injury of right little finger, subsequent encounter ICD10CM N/A S60947D Unspecified superficial injury of left little finger, subsequent encounter ICD10CM N/A S60948D Unspecified superficial injury of other finger, subsequent encounter ICD10CM N/A S60949D Unspecified superficial injury of unspecified finger, subsequent encounter ICD10CM Unspecified open wound of right thumb without damage to nail, subsequent N/A S61001D ICD10CM encounter Unspecified open wound of left thumb without damage to nail, subsequent N/A S61002D ICD10CM encounter Unspecified open wound of unspecified thumb without damage to nail, subsequent N/A S61009D ICD10CM encounter Laceration without foreign body of right thumb without damage to nail, subsequent N/A S61011D ICD10CM encounter Laceration without foreign body of left thumb without damage to nail, subsequent N/A S61012D ICD10CM encounter Laceration without foreign body of unspecified thumb without damage to nail, N/A S61019D ICD10CM subsequent encounter Laceration with foreign body of right thumb without damage to nail, subsequent N/A S61021D ICD10CM encounter Laceration with foreign body of left thumb without damage to nail, subsequent N/A S61022D ICD10CM encounter Laceration with foreign body of unspecified thumb without damage to nail, N/A S61029D ICD10CM subsequent encounter Puncture wound without foreign body of right thumb without damage to nail, N/A S61031D ICD10CM subsequent encounter Puncture wound without foreign body of left thumb without damage to nail, N/A S61032D ICD10CM subsequent encounter Puncture wound without foreign body of unspecified thumb without damage to nail, N/A S61039D ICD10CM subsequent encounter Puncture wound with foreign body of right thumb without damage to nail, N/A S61041D ICD10CM subsequent encounter Puncture wound with foreign body of left thumb without damage to nail, N/A S61042D ICD10CM subsequent encounter

112 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Puncture wound with foreign body of unspecified thumb without damage to nail, N/A S61049D ICD10CM subsequent encounter N/A S61051D Open bite of right thumb without damage to nail, subsequent encounter ICD10CM N/A S61052D Open bite of left thumb without damage to nail, subsequent encounter ICD10CM N/A S61059D Open bite of unspecified thumb without damage to nail, subsequent encounter ICD10CM

N/A S61101D Unspecified open wound of right thumb with damage to nail, subsequent encounter ICD10CM

N/A S61102D Unspecified open wound of left thumb with damage to nail, subsequent encounter ICD10CM Unspecified open wound of unspecified thumb with damage to nail, subsequent N/A S61109D ICD10CM encounter Laceration without foreign body of right thumb with damage to nail, subsequent N/A S61111D ICD10CM encounter Laceration without foreign body of left thumb with damage to nail, subsequent N/A S61112D ICD10CM encounter Laceration without foreign body of unspecified thumb with damage to nail, N/A S61119D ICD10CM subsequent encounter Laceration with foreign body of right thumb with damage to nail, subsequent N/A S61121D ICD10CM encounter Laceration with foreign body of left thumb with damage to nail, subsequent N/A S61122D ICD10CM encounter Laceration with foreign body of unspecified thumb with damage to nail, subsequent N/A S61129D ICD10CM encounter Puncture wound without foreign body of right thumb with damage to nail, N/A S61131D ICD10CM subsequent encounter Puncture wound without foreign body of left thumb with damage to nail, N/A S61132D ICD10CM subsequent encounter Puncture wound without foreign body of unspecified thumb with damage to nail, N/A S61139D ICD10CM subsequent encounter Puncture wound with foreign body of right thumb with damage to nail, subsequent N/A S61141D ICD10CM encounter Puncture wound with foreign body of left thumb with damage to nail, subsequent N/A S61142D ICD10CM encounter Puncture wound with foreign body of unspecified thumb with damage to nail, N/A S61149D ICD10CM subsequent encounter N/A S61151D Open bite of right thumb with damage to nail, subsequent encounter ICD10CM N/A S61152D Open bite of left thumb with damage to nail, subsequent encounter ICD10CM N/A S61159D Open bite of unspecified thumb with damage to nail, subsequent encounter ICD10CM Unspecified open wound of right index finger without damage to nail, subsequent N/A S61200D ICD10CM encounter Unspecified open wound of left index finger without damage to nail, subsequent N/A S61201D ICD10CM encounter Unspecified open wound of right middle finger without damage to nail, subsequent N/A S61202D ICD10CM encounter

113 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Unspecified open wound of left middle finger without damage to nail, subsequent N/A S61203D ICD10CM encounter Unspecified open wound of right ring finger without damage to nail, subsequent N/A S61204D ICD10CM encounter Unspecified open wound of left ring finger without damage to nail, subsequent N/A S61205D ICD10CM encounter Unspecified open wound of right little finger without damage to nail, subsequent N/A S61206D ICD10CM encounter Unspecified open wound of left little finger without damage to nail, subsequent N/A S61207D ICD10CM encounter Unspecified open wound of other finger without damage to nail, subsequent N/A S61208D ICD10CM encounter Unspecified open wound of unspecified finger without damage to nail, subsequent N/A S61209D ICD10CM encounter Laceration without foreign body of right index finger without damage to nail, N/A S61210D ICD10CM subsequent encounter Laceration without foreign body of left index finger without damage to nail, N/A S61211D ICD10CM subsequent encounter Laceration without foreign body of right middle finger without damage to nail, N/A S61212D ICD10CM subsequent encounter Laceration without foreign body of left middle finger without damage to nail, N/A S61213D ICD10CM subsequent encounter Laceration without foreign body of right ring finger without damage to nail, N/A S61214D ICD10CM subsequent encounter Laceration without foreign body of left ring finger without damage to nail, N/A S61215D ICD10CM subsequent encounter Laceration without foreign body of right little finger without damage to nail, N/A S61216D ICD10CM subsequent encounter Laceration without foreign body of left little finger without damage to nail, N/A S61217D ICD10CM subsequent encounter Laceration without foreign body of other finger without damage to nail, subsequent N/A S61218D ICD10CM encounter Laceration without foreign body of unspecified finger without damage to nail, N/A S61219D ICD10CM subsequent encounter Laceration with foreign body of right index finger without damage to nail, N/A S61220D ICD10CM subsequent encounter Laceration with foreign body of left index finger without damage to nail, subsequent N/A S61221D ICD10CM encounter Laceration with foreign body of right middle finger without damage to nail, N/A S61222D ICD10CM subsequent encounter Laceration with foreign body of left middle finger without damage to nail, N/A S61223D ICD10CM subsequent encounter Laceration with foreign body of right ring finger without damage to nail, subsequent N/A S61224D ICD10CM encounter Laceration with foreign body of left ring finger without damage to nail, subsequent N/A S61225D ICD10CM encounter

114 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Laceration with foreign body of right little finger without damage to nail, subsequent N/A S61226D ICD10CM encounter Laceration with foreign body of left little finger without damage to nail, subsequent N/A S61227D ICD10CM encounter Laceration with foreign body of other finger without damage to nail, subsequent N/A S61228D ICD10CM encounter Laceration with foreign body of unspecified finger without damage to nail, N/A S61229D ICD10CM subsequent encounter Puncture wound without foreign body of right index finger without damage to nail, N/A S61230D ICD10CM subsequent encounter Puncture wound without foreign body of left index finger without damage to nail, N/A S61231D ICD10CM subsequent encounter Puncture wound without foreign body of right middle finger without damage to nail, N/A S61232D ICD10CM subsequent encounter Puncture wound without foreign body of left middle finger without damage to nail, N/A S61233D ICD10CM subsequent encounter Puncture wound without foreign body of right ring finger without damage to nail, N/A S61234D ICD10CM subsequent encounter Puncture wound without foreign body of left ring finger without damage to nail, N/A S61235D ICD10CM subsequent encounter Puncture wound without foreign body of right little finger without damage to nail, N/A S61236D ICD10CM subsequent encounter Puncture wound without foreign body of left little finger without damage to nail, N/A S61237D ICD10CM subsequent encounter Puncture wound without foreign body of other finger without damage to nail, N/A S61238D ICD10CM subsequent encounter Puncture wound without foreign body of unspecified finger without damage to nail, N/A S61239D ICD10CM subsequent encounter Puncture wound with foreign body of right index finger without damage to nail, N/A S61240D ICD10CM subsequent encounter Puncture wound with foreign body of left index finger without damage to nail, N/A S61241D ICD10CM subsequent encounter Puncture wound with foreign body of right middle finger without damage to nail, N/A S61242D ICD10CM subsequent encounter Puncture wound with foreign body of left middle finger without damage to nail, N/A S61243D ICD10CM subsequent encounter Puncture wound with foreign body of right ring finger without damage to nail, N/A S61244D ICD10CM subsequent encounter Puncture wound with foreign body of left ring finger without damage to nail, N/A S61245D ICD10CM subsequent encounter Puncture wound with foreign body of right little finger without damage to nail, N/A S61246D ICD10CM subsequent encounter Puncture wound with foreign body of left little finger without damage to nail, N/A S61247D ICD10CM subsequent encounter Puncture wound with foreign body of other finger without damage to nail, N/A S61248D ICD10CM subsequent encounter

115 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Puncture wound with foreign body of unspecified finger without damage to nail, N/A S61249D ICD10CM subsequent encounter N/A S61250D Open bite of right index finger without damage to nail, subsequent encounter ICD10CM

N/A S61251D Open bite of left index finger without damage to nail, subsequent encounter ICD10CM

N/A S61252D Open bite of right middle finger without damage to nail, subsequent encounter ICD10CM

N/A S61253D Open bite of left middle finger without damage to nail, subsequent encounter ICD10CM

N/A S61254D Open bite of right ring finger without damage to nail, subsequent encounter ICD10CM

N/A S61255D Open bite of left ring finger without damage to nail, subsequent encounter ICD10CM

N/A S61256D Open bite of right little finger without damage to nail, subsequent encounter ICD10CM

N/A S61257D Open bite of left little finger without damage to nail, subsequent encounter ICD10CM N/A S61258D Open bite of other finger without damage to nail, subsequent encounter ICD10CM N/A S61259D Open bite of unspecified finger without damage to nail, subsequent encounter ICD10CM Unspecified open wound of right index finger with damage to nail, subsequent N/A S61300D ICD10CM encounter Unspecified open wound of left index finger with damage to nail, subsequent N/A S61301D ICD10CM encounter Unspecified open wound of right middle finger with damage to nail, subsequent N/A S61302D ICD10CM encounter Unspecified open wound of left middle finger with damage to nail, subsequent N/A S61303D ICD10CM encounter Unspecified open wound of right ring finger with damage to nail, subsequent N/A S61304D ICD10CM encounter Unspecified open wound of left ring finger with damage to nail, subsequent N/A S61305D ICD10CM encounter Unspecified open wound of right little finger with damage to nail, subsequent N/A S61306D ICD10CM encounter Unspecified open wound of left little finger with damage to nail, subsequent N/A S61307D ICD10CM encounter N/A S61308D Unspecified open wound of other finger with damage to nail, subsequent encounter ICD10CM Unspecified open wound of unspecified finger with damage to nail, subsequent N/A S61309D ICD10CM encounter Laceration without foreign body of right index finger with damage to nail, N/A S61310D ICD10CM subsequent encounter Laceration without foreign body of left index finger with damage to nail, subsequent N/A S61311D ICD10CM encounter Laceration without foreign body of right middle finger with damage to nail, N/A S61312D ICD10CM subsequent encounter

116 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Laceration without foreign body of left middle finger with damage to nail, N/A S61313D ICD10CM subsequent encounter Laceration without foreign body of right ring finger with damage to nail, subsequent N/A S61314D ICD10CM encounter Laceration without foreign body of left ring finger with damage to nail, subsequent N/A S61315D ICD10CM encounter Laceration without foreign body of right little finger with damage to nail, subsequent N/A S61316D ICD10CM encounter Laceration without foreign body of left little finger with damage to nail, subsequent N/A S61317D ICD10CM encounter Laceration without foreign body of other finger with damage to nail, subsequent N/A S61318D ICD10CM encounter Laceration without foreign body of unspecified finger with damage to nail, N/A S61319D ICD10CM subsequent encounter Laceration with foreign body of right index finger with damage to nail, subsequent N/A S61320D ICD10CM encounter Laceration with foreign body of left index finger with damage to nail, subsequent N/A S61321D ICD10CM encounter Laceration with foreign body of right middle finger with damage to nail, subsequent N/A S61322D ICD10CM encounter Laceration with foreign body of left middle finger with damage to nail, subsequent N/A S61323D ICD10CM encounter Laceration with foreign body of right ring finger with damage to nail, subsequent N/A S61324D ICD10CM encounter Laceration with foreign body of left ring finger with damage to nail, subsequent N/A S61325D ICD10CM encounter Laceration with foreign body of right little finger with damage to nail, subsequent N/A S61326D ICD10CM encounter Laceration with foreign body of left little finger with damage to nail, subsequent N/A S61327D ICD10CM encounter Laceration with foreign body of other finger with damage to nail, subsequent N/A S61328D ICD10CM encounter Laceration with foreign body of unspecified finger with damage to nail, subsequent N/A S61329D ICD10CM encounter Puncture wound without foreign body of right index finger with damage to nail, N/A S61330D ICD10CM subsequent encounter Puncture wound without foreign body of left index finger with damage to nail, N/A S61331D ICD10CM subsequent encounter Puncture wound without foreign body of right middle finger with damage to nail, N/A S61332D ICD10CM subsequent encounter Puncture wound without foreign body of left middle finger with damage to nail, N/A S61333D ICD10CM subsequent encounter Puncture wound without foreign body of right ring finger with damage to nail, N/A S61334D ICD10CM subsequent encounter Puncture wound without foreign body of left ring finger with damage to nail, N/A S61335D ICD10CM subsequent encounter

117 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Puncture wound without foreign body of right little finger with damage to nail, N/A S61336D ICD10CM subsequent encounter Puncture wound without foreign body of left little finger with damage to nail, N/A S61337D ICD10CM subsequent encounter Puncture wound without foreign body of other finger with damage to nail, N/A S61338D ICD10CM subsequent encounter Puncture wound without foreign body of unspecified finger with damage to nail, N/A S61339D ICD10CM subsequent encounter Puncture wound with foreign body of right index finger with damage to nail, N/A S61340D ICD10CM subsequent encounter Puncture wound with foreign body of left index finger with damage to nail, N/A S61341D ICD10CM subsequent encounter Puncture wound with foreign body of right middle finger with damage to nail, N/A S61342D ICD10CM subsequent encounter Puncture wound with foreign body of left middle finger with damage to nail, N/A S61343D ICD10CM subsequent encounter Puncture wound with foreign body of right ring finger with damage to nail, N/A S61344D ICD10CM subsequent encounter Puncture wound with foreign body of left ring finger with damage to nail, N/A S61345D ICD10CM subsequent encounter Puncture wound with foreign body of right little finger with damage to nail, N/A S61346D ICD10CM subsequent encounter Puncture wound with foreign body of left little finger with damage to nail, N/A S61347D ICD10CM subsequent encounter Puncture wound with foreign body of other finger with damage to nail, subsequent N/A S61348D ICD10CM encounter Puncture wound with foreign body of unspecified finger with damage to nail, N/A S61349D ICD10CM subsequent encounter N/A S61350D Open bite of right index finger with damage to nail, subsequent encounter ICD10CM N/A S61351D Open bite of left index finger with damage to nail, subsequent encounter ICD10CM N/A S61352D Open bite of right middle finger with damage to nail, subsequent encounter ICD10CM

N/A S61353D Open bite of left middle finger with damage to nail, subsequent encounter ICD10CM N/A S61354D Open bite of right ring finger with damage to nail, subsequent encounter ICD10CM N/A S61355D Open bite of left ring finger with damage to nail, subsequent encounter ICD10CM N/A S61356D Open bite of right little finger with damage to nail, subsequent encounter ICD10CM N/A S61357D Open bite of left little finger with damage to nail, subsequent encounter ICD10CM N/A S61358D Open bite of other finger with damage to nail, subsequent encounter ICD10CM N/A S61359D Open bite of unspecified finger with damage to nail, subsequent encounter ICD10CM N/A S61401D Unspecified open wound of right hand, subsequent encounter ICD10CM N/A S61402D Unspecified open wound of left hand, subsequent encounter ICD10CM N/A S61409D Unspecified open wound of unspecified hand, subsequent encounter ICD10CM N/A S61411D Laceration without foreign body of right hand, subsequent encounter ICD10CM N/A S61412D Laceration without foreign body of left hand, subsequent encounter ICD10CM

118 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S61419D Laceration without foreign body of unspecified hand, subsequent encounter ICD10CM N/A S61421D Laceration with foreign body of right hand, subsequent encounter ICD10CM N/A S61422D Laceration with foreign body of left hand, subsequent encounter ICD10CM N/A S61429D Laceration with foreign body of unspecified hand, subsequent encounter ICD10CM N/A S61431D Puncture wound without foreign body of right hand, subsequent encounter ICD10CM

N/A S61432D Puncture wound without foreign body of left hand, subsequent encounter ICD10CM

N/A S61439D Puncture wound without foreign body of unspecified hand, subsequent encounter ICD10CM N/A S61441D Puncture wound with foreign body of right hand, subsequent encounter ICD10CM N/A S61442D Puncture wound with foreign body of left hand, subsequent encounter ICD10CM N/A S61449D Puncture wound with foreign body of unspecified hand, subsequent encounter ICD10CM N/A S61451D Open bite of right hand, subsequent encounter ICD10CM N/A S61452D Open bite of left hand, subsequent encounter ICD10CM N/A S61459D Open bite of unspecified hand, subsequent encounter ICD10CM N/A S61501D Unspecified open wound of right wrist, subsequent encounter ICD10CM N/A S61502D Unspecified open wound of left wrist, subsequent encounter ICD10CM N/A S61509D Unspecified open wound of unspecified wrist, subsequent encounter ICD10CM N/A S61511D Laceration without foreign body of right wrist, subsequent encounter ICD10CM N/A S61512D Laceration without foreign body of left wrist, subsequent encounter ICD10CM N/A S61519D Laceration without foreign body of unspecified wrist, subsequent encounter ICD10CM N/A S61521D Laceration with foreign body of right wrist, subsequent encounter ICD10CM N/A S61522D Laceration with foreign body of left wrist, subsequent encounter ICD10CM N/A S61529D Laceration with foreign body of unspecified wrist, subsequent encounter ICD10CM N/A S61531D Puncture wound without foreign body of right wrist, subsequent encounter ICD10CM

N/A S61532D Puncture wound without foreign body of left wrist, subsequent encounter ICD10CM

N/A S61539D Puncture wound without foreign body of unspecified wrist, subsequent encounter ICD10CM N/A S61541D Puncture wound with foreign body of right wrist, subsequent encounter ICD10CM N/A S61542D Puncture wound with foreign body of left wrist, subsequent encounter ICD10CM N/A S61549D Puncture wound with foreign body of unspecified wrist, subsequent encounter ICD10CM N/A S61551D Open bite of right wrist, subsequent encounter ICD10CM N/A S61552D Open bite of left wrist, subsequent encounter ICD10CM N/A S61559D Open bite of unspecified wrist, subsequent encounter ICD10CM N/A S63001D Unspecified subluxation of right wrist and hand, subsequent encounter ICD10CM N/A S63002D Unspecified subluxation of left wrist and hand, subsequent encounter ICD10CM N/A S63003D Unspecified subluxation of unspecified wrist and hand, subsequent encounter ICD10CM N/A S63004D Unspecified dislocation of right wrist and hand, subsequent encounter ICD10CM N/A S63005D Unspecified dislocation of left wrist and hand, subsequent encounter ICD10CM

119 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S63006D Unspecified dislocation of unspecified wrist and hand, subsequent encounter ICD10CM N/A S63011D Subluxation of distal radioulnar joint of right wrist, subsequent encounter ICD10CM N/A S63012D Subluxation of distal radioulnar joint of left wrist, subsequent encounter ICD10CM N/A S63013D Subluxation of distal radioulnar joint of unspecified wrist, subsequent encounter ICD10CM N/A S63014D Dislocation of distal radioulnar joint of right wrist, subsequent encounter ICD10CM N/A S63015D Dislocation of distal radioulnar joint of left wrist, subsequent encounter ICD10CM N/A S63016D Dislocation of distal radioulnar joint of unspecified wrist, subsequent encounter ICD10CM N/A S63021D Subluxation of radiocarpal joint of right wrist, subsequent encounter ICD10CM N/A S63022D Subluxation of radiocarpal joint of left wrist, subsequent encounter ICD10CM N/A S63023D Subluxation of radiocarpal joint of unspecified wrist, subsequent encounter ICD10CM N/A S63024D Dislocation of radiocarpal joint of right wrist, subsequent encounter ICD10CM N/A S63025D Dislocation of radiocarpal joint of left wrist, subsequent encounter ICD10CM N/A S63026D Dislocation of radiocarpal joint of unspecified wrist, subsequent encounter ICD10CM N/A S63031D Subluxation of midcarpal joint of right wrist, subsequent encounter ICD10CM N/A S63032D Subluxation of midcarpal joint of left wrist, subsequent encounter ICD10CM N/A S63033D Subluxation of midcarpal joint of unspecified wrist, subsequent encounter ICD10CM N/A S63034D Dislocation of midcarpal joint of right wrist, subsequent encounter ICD10CM N/A S63035D Dislocation of midcarpal joint of left wrist, subsequent encounter ICD10CM N/A S63036D Dislocation of midcarpal joint of unspecified wrist, subsequent encounter ICD10CM N/A S63041D Subluxation of carpometacarpal joint of right thumb, subsequent encounter ICD10CM

N/A S63042D Subluxation of carpometacarpal joint of left thumb, subsequent encounter ICD10CM

N/A S63043D Subluxation of carpometacarpal joint of unspecified thumb, subsequent encounter ICD10CM

N/A S63044D Dislocation of carpometacarpal joint of right thumb, subsequent encounter ICD10CM N/A S63045D Dislocation of carpometacarpal joint of left thumb, subsequent encounter ICD10CM N/A S63046D Dislocation of carpometacarpal joint of unspecified thumb, subsequent encounter ICD10CM

N/A S63051D Subluxation of other carpometacarpal joint of right hand, subsequent encounter ICD10CM

N/A S63052D Subluxation of other carpometacarpal joint of left hand, subsequent encounter ICD10CM Subluxation of other carpometacarpal joint of unspecified hand, subsequent N/A S63053D ICD10CM encounter N/A S63054D Dislocation of other carpometacarpal joint of right hand, subsequent encounter ICD10CM

N/A S63055D Dislocation of other carpometacarpal joint of left hand, subsequent encounter ICD10CM

120 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Dislocation of other carpometacarpal joint of unspecified hand, subsequent N/A S63056D ICD10CM encounter N/A S63061D Subluxation of metacarpal (bone), proximal end of right hand, subsequent encounter ICD10CM

N/A S63062D Subluxation of metacarpal (bone), proximal end of left hand, subsequent encounter ICD10CM Subluxation of metacarpal (bone), proximal end of unspecified hand, subsequent N/A S63063D ICD10CM encounter N/A S63064D Dislocation of metacarpal (bone), proximal end of right hand, subsequent encounter ICD10CM

N/A S63065D Dislocation of metacarpal (bone), proximal end of left hand, subsequent encounter ICD10CM Dislocation of metacarpal (bone), proximal end of unspecified hand, subsequent N/A S63066D ICD10CM encounter N/A S63071D Subluxation of distal end of right ulna, subsequent encounter ICD10CM N/A S63072D Subluxation of distal end of left ulna, subsequent encounter ICD10CM N/A S63073D Subluxation of distal end of unspecified ulna, subsequent encounter ICD10CM N/A S63074D Dislocation of distal end of right ulna, subsequent encounter ICD10CM N/A S63075D Dislocation of distal end of left ulna, subsequent encounter ICD10CM N/A S63076D Dislocation of distal end of unspecified ulna, subsequent encounter ICD10CM N/A S63091D Other subluxation of right wrist and hand, subsequent encounter ICD10CM N/A S63092D Other subluxation of left wrist and hand, subsequent encounter ICD10CM N/A S63093D Other subluxation of unspecified wrist and hand, subsequent encounter ICD10CM N/A S63094D Other dislocation of right wrist and hand, subsequent encounter ICD10CM N/A S63095D Other dislocation of left wrist and hand, subsequent encounter ICD10CM N/A S63096D Other dislocation of unspecified wrist and hand, subsequent encounter ICD10CM N/A S63101D Unspecified subluxation of right thumb, subsequent encounter ICD10CM N/A S63102D Unspecified subluxation of left thumb, subsequent encounter ICD10CM N/A S63103D Unspecified subluxation of unspecified thumb, subsequent encounter ICD10CM N/A S63104D Unspecified dislocation of right thumb, subsequent encounter ICD10CM N/A S63105D Unspecified dislocation of left thumb, subsequent encounter ICD10CM N/A S63106D Unspecified dislocation of unspecified thumb, subsequent encounter ICD10CM N/A S63111D Subluxation of metacarpophalangeal joint of right thumb, subsequent encounter ICD10CM

N/A S63112D Subluxation of metacarpophalangeal joint of left thumb, subsequent encounter ICD10CM Subluxation of metacarpophalangeal joint of unspecified thumb, subsequent N/A S63113D ICD10CM encounter N/A S63114D Dislocation of metacarpophalangeal joint of right thumb, subsequent encounter ICD10CM

N/A S63115D Dislocation of metacarpophalangeal joint of left thumb, subsequent encounter ICD10CM Dislocation of metacarpophalangeal joint of unspecified thumb, subsequent N/A S63116D ICD10CM encounter Subluxation of unspecified interphalangeal joint of right thumb, subsequent N/A S63121D ICD10CM encounter

121 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Subluxation of unspecified interphalangeal joint of left thumb, subsequent N/A S63122D ICD10CM encounter Subluxation of unspecified interphalangeal joint of unspecified thumb, subsequent N/A S63123D ICD10CM encounter Dislocation of unspecified interphalangeal joint of right thumb, subsequent N/A S63124D ICD10CM encounter N/A S63125D Dislocation of unspecified interphalangeal joint of left thumb, subsequent encounter ICD10CM Dislocation of unspecified interphalangeal joint of unspecified thumb, subsequent N/A S63126D ICD10CM encounter N/A S63131D Subluxation of proximal interphalangeal joint of right thumb, subsequent encounter ICD10CM

N/A S63132D Subluxation of proximal interphalangeal joint of left thumb, subsequent encounter ICD10CM Subluxation of proximal interphalangeal joint of unspecified thumb, subsequent N/A S63133D ICD10CM encounter N/A S63134D Dislocation of proximal interphalangeal joint of right thumb, subsequent encounter ICD10CM

N/A S63135D Dislocation of proximal interphalangeal joint of left thumb, subsequent encounter ICD10CM Dislocation of proximal interphalangeal joint of unspecified thumb, subsequent N/A S63136D ICD10CM encounter N/A S63141D Subluxation of distal interphalangeal joint of right thumb, subsequent encounter ICD10CM

N/A S63142D Subluxation of distal interphalangeal joint of left thumb, subsequent encounter ICD10CM Subluxation of distal interphalangeal joint of unspecified thumb, subsequent N/A S63143D ICD10CM encounter N/A S63144D Dislocation of distal interphalangeal joint of right thumb, subsequent encounter ICD10CM

N/A S63145D Dislocation of distal interphalangeal joint of left thumb, subsequent encounter ICD10CM Dislocation of distal interphalangeal joint of unspecified thumb, subsequent N/A S63146D ICD10CM encounter N/A S63200D Unspecified subluxation of right index finger, subsequent encounter ICD10CM N/A S63201D Unspecified subluxation of left index finger, subsequent encounter ICD10CM N/A S63202D Unspecified subluxation of right middle finger, subsequent encounter ICD10CM N/A S63203D Unspecified subluxation of left middle finger, subsequent encounter ICD10CM N/A S63204D Unspecified subluxation of right ring finger, subsequent encounter ICD10CM N/A S63205D Unspecified subluxation of left ring finger, subsequent encounter ICD10CM N/A S63206D Unspecified subluxation of right little finger, subsequent encounter ICD10CM N/A S63207D Unspecified subluxation of left little finger, subsequent encounter ICD10CM N/A S63208D Unspecified subluxation of other finger, subsequent encounter ICD10CM N/A S63209D Unspecified subluxation of unspecified finger, subsequent encounter ICD10CM Subluxation of metacarpophalangeal joint of right index finger, subsequent N/A S63210D ICD10CM encounter

122 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S63211D Subluxation of metacarpophalangeal joint of left index finger, subsequent encounter ICD10CM Subluxation of metacarpophalangeal joint of right middle finger, subsequent N/A S63212D ICD10CM encounter Subluxation of metacarpophalangeal joint of left middle finger, subsequent N/A S63213D ICD10CM encounter N/A S63214D Subluxation of metacarpophalangeal joint of right ring finger, subsequent encounter ICD10CM

N/A S63215D Subluxation of metacarpophalangeal joint of left ring finger, subsequent encounter ICD10CM

N/A S63216D Subluxation of metacarpophalangeal joint of right little finger, subsequent encounter ICD10CM

N/A S63217D Subluxation of metacarpophalangeal joint of left little finger, subsequent encounter ICD10CM

N/A S63218D Subluxation of metacarpophalangeal joint of other finger, subsequent encounter ICD10CM Subluxation of metacarpophalangeal joint of unspecified finger, subsequent N/A S63219D ICD10CM encounter Subluxation of unspecified interphalangeal joint of right index finger, subsequent N/A S63220D ICD10CM encounter Subluxation of unspecified interphalangeal joint of left index finger, subsequent N/A S63221D ICD10CM encounter Subluxation of unspecified interphalangeal joint of right middle finger, subsequent N/A S63222D ICD10CM encounter Subluxation of unspecified interphalangeal joint of left middle finger, subsequent N/A S63223D ICD10CM encounter Subluxation of unspecified interphalangeal joint of right ring finger, subsequent N/A S63224D ICD10CM encounter Subluxation of unspecified interphalangeal joint of left ring finger, subsequent N/A S63225D ICD10CM encounter Subluxation of unspecified interphalangeal joint of right little finger, subsequent N/A S63226D ICD10CM encounter Subluxation of unspecified interphalangeal joint of left little finger, subsequent N/A S63227D ICD10CM encounter Subluxation of unspecified interphalangeal joint of other finger, subsequent N/A S63228D ICD10CM encounter Subluxation of unspecified interphalangeal joint of unspecified finger, subsequent N/A S63229D ICD10CM encounter Subluxation of proximal interphalangeal joint of right index finger, subsequent N/A S63230D ICD10CM encounter Subluxation of proximal interphalangeal joint of left index finger, subsequent N/A S63231D ICD10CM encounter Subluxation of proximal interphalangeal joint of right middle finger, subsequent N/A S63232D ICD10CM encounter Subluxation of proximal interphalangeal joint of left middle finger, subsequent N/A S63233D ICD10CM encounter

123 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Subluxation of proximal interphalangeal joint of right ring finger, subsequent N/A S63234D ICD10CM encounter Subluxation of proximal interphalangeal joint of left ring finger, subsequent N/A S63235D ICD10CM encounter Subluxation of proximal interphalangeal joint of right little finger, subsequent N/A S63236D ICD10CM encounter Subluxation of proximal interphalangeal joint of left little finger, subsequent N/A S63237D ICD10CM encounter N/A S63238D Subluxation of proximal interphalangeal joint of other finger, subsequent encounter ICD10CM Subluxation of proximal interphalangeal joint of unspecified finger, subsequent N/A S63239D ICD10CM encounter Subluxation of distal interphalangeal joint of right index finger, subsequent N/A S63240D ICD10CM encounter N/A S63241D Subluxation of distal interphalangeal joint of left index finger, subsequent encounter ICD10CM Subluxation of distal interphalangeal joint of right middle finger, subsequent N/A S63242D ICD10CM encounter Subluxation of distal interphalangeal joint of left middle finger, subsequent N/A S63243D ICD10CM encounter N/A S63244D Subluxation of distal interphalangeal joint of right ring finger, subsequent encounter ICD10CM

N/A S63245D Subluxation of distal interphalangeal joint of left ring finger, subsequent encounter ICD10CM

N/A S63246D Subluxation of distal interphalangeal joint of right little finger, subsequent encounter ICD10CM

N/A S63247D Subluxation of distal interphalangeal joint of left little finger, subsequent encounter ICD10CM

N/A S63248D Subluxation of distal interphalangeal joint of other finger, subsequent encounter ICD10CM Subluxation of distal interphalangeal joint of unspecified finger, subsequent N/A S63249D ICD10CM encounter N/A S63250D Unspecified dislocation of right index finger, subsequent encounter ICD10CM N/A S63251D Unspecified dislocation of left index finger, subsequent encounter ICD10CM N/A S63252D Unspecified dislocation of right middle finger, subsequent encounter ICD10CM N/A S63253D Unspecified dislocation of left middle finger, subsequent encounter ICD10CM N/A S63254D Unspecified dislocation of right ring finger, subsequent encounter ICD10CM N/A S63255D Unspecified dislocation of left ring finger, subsequent encounter ICD10CM N/A S63256D Unspecified dislocation of right little finger, subsequent encounter ICD10CM N/A S63257D Unspecified dislocation of left little finger, subsequent encounter ICD10CM N/A S63258D Unspecified dislocation of other finger, subsequent encounter ICD10CM N/A S63259D Unspecified dislocation of unspecified finger, subsequent encounter ICD10CM Dislocation of metacarpophalangeal joint of right index finger, subsequent N/A S63260D ICD10CM encounter N/A S63261D Dislocation of metacarpophalangeal joint of left index finger, subsequent encounter ICD10CM

124 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Dislocation of metacarpophalangeal joint of right middle finger, subsequent N/A S63262D ICD10CM encounter Dislocation of metacarpophalangeal joint of left middle finger, subsequent N/A S63263D ICD10CM encounter N/A S63264D Dislocation of metacarpophalangeal joint of right ring finger, subsequent encounter ICD10CM

N/A S63265D Dislocation of metacarpophalangeal joint of left ring finger, subsequent encounter ICD10CM

N/A S63266D Dislocation of metacarpophalangeal joint of right little finger, subsequent encounter ICD10CM

N/A S63267D Dislocation of metacarpophalangeal joint of left little finger, subsequent encounter ICD10CM

N/A S63268D Dislocation of metacarpophalangeal joint of other finger, subsequent encounter ICD10CM Dislocation of metacarpophalangeal joint of unspecified finger, subsequent N/A S63269D ICD10CM encounter Dislocation of unspecified interphalangeal joint of right index finger, subsequent N/A S63270D ICD10CM encounter Dislocation of unspecified interphalangeal joint of left index finger, subsequent N/A S63271D ICD10CM encounter Dislocation of unspecified interphalangeal joint of right middle finger, subsequent N/A S63272D ICD10CM encounter Dislocation of unspecified interphalangeal joint of left middle finger, subsequent N/A S63273D ICD10CM encounter Dislocation of unspecified interphalangeal joint of right ring finger, subsequent N/A S63274D ICD10CM encounter Dislocation of unspecified interphalangeal joint of left ring finger, subsequent N/A S63275D ICD10CM encounter Dislocation of unspecified interphalangeal joint of right little finger, subsequent N/A S63276D ICD10CM encounter Dislocation of unspecified interphalangeal joint of left little finger, subsequent N/A S63277D ICD10CM encounter Dislocation of unspecified interphalangeal joint of other finger, subsequent N/A S63278D ICD10CM encounter Dislocation of unspecified interphalangeal joint of unspecified finger, subsequent N/A S63279D ICD10CM encounter Dislocation of proximal interphalangeal joint of right index finger, subsequent N/A S63280D ICD10CM encounter Dislocation of proximal interphalangeal joint of left index finger, subsequent N/A S63281D ICD10CM encounter Dislocation of proximal interphalangeal joint of right middle finger, subsequent N/A S63282D ICD10CM encounter Dislocation of proximal interphalangeal joint of left middle finger, subsequent N/A S63283D ICD10CM encounter Dislocation of proximal interphalangeal joint of right ring finger, subsequent N/A S63284D ICD10CM encounter

125 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Dislocation of proximal interphalangeal joint of left ring finger, subsequent N/A S63285D ICD10CM encounter Dislocation of proximal interphalangeal joint of right little finger, subsequent N/A S63286D ICD10CM encounter Dislocation of proximal interphalangeal joint of left little finger, subsequent N/A S63287D ICD10CM encounter N/A S63288D Dislocation of proximal interphalangeal joint of other finger, subsequent encounter ICD10CM Dislocation of proximal interphalangeal joint of unspecified finger, subsequent N/A S63289D ICD10CM encounter N/A S63290D Dislocation of distal interphalangeal joint of right index finger, subsequent encounter ICD10CM

N/A S63291D Dislocation of distal interphalangeal joint of left index finger, subsequent encounter ICD10CM Dislocation of distal interphalangeal joint of right middle finger, subsequent N/A S63292D ICD10CM encounter Dislocation of distal interphalangeal joint of left middle finger, subsequent N/A S63293D ICD10CM encounter N/A S63294D Dislocation of distal interphalangeal joint of right ring finger, subsequent encounter ICD10CM

N/A S63295D Dislocation of distal interphalangeal joint of left ring finger, subsequent encounter ICD10CM

N/A S63296D Dislocation of distal interphalangeal joint of right little finger, subsequent encounter ICD10CM

N/A S63297D Dislocation of distal interphalangeal joint of left little finger, subsequent encounter ICD10CM

N/A S63298D Dislocation of distal interphalangeal joint of other finger, subsequent encounter ICD10CM Dislocation of distal interphalangeal joint of unspecified finger, subsequent N/A S63299D ICD10CM encounter N/A S63301D Traumatic rupture of unspecified ligament of right wrist, subsequent encounter ICD10CM

N/A S63302D Traumatic rupture of unspecified ligament of left wrist, subsequent encounter ICD10CM Traumatic rupture of unspecified ligament of unspecified wrist, subsequent N/A S63309D ICD10CM encounter N/A S63311D Traumatic rupture of collateral ligament of right wrist, subsequent encounter ICD10CM

N/A S63312D Traumatic rupture of collateral ligament of left wrist, subsequent encounter ICD10CM

N/A S63319D Traumatic rupture of collateral ligament of unspecified wrist, subsequent encounter ICD10CM N/A S63321D Traumatic rupture of right radiocarpal ligament, subsequent encounter ICD10CM N/A S63322D Traumatic rupture of left radiocarpal ligament, subsequent encounter ICD10CM N/A S63329D Traumatic rupture of unspecified radiocarpal ligament, subsequent encounter ICD10CM

126 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S63331D Traumatic rupture of right ulnocarpal (palmar) ligament, subsequent encounter ICD10CM

N/A S63332D Traumatic rupture of left ulnocarpal (palmar) ligament, subsequent encounter ICD10CM Traumatic rupture of unspecified ulnocarpal (palmar) ligament, subsequent N/A S63339D ICD10CM encounter N/A S63391D Traumatic rupture of other ligament of right wrist, subsequent encounter ICD10CM N/A S63392D Traumatic rupture of other ligament of left wrist, subsequent encounter ICD10CM N/A S63399D Traumatic rupture of other ligament of unspecified wrist, subsequent encounter ICD10CM Traumatic rupture of unspecified ligament of right index finger at N/A S63400D ICD10CM metacarpophalangeal and interphalangeal joint, subsequent encounter Traumatic rupture of unspecified ligament of left index finger at N/A S63401D ICD10CM metacarpophalangeal and interphalangeal joint, subsequent encounter Traumatic rupture of unspecified ligament of right middle finger at N/A S63402D ICD10CM metacarpophalangeal and interphalangeal joint, subsequent encounter Traumatic rupture of unspecified ligament of left middle finger at N/A S63403D ICD10CM metacarpophalangeal and interphalangeal joint, subsequent encounter Traumatic rupture of unspecified ligament of right ring finger at N/A S63404D ICD10CM metacarpophalangeal and interphalangeal joint, subsequent encounter Traumatic rupture of unspecified ligament of left ring finger at metacarpophalangeal N/A S63405D ICD10CM and interphalangeal joint, subsequent encounter Traumatic rupture of unspecified ligament of right little finger at N/A S63406D ICD10CM metacarpophalangeal and interphalangeal joint, subsequent encounter Traumatic rupture of unspecified ligament of left little finger at N/A S63407D ICD10CM metacarpophalangeal and interphalangeal joint, subsequent encounter Traumatic rupture of unspecified ligament of other finger at metacarpophalangeal N/A S63408D ICD10CM and interphalangeal joint, subsequent encounter Traumatic rupture of unspecified ligament of unspecified finger at N/A S63409D ICD10CM metacarpophalangeal and interphalangeal joint, subsequent encounter Traumatic rupture of collateral ligament of right index finger at N/A S63410D ICD10CM metacarpophalangeal and interphalangeal joint, subsequent encounter Traumatic rupture of collateral ligament of left index finger at metacarpophalangeal N/A S63411D ICD10CM and interphalangeal joint, subsequent encounter Traumatic rupture of collateral ligament of right middle finger at N/A S63412D ICD10CM metacarpophalangeal and interphalangeal joint, subsequent encounter Traumatic rupture of collateral ligament of left middle finger at N/A S63413D ICD10CM metacarpophalangeal and interphalangeal joint, subsequent encounter Traumatic rupture of collateral ligament of right ring finger at metacarpophalangeal N/A S63414D ICD10CM and interphalangeal joint, subsequent encounter Traumatic rupture of collateral ligament of left ring finger at metacarpophalangeal N/A S63415D ICD10CM and interphalangeal joint, subsequent encounter Traumatic rupture of collateral ligament of right little finger at metacarpophalangeal N/A S63416D ICD10CM and interphalangeal joint, subsequent encounter Traumatic rupture of collateral ligament of left little finger at metacarpophalangeal N/A S63417D ICD10CM and interphalangeal joint, subsequent encounter

127 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Traumatic rupture of collateral ligament of other finger at metacarpophalangeal and N/A S63418D ICD10CM interphalangeal joint, subsequent encounter Traumatic rupture of collateral ligament of unspecified finger at N/A S63419D ICD10CM metacarpophalangeal and interphalangeal joint, subsequent encounter Traumatic rupture of palmar ligament of right index finger at metacarpophalangeal N/A S63420D ICD10CM and interphalangeal joint, subsequent encounter Traumatic rupture of palmar ligament of left index finger at metacarpophalangeal N/A S63421D ICD10CM and interphalangeal joint, subsequent encounter Traumatic rupture of palmar ligament of right middle finger at metacarpophalangeal N/A S63422D ICD10CM and interphalangeal joint, subsequent encounter Traumatic rupture of palmar ligament of left middle finger at metacarpophalangeal N/A S63423D ICD10CM and interphalangeal joint, subsequent encounter Traumatic rupture of palmar ligament of right ring finger at metacarpophalangeal N/A S63424D ICD10CM and interphalangeal joint, subsequent encounter Traumatic rupture of palmar ligament of left ring finger at metacarpophalangeal and N/A S63425D ICD10CM interphalangeal joint, subsequent encounter Traumatic rupture of palmar ligament of right little finger at metacarpophalangeal N/A S63426D ICD10CM and interphalangeal joint, subsequent encounter Traumatic rupture of palmar ligament of left little finger at metacarpophalangeal N/A S63427D ICD10CM and interphalangeal joint, subsequent encounter Traumatic rupture of palmar ligament of other finger at metacarpophalangeal and N/A S63428D ICD10CM interphalangeal joint, subsequent encounter Traumatic rupture of palmar ligament of unspecified finger at metacarpophalangeal N/A S63429D ICD10CM and interphalangeal joint, subsequent encounter Traumatic rupture of volar plate of right index finger at metacarpophalangeal and N/A S63430D ICD10CM interphalangeal joint, subsequent encounter Traumatic rupture of volar plate of left index finger at metacarpophalangeal and N/A S63431D ICD10CM interphalangeal joint, subsequent encounter Traumatic rupture of volar plate of right middle finger at metacarpophalangeal and N/A S63432D ICD10CM interphalangeal joint, subsequent encounter Traumatic rupture of volar plate of left middle finger at metacarpophalangeal and N/A S63433D ICD10CM interphalangeal joint, subsequent encounter Traumatic rupture of volar plate of right ring finger at metacarpophalangeal and N/A S63434D ICD10CM interphalangeal joint, subsequent encounter Traumatic rupture of volar plate of left ring finger at metacarpophalangeal and N/A S63435D ICD10CM interphalangeal joint, subsequent encounter Traumatic rupture of volar plate of right little finger at metacarpophalangeal and N/A S63436D ICD10CM interphalangeal joint, subsequent encounter Traumatic rupture of volar plate of left little finger at metacarpophalangeal and N/A S63437D ICD10CM interphalangeal joint, subsequent encounter Traumatic rupture of volar plate of other finger at metacarpophalangeal and N/A S63438D ICD10CM interphalangeal joint, subsequent encounter Traumatic rupture of volar plate of unspecified finger at metacarpophalangeal and N/A S63439D ICD10CM interphalangeal joint, subsequent encounter Traumatic rupture of other ligament of right index finger at metacarpophalangeal N/A S63490D ICD10CM and interphalangeal joint, subsequent encounter

128 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Traumatic rupture of other ligament of left index finger at metacarpophalangeal and N/A S63491D ICD10CM interphalangeal joint, subsequent encounter Traumatic rupture of other ligament of right middle finger at metacarpophalangeal N/A S63492D ICD10CM and interphalangeal joint, subsequent encounter Traumatic rupture of other ligament of left middle finger at metacarpophalangeal N/A S63493D ICD10CM and interphalangeal joint, subsequent encounter Traumatic rupture of other ligament of right ring finger at metacarpophalangeal and N/A S63494D ICD10CM interphalangeal joint, subsequent encounter Traumatic rupture of other ligament of left ring finger at metacarpophalangeal and N/A S63495D ICD10CM interphalangeal joint, subsequent encounter Traumatic rupture of other ligament of right little finger at metacarpophalangeal and N/A S63496D ICD10CM interphalangeal joint, subsequent encounter Traumatic rupture of other ligament of left little finger at metacarpophalangeal and N/A S63497D ICD10CM interphalangeal joint, subsequent encounter Traumatic rupture of other ligament of other finger at metacarpophalangeal and N/A S63498D ICD10CM interphalangeal joint, subsequent encounter Traumatic rupture of other ligament of unspecified finger at metacarpophalangeal N/A S63499D ICD10CM and interphalangeal joint, subsequent encounter N/A S63501D Unspecified sprain of right wrist, subsequent encounter ICD10CM N/A S63502D Unspecified sprain of left wrist, subsequent encounter ICD10CM N/A S63509D Unspecified sprain of unspecified wrist, subsequent encounter ICD10CM N/A S63511D Sprain of carpal joint of right wrist, subsequent encounter ICD10CM N/A S63512D Sprain of carpal joint of left wrist, subsequent encounter ICD10CM N/A S63519D Sprain of carpal joint of unspecified wrist, subsequent encounter ICD10CM N/A S63521D Sprain of radiocarpal joint of right wrist, subsequent encounter ICD10CM N/A S63522D Sprain of radiocarpal joint of left wrist, subsequent encounter ICD10CM N/A S63529D Sprain of radiocarpal joint of unspecified wrist, subsequent encounter ICD10CM N/A S63591D Other specified sprain of right wrist, subsequent encounter ICD10CM N/A S63592D Other specified sprain of left wrist, subsequent encounter ICD10CM N/A S63599D Other specified sprain of unspecified wrist, subsequent encounter ICD10CM N/A S63601D Unspecified sprain of right thumb, subsequent encounter ICD10CM N/A S63602D Unspecified sprain of left thumb, subsequent encounter ICD10CM N/A S63609D Unspecified sprain of unspecified thumb, subsequent encounter ICD10CM N/A S63610D Unspecified sprain of right index finger, subsequent encounter ICD10CM N/A S63611D Unspecified sprain of left index finger, subsequent encounter ICD10CM N/A S63612D Unspecified sprain of right middle finger, subsequent encounter ICD10CM N/A S63613D Unspecified sprain of left middle finger, subsequent encounter ICD10CM N/A S63614D Unspecified sprain of right ring finger, subsequent encounter ICD10CM N/A S63615D Unspecified sprain of left ring finger, subsequent encounter ICD10CM N/A S63616D Unspecified sprain of right little finger, subsequent encounter ICD10CM N/A S63617D Unspecified sprain of left little finger, subsequent encounter ICD10CM N/A S63618D Unspecified sprain of other finger, subsequent encounter ICD10CM N/A S63619D Unspecified sprain of unspecified finger, subsequent encounter ICD10CM N/A S63621D Sprain of interphalangeal joint of right thumb, subsequent encounter ICD10CM N/A S63622D Sprain of interphalangeal joint of left thumb, subsequent encounter ICD10CM N/A S63629D Sprain of interphalangeal joint of unspecified thumb, subsequent encounter ICD10CM

129 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S63630D Sprain of interphalangeal joint of right index finger, subsequent encounter ICD10CM N/A S63631D Sprain of interphalangeal joint of left index finger, subsequent encounter ICD10CM N/A S63632D Sprain of interphalangeal joint of right middle finger, subsequent encounter ICD10CM

N/A S63633D Sprain of interphalangeal joint of left middle finger, subsequent encounter ICD10CM N/A S63634D Sprain of interphalangeal joint of right ring finger, subsequent encounter ICD10CM N/A S63635D Sprain of interphalangeal joint of left ring finger, subsequent encounter ICD10CM N/A S63636D Sprain of interphalangeal joint of right little finger, subsequent encounter ICD10CM N/A S63637D Sprain of interphalangeal joint of left little finger, subsequent encounter ICD10CM N/A S63638D Sprain of interphalangeal joint of other finger, subsequent encounter ICD10CM N/A S63639D Sprain of interphalangeal joint of unspecified finger, subsequent encounter ICD10CM

N/A S63641D Sprain of metacarpophalangeal joint of right thumb, subsequent encounter ICD10CM

N/A S63642D Sprain of metacarpophalangeal joint of left thumb, subsequent encounter ICD10CM

N/A S63649D Sprain of metacarpophalangeal joint of unspecified thumb, subsequent encounter ICD10CM

N/A S63650D Sprain of metacarpophalangeal joint of right index finger, subsequent encounter ICD10CM

N/A S63651D Sprain of metacarpophalangeal joint of left index finger, subsequent encounter ICD10CM

N/A S63652D Sprain of metacarpophalangeal joint of right middle finger, subsequent encounter ICD10CM

N/A S63653D Sprain of metacarpophalangeal joint of left middle finger, subsequent encounter ICD10CM

N/A S63654D Sprain of metacarpophalangeal joint of right ring finger, subsequent encounter ICD10CM

N/A S63655D Sprain of metacarpophalangeal joint of left ring finger, subsequent encounter ICD10CM

N/A S63656D Sprain of metacarpophalangeal joint of right little finger, subsequent encounter ICD10CM

N/A S63657D Sprain of metacarpophalangeal joint of left little finger, subsequent encounter ICD10CM

N/A S63658D Sprain of metacarpophalangeal joint of other finger, subsequent encounter ICD10CM

N/A S63659D Sprain of metacarpophalangeal joint of unspecified finger, subsequent encounter ICD10CM N/A S63681D Other sprain of right thumb, subsequent encounter ICD10CM N/A S63682D Other sprain of left thumb, subsequent encounter ICD10CM N/A S63689D Other sprain of unspecified thumb, subsequent encounter ICD10CM N/A S63690D Other sprain of right index finger, subsequent encounter ICD10CM N/A S63691D Other sprain of left index finger, subsequent encounter ICD10CM N/A S63692D Other sprain of right middle finger, subsequent encounter ICD10CM

130 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S63693D Other sprain of left middle finger, subsequent encounter ICD10CM N/A S63694D Other sprain of right ring finger, subsequent encounter ICD10CM N/A S63695D Other sprain of left ring finger, subsequent encounter ICD10CM N/A S63696D Other sprain of right little finger, subsequent encounter ICD10CM N/A S63697D Other sprain of left little finger, subsequent encounter ICD10CM N/A S63698D Other sprain of other finger, subsequent encounter ICD10CM N/A S63699D Other sprain of unspecified finger, subsequent encounter ICD10CM N/A S638X1D Sprain of other part of right wrist and hand, subsequent encounter ICD10CM N/A S638X2D Sprain of other part of left wrist and hand, subsequent encounter ICD10CM N/A S638X9D Sprain of other part of unspecified wrist and hand, subsequent encounter ICD10CM N/A S6390XD Sprain of unspecified part of unspecified wrist and hand, subsequent encounter ICD10CM N/A S6391XD Sprain of unspecified part of right wrist and hand, subsequent encounter ICD10CM N/A S6392XD Sprain of unspecified part of left wrist and hand, subsequent encounter ICD10CM Injury of ulnar nerve at wrist and hand level of unspecified arm, subsequent N/A S6400XD ICD10CM encounter N/A S6401XD Injury of ulnar nerve at wrist and hand level of right arm, subsequent encounter ICD10CM

N/A S6402XD Injury of ulnar nerve at wrist and hand level of left arm, subsequent encounter ICD10CM Injury of median nerve at wrist and hand level of unspecified arm, subsequent N/A S6410XD ICD10CM encounter N/A S6411XD Injury of median nerve at wrist and hand level of right arm, subsequent encounter ICD10CM

N/A S6412XD Injury of median nerve at wrist and hand level of left arm, subsequent encounter ICD10CM Injury of radial nerve at wrist and hand level of unspecified arm, subsequent N/A S6420XD ICD10CM encounter N/A S6421XD Injury of radial nerve at wrist and hand level of right arm, subsequent encounter ICD10CM

N/A S6422XD Injury of radial nerve at wrist and hand level of left arm, subsequent encounter ICD10CM N/A S6430XD Injury of digital nerve of unspecified thumb, subsequent encounter ICD10CM N/A S6431XD Injury of digital nerve of right thumb, subsequent encounter ICD10CM N/A S6432XD Injury of digital nerve of left thumb, subsequent encounter ICD10CM N/A S6440XD Injury of digital nerve of unspecified finger, subsequent encounter ICD10CM N/A S64490D Injury of digital nerve of right index finger, subsequent encounter ICD10CM N/A S64491D Injury of digital nerve of left index finger, subsequent encounter ICD10CM N/A S64492D Injury of digital nerve of right middle finger, subsequent encounter ICD10CM N/A S64493D Injury of digital nerve of left middle finger, subsequent encounter ICD10CM N/A S64494D Injury of digital nerve of right ring finger, subsequent encounter ICD10CM N/A S64495D Injury of digital nerve of left ring finger, subsequent encounter ICD10CM N/A S64496D Injury of digital nerve of right little finger, subsequent encounter ICD10CM N/A S64497D Injury of digital nerve of left little finger, subsequent encounter ICD10CM N/A S64498D Injury of digital nerve of other finger, subsequent encounter ICD10CM N/A S648X1D Injury of other nerves at wrist and hand level of right arm, subsequent encounter ICD10CM

131 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S648X2D Injury of other nerves at wrist and hand level of left arm, subsequent encounter ICD10CM Injury of other nerves at wrist and hand level of unspecified arm, subsequent N/A S648X9D ICD10CM encounter Injury of unspecified nerve at wrist and hand level of unspecified arm, subsequent N/A S6490XD ICD10CM encounter Injury of unspecified nerve at wrist and hand level of right arm, subsequent N/A S6491XD ICD10CM encounter N/A S6492XD Injury of unspecified nerve at wrist and hand level of left arm, subsequent encounter ICD10CM Unspecified injury of ulnar artery at wrist and hand level of right arm, subsequent N/A S65001D ICD10CM encounter Unspecified injury of ulnar artery at wrist and hand level of left arm, subsequent N/A S65002D ICD10CM encounter Unspecified injury of ulnar artery at wrist and hand level of unspecified arm, N/A S65009D ICD10CM subsequent encounter N/A S65011D Laceration of ulnar artery at wrist and hand level of right arm, subsequent encounter ICD10CM

N/A S65012D Laceration of ulnar artery at wrist and hand level of left arm, subsequent encounter ICD10CM Laceration of ulnar artery at wrist and hand level of unspecified arm, subsequent N/A S65019D ICD10CM encounter Other specified injury of ulnar artery at wrist and hand level of right arm, N/A S65091D ICD10CM subsequent encounter Other specified injury of ulnar artery at wrist and hand level of left arm, subsequent N/A S65092D ICD10CM encounter Other specified injury of ulnar artery at wrist and hand level of unspecified arm, N/A S65099D ICD10CM subsequent encounter Unspecified injury of radial artery at wrist and hand level of right arm, subsequent N/A S65101D ICD10CM encounter Unspecified injury of radial artery at wrist and hand level of left arm, subsequent N/A S65102D ICD10CM encounter Unspecified injury of radial artery at wrist and hand level of unspecified arm, N/A S65109D ICD10CM subsequent encounter Laceration of radial artery at wrist and hand level of right arm, subsequent N/A S65111D ICD10CM encounter N/A S65112D Laceration of radial artery at wrist and hand level of left arm, subsequent encounter ICD10CM Laceration of radial artery at wrist and hand level of unspecified arm, subsequent N/A S65119D ICD10CM encounter Other specified injury of radial artery at wrist and hand level of right arm, N/A S65191D ICD10CM subsequent encounter Other specified injury of radial artery at wrist and hand level of left arm, subsequent N/A S65192D ICD10CM encounter Other specified injury of radial artery at wrist and hand level of unspecified arm, N/A S65199D ICD10CM subsequent encounter

132 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S65201D Unspecified injury of superficial palmar arch of right hand, subsequent encounter ICD10CM

N/A S65202D Unspecified injury of superficial palmar arch of left hand, subsequent encounter ICD10CM Unspecified injury of superficial palmar arch of unspecified hand, subsequent N/A S65209D ICD10CM encounter N/A S65211D Laceration of superficial palmar arch of right hand, subsequent encounter ICD10CM N/A S65212D Laceration of superficial palmar arch of left hand, subsequent encounter ICD10CM N/A S65219D Laceration of superficial palmar arch of unspecified hand, subsequent encounter ICD10CM

N/A S65291D Other specified injury of superficial palmar arch of right hand, subsequent encounter ICD10CM

N/A S65292D Other specified injury of superficial palmar arch of left hand, subsequent encounter ICD10CM Other specified injury of superficial palmar arch of unspecified hand, subsequent N/A S65299D ICD10CM encounter N/A S65301D Unspecified injury of deep palmar arch of right hand, subsequent encounter ICD10CM

N/A S65302D Unspecified injury of deep palmar arch of left hand, subsequent encounter ICD10CM

N/A S65309D Unspecified injury of deep palmar arch of unspecified hand, subsequent encounter ICD10CM N/A S65311D Laceration of deep palmar arch of right hand, subsequent encounter ICD10CM N/A S65312D Laceration of deep palmar arch of left hand, subsequent encounter ICD10CM N/A S65319D Laceration of deep palmar arch of unspecified hand, subsequent encounter ICD10CM

N/A S65391D Other specified injury of deep palmar arch of right hand, subsequent encounter ICD10CM

N/A S65392D Other specified injury of deep palmar arch of left hand, subsequent encounter ICD10CM Other specified injury of deep palmar arch of unspecified hand, subsequent N/A S65399D ICD10CM encounter N/A S65401D Unspecified injury of blood vessel of right thumb, subsequent encounter ICD10CM N/A S65402D Unspecified injury of blood vessel of left thumb, subsequent encounter ICD10CM N/A S65409D Unspecified injury of blood vessel of unspecified thumb, subsequent encounter ICD10CM N/A S65411D Laceration of blood vessel of right thumb, subsequent encounter ICD10CM N/A S65412D Laceration of blood vessel of left thumb, subsequent encounter ICD10CM N/A S65419D Laceration of blood vessel of unspecified thumb, subsequent encounter ICD10CM N/A S65491D Other specified injury of blood vessel of right thumb, subsequent encounter ICD10CM

N/A S65492D Other specified injury of blood vessel of left thumb, subsequent encounter ICD10CM

N/A S65499D Other specified injury of blood vessel of unspecified thumb, subsequent encounter ICD10CM

N/A S65500D Unspecified injury of blood vessel of right index finger, subsequent encounter ICD10CM

133 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S65501D Unspecified injury of blood vessel of left index finger, subsequent encounter ICD10CM

N/A S65502D Unspecified injury of blood vessel of right middle finger, subsequent encounter ICD10CM

N/A S65503D Unspecified injury of blood vessel of left middle finger, subsequent encounter ICD10CM

N/A S65504D Unspecified injury of blood vessel of right ring finger, subsequent encounter ICD10CM

N/A S65505D Unspecified injury of blood vessel of left ring finger, subsequent encounter ICD10CM

N/A S65506D Unspecified injury of blood vessel of right little finger, subsequent encounter ICD10CM

N/A S65507D Unspecified injury of blood vessel of left little finger, subsequent encounter ICD10CM N/A S65508D Unspecified injury of blood vessel of other finger, subsequent encounter ICD10CM N/A S65509D Unspecified injury of blood vessel of unspecified finger, subsequent encounter ICD10CM N/A S65510D Laceration of blood vessel of right index finger, subsequent encounter ICD10CM N/A S65511D Laceration of blood vessel of left index finger, subsequent encounter ICD10CM N/A S65512D Laceration of blood vessel of right middle finger, subsequent encounter ICD10CM N/A S65513D Laceration of blood vessel of left middle finger, subsequent encounter ICD10CM N/A S65514D Laceration of blood vessel of right ring finger, subsequent encounter ICD10CM N/A S65515D Laceration of blood vessel of left ring finger, subsequent encounter ICD10CM N/A S65516D Laceration of blood vessel of right little finger, subsequent encounter ICD10CM N/A S65517D Laceration of blood vessel of left little finger, subsequent encounter ICD10CM N/A S65518D Laceration of blood vessel of other finger, subsequent encounter ICD10CM N/A S65519D Laceration of blood vessel of unspecified finger, subsequent encounter ICD10CM N/A S65590D Other specified injury of blood vessel of right index finger, subsequent encounter ICD10CM

N/A S65591D Other specified injury of blood vessel of left index finger, subsequent encounter ICD10CM

N/A S65592D Other specified injury of blood vessel of right middle finger, subsequent encounter ICD10CM

N/A S65593D Other specified injury of blood vessel of left middle finger, subsequent encounter ICD10CM

N/A S65594D Other specified injury of blood vessel of right ring finger, subsequent encounter ICD10CM

N/A S65595D Other specified injury of blood vessel of left ring finger, subsequent encounter ICD10CM

N/A S65596D Other specified injury of blood vessel of right little finger, subsequent encounter ICD10CM

N/A S65597D Other specified injury of blood vessel of left little finger, subsequent encounter ICD10CM

N/A S65598D Other specified injury of blood vessel of other finger, subsequent encounter ICD10CM

N/A S65599D Other specified injury of blood vessel of unspecified finger, subsequent encounter ICD10CM

134 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Unspecified injury of other blood vessels at wrist and hand level of right arm, N/A S65801D ICD10CM subsequent encounter Unspecified injury of other blood vessels at wrist and hand level of left arm, N/A S65802D ICD10CM subsequent encounter Unspecified injury of other blood vessels at wrist and hand level of unspecified arm, N/A S65809D ICD10CM subsequent encounter Laceration of other blood vessels at wrist and hand level of right arm, subsequent N/A S65811D ICD10CM encounter Laceration of other blood vessels at wrist and hand level of left arm, subsequent N/A S65812D ICD10CM encounter Laceration of other blood vessels at wrist and hand level of unspecified arm, N/A S65819D ICD10CM subsequent encounter Other specified injury of other blood vessels at wrist and hand level of right arm, N/A S65891D ICD10CM subsequent encounter Other specified injury of other blood vessels at wrist and hand level of left arm, N/A S65892D ICD10CM subsequent encounter Other specified injury of other blood vessels at wrist and hand level of unspecified N/A S65899D ICD10CM arm, subsequent encounter Unspecified injury of unspecified blood vessel at wrist and hand level of right arm, N/A S65901D ICD10CM subsequent encounter Unspecified injury of unspecified blood vessel at wrist and hand level of left arm, N/A S65902D ICD10CM subsequent encounter Unspecified injury of unspecified blood vessel at wrist and hand level of unspecified N/A S65909D ICD10CM arm, subsequent encounter Laceration of unspecified blood vessel at wrist and hand level of right arm, N/A S65911D ICD10CM subsequent encounter Laceration of unspecified blood vessel at wrist and hand level of left arm, N/A S65912D ICD10CM subsequent encounter Laceration of unspecified blood vessel at wrist and hand level of unspecified arm, N/A S65919D ICD10CM subsequent encounter Other specified injury of unspecified blood vessel at wrist and hand of right arm, N/A S65991D ICD10CM subsequent encounter Other specified injury of unspecified blood vessel at wrist and hand of left arm, N/A S65992D ICD10CM subsequent encounter Other specified injury of unspecified blood vessel at wrist and hand of unspecified N/A S65999D ICD10CM arm, subsequent encounter Unspecified injury of long flexor muscle, fascia and tendon of right thumb at wrist N/A S66001D ICD10CM and hand level, subsequent encounter Unspecified injury of long flexor muscle, fascia and tendon of left thumb at wrist and N/A S66002D ICD10CM hand level, subsequent encounter Unspecified injury of long flexor muscle, fascia and tendon of unspecified thumb at N/A S66009D ICD10CM wrist and hand level, subsequent encounter Strain of long flexor muscle, fascia and tendon of right thumb at wrist and hand N/A S66011D ICD10CM level, subsequent encounter Strain of long flexor muscle, fascia and tendon of left thumb at wrist and hand level, N/A S66012D ICD10CM subsequent encounter

135 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Strain of long flexor muscle, fascia and tendon of unspecified thumb at wrist and N/A S66019D ICD10CM hand level, subsequent encounter Laceration of long flexor muscle, fascia and tendon of right thumb at wrist and hand N/A S66021D ICD10CM level, subsequent encounter Laceration of long flexor muscle, fascia and tendon of left thumb at wrist and hand N/A S66022D ICD10CM level, subsequent encounter Laceration of long flexor muscle, fascia and tendon of unspecified thumb at wrist N/A S66029D ICD10CM and hand level, subsequent encounter Other specified injury of long flexor muscle, fascia and tendon of right thumb at N/A S66091D ICD10CM wrist and hand level, subsequent encounter Other specified injury of long flexor muscle, fascia and tendon of left thumb at wrist N/A S66092D ICD10CM and hand level, subsequent encounter Other specified injury of long flexor muscle, fascia and tendon of unspecified thumb N/A S66099D ICD10CM at wrist and hand level, subsequent encounter Unspecified injury of flexor muscle, fascia and tendon of right index finger at wrist N/A S66100D ICD10CM and hand level, subsequent encounter Unspecified injury of flexor muscle, fascia and tendon of left index finger at wrist and N/A S66101D ICD10CM hand level, subsequent encounter Unspecified injury of flexor muscle, fascia and tendon of right middle finger at wrist N/A S66102D ICD10CM and hand level, subsequent encounter Unspecified injury of flexor muscle, fascia and tendon of left middle finger at wrist N/A S66103D ICD10CM and hand level, subsequent encounter Unspecified injury of flexor muscle, fascia and tendon of right ring finger at wrist and N/A S66104D ICD10CM hand level, subsequent encounter Unspecified injury of flexor muscle, fascia and tendon of left ring finger at wrist and N/A S66105D ICD10CM hand level, subsequent encounter Unspecified injury of flexor muscle, fascia and tendon of right little finger at wrist N/A S66106D ICD10CM and hand level, subsequent encounter Unspecified injury of flexor muscle, fascia and tendon of left little finger at wrist and N/A S66107D ICD10CM hand level, subsequent encounter Unspecified injury of flexor muscle, fascia and tendon of other finger at wrist and N/A S66108D ICD10CM hand level, subsequent encounter Unspecified injury of flexor muscle, fascia and tendon of unspecified finger at wrist N/A S66109D ICD10CM and hand level, subsequent encounter Strain of flexor muscle, fascia and tendon of right index finger at wrist and hand N/A S66110D ICD10CM level, subsequent encounter Strain of flexor muscle, fascia and tendon of left index finger at wrist and hand level, N/A S66111D ICD10CM subsequent encounter Strain of flexor muscle, fascia and tendon of right middle finger at wrist and hand N/A S66112D ICD10CM level, subsequent encounter Strain of flexor muscle, fascia and tendon of left middle finger at wrist and hand N/A S66113D ICD10CM level, subsequent encounter Strain of flexor muscle, fascia and tendon of right ring finger at wrist and hand level, N/A S66114D ICD10CM subsequent encounter Strain of flexor muscle, fascia and tendon of left ring finger at wrist and hand level, N/A S66115D ICD10CM subsequent encounter

136 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Strain of flexor muscle, fascia and tendon of right little finger at wrist and hand level, N/A S66116D ICD10CM subsequent encounter Strain of flexor muscle, fascia and tendon of left little finger at wrist and hand level, N/A S66117D ICD10CM subsequent encounter Strain of flexor muscle, fascia and tendon of other finger at wrist and hand level, N/A S66118D ICD10CM subsequent encounter Strain of flexor muscle, fascia and tendon of unspecified finger at wrist and hand N/A S66119D ICD10CM level, subsequent encounter Laceration of flexor muscle, fascia and tendon of right index finger at wrist and hand N/A S66120D ICD10CM level, subsequent encounter Laceration of flexor muscle, fascia and tendon of left index finger at wrist and hand N/A S66121D ICD10CM level, subsequent encounter Laceration of flexor muscle, fascia and tendon of right middle finger at wrist and N/A S66122D ICD10CM hand level, subsequent encounter Laceration of flexor muscle, fascia and tendon of left middle finger at wrist and hand N/A S66123D ICD10CM level, subsequent encounter Laceration of flexor muscle, fascia and tendon of right ring finger at wrist and hand N/A S66124D ICD10CM level, subsequent encounter Laceration of flexor muscle, fascia and tendon of left ring finger at wrist and hand N/A S66125D ICD10CM level, subsequent encounter Laceration of flexor muscle, fascia and tendon of right little finger at wrist and hand N/A S66126D ICD10CM level, subsequent encounter Laceration of flexor muscle, fascia and tendon of left little finger at wrist and hand N/A S66127D ICD10CM level, subsequent encounter Laceration of flexor muscle, fascia and tendon of other finger at wrist and hand level, N/A S66128D ICD10CM subsequent encounter Laceration of flexor muscle, fascia and tendon of unspecified finger at wrist and N/A S66129D ICD10CM hand level, subsequent encounter Other injury of flexor muscle, fascia and tendon of right index finger at wrist and N/A S66190D ICD10CM hand level, subsequent encounter Other injury of flexor muscle, fascia and tendon of left index finger at wrist and hand N/A S66191D ICD10CM level, subsequent encounter Other injury of flexor muscle, fascia and tendon of right middle finger at wrist and N/A S66192D ICD10CM hand level, subsequent encounter Other injury of flexor muscle, fascia and tendon of left middle finger at wrist and N/A S66193D ICD10CM hand level, subsequent encounter Other injury of flexor muscle, fascia and tendon of right ring finger at wrist and hand N/A S66194D ICD10CM level, subsequent encounter Other injury of flexor muscle, fascia and tendon of left ring finger at wrist and hand N/A S66195D ICD10CM level, subsequent encounter Other injury of flexor muscle, fascia and tendon of right little finger at wrist and hand N/A S66196D ICD10CM level, subsequent encounter Other injury of flexor muscle, fascia and tendon of left little finger at wrist and hand N/A S66197D ICD10CM level, subsequent encounter Other injury of flexor muscle, fascia and tendon of other finger at wrist and hand N/A S66198D ICD10CM level, subsequent encounter

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Numerator Value Set Name Code Definition Code System Other injury of flexor muscle, fascia and tendon of unspecified finger at wrist and N/A S66199D ICD10CM hand level, subsequent encounter Unspecified injury of extensor muscle, fascia and tendon of right thumb at wrist and N/A S66201D ICD10CM hand level, subsequent encounter Unspecified injury of extensor muscle, fascia and tendon of left thumb at wrist and N/A S66202D ICD10CM hand level, subsequent encounter Unspecified injury of extensor muscle, fascia and tendon of unspecified thumb at N/A S66209D ICD10CM wrist and hand level, subsequent encounter Strain of extensor muscle, fascia and tendon of right thumb at wrist and hand level, N/A S66211D ICD10CM subsequent encounter Strain of extensor muscle, fascia and tendon of left thumb at wrist and hand level, N/A S66212D ICD10CM subsequent encounter Strain of extensor muscle, fascia and tendon of unspecified thumb at wrist and hand N/A S66219D ICD10CM level, subsequent encounter Laceration of extensor muscle, fascia and tendon of right thumb at wrist and hand N/A S66221D ICD10CM level, subsequent encounter Laceration of extensor muscle, fascia and tendon of left thumb at wrist and hand N/A S66222D ICD10CM level, subsequent encounter Laceration of extensor muscle, fascia and tendon of unspecified thumb at wrist and N/A S66229D ICD10CM hand level, subsequent encounter Other specified injury of extensor muscle, fascia and tendon of right thumb at wrist N/A S66291D ICD10CM and hand level, subsequent encounter Other specified injury of extensor muscle, fascia and tendon of left thumb at wrist N/A S66292D ICD10CM and hand level, subsequent encounter Other specified injury of extensor muscle, fascia and tendon of unspecified thumb at N/A S66299D ICD10CM wrist and hand level, subsequent encounter Unspecified injury of extensor muscle, fascia and tendon of right index finger at wrist N/A S66300D ICD10CM and hand level, subsequent encounter Unspecified injury of extensor muscle, fascia and tendon of left index finger at wrist N/A S66301D ICD10CM and hand level, subsequent encounter Unspecified injury of extensor muscle, fascia and tendon of right middle finger at N/A S66302D ICD10CM wrist and hand level, subsequent encounter Unspecified injury of extensor muscle, fascia and tendon of left middle finger at N/A S66303D ICD10CM wrist and hand level, subsequent encounter Unspecified injury of extensor muscle, fascia and tendon of right ring finger at wrist N/A S66304D ICD10CM and hand level, subsequent encounter Unspecified injury of extensor muscle, fascia and tendon of left ring finger at wrist N/A S66305D ICD10CM and hand level, subsequent encounter Unspecified injury of extensor muscle, fascia and tendon of right little finger at wrist N/A S66306D ICD10CM and hand level, subsequent encounter Unspecified injury of extensor muscle, fascia and tendon of left little finger at wrist N/A S66307D ICD10CM and hand level, subsequent encounter Unspecified injury of extensor muscle, fascia and tendon of other finger at wrist and N/A S66308D ICD10CM hand level, subsequent encounter Unspecified injury of extensor muscle, fascia and tendon of unspecified finger at N/A S66309D ICD10CM wrist and hand level, subsequent encounter

138 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Strain of extensor muscle, fascia and tendon of right index finger at wrist and hand N/A S66310D ICD10CM level, subsequent encounter Strain of extensor muscle, fascia and tendon of left index finger at wrist and hand N/A S66311D ICD10CM level, subsequent encounter Strain of extensor muscle, fascia and tendon of right middle finger at wrist and hand N/A S66312D ICD10CM level, subsequent encounter Strain of extensor muscle, fascia and tendon of left middle finger at wrist and hand N/A S66313D ICD10CM level, subsequent encounter Strain of extensor muscle, fascia and tendon of right ring finger at wrist and hand N/A S66314D ICD10CM level, subsequent encounter Strain of extensor muscle, fascia and tendon of left ring finger at wrist and hand N/A S66315D ICD10CM level, subsequent encounter Strain of extensor muscle, fascia and tendon of right little finger at wrist and hand N/A S66316D ICD10CM level, subsequent encounter Strain of extensor muscle, fascia and tendon of left little finger at wrist and hand N/A S66317D ICD10CM level, subsequent encounter Strain of extensor muscle, fascia and tendon of other finger at wrist and hand level, N/A S66318D ICD10CM subsequent encounter Strain of extensor muscle, fascia and tendon of unspecified finger at wrist and hand N/A S66319D ICD10CM level, subsequent encounter Laceration of extensor muscle, fascia and tendon of right index finger at wrist and N/A S66320D ICD10CM hand level, subsequent encounter Laceration of extensor muscle, fascia and tendon of left index finger at wrist and N/A S66321D ICD10CM hand level, subsequent encounter Laceration of extensor muscle, fascia and tendon of right middle finger at wrist and N/A S66322D ICD10CM hand level, subsequent encounter Laceration of extensor muscle, fascia and tendon of left middle finger at wrist and N/A S66323D ICD10CM hand level, subsequent encounter Laceration of extensor muscle, fascia and tendon of right ring finger at wrist and N/A S66324D ICD10CM hand level, subsequent encounter Laceration of extensor muscle, fascia and tendon of left ring finger at wrist and hand N/A S66325D ICD10CM level, subsequent encounter Laceration of extensor muscle, fascia and tendon of right little finger at wrist and N/A S66326D ICD10CM hand level, subsequent encounter Laceration of extensor muscle, fascia and tendon of left little finger at wrist and N/A S66327D ICD10CM hand level, subsequent encounter Laceration of extensor muscle, fascia and tendon of other finger at wrist and hand N/A S66328D ICD10CM level, subsequent encounter Laceration of extensor muscle, fascia and tendon of unspecified finger at wrist and N/A S66329D ICD10CM hand level, subsequent encounter Other injury of extensor muscle, fascia and tendon of right index finger at wrist and N/A S66390D ICD10CM hand level, subsequent encounter Other injury of extensor muscle, fascia and tendon of left index finger at wrist and N/A S66391D ICD10CM hand level, subsequent encounter Other injury of extensor muscle, fascia and tendon of right middle finger at wrist and N/A S66392D ICD10CM hand level, subsequent encounter

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Numerator Value Set Name Code Definition Code System Other injury of extensor muscle, fascia and tendon of left middle finger at wrist and N/A S66393D ICD10CM hand level, subsequent encounter Other injury of extensor muscle, fascia and tendon of right ring finger at wrist and N/A S66394D ICD10CM hand level, subsequent encounter Other injury of extensor muscle, fascia and tendon of left ring finger at wrist and N/A S66395D ICD10CM hand level, subsequent encounter Other injury of extensor muscle, fascia and tendon of right little finger at wrist and N/A S66396D ICD10CM hand level, subsequent encounter Other injury of extensor muscle, fascia and tendon of left little finger at wrist and N/A S66397D ICD10CM hand level, subsequent encounter Other injury of extensor muscle, fascia and tendon of other finger at wrist and hand N/A S66398D ICD10CM level, subsequent encounter Other injury of extensor muscle, fascia and tendon of unspecified finger at wrist and N/A S66399D ICD10CM hand level, subsequent encounter Unspecified injury of intrinsic muscle, fascia and tendon of right thumb at wrist and N/A S66401D ICD10CM hand level, subsequent encounter Unspecified injury of intrinsic muscle, fascia and tendon of left thumb at wrist and N/A S66402D ICD10CM hand level, subsequent encounter Unspecified injury of intrinsic muscle, fascia and tendon of unspecified thumb at N/A S66409D ICD10CM wrist and hand level, subsequent encounter Strain of intrinsic muscle, fascia and tendon of right thumb at wrist and hand level, N/A S66411D ICD10CM subsequent encounter Strain of intrinsic muscle, fascia and tendon of left thumb at wrist and hand level, N/A S66412D ICD10CM subsequent encounter Strain of intrinsic muscle, fascia and tendon of unspecified thumb at wrist and hand N/A S66419D ICD10CM level, subsequent encounter Laceration of intrinsic muscle, fascia and tendon of right thumb at wrist and hand N/A S66421D ICD10CM level, subsequent encounter Laceration of intrinsic muscle, fascia and tendon of left thumb at wrist and hand N/A S66422D ICD10CM level, subsequent encounter Laceration of intrinsic muscle, fascia and tendon of unspecified thumb at wrist and N/A S66429D ICD10CM hand level, subsequent encounter Other specified injury of intrinsic muscle, fascia and tendon of right thumb at wrist N/A S66491D ICD10CM and hand level, subsequent encounter Other specified injury of intrinsic muscle, fascia and tendon of left thumb at wrist N/A S66492D ICD10CM and hand level, subsequent encounter Other specified injury of intrinsic muscle, fascia and tendon of unspecified thumb at N/A S66499D ICD10CM wrist and hand level, subsequent encounter Unspecified injury of intrinsic muscle, fascia and tendon of right index finger at wrist N/A S66500D ICD10CM and hand level, subsequent encounter Unspecified injury of intrinsic muscle, fascia and tendon of left index finger at wrist N/A S66501D ICD10CM and hand level, subsequent encounter Unspecified injury of intrinsic muscle, fascia and tendon of right middle finger at N/A S66502D ICD10CM wrist and hand level, subsequent encounter Unspecified injury of intrinsic muscle, fascia and tendon of left middle finger at wrist N/A S66503D ICD10CM and hand level, subsequent encounter

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Numerator Value Set Name Code Definition Code System Unspecified injury of intrinsic muscle, fascia and tendon of right ring finger at wrist N/A S66504D ICD10CM and hand level, subsequent encounter Unspecified injury of intrinsic muscle, fascia and tendon of left ring finger at wrist N/A S66505D ICD10CM and hand level, subsequent encounter Unspecified injury of intrinsic muscle, fascia and tendon of right little finger at wrist N/A S66506D ICD10CM and hand level, subsequent encounter Unspecified injury of intrinsic muscle, fascia and tendon of left little finger at wrist N/A S66507D ICD10CM and hand level, subsequent encounter Unspecified injury of intrinsic muscle, fascia and tendon of other finger at wrist and N/A S66508D ICD10CM hand level, subsequent encounter Unspecified injury of intrinsic muscle, fascia and tendon of unspecified finger at wrist N/A S66509D ICD10CM and hand level, subsequent encounter Strain of intrinsic muscle, fascia and tendon of right index finger at wrist and hand N/A S66510D ICD10CM level, subsequent encounter Strain of intrinsic muscle, fascia and tendon of left index finger at wrist and hand N/A S66511D ICD10CM level, subsequent encounter Strain of intrinsic muscle, fascia and tendon of right middle finger at wrist and hand N/A S66512D ICD10CM level, subsequent encounter Strain of intrinsic muscle, fascia and tendon of left middle finger at wrist and hand N/A S66513D ICD10CM level, subsequent encounter Strain of intrinsic muscle, fascia and tendon of right ring finger at wrist and hand N/A S66514D ICD10CM level, subsequent encounter Strain of intrinsic muscle, fascia and tendon of left ring finger at wrist and hand level, N/A S66515D ICD10CM subsequent encounter Strain of intrinsic muscle, fascia and tendon of right little finger at wrist and hand N/A S66516D ICD10CM level, subsequent encounter Strain of intrinsic muscle, fascia and tendon of left little finger at wrist and hand N/A S66517D ICD10CM level, subsequent encounter Strain of intrinsic muscle, fascia and tendon of other finger at wrist and hand level, N/A S66518D ICD10CM subsequent encounter Strain of intrinsic muscle, fascia and tendon of unspecified finger at wrist and hand N/A S66519D ICD10CM level, subsequent encounter Laceration of intrinsic muscle, fascia and tendon of right index finger at wrist and N/A S66520D ICD10CM hand level, subsequent encounter Laceration of intrinsic muscle, fascia and tendon of left index finger at wrist and N/A S66521D ICD10CM hand level, subsequent encounter Laceration of intrinsic muscle, fascia and tendon of right middle finger at wrist and N/A S66522D ICD10CM hand level, subsequent encounter Laceration of intrinsic muscle, fascia and tendon of left middle finger at wrist and N/A S66523D ICD10CM hand level, subsequent encounter Laceration of intrinsic muscle, fascia and tendon of right ring finger at wrist and hand N/A S66524D ICD10CM level, subsequent encounter Laceration of intrinsic muscle, fascia and tendon of left ring finger at wrist and hand N/A S66525D ICD10CM level, subsequent encounter Laceration of intrinsic muscle, fascia and tendon of right little finger at wrist and N/A S66526D ICD10CM hand level, subsequent encounter

141 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Laceration of intrinsic muscle, fascia and tendon of left little finger at wrist and hand N/A S66527D ICD10CM level, subsequent encounter Laceration of intrinsic muscle, fascia and tendon of other finger at wrist and hand N/A S66528D ICD10CM level, subsequent encounter Laceration of intrinsic muscle, fascia and tendon of unspecified finger at wrist and N/A S66529D ICD10CM hand level, subsequent encounter Other injury of intrinsic muscle, fascia and tendon of right index finger at wrist and N/A S66590D ICD10CM hand level, subsequent encounter Other injury of intrinsic muscle, fascia and tendon of left index finger at wrist and N/A S66591D ICD10CM hand level, subsequent encounter Other injury of intrinsic muscle, fascia and tendon of right middle finger at wrist and N/A S66592D ICD10CM hand level, subsequent encounter Other injury of intrinsic muscle, fascia and tendon of left middle finger at wrist and N/A S66593D ICD10CM hand level, subsequent encounter Other injury of intrinsic muscle, fascia and tendon of right ring finger at wrist and N/A S66594D ICD10CM hand level, subsequent encounter Other injury of intrinsic muscle, fascia and tendon of left ring finger at wrist and N/A S66595D ICD10CM hand level, subsequent encounter Other injury of intrinsic muscle, fascia and tendon of right little finger at wrist and N/A S66596D ICD10CM hand level, subsequent encounter Other injury of intrinsic muscle, fascia and tendon of left little finger at wrist and N/A S66597D ICD10CM hand level, subsequent encounter Other injury of intrinsic muscle, fascia and tendon of other finger at wrist and hand N/A S66598D ICD10CM level, subsequent encounter Other injury of intrinsic muscle, fascia and tendon of unspecified finger at wrist and N/A S66599D ICD10CM hand level, subsequent encounter Unspecified injury of other specified muscles, fascia and tendons at wrist and hand N/A S66801D ICD10CM level, right hand, subsequent encounter Unspecified injury of other specified muscles, fascia and tendons at wrist and hand N/A S66802D ICD10CM level, left hand, subsequent encounter Unspecified injury of other specified muscles, fascia and tendons at wrist and hand N/A S66809D ICD10CM level, unspecified hand, subsequent encounter Strain of other specified muscles, fascia and tendons at wrist and hand level, right N/A S66811D ICD10CM hand, subsequent encounter Strain of other specified muscles, fascia and tendons at wrist and hand level, left N/A S66812D ICD10CM hand, subsequent encounter Strain of other specified muscles, fascia and tendons at wrist and hand level, N/A S66819D ICD10CM unspecified hand, subsequent encounter Laceration of other specified muscles, fascia and tendons at wrist and hand level, N/A S66821D ICD10CM right hand, subsequent encounter Laceration of other specified muscles, fascia and tendons at wrist and hand level, left N/A S66822D ICD10CM hand, subsequent encounter Laceration of other specified muscles, fascia and tendons at wrist and hand level, N/A S66829D ICD10CM unspecified hand, subsequent encounter Other injury of other specified muscles, fascia and tendons at wrist and hand level, N/A S66891D ICD10CM right hand, subsequent encounter

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Numerator Value Set Name Code Definition Code System Other injury of other specified muscles, fascia and tendons at wrist and hand level, N/A S66892D ICD10CM left hand, subsequent encounter Other injury of other specified muscles, fascia and tendons at wrist and hand level, N/A S66899D ICD10CM unspecified hand, subsequent encounter Unspecified injury of unspecified muscle, fascia and tendon at wrist and hand level, N/A S66901D ICD10CM right hand, subsequent encounter Unspecified injury of unspecified muscle, fascia and tendon at wrist and hand level, N/A S66902D ICD10CM left hand, subsequent encounter Unspecified injury of unspecified muscle, fascia and tendon at wrist and hand level, N/A S66909D ICD10CM unspecified hand, subsequent encounter Strain of unspecified muscle, fascia and tendon at wrist and hand level, right hand, N/A S66911D ICD10CM subsequent encounter Strain of unspecified muscle, fascia and tendon at wrist and hand level, left hand, N/A S66912D ICD10CM subsequent encounter Strain of unspecified muscle, fascia and tendon at wrist and hand level, unspecified N/A S66919D ICD10CM hand, subsequent encounter Laceration of unspecified muscle, fascia and tendon at wrist and hand level, right N/A S66921D ICD10CM hand, subsequent encounter Laceration of unspecified muscle, fascia and tendon at wrist and hand level, left N/A S66922D ICD10CM hand, subsequent encounter Laceration of unspecified muscle, fascia and tendon at wrist and hand level, N/A S66929D ICD10CM unspecified hand, subsequent encounter Other injury of unspecified muscle, fascia and tendon at wrist and hand level, right N/A S66991D ICD10CM hand, subsequent encounter Other injury of unspecified muscle, fascia and tendon at wrist and hand level, left N/A S66992D ICD10CM hand, subsequent encounter Other injury of unspecified muscle, fascia and tendon at wrist and hand level, N/A S66999D ICD10CM unspecified hand, subsequent encounter N/A S6700XD Crushing injury of unspecified thumb, subsequent encounter ICD10CM N/A S6701XD Crushing injury of right thumb, subsequent encounter ICD10CM N/A S6702XD Crushing injury of left thumb, subsequent encounter ICD10CM N/A S6710XD Crushing injury of unspecified finger(s), subsequent encounter ICD10CM N/A S67190D Crushing injury of right index finger, subsequent encounter ICD10CM N/A S67191D Crushing injury of left index finger, subsequent encounter ICD10CM N/A S67192D Crushing injury of right middle finger, subsequent encounter ICD10CM N/A S67193D Crushing injury of left middle finger, subsequent encounter ICD10CM N/A S67194D Crushing injury of right ring finger, subsequent encounter ICD10CM N/A S67195D Crushing injury of left ring finger, subsequent encounter ICD10CM N/A S67196D Crushing injury of right little finger, subsequent encounter ICD10CM N/A S67197D Crushing injury of left little finger, subsequent encounter ICD10CM N/A S67198D Crushing injury of other finger, subsequent encounter ICD10CM N/A S6720XD Crushing injury of unspecified hand, subsequent encounter ICD10CM N/A S6721XD Crushing injury of right hand, subsequent encounter ICD10CM N/A S6722XD Crushing injury of left hand, subsequent encounter ICD10CM N/A S6730XD Crushing injury of unspecified wrist, subsequent encounter ICD10CM N/A S6731XD Crushing injury of right wrist, subsequent encounter ICD10CM N/A S6732XD Crushing injury of left wrist, subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System N/A S6740XD Crushing injury of unspecified wrist and hand, subsequent encounter ICD10CM N/A S6741XD Crushing injury of right wrist and hand, subsequent encounter ICD10CM N/A S6742XD Crushing injury of left wrist and hand, subsequent encounter ICD10CM Crushing injury of unspecified part(s) of unspecified wrist, hand and fingers, N/A S6790XD ICD10CM subsequent encounter Crushing injury of unspecified part(s) of right wrist, hand and fingers, subsequent N/A S6791XD ICD10CM encounter Crushing injury of unspecified part(s) of left wrist, hand and fingers, subsequent N/A S6792XD ICD10CM encounter Complete traumatic metacarpophalangeal amputation of right thumb, subsequent N/A S68011D ICD10CM encounter Complete traumatic metacarpophalangeal amputation of left thumb, subsequent N/A S68012D ICD10CM encounter Complete traumatic metacarpophalangeal amputation of unspecified thumb, N/A S68019D ICD10CM subsequent encounter Partial traumatic metacarpophalangeal amputation of right thumb, subsequent N/A S68021D ICD10CM encounter Partial traumatic metacarpophalangeal amputation of left thumb, subsequent N/A S68022D ICD10CM encounter Partial traumatic metacarpophalangeal amputation of unspecified thumb, N/A S68029D ICD10CM subsequent encounter Complete traumatic metacarpophalangeal amputation of right index finger, N/A S68110D ICD10CM subsequent encounter Complete traumatic metacarpophalangeal amputation of left index finger, N/A S68111D ICD10CM subsequent encounter Complete traumatic metacarpophalangeal amputation of right middle finger, N/A S68112D ICD10CM subsequent encounter Complete traumatic metacarpophalangeal amputation of left middle finger, N/A S68113D ICD10CM subsequent encounter Complete traumatic metacarpophalangeal amputation of right ring finger, N/A S68114D ICD10CM subsequent encounter Complete traumatic metacarpophalangeal amputation of left ring finger, subsequent N/A S68115D ICD10CM encounter Complete traumatic metacarpophalangeal amputation of right little finger, N/A S68116D ICD10CM subsequent encounter Complete traumatic metacarpophalangeal amputation of left little finger, N/A S68117D ICD10CM subsequent encounter Complete traumatic metacarpophalangeal amputation of other finger, subsequent N/A S68118D ICD10CM encounter Complete traumatic metacarpophalangeal amputation of unspecified finger, N/A S68119D ICD10CM subsequent encounter Partial traumatic metacarpophalangeal amputation of right index finger, subsequent N/A S68120D ICD10CM encounter Partial traumatic metacarpophalangeal amputation of left index finger, subsequent N/A S68121D ICD10CM encounter Partial traumatic metacarpophalangeal amputation of right middle finger, N/A S68122D ICD10CM subsequent encounter

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Numerator Value Set Name Code Definition Code System Partial traumatic metacarpophalangeal amputation of left middle finger, subsequent N/A S68123D ICD10CM encounter Partial traumatic metacarpophalangeal amputation of right ring finger, subsequent N/A S68124D ICD10CM encounter Partial traumatic metacarpophalangeal amputation of left ring finger, subsequent N/A S68125D ICD10CM encounter Partial traumatic metacarpophalangeal amputation of right little finger, subsequent N/A S68126D ICD10CM encounter Partial traumatic metacarpophalangeal amputation of left little finger, subsequent N/A S68127D ICD10CM encounter Partial traumatic metacarpophalangeal amputation of other finger, subsequent N/A S68128D ICD10CM encounter Partial traumatic metacarpophalangeal amputation of unspecified finger, N/A S68129D ICD10CM subsequent encounter N/A S68411D Complete traumatic amputation of right hand at wrist level, subsequent encounter ICD10CM

N/A S68412D Complete traumatic amputation of left hand at wrist level, subsequent encounter ICD10CM Complete traumatic amputation of unspecified hand at wrist level, subsequent N/A S68419D ICD10CM encounter N/A S68421D Partial traumatic amputation of right hand at wrist level, subsequent encounter ICD10CM

N/A S68422D Partial traumatic amputation of left hand at wrist level, subsequent encounter ICD10CM Partial traumatic amputation of unspecified hand at wrist level, subsequent N/A S68429D ICD10CM encounter Complete traumatic transphalangeal amputation of right thumb, subsequent N/A S68511D ICD10CM encounter Complete traumatic transphalangeal amputation of left thumb, subsequent N/A S68512D ICD10CM encounter Complete traumatic transphalangeal amputation of unspecified thumb, subsequent N/A S68519D ICD10CM encounter N/A S68521D Partial traumatic transphalangeal amputation of right thumb, subsequent encounter ICD10CM

N/A S68522D Partial traumatic transphalangeal amputation of left thumb, subsequent encounter ICD10CM Partial traumatic transphalangeal amputation of unspecified thumb, subsequent N/A S68529D ICD10CM encounter Complete traumatic transphalangeal amputation of right index finger, subsequent N/A S68610D ICD10CM encounter Complete traumatic transphalangeal amputation of left index finger, subsequent N/A S68611D ICD10CM encounter Complete traumatic transphalangeal amputation of right middle finger, subsequent N/A S68612D ICD10CM encounter Complete traumatic transphalangeal amputation of left middle finger, subsequent N/A S68613D ICD10CM encounter

145 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Complete traumatic transphalangeal amputation of right ring finger, subsequent N/A S68614D ICD10CM encounter Complete traumatic transphalangeal amputation of left ring finger, subsequent N/A S68615D ICD10CM encounter Complete traumatic transphalangeal amputation of right little finger, subsequent N/A S68616D ICD10CM encounter Complete traumatic transphalangeal amputation of left little finger, subsequent N/A S68617D ICD10CM encounter Complete traumatic transphalangeal amputation of other finger, subsequent N/A S68618D ICD10CM encounter Complete traumatic transphalangeal amputation of unspecified finger, subsequent N/A S68619D ICD10CM encounter Partial traumatic transphalangeal amputation of right index finger, subsequent N/A S68620D ICD10CM encounter Partial traumatic transphalangeal amputation of left index finger, subsequent N/A S68621D ICD10CM encounter Partial traumatic transphalangeal amputation of right middle finger, subsequent N/A S68622D ICD10CM encounter Partial traumatic transphalangeal amputation of left middle finger, subsequent N/A S68623D ICD10CM encounter Partial traumatic transphalangeal amputation of right ring finger, subsequent N/A S68624D ICD10CM encounter Partial traumatic transphalangeal amputation of left ring finger, subsequent N/A S68625D ICD10CM encounter Partial traumatic transphalangeal amputation of right little finger, subsequent N/A S68626D ICD10CM encounter Partial traumatic transphalangeal amputation of left little finger, subsequent N/A S68627D ICD10CM encounter N/A S68628D Partial traumatic transphalangeal amputation of other finger, subsequent encounter ICD10CM Partial traumatic transphalangeal amputation of unspecified finger, subsequent N/A S68629D ICD10CM encounter Complete traumatic transmetacarpal amputation of right hand, subsequent N/A S68711D ICD10CM encounter Complete traumatic transmetacarpal amputation of left hand, subsequent N/A S68712D ICD10CM encounter Complete traumatic transmetacarpal amputation of unspecified hand, subsequent N/A S68719D ICD10CM encounter N/A S68721D Partial traumatic transmetacarpal amputation of right hand, subsequent encounter ICD10CM

N/A S68722D Partial traumatic transmetacarpal amputation of left hand, subsequent encounter ICD10CM Partial traumatic transmetacarpal amputation of unspecified hand, subsequent N/A S68729D ICD10CM encounter Other specified injuries of unspecified wrist, hand and finger(s), subsequent N/A S6980XD ICD10CM encounter

146 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S6981XD Other specified injuries of right wrist, hand and finger(s), subsequent encounter ICD10CM

N/A S6982XD Other specified injuries of left wrist, hand and finger(s), subsequent encounter ICD10CM

N/A S6990XD Unspecified injury of unspecified wrist, hand and finger(s), subsequent encounter ICD10CM

N/A S6991XD Unspecified injury of right wrist, hand and finger(s), subsequent encounter ICD10CM N/A S6992XD Unspecified injury of left wrist, hand and finger(s), subsequent encounter ICD10CM N/A S7000XD Contusion of unspecified hip, subsequent encounter ICD10CM N/A S7001XD Contusion of right hip, subsequent encounter ICD10CM N/A S7002XD Contusion of left hip, subsequent encounter ICD10CM N/A S7010XD Contusion of unspecified thigh, subsequent encounter ICD10CM N/A S7011XD Contusion of right thigh, subsequent encounter ICD10CM N/A S7012XD Contusion of left thigh, subsequent encounter ICD10CM N/A S70211D Abrasion, right hip, subsequent encounter ICD10CM N/A S70212D Abrasion, left hip, subsequent encounter ICD10CM N/A S70219D Abrasion, unspecified hip, subsequent encounter ICD10CM N/A S70221D Blister (nonthermal), right hip, subsequent encounter ICD10CM N/A S70222D Blister (nonthermal), left hip, subsequent encounter ICD10CM N/A S70229D Blister (nonthermal), unspecified hip, subsequent encounter ICD10CM N/A S70241D External constriction, right hip, subsequent encounter ICD10CM N/A S70242D External constriction, left hip, subsequent encounter ICD10CM N/A S70249D External constriction, unspecified hip, subsequent encounter ICD10CM N/A S70251D Superficial foreign body, right hip, subsequent encounter ICD10CM N/A S70252D Superficial foreign body, left hip, subsequent encounter ICD10CM N/A S70259D Superficial foreign body, unspecified hip, subsequent encounter ICD10CM N/A S70261D Insect bite (nonvenomous), right hip, subsequent encounter ICD10CM N/A S70262D Insect bite (nonvenomous), left hip, subsequent encounter ICD10CM N/A S70269D Insect bite (nonvenomous), unspecified hip, subsequent encounter ICD10CM N/A S70271D Other superficial bite of hip, right hip, subsequent encounter ICD10CM N/A S70272D Other superficial bite of hip, left hip, subsequent encounter ICD10CM N/A S70279D Other superficial bite of hip, unspecified hip, subsequent encounter ICD10CM N/A S70311D Abrasion, right thigh, subsequent encounter ICD10CM N/A S70312D Abrasion, left thigh, subsequent encounter ICD10CM N/A S70319D Abrasion, unspecified thigh, subsequent encounter ICD10CM N/A S70321D Blister (nonthermal), right thigh, subsequent encounter ICD10CM N/A S70322D Blister (nonthermal), left thigh, subsequent encounter ICD10CM N/A S70329D Blister (nonthermal), unspecified thigh, subsequent encounter ICD10CM N/A S70341D External constriction, right thigh, subsequent encounter ICD10CM N/A S70342D External constriction, left thigh, subsequent encounter ICD10CM N/A S70349D External constriction, unspecified thigh, subsequent encounter ICD10CM N/A S70351D Superficial foreign body, right thigh, subsequent encounter ICD10CM N/A S70352D Superficial foreign body, left thigh, subsequent encounter ICD10CM N/A S70359D Superficial foreign body, unspecified thigh, subsequent encounter ICD10CM N/A S70361D Insect bite (nonvenomous), right thigh, subsequent encounter ICD10CM N/A S70362D Insect bite (nonvenomous), left thigh, subsequent encounter ICD10CM

147 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S70369D Insect bite (nonvenomous), unspecified thigh, subsequent encounter ICD10CM N/A S70371D Other superficial bite of right thigh, subsequent encounter ICD10CM N/A S70372D Other superficial bite of left thigh, subsequent encounter ICD10CM N/A S70379D Other superficial bite of unspecified thigh, subsequent encounter ICD10CM N/A S70911D Unspecified superficial injury of right hip, subsequent encounter ICD10CM N/A S70912D Unspecified superficial injury of left hip, subsequent encounter ICD10CM N/A S70919D Unspecified superficial injury of unspecified hip, subsequent encounter ICD10CM N/A S70921D Unspecified superficial injury of right thigh, subsequent encounter ICD10CM N/A S70922D Unspecified superficial injury of left thigh, subsequent encounter ICD10CM N/A S70929D Unspecified superficial injury of unspecified thigh, subsequent encounter ICD10CM N/A S71001D Unspecified open wound, right hip, subsequent encounter ICD10CM N/A S71002D Unspecified open wound, left hip, subsequent encounter ICD10CM N/A S71009D Unspecified open wound, unspecified hip, subsequent encounter ICD10CM N/A S71011D Laceration without foreign body, right hip, subsequent encounter ICD10CM N/A S71012D Laceration without foreign body, left hip, subsequent encounter ICD10CM N/A S71019D Laceration without foreign body, unspecified hip, subsequent encounter ICD10CM N/A S71021D Laceration with foreign body, right hip, subsequent encounter ICD10CM N/A S71022D Laceration with foreign body, left hip, subsequent encounter ICD10CM N/A S71029D Laceration with foreign body, unspecified hip, subsequent encounter ICD10CM N/A S71031D Puncture wound without foreign body, right hip, subsequent encounter ICD10CM N/A S71032D Puncture wound without foreign body, left hip, subsequent encounter ICD10CM N/A S71039D Puncture wound without foreign body, unspecified hip, subsequent encounter ICD10CM N/A S71041D Puncture wound with foreign body, right hip, subsequent encounter ICD10CM N/A S71042D Puncture wound with foreign body, left hip, subsequent encounter ICD10CM N/A S71049D Puncture wound with foreign body, unspecified hip, subsequent encounter ICD10CM N/A S71051D Open bite, right hip, subsequent encounter ICD10CM N/A S71052D Open bite, left hip, subsequent encounter ICD10CM N/A S71059D Open bite, unspecified hip, subsequent encounter ICD10CM N/A S71101D Unspecified open wound, right thigh, subsequent encounter ICD10CM N/A S71102D Unspecified open wound, left thigh, subsequent encounter ICD10CM N/A S71109D Unspecified open wound, unspecified thigh, subsequent encounter ICD10CM N/A S71111D Laceration without foreign body, right thigh, subsequent encounter ICD10CM N/A S71112D Laceration without foreign body, left thigh, subsequent encounter ICD10CM N/A S71119D Laceration without foreign body, unspecified thigh, subsequent encounter ICD10CM N/A S71121D Laceration with foreign body, right thigh, subsequent encounter ICD10CM N/A S71122D Laceration with foreign body, left thigh, subsequent encounter ICD10CM N/A S71129D Laceration with foreign body, unspecified thigh, subsequent encounter ICD10CM N/A S71131D Puncture wound without foreign body, right thigh, subsequent encounter ICD10CM N/A S71132D Puncture wound without foreign body, left thigh, subsequent encounter ICD10CM N/A S71139D Puncture wound without foreign body, unspecified thigh, subsequent encounter ICD10CM N/A S71141D Puncture wound with foreign body, right thigh, subsequent encounter ICD10CM N/A S71142D Puncture wound with foreign body, left thigh, subsequent encounter ICD10CM

148 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S71149D Puncture wound with foreign body, unspecified thigh, subsequent encounter ICD10CM N/A S71151D Open bite, right thigh, subsequent encounter ICD10CM N/A S71152D Open bite, left thigh, subsequent encounter ICD10CM N/A S71159D Open bite, unspecified thigh, subsequent encounter ICD10CM N/A S73001D Unspecified subluxation of right hip, subsequent encounter ICD10CM N/A S73002D Unspecified subluxation of left hip, subsequent encounter ICD10CM N/A S73003D Unspecified subluxation of unspecified hip, subsequent encounter ICD10CM N/A S73004D Unspecified dislocation of right hip, subsequent encounter ICD10CM N/A S73005D Unspecified dislocation of left hip, subsequent encounter ICD10CM N/A S73006D Unspecified dislocation of unspecified hip, subsequent encounter ICD10CM N/A S73011D Posterior subluxation of right hip, subsequent encounter ICD10CM N/A S73012D Posterior subluxation of left hip, subsequent encounter ICD10CM N/A S73013D Posterior subluxation of unspecified hip, subsequent encounter ICD10CM N/A S73014D Posterior dislocation of right hip, subsequent encounter ICD10CM N/A S73015D Posterior dislocation of left hip, subsequent encounter ICD10CM N/A S73016D Posterior dislocation of unspecified hip, subsequent encounter ICD10CM N/A S73021D Obturator subluxation of right hip, subsequent encounter ICD10CM N/A S73022D Obturator subluxation of left hip, subsequent encounter ICD10CM N/A S73023D Obturator subluxation of unspecified hip, subsequent encounter ICD10CM N/A S73024D Obturator dislocation of right hip, subsequent encounter ICD10CM N/A S73025D Obturator dislocation of left hip, subsequent encounter ICD10CM N/A S73026D Obturator dislocation of unspecified hip, subsequent encounter ICD10CM N/A S73031D Other anterior subluxation of right hip, subsequent encounter ICD10CM N/A S73032D Other anterior subluxation of left hip, subsequent encounter ICD10CM N/A S73033D Other anterior subluxation of unspecified hip, subsequent encounter ICD10CM N/A S73034D Other anterior dislocation of right hip, subsequent encounter ICD10CM N/A S73035D Other anterior dislocation of left hip, subsequent encounter ICD10CM N/A S73036D Other anterior dislocation of unspecified hip, subsequent encounter ICD10CM N/A S73041D Central subluxation of right hip, subsequent encounter ICD10CM N/A S73042D Central subluxation of left hip, subsequent encounter ICD10CM N/A S73043D Central subluxation of unspecified hip, subsequent encounter ICD10CM N/A S73044D Central dislocation of right hip, subsequent encounter ICD10CM N/A S73045D Central dislocation of left hip, subsequent encounter ICD10CM N/A S73046D Central dislocation of unspecified hip, subsequent encounter ICD10CM N/A S73101D Unspecified sprain of right hip, subsequent encounter ICD10CM N/A S73102D Unspecified sprain of left hip, subsequent encounter ICD10CM N/A S73109D Unspecified sprain of unspecified hip, subsequent encounter ICD10CM N/A S73111D Iliofemoral ligament sprain of right hip, subsequent encounter ICD10CM N/A S73112D Iliofemoral ligament sprain of left hip, subsequent encounter ICD10CM N/A S73119D Iliofemoral ligament sprain of unspecified hip, subsequent encounter ICD10CM N/A S73121D Ischiocapsular ligament sprain of right hip, subsequent encounter ICD10CM N/A S73122D Ischiocapsular ligament sprain of left hip, subsequent encounter ICD10CM N/A S73129D Ischiocapsular ligament sprain of unspecified hip, subsequent encounter ICD10CM N/A S73191D Other sprain of right hip, subsequent encounter ICD10CM N/A S73192D Other sprain of left hip, subsequent encounter ICD10CM N/A S73199D Other sprain of unspecified hip, subsequent encounter ICD10CM

149 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S7400XD Injury of sciatic nerve at hip and thigh level, unspecified leg, subsequent encounter ICD10CM

N/A S7401XD Injury of sciatic nerve at hip and thigh level, right leg, subsequent encounter ICD10CM

N/A S7402XD Injury of sciatic nerve at hip and thigh level, left leg, subsequent encounter ICD10CM

N/A S7410XD Injury of femoral nerve at hip and thigh level, unspecified leg, subsequent encounter ICD10CM

N/A S7411XD Injury of femoral nerve at hip and thigh level, right leg, subsequent encounter ICD10CM

N/A S7412XD Injury of femoral nerve at hip and thigh level, left leg, subsequent encounter ICD10CM Injury of cutaneous sensory nerve at hip and thigh level, unspecified leg, subsequent N/A S7420XD ICD10CM encounter Injury of cutaneous sensory nerve at hip and high level, right leg, subsequent N/A S7421XD ICD10CM encounter Injury of cutaneous sensory nerve at hip and thigh level, left leg, subsequent N/A S7422XD ICD10CM encounter N/A S748X1D Injury of other nerves at hip and thigh level, right leg, subsequent encounter ICD10CM

N/A S748X2D Injury of other nerves at hip and thigh level, left leg, subsequent encounter ICD10CM

N/A S748X9D Injury of other nerves at hip and thigh level, unspecified leg, subsequent encounter ICD10CM Injury of unspecified nerve at hip and thigh level, unspecified leg, subsequent N/A S7490XD ICD10CM encounter N/A S7491XD Injury of unspecified nerve at hip and thigh level, right leg, subsequent encounter ICD10CM

N/A S7492XD Injury of unspecified nerve at hip and thigh level, left leg, subsequent encounter ICD10CM N/A S75001D Unspecified injury of femoral artery, right leg, subsequent encounter ICD10CM N/A S75002D Unspecified injury of femoral artery, left leg, subsequent encounter ICD10CM N/A S75009D Unspecified injury of femoral artery, unspecified leg, subsequent encounter ICD10CM N/A S75011D Minor laceration of femoral artery, right leg, subsequent encounter ICD10CM N/A S75012D Minor laceration of femoral artery, left leg, subsequent encounter ICD10CM N/A S75019D Minor laceration of femoral artery, unspecified leg, subsequent encounter ICD10CM N/A S75021D Major laceration of femoral artery, right leg, subsequent encounter ICD10CM N/A S75022D Major laceration of femoral artery, left leg, subsequent encounter ICD10CM N/A S75029D Major laceration of femoral artery, unspecified leg, subsequent encounter ICD10CM N/A S75091D Other specified injury of femoral artery, right leg, subsequent encounter ICD10CM N/A S75092D Other specified injury of femoral artery, left leg, subsequent encounter ICD10CM N/A S75099D Other specified injury of femoral artery, unspecified leg, subsequent encounter ICD10CM

150 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Unspecified injury of femoral vein at hip and thigh level, right leg, subsequent N/A S75101D ICD10CM encounter Unspecified injury of femoral vein at hip and thigh level, left leg, subsequent N/A S75102D ICD10CM encounter Unspecified injury of femoral vein at hip and thigh level, unspecified leg, subsequent N/A S75109D ICD10CM encounter Minor laceration of femoral vein at hip and thigh level, right leg, subsequent N/A S75111D ICD10CM encounter Minor laceration of femoral vein at hip and thigh level, left leg, subsequent N/A S75112D ICD10CM encounter Minor laceration of femoral vein at hip and thigh level, unspecified leg, subsequent N/A S75119D ICD10CM encounter Major laceration of femoral vein at hip and thigh level, right leg, subsequent N/A S75121D ICD10CM encounter Major laceration of femoral vein at hip and thigh level, left leg, subsequent N/A S75122D ICD10CM encounter Major laceration of femoral vein at hip and thigh level, unspecified leg, subsequent N/A S75129D ICD10CM encounter Other specified injury of femoral vein at hip and thigh level, right leg, subsequent N/A S75191D ICD10CM encounter Other specified injury of femoral vein at hip and thigh level, left leg, subsequent N/A S75192D ICD10CM encounter Other specified injury of femoral vein at hip and thigh level, unspecified leg, N/A S75199D ICD10CM subsequent encounter Unspecified injury of greater saphenous vein at hip and thigh level, right leg, N/A S75201D ICD10CM subsequent encounter Unspecified injury of greater saphenous vein at hip and thigh level, left leg, N/A S75202D ICD10CM subsequent encounter Unspecified injury of greater saphenous vein at hip and thigh level, unspecified leg, N/A S75209D ICD10CM subsequent encounter Minor laceration of greater saphenous vein at hip and thigh level, right leg, N/A S75211D ICD10CM subsequent encounter Minor laceration of greater saphenous vein at hip and thigh level, left leg, N/A S75212D ICD10CM subsequent encounter Minor laceration of greater saphenous vein at hip and thigh level, unspecified leg, N/A S75219D ICD10CM subsequent encounter Major laceration of greater saphenous vein at hip and thigh level, right leg, N/A S75221D ICD10CM subsequent encounter Major laceration of greater saphenous vein at hip and thigh level, left leg, N/A S75222D ICD10CM subsequent encounter Major laceration of greater saphenous vein at hip and thigh level, unspecified leg, N/A S75229D ICD10CM subsequent encounter Other specified injury of greater saphenous vein at hip and thigh level, right leg, N/A S75291D ICD10CM subsequent encounter Other specified injury of greater saphenous vein at hip and thigh level, left leg, N/A S75292D ICD10CM subsequent encounter

151 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Other specified injury of greater saphenous vein at hip and thigh level, unspecified N/A S75299D ICD10CM leg, subsequent encounter Unspecified injury of other blood vessels at hip and thigh level, right leg, subsequent N/A S75801D ICD10CM encounter Unspecified injury of other blood vessels at hip and thigh level, left leg, subsequent N/A S75802D ICD10CM encounter Unspecified injury of other blood vessels at hip and thigh level, unspecified leg, N/A S75809D ICD10CM subsequent encounter Laceration of other blood vessels at hip and thigh level, right leg, subsequent N/A S75811D ICD10CM encounter Laceration of other blood vessels at hip and thigh level, left leg, subsequent N/A S75812D ICD10CM encounter Laceration of other blood vessels at hip and thigh level, unspecified leg, subsequent N/A S75819D ICD10CM encounter Other specified injury of other blood vessels at hip and thigh level, right leg, N/A S75891D ICD10CM subsequent encounter Other specified injury of other blood vessels at hip and thigh level, left leg, N/A S75892D ICD10CM subsequent encounter Other specified injury of other blood vessels at hip and thigh level, unspecified leg, N/A S75899D ICD10CM subsequent encounter Unspecified injury of unspecified blood vessel at hip and thigh level, right leg, N/A S75901D ICD10CM subsequent encounter Unspecified injury of unspecified blood vessel at hip and thigh level, left leg, N/A S75902D ICD10CM subsequent encounter Unspecified injury of unspecified blood vessel at hip and thigh level, unspecified leg, N/A S75909D ICD10CM subsequent encounter Laceration of unspecified blood vessel at hip and thigh level, right leg, subsequent N/A S75911D ICD10CM encounter Laceration of unspecified blood vessel at hip and thigh level, left leg, subsequent N/A S75912D ICD10CM encounter Laceration of unspecified blood vessel at hip and thigh level, unspecified leg, N/A S75919D ICD10CM subsequent encounter Other specified injury of unspecified blood vessel at hip and thigh level, right leg, N/A S75991D ICD10CM subsequent encounter Other specified injury of unspecified blood vessel at hip and thigh level, left leg, N/A S75992D ICD10CM subsequent encounter Other specified injury of unspecified blood vessel at hip and thigh level, unspecified N/A S75999D ICD10CM leg, subsequent encounter N/A S76001D Unspecified injury of muscle, fascia and tendon of right hip, subsequent encounter ICD10CM

N/A S76002D Unspecified injury of muscle, fascia and tendon of left hip, subsequent encounter ICD10CM Unspecified injury of muscle, fascia and tendon of unspecified hip, subsequent N/A S76009D ICD10CM encounter N/A S76011D Strain of muscle, fascia and tendon of right hip, subsequent encounter ICD10CM N/A S76012D Strain of muscle, fascia and tendon of left hip, subsequent encounter ICD10CM

152 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S76019D Strain of muscle, fascia and tendon of unspecified hip, subsequent encounter ICD10CM

N/A S76021D Laceration of muscle, fascia and tendon of right hip, subsequent encounter ICD10CM N/A S76022D Laceration of muscle, fascia and tendon of left hip, subsequent encounter ICD10CM N/A S76029D Laceration of muscle, fascia and tendon of unspecified hip, subsequent encounter ICD10CM Other specified injury of muscle, fascia and tendon of right hip, subsequent N/A S76091D ICD10CM encounter N/A S76092D Other specified injury of muscle, fascia and tendon of left hip, subsequent encounter ICD10CM Other specified injury of muscle, fascia and tendon of unspecified hip, subsequent N/A S76099D ICD10CM encounter Unspecified injury of right quadriceps muscle, fascia and tendon, subsequent N/A S76101D ICD10CM encounter Unspecified injury of left quadriceps muscle, fascia and tendon, subsequent N/A S76102D ICD10CM encounter Unspecified injury of unspecified quadriceps muscle, fascia and tendon, subsequent N/A S76109D ICD10CM encounter N/A S76111D Strain of right quadriceps muscle, fascia and tendon, subsequent encounter ICD10CM

N/A S76112D Strain of left quadriceps muscle, fascia and tendon, subsequent encounter ICD10CM

N/A S76119D Strain of unspecified quadriceps muscle, fascia and tendon, subsequent encounter ICD10CM

N/A S76121D Laceration of right quadriceps muscle, fascia and tendon, subsequent encounter ICD10CM

N/A S76122D Laceration of left quadriceps muscle, fascia and tendon, subsequent encounter ICD10CM Laceration of unspecified quadriceps muscle, fascia and tendon, subsequent N/A S76129D ICD10CM encounter Other specified injury of right quadriceps muscle, fascia and tendon, subsequent N/A S76191D ICD10CM encounter Other specified injury of left quadriceps muscle, fascia and tendon, subsequent N/A S76192D ICD10CM encounter Other specified injury of unspecified quadriceps muscle, fascia and tendon, N/A S76199D ICD10CM subsequent encounter Unspecified injury of adductor muscle, fascia and tendon of right thigh, subsequent N/A S76201D ICD10CM encounter Unspecified injury of adductor muscle, fascia and tendon of left thigh, subsequent N/A S76202D ICD10CM encounter Unspecified injury of adductor muscle, fascia and tendon of unspecified thigh, N/A S76209D ICD10CM subsequent encounter N/A S76211D Strain of adductor muscle, fascia and tendon of right thigh, subsequent encounter ICD10CM

N/A S76212D Strain of adductor muscle, fascia and tendon of left thigh, subsequent encounter ICD10CM

153 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Strain of adductor muscle, fascia and tendon of unspecified thigh, subsequent N/A S76219D ICD10CM encounter Laceration of adductor muscle, fascia and tendon of right thigh, subsequent N/A S76221D ICD10CM encounter Laceration of adductor muscle, fascia and tendon of left thigh, subsequent N/A S76222D ICD10CM encounter Laceration of adductor muscle, fascia and tendon of unspecified thigh, subsequent N/A S76229D ICD10CM encounter Other injury of adductor muscle, fascia and tendon of right thigh, subsequent N/A S76291D ICD10CM encounter Other injury of adductor muscle, fascia and tendon of left thigh, subsequent N/A S76292D ICD10CM encounter Other injury of adductor muscle, fascia and tendon of unspecified thigh, subsequent N/A S76299D ICD10CM encounter Unspecified injury of muscle, fascia and tendon of the posterior muscle group at N/A S76301D ICD10CM thigh level, right thigh, subsequent encounter Unspecified injury of muscle, fascia and tendon of the posterior muscle group at N/A S76302D ICD10CM thigh level, left thigh, subsequent encounter Unspecified injury of muscle, fascia and tendon of the posterior muscle group at N/A S76309D ICD10CM thigh level, unspecified thigh, subsequent encounter Strain of muscle, fascia and tendon of the posterior muscle group at thigh level, right N/A S76311D ICD10CM thigh, subsequent encounter Strain of muscle, fascia and tendon of the posterior muscle group at thigh level, left N/A S76312D ICD10CM thigh, subsequent encounter Strain of muscle, fascia and tendon of the posterior muscle group at thigh level, N/A S76319D ICD10CM unspecified thigh, subsequent encounter Laceration of muscle, fascia and tendon of the posterior muscle group at thigh level, N/A S76321D ICD10CM right thigh, subsequent encounter Laceration of muscle, fascia and tendon of the posterior muscle group at thigh level, N/A S76322D ICD10CM left thigh, subsequent encounter Laceration of muscle, fascia and tendon of the posterior muscle group at thigh level, N/A S76329D ICD10CM unspecified thigh, subsequent encounter Other specified injury of muscle, fascia and tendon of the posterior muscle group at N/A S76391D ICD10CM thigh level, right thigh, subsequent encounter Other specified injury of muscle, fascia and tendon of the posterior muscle group at N/A S76392D ICD10CM thigh level, left thigh, subsequent encounter Other specified injury of muscle, fascia and tendon of the posterior muscle group at N/A S76399D ICD10CM thigh level, unspecified thigh, subsequent encounter Unspecified injury of other specified muscles, fascia and tendons at thigh level, right N/A S76801D ICD10CM thigh, subsequent encounter Unspecified injury of other specified muscles, fascia and tendons at thigh level, left N/A S76802D ICD10CM thigh, subsequent encounter Unspecified injury of other specified muscles, fascia and tendons at thigh level, N/A S76809D ICD10CM unspecified thigh, subsequent encounter Strain of other specified muscles, fascia and tendons at thigh level, right thigh, N/A S76811D ICD10CM subsequent encounter

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Numerator Value Set Name Code Definition Code System Strain of other specified muscles, fascia and tendons at thigh level, left thigh, N/A S76812D ICD10CM subsequent encounter Strain of other specified muscles, fascia and tendons at thigh level, unspecified thigh, N/A S76819D ICD10CM subsequent encounter Laceration of other specified muscles, fascia and tendons at thigh level, right thigh, N/A S76821D ICD10CM subsequent encounter Laceration of other specified muscles, fascia and tendons at thigh level, left thigh, N/A S76822D ICD10CM subsequent encounter Laceration of other specified muscles, fascia and tendons at thigh level, unspecified N/A S76829D ICD10CM thigh, subsequent encounter Other injury of other specified muscles, fascia and tendons at thigh level, right thigh, N/A S76891D ICD10CM subsequent encounter Other injury of other specified muscles, fascia and tendons at thigh level, left thigh, N/A S76892D ICD10CM subsequent encounter Other injury of other specified muscles, fascia and tendons at thigh level, unspecified N/A S76899D ICD10CM thigh, subsequent encounter Unspecified injury of unspecified muscles, fascia and tendons at thigh level, right N/A S76901D ICD10CM thigh, subsequent encounter Unspecified injury of unspecified muscles, fascia and tendons at thigh level, left N/A S76902D ICD10CM thigh, subsequent encounter Unspecified injury of unspecified muscles, fascia and tendons at thigh level, N/A S76909D ICD10CM unspecified thigh, subsequent encounter Strain of unspecified muscles, fascia and tendons at thigh level, right thigh, N/A S76911D ICD10CM subsequent encounter Strain of unspecified muscles, fascia and tendons at thigh level, left thigh, N/A S76912D ICD10CM subsequent encounter Strain of unspecified muscles, fascia and tendons at thigh level, unspecified thigh, N/A S76919D ICD10CM subsequent encounter Laceration of unspecified muscles, fascia and tendons at thigh level, right thigh, N/A S76921D ICD10CM subsequent encounter Laceration of unspecified muscles, fascia and tendons at thigh level, left thigh, N/A S76922D ICD10CM subsequent encounter Laceration of unspecified muscles, fascia and tendons at thigh level, unspecified N/A S76929D ICD10CM thigh, subsequent encounter Other specified injury of unspecified muscles, fascia and tendons at thigh level, right N/A S76991D ICD10CM thigh, subsequent encounter Other specified injury of unspecified muscles, fascia and tendons at thigh level, left N/A S76992D ICD10CM thigh, subsequent encounter Other specified injury of unspecified muscles, fascia and tendons at thigh level, N/A S76999D ICD10CM unspecified thigh, subsequent encounter N/A S7700XD Crushing injury of unspecified hip, subsequent encounter ICD10CM N/A S7701XD Crushing injury of right hip, subsequent encounter ICD10CM N/A S7702XD Crushing injury of left hip, subsequent encounter ICD10CM N/A S7710XD Crushing injury of unspecified thigh, subsequent encounter ICD10CM N/A S7711XD Crushing injury of right thigh, subsequent encounter ICD10CM N/A S7712XD Crushing injury of left thigh, subsequent encounter ICD10CM N/A S7720XD Crushing injury of unspecified hip with thigh, subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System N/A S7721XD Crushing injury of right hip with thigh, subsequent encounter ICD10CM N/A S7722XD Crushing injury of left hip with thigh, subsequent encounter ICD10CM N/A S78011D Complete traumatic amputation at right hip joint, subsequent encounter ICD10CM N/A S78012D Complete traumatic amputation at left hip joint, subsequent encounter ICD10CM N/A S78019D Complete traumatic amputation at unspecified hip joint, subsequent encounter ICD10CM N/A S78021D Partial traumatic amputation at right hip joint, subsequent encounter ICD10CM N/A S78022D Partial traumatic amputation at left hip joint, subsequent encounter ICD10CM N/A S78029D Partial traumatic amputation at unspecified hip joint, subsequent encounter ICD10CM Complete traumatic amputation at level between right hip and knee, subsequent N/A S78111D ICD10CM encounter Complete traumatic amputation at level between left hip and knee, subsequent N/A S78112D ICD10CM encounter Complete traumatic amputation at level between unspecified hip and knee, N/A S78119D ICD10CM subsequent encounter Partial traumatic amputation at level between right hip and knee, subsequent N/A S78121D ICD10CM encounter Partial traumatic amputation at level between left hip and knee, subsequent N/A S78122D ICD10CM encounter Partial traumatic amputation at level between unspecified hip and knee, subsequent N/A S78129D ICD10CM encounter Complete traumatic amputation of right hip and thigh, level unspecified, subsequent N/A S78911D ICD10CM encounter Complete traumatic amputation of left hip and thigh, level unspecified, subsequent N/A S78912D ICD10CM encounter Complete traumatic amputation of unspecified hip and thigh, level unspecified, N/A S78919D ICD10CM subsequent encounter Partial traumatic amputation of right hip and thigh, level unspecified, subsequent N/A S78921D ICD10CM encounter Partial traumatic amputation of left hip and thigh, level unspecified, subsequent N/A S78922D ICD10CM encounter Partial traumatic amputation of unspecified hip and thigh, level unspecified, N/A S78929D ICD10CM subsequent encounter N/A S79811D Other specified injuries of right hip, subsequent encounter ICD10CM N/A S79812D Other specified injuries of left hip, subsequent encounter ICD10CM N/A S79819D Other specified injuries of unspecified hip, subsequent encounter ICD10CM N/A S79821D Other specified injuries of right thigh, subsequent encounter ICD10CM N/A S79822D Other specified injuries of left thigh, subsequent encounter ICD10CM N/A S79829D Other specified injuries of unspecified thigh, subsequent encounter ICD10CM N/A S79911D Unspecified injury of right hip, subsequent encounter ICD10CM N/A S79912D Unspecified injury of left hip, subsequent encounter ICD10CM N/A S79919D Unspecified injury of unspecified hip, subsequent encounter ICD10CM N/A S79921D Unspecified injury of right thigh, subsequent encounter ICD10CM N/A S79922D Unspecified injury of left thigh, subsequent encounter ICD10CM N/A S79929D Unspecified injury of unspecified thigh, subsequent encounter ICD10CM N/A S8000XD Contusion of unspecified knee, subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System N/A S8001XD Contusion of right knee, subsequent encounter ICD10CM N/A S8002XD Contusion of left knee, subsequent encounter ICD10CM N/A S8010XD Contusion of unspecified lower leg, subsequent encounter ICD10CM N/A S8011XD Contusion of right lower leg, subsequent encounter ICD10CM N/A S8012XD Contusion of left lower leg, subsequent encounter ICD10CM N/A S80211D Abrasion, right knee, subsequent encounter ICD10CM N/A S80212D Abrasion, left knee, subsequent encounter ICD10CM N/A S80219D Abrasion, unspecified knee, subsequent encounter ICD10CM N/A S80221D Blister (nonthermal), right knee, subsequent encounter ICD10CM N/A S80222D Blister (nonthermal), left knee, subsequent encounter ICD10CM N/A S80229D Blister (nonthermal), unspecified knee, subsequent encounter ICD10CM N/A S80241D External constriction, right knee, subsequent encounter ICD10CM N/A S80242D External constriction, left knee, subsequent encounter ICD10CM N/A S80249D External constriction, unspecified knee, subsequent encounter ICD10CM N/A S80251D Superficial foreign body, right knee, subsequent encounter ICD10CM N/A S80252D Superficial foreign body, left knee, subsequent encounter ICD10CM N/A S80259D Superficial foreign body, unspecified knee, subsequent encounter ICD10CM N/A S80261D Insect bite (nonvenomous), right knee, subsequent encounter ICD10CM N/A S80262D Insect bite (nonvenomous), left knee, subsequent encounter ICD10CM N/A S80269D Insect bite (nonvenomous), unspecified knee, subsequent encounter ICD10CM N/A S80271D Other superficial bite of right knee, subsequent encounter ICD10CM N/A S80272D Other superficial bite of left knee, subsequent encounter ICD10CM N/A S80279D Other superficial bite of unspecified knee, subsequent encounter ICD10CM N/A S80811D Abrasion, right lower leg, subsequent encounter ICD10CM N/A S80812D Abrasion, left lower leg, subsequent encounter ICD10CM N/A S80819D Abrasion, unspecified lower leg, subsequent encounter ICD10CM N/A S80821D Blister (nonthermal), right lower leg, subsequent encounter ICD10CM N/A S80822D Blister (nonthermal), left lower leg, subsequent encounter ICD10CM N/A S80829D Blister (nonthermal), unspecified lower leg, subsequent encounter ICD10CM N/A S80841D External constriction, right lower leg, subsequent encounter ICD10CM N/A S80842D External constriction, left lower leg, subsequent encounter ICD10CM N/A S80849D External constriction, unspecified lower leg, subsequent encounter ICD10CM N/A S80851D Superficial foreign body, right lower leg, subsequent encounter ICD10CM N/A S80852D Superficial foreign body, left lower leg, subsequent encounter ICD10CM N/A S80859D Superficial foreign body, unspecified lower leg, subsequent encounter ICD10CM N/A S80861D Insect bite (nonvenomous), right lower leg, subsequent encounter ICD10CM N/A S80862D Insect bite (nonvenomous), left lower leg, subsequent encounter ICD10CM N/A S80869D Insect bite (nonvenomous), unspecified lower leg, subsequent encounter ICD10CM N/A S80871D Other superficial bite, right lower leg, subsequent encounter ICD10CM N/A S80872D Other superficial bite, left lower leg, subsequent encounter ICD10CM N/A S80879D Other superficial bite, unspecified lower leg, subsequent encounter ICD10CM N/A S80911D Unspecified superficial injury of right knee, subsequent encounter ICD10CM N/A S80912D Unspecified superficial injury of left knee, subsequent encounter ICD10CM N/A S80919D Unspecified superficial injury of unspecified knee, subsequent encounter ICD10CM N/A S80921D Unspecified superficial injury of right lower leg, subsequent encounter ICD10CM N/A S80922D Unspecified superficial injury of left lower leg, subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System N/A S80929D Unspecified superficial injury of unspecified lower leg, subsequent encounter ICD10CM N/A S81001D Unspecified open wound, right knee, subsequent encounter ICD10CM N/A S81002D Unspecified open wound, left knee, subsequent encounter ICD10CM N/A S81009D Unspecified open wound, unspecified knee, subsequent encounter ICD10CM N/A S81011D Laceration without foreign body, right knee, subsequent encounter ICD10CM N/A S81012D Laceration without foreign body, left knee, subsequent encounter ICD10CM N/A S81019D Laceration without foreign body, unspecified knee, subsequent encounter ICD10CM N/A S81021D Laceration with foreign body, right knee, subsequent encounter ICD10CM N/A S81022D Laceration with foreign body, left knee, subsequent encounter ICD10CM N/A S81029D Laceration with foreign body, unspecified knee, subsequent encounter ICD10CM N/A S81031D Puncture wound without foreign body, right knee, subsequent encounter ICD10CM N/A S81032D Puncture wound without foreign body, left knee, subsequent encounter ICD10CM N/A S81039D Puncture wound without foreign body, unspecified knee, subsequent encounter ICD10CM N/A S81041D Puncture wound with foreign body, right knee, subsequent encounter ICD10CM N/A S81042D Puncture wound with foreign body, left knee, subsequent encounter ICD10CM N/A S81049D Puncture wound with foreign body, unspecified knee, subsequent encounter ICD10CM N/A S81051D Open bite, right knee, subsequent encounter ICD10CM N/A S81052D Open bite, left knee, subsequent encounter ICD10CM N/A S81059D Open bite, unspecified knee, subsequent encounter ICD10CM N/A S81801D Unspecified open wound, right lower leg, subsequent encounter ICD10CM N/A S81802D Unspecified open wound, left lower leg, subsequent encounter ICD10CM N/A S81809D Unspecified open wound, unspecified lower leg, subsequent encounter ICD10CM N/A S81811D Laceration without foreign body, right lower leg, subsequent encounter ICD10CM N/A S81812D Laceration without foreign body, left lower leg, subsequent encounter ICD10CM N/A S81819D Laceration without foreign body, unspecified lower leg, subsequent encounter ICD10CM N/A S81821D Laceration with foreign body, right lower leg, subsequent encounter ICD10CM N/A S81822D Laceration with foreign body, left lower leg, subsequent encounter ICD10CM N/A S81829D Laceration with foreign body, unspecified lower leg, subsequent encounter ICD10CM

N/A S81831D Puncture wound without foreign body, right lower leg, subsequent encounter ICD10CM

N/A S81832D Puncture wound without foreign body, left lower leg, subsequent encounter ICD10CM

N/A S81839D Puncture wound without foreign body, unspecified lower leg, subsequent encounter ICD10CM

N/A S81841D Puncture wound with foreign body, right lower leg, subsequent encounter ICD10CM N/A S81842D Puncture wound with foreign body, left lower leg, subsequent encounter ICD10CM N/A S81849D Puncture wound with foreign body, unspecified lower leg, subsequent encounter ICD10CM N/A S81851D Open bite, right lower leg, subsequent encounter ICD10CM N/A S81852D Open bite, left lower leg, subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System N/A S81859D Open bite, unspecified lower leg, subsequent encounter ICD10CM N/A S83001D Unspecified subluxation of right patella, subsequent encounter ICD10CM N/A S83002D Unspecified subluxation of left patella, subsequent encounter ICD10CM N/A S83003D Unspecified subluxation of unspecified patella, subsequent encounter ICD10CM N/A S83004D Unspecified dislocation of right patella, subsequent encounter ICD10CM N/A S83005D Unspecified dislocation of left patella, subsequent encounter ICD10CM N/A S83006D Unspecified dislocation of unspecified patella, subsequent encounter ICD10CM N/A S83011D Lateral subluxation of right patella, subsequent encounter ICD10CM N/A S83012D Lateral subluxation of left patella, subsequent encounter ICD10CM N/A S83013D Lateral subluxation of unspecified patella, subsequent encounter ICD10CM N/A S83014D Lateral dislocation of right patella, subsequent encounter ICD10CM N/A S83015D Lateral dislocation of left patella, subsequent encounter ICD10CM N/A S83016D Lateral dislocation of unspecified patella, subsequent encounter ICD10CM N/A S83091D Other subluxation of right patella, subsequent encounter ICD10CM N/A S83092D Other subluxation of left patella, subsequent encounter ICD10CM N/A S83093D Other subluxation of unspecified patella, subsequent encounter ICD10CM N/A S83094D Other dislocation of right patella, subsequent encounter ICD10CM N/A S83095D Other dislocation of left patella, subsequent encounter ICD10CM N/A S83096D Other dislocation of unspecified patella, subsequent encounter ICD10CM N/A S83101D Unspecified subluxation of right knee, subsequent encounter ICD10CM N/A S83102D Unspecified subluxation of left knee, subsequent encounter ICD10CM N/A S83103D Unspecified subluxation of unspecified knee, subsequent encounter ICD10CM N/A S83104D Unspecified dislocation of right knee, subsequent encounter ICD10CM N/A S83105D Unspecified dislocation of left knee, subsequent encounter ICD10CM N/A S83106D Unspecified dislocation of unspecified knee, subsequent encounter ICD10CM N/A S83111D Anterior subluxation of proximal end of tibia, right knee, subsequent encounter ICD10CM

N/A S83112D Anterior subluxation of proximal end of tibia, left knee, subsequent encounter ICD10CM Anterior subluxation of proximal end of tibia, unspecified knee, subsequent N/A S83113D ICD10CM encounter N/A S83114D Anterior dislocation of proximal end of tibia, right knee, subsequent encounter ICD10CM

N/A S83115D Anterior dislocation of proximal end of tibia, left knee, subsequent encounter ICD10CM Anterior dislocation of proximal end of tibia, unspecified knee, subsequent N/A S83116D ICD10CM encounter N/A S83121D Posterior subluxation of proximal end of tibia, right knee, subsequent encounter ICD10CM

N/A S83122D Posterior subluxation of proximal end of tibia, left knee, subsequent encounter ICD10CM Posterior subluxation of proximal end of tibia, unspecified knee, subsequent N/A S83123D ICD10CM encounter N/A S83124D Posterior dislocation of proximal end of tibia, right knee, subsequent encounter ICD10CM

N/A S83125D Posterior dislocation of proximal end of tibia, left knee, subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System Posterior dislocation of proximal end of tibia, unspecified knee, subsequent N/A S83126D ICD10CM encounter N/A S83131D Medial subluxation of proximal end of tibia, right knee, subsequent encounter ICD10CM

N/A S83132D Medial subluxation of proximal end of tibia, left knee, subsequent encounter ICD10CM

N/A S83133D Medial subluxation of proximal end of tibia, unspecified knee, subsequent encounter ICD10CM

N/A S83134D Medial dislocation of proximal end of tibia, right knee, subsequent encounter ICD10CM

N/A S83135D Medial dislocation of proximal end of tibia, left knee, subsequent encounter ICD10CM

N/A S83136D Medial dislocation of proximal end of tibia, unspecified knee, subsequent encounter ICD10CM

N/A S83141D Lateral subluxation of proximal end of tibia, right knee, subsequent encounter ICD10CM

N/A S83142D Lateral subluxation of proximal end of tibia, left knee, subsequent encounter ICD10CM

N/A S83143D Lateral subluxation of proximal end of tibia, unspecified knee, subsequent encounter ICD10CM

N/A S83144D Lateral dislocation of proximal end of tibia, right knee, subsequent encounter ICD10CM

N/A S83145D Lateral dislocation of proximal end of tibia, left knee, subsequent encounter ICD10CM

N/A S83146D Lateral dislocation of proximal end of tibia, unspecified knee, subsequent encounter ICD10CM N/A S83191D Other subluxation of right knee, subsequent encounter ICD10CM N/A S83192D Other subluxation of left knee, subsequent encounter ICD10CM N/A S83193D Other subluxation of unspecified knee, subsequent encounter ICD10CM N/A S83194D Other dislocation of right knee, subsequent encounter ICD10CM N/A S83195D Other dislocation of left knee, subsequent encounter ICD10CM N/A S83196D Other dislocation of unspecified knee, subsequent encounter ICD10CM Bucket-handle tear of unspecified meniscus, current injury, right knee, subsequent N/A S83200D ICD10CM encounter Bucket-handle tear of unspecified meniscus, current injury, left knee, subsequent N/A S83201D ICD10CM encounter Bucket-handle tear of unspecified meniscus, current injury, unspecified knee, N/A S83202D ICD10CM subsequent encounter N/A S83203D Other tear of unspecified meniscus, current injury, right knee, subsequent encounter ICD10CM

N/A S83204D Other tear of unspecified meniscus, current injury, left knee, subsequent encounter ICD10CM Other tear of unspecified meniscus, current injury, unspecified knee, subsequent N/A S83205D ICD10CM encounter Unspecified tear of unspecified meniscus, current injury, right knee, subsequent N/A S83206D ICD10CM encounter

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Numerator Value Set Name Code Definition Code System Unspecified tear of unspecified meniscus, current injury, left knee, subsequent N/A S83207D ICD10CM encounter Unspecified tear of unspecified meniscus, current injury, unspecified knee, N/A S83209D ICD10CM subsequent encounter Bucket-handle tear of medial meniscus, current injury, right knee, subsequent N/A S83211D ICD10CM encounter Bucket-handle tear of medial meniscus, current injury, left knee, subsequent N/A S83212D ICD10CM encounter Bucket-handle tear of medial meniscus, current injury, unspecified knee, subsequent N/A S83219D ICD10CM encounter N/A S83221D Peripheral tear of medial meniscus, current injury, right knee, subsequent encounter ICD10CM

N/A S83222D Peripheral tear of medial meniscus, current injury, left knee, subsequent encounter ICD10CM Peripheral tear of medial meniscus, current injury, unspecified knee, subsequent N/A S83229D ICD10CM encounter N/A S83231D Complex tear of medial meniscus, current injury, right knee, subsequent encounter ICD10CM

N/A S83232D Complex tear of medial meniscus, current injury, left knee, subsequent encounter ICD10CM Complex tear of medial meniscus, current injury, unspecified knee, subsequent N/A S83239D ICD10CM encounter N/A S83241D Other tear of medial meniscus, current injury, right knee, subsequent encounter ICD10CM

N/A S83242D Other tear of medial meniscus, current injury, left knee, subsequent encounter ICD10CM Other tear of medial meniscus, current injury, unspecified knee, subsequent N/A S83249D ICD10CM encounter Bucket-handle tear of lateral meniscus, current injury, right knee, subsequent N/A S83251D ICD10CM encounter Bucket-handle tear of lateral meniscus, current injury, left knee, subsequent N/A S83252D ICD10CM encounter Bucket-handle tear of lateral meniscus, current injury, unspecified knee, subsequent N/A S83259D ICD10CM encounter N/A S83261D Peripheral tear of lateral meniscus, current injury, right knee, subsequent encounter ICD10CM

N/A S83262D Peripheral tear of lateral meniscus, current injury, left knee, subsequent encounter ICD10CM Peripheral tear of lateral meniscus, current injury, unspecified knee, subsequent N/A S83269D ICD10CM encounter N/A S83271D Complex tear of lateral meniscus, current injury, right knee, subsequent encounter ICD10CM

N/A S83272D Complex tear of lateral meniscus, current injury, left knee, subsequent encounter ICD10CM Complex tear of lateral meniscus, current injury, unspecified knee, subsequent N/A S83279D ICD10CM encounter

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Numerator Value Set Name Code Definition Code System N/A S83281D Other tear of lateral meniscus, current injury, right knee, subsequent encounter ICD10CM

N/A S83282D Other tear of lateral meniscus, current injury, left knee, subsequent encounter ICD10CM Other tear of lateral meniscus, current injury, unspecified knee, subsequent N/A S83289D ICD10CM encounter N/A S8330XD Tear of articular cartilage of unspecified knee, current, subsequent encounter ICD10CM N/A S8331XD Tear of articular cartilage of right knee, current, subsequent encounter ICD10CM N/A S8332XD Tear of articular cartilage of left knee, current, subsequent encounter ICD10CM N/A S83401D Sprain of unspecified collateral ligament of right knee, subsequent encounter ICD10CM

N/A S83402D Sprain of unspecified collateral ligament of left knee, subsequent encounter ICD10CM

N/A S83409D Sprain of unspecified collateral ligament of unspecified knee, subsequent encounter ICD10CM N/A S83411D Sprain of medial collateral ligament of right knee, subsequent encounter ICD10CM N/A S83412D Sprain of medial collateral ligament of left knee, subsequent encounter ICD10CM N/A S83419D Sprain of medial collateral ligament of unspecified knee, subsequent encounter ICD10CM N/A S83421D Sprain of lateral collateral ligament of right knee, subsequent encounter ICD10CM N/A S83422D Sprain of lateral collateral ligament of left knee, subsequent encounter ICD10CM N/A S83429D Sprain of lateral collateral ligament of unspecified knee, subsequent encounter ICD10CM

N/A S83501D Sprain of unspecified cruciate ligament of right knee, subsequent encounter ICD10CM

N/A S83502D Sprain of unspecified cruciate ligament of left knee, subsequent encounter ICD10CM

N/A S83509D Sprain of unspecified cruciate ligament of unspecified knee, subsequent encounter ICD10CM N/A S83511D Sprain of anterior cruciate ligament of right knee, subsequent encounter ICD10CM N/A S83512D Sprain of anterior cruciate ligament of left knee, subsequent encounter ICD10CM N/A S83519D Sprain of anterior cruciate ligament of unspecified knee, subsequent encounter ICD10CM N/A S83521D Sprain of posterior cruciate ligament of right knee, subsequent encounter ICD10CM N/A S83522D Sprain of posterior cruciate ligament of left knee, subsequent encounter ICD10CM N/A S83529D Sprain of posterior cruciate ligament of unspecified knee, subsequent encounter ICD10CM Sprain of the superior tibiofibular joint and ligament, unspecified knee, subsequent N/A S8360XD ICD10CM encounter Sprain of the superior tibiofibular joint and ligament, right knee, subsequent N/A S8361XD ICD10CM encounter Sprain of the superior tibiofibular joint and ligament, left knee, subsequent N/A S8362XD ICD10CM encounter N/A S838X1D Sprain of other specified parts of right knee, subsequent encounter ICD10CM N/A S838X2D Sprain of other specified parts of left knee, subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System N/A S838X9D Sprain of other specified parts of unspecified knee, subsequent encounter ICD10CM N/A S8390XD Sprain of unspecified site of unspecified knee, subsequent encounter ICD10CM N/A S8391XD Sprain of unspecified site of right knee, subsequent encounter ICD10CM N/A S8392XD Sprain of unspecified site of left knee, subsequent encounter ICD10CM N/A S8400XD Injury of tibial nerve at lower leg level, unspecified leg, subsequent encounter ICD10CM N/A S8401XD Injury of tibial nerve at lower leg level, right leg, subsequent encounter ICD10CM N/A S8402XD Injury of tibial nerve at lower leg level, left leg, subsequent encounter ICD10CM N/A S8410XD Injury of peroneal nerve at lower leg level, unspecified leg, subsequent encounter ICD10CM

N/A S8411XD Injury of peroneal nerve at lower leg level, right leg, subsequent encounter ICD10CM

N/A S8412XD Injury of peroneal nerve at lower leg level, left leg, subsequent encounter ICD10CM Injury of cutaneous sensory nerve at lower leg level, unspecified leg, subsequent N/A S8420XD ICD10CM encounter N/A S8421XD Injury of cutaneous sensory nerve at lower leg level, right leg, subsequent encounter ICD10CM

N/A S8422XD Injury of cutaneous sensory nerve at lower leg level, left leg, subsequent encounter ICD10CM N/A S84801D Injury of other nerves at lower leg level, right leg, subsequent encounter ICD10CM N/A S84802D Injury of other nerves at lower leg level, left leg, subsequent encounter ICD10CM N/A S84809D Injury of other nerves at lower leg level, unspecified leg, subsequent encounter ICD10CM

N/A S8490XD Injury of unspecified nerve at lower leg level, unspecified leg, subsequent encounter ICD10CM

N/A S8491XD Injury of unspecified nerve at lower leg level, right leg, subsequent encounter ICD10CM

N/A S8492XD Injury of unspecified nerve at lower leg level, left leg, subsequent encounter ICD10CM N/A S85001D Unspecified injury of popliteal artery, right leg, subsequent encounter ICD10CM N/A S85002D Unspecified injury of popliteal artery, left leg, subsequent encounter ICD10CM N/A S85009D Unspecified injury of popliteal artery, unspecified leg, subsequent encounter ICD10CM N/A S85011D Laceration of popliteal artery, right leg, subsequent encounter ICD10CM N/A S85012D Laceration of popliteal artery, left leg, subsequent encounter ICD10CM N/A S85019D Laceration of popliteal artery, unspecified leg, subsequent encounter ICD10CM N/A S85091D Other specified injury of popliteal artery, right leg, subsequent encounter ICD10CM N/A S85092D Other specified injury of popliteal artery, left leg, subsequent encounter ICD10CM N/A S85099D Other specified injury of popliteal artery, unspecified leg, subsequent encounter ICD10CM

N/A S85101D Unspecified injury of unspecified tibial artery, right leg, subsequent encounter ICD10CM

N/A S85102D Unspecified injury of unspecified tibial artery, left leg, subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System N/A S85109D Unspecified injury of unspecified tibial artery, unspecified leg, subsequent encounter ICD10CM N/A S85111D Laceration of unspecified tibial artery, right leg, subsequent encounter ICD10CM N/A S85112D Laceration of unspecified tibial artery, left leg, subsequent encounter ICD10CM N/A S85119D Laceration of unspecified tibial artery, unspecified leg, subsequent encounter ICD10CM

N/A S85121D Other specified injury of unspecified tibial artery, right leg, subsequent encounter ICD10CM

N/A S85122D Other specified injury of unspecified tibial artery, left leg, subsequent encounter ICD10CM Other specified injury of unspecified tibial artery, unspecified leg, subsequent N/A S85129D ICD10CM encounter N/A S85131D Unspecified injury of anterior tibial artery, right leg, subsequent encounter ICD10CM N/A S85132D Unspecified injury of anterior tibial artery, left leg, subsequent encounter ICD10CM N/A S85139D Unspecified injury of anterior tibial artery, unspecified leg, subsequent encounter ICD10CM N/A S85141D Laceration of anterior tibial artery, right leg, subsequent encounter ICD10CM N/A S85142D Laceration of anterior tibial artery, left leg, subsequent encounter ICD10CM N/A S85149D Laceration of anterior tibial artery, unspecified leg, subsequent encounter ICD10CM

N/A S85151D Other specified injury of anterior tibial artery, right leg, subsequent encounter ICD10CM

N/A S85152D Other specified injury of anterior tibial artery, left leg, subsequent encounter ICD10CM

N/A S85159D Other specified injury of anterior tibial artery, unspecified leg, subsequent encounter ICD10CM

N/A S85161D Unspecified injury of posterior tibial artery, right leg, subsequent encounter ICD10CM

N/A S85162D Unspecified injury of posterior tibial artery, left leg, subsequent encounter ICD10CM

N/A S85169D Unspecified injury of posterior tibial artery, unspecified leg, subsequent encounter ICD10CM N/A S85171D Laceration of posterior tibial artery, right leg, subsequent encounter ICD10CM N/A S85172D Laceration of posterior tibial artery, left leg, subsequent encounter ICD10CM N/A S85179D Laceration of posterior tibial artery, unspecified leg, subsequent encounter ICD10CM

N/A S85181D Other specified injury of posterior tibial artery, right leg, subsequent encounter ICD10CM

N/A S85182D Other specified injury of posterior tibial artery, left leg, subsequent encounter ICD10CM Other specified injury of posterior tibial artery, unspecified leg, subsequent N/A S85189D ICD10CM encounter N/A S85201D Unspecified injury of peroneal artery, right leg, subsequent encounter ICD10CM N/A S85202D Unspecified injury of peroneal artery, left leg, subsequent encounter ICD10CM N/A S85209D Unspecified injury of peroneal artery, unspecified leg, subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System N/A S85211D Laceration of peroneal artery, right leg, subsequent encounter ICD10CM N/A S85212D Laceration of peroneal artery, left leg, subsequent encounter ICD10CM N/A S85219D Laceration of peroneal artery, unspecified leg, subsequent encounter ICD10CM N/A S85291D Other specified injury of peroneal artery, right leg, subsequent encounter ICD10CM N/A S85292D Other specified injury of peroneal artery, left leg, subsequent encounter ICD10CM N/A S85299D Other specified injury of peroneal artery, unspecified leg, subsequent encounter ICD10CM Unspecified injury of greater saphenous vein at lower leg level, right leg, subsequent N/A S85301D ICD10CM encounter Unspecified injury of greater saphenous vein at lower leg level, left leg, subsequent N/A S85302D ICD10CM encounter Unspecified injury of greater saphenous vein at lower leg level, unspecified leg, N/A S85309D ICD10CM subsequent encounter Laceration of greater saphenous vein at lower leg level, right leg, subsequent N/A S85311D ICD10CM encounter Laceration of greater saphenous vein at lower leg level, left leg, subsequent N/A S85312D ICD10CM encounter Laceration of greater saphenous vein at lower leg level, unspecified leg, subsequent N/A S85319D ICD10CM encounter Other specified injury of greater saphenous vein at lower leg level, right leg, N/A S85391D ICD10CM subsequent encounter Other specified injury of greater saphenous vein at lower leg level, left leg, N/A S85392D ICD10CM subsequent encounter Other specified injury of greater saphenous vein at lower leg level, unspecified leg, N/A S85399D ICD10CM subsequent encounter Unspecified injury of lesser saphenous vein at lower leg level, right leg, subsequent N/A S85401D ICD10CM encounter Unspecified injury of lesser saphenous vein at lower leg level, left leg, subsequent N/A S85402D ICD10CM encounter Unspecified injury of lesser saphenous vein at lower leg level, unspecified leg, N/A S85409D ICD10CM subsequent encounter Laceration of lesser saphenous vein at lower leg level, right leg, subsequent N/A S85411D ICD10CM encounter N/A S85412D Laceration of lesser saphenous vein at lower leg level, left leg, subsequent encounter ICD10CM Laceration of lesser saphenous vein at lower leg level, unspecified leg, subsequent N/A S85419D ICD10CM encounter Other specified injury of lesser saphenous vein at lower leg level, right leg, N/A S85491D ICD10CM subsequent encounter Other specified injury of lesser saphenous vein at lower leg level, left leg, N/A S85492D ICD10CM subsequent encounter Other specified injury of lesser saphenous vein at lower leg level, unspecified leg, N/A S85499D ICD10CM subsequent encounter N/A S85501D Unspecified injury of popliteal vein, right leg, subsequent encounter ICD10CM N/A S85502D Unspecified injury of popliteal vein, left leg, subsequent encounter ICD10CM N/A S85509D Unspecified injury of popliteal vein, unspecified leg, subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System N/A S85511D Laceration of popliteal vein, right leg, subsequent encounter ICD10CM N/A S85512D Laceration of popliteal vein, left leg, subsequent encounter ICD10CM N/A S85519D Laceration of popliteal vein, unspecified leg, subsequent encounter ICD10CM N/A S85591D Other specified injury of popliteal vein, right leg, subsequent encounter ICD10CM N/A S85592D Other specified injury of popliteal vein, left leg, subsequent encounter ICD10CM N/A S85599D Other specified injury of popliteal vein, unspecified leg, subsequent encounter ICD10CM Unspecified injury of other blood vessels at lower leg level, right leg, subsequent N/A S85801D ICD10CM encounter Unspecified injury of other blood vessels at lower leg level, left leg, subsequent N/A S85802D ICD10CM encounter Unspecified injury of other blood vessels at lower leg level, unspecified leg, N/A S85809D ICD10CM subsequent encounter N/A S85811D Laceration of other blood vessels at lower leg level, right leg, subsequent encounter ICD10CM

N/A S85812D Laceration of other blood vessels at lower leg level, left leg, subsequent encounter ICD10CM Laceration of other blood vessels at lower leg level, unspecified leg, subsequent N/A S85819D ICD10CM encounter Other specified injury of other blood vessels at lower leg level, right leg, subsequent N/A S85891D ICD10CM encounter Other specified injury of other blood vessels at lower leg level, left leg, subsequent N/A S85892D ICD10CM encounter Other specified injury of other blood vessels at lower leg level, unspecified leg, N/A S85899D ICD10CM subsequent encounter Unspecified injury of unspecified blood vessel at lower leg level, right leg, N/A S85901D ICD10CM subsequent encounter Unspecified injury of unspecified blood vessel at lower leg level, left leg, subsequent N/A S85902D ICD10CM encounter Unspecified injury of unspecified blood vessel at lower leg level, unspecified leg, N/A S85909D ICD10CM subsequent encounter Laceration of unspecified blood vessel at lower leg level, right leg, subsequent N/A S85911D ICD10CM encounter Laceration of unspecified blood vessel at lower leg level, left leg, subsequent N/A S85912D ICD10CM encounter Laceration of unspecified blood vessel at lower leg level, unspecified leg, subsequent N/A S85919D ICD10CM encounter Other specified injury of unspecified blood vessel at lower leg level, right leg, N/A S85991D ICD10CM subsequent encounter Other specified injury of unspecified blood vessel at lower leg level, left leg, N/A S85992D ICD10CM subsequent encounter Other specified injury of unspecified blood vessel at lower leg level, unspecified leg, N/A S85999D ICD10CM subsequent encounter N/A S86001D Unspecified injury of right Achilles tendon, subsequent encounter ICD10CM N/A S86002D Unspecified injury of left Achilles tendon, subsequent encounter ICD10CM N/A S86009D Unspecified injury of unspecified Achilles tendon, subsequent encounter ICD10CM N/A S86011D Strain of right Achilles tendon, subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System N/A S86012D Strain of left Achilles tendon, subsequent encounter ICD10CM N/A S86019D Strain of unspecified Achilles tendon, subsequent encounter ICD10CM N/A S86021D Laceration of right Achilles tendon, subsequent encounter ICD10CM N/A S86022D Laceration of left Achilles tendon, subsequent encounter ICD10CM N/A S86029D Laceration of unspecified Achilles tendon, subsequent encounter ICD10CM N/A S86091D Other specified injury of right Achilles tendon, subsequent encounter ICD10CM N/A S86092D Other specified injury of left Achilles tendon, subsequent encounter ICD10CM N/A S86099D Other specified injury of unspecified Achilles tendon, subsequent encounter ICD10CM Unspecified injury of other muscle(s) and tendon(s) of posterior muscle group at N/A S86101D ICD10CM lower leg level, right leg, subsequent encounter Unspecified injury of other muscle(s) and tendon(s) of posterior muscle group at N/A S86102D ICD10CM lower leg level, left leg, subsequent encounter Unspecified injury of other muscle(s) and tendon(s) of posterior muscle group at N/A S86109D ICD10CM lower leg level, unspecified leg, subsequent encounter Strain of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, N/A S86111D ICD10CM right leg, subsequent encounter Strain of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, N/A S86112D ICD10CM left leg, subsequent encounter Strain of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, N/A S86119D ICD10CM unspecified leg, subsequent encounter Laceration of other muscle(s) and tendon(s) of posterior muscle group at lower leg N/A S86121D ICD10CM level, right leg, subsequent encounter Laceration of other muscle(s) and tendon(s) of posterior muscle group at lower leg N/A S86122D ICD10CM level, left leg, subsequent encounter Laceration of other muscle(s) and tendon(s) of posterior muscle group at lower leg N/A S86129D ICD10CM level, unspecified leg, subsequent encounter Other injury of other muscle(s) and tendon(s) of posterior muscle group at lower leg N/A S86191D ICD10CM level, right leg, subsequent encounter Other injury of other muscle(s) and tendon(s) of posterior muscle group at lower leg N/A S86192D ICD10CM level, left leg, subsequent encounter Other injury of other muscle(s) and tendon(s) of posterior muscle group at lower leg N/A S86199D ICD10CM level, unspecified leg, subsequent encounter Unspecified injury of muscle(s) and tendon(s) of anterior muscle group at lower leg N/A S86201D ICD10CM level, right leg, subsequent encounter Unspecified injury of muscle(s) and tendon(s) of anterior muscle group at lower leg N/A S86202D ICD10CM level, left leg, subsequent encounter Unspecified injury of muscle(s) and tendon(s) of anterior muscle group at lower leg N/A S86209D ICD10CM level, unspecified leg, subsequent encounter Strain of muscle(s) and tendon(s) of anterior muscle group at lower leg level, right N/A S86211D ICD10CM leg, subsequent encounter Strain of muscle(s) and tendon(s) of anterior muscle group at lower leg level, left leg, N/A S86212D ICD10CM subsequent encounter Strain of muscle(s) and tendon(s) of anterior muscle group at lower leg level, N/A S86219D ICD10CM unspecified leg, subsequent encounter Laceration of muscle(s) and tendon(s) of anterior muscle group at lower leg level, N/A S86221D ICD10CM right leg, subsequent encounter

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Numerator Value Set Name Code Definition Code System Laceration of muscle(s) and tendon(s) of anterior muscle group at lower leg level, N/A S86222D ICD10CM left leg, subsequent encounter Laceration of muscle(s) and tendon(s) of anterior muscle group at lower leg level, N/A S86229D ICD10CM unspecified leg, subsequent encounter Other injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level, N/A S86291D ICD10CM right leg, subsequent encounter Other injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level, N/A S86292D ICD10CM left leg, subsequent encounter Other injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level, N/A S86299D ICD10CM unspecified leg, subsequent encounter Unspecified injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg N/A S86301D ICD10CM level, right leg, subsequent encounter Unspecified injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg N/A S86302D ICD10CM level, left leg, subsequent encounter Unspecified injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg N/A S86309D ICD10CM level, unspecified leg, subsequent encounter Strain of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, right N/A S86311D ICD10CM leg, subsequent encounter Strain of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, left N/A S86312D ICD10CM leg, subsequent encounter Strain of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, N/A S86319D ICD10CM unspecified leg, subsequent encounter Laceration of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, N/A S86321D ICD10CM right leg, subsequent encounter Laceration of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, N/A S86322D ICD10CM left leg, subsequent encounter Laceration of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, N/A S86329D ICD10CM unspecified leg, subsequent encounter Other injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, N/A S86391D ICD10CM right leg, subsequent encounter Other injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, N/A S86392D ICD10CM left leg, subsequent encounter Other injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, N/A S86399D ICD10CM unspecified leg, subsequent encounter Unspecified injury of other muscle(s) and tendon(s) at lower leg level, right leg, N/A S86801D ICD10CM subsequent encounter Unspecified injury of other muscle(s) and tendon(s) at lower leg level, left leg, N/A S86802D ICD10CM subsequent encounter Unspecified injury of other muscle(s) and tendon(s) at lower leg level, unspecified N/A S86809D ICD10CM leg, subsequent encounter Strain of other muscle(s) and tendon(s) at lower leg level, right leg, subsequent N/A S86811D ICD10CM encounter Strain of other muscle(s) and tendon(s) at lower leg level, left leg, subsequent N/A S86812D ICD10CM encounter Strain of other muscle(s) and tendon(s) at lower leg level, unspecified leg, N/A S86819D ICD10CM subsequent encounter

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Numerator Value Set Name Code Definition Code System Laceration of other muscle(s) and tendon(s) at lower leg level, right leg, subsequent N/A S86821D ICD10CM encounter Laceration of other muscle(s) and tendon(s) at lower leg level, left leg, subsequent N/A S86822D ICD10CM encounter Laceration of other muscle(s) and tendon(s) at lower leg level, unspecified leg, N/A S86829D ICD10CM subsequent encounter Other injury of other muscle(s) and tendon(s) at lower leg level, right leg, N/A S86891D ICD10CM subsequent encounter Other injury of other muscle(s) and tendon(s) at lower leg level, left leg, subsequent N/A S86892D ICD10CM encounter Other injury of other muscle(s) and tendon(s) at lower leg level, unspecified leg, N/A S86899D ICD10CM subsequent encounter Unspecified injury of unspecified muscle(s) and tendon(s) at lower leg level, right leg, N/A S86901D ICD10CM subsequent encounter Unspecified injury of unspecified muscle(s) and tendon(s) at lower leg level, left leg, N/A S86902D ICD10CM subsequent encounter Unspecified injury of unspecified muscle(s) and tendon(s) at lower leg level, N/A S86909D ICD10CM unspecified leg, subsequent encounter Strain of unspecified muscle(s) and tendon(s) at lower leg level, right leg, subsequent N/A S86911D ICD10CM encounter Strain of unspecified muscle(s) and tendon(s) at lower leg level, left leg, subsequent N/A S86912D ICD10CM encounter Strain of unspecified muscle(s) and tendon(s) at lower leg level, unspecified leg, N/A S86919D ICD10CM subsequent encounter Laceration of unspecified muscle(s) and tendon(s) at lower leg level, right leg, N/A S86921D ICD10CM subsequent encounter Laceration of unspecified muscle(s) and tendon(s) at lower leg level, left leg, N/A S86922D ICD10CM subsequent encounter Laceration of unspecified muscle(s) and tendon(s) at lower leg level, unspecified leg, N/A S86929D ICD10CM subsequent encounter Other injury of unspecified muscle(s) and tendon(s) at lower leg level, right leg, N/A S86991D ICD10CM subsequent encounter Other injury of unspecified muscle(s) and tendon(s) at lower leg level, left leg, N/A S86992D ICD10CM subsequent encounter Other injury of unspecified muscle(s) and tendon(s) at lower leg level, unspecified N/A S86999D ICD10CM leg, subsequent encounter N/A S8700XD Crushing injury of unspecified knee, subsequent encounter ICD10CM N/A S8701XD Crushing injury of right knee, subsequent encounter ICD10CM N/A S8702XD Crushing injury of left knee, subsequent encounter ICD10CM N/A S8780XD Crushing injury of unspecified lower leg, subsequent encounter ICD10CM N/A S8781XD Crushing injury of right lower leg, subsequent encounter ICD10CM N/A S8782XD Crushing injury of left lower leg, subsequent encounter ICD10CM N/A S88011D Complete traumatic amputation at knee level, right lower leg, subsequent encounter ICD10CM

N/A S88012D Complete traumatic amputation at knee level, left lower leg, subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System Complete traumatic amputation at knee level, unspecified lower leg, subsequent N/A S88019D ICD10CM encounter N/A S88021D Partial traumatic amputation at knee level, right lower leg, subsequent encounter ICD10CM

N/A S88022D Partial traumatic amputation at knee level, left lower leg, subsequent encounter ICD10CM Partial traumatic amputation at knee level, unspecified lower leg, subsequent N/A S88029D ICD10CM encounter Complete traumatic amputation at level between knee and ankle, right lower leg, N/A S88111D ICD10CM subsequent encounter Complete traumatic amputation at level between knee and ankle, left lower leg, N/A S88112D ICD10CM subsequent encounter Complete traumatic amputation at level between knee and ankle, unspecified lower N/A S88119D ICD10CM leg, subsequent encounter Partial traumatic amputation at level between knee and ankle, right lower leg, N/A S88121D ICD10CM subsequent encounter Partial traumatic amputation at level between knee and ankle, left lower leg, N/A S88122D ICD10CM subsequent encounter Partial traumatic amputation at level between knee and ankle, unspecified lower leg, N/A S88129D ICD10CM subsequent encounter Complete traumatic amputation of right lower leg, level unspecified, subsequent N/A S88911D ICD10CM encounter Complete traumatic amputation of left lower leg, level unspecified, subsequent N/A S88912D ICD10CM encounter Complete traumatic amputation of unspecified lower leg, level unspecified, N/A S88919D ICD10CM subsequent encounter Partial traumatic amputation of right lower leg, level unspecified, subsequent N/A S88921D ICD10CM encounter Partial traumatic amputation of left lower leg, level unspecified, subsequent N/A S88922D ICD10CM encounter Partial traumatic amputation of unspecified lower leg, level unspecified, subsequent N/A S88929D ICD10CM encounter N/A S8980XD Other specified injuries of unspecified lower leg, subsequent encounter ICD10CM N/A S8981XD Other specified injuries of right lower leg, subsequent encounter ICD10CM N/A S8982XD Other specified injuries of left lower leg, subsequent encounter ICD10CM N/A S8990XD Unspecified injury of unspecified lower leg, subsequent encounter ICD10CM N/A S8991XD Unspecified injury of right lower leg, subsequent encounter ICD10CM N/A S8992XD Unspecified injury of left lower leg, subsequent encounter ICD10CM N/A S9000XD Contusion of unspecified ankle, subsequent encounter ICD10CM N/A S9001XD Contusion of right ankle, subsequent encounter ICD10CM N/A S9002XD Contusion of left ankle, subsequent encounter ICD10CM N/A S90111D Contusion of right great toe without damage to nail, subsequent encounter ICD10CM

N/A S90112D Contusion of left great toe without damage to nail, subsequent encounter ICD10CM

N/A S90119D Contusion of unspecified great toe without damage to nail, subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System N/A S90121D Contusion of right lesser toe(s) without damage to nail, subsequent encounter ICD10CM

N/A S90122D Contusion of left lesser toe(s) without damage to nail, subsequent encounter ICD10CM

N/A S90129D Contusion of unspecified lesser toe(s) without damage to nail, subsequent encounter ICD10CM N/A S90211D Contusion of right great toe with damage to nail, subsequent encounter ICD10CM N/A S90212D Contusion of left great toe with damage to nail, subsequent encounter ICD10CM N/A S90219D Contusion of unspecified great toe with damage to nail, subsequent encounter ICD10CM

N/A S90221D Contusion of right lesser toe(s) with damage to nail, subsequent encounter ICD10CM

N/A S90222D Contusion of left lesser toe(s) with damage to nail, subsequent encounter ICD10CM

N/A S90229D Contusion of unspecified lesser toe(s) with damage to nail, subsequent encounter ICD10CM N/A S9030XD Contusion of unspecified foot, subsequent encounter ICD10CM N/A S9031XD Contusion of right foot, subsequent encounter ICD10CM N/A S9032XD Contusion of left foot, subsequent encounter ICD10CM N/A S90411D Abrasion, right great toe, subsequent encounter ICD10CM N/A S90412D Abrasion, left great toe, subsequent encounter ICD10CM N/A S90413D Abrasion, unspecified great toe, subsequent encounter ICD10CM N/A S90414D Abrasion, right lesser toe(s), subsequent encounter ICD10CM N/A S90415D Abrasion, left lesser toe(s), subsequent encounter ICD10CM N/A S90416D Abrasion, unspecified lesser toe(s), subsequent encounter ICD10CM N/A S90421D Blister (nonthermal), right great toe, subsequent encounter ICD10CM N/A S90422D Blister (nonthermal), left great toe, subsequent encounter ICD10CM N/A S90423D Blister (nonthermal), unspecified great toe, subsequent encounter ICD10CM N/A S90424D Blister (nonthermal), right lesser toe(s), subsequent encounter ICD10CM N/A S90425D Blister (nonthermal), left lesser toe(s), subsequent encounter ICD10CM N/A S90426D Blister (nonthermal), unspecified lesser toe(s), subsequent encounter ICD10CM N/A S90441D External constriction, right great toe, subsequent encounter ICD10CM N/A S90442D External constriction, left great toe, subsequent encounter ICD10CM N/A S90443D External constriction, unspecified great toe, subsequent encounter ICD10CM N/A S90444D External constriction, right lesser toe(s), subsequent encounter ICD10CM N/A S90445D External constriction, left lesser toe(s), subsequent encounter ICD10CM N/A S90446D External constriction, unspecified lesser toe(s), subsequent encounter ICD10CM N/A S90451D Superficial foreign body, right great toe, subsequent encounter ICD10CM N/A S90452D Superficial foreign body, left great toe, subsequent encounter ICD10CM N/A S90453D Superficial foreign body, unspecified great toe, subsequent encounter ICD10CM N/A S90454D Superficial foreign body, right lesser toe(s), subsequent encounter ICD10CM N/A S90455D Superficial foreign body, left lesser toe(s), subsequent encounter ICD10CM N/A S90456D Superficial foreign body, unspecified lesser toe(s), subsequent encounter ICD10CM N/A S90461D Insect bite (nonvenomous), right great toe, subsequent encounter ICD10CM N/A S90462D Insect bite (nonvenomous), left great toe, subsequent encounter ICD10CM N/A S90463D Insect bite (nonvenomous), unspecified great toe, subsequent encounter ICD10CM N/A S90464D Insect bite (nonvenomous), right lesser toe(s), subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System N/A S90465D Insect bite (nonvenomous), left lesser toe(s), subsequent encounter ICD10CM N/A S90466D Insect bite (nonvenomous), unspecified lesser toe(s), subsequent encounter ICD10CM N/A S90471D Other superficial bite of right great toe, subsequent encounter ICD10CM N/A S90472D Other superficial bite of left great toe, subsequent encounter ICD10CM N/A S90473D Other superficial bite of unspecified great toe, subsequent encounter ICD10CM N/A S90474D Other superficial bite of right lesser toe(s), subsequent encounter ICD10CM N/A S90475D Other superficial bite of left lesser toe(s), subsequent encounter ICD10CM N/A S90476D Other superficial bite of unspecified lesser toe(s), subsequent encounter ICD10CM N/A S90511D Abrasion, right ankle, subsequent encounter ICD10CM N/A S90512D Abrasion, left ankle, subsequent encounter ICD10CM N/A S90519D Abrasion, unspecified ankle, subsequent encounter ICD10CM N/A S90521D Blister (nonthermal), right ankle, subsequent encounter ICD10CM N/A S90522D Blister (nonthermal), left ankle, subsequent encounter ICD10CM N/A S90529D Blister (nonthermal), unspecified ankle, subsequent encounter ICD10CM N/A S90541D External constriction, right ankle, subsequent encounter ICD10CM N/A S90542D External constriction, left ankle, subsequent encounter ICD10CM N/A S90549D External constriction, unspecified ankle, subsequent encounter ICD10CM N/A S90551D Superficial foreign body, right ankle, subsequent encounter ICD10CM N/A S90552D Superficial foreign body, left ankle, subsequent encounter ICD10CM N/A S90559D Superficial foreign body, unspecified ankle, subsequent encounter ICD10CM N/A S90561D Insect bite (nonvenomous), right ankle, subsequent encounter ICD10CM N/A S90562D Insect bite (nonvenomous), left ankle, subsequent encounter ICD10CM N/A S90569D Insect bite (nonvenomous), unspecified ankle, subsequent encounter ICD10CM N/A S90571D Other superficial bite of ankle, right ankle, subsequent encounter ICD10CM N/A S90572D Other superficial bite of ankle, left ankle, subsequent encounter ICD10CM N/A S90579D Other superficial bite of ankle, unspecified ankle, subsequent encounter ICD10CM N/A S90811D Abrasion, right foot, subsequent encounter ICD10CM N/A S90812D Abrasion, left foot, subsequent encounter ICD10CM N/A S90819D Abrasion, unspecified foot, subsequent encounter ICD10CM N/A S90821D Blister (nonthermal), right foot, subsequent encounter ICD10CM N/A S90822D Blister (nonthermal), left foot, subsequent encounter ICD10CM N/A S90829D Blister (nonthermal), unspecified foot, subsequent encounter ICD10CM N/A S90841D External constriction, right foot, subsequent encounter ICD10CM N/A S90842D External constriction, left foot, subsequent encounter ICD10CM N/A S90849D External constriction, unspecified foot, subsequent encounter ICD10CM N/A S90851D Superficial foreign body, right foot, subsequent encounter ICD10CM N/A S90852D Superficial foreign body, left foot, subsequent encounter ICD10CM N/A S90859D Superficial foreign body, unspecified foot, subsequent encounter ICD10CM N/A S90861D Insect bite (nonvenomous), right foot, subsequent encounter ICD10CM N/A S90862D Insect bite (nonvenomous), left foot, subsequent encounter ICD10CM N/A S90869D Insect bite (nonvenomous), unspecified foot, subsequent encounter ICD10CM N/A S90871D Other superficial bite of right foot, subsequent encounter ICD10CM N/A S90872D Other superficial bite of left foot, subsequent encounter ICD10CM N/A S90879D Other superficial bite of unspecified foot, subsequent encounter ICD10CM N/A S90911D Unspecified superficial injury of right ankle, subsequent encounter ICD10CM N/A S90912D Unspecified superficial injury of left ankle, subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System N/A S90919D Unspecified superficial injury of unspecified ankle, subsequent encounter ICD10CM N/A S90921D Unspecified superficial injury of right foot, subsequent encounter ICD10CM N/A S90922D Unspecified superficial injury of left foot, subsequent encounter ICD10CM N/A S90929D Unspecified superficial injury of unspecified foot, subsequent encounter ICD10CM N/A S90931D Unspecified superficial injury of right great toe, subsequent encounter ICD10CM N/A S90932D Unspecified superficial injury of left great toe, subsequent encounter ICD10CM N/A S90933D Unspecified superficial injury of unspecified great toe, subsequent encounter ICD10CM

N/A S90934D Unspecified superficial injury of right lesser toe(s), subsequent encounter ICD10CM N/A S90935D Unspecified superficial injury of left lesser toe(s), subsequent encounter ICD10CM N/A S90936D Unspecified superficial injury of unspecified lesser toe(s), subsequent encounter ICD10CM N/A S91001D Unspecified open wound, right ankle, subsequent encounter ICD10CM N/A S91002D Unspecified open wound, left ankle, subsequent encounter ICD10CM N/A S91009D Unspecified open wound, unspecified ankle, subsequent encounter ICD10CM N/A S91011D Laceration without foreign body, right ankle, subsequent encounter ICD10CM N/A S91012D Laceration without foreign body, left ankle, subsequent encounter ICD10CM N/A S91019D Laceration without foreign body, unspecified ankle, subsequent encounter ICD10CM N/A S91021D Laceration with foreign body, right ankle, subsequent encounter ICD10CM N/A S91022D Laceration with foreign body, left ankle, subsequent encounter ICD10CM N/A S91029D Laceration with foreign body, unspecified ankle, subsequent encounter ICD10CM N/A S91031D Puncture wound without foreign body, right ankle, subsequent encounter ICD10CM N/A S91032D Puncture wound without foreign body, left ankle, subsequent encounter ICD10CM N/A S91039D Puncture wound without foreign body, unspecified ankle, subsequent encounter ICD10CM N/A S91041D Puncture wound with foreign body, right ankle, subsequent encounter ICD10CM N/A S91042D Puncture wound with foreign body, left ankle, subsequent encounter ICD10CM N/A S91049D Puncture wound with foreign body, unspecified ankle, subsequent encounter ICD10CM N/A S91051D Open bite, right ankle, subsequent encounter ICD10CM N/A S91052D Open bite, left ankle, subsequent encounter ICD10CM N/A S91059D Open bite, unspecified ankle, subsequent encounter ICD10CM Unspecified open wound of right great toe without damage to nail, subsequent N/A S91101D ICD10CM encounter Unspecified open wound of left great toe without damage to nail, subsequent N/A S91102D ICD10CM encounter Unspecified open wound of unspecified great toe without damage to nail, N/A S91103D ICD10CM subsequent encounter Unspecified open wound of right lesser toe(s) without damage to nail, subsequent N/A S91104D ICD10CM encounter Unspecified open wound of left lesser toe(s) without damage to nail, subsequent N/A S91105D ICD10CM encounter

173 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Unspecified open wound of unspecified lesser toe(s) without damage to nail, N/A S91106D ICD10CM subsequent encounter Unspecified open wound of unspecified toe(s) without damage to nail, subsequent N/A S91109D ICD10CM encounter Laceration without foreign body of right great toe without damage to nail, N/A S91111D ICD10CM subsequent encounter Laceration without foreign body of left great toe without damage to nail, subsequent N/A S91112D ICD10CM encounter Laceration without foreign body of unspecified great toe without damage to nail, N/A S91113D ICD10CM subsequent encounter Laceration without foreign body of right lesser toe(s) without damage to nail, N/A S91114D ICD10CM subsequent encounter Laceration without foreign body of left lesser toe(s) without damage to nail, N/A S91115D ICD10CM subsequent encounter Laceration without foreign body of unspecified lesser toe(s) without damage to nail, N/A S91116D ICD10CM subsequent encounter Laceration without foreign body of unspecified toe without damage to nail, N/A S91119D ICD10CM subsequent encounter Laceration with foreign body of right great toe without damage to nail, subsequent N/A S91121D ICD10CM encounter Laceration with foreign body of left great toe without damage to nail, subsequent N/A S91122D ICD10CM encounter Laceration with foreign body of unspecified great toe without damage to nail, N/A S91123D ICD10CM subsequent encounter Laceration with foreign body of right lesser toe(s) without damage to nail, N/A S91124D ICD10CM subsequent encounter Laceration with foreign body of left lesser toe(s) without damage to nail, subsequent N/A S91125D ICD10CM encounter Laceration with foreign body of unspecified lesser toe(s) without damage to nail, N/A S91126D ICD10CM subsequent encounter Laceration with foreign body of unspecified toe(s) without damage to nail, N/A S91129D ICD10CM subsequent encounter Puncture wound without foreign body of right great toe without damage to nail, N/A S91131D ICD10CM subsequent encounter Puncture wound without foreign body of left great toe without damage to nail, N/A S91132D ICD10CM subsequent encounter Puncture wound without foreign body of unspecified great toe without damage to N/A S91133D ICD10CM nail, subsequent encounter Puncture wound without foreign body of right lesser toe(s) without damage to nail, N/A S91134D ICD10CM subsequent encounter Puncture wound without foreign body of left lesser toe(s) without damage to nail, N/A S91135D ICD10CM subsequent encounter Puncture wound without foreign body of unspecified lesser toe(s) without damage N/A S91136D ICD10CM to nail, subsequent encounter Puncture wound without foreign body of unspecified toe(s) without damage to nail, N/A S91139D ICD10CM subsequent encounter

174 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Puncture wound with foreign body of right great toe without damage to nail, N/A S91141D ICD10CM subsequent encounter Puncture wound with foreign body of left great toe without damage to nail, N/A S91142D ICD10CM subsequent encounter Puncture wound with foreign body of unspecified great toe without damage to nail, N/A S91143D ICD10CM subsequent encounter Puncture wound with foreign body of right lesser toe(s) without damage to nail, N/A S91144D ICD10CM subsequent encounter Puncture wound with foreign body of left lesser toe(s) without damage to nail, N/A S91145D ICD10CM subsequent encounter Puncture wound with foreign body of unspecified lesser toe(s) without damage to N/A S91146D ICD10CM nail, subsequent encounter Puncture wound with foreign body of unspecified toe(s) without damage to nail, N/A S91149D ICD10CM subsequent encounter N/A S91151D Open bite of right great toe without damage to nail, subsequent encounter ICD10CM N/A S91152D Open bite of left great toe without damage to nail, subsequent encounter ICD10CM N/A S91153D Open bite of unspecified great toe without damage to nail, subsequent encounter ICD10CM

N/A S91154D Open bite of right lesser toe(s) without damage to nail, subsequent encounter ICD10CM

N/A S91155D Open bite of left lesser toe(s) without damage to nail, subsequent encounter ICD10CM

N/A S91156D Open bite of unspecified lesser toe(s) without damage to nail, subsequent encounter ICD10CM

N/A S91159D Open bite of unspecified toe(s) without damage to nail, subsequent encounter ICD10CM Unspecified open wound of right great toe with damage to nail, subsequent N/A S91201D ICD10CM encounter Unspecified open wound of left great toe with damage to nail, subsequent N/A S91202D ICD10CM encounter Unspecified open wound of unspecified great toe with damage to nail, subsequent N/A S91203D ICD10CM encounter Unspecified open wound of right lesser toe(s) with damage to nail, subsequent N/A S91204D ICD10CM encounter Unspecified open wound of left lesser toe(s) with damage to nail, subsequent N/A S91205D ICD10CM encounter Unspecified open wound of unspecified lesser toe(s) with damage to nail, N/A S91206D ICD10CM subsequent encounter Unspecified open wound of unspecified toe(s) with damage to nail, subsequent N/A S91209D ICD10CM encounter Laceration without foreign body of right great toe with damage to nail, subsequent N/A S91211D ICD10CM encounter Laceration without foreign body of left great toe with damage to nail, subsequent N/A S91212D ICD10CM encounter Laceration without foreign body of unspecified great toe with damage to nail, N/A S91213D ICD10CM subsequent encounter

175 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Laceration without foreign body of right lesser toe(s) with damage to nail, N/A S91214D ICD10CM subsequent encounter Laceration without foreign body of left lesser toe(s) with damage to nail, subsequent N/A S91215D ICD10CM encounter Laceration without foreign body of unspecified lesser toe(s) with damage to nail, N/A S91216D ICD10CM subsequent encounter Laceration without foreign body of unspecified toe(s) with damage to nail, N/A S91219D ICD10CM subsequent encounter Laceration with foreign body of right great toe with damage to nail, subsequent N/A S91221D ICD10CM encounter Laceration with foreign body of left great toe with damage to nail, subsequent N/A S91222D ICD10CM encounter Laceration with foreign body of unspecified great toe with damage to nail, N/A S91223D ICD10CM subsequent encounter Laceration with foreign body of right lesser toe(s) with damage to nail, subsequent N/A S91224D ICD10CM encounter Laceration with foreign body of left lesser toe(s) with damage to nail, subsequent N/A S91225D ICD10CM encounter Laceration with foreign body of unspecified lesser toe(s) with damage to nail, N/A S91226D ICD10CM subsequent encounter Laceration with foreign body of unspecified toe(s) with damage to nail, subsequent N/A S91229D ICD10CM encounter Puncture wound without foreign body of right great toe with damage to nail, N/A S91231D ICD10CM subsequent encounter Puncture wound without foreign body of left great toe with damage to nail, N/A S91232D ICD10CM subsequent encounter Puncture wound without foreign body of unspecified great toe with damage to nail, N/A S91233D ICD10CM subsequent encounter Puncture wound without foreign body of right lesser toe(s) with damage to nail, N/A S91234D ICD10CM subsequent encounter Puncture wound without foreign body of left lesser toe(s) with damage to nail, N/A S91235D ICD10CM subsequent encounter Puncture wound without foreign body of unspecified lesser toe(s) with damage to N/A S91236D ICD10CM nail, subsequent encounter Puncture wound without foreign body of unspecified toe(s) with damage to nail, N/A S91239D ICD10CM subsequent encounter Puncture wound with foreign body of right great toe with damage to nail, N/A S91241D ICD10CM subsequent encounter Puncture wound with foreign body of left great toe with damage to nail, subsequent N/A S91242D ICD10CM encounter Puncture wound with foreign body of unspecified great toe with damage to nail, N/A S91243D ICD10CM subsequent encounter Puncture wound with foreign body of right lesser toe(s) with damage to nail, N/A S91244D ICD10CM subsequent encounter Puncture wound with foreign body of left lesser toe(s) with damage to nail, N/A S91245D ICD10CM subsequent encounter

176 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Puncture wound with foreign body of unspecified lesser toe(s) with damage to nail, N/A S91246D ICD10CM subsequent encounter Puncture wound with foreign body of unspecified toe(s) with damage to nail, N/A S91249D ICD10CM subsequent encounter N/A S91251D Open bite of right great toe with damage to nail, subsequent encounter ICD10CM N/A S91252D Open bite of left great toe with damage to nail, subsequent encounter ICD10CM N/A S91253D Open bite of unspecified great toe with damage to nail, subsequent encounter ICD10CM

N/A S91254D Open bite of right lesser toe(s) with damage to nail, subsequent encounter ICD10CM N/A S91255D Open bite of left lesser toe(s) with damage to nail, subsequent encounter ICD10CM N/A S91256D Open bite of unspecified lesser toe(s) with damage to nail, subsequent encounter ICD10CM

N/A S91259D Open bite of unspecified toe(s) with damage to nail, subsequent encounter ICD10CM N/A S91301D Unspecified open wound, right foot, subsequent encounter ICD10CM N/A S91302D Unspecified open wound, left foot, subsequent encounter ICD10CM N/A S91309D Unspecified open wound, unspecified foot, subsequent encounter ICD10CM N/A S91311D Laceration without foreign body, right foot, subsequent encounter ICD10CM N/A S91312D Laceration without foreign body, left foot, subsequent encounter ICD10CM N/A S91319D Laceration without foreign body, unspecified foot, subsequent encounter ICD10CM N/A S91321D Laceration with foreign body, right foot, subsequent encounter ICD10CM N/A S91322D Laceration with foreign body, left foot, subsequent encounter ICD10CM N/A S91329D Laceration with foreign body, unspecified foot, subsequent encounter ICD10CM N/A S91331D Puncture wound without foreign body, right foot, subsequent encounter ICD10CM N/A S91332D Puncture wound without foreign body, left foot, subsequent encounter ICD10CM N/A S91339D Puncture wound without foreign body, unspecified foot, subsequent encounter ICD10CM N/A S91341D Puncture wound with foreign body, right foot, subsequent encounter ICD10CM N/A S91342D Puncture wound with foreign body, left foot, subsequent encounter ICD10CM N/A S91349D Puncture wound with foreign body, unspecified foot, subsequent encounter ICD10CM N/A S91351D Open bite, right foot, subsequent encounter ICD10CM N/A S91352D Open bite, left foot, subsequent encounter ICD10CM N/A S91359D Open bite, unspecified foot, subsequent encounter ICD10CM N/A S9301XD Subluxation of right ankle joint, subsequent encounter ICD10CM N/A S9302XD Subluxation of left ankle joint, subsequent encounter ICD10CM N/A S9303XD Subluxation of unspecified ankle joint, subsequent encounter ICD10CM N/A S9304XD Dislocation of right ankle joint, subsequent encounter ICD10CM N/A S9305XD Dislocation of left ankle joint, subsequent encounter ICD10CM N/A S9306XD Dislocation of unspecified ankle joint, subsequent encounter ICD10CM N/A S93101D Unspecified subluxation of right toe(s), subsequent encounter ICD10CM N/A S93102D Unspecified subluxation of left toe(s), subsequent encounter ICD10CM N/A S93103D Unspecified subluxation of unspecified toe(s), subsequent encounter ICD10CM N/A S93104D Unspecified dislocation of right toe(s), subsequent encounter ICD10CM N/A S93105D Unspecified dislocation of left toe(s), subsequent encounter ICD10CM N/A S93106D Unspecified dislocation of unspecified toe(s), subsequent encounter ICD10CM

177 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S93111D Dislocation of interphalangeal joint of right great toe, subsequent encounter ICD10CM

N/A S93112D Dislocation of interphalangeal joint of left great toe, subsequent encounter ICD10CM

N/A S93113D Dislocation of interphalangeal joint of unspecified great toe, subsequent encounter ICD10CM

N/A S93114D Dislocation of interphalangeal joint of right lesser toe(s), subsequent encounter ICD10CM

N/A S93115D Dislocation of interphalangeal joint of left lesser toe(s), subsequent encounter ICD10CM Dislocation of interphalangeal joint of unspecified lesser toe(s), subsequent N/A S93116D ICD10CM encounter N/A S93119D Dislocation of interphalangeal joint of unspecified toe(s), subsequent encounter ICD10CM

N/A S93121D Dislocation of metatarsophalangeal joint of right great toe, subsequent encounter ICD10CM

N/A S93122D Dislocation of metatarsophalangeal joint of left great toe, subsequent encounter ICD10CM Dislocation of metatarsophalangeal joint of unspecified great toe, subsequent N/A S93123D ICD10CM encounter N/A S93124D Dislocation of metatarsophalangeal joint of right lesser toe(s), subsequent encounter ICD10CM

N/A S93125D Dislocation of metatarsophalangeal joint of left lesser toe(s), subsequent encounter ICD10CM Dislocation of metatarsophalangeal joint of unspecified lesser toe(s), subsequent N/A S93126D ICD10CM encounter Dislocation of metatarsophalangeal joint of unspecified toe(s), subsequent N/A S93129D ICD10CM encounter N/A S93131D Subluxation of interphalangeal joint of right great toe, subsequent encounter ICD10CM

N/A S93132D Subluxation of interphalangeal joint of left great toe, subsequent encounter ICD10CM

N/A S93133D Subluxation of interphalangeal joint of unspecified great toe, subsequent encounter ICD10CM

N/A S93134D Subluxation of interphalangeal joint of right lesser toe(s), subsequent encounter ICD10CM

N/A S93135D Subluxation of interphalangeal joint of left lesser toe(s), subsequent encounter ICD10CM Subluxation of interphalangeal joint of unspecified lesser toe(s), subsequent N/A S93136D ICD10CM encounter N/A S93139D Subluxation of interphalangeal joint of unspecified toe(s), subsequent encounter ICD10CM

N/A S93141D Subluxation of metatarsophalangeal joint of right great toe, subsequent encounter ICD10CM

N/A S93142D Subluxation of metatarsophalangeal joint of left great toe, subsequent encounter ICD10CM

178 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Subluxation of metatarsophalangeal joint of unspecified great toe, subsequent N/A S93143D ICD10CM encounter Subluxation of metatarsophalangeal joint of right lesser toe(s), subsequent N/A S93144D ICD10CM encounter N/A S93145D Subluxation of metatarsophalangeal joint of left lesser toe(s), subsequent encounter ICD10CM Subluxation of metatarsophalangeal joint of unspecified lesser toe(s), subsequent N/A S93146D ICD10CM encounter Subluxation of metatarsophalangeal joint of unspecified toe(s), subsequent N/A S93149D ICD10CM encounter N/A S93301D Unspecified subluxation of right foot, subsequent encounter ICD10CM N/A S93302D Unspecified subluxation of left foot, subsequent encounter ICD10CM N/A S93303D Unspecified subluxation of unspecified foot, subsequent encounter ICD10CM N/A S93304D Unspecified dislocation of right foot, subsequent encounter ICD10CM N/A S93305D Unspecified dislocation of left foot, subsequent encounter ICD10CM N/A S93306D Unspecified dislocation of unspecified foot, subsequent encounter ICD10CM N/A S93311D Subluxation of tarsal joint of right foot, subsequent encounter ICD10CM N/A S93312D Subluxation of tarsal joint of left foot, subsequent encounter ICD10CM N/A S93313D Subluxation of tarsal joint of unspecified foot, subsequent encounter ICD10CM N/A S93314D Dislocation of tarsal joint of right foot, subsequent encounter ICD10CM N/A S93315D Dislocation of tarsal joint of left foot, subsequent encounter ICD10CM N/A S93316D Dislocation of tarsal joint of unspecified foot, subsequent encounter ICD10CM N/A S93321D Subluxation of tarsometatarsal joint of right foot, subsequent encounter ICD10CM N/A S93322D Subluxation of tarsometatarsal joint of left foot, subsequent encounter ICD10CM N/A S93323D Subluxation of tarsometatarsal joint of unspecified foot, subsequent encounter ICD10CM N/A S93324D Dislocation of tarsometatarsal joint of right foot, subsequent encounter ICD10CM N/A S93325D Dislocation of tarsometatarsal joint of left foot, subsequent encounter ICD10CM N/A S93326D Dislocation of tarsometatarsal joint of unspecified foot, subsequent encounter ICD10CM N/A S93331D Other subluxation of right foot, subsequent encounter ICD10CM N/A S93332D Other subluxation of left foot, subsequent encounter ICD10CM N/A S93333D Other subluxation of unspecified foot, subsequent encounter ICD10CM N/A S93334D Other dislocation of right foot, subsequent encounter ICD10CM N/A S93335D Other dislocation of left foot, subsequent encounter ICD10CM N/A S93336D Other dislocation of unspecified foot, subsequent encounter ICD10CM N/A S93401D Sprain of unspecified ligament of right ankle, subsequent encounter ICD10CM N/A S93402D Sprain of unspecified ligament of left ankle, subsequent encounter ICD10CM N/A S93409D Sprain of unspecified ligament of unspecified ankle, subsequent encounter ICD10CM N/A S93411D Sprain of calcaneofibular ligament of right ankle, subsequent encounter ICD10CM N/A S93412D Sprain of calcaneofibular ligament of left ankle, subsequent encounter ICD10CM N/A S93419D Sprain of calcaneofibular ligament of unspecified ankle, subsequent encounter ICD10CM N/A S93421D Sprain of deltoid ligament of right ankle, subsequent encounter ICD10CM N/A S93422D Sprain of deltoid ligament of left ankle, subsequent encounter ICD10CM N/A S93429D Sprain of deltoid ligament of unspecified ankle, subsequent encounter ICD10CM

179 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S93431D Sprain of tibiofibular ligament of right ankle, subsequent encounter ICD10CM N/A S93432D Sprain of tibiofibular ligament of left ankle, subsequent encounter ICD10CM N/A S93439D Sprain of tibiofibular ligament of unspecified ankle, subsequent encounter ICD10CM N/A S93491D Sprain of other ligament of right ankle, subsequent encounter ICD10CM N/A S93492D Sprain of other ligament of left ankle, subsequent encounter ICD10CM N/A S93499D Sprain of other ligament of unspecified ankle, subsequent encounter ICD10CM N/A S93501D Unspecified sprain of right great toe, subsequent encounter ICD10CM N/A S93502D Unspecified sprain of left great toe, subsequent encounter ICD10CM N/A S93503D Unspecified sprain of unspecified great toe, subsequent encounter ICD10CM N/A S93504D Unspecified sprain of right lesser toe(s), subsequent encounter ICD10CM N/A S93505D Unspecified sprain of left lesser toe(s), subsequent encounter ICD10CM N/A S93506D Unspecified sprain of unspecified lesser toe(s), subsequent encounter ICD10CM N/A S93509D Unspecified sprain of unspecified toe(s), subsequent encounter ICD10CM N/A S93511D Sprain of interphalangeal joint of right great toe, subsequent encounter ICD10CM N/A S93512D Sprain of interphalangeal joint of left great toe, subsequent encounter ICD10CM N/A S93513D Sprain of interphalangeal joint of unspecified great toe, subsequent encounter ICD10CM

N/A S93514D Sprain of interphalangeal joint of right lesser toe(s), subsequent encounter ICD10CM

N/A S93515D Sprain of interphalangeal joint of left lesser toe(s), subsequent encounter ICD10CM

N/A S93516D Sprain of interphalangeal joint of unspecified lesser toe(s), subsequent encounter ICD10CM

N/A S93519D Sprain of interphalangeal joint of unspecified toe(s), subsequent encounter ICD10CM

N/A S93521D Sprain of metatarsophalangeal joint of right great toe, subsequent encounter ICD10CM

N/A S93522D Sprain of metatarsophalangeal joint of left great toe, subsequent encounter ICD10CM

N/A S93523D Sprain of metatarsophalangeal joint of unspecified great toe, subsequent encounter ICD10CM

N/A S93524D Sprain of metatarsophalangeal joint of right lesser toe(s), subsequent encounter ICD10CM

N/A S93525D Sprain of metatarsophalangeal joint of left lesser toe(s), subsequent encounter ICD10CM Sprain of metatarsophalangeal joint of unspecified lesser toe(s), subsequent N/A S93526D ICD10CM encounter N/A S93529D Sprain of metatarsophalangeal joint of unspecified toe(s), subsequent encounter ICD10CM N/A S93601D Unspecified sprain of right foot, subsequent encounter ICD10CM N/A S93602D Unspecified sprain of left foot, subsequent encounter ICD10CM N/A S93609D Unspecified sprain of unspecified foot, subsequent encounter ICD10CM N/A S93611D Sprain of tarsal ligament of right foot, subsequent encounter ICD10CM N/A S93612D Sprain of tarsal ligament of left foot, subsequent encounter ICD10CM N/A S93619D Sprain of tarsal ligament of unspecified foot, subsequent encounter ICD10CM N/A S93621D Sprain of tarsometatarsal ligament of right foot, subsequent encounter ICD10CM

180 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S93622D Sprain of tarsometatarsal ligament of left foot, subsequent encounter ICD10CM N/A S93629D Sprain of tarsometatarsal ligament of unspecified foot, subsequent encounter ICD10CM N/A S93691D Other sprain of right foot, subsequent encounter ICD10CM N/A S93692D Other sprain of left foot, subsequent encounter ICD10CM N/A S93699D Other sprain of unspecified foot, subsequent encounter ICD10CM N/A S9400XD Injury of lateral plantar nerve, unspecified leg, subsequent encounter ICD10CM N/A S9401XD Injury of lateral plantar nerve, right leg, subsequent encounter ICD10CM N/A S9402XD Injury of lateral plantar nerve, left leg, subsequent encounter ICD10CM N/A S9410XD Injury of medial plantar nerve, unspecified leg, subsequent encounter ICD10CM N/A S9411XD Injury of medial plantar nerve, right leg, subsequent encounter ICD10CM N/A S9412XD Injury of medial plantar nerve, left leg, subsequent encounter ICD10CM Injury of deep peroneal nerve at ankle and foot level, unspecified leg, subsequent N/A S9420XD ICD10CM encounter Injury of deep peroneal nerve at ankle and foot level, right leg, subsequent N/A S9421XD ICD10CM encounter N/A S9422XD Injury of deep peroneal nerve at ankle and foot level, left leg, subsequent encounter ICD10CM Injury of cutaneous sensory nerve at ankle and foot level, unspecified leg, N/A S9430XD ICD10CM subsequent encounter Injury of cutaneous sensory nerve at ankle and foot level, right leg, subsequent N/A S9431XD ICD10CM encounter Injury of cutaneous sensory nerve at ankle and foot level, left leg, subsequent N/A S9432XD ICD10CM encounter N/A S948X1D Injury of other nerves at ankle and foot level, right leg, subsequent encounter ICD10CM

N/A S948X2D Injury of other nerves at ankle and foot level, left leg, subsequent encounter ICD10CM

N/A S948X9D Injury of other nerves at ankle and foot level, unspecified leg, subsequent encounter ICD10CM Injury of unspecified nerve at ankle and foot level, unspecified leg, subsequent N/A S9490XD ICD10CM encounter N/A S9491XD Injury of unspecified nerve at ankle and foot level, right leg, subsequent encounter ICD10CM

N/A S9492XD Injury of unspecified nerve at ankle and foot level, left leg, subsequent encounter ICD10CM N/A S95001D Unspecified injury of dorsal artery of right foot, subsequent encounter ICD10CM N/A S95002D Unspecified injury of dorsal artery of left foot, subsequent encounter ICD10CM N/A S95009D Unspecified injury of dorsal artery of unspecified foot, subsequent encounter ICD10CM N/A S95011D Laceration of dorsal artery of right foot, subsequent encounter ICD10CM N/A S95012D Laceration of dorsal artery of left foot, subsequent encounter ICD10CM N/A S95019D Laceration of dorsal artery of unspecified foot, subsequent encounter ICD10CM N/A S95091D Other specified injury of dorsal artery of right foot, subsequent encounter ICD10CM N/A S95092D Other specified injury of dorsal artery of left foot, subsequent encounter ICD10CM

181 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S95099D Other specified injury of dorsal artery of unspecified foot, subsequent encounter ICD10CM N/A S95101D Unspecified injury of plantar artery of right foot, subsequent encounter ICD10CM N/A S95102D Unspecified injury of plantar artery of left foot, subsequent encounter ICD10CM N/A S95109D Unspecified injury of plantar artery of unspecified foot, subsequent encounter ICD10CM N/A S95111D Laceration of plantar artery of right foot, subsequent encounter ICD10CM N/A S95112D Laceration of plantar artery of left foot, subsequent encounter ICD10CM N/A S95119D Laceration of plantar artery of unspecified foot, subsequent encounter ICD10CM N/A S95191D Other specified injury of plantar artery of right foot, subsequent encounter ICD10CM N/A S95192D Other specified injury of plantar artery of left foot, subsequent encounter ICD10CM N/A S95199D Other specified injury of plantar artery of unspecified foot, subsequent encounter ICD10CM N/A S95201D Unspecified injury of dorsal vein of right foot, subsequent encounter ICD10CM N/A S95202D Unspecified injury of dorsal vein of left foot, subsequent encounter ICD10CM N/A S95209D Unspecified injury of dorsal vein of unspecified foot, subsequent encounter ICD10CM N/A S95211D Laceration of dorsal vein of right foot, subsequent encounter ICD10CM N/A S95212D Laceration of dorsal vein of left foot, subsequent encounter ICD10CM N/A S95219D Laceration of dorsal vein of unspecified foot, subsequent encounter ICD10CM N/A S95291D Other specified injury of dorsal vein of right foot, subsequent encounter ICD10CM N/A S95292D Other specified injury of dorsal vein of left foot, subsequent encounter ICD10CM N/A S95299D Other specified injury of dorsal vein of unspecified foot, subsequent encounter ICD10CM Unspecified injury of other blood vessels at ankle and foot level, right leg, N/A S95801D ICD10CM subsequent encounter Unspecified injury of other blood vessels at ankle and foot level, left leg, subsequent N/A S95802D ICD10CM encounter Unspecified injury of other blood vessels at ankle and foot level, unspecified leg, N/A S95809D ICD10CM subsequent encounter Laceration of other blood vessels at ankle and foot level, right leg, subsequent N/A S95811D ICD10CM encounter Laceration of other blood vessels at ankle and foot level, left leg, subsequent N/A S95812D ICD10CM encounter Laceration of other blood vessels at ankle and foot level, unspecified leg, subsequent N/A S95819D ICD10CM encounter Other specified injury of other blood vessels at ankle and foot level, right leg, N/A S95891D ICD10CM subsequent encounter Other specified injury of other blood vessels at ankle and foot level, left leg, N/A S95892D ICD10CM subsequent encounter Other specified injury of other blood vessels at ankle and foot level, unspecified leg, N/A S95899D ICD10CM subsequent encounter Unspecified injury of unspecified blood vessel at ankle and foot level, right leg, N/A S95901D ICD10CM subsequent encounter Unspecified injury of unspecified blood vessel at ankle and foot level, left leg, N/A S95902D ICD10CM subsequent encounter

182 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Unspecified injury of unspecified blood vessel at ankle and foot level, unspecified N/A S95909D ICD10CM leg, subsequent encounter Laceration of unspecified blood vessel at ankle and foot level, right leg, subsequent N/A S95911D ICD10CM encounter Laceration of unspecified blood vessel at ankle and foot level, left leg, subsequent N/A S95912D ICD10CM encounter Laceration of unspecified blood vessel at ankle and foot level, unspecified leg, N/A S95919D ICD10CM subsequent encounter Other specified injury of unspecified blood vessel at ankle and foot level, right leg, N/A S95991D ICD10CM subsequent encounter Other specified injury of unspecified blood vessel at ankle and foot level, left leg, N/A S95992D ICD10CM subsequent encounter Other specified injury of unspecified blood vessel at ankle and foot level, unspecified N/A S95999D ICD10CM leg, subsequent encounter Unspecified injury of muscle and tendon of long flexor muscle of toe at ankle and N/A S96001D ICD10CM foot level, right foot, subsequent encounter Unspecified injury of muscle and tendon of long flexor muscle of toe at ankle and N/A S96002D ICD10CM foot level, left foot, subsequent encounter Unspecified injury of muscle and tendon of long flexor muscle of toe at ankle and N/A S96009D ICD10CM foot level, unspecified foot, subsequent encounter Strain of muscle and tendon of long flexor muscle of toe at ankle and foot level, right N/A S96011D ICD10CM foot, subsequent encounter Strain of muscle and tendon of long flexor muscle of toe at ankle and foot level, left N/A S96012D ICD10CM foot, subsequent encounter Strain of muscle and tendon of long flexor muscle of toe at ankle and foot level, N/A S96019D ICD10CM unspecified foot, subsequent encounter Laceration of muscle and tendon of long flexor muscle of toe at ankle and foot level, N/A S96021D ICD10CM right foot, subsequent encounter Laceration of muscle and tendon of long flexor muscle of toe at ankle and foot level, N/A S96022D ICD10CM left foot, subsequent encounter Laceration of muscle and tendon of long flexor muscle of toe at ankle and foot level, N/A S96029D ICD10CM unspecified foot, subsequent encounter Other injury of muscle and tendon of long flexor muscle of toe at ankle and foot N/A S96091D ICD10CM level, right foot, subsequent encounter Other injury of muscle and tendon of long flexor muscle of toe at ankle and foot N/A S96092D ICD10CM level, left foot, subsequent encounter Other injury of muscle and tendon of long flexor muscle of toe at ankle and foot N/A S96099D ICD10CM level, unspecified foot, subsequent encounter Unspecified injury of muscle and tendon of long extensor muscle of toe at ankle and N/A S96101D ICD10CM foot level, right foot, subsequent encounter Unspecified injury of muscle and tendon of long extensor muscle of toe at ankle and N/A S96102D ICD10CM foot level, left foot, subsequent encounter Unspecified injury of muscle and tendon of long extensor muscle of toe at ankle and N/A S96109D ICD10CM foot level, unspecified foot, subsequent encounter Strain of muscle and tendon of long extensor muscle of toe at ankle and foot level, N/A S96111D ICD10CM right foot, subsequent encounter

183 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Strain of muscle and tendon of long extensor muscle of toe at ankle and foot level, N/A S96112D ICD10CM left foot, subsequent encounter Strain of muscle and tendon of long extensor muscle of toe at ankle and foot level, N/A S96119D ICD10CM unspecified foot, subsequent encounter Laceration of muscle and tendon of long extensor muscle of toe at ankle and foot N/A S96121D ICD10CM level, right foot, subsequent encounter Laceration of muscle and tendon of long extensor muscle of toe at ankle and foot N/A S96122D ICD10CM level, left foot, subsequent encounter Laceration of muscle and tendon of long extensor muscle of toe at ankle and foot N/A S96129D ICD10CM level, unspecified foot, subsequent encounter Other specified injury of muscle and tendon of long extensor muscle of toe at ankle N/A S96191D ICD10CM and foot level, right foot, subsequent encounter Other specified injury of muscle and tendon of long extensor muscle of toe at ankle N/A S96192D ICD10CM and foot level, left foot, subsequent encounter Other specified injury of muscle and tendon of long extensor muscle of toe at ankle N/A S96199D ICD10CM and foot level, unspecified foot, subsequent encounter Unspecified injury of intrinsic muscle and tendon at ankle and foot level, right foot, N/A S96201D ICD10CM subsequent encounter Unspecified injury of intrinsic muscle and tendon at ankle and foot level, left foot, N/A S96202D ICD10CM subsequent encounter Unspecified injury of intrinsic muscle and tendon at ankle and foot level, unspecified N/A S96209D ICD10CM foot, subsequent encounter Strain of intrinsic muscle and tendon at ankle and foot level, right foot, subsequent N/A S96211D ICD10CM encounter Strain of intrinsic muscle and tendon at ankle and foot level, left foot, subsequent N/A S96212D ICD10CM encounter Strain of intrinsic muscle and tendon at ankle and foot level, unspecified foot, N/A S96219D ICD10CM subsequent encounter Laceration of intrinsic muscle and tendon at ankle and foot level, right foot, N/A S96221D ICD10CM subsequent encounter Laceration of intrinsic muscle and tendon at ankle and foot level, left foot, N/A S96222D ICD10CM subsequent encounter Laceration of intrinsic muscle and tendon at ankle and foot level, unspecified foot, N/A S96229D ICD10CM subsequent encounter Other specified injury of intrinsic muscle and tendon at ankle and foot level, right N/A S96291D ICD10CM foot, subsequent encounter Other specified injury of intrinsic muscle and tendon at ankle and foot level, left N/A S96292D ICD10CM foot, subsequent encounter Other specified injury of intrinsic muscle and tendon at ankle and foot level, N/A S96299D ICD10CM unspecified foot, subsequent encounter Unspecified injury of other specified muscles and tendons at ankle and foot level, N/A S96801D ICD10CM right foot, subsequent encounter Unspecified injury of other specified muscles and tendons at ankle and foot level, N/A S96802D ICD10CM left foot, subsequent encounter Unspecified injury of other specified muscles and tendons at ankle and foot level, N/A S96809D ICD10CM unspecified foot, subsequent encounter

184 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Strain of other specified muscles and tendons at ankle and foot level, right foot, N/A S96811D ICD10CM subsequent encounter Strain of other specified muscles and tendons at ankle and foot level, left foot, N/A S96812D ICD10CM subsequent encounter Strain of other specified muscles and tendons at ankle and foot level, unspecified N/A S96819D ICD10CM foot, subsequent encounter Laceration of other specified muscles and tendons at ankle and foot level, right foot, N/A S96821D ICD10CM subsequent encounter Laceration of other specified muscles and tendons at ankle and foot level, left foot, N/A S96822D ICD10CM subsequent encounter Laceration of other specified muscles and tendons at ankle and foot level, N/A S96829D ICD10CM unspecified foot, subsequent encounter Other specified injury of other specified muscles and tendons at ankle and foot level, N/A S96891D ICD10CM right foot, subsequent encounter Other specified injury of other specified muscles and tendons at ankle and foot level, N/A S96892D ICD10CM left foot, subsequent encounter Other specified injury of other specified muscles and tendons at ankle and foot level, N/A S96899D ICD10CM unspecified foot, subsequent encounter Unspecified injury of unspecified muscle and tendon at ankle and foot level, right N/A S96901D ICD10CM foot, subsequent encounter Unspecified injury of unspecified muscle and tendon at ankle and foot level, left N/A S96902D ICD10CM foot, subsequent encounter Unspecified injury of unspecified muscle and tendon at ankle and foot level, N/A S96909D ICD10CM unspecified foot, subsequent encounter Strain of unspecified muscle and tendon at ankle and foot level, right foot, N/A S96911D ICD10CM subsequent encounter Strain of unspecified muscle and tendon at ankle and foot level, left foot, N/A S96912D ICD10CM subsequent encounter Strain of unspecified muscle and tendon at ankle and foot level, unspecified foot, N/A S96919D ICD10CM subsequent encounter Laceration of unspecified muscle and tendon at ankle and foot level, right foot, N/A S96921D ICD10CM subsequent encounter Laceration of unspecified muscle and tendon at ankle and foot level, left foot, N/A S96922D ICD10CM subsequent encounter Laceration of unspecified muscle and tendon at ankle and foot level, unspecified N/A S96929D ICD10CM foot, subsequent encounter Other specified injury of unspecified muscle and tendon at ankle and foot level, right N/A S96991D ICD10CM foot, subsequent encounter Other specified injury of unspecified muscle and tendon at ankle and foot level, left N/A S96992D ICD10CM foot, subsequent encounter Other specified injury of unspecified muscle and tendon at ankle and foot level, N/A S96999D ICD10CM unspecified foot, subsequent encounter N/A S9700XD Crushing injury of unspecified ankle, subsequent encounter ICD10CM N/A S9701XD Crushing injury of right ankle, subsequent encounter ICD10CM N/A S9702XD Crushing injury of left ankle, subsequent encounter ICD10CM N/A S97101D Crushing injury of unspecified right toe(s), subsequent encounter ICD10CM N/A S97102D Crushing injury of unspecified left toe(s), subsequent encounter ICD10CM

185 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A S97109D Crushing injury of unspecified toe(s), subsequent encounter ICD10CM N/A S97111D Crushing injury of right great toe, subsequent encounter ICD10CM N/A S97112D Crushing injury of left great toe, subsequent encounter ICD10CM N/A S97119D Crushing injury of unspecified great toe, subsequent encounter ICD10CM N/A S97121D Crushing injury of right lesser toe(s), subsequent encounter ICD10CM N/A S97122D Crushing injury of left lesser toe(s), subsequent encounter ICD10CM N/A S97129D Crushing injury of unspecified lesser toe(s), subsequent encounter ICD10CM N/A S9780XD Crushing injury of unspecified foot, subsequent encounter ICD10CM N/A S9781XD Crushing injury of right foot, subsequent encounter ICD10CM N/A S9782XD Crushing injury of left foot, subsequent encounter ICD10CM N/A S98011D Complete traumatic amputation of right foot at ankle level, subsequent encounter ICD10CM

N/A S98012D Complete traumatic amputation of left foot at ankle level, subsequent encounter ICD10CM Complete traumatic amputation of unspecified foot at ankle level, subsequent N/A S98019D ICD10CM encounter N/A S98021D Partial traumatic amputation of right foot at ankle level, subsequent encounter ICD10CM

N/A S98022D Partial traumatic amputation of left foot at ankle level, subsequent encounter ICD10CM Partial traumatic amputation of unspecified foot at ankle level, subsequent N/A S98029D ICD10CM encounter N/A S98111D Complete traumatic amputation of right great toe, subsequent encounter ICD10CM N/A S98112D Complete traumatic amputation of left great toe, subsequent encounter ICD10CM N/A S98119D Complete traumatic amputation of unspecified great toe, subsequent encounter ICD10CM N/A S98121D Partial traumatic amputation of right great toe, subsequent encounter ICD10CM N/A S98122D Partial traumatic amputation of left great toe, subsequent encounter ICD10CM N/A S98129D Partial traumatic amputation of unspecified great toe, subsequent encounter ICD10CM

N/A S98131D Complete traumatic amputation of one right lesser toe, subsequent encounter ICD10CM

N/A S98132D Complete traumatic amputation of one left lesser toe, subsequent encounter ICD10CM Complete traumatic amputation of one unspecified lesser toe, subsequent N/A S98139D ICD10CM encounter N/A S98141D Partial traumatic amputation of one right lesser toe, subsequent encounter ICD10CM

N/A S98142D Partial traumatic amputation of one left lesser toe, subsequent encounter ICD10CM

N/A S98149D Partial traumatic amputation of one unspecified lesser toe, subsequent encounter ICD10CM Complete traumatic amputation of two or more right lesser toes, subsequent N/A S98211D ICD10CM encounter Complete traumatic amputation of two or more left lesser toes, subsequent N/A S98212D ICD10CM encounter

186 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Complete traumatic amputation of two or more unspecified lesser toes, subsequent N/A S98219D ICD10CM encounter N/A S98221D Partial traumatic amputation of two or more right lesser toes, subsequent encounter ICD10CM

N/A S98222D Partial traumatic amputation of two or more left lesser toes, subsequent encounter ICD10CM Partial traumatic amputation of two or more unspecified lesser toes, subsequent N/A S98229D ICD10CM encounter N/A S98311D Complete traumatic amputation of right midfoot, subsequent encounter ICD10CM N/A S98312D Complete traumatic amputation of left midfoot, subsequent encounter ICD10CM N/A S98319D Complete traumatic amputation of unspecified midfoot, subsequent encounter ICD10CM N/A S98321D Partial traumatic amputation of right midfoot, subsequent encounter ICD10CM N/A S98322D Partial traumatic amputation of left midfoot, subsequent encounter ICD10CM N/A S98329D Partial traumatic amputation of unspecified midfoot, subsequent encounter ICD10CM Complete traumatic amputation of right foot, level unspecified, subsequent N/A S98911D ICD10CM encounter Complete traumatic amputation of left foot, level unspecified, subsequent N/A S98912D ICD10CM encounter Complete traumatic amputation of unspecified foot, level unspecified, subsequent N/A S98919D ICD10CM encounter N/A S98921D Partial traumatic amputation of right foot, level unspecified, subsequent encounter ICD10CM

N/A S98922D Partial traumatic amputation of left foot, level unspecified, subsequent encounter ICD10CM Partial traumatic amputation of unspecified foot, level unspecified, subsequent N/A S98929D ICD10CM encounter N/A S99811D Other specified injuries of right ankle, subsequent encounter ICD10CM N/A S99812D Other specified injuries of left ankle, subsequent encounter ICD10CM N/A S99819D Other specified injuries of unspecified ankle, subsequent encounter ICD10CM N/A S99821D Other specified injuries of right foot, subsequent encounter ICD10CM N/A S99822D Other specified injuries of left foot, subsequent encounter ICD10CM N/A S99829D Other specified injuries of unspecified foot, subsequent encounter ICD10CM N/A S99911D Unspecified injury of right ankle, subsequent encounter ICD10CM N/A S99912D Unspecified injury of left ankle, subsequent encounter ICD10CM N/A S99919D Unspecified injury of unspecified ankle, subsequent encounter ICD10CM N/A S99921D Unspecified injury of right foot, subsequent encounter ICD10CM N/A S99922D Unspecified injury of left foot, subsequent encounter ICD10CM N/A S99929D Unspecified injury of unspecified foot, subsequent encounter ICD10CM N/A T1500XD Foreign body in cornea, unspecified eye, subsequent encounter ICD10CM N/A T1501XD Foreign body in cornea, right eye, subsequent encounter ICD10CM N/A T1502XD Foreign body in cornea, left eye, subsequent encounter ICD10CM N/A T1510XD Foreign body in conjunctival sac, unspecified eye, subsequent encounter ICD10CM N/A T1511XD Foreign body in conjunctival sac, right eye, subsequent encounter ICD10CM N/A T1512XD Foreign body in conjunctival sac, left eye, subsequent encounter ICD10CM

187 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Foreign body in other and multiple parts of external eye, unspecified eye, N/A T1580XD ICD10CM subsequent encounter Foreign body in other and multiple parts of external eye, right eye, subsequent N/A T1581XD ICD10CM encounter Foreign body in other and multiple parts of external eye, left eye, subsequent N/A T1582XD ICD10CM encounter Foreign body on external eye, part unspecified, unspecified eye, subsequent N/A T1590XD ICD10CM encounter N/A T1591XD Foreign body on external eye, part unspecified, right eye, subsequent encounter ICD10CM

N/A T1592XD Foreign body on external eye, part unspecified, left eye, subsequent encounter ICD10CM N/A T161XXD Foreign body in right ear, subsequent encounter ICD10CM N/A T162XXD Foreign body in left ear, subsequent encounter ICD10CM N/A T169XXD Foreign body in ear, unspecified ear, subsequent encounter ICD10CM N/A T170XXD Foreign body in nasal sinus, subsequent encounter ICD10CM N/A T171XXD Foreign body in nostril, subsequent encounter ICD10CM N/A T17200D Unspecified foreign body in pharynx causing asphyxiation, subsequent encounter ICD10CM

N/A T17208D Unspecified foreign body in pharynx causing other injury, subsequent encounter ICD10CM N/A T17210D Gastric contents in pharynx causing asphyxiation, subsequent encounter ICD10CM N/A T17218D Gastric contents in pharynx causing other injury, subsequent encounter ICD10CM N/A T17220D Food in pharynx causing asphyxiation, subsequent encounter ICD10CM N/A T17228D Food in pharynx causing other injury, subsequent encounter ICD10CM N/A T17290D Other foreign object in pharynx causing asphyxiation, subsequent encounter ICD10CM

N/A T17298D Other foreign object in pharynx causing other injury, subsequent encounter ICD10CM

N/A T17300D Unspecified foreign body in larynx causing asphyxiation, subsequent encounter ICD10CM

N/A T17308D Unspecified foreign body in larynx causing other injury, subsequent encounter ICD10CM N/A T17310D Gastric contents in larynx causing asphyxiation, subsequent encounter ICD10CM N/A T17318D Gastric contents in larynx causing other injury, subsequent encounter ICD10CM N/A T17320D Food in larynx causing asphyxiation, subsequent encounter ICD10CM N/A T17328D Food in larynx causing other injury, subsequent encounter ICD10CM N/A T17390D Other foreign object in larynx causing asphyxiation, subsequent encounter ICD10CM N/A T17398D Other foreign object in larynx causing other injury, subsequent encounter ICD10CM N/A T17400D Unspecified foreign body in trachea causing asphyxiation, subsequent encounter ICD10CM

N/A T17408D Unspecified foreign body in trachea causing other injury, subsequent encounter ICD10CM N/A T17410D Gastric contents in trachea causing asphyxiation, subsequent encounter ICD10CM N/A T17418D Gastric contents in trachea causing other injury, subsequent encounter ICD10CM N/A T17420D Food in trachea causing asphyxiation, subsequent encounter ICD10CM

188 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A T17428D Food in trachea causing other injury, subsequent encounter ICD10CM N/A T17490D Other foreign object in trachea causing asphyxiation, subsequent encounter ICD10CM

N/A T17498D Other foreign object in trachea causing other injury, subsequent encounter ICD10CM

N/A T17500D Unspecified foreign body in bronchus causing asphyxiation, subsequent encounter ICD10CM

N/A T17508D Unspecified foreign body in bronchus causing other injury, subsequent encounter ICD10CM N/A T17510D Gastric contents in bronchus causing asphyxiation, subsequent encounter ICD10CM N/A T17518D Gastric contents in bronchus causing other injury, subsequent encounter ICD10CM N/A T17520D Food in bronchus causing asphyxiation, subsequent encounter ICD10CM N/A T17528D Food in bronchus causing other injury, subsequent encounter ICD10CM N/A T17590D Other foreign object in bronchus causing asphyxiation, subsequent encounter ICD10CM

N/A T17598D Other foreign object in bronchus causing other injury, subsequent encounter ICD10CM Unspecified foreign body in other parts of respiratory tract causing asphyxiation, N/A T17800D ICD10CM subsequent encounter Unspecified foreign body in other parts of respiratory tract causing other injury, N/A T17808D ICD10CM subsequent encounter Gastric contents in other parts of respiratory tract causing asphyxiation, subsequent N/A T17810D ICD10CM encounter Gastric contents in other parts of respiratory tract causing other injury, subsequent N/A T17818D ICD10CM encounter N/A T17820D Food in other parts of respiratory tract causing asphyxiation, subsequent encounter ICD10CM

N/A T17828D Food in other parts of respiratory tract causing other injury, subsequent encounter ICD10CM Other foreign object in other parts of respiratory tract causing asphyxiation, N/A T17890D ICD10CM subsequent encounter Other foreign object in other parts of respiratory tract causing other injury, N/A T17898D ICD10CM subsequent encounter Unspecified foreign body in respiratory tract, part unspecified causing asphyxiation, N/A T17900D ICD10CM subsequent encounter Unspecified foreign body in respiratory tract, part unspecified causing other injury, N/A T17908D ICD10CM subsequent encounter Gastric contents in respiratory tract, part unspecified causing asphyxiation, N/A T17910D ICD10CM subsequent encounter Gastric contents in respiratory tract, part unspecified causing other injury, N/A T17918D ICD10CM subsequent encounter Food in respiratory tract, part unspecified causing asphyxiation, subsequent N/A T17920D ICD10CM encounter Food in respiratory tract, part unspecified causing other injury, subsequent N/A T17928D ICD10CM encounter Other foreign object in respiratory tract, part unspecified in causing asphyxiation, N/A T17990D ICD10CM subsequent encounter

189 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Other foreign object in respiratory tract, part unspecified causing other injury, N/A T17998D ICD10CM subsequent encounter N/A T180XXD Foreign body in mouth, subsequent encounter ICD10CM Unspecified foreign body in esophagus causing compression of trachea, subsequent N/A T18100D ICD10CM encounter N/A T18108D Unspecified foreign body in esophagus causing other injury, subsequent encounter ICD10CM Gastric contents in esophagus causing compression of trachea, subsequent N/A T18110D ICD10CM encounter N/A T18118D Gastric contents in esophagus causing other injury, subsequent encounter ICD10CM N/A T18120D Food in esophagus causing compression of trachea, subsequent encounter ICD10CM N/A T18128D Food in esophagus causing other injury, subsequent encounter ICD10CM Other foreign object in esophagus causing compression of trachea, subsequent N/A T18190D ICD10CM encounter N/A T18198D Other foreign object in esophagus causing other injury, subsequent encounter ICD10CM N/A T182XXD Foreign body in stomach, subsequent encounter ICD10CM N/A T183XXD Foreign body in small intestine, subsequent encounter ICD10CM N/A T184XXD Foreign body in colon, subsequent encounter ICD10CM N/A T185XXD Foreign body in anus and rectum, subsequent encounter ICD10CM N/A T188XXD Foreign body in other parts of alimentary tract, subsequent encounter ICD10CM N/A T189XXD Foreign body of alimentary tract, part unspecified, subsequent encounter ICD10CM N/A T190XXD Foreign body in urethra, subsequent encounter ICD10CM N/A T191XXD Foreign body in bladder, subsequent encounter ICD10CM N/A T192XXD Foreign body in vulva and vagina, subsequent encounter ICD10CM N/A T193XXD Foreign body in uterus, subsequent encounter ICD10CM N/A T194XXD Foreign body in penis, subsequent encounter ICD10CM N/A T198XXD Foreign body in other parts of genitourinary tract, subsequent encounter ICD10CM N/A T199XXD Foreign body in genitourinary tract, part unspecified, subsequent encounter ICD10CM Burn of unspecified degree of head, face, and neck, unspecified site, subsequent N/A T2000XD ICD10CM encounter Burn of unspecified degree of right ear [any part, except ear drum], subsequent N/A T20011D ICD10CM encounter Burn of unspecified degree of left ear [any part, except ear drum], subsequent N/A T20012D ICD10CM encounter Burn of unspecified degree of unspecified ear [any part, except ear drum], N/A T20019D ICD10CM subsequent encounter N/A T2002XD Burn of unspecified degree of lip(s), subsequent encounter ICD10CM N/A T2003XD Burn of unspecified degree of chin, subsequent encounter ICD10CM N/A T2004XD Burn of unspecified degree of nose (septum), subsequent encounter ICD10CM N/A T2005XD Burn of unspecified degree of scalp [any part], subsequent encounter ICD10CM N/A T2006XD Burn of unspecified degree of forehead and cheek, subsequent encounter ICD10CM N/A T2007XD Burn of unspecified degree of neck, subsequent encounter ICD10CM

190 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Burn of unspecified degree of multiple sites of head, face, and neck, subsequent N/A T2009XD ICD10CM encounter N/A T2010XD Burn of first degree of head, face, and neck, unspecified site, subsequent encounter ICD10CM

N/A T20111D Burn of first degree of right ear [any part, except ear drum], subsequent encounter ICD10CM

N/A T20112D Burn of first degree of left ear [any part, except ear drum], subsequent encounter ICD10CM Burn of first degree of unspecified ear [any part, except ear drum], subsequent N/A T20119D ICD10CM encounter N/A T2012XD Burn of first degree of lip(s), subsequent encounter ICD10CM N/A T2013XD Burn of first degree of chin, subsequent encounter ICD10CM N/A T2014XD Burn of first degree of nose (septum), subsequent encounter ICD10CM N/A T2015XD Burn of first degree of scalp [any part], subsequent encounter ICD10CM N/A T2016XD Burn of first degree of forehead and cheek, subsequent encounter ICD10CM N/A T2017XD Burn of first degree of neck, subsequent encounter ICD10CM N/A T2019XD Burn of first degree of multiple sites of head, face, and neck, subsequent encounter ICD10CM Burn of second degree of head, face, and neck, unspecified site, subsequent N/A T2020XD ICD10CM encounter Burn of second degree of right ear [any part, except ear drum], subsequent N/A T20211D ICD10CM encounter N/A T20212D Burn of second degree of left ear [any part, except ear drum], subsequent encounter ICD10CM Burn of second degree of unspecified ear [any part, except ear drum], subsequent N/A T20219D ICD10CM encounter N/A T2022XD Burn of second degree of lip(s), subsequent encounter ICD10CM N/A T2023XD Burn of second degree of chin, subsequent encounter ICD10CM N/A T2024XD Burn of second degree of nose (septum), subsequent encounter ICD10CM N/A T2025XD Burn of second degree of scalp [any part], subsequent encounter ICD10CM N/A T2026XD Burn of second degree of forehead and cheek, subsequent encounter ICD10CM N/A T2027XD Burn of second degree of neck, subsequent encounter ICD10CM Burn of second degree of multiple sites of head, face, and neck, subsequent N/A T2029XD ICD10CM encounter N/A T2030XD Burn of third degree of head, face, and neck, unspecified site, subsequent encounter ICD10CM

N/A T20311D Burn of third degree of right ear [any part, except ear drum], subsequent encounter ICD10CM

N/A T20312D Burn of third degree of left ear [any part, except ear drum], subsequent encounter ICD10CM Burn of third degree of unspecified ear [any part, except ear drum], subsequent N/A T20319D ICD10CM encounter N/A T2032XD Burn of third degree of lip(s), subsequent encounter ICD10CM N/A T2033XD Burn of third degree of chin, subsequent encounter ICD10CM N/A T2034XD Burn of third degree of nose (septum), subsequent encounter ICD10CM N/A T2035XD Burn of third degree of scalp [any part], subsequent encounter ICD10CM N/A T2036XD Burn of third degree of forehead and cheek, subsequent encounter ICD10CM

191 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A T2037XD Burn of third degree of neck, subsequent encounter ICD10CM N/A T2039XD Burn of third degree of multiple sites of head, face, and neck, subsequent encounter ICD10CM Corrosion of unspecified degree of head, face, and neck, unspecified site, N/A T2040XD ICD10CM subsequent encounter Corrosion of unspecified degree of right ear [any part, except ear drum], subsequent N/A T20411D ICD10CM encounter Corrosion of unspecified degree of left ear [any part, except ear drum], subsequent N/A T20412D ICD10CM encounter Corrosion of unspecified degree of unspecified ear [any part, except ear drum], N/A T20419D ICD10CM subsequent encounter N/A T2042XD Corrosion of unspecified degree of lip(s), subsequent encounter ICD10CM N/A T2043XD Corrosion of unspecified degree of chin, subsequent encounter ICD10CM N/A T2044XD Corrosion of unspecified degree of nose (septum), subsequent encounter ICD10CM N/A T2045XD Corrosion of unspecified degree of scalp [any part], subsequent encounter ICD10CM

N/A T2046XD Corrosion of unspecified degree of forehead and cheek, subsequent encounter ICD10CM N/A T2047XD Corrosion of unspecified degree of neck, subsequent encounter ICD10CM Corrosion of unspecified degree of multiple sites of head, face, and neck, N/A T2049XD ICD10CM subsequent encounter Corrosion of first degree of head, face, and neck, unspecified site, subsequent N/A T2050XD ICD10CM encounter Corrosion of first degree of right ear [any part, except ear drum], subsequent N/A T20511D ICD10CM encounter Corrosion of first degree of left ear [any part, except ear drum], subsequent N/A T20512D ICD10CM encounter Corrosion of first degree of unspecified ear [any part, except ear drum], subsequent N/A T20519D ICD10CM encounter N/A T2052XD Corrosion of first degree of lip(s), subsequent encounter ICD10CM N/A T2053XD Corrosion of first degree of chin, subsequent encounter ICD10CM N/A T2054XD Corrosion of first degree of nose (septum), subsequent encounter ICD10CM N/A T2055XD Corrosion of first degree of scalp [any part], subsequent encounter ICD10CM N/A T2056XD Corrosion of first degree of forehead and cheek, subsequent encounter ICD10CM N/A T2057XD Corrosion of first degree of neck, subsequent encounter ICD10CM Corrosion of first degree of multiple sites of head, face, and neck, subsequent N/A T2059XD ICD10CM encounter Corrosion of second degree of head, face, and neck, unspecified site, subsequent N/A T2060XD ICD10CM encounter Corrosion of second degree of right ear [any part, except ear drum], subsequent N/A T20611D ICD10CM encounter Corrosion of second degree of left ear [any part, except ear drum], subsequent N/A T20612D ICD10CM encounter Corrosion of second degree of unspecified ear [any part, except ear drum], N/A T20619D ICD10CM subsequent encounter N/A T2062XD Corrosion of second degree of lip(s), subsequent encounter ICD10CM N/A T2063XD Corrosion of second degree of chin, subsequent encounter ICD10CM

192 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A T2064XD Corrosion of second degree of nose (septum), subsequent encounter ICD10CM N/A T2065XD Corrosion of second degree of scalp [any part], subsequent encounter ICD10CM N/A T2066XD Corrosion of second degree of forehead and cheek, subsequent encounter ICD10CM N/A T2067XD Corrosion of second degree of neck, subsequent encounter ICD10CM Corrosion of second degree of multiple sites of head, face, and neck, subsequent N/A T2069XD ICD10CM encounter Corrosion of third degree of head, face, and neck, unspecified site, subsequent N/A T2070XD ICD10CM encounter Corrosion of third degree of right ear [any part, except ear drum], subsequent N/A T20711D ICD10CM encounter Corrosion of third degree of left ear [any part, except ear drum], subsequent N/A T20712D ICD10CM encounter Corrosion of third degree of unspecified ear [any part, except ear drum], subsequent N/A T20719D ICD10CM encounter N/A T2072XD Corrosion of third degree of lip(s), subsequent encounter ICD10CM N/A T2073XD Corrosion of third degree of chin, subsequent encounter ICD10CM N/A T2074XD Corrosion of third degree of nose (septum), subsequent encounter ICD10CM N/A T2075XD Corrosion of third degree of scalp [any part], subsequent encounter ICD10CM N/A T2076XD Corrosion of third degree of forehead and cheek, subsequent encounter ICD10CM N/A T2077XD Corrosion of third degree of neck, subsequent encounter ICD10CM Corrosion of third degree of multiple sites of head, face, and neck, subsequent N/A T2079XD ICD10CM encounter N/A T2100XD Burn of unspecified degree of trunk, unspecified site, subsequent encounter ICD10CM N/A T2101XD Burn of unspecified degree of chest wall, subsequent encounter ICD10CM N/A T2102XD Burn of unspecified degree of abdominal wall, subsequent encounter ICD10CM N/A T2103XD Burn of unspecified degree of upper back, subsequent encounter ICD10CM N/A T2104XD Burn of unspecified degree of lower back, subsequent encounter ICD10CM N/A T2105XD Burn of unspecified degree of buttock, subsequent encounter ICD10CM N/A T2106XD Burn of unspecified degree of male genital region, subsequent encounter ICD10CM N/A T2107XD Burn of unspecified degree of female genital region, subsequent encounter ICD10CM N/A T2109XD Burn of unspecified degree of other site of trunk, subsequent encounter ICD10CM N/A T2110XD Burn of first degree of trunk, unspecified site, subsequent encounter ICD10CM N/A T2111XD Burn of first degree of chest wall, subsequent encounter ICD10CM N/A T2112XD Burn of first degree of abdominal wall, subsequent encounter ICD10CM N/A T2113XD Burn of first degree of upper back, subsequent encounter ICD10CM N/A T2114XD Burn of first degree of lower back, subsequent encounter ICD10CM N/A T2115XD Burn of first degree of buttock, subsequent encounter ICD10CM N/A T2116XD Burn of first degree of male genital region, subsequent encounter ICD10CM N/A T2117XD Burn of first degree of female genital region, subsequent encounter ICD10CM N/A T2119XD Burn of first degree of other site of trunk, subsequent encounter ICD10CM N/A T2120XD Burn of second degree of trunk, unspecified site, subsequent encounter ICD10CM N/A T2121XD Burn of second degree of chest wall, subsequent encounter ICD10CM N/A T2122XD Burn of second degree of abdominal wall, subsequent encounter ICD10CM N/A T2123XD Burn of second degree of upper back, subsequent encounter ICD10CM

193 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A T2124XD Burn of second degree of lower back, subsequent encounter ICD10CM N/A T2125XD Burn of second degree of buttock, subsequent encounter ICD10CM N/A T2126XD Burn of second degree of male genital region, subsequent encounter ICD10CM N/A T2127XD Burn of second degree of female genital region, subsequent encounter ICD10CM N/A T2129XD Burn of second degree of other site of trunk, subsequent encounter ICD10CM N/A T2130XD Burn of third degree of trunk, unspecified site, subsequent encounter ICD10CM N/A T2131XD Burn of third degree of chest wall, subsequent encounter ICD10CM N/A T2132XD Burn of third degree of abdominal wall, subsequent encounter ICD10CM N/A T2133XD Burn of third degree of upper back, subsequent encounter ICD10CM N/A T2134XD Burn of third degree of lower back, subsequent encounter ICD10CM N/A T2135XD Burn of third degree of buttock, subsequent encounter ICD10CM N/A T2136XD Burn of third degree of male genital region, subsequent encounter ICD10CM N/A T2137XD Burn of third degree of female genital region, subsequent encounter ICD10CM N/A T2139XD Burn of third degree of other site of trunk, subsequent encounter ICD10CM N/A T2140XD Corrosion of unspecified degree of trunk, unspecified site, subsequent encounter ICD10CM N/A T2141XD Corrosion of unspecified degree of chest wall, subsequent encounter ICD10CM N/A T2142XD Corrosion of unspecified degree of abdominal wall, subsequent encounter ICD10CM N/A T2143XD Corrosion of unspecified degree of upper back, subsequent encounter ICD10CM N/A T2144XD Corrosion of unspecified degree of lower back, subsequent encounter ICD10CM N/A T2145XD Corrosion of unspecified degree of buttock, subsequent encounter ICD10CM N/A T2146XD Corrosion of unspecified degree of male genital region, subsequent encounter ICD10CM

N/A T2147XD Corrosion of unspecified degree of female genital region, subsequent encounter ICD10CM

N/A T2149XD Corrosion of unspecified degree of other site of trunk, subsequent encounter ICD10CM

N/A T2150XD Corrosion of first degree of trunk, unspecified site, subsequent encounter ICD10CM N/A T2151XD Corrosion of first degree of chest wall, subsequent encounter ICD10CM N/A T2152XD Corrosion of first degree of abdominal wall, subsequent encounter ICD10CM N/A T2153XD Corrosion of first degree of upper back, subsequent encounter ICD10CM N/A T2154XD Corrosion of first degree of lower back, subsequent encounter ICD10CM N/A T2155XD Corrosion of first degree of buttock, subsequent encounter ICD10CM N/A T2156XD Corrosion of first degree of male genital region, subsequent encounter ICD10CM N/A T2157XD Corrosion of first degree of female genital region, subsequent encounter ICD10CM N/A T2159XD Corrosion of first degree of other site of trunk, subsequent encounter ICD10CM N/A T2160XD Corrosion of second degree of trunk, unspecified site, subsequent encounter ICD10CM N/A T2161XD Corrosion of second degree of chest wall, subsequent encounter ICD10CM N/A T2162XD Corrosion of second degree of abdominal wall, subsequent encounter ICD10CM N/A T2163XD Corrosion of second degree of upper back, subsequent encounter ICD10CM N/A T2164XD Corrosion of second degree of lower back, subsequent encounter ICD10CM N/A T2165XD Corrosion of second degree of buttock, subsequent encounter ICD10CM N/A T2166XD Corrosion of second degree of male genital region, subsequent encounter ICD10CM

194 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A T2167XD Corrosion of second degree of female genital region, subsequent encounter ICD10CM N/A T2169XD Corrosion of second degree of other site of trunk, subsequent encounter ICD10CM N/A T2170XD Corrosion of third degree of trunk, unspecified site, subsequent encounter ICD10CM N/A T2171XD Corrosion of third degree of chest wall, subsequent encounter ICD10CM N/A T2172XD Corrosion of third degree of abdominal wall, subsequent encounter ICD10CM N/A T2173XD Corrosion of third degree of upper back, subsequent encounter ICD10CM N/A T2174XD Corrosion of third degree of lower back, subsequent encounter ICD10CM N/A T2175XD Corrosion of third degree of buttock, subsequent encounter ICD10CM N/A T2176XD Corrosion of third degree of male genital region, subsequent encounter ICD10CM N/A T2177XD Corrosion of third degree of female genital region, subsequent encounter ICD10CM N/A T2179XD Corrosion of third degree of other site of trunk, subsequent encounter ICD10CM Burn of unspecified degree of shoulder and upper limb, except wrist and hand, N/A T2200XD ICD10CM unspecified site, subsequent encounter N/A T22011D Burn of unspecified degree of right forearm, subsequent encounter ICD10CM N/A T22012D Burn of unspecified degree of left forearm, subsequent encounter ICD10CM N/A T22019D Burn of unspecified degree of unspecified forearm, subsequent encounter ICD10CM N/A T22021D Burn of unspecified degree of right elbow, subsequent encounter ICD10CM N/A T22022D Burn of unspecified degree of left elbow, subsequent encounter ICD10CM N/A T22029D Burn of unspecified degree of unspecified elbow, subsequent encounter ICD10CM N/A T22031D Burn of unspecified degree of right upper arm, subsequent encounter ICD10CM N/A T22032D Burn of unspecified degree of left upper arm, subsequent encounter ICD10CM N/A T22039D Burn of unspecified degree of unspecified upper arm, subsequent encounter ICD10CM N/A T22041D Burn of unspecified degree of right axilla, subsequent encounter ICD10CM N/A T22042D Burn of unspecified degree of left axilla, subsequent encounter ICD10CM N/A T22049D Burn of unspecified degree of unspecified axilla, subsequent encounter ICD10CM N/A T22051D Burn of unspecified degree of right shoulder, subsequent encounter ICD10CM N/A T22052D Burn of unspecified degree of left shoulder, subsequent encounter ICD10CM N/A T22059D Burn of unspecified degree of unspecified shoulder, subsequent encounter ICD10CM

N/A T22061D Burn of unspecified degree of right scapular region, subsequent encounter ICD10CM N/A T22062D Burn of unspecified degree of left scapular region, subsequent encounter ICD10CM N/A T22069D Burn of unspecified degree of unspecified scapular region, subsequent encounter ICD10CM Burn of unspecified degree of multiple sites of right shoulder and upper limb, except N/A T22091D ICD10CM wrist and hand, subsequent encounter Burn of unspecified degree of multiple sites of left shoulder and upper limb, except N/A T22092D ICD10CM wrist and hand, subsequent encounter Burn of unspecified degree of multiple sites of unspecified shoulder and upper limb, N/A T22099D ICD10CM except wrist and hand, subsequent encounter Burn of first degree of shoulder and upper limb, except wrist and hand, unspecified N/A T2210XD ICD10CM site, subsequent encounter N/A T22111D Burn of first degree of right forearm, subsequent encounter ICD10CM

195 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A T22112D Burn of first degree of left forearm, subsequent encounter ICD10CM N/A T22119D Burn of first degree of unspecified forearm, subsequent encounter ICD10CM N/A T22121D Burn of first degree of right elbow, subsequent encounter ICD10CM N/A T22122D Burn of first degree of left elbow, subsequent encounter ICD10CM N/A T22129D Burn of first degree of unspecified elbow, subsequent encounter ICD10CM N/A T22131D Burn of first degree of right upper arm, subsequent encounter ICD10CM N/A T22132D Burn of first degree of left upper arm, subsequent encounter ICD10CM N/A T22139D Burn of first degree of unspecified upper arm, subsequent encounter ICD10CM N/A T22141D Burn of first degree of right axilla, subsequent encounter ICD10CM N/A T22142D Burn of first degree of left axilla, subsequent encounter ICD10CM N/A T22149D Burn of first degree of unspecified axilla, subsequent encounter ICD10CM N/A T22151D Burn of first degree of right shoulder, subsequent encounter ICD10CM N/A T22152D Burn of first degree of left shoulder, subsequent encounter ICD10CM N/A T22159D Burn of first degree of unspecified shoulder, subsequent encounter ICD10CM N/A T22161D Burn of first degree of right scapular region, subsequent encounter ICD10CM N/A T22162D Burn of first degree of left scapular region, subsequent encounter ICD10CM N/A T22169D Burn of first degree of unspecified scapular region, subsequent encounter ICD10CM Burn of first degree of multiple sites of right shoulder and upper limb, except wrist N/A T22191D ICD10CM and hand, subsequent encounter Burn of first degree of multiple sites of left shoulder and upper limb, except wrist N/A T22192D ICD10CM and hand, subsequent encounter Burn of first degree of multiple sites of unspecified shoulder and upper limb, except N/A T22199D ICD10CM wrist and hand, subsequent encounter Burn of second degree of shoulder and upper limb, except wrist and hand, N/A T2220XD ICD10CM unspecified site, subsequent encounter N/A T22211D Burn of second degree of right forearm, subsequent encounter ICD10CM N/A T22212D Burn of second degree of left forearm, subsequent encounter ICD10CM N/A T22219D Burn of second degree of unspecified forearm, subsequent encounter ICD10CM N/A T22221D Burn of second degree of right elbow, subsequent encounter ICD10CM N/A T22222D Burn of second degree of left elbow, subsequent encounter ICD10CM N/A T22229D Burn of second degree of unspecified elbow, subsequent encounter ICD10CM N/A T22231D Burn of second degree of right upper arm, subsequent encounter ICD10CM N/A T22232D Burn of second degree of left upper arm, subsequent encounter ICD10CM N/A T22239D Burn of second degree of unspecified upper arm, subsequent encounter ICD10CM N/A T22241D Burn of second degree of right axilla, subsequent encounter ICD10CM N/A T22242D Burn of second degree of left axilla, subsequent encounter ICD10CM N/A T22249D Burn of second degree of unspecified axilla, subsequent encounter ICD10CM N/A T22251D Burn of second degree of right shoulder, subsequent encounter ICD10CM N/A T22252D Burn of second degree of left shoulder, subsequent encounter ICD10CM N/A T22259D Burn of second degree of unspecified shoulder, subsequent encounter ICD10CM N/A T22261D Burn of second degree of right scapular region, subsequent encounter ICD10CM N/A T22262D Burn of second degree of left scapular region, subsequent encounter ICD10CM N/A T22269D Burn of second degree of unspecified scapular region, subsequent encounter ICD10CM Burn of second degree of multiple sites of right shoulder and upper limb, except N/A T22291D ICD10CM wrist and hand, subsequent encounter

196 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Burn of second degree of multiple sites of left shoulder and upper limb, except wrist N/A T22292D ICD10CM and hand, subsequent encounter Burn of second degree of multiple sites of unspecified shoulder and upper limb, N/A T22299D ICD10CM except wrist and hand, subsequent encounter Burn of third degree of shoulder and upper limb, except wrist and hand, unspecified N/A T2230XD ICD10CM site, subsequent encounter N/A T22311D Burn of third degree of right forearm, subsequent encounter ICD10CM N/A T22312D Burn of third degree of left forearm, subsequent encounter ICD10CM N/A T22319D Burn of third degree of unspecified forearm, subsequent encounter ICD10CM N/A T22321D Burn of third degree of right elbow, subsequent encounter ICD10CM N/A T22322D Burn of third degree of left elbow, subsequent encounter ICD10CM N/A T22329D Burn of third degree of unspecified elbow, subsequent encounter ICD10CM N/A T22331D Burn of third degree of right upper arm, subsequent encounter ICD10CM N/A T22332D Burn of third degree of left upper arm, subsequent encounter ICD10CM N/A T22339D Burn of third degree of unspecified upper arm, subsequent encounter ICD10CM N/A T22341D Burn of third degree of right axilla, subsequent encounter ICD10CM N/A T22342D Burn of third degree of left axilla, subsequent encounter ICD10CM N/A T22349D Burn of third degree of unspecified axilla, subsequent encounter ICD10CM N/A T22351D Burn of third degree of right shoulder, subsequent encounter ICD10CM N/A T22352D Burn of third degree of left shoulder, subsequent encounter ICD10CM N/A T22359D Burn of third degree of unspecified shoulder, subsequent encounter ICD10CM N/A T22361D Burn of third degree of right scapular region, subsequent encounter ICD10CM N/A T22362D Burn of third degree of left scapular region, subsequent encounter ICD10CM N/A T22369D Burn of third degree of unspecified scapular region, subsequent encounter ICD10CM Burn of third degree of multiple sites of right shoulder and upper limb, except wrist N/A T22391D ICD10CM and hand, subsequent encounter Burn of third degree of multiple sites of left shoulder and upper limb, except wrist N/A T22392D ICD10CM and hand, subsequent encounter Burn of third degree of multiple sites of unspecified shoulder and upper limb, except N/A T22399D ICD10CM wrist and hand, subsequent encounter Corrosion of unspecified degree of shoulder and upper limb, except wrist and hand, N/A T2240XD ICD10CM unspecified site, subsequent encounter N/A T22411D Corrosion of unspecified degree of right forearm, subsequent encounter ICD10CM N/A T22412D Corrosion of unspecified degree of left forearm, subsequent encounter ICD10CM N/A T22419D Corrosion of unspecified degree of unspecified forearm, subsequent encounter ICD10CM N/A T22421D Corrosion of unspecified degree of right elbow, subsequent encounter ICD10CM N/A T22422D Corrosion of unspecified degree of left elbow, subsequent encounter ICD10CM N/A T22429D Corrosion of unspecified degree of unspecified elbow, subsequent encounter ICD10CM

N/A T22431D Corrosion of unspecified degree of right upper arm, subsequent encounter ICD10CM N/A T22432D Corrosion of unspecified degree of left upper arm, subsequent encounter ICD10CM N/A T22439D Corrosion of unspecified degree of unspecified upper arm, subsequent encounter ICD10CM N/A T22441D Corrosion of unspecified degree of right axilla, subsequent encounter ICD10CM

197 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A T22442D Corrosion of unspecified degree of left axilla, subsequent encounter ICD10CM N/A T22449D Corrosion of unspecified degree of unspecified axilla, subsequent encounter ICD10CM N/A T22451D Corrosion of unspecified degree of right shoulder, subsequent encounter ICD10CM N/A T22452D Corrosion of unspecified degree of left shoulder, subsequent encounter ICD10CM N/A T22459D Corrosion of unspecified degree of unspecified shoulder, subsequent encounter ICD10CM

N/A T22461D Corrosion of unspecified degree of right scapular region, subsequent encounter ICD10CM

N/A T22462D Corrosion of unspecified degree of left scapular region, subsequent encounter ICD10CM Corrosion of unspecified degree of unspecified scapular region, subsequent N/A T22469D ICD10CM encounter Corrosion of unspecified degree of multiple sites of right shoulder and upper limb, N/A T22491D ICD10CM except wrist and hand, subsequent encounter Corrosion of unspecified degree of multiple sites of left shoulder and upper limb, N/A T22492D ICD10CM except wrist and hand, subsequent encounter Corrosion of unspecified degree of multiple sites of unspecified shoulder and upper N/A T22499D ICD10CM limb, except wrist and hand, subsequent encounter Corrosion of first degree of shoulder and upper limb, except wrist and hand N/A T2250XD ICD10CM unspecified site, subsequent encounter N/A T22511D Corrosion of first degree of right forearm, subsequent encounter ICD10CM N/A T22512D Corrosion of first degree of left forearm, subsequent encounter ICD10CM N/A T22519D Corrosion of first degree of unspecified forearm, subsequent encounter ICD10CM N/A T22521D Corrosion of first degree of right elbow, subsequent encounter ICD10CM N/A T22522D Corrosion of first degree of left elbow, subsequent encounter ICD10CM N/A T22529D Corrosion of first degree of unspecified elbow, subsequent encounter ICD10CM N/A T22531D Corrosion of first degree of right upper arm, subsequent encounter ICD10CM N/A T22532D Corrosion of first degree of left upper arm, subsequent encounter ICD10CM N/A T22539D Corrosion of first degree of unspecified upper arm, subsequent encounter ICD10CM N/A T22541D Corrosion of first degree of right axilla, subsequent encounter ICD10CM N/A T22542D Corrosion of first degree of left axilla, subsequent encounter ICD10CM N/A T22549D Corrosion of first degree of unspecified axilla, subsequent encounter ICD10CM N/A T22551D Corrosion of first degree of right shoulder, subsequent encounter ICD10CM N/A T22552D Corrosion of first degree of left shoulder, subsequent encounter ICD10CM N/A T22559D Corrosion of first degree of unspecified shoulder, subsequent encounter ICD10CM N/A T22561D Corrosion of first degree of right scapular region, subsequent encounter ICD10CM N/A T22562D Corrosion of first degree of left scapular region, subsequent encounter ICD10CM N/A T22569D Corrosion of first degree of unspecified scapular region, subsequent encounter ICD10CM Corrosion of first degree of multiple sites of right shoulder and upper limb, except N/A T22591D ICD10CM wrist and hand, subsequent encounter Corrosion of first degree of multiple sites of left shoulder and upper limb, except N/A T22592D ICD10CM wrist and hand, subsequent encounter Corrosion of first degree of multiple sites of unspecified shoulder and upper limb, N/A T22599D ICD10CM except wrist and hand, subsequent encounter

198 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Corrosion of second degree of shoulder and upper limb, except wrist and hand, N/A T2260XD ICD10CM unspecified site, subsequent encounter N/A T22611D Corrosion of second degree of right forearm, subsequent encounter ICD10CM N/A T22612D Corrosion of second degree of left forearm, subsequent encounter ICD10CM N/A T22619D Corrosion of second degree of unspecified forearm, subsequent encounter ICD10CM N/A T22621D Corrosion of second degree of right elbow, subsequent encounter ICD10CM N/A T22622D Corrosion of second degree of left elbow, subsequent encounter ICD10CM N/A T22629D Corrosion of second degree of unspecified elbow, subsequent encounter ICD10CM N/A T22631D Corrosion of second degree of right upper arm, subsequent encounter ICD10CM N/A T22632D Corrosion of second degree of left upper arm, subsequent encounter ICD10CM N/A T22639D Corrosion of second degree of unspecified upper arm, subsequent encounter ICD10CM N/A T22641D Corrosion of second degree of right axilla, subsequent encounter ICD10CM N/A T22642D Corrosion of second degree of left axilla, subsequent encounter ICD10CM N/A T22649D Corrosion of second degree of unspecified axilla, subsequent encounter ICD10CM N/A T22651D Corrosion of second degree of right shoulder, subsequent encounter ICD10CM N/A T22652D Corrosion of second degree of left shoulder, subsequent encounter ICD10CM N/A T22659D Corrosion of second degree of unspecified shoulder, subsequent encounter ICD10CM

N/A T22661D Corrosion of second degree of right scapular region, subsequent encounter ICD10CM N/A T22662D Corrosion of second degree of left scapular region, subsequent encounter ICD10CM N/A T22669D Corrosion of second degree of unspecified scapular region, subsequent encounter ICD10CM Corrosion of second degree of multiple sites of right shoulder and upper limb, except N/A T22691D ICD10CM wrist and hand, subsequent encounter Corrosion of second degree of multiple sites of left shoulder and upper limb, except N/A T22692D ICD10CM wrist and hand, subsequent encounter Corrosion of second degree of multiple sites of unspecified shoulder and upper limb, N/A T22699D ICD10CM except wrist and hand, subsequent encounter Corrosion of third degree of shoulder and upper limb, except wrist and hand, N/A T2270XD ICD10CM unspecified site, subsequent encounter N/A T22711D Corrosion of third degree of right forearm, subsequent encounter ICD10CM N/A T22712D Corrosion of third degree of left forearm, subsequent encounter ICD10CM N/A T22719D Corrosion of third degree of unspecified forearm, subsequent encounter ICD10CM N/A T22721D Corrosion of third degree of right elbow, subsequent encounter ICD10CM N/A T22722D Corrosion of third degree of left elbow, subsequent encounter ICD10CM N/A T22729D Corrosion of third degree of unspecified elbow, subsequent encounter ICD10CM N/A T22731D Corrosion of third degree of right upper arm, subsequent encounter ICD10CM N/A T22732D Corrosion of third degree of left upper arm, subsequent encounter ICD10CM N/A T22739D Corrosion of third degree of unspecified upper arm, subsequent encounter ICD10CM N/A T22741D Corrosion of third degree of right axilla, subsequent encounter ICD10CM N/A T22742D Corrosion of third degree of left axilla, subsequent encounter ICD10CM N/A T22749D Corrosion of third degree of unspecified axilla, subsequent encounter ICD10CM N/A T22751D Corrosion of third degree of right shoulder, subsequent encounter ICD10CM

199 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A T22752D Corrosion of third degree of left shoulder, subsequent encounter ICD10CM N/A T22759D Corrosion of third degree of unspecified shoulder, subsequent encounter ICD10CM N/A T22761D Corrosion of third degree of right scapular region, subsequent encounter ICD10CM N/A T22762D Corrosion of third degree of left scapular region, subsequent encounter ICD10CM N/A T22769D Corrosion of third degree of unspecified scapular region, subsequent encounter ICD10CM Corrosion of third degree of multiple sites of right shoulder and upper limb, except N/A T22791D ICD10CM wrist and hand, subsequent encounter Corrosion of third degree of multiple sites of left shoulder and upper limb, except N/A T22792D ICD10CM wrist and hand, subsequent encounter Corrosion of third degree of multiple sites of unspecified shoulder and upper limb, N/A T22799D ICD10CM except wrist and hand, subsequent encounter N/A T23001D Burn of unspecified degree of right hand, unspecified site, subsequent encounter ICD10CM

N/A T23002D Burn of unspecified degree of left hand, unspecified site, subsequent encounter ICD10CM Burn of unspecified degree of unspecified hand, unspecified site, subsequent N/A T23009D ICD10CM encounter N/A T23011D Burn of unspecified degree of right thumb (nail), subsequent encounter ICD10CM N/A T23012D Burn of unspecified degree of left thumb (nail), subsequent encounter ICD10CM N/A T23019D Burn of unspecified degree of unspecified thumb (nail), subsequent encounter ICD10CM Burn of unspecified degree of single right finger (nail) except thumb, subsequent N/A T23021D ICD10CM encounter Burn of unspecified degree of single left finger (nail) except thumb, subsequent N/A T23022D ICD10CM encounter Burn of unspecified degree of unspecified single finger (nail) except thumb, N/A T23029D ICD10CM subsequent encounter Burn of unspecified degree of multiple right fingers (nail), not including thumb, N/A T23031D ICD10CM subsequent encounter Burn of unspecified degree of multiple left fingers (nail), not including thumb, N/A T23032D ICD10CM subsequent encounter Burn of unspecified degree of unspecified multiple fingers (nail), not including N/A T23039D ICD10CM thumb, subsequent encounter Burn of unspecified degree of multiple right fingers (nail), including thumb, N/A T23041D ICD10CM subsequent encounter Burn of unspecified degree of multiple left fingers (nail), including thumb, N/A T23042D ICD10CM subsequent encounter Burn of unspecified degree of unspecified multiple fingers (nail), including thumb, N/A T23049D ICD10CM subsequent encounter N/A T23051D Burn of unspecified degree of right palm, subsequent encounter ICD10CM N/A T23052D Burn of unspecified degree of left palm, subsequent encounter ICD10CM N/A T23059D Burn of unspecified degree of unspecified palm, subsequent encounter ICD10CM N/A T23061D Burn of unspecified degree of back of right hand, subsequent encounter ICD10CM N/A T23062D Burn of unspecified degree of back of left hand, subsequent encounter ICD10CM N/A T23069D Burn of unspecified degree of back of unspecified hand, subsequent encounter ICD10CM

200 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A T23071D Burn of unspecified degree of right wrist, subsequent encounter ICD10CM N/A T23072D Burn of unspecified degree of left wrist, subsequent encounter ICD10CM N/A T23079D Burn of unspecified degree of unspecified wrist, subsequent encounter ICD10CM Burn of unspecified degree of multiple sites of right wrist and hand, subsequent N/A T23091D ICD10CM encounter Burn of unspecified degree of multiple sites of left wrist and hand, subsequent N/A T23092D ICD10CM encounter Burn of unspecified degree of multiple sites of unspecified wrist and hand, N/A T23099D ICD10CM subsequent encounter N/A T23101D Burn of first degree of right hand, unspecified site, subsequent encounter ICD10CM N/A T23102D Burn of first degree of left hand, unspecified site, subsequent encounter ICD10CM N/A T23109D Burn of first degree of unspecified hand, unspecified site, subsequent encounter ICD10CM N/A T23111D Burn of first degree of right thumb (nail), subsequent encounter ICD10CM N/A T23112D Burn of first degree of left thumb (nail), subsequent encounter ICD10CM N/A T23119D Burn of first degree of unspecified thumb (nail), subsequent encounter ICD10CM N/A T23121D Burn of first degree of single right finger (nail) except thumb, subsequent encounter ICD10CM

N/A T23122D Burn of first degree of single left finger (nail) except thumb, subsequent encounter ICD10CM Burn of first degree of unspecified single finger (nail) except thumb, subsequent N/A T23129D ICD10CM encounter Burn of first degree of multiple right fingers (nail), not including thumb, subsequent N/A T23131D ICD10CM encounter Burn of first degree of multiple left fingers (nail), not including thumb, subsequent N/A T23132D ICD10CM encounter Burn of first degree of unspecified multiple fingers (nail), not including thumb, N/A T23139D ICD10CM subsequent encounter Burn of first degree of multiple right fingers (nail), including thumb, subsequent N/A T23141D ICD10CM encounter Burn of first degree of multiple left fingers (nail), including thumb, subsequent N/A T23142D ICD10CM encounter Burn of first degree of unspecified multiple fingers (nail), including thumb, N/A T23149D ICD10CM subsequent encounter N/A T23151D Burn of first degree of right palm, subsequent encounter ICD10CM N/A T23152D Burn of first degree of left palm, subsequent encounter ICD10CM N/A T23159D Burn of first degree of unspecified palm, subsequent encounter ICD10CM N/A T23161D Burn of first degree of back of right hand, subsequent encounter ICD10CM N/A T23162D Burn of first degree of back of left hand, subsequent encounter ICD10CM N/A T23169D Burn of first degree of back of unspecified hand, subsequent encounter ICD10CM N/A T23171D Burn of first degree of right wrist, subsequent encounter ICD10CM N/A T23172D Burn of first degree of left wrist, subsequent encounter ICD10CM N/A T23179D Burn of first degree of unspecified wrist, subsequent encounter ICD10CM N/A T23191D Burn of first degree of multiple sites of right wrist and hand, subsequent encounter ICD10CM

N/A T23192D Burn of first degree of multiple sites of left wrist and hand, subsequent encounter ICD10CM

201 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Burn of first degree of multiple sites of unspecified wrist and hand, subsequent N/A T23199D ICD10CM encounter N/A T23201D Burn of second degree of right hand, unspecified site, subsequent encounter ICD10CM

N/A T23202D Burn of second degree of left hand, unspecified site, subsequent encounter ICD10CM

N/A T23209D Burn of second degree of unspecified hand, unspecified site, subsequent encounter ICD10CM N/A T23211D Burn of second degree of right thumb (nail), subsequent encounter ICD10CM N/A T23212D Burn of second degree of left thumb (nail), subsequent encounter ICD10CM N/A T23219D Burn of second degree of unspecified thumb (nail), subsequent encounter ICD10CM Burn of second degree of single right finger (nail) except thumb, subsequent N/A T23221D ICD10CM encounter Burn of second degree of single left finger (nail) except thumb, subsequent N/A T23222D ICD10CM encounter Burn of second degree of unspecified single finger (nail) except thumb, subsequent N/A T23229D ICD10CM encounter Burn of second degree of multiple right fingers (nail), not including thumb, N/A T23231D ICD10CM subsequent encounter Burn of second degree of multiple left fingers (nail), not including thumb, N/A T23232D ICD10CM subsequent encounter Burn of second degree of unspecified multiple fingers (nail), not including thumb, N/A T23239D ICD10CM subsequent encounter Burn of second degree of multiple right fingers (nail), including thumb, subsequent N/A T23241D ICD10CM encounter Burn of second degree of multiple left fingers (nail), including thumb, subsequent N/A T23242D ICD10CM encounter Burn of second degree of unspecified multiple fingers (nail), including thumb, N/A T23249D ICD10CM subsequent encounter N/A T23251D Burn of second degree of right palm, subsequent encounter ICD10CM N/A T23252D Burn of second degree of left palm, subsequent encounter ICD10CM N/A T23259D Burn of second degree of unspecified palm, subsequent encounter ICD10CM N/A T23261D Burn of second degree of back of right hand, subsequent encounter ICD10CM N/A T23262D Burn of second degree of back of left hand, subsequent encounter ICD10CM N/A T23269D Burn of second degree of back of unspecified hand, subsequent encounter ICD10CM N/A T23271D Burn of second degree of right wrist, subsequent encounter ICD10CM N/A T23272D Burn of second degree of left wrist, subsequent encounter ICD10CM N/A T23279D Burn of second degree of unspecified wrist, subsequent encounter ICD10CM Burn of second degree of multiple sites of right wrist and hand, subsequent N/A T23291D ICD10CM encounter N/A T23292D Burn of second degree of multiple sites of left wrist and hand, subsequent encounter ICD10CM Burn of second degree of multiple sites of unspecified wrist and hand, subsequent N/A T23299D ICD10CM encounter

202 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A T23301D Burn of third degree of right hand, unspecified site, subsequent encounter ICD10CM N/A T23302D Burn of third degree of left hand, unspecified site, subsequent encounter ICD10CM N/A T23309D Burn of third degree of unspecified hand, unspecified site, subsequent encounter ICD10CM N/A T23311D Burn of third degree of right thumb (nail), subsequent encounter ICD10CM N/A T23312D Burn of third degree of left thumb (nail), subsequent encounter ICD10CM N/A T23319D Burn of third degree of unspecified thumb (nail), subsequent encounter ICD10CM N/A T23321D Burn of third degree of single right finger (nail) except thumb, subsequent encounter ICD10CM

N/A T23322D Burn of third degree of single left finger (nail) except thumb, subsequent encounter ICD10CM Burn of third degree of unspecified single finger (nail) except thumb, subsequent N/A T23329D ICD10CM encounter Burn of third degree of multiple right fingers (nail), not including thumb, subsequent N/A T23331D ICD10CM encounter Burn of third degree of multiple left fingers (nail), not including thumb, subsequent N/A T23332D ICD10CM encounter Burn of third degree of unspecified multiple fingers (nail), not including thumb, N/A T23339D ICD10CM subsequent encounter Burn of third degree of multiple right fingers (nail), including thumb, subsequent N/A T23341D ICD10CM encounter Burn of third degree of multiple left fingers (nail), including thumb, subsequent N/A T23342D ICD10CM encounter Burn of third degree of unspecified multiple fingers (nail), including thumb, N/A T23349D ICD10CM subsequent encounter N/A T23351D Burn of third degree of right palm, subsequent encounter ICD10CM N/A T23352D Burn of third degree of left palm, subsequent encounter ICD10CM N/A T23359D Burn of third degree of unspecified palm, subsequent encounter ICD10CM N/A T23361D Burn of third degree of back of right hand, subsequent encounter ICD10CM N/A T23362D Burn of third degree of back of left hand, subsequent encounter ICD10CM N/A T23369D Burn of third degree of back of unspecified hand, subsequent encounter ICD10CM N/A T23371D Burn of third degree of right wrist, subsequent encounter ICD10CM N/A T23372D Burn of third degree of left wrist, subsequent encounter ICD10CM N/A T23379D Burn of third degree of unspecified wrist, subsequent encounter ICD10CM N/A T23391D Burn of third degree of multiple sites of right wrist and hand, subsequent encounter ICD10CM

N/A T23392D Burn of third degree of multiple sites of left wrist and hand, subsequent encounter ICD10CM Burn of third degree of multiple sites of unspecified wrist and hand, subsequent N/A T23399D ICD10CM encounter Corrosion of unspecified degree of right hand, unspecified site, subsequent N/A T23401D ICD10CM encounter N/A T23402D Corrosion of unspecified degree of left hand, unspecified site, subsequent encounter ICD10CM Corrosion of unspecified degree of unspecified hand, unspecified site, subsequent N/A T23409D ICD10CM encounter

203 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A T23411D Corrosion of unspecified degree of right thumb (nail), subsequent encounter ICD10CM

N/A T23412D Corrosion of unspecified degree of left thumb (nail), subsequent encounter ICD10CM

N/A T23419D Corrosion of unspecified degree of unspecified thumb (nail), subsequent encounter ICD10CM Corrosion of unspecified degree of single right finger (nail) except thumb, N/A T23421D ICD10CM subsequent encounter Corrosion of unspecified degree of single left finger (nail) except thumb, subsequent N/A T23422D ICD10CM encounter Corrosion of unspecified degree of unspecified single finger (nail) except thumb, N/A T23429D ICD10CM subsequent encounter Corrosion of unspecified degree of multiple right fingers (nail), not including thumb, N/A T23431D ICD10CM subsequent encounter Corrosion of unspecified degree of multiple left fingers (nail), not including thumb, N/A T23432D ICD10CM subsequent encounter Corrosion of unspecified degree of unspecified multiple fingers (nail), not including N/A T23439D ICD10CM thumb, subsequent encounter Corrosion of unspecified degree of multiple right fingers (nail), including thumb, N/A T23441D ICD10CM subsequent encounter Corrosion of unspecified degree of multiple left fingers (nail), including thumb, N/A T23442D ICD10CM subsequent encounter Corrosion of unspecified degree of unspecified multiple fingers (nail), including N/A T23449D ICD10CM thumb, subsequent encounter N/A T23451D Corrosion of unspecified degree of right palm, subsequent encounter ICD10CM N/A T23452D Corrosion of unspecified degree of left palm, subsequent encounter ICD10CM N/A T23459D Corrosion of unspecified degree of unspecified palm, subsequent encounter ICD10CM

N/A T23461D Corrosion of unspecified degree of back of right hand, subsequent encounter ICD10CM

N/A T23462D Corrosion of unspecified degree of back of left hand, subsequent encounter ICD10CM

N/A T23469D Corrosion of unspecified degree of back of unspecified hand, subsequent encounter ICD10CM N/A T23471D Corrosion of unspecified degree of right wrist, subsequent encounter ICD10CM N/A T23472D Corrosion of unspecified degree of left wrist, subsequent encounter ICD10CM N/A T23479D Corrosion of unspecified degree of unspecified wrist, subsequent encounter ICD10CM Corrosion of unspecified degree of multiple sites of right wrist and hand, subsequent N/A T23491D ICD10CM encounter Corrosion of unspecified degree of multiple sites of left wrist and hand, subsequent N/A T23492D ICD10CM encounter Corrosion of unspecified degree of multiple sites of unspecified wrist and hand, N/A T23499D ICD10CM subsequent encounter N/A T23501D Corrosion of first degree of right hand, unspecified site, subsequent encounter ICD10CM

204 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A T23502D Corrosion of first degree of left hand, unspecified site, subsequent encounter ICD10CM Corrosion of first degree of unspecified hand, unspecified site, subsequent N/A T23509D ICD10CM encounter N/A T23511D Corrosion of first degree of right thumb (nail), subsequent encounter ICD10CM N/A T23512D Corrosion of first degree of left thumb (nail), subsequent encounter ICD10CM N/A T23519D Corrosion of first degree of unspecified thumb (nail), subsequent encounter ICD10CM Corrosion of first degree of single right finger (nail) except thumb, subsequent N/A T23521D ICD10CM encounter Corrosion of first degree of single left finger (nail) except thumb, subsequent N/A T23522D ICD10CM encounter Corrosion of first degree of unspecified single finger (nail) except thumb, subsequent N/A T23529D ICD10CM encounter Corrosion of first degree of multiple right fingers (nail), not including thumb, N/A T23531D ICD10CM subsequent encounter Corrosion of first degree of multiple left fingers (nail), not including thumb, N/A T23532D ICD10CM subsequent encounter Corrosion of first degree of unspecified multiple fingers (nail), not including thumb, N/A T23539D ICD10CM subsequent encounter Corrosion of first degree of multiple right fingers (nail), including thumb, subsequent N/A T23541D ICD10CM encounter Corrosion of first degree of multiple left fingers (nail), including thumb, subsequent N/A T23542D ICD10CM encounter Corrosion of first degree of unspecified multiple fingers (nail), including thumb, N/A T23549D ICD10CM subsequent encounter N/A T23551D Corrosion of first degree of right palm, subsequent encounter ICD10CM N/A T23552D Corrosion of first degree of left palm, subsequent encounter ICD10CM N/A T23559D Corrosion of first degree of unspecified palm, subsequent encounter ICD10CM N/A T23561D Corrosion of first degree of back of right hand, subsequent encounter ICD10CM N/A T23562D Corrosion of first degree of back of left hand, subsequent encounter ICD10CM N/A T23569D Corrosion of first degree of back of unspecified hand, subsequent encounter ICD10CM N/A T23571D Corrosion of first degree of right wrist, subsequent encounter ICD10CM N/A T23572D Corrosion of first degree of left wrist, subsequent encounter ICD10CM N/A T23579D Corrosion of first degree of unspecified wrist, subsequent encounter ICD10CM Corrosion of first degree of multiple sites of right wrist and hand, subsequent N/A T23591D ICD10CM encounter Corrosion of first degree of multiple sites of left wrist and hand, subsequent N/A T23592D ICD10CM encounter Corrosion of first degree of multiple sites of unspecified wrist and hand, subsequent N/A T23599D ICD10CM encounter N/A T23601D Corrosion of second degree of right hand, unspecified site, subsequent encounter ICD10CM

N/A T23602D Corrosion of second degree of left hand, unspecified site, subsequent encounter ICD10CM

205 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Corrosion of second degree of unspecified hand, unspecified site, subsequent N/A T23609D ICD10CM encounter N/A T23611D Corrosion of second degree of right thumb (nail), subsequent encounter ICD10CM N/A T23612D Corrosion of second degree of left thumb (nail), subsequent encounter ICD10CM N/A T23619D Corrosion of second degree of unspecified thumb (nail), subsequent encounter ICD10CM Corrosion of second degree of single right finger (nail) except thumb, subsequent N/A T23621D ICD10CM encounter Corrosion of second degree of single left finger (nail) except thumb, subsequent N/A T23622D ICD10CM encounter Corrosion of second degree of unspecified single finger (nail) except thumb, N/A T23629D ICD10CM subsequent encounter Corrosion of second degree of multiple right fingers (nail), not including thumb, N/A T23631D ICD10CM subsequent encounter Corrosion of second degree of multiple left fingers (nail), not including thumb, N/A T23632D ICD10CM subsequent encounter Corrosion of second degree of unspecified multiple fingers (nail), not including N/A T23639D ICD10CM thumb, subsequent encounter Corrosion of second degree of multiple right fingers (nail), including thumb, N/A T23641D ICD10CM subsequent encounter Corrosion of second degree of multiple left fingers (nail), including thumb, N/A T23642D ICD10CM subsequent encounter Corrosion of second degree of unspecified multiple fingers (nail), including thumb, N/A T23649D ICD10CM subsequent encounter N/A T23651D Corrosion of second degree of right palm, subsequent encounter ICD10CM N/A T23652D Corrosion of second degree of left palm, subsequent encounter ICD10CM N/A T23659D Corrosion of second degree of unspecified palm, subsequent encounter ICD10CM N/A T23661D Corrosion of second degree back of right hand, subsequent encounter ICD10CM N/A T23662D Corrosion of second degree back of left hand, subsequent encounter ICD10CM N/A T23669D Corrosion of second degree back of unspecified hand, subsequent encounter ICD10CM N/A T23671D Corrosion of second degree of right wrist, subsequent encounter ICD10CM N/A T23672D Corrosion of second degree of left wrist, subsequent encounter ICD10CM N/A T23679D Corrosion of second degree of unspecified wrist, subsequent encounter ICD10CM Corrosion of second degree of multiple sites of right wrist and hand, subsequent N/A T23691D ICD10CM encounter Corrosion of second degree of multiple sites of left wrist and hand, subsequent N/A T23692D ICD10CM encounter Corrosion of second degree of multiple sites of unspecified wrist and hand, N/A T23699D ICD10CM subsequent encounter N/A T23701D Corrosion of third degree of right hand, unspecified site, subsequent encounter ICD10CM

N/A T23702D Corrosion of third degree of left hand, unspecified site, subsequent encounter ICD10CM Corrosion of third degree of unspecified hand, unspecified site, subsequent N/A T23709D ICD10CM encounter N/A T23711D Corrosion of third degree of right thumb (nail), subsequent encounter ICD10CM

206 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A T23712D Corrosion of third degree of left thumb (nail), subsequent encounter ICD10CM N/A T23719D Corrosion of third degree of unspecified thumb (nail), subsequent encounter ICD10CM Corrosion of third degree of single right finger (nail) except thumb, subsequent N/A T23721D ICD10CM encounter Corrosion of third degree of single left finger (nail) except thumb, subsequent N/A T23722D ICD10CM encounter Corrosion of third degree of unspecified single finger (nail) except thumb, N/A T23729D ICD10CM subsequent encounter Corrosion of third degree of multiple right fingers (nail), not including thumb, N/A T23731D ICD10CM subsequent encounter Corrosion of third degree of multiple left fingers (nail), not including thumb, N/A T23732D ICD10CM subsequent encounter Corrosion of third degree of unspecified multiple fingers (nail), not including thumb, N/A T23739D ICD10CM subsequent encounter Corrosion of third degree of multiple right fingers (nail), including thumb, N/A T23741D ICD10CM subsequent encounter Corrosion of third degree of multiple left fingers (nail), including thumb, subsequent N/A T23742D ICD10CM encounter Corrosion of third degree of unspecified multiple fingers (nail), including thumb, N/A T23749D ICD10CM subsequent encounter N/A T23751D Corrosion of third degree of right palm, subsequent encounter ICD10CM N/A T23752D Corrosion of third degree of left palm, subsequent encounter ICD10CM N/A T23759D Corrosion of third degree of unspecified palm, subsequent encounter ICD10CM N/A T23761D Corrosion of third degree of back of right hand, subsequent encounter ICD10CM N/A T23762D Corrosion of third degree of back of left hand, subsequent encounter ICD10CM N/A T23769D Corrosion of third degree back of unspecified hand, subsequent encounter ICD10CM N/A T23771D Corrosion of third degree of right wrist, subsequent encounter ICD10CM N/A T23772D Corrosion of third degree of left wrist, subsequent encounter ICD10CM N/A T23779D Corrosion of third degree of unspecified wrist, subsequent encounter ICD10CM Corrosion of third degree of multiple sites of right wrist and hand, subsequent N/A T23791D ICD10CM encounter Corrosion of third degree of multiple sites of left wrist and hand, subsequent N/A T23792D ICD10CM encounter Corrosion of third degree of multiple sites of unspecified wrist and hand, subsequent N/A T23799D ICD10CM encounter Burn of unspecified degree of unspecified site of right lower limb, except ankle and N/A T24001D ICD10CM foot, subsequent encounter Burn of unspecified degree of unspecified site of left lower limb, except ankle and N/A T24002D ICD10CM foot, subsequent encounter Burn of unspecified degree of unspecified site of unspecified lower limb, except N/A T24009D ICD10CM ankle and foot, subsequent encounter N/A T24011D Burn of unspecified degree of right thigh, subsequent encounter ICD10CM N/A T24012D Burn of unspecified degree of left thigh, subsequent encounter ICD10CM N/A T24019D Burn of unspecified degree of unspecified thigh, subsequent encounter ICD10CM N/A T24021D Burn of unspecified degree of right knee, subsequent encounter ICD10CM

207 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A T24022D Burn of unspecified degree of left knee, subsequent encounter ICD10CM N/A T24029D Burn of unspecified degree of unspecified knee, subsequent encounter ICD10CM N/A T24031D Burn of unspecified degree of right lower leg, subsequent encounter ICD10CM N/A T24032D Burn of unspecified degree of left lower leg, subsequent encounter ICD10CM N/A T24039D Burn of unspecified degree of unspecified lower leg, subsequent encounter ICD10CM Burn of unspecified degree of multiple sites of right lower limb, except ankle and N/A T24091D ICD10CM foot, subsequent encounter Burn of unspecified degree of multiple sites of left lower limb, except ankle and foot, N/A T24092D ICD10CM subsequent encounter Burn of unspecified degree of multiple sites of unspecified lower limb, except ankle N/A T24099D ICD10CM and foot, subsequent encounter Burn of first degree of unspecified site of right lower limb, except ankle and foot, N/A T24101D ICD10CM subsequent encounter Burn of first degree of unspecified site of left lower limb, except ankle and foot, N/A T24102D ICD10CM subsequent encounter Burn of first degree of unspecified site of unspecified lower limb, except ankle and N/A T24109D ICD10CM foot, subsequent encounter N/A T24111D Burn of first degree of right thigh, subsequent encounter ICD10CM N/A T24112D Burn of first degree of left thigh, subsequent encounter ICD10CM N/A T24119D Burn of first degree of unspecified thigh, subsequent encounter ICD10CM N/A T24121D Burn of first degree of right knee, subsequent encounter ICD10CM N/A T24122D Burn of first degree of left knee, subsequent encounter ICD10CM N/A T24129D Burn of first degree of unspecified knee, subsequent encounter ICD10CM N/A T24131D Burn of first degree of right lower leg, subsequent encounter ICD10CM N/A T24132D Burn of first degree of left lower leg, subsequent encounter ICD10CM N/A T24139D Burn of first degree of unspecified lower leg, subsequent encounter ICD10CM Burn of first degree of multiple sites of right lower limb, except ankle and foot, N/A T24191D ICD10CM subsequent encounter Burn of first degree of multiple sites of left lower limb, except ankle and foot, N/A T24192D ICD10CM subsequent encounter Burn of first degree of multiple sites of unspecified lower limb, except ankle and N/A T24199D ICD10CM foot, subsequent encounter Burn of second degree of unspecified site of right lower limb, except ankle and foot, N/A T24201D ICD10CM subsequent encounter Burn of second degree of unspecified site of left lower limb, except ankle and foot, N/A T24202D ICD10CM subsequent encounter Burn of second degree of unspecified site of unspecified lower limb, except ankle N/A T24209D ICD10CM and foot, subsequent encounter N/A T24211D Burn of second degree of right thigh, subsequent encounter ICD10CM N/A T24212D Burn of second degree of left thigh, subsequent encounter ICD10CM N/A T24219D Burn of second degree of unspecified thigh, subsequent encounter ICD10CM N/A T24221D Burn of second degree of right knee, subsequent encounter ICD10CM N/A T24222D Burn of second degree of left knee, subsequent encounter ICD10CM N/A T24229D Burn of second degree of unspecified knee, subsequent encounter ICD10CM N/A T24231D Burn of second degree of right lower leg, subsequent encounter ICD10CM N/A T24232D Burn of second degree of left lower leg, subsequent encounter ICD10CM

208 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A T24239D Burn of second degree of unspecified lower leg, subsequent encounter ICD10CM Burn of second degree of multiple sites of right lower limb, except ankle and foot, N/A T24291D ICD10CM subsequent encounter Burn of second degree of multiple sites of left lower limb, except ankle and foot, N/A T24292D ICD10CM subsequent encounter Burn of second degree of multiple sites of unspecified lower limb, except ankle and N/A T24299D ICD10CM foot, subsequent encounter Burn of third degree of unspecified site of right lower limb, except ankle and foot, N/A T24301D ICD10CM subsequent encounter Burn of third degree of unspecified site of left lower limb, except ankle and foot, N/A T24302D ICD10CM subsequent encounter Burn of third degree of unspecified site of unspecified lower limb, except ankle and N/A T24309D ICD10CM foot, subsequent encounter N/A T24311D Burn of third degree of right thigh, subsequent encounter ICD10CM N/A T24312D Burn of third degree of left thigh, subsequent encounter ICD10CM N/A T24319D Burn of third degree of unspecified thigh, subsequent encounter ICD10CM N/A T24321D Burn of third degree of right knee, subsequent encounter ICD10CM N/A T24322D Burn of third degree of left knee, subsequent encounter ICD10CM N/A T24329D Burn of third degree of unspecified knee, subsequent encounter ICD10CM N/A T24331D Burn of third degree of right lower leg, subsequent encounter ICD10CM N/A T24332D Burn of third degree of left lower leg, subsequent encounter ICD10CM N/A T24339D Burn of third degree of unspecified lower leg, subsequent encounter ICD10CM Burn of third degree of multiple sites of right lower limb, except ankle and foot, N/A T24391D ICD10CM subsequent encounter Burn of third degree of multiple sites of left lower limb, except ankle and foot, N/A T24392D ICD10CM subsequent encounter Burn of third degree of multiple sites of unspecified lower limb, except ankle and N/A T24399D ICD10CM foot, subsequent encounter Corrosion of unspecified degree of unspecified site of right lower limb, except ankle N/A T24401D ICD10CM and foot, subsequent encounter Corrosion of unspecified degree of unspecified site of left lower limb, except ankle N/A T24402D ICD10CM and foot, subsequent encounter Corrosion of unspecified degree of unspecified site of unspecified lower limb, except N/A T24409D ICD10CM ankle and foot, subsequent encounter N/A T24411D Corrosion of unspecified degree of right thigh, subsequent encounter ICD10CM N/A T24412D Corrosion of unspecified degree of left thigh, subsequent encounter ICD10CM N/A T24419D Corrosion of unspecified degree of unspecified thigh, subsequent encounter ICD10CM N/A T24421D Corrosion of unspecified degree of right knee, subsequent encounter ICD10CM N/A T24422D Corrosion of unspecified degree of left knee, subsequent encounter ICD10CM N/A T24429D Corrosion of unspecified degree of unspecified knee, subsequent encounter ICD10CM N/A T24431D Corrosion of unspecified degree of right lower leg, subsequent encounter ICD10CM N/A T24432D Corrosion of unspecified degree of left lower leg, subsequent encounter ICD10CM N/A T24439D Corrosion of unspecified degree of unspecified lower leg, subsequent encounter ICD10CM

209 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Corrosion of unspecified degree of multiple sites of right lower limb, except ankle N/A T24491D ICD10CM and foot, subsequent encounter Corrosion of unspecified degree of multiple sites of left lower limb, except ankle and N/A T24492D ICD10CM foot, subsequent encounter Corrosion of unspecified degree of multiple sites of unspecified lower limb, except N/A T24499D ICD10CM ankle and foot, subsequent encounter Corrosion of first degree of unspecified site of right lower limb, except ankle and N/A T24501D ICD10CM foot, subsequent encounter Corrosion of first degree of unspecified site of left lower limb, except ankle and foot, N/A T24502D ICD10CM subsequent encounter Corrosion of first degree of unspecified site of unspecified lower limb, except ankle N/A T24509D ICD10CM and foot, subsequent encounter N/A T24511D Corrosion of first degree of right thigh, subsequent encounter ICD10CM N/A T24512D Corrosion of first degree of left thigh, subsequent encounter ICD10CM N/A T24519D Corrosion of first degree of unspecified thigh, subsequent encounter ICD10CM N/A T24521D Corrosion of first degree of right knee, subsequent encounter ICD10CM N/A T24522D Corrosion of first degree of left knee, subsequent encounter ICD10CM N/A T24529D Corrosion of first degree of unspecified knee, subsequent encounter ICD10CM N/A T24531D Corrosion of first degree of right lower leg, subsequent encounter ICD10CM N/A T24532D Corrosion of first degree of left lower leg, subsequent encounter ICD10CM N/A T24539D Corrosion of first degree of unspecified lower leg, subsequent encounter ICD10CM Corrosion of first degree of multiple sites of right lower limb, except ankle and foot, N/A T24591D ICD10CM subsequent encounter Corrosion of first degree of multiple sites of left lower limb, except ankle and foot, N/A T24592D ICD10CM subsequent encounter Corrosion of first degree of multiple sites of unspecified lower limb, except ankle and N/A T24599D ICD10CM foot, subsequent encounter Corrosion of second degree of unspecified site of right lower limb, except ankle and N/A T24601D ICD10CM foot, subsequent encounter Corrosion of second degree of unspecified site of left lower limb, except ankle and N/A T24602D ICD10CM foot, subsequent encounter Corrosion of second degree of unspecified site of unspecified lower limb, except N/A T24609D ICD10CM ankle and foot, subsequent encounter N/A T24611D Corrosion of second degree of right thigh, subsequent encounter ICD10CM N/A T24612D Corrosion of second degree of left thigh, subsequent encounter ICD10CM N/A T24619D Corrosion of second degree of unspecified thigh, subsequent encounter ICD10CM N/A T24621D Corrosion of second degree of right knee, subsequent encounter ICD10CM N/A T24622D Corrosion of second degree of left knee, subsequent encounter ICD10CM N/A T24629D Corrosion of second degree of unspecified knee, subsequent encounter ICD10CM N/A T24631D Corrosion of second degree of right lower leg, subsequent encounter ICD10CM N/A T24632D Corrosion of second degree of left lower leg, subsequent encounter ICD10CM N/A T24639D Corrosion of second degree of unspecified lower leg, subsequent encounter ICD10CM Corrosion of second degree of multiple sites of right lower limb, except ankle and N/A T24691D ICD10CM foot, subsequent encounter Corrosion of second degree of multiple sites of left lower limb, except ankle and N/A T24692D ICD10CM foot, subsequent encounter

210 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Corrosion of second degree of multiple sites of unspecified lower limb, except ankle N/A T24699D ICD10CM and foot, subsequent encounter Corrosion of third degree of unspecified site of right lower limb, except ankle and N/A T24701D ICD10CM foot, subsequent encounter Corrosion of third degree of unspecified site of left lower limb, except ankle and N/A T24702D ICD10CM foot, subsequent encounter Corrosion of third degree of unspecified site of unspecified lower limb, except ankle N/A T24709D ICD10CM and foot, subsequent encounter N/A T24711D Corrosion of third degree of right thigh, subsequent encounter ICD10CM N/A T24712D Corrosion of third degree of left thigh, subsequent encounter ICD10CM N/A T24719D Corrosion of third degree of unspecified thigh, subsequent encounter ICD10CM N/A T24721D Corrosion of third degree of right knee, subsequent encounter ICD10CM N/A T24722D Corrosion of third degree of left knee, subsequent encounter ICD10CM N/A T24729D Corrosion of third degree of unspecified knee, subsequent encounter ICD10CM N/A T24731D Corrosion of third degree of right lower leg, subsequent encounter ICD10CM N/A T24732D Corrosion of third degree of left lower leg, subsequent encounter ICD10CM N/A T24739D Corrosion of third degree of unspecified lower leg, subsequent encounter ICD10CM Corrosion of third degree of multiple sites of right lower limb, except ankle and foot, N/A T24791D ICD10CM subsequent encounter Corrosion of third degree of multiple sites of left lower limb, except ankle and foot, N/A T24792D ICD10CM subsequent encounter Corrosion of third degree of multiple sites of unspecified lower limb, except ankle N/A T24799D ICD10CM and foot, subsequent encounter N/A T25011D Burn of unspecified degree of right ankle, subsequent encounter ICD10CM N/A T25012D Burn of unspecified degree of left ankle, subsequent encounter ICD10CM N/A T25019D Burn of unspecified degree of unspecified ankle, subsequent encounter ICD10CM N/A T25021D Burn of unspecified degree of right foot, subsequent encounter ICD10CM N/A T25022D Burn of unspecified degree of left foot, subsequent encounter ICD10CM N/A T25029D Burn of unspecified degree of unspecified foot, subsequent encounter ICD10CM N/A T25031D Burn of unspecified degree of right toe(s) (nail), subsequent encounter ICD10CM N/A T25032D Burn of unspecified degree of left toe(s) (nail), subsequent encounter ICD10CM N/A T25039D Burn of unspecified degree of unspecified toe(s) (nail), subsequent encounter ICD10CM Burn of unspecified degree of multiple sites of right ankle and foot, subsequent N/A T25091D ICD10CM encounter Burn of unspecified degree of multiple sites of left ankle and foot, subsequent N/A T25092D ICD10CM encounter Burn of unspecified degree of multiple sites of unspecified ankle and foot, N/A T25099D ICD10CM subsequent encounter N/A T25111D Burn of first degree of right ankle, subsequent encounter ICD10CM N/A T25112D Burn of first degree of left ankle, subsequent encounter ICD10CM N/A T25119D Burn of first degree of unspecified ankle, subsequent encounter ICD10CM N/A T25121D Burn of first degree of right foot, subsequent encounter ICD10CM N/A T25122D Burn of first degree of left foot, subsequent encounter ICD10CM N/A T25129D Burn of first degree of unspecified foot, subsequent encounter ICD10CM N/A T25131D Burn of first degree of right toe(s) (nail), subsequent encounter ICD10CM

211 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A T25132D Burn of first degree of left toe(s) (nail), subsequent encounter ICD10CM N/A T25139D Burn of first degree of unspecified toe(s) (nail), subsequent encounter ICD10CM N/A T25191D Burn of first degree of multiple sites of right ankle and foot, subsequent encounter ICD10CM

N/A T25192D Burn of first degree of multiple sites of left ankle and foot, subsequent encounter ICD10CM Burn of first degree of multiple sites of unspecified ankle and foot, subsequent N/A T25199D ICD10CM encounter N/A T25211D Burn of second degree of right ankle, subsequent encounter ICD10CM N/A T25212D Burn of second degree of left ankle, subsequent encounter ICD10CM N/A T25219D Burn of second degree of unspecified ankle, subsequent encounter ICD10CM N/A T25221D Burn of second degree of right foot, subsequent encounter ICD10CM N/A T25222D Burn of second degree of left foot, subsequent encounter ICD10CM N/A T25229D Burn of second degree of unspecified foot, subsequent encounter ICD10CM N/A T25231D Burn of second degree of right toe(s) (nail), subsequent encounter ICD10CM N/A T25232D Burn of second degree of left toe(s) (nail), subsequent encounter ICD10CM N/A T25239D Burn of second degree of unspecified toe(s) (nail), subsequent encounter ICD10CM Burn of second degree of multiple sites of right ankle and foot, subsequent N/A T25291D ICD10CM encounter N/A T25292D Burn of second degree of multiple sites of left ankle and foot, subsequent encounter ICD10CM Burn of second degree of multiple sites of unspecified ankle and foot, subsequent N/A T25299D ICD10CM encounter N/A T25311D Burn of third degree of right ankle, subsequent encounter ICD10CM N/A T25312D Burn of third degree of left ankle, subsequent encounter ICD10CM N/A T25319D Burn of third degree of unspecified ankle, subsequent encounter ICD10CM N/A T25321D Burn of third degree of right foot, subsequent encounter ICD10CM N/A T25322D Burn of third degree of left foot, subsequent encounter ICD10CM N/A T25329D Burn of third degree of unspecified foot, subsequent encounter ICD10CM N/A T25331D Burn of third degree of right toe(s) (nail), subsequent encounter ICD10CM N/A T25332D Burn of third degree of left toe(s) (nail), subsequent encounter ICD10CM N/A T25339D Burn of third degree of unspecified toe(s) (nail), subsequent encounter ICD10CM N/A T25391D Burn of third degree of multiple sites of right ankle and foot, subsequent encounter ICD10CM

N/A T25392D Burn of third degree of multiple sites of left ankle and foot, subsequent encounter ICD10CM Burn of third degree of multiple sites of unspecified ankle and foot, subsequent N/A T25399D ICD10CM encounter N/A T25411D Corrosion of unspecified degree of right ankle, subsequent encounter ICD10CM N/A T25412D Corrosion of unspecified degree of left ankle, subsequent encounter ICD10CM N/A T25419D Corrosion of unspecified degree of unspecified ankle, subsequent encounter ICD10CM N/A T25421D Corrosion of unspecified degree of right foot, subsequent encounter ICD10CM N/A T25422D Corrosion of unspecified degree of left foot, subsequent encounter ICD10CM N/A T25429D Corrosion of unspecified degree of unspecified foot, subsequent encounter ICD10CM

212 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A T25431D Corrosion of unspecified degree of right toe(s) (nail), subsequent encounter ICD10CM

N/A T25432D Corrosion of unspecified degree of left toe(s) (nail), subsequent encounter ICD10CM

N/A T25439D Corrosion of unspecified degree of unspecified toe(s) (nail), subsequent encounter ICD10CM Corrosion of unspecified degree of multiple sites of right ankle and foot, subsequent N/A T25491D ICD10CM encounter Corrosion of unspecified degree of multiple sites of left ankle and foot, subsequent N/A T25492D ICD10CM encounter Corrosion of unspecified degree of multiple sites of unspecified ankle and foot, N/A T25499D ICD10CM subsequent encounter N/A T25511D Corrosion of first degree of right ankle, subsequent encounter ICD10CM N/A T25512D Corrosion of first degree of left ankle, subsequent encounter ICD10CM N/A T25519D Corrosion of first degree of unspecified ankle, subsequent encounter ICD10CM N/A T25521D Corrosion of first degree of right foot, subsequent encounter ICD10CM N/A T25522D Corrosion of first degree of left foot, subsequent encounter ICD10CM N/A T25529D Corrosion of first degree of unspecified foot, subsequent encounter ICD10CM N/A T25531D Corrosion of first degree of right toe(s) (nail), subsequent encounter ICD10CM N/A T25532D Corrosion of first degree of left toe(s) (nail), subsequent encounter ICD10CM N/A T25539D Corrosion of first degree of unspecified toe(s) (nail), subsequent encounter ICD10CM Corrosion of first degree of multiple sites of right ankle and foot, subsequent N/A T25591D ICD10CM encounter Corrosion of first degree of multiple sites of left ankle and foot, subsequent N/A T25592D ICD10CM encounter Corrosion of first degree of multiple sites of unspecified ankle and foot, subsequent N/A T25599D ICD10CM encounter N/A T25611D Corrosion of second degree of right ankle, subsequent encounter ICD10CM N/A T25612D Corrosion of second degree of left ankle, subsequent encounter ICD10CM N/A T25619D Corrosion of second degree of unspecified ankle, subsequent encounter ICD10CM N/A T25621D Corrosion of second degree of right foot, subsequent encounter ICD10CM N/A T25622D Corrosion of second degree of left foot, subsequent encounter ICD10CM N/A T25629D Corrosion of second degree of unspecified foot, subsequent encounter ICD10CM N/A T25631D Corrosion of second degree of right toe(s) (nail), subsequent encounter ICD10CM N/A T25632D Corrosion of second degree of left toe(s) (nail), subsequent encounter ICD10CM N/A T25639D Corrosion of second degree of unspecified toe(s) (nail), subsequent encounter ICD10CM

N/A T25691D Corrosion of second degree of right ankle and foot, subsequent encounter ICD10CM N/A T25692D Corrosion of second degree of left ankle and foot, subsequent encounter ICD10CM N/A T25699D Corrosion of second degree of unspecified ankle and foot, subsequent encounter ICD10CM N/A T25711D Corrosion of third degree of right ankle, subsequent encounter ICD10CM N/A T25712D Corrosion of third degree of left ankle, subsequent encounter ICD10CM N/A T25719D Corrosion of third degree of unspecified ankle, subsequent encounter ICD10CM N/A T25721D Corrosion of third degree of right foot, subsequent encounter ICD10CM

213 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A T25722D Corrosion of third degree of left foot, subsequent encounter ICD10CM N/A T25729D Corrosion of third degree of unspecified foot, subsequent encounter ICD10CM N/A T25731D Corrosion of third degree of right toe(s) (nail), subsequent encounter ICD10CM N/A T25732D Corrosion of third degree of left toe(s) (nail), subsequent encounter ICD10CM N/A T25739D Corrosion of third degree of unspecified toe(s) (nail), subsequent encounter ICD10CM Corrosion of third degree of multiple sites of right ankle and foot, subsequent N/A T25791D ICD10CM encounter Corrosion of third degree of multiple sites of left ankle and foot, subsequent N/A T25792D ICD10CM encounter Corrosion of third degree of multiple sites of unspecified ankle and foot, subsequent N/A T25799D ICD10CM encounter N/A T2600XD Burn of unspecified eyelid and periocular area, subsequent encounter ICD10CM N/A T2601XD Burn of right eyelid and periocular area, subsequent encounter ICD10CM N/A T2602XD Burn of left eyelid and periocular area, subsequent encounter ICD10CM N/A T2610XD Burn of cornea and conjunctival sac, unspecified eye, subsequent encounter ICD10CM N/A T2611XD Burn of cornea and conjunctival sac, right eye, subsequent encounter ICD10CM N/A T2612XD Burn of cornea and conjunctival sac, left eye, subsequent encounter ICD10CM Burn with resulting rupture and destruction of unspecified eyeball, subsequent N/A T2620XD ICD10CM encounter N/A T2621XD Burn with resulting rupture and destruction of right eyeball, subsequent encounter ICD10CM

N/A T2622XD Burn with resulting rupture and destruction of left eyeball, subsequent encounter ICD10CM

N/A T2630XD Burns of other specified parts of unspecified eye and adnexa, subsequent encounter ICD10CM

N/A T2631XD Burns of other specified parts of right eye and adnexa, subsequent encounter ICD10CM

N/A T2632XD Burns of other specified parts of left eye and adnexa, subsequent encounter ICD10CM

N/A T2640XD Burn of unspecified eye and adnexa, part unspecified, subsequent encounter ICD10CM N/A T2641XD Burn of right eye and adnexa, part unspecified, subsequent encounter ICD10CM N/A T2642XD Burn of left eye and adnexa, part unspecified, subsequent encounter ICD10CM N/A T2650XD Corrosion of unspecified eyelid and periocular area, subsequent encounter ICD10CM N/A T2651XD Corrosion of right eyelid and periocular area, subsequent encounter ICD10CM N/A T2652XD Corrosion of left eyelid and periocular area, subsequent encounter ICD10CM N/A T2660XD Corrosion of cornea and conjunctival sac, unspecified eye, subsequent encounter ICD10CM

N/A T2661XD Corrosion of cornea and conjunctival sac, right eye, subsequent encounter ICD10CM N/A T2662XD Corrosion of cornea and conjunctival sac, left eye, subsequent encounter ICD10CM Corrosion with resulting rupture and destruction of unspecified eyeball, subsequent N/A T2670XD ICD10CM encounter

214 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Corrosion with resulting rupture and destruction of right eyeball, subsequent N/A T2671XD ICD10CM encounter Corrosion with resulting rupture and destruction of left eyeball, subsequent N/A T2672XD ICD10CM encounter Corrosions of other specified parts of unspecified eye and adnexa, subsequent N/A T2680XD ICD10CM encounter N/A T2681XD Corrosions of other specified parts of right eye and adnexa, subsequent encounter ICD10CM

N/A T2682XD Corrosions of other specified parts of left eye and adnexa, subsequent encounter ICD10CM

N/A T2690XD Corrosion of unspecified eye and adnexa, part unspecified, subsequent encounter ICD10CM

N/A T2691XD Corrosion of right eye and adnexa, part unspecified, subsequent encounter ICD10CM

N/A T2692XD Corrosion of left eye and adnexa, part unspecified, subsequent encounter ICD10CM N/A T270XXD Burn of larynx and trachea, subsequent encounter ICD10CM N/A T271XXD Burn involving larynx and trachea with lung, subsequent encounter ICD10CM N/A T272XXD Burn of other parts of respiratory tract, subsequent encounter ICD10CM N/A T273XXD Burn of respiratory tract, part unspecified, subsequent encounter ICD10CM N/A T274XXD Corrosion of larynx and trachea, subsequent encounter ICD10CM N/A T275XXD Corrosion involving larynx and trachea with lung, subsequent encounter ICD10CM N/A T276XXD Corrosion of other parts of respiratory tract, subsequent encounter ICD10CM N/A T277XXD Corrosion of respiratory tract, part unspecified, subsequent encounter ICD10CM N/A T280XXD Burn of mouth and pharynx, subsequent encounter ICD10CM N/A T281XXD Burn of esophagus, subsequent encounter ICD10CM N/A T282XXD Burn of other parts of alimentary tract, subsequent encounter ICD10CM N/A T283XXD Burn of internal genitourinary organs, subsequent encounter ICD10CM N/A T2840XD Burn of unspecified internal organ, subsequent encounter ICD10CM N/A T28411D Burn of right ear drum, subsequent encounter ICD10CM N/A T28412D Burn of left ear drum, subsequent encounter ICD10CM N/A T28419D Burn of unspecified ear drum, subsequent encounter ICD10CM N/A T2849XD Burn of other internal organ, subsequent encounter ICD10CM N/A T285XXD Corrosion of mouth and pharynx, subsequent encounter ICD10CM N/A T286XXD Corrosion of esophagus, subsequent encounter ICD10CM N/A T287XXD Corrosion of other parts of alimentary tract, subsequent encounter ICD10CM N/A T288XXD Corrosion of internal genitourinary organs, subsequent encounter ICD10CM N/A T2890XD Corrosions of unspecified internal organs, subsequent encounter ICD10CM N/A T28911D Corrosions of right ear drum, subsequent encounter ICD10CM N/A T28912D Corrosions of left ear drum, subsequent encounter ICD10CM N/A T28919D Corrosions of unspecified ear drum, subsequent encounter ICD10CM N/A T2899XD Corrosions of other internal organs, subsequent encounter ICD10CM N/A T33011D Superficial frostbite of right ear, subsequent encounter ICD10CM N/A T33012D Superficial frostbite of left ear, subsequent encounter ICD10CM N/A T33019D Superficial frostbite of unspecified ear, subsequent encounter ICD10CM N/A T3302XD Superficial frostbite of nose, subsequent encounter ICD10CM N/A T3309XD Superficial frostbite of other part of head, subsequent encounter ICD10CM

215 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A T331XXD Superficial frostbite of neck, subsequent encounter ICD10CM N/A T332XXD Superficial frostbite of thorax, subsequent encounter ICD10CM N/A T333XXD Superficial frostbite of abdominal wall, lower back and pelvis, subsequent encounter ICD10CM N/A T3340XD Superficial frostbite of unspecified arm, subsequent encounter ICD10CM N/A T3341XD Superficial frostbite of right arm, subsequent encounter ICD10CM N/A T3342XD Superficial frostbite of left arm, subsequent encounter ICD10CM N/A T33511D Superficial frostbite of right wrist, subsequent encounter ICD10CM N/A T33512D Superficial frostbite of left wrist, subsequent encounter ICD10CM N/A T33519D Superficial frostbite of unspecified wrist, subsequent encounter ICD10CM N/A T33521D Superficial frostbite of right hand, subsequent encounter ICD10CM N/A T33522D Superficial frostbite of left hand, subsequent encounter ICD10CM N/A T33529D Superficial frostbite of unspecified hand, subsequent encounter ICD10CM N/A T33531D Superficial frostbite of right finger(s), subsequent encounter ICD10CM N/A T33532D Superficial frostbite of left finger(s), subsequent encounter ICD10CM N/A T33539D Superficial frostbite of unspecified finger(s), subsequent encounter ICD10CM N/A T3360XD Superficial frostbite of unspecified hip and thigh, subsequent encounter ICD10CM N/A T3361XD Superficial frostbite of right hip and thigh, subsequent encounter ICD10CM N/A T3362XD Superficial frostbite of left hip and thigh, subsequent encounter ICD10CM N/A T3370XD Superficial frostbite of unspecified knee and lower leg, subsequent encounter ICD10CM N/A T3371XD Superficial frostbite of right knee and lower leg, subsequent encounter ICD10CM N/A T3372XD Superficial frostbite of left knee and lower leg, subsequent encounter ICD10CM N/A T33811D Superficial frostbite of right ankle, subsequent encounter ICD10CM N/A T33812D Superficial frostbite of left ankle, subsequent encounter ICD10CM N/A T33819D Superficial frostbite of unspecified ankle, subsequent encounter ICD10CM N/A T33821D Superficial frostbite of right foot, subsequent encounter ICD10CM N/A T33822D Superficial frostbite of left foot, subsequent encounter ICD10CM N/A T33829D Superficial frostbite of unspecified foot, subsequent encounter ICD10CM N/A T33831D Superficial frostbite of right toe(s), subsequent encounter ICD10CM N/A T33832D Superficial frostbite of left toe(s), subsequent encounter ICD10CM N/A T33839D Superficial frostbite of unspecified toe(s), subsequent encounter ICD10CM N/A T3390XD Superficial frostbite of unspecified sites, subsequent encounter ICD10CM N/A T3399XD Superficial frostbite of other sites, subsequent encounter ICD10CM N/A T34011D Frostbite with tissue necrosis of right ear, subsequent encounter ICD10CM N/A T34012D Frostbite with tissue necrosis of left ear, subsequent encounter ICD10CM N/A T34019D Frostbite with tissue necrosis of unspecified ear, subsequent encounter ICD10CM N/A T3402XD Frostbite with tissue necrosis of nose, subsequent encounter ICD10CM N/A T3409XD Frostbite with tissue necrosis of other part of head, subsequent encounter ICD10CM N/A T341XXD Frostbite with tissue necrosis of neck, subsequent encounter ICD10CM N/A T342XXD Frostbite with tissue necrosis of thorax, subsequent encounter ICD10CM Frostbite with tissue necrosis of abdominal wall, lower back and pelvis, subsequent N/A T343XXD ICD10CM encounter N/A T3440XD Frostbite with tissue necrosis of unspecified arm, subsequent encounter ICD10CM N/A T3441XD Frostbite with tissue necrosis of right arm, subsequent encounter ICD10CM N/A T3442XD Frostbite with tissue necrosis of left arm, subsequent encounter ICD10CM

216 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A T34511D Frostbite with tissue necrosis of right wrist, subsequent encounter ICD10CM N/A T34512D Frostbite with tissue necrosis of left wrist, subsequent encounter ICD10CM N/A T34519D Frostbite with tissue necrosis of unspecified wrist, subsequent encounter ICD10CM N/A T34521D Frostbite with tissue necrosis of right hand, subsequent encounter ICD10CM N/A T34522D Frostbite with tissue necrosis of left hand, subsequent encounter ICD10CM N/A T34529D Frostbite with tissue necrosis of unspecified hand, subsequent encounter ICD10CM N/A T34531D Frostbite with tissue necrosis of right finger(s), subsequent encounter ICD10CM N/A T34532D Frostbite with tissue necrosis of left finger(s), subsequent encounter ICD10CM N/A T34539D Frostbite with tissue necrosis of unspecified finger(s), subsequent encounter ICD10CM

N/A T3460XD Frostbite with tissue necrosis of unspecified hip and thigh, subsequent encounter ICD10CM

N/A T3461XD Frostbite with tissue necrosis of right hip and thigh, subsequent encounter ICD10CM N/A T3462XD Frostbite with tissue necrosis of left hip and thigh, subsequent encounter ICD10CM Frostbite with tissue necrosis of unspecified knee and lower leg, subsequent N/A T3470XD ICD10CM encounter N/A T3471XD Frostbite with tissue necrosis of right knee and lower leg, subsequent encounter ICD10CM

N/A T3472XD Frostbite with tissue necrosis of left knee and lower leg, subsequent encounter ICD10CM N/A T34811D Frostbite with tissue necrosis of right ankle, subsequent encounter ICD10CM N/A T34812D Frostbite with tissue necrosis of left ankle, subsequent encounter ICD10CM N/A T34819D Frostbite with tissue necrosis of unspecified ankle, subsequent encounter ICD10CM N/A T34821D Frostbite with tissue necrosis of right foot, subsequent encounter ICD10CM N/A T34822D Frostbite with tissue necrosis of left foot, subsequent encounter ICD10CM N/A T34829D Frostbite with tissue necrosis of unspecified foot, subsequent encounter ICD10CM N/A T34831D Frostbite with tissue necrosis of right toe(s), subsequent encounter ICD10CM N/A T34832D Frostbite with tissue necrosis of left toe(s), subsequent encounter ICD10CM N/A T34839D Frostbite with tissue necrosis of unspecified toe(s), subsequent encounter ICD10CM N/A T3490XD Frostbite with tissue necrosis of unspecified sites, subsequent encounter ICD10CM N/A T3499XD Frostbite with tissue necrosis of other sites, subsequent encounter ICD10CM N/A T360X1D Poisoning by penicillins, accidental (unintentional), subsequent encounter ICD10CM N/A T360X2D Poisoning by penicillins, intentional self-harm, subsequent encounter ICD10CM N/A T360X3D Poisoning by penicillins, assault, subsequent encounter ICD10CM N/A T360X4D Poisoning by penicillins, undetermined, subsequent encounter ICD10CM N/A T360X5D Adverse effect of penicillins, subsequent encounter ICD10CM Poisoning by cephalosporins and other beta-lactam antibiotics, accidental N/A T361X1D ICD10CM (unintentional), subsequent encounter Poisoning by cephalosporins and other beta-lactam antibiotics, intentional self-harm, N/A T361X2D ICD10CM subsequent encounter Poisoning by cephalosporins and other beta-lactam antibiotics, assault, subsequent N/A T361X3D ICD10CM encounter

217 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Poisoning by cephalosporins and other beta-lactam antibiotics, undetermined, N/A T361X4D ICD10CM subsequent encounter Adverse effect of cephalosporins and other beta-lactam antibiotics, subsequent N/A T361X5D ICD10CM encounter Poisoning by chloramphenicol group, accidental (unintentional), subsequent N/A T362X1D ICD10CM encounter N/A T362X2D Poisoning by chloramphenicol group, intentional self-harm, subsequent encounter ICD10CM N/A T362X3D Poisoning by chloramphenicol group, assault, subsequent encounter ICD10CM N/A T362X4D Poisoning by chloramphenicol group, undetermined, subsequent encounter ICD10CM N/A T362X5D Adverse effect of chloramphenicol group, subsequent encounter ICD10CM N/A T363X1D Poisoning by macrolides, accidental (unintentional), subsequent encounter ICD10CM N/A T363X2D Poisoning by macrolides, intentional self-harm, subsequent encounter ICD10CM N/A T363X3D Poisoning by macrolides, assault, subsequent encounter ICD10CM N/A T363X4D Poisoning by macrolides, undetermined, subsequent encounter ICD10CM N/A T363X5D Adverse effect of macrolides, subsequent encounter ICD10CM N/A T364X1D Poisoning by tetracyclines, accidental (unintentional), subsequent encounter ICD10CM N/A T364X2D Poisoning by tetracyclines, intentional self-harm, subsequent encounter ICD10CM N/A T364X3D Poisoning by tetracyclines, assault, subsequent encounter ICD10CM N/A T364X4D Poisoning by tetracyclines, undetermined, subsequent encounter ICD10CM N/A T364X5D Adverse effect of tetracyclines, subsequent encounter ICD10CM N/A T365X1D Poisoning by aminoglycosides, accidental (unintentional), subsequent encounter ICD10CM

N/A T365X2D Poisoning by aminoglycosides, intentional self-harm, subsequent encounter ICD10CM N/A T365X3D Poisoning by aminoglycosides, assault, subsequent encounter ICD10CM N/A T365X4D Poisoning by aminoglycosides, undetermined, subsequent encounter ICD10CM N/A T365X5D Adverse effect of aminoglycosides, subsequent encounter ICD10CM N/A T366X1D Poisoning by rifampicins, accidental (unintentional), subsequent encounter ICD10CM N/A T366X2D Poisoning by rifampicins, intentional self-harm, subsequent encounter ICD10CM N/A T366X3D Poisoning by rifampicins, assault, subsequent encounter ICD10CM N/A T366X4D Poisoning by rifampicins, undetermined, subsequent encounter ICD10CM N/A T366X5D Adverse effect of rifampicins, subsequent encounter ICD10CM Poisoning by antifungal antibiotics, systemically used, accidental (unintentional), N/A T367X1D ICD10CM subsequent encounter Poisoning by antifungal antibiotics, systemically used, intentional self-harm, N/A T367X2D ICD10CM subsequent encounter N/A T367X3D Poisoning by antifungal antibiotics, systemically used, assault, subsequent encounter ICD10CM Poisoning by antifungal antibiotics, systemically used, undetermined, subsequent N/A T367X4D ICD10CM encounter N/A T367X5D Adverse effect of antifungal antibiotics, systemically used, subsequent encounter ICD10CM

218 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Poisoning by other systemic antibiotics, accidental (unintentional), subsequent N/A T368X1D ICD10CM encounter N/A T368X2D Poisoning by other systemic antibiotics, intentional self-harm, subsequent encounter ICD10CM N/A T368X3D Poisoning by other systemic antibiotics, assault, subsequent encounter ICD10CM N/A T368X4D Poisoning by other systemic antibiotics, undetermined, subsequent encounter ICD10CM N/A T368X5D Adverse effect of other systemic antibiotics, subsequent encounter ICD10CM Poisoning by unspecified systemic antibiotic, accidental (unintentional), subsequent N/A T3691XD ICD10CM encounter Poisoning by unspecified systemic antibiotic, intentional self-harm, subsequent N/A T3692XD ICD10CM encounter N/A T3693XD Poisoning by unspecified systemic antibiotic, assault, subsequent encounter ICD10CM

N/A T3694XD Poisoning by unspecified systemic antibiotic, undetermined, subsequent encounter ICD10CM N/A T3695XD Adverse effect of unspecified systemic antibiotic, subsequent encounter ICD10CM N/A T370X1D Poisoning by sulfonamides, accidental (unintentional), subsequent encounter ICD10CM N/A T370X2D Poisoning by sulfonamides, intentional self-harm, subsequent encounter ICD10CM N/A T370X3D Poisoning by sulfonamides, assault, subsequent encounter ICD10CM N/A T370X4D Poisoning by sulfonamides, undetermined, subsequent encounter ICD10CM N/A T370X5D Adverse effect of sulfonamides, subsequent encounter ICD10CM Poisoning by antimycobacterial drugs, accidental (unintentional), subsequent N/A T371X1D ICD10CM encounter N/A T371X2D Poisoning by antimycobacterial drugs, intentional self-harm, subsequent encounter ICD10CM N/A T371X3D Poisoning by antimycobacterial drugs, assault, subsequent encounter ICD10CM N/A T371X4D Poisoning by antimycobacterial drugs, undetermined, subsequent encounter ICD10CM N/A T371X5D Adverse effect of antimycobacterial drugs, subsequent encounter ICD10CM Poisoning by antimalarials and drugs acting on other blood protozoa, accidental N/A T372X1D ICD10CM (unintentional), subsequent encounter Poisoning by antimalarials and drugs acting on other blood protozoa, intentional self- N/A T372X2D ICD10CM harm, subsequent encounter Poisoning by antimalarials and drugs acting on other blood protozoa, assault, N/A T372X3D ICD10CM subsequent encounter Poisoning by antimalarials and drugs acting on other blood protozoa, undetermined, N/A T372X4D ICD10CM subsequent encounter Adverse effect of antimalarials and drugs acting on other blood protozoa, N/A T372X5D ICD10CM subsequent encounter Poisoning by other antiprotozoal drugs, accidental (unintentional), subsequent N/A T373X1D ICD10CM encounter N/A T373X2D Poisoning by other antiprotozoal drugs, intentional self-harm, subsequent encounter ICD10CM N/A T373X3D Poisoning by other antiprotozoal drugs, assault, subsequent encounter ICD10CM

219 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A T373X4D Poisoning by other antiprotozoal drugs, undetermined, subsequent encounter ICD10CM N/A T373X5D Adverse effect of other antiprotozoal drugs, subsequent encounter ICD10CM N/A T374X1D Poisoning by anthelminthics, accidental (unintentional), subsequent encounter ICD10CM

N/A T374X2D Poisoning by anthelminthics, intentional self-harm, subsequent encounter ICD10CM N/A T374X3D Poisoning by anthelminthics, assault, subsequent encounter ICD10CM N/A T374X4D Poisoning by anthelminthics, undetermined, subsequent encounter ICD10CM N/A T374X5D Adverse effect of anthelminthics, subsequent encounter ICD10CM N/A T375X1D Poisoning by antiviral drugs, accidental (unintentional), subsequent encounter ICD10CM

N/A T375X2D Poisoning by antiviral drugs, intentional self-harm, subsequent encounter ICD10CM N/A T375X3D Poisoning by antiviral drugs, assault, subsequent encounter ICD10CM N/A T375X4D Poisoning by antiviral drugs, undetermined, subsequent encounter ICD10CM N/A T375X5D Adverse effect of antiviral drugs, subsequent encounter ICD10CM Poisoning by other specified systemic anti-infectives and antiparasitics, accidental N/A T378X1D ICD10CM (unintentional), subsequent encounter Poisoning by other specified systemic anti-infectives and antiparasitics, intentional N/A T378X2D ICD10CM self-harm, subsequent encounter Poisoning by other specified systemic anti-infectives and antiparasitics, assault, N/A T378X3D ICD10CM subsequent encounter Poisoning by other specified systemic anti-infectives and antiparasitics, N/A T378X4D ICD10CM undetermined, subsequent encounter Adverse effect of other specified systemic anti-infectives and antiparasitics, N/A T378X5D ICD10CM subsequent encounter Poisoning by unspecified systemic anti-infective and antiparasitics, accidental N/A T3791XD ICD10CM (unintentional), subsequent encounter Poisoning by unspecified systemic anti-infective and antiparasitics, intentional self- N/A T3792XD ICD10CM harm, subsequent encounter Poisoning by unspecified systemic anti-infective and antiparasitics, assault, N/A T3793XD ICD10CM subsequent encounter Poisoning by unspecified systemic anti-infective and antiparasitics, undetermined, N/A T3794XD ICD10CM subsequent encounter Adverse effect of unspecified systemic anti-infective and antiparasitic, subsequent N/A T3795XD ICD10CM encounter Poisoning by glucocorticoids and synthetic analogues, accidental (unintentional), N/A T380X1D ICD10CM subsequent encounter Poisoning by glucocorticoids and synthetic analogues, intentional self-harm, N/A T380X2D ICD10CM subsequent encounter N/A T380X3D Poisoning by glucocorticoids and synthetic analogues, assault, subsequent encounter ICD10CM Poisoning by glucocorticoids and synthetic analogues, undetermined, subsequent N/A T380X4D ICD10CM encounter N/A T380X5D Adverse effect of glucocorticoids and synthetic analogues, subsequent encounter ICD10CM

220 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Poisoning by thyroid hormones and substitutes, accidental (unintentional), N/A T381X1D ICD10CM subsequent encounter Poisoning by thyroid hormones and substitutes, intentional self-harm, subsequent N/A T381X2D ICD10CM encounter N/A T381X3D Poisoning by thyroid hormones and substitutes, assault, subsequent encounter ICD10CM Poisoning by thyroid hormones and substitutes, undetermined, subsequent N/A T381X4D ICD10CM encounter N/A T381X5D Adverse effect of thyroid hormones and substitutes, subsequent encounter ICD10CM

N/A T382X1D Poisoning by antithyroid drugs, accidental (unintentional), subsequent encounter ICD10CM

N/A T382X2D Poisoning by antithyroid drugs, intentional self-harm, subsequent encounter ICD10CM N/A T382X3D Poisoning by antithyroid drugs, assault, subsequent encounter ICD10CM N/A T382X4D Poisoning by antithyroid drugs, undetermined, subsequent encounter ICD10CM N/A T382X5D Adverse effect of antithyroid drugs, subsequent encounter ICD10CM Poisoning by insulin and oral hypoglycemic [antidiabetic] drugs, accidental N/A T383X1D ICD10CM (unintentional), subsequent encounter Poisoning by insulin and oral hypoglycemic [antidiabetic] drugs, intentional self- N/A T383X2D ICD10CM harm, subsequent encounter Poisoning by insulin and oral hypoglycemic [antidiabetic] drugs, assault, subsequent N/A T383X3D ICD10CM encounter Poisoning by insulin and oral hypoglycemic [antidiabetic] drugs, undetermined, N/A T383X4D ICD10CM subsequent encounter Adverse effect of insulin and oral hypoglycemic [antidiabetic] drugs, subsequent N/A T383X5D ICD10CM encounter N/A T384X1D Poisoning by oral contraceptives, accidental (unintentional), subsequent encounter ICD10CM

N/A T384X2D Poisoning by oral contraceptives, intentional self-harm, subsequent encounter ICD10CM N/A T384X3D Poisoning by oral contraceptives, assault, subsequent encounter ICD10CM N/A T384X4D Poisoning by oral contraceptives, undetermined, subsequent encounter ICD10CM N/A T384X5D Adverse effect of oral contraceptives, subsequent encounter ICD10CM Poisoning by other estrogens and progestogens, accidental (unintentional), N/A T385X1D ICD10CM subsequent encounter Poisoning by other estrogens and progestogens, intentional self-harm, subsequent N/A T385X2D ICD10CM encounter N/A T385X3D Poisoning by other estrogens and progestogens, assault, subsequent encounter ICD10CM Poisoning by other estrogens and progestogens, undetermined, subsequent N/A T385X4D ICD10CM encounter N/A T385X5D Adverse effect of other estrogens and progestogens, subsequent encounter ICD10CM Poisoning by antigonadotrophins, antiestrogens, antiandrogens, not elsewhere N/A T386X1D ICD10CM classified, accidental (unintentional), subsequent encounter

221 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Poisoning by antigonadotrophins, antiestrogens, antiandrogens, not elsewhere N/A T386X2D ICD10CM classified, intentional self-harm, subsequent encounter Poisoning by antigonadotrophins, antiestrogens, antiandrogens, not elsewhere N/A T386X3D ICD10CM classified, assault, subsequent encounter Poisoning by antigonadotrophins, antiestrogens, antiandrogens, not elsewhere N/A T386X4D ICD10CM classified, undetermined, subsequent encounter Adverse effect of antigonadotrophins, antiestrogens, antiandrogens, not elsewhere N/A T386X5D ICD10CM classified, subsequent encounter Poisoning by androgens and anabolic congeners, accidental (unintentional), N/A T387X1D ICD10CM subsequent encounter Poisoning by androgens and anabolic congeners, intentional self-harm, subsequent N/A T387X2D ICD10CM encounter N/A T387X3D Poisoning by androgens and anabolic congeners, assault, subsequent encounter ICD10CM Poisoning by androgens and anabolic congeners, undetermined, subsequent N/A T387X4D ICD10CM encounter N/A T387X5D Adverse effect of androgens and anabolic congeners, subsequent encounter ICD10CM Poisoning by unspecified hormones and synthetic substitutes, accidental N/A T38801D ICD10CM (unintentional), subsequent encounter Poisoning by unspecified hormones and synthetic substitutes, intentional self-harm, N/A T38802D ICD10CM subsequent encounter Poisoning by unspecified hormones and synthetic substitutes, assault, subsequent N/A T38803D ICD10CM encounter Poisoning by unspecified hormones and synthetic substitutes, undetermined, N/A T38804D ICD10CM subsequent encounter Adverse effect of unspecified hormones and synthetic substitutes, subsequent N/A T38805D ICD10CM encounter Poisoning by anterior pituitary [adenohypophyseal] hormones, accidental N/A T38811D ICD10CM (unintentional), subsequent encounter Poisoning by anterior pituitary [adenohypophyseal] hormones, intentional self-harm, N/A T38812D ICD10CM subsequent encounter Poisoning by anterior pituitary [adenohypophyseal] hormones, assault, subsequent N/A T38813D ICD10CM encounter Poisoning by anterior pituitary [adenohypophyseal] hormones, undetermined, N/A T38814D ICD10CM subsequent encounter Adverse effect of anterior pituitary [adenohypophyseal] hormones, subsequent N/A T38815D ICD10CM encounter Poisoning by other hormones and synthetic substitutes, accidental (unintentional), N/A T38891D ICD10CM subsequent encounter Poisoning by other hormones and synthetic substitutes, intentional self-harm, N/A T38892D ICD10CM subsequent encounter Poisoning by other hormones and synthetic substitutes, assault, subsequent N/A T38893D ICD10CM encounter Poisoning by other hormones and synthetic substitutes, undetermined, subsequent N/A T38894D ICD10CM encounter

222 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A T38895D Adverse effect of other hormones and synthetic substitutes, subsequent encounter ICD10CM Poisoning by unspecified hormone antagonists, accidental (unintentional), N/A T38901D ICD10CM subsequent encounter Poisoning by unspecified hormone antagonists, intentional self-harm, subsequent N/A T38902D ICD10CM encounter N/A T38903D Poisoning by unspecified hormone antagonists, assault, subsequent encounter ICD10CM Poisoning by unspecified hormone antagonists, undetermined, subsequent N/A T38904D ICD10CM encounter N/A T38905D Adverse effect of unspecified hormone antagonists, subsequent encounter ICD10CM Poisoning by other hormone antagonists, accidental (unintentional), subsequent N/A T38991D ICD10CM encounter Poisoning by other hormone antagonists, intentional self-harm, subsequent N/A T38992D ICD10CM encounter N/A T38993D Poisoning by other hormone antagonists, assault, subsequent encounter ICD10CM N/A T38994D Poisoning by other hormone antagonists, undetermined, subsequent encounter ICD10CM N/A T38995D Adverse effect of other hormone antagonists, subsequent encounter ICD10CM N/A T39011D Poisoning by aspirin, accidental (unintentional), subsequent encounter ICD10CM N/A T39012D Poisoning by aspirin, intentional self-harm, subsequent encounter ICD10CM N/A T39013D Poisoning by aspirin, assault, subsequent encounter ICD10CM N/A T39014D Poisoning by aspirin, undetermined, subsequent encounter ICD10CM N/A T39015D Adverse effect of aspirin, subsequent encounter ICD10CM N/A T39091D Poisoning by salicylates, accidental (unintentional), subsequent encounter ICD10CM N/A T39092D Poisoning by salicylates, intentional self-harm, subsequent encounter ICD10CM N/A T39093D Poisoning by salicylates, assault, subsequent encounter ICD10CM N/A T39094D Poisoning by salicylates, undetermined, subsequent encounter ICD10CM N/A T39095D Adverse effect of salicylates, subsequent encounter ICD10CM Poisoning by 4-Aminophenol derivatives, accidental (unintentional), subsequent N/A T391X1D ICD10CM encounter Poisoning by 4-Aminophenol derivatives, intentional self-harm, subsequent N/A T391X2D ICD10CM encounter N/A T391X3D Poisoning by 4-Aminophenol derivatives, assault, subsequent encounter ICD10CM N/A T391X4D Poisoning by 4-Aminophenol derivatives, undetermined, subsequent encounter ICD10CM N/A T391X5D Adverse effect of 4-Aminophenol derivatives, subsequent encounter ICD10CM Poisoning by pyrazolone derivatives, accidental (unintentional), subsequent N/A T392X1D ICD10CM encounter N/A T392X2D Poisoning by pyrazolone derivatives, intentional self-harm, subsequent encounter ICD10CM N/A T392X3D Poisoning by pyrazolone derivatives, assault, subsequent encounter ICD10CM N/A T392X4D Poisoning by pyrazolone derivatives, undetermined, subsequent encounter ICD10CM N/A T392X5D Adverse effect of pyrazolone derivatives, subsequent encounter ICD10CM

223 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Poisoning by propionic acid derivatives, accidental (unintentional), subsequent N/A T39311D ICD10CM encounter N/A T39312D Poisoning by propionic acid derivatives, intentional self-harm, subsequent encounter ICD10CM N/A T39313D Poisoning by propionic acid derivatives, assault, subsequent encounter ICD10CM N/A T39314D Poisoning by propionic acid derivatives, undetermined, subsequent encounter ICD10CM N/A T39315D Adverse effect of propionic acid derivatives, subsequent encounter ICD10CM Poisoning by other nonsteroidal anti-inflammatory drugs [NSAID], accidental N/A T39391D ICD10CM (unintentional), subsequent encounter Poisoning by other nonsteroidal anti-inflammatory drugs [NSAID], intentional self- N/A T39392D ICD10CM harm, subsequent encounter Poisoning by other nonsteroidal anti-inflammatory drugs [NSAID], assault, N/A T39393D ICD10CM subsequent encounter Poisoning by other nonsteroidal anti-inflammatory drugs [NSAID], undetermined, N/A T39394D ICD10CM subsequent encounter Adverse effect of other nonsteroidal anti-inflammatory drugs [NSAID], subsequent N/A T39395D ICD10CM encounter Poisoning by antirheumatics, not elsewhere classified, accidental (unintentional), N/A T394X1D ICD10CM subsequent encounter Poisoning by antirheumatics, not elsewhere classified, intentional self-harm, N/A T394X2D ICD10CM subsequent encounter Poisoning by antirheumatics, not elsewhere classified, assault, subsequent N/A T394X3D ICD10CM encounter Poisoning by antirheumatics, not elsewhere classified, undetermined, subsequent N/A T394X4D ICD10CM encounter N/A T394X5D Adverse effect of antirheumatics, not elsewhere classified, subsequent encounter ICD10CM Poisoning by other nonopioid analgesics and antipyretics, not elsewhere classified, N/A T398X1D ICD10CM accidental (unintentional), subsequent encounter Poisoning by other nonopioid analgesics and antipyretics, not elsewhere classified, N/A T398X2D ICD10CM intentional self-harm, subsequent encounter Poisoning by other nonopioid analgesics and antipyretics, not elsewhere classified, N/A T398X3D ICD10CM assault, subsequent encounter Poisoning by other nonopioid analgesics and antipyretics, not elsewhere classified, N/A T398X4D ICD10CM undetermined, subsequent encounter Adverse effect of other nonopioid analgesics and antipyretics, not elsewhere N/A T398X5D ICD10CM classified, subsequent encounter Poisoning by unspecified nonopioid analgesic, antipyretic and antirheumatic, N/A T3991XD ICD10CM accidental (unintentional), subsequent encounter Poisoning by unspecified nonopioid analgesic, antipyretic and antirheumatic, N/A T3992XD ICD10CM intentional self-harm, subsequent encounter Poisoning by unspecified nonopioid analgesic, antipyretic and antirheumatic, assault, N/A T3993XD ICD10CM subsequent encounter Poisoning by unspecified nonopioid analgesic, antipyretic and antirheumatic, N/A T3994XD ICD10CM undetermined, subsequent encounter

224 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Adverse effect of unspecified nonopioid analgesic, antipyretic and antirheumatic, N/A T3995XD ICD10CM subsequent encounter N/A T400X1D Poisoning by opium, accidental (unintentional), subsequent encounter ICD10CM N/A T400X2D Poisoning by opium, intentional self-harm, subsequent encounter ICD10CM N/A T400X3D Poisoning by opium, assault, subsequent encounter ICD10CM N/A T400X4D Poisoning by opium, undetermined, subsequent encounter ICD10CM N/A T400X5D Adverse effect of opium, subsequent encounter ICD10CM N/A T401X1D Poisoning by heroin, accidental (unintentional), subsequent encounter ICD10CM N/A T401X2D Poisoning by heroin, intentional self-harm, subsequent encounter ICD10CM N/A T401X3D Poisoning by heroin, assault, subsequent encounter ICD10CM N/A T401X4D Poisoning by heroin, undetermined, subsequent encounter ICD10CM N/A T402X1D Poisoning by other opioids, accidental (unintentional), subsequent encounter ICD10CM N/A T402X2D Poisoning by other opioids, intentional self-harm, subsequent encounter ICD10CM N/A T402X3D Poisoning by other opioids, assault, subsequent encounter ICD10CM N/A T402X4D Poisoning by other opioids, undetermined, subsequent encounter ICD10CM N/A T402X5D Adverse effect of other opioids, subsequent encounter ICD10CM N/A T403X1D Poisoning by methadone, accidental (unintentional), subsequent encounter ICD10CM N/A T403X2D Poisoning by methadone, intentional self-harm, subsequent encounter ICD10CM N/A T403X3D Poisoning by methadone, assault, subsequent encounter ICD10CM N/A T403X4D Poisoning by methadone, undetermined, subsequent encounter ICD10CM N/A T403X5D Adverse effect of methadone, subsequent encounter ICD10CM Poisoning by other synthetic narcotics, accidental (unintentional), subsequent N/A T404X1D ICD10CM encounter N/A T404X2D Poisoning by other synthetic narcotics, intentional self-harm, subsequent encounter ICD10CM N/A T404X3D Poisoning by other synthetic narcotics, assault, subsequent encounter ICD10CM N/A T404X4D Poisoning by other synthetic narcotics, undetermined, subsequent encounter ICD10CM N/A T404X5D Adverse effect of other synthetic narcotics, subsequent encounter ICD10CM N/A T405X1D Poisoning by cocaine, accidental (unintentional), subsequent encounter ICD10CM N/A T405X2D Poisoning by cocaine, intentional self-harm, subsequent encounter ICD10CM N/A T405X3D Poisoning by cocaine, assault, subsequent encounter ICD10CM N/A T405X4D Poisoning by cocaine, undetermined, subsequent encounter ICD10CM N/A T405X5D Adverse effect of cocaine, subsequent encounter ICD10CM N/A T40601D Poisoning by unspecified narcotics, accidental (unintentional), subsequent encounter ICD10CM

N/A T40602D Poisoning by unspecified narcotics, intentional self-harm, subsequent encounter ICD10CM N/A T40603D Poisoning by unspecified narcotics, assault, subsequent encounter ICD10CM N/A T40604D Poisoning by unspecified narcotics, undetermined, subsequent encounter ICD10CM N/A T40605D Adverse effect of unspecified narcotics, subsequent encounter ICD10CM N/A T40691D Poisoning by other narcotics, accidental (unintentional), subsequent encounter ICD10CM

225 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A T40692D Poisoning by other narcotics, intentional self-harm, subsequent encounter ICD10CM N/A T40693D Poisoning by other narcotics, assault, subsequent encounter ICD10CM N/A T40694D Poisoning by other narcotics, undetermined, subsequent encounter ICD10CM N/A T40695D Adverse effect of other narcotics, subsequent encounter ICD10CM Poisoning by cannabis (derivatives), accidental (unintentional), subsequent N/A T407X1D ICD10CM encounter N/A T407X2D Poisoning by cannabis (derivatives), intentional self-harm, subsequent encounter ICD10CM N/A T407X3D Poisoning by cannabis (derivatives), assault, subsequent encounter ICD10CM N/A T407X4D Poisoning by cannabis (derivatives), undetermined, subsequent encounter ICD10CM N/A T407X5D Adverse effect of cannabis (derivatives), subsequent encounter ICD10CM N/A T408X1D Poisoning by lysergide [LSD], accidental (unintentional), subsequent encounter ICD10CM

N/A T408X2D Poisoning by lysergide [LSD], intentional self-harm, subsequent encounter ICD10CM N/A T408X3D Poisoning by lysergide [LSD], assault, subsequent encounter ICD10CM N/A T408X4D Poisoning by lysergide [LSD], undetermined, subsequent encounter ICD10CM Poisoning by unspecified psychodysleptics [hallucinogens], accidental N/A T40901D ICD10CM (unintentional), subsequent encounter Poisoning by unspecified psychodysleptics [hallucinogens], intentional self-harm, N/A T40902D ICD10CM subsequent encounter Poisoning by unspecified psychodysleptics [hallucinogens], assault, subsequent N/A T40903D ICD10CM encounter Poisoning by unspecified psychodysleptics [hallucinogens], undetermined, N/A T40904D ICD10CM subsequent encounter Adverse effect of unspecified psychodysleptics [hallucinogens], subsequent N/A T40905D ICD10CM encounter Poisoning by other psychodysleptics [hallucinogens], accidental (unintentional), N/A T40991D ICD10CM subsequent encounter Poisoning by other psychodysleptics [hallucinogens], intentional self-harm, N/A T40992D ICD10CM subsequent encounter N/A T40993D Poisoning by other psychodysleptics [hallucinogens], assault, subsequent encounter ICD10CM Poisoning by other psychodysleptics [hallucinogens], undetermined, subsequent N/A T40994D ICD10CM encounter N/A T40995D Adverse effect of other psychodysleptics [hallucinogens], subsequent encounter ICD10CM

N/A T410X1D Poisoning by inhaled anesthetics, accidental (unintentional), subsequent encounter ICD10CM

N/A T410X2D Poisoning by inhaled anesthetics, intentional self-harm, subsequent encounter ICD10CM N/A T410X3D Poisoning by inhaled anesthetics, assault, subsequent encounter ICD10CM N/A T410X4D Poisoning by inhaled anesthetics, undetermined, subsequent encounter ICD10CM N/A T410X5D Adverse effect of inhaled anesthetics, subsequent encounter ICD10CM

226 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Poisoning by intravenous anesthetics, accidental (unintentional), subsequent N/A T411X1D ICD10CM encounter N/A T411X2D Poisoning by intravenous anesthetics, intentional self-harm, subsequent encounter ICD10CM N/A T411X3D Poisoning by intravenous anesthetics, assault, subsequent encounter ICD10CM N/A T411X4D Poisoning by intravenous anesthetics, undetermined, subsequent encounter ICD10CM N/A T411X5D Adverse effect of intravenous anesthetics, subsequent encounter ICD10CM Poisoning by unspecified general anesthetics, accidental (unintentional), subsequent N/A T41201D ICD10CM encounter Poisoning by unspecified general anesthetics, intentional self-harm, subsequent N/A T41202D ICD10CM encounter N/A T41203D Poisoning by unspecified general anesthetics, assault, subsequent encounter ICD10CM

N/A T41204D Poisoning by unspecified general anesthetics, undetermined, subsequent encounter ICD10CM N/A T41205D Adverse effect of unspecified general anesthetics, subsequent encounter ICD10CM Poisoning by other general anesthetics, accidental (unintentional), subsequent N/A T41291D ICD10CM encounter N/A T41292D Poisoning by other general anesthetics, intentional self-harm, subsequent encounter ICD10CM N/A T41293D Poisoning by other general anesthetics, assault, subsequent encounter ICD10CM N/A T41294D Poisoning by other general anesthetics, undetermined, subsequent encounter ICD10CM N/A T41295D Adverse effect of other general anesthetics, subsequent encounter ICD10CM N/A T413X1D Poisoning by local anesthetics, accidental (unintentional), subsequent encounter ICD10CM

N/A T413X2D Poisoning by local anesthetics, intentional self-harm, subsequent encounter ICD10CM N/A T413X3D Poisoning by local anesthetics, assault, subsequent encounter ICD10CM N/A T413X4D Poisoning by local anesthetics, undetermined, subsequent encounter ICD10CM N/A T413X5D Adverse effect of local anesthetics, subsequent encounter ICD10CM Poisoning by unspecified anesthetic, accidental (unintentional), subsequent N/A T4141XD ICD10CM encounter N/A T4142XD Poisoning by unspecified anesthetic, intentional self-harm, subsequent encounter ICD10CM N/A T4143XD Poisoning by unspecified anesthetic, assault, subsequent encounter ICD10CM N/A T4144XD Poisoning by unspecified anesthetic, undetermined, subsequent encounter ICD10CM N/A T4145XD Adverse effect of unspecified anesthetic, subsequent encounter ICD10CM N/A T415X1D Poisoning by therapeutic gases, accidental (unintentional), subsequent encounter ICD10CM

N/A T415X2D Poisoning by therapeutic gases, intentional self-harm, subsequent encounter ICD10CM N/A T415X3D Poisoning by therapeutic gases, assault, subsequent encounter ICD10CM N/A T415X4D Poisoning by therapeutic gases, undetermined, subsequent encounter ICD10CM N/A T415X5D Adverse effect of therapeutic gases, subsequent encounter ICD10CM

227 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Poisoning by hydantoin derivatives, accidental (unintentional), subsequent N/A T420X1D ICD10CM encounter N/A T420X2D Poisoning by hydantoin derivatives, intentional self-harm, subsequent encounter ICD10CM N/A T420X3D Poisoning by hydantoin derivatives, assault, subsequent encounter ICD10CM N/A T420X4D Poisoning by hydantoin derivatives, undetermined, subsequent encounter ICD10CM N/A T420X5D Adverse effect of hydantoin derivatives, subsequent encounter ICD10CM N/A T421X1D Poisoning by iminostilbenes, accidental (unintentional), subsequent encounter ICD10CM

N/A T421X2D Poisoning by iminostilbenes, intentional self-harm, subsequent encounter ICD10CM N/A T421X3D Poisoning by iminostilbenes, assault, subsequent encounter ICD10CM N/A T421X4D Poisoning by iminostilbenes, undetermined, subsequent encounter ICD10CM N/A T421X5D Adverse effect of iminostilbenes, subsequent encounter ICD10CM Poisoning by succinimides and oxazolidinediones, accidental (unintentional), N/A T422X1D ICD10CM subsequent encounter Poisoning by succinimides and oxazolidinediones, intentional self-harm, subsequent N/A T422X2D ICD10CM encounter N/A T422X3D Poisoning by succinimides and oxazolidinediones, assault, subsequent encounter ICD10CM Poisoning by succinimides and oxazolidinediones, undetermined, subsequent N/A T422X4D ICD10CM encounter N/A T422X5D Adverse effect of succinimides and oxazolidinediones, subsequent encounter ICD10CM

N/A T423X1D Poisoning by barbiturates, accidental (unintentional), subsequent encounter ICD10CM N/A T423X2D Poisoning by barbiturates, intentional self-harm, subsequent encounter ICD10CM N/A T423X3D Poisoning by barbiturates, assault, subsequent encounter ICD10CM N/A T423X4D Poisoning by barbiturates, undetermined, subsequent encounter ICD10CM N/A T423X5D Adverse effect of barbiturates, subsequent encounter ICD10CM N/A T424X1D Poisoning by benzodiazepines, accidental (unintentional), subsequent encounter ICD10CM

N/A T424X2D Poisoning by benzodiazepines, intentional self-harm, subsequent encounter ICD10CM N/A T424X3D Poisoning by benzodiazepines, assault, subsequent encounter ICD10CM N/A T424X4D Poisoning by benzodiazepines, undetermined, subsequent encounter ICD10CM N/A T424X5D Adverse effect of benzodiazepines, subsequent encounter ICD10CM N/A T425X1D Poisoning by mixed antiepileptics, accidental (unintentional), subsequent encounter ICD10CM

N/A T425X2D Poisoning by mixed antiepileptics, intentional self-harm, subsequent encounter ICD10CM N/A T425X3D Poisoning by mixed antiepileptics, assault, subsequent encounter ICD10CM N/A T425X4D Poisoning by mixed antiepileptics, undetermined, subsequent encounter ICD10CM N/A T425X5D Adverse effect of mixed antiepileptics, subsequent encounter ICD10CM Poisoning by other antiepileptic and sedative-hypnotic drugs, accidental N/A T426X1D ICD10CM (unintentional), subsequent encounter

228 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Poisoning by other antiepileptic and sedative-hypnotic drugs, intentional self-harm, N/A T426X2D ICD10CM subsequent encounter Poisoning by other antiepileptic and sedative-hypnotic drugs, assault, subsequent N/A T426X3D ICD10CM encounter Poisoning by other antiepileptic and sedative-hypnotic drugs, undetermined, N/A T426X4D ICD10CM subsequent encounter Adverse effect of other antiepileptic and sedative-hypnotic drugs, subsequent N/A T426X5D ICD10CM encounter Poisoning by unspecified antiepileptic and sedative-hypnotic drugs, accidental N/A T4271XD ICD10CM (unintentional), subsequent encounter Poisoning by unspecified antiepileptic and sedative-hypnotic drugs, intentional self- N/A T4272XD ICD10CM harm, subsequent encounter Poisoning by unspecified antiepileptic and sedative-hypnotic drugs, assault, N/A T4273XD ICD10CM subsequent encounter Poisoning by unspecified antiepileptic and sedative-hypnotic drugs, undetermined, N/A T4274XD ICD10CM subsequent encounter Adverse effect of unspecified antiepileptic and sedative-hypnotic drugs, subsequent N/A T4275XD ICD10CM encounter Poisoning by antiparkinsonism drugs and other central muscle-tone depressants, N/A T428X1D ICD10CM accidental (unintentional), subsequent encounter Poisoning by antiparkinsonism drugs and other central muscle-tone depressants, N/A T428X2D ICD10CM intentional self-harm, subsequent encounter Poisoning by antiparkinsonism drugs and other central muscle-tone depressants, N/A T428X3D ICD10CM assault, subsequent encounter Poisoning by antiparkinsonism drugs and other central muscle-tone depressants, N/A T428X4D ICD10CM undetermined, subsequent encounter Adverse effect of antiparkinsonism drugs and other central muscle-tone N/A T428X5D ICD10CM depressants, subsequent encounter Poisoning by tricyclic antidepressants, accidental (unintentional), subsequent N/A T43011D ICD10CM encounter N/A T43012D Poisoning by tricyclic antidepressants, intentional self-harm, subsequent encounter ICD10CM N/A T43013D Poisoning by tricyclic antidepressants, assault, subsequent encounter ICD10CM N/A T43014D Poisoning by tricyclic antidepressants, undetermined, subsequent encounter ICD10CM N/A T43015D Adverse effect of tricyclic antidepressants, subsequent encounter ICD10CM Poisoning by tetracyclic antidepressants, accidental (unintentional), subsequent N/A T43021D ICD10CM encounter Poisoning by tetracyclic antidepressants, intentional self-harm, subsequent N/A T43022D ICD10CM encounter N/A T43023D Poisoning by tetracyclic antidepressants, assault, subsequent encounter ICD10CM N/A T43024D Poisoning by tetracyclic antidepressants, undetermined, subsequent encounter ICD10CM N/A T43025D Adverse effect of tetracyclic antidepressants, subsequent encounter ICD10CM Poisoning by monoamine-oxidase-inhibitor antidepressants, accidental N/A T431X1D ICD10CM (unintentional), subsequent encounter

229 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Poisoning by monoamine-oxidase-inhibitor antidepressants, intentional self-harm, N/A T431X2D ICD10CM subsequent encounter Poisoning by monoamine-oxidase-inhibitor antidepressants, assault, subsequent N/A T431X3D ICD10CM encounter Poisoning by monoamine-oxidase-inhibitor antidepressants, undetermined, N/A T431X4D ICD10CM subsequent encounter Adverse effect of monoamine-oxidase-inhibitor antidepressants, subsequent N/A T431X5D ICD10CM encounter Poisoning by unspecified antidepressants, accidental (unintentional), subsequent N/A T43201D ICD10CM encounter Poisoning by unspecified antidepressants, intentional self-harm, subsequent N/A T43202D ICD10CM encounter N/A T43203D Poisoning by unspecified antidepressants, assault, subsequent encounter ICD10CM N/A T43204D Poisoning by unspecified antidepressants, undetermined, subsequent encounter ICD10CM N/A T43205D Adverse effect of unspecified antidepressants, subsequent encounter ICD10CM Poisoning by selective serotonin and norepinephrine reuptake inhibitors, accidental N/A T43211D ICD10CM (unintentional), subsequent encounter Poisoning by selective serotonin and norepinephrine reuptake inhibitors, intentional N/A T43212D ICD10CM self-harm, subsequent encounter Poisoning by selective serotonin and norepinephrine reuptake inhibitors, assault, N/A T43213D ICD10CM subsequent encounter Poisoning by selective serotonin and norepinephrine reuptake inhibitors, N/A T43214D ICD10CM undetermined, subsequent encounter Adverse effect of selective serotonin and norepinephrine reuptake inhibitors, N/A T43215D ICD10CM subsequent encounter Poisoning by selective serotonin reuptake inhibitors, accidental (unintentional), N/A T43221D ICD10CM subsequent encounter Poisoning by selective serotonin reuptake inhibitors, intentional self-harm, N/A T43222D ICD10CM subsequent encounter N/A T43223D Poisoning by selective serotonin reuptake inhibitors, assault, subsequent encounter ICD10CM Poisoning by selective serotonin reuptake inhibitors, undetermined, subsequent N/A T43224D ICD10CM encounter N/A T43225D Adverse effect of selective serotonin reuptake inhibitors, subsequent encounter ICD10CM Poisoning by other antidepressants, accidental (unintentional), subsequent N/A T43291D ICD10CM encounter N/A T43292D Poisoning by other antidepressants, intentional self-harm, subsequent encounter ICD10CM N/A T43293D Poisoning by other antidepressants, assault, subsequent encounter ICD10CM N/A T43294D Poisoning by other antidepressants, undetermined, subsequent encounter ICD10CM N/A T43295D Adverse effect of other antidepressants, subsequent encounter ICD10CM Poisoning by phenothiazine antipsychotics and neuroleptics, accidental N/A T433X1D ICD10CM (unintentional), subsequent encounter

230 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Poisoning by phenothiazine antipsychotics and neuroleptics, intentional self-harm, N/A T433X2D ICD10CM subsequent encounter Poisoning by phenothiazine antipsychotics and neuroleptics, assault, subsequent N/A T433X3D ICD10CM encounter Poisoning by phenothiazine antipsychotics and neuroleptics, undetermined, N/A T433X4D ICD10CM subsequent encounter Adverse effect of phenothiazine antipsychotics and neuroleptics, subsequent N/A T433X5D ICD10CM encounter Poisoning by butyrophenone and thiothixene neuroleptics, accidental N/A T434X1D ICD10CM (unintentional), subsequent encounter Poisoning by butyrophenone and thiothixene neuroleptics, intentional self-harm, N/A T434X2D ICD10CM subsequent encounter Poisoning by butyrophenone and thiothixene neuroleptics, assault, subsequent N/A T434X3D ICD10CM encounter Poisoning by butyrophenone and thiothixene neuroleptics, undetermined, N/A T434X4D ICD10CM subsequent encounter Adverse effect of butyrophenone and thiothixene neuroleptics, subsequent N/A T434X5D ICD10CM encounter Poisoning by unspecified antipsychotics and neuroleptics, accidental (unintentional), N/A T43501D ICD10CM subsequent encounter Poisoning by unspecified antipsychotics and neuroleptics, intentional self-harm, N/A T43502D ICD10CM subsequent encounter Poisoning by unspecified antipsychotics and neuroleptics, assault, subsequent N/A T43503D ICD10CM encounter Poisoning by unspecified antipsychotics and neuroleptics, undetermined, N/A T43504D ICD10CM subsequent encounter N/A T43505D Adverse effect of unspecified antipsychotics and neuroleptics, subsequent encounter ICD10CM Poisoning by other antipsychotics and neuroleptics, accidental (unintentional), N/A T43591D ICD10CM subsequent encounter Poisoning by other antipsychotics and neuroleptics, intentional self-harm, N/A T43592D ICD10CM subsequent encounter N/A T43593D Poisoning by other antipsychotics and neuroleptics, assault, subsequent encounter ICD10CM Poisoning by other antipsychotics and neuroleptics, undetermined, subsequent N/A T43594D ICD10CM encounter N/A T43595D Adverse effect of other antipsychotics and neuroleptics, subsequent encounter ICD10CM Poisoning by unspecified psychostimulants, accidental (unintentional), subsequent N/A T43601D ICD10CM encounter Poisoning by unspecified psychostimulants, intentional self-harm, subsequent N/A T43602D ICD10CM encounter N/A T43603D Poisoning by unspecified psychostimulants, assault, subsequent encounter ICD10CM

N/A T43604D Poisoning by unspecified psychostimulants, undetermined, subsequent encounter ICD10CM N/A T43605D Adverse effect of unspecified psychostimulants, subsequent encounter ICD10CM

231 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A T43611D Poisoning by caffeine, accidental (unintentional), subsequent encounter ICD10CM N/A T43612D Poisoning by caffeine, intentional self-harm, subsequent encounter ICD10CM N/A T43613D Poisoning by caffeine, assault, subsequent encounter ICD10CM N/A T43614D Poisoning by caffeine, undetermined, subsequent encounter ICD10CM N/A T43615D Adverse effect of caffeine, subsequent encounter ICD10CM N/A T43621D Poisoning by amphetamines, accidental (unintentional), subsequent encounter ICD10CM

N/A T43622D Poisoning by amphetamines, intentional self-harm, subsequent encounter ICD10CM N/A T43623D Poisoning by amphetamines, assault, subsequent encounter ICD10CM N/A T43624D Poisoning by amphetamines, undetermined, subsequent encounter ICD10CM N/A T43625D Adverse effect of amphetamines, subsequent encounter ICD10CM N/A T43631D Poisoning by methylphenidate, accidental (unintentional), subsequent encounter ICD10CM

N/A T43632D Poisoning by methylphenidate, intentional self-harm, subsequent encounter ICD10CM N/A T43633D Poisoning by methylphenidate, assault, subsequent encounter ICD10CM N/A T43634D Poisoning by methylphenidate, undetermined, subsequent encounter ICD10CM N/A T43635D Adverse effect of methylphenidate, subsequent encounter ICD10CM Poisoning by other psychostimulants, accidental (unintentional), subsequent N/A T43691D ICD10CM encounter N/A T43692D Poisoning by other psychostimulants, intentional self-harm, subsequent encounter ICD10CM N/A T43693D Poisoning by other psychostimulants, assault, subsequent encounter ICD10CM N/A T43694D Poisoning by other psychostimulants, undetermined, subsequent encounter ICD10CM N/A T43695D Adverse effect of other psychostimulants, subsequent encounter ICD10CM Poisoning by other psychotropic drugs, accidental (unintentional), subsequent N/A T438X1D ICD10CM encounter N/A T438X2D Poisoning by other psychotropic drugs, intentional self-harm, subsequent encounter ICD10CM N/A T438X3D Poisoning by other psychotropic drugs, assault, subsequent encounter ICD10CM N/A T438X4D Poisoning by other psychotropic drugs, undetermined, subsequent encounter ICD10CM N/A T438X5D Adverse effect of other psychotropic drugs, subsequent encounter ICD10CM Poisoning by unspecified psychotropic drug, accidental (unintentional), subsequent N/A T4391XD ICD10CM encounter Poisoning by unspecified psychotropic drug, intentional self-harm, subsequent N/A T4392XD ICD10CM encounter N/A T4393XD Poisoning by unspecified psychotropic drug, assault, subsequent encounter ICD10CM

N/A T4394XD Poisoning by unspecified psychotropic drug, undetermined, subsequent encounter ICD10CM N/A T4395XD Adverse effect of unspecified psychotropic drug, subsequent encounter ICD10CM Poisoning by anticholinesterase agents, accidental (unintentional), subsequent N/A T440X1D ICD10CM encounter

232 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A T440X2D Poisoning by anticholinesterase agents, intentional self-harm, subsequent encounter ICD10CM N/A T440X3D Poisoning by anticholinesterase agents, assault, subsequent encounter ICD10CM N/A T440X4D Poisoning by anticholinesterase agents, undetermined, subsequent encounter ICD10CM N/A T440X5D Adverse effect of anticholinesterase agents, subsequent encounter ICD10CM Poisoning by other parasympathomimetics [cholinergics], accidental (unintentional), N/A T441X1D ICD10CM subsequent encounter Poisoning by other parasympathomimetics [cholinergics], intentional self-harm, N/A T441X2D ICD10CM subsequent encounter Poisoning by other parasympathomimetics [cholinergics], assault, subsequent N/A T441X3D ICD10CM encounter Poisoning by other parasympathomimetics [cholinergics], undetermined, N/A T441X4D ICD10CM subsequent encounter N/A T441X5D Adverse effect of other parasympathomimetics [cholinergics], subsequent encounter ICD10CM Poisoning by ganglionic blocking drugs, accidental (unintentional), subsequent N/A T442X1D ICD10CM encounter N/A T442X2D Poisoning by ganglionic blocking drugs, intentional self-harm, subsequent encounter ICD10CM N/A T442X3D Poisoning by ganglionic blocking drugs, assault, subsequent encounter ICD10CM N/A T442X4D Poisoning by ganglionic blocking drugs, undetermined, subsequent encounter ICD10CM N/A T442X5D Adverse effect of ganglionic blocking drugs, subsequent encounter ICD10CM Poisoning by other parasympatholytics [anticholinergics and antimuscarinics] and N/A T443X1D ICD10CM spasmolytics, accidental (unintentional), subsequent encounter

Poisoning by other parasympatholytics [anticholinergics and antimuscarinics] and N/A T443X2D ICD10CM spasmolytics, intentional self-harm, subsequent encounter Poisoning by other parasympatholytics [anticholinergics and antimuscarinics] and N/A T443X3D ICD10CM spasmolytics, assault, subsequent encounter Poisoning by other parasympatholytics [anticholinergics and antimuscarinics] and N/A T443X4D ICD10CM spasmolytics, undetermined, subsequent encounter Adverse effect of other parasympatholytics [anticholinergics and antimuscarinics] N/A T443X5D ICD10CM and spasmolytics, subsequent encounter Poisoning by predominantly alpha-adrenoreceptor agonists, accidental N/A T444X1D ICD10CM (unintentional), subsequent encounter Poisoning by predominantly alpha-adrenoreceptor agonists, intentional self-harm, N/A T444X2D ICD10CM subsequent encounter Poisoning by predominantly alpha-adrenoreceptor agonists, assault, subsequent N/A T444X3D ICD10CM encounter Poisoning by predominantly alpha-adrenoreceptor agonists, undetermined, N/A T444X4D ICD10CM subsequent encounter Adverse effect of predominantly alpha-adrenoreceptor agonists, subsequent N/A T444X5D ICD10CM encounter

233 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Poisoning by predominantly beta-adrenoreceptor agonists, accidental N/A T445X1D ICD10CM (unintentional), subsequent encounter Poisoning by predominantly beta-adrenoreceptor agonists, intentional self-harm, N/A T445X2D ICD10CM subsequent encounter Poisoning by predominantly beta-adrenoreceptor agonists, assault, subsequent N/A T445X3D ICD10CM encounter Poisoning by predominantly beta-adrenoreceptor agonists, undetermined, N/A T445X4D ICD10CM subsequent encounter Adverse effect of predominantly beta-adrenoreceptor agonists, subsequent N/A T445X5D ICD10CM encounter Poisoning by alpha-adrenoreceptor antagonists, accidental (unintentional), N/A T446X1D ICD10CM subsequent encounter Poisoning by alpha-adrenoreceptor antagonists, intentional self-harm, subsequent N/A T446X2D ICD10CM encounter N/A T446X3D Poisoning by alpha-adrenoreceptor antagonists, assault, subsequent encounter ICD10CM Poisoning by alpha-adrenoreceptor antagonists, undetermined, subsequent N/A T446X4D ICD10CM encounter N/A T446X5D Adverse effect of alpha-adrenoreceptor antagonists, subsequent encounter ICD10CM Poisoning by beta-adrenoreceptor antagonists, accidental (unintentional), N/A T447X1D ICD10CM subsequent encounter Poisoning by beta-adrenoreceptor antagonists, intentional self-harm, subsequent N/A T447X2D ICD10CM encounter N/A T447X3D Poisoning by beta-adrenoreceptor antagonists, assault, subsequent encounter ICD10CM Poisoning by beta-adrenoreceptor antagonists, undetermined, subsequent N/A T447X4D ICD10CM encounter N/A T447X5D Adverse effect of beta-adrenoreceptor antagonists, subsequent encounter ICD10CM Poisoning by centrally-acting and adrenergic-neuron-blocking agents, accidental N/A T448X1D ICD10CM (unintentional), subsequent encounter Poisoning by centrally-acting and adrenergic-neuron-blocking agents, intentional self- N/A T448X2D ICD10CM harm, subsequent encounter Poisoning by centrally-acting and adrenergic-neuron-blocking agents, assault, N/A T448X3D ICD10CM subsequent encounter Poisoning by centrally-acting and adrenergic-neuron-blocking agents, undetermined, N/A T448X4D ICD10CM subsequent encounter Adverse effect of centrally-acting and adrenergic-neuron-blocking agents, N/A T448X5D ICD10CM subsequent encounter Poisoning by unspecified drugs primarily affecting the autonomic nervous system, N/A T44901D ICD10CM accidental (unintentional), subsequent encounter Poisoning by unspecified drugs primarily affecting the autonomic nervous system, N/A T44902D ICD10CM intentional self-harm, subsequent encounter Poisoning by unspecified drugs primarily affecting the autonomic nervous system, N/A T44903D ICD10CM assault, subsequent encounter

234 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Poisoning by unspecified drugs primarily affecting the autonomic nervous system, N/A T44904D ICD10CM undetermined, subsequent encounter Adverse effect of unspecified drugs primarily affecting the autonomic nervous N/A T44905D ICD10CM system, subsequent encounter Poisoning by other drug primarily affecting the autonomic nervous system, N/A T44991D ICD10CM accidental (unintentional), subsequent encounter Poisoning by other drug primarily affecting the autonomic nervous system, N/A T44992D ICD10CM intentional self-harm, subsequent encounter Poisoning by other drug primarily affecting the autonomic nervous system, assault, N/A T44993D ICD10CM subsequent encounter Poisoning by other drug primarily affecting the autonomic nervous system, N/A T44994D ICD10CM undetermined, subsequent encounter Adverse effect of other drug primarily affecting the autonomic nervous system, N/A T44995D ICD10CM subsequent encounter Poisoning by antiallergic and antiemetic drugs, accidental (unintentional), N/A T450X1D ICD10CM subsequent encounter Poisoning by antiallergic and antiemetic drugs, intentional self-harm, subsequent N/A T450X2D ICD10CM encounter N/A T450X3D Poisoning by antiallergic and antiemetic drugs, assault, subsequent encounter ICD10CM Poisoning by antiallergic and antiemetic drugs, undetermined, subsequent N/A T450X4D ICD10CM encounter N/A T450X5D Adverse effect of antiallergic and antiemetic drugs, subsequent encounter ICD10CM Poisoning by antineoplastic and immunosuppressive drugs, accidental N/A T451X1D ICD10CM (unintentional), subsequent encounter Poisoning by antineoplastic and immunosuppressive drugs, intentional self-harm, N/A T451X2D ICD10CM subsequent encounter Poisoning by antineoplastic and immunosuppressive drugs, assault, subsequent N/A T451X3D ICD10CM encounter Poisoning by antineoplastic and immunosuppressive drugs, undetermined, N/A T451X4D ICD10CM subsequent encounter Adverse effect of antineoplastic and immunosuppressive drugs, subsequent N/A T451X5D ICD10CM encounter N/A T452X1D Poisoning by vitamins, accidental (unintentional), subsequent encounter ICD10CM N/A T452X2D Poisoning by vitamins, intentional self-harm, subsequent encounter ICD10CM N/A T452X3D Poisoning by vitamins, assault, subsequent encounter ICD10CM N/A T452X4D Poisoning by vitamins, undetermined, subsequent encounter ICD10CM N/A T452X5D Adverse effect of vitamins, subsequent encounter ICD10CM N/A T453X1D Poisoning by enzymes, accidental (unintentional), subsequent encounter ICD10CM N/A T453X2D Poisoning by enzymes, intentional self-harm, subsequent encounter ICD10CM N/A T453X3D Poisoning by enzymes, assault, subsequent encounter ICD10CM N/A T453X4D Poisoning by enzymes, undetermined, subsequent encounter ICD10CM N/A T453X5D Adverse effect of enzymes, subsequent encounter ICD10CM Poisoning by iron and its compounds, accidental (unintentional), subsequent N/A T454X1D ICD10CM encounter

235 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A T454X2D Poisoning by iron and its compounds, intentional self-harm, subsequent encounter ICD10CM N/A T454X3D Poisoning by iron and its compounds, assault, subsequent encounter ICD10CM N/A T454X4D Poisoning by iron and its compounds, undetermined, subsequent encounter ICD10CM N/A T454X5D Adverse effect of iron and its compounds, subsequent encounter ICD10CM N/A T45511D Poisoning by anticoagulants, accidental (unintentional), subsequent encounter ICD10CM

N/A T45512D Poisoning by anticoagulants, intentional self-harm, subsequent encounter ICD10CM N/A T45513D Poisoning by anticoagulants, assault, subsequent encounter ICD10CM N/A T45514D Poisoning by anticoagulants, undetermined, subsequent encounter ICD10CM N/A T45515D Adverse effect of anticoagulants, subsequent encounter ICD10CM N/A T45521D Poisoning by antithrombotic drugs, accidental (unintentional), subsequent encounter ICD10CM

N/A T45522D Poisoning by antithrombotic drugs, intentional self-harm, subsequent encounter ICD10CM N/A T45523D Poisoning by antithrombotic drugs, assault, subsequent encounter ICD10CM N/A T45524D Poisoning by antithrombotic drugs, undetermined, subsequent encounter ICD10CM N/A T45525D Adverse effect of antithrombotic drugs, subsequent encounter ICD10CM Poisoning by unspecified fibrinolysis-affecting drugs, accidental (unintentional), N/A T45601D ICD10CM subsequent encounter Poisoning by unspecified fibrinolysis-affecting drugs, intentional self-harm, N/A T45602D ICD10CM subsequent encounter N/A T45603D Poisoning by unspecified fibrinolysis-affecting drugs, assault, subsequent encounter ICD10CM Poisoning by unspecified fibrinolysis-affecting drugs, undetermined, subsequent N/A T45604D ICD10CM encounter N/A T45605D Adverse effect of unspecified fibrinolysis-affecting drugs, subsequent encounter ICD10CM

N/A T45611D Poisoning by thrombolytic drug, accidental (unintentional), subsequent encounter ICD10CM

N/A T45612D Poisoning by thrombolytic drug, intentional self-harm, subsequent encounter ICD10CM N/A T45613D Poisoning by thrombolytic drug, assault, subsequent encounter ICD10CM N/A T45614D Poisoning by thrombolytic drug, undetermined, subsequent encounter ICD10CM N/A T45615D Adverse effect of thrombolytic drugs, subsequent encounter ICD10CM N/A T45621D Poisoning by hemostatic drug, accidental (unintentional), subsequent encounter ICD10CM

N/A T45622D Poisoning by hemostatic drug, intentional self-harm, subsequent encounter ICD10CM N/A T45623D Poisoning by hemostatic drug, assault, subsequent encounter ICD10CM N/A T45624D Poisoning by hemostatic drug, undetermined, subsequent encounter ICD10CM N/A T45625D Adverse effect of hemostatic drug, subsequent encounter ICD10CM Poisoning by other fibrinolysis-affecting drugs, accidental (unintentional), N/A T45691D ICD10CM subsequent encounter

236 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Poisoning by other fibrinolysis-affecting drugs, intentional self-harm, subsequent N/A T45692D ICD10CM encounter N/A T45693D Poisoning by other fibrinolysis-affecting drugs, assault, subsequent encounter ICD10CM

N/A T45694D Poisoning by other fibrinolysis-affecting drugs, undetermined, subsequent encounter ICD10CM

N/A T45695D Adverse effect of other fibrinolysis-affecting drugs, subsequent encounter ICD10CM Poisoning by anticoagulant antagonists, vitamin K and other coagulants, accidental N/A T457X1D ICD10CM (unintentional), subsequent encounter Poisoning by anticoagulant antagonists, vitamin K and other coagulants, intentional N/A T457X2D ICD10CM self-harm, subsequent encounter Poisoning by anticoagulant antagonists, vitamin K and other coagulants, assault, N/A T457X3D ICD10CM subsequent encounter Poisoning by anticoagulant antagonists, vitamin K and other coagulants, N/A T457X4D ICD10CM undetermined, subsequent encounter Adverse effect of anticoagulant antagonists, vitamin K and other coagulants, N/A T457X5D ICD10CM subsequent encounter Poisoning by other primarily systemic and hematological agents, accidental N/A T458X1D ICD10CM (unintentional), subsequent encounter Poisoning by other primarily systemic and hematological agents, intentional self- N/A T458X2D ICD10CM harm, subsequent encounter Poisoning by other primarily systemic and hematological agents, assault, subsequent N/A T458X3D ICD10CM encounter Poisoning by other primarily systemic and hematological agents, undetermined, N/A T458X4D ICD10CM subsequent encounter Adverse effect of other primarily systemic and hematological agents, subsequent N/A T458X5D ICD10CM encounter Poisoning by unspecified primarily systemic and hematological agent, accidental N/A T4591XD ICD10CM (unintentional), subsequent encounter Poisoning by unspecified primarily systemic and hematological agent, intentional self- N/A T4592XD ICD10CM harm, subsequent encounter Poisoning by unspecified primarily systemic and hematological agent, assault, N/A T4593XD ICD10CM subsequent encounter Poisoning by unspecified primarily systemic and hematological agent, undetermined, N/A T4594XD ICD10CM subsequent encounter Adverse effect of unspecified primarily systemic and hematological agent, N/A T4595XD ICD10CM subsequent encounter Poisoning by cardiac-stimulant glycosides and drugs of similar action, accidental N/A T460X1D ICD10CM (unintentional), subsequent encounter Poisoning by cardiac-stimulant glycosides and drugs of similar action, intentional self- N/A T460X2D ICD10CM harm, subsequent encounter Poisoning by cardiac-stimulant glycosides and drugs of similar action, assault, N/A T460X3D ICD10CM subsequent encounter Poisoning by cardiac-stimulant glycosides and drugs of similar action, undetermined, N/A T460X4D ICD10CM subsequent encounter

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Numerator Value Set Name Code Definition Code System Adverse effect of cardiac-stimulant glycosides and drugs of similar action, N/A T460X5D ICD10CM subsequent encounter Poisoning by calcium-channel blockers, accidental (unintentional), subsequent N/A T461X1D ICD10CM encounter N/A T461X2D Poisoning by calcium-channel blockers, intentional self-harm, subsequent encounter ICD10CM N/A T461X3D Poisoning by calcium-channel blockers, assault, subsequent encounter ICD10CM N/A T461X4D Poisoning by calcium-channel blockers, undetermined, subsequent encounter ICD10CM N/A T461X5D Adverse effect of calcium-channel blockers, subsequent encounter ICD10CM Poisoning by other antidysrhythmic drugs, accidental (unintentional), subsequent N/A T462X1D ICD10CM encounter Poisoning by other antidysrhythmic drugs, intentional self-harm, subsequent N/A T462X2D ICD10CM encounter N/A T462X3D Poisoning by other antidysrhythmic drugs, assault, subsequent encounter ICD10CM N/A T462X4D Poisoning by other antidysrhythmic drugs, undetermined, subsequent encounter ICD10CM N/A T462X5D Adverse effect of other antidysrhythmic drugs, subsequent encounter ICD10CM Poisoning by coronary vasodilators, accidental (unintentional), subsequent N/A T463X1D ICD10CM encounter N/A T463X2D Poisoning by coronary vasodilators, intentional self-harm, subsequent encounter ICD10CM N/A T463X3D Poisoning by coronary vasodilators, assault, subsequent encounter ICD10CM N/A T463X4D Poisoning by coronary vasodilators, undetermined, subsequent encounter ICD10CM N/A T463X5D Adverse effect of coronary vasodilators, subsequent encounter ICD10CM Poisoning by angiotensin-converting-enzyme inhibitors, accidental (unintentional), N/A T464X1D ICD10CM subsequent encounter Poisoning by angiotensin-converting-enzyme inhibitors, intentional self-harm, N/A T464X2D ICD10CM subsequent encounter Poisoning by angiotensin-converting-enzyme inhibitors, assault, subsequent N/A T464X3D ICD10CM encounter Poisoning by angiotensin-converting-enzyme inhibitors, undetermined, subsequent N/A T464X4D ICD10CM encounter N/A T464X5D Adverse effect of angiotensin-converting-enzyme inhibitors, subsequent encounter ICD10CM Poisoning by other antihypertensive drugs, accidental (unintentional), subsequent N/A T465X1D ICD10CM encounter Poisoning by other antihypertensive drugs, intentional self-harm, subsequent N/A T465X2D ICD10CM encounter N/A T465X3D Poisoning by other antihypertensive drugs, assault, subsequent encounter ICD10CM

N/A T465X4D Poisoning by other antihypertensive drugs, undetermined, subsequent encounter ICD10CM N/A T465X5D Adverse effect of other antihypertensive drugs, subsequent encounter ICD10CM Poisoning by antihyperlipidemic and antiarteriosclerotic drugs, accidental N/A T466X1D ICD10CM (unintentional), subsequent encounter

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Numerator Value Set Name Code Definition Code System Poisoning by antihyperlipidemic and antiarteriosclerotic drugs, intentional self-harm, N/A T466X2D ICD10CM subsequent encounter Poisoning by antihyperlipidemic and antiarteriosclerotic drugs, assault, subsequent N/A T466X3D ICD10CM encounter Poisoning by antihyperlipidemic and antiarteriosclerotic drugs, undetermined, N/A T466X4D ICD10CM subsequent encounter Adverse effect of antihyperlipidemic and antiarteriosclerotic drugs, subsequent N/A T466X5D ICD10CM encounter Poisoning by peripheral vasodilators, accidental (unintentional), subsequent N/A T467X1D ICD10CM encounter N/A T467X2D Poisoning by peripheral vasodilators, intentional self-harm, subsequent encounter ICD10CM N/A T467X3D Poisoning by peripheral vasodilators, assault, subsequent encounter ICD10CM N/A T467X4D Poisoning by peripheral vasodilators, undetermined, subsequent encounter ICD10CM N/A T467X5D Adverse effect of peripheral vasodilators, subsequent encounter ICD10CM Poisoning by antivaricose drugs, including sclerosing agents, accidental N/A T468X1D ICD10CM (unintentional), subsequent encounter Poisoning by antivaricose drugs, including sclerosing agents, intentional self-harm, N/A T468X2D ICD10CM subsequent encounter Poisoning by antivaricose drugs, including sclerosing agents, assault, subsequent N/A T468X3D ICD10CM encounter Poisoning by antivaricose drugs, including sclerosing agents, undetermined, N/A T468X4D ICD10CM subsequent encounter Adverse effect of antivaricose drugs, including sclerosing agents, subsequent N/A T468X5D ICD10CM encounter Poisoning by unspecified agents primarily affecting the cardiovascular system, N/A T46901D ICD10CM accidental (unintentional), subsequent encounter Poisoning by unspecified agents primarily affecting the cardiovascular system, N/A T46902D ICD10CM intentional self-harm, subsequent encounter Poisoning by unspecified agents primarily affecting the cardiovascular system, N/A T46903D ICD10CM assault, subsequent encounter Poisoning by unspecified agents primarily affecting the cardiovascular system, N/A T46904D ICD10CM undetermined, subsequent encounter Adverse effect of unspecified agents primarily affecting the cardiovascular system, N/A T46905D ICD10CM subsequent encounter Poisoning by other agents primarily affecting the cardiovascular system, accidental N/A T46991D ICD10CM (unintentional), subsequent encounter Poisoning by other agents primarily affecting the cardiovascular system, intentional N/A T46992D ICD10CM self-harm, subsequent encounter Poisoning by other agents primarily affecting the cardiovascular system, assault, N/A T46993D ICD10CM subsequent encounter Poisoning by other agents primarily affecting the cardiovascular system, N/A T46994D ICD10CM undetermined, subsequent encounter Adverse effect of other agents primarily affecting the cardiovascular system, N/A T46995D ICD10CM subsequent encounter

239 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Poisoning by histamine H2-receptor blockers, accidental (unintentional), subsequent N/A T470X1D ICD10CM encounter Poisoning by histamine H2-receptor blockers, intentional self-harm, subsequent N/A T470X2D ICD10CM encounter N/A T470X3D Poisoning by histamine H2-receptor blockers, assault, subsequent encounter ICD10CM

N/A T470X4D Poisoning by histamine H2-receptor blockers, undetermined, subsequent encounter ICD10CM N/A T470X5D Adverse effect of histamine H2-receptor blockers, subsequent encounter ICD10CM Poisoning by other antacids and anti-gastric-secretion drugs, accidental N/A T471X1D ICD10CM (unintentional), subsequent encounter Poisoning by other antacids and anti-gastric-secretion drugs, intentional self-harm, N/A T471X2D ICD10CM subsequent encounter Poisoning by other antacids and anti-gastric-secretion drugs, assault, subsequent N/A T471X3D ICD10CM encounter Poisoning by other antacids and anti-gastric-secretion drugs, undetermined, N/A T471X4D ICD10CM subsequent encounter Adverse effect of other antacids and anti-gastric-secretion drugs, subsequent N/A T471X5D ICD10CM encounter N/A T472X1D Poisoning by stimulant laxatives, accidental (unintentional), subsequent encounter ICD10CM

N/A T472X2D Poisoning by stimulant laxatives, intentional self-harm, subsequent encounter ICD10CM N/A T472X3D Poisoning by stimulant laxatives, assault, subsequent encounter ICD10CM N/A T472X4D Poisoning by stimulant laxatives, undetermined, subsequent encounter ICD10CM N/A T472X5D Adverse effect of stimulant laxatives, subsequent encounter ICD10CM Poisoning by saline and osmotic laxatives, accidental (unintentional), subsequent N/A T473X1D ICD10CM encounter Poisoning by saline and osmotic laxatives, intentional self-harm, subsequent N/A T473X2D ICD10CM encounter N/A T473X3D Poisoning by saline and osmotic laxatives, assault, subsequent encounter ICD10CM N/A T473X4D Poisoning by saline and osmotic laxatives, undetermined, subsequent encounter ICD10CM N/A T473X5D Adverse effect of saline and osmotic laxatives, subsequent encounter ICD10CM N/A T474X1D Poisoning by other laxatives, accidental (unintentional), subsequent encounter ICD10CM

N/A T474X2D Poisoning by other laxatives, intentional self-harm, subsequent encounter ICD10CM N/A T474X3D Poisoning by other laxatives, assault, subsequent encounter ICD10CM N/A T474X4D Poisoning by other laxatives, undetermined, subsequent encounter ICD10CM N/A T474X5D Adverse effect of other laxatives, subsequent encounter ICD10CM N/A T475X1D Poisoning by digestants, accidental (unintentional), subsequent encounter ICD10CM N/A T475X2D Poisoning by digestants, intentional self-harm, subsequent encounter ICD10CM N/A T475X3D Poisoning by digestants, assault, subsequent encounter ICD10CM N/A T475X4D Poisoning by digestants, undetermined, subsequent encounter ICD10CM N/A T475X5D Adverse effect of digestants, subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System N/A T476X1D Poisoning by antidiarrheal drugs, accidental (unintentional), subsequent encounter ICD10CM

N/A T476X2D Poisoning by antidiarrheal drugs, intentional self-harm, subsequent encounter ICD10CM N/A T476X3D Poisoning by antidiarrheal drugs, assault, subsequent encounter ICD10CM N/A T476X4D Poisoning by antidiarrheal drugs, undetermined, subsequent encounter ICD10CM N/A T476X5D Adverse effect of antidiarrheal drugs, subsequent encounter ICD10CM N/A T477X1D Poisoning by emetics, accidental (unintentional), subsequent encounter ICD10CM N/A T477X2D Poisoning by emetics, intentional self-harm, subsequent encounter ICD10CM N/A T477X3D Poisoning by emetics, assault, subsequent encounter ICD10CM N/A T477X4D Poisoning by emetics, undetermined, subsequent encounter ICD10CM N/A T477X5D Adverse effect of emetics, subsequent encounter ICD10CM Poisoning by other agents primarily affecting gastrointestinal system, accidental N/A T478X1D ICD10CM (unintentional), subsequent encounter Poisoning by other agents primarily affecting gastrointestinal system, intentional self- N/A T478X2D ICD10CM harm, subsequent encounter Poisoning by other agents primarily affecting gastrointestinal system, assault, N/A T478X3D ICD10CM subsequent encounter Poisoning by other agents primarily affecting gastrointestinal system, undetermined, N/A T478X4D ICD10CM subsequent encounter Adverse effect of other agents primarily affecting gastrointestinal system, N/A T478X5D ICD10CM subsequent encounter Poisoning by unspecified agents primarily affecting the gastrointestinal system, N/A T4791XD ICD10CM accidental (unintentional), subsequent encounter Poisoning by unspecified agents primarily affecting the gastrointestinal system, N/A T4792XD ICD10CM intentional self-harm, subsequent encounter Poisoning by unspecified agents primarily affecting the gastrointestinal system, N/A T4793XD ICD10CM assault, subsequent encounter Poisoning by unspecified agents primarily affecting the gastrointestinal system, N/A T4794XD ICD10CM undetermined, subsequent encounter Adverse effect of unspecified agents primarily affecting the gastrointestinal system, N/A T4795XD ICD10CM subsequent encounter N/A T480X1D Poisoning by oxytocic drugs, accidental (unintentional), subsequent encounter ICD10CM

N/A T480X2D Poisoning by oxytocic drugs, intentional self-harm, subsequent encounter ICD10CM N/A T480X3D Poisoning by oxytocic drugs, assault, subsequent encounter ICD10CM N/A T480X4D Poisoning by oxytocic drugs, undetermined, subsequent encounter ICD10CM N/A T480X5D Adverse effect of oxytocic drugs, subsequent encounter ICD10CM Poisoning by skeletal muscle relaxants [neuromuscular blocking agents], accidental N/A T481X1D ICD10CM (unintentional), subsequent encounter Poisoning by skeletal muscle relaxants [neuromuscular blocking agents], intentional N/A T481X2D ICD10CM self-harm, subsequent encounter Poisoning by skeletal muscle relaxants [neuromuscular blocking agents], assault, N/A T481X3D ICD10CM subsequent encounter Poisoning by skeletal muscle relaxants [neuromuscular blocking agents], N/A T481X4D ICD10CM undetermined, subsequent encounter

241 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Adverse effect of skeletal muscle relaxants [neuromuscular blocking agents], N/A T481X5D ICD10CM subsequent encounter Poisoning by unspecified drugs acting on muscles, accidental (unintentional), N/A T48201D ICD10CM subsequent encounter Poisoning by unspecified drugs acting on muscles, intentional self-harm, subsequent N/A T48202D ICD10CM encounter N/A T48203D Poisoning by unspecified drugs acting on muscles, assault, subsequent encounter ICD10CM Poisoning by unspecified drugs acting on muscles, undetermined, subsequent N/A T48204D ICD10CM encounter N/A T48205D Adverse effect of unspecified drugs acting on muscles, subsequent encounter ICD10CM Poisoning by other drugs acting on muscles, accidental (unintentional), subsequent N/A T48291D ICD10CM encounter Poisoning by other drugs acting on muscles, intentional self-harm, subsequent N/A T48292D ICD10CM encounter N/A T48293D Poisoning by other drugs acting on muscles, assault, subsequent encounter ICD10CM

N/A T48294D Poisoning by other drugs acting on muscles, undetermined, subsequent encounter ICD10CM N/A T48295D Adverse effect of other drugs acting on muscles, subsequent encounter ICD10CM N/A T483X1D Poisoning by antitussives, accidental (unintentional), subsequent encounter ICD10CM N/A T483X2D Poisoning by antitussives, intentional self-harm, subsequent encounter ICD10CM N/A T483X3D Poisoning by antitussives, assault, subsequent encounter ICD10CM N/A T483X4D Poisoning by antitussives, undetermined, subsequent encounter ICD10CM N/A T483X5D Adverse effect of antitussives, subsequent encounter ICD10CM N/A T484X1D Poisoning by expectorants, accidental (unintentional), subsequent encounter ICD10CM N/A T484X2D Poisoning by expectorants, intentional self-harm, subsequent encounter ICD10CM N/A T484X3D Poisoning by expectorants, assault, subsequent encounter ICD10CM N/A T484X4D Poisoning by expectorants, undetermined, subsequent encounter ICD10CM N/A T484X5D Adverse effect of expectorants, subsequent encounter ICD10CM Poisoning by other anti-common-cold drugs, accidental (unintentional), subsequent N/A T485X1D ICD10CM encounter Poisoning by other anti-common-cold drugs, intentional self-harm, subsequent N/A T485X2D ICD10CM encounter N/A T485X3D Poisoning by other anti-common-cold drugs, assault, subsequent encounter ICD10CM

N/A T485X4D Poisoning by other anti-common-cold drugs, undetermined, subsequent encounter ICD10CM N/A T485X5D Adverse effect of other anti-common-cold drugs, subsequent encounter ICD10CM N/A T486X1D Poisoning by antiasthmatics, accidental (unintentional), subsequent encounter ICD10CM

N/A T486X2D Poisoning by antiasthmatics, intentional self-harm, subsequent encounter ICD10CM N/A T486X3D Poisoning by antiasthmatics, assault, subsequent encounter ICD10CM

242 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A T486X4D Poisoning by antiasthmatics, undetermined, subsequent encounter ICD10CM N/A T486X5D Adverse effect of antiasthmatics, subsequent encounter ICD10CM Poisoning by unspecified agents primarily acting on the respiratory system, N/A T48901D ICD10CM accidental (unintentional), subsequent encounter Poisoning by unspecified agents primarily acting on the respiratory system, N/A T48902D ICD10CM intentional self-harm, subsequent encounter Poisoning by unspecified agents primarily acting on the respiratory system, assault, N/A T48903D ICD10CM subsequent encounter Poisoning by unspecified agents primarily acting on the respiratory system, N/A T48904D ICD10CM undetermined, subsequent encounter Adverse effect of unspecified agents primarily acting on the respiratory system, N/A T48905D ICD10CM subsequent encounter Poisoning by other agents primarily acting on the respiratory system, accidental N/A T48991D ICD10CM (unintentional), subsequent encounter Poisoning by other agents primarily acting on the respiratory system, intentional self- N/A T48992D ICD10CM harm, subsequent encounter Poisoning by other agents primarily acting on the respiratory system, assault, N/A T48993D ICD10CM subsequent encounter Poisoning by other agents primarily acting on the respiratory system, undetermined, N/A T48994D ICD10CM subsequent encounter Adverse effect of other agents primarily acting on the respiratory system, N/A T48995D ICD10CM subsequent encounter Poisoning by local antifungal, anti-infective and anti-inflammatory drugs, accidental N/A T490X1D ICD10CM (unintentional), subsequent encounter Poisoning by local antifungal, anti-infective and anti-inflammatory drugs, intentional N/A T490X2D ICD10CM self-harm, subsequent encounter Poisoning by local antifungal, anti-infective and anti-inflammatory drugs, assault, N/A T490X3D ICD10CM subsequent encounter Poisoning by local antifungal, anti-infective and anti-inflammatory drugs, N/A T490X4D ICD10CM undetermined, subsequent encounter Adverse effect of local antifungal, anti-infective and anti-inflammatory drugs, N/A T490X5D ICD10CM subsequent encounter N/A T491X1D Poisoning by antipruritics, accidental (unintentional), subsequent encounter ICD10CM N/A T491X2D Poisoning by antipruritics, intentional self-harm, subsequent encounter ICD10CM N/A T491X3D Poisoning by antipruritics, assault, subsequent encounter ICD10CM N/A T491X4D Poisoning by antipruritics, undetermined, subsequent encounter ICD10CM N/A T491X5D Adverse effect of antipruritics, subsequent encounter ICD10CM Poisoning by local astringents and local detergents, accidental (unintentional), N/A T492X1D ICD10CM subsequent encounter Poisoning by local astringents and local detergents, intentional self-harm, N/A T492X2D ICD10CM subsequent encounter N/A T492X3D Poisoning by local astringents and local detergents, assault, subsequent encounter ICD10CM Poisoning by local astringents and local detergents, undetermined, subsequent N/A T492X4D ICD10CM encounter

243 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A T492X5D Adverse effect of local astringents and local detergents, subsequent encounter ICD10CM Poisoning by emollients, demulcents and protectants, accidental (unintentional), N/A T493X1D ICD10CM subsequent encounter Poisoning by emollients, demulcents and protectants, intentional self-harm, N/A T493X2D ICD10CM subsequent encounter N/A T493X3D Poisoning by emollients, demulcents and protectants, assault, subsequent encounter ICD10CM Poisoning by emollients, demulcents and protectants, undetermined, subsequent N/A T493X4D ICD10CM encounter N/A T493X5D Adverse effect of emollients, demulcents and protectants, subsequent encounter ICD10CM Poisoning by keratolytics, keratoplastics, and other hair treatment drugs and N/A T494X1D ICD10CM preparations, accidental (unintentional), subsequent encounter Poisoning by keratolytics, keratoplastics, and other hair treatment drugs and N/A T494X2D ICD10CM preparations, intentional self-harm, subsequent encounter Poisoning by keratolytics, keratoplastics, and other hair treatment drugs and N/A T494X3D ICD10CM preparations, assault, subsequent encounter Poisoning by keratolytics, keratoplastics, and other hair treatment drugs and N/A T494X4D ICD10CM preparations, undetermined, subsequent encounter Adverse effect of keratolytics, keratoplastics, and other hair treatment drugs and N/A T494X5D ICD10CM preparations, subsequent encounter Poisoning by ophthalmological drugs and preparations, accidental (unintentional), N/A T495X1D ICD10CM subsequent encounter Poisoning by ophthalmological drugs and preparations, intentional self-harm, N/A T495X2D ICD10CM subsequent encounter Poisoning by ophthalmological drugs and preparations, assault, subsequent N/A T495X3D ICD10CM encounter Poisoning by ophthalmological drugs and preparations, undetermined, subsequent N/A T495X4D ICD10CM encounter N/A T495X5D Adverse effect of ophthalmological drugs and preparations, subsequent encounter ICD10CM Poisoning by otorhinolaryngological drugs and preparations, accidental N/A T496X1D ICD10CM (unintentional), subsequent encounter Poisoning by otorhinolaryngological drugs and preparations, intentional self-harm, N/A T496X2D ICD10CM subsequent encounter Poisoning by otorhinolaryngological drugs and preparations, assault, subsequent N/A T496X3D ICD10CM encounter Poisoning by otorhinolaryngological drugs and preparations, undetermined, N/A T496X4D ICD10CM subsequent encounter Adverse effect of otorhinolaryngological drugs and preparations, subsequent N/A T496X5D ICD10CM encounter Poisoning by dental drugs, topically applied, accidental (unintentional), subsequent N/A T497X1D ICD10CM encounter Poisoning by dental drugs, topically applied, intentional self-harm, subsequent N/A T497X2D ICD10CM encounter

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Numerator Value Set Name Code Definition Code System N/A T497X3D Poisoning by dental drugs, topically applied, assault, subsequent encounter ICD10CM

N/A T497X4D Poisoning by dental drugs, topically applied, undetermined, subsequent encounter ICD10CM N/A T497X5D Adverse effect of dental drugs, topically applied, subsequent encounter ICD10CM N/A T498X1D Poisoning by other topical agents, accidental (unintentional), subsequent encounter ICD10CM

N/A T498X2D Poisoning by other topical agents, intentional self-harm, subsequent encounter ICD10CM N/A T498X3D Poisoning by other topical agents, assault, subsequent encounter ICD10CM N/A T498X4D Poisoning by other topical agents, undetermined, subsequent encounter ICD10CM N/A T498X5D Adverse effect of other topical agents, subsequent encounter ICD10CM Poisoning by unspecified topical agent, accidental (unintentional), subsequent N/A T4991XD ICD10CM encounter N/A T4992XD Poisoning by unspecified topical agent, intentional self-harm, subsequent encounter ICD10CM N/A T4993XD Poisoning by unspecified topical agent, assault, subsequent encounter ICD10CM N/A T4994XD Poisoning by unspecified topical agent, undetermined, subsequent encounter ICD10CM N/A T4995XD Adverse effect of unspecified topical agent, subsequent encounter ICD10CM Poisoning by mineralocorticoids and their antagonists, accidental (unintentional), N/A T500X1D ICD10CM subsequent encounter Poisoning by mineralocorticoids and their antagonists, intentional self-harm, N/A T500X2D ICD10CM subsequent encounter Poisoning by mineralocorticoids and their antagonists, assault, subsequent N/A T500X3D ICD10CM encounter Poisoning by mineralocorticoids and their antagonists, undetermined, subsequent N/A T500X4D ICD10CM encounter N/A T500X5D Adverse effect of mineralocorticoids and their antagonists, subsequent encounter ICD10CM Poisoning by loop [high-ceiling] diuretics, accidental (unintentional), subsequent N/A T501X1D ICD10CM encounter Poisoning by loop [high-ceiling] diuretics, intentional self-harm, subsequent N/A T501X2D ICD10CM encounter N/A T501X3D Poisoning by loop [high-ceiling] diuretics, assault, subsequent encounter ICD10CM N/A T501X4D Poisoning by loop [high-ceiling] diuretics, undetermined, subsequent encounter ICD10CM N/A T501X5D Adverse effect of loop [high-ceiling] diuretics, subsequent encounter ICD10CM Poisoning by carbonic-anhydrase inhibitors, benzothiadiazides and other diuretics, N/A T502X1D ICD10CM accidental (unintentional), subsequent encounter Poisoning by carbonic-anhydrase inhibitors, benzothiadiazides and other diuretics, N/A T502X2D ICD10CM intentional self-harm, subsequent encounter Poisoning by carbonic-anhydrase inhibitors, benzothiadiazides and other diuretics, N/A T502X3D ICD10CM assault, subsequent encounter Poisoning by carbonic-anhydrase inhibitors, benzothiadiazides and other diuretics, N/A T502X4D ICD10CM undetermined, subsequent encounter

245 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Adverse effect of carbonic-anhydrase inhibitors, benzothiadiazides and other N/A T502X5D ICD10CM diuretics, subsequent encounter Poisoning by electrolytic, caloric and water-balance agents, accidental N/A T503X1D ICD10CM (unintentional), subsequent encounter Poisoning by electrolytic, caloric and water-balance agents, intentional self-harm, N/A T503X2D ICD10CM subsequent encounter Poisoning by electrolytic, caloric and water-balance agents, assault, subsequent N/A T503X3D ICD10CM encounter Poisoning by electrolytic, caloric and water-balance agents, undetermined, N/A T503X4D ICD10CM subsequent encounter Adverse effect of electrolytic, caloric and water-balance agents, subsequent N/A T503X5D ICD10CM encounter Poisoning by drugs affecting uric acid metabolism, accidental (unintentional), N/A T504X1D ICD10CM subsequent encounter Poisoning by drugs affecting uric acid metabolism, intentional self-harm, subsequent N/A T504X2D ICD10CM encounter N/A T504X3D Poisoning by drugs affecting uric acid metabolism, assault, subsequent encounter ICD10CM Poisoning by drugs affecting uric acid metabolism, undetermined, subsequent N/A T504X4D ICD10CM encounter N/A T504X5D Adverse effect of drugs affecting uric acid metabolism, subsequent encounter ICD10CM

N/A T505X1D Poisoning by appetite depressants, accidental (unintentional), subsequent encounter ICD10CM

N/A T505X2D Poisoning by appetite depressants, intentional self-harm, subsequent encounter ICD10CM N/A T505X3D Poisoning by appetite depressants, assault, subsequent encounter ICD10CM N/A T505X4D Poisoning by appetite depressants, undetermined, subsequent encounter ICD10CM N/A T505X5D Adverse effect of appetite depressants, subsequent encounter ICD10CM Poisoning by antidotes and chelating agents, accidental (unintentional), subsequent N/A T506X1D ICD10CM encounter Poisoning by antidotes and chelating agents, intentional self-harm, subsequent N/A T506X2D ICD10CM encounter N/A T506X3D Poisoning by antidotes and chelating agents, assault, subsequent encounter ICD10CM

N/A T506X4D Poisoning by antidotes and chelating agents, undetermined, subsequent encounter ICD10CM N/A T506X5D Adverse effect of antidotes and chelating agents, subsequent encounter ICD10CM Poisoning by analeptics and opioid receptor antagonists, accidental (unintentional), N/A T507X1D ICD10CM subsequent encounter Poisoning by analeptics and opioid receptor antagonists, intentional self-harm, N/A T507X2D ICD10CM subsequent encounter Poisoning by analeptics and opioid receptor antagonists, assault, subsequent N/A T507X3D ICD10CM encounter Poisoning by analeptics and opioid receptor antagonists, undetermined, subsequent N/A T507X4D ICD10CM encounter

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Numerator Value Set Name Code Definition Code System N/A T507X5D Adverse effect of analeptics and opioid receptor antagonists, subsequent encounter ICD10CM

N/A T508X1D Poisoning by diagnostic agents, accidental (unintentional), subsequent encounter ICD10CM

N/A T508X2D Poisoning by diagnostic agents, intentional self-harm, subsequent encounter ICD10CM N/A T508X3D Poisoning by diagnostic agents, assault, subsequent encounter ICD10CM N/A T508X4D Poisoning by diagnostic agents, undetermined, subsequent encounter ICD10CM N/A T508X5D Adverse effect of diagnostic agents, subsequent encounter ICD10CM Poisoning by unspecified drugs, medicaments and biological substances, accidental N/A T50901D ICD10CM (unintentional), subsequent encounter Poisoning by unspecified drugs, medicaments and biological substances, intentional N/A T50902D ICD10CM self-harm, subsequent encounter Poisoning by unspecified drugs, medicaments and biological substances, assault, N/A T50903D ICD10CM subsequent encounter Poisoning by unspecified drugs, medicaments and biological substances, N/A T50904D ICD10CM undetermined, subsequent encounter Adverse effect of unspecified drugs, medicaments and biological substances, N/A T50905D ICD10CM subsequent encounter Poisoning by other drugs, medicaments and biological substances, accidental N/A T50991D ICD10CM (unintentional), subsequent encounter Poisoning by other drugs, medicaments and biological substances, intentional self- N/A T50992D ICD10CM harm, subsequent encounter Poisoning by other drugs, medicaments and biological substances, assault, N/A T50993D ICD10CM subsequent encounter Poisoning by other drugs, medicaments and biological substances, undetermined, N/A T50994D ICD10CM subsequent encounter Adverse effect of other drugs, medicaments and biological substances, subsequent N/A T50995D ICD10CM encounter Poisoning by pertussis vaccine, including combinations with a pertussis component, N/A T50A11D ICD10CM accidental (unintentional), subsequent encounter Poisoning by pertussis vaccine, including combinations with a pertussis component, N/A T50A12D ICD10CM intentional self-harm, subsequent encounter Poisoning by pertussis vaccine, including combinations with a pertussis component, N/A T50A13D ICD10CM assault, subsequent encounter Poisoning by pertussis vaccine, including combinations with a pertussis component, N/A T50A14D ICD10CM undetermined, subsequent encounter Adverse effect of pertussis vaccine, including combinations with a pertussis N/A T50A15D ICD10CM component, subsequent encounter Poisoning by mixed bacterial vaccines without a pertussis component, accidental N/A T50A21D ICD10CM (unintentional), subsequent encounter Poisoning by mixed bacterial vaccines without a pertussis component, intentional N/A T50A22D ICD10CM self-harm, subsequent encounter Poisoning by mixed bacterial vaccines without a pertussis component, assault, N/A T50A23D ICD10CM subsequent encounter Poisoning by mixed bacterial vaccines without a pertussis component, N/A T50A24D ICD10CM undetermined, subsequent encounter

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Numerator Value Set Name Code Definition Code System Adverse effect of mixed bacterial vaccines without a pertussis component, N/A T50A25D ICD10CM subsequent encounter Poisoning by other bacterial vaccines, accidental (unintentional), subsequent N/A T50A91D ICD10CM encounter N/A T50A92D Poisoning by other bacterial vaccines, intentional self-harm, subsequent encounter ICD10CM N/A T50A93D Poisoning by other bacterial vaccines, assault, subsequent encounter ICD10CM N/A T50A94D Poisoning by other bacterial vaccines, undetermined, subsequent encounter ICD10CM N/A T50A95D Adverse effect of other bacterial vaccines, subsequent encounter ICD10CM N/A T50B11D Poisoning by smallpox vaccines, accidental (unintentional), subsequent encounter ICD10CM

N/A T50B12D Poisoning by smallpox vaccines, intentional self-harm, subsequent encounter ICD10CM N/A T50B13D Poisoning by smallpox vaccines, assault, subsequent encounter ICD10CM N/A T50B14D Poisoning by smallpox vaccines, undetermined, subsequent encounter ICD10CM N/A T50B15D Adverse effect of smallpox vaccines, subsequent encounter ICD10CM N/A T50B91D Poisoning by other viral vaccines, accidental (unintentional), subsequent encounter ICD10CM

N/A T50B92D Poisoning by other viral vaccines, intentional self-harm, subsequent encounter ICD10CM N/A T50B93D Poisoning by other viral vaccines, assault, subsequent encounter ICD10CM N/A T50B94D Poisoning by other viral vaccines, undetermined, subsequent encounter ICD10CM N/A T50B95D Adverse effect of other viral vaccines, subsequent encounter ICD10CM N/A T50Z11D Poisoning by immunoglobulin, accidental (unintentional), subsequent encounter ICD10CM

N/A T50Z12D Poisoning by immunoglobulin, intentional self-harm, subsequent encounter ICD10CM N/A T50Z13D Poisoning by immunoglobulin, assault, subsequent encounter ICD10CM N/A T50Z14D Poisoning by immunoglobulin, undetermined, subsequent encounter ICD10CM N/A T50Z15D Adverse effect of immunoglobulin, subsequent encounter ICD10CM Poisoning by other vaccines and biological substances, accidental (unintentional), N/A T50Z91D ICD10CM subsequent encounter Poisoning by other vaccines and biological substances, intentional self-harm, N/A T50Z92D ICD10CM subsequent encounter Poisoning by other vaccines and biological substances, assault, subsequent N/A T50Z93D ICD10CM encounter Poisoning by other vaccines and biological substances, undetermined, subsequent N/A T50Z94D ICD10CM encounter N/A T50Z95D Adverse effect of other vaccines and biological substances, subsequent encounter ICD10CM N/A T510X1D Toxic effect of ethanol, accidental (unintentional), subsequent encounter ICD10CM N/A T510X2D Toxic effect of ethanol, intentional self-harm, subsequent encounter ICD10CM N/A T510X3D Toxic effect of ethanol, assault, subsequent encounter ICD10CM N/A T510X4D Toxic effect of ethanol, undetermined, subsequent encounter ICD10CM N/A T511X1D Toxic effect of methanol, accidental (unintentional), subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System N/A T511X2D Toxic effect of methanol, intentional self-harm, subsequent encounter ICD10CM N/A T511X3D Toxic effect of methanol, assault, subsequent encounter ICD10CM N/A T511X4D Toxic effect of methanol, undetermined, subsequent encounter ICD10CM N/A T512X1D Toxic effect of 2-Propanol, accidental (unintentional), subsequent encounter ICD10CM N/A T512X2D Toxic effect of 2-Propanol, intentional self-harm, subsequent encounter ICD10CM N/A T512X3D Toxic effect of 2-Propanol, assault, subsequent encounter ICD10CM N/A T512X4D Toxic effect of 2-Propanol, undetermined, subsequent encounter ICD10CM N/A T513X1D Toxic effect of fusel oil, accidental (unintentional), subsequent encounter ICD10CM N/A T513X2D Toxic effect of fusel oil, intentional self-harm, subsequent encounter ICD10CM N/A T513X3D Toxic effect of fusel oil, assault, subsequent encounter ICD10CM N/A T513X4D Toxic effect of fusel oil, undetermined, subsequent encounter ICD10CM N/A T518X1D Toxic effect of other alcohols, accidental (unintentional), subsequent encounter ICD10CM

N/A T518X2D Toxic effect of other alcohols, intentional self-harm, subsequent encounter ICD10CM N/A T518X3D Toxic effect of other alcohols, assault, subsequent encounter ICD10CM N/A T518X4D Toxic effect of other alcohols, undetermined, subsequent encounter ICD10CM N/A T5191XD Toxic effect of unspecified alcohol, accidental (unintentional), subsequent encounter ICD10CM

N/A T5192XD Toxic effect of unspecified alcohol, intentional self-harm, subsequent encounter ICD10CM N/A T5193XD Toxic effect of unspecified alcohol, assault, subsequent encounter ICD10CM N/A T5194XD Toxic effect of unspecified alcohol, undetermined, subsequent encounter ICD10CM Toxic effect of petroleum products, accidental (unintentional), subsequent N/A T520X1D ICD10CM encounter N/A T520X2D Toxic effect of petroleum products, intentional self-harm, subsequent encounter ICD10CM N/A T520X3D Toxic effect of petroleum products, assault, subsequent encounter ICD10CM N/A T520X4D Toxic effect of petroleum products, undetermined, subsequent encounter ICD10CM

N/A T521X1D Toxic effect of benzene, accidental (unintentional), subsequent encounter ICD10CM N/A T521X2D Toxic effect of benzene, intentional self-harm, subsequent encounter ICD10CM N/A T521X3D Toxic effect of benzene, assault, subsequent encounter ICD10CM N/A T521X4D Toxic effect of benzene, undetermined, subsequent encounter ICD10CM Toxic effect of homologues of benzene, accidental (unintentional), subsequent N/A T522X1D ICD10CM encounter N/A T522X2D Toxic effect of homologues of benzene, intentional self-harm, subsequent encounter ICD10CM N/A T522X3D Toxic effect of homologues of benzene, assault, subsequent encounter ICD10CM N/A T522X4D Toxic effect of homologues of benzene, undetermined, subsequent encounter ICD10CM N/A T523X1D Toxic effect of glycols, accidental (unintentional), subsequent encounter ICD10CM N/A T523X2D Toxic effect of glycols, intentional self-harm, subsequent encounter ICD10CM

249 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A T523X3D Toxic effect of glycols, assault, subsequent encounter ICD10CM N/A T523X4D Toxic effect of glycols, undetermined, subsequent encounter ICD10CM N/A T524X1D Toxic effect of ketones, accidental (unintentional), subsequent encounter ICD10CM N/A T524X2D Toxic effect of ketones, intentional self-harm, subsequent encounter ICD10CM N/A T524X3D Toxic effect of ketones, assault, subsequent encounter ICD10CM N/A T524X4D Toxic effect of ketones, undetermined, subsequent encounter ICD10CM Toxic effect of other organic solvents, accidental (unintentional), subsequent N/A T528X1D ICD10CM encounter N/A T528X2D Toxic effect of other organic solvents, intentional self-harm, subsequent encounter ICD10CM N/A T528X3D Toxic effect of other organic solvents, assault, subsequent encounter ICD10CM N/A T528X4D Toxic effect of other organic solvents, undetermined, subsequent encounter ICD10CM Toxic effect of unspecified organic solvent, accidental (unintentional), subsequent N/A T5291XD ICD10CM encounter Toxic effect of unspecified organic solvent, intentional self-harm, subsequent N/A T5292XD ICD10CM encounter N/A T5293XD Toxic effect of unspecified organic solvent, assault, subsequent encounter ICD10CM

N/A T5294XD Toxic effect of unspecified organic solvent, undetermined, subsequent encounter ICD10CM Toxic effect of carbon tetrachloride, accidental (unintentional), subsequent N/A T530X1D ICD10CM encounter N/A T530X2D Toxic effect of carbon tetrachloride, intentional self-harm, subsequent encounter ICD10CM N/A T530X3D Toxic effect of carbon tetrachloride, assault, subsequent encounter ICD10CM N/A T530X4D Toxic effect of carbon tetrachloride, undetermined, subsequent encounter ICD10CM

N/A T531X1D Toxic effect of chloroform, accidental (unintentional), subsequent encounter ICD10CM N/A T531X2D Toxic effect of chloroform, intentional self-harm, subsequent encounter ICD10CM N/A T531X3D Toxic effect of chloroform, assault, subsequent encounter ICD10CM N/A T531X4D Toxic effect of chloroform, undetermined, subsequent encounter ICD10CM N/A T532X1D Toxic effect of trichloroethylene, accidental (unintentional), subsequent encounter ICD10CM

N/A T532X2D Toxic effect of trichloroethylene, intentional self-harm, subsequent encounter ICD10CM N/A T532X3D Toxic effect of trichloroethylene, assault, subsequent encounter ICD10CM N/A T532X4D Toxic effect of trichloroethylene, undetermined, subsequent encounter ICD10CM Toxic effect of tetrachloroethylene, accidental (unintentional), subsequent N/A T533X1D ICD10CM encounter N/A T533X2D Toxic effect of tetrachloroethylene, intentional self-harm, subsequent encounter ICD10CM N/A T533X3D Toxic effect of tetrachloroethylene, assault, subsequent encounter ICD10CM N/A T533X4D Toxic effect of tetrachloroethylene, undetermined, subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System N/A T534X1D Toxic effect of dichloromethane, accidental (unintentional), subsequent encounter ICD10CM

N/A T534X2D Toxic effect of dichloromethane, intentional self-harm, subsequent encounter ICD10CM N/A T534X3D Toxic effect of dichloromethane, assault, subsequent encounter ICD10CM N/A T534X4D Toxic effect of dichloromethane, undetermined, subsequent encounter ICD10CM Toxic effect of chlorofluorocarbons, accidental (unintentional), subsequent N/A T535X1D ICD10CM encounter N/A T535X2D Toxic effect of chlorofluorocarbons, intentional self-harm, subsequent encounter ICD10CM N/A T535X3D Toxic effect of chlorofluorocarbons, assault, subsequent encounter ICD10CM N/A T535X4D Toxic effect of chlorofluorocarbons, undetermined, subsequent encounter ICD10CM Toxic effect of other halogen derivatives of aliphatic hydrocarbons, accidental N/A T536X1D ICD10CM (unintentional), subsequent encounter Toxic effect of other halogen derivatives of aliphatic hydrocarbons, intentional self- N/A T536X2D ICD10CM harm, subsequent encounter Toxic effect of other halogen derivatives of aliphatic hydrocarbons, assault, N/A T536X3D ICD10CM subsequent encounter Toxic effect of other halogen derivatives of aliphatic hydrocarbons, undetermined, N/A T536X4D ICD10CM subsequent encounter Toxic effect of other halogen derivatives of aromatic hydrocarbons, accidental N/A T537X1D ICD10CM (unintentional), subsequent encounter Toxic effect of other halogen derivatives of aromatic hydrocarbons, intentional self- N/A T537X2D ICD10CM harm, subsequent encounter Toxic effect of other halogen derivatives of aromatic hydrocarbons, assault, N/A T537X3D ICD10CM subsequent encounter Toxic effect of other halogen derivatives of aromatic hydrocarbons, undetermined, N/A T537X4D ICD10CM subsequent encounter Toxic effect of unspecified halogen derivatives of aliphatic and aromatic N/A T5391XD ICD10CM hydrocarbons, accidental (unintentional), subsequent encounter Toxic effect of unspecified halogen derivatives of aliphatic and aromatic N/A T5392XD ICD10CM hydrocarbons, intentional self-harm, subsequent encounter Toxic effect of unspecified halogen derivatives of aliphatic and aromatic N/A T5393XD ICD10CM hydrocarbons, assault, subsequent encounter Toxic effect of unspecified halogen derivatives of aliphatic and aromatic N/A T5394XD ICD10CM hydrocarbons, undetermined, subsequent encounter Toxic effect of phenol and phenol homologues, accidental (unintentional), N/A T540X1D ICD10CM subsequent encounter Toxic effect of phenol and phenol homologues, intentional self-harm, subsequent N/A T540X2D ICD10CM encounter N/A T540X3D Toxic effect of phenol and phenol homologues, assault, subsequent encounter ICD10CM Toxic effect of phenol and phenol homologues, undetermined, subsequent N/A T540X4D ICD10CM encounter Toxic effect of other corrosive organic compounds, accidental (unintentional), N/A T541X1D ICD10CM subsequent encounter

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Numerator Value Set Name Code Definition Code System Toxic effect of other corrosive organic compounds, intentional self-harm, N/A T541X2D ICD10CM subsequent encounter N/A T541X3D Toxic effect of other corrosive organic compounds, assault, subsequent encounter ICD10CM Toxic effect of other corrosive organic compounds, undetermined, subsequent N/A T541X4D ICD10CM encounter Toxic effect of corrosive acids and acid-like substances, accidental (unintentional), N/A T542X1D ICD10CM subsequent encounter Toxic effect of corrosive acids and acid-like substances, intentional self-harm, N/A T542X2D ICD10CM subsequent encounter Toxic effect of corrosive acids and acid-like substances, assault, subsequent N/A T542X3D ICD10CM encounter Toxic effect of corrosive acids and acid-like substances, undetermined, subsequent N/A T542X4D ICD10CM encounter Toxic effect of corrosive alkalis and alkali-like substances, accidental (unintentional), N/A T543X1D ICD10CM subsequent encounter Toxic effect of corrosive alkalis and alkali-like substances, intentional self-harm, N/A T543X2D ICD10CM subsequent encounter Toxic effect of corrosive alkalis and alkali-like substances, assault, subsequent N/A T543X3D ICD10CM encounter Toxic effect of corrosive alkalis and alkali-like substances, undetermined, subsequent N/A T543X4D ICD10CM encounter Toxic effect of unspecified corrosive substance, accidental (unintentional), N/A T5491XD ICD10CM subsequent encounter Toxic effect of unspecified corrosive substance, intentional self-harm, subsequent N/A T5492XD ICD10CM encounter N/A T5493XD Toxic effect of unspecified corrosive substance, assault, subsequent encounter ICD10CM Toxic effect of unspecified corrosive substance, undetermined, subsequent N/A T5494XD ICD10CM encounter N/A T550X1D Toxic effect of soaps, accidental (unintentional), subsequent encounter ICD10CM N/A T550X2D Toxic effect of soaps, intentional self-harm, subsequent encounter ICD10CM N/A T550X3D Toxic effect of soaps, assault, subsequent encounter ICD10CM N/A T550X4D Toxic effect of soaps, undetermined, subsequent encounter ICD10CM N/A T551X1D Toxic effect of detergents, accidental (unintentional), subsequent encounter ICD10CM N/A T551X2D Toxic effect of detergents, intentional self-harm, subsequent encounter ICD10CM N/A T551X3D Toxic effect of detergents, assault, subsequent encounter ICD10CM N/A T551X4D Toxic effect of detergents, undetermined, subsequent encounter ICD10CM Toxic effect of lead and its compounds, accidental (unintentional), subsequent N/A T560X1D ICD10CM encounter N/A T560X2D Toxic effect of lead and its compounds, intentional self-harm, subsequent encounter ICD10CM N/A T560X3D Toxic effect of lead and its compounds, assault, subsequent encounter ICD10CM N/A T560X4D Toxic effect of lead and its compounds, undetermined, subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System Toxic effect of mercury and its compounds, accidental (unintentional), subsequent N/A T561X1D ICD10CM encounter Toxic effect of mercury and its compounds, intentional self-harm, subsequent N/A T561X2D ICD10CM encounter N/A T561X3D Toxic effect of mercury and its compounds, assault, subsequent encounter ICD10CM

N/A T561X4D Toxic effect of mercury and its compounds, undetermined, subsequent encounter ICD10CM Toxic effect of chromium and its compounds, accidental (unintentional), subsequent N/A T562X1D ICD10CM encounter Toxic effect of chromium and its compounds, intentional self-harm, subsequent N/A T562X2D ICD10CM encounter N/A T562X3D Toxic effect of chromium and its compounds, assault, subsequent encounter ICD10CM

N/A T562X4D Toxic effect of chromium and its compounds, undetermined, subsequent encounter ICD10CM Toxic effect of cadmium and its compounds, accidental (unintentional), subsequent N/A T563X1D ICD10CM encounter Toxic effect of cadmium and its compounds, intentional self-harm, subsequent N/A T563X2D ICD10CM encounter N/A T563X3D Toxic effect of cadmium and its compounds, assault, subsequent encounter ICD10CM

N/A T563X4D Toxic effect of cadmium and its compounds, undetermined, subsequent encounter ICD10CM Toxic effect of copper and its compounds, accidental (unintentional), subsequent N/A T564X1D ICD10CM encounter Toxic effect of copper and its compounds, intentional self-harm, subsequent N/A T564X2D ICD10CM encounter N/A T564X3D Toxic effect of copper and its compounds, assault, subsequent encounter ICD10CM N/A T564X4D Toxic effect of copper and its compounds, undetermined, subsequent encounter ICD10CM Toxic effect of zinc and its compounds, accidental (unintentional), subsequent N/A T565X1D ICD10CM encounter N/A T565X2D Toxic effect of zinc and its compounds, intentional self-harm, subsequent encounter ICD10CM N/A T565X3D Toxic effect of zinc and its compounds, assault, subsequent encounter ICD10CM N/A T565X4D Toxic effect of zinc and its compounds, undetermined, subsequent encounter ICD10CM Toxic effect of tin and its compounds, accidental (unintentional), subsequent N/A T566X1D ICD10CM encounter N/A T566X2D Toxic effect of tin and its compounds, intentional self-harm, subsequent encounter ICD10CM N/A T566X3D Toxic effect of tin and its compounds, assault, subsequent encounter ICD10CM N/A T566X4D Toxic effect of tin and its compounds, undetermined, subsequent encounter ICD10CM Toxic effect of beryllium and its compounds, accidental (unintentional), subsequent N/A T567X1D ICD10CM encounter

253 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Toxic effect of beryllium and its compounds, intentional self-harm, subsequent N/A T567X2D ICD10CM encounter N/A T567X3D Toxic effect of beryllium and its compounds, assault, subsequent encounter ICD10CM

N/A T567X4D Toxic effect of beryllium and its compounds, undetermined, subsequent encounter ICD10CM

N/A T56811D Toxic effect of thallium, accidental (unintentional), subsequent encounter ICD10CM N/A T56812D Toxic effect of thallium, intentional self-harm, subsequent encounter ICD10CM N/A T56813D Toxic effect of thallium, assault, subsequent encounter ICD10CM N/A T56814D Toxic effect of thallium, undetermined, subsequent encounter ICD10CM N/A T56891D Toxic effect of other metals, accidental (unintentional), subsequent encounter ICD10CM

N/A T56892D Toxic effect of other metals, intentional self-harm, subsequent encounter ICD10CM N/A T56893D Toxic effect of other metals, assault, subsequent encounter ICD10CM N/A T56894D Toxic effect of other metals, undetermined, subsequent encounter ICD10CM N/A T5691XD Toxic effect of unspecified metal, accidental (unintentional), subsequent encounter ICD10CM

N/A T5692XD Toxic effect of unspecified metal, intentional self-harm, subsequent encounter ICD10CM N/A T5693XD Toxic effect of unspecified metal, assault, subsequent encounter ICD10CM N/A T5694XD Toxic effect of unspecified metal, undetermined, subsequent encounter ICD10CM Toxic effect of arsenic and its compounds, accidental (unintentional), subsequent N/A T570X1D ICD10CM encounter Toxic effect of arsenic and its compounds, intentional self-harm, subsequent N/A T570X2D ICD10CM encounter N/A T570X3D Toxic effect of arsenic and its compounds, assault, subsequent encounter ICD10CM N/A T570X4D Toxic effect of arsenic and its compounds, undetermined, subsequent encounter ICD10CM Toxic effect of phosphorus and its compounds, accidental (unintentional), N/A T571X1D ICD10CM subsequent encounter Toxic effect of phosphorus and its compounds, intentional self-harm, subsequent N/A T571X2D ICD10CM encounter N/A T571X3D Toxic effect of phosphorus and its compounds, assault, subsequent encounter ICD10CM Toxic effect of phosphorus and its compounds, undetermined, subsequent N/A T571X4D ICD10CM encounter Toxic effect of manganese and its compounds, accidental (unintentional), N/A T572X1D ICD10CM subsequent encounter Toxic effect of manganese and its compounds, intentional self-harm, subsequent N/A T572X2D ICD10CM encounter N/A T572X3D Toxic effect of manganese and its compounds, assault, subsequent encounter ICD10CM

N/A T572X4D Toxic effect of manganese and its compounds, undetermined, subsequent encounter ICD10CM

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Numerator Value Set Name Code Definition Code System N/A T573X1D Toxic effect of hydrogen cyanide, accidental (unintentional), subsequent encounter ICD10CM

N/A T573X2D Toxic effect of hydrogen cyanide, intentional self-harm, subsequent encounter ICD10CM N/A T573X3D Toxic effect of hydrogen cyanide, assault, subsequent encounter ICD10CM N/A T573X4D Toxic effect of hydrogen cyanide, undetermined, subsequent encounter ICD10CM Toxic effect of other specified inorganic substances, accidental (unintentional), N/A T578X1D ICD10CM subsequent encounter Toxic effect of other specified inorganic substances, intentional self-harm, N/A T578X2D ICD10CM subsequent encounter N/A T578X3D Toxic effect of other specified inorganic substances, assault, subsequent encounter ICD10CM Toxic effect of other specified inorganic substances, undetermined, subsequent N/A T578X4D ICD10CM encounter Toxic effect of unspecified inorganic substance, accidental (unintentional), N/A T5791XD ICD10CM subsequent encounter Toxic effect of unspecified inorganic substance, intentional self-harm, subsequent N/A T5792XD ICD10CM encounter N/A T5793XD Toxic effect of unspecified inorganic substance, assault, subsequent encounter ICD10CM Toxic effect of unspecified inorganic substance, undetermined, subsequent N/A T5794XD ICD10CM encounter Toxic effect of carbon monoxide from motor vehicle exhaust, accidental N/A T5801XD ICD10CM (unintentional), subsequent encounter Toxic effect of carbon monoxide from motor vehicle exhaust, intentional self-harm, N/A T5802XD ICD10CM subsequent encounter Toxic effect of carbon monoxide from motor vehicle exhaust, assault, subsequent N/A T5803XD ICD10CM encounter Toxic effect of carbon monoxide from motor vehicle exhaust, undetermined, N/A T5804XD ICD10CM subsequent encounter Toxic effect of carbon monoxide from utility gas, accidental (unintentional), N/A T5811XD ICD10CM subsequent encounter Toxic effect of carbon monoxide from utility gas, intentional self-harm, subsequent N/A T5812XD ICD10CM encounter N/A T5813XD Toxic effect of carbon monoxide from utility gas, assault, subsequent encounter ICD10CM Toxic effect of carbon monoxide from utility gas, undetermined, subsequent N/A T5814XD ICD10CM encounter Toxic effect of carbon monoxide from incomplete combustion of other domestic N/A T582X1D ICD10CM fuels, accidental (unintentional), subsequent encounter Toxic effect of carbon monoxide from incomplete combustion of other domestic N/A T582X2D ICD10CM fuels, intentional self-harm, subsequent encounter Toxic effect of carbon monoxide from incomplete combustion of other domestic N/A T582X3D ICD10CM fuels, assault, subsequent encounter Toxic effect of carbon monoxide from incomplete combustion of other domestic N/A T582X4D ICD10CM fuels, undetermined, subsequent encounter

255 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Toxic effect of carbon monoxide from other source, accidental (unintentional), N/A T588X1D ICD10CM subsequent encounter Toxic effect of carbon monoxide from other source, intentional self-harm, N/A T588X2D ICD10CM subsequent encounter N/A T588X3D Toxic effect of carbon monoxide from other source, assault, subsequent encounter ICD10CM Toxic effect of carbon monoxide from other source, undetermined, subsequent N/A T588X4D ICD10CM encounter Toxic effect of carbon monoxide from unspecified source, accidental (unintentional), N/A T5891XD ICD10CM subsequent encounter Toxic effect of carbon monoxide from unspecified source, intentional self-harm, N/A T5892XD ICD10CM subsequent encounter Toxic effect of carbon monoxide from unspecified source, assault, subsequent N/A T5893XD ICD10CM encounter Toxic effect of carbon monoxide from unspecified source, undetermined, N/A T5894XD ICD10CM subsequent encounter N/A T590X1D Toxic effect of nitrogen oxides, accidental (unintentional), subsequent encounter ICD10CM

N/A T590X2D Toxic effect of nitrogen oxides, intentional self-harm, subsequent encounter ICD10CM N/A T590X3D Toxic effect of nitrogen oxides, assault, subsequent encounter ICD10CM N/A T590X4D Toxic effect of nitrogen oxides, undetermined, subsequent encounter ICD10CM N/A T591X1D Toxic effect of sulfur dioxide, accidental (unintentional), subsequent encounter ICD10CM

N/A T591X2D Toxic effect of sulfur dioxide, intentional self-harm, subsequent encounter ICD10CM N/A T591X3D Toxic effect of sulfur dioxide, assault, subsequent encounter ICD10CM N/A T591X4D Toxic effect of sulfur dioxide, undetermined, subsequent encounter ICD10CM N/A T592X1D Toxic effect of formaldehyde, accidental (unintentional), subsequent encounter ICD10CM

N/A T592X2D Toxic effect of formaldehyde, intentional self-harm, subsequent encounter ICD10CM N/A T592X3D Toxic effect of formaldehyde, assault, subsequent encounter ICD10CM N/A T592X4D Toxic effect of formaldehyde, undetermined, subsequent encounter ICD10CM N/A T593X1D Toxic effect of lacrimogenic gas, accidental (unintentional), subsequent encounter ICD10CM

N/A T593X2D Toxic effect of lacrimogenic gas, intentional self-harm, subsequent encounter ICD10CM N/A T593X3D Toxic effect of lacrimogenic gas, assault, subsequent encounter ICD10CM N/A T593X4D Toxic effect of lacrimogenic gas, undetermined, subsequent encounter ICD10CM N/A T594X1D Toxic effect of chlorine gas, accidental (unintentional), subsequent encounter ICD10CM N/A T594X2D Toxic effect of chlorine gas, intentional self-harm, subsequent encounter ICD10CM N/A T594X3D Toxic effect of chlorine gas, assault, subsequent encounter ICD10CM N/A T594X4D Toxic effect of chlorine gas, undetermined, subsequent encounter ICD10CM Toxic effect of fluorine gas and hydrogen fluoride, accidental (unintentional), N/A T595X1D ICD10CM subsequent encounter

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Numerator Value Set Name Code Definition Code System Toxic effect of fluorine gas and hydrogen fluoride, intentional self-harm, subsequent N/A T595X2D ICD10CM encounter N/A T595X3D Toxic effect of fluorine gas and hydrogen fluoride, assault, subsequent encounter ICD10CM Toxic effect of fluorine gas and hydrogen fluoride, undetermined, subsequent N/A T595X4D ICD10CM encounter N/A T596X1D Toxic effect of hydrogen sulfide, accidental (unintentional), subsequent encounter ICD10CM

N/A T596X2D Toxic effect of hydrogen sulfide, intentional self-harm, subsequent encounter ICD10CM N/A T596X3D Toxic effect of hydrogen sulfide, assault, subsequent encounter ICD10CM N/A T596X4D Toxic effect of hydrogen sulfide, undetermined, subsequent encounter ICD10CM N/A T597X1D Toxic effect of carbon dioxide, accidental (unintentional), subsequent encounter ICD10CM

N/A T597X2D Toxic effect of carbon dioxide, intentional self-harm, subsequent encounter ICD10CM N/A T597X3D Toxic effect of carbon dioxide, assault, subsequent encounter ICD10CM N/A T597X4D Toxic effect of carbon dioxide, undetermined, subsequent encounter ICD10CM N/A T59811D Toxic effect of smoke, accidental (unintentional), subsequent encounter ICD10CM N/A T59812D Toxic effect of smoke, intentional self-harm, subsequent encounter ICD10CM N/A T59813D Toxic effect of smoke, assault, subsequent encounter ICD10CM N/A T59814D Toxic effect of smoke, undetermined, subsequent encounter ICD10CM Toxic effect of other specified gases, fumes and vapors, accidental (unintentional), N/A T59891D ICD10CM subsequent encounter Toxic effect of other specified gases, fumes and vapors, intentional self-harm, N/A T59892D ICD10CM subsequent encounter Toxic effect of other specified gases, fumes and vapors, assault, subsequent N/A T59893D ICD10CM encounter Toxic effect of other specified gases, fumes and vapors, undetermined, subsequent N/A T59894D ICD10CM encounter Toxic effect of unspecified gases, fumes and vapors, accidental (unintentional), N/A T5991XD ICD10CM subsequent encounter Toxic effect of unspecified gases, fumes and vapors, intentional self-harm, N/A T5992XD ICD10CM subsequent encounter N/A T5993XD Toxic effect of unspecified gases, fumes and vapors, assault, subsequent encounter ICD10CM Toxic effect of unspecified gases, fumes and vapors, undetermined, subsequent N/A T5994XD ICD10CM encounter Toxic effect of organophosphate and carbamate insecticides, accidental N/A T600X1D ICD10CM (unintentional), subsequent encounter Toxic effect of organophosphate and carbamate insecticides, intentional self-harm, N/A T600X2D ICD10CM subsequent encounter Toxic effect of organophosphate and carbamate insecticides, assault, subsequent N/A T600X3D ICD10CM encounter Toxic effect of organophosphate and carbamate insecticides, undetermined, N/A T600X4D ICD10CM subsequent encounter

257 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Toxic effect of halogenated insecticides, accidental (unintentional), subsequent N/A T601X1D ICD10CM encounter Toxic effect of halogenated insecticides, intentional self-harm, subsequent N/A T601X2D ICD10CM encounter N/A T601X3D Toxic effect of halogenated insecticides, assault, subsequent encounter ICD10CM N/A T601X4D Toxic effect of halogenated insecticides, undetermined, subsequent encounter ICD10CM

N/A T602X1D Toxic effect of other insecticides, accidental (unintentional), subsequent encounter ICD10CM

N/A T602X2D Toxic effect of other insecticides, intentional self-harm, subsequent encounter ICD10CM N/A T602X3D Toxic effect of other insecticides, assault, subsequent encounter ICD10CM N/A T602X4D Toxic effect of other insecticides, undetermined, subsequent encounter ICD10CM Toxic effect of herbicides and fungicides, accidental (unintentional), subsequent N/A T603X1D ICD10CM encounter Toxic effect of herbicides and fungicides, intentional self-harm, subsequent N/A T603X2D ICD10CM encounter N/A T603X3D Toxic effect of herbicides and fungicides, assault, subsequent encounter ICD10CM N/A T603X4D Toxic effect of herbicides and fungicides, undetermined, subsequent encounter ICD10CM

N/A T604X1D Toxic effect of rodenticides, accidental (unintentional), subsequent encounter ICD10CM N/A T604X2D Toxic effect of rodenticides, intentional self-harm, subsequent encounter ICD10CM N/A T604X3D Toxic effect of rodenticides, assault, subsequent encounter ICD10CM N/A T604X4D Toxic effect of rodenticides, undetermined, subsequent encounter ICD10CM N/A T608X1D Toxic effect of other pesticides, accidental (unintentional), subsequent encounter ICD10CM

N/A T608X2D Toxic effect of other pesticides, intentional self-harm, subsequent encounter ICD10CM N/A T608X3D Toxic effect of other pesticides, assault, subsequent encounter ICD10CM N/A T608X4D Toxic effect of other pesticides, undetermined, subsequent encounter ICD10CM Toxic effect of unspecified pesticide, accidental (unintentional), subsequent N/A T6091XD ICD10CM encounter N/A T6092XD Toxic effect of unspecified pesticide, intentional self-harm, subsequent encounter ICD10CM N/A T6093XD Toxic effect of unspecified pesticide, assault, subsequent encounter ICD10CM N/A T6094XD Toxic effect of unspecified pesticide, undetermined, subsequent encounter ICD10CM

N/A T6101XD Ciguatera fish poisoning, accidental (unintentional), subsequent encounter ICD10CM N/A T6102XD Ciguatera fish poisoning, intentional self-harm, subsequent encounter ICD10CM N/A T6103XD Ciguatera fish poisoning, assault, subsequent encounter ICD10CM N/A T6104XD Ciguatera fish poisoning, undetermined, subsequent encounter ICD10CM N/A T6111XD Scombroid fish poisoning, accidental (unintentional), subsequent encounter ICD10CM N/A T6112XD Scombroid fish poisoning, intentional self-harm, subsequent encounter ICD10CM N/A T6113XD Scombroid fish poisoning, assault, subsequent encounter ICD10CM

258 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A T6114XD Scombroid fish poisoning, undetermined, subsequent encounter ICD10CM N/A T61771D Other fish poisoning, accidental (unintentional), subsequent encounter ICD10CM N/A T61772D Other fish poisoning, intentional self-harm, subsequent encounter ICD10CM N/A T61773D Other fish poisoning, assault, subsequent encounter ICD10CM N/A T61774D Other fish poisoning, undetermined, subsequent encounter ICD10CM N/A T61781D Other shellfish poisoning, accidental (unintentional), subsequent encounter ICD10CM N/A T61782D Other shellfish poisoning, intentional self-harm, subsequent encounter ICD10CM N/A T61783D Other shellfish poisoning, assault, subsequent encounter ICD10CM N/A T61784D Other shellfish poisoning, undetermined, subsequent encounter ICD10CM N/A T618X1D Toxic effect of other seafood, accidental (unintentional), subsequent encounter ICD10CM

N/A T618X2D Toxic effect of other seafood, intentional self-harm, subsequent encounter ICD10CM N/A T618X3D Toxic effect of other seafood, assault, subsequent encounter ICD10CM N/A T618X4D Toxic effect of other seafood, undetermined, subsequent encounter ICD10CM Toxic effect of unspecified seafood, accidental (unintentional), subsequent N/A T6191XD ICD10CM encounter N/A T6192XD Toxic effect of unspecified seafood, intentional self-harm, subsequent encounter ICD10CM N/A T6193XD Toxic effect of unspecified seafood, assault, subsequent encounter ICD10CM N/A T6194XD Toxic effect of unspecified seafood, undetermined, subsequent encounter ICD10CM Toxic effect of ingested mushrooms, accidental (unintentional), subsequent N/A T620X1D ICD10CM encounter N/A T620X2D Toxic effect of ingested mushrooms, intentional self-harm, subsequent encounter ICD10CM N/A T620X3D Toxic effect of ingested mushrooms, assault, subsequent encounter ICD10CM N/A T620X4D Toxic effect of ingested mushrooms, undetermined, subsequent encounter ICD10CM

N/A T621X1D Toxic effect of ingested berries, accidental (unintentional), subsequent encounter ICD10CM

N/A T621X2D Toxic effect of ingested berries, intentional self-harm, subsequent encounter ICD10CM N/A T621X3D Toxic effect of ingested berries, assault, subsequent encounter ICD10CM N/A T621X4D Toxic effect of ingested berries, undetermined, subsequent encounter ICD10CM Toxic effect of other ingested (parts of) plant(s), accidental (unintentional), N/A T622X1D ICD10CM subsequent encounter Toxic effect of other ingested (parts of) plant(s), intentional self-harm, subsequent N/A T622X2D ICD10CM encounter N/A T622X3D Toxic effect of other ingested (parts of) plant(s), assault, subsequent encounter ICD10CM Toxic effect of other ingested (parts of) plant(s), undetermined, subsequent N/A T622X4D ICD10CM encounter Toxic effect of other specified noxious substances eaten as food, accidental N/A T628X1D ICD10CM (unintentional), subsequent encounter

259 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Toxic effect of other specified noxious substances eaten as food, intentional self- N/A T628X2D ICD10CM harm, subsequent encounter Toxic effect of other specified noxious substances eaten as food, assault, subsequent N/A T628X3D ICD10CM encounter Toxic effect of other specified noxious substances eaten as food, undetermined, N/A T628X4D ICD10CM subsequent encounter Toxic effect of unspecified noxious substance eaten as food, accidental N/A T6291XD ICD10CM (unintentional), subsequent encounter Toxic effect of unspecified noxious substance eaten as food, intentional self-harm, N/A T6292XD ICD10CM subsequent encounter Toxic effect of unspecified noxious substance eaten as food, assault, subsequent N/A T6293XD ICD10CM encounter Toxic effect of unspecified noxious substance eaten as food, undetermined, N/A T6294XD ICD10CM subsequent encounter Toxic effect of unspecified snake venom, accidental (unintentional), subsequent N/A T63001D ICD10CM encounter Toxic effect of unspecified snake venom, intentional self-harm, subsequent N/A T63002D ICD10CM encounter N/A T63003D Toxic effect of unspecified snake venom, assault, subsequent encounter ICD10CM N/A T63004D Toxic effect of unspecified snake venom, undetermined, subsequent encounter ICD10CM

N/A T63011D Toxic effect of rattlesnake venom, accidental (unintentional), subsequent encounter ICD10CM

N/A T63012D Toxic effect of rattlesnake venom, intentional self-harm, subsequent encounter ICD10CM N/A T63013D Toxic effect of rattlesnake venom, assault, subsequent encounter ICD10CM N/A T63014D Toxic effect of rattlesnake venom, undetermined, subsequent encounter ICD10CM N/A T63021D Toxic effect of coral snake venom, accidental (unintentional), subsequent encounter ICD10CM

N/A T63022D Toxic effect of coral snake venom, intentional self-harm, subsequent encounter ICD10CM N/A T63023D Toxic effect of coral snake venom, assault, subsequent encounter ICD10CM N/A T63024D Toxic effect of coral snake venom, undetermined, subsequent encounter ICD10CM N/A T63031D Toxic effect of taipan venom, accidental (unintentional), subsequent encounter ICD10CM

N/A T63032D Toxic effect of taipan venom, intentional self-harm, subsequent encounter ICD10CM N/A T63033D Toxic effect of taipan venom, assault, subsequent encounter ICD10CM N/A T63034D Toxic effect of taipan venom, undetermined, subsequent encounter ICD10CM N/A T63041D Toxic effect of cobra venom, accidental (unintentional), subsequent encounter ICD10CM

N/A T63042D Toxic effect of cobra venom, intentional self-harm, subsequent encounter ICD10CM N/A T63043D Toxic effect of cobra venom, assault, subsequent encounter ICD10CM N/A T63044D Toxic effect of cobra venom, undetermined, subsequent encounter ICD10CM Toxic effect of venom of other North and South American snake, accidental N/A T63061D ICD10CM (unintentional), subsequent encounter

260 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Toxic effect of venom of other North and South American snake, intentional self- N/A T63062D ICD10CM harm, subsequent encounter Toxic effect of venom of other North and South American snake, assault, subsequent N/A T63063D ICD10CM encounter Toxic effect of venom of other North and South American snake, undetermined, N/A T63064D ICD10CM subsequent encounter Toxic effect of venom of other Australian snake, accidental (unintentional), N/A T63071D ICD10CM subsequent encounter Toxic effect of venom of other Australian snake, intentional self-harm, subsequent N/A T63072D ICD10CM encounter N/A T63073D Toxic effect of venom of other Australian snake, assault, subsequent encounter ICD10CM Toxic effect of venom of other Australian snake, undetermined, subsequent N/A T63074D ICD10CM encounter Toxic effect of venom of other African and Asian snake, accidental (unintentional), N/A T63081D ICD10CM subsequent encounter Toxic effect of venom of other African and Asian snake, intentional self-harm, N/A T63082D ICD10CM subsequent encounter Toxic effect of venom of other African and Asian snake, assault, subsequent N/A T63083D ICD10CM encounter Toxic effect of venom of other African and Asian snake, undetermined, subsequent N/A T63084D ICD10CM encounter Toxic effect of venom of other snake, accidental (unintentional), subsequent N/A T63091D ICD10CM encounter N/A T63092D Toxic effect of venom of other snake, intentional self-harm, subsequent encounter ICD10CM N/A T63093D Toxic effect of venom of other snake, assault, subsequent encounter ICD10CM N/A T63094D Toxic effect of venom of other snake, undetermined, subsequent encounter ICD10CM Toxic effect of venom of gila monster, accidental (unintentional), subsequent N/A T63111D ICD10CM encounter N/A T63112D Toxic effect of venom of gila monster, intentional self-harm, subsequent encounter ICD10CM N/A T63113D Toxic effect of venom of gila monster, assault, subsequent encounter ICD10CM N/A T63114D Toxic effect of venom of gila monster, undetermined, subsequent encounter ICD10CM Toxic effect of venom of other venomous lizard, accidental (unintentional), N/A T63121D ICD10CM subsequent encounter Toxic effect of venom of other venomous lizard, intentional self-harm, subsequent N/A T63122D ICD10CM encounter N/A T63123D Toxic effect of venom of other venomous lizard, assault, subsequent encounter ICD10CM Toxic effect of venom of other venomous lizard, undetermined, subsequent N/A T63124D ICD10CM encounter Toxic effect of venom of other reptiles, accidental (unintentional), subsequent N/A T63191D ICD10CM encounter

261 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A T63192D Toxic effect of venom of other reptiles, intentional self-harm, subsequent encounter ICD10CM N/A T63193D Toxic effect of venom of other reptiles, assault, subsequent encounter ICD10CM N/A T63194D Toxic effect of venom of other reptiles, undetermined, subsequent encounter ICD10CM

N/A T632X1D Toxic effect of venom of scorpion, accidental (unintentional), subsequent encounter ICD10CM

N/A T632X2D Toxic effect of venom of scorpion, intentional self-harm, subsequent encounter ICD10CM N/A T632X3D Toxic effect of venom of scorpion, assault, subsequent encounter ICD10CM N/A T632X4D Toxic effect of venom of scorpion, undetermined, subsequent encounter ICD10CM Toxic effect of unspecified spider venom, accidental (unintentional), subsequent N/A T63301D ICD10CM encounter Toxic effect of unspecified spider venom, intentional self-harm, subsequent N/A T63302D ICD10CM encounter N/A T63303D Toxic effect of unspecified spider venom, assault, subsequent encounter ICD10CM N/A T63304D Toxic effect of unspecified spider venom, undetermined, subsequent encounter ICD10CM Toxic effect of venom of black widow spider, accidental (unintentional), subsequent N/A T63311D ICD10CM encounter Toxic effect of venom of black widow spider, intentional self-harm, subsequent N/A T63312D ICD10CM encounter N/A T63313D Toxic effect of venom of black widow spider, assault, subsequent encounter ICD10CM

N/A T63314D Toxic effect of venom of black widow spider, undetermined, subsequent encounter ICD10CM

N/A T63321D Toxic effect of venom of tarantula, accidental (unintentional), subsequent encounter ICD10CM

N/A T63322D Toxic effect of venom of tarantula, intentional self-harm, subsequent encounter ICD10CM N/A T63323D Toxic effect of venom of tarantula, assault, subsequent encounter ICD10CM N/A T63324D Toxic effect of venom of tarantula, undetermined, subsequent encounter ICD10CM Toxic effect of venom of brown recluse spider, accidental (unintentional), N/A T63331D ICD10CM subsequent encounter Toxic effect of venom of brown recluse spider, intentional self-harm, subsequent N/A T63332D ICD10CM encounter N/A T63333D Toxic effect of venom of brown recluse spider, assault, subsequent encounter ICD10CM Toxic effect of venom of brown recluse spider, undetermined, subsequent N/A T63334D ICD10CM encounter Toxic effect of venom of other spider, accidental (unintentional), subsequent N/A T63391D ICD10CM encounter N/A T63392D Toxic effect of venom of other spider, intentional self-harm, subsequent encounter ICD10CM N/A T63393D Toxic effect of venom of other spider, assault, subsequent encounter ICD10CM N/A T63394D Toxic effect of venom of other spider, undetermined, subsequent encounter ICD10CM

262 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Toxic effect of venom of centipedes and venomous millipedes, accidental N/A T63411D ICD10CM (unintentional), subsequent encounter Toxic effect of venom of centipedes and venomous millipedes, intentional self-harm, N/A T63412D ICD10CM subsequent encounter Toxic effect of venom of centipedes and venomous millipedes, assault, subsequent N/A T63413D ICD10CM encounter Toxic effect of venom of centipedes and venomous millipedes, undetermined, N/A T63414D ICD10CM subsequent encounter N/A T63421D Toxic effect of venom of ants, accidental (unintentional), subsequent encounter ICD10CM

N/A T63422D Toxic effect of venom of ants, intentional self-harm, subsequent encounter ICD10CM N/A T63423D Toxic effect of venom of ants, assault, subsequent encounter ICD10CM N/A T63424D Toxic effect of venom of ants, undetermined, subsequent encounter ICD10CM Toxic effect of venom of caterpillars, accidental (unintentional), subsequent N/A T63431D ICD10CM encounter N/A T63432D Toxic effect of venom of caterpillars, intentional self-harm, subsequent encounter ICD10CM N/A T63433D Toxic effect of venom of caterpillars, assault, subsequent encounter ICD10CM N/A T63434D Toxic effect of venom of caterpillars, undetermined, subsequent encounter ICD10CM

N/A T63441D Toxic effect of venom of bees, accidental (unintentional), subsequent encounter ICD10CM

N/A T63442D Toxic effect of venom of bees, intentional self-harm, subsequent encounter ICD10CM N/A T63443D Toxic effect of venom of bees, assault, subsequent encounter ICD10CM N/A T63444D Toxic effect of venom of bees, undetermined, subsequent encounter ICD10CM N/A T63451D Toxic effect of venom of hornets, accidental (unintentional), subsequent encounter ICD10CM

N/A T63452D Toxic effect of venom of hornets, intentional self-harm, subsequent encounter ICD10CM N/A T63453D Toxic effect of venom of hornets, assault, subsequent encounter ICD10CM N/A T63454D Toxic effect of venom of hornets, undetermined, subsequent encounter ICD10CM N/A T63461D Toxic effect of venom of wasps, accidental (unintentional), subsequent encounter ICD10CM

N/A T63462D Toxic effect of venom of wasps, intentional self-harm, subsequent encounter ICD10CM N/A T63463D Toxic effect of venom of wasps, assault, subsequent encounter ICD10CM N/A T63464D Toxic effect of venom of wasps, undetermined, subsequent encounter ICD10CM Toxic effect of venom of other arthropod, accidental (unintentional), subsequent N/A T63481D ICD10CM encounter Toxic effect of venom of other arthropod, intentional self-harm, subsequent N/A T63482D ICD10CM encounter N/A T63483D Toxic effect of venom of other arthropod, assault, subsequent encounter ICD10CM N/A T63484D Toxic effect of venom of other arthropod, undetermined, subsequent encounter ICD10CM

263 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Toxic effect of contact with stingray, accidental (unintentional), subsequent N/A T63511D ICD10CM encounter N/A T63512D Toxic effect of contact with stingray, intentional self-harm, subsequent encounter ICD10CM N/A T63513D Toxic effect of contact with stingray, assault, subsequent encounter ICD10CM N/A T63514D Toxic effect of contact with stingray, undetermined, subsequent encounter ICD10CM Toxic effect of contact with other venomous fish, accidental (unintentional), N/A T63591D ICD10CM subsequent encounter Toxic effect of contact with other venomous fish, intentional self-harm, subsequent N/A T63592D ICD10CM encounter N/A T63593D Toxic effect of contact with other venomous fish, assault, subsequent encounter ICD10CM Toxic effect of contact with other venomous fish, undetermined, subsequent N/A T63594D ICD10CM encounter Toxic effect of contact with Portugese Man-o-war, accidental (unintentional), N/A T63611D ICD10CM subsequent encounter Toxic effect of contact with Portugese Man-o-war, intentional self-harm, subsequent N/A T63612D ICD10CM encounter N/A T63613D Toxic effect of contact with Portugese Man-o-war, assault, subsequent encounter ICD10CM Toxic effect of contact with Portugese Man-o-war, undetermined, subsequent N/A T63614D ICD10CM encounter Toxic effect of contact with other jellyfish, accidental (unintentional), subsequent N/A T63621D ICD10CM encounter Toxic effect of contact with other jellyfish, intentional self-harm, subsequent N/A T63622D ICD10CM encounter N/A T63623D Toxic effect of contact with other jellyfish, assault, subsequent encounter ICD10CM N/A T63624D Toxic effect of contact with other jellyfish, undetermined, subsequent encounter ICD10CM Toxic effect of contact with sea anemone, accidental (unintentional), subsequent N/A T63631D ICD10CM encounter Toxic effect of contact with sea anemone, intentional self-harm, subsequent N/A T63632D ICD10CM encounter N/A T63633D Toxic effect of contact with sea anemone, assault, subsequent encounter ICD10CM N/A T63634D Toxic effect of contact with sea anemone, undetermined, subsequent encounter ICD10CM Toxic effect of contact with other venomous marine animals, accidental N/A T63691D ICD10CM (unintentional), subsequent encounter Toxic effect of contact with other venomous marine animals, intentional self-harm, N/A T63692D ICD10CM subsequent encounter Toxic effect of contact with other venomous marine animals, assault, subsequent N/A T63693D ICD10CM encounter Toxic effect of contact with other venomous marine animals, undetermined, N/A T63694D ICD10CM subsequent encounter Toxic effect of contact with venomous marine plant, accidental (unintentional), N/A T63711D ICD10CM subsequent encounter

264 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Toxic effect of contact with venomous marine plant, intentional self-harm, N/A T63712D ICD10CM subsequent encounter N/A T63713D Toxic effect of contact with venomous marine plant, assault, subsequent encounter ICD10CM Toxic effect of contact with venomous marine plant, undetermined, subsequent N/A T63714D ICD10CM encounter Toxic effect of contact with other venomous plant, accidental (unintentional), N/A T63791D ICD10CM subsequent encounter Toxic effect of contact with other venomous plant, intentional self-harm, subsequent N/A T63792D ICD10CM encounter N/A T63793D Toxic effect of contact with other venomous plant, assault, subsequent encounter ICD10CM Toxic effect of contact with other venomous plant, undetermined, subsequent N/A T63794D ICD10CM encounter Toxic effect of contact with venomous frog, accidental (unintentional), subsequent N/A T63811D ICD10CM encounter Toxic effect of contact with venomous frog, intentional self-harm, subsequent N/A T63812D ICD10CM encounter N/A T63813D Toxic effect of contact with venomous frog, assault, subsequent encounter ICD10CM

N/A T63814D Toxic effect of contact with venomous frog, undetermined, subsequent encounter ICD10CM Toxic effect of contact with venomous toad, accidental (unintentional), subsequent N/A T63821D ICD10CM encounter Toxic effect of contact with venomous toad, intentional self-harm, subsequent N/A T63822D ICD10CM encounter N/A T63823D Toxic effect of contact with venomous toad, assault, subsequent encounter ICD10CM

N/A T63824D Toxic effect of contact with venomous toad, undetermined, subsequent encounter ICD10CM Toxic effect of contact with other venomous amphibian, accidental (unintentional), N/A T63831D ICD10CM subsequent encounter Toxic effect of contact with other venomous amphibian, intentional self-harm, N/A T63832D ICD10CM subsequent encounter Toxic effect of contact with other venomous amphibian, assault, subsequent N/A T63833D ICD10CM encounter Toxic effect of contact with other venomous amphibian, undetermined, subsequent N/A T63834D ICD10CM encounter Toxic effect of contact with other venomous animals, accidental (unintentional), N/A T63891D ICD10CM subsequent encounter Toxic effect of contact with other venomous animals, intentional self-harm, N/A T63892D ICD10CM subsequent encounter N/A T63893D Toxic effect of contact with other venomous animals, assault, subsequent encounter ICD10CM Toxic effect of contact with other venomous animals, undetermined, subsequent N/A T63894D ICD10CM encounter

265 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Toxic effect of contact with unspecified venomous animal, accidental N/A T6391XD ICD10CM (unintentional), subsequent encounter Toxic effect of contact with unspecified venomous animal, intentional self-harm, N/A T6392XD ICD10CM subsequent encounter Toxic effect of contact with unspecified venomous animal, assault, subsequent N/A T6393XD ICD10CM encounter Toxic effect of contact with unspecified venomous animal, undetermined, N/A T6394XD ICD10CM subsequent encounter N/A T6401XD Toxic effect of aflatoxin, accidental (unintentional), subsequent encounter ICD10CM N/A T6402XD Toxic effect of aflatoxin, intentional self-harm, subsequent encounter ICD10CM N/A T6403XD Toxic effect of aflatoxin, assault, subsequent encounter ICD10CM N/A T6404XD Toxic effect of aflatoxin, undetermined, subsequent encounter ICD10CM Toxic effect of other mycotoxin food contaminants, accidental (unintentional), N/A T6481XD ICD10CM subsequent encounter Toxic effect of other mycotoxin food contaminants, intentional self-harm, N/A T6482XD ICD10CM subsequent encounter N/A T6483XD Toxic effect of other mycotoxin food contaminants, assault, subsequent encounter ICD10CM Toxic effect of other mycotoxin food contaminants, undetermined, subsequent N/A T6484XD ICD10CM encounter N/A T650X1D Toxic effect of cyanides, accidental (unintentional), subsequent encounter ICD10CM N/A T650X2D Toxic effect of cyanides, intentional self-harm, subsequent encounter ICD10CM N/A T650X3D Toxic effect of cyanides, assault, subsequent encounter ICD10CM N/A T650X4D Toxic effect of cyanides, undetermined, subsequent encounter ICD10CM Toxic effect of strychnine and its salts, accidental (unintentional), subsequent N/A T651X1D ICD10CM encounter N/A T651X2D Toxic effect of strychnine and its salts, intentional self-harm, subsequent encounter ICD10CM N/A T651X3D Toxic effect of strychnine and its salts, assault, subsequent encounter ICD10CM N/A T651X4D Toxic effect of strychnine and its salts, undetermined, subsequent encounter ICD10CM

N/A T65211D Toxic effect of chewing tobacco, accidental (unintentional), subsequent encounter ICD10CM

N/A T65212D Toxic effect of chewing tobacco, intentional self-harm, subsequent encounter ICD10CM N/A T65213D Toxic effect of chewing tobacco, assault, subsequent encounter ICD10CM N/A T65214D Toxic effect of chewing tobacco, undetermined, subsequent encounter ICD10CM N/A T65221D Toxic effect of tobacco cigarettes, accidental (unintentional), subsequent encounter ICD10CM

N/A T65222D Toxic effect of tobacco cigarettes, intentional self-harm, subsequent encounter ICD10CM N/A T65223D Toxic effect of tobacco cigarettes, assault, subsequent encounter ICD10CM N/A T65224D Toxic effect of tobacco cigarettes, undetermined, subsequent encounter ICD10CM Toxic effect of other tobacco and nicotine, accidental (unintentional), subsequent N/A T65291D ICD10CM encounter

266 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Toxic effect of other tobacco and nicotine, intentional self-harm, subsequent N/A T65292D ICD10CM encounter N/A T65293D Toxic effect of other tobacco and nicotine, assault, subsequent encounter ICD10CM N/A T65294D Toxic effect of other tobacco and nicotine, undetermined, subsequent encounter ICD10CM Toxic effect of nitroderivatives and aminoderivatives of benzene and its N/A T653X1D ICD10CM homologues, accidental (unintentional), subsequent encounter Toxic effect of nitroderivatives and aminoderivatives of benzene and its N/A T653X2D ICD10CM homologues, intentional self-harm, subsequent encounter Toxic effect of nitroderivatives and aminoderivatives of benzene and its N/A T653X3D ICD10CM homologues, assault, subsequent encounter Toxic effect of nitroderivatives and aminoderivatives of benzene and its N/A T653X4D ICD10CM homologues, undetermined, subsequent encounter N/A T654X1D Toxic effect of carbon disulfide, accidental (unintentional), subsequent encounter ICD10CM

N/A T654X2D Toxic effect of carbon disulfide, intentional self-harm, subsequent encounter ICD10CM N/A T654X3D Toxic effect of carbon disulfide, assault, subsequent encounter ICD10CM N/A T654X4D Toxic effect of carbon disulfide, undetermined, subsequent encounter ICD10CM Toxic effect of nitroglycerin and other nitric acids and esters, accidental N/A T655X1D ICD10CM (unintentional), subsequent encounter Toxic effect of nitroglycerin and other nitric acids and esters, intentional self-harm, N/A T655X2D ICD10CM subsequent encounter Toxic effect of nitroglycerin and other nitric acids and esters, assault, subsequent N/A T655X3D ICD10CM encounter Toxic effect of nitroglycerin and other nitric acids and esters, undetermined, N/A T655X4D ICD10CM subsequent encounter Toxic effect of paints and dyes, not elsewhere classified, accidental (unintentional), N/A T656X1D ICD10CM subsequent encounter Toxic effect of paints and dyes, not elsewhere classified, intentional self-harm, N/A T656X2D ICD10CM subsequent encounter Toxic effect of paints and dyes, not elsewhere classified, assault, subsequent N/A T656X3D ICD10CM encounter Toxic effect of paints and dyes, not elsewhere classified, undetermined, subsequent N/A T656X4D ICD10CM encounter N/A T65811D Toxic effect of latex, accidental (unintentional), subsequent encounter ICD10CM N/A T65812D Toxic effect of latex, intentional self-harm, subsequent encounter ICD10CM N/A T65813D Toxic effect of latex, assault, subsequent encounter ICD10CM N/A T65814D Toxic effect of latex, undetermined, subsequent encounter ICD10CM Toxic effect of harmful algae and algae toxins, accidental (unintentional), subsequent N/A T65821D ICD10CM encounter Toxic effect of harmful algae and algae toxins, intentional self-harm, subsequent N/A T65822D ICD10CM encounter N/A T65823D Toxic effect of harmful algae and algae toxins, assault, subsequent encounter ICD10CM

N/A T65824D Toxic effect of harmful algae and algae toxins, undetermined, subsequent encounter ICD10CM

267 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A T65831D Toxic effect of fiberglass, accidental (unintentional), subsequent encounter ICD10CM N/A T65832D Toxic effect of fiberglass, intentional self-harm, subsequent encounter ICD10CM N/A T65833D Toxic effect of fiberglass, assault, subsequent encounter ICD10CM N/A T65834D Toxic effect of fiberglass, undetermined, subsequent encounter ICD10CM Toxic effect of other specified substances, accidental (unintentional), subsequent N/A T65891D ICD10CM encounter Toxic effect of other specified substances, intentional self-harm, subsequent N/A T65892D ICD10CM encounter N/A T65893D Toxic effect of other specified substances, assault, subsequent encounter ICD10CM N/A T65894D Toxic effect of other specified substances, undetermined, subsequent encounter ICD10CM Toxic effect of unspecified substance, accidental (unintentional), subsequent N/A T6591XD ICD10CM encounter N/A T6592XD Toxic effect of unspecified substance, intentional self-harm, subsequent encounter ICD10CM N/A T6593XD Toxic effect of unspecified substance, assault, subsequent encounter ICD10CM N/A T6594XD Toxic effect of unspecified substance, undetermined, subsequent encounter ICD10CM N/A T66XXXD Radiation sickness, unspecified, subsequent encounter ICD10CM N/A T670XXD Heatstroke and sunstroke, subsequent encounter ICD10CM N/A T671XXD Heat syncope, subsequent encounter ICD10CM N/A T672XXD Heat cramp, subsequent encounter ICD10CM N/A T673XXD Heat exhaustion, anhydrotic, subsequent encounter ICD10CM N/A T674XXD Heat exhaustion due to salt depletion, subsequent encounter ICD10CM N/A T675XXD Heat exhaustion, unspecified, subsequent encounter ICD10CM N/A T676XXD Heat fatigue, transient, subsequent encounter ICD10CM N/A T677XXD Heat edema, subsequent encounter ICD10CM N/A T678XXD Other effects of heat and light, subsequent encounter ICD10CM N/A T679XXD Effect of heat and light, unspecified, subsequent encounter ICD10CM N/A T68XXXD Hypothermia, subsequent encounter ICD10CM N/A T69011D Immersion hand, right hand, subsequent encounter ICD10CM N/A T69012D Immersion hand, left hand, subsequent encounter ICD10CM N/A T69019D Immersion hand, unspecified hand, subsequent encounter ICD10CM N/A T69021D Immersion foot, right foot, subsequent encounter ICD10CM N/A T69022D Immersion foot, left foot, subsequent encounter ICD10CM N/A T69029D Immersion foot, unspecified foot, subsequent encounter ICD10CM N/A T691XXD Chilblains, subsequent encounter ICD10CM N/A T698XXD Other specified effects of reduced temperature, subsequent encounter ICD10CM N/A T699XXD Effect of reduced temperature, unspecified, subsequent encounter ICD10CM N/A T700XXD Otitic barotrauma, subsequent encounter ICD10CM N/A T701XXD Sinus barotrauma, subsequent encounter ICD10CM N/A T7020XD Unspecified effects of high altitude, subsequent encounter ICD10CM N/A T7029XD Other effects of high altitude, subsequent encounter ICD10CM N/A T703XXD Caisson disease [decompression sickness], subsequent encounter ICD10CM N/A T704XXD Effects of high-pressure fluids, subsequent encounter ICD10CM N/A T708XXD Other effects of air pressure and water pressure, subsequent encounter ICD10CM

268 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A T709XXD Effect of air pressure and water pressure, unspecified, subsequent encounter ICD10CM

N/A T71111D Asphyxiation due to smothering under pillow, accidental, subsequent encounter ICD10CM Asphyxiation due to smothering under pillow, intentional self-harm, subsequent N/A T71112D ICD10CM encounter N/A T71113D Asphyxiation due to smothering under pillow, assault, subsequent encounter ICD10CM

N/A T71114D Asphyxiation due to smothering under pillow, undetermined, subsequent encounter ICD10CM N/A T71121D Asphyxiation due to plastic bag, accidental, subsequent encounter ICD10CM N/A T71122D Asphyxiation due to plastic bag, intentional self-harm, subsequent encounter ICD10CM N/A T71123D Asphyxiation due to plastic bag, assault, subsequent encounter ICD10CM N/A T71124D Asphyxiation due to plastic bag, undetermined, subsequent encounter ICD10CM N/A T71131D Asphyxiation due to being trapped in bed linens, accidental, subsequent encounter ICD10CM Asphyxiation due to being trapped in bed linens, intentional self-harm, subsequent N/A T71132D ICD10CM encounter N/A T71133D Asphyxiation due to being trapped in bed linens, assault, subsequent encounter ICD10CM Asphyxiation due to being trapped in bed linens, undetermined, subsequent N/A T71134D ICD10CM encounter Asphyxiation due to smothering under another person's body (in bed), accidental, N/A T71141D ICD10CM subsequent encounter Asphyxiation due to smothering under another person's body (in bed), assault, N/A T71143D ICD10CM subsequent encounter Asphyxiation due to smothering under another person's body (in bed), N/A T71144D ICD10CM undetermined, subsequent encounter N/A T71151D Asphyxiation due to smothering in furniture, accidental, subsequent encounter ICD10CM Asphyxiation due to smothering in furniture, intentional self-harm, subsequent N/A T71152D ICD10CM encounter N/A T71153D Asphyxiation due to smothering in furniture, assault, subsequent encounter ICD10CM

N/A T71154D Asphyxiation due to smothering in furniture, undetermined, subsequent encounter ICD10CM N/A T71161D Asphyxiation due to hanging, accidental, subsequent encounter ICD10CM N/A T71162D Asphyxiation due to hanging, intentional self-harm, subsequent encounter ICD10CM N/A T71163D Asphyxiation due to hanging, assault, subsequent encounter ICD10CM N/A T71164D Asphyxiation due to hanging, undetermined, subsequent encounter ICD10CM Asphyxiation due to mechanical threat to breathing due to other causes, accidental, N/A T71191D ICD10CM subsequent encounter Asphyxiation due to mechanical threat to breathing due to other causes, intentional N/A T71192D ICD10CM self-harm, subsequent encounter

269 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Asphyxiation due to mechanical threat to breathing due to other causes, assault, N/A T71193D ICD10CM subsequent encounter Asphyxiation due to mechanical threat to breathing due to other causes, N/A T71194D ICD10CM undetermined, subsequent encounter Asphyxiation due to systemic oxygen deficiency due to low oxygen content in N/A T7120XD ICD10CM ambient air due to unspecified cause, subsequent encounter N/A T7121XD Asphyxiation due to cave-in or falling earth, subsequent encounter ICD10CM N/A T71221D Asphyxiation due to being trapped in a car trunk, accidental, subsequent encounter ICD10CM Asphyxiation due to being trapped in a car trunk, intentional self-harm, subsequent N/A T71222D ICD10CM encounter N/A T71223D Asphyxiation due to being trapped in a car trunk, assault, subsequent encounter ICD10CM Asphyxiation due to being trapped in a car trunk, undetermined, subsequent N/A T71224D ICD10CM encounter Asphyxiation due to being trapped in a (discarded) refrigerator, accidental, N/A T71231D ICD10CM subsequent encounter Asphyxiation due to being trapped in a (discarded) refrigerator, intentional self- N/A T71232D ICD10CM harm, subsequent encounter Asphyxiation due to being trapped in a (discarded) refrigerator, assault, subsequent N/A T71233D ICD10CM encounter Asphyxiation due to being trapped in a (discarded) refrigerator, undetermined, N/A T71234D ICD10CM subsequent encounter Asphyxiation due to being trapped in other low oxygen environment, subsequent N/A T7129XD ICD10CM encounter N/A T719XXD Asphyxiation due to unspecified cause, subsequent encounter ICD10CM N/A T730XXD Starvation, subsequent encounter ICD10CM N/A T731XXD Deprivation of water, subsequent encounter ICD10CM N/A T732XXD Exhaustion due to exposure, subsequent encounter ICD10CM N/A T733XXD Exhaustion due to excessive exertion, subsequent encounter ICD10CM N/A T738XXD Other effects of deprivation, subsequent encounter ICD10CM N/A T739XXD Effect of deprivation, unspecified, subsequent encounter ICD10CM N/A T7401XD Adult neglect or abandonment, confirmed, subsequent encounter ICD10CM N/A T7402XD Child neglect or abandonment, confirmed, subsequent encounter ICD10CM N/A T7411XD Adult physical abuse, confirmed, subsequent encounter ICD10CM N/A T7412XD Child physical abuse, confirmed, subsequent encounter ICD10CM N/A T7421XD Adult sexual abuse, confirmed, subsequent encounter ICD10CM N/A T7422XD Child sexual abuse, confirmed, subsequent encounter ICD10CM N/A T7431XD Adult psychological abuse, confirmed, subsequent encounter ICD10CM N/A T7432XD Child psychological abuse, confirmed, subsequent encounter ICD10CM N/A T744XXD Shaken infant syndrome, subsequent encounter ICD10CM N/A T7491XD Unspecified adult maltreatment, confirmed, subsequent encounter ICD10CM N/A T7492XD Unspecified child maltreatment, confirmed, subsequent encounter ICD10CM N/A T7500XD Unspecified effects of lightning, subsequent encounter ICD10CM N/A T7501XD Shock due to being struck by lightning, subsequent encounter ICD10CM N/A T7509XD Other effects of lightning, subsequent encounter ICD10CM

270 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A T751XXD Unspecified effects of drowning and nonfatal submersion, subsequent encounter ICD10CM N/A T7520XD Unspecified effects of vibration, subsequent encounter ICD10CM N/A T7521XD Pneumatic hammer syndrome, subsequent encounter ICD10CM N/A T7522XD Traumatic vasospastic syndrome, subsequent encounter ICD10CM N/A T7523XD Vertigo from infrasound, subsequent encounter ICD10CM N/A T7529XD Other effects of vibration, subsequent encounter ICD10CM N/A T753XXD Motion sickness, subsequent encounter ICD10CM N/A T754XXD Electrocution, subsequent encounter ICD10CM N/A T7581XD Effects of abnormal gravitation [G] forces, subsequent encounter ICD10CM N/A T7582XD Effects of weightlessness, subsequent encounter ICD10CM N/A T7589XD Other specified effects of external causes, subsequent encounter ICD10CM N/A T7601XD Adult neglect or abandonment, suspected, subsequent encounter ICD10CM N/A T7602XD Child neglect or abandonment, suspected, subsequent encounter ICD10CM N/A T7611XD Adult physical abuse, suspected, subsequent encounter ICD10CM N/A T7612XD Child physical abuse, suspected, subsequent encounter ICD10CM N/A T7621XD Adult sexual abuse, suspected, subsequent encounter ICD10CM N/A T7622XD Child sexual abuse, suspected, subsequent encounter ICD10CM N/A T7631XD Adult psychological abuse, suspected, subsequent encounter ICD10CM N/A T7632XD Child psychological abuse, suspected, subsequent encounter ICD10CM N/A T7691XD Unspecified adult maltreatment, suspected, subsequent encounter ICD10CM N/A T7692XD Unspecified child maltreatment, suspected, subsequent encounter ICD10CM N/A T7800XD Anaphylactic reaction due to unspecified food, subsequent encounter ICD10CM N/A T7801XD Anaphylactic reaction due to peanuts, subsequent encounter ICD10CM N/A T7802XD Anaphylactic reaction due to shellfish (crustaceans), subsequent encounter ICD10CM N/A T7803XD Anaphylactic reaction due to other fish, subsequent encounter ICD10CM N/A T7804XD Anaphylactic reaction due to fruits and vegetables, subsequent encounter ICD10CM N/A T7805XD Anaphylactic reaction due to tree nuts and seeds, subsequent encounter ICD10CM N/A T7806XD Anaphylactic reaction due to food additives, subsequent encounter ICD10CM N/A T7807XD Anaphylactic reaction due to milk and dairy products, subsequent encounter ICD10CM N/A T7808XD Anaphylactic reaction due to eggs, subsequent encounter ICD10CM N/A T7809XD Anaphylactic reaction due to other food products, subsequent encounter ICD10CM N/A T781XXD Other adverse food reactions, not elsewhere classified, subsequent encounter ICD10CM N/A T782XXD Anaphylactic shock, unspecified, subsequent encounter ICD10CM N/A T783XXD Angioneurotic edema, subsequent encounter ICD10CM N/A T7840XD Allergy, unspecified, subsequent encounter ICD10CM N/A T7841XD Arthus phenomenon, subsequent encounter ICD10CM N/A T7849XD Other allergy, subsequent encounter ICD10CM N/A T788XXD Other adverse effects, not elsewhere classified, subsequent encounter ICD10CM N/A T790XXD Air embolism (traumatic), subsequent encounter ICD10CM N/A T791XXD Fat embolism (traumatic), subsequent encounter ICD10CM N/A T792XXD Traumatic secondary and recurrent hemorrhage and seroma, subsequent encounter ICD10CM

271 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A T794XXD Traumatic shock, subsequent encounter ICD10CM N/A T795XXD Traumatic anuria, subsequent encounter ICD10CM N/A T796XXD Traumatic ischemia of muscle, subsequent encounter ICD10CM N/A T797XXD Traumatic subcutaneous emphysema, subsequent encounter ICD10CM N/A T798XXD Other early complications of trauma, subsequent encounter ICD10CM N/A T799XXD Unspecified early complication of trauma, subsequent encounter ICD10CM N/A T79A0XD Compartment syndrome, unspecified, subsequent encounter ICD10CM N/A T79A11D Traumatic compartment syndrome of right upper extremity, subsequent encounter ICD10CM

N/A T79A12D Traumatic compartment syndrome of left upper extremity, subsequent encounter ICD10CM Traumatic compartment syndrome of unspecified upper extremity, subsequent N/A T79A19D ICD10CM encounter N/A T79A21D Traumatic compartment syndrome of right lower extremity, subsequent encounter ICD10CM

N/A T79A22D Traumatic compartment syndrome of left lower extremity, subsequent encounter ICD10CM Traumatic compartment syndrome of unspecified lower extremity, subsequent N/A T79A29D ICD10CM encounter N/A T79A3XD Traumatic compartment syndrome of abdomen, subsequent encounter ICD10CM N/A T79A9XD Traumatic compartment syndrome of other sites, subsequent encounter ICD10CM Air embolism following infusion, transfusion and therapeutic injection, subsequent N/A T800XXD ICD10CM encounter Vascular complications following infusion, transfusion and therapeutic injection, N/A T801XXD ICD10CM subsequent encounter N/A T80211D Bloodstream infection due to central venous catheter, subsequent encounter ICD10CM N/A T80212D Local infection due to central venous catheter, subsequent encounter ICD10CM N/A T80218D Other infection due to central venous catheter, subsequent encounter ICD10CM N/A T80219D Unspecified infection due to central venous catheter, subsequent encounter ICD10CM Acute infection following transfusion, infusion, or injection of blood and blood N/A T8022XD ICD10CM products, subsequent encounter Infection following other infusion, transfusion and therapeutic injection, subsequent N/A T8029XD ICD10CM encounter ABO incompatibility reaction due to transfusion of blood or blood products, N/A T8030XD ICD10CM unspecified, subsequent encounter ABO incompatibility with acute hemolytic transfusion reaction, subsequent N/A T80310D ICD10CM encounter ABO incompatibility with delayed hemolytic transfusion reaction, subsequent N/A T80311D ICD10CM encounter ABO incompatibility with hemolytic transfusion reaction, unspecified, subsequent N/A T80319D ICD10CM encounter Other ABO incompatibility reaction due to transfusion of blood or blood products, N/A T8039XD ICD10CM subsequent encounter Rh incompatibility reaction due to transfusion of blood or blood products, N/A T8040XD ICD10CM unspecified, subsequent encounter

272 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A T80410D Rh incompatibility with acute hemolytic transfusion reaction, subsequent encounter ICD10CM Rh incompatibility with delayed hemolytic transfusion reaction, subsequent N/A T80411D ICD10CM encounter Rh incompatibility with hemolytic transfusion reaction, unspecified, subsequent N/A T80419D ICD10CM encounter Other Rh incompatibility reaction due to transfusion of blood or blood products, N/A T8049XD ICD10CM subsequent encounter Anaphylactic reaction due to administration of blood and blood products, N/A T8051XD ICD10CM subsequent encounter N/A T8052XD Anaphylactic reaction due to vaccination, subsequent encounter ICD10CM N/A T8059XD Anaphylactic reaction due to other serum, subsequent encounter ICD10CM Other serum reaction due to administration of blood and blood products, N/A T8061XD ICD10CM subsequent encounter N/A T8062XD Other serum reaction due to vaccination, subsequent encounter ICD10CM N/A T8069XD Other serum reaction due to other serum, subsequent encounter ICD10CM N/A T80810D Extravasation of vesicant antineoplastic chemotherapy, subsequent encounter ICD10CM N/A T80818D Extravasation of other vesicant agent, subsequent encounter ICD10CM Other complications following infusion, transfusion and therapeutic injection, N/A T8089XD ICD10CM subsequent encounter Unspecified complication following infusion and therapeutic injection, subsequent N/A T8090XD ICD10CM encounter Acute hemolytic transfusion reaction, unspecified incompatibility, subsequent N/A T80910D ICD10CM encounter Delayed hemolytic transfusion reaction, unspecified incompatibility, subsequent N/A T80911D ICD10CM encounter Hemolytic transfusion reaction, unspecified incompatibility, unspecified as acute or N/A T80919D ICD10CM delayed, subsequent encounter N/A T8092XD Unspecified transfusion reaction, subsequent encounter ICD10CM Non-ABO incompatibility reaction due to transfusion of blood or blood products, N/A T80A0XD ICD10CM unspecified, subsequent encounter Non-ABO incompatibility with acute hemolytic transfusion reaction, subsequent N/A T80A10D ICD10CM encounter Non-ABO incompatibility with delayed hemolytic transfusion reaction, subsequent N/A T80A11D ICD10CM encounter Non-ABO incompatibility with hemolytic transfusion reaction, unspecified, N/A T80A19D ICD10CM subsequent encounter Other non-ABO incompatibility reaction due to transfusion of blood or blood N/A T80A9XD ICD10CM products, subsequent encounter N/A T8110XD Postprocedural shock unspecified, subsequent encounter ICD10CM N/A T8111XD Postprocedural cardiogenic shock, subsequent encounter ICD10CM N/A T8112XD Postprocedural septic shock, subsequent encounter ICD10CM N/A T8119XD Other postprocedural shock, subsequent encounter ICD10CM N/A T8130XD Disruption of wound, unspecified, subsequent encounter ICD10CM Disruption of external operation (surgical) wound, not elsewhere classified, N/A T8131XD ICD10CM subsequent encounter

273 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Disruption of internal operation (surgical) wound, not elsewhere classified, N/A T8132XD ICD10CM subsequent encounter N/A T8133XD Disruption of traumatic injury wound repair, subsequent encounter ICD10CM N/A T814XXD Infection following a procedure, subsequent encounter ICD10CM Unspecified complication of foreign body accidentally left in body following surgical N/A T81500D ICD10CM operation, subsequent encounter Unspecified complication of foreign body accidentally left in body following infusion N/A T81501D ICD10CM or transfusion, subsequent encounter Unspecified complication of foreign body accidentally left in body following kidney N/A T81502D ICD10CM dialysis, subsequent encounter Unspecified complication of foreign body accidentally left in body following injection N/A T81503D ICD10CM or immunization, subsequent encounter Unspecified complication of foreign body accidentally left in body following N/A T81504D ICD10CM endoscopic examination, subsequent encounter Unspecified complication of foreign body accidentally left in body following heart N/A T81505D ICD10CM catheterization, subsequent encounter Unspecified complication of foreign body accidentally left in body following N/A T81506D ICD10CM aspiration, puncture or other catheterization, subsequent encounter Unspecified complication of foreign body accidentally left in body following removal N/A T81507D ICD10CM of catheter or packing, subsequent encounter Unspecified complication of foreign body accidentally left in body following other N/A T81508D ICD10CM procedure, subsequent encounter Unspecified complication of foreign body accidentally left in body following N/A T81509D ICD10CM unspecified procedure, subsequent encounter Adhesions due to foreign body accidentally left in body following surgical operation, N/A T81510D ICD10CM subsequent encounter Adhesions due to foreign body accidentally left in body following infusion or N/A T81511D ICD10CM transfusion, subsequent encounter Adhesions due to foreign body accidentally left in body following kidney dialysis, N/A T81512D ICD10CM subsequent encounter Adhesions due to foreign body accidentally left in body following injection or N/A T81513D ICD10CM immunization, subsequent encounter Adhesions due to foreign body accidentally left in body following endoscopic N/A T81514D ICD10CM examination, subsequent encounter Adhesions due to foreign body accidentally left in body following heart N/A T81515D ICD10CM catheterization, subsequent encounter Adhesions due to foreign body accidentally left in body following aspiration, N/A T81516D ICD10CM puncture or other catheterization, subsequent encounter Adhesions due to foreign body accidentally left in body following removal of N/A T81517D ICD10CM catheter or packing, subsequent encounter Adhesions due to foreign body accidentally left in body following other procedure, N/A T81518D ICD10CM subsequent encounter Adhesions due to foreign body accidentally left in body following unspecified N/A T81519D ICD10CM procedure, subsequent encounter Obstruction due to foreign body accidentally left in body following surgical N/A T81520D ICD10CM operation, subsequent encounter

274 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Obstruction due to foreign body accidentally left in body following infusion or N/A T81521D ICD10CM transfusion, subsequent encounter Obstruction due to foreign body accidentally left in body following kidney dialysis, N/A T81522D ICD10CM subsequent encounter Obstruction due to foreign body accidentally left in body following injection or N/A T81523D ICD10CM immunization, subsequent encounter Obstruction due to foreign body accidentally left in body following endoscopic N/A T81524D ICD10CM examination, subsequent encounter Obstruction due to foreign body accidentally left in body following heart N/A T81525D ICD10CM catheterization, subsequent encounter Obstruction due to foreign body accidentally left in body following aspiration, N/A T81526D ICD10CM puncture or other catheterization, subsequent encounter Obstruction due to foreign body accidentally left in body following removal of N/A T81527D ICD10CM catheter or packing, subsequent encounter Obstruction due to foreign body accidentally left in body following other procedure, N/A T81528D ICD10CM subsequent encounter Obstruction due to foreign body accidentally left in body following unspecified N/A T81529D ICD10CM procedure, subsequent encounter Perforation due to foreign body accidentally left in body following surgical operation, N/A T81530D ICD10CM subsequent encounter Perforation due to foreign body accidentally left in body following infusion or N/A T81531D ICD10CM transfusion, subsequent encounter Perforation due to foreign body accidentally left in body following kidney dialysis, N/A T81532D ICD10CM subsequent encounter Perforation due to foreign body accidentally left in body following injection or N/A T81533D ICD10CM immunization, subsequent encounter Perforation due to foreign body accidentally left in body following endoscopic N/A T81534D ICD10CM examination, subsequent encounter Perforation due to foreign body accidentally left in body following heart N/A T81535D ICD10CM catheterization, subsequent encounter Perforation due to foreign body accidentally left in body following aspiration, N/A T81536D ICD10CM puncture or other catheterization, subsequent encounter Perforation due to foreign body accidentally left in body following removal of N/A T81537D ICD10CM catheter or packing, subsequent encounter Perforation due to foreign body accidentally left in body following other procedure, N/A T81538D ICD10CM subsequent encounter Perforation due to foreign body accidentally left in body following unspecified N/A T81539D ICD10CM procedure, subsequent encounter Other complications of foreign body accidentally left in body following surgical N/A T81590D ICD10CM operation, subsequent encounter Other complications of foreign body accidentally left in body following infusion or N/A T81591D ICD10CM transfusion, subsequent encounter Other complications of foreign body accidentally left in body following kidney N/A T81592D ICD10CM dialysis, subsequent encounter Other complications of foreign body accidentally left in body following injection or N/A T81593D ICD10CM immunization, subsequent encounter

275 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Other complications of foreign body accidentally left in body following endoscopic N/A T81594D ICD10CM examination, subsequent encounter Other complications of foreign body accidentally left in body following heart N/A T81595D ICD10CM catheterization, subsequent encounter Other complications of foreign body accidentally left in body following aspiration, N/A T81596D ICD10CM puncture or other catheterization, subsequent encounter Other complications of foreign body accidentally left in body following removal of N/A T81597D ICD10CM catheter or packing, subsequent encounter Other complications of foreign body accidentally left in body following other N/A T81598D ICD10CM procedure, subsequent encounter Other complications of foreign body accidentally left in body following unspecified N/A T81599D ICD10CM procedure, subsequent encounter Unspecified acute reaction to foreign substance accidentally left during a procedure, N/A T8160XD ICD10CM subsequent encounter Aseptic peritonitis due to foreign substance accidentally left during a procedure, N/A T8161XD ICD10CM subsequent encounter Other acute reaction to foreign substance accidentally left during a procedure, N/A T8169XD ICD10CM subsequent encounter Complication of mesenteric artery following a procedure, not elsewhere classified, N/A T81710D ICD10CM subsequent encounter Complication of renal artery following a procedure, not elsewhere classified, N/A T81711D ICD10CM subsequent encounter Complication of other artery following a procedure, not elsewhere classified, N/A T81718D ICD10CM subsequent encounter Complication of unspecified artery following a procedure, not elsewhere classified, N/A T81719D ICD10CM subsequent encounter Complication of vein following a procedure, not elsewhere classified, subsequent N/A T8172XD ICD10CM encounter N/A T8181XD Complication of inhalation therapy, subsequent encounter ICD10CM N/A T8182XD Emphysema (subcutaneous) resulting from a procedure, subsequent encounter ICD10CM N/A T8183XD Persistent postprocedural fistula, subsequent encounter ICD10CM N/A T8189XD Other complications of procedures, not elsewhere classified, subsequent encounter ICD10CM N/A T819XXD Unspecified complication of procedure, subsequent encounter ICD10CM N/A T8201XD Breakdown (mechanical) of heart valve prosthesis, subsequent encounter ICD10CM N/A T8202XD Displacement of heart valve prosthesis, subsequent encounter ICD10CM N/A T8203XD Leakage of heart valve prosthesis, subsequent encounter ICD10CM N/A T8209XD Other mechanical complication of heart valve prosthesis, subsequent encounter ICD10CM N/A T82110D Breakdown (mechanical) of cardiac electrode, subsequent encounter ICD10CM N/A T82111D Breakdown (mechanical) of cardiac pulse generator (battery), subsequent encounter ICD10CM

N/A T82118D Breakdown (mechanical) of other cardiac electronic device, subsequent encounter ICD10CM Breakdown (mechanical) of unspecified cardiac electronic device, subsequent N/A T82119D ICD10CM encounter

276 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A T82120D Displacement of cardiac electrode, subsequent encounter ICD10CM N/A T82121D Displacement of cardiac pulse generator (battery), subsequent encounter ICD10CM N/A T82128D Displacement of other cardiac electronic device, subsequent encounter ICD10CM N/A T82129D Displacement of unspecified cardiac electronic device, subsequent encounter ICD10CM

N/A T82190D Other mechanical complication of cardiac electrode, subsequent encounter ICD10CM Other mechanical complication of cardiac pulse generator (battery), subsequent N/A T82191D ICD10CM encounter Other mechanical complication of other cardiac electronic device, subsequent N/A T82198D ICD10CM encounter N/A T82199D Other mechanical complication of unspecified cardiac device, subsequent encounter ICD10CM

N/A T82211D Breakdown (mechanical) of coronary artery bypass graft, subsequent encounter ICD10CM N/A T82212D Displacement of coronary artery bypass graft, subsequent encounter ICD10CM N/A T82213D Leakage of coronary artery bypass graft, subsequent encounter ICD10CM Other mechanical complication of coronary artery bypass graft, subsequent N/A T82218D ICD10CM encounter N/A T82221D Breakdown (mechanical) of biological heart valve graft, subsequent encounter ICD10CM N/A T82222D Displacement of biological heart valve graft, subsequent encounter ICD10CM N/A T82223D Leakage of biological heart valve graft, subsequent encounter ICD10CM N/A T82228D Other mechanical complication of biological heart valve graft, subsequent encounter ICD10CM Breakdown (mechanical) of aortic (bifurcation) graft (replacement), subsequent N/A T82310D ICD10CM encounter N/A T82311D Breakdown (mechanical) of carotid arterial graft (bypass), subsequent encounter ICD10CM

N/A T82312D Breakdown (mechanical) of femoral arterial graft (bypass), subsequent encounter ICD10CM N/A T82318D Breakdown (mechanical) of other vascular grafts, subsequent encounter ICD10CM N/A T82319D Breakdown (mechanical) of unspecified vascular grafts, subsequent encounter ICD10CM

N/A T82320D Displacement of aortic (bifurcation) graft (replacement), subsequent encounter ICD10CM N/A T82321D Displacement of carotid arterial graft (bypass), subsequent encounter ICD10CM N/A T82322D Displacement of femoral arterial graft (bypass), subsequent encounter ICD10CM N/A T82328D Displacement of other vascular grafts, subsequent encounter ICD10CM N/A T82329D Displacement of unspecified vascular grafts, subsequent encounter ICD10CM N/A T82330D Leakage of aortic (bifurcation) graft (replacement), subsequent encounter ICD10CM N/A T82331D Leakage of carotid arterial graft (bypass), subsequent encounter ICD10CM N/A T82332D Leakage of femoral arterial graft (bypass), subsequent encounter ICD10CM N/A T82338D Leakage of other vascular grafts, subsequent encounter ICD10CM N/A T82339D Leakage of unspecified vascular graft, subsequent encounter ICD10CM

277 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Other mechanical complication of aortic (bifurcation) graft (replacement), N/A T82390D ICD10CM subsequent encounter Other mechanical complication of carotid arterial graft (bypass), subsequent N/A T82391D ICD10CM encounter Other mechanical complication of femoral arterial graft (bypass), subsequent N/A T82392D ICD10CM encounter N/A T82398D Other mechanical complication of other vascular grafts, subsequent encounter ICD10CM

N/A T82399D Other mechanical complication of unspecified vascular grafts, subsequent encounter ICD10CM

N/A T8241XD Breakdown (mechanical) of vascular dialysis catheter, subsequent encounter ICD10CM N/A T8242XD Displacement of vascular dialysis catheter, subsequent encounter ICD10CM N/A T8243XD Leakage of vascular dialysis catheter, subsequent encounter ICD10CM N/A T8249XD Other complication of vascular dialysis catheter, subsequent encounter ICD10CM Breakdown (mechanical) of surgically created arteriovenous fistula, subsequent N/A T82510D ICD10CM encounter Breakdown (mechanical) of surgically created arteriovenous shunt, subsequent N/A T82511D ICD10CM encounter N/A T82512D Breakdown (mechanical) of artificial heart, subsequent encounter ICD10CM Breakdown (mechanical) of balloon (counterpulsation) device, subsequent N/A T82513D ICD10CM encounter N/A T82514D Breakdown (mechanical) of infusion catheter, subsequent encounter ICD10CM N/A T82515D Breakdown (mechanical) of umbrella device, subsequent encounter ICD10CM Breakdown (mechanical) of other cardiac and vascular devices and implants, N/A T82518D ICD10CM subsequent encounter Breakdown (mechanical) of unspecified cardiac and vascular devices and implants, N/A T82519D ICD10CM subsequent encounter N/A T82520D Displacement of surgically created arteriovenous fistula, subsequent encounter ICD10CM

N/A T82521D Displacement of surgically created arteriovenous shunt, subsequent encounter ICD10CM N/A T82522D Displacement of artificial heart, subsequent encounter ICD10CM N/A T82523D Displacement of balloon (counterpulsation) device, subsequent encounter ICD10CM N/A T82524D Displacement of infusion catheter, subsequent encounter ICD10CM N/A T82525D Displacement of umbrella device, subsequent encounter ICD10CM Displacement of other cardiac and vascular devices and implants, subsequent N/A T82528D ICD10CM encounter Displacement of unspecified cardiac and vascular devices and implants, subsequent N/A T82529D ICD10CM encounter N/A T82530D Leakage of surgically created arteriovenous fistula, subsequent encounter ICD10CM N/A T82531D Leakage of surgically created arteriovenous shunt, subsequent encounter ICD10CM N/A T82532D Leakage of artificial heart, subsequent encounter ICD10CM N/A T82533D Leakage of balloon (counterpulsation) device, subsequent encounter ICD10CM N/A T82534D Leakage of infusion catheter, subsequent encounter ICD10CM

278 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A T82535D Leakage of umbrella device, subsequent encounter ICD10CM N/A T82538D Leakage of other cardiac and vascular devices and implants, subsequent encounter ICD10CM Leakage of unspecified cardiac and vascular devices and implants, subsequent N/A T82539D ICD10CM encounter Other mechanical complication of surgically created arteriovenous fistula, N/A T82590D ICD10CM subsequent encounter Other mechanical complication of surgically created arteriovenous shunt, N/A T82591D ICD10CM subsequent encounter N/A T82592D Other mechanical complication of artificial heart, subsequent encounter ICD10CM Other mechanical complication of balloon (counterpulsation) device, subsequent N/A T82593D ICD10CM encounter N/A T82594D Other mechanical complication of infusion catheter, subsequent encounter ICD10CM

N/A T82595D Other mechanical complication of umbrella device, subsequent encounter ICD10CM Other mechanical complication of other cardiac and vascular devices and implants, N/A T82598D ICD10CM subsequent encounter Other mechanical complication of unspecified cardiac and vascular devices and N/A T82599D ICD10CM implants, subsequent encounter Infection and inflammatory reaction due to cardiac valve prosthesis, subsequent N/A T826XXD ICD10CM encounter Infection and inflammatory reaction due to other cardiac and vascular devices, N/A T827XXD ICD10CM implants and grafts, subsequent encounter N/A T82817D Embolism of cardiac prosthetic devices, implants and grafts, subsequent encounter ICD10CM

N/A T82818D Embolism of vascular prosthetic devices, implants and grafts, subsequent encounter ICD10CM

N/A T82827D Fibrosis of cardiac prosthetic devices, implants and grafts, subsequent encounter ICD10CM

N/A T82828D Fibrosis of vascular prosthetic devices, implants and grafts, subsequent encounter ICD10CM Hemorrhage of cardiac prosthetic devices, implants and grafts, subsequent N/A T82837D ICD10CM encounter Hemorrhage of vascular prosthetic devices, implants and grafts, subsequent N/A T82838D ICD10CM encounter N/A T82847D Pain from cardiac prosthetic devices, implants and grafts, subsequent encounter ICD10CM

N/A T82848D Pain from vascular prosthetic devices, implants and grafts, subsequent encounter ICD10CM

N/A T82857D Stenosis of cardiac prosthetic devices, implants and grafts, subsequent encounter ICD10CM

N/A T82858D Stenosis of vascular prosthetic devices, implants and grafts, subsequent encounter ICD10CM

N/A T82867D Thrombosis of cardiac prosthetic devices, implants and grafts, subsequent encounter ICD10CM

279 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Thrombosis of vascular prosthetic devices, implants and grafts, subsequent N/A T82868D ICD10CM encounter Other specified complication of cardiac prosthetic devices, implants and grafts, N/A T82897D ICD10CM subsequent encounter Other specified complication of vascular prosthetic devices, implants and grafts, N/A T82898D ICD10CM subsequent encounter Unspecified complication of cardiac and vascular prosthetic device, implant and N/A T829XXD ICD10CM graft, subsequent encounter N/A T83010D Breakdown (mechanical) of cystostomy catheter, subsequent encounter ICD10CM Breakdown (mechanical) of other indwelling urethral catheter, subsequent N/A T83018D ICD10CM encounter N/A T83020D Displacement of cystostomy catheter, subsequent encounter ICD10CM N/A T83028D Displacement of other indwelling urethral catheter, subsequent encounter ICD10CM N/A T83030D Leakage of cystostomy catheter, subsequent encounter ICD10CM N/A T83038D Leakage of other indwelling urethral catheter, subsequent encounter ICD10CM N/A T83090D Other mechanical complication of cystostomy catheter, subsequent encounter ICD10CM Other mechanical complication of other indwelling urethral catheter, subsequent N/A T83098D ICD10CM encounter Breakdown (mechanical) of urinary electronic stimulator device, subsequent N/A T83110D ICD10CM encounter N/A T83111D Breakdown (mechanical) of urinary sphincter implant, subsequent encounter ICD10CM N/A T83112D Breakdown (mechanical) of urinary stent, subsequent encounter ICD10CM Breakdown (mechanical) of other urinary devices and implants, subsequent N/A T83118D ICD10CM encounter N/A T83120D Displacement of urinary electronic stimulator device, subsequent encounter ICD10CM N/A T83121D Displacement of urinary sphincter implant, subsequent encounter ICD10CM N/A T83122D Displacement of urinary stent, subsequent encounter ICD10CM N/A T83128D Displacement of other urinary devices and implants, subsequent encounter ICD10CM Other mechanical complication of urinary electronic stimulator device, subsequent N/A T83190D ICD10CM encounter N/A T83191D Other mechanical complication of urinary sphincter implant, subsequent encounter ICD10CM N/A T83192D Other mechanical complication of urinary stent, subsequent encounter ICD10CM Other mechanical complication of other urinary devices and implants, subsequent N/A T83198D ICD10CM encounter N/A T8321XD Breakdown (mechanical) of graft of urinary organ, subsequent encounter ICD10CM N/A T8322XD Displacement of graft of urinary organ, subsequent encounter ICD10CM N/A T8323XD Leakage of graft of urinary organ, subsequent encounter ICD10CM N/A T8329XD Other mechanical complication of graft of urinary organ, subsequent encounter ICD10CM Breakdown (mechanical) of intrauterine contraceptive device, subsequent N/A T8331XD ICD10CM encounter

280 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A T8332XD Displacement of intrauterine contraceptive device, subsequent encounter ICD10CM Other mechanical complication of intrauterine contraceptive device, subsequent N/A T8339XD ICD10CM encounter N/A T83410D Breakdown (mechanical) of penile (implanted) prosthesis, subsequent encounter ICD10CM Breakdown (mechanical) of other prosthetic devices, implants and grafts of genital N/A T83418D ICD10CM tract, subsequent encounter N/A T83420D Displacement of penile (implanted) prosthesis, subsequent encounter ICD10CM Displacement of other prosthetic devices, implants and grafts of genital tract, N/A T83428D ICD10CM subsequent encounter Other mechanical complication of penile (implanted) prosthesis, subsequent N/A T83490D ICD10CM encounter Other mechanical complication of other prosthetic devices, implants and grafts of N/A T83498D ICD10CM genital tract, subsequent encounter Infection and inflammatory reaction due to indwelling urinary catheter, subsequent N/A T8351XD ICD10CM encounter Infection and inflammatory reaction due to prosthetic device, implant and graft in N/A T8359XD ICD10CM urinary system, subsequent encounter Infection and inflammatory reaction due to prosthetic device, implant and graft in N/A T836XXD ICD10CM genital tract, subsequent encounter Erosion of implanted vaginal mesh and other prosthetic materials to surrounding N/A T83711D ICD10CM organ or tissue, subsequent encounter Erosion of other implanted mesh and other prosthetic materials to surrounding N/A T83718D ICD10CM organ or tissue, subsequent encounter Exposure of implanted vaginal mesh and other prosthetic materials into vagina, N/A T83721D ICD10CM subsequent encounter Exposure of other implanted mesh and other prosthetic materials to surrounding N/A T83728D ICD10CM organ or tissue, subsequent encounter Embolism of genitourinary prosthetic devices, implants and grafts, subsequent N/A T8381XD ICD10CM encounter Fibrosis of genitourinary prosthetic devices, implants and grafts, subsequent N/A T8382XD ICD10CM encounter Hemorrhage of genitourinary prosthetic devices, implants and grafts, subsequent N/A T8383XD ICD10CM encounter Pain from genitourinary prosthetic devices, implants and grafts, subsequent N/A T8384XD ICD10CM encounter Stenosis of genitourinary prosthetic devices, implants and grafts, subsequent N/A T8385XD ICD10CM encounter Thrombosis of genitourinary prosthetic devices, implants and grafts, subsequent N/A T8386XD ICD10CM encounter Other specified complication of genitourinary prosthetic devices, implants and N/A T8389XD ICD10CM grafts, subsequent encounter Unspecified complication of genitourinary prosthetic device, implant and graft, N/A T839XXD ICD10CM subsequent encounter N/A T84010D Broken internal right hip prosthesis, subsequent encounter ICD10CM N/A T84011D Broken internal left hip prosthesis, subsequent encounter ICD10CM

281 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A T84012D Broken internal right knee prosthesis, subsequent encounter ICD10CM N/A T84013D Broken internal left knee prosthesis, subsequent encounter ICD10CM N/A T84018D Broken internal joint prosthesis, other site, subsequent encounter ICD10CM N/A T84019D Broken internal joint prosthesis, unspecified site, subsequent encounter ICD10CM N/A T84020D Dislocation of internal right hip prosthesis, subsequent encounter ICD10CM N/A T84021D Dislocation of internal left hip prosthesis, subsequent encounter ICD10CM N/A T84022D Instability of internal right knee prosthesis, subsequent encounter ICD10CM N/A T84023D Instability of internal left knee prosthesis, subsequent encounter ICD10CM N/A T84028D Dislocation of other internal joint prosthesis, subsequent encounter ICD10CM N/A T84029D Dislocation of unspecified internal joint prosthesis, subsequent encounter ICD10CM

N/A T84030D Mechanical loosening of internal right hip prosthetic joint, subsequent encounter ICD10CM

N/A T84031D Mechanical loosening of internal left hip prosthetic joint, subsequent encounter ICD10CM

N/A T84032D Mechanical loosening of internal right knee prosthetic joint, subsequent encounter ICD10CM

N/A T84033D Mechanical loosening of internal left knee prosthetic joint, subsequent encounter ICD10CM

N/A T84038D Mechanical loosening of other internal prosthetic joint, subsequent encounter ICD10CM

N/A T84039D Mechanical loosening of unspecified internal prosthetic joint, subsequent encounter ICD10CM

N/A T84050D Periprosthetic osteolysis of internal prosthetic right hip joint, subsequent encounter ICD10CM

N/A T84051D Periprosthetic osteolysis of internal prosthetic left hip joint, subsequent encounter ICD10CM Periprosthetic osteolysis of internal prosthetic right knee joint, subsequent N/A T84052D ICD10CM encounter N/A T84053D Periprosthetic osteolysis of internal prosthetic left knee joint, subsequent encounter ICD10CM

N/A T84058D Periprosthetic osteolysis of other internal prosthetic joint, subsequent encounter ICD10CM Periprosthetic osteolysis of unspecified internal prosthetic joint, subsequent N/A T84059D ICD10CM encounter Wear of articular bearing surface of internal prosthetic right hip joint, subsequent N/A T84060D ICD10CM encounter Wear of articular bearing surface of internal prosthetic left hip joint, subsequent N/A T84061D ICD10CM encounter Wear of articular bearing surface of internal prosthetic right knee joint, subsequent N/A T84062D ICD10CM encounter Wear of articular bearing surface of internal prosthetic left knee joint, subsequent N/A T84063D ICD10CM encounter Wear of articular bearing surface of other internal prosthetic joint, subsequent N/A T84068D ICD10CM encounter Wear of articular bearing surface of unspecified internal prosthetic joint, subsequent N/A T84069D ICD10CM encounter

282 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Other mechanical complication of internal right hip prosthesis, subsequent N/A T84090D ICD10CM encounter N/A T84091D Other mechanical complication of internal left hip prosthesis, subsequent encounter ICD10CM Other mechanical complication of internal right knee prosthesis, subsequent N/A T84092D ICD10CM encounter Other mechanical complication of internal left knee prosthesis, subsequent N/A T84093D ICD10CM encounter Other mechanical complication of other internal joint prosthesis, subsequent N/A T84098D ICD10CM encounter Other mechanical complication of unspecified internal joint prosthesis, subsequent N/A T84099D ICD10CM encounter Breakdown (mechanical) of internal fixation device of right humerus, subsequent N/A T84110D ICD10CM encounter Breakdown (mechanical) of internal fixation device of left humerus, subsequent N/A T84111D ICD10CM encounter Breakdown (mechanical) of internal fixation device of bone of right forearm, N/A T84112D ICD10CM subsequent encounter Breakdown (mechanical) of internal fixation device of bone of left forearm, N/A T84113D ICD10CM subsequent encounter Breakdown (mechanical) of internal fixation device of right femur, subsequent N/A T84114D ICD10CM encounter Breakdown (mechanical) of internal fixation device of left femur, subsequent N/A T84115D ICD10CM encounter Breakdown (mechanical) of internal fixation device of bone of right lower leg, N/A T84116D ICD10CM subsequent encounter Breakdown (mechanical) of internal fixation device of bone of left lower leg, N/A T84117D ICD10CM subsequent encounter Breakdown (mechanical) of internal fixation device of unspecified bone of limb, N/A T84119D ICD10CM subsequent encounter N/A T84120D Displacement of internal fixation device of right humerus, subsequent encounter ICD10CM

N/A T84121D Displacement of internal fixation device of left humerus, subsequent encounter ICD10CM Displacement of internal fixation device of bone of right forearm, subsequent N/A T84122D ICD10CM encounter Displacement of internal fixation device of bone of left forearm, subsequent N/A T84123D ICD10CM encounter N/A T84124D Displacement of internal fixation device of right femur, subsequent encounter ICD10CM

N/A T84125D Displacement of internal fixation device of left femur, subsequent encounter ICD10CM Displacement of internal fixation device of bone of right lower leg, subsequent N/A T84126D ICD10CM encounter Displacement of internal fixation device of bone of left lower leg, subsequent N/A T84127D ICD10CM encounter

283 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Displacement of internal fixation device of unspecified bone of limb, subsequent N/A T84129D ICD10CM encounter Other mechanical complication of internal fixation device of right humerus, N/A T84190D ICD10CM subsequent encounter Other mechanical complication of internal fixation device of left humerus, N/A T84191D ICD10CM subsequent encounter Other mechanical complication of internal fixation device of bone of right forearm, N/A T84192D ICD10CM subsequent encounter Other mechanical complication of internal fixation device of bone of left forearm, N/A T84193D ICD10CM subsequent encounter Other mechanical complication of internal fixation device of right femur, subsequent N/A T84194D ICD10CM encounter Other mechanical complication of internal fixation device of left femur, subsequent N/A T84195D ICD10CM encounter Other mechanical complication of internal fixation device of bone of right lower leg, N/A T84196D ICD10CM subsequent encounter Other mechanical complication of internal fixation device of bone of left lower leg, N/A T84197D ICD10CM subsequent encounter Other mechanical complication of internal fixation device of unspecified bone of N/A T84199D ICD10CM limb, subsequent encounter Breakdown (mechanical) of internal fixation device of bones of hand and fingers, N/A T84210D ICD10CM subsequent encounter Breakdown (mechanical) of internal fixation device of bones of foot and toes, N/A T84213D ICD10CM subsequent encounter Breakdown (mechanical) of internal fixation device of vertebrae, subsequent N/A T84216D ICD10CM encounter Breakdown (mechanical) of internal fixation device of other bones, subsequent N/A T84218D ICD10CM encounter Displacement of internal fixation device of bones of hand and fingers, subsequent N/A T84220D ICD10CM encounter Displacement of internal fixation device of bones of foot and toes, subsequent N/A T84223D ICD10CM encounter N/A T84226D Displacement of internal fixation device of vertebrae, subsequent encounter ICD10CM

N/A T84228D Displacement of internal fixation device of other bones, subsequent encounter ICD10CM Other mechanical complication of internal fixation device of bones of hand and N/A T84290D ICD10CM fingers, subsequent encounter Other mechanical complication of internal fixation device of bones of foot and toes, N/A T84293D ICD10CM subsequent encounter Other mechanical complication of internal fixation device of vertebrae, subsequent N/A T84296D ICD10CM encounter Other mechanical complication of internal fixation device of other bones, N/A T84298D ICD10CM subsequent encounter N/A T84310D Breakdown (mechanical) of electronic bone stimulator, subsequent encounter ICD10CM

284 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Breakdown (mechanical) of other bone devices, implants and grafts, subsequent N/A T84318D ICD10CM encounter N/A T84320D Displacement of electronic bone stimulator, subsequent encounter ICD10CM N/A T84328D Displacement of other bone devices, implants and grafts, subsequent encounter ICD10CM

N/A T84390D Other mechanical complication of electronic bone stimulator, subsequent encounter ICD10CM Other mechanical complication of other bone devices, implants and grafts, N/A T84398D ICD10CM subsequent encounter N/A T84410D Breakdown (mechanical) of muscle and tendon graft, subsequent encounter ICD10CM Breakdown (mechanical) of other internal orthopedic devices, implants and grafts, N/A T84418D ICD10CM subsequent encounter N/A T84420D Displacement of muscle and tendon graft, subsequent encounter ICD10CM Displacement of other internal orthopedic devices, implants and grafts, subsequent N/A T84428D ICD10CM encounter N/A T84490D Other mechanical complication of muscle and tendon graft, subsequent encounter ICD10CM Other mechanical complication of other internal orthopedic devices, implants and N/A T84498D ICD10CM grafts, subsequent encounter Infection and inflammatory reaction due to unspecified internal joint prosthesis, N/A T8450XD ICD10CM subsequent encounter Infection and inflammatory reaction due to internal right hip prosthesis, subsequent N/A T8451XD ICD10CM encounter Infection and inflammatory reaction due to internal left hip prosthesis, subsequent N/A T8452XD ICD10CM encounter Infection and inflammatory reaction due to internal right knee prosthesis, N/A T8453XD ICD10CM subsequent encounter Infection and inflammatory reaction due to internal left knee prosthesis, subsequent N/A T8454XD ICD10CM encounter Infection and inflammatory reaction due to other internal joint prosthesis, N/A T8459XD ICD10CM subsequent encounter Infection and inflammatory reaction due to internal fixation device of unspecified N/A T8460XD ICD10CM site, subsequent encounter Infection and inflammatory reaction due to internal fixation device of right humerus, N/A T84610D ICD10CM subsequent encounter Infection and inflammatory reaction due to internal fixation device of left humerus, N/A T84611D ICD10CM subsequent encounter Infection and inflammatory reaction due to internal fixation device of right radius, N/A T84612D ICD10CM subsequent encounter Infection and inflammatory reaction due to internal fixation device of left radius, N/A T84613D ICD10CM subsequent encounter Infection and inflammatory reaction due to internal fixation device of right ulna, N/A T84614D ICD10CM subsequent encounter Infection and inflammatory reaction due to internal fixation device of left ulna, N/A T84615D ICD10CM subsequent encounter

285 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Infection and inflammatory reaction due to internal fixation device of unspecified N/A T84619D ICD10CM bone of arm, subsequent encounter Infection and inflammatory reaction due to internal fixation device of right femur, N/A T84620D ICD10CM subsequent encounter Infection and inflammatory reaction due to internal fixation device of left femur, N/A T84621D ICD10CM subsequent encounter Infection and inflammatory reaction due to internal fixation device of right tibia, N/A T84622D ICD10CM subsequent encounter Infection and inflammatory reaction due to internal fixation device of left tibia, N/A T84623D ICD10CM subsequent encounter Infection and inflammatory reaction due to internal fixation device of right fibula, N/A T84624D ICD10CM subsequent encounter Infection and inflammatory reaction due to internal fixation device of left fibula, N/A T84625D ICD10CM subsequent encounter Infection and inflammatory reaction due to internal fixation device of unspecified N/A T84629D ICD10CM bone of leg, subsequent encounter Infection and inflammatory reaction due to internal fixation device of spine, N/A T8463XD ICD10CM subsequent encounter Infection and inflammatory reaction due to internal fixation device of other site, N/A T8469XD ICD10CM subsequent encounter Infection and inflammatory reaction due to other internal orthopedic prosthetic N/A T847XXD ICD10CM devices, implants and grafts, subsequent encounter Embolism due to internal orthopedic prosthetic devices, implants and grafts, N/A T8481XD ICD10CM subsequent encounter Fibrosis due to internal orthopedic prosthetic devices, implants and grafts, N/A T8482XD ICD10CM subsequent encounter Hemorrhage due to internal orthopedic prosthetic devices, implants and grafts, N/A T8483XD ICD10CM subsequent encounter Pain due to internal orthopedic prosthetic devices, implants and grafts, subsequent N/A T8484XD ICD10CM encounter Stenosis due to internal orthopedic prosthetic devices, implants and grafts, N/A T8485XD ICD10CM subsequent encounter Thrombosis due to internal orthopedic prosthetic devices, implants and grafts, N/A T8486XD ICD10CM subsequent encounter Other specified complication of internal orthopedic prosthetic devices, implants and N/A T8489XD ICD10CM grafts, subsequent encounter Unspecified complication of internal orthopedic prosthetic device, implant and graft, N/A T849XXD ICD10CM subsequent encounter Breakdown (mechanical) of ventricular intracranial (communicating) shunt, N/A T8501XD ICD10CM subsequent encounter Displacement of ventricular intracranial (communicating) shunt, subsequent N/A T8502XD ICD10CM encounter N/A T8503XD Leakage of ventricular intracranial (communicating) shunt, subsequent encounter ICD10CM Other mechanical complication of ventricular intracranial (communicating) shunt, N/A T8509XD ICD10CM subsequent encounter

286 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System Breakdown (mechanical) of implanted electronic neurostimulator (electrode) of N/A T85110D ICD10CM brain, subsequent encounter Breakdown (mechanical) of implanted electronic neurostimulator (electrode) of N/A T85111D ICD10CM peripheral nerve, subsequent encounter Breakdown (mechanical) of implanted electronic neurostimulator (electrode) of N/A T85112D ICD10CM spinal cord, subsequent encounter Breakdown (mechanical) of other implanted electronic stimulator of nervous system, N/A T85118D ICD10CM subsequent encounter Displacement of implanted electronic neurostimulator (electrode) of brain, N/A T85120D ICD10CM subsequent encounter Displacement of implanted electronic neurostimulator (electrode) of peripheral N/A T85121D ICD10CM nerve, subsequent encounter Displacement of implanted electronic neurostimulator (electrode) of spinal cord, N/A T85122D ICD10CM subsequent encounter Displacement of other implanted electronic stimulator of nervous system, N/A T85128D ICD10CM subsequent encounter Other mechanical complication of implanted electronic neurostimulator (electrode) N/A T85190D ICD10CM of brain, subsequent encounter Other mechanical complication of implanted electronic neurostimulator (electrode) N/A T85191D ICD10CM of peripheral nerve, subsequent encounter Other mechanical complication of implanted electronic neurostimulator (electrode) N/A T85192D ICD10CM of spinal cord, subsequent encounter Other mechanical complication of other implanted electronic stimulator of nervous N/A T85199D ICD10CM system, subsequent encounter N/A T8521XD Breakdown (mechanical) of intraocular lens, subsequent encounter ICD10CM N/A T8522XD Displacement of intraocular lens, subsequent encounter ICD10CM N/A T8529XD Other mechanical complication of intraocular lens, subsequent encounter ICD10CM N/A T85310D Breakdown (mechanical) of prosthetic orbit of right eye, subsequent encounter ICD10CM

N/A T85311D Breakdown (mechanical) of prosthetic orbit of left eye, subsequent encounter ICD10CM Breakdown (mechanical) of other ocular prosthetic devices, implants and grafts, N/A T85318D ICD10CM subsequent encounter N/A T85320D Displacement of prosthetic orbit of right eye, subsequent encounter ICD10CM N/A T85321D Displacement of prosthetic orbit of left eye, subsequent encounter ICD10CM Displacement of other ocular prosthetic devices, implants and grafts, subsequent N/A T85328D ICD10CM encounter Other mechanical complication of prosthetic orbit of right eye, subsequent N/A T85390D ICD10CM encounter N/A T85391D Other mechanical complication of prosthetic orbit of left eye, subsequent encounter ICD10CM Other mechanical complication of other ocular prosthetic devices, implants and N/A T85398D ICD10CM grafts, subsequent encounter N/A T8541XD Breakdown (mechanical) of breast prosthesis and implant, subsequent encounter ICD10CM N/A T8542XD Displacement of breast prosthesis and implant, subsequent encounter ICD10CM N/A T8543XD Leakage of breast prosthesis and implant, subsequent encounter ICD10CM

287 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A T8544XD Capsular contracture of breast implant, subsequent encounter ICD10CM Other mechanical complication of breast prosthesis and implant, subsequent N/A T8549XD ICD10CM encounter N/A T85510D Breakdown (mechanical) of bile duct prosthesis, subsequent encounter ICD10CM N/A T85511D Breakdown (mechanical) of esophageal anti-reflux device, subsequent encounter ICD10CM Breakdown (mechanical) of other gastrointestinal prosthetic devices, implants and N/A T85518D ICD10CM grafts, subsequent encounter N/A T85520D Displacement of bile duct prosthesis, subsequent encounter ICD10CM N/A T85521D Displacement of esophageal anti-reflux device, subsequent encounter ICD10CM Displacement of other gastrointestinal prosthetic devices, implants and grafts, N/A T85528D ICD10CM subsequent encounter N/A T85590D Other mechanical complication of bile duct prosthesis, subsequent encounter ICD10CM Other mechanical complication of esophageal anti-reflux device, subsequent N/A T85591D ICD10CM encounter Other mechanical complication of other gastrointestinal prosthetic devices, implants N/A T85598D ICD10CM and grafts, subsequent encounter Breakdown (mechanical) of epidural and subdural infusion catheter, subsequent N/A T85610D ICD10CM encounter N/A T85611D Breakdown (mechanical) of intraperitoneal dialysis catheter, subsequent encounter ICD10CM N/A T85612D Breakdown (mechanical) of permanent sutures, subsequent encounter ICD10CM Breakdown (mechanical) of artificial skin graft and decellularized allodermis, N/A T85613D ICD10CM subsequent encounter N/A T85614D Breakdown (mechanical) of insulin pump, subsequent encounter ICD10CM Breakdown (mechanical) of other specified internal prosthetic devices, implants and N/A T85618D ICD10CM grafts, subsequent encounter N/A T85620D Displacement of epidural and subdural infusion catheter, subsequent encounter ICD10CM N/A T85621D Displacement of intraperitoneal dialysis catheter, subsequent encounter ICD10CM N/A T85622D Displacement of permanent sutures, subsequent encounter ICD10CM Displacement of artificial skin graft and decellularized allodermis, subsequent N/A T85623D ICD10CM encounter N/A T85624D Displacement of insulin pump, subsequent encounter ICD10CM Displacement of other specified internal prosthetic devices, implants and grafts, N/A T85628D ICD10CM subsequent encounter N/A T85630D Leakage of epidural and subdural infusion catheter, subsequent encounter ICD10CM N/A T85631D Leakage of intraperitoneal dialysis catheter, subsequent encounter ICD10CM N/A T85633D Leakage of insulin pump, subsequent encounter ICD10CM Leakage of other specified internal prosthetic devices, implants and grafts, N/A T85638D ICD10CM subsequent encounter Other mechanical complication of epidural and subdural infusion catheter, N/A T85690D ICD10CM subsequent encounter Other mechanical complication of intraperitoneal dialysis catheter, subsequent N/A T85691D ICD10CM encounter

288 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A T85692D Other mechanical complication of permanent sutures, subsequent encounter ICD10CM Other mechanical complication of artificial skin graft and decellularized allodermis, N/A T85693D ICD10CM subsequent encounter N/A T85694D Other mechanical complication of insulin pump, subsequent encounter ICD10CM Other mechanical complication of other specified internal prosthetic devices, N/A T85698D ICD10CM implants and grafts, subsequent encounter Infection and inflammatory reaction due to peritoneal dialysis catheter, subsequent N/A T8571XD ICD10CM encounter N/A T8572XD Infection and inflammatory reaction due to insulin pump, subsequent encounter ICD10CM Infection and inflammatory reaction due to other internal prosthetic devices, N/A T8579XD ICD10CM implants and grafts, subsequent encounter Embolism due to internal prosthetic devices, implants and grafts, not elsewhere N/A T8581XD ICD10CM classified, subsequent encounter Fibrosis due to internal prosthetic devices, implants and grafts, not elsewhere N/A T8582XD ICD10CM classified, subsequent encounter Hemorrhage due to internal prosthetic devices, implants and grafts, not elsewhere N/A T8583XD ICD10CM classified, subsequent encounter Pain due to internal prosthetic devices, implants and grafts, not elsewhere classified, N/A T8584XD ICD10CM subsequent encounter Stenosis due to internal prosthetic devices, implants and grafts, not elsewhere N/A T8585XD ICD10CM classified, subsequent encounter Thrombosis due to internal prosthetic devices, implants and grafts, not elsewhere N/A T8586XD ICD10CM classified, subsequent encounter Other specified complication of internal prosthetic devices, implants and grafts, not N/A T8589XD ICD10CM elsewhere classified, subsequent encounter Unspecified complication of internal prosthetic device, implant and graft, N/A T859XXD ICD10CM subsequent encounter N/A T880XXD Infection following immunization, subsequent encounter ICD10CM Other complications following immunization, not elsewhere classified, subsequent N/A T881XXD ICD10CM encounter N/A T882XXD Shock due to anesthesia, subsequent encounter ICD10CM N/A T883XXD Malignant hyperthermia due to anesthesia, subsequent encounter ICD10CM N/A T884XXD Failed or difficult intubation, subsequent encounter ICD10CM N/A T8851XD Hypothermia following anesthesia, subsequent encounter ICD10CM N/A T8852XD Failed moderate sedation during procedure, subsequent encounter ICD10CM N/A T8859XD Other complications of anesthesia, subsequent encounter ICD10CM Anaphylactic reaction due to adverse effect of correct drug or medicament properly N/A T886XXD ICD10CM administered, subsequent encounter N/A T887XXD Unspecified adverse effect of drug or medicament, subsequent encounter ICD10CM Other specified complications of surgical and medical care, not elsewhere classified, N/A T888XXD ICD10CM subsequent encounter N/A T889XXD Complication of surgical and medical care, unspecified, subsequent encounter ICD10CM

289 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A Z3480 Encounter for supervision of other normal pregnancy, unspecified trimester ICD10CM N/A Z3481 Encounter for supervision of other normal pregnancy, first trimester ICD10CM N/A Z3482 Encounter for supervision of other normal pregnancy, second trimester ICD10CM N/A Z3483 Encounter for supervision of other normal pregnancy, third trimester ICD10CM N/A Z3490 Encounter for supervision of normal pregnancy, unspecified, unspecified trimester ICD10CM

N/A Z3491 Encounter for supervision of normal pregnancy, unspecified, first trimester ICD10CM

N/A Z3492 Encounter for supervision of normal pregnancy, unspecified, second trimester ICD10CM

N/A Z3493 Encounter for supervision of normal pregnancy, unspecified, third trimester ICD10CM N/A Z5189 Encounter for other specified aftercare ICD10CM N/A L942 Calcinosis cutis ICD10CM N/A I2584 Coronary atherosclerosis due to calcified coronary lesion ICD10CM N/A L99 Other disorders of skin and subcutaneous tissue in diseases classified elsewhere ICD10CM N/A L448 Other specified papulosquamous disorders ICD10CM N/A L45 Papulosquamous disorders in diseases classified elsewhere ICD10CM N/A B64 Unspecified protozoal disease ICD10CM N/A I2510 Atherosclerotic heart disease of native coronary artery without angina pectoris ICD10CM N/A H833X1 Noise effects on right inner ear ICD10CM N/A H833X2 Noise effects on left inner ear ICD10CM N/A H833X3 Noise effects on inner ear, bilateral ICD10CM N/A H833X9 Noise effects on inner ear, unspecified ear ICD10CM N/A K30 Functional dyspepsia ICD10CM N/A H547 Unspecified visual loss ICD10CM N/A R071 Chest pain on breathing ICD10CM N/A R0781 Pleurodynia ICD10CM N/A H6500 Acute serous otitis media, unspecified ear ICD10CM N/A H6501 Acute serous otitis media, right ear ICD10CM N/A H6502 Acute serous otitis media, left ear ICD10CM N/A H6503 Acute serous otitis media, bilateral ICD10CM N/A H6504 Acute serous otitis media, recurrent, right ear ICD10CM N/A H6505 Acute serous otitis media, recurrent, left ear ICD10CM N/A H6506 Acute serous otitis media, recurrent, bilateral ICD10CM N/A H6507 Acute serous otitis media, recurrent, unspecified ear ICD10CM N/A H6690 Otitis media, unspecified, unspecified ear ICD10CM N/A H6691 Otitis media, unspecified, right ear ICD10CM N/A H6692 Otitis media, unspecified, left ear ICD10CM N/A H6693 Otitis media, unspecified, bilateral ICD10CM N/A J020 Streptococcal pharyngitis ICD10CM N/A J028 Acute pharyngitis due to other specified organisms ICD10CM N/A J029 Acute pharyngitis, unspecified ICD10CM N/A J0300 Acute streptococcal tonsillitis, unspecified ICD10CM

290 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A J0301 Acute recurrent streptococcal tonsillitis ICD10CM N/A J0380 Acute tonsillitis due to other specified organisms ICD10CM N/A J0381 Acute recurrent tonsillitis due to other specified organisms ICD10CM N/A J0390 Acute tonsillitis, unspecified ICD10CM N/A J0391 Acute recurrent tonsillitis, unspecified ICD10CM N/A K5289 Other specified noninfective gastroenteritis and colitis ICD10CM N/A K529 Noninfective gastroenteritis and colitis, unspecified ICD10CM N/A L98491 Non-pressure chronic ulcer of skin of other sites limited to breakdown of skin ICD10CM N/A L98492 Non-pressure chronic ulcer of skin of other sites with fat layer exposed ICD10CM N/A L98493 Non-pressure chronic ulcer of skin of other sites with necrosis of muscle ICD10CM N/A L98494 Non-pressure chronic ulcer of skin of other sites with necrosis of bone ICD10CM N/A L98499 Non-pressure chronic ulcer of skin of other sites with unspecified severity ICD10CM N/A J00 Acute nasopharyngitis [common cold] ICD10CM N/A J069 Acute upper respiratory infection, unspecified ICD10CM N/A J208 Acute bronchitis due to other specified organisms ICD10CM N/A J209 Acute bronchitis, unspecified ICD10CM N/A J40 Bronchitis, not specified as acute or chronic ICD10CM N/A I10 Essential (primary) hypertension ICD10CM Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end N/A I120 ICD10CM stage renal disease N/A K040 Pulpitis ICD10CM N/A K047 Periapical abscess without sinus ICD10CM N/A N3000 Acute cystitis without hematuria ICD10CM N/A N3001 Acute cystitis with hematuria ICD10CM N/A N3090 Cystitis, unspecified without hematuria ICD10CM N/A N3091 Cystitis, unspecified with hematuria ICD10CM N/A N390 Urinary tract infection, site not specified ICD10CM N/A K122 Cellulitis and abscess of mouth ICD10CM N/A L03049 Acute lymphangitis of unspecified toe ICD10CM N/A E138 Other specified diabetes mellitus with unspecified complications ICD10CM N/A L03039 Cellulitis of unspecified toe ICD10CM N/A E118 Type 2 diabetes mellitus with unspecified complications ICD10CM N/A L03029 Acute lymphangitis of unspecified finger ICD10CM N/A L03019 Cellulitis of unspecified finger ICD10CM N/A L0100 Impetigo, unspecified ICD10CM N/A L0101 Non-bullous impetigo ICD10CM N/A L0102 Bockhart's impetigo ICD10CM N/A L0103 Bullous impetigo ICD10CM N/A L0109 Other impetigo ICD10CM N/A L011 Impetiginization of other dermatoses ICD10CM N/A L0201 Cutaneous abscess of face ICD10CM N/A L0211 Cutaneous abscess of neck ICD10CM N/A L02211 Cutaneous abscess of abdominal wall ICD10CM N/A L02212 Cutaneous abscess of back [any part, except buttock] ICD10CM N/A L02213 Cutaneous abscess of chest wall ICD10CM

291 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A L02214 Cutaneous abscess of groin ICD10CM N/A L02215 Cutaneous abscess of perineum ICD10CM N/A L02216 Cutaneous abscess of umbilicus ICD10CM N/A L02219 Cutaneous abscess of trunk, unspecified ICD10CM N/A L0231 Cutaneous abscess of buttock ICD10CM N/A L02411 Cutaneous abscess of right axilla ICD10CM N/A L02412 Cutaneous abscess of left axilla ICD10CM N/A L02413 Cutaneous abscess of right upper limb ICD10CM N/A L02414 Cutaneous abscess of left upper limb ICD10CM N/A L02415 Cutaneous abscess of right lower limb ICD10CM N/A L02416 Cutaneous abscess of left lower limb ICD10CM N/A L02419 Cutaneous abscess of limb, unspecified ICD10CM N/A L02811 Cutaneous abscess of head [any part, except face] ICD10CM N/A L02818 Cutaneous abscess of other sites ICD10CM N/A L0291 Cutaneous abscess, unspecified ICD10CM N/A L03111 Cellulitis of right axilla ICD10CM N/A L03112 Cellulitis of left axilla ICD10CM N/A L03113 Cellulitis of right upper limb ICD10CM N/A L03114 Cellulitis of left upper limb ICD10CM N/A L03115 Cellulitis of right lower limb ICD10CM N/A L03116 Cellulitis of left lower limb ICD10CM N/A L03119 Cellulitis of unspecified part of limb ICD10CM N/A L03121 Acute lymphangitis of right axilla ICD10CM N/A L03122 Acute lymphangitis of left axilla ICD10CM N/A L03123 Acute lymphangitis of right upper limb ICD10CM N/A L03124 Acute lymphangitis of left upper limb ICD10CM N/A L03125 Acute lymphangitis of right lower limb ICD10CM N/A L03126 Acute lymphangitis of left lower limb ICD10CM N/A L03129 Acute lymphangitis of unspecified part of limb ICD10CM N/A L03211 Cellulitis of face ICD10CM N/A L03212 Acute lymphangitis of face ICD10CM N/A L03221 Cellulitis of neck ICD10CM N/A L03222 Acute lymphangitis of neck ICD10CM N/A L03311 Cellulitis of abdominal wall ICD10CM N/A L03312 Cellulitis of back [any part except buttock] ICD10CM N/A L03313 Cellulitis of chest wall ICD10CM N/A L03314 Cellulitis of groin ICD10CM N/A L03315 Cellulitis of perineum ICD10CM N/A L03316 Cellulitis of umbilicus ICD10CM N/A L03317 Cellulitis of buttock ICD10CM N/A L03319 Cellulitis of trunk, unspecified ICD10CM N/A L03321 Acute lymphangitis of abdominal wall ICD10CM N/A L03322 Acute lymphangitis of back [any part except buttock] ICD10CM N/A L03323 Acute lymphangitis of chest wall ICD10CM N/A L03324 Acute lymphangitis of groin ICD10CM N/A L03325 Acute lymphangitis of perineum ICD10CM N/A L03326 Acute lymphangitis of umbilicus ICD10CM

292 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A L03327 Acute lymphangitis of buttock ICD10CM N/A L03329 Acute lymphangitis of trunk, unspecified ICD10CM N/A L03811 Cellulitis of head [any part, except face] ICD10CM N/A L03818 Cellulitis of other sites ICD10CM N/A L03891 Acute lymphangitis of head [any part, except face] ICD10CM N/A L03898 Acute lymphangitis of other sites ICD10CM N/A L0390 Cellulitis, unspecified ICD10CM N/A L0391 Acute lymphangitis, unspecified ICD10CM N/A L089 Local infection of the skin and subcutaneous tissue, unspecified ICD10CM N/A L983 Eosinophilic cellulitis [Wells] ICD10CM N/A L02611 Cutaneous abscess of right foot ICD10CM N/A L02612 Cutaneous abscess of left foot ICD10CM N/A L02619 Cutaneous abscess of unspecified foot ICD10CM N/A E139 Other specified diabetes mellitus without complications ICD10CM N/A E109 Type 1 diabetes mellitus without complications ICD10CM N/A E119 Type 2 diabetes mellitus without complications ICD10CM N/A L03011 Cellulitis of right finger ICD10CM N/A L03012 Cellulitis of left finger ICD10CM N/A L02511 Cutaneous abscess of right hand ICD10CM N/A L02512 Cutaneous abscess of left hand ICD10CM N/A L02519 Cutaneous abscess of unspecified hand ICD10CM N/A L03021 Acute lymphangitis of right finger ICD10CM N/A L03022 Acute lymphangitis of left finger ICD10CM N/A L03031 Cellulitis of right toe ICD10CM N/A L03032 Cellulitis of left toe ICD10CM N/A L03041 Acute lymphangitis of right toe ICD10CM N/A L03042 Acute lymphangitis of left toe ICD10CM N/A N739 Female pelvic inflammatory disease, unspecified ICD10CM N/A J449 Chronic obstructive pulmonary disease, unspecified ICD10CM N/A N7091 , unspecified ICD10CM N/A N7092 , unspecified ICD10CM N/A N7093 Salpingitis and oophoritis, unspecified ICD10CM N/A N719 Inflammatory disease of uterus, unspecified ICD10CM N/A N730 Acute and pelvic cellulitis ICD10CM N/A N735 Female pelvic peritonitis, unspecified ICD10CM N/A J441 Chronic obstructive pulmonary disease with (acute) exacerbation ICD10CM N/A J158 Pneumonia due to other specified bacteria ICD10CM N/A E1340 Other specified diabetes mellitus with diabetic neuropathy, unspecified ICD10CM N/A E1349 Other specified diabetes mellitus with other diabetic neurological complication ICD10CM N/A E13620 Other specified diabetes mellitus with diabetic dermatitis ICD10CM N/A E13621 Other specified diabetes mellitus with foot ulcer ICD10CM N/A E13622 Other specified diabetes mellitus with other skin ulcer ICD10CM N/A E13628 Other specified diabetes mellitus with other skin complications ICD10CM N/A E13638 Other specified diabetes mellitus with other oral complications ICD10CM N/A E13649 Other specified diabetes mellitus with hypoglycemia without coma ICD10CM N/A E1365 Other specified diabetes mellitus with hyperglycemia ICD10CM

293 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A E1369 Other specified diabetes mellitus with other specified complication ICD10CM N/A N119 Chronic tubulo-interstitial nephritis, unspecified ICD10CM N/A N12 Tubulo-interstitial nephritis, not specified as acute or chronic ICD10CM N/A N136 Pyonephrosis ICD10CM N/A J13 Pneumonia due to Streptococcus pneumoniae ICD10CM N/A J151 Pneumonia due to Pseudomonas ICD10CM N/A J156 Pneumonia due to other aerobic Gram-negative bacteria ICD10CM N/A J180 Bronchopneumonia, unspecified organism ICD10CM N/A J181 Lobar pneumonia, unspecified organism ICD10CM N/A J188 Other pneumonia, unspecified organism ICD10CM N/A J189 Pneumonia, unspecified organism ICD10CM N/A E1040 Type 1 diabetes mellitus with diabetic neuropathy, unspecified ICD10CM N/A E1049 Type 1 diabetes mellitus with other diabetic neurological complication ICD10CM N/A E10620 Type 1 diabetes mellitus with diabetic dermatitis ICD10CM N/A E10621 Type 1 diabetes mellitus with foot ulcer ICD10CM N/A E10622 Type 1 diabetes mellitus with other skin ulcer ICD10CM N/A E10628 Type 1 diabetes mellitus with other skin complications ICD10CM N/A E10638 Type 1 diabetes mellitus with other oral complications ICD10CM N/A E10649 Type 1 diabetes mellitus with hypoglycemia without coma ICD10CM N/A E1065 Type 1 diabetes mellitus with hyperglycemia ICD10CM N/A E1069 Type 1 diabetes mellitus with other specified complication ICD10CM N/A E1140 Type 2 diabetes mellitus with diabetic neuropathy, unspecified ICD10CM N/A E1149 Type 2 diabetes mellitus with other diabetic neurological complication ICD10CM N/A E11620 Type 2 diabetes mellitus with diabetic dermatitis ICD10CM N/A E11621 Type 2 diabetes mellitus with foot ulcer ICD10CM N/A E11622 Type 2 diabetes mellitus with other skin ulcer ICD10CM N/A E11628 Type 2 diabetes mellitus with other skin complications ICD10CM N/A E11638 Type 2 diabetes mellitus with other oral complications ICD10CM N/A E11649 Type 2 diabetes mellitus with hypoglycemia without coma ICD10CM N/A E1165 Type 2 diabetes mellitus with hyperglycemia ICD10CM N/A E1169 Type 2 diabetes mellitus with other specified complication ICD10CM N/A R5600 Simple febrile convulsions ICD10CM N/A R561 Post traumatic seizures ICD10CM N/A R569 Unspecified convulsions ICD10CM N/A E15 Nondiabetic hypoglycemic coma ICD10CM N/A E162 Hypoglycemia, unspecified ICD10CM N/A E871 Hypo-osmolality and hyponatremia ICD10CM N/A I509 Heart failure, unspecified ICD10CM N/A J4520 Mild intermittent asthma, uncomplicated ICD10CM N/A J4521 Mild intermittent asthma with (acute) exacerbation ICD10CM N/A J4530 Mild persistent asthma, uncomplicated ICD10CM N/A J4531 Mild persistent asthma with (acute) exacerbation ICD10CM N/A J4540 Moderate persistent asthma, uncomplicated ICD10CM N/A J4541 Moderate persistent asthma with (acute) exacerbation ICD10CM N/A J4550 Severe persistent asthma, uncomplicated ICD10CM N/A J4551 Severe persistent asthma with (acute) exacerbation ICD10CM N/A J45901 Unspecified asthma with (acute) exacerbation ICD10CM

294 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System N/A J45902 Unspecified asthma with status asthmaticus ICD10CM N/A J45909 Unspecified asthma, uncomplicated ICD10CM N/A J45990 Exercise induced bronchospasm ICD10CM N/A J45991 Cough variant asthma ICD10CM N/A J45998 Other asthma ICD10CM N/A J4522 Mild intermittent asthma with status asthmaticus ICD10CM N/A J4532 Mild persistent asthma with status asthmaticus ICD10CM N/A J4542 Moderate persistent asthma with status asthmaticus ICD10CM N/A J4552 Severe persistent asthma with status asthmaticus ICD10CM N/A E1310 Other specified diabetes mellitus with ketoacidosis without coma ICD10CM N/A N10 Acute tubulo-interstitial nephritis ICD10CM N/A A150 Tuberculosis of lung ICD10CM N/A E1010 Type 1 diabetes mellitus with ketoacidosis without coma ICD10CM N/A I200 Unstable angina ICD10CM N/A I208 Other forms of angina pectoris ICD10CM N/A I209 Angina pectoris, unspecified ICD10CM N/A J810 Acute pulmonary edema ICD10CM

295 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System

296 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System

297 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System

298 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System

299 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System

300 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System

301 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System

302 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System

303 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System

304 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Numerator Value Set Name Code Definition Code System

305 of 306 January 2018 PT - 2020 Measure Value Set_AvoidableED

Denominator Code Value Set Name Code Definition System N/A 0450 UBREV N/A 0451 UBREV N/A 0452 UBREV N/A 0456 UBREV N/A 0459 UBREV

306 of 306 January 2018