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SNF Self-Care Model: ICD-10 HCC Crosswalk, V. 3.0.1

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SNF Self-Care Model: ICD-10 HCC Crosswalk, V. 3.0.1 The mapping below corresponds to NQF #2633 and NQF #2635. HCC # ICD-10 Code ICD-10 Code Category This is a filter ceThis is a filter cellThis is a filter cell 2 A021 Salmonella sepsis 2 A207 Septicemic plague 2 A227 Anthrax sepsis 2 A267 Erysipelothrix sepsis 2 A327 Listerial sepsis 2 A392 Acute meningococcemia 2 A393 Chronic meningococcemia 2 A394 Meningococcemia, unspecified 2 A400 Sepsis due to streptococcus, group A 2 A401 Sepsis due to streptococcus, group B 2 A403 Sepsis due to Streptococcus pneumoniae 2 A408 Other streptococcal sepsis 2 A409 Streptococcal sepsis, unspecified 2 A4101 Sepsis due to Methicillin susceptible Staphylococcus aureus 2 A4102 Sepsis due to Methicillin resistant Staphylococcus aureus 2 A411 Sepsis due to other specified staphylococcus 2 A412 Sepsis due to unspecified staphylococcus 2 A413 Sepsis due to Hemophilus influenzae 2 A414 Sepsis due to anaerobes 2 A4150 Gram-negative sepsis, unspecified 2 A4151 Sepsis due to Escherichia coli [E. coli] 2 A4152 Sepsis due to Pseudomonas 2 A4153 Sepsis due to Serratia 2 A4159 Other Gram-negative sepsis 2 A4181 Sepsis due to Enterococcus 2 A4189 Other specified sepsis 2 A419 Sepsis, unspecified organism 2 A427 Actinomycotic sepsis 2 A483 Toxic shock syndrome 2 A5486 Gonococcal sepsis 2 B007 Disseminated herpesviral disease 2 B377 Candidal sepsis 2 P0270 Newborn affected by fetal inflammatory response syndrome 2 P360 Sepsis of newborn due to streptococcus, group B 2 P3610 Sepsis of newborn due to unspecified streptococci 2 P3619 Sepsis of newborn due to other streptococci 2 P362 Sepsis of newborn due to Staphylococcus aureus 2 P3630 Sepsis of newborn due to unspecified staphylococci 2 P3639 Sepsis of newborn due to other staphylococci 2 P364 Sepsis of newborn due to Escherichia coli 2 P365 Sepsis of newborn due to anaerobes 2 P368 Other bacterial sepsis of newborn 2 P369 Bacterial sepsis of newborn, unspecified 2 R571 Hypovolemic shock 2 R578 Other shock Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ 2 R6510 dysfunction Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ 2 R6511 dysfunction 2 R6520 Severe sepsis without septic shock 2 R6521 Severe sepsis with septic shock 2 T8112XA Postprocedural septic shock, initial encounter 2 T8144XA Sepsis following a procedure, initial encounter 7 A000 Cholera due to Vibrio cholerae 01, biovar cholerae 7 A001 Cholera due to Vibrio cholerae 01, biovar eltor 7 A009 Cholera, unspecified 7 A0100 Typhoid fever, unspecified 7 A0109 Typhoid fever with other complications 7 A011 Paratyphoid fever A 7 A012 Paratyphoid fever B 7 A013 Paratyphoid fever C 7 A014 Paratyphoid fever, unspecified 7 A050 Foodborne staphylococcal intoxication 7 A051 Botulism food poisoning 7 A052 Foodborne Clostridium perfringens [Clostridium welchii] intoxication 7 A053 Foodborne Vibrio parahaemolyticus intoxication 7 A054 Foodborne Bacillus cereus intoxication 7 A055 Foodborne Vibrio vulnificus intoxication 7 A058 Other specified bacterial foodborne intoxications 7 A059 Bacterial foodborne intoxication, unspecified 7 A060 Acute amebic dysentery 7 A061 Chronic intestinal amebiasis 7 A062 Amebic nondysenteric colitis 7 A063 Ameboma of intestine 7 A0681 Amebic cystitis 7 A0682 Other amebic genitourinary infections 7 A0689 Other amebic infections 7 A069 Amebiasis, unspecified 7 A070 Balantidiasis 7 A071 Giardiasis [lambliasis] 7 A073 Isosporiasis 7 A074 Cyclosporiasis 7 A078 Other specified protozoal intestinal diseases 7 A079 Protozoal intestinal disease, unspecified 7 A080 Rotaviral enteritis 7 A0811 Acute gastroenteropathy due to Norwalk agent 7 A0819 Acute gastroenteropathy due to other small round viruses 7 A082 Adenoviral enteritis 7 A0831 Calicivirus enteritis 7 A0832 Astrovirus enteritis 7 A0839 Other viral enteritis 7 A084 Viral intestinal infection, unspecified 7 A088 Other specified intestinal infections 7 A09 Infectious gastroenteritis and colitis, unspecified 7 A200 Bubonic plague 7 A208 Other forms of plague 7 A209 Plague, unspecified 7 A210 Ulceroglandular tularemia 7 A211 Oculoglandular tularemia 7 A213 Gastrointestinal tularemia 7 A217 Generalized tularemia 7 A218 Other forms of tularemia 7 A219 Tularemia, unspecified 7 A222 Gastrointestinal anthrax 7 A228 Other forms of anthrax 7 A229 Anthrax, unspecified 7 A230 Brucellosis due to Brucella melitensis 7 A231 Brucellosis due to Brucella abortus 7 A232 Brucellosis due to Brucella suis 7 A233 Brucellosis due to Brucella canis 7 A238 Other brucellosis 7 A239 Brucellosis, unspecified 7 A240 Glanders 7 A241 Acute and fulminating melioidosis 7 A242 Subacute and chronic melioidosis 7 A243 Other melioidosis 7 A249 Melioidosis, unspecified 7 A250 Spirillosis 7 A251 Streptobacillosis 7 A259 Rat-bite fever, unspecified 7 A260 Cutaneous erysipeloid 7 A268 Other forms of erysipeloid 7 A269 Erysipeloid, unspecified 7 A270 Leptospirosis icterohemorrhagica 7 A2789 Other forms of leptospirosis 7 A279 Leptospirosis, unspecified 7 A280 Pasteurellosis 7 A281 Cat-scratch disease 7 A282 Extraintestinal yersiniosis 7 A288 Other specified zoonotic bacterial diseases, not elsewhere classified 7 A289 Zoonotic bacterial disease, unspecified 7 A300 Indeterminate leprosy 7 A301 Tuberculoid leprosy 7 A302 Borderline tuberculoid leprosy 7 A303 Borderline leprosy 7 A304 Borderline lepromatous leprosy 7 A305 Lepromatous leprosy 7 A308 Other forms of leprosy 7 A309 Leprosy, unspecified 7 A318 Other mycobacterial infections 7 A319 Mycobacterial infection, unspecified 7 A320 Cutaneous listeriosis 7 A3281 Oculoglandular listeriosis 7 A3289 Other forms of listeriosis 7 A329 Listeriosis, unspecified 7 A360 Pharyngeal diphtheria 7 A361 Nasopharyngeal diphtheria 7 A362 Laryngeal diphtheria 7 A3682 Diphtheritic radiculomyelitis 7 A3683 Diphtheritic polyneuritis 7 A3686 Diphtheritic conjunctivitis 7 A3689 Other diphtheritic complications 7 A369 Diphtheria, unspecified 7 A3700 Whooping cough due to Bordetella pertussis without pneumonia 7 A3701 Whooping cough due to Bordetella pertussis with pneumonia 7 A3710 Whooping cough due to Bordetella parapertussis without pneumonia 7 A3711 Whooping cough due to Bordetella parapertussis with pneumonia 7 A3780 Whooping cough due to other Bordetella species without pneumonia 7 A3781 Whooping cough due to other Bordetella species with pneumonia 7 A3790 Whooping cough, unspecified species without pneumonia 7 A3791 Whooping cough, unspecified species with pneumonia 7 A380 Scarlet fever with otitis media 7 A388 Scarlet fever with other complications 7 A389 Scarlet fever, uncomplicated 7 A3989 Other meningococcal infections 7 A399 Meningococcal infection, unspecified 7 A421 Abdominal actinomycosis 7 A422 Cervicofacial actinomycosis 7 A4289 Other forms of actinomycosis 7 A429 Actinomycosis, unspecified 7 A438 Other forms of nocardiosis 7 A439 Nocardiosis, unspecified 7 A440 Systemic bartonellosis 7 A441 Cutaneous and mucocutaneous bartonellosis 7 A448 Other forms of bartonellosis 7 A449 Bartonellosis, unspecified 7 A482 Nonpneumonic Legionnaires' disease [Pontiac fever] 7 A484 Brazilian purpuric fever 7 A4851 Infant botulism 7 A4852 Wound botulism 7 A488 Other specified bacterial diseases 7 A4901 Methicillin susceptible Staphylococcus aureus infection, unspecified site 7 A4902 Methicillin resistant Staphylococcus aureus infection, unspecified site 7 A491 Streptococcal infection, unspecified site 7 A492 Hemophilus influenzae infection, unspecified site 7 A493 Mycoplasma infection, unspecified site 7 A498 Other bacterial infections of unspecified site 7 A499 Bacterial infection, unspecified 7 A5030 Late congenital syphilitic oculopathy, unspecified 7 A5031 Late congenital syphilitic interstitial keratitis 7 A5032 Late congenital syphilitic chorioretinitis 7 A5039 Other late congenital syphilitic oculopathy 7 A5051 Clutton's joints 7 A5052 Hutchinson's teeth 7 A5053 Hutchinson's triad 7 A5056 Late congenital syphilitic osteochondropathy 7 A5057 Syphilitic saddle nose 7 A5059 Other late congenital syphilis, symptomatic 7 A506 Late congenital syphilis, latent 7 A507 Late congenital syphilis, unspecified 7 A509 Congenital syphilis, unspecified 7 A510 Primary genital syphilis 7 A511 Primary anal syphilis 7 A512 Primary syphilis of other sites 7 A5131 Condyloma latum 7 A5132 Syphilitic alopecia 7 A5139 Other secondary syphilis of skin 7 A5142 Secondary syphilitic female pelvic disease 7 A5143 Secondary syphilitic oculopathy 7 A5144 Secondary syphilitic nephritis 7 A5146 Secondary syphilitic osteopathy 7 A5149 Other secondary syphilitic conditions 7 A515 Early syphilis, latent 7 A519 Early syphilis, unspecified 7 A5271 Late syphilitic oculopathy 7 A5272 Syphilis of lung and bronchus 7 A5273 Symptomatic late syphilis of other respiratory organs 7 A5274 Syphilis of liver and other viscera 7 A5275 Syphilis of kidney and ureter 7 A5276 Other genitourinary symptomatic late syphilis 7 A5277 Syphilis of bone and joint 7 A5278 Syphilis of other musculoskeletal tissue 7 A5279 Other symptomatic late syphilis 7 A528 Late syphilis, latent 7 A529 Late syphilis, unspecified 7 A530 Latent syphilis, unspecified as early or late 7 A539 Syphilis, unspecified 7 A5400 Gonococcal infection of lower genitourinary tract, unspecified 7 A5401 Gonococcal cystitis and urethritis, unspecified 7 A5402 Gonococcal vulvovaginitis, unspecified 7 A5403 Gonococcal cervicitis, unspecified 7 A5409 Other gonococcal infection of lower genitourinary tract 7 A541 Gonococcal infection of lower genitourinary tract with periurethral and accessory gland abscess 7 A5421
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