Appendix A: OP Table 1.0: Appendix AICD-10-CM …

1 Appendix A: OP Table : E/M Codes for Emergency Department Encounters Discharge Code to Discharge Status Crosswalk Appendix AICD-10-CM Diagnosis and CPT Code Tables Measures Required Data Elements Code E/M Code Description Discharge Code Discharge Status Code Description Code Description All AMI (OP 1, 2, 3, 5) OUTPATIENT ENCOUNTER DATE 99281 ED visit, new or established patient 4a 02 Acute Care Facility General Inpatient Care Appendix A: OP Table : Acute Myocardial Infarction (AMI) Diagnosis Codes PATIENT BIRTHDATE (Outpatient Encounter Date)-(Birthdate) 18 (STEMI) involving left main coronary artery ARRIVAL TIME 99282 ED visit, new or established patient 4d 43 Acute Care Facility Department of Defense or Veteran s Administration (STEMI) involving left anterior descending coronary artery E/M CODE (STEMI) involving other coronary artery of anterior wall DISCHARGE CODE 99283 ED visit, new or established patient (STEMI)

2 Involving right coronary artery ICD 10 AMI PRINCIPLE DIAGNOSIS CODE FROM OP Table (STEMI) involving other coronary artery of inferior wall OP 1: Median Time to Fibrinolysis & OP 2: Fibrinolytic Therapy Received Within 30 Minutes of ED Arrival ALL AMI DATA ELEMENTS + 99284 ED visit, new or established patient (STEMI) involving left circumflex coronary artery INITIAL ECG INTERPRETATION (STEMI) involving other sites FIBRINOLYTIC ADMINISTRATION 99285 ED visit, new or established patient (STEMI) of unspecified site FIBRINOLYTIC ADMIN DATE Non-(NSTEMI) myocardial infarction FIBRINOLYTIC ADMIN TIME 99291 Critical care, evaluation and management Subsequent (STEMI) of anterior wall REASON FOR DELAY IN FIB.

3 THERAPY Subsequent (STEMI) of inferior wall OP 3: Median Time to Transfer to Another Facility for Acute Coronary Intervention ALL AMI DATA ELEMENTS + Subsequent non- (NSTEMI) INITIAL ECG INTERPRETATION Subsequent (STEMI) of other sites FIBRINOLYTIC ADMINISTRATION Subsequent (STEMI) of unspecified site ED DEPARTURE DATE OP Table : Chest Pain, Angina, Acute Coronary Syndrome Codes ED DEPARTURE TIME Unstable angina REASON FOR NOT ADMINISTERING FIB. THERAPY Angina pectoris with documented spasm TRANSFER FOR ACUTE CORONARY INTERVENTION Other forms of angina pectoris OP 5: Median Time to ECG ALL AMI DATA ELEMENTS + Angina pectoris, unspecified ARRIVAL TIME ECG Other forms of acute ischemic heart disease ECG DATE Acute ischemic heart disease, unspecified ECG TIME Precordial pain PROBABLE CHEST PAIN Pleurodynia ICD 10 PRINCIPLE DIAGNOSIS CODE FORM Table OR OP Table Other chest pain OP Specification Manual Appendix A.

4 OP Table : E/M Codes for Emergency Department Encounters Discharge Code to Discharge Status Crosswalk Appendix AICD-10-CM Diagnosis and CPT Code Tables Measures Required Data Elements Code E/M Code Description Discharge Code Discharge Status Code Description Code Description ED THROUGHPUT ARRIVAL TIME 99281 Emergency department visit, new or established patient 1 Home Any Diagnosis Codes OP 20: Door to Diagnostic Evaluation by a Qualified Medical Professional OUTPATIENT ENCOUNTER DATE 99282 2 Hospice Home PROVIDER CONTACT DATE 99283 3 Hospice Health Care Facility PROVIDER CONTACT TIME 99284 4a Acute Care Facility General Inpatient Care 99285 4b Acute Care Facility Critical Access Hospital 99291 Critical care.

5 Evaluation and management 4c Acute Care Facility Cancer Hospital or Children s Hospital 4d Acute Care Facility Department of Defense or Veteran s Administration 5 Other Health Care Facility 7 Left against Medical Advice/AMA (All codes except 6 or 8) ED THROUGHPUT Total # of patients who left w/out being evaluated by a physician/APN/PA None Assigned No Discharge Code No Diagnosis Code OP 22: Patient Left Without Being Seen (reported through via online tool) Total # of patients who presented to the ED PAIN MANAGEMENT ARRIVAL TIME 99281 Emergency department visit, new or established patient 1 Home Appendix A: OP Table : Principle Diagnosis Codes for Long Bone Fracture OP 21: Median time to Pain Management for Long Bone Fracture BIRTHDATE (Patient 2yrs) 99282 2 Hospice Home Appendix A: ICD-10 Principle Diagnosis Codes pgs.

6 A-17 through A-51 OUTPATIENT ENCOUNTER DATE 99283 3 Hospice Health Care Facility PAIN MEDICATION DATE 99284 4a Acute Care Facility General Inpatient Care PAIN MEDICATION TIME 99285 4b Acute Care Facility Critical Access Hospital PAIN MEDICATION: Appendix C: OP Table (Analgesic Medications) 99291 Critical care, evaluation and management 4c Acute Care Facility Cancer Hospital or Children s Hospital 4d Acute Care Facility Department of Defense or Veteran s Administration Appendix C: OP Table (Analgesic Medications) pgs.

7 C-97- 105 5 Other Health Care Facility (All codes except 6, 7, or 8)