Table 1

Exclusion criteria used to identify at-risk population*


Description
ICD-9 (CPT) Codes

1
Heart Failure
428–428.9
2
Bronchitis, chronic bronchitis, and emphysema
490–492.8
3
Pulmonary hypertension, embolism and other pulmonary heart disease
415–416.9
4
Chronic obstructive pulmonary disease
496
5
ER visit or hospital admission for primary asthma diagnosis
493–493.91
6
Occupational asthma diagnosis
504–507, 495.8, 507.8
7
Asthma diagnosis AND outpatient nebulization treatment
493–493.91 AND (94640)
8
Ordered second line asthma medications

9
Any asthma diagnosis AND ordered oral steroids
493–493.91
10
Asthma diagnosis AND ordered 4 or more MDIs
493–493.91

* Exclusion criteria were applied to records for the 12 months preceding the index month. International Classification of Diseases 9th Edition and Current Procedural Terminology codes; Second line medications included cromolyn, necrodomyl, aerosolized steroids, theophylline, oral or nebulized Beta-agonists, and leukotriene inhibitors; MDI= Beta-agonist metered dose inhaler.

Sama et al. Environmental Health: A Global Access Science Source 2003 2:10   doi:10.1186/1476-069X-2-10

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