Chronic Condition Indicators for ICD-10-CM (beta version)

The Chronic Condition Indicator (CCI) for ICD-10-CM (beta version) is one in a family of databases and software tools developed as part of the Healthcare Cost and Utilization Project (HCUP), a Federal-State-Industry partnership sponsored by the Agency for Healthcare Research and Quality (AHRQ). HCUP databases, tools, and software inform decision making at the national, State, and community levels.

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The Chronic Condition Indicator for ICD-10-CM (beta version) facilitates health services research by allowing the researcher to readily identify a diagnosis as indicating a chronic condition. Prior to v2021.1 (beta version), the CCI distinguished chronic from non-chronic conditions. Starting in v2021.1 (beta version), the CCI tool was expanded to identify four types of conditions:
  • Chronic
    • Examples include malignant cancer, diabetes, obesity, hypertension, and many mental health conditions

  • Acute
    • Examples include aortic embolism, bacterial infection, pregnancy, and an initial encounter for an injury

  • Both
    • Examples include persistent asthma with (acute) exacerbation, acute on chronic heart failure, and kidney transplant rejection

  • Not applicable (code cannot be used to identify a chronic or acute condition)
    • Examples include external cause of morbidity codes, injury sequela codes, and codes starting with the letter Z for screening or observation.

The Chronic Condition Indicator for ICD-10-CM (beta version) is updated annually to coincide with fiscal year updates to the ICD-10-CM coding system and retains diagnosis codes valid from the start of ICD-10-CM in October 2015. For this reason, it is advisable to always use the most recent version of the tool.

In 2021, AHRQ expects to conduct additional empirical analyses of the beta version of the tool and transition it out of beta status. User feedback on v2021.1 is appreciated and will be taken into consideration. Comments can be sent to hcup@ahrq.gov.
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The following table provides information on where to find the various resources available for the Chronic Condition Indicator for ICD-10-CM (beta version) tool. The download section includes all of the referenced materials.

Descriptions User Guide: Chronic Condition Indicator for ICD-10-CM (beta version) Resource
Development of Chronic Condition Indicator for ICD-10-CM (beta version) User Guide: Chronic Condition Indicator for ICD-10-CM (beta version), Description of the Chronic Condition Indicator for ICD-10-CM (beta version) and Appendix A
 
Technical guidance for applying the Chronic Condition Indicator for ICD-10-CM (beta version) to administrative data Chronic Condition Indicator for ICD-10-CM (beta version) Resource
System requirements User Guide: Chronic Condition Indicator for ICD-10-CM (beta version), Using the Downloadable Chronic Condition Indicator for ICD-10-CM (beta version) Files, System Requirements
Input files User Guide: Chronic Condition Indicator for ICD-10-CM (beta version) Using the Downloadable Chronic Condition Indicator for ICD-10-CM (beta version) Files, Downloadable files
Running the SAS program User Guide: Chronic Condition Indicator for ICD-10-CM (beta version), Using the Downloadable Chronic Condition Indicator for ICD-10-CM (beta version) Files, Downloadable Files and Running the SAS Program to Add Surgery Flags to Data
 
Additional resources Chronic Condition Indicator for ICD-10-CM (beta version) Resource
Searchable log of changes across versions Chronic Condition Indicator for ICD-10-CM (beta version) Change Log

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The ZIP folder includes the CSV mapping file, a SAS mapping program, and all of the user documentation. At this time, the Chronic Condition Indicator for ICD-10-CM (beta version) is only available as a SAS program.
For convenience, the user documentation for the Chronic Condition Indicator for ICD-10-CM (beta version) v2021.1 is also provided as separate documents:
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Copies of previous versions of the Chronic Condition Indicator for ICD-10-CM (beta version) are available for users who need to replace or access the old programs and documentation.
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Questions regarding the Chronic Condition Indicator for ICD-10-CM (beta version) may be directed to HCUP User Support through the following channels:

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Internet Citation: Chronic Condition Indicators for ICD-10-CM (beta version). Healthcare Cost and Utilization Project (HCUP). November 2020. Agency for Healthcare Research and Quality, Rockville, MD. www.hcup-us.ahrq.gov/toolssoftware/chronic_icd10/chronic_icd10.jsp.
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Last modified 11/12/20