The Chronic Condition Indicator Refined (CCIR) for ICD-10-CM 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. |
Overview of Chronic Condition Indicator Refined (CCIR) for ICD-10-CMThe Chronic Condition Indicator Refined (CCIR) for ICD-10-CM facilitates health services research by allowing the researcher to readily identify a diagnosis as indicating a chronic condition. Beginning v2023.1, the CCIR for ICD-10-CM returns to a concept consistent with the ICD-9-CM version of the tool, which distinguishes chronic from non-chronic conditions. All ICD-10-CM diagnosis codes are identified as one of the following three categories:
The Chronic Condition Indicator Refined (CCIR) for ICD-10-CM 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. |
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User Guide and Other ResourcesThe following table provides information on where to find the various resources available for the Chronic Condition Indicator Refined (CCIR) for ICD-10-CM tool. The download section includes all of the referenced materials. |
Descriptions | User Guide: Chronic Condition Indicator Refined (CCIR) for ICD-10-CM Resource |
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Development of Chronic Condition Indicator Refined (CCIR) for ICD-10-CM | User Guide: Chronic Condition Indicator Refined (CCIR) for ICD-10-CM, Description of the Chronic Condition Indicator Refined (CCIR) for ICD-10-CM and Appendix A |
List of rules used for Chronic Condition Indicator Refined (CCIR) for ICD-10-CM assignment | User Guide: Chronic Condition Indicator Refined (CCIR) for ICD-10-CM, Appendix A |
Counting the number of chronic conditions | User Guide: Chronic Condition Indicator Refined (CCIR) for ICD-10-CM, Using the Chronic Condition Indicator Refined (CCIR) for ICD-10-CM for Research, Counting the Number of Chronic Conditions on a Hospital Discharge Record |
Technical guidance for applying the Chronic Condition Indicator Refined (CCIR) for ICD-10-CM to administrative data | Chronic Condition Indicator Refined (CCIR) for ICD-10-CM Resource |
System requirements | User Guide: Chronic Condition Indicator Refined (CCIR) for ICD-10-CM, Using the Downloadable Chronic Condition Indicator Refined (CCIR) for ICD-10-CM Files, System Requirements |
Input files | User Guide: Chronic Condition Indicator Refined (CCIR) for ICD-10-CM Using the Downloadable Chronic Condition Indicator Refined (CCIR) for ICD-10-CM Files, Downloadable files |
Running the SAS program | User Guide: Chronic Condition Indicator Refined (CCIR) for ICD-10-CM, Using the Downloadable Chronic Condition Indicator Refined (CCIR) for ICD-10-CM Files, Downloadable Files and Running the SAS Program to Add Chronic Condition Indicators to Data |
Additional resources | Chronic Condition Indicator Refined (CCIR) for ICD-10-CM Resource |
Searchable log of changes across versions | Chronic Condition Indicator Refined (CCIR) for ICD-10-CM Change Log |
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Data Elements Required for Input DatasetThe input dataset must contain an array of ICD-10-CM diagnoses without decimals. This data element is required for assignment of the CCIR for ICD-10-CM. |
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Downloading Information for the Tool and DocumentationThe ZIP folder includes the CSV mapping file, a SAS mapping program, and all of the user documentation. At this time, the Chronic Condition Indicator Refined (CCIR) for ICD-10-CM is only available as a SAS program.
For convenience, the user documentation for the Chronic Condition Indicator Refined (CCIR) for ICD-10-CM v2024.1 is also provided as separate documents:
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Archive for the Prior Versions (Including the ICD-10-CM Beta Version)Copies of previous versions of the Chronic Condition Indicator Refined (CCIR) for ICD-10-CM and the beta versions for ICD-10-CM are available for users who need to replace or access the old programs and documentation. |
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For More Information, Comments, or Questions About Chronic Condition Indicator Refined (CCIR) for ICD-10-CMQuestions regarding the Chronic Condition Indicator Refined (CCIR) for ICD-10-CM may be directed to HCUP User Support through the following channels:
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Internet Citation: Chronic Condition Indicator Refined for ICD-10-CM. Healthcare Cost and Utilization Project (HCUP). February 2024. 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 02/26/24 |