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CMS164v6 Code List

Code List: CMS164v6, Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet

MicroMD uses the following code lists to determine a patient’s inclusion in this measure.  To search for your code, simply press Ctrl + F on your keyboard, enter your code in the search field and press Enter on your keyboard.

This user-friendly code list is provided as a courtesy to our MicroMD users.  For more in-depth information about codes and/or criteria or to compare version changes, visit the CMS eCQI Resource Center at https://ecqi.healthit.gov/ (no user account required) or the United States Health Information Knowledgebase at https://ushik.ahrq.gov/mdr/portals (requires a free user account to view codes).

Item Codes
Acute MI Diagnosis Codes
Diagnosis: Acute Myocardial Infarction: ICD-10 I21.01, I21.02, I21.09, I21.11, I21.19, I21.21, I21.29, I21.3, I21.4, I21.9, I21.A1, I21.A9
Diagnosis: Acute Myocardial Infarction: SNOMED 10273003, 15713081000119108, 15713121000119105, 15990001, 17531000119105, 194802003, 194809007, 23311000119105, 233825009, 233826005, 233827001, 233828006, 233829003, 233830008, 233831007, 233832000, 233833005, 233834004, 233835003, 233836002, 233837006, 233838001, 282006, 285981000119103, 285991000119100, 30277009, 304914007, 307140009, 401303003, 401314000, 52035003, 54329005, 57054005, 58612006, 59063002, 62695002, 64627002, 65547006, 70211005, 703164000, 70422006, 70998009, 73795002, 76593002, 79009004
Encounter Codes
Encounter, Performed: Annual Wellness Visit: HCPCS G0438, G0439
Encounter, Performed: Face-to-Face Interaction: SNOMED 12843005, 18170008, 185349003, 185463005, 185465003, 19681004, 207195004, 270427003, 270430005, 308335008, 390906007, 406547006, 439708006, 87790002, 90526000
Encounter, Performed: Home Healthcare Services: CPT 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350
Encounter, Performed: Office Visit: CPT 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215
Encounter, Performed: Preventive Care Services – Established Office Visit, 18 and Up: CPT 99395, 99396, 99397
Encounter, Performed: Preventive Care Services – Initial Office Visit, 18 and Up: CPT 99385, 99386, 99387
PCI and CABG Procedure Codes
Procedure, Performed: Coronary Artery Bypass Graft: HCPCS S2205, S2206, S2207, S2208, S2209
Procedure, Performed: Coronary Artery Bypass Graft: CPT 33510, 33511, 33512, 33513, 33514, 33516, 33517, 33518, 33519, 33521, 33522, 33523, 33533, 33534, 33535, 33536
Procedure, Performed: Coronary Artery Bypass Graft: SNOMED 10190003, 10326007, 119564002, 119565001, 14323007, 175007008, 175008003, 175009006, 175011002, 175021005, 175022003, 175024002, 175025001, 175026000, 175029007, 175030002, 175031003, 175032005, 175033000, 175045009, 175047001, 175048006, 175050003, 232717009, 232719007, 232720001, 232721002, 232722009, 232723004, 232724005, 265481001, 275215001, 275216000, 275252001, 275253006, 29819009, 30670000, 309814006, 3546002, 359597003, 359601003, 39202005, 39724006, 414088005, 418551006, 418824004, 419132001, 48431000, 67166004, 74371005, 82247006, 90487008
Procedure, Performed: Percutaneous Coronary Interventions: HCPCS C9600, C9602, C9604, C9606, C9607
Procedure, Performed: Percutaneous Coronary Interventions: CPT 92920, 92924, 92928, 92933, 92937, 92941, 92943
Procedure, Performed: Percutaneous Coronary Interventions: SNOMED 11101003, 15256002, 175066001, 232727003, 232728008, 232729000, 397193006, 397431004, 414089002, 414509005, 415070008, 428488008, 429499003, 429639007, 429809004, 431759005, 609152003, 609153008, 609154002, 698740005, 75761004, 80762004, 85053006, 91338001
Ischemic Vascular Disease Diagnosis Codes
Diagnosis: Ischemic Vascular Disease: ICD-9 411.0, 411.1, 411.81, 411.89, 413.0, 413.9, 414.00, 414.01, 414.02, 414.03, 414.04, 414.05, 414.06, 414.07, 414.2, 414.3, 414.4, 414.8, 414.9, 429.2, 433.00, 433.01, 433.10, 433.11, 433.20, 433.21, 433.30, 433.31, 433.80, 433.81, 433.90, 433.91, 434.00, 434.01, 434.10, 434.11, 434.90, 434.91, 437.0, 440.0, 440.1, 440.20, 440.21, 440.22, 440.23, 440.24, 440.29, 440.30, 440.31, 440.32, 440.4, 440.8, 440.9, 444.01, 444.09, 445.01, 445.02, 445.81, 445.89
Diagnosis: Ischemic Vascular Disease: ICD-10 I20.0, I20.8, I20.9, I24.0, I24.8, I24.9, I25.10, I25.110, I25.111, I25.118, I25.119, I25.5, I25.6, I25.700, I25.701, I25.708, I25.709, I25.710, I25.711, I25.718, I25.719, I25.720, I25.721, I25.728, I25.729, I25.730, I25.731, I25.738, I25.739, I25.750, I25.751, I25.758, I25.759, I25.760, I25.761, I25.768, I25.769, I25.790, I25.791, I25.798, I25.799, I25.810, I25.811, I25.812, I25.82, I25.83, I25.84, I25.89, I25.9, I63.20, I63.211, I63.212, I63.219, I63.22, I63.231, I63.232, I63.239, I63.29, I63.50, I63.511, I63.512, I63.519, I63.521, I63.522, I63.529, I63.531, I63.532, I63.539, I63.541, I63.542, I63.549, I63.59, I65.01, I65.02, I65.03, I65.09, I65.1, I65.21, I65.22, I65.23, I65.29, I65.8, I65.9, I66.01, I66.02, I66.03, I66.09, I66.11, I66.12, I66.13, I66.19, I66.21, I66.22, I66.23, I66.29, I66.3, I66.8, I66.9, I67.2, I70.1, I70.201, I70.202, I70.203, I70.208, I70.209, I70.211, I70.212, I70.213, I70.218, I70.219, I70.221, I70.222, I70.223, I70.228, I70.229, I70.231, I70.232, I70.233, I70.234, I70.235, I70.238, I70.239, I70.241, I70.242, I70.243, I70.244, I70.245, I70.248, I70.249, I70.25, I70.261, I70.262, I70.263, I70.268, I70.269, I70.291, I70.292, I70.293, I70.298, I70.299, I70.301, I70.302, I70.303, I70.308, I70.309, I70.311, I70.312, I70.313, I70.318, I70.319, I70.321, I70.322, I70.323, I70.328, I70.329, I70.331, I70.332, I70.333, I70.334, I70.335, I70.338, I70.339, I70.341, I70.342, I70.343, I70.344, I70.345, I70.348, I70.349, I70.35, I70.361, I70.362, I70.363, I70.368, I70.369, I70.391, I70.392, I70.393, I70.398, I70.399, I70.401, I70.402, I70.403, I70.408, I70.409, I70.411, I70.412, I70.413, I70.418, I70.419, I70.421, I70.422, I70.423, I70.428, I70.429, I70.431, I70.432, I70.433, I70.434, I70.435, I70.438, I70.439, I70.441, I70.442, I70.443, I70.444, I70.445, I70.448, I70.449, I70.45, I70.461, I70.462, I70.463, I70.468, I70.469, I70.491, I70.492, I70.493, I70.498, I70.499, I70.501, I70.502, I70.503, I70.508, I70.509, I70.511, I70.512, I70.513, I70.518, I70.519, I70.521, I70.522, I70.523, I70.528, I70.529, I70.531, I70.532, I70.533, I70.534, I70.535, I70.538, I70.539, I70.541, I70.542, I70.543, I70.544, I70.545, I70.548, I70.549, I70.55, I70.561, I70.562, I70.563, I70.568, I70.569, I70.591, I70.592, I70.593, I70.598, I70.599, I70.601, I70.602, I70.603, I70.608, I70.609, I70.611, I70.612, I70.613, I70.618, I70.619, I70.621, I70.622, I70.623, I70.628, I70.629, I70.631, I70.632, I70.633, I70.634, I70.635, I70.638, I70.639, I70.641, I70.642, I70.643, I70.644, I70.645, I70.648, I70.649, I70.65, I70.661, I70.662, I70.663, I70.668, I70.669, I70.691, I70.692, I70.693, I70.698, I70.699, I70.701, I70.702, I70.703, I70.708, I70.709, I70.711, I70.712, I70.713, I70.718, I70.719, I70.721, I70.722, I70.723, I70.728, I70.729, I70.731, I70.732, I70.733, I70.734, I70.735, I70.738, I70.739, I70.741, I70.742, I70.743, I70.744, I70.745, I70.748, I70.749, I70.75, I70.761, I70.762, I70.763, I70.768, I70.769, I70.791, I70.792, I70.793, I70.798, I70.799, I70.92, I75.011, I75.012, I75.013, I75.019, I75.021, I75.022, I75.023, I75.029, I75.81, I75.89
Diagnosis: Ischemic Vascular Disease: SNOMED 1055001, 109381003, 11018701000119109, 111291001, 111296006, 111298007, 111299004, 116291000119103, 117051000119103, 123641001, 123642008, 12720001000004100, 129573006, 139011000119104, 145891000119104, 14977000, 149821000119103, 15712481000119108, 15712521000119108, 15712561000119103, 15712601000119103, 15712681000119106, 15960061000119102, 15960141000119102, 1641000119107, 19057007, 194823009, 194828000, 194842008, 194843003, 194849004, 195182007, 195183002, 195185009, 195186005, 195189003, 195190007, 195200006, 195206000, 195230003, 195231004, 195232006, 195233001, 195234007, 195235008, 195236009, 195254008, 195317001, 195318006, 195319003, 195320009, 195321008, 195323006, 195324000, 195325004, 195326003, 195327007, 195335005, 195336006, 195337002, 195340002, 195341003, 195342005, 195343000, 20059004, 21000119103, 21470009, 21631000119105, 225566008, 230692004, 230693009, 230694003, 230695002, 230698000, 230699008, 230700009, 230701008, 230702001, 230703006, 230704000, 230706003, 230707007, 230708002, 230716006, 233817007, 233819005, 233821000, 233823002, 233844002, 233955003, 233956002, 233958001, 233959009, 233960004, 233961000, 233962007, 233964008, 233970002, 233972005, 233973000, 233974006, 236120009, 23687008, 251024009, 25106000, 266253001, 266254007, 266262004, 266263009, 26900001, 274101000, 276219001, 280871000, 281091000, 284871000119105, 284881000119108, 285141000119106, 285151000119108, 285161000119105, 285171000119104, 285191000119103, 285201000119100, 286959000, 287731003, 28790007, 293821000119107, 297136002, 297138001, 297141005, 29899005, 300917007, 300920004, 300995000, 301755001, 302728008, 302904002, 302910002, 302930003, 307363008, 307406004, 307407008, 307408003, 307409006, 307766002, 307767006, 312375001, 312378004, 312822006, 314116003, 315025001, 315348000, 35928006, 361132001, 361133006, 363340006, 371039008, 371041009, 371803003, 371804009, 371805005, 371806006, 371807002, 371808007, 371809004, 371810009, 371811008, 371812001, 37943007, 394659003, 39823006, 40276003, 402861007, 408546009, 408665008, 413102000, 41334000, 413439005, 413444003, 413552002, 413758000, 413838009, 413844008, 414545008, 414795007, 420006002, 425527003, 426107000, 426651005, 427296003, 427567003, 428196007, 428507003, 429245005, 429559004, 429673002, 429811000124106, 429821000124103, 429831000124100, 429841000124105, 429851000124107, 429861000124109, 430721000124101, 430731000124103, 430781000124102, 430831000124106, 430841000124101, 430851000124104, 430861000124102, 431391000124106, 431401000124108, 431411000124106, 431421000124103, 431431000124100, 431466007, 432083006, 432504007, 433821000124102, 433891000124100, 433911000124103, 433931000124109, 433941000124104, 433951000124102, 433961000124100, 434151000124101, 434821000124104, 434831000124101, 434881000124100, 434891000124102, 434951000124104, 434961000124102, 435271000124103, 435281000124100, 436021000124100, 436031000124102, 436041000124107, 436781000124104, 437911000124106, 441574008, 442224005, 442240008, 442421004, 442439008, 442701004, 443502000, 443971004, 444855007, 444856008, 446712002, 450251000124102, 451041000124103, 451361000124102, 4557003, 48601002, 49176002, 50808002, 51274000, 51677000, 52674009, 53741008, 5431000124100, 5441000124105, 5451000124107, 54519002, 5461000124109, 54687002, 5534004, 55382008, 5581000124100, 5601000124105, 57357009, 59021001, 59062007, 60989005, 61490001, 63739005, 64586002, 64775002, 65084004, 65198009, 66189004, 6661000119101, 67682002, 67992007, 691471000119109, 69742007, 713033007, 713081000, 71444005, 716745004, 719678003, 720854004, 72092001, 721328009, 73192008, 75543006, 791000119109, 80383008, 80606009, 81817003, 85284003, 87343002, 88174006, 89323001, 90520006, 92517006, 93396008, 95458005, 95459002, 95580006, 9901000119100, 99451000119105
Medications
Medication, Active: Aspirin and Other Antiplatelets: Descriptions (RXNORM) 12 HR Aspirin 25 MG / Dipyridamole 200 MG Extended Release Oral Capsule (259081); Aspirin 228 MG Chewing Gum (853499); Aspirin 300 MG Oral Capsule (199274); Aspirin 325 MG Delayed Release Oral Tablet (198467); Aspirin 325 MG Oral Capsule (198466); Aspirin 325 MG Oral Tablet (212033); Aspirin 500 MG Delayed Release Oral Tablet (308409); Aspirin 500 MG Oral Tablet (198471); Aspirin 650 MG Delayed Release Oral Tablet (308411); Aspirin 650 MG Oral Tablet (198475); Aspirin 81 MG / Calcium Carbonate 777 MG Oral Tablet (1722689); Aspirin 81 MG Chewable Tablet (318272); Aspirin 81 MG Delayed Release Oral Tablet (308416); Aspirin 81 MG Disintegrating Oral Tablet (747211); Aspirin 81 MG Oral Tablet (243670); Aspirin 975 MG Delayed Release Oral Tablet (308417); clopidogrel 300 MG Oral Tablet (749196); clopidogrel 75 MG Oral Tablet (309362); prasugrel 10 MG Oral Tablet (855812); prasugrel 5 MG Oral Tablet (855818); Ticlopidine Hydrochloride 250 MG Oral Tablet (313406)
Exclusion Medications
Medication, Active: Anticoagulant Medications: Description (RXNORM code) {42 (rivaroxaban 15 MG Oral Tablet [Xarelto]) / 9 (rivaroxaban 20 MG Oral Tablet [Xarelto]) } Pack [Xarelto Kit] (1549683); {42 (rivaroxaban 15 MG Oral Tablet) / 9 (rivaroxaban 20 MG Oral Tablet) } Pack (1549682); 0.2 ML Dalteparin Sodium 12500 UNT/ML Prefilled Syringe (978725); 0.2 ML Dalteparin Sodium 25000 UNT/ML Prefilled Syringe (978733); 0.3 ML Dalteparin Sodium 25000 UNT/ML Prefilled Syringe (978736); 0.3 ML Enoxaparin sodium 100 MG/ML Prefilled Syringe (854228); 0.4 ML Dalteparin Sodium 25000 UNT/ML Prefilled Syringe (978738); 0.4 ML Enoxaparin sodium 100 MG/ML Prefilled Syringe (854235); 0.4 ML Fondaparinux sodium 12.5 MG/ML Prefilled Syringe (861363); 0.5 ML Dalteparin Sodium 25000 UNT/ML Prefilled Syringe (978740); 0.5 ML Fondaparinux sodium 5 MG/ML Prefilled Syringe (861360); 0.5 ML heparin sodium, porcine 10000 UNT/ML Cartridge (1361853); 0.5 ML heparin sodium, porcine 10000 UNT/ML Injection (1658634); 0.6 ML Dalteparin Sodium 25000 UNT/ML Prefilled Syringe (978744); 0.6 ML Enoxaparin sodium 100 MG/ML Prefilled Syringe (854238); 0.6 ML Fondaparinux sodium 12.5 MG/ML Prefilled Syringe (861365); 0.72 ML Dalteparin Sodium 25000 UNT/ML Prefilled Syringe (978746); 0.8 ML Enoxaparin sodium 100 MG/ML Prefilled Syringe (854241); 0.8 ML Enoxaparin sodium 150 MG/ML Prefilled Syringe (854245); 0.8 ML Fondaparinux sodium 12.5 MG/ML Prefilled Syringe (861356); 1 ML Dalteparin Sodium 10000 UNT/ML Prefilled Syringe (978755); 1 ML Enoxaparin sodium 100 MG/ML Prefilled Syringe (854248); 1 ML Enoxaparin sodium 150 MG/ML Prefilled Syringe (854252); 1 ML heparin sodium, porcine 10 UNT/ML Injection (1658707); 1 ML heparin sodium, porcine 10 UNT/ML Prefilled Syringe (1362048); 1 ML heparin sodium, porcine 100 UNT/ML Injection (1658719); 1 ML heparin sodium, porcine 100 UNT/ML Prefilled Syringe (1362057); 1 ML heparin sodium, porcine 1000 UNT/ML Injection (1658659); 1 ML heparin sodium, porcine 10000 UNT/ML Injection (1658637); 1 ML heparin sodium, porcine 5000 UNT/ML Cartridge (1659260); 1 ML heparin sodium, porcine 5000 UNT/ML Injection (1659263); 1 ML heparin sodium, porcine 5000 UNT/ML Prefilled Syringe (1798389); 10 ML heparin sodium, porcine 10 UNT/ML Injection (1656760); 10 ML heparin sodium, porcine 100 UNT/ML Prefilled Syringe (1362059); 10 ML heparin sodium, porcine 2500 UNT/ML Injection (1361577); 100 ML heparin sodium, porcine 100 UNT/ML Injection (1658720); 1000 ML heparin sodium, porcine 2 UNT/ML Injection (1658690); 2 ML heparin sodium, porcine 10 UNT/ML Prefilled Syringe (1362052); 2 ML heparin sodium, porcine 100 UNT/ML Prefilled Syringe (1362060); 2 ML heparin sodium, porcine 1000 UNT/ML Injection (1658647); 2.5 ML argatroban 100 MG/ML Injection (308351); 2.5 ML heparin sodium, porcine 100 UNT/ML Prefilled Syringe (1362061); 250 ML heparin sodium, porcine 100 UNT/ML Injection (1658717); 250 ML heparin sodium, porcine 50 UNT/ML Injection (1659197); 3 ML heparin sodium, porcine 10 UNT/ML Prefilled Syringe (1362054); 3 ML heparin sodium, porcine 100 UNT/ML Prefilled Syringe (1362062); 3 ML heparin sodium, porcine 2 UNT/ML Prefilled Syringe (1362065); 5 ML heparin sodium, porcine 10 UNT/ML Prefilled Syringe (1362055); 5 ML heparin sodium, porcine 100 UNT/ML Prefilled Syringe (1362063); 5 ML heparin sodium, porcine 2000 UNT/ML Injection (1361568); 500 ML heparin sodium, porcine 2 UNT/ML Injection (1658692); 500 ML heparin sodium, porcine 40 UNT/ML Injection (1361607); 500 ML heparin sodium, porcine 50 UNT/ML Injection (1659195); apixaban 2.5 MG Oral Tablet (1364435); apixaban 5 MG Oral Tablet (1364445); bivalirudin 250 MG Injection (308769); dabigatran etexilate 110 MG Oral Capsule (1723476); dabigatran etexilate 150 MG Oral Capsule (1037045); dabigatran etexilate 75 MG Oral Capsule (1037179); Dalteparin Sodium 10000 UNT/ML Injectable Solution (978759); Dalteparin Sodium 25000 UNT/ML Injectable Solution (978777); desirudin 15 MG Injection (402248); edoxaban 15 MG Oral Tablet (1599543); edoxaban 30 MG Oral Tablet (1599551); edoxaban 60 MG Oral Tablet (1599555); Enoxaparin sodium 100 MG/ML Injectable Solution (854255); heparin sodium, porcine 10 UNT/ML Injectable Solution (1361029); heparin sodium, porcine 100 UNT/ML Injectable Solution (1361048); heparin sodium, porcine 1000 UNT/ML Injectable Solution (1361226); heparin sodium, porcine 10000 UNT/ML Injectable Solution (1362831); heparin sodium, porcine 20000 UNT/ML Injectable Solution (1361574); heparin sodium, porcine 5000 UNT/ML Injectable Solution (1361615); rivaroxaban 10 MG Oral Tablet (1114198); rivaroxaban 15 MG Oral Tablet (1232082); rivaroxaban 20 MG Oral Tablet (1232086); Tinzaparin sodium 20000 UNT/ML Injectable Solution (978713); Warfarin Sodium 1 MG Oral Tablet (855288); Warfarin Sodium 10 MG Oral Tablet (855296); Warfarin Sodium 2 MG Oral Tablet (855302); Warfarin Sodium 2.5 MG Oral Tablet (855312); Warfarin Sodium 3 MG Oral Tablet (855318); Warfarin Sodium 4 MG Oral Tablet (855324); Warfarin Sodium 5 MG Oral Tablet (855332); Warfarin Sodium 6 MG Oral Tablet (855338); Warfarin Sodium 7.5 MG Oral Tablet (855344)
Hospice Exclusion Codes
Encounter, Performed: Encounter Inpatient 183452005, 32485007, 8715000
Intervention, Order: Hospice Care 385763009, 385765002
Discharge Codes to Health Care Facility for Hospice Care 428371000124100
Discharge Codes to Home for Hospice Care 428361000124107

Last updated: June 7, 2018 at 3:04 pm