Episodes Summaries

Below is the list of episode definitions used in our under-65 commercially insured, Medicaid and Medicare Advantage programs.

Category

Name

Acronym

Version 1
Cardiac Arrhythmia / Heart Block / Conduction Disorders ARRBLK Summary
Respiratory System Asthma ASTHMA Summary
Gastrointestinal Bariatric Surgery BARI Summary
Behavioral Health Bipolar Disorder BIPLR Summary
Skin, Tissue & Breast Breast Biopsy BSTBIO Summary
Cardiac Cabg &/or Valve Procedures CXCABG Summary
Eye Cataract Surgery CTRTSU Summary
Respiratory System Chronic Obstructive Pulmonary Disease COPD Summary
Gastrointestinal Colonoscopy COLOS Summary
Gastrointestinal Colorectal Resection COLON Summary
Cardiac Coronary Artery Disease CAD Summary
Gastrointestinal Crohn’s Disease CROHNS Summary
Behavioral Health Depression And Anxiety DEPANX Summary
Endocrine Diabetes DIAB Summary
Gastrointestinal Gall Bladder Surgery GBSURG Summary
Gastrointestinal Gastro-esophageal Reflux Disease GERD Summary
Maternity Global Maternity – Pregnancy, Vaginal Delivery, C-sect, Newborn PREGN, VAGDEL, CSECT, NBRN Summary
Cardiac Heart Failure HF Summary
Musculoskeletal Hip Replacement HIPRPL Summary
Cardiac Hypertension HTN Summary
Female Reproductive System Hysterectomy HYST Summary
Musculoskeletal Knee Replacement & Knee Revision KNRPL Summary
Musculoskeletal Low Back Pain LBP Summary
Musculoskeletal Lumbar Laminectomy LBRLAM Summary
Musculoskeletal Lumbar Spine Fusion FUSION Summary
Respiratory System Lung Resection LNGSRG Summary
Skin, Tissue & Breast Mastectomy MSTCMY Summary
Musculoskeletal Osteoarthritis OSTEOA Summary
Cardiac Pacemaker / Defibrillator PCMDFR Summary
Cardiac Percutaneous Coronary Intervention (Angioplasty) PCI Summary
Male Reproductive System Prostatectomy PRSCMY Summary
Behavioral Health Schizophrenia SCHIZO Summary
Musculoskeletal Shoulder Replacement SHLDRP Summary
Behavioral Health Substance Use Disorder SUDS Summary
Ear, Nose & Throat Tonsillectomy TONSIL Summary
Male Reproductive System Transurethral Resection Prostate TURP Summary
Behavioral Health Trauma & Stressors Disorders PTSD Summary
Gastrointestinal Ulcerative Colitis ULCLTS Summary
Gastrointestinal Upper Gi (Endoscopy) EGD Summary

These materials represent Version 1 of Signify Health Episode Definition Library and are comprised of copyrighted material of Signify Health and Health Care Incentives Improvement Institute, Inc.

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