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 Arthroscopy | KNARTH | 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 |
