CMS ACCESS Model API
0.9.8 - draft US

This page is part of the ACCESS Model IG v0.9.8 DRAFT (v0.9.8: Releases Draft) based on FHIR (HL7® FHIR® Standard) R4. No current official version has been published yet. For a full list of available versions, see the Directory of published versions

ValueSet: ACCESS Early Cardio-Kidney-Metabolic (eCKM) Track Qualifying Diagnoses

Official URL: https://dsacms.github.io/cmmi-access-model/ValueSet/ACCESSeCKMDiagnosisVS Version: 0.9.8
Active as of 2026-05-20 Computable Name: ACCESSeCKMDiagnosisVS

Copyright/Legal: This value set includes content from ICD-10-CM, which is copyright World Health Organization (WHO). ICD-10-CM codes are freely available in the public domain.

This value set contains ICD-10-CM diagnosis codes that qualify a patient for the ACCESS Model Early Cardio-Kidney-Metabolic (eCKM) track. Includes hypertension, dyslipidemia, prediabetes, and obesity diagnoses.

References

Logical Definition (CLD)

  • Include these codes as defined in http://hl7.org/fhir/sid/icd-10-cm version Not Stated (use latest from terminology server)
    CodeDisplay
    I10Essential (primary) hypertension
    I11.0Hypertensive heart disease with heart failure
    I11.9Hypertensive heart disease without heart failure
    I12.9Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
    I13.0Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
    I13.10Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
    I13.11Hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease
    I15.0Renovascular hypertension
    I15.1Hypertension secondary to other renal disorders
    I15.2Hypertension secondary to endocrine disorders
    I15.8Other secondary hypertension
    I15.9Secondary hypertension, unspecified
    I1A.0Resistant hypertension
    I67.4Hypertensive encephalopathy
    E78.0Pure hypercholesterolemia
    E78.00Pure hypercholesterolemia, unspecified
    E78.01Familial hypercholesterolemia
    E78.1Pure hyperglyceridemia
    E78.2Mixed hyperlipidemia
    E78.3Hyperchylomicronemia
    E78.4Other hyperlipidemia
    E78.41Elevated lipoprotein(a)
    E78.49Other hyperlipidemia
    E78.5Hyperlipidemia, unspecified
    E78.6Lipoprotein deficiency
    E78.7Disorders of bile acid and cholesterol metabolism
    R73.03Prediabetes
    E66.01Morbid (severe) obesity due to excess calories
    E66.09Other obesity due to excess calories
    E66.1Drug-induced obesity
    E66.2Morbid (severe) obesity with alveolar hypoventilation
    E66.3Overweight
    E66.8Other obesity
    E66.9Obesity, unspecified

 

Expansion

Expansion from tx.fhir.org based on codesystem International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) version 2026-04-01

This value set contains 34 concepts

SystemCodeDisplay (en)JSONXML
http://hl7.org/fhir/sid/icd-10-cm  I10Essential (primary) hypertension
http://hl7.org/fhir/sid/icd-10-cm  I11.0Hypertensive heart disease with heart failure
http://hl7.org/fhir/sid/icd-10-cm  I11.9Hypertensive heart disease without heart failure
http://hl7.org/fhir/sid/icd-10-cm  I12.9Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
http://hl7.org/fhir/sid/icd-10-cm  I13.0Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
http://hl7.org/fhir/sid/icd-10-cm  I13.10Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
http://hl7.org/fhir/sid/icd-10-cm  I13.11Hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease
http://hl7.org/fhir/sid/icd-10-cm  I15.0Renovascular hypertension
http://hl7.org/fhir/sid/icd-10-cm  I15.1Hypertension secondary to other renal disorders
http://hl7.org/fhir/sid/icd-10-cm  I15.2Hypertension secondary to endocrine disorders
http://hl7.org/fhir/sid/icd-10-cm  I15.8Other secondary hypertension
http://hl7.org/fhir/sid/icd-10-cm  I15.9Secondary hypertension, unspecified
http://hl7.org/fhir/sid/icd-10-cm  I1A.0Resistant hypertension
http://hl7.org/fhir/sid/icd-10-cm  I67.4Hypertensive encephalopathy
http://hl7.org/fhir/sid/icd-10-cm  E78.0Pure hypercholesterolemia
http://hl7.org/fhir/sid/icd-10-cm  E78.00Pure hypercholesterolemia, unspecified
http://hl7.org/fhir/sid/icd-10-cm  E78.01Familial hypercholesterolemia
http://hl7.org/fhir/sid/icd-10-cm  E78.1Pure hyperglyceridemia
http://hl7.org/fhir/sid/icd-10-cm  E78.2Mixed hyperlipidemia
http://hl7.org/fhir/sid/icd-10-cm  E78.3Hyperchylomicronemia
http://hl7.org/fhir/sid/icd-10-cm  E78.4Other hyperlipidemia
http://hl7.org/fhir/sid/icd-10-cm  E78.41Elevated Lipoprotein(a)
http://hl7.org/fhir/sid/icd-10-cm  E78.49Other hyperlipidemia
http://hl7.org/fhir/sid/icd-10-cm  E78.5Hyperlipidemia, unspecified
http://hl7.org/fhir/sid/icd-10-cm  E78.6Lipoprotein deficiency
http://hl7.org/fhir/sid/icd-10-cm  E78.7Disorders of bile acid and cholesterol metabolism
http://hl7.org/fhir/sid/icd-10-cm  R73.03Prediabetes
http://hl7.org/fhir/sid/icd-10-cm  E66.01Morbid (severe) obesity due to excess calories
http://hl7.org/fhir/sid/icd-10-cm  E66.09Other obesity due to excess calories
http://hl7.org/fhir/sid/icd-10-cm  E66.1Drug-induced obesity
http://hl7.org/fhir/sid/icd-10-cm  E66.2Morbid (severe) obesity with alveolar hypoventilation
http://hl7.org/fhir/sid/icd-10-cm  E66.3Overweight
http://hl7.org/fhir/sid/icd-10-cm  E66.8Other obesity
http://hl7.org/fhir/sid/icd-10-cm  E66.9Obesity, unspecified

Description of the above table(s).