CMS ACCESS Model API
0.9.12 - draft United States of America flag

This page is part of the ACCESS Model IG v0.9.12 DRAFT (v0.9.12: 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

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

Active as of 2026-06-10

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="ACCESSeCKMDiagnosisVS"/>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet ACCESSeCKMDiagnosisVS</b></p><a name="ACCESSeCKMDiagnosisVS"> </a><a name="hcACCESSeCKMDiagnosisVS"> </a><ul><li>Include these codes as defined in <a href="http://terminology.hl7.org/6.2.0/CodeSystem-icd10CM.html"><code>http://hl7.org/fhir/sid/icd-10-cm</code></a><span title="Version is not explicitly stated. No matching Code System found"> version Not Stated (use latest from terminology server)</span><table class="none"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td></tr><tr><td>E66.01</td><td>Morbid (severe) obesity due to excess calories</td></tr><tr><td>E66.09</td><td>Other obesity due to excess calories</td></tr><tr><td>E66.1</td><td>Drug-induced obesity</td></tr><tr><td>E66.2</td><td>Morbid (severe) obesity with alveolar hypoventilation</td></tr><tr><td>E66.3</td><td>Overweight</td></tr><tr><td>E66.811</td><td>Obesity, class 1</td></tr><tr><td>E66.812</td><td>Obesity, class 2</td></tr><tr><td>E66.813</td><td>Obesity, class 3</td></tr><tr><td>E66.89</td><td>Other obesity not elsewhere classified</td></tr><tr><td>E66.9</td><td>Obesity, unspecified</td></tr><tr><td>E78.00</td><td>Pure hypercholesterolemia, unspecified</td></tr><tr><td>E78.010</td><td>Homozygous familial hypercholesterolemia [HoFH]</td></tr><tr><td>E78.011</td><td>Heterozygous familial hypercholesterolemia [HeFH]</td></tr><tr><td>E78.019</td><td>Familial hypercholesterolemia, unspecified</td></tr><tr><td>E78.1</td><td>Pure hyperglyceridemia</td></tr><tr><td>E78.2</td><td>Mixed hyperlipidemia</td></tr><tr><td>E78.3</td><td>Hyperchylomicronemia</td></tr><tr><td>E78.41</td><td>Elevated Lipoprotein(a)</td></tr><tr><td>E78.49</td><td>Other hyperlipidemia</td></tr><tr><td>E78.5</td><td>Hyperlipidemia, unspecified</td></tr><tr><td>E78.6</td><td>Lipoprotein deficiency</td></tr><tr><td>E78.70</td><td>Disorder of bile acid and cholesterol metabolism, unspecified</td></tr><tr><td>E78.71</td><td>Barth syndrome</td></tr><tr><td>E78.72</td><td>Smith-Lemli-Opitz syndrome</td></tr><tr><td>E78.79</td><td>Other disorders of bile acid and cholesterol metabolism</td></tr><tr><td>E78.81</td><td>Lipoid dermatoarthritis</td></tr><tr><td>E78.89</td><td>Other lipoprotein metabolism disorders</td></tr><tr><td>E78.9</td><td>Disorder of lipoprotein metabolism, unspecified</td></tr><tr><td>I10</td><td>Essential (primary) hypertension</td></tr><tr><td>I11.0</td><td>Hypertensive heart disease with heart failure</td></tr><tr><td>I11.9</td><td>Hypertensive heart disease without heart failure</td></tr><tr><td>I12.9</td><td>Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease</td></tr><tr><td>I13.0</td><td>Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease</td></tr><tr><td>I13.10</td><td>Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease</td></tr><tr><td>I15.0</td><td>Renovascular hypertension</td></tr><tr><td>I15.1</td><td>Hypertension secondary to other renal disorders</td></tr><tr><td>I15.2</td><td>Hypertension secondary to endocrine disorders</td></tr><tr><td>I15.8</td><td>Other secondary hypertension</td></tr><tr><td>I15.9</td><td>Secondary hypertension, unspecified</td></tr><tr><td>I1A.0</td><td>Resistant hypertension</td></tr><tr><td>R73.01</td><td>Impaired fasting glucose</td></tr><tr><td>R73.02</td><td>Impaired glucose tolerance (oral)</td></tr><tr><td>R73.03</td><td>Prediabetes</td></tr><tr><td>R73.09</td><td>Other abnormal glucose</td></tr><tr><td>R73.9</td><td>Hyperglycemia, unspecified</td></tr></table></li></ul></div>
  </text>
  <url
       value="https://dsacms.github.io/cmmi-access-model/ValueSet/ACCESSeCKMDiagnosisVS"/>
  <version value="0.9.12"/>
  <name value="ACCESSeCKMDiagnosisVS"/>
  <title
         value="ACCESS Early Cardio-Kidney-Metabolic (eCKM) Track Qualifying Diagnoses"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-06-10T23:08:55-04:00"/>
  <publisher value="Global Alliant, Inc."/>
  <contact>
    <name value="Global Alliant, Inc."/>
    <telecom>
      <system value="url"/>
      <value value="https://globalalliantinc.com"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="david.h@globalalliantinc.org"/>
    </telecom>
  </contact>
  <description
               value="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."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
      <display value="United States of America"/>
    </coding>
  </jurisdiction>
  <copyright
             value="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."/>
  <compose>
    <include>
      <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
      <concept>
        <code value="E66.01"/>
        <display value="Morbid (severe) obesity due to excess calories"/>
      </concept>
      <concept>
        <code value="E66.09"/>
        <display value="Other obesity due to excess calories"/>
      </concept>
      <concept>
        <code value="E66.1"/>
        <display value="Drug-induced obesity"/>
      </concept>
      <concept>
        <code value="E66.2"/>
        <display
                 value="Morbid (severe) obesity with alveolar hypoventilation"/>
      </concept>
      <concept>
        <code value="E66.3"/>
        <display value="Overweight"/>
      </concept>
      <concept>
        <code value="E66.811"/>
        <display value="Obesity, class 1"/>
      </concept>
      <concept>
        <code value="E66.812"/>
        <display value="Obesity, class 2"/>
      </concept>
      <concept>
        <code value="E66.813"/>
        <display value="Obesity, class 3"/>
      </concept>
      <concept>
        <code value="E66.89"/>
        <display value="Other obesity not elsewhere classified"/>
      </concept>
      <concept>
        <code value="E66.9"/>
        <display value="Obesity, unspecified"/>
      </concept>
      <concept>
        <code value="E78.00"/>
        <display value="Pure hypercholesterolemia, unspecified"/>
      </concept>
      <concept>
        <code value="E78.010"/>
        <display value="Homozygous familial hypercholesterolemia [HoFH]"/>
      </concept>
      <concept>
        <code value="E78.011"/>
        <display value="Heterozygous familial hypercholesterolemia [HeFH]"/>
      </concept>
      <concept>
        <code value="E78.019"/>
        <display value="Familial hypercholesterolemia, unspecified"/>
      </concept>
      <concept>
        <code value="E78.1"/>
        <display value="Pure hyperglyceridemia"/>
      </concept>
      <concept>
        <code value="E78.2"/>
        <display value="Mixed hyperlipidemia"/>
      </concept>
      <concept>
        <code value="E78.3"/>
        <display value="Hyperchylomicronemia"/>
      </concept>
      <concept>
        <code value="E78.41"/>
        <display value="Elevated Lipoprotein(a)"/>
      </concept>
      <concept>
        <code value="E78.49"/>
        <display value="Other hyperlipidemia"/>
      </concept>
      <concept>
        <code value="E78.5"/>
        <display value="Hyperlipidemia, unspecified"/>
      </concept>
      <concept>
        <code value="E78.6"/>
        <display value="Lipoprotein deficiency"/>
      </concept>
      <concept>
        <code value="E78.70"/>
        <display
                 value="Disorder of bile acid and cholesterol metabolism, unspecified"/>
      </concept>
      <concept>
        <code value="E78.71"/>
        <display value="Barth syndrome"/>
      </concept>
      <concept>
        <code value="E78.72"/>
        <display value="Smith-Lemli-Opitz syndrome"/>
      </concept>
      <concept>
        <code value="E78.79"/>
        <display
                 value="Other disorders of bile acid and cholesterol metabolism"/>
      </concept>
      <concept>
        <code value="E78.81"/>
        <display value="Lipoid dermatoarthritis"/>
      </concept>
      <concept>
        <code value="E78.89"/>
        <display value="Other lipoprotein metabolism disorders"/>
      </concept>
      <concept>
        <code value="E78.9"/>
        <display value="Disorder of lipoprotein metabolism, unspecified"/>
      </concept>
      <concept>
        <code value="I10"/>
        <display value="Essential (primary) hypertension"/>
      </concept>
      <concept>
        <code value="I11.0"/>
        <display value="Hypertensive heart disease with heart failure"/>
      </concept>
      <concept>
        <code value="I11.9"/>
        <display value="Hypertensive heart disease without heart failure"/>
      </concept>
      <concept>
        <code value="I12.9"/>
        <display
                 value="Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease"/>
      </concept>
      <concept>
        <code value="I13.0"/>
        <display
                 value="Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease"/>
      </concept>
      <concept>
        <code value="I13.10"/>
        <display
                 value="Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease"/>
      </concept>
      <concept>
        <code value="I15.0"/>
        <display value="Renovascular hypertension"/>
      </concept>
      <concept>
        <code value="I15.1"/>
        <display value="Hypertension secondary to other renal disorders"/>
      </concept>
      <concept>
        <code value="I15.2"/>
        <display value="Hypertension secondary to endocrine disorders"/>
      </concept>
      <concept>
        <code value="I15.8"/>
        <display value="Other secondary hypertension"/>
      </concept>
      <concept>
        <code value="I15.9"/>
        <display value="Secondary hypertension, unspecified"/>
      </concept>
      <concept>
        <code value="I1A.0"/>
        <display value="Resistant hypertension"/>
      </concept>
      <concept>
        <code value="R73.01"/>
        <display value="Impaired fasting glucose"/>
      </concept>
      <concept>
        <code value="R73.02"/>
        <display value="Impaired glucose tolerance (oral)"/>
      </concept>
      <concept>
        <code value="R73.03"/>
        <display value="Prediabetes"/>
      </concept>
      <concept>
        <code value="R73.09"/>
        <display value="Other abnormal glucose"/>
      </concept>
      <concept>
        <code value="R73.9"/>
        <display value="Hyperglycemia, unspecified"/>
      </concept>
    </include>
  </compose>
</ValueSet>