Oasis Point

Tier Comorbidity Lookup Tool

Search ICD-10 codes to verify tier qualification

How to Use This Tool

Search by ICD-10 code or condition name to instantly verify if a comorbidity qualifies for tier assignment. Remember: Only ONE qualifying comorbidity at any tier level is needed for that tier assignment.All comorbidities listed here are based on actual Oasis Point Rehabilitation Hospital data and national prevalence statistics.

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49 total qualifying comorbidities | Tier 1: 6 | Tier 2: 13 | Tier 3: 30

49 Results

Z99.2Tier 164.53% prevalence
Dependence on renal dialysis

📋 Documentation Requirements:

Requires dialysis orders, treatment logs, and nephrologist consultation notes

Z43.0Tier 117.23% prevalence
Encounter for attention to tracheostomy

📋 Documentation Requirements:

Requires trach care orders, respiratory therapy notes, and daily monitoring

Z93.0Tier 112.67% prevalence
Tracheostomy status

📋 Documentation Requirements:

Requires evidence of ongoing trach management and respiratory support

J38.01Tier 14.59% prevalence
Paralysis of vocal cords and larynx, unilateral

📋 Documentation Requirements:

Requires ENT consultation, swallow evaluation, and speech therapy orders

J38.4Tier 12.73% prevalence
Edema of larynx

📋 Documentation Requirements:

Requires respiratory monitoring, medications for edema management

J38.02Tier 11.08% prevalence
Paralysis of vocal cords and larynx, bilateral

📋 Documentation Requirements:

Requires intensive respiratory support and airway management

R13.10Tier 232.9% prevalence
Dysphagia, unspecified

📋 Documentation Requirements:

Requires diet modification orders, swallow evaluation, and SLP treatment notes

R13.12Tier 232.17% prevalence
Dysphagia, oropharyngeal phase

📋 Documentation Requirements:

Requires specific swallow study results and targeted therapy interventions

B96.5Tier 211.53% prevalence
Pseudomonas (aeruginosa) as the cause of diseases classified elsewhere

📋 Documentation Requirements:

Requires culture results, antibiotic orders, and infection control measures

R13.11Tier 210.61% prevalence
Dysphagia, oral phase

📋 Documentation Requirements:

Requires oral motor exercises, compensatory strategies documentation

R13.13Tier 26.73% prevalence
Dysphagia, pharyngeal phase

📋 Documentation Requirements:

Requires pharyngeal strengthening exercises and aspiration precautions

A04.72Tier 26.38% prevalence
Enterocolitis due to Clostridium difficile, not specified as recurrent

📋 Documentation Requirements:

Requires C. diff test results, isolation precautions, and antibiotic treatment

I69.391Tier 22.14% prevalence
Dysphagia following cerebral infarction

📋 Documentation Requirements:

Requires stroke-specific swallow rehabilitation and aspiration risk management

R13.19Tier 21.77% prevalence
Other dysphagia

📋 Documentation Requirements:

Requires specific dysphagia type documentation and treatment plan

R13.14Tier 21.74% prevalence
Dysphagia, pharyngoesophageal phase

📋 Documentation Requirements:

Requires esophageal phase assessment and GI consultation if needed

A04.71Tier 20.55% prevalence
Enterocolitis due to Clostridium difficile, recurrent

📋 Documentation Requirements:

Requires documentation of previous C. diff episodes and aggressive treatment

K91.2Tier 20.33% prevalence
Postsurgical malabsorption, not elsewhere classified

📋 Documentation Requirements:

Requires nutritional assessment, supplementation orders, and GI follow-up

I69.191Tier 20.3% prevalence
Dysphagia following nontraumatic intracerebral hemorrhage

📋 Documentation Requirements:

Requires hemorrhage-specific swallow rehabilitation protocols

I69.291Tier 20.14% prevalence
Dysphagia following other nontraumatic intracranial hemorrhage

📋 Documentation Requirements:

Requires detailed hemorrhage type documentation and swallow therapy

E11.65Tier 322.77% prevalence
Type 2 diabetes mellitus with hyperglycemia

📋 Documentation Requirements:

Requires glucose monitoring, insulin/oral hypoglycemic orders, and endocrine management

N17.9Tier 317.3% prevalence
Acute kidney failure, unspecified

📋 Documentation Requirements:

Requires BUN/creatinine monitoring, fluid management, and nephrology consultation

E11.22Tier 316.31% prevalence
Type 2 diabetes mellitus with diabetic chronic kidney disease

📋 Documentation Requirements:

Requires dual management of diabetes and CKD with appropriate medications

E66.811Tier 314.68% prevalence
Obesity, class 1 (BMI 30-34.9)

📋 Documentation Requirements:

Requires BMI documentation, weight management plan, and mobility considerations

I13.0Tier 311.04% prevalence
Hypertensive heart and chronic kidney disease with heart failure and stage 1-4 CKD

📋 Documentation Requirements:

Requires cardiac and renal monitoring, multiple medications, and specialist coordination

I50.32Tier 38.93% prevalence
Chronic diastolic (congestive) heart failure

📋 Documentation Requirements:

Requires daily weights, diuretics, cardiac medications, and CHF monitoring

E66.01Tier 37.93% prevalence
Morbid (severe) obesity due to excess calories (BMI ≥40)

📋 Documentation Requirements:

Requires bariatric equipment, mobility assistance, and weight management program

E66.812Tier 37.71% prevalence
Obesity, class 2 (BMI 35-39.9)

📋 Documentation Requirements:

Requires BMI documentation, comorbidity screening, and therapeutic interventions

E11.40Tier 37.57% prevalence
Type 2 diabetes mellitus with diabetic neuropathy, unspecified

📋 Documentation Requirements:

Requires neuropathy assessment, pain management, and fall risk precautions

E11.42Tier 37.05% prevalence
Type 2 diabetes mellitus with diabetic polyneuropathy

📋 Documentation Requirements:

Requires comprehensive neuropathy management and sensory protection education

G81.94Tier 36.07% prevalence
Hemiplegia, unspecified affecting left nondominant side

📋 Documentation Requirements:

Requires stroke rehabilitation, mobility training, and ADL retraining

I50.22Tier 35.73% prevalence
Chronic systolic (congestive) heart failure

📋 Documentation Requirements:

Requires systolic-specific CHF management and cardiac monitoring

G81.91Tier 35.53% prevalence
Hemiplegia, unspecified affecting right dominant side

📋 Documentation Requirements:

Requires intensive rehabilitation for dominant side impairment

E11.51Tier 35.45% prevalence
Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene

📋 Documentation Requirements:

Requires vascular assessment, wound prevention, and circulation monitoring

E66.813Tier 35.35% prevalence
Obesity, class 3 (BMI ≥40)

📋 Documentation Requirements:

Requires specialized equipment, bariatric protocols, and multidisciplinary management

J96.01Tier 34.87% prevalence
Acute respiratory failure with hypoxia

📋 Documentation Requirements:

Requires oxygen therapy, respiratory monitoring, and pulmonary management

J18.9Tier 33.98% prevalence
Pneumonia, unspecified organism

📋 Documentation Requirements:

Requires antibiotics, chest X-ray, respiratory therapy, and infection monitoring

J90Tier 33.7% prevalence
Pleural effusion, not elsewhere classified

📋 Documentation Requirements:

Requires chest imaging, possible thoracentesis, and respiratory management

E11.69Tier 33.13% prevalence
Type 2 diabetes mellitus with other specified complication

📋 Documentation Requirements:

Requires specific complication documentation and targeted treatment

I50.30Tier 32.65% prevalence
Unspecified diastolic (congestive) heart failure

📋 Documentation Requirements:

Requires CHF management protocol and cardiac monitoring

I26.99Tier 32.27% prevalence
Other pulmonary embolism without acute cor pulmonale

📋 Documentation Requirements:

Requires anticoagulation, respiratory monitoring, and DVT prophylaxis

I50.20Tier 32.26% prevalence
Unspecified systolic (congestive) heart failure

📋 Documentation Requirements:

Requires systolic CHF management and medication optimization

E11.649Tier 32.24% prevalence
Type 2 diabetes mellitus with hypoglycemia without coma

📋 Documentation Requirements:

Requires hypoglycemia protocol, glucose monitoring, and medication adjustment

I50.42Tier 31.76% prevalence
Chronic combined systolic and diastolic (congestive) heart failure

📋 Documentation Requirements:

Requires comprehensive CHF management for both systolic and diastolic dysfunction

I50.33Tier 31.74% prevalence
Acute on chronic diastolic (congestive) heart failure

📋 Documentation Requirements:

Requires acute exacerbation management and CHF stabilization

J96.21Tier 31.62% prevalence
Acute and chronic respiratory failure with hypoxia

📋 Documentation Requirements:

Requires intensive respiratory support and pulmonary management

U07.1Tier 31.55% prevalence
2019-nCoV acute respiratory disease (COVID-19)

📋 Documentation Requirements:

Requires isolation precautions, respiratory monitoring, and COVID-specific protocols

D61.818Tier 31.55% prevalence
Other pancytopenia

📋 Documentation Requirements:

Requires hematology consultation, CBC monitoring, and infection precautions

L03.116Tier 31.53% prevalence
Cellulitis of left lower limb

📋 Documentation Requirements:

Requires antibiotics, wound care, and infection monitoring

R91.8Tier 31.49% prevalence
Other nonspecific abnormal finding of lung field

📋 Documentation Requirements:

Requires chest imaging follow-up and pulmonary assessment