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Home > For Providers > Manage Care > Quality of Care > Provider Incentives > Care-Based Incentive > Care-Based Incentive Resources > Preventable Emergency Visits Diagnoses Tip Sheet

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Preventable Emergency Visits Diagnoses Tip Sheet

Condition Description: The list of preventable emergency department (ED) diagnoses is derived from the Statewide Collaborative Quality Improvement Project: Reducing Avoidable Emergency Room Visits.

  • Acute Conditions
    o Bronchitis o Laryngopharyngitis
    o Nasopharyngitis (Common Cold) o Pharyngitis Unspecified or Due to Other Specified Organisms
    o Upper Respiratory Infection, Unspecified o Vaginitis
    o Vulvitis
  • Candida Of Skin And Nail
  • Candidal
    o Balanitis o Cheilitis
    o Cystitis And Urethritis o Otitis Externa
    o Stomatitis
  • Candidiasis of Vulva and Vagina or Unspecified
  • Chlamydial Cystitis And Urethritis
  • Cystitis
    o Acute with/without Hematuria o Interstitial (Chronic) with/without Hematuria
    o Other Chronic with/without Hematuria o Other Cystitis with/without Hematuria
    o Unspecified Hematuria with/without Hematuria
  • Chronic Conditions
    o Adenoiditis o Disease Of Tonsils And Adenoids, Unspecified
    o Nasopharyngitis o Pharyngitis
    o Rhinitis o Tonsillitis
    o Tonsillitis and Adenoiditis
  • Conjunctivitis
    o Acute Atopic Conjunctivitis o Acute Follicular Conjunctivitis
    o Angular Belpharoconjunctivitis o Chronic Follicular Conjunctivitis
    o Chronic Giant Papillary Conjunctivitis o Contact Blepharoconjunctivitis
    o Due to Acanthamoeba o Ligneous Conjunctivitis
    o Other Chronic Allergic Conjunctivitis o Other Conjunctivitis
    o Other Mucopurulent Conjunctivitis o Pseudomembranous Conjunctivitis
    o Serous Conjunctivitis o Simple Chronic Conjunctivitis
    o Unspecified Acute Conjunctivitis o Unspecified Blepharoconjunctivitis
    o Unspecified Chronic Conjunctivitis o Unspecified Conjunctivitis
    o Vernal Conjunctivitis
  • COVID-19
  • Dorsalgia, Unspecified
  • Examination For
    o Driving License o Insurance Purposes
    o Comparison and Control in Clinical Research Program o Participation in Sport
    o Period of Delayed Growth in Childhood with or Without Abnormal Findings o Recruitment To Armed Forces
    o Blood Pressure With or Without Abnormal Findings o Ears And Hearing With Other or Without Abnormal Findings
    o Eyes And Vision Without Abnormal Findings o Potential Donor Of Organ And Tissue
  • Follow-Up Examination After Completed Treatment For Malignant or Conditions Other Than Malignant Neoplasm
  • General Adult Medical Examination With or Without Abnormal Findings
  • General Psychiatric Examination, Requested By Authority
  • Gynecological Examination (General) (Routine) With or Without Abnormal Findings
  • Encounter For
    o Administrative Examinations, Unspecified o Adoption Services
    o Allergy Testing o Blood Typing
    o Dental Exam and cleaning with/without abnormal Findings o Cervical Smear to Confirm Findings of Recent Normal Smear Following Initial Abnormal Smear
    o Exam and Observation for Other Specified or Unspecified Reasons o Disability Determination
    o Hearing Conservation and Treatment o Admission to Educational Institution
    o Hearing Examination Following Failed Hearing Screening o Issue Of Other Medical Certificate
    o Issue Of Repeat Prescription
  • Encounter For Other
    o Administrative Examinations o Pregnancy Test
    o General Examination o Preprocedural Examinations
    o Specified Special Examinations o Paternity Testing
    o Pre-Employment Examination
  • Female Infertility Of Other Origin
  • Headache
  • Hypertrophy
    o Adenoids o Tonsils With Hypertrophy Of Adenoids
    o Tonsils
  • Inflammatory Disease Of Cervix Uteri
  • Low Back Pain, Unspecified
  • Miliaria
    o Crystallina o Profunda
    o Rubra o Unspecified
  • Muscle Spasm Of Back
  • Other Acariasis
  • Other Chronic Diseases of Tonsils and Adenoids
  • Other
    o Dorsalgia o Urogenital Candidiasis
    o Low back pain o Sites Of Candidiasis
    o Pruritus
  • Otitis Media
    o Acute Suppurative With or Without Spontaneous Rupture o Chronic Atticoantral Suppurative
    o Chronic Tubotympanic Suppurative o Other Chronic Suppurative
    o Otitis Media, Unspecified o Suppurative Otitis Media, Unspecified
  • Pruritus, Unspecified
  • Sacrococcygeal Disorders, Nec
  • Scabies
  • Sinusitis
    o Chronic Ethmoidal Sinusitis o Chronic Frontal Sinusitis
    o Chronic Maxillary Sinusitis o Chronic Pansinusitis
    o Chronic Sinusitis, Unspecified o Chronic Sphenoidal Sinusitis
    o Other Chronic Sinusitis
  • Subacute And Chronic Vaginitis
  • Tinea Corporis
  • Tinea Imbricata
  • Trigonitis With or Without Hematuria
  • Urinary Tract Infection, Site Not Specified
  • Vascular Headache, Not Elsewhere Classified

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