Episodes By Wave

WAVE 1

1.      Perinatal

2.      Asthma Acute Exacerbation 

3.      Total Joint Replacement (Hip & Knee)

WAVE 2

1.      Screening and Surveillance Colonoscopy

2.      Chronic Obstructive Pulmonary Disease (COPD) Acute Exacerbation 

3.      Outpatient and Non-Acute Inpatient Cholecystectomy 

4.      Acute Percutaneous Coronary Intervention (PCI) 

5.      Non-acute Percutaneous Coronary Intervention (PCI)

WAVE 3

1.      Upper GI Endoscopy (Esophagogastroduodenoscopy (EGD))

2.      Respiratory Infection 

3.      Pneumonia (PNA) 

4.      Urinary Tract Infection (UTI) - Outpatient 

5.      Urinary Tract Infection (UTI) - Inpatient 

6.      Gastrointestinal Hemorrhage (GIH)

WAVE 4

1.      Attention Deficit and Hyperactivity Disorder (ADHD)*

2.      Bariatric Surgery 

3.      Coronary Artery Bypass Graft (CABG) 

4.      Congestive Heart Failure (CHF) Acute Exacerbation 

5.      Oppositional Defiant Disorder (ODD) 

6.      Valve Repair and Replacement

*The performance period for the ADHD episode will begin calendar year 2018 with Wave 5 episodes.

WAVE 5

1.      Tonsillectomy 

2.      Breast Biopsy 

3.      Otitis Media

WAVE 6

1.      Skin and Soft Tissue Infection 

2.      HIV 

3.      Pancreatitis 

4.      Diabetes Acute Exacerbation

WAVE 7

1.      Spinal Fusion

2.      Spinal decompression (without spinal fusion)

3.      Femur/pelvic fracture

4.      Knee Arthroscopy

5.      Ankle non-operative injuries

6.      Wrist non-operative injuries

7.      Shoulder non-operative injuries

8.      Knee non-operative injuries

9.      Back / Neck pain

WAVE 8

1.      Acute Seizure

2.      Syncope

3.      Acute Gastroenteritis

4.      Pediatric Pneumonia

5.      Bronchiolitis

6.      Colposcopy

7.      Hysterectomy

8.      Gastrointestinal (GI) Obstruction

9.      Appendectomy

10.   Hernia Repair

WAVE 9

1. Acute Kidney and Ureter Stones
2. Cystourethroscopy