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Indicator Details: Increase the Proportion of Adults with Hypertension Who Get a Yearly Urinary Albumin Test
Data Sources
 
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  • Clinformatics Commercial

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The percent of people with hyper tension is low but increased over time, stabilizing at 21% -23% from 2012-2020

Chart Explanation: 

The chart shows year on the x-axis and percent with a urine albumin test among those with hypertension. In 2006, 13.4% of those with hypertension had a urine albumin test. This percentage increased over time through 2011. After 2012 the percentage didn't change much being between 20%-23%.

The Clinformatics™ Commercial dataset provides paid medical and prescription claims and enrollment information for participants in commercial insurance plans.
Hypertension is identified by International Classification of Diseases diagnoses and urine testing was identified by CPT codes.

FieldData
Description of Measure

Increase the proportion of adults with hypertension who get a yearly urinary albumin test

Data Source

Clinformatics Commercial from Clinformatics™ Data Mart Database (OptumInsight, Eden Prairie, MN)

Type of data source

Adminstrative

Dataset

Clinformatics Commercial enrollees age 20-64 years old.

Health Care System Data

Yes

Numerator

Patients in the denominator who have received a urine albumin test. 

Denominator

Patients age 20-64 years older with full year of enrollment in a given calendar year and a diagnosis of hypertension

Primary Variable

Claims for Urine Albumin test

Secondary Variable

Diagnosis of hypertension on a medical claim

Period Currently Available

2006-2020

Limitations of Indicator

Identifying hypertension through diagnosis codes rather than with blood pressure readings leads to an underestimate of the prevalence of hypertension.

Analytic Considerations

In published literature, hypertension is diagnosed by ICD-9-CM or ICD-10-CM codes in alternate ways (one outpatient, two or more outpatient or one inpatient). Care must be taken in comparisons.

ICD-9-CM Codes for Hypertension

362.11; 401-405; 437.2

ICD-10-CM Codes for Hypertension

H35.031-H35.039, I10-I13.2, I15.0-I15.9, I67.4, N26.2

CPT Codes for urine albumin test:

82042, 82043, 82044, 84156, 82570


Suggested Citation:
Centers for Disease Control and Prevention. Chronic Kidney Disease Surveillance System—United States.
website. http://www.cdc.gov/ckd