The Chronic Condition Indicator Refined (CCIR) for ICD-10-CM is one in a family of databases and software tools developed as part of the Healthcare Cost and Utilization Project (HCUP), a Federal-State-Industry partnership sponsored by the Agency for Healthcare Research and Quality (AHRQ). HCUP databases, tools, and software inform decision making at the national, State, and community levels.

Contents:

• Overview of the CCIR for ICD-10-CM
• User Guide and Other Resources
• Data Elements Required for Input Dataset
• Downloading Information for Tool and Documentation
• Archive for Prior Versions (Including the ICD-10-CM Beta Versions)
• For More Information, Comments, or Questions about the CCIR for ICD-10-CM

The Chronic Condition Indicator Refined (CCIR) for ICD-10-CM facilitates health services research by allowing the researcher to readily identify a diagnosis as indicating a chronic condition. Beginning v2023.1, the CCIR for ICD-10-CM returns to a concept consistent with the ICD-9-CM version of the tool, which distinguishes chronic from non-chronic conditions. All ICD-10-CM diagnosis codes are identified as one of the following three categories:

• Chronic (value 1)
  
  • Examples include malignant cancer, diabetes, obesity, hypertension, and most mental health conditions


• Not chronic (value 0)
  
  • Examples include influenza, bacterial infection, pregnancy, and most initial encounters for an injury


• No determination is made on the identification of a chronic condition (value 9)
  
  • Examples include external cause of morbidity codes, and codes indicating a fracture or complication of a prosthetic, prosthetic device, or other device, implant, or graft.

The Chronic Condition Indicator Refined (CCIR) for ICD-10-CM is updated annually to coincide with fiscal year updates to the ICD-10-CM coding system and retains diagnosis codes valid from the start of ICD-10-CM in October 2015. For this reason, it is advisable to always use the most recent version of the tool.

The following table provides information on where to find the various resources available for the Chronic Condition Indicator Refined (CCIR) for ICD-10-CM tool. The download section includes all of the referenced materials.

The input dataset must contain an array of ICD-10-CM diagnoses without decimals. This data element is required for assignment of the CCIR for ICD-10-CM.

The ZIP folder includes the CSV mapping file, a SAS mapping program, and all of the user documentation. At this time, the Chronic Condition Indicator Refined (CCIR) for ICD-10-CM is only available as a SAS program.

• Chronic Condition Indicator Refined (CCIR) for ICD-10-CM v2025.1: Fiscal Year 2025, Released November 2024 - valid for ICD-10-CM diagnosis codes through September 2025
  • Chronic Condition Indicator Refined (CCIR) for ICD-10-CM, v2025.1 (ZIP file, 921 KB) released 11/13/24

For convenience, the user documentation for the Chronic Condition Indicator Refined (CCIR) for ICD-10-CM v2025.1 is also provided as separate documents:

• User Guide: Chronic Condition Indicator Refined (CCIR) for ICD-10-CM, v2025.1 (PDF file, 308 KB)
• Chronic Condition Indicator for ICD-10-CM Change Log
  
  • v2024.1 to v2025.1 (Excel file 38.8 KB)

Copies of previous versions of the Chronic Condition Indicator Refined (CCIR) for ICD-10-CM and the beta versions for ICD-10-CM are available for users who need to replace or access the old programs and documentation.

• Archive for previous versions of the Chronic Condition Indicator Refined (CCIR) for ICD-10-CM and beta versions for ICD-10-CM

Questions regarding the Chronic Condition Indicator Refined (CCIR) for ICD-10-CM may be directed to HCUP User Support through the following channels:

• Email: hcup@ahrq.gov
• Phone (toll free): 1-866-290-HCUP