The CCW contains two versions of the Chronic Conditions: 30 CCW Chronic Conditions (2017 forward) and 27 CCW Chronic Conditions (1999–2021). CMS developed the 27 CCW Chronic Condition variables from algorithms validated from the research literature and criteria used by other federal sources. In 2020, CMS contracted an expert panel to refine and enhance these algorithms, resulting in the 30 CCW Chronic Condition algorithms.
The Chronic Conditions File Enhancement White Paper document provides more detail on the differences between the two versions and recommendations for researchers.
There are 30 CCW Chronic Condition categories, available for file years 2017 forward. These reference only ICD-10 diagnosis codes and have modified look-back periods, qualifying claims, and codes.
All variables listed here are currently available in the Master Beneficiary Summary File (MBSF) in the MBSF_CHRONIC_YYYY file.
- Acute Myocardial Infarction
- Alzheimer's Disease
- Atrial Fibrillation and Flutter
- Benign Prostatic Hyperplasia
- Cancer, Breast
- Cancer, Colorectal
- Cancer, Endometrial
- Cancer, Lung
- Cancer, Prostate
- Cancer, Urologic (Kidney, Renal Pelvis, and Ureter) NEW!
- Chronic Kidney Disease
- Chronic Obstructive Pulmonary Disease
- Depression, Bipolar, or Other Depressive Mood Disorders
- Heart Failure and Non-Ischemic Heart Disease
- Hip/Pelvic Fracture
- Ischemic Heart Disease
- Non-Alzheimer's Dementia†
- Osteoporosis With or Without Pathological Fracture
- Parkinson's Disease and Secondary Parkinsonism NEW!
- Pneumonia, All-cause NEW!
- Rheumatoid Arthritis/Osteoarthritis
- Stroke/Transient Ischemic Attack
* Within the 27 CCW Chronic Conditions, this condition is "Acquired Hypothyroidism."
† Within the 27 CCW Chronic Conditions, this condition is "Alzheimer’s Disease, Related Disorders, or Senile Dementia."
There are 27 CCW Chronic Condition categories, available for file years 1999–2021. These reference both ICD-9 and ICD-10 diagnosis codes.
All variables listed here are currently available in the Master Beneficiary Summary File (MBSF) in the MBSF_CC_YYYY file. The last data year for this file is 2021.
They are also available in Medicare-Medicaid Linked Enrollee Analytic Data Source (MMLEADS) (2006–2012) and Medicaid Enrollee Supplemental File (MESF) (1999–2013).
The Applying Chronic Conditions to Medicaid Data (MAX) document provides guidance when applying Chronic Conditions or Other Chronic Health, Mental Health, and Potentially Disabling Conditions algorithms to Medicaid data.
Original 21 CCW Chronic Conditions for file years 1999–2010
This original version is no longer available but listed here for reference purposes. These conditions were in the previously available Beneficiary Annual Summary File (BASF).