NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.
Davies SM, Geppert J, McClellan M, et al. Refinement of the HCUP Quality Indicators. Rockville (MD): Agency for Healthcare Research and Quality (US); 2001 May. (Technical Reviews, No. 4.)
Table of indicator includes complete specification of current HCUP indicators and potential HCUP indicators evaluated in this evidence report.
Indicators are organized by indicator type. Each indicator is numbered with a unique identifier used throughout the report.
The numerator refers to the outcome of interest and the denominator refers to the population at risk.
Some indicators specification are so detailed that the full specifications are included after the table.
Appendix 6 Indicator Definitions - Potential HCUP Indicators
** indicates current HCUP indicators
| Indicator | Numerator | Denominator | # |
|---|---|---|---|
| Volume Outcome | |||
| Discharges with ICD-9 codes 38.34, 38.44, or 38.64
in any procedure field and diagnosis of AAA (see below) in any
field. Exclude MDC 14 (pregnancy, childbirth, and puerperium) and MDC 15 (newborns and other neonates). | Not applicable. | 1 |
| Discharges with ICD-9 code 38.12 in any procedure
field. Exclude MDC 14 (pregnancy, childbirth, and puerperium) and MDC 15 (newborns and other neonates). | Not applicable | 2 |
| Discharges with ICD-9 codes 36.10 - 36.19 in any
procedure field. Age 40 years and older. Exclude MDC 14 (pregnancy, childbirth, and puerperium) and MDC 15 (newborns and other neonates). | Not applicable | 3 |
| Discharges with ICD-9 codes 42.40 - 42.42 in any
procedure field and diagnosis code of esophageal cancer in any
field. Exclude MDC 14 (pregnancy, childbirth, and puerperium) and MDC 15 (newborns and other neonates). | Not applicable | 4 |
| Discharges with ICD-9 codes 52.6 or 52.7 in any
procedure field and diagnosis code of pancreatic cancer in any
field. Exclude MDC 14 (pregnancy, childbirth, and puerperium) and MDC 15 (newborns and other neonates). | Not applicable | 5 |
| Discharges with ICD-9 codes for specified heart
surgery (see below) in any field, or for any heart surgery and a
diagnosis of hypoplastic left heart syndrome (see below) in any
field Age less than 18. See NOTE for additional exclusions Exclude MDC 14 (pregnancy, childbirth, and puerperium). | Not applicable | 6 |
| Discharges with ICD-9 codes 36.01, 36.02, 36.05, or
36.06 in any procedure field. Age 40 years and older. Exclude MDC 14 (pregnancy, childbirth, and puerperium) and MDC 15 (newborns and other neonates). | Not applicable | 7 |
| Utilization - provider level | |||
| Number of C-sections per 100 deliveries (see below). | All deliveries (see below) | 8 |
| Number of incidental appendectomies per 100 elderly discharges with intra-abdominal procedure (see below). | All non-maternal/non-neonatal discharges age 65
years and older with intra-abdominal procedure in any procedure
field (see below). Exclude MDC 14 (pregnancy, childbirth, and puerperium) and MDC 15 (newborns and other neonates). | 9 |
| Number of simultaneous right and left heart
catheterizations per 100 discharges with procedure code of heart
catheterization (see below). Exclude valid indications for right sided catheterization (see below) in any diagnosis field. | All non-maternal/non-neonatal discharges with heart
catheterization (see below) in any procedure field.
Include only coronary artery disease (see below) Exclude MDC 14 (pregnancy, childbirth, and puerperium) and MDC 15 (newborns and other neonates). | 10 |
| Number of vaginal births per 100 deliveries with diagnosis of previous C-section (see below). | All deliveries with previous C-section diagnosis in any diagnosis field (see below). | 11 |
| Number of laparoscopic cholecystectomies per 100 discharges with procedure code of cholecystectomy (see below). | All non-maternal/non-neonatal discharges with
cholecystectomy (see below) in any procedure field.
Include only discharges with uncomplicated cases: cholecystitis and/or cholelithiasis (see below) in any diagnosis field. Exclude MDC 14 (pregnancy, childbirth, and puerperium) and MDC 15 (newborns and other neonates). | 12 |
| Utilization - area level | |||
| Number of CABGs (any procedure field) per 100,000
population (see below). All non-maternal/non-neonatal discharges age 40 years and older. Exclude MDC 14 (pregnancy, childbirth, and puerperium) and MDC 15 (newborns and other neonates). | Population in MSA or county, age 40 years and older. | 13 |
| Number of hysterectomies (any procedure field) per
100,000 population (see below). All non-maternal/non-neonatal discharges of females age 18 years and older. Exclude discharges with genital cancer or pelvic or lower abdominal trauma (see below) in any diagnosis field. Exclude MDC 14 (pregnancy, childbirth, and puerperium) and MDC 15 (newborns and other neonates). | Female population in MSA or county, age 18 years and older. | 14 |
| Number of laminectomies and/or spinal fusions (any
procedure field) per 100,000 population (see below).
All non-maternal/non-neonatal discharges of age 18 years and older. Exclude MDC 14 (pregnancy, childbirth, and puerperium) and MDC 15 (newborns and other neonates). | Population in MSA or county, age 18 years and older. | 15 |
| Number of PTCAs (any procedure field) per 100,000
population (see below). All non-maternal/non-neonatal discharges of age 40 years and older. Exclude MDC 14 (pregnancy, childbirth, and puerperium) and MDC 15 (newborns and other neonates). | Population in MSA or county, age 40 years and older. | 16 |
| Ambulatory Care Sensitive Conditions | |||
| Discharges with ICD-9 principal diagnosis code for
hypovolemia per 100,000 population (see below).
All non-maternal/non-neonatal discharges of age less than 65*. Exclude transfer from other institution. Exclude MDC 14 (pregnancy, childbirth, and puerperium) and MDC 15 (newborns and other neonates). | Population in MSA or county, age less than 65*.
* Rate can also be calculated for age 65 and older | 17 |
| Discharges with ICD-9 principal diagnosis code for
bacterial pneumonia per 100,000 population. All non-maternal/non-neonatal discharges of age less than 65*. Exclude discharges with diagnosis code for sickle cell anemia or HB-S disease (see below) in any field. Exclude patients <2 months (8 weeks) of age Exclude transfer from other institution. Exclude MDC 14 (pregnancy, childbirth, and puerperium) and MDC 15 (newborns and other neonates). | Population in MSA or county, age less than 65*.
* Rate can also be calculated for age 65 and older. | 18 |
| Discharges with ICD-9 principal diagnosis code of
urinary tract infection per 100,000 population (see below).
All non-maternal/non-neonatal discharges of age less than 65*. Exclude transfer from other institution. Exclude MDC 14 (pregnancy, childbirth, and puerperium) and MDC 15 (newborns and other neonates). | Population in MSA or county, age less than 65*.
* Rate can also be calculated for age 65 and older. | 19 |
| Discharges with ICD-9 diagnosis code for
perforations or abscesses of appendix (see below) in any field
per 100 discharges with diagnosis code for appendicitis (see
below). Exclude transfer from other institution. Exclude MDC 14 (pregnancy, childbirth, and puerperium) and MDC 15 (newborns and other neonates). | Number of discharges with diagnosis code for appendicitis in any field in MSA or county. | 20 |
| Discharges with ICD-9 principal diagnosis code for
angina (see below) per 100,000 population. All non-maternal/non-neonatal discharges of age 18 to 64 years old*. Exclude discharges with a surgical procedure in any field (01.0-86.99). Exclude transfer from other institution. Exclude MDC 14 (pregnancy, childbirth, and puerperium) and MDC 15 (newborns and other neonates). | Population in MSA or county, age 18 to 64 years
old*. * Rate can also be calculated for age 65 and older. | 21 |
| Discharges with ICD-9 principal diagnosis code of
asthma per 100,000 population (see below). All non-maternal/non-neonatal discharges of age 18 to 64 years old*. Exclude transfer from other institution. Exclude MDC 14 (pregnancy, childbirth, and puerperium) and MDC 15 (newborns and other neonates). | Population in MSA or county, age 18 to 64 years
old*. * Rate can also be calculated for age 65 and older. | 22 |
| Discharges with ICD-9 principal diagnosis code for
COPD (see below) per 100,000 population. All non-maternal/non-neonatal discharges of age 18 to 64 years old*. Exclude transfer from other institution. Exclude MDC 14 (pregnancy, childbirth, and puerperium) and MDC 15 (newborns and other neonates). | Population in MSA or county, age 18 to 64 years
old*. * Rate can also be calculated for age 65 and older. | 23 |
| Discharges with ICD-9 principal diagnosis code for
CHF (see below) per 100,000 population. All non-maternal/non-neonatal discharges of age 18 to 64 years old*. Exclude discharges with cardiac procedure codes (see below) in any field. Exclude transfer from other institution. Exclude MDC 14 (pregnancy, childbirth, and puerperium) and MDC 15 (newborns and other neonates). | Population in MSA or county, age 18 to 64 years
old*. * Rate can also be calculated for age 65 and older. | 24 |
| Discharges with ICD-9 principal diagnosis code for
short-term complications (ketoacidosis, hyperosmolarity, coma)
per 100,000 population (see below). All non-maternal/non-neonatal discharges of age 18 to 64 years old*. Exclude transfer from other institution. Exclude MDC 14 (pregnancy, childbirth, and puerperium) and MDC 15 (newborns and other neonates). | Population in MSA or county, age 18 to 64 years
old*. * Rate can also be calculated for age 65 and older. | 25 |
MAY BE COMBINED WITH DIABETES SHORT-TERM COMPLICATIONS AS A SINGLE INDICATOR. | Discharges with ICD-9 principal diagnosis code for
uncontrolled diabetes, without mention of a short-term or
long-term complication, per 100,000 population (see below).
All non-maternal/non-neonatal discharges of age 18 to 64 years old*. Exclude transfer from other institution. Exclude MDC 14 (pregnancy, childbirth, and puerperium) and MDC 15 (newborns and other neonates). | Population in MSA or county, age 18 to 64 years
old*. * Rate can also be calculated for age 65 and older. | 26 |
| Discharges with ICD-9 principal diagnosis code for
long-term complications (renal, eye, neurological, circulatory,
or complications not otherwise specified) per 100,000 population
(see below). All non-maternal/non-neonatal discharges of age 18 to 64 years old*. Exclude transfer from other institution. Exclude MDC 14 (pregnancy, childbirth, and puerperium) and MDC 15 (newborns and other neonates). | Population in MSA or county, age 18 to 64 years
old*. * Rate can also be calculated for age 65 and older. | 27 |
| Discharges with ICD-9 principal diagnosis code for
hypertension per 100,000 population (see below).
All non-maternal/non-neonatal discharges of age 18 to 64 years old*. Exclude discharges with cardiac procedure codes (see below) in any field. Exclude transfer from other institution. Exclude MDC 14 (pregnancy, childbirth, and puerperium) and MDC 15 (newborns and other neonates). | Population in MSA or county, age 18 to 64 years
old*. * Rate can also be calculated for age 65 and older. | 28 |
| Discharges with ICD-9 procedure code for lower
extremity amputation (see below) in any field and diagnosis code
of diabetes in any field per 100,000 population (see below).
All non-maternal/non-neonatal discharges of age 18 to 64 years old*. Exclude trauma (see below). Exclude transfer from other institution. Exclude MDC 14 (pregnancy, childbirth, and puerperium) and MDC 15 (newborns and other neonates). | Population in MSA or county, age 18 to 64 years
old*. * Rate can also be calculated for age 65 and older. | 29 |
| Number of births with ICD-9 diagnosis code for less
than 2500 grams per 100 births (see below) in any field.
Exclude transfer from other institution. | All births (discharges in MDC 15 - newborns and other neonates) in MSA or county. | 30 |
| Discharges with ICD-9 principal diagnosis code of
asthma per 100,000 population (see below). All non-maternal/non-neonatal discharges of under age 18. Exclude transfer from other institution. Exclude MDC 14 (pregnancy, childbirth, and puerperium) and MDC 15 (newborns and other neonates). | Population in MSA or county, under age 18. | 31 |
| Discharges with ICD-9 principal diagnosis code for
gastroenteritis per 100,000 population (see below).
All non-maternal/non-neonatal discharges of under age 18. Exclude transfer from other institution. Exclude MDC 14 (pregnancy, childbirth, and puerperium) and MDC 15 (newborns and other neonates). | Population in MSA or county, under age 18. | 32 |
| In-hospital Mortality | |||
| Number of deaths per 100 discharges with diagnosis code for AMI in any field. | All non-maternal/non-neonatal discharges with
diagnosis codes for AMI (see below) in any field, age 18 years
and older. Exclude transfers to other institution. Exclude MDC 14 (pregnancy, childbirth, and puerperium) and MDC 15 (newborns and other neonates). | 33 |
| Number of deaths per 100 discharges with principal diagnosis code for CHF. | All non-maternal/non-neonatal discharges with
principal diagnostic code for CHF (see below), age 18 years and
older. Exclude discharges with cardiac procedure codes (see below) in any field Exclude transfers to other institution. Exclude MDC 14 (pregnancy, childbirth, and puerperium) and MDC 15 (newborns and other neonates). | 34 |
| Number of deaths per 100 discharges with principal diagnosis code for GI hemorrhage. | All non-maternal/non-neonatal discharges with
principal diagnostic code for gastrointestinal hemorrhage (see
below), age 18 years and older. Exclude transfers to other institution. Exclude MDC 14 (pregnancy, childbirth, and puerperium) and MDC 15 (newborns and other neonates | 35 |
| Number of deaths per 100 discharges with principal diagnosis code for hip fracture. | All non-maternal/non-neonatal discharges with
principal diagnostic code for hip fracture (see below), age 18
years and older. Exclude transfers to other institution. Exclude MDC 14 (pregnancy, childbirth, and puerperium) and MDC 15 (newborns and other neonates). | 36 |
| Number of deaths per 100 discharges with principal diagnosis code for pneumonia. | All non-maternal/non-neonatal discharges with
principal diagnostic code for pneumonia (see below), age 18
years and older. Exclude transfers to other institution. Exclude MDC 14 (pregnancy, childbirth, and puerperium) and MDC 15 (newborns and other neonates | 37 |
| Number of deaths per 100 discharges with principal diagnosis code for stroke. | All non-maternal/non-neonatal discharges with
principal diagnostic code for stroke (see below), age 18 years
and older. Exclude transfers to other institution. Exclude MDC 14 (pregnancy, childbirth, and puerperium) and MDC 15 (newborns and other neonates | 38 |
| Post-procedural Mortality | |||
| Number of deaths per 100 discharges with procedure code for AAA repair and diagnosis of AAA in any field. | All non-maternal/non-neonatal discharges with
procedure code for AAA repair and diagnosis of AAA (see below)
in any field. Exclude transfers to other institution. Exclude MDC 14 (pregnancy, childbirth, and puerperium) and MDC 15 (newborns and other neonates). | 39 |
| Number of deaths per 100 discharges with procedure
code for CABG in any field. Age 40 years and older. | All non-maternal/non-neonatal discharges with
procedure code for CABG (see below) in any field. Age 40 years
and older. Exclude transfers to other institution. Exclude MDC 14 (pregnancy, childbirth, and puerperium) and MDC 15 (newborns and other neonates) | 40 |
| Number of deaths per 100 discharges with DRG code for craniotomy (DRG 001, Craniotomy Age > 17, Except for Trauma). | All non-maternal/non-neonatal discharges with DRG
code for craniotomy (DRG 001 Craniotomy Age > 17, Except
for Trauma). Exclude transfers to other institution. | 41 |
| Number of deaths per 100 esophageal cancer discharges with procedure code for esophageal resection for in any field. | All non-maternal/non-neonatal esophageal cancer
discharges with procedure code for esophageal resection (see
below) in any field. Exclude transfers to other institution. Exclude MDC 14 (pregnancy, childbirth, and puerperium) and MDC 15 (newborns and other neonates). | 42 |
| Number of deaths per 100 discharges with procedure code for partial or full hip replacement in any field. | All non-maternal/non-neonatal discharges with
procedure code for partial or full hip replacement. (see below)
in any field. Include only discharges with uncomplicated cases: diagnosis or procedure codes for osteoarthrosis of hip. (see below) in any field. Exclude transfers to other institution. Exclude MDC 14 (pregnancy, childbirth, and puerperium) and MDC 15 (newborns and other neonates). | 43 |
| Number of deaths per 100 pancreatic cancer discharges with procedure code for pancreatic resection in any field. | All non-maternal/non-neonatal pancreatic cancer
discharges with procedure code for pancreatic resection (see
below) in any field. Exclude transfers to other institution. Exclude MDC 14 (pregnancy, childbirth, and puerperium) and MDC 15 (newborns and other neonates). | 44 |
| Number of deaths per 100 discharges with procedure code for pediatric heart surgery in any field. | All non-maternal/non-neonatal discharges less than
18 with procedure code for specified heart surgery (see below)
in any field, or for any heart surgery and a diagnosis code for
hypoplastic left heart syndrome (see below) in any field.
See NOTE for additional exclusions Exclude transfers to other institution. Exclude MDC 14 (pregnancy, childbirth, and puerperium). | 45 |
NOTE (Exclusions for Pediatric Heart Surgery): 1) patients who underwent PDA ligation as a single cardiac procedure (diagnosis code 747.0 and procedure code 38.85); 2) patients with prosthetic closures of atrial septal defects (procedure codes 35.51-52, 35.71) or ventricular septal defects (codes 35.53, 35.72) or atrial septal enlargement (35.41) without concomitant use of cardiopulmonary bypass (code 39.61); 3) patients with PDA closure as single cardiac procedure (procedure code 38.85) with concomitant cardiac catheterization (codes 37.21, 37.22, 37.23, 88.42, 88.43); 4) patients with occlusion of thoracic vessel (procedure code 38.85) without congenital heart defect (diagnosis codes 745.0-747.9).
| Indicator | Coding Source |
|---|---|
| Indicator | Coding Source |
| CCS Procedure Category #52 Manheim LM, J Vasc Surg 1998; 28:48-58. |
| CCS Diagnosis Category #100 |
| HCUP-3 QI (AHRQ Pub. No. 98-0035, page 85) |
| Billings et al, "Analysis of Variation in Hospital Admission Rates Associated with Area Income in New York City," (March, 1992) |
| Billings et al, "Analysis of Variation in Hospital Admission Rates Associated with Area Income in New York City," (March, 1992) |
| Medicare Quality of Care Report of Surveillance
Measures (http://www |
| CCS Procedure Category #44 (except 36.2, 36.3x) |
| CCS Procedure Category #51 |
| HCUP-3 QI (AHRQ Pub. No. 98-0035, page 82) |
| CCS Diagnosis Category #127 |
| CCS Diagnosis Category #108 |
| DRG 001, "CRANIOTOMY AGE >17 EXCEPT FOR TRAUMA" |
| Billings et al, "Analysis of Variation in Hospital Admission Rates Associated with Area Income in New York City," (March, 1992) |
| HCUP-3 QI (AHRQ Pub. No. 98-0035, page 86) |
| HCUP-3 QI (AHRQ Pub. No. 98-0035, page 86) |
| Healthy People 2010 |
| Patti MG, Corvera CU, Glasgow RE, Way LW. A
hospital's annual rate of esophagectomy influences the operative
mortality rate. J Gastrointest Surg. 1998; 2:186-192.
Begg CB, Cramer LD, Hoskins WJ, Brennan MF. Impact of hospital volume on operative mortality for major cancer surgery. JAMA. 1998; 280:1747-1751 |
| HCUP-3 QI (AHRQ Pub. No. 98-0035, page 75) |
| CCS Diagnosis Category #226 |
| HCUP-3 QI (AHRQ Pub. No. 98-0035, page 73) |
| Billings et al, "Analysis of Variation in Hospital Admission Rates Associated with Area Income in New York City," (March, 1992) |
| CCS Procedure Category #124 HCUP-3 QI (AHRQ Pub. No. 98-0035, page 83) |
| HCUP-3 QI (AHRQ Pub. No. 98-0035, page 82) |
| HCUP-3 QI (AHRQ Pub. No. 98-0035, page 83) |
| HCUP-3 QI (AHRQ Pub. No. 98-0035, page 84) |
| HCUP-3 QI (AHRQ Pub. No. 98-0035, page 84) |
| Healthy People 2010 |
| Begg CB, Cramer LD, Hoskins WJ, Brennan MF. Impact
of hospital volume on operative mortality for major cancer
surgery. JAMA. 1998; 280:1747-1751. Glasgow RE, Mulvihill SJ. Hospital volume influences outcome in patients undergoing pancreatic resection for cancer. West J Med. 1996; 165:294-300. Gordon TA, Bowman HM, Tielsch JM, Bass EB, Burleyson GP, Cameron JL. Statewide regionalization of pancreaticoduodenectomy and its effect on in-hospital mortality. Ann Surg. 1998; 228:71-78. Imperato PJ, Nenner RP, Starr HA, Will TO, Rosenberg CR, Dearie MB. The effects of regionalization on clinical outcomes for a high-risk surgical procedure. Am J Med Qual. 1996; 11: 193-197. Lieberman MD, Kilburn H, Lindsey M, Brennan MF.Relation of perioperative deaths to hospital volume among patients undergoing pancreatic resection for malignancy. Ann Surg. 1995;222:638-645. |
| HCUP-3 QI (AHRQ Pub. No. 98-0035, page 85) |
| Billings et al, "Analysis of Variation in Hospital Admission Rates Associated with Area Income in New York City," (March, 1992) |
| Jenkins KJ, et al. Pediatrics 1995; 95: 323-330. |
| HCUP-3 QI (AHRQ Pub. No. 98-0035, page 87) |
| CCS Diagnosis Category #122 |
| CCS Procedure Category #45 |
| HCUP-3 QI (AHRQ Pub. No. 98-0035, page 85) |
| Billings et al, "Analysis of Variation in Hospital Admission Rates Associated with Area Income in New York City," (March, 1992) |
| HCUP-3 QI (AHRQ Pub. No. 98-0035, page 82) |
|
Volume | |||
|
AAA repair volume(QI #1) | |||
|
AAA repair | |||
| ICD-9-CM procedure codes: | |||
| 3834 | AORTA RESECTION & ANAST | ||
| 3844 | RESECT ABDM AORTA W REPL | ||
| 3864 | EXCISION OF AORTA | ||
|
Include only: AAA | |||
ICD-9-CM diagnosis codes: | |||
| 4413 | RUPT ABD AORTIC ANEURYSM | ||
| 4414 | ABDOM AORTIC ANEURYSM | ||
|
Carotid endarterectomy volume(QI #2) | |||
|
Carotid endarterectomy | |||
ICD-9-CM procedure codes: | |||
| 3812 | HEAD & NECK ENDARTER NEC | ||
|
CABG volume(QI #3) | |||
|
CABG | |||
ICD-9-CM procedure codes: | |||
| 3610 | AORTOCORONARY BYPASS NOS | ||
| 3611 | AORTOCOR BYPAS-1 COR ART | ||
| 3612 | AORTOCOR BYPAS-2 COR ART | ||
| 3613 | AORTOCOR BYPAS-3 COR ART | ||
| 3614 | AORTCOR BYPAS-4+ COR ART | ||
| 3615 | INT MAM-COR ART BYPASS | ||
| 3616 | INT MAM-COR ART BYPASS | ||
| 3617 | ABD-CORON ART BYPASS OCT96- | ||
| 3619 | HRT REVAS BYPS ANAS NEC | ||
|
Esophageal resection volume(QI #4) | |||
|
Esophageal resection | |||
ICD-9-CM procedure codes: | |||
| 4240 | ESOPHAGECTOMY NOS | ||
| 4241 | PARTIAL ESOPHAGECTOMY | ||
| 4242 | TOTAL ESOPHAGECTOMY | ||
|
Include only: Esophageal cancer: | |||
ICD-9-CM diagnosis codes: | |||
| 1500 | MAL NEO CERVICAL ESOPHAG | ||
| 1501 | MAL NEO THORACIC ESOPHAG | ||
| 1502 | MAL NEO ABDOMIN ESOPHAG | ||
| 1503 | MAL NEO UPPER 3RD ESOPH | ||
| 1504 | MAL NEO MIDDLE 3RD ESOPH | ||
| 1505 | MAL NEO LOWER 3RD ESOPH | ||
| 1508 | MAL NEO ESOPHAGUS NEC | ||
| 1509 | MAL NEO ESOPHAGUS NOS | ||
|
Pancreatic resection volume(QI #5) | |||
|
Pancreatic resection | |||
ICD-9-CM procedure codes: | |||
| 526 | TOTAL PANCREATECTOMY | ||
| 527 | RAD PANCREATICODUODENECT | ||
|
Include only: Pancreatic cancer | |||
ICD-9-CM diagnosis codes: | |||
| 1520 | MALIGNANT NEOPL DUODENUM | ||
| 1561 | MAL NEO EXTRAHEPAT DUCTS | ||
| 1562 | MAL NEO AMPULLA OF VATER | ||
| 1570 | MAL NEO PANCREAS HEAD | ||
| 1571 | MAL NEO PANCREAS BODY | ||
| 1572 | MAL NEO PANCREAS TAIL | ||
| 1573 | MAL NEO PANCREATIC DUCT | ||
| 1574 | MAL NEO ISLET LANGERHANS | ||
| 1578 | MALIG NEO PANCREAS NEC | ||
| 1579 | MALIG NEO PANCREAS NOS | ||
|
Pediatric heart surgery volume(QI #6) | |||
|
Pediatric heart surgery (#1) | |||
ICD-9-CM procedure codes: | |||
| 3500 | CLOSED VALVOTOMY NOS | ||
| 3501 | CLOSED AORTIC VALVOTOMY | ||
| 3502 | CLOSED MITRAL VALVOTOMY | ||
| 3503 | CLOSED PULMON VALVOTOMY | ||
| 3504 | CLOSED TRICUSP VALVOTOMY | ||
| 3510 | OPEN VALVULOPLASTY NOS | ||
| 3511 | OPN AORTIC VALVULOPLASTY | ||
| 3512 | OPN MITRAL VALVULOPLASTY | ||
| 3513 | OPN PULMON VALVULOPLASTY | ||
| 3514 | OPN TRICUS VALVULOPLASTY | ||
| 3520 | REPLACE HEART VALVE NOS | ||
| 3521 | REPLACE AORT VALV-TISSUE | ||
| 3522 | REPLACE AORTIC VALVE NEC | ||
| 3523 | REPLACE MITR VALV-TISSUE | ||
| 3524 | REPLACE MITRAL VALVE NEC | ||
| 3525 | REPLACE PULM VALV-TISSUE | ||
| 3526 | REPLACE PULMON VALVE NEC | ||
| 3527 | REPLACE TRIC VALV-TISSUE | ||
| 3528 | REPLACE TRICUSP VALV NEC | ||
| 3531 | PAPILLARY MUSCLE OPS | ||
| 3532 | CHORDAE TENDINEAE OPS | ||
| 3533 | ANNULOPLASTY | ||
| 3534 | INFUNDIBULECTOMY | ||
| 3535 | TRABECUL CARNEAE CORD OP | ||
| 3539 | TISS ADJ TO VALV OPS NEC | ||
| 3542 | CREATE SEPTAL DEFECT | ||
| 3550 | PROSTH REP HRT SEPTA NOS | ||
| 3554 | PROS REP ENDOCAR CUSHION | ||
| 3560 | GRFT REPAIR HRT SEPT NOS | ||
| 3561 | GRAFT REPAIR ATRIAL DEF | ||
| 3562 | GRAFT REPAIR VENTRIC DEF | ||
| 3563 | GRFT REP ENDOCAR CUSHION | ||
| 3570 | HEART SEPTA REPAIR NOS | ||
| 3573 | ENDOCAR CUSHION REP NEC | ||
| 3581 | TOT REPAIR TETRAL FALLOT | ||
| 3582 | TOTAL REPAIR OF TAPVC | ||
| 3583 | TOT REP TRUNCUS ARTERIOS | ||
| 3584 | TOT COR TRANSPOS GRT VES OCT88- | ||
| 3591 | INTERAT VEN RETRN TRANSP | ||
| 3592 | CONDUIT RT VENT-PUL ART | ||
| 3593 | CONDUIT LEFT VENTR-AORTA | ||
| 3594 | CONDUIT ARTIUM-PULM ART | ||
| 3595 | HEART REPAIR REVISION | ||
| 3598 | OTHER HEART SEPTA OPS | ||
| 3599 | OTHER OP ON HRT VALVES | ||
| 3835 | THOR VESSEL RESECT/ANAST | ||
| 3845 | RESECT THORAC VES W REPL | ||
| 390 | SYSTEMIC-PULM ART SHUNT | ||
| 3921 | CAVAL-PULMON ART ANASTOM | ||
| 3959 | REPAIR OF VESSEL NEC | ||
|
Pediatric heart surgery (#1A) | |||
ICD-9-CM procedure codes: | |||
| 3541 | ENLARGE EXISTING SEP DEF# | ||
| 3551 | PROS REP ATRIAL DEF-OPN# | ||
| 3552 | PROS REPAIR ATRIA DEF-CL# | ||
| 3553 | PROST REPAIR VENTRIC DEF# | ||
| 3571 | ATRIA SEPTA DEF REP NEC# | ||
| 3572 | VENTR SEPTA DEF REP NEC# | ||
Include only:Cardiopulmonary Bypass | |||
ICD-9-CM procedure code: | |||
| 3961 | EXTRACORPOREAL CIRCULAT | ||
|
Pediatric heart surgery (#1B) | |||
ICD-9-CM procedure code: | |||
| 3885 | OCCLUDE THORACIC VES NEC* | ||
Include only: Congenital heart defect | |||
ICD-9-CM diagnosis codes: | |||
| 7450 | COMMON TRUNCUS | ||
| 74510 | COMPL TRANSPOS GREAT VES | ||
| 74511 | DOUBLE OUTLET RT VENTRIC | ||
| 74512 | CORRECT TRANSPOS GRT VES | ||
| 74519 | TRANSPOS GREAT VESS NEC | ||
| 7452 | TETRALOGY OF FALLOT | ||
| 7453 | COMMON VENTRICLE | ||
| 7454 | VENTRICULAR SEPT DEFECT | ||
| 7455 | SECUNDUM ATRIAL SEPT DEF | ||
| 74560 | ENDOCARD CUSHION DEF NOS | ||
| 74561 | OSTIUM PRIMUM DEFECT | ||
| 74569 | ENDOCARD CUSHION DEF NEC | ||
| 7457 | COR BILOCULARE | ||
| 7458 | SEPTAL CLOSURE ANOM NEC | ||
| 7459 | SEPTAL CLOSURE ANOM NOS | ||
| 74600 | PULMONARY VALVE ANOM NOS | ||
| 74601 | CONG PULMON VALV ATRESIA | ||
| 74602 | CONG PULMON VALVE STENOS | ||
| 74609 | PULMONARY VALVE ANOM NEC | ||
| 7461 | CONG TRICUSP ATRES/STEN | ||
| 7462 | EBSTEIN'S ANOMALY | ||
| 7463 | CONG AORTA VALV STENOSIS | ||
| 7464 | CONG AORTA VALV INSUFFIC | ||
| 7465 | CONGEN MITRAL STENOSIS | ||
| 7466 | CONG MITRAL INSUFFICIENC | ||
| 7467 | HYPOPLAS LEFT HEART SYND | ||
| 74681 | CONG SUBAORTIC STENOSIS | ||
| 74682 | COR TRIATRIATUM | ||
| 74683 | INFUNDIB PULMON STENOSIS | ||
| 74684 | OBSTRUCT HEART ANOM NEC | ||
| 74685 | CORONARY ARTERY ANOMALY | ||
| 74686 | CONGENITAL HEART BLOCK | ||
| 74687 | MALPOSITION OF HEART | ||
| 74689 | CONG HEART ANOMALY NEC | ||
| 7469 | CONG HEART ANOMALY NOS | ||
| 7470 | PATENT DUCTUS ARTERIOSUS | ||
| 74710 | COARCTATION OF AORTA | ||
| 74711 | INTERRUPT OF AORTIC ARCH | ||
| 74720 | CONG ANOM OF AORTA NOS | ||
| 74721 | ANOMALIES OF AORTIC ARCH | ||
| 74722 | AORTIC ATRESIA/STENOSIS | ||
| 74729 | CONG ANOM OF AORTA NEC | ||
| 7473 | PULMONARY ARTERY ANOM | ||
| 74740 | GREAT VEIN ANOMALY NOS | ||
| 74741 | TOT ANOM PULM VEN CONNEC | ||
| 74742 | PART ANOM PULM VEN CONN | ||
| 74749 | GREAT VEIN ANOMALY NEC | ||
| 7475 | UMBILICAL ARTERY ABSENCE | ||
| 74760 | UNSP PRPHERL VASC ANOMAL | ||
| 74761 | GSTRONTEST VESL ANOMALY | ||
| 74762 | RENAL VESSEL ANOMALY | ||
| 74763 | UPR LIMB VESSEL ANOMALY | ||
| 74764 | LWR LIMB VESSEL ANOMALY | ||
| 74769 | OTH SPCF PRPH VSCL ANOML | ||
| 74781 | CEREBROVASCULAR ANOMALY | ||
| 74782 | SPINAL VESSEL ANOMALY | ||
| 74789 | CIRCULATORY ANOMALY NEC | ||
| 7479 | CIRCULATORY ANOMALY NOS | ||
Or | |||
Exclude (if single procedure): PDA ligation | |||
ICD-9-CM diagnosis code: | |||
| 7470 | PATENT DUCTUS ARTERIOSUS | Or | |
Exclude (if single procedure): Cardiac Catheterization | |||
ICD-9-CM procedure codes: | |||
| 3721 | RT HEART CARDIAC CATH | ||
| 3722 | LEFT HEART CARDIAC CATH | ||
| 3723 | RT/LEFT HEART CARD CATH | ||
| 8842 | CONTRAST AORTOGRAM | ||
| 8843 | CONTR PULMON ARTERIOGRAM | ||
|
Pediatric heart surgery (#2) | |||
ICD-9-CM procedure codes: | |||
| 3500 | CLOSED VALVOTOMY NOS | ||
| 3501 | CLOSED AORTIC VALVOTOMY | ||
| 3502 | CLOSED MITRAL VALVOTOMY | ||
| 3503 | CLOSED PULMON VALVOTOMY | ||
| 3504 | CLOSED TRICUSP VALVOTOMY | ||
| 3510 | OPEN VALVULOPLASTY NOS | ||
| 3511 | OPN AORTIC VALVULOPLASTY | ||
| 3512 | OPN MITRAL VALVULOPLASTY | ||
| 3513 | OPN PULMON VALVULOPLASTY | ||
| 3514 | OPN TRICUS VALVULOPLASTY | ||
| 3520 | REPLACE HEART VALVE NOS | ||
| 3521 | REPLACE AORT VALV-TISSUE | ||
| 3522 | REPLACE AORTIC VALVE NEC | ||
| 3523 | REPLACE MITR VALV-TISSUE | ||
| 3524 | REPLACE MITRAL VALVE NEC | ||
| 3525 | REPLACE PULM VALV-TISSUE | ||
| 3526 | REPLACE PULMON VALVE NEC | ||
| 3527 | REPLACE TRIC VALV-TISSUE | ||
| 3528 | REPLACE TRICUSP VALV NEC | ||
| 3531 | PAPILLARY MUSCLE OPS | ||
| 3532 | CHORDAE TENDINEAE OPS | ||
| 3533 | ANNULOPLASTY | ||
| 3534 | INFUNDIBULECTOMY | ||
| 3535 | TRABECUL CARNEAE CORD OP | ||
| 3539 | TISS ADJ TO VALV OPS NEC | ||
| 3542 | CREATE SEPTAL DEFECT | ||
| 3550 | PROSTH REP HRT SEPTA NOS | ||
| 3554 | PROS REP ENDOCAR CUSHION | ||
| 3560 | GRFT REPAIR HRT SEPT NOS | ||
| 3561 | GRAFT REPAIR ATRIAL DEF | ||
| 3562 | GRAFT REPAIR VENTRIC DEF | ||
| 3563 | GRFT REP ENDOCAR CUSHION | ||
| 3570 | HEART SEPTA REPAIR NOS | ||
| 3573 | ENDOCAR CUSHION REP NEC | ||
| 3581 | TOT REPAIR TETRAL FALLOT | ||
| 3582 | TOTAL REPAIR OF TAPVC | ||
| 3583 | TOT REP TRUNCUS ARTERIOS | ||
| 3584 | TOT COR TRANSPOS GRT VES | ||
| 3591 | INTERAT VEN RETRN TRANSP | ||
| 3592 | CONDUIT RT VENT-PUL ART | ||
| 3593 | CONDUIT LEFT VENTR-AORTA | ||
| 3594 | CONDUIT ARTIUM-PULM ART | ||
| 3595 | HEART REPAIR REVISION | ||
| 3596 | PERC HEART VALVULOPLASTY | ||
| 3598 | OTHER HEART SEPTA OPS | ||
| 3599 | OTHER HEART VALVE OPS | ||
| 3601 | PTCA-1 VES/ATH W/O AGENT | ||
| 3602 | PTCA-1 VES/ATH W AGENT | ||
| 3603 | OPEN CORONRY ANGIOPLASTY | ||
| 3604 | INTRCORONRY THROMB INFUS | ||
| 3605 | PTCA-MULTIPLE VESSEL/ATH | ||
| 3606 | INSERT OF COR ART STENT OCT95- | ||
| 3609 | REM OF COR ART OBSTR NEC | ||
| 3610 | AORTOCORONARY BYPASS NOS | ||
| 3611 | AORTOCOR BYPAS-1 COR ART | ||
| 3612 | AORTOCOR BYPAS-2 COR ART | ||
| 3613 | AORTOCOR BYPAS-3 COR ART | ||
| 3614 | AORTCOR BYPAS-4+ COR ART | ||
| 3615 | INT MAM-COR ART BYPASS | ||
| 3616 | INT MAM-COR ART BYPASS | ||
| 3617 | ABD-CORON ARTERY BYPASS OCT96- | ||
| 3619 | HRT REVAS BYPS ANAS NEC | ||
| 362 | ARTERIAL IMPLANT REVASC | ||
| 363 | HEART REVASCULARIZAT NEC -OCT98 | ||
| 3631 | OPEN CHEST TRANS REVASC OCT98- | ||
| 3632 | OTH TRANSMYO REVASCULAR OCT98- | ||
| 3639 | OTH HEART REVASCULAR OCT98- | ||
| 3691 | CORON VESS ANEURYSM REP | ||
| 3699 | HEART VESSEL OP NEC | ||
| 370 | PERICARDIOCENTESIS | ||
| 3710 | INCISION OF HEART NOS | ||
| 3711 | CARDIOTOMY | ||
| 3712 | PERICARDIOTOMY | ||
| 3721 | RT HEART CARDIAC CATH | ||
| 3722 | LEFT HEART CARDIAC CATH | ||
| 3723 | RT/LEFT HEART CARD CATH | ||
| 3724 | PERICARDIAL BIOPSY | ||
| 3725 | CARDIAC BIOPSY | ||
| 3726 | CARDIAC ELECTROPHY STIM | ||
| 3727 | CARDIAC MAPPING | ||
| 3729 | HRT/PERICAR DX PROC NEC | ||
| 3731 | PERICARDIECTOMY | ||
| 3732 | HEART ANEURYSM EXCISION | ||
| 3733 | EXC/DEST OTH HRT LESION | ||
| 3734 | CATH ABLATION LES HEART | ||
| 3735 | PARTIAL VENTRICULECTOMY OCT97- | ||
| 374 | HEART & PERICARD REPAIR | ||
| 375 | HEART TRANSPLANTATION | ||
| 3761 | PULSATION BALLOON IMPLAN | ||
| 3762 | IMPLANT HRT ASST SYS NEC | ||
| 3763 | REPLACE HRT ASSIST SYST | ||
| 3764 | REMOVE HEART ASSIST SYS | ||
| 3765 | IMP EXT PUL HRT ASST SYS OCT95- | ||
| 3766 | IMP IMP PUL HRT ASST SYS OCT95- | ||
| 3767 | IMP CARDIOMYOSTIMUL SYS OCT98- | ||
| 3770 | INT INSERT PACEMAK LEAD | ||
| 3771 | INT INSERT LEAD IN VENT | ||
| 3772 | INT INSER LEAD ATRI-VENT | ||
| 3773 | INT INSER LEAD IN ATRIUM | ||
| 3774 | INT OR REPL LEAD EPICAR | ||
| 3775 | REVISION OF LEAD | ||
| 3776 | REPL TV ATRI-VENT LEAD | ||
| 3777 | REMOVAL OF LEAD W/O REPL | ||
| 3778 | INSER TEMP PACEMAKER SYS | ||
| 3779 | REVIS OR RELOCATE POCKET | ||
| 3780 | INT OR REPL PERM PACEMKR | ||
| 3781 | INT INSERT 1-CHAM, NON | ||
| 3782 | INT INSERT 1-CHAM, RATE | ||
| 3783 | INT INSERT DUAL-CHAM DEV | ||
| 3785 | REPL PACEM W 1-CHAM, NON | ||
| 3786 | REPL PACEM 1-CHAM, RATE | ||
| 3787 | REPL PACEM W DUAL-CHAM | ||
| 3789 | REVISE OR REMOVE PACEMAK | ||
| 3791 | OPN CHEST CARDIAC MASSAG | ||
| 3792 | INJECTION INTO HEART | ||
| 3793 | INJECTION INTO PERICARD | ||
| 3794 | IMPLT/REPL CARDDEFIB TOT | ||
| 3795 | IMPLT CARDIODEFIB LEADS | ||
| 3796 | IMPLT CARDIODEFIB GENATR | ||
| 3797 | REPL CARDIODEFIB LEADS | ||
| 3798 | REPL CARDIODEFIB GENRATR | ||
| 3799 | OTHER HEART/PERICARD OPS | ||
|
Include only: Hypoplastic left heart syndrome: | |||
ICD-9-CM diagnosis code: | |||
| 7467 | HYPOPLAS LEFT HEART SYND | ||
|
PTCA Volume(QI #7) | |||
|
PTCA | |||
ICD-9-CM procedure codes: | |||
| 3601 | PTCA-1 VESSEL W/O AGENT | ||
| 3602 | PTCA-1 VESSEL WITH AGNT | ||
| 3605 | PTCA-MULTIPLE VESSEL | ||
| 3606 | INSERT OF COR ART STENT OCT95- | ||
|
Utilization - Provider level | |||
|
Cesarean section delivery(QI #8) | |||
|
Cesarean section deliveries (Outcome of Interest): | |||
DRGs: | |||
| 370 | Cesarean section w/CC | ||
| 371 | Cesarean section w/o CC | ||
|
All deliveries (Population at Risk): | |||
DRGs: | |||
| 370 | CESAREAN SECTION W CC | ||
| 371 | CESAREAN SECTION W/O CC | ||
| 372 | VAGINAL DELIVERY W COMPL | ||
| 373 | VAG DELIVERY W/O COMPL | ||
| 374 | VAG DELIV W STERIL OR DC | ||
| 375 | VAG DELIV W OTH OR PROC | ||
|
Incidental appendectomy among elderly(QI #9) | |||
|
Incidental appendectomy (Outcome of Interest): | |||
ICD-9-CM procedure codes: | |||
| 471 | INCIDENTAL APPENDECTOMY -OCT96 | ||
| 4711 | LAP INCID APPENDECTOMY OCT96- | ||
| 4719 | OTHER INCID APPENDECTOMY OCT96- | ||
|
Intra-abdominal procedure (Population at Risk): | |||
DRGs: | |||
| 146 | RECTAL RESECTION W CC | ||
| 147 | RECTAL RESECTION W/O CC | ||
| 148 | MAJ BOWEL PROC W CC | ||
| 149 | MAJ BOWEL PROC W/0 CC | ||
| 150 | PERITONEAL ADHES W CC | ||
| 151 | PERITONEAL ADHES W/O CC | ||
| 152 | MIN BOWEL PROC W CC | ||
| 153 | MIN BOWEL PROC W/O CC | ||
| 154 | UGI PROC AGE >17 W CC | ||
| 155 | UGI PROC AGE >17 W/O CC | ||
| 170 | OTH GI OR PROC W CC | ||
| 171 | OTH GI OR PROC W/O CC | ||
| 191 | PANC LVR SHNT PRC W CC | ||
| 192 | PANC LVR SHNT PRC W/O CC | ||
| 193 | BILIARY PROC W/ CC | ||
| 194 | BILIARY PROC W/O CC | ||
| 195 | CHOLE W/ CDE W/ CC | ||
| 196 | CHOLE W/ CDE W/O CC | ||
| 197 | CHOLE W/ CC | ||
| 198 | CHOLE W/O CC | ||
| 201 | OTH BILIARY/PANC PROC | ||
| 354 | UTER PROC MALIG W/ CC | ||
| 355 | UTER PROC MALIG W/O CC | ||
| 356 | FEMALE REPROD RECONSTR | ||
| 357 | UTER PROC OVARIAN MALIG | ||
| 358 | UTER PROC NONMALIG W/ CC | ||
| 359 | UTER PROC NONMALI W/O CC | ||
| 365 | OTH FEMAL REPROD PROC | ||
|
Bilateral cardiac catheterization(QI #10) | |||
|
Bilateral catheterization (Outcome of interest) | |||
ICD-9-CM procedure code: | |||
| 3723 | RT/LEFT HEART CARD CATH | ||
|
Catheterization (Population at risk) | |||
ICD-9-CM procedure codes: | |||
| 3722 | LEFT HEART CARDIAC CATH | ||
| 3723 | RT/LEFT HEART CARD CATH | ||
|
Include only: Coronary artery disease | |||
ICD-9-CM diagnosis codes: | |||
| 41000 | AMI ANTEROLATERAL,UNSPEC | ||
| 41001 | AMI ANTEROLATERAL, INIT | ||
| 41002 | AMI ANTEROLATERAL,SUBSEQ | ||
| 41010 | AMI ANTERIOR WALL,UNSPEC | ||
| 41011 | AMI ANTERIOR WALL, INIT | ||
| 41012 | AMI ANTERIOR WALL,SUBSEQ | ||
| 41020 | AMI INFEROLATERAL,UNSPEC | ||
| 41021 | AMI INFEROLATERAL, INIT | ||
| 41022 | AMI INFEROLATERAL,SUBSEQ | ||
| 41030 | AMI INFEROPOST, UNSPEC | ||
| 41031 | AMI INFEROPOST, INITIAL | ||
| 41032 | AMI INFEROPOST, SUBSEQ | ||
| 41040 | AMI INFERIOR WALL,UNSPEC | ||
| 41041 | AMI INFERIOR WALL, INIT | ||
| 41042 | AMI INFERIOR WALL,SUBSEQ | ||
| 41050 | AMI LATERAL NEC, UNSPEC | ||
| 41051 | AMI LATERAL NEC, INITIAL | ||
| 41052 | AMI LATERAL NEC, SUBSEQ | ||
| 41060 | TRUE POST INFARCT,UNSPEC | ||
| 41061 | TRUE POST INFARCT, INIT | ||
| 41062 | TRUE POST INFARCT,SUBSEQ | ||
| 41070 | SUBENDO INFARCT, UNSPEC | ||
| 41071 | SUBENDO INFARCT, INITIAL | ||
| 41072 | SUBENDO INFARCT, SUBSEQ | ||
| 41080 | AMI NEC, UNSPECIFIED | ||
| 41081 | AMI NEC, INITIAL | ||
| 41082 | AMI NEC, SUBSEQUENT | ||
| 41090 | AMI NOS, UNSPECIFIED | ||
| 41091 | AMI NOS, INITIAL | ||
| 41092 | AMI NOS, SUBSEQUENT | ||
| 4110 | POST MI SYNDROME | ||
| 4111 | INTERMED CORONARY SYND | ||
| 41181 | CORONARY OCCLSN W/O MI | ||
| 41189 | AC ISCHEMIC HRT DIS NEC | ||
| 412 | OLD MYOCARDIAL INFARCT | ||
| 4130 | ANGINA DECUBITUS | ||
| 4131 | PRINZMETAL ANGINA | ||
| 4139 | ANGINA PECTORIS NEC/NOS | ||
| 4140 | CORONARY ATHEROSCLEROSIS -OCT94 | ||
| 41400 | COR ATH UNSP VSL NTV/GFT OCT94- | ||
| 41401 | CRNRY ATHRSCL NATVE VSSL OCT94- | ||
| 41402 | CRN ATH ATLG VN BPS GRFT OCT94- | ||
| 41403 | CRN ATH NONATLG BLG GRFT OCT94- | ||
| 41404 | COR ATH ARTRY BYPAS GRFT OCT96- | ||
| 41405 | COR ATH BYPASS GRAFT NOS OCT96- | ||
| 41410 | ANEURYSM, HEART (WALL) | ||
| 41411 | CORONARY VESSEL ANEURYSM | ||
| 41419 | ANEURYSM OF HEART NEC | ||
| 4148 | CHR ISCHEMIC HRT DIS NEC | ||
| 4149 | CHR ISCHEMIC HRT DIS NOS | ||
|
Excludes : Possible indications for right cath | |||
ICD-9-CM diagnosis codes: | |||
| 3910 | ACUTE RHEUMATIC PERICARD | ||
| 3911 | ACUTE RHEUMATIC ENDOCARD | ||
| 3912 | AC RHEUMATIC MYOCARDITIS | ||
| 3918 | AC RHEUMAT HRT DIS NEC | ||
| 3919 | AC RHEUMAT HRT DIS NOS | ||
| 3920 | RHEUM CHOREA W HRT INVOL | ||
| 3929 | RHEUMATIC CHOREA NOS | ||
| 393 | CHR RHEUMATIC PERICARD | ||
| 3940 | MITRAL STENOSIS | ||
| 3941 | RHEUMATIC MITRAL INSUFF | ||
| 3942 | MITRAL STENOSIS W INSUFF | ||
| 3949 | MITRAL VALVE DIS NEC/NOS | ||
| 3960 | MITRAL/AORTIC STENOSIS | ||
| 3961 | MITRAL STENOS/AORT INSUF | ||
| 3962 | MITRAL INSUF/AORT STENOS | ||
| 3963 | MITRAL/AORTIC VAL INSUFF | ||
| 3968 | MITR/AORTIC MULT INVOLV | ||
| 3969 | MITRAL/AORTIC V DIS NOS | ||
| 3970 | TRICUSPID VALVE DISEASE | ||
| 3971 | RHEUM PULMON VALVE DIS | ||
| 3979 | RHEUM ENDOCARDITIS NOS | ||
| 3980 | RHEUMATIC MYOCARDITIS | ||
| 39890 | RHEUMATIC HEART DIS NOS | ||
| 39891 | RHEUMATIC HEART FAILURE | ||
| 39899 | RHEUMATIC HEART DIS NEC | ||
| 40200 | MAL HYPERTEN HRT DIS NOS | ||
| 40201 | MAL HYPERT HRT DIS W CHF | ||
| 40210 | BEN HYPERTEN HRT DIS NOS | ||
| 40211 | BENIGN HYP HRT DIS W CHF | ||
| 40290 | HYPERTENSIVE HRT DIS NOS | ||
| 40291 | HYPERTEN HEART DIS W CHF | ||
| 4150 | ACUTE COR PULMONALE | ||
| 4151 | PULMON EMBOLISM/INFARCT -OCT95 | ||
| 41511 | IATROGEN PULM EMB/INFARC OCT95- | ||
| 41519 | PULM EMBOL/INFARCT NEC OCT95- | ||
| 4160 | PRIM PULM HYPERTENSION | ||
| 4161 | KYPHOSCOLIOTIC HEART DIS | ||
| 4168 | CHR PULMON HEART DIS NEC | ||
| 4169 | CHR PULMON HEART DIS NOS | ||
| 4170 | ARTERIOVEN FISTU PUL VES | ||
| 4171 | PULMON ARTERY ANEURYSM | ||
| 4178 | PULMON CIRCULAT DIS NEC | ||
| 4179 | PULMON CIRCULAT DIS NOS | ||
| 4242 | NONRHEUM TRICUSP VAL DIS | ||
| 4243 | PULMONARY VALVE DISORDER | ||
| 7450 | COMMON TRUNCUS | ||
| 74510 | COMPL TRANSPOS GREAT VES | ||
| 74511 | DOUBLE OUTLET RT VENTRIC | ||
| 74512 | CORRECT TRANSPOS GRT VES | ||
| 74519 | TRANSPOS GREAT VESS NEC | ||
| 7452 | TETRALOGY OF FALLOT | ||
| 7453 | COMMON VENTRICLE | ||
| 7454 | VENTRICULAR SEPT DEFECT | ||
| 7455 | SECUNDUM ATRIAL SEPT DEF | ||
| 74560 | ENDOCARD CUSHION DEF NOS | ||
| 74561 | OSTIUM PRIMUM DEFECT | ||
| 74569 | ENDOCARD CUSHION DEF NEC | ||
| 7457 | COR BILOCULARE | ||
| 7458 | SEPTAL CLOSURE ANOM NEC | ||
| 7459 | SEPTAL CLOSURE ANOM NOS | ||
| 74600 | PULMONARY VALVE ANOM NOS | ||
| 74601 | CONG PULMON VALV ATRESIA | ||
| 74602 | CONG PULMON VALVE STENOS | ||
| 74609 | PULMONARY VALVE ANOM NEC | ||
| 7461 | CONG TRICUSP ATRES/STEN | ||
| 7462 | EBSTEIN'S ANOMALY | ||
| 7463 | CONG AORTA VALV STENOSIS | ||
| 7464 | CONG AORTA VALV INSUFFIC | ||
| 7465 | CONGEN MITRAL STENOSIS | ||
| 7466 | CONG MITRAL INSUFFICIENC | ||
| 7467 | HYPOPLAS LEFT HEART SYND | ||
| 74681 | CONG SUBAORTIC STENOSIS | ||
| 74682 | COR TRIATRIATUM | ||
| 74683 | INFUNDIB PULMON STENOSIS | ||
| 74684 | OBSTRUCT HEART ANOM NEC | ||
| 74685 | CORONARY ARTERY ANOMALY | ||
| 74686 | CONGENITAL HEART BLOCK | ||
| 74687 | MALPOSITION OF HEART | ||
| 74689 | CONG HEART ANOMALY NEC | ||
| 7469 | CONG HEART ANOMALY NOS | ||
| 7470 | PATENT DUCTUS ARTERIOSUS | ||
| 74710 | COARCTATION OF AORTA | ||
| 74711 | INTERRUPT OF AORTIC ARCH | ||
| 74720 | CONG ANOM OF AORTA NOS | ||
| 74721 | ANOMALIES OF AORTIC ARCH | ||
| 74722 | AORTIC ATRESIA/STENOSIS | ||
| 74729 | CONG ANOM OF AORTA NEC | ||
| 7473 | PULMONARY ARTERY ANOM | ||
| 74740 | GREAT VEIN ANOMALY NOS | ||
| 74741 | TOT ANOM PULM VEN CONNEC | ||
| 74742 | PART ANOM PULM VEN CONN | ||
| 74749 | GREAT VEIN ANOMALY NEC | ||
| 7475 | UMBILICAL ARTERY ABSENCE | ||
| 74760 | UNSP PRPHERL VASC ANOMAL | ||
| 74761 | GSTRONTEST VESL ANOMALY | ||
| 74762 | RENAL VESSEL ANOMALY | ||
| 74763 | UPR LIMB VESSEL ANOMALY | ||
| 74764 | LWR LIMB VESSEL ANOMALY | ||
| 74769 | OTH SPCF PRPH VSCL ANOML | ||
| 74781 | CEREBROVASCULAR ANOMALY | ||
| 74782 | SPINAL VESSEL ANOMALY | ||
| 74789 | CIRCULATORY ANOMALY NEC | ||
| 7479 | CIRCULATORY ANOMALY NOS | ||
|
Successful vaginal birth after cesarean section (VBAC) (QI #11) | |||
|
Vaginal deliveries (Outcome of Interest): | |||
DRGs: | |||
| 372 | VAGINAL DELIVERY W/ CC | ||
| 373 | VAGINAL DELIVERY W/O CC | ||
| 374 | VAGINAL DELIVERY W/ STERILIZATION OR D&C | ||
| 375 | VAGINAL DELIVERY W/ OTHER O.R. PROCEDURE | ||
|
All deliveries (Population at Risk): | |||
DRGs: | |||
| 370 | CESAREAN SECTION W CC | ||
| 371 | CESAREAN SECTION W/O CC | ||
| 372 | VAGINAL DELIVERY W COMPL | ||
| 373 | VAG DELIVERY W/O COMPL | ||
| 374 | VAG DELIV W STERIL OR DC | ||
| 375 | VAG DELIV W OTH OR PROC | ||
|
Previous C-section (Population at Risk): | |||
ICD-9-CM diagnosis codes: | |||
| 65420 | PREV C-SECT NOS-UNSPEC | ||
| 65421 | PREV C-SECT NOS-DELIVER | ||
| 65423 | PREV C-SECT NOS-ANTEPART | ||
|
Laparoscopic cholecystectomy rate(QI #12) | |||
|
Laparoscopic cholecystectomy (Outcome of Interest): | |||
ICD-9-CM Procedure Code: | |||
| 5123 | LAPAROSCOPIC CHOLE | ||
|
Cholecystectomy (Population at Risk): | |||
ICD-9-CM Procedure Codes: | |||
| 5122 | CHOLECYSTECTOMY | ||
| 5123 | LAPAROSCOPIC CHOLE | ||
|
Include Only: Uncomplicated cholecystitis and/or cholelithiasis: | |||
ICD-9-CM diagnosis Codes: | |||
| 57400 | CHOLELITH W/ AC CHOLECYS | ||
| 57401 | CHOLELITH W/ AC CHOLECYS | ||
| 57410 | CHOLELITH W CHOLECYS NEC | ||
| 57411 | CHOLELITH W CHOLECYS NEC | ||
| 57420 | CHOLELITH NOS W/O OBSTRUC | ||
| 57421 | CHOLELITH NOS W/ OBSTRUC | ||
| 5750 | ACUTE CHOLECYSTITIS | ||
| 5751 | CHOLECYSTITIS NEC -OCT96 | ||
| 57510 | CHOLECYSTITIS NOS OCT96- | ||
| 57511 | CHRONIC CHOLECYSTITIS OCT96- | ||
| 57512 | ACUTE & CHR CHOLECYSTITIS OCT96- | ||
|
Utilization - Area level | |||
|
CABG rate(QI #13) | |||
|
CABG | |||
ICD-9-CM procedure codes: | |||
| 3610 | AORTOCORONARY BYPASS NOS | ||
| 3611 | AORTOCOR BYPAS-1 COR ART | ||
| 3612 | AORTOCOR BYPAS-2 COR ART | ||
| 3613 | AORTOCOR BYPAS-3 COR ART | ||
| 3614 | AORTCOR BYPAS-4+ COR ART | ||
| 3615 | 1 INT MAM-COR ART BYPASS | ||
| 3616 | 2 INT MAM-COR ART BYPASS | ||
| 3617 | ABD-CORON ART BYPASS OCT96- | ||
| 3619 | HRT REVAS BYPS ANAS NEC | ||
|
Hysterectomy rate(QI #14) | |||
|
Hysterectomy | |||
ICD-9-CM Procedure Codes: | |||
| 683 | SUBTOT ABD HYSTERECTOMY | ||
| 684 | TOTAL ABD HYSTERECTOMY | ||
| 685 | VAGINAL HYSTERECTOMY -OCT96 | ||
| 6851 | LAP AST VAG HYSTERECTOMY OCT96- | ||
| 6859 | OTHER VAG HYSTERECTOMY OCT96- | ||
| 686 | RADICAL ABD HYSTERECTOMY | ||
| 687 | RADICAL VAG HYSTERECTOMY | ||
| 689 | OTHER/UNSP HYSTERECTOMY | ||
|
Exclude: Female genital cancer: | |||
ICD-9-CM Diagnosis Codes: | |||
| 179 | MALIG NEOPL UTERUS NOS | ||
| 1800 | MALIG NEO ENDOCERVIX | ||
| 1801 | MALIG NEO EXOCERVIX | ||
| 1808 | MALIG NEO CERVIX NEC | ||
| 1809 | MAL NEO CERVIX UTERI NOS | ||
| 181 | MALIGNANT NEOPL PLACENTA | ||
| 1820 | MALIG NEO CORPUS UTERI | ||
| 1821 | MAL NEO UTERINE ISTHMUS | ||
| 1828 | MAL NEO BODY UTERUS NEC | ||
| 1830 | MALIGN NEOPL OVARY | ||
| 1832 | MAL NEO FALLOPIAN TUBE | ||
| 1833 | MAL NEO BROAD LIGAMENT | ||
| 1834 | MALIG NEO PARAMETRIUM | ||
| 1835 | MAL NEO ROUND LIGAMENT | ||
| 1838 | MAL NEO ADNEXA NEC | ||
| 1839 | MAL NEO ADNEXA NOS | ||
| 1840 | MALIGN NEOPL VAGINA | ||
| 1841 | MAL NEO LABIA MAJORA | ||
| 1842 | MAL NEO LABIA MINORA | ||
| 1843 | MALIGN NEOPL CLITORIS | ||
| 1844 | MALIGN NEOPL VULVA NOS | ||
| 1848 | MAL NEO FEMALE GENIT NEC | ||
| 1849 | MAL NEO FEMALE GENIT NOS | ||
| 2331 | CA IN SITU CERVIX UTERI | ||
| 2332 | CA IN SITU UTERUS NEC | ||
| 2333 | CA IN SITU FEM GEN NEC | ||
| 2360 | UNCERT BEHAV NEO UTERUS | ||
| 2361 | UNC BEHAV NEO PLACENTA | ||
| 2362 | UNC BEHAV NEO OVARY | ||
| 2363 | UNC BEHAV NEO FEMALE NEC | ||
|
Exclude: Pelvic or lower abdominal trauma: | |||
ICD-9-CM Diagnosis Codes: | |||
| 8674 | UTERUS INJURY-CLOSED | ||
| 8675 | UTERUS INJURY-OPEN | ||
| 8676 | PELVIC ORGAN INJ NEC-CL | ||
| 8677 | PELVIC ORGAN INJ NEC-OPN | ||
| 8678 | PELVIC ORGAN INJ NOS-CL | ||
| 8679 | PELVIC ORGAN INJ NOS-OPN | ||
| 86800 | INTRA-ABDOM INJ NOS-CLOS | ||
| 86803 | PERITONEUM INJURY-CLOSED | ||
| 86804 | RETROPERITONEUM INJ-CL | ||
| 86809 | INTRA-ABDOM INJ NEC-CLOS | ||
| 86810 | INTRA-ABDOM INJ NOS-OPEN | ||
| 86813 | PERITONEUM INJURY-OPEN | ||
| 86814 | RETROPERITONEUM INJ-OPEN | ||
| 86819 | INTRA-ABDOM INJ NEC-OPEN | ||
| 8690 | INTERNAL INJ NOS-CLOSED | ||
| 8691 | INTERNAL INJURY NOS-OPEN | ||
| 8796 | OPEN WOUND OF TRUNK NEC | ||
| 8797 | OPEN WND TRUNK NEC-COMPL | ||
| 8798 | OPEN WOUND SITE NOS | ||
| 8799 | OPN WOUND SITE NOS-COMPL | ||
| 9060 | LT EFF OPN WND HEAD/TRNK | ||
| 9081 | LATE EFF INT INJ ABDOMEN | ||
| 9082 | LATE EFF INT INJURY NEC | ||
| 9391 | FOREIGN BODY UTERUS | ||
| 9474 | BURN OF VAGINA & UTERUS | ||
|
Laminectomy and/or spinal fusion rate(QI #15) | |||
|
Laminectomy and/or spinal fusion: | |||
ICD-9-CM Procedure Codes: | |||
| 0302 | REOPEN LAMINECTOMY SITE | ||
| 0309 | SPINAL CANAL EXPLOR NEC | ||
| 8050 | EXC/DEST INTVRT DISC NOS | ||
| 8051 | EXCISION INTERVERT DISC | ||
| 8059 | OTH EXC/DEST INTVRT DISC | ||
| 8100 | SPINAL FUSION NOS | ||
| 8101 | ATLAS-AXIS FUSION | ||
| 8102 | OTH CERV FUSION, ANTER | ||
| 8103 | OTH CERV FUSION, POSTER | ||
| 8104 | DORSAL FUSION, ANTERIOR | ||
| 8105 | DORSAL FUSION, POSTERIOR | ||
| 8106 | LUMBAR FUSION, ANTERIOR | ||
| 8107 | LUMBAR FUSION, LATERAL | ||
| 8108 | LUMBAR FUSION, POSTERIOR | ||
| 8109 | REFUSION OF SPINE | ||
|
PTCA rate(QI #16) | |||
|
PTCA | |||
ICD-9-CM procedure codes: | |||
| 3601 | PTCA-1 VESSEL W/O AGENT | ||
| 3602 | PTCA-1 VESSEL WITH AGNT | ||
| 3605 | PTCA-MULTIPLE VESSEL | ||
| 3606 | INSERT OF COR ART STENT | ||
|
ACSC Area rates | |||
|
Dehydration rate(QI #17) | |||
|
Dehydration | |||
ICD-9-CM diagnosis code: | |||
| 2765 | HYPOVOLEMIA | ||
|
Bacterial pneumonia rate(QI #18) | |||
|
Bacterial pneumonia | |||
ICD-9-CM diagnosis codes: | |||
| 481 | PNEUMOCOCCAL PNEUMONIA | ||
| 4822 | H.INFLUENZAE PNEUMONIA | ||
| 48230 | STREP PNEUMONIA UNSPEC | ||
| 48231 | GRP A STREP PNEUMONIA | ||
| 48232 | GRP B STREP PNEUMONIA | ||
| 48239 | OTH STREP PNEUMONIA | ||
| 4829 | BACTERIAL PNEUMONIA NOS | ||
| 4830 | MYCOPLASMA PNEUMONIA | ||
| 4831 | CHLAMYDIA PNEUMONIA OCT96- | ||
| 4838 | OTH SPEC ORG PNEUMONIA | ||
| 485 | BRONCOPNEUMONIA ORG NOS | ||
| 486 | PNEUMONIA, ORGANISM NOS | ||
|
Exclude: Sickle cell anemia, HB disease | |||
ICD-9-CM diagnosis codes: | |||
| 28260 | SICKLE-CELL ANEMIA NOS | ||
| 28261 | HB-S DISEASE W/O CRISIS | ||
| 28262 | HB-S DISEASE WITH CRISIS | ||
| 28263 | SICKLE-CELL/HB-C DISEASE | ||
| 28269 | SICKLE-CELL ANEMIA NEC | ||
|
Urinary infection rate(QI #19) | |||
|
Urinary infection | |||
ICD-9-CM diagnosis codes: | |||
| 59000 | CHR PYELONEPHRITIS NOS | ||
| 59001 | CHR PYELONEPH W MED NECR | ||
| 59010 | AC PYELONEPHRITIS NOS | ||
| 59011 | AC PYELONEPHR W MED NECR | ||
| 5902 | RENAL/PERIRENAL ABSCESS | ||
| 5903 | PYELOURETERITIS CYSTICA | ||
| 59080 | PYELONEPHRITIS NOS | ||
| 59081 | PYELONEPHRIT IN OTH DIS | ||
| 5909 | INFECTION OF KIDNEY NOS | ||
| 5950 | AC CYSTITIS | ||
| 5959 | CYSTITIS NOS | ||
| 5990 | URIN TRACT INFECTION NOS | ||
|
Perforated appendix rate(QI #20) | |||
|
Perforated appendix (outcome of interest) | |||
ICD-9-CM diagnosis codes: | |||
| 5400 | AC APPEND W PERITONITIS | ||
| 5401 | ABSCESS OF APPENDIX | ||
|
Appendicitis (population at risk) | |||
ICD-9-CM diagnosis codes: | |||
| 5400 | AC APPEND W PERITONITIS | ||
| 5401 | ABSCESS OF APPENDIX | ||
| 5409 | ACUTE APPENDICITIS NOS | ||
| 541 | APPENDICITIS NOS | ||
|
Angina (w/o procedure) rate(QI #21) | |||
|
Angina | |||
ICD-9-CM diagnosis codes: | |||
| 4111 | INTERMED CORONARY SYND | ||
| 41181 | CORONARY OCCLSN W/O MI | ||
| 41189 | AC ISCHEMIC HRT DIS NEC | ||
| 4130 | ANGINA DECUBITUS | ||
| 4131 | PRINZMETAL ANGINA | ||
| 4139 | ANGINA PECTORIS NEC/NOS | ||
Exclude: All procedures: 01.0-86.99) | |||
|
Adult asthma rate(QI #22) | |||
|
Adult asthma | |||
ICD-9-CM diagnosis codes: | |||
| 49300 | EXT ASTHMA W/O STAT ASTH | ||
| 49301 | EXT ASTHMA W STATUS ASTH | ||
| 49302 | EXT ASTHMA W STATUS ACEX OCT00- | ||
| 49310 | INT ASTHMA W/O STAT ASTH | ||
| 49311 | INT ASTHMA W STATUS ASTH | ||
| 49312 | INT ASTHMA W STATUS ACEX OCT00- | ||
| 49320 | CH OB ASTH W/O STAT ASTH | ||
| 49321 | CH OB ASTHMA W STAT ASTH | ||
| 49322 | CH OB ASTHMA W STAT ACEX OCT00- | ||
| 49390 | ASTHMA W/O STATUS ASTHM | ||
| 49391 | ASTHMA W STATUS ASTHMAT | ||
| 49392 | ASTHMA W STATUS AC EXAC OCT00- | ||
|
COPD rate(QI #23) | |||
|
COPD | |||
ICD-9-CM diagnosis codes: | |||
| 4660 | AC BRONCHITIS* | ||
| 490 | BRONCHITIS NOS* | ||
| 4910 | SIMPLE CHR BRONCHITIS | ||
| 4911 | MUCOPURUL CHR BRONCHITIS | ||
| 49120 | OBS CHR BRNC W/O ACT EXA | ||
| 49121 | OBS CHR BRNC W ACT EXA | ||
| 4918 | CHRONIC BRONCHITIS NEC | ||
| 4919 | CHRONIC BRONCHITIS NOS | ||
| 4920 | EMPHYSEMATOUS BLEB | ||
| 4928 | EMPHYSEMA NEC | ||
| 494 | BRONCHIECTASIS -OCT00 | ||
| 4940 | BRONCHIECTAS W/O AC EXAC OCT00- | ||
| 4941 | BRONCHIECTASIS W AC EXAC OCT00- | ||
| 496 | CHR AIRWAY OBSTRUCT NEC | ||
* Qualifies only if accompanied by secondary diagnosis of 491.xx, 492.x, 494, or 496 (i.e., any other code on this list). | |||
|
Congestive heart failure rate(QI #24) | |||
|
CHF | |||
ICD-9-CM diagnosis codes: | |||
| 39891 | RHEUMATIC HEART FAILURE | ||
| 40201 | MAL HYPERT HRT DIS W CHF | ||
| 40211 | BENIGN HYP HRT DIS W CHF | ||
| 40291 | HYPERTEN HEART DIS W CHF | ||
| 40401 | MAL HYPER HRT/REN W CHF | ||
| 40403 | MAL HYP HRT/REN W CHF&RF | ||
| 40411 | BEN HYPER HRT/REN W CHF | ||
| 40413 | BEN HYP HRT/REN W CHF&RF | ||
| 40491 | HYPER HRT/REN NOS W CHF | ||
| 40493 | HYP HT/REN NOS W CHF&RF | ||
| 4280 | CONGESTIVE HEART FAILURE | ||
| 4281 | LEFT HEART FAILURE | ||
| 4289 | HEART FAILURE NOS | ||
|
Exclude: Cardiac procedures: | |||
ICD-9-CM procedure codes: | |||
| 3601 | PTCA-1 VESSEL W/O AGENT | ||
| 3602 | PTCA-1 VESSEL WITH AGNT | ||
| 3605 | PTCA-MULTIPLE VESSEL | ||
| 3606 | INSERT CORONARY ART STENT OCT95- | ||
| 3610 | AORTOCORONARY BYPASS NOS | ||
| 3611 | AORTOCOR BYPAS-1 COR ART | ||
| 3612 | AORTOCOR BYPAS-2 COR ART | ||
| 3613 | AORTOCOR BYPAS-3 COR ART | ||
| 3614 | AORTCOR BYPAS-4+ COR ART | ||
| 3615 | 1 INT MAM-COR ART BYPASS | ||
| 3616 | 2 INT MAM-COR ART BYPASS | ||
| 3617 | ABD-CORON ART BYPASS OCT96- | ||
| 3619 | HRT REVAS BYPS ANAS NEC | ||
| 375 | HEART TRANSPLANTATION | ||
| 3770 | INT INSERT PACEMAK LEAD | ||
| 3771 | INT INSERT LEAD IN VENT | ||
| 3772 | INT INSER LEAD ATRI-VENT | ||
| 3773 | INT INSER LEAD IN ATRIUM | ||
| 3774 | INT OR REPL LEAD EPICAR | ||
| 3775 | REVISION OF LEAD | ||
| 3776 | REPL TV ATRI-VENT LEAD | ||
| 3777 | REMOVAL OF LEAD W/O REPL | ||
| 3778 | INSER TEMP PACEMAKER SYS | ||
| 3779 | REVIS OR RELOCATE POCKET | ||
|
Diabetes - short-term complications rate(QI #25) | |||
|
Diabetes with short-term complications | |||
ICD-9-CM Diagnosis Codes: | |||
| 25010 | DM KETO T2, DM CONT | ||
| 25011 | DM KETO T1, DM CONT | ||
| 25012 | DM KETO T2, DM UNCONT | ||
| 25013 | DM KETO T1, DM UNCONT | ||
| 25020 | DM W/ HYPROSM T2, DM CONT | ||
| 25021 | DM W/ HYPROSM T1, DM CONT | ||
| 25022 | DM W/ HYPROSM T2, DM UNCNT | ||
| 25023 | DM W/ HYPROSM T1, DM UNCNT | ||
| 25030 | DM COMA NEC TYP II, DM CNT | ||
| 25031 | DM COMA NEC T1, DM CONT | ||
| 25032 | DM COMA NEC T2, DM UNCONT | ||
| 25033 | DM COMA NEC T1, DM UNCONT | ||
|
Diabetes - uncontrolled (without short-term or long-term complications) admission rate (QI #26) | |||
|
Uncontrolled diabetes | |||
ICD-9-CM Diagnosis Codes: | |||
| 25002 | DM, T2, UNCONT | ||
| 25003 | DM, T1, UNCONT | ||
|
Diabetes - long-term complications rate(QI #27) | |||
|
Diabetes with long term-complications | |||
ICD-9-CM Diagnosis Codes: | |||
| 25040 | DM RENAL COMP T2 CONT | ||
| 25041 | DM RENAL COMP T1 CONT | ||
| 25042 | DM RENAL COMP T2 UNCNT | ||
| 25043 | DM RENAL COMP T1 UNCNT | ||
| 25050 | DM EYE COMP T2 CONT | ||
| 25051 | DM EYE COMP T1 CONT | ||
| 25052 | DM EYE COMP T2 UNCNT | ||
| 25053 | DM EYE COMP T1 UNCNT | ||
| 25060 | DM NEURO COMP T2 CONT | ||
| 25061 | DM NEURO COMP T1 CONT | ||
| 25062 | DM NEURO COMP T2 UNCNT | ||
| 25063 | DM NEURO COMP T1 UNCNT | ||
| 25070 | DM CIRCU DIS T2 CONT | ||
| 25071 | DM CIRCU DIS T1 CONT | ||
| 25072 | DM CIRCU DIS T2 UNCNT | ||
| 25073 | DM CIRCU DIS T1 UNCNT | ||
| 25080 | DM W COMP NEC T2 CONT | ||
| 25081 | DM W COMP NEC T1 CONT | ||
| 25082 | DM W COMP NEC T2 UNCNT | ||
| 25083 | DM W COMP NEC T1 UNCNT | ||
| 25090 | DM W COMPL NOS T2 CONT | ||
| 25091 | DM W COMPL NOS T1 CONT | ||
| 25092 | DM W COMPL NOS T2 UNCNT | ||
| 25093 | DM W COMPL NOS T1 UNCNT> | ||
|
Hypertension rate(QI #28) | |||
|
Hypertension | |||
ICD-9-CM diagnosis codes: | |||
| 4010 | MALIGNANT HYPERTENSION | ||
| 4019 | HYPERTENSION NOS | ||
| 40200 | MAL HYPERTEN HRT DIS W/OUT CHF | ||
| 40210 | BEN HYPERTEN HRT DIS W/OUT CHF | ||
| 40290 | HYPERTENSIVE HRT DIS W/OUT CHF | ||
| 40300 | MAL HYPERT HRT DIS W/OUT RF | ||
| 40310 | BENIGN HYP HRT DIS W/OUT RF | ||
| 40390 | HYPERTEN HEART DIS W/OUT RF | ||
| 40400 | MAL HYPER HRT/REN W/OUT CHF/RF | ||
| 40410 | BEN HYPER HRT/REN W/OUT CHF/RF | ||
| 40490 | HYPER HRT/REN NOS W/OUT CHF/RF | ||
|
Exclude: Cardiac procedures: | |||
ICD-9-CM procedure codes: | |||
| 3601 | PTCA-1 VESSEL W/O AGENT | ||
| 3602 | PTCA-1 VESSEL WITH AGNT | ||
| 3605 | PTCA-MULTIPLE VESSEL- | ||
| 3606 | INSERT CORONARY ART STENT OCT95- | ||
| 3610 | AORTOCORONARY BYPASS NOS | ||
| 3611 | AORTOCOR BYPAS-1 COR ART | ||
| 3612 | AORTOCOR BYPAS-2 COR ART | ||
| 3613 | AORTOCOR BYPAS-3 COR ART | ||
| 3614 | AORTCOR BYPAS-4+ COR ART | ||
| 3615 | 1 INT MAM-COR ART BYPASS | ||
| 3616 | 2 INT MAM-COR ART BYPASS | ||
| 3617 | ABD-CORON ART BYPASS OCT96- | ||
| 3619 | HRT REVAS BYPS ANAS NEC | ||
| 375 | HEART TRANSPLANTATION | ||
| 3770 | INT INSERT PACEMAK LEAD | ||
| 3771 | INT INSERT LEAD IN VENT | ||
| 3772 | INT INSER LEAD ATRI-VENT | ||
| 3773 | INT INSER LEAD IN ATRIUM | ||
| 3774 | INT OR REPL LEAD EPICAR | ||
| 3775 | REVISION OF LEAD | ||
| 3776 | REPL TV ATRI-VENT LEAD | ||
| 3777 | REMOVAL OF LEAD W/O REPL | ||
| 3778 | INSER TEMP PACEMAKER SYS | ||
| 3779 | REVIS OR RELOCATE POCKET | ||
|
Lower extremity amputation rate(QI #29) | |||
|
Lower extremity amputation | |||
ICD-9-CM procedure codes: | |||
| 8410 | LOWER LIMB AMPUTAT NOS | ||
| 8411 | TOE AMPUTATION | ||
| 8412 | AMPUTATION THROUGH FOOT | ||
| 8413 | DISARTICULATION OF ANKLE | ||
| 8414 | AMPUTAT THROUGH MALLEOLI | ||
| 8415 | BELOW KNEE AMPUTAT NEC | ||
| 8416 | DISARTICULATION OF KNEE | ||
| 8417 | ABOVE KNEE AMPUTATION | ||
| 8418 | DISARTICULATION OF HIP | ||
| 8419 | HINDQUARTER AMPUTATION | ||
|
Include only: Diabetes | |||
ICD-9-CM diagnosis codes: | |||
| 25000 | DMII WO CMP NT ST UNCNTR | ||
| 25001 | DMI WO CMP NT ST UNCNTRL | ||
| 25002 | DMII WO CMP UNCNTRLD | ||
| 25003 | DMI WO CMP UNCNTRLD | ||
| 25010 | DMII KETO NT ST UNCNTRLD | ||
| 25011 | DMI KETO NT ST UNCNTRLD | ||
| 25012 | DMII KETOACD UNCONTROLD | ||
| 25013 | DMI KETOACD UNCONTROLD | ||
| 25020 | DMII HPRSM NT ST UNCNTRL | ||
| 25021 | DMI HPRSM NT ST UNCNTRLD | ||
| 25022 | DMII HPROSMLR UNCONTROLD | ||
| 25023 | DMI HPROSMLR UNCONTROLD | ||
| 25030 | DMII O CM NT ST UNCNTRLD | ||
| 25031 | DMI O CM NT ST UNCNTRLD | ||
| 25032 | DMII OTH COMA UNCONTROLD | ||
| 25033 | DMI OTH COMA UNCONTROLD | ||
| 25040 | DMII RENL NT ST UNCNTRLD | ||
| 25041 | DMI RENL NT ST UNCNTRLD | ||
| 25042 | DMII RENAL UNCNTRLD | ||
| 25043 | DMI RENAL UNCNTRLD | ||
| 25050 | DMII OPHTH NT ST UNCNTRL | ||
| 25051 | DMI OPHTH NT ST UNCNTRLD | ||
| 25052 | DMII OPHTH UNCNTRLD | ||
| 25053 | DMI OPHTH UNCNTRLD | ||
| 25060 | DMII NEURO NT ST UNCNTRL | ||
| 25061 | DMI NEURO NT ST UNCNTRLD | ||
| 25062 | DMII NEURO UNCNTRLD | ||
| 25063 | DMI NEURO UNCNTRLD | ||
| 25070 | DMII CIRC NT ST UNCNTRLD | ||
| 25071 | DMI CIRC NT ST UNCNTRLD | ||
| 25072 | DMII CIRC UNCNTRLD | ||
| 25073 | DMI CIRC UNCNTRLD | ||
| 25080 | DMII OTH NT ST UNCNTRLD | ||
| 25081 | DMI OTH NT ST UNCNTRLD | ||
| 25082 | DMII OTH UNCNTRLD | ||
| 25083 | DMI OTH UNCNTRLD | ||
| 25090 | DMII UNSPF NT ST UNCNTRL | ||
| 25091 | DMI UNSPF NT ST UNCNTRLD | ||
| 25092 | DMII UNSPF UNCNTRLD | ||
| 25093 | DMI UNSPF UNCNTRLD | ||
|
Exclude: Trauma | |||
ICD-9-CM diagnosis codes: | |||
| 8950 | AMPUTATION TOE | ||
| 8951 | AMPUTATION TOE-COMPLICAT | ||
| 8960 | AMPUTATION FOOT, UNILAT | ||
| 8961 | AMPUT FOOT, UNILAT-COMPL | ||
| 8962 | AMPUTATION FOOT, BILAT | ||
| 8963 | AMPUTAT FOOT, BILAT-COMP | ||
| 8970 | AMPUT BELOW KNEE, UNILAT | ||
| 8971 | AMPUTAT BK, UNILAT-COMPL | ||
| 8972 | AMPUT ABOVE KNEE, UNILAT | ||
| 8973 | AMPUT ABV KN, UNIL-COMPL | ||
| 8974 | AMPUTAT LEG, UNILAT NOS | ||
| 8975 | AMPUT LEG, UNIL NOS-COMP | ||
| 8976 | AMPUTATION LEG, BILAT | ||
| 8977 | AMPUTAT LEG, BILAT-COMPL | ||
|
Low birthweight rate(QI #30) | |||
|
Low birthweight (Outcome of interest) | |||
ICD-9-CM diagnosis codes: | |||
| 76400 | LIGHT-FOR-DATES WTNOS | ||
| 76401 | LIGHT-FOR-DATES <500G | ||
| 76402 | LT-FOR-DATES 500-749G | ||
| 76403 | LT-FOR-DATES 750-999G | ||
| 76404 | LT-FOR-DATES 1000-1249G | ||
| 76405 | LT-FOR-DATES 1250-1499G | ||
| 76406 | LT-FOR-DATES 1500-1749G | ||
| 76407 | LT-FOR-DATES 1750-1999G | ||
| 76408 | LT-FOR-DATES 2000-2499G | ||
| 76410 | LT-FOR-DATE W/MAL WTNOS | ||
| 76411 | LT-FOR-DATE W/MAL <500G | ||
| 76412 | LT-DATE W/MAL 500-749G | ||
| 76413 | LT-DATE W/MAL 750-999G | ||
| 76414 | LT-DATE W/MAL 1000-1249G | ||
| 76415 | LT-DATE W/MAL 1250-1499G | ||
| 76416 | LT-DATE W/MAL 1500-1749G | ||
| 76417 | LT-DATE W/MAL 1750-1999G | ||
| 76418 | LT-DATE W/MAL 2000-2499G | ||
| 76420 | FETAL MALNUTRITION WTNOS | ||
| 76421 | FETAL MALNUTRITION <500G | ||
| 76422 | FETAL MALNUTR 500-749G | ||
| 76423 | FETAL MAL 750-999G | ||
| 76424 | FETAL MAL 1000-1249G | ||
| 76425 | FETAL MAL 1250-1499G | ||
| 76426 | FETAL MAL 1500-1749G | ||
| 76427 | FETAL MALNUTR 1750-1999G | ||
| 76428 | FETAL MALNUTR 2000-2499G | ||
| 76490 | FET GROWTH RETARD WTNOS | ||
| 76491 | FET GROWTH RETARD <500G | ||
| 76492 | FET GROWTH RET 500-749G | ||
| 76493 | FET GROWTH RET 750-999G | ||
| 76494 | FET GRWTH RET 1000-1249G | ||
| 76495 | FET GRWTH RET 1250-1499G | ||
| 76496 | FET GRWTH RET 1500-1749G | ||
| 76497 | FET GRWTH RET 1750-1999G | ||
| 76498 | FET GRWTH RET 2000-2499G | ||
| 76500 | EXTREME IMMATUR WTNOS | ||
| 76501 | EXTREME IMMATUR <500G | ||
| 76502 | EXTREME IMMATUR 500-749G | ||
| 76503 | EXTREME IMMATUR 750-999G | ||
| 76504 | EXTREME IMMAT 1000-1249G | ||
| 76505 | EXTREME IMMAT 1250-1499G | ||
| 76506 | EXTREME IMMAT 1500-1749G | ||
| 76507 | EXTREME IMMAT 1750-1999G | ||
| 76508 | EXTREME IMMAT 2000-2499G | ||
| 76510 | PRETERM INFANT NEC WTNOS | ||
| 76511 | PRETERM NEC <500G | ||
| 76512 | PRETERM NEC 500-749G | ||
| 76513 | PRETERM NEC 750-999G | ||
| 76514 | PRETERM NEC 1000-1249G | ||
| 76515 | PRETERM NEC 1250-1499G | ||
| 76516 | PRETERM NEC 1500-1749G | ||
| 76517 | PRETERM NEC 1750-1999G | ||
| 76518 | PRETERM NEC 2000-2499G | ||
|
All births (pouulation at risk) | |||
|
DRG Codes: | |||
DRGs: | |||
| 370 | CESAREAN SECTION W CC | ||
| 371 | CESAREAN SECTION W/O CC | ||
| 372 | VAGINAL DELIVERY W COMPL | ||
| 373 | VAG DELIVERY W/O COMPL | ||
| 374 | VAG DELIV W STERIL OR DC | ||
| 375 | VAG DELIV W OTH OR PROC | ||
|
Pediatric asthma rate(QI #31) | |||
|
Pediatric asthma | |||
ICD-9-CM diagnosis codes: | |||
| 49300 | EXT ASTHMA W/O STAT ASTH | ||
| 49301 | EXT ASTHMA W STATUS ASTH | ||
| 49302 | EXT ASTHMA W STATUS ACEX OCT00- | ||
| 49310 | INT ASTHMA W/O STAT ASTH | ||
| 49311 | INT ASTHMA W STATUS ASTH | ||
| 49312 | INT ASTHMA W STATUS ACEX OCT00- | ||
| 49320 | CH OB ASTH W/O STAT ASTH | ||
| 49321 | CH OB ASTHMA W STAT ASTH | ||
| 49322 | CH OB ASTHMA W STAT ACEX OCT00- | ||
| 49390 | ASTHMA W/O STATUS ASTHM | ||
| 49391 | ASTHMA W STATUS ASTHMAT | ||
| 49392 | ASTHMA W STATUS AC EXAC OCT00- | ||
|
Pediatric Gastroenteritis rate(QI #32) | |||
|
Pediatric gastroenteritis | |||
ICD-9-CM diagnosis codes: | |||
| 00861 | ROTAVIRUS ENTERITIS | ||
| 00862 | ADENOVIRUS ENTERITIS | ||
| 00863 | NORWALK ENTERITIS | ||
| 00864 | OTHER SRV ENTERITIS | ||
| 00865 | CALICIVIRUS ENTERITIS | ||
| 00866 | ASTROVIRUS ENTERITIS | ||
| 00867 | ENTEROVIRUS ENTERITIS NEC | ||
| 00869 | ENTERITIS NOS | ||
| 0088 | VIRAL ENTERITIS NOS | ||
| 0090 | INFECTIOUS ENTERITIS NOS | ||
| 0091 | ENTERITIS OF INFECT ORIG | ||
| 0092 | INFECTIOUS DIARRHEA | ||
| 0093 | DIARRHEA, PRESUM INFECTIOUS | ||
| 5589 | NONINF GASTROENTERIT NEC | ||
|
Mortality | |||
|
AMI mortality (QI #33) | |||
|
AMI | |||
ICD-9-CM diagnosis codes: | |||
| 41001 | AMI ANTEROLATERAL, INIT | ||
| 41011 | AMI ANTERIOR WALL, INIT | ||
| 41021 | AMI INFEROLATERAL, INIT | ||
| 41031 | AMI INFEROPOST, INITIAL | ||
| 41041 | AMI INFERIOR WALL, INIT | ||
| 41051 | AMI LATERAL NEC, INITIAL | ||
| 41061 | TRUE POST INFARCT, INIT | ||
| 41071 | SUBENDO INFARCT, INITIAL | ||
| 41081 | AMI NEC, INITIAL | ||
| 41091 | AMI NOS, INITIAL | ||
|
Congestive heart failure mortality (QI #34) | |||
|
CHF | |||
ICD-9-CM diagnosis codes: | |||
| 39891 | RHEUMATIC HEART FAILURE | ||
| 40201 | MAL HYPERT HRT DIS W CHF | ||
| 40211 | BENIGN HYP HRT DIS W CHF | ||
| 40291 | HYPERTEN HEART DIS W CHF | ||
| 40401 | MAL HYPER HRT/REN W CHF | ||
| 40403 | MAL HYP HRT/REN W CHF&RF | ||
| 40411 | BEN HYPER HRT/REN W CHF | ||
| 40413 | BEN HYP HRT/REN W CHF&RF | ||
| 40491 | HYPER HRT/REN NOS W CHF | ||
| 40493 | HYP HT/REN NOS W CHF&RF | ||
| 4280 | CONGESTIVE HEART FAILURE | ||
| 4281 | LEFT HEART FAILURE | ||
| 4289 | HEART FAILURE NOS | ||
|
Exclude: Cardiac procedures: | |||
ICD-9-CM procedure codes: | |||
| 3601 | PTCA-1 VESSEL W/O AGENT | ||
| 3602 | PTCA-1 VESSEL WITH AGNT | ||
| 3607 | PTCA-MULTIPLE VESSEL | ||
| 3608 | INSERT CORONARY ART STENT OCT95- | ||
| 3610 | AORTOCORONARY BYPASS NOS | ||
| 3611 | AORTOCOR BYPAS-1 COR ART | ||
| 3612 | AORTOCOR BYPAS-2 COR ART | ||
| 3613 | AORTOCOR BYPAS-3 COR ART | ||
| 3614 | AORTCOR BYPAS-4+ COR ART | ||
| 3615 | 1 INT MAM-COR ART BYPASS | ||
| 3616 | 2 INT MAM-COR ART BYPASS | ||
| 3617 | ABD-CORON ART BYPASS OCT96- | ||
| 3619 | HRT REVAS BYPS ANAS NEC | ||
| 375 | HEART TRANSPLANTATION | ||
| 3770 | INT INSERT PACEMAK LEAD | ||
| 3771 | INT INSERT LEAD IN VENT | ||
| 3772 | INT INSER LEAD ATRI-VENT | ||
| 3773 | INT INSER LEAD IN ATRIUM | ||
| 3774 | INT OR REPL LEAD EPICAR | ||
| 3775 | REVISION OF LEAD | ||
| 3776 | REPL TV ATRI-VENT LEAD | ||
| 3777 | REMOVAL OF LEAD W/O REPL | ||
| 3778 | INSER TEMP PACEMAKER SYS | ||
| 3779 | REVIS OR RELOCATE POCKET | ||
|
GI Hemorrhage mortality(QI #35) | |||
|
GI Hemorrhage | |||
ICD-9-CM diagnosis codes: | |||
| 4560 | ESOPH VARICES W HEM | ||
| 5307 | GASTROESOPH LACER W HEM | ||
| 53082 | ESOPHAGEAL HEM | ||
| 53100 | AC STOMACH ULCER W HEM | ||
| 53101 | AC STOMAC ULC W HEM-OBST | ||
| 53120 | AC STOMAC ULC W HEM/PERF | ||
| 53121 | AC STOM ULC HEM/PERF-OBS | ||
| 53140 | CHR STOMACH ULC W HEM | ||
| 53141 | CHR STOM ULC W HEM-OBSTR | ||
| 53160 | CHR STOMACH ULC HEM/PERF | ||
| 53161 | CHR STOM ULC HEM/PERF-OB | ||
| 53200 | AC DUODENAL ULCER W HEM | ||
| 53201 | AC DUODEN ULC W HEM-OBST | ||
| 53220 | AC DUODEN ULC W HEM/PERF | ||
| 53221 | AC DUOD ULC HEM/PERF-OBS | ||
| 53240 | CHR DUODEN ULCER W HEM | ||
| 53241 | CHR DUODEN ULC HEM-OBSTR | ||
| 53260 | CHR DUODEN ULC HEM/PERF | ||
| 53261 | CHR DUOD ULC HEM/PERF-OB | ||
| 53300 | AC PEPTIC ULCER W HEMORR | ||
| 53301 | AC PEPTIC ULC W HEM-OBST | ||
| 53320 | AC PEPTIC ULC W HEM/PERF | ||
| 53321 | AC PEPT ULC HEM/PERF-OBS | ||
| 53340 | CHR PEPTIC ULCER W HEM | ||
| 53341 | CHR PEPTIC ULC W HEM-OBS | ||
| 53360 | CHR PEPT ULC W HEM/PERF | ||
| 53361 | CHR PEPT ULC HEM/PERF-OB | ||
| 53400 | AC MARGINAL ULCER W HEM | ||
| 53401 | AC MARGIN ULC W HEM-OBST | ||
| 53420 | AC MARGIN ULC W HEM/PERF | ||
| 53421 | AC MARG ULC HEM/PERF-OBS | ||
| 53440 | CHR MARGINAL ULCER W HEM | ||
| 53441 | CHR MARGIN ULC W HEM-OBS | ||
| 53460 | CHR MARGIN ULC HEM/PERF | ||
| 53461 | CHR MARG ULC HEM/PERF-OB | ||
| 53501 | ACUTE GASTRITIS W HMRHG | ||
| 53511 | ATRPH GASTRITIS W HMRHG | ||
| 53521 | GSTR MCSL HYPRT W HMRG | ||
| 53531 | ALCHL GSTRITIS W HMRHG | ||
| 53541 | OTH SPF GASTRT W HMRHG | ||
| 53551 | GSTRDDNTS NOS W HMRHG | ||
| 53561 | DUODENITIS W HMRHG | ||
| 53783 | ANGIODYS STOM DUOD W HEM | ||
| 56202 | DIVERTICULOS SM INT W HEM | ||
| 56203 | DIVERTICULIT SM INT W HEM | ||
| 56212 | DIVERTICULOS COLON W HEM | ||
| 56213 | DIVERTICULIT COLON W HEM | ||
| 5693 | HEMORRHAGE RECT/ANUS | ||
| 56985 | ANGIODYS INTEST W HEM | ||
| 5780 | HEMATEMESIS | ||
| 5781 | BLOOD IN STOOL | ||
| 5789 | GASTROINTEST HEMORR NOS | ||
|
Hip fracture mortality(QI #36) | |||
|
Hip fracture | |||
ICD-9-CM diagnosis codes: | |||
| 82000 | FX FEMUR INTRCAPS NOS-CL | ||
| 82001 | FX UP FEMUR EPIPHY-CLOS | ||
| 82002 | FX FEMUR, MIDCERVIC-CLOS | ||
| 82003 | FX BASE FEMORAL NCK-CLOS | ||
| 82009 | FX FEMUR INTRCAPS NEC-CL | ||
| 82010 | FX FEMUR INTRCAP NOS-OPN | ||
| 82011 | FX UP FEMUR EPIPHY-OPEN | ||
| 82012 | FX FEMUR, MIDCERVIC-OPEN | ||
| 82013 | FX BASE FEMORAL NCK-OPEN | ||
| 82019 | FX FEMUR INTRCAP NEC-OPN | ||
| 82020 | TROCHANTERIC FX NOS-CLOS | ||
| 82021 | INTERTROCHANTERIC FX-CL | ||
| 82022 | SUBTROCHANTERIC FX-CLOSE | ||
| 82030 | TROCHANTERIC FX NOS-OPEN | ||
| 82031 | INTERTROCHANTERIC FX-OPN | ||
| 82032 | SUBTROCHANTERIC FX-OPEN | ||
| 8208 | FX NECK OF FEMUR NOS-CL | ||
| 8209 | FX NECK OF FEMUR NOS-OPN | ||
|
Pneumonia mortality(QI #37) | |||
|
Pneumonia | |||
ICD-9-CM diagnosis codes: | |||
| 00322 | SALMONELLA PNEUMONIA | ||
| 0212 | PULMONARY TULAREMIA | ||
| 0391 | PULMONARY ACTINOMYCOSIS | ||
| 0521 | VARICELLA PNEUMONITIS | ||
| 0551 | POSTMEASLES PNEUMONIA | ||
| 0730 | ORNITHOSIS PNEUMONIA | ||
| 1124 | CANDIDIASIS OF LUNG | ||
| 1140 | PRIMARY COCCIDIOIDOMYCOS | ||
| 1144 | CHRONIC PULMON COCCIDIOIDOMYCOSIS | ||
| 1145 | UNSPEC PULMON COCCIDIOIDOMYCOSIS | ||
| 11505 | HISTOPLASM CAPS PNEUMON | ||
| 11515 | HISTOPLASM DUB PNEUMONIA | ||
| 11595 | HISTOPLASMOSIS PNEUMONIA | ||
| 1304 | TOXOPLASMA PNEUMONITIS | ||
| 1363 | PNEUMOCYSTOSIS | ||
| 4800 | ADENOVIRAL PNEUMONIA | ||
| 4801 | RESP SYNCYT VIRAL PNEUM | ||
| 4802 | PARINFLUENZA VIRAL PNEUM | ||
| 4808 | VIRAL PNEUMONIA NEC | ||
| 4809 | VIRAL PNEUMONIA NOS | ||
| 481 | PNEUMOCOCCAL PNEUMONIA | ||
| 4820 | K. PNEUMONIAE PNEUMONIA | ||
| 4821 | PSEUDOMONAL PNEUMONIA | ||
| 4822 | H.INFLUENZAE PNEUMONIA | ||
| 48230 | STREP PNEUMONIA UNSPEC | ||
| 48231 | GRP A STREP PNEUMONIA | ||
| 48232 | GRP B STREP PNEUMONIA | ||
| 48239 | OTH STREP PNEUMONIA | ||
| 4824 | STAPHYLOCOCCAL PNEUMONIA | ||
| 48240 | STAPH PNEUMONIA UNSP OCT98- | ||
| 48241 | STAPH AUREUS PNEUMON OCT98- | ||
| 48249 | STAPH PNEUMON OTH OCT98- | ||
| 48281 | ANAEROBIC PNEUMONIA | ||
| 48282 | E COLI PNEUMONIA | ||
| 48283 | OTH GRAM NEG PNEUMONIA | ||
| 48284 | LEGIONNAIRES DX OCT97- | ||
| 48289 | BACT PNEUMONIA NEC | ||
| 4829 | BACTERIAL PNEUMONIA NOS | ||
| 4830 | MYCOPLASMA PNEUMONIA | ||
| 4831 | CHLAMYDIA PNEUMONIA OCT96- | ||
| 4838 | OTH SPEC ORG PNEUMONIA | ||
| 4841 | PNEUM W CYTOMEG INCL DIS | ||
| 4843 | PNEUMONIA IN WHOOP COUGH | ||
| 4845 | PNEUMONIA IN ANTHRAX | ||
| 4846 | PNEUM IN ASPERGILLOSIS | ||
| 4847 | PNEUM IN OTH SYS MYCOSES | ||
| 4848 | PNEUM IN INFECT DIS NEC | ||
| 485 | BRONCOPNEUMONIA ORG NOS | ||
| 486 | PNEUMONIA, ORGANISM NOS | ||
| 5070 | PNEUMONITIS, ASP FOOD VOMIT | ||
| 5100 | EMPYEMA W FISTULA | ||
| 5109 | EMPYEMA W/O FISTULA | ||
| 5110 | PLEURISY W EFF, BACT NOT TB | ||
| 5130 | ABSCESS OF LUNG | ||
|
Stroke mortality(QI #38) | |||
|
Stroke | |||
ICD-9-CM diagnosis codes: | |||
| 430 | SUBARACHNOID HEMORRHAGE | ||
| 431 | INTRACEREBRAL HEMORRHAGE | ||
| 4320 | NONTRAUM EXTRADURAL HEM | ||
| 4321 | SUBDURAL HEMORRHAGE | ||
| 4329 | INTRACRANIAL HEMORR NOS | ||
| 43301 | BASI ART OCCL W/ INFARCT | ||
| 43311 | CAROTD OCCL W/ INFRCT | ||
| 43321 | VERTB ART OCCL W/ INFRCT | ||
| 43331 | MULT PRECER OCCL W/ INFRCT | ||
| 43381 | PRECER OCCL NEC W/ INFRCT | ||
| 43391 | PRECER OCCL NOS W/ INFRCT | ||
| 43401 | CERE THROMBOSIS W/ INFRCT | ||
| 43411 | CERE EMBOLISM W/ INFRCT | ||
| 43491 | CEREB OCCL NOS W/ INFRCT | ||
| 436 | CVA | ||
|
AAA repair mortality(QI #39) | |||
|
AAA repair | |||
ICD-9-CM procedure codes: | |||
| 3834 | AORTA RESECTION & ANAST | ||
| 3844 | RESECT ABDM AORTA W REPL | ||
| 3864 | EXCISION OF AORTA | ||
|
Include only: AAA | |||
ICD-9-CM diagnosis codes: | |||
| 4413 | RUPT ABD AORTIC ANEURYSM | ||
| 4414 | ABDOM AORTIC ANEURYSM | ||
|
CABG Mortality(QI #40) | |||
|
CABG | |||
ICD-9-CM procedure codes: | |||
| 3610 | AORTOCORONARY BYPASS NOS | ||
| 3611 | AORTOCOR BYPAS-1 COR ART | ||
| 3612 | AORTOCOR BYPAS-2 COR ART | ||
| 3613 | AORTOCOR BYPAS-3 COR ART | ||
| 3614 | AORTCOR BYPAS-4+ COR ART | ||
| 3615 | INT MAM-COR ART BYPASS | ||
| 3616 | INT MAM-COR ART BYPASS | ||
| 3617 | ABD-CORON ART BYPASS OCT96- | ||
| 3619 | HRT REVAS BYPS ANAS NEC | ||
|
Esophageal resection Mortality (QI #42) | |||
|
Esophageal resection | |||
ICD-9-CM procedure code: | |||
| 4240 | ESOPHAGECTOMY NOS | ||
| 4241 | PARTIAL ESOPHAGECTOMY | ||
| 4242 | TOTAL ESOPHAGECTOMY | ||
Include only: Esophageal cancer: | |||
ICD-9-CM diagnosis codes: | |||
| 1500 | MAL NEO CERVICAL ESOPHAG | ||
| 1501 | MAL NEO THORACIC ESOPHAG | ||
| 1502 | MAL NEO ABDOMIN ESOPHAG | ||
| 1503 | MAL NEO UPPER 3RD ESOPH | ||
| 1504 | MAL NEO MIDDLE 3RD ESOPH | ||
| 1505 | MAL NEO LOWER 3RD ESOPH | ||
| 1508 | MAL NEO ESOPHAGUS NEC | ||
| 1509 | MAL NEO ESOPHAGUS NOS | ||
|
Hip Replacement Mortality(QI #43) | |||
|
Hip Replacement | |||
ICD-9-CM procedure Codes: | |||
| 8151 | TOTAL HIP REPLACEMENT | ||
| 8152 | PARTIAL HIP REPLACEMENT | ||
| 8153 | REVISION HIP REPLACEMENT | ||
Include only: Osteoarthrosis: | |||
ICD-9-CM diagnosis Codes: | |||
| 71500 | GENL OSTEOARTHROSIS NOS | ||
| 71509 | GENL OSTEOARTHROSIS MULT | ||
| 71510 | LOC PRIM OSTEOART_UNSPEC | ||
| 71515 | LOC PRIM OSTEOART_PELVIS | ||
| 71518 | LOC PRIM OSTEOARTHR NEC | ||
| 71520 | LOC 2ND OSTEOARTH_UNSPEC | ||
| 71525 | LOC 2ND OSTEOARTH_PELVIS | ||
| 71528 | LOC 2ND OSTEOARTHROS NEC | ||
| 71530 | LOC OSTEOARTH NOS_UNSPEC | ||
| 71535 | LOC OSTEOARTH NOS_PELVIS | ||
| 71538 | LOC OSTEOAR NOS_SITE NEC | ||
| 71580 | OSTEOARTHROSIS_MULT SITE | ||
| 71589 | OSTEOARTHROSIS_MULT SITE | ||
| 71590 | OSTEOARTHROS NOS_UNSPEC | ||
| 71595 | OSTEOARTHROS NOS_PELVIS | ||
| 71598 | OSTEOARTHRO NOS_OTH SITE | ||
| 71650 | POLYARTHRITIS NOS UNSPEC | ||
| 71655 | POLYARTHRITIS NOS PELVIS | ||
| 71658 | POLYARTHRITIS NOS NEC | ||
| 71659 | POLYARTHRITIS NOS MULT SITE | ||
| 71660 | MONOARTHRITIS NOS UNSPEC | ||
| 71665 | MONOARTHRITIS NOS PELVIS | ||
| 71668 | MONOARTHRITIS NOS NEC | ||
| 71669 | MONOARTHRITIS NOS MULT SITE | ||
| 71690 | ARTHROPATHY NOS UNSPEC | ||
| 71695 | ARTHROPATHY NOS PELVIS | ||
| 71698 | ARTHROPATHY NOS NEC | ||
| 71699 | ARTHROPATHY NOS MULT SITE | ||
|
Pancreatic resection mortality(QI #44) | |||
|
Pancreatic resection | |||
ICD-9-CM procedure codes: | |||
| 526 | TOTAL PANCREATECTOMY | ||
| 527 | RAD PANCREATICODUODENECT | ||
Include only: Pancreatic cancer | |||
ICD-9-CM diagnosis codes: | |||
| 1520 | MALIGNANT NEOPL DUODENUM | ||
| 1561 | MAL NEO EXTRAHEPAT DUCTS | ||
| 1562 | MAL NEO AMPULLA OF VATER | ||
| 1570 | MAL NEO PANCREAS HEAD | ||
| 1571 | MAL NEO PANCREAS BODY | ||
| 1572 | MAL NEO PANCREAS TAIL | ||
| 1573 | MAL NEO PANCREATIC DUCT | ||
| 1574 | MAL NEO ISLET LANGERHANS | ||
| 1578 | MALIG NEO PANCREAS NEC | ||
| 1579 | MALIG NEO PANCREAS NOS | ||
|
Pediatric heart surgery mortality(QI #45) | |||
|
See pediatric heart surgery volume | |||
- Indicator Definitions - Refinement of the HCUP Quality IndicatorsIndicator Definitions - Refinement of the HCUP Quality Indicators
Your browsing activity is empty.
Activity recording is turned off.
See more...