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McDonald KM, Romano PS, Geppert J, et al. Measures of Patient Safety Based on Hospital Administrative Data - The Patient Safety Indicators. Rockville (MD): Agency for Healthcare Research and Quality (US); 2002 Aug. (Technical Reviews, No. 5.)

Cover of Measures of Patient Safety Based on Hospital Administrative Data - The Patient Safety Indicators

Measures of Patient Safety Based on Hospital Administrative Data - The Patient Safety Indicators.

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Appendix EDetails of Indicator Definitions

This appendix lists coding details for all indicators. It is divided into six sections (described below). For each indicator group (accepted, experimental, rejected) the definitions are provided in table form. In another section ICD-9-CM level details are presented for terms used in the tables (e.g. the codes used to define “hip fracture”). Terms are listed alphabetically and a table of contents is provided for ease of use.

ICD-9-CM codes are updated through 2001.

Section 1A contains the definition table for the Accepted hospital level indicators.

Section 1B contains the coding details for the Accepted hospital level indicators.

Section 2A contains the definition table for the Accepted area level indicators. Coding details are available in section 1B.

Section 3A contains the definition table for the Experimental indicators.

Section 3B contains the coding details for the Experimental indicators.

Section 4A contains the definition table for the Rejected indicators.

Section 1A. Accepted Hospital-Level Indicator Definitions

Items in bold and brackets are fully specified in the ICD-9-CM and DRG listings after this table.

IndicatorDefinition and NumeratorDenominator
• Complications of anesthesiaDischarges with ICD-9-CM diagnosis codes for [anesthesia complications] in any secondary diagnosis field per 100 discharges.All [surgical] discharges.
Exclude patients with codes for poisoning due to anesthetics [E855.1, 968.1–4, 968.7] AND any diagnosis code for [active drug dependence], [active nondependent abuse of drugs], or [self-inflicted injury].
• Death in low mortality DRGsAll discharges with disposition of “deceased” per 100 population at risk.All discharges in DRGs with less than 0.5% mortality rate, based on NIS 1997 [low mortality DRG]. If a DRG is divided into “without/with complications” both DRGs must have mortality rates below 0.5% to qualify for inclusion.
Indicator is stratified in 7 subgroup indicators:
1.

Adult surgical

2.

Adult medical

3.

Pediatric surgical

4.

Pediatric medical

5.

Psychiatric

6.

Obstetric

7.

Neonatal

Exclude patients with any code for [trauma], [immunocompromised] state, or [cancer].
• Decubitus ulcerDischarges with ICD-9-CM code of 707.0 in any secondary diagnosis field per 100 discharges.All [medical] and [surgical] discharges.
Include only patients with a length of stay of more than 4 days.
Exclude patients in MDC 9 or patients with any diagnosis of [hemiplegia, paraplegia, or quadriplegia].
Exclude patients admitted from a [long term care facility].
• Failure to rescueAll discharges with disposition of “deceased” per 100 population at risk.Discharges with potential complications of care listed in [failure to rescue] definition (e.g., pneumonia, DVT/PE, sepsis, acute renal failure, shock/cardiac arrest, or GI hemorrhage/acute ulcer). Exclusion criteria specific to each diagnosis.
Exclude patients [transferred to acute care facility].
Exclude patients [transferred from acute care facility]
Exclude patients admitted from a [long-term care facility].
• Foreign body left in during procedureDischarges with ICD-9-CM codes for [foreign body left in during procedure] in any secondary diagnosis field per 100 surgical discharges.All [medical] and [surgical] discharges.
• Iatrogenic pneumothoraxDischarges with ICD-9-CM code of 512.1 in any secondary diagnosis field per 100 discharges.All [medical] and [surgical] discharges.
Exclude patients with any diagnosis of [trauma].
Exclude patients with any code indicating [thoracic surgery] or [lung or pleural biopsy] or [cardiac surgery].
• Infection due to medical careDischarges with ICD-9-CM code of 999.3 or 996.62 in any secondary diagnosis field per 100 discharges.All [medical] and [surgical] discharges.
Exclude patients with any diagnosis code for [immunocompromised] state or [cancer].
• Postoperative hemorrhage or hematomaDischarges with ICD-9-CM codes for [postoperative hemorrhage] or [postoperative hematoma] in any secondary diagnosis field AND code for postoperative [control of hemorrhage] or [drainage of hematoma] in any secondary procedure code field per 100 surgical discharges.All [surgical] discharges.
Procedure code for postoperative control of hemorrhage or hematoma must occur on the same day or after the principal procedure.Exclude all obstetric admissions (MDC 14 and 15).
• Postoperative hip fractureDischarges with ICD-9-CM code for [hip fracture] in any secondary diagnosis field per 100 surgical discharges.All [surgical] discharges.
Exclude patients who have musculoskeletal and connective tissue diseases (MDC 8).
Exclude patients with principal diagnosis codes for [seizure], [syncope], [stroke], [coma], [cardiac arrest], [poisoning], [trauma], [delirium and other psychoses], or [anoxic brain injury].
Exclude patients with any diagnosis of [metastatic cancer], [lymphoid malignancy] or [bone malignancy], [self-inflicted injury].
Exclude patients 17 years of age and younger.
• Postoperative physiologic and metabolic derangementsDischarges with ICD-9-CM codes for [physiologic and metabolic derangements] in any secondary diagnosis field per 100 surgical discharges.All [elective][surgical] discharges.
Discharges with acute renal failure (subgroup of physiologic and metabolic derangements) must be accompanied by a procedure code for dialysis (39.95, 54.98).Exclude patients with both a diagnosis code of ketoacidosis, hyperosmolarity or other coma (subgroups of physiologic and metabolic derangements coding) AND a principal diagnosis of [diabetes].
Exclude patients with both a secondary diagnosis code for acute renal failure (subgroup of physiologic and metabolic derangements coding) AND a principal diagnosis of [acute myocardial infarction], [cardiac arrhythmia], [cardiac arrest], [shock], [hemorrhage] or [gastrointestinal hemorrhage].
Exclude all obstetric admissions (MDC 14 and 15).
• Postoperative pulmonary embolism or deep vein thrombosisDischarges with ICD-9-CM codes for [deep vein thrombosis] or [pulmonary embolism] in any secondary diagnosis field per 100 surgical discharges.All [surgical] discharges.
Exclude patients with a principal diagnosis of [deep vein thrombosis].
Exclude all obstetric admissions (MDC 14 and 15).
Exclude patients with secondary procedure code 38.7 when this procedure occurs on the day of or previous to the day of the principal procedure.
• Postoperative respiratory failureDischarges with ICD-9-CM codes for acute respiratory failure (518.81) in any secondary diagnosis field per 100 surgical discharges.All [elective][surgical] discharges.
(After 1999, include 518.84).Exclude patients with respiratory or circulatory diseases (MDC 4 and MDC 5).
Exclude all obstetric admissions (MDC 14 and 15)
• Postoperative sepsisDischarges with ICD-9-CM code for [sepsis] in any secondary diagnosis field per 100 discharges in the population at risk.All [elective][surgical] discharges.
Exclude patients with a principal diagnosis of [infection], or any code for [immunocompromised] state, or [cancer].
Include only patients with a length of stay of more than three days.
Exclude all obstetric admissions (MDC 14 and 15).
• Technical difficulty with procedureDischarges with ICD-9-CM code denoting [technical difficulty] (e.g., accidental cut, puncture, perforation or laceration during a procedure) in any secondary diagnosis field per 100 discharges.All [medical] and [surgical] discharges.
Exclude all obstetric admissions (MDC 14 and 15).
• Transfusion reactionDischarges with ICD-9-CM codes for [transfusion reaction] in any secondary diagnosis field per 100 discharges.All [medical] and [surgical] discharges.
• Postoperative wound dehiscenceDischarges with ICD-9-CM codes for reclosure of postoperative disruption of abdominal wall (54.61) in any secondary procedure field per 100 discharges.All [abdominopelvic] surgical discharges.
Exclude all obstetric admissions (MDC 14 and 15).
• Birth trauma- injury to neonateDischarges with ICD-9-CM codes for [birth trauma] in any diagnosis field per 100 liveborn births.All [liveborn] infants.
Exclude infants with a subdural or cerebral hemorrhage (subgroup of birth trauma coding) AND any diagnosis code of [preterm infant] (denoting a birth weight of less than 2,500 g and less than 37 weeks gestation).
Exclude infants with injury to skeleton (767.3, 767.4) AND any diagnosis code of osteogenesis imperfecta (756.51).
• Obstetric trauma - vaginal with instrumentDischarges with ICD-9-CM codes for [obstetric trauma] in any diagnosis or procedure field per 100 instrument assisted vaginal deliveries.All [vaginal delivery] discharges with any procedure code for [instrument assisted delivery].
• Obstetric trauma - vaginal without instrumentDischarges with ICD-9-CM codes for [obstetric trauma] in any diagnosis or procedure field per 100 instrument assisted vaginal deliveries.All [vaginal delivery] discharges patients.
Exclude [instrument assisted delivery].
• Obstetric trauma - cesarean sectionDischarges with ICD-9-CM codes for [obstetric trauma] in any diagnosis or procedure field per 100 cesarean deliveries.All [cesarean delivery] discharges.

Section 1B. Coding Details for Accepted Hospital-Level Indicators

Abdominopelvic233
Active drug dependence237
Active nondependent abuse of drugs237
Acute myocardial infarction237
Anesthesia complications238
Anoxic brain injury238
Birth trauma238
Bone malignancy238
Cancer238
Cardiac arrest240
Cardiac arrhythmia240
Cardiac surgery240
Cesarean delivery240
Coma240
Control of postoperative hemorrhage241
Deep vein thrombosis241
Delirium and other psychoses241
Diabetes241
Drainage of hematoma241
Elective242
Foreign body left in during procedure242
Gastrointestinal (GI) hemorrhage242
Hemiplegia, paraplegia, or quadriplegia243
Hemorrhage243
Hip fracture243
Immunocompromised243
Indications of current drug abuse244
Infection245
Instrument assisted delivery245
Liveborn245
Long term care facility246
Low mortality246
Lung or pleural biopsy248
Lymphoid malignancy248
Medical248
Metastatic cancer251
Obstetric trauma251
Physiologic and metabolic derangements251
Poisoning252
Postoperative hematoma253
Postoperative hemorrhage or hematoma253
Preterm infant253
Pulmonary embolism253
Seizure253
Self inflicted injury253
Sepsis254
Shock254
Stroke254
Surgical254
Syncope257
Technical difficulty257
Thoracic surgery258
Transferred to acute care facility259
Transferred from acute care facility259
Transfusion reaction259
Trauma259
Vaginal delivery262
FTR-FAILURE TO RESCUE262
Abdominopelvic
ICD-9-CM procedure codes:
38.04INCISION OF AORTA
38.06INCISION OF ABDOMINAL ARTERIES
38.07INCISION OF ABDOMINAL VEINS
38.14ENDARTERECTOMY OF AORTA
38.16ENDARTERECTOMY OF ABDOMINAL ARTERIES
38.34RESECTION OF AORTA WITH ANASTOMOSIS
38.36RESECTION OF ABDOMINAL ARTERIES WITH ANASTOMOSIS
38.37RESECTION OF ABDOMINAL VEINS WITH ANASTOMOSIS
38.44RESECTION OF AORTA, ABDOMINAL WITH REPLACEMENT
38.46RESECTION OF ABDOMINAL ARTERIES WITH REPLACEMENT
38.47RESECTION OF ABDOMINAL VEINS WITH REPLACEMENT
38.57LIGATION AND STRIPPING OF VARICOSE VEINS, ABDOMINAL VEINS
38.64OTHER EXCISION OF AORTA, ABDOMINAL
38.66OTHER EXCISION OF ABDOMINAL ARTERIES
38.67OTHER EXCISION OF ABDOMINAL VEINS
38.84OTHER SURGICAL OCCLUSION OF AORTA, ABDOMINAL
38.86OTHER SURGICAL OCCLUSION OF ABDOMINAL ARTERIES
38.87OTHER SURGICAL OCCLUSION OF ABDOMINAL VEINS
39.1INTRA-ABDOMINAL VENOUS SHUNT
39.24AORTA-RENAL BYPASS
39.25AORTA-ILIAC-FEMORAL BYPASS
39.26OTHER INTRA-ABDOMINAL VASCULAR SHUNT OR BYPASS
40.52RADICAL EXCISION OF PERIAORTIC LYMPH NODES
40.53RADICAL EXCISION OF ILIAC LYMPH NODES
41.2SPLENOTOMY
41.33OPEN BIOPSY OF SPLEEN
41.41MARSUPIALIZATION OF SPLENIC CYST
41.42EXCISION OF LESION OR TISSUE OF SPLEEN
41.43PARTIAL SPLENECTOMY
41.5TOTAL SPLENECTOMY
41.93EXCISION OF ACCESSORY SPLEEN
41.94TRANSPLANTATION OF SPLEEN
41.95REPAIR AND PLASTIC OPERATIONS ON SPLEEN
41.99OTHER OPERATIONS ON SPLEEN
42.40ESOPHAGECTOMY, NOS
42.41PARTIAL ESOPHAGECTOMY
42.42TOTAL ESOPHAGECTOMY
42.53INTRATHORACIC ESOPHAGEAL ANASTOMOSIS WITH INTERPOSITION OF SMALL BOWEL
42.54OTHER INTRATHORACIC ESOPHAGOENTEROSTOMY
42.55INTRATHORACIC ESOPHAGEAL ANASTOMOSIS WITH INTERPOSITION OF COLON
42.56OTHER INTRATHORACIC ESOPHAGOCOLOSTOMY
42.63ANTESTERNAL ESOPHAGEAL ANASTOMOSIS WITH INTERPOSITION OF SMALL BOWEL
42.64OTHER ANTESTERNAL ESOPHAGOENTEROSTOMY
42.65ANTESTERNAL ESOPHAGEAL ANASTOMOSIS WITH INTERPOSITION OF COLON
42.66OTHER ANTESTERNAL ESOPHAGOCOLOSTOMY
42.91LIGATION OF ESOPHAGEAL VARICES
43.0GASTROSTOMY
43.19OTHER GASTROSTOMY
43.3PYLOROMYOTOMY
43.42LOCAL EXCISION OF OTHER LESION OR TISSUE OF STOMACH
43.49OTHER DESTRUCTION OF LESION OR TISSUE OF STOMACH
43.5PARTIAL GASTRECTOMY WITH ANASTOMOSIS TO ESOPHAGUS
43.6PARTIAL GASTRECTOMY WITH ANASTOMOSIS TO DUODENUM
43.7PARTIAL GASTRECTOMY WITH ANASTOMOSIS TO JEJUNUM
43.81PARTIAL GASTRECTOMY WITH JEJUNA TRANSPOSITION
43.89OTHER PARTIAL GASTRECTOMY
43.91TOTAL GASTRECTOMY WITH INTESTINAL INTERPOSITION
43.99OTHER TOTAL GASTRECTOMY
44.00VAGOTOMY, NOS
44.01TRUNCAL VAGOTOMY
44.02HIGHLY SELECTIVE VAGOTOMY
44.03OTHER SELECTIVE VAGOTOMY
44.11TRANSABDOMINAL GASTROSCOPY
44.15OPEN BIOPSY OF STOMACH
44.21DILATION OF PYLORUS BY INCISION
44.29OTHER PYLOROPLASTY
44.31HIGH GASTRIC BYPASS
44.39OTHER GASTROENTEROSTOMY
44.40SUTURE OF PEPTIC ULCER, NOS
44.41SUTURE OF GASTRIC ULCER SITE
44.42SUTURE OF DUODENAL ULCER SITE
44.5REVISION OF GASTRIC ANASTOMOSIS
44.61SUTURE OF LACERATION OF STOMACH
44.63CLOSURE OF OTHER GASTRIC FISTULA
44.64GASTROPEXY
44.65ESOPHAGOGASTROPLASTY
44.66OTHER PROCEDURES FOR CREATION OF ESOPHAGOGASTRIC SPHINCTERIC COMPETENCE
44.69OTHER REPAIR OF STOMACH
44.91LIGATION OF GASTRIC VARICES
44.92INTRAOPERATIVE MANIPULATION OF STOMACH
45.00INCISION OF INTESTINE, NOS
45.01INCISION OF DUODENUM
45.02OTHER INCISION OF SMALL INTESTINE
45.03INCISION OF LARGE INTESTINE
45.31OTHER LOCAL EXCISION OF LESION OF DUODENUM
45.32OTHER DESTRUCTION OF LESION OF DUODENUM
45.33LOCAL EXCISION OF LESION OR TISSUE OF SMALL INTESTINE, EXCEPT DUODENUM
45.34OTHER DESTRUCTION OF LESION OF SMALL INTESTINE, EXCEPT DUODENUM
45.41EXCISION OF LESION OR TISSUE OF LARGE INTESTINE
45.49OTHER DESTRUCTION OF LESION OF LARGE INTESTINE
45.50ISOLATION OF INTESTINAL SEGMENT, NOS
45.51ISOLATION OF SEGMENT OF SMALL INTESTINE
45.52ISOLATION OF SEGMENT OF LARGE INTESTINE
45.61MULTIPLE SEGMENTAL RESECTION OF SMALL INTESTINE
45.62OTHER PARTIAL RESECTION OF SMALL INTESTINE
45.63TOTAL REMOVAL OF SMALL INTESTINE
45.71MULTIPLE SEGMENTAL RESECTION OF LARGE INTESTINE
45.72CESECTOMY
45.73RIGHT HEMICOLECTOMY
45.74RESECTION OF TRANSVERSE COLON
45.75LEFT HEMICOLECTOMY
45.76SIGMOIDECTOMY
45.79OTHER PARTIAL EXCISION OF LARGE INTESTINE
45.8TOTAL INTRA-ABDOMINAL COLECTOMY
45.90INTESTINAL ANASTOMOSIS, NOS
45.91SMALL-TO-SMALL INTESTINAL ANASTOMOSIS
45.92ANASTOMOSIS OF SMALL INTESTINE TO RECTAL STUMP
45.93OTHER SMALL-TO-LARGE INTESTINAL ANASTOMOSIS
45.94LARGE-TO-LARGE INTESTINAL ANASTOMOSIS
45.95ANASTOMOSIS TO ANUS
46.01EXTERIORIZATION OF SMALL INTESTINE
46.03EXTERIORIZATION OF LARGE INTESTINE
46.10COLOSTOMY, NOS
46.11TEMPORARY COLOSTOMY
46.13PERMANENT COLOSTOMY
46.20ILEOSTOMY, NOS
46.21TEMPORARY ILESOSTOMY
46.22CONTINENT ILEOSTOMY
46.23OTHER PERMANENT ILEOSTOMY
46.40REVISION OF INTESTINA STOMA, NOS
46.41REVISION OF STOMA OF SMALL INTESTINE
46.42REPAIR OF PERICOLOSTOMY HERNIA
46.43OTHER REVISION OF STOMA OF LARGE INTESTINE
46.50CLOSURE OF INTESTINAL STOMA, NOS
46.51CLOSURE OF STOMA OF SMALL INTESTINE
46.52CLOSURE OF STOMA OF LARGE INTESTINE
46.60FIXATION OF INTESTINE, NOS
46.61FIXATION OF SMALL INTESTINE TO ABDOMINAL WALL
46.62OTHER FIXATION OF SMALL INTESTINE
46.63FIXATION OF LARGE INTESTINE TO ABDOMINAL WALL
46.64OTHER FIXATION OF LARGE INTESTINE
46.72CLOSURE OF FISTULA OF DUODENUM
46.74CLOSURE OF FISTULA OF SMALL INTESTINE, EXCEPT DUODENUM
46.76CLOSURE OF FISTULA OF LARGE INTESTINE
46.80INTRA-ABDOMINAL MANIPULATION OF INTESTINE, NOS
46.81INTRA-ABDOMINAL MANIPULATION OF SMALL INTESTINE
46.82INTRA-ABDOMINAL MANIPULATION OF LARGE INTESTINE
46.91MYOTOMY OF SIGMOID COLON
46.92MYOTOMY OF OTHER PARTS OF COLON
46.93REVISION OF ANASTOMOSIS OF SMALL INTESTINE
46.94REVISION OF ANASTOMOSIS OF LARGE INTESTINE
46.99OTHER OPERATIONS ON INTESTINES
47.09OTHER APPENDECTOMY
47.19OTHER INCIDENTAL APPENDECTOMY
47.2DRAINAGE OF APPENDICEAL ABSCESS
47.91APPENDECTOMY
47.92CLOSURE OF APPENDICEAL FISTULA
47.99OTHER OPERATION APPENDIX
48.41SUBMUCOSAL RESECTION OF RECTUM
48.49OTHER PULL-THROUGH RESECTION OF RECTUM
48.5ABDOMINOPERINEAL RESECTION OF RECTUM
48.75ABDOMINAL PROCTOPEXY
50.0HEPATOTOMY
50.12OPEN BIOPSY OF LIVER
50.21MARSUPIALIZATION OF LESION OF LIVER
50.22PARTIAL HEPATECTOMY
50.29OTHER DESTRUCTION OF LESION OF LIVER
50.3LOBECTOMY OF LIVER
50.4TOTAL HEPATECTOMY
50.51AUXILIARY LIVER TRANSPLANT
50.59OTHER TRANSPLANT OF LIVER
50.69OTHER REPAIR OF LIVER
51.03OTHER CHOLECYSTOSTOMY
51.04OTHER CHOLECYSTOTOMY
51.13OPEN BIOPSY OF GALLBLADDER OR BILE DUCTS
51.21OTHER PARTIAL CHOLECYSTECTOMY
51.22CHOLECYSTECTOMY
51.31ANASTOMOSIS OF GALLBLADDER TO HEPATIC DUCTS
51.32ANASTOMOSIS OF GALLBLADDER TO INTESTINE
51.33ANASTOMOSIS OF GALLBLADDER TO PANCREAS
51.34ANASTOMOSIS OF GALLBLADDER TO STOMACH
51.35OTHER GALLBLADDER ANASTOMOSIS
51.36CHOLEDOCHOENTEROSTOMY
51.37ANASTOMOSIS OF HEPATIC DUCT TO GASTROINTESTINAL TRACT
51.39OTHER BILE DUCT ANASTOMOSIS
51.41COMMON DUCT EXPLORATION FOR REMOVAL OF CALCULUS
51.42COMMON DUCT EXPLORATION FOR RELIEF OF OTHER OBSTRUCTION
51.43INSERTION OF CHOLEDOCHOHEPATIC TUBE FOR DECOMPRESSION
51.49INCISION OF OTHER BILE DUCTS FOR RELIEF OF OBSTRUCTION
51.51EXPLORATION OF COMMON DUCT
51.59INCISION OF OTHER BILE DUCT
51.61EXCISION OF CYSTIC DUCT REMNANT
51.62EXCISION OF AMPULLA OF VATER WITH REIMPLANTATION OF COMMON DUCT
51.63OTHER EXCISION OF COMMON DUCT
51.69EXCISION OF OTHER BILE DUCT
51.71SIMPLE SUTURE OF COMMON BILE DUCT
51.72CHOLEDOCHOPLASTY
51.79REPAIR OF OTHER BILE DUCTS
51.81DILATION OF SPHINCTER OF ODDI
51.82PANCREATIC SPHINCTEROTOMY
51.83PANCREATIC SPHINCTEROPLASTY
51.89OTHER OPERATIONS ON SPHINCTER OF ODDI
51.92CLOSURE OF CHOLECYSTOSTOMY
51.93CLOSURE OF OTHER BILIARY FISTULA
51.94REVISION OF ANASTOMOSIS OF BILIARY TRACT
51.95REMOVAL OF PROSTHETIC DEVICE FROM BILE DUCT
51.99OTHER OPERATIONS ON BILIARY TRACT
52.01DRAINAGE OF PANCREATIC CYST BY CATHETER
52.09OTHER PANCREATOTOMY
52.12OPEN BIOPSY OF PANCREAS
52.22OTHER EXCISION OR DESTRUCTION OF LESION OR TISSUE OF PANCREAS OR PANCREATIC DUCT
52.3MARSUPIALIZATION OF PANCREATIC CYST
52.4INTERNAL DRAINAGE OF PANCREATIC CYST
52.51PROXIMAL PANCREATECTOMY
52.52DISTAL PANCREATECTOMY
52.53RADIAL SUBTOTAL PANCREATECTOMY
52.59OTHER PARTIAL PANCREATECTOMY
52.6TOTAL PANCREATECTOMY
52.7RADICAL PANCREATICODUODENECTOMY
52.80PANCREATIC TRANSPLANT, NOS
52.81REIMPLANTATION
52.82HOMOTRANSPLANT OF PANCREAS
52.83HETEROTRANSPLANT OF PANCREAS
52.92CANNULATION OF PANCREATIC DUCT
52.95OTHER REPAIR OF PANCREAS
52.96ANASTOMOSIS OF PANCREAS
52.99OTHER OPERATIONS ON PANCREAS
53.00UNILATERAL REPAIR OF INGUINAL HERNIA, NOS
53.01REPAIR OF DIRECT INGUINAL HERNIA
53.02REPAIR OF INDIRECT INGUINAL HERNIA
53.03AIR OF DIRECT INGUINAL HERNIA
53.04REPAIR OF INDIRECT INGUINAL HERNIA WITH GRAFT OR PROSTHESIS
53.05REPAIR OF INGUINAL HERNIA WITH GRAFT OR PROSTHESIS, NOS
53.10BILATERAL REPAIR OF INGUINAL HERNIA, NOS
53.11BILATERAL REPAIR OF DIRECT INGUINAL HERNIA
53.12BILATERAL REPAIR OF INDIRECT INGUINAL HERNIA
53.13BILATERAL REPAIR OF INGUINAL HERNIA, ONE DIRECT AND ONE INDIRECT
53.14BILATERAL REPAIR OF DIRECT INGUINAL HERNIA WITH GRAFT OR PROSTHESIS
53.15BILATERAL REPAIR OF INDIRECT INGUINAL HERNIA WITH GRAFT OR PROSTHESIS
53.16BILATERAL REPAIR OF INGUINAL HERNIA, ONE DIRECT AND ONE INDIRECT, WITH GRAFT OR PROSTHESIS
53.17BILATERAL INGUINAL HERNIA REPAIR WITH GRAFT OR PROSTHESIS, NOS
53.21UNILATERAL REPAIR OF FEMORAL HERNIA
53.29OTHER UNILATERAL FEMORAL HERNIORRHAPHY
53.31BILATERAL REPAIR OF FEMORAL HERNIA WITH GRAFT OR PROSTHESIS
53.39OTHER BILATERAL FEMORAL HERNIORRHAPHY
53.41REPAIR OF UMBILICAL HERNIA WITH PROSTHESIS
53.49OTHER UMBILICAL HERNIORRHAPHY
53.51INCISIONAL HERNIA REPAIR
53.59REPAIR OF OTHER HERNIA OF ANTERIOR ABDOMINAL WALL
53.61INCISIONAL HERNIA REPAIR WITH PROSTHESIS
53.69REPAIR OF OTHER HERNIA OF ANTERIOR ABDOMINAL WALL WITH PROSTHESIS
53.7REPAIR OF DIAPHRAGMATIC HERNIA, ABDOMINAL APPROACH
54.0INCISION OF ABDOMINAL WALL
54.11EXPLORATORY LAPAROTOMY
54.19OTHER LAPAROTOMY
54.22BIOPSY OF ABDOMINAL WALL OR UMBILICUS
54.23BIOPSY OF PERITONEUM
54.3EXCISION OR DESTRUCTION OF LESION OR TISSUE OF ABDOMINAL WALL OR UMBILICUS
54.4EXCISION OR DESTRUCTION OF PERITONEAL TISSUE
54.59OTHER LYSIS OF PERITONEAL ADHESIONS
54.63OTHER SUTURE OF ABDOMINAL WALL
54.64SUTURE OF PERITONEUM
54.71REPAIR OF GASTROSCHISIS
54.72OTHER REPAIR OF ABDOMINAL WALLS
54.73OTHER REPAIR OF PERITONEUM
54.74OTHER REPAIR OF OMENTUM
54.75OTHER REPAIR OF MESENTERY
54.92REMOVAL OF FOREIGN BODY FROM PERITONEAL CAVITY
54.93CREATION OF CUTANEOPERITONEAL FISTULA
54.94CREATION OF PERITONEOVASCULAR SHUNT
54.95INCISION OF PERITONEUM
55.51NEPHROURETERECTOMY
55.52NEPHRECTOMY OF REMAINING KIDNEY
55.53REMOVAL OF TRANSPLANTED OR REJECTED KIDNEY
55.54BILATERAL NEPHRECTOMY
55.61RENAL AUTOTRANSPLANTATION
55.69ULCERATIVE COLITIS, UNSPECIFIED
55.7NEPHROPEXY
55.83CLOSURE OF OTHER FISTULA OF KIDNEY
55.84REDUCTION OF TORSION OF RENAL
55.85SYMPHYSIOTOMY FOR HORESHOE KIDNEY
55.86ANASTOMOSIS OF KIDNEY
55.87CORRECTION OF URETEROPELVIC JUNCTION
55.91DECAPSULATION OF KIDNEY
55.97IMPLANTATION OR REPLACEMENT OF MECHANICAL KIDNEY
55.98REMOVAL OF MECHANICAL KIDNEY
56.51FORMATION OF CUTANEOUS URETERO-ILEOSTOMY
56.52REVISION OF CUTANEOUS URETERO-ILEOSTOMY
56.61FORMATION OF OTHER CUTANEOUS URETEROSTOMY
56.62REVISION OF OTHER CUTANEOUS URETEROSTOMY
56.71URINARY DIVERSION TO INTESTINE
56.72REVISION OF URETEROINTESTINAL ANASTOMOSIS
56.73NEPHROCYSTANASTOMOSIS, NOS
56.74URETERONEOXYSTOSTOMY
56.75TRANSURETEROURETEROSTOMY
56.83CLOSURE OF URETEROSTOMY
56.84CLOSURE OF OTHER FISTULA OF URETER
56.85URETEROPEXY
56.86REMOVAL OF LIGATURE FROM URETER
56.89OTHER REPAIR OF URETER
56.95LIGATION OF URETER
57.71RADICAL CYSTECTOMY
57.79OTHER TOTAL CYSTECTOMY
57.82CLOSURE OF CYSTOSTOMY
57.87RECONSTRUCTION OF URINARY BLADDER
59.00RETROPERITONEAL DISSECTION, NOS
59.02OTHER LYSIS OF PERIRENAL OR PERIURETERAL ADHESIONS
59.09OTHER INCISION OF PERIRENAL OR PERIURETERAL TISSUE
60.12OPEN BIOPSY OF PROSTATE
60.14OPEN BIOPSY OF SEMINAL VESICLES
60.15BIOPSY OF PERIPROSTATIC TISSUE
60.3SUPRAPUBIC PROSTATECTOMY
60.4RETROPUBIC PROSTATECTOMY
60.5RADICAL PROSTATECTOMY
60.61LOCAL EXCISION OF LESION OF PROSTATE
60.72INCISION OF SEMINAL VESICLE
60.73EXCISION OF SEMINAL VESICLE
60.79OTHER OPERATIONS ON SEMINAL VESICLES
60.93REPAIR OF PROSTATE
65.09OTHER OOPHORECTOMY
65.12OTHER BIOPSY OF OVARY
65.21MARSUPIALIZATION OF OVARIAN CYST
65.22WEDGE RESECTION OF OVARY
65.29OTHER LOCAL EXCISION OR DESTRUCTION OF OVARY
65.39OTHER UNLILATERAL OOPHORECTOMY
65.49OTHER UNILATERAL SALPINGOOPHORECTOMY
65.51OTHER REMOVAL OF BOTH OVARIES AT SAME OPERATIVE EPISODE
65.52OTHER REMOVAL OF REMAINING OVARY
65.61OTHER REMOVAL OF BOTH OVARIES AND TUBES AT SAME OPERATIVE EPISODE
65.62OTHER REMOVAL OF REMAINING OVARY AND TUBE
65.71OTHER SIMPLE SUTURE OF OVARY
65.72OTHER REIMPLANTATION OF OVARY
65.73OTHER SALPINGO OOPHOROPLASTY
65.79OTHER REPAIR OF OVARY
65.89OTHER LYSIS OF ADHESIONS OF OVARY AND FALLOPIAN TUBE
65.92TRANSPLANTATION OF OVARY
65.93MANUAL RUPTURE OF OVARIAN CYST
65.94OVARIAN DENERVATION
65.95RELEASE OF TORSION OF OVARY
65.99OTHER OPERATIONS ON OVARY
66.01SALPINGOTOMY
66.02SALPINGOSTOMY
66.31OTHER BILATERAL LIGATION AND CRUSHING OF FALLOPIAN TUBES
66.32OTHER BILATERAL LIGATION AND DIVISION OF FALLOPIAN TUBES
66.39OTHER BILATERAL DESTRUCTION OR OCCLUSION OF FALLOPIAN TUBES
66.4TOTAL UNILATERAL SALPINGECTOMY
66.51REMOVAL OF BOTH FALLOPIAN TUBES AT SAME OPERATIVE EPISODE
66.52REMOVAL OF REMAINING FALLOPIAN TUBE
66.61EXCISION OR DESTRUCTION OF LESION OF FALLOPIAN TUBE
66.62SALPINGECTOMY WITH REMOVAL OF TUBAL PREGNANCY
66.63BILATERAL PARTIAL SALPINGECTOMY, NOS
66.69OTHER PARTIAL SALPINGECTOMY
66.71SIMPLE SUTURE OF FALLOPIAN TUBE
66.72SALPINGO-OOPHOROSTOMY
66.73SALPINGO-SALPINGOSTOMY
66.74SALPINGO-UTEROSTOMY
66.79OTHER REPAIR OF FALLOPIAN TUBE
66.92UNILATERAL DESTRUCTION OR OCCLUSION OF FALLOPIAN TUBE
66.97BURYING OF FIMBRIAE IN UTERINE WALL
68.0OTHER INCISION AND EXCISION OF UTERUS
68.13OPEN BIOPSY OF UTERUS
68.14OPEN BIOPSY OF UTERINE LIGAMENTS
68.3SUBTOTAL ABDOMINAL HYSTERECTOMY
68.4TOTAL ABDOMINAL HYSTERECTOMY
68.6RADICAL ABDOMINAL HYSTERECTOMY
68.8PELVIC EVISCERATION
69.22OTHER UTERINE SUSPENSION
69.3PARACERVICAL UTERINE DENERVATION
69.41SUTURE OF LACERATION OF UTERUS
69.42CLOSURE OF FISTULA OF UTERUS
69.49OTHER REPAIR OF UTERUS
Active drug dependence
ICD-9-CM diagnosis codes:
304.00OPIOID TYPE DEPENDENCE-UNSPECIFIED
304.01OPIOID TYPE DEPENDENCE-CONTINUOUS
304.02OPIOID TYPE DEPENDENCE-EPISODIC
304.10BARBITURATE AND SIMILARLY ACTING SEDATIVE OR HYPNOTIC DEPENDENCE - UNSPECIFIED
304.11BARBITURATE AND SIMILARLY ACTING SEDATIVE OR HYPNOTIC DEPENDENCE - CONTINUOUS
304.12BARBITURATE AND SIMILARLY ACTING SEDATIVE OR HYPNOTIC DEPENDENCE, - EPISODIC
304.20COCAINE DEPENDENCE-UNSPECIFIED
304.21COCAINE DEPENDENCE-CONTINUOUS
304.22COCAINE DEPENDENCE-EPISODIC
304.30CANNABIS DEPENDENCE UNSPECIFIED
304.31CANNABIS DEPENDENCE CONTINUOUS
304.32CANNABIS DEPENDENCE EPISODIC
304.40AMPHETAMINE AND OTHER PSYCHO STIMULANT DEPENDENCE-UNSPECIFIED
304.41AMPHETAMINE AND OTHER PSYCHO STIMULANT DEPENDENCE-CONTINUOUS
304.42AMPHETAMINE AND OTHER PSYCHO STIMULANT DEPENDENCE-EPISODIC
304.50HALLUCINOGEN DEPENDENCE UNSPECIFIED
304.51HALLUCINOGEN DEPENDENCE-CONTINUOUS
304.52HALLUCINOGEN DEPENDENCE - EPISODIC
304.60OTHER SPECIFIED DRUG DEPENDENCE - UNSPECIFIED
304.61OTHER SPECIFIED DRUG DEPENDENCE - CONTINUOUS
304.62OTHER SPECIFIED DRUG DEPENDENCE - EPISODIC
304.70COMBINATIONS OF OPIOID TYPE DRUG WITH ANY OTHER - UNSPECIFIED
304.71COMBINATIONS OF OPIOID TYPE DRUG WITH ANY OTHER - CONTINUOUS
304.72COMBINATIONS OF OPIOID TYPE DRUG WITH ANY OTHER - EPISODIC
304.80COMBINATIONS OF DRUG EXCLUDING OPIOID TYPE DRUG - UNSPECIFIED
304.81COMBINATIONS OF DRUG EXCLUDING OPIOID TYPE DRUG - CONTINUOUS
304.82COMBINATIONS OF DRUG EXCLUDING OPIOID TYPE DRUG - EPISODIC
304.90UNSPECIFIED DRUG DEPENDENCE - UNSPECIFIED
304.91UNSPECIFIED DRUG DEPENDENCE - CONTINUOUS
304.92UNSPECIFIED DRUG DEPENDENCE - EPISODIC
Active nondependent abuse of drugs
ICD-9-CM diagnosis codes:
305.00ALCOHOL ABUSE-UNSPECIFIED
305.01ALCOHOL ABUSE-CONTINUOUS
305.02ALCOHOL ABUSE-EPISODIC
305.10TOBACCO USE DISORDER-UNSPECIFIED
305.11TOBACCO USE DISORDER - CONTINUOUS
305.12TOBACCO USE DISORDER -EPISODIC
305.20CANNABIS ABUSE-UNSPECIFIED
305.21CANNABIS ABUSE-CONTINUOUS
305.22CANNABIS ABUSE-EPISODIC
305.30HALLUCINOGEN ABUSE- UNSPECIFIED
305.31HALLUCINOGEN ABUSE-CONTINUOUS
305.32HALLUCINOGEN ABUSE- EPISODIC
305.40BARBITURATE AND SIMILARLY ACTING SEDATIVE OR HYPNOTIC ABUSE-UNSPECIFIED
305.41BARBITURATE AND SIMILARLY ACTING SEDATIVE OR HYPNOTIC ABUSE-CONTINUOUS
305.42BARBITURATE AND SIMILARLY ACTING SEDATIVE OR HYPNOTIC ABUSE-EPISODIC
305.50OPIOID ABUSE-UNSPECIFIED
305.51OPIOD ABUSE-CONTINUOUS
305.52OPIOID ABUSE-EPISODIC
305.60COCAINE ABUSE-UNSPECIFIED
305.61COCAINE ABUSE-CONTINUOUS
305.62COCAINE ABUSE-EPISODIC
305.70AMPHETAMINE OR RELATED ACTING SYMPATHOMIMETIC ABUSE-UNSPECIFIED
305.71AMPHETAMINE OR RELATED ACTING SYMPATHOMIMETIC ABUSE-CONTINUOUS
305.72AMPHETAMINE OR RELATED ACTING SYMPATHOMIMETIC ABUSE - EPISODIC
305.80ANTIDEPRESSANT TYPE ABUSE-UNSPECIFIED
305.81ANTIDEPRESSANT TYPE ABUSE-CONTINUOUS
305.82ANTIDEPRESSANT TYPE ABUSE-EPISODIC
305.90OTHER, MIXED, OR UNSPECIFIED DRUG ABUSE-UNSPECIFIED
305.91OTHER, MIXED, OR UNSPECIFIED DRUG ABUSE- CONTINUOUS
305.92OTHER, MIXED, OR UNSPECIFIED DRUG ABUSE- EPISODIC
Acute myocardial infarction
ICD-9-CM diagnosis codes:
410.00AMI OF ANTEROLATERAL WALL - EPISODE OF CARE UNSPECIFIED
410.01AMI OF ANTEROLATERAL WALL - INITIAL EPISODE OF CARE
410.10AMI OF OTHER ANTERIOR WALL - EPISODE OF CARE UNSPECIFIED
410.11AMI OF OTHER ANTERIOR WALL - INITIAL EPISODE OF CARE
410.20AMI OF INFEROLATERAL WALL - EPISODE OF CARE UNSPECIFIED
410.21AMI OF INFEROLATERAL WALL - INITIAL EPISODE OF CARE
410.30AMI OF INFEROPOSTERIOR WALL - EPISODE OF CARE UNSPECIFIED
410.31AMI OF INFEROPOSTERIOR WALL - INITIAL EPISODE OF CARE
410.40AMI OF INFERIOR WALL - EPISODE OF CARE UNSPECIFIED
410.41AMI OF INFERIOR WALL - INITIAL EPISODE OF CARE
410.50AMI OF OTHER LATERAL WALL - EPISODE OF CARE UNSPECIFIED
410.51AMI OF OTHER LATERAL WALL - INITIAL EPISODE OF CARE
410.60AMI TRUE POSTERIOR WALL INFARCTION - EPISODE OF CARE UNSPECIFIED
410.61AMI TRUE POSTERIOR WALL INFARCTION - INITIAL EPISODE OF CARE
410.70AMI SUBENDOCARDIAL INFARCTION - EPISODE OF CARE UNSPECIFIED
410.71AMI SUBENDOCARDIAL INFARCTION - INITIAL EPISODE OF CARE
410.80AMI OF OTHER SPECIFIED SITES - EPISODE OF CARE UNSPECIFIED
410.81AMI OF OTHER SPECIFIED SITES - INITIAL EPISODE OF CARE
410.90AMI UNSPECIFIED SITE - EPISODE OF CARE UNSPECIFIED
410.91AMI UNSPECIFIED SITE - INITIAL EPISODE OF CARE
Anesthesia complications
ICD-9-CM diagnosis codes:
E876.3OTHER AND UNSPECIFIED MISADVENTURES DURING MEDICAL CARE, ENDOTRACHEAL TUBE WRONGLY PLACED DURING ANESTHETIC PROCEDURE
E855.1OTHER NERVOUS SYSTEM DEPRESSANTS
OTHER CENTRAL NERVOUS SYSTEM DEPRESSANTS AND ANESTHETICS:
E938.1HALOTHANE
E938.2OTHER GASEOUS ANESTHETICS
E938.3INTRAVENOUS ANESTHETICS
E938.4OTHER AND UNSPECIFIED GENERAL\ANESTHETICS
E938.5SURFACE AND INFILTRATION ANESTHETICS
E938.6PERIPHERAL NERVE AND PLEXUS BLOCKING ANESTHETICS
E938.7SPINAL ANESTHETICS
E938.9OTHER AND UNSPECIFIED LOCAL ANESTHETICS
POISONING BY OTHER CENTRAL NERVOUS SYSTEM DEPRESSANTS AND ANESTHETICS:
968.1HALOTHANE
968.2OTHER GASEOUS ANESTHETICS
968.3INTRAVENEOUS ANESTHETICS
968.4OTHER AND UNSPECIFIED GENERAL ANESTHETICS
968.7SPINAL ANESTHETICS
Anoxic brain injury
ICD-9-CM diagnosis codes:
348.1ANOXIC BRAIN DAMAGE
Birth trauma
ICD-9-CM diagnosis codes:
767.0 SUBDURAL AND CEREBRAL HEMORRHAGE (DUE TO TRAUMA OR TO INTRAPARTUM ANOXIA OR HYPOXIA)
767.3INJURIES TO SKELETON (EXCLUDES CLAVICLE)
767.4INJURY TO SPINE AND SPINAL CORD
767.7OTHER CRANIAL AND PERIPHERAL NERVE INJURIES
767.8OTHER SPECIFIED BIRTH TRAUMA
767.9BIRTH TRAUMA, UNSPECIFIED
Bone malignancy
ICD-9-CM diagnosis codes (all 4th and 5th digits) :
170MALIGNANT NEOPLASM OF BONE AND ARTICULAR CARTILAGE
Cancer
ICD-9-CM diagnosis codes( all 4th and 5th digits):
140MALIGNANT NEOPLASM OF LIP
141MALIGNANT NEOPLASM OF TONGUE
142MALIGNANT NEOPLASM OF MAJORITY SALIVARY GLANDS
143MALIGNANT NEOPLASM OF GUM
144MALIGNANT NEOPLASM OF FLOOR OF MOUTH
145MALIGNANT NEOPLASM OF OTHER AND UNSPECIFIED PARTS OF MOUTH
146MALIGNANT NEOPLASM OF OROPHARYNX
147MALIGNANT NEOPLASM OF NASOPHARYNX
148MALIGNANT NEOPLASM OF HYPOPHARYNX
149MALIGNANT NEOPLASM OF OTHER AND ILL-DEFINED SITES WITHIN THE LIP, ORAL CAVITY, AND PHARYNX
150MALIGNANT NEOPLASM OF ESOPHAGUS
151MALIGNANT NEOPLASM OF STOMACH
152MALIGNANT NEOPLASM OF SMALL INTESTINE, INCLUDING DUODENUM
153MALIGNANT NEOPLASM OF COLON
154MALIGNANT NEOPLASM OF RECTUM, RECTOSIGMOID JUNCTION, AND ANUS
155MALIGNANT NEOPLASM OF LIVER AND INTRAHEPATIC BILE DUCTS
156MALIGNANT NEOPLASM OF GALLBLADDER AND EXTRAHEPATIC BILE DUCTS
157MALIGNANT NEOPLASM OF PANCREAS
158MALIGNANT NEOPLASM OF RETROPERITONEUM AND PERITONEUM
159MALIGNANT NEOPLASM OF OTHER AND ILL-DEFINED SITES WITHIN THE DIGESTIVE ORGANS AND PERITONEUM
160MALIGNANT NEOPLASM OF NASAL CAVITIES, MIDDLE EAR, AND ACCESSORY SINUSES
161MALIGNANT NEOPLASM OF LARYNX
162MALIGNANT NEOPLASM OF TRACHEA, BRONCHUS, AND LUNG
163MALIGNANT NEOPLASM OF PLEURA
164MALIGNANT NEOPLASM OF THYMUS, HEART, AND MEDIASTINUM
165MALIGNANT NEOPLASM OF OTHER AND ILL-DEFINED SITES WITHIN THE RESPIRATORY SYSTEM AND INTRATHORACIC ORGANS
170MALIGNANT NEOPLASM OF BONE AND ARTICULAR CARTILAGE
171MALIGNANT NEOPLASM OF CONNECTIVE AND OTHER SOFT TISSUE
172MALIGNANT MELANOMA OF SKIN
174MALIGNANT NEOPLASM OF FEMALE BREAST
175MALIGNANT NEOPLASM OF MALE BREAST
176KARPOSI'S SARCOMA
179MALIGNANT NEOPLASM OF UTERUS, PART UNSPECIFIED
180MALIGNANT NEOPLASM OF CERVIX UTERI
181MALIGNANT NEOPLASM OF EYE
182MALIGNANT NEOPLASM OF BODY OF UTERUS
183MALIGNANT NEOPLASM OF OVARY AND OTHER UTERINE ADNEXA
184MALIGNANT NEOPLASM OF OTHER AND UNSPECIFIED FEMALE GENITAL ORGANS
185MALIGNANT NEOPLASM OF OTHER AND UNSPECIFIED FEMALE GENITAL ORGANS
186MALIGNANT NEOPLASM OF TESTIS
187MALIGNANT NEOPLASM OF PENIS AND OTHER MALE GENITAL ORGANS
188MALIGNANT NEOPLASM OF BLADDER
189MALIGNANT NEOPLASM OF KIDNEY AND OTHER AND UNSPECIFIED URINARY ORGANS
190MALIGNANT NEOPLASM OF EYE
191MALIGNANT NEOPLASM OF BRAIN
192MALIGNANT NEOPLASM OF OTHER AND UNSPECIFIED PARTS OF NERVOUS SYSTEM
193MALIGNANT NEOPLASM OF THYROID GLAND
194MALIGNANT NEOPLASM OF OTHER ENDOCRINE GLANDS AND RELATED STRUCTURES
195MALIGNANT NEOPLASM OF OTHER, AND ILL-DEFINED SITES
196SECONDARY AND UNSPECIFIED MALIGNANT NEOPLASM OF LYMPH NODES
197SECONDARY MALIGNANT NEOPLASM OF RESPIRATORY AND DIGESTIVE SYSTEMS
198SECONDARY MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES
199MALIGNANT NEOPLASM WITHOUT SPECIFICATION OF SITE
200LYMPHOSARCOMA AND RETICULOSARCOMA
201HODGKIN'S DISEASE
202OTHER MALIGNANT NEOPLASMS OF LYMPHOID AND HISTIOCYTIC TISSUES
203MULTIPLE MYELOMA AND IMMUNOPROLIFERATIVE NEOPLASMS
204LYMPHOID LEUKEMIA
205MYELOID LEUKEMIA
206MONOCYTIC LEUKEMIA
207OTHER SPECIFIED LEUKEMIA
208LEUKEMIA OF UNSPECIFIED CELL TYPE
238.6NEOPLASM OF UNCERTAIN BEHAVIOR OF OTHER AND UNSPECIFIED SITES AND TISSUES, PLASMA CELLS
273.3DISORDERS OF PLASMA PROTEIN METABOLISM-MACROGLOBULINEMIA
PERSONAL HISTORY OF MALIGNANT NEOPLASM:
V10.00GASTROINTESTINAL TRACT, UNSPECIFIED
V10.01TONGUE
V10.02OTHER AND UNSPECIFIED ORAL CAVITY AND PHARYNX
V10.03ESOPHAGUS
V10.04STOMACH
V10.05LARGE INTESTINE
V10.06RECTUM, RECTOSIGMOID JUNCTION, AND ANUS
V10.07LIVER
V10.09OTHER GASTROINTESTINAL TRACT
V10.11BRONCHUS AND LUNG
V10.12TRACHEA
V10.20RESPIRATORY ORGAN, UNSPECIFIED
V10.21LARYNX
V10.22NASAL CAVITIES, MIDDLE EAR, AND ACCESSORY SINUSES
V10.29OTHER RESPIRATORYAND INTRATHORACIC ORGANS
V10.3BREAST
V10.40FEMALE GENITAL ORGAN, UNSPECIFIED
V10.41CERVIX UTERI
V10.42OTHER PARTS OF UTERUS
V10.43OVARY
V10.44OTHER FEMALE GENITAL ORGANS
V10.45MALE GENITAL ORGAN, UNSPECIFIED
V10.46PROSTATE
V10.47TESTIS
V10.48EPIDIDYMIS
V10.49OTHER MALE GENITAL ORGANS
V10.50URINARY ORGAN, UNSPECIFIED
V10.51BLADDER
V10.52KIDNEY
V10.59OTHER URINARY ORGAN
V10.60LYMPHOSARCOMA AND RETICULOSARCOMA
V10.61HODGKINS DISEASE
V10.62MYELOID LEUKEMIA
V10.63MONOCYTIC LEUKEMIA
V10.69OTHER LEUKEMIA
V10.71LYMPHOSARCOMA AND RETICULOSARCOMA
V10.72HODGKINS DISEASE
V10.79OTHER LYMPHATIC AND HEMATOPOIETIC NEOPLASM
V10.81BONE
V10.82MALIGNANT MELANOMA OF SKIN
V10.83OTHER MALIGNANT NEOPLASM OF SKIN
V10.84EYE
V10.85BRAIN
V10.86OTHER PARTS OF NERVOUS SYSTEM
V10.87THYROID
V10.88OTHER ENDOCRINE GLANDS AND RELATED STRUCTURES
V10.89OTHER NEOPLASM
V10.9UNSPECIFIED PERSONAL HISTORY OF MALIGNANT NEOPLASM
Diagnostic Related Groups (DRGS)
010NERVOUS SYSTEM NEOPLASMS WITH CC
011NERVOUS SYSTEM NEOPLASMS WITHOUT CC
064EAR, NOSE, MOUTH AND THROAT MALIGNANCY
082RESPIRATORY NEOPLASMS
172DIGESTIVE MALIGNANCY WITH CC
173DIGESTIVE MALIGNANCY WITHOUT CC
199HEPATOBILIARY DIAGNOSTIC PROCEDURE FOR MALIGNANCY
203MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS
239PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY
257TOTAL MASTECTOMY FOR MALIGNANCY WITH CC
258TOTAL MASTECTOMY FOR MALIGNANCY WITHOUT CC
259SUBTOTAL MASTECTOMY FOR MALIGNANCY WITH CC
260SUBTOTAL MASTECTOMY FOR MALIGNANCY WITHOUT CC
274MALIGNANT BREAST DISORDERS WITH CC
275MALIGNANT BREAST DISORDERS WITHOUT CC
303KIDNEY, URETER AND MAJOR BLADDER PROCEDURES FOR NEOPLASM
318KIDNEY AND URINARY TRACT NEOPLSMS WITH CC
319KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC
338TESTES PROCEDURES FOR MALIGNANCY
344OTHER MALE REPRODUCTIVE SYSTEM OR PROCEDURES FOR MALIGNANCY
346MALIGNANCY OF MALE REPRODUCTIVE SYSTEM WITH CC
347MALIGNANCY OF MALE REPRODUCTIVE SYSTEM WITHOUT CC
354UTERINE AND ADNEXA PROCEDURES FOR NONOVARIAN/ADNEXAL MALIGNANCY WITH CC
355UTERINE AND ADNEXA PROCEDURES FOR NONOVARIAN/ADNEXAL MALIGNANCY WITHOUT CC
357UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY
363D AND C, CONIZATION AND RADIOIMPLANT FOR MALIGNANCY
367MALIGNANCY OF FEMALE REPRODUCTIVE SYSTEM WITHOUT CC
400LYMPHOMA AND LEUKEMIA WITH MAJOR OR PROCEDURES
401LYMPHOMA AND NONACUTE LEUKEMIA WITH OTHER OR PROCEDURE WITH CC
402LYMPHOMA AND NONACUTE LEUKEMIA WITH OTHER OR PROCEDURE WITHOUT CC
403LYMPHOMA AND NONACUTE LEUKEMIA WITH CC
404LYMPHOMA AND NONACUTE LEUKEMIA WITHOUT CC
405ACUTE LEUKEMIAWITHOUT MAJOR OR PROCEDURE, AGE 0–17
406MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR OR PROCEDURES WITH CC
407MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR OR PROCEDURE WITHOUT CC
408MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER OR PROCEDURES
409RADIOTHERAPY
410CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS
411HISTORY OF MALIGNANCY WITHOUT ENDOSCOPY
412HISTORY OF MALIGNANCY WITH ENDOSCOPY
413OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASM DIAGNOSES WITH CC
414OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASM DIAGNOSES WITHOUT CC
473ACUTE LEUKEMIA WITHOUT MAJOR OR PROCEDURE, AGE GREATER THAN 17
492CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS
Cardiac arrest
ICD-9-CM codes:
427.5CARDIAC ARREST
Cardiac arrhythmia
ICD-9-CM diagnosis codes:
426.0ATRIOVENTRICULAR BLOCK, COMPLETE
427.0PAROXYSMAL SUPRAVENTRICULAR TACHYCARDIA
427.1PAROXYSMAL VENTRICULAR TACHYCARDIA
427.2PAROXYSMAL TACHYCARDIA, UNSPECIFIED
427.31ATRIAL FIBRILLATION
427.32ATRIAL FLUTTER
427.41VENTRICULAR FIBRILLATION
427.42VENTRICULAR FLUTTER
427.9CARDIAC DYSRHYTHMIA
Diagnostic Related Groups (DRGs):
138CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC
139CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC
Cardiac surgery
Diagnostic Related Groups (DRGs):
103HEART TRANSPLANT
104CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION
105CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION
106CORONARY BYPASS WITH PTCA
107CORONARY BYPASS WITH CARDIAC CATHETERIZATION
108OTHER CARDIOTHORACIC PROCEDURES
109CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION
110MAJOR CARDIOVASCULAR PROCEDURES WITH CC
111MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC
Cesarean delivery
Diagnostic related groups (DRGs):
370CESAREAN SECTION WITH CC
371CESAREAN SECTION WITHOUT CC
Coma
ICD-9-CM diagnosis codes:
251.0OTHER DISORDERS OF PANCREATIC INTERNAL SECRETION, HYPOGLYCEMIC COMA
572.2LIVER ABSCESS AND SEQUELAE OF CHRONIC LIVER DISEASE, HEPATIC COMA
780.01GENERAL SYMPTOMS, ALTERATION OF CONSCIOUSNESS, COMA
250.20DIABETES WITH HYPEROSMOLARITY, TYPE 2 [NONINSULIN DEPENDENT TYPE][NIDDM TYPE][ADULT-ONSET] OR UNSPECIFIED TYPE, NOT STATED AS UNCONTROLLED
250.21DIABETES WITH HYPEROSMOLARITY, TYPE 1 [INSULIN DEPENDENT TYPE][NIDDM-TYPE] [JUVENILE TYPE], NOT STATED AS UNCONTROLLED
250.22DIABETES WITH HYPEROSMOLARITY, TYPE 2
250.23DIABETES MELLITUS, DIABETES WITH HYPEROSMOLARITY, TYPE 1 [INSULIN DEPENDENT TYPE][NIDMM-TYPE][JUVENILE TYPE] UNCONTROLLED
250.30DIABETES WITH OTHER COMA, TYPE 2 NOT STATED AS UNCONTROLLED
250.31DIABETES WITH OTHER COMA, TYPE 1 NOT STATED AS UNCONTROLLED
250.32DIABETES MELLITUS, DIABETES WITH OTHER COMA, TYPE 2 UNCONTROLLED
250.33DIABETES MELLITUS, DIABETES WITH OTHER COMA, TYPE 1 UNCONTROLLED
780.03GENERAL SYMPTOMS, ALTERATION OF CONSCIOUSNESS PERSISTENT VEGETATIVE STATE
Control of postoperative hemorrhage
ICD-9-CM procedure codes:
28.7CONTROL OF HEMORRHAGE AFTER TONSILLECTOMY AND ADENOIDECTOMY
38.80OTHER SURGICAL OCCLUSION OF UNSPECIFIED SITE
38.81OTHER SURGICAL OCCLUSION OF INTRACRANIAL VESSELS
38.82OTHER SURGICAL OCCLUSION OF OTHER VESSELS OF HEAD AND NECK
38.83OTHER SURGICAL OCCLUSION OF UPPER LIMB VESSELS
38.84OTHER SURGICAL OCCLUSION OF AORTA, ABDOMINAL
38.85OTHER SURGICAL OCCLUSION OF THORACIC VESSEL
38.86OTHER SURGICAL OCCLUSION OF ABDOMINAL ARTERIES
38.87OTHER SURGICAL OCCLUSION OF VESSELS ABDOMINAL VEINS
38.88OTHER SURGICAL OCCLUSION OF LOWER LIMB ARTERIES
38.89OTHER SURGICAL OCCLUSION OF LOWER LIMB VEINS
39.41CONTROL OF HEMORRHAGE AFTER TONSILLECTOMY AND ADENOIDECTOMY
39.98CONTROL OF HEMORRHAGE NOS
49.95CONTROL OF (POSTOPERATIVE) HEMORRHAGE OF ANUS
57.93CONTROL OF (POSTOPERATIVE) HEMORRHAGE OF BLADDER
60.94CONTROL OF (POSTOPERATIVE) HEMORRHAGE OF PROSTATE
Deep vein thrombosis
ICD-9-CM diagnosis codes:
451.11PHLEBITIS AND THROMBOSIS OF FEMORAL VEIN (DEEP) (SUPERFICIAL)
451.19PHLEBITIS AND THROMBOPHLEBITIS - OF DEEP VESSEL OF LOWER EXTREMITIES - OTHER
451.2PHLEBITIS AND THROMBOPHLEBITIS OF LOWER EXTREMITIES UNSPECIFIED
451.81PHLEBITIS AND THROMBOPHLEBITIS OF ILIAC VEIN
451.9PHLEBITIS AND THROMBOPHLEBITIS OF OTHER SITES - OF UNSPECIFIED SITE
453.8OTHER VENOUS EMBOLISM AND THROMBOSIS OF OTHER SPECIFIED VEINS
453.9OTHER VENOUS EMBOLISM AND THROMBOSIS OF UNSPECIFIED SITE
Delirium and other psychoses
ICD-9-CM diagnosis codes (includes all 4th and 5th digits)
290SENILE AND PRESENILE ORGANIC PSYCHOTIC CONDITIONS
291ALCOHOLIC PSYCHOSES
292DRUG PSYCHOSES
293TRANSIENT ORGANIC PSYCHOTIC CONDITIONS
294OTHER ORGANIC PSYCHOTIC CONDITIONS
295SCHIZOPHRENIC DISORDERS
296AFFECTIVE PSYCHOSES
297PARANOID STATES
298OTHER NONORGANIC PSYCHOSES
299PSYCHOSES WITH ORIGIN SPECIFIC TO CHILDHOOD
Diabetes
ICD-9-CM diagnosis codes:
250.0DIABETES MELLITUS WITHOUT MENTION OF COMPLICATION
250.1DIABETES WITH KETOACIDOSIS
250.2DIABETES WITH HYPEROSMOLARITY
250.3DIABETES WITH OTHER COMA
250.4DIABETES WITH RENAL MANIFESTATIONS
250.5DIABETES WITH OPHTHALMIC MANIFESTATIONS
250.6DIABETES WITH NEUROLOGICAL MANIFESTATIONS
250.7DIABETES WITH PERIPHERAL CIRCULATORY DISORDERS
250.8DIABETES WITH OTHER SPECIFIED MANIFESTATIONS
250.9DIABETES WITH OTHER UNSPECIFIED COMPLICATIONS
Drainage of hematoma
ICD-9-CM procedure codes:
18.09OTHER INCISION OF EXTERNAL EAR
54.0INCISION OF ABDOMINAL WALL
54.12REOPENING OF RECENT LAPAROTOMY SITE
59.19OTHER INCISION OF PERIVESICLE TISSUE
61.0INCISION AND DRAINAGE OF SCROTUM AND TUNICA VAGINALIS
69.98OTHER OPERATIONS ON SUPPORTING STRUCTURES OF UTERUS
70.14OTHER VAGINOTOMY
71.09OTHER INCISION OF VULVA AND PERINEUM
75.91EVACUATION OF OBSTETRICAL INCISIONAL HEMATOMA OF PERINEUM
75.92EVACUATION OF OTHER HEMATOMA OF VULVA OR VAGINA
86.04OTHER INCISION WITH DRAINAGE OF SKIN AND SUBCUTANEOUS TISSUE
Elective
ADMISSION TYPE IS RECORDED AS ELECTIVE (ATYPE = 3)
Foreign body left in during procedure
ICD-9-CM diagnosis codes:
998.4FOREIGN BODY ACCIDENTALLY LEFT DURING A PROCEDURE
998.7ACUTE REACTION TO FOREIGN SUBSTANCE ACCIDENTALLY LEFT DURING A PROCEDURE
FOREIGN BODY LEFT IN DURING:
E871.0SURGICAL OPERATION
E871.1INFUSION OR TRANSFUSION
E871.2KIDNEY DIALYSIS OR OTHER PERFUSION
E871.3INJECTION OR VACCINATION
E871.4ENDOSCOPIC EXAMINATION
E871.5ASPIRATION OF FLUID OR TISSUE, PUNCTURE, AND CATHETERIZATION
E871.6HEART CATHETERIZATION
E871.7REMOVAL OF CATHETER OR PACKING
E871.8OTHER SPECIFIED PROCEDURES
E871.9UNSPECIFIED PROCEDURE
Gastrointestinal (GI) hemorrhage
ICD-9-CM diagnosis codes:
456.0ESOPHAGEAL VARICES WITH BLEEDING
456.20ESOPHAGEAL VARICES IN DISEASES CLASSIFIED ELSEWHERE WITH BLEEDING
530.7GASTROESOPHAGEAL LACERATION-HEMORRHAGE SYNDROME
530.82ESOPHAGEAL HEMORRHAGE
531.00GASTRIC ULCER ACUTE WITH HEMORRHAGE - WITHOUT MENTION OF OBSTRUCTION
531.01GASTRIC ULCER ACUTE WITH HEMORRHAGE - WITH OBSTRUCTION
531.20GASTRIC ULCER ACUTE WITH HEMORRHAGE AND PERFORATION - WITHOUT MENTION OF OBSTRUCTION
531.21GASTRIC ULCER, ACUTE WITH HEMORRHAGE AND PERFORATION - WITH OBSTRUCTION
531.40GASTRIC ULCER CHRONIC OR UNSPECIFIED WITH HEMORRHAGE - WITHOUT MENTION OF OBSTRUCTION
531.41GASTRIC ULCER CHRONIC OR UNSPECIFIED WITH HEMORRHAGE - WITH OBSTRUCTION
531.60GASTRIC ULCER CHRONIC OR UNSPECIFIED WITH HEMORRHAGE AND PERFORATION - WITHOUT MENTION OF OBSTRUCTION
531.61GASTRIC ULCER CHRONIC OR UNSPECIFIED WITH HEMORRHAGE AND PERFORATION - WITH OBSTRUCTION
532.00DUODENAL ULCER ACUTE WITH HEMORRHAGE - WITHOUT MENTION OF OBSTRUCTION
532.01DUODENAL ULCER ACUTE WITH HEMORRHAGE - WITH OBSTRUCTION
532.20DUODENAL ULCER ACUTE WITH HEMORRHAGE AND PERFORATION - WITHOUT MENTION OF OBSTRUCTION
532.21DUODENAL ULCER ACUTE WITH HEMORRHAGE AND PERFORATION - WITH OBSTRUCTION
532.40DUODENAL ULCER CHRONIC OR UNSPECIFIED WITH HEMORRHAGE - WITHOUT MENTION OF OBSTRUCTION
532.41DUODENAL ULCER CHRONIC OR UNSPECIFIED WITH HEMORRHAGE - WITH OBSTRUCTION
532.60DUODENAL ULCER CHRONIC OR UNSPECIFIED WITH HEMORRHAGE AND PERFORATION - WITHOUT MENTION OF OBSTRUCTION
532.61DUODENAL ULCER CHRONIC OR UNSPECIFIED WITH HEMORRHAGE AND PERFORATION - WITH OBSTRUCTION
533.00PEPTIC ULCER, SITE UNSPECIFIED ACUTE WITH HEMORRHAGE - WITHOUT MENTION OF OBSTRUCTION
533.01PEPTIC ULCER, SITE UNSPECIFIED, ACUTE WITH HEMORRHAGE - WITH OBSTRUCTION
533.20PEPTIC ULCER, SITE UNSPECIFIED, ACUTE WITH HEMORRHAGE AND PERFORATION - WITHOUT MENTION OF OBSTRUCTION
533.21PEPTIC ULCER, SITE UNSPECIFIED, ACUTE WITH HEMORRHAGE AND PERFORATION - WITH OBSTRUCTION
533.40PEPTIC ULCER, SITE UNSPECIFIED CHRONIC OR UNSPECIFIED WITH HEMORRHAGE - WITHOUT MENTION OF OBSTRUCTION
533.41PEPTIC ULCER, SITE UNSPECIFIED, CHRONIC OR UNSPECIFIED WITH HEMORRHAGE - WITH OBSTRUCTION
533.60PEPTIC ULCER, SITE UNSPECIFIED, CHRONIC OR UNSPECIFIED WITH HEMORRHAGE AND PERFORATION - WITHOUT MENTION OF OBSTRUCTION
533.61PEPTIC ULCER, SITE UNSPECIFIED, CHRONIC OR UNSPECIFIED WITH HEMORRHAGE AND PERFORATION - WITH OBSTRUCTION
534.00GASTROJEJUNAL ULCER, ACUTE WITH HEMORRHAGE - WITHOUT MENTION OF OBSTRUCTION
534.01GASTROJEJUNAL ULCER, ACUTE WITH HEMORRHAGE - WITH OBSTRUCTION
534.20GASTROJEJUNAL ULCER, ACUTE WITH HEMORRHAGE AND PERFORATION - WITHOUT MENTION OF OBSTRUCTION
534.21GASTROJEJUNAL ULCER, ACUTE WITH HEMORRHAGE AND PERFORATION - WITH OBSTRUCTION
534.40GASTROJEJUNAL ULCER, CHRONIC OR UNSPECIFIED WITH HEMORRHAGE - WITHOUT MENTION OF OBSTRUCTION
534.41GASTROJEJUNAL ULCER, CHRONIC OR UNSPECIFIED WITH HEMORRHAGE - WITH OBSTRUCTION
534.60GASTROJEJUNAL ULCER, CHRONIC OR UNSPECIFIED WITH HEMORRHAGE AND PERFORATION - WITHOUT MENTION OF OBSTRUCTION
534.61GASTROJEJUNAL ULCER, CHRONIC OR UNSPECIFIED WITH HEMORRHAGE AND PERFORATION - WITH OBSTRUCTION
535.01GASTRITIS AND DUODENITIS, ACUTE GASTRITIS WITH HEMORRHAGE
535.11GASTRITIS AND DUODENITIS, ATROPHIC GASTRITIS WITH HEMORRHAGE
535.21GASTRITIS AND DUODENITIS, GASTRIC MUCOSAL HYPERTROPHY, WITH HEMORRHAGE
535.31GASTRITIS AND DUODENITIS, ALCOHOLIC GASTRITIS, WITH HEMORRHAGE
535.41GASTRITIS AND DUODENITIS, OTHER SPECIFIED GASTRITIS - WITH HEMORRHAGE
535.51GASTRITIS AND DUODENITIS, UNSPECIFIED GASTRITIS AND GASTRODUODENITIS - WITH HEMORRHAGE
535.61GASTRITIS AND DUODENITIS, DUODENITIS - WITH HEMORRHAGE
537.83OTHER SPECIFIED DISORDERS OF STOMACH AND DUODENUM, ANGIODYSPLASIA OF STOMACH AND DUODENUM - WITH HEMORRHAGE
562.02DIVERTICULOSIS OF SMALL INTESTINE - WITH HEMORRHAGE
562.03DIVERTICULITIS OF SMALL INTESTINE - WITH HEMORRHAGE
562.12DIVERTICULOSIS OF COLON - WITH HEMORRHAGE
562.13DIVERTICULITIS OF COLON - WITH HEMORRHAGE
569.3HEMORRHAGE OF RECTUM AND ANUS
569.85ANGIODYSPLASIA OF INTESTINE - WITH HEMORRHAGE
578.0GASTROINTESTINAL HEMORRHAGE, HEMATEMESIS
578.1GASTROINTESTINAL HEMORRHAGE, BLOOD IN STOOL
578.9GASTROINTESTINAL HEMORRHAGE, HEMORRHAGE OF GASTROINTESTINAL TRACT, UNSPECIFIED
Hemiplegia, paraplegia, or quadriplegia
ICD-9-CM diagnosis codes (includes all 4th and 5th digits):
342.0FLACCID HEMIPLEGIA
342.1SPASTIC HEMIPLEGIA
342.8OTHER SPECIFIED HEMIPLEGIA
342.9HEMIPLEGIA, UNSPECIFIED
343.0INFANTILE CEREBRAL PALSY, DIPLEGIC
343.1INFANTILE CEREBRAL PALSY, HEMIPLEGIC
343.2INFANTILE CEREBRAL PALSY, QUADRIPLEGIC
343.3INFANTILE CEREBRAL PALSY, MONOPLEGIC
343.4INFANTILE CEREBRAL PALSY INFANTILE HEMIPLEGIA
343.8INFANTILE CEREBRAL PALSY OTHER SPECIFIED INFANTILE CEREBRAL PALSY
343.9INFANTILE CEREBRAL PALSY, INFANTILE CEREBRAL PALSY, UNSPECIFIED
344.0QUADRIPLEGIA AND QUADRIPARESIS
344.1PARAPLEGIA
344.2DIPLEGIA OF UPPER LIMBS
344.3MONOPLEGIA OF LOWER LIMB
344.4MONOPLEGIA OF UPPER LIMB
344.5UNSPECIFIED MONOPLEGIA
344.6CAUDA EQUINA SYNDROME
344.8OTHER SPECIFIED PARALYTIC SYNDROMES
344.9PARALYSIS, UNSPECIFIED
438.2HEMIPLEGIA/HEMIPARESIS
438.3MONOPLEGIA OF UPPER LIMB
438.4MONOPLEGIA OF LOWER LIMB
438.5OTHER PARALYTIC SYNDROME
Hemorrhage
ICD-9-CM diagnosis codes:
285.1ACUTE POSTHEMORRHAGIC ANEMIA
459.0OTHER DISORDERS OF CIRCULATORY SYSTEM, HEMORRHAGE, UNSPECIFIED
958.2CERTAIN EARLY COMPLICATIONS OF TRAUMA, SECONDARY AND RECURRENT HEMORRHAGE
998.11HEMORRHAGE COMPLICATING A PROCEDURE
Hip fracture
ICD-9-CM diagnosis codes: (includes all 5th digits)
820.0FRACTURE OF NECK OF FEMUR-TRANSCERVICAL FRACTURE, CLOSED
820.1FRACTURE OF NECK OF FEMUR-TRANSCERVICAL FRACTURE, OPEN
820.2FRACTURE OF NECK OF FEMUR-PERTROCHANTERIC FRACTURE, CLOSED
820.3FRACTURE OF NECK OF FEMUR-PERTROCHANTERIC FRACTURE, OPEN
820.8UNSPECIFIED PART OF NECK OF FEMUR, CLOSED
820.9UNSPECIFIED PART OF NECK OF FEMUR, OPEN
Immunocompromised
ICD-9-CM diagnosis codes (includes all 4th and 5th digits)
042HUMAN IMMUNODEFICIENCY VIRUS DISEASE
136.3PNEUMOCYSTOSIS
279.0DEFFICIENCY OF HUMORAL IMMUNITY
279.1DEFFICIENCY OF CELL-MEDIATED IMMUNITY
279.2COMBINED IMMUNITY DEFFICIENCY
279.3UNSPECIFIED IMMUNITY DEFFICIENCY
279.4AUTOIMMUNE DISEASE, NOT ELSEWHERE CLASSIFIED
279.8OTHER SPECIFIED DISORDERS INVOLVING THE IMMUNE MECHANISM
279.9UNSPECIFIED DISORDER OF IMMUNE MECHANISM
996.8COMPLICATIONS OF TRANSPLANTED ORGAN
V42.0KIDNEY REPLACED BY TRANSPLANT
V42.1HEART REPLACED BY TRANSPLANT
V42.6LUNG REPLACED BY TRANSPLANT
V42.7LIVER REPLACED BY TRANSPLANT
V42.81BONE MARROW SPECIFIED BY TRANSPLANT
V42.82PERIPHERAL STEM CELLS REPLACED BY TRANSPLANT
V42.83PANCREAS REPLACED BY TRANSPLANT
V42.84INTESTINES REPLACED BY TRANSPLANT
V42.89OTHER REPLACED BY TRANSPLANT
ICD-9-CM procedure codes (includes 4th and 5th digits:)
33.5LUNG TRANSPLANT
33.6COMBINED HEART-LUNG TRANSPLANTATION
37.5HEART TRANSPLANTATION
41.0OPERATIONS ON BONE MAROW AND SPLEEN
50.5LIVER TRANSPLANT
55.69OTHER KIDNEY TRANSPLANTATION
52.80PANCREATIC TRANSPLANT, NOS
52.81REIMPLANTATION OF PANCREATIC TISSUE
52.83HETEROTRANSPLANT OF PANCREAS
52.85ALLOTRANSPLANTATION OF CELLS OF ISLETS OF LANGERHANS
52.86TRANSPLANTATION OF CELLS OF ISLETS OF LANGERHANS, NOS
Diagnostic Related Groups (DRGs):
488HIV WITH EXTENSIVE OR PROCEDURE
489HIV WITH MAJOR RELATED CONDITION
490HIV WITH OR WITHOUT OTHER RELATED CONDITION
Indications of current drug abuse
ICD-9-CM diagnosis codes
TOXIC EFFECT OF ALCOHOL:
980.0ETHYL ALCOHOL
980.1METHYL ALCOHOL
980.2ISOPROPYL ALCOHOL
980.3FUSEL OIL
981TOXIC EFFECT OF PETROLEUM PRODUCTS
SOLVENTS OTHER THAN PETROLEUM-BASED:
982.0BENZENE AND HOMOLOGUES
982.1CARBON TETRACHLORIDE
982.2CARBON DISULFIDE
982.3OTHER CHLORINATED HYDROCARBON SOLVENTS
982.4NITROGLYCOL
982.8OTHER NONPETROLEUM-BASED SOLVENTS
983.0TOXIC EFFECT OF CORROSIVE AROMATICS
983.1TOXIC EFFECT OF ACIDS
983.2TOXIC EFFECT OF CAUSTIC ALKALIDES
983.9TOXIC EFFECT OF CAUSTIC, UNSPECIFIED
TOXIC EFFECT OF LEAD AND ITS COMPOUNDS (INCLUDING FUMES):
984.0INORGANIC LEAD COMPOUNDS
984.1ORGANIC LEAD COMPOUNDS
984.8OTHER LEAD COMPOUNDS
984.9UNSPECIFIED LEAD COMPOUND
TOXIC EFFECT OF OTHER METALS:
985.0MERCURY AND ITS COMPOUNDS
985.1ARSENIC AND ITS COMPOUNDS
985.2MANGANESE AND ITS COMPOUNDS
985.3BERYLLIUM AND ITS COMPOUNDS
985.4ANTIMONY AND ITS COMPOUNDS
985.5CADMIUM AND ITS COMPOUNDS
985.6CHROMIUM
985.8OTHER SPECIFIED METALS
985.9UNSPECIFIED METAL
986TOXIC EFFECT OF CARBON MONOXIDE
TOXIC EFFECT OF OTHER GASES, FUMES, OR VAPORS:
987.0LIQUEFIED PETROLEUM GASES
987.1OTHER HYDROCARBON GAS
987.2NITROGEN OXIDES
987.3SULFUR DIOXIDE
987.4FREON
987.5LACRIMOGENIC GAS
987.6CHLORINE GAS
987.7HYDROCYANIC ACID GAS
987.8OTHER SPECIFIED GASES, FUMES, OR VAPORS
987.9UNSPECIFIED GAS, FUME, OR VAPOR
NOXIOUS SUBSTANCES EATEN AS FOOD:
988.0FISH AND SHELLFISH
988.1MUSHROOMS
988.2BERRIES AND OTHER PLANTS
988.8OTHER SPECIFIED NOXIOUS SUBSTANCES EATEN AS FOOD
TOXIC EFFECT OF OTHER SUBSTANCES, CHIEFLY NONMEDICINAL AS TO SOURCE:
989.0HYDROCYANIC ACID AND CYANIDES
989.1STRYCHNINE AND SALTS
989.2CHLORINATED HYDROCARBONS
989.3ORGANOPHOSPHATE AND CARBAMATE
989.4OTHER PESTICIDES, NEC
989.5VENOM
989.6SOAPS AND DETERGENTS
989.7AFLATOXIN AND OTHER MYCOTOXIN [FOOD CONTAMINANTS]
989.8OTHER SUBSTANCES, CHIEFLY NONMEDICIAN AS TO SOURCE
989.9UNSPECIFIED SUBSTANCE, CHIEFLY NONMEDICINAL AS TO SOURCE
291.0ALCOHOL WITHDRAWAL DELIRIUM
291.1ALCOHOL AMNESTIC SYNDROME
291.2OTHER ALCOHOLIC DEMENTIA
291.3ALCOHOL WITHDRAWL HALLUCINOSIS
291.4IDIOSYNCRATIC ALCOHOL INTOXICATION
291.5ALCOHOL JEALOUSY
291.8OTHER SPECIFIED ALCOHOLIC PSYCHOSIS
291.81ALCOHOL WITHDRAWAL
291.9ALCOHOLIC PSYCHOSES
DRUG PSYCHOSES:
292.0DRUG WITHDRAWL SYNDROME
292.11DRUG-INDUCED ORGANIC DELUSIONAL SYNDROME
292.12DRUG- INDUCED HALLUCINOSIS
292.2PATHOLOGICAL DRUG INTOXICATION
292.81DRUG-INDUCED DELIRIUM
292.82DRUG-INDUCED DEMENTIA
292.83DRUG-INDUCED AMNESTIC SYNDROME
292.84DRUG-INDUCED ORGANIC AFFECTIVE SYNDROME
292.89OTHER SPECIFIED DRUG-INDUCED MENTAL DISORDERS
292.9UNSPECIFIED DRUG-INDUCED MENTAL DISORDER
(includes all 4th and 5th digits)
303.0ACUTE ALCOHOLIC INTOXICATION
303.9OTHER AND UNSPECIFIED ALCOHOL.\DEPENDENCE
304.0OPIOID TYPE DEPENDENCE
304.1BARBITURATE AND SIMILARLY ACTING SEDATIVE OR HYPNOTIC DEPENDENCE
304.2COCAINE DEPENDENCE
304.3CANNABIS DEPENDENCE
304.4AMPHETAMINE AND OTHER PSYCHOSTIMULANT DEPENDENCE
304.5HALLUCINOGEN DEPENDENCE
304.6OTHER SPECIFIED DRUG DEPENDENCE
304.7COMBINATIONS OF OPIOID TYPE DRUG WITH ANY OTHER
304.8COMBINATIONS OF DRUG DEPENDENCE EXCLUDING OPIOID TYPE DRUG
304.9UNSPECIFIED DRUG DEPENDENCE
305.0ALCOHOL ABUSE
305.2CANNABIS ABUSE
305.3HALLUCINOGEN ABUSE
305.4BARBITURATE AND SIMILARLY ACTING SEDATIVE OR HYPNOTIC ABUSE
305.5OPIOID ABUSE
305.6COCAINE ABUSE
305.7AMPHETAMINE OR RELATED ACTING SYMPATHOMIMETIC ABUSE
305.8ANTIDEPRESSANT TYPE ABUSE
305.9OTHER MIXED OR UNSPECIFIED DRUG ABUSE
Infection
ICD-9-CM diagnosis codes:
540.0ACUTE APPENDICITIS WITH GENERALIZED PERITONITIS
540.1ACUTE APPENDICITIS WITH PERITONEAL ABSCESS
540.9ACUTE APPENDICITIS WITHOUT MENTION OF PERITONITIS
541APPENDICITIS, UNQUALIFIED
542OTHER APPENDICITIS
562.01DIVERTICULITIS OF SMALL INTESTINE (WITHOUT MENTION OF HEMORRHAGE)
562.03DIVERTICULITIS OF SMALL INTESTINE WITH HEMORRHAGE
562.11DIVERTICULITIS OF COLON (WITHOUT MENTION OF HEMORRHAGE)
562.13DIVERTICULITIS OF COLON WITH HEMORRHAGE
566ABSCESS OF ANAL AND RECTAL REGIONS
567.0PERITONITIS IN INFECTIOUS DISEASES CLASSIFIED ELSEWHERE
567.1PNEUMOCOCCAL PERITONITIS
567.2OTHER SUPPURATIVE PERITONITIS
567.8OTHER SPECIFIED PERITONITIS
567.9UNSPECIFIED PERITONITIS
569.5ABSCESS OF INTESTINE
569.61INFECTION OF COLOSTOMY OR ENTEROSTOMY
572.0ABSCESS OF LIVER
572.1PORTAL PYEMIA
574.00CALCULUS OF GALLBLADDER WITH ACUTE CHOLECYSTITIS - WITHOUT MENTION OF OBSTRUCTION
574.01CALCULUS OF GALLBLADDER WITH ACUTE CHOLECYSTITS - WITH OBSTRUCTION
574.30CALCULUS OF BILE DUCT WITH ACUTE CHOLECYSTITIS - WITHOUT MENTION OF OBSTRUCTION
574.31CALCULUS OF BILE DUCT WITH ACUTE CHOLECYSTITIS - WITH OBSTRUCTION
574.60CALCULUS OF GALLBLADDER AND BILE DUCT WITH ACUTE CHOLECYSTITIS - WITHOUT MENTION OF OBSTRUCTION
574.61CALCULUS OF GALLBLADDER AND BILE DUCT WITH ACUTE CHOLECYSTITIS - WITH OBSTRUCTION
574.80CALCULUS OF GALLBLADDER AND BILE DUCT WITH ACUTE AND CHRONIC CHOLECYSTITIS - WITHOUT MENTION OF OBSTRUCTION
574.81CALCULUS OF GALLBLADDER AND BILE DUCT WITH ACUTE AND CHRONIC CHOLECYSTITIS - WITH OBSTRUCTION
575.0ACUTE CHOLECYSTITIS
575.4PERFORATION OF GALLBLADDER
576.1CHOLANGITIS
576.3PERFORATION OF BILE DUCT
Diagnostic Related Groups (DRGs)
020NERVOUS SYSTEM INFECTION EXCEPT VIRAL MENINGITIS
068OTITIS MEDIA AND URI, AGE GREATER THAN 17 WITH CC
069OTITIS MEDIA AND URI, AGE GREATER THAN 17 WITHOUT CC
079RESPIRATORY INFECTIONS AND INFLAMMATIONS, AGE GREATER THAN 17 WITH CC
080RESPIRATORY INFECTIONS AND INFLAMMATIONS, AGE GREATER THAN 17 WITHOUT CC
089SIMPLE PNEUMONIA AND PLEURISY, AGE GREATER THAN 17 WITH CC
090SIMPLE PNEUMONIA AND PLEURISY, AGE GREATER THAN 17 WITHOUT CC
126ACUTE AND SUBACUTE ENDOCARDITIS
238OSTEOMYELITIS
242SEPTIC ARTHRITIS
277CELLULITIS, AGE GREATER THAN 17 WITH CC
278CELLULITIS, AGE GREATER THAN 17 WITHOUT CC
320KIDNEY AND URINARY TRACT INFECTIONS, AGE GREATER THAN 17 WITH CC
321KIDNEY AND URINARY TRACT INFECTIONS, AGE GREATER THAN 17 WITHOUT CC
368INFECTIONS OF FEMALE REPRODUCTIVE SYSTEM
416SEPTICEMIA, AGE GREATER THAN 17
Instrument assisted delivery
ICD-9-CM procedure codes
72.0LOW FORCEPS OPERATION
72.1LOW FORCEPS OPERATION WITH EPISIOTOMY
72.21MID FORCEPS OPERATION WITH EPISIOTOMY
72.29OTHER MID FORCEPS OPERATION
72.31HIGH FORCEPS OPERATION WITH EPISIOTOMY
72.39OTHER HIGH FORCEPS OPERATION
72.4FORCEPS ROTATION OF FETAL HEAD
72.51PARTIAL BREECH EXTRACTION WITH FORCEPS TO AFTERCOMING HEAD
72.53TOTAL BREECH EXTRACTION WITH FORCEPS TO AFTERCOMING HEAD
72.6FORCEPS APPLICATION TO AFTERCOMING HEAD
72.71VACUUM EXTRACTION WITH EPISIOTOMY
72.8OTHER SPECIFIED INSTRUMENTAL DELIVERY
72.9UNSPECIFIED INSTRUMENTAL DELIVERY
Liveborn
Diagnostic Related Groups (DRG):
385NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY
386EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME OF NEONATE
387PREMATURITY WITH MAJOR PROBLEMS
388PREMATURITY WITHOUT MAJOR PROBLEMS
389FULL TERM NEONATE WITH MAJOR PROBLEMS
390NEONATE WITH OTHER SIGNIFICANT PROBLEMS
391NORMAL NEWBORN
AND
ICD-9-CM diagnosis codes (includes 4th and 5th digits)
Admission type recorded as (4):
764SLOW FETAL GROWTH AND FETAL MALNUTRITION
765DISORDERS RELATING TO SHORT GESTATION AND UNSPECIFIED LOW BIRTH WEIGHT
766DISORDERS RELATING TO LONG GESTATION AND HIGH BIRTH WEIGHT
767BIRTH TRAUMA
768INTRAUTERINE HYPOXIA AND BIRTH ASPHYXIA
769RESPIRATORY DISTRESS SYNDROME
770OTHER RESPIRATORY CONDITIONS OF FETUS AND NEWBORN
V30SINGLE LIVEBORN
V31TWIN, MATE LIVEBORN
V32TWIN, MATE STILLBORN
V33TWIN, UNSPECIFIED
V34OTHER MULTIPLE, MATES ALL LIVEBORN
V35OTHER MULTIPLE, MATE ALL STILLBORN
V36OTHER MULTIPLE, MATES LIVE- AND STILLBORN
V37OTHER MULTIPLE, UNSPECIFIED
V39UNSPECIFIED
Long term care facility
ADMISSION SOURCE IS RECORDED AS LONGTERM CARE FACILITY (ASOURCE=3)
Low mortality
Diagnostic Related Groups DRGs
MEDICAL:
015TRANSIENT ISCHEMIC ATTACK AND PRECEREBRAL OCCLUSIONS
021VIRAL MENINGITIS
030TRAUMATIC STUPOR AND COMA, COMA LESS THAN ONE HOUR, AGE 0–17
031CONCUSSION, AGE GREATER THAN 17 WITH CC
032CONCUSSION, AGE GREATER THAN 17 WITHOUT CC
044ACUTE MAJOR EYE INFECTIONS
045NEUROLOGICAL EYE DISORDERS
065DYSEQUILIBRIUM
068OTITIS MEDIA AND URI, AGE GREATER THAN 17 WITH CC
071LARYNGOTRACHEITIS
096BRONCHITIS AND ASTHMA, AGE GREATER THAN 17 WITH CC
097BRONCHITIS AND ASTHMA, AGE GREATER THAN 17 WITHOUT CC
125CIRCULATORY DISORDERS EXCEPT ACUTE MYOCARDIAL INFARCTION WITH CARDIAC CATHETERIZATION WITHOUT COMPLEX DIAGNOSIS
134HYPERTENSION
140ANGINA PECTORIS
141SYNCOPE AND COLLAPSE WITH CC
142SYNCOPE AND COLLAPSE WITHOUT CC
143CHEST PAIN
237SPRAINS, STRAINS AND DISLOCATIONS OF HIP, PELVIS AND THIGH
243MEDICAL BACK PROBLEMS
246NONSPECIFIC ARTHROPATHIES
295DIABETES, AGE 0–35
317ADMISSION FOR RENAL DIALYSIS
323URINARY STONES WITH CC AND/OR ESW LITHOTRIPSY
324URINARY STONES WITHOUT CC
351STERILIZATION, MALE
369MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS
421VIRAL ILLNESS, AGE GREATER THAN 17
PEDIATRIC MEDICAL:
026SEIZURE AND HEADACHE, AGE 0–17
033CONCUSSION, AGE 0–17
070OTITIS MEDIA AND URI, AGE 0–17
074OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES, AGE 0–17
091SIMPLE PNEUMONIA AND PLEURISY, AGE 0–17
098BRONCHITIS AND ASTHMA, AGE 0–17
184ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS, AGE 0–17
190OTHER DIGESTIVE SYSTEM DIAGNOSES, AGE 0–17
252FRACTURES, SPRAINS, STRAINS AND DISLOCATIONS OF FOREARM, HAND AND FOOT, AGE 0–17
255FRACTURES, SPRAINS, STRAINS AND DISLOCATIONS OF UPPER ARM AND LOWER LEG EXCEPT FOOT, AGE 0–17
279CELLULITIS, AGE 0–17
282TRAUMA TO SKIN, SUBCUTANEOUS TISSUE AND BREAST, AGE 0–17
298NUTRITIONAL AND MISCELLANEOUS METABOLIC DISORDERS, AGE GREATER THAN 17 WITHOUT CC
322KIDNEY AND URINARY TRACT INFECTION, AGE 0–17
333OTHER KIDNEY AND URINARY TRACT DIAGNOSES, AGE 0–17
396RED BLOOD CELL DISORDERS, AGE 0–17
422VIRAL ILLNESS AND FEVER OF UNKNOWN ORIGIN, AGE 0–17
446TRAUMATIC INJURY, AGE 0–17
448ALLERGIC REACTIONS, AGE 0–17
451POISONING AND TOXIC EFFECTS OF DRUGS, AGE 0–17
SURGICAL:
036RETINAL PROCEDURES
037ORBITAL PROCEDURES
042INTRAOCULAR PROCEDURES
050SIALOADENECTOMY
052CLEFT LIP AND PALATE REPAIR
053SINUS AND MASTOID PROCEDURES, AGE GREATER THAN 17
055MISCELLANEOUS EAR, NOSE, MOUTH AND THROAT PROCEDURES
057TONSILLECTOMY AND ADENOIDECTOMY PROCEDURES EXCEPT TONSILLECTOMY AND/OR ADENOIDECTOMY ONLY, AGE GREATER THAN 17
063OTHER EAR, NOSE, MOUTH AND THROAT OR PROCEDURES
166APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC
167APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC
218LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR, AGE GREATER THAN 17 WITH CC
219LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR, AGE GREATER THAN 17 WITHOUT CC
223MAJOR SHOULDER, ELBOW PROCEDURES OR OTHER UPPER EXTREMITY PROCEDURES WITH CC
224SHOULDER, ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC
225FOOT PROCEDURES
228MAJOR THUMB OR JOINT PROCEDURES OR OTHER HAND OR WRIST PROCEDURES WITH CC
229HAND OR WRIST PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC
232ARTHROSCOPY
257TOTAL MASTECTOMY FOR MALIGNANCY WITH CC
258TOTAL MASTECTOMY FOR MALIGNANCY WITHOUT CC
261BREAST PROCEDURE FOR NONMALIGNANCY EXCEPT BIOPSY AND LOCAL EXCISION
262BREAST BIOPSY AND LOCAL EXCISION OF NONMALIGNANCY
267PERIANAL AND PILONICAL PROCEDURES
289PARATHYROID PROCEDURES
290THYROID PROCEDURES
293OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC OR PROCEDURES WITHOUT CC
334MAJOR MALE PELVIC PROCEDURES WITH CC
335MAJOR MALE PELVIC PROCEDURES WITHOUT CC
336TRANSURETHRAL PROSTATECTOMY WITH CC
337TRANSURETHRAL PROSTATECTOMY WITHOUT CC
356FEMALE REPRODUCTION SYSTEM RECONCSTRUCTIVE PROCEDURES
358UTERINE AND ADNEXA PROCEDURES FOR NONMALIGNANCY WITH CC
359UTERINE AND ADNEXA PROCEDURES FOR NONMALIGNANCY WITHOUT CC
360VAGINA, CERVIX AND VULVA PROCEDURES
361LAPAROSCOPY AND INCISIONAL TUBAL INTERRUPTION
362ENDOSCOPIC TUBAL INTERRUPTION
364D AND C, CONIZATION EXCEPT FOR MALIGNANCY
439SKIN GRAFTS FOR INJURIES
441HAND PROCEDURES FOR INJURIES
491MAJOR JOINT AND LIMB REATTACHMENT PROCEUDRES OF UPPER EXTREMITY
499BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC
500BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC
PEDIATRIC SURGICAL:
060TONSILLECTOMY AND/OR ADENOIDECTOMY ONLY, AGE 0–17
062MYRINGOTOMY WITH TUBE INSERTION, AGE 0–17
156STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES, AGE 0–17
163HERNIA PROCEDURES, AGE 0–17
212HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT PROCEDURES, AGE 0–17
220LOWER EXTREMITY AND HUMEROUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR, AGE 0–17
393SPLENECTOMY, AGE 0–17
OBSTETRIC:
370CESAREAN SCTION WITH CC
371CESAREAN SECTION WITHOUT CC
372VAGINAL DELIVERY WITH COMPLICATING DIAGNOSES
373VAGINAL DELIVERY WITHOUT COMPLICATING DIAGNOSES
374VAGINAL DELIVERY WITH STERILIZATION AND/OR D AND C
375VAGINAL DELIVERY WITH OR PROCEDURE EXCEPT STERILIZATION AND/OR D AND C
377POSTPARTUM AND POSTABORTION DIAGNOSES WITH OR PROCEDURE
378ECTOPIC PREGNANCY
379THREATENED ABORTION
380ABORTION WITHOUT D AND C
381ABORTION WITH D AND C, ASPIRATION CURETTAGE OR HYTEROTOMY
382FALSE LABOR
383OTHER ANTEPARTUM DIAGNOSES WITH MEDICAL COMPLICATIONS
384OTHER ANTEPARTUM DIAGNOSES WITHOUT MEDICAL COMPLICATIONS
NEONATAL:
386EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME OF NEONATE
387PREMATURITY WITH MAJOR PROBLEMS
388PREMATURITY WITHOUT MAJOR PROBLEMS
390NEONATE WITH OTHER SIGNIFICANT PROBLEMS
391NORMAL NEWBORN
PSYCHIATRIC:
425ACUTE ADJUSTMENT REACTIONS AND DISTURBANCES OF PSYCHOSOCIAL DYSFUNCTION
426DEPRESSIVE NEUROSES
427NEUROSIES EXCEPT DEPRESSIVE
428DISORDERS OF PERSONALITY AND IMPULSE CONTROL
431CHILDHOOD MENTAL DISORDERS
432OTHER MENTAL DISORDER DIAGNOSES
434ALCOHOL/DRUG ABUSE OR DEPENDENCE, DETOXIFICATION OR OTHER SYMPTOMATIC TREATMENT WITH CC
435ALCOHOL/DRUG ABUSE OR DEPENDENCE, DETOXIFICATION OR OTHER SYMPTOMATIC TREATMENT WITHOUT CC
436ALCOHOL/DRUG DEPENDENCE WITH REHABILITATION THERAPY
Lung or pleural biopsy
ICD-9-CM Procedure codes:
332.6CLOSED [PERCUTANEOUS] [NEEDLE] BIOPSY OF LUNG
332.8OPEN BIOPSY OF LUNG
342.4PLEURAL BIOPSY
Lymphoid malignancy
ICD-9-CM diagnosis codes( includes 4th and 5th digits):
200LYMPHOSARCOMA AND RETICULOSARCOMA
201HODGKINS DISEASE
202OTHER MALIGNANT NEOPLASMS OF LYMPHOID AND HISTIOCYTIC TISSUE
203MULTIPLE MYELOMA AND IMMUNOPROLIFERATIVE NEOPLASMS
204LYMPHOID LEUKEMIA
205MYELOID LEUKEMIA
206MONOCYTIC LEUKEMIA
207OTHER SPECIFIED LEUKEMIA
208LEUKEMIA OF UNSPECIFIED CELL TYPE
Medical
Diagnostic Related Groups (DRGs):
009SPINAL DISORDERS AND INJURIES
010NERVOUS SYSTEM NEOPLASMS WITH CC
011NERVOUS SYSTEM NEOPLASMS WITH CC
012DEGENERATIVE NERVOUS SYSTEM DISORDERS
013MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA
014SPECIFIC CEREBROVASCULAR DISORDERS EXCEPT TRANSIENT ISCHEMIC ATTACK
015TRANSIENT ISCHEMIC ATTACK AND PRECEREBRAL OCCLUSIONS
016NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC
017NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC
018CRANIAL AND PERIPHERAL NERVE DISORDERS WITH CC
019CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT CC
020NERVOUS SYSTEM INFECTION EXCEPT VIRAL MENINGITIS
021VIRAL MENINGITIS
022HYPERTENSIVE ENCEPHALOPATHY
023NONTRAUMATIC STUPOR AND COMA
024SEIZURE AND HEADACHE, AGE GREATER THAN 17 WITH CC
025SEIZURE AND HEADACHE, AGE GREATER THAN 17 WITHOUT CC
026SEIZURE AND HEADACHE, AGE 0–17
027TRAUMATIC STUPOR AND COMA, COMA GREATER THAN ONE HOUR
028TRAUMATIC STUPOR AND COMA, COMA LESS THAN ONE HOUR, AGE GREATER THAN 19 WITH CC
029TRAUMATIC STUPOR AND COMA, COMA LESS THAN ONE HOUR, AGE GREATER THAN 17 WITHOUT CC
030TRAUMATIC STUPOR AND COMA, COMA LESS THAN ONE HOUR, AGE 0–17
031CONCUSSION, AGE GREATER THAN 17 WITH CC
032CONCUSSION, AGE GREATER THAN 17 WITHOUT CC
033CONCUSSION, AGE 0–17
034OTHER DISORDERS OF NERVOUS SYSTEM WITH CC
035OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC
043HYPHEMA
044ACUTE MAJOR EYE INFECTIONS
045NEUROLOGICAL EYE DISORDERS
046OTHER DISORDERS OF THE EYE, AGE GREATER THAN 17 WITH CC
047OTHER DISORDER OF THE EYE, AGE GREATER THAN 17 WITHOUT CC
048OTHER DISORDERS OF THE EYE, AGE 0–17
064EAR, NOSE, MOUTH AND THROAT MALIGNANCY
065DISEQUILIBRIA
066EPISTAXIS
067EPIGLOTITIS
068OTITIS MEDIA AND URI, AGE GREATER THAN 17 WITH CC
069OTITIS MEDIA AND URI, AGE GREATER THAN 17 WITHOUT CC
070OTITIS MEDIA AND URI, AGE 0–17
071LARYNGOTRACHEITIS
072NASAL TRAUMA AND DEFORMITY
073OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES, AGE GREATER THAN 17
074OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES, AGE 0–17
078PULMONARY EMBOLISM
079RESPIRATORY INFECTIONS AND INFLAMMATIONS, AGE GREATER THAN 17 WITH CC
080RESPIRATORY INFECTIONS AND INFLAMMATIONS, AGE GREATER THAN 17 WITHOUT CC
081SIMPLE PNEUMONIA AND PLEURISY, AGE GREATER THAN 17 WITH CC
082RESPIRATORY NEOPLASMS
083MAJOR CHEST TRAUMA WITH CC
084MAJOR CHEST TRAUMA WITHOUT CC
085PLEURAL EFFUSION WITH CC
086PLEURAL EFFUSION WITHOUT CC
087PULMONARY EDEMA AND RESPIRATORY FAILURE
088CHRONIC OBSTRUCTIVE PULMONARY DISEASE
089SIMPLE PNEUMONIA AND PLEURISY, AGE GREATER THAN 17 WITH CC
090SIMPLE PNEUMONIA AND PLEURISY, AGE GREATER THAN 17 WITHOUT CC
091SIMPLE PNEUMONIA AND PLEURISY, AGE 0–17
092INTERSTITIAL LUNG DISEASE WITH CC
093INTERSTITIAL LUNG DISEASE WITHOUT CC
094PNEUMOTHORAX WITH CC
095PNEUMOTHORAX WITHOUT CC
096BRONCHITIS AND ASTHMA, AGE GREATER THAN 17 WITH CC
097BRONCHITIS AND ASTHMA, AGE GREATER THAN 17 WITHOUT CC
098BRONCHITIS AND ASTHMA, AGE 0–17
099RESPIRATORY SIGNS AND SYMPTOMS WITH CC
100RESPIRATORY SIGNS AND SYMPTOMS WITHOUT CC
101OTHER RESPIRATORY SYSTEM DIAGNOSES WITH CC
102OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT CC
121CIRCULATORY DISORDERS WITH ACUTE MYOCARDIAL INFARCTION AND MAJOR COMPLICATION, DISCHARGED ALIVE
122CIRCULATORY DISORDERS WITH ACUTE MYOCARDIAL INFARCTION WITHOUT MAJOR COMPLICATION, DISCHARGED ALIVE
123CIRCULATORY DISORDERS WITH ACUTE MYOCARDIAL INFARCTION, EXPIRED
124CIRCULATORY DISORDERS EXCEPT ACUTE MYOCARDIAL INFARCTION WITH CARDIAC CATHETERIZATION AND COMPLEX DIAGNOSIS
125CIRCULATORY DISORDERS EXCEPT ACUTE MYOCARDIAL INFARCTION WITH CARDIAC CATHETERIZATION WITHOUT COMPLEX DIAGNOSIS
126ACUTE AND SUB ACUTE ENDOCARDITIS
127HEART FAILURE AND SHOCK
128DEEP VEIN THROMBOPHLEBITIS
129CARDIAC ARREST, UNEXPLAINED
130PERIPHERAL VASCULAR DISORDERS WITH CC
131PERIPHERAL VASCULAR DISORDERS WITHOUT CC
132ATHEROSCLEROSIS WITH CC
133ATHEROSCLEROSIS WITHOUT CC
134HYPERTENSION
135CARDIAC CONGENITAL AND VALVULAR DISORDERS, AGE GREATER THAN 17 WITH CC
136CARDIAC CONGENITAL AND VALVULAR DISORDERS, AGE GREATER THAN 17 WITHOUT CC
137CARDIAC CONGENITAL AND VALVULAR DISORDERS, AGE GREATER THAN 17 WITHOUT CC
138CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC
139CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC
140ANGINA PECTORIS
141SYNCOPE AND COLLAPSE WITH CC
142SYNCOPE AND COLLAPSE WITHOUT CC
143CHEST PAIN
144OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC
145OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC
172DIGESTIVE MALIGNANCY WITH CC
173DIGESTIVE MALIGNANCY WITHOUT CC
174GI HEMORRHAGE WITH CC
175GI HEMORRHAGE WITHOUT CC
176COMPLICATED PEPTIC ULCER
177UNCOMPLICATED PEPTIC ULCER WITH CC
178UNCOMPLICATED PEPTIC ULCER WITHOUT CC
179INFLAMMATORY BOWEL DISEASE
180GI OBSTRUCTION WITH CC
181GI OBSTRUCTION WITHOUT CC
182ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS, AGE GREATER THAN 17 WITH CC
183ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS, AGE GREATER THAN 17 WITHOUT CC
184ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS, AGE 0–17
185DENTAL AND ORAL DISEASES EXCEPT EXTRACTIONS AND RESTORATIONS, AGE GREATER THAN 17
186DENTAL AND ORAL DISEASES EXCEPT EXTRACTIONS AND RESTORATIONS, AGE 0–17
187DENTAL EXTRACTIONS AND RESTORATIONS
188OTHER DIGESTIVE SYSTEM DIAGNOSES, AGE GREATER THAN 17 WITH CC
189OTHER DIGESTIVE SYSTEM DIAGNOSES, AGE GREATER THAN 17 WITHOUT CC
190OTHER DIGESTIVE SYSTEM DIAGNOSES, AGE 0–17
202CIRRHOSIS AND ALCOHOLIC HEPATITIS
203MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS
204DISORDERS OF PANCREAS EXCEPT MALIGNANCY
205DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC
206DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC
207DISORDERS OF THE BILIARY TRACT WITH CC
208DISORDERS OF THE BILIARY TRACT WITHOUT CC
235FRACTURES OF FEMUR
236FRACTURES OF HIP AND PELVIS
237SPRAINS, STRAINS AND DISLOCATIONS OF HIP, PELVIS AND THIGH
238OSTEOMYELITIS
239PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY
240CONNECTIVE TISSUE DISORDERS WITH CC
241CONNECTIVE TISSUE DISORDERS WITHOUT CC
242SEPTIC ARTHRITIS
243MEDICAL BACK PROBLEMS
244BONE DISEASES AND SPECIFIC ARTHROPATHIES WITH CC
245BONE DISEASES AND SPECIFIC ARTHROPATHIES WITHOUT CC
246NONSPECIFIC ARTHROPATHIES
247SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE
248TENDONITIS, MYOSITIS AND BURSITIS
249AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE
250FRACTURES, SPRAINS, STRAINS AND DISLOCATIONS OF FOREARM, HAND AND FOOT, AGE GREATER THAN 17 WITH CC
251FRACTURES, SPRAINS, STRAINS AND DISLOCATIONS OF FOREARM, HAND AND FOOT, AGE GREATER THAN 17 WITHOUT CC
252FRACTURES, SPRAINS, STRAINS AND DISLOCATIONS OF FOREARM, HAND AND FOOT, AGE 0–17
253FRACTURES, SPRAINS, STRAINS AND DISLOCATIONS OF UPPER ARM AND LOWER LEG EXCEPT FOOT, AGE GREATER THAN 17 WITH CC
254FRACTURES, SPRAINS, STRAINS AND DISLOCATIONS OF UPPER ARM AND LOWER LEG EXCEPT FOOT, AGE GREATER THAN 17 WITHOUT CC
255FRACTURES, SPRAINS, STRAINS AND DISLOCATIONS OF UPPER ARM AND LOWER LEG EXCEPT FOOT, AGE 0–17
256OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
271SKIN ULCERS
272MAJOR SKIN DISORDERS WITH CC
273MAJOR SKIN DISORDERS WITHOUT CC
274MALIGNANT BREAST DISORDERS WITH CC
275MALIGNANT BREAST DISORDERS WITHOUT CC
276NONMALIGNANT BREAST DISORDERS
277CELLULITIS, AGE GREATER THAN 17 WITH CC
278CELLULITIS, AGE GREATER THAN 17 WITHOUT CC
279CELLULITIS, AGE 0–17
280TRAUMA TO SKIN, SUBCUTANEOUS TISSUE AND BREAST, AGE GREATER THAN 17 WITH CC
281TRAUMA TO SKIN, SUBCUTANEOUS TISSUE AND BREAST, AGE GREATER THAN 17 WITHOUT CC
282TRAUMA TO SKIN, SUBCUTANEOUS TISSUE AND BREAST, AGE 0–17
283MINOR SKIN DISORDERS WITH CC
284MINOR SKIN DISORDERS WITHOUT CC
294DIABETES, AGE GREATER THAN 35
295DIABETES, AGE 0–35
296NUTRITIONAL AND MISCELLANEOUS METABOLIC DISORDERS, AGE GREATER THAN 17 WITH CC
297NUTRITIONAL AND MISCELLANEOUS METABOLIC DISORDERS, AGE GREATER THAN 17 WITHOUT CC
298NUTRITIONAL AND MISCELLANEOUS METABOLIC DISORDERS, AGE 0–17
299INBORN ERRORS OF METABOLISM
300ENDOCRINE DISORDERS WITH CC
301ENDOCRINE DISORDERS WITHOUT CC
316RENAL FAILURE
317ADMISSION FOR RENAL DIALYSIS
318KIDNEY AND URINARY TRACT NEOPLASMS WITH CC
319KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC
320KIDNEY AND URINARY TRACT INFECTIONS, AGE GREATER THAN 17 WITH CC
321KIDNEY AND URINARY TRACT INFECTIONS, AGE GREATER THAN 17 WITHOUT CC
322KIDNEY AND URINARY TRACT INFECTION, AGE 0–17
323URINARY STONES WITH CC AND/ OR ESW LITHOTRIPSY
324URINARY STONES WITHOUT CC
325KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS, AGE GREATER THAN 17 WITH CC
326KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS, AGE GREATER THAN 17 WITHOUT CC
327KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS, AGE 0–17
328URETHRAL STRICTURE, AGE GREATER THAN 17 WITH CC
329URETHRAL STRICTURE, AGE GREATER THAN 17 WITHOUT CC
330URETHRAL STRICTURE, AGE 0–17
331OTHER KIDNEY AND URINARY TRACT DIAGNOSES, AGE GREATER THAN 17 WITH CC
332OTHER KIDNEY AND URINARY TRACT DIAGNOSES, AGE GREATER THAN 17 WITHOUT CC
333OTHER KIDNEY AND URINARY TRACT DIAGNOSES, AGE 0–17
346MALIGNANCY OF MALE REPRODUCTIVE SYSTEM WITH CC
347MALIGNANCY OF MALE REPRODUCTIVE SYSTEM WITHOUT CC
348BENIGN PROSTATIC HYPERTROPHY WITH CC
349BENIGN PROSTATIC HYPERTROPHY WITHOUT CC
350INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM
351STERILIZATION, MALE
352OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES
366MALIGNANCY OF FEMALE REPRODUCTIVE SYSTEM WITH CC
367MALIGNANCY OF FEMALE REPRODUCTIVE SYSTEM WITHOUT CC
368INFECTIONS OF FEMALE REPRODUCTIVE SYSTEM
369MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS
372VAGINAL DELIVERY WITH COMPLICATING DIAGNOSES
373VAGINAL DELIVERY WITHOUT COMPLICATING DIAGNOSES
376POSTPARTUM AND POSTABORTION DIAGNOSES WITHOUT OR PROCEDURE
378ECTOPIC PREGNANCY
379THREATENED ABORTION
380ABORTION WITHOUT D AND C
382FALSE LABOR
383OTHER ANTEPARTUM DIAGNOSES WITH MEDICAL COMPLICATIONS
384OTHER ANTEPARTUM DIAGNOSES WITHOUT MEDICAL COMPLICATIONS
395RED BLOOD CELL DISORDERS, AGE GREATER THAN 17
396RED BLOOD CELL DISORDERS, AGE 0–17
397COAGULATION DISORDERS
398RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC
399RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC
403LYMPHOMA AND NONACUTE LEUKEMIA WITH CC
404LYMPHOMA AND NONACUTE LEUKEMIA WITHOUT CC
405ACUTE LEUKEMIA WITHOUT MAJOR OR PROCEDURE, AGE 0–17
409RADIOTHERAPY
410CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS
411HISTORY OF MALIGNANCY WITHOUT ENDOSCOPY
412HISTORY OF MALIGNANCY WITH ENDOSCOPY
413OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASM DIAGNOSES WITH CC
414OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASM DIAGNOSES WITHOUT CC
416SEPTICEMIA, AGE GREATER THAN 17
417SEPTICEMIA, AGE 0–17
418POSTOPERATIVE AND POSTTRAUMATIC INFECTIONS
419FEVER OF UNKNOWN ORIGIN, AGE GREATER THAN 17 WITH CC
420FEVER OF UNKNOWN ORIGIN, AGE GREATER THAN 17 WITHOUT CC
421VIRAL ILLNESS, AGE GREATER THAN 17
422VIRAL ILLNESS AND FEVER OF UNKNOWN ORIGIN, AGE 0–17
423OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES
425ACUTE ADJUSTMENT REACTIONS AND DISTURBANCES OF PSYCHOSOCIAL DYSFUNCTION
426DEPRESSIVE NEUROSES
427NEUROSES EXCEPT DEPRESSIVE
428DISORDERS OF PERSONALITY AND IMPULSE CONTROL
429ORGANIC DISTURBANCES AND MENTAL RETARDATION
430PSYCHOSES
431CHILDHOOD MENTAL DISORDERS
432OTHER MENTAL DISORDER DIAGNOSES
433ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
434ALCOHOL/DRUG ABUSE OR DEPENDENCE, DETOXIFICATION OR OTHER SYMPTOMATIC TREATMENT WITH CC
435ALCOHOL/DRUG ABUSE OR DEPENDENCE, DETOXIFICATION OR OTHER SYMPTOMATIC TREATMENT WITHOUT CC
436ALCOHOL/DRUG DEPENDENCE WITH REHABILITATION THERAPY
437ALCOHOL DRUG DEPENDENCE WITH COMBINED REHABILITATION AND DETOXIFICATION THERAPY
444TRAUMATIC INJURY, AGE GREATER THAN 17 WITH CC
445TRAUMATIC INJURY, AGE GREATER THAN 17 WITHOUT CC
446TRAUMATIC INJURY, AGE 0–17
447ALLERGIC REACTIONS, AGE GREATER THAN 17
448ALLERGIC REACTIONS, AGE 0–17
449POISONING AND TOXIC EFFECTS OF DRUGS, AGE GREATER THAN 17 WITH CC
450POISONING AND TOXIC EFFECTS OF DRUGS, AGE GREATER THAN 17 WITHOUT CC
451POISONING AND TOXIC EFFECTS OF DRUGS, AGE 0–17
452COMPLICATIONS OF TREATMENT WITH CC
453COMPLICATIONS OF TREATMENT WITHOUT CC
454OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH CC
455OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT CC
456NO LONGER VALID
457NO LONGER VALID
460NO LONGER VALID
462REHABILITATION
463SIGNS AND SYMPTOMS WITH CC
464SIGNS AND SYMPTOMS WITHOUT CC
465AFTERCARE WITH HISTORY OF MALIGNANCY AS SECONDARY DIAGNOSIS
466AFTERCARE WITHOUT HISTORY OF MALIGNANCY AS SECONDARY DIAGNOSIS
467OTHER FACTORS INFLUENCING HEALTH STATUS
473ACUTE LEUKEMIA WITHOUT MAJOR OR PROCEDURE, AGE GREATER THAN 17
474NO LONGER VALID
475RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT
487OTHER MULTIPLE SIGNIFICANT TRAUMA
489HIV WITH MAJOR RELATED CONDITION
490HIV WITH OR WITHOUT OTHER RELATED CONDITION
492CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS
Metastatic cancer
ICD-9-CM diagnosis codes (includes all 4th and 5th digits):
196SECONDARY AND UNSPECIFIED MALIGNANT NEOPLASM OF LYMPH NODES
197SECONDARY MALIGNANT NEOPLASM OF RESPIRATORY AND DIGESTIVE SYSTEMS
198SECONDARY MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES
1990MALIGNANT NEOPLASM WITHOUT SPECIFICATION OF SITE, DISSEMINATED
Obstetric trauma
ICD-9-CM diagnosis codes:
664.30,1,4TRAUMA TO PERINEUM AND VULVA DURING DELIVERY, FOURTH-DEGREE PERINEAL LACERATION
665.30, 1, 4OTHER OBSTETRICAL TRAUMA, LACERATION OF CERVIX
665.40, 1, 4OTHER OBSTETRICAL TRAUMA, HIGH VAGINAL LACERATIONS
665.50, 1, 4OTHER OBSTETRICAL TRAUMA, OTHER INJURY TO PELVIC ORGANS
ICD-9-CM procedure codes:
75.50REPAIR OF CURRENT OBSTETRIC LACERATIONS UTERUS
75.51REPAIR OF CURRENT OBSTETRIC LACERATIONS OF CERVIX
75.52REPAIR OF CURRENT OBSTETRIC LACERATIONS OF CORPUS UTERI
75.61REPAIR OF CURRENT OBSTETRIC LACERATION OF BLADDER AND URETHRA
75.62REPAIR OF CURRENT OBSTETRIC LACERATION OF RECTUM AND SPHINCTER ANI
Physiologic and metabolic derangements
ICD-9-CM diagnosis codes:
DIABETES WITH KETOACIDOSIS:
250.10TYPE 2, OR UNSPECIFIED TYPE, NOT STATED AS UNCONTROLLED
250.11TYPE 1 NOT STATED AS UNCONTROLLED
250.12TYPE 2 OR UNSPECIFIED TYPE, UNCONTROLLED
250.13TYPE 1 UNCONTROLLED
DIABETES WITH HYPEROSMOLARITY:
250.20TYPE 2, OR UNSPECIFIED TYPE, NOT STATED AS UNCONTROLLED
250.21TYPE 1 NOT STATED AS UNCONTROLLED
250.22TYPE 2 OR UNSPECIFIED TYPE, UNCONTROLLED
250.23TYPE 1 UNCONTROLLED
DIABETES WITH OTHER COMA:
250.30TYPE 2, OR UNSPECIFIED TYPE, NOT STATED AS UNCONTROLLED
250.31TYPE 1 NOT STATED AS UNCONTROLLED
250.32TYPE 2 OR UNSPECIFIED TYPE, UNCONTROLLED
250.33TYPE 1 UNCONTROLLED
ACUTE RENAL FAILURE:
584.5WITH LESION OF TUBULAR NECROSIS
584.6WITH LESION OF RENAL CORTICAL NECROSIS
584.7WITH LESION OF RENAL MEDULLARY [PAPILLARY] NECROSIS
584.8WITH OTHER SPECIFIED PATHOLOGICAL LESION IN KIDNEY
584.9ACUTE RENAL FAILURE, UNSPECIFIED
Poisoning
ICD-9-CM diagnosis codes (includes 4th and 5th digits):
960POISONING BY ANTIBIOTICS
961POISONING BY OTHER ANTI-INFECTIVES
962POISONING BY HORMONES AND SYNTHETIC SUBSTITUTES
963POISONING BY PRIMARILY SYSTEMIC AGENTS
964POISONING BY AGENTS PRIMARILY AFFECTING BLOOD CONSTITUENTS
965POISONING BY ANALGESICS, ANTIPYRETICS, AND ANTIRHEUMATICS
966POISONING BY ANTICONVULSANTS AND ANTI-PARKINSONISM DRUGS
967POISONING BY SEDATIVES AND HYPNOTICS
968POISONING BY OTHER CENTRAL NERVOUS SYSTEM DEPRESSANTS AND ANESTHETICS
969POISONING BY PSYCHOTROPIC AGENTS
970POISONING BY CENTRAL NERVOUS SYSTEM STIMULANTS
971POISONING BY DRUGS PRIMARILY AFFECTING THE AUTONOMIC NERVOUS SYSTEM
972POISONING BY AGENTS PRIMARILY AFFECTING THE CARDIOVASCULAR SYSTEM
973POISONING BY AGENTS PRIMARILY AFFECTING THE GASTROINTESTINAL SYSTEM
974POISONING BY WATER, MINERAL, AND URIC ACID METABOLISM DRUGS
975POISONING BY AGENTS PRIMARILY ACTING ON THE SMOOTH AND SKELETAL MUSCLES AND RESPIRATORY SYSTEM
976POISONING BY AGENTS PRIMARILY AFFECTING SKIN AND MUCOUS MEMBRANE, OPTHAMOLOGICAL, OTORHINOLARYNCOLOGICAL AND DENTAL DRUGS
977POISONING BY OTHER AND UNSPECIFIED DRUGS AND MEDICINAL SUBSTANCES
978POISONING BY BACTERIAL VACCINES
979POISONING BY OTHER VACCINES AND BIOLOGICAL SUBSTANCES
E850ACCIDENTAL POISONING BY ANALGESICS, ANTIPYRETICS, AND ANTIRHEUMATICS
E851ACCIDENTAL POISONING BY BARBITURATES
E852ACCIDENTAL POISONING BY OTHER SEDATIVES AND HYPNOTICS
E853ACCIDENTAL POISONING BY TRANQUILIZERS
E854ACCIDENTAL POISONING BY OTHER PSYCHOTROPIC AGENTS
E855ACCIDENTAL POISONING BY OTHER DRUGS ACTING ON CENTRAL AND AUTONOMIC NERVOUS SYSTEM
E856ACCIDENTAL POISONING BY ANTIBIOTICS
E857ACCIDENTAL POISONING BY OTHER ANTI-INFECTIVES
E858ACCIDENTAL POISONING BY OTHER DRUGS
E860ACCIDENTAL POISONING BY ALCOHOL, NEC
E861ACCIDENTAL POISONING BY CLEANING AND POLISHING AGENTS, DISINFECTANTS, PAINTS, AND VARNISHES
E862ACCIDENTAL POISONING BY PETROLEUM PRODUCTS, OTHER SOLVENTS AND THEIR VAPORS, NEC
E863ACCIDENTAL POISONONING BY AGRICULTURAL AND HORTICULTURAL CHEMICAL AND PHARMACEUTICAL PREPARATIONS OTHER THAN PLANT FOODS AND FERTILIZERS
E864ACCIDENTAL POISONING BY CORROSIVES AND CAUSTICS, NEC
E865ACCIDENTAL POISONING FROM POISONOUS FOODSTUFFS AND POISONOUS PLANTS
E866ACCIDENTAL POISONG BY OTHER AND UNSPECIFIED SOLID AND LIQUID SUBSTANCES
E867ACCIDENTAL POISONOING BY GAS DISTRIBUTED BY PIPELINE
E868ACCIDENTAL POISONING BY OTHER UTILITY GAS AND OTHER CARBON MONOXIDE
E869ACCIDENTAL POISONING BY OTHER GASES AND VAPORS
E951SUICIDE AND SELF-INFLICTED POISONING BY GASES IN DOMESTIC USE
E952SUICIDE AND SELF-INFLICTED POISONING BY OTHER GASES AND VAPORS
E962ASSAULT BY POISONING
E980POISONING BY SOLID OR LIQUID SUBSTANCES, UNDETERMINED WHETHER ACCIDENTALLY OR PURPOSELY INFLICTED
E981POISONING BY GASES IN DOMESTIC USE, UNDETERMINED WHETHER ACCIDENTALLY OR PURPOSELY INFLICTED
E982POISONING BY OTHER GASES, UNDETERMINED WHETHER ACCIDENTALLY OR PURPOSELY INFLICTED
Postoperative hematoma
ICD-9-CM diagnosis codes:
998.12HEMATOMA COMPLICATING A PROCEDURE
Postoperative hemorrhage or hematoma
ICD-9-CM diagnosis codes:
998.11HEMORRHAGE COMPLICATING A PROCEDURE
Preterm infant
ICD-9-CM diagnosis codes:
765.01–765.08 EXTREME IMMATURITY
765.11–765.18 OTHER PRETERM INFANTS
Pulmonary embolism
ICD-9-CM diagnosis codes:
415.11IAGTROGENIC PULMONARY EMBOLISM AND INFARCTION
415.19OTHER PULMONARY EMBOLISM
Seizure
ICD-9-CM diagnosis codes:
345.00GENERALIZED NONCONVULSIVE EPILEPSY - WITHOUT MENTION OF INTRACTABLE EPILEPSY
345.01GENERALIZED NONCONVULSIVE EPILEPSY - WITH INTRACTABLE EPILEPSY
345.10GENERALIZED CONVULSIVE EPILEPSY - WITHOUT MENTION OF INTRACTABLE EPILEPSY
345.11GENERALIZED CONVULSIVE EPILEPSY - WITH INTRACTABLE EPILEPSY
345.2EPILEPSY-PETIT MAL STATUS
345.3EPILEPSY-GRAND MAL STATUS
345.40PARTIAL EPILEPSY, WITH IMPAIRMENT OF CONSCIOUSNESS - WITH INTRACTABLE EPILEPSY
345.41PARTIAL EPILEPSY, WITH IMPAIRMENT OF CONSCIOUSNESS - WITHOUT MENTION OF INTRACTABLE EPILEPSY
345.50PARTIAL EPILEPSY, WITHOUT MENTION OF IMPAIRMENT OF CONSCIOUSNESS, - WITHOUT MENTION OF INTRACTABLE EPILEPSY
345.51PARTIAL EPILEPSY, WITHOUT MENTION OF IMPAIRMENT OF CONSCIOUSNESS - WITH INTRACTABLE EPILEPSY
345.60INFANTILE SPASMS - WITHOUT MENTION OF INTRACTABLE EPILEPSY
345.61INFANTILE SPASMS - WITH INTRACTABLE EPILEPSY
345.70EPILEPSIA PARTIALIS CONTINUA - WITHOUT MENTION OF INTRACTABLE EPILEPSY
345.71EPILEPSIA PARTIALIS CONTINUA - WITH INTRACTABLE EPILEPSY
345.80OTHER FORMS OF EPILEPSY - WITHOUT MENTION OF INTRACTABLE EPILEPSY
345.81OTHER FORMS OF EPILEPSY - WITH INTRACTABLE EPILEPSY
345.90EPILEPSY, UNSPECIFIED - WITHOUT MENTION OF INTRACTABLE EPILEPSY
345.91EPILEPSY, UNSPECIFIED - WITH INTRACTABLE EPILEPSY
780.31FEBRILE CONVULSIONS
780.39OTHER CONVULSIONS
780.3CONVULSIONS (OLD CODE NO LONGER VALID)
Self inflicted injury
ICD-9-CM diagnosis codes:
SUICIDE AND SELF-INFLICTED POISONING BY SOLID OR LIQUID SUBSTANCE:
E950.0ANALGESICS, ANTIPYRETICS, AND ANTIRHEUMATICS
E950.1BARBITURATES
E950.2OTHER SEDATIVE AND HYPNOTICS
E950.3TRANQUILIZIERS AND OTHER PSYCHOTROPIC AGENTS
E950.4OTHER SPECIFIED DRUGS AND MEDICINAL SUBSTANCES
E950.5UNSPECIFIED DRUG OR MEDICINAL SUBSTANCE
E950.6AGRICULTURAL AND HORTICULTURAL CHEMICAL AND PHARMACEUTICAL PREPARATIONS OTHER THAN PLANT FOODS AND FERTILIZERS
E950.7CORROSIVE AND CAUSTIC SUBSTANCES
E950.8ARSENIC AND ITS COMPOUNDS
E950.9OTHER AND UNSPECIFIED SOLID AND LIQUID SUBSTANCES
SUICIDE AND SELF-INFLICED POISONING BY GASES IN DOMESTIC USE:
E951.0GAS DISTRIBUTED BY PIPELINE
E951.1LIQUEFIED PETROLEUM GAS DISTRIBUTED IN MOBILE CONTAINERS
E951.8OTHERS UTILITY GASES
E952.0MOTOR VEHICLE EXHAUST GAS
E952.1OTHER CARBON MONOXIDE
E952.8OTHER SPECIFIED GASES AND VAPORS
E952.9UNSPECIFIED GASES AND VAPORS
SUICIDE AND SELF-INFLICTED INJURY BY HANGING, STRANGULATION, AND SUFFOCATION:
E953.0HANGING
E953.1SUFFOCATION BY PLASTIC BAG
E953.8OTHER SPECIFIED MEANS
E954SUICIDE AND SELF-INFLICTED INJURY BY SUBMERSION [DROWNING]
SUICIDE AND SELF-INFLICTED INJURY BY FIREARMS AND EXPLOSIVES:
E955.0HANDGUN
E955.1SHOTGUN
E955.2HUNTING RIFLE
E955.3MILITARY FIREARMS
E955.4OTHER AND UNSPECIFIED FIREARMS
E955.5EXPLOSIVES
E955.9UNSPECIFIED
E956SUICIDE AND SELF INFLICTED INJURY BY CUTTING AND PIERCING INSTRUMENT
SUICIDE AND SELF-INFLICTED INJURY BY JUMPING FROM A HIGH PLACE:
E957.0RESIDENTIAL PREMISES
E957.1OTHER MAN-MADE STRUCTURES
E957.2NATURAL SITES
E957.3UNSPECIFIED
SUICIDE AND SELF-INFLICTED INJURY BY OTHER AND UNSPECIFIED MEANS:
E958.0JUMPING OR LYING BEFORE MOVING OBJECT
E958.1BURNS, FIRE
E958.2SCALD
E958.3EXTREMES OF COLD
E958.4ELECTROCUTION
E958.5CRASHING OF MOTOR VEHICLE
E958.6CRASHING OF AIRCRAFT
E958.7CAUSTIC SUBSTANCES EXCEPT POISONING
E958.8OTHER SPECIFIED MEANS
E958.9UNSPECIFIED MEANS
Sepsis
ICD-9-CM diagnosis codes:
038.0STREPTOCOCCAL SEPTICEMIA
038.10STAPHYLOCOCCAL SEPTICEMIA, UNSPECIFIED
038.11STAPHYLOCOCCUS AUREUS SEPTICEMIA
038.19OTHER STAPHYLOCOCCAL SEPTICEMIA
038.2PNEUMOCOCCAL SEPTICEMIA (STREPTOCOCCUS PNEUMONIAE SEPTICEMIA)
038.3SEPTICEMIA DUE TO ANAEROBES
SEPTICEMIA DUE TO
038.40GRAM-NEGATIVE ORGANISM, UNSPECIFIED
038.41HEMOPHILUS INFLUENZAE
038.42ESCHERICHIA COLI
038.43PSEUDOMONAS
038.44SERRATIA
038.49SEPTICEMIA DUE TO OTHER GRAM-NEGATIVE ORGANISMS
038.8OTHER SPECIFIED SEPTICEMIAS
038.9UNSPECIFIED SEPTICEMIA
Shock
ICD-9-CM diagnosis codes:
SHOCK WITHOUT MENTION OF TRAUMA:
785.50SHOCK, UNSPECIFIED
785.51CARDIOGENIC SHOCK
785.59OTHER
Stroke
ICD-9-CM diagnosis codes:
430SUBARACHNOID HEMORRHAGE
431INTRACEREBRAL HEMORRHAGE
432.0NONTRAUMATIC EXTRADURAL HEMORRHAGE
432.1SUBDURAL HEMORRHAGE
432.9UNSPECIFIED INTRACRANIAL HEMORRHAGE
436ACUTE, BUT ILL-DEFINED CEREBROVASCULAR DISEASE
OCCLUSION AND STENOSIS OF PRECEREBRAL ARTERIES:
433.01BASILAR ARTERY, WITH CEREBRAL INFARCTION
433.11CAROTID ARTERY, WITH CEREBRAL INFARCTION
433.21VERTEBRAL ARTERY, WITH CEREBRAL INFARCTION
433.31MULTIPLE AND BILATERAL WITH CEREBRAL INFARCTION
433.81OTHER SPECIFIED PRECEREBRAL ARTERY WITH CEREBRAL INFARCTION
433.91OCCLUSION AND STENOSIS OF PRECEREBRAL ARTERIES, UNSPECIFIED PRECEREBRAL ARTERY WITH CEREBRAL INFARCTION
OCCLUSION OF CEREBRAL ARTERIES:
434.01CEREBRAL THROMBOSIS - WITH CEREBRAL INFARCTION
434.11CEREBRAL EMBOLISM - WITH CEREBRAL INFARCTION
434.91CEREBRAL ARTERY OCCLUSION, UNSPECIFIED - WITH CEREBRAL INFARCTION
Surgical
Diagnostic Related Groups (DRGs):
001CRANIOTOMY, AGE GREATER THAN 17 EXCEPT FOR TRAUMA
002CRANIOTOMY FOR TRAUMA, AGE GREATER THAN 17
003CRANIOTOMY, AGE 0–17
004SPINAL PROCEDURES
005EXTRACRANIAL VASCULAR PROCEDURES
006CARPAL TUNNEL RELEASE
007PERIPHERAL AND CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC
008PERIPHERAL AND CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC
036RETINAL PROCEDURES
037ORBITAL PROCEDURES
038PRIMARY IRIS PROCEDURES
039LENS PROCEDURES WITH OR WITHOUT VITRECTOMY
040EXTRAOCULAR PROCEDURES EXCEPT ORBIT, AGE GREATER THAN 17
041EXTRAOCULAR PROCEDURES EXCEPT ORBIT, AGE 0–17
042INTRAOCULAR PROCEDURES EXCEPT RETINA, IRIS AND LENS
049MAJOR HEAD AND NECK PROCEDURES
050SIALOADENECTOMY
051SALIVARY GLAND PROCEDURES EXCEPT SIALOADENECTOMY
052CLEFT LIP AND PALATE REPAIR
053SINUS AND MASTOID PROCEDURES, AGE GREATER THAN 17
054SINUS AND MASTOID PROCEDURES, AGE 0–17
055MISCELLANEOUS EAR, NOSE, MOUTH AND THROAT PROCEDURES
056RHINOPLASTY
057TONSILLECTOMY AND ADENOIDECTOMY PROCEDURES EXCEPT TONSILLECTOMY AND/OR ADENOIDECTOMY ONLY, AGE GREATER THAN 17
058TONSILLECTOMY AND ADENOIDECTOMY PROCEDURES EXCEPT TONSILLECTOMY AND/OR ADENOIDECTOMY ONLY, AGE 0–17
059TONSILLECTOMY AND/OR ADENOIDECTOMY ONLY, AGE GREATER THAN 17
060TONSILLECTOMY AND/OR ADENOIDECTOMY ONLY, AGE 0–17
061MYRINGOTOMY WITH TUBE INSERTION, AGE GREATER THAN 17
062MYRINGOTOMY WITH TUBE INSERTION, AGE 0–17
063OTHER EAR, NOSE, MOUTH AND THROAT OR PROCEDURES
075MAJOR CHEST PROCEDURES
076OTHER RESPIRATORY SYSTEM OR PROCEDURES WITH CC
077OTHER RESPIRATORY SYSTEM OR PROCEDURES WITHOUT CC
103HEART TRANSPLANT
104CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION
105CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION
106CORONARY BYPASS WITH PTCA
107CORONARY BYPASS WITH CARDIAC CATHETERIZATION
108OTHER CARDIOTHORACIC PROCEDURES
109CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION
110MAJOR CARDIOVASCULAR PROCEDURES WITH CC
111MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC
112PERCUTANEOUS CARDIOVASCULAR PROCEDURES
113AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE
114UPPER LIMB AND TOES AMPUTATION FOR CIRCULATORY SITE
115PERMANENT CARDIAC PACEMAKER IMPLANT WITH ACUTE MYOCARDIAL INFARCTION, HEART FAILURE OR SHOCK OR ACID LEAD OR GENERATOR PROCEDURE
116OTHER PERMANENT CARDIAC PACEMAKER IMPLANT OR PTCA WITH CORONARY ARTERIAL STENT
117CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT
118CARDIAC PACEMAKER DEVICE REPLACEMENT
119VEIN LIGATION AND STRIPPING
120OTHER CIRCULATORY SYSTEM OR PROCEDURES
146RECTAL RESECTION WITH CC
147RECTAL RESECTION WITHOUT CC
148MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC
149MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC
150PERITONEAL ADHESIOLYSIS WITH CC
151PERITONEAL ADHESIOLYSIS WITHOUT CC
152MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC
153MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC
154STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES, AGE GREATER THAN 17 WITH CC
155STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES, AGE GREATER THAN 17 WIHOUT CC
156STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES, AGE 0–17
157ANAL AND STOMAL PROCEDURES WITH CC
158ANAL AND STOMAL PROCEDURES WITHOUT CC
159HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL, AGE GREATER THAN 17 WITH CC
160HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL, AGE GREATER THAN 17 WITHOUT CC
161INGUINAL AND FEMORAL HERNIA PROCEDURES, AGE GREATER THAN 17 WITH CC
162INGUINAL AND FEMORAL HERNIA PROCEDURES, AGE GREATER THAN 17 WITHOUT CC
163HERNIA PROCEDURES, AGE 0–17
164APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC
165APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC
166APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC
167APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC
168MOUTH PROCEDURES WITH CC
169MOUTH PROCEDURES WITHOUT CC
170OTHER DIGESTIVE SYSTEM OR PROCEDURES WITH CC
171OTHER DIGESTIVE SYSTEM OR PROCEDURES WITHOUT CC
191PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC
192PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC
193BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT COMMON DUCT EXPLORATION WITH CC
194BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT COMMON DUCT EXPLORATION WITHOUT CC
195CHOLECYSTECTOMY WITH COMMON DUCT EXPLORATION WITH CC
196CHOLECYSTECTOMY WITH COMMON DUCT EXPLORATION WITHOUT CC
197CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT COMMON DUCT EXPLORATION WITH CC
198CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT COMMON DUCT EXPLORATION WITHOUT CC
199HEPATOBILIARY DIAGNOSTIC PROCEDURE FOR MALIGNANCY
200HEPATOBILIARY DIAGNOSTIC PROCEDURE FOR NONMALIGNANCY
201OTHER HEPATOBILIARY OR PANCREAS OR PROCEDURES
209MAJOR JOINT AND LIMB REATTACHMENT PROCEDURES OF LOWER EXTREMITY
210HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT PROCEDURES, AGE GREATER THAN 17 WITH CC
211HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT PROCEDURES, AGE GREATER THAN 17 WITHOUT CC
212HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT PROCEDURE, AGE 0–17
213AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS
214NO LONGER VALID
215NO LONGER VALID
216BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE
217WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS
218LOWER EXTREMITY AND HUMERUS PROCEURES EXCEPT HIP, FOOT AND FEMUR, AGE GREATER THAN 17 WITH CC
219LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR, AGE GREATER THAN 17 WITHOUT CC
220LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR, AGE 0–17
221NO LONGER VALID
222NO LONGER VALID
223MAJOR SHOULDER/ELBOW PROCEDURES OR OTHER UPPER EXTREMITY PROCEDURES WITH CC
224SHOULDER, ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC
225FOOT PROCEDURES
226SOFT TISSUE PROCEDURES WITH CC
227SOFT TISSUE PROCEDURES WITHOUT CC
228MAJOR THUMB OR JOINT PROCEDURES OR OTHER HAND OR WRIST PROCEDURES WITH CC
229HAND OR WRIST PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC
230LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR
231LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR
232ARTHROSCOPY
233OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE OR PROCEDURES WITH CC
234OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE OR PROCEDURES WITHOUT CC
257TOTAL MASTECTOMY FOR MALIGNANCY WITH CC
258TOTAL MASTECTOMY FOR MALIGNANCY WITHOUT CC
259SUBTOTAL MASTECTOMY FOR MALIGNANCY WITH CC
260SUBTOTAL MASTECTOMY FOR MALIGNANCY WITHOUT CC
261BREAST PROCEDURE FOR NONMALIGNANCY EXCEPT BIOPSY AND LOCAL EXCISION
262BREAST BIOPSY AND LOCAL EXCISION FOR NONMALIGNANCY
263SKIN GRAFT AND/OR DEBRIDEMENT FOR SKIN ULCER OR CELLULITIS WITH CC
264SKIN GRAFT AND OR DEBRIDEMENT FOR SKIN ULCER OR CELLULITIS WITHOUT CC
265SKIN GRAFT AND OR DEBRIDEMENT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC
266SKIN GRAFT AND/OR DEBRIDEMENT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC
267PERIANAL AND PILONIDAL PROCEDURES
268SKIN, SUBCUTANEOUS TISSUE AND BREAST PLASTIC PROCEDURES
269OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC
270OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURS WITHOUT CC
285AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
286ADRENAL AND PITUITARY PROCEDURES
287SKIN GRAFTS AND WOUND DEBRIDEMENTS FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
288OR PROCEDURES FOR OBESITY
289PARATHYROID PROCEDURES
290THYROID PROCEDURES
291THYROGLOSSAL PROCEDURES
292OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC OR PROCEDURES WITH CC
293OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC OR PROCEDURES WITHOUT CC
302KIDNEY TRANSPLANT
303KIDNEY, URETER AND MAJOR BLADDER PROCEDURES FOR NEOPLASM
304KIDNEY, URETER AND MAJOR BLADDER PROCEDURES FOR NONNEOPLASMS WITH CC
305KIDNEY, URETER AND MAJOR BLADDER PROCEDURES FOR NONNEOPLASMS WITHOUT CC
306PROSTATECTOMY WITH CC
307PROSTATECTOMY WITHOUT CC
308MINOR BLADDER PROCEDURES WITH CC
309MINOR BLADDER PROCEDURES WITHOUT CC
310TRANSURETHRAL PROCEDURES WITH CC
311TRANSURETHRAL PROCEDURES WITHOUT CC
312URETHRAL PROCEDURES, AGE GREATER THAN 17 WITH CC
313URETHRAL PROCEDURES, AGE GREATER THAN 17 WITHOUT CC
314URETHRAL PROCEDURES, AGE 0–17
315OTHER KIDNEY AND URINARY TRACT OR PROCEDURES
334MAJOR MALE PELVIC PROCEDURES WITH CC
335MAJOR MALE PELVIC PROCEDURES WITHOUT CC
336TRANSURETHRAL PROSTATECTOMY WITH CC
337TRANSURETHRAL PROSTATECTOMY WITHOUT CC
338TESTES PROCEDURES FOR MALIGNANCY
339TESTES PROCEDURES FOR NONMALIGNANCY, AGE GREATER THAN 17
340TESTES PROCEDURES FOR NONMALIGNANCY, AGE 0–17
341PENIS PROCEDURES
342CIRCUMCISION, AGE GREATER THAN 17
343CIRCUMCISION, AGE 0–17
344OTHER MALE REPRODUCTIVE SYSTEM OR PROCEDURES FOR MALIGNANCY
345OTHER MALE REPRODUCTIVE SYSTEM OR PROCEDURES EXCEPT FOR MALIGNANCY
353PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY
354UTERINE AND ADNEXA PROCEDURES FOR NONOVARIAN/ADNEXAL MALIGNANCY WITH CC
355UTERINE AND ADNEXA PROCEDURES FOR NONOVARIAN/ADNEXA PROCEDURES FOR NONOVARIAN/ADNEXAL MALIGNANCY WITHOUT CC
356FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
357UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY
358UTERINE AND ADNEXA PROCEDURES FOR NONMALIGNANCY WITH CC
359UTERINE AND ADNEXA PROCEDURES FOR NONMALIGNANCY WITHOUT CC
360VAGINA, CERVIX AND VULVA PROCEDURES
361LAPAROSCOPY AND INCISIONAL TUBAL INTERRUPTION
362ENDOSCOPIC TUBAL INTERRUPTION
363D AND C, CONIZATION AND RADIOIMPLANT FOR MALIGNANCY
364D AND C, CONIZATION EXCEPT FOR MALIGNANCY
365OTHER FEMALE REPRODUCTIVE SYSTEM OR PROCEDURES
370CESAREAN SECTION WITH CC
371CESAREAN SECTION WITHOUT CC
374VAGINAL DELIVERY WITH STERILIZATION AND/OR D AND C
375VAGINAL DELIVERY WITH OR PROCEDURE EXCEPT STERILIZATION AND/OR D AND C
377POSTPARTUM AND POSTABORTION DIAGNOSES WITH OR PROCEDURE
381ABORTION WITH D AND C ASPIRATION CURETTAGE OR HYSTERECTOMY
392SPLENECTOMY, AGE GREATER THAN 17
393SPLENECTOMY, AGE 0–17
394OTHER OR PROCEDURES OF THE BLOOD AND BLOOD-FORMING ORGANS
400LYMPHOMA AND LEUKEMIA WITH MAJOR OR PROCEDURES
401LYMPHOMA AND NONACUTE LEUKEMIA WITH OTHER OR PROCEDURE WITH CC
402LYMPHOMA AND NONACUTE LEUKEMIA WITH OTHER OR PROCEDURE WITHOUT CC
406MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR OR PROCEDURES WITH CC
407MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR OR PROCEDURES WITHOUT CC
408MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER OR PROCEDURES
415OR PROCEDURE FOR INFECTIOUS AND PARASITIC DISEASES
424OR PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS
439SKIN GRAFTS FOR INJURIES
440WOUND DEBRIDEMENTS FOR INJURIES
441WOUND HAND PROCEDURES FOR INJURIES
442OTHER OR PROCEDURES FOR INJURIES WITH CC
443OTHER OR PROCEDURES FOR INJURIES
458NO LONGER VALID
459NO LONGER VALID
461OR PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES
468EXTENSIVE OR PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
471BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY
472NO LONGER VALID
476PROSTATIC OR PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
477NONEXTENSIVE OR PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
478OTHER VASCULAR PROCEDURES WITH CC
479OTHER VASCULAR PROCEDURES WITHOUT CC
480LIVER TRANSPLANT
481BONE MARROW TRANSPLANT
482TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES
483TRACHEOSTOMY EXCEPT FOR FACE, MOUTH AND NECK DIAGNOSES
484CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
485LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
486OTHER OR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
488HIV WITH EXTENSIVE OR PROCEDURE
491MAJOR JOINT AND LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITY
493LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT COMMON DUCT EXPLORATION WITH CC
494LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT COMMON DUCT EXPLORATION WITHOUT CC
495LUNG TRANSPLANT
496COMBINED ANTERIOR/POSTERIOR SPINAL FUSION
497SPINAL FUSION WITH CC
498SPINAL FUSION WITHOUT CC
499BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC
500BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC
501KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION, WITH CC
502KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION, WITHOUT CC
503KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION
Syncope
ICD-9-CM diagnosis codes:
780.2SYNCOPE AND COLLAPSE
Technical difficulty
ICD-9-CM diagnosis codes:
ACCIDENTAL CUT, PUNCTURE, PERFORATION, OR HEMORRHAGE DURING:
E870.0SURGICAL OPERATION
E870.1INFUSION OR TRANSFUSION
E870.2KIDNEY DIALYSIS OR OTHER PERFUSION
E870.3INJECTION OR VACCINATION
E870.4ENDOSCOPIC EXAMINATION
E870.5ASPIRATION OF FLUID OR TISSUE, PUNCTURE, AND CATHETERIZATION
E870.6HEART CATHETERIZATION
E870.7ADMINISTRATION OF ENEMA
E870.8OTHER SPECIFIED MEDICAL CARE
E870.9UNSPECIFIED MEDICAL CARE
998.2ACCIDENTAL PUNCTURE OR LACERATION DURING A PROCEDURE
Thoracic surgery
ICD-9-CM procedure codes:
31.21MEDIASTINAL TRACHEOSTOMY
31.45OPEN BIOPSY OF LARYNX OR TRACHEA
31.73CLOSURE OF OTHER FISTULA OF TRACHEA
31.79OTHER REPAIR AND PLASTIC OPERATIONS ON TRACHEA
31.99OTHER OPERATIONS ON TRACHEA
32.09OTHER LOCAL EXCISION OR DESTRUCTION OF LESION OR TISSUE OF BRONCHUS
32.1OTHER EXCISION OF BRONCHUS
32.21PLICATION OF EMPHYSEMATIOUS BLEB
32.22LUNG VOLUME REDUCTION SURGERY
32.28ENDOSCOPIC EXCISION OR DESTRUCTION OF LESION OR TISSUE OF LUNG
32.29OTHER LOCAL EXCISION OR DESTRUCTION OF LESION OR TISSUE OF LUNG
32.3SEGMENTAL RESECTION OF LUNG
32.4LOBECTOMY OF LUNG
32.5COMPLETE PNEUMONECTOMY
32.6RADICAL DISSECTION OF THORACIC STRUCTURES
32.9OTHER EXCISION OF LUNG
33.0INCISION OF BRONCHUS
33.1INCISION OF LUNG
33.25OPEN BIOPSY OF BRONCHUS
33.26CLOSED [PERCUTANEOUS][NEEDLE] BIOPSY OF LUNG
33.27CLOSED ENDOSCOPIC BIOPSY OF LUNG
33.28OPEN BIOPSY OF LUNG
33.31DESTRUCTION OF PHRENIC NERVE FOR COLLAPSE OF LUNG (NO LONGER PERFORMED)
33.32ARTIFICAL PNEUMOTHORAX FOR COLLAPSE OF LUNG
33.34THORACOPLASTY
33.39OTHER SURGICAL COLLAPSE OF LUNG
33.41SUTURE OF LACERATION OF BRONCHUS
33.42CLOSURE OF BRONCHIAL FISTULA
33.43CLOSURE OF LACERATION OF LUNG
33.48OTHER REPAIR AND PLASTIC OPERATIONS ON BRONCHUS
33.49OTHER REPAIR AND PLASTIC OPERATIONS ON LUNG
33.50LUNG TRANSPLANTATION, NOS
33.51UNILATERAL LUNG TRANSPLANTATION
33.52BILATERAL LUNG TRANSPLANTATION
33.6COMBINED HEART-LUNG TRANSPLANTATION
33.92LIGATION OF BRONCHUS
33.93PUNCTURE OF LUNG
33.98OTHER OPERATIONS ON BRONCHUS
33.99OTHER OPERATIONS ON LUNG
33.29OTHER DIAGNOSTIC PROCEDURE ON LUNG AND BRONCHUS
33.33PNEUMOPERITONEUM FOR COLLAPSE OF LUNG
34.01INCISION OF CHEST WALL
34.02EXPLORATORY THORACOTOMY
34.03REOPENING OF RECENT THORACOTOMY SITE
34.05CREATION OF PLEUROPERITONEAL SHUNT
34.09OTHER INCISION OF PLEURA
34.1INCISION OF MEDIASTINUM
34.21TRANSPLEURAL THORACOSOCOPY
34.22MEDIASTINOSCOPY
34.23BIOPSY OF CHEST WALL
34.24PLEURAL BIOPSY
34.25CLOSED [PERCUTANEOUS][NEEDLE] BIOPSY OF MEDIASTINUM
34.26OPEN BIOPSY OF MEDIASTINUM
34.27BIOPSY OF DIAPHRAGM
34.28OTHER DIAGNOSTIC PROCEDURES ON CHEST WALL, PLEURA, AND DIAPHRAGM
34.29OTHER DIAGNOSTIC PROCEDURES ON MEDIASTINUM
34.3EXCISION OR DESTRUCTION OF LESION OR TISSUE OF MEDIASTINUM
34.4EXCISION OR DESTRUCTION OF LESION OF CHEST WALL
34.51DECORTICATION OF LUNG
34.59OTHER EXCISION OF PLEURA
34.71SUTURE OF LACERATION OF CHEST WALL
34.72CLOSURE OF THORACOSTOMY
34.73CLOSURE OF OTHER FISTULA OF THORAX
34.74REPAIR OF PECTUS DEFORMITY
34.79OTHER REPAIR OF CHEST WALL
34.81EXCISION OF LESION OR TISSUE OF DIAPHRAGM
34.82SUTURE OF LACERATION OF DIAPHRAGM
34.83CLOSURE OF FISTULA OF DIAPHRAGM
34.84OTHER REPAIR OF DIAPHRAGM
34.85IMPLANTATION OF DIAPHRAGMATIC PACEMAKER
34.89OTHER OPERATIONS ON DIAPHRAGM
34.93REPAIR OF PLEURA
34.99OTHER
40.61CANNULATION OF THORACIC DUCT
40.62FISTULIZATION OF THORACIC DUCT
40.63CLOSURE OF FISTULA OF THORACIC DUCT
40.64LIGATION OF THORACIC DUCT
40.69OTHER OPERATIONS ON THORACIC DUCT
42.01INCISION OF ESOPHAGEAL WEB
42.09OTHER INCISION OF ESOPHAGUS
42.10ESOPHAGOSTOMY, NOS
42.11CERVICAL ESOPHAGOSTOMY
42.12EXTERIORIZATION OF ESOPHAGEAL POUCH
42.19OTHER EXTERNAL FISTULIZATION OF ESOPHAGUS
42.21OPERATIVE ESOPHAGOSCOPY BY INCISION
42.25OPEN BIOPSY OF ESOPHAGUS
42.31LOCAL EXCISION OF ESOPHAGEAL DIVERTICULUM
42.32LOCAL EXCISION OF OTHER LESION OR TISSUE OF ESOPHAGUS
42.39OTHER DESTRUCTION OF LESION OR TISSUE OF ESOPHAGUS
42.40ESOPHAGECTOMY, NOS
42.41PARTIAL ESOPHAGECTOMY
42.42TOTAL ESOPHAGECTOMY
42.51INTRATHORACIC ESOPHAGOESOPHAGOSTOMY
42.52INTRATHORACIC ESOPHAGOGASTROSTOMY
42.53INTRATHORACIC ESOPHAGEAL ANASTOMOSIS WITH INTERPOSITION OF SMALL BOWEL
42.54OTHER INTRATHORACIC ESOPHAGOENTEROSTOMY
42.55INTRATHORACIC ESOPHAGEAL ANASTOMOSIS WITH INTERPOSITION OF COLON
42.56OTHER INTRATHORACIC ESOPHAGOCOLOSTOMY
42.58INTRATHORACIC ESOPHAGEAL ANASTOMOSIS WITH OTHER INTERPOSITION
42.59OTHER INTRATHORACIC ANASTOMOSIS OF ESOPHAGUS
42.61ANTESTERNAL ESOPHAGOESOPHAGOSTOMY
42.62ANTESTERNAL ESOPHAGOGASTROSTOMY
42.63ANTESTERNAL ESOPHAGEAL ANASTOMOSIS WITH INTERPOSITION OF SMALL BOWEL
42.64OTHER ANTESTERNAL ESOPHAGOENTEROSTOMY
42.65ANTESTERNAL ESOPHAGEAL ANASTOMOSIS WITH INTERPOSITION OF COLON
42.66OTHER ANTESTERNAL ESOPHAGOCOLOSTOMY
42.68OTHER ANTESTERNAL ESOPHAGEAL ANASTOMOSIS WITH INTERPOSITION
42.69OTHER ANTESTERNAL ANASTOMOSIS OF ESOPHAGUS
42.7ESOPHAGOMYOTOMY
42.81INSERTION OF PERMANENT TUBE INTO ESOPHAGUS
42.82SUTURE OF LACERATION OF ESOPHAGUS
42.83CLOSURE OF ESOPHAGOSTOMY
42.84REPAIR OF ESOPHAGEAL FISTULA, NEC
42.85REPAIR OF ESOPHAGEAL STRICTURE
42.86PRODUCTION OF SUBCUTANEOUS TUNNEL WITHOUT ESOPHAGEAL ANASTOMOSIS
42.87OTHER GRAFT OF ESOPHAGUS
42.89OTHER REPAIR OF ESOPHAGUS
44.65ESOPHAGOGASTROPLASTY
44.66OTHER PROCEDURES FOR CREATION OF ESOPHAGOGASTRIC SPHINCTERIC COMPETENCE
81.04DORSAL AND DORSO-LUMBAR FUSION, ANTERIOR TECHNIQUE
Transferred to acute care facility
DISCHARGE DISPOSITION RECORDED AS TRANSFER TO ANOTHER ACUTE CARE FACILITY
Transferred from acute care facility
ADMISSION SOURCE IS RECORDED AS ACUTE CARE FACILITY
Transfusion reaction
ICD-9-CM diagnosis codes:
999.6ABO INCOMPATIBILITY REACTION
999.7RH INCOMPATIBILITY REACTION
E876.0MISMATCHED BLOOD IN TRANSFUSION
Trauma
ICD-9-CM diagnosis codes ( includes 4th and 5th digits):
800FRACTURE OF VAULT OF SKULL
801FRACTURE OF BASE OF SKULL
802FRACTURE OF FACE BONES
803OTHER AND UNQUALIFIED SKULL FRACTURES
804MULTIPLE FRACTURES INVOLVING SKULL OR FACE WITH OTHER BONES
805FRACTURE OF VERTEBRAL COLUMN WITHOUT MENTION OF SPINAL CORD INJURY
806FRACTURE OF VERTEBRAL COLUMN WITH SPINAL CORD INJURY
807FRACTURE OF RIB[S] STERNUM, LARYNX, AND TRACHEA
808FRACTURE OF PELVIS
809ILL-DEFINED FRACTURES OF BONES OF TRUNK
810FRACTURE OF CLAVICLE
811FRACTURE OF SCAPULA
812FRACTURE OF HUMEROUS
813FRACTURE OF RADIUS AND ULNA
814FRACTURE OF CARPAL BONE[S]
815FRACTURE OF METACARPAL BONE[S]
817MULTIPLE FRACTURES OF HAND BONES
818ILL-DEFINED FRACTURES OF UPPER LIMB
819MULTIPLE FRACTURES INVOLVING BOTH UPPER LIMBS, AND UPPER LIMB WITH RIB AND STERNUM
820FRACTURE OF NECK OF FEMUR
821FRACTURE OF OTHER AND UNSPECIFIED PARTS OF FEMUR
822FRACTURE OF PATELLA
823FRACTURE OF TIBIA AND FIBULA
824FRACTURE OF ANKLE
825FRACTURE OF ONE OR MORE TARSAL AND METATARSAL BONES
827OTHER, MULTIPLE, AND ILL-DEFINED FRACTURES OF LOWER LIMB
828MULTIPLE FRACTURES INVOLVING BOTH LOWER LIMBS, LOWER WITH UPPER LIMB, AND LOWER LIMB WITH RIB AND STERNUM
829FRACTURE OF UNSPECIFIED BONES
830DISLOCATION OF JAW
831DISLOCATION OF SHOULDER
832DISLOCATION OF ELBOW
833DISLOCATION OF WRIST
835DISLOCATION OF HIP
836DISLOCATION OF KNEE
837DISLOCATION OF ANKLE
838DISLOCATION OF FOOT
839OTHER, MULTIPLE, AND ILL-DEFINED DISLOCATIONS
850CONCUSSION
851CEREBRAL LACERATION AND CONTUSION
852SUBARACHNOID, SUBDURAL, AND EXTRADURAL HEMORRHAGE, FOLLOWING INJURY
853OTHER AND UNSPECIFIED INTRACRANIAL HEMORRHAGE FOLLOWING INJURY
854INTRACRANIAL INJURY OF OTHER AND UNSPECIFIED NATURE
860TRAUMATIC PNEUMOTHORAX
861INJURY TO HEART AND LUNG
862INJURY TO OTHER AND UNSPECIFIED INTRATHORACIC ORGANS
863INJURY TO GASTROINTESTINAL TRACT
864INJURY TO LIVER
865INJURY TO SPLEEN
866INJURY TO KIDNEY
867INJURY TO PELVIC ORGANS
868INJURY TO OTHER INTRA-ABDOMINAL ORGANS
869INTERNAL INJURY TO UNSPECIFIED OR ILL-DEFINED ORGANS
870OPEN WOUND OF OCULAR ADNEXA
871OPEN WOUND OF EYEBALL
872OPEN WOUND OF EAR
873OTHER OPEN WOUND OF HEAD
874OPEN WOUND OF NECK
875OPEN WOUND OF CHEST [WALL]
876OPEN WOUND OF BACK
877OPEN WOUND OF BUTTOCK
878OPEN WOUND OF GENITAL ORGANS [EXTERNAL] INCLUDING TRAUMATIC AMPUTATION
879OPEN WOUND OF OTHER AND UNSPECIFIED SITES, EXCEPT LIMBS
880OPEN WOUND OF SHOULDER AND UPPER ARM
881OPEN WOUND OF ELBOW, FOREARM, AND WRIST
882OPEN WOUND OF HAND EXCEPT FINGER ALONE
884MULTIPLE AND UNSPECIFIED OPEN WOUND OF UPPER LIMB
887TRAUMATIC AMPUTATION OF ARM AND HAND (COMPLETE) (PARTIAL)
890OPEN WOUND OF HIP AND THIGH
891OPEN WOUND OF KNEE, LEG (EXCEPT THIGH) AND ANKLE
892OPEN WOUND OF FOOT EXCEPT TOE ALONE
894MULTIPLE AND UNSPECIFIED OPEN WOUND OF LOWER LIMB
896TRAUMATIC AMPUTATION OF FOOT (COMPLETE) (PARTIAL)
897TRAUMATIC AMPUTATION OF LEG(S) (COMPLETE) (PARTIAL)
900INJURY TO BLOOD VESSELS OF HEAD AND NECK
901INJURY TO BLOOD VESSELS OF THORAX
902INJURY TO BLOOD VESSELS OF ABDOMEN AND PELVIS
903INJURY TO BLOOD VESSELS OF UPPER EXTREMITY
904INJURY TO BLOOD VESSELS OF LOWER EXTREMITY AND UNSPECIFIED SITES
925CRUSHING INJURY OF FACE, SCALP, AND NECK
926CRUSHING INJURY OF TRUNK
927CRUSHING INJURY OF UPPER LIMB
928CRUSHING INJURY OF LOWER LIMB
929CRUSHING INJURY OF MULTIPLE AND UNSPECIFIED SITES
940BURN CONFINED TO EYE AND ADNEXA
941BURN OF FACE, HEAD, AND NECK
942BURN OF TRUNK
943BURN OF UPPER LIMB, EXCEPT WRIST AND HAND
944BURN OF WRIST[S] AND HAND[S]
945BURN OF LOWER LIMB[S]
946BURNS OF MULTIPLE SPECIFIED SITES
947BURN OF INTERNAL ORGANS
948BURNS CLASSIFIED ACCORDING TO EXTENT OF BODY SURFACE INVOLVED
949BURN, UNSPECIFIED
952SPINAL CHORD INJURY WITHOUT EVIDENCE OF SPINAL BONE INJURY
953INJURY TO NERVE ROOTS AND SPINAL PLEXUS
958CERTAIN EARLY COMPLICATIONS OF TRAUMA
E800RAILWAY ACCIDENT INVOLVING COLLISION WITH ROLLING STOCK
E801RAILWAY ACCIDENT INVOLVING COLLISION WITH OTHER OBJECT
E802RAILWAY ACCIDENT INVOLVING DERAILMENT WITHOUT ANTECEDENT COLLISION
E803RAILWAY ACCIDENT INVOLVING EXPLOSION, FIRE, OR BURNING
E804FALL IN, ON, OR FROM RAILWAY TRAIN
E805HIT BY ROLLING STOCK
E806OTHER SPECIFIED RAILWAY ACCIDENT
E807RAILWAY ACCIDENT OF UNSPECIFIED NATURE
E810MOTOR VEHICLE TRAFFIC ACCIDENT INVOLVING COLLISION WITH TRAIN
E811MOTOR VEHICLE TRAFFIC ACCIDENT INVOLVING RE-ENTERANT COLLISION WITH ANOTHER MOTOR VEHICLE
E812OTHER MOTOR VEHICLE TRAFFIC ACCIDENT INVOLVING COLLISION WITH MOTOR VEHICLE
E813MOTOR VEHICLE TRAFFIC ACCIDENT INVOLVING COLLISION WITH OTHER VEHICLE
E814MOTOR VEHICLE TRAFFIC ACCIDENT INVOLVING COLLISION WITH PEDESTRIAN
E815OTHER MOTOR VEHICLE TRAFFIC ACCIDENT INVOLVING COLLISION ON THE HIGHWAY
E816MOTOR VEHICLE TRAFFIC ACCIDENT DUE TO LOSS OF CONTROL, WITHOUT COLLISION ON THE HIGHWAY
E817NONCOLLISION MOTOR VEHICLE TRAFFIC ACCIDENT WHILE BOARDING OR ALIGHTING
E818OTHER NONCOLLISION MOTOR VEHICLE TRAFFIC ACCIDENT
E819MOTOR VEHICLE TRAFFIC ACCIDENT OF UNSPECIFIED NATURE
E820NONTRAFFIC ACCIDENT INVOLVING MOTOR-DRIVEN SNOW VEHICLE
E821NONTRAFFIC ACCIDENT INVOLVING OTHER OFF-ROAD MOTOR VEHICLE
E822OTHER MOTOR VEHICLE NONTRAFFIC ACCIDENT INVOLVING COLLISION WITH MOVING OBJECT
E823OTHER MOTOR VEHICLE NONTRAFFIC ACCIDENT INVOLVING COLLISION WITH STATIONARY OBJECT
E824OTHER MOTOR VEHICLE NONTRAFFIC ACCIDENT WHILE BOARDING AND ALIGHTING
E825OTHER MOTOR VEHICLE NONTRAFFIC ACCIDENT OF OTHER AND UNSPECIFIED NATURE
E826PEDAL CYCLE ACCIDENT
E827ANIMAL-DRAWN VEHICLE ACCIDENT
E828ACCIDENT INVOLVING ANIMAL BEING RIDDEN
E829OTHER ROAD VEHICLE ACCIDENTS
E830ACCIDENT TO WATERCRAFT CAUSING SUBMERSION
E831ACCIDENT TO WATERCRAFT CAUSING OTHER INJURY
E832OTHER ACCIDENTAL SUBMERSION OR DROWNING IN WATER TRANSPORT ACCIDENT
E833FALL ON STAIRS OR LADDERS IN WATER TRANSPORT
E834OTHER FALL FROM ONE LEVEL TO ANOTHER IN WATER TRANSPORT
E835OTHER AND UNSPECIFIED FALL IN WATER TRANSPORT
E836MACHINERY ACCIDENT IN WATER TRANSPORT
E837EXPLOSION, FIRE, OR BURNING IN WATERCRAFT
E838OTHER AND UNSPECIFIED WATER TRANSPORT ACCIDENT
E840ACCIDENT TO POWERED AIRCRAFT AT TAKEOFF OR LANDING
E841ACCIDENT TO POWERED AIRCRAFT, OTHER AND UNSPECIFIED
E842ACCIDENT TO UNPOWERED AIRCRAFT
E843FALL IN, ON, OR FROM AIRCRAFT
E844OTHER SPECIFIED AIR TRANSPORT ACCIDENTS
E845ACCIDENT INVOLVING SPACECRAFT
E846ACCIDENTS INVOLVING POWERED VEHICLES USED SOLELY WITHIN THE BUILDINGS AND PREMISES AND INDUSTRIAL OR COMMERCIAL ESTABLISHMENT
E847ACCIDENTS TO UNPOWERED AIRCRAFT
E848ACCIDENTS INVOLVING OTHER VEHICLES, NEC
E849PLACE OF OCCURRENCE
E880FALL ON OR FROM STAIRS OR STEPS
E881FALL ON OR FROM LADDERS OR SCAFFOLDING
E882FALL FROM OR OUT OF BUILDING OR OTHER STRUCTURE
E883FALL INTO HOLE OR OTHER OPENING IN SURFACE
E884OTHER FALL FROM ONE LEVEL TO ANOTHER
E885FALL ON SAME LEVEL FROM SLIPPING, TRIPPING, OR STUMBLING
E886FALL ON SAME LEVEL FROM COLLISION, PUSHING, OR SHOVING BY OR WITH OTHER PERSON
E887FRACTURE, CAUSE UNSPECIFIED
E888OTHER AND UNSPECIFIED FALL
E890CONFLAGRATION IN PRIVATE DWELLING
E891CONFLAGRATION IN OTHER AND UNSPECIFIED BUILDING OR STRUCTURE
E892CONFLAGRATION NOT IN BUILDING OR STRUCTURE
E893ACCIDENT CAUSED BY IGNITION OF CLOTHING
E894IGNITION OF HIGHLY INFLAMMABLE MATERIAL
E895ACCIDENT CAUSED BY CONTROLLED FIRE IN PRIVATE DWELLING
E896ACCIDENT CAUSE BY CONTROLLED FIRE IN OTHER AND UNSPECIFIED BUILDING OR STRUCTURE
E897ACCIDENT CAUSED BY CONTROLLED FIRE NOT IN BUILDING OR STRUCTURE
E898ACCIDENT CAUSED BY OTHER SPECIFIED FIRE AND FLAMES
E899ACCIDENT CAUSED BY UNSPECIFIED FIRE
E910ACCIDENTAL DROWNING AND SUBMERSION
E913ACCIDENTAL MECHANICAL SUFFOCATION
E914FOREIGN BODY ACCIDENTALLY ENTERING EYE AND ADNEXA
E915FOREIGN BODY ACCIDENTALLY ENTERING OTHER ORIFICE
E916STRUCK ACCIDENTALLY BY FALLING OBJECT
E917STRIKING AGAINST OR STRUCK ACCIDENTALLY BY OBJECTS OR PERSONS
E918CAUGHT ACCIDENTALLY IN OR BETWEEN OBJECTS
E919ACCIDENTS CAUSED BY MACHINERY
E920ACCIDENTS CAUSED BY CUTTING AND PIERCING INSTRUMENTS OR OBJECTS
E921ACCIDENT CAUSED BY EXPLOSION OF PRESSURE VESSEL
E922ACCIDENT CAUSED BY FIREARM AND AIR GUN MISSILE
E923ACCIDENT CAUSED BY EXPLOSIVE MATERIAL
E924ACCIDENT CAUSED BY HOT SUBSTANCE OR OBJECT, CAUSTIC OR CORROSIVE MATERIAL, AND STEAM
E925ACCIDENT CAUSED BY ELECTRIC CURRENT
E926EXPOSURE TO RADIATION
E927OVEREXERTION AND STRENUOUS MOVEMENTS
E928OTHER AND UNSPECIFIED ENVIRONMENTAL AND ACCIDENTAL CAUSES
E960FIGHT, BRAWL, RAPE
E961ASSAULT BY CORROSIVE OR CAUSTIC SUBSTANCE, EXCEPT POISONING
E962ASSAULT BY POISONING
E963ASSAULT BY HANGING AND STRANGULATION
E964ASSAULT BY SUBMERSION [DROWNING]
E965ASSAULT BY FIREARMS AND EXPLOSIVES
E966ASSAULT BY CUTTING AND PIERCING INSTRUMENT
E967PERPETRATOR OF CHILD AND ADULT ABUSE
E968ASSAULT BY OTHER AND UNSPECIFIED MEANS
E969LATE EFFECTS OF INJURY PURPOSELY INFLICTED BY OTHER PERSON
E970INJURY DUE TO LEGAL INTERVENTION BY FIREARMS
E971INJURY DUE TO LEGAL INTERVENTION BY EXPLOSIVES
E972INJURY DUE TO LEGAL INTERVENTION BY GAS
E973INJURY DUE TO LEGAL INTERVENTION BY BLUNT OBJECT
E974INJURY DUE TO LEGAL INTERVENTION BY CUTTING AND PIERCING INSTRUMENT
E975INJURY DUE TO LEGAL INTERVENTION BY OTHER SPECIFIED MEANS
E976INJURY DUE TO LEGAL INTERVENTION BY UNSPECIFIED MEANS
E977LATE EFFECTS OF INJURIES DUE TO LEGAL INTERVENTION
E978LEGAL EXECUTION
E980POISONING BY SOLID OR LIQUID SUBSTANCES, UNDETERMINED WHETHER ACCIDENTALLY OR PURPOSELY INFLICTED
E981POISONING BY GASES IN DOMESTIC USE, UNDETERMINED WHETHER ACCIDENTALLY OR PURPOSELY INFLICTED
E982POISONING BY OTHER GASES, UNDETERMINED WHETHER ACCIDENTALLY OR PURPOSELY INFLICTED
E983HANGING, STRANGULATION, OR SUFFOCATION, UNDETERMINED WHETHER ACCIDENTALLY OR PURPOSELY INFLICTED
E984SUBMERSION [DROWNING] UNDETERMINED WHETHER ACCIDENTALLY OR PURPOSELY INFLICTED
E985INJURY BY FIREARMS, AIR GUNS AND EXPLOSIVES, UNDETERMINED WHETHER ACCIDENTALLY OR PURPOSELY INFLICTED
E986INJURY BY CUTTING AND PIERCING INSTRUMENTS, UNDETERMINED WHETHER ACCIDENTALLY OR PURPOSELY INFLICTED
E987FALLING FROM HIGH PLACE, UNDETERMINED WHETHER ACCIDENTALLY OR PURPOSELY INFLICTED
E988INJURY BY OTHER AND UNSPECIFIED MEANS, UNDETERMINED WHETHER ACCIDENTALLY OR PURPOSELY INFLICTED
E989LATE EFFECTS OF INJURY, UNDETERMINED WHETHER ACCIDENTALLY OR PURPOSELY INFLICTED
E990INJURY DUE TO WAR OPERATIONS BY FIRES AND CONFLAGRATIONS
E991INJURY DUE TO WAR OPERATIONS BY BULLETS AND FRAGMENTS
E992INJURY DUE TO WAR OPERATIONS BY EXPLOSION OF MARINE WEAPONS
E993INJURY DUE TO WAR OPERATIONS BY OTHER EXPLOSION
E994INJURY DUE TO WAR OPERATIONS BY DESTRUCTION OF AIRCRAFT
E995INJURY DUE TO WAR OPERATIONS BY OTHER AND UNSPECIFIED FORMS OF CONVENTIONAL WARFARE
E996INJURY DUE TO WAR OPERATIONS BY NUCLEAR WEAPONS
E997INJURY DUE TO WAR OPERATIONS BY OTHER FORMS OF UNCONVENTIONAL WARFARE
E998INJURY DUE TO WAR OPERATIONS BUT OCCURRING AFTER CESSATION OF HOSTILITIES
E999LATE EFFECT OF INJURY DUE TO WAR OPERATIONS
Diagnostic Related Groups (DRGs):
002CRANIOTOMY FOR TRAUMA, AGE GREATER THAN 17
027TRAUMATIC STUPOR AND COMA, COMA GREATER THAN ONE HOUR
028TRAUMATIC STUPOR AND COMA, COMA LESS THAN ONE HOUR, AGE GREATER THAN 17 WITH CC
029TRAUMATIC STUPOR AND COMA, COMA LESS THAN ONE HOUR, AGE GREATER THAN 17 WITHOUT CC
031CONCUSSION, AGE GREATER THAN 17 WITH CC
032CONCUSSION, AGE GREATER THAN 17 WITHOUT CC
072NASAL TRAUMA AND DEFORMITY
083MAJOR CHEST TRAUMA WITH CC
084MAJOR CHEST TRAUMA WITHOUT CC
235FRACTURES OF FEMUR
236FRACTURE OF HIP AND PELVIS
237SPRAINS, STRAINS AND DISLOCATIONS OF HIP, PELVIS AND THIGH
440WOUND DEBRIDEMENTS FOR INJURIES
441HAND PROCEDURES FOR INJURIES
442OTHER OR PROCEDURES FOR INJURIES WITH CC
443OTHER OR PROCEDURES FOR INJURIES WITHOUT CC
444TRAUMATIC INJURY, AGE GREATER THAN 17 WITH CC
445TRAUMATIC INJURY, AGE GREATER THAN 17 WITHOUT CC
446TRAUMATIC INJURY, AGE 0–17
447ALLERGIC REACTIONS, AGE GREATER THAN 17
448ALLERGIC REACTIONS, AGE 0–17
449POISONING AND TOXIC EFFECTS OF DRUGS, AGE GREATER THAN 17 WITH CC
450POISONING AND TOXIC EFFECTS OF DRUGS, AGE GREATER THAN 17 WITHOUT CC
451POISONING AND TOXIC EFFECTS OF DRUGS, AGE 0–17
452COMPLICATIONS OF TREATMENT WITH CC
453COMPLICATIONS OF TREATMENT WITHOUT CC
454OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH CC
455OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT CC
460NO LONGER VALID
484CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
485LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
486OTHER OR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
487OTHER MULTIPLE SIGNIFICANT TRAUMAS
491MAJOR JOINT AND LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITY
Vaginal delivery
Diagnostic Related Groups (DRGs):
372VAGINAL DELIVERY WITH COMPLICATING DIAGNOSES
373VAGINAL DELIVERY WITHOUT COMPLICATING DIAGNOSES
374VAGINAL DELIVERY WITH STERILIZATION AND/OR D AND C
375VAGINAL DELIVERY WITH OR PROCEDURE EXCEPT STERILIZATION AND/OR D AND C
FTR-FAILURE TO RESCUE
FTR-Acute Renal Failure
ICD-9-CM diagnosis codes (all 4th and 5th digits included):
ACUTE RENAL FAILURE:
584.5WITH LESION OF TUBULAR NECROSIS
584.6WITH LESION OF RENAL CORTICAL NECROSIS
584.7WITH LESION OF RENAL MEDULLARY [PAPILLARY] NECROSIS
584.8WITH OTHER SPECIFIED PATHOLOGICAL LESION IN KIDNEY
584.9ACUTE RENAL FAILURE, UNSPECIFIED
ICD-9-CM diagnosis codes exclude:
PRINCIPAL DIAGNOSIS OF [AMI], [CARDIAC ARRHYTHMIA], [SHOCK] OR [CARDIAC ARREST], [HEMORRHAGE]
FTR-DVT/PE
Include
ICD-9-CM diagnosis codes:
PHLEBITIS AND THROMBOPHLEBITIS OF:
451.11FEMORAL VEIN (DEEP) (SUPERFICIAL)
451.19OTHER
451.2LOWER EXTREMITIES
451.81ILIAC VEIN
451.9UNSPECIFIED SITE
ACUTE PULMONARY HEART DISEASE:
415.11IATROGENIC PULMONARY EMBOLISM AND INFARCTION
415.19OTHER
453.8OTHER VENOUS EMBOLISM AND THROMBOSIS OF OTHER SPECIFIED VEINS
453.9OTHER VENOUS EMBOLISM AND THROMBOSIS OF UNSPECIFIED SITE
Exclude
ICD-9-CM codes:
PRINCIPAL DIAGNOSIS OF [DEEP VEIN THROMBOSIS]
FTR-Pneumonia
Include
ICD-9-CM diagnosis codes:
507.0DUE TO INHALATION OF FOOD OR VOMITUS
514PULMONARY CONGESTION AND HYPOSTASIS
OTHER BACTERIAL PNEUMONIA:
482.0PNEUMONIA DUE TO KLEBSIELLA PNEUMONIAE
482.1PNEUMONIA DUE TO PSEUDOMONAS
482.2PNEUMONIA DUE TO HEMOPHILUS INFLUENZAE [H. INFLUENZAE]
482.30PNEUMONIA DUE TO STREPTOCOCCUS - STREPTOCOCCUS, UNSPECIFIED
482.31PNEUMONIA DUE TO STREPTOCOCCUS - GROUP A
482.32PNEUMONIA DUE TO STREPTOCOCCUS - GROUP B
482.39PNEUMONIA DUE TO STREPTOCOCCUS - OTHER STREPTOCOCCUS
482.40PNEUMONIA DUE TO STAPHYLOCOCCUS-PNEUMONIA DUE TO STAPHYLOCOCCUS, UNSPECIFIED
482.41PNEUMONIA DUE TO STAPHYLOCOCCUS-PNEUMONIA DUE TO STAPHYLOCCOCCUS AUREUS
482.49PNEUMONIA DUE TO STAPHYLOCOCCUS-OTHER STAPHYLOCOCCUS PNEUMONIA
482.81PNEUMONIA DUE TO OTHER SPECIFIED BACTERIA -ANAEROBES
482.82PNEUMONIA DUE TO OTHER SPECIFIED BACTERIA - ESCHERICHIA COLI [E COLI]
482.83PNEUMONIA DUE TO OTHER SPECIFIED BACTERIA - OTHER GRAM-NEGATIVE BACTERIA
482.84PNEUMONIA DUE TO OTHER SPECIFIED BACTERIA - LEGIONNAIRES' DISEASE
482.89PNEUMONIA DUE TO OTHER SPECIFIED BACTERIA - OTHER SPECIFIED BACTERIA
482.9BACTERIAL PNEUMONIA UNSPECIFIED
485BRONCHOPNEUMONIA, ORGANISM UNSPECIFIED
486PNEUMONIA, ORGANISM UNSPECIFIED
Exclude
ICD-9-CM principal diagnosis codes:
480VIRAL PNEUMONIA
481PNEUMOCOCCAL PNEUMONIA [STREPTOCOCCUS PNEUMONIAE PNEUMONIA]
482OTHER BACTERIAL PNEUMONIA
483PNEUMONIA DUE TO OTHER SPECIFIED ORGANISM
484PNEUMONIA IN INFECTIOUS DISEASES CLASSIFIED ELSEWHERE
485BRONCHOPNEUMONIA, ORGANISM UNSPECIFIED
486PNEUMONIA, ORGANISM UNSPECIFIED
487INFLUENZA
507.0DUE TO INHALATION OF FOOD OR VOMITUS
514PULMONARY CONGESTION AND HYPOSTASIS
997.3RESPIRATORY COMPLICATIONS
MDC 4DISEASES AND DISORDERS OF THE RESPIRATORY SYSTEM
ICD-9-CM secondary diagnosis codes:
480VIRAL PNEUMONIA
481PNEUMOCOCCAL PNEUMONIA [STREPTOCOCCUS PNEUMONIAE PNEUMONIA]
483PNEUMONIA DUE TO OTHER SPECIFIED ORGANISM
484PNEUMONIA IN INFECTIOUS DISEASES CLASSIFIED ELSEWHERE
487INFLUENZA
[IMMUNOCOMPROMISED] STATES
FTR-Sepsis
Include
ICD-9-CM diagnosis codes:
790.7OTHER NONSPESIFIC FINDINGS ON EXAMINATION OF BLOOD
SEPTICEMIA:
038.0STREPTOCOCCAL SEPTICEMIA
038.1XSTAPHYLOCOCCAL SEPTICEMIA
038.2PNEUMOCOCCAL SEPTICEMIA [STREPTOCOCCUS PNEUMONIAE SEPTICEMIA]
038.3SEPTICEMIA DUE TO ANAEROBES
038.40SEPTICEMIA DUE TO GRAM NEGATIVE ORGANISM, UNSPECIFIED
038.41HEMOPHILUS INFLUENZE [H. INFLUENZAE]
038.42ESCHERICHIA COLI [E COLI]
038.43PSEUDOMONAS
038.44SERRATIA
038.49OTHER
038.8OTHER SPECIFIED SEPTICEMIAS
038.9UNSPECIFIED SEPTICEMIA
Exclude
ICD-9-CM diagnosis codes
[IMMUNOCOMPROMISED]
LOS>3 DAYS
[INFECTION]
FTR-Shock or cardiac arrest
Include
ICD-9-CM diagnosis codes:
995.0OTHER ANAPHYLACTIC SHOCK
995.4SHOCK DUE TO ANESTHESIA
998.0POSTOPERATIVE SHOCK
SHOCK DURING OR FOLLOWING LABOR AND DELIVERY:
669.10SHOCK DURING OR FOLLOWING LABOR AND DELIVERY - UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE
669.11SHOCK DURING OR FOLLOWING LABOR AND DELIVERY - DELIVERED, WITH OR WITHOUT MENTION OF ANTEPARTUME CONDITION
669.12SHOCK DURING OR FOLLOWING LABOR AND DELIVERY - DELIVERED, WITH MENTION OF POSTPARTUM COMPLICATION
669.13SHOCK DURING OR FOLLOWING LABOR AND DELIVERY - ANTEPARTUM CONDITION OR COMPLICATION
669.14SHOCK DURING OR FOLLOWING LABOR AND DELIVERY - POSTPARTUM CONDITION OR COMPLICATION
999.4ANAPHYLACTIC SHOCK DUE TO SERUM
427.5CARDIAC ARREST
785.5SHOCK WITHOUT MENTION OF TRAUMA
785.50SHOCK, UNSPECIFIED
785.51CARDIOGENIC SHOCK
785.59SHOCK WITHOUT MENTION OF TRAUMA- OTHER
799.1RESPIRATORY ARREST
ICD-9-CM procedure codes:
93.93NONMECHANICAL METHODS OF RESUSCITATION
99.60CARDIOPULMONARY RESUSCITATION, NOS
99.63CLOSED CHEST CARDIAC MASSAGE
Exclude:
ICD-9-CM diagnosis codes:
MDC 4DISEASES AND DISORDERS OF THE RESPIRATORY SYSTEM
MDC 5DISEASES AND DISORDERS OF THE CIRCULATORY SYSTEM
Exclude principal diagnosis of [hemorrhage] or [trauma]
FTR-GI hemorrhage/acute ulcer
Include:
ICD-9-CM diagnosis codes:
456.0ESOPHAGEAL VARICES WITH BLEEDING
546.20ESOPHAGEAL VARICES IN DISEASES CLASSIFIED ELSEWHERE WITH BLEEDING
GASTRIC ULCER:
531.30ACUTE WITHOUT MENTION OF HEMORRHAGE OR PERFORATION - WITHOUT MENTION OF OBSTRUCTION
531.31ACUTE WITHOUT MENTION OF HEMORRHAGE OR PERFORATION - WITH OBSTRUCTION
531.90UNSPECIFIED AS ACUTE OR CHRONIC, WITHOUT MENTION OF HEMORRHAGE OR PERFORATION - WITHOUT MENTION OF OBSTRUCTION
531.91UNSPECIFIED AS ACUTE OR CHRONIC, WITHOUT MENTION OF HEMORRHAGE OR PERFORATION - WITH OBSTRUCTION
DUODENAL ULCER:
532.30ACUTE WITHOUT MENTION OF HEMORRHAGE OR PERFORATION - WTHOUT MENTION OF OBSTRUCTION
532.31ACUTE WITHOUT MENTION OF HEMORRHAGE OR PERFORATION - WITH OBSTRUCTION
532.90UNSPECIFIED AS ACUTE OR CHRONIC, WITHOUT MENTION OF HEMORRHAGE OR PERFORATION - WITHOUT MENTION OF OBSTRUCTION
532.91UNSPECIFIED AS ACUTE OR CHRONIC, WITHOUT MENTION OF HEMORRHAGE OR PERFORATION - WITH OBSTRUCTION
PEPTIC ULCER:
533.30SITE UNSPECIFIED ACUTE WITHOUT MENTION OF HEMORRHAGE AND PERFFORATION - WITHOUT MENTION OF OBSTRUCTION
533.31SITE UNSPECIFIED ACUTE WITHOUT MENTION OF HEMORRHAGE AND PERFORATION - WITH OBSTRUCTION
533.90SITE UNSPECIFIED UNSPECIFIED AS ACUTE OR CHRONIC, WITHOUT MENTION OF HEMORRHAGE OR PERFORATION - WITHOUT MENTION OF OBSTRUCTION
533.91UNSPECIFIED AS ACUTE OR CHRONIC, WITHOUT MENTION OF HEMORRHAGE OR PERFORATION - WITH OBSTRUCTION
GASTROJEJUNAL ULCER:
534.30ACUTE WITHOUT MENTION OF HEMORRHAGE OR PERFORATION - WITHOUT MENTION OF OBSTRUCTION
534.31ACUTE WITHOUT MENTION OF HEMORRHAGE OR PERFORATION - WITH OBSTRUCTION
534.90UNSPECIFIED AS ACUTE OR CHRONIC, WITHOUT MENTION OF HEMORRHAGE OR PERFORATION - WITHOUT MENTION OF OBSTRUCTION
534.91UNSPECIFIED AS ACUTE OR CHRONIC, WITHOUT MENTION OF HEMORRHAGE OR PERFORATION - WITH OBSTRUCTION
530.7GASTROESOPHAGEAL LACERATION-HEMORRHAGE SYNDROME
530.82ESOPHAGEAL HEMORRHAGE
GASTRIC ULCER:
531.00ACUTE WITH HEMORRHAGE - WITHOUT MENTION OF OBSTRUCTION
531.01ACUTE WITH HEMORRHAGE - WITH OBSTRUCTION
531.10ACUTE WITH PERFORATION - WITHOUT MENTION OF OBSTRUCTION
531.11ACUTE WITH PERFORATION - WITH OBSTRUCTION
531.20ACUTE WITH HEMORRHAGE AND PERFORATION - WITHOUT MENTION OF OBSTRUCTION
531.21ACUTE WITH HEMORRHAGE AND PERFORATION - WITH OBSTRUCTION
DUODENAL ULCER:
532.00ACUTE WITH HEMORRHAGE - WITHOUT MENTION OF OBSTRUCTION
532.01ACUTE WITH HEMORRHAGE - WITH OBSTRUCTION
532.10ACUTE WITH PERFORATION - WITHOUT MENTION OF OBSTRUCTION
532.11ACUTE WITH PERFORATION - WITH OBSTRUCTION
532.20ACUTE WITH HEMORRHAGE AND PERFORATION - WITHOUT MENTION OF OBSTRUCTION
532.21ACUTE WITH HEMORRHAGE AND PERFORATION - WITH OBSTRUCTION
PEPTIC ULCER:
533.00SITE UNSPECIFIED ACUTE WITH HEMORRHAGE - WITHOUT MENTION OF OBSTRUCTION
533.01SITE UNSPECIFIED ACUTE WITH HEMORRHAGE - WITH OBSTRUCTION
533.10SITE UNSPECIFIED ACUTE WITH PERFORATION - WITHOUT MENTION OF OBSTRUCTION
533.11SITE UNSPECIFIED ACUTE WITH - PERFORATION WITH OBSTRUCTION
533.20SITE UNSPECIFIED ACUTE WITH HEMORRHAGE AND PERFORATION - WITHOUT MENTION OF OBSTRUCTION
533.21SITE UNSPECIFIED ACUTE WITH HEMORRHAGE AND PERFORATION - WITHOUT MENTION OF OBSTRUCTION
GASTROJEJUNAL ULCER:
534.00ACUTE WITH HEMORRHAGE -WITHOUT MENTION OF OBSTRUCTION
534.01ACUTE WITH HEMORRHAGE - WITH OBSTRUCTION
534.10ACUTE WITH PERFORATION - WITHOUT MENTION OF OBSTRUCTION
534.11ACUTE WITH PERFORATION - WITH OBSTRUCTION
534.20ACUTE WITH HEMORRHAGE AND PERFORATION - WITHOUT MENTION OF OBSTRUCTION
534.21ACUTE WITH HEMORRHAGE AND PERFORATION - WITH OBSTRUCTION
GASTRITIS AND DUODENITIS:
535.01ACUTE GASTRITIS - WITH HEMORRHAGE
535.11ATROPHIC GASTRITIS - WITH HEMORRHAGE
535.21GASTRIC MUCOSAL HYPERTROPHY - WITH HEMORRHAGE
535.31ALCOHOLIC GASTRITIS - WITH HEMORRHAGE
535.41OTHER SPECIFIED GASTRITIS - WITH HEMORRHAGE
535.51UNSPECIFIED GASTRITIS AND GASTRODUODENITIS - WITH HEMORRHAGE
535.61DUODENITIS - WITH HEMORRHAGE
537.83ANGIODYSPLASIA OF STOMACH AND DUODENUM WITH HEMORRHAGE
562.02DIVERTICULOSIS OF SMALL INTESTINE WITH HEMORRHAGE
562.03DIVERTICULITIS OF SMALL INTESTINE WITH HEMORRHAGE
562.12DIVERTICULOSIS OF COLON WITH HEMORRHAGE
562.13DIVERTICULITIS OF COLON WITH HEMORRHAGE
569.3HEMORRHAGE OF RECTUM AND ANUS
569.85ANGIODYSPLASIA OF INTESTINE WITH HEMORRHAGE
578.0HEMATEMESIS
578.1BLOOD IN STOOL
578.9HEMORRHAGE OF GASTROINTESTINAL TRACT, UNSPECIFIED
Exclude
MDC 6DISEASES AND DISORDERS OF THE DIGESTIVE SYSTEM
MDC 7DISEASES AND DISORDERS OF THE HEPATOBILIARY SYSTEM AND PANCREAS
ICD-9-CM principal diagnosis codes:
280.0SECONDARY TO BLOOD LOSS [CHRONIC]
285.1ACUTE POSTHEMORRHAGIC ANEMIA
TRAUMA OR BURN OR ALCHOLISM

Section 2A. Accepted Area-Level Indicator Definitions

Items in bold and brackets are fully specified in the ICD-9-CM and DRG listings in Section 1B, “Coding Details for Accepted Hospital-Level Indicators.”

Indicator NameDefinition and NumeratorDenominator
• Foreign body left in during procedureDischarges with ICD-9-CM codes for [foreign body left in during procedure] in any diagnosis field per 100 surgical discharges.All [surgical] and [medical] discharges.
• Iatrogenic pneumothoraxDischarges with ICD-9-CM code of 512.1 in any diagnosis field per 100 discharges.All discharges.
Exclude patients with any diagnosis of [trauma].
Exclude patients with any code indicating [thoracic surgery] or [lung or pleural biopsy] or assigned to [cardiac surgery].
• Infection due to medical careDischarges with ICD-9-CM code of 999.3 or 996.62 in any diagnosis field per 100 discharges.All [medical] and [surgical] discharges.
Excludes patients with any diagnosis code for [immunocompromised] state or [cancer].
• Technical difficulty with medical careDischarges with ICD-9-CM code denoting an [technical difficulty] (e.g. accidental cut, puncture, perforation or laceration during a procedure) in any diagnosis field per 100 discharges.All [medical] and [surgical] discharges.
Exclude all obstetric admissions (MDC 14 and 15).
• Transfusion reactionDischarges with ICD-9-CM codes for [transfusion reaction] in any diagnosis field per 100 discharges.All [medical] and [surgical] discharges.
• Postoperative wound dehiscenceDischarges with ICD-9-CM codes for reclosure of postoperative disruption of abdominal wall (54.61) in any procedure field per 100 discharges.All [abdominopelvic] surgical discharges.
Exclude all obstetric admissions (MDC 14 and 15).

Section 3A. Experimental Provider-Level Indicator Definitions

Items in bold and brackets are fully specified in Section 3B, “Coding Details for Experimental Indicators,” after this table.

INDICATOR NAMEDEFINITION and NUMERATORPOPULATION AT RISK (DENOMINATOR)
• Aspiration pneumoniaDischarges with ICD-9-CM codes for [aspiration pneumonia] in any secondary diagnosis field per 100 surgical discharges.All [elective][surgical] discharges.
Exclude patients with a principal diagnosis of [seizure], [trauma], [drug overdose], or [poisoning].
Exclude all obstetric admissions (MDC 14 and 15).
• CABG following PTCADischarges with ICD-9-CM codes for [CABG] in any procedure field per 100 discharges with PTCA in any procedure field.All discharges with ICD-9-CM code for [PTCA] in any procedure field.
CABG must occur on the same day or the day after the PTCA procedure.
• Decubitus ulcer in high risk patientsDischarges with ICD-9-CM code for decubitus ulcer (707.0) in any secondary diagnosis code per 100 at risk population.All patients with any diagnosis of [hemiplegia, paraplegia, or quadriplagia] or patients admitted from a [long term care facility].
Exclude patients with a length of stay less than or equal to 4 days.
Exclude patients with diseases and disorders of the skin, subcutaneous tissue and breast ( MDC 9).
• In-hospital fractures possibly related to fallsDischarges with ICD-9-CM code for [fracture] in any secondary diagnosis field per 100 surgical discharges.All [surgical] discharges.
Exclude all patients with diseases and disorders of the musculoskeletal system and connective tissue (MDC 8).
Excludes patients with principal diagnosis codes for [seizure], [syncope], [stroke], [coma], [cardiac arrest], [anoxic brain injury], [poisoning], [delirium or other psychoses], [trauma], [minor trauma and/or physical abuse], indication of [alcohol or drug abuse], or [self-inflicted injury].
Exclude patients with any diagnosis of [metastatic cancer], [lymphoid malignancy] or [bone malignancy].
• Intraoperative nerve compression injuriesDischarges with ICD-9-CM code for [nerve compression injuries] AND a diagnosis code of 997.09 in any secondary diagnosis field per 100 surgical discharges.All [surgical] discharges.
Exclude patients with a principal diagnosis of [trauma].
Exclude patients with a principal diagnosis of [disorders of the peripheral nervous system] or [dorsopathies].
• Malignant hyperthermiaDischarges with ICD-9-CM codes for malignant hyperthermia (995.86) in any diagnosis field per 100 surgical discharges.All [surgical] discharges.
Exclude all obstetric admissions (MDC 14 and 15).
• Postoperative iatrogenic complications - cardiac systemDischarges with ICD-9-CM codes of 997.1 in any secondary diagnosis field per 100 surgical discharges.All [surgical] discharges.
Exclude all obstetric admissions (MDC 14 and 15).
• Postoperative iatrogenic complications - nervous systemDischarges with ICD-9-CM codes of [iatrogenic nervous system complications] in any secondary diagnosis field per 100 surgical discharges.All [surgical] discharges.
Exclude all obstetric admissions (MDC 14 and 15).
• Postoperative acute myocardial infarctionDischarges with ICD-9-CM codes for [Acute Myocardial Infarction] in any secondary diagnosis field per 100 non-cardiac surgical discharges. [Elective], [surgical] discharges.
Exclude patients undergoing [cardiac surgery].
Exclude all obstetric admissions (MDC 14 and 15).
• Reopening of a surgical siteDischarges with ICD-9-CM codes for [reopening of a surgical site] in any secondary procedure field per 100 surgical discharges.All [surgical] discharges.
Reopening of surgical site must occur at least one day after the principal procedure.
Revision of vascular procedure 39.49 must occur within 24 hours of principal procedure.
• Suture of lacerationDischarges with ICD-9-CM codes for [suture of laceration] in any secondary procedure field per 100 surgical discharges.All [surgical] discharges.
Suture of laceration must occur on the same day or after the principal procedure.Exclude patients with any diagnosis code for [foreign body] or [trauma].
Exclude all obstetric admissions (MDC 14 and 15).
• Other obstetric complication of deliveryDischarges with ICD-9-CM codes for [other obstetrical complications] in any diagnosis field per 100 deliveries.All [deliveries].
• Obstetric wound complications - cesarean section deliveryDischarges with ICD-9-CM codes for [cesarean wound complications] in any diagnosis field per 100 deliveries.All [cesarean delivery] discharges.
• Obstetric wound complications - vaginal deliveryDischarges with ICD-9-CM codes for [perineal wound complications] in any diagnosis field per 100 deliveries.All [vaginal delivery DRGs].
• Post-partum urinary tract infectionDischarges with ICD-9-CM code of 646.62 or 646.64 in any diagnosis per 100 deliveries.All ([cesarean delivery] and [vaginal delivery] discharges)
• Third or fourth degree obstetric lacerationsDischarges with ICD-9-CM codes for [3rd or fourth degree lacerations] in any diagnosis field per 100 vaginal deliveries.All [vaginal deliveries during stay].
Exclude patients with a procedure code for [cesarean section delivery] or diagnosis code for [abortion].
• Uterine ruptureDischarges with ICD-9-CM codes for [rupture of uterus during or after labor] in any diagnosis field per 100 deliveries with trial of labor.All deliveries with a [trial of labor].

Section 3B. Coding Details for Experimental Indicators

Acute myocardial infarction267
Alcohol or drug abuse267
Aspiration pneumonia268
CABG268
Cardiac surgery268
Cesarean section delivery268
Cesarean section wound complications268
Deliveries268
Disorders of the peripheral nervous system269
Dorsopathies269
Drug overdose269
Elective270
Foreign body270
Fracture270
Hemiplegia, paraplegia, or quadriplegia270
Iatrogenic nervous system complications270
Long term care270
Nerve compression injuries270
Other obstetrical complications270
Perineal wound complications271
Poisoning271
PTCA272
Reopening of a surgical site272
Rupture of uterus during or after labor272
Seizure272
Surgical273
Suture of laceration276
Third or fourth degree obstetric lacerations276
Trauma276
Trial of labor280
Vaginal delivery280
Vaginal delivery during stay281
Acute myocardial infarction
ICD-9-CM diagnosis codes:
410.00AMI OF ANTEROLATERAL WALL - EPISODE OF CARE UNSPECIFIED
410.01AMI OF ANTEROLATERAL WALL - INITIAL EPISODE OF CARE
410.10AMI OF OTHER ANTERIOR WALL - EPISODE OF CARE UNSPECIFIED
410.11AMI OF OTHER ANTERIOR WALL - INITIAL EPISODE OF CARE
410.20AMI OF INFEROLATERAL WALL - EPISODE OF CARE UNSPECIFIED
410.21AMI OF INFEROLATERAL WALL - INITIAL EPISODE OF CARE
410.30AMI OF INFEROPOSTERIOR WALL - EPISODE OF CARE UNSPECIFIED
410.31AMI OF INFEROPOSTERIOR WALL - INITIAL EPISODE OF CARE
410.40AMI OF INFERIOR WALL - EPISODE OF CARE UNSPECIFIED
410.41AMI OF INFERIOR WALL - INITIAL EPISODE OF CARE
410.50AMI OF OTHER LATERAL WALL - EPISODE OF CARE UNSPECIFIED
410.51AMI OF OTHER LATERAL WALL - INITIAL EPISODE OF CARE
410.60AMI TRUE POSTERIOR WALL INFARCTION - EPISODE OF CARE UNSPECIFIED
410.61AMI TRUE POSTERIOR WALL INFARCTION - INITIAL EPISODE OF CARE
410.70AMI SUBENDOCARDIAL INFARCTION - EPISODE OF CARE UNSPECIFIED
410.71AMI SUBENDOCARDIAL INFARCTION - INITIAL EPISODE OF CARE
410.80AMI OF OTHER SPECIFIED SITES - EPISODE OF CARE UNSPECIFIED
410.81AMI OF OTHER SPECIFIED SITES - INITIAL EPISODE OF CARE
410.90AMI UNSPECIFIED SITE - EPISODE OF CARE UNSPECIFIED
410.91AMI UNSPECIFIED SITE - INITIAL EPISODE OF CARE
Alcohol or drug abuse
ICD-9-CM diagnosis codes:
(includes all 4th and 5th digits)
291ALCOHOLIC PSYCHOSES
292DRUG PSYCHOSES
303ALCOHOL DEPENDENCE SYNDROME
304DRUG DEPENDENCE
305.0ALCOHOL ABUSE
305.2CANNABIS ABUSE
305.3HALLUCINOGEN ABUSE
305.4BARBITURATE AND SIMILARLY ACTING SEDATIVE OR HYPNOTIC ABUSE
305.5OPIOID ABUSE
305.6COCAINE ABUSE
305.7AMPHETAMINE OR RELATED ACTING SYMPATHOMIMETIC ABUSE
305.8ANTIDEPRESSANT TYPE ABUSE
305.9OTHER MIXED OR UNSPECIFIED DRUG ABUSE
980TOXIC EFFECT OF ALCOHOL
981TOXIC EFFECT OF PETROLEUM PRODUCTS
982TOXIC EFFECT OF SOLVENTS OTHER THAN PETROLEUM-BASED
983TOXIC EFFECT OF CORROSIVE AROMATICS, ACIDS, AND CAUSTIC ALKALIS
984TOXIC EFFECT OF LEAD AND ITS COMPOUNDS (INCLUDING FUMES)
985TOXIC EFFECT OF OTHER METALS
986TOXIC EFFECT OF CARBON MONOXIDE
987TOXIC EFFECT OF OTHER GASES, FUMES, OR VAPORS
988TOXIC EFFECT OF NOXIOUS SUBSTANCES EATEN AS FOOD
989TOXIC EFFECT OF OTHER SUBSTANCES, CHIEFLY NONMEDICINAL AS TO SOURCE
Aspiration pneumonia
ICD-9-CM diagnosis codes:
507.0PNEUMONITIS DUE TO SOLIDS AND LIQUIDS, DUE TO INHALATION OF FOOD OR VOMITUS
E911INHALATION AND INGESTION OF FOOD CAUSING OBSTRUCTION OF RESPIRATORY TRACT OR SUFFOCATION
E912INHALATION AND INGESTION OF OTHER OBJECT CAUSING OBSTRUCTION OF RESPIRATORY TRACT OR SUFFOCATION
CABG
ICD-9-CM procedure codes
36.10BYPASS ANASTOMOSIS FOR HEART REVASCULARIZATION
36.11OPEN HEART VALVULOPLASTY WITHOUT REPLACEMENT
36.12AORTOCORONARY BYPASS OF TWO CORONARY ARTERIES
36.13AORTOCORONARY BYPASS OF THREE CORONARY ARTERIES
36.14AORTOCORONARY BYPASS OF FOUR OR MORE CORONARY ARTERIES
36.15SINGLE INTERNAL MAMMARY-CORONARY ARTERY BYPASS
36.16BYPASS ANASTOMOSIS FOR HEART REVASCULARIZATION, DOUBLE INTERNAL MAMMARY-CORONARY ARTERY BYPASS
36.17ABDOMINAL-CORONARY ARTERY BYPASS
36.19OTHER BYPASS ANASTOMOSIS FOR HEART REVASCULARIZATION
Cardiac surgery
Diagnostic Related Groups (DRGs):
103HEART TRANSPLANT
104CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION
105CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION
106CORONARY BYPASS WITH PTCA
107CORONARY BYPASS WITH CARDIAC CATHETERIZATION
108OTHER CARDIOTHORACIC PROCEDURES
110MAJOR CARDIOVASCULAR PROCEDURES WITH CC
111MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC
112PERCUTANEOUS CARDIOVASCULAR PROCEDURES
Cesarean section delivery
ICD-9-CM procedure codes:
74.0CLASSICAL CESAREAN SECTION
74.1LOW CERVICAL CESAREAN SECTION
74.2EXTRAPERITONEAL CESAREAN SECTION
74.4CESAREAN SECTION OF OTHER SPECIFIED TYPE
74.99OTHER CESAREAN SECTION OF UNSPECIFIED TYPE
Cesarean section wound complications
ICD-9-CM diagnosis codes:
67410DISRUPTION OF CESAREAN WOUND-UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE
67412DISRUPTION OF CESAREAN WOUND-DELIVERED, WITH MENTION OF POSTPARTUM COMPLICATION
67414DISRUPTION OF CESAREAN WOUND-POSTPARTUM CONDITION OR COMPLICATION
67430OTHER COMPLICATIONS OF OBSTETRICAL SURGICAL WOUNDS-UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE
67432OTHER COMPLICATIONS OF OBSTETRICAL SURGICAL WOUNDS-DELIVERED, WITH MENTION OF POSTPARTUM COMPLICATION
67434OTHER COMPLICATIONS OF OBSTETRICAL SURGICAL WOUNDS-POSTPARTUM CONDITION OR COMPLICATION
Deliveries
Diagnostic Related Groups(DRGs):
370CESAREAN SECTION WITH CC
371CESAREAN SECTION WITHOUT CC
372VAGINAL DELIVERY WITH COMPLICATING DIAGNOSES
373VAGINAL DELIVERY WITHOUT COMPLICATING DIAGNOSES
374VAGINAL DELIVERY WITH STERILIZATION AND/OR D AND C
375VAGINAL DELIVERY WITH OR PROCEDURE EXCEPT STERILIZATION AND/OR D AND C
Disorders of the peripheral nervous system
ICD-9-CM diagnosis codes:
350TRIGEMINAL NERVE DISORDERS
351FACIAL NERVE DISORDERS
352DISORDERS OF OTHER CRANIAL NERVES
353NERVE ROOT AND PLEXUS DISORDERS
354MONOEURITIS OF UPPER LIMB AND MONOEURITIS MULTIPLEX
355MONOEURITIS OF LOWER LIMB
356HEREDITARY AND IDIOPATHIC PERIPHERAL NEUROPATHY
357INFLAMMATORY AND TOXIC NEUROPATHY
358MYONEURAL DISORDERS
359MUSCULAR DYSTROPHIES AND OTHER MYOPATHIES
Dorsopathies
ICD-9-CM diagnosis codes:
720ANKYLOSING SPONDYLITIS AND OTHER INFLAMMATORY SPONDYLOPATHIES
721SPONDYLOSIS AND ALLIED DISORDERS
722INTERVERTEBRAL DISC DISORDERS
723OTHER DISORDERS OF CERVICAL REGION
724OTHER AND UNSPECIFIED DISORDERS OF BACK
Drug overdose
ICD-9-CM diagnosis codes:
291ALCOHOLIC PSYCHOSES
292DRUG PSYCHOSES
303.00ACUTE ALCOHOLIC INTOXICATION - UNSPECIFIED
303.01ACUTE ALCOHOLIC INTOXICATION - CONTINUOUS
303.02ACUTE ALCOHOLIC INTOXICATION - EPISODIC
NONDEPENDENT ABUSE OF DRUGS:
305.00ALCOHOL ABUSE - UNSPECIFIED
305.01ALCOHOL ABUSE - CONTINUOUS
305.02ALCOHOL ABUSE - EPISODIC
305.20CANNABIS ABUSE - UNSPECIFIED
305.21CANNABIS ABUSE - CONTINUOUS
305.22CANNABIS ABUSE - EPISODIC
305.30HALLUCINOGEN ABUSE - UNSPECIFIED
305.31HALLUCINOGEN ABUSE - CONTINUOUS
305.32HALLUCINOGEN ABUSE - EPISODIC
305.40BARBITURATE AND SIMILARLY ACTING SEDATIVE OR HYPNOTIC ABUSE - UNSPECIFIED
305.41BARBITURATE AND SIMILARLY ACTING SEDATIVE OR HYPNOTIC ABUSE - CONTINUOUS
305.42BARBITURATE AND SIMILARLY ACTING SEDATIVE OR HYPNOTIC ABUSE - EPISODIC
305.50OPIOID ABUSE - UNSPECIFIED
305.51OPIOID ABUSE - CONTINUOUS
305.52OPIOID ABUSE - EPISODIC
305.70AMPHETAMINE OR RELATED ACTING - UNSPECIFIED
305.71AMPHETAMINE OR RELATED ACTING - CONTINUOUS
305.72AMPHETAMINE OR RELATED ACTING - EPISODIC
305.80ANTIDEPRESSANT TYPE ABUSE - UNSPECIFIED
305.81ANTIDEPRESSANT TYPE ABUSE - CONTINUOUS
305.82ANTIDEPRESSANT TYPE ABUSE - EPISODIC
305.90OTHER MIXED, OR UNSPECIFIED DRUG ABUSE - UNSPECIFIED
305.91OTHER MIXED, OR UNSPECIFIED DRUG ABUSE - CONTINUOUS
305.92OTHER MIXED, OR UNSPECIFIED DRUG ABUSE - EPISODIC
965.0POISONING BY ANALGESICS, ANTIPYRETICS, AND ANTIRHEUMATICS, OPIATES AND RELATED NARCOTICS
967.0POISONING BY SEDATIVES AND HYPNOTICS
968.5POISONING BY OTHER CENTRAL NERVOUS SYSTEM DEPRESSANT AND ANESTHETICS SURFACE [TOPICAL] AND INFILTRATION ANESTHETICS
969POISONING BY PSYCHOTROPIC AGENTS
980TOXIC EFFECT OF ALCOHOL
ACCIDENTAL POISONING BY ANALGESICS, ANTIPYRETICS, AND ANTIRHEYUMATICS:
E850.0HEROIN
E850.1METHADONE
E850.2OTHER OPIATES AND RELATED NARCOTICS
E851ACCIDENTAL POISONING BY BARBITURATES
E852ACCIDENTAL POISONING BY OTHER SEDATIVES AND HYPNOTICS
E853ACCIDENTAL POISONING BY TRANQUILIZERS
E854ACCIDENTAL POISONING BY OTHER PSYCHOTROPIC AGENTS
E860ACCIDENTAL POISONING BY ALCOHOL, NEC
SUICIDE AND SELF-INFLICTED POISONING BY SOLID OR LIQUID SUBSTANCES:
E950.0ANALGESICS, ANTIPYRETICS, AND ANTIRHEYMATICS
E950.1BARBITURATES
E950.2OTHER SEDATIVES AND HYPNOTICS
E950.3TRANQUILIZERS AND OTHER PSYCHOTROPIC AGENTS
E950.4OTHER SPECIFIED DRUGS AND MEDICINAL SUBSTANCES
E950.5UNSPECIFIED DRUG OR MEDICINAL SUBSTANCE
E980.0UNDETERMINED WHETHER ACCIDENTALLY OR PURPOSELY INFLICTED - ANALGESICS, ANTIPYRETICS, AND ANTIRHEUMATICS
E980.1UNDETERMINED WHETHER ACCIDENTALLY OR PURPOSELY INFLICTED - BARBITURATES
E980.2UNDETERMINED WHETHER ACCIDENTALLY OR PURPOSELY INFLICTED - OTHER SEDATIVES AND HYPNOTICS
E980.3UNDETERMINED WHETHER ACCIDENTALLY OR PURPOSELY INFLICTED - TRANQUILIZERS AND OTHER PSYCHOTROPIC AGENTS
Elective
ADMISSION TYPE IS RECORDED AS ELECTIVE
Foreign body
ICD-9-CM diagnosis codes:
FOREIGN BODY IN:
933.0PHARYNX
933.1LARYNX
934.0TRACHEA
934.1MAIN BRONCHUS
934.8OTHER SPECIFIED PARTS
935.1MOUTH
935.2ESOPHAGUS
936INTESTINE AND COLON
937ANUS AND RECTUM
938DIGESTIVE SYSTEM UNSPECIFIED
939.0GENITOURINARY TRACT, BLADDER AND URETHRA
939.1FOREIGN BODY IN GENITOURINARY TRACT, UTERUS, ANY PART
Fracture
ICD-9-CM diagnosis codes ( include 4th or 5th digits):
FRACTURE OF VERTEBRAL COLUMN WITH SPINAL CORD INJURY:
806.6SACRUM AND COCYX CLOSED
806.7SACRUM AND COCYX OPEN
808FRACTURE OF PELVIS
810FRACTURE OF CLAVICLE
811FRACTURE OF SCAPULA
812FRACTURE OF HUMERUS
813FRACUTRE OF RADIUS AND ULNA
820FRACTURE OF NECK OF FEMUR
821FRACTURE OF OTHER AND UNSPECIFIED PARTS OF FEMUR
822FRACTURE OF PATELLA
823FRACTURE OF TIBIA AND FIBULA
824FRACTURE OF ANKLE
825FRACTURE OF ONE OR MORE TARSAL AND METATARSAL BONES
826FRACTURE OF ONE OR MORE PHALANGES OF FOOT
827OTHER, MULTIPLE, AND ILL-DEFINED FRACTURE OF LOWER LIMB
828MULTIPLE FRACTURE INVOLVING BOTH LOWER LIMBS, LOWER WITH UPPER LIMB, AND LOWER LIMB(S) WITH RIB(S) AND STERNUM
829FRACTURE OF UNSPECIFIED BONES
Hemiplegia, paraplegia, or quadriplegia
ICD-9-CM diagnosis codes (includes 5th digits):
342.0FLACCID HEMIPLEGIA
342.1SPASTIC HEMIPLEGIA
342.8OTHER SPECIFIED HEMIPLEGIA
342.9HEMIPLEGIA, UNSPECIFIED
343.0INFANTILE CEREBRAL PALSY, DIPLEGIC
343.1INFANTILE CEREBRAL PALSY, HEMIPLEGIC
343.2INFANTILE CEREBRAL PALSY, QUADRIPLEGIC
343.3INFANTILE CEREBRAL PALSY, MONOPLEGIC
343.4INFANTILE CEREBRAL PALSY INFANTILE HEMIPLEGIA
343.8INFANTILE CEREBRAL PALSY OTHER SPECIFIED INFANTILE CEREBRAL PALSY
343.9INFANTILE CEREBRAL PALSY, INFANTILE CEREBRAL PALSY, UNSPECIFIED
344.0QUADRIPLEGIA AND QUADRIPARESIS
344.1PARAPLEGIA
344.2DIPLEGIA OF UPPER LIMBS
344.3MONOPLEGIA OF LOWER LIMB
344.4MONOPLEGIA OF UPPER LIMB
344.5UNSPECIFIED MONOPLEGIA
344.6CAUDA EQUINA SYNDROME
344.8OTHER SPECIFIED PARALYTIC SYNDROMES
344.9PARALYSIS, UNSPECIFIED
438.2HEMIPLEGIA/HEMIPARESIS
438.3MONOPLEGIA OF UPPER LIMB
438.4MONOPLEGIA OF LOWER LIMB
438.5OTHER PARALYTIC SYNDROME
Iatrogenic nervous system complications
ICD-9-CM diagnosis codes:
997.00NERVOUS SYSTEM COMPLICATION, UNSPECIFIED
997.01CENTRAL NERVOUS SYSTEM COMPLICATIONS
997.02IATROGENIC CEREBROVASCULAR INFARCTION OR HEMORRHAGE
997.09OTHER NERVOUS SYSTEM COMPLICATIONS
Long term care
ADMISSION TYPE/SOURCE IS RECORDED AS LONG TERM CARE FACILITY
Nerve compression injuries
ICD-9-CM diagnosis codes:
353.0BRACHIAL PLEXUS LESIONS
355.1MERALGIA PARESTHETICA
355.3LESION OF LATERAL POPLITEAL NERVE
Other obstetrical complications
ICD-9-CM diagnosis codes:
(includes 5th digits):
668.0PULMONARY COMPLICATIONS
668.1CARDIAC COMPLICATIONS
668.2CENTRAL NERVOUS SYSTEM COMPLICATIONS
668.8OTHER COMPLICATIONS OF ANESTHESIA OR OTHER SEDATION IN LABOR AND DELIVERY
668.9UNSPECIFIED COMPLICATION OF ANESTHESIA AND OTHER SEDATION
669.1OTHER COMPLICATIONS OF LABOR AND DELIVERY, NOT ELSEWHERE CLASSIFIED, SHOCK DURING OR FOLLOWING LABOR AND DELIVERY
669.4OTHER COMPLICATIONS OF OBSTETRICAL SURGERY AND PROCEDURES
669.30, 2, 4ACUTE RENAL FAILURE FOLLOWING LABOR AND DELIVERY
Perineal wound complications
ICD-9-CM diagnosis codes:
674.20DISRUPTION OF PERINEAL WOUND-UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE
674.22DISRUPTION OF PERINEAL WOUND-DELIVERY, WITH MENTION OF POSTPARTUM COMPLICATION
674.24DISRUPTION OF PERINEAL WOUND-POSTPARTUM CONDITION OR COMPLICATION
664.5VULVAL AND PERINEAL HEMATOMA
665.7PELVIC HEMATOMA
674.30OTHER COMPLICATIONS OF OBSTETRICAL SURGICAL WOUNDS-UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE
674.32OTHER COMPLICATIONS OF OBSTETRICAL SURGICAL WOUNDS-DELIVERED, WITH MENTION OF POSTPARTUM COMPLICATION
674.34OTHER COMPLICATIONS OF OBSTETRICAL SURGICAL WOUNDS-POSTPARTUM CONDITION OR COMPLICATION
Poisoning
ICD-9-CM diagnosis codes (includes 4th and 5th digits):
960POISONING BY ANTIBIOTICS
961POISONING BY OTHER ANTI-INFECTIVES
962POISONING BY HORMONES AND SYNTHETIC SUBSTITUTES
963POISONING BY PRIMARILY SYSTEMIC AGENTS
964POISONING BY AGENTS PRIMARILY AFFECTING BLOOD CONSTITUENTS
965POISONOING BY ANALGESICS, ANTIPYRETICS, AND ANTIRHEUMATICS
966POISONING BY ANTICONVULSANTS AND ANTI-PARKINSONISM DRUGS
967POISONING BY SEDATIVES AND HYPNOTICS
968POISONING BY OTHER CENTRAL NERVOUS SYSTEM DEPRESSANTS AND ANESTHETICS
969POISONING BY PSYCHOTROPIC AGENTS
970POISONING BY CENTRAL NERVOUS SYSTEM STIMULANTS
971POISONING BY DRUGS PRIMARILY AFFECTING THE AUTONOMIC NERVOUS SYSTEM
972POISONING BY AGENTS PRIMARILY AFFECTING THE CARDIOVASCULAR SYSTEM
973POISOING BY AGENTS PRIMARILY AFFECTING THE GASTROINTESTINAL SYSTEM
974POISONING BY WATER, MINERAL, AND URIC ACID METABOLSIM DRUGS
975POISONING BY AGENTS PRIMARILY ACTING ON THE SMOOTH AND SKELETAL MUSCLES AND RESPIRATORY SYSTEM
976POISONING BY AGENTS PRIMARILY AFFECTING SKIN AND MUCOUS MEMBRANE, OPTHAMOLOGICAL, OTORHINOLARYNCOLOGICAL AND DENTAL DRUGS
977POISONING BY OTHER AND UNSPECIFIED DRUGS AND MEDICINAL SUBSTANCES
978POISONING BY BACTERIAL VACCINES
979POISONING BY OTHER VACCINES AND BIOLOGICAL SUBSTANCES
E850ACCIDENTAL POISONING BY ANALGESICS, ANTIPYRETICS, AND ANTIRHEUMATICS
E851ACCIDENTAL POISONING BY BARBITURATES
E852ACCIDENTAL POISONING BY OTHER SEDATIVES AND HYPNOTICS
E853ACCIDENTAL POISONING BY TRANQUILIZERS
E854ACCIDENTAL POISONING BY OTHER PSYCHOTROPIC AGENTS
E855ACCIDENTAL POISONING BY OTHER DRUGS ACTING ON CENTRAL AND AUTONOMIC NERVOUS SYSTEM
E856ACCIDENTAL POISONING BY ANTIBIOTICS
E857ACCIDENTAL POISONING BY OTHER ANTI-INFECTIVES
E858ACCIDENTAL POISONING BY OTHER DRUGS
E860ACCIDENTAL POISONING BY ALCOHOL, NEC
E861ACCIDENTAL POISONING BY CLEANING AND POLISHING AGENTS, DISINFECTANTS, PAINTS, AND VARNISHES
E862ACCIDENTAL POISONING BY PETROLEUM PRODUCTS, OTHER SOLVENTS AND THEIR VAPORS, NEC
E863ACCIDENTAL POISONING BY AGRICULTURAL AND HORTICULTURAL CHEMICAL AND PHARMACEUTICAL PREPARATIONS OTHER THAN PLANT FOODS AND FERTILIZERS
E864ACCIDENTAL POISONING BY CORROSIVES AND CAUSTICS, NEC
E865ACCIDENTAL POISONING FROM POISONOUS FOODSTUFFS AND POISONOUS PLANTS
E866ACCIDENTAL POISONG BY OTHER AND UNSPECIFIED SOLID AND LIQUID SUBSTANCES
E867ACCIDENTAL POISONOING BY GAS DISTRIBUTED BY PIPELINE
E868ACCIDENTAL POISONING BY OTHER UTILITY GAS AND OTHER CARBON MONOXIDE
E869ACCIDENTAL POISONING BY OTHER GASES AND VAPORS
E951SUICIDE AND SELF-INFLICTED POISONING BY GASES IN DOMESTIC USE
E952SUICIDE AND SELF-INFLICTED POISONING BY OTHER GASES AND VAPORS
E962ASSAULT BY POISONING
E980POISONING BY SOLID OR LIQUID SUBSTANCES, UNDETERMINED WHETHER ACCIDENTALLY OR PURPOSELY INFLICTED
E981POISONING BY GASES IN DOMESTIC USE, UNDETERMINED WHETHER ACCIDENTALLY OR PURPOSELY INFLICTED
E982POISONING BY OTHER GASES, UNDETERMINED WHETHER ACCIDENTALLY OR PURPOSELY INFLICTED
PTCA
ICD-9-CM procedure codes:
36.01SINGLE VESSEL PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY [PTCA] OR CORONARY ATHERECTOMY WITHOUT MENTION OF THROMBOLYTIC AGENT
36.02SINGLE VESSEL PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY [PTCA] OR CORONARY ATHERECTOMY WITH MENTION OF THROMBOLYTIC AGENT
36.05MULTIPLE VESSEL PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLSTY [PTCA] OR CORONARY ATHERECTOMY PERFORMED DURING THE SAME OPERATION, WITH OR WITHOUT MENTION OF THROMBOLYTIC AGENT
36.06INSERTION OF CORONARY ARTERY STENTS
Reopening of a surgical site
ICD-9-CM procedure codes:
12.3REOPENING OF CRANIOTOMY SITE
30.2REOPENING OF LAMINECTOMY SITE
60.2REOPENING OF WOUND OF THYROID FIELD
34.03REOPENING OF RECENT THORACOTOMY SITE
39.49OTHER REVISION OF VASCULAR PROCEDURE
54.12REOPENING OF RECENT LAPAROTOMY SITE
Rupture of uterus during or after labor
ICD-9-CM diagnosis codes:
665.10RUPTURE OF UTERUS DURING LABOR-UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE
665.11RUPTURE OF UTERUS DURING LABOR-DELIVERED, WITH OR WITHOUT MENTION OF ANTEPARTUM CONDITION
Seizure
ICD-9-CM diagnosis codes:
345.00GENERALIZED NONCONVULSIVE EPILEPSY - WITHOUT MENTION OF INTRACTABLE EPILEPSY
345.01GENERALIZED NONCONVULSIVE EPILEPSY - WITH INTRACTABLE EPILEPSY
345.10GENERALIZED CONVULSIVE EPILEPSY - WITHOUT MENTION OF INTRACTABLE EPILEPSY
345.11GENERALIZED CONVULSIVE EPILEPSY - WITH INTRACTABLE EPILEPSY
345.2EPILEPSY-PETIT MAL STATUS
345.3EPILEPSY-GRAND MAL STATUS
345.40PARTIAL EPILEPSY, WITH IMPAIRMENT OF CONSCIOUSNESS - WITH INTRACTABLE EPILEPSY
345.41PARTIAL EPILEPSY, WITH IMPAIRMENT OF CONSCIOUSNESS - WITHOUT MENTION OF INTRACTABLE EPILEPSY
345.50PARTIAL EPILEPSY, WITHOUT MENTION OF IMPAIRMENT OF CONSCIOUSNESS, - WITHOUT MENTION OF INTRACTABLE EPILEPSY
345.51PARTIAL EPILEPSY, WITHOUT MENTION OF IMPAIRMENT OF CONSCIOUSNESS - WITH INTRACTABLE EPILEPSY
345.60INFANTILE SPASMS - WITHOUT MENTION OF INTRACTABLE EPILEPSY
345.61INFANTILE SPASMS - WITH INTRACTABLE EPILEPSY
345.70EPILEPSIA PARTIALIS CONTINUA - WITHOUT MENTION OF INTRACTABLE EPILEPSY
345.71EPILEPSIA PARTIALIS CONTINUA - WITH INTRACTABLE EPILEPSY
345.80OTHER FORMS OF EPILEPSY - WITHOUT MENTION OF INTRACTABLE EPILEPSY
345.81OTHER FORMS OF EPILEPSY - WITH INTRACTABLE EPILEPSY
345.90EPILEPSY, UNSPECIFIED - WITHOUT MENTION OF INTRACTABLE EPILEPSY
345.91EPILEPSY, UNSPECIFIED - WITH INTRACTABLE EPILEPSY
780.3CONVULSIONS (OLD CODE NO LONGER VALID)
780.31FEBRILE CONVULSIONS
780.39OTHER CONVULSIONS
Surgical
Diagnostic Related Groups (DRGs)
001CRANIOTOMY, AGE GREATER THAN 17 EXCEPT FOR TRAUMA
002CRANIOTOMY FOR TRAUMA, AGE GREATER THAN 17
003CRANIOTOMY, AGE 0–17
004SPINAL PROCEDURES
005EXTRACRANIAL VASCULAR PROCEDURES
006CARPAL TUNNEL RELEASE
007PERIPHERAL AND CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC
008PERIPHERAL AND CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC
036RETINAL PROCEDURES
037ORBITAL PROCEDURES
038PRIMARY IRIS PROCEDURES
039LENS PROCEDURES WITH OR WITHOUT VITRECTOMY
040EXTRAOCULAR PROCEDURES EXCEPT ORBIT, AGE GREATER THAN 17
041EXTRAOCULAR PROCEDURES EXCEPT ORBIT, AGE 0–17
042INTRAOCULAR PROCEDURES EXCEPT RETINA, IRIS AND LENS
049MAJOR HEAD AND NECK PROCEDURES
050SIALOADENECTOMY
051SALIVARY GLAND PROCEDURES EXCEPT SIALOADENECTOMY
052CLEFT LIP AND PALATE REPAIR
053SINUS AND MASTOID PROCEDURES, AGE GREATER THAN 17
054SINUS AND MASTOID PROCEDURES, AGE 0–17
055MISCELLANEOUS EAR, NOSE, MOUTH AND THROAT PROCEDURES
056RHINOPLASTY
057TONSILLECTOMY AND ADENOIDECTOMY PROCEDURES EXCEPT TONSILLECTOMY AND/OR ADENOIDECTOMY ONLY, AGE GREATER THAN 17
058TONSILLECTOMY AND ADENOIDECTOMY PROCEDURES EXCEPT TONSILLECTOMY AND/OR ADENOIDECTOMY ONLY, AGE 0–17
059TONSILLECTOMY AND/OR ADENOIDECTOMY ONLY, AGE GREATER THAN 17
060TONSILLECTOMY AND/OR ADENOIDECTOMY ONLY, AGE 0–17
061MYRINGOTOMY WITH TUBE INSERTION, AGE GREATER THAN 17
062MYRINGOTOMY WITH TUBE INSERTION, AGE 0–17
063OTHER EAR, NOSE, MOUTH AND THROAT OR PROCEDURES
075MAJOR CHEST PROCEDURES
076OTHER RESPIRATORY SYSTEM OR PROCEDURES WITH CC
077OTHER RESPIRATORY SYSTEM OR PROCEDURES WITHOUT CC
103HEART TRANSPLANT
104CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION
105CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION
106CORONARY BYPASS WITH PTCA
107CORONARY BYPASS WITH CARDIAC CATHETERIZATION
108OTHER CARDIOTHORACIC PROCEDURES
109CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION
110MAJOR CARDIOVASCULAR PROCEDURES WITH CC
111MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC
112PERCUTANEOUS CARDIOVASCULAR PROCEDURES
113AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE
114UPPER LIMB AND TOES AMPUTATION FOR CIRCULATORY SITE
115PERMANENT CARDIAC PACEMAKER IMPLANT WITH ACUTE MYOCARDIAL INFARCTION, HEART FAILURE OR SHOCK OR ACID LEAD OR GENERATOR PROCEDURE
116OTHER PERMANENT CARDIAC PACEMAKER IMPLANT OR PTCA WITH CORONARY ARTERIAL STENT
117CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT
118CARDIAC PACEMAKER DEVICE REPLACEMENT
119VEIN LIGATION AND STRIPPING
120OTHER CIRCULATORY SYSTEM OR PROCEDURES
146RECTAL RESECTION WITH CC
147RECTAL RESECTION WITHOUT CC
148MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC
149MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC
150PERITONEAL ADHESIOLYSIS WITH CC
151PERITONEAL ADHESIOLYSIS WITHOUT CC
152MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC
153MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC
154STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES, AGE GREATER THAN 17 WITH CC
155STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES, AGE GREATER THAN 17 WIHOUT CC
156STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES, AGE 0–17
157ANAL AND STOMAL PROCEDURES WITH CC
158ANAL AND STOMAL PROCEDURES WITHOUT CC
159HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL, AGE GREATER THAN 17 WITH CC
160HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL, AGE GREATER THAN 17 WITHOUT CC
161INGUINAL AND FEMORAL HERNIA PROCEDURES, AGE GREATER THAN 17 WITH CC
162INGUINAL AND FEMORAL HERNIA PROCEDURES, AGE GREATER THAN 17 WITHOUT CC
163HERNIA PROCEDURES, AGE 0–17
164APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC
165APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC
166APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC
167APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC
168MOUTH PROCEDURES WITH CC
169MOUTH PROCEDURES WITHOUT CC
170OTHER DIGESTIVE SYSTEM OR PROCEDURES WITH CC
171OTHER DIGESTIVE SYSTEM OR PROCEDURES WITHOUT CC
191PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC
192PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC
193BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT COMMON DUCT EXPLORATION WITH CC
194BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT COMMON DUCT EXPLORATION WITHOUT CC
195CHOLECYSTECTOMY WITH COMMON DUCT EXPLORATION WITH CC
196CHOLECYSTECTOMY WITH COMMON DUCT EXPLORATION WITHOUT CC
197CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT COMMON DUCT EXPLORATION WITH CC
198CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT COMMON DUCT EXPLORATION WITHOUT CC
199HEPATOBILIARY DIAGNOSTIC PROCEDURE FOR MALIGNANCY
200HEPATOBILIARY DIAGNOSTIC PROCEDURE FOR NONMALIGNANCY
201OTHER HEPATOBILIARY OR PANCREAS OR PROCEDURES
209MAJOR JOINT AND LIMB REATTACHMENT PROCEDURES OF LOWER EXTREMITY
210HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT PROCEDURES, AGE GREATER THAN 17 WITH CC
211HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT PROCEDURES, AGE GREATER THAN 17 WITHOUT CC
212HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT PROCEDURE, AGE 0–17
213AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS
214NO LONGER VALID
215NO LONGER VALID
216BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE
217WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS
218LOWER EXTREMITY AND HUMERUS PROCEURES EXCEPT HIP, FOOT AND FEMUR, AGE GREATER THAN 17 WITH CC
219LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR, AGE GREATER THAN 17 WITHOUT CC
220LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR, AGE 0–17
221NO LONGER VALID
222NO LONGER VALID
223MAJOR SHOULDER/ELBOW PROCEDURES OR OTHER UPPER EXTREMITY PROCEDURES WITH CC
224SHOULDER, ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC
225FOOT PROCEDURES
226SOFT TISSUE PROCEDURES WITH CC
227SOFT TISSUE PROCEDURES WITHOUT CC
228MAJOR THUMB OR JOINT PROCEDURES OR OTHER HAND OR WRIST PROCEDURES WITH CC
229HAND OR WRIST PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC
230LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR
231LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR
232ARTHROSCOPY
233OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE OR PROCEDURES WITH CC
234OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE OR PROCEDURES WITHOUT CC
257TOTAL MASTECTOMY FOR MALIGNANCY WITH CC
258TOTAL MASTECTOMY FOR MALIGNANCY WITHOUT CC
259SUBTOTAL MASTECTOMY FOR MALIGNANCY WITH CC
260SUBTOTAL MASTECTOMY FOR MALIGNANCY WITHOUT CC
261BREAST PROCEDURE FOR NONMALIGNANCY EXCEPT BIOPSY AND LOCAL EXCISION
262BREAST BIOPSY AND LOCAL EXCISION FOR NONMALIGNANCY
263SKIN GRAFT AND/OR DEBRIDEMENT FOR SKIN ULCER OR CELLULITIS WITH CC
264SKIN GRAFT AND OR DEBRIDEMENT FOR SKIN ULCER OR CELLULITIS WITHOUT CC
265SKIN GRAFT AND OR DEBRIDEMENT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC
266SKIN GRAFT AND/OR DEBRIDEMENT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC
267PERIANAL AND PILONIDAL PROCEDURES
268SKIN, SUBCUTANEOUS TISSUE AND BREAST PLASTIC PROCEDURES
269OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC
270OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURS WITHOUT CC
285AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
286ADRENAL AND PITUITARY PROCEDURES
287SKIN GRAFTS AND WOUND DEBRIDEMENTS FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
288OR PROCEDURES FOR OBESITY
289PARATHYROID PROCEDURES
290THYROID PROCEDURES
291THYROGLOSSAL PROCEDURES
292OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC OR PROCEDURES WITH CC
293OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC OR PROCEDURES WITHOUT CC
302KIDNEY TRANSPLANT
303KIDNEY, URETER AND MAJOR BLADDER PROCEDURES FOR NEOPLASM
304KIDNEY, URETER AND MAJOR BLADDER PROCEDURES FOR NONNEOPLASMS WITH CC
305KIDNEY, URETER AND MAJOR BLADDER PROCEDURES FOR NONNEOPLASMS WITHOUT CC
306PROSTATECTOMY WITH CC
307PROSTATECTOMY WITHOUT CC
308MINOR BLADDER PROCEDURES WITH CC
309MINOR BLADDER PROCEDURES WITHOUT CC
310TRANSURETHRAL PROCEDURES WITH CC
311TRANSURETHRAL PROCEDURES WITHOUT CC
312URETHRAL PROCEDURES, AGE GREATER THAN 17 WITH CC
313URETHRAL PROCEDURES, AGE GREATER THAN 17 WITHOUT CC
314URETHRAL PROCEDURES, AGE 0–17
315OTHER KIDNEY AND URINARY TRACT OR PROCEDURES
334MAJOR MALE PELVIC PROCEDURES WITH CC
335MAJOR MALE PELVIC PROCEDURES WITHOUT CC
336TRANSURETHRAL PROSTATECTOMY WITH CC
337TRANSURETHRAL PROSTATECTOMY WITHOUT CC
338TESTES PROCEDURES FOR MALIGNANCY
339TESTES PROCEDURES FOR NONMALIGNANCY, AGE GREATER THAN 17
340TESTES PROCEDURES FOR NONMALIGNANCY, AGE 0–17
341PENIS PROCEDURES
342CIRCUMCISION, AGE GREATER THAN 17
343CIRCUMCISION, AGE 0–17
344OTHER MALE REPRODUCTIVE SYSTEM OR PROCEDURES FOR MALIGNANCY
345OTHER MALE REPRODUCTIVE SYSTEM OR PROCEDURES EXCEPT FOR MALIGNANCY
353PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY
354UTERINE AND ADNEXA PROCEDURES FOR NONOVARIAN/ADNEXAL MALIGNANCY WITH CC
355UTERINE AND ADNEXA PROCEDURES FOR NONOVARIAN/ADNEXA PROCEDURES FOR NONOVARIAN/ADNEXAL MALIGNANCY WITHOUT CC
356FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
357UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY
358UTERINE AND ADNEXA PROCEDURES FOR NONMALIGNANCY WITH CC
359UTERINE AND ADNEXA PROCEDURES FOR NONMALIGNANCY WITHOUT CC
360VAGINA, CERVIX AND VULVA PROCEDURES
361LAPAROSCOPY AND INCISIONAL TUBAL INTERRUPTION
362ENDOSCOPIC TUBAL INTERRUPTION
363D AND C, CONIZATION AND RADIOIMPLANT FOR MALIGNANCY
364D AND C, CONIZATION EXCEPT FOR MALIGNANCY
365OTHER FEMALE REPRODUCTIVE SYSTEM OR PROCEDURES
370CESAREAN SECTION WITH CC
371CESAREAN SECTION WITHOUT CC
374VAGINAL DELIVERY WITH STERILIZATION AND/OR D AND C
375VAGINAL DELIVERY WITH OR PROCEDURE EXCEPT STERILIZATION AND/OR D AND C
377POSTPARTUM AND POSTABORTION DIAGNOSES WITH OR PROCEDURE
381ABORTION WITH D AND C ASPIRATION CURETTAGE OR HYSTERECTOMY
392SPLENECTOMY, AGE GREATER THAN 17
393SPLENECTOMY, AGE 0–17
394OTHER OR PROCEDURES OF THE BLOOD AND BLOOD-FORMING ORGANS
400LYMPHOMA AND LEUKEMIA WITH MAJOR OR PROCEDURES
401LYMPHOMA AND NONACUTE LEUKEMIA WITH OTHER OR PROCEDURE WITH CC
402LYMPHOMA AND NONACUTE LEUKEMIA WITH OTHER OR PROCEDURE WITHOUT CC
406MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR OR PROCEDURES WITH CC
407MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR OR PROCEDURES WITHOUT CC
408MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER OR PROCEDURES
415OR PROCEDURE FOR INFECTIOUS AND PARASITIC DISEASES
424OR PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS
439SKIN GRAFTS FOR INJURIES
440WOUND DEBRIDEMENTS FOR INJURIES
441WOUND HAND PROCEDURES FOR INJURIES
442OTHER OR PROCEDURES FOR INJURIES WITH CC
443OTHER OR PROCEDURES FOR INJURIES
458NO LONGER VALID
459NO LONGER VALID
461OR PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES
468EXTENSIVE OR PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
471BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY
472NO LONGER VALID
476PROSTATIC OR PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
477NONEXTENSIVE OR PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
478OTHER VASCULAR PROCEDURES WITH CC
479OTHER VASCULAR PROCEDURES WITHOUT CC
480LIVER TRANSPLANT
481BONE MARROW TRANSPLANT
482TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES
483TRACHEOSTOMY EXCEPT FOR FACE, MOUTH AND NECK DIAGNOSES
484CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
485LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
486OTHER OR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
488HIV WITH EXTENSIVE OR PROCEDURE
491MAJOR JOINT AND LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITY
493LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT COMMON DUCT EXPLORATION WITH CC
494LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT COMMON DUCT EXPLORATION WITHOUT CC
495LUNG TRANSPLANT
496COMBINED ANTERIOR/POSTERIOR SPINAL FUSION
497SPINAL FUSION WITH CC
498SPINAL FUSION WITHOUT CC
499BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC
500BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC
501KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION, WITH CC
502KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION, WITHOUT CC
503KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION
Suture of laceration
ICD-9-CM procedure codes:
04.3SUTURE OF CRANIAL AND PERIPHERAL NERVES
29.51SUTURE OF LACERATION OF PHARYNX
31.61SUTURE OF LACERATION OF LARYNX
33.41SUTURE OF LACERATION OF BRONCHUS
33.43CLOSURE OF LACERATION OF LUNG
34.82SUTURE OF LACERATION OF DIAPHRAGM
39.30SUTURE OF UNSPECIFIED BLOOD VESSEL
39.31SUTURE OF ARTERY
39.32SUTURE OF VEIN
42.82SUTURE OF LACERATION OF ESOPHAGUS
44.61SUTURE OF LACERATION OF STOMACH
46.71SUTURE OF LACERATION OF DUODENUM
46.73SUTURE OF LACERATION OF SMALL INTESTINE, EXCEPT DUODENUM
46.75SUTURE OF LACERATION OF LARGE INTESTINE
48.71SUTURE OF LACERATION OF RECTUM
49.71SUTURE OF LACERATION OF ANUS
55.81SUTURE OF LACERATION OF KIDNEY
56.82SUTURE OF LACERATION OF URETER
57.81SUTURE OF LACERATION OF BLADDER
58.41SUTURE OF LACERATION OF URETHRA
50.61CLOSURE OF LACERATION OF LIVER
51.91REPAIR OF LACERATION OF GALLBLADDER
67.61SUTURE OF LACERATION OF CERVIX
69.41SUTURE OF LACERATION OF UTERUS
Third or fourth degree obstetric lacerations
ICD-9-CM diagnosis codes:
664.21THIRD DEGREE PERINEAL LACERATION-DELIVERED, WITH OR WITHOUT MENTION OF ANTEPARTUM CONDITION
664.31FOURTH-DEGREE PERINEAL LACERATION - DELIVERED, WITH OR WITHOUT MENTION OF ANTEPARTUM CONDITION
Trauma
ICD-9-CM diagnosis codes ( includes 4th and 5th digits):
800FRACTURE OF VAULT OF SKULL
801FRACTURE OF BASE OF SKULL
802FRACTURE OF FACE BONES
803OTHER AND UNQUALIFIED SKULL FRACTURES
804MULTIPLE FRACTURES INVOLVING SKULL OR FACE WITH OTHER BONES
805FRACTURE OF VERTEBRAL COLUMN WITHOUT MENTION OF SPINAL CHORD INJURY
806FRACTURE OF VERTEBRAL COLUMN WITH SPINAL CORD INJURY
807FRACTURE OF RIB[S] STERNUM, LARYNX, AND TRACHEA
808FRACTURE OF PELVIS
809ILL-DEFINED FRACTURES OF BONES OF TRUNK
810FRACTURE OF CLAVICLE
811FRACTURE OF SCAPULA
812FRACTURE OF HUMEROUS
813FRACTURE OF RADIUS AND ULNA
814FRACTURE OF CARPAL BONE[S]
815FRACTURE OF METACARPAL BONE[S]
817MULTIPLE FRACTURES OF HAND BONES
818ILL-DEFINED FRACTURES OF UPPER LIMB
819MULTIPLE FRACTURES INVOLVING BOTH UPPER LIMBS, AND UPPER LIMB WITH RIB AND STERNUM
820FRACTURE OF NECK OF FEMUR
821FRACTURE OF OTHER AND UNSPECIFIED PARTS OF FEMUR
822FRACTURE OF PATELLA
823FRACTURE OF TIBIA AND FIBULA
824FRACTURE OF ANKLE
825FRACTURE OF ONE OR MORE TARSAL AND METATARSAL BONES
827OTHER, MULTIPLE, AND ILL-DEFINED FRACTURES OF LOWER LIMB
828MULTIPLE FRACTURES INVOLVING BOTH LOWER LIMBS, LOWER WITH UPPER LIMB, AND LOWER LIMB WITH RIB AND STERNUM
829FRACTURE OF UNSPECIFIED BONES
830DISLOCATION OF JAW
831DISLOCATION OF SHOULDER
832DISLOCATION OF ELBOW
833DISLOCATION OF WRIST
835DISLOCATION OF HIP
836DISLOCATION OF KNEE
837DISLOCATION OF ANKLE
838DISLOCATION OF FOOT
839OTHER, MULTIPLE, AND ILL-DEFINED DISLOCATIONS
850CONCUSSION
851CEREBRAL LACERATION AND CONTUSION
852SUBARACHNOID, SUBDURAL, AND EXTRADURAL HEMORRHAGE, FOLLOWING INJURY
853OTHER AND UNSPECIFIED INTRACRANIAL HEMORRHAGE FOLLOWING INJURY
854INTRACRANIAL INJURY OF OTHER AND UNSPECIFIED NATURE
860TRAUMATIC PNEUMOTHORAX
861INJURY TO HEART AND LUNG
862INJURY TO OTHER AND UNSPECIFIED INTRATHORACIC ORGANS
863INJURY TO GASTROINTESTINAL TRACT
864INJURY TO LIVER
865INJURY TO SPLEEN
866INJURY TO KIDNEY
867INJURY TO PELVIC ORGANS
868INJURY TO OTHER INTRA-ABDOMINAL ORGANS
869INTERNAL INJURY TO UNSPECIFIED OR ILL-DEFINED ORGANS
870OPEN WOUND OF OCULAR ADNEXA
871OPEN WOUND OF EYEBALL
872OPEN WOUND OF EAR
873OTHER OPEN WOUND OF HEAD
874OPEN WOUND OF NECK
875OPEN WOUND OF CHEST [WALL]
876OPEN WOUND OF BACK
877OPEN WOUND OF BUTTOCK
878OPEN WOUND OF GENITAL ORGANS [EXTERNAL] INCLUDING TRAUMATIC AMPUTATION
879OPEN WOUND OF OTHER AND UNSPECIFIED SITES, EXCEPT LIMBS
880OPEN WOUND OF SHOULDER AND UPPER ARM
881OPEN WOUND OF ELBOW, FOREARM, AND WRIST
882OPEN WOUND OF HAND EXCEPT FINGER ALONE
884MULTIPLE AND UNSPECIFIED OPEN WOUND OF UPPER LIMB
887TRAUMATIC AMPUTATION OF ARM AND HAND (COMPLETE) (PARTIAL)
890OPEN WOUND OF HIP AND THIGH
891OPEN WOUND OF KNEE, LEG (EXCEPT THIGH) AND ANKLE
892OPEN WOUND OF FOOT EXCEPT TOE ALONE
894MULTIPLE AND UNSPECIFIED OPEN WOUND OF LOWER LIMB
896TRAUMATIC AMPUTATION OF FOOT (COMPLETE) (PARTIAL)
897TRAUMATIC AMPUTATION OF LEG(S) (COMPLETE) (PARTIAL)
900INJURY TO BLOOD VESSELS OF HEAD AND NECK
901INJURY TO BLOOD VESSELS OF THORAX
902INJURY TO BLOOD VESSELS OF ABDOMEN AND PELVIS
903INJURY TO BLOOD VESSELS OF UPPER EXTREMITY
904INJURY TO BLOOD VESSELS OF LOWER EXTREMITY AND UNSPECIFIED SITES
925CRUSHING INJURY OF FACE, SCALP, AND NECK
926CRUSHING INJURY OF TRUNK
927CRUSHING INJURY OF UPPER LIMB
928CRUSHING INJURY OF LOWER LIMB
929CRUSHING INJURY OF MULTIPLE AND UNSPECIFIED SITES
940BURN CONFINED TO EYE AND ADNEXA
941BURN OF FACE, HEAD, AND NECK
942BURN OF TRUNK
943BURN OF UPPER LIMB, EXCEPT WRIST AND HAND
944BURN OF WRIST[S] AND HAND[S]
945BURN OF LOWER LIMB[S]
946BURNS OF MULTIPLE SPECIFIED SITES
947BURN OF INTERNAL ORGANS
948BURNS CLASSIFIED ACCORDING TO EXTENT OF BODY SURFACE INVOLVED
949BURN, UNSPECIFIED
952SPINAL CHORD INJURY WITHOUT EVIDENCE OF SPINAL BONE INJURY
953INJURY TO NERVE ROOTS AND SPINAL PLEXUS
958CERTAIN EARLY COMPLICATIONS OF TRAUMA
E800RAILWAY ACCIDENT INVOLVING COLLISION WITH ROLLING STOCK
E801RAILWAY ACCIDENT INVOLVING COLLISION WITH OTHER OBJECT
E802RAILWAY ACCIDENT INVOLVING DERAILMENT WITHOUT ANTECEDENT COLLISION
E803RAILWAY ACCIDENT INVOLVING EXPLOSION, FIRE, OR BURNING
E804FALL IN, ON, OR FROM RAILWAY TRAIN
E805HIT BY ROLLING STOCK
E806OTHER SPECIFIED RAILWAY ACCIDENT
E807RAILWAY ACCIDENT OF UNSPECIFIED NATURE
E810MOTOR VEHICLE TRAFFIC ACCIDENT INVOLVING COLLISION WITH TRAIN
E811MOTOR VEHICLE TRAFFIC ACCIDENT INVOLVING RE-ENTERANT COLLISION WITH ANOTHER MOTOR VEHICLE
E812OTHER MOTOR VEHICLE TRAFFIC ACCIDENT INVOLVING COLLISION WITH MOTOR VEHICLE
E813MOTOR VEHICLE TRAFFIC ACCIDENT INVOLVING COLLISION WITH OTHER VEHICLE
E814MOTOR VEHICLE TRAFFIC ACCIDENT INVOLVING COLLISION WITH PEDESTRIAN
E815OTHER MOTOR VEHICLE TRAFFIC ACCIDENT INVOLVING COLLISION ON THE HIGHWAY
E816MOTOR VEHICLE TRAFFIC ACCIDENT DUE TO LOSS OF CONTROL, WITHOUT COLLISION ON THE HIGHWAY
E817NONCOLLISION MOTOR VEHICLE TRAFFIC ACCIDENT WHILE BOARDING OR ALIGHTING
E818OTHER NONCOLLISION MOTOR VEHICLE TRAFFIC ACCIDENT
E819MOTOR VEHICLE TRAFFIC ACCIDENT OF UNSPECIFIED NATURE
E820NONTRAFFIC ACCIDENT INVOLVING MOTOR-DRIVEN SNOW VEHICLE
E821NONTRAFFIC ACCIDENT INVOLVING OTHER OFF-ROAD MOTOR VEHICLE
E822OTHER MOTOR VEHICLE NONTRAFFIC ACCIDENT INVOLVING COLLISION WITH MOVING OBJECT
E823OTHER MOTOR VEHICLE NONTRAFFIC ACCIDENT INVOLVING COLLISION WITH STATIONARY OBJECT
E824OTHER MOTOR VEHICLE NONTRAFFIC ACCIDENT WHILE BOARDING AND ALIGHTING
E825OTHER MOTOR VEHICLE NONTRAFFIC ACCIDENT OF OTHER AND UNSPECIFIED NATURE
E826PEDAL CYCLE ACCIDENT
E827ANIMAL-DRAWN VEHICLE ACCIDENT
E828ACCIDENT INVOLVING ANIMAL BEING RIDDEN
E829OTHER ROAD VEHICLE ACCIDENTS
E830ACCIDENT TO WATERCRAFT CAUSING SUBMERSION
E831ACCIDENT TO WATERCRAFT CAUSING OTHER INJURY
E832OTHER ACCIDENTAL SUBMERSION OR DROWNING IN WATER TRANSPORT ACCIDENT
E833FALL ON STAIRS OR LADDERS IN WATER TRANSPORT
E834OTHER FALL FROM ONE LEVEL TO ANOTHER IN WATER TRANSPORT
E835OTHER AND UNSPECIFIED FALL IN WATER TRANSPORT
E836MACHINERY ACCIDENT IN WATER TRANSPORT
E837EXPLOSION, FIRE, OR BURNING IN WATERCRAFT
E838OTHER AND UNSPECIFIED WATER TRANSPORT ACCIDENT
E840ACCIDENT TO POWERED AIRCRAFT AT TAKEOFF OR LANDING
E841ACCIDENT TO POWERED AIRCRAFT, OTHER AND UNSPECIFIED
E842ACCIDENT TO UNPOWERED AIRCRAFT
E843FALL IN, ON, OR FROM AIRCRAFT
E844OTHER SPECIFIED AIR TRANSPORT ACCIDENTS
E845ACCIDENT INVOLVING SPACECRAFT
E846ACCIDENTS INVOLVING POWERED VEHICLES USED SOLELY WITHIN THE BUILDINGS AND PREMISES AND INDUSTRIAL OR COMMERCIAL ESTABLISHMENT
E847ACCIDENTS TO UNPOWERED AIRCRAFT
E848ACCIDENTS INVOLVING OTHER VEHICLES, NEC
E849PLACE OF OCCURRENCE
E880FALL ON OR FROM STAIRS OR STEPS
E881FALL ON OR FROM LADDERS OR SCAFFOLDING
E882FALL FROM OR OUT OF BUILDING OR OTHER STRUCTURE
E883FALL INTO HOLE OR OTHER OPENING IN SURFACE
E884OTHER FALL FROM ONE LEVEL TO ANOTHER
E885FALL ON SAME LEVEL FROM SLIPPING, TRIPPING, OR STUMBLING
E886FALL ON SAME LEVEL FROM COLLISION, PUSHING, OR SHOVING BY OR WITH OTHER PERSON
E887FRACTURE, CAUSE UNSPECIFIED
E888OTHER AND UNSPECIFIED FALL
E890CONFLAGRATION IN PRIVATE DWELLING
E891CONFLAGRATION IN OTHER AND UNSPECIFIED BUILDING OR STRUCTURE
E892CONFLAGRATION NOT IN BUILDING OR STRUCTURE
E893ACCIDENT CAUSED BY IGNITION OF CLOTHING
E894IGNITION OF HIGHLY INFLAMMABLE MATERIAL
E895ACCIDENT CAUSED BY CONTROLLED FIRE IN PRIVATE DWELLING
E896ACCIDENT CAUSE BY CONTROLLED FIRE IN OTHER AND UNSPECIFIED BUILDING OR STRUCTURE
E897ACCIDENT CAUSED BY CONTROLLED FIRE NOT IN BUILDING OR STRUCTURE
E898ACCIDENT CAUSED BY OTHER SPECIFIED FIRE AND FLAMES
E899ACCIDENT CAUSED BY UNSPECIFIED FIRE
E910ACCIDENTAL DROWNING AND SUBMERSION
E913ACCIDENTAL MECHANICAL SUFFOCATION
E914FOREIGN BODY ACCIDENTALLY ENTERING EYE AND ADNEXA
E915FOREIGN BODY ACCIDENTALLY ENTERING OTHER ORIFICE
E916STRUCK ACCIDENTALLY BY FALLING OBJECT
E917STRIKING AGAINST OR STRUCK ACCIDENTALLY BY OBJECTS OR PERSONS
E918CAUGHT ACCIDENTALLY IN OR BETWEEN OBJECTS
E919ACCIDENTS CAUSED BY MACHINERY
E920ACCIDENTS CAUSED BY CUTTING AND PIERCING INSTRUMENTS OR OBJECTS
E921ACCIDENT CAUSED BY EXPLOSION OF PRESSURE VESSEL
E922ACCIDENT CAUSED BY FIREARM AND AIR GUN MISSILE
E923ACCIDENT CAUSED BY EXPLOSIVE MATERIAL
E924ACCIDENT CAUSED BY HOT SUBSTANCE OR OBJECT, CAUSTIC OR CORROSIVE MATERIAL, AND STEAM
E925ACCIDENT CAUSED BY ELECTRIC CURRENT
E926EXPOSURE TO RADIATION
E927OVEREXERTION AND STRENUOUS MOVEMENTS
E928OTHER AND UNSPECIFIED ENVIRONMENTAL AND ACCIDENTAL CAUSES
E960FIGHT, BRAWL, RAPE
E961ASSAULT BY CORROSIVE OR CAUSTIC SUBSTANCE, EXCEPT POISONING
E962ASSAULT BY POISONING
E963ASSAULT BY HANGING AND STRANGULATION
E964ASSAULT BY SUBMERSION [DROWNING]
E965ASSAULT BY FIREARMS AND EXPLOSIVES
E966ASSAULT BY CUTTING AND PIERCING INSTRUMENT
E967PERPETRATOR OF CHILD AND ADULT ABUSE
E968ASSAULT BY OTHER AND UNSPECIFIED MEANS
E969LATE EFFECTS OF INJURY PURPOSELY INFLICTED BY OTHER PERSON
E970INJURY DUE TO LEGAL INTERVENTION BY FIREARMS
E971INJURY DUE TO LEGAL INTERVENTION BY EXPLOSIVES
E972INJURY DUE TO LEGAL INTERVENTION BY GAS
E973INJURY DUE TO LEGAL INTERVENTION BY BLUNT OBJECT
E974INJURY DUE TO LEGAL INTERVENTION BY CUTTING AND PIERCING INSTRUMENT
E975INJURY DUE TO LEGAL INTERVENTION BY OTHER SPECIFIED MEANS
E976INJURY DUE TO LEGAL INTERVENTION BY UNSPECIFIED MEANS
E977LATE EFFECTS OF INJURIES DUE TO LEGAL INTERVENTION
E978LEGAL EXECUTION
E980POISONING BY SOLID OR LIQUID SUBSTANCES, UNDETERMINED WHETHER ACCIDENTALLY OR PURPOSELY INFLICTED
E981POISONING BY GASES IN DOMESTIC USE, UNDETERMINED WHETHER ACCIDENTALLY OR PURPOSELY INFLICTED
E982POISONING BY OTHER GASES, UNDETERMINED WHETHER ACCIDENTALLY OR PURPOSELY INFLICTED
E983HANGING, STRANGULATION, OR SUFFOCATION, UNDETERMINED WHETHER ACCIDENTALLY OR PURPOSELY INFLICTED
E984SUBMERSION [DROWNING] UNDETERMINED WHETHER ACCIDENTALLY OR PURPOSELY INFLICTED
E985INJURY BY FIREARMS, AIR GUNS AND EXPLOSIVES, UNDETERMINED WHETHER ACCIDENTALLY OR PURPOSELY INFLICTED
E986INJURY BY CUTTING AND PIERCING INSTRUMENTS, UNDETERMINED WHETHER ACCIDENTALLY OR PURPOSELY INFLICTED
E987FALLING FROM HIGH PLACE, UNDETERMINED WHETHER ACCIDENTALLY OR PURPOSELY INFLICTED
E988INJURY BY OTHER AND UNSPECIFIED MEANS, UNDETERMINED WHETHER ACCIDENTALLY OR PURPOSELY INFLICTED
E989LATE EFFECTS OF INJURY, UNDETERMINED WHETHER ACCIDENTALLY OR PURPOSELY INFLICTED
E990INJURY DUE TO WAR OPERATIONS BY FIRES AND CONFLAGRATIONS
E991INJURY DUE TO WAR OPERATIONS BY BULLETS AND FRAGMENTS
E992INJURY DUE TO WAR OPERATIONS BY EXPLOSION OF MARINE WEAPONS
E993INJURY DUE TO WAR OPERATIONS BY OTHER EXPLOSION
E994INJURY DUE TO WAR OPERATIONS BY DESTRUCTION OF AIRCRAFT
E995INJURY DUE TO WAR OPERATIONS BY OTHER AND UNSPECIFIED FORMS OF CONVENTIONAL WARFARE
E996INJURY DUE TO WAR OPERATIONS BY NUCLEAR WEAPONS
E997INJURY DUE TO WAR OPERATIONS BY OTHER FORMS OF UNCONVENTIONAL WARFARE
E998INJURY DUE TO WAR OPERATIONS BUT OCCURRING AFTER CESSATION OF HOSTILITIES
E999LATE EFFECT OF INJURY DUE TO WAR OPERATIONS
DIAGNOSTIC RELATED GROUPS (DRGS)
002CRANIOTOMY FOR TRAUMA, AGE GREATER THAN 17
027TRAUMATIC STUPOR AND COMA, COMA GREATER THAN ONE HOUR
028TRAUMATIC STUPOR AND COMA, COMA LESS THAN ONE HOUR, AGE GREATER THAN 17 WITH CC
029TRAUMATIC STUPOR AND COMA, COMA LESS THAN ONE HOUR, AGE GREATER THAN 17 WITHOUT CC
031CONCUSSION, AGE GREATER THAN 17 WITH CC
032CONCUSSION, AGE GREATER THAN 17 WITHOUT CC
072NASAL TRAUMA AND DEFORMITY
083MAJOR CHEST TRAUMA WITH CC
084MAJOR CHEST TRAUMA WITHOUT CC
235FRACTURES OF FEMUR
236FRACTURE OF HIP AND PELVIS
237SPRAINS, STRAINS AND DISLOCATIONS OF HIP, PELVIS AND THIGH
440WOUND DEBRIDEMENTS FOR INJURIES
441HAND PROCEDURES FOR INJURIES
442OTHER OR PROCEDURES FOR INJURIES WITH CC
443OTHER OR PROCEDURES FOR INJURIES WITHOUT CC
444TRAUMATIC INJURY, AGE GREATER THAN 17 WITH CC
445TRAUMATIC INJURY, AGE GREATER THAN 17 WITHOUT CC
446TRAUMATIC INJURY, AGE 0–17
447ALLERGIC REACTIONS, AGE GREATER THAN 17
448ALLERGIC REACTIONS, AGE 0–17
449POISONING AND TOXIC EFFECTS OF DRUGS, AGE GREATER THAN 17 WITH CC
450POISONING AND TOXIC EFFECTS OF DRUGS, AGE GREATER THAN 17 WITHOUT CC
451POISONING AND TOXIC EFFECTS OF DRUGS, AGE 0–17
452COMPLICATIONS OF TREATMENT WITH CC
453COMPLICATIONS OF TREATMENT WITHOUT CC
454OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH CC
455OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT CC
460NO LONGER VALID
484CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
485LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
486OTHER OR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
487OTHER MULTIPLE SIGNIFICANT TRAUMAS
491MAJOR JOINT AND LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITY
Trial of labor
Diagnostic Related Groups (DRGs)
372VAGINAL DELIVERY WITH COMPLICATING DIAGNOSES
373VAGINAL DELIVERY WITHOUT COMPLICATING DIAGNOSES
374VAGINAL DELIVERY WITH STERILZATION AND/OR D AND C
375VAGINAL DELIVERY WITH OR PROCEDURE EXCEPT STERILIZATION AND/OR D AND C
or
ICD-9-CM diagnosis codes (includes all 4th and 5th digits):
653DISPROPORTION
660OBSTRUCTED LABOR
661ABNORMALITY OF FORCES OF LABOR
662LONG LABOR
(Includes all 5th digits):
652.1BREECH OR OTHER MALPRESENTATION SUCCESSFULLY CONVERTED TO CEPHALIC PRESENTATION
659.0FAILED MECHANICAL INDUCTION
659.1FAILED MEDICAL OR UNSPECIFIED INDUCTION
659.2MATERNAL PYREXIA DURING LABOR, UNSPECIFIED
659.3GENERALIZED INFECTION DURING LABOR
656.3FETAL DISTRESS
663.0PROLAPSE OF CORD
663.1CORD AROUND NECK, WITH COMPRESSION
663.2OTHER AND UNSPECIFIED CORD ENTANGLEMENT, WITH COMPRESSION
663.3OTHER AND UNSPECIFIED CORD ENTANGLEMENT, WITHOUT MENTION OF COMPRESSION
663.4SHORT CORD
663.5VASA PREVIA
663.6VASCULAR LESIONS OF CORD
663.8OTHER UMBILICAL CORD COMPLICATIONS
663.9UNSPECIFIED UMBILICAL CORD COMPLICATION
Vaginal delivery
Diagnostic Related Groups (DRGs):
372VAGINAL DELIVERY WITH COMPLICATING DIAGNOSES
373VAGINAL DELIVERY WITHOUT COMPLICATING DIAGNOSES
374VAGINAL DELIVERY WITH STERILAIZATION AND/OR D AND C
375VAGINAL DELIVERY WITH/ OR PROCEDURE EXCEPT STERILIZATION AND/ OR D AND C
Vaginal delivery during stay
ICD-9-CM diagnosis codes (includes all 4th digits, #1 and # 2 5th digits):
640.8OTHER SPECIFIED HEMORRHAGE IN EARLY PREGNANCY
640.9UNSPECIFIED HEMORRHAGE IN EARLY PREGNANCY
641ANTEPARTUM HEMORRHAGE, ABRUPTIO PACENTAE, AND PLACENTA PREVIA
642HYPERTENSION COMPLICATING PREGNANCY, CHILDBIRTH, AND THE PUERPERIUM
643EXCESSIVE VOMITING IN PREGNANCY
644EARLY OR THREATENED LABOR
645LATE PREGNANCY
646OTHER COMPLICATIONS OF PREGNANCY, NEC
647INFECTIOUS AND PARASITIC CONDITIONS IN THE MOTHER CLASSIFIABLE ELSEWHERE, BUT COMPLICATING PREGNANCY, CHILDBIRTH, OR THE PUERPERIUM
648OTHER CURRENT CONDITIONS IN THE MOTHER CLASSIFIABLE ELSEWHERE, BUT COMPLICATING PREGNANCY, CHILDBIRTH, OR THE PUERPERIUM
650NORMAL DELIVERY
651MULTIPLE GESTATION
652MALPOSITION AND MALPRESENTATION OF FETUS
653DISPROPORTION
654ABNORMALITY OF ORGANS AND SOFT TISSUES OF PELVIS
655KNOWN OR SUSPECTED FETAL ABNORMALITY AFFECTING MANAGEMENT OF MOTHER
656OTHER FETAL AND PLACENTAL PROBLEMS AFFECTING MANAGEMENT OF MOTHER
657POLYHYDRAMNIOS
658OTHER PROBLEMS ASSOCIATED WITH AMNIOTIC CAVITY AND MEMBRANES
659OTHER INDICATION FOR CARE OR INTERVENTION RELATED TO LABOR AND DELIVERY, NEC
660OBSTRUCTED LABOR
661ABNORMALITY OF FORCES OF LABOR
662LONG LABOR
663UMBILICAL CORD COMPLICATIONS
664TRAUMA TO PERINEUM AND VULVA DURING DELIVERY
665OTHER OBSTETRICAL TRAUMA
666POSTPARTUM HEMORRHAGE
667RETAINED PLACENTA OR MEMBRANES, WITHOUT HEMORRHAGE
668COMPLICATIONS OF THE ADMINISTRATION OF ANESTHETIC OR OTHER SEDATION IN LABOR AND DELIVERY
669OTHER COMPLICATIONS OF LABOR AND DELIVERY, NEC
670MAJOR PUERPERAL INFECTION
671VENOUS COMPLICATIONS IN PREGNANCY AND THE PUERPERIUM
672PYREXIA OF UNKNOWN ORIGIN DURING THE PUERPERIUM
673OBSTETRICAL PULMONARY EMBOLISM
674OTHER AND UNSPECIFIED COMPLICATIONS OF THE PUERPERIUM, NEC
675INFECTIONS OF THE BREAST AND NIPPLE ASSOCIATED WITH CHILDBIRTH
676.91UNSPECIFIED DISORDER OF LACTATION - DELIVERED, WITH OR WITHOUT MENTION OF ANTEPARTUM CONDITION
or
V27.0SINGLE LIVEBORN
V27.1SINGLE STILLBORN
V27.2TWINS, BOTH LIVEBORN
V27.3TWINS, ONE LIVEBORN AND ONE STILLBORN
V27.4TWINS, BOTH STILLBORN
V27.5OTHER MULTIPLE BIRTH, ALL LIVEBORN
V27.6OTHER MULTIPLE BIRTH, SOME LIBEBORN
V27.7OTHER MULTIPLE BIRTH, ALL STILLBORN
V27.9UNSPECIFIED OUTCOME OF DELIVERY

Section 4A. Definitions of Rejected Indicators (after panel discussion and rating)

Denominator items in bold and brackets are fully specified in Section 1B, “Coding Details for Accepted Hospital-Level Indicators.”

IndicatorDefinition and NumeratorPopulation at Risk (Denominator)
• Obstetric thrombosis or embolismDischarges with ICD-9-CM codes for obstetric thrombosis or embolism [DVT - postpartum unspecified (671.40), DVT- delivered with mention of postpartum complication (671.42), DVT - postpartum condition or complication (671.44), Obstetric pulmonary embolism (673.20)] in any diagnosis field per 100 deliveries.All deliveries ([vaginal delivery],[cesarean delivery]).
• Puerperal infectionDischarges with ICD-9-CM codes for major puerperal infection [Major puerperal infection, unspecified as to episode of care (670.00), Major puerperal infection, delivered with mention of post-partum complication (670.02), Major puerperal infection, post-partum condition or complication (670.04)] in any diagnosis field per 100 deliveries.All deliveries ([vaginal delivery],[cesarean delivery]).
Exclude patients with a diagnosis code of antepartum infection of amniotic cavity [65840, 1, 3].
• Postoperative pneumoniaDischarges with ICD-9-CM codes for pneumonia [pneumococcal pneumonia (481), other bacterial pneumonia {Klebsiella pneumoniae, pseudomoniae, pseudomonas, Hemophilis pneumoniae, streptococcus, stapnylococcus, anaerobes, E. coli, other gram negative, Legionnaires disease} (482.0–482.99)] in any secondary diagnosis field per 100 surgical discharges.All [surgical] discharges
Exclude patients in MDC 4.
Exclude patients with any diagnosis of [immunocompromised] state (including any diagnosis of AIDS), or [cancer]
• Iatrogenic hypotensionDischarges with ICD-9-CM code of 458.2 in any diagnosis field per 100 discharges.Exclude all obstetric admissions (MDC 14 and 15).
Exclude patients with any diagnosis of [trauma]
• Intestinal infection due to Clostridium difficile Discharges with ICD-9-CM code of 008.45 in any secondary diagnosis field per 100 discharges.Exclude all obstetric admissions (MDC 14 and 15).
• Dosage complicationsDischarges with ICD-9-CM code denoting a dosage complication [Failure in dosage. Excessive amount of blood or other fluid during transfusion or infusion (E873.0), Failure in dosage. Incorrect dilution of fluid during infusion. (E873.1), Failure in dosage. Overdose of radiation in therapy (E873.2) Failure in dosage. Inadvertent exposure of patient to radiation during medical care (E873.3) Failure in dosage in electroshock or insulin-shock therapy (E873.4), Failure in dosage. Inappropriate too hot or too cold temperature in local application and packing (E873.5), Failure in dosage, Non-administration of necessary drug or medicinal substance (E873.6), Other specific failure in dosage excludes accidental overdose of drug (E873.8) Unspecified failure in dosage (E873.9), Wrong fluid in infusion (E876.1)] in any diagnosis field per 100 discharges.Exclude all obstetric admissions (MDC 14 and 15).
• Postoperative iatrogenic complications - digestiveSecondary dx codes of iatrogenic complication of digestive system (997.4) [Surgical] patients
• Postoperative iatrogenic complications - respiratorySecondary dx code of iatrogenic complication of respiratory system (997.3) [Surgical] patients
• Postoperative iatrogenic complications - urinarySecondary dx code of iatrogenic complications of urinary system (997.5) [Surgical] patients
• Postoperative iatrogenic complications - vascularSecondary dx code of iatrogenic peripheral vascular complication (997.2) [Surgical] patients
• Unexpected LOS/Conditional LOSUnexpected: For each patient a predicted length of stay is calculated using a multiple linear regression model. The predicted length of stay depends on the principal diagnosis, age, and comorbidities of the patient. Then, an unexpected length of stay percentage is calculated: (actual LOS - predicted LOS)/predicted LOS. Patients whose percentage is in the upper quartile (top 25%) are considered to have unusually long lengths of stay. (Kuykendall, 1995)All [Surgical] and [Medical] patients.
Conditional: Patients with an extended length of stay have a hospital stay that is longer than the “extended length of stay point” defined as the point in the distribution (days stayed) where, for any particular DRG, the rate of discharge changes from increasing to decreasing. In other words, at some point, for a group of patients within a DRG, fewer patients are discharged than were discharged on the previous day, and more patients are held in the hospital for longer stays (Silber, 1999).

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