Disease Diagnosis Codes

AHRQ Quality Indicators
Patient Safety Indicators: Technical Specifications
Department of Health and Human Services Agency for Healthcare Research and Quality http://www.qualityindicators.ahrq.gov March 2003 Version 3.0 (February 20, 2006)
AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
Table of Contents
Complications of Anesthesia (PSI 1) ............................................................................................................ 1 Death in Low-Mortality DRGs (PSI 2) ........................................................................................................... 3 Decubitus Ulcer (PSI 3)................................................................................................................................. 5 Failure to Rescue (PSI 4).............................................................................................................................. 7 Foreign Body Left during Procedure, Secondary Diagnosis Field (PSI 5 and 21)...................................... 15 Iatrogenic Pneumothorax, Secondary Diagnosis Field (PSI 6 and 22) ...................................................... 16 Selected Infections Due to Medical Care, Secondary Diagnosis Field (PSI 7 and 23) .............................. 21 Postoperative Hip Fracture (PSI 8) ............................................................................................................. 22 Postoperative Hemorrhage or Hematoma (PSI 9 and 27).......................................................................... 26 Postoperative Physiologic and Metabolic Derangement (PSI 10) .............................................................. 28 Postoperative Respiratory Failure (PSI 11) ................................................................................................ 30 Postoperative Pulmonary Embolism or Deep Vein Thrombosis (PSI 12)................................................... 31 Postoperative Sepsis (PSI 13) .................................................................................................................... 31 Postoperative Wound Dehiscence, Secondary Diagnosis Field (PSI 14 and 24)) ..................................... 32 Accidental Puncture or Laceration, Secondary Diagnosis Field (PSI 15 and 25)....................................... 39 Transfusion Reaction, Secondary Diagnosis Field (PSI 16 and 26)........................................................... 39 Birth TraumaInjury to Neonate (PSI 17) .................................................................................................. 40 Obstetric TraumaVaginal Delivery with Instrument (PSI 18)................................................................... 42 Obstetric TraumaVaginal Delivery without Instrument (PSI 19).............................................................. 43 Obstetric TraumaCesarean Delivery (PSI 20)......................................................................................... 44 Appendix A: Operating Room Procedure Codes ..................................................................................... A-1 Appendix B: Surgical Discharge DRGs.................................................................................................... B-1 Appendix C: ICD-9-CM Trauma Diagnosis Codes .................................................................................. C-1 Appendix D: ICD-9-CM Codes for Immunocompromised States............................................................. D-1 Appendix E: Cancer Codes...................................................................................................................... E-1 Appendix F: Medical Discharge DRGs .....................................................................................................F-1 Appendix G: Hemorrhage Diagnosis Codes ............................................................................................. G-1 Appendix H: Shock Diagnosis Codes ...................................................................................................... H-1 Appendix I: ICD-9-CM Gastrointestinal (GI) Hemorrhage Diagnosis Codes ............................................I-1 Appendix J: Trauma DRGs ....................................................................................................................... J-1 Appendix K: Pulmonary Embolism/Deep Vein Thrombosis Diagnosis Codes ........................................ K-1 Appendix L: Self-Inflicted Injury Diagnosis Codes ....................................................................................L-1 Appendix M: Acute Myocardial Infarction (AMI) Diagnosis Codes ..........................................................M-1 Appendix N: Cardiac Arrhythmia Diagnosis Codes ................................................................................. N-1 Appendix O: Sepsis Diagnosis Codes ..................................................................................................... O-1 Appendix P: Infection Diagnosis Codes and DRGs ................................................................................. P-1 Appendix Q: Cancer DRGs ....................................................................................................................... Q-1
PSI Technical Specifications
Version 3.0 (February 20, 2006)
Patient Safety Indicators Detailed Definitions

For ICD-9-CM codes introduced after October 1995, the date of introduction is indicated after the code label, e.g., OCT 04. Complications of Anesthesia (PSI 1) Numerator: Discharges with ICD-9-CM diagnosis codes for anesthesia complications in any secondary diagnosis field. ICD-9-CM Anesthesia Complications diagnosis codes: Adverse effects in therapeutic use, other central nervous system depressants and anesthetics:
E8763 E9381 E9382 E9383 E9384 E9385 E9386 E9387 E9389 ENDOTRACHEAL TUBE WRONGLY PLACE DURING ANESTHETIC PROCEDURE HALOTHANE OTHER GASEOUS ANESTHETICS INTRAVENOUS ANESTHETICS OTHER AND UNSPECIFIED GENERAL ANESTHETICS SURFACE AND INFILTRATION ANESTHETICS PERIPHERAL NERVE AND PLEXUS BLOCKING ANESTHETICS SPINAL ANESTHETICS OTHER AND UNSPECIFIED LOCAL ANESTHETICS
Poisoning by other central nervous system depressants and anesthetics:

9681 9682 9683 9684 9687 E8551 HALOTHANE OTHER GASEOUS ANESTHETICS INTRAVENOUS ANESTHETICS OTHER AND UNSPECIFIED GENERAL ANESTHETICS SPINAL ANESTHETICS ACCIDENTAL POISONING, OTHER NERVOUS SYSTEM DEPRESSANTS
Denominator: All surgical discharges, 18 years and older or MDC 14 (pregnancy, childbirth, and puerperium), defined by specific DRGs and an ICD-9-CM code for an operating room procedure. See Appendix A: Operating Room Procedure Codes. See Appendix B: Surgical Discharge DRGs. Exclude cases: with ICD-9-CM diagnosis codes for anesthesia complications (see Numerator) in the principal diagnosis field with codes for self-inflicted injury, poisoning due to anesthetics (E8551, 9681-4, 9687) and any diagnosis code for active drug dependence, or active nondependent abuse of drugs See Appendix L: Self-Inflicted Injury Diagnosis Codes Control-click (Word) or click (PDF) to view the Appendix. Links are provided to return to the PSI Detailed Definition.
Complications of Anesthesia (PSI 1) ICD-9-CM Active Drug Dependence diagnosis codes:

30400 30401 30402 30410 30411 30412 30420 30421 30422 30430 30431 30432 30440 30441 30442 30450 30451 30452 30460 30461 30462 30470 30471 30472 30480 30481 30482 30490 30491 30492 OPIOID TYPE DEPENDENCE - UNSPECIFIED OPIOID TYPE DEPENDENCE - CONTINUOUS OPIOID TYPE DEPENDENCE - EPISODIC BARBITURATE AND SIMILARLY ACTING SEDATIVE OR HYPNOTIC DEPENDENCE - UNSPECIFIED BARBITURATE AND SIMILARLY ACTING SEDATIVE OR HYPNOTIC DEPENDENCE - CONTINUOUS BARBITURATE AND SIMILARLY ACTING SEDATIVE OR HYPNOTIC DEPENDENCE - EPISODIC COCAINE DEPENDENCE - UNSPECIFIED COCAINE DEPENDENCE - CONTINUOUS COCAINE DEPENDENCE - EPISODIC CANNABIS DEPENDENCE - UNSPECIFIED CANNABIS DEPENDENCE - CONTINUOUS CANNABIS DEPENDENCE - EPISODIC AMPHETAMINE AND OTHER PSYCHO STIMULANT DEPENDENCE - UNSPECIFIED AMPHETAMINE AND OTHER PSYCHO STIMULANT DEPENDENCE - CONTINUOUS AMPHETAMINE AND OTHER PSYCHO STIMULANT DEPENDENCE - EPISODIC HALLUCINOGEN DEPENDENCE - UNSPECIFIED HALLUCINOGEN DEPENDENCE - CONTINUOUS HALLUCINOGEN DEPENDENCE - EPISODIC OTHER SPECIFIED DRUG DEPENDENCE - UNSPECIFIED OTHER SPECIFIED DRUG DEPENDENCE - CONTINUOUS OTHER SPECIFIED DRUG DEPENDENCE - EPISODIC COMBINATIONS OF OPIOID TYPE DRUG W/ ANY OTHER - UNSPECIFIED COMBINATIONS OF OPIOID TYPE DRUG W/ ANY OTHER - CONTINUOUS COMBINATIONS OF OPIOID TYPE DRUG W/ ANY OTHER - EPISODIC COMBINATIONS OF DRUG EXCLUDING OPIOID TYPE DRUG - UNSPECIFIED COMBINATIONS OF DRUG EXCLUDING OPIOID TYPE DRUG - CONTINUOUS COMBINATIONS OF DRUG EXCLUDING OPIOID TYPE DRUG - EPISODIC UNSPECIFIED DRUG DEPENDENCE - UNSPECIFIED UNSPECIFIED DRUG DEPENDENCE - CONTINUOUS UNSPECIFIED DRUG DEPENDENCE - EPISODIC
ICD-9-CM Active Nondependent Abuse of Drugs diagnosis codes:

30520 30521 30522 30530 30531 30532 30540 30541 30542 30550 30551 30552 30560 30561 30562 30570 30571 30572 30580 30581 30582 30590 30591 30592 CANNABIS ABUSE - UNSPECIFIED CANNABIS ABUSE - CONTINUOUS CANNABIS ABUSE - EPISODIC HALLUCINOGEN ABUSE - UNSPECIFIED HALLUCINOGEN ABUSE - CONTINUOUS HALLUCINOGEN ABUSE - EPISODIC BARBITURATE AND SIMILARLY ACTING SEDATIVE OR HYPNOTIC ABUSE - UNSPECIFIED BARBITURATE AND SIMILARLY ACTING SEDATIVE OR HYPNOTIC ABUSE - CONTINUOUS BARBITURATE AND SIMILARLY ACTING SEDATIVE OR HYPNOTIC ABUSE - EPISODIC OPIOID ABUSE - UNSPECIFIED OPIOID ABUSE - CONTINUOUS OPIOID ABUSE - EPISODIC COCAINE ABUSE - UNSPECIFIED COCAINE ABUSE - CONTINUOUS COCAINE ABUSE - EPISODIC AMPHETAMINE OR RELATED ACTING SYMPATHOMIMETIC ABUSE - UNSPECIFIED AMPHETAMINE OR RELATED ACTING SYMPATHOMIMETIC ABUSE - CONTINUOUS AMPHETAMINE OR RELATED ACTING SYMPATHOMIMETIC ABUSE - EPISODIC ANTIDEPRESSANT TYPE ABUSE - UNSPECIFIED ANTIDEPRESSANT TYPE ABUSE - CONTINUOUS ANTIDEPRESSANT TYPE ABUSE - EPISODIC OTHER, MIXED, OR UNSPECIFIED DRUG ABUSE - UNSPECIFIED OTHER, MIXED, OR UNSPECIFIED DRUG ABUSE - CONTINUOUS OTHER, MIXED, OR UNSPECIFIED DRUG ABUSE - EPISODIC
Death in Low-Mortality DRGs (PSI 2) Numerator: Discharges with disposition of deceased. Denominator: Discharges, 18 years and older or MDC 14 (pregnancy, childbirth, and puerperium), in DRGs with less than 0.5% mortality rate, based on NIS 2003 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. Low-Mortality DRGs:
021 036 037 040 042 044 045 049 050 053 055 056 057 059 061 063 065 067 068 069 072 096 097 118 134 140 141 142 143 166 167 177 178 179 187 223 224 225 228 229 231 237 244 245 246 VIRAL MENINGITIS RETINAL PROCEDURES ORBITAL PROCEDURES EXTRAOCULAR PROCEDURES EXCEPT ORBIT AGE >17 (OCT 05) INTRAOCULAR PROCEDURES EXCEPT RETINA, IRIS & LENS ACUTE MAJOR EYE INFECTIONS NEUROLOGICAL EYE DISORDERS MAJOR HEAD & NECK PROCEDURES (OCT 05) SIALOADENECTOMY SINUS & MASTOID PROCEDURES AGE >17 MISCELLANEOUS EAR, NOSE, MOUTH & THROAT PROCEDURES RHINOPLASTY (OCT 05) T&A PROC, EXCEPT TONSILLECTOMY &/OR ADENOIDECTOMY ONLY, AGE >17 TONSILLECTOMY &/OR ADENOIDECTOMY ONLY, AGE >17 (OCT 05) MYRINGOTOMY W TUBE INSERTION AGE >17 (OCT 05) OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES DYSEQUILIBRIUM EPIGLOTTITIS (OCT 05) OTITIS MEDIA & URI AGE >17 W CC OTITIS MEDIA & URI AGE >17 WO CC (OCT 05) NASAL TRAUMA & DEFORMITY (OCT 05) BRONCHITIS & ASTHMA AGE >17 W CC BRONCHITIS & ASTHMA AGE >17 WO CC CARDIAC PACEMAKER DEVICE REPLACEMENT (OCT 05) HYPERTENSION ANGINA PECTORIS SYNCOPE & COLLAPSE W CC SYNCOPE & COLLAPSE WO CC CHEST PAIN APPENDECTOMY WO COMPLICATED PRINCIPAL DIAG W CC APPENDECTOMY WO COMPLICATED PRINCIPAL DIAG WO CC UNCOMPLICATED PEPTIC ULCER W CC (OCT 05) UNCOMPLICATED PEPTIC ULCER WO CC (OCT 05) INFLAMMATORY BOWEL DISEASE (OCT 05) DENTAL EXTRACTIONS & RESTORATIONS (OCT 05) MAJOR SHOULDER/ELBOW PROC, OR OTHER UPPER EXTREMITY PROC SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC, WO FOOT PROCEDURES MAJOR THUMB OR JOINT PROC,OR OTH HAND OR WRIST PROC W CC HAND OR WRIST PROC, EXCEPT MAJOR JOINT PROC, WO CC LOCAL EXCISION & REMOVAL OF INT FIX DEVICES EXCEPT HIP & FEMUR (OCT 05) SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH (OCT 05) BONE DISEASES & SPECIFIC ARTHROPATHIES W CC (OCT 05) BONE DISEASES & SPECIFIC ARTHROPATHIES WO CC (OCT 05) NON-SPECIFIC ARTHROPATHIES
Death in Low-Mortality DRGs (PSI 2)

247 257 258 261 262 268 276 288 289 290 295 323 324 334 335 336 337 339 341 342 350 356 358 359 360 361 364 369 370 371 372 373 374 376 377 378 380 381 383 384 421 426 427 428 430 431 432 434 435 439 441 447 471 491 496 499 500 503 517 521 SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE (OCT 05) TOTAL MASTECTOMY FOR MALIGNANCY W CC (OCT 05) TOTAL MASTECTOMY FOR MALIGNANCY WO CC (OCT 05) BREAST PROC FOR NON-MALIGNANCY EXCEPT BIOPSY & LOCAL EXC BREAST BIOPSY & LOCAL EXCISION FOR NON-MALIGNANCY SKIN, SUBCUTANEOUS TISSUE & BREAST PLASTIC PROCEDURES (OCT 05) NON-MALIGANT BREAST DISORDERS O.R. PROCEDURES FOR OBESITY PARATHYROID PROCEDURES THYROID PROCEDURES DIABETES AGE 0-35 URINARY STONES W CC, &/OR ESW LITHOTRIPSY URINARY STONES WO CC MAJOR MALE PELVIC PROCEDURES W CC MAJOR MALE PELVIC PROCEDURES WO CC TRANSURETHRAL PROSTATECTOMY W CC TRANSURETHRAL PROSTATECTOMY WO CC TESTES PROCEDURES, NON-MALIGNANCY AGE >17 PENIS PROCEDURES CIRCUMCISION AGE >17 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WO CC VAGINA, CERVIX & VULVA PROCEDURES LAPAROSCOPY & INCISIONAL TUBAL INTERRUPTION D&C, CONIZATION EXCEPT FOR MALIGNANCY MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS CESAREAN SECTION W CC CESAREAN SECTION WO CC VAGINAL DELIVERY W COMPLICATING DIAGNOSES VAGINAL DELIVERY WO COMPLICATING DIAGNOSES VAGINAL DELIVERY W STERILIZATION &/OR D&C POSTPARTUM & POST ABORTION DIAGNOSES WO O.R. PROCEDURE POSTPARTUM & POST ABORTION DIAGNOSES W O.R. PROCEDURE ECTOPIC PREGNANCY ABORTION WO D&C ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS OTHER ANTEPARTUM DIAGNOSES WO MEDICAL COMPLICATIONS VIRAL ILLNESS AGE >17 DEPRESSIVE NEUROSES NEUROSES EXCEPT DEPRESSIVE DISORDERS OF PERSONALITY & IMPULSE CONTROL PSYCHOSES CHILDHOOD MENTAL DISORDERS OTHER MENTAL DISORDER DIAGNOSES ALC/DRUG ABUSE OR DEPEND, DETOX OR OTH SYMPT TREAT W CC ALC/DRUG ABUSE OR DEPEND, DETOX OR OTH SYMPT TREAT WO CC SKIN GRAFTS FOR INJURIES HAND PROCEDURES FOR INJURIES ALLERGIC REACTIONS AGE >17 BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMI MAJOR JOINT & LIMB REATTACHMENT PROCEDURES OF UPPER EXTR COMBINED ANTERIOR/POSTERIOR SPINAL FUSION BACK & NECK PROCEDURES EXCEPT SPINAL FUSION W CC BACK & NECK PROCEDURES EXCEPT SPINAL FUSION WO CC KNEE PROCEDURES WO PDX OF INFECTION PERC CARDIO PROC W NON-DRUG ELUTING STENT WO AMI ALCOHOL/DRUG ABUSE OR DEPENDENCE W CC
Death in Low-Mortality DRGs (PSI 2)

522 523 524 527 ALC/DRUG ABUSE OR DEPEND W REHABILITATION THERAPY WO CC ALC/DRUG ABUSE OR DEPEND WO REHABILITATION THERAPY WO CC TRANSIENT ISCHEMIA PERCUTNEOUS CARDIOVASULAR PROC W DRUG ELUTING STENT WO A
Exclude: Patients with any code for trauma, immunocompromised state, or cancer. See Appendix C: ICD-9-CM Trauma Diagnosis Codes See Appendix D: ICD-9-CM Codes for Immunocompromised States See Appendix E: Cancer Codes Control-click (Word) or click (PDF) to view the Appendix. Links are provided to return to the PSI Detailed Definition.
Decubitus Ulcer (PSI 3) Numerator: Discharges with ICD-9-CM code of decubitus ulcer in any secondary diagnosis field. ICD-9-CM Decubitus Ulcer Diagnosis Codes:
7070* 70700 70701 70702 70703 70704 70705 70706 70707 70709 DECUBITUS ULCER DECUBITUS ULCER SITE NOS (OCT 04) DECUBITUS ULCER, ELBOW (OCT 04) DECUBITUS ULCER, UP BACK (OCT 04) DECUBITUS ULCER, LOW BACK (OCT 04) DECUBITUS ULCER, HIP (OCT 04) DECUBITUS ULCER, BUTTOCK (OCT 04) DECUBITUS ULCER, ANKLE (OCT 04) DECUBITUS ULCER, HEEL (OCT 04) DECUBITUS ULCER, SITE NEC (OCT 04)
*No longer valid in FY2005
Denominator: All medical and surgical discharges age 18 years and older defined by specific DRGs. See Appendix B: Surgical Discharge DRGs See Appendix F: Medical Discharge DRGs Control-click (Word) or click (PDF) to view the Appendix. Links are provided to return to the PSI Detailed Definition. Exclude cases: with length of stay of less than 5 days with ICD-9-CM code of decubitus ulcer (see Numerator) in the principal diagnosis field MDC 9 (Skin, Subcutaneous Tissue, and Breast) MDC 14 (pregnancy, childbirth, and puerperium) with any diagnosis of hemiplegia, paraplegia, or quadriplegia with ICD-9-CM code of spina bifida or anoxic brain damage with an ICD-9-CM procedure code for debridement or pedicle graft before or on the same day
Decubitus Ulcer (PSI 3) as the major operating room procedure (surgical cases only) admitted from a long-term care facility (Admission Source=3) transferred from an acute care facility (Admission Source=2) See Appendix A: Operating Room Procedure Codes Control-click (Word) or click (PDF) to view the Appendix. Links are provided to return to the PSI Detailed Definition. ICD-9-CM Hemiplegia, Paraplegia, or Quadriplegia diagnosis codes (includes 4th and 5th digits):
3420 3421 3428 3429 3430 3431 3432 3433 3434 3438 3439 3440 3441 3442 3443 3444 3445 3446 3448 3449 4382 4383 4384 4385 FLACCID HEMIPLEGIA SPASTIC HEMIPLEGIA OTHER SPECIFIED HEMIPLEGIA HEMIPLEGIA, UNSPECIFIED INFANTILE CEREBRAL PALSY, DIPLEGIC INFANTILE CEREBRAL PALSY, HEMIPLEGIC INFANTILE CEREBRAL PALSY, QUADRIPLEGIC INFANTILE CEREBRAL PALSY, MONOPLEGIC INFANTILE CEREBRAL PALSY INFANTILE HEMIPLEGIA INFANTILE CEREBRAL PALSY OTHER SPECIFIED INFANTILE CEREBRAL PALSY INFANTILE CEREBRAL PALSY, INFANTILE CEREBRAL PALSY, UNSPECIFIED QUADRIPLEGIA AND QUADRIPARESIS PARAPLEGIA DIPLEGIA OF UPPER LIMBS MONOPLEGIA OF LOWER LIMB MONOPLEGIA OF UPPER LIMB UNSPECIFIED MONOPLEGIA CAUDA EQUINA SYNDROME OTHER SPECIFIED PARALYTIC SYNDROMES PARALYSIS, UNSPECIFIED HEMIPLEGIA/HEMIPARESIS MONOPLEGIA OF UPPER LIMB MONOPLEGIA OF LOWER LIMB OTHER PARALYTIC SYNDROME
ICD-9-CM Spina Bifida or Anoxic Brain Damage diagnosis codes

3481 74100 74101 74102 74103 74190 74191 74192 74193 7685 ANOXIC BRAIN DAMAGE SPINA BIFIDA, W HYDROCEPHALUS UNSPECIFIED REGION SPINA BIFIDA, W HYDROCEPHALUS CERVICAL REGION SPINA BIFIDA, W HYDROCEPHALUS DORSAL REGION SPINA BIFIDA, W HYDROCEPHALUS LUMBAR REGION SPINA BIFIDA, W/O HYDROCEPHALUS UNSPECIFIED REGION SPINA BIFIDA, W/O HYDROCEPHALUS CERVICAL REGION SPINA BIFIDA, W/O HYDROCEPHALUS DORSAL REGION SPINA BIFIDA, W/O HYDROCEPHALUS LUMBAR REGION SEVERE BIRTH ASPHYXIA
ICD-9-CM procedure code for debridement or pedicle graft

8345 8622 8628 8670 8671 8672 8674 OTHER MYECTOMY EXC WOUND DEBRIDEMENT NONEXCIS DEBRIDEMENT WND PEDICLE GRAFT/FLAP NOS CUT & PREP PEDICLE GRAFT PEDICLE GRAFT ADVANCEMEN ATTACH PEDICLE GRAFT NEC
Decubitus Ulcer (PSI 3)

8675 REVISION OF PEDICLE GRFT
Admission source
Admission source is recorded as acute care facility (ASource=2) Admission source is recorded as long-term care facility (ASource=3)
Failure to Rescue (PSI 4) Numerator: All discharges with a disposition of deceased. Denominator: Discharges over age 18 with potential complications of care listed in failure to rescue (FTR) definition (e.g., pneumonia, DVT/PE, sepsis, acute renal failure, shock/cardiac arrest, or GI hemorrhage/acute ulcer). Exclude cases: Age 75 years and older neonatal patients in MDC 15 transferred to an acute care facility (Discharge Disposition = 2) transferred from an acute care facility (Admission Source = 2) admitted from a long-term care facility (Admission Source=3) NOTE: Additional exclusion criteria is specific to each diagnosis. FTR 1 - Acute renal failure ICD-9-CM Acute Renal Failure diagnosis codes (includes 4th and 5th digits):
5845 5846 5847 5848 5849 6393 66930 66932 66934 W/ LESION OF TUBULAR NECROSIS W/ LESION OF RENAL CORTICAL NECROSIS W/ LESION OF RENAL MEDULLARY NECROSIS W/ OTHER SPECIFIED PATHOLOGICAL LESION ACUTE RENAL FAILURE, UNSPECIFIED COMPLICATIONS FOLLOWING ABORTION AND ECTOPIC AND MOLAR PREGNANCIES, RENAL FAILURE ACUTE RENAL FAILURE FOLLOWING LABOR AND DELIVERY, UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE ACUTE RENAL FAILURE FOLLOWING LABOR AND DELIVERY, DELIVERED, W/ MENTION OF POSTPARTUM COMPLICATION ACUTE RENAL FAILURE FOLLOWING LABOR AND DELIVERY, POSTPARTUM CONDITION OR COMPLICATION
Exclude: Principal diagnosis of hemorrhage, GI hemorrhage, shock, trauma, acute renal failure, abortionrelated renal failure, acute myocardial infarction, cardiac arrest, or cardiac arrhythmia. See Appendix G: See Appendix I: See Appendix H: See Appendix C: Hemorrhage Diagnosis Codes ICD-9-CM Gastrointestinal (GI) Hemorrhage Diagnosis Codes Shock Diagnosis Codes ICD-9-CM Trauma Diagnosis Codes
Failure to Rescue (PSI 4) See Appendix J: Trauma DRGs See Appendix M: Acute Myocardial Infarction (AMI) Diagnosis Codes See Appendix N: Cardiac Arrhythmia Diagnosis Codes Control-click (Word) or click (PDF) to view an Appendix. Links are provided to return to the PSI Detailed Definition. ICD-9-CM Abortion-related Renal Failure diagnosis codes:
63430 63431 63432 63530 63531 63532 63630 63631 63632 63730 63731 63732 6383 SPONTANEOUS ABORTION W/ RENAL FAILURE - UNSPECIFIED SPONTANEOUS ABORTION W/ RENAL FAILURE - INCOMPLETE SPONTANEOUS ABORTION W/ RENAL FAILURE - COMPLETE LEGAL ABORTION W/ RENAL FAILURE - UNSPECIFIED LEGAL ABORTION W/ RENAL FAILURE - INCOMPLETE LEGAL ABORTION W/ RENAL FAILURE - COMPLETE ILLEGAL ABORTION W/ RENAL FAILURE - UNSPECIFIED ILLEGAL ABORTION W/ RENAL FAILURE - INCOMPLETE ILLEGAL ABORTION W/ RENAL FAILURE - COMPLETE ABORTION NOS W/ RENAL FAILURE - UNSPECIFIED ABORTION NOS W/ RENAL FAILURE - INCOMPLETE ABORTION NOS W/ RENAL FAILURE - COMPLETE ATTEMPTED ABORTION W/ RENAL FAILURE
ICD-9-CM Cardiac Arrest diagnosis code:

4275 CARDIAC ARREST
FTR 2 - DVT/PE Include ICD-9-CM DVT/PE diagnosis codes: See Appendix K: Pulmonary Embolism/Deep Vein Thrombosis Control-click (Word) or click (PDF) to view the Appendix. Links are provided to return to the PSI Detailed Definition. Exclude cases with principal diagnosis of pulmonary embolism or deep vein thrombosis, abortion related and postpartum obstetric pulmonary embolism. ICD-9-CM Abortion-related and Postpartum Obstetric Pulmonary Embolism diagnosis codes:
63460 63461 63462 63560 63561 63562 63660 63661 63662 63760 63761 63762 6386 6396 67320 67321 SPONTANEOUS ABORTION W/ EMBOLISM - UNSPECIFIED SPONTANEOUS ABORTION W/ EMBOLISM - INCOMPLETE SPONTANEOUS ABORTION W/ EMBOLISM - COMPLETE LEGAL ABORTION W/ EMBOLISM - UNSPECIFIED LEGAL ABORTION W/ EMBOLISM - INCOMPLETE LEGAL ABORTION W/ EMBOLISM - COMPLETE ILLEGAL ABORTION W/ EMBOLISM - UNSPECIFIED ILLEGAL ABORTION W/ EMBOLISM - INCOMPLETE ILLEGAL ABORTION W/ EMBOLISM - COMPLETE ABORTION NOS W/ EMBOLISM - UNSPECIFIED ABORTION NOS W/ EMBOLISM - INCOMPLETE ABORTION NOS W/ EMBOLISM - COMPLETE ATTEMPTED ABORTION W/ EMBOLISM POSTABORTION EMBOLISM OBSTETRICAL BLOOD-CLOT EMBOLISM, UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE OBSTETRICAL BLOOD-CLOT EMBOLISM, DELIVERED, W/ OR W/O MENTION OF ANTEPARTUM
Failure to Rescue (PSI 4)

67322 67323 67324 CONDITION OBSTETRICAL BLOOD-CLOT EMBOLISM, DELIVERED, W/ MENTION OF POSTPARTUM COMPLICATION OBSTETRICAL BLOOD-CLOT EMBOLISM, ANTEPARTUM CONDITION OR COMPLICATION OBSTETRICAL BLOOD-CLOT EMBOLISM, POSTPARTUM CONDITION OR COMPLICATION
FTR 3 - Pneumonia Include ICD-9-CM Pneumonia diagnosis codes:

4820 4821 4822 4823 48230 48231 48232 48239 4824 48240 48241 48249 4828 48281 48282 48283 48284 48289 4829 485 486 5070 514 PNEUMONIA DUE TO KLEBSIELLA PNEUMONIAE PNEUMONIA DUE TO PSEUDOMONAS PNEUMONIA DUE TO HEMOPHILUS INFLUENZAE [H. INFLUENZAE] PNEUMONIA DUE TO STREPTOCOCCUS PNEUMONIA DUE TO STREPTOCOCCUS STREPTOCOCCUS, UNSPECIFIED PNEUMONIA DUE TO STREPTOCOCCUS GROUP A PNEUMONIA DUE TO STREPTOCOCCUS GROUP B PNEUMONIA DUE TO STREPTOCOCCUS OTHER STREPTOCOCCUS PNEUMONIA DUE TO STAPHYLOCOCCUS PNEUMONIA DUE TO STAPHYLOCOCCUS PNEUMONIA DUE TO STAPHYLOCOCCUS, UNSPECIFIED PNEUMONIA DUE TO STAPHYLOCOCCUS PNEUMONIA DUE TO STAPHYLOCCOCCUS AUREUS PNEUMONIA DUE TO STAPHYLOCOCCUS OTHER STAPHYLOCOCCUS PNEUMONIA PNEUMONIA DUE TO OTHER SPECIFIED BACTERIA PNEUMONIA DUE TO OTHER SPECIFIED BACTERIA ANAEROBES PNEUMONIA DUE TO OTHER SPECIFIED BACTERIA EXCHERICHIA COLI [E COLI] PNEUMONIA DUE TO OTHER SPECIFIED BACTERIA OTHER GRAM-NEGATIVE BACTERIA PNEUMONIA DUE TO OTHER SPECIFIED BACTERIA LEGIONNAIRES' DISEASE PNEUMONIA DUE TO OTHER SPECIFIED BACTERIA OTHER SPECIFIED BACTERIA BACTERIAL PNEUMONIA UNSPECIFIED BRONCHOPNEUMONIA, ORGANISM UNSPECIFIED PNEUMONIA, ORGANISM UNSPECIFIED DUE TO INHALATION OF FOOD OR VOMITUS PULMONARY CONGESTION AND HYPOSTASIS
Exclude: Principal diagnosis code for pneumonia or 997.3, any diagnosis code for viral pneumonia, MDC 4, and any diagnosis of immunocompromised state. ICD-9-CM Viral Pneumonia diagnosis codes:
4800 4801 4802 4803 4808 4809 481 4830 4831 4838 4841 4843 4845 4846 4847 4848 ADENOVIRAL PNEUMONIA RESPIRATORY SYNCYTIAL VIRAL PNEUMONIA PARAINFLUENZA VIRAL PNEUMONIA PNEUMONIA DUE TO SARS (OCT 03) VIRAL PNEUMONIA NOT ELSEWHERE CLASSIFIED VIRAL PNEUMONIA UNSPECIFIED PNEUMOCOCCAL PNEUMONIA PNEUMONIA DUE TO MYCOPLASMA PNEUMONIAE PNEUMONIA DUE TO CHLAMYDIA PNEUMONIA DUE TO OTHER SPECIFIED ORGANISM PNEUMONIA IN CYTOMEGALIC INCLUSION DISEASE PNEUMONIA IN WHOOPING COUGH PNEUMONIA IN ANTHRAX PNEUMONIA IN ASPERGILLOSIS PNEUMONIA IN OTHER SYSTEMIC MYCOSES PNEUMONIA IN INFECTIOUS DISEASE NOT ELSEWHERE CLASSIFIED

4870 4871 4878 INFLUENZA W/ PNEUMONIA FLU W/ RESPIRATORY MANIFEST NOT ELSEWHERE CLASSIFIED FLU W/ MANIFESTATION NOT ELSEWHERE CLASSIFIED
ICD-9-CM Immunocompromised States diagnosis codes: See Appendix D: ICD-9-CM Codes for Immunocompromised States Control-click (Word) or click (PDF) to view the Appendix. Links are provided to return to the PSI Detailed Definition.
MDC 4 DISEASES AND DISORDERS OF THE RESPIRATORY SYSTEM
FTR 4 - Sepsis Include ICD-9-CM Sepsis diagnosis codes: See Appendix O: Sepsis Diagnosis Codes Exclude: Any diagnosis of immunocompromised state and principal diagnosis of infection or sepsis and patients with a length of stay 3 days or less1. See Appendix O: Sepsis Diagnosis Codes See Appendix D: ICD-9-CM Codes for Immunocompromised States See Appendix P: Infection Diagnosis Codes and DRGs Control-click (Word) or click (PDF) to view the Appendix. Links are provided to return to the PSI Detailed Definition. ICD-9-CM Infection diagnosis codes:
5400 5401 5409 541 542 56201 56203 56211 56213 566 5670 5671 5672 5678 5679 5695 56961 5720 5721 57400 57401 57430 57431
1
ACUTE APPENDICITIS W/ GENERALIZED PERITONITIS ACUTE APPENDICITIS W/ PERITONEAL ABSCESS ACUTE APPENDICITIS W/O MENTION OF PERITONITIS APPENDICITIS, UNQUALIFIED OTHER APPENDICITIS DIVERTICULITIS OF SMALL INTESTINE (W/O MENTION OF HEMORRHAGE) DIVERTICULITIS OF SMALL INTESTINE W/ HEMORRHAGE DIVERTICULITIS OF COLON (W/O MENTION OF HEMORRHAGE) DIVERTICULITIS OF COLON W/ HEMORRHAGE ABSCESS OF ANAL AND RECTAL REGIONS PERITONITIS IN INFECTIOUS DISEASES CLASSIFIED ELSEWHERE PNEUMOCOCCAL PERITONITIS OTHER SUPPURATIVE PERITONITIS OTHER SPECIFIED PERITONITIS UNSPECIFIED PERITONITIS ABSCESS OF INTESTINE INFECTION OF COLOSTOMY OR ENTEROSTOMY ABSCESS OF LIVER PORTAL PYEMIA CALCULUS OF GALLBLADDER W/ ACUTE CHOLECYSTITIS - W/OMENTION OF OBSTRUCTION CALCULUS OF GALLBLADDER W/ ACUTE CHOLECYSTITS - W/ OBSTRUCTION CALCULUS OF BILE DUCT W/ ACUTE CHOLECYSTITIS W/OMENTION OF OBSTRUCTION CALCULUS OF BILE DUCT W/ ACUTE CHOLECYSTITIS - W/ OBSTRUCTION
Note: The length of stay exclusion criteria was corrected in Revision 2 of the PSI Guide. The first version noted length of stay of 4 or more days, which was incorrect.
10

57460 57461 57480 57481 5750 5754 5761 5763 CALCULUS OF GALLBLADDER AND BILE DUCT W/ ACUTE CHOLECYSTITIS - W/OMENTION OF OBSTRUCTION CALCULUS OF GALLBLADDER AND BILE DUCT W/ ACUTE CHOLECYSTITIS - W/ OBSTRUCTION CALCULUS OF GALLBLADDER AND BILE DUCT W/ ACUTE AND CHRONIC CHOLECYSTITIS W/OMENTION OF OBSTRUCTION CALCULUS OF GALLBLADDER AND BILE DUCT W/ ACUTE AND CHRONIC CHOLECYSTITIS - W/ OBSTRUCTION ACUTE CHOLECYSTITIS PERFORATION OF GALLBLADDER CHOLANGITIS PERFORATION OF BILE DUCT
Infection DRGs:
020 068 069 070 079 080 081 089 090 091 126 238 242 277 278 279 320 321 322 368 415 416 417 423 NERVOUS SYSTEM INFECTION EXCEPT VIRAL MENINGITIS OTITIS MEDIA AND URI, AGE GREATER THAN 17 W/ CC OTITIS MEDIA AND URI, AGE GREATER THAN 17 W/O CC OTITIS MEDIA AND URI, AGE LESS THAN OR EQUAL TO 17 RESPIRATORY INFECTIONS AND INFLAMMATIONS, AGE GREATER THAN 17 W/ CC RESPIRATORY INFECTIONS AND INFLAMMATIONS, AGE GREATER THAN 17 W/O CC RESPIRATORY INFECTIONS AND INFLAMMATIONS, AGE 0-17 SIMPLE PNEUMONIA AND PLEURISY, AGE GREATER THAN 17 W/ CC SIMPLE PNEUMONIA AND PLEURISY, AGE GREATER THAN 17 W/O CC SIMPLE PNEUMONIA AND PLEURISY, AGE LESS THAN OR EQUAL TO 17 ACUTE AND SUBACUTE ENDOCARDITIS OSTEOMYELITIS SEPTIC ARTHRITIS CELLULITIS, AGE GREATER THAN 17 W/ CC CELLULITIS, AGE GREATER THAN 17 W/O CC CELLULITIS, AGE 0-17 KIDNEY AND URINARY TRACT INFECTIONS, AGE GREATER THAN 17 W/ CC KIDNEY AND URINARY TRACT INFECTIONS, AGE GREATER THAN 17 W/O CC KIDNEY AND URINARY TRACT INFECTIONS, AGE 0-17 INFECTIONS OF FEMALE REPRODUCTIVE SYSTEM OR PROCEDURE FOR INFECTIOUS AND PARASITIC DISEASES SEPTICEMIA, AGE GREATER THAN 17 SEPTICEMIA, AGE 0-17 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES
FTR 5 - Shock or Cardiac Arrest Include ICD-9-CM Shock or Cardiac Arrest diagnosis codes:
4275 6395 CARDIAC ARREST COMPLICATIONS FOLLOWING ABORTION AND ECTOPIC AND MOLAR PREGNANCIES, SHOCK
Shock during or following labor and delivery:

66910 66911 66912 66913 66914 7855 SHOCK DURING OR FOLLOWING LABOR AND DELIVERY UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE SHOCK DURING OR FOLLOWING LABOR AND DELIVERY DELIVERED, W/ OR W/O MENTION OF ANTEPARTUM CONDITION SHOCK DURING OR FOLLOWING LABOR AND DELIVERY DELIVERED, W/ MENTION OF POSTPARTUM COMPLICATION SHOCK DURING OR FOLLOWING LABOR AND DELIVERY ANTEPARTUM CONDITION OR COMPLICATION SHOCK DURING OR FOLLOWING LABOR AND DELIVERY POSTPARTUM CONDITION OR COMPLICATION SHOCK NOS
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78550 78551 78552 78559 7991 9950 9954 9980 9994 SHOCK, UNSPECIFIED CARDIOGENIC SHOCK SEPTIC SHOCK (OCT 03) SHOCK W/O MENTION OF TRAUMA- OTHER RESPIRATORY ARREST OTHER ANAPHYLACTIC SHOCK SHOCK DUE TO ANESTHESIA POSTOPERATIVE SHOCK ANAPHYLACTIC SHOCK DUE TO SERUM
ICD-9-CM procedure codes:

9393 9960 9963 NONMECHANICAL METHODS OF RESUSCITATION CARDIOPULMONARY RESUSCITATION, NOS CLOSED CHEST CARDIAC MASSAGE
Exclude: Hemorrhage, trauma, GI hemorrhage, MDC 4 and 5, principal diagnosis of shock or cardiac arrest, abortion-related shock See Appendix G: Hemorrhage Diagnosis Codes See Appendix C: ICD-9-CM Trauma Diagnosis Codes See Appendix J: Trauma DRGs See Appendix I: ICD-9-CM Gastrointestinal (GI) Hemorrhage Diagnosis Codes Control-click (Word) or click (PDF) to view an Appendix. Links are provided to return to the PSI Detailed Definition.
MDC 4 DISEASES AND DISORDERS OF THE RESPIRATORY SYSTEM MDC 5 DISEASES AND DISORDERS OF THE CIRCULATORY SYSTEM
ICD-9-CM Abortion-related Shock diagnosis codes:

63450 63451 63452 63550 63551 63552 63650 63651 63652 63750 63751 63752 6385 SPONTANEOUS ABORTION W/ SHOCK - UNSPECIFIED SPONTANEOUS ABORTION W/ SHOCK - INCOMPLETE SPONTANEOUS ABORTION W/ SHOCK - COMPLETE LEGAL ABORTION W/ SHOCK - UNSPECIFIED LEGAL ABORTION W/ SHOCK - INCOMPLETE LEGAL ABORTION W/ SHOCK - COMPLETE ILLEGAL ABORTION W/ SHOCK - UNSPECIFIED ILLEGAL ABORTION W/ SHOCK - INCOMPLETE ILLEGAL ABORTION W/ SHOCK - COMPLETE ABORTION NOS W/ SHOCK - UNSPECIFIED ABORTION NOS W/ SHOCK - INCOMPLETE ABORTION NOS W/ SHOCK - COMPLETE ATTEMPTED ABORTION W/ SHOCK
FTR 6 - GI Hemorrhage/Acute Ulcer Include ICD-9-CM GI Hemorrhage/Acute Ulcer diagnosis codes:

4560 45620 5307 53082 ESOPHAGEAL VARICES W/ BLEEDING ESOPHAGEAL VARICES IN DISEASES CLASSIFIED ELSEWHERE W/ BLEEDING GASTROESOPHAGEAL LACERATION-HEMORRHAGE SYNDROME ESOPHAGEAL HEMORRHAGE
Gastric ulcer:
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53100 53101 53110 53111 53120 53121 53130 53131 53190 53191 ACUTE W/ HEMORRHAGE W/O MENTION OF OBSTRUCTION ACUTE W/ HEMORRHAGE W/ OBSTRUCTION ACUTE W/ PERFORATION W/O MENTION OF OBSTRUCTION ACUTE W/ PERFORATION W/ OBSTRUCTION ACUTE W/ HEMORRHAGE AND PERFORATION W/O MENTION OF OBSTRUCTION ACUTE W/ HEMORRHAGE AND PERFORATION W/ OBSTRUCTION ACUTE W/O MENTION OF HEMORRHAGE OR PERFORATION W/O MENTION OF OBSTRUCTION ACUTE W/O MENTION OF HEMORRHAGE OR PERFORATION W/ OBSTRUCTION UNSPECIFIED AS ACUTE OR CHRONIC, W/O MENTION OF HEMORRHAGE OR PERFORATION W/O MENTION OF OBSTRUCTION UNSPECIFIED AS ACUTE OR CHRONIC, W/O MENTION OF HEMORRHAGE OR PERFORATION W/ OBSTRUCTION
Duodenal ulcer:
53200 53201 53210 53211 53220 53221 53230 53231 53290 53291 ACUTE W/ HEMORRHAGE W/O MENTION OF OBSTRUCTION ACUTE W/ HEMORRHAGE W/ OBSTRUCTION ACUTE W/ PERFORATION W/O MENTION OF OBSTRUCTION ACUTE W/ PERFORATION W/ OBSTRUCTION ACUTE W/ HEMORRHAGE AND PERFORATION W/O MENTION OF OBSTRUCTION ACUTE W/ HEMORRHAGE AND PERFORATION W/ OBSTRUCTION ACUTE W/O MENTION OF HEMORRHAGE OR PERFORATION W/O MENTION OF OBSTRUCTION ACUTE W/O MENTION OF HEMORRHAGE OR PERFORATION W/ OBSTRUCTION UNSPECIFIED AS ACUTE OR CHRONIC, W/O MENTION OF HEMORRHAGE OR PERFORATION W/O MENTION OF OBSTRUCTION UNSPECIFIED AS ACUTE OR CHRONIC, W/O MENTION OF HEMORRHAGE OR PERFORATION W/ OBSTRUCTION
Peptic ulcer:
53300 53301 53310 53311 53320 53321 53330 53331 53390 53391 SITE UNSPECIFIED ACUTE W/ HEMORRHAGE W/O MENTION OF OBSTRUCTION SITE UNSPECIFIED ACUTE W/ HEMORRHAGE W/ OBSTRUCTION SITE UNSPECIFIED ACUTE W/ PERFORATION W/O MENTION OF OBSTRUCTION SITE UNSPECIFIED ACUTE W/ PERFORATION W/ OBSTRUCTION SITE UNSPECIFIED ACUTE W/ HEMORRHAGE AND PERFORATION W/O MENTION OF OBSTRUCTION SITE UNSPECIFIED ACUTE W/ HEMORRHAGE AND PERFORATION W/O MENTION OF OBSTRUCTION SITE UNSPECIFIED ACUTE W/O MENTION OF HEMORRHAGE AND PERFORATION W/O MENTION OF OBSTRUCTION SITE UNSPECIFIED ACUTE W/O MENTION OF HEMORRHAGE AND PERFORATION W/ OBSTRUCTION SITE UNSPECIFIED AS ACUTE OR CHRONIC, W/O MENTION OF HEMORRHAGE OR PERFORATION W/O MENTION OF OBSTRUCTION UNSPECIFIED AS ACUTE OR CHRONIC, W/O MENTION OF HEMORRHAGE OR PERFORATION W/ OBSTRUCTION
Gastrojejunal ulcer:
53400 53401 53410 53411 53420 53421 53430 53431 53490 ACUTE W/ HEMORRHAGE W/O MENTION OF OBSTRUCTION ACUTE W/ HEMORRHAGE W/ OBSTRUCTION ACUTE W/ PERFORATION W/O MENTION OF OBSTRUCTION ACUTE W/ PERFORATION W/ OBSTRUCTION ACUTE W/ HEMORRHAGE AND PERFORATION W/O MENTION OF OBSTRUCTION ACUTE W/ HEMORRHAGE AND PERFORATION W/ OBSTRUCTION ACUTE W/O MENTION OF HEMORRHAGE OR PERFORATION W/O MENTION OF OBSTRUCTION ACUTE W/O MENTION OF HEMORRHAGE OR PERFORATION W/ OBSTRUCTION UNSPECIFIED AS ACUTE OR CHRONIC, W/O MENTION OF HEMORRHAGE OR PERFORATION W/O
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53491 MENTION OF OBSTRUCTION UNSPECIFIED AS ACUTE OR CHRONIC, W/O MENTION OF HEMORRHAGE OR PERFORATION W/ OBSTRUCTION
Gastritis and duodenitis:

53501 53511 53521 53531 53541 53551 53561 53783 53784 56202 56203 56212 56213 5693 56985 56986 5780 5781 5789 ACUTE GASTRITIS W/ HEMORRHAGE ATROPHIC GASTRITIS W/ HEMORRHAGE GASTRIC MUCOSAL HYPERTROPHY W/ HEMORRHAGE ALCOHOLIC GASTRITIS W/ HEMORRHAGE OTHER SPECIFIED GASTRITIS W/ HEMORRHAGE UNSPECIFIED GASTRITIS AND GASTRODUODENITIS W/ HEMORRHAGE DUODENITIS W/ HEMORRHAGE ANGIODYSPLASIA OF STOMACH AND DUODENUM W/ HEMORRHAGE DIEULAFOY LESION (HEMORRHAGIC) OF STOMACH AND DUODENUM DIVERTICULOSIS OF SMALL INTESTINE W/ HEMORRHAGE DIVERTICULITIS OF SMALL INTESTINE W/ HEMORRHAGE DIVERTICULOSIS OF COLON W/ HEMORRHAGE DIVERTICULITIS OF COLON W/ HEMORRHAGE HEMORRHAGE OF RECTUM AND ANUS ANGIODYSPLASIA OF INTESTINE W/ HEMORRHAGE DIEULAFOY LESION (HEMORRHAGIC) OF INTESTINE HEMATEMESIS BLOOD IN STOOL HEMORRHAGE OF GASTROINTESTINAL TRACT, UNSPECIFIED
Exclude: Trauma, MDC codes 6, 7, principal diagnosis of GI hemorrhage/Acute Ulcer, alcoholism and ICD-9CM diagnosis codes 280.0 and 285.1: See Appendix C: ICD-9-CM Trauma Diagnosis Codes See Appendix J: Trauma DRGs Control-click (Word) or click (PDF) to view an Appendix. Links are provided to return to the PSI Detailed Definition.
MDC 6 DISEASES AND DISORDERS OF THE DIGESTIVE SYSTEM MDC 7 DISEASES AND DISORDERS OF THE HEPATOBILIARY SYSTEM AND PANCREAS 2800 2851 SECONDARY TO BLOOD LOSS [CHRONIC] ACUTE POSTHEMORRHAGIC ANEMIA
ICD-9-CM Alcoholism diagnosis codes:

2910 2911 2912 2913 2914 2915 29181 29182 29189 2919 30300 30301 ALCOHOL WITHDRAWAL DELIRIUM ALCOHOL AMNESTIC SYNDROME OTHER ALCOHOLIC DEMENTIA ALCOHOL WITHDRAWAL HALLUCINOSIS IDIOSYNCRATIC ALCOHOL INTOXICATION ALCOHOLIC JEALOUSY OTHER SPECIFIED ALCOHOLIC PSYCHOSES, ALCOHOL WITHDRAWAL ALCOHOL INDUCED SLEEP DISORDERS (OCT 05) OTHER SPECIFIED ALCOHOLIC PSYCHOSES, OTHER UNSPECIFIED ALCOHOLIC PSYCHOSIS ACUTE ALCOHOLIC INTOXICATION - UNSPECIFIED ACUTE ALCOHOLIC INTOXICATION - CONTINUOUS
14

30302 30303 30390 30391 30392 30393 30500 30501 30502 30503 4255 53530 53531 5710 5711 5712 5713 9800 9809 ACUTE ALCOHOLIC INTOXICATION - EPISODIC ACUTE ALCOHOLIC INTOXICATION - IN REMISSION OTHER AND UNSPECIFIED ALCOHOL DEPENDENCE - UNSPECIFIED OTHER AND UNSPECIFIED ALCOHOL DEPENDENCE - CONTINUOUS OTHER AND UNSPECIFIED ALCOHOL DEPENDENCE - EPISODIC OTHER AND UNSPECIFIED ALCOHOL DEPENDENCE - IN REMISSION NONDEPENDENT ABUSE OF DRUGS, ALCOHOL ABUSE - UNSPECIFIED NONDEPENDENT ABUSE OF DRUGS, ALCOHOL ABUSE - CONTINUOUS NONDEPENDENT ABUSE OF DRUGS, ALCOHOL ABUSE - EPISODIC NONDEPENDENT ABUSE OF DRUGS, ALCOHOL ABUSE IN REMISSION ALCOHOLIC CARDIOMYOPATHY ALCOHOLIC GASTRITIS, W/O MENTION OF HEMORRHAGE ALCOHOLIC GASTRITIS, W/ HEMORRHAGE ALCOHOLIC FATTY LIVER ACUTE ALCOHOLIC HEPATITIS ALCOHOLIC CIRRHOSIS OF LIVER ALCOHOLIC LIVER DAMAGE, UNSPECIFIED TOXIC EFFECT OF ALCOHOL, ETHYL ALCOHOL TOXIC EFFECT OF ALCOHOL, UNSPECIFIED ALCOHOL
Foreign Body Left during Procedure, Secondary Diagnosis Field (PSI 5 and 21) Numerator: Discharges with ICD-9-CM codes for foreign body left in during procedure in any secondary diagnosis field. ICD-9-CM Foreign Body Left in During Procedure diagnosis codes:
9984 9987 FOREIGN BODY ACCIDENTALLY LEFT DURING A PROCEDURE ACUTE REACTIONS TO FOREIGN SUBSTANCE ACCIDENTALLY LEFT DURING A PROCEDURE
Foreign body left in during:

E8710 E8711 E8712 E8713 E8714 E8715 E8716 E8717 E8718 E8719 SURGICAL OPERATION INFUSION OR TRANSFUSION KIDNEY DIALYSIS OR OTHER PERFUSION INJECTION OR VACCINATION ENDOSCOPIC EXAMINATION ASPIRATION OF FLUID OR TISSUE, PUNCTURE, AND CATHETERIZATION HEART CATHETERIZATION REMOVAL OF CATHETER OR PACKING OTHER SPECIFIED PROCEDURES UNSPECIFIED PROCEDURE
Denominator: All surgical and medical discharges 18 years and older or MDC 14 (pregnancy, childbirth, and puerperium) defined by specific DRGs Surgical and Medical Discharge DRGs: See Appendix B: Surgical Discharge DRGs See Appendix F: Medical Discharge DRGs
15
Foreign Body Left during Procedure, Secondary Diagnosis Field (PSI 5 and 21) Control-click (Word) or click (PDF) to view an Appendix. Links are provided to return to the PSI detailed definition. Exclude: Patients with ICD-9-CM codes for foreign body left in during procedure in the principal diagnosis field.
Iatrogenic Pneumothorax, Secondary Diagnosis Field (PSI 6 and 22) Numerator: Discharges with ICD-9-CM code of 512.1 in any secondary diagnosis field. Denominator: All surgical and medical discharges defined by specific DRGs See Appendix B: Surgical Discharge DRGs See Appendix F: Medical Discharge DRGs Control-click (Word) or click (PDF) to view an Appendix. Links are provided to return to the PSI detailed definition. Exclude cases: with ICD-9-CM code of 512.1 in the principal diagnosis field. MDC 14 (pregnancy, childbirth, and puerperium) with diagnosis code of chest trauma or pleural effusion with an ICD-9-CM procedure code of diaphragmatic surgery repair with any code indicating thoracic surgery, lung or pleural biopsy, or assigned to cardiac surgery DRGs ICD-9-CM Chest Trauma diagnosis codes:
80700 80701 80702 80703 80704 80705 80706 80707 80708 80709 80710 80711 80712 80713 80714 80715 80716 80717 FRACTURE RIB NOS-CLOSED FRACTURE ONE RIB-CLOSED FRACTURE TWO RIBS-CLOSED FRACTURE THREE RIBS-CLOS FRACTURE FOUR RIBS-CLOSE FRACTURE FIVE RIBS-CLOSE FRACTURE SIX RIBS-CLOSED FRACTURE SEVEN RIBS-CLOS FX EIGHT/MORE RIB-CLOSED FX MULT RIBS NOS-CLOSED FRACTURE RIB NOS-OPEN FRACTURE ONE RIB-OPEN FRACTURE TWO RIBS-OPEN FRACTURE THREE RIBS-OPEN FRACTURE FOUR RIBS-OPEN FRACTURE FIVE RIBS-OPEN FRACTURE SIX RIBS-OPEN FRACTURE SEVEN RIBS-OPEN 8621 86221 86222 86229 86231 86232 86239 8628 8629 8750 8751 8760 8761 9010 9011 9012 9013 90140 DIAPHRAGM INJURY-OPEN BRONCHUS INJURY-CLOSED ESOPHAGUS INJURY-CLOSED INTRATHORACIC INJ NEC-CL BRONCHUS INJURY-OPEN ESOPHAGUS INJURY-OPEN INTRATHORAC INJ NEC-OPEN INTRATHORACIC INJ NOS-CL INTRATHORAC INJ NOS-OPEN OPEN WOUND OF CHEST OPEN WOUND CHEST-COMPL OPEN WOUND OF BACK OPEN WOUND BACK-COMPL INJURY THORACIC AORTA INJ INNOMIN/SUBCLAV ART INJ SUPERIOR VENA CAVA INJ INNOMIN/SUBCLAV VEIN INJ PULMONARY VESSEL NOS
16
Iatrogenic Pneumothorax, Secondary Diagnosis Field (PSI 6 and 22)

80718 80719 8072 8073 8074 8075 8076 8090 8091 8600 8601 8602 8603 8604 8605 86100 86101 86102 86103 86110 86111 86112 86113 86120 86121 86122 86130 86131 86132 8620 FX EIGHT/MORE RIBS-OPEN FX MULT RIBS NOS-OPEN FRACTURE OF STERNUM-CLOS FRACTURE OF STERNUM-OPEN FLAIL CHEST FX LARYNX/TRACHEA-CLOSED FX LARYNX/TRACHEA-OPEN FRACTURE TRUNK BONE-CLOS FRACTURE TRUNK BONE-OPEN TRAUM PNEUMOTHORAX-CLOSE TRAUM PNEUMOTHORAX-OPEN TRAUM HEMOTHORAX-CLOSED TRAUM HEMOTHORAX-OPEN TRAUM PNEUMOHEMOTHOR-CL TRAUM PNEUMOHEMOTHOR-OPN HEART INJURY NOS-CLOSED HEART CONTUSION-CLOSED HEART LACERATION-CLOSED HEART CHAMBER LACERAT-CL HEART INJURY NOS-OPEN HEART CONTUSION-OPEN HEART LACERATION-OPEN HEART CHAMBER LACER-OPN LUNG INJURY NOS-CLOSED LUNG CONTUSION-CLOSED LUNG LACERATION-CLOSED LUNG INJURY NOS-OPEN LUNG CONTUSION-OPEN LUNG LACERATION-OPEN DIAPHRAGM INJURY-CLOSED 90141 90142 90181 90182 90183 90189 9019 9110 9111 9118 9119 9220 9221 9223 92231 92233 9228 9229 92611 92619 9268 9269 9290 9299 9541 9548 9549 95911 95919 9599 INJURY PULMONARY ARTERY INJURY PULMONARY VEIN INJ INTERCOSTAL ART/VEIN INJ INT MAMMARY ART/VEIN INJ MULT THORACIC VESSEL INJ THORACIC VESSEL NEC INJ THORACIC VESSEL NOS ABRASION TRUNK ABRASION TRUNK-INFECTED SUPERFIC INJU TRUNK NEC SUPERFIC INJU TRUNK NEC-INF CONTUSION OF BREAST CONTUSION OF CHEST WALL BACK CONTUSION BACK CONTUSION INTERSCPLR REG CONTUSION MULIPLE CONTUSION TRUNK CONTUSION OF TRUNK CRUSHING INJURY BACK CRUSHING INJ TRUNK NEC MULT CRUSHING INJ TRUNK CRUSHING INJ TRUNK NOS CRUSH INJ MULT SITE NEC CRUSHING INJURY NOS INJ SYMPA NERVE NEC INJURY TRUNK NERVE NEC INJURY TRUNK NERVE NOS INJURY OF CHEST WALL NEC TRUNK INJURY-SITES NEC INJURY-SITE NOS
ICD-9-CM Pleural Effusion diagnosis codes:

0101 01010 01011 01012 01013 01014 01015 01016 0117 01170 01171 01172 01173 01174 01175 TUBERCULOUS PLEURISY IN PRIMARY PROGRESSIVE TUBERCULOSIS TUBERCULOUS PLEURISY IN PRIMARY PROGRESSIVE TUBERCULOSIS, UNSPECIFIED TPIPPT, BACTERIAL OR HISTOLOGICAL EXAM NOT DONE TPIPPT, BACTERIAL OR HISTOLOGICAL EXAM UNKNOWN TPIPPT, TUBERCLE BACILI FOUND BY MICROSCOPY TPIPPT, TUBERCLE BACILI NOT FOUND BY MICROSCOPY BUT BY BACTERIAL CULTURE TPIPPT, TUBERCLE BACILI NOT FOUND BY BACTERIOLOGICAL BUT CONFIRMED HISTOLOGICALLY TPIPPT, TUBERCLE BACILI NOT FOUND BY BACTERILOGICAL OR HISTOLOGICAL BUT CONFIRMED OTHER METHODS TUBRCULOUS PNEUMOTHORAX TUBRCULOUS PNEUMOTHORAX, UNSPECIFIED TPNEU, BACTERIAL OR HISTOLOGICAL EXAM NOT DONE TPNEU, BACTERIAL OR HISTOLOGICAL EXAM UNKNOWN TPNEU, TUBERCLE BACILI FOUND BY MICROSCOPY TPNEU, TUBERCLE BACILI NOT FOUND BY MICROSCOPY BUT BY BACTERIAL CULTURE TPNEU, TUBERCLE BACILI NOT FOUND BY BACTERIOLOGICAL BUT CONFIRMED
17

01176 0120 01200 01201 01202 01203 01204 01205 01206 1972 5111 5118 5119 HISTOLOGICALLY TPENU, TUBERCLE BACILI NOT FOUND BY BACTERILOGICAL OR HISTOLOGICAL BUT CONFIRMED OTHER METHODS TUBERCULOUS PLEURISY TUBERCULOUS PLEURISY, UNSPECIFIED TP, BACTERIAL OR HISTOLOGICAL EXAM NOT DONE TP, BACTERIAL OR HISTOLOGICAL EXAM UNKNOWN TP, TUBERCLE BACILI FOUND BY MICROSCOPY TP, TUBERCLE BACILI NOT FOUND BY MICROSCOPY BUT BY BACTERIAL CULTURE TP, TUBERCLE BACILI NOT FOUND BY BACTERIOLOGICAL BUT CONFIRMED HISTOLOGICALLY TP, TUBERCLE BACILI NOT FOUND BY BACTERILOGICAL OR HISTOLOGICAL BUT CONFIRMED OTHER METHODS SECOND MALIG NEO PLEURA WITH EFUSION, WITH MENTION OF A BACTERIAL CAUSE OTHER THAN TUBERCULOSIS OTHER SPECIFIED FORM OF EFFUSION, EXCEPT TUBERCULOUS UNSPECIFIED PLEURAL EFFUSION
ICD-9-CM Thoracic Surgery procedure codes:

3121 3145 3173 3179 3199 3209 321 MEDIASTINAL TRACHEOSTOMY OPEN BIOPSY OF LARYNX OR TRACHEA CLOSURE OF OTHER FISTULA OF TRACHEA OTHER REPAIR AND PLASTIC OPERATIONS ON TRACHEA OTHER OPERATIONS ON TRACHEA OTHER LOCAL EXCISION OR DESTRUCTION OF LESION OR TISSUE OF BRONCHUS OTHER EXCISION OF BRONCHUS
Local excision or destruction of lesion or tissue of lung:

3221 3222 3228 3229 323 324 325 326 329 330 331 3325 3326 3327 3328 3331 3332 3334 3339 PLICATION OF EMPHYSEMATIOUS BLEB LUNG VOLUME REDUCTION SURGERY ENDOSCOPIC EXCISION OR DESTRUCTION OF LESION OR TISSUE OF LUNG OTHER LOCAL EXCISION OR DESTRUCTION OF LESION OR TISSUE OF LUNG SEGMENTAL RESECTION OF LUNG LOBECTOMY OF LUNG COMPLETE PNEUMONECTOMY RADICAL DISSECTION OF THORACIC STRUCTURES OTHER EXCISION OF LUNG INCISION OF BRONCHUS INCISION OF LUNG OPEN BIOPSY OF BRONCHUS CLOSE [PERCUTANEOUS][NEEDLE] BIOPSY OF LUNG CLOSED ENDOSCOPIC BIOPSY OF LUNG OPEN BIOPSY OF LUNG DESTRUCTION OF PHRENIC NERVE FOR COLLAPSE OF LUNG (NO LONGER PERFORMED) ARTIFICIAL PNEUMOTHORAX FOR COLLAPSE OF LUNG THORACOPLASTY OTHER SURGICAL COLLAPSE OF LUNG
Repair and plastic operation on lung and bronchus:

3341 3342 3343 3348 SUTURE OF LACERATION OF BRONCHUS CLOSURE OF BRONCHIAL FISTULA CLOSURE OF LACERATION OF LUNG OTHER REPAIR AND PLASTIC OPERATIONS ON BRONCHUS
18

3349 OTHER REPAIR AND PLASTIC OPERATIONS ON LUNG
Lung transplant:
335 3350 3351 3352 336 3392 3393 3398 3399 3329 3333 3401 3402 3403 3405 3409 341 LUNG TRANSPLANTATION LUNG TRANSPLANTATION, NOS UNILATERAL LUNG TRANSPLANTATION BILATERAL LUNG TRANSPLANTATION COMBINED HEART-LUNG TRANSPLANTATION LIGATION OF BRONCHUS PUNCTURE OF LUNG OTHER OPERATIONS ON BRONCHUS OTHER OPERATIONS ON LUNG OTHER DIAGNOSTIC PROCEDURE ON LUNG AND BRONCHUS PNEUMOPERITONEUM FOR COLLAPSE OF LUNG INCISION OF CHEST WALL EXPLORATORY THORACOTOMY REOPENING OF RECENT THORACOTOMY SITE CREATION OF PLEUROPERITONEAL SHUNT OTHER INCISION OF PLEURA INCISION OF MEDIASTINUM
Diagnostic procedures on chest wall, pleura, mediastinum, and diaphragm:

3421 3422 3423 3424 3425 3426 3427 3428 3429 343 344 3451 3459 TRANSPLEURAL THORACOSOCOPY MEDIASTINOSCOPY BIOPSY OF CHEST WALL PLEURAL BIOPSY CLOSED [PERCUTANEOUS][NEEDLE] BIOPSY OF MEDIASTINUM OPEN BIOPSY OF MEDIASTINUM BIOPSY OF DIAPHRAGM OTHER DIAGNOSTIC PROCEDURES ON CHEST WALL, PLEURA, AND DIAPHRAGM OTHER DIAGNOSTIC PROCEDURES ON MEDIASTINUM EXCISION OR DESTRUCTION OF LESION OR TISSUE OF MEDIASTINUM EXCISION OR DESTRUCTION OF LESION OF CHEST WALL DECORTICATION OF LUNG OTHER EXCISION OF PLEURA
Repair of chest wall:

3471 3472 3473 3474 3479 SUTURE OF LACERATION OF CHEST WALL CLOSURE OF THORACOSTOMY CLOSURE OF OTHER FISTULA OF THORAX REPAIR OF PECTUS DEFORMITY OTHER REPAIR OF CHEST WALL
Operations on diaphragm:
3481 3482 3483 3484 3485 3489 3493 3499 EXCISION OF LESION OR TISSUE OF DIAPHRAGM SUTURE OF LACERATION OF DIAPHRAGM CLOSURE OF FISTULA OF DIAPHRAGM OTHER REPAIR OF DIAPHRAGM IMPLANTATION OF DIAPHRAGMATIC PACEMAKER OTHER OPERATIONS ON DIAPHRAGM REPAIR OF PLEURA OTHER OPERATIONS ON THORAX, OTHER
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Iatrogenic Pneumothorax, Secondary Diagnosis Field (PSI 6 and 22) Operations on thoracic duct:
4061 4062 4063 4064 4069 CANNULATION OF THORACIC DUCT FISTULIZATION OF THORACIC DUCT CLOSURE OF FISTULA OF THORACIC DUCT LIGATION OF THORACIC DUCT OTHER OPERATIONS ON THORACIC DUCT
Esophagotomy:
4201 4209 4210 4211 4212 4219 4221 4225 4231 4232 4239 INCISION OF ESOPHAGEAL WEB OTHER INCISION OF ESOPHAGUS ESOPHAGOSTOMY, NOS CERVICAL ESOPHAGOSTOMY EXTERIORIZATION OF ESOPHAGEAL POUCH OTHER EXTERNAL FISTULIZATION OF ESOPHAGUS OPERATIVE ESOPHAGOSCOPY BY INCISION OPEN BIOPSY OF ESOPHAGUS LOCAL EXCISION OF ESOPHAGEAL DIVERTICULUM LOCAL EXCISION OF OTHER LESION OR TISSUE OF ESOPHAGUS OTHER DESTRUCTION OF LESION OR TISSUE OF ESOPHAGUS
Excision of esophagus:
4240 4241 4242 ESOPHAGECTOMY, NOS PARTIAL ESOPHAGECTOMY TOTAL ESOPHAGECTOMY
Intrathoracic anastomosis of exophagus

4251 4252 4253 4254 4255 4256 4258 4259 INTRATHORACIC ESOPHAGOESOPHAGOSTOMY INTRATHORACIC ESOPHAGOGASTROSTOMY INTRATHORACIC ESOPHAGEAL ANASTOMOSIS W/ INTERPOSITION OF SMALL BOWEL OTHER INTRATHORACIC ESOPHAGOENTEROSTOMY INTRATHORACIC ESOPHAGEAL ANASTOMOSIS W/ INTERPOSITION OF COLON OTHER INTRATHORACIC ESOPHAGOCOLOSTOMY INTRATHORACIC ESOPHAGEAL ANASTOMOSIS W/ OTHER INTERPOSITION OTHER INTRATHORACIC ANASTOMOSIS OF ESOPHAGUS
Antesternal anastomosis
4261 4262 4263 4264 4265 4266 4268 4269 427 ANTESTERNAL ESOPHAGOESOPHAGOSTOMY ANTESTERNAL ESOPHAGOGASTROSTOMY ANTESTERNAL ESOPHAGEAL ANASTOMOSIS W/ INTERPOSITION OF SMALL BOWEL OTHER ANTESTERNAL ESOPHAGOENTEROSTOMY ANTESTERNAL ESOPHAGEAL ANASTOMOSIS W/ INTERPOSITION OF COLON OTHER ANTESTERNAL ESOPHAGOCOLOSTOMY OTHER ANTESTERNAL ESOPHAGEAL ANASTOMOSIS W/ INTERPOSITION OTHER ANTESTERNAL ANASTOMOSIS OF ESOPHAGUS ESOPHAGOMYOTOMY
Other repair of esophagus

4281 4282 4283 4284 4285 INSERTION OF PERMANENT TUBE INTO ESOPHAGUS SUTURE OF LACERATION OF ESOPHAGUS CLOSURE OF ESOPHAGOSTOMY REPAIR OF ESOPHAGEAL FISTULA, NEC REPAIR OF ESOPHAGEAL STRICTURE
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4286 4287 4289 4465 4466 8104 8134 PRODUCTION OF SUBCUTANEOUS TUNNEL W/O ESOPHAGEAL ANASTOMOSIS OTHER GRAFT OF ESOPHAGUS OTHER REPAIR OF ESOPHAGUS ESOPHAGOGASTROPLASTY OTHER PROCEDURES FOR CREATION OF ESOPHAGOGASTRIC SPHINCTERIC COMPETENCE DORSAL AND DORSO-LUMBAR FUSION, ANTERIOR TECHNIQUE REFUSION OF DORSAL AND DORSOLUMBAR SPINE, ANTERIOR TECHNIQUE
ICD-9-CM Lung or Pleural Biopsy procedure codes:

3326 3328 3424 CLOSED [PERCUTANEOUS] [NEEDLE] BIOPSY OF LUNG OPEN BIOPSY OF LUNG PLEURAL BIOPSY
Cardiac Surgery DRGs:

103 104 105 106 107 108 109 110 111 525 547 548 549 550 HEART TRANSPLANT CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES W/ CARDIAC CATHETERIZATION CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES W/O CARDIAC CATHETERIZATION CORONARY BYPASS W/ PTCA CORONARY BYPASS W/ CARDIAC CATHETERIZATION OTHER CARDIOTHORACIC PROCEDURES CORONARY BYPASS W/O CARDIAC CATHETERIZATION MAJOR CARDIOVASCULAR PROCEDURES W/ CC MAJOR CARDIOVASCULAR PROCEDURES W/O CC HEART ASSIST SYSTEM IMPLANT (OCT 02) CORONARY BYPASS W CARDIAC CATH W MAJOR CV DX (OCT 05) CORONARY BYPASS W CARDIAC CATH W/O MAJOR CV DX (OCT 05) CORONARY BYPASS W/O CARDIAC CATH W MAJOR CV DX (OCT 05) CORONARY BYPASS W/O CARDIAC CATH W/O MAJOR CV DX (OCT 05)
Selected Infections Due to Medical Care, Secondary Diagnosis Field (PSI 7 and 23) Numerator: Discharges with ICD-9-CM code of 999.3 or 996.62 in any secondary diagnosis field. Denominator: All surgical and medical discharges, 18 years and older or MDC 14 (pregnancy, childbirth, and puerperium), defined by specific DRGs See Appendix B: Surgical Discharge DRGs See Appendix F: Medical Discharge DRGs Exclude cases: with ICD-9-CM code of 999.3 or 996.62 in the principal diagnosis field with length of stay less than 2 days with any code for immunocompromised state or cancer with cancer DRG See Appendix D: ICD-9-CM Codes for Immunocompromised States See Appendix E: Cancer Codes See Appendix Q: Cancer DRGs
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Selected Infections Due to Medical Care, Secondary Diagnosis Field (PSI 7 and 23) Control-click (Word) or click (PDF) to view an Appendix. Links are provided to return to the PSI detailed definition.
Postoperative Hip Fracture (PSI 8) Numerator: Discharges with ICD-9-CM code for hip fracture in any secondary diagnosis field ICD-9-CM Hip Fracture diagnosis codes (includes all 5th digits):
8200 8201 8202 8203 8208 8209 FRACTURE OF NECK OF FEMUR TRANSCERVICAL FRACTURE, CLOSED FRACTURE OF NECK OF FEMUR TRANSCERVICAL FRACTURE, OPEN FRACTURE OF NECK OF FEMUR PERTROCHANTERIC FRACTURE, CLOSED FRACTURE OF NECK OF FEMUR PERTROCHANTERIC FRACTURE, OPEN UNSPECIFIED PART OF NECK OF FEMUR, CLOSED UNSPECIFIED PART OF NECK OF FEMUR, OPEN
Denominator: All surgical discharges age 18 and older defined by specific DRGs and an ICD-9-CM code for an operating room procedure. See Appendix A: Operating Room Procedure Codes See Appendix B: Surgical Discharge DRGs Control-click (Word) or click (PDF) to view the Appendix. Links are provided to return to the PSI detailed definition. Exclude cases: with ICD-9-CM code for hip fracture (see Numerator) in the principal diagnosis field where the only operating room procedure is hip fracture repair where a procedure for hip fracture repair occurs before or on the same day as the first operating room procedure Note: If day of procedure is not available in the input data file, the rate may be slightly lower than if the information was available with diseases and disorders of the musculoskeletal system and connective tissue (MDC 8) with principal diagnosis codes for seizure, syncope, stroke, coma, cardiac arrest, poisoning, trauma, delirium and other psychoses, or anoxic brain injury with any diagnosis of metastatic cancer, lymphoid malignancy or bone malignancy, or selfinflicted injury MDC14 (pregnancy, childbirth, and puerperium) See Appendix C: ICD-9-CM Trauma Diagnosis Codes See Appendix J: Trauma DRGs See Appendix L: Self-Inflicted Injury Diagnosis Codes Control-click (Word) or click (PDF) to view an Appendix. Links are provided to return to the PSI detailed definition.
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Postoperative Hip Fracture (PSI 8) ICD-9-CM Hip Fracture Repair procedure codes:
7855 7915 7925 7935 8151 8152 INTERNAL FIXATION-FEMUR CLOSED RED-INT FIX FEMUR OPEN REDUCTION-FEMUR FX OPEN REDUC-INT FIX FEMUR TOTAL HIP REPLACEMENT PARTIAL HIP REPLACEMENT
ICD-9-CM Seizure diagnosis codes:

34500 34501 34510 34511 3452 3453 34540 34541 34550 34551 34560 34561 34570 34571 34580 34581 34590 34591 7803 78031 78039 7803 GENERALIZED NONCONVULSIVE EPILEPSY W/O MENTION OF INTRACTABLE EPILEPSY GENERALIZED NONCONVULSIVE EPILEPSY W/ INTRACTABLE EPILEPSY GENERALIZED CONVULSIVE EPILEPSY W/O MENTION OF INTRACTABLE EPILEPSY GENERALIZED CONVULSIVE EPILEPSY W/ INTRACTABLE EPILEPSY EPILEPSY PETIT MAL STATUS EPILEPSY GRAND MAL STATUS PARTIAL EPILEPSY, W/ IMPAIRMENT OF CONSCIOUSNESS W/O INTRACTABLE EPILEPSY PARTIAL EPILEPSY, W/ IMPAIRMENT OF CONSCIOUSNESS W/ MENTION OF INTRACTABLE EPILEPSY PARTIAL EPILEPSY, W/O MENTION OF IMPAIRMENT OF CONSCIOUSNESS W/O MENTION OF INTRACTABLE EPILEPSY PARTIAL EPILEPSY, W/O MENTION OF IMPAIRMENT OF CONSCIOUSNESS W/ INTRACTABLE EPILEPSY INFANTILE SPASMS W/O MENTION OF INTRACTABLE EPILEPSY INFANTILE SPASMS W/ INTRACTABLE EPILEPSY EPILEPSIA PARTIALIS CONTINUA W/O MENTION OF INTRACTABLE EPILEPSY EPILEPSIA PARTIALIS CONTINUA W/ INTRACTABLE EPILEPSY OTHER FORMS OF EPILEPSY W/O MENTION OF INTRACTABLE EPILEPSY OTHER FORMS OF EPILEPSY W/ INTRACTABLE EPILEPSY EPILEPSY, UNSPECIFIED W/O MENTION OF INTRACTABLE EPILEPSY EPILEPSY, UNSPECIFIED W/ INTRACTABLE EPILEPSY CONVULSIONS FEBRILE CONVULSIONS OTHER CONVULSIONS CONVULSIONS (OLD CODE NO LONGER VALID)
ICD-9-CM Syncope diagnosis codes:

7802 SYNCOPE AND COLLAPSE
ICD-9-CM Stroke diagnosis codes:

430 431 4320 4321 4329 436 99702 SUBARACHNOID HEMORRHAGE INTRACEREBRAL HEMORRHAGE NONTRAUMATIC EXTRADURAL HEMORRHAGE SUBDURAL HEMORRHAGE UNSPECIFIED INTRACRANIAL HEMORRHAGE ACUTE, BUT ILL-DEFINED CEREBROVASCULAR DISEASE POSTOPERATIVE CEREBROVASCULAR ACCIDENT
Occlusion and stenosis of precerebral arteries:

43301 43311 43321 43331 43381 BASILAR ARTERY, W/ CEREBRAL INFARCTION CAROTID ARTERY, W/ CEREBRAL INFARCTION VERTEBRAL ARTERY - W/ CEREBRAL INFARCTION MULTIPLE AND BILATERAL W/ CEREBRAL INFARCTION OTHER SPECIFIED PRECEREBRAL ARTERY W/ CEREBRAL INFARCTION
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Postoperative Hip Fracture (PSI 8)

43391 OCCLUSION AND STENOSIS OF PRECEREBRAL ARTERIES, UNSPECIFIED PRECEREBRAL ARTERY W/ CEREBRAL INFARCTION
Occlusion of cerebral arteries:

43401 43411 43491 CEREBRAL THROMBOSIS W/ CEREBRAL INFARCTION CEREBRAL EMBOLISM W/ CEREBRAL INFARCTION CEREBRAL ARTERY OCCLUSION, UNSPECIFIED - W/ CEREBRAL INFARCTION
ICD-9-CM Coma diagnosis codes:

25020 25021 25022 25023 25030 25031 25032 25033 2510 5722 78001 78003 DIABETES W/ HYPEROSMOLARITY, TYPE 2 [NONINSULIN DEPENDENT TYPE][NIDDM TYPE][ADULTONSET] OR UNSPECIFIED TYPE, NOT STATED AS UNCONTROLLED DIABETES W/ HYPEROSMOLARITY, TYPE 1 [INSULIN DEPENDENT TYPE][IDDM-TYPE] [JUVENILE TYPE], NOT STATED AS UNCONTROLLED DIABETES W/ HYPEROSMOLARITY, TYPE 2 DIABETES MELLITUS, DIABETES W/ HYPEROSMOLARITY, TYPE 1 [INSULIN DEPENDENT TYPE][IDDM-TYPE][JUVENILE TYPE] UNCONTROLLED DIABETES W/ OTHER COMA, TYPE 2 NOT STATED AS UNCONTROLLED DIABETES W/ OTHER COMA, TYPE 1 NOT STATED AS UNCONTROLLED DIABETES MELLITUS, DIABETES W/ OTHER COMA, TYPE 2 UNCONTROLLED DIABETES MELLITUS, DIABETES W/ OTHER COMA, TYPE 1 UNCONTROLLED OTHER DISORDERS OF PANCREATIC INTERNAL SECRETION, HYPOGLYCEMIC COMA LIVER ABSCESS AND SEQUELAE OF CHRONIC LIVER DISEASE, HEPATIC COMA GENERAL SYMPTOMS, ALTERATION OF CONSCIOUSNESS, COMA GENERAL SYMPTOMS, ALTERATION OF CONSCIOUSNESS PERSISTENT VEGETATIVE STATE
ICD-9-CM Cardiac Arrest diagnosis code:

4275 CARDIAC ARREST
ICD-9-CM Poisoning diagnosis codes (includes 4th and 5th digits):

960 961 962 963 964 965 966 967 968 969 970 971 972 973 974 975 976 977 978 979 E850 E851 E852 E853 POISONING BY ANTIBIOTICS POISONING BY OTHER ANTI-INFECTIVES POISONING BY HORMONES AND SYNTHETIC SUBSTITUTES POISONING BY PRIMARILY SYSTEMIC AGENTS POISONING BY AGENTS PRIMARILY AFFECTING BLOOD CONSTITUENTS POISONING BY ANALGESICS, ANTIPYRETICS, AND ANTIRHEUMATICS POISONING BY ANTICONVULSANTS AND ANTI-PARKINSONISM DRUGS POISONING BY SEDATIVES AND HYPNOTICS POISONING BY OTHER CENTRAL NERVOUS SYSTEM DEPRESSANTS AND ANESTHETICS POISONING BY PSYCHOTROPIC AGENTS POISONING BY CENTRAL NERVOUS SYSTEM STIMULANTS POISONING BY DRUGS PRIMARILY AFFECTING THE AUTONOMIC NERVOUS SYSTEM POISONING BY AGENTS PRIMARILY AFFECTING THE CARDIOVASCULAR SYSTEM POISONING BY AGENTS PRIMARILY AFFECTING THE GASTROINTESTINAL SYSTEM POISONING BY WATER, MINERAL, AND URIC ACID METABOLISM DRUGS POISONING BY AGENTS PRIMARILY ACTING ON THE SMOOTH AND SKELETAL MUSCLES AND RESPIRATORY SYSTEM POISONING BY AGENTS PRIMARILY AFFECTING SKIN AND MUCOUS MEMBRANE, OPTHAMOLOGICAL, OTORHINOLARYNCOLOGICAL AND DENTAL DRUGS POISONING BY OTHER AND UNSPECIFIED DRUGS AND MEDICINAL SUBSTANCES POISONING BY BACTERIAL VACCINES POISONING BY OTHER VACCINES AND BIOLOGICAL SUBSTANCES ACCIDENTAL POISONING BY ANALGESICS, ANTIPYRETICS, AND ANTIRHEUMATICS ACCIDENTAL POISONING BY BARBITURATES ACCIDENTAL POISONING BY OTHER SEDATIVES AND HYPNOTICS ACCIDENTAL POISONING BY TRANQUILIZERS
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E854 E855 E856 E857 E858 E860 E861 E862 E863 E864 E865 E866 E867 E868 E869 E951 E952 E962 E980 E981 E982 ACCIDENTAL POISONING BY OTHER PSYCHOTROPIC AGENTS ACCIDENTAL POISONING BY OTHER DRUGS ACTING ON CENTRAL AND AUTONOMIC NERVOUS SYSTEM ACCIDENTAL POISONING BY ANTIBIOTICS ACCIDENTAL POISONING BY OTHER ANTI-INFECTIVES ACCIDENTAL POISONING BY OTHER DRUGS ACCIDENTAL POISONING BY ALCOHOL, NEC ACCIDENTAL POISONING BY CLEANING AND POLISHING AGENTS, DISINFECTANTS, PAINTS, AND VARNISHES ACCIDENTAL POISONING BY PETROLEUM PRODUCTS, OTHER SOLVENTS AND THEIR VAPORS, NEC ACCIDENTAL POISONING BY AGRICULTURAL AND HORTICULTURAL CHEMICAL AND PHARMACEUTICAL PREPARATIONS OTHER THAN PLANT FOODS AND FERTILIZERS ACCIDENTAL POISONING BY CORROSIVES AND CAUSTICS, NEC ACCIDENTAL POISONING FROM POISONOUS FOODSTUFFS AND POISONOUS PLANTS ACCIDENTAL POISONING BY OTHER AND UNSPECIFIED SOLID AND LIQUID SUBSTANCES ACCIDENTAL POISONING BY GAS DISTRIBUTED BY PIPELINE ACCIDENTAL POISONING BY OTHER UTILITY GAS AND OTHER CARBON MONOXIDE ACCIDENTAL POISONING BY OTHER GASES AND VAPORS SUICIDE AND SELF-INFLICTED POISONING BY GASES IN DOMESTIC USE SUICIDE AND SELF-INFLICTED POISONING BY OTHER GASES AND VAPORS ASSAULT BY POISONING POISONING BY SOLID OR LIQUID SUBSTANCES, UNDETERMINED WHETHER ACCIDENTALLY OR PURPOSELY INFLICTED POISONING BY GASES IN DOMESTIC USE, UNDETERMINED WHETHER ACCIDENTALLY OR PURPOSELY INFLICTED POISONING BY OTHER GASES, UNDETERMINED WHETHER ACCIDENTALLY OR PURPOSELY INFLICTED
ICD-9-CM Delirium and Other Psychoses diagnosis codes (includes 4th and 5th digits):
290 291 292 29285 293 294 295 296 297 298 299 SENILE AND PRESENILE ORGANIC PSYCHOTIC CONDITIONS ALCOHOLIC PSYCHOSES DRUG PSYCHOSES DRUG INDUCED SLEEP DISORDERS (OCT 05) TRANSIENT ORGANIC PSYCHOTIC CONDITIONS OTHER ORGANIC PSYCHOTIC CONDITIONS SCHIZOPHRENIC DISORDERS AFFECTIVE PSYCHOSES PARANOID STATES OTHER NONORGANIC PSYCHOSES PSYCHOSES W/ ORIGIN SPECIFIC TO CHILDHOOD
ICD-9-CM Anoxic Brain Injury diagnosis code:

3481 ANOXIC BRAIN DAMAGE
ICD-9-CM Metastatic Cancer diagnosis codes (includes 4th and 5th digits):
196 197 198 1990 SECONDARY AND UNSPECIFIED MALIGNANT NEOPLASM OF LYMPH NODES SECONDARY MALIGNANT NEOPLASM OF RESPIRATORY AND DIGESTIVE SYSTEMS SECONDARY MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES MALIGNANT NEOPLASM W/O SPECIFICATION OF SITE, DISSEMINATED
ICD-9-CM Lymphoid Malignancy diagnosis codes (includes 4th and 5th digits):
200 201 202 LYMPHOSARCOMA AND RETICULOSARCOMA HODGKINS DISEASE OTHER MALIGNANT NEOPLASMS OF LYMPHOID AND HISTIOCYTIC TISSUE
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203 204 205 206 207 208 MULTIPLE MYELOMA AND IMMUNOPROLIFERATIVE NEOPLASMS LYMPHOID LEUKEMIA MYELOID LEUKEMIA MONOCYTIC LEUKEMIA OTHER SPECIFIED LEUKEMIA LEUKEMIA OF UNSPECIFIED CELL TYPE
ICD-9-CM Bone Malignancy diagnosis code (includes 4th and 5th digits):
170 MALIGNANT NEOPLASM OF BONE AND ARTICULAR CARTILAGE
Postoperative Hemorrhage or Hematoma (PSI 9 and 27) Numerator: Discharges with ICD-9-CM codes for postoperative hemorrhage or postoperative hematoma in any secondary diagnosis field and codes for postoperative control of hemorrhage or drainage of hematoma in any procedure code field. ICD-9-CM Postoperative Hematoma diagnosis code:
99812 HEMATOMA COMPLICATING A PROCEDURE
ICD-9-CM Postoperative Hemorrhage diagnosis code:

99811 HEMORRHAGE COMPLICATING A PROCEDURE
ICD-9-CM Control of Postoperative Hemorrhage procedure codes:

287 3880 3881 3882 3883 3884 3885 3886 3887 3888 3889 3941 3998 4995 5793 6094 CONTROL OF HEMORRHAGE AFTER TONSILLECTOMY AND ADENOIDECTOMY OTHER SURGICAL OCCLUSION OF UNSPECIFIED SITE OTHER SURGICAL OCCLUSION OF INTRACRANIAL VESSELS OTHER SURGICAL OCCLUSION OF OTHER VESSELS OF HEAD AND NECK OTHER SURGICAL OCCLUSION OF UPPER LIMB VESSELS OTHER SURGICAL OCCLUSION OF AORTA, ABDOMINAL OTHER SURGICAL OCCLUSION OF THORACIC VESSEL OTHER SURGICAL OCCLUSION OF ABDOMINAL ARTERIES OTHER SURGICAL OCCLUSION OF ABDOMINAL VEINS OTHER SURGICAL OCCLUSION OF LOWER LIMB ARTERIES OTHER SURGICAL OCCLUSION OF LOWER LIMB VEINS CONTROL OF HEMORRHAGE FOLLOWING VASCULAR SURGERY CONTROL OF HEMORRHAGE NOS CONTROL OF (POSTOPERATIVE) HEMORRHAGE OF ANUS CONTROL OF (POSTOPERATIVE HEMORRHAGE OF BLADDER CONTROL OF (POSTOPERATIVE) HEMORRHAGE OF PROSTATE
ICD-9-CM Drainage of Hematoma procedure codes:

1809 540 5412 5919 610 6998 7014 OTHER INCISION OF EXTERNAL EAR INCISION OF ABDOMINAL WALL REOPENING OF RECENT LAPAROTOMY SITE OTHER INCISION OF PERIVESICLE TISSUE INCISION AND DRAINAGE OF SCROTUM AND TUNICA AND VAGINALIS OTHER OPERATIONS ON SUPPORTING STRUCTURES OF UTERUS OTHER VAGINOTOMY
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Postoperative Hemorrhage or Hematoma (PSI 9 and 27)

7109 7591 7592 8604 OTHER INCISION OF VULVA AND PERINEUM EVACUATION OF OBSTETRICAL INCISIONAL HEMATOMA OF PERINEUM EVACUATION OF OTHER HEMATOMA OF VULVA OR VAGINA OTHER INCISION W/ DRAINAGE OF SKIN AND SUBCUTANEOUS TISSUE
Denominator: All surgical discharges 18 years and older defined by specific DRGs and an ICD-9-CM code for an operating room procedure. See Appendix A: Operating Room Procedure Codes See Appendix B: Surgical Discharge DRGs Control-click (Word) or click (PDF) to view an Appendix. Links are provided to return to the PSI detailed definition. Exclude cases: with ICD-9-CM codes for postoperative hemorrhage or postoperative hematoma in the principal diagnosis field where the only operating room procedure is postoperative control of hemorrhage or drainage of hematoma. where a procedure for postoperative control of hemorrhage or drainage of hematoma occurs before the first operating room procedure. Note: If day of procedure is not available in the input data file, the rate may be slightly lower than if the information was available. MDC 14 (pregnancy, childbirth, and puerperium).
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Postoperative Physiologic and Metabolic Derangement (PSI 10) Numerator: Discharges with ICD-9-CM codes for physiologic and metabolic derangements in any secondary diagnosis field. Discharges with acute renal failure (subgroup of physiologic and metabolic derangements) must be accompanied by a procedure code for dialysis (39.95, 54.98). ICD-9-CM Physiologic and Metabolic Derangements diagnosis codes: Diabetes with ketoacidosis:
25010 25011 25012 25013 TYPE 2, OR UNSPECIFIED TYPE, NOT STATED AS UNCONTROLLED TYPE 1 NOT STATED AS UNCONTROLLED TYPE 2, OR UNSPECIFIED TYPE, UNCONTROLLED TYPE 1 UNCONTROLLED
Acute renal failure:

5845 5846 5847 5848 5849 586 9975 W/ LESION OF TUBULAR NECROSIS W/ LESION OF RENAL CORTICAL NECROSIS W/ LESION OF RENAL MEDULLARY [PAPILLARY] NECROSIS W/ OTHER SPECIFIED PATHOLOGICAL LESION IN KIDNEY ACUTE RENAL FAILURE, UNSPECIFIED ACUTE RENAL FAILURE, UNSPECIFIED-OCT05 URINARY COMPLICATIONS-OCT05
Diabetes with hyperosmolarity:

Diabetes with other coma:

Denominator: All elective* surgical discharges18 years and older defined by specific DRGs and an ICD-9-CM code for an operating room procedure. See Appendix A: Operating Room Procedure Codes See Appendix B: Surgical Discharge DRGs *Elective - Admission type # is recorded as elective (Admission Type = 3) Exclude cases: with ICD-9-CM codes for physiologic and metabolic derangements (see Numerator) in the principal diagnosis field. with a principal ICD-9-CM code for chronic renal failure with acute renal failure (see Numerator) where a procedure for dialysis occurs before or on the same day as the first operating room procedure. Note: If day of procedure is not available in the input data file, the rate may be slightly lower than
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Postoperative Physiologic and Metabolic Derangement (PSI 10) if the information was available. with both a diagnosis code of ketoacidosis, hyperosmolarity, or other coma (subgroups of physiologic and metabolic derangements coding) and a principal diagnosis of diabetes. 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. MDC 14 (pregnancy, childbirth and the puerperium) MDC 4 (diseases/disorders of respiratory system) MDC 5 (diseases/disorders of circulatory system) See Appendix M: See Appendix N: See Appendix H: See Appendix G: See Appendix I: Acute Myocardial Infarction (AMI) Diagnosis Codes Cardiac Arrhythmia Diagnosis Codes Shock Diagnosis Codes Hemorrhage Diagnosis Codes ICD-9-CM Gastrointestinal (GI) Hemorrhage Diagnosis Codes
Control-click (Word) or click (PDF) to view an Appendix. Links are provided to return to the PSI detailed definition. ICD-9-CM Chronic Renal Failure diagnosis code:
40301 40311 40391 40402 40403 40412 40413 40492 40493 585 5851 5852 5853 5854 5855 5856 5859 MAL HYP KIDNEY W CHR KID BEN HYP KIDNEY W CHR KID HYP KIDNEY NOS W CHR KID MAL HY HRT/KID W CHR KID MAL HYP HRT/KID W HF/KID BEN HYP HT/KID W CHR KID BEN HYP HT/KID W HF/KID HYP HT/KID NOS W CHR KID HYP HRT/KID NOS W HF/KID CHRONIC RENAL FAILURE CHRO KIDNEY DIS STAGE I CHRO KIDNEY DIS STAGE II CHR KIDNEY DIS STAGE III CHR KIDNEY DIS STAGE IV CHRON KIDNEY DIS STAGE V END STAGE RENAL DISEASE CHRONIC KIDNEY DIS NOS
ICD-9-CM Diabetes diagnosis codes (includes 4th and 5th digits):

2500 2501 2502 2503 2504 2505 2506 2507 2508 2509 DIABETES MELLITUS W/O MENTION OF COMPLICATION DIABETES W/ KETOACIDOSIS DIABETES W/ HYPEROSMOLARITY DIABETES W/ OTHER COMA DIABETES W/ RENAL MANIFESTATIONS DIABETES W/ OPHTHALMIC MANIFESTATIONS DIABETES W/ NEUROLOGICAL MANIFESTATIONS DIABETES W/ PERIPHERAL CIRCULATORY DISORDERS DIABETES W/ OTHER SPECIFIED MANIFESTATIONS DIABETES W/ OTHER UNSPECIFIED COMPLICATIONS
Cardiac Arrhythmia DRGs:

138 139 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS W/ CC CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS W/O CC
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Postoperative Physiologic and Metabolic Derangement (PSI 10) ICD-9-CM Cardiac Arrest diagnosis code:
4275 CARDIAC ARREST
Postoperative Respiratory Failure (PSI 11) Numerator: Discharges with ICD-9-CM codes for acute respiratory failure (518.81) in any secondary diagnosis field. (After 1999, include 518.84). Discharges with ICD-9-CM codes for reintubation procedure as follows: (96.04) one or more days after the major operating room procedure code (96.70 or 97.71) two or more days after the major operating room procedure code (96.72) zero or more days after the major operating room procedure code Denominator: All elective* surgical discharges age 18 and older defined by specific DRGs and an ICD-9-CM code for an operating room procedure. See Appendix A: Operating Room Procedure Codes See Appendix B: Surgical Discharge DRGs Control-click (Word) or click (PDF) to view an Appendix. Links are provided to return to the PSI detailed definition. *Elective - Admission type # is recorded as elective (Admission Type = 3) Exclude cases: with ICD-9-CM codes for acute respiratory failure in the principal diagnosis field. where a procedure for tracheostomy is the only operating room procedure. where a procedure for tracheostomy occurs before the first operating room procedure. Note: If day of procedure is not available in the input data file, the rate may be slightly lower than if the information was available. with ICD-9-CM diagnosis code of neuromuscular disorder MDC 14 (pregnancy, childbirth, and puerperium) MDC 4 (diseases/disorders of respiratory system) MDC 5 (diseases/disorders of circulatory system) ICD-9-CM Tracheostomy procedure codes:
3121 3129 3174 MEDIASTINAL TRACHEOSTOMY OTHER PERM TRACHEOSTOMY REVISION OF TRACHEOSTOMY
ICD-9-CM Neuromuscular Disorder codes:

3570 35800 35801 3581 3582 3588 3589 3590 3591 3592 AC INFECT POLYNEURITIS MYSTHNA GRVS W/O AC EXAC MYASTHNA GRAVS W AC EXAC MYASTHENIA IN OTH DIS TOXIC MYONEURAL DISORDER MYONEURAL DISORDERS NEC MYONEURAL DISORDERS NOS CONG HERED MUSC DYSTRPHY HERED PROG MUSC DYSTRPHY MYOTONIC DISORDERS
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Postoperative Respiratory Failure (PSI 11)

3593 3594 3595 3596 35981 35989 3599 FAMIL PERIODIC PARALYSIS TOXIC MYOPATHY MYOPATHY IN ENDOCRIN DIS INFL MYOPATHY IN OTH DIS CRITICAL ILLNESS MYOPTHY MYOPATHIES NEC MYOPATHY NOS
Postoperative Pulmonary Embolism or Deep Vein Thrombosis (PSI 12) Numerator: Discharges with ICD-9-CM codes for deep vein thrombosis or pulmonary embolism in any secondary diagnosis field. See Appendix K: Pulmonary Embolism/Deep Vein Thrombosis Diagnosis Codes Denominator: All surgical discharges age 18 and older defined by specific DRGs and an ICD-9-CM code for an operating room procedure (Appendix C). See Appendix A: Operating Room Procedure Codes See Appendix B: Surgical Discharge DRGs Exclude cases: with ICD-9-CM codes for deep vein thrombosis or pulmonary embolism in the principal diagnosis field where a procedure for interruption of vena cava is the only operating room procedure where a procedure for interruption of vena cava occurs before or on the same day as the first operating room procedure Note: If day of procedure is not available in the input data file, the rate may be slightly lower than if the information was available. MDC 14 (pregnancy, childbirth, and puerperium) See Appendix K: Pulmonary Embolism/Deep Vein Thrombosis Diagnosis Codes Control-click (Word) or click (PDF) to view an Appendix. Links are provided to return to the PSI detailed definition. ICD-9-CM Interruption Of Vena Cava procedure code:
387 INTERRUPTION OF VENA CAVA
Postoperative Sepsis (PSI 13) Numerator: Discharges with ICD-9-CM code for sepsis in any secondary diagnosis field. See Appendix O: Sepsis Diagnosis Codes Denominator: All elective* surgeries age 18 and older defined by specific DRGs and an ICD-9-CM code for an
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Postoperative Sepsis (PSI 13) operating room procedure. See Appendix A: Operating Room Procedure Codes See Appendix B: Surgical Discharge DRGs *Elective - Admission type # is recorded as elective (Admission Type = 3) Control-click (Word) or click (PDF) to view an Appendix. Links are provided to return to the PSI detailed definition. Exclude cases: with ICD-9-CM codes for sepsis in the principal diagnosis field with a principal diagnosis of infection, or any code for immunocompromised state, or cancer MDC 14 (pregnancy, childbirth, and puerperium) with length of stay of less than 4 days See Appendix O: See Appendix P: See Appendix D: See Appendix E: See Appendix Q: Sepsis Diagnosis Codes Infection Diagnosis Codes and DRGs ICD-9-CM Codes for Immunocompromised States Cancer Codes Cancer DRGs
Control-click (Word) or click (PDF) to view an Appendix. Links are provided to return to the PSI detailed definition.
Postoperative Wound Dehiscence, Secondary Diagnosis Field (PSI 14 and 24)) Numerator: Discharges with ICD-9-CM code for reclosure of postoperative disruption of abdominal wall (54.61) in any procedure field. Denominator: All abdominopelvic surgical discharges age 18 and older. Exclude cases: where a procedure for reclosure of postoperative disruption of abdominal wall occurs before or on the same day as the first abdominopelvic surgery procedure Note: If day of procedure is not available in the input data file, the rate may be slightly lower than if the information was available where length of stay is less than 2 days with immunocompromised state MDC 14 (pregnancy, childbirth, and puerperium). See Appendix D: ICD-9-CM Codes for Immunocompromised States Control-click (Word) or click (PDF) to view the Appendix. Links are provided to return to the PSI detailed definition. ICD-9-CM Abdominopelvic procedure codes:
3804 3806 INCISION OF AORTA INCISION OF ABDOMINAL ARTERIES
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Postoperative Wound Dehiscence, Secondary Diagnosis Field (PSI 14 and 24))

3807 3814 3816 3834 3836 3837 3844 3846 3847 3857 3864 3866 3867 3884 3886 3887 391 3924 3925 3926 4052 4053 412 4133 4141 4142 4143 415 4193 4194 4195 4199 4240 4241 4242 4253 4254 4255 4256 4263 4264 4265 4266 4291 430 433 4342 4349 435 436 437 4381 4389 4391 4399 4400 4401 4402 4403 4411 INCISION OF ABDOMINAL VEINS ENDARTERECTOMY OF AORTA ENDARTERECTOMY OF ABDOMINAL ARTERIES RESECTION OF AORTA W/ ANASTOMOSIS RESECTION OF ABDOMINAL ARTERIES W/ ANASTOMOSIS RESECTION OF ABDOMINAL VEINS W/ ANASTOMOSIS RESECTION OF AORTA, ABDOMINAL W/ REPLACEMENT RESECTION OF ABDOMINAL ARTERIES W/ REPLACEMENT RESECTION OF ABDOMINAL VEINS W/ REPLACEMENT LIGATION AND STRIPPING OF VARICOSE VEINS, ABDOMINAL VEINS OTHER EXCISION OF AORTA, ABDOMINAL OTHER EXCISION OF ABDOMINAL ARTERIES OTHER EXCISION OF ABDOMINAL VEINS OTHER SURGICAL OCCLUSION OF AORTA, ABDOMINAL OTHER SURGICAL OCCLUSION OF ABDOMINAL ARTERIES OTHER SURGICAL OCCLUSION OF ABDOMINAL VEINS INTRA-ABDOMINAL VENOUS SHUNT AORTA-RENAL BYPASS AORTA-ILIAC-FEMORAL BYPASS OTHER INTRA-ABDOMINAL VASCULAR SHUNT OR BYPASS RADICAL EXCISION OF PERIAORTIC LYMPH NODES RADICAL EXCISION OF ILIAC LYMPH NODES SPLENOTOMY OPEN BIOPSY OF SPLEEN MARSUPIALIZATION OF SPLENIC CYST EXCISION OF LESION OR TISSUE OF SPLEEN PARTIAL SPLENECTOMY TOTAL SPLENECTOMY EXCISION OF ACCESSORY SPLEEN TRANSPLANTATION OF SPLEEN REPAIR AND PLASTIC OPERATIONS ON SPLEEN OTHER OPERATIONS ON SPLEEN ESOPHAGECTOMY, NOS PARTIAL ESOPHAGECTOMY TOTAL ESOPHAGECTOMY INTRATHORACIC ESOPHAGEAL ANASTOMOSIS W/ INTERPOSITION OF SMALL BOWEL OTHER INTRATHORACIC ESOPHAGOENTEROSTOMY INTRATHORACIC ESOPHAGEAL ANASTOMOSIS W/ INTERPOSITION OF COLON OTHER INTRATHORACIC ESOPHAGOCOLOSTOMY ANTESTERNAL ESOPHAGEAL ANASTOMOSIS W/ INTERPOSITION OF SMALL BOWEL OTHER ANTESTERNAL ESOPHAGOENTEROSTOMY ANTESTERNAL ESOPHAGEAL ANASTOMOSIS W/ INTERPOSITION OF COLON OTHER ANTESTERNAL ESOPHAGOCOLOSTOMY LIGATION OF ESOPHAGEAL VARICES GASTROTOMY PYLOROMYOTOMY LOCAL EXCISION OF OTHER LESION OR TISSUE OF STOMACH OTHER DESTRUCTION OF LESION OR TISSUE OF STOMACH PARTIAL GASTRECTOMY W/ ANASTOMOSIS TO ESOPHAGUS PARTIAL GASTRECTOMY W/ ANASTOMOSIS TO DUODENUM PARTIAL GASTRECTOMY W/ ANASTOMOSIS TO JEJUNUM PARTIAL GASTRECTOMY W/ JEJUNA TRANSPOSITION OTHER PARTIAL GASTRECTOMY TOTAL GASTRECTOMY W/ INTESTINAL INTERPOSITION OTHER TOTAL GASTRECTOMY VAGOTOMY, NOS TRUNCAL VAGOTOMY HIGHLY SELECTIVE VAGOTOMY OTHER SELECTIVE VAGOTOMY TRANSABDOMINAL GASTROSCOPY
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4415 4421 4429 4431 4439 4440 4441 4442 445 4461 4463 4464 4465 4466 4469 4491 4492 4499** 4500 4501 4502 4503 4531 4532 4533 4534 4541 4549 4550 4551 4552 4561 4562 4563 4571 4572 4573 4574 4575 4576 4579 458 4590 4591 4592 4593 4594 4595 4601 4603 4610 4611 4613 4620 4621 4622 4623 4640 4641 4642 OPEN BIOPSY OF STOMACH DILATION OF PYLORUS BY INCISION OTHER PYLOROPLASTY HIGH GASTRIC BYPASS OTHER GASTROENTEROSTOMY SUTURE OF PEPTIC ULCER, NOS SUTURE OF GASTRIC ULCER SITE SUTURE OF DUODENAL ULCER SITE REVISION OF GASTRIC ANASTOMOSIS SUTURE OF LACERATION OF STOMACH CLOSURE OF OTHER GASTRIC FISTULA GASTROPEXY ESOPHAGOGASTROPLASTY OTHER PROCEDURES FOR CREATION OF ESOPHAGOGASTRIC SPHINCTERIC COMPETENCE OTHER REPAIR OF STOMACH LIGATION OF GASTRIC VARICES INTRAOPERATIVE MANIPULATION OF STOMACH GASTRIC OPERATION NEC (OCT 04) INCISION OF INTESTINE, NOS INCISION OF DUODENUM OTHER INCISION OF SMALL INTESTINE INCISION OF LARGE INTESTINE OTHER LOCAL EXCISION OF LESION OF DUODENUM OTHER DESTRUCTION OF LESION OF DUODENUM LOCAL EXCISION OF LESION OR TISSUE OF SMALL INTESTINE, EXCEPT DUODENUM OTHER DESTRUCTION OF LESION OF SMALL INTESTINE, EXCEPT DUODENUM EXCISION OF LESION OR TISSUE OF LARGE INTESTINE OTHER DESTRUCTION OF LESION OF LARGE INTESTINE ISOLATION OF INTESTINAL SEGMENT, NOS ISOLATION OF SEGMENT OF SMALL INTESTINE ISOLATION OF SEGMENT OF LARGE INTESTINE MULTIPLE SEGMENTAL RESECTION OF SMALL INTESTINE OTHER PARTIAL RESECTION OF SMALL INTESTINE TOTAL REMOVAL OF SMALL INTESTINE MULTIPLE SEGMENTAL RESECTION OF LARGE INTESTINE CESECTOMY RIGHT HEMICOLECTOMY RESECTION OF TRANSVERSE COLON LEFT HEMICOLECTOMY SIGMOIDECTOMY OTHER PARTIAL EXCISION OF LARGE INTESTINE TOTAL INTRA-ABDOMINAL COLECTOMY INTESTINAL ANASTOMOSIS, NOS SMALL-TO-SMALL INTESTINAL ANASTOMOSIS ANASTOMOSIS OF SMALL INTESTINE TO RECTAL STUMP OTHER SMALL-TO-LARGE INTESTINAL ANASTOMOSIS LARGE-TO-LARGE INTESTINAL ANASTOMOSIS ANASTOMOSIS TO ANUS EXTERIORIZATION OF SMALL INTESTINE EXTERIORIZATION OF LARGE INTESTINE COLOSTOMY, NOS TEMPORARY COLOSTOMY PERMANENT COLOSTOMY ILEOSTOMY, NOS TEMPORARY ILESOSTOMY CONTINENT ILEOSTOMY OTHER PERMANENT ILEOSTOMY REVISION OF INTESTINA STOMA, NOS REVISION OF STOMA OF SMALL INTESTINE REPAIR OF PERICOLOSTOMY HERNIA
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4643 4650 4651 4652 4660 4661 4662 4663 4664 4672 4674 4676 4680 4681 4682 4691 4692 4693 4694 4699 4709 4719 472 4791 4792 4799 4841 4849 485 4875 500 5012 5021 5022 5029 503 504 5051 5059 5069 5103 5104 5113 5121 5122 5131 5132 5133 5134 5135 5136 5137 5139 5141 5142 5143 5149 5151 5159 5161 OTHER REVISION OF STOMA OF LARGE INTESTINE CLOSURE OF INTESTINAL STOMA, NOS CLOSURE OF STOMA OF SMALL INTESTINE CLOSURE OF STOMA OF LARGE INTESTINE FIXATION OF INTESTINE, NOS FIXATION OF SMALL INTESTINE TO ABDOMINAL WALL OTHER FIXATION OF SMALL INTESTINE FIXATION OF LARGE INTESTINE TO ABDOMINAL WALL OTHER FIXATION OF LARGE INTESTINE CLOSURE OF FISTULA OF DUODENUM CLOSURE OF FISTULA OF SMALL INTESTINE, EXCEPT DUODENUM CLOSURE OF FISTULA OF LARGE INTESTINE INTRA-ABDOMINAL MANIPULATION OF INTESTINE, NOS INTRA-ABDOMINAL MANIPULATION OF SMALL INTESTINE INTRA-ABDOMINAL MANIPULATION OF LARGE INTESTINE MYOTOMY OF SIGMOID COLON MYOTOMY OF OTHER PARTS OF COLON REVISION OF ANASTOMOSIS OF SMALL INTESTINE REVISION OF ANASTOMOSIS OF LARGE INTESTINE OTHER OPERATIONS ON INTESTINES OTHER APPENDECTOMY OTHER INCIDENTAL APPENDECTOMY DRAINAGE OF APPENDICEAL ABSCESS APPENDECTOMY CLOSURE OF APPENDICEAL FISTULA OTHER OPERATIONS ON APPENDIX, OTHER SUBMUCOSAL RESECTION OF RECTUM OTHER PULL-THROUGH RESECTION OF RECTUM ABDOMINOPERINEAL RESECTION OF RECTUM ABDOMINAL PROCTOPEXY HEPATOTOMY OPEN BIOPSY OF LIVER MARSUPIALIZATION OF LESION OF LIVER PARTIAL HEPATECTOMY OTHER DESTRUCTION OF LESION OF LIVER LOBECTOMY OF LIVER TOTAL HEPATECTOMY AUXILIARY LIVER TRANSPLANT OTHER TRANSPLANT OF LIVER OTHER REPAIR OF LIVER OTHER CHOLECYSTOSTOMY OTHER CHOLECYSTOTOMY OPEN BIOPSY OF GALLBLADDER OR BILE DUCTS OTHER PARTIAL CHOLECYSTECTOMY CHOLECYSTECTOMY ANASTOMOSIS OF GALLBLADDER TO HEPATIC DUCTS ANASTOMOSIS OF GALLBLADDER TO INTESTINE ANASTOMOSIS OF GALLBLADDER TO PANCREAS ANASTOMOSIS OF GALLBLADDER TO STOMACH OTHER GALLBLADDER ANASTOMOSIS CHOLEDOCHOENTEROSTOMY ANASTOMOSIS OF HEPATIC DUCT TO GASTROINTESTINAL TRACT OTHER BILE DUCT ANASTOMOSIS COMMON DUCT EXPLORATION FOR REMOVAL OF CALCULUS COMMON DUCT EXPLORATION FOR RELIEF OF OTHER OBSTRUCTION INSERTION OF CHOLEDOCHOHEPATIC TUBE FOR DECOMPRESSION INCISION OF OTHER BILE DUCTS FOR RELIEF OF OBSTRUCTION EXPLORATION OF COMMON DUCT INCISION OF OTHER BILE DUCT EXCISION OF CYSTIC DUCT REMNANT
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5162 5163 5169 5171 5172 5179 5181 5182 5183 5189 5192 5193 5194 5195 5199 5201 5209 5212 5222 523 524 5251 5252 5253 5259 526 527 5280 5281 5282 5283 5292 5295 5296 5299 5300 5301 5302 5303 5304 5305 5310 5311 5312 5313 5314 5315 5316 5317 5321 5329 5331 5339 5341 5349 5351 5359 5361 EXCISION OF AMPULLA OF VATER W/ REIMPLANTATION OF COMMON DUCT OTHER EXCISION OF COMMON DUCT EXCISION OF OTHER BILE DUCT SIMPLE SUTURE OF COMMON BILE DUCT CHOLEDOCHOPLASTY REPAIR OF OTHER BILE DUCTS DILATION OF SPHINCTER OF ODDI PANCREATIC SPHINCTEROTOMY PANCREATIC SPHINCTEROPLASTY OTHER OPERATIONS ON SPHINCTER OF ODDI CLOSURE OF CHOLECYSTOSTOMY CLOSURE OF OTHER BILIARY FISTULA REVISION OF ANASTOMOSIS OF BILIARY TRACT REMOVAL OF PROSTHETIC DEVICE FROM BILE DUCT OTHER OPERATIONS ON BILIARY TRACT DRAINAGE OF PANCREATIC CYST BY CATHETER OTHER PANCREATOTOMY OPEN BIOPSY OF PANCREAS OTHER EXCISION OR DESTRUCTION OF LESION OR TISSUE OF PANCREAS OR PANCREATIC DUCT MARSUPIALIZATION OF PANCREATIC CYST INTERNAL DRAINAGE OF PANCREATIC CYST PROXIMAL PANCREATECTOMY DISTAL PANCREATECTOMY RADICAL SUBTOTAL PANCREATECTOMY OTHER PARTIAL PANCREATECTOMY TOTAL PANCREATECTOMY RADICAL PANCREATICODUODENECTOMY PANCREATIC TRANSPLANT, NOS REIMPLANTATION HOMOTRANSPLANT OF PANCREAS HETEROTRANSPLANT OF PANCREAS CANNULATION OF PANCREATIC DUCT OTHER REPAIR OF PANCREAS ANASTOMOSIS OF PANCREAS OTHER OPERATIONS ON PANCREAS UNILATERAL REPAIR OF INGUINAL HERNIA, NOS REPAIR OF DIRECT INGUINAL HERNIA REPAIR OF INDIRECT INGUINAL HERNIA REPAIR OF DIRECT INGUINAL HERNIA W/ GRAFT OR PROSTHESIS REPAIR OF INDIRECT INGUINAL HERNIA W/ GRAFT OR PROSTHESIS REPAIR OF INGUINAL HERNIA W/ GRAFT OR PROSTHESIS, NOS BILATERAL REPAIR OF INGUINAL HERNIA, NOS BILATERAL REPAIR OF DIRECT INGUINAL HERNIA BILATERAL REPAIR OF INDIRECT INGUINAL HERNIA BILATERAL REPAIR OF INGUINAL HERNIA, ONE DIRECT AND ONE INDIRECT BILATERAL REPAIR OF DIRECT INGUINAL HERNIA W/ GRAFT OR PROSTHESIS BILATERAL REPAIR OF INDIRECT INGUINAL HERNIA W/ GRAFT OR PROSTHESIS BILATERAL REPAIR OF INGUINAL HERNIA, ONE DIRECT AND ONE INDIRECT, W/ GRAFT OR PROSTHESIS BILATERAL INGUINAL HERNIA REPAIR W/ GRAFT OR PROSTHESIS, NOS UNILATERAL REPAIR OF FEMORAL HERNIA OTHER UNILATERAL FEMORAL HERNIORRHAPHY BILATERAL REPAIR OF FEMORAL HERNIA W/ GRAFT OR PROSTHESIS OTHER BILATERAL FEMORAL HERNIORRHAPHY REPAIR OF UMBILICAL HERNIA W/ PROSTHESIS OTHER UMBILICAL HERNIORRHAPHY INCISIONAL HERNIA REPAIR REPAIR OF OTHER HERNIA OF ANTERIOR ABDOMINAL WALL INCISIONAL HERNIA REPAIR W/ PROSTHESIS
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5369 537 540 5411 5419 5422 5423 543 544 5459 5463 5464 5471 5472 5473 5474 5475 5492 5493 5494 5495 5551 5552 5553 5554 5561 5569 557 5583 5584 5585 5586 5587 5591 5597 5598 5651 5652 5661 5662 5671 5672 5673 5674 5675 5683 5684 5685 5686 5689 5695 5771 5779 5782 5787 5900 5902 5909 6012 6014 REPAIR OF OTHER HERNIA OF ANTERIOR ABDOMINAL WALL W/ PROSTHESIS REPAIR OF DIAPHRAGMATIC HERNIA, ABDOMINAL APPROACH INCISION OF ABDOMINAL WALL EXPLORATORY LAPAROTOMY OTHER LAPAROTOMY BIOPSY OF ABDOMINAL WALL OR UMBILICUS BIOPSY OF ABDOMINAL WALL OR UMBILICUS EXCISION OR DESTRUCTION OF LESION OR TISSUE OF ABDOMINAL WALL OR UMBILICUS EXCISION OR DESTRUCTION OF PERITONEAL TISSUE OTHER LYSIS OF PERITONEAL ADHESIONS OTHER SUTURE OF ABDOMINAL WALL SUTURE OF PERITONEUM REPAIR OF GASTROSCHISIS OTHER REPAIR OF ABDOMINAL WALLS OTHER REPAIR OF PERITONEUM OTHER REPAIR OF OMENTUM OTHER REPAIR OF MESENTERY REMOVAL OF FOREIGN BODY FROM PERITONEAL CAVITY CREATION OF CUTANEOPERITONEAL FISTULA CREATION OF PERITONEOVASCULAR SHUNT INCISION OF PERITONEUM NEPHROURETERECTOMY NEPHRECTOMY OF REMAINING KIDNEY REMOVAL OF TRANSPLANTED OR REGECTED KIDNEY BILATERAL NEPHRECTOMY RENAL AUTOTRANSPLANTATION OTHER KIDNEY TRANSPLANTATION NEPHROPEXY CLOSURE OF OTHER FISTULA OF KIDNEY REDUCTION OF TORSION OF RENAL SYMPHYSIOTOMY FOR HORESHOE KIDNEY ANASTOMOSIS OF KIDNEY CORRECTION OF URETEROPELVIC JUNCTION DECAPSULATION OF KIDNEY IMPLANTATION OR REPLACEMENT OF MECHANICAL KIDNEY REMOVAL OF MECHANICAL KIDNEY FORMATION OF CUTANEOUS URETERO-ILEOSTOMY REVISION OF CUTANEOUS URETERO-ILEOSTOMY FORMATION OF OTHER CUTANEOUS URETEROSTOMY REVISION OF OTHER CUTANEOUS URETEROSTOMY URINARY DIVERSION TO INTESTINE REVISION OF URETEROINTESTINAL ANASTOMOSIS NEPHROCYSTANASTOMOSIS, NOS URETERONEOXYSTOSTOMY TRANSURETEROURETEROSTOMY CLOSURE OF URETEROSTOMY CLOSURE OF OTHER FISTULA OF URETER URETEROPEXY REMOVAL OF LIGATURE FROM URETER OTHER REPAIR OF URETER LIGATION OF URETER RADICAL CYSTECTOMY OTHER TOTAL CYSTECTOMY CLOSURE OF CYSTOSTOMY RECONSTRUCTION OF URINARY BLADDER RETROPERITONEAL DISSECTION, NOS OTHER LYSIS OF PERIRENAL OR PERIURETERAL ADHESIONS OTHER INCISION OF PERIRENAL OR PERIURETERAL TISSUE OPEN BIOPSY OF PROSTATE OPEN BIOPSY OF SEMINAL VESICLES
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6015 603 604 605 6061 6072 6073 6079 6093 6509 6512 6521 6522 6529 6539 6549 6551 6552 6561 6562 6571 6572 6573 6579 6589 6592 6593 6594 6595 6599 6601 6602 6631 6632 6639 664 6651 6652 6661 6662 6663 6669 6671 6672 6673 6674 6679 6692 6697 680 6813 6814 683 6839 684 686 688 6922 693 6941 BIOPSY OF PERIPROSTATIC TISSUE SUPRAPUBIC PROSTATECTOMY RETROPUBIC PROSTATECTOMY RADICAL PROSTATECTOMY LOCAL EXCISION OF LESION OF PROSTATE INCISION OF SEMINAL VESICLE EXCISION OF SEMINAL VESICLE OTHER OPERATIONS ON SEMINAL VESICLES REPAIR OF PROSTATE OTHER OOPHORECTOMY OTHER BIOPSY OF OVARY MARSUPIALIZATION OF OVARIAN CYST WEDGE RESECTION OF OVARY OTHER LOCAL EXCISION OR DESTRUCTION OF OVARY OTHER UNLILATERAL OOPHORECTOMY OTHER UNILATERAL SALPINGOOPHORECTOMY OTHER REMOVAL OF BOTH OVARIES AT SAME OPERATIVE EPISODE OTHER REMOVAL OF REMAINING OVARY OTHER REMOVAL OF BOTH OVARIES AND TUBES AT SAME OPERATIVE EPISODE OTHER REMOVAL OF REMAINING OVARY AND TUBE OTHER SIMPLE SUTURE OF OVARY OTHER REIMPLANTATION OF OVARY OTHER SALPINGO OOPHOROPLASTY OTHER REPAIR OF OVARY OTHER LYSIS OF ADHESIONS OF OVARY AND FALLOPIAN TUBE TRANSPLANTATION OF OVARY MANUAL RUPTURE OF OVARIAN CYST OVARIAN DENERVATION RELEASE OF TORSION OF OVARY OTHER OPERATIONS ON OVARY SALPINGOTOMY SALPINGOSTOMY OTHER BILATERAL LIGATION AND CRUSHING OF FALLOPIAN TUBES OTHER BILATERAL LIGATION AND DIVISION OF FALLOPIAN TUBES OTHER BILATERAL DESTRUCTION OR OCCLUSION OF FALLOPIAN TUBES TOTAL UNILATERAL SALPINGECTOMY REMOVAL OF BOTH FALLOPIAN TUBES AT SAME OPERATIVE EPISODE REMOVAL OF REMAINING FALLOPIAN TUBE EXCISION OR DESTRUCTION OF LESION OF FALLOPIAN TUBE SALPINGECTOMY W/ REMOVAL OF TUBAL PREGNANCY BILATERAL PARTIAL SALPINGECTOMY, NOS OTHER PARTIAL SALPINGECTOMY SIMPLE SUTURE OF FALLOPIAN TUBE SALPINGO-OOPHOROSTOMY SALPINGO-SALPINGOSTOMY SALPINGO-UTEROSTOMY OTHER REPAIR OF FALLOPIAN TUBE UNILATERAL DESTRUCTION OR OCCLUSION OF FALLOPIAN TUBE BURYING OF FIMBRIAE IN UTERINE WALL OTHER INCISION AND EXCISION OF UTERUS OPEN BIOPSY OF UTERUS OPEN BIOPSY OF UTERINE LIGAMENTS SUBTOTAL ABDOMINAL HYSTERECTOMY OTHER SUBTOTAL ABDOMINAL HYSTERECTOMY TOTAL ABDOMINAL HYSTERECTOMY RADICAL ABDOMINAL HYSTERECTOMY PELVIC EVISCERATION OTHER UTERINE SUSPENSION PARACERVICAL UTERINE DENERVATION SUTURE OF LACERATION OF UTERUS
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6942 6949 CLOSURE OF FISTULA OF UTERUS OTHER REPAIR OF UTERUS
** only for discharges occurring on or after October 1, 2004
Accidental Puncture or Laceration, Secondary Diagnosis Field (PSI 15 and 25) Numerator: Discharges with ICD-9-CM code denoting accidental cut, puncture, perforation or laceration during a procedure in any secondary diagnosis field. ICD-9-CM Accidental Puncture or Laceration diagnosis codes: Accidental cut, puncture, perforation, or hemorrhage during medical care:
E8700 E8701 E8702 E8703 E8704 E8705 E8706 E8707 E8708 E8709 9982 SURGICAL OPERATION INFUSION OR TRANSFUSION KIDNEY DIALYSIS OR OTHER PERFUSION INJECTION OR VACCINATION ENDOSCOPIC EXAMINATION ASPIRATION OF FLUID OR TISSUE, PUNCTURE, AND CATHETERIZATION HEART CATHETERIZATION ADMINISTRATION OF ENEMA OTHER SPECIFIED MEDICAL CARE UNSPECIFIED MEDICAL CARE ACCIDENTAL PUNCTURE OR LACERATION DURING A PROCEDURE
Denominator: All surgical and medical discharges age 18 and older defined by specific DRGs. See Appendix B: Surgical Discharge DRGs See Appendix F: Medical Discharge DRGs Control-click (Word) or click (PDF) to view an Appendix. Links are provided to return to the PSI detailed definition. Exclude cases: with ICD-9-CM code denoting technical difficulty (e.g., accidental cut, puncture, perforation, or laceration) in the principal diagnosis field MDC 14 (pregnancy, childbirth, and puerperium).
Transfusion Reaction, Secondary Diagnosis Field (PSI 16 and 26) Numerator: Discharges with ICD-9-CM codes for transfusion reaction in any secondary diagnosis field. ICD-9-CM Transfusion Reaction diagnosis codes:
9996 9997 E8760 ABO INCOMPATIBILITY REACTION RH INCOMPATIBILITY REACTION MISMATCHED BLOOD IN TRANSFUSION
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Transfusion Reaction, Secondary Diagnosis Field (PSI 16 and 26) Denominator: All surgical and medical discharges, 18 years and older or MDC 14 (pregnancy, childbirth, and puerperium), defined by specific DRGs. See Appendix B: Surgical Discharge DRGs See Appendix F: Medical Discharge DRGs Control-click (Word) or click (PDF) to view an Appendix. Links are provided to return to the PSI detailed definition. Exclude cases: with ICD-9-CM code for transfusion reaction in the principal diagnosis field
Birth TraumaInjury to Neonate (PSI 17) Numerator: Discharges with ICD-9-CM codes for birth trauma in any diagnosis field. ICD-9-CM Birth Trauma diagnosis codes:
7670 76711 7673 7674 7677 7678 7679 SUBDURAL AND CEREBRAL HEMORRHAGE (DUE TO TRAUMA OR TO INTRAPARTUM ANOXIA OR HYPOXIA) EPICRANIAL SUBAPONEUROTIC HEMORRHAGE (MASSIVE) (OCT 03) INJURIES TO SKELETON (EXCLUDES CLAVICLE) INJURY TO SPINE AND SPINAL CORD OTHER CRANIAL AND PERIPHERAL NERVE INJURIES OTHER SPECIFIED BIRTH TRAUMA BIRTH TRAUMA, UNSPECIFIED
Note: Because 767.1 was not previously included in the numerator specification, the addition of 767.11 may cause an increase in the rate.
Exclude infants: with a subdural or cerebral hemorrhage (subgroup of birth trauma coding) and any diagnosis code of pre-term infant (denoting birth weight of less than 2,500 grams and less than 37 weeks gestation or 34 weeks gestation or less). with injury to skeleton (767.3, 767.4) and any diagnosis code of osteogenesis imperfecta (756.51).
ICD-9-CM Preterm Infant diagnosis codes: 76501 76502 76503 76504 76505 76506 76507 76508 76511 76512 EXTREME IMMATURITY, LESS THAN 500 GRAMS EXTREME IMMATURITY, 500 749 GRAMS EXTREME IMMATURITY, 750 999 GRAMS EXTREME IMMATURITY, 1000 1249 GRAMS EXTREME IMMATURITY, 1250 1499 GRAMS EXTREME IMMATURITY, 1500 1749 GRAMS EXTREME IMMATURITY, 1750 1999 GRAMS EXTREME IMMATURITY, 2000 2499 GRAMS OTHER PRETERM INFANTS, LESS THAN 500 GRAMS OTHER PRETERM INFANTS, 500 749 GRAMS
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Birth TraumaInjury to Neonate (PSI 17)

76513 76514 76515 76516 76517 76518 76521 76522 76523 76524 76525 76526 76527 OTHER PRETERM INFANTS, 750 999 GRAMS OTHER PRETERM INFANTS, 1000 1249 GRAMS OTHER PRETERM INFANTS, 1250 1499 GRAMS OTHER PRETERM INFANTS, 1500 1749 GRAMS OTHER PRETERM INFANTS, 1750 1999 GRAMS OTHER PRETERM INFANTS, 2000 2499 GRAMS LESS THAN 24 COMPLETED WEEKS OF GESTATION 24 COMPLETED WEEKS OF GESTATION 25-26 COMPLETED WEEKS OF GESTATION 27-28 COMPLETED WEEKS OF GESTATION 29-30 COMPLETED WEEKS OF GESTATION 31-32 COMPLETED WEEKS OF GESTATION 33-34 COMPLETED WEEKS OF GESTATION
Denominator: All births (newborns and other neonates) in metro area or county. Admission type recorded as (4): AND Liveborn DRGs:
385 386 387 388 389 390 391 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME OF NEONATE PREMATURITY W/ MAJOR PROBLEMS PREMATURITY W/O MAJOR PROBLEMS FULL TERM NEONATE W/ MAJOR PROBLEMS NEONATE W/ OTHER SIGNIFICANT PROBLEMS NORMAL NEWBORN
OR ICD-9-CM Liveborn diagnosis codes (includes 4th and 5th digits*):

764 765 766 76621 76622 767 76711 76719 768 769 770 77081 77082 77083 77084 77089 771 77181 77182 77183 77189 SLOW FETAL GROWTH AND FETAL MALNUTRITION DISORDERS RELATING TO SHORT GESTATION AND UNSPECIFIED LOW BIRTH WEIGHT DISORDERS RELATING TO LONG GESTATION AND HIGH BIRTH WEIGHT POST-TERM INFANT (OCT 03) PROLONGED GESTATION - INFANT (OCT 03) BIRTH TRAUMA EPICRANIAL SUBAPONEUROTIC HEMORRHAGE (MASSIVE) (OCT 03) OTHER INJURIES TO SCALP (OCT 03) INTRAUTERINE HYPOXIA AND BIRTH ASPHYXIA RESPIRATORY DISTRESS SYNDROME OTHER RESPIRATORY CONDITIONS OF FETUS AND NEWBORN PRIMARY APNEA OF NEWBORN (OCT 02) OTHER APNEA OF NEWBORN (OCT 02) CYANOTIC ATTACKS OF NEWBORN (OCT 02) RESPIRATORY FAILURE OF NEWBORN (OCT 02) OTHER RESPIRATORY PROBLEMS AFTER BIRTH (OCT 02) INFECTIONS SPECIFIC TO THE PERINATAL PERIOD SEPTICEMIA [SEPSIS] OF NEWBORN (OCT 02) URINARY TRACT INFECTION OF NEWBORN (OCT 02) BACTEREMIA OF NEWBORN (OCT 02) OTHER INFECTIONS SPECIFIC TO THE PERINATAL PERIOD (OCT 02)
41
Birth TraumaInjury to Neonate (PSI 17)

772 77210 77211 77212 77213 77214 773 774 775 776 777 778 779 77981 77982 77983 77989 V30 V31 V32 V33 V34 V35 V36 V37 V39 FETAL AND NEONATAL HEMORRHAGE BLEEDING WITH ENLARGEMENT OF VENTRICLE, UNSPECIFIED GRADE (OCT 01) BLEEDING WITH ENLARGEMENT OF VENTRICLE, GRADE I (OCT 01) BLEEDING WITH ENLARGEMENT OF VENTRICLE, GRADE II (OCT 01) BLEEDING WITH ENLARGEMENT OF VENTRICLE, GRADE III (OCT 01) BLEEDING WITH ENLARGEMENT OF VENTRICLE, GRADE IV (OCT 01) HEMOLYTIC DISEASE OF FETUS OR NEWBORN, DUE TO ISOIMMUNIZATION OTHER PERINATAL JAUNDICE ENDOCRINE AND METABOLIC DISTURBANCES SPECIFIC TO THE FETUS AND NEWBORN HEMATOLOGICAL DISORDERS OF FETUS AND NEWBORN PERINATAL DISORDERS OF DIGESTIVE SYSTEM CONDITIONS INVOLVING THE INTEGUMENT AND TEMPERATURE REGULATION OF FETUS AND NEWBORN OTHER AND ILL-DEFINED CONDITIONS ORIGINATING IN THE PERINATAL PERIOD NEONATAL BRADYCARDIA (OCT 02) NEONATAL TACHYCARDIA (OCT 02) DELAYED SEPARATION OF UMBILICAL CORD (OCT 03) OTHER SPECIFIED CONDITIONS ORIGINATING IN THE PERINATAL PERIOD (OCT 02) SINGLE LIVEBORN TWIN, MATE LIVEBORN TWIN, MATE STILLBORN TWIN, UNSPECIFIED OTHER MULTIPLE, MATES ALL LIVEBORN OTHER MULTIPLE, MATES ALL STILLBORN OTHER MULTIPLE, MATES LIVE- AND STILLBORN OTHER MULTIPLE, UNSPECIFIED UNSPECIFIED
* Does not include diagnosis codes 768.0, 768.1 and 779.6
Obstetric TraumaVaginal Delivery with Instrument (PSI 18) Numerator: Discharges with ICD-9-CM codes for 3rd and 4th degree obstetric trauma in any diagnosis or procedure field.
ICD-9-CM Obstetric Trauma diagnosis codes:

66420,1,4 66430,1,4 TRAUMA TO PERINEUM AND VULVA DURING DELIVERY, THIRD DEGREE PERINEAL LACERATION TRAUMA TO PERINEUM AND VULVA DURING DELIVERY, FOURTH DEGREE PERINEAL LACERATION
ICD-9-CM Obstetric Trauma procedure codes:

7550 7551 7552 7561 7562 REPAIR OF CURRENT OBSTETRIC LACERATIONS OF UTERUS REPAIR OF CURRENT OBSTETRIC LACERATIONS OF CERVIX REPAIR OF CURRENT OBSTETRIC LACERATIONS OF CORPUS UTERI REPAIR OF CURRENT OBSTETRIC LACERATION OF BLADDER AND URETHRA REPAIR OF CURRENT OBSTETRIC LACERATION OF RECTUM AND SPHINCTER ANI
Denominator: All vaginal delivery discharges with any procedure code for instrument-assisted delivery.
42
Obstetric TraumaVaginal Delivery with Instrument (PSI 18) Vaginal Delivery DRGs:
372 373 374 375 VAGINAL DELIVERY W/ COMPLICATING DIAGNOSES VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES VAGINAL DELIVERY W/ STERILIZATION AND/OR D AND C VAGINAL DELIVERY W/ OR PROCEDURE EXCEPT STERILIZATION AND/OR D AND C
ICD-9-CM Instrument-Assisted Delivery procedure codes:

720 721 7221 7229 7231 7239 724 7251 7253 726 7271 7279 728 729 LOW FORCEPS OPERATION LOW FORCEPS OPERATION W/ EPISIOTOMY MID FORCEPS OPERATION W/ EPISIOTOMY OTHER MID FORCEPS OPERATION HIGH FORCEPS OPERATION W/ EPISIOTOMY OTHER HIGH FORCEPS OPERATION FORCEPS ROTATION OF FETAL HEAD PARTIAL BREECH EXTRACTION W/ FORCEPS TO AFTERCOMING HEAD TOTAL BREECH EXTRACTION W/ FORCEPS TO AFTERCOMING HEAD FORCEPS APPLICATION TO AFTERCOMING HEAD VACUUM EXTRACTION W/ EPISIOTOMY VACUUM EXTRACTION DELIVERY NEC OTHER SPECIFIED INSTRUMENTAL DELIVERY UNSPECIFIED INSTRUMENTAL DELIVERY
Obstetric TraumaVaginal Delivery without Instrument (PSI 19) Numerator: Discharges with ICD-9-CM codes for 3rd and 4th degree obstetric trauma in any diagnosis or procedure field. ICD-9-CM Obstetric Trauma diagnosis codes:
66420,1,4 66430,1,4 TRAUMA TO PERINEUM AND VULVA DURING DELIVERY, THIRD DEGREE PERINEAL LACERATION TRAUMA TO PERINEUM AND VULVA DURING DELIVERY, FOURTH DEGREE PERINEAL LACERATION

Denominator: All vaginal delivery discharge patients. Vaginal Delivery DRGs:

372 373 VAGINAL DELIVERY W/ COMPLICATING DIAGNOSES VAGINAL DELIVERY W/OCOMPLICATING DIAGNOSES
43
Obstetric TraumaVaginal Delivery without Instrument (PSI 19)

374 375 VAGINAL DELIVERY W/ STERILIZATION AND/OR D AND C VAGINAL DELIVERY W/ OR PROCEDURE EXCEPT STERILIZATION AND/OR D AND C
Exclude: Instrument-assisted delivery. ICD-9-CM Instrument-Assisted Delivery procedure codes

720 721 7221 7229 7231 7239 724 7251 7253 726 7271 7279 728 729 LOW FORCEPS OPERATION LOW FORCEPS OPERATION W/ EPISIOTOMY MID FORCEPS OPERATION W/ EPISIOTOMY OTHER MID FORCEPS OPERATION HIGH FORCEPS OPERATION W/ EPISIOTOMY OTHER HIGH FORCEPS OPERATION FORCEPS ROTATION OF FETAL HEAD PARTIAL BREECH EXTRACTION W/ FORCEPS TO AFTERCOMING HEAD TOTAL BREECH EXTRACTION W/ FORCEPS TO AFTERCOMING HEAD FORCEPS APPLICATION TO AFTERCOMING HEAD VACUUM EXTRACTION W/ EPISIOTOMY VACUUM EXTRACTION DELIVERY NEC OTHER SPECIFIED INSTRUMENTAL DELIVERY UNSPECIFIED INSTRUMENTAL DELIVERY
Obstetric TraumaCesarean Delivery (PSI 20) Numerator: Discharges with ICD-9-CM codes for 3rd and 4th degree obstetric trauma in any diagnosis or procedure field. ICD-9-CM Obstetric Trauma diagnosis codes:
66420,1,4 66430,1,4 TRAUMA TO PERINEUM AND VULVA DURING DELIVERY, THIRD DEGREE PERINEAL LACERATION (PSI 29 ONLY) TRAUMA TO PERINEUM AND VULVA DURING DELIVERY, FOURTH DEGREE PERINEAL LACERATION

Denominator: All cesarean delivery discharges. Cesarean Delivery DRGs:

370 371 CESAREAN SECTION W/ CC CESAREAN SECTION W/OCC
44
A.
Appendix A: Operating Room Procedure Codes

These codes are used by the following PSIs: PSI Complications of Anesthesia (PSI 1) - Page 1 Decubitus Ulcer (PSI 3) - Page 5 Postoperative Hip Fracture (PSI 8) - Page 22 Postoperative Hemorrhage or Hematoma (PSI 9) - Page 26 Postoperative Physiologic and Metabolic Derangement (PSI 10) Page 28 Postoperative Respiratory Failure (PSI 11)- Page 30 Postoperative Pulmonary Embolism or Deep Vein Thrombosis (PSI 12) - Page 31 How Used Denominator inclusion - Page 1 Denominator exclusion - Page 5 Denominator inclusion - Page 22 Denominator inclusion - Page 27 Denominator inclusion - Page 28 Denominator inclusion - Page 30 Denominator inclusion - Page 31
In the table above, control-click (Word) or click (PDF) the PSI name to go to the start of that detailed definition. Click the link in the How Used column to go to where the operating room procedure codes are referenced within the PSI detailed definition. The ICD-9-CM codes added after January 17, 2005 are identified by the date of introduction, e.g., OCT 04, after the code label.
0050 0051 0052 0053 0054 0061 0062 0066 0070 0071 0072 0073 0074 0075 0076 0080 0081 0082 0083 0084 0112 0114 0115 0118 0119 0121 0122 0123 0124 0125 0126 0127 0131 0132 0139 0141 IMPL CRT PACEMAKER SYS IMPL CRT DEFIBRILLAT SYS IMP/REP LEAD LF VEN SYS IMP/REP CRT PACEMAKR GEN IMP/REP CRT DEFIB GENAT PERC ANGIO PRECEREB VES (OCT 04) PERC ANGIO INTRACRAN VES (OCT 04) PTCA OR CORONARY ATHER (OCT 05) REV HIP REPL-ACETAB/FEM (OCT 05) REV HIP REPL-ACETAB COMP (OCT 05) REV HIP REPL-FEM COMP (OCT 05) REV HIP REPL-LINER/HEAD (OCT 05) HIP REPL SURF-METAL/POLY (OCT 05) HIP REP SURF-METAL/METAL (OCT 05) HIP REP SURF-CERMC/CERMC (OCT 05) REV KNEE REPLACEMT-TOTAL (OCT 05) REV KNEE REPL-TIBIA COMP (OCT 05) REV KNEE REPL-FEMUR COMP (OCT 05) REV KNEE REPLACE-PATELLA (OCT 05) REV KNEE REPL-TIBIA LIN (OCT 05) OPEN CEREB MENINGES BX OPEN BRAIN BIOPSY SKULL BIOPSY OTHER BRAIN DX PROCEDURE OTHER SKULL DX PROCEDURE CRANIAL SINUS I & D REMOV INTRACRAN STIMULAT REOPEN CRANIOTOMY SITE OTHER CRANIOTOMY OTHER CRANIECTOMY INS CATH-CRANIAL CAVITY (OCT 05) REM CATH-CRANIAL CAVITY (OCT 05) INCISE CEREBRAL MENINGES LOBOTOMY & TRACTOTOMY OTHER BRAIN INCISION THALAMUS OPERATIONS 0142 0151 0152 0153 0159 016 0201 0202 0203 0204 0205 0206 0207 0211 0212 0213 0214 022 0231 0232 0233 0234 0235 0239 0242 0243 0291 0292 0293 0294 0299 0301 0302 0309 031 0321 GLOBUS PALLIDUS OPS EX CEREB MENINGEAL LES HEMISPHERECTOMY BRAIN LOBECTOMY OTHER BRAIN EXCISION EXCISE SKULL LESION LINEAR CRANIECTOMY ELEVATE SKULL FX FRAGMNT SKULL FLAP FORMATION BONE GRAFT TO SKULL SKULL PLATE INSERTION CRANIAL OSTEOPLASTY NEC SKULL PLATE REMOVAL SIMPLE SUTURE OF DURA BRAIN MENINGE REPAIR NEC MENINGE VESSEL LIGATION CHOROID PLEXECTOMY VENTRICULOSTOMY VENTRICL SHUNT-HEAD/NECK VENTRI SHUNT-CIRCULA SYS VENTRICL SHUNT-THORAX VENTRICL SHUNT-ABDOMEN VENTRI SHUNT-UNINARY SYS OTHER VENTRICULAR SHUNT REPLACE VENTRICLE SHUNT REMOVE VENTRICLE SHUNT LYSIS CORTICAL ADHESION BRAIN REPAIR IMPLANT BRAIN STIMULATOR INSERT/REPLAC SKULL TONG SKULL & BRAIN OP NEC REMOVAL FB SPINAL CANAL REOPEN LAMINECTOMY SITE SPINAL CANAL EXPLOR NEC INTRASPIN NERVE ROOT DIV PERCUTANEOUS CHORDOTOMY
A-1

0329 0332 0339 034 0351 0352 0353 0359 036 0371 0372 0379 0393 0394 0397 0398 0399 0401 0402 0403 0404 0405 0406 0407 0412 0419 043 0441 0442 0443 0444 0449 045 046 0471 0472 0473 0474 0475 0476 0479 0491 0492 0493 0499 050 0511 0519 0521 0522 0523 0524 0525 0529 0581 0589 059 0602 0609 0612 0613 0619 062 0631 OTHER CHORDOTOMY SPINAL CORD/MENINGES BX OTHER SPINAL DX PROC EXCIS SPINAL CORD LESION SPINE MENINGOCELE REPAIR MYELOMENINGOCEL REPAIR VERTEBRAL FX REPAIR SPINAL STRUCT REPAIR NEC SPINAL CORD ADHESIOLYSIS SUBARACH-PERITON SHUNT SUBARACH-URETERAL SHUNT OTH SPINAL THECAL SHUNT INSERT SPINAL STIMULATOR REMOVE SPINAL STIMULATOR REVISE SPINE THECA SHUNT REMOVE SPINE THECA SHUNT SPINE CANAL STRUC OP NEC EXCISION ACOUSTC NEUROMA TRIGEMINAL NERV DIVISION PERIPH NERVE DIV NEC PERIPH NERVE INCIS NEC GASSERIAN GANGLIONECTOMY PERIPH GANGLIONECT NEC PERIPH NERV EXCISION NEC OPEN PERIPH NERVE BIOPSY PERIPH NERVE DX PROC NEC PERIPHERAL NERVE SUTURE DECOMPRESS TRIGEM ROOT CRAN NERV ROOT DECOM NEC CARPAL TUNNEL RELEASE TARSAL TUNNEL RELEASE PER NERVE ADHESIOLYS NEC PERIPHERAL NERVE GRAFT PERIPH NERVE TRANSPOSIT HYPOGLOSS-FACIAL ANASTOM ACCESSORY-FACIAL ANASTOM ACCESS-HYPOGLOSS ANASTOM PERIPH NERV ANASTOM NEC POSTOP REVIS PER NERV OP LATE REPAIR PER NERV INJ OTHER NEUROPLASTY NEURECTASIS IMPLANT PERIPH STIMULAT REMOVE PERIPH STIMULATOR PERIPHERAL NERVE OPS NEC SYMPATH NERVE DIVISION SYMPATHETIC NERVE BIOPSY SYMPATH NRV DX PROC NEC SPHENOPALATIN GANGLIONEC CERVICAL SYMPATHECTOMY LUMBAR SYMPATHECTOMY PRESACRAL SYMPATHECTOMY PERIART SYMPATHECTOMY OTHER SYMPATHECTOMY SYMPATHETIC NERVE REPAIR SYMPATHETIC NERVE OP NEC OTHER NERVOUS SYSTEM OPS REOPEN THYROID FIELD WND INCIS THYROID FIELD NEC OPEN THYROID GLAND BX PARATHYROID BIOPSY THYR/PARATHY DX PROC NEC UNILAT THYROID LOBECTOMY EXCISION THYROID LESION 0639 064 0650 0651 0652 066 067 0681 0689 0691 0692 0693 0694 0695 0698 0699 0700 0701 0702 0712 0713 0714 0715 0716 0717 0719 0721 0722 0729 073 0741 0742 0743 0744 0745 0749 0751 0752 0753 0754 0759 0761 0762 0763 0764 0765 0768 0769 0771 0772 0779 0780 0781 0782 0791 0792 0793 0794 0799 0811 0820 0821 0822 0823 PART THYROIDECTOMY NEC COMPLETE THYROIDECTOMY SUBSTERN THYROIDECT NOS PART SUBSTERN THYROIDECT TOT SUBSTERN THYROIDECT LINGUAL THYROID EXCISION THYROGLOSS DUCT EXCISION TOTAL PARATHYROIDECTOMY OTHER PARATHYROIDECTOMY THYROID ISTHMUS DIVISION THYROID VESSEL LIGATION THYROID SUTURE THYROID REIMPLANTATION PARATHYROID REIMPLANT OTHER THYROID OPERATIONS OTHER PARATHYROID OPS ADRENAL EXPLORATION NOS UNILAT ADRENAL EXPLORAT BILAT ADRENAL EXPLORAT OPEN ADRENAL GLAND BX TRANSFRONT PITUITARY BX TRANSPHEN PITUITARY BX PITUITARY BIOPSY NOS THYMUS BIOPSY PINEAL BIOPSY ENDOCRINE DX PROC NEC ADRENAL LESION EXCISION UNILATERAL ADRENALECTOMY PART ADRENALECTOMY NEC BILATERAL ADRENALECTOMY ADRENAL INCISION ADRENAL NERVE DIVISION ADRENAL VESSEL LIGATION ADRENAL REPAIR ADRENAL REIMPLANTATION ADRENAL OPERATION NEC PINEAL FIELD EXPLORATION PINEAL GLAND INCISION PARTIAL PINEALECTOMY TOTAL PINEALECTOMY PINEAL OPERATION NEC EXC PITUIT LES-TRANSFRON EXC PITUIT LES-TRANSPHEN PART EXCIS PITUITARY NOS TOT EXC PITUIT-TRANSFRON TOT EXC PITUIT-TRANSPHEN TOTAL EXC PITUITARY NEC TOTAL EXC PITUITARY NOS PITUITARY FOSSA EXPLORAT PITUITARY GLAND INCISION PITUITARY OPERATION NEC THYMECTOMY NOS PART EXCISION OF THYMUS TOTAL EXCISION OF THYMUS THYMUS FIELD EXPLORATION INCISION OF THYMUS REPAIR OF THYMUS THYMUS TRANSPLANTATION THYMUS OPERATION NEC EYELID BIOPSY REMOVE EYELID LESION NOS CHALAZION EXCISION EXCISE MINOR LES LID NEC EXC MAJ LES LID PRT-THIC
A-2

0824 0825 0831 0832 0833 0834 0835 0836 0837 0838 0841 0842 0843 0844 0849 0851 0852 0859 0861 0862 0863 0864 0869 0870 0871 0872 0873 0874 0891 0892 0893 0899 090 0911 0912 0919 0920 0921 0922 0923 093 0941 0942 0943 0944 0949 0951 0952 0953 0959 096 0971 0972 0973 0981 0982 0983 0991 0999 100 101 1021 1029 1031 EXC MAJ LES LID FUL-THIC DESTRUCTION LID LESION PTOSIS REP-FRONT MUS SUT PTOSIS REP-FRON MUS SLNG PTOSIS REP-LEVAT MUS ADV PTOSIS REP-LEVAT MUS NEC PTOS REP-TARSAL TECHNIQ BLEPHAROPTOS REPAIR NEC REDUC OVERCORRECT PTOSIS CORRECT LID RETRACTION THERMOCAUT/ENTROPION REP SUTURE ENTROPION REPAIR WEDG RESEC ENTROPION REP LID RECONS ENTROPION REP ENTROPION/ECTROP REP NEC CANTHOTOMY BLEPHARORRHAPHY ADJUST LID POSITION NEC LID RECONST W SKIN GRAFT LID RECONST W MUC GRAFT LID RECONST W HAIR GRAFT LID RECON-TARSOCONJ FLAP LID RECONSTR W GRAFT NEC LID RECONSTRUCTION NOS LID MARG RECON-PART THIC LID RECONS-PART THIC NEC LID MARG RECONS FUL THIC LID RECONST-FUL THIC NEC ELECTROSURG LID EPILAT CRYOSURG LID EPILATION EYELID EPILATION NEC EYELID OPERATION NEC LACRIMAL GLAND INCISION LACRIMAL GLAND BIOPSY LACRIMAL SAC BIOPSY LACRIMAL SYS DX PROC NEC EXC LACRIMAL GLAND NOS EXCIS LES LACRIMAL GLAND PART DACRYOADENECT NEC TOTAL DACRYOADENECTOMY OTHER LACRIMAL GLAND OPS LACRIMAL PUNCTUM PROBE LAC CANALICULI PROBE NASOLACRIMAL DUCT PROBE NASOLAC DUCT INTUBAT LAC PASSAGE MANIP NEC LAC PUNCTUM INCISION LAC CANALICULI INCISION LACRIMAL SAC INCISION LACRIM PASSAGE INCIS NEC LACRIM SAC/PASSAGE EXCIS CORRECT EVERTED PUNCTUM PUNCTUM REPAIR NEC CANALICULUS REPAIR DACRYOCYSTORHINOSTOMY CONJUNCTIVOCYSTORHINOST CONJUNCTIVORHINOS W TUBE LAC PUNCTUM OBLITERATION LACRIMAL SYSTEM OP NEC INCISE/REMOV CONJUNCT FB CONJUNCTIVA INCISION NEC CONJUNCTIVAL BIOPSY CONJUNCTIVA DX PROC NEC EXCISE CONJUNCTIV LESION 1032 1033 1041 1042 1043 1044 1049 105 106 1091 1099 110 111 1121 1122 1129 1131 1132 1139 1141 1142 1143 1149 1151 1152 1153 1159 1160 1161 1162 1163 1164 1169 1171 1172 1173 1174 1175 1176 1179 1191 1192 1199 1200 1201 1202 1211 1212 1213 1214 1221 1222 1229 1231 1232 1233 1234 1235 1239 1240 1241 1242 1243 1244 DESTRUCT CONJUNC LES NEC OTH CONJUNC DESTRUC PROC SYMBLEPH REP W FREE GRFT GRAFT CONJUNC CUL-DE-SAC CONJUN CUL-DE-SAC RX NEC CONJUNC FREE GRAFT NEC CONJUNCTIVOPLASTY NEC CONJUNC/LID ADHESIOLYSIS REPAIR CONJUNCT LACERAT SUBCONJUNCTIVAL INJECT CONJUNCTIVAL OP NEC MAGNET REMOVAL CORNEA FB CORNEAL INCISION CORNEAL SCRAPE FOR SMEAR CORNEAL BIOPSY CORNEAL DX PROC NEC PTERYGIUM TRANSPOSITION PTERYG EXC W CORNEA GRFT PTERYGIUM EXCISION NEC MECH REMOV CORNEA EPITH THERMOCAUT CORNEA LESION CRYOTHERAP CORNEA LESION DESTRUCT CORNEA LES NEC SUTURE CORNEA LACERATION REP CORNEA POSTOP DEHISC RX CORNEA LAC W CONJ FLP CORNEAL REPAIR NEC CORNEAL TRANSPLANT NOS LAM KERATPLAST W AUTGRFT LAMELLAR KERATOPLAST NEC PERF KERATOPL W AUTOGRFT PERFORAT KERATOPLAST NEC CORNEAL TRANSPLANT NEC KERATOMILEUSIS KERATOPHAKIA KERATOPROSTHESIS THERMOKERATOPLASTY RADIAL KERATOTOMY EPIKERATOPHAKIA CORNEA RECONSTRUCT NEC CORNEAL TATTOOING REMOVE CORNEAL IMPLANT CORNEAL OPERATION NEC REMOV ANT SEGMNT FB NOS MAGNET REMOV ANT SEG FB NONMAG REMOV ANT SEG FB IRIDOTOMY W TRANSFIXION IRIDOTOMY NEC PROLAPSED IRIS EXCISION IRIDECTOMY NEC DX ASPIRAT-ANT CHAMBER IRIS BIOPSY ANT SEGMENT DX PROC NEC GONIOSYNECHIAE LYSIS ANT SYNECHIA LYSIS NEC POST SYNECHIAE LYSIS CORNEOVITREAL ADHESIOLYS COREOPLASTY IRIDOPLASTY NEC REMOV ANT SEGMNT LES NOS NONEXC DESTRUC IRIS LES EXCISION OF IRIS LESION NONEXC DESTR CIL BOD LES EXCISE CILIARY BODY LES
A-3

1251 1252 1253 1254 1255 1259 1261 1262 1263 1264 1265 1266 1269 1271 1272 1273 1274 1279 1281 1282 1283 1284 1285 1286 1287 1288 1289 1291 1292 1293 1297 1298 1299 1300 1301 1302 1311 1319 132 133 1341 1342 1343 1351 1359 1361 1362 1363 1364 1365 1366 1369 1370 1371 1372 138 139 1400 1401 1402 1411 1419 1421 1422 GONIOPUNCTURE GONIOTOMY GONIOTOMY W GONIOPUNCTUR TRABECULOTOMY AB EXTERNO CYCLODIALYSIS FACILIT INTRAOC CIRC NEC TREPHIN SCLERA W IRIDECT THERMCAUT SCLER W IRIDEC IRIDENCLEISIS/IRIDOTASIS TRABECULECTOM AB EXTERNO SCLER FISTULIZ W IRIDECT POSTOP REVIS SCL FISTUL SCLER FISTULIZING OP NEC CYCLODIATHERMY CYCLOCRYOTHERAPY CYCLOPHOTOCOAGULATION CIL BODY DIMINUTION NOS GLAUCOMA PROCEDURE NEC SUTURE SCLERAL LACER SCLERAL FISTULA REPAIR REVIS ANT SEG OP WND NEC DESTRUCT SCLERAL LESION REPAIR STAPHYLOM W GRAFT REP SCLER STAPHYLOMA NEC GRAFT REINFORCE SCLERA SCLERA REINFORCEMENT NEC SCLERAL OPERATION NEC THERAPEUT EVAC ANT CHAMB ANTERIOR CHAMBER INJECT REMOV EPITHEL DOWNGROWTH IRIS OPERATION NEC CILIARY BODY OP NEC ANTERIOR CHAMBER OP NEC REMOVE FB LENS NOS MAGNET REMOVE FB LENS NONMAGNET REMOVE FB LENS TEMP-INF INTRCAP LENS EX INTRACAPSUL LENS EXT NEC LINEAR EXTRACAP LENS EXT SIMPL ASPIR LENS EXTRACT CATARAC PHACOEMULS/ASPIR POST CATARAC FRAG/ASPIR CATARACT FRAG/ASPIR NEC TEMP-INF XTRACAP LENS EX EXTRACAP LENS EXTRAC NEC EXTRACAP LENS EXTRAC NEC EXTRACAP LENS EXTRAC NEC EXTRACAP LENS EXTRAC NEC AFTER-CATAR DISCISSION AFTER-CATARACT EXCISION AFTER CATAR FRAGMNTATION CATARACT EXTRACTION NEC INSERT PSEUDOPHAKOS NOS INSERT LENS AT CATAR EXT SECONDARY INSERT LENS IMPLANTED LENS REMOVAL OTHER OPERATIONS ON LENS REMOV POST SEGMNT FB NOS MAGNET REMOV POST SEG FB NONMAG REMOV POST SEG FB DIAGNOST VITREOUS ASPIR DX PROC POST SEG NEC CHORIORET LES DIATHERMY CHORIORETIN LES CRYOTHER 1426 1427 1429 1431 1432 1439 1441 1449 1451 1452 1453 1454 1455 1459 146 1471 1472 1473 1474 1475 1479 149 1501 1509 1511 1512 1513 1519 1521 1522 1529 153 154 155 156 157 159 1601 1602 1609 161 1622 1623 1629 1631 1639 1641 1642 1649 1651 1652 1659 1661 1662 1663 1664 1665 1666 1669 1671 1672 1681 1682 1689 CHORIORET LES RADIOTHER CHORIORET LES RAD IMPLAN CHORIORET LES DESTR NEC RETINAL TEAR DIATHERMY RETINAL TEAR CRYOTHERAPY RETINAL TEAR REPAIR NEC SCLERAL BUCKLE W IMPLANT SCLERAL BUCKLING NEC DETACH RETINA-DIATHERMY DETACH RETINA-CRYOTHERAP DETACH RETINA XENON COAG DETACH RETINA LASER COAG DETACH RET PHOTOCOAG NOS REPAIR RETINA DETACH NEC REMOV PROS MAT POST SEG ANTERIOR REMOV VITREOUS VITREOUS REMOVAL NEC ANTERIOR MECHAN VITRECT MECH VITRECTOMY NEC VITREOUS SUBSTITUT INJEC VITREOUS OPERATION NEC OTHER POST SEGMENT OPS EXTRAOC MUSC-TEND BIOPSY EXTRAOC MUSC DX PROC NEC ONE EXTRAOC MUS RECESS 1 EXTRAOC MUSCL ADVANCE 1 EXTRAOC MUSCL RESECT XTRAOC MUS OP/DETACH NEC LENGTHEN 1 EXTRAOC MUSC SHORTEN 1 EXTRAOC MUSC OP ON 1 EXTRAOC MUSC NEC TEMP DETACH >1 XTROC MUS OTH OP ON >L EXTRAOC MUS EXTRAOCUL MUS TRANSPOSIT REVIS EXTRAOC MUSC SURG EXTRAOC MUSC INJ REPAIR OTH EXTRAOC MUS-TEND OP ORBITOTOMY W BONE FLAP ORBITOTOMY W IMPLANT ORBITOTOMY NEC REMOVE PENETRAT FB EYE DIAGNOSTIC ASP OF ORBIT EYEBALL & ORBIT BIOPSY EYEBAL/ORBIT DX PROC NEC EYE EVISC W SYNCH IMPLAN EYEBALL EVISCERATION NEC EYE ENUC/IMPLAN/MUSC ATT EYE ENUC W IMPLANT NEC EYEBALL ENUCLEATION NEC RADICAL ORBITOMAXILLECT ORBIT EXENT W BONE REMOV ORBITAL EXENTERATION NEC 2NDRY OCULAR IMP INSERT REVIS/REINSERT OCUL IMP REVIS ENUC SOCKET W GRFT ENUC SOCKET REVIS NEC 2NDRY EXENT CAVITY GRAFT REVIS EXENTER CAVITY NEC 2ND OP POST EYE REM NEC REMOVE OCULAR IMPLANT REMOVE ORBITAL IMPLANT REPAIR OF ORBITAL WOUND REPAIR EYEBALL RUPTURE EYE/ORBIT INJ REPAIR NEC
A-4

1692 1693 1698 1699 1821 1831 1839 185 186 1871 1872 1879 189 190 1911 1919 1921 1929 193 194 1952 1953 1954 1955 196 199 2001 2021 2022 2023 2032 2039 2041 2042 2049 2051 2059 2061 2062 2071 2072 2079 2091 2092 2093 2095 2096 2097 2098 2099 2104 2105 2106 2107 2109 214 215 2161 2162 2169 2172 2182 2183 2184 EXCISION ORBITAL LESION EXCISION EYE LESION NOS OPERATION ON ORBIT NEC OPERATION ON EYEBALL NEC PREAURICULAR SINUS EXCIS RAD EXCIS EXT EAR LES EXCIS EXTERNAL EAR NEC CORRECTION PROMINENT EAR EXT AUDIT CANAL RECONSTR CONSTRUCTION EAR AURICLE REATTACH AMPUTATED EAR PLASTIC REP EXT EAR NEC OTHER EXT EAR OPERATIONS STAPES MOBILIZATION STAPEDECT W REPLAC INCUS STAPEDECTOMY NEC REV STAPDEC W INCUS REPL STAPEDECTOMY REVIS NEC OSSICULAR CHAIN OP NEC MYRINGOPLASTY TYPE 2 TYMPANOPLASTY TYPE 3 TYMPANOPLASTY TYPE 4 TYMPANOPLASTY TYPE 5 TYMPANOPLASTY TYMPANOPLASTY REVISION MIDDLE EAR REPAIR NEC MYRINGOTOMY W INTUBATION MASTOID INCISION PETRUS PYRAM AIR CEL INC MIDDLE EAR INCISION MID & INNER EAR BIOPSY MID/IN EAR DX PROC NEC SIMPLE MASTOIDECTOMY RADICAL MASTOIDECTOMY MASTOIDECTOMY NEC EXCISE MIDDLE EAR LESION MIDDLE EAR EXCISION NEC INNER EAR FENESTRATION REVIS INNER EAR FENESTRA ENDOLYMPHATIC SHUNT INNER EAR INJECTION INC/EXC/DESTR IN EAR NEC TYMPANOSYMPATHECTOMY MASTOIDECTOMY REVISION REPAIR OVAL/ROUND WINDOW ELECMAG HEAR DEV IMPLANT IMPLT COCHLEAR PROST NOS IMP/REP SCHAN COCH PROS IMP/REP MCHAN COCHL PROS MID-INNER EAR OPS NEC ETHMOID ART LIGAT-EPIST MAX ART LIG FOR EPISTAX EXT CAROT ART LIG-EPIST NASAL SEPT GRFT-EPISTAX EPISTAXIS CONTROL NEC RESECTION OF NOSE SUBMUC NASAL SEPT RESECT DIATHER/CRYO TURBINECTOM TURBINATE FRACTURE TURBINECTOMY NEC OPEN REDUCTION NASAL FX NASAL FISTULA CLOSURE TOT NASAL RECONSTRUCTION REVISION RHINOPLASTY 2185 2186 2187 2188 2189 2199 2212 2231 2239 2241 2242 2250 2251 2252 2253 2260 2261 2262 2263 2264 2271 2279 229 242 244 245 2502 251 252 253 254 2559 2594 2599 2612 2621 2629 2630 2631 2632 2641 2642 2649 2699 270 271 2721 2722 2731 2732 2742 2743 2749 2753 2754 2755 2756 2757 2759 2761 2762 2763 2769 2771 AUGMENTATION RHINOPLASTY LIMITED RHINOPLASTY RHINOPLASTY NEC SEPTOPLASTY NEC NASAL REPAIR NEC NASAL OPERATION NEC OPEN BIOPSY NASAL SINUS RADICAL MAXILLARY ANTROT EXT MAXILLARY ANTROT NEC FRONTAL SINUSOTOMY FRONTAL SINUSECTOMY SINUSOTOMY NOS ETHMOIDOTOMY SPHENOIDOTOMY MULTIPLE SINUS INCISION SINUSECTOMY NOS C-LUC EXC MAX SINUS LES EXC MAX SINUS LESION NEC ETHMOIDECTOMY SPHENOIDECTOMY NASAL SINUS FISTULA CLOS NASAL SINUS REPAIR NEC OTHER NASAL SINUS OPS GINGIVOPLASTY EXC OF DENTAL LES OF JAW ALVEOLOPLASTY OPEN BIOPSY OF TONGUE DESTRUCTION TONGUE LES PARTIAL GLOSSECTOMY COMPLETE GLOSSECTOMY RADICAL GLOSSECTOMY REPAIR OF TONGUE NEC OTHER GLOSSOTOMY TONGUE OPERATION NEC OPEN BX SALIV GLAND/DUCT SALIVARY CYST MARSUPIAL SALIV LESION EXCIS NEC SIALOADENECTOMY NOS PARTIAL SIALOADENECTOMY COMPLETE SIALOADENECTOMY SUTURE OF SALIV GLND LAC SALIVARY FISTULA CLOSURE SALIVARY REPAIR NEC SALIVARY OPERATION NEC DRAIN FACE & MOUTH FLOOR INCISION OF PALATE BONY PALATE BIOPSY UVULA AND SOFT PALATE BX LOC EXC BONY PALATE LES WIDE EXC BONY PALATE LES WIDE EXCISION OF LIP LES EXCISION OF LIP LES NEC EXCISION OF MOUTH NEC CLOSURE OF MOUTH FISTULA REPAIR OF CLEFT LIP FULL-THICK GRFT TO MOUTH SKIN GRAFT TO MOUTH NEC PEDICLE ATTACH TO MOUTH MOUTH REPAIR NEC SUTURE OF PALATE LACERAT CLEFT PALATE CORRECTION REVIS CLEFT PALAT REPAIR OTH PLASTIC REPAIR PALAT INCISION OF UVULA
A-5

2772 2773 2779 2792 2799 280 2811 2819 282 283 284 285 286 287 2891 2892 2899 290 292 293 2931 2932 2933 2939 294 2951 2952 2953 2954 2959 2992 2999 3001 3009 301 3021 3022 3029 303 304 3121 3129 313 3145 315 3161 3162 3163 3164 3169 3171 3172 3173 3174 3175 3179 3191 3192 3198 3199 320 3209 321 3221 EXCISION OF UVULA REPAIR OF UVULA OTHER UVULA OPERATIONS MOUTH INCISION NOS ORAL CAVITY OPS NEC PERITONSILLAR I & D TONSIL&ADENOID BIOPSY TONSIL&ADENOID DX OP NEC TONSILLECTOMY TONSILLECTOMY/ADENOIDEC EXCISION OF TONSIL TAG EXCISION LINGUAL TONSIL ADENOIDECTOMY HEMORR CONTRL POST T & A INCIS TO REMOV TONSIL FB EXCIS TONSIL/ADENOID LES TONSIL/ADENOID OPS NEC PHARYNGOTOMY EXC BRANCHIAL CLEFT CYST EXC BRANCHIAL CLEFT CYST CRICOPHARYNGEAL MYOTOMY PHARYNGEAL DIVERTICULEC PHARYNGECTOMY EXCIS/DESTR LES PHAR NEC PLASTIC OP ON PHARYNX SUTURE OF PHARYNGEAL LAC CLOS BRANCH CLEFT FISTUL CLOS PHARYNX FISTULA NEC LYSIS PHARYNGEAL ADHES PHARYNGEAL REPAIR NEC DIVIS GLOSSOPHARYNG NERV PHARYNGEAL OPERATION NEC LARYNX CYST MARSUPIALIZ DESTRUCT LARYNX LES NEC HEMILARYNGECTOMY EPIGLOTTIDECTOMY VOCAL CORDECTOMY OTHER PART LARYNGECTOMY COMPLETE LARYNGECTOMY RADICAL LARYNGECTOMY MEDIASTINAL TRACHEOSTOMY OTHER PERM TRACHEOSTOMY INCIS LARYNX TRACHEA NEC OPN BX LARYNX OR TRACHEA LOCAL DESTRUC TRACH LES SUTURE OF LARYNGEAL LAC LARYNGEAL FISTULA CLOS LARYNGOSTOMY REVISION LARYNGEAL FX REPAIR OTHER LARYNGEAL REPAIR SUTURE OF TRACHEAL LACER CLOSURE OF TRACHEOSTOMY TRACHEA FISTULA CLOS NEC REVISION OF TRACHEOSTOMY TRACHEAL RECONSTRUCTION OTHER TRACHEAL REPAIR LARYNGEAL NERV DIVISION LYSIS TRACH/LARYNX ADHES OTH LARYNGEAL OPERATION OTHER TRACHEAL OPERATION OTHER TRACHEAL OPERATION OTHER DESTRUC BRONC LES OTHER BRONCHIAL EXCISION EMPHYSEMA BLEB PLICATION 3222 3229 323 324 325 326 329 330 331 3325 3327 3328 3329 3334 3339 3341 3342 3343 3348 3349 335 3350 3351 3352 336 3392 3393 3398 3399 3402 3403 341 3421 3422 3426 3427 3428 3429 343 344 3451 3459 346 3473 3474 3479 3481 3482 3483 3484 3485 3489 3493 3499 3500 3501 3502 3503 3504 3510 3511 3512 3513 3514 LUNG VOL REDUCTION SURG DESTROY LOC LUNG LES NEC SEGMENTAL LUNG RESECTION LOBECTOMY OF LUNG COMPLETE PNEUMONECTOMY RAD DISSEC THORAC STRUCT OTHER EXCISION OF LUNG INCISION OF BRONCHUS INCISION OF LUNG OPEN BRONCHIAL BIOPSY CLOS ENDOSCOPIC LUNG BX OPEN LUNG BIOPSY BRONCH/LUNG DX PROC NEC THORACOPLASTY SURG COLLAPS OF LUNG NEC BRONCHIAL LACERAT SUTURE BRONCHIAL FISTULA CLOS LUNG LACERATION CLOSURE BRONCHIAL REPAIR NEC LUNG REPAIR NEC LUNG REPAIR NEC LUNG TRANSPLANT NOS UNILAT LUNG TRANSPLANT BILAT LUNG TRANSPLANT COMB HEART/LUNG TRANSPLA BRONCHIAL LIGATION PUNCTURE OF LUNG BRONCHIAL OPERATION NEC LUNG OPERATION NEC EXPLORATORY THORACOTOMY REOPEN THORACOTOMY SITE INCISION OF MEDIASTINUM TRANSPLEURA THORACOSCOPY MEDIASTINOSCOPY OPEN MEDIASTINAL BIOPSY BIOPSY OF DIAPHRAGM DX PROCEDURE THORAX NEC DX PROC MEDIASTINUM NEC DESTRUCT MEDIASTIN LES DESTRUCT CHEST WALL LES DECORTICATION OF LUNG OTHER PLEURAL EXCISION SCARIFICATION OF PLEURA CLOS THORACIC FISTUL NEC PECTUS DEFORMITY REPAIR OTHER CHEST WALL REPAIR EXCISE DIAPHRAGM LESION SUTURE DIAPHRAGM LACERAT CLOSE DIAPHRAGM FISTULA OTHER DIAPHRAGM REPAIR IMPLANT DIAPHRA PACEMAKE DIAPHRAGM OPERATION NEC REPAIR OF PLEURA THORACIC OPERATION NEC CLOSED VALVOTOMY NOS CLOSED AORTIC VALVOTOMY CLOSED MITRAL VALVOTOMY CLOSED PULMON VALVOTOMY CLOSED TRICUSP VALVOTOMY OPEN VALVULOPLASTY NOS OPN AORTIC VALVULOPLASTY OPN MITRAL VALVULOPLASTY OPN PULMON VALVULOPLASTY OPN TRICUS VALVULOPLASTY
A-6

3520 3521 3522 3523 3524 3525 3526 3527 3528 3531 3532 3533 3534 3535 3539 3542 3550 3551 3552 3553 3554 3560 3561 3562 3563 3570 3571 3572 3573 3581 3582 3583 3584 3591 3592 3593 3594 3595 3596 3598 3599 3600 3601 3602 3603 3605 3609 3610 3611 3612 3613 3614 3615 3616 3617 3619 362 363 3631 3632 3639 3691 3699 3710 REPLACE HEART VALVE NOS REPLACE AORT VALV-TISSUE REPLACE AORTIC VALVE NEC REPLACE MITR VALV-TISSUE REPLACE MITRAL VALVE NEC REPLACE PULM VALV-TISSUE REPLACE PULMON VALVE NEC REPLACE TRIC VALV-TISSUE REPLACE TRICUSP VALV NEC PAPILLARY MUSCLE OPS CHORDAE TENDINEAE OPS ANNULOPLASTY INFUNDIBULECTOMY TRABECUL CARNEAE CORD OP TISS ADJ TO VALV OPS NEC CREATE SEPTAL DEFECT PROSTH REP HRT SEPTA NOS PROS REP ATRIAL DEF-OPN PROS REPAIR ATRIA DEF-CL PROST REPAIR VENTRIC DEF PROS REP ENDOCAR CUSHION GRFT REPAIR HRT SEPT NOS GRAFT REPAIR ATRIAL DEF GRAFT REPAIR VENTRIC DEF GRFT REP ENDOCAR CUSHION HEART SEPTA REPAIR NOS ATRIA SEPTA DEF REP NEC VENTR SEPTA DEF REP NEC ENDOCAR CUSHION REP NEC TOT REPAIR TETRAL FALLOT TOTAL REPAIR OF TAPVC TOT REP TRUNCUS ARTERIOS TOT COR TRANSPOS GRT VES INTERAT VEN RETRN TRANSP CONDUIT RT VENT-PUL ART CONDUIT LEFT VENTR-AORTA CONDUIT ARTIUM-PULM ART HEART REPAIR REVISION PERC HEART VALVULOPLASTY OTHER HEART SEPTA OPS OTHER HEART VALVE OPS OTHER HEART VALVE OPS PTCA-1 VES/ATH W/O AGENT PTCA-1 VES/ATH W AGENT OPEN CORONRY ANGIOPLASTY PTCA-MULTIPLE VESSEL/ATH REM OF COR ART OBSTR NEC AORTOCORONARY BYPASS NOS AORTOCOR BYPAS-1 COR ART AORTOCOR BYPAS-2 COR ART AORTOCOR BYPAS-3 COR ART AORTCOR BYPAS-4+ COR ART 1 INT MAM-COR ART BYPASS 2 INT MAM-COR ART BYPASS ABD-CORON ARTERY BYPASS HRT REVAS BYPS ANAS NEC ARTERIAL IMPLANT REVASC ARTERIAL IMPLANT REVASC OPEN CHEST TRANS REVASC OTH TRANSMYO REVASCULAR OTH HEART REVASCULAR CORON VESS ANEURYSM REP HEART VESSEL OP NEC INCISION OF HEART NOS 3711 3712 3724 3731 3732 3733 3734 3735 374 3741 3749 375 3751 3752 3753 3754 3761 3762 3763 3764 3765 3766 3767 3774 3775 3776 3777 3779 3780 3785 3786 3787 3789 3790 3791 3794 3795 3796 3797 3798 3799 3800 3801 3802 3803 3804 3805 3806 3807 3808 3809 3810 3811 3812 3813 3814 3815 3816 3818 3821 3829 3830 3831 3832 CARDIOTOMY PERICARDIOTOMY PERICARDIAL BIOPSY PERICARDIECTOMY HEART ANEURYSM EXCISION EXC/DEST HRT LESION OPEN EXC/DEST HRT LES OTHER PARTIAL VENTRICULECTOMY HEART & PERICARD REPAIR IMPL CARDIAC SUPPORT DEV (OCT 05) HEART/PERICARD REPR NEC (OCT 05) HEART & PERICARD REPAIR HEART TRANSPLANTATION (Oct 03) IMPLANT TOT REP HRT SYS REPL/REP THORAC UNIT HRT REPL/REP OTH TOT HRT SYS PULSATION BALLOON IMPLAN IMPLANT HRT ASST SYS NEC REPLACE HRT ASSIST SYST REMOVE HEART ASSIST SYS IMP EXT PUL HRT ASST SYS IMP IMP PUL HRT ASST SYS IMP CARDIOMYOSTIMUL SYS INT OR REPL LEAD EPICAR REVISION OF LEAD REPL TV ATRI-VENT LEAD REMOVAL OF LEAD W/O REPL REVIS OR RELOCATE POCKET INT OR REPL PERM PACEMKR REPL PACEM W 1-CHAM, NON REPL PACEM 1-CHAM, RATE REPL PACEM W DUAL-CHAM REVISE OR REMOVE PACEMAK INS LEFT ATR APPEND DEV (OCT 04) OPN CHEST CARDIAC MASSAG IMPLT/REPL CARDDEFIB TOT IMPLT CARDIODEFIB LEADS IMPLT CARDIODEFIB GENATR REPL CARDIODEFIB LEADS REPL CARDIODEFIB GENRATR OTHER HEART/PERICARD OPS INCISION OF VESSEL NOS INTRACRAN VESSEL INCIS HEAD/NECK VES INCIS NEC UPPER LIMB VESSEL INCIS INCISION OF AORTA THORACIC VESSEL INC NEC ABDOMEN ARTERY INCISION ABDOMINAL VEIN INCISION LOWER LIMB ARTERY INCIS LOWER LIMB VEIN INCISION ENDARTERECTOMY NOS INTRACRAN ENDARTERECTOMY HEAD & NECK ENDARTER NEC UPPER LIMB ENDARTERECTOM ENDARTERECTOMY OF AORTA THORACIC ENDARTERECTOMY ABDOMINAL ENDARTERECTOMY LOWER LIMB ENDARTERECT BLOOD VESSEL BIOPSY BLOOD VESSEL DX PROC NEC VESSEL RESECT/ANAST NOS INTRACRAN VES RESEC-ANAS HEAD/NECK VES RESEC-ANAS
A-7

3833 3834 3835 3836 3837 3838 3839 3840 3841 3842 3843 3844 3845 3846 3847 3848 3849 3850 3851 3852 3853 3855 3857 3859 3860 3861 3862 3863 3864 3865 3866 3867 3868 3869 387 3880 3881 3882 3883 3884 3885 3886 3887 3888 3889 390 391 3921 3922 3923 3924 3925 3926 3927 3928 3929 3930 3931 3932 3941 3942 3943 3949 3950 ARM VESSEL RESECT/ANAST AORTA RESECTION & ANAST THOR VESSEL RESECT/ANAST ABD VESSEL RESECT/ANAST ABD VEIN RESECT & ANAST LEG ARTERY RESECT/ANAST LEG VEIN RESECT/ANASTOM VESSEL RESECT/REPLAC NOS INTRACRAN VES RESEC-REPL HEAD/NECK VES RESEC-REPL ARM VES RESECT W REPLACE RESECT ABDM AORTA W REPL RESECT THORAC VES W REPL ABD ARTERY RESEC W REPLA ABD VEIN RESECT W REPLAC LEG ARTERY RESEC W REPLA LEG VEIN RESECT W REPLAC VARICOSE V LIG-STRIP NOS INTCRAN VAR V LIG-STRIP HEAD/NECK VAR V LIG-STR ARM VARICOSE V LIG-STRIP THORAC VAR V LIG-STRIP ABD VARICOS V LIGA-STRIP LEG VARICOS V LIGA-STRIP EXCISION OF VESSEL NOS INTRACRAN VESSEL EXCIS HEAD/NECK VESSEL EXCIS ARM VESSEL EXCISION EXCISION OF AORTA THORACIC VESSEL EXCISION ABDOMINAL ARTERY EXCIS ABDOMINAL VEIN EXCISION LEG ARTERY EXCISION LEG VEIN EXCISION INTERRUPTION VENA CAVA SURG VESSEL OCCLUS NEC OCCLUS INTRACRAN VES NEC OCCLUS HEAD/NECK VES NEC OCCLUDE ARM VESSEL NEC OCCLUDE AORTA NEC OCCLUDE THORACIC VES NEC OCCLUDE ABD ARTERY NEC OCCLUDE ABD VEIN NEC OCCLUDE LEG ARTERY NEC OCCLUDE LEG VEIN NEC SYSTEMIC-PULM ART SHUNT INTRA-ABD VENOUS SHUNT CAVAL-PULMON ART ANASTOM AORTA-SUBCLV-CAROT BYPAS INTRATHORACIC SHUNT NEC AORTA-RENAL BYPASS AORTA-ILIAC-FEMOR BYPASS INTRA-ABDOMIN SHUNT NEC DIALYSIS ARTERIOVENOSTOM EXTRACRAN-INTRACR BYPASS VASC SHUNT & BYPASS NEC SUTURE OF VESSEL NOS SUTURE OF ARTERY SUTURE OF VEIN POSTOP VASC OP HEM CONTR REVIS REN DIALYSIS SHUNT REMOV REN DIALYSIS SHUNT VASC PROC REVISION NEC ANGIO/ATH NON-CORO VES 3951 3952 3953 3954 3955 3956 3957 3958 3959 397 3971 3972 3973 3979 398 3991 3992 3993 3994 3998 3999 400 4011 4019 4021 4022 4023 4024 4029 403 4040 4041 4042 4050 4051 4052 4053 4054 4059 4061 4062 4063 4064 4069 409 410 4100 4101 4102 4103 4104 4105 4106 4107 4108 4109 412 4133 4141 4142 4143 415 4193 4194 CLIPPING OF ANEURYSM ANEURYSM REPAIR NEC ARTERIOVEN FISTULA REP RE-ENTRY OPERATION REIMPLAN ABERR RENAL VES REPAIR VESS W TIS PATCH REP VESS W SYNTH PATCH REPAIR VESS W PATCH NOS REPAIR OF VESSEL NEC PER CARDIOPULMON BYPASS ENDO IMPL GRFT ABD AORTA ENDOVASC REPAIR HEAD VES ENDO IMP GRFT THOR AORTA (OCT 05) ENDO REPAIR OTHER VESSEL VASCULAR BODY OPERATIONS FREEING OF VESSEL VEIN INJECT-SCLEROS AGNT INSERT VES-TO-VES CANNUL REPLAC VES-TO-VES CANNUL HEMORRHAGE CONTROL NOS VESSEL OPERATION NEC INCIS LYMPHATIC STRUCTUR LYMPHATIC STRUCT BIOPSY LYMPHATIC DIAG PROC NEC EXCIS DEEP CERVICAL NODE EXCISE INT MAMMARY NODE EXCISE AXILLARY NODE EXCISE INGUINAL NODE SIMP EXC LYMPH STRUC NEC REGIONAL LYMPH NODE EXC RAD NECK DISSECTION NOS UNILAT RAD NECK DISSECT BILAT RAD NECK DISSECT RAD NODE DISSECTION NOS RAD DISSEC AXILLARY NODE RAD DISSEC PERIAORT NODE RAD DISSECT ILIAC NODES RADICAL GROIN DISSECTION RAD NODE DISSECTION NEC THORAC DUCT CANNULATION THORACIC DUCT FISTULIZAT CLOSE THORACIC DUCT FIST LIGATE THORACIC DUCT THORACIC DUCT OP NEC LYMPH STRUCTURE OP NEC LYMPH STRUCTURE OP NEC BONE MARROW TRNSPLNT NOS AUTO BONE MT W/O PURG ALO BONE MARROW TRNSPLNT ALLOGRFT BONE MARROW NOS AUTO HEM STEM CT W/O PUR ALLO HEM STEM CT W/O PUR CORD BLD STEM CELL TRANS AUTO HEM STEM CT W PURG ALLO HEM STEM CT W PURG AUTO BONE MT W PURGING SPLENOTOMY OPEN SPLEEN BIOPSY SPLENIC CYST MARSUPIAL EXC SPLENIC LESION/TISS PARTIAL SPLENECTOMY TOTAL SPLENECTOMY EXC OF ACCESSORY SPLEEN SPLEEN TRANSPLANTATION
A-8

4195 4199 4201 4209 4210 4211 4212 4219 4221 4225 4231 4232 4239 4240 4241 4242 4251 4252 4253 4254 4255 4256 4258 4259 4261 4262 4263 4264 4265 4266 4268 4269 427 4282 4283 4284 4285 4286 4287 4289 4291 430 431 432 433 4342 4349 435 436 437 4381 4389 4391 4399 4400 4401 4402 4403 4411 4415 442 4421 4429 4431 REPAIR OF SPLEEN SPLEEN OPERATION NEC ESOPHAGEAL WEB INCISION ESOPHAGEAL INCISION NEC ESOPHAGOSTOMY NOS CERVICAL ESOPHAGOSTOMY ESOPH POUCH EXTERIORIZAT EXT FISTULIZAT ESOPH NEC ESOPHAGOSCOPY BY INCIS OPEN BIOPSY OF ESOPHAGUS LOC EXCIS ESOPH DIVERTIC LOCAL EXCIS ESOPHAG NEC DESTRUCT ESOPHAG LES NEC ESOPHAGECTOMY NOS PARTIAL ESOPHAGECTOMY TOTAL ESOPHAGECTOMY THORAC ESOPHAGOESOPHAGOS THORAC ESOPHAGOGASTROST THORAC SM BOWEL INTERPOS THORAC ESOPHAGOENTER NEC THORAC LG BOWEL INTERPOS THORAC ESOPHAGOCOLOS NEC THORAC INTERPOSITION NEC THORAC ESOPHAG ANAST NEC STERN ESOPHAGOESOPHAGOST STERN ESOPHAGOGASTROSTOM STERN SM BOWEL INTERPOS STERN ESOPHAGOENTER NEC STERN LG BOWEL INTERPOS STERN ESOPHAGOCOLOS NEC STERN INTERPOSITION NEC STERN ESOPHAG ANAST NEC ESOPHAGOMYOTOMY SUTURE ESOPHAGEAL LACER ESOPHAGOSTOMY CLOSURE ESOPH FISTULA REPAIR NEC ESOPHAG STRICTURE REPAIR PROD SUBQ TUNNEL NO ANAS ESOPHAGEAL GRAFT NEC ESOPHAGEAL REPAIR NEC LIGATION ESOPH VARIX GASTROTOMY GASTROTOMY OTHER GASTROSTOMY PYLOROMYOTOMY LOCAL GASTR EXCISION NEC LOCAL GASTR DESTRUCT NEC PROXIMAL GASTRECTOMY DISTAL GASTRECTOMY PART GASTREC W JEJ ANAST PART GAST W JEJ TRANSPOS PARTIAL GASTRECTOMY NEC TOT GAST W INTES INTERPO TOTAL GASTRECTOMY NEC VAGOTOMY NOS TRUNCAL VAGOTOMY HIGHLY SELECT VAGOTOMY SELECTIVE VAGOTOMY NEC TRANSABDOMIN GASTROSCOPY OPEN GASTRIC BIOPSY GASTRIC DIAGNOS PROC NEC DILATE PYLORUS, INCISION OTHER PYLOROPLASTY HIGH GASTRIC BYPASS 4432 4438 4439 4440 4441 4442 445 4461 4463 4464 4465 4466 4467 4468 4469 4491 4492 4495 4496 4497 4498 4499 4500 4501 4502 4503 4511 4515 4521 4526 4531 4532 4533 4534 4541 4549 4550 4551 4552 4561 4562 4563 4571 4572 4573 4574 4575 4576 4579 458 4590 4591 4592 4593 4594 4595 4601 4602 4603 4604 4610 4611 4612 4613 PERCU GASTROJEJUNOSTOMY LAP GASTROENTEROSTOMY (OCT 04) GASTROENTEROSTOMY NEC SUTURE PEPTIC ULCER NOS SUT GASTRIC ULCER SITE SUTURE DUODEN ULCER SITE REVISION GASTRIC ANASTOM SUTURE GASTRIC LACERAT CLOSE GASTRIC FISTUL NEC GASTROPEXY ESOPHAGOGASTROPLASTY CREAT ESOPHAGASTR SPHINC LAP CREAT ESOPH SPHINCT (OCT 04) LAPAROSCOP GASTROPLSTY (OCT 04) GASTRIC REPAIR NEC LIGATE GASTRIC VARICES INTRAOP GASTRIC MANIPUL LAP GASTRIC RESTRIC PROC (OCT 04) LAP REV GAST RESTRI PROC (OCT 04) LAP REM GAST RESTRIC DEV (OCT 04) ADJUST GAST RESTRICT DEV (OCT 04) GASTRIC OPERATION NEC INTESTINAL INCISION NOS DUODENAL INCISION SMALL BOWEL INCISION NEC LARGE BOWEL INCISION TRANSAB SM BOWEL ENDOSC OPEN SMALL BOWEL BIOPSY TRANSAB LG BOWEL ENDOSC OPEN LARGE BOWEL BIOPSY OTH EXCISE DUODENUM LES DESTRUCT DUODEN LES NEC LOCAL EXCIS SM BOWEL NEC DESTR SM BOWEL LES NEC EXCISE LG INTESTINE LES DESTRUC LG BOWEL LES NEC INTEST SEG ISOLAT NOS SM BOWEL SEGMENT ISOLAT LG BOWEL SEGMENT ISOLAT MULT SEG SM BOWEL EXCIS PART SM BOWEL RESECT NEC TOTAL REMOVAL SM BOWEL MULT SEG LG BOWEL EXCIS CECECTOMY RIGHT HEMICOLECTOMY TRANSVERSE COLON RESECT LEFT HEMICOLECTOMY SIGMOIDECTOMY PART LG BOWEL EXCIS NEC TOT INTRA-ABD COLECTOMY INTESTINAL ANASTOM NOS SM-TO-SM BOWEL ANASTOM SM BOWEL-RECT STUMP ANAS SMALL-TO-LARGE BOWEL NEC LG-TO-LG BOWEL ANASTOM ANAL ANASTOMOSIS SM BOWEL EXTERIORIZATION RESECT EXT SEG SM BOWEL LG BOWEL EXTERIORIZATION RESECT EXT SEG LG BOWEL COLOSTOMY NOS TEMPORARY COLOSTOMY TEMPORARY COLOSTOMY PERMANENT COLOSTOMY
A-9

4620 4621 4622 4623 4640 4641 4642 4643 4650 4651 4652 4660 4661 4662 4663 4664 4671 4672 4673 4674 4675 4676 4679 4680 4681 4682 4691 4692 4693 4694 4697 4699 470 4701 4709 471 4711 4719 472 4791 4792 4799 480 481 4821 4825 4835 4841 4849 485 4861 4862 4863 4864 4865 4866 4869 4871 4872 4873 4874 4875 4876 4879 ILEOSTOMY NOS TEMPORARY ILEOSTOMY CONTINENT ILEOSTOMY PERMANENT ILEOSTOMY NEC INTEST STOMA REVIS NOS SM BOWEL STOMA REVISION PERICOLOST HERNIA REPAIR LG BOWEL STOMA REVIS NEC INTEST STOMA CLOSURE NOS SM BOWEL STOMA CLOSURE LG BOWEL STOMA CLOSURE INTESTINAL FIXATION NOS SM BOWEL-ABD WALL FIXAT SMALL BOWEL FIXATION NEC LG BOWEL-ABD WALL FIXAT LARGE BOWEL FIXATION NEC DUODENAL LACERAT SUTURE DUODENAL FISTULA CLOSURE SMALL BOWEL SUTURE NEC CLOSE SM BOWEL FIST NEC SUTURE LG BOWEL LACERAT CLOSE LG BOWEL FISTULA REPAIR OF INTESTINE NEC INTRA-AB BOWEL MANIP NOS INTRA-ABD SM BOWEL MANIP INTRA-ABD LG BOWEL MANIP MYOTOMY OF SIGMOID COLON MYOTOMY OF COLON NEC REVISE SM BOWEL ANASTOM REVISE LG BOWEL ANASTOM TRANSPLANT OF INTESTINE INTESTINAL OP NEC INTESTINAL OP NEC LAP APPENDECTOMY OTHER APPENDECTOMY OTHER APPENDECTOMY LAP INCID APPENDECTOMY OTHER INCID APPENDECTOMY DRAIN APPENDICEAL ABSC APPENDICOSTOMY CLOSE APPENDICEAL FISTUL APPENDICEAL OPS NEC PROCTOTOMY PROCTOSTOMY TRANSAB PROCTOSIGMOIDOSC OPEN RECTAL BIOPSY LOCAL EXCIS RECTAL LES SOAVE SUBMUC RECT RESECT PULL-THRU RECT RESEC NEC ABD-PERINEAL RECT RESECT TRANSSAC RECTOSIGMOIDECT ANT RECT RESECT W COLOST ANTERIOR RECT RESECT NEC POSTERIOR RECT RESECTION DUHAMEL RECTAL RESECTION DUHAMEL RECTAL RESECTION RECTAL RESECTION NEC SUTURE OF RECTAL LACER CLOSURE OF PROCTOSTOMY CLOSE RECTAL FIST NEC RECTORECTOSTOMY ABDOMINAL PROCTOPEXY PROCTOPEXY NEC REPAIR OF RECTUM NEC 4881 4882 4891 4892 4893 4899 4901 4902 4904 4911 4912 493 4939 4944 4945 4946 4949 4951 4952 4959 496 4971 4972 4973 4974 4975 4976 4979 4991 4992 4993 4994 4995 4999 500 5012 5019 5021 5022 5029 503 504 5051 5059 5061 5069 5102 5103 5104 5113 5119 5121 5122 5123 5124 5131 5132 5133 5134 5135 5136 5137 5139 5141 PERIRECTAL INCISION PERIRECTAL EXCISION INCIS RECTAL STRICTURE ANORECTAL MYOMECTOMY REPAIR PERIRECT FISTULA RECTAL PERIRECT OP NEC INCIS PERIANAL ABSCESS PERIANAL INCISION NEC PERIANAL EXCISION NEC ANAL FISTULOTOMY ANAL FISTULECTOMY ANAL/PERIAN DX PROC NEC OTHER DESTRUC ANUS LES HEMORRHOID CRYOTHERAPY HEMORRHOID LIGATION HEMORRHOIDECTOMY HEMORRHOID PROCEDURE NEC LEFT LAT SPHINCTEROTOMY POST SPHINCTEROTOMY ANAL SPHINCTEROTOMY NEC EXCISION OF ANUS SUTURE ANAL LACERATION ANAL CERCLAGE CLOSURE OF ANAL FISTULA GRACILIS MUSC TRANSPLAN IMPL OR REV ART ANAL SPH REMOV ART ANAL SPHINCTER ANAL SPHINCT REPAIR NEC INCISION OF ANAL SEPTUM INSERT SUBQ ANAL STIMUL ANAL INCISION NEC REDUCTION ANAL PROLAPSE CONTROL ANAL HEMORRHAGE ANAL OPERATION NEC HEPATOTOMY OPEN LIVER BIOPSY HEPATIC DX PROC NEC MARSUPIALIZAT LIVER LES PARTIAL HEPATECTOMY DESTRUC HEPATIC LES NEC HEPATIC LOBECTOMY TOTAL HEPATECTOMY AUXILIARY LIVER TRANSPL LIVER TRANSPLANT NEC CLOSURE LIVER LACERAT LIVER REPAIR NEC TROCAR CHOLECYSTOSTOMY CHOLECYSTOSTOMY NEC CHOLECYSTOTOMY NEC OPEN BILIARY TRACT BX BILIARY TR DX PROC NEC OTH PART CHOLECYSTECTOMY CHOLECYSTECTOMY LAPAROSCOPIC CHOLECYSTEC LAP PART CHOLECYSTECTOMY GB-TO-HEPAT DUCT ANAST GB-TO-INTESTINE ANASTOM GB-TO-PANCREAS ANASTOM GB-TO-STOMACH ANASTOMOS GALLBLADDER ANASTOM NEC CHOLEDOCHOENTEROSTOMY HEPATIC DUCT-GI ANASTOM BILE DUCT ANASTOMOS NEC CDE FOR CALCULUS REMOV
A-10

5142 5143 5149 5151 5159 5161 5162 5163 5169 5171 5172 5179 5181 5182 5183 5189 5191 5192 5193 5194 5195 5199 5201 5209 5212 5219 522 5222 523 524 5251 5252 5253 5259 526 527 5280 5281 5282 5283 5291 5292 5295 5296 5299 5300 5301 5302 5303 5304 5305 5310 5311 5312 5313 5314 5315 5316 5317 5321 5329 5331 5339 5341 CDE FOR OBSTRUCTION NEC CHOLEDOCHOHEPAT INTUBAT INCIS OBSTR BILE DUC NEC COMMON DUCT EXPLORATION BILE DUCT INCISION NEC EXCIS CYST DUCT REMNANT EXCIS AMPULLA OF VATER COMMON DUCT EXCIS NEC BILE DUCT EXCISION NEC SIMPLE SUT-COMMON DUCT CHOLEDOCHOPLASTY BILE DUCT REPAIR NEC SPHINCTER OF ODDI DILAT PANCREAT SPHINCTEROTOM PANCREAT SPHINCTEROPLAS SPHINCT OF ODDI OP NEC REPAIR GB LACERATION CLOSURE CHOLECYSTOSTOMY CLOS BILIARY FISTUL NEC REVIS BILE TRACT ANASTOM REMOVE BILE DUCT PROSTH BILIARY TRACT OP NEC CATH DRAIN-PANCREAT CYST PANCREATOTOMY NEC OPEN PANCREATIC BIOPSY PANCREATIC DX PROC NEC PANCREATIC DX PROC NEC OTHER DESTRU PANCREA LES PANCREAT CYST MARSUPIALI INT DRAIN PANCREAT CYST PROXIMAL PANCREATECTOMY DISTAL PANCREATECTOMY RAD SUBTOT PANCREATECTOM PARTIAL PANCREATECT NEC TOTAL PANCREATECTOMY RAD PANCREATICODUODENECT PANCREAT TRANSPLANT NOS REIMPLANT PANCREATIC TIS PANCREATIC HOMOTRANSPLAN PANCREATIC HETEROTRANSPL TRNSPLNT ISLETS LANG NOS CANNULATION PANCREA DUC PANCREATIC REPAIR NEC PANCREATIC ANASTOMOSIS PANCREATIC OPERATION NEC UNILAT ING HERN REP NOS REPAIR DIRECT ING HERNIA REPAIR INDIR ING HERNIA DIR ING HERNIA REP-GRAFT IND ING HERNIA REP-GRAFT ING HERNIA REP-GRAFT NOS BILAT ING HERNIA REP NOS BILAT DIR ING HERN REP BILAT IND ING HERN REP BIL DIR/IND ING HRN REP BIL DIR ING HRN REP-GRFT BIL IND ING HRN REP-GRFT BIL DIR/IND ING HERN-PRO BIL ING HRN REP-GRFT NOS UNIL FEMOR HRN REP-GRFT UNIL FEMOR HERN REP NEC BIL FEM HERN REPAIR-GRFT BIL FEM HERN REPAIR NEC UMBIL HERNIA REPAIR-GRFT 5349 5351 5359 5361 5369 537 5380 5381 5382 539 540 5411 5412 5419 5421 5422 5423 5429 543 544 545 5451 5459 5461 5462 5463 5464 5471 5472 5473 5474 5475 5492 5493 5494 5495 5501 5502 5503 5504 5511 5512 5524 5529 5531 5539 554 5551 5552 5553 5554 5561 5569 557 5581 5582 5583 5584 5585 5586 5587 5589 5591 5597 UMBIL HERNIA REPAIR NEC INCISIONAL HERNIA REPAIR ABD WALL HERN REPAIR NEC INCIS HERNIA REPAIR-GRFT ABD HERN REPAIR-GRFT NEC ABD REPAIR-DIAPHR HERNIA THOR REP-DIAPH HERN NOS DIAPHRAGMATIC PLICATION PARASTERN HERNIA REPAIR OTHER HERNIA REPAIR ABDOMINAL WALL INCISION EXPLORATORY LAPAROTOMY REOPEN RECENT LAP SITE LAPAROTOMY NEC LAPAROSCOPY ABDOMINAL WALL BIOPSY PERITONEAL BIOPSY ABD REGION DX PROC NEC DESTRUCT ABD WALL LESION DESTRUCT PERITONEAL TISS DESTRUCT PERITONEAL TISS LAP PERITON ADHESIOLYSIS OTH PERITON ADHESIOLYSIS RECLOSE POST OP DISRUPT DELAYED CLOS ABD WOUND ABD WALL SUTURE NEC PERITONEAL SUTURE REPAIR OF GASTROSCHISIS ABDOMEN WALL REPAIR NEC PERITONEAL REPAIR NEC OMENTAL REPAIR NEC MESENTERIC REPAIR NEC REMOVE FB FROM PERITON CREATE CUTANPERITON FIST CREAT PERITONEOVAS SHUNT PERITONEAL INCISION NEPHROTOMY NEPHROSTOMY PERCU NEPHROSTM W/O FRAG PERCU NEPHROSTMY W FRAG PYELOTOMY PYELOSTOMY OPEN RENAL BIOPSY RENAL DIAGNOST PROC NEC RENAL LES MARSUPIALIZAT LOC DESTR RENAL LES NEC PARTIAL NEPHRECTOMY NEPHROURETERECTOMY SOLITARY KIDNEY NEPHRECT REJECTED KIDNEY NEPHRECT BILATERAL NEPHRECTOMY RENAL AUTOTRANSPLANT KIDNEY TRANSPLANT NEC NEPHROPEXY SUTURE KIDNEY LACERATION CLOSE NEPHROST & PYELOST CLOSE RENAL FISTULA NEC REDUCE RENAL PEDICL TORS SYMPHYSIOTOMY RENAL ANASTOMOSIS CORRECT URETEROPELV JUNC RENAL REPAIR NEC RENAL DECAPSULATION IMPLANT MECHANIC KIDNEY
A-11

5598 5599 560 561 562 5634 5639 5640 5641 5642 5651 5652 5661 5662 5671 5672 5673 5674 5675 5679 5681 5682 5683 5684 5685 5686 5689 5692 5693 5694 5695 5699 5712 5718 5719 5721 5722 5733 5734 5739 5741 5749 5751 5759 576 5771 5779 5781 5782 5783 5784 5785 5786 5787 5788 5789 5791 5793 5796 5797 5798 5799 580 581 REMOV MECHANICAL KIDNEY RENAL OPERATION NEC TU REMOV URETER OBSTRUCT URETERAL MEATOTOMY URETEROTOMY OPEN URETERAL BIOPSY URETERAL DX PROCEDUR NEC URETERECTOMY NOS PARTIAL URETERECTOMY TOTAL URETERECTOMY FORM CUTAN ILEOURETEROST REVIS CUTAN ILEOURETEROS FORM CUTAN URETEROSTOMY REVIS CUTAN URETEROS NEC URIN DIVERSION TO BOWEL REVIS URETEROENTEROSTOMY NEPHROCYSTANASTOMOSI NOS URETERONEOCYSTOSTOMY TRANSURETEROURETEROSTOMY URETERAL ANASTOMOSIS NEC INTRALUM URETE ADHESIOLY SUTURE URETERAL LACERAT URETEROSTOMY CLOSURE CLOSE URETER FISTULA NEC URETEROPEXY REMOVE URETERAL LIGATURE REPAIR OF URETER NEC IMPLANT URETERAL STIMUL REPLACE URETERAL STIMUL REMOVE URETERAL STIMULAT LIGATION OF URETER URETERAL OPERATION NEC CYSTOTOMY & ADHESIOLYSIS OTHER SUPRAPU CYSTOSTOMY CYSTOTOMY NEC VESICOSTOMY REVISE CLO VESICOSTOMY CLOS TRANSURETH BLADD BX OPEN BLADDER BIOPSY BLADDER DIAGNOS PROC NEC TU ADHESIOLYSIS BLADDER TU DESTRUC BLADD LES NEC EXCISION OF URACHUS BLADDER LES DESTRUCT NEC PARTIAL CYSTECTOMY RADICAL CYSTECTOMY TOTAL CYSTECTOMY NEC SUTURE BLADDER LACERAT CYSTOSTOMY CLOSURE ENTEROVESICO FIST REPAIR VESIC FISTULA REPAIR NEC CYSTOURETHROPLASTY BLADDER EXSTROPHY REPAIR BLADDER RECONSTRUCTION BLADDER ANASTOMOSIS NEC BLADDER REPAIR NEC BLADDER SPHINCTEROTOMY CONTROL BLADD HEMORRHAGE IMPLANT BLADDER STIMULAT REPLACE BLADDER STIMULAT REMOVE BLADDER STIMULAT BLADDER OPERATION NEC URETHROTOMY URETHRAL MEATOTOMY 5841 5842 5843 5844 5845 5846 5847 5849 585 5891 5892 5893 5899 5900 5901 5902 5903 5909 5911 5912 5919 5921 5929 593 594 595 596 5971 5979 5991 5992 600 6012 6014 6015 6018 6019 602 6021 6029 603 604 605 6061 6062 6069 6072 6073 6079 6081 6082 6093 6094 6095 6096 6097 6099 612 6142 6149 6192 6199 620 6212 SUTURE URETHRAL LACERAT URETHROSTOMY CLOSURE CLOSE URETH FISTULA NEC URETHRAL REANASTOMOSIS HYPO-EPISPADIUS REPAIR URETH RECONSTRUCTION NEC URETHRAL MEATOPLASTY URETHRAL REPAIR NEC URETH STRICTURE RELEASE PERIURETHRAL INCISION PERIURETHRAL EXCISION IMPLT ARTF URIN SPHINCT URETH/PERIURETH OP NEC RETROPERIT DISSECT NOS RETROPERIT DISSECT NOS PERIREN ADHESIOLYS NEC LAP LYS PERIREN/URET ADH PERIREN/URETER INCIS NEC OTH LYS PERIVES ADHESIO LAP LYS PERIVESURETH ADH PERIVESICAL INCISION NEC PERIREN/URETERAL BIOPSY PERIREN/URET DX PROC NEC URETHROVES JUNCT PLICAT SUPRAPUBIC SLING OP RETROPUBIC URETH SUSPENS PARAURETHRAL SUSPENSION LEVATOR MUSC SUSPENSION URIN INCONTIN REPAIR NEC PERIREN/VESICLE EXCISION PERIREN/VESICLE OP NEC INCISION OF PROSTATE OPEN PROSTATIC BIOPSY OPEN SEMINAL VESICLES BX PERIPROSTATIC BIOPSY PROSTATIC DX PROCED NEC SEMIN VES DX PROCED NEC SEMIN VES DX PROCED NEC TRANSURETH PROSTATECTOMY OTH TRANSURETH PROSTATEC SUPRAPUBIC PROSTATECTOMY RETROPUBIC PROSTATECTOMY RADICAL PROSTATECTOMY LOS EXCIS PROSTATIC LES PERINEAL PROSTATECTOMY PROSTATECTOMY NEC SEMINAL VESICLE INCISION SEMINAL VESICLE EXCISION SEMINAL VESICLE OP NEC PERIPROSTATIC INCISION PERIPROSTATIC EXCISION REPAIR OF PROSTATE CONTROL PROSTATE HEMORR TRANS BAL DIL PROS URETH TU DESTR PROSTATE BY MT OTH TU DESTR PROS - RT PROSTATIC OPERATION NEC EXCISION OF HYDROCELE SCROTAL FISTULA REPAIR SCROTUM/TUNIC REPAIR NEC EXCISION TUNICA LES NEC SCROTUM & TUNICA OP NEC INCISION OF TESTES OPEN TESTICULAR BIOPSY
A-12

6219 622 623 6241 6242 625 6261 6269 627 6299 6309 631 632 633 634 6351 6353 6359 6381 6382 6383 6385 6389 6392 6393 6394 6395 6399 640 6411 642 643 6441 6442 6443 6444 6445 6449 645 6492 6493 6495 6496 6497 6498 6499 650 6501 6509 6511 6512 6513 6514 6519 6521 6522 6523 6524 6525 6529 653 6531 6539 654 TESTES DX PROCEDURE NEC TESTICULAR LES DESTRUCT UNILATERAL ORCHIECTOMY REMOVE BOTH TESTES REMOVE SOLITARY TESTIS ORCHIOPEXY SUTURE TESTICULAR LACER TESTICULAR REPAIR NEC INSERT TESTICULAR PROSTH TESTICULAR OPERATION NEC SPERMAT CORD/VAS DX NEC EXC SPERMATIC VARICOCELE EXCISE EPIDIDYMIS CYST EXCISE CORD/EPID LES NEC EPIDIDYMECTOMY SUTURE CORD & EPID LACER TRANSPLANT SPERMAT CORD CORD & EPIDID REPAIR NEC SUTURE VAS & EPIDID LAC POSTOP VAS RECONSTRUCT EPIDIDYMOVASOSTOMY REMOV VAS DEFERENS VALVE VAS & EPIDIDY REPAIR NEC EPIDIDYMOTOMY SPERMATIC CORD INCISION SPERM CORD ADHESIOLYSIS INSERT VALVE IN VAS DEF CORD/EPID/VAS OPS NEC CIRCUMCISION PENILE BIOPSY LOCAL EXCIS PENILE LES AMPUTATION OF PENIS SUTURE PENILE LACERATION RELEASE OF CHORDEE CONSTRUCTION OF PENIS RECONSTRUCTION OF PENIS REPLANTATION OF PENIS PENILE REPAIR NEC SEX TRANSFORMAT OP NEC INCISION OF PENIS DIVISION OF PENILE ADHES INS NONINFL PENIS PROSTH REMOVE INT PENILE PROSTH INS INFLATE PENIS PROSTH PENILE OPERATION NEC MALE GENITAL OP NEC MALE GENITAL OP NEC LAPAROSCOPIC OOPHOROTOMY OTHER OOPHOROTOMY OVARIAN ASPIRAT BIOPSY OVARIAN BIOPSY NEC LAP BIOPSY OF OVARY OTH LAP DX PROC OVARIES OVARIAN DX PROCEDURE NEC OVARIAN CYST MARSUPIALIZ OVARIAN WEDGE RESECTION LAP MARSUP OVARIAN CYST LAP WEDGE RESECT OVARY OTH LAP LOC EXC DEST OVA LOCAL DESTR OVA LES NEC LOCAL DESTR OVA LES NEC LAP UNILAT OOPHORECTOMY OTH UNILAT OOPHORECTOMY OTH UNILAT OOPHORECTOMY 6541 6549 6551 6552 6553 6554 6561 6562 6563 6564 6571 6572 6573 6574 6575 6576 6579 658 6581 6589 6591 6592 6593 6594 6595 6599 660 6601 6602 6611 6619 6621 6622 6629 6631 6632 6639 664 6651 6652 6661 6662 6663 6669 6671 6672 6673 6674 6679 6692 6693 6694 6695 6696 6697 6699 6711 6712 6719 672 6731 6732 6733 6739 LAP UNI SALPINGO-OOPHOR OTH UNI SALPINGO-OOPHOR OTH REMOVE BOTH OVARIES OTH REMOVE REMAIN OVARY LAP REMOVE BOTH OVARIES LAP REMOVE REMAIN OVARY OTH REMOVE OVARIES/TUBES OTH REMOVE REM OVA/TUBE LAP REMOVE OVARIES/TUBES LAP REMOVE REM OVA/TUBE OTH SIMPLE SUTURE OVARY OTH REIMPLANT OF OVARY OTH SALPINGO-OOPHOROPLAS LAP SIMPLE SUTURE OVARY LAP REIMPLANT OF OVARY LAP SALPINGO-OOPHOROPLAS REPAIR OF OVARY NEC REPAIR OF OVARY NEC LAP ADHESIOLYS OVA/TUBE ADHESIOLYSIS OVARY/TUBE ASPIRATION OF OVARY TRANSPLANTATION OF OVARY MANUAL RUPT OVARIAN CYST OVARIAN DENERVATION OVARIAN TORSION RELEASE OVARIAN OPERATION NEC OVARIAN OPERATION NEC SALPINGOTOMY SALPINGOSTOMY FALLOPIAN TUBE BIOPSY FALLOP TUBE DX PROC NEC BILAT ENDOSC CRUSH TUBE BILAT ENDOSC DIVIS TUBE BILAT ENDOS OCC TUBE NEC BILAT TUBAL CRUSHING NEC BILAT TUBAL DIVISION NEC BILAT TUBAL DESTRUCT NEC TOTAL UNILAT SALPINGECT REMOVE BOTH FALLOP TUBES REMOVE SOLITARY FAL TUBE DESTROY FALLOP TUBE LES REMOV TUBE & ECTOP PREG BILAT PART SALPINGEC NOS PARTIAL SALPINGECTOM NEC SIMPL SUTURE FALLOP TUBE SALPINGO-OOPHOROSTOMY SALPINGO-SALPINGOSTOMY SALPINGO-UTEROSTOMY FALLOP TUBE REPAIR NEC UNILAT FALLOP TUBE DESTR IMPL FALLOP TUBE PROSTH REMOV FALLOP TUBE PROSTH BLOW THERAPEUT INTO TUBE FALLOPIAN TUBE DILATION BURY FIMBRIAE IN UTERUS FALLOPIAN TUBE OP NEC ENDOCERVICAL BIOPSY CERVICAL BIOPSY NEC CERVICAL DX PROCEDUR NEC CONIZATION OF CERVIX CERVICAL CYST MARSUPIAL CERVICAL LES CAUTERIZAT CERVICAL LES CRYOTHERAPY CERVICAL LES DESTRUC NEC
A-13

674 675 6751 6759 6761 6762 6769 680 6813 6814 6815 6816 6819 6821 6822 6823 6829 683 6831 6839 684 685 6851 6859 686 687 688 689 6901 6902 6909 6911 6919 6921 6922 6923 6929 693 6941 6942 6949 6951 6952 6995 6997 6998 6999 7012 7013 7014 7023 7024 7029 7031 7032 7033 704 7050 7051 7052 7061 7062 7071 7072 AMPUTATION OF CERVIX AMPUTATION OF CERVIX TRANSAB CERCLAGE CERVIX OTH REP INT CERVICAL OS SUTURE CERVICAL LACERAT CERVICAL FISTULA REPAIR CERVICAL REPAIR NEC HYSTEROTOMY OPEN UTERINE BIOPSY OPEN UTERINE LIGAMENT BX CLOS UTERINE LIGAMENT BX CLOSED UTERINE BIOPSY UTERUS/ADNEX DX PROC NEC ENDOMET SYNECHIAE DIVIS INCISION UTERINE SEPTUM ENDOMETRIAL ABLATION UTERINE LES DESTRUCT NEC UTERINE LES DESTRUCT NEC LAP SCERVIC HYSTERECTOMY OTH SUBTOT ABD HYSTERECT (Oct 03) TOTAL ABD HYSTERECTOMY TOTAL ABD HYSTERECTOMY LAP AST VAG HYSTERECTOMY OTHER VAG HYSTERECTOMY RADICAL ABD HYSTERECTOMY RADICAL VAG HYSTERECTOMY PELVIC EVISCERATION HYSTERECTOMY NEC/NOS D & C FOR PREG TERMINAT D & C POST DELIVERY D & C NEC D & C NEC DESTRUC UTER SUPPORT NEC INTERPOSIT OP UTERIN LIG UTERINE SUSPENSION NEC VAG REPAIR INVERS UTERUS UTERUS/ADNEXA REPAIR NEC PARACERV UTERINE DENERV SUTURE UTERINE LACERAT CLOSURE UTERINE FISTULA UTERINE REPAIR NEC ASPIRAT CURET-PREG TERMI ASPIRAT CURET-POST DELIV INCISION OF CERVIX REMOVE PENETRAT CERV FB UTERINE SUPPORT OP NEC UTERINE OPERATION NEC CULDOTOMY INTRALUM VAG ADHESIOLYS VAGINOTOMY NEC CUL-DE-SAC BIOPSY VAGINAL BIOPSY VAGIN/CUL-DE-SAC DX NEC HYMENECTOMY EXCIS CUL-DE-SAC LESION EXCISION VAGINAL LESION VAGINAL OBLITERATION CYSTOCEL/RECTOCEL REPAIR CYSTOCELE REPAIR RECTOCELE REPAIR VAGINAL CONSTRUCTION VAGINAL RECONSTRUCTION SUTURE VAGINA LACERATION REPAIR COLOVAGIN FISTULA 7073 7074 7075 7076 7077 7079 708 7091 7092 7101 7109 7111 7119 7122 7123 7124 7129 713 714 715 7161 7162 7171 7172 7179 718 719 7394 7399 740 741 742 743 744 7491 7499 7536 7550 7551 7552 7561 7593 7599 7601 7609 7611 7619 762 7631 7639 7641 7642 7643 7644 7645 7646 765 7661 7662 7663 7664 7665 7666 7667 REPAIR RECTOVAG FISTULA REP VAGINOENT FISTUL NEC REPAIR VAG FISTULA NEC HYMENORRHAPHY VAGINAL SUSPENS & FIXAT VAGINAL REPAIR NEC VAGINAL VAULT OBLITERAT VAGINAL OPERATION NEC CUL-DE-SAC OPERATION NEC VULVAR ADHESIOLYSIS INCIS VULVA/PERINEUM NEC VULVAR BIOPSY VULVAR DIAGNOS PROC NEC INCISE BARTHOLIN"S GLAND BARTHOLIN GLAND MARSUP DESTRUC BARTHOLIN GLAND BARTHOLIN"S GLAND OP NEC LOCAL VULVAR EXCIS NEC OPERATIONS ON CLITORIS RADICAL VULVECTOMY UNILATERAL VULVECTOMY BILATERAL VULVECTOMY SUTURE VULVAR LACERATION REPAIR VULVAR FISTULA VULVAR/PERIN REPAIR NEC OTHER VULVAR OPERATIONS OTHER FEMALE GENITAL OPS PUBIOTOMY TO ASSIST DEL OPS ASSISTING DELIV NEC CLASSICAL C-SECTION LOW CERVICAL C-SECTION EXTRAPERITONEAL C-SECT REM EXTRATUB ECTOP PREG CESAREAN SECTION NEC HYSTEROTOMY TO TERMIN PG CESAREAN SECTION NOS CORRECTION FETAL DEFECT REPAIR OB LAC UTERUS NOS REPAIR OB LACERAT CERVIX REPAIR OB LAC CORP UTERI REPAIR OB LAC BLAD/URETH SURG CORR INVERT UTERUS OBSTETRIC OPERATION NEC FACIAL BONE SEQUESTRECT FACIAL BONE INCISION NEC FACIAL BONE BIOPSY FACIAL BONE DX PROC NEC DESTRUCT FACIAL BONE LES PARTIAL MANDIBULECTOMY PART FACIAL OSTECTOM NEC TOT MANDIBULEC W RECONST TOTAL MANDIBULECTOMY NEC MANDIBULAR RECONST NEC TOT FACE OSTECT W RECONS TOT FACE BONE OSTECT NEC FACIAL BONE RECONSTR NEC TEMPOROMAND ARTHROPLASTY CL OSTEOPLASTY MAND RAMI OPEN OSTEOPLAS MAND RAMI OSTEOPLASTY MANDIBLE BDY MAND ORTHOGNATHIC OP NEC SEG OSTEOPLASTY MAXILLA TOT OSTEOPLASTY MAXILLA REDUCTION GENIOPLASTY
A-14

7668 7669 7670 7672 7674 7676 7677 7679 7691 7692 7694 7697 7699 7700 7701 7702 7703 7704 7705 7706 7707 7708 7709 7710 7711 7712 7713 7714 7715 7716 7717 7718 7719 7720 7721 7722 7723 7724 7725 7726 7727 7728 7729 7730 7731 7732 7733 7734 7735 7736 7737 7738 7739 7740 7741 7742 7743 7744 7745 7746 7747 7748 7749 7751 AUGMENTATION GENIOPLASTY FACIAL BONE REPAIR NEC REDUCTION FACIAL FX NOS OPN REDUCT MALAR/ZYGO FX OPEN REDUCT MAXILLARY FX OPEN REDUCT MANDIBLE FX OPEN REDUCT ALVEOLAR FX OPEN REDUCT FACE FX NEC BONE GRAFT TO FACE BONE SYN IMPLANT TO FACE BONE OPEN REDUCT TM DISLOCAT REMOVE INT FIX FACE BONE FACIAL BONE/JNT OP NEC SEQUESTRECTOMY NOS CHEST CAGE SEQUESTREC HUMERUS SEQUESTRECTOMY RADIUS & ULNA SEQUESTREC METACARP/CARP SEQUESTREC FEMORAL SEQUESTRECTOMY PATELLAR SEQUESTRECTOMY TIBIA/FIBULA SEQUESTREC METATAR/TAR SEQUESTREC SEQUESTRECTOMY NEC OTHER BONE INCISION NOS OTHER CHEST CAGE INCIS OTHER HUMERUS INCISION OTHER RADIUS/ULNA INCIS OTH METACARP/CARP INCIS OTHER FEMORAL INCISION OTHER PATELLAR INCISION OTHER TIBIA/FIBULA INCIS OTH METATARS/TARS INCIS BONE INCIS W/O DIV NEC WEDGE OSTEOTOMY NOS CHEST CAGE WEDG OSTEOTOM HUMERUS WEDGE OSTEOTOMY RADIUS/ULNA WEDG OSTEOTO METACAR/CAR WEDG OSTEOTO FEMORAL WEDGE OSTEOTOMY PATELLAR WEDGE OSTEOTOMY TIBIA/FIBUL WEDG OSTEOT METATAR/TAR WEDG OSTEOT WEDGE OSTEOTOMY NEC OTHER BONE DIVISION NOS CHEST CAGE BONE DIV NEC HUMERUS DIVISION NEC RADIUS/ULNA DIVISION NEC METACAR/CAR DIVISION NEC FEMORAL DIVISION NEC PATELLAR DIVISION NEC TIBIA/FIBULA DIV NEC METATAR/TAR DIVISION NEC BONE DIVISION NEC BONE BIOPSY NOS CHEST CAGE BONE BIOPSY HUMERUS BIOPSY RADIUS & ULNA BIOPSY METACARPAL/CARPAL BIOPSY FEMORAL BIOPSY PATELLAR BIOPSY TIBIA & FIBULA BIOPSY METATARSAL/TARSAL BIOPSY BONE BIOPSY NEC BUNIONECT/SFT/OSTEOTOMY 7752 7753 7754 7756 7757 7758 7759 7760 7761 7762 7763 7764 7765 7766 7767 7768 7769 7770 7771 7772 7773 7774 7775 7776 7777 7778 7779 7780 7781 7782 7783 7784 7785 7786 7787 7788 7789 7790 7791 7792 7793 7794 7795 7796 7797 7798 7799 7800 7801 7802 7803 7804 7805 7806 7807 7808 7809 7810 7811 7812 7813 7814 7815 7816 BUNIONECT/SFT/ARTHRODES OTH BUNIONECT W SFT CORR EXC CORRECT BUNIONETTE REPAIR OF HAMMER TOE REPAIR OF CLAW TOE OTH EXC, FUS, REPAIR TOE BUNIONECTOMY NEC LOC EXC BONE LESION NOS EXC CHEST CAGE BONE LES LOC EXC BONE LES HUMERUS LOC EXC LES RADIUS/ULNA LOC EXC LES METACAR/CAR LOC EXC BONE LES FEMUR LOC EXC BONE LES PATELLA LOC EXC LES TIBIA/FIBULA LOC EXC LES METATAR/TAR LOC EXC BONE LESION NEC EXCISE BONE FOR GRFT NOS EX CHEST CAGE BONE-GFT EXCISE HUMERUS FOR GRAFT EXCIS RADIUS/ULNA-GRAFT EXCIS METACAR/CAR-GRAFT EXCISE FEMUR FOR GRAFT EXCISE PATELLA FOR GRAFT EXCISE TIB/FIB FOR GRAFT EXCIS METATAR/TAR-GRAFT EXCISE BONE FOR GFT NEC OTH PART OSTECTOMY NOS OTH CHEST CAGE OSTECTOMY PARTIAL HUMERECTOMY NEC PART OSTECT-RADIUS/ULNA PART OSTECT-METACAR/CAR PART OSTECTOMY-FEMUR PARTIAL PATELLECTOMY PART OSTECT-TIBIA/FIBULA PART OSTECT-METATAR/TAR PARTIAL OSTECTOMY NEC TOTAL OSTECTOMY NOS TOT CHEST CAGE OSTECTOMY TOTAL OSTECTOMY-HUMERUS TOT OSTECT-RADIUS/ULNA TOT OSTECT-METACARP/CARP TOT OSTECTOMY-FEMUR TOTAL PATELLECTOMY TOT OSTECT-TIBIA/FIBULA TOT OSTECT-METATARS/TARS TOTAL OSTECTOMY NEC BONE GRAFT NOS BONE GRAFT TO CHEST CAGE BONE GRAFT TO HUMERUS BONE GRAFT-RADIUS/ULNA BONE GRFT TO METACAR/CAR BONE GRAFT TO FEMUR BONE GRAFT TO PATELLA BONE GRAFT-TIBIA/FIBULA BONE GRAFT-METATAR/TAR BONE GRAFT NEC APPLIC EXT FIX DEV NOS APPL EXT FIX-CHEST CAGE APPLIC EXT FIX-HUMERUS APPL EXT FIX-RADIUS/ULNA APPL EXT FIX-METACAR/CAR APPLIC EXT FIX DEV-FEMUR APPL EXT FIX DEV-PATELLA
A-15

7817 7818 7819 7820 7822 7823 7824 7825 7827 7828 7829 7830 7831 7832 7833 7834 7835 7837 7838 7839 7840 7841 7842 7843 7844 7845 7846 7847 7848 7849 7850 7851 7852 7853 7854 7855 7856 7857 7858 7859 7860 7861 7862 7863 7864 7865 7866 7867 7868 7869 7870 7871 7872 7873 7874 7875 7876 7877 7878 7879 7880 7881 7882 7883 APPL EXT FIX-TIB/FIBULA APPL EXT FIX-METATAR/TAR APPLIC EXT FIX DEV NEC LIMB SHORTEN PROC NOS LIMB SHORT PROC-HUMERUS LIMB SHORTEN-RADIUS/ULNA LIMB SHORTEN-METACAR/CAR LIMB SHORT PROC-FEMUR LIMB SHORTEN-TIB/FIBULA LIMB SHORTEN-METATAR/TAR LIMB SHORTEN PROC NEC LIMB LENGTHEN PROC NOS LIMB LENGTHEN PROC NOS LIMB LENGTH PROC-HUMERUS LIMB LENGTH-RADIUS/ULNA LIMB LENGTH-METACAR/CAR LIMB LENGTH PROC-FEMUR LIMB LENGTHEN-TIB/FIBULA LIMB LENGTHN-METATAR/TAR LIMB LENGTHEN PROC NEC OTH BONE REPAIR/PLAST OP OTH CHEST CAGE REP/PLAST OTH HUMERUS REPAIR/PLAST OTH RAD/ULN REPAIR/PLAST OTH METAC/CARP REP/PLAST OTH FEMUR REPAIR/PLASTIC OTH PATELLA REPAIR/PLAST OTH TIB/FIB REPAIR/PLAST OTH META/TAR REPA/PLAST OTH BONE REPA/PLAST NEC INT FIX W/O FX REDUC NOS INT FIXATION-CHEST CAGE INT FIXATION-HUMERUS INT FIXATION-RADIUS/ULNA INT FIXATION-METACAR/CAR INTERNAL FIXATION-FEMUR INTERNAL FIX-PATELLA INT FIXATION-TIBIA/FIBUL INT FIXATION-METATAR/TAR INT FIX-NO FX REDUCT NEC REMOVE IMP DEVICE NOS REMOV IMP DEV-CHEST CAGE REMOVE IMPL DEV-HUMERUS REMOV IMP DEV-RADIUS/ULN REMOV IMP DEV-METAC/CARP REMOVE IMP DEVICE-FEMUR REMOV IMP DEVICE-PATELLA REMOV IMP DEV-TIB/FIBULA REMOVE IMP DEV-METAT/TAR REMOVE IMPL DEVICE NEC OSTEOCLASIS NOS OSTEOCLASIS-CHEST CAGE OSTEOCLASIS-HUMERUS OSTEOCLASIS-RADIUS/ULNA OSTEOCLASIS-METACAR/CAR OSTEOCLASIS-FEMUR OSTEOCLASIS-PATELLA OSTEOCLASIS-TIBIA/FIBULA OSTEOCLASIS-METATAR/TAR OSTEOCLASIS NEC OTHER BONE DX PROC NOS OTH DX PROCED-CHEST CAGE OTH DX PROCED-HUMERUS OTH DX PROC-RADIUS/ULNA 7884 7885 7886 7887 7888 7889 7890 7891 7892 7893 7894 7895 7896 7897 7898 7899 7910 7911 7912 7913 7914 7915 7916 7917 7918 7919 7920 7921 7922 7923 7924 7925 7926 7927 7928 7929 7930 7931 7932 7933 7934 7935 7936 7937 7938 7939 7940 7941 7942 7945 7946 7949 7950 7951 7952 7955 7956 7959 7960 7961 7962 7963 7964 7965 OTH DX PROC-METACAR/CAR OTH DX PROCED-FEMUR OTH DX PROCED-PATELLA OTH DX PROC-TIBIA/FIBULA OTH DX PROC-METATAR/TAR OTHER BONE DX PROC NEC INSERT BONE STIMUL NOS INSERT BONE STIMUL-CHEST INSERT BONE STIM-HUMERUS INSER BONE STIM-RAD/ULNA INSER BONE STIM-META/CAR INSERT BONE STIM-FEMUR INSERT BONE STIM-PATELLA INSER BONE STIM-TIB/FIB INSER BONE STIM-META/TAR INSERT BONE STIMUL NEC CL FX REDUC-INT FIX NOS CLOS RED-INT FIX HUMERUS CL RED-INT FIX RAD/ULNA CL RED-INT FIX METAC/CAR CLOSE RED-INT FIX FINGER CLOSED RED-INT FIX FEMUR CL RED-INT FIX TIB/FIBU CL RED-INT FIX METAT/TAR CLOSE RED-INT FIX TOE FX CL FX REDUC-INT FIX NEC OPEN FX REDUCTION NOS OPEN REDUC-HUMERUS FX OPEN REDUC-RADIUS/ULN FX OPEN REDUC-METAC/CAR FX OPEN REDUCTION-FINGER FX OPEN REDUCTION-FEMUR FX OPEN REDUC-TIBIA/FIB FX OPEN REDUC-METAT/TARS FX OPEN REDUCTION-TOE FX OPEN FX REDUCTION NEC OPN FX RED W INT FIX NOS OPEN RED-INT FIX HUMERUS OP RED-INT FIX RAD/ULNA OP RED-INT FIX METAC/CAR OPEN RED-INT FIX FINGER OPEN REDUC-INT FIX FEMUR OP RED-INT FIX TIB/FIBUL OP RED-INT FIX METAT/TAR OPEN REDUCT-INT FIX TOE OPN FX RED W INT FIX NEC CLS REDUC-SEP EPIPHY NOS CLOSE RED-HUMERUS EPIPHY CLS RED-RADIUS/UL EPIPHY CLOSE REDUC-FEMUR EPIPHY CLS RED-TIBIA/FIB EPIPHY CLS REDUC-SEP EPIPHY NEC OPEN RED-SEP EPIPHY NOS OPN RED-SEP EPIPHY-HUMER OP RED-RADIUS/ULN EPIPHY OPN RED-SEP EPIPHY-FEMUR OP RED-TIBIA/FIB EPIPHYS OPEN RED-SEP EPIPHY NEC OPEN FX SITE DEBRIDE NOS DEBRID OPEN FX-HUMERUS DEBRID OPN FX-RADIUS/ULN DEBRID OPN FX-METAC/CAR DEBRID OPN FX-FINGER DEBRID OPN FX-FEMUR
A-16

7966 7967 7968 7969 7980 7981 7982 7983 7984 7985 7986 7987 7988 7989 7990 7991 7992 7993 7994 7995 7996 7997 7998 7999 8000 8001 8002 8003 8004 8005 8006 8007 8008 8009 8010 8011 8012 8013 8014 8015 8016 8017 8018 8019 8020 8021 8022 8023 8024 8025 8026 8027 8028 8029 8040 8041 8042 8043 8044 8045 8046 8047 8048 8049 DEBRID OPN FX-TIBIA/FIB DEBRID OPN FX-METAT/TAR DEBRID OPN FX-TOE OPEN FX SITE DEBRIDE NEC OPEN REDUC-DISLOCAT NOS OPN REDUC DISLOC-SHOULDR OPEN REDUC-ELBOW DISLOC OPEN REDUC-WRIST DISLOC OPN REDUC DISLOC-HAND OPEN REDUC-HIP DISLOCAT OPEN REDUC-KNEE DISLOCAT OPEN REDUC-ANKLE DISLOC OPN REDUC DISLOC-FT/TOE OPEN REDUC-DISLOCAT NEC UNSPEC OP BONE INJ NOS HUMERUS INJURY OP NOS RADIUS/ULNA INJ OP NOS METACARP/CARP INJ OP NOS FINGER INJURY OP NOS FEMUR INJURY OP NOS TIBIA/FIBULA INJ OP NOS METATARS/TARS INJ OP NOS TOE INJURY OPERATION NOS UNSPEC OP-BONE INJ NEC ARTHROT & PROS REMOV NOS ARTHROT/PROS REMOV-SHLDR ARTHROT/PROS REMOV-ELBOW ARTHROT/PROS REMOV-WRIST ARTHROT/PROS REMOV-HAND ARTHROT/PROS REMOV-HIP ARTHROT/PROS REMOV-KNEE ARTHROT/PROS REMOV-ANKLE ARTHROT/PROS REMOV-FOOT ARTHROT & PROS REMOV NEC OTHER ARTHROTOMY NOS OTH ARTHROTOMY-SHOULDER OTH ARTHROTOMY-ELBOW OTH ARTHROTOMY-WRIST OTH ARTHROTOMY-HAND/FNGR OTH ARTHROTOMY-HIP OTH ARTHROTOMY-KNEE OTH ARTHROTOMY-ANKLE OTH ARTHROTOMY-FOOT/TOE OTHER ARTHROTOMY NEC ARTHROSCOPY NOS SHOULDER ARTHROSCOPY ELBOW ARTHROSCOPY WRIST ARTHROSCOPY HAND & FINGER ARTHROSCOP HIP ARTHROSCOPY KNEE ARTHROSCOPY ANKLE ARTHROSCOPY FOOT & TOE ARTHROSCOPY ARTHROSCOPY NEC JT STRUCTUR DIVISION NOS SHOULDER STRUCT DIVISION ELBOW STRUCTURE DIVISION WRIST STRUCTURE DIVISION HAND JOINT STRUCT DIVIS HIP STRUCTURE DIVISION KNEE STRUCTURE DIVISION ANKLE STRUCTURE DIVISION FOOT JOINT STRUCT DIVIS JT STRUCTUR DIVISION NEC 805 8050 8051 8059 806 8070 8071 8072 8073 8074 8075 8076 8077 8078 8079 8080 8081 8082 8083 8084 8085 8086 8087 8088 8089 8090 8091 8092 8093 8094 8095 8096 8097 8098 8099 8100 8101 8102 8103 8104 8105 8106 8107 8108 8109 8111 8112 8113 8114 8115 8116 8117 8118 8120 8121 8122 8123 8124 8125 8126 8127 8128 8129 8130 JT STRUCTUR DIVISION NEC EXC/DEST INTVRT DISC NOS EXCISION INTERVERT DISC OTH EXC/DEST INTVRT DISC EXCIS KNEE SEMILUN CARTL SYNOVECTOMY-SITE NOS SHOULDER SYNOVECTOMY ELBOW SYNOVECTOMY WRIST SYNOVECTOMY HAND SYNOVECTOMY HIP SYNOVECTOMY KNEE SYNOVECTOMY ANKLE SYNOVECTOMY FOOT SYNOVECTOMY SYNOVECTOMY-SITE NEC DESTRUCT JOINT LES NOS DESTRUC-SHOULDER LES NEC DESTRUC-ELBOW LESION NEC DESTRUC-WRIST LESION NEC DESTRUC-HAND JT LES NEC DESTRUCT-HIP LESION NEC DESTRUCT-KNEE LESION NEC DESTRUC-ANKLE LESION NEC DESTRUC-FOOT JT LES NEC DESTRUCT JOINT LES NEC EXCISION OF JOINT NOS EXCISION OF SHOULDER NEC EXCISION OF ELBOW NEC EXCISION OF WRIST NEC EXCISION HAND JOINT NEC EXCISION OF HIP NEC EXCISION OF KNEE NEC EXCISION OF ANKLE NEC EXCISION FOOT JOINT NEC EXCISION OF JOINT NEC SPINAL FUSION NOS ATLAS-AXIS FUSION OTHER CERVICAL FUS ANT OTHER CERVICAL FUS POST DORSAL/DORSOLUM FUS ANT DORSAL/DORSOLUM FUS POST LUMBAR/LUMBOSAC FUS ANT LUMBAR/LUMBOSAC FUS LAT LUMBAR/LUMBOSAC FUS POST LUMBAR/LUMBOSAC FUS POST ANKLE FUSION TRIPLE ARTHRODESIS SUBTALAR FUSION MIDTARSAL FUSION TARSOMETATARSAL FUSION METATARSOPHALANGEAL FUS OTHER FUSION OF FOOT OTHER FUSION OF FOOT ARTHRODESIS NOS ARTHRODESIS OF HIP ARTHRODESIS OF KNEE ARTHRODESIS OF SHOULDER ARTHRODESIS OF ELBOW CARPORADIAL FUSION METACARPOCARPAL FUSION METACARPOPHALANGEAL FUS INTERPHALANGEAL FUSION ARTHRODESIS NEC SPINAL REFUSION NOS
A-17

8131 8132 8133 8134 8135 8136 8137 8138 8139 8140 8141 8142 8143 8144 8145 8146 8147 8148 8149 8151 8152 8153 8154 8155 8156 8157 8159 8161 8162 8163 8164 8165 8166 8169 8171 8172 8173 8174 8175 8179 8180 8181 8182 8183 8184 8185 8186 8187 8193 8194 8195 8196 8197 8198 8199 8201 8202 8203 8209 8211 8212 8219 8221 8222 REFUSION OF ATLAS-AXIS REFUSION OF OTH CERV ANT REFUS OF OTH CERV POST REFUSION OF DORSAL ANT REFUSION OF DORSAL POST REFUSION OF LUMBAR ANT REFUSION OF LUMBAR LAT REFUSION OF LUMBAR POST REFUSION OF SPINE NEC REPAIR OF HIP, NEC REPAIR OF HIP, NEC FIVE-IN-ONE KNEE REPAIR TRIAD KNEE REPAIR PATELLAR STABILIZATION CRUCIATE LIG REPAIR NEC COLLATERL LIG REPAIR NEC OTHER REPAIR OF KNEE OTHER REPAIR OF KNEE OTHER REPAIR OF ANKLE TOTAL HIP REPLACEMENT PARTIAL HIP REPLACEMENT REVISE HIP REPLACEMENT TOTAL KNEE REPLACEMENT REVISE KNEE REPLACEMENT TOTAL ANKLE REPLACEMENT REPL JOINT OF FOOT, TOE REV JT REPL LOW EXT NEC 360 SPINAL FUSION FUS/REFUS 2-3 VERTEBRAE FUS/REFUS 4-8 VERTEBRAE FUS/REFUS 9 VERTEBRAE VERTEBROPLASTY (OCT 04) KYPHOPLASTY (OCT 04) OTH HIP REPAIR JAN80--SEP89 (OCT 05) ARTHROPLAS METACARP WIT ARTHROPLASTY METACAR W/O TOTAL WRIST REPLACEMENT ARTHROPLASTY CARPAL WIT ARTHROPLASTY CARPAL W/O OTH REPAIR HAN/FIN/WRIS TOTAL SHOULDER REPLACE PARTIAL SHOULDER REPLACE REP RECUR SHLDER DISLOC SHOULDER ARTHROPLAST NEC TOTAL ELBOW REPLACEMENT ELBOW ARTHROPLASTY NEC ELBOW ARTHROPLASTY NEC ELBOW ARTHROPLASTY NEC SUTUR CAPSUL/LIGAMEN ARM SUTURE CAPSUL/LIG ANK/FT SUTUR CAPSUL/LIG LEG NEC OTHER REPAIR OF JOINT REV JT REPL UPPER EXTREM OTHER JOINT DX PROCEDURE JOINT STRUCTURE OP NEC EXPLOR TEND SHEATH-HAND MYOTOMY OF HAND BURSOTOMY OF HAND INC SOFT TISSUE HAND NEC TENOTOMY OF HAND FASCIOTOMY OF HAND DIV SOFT TISSUE HAND NEC EXC LES TEND SHEATH HAND EXCISION HAND MUSCLE LES 8229 8231 8232 8233 8234 8235 8236 8239 8241 8242 8243 8244 8245 8246 8251 8252 8253 8254 8255 8256 8257 8258 8259 8261 8269 8271 8272 8279 8281 8282 8283 8284 8285 8286 8289 8291 8299 8301 8302 8303 8309 8311 8312 8313 8314 8319 8321 8329 8331 8332 8339 8341 8342 8343 8344 8345 8349 835 8361 8362 8363 8364 8365 8371 EXC LES SFT TISS HND NEC BURSECTOMY OF HAND EXCIS HAND TEND FOR GRFT HAND TENONECTOMY NEC EXC HND MUS/FAS FOR GRFT HAND FASCIECTOMY NEC OTHER MYECTOMY OF HAND HAND SOFT TISSUE EXC NEC SUTURE TENDN SHEATH HAND DELAY SUT FLEX TEND HAND DELAY SUT HAND TEND NEC SUTUR FLEX TEND HAND NEC SUTURE HAND TENDON NEC SUTURE HAND MUSCLE/FASC HAND TENDON ADVANCEMENT HAND TENDON RECESSION HAND TENDON REATTACHMENT HAND MUSCLE REATTACHMENT CHNG HND MUS/TEN LNG NEC TRANSPLANT HAND TEND NEC TRANSPOSIT HAND TEND NEC TRANSPLANT HAND MUSC NEC TRANSPOSIT HAND MUSC NEC POLLICIZATION OPERATION THUMB RECONSTRUCTION NEC HAND TEND PULLEY RECONST PLAST OP HND-MUS/FAS GRF PLAST OP HAND W GRFT NEC TRANSFER OF FINGER REPAIR OF CLEFT HAND REPAIR OF MACRODACTYLY REPAIR OF MALLET FINGER OTHER TENODESIS OF HAND OTHER TENOPLASTY OF HAND HAND PLASTIC OP NEC LYSIS OF HAND ADHESIONS HAND MUS/TEN/FAS/OPS NEC TENDON SHEATH EXPLORAT MYOTOMY BURSOTOMY SOFT TISSUE INCISION NEC ACHILLOTENOTOMY ADDUCTOR TENOTOMY OF HIP OTHER TENOTOMY FASCIOTOMY SOFT TISSUE DIVISION NEC SOFT TISSUE BIOPSY SOFT TISSUE DX PROC NEC EXCIS LES TENDON SHEATH EXCIS LESION OF MUSCLE EXC LES SOFT TISSUE NEC TENDON EXCISION FOR GRFT OTHER TENONECTOMY MUSC/FASC EXCIS FOR GRFT OTHER FASCIECTOMY OTHER MYECTOMY OTHER SOFT TISSUE EXCIS BURSECTOMY TENDON SHEATH SUTURE DELAYED TENDON SUTURE ROTATOR CUFF REPAIR OTHER SUTURE OF TENDON OTHER MUSCLE/FASC SUTURE TENDON ADVANCEMENT
A-18

8372 8373 8374 8375 8376 8377 8379 8381 8382 8383 8384 8385 8386 8387 8388 8389 8391 8392 8393 8399 8400 8401 8402 8403 8404 8405 8406 8407 8408 8409 8410 8411 8412 8413 8414 8415 8416 8417 8418 8419 8421 8422 8423 8424 8425 8426 8427 8428 8429 843 8440 8444 8448 8458 8460 8461 8462 8463 8464 8465 8466 8467 8468 8469 TENDON RECESSION TENDON REATTACHMENT MUSCLE REATTACHMENT TENDON TRNSFR/TRANSPLANT OTHER TENDON TRANSPOSIT MUSCLE TRNSFR/TRANSPLANT OTHER MUSCLE TRANSPOSIT TENDON GRAFT MUSCLE OR FASCIA GRAFT TENDON PULLEY RECONSTRUC CLUBFOOT RELEASE NEC MUSC/TEND LNG CHANGE NEC QUADRICEPSPLASTY OTHER PLASTIC OPS MUSCLE OTHER PLASTIC OPS TENDON OTHER PLASTIC OPS FASCIA ADHESIOLYSIS MUS/TEN/FAS INSERT SKEL MUSC STIMULA REMOV SKEL MUSC STIMULAT MUS/TEN/FAS/BUR OP NEC UPPER LIMB AMPUTAT NOS FINGER AMPUTATION THUMB AMPUTATION AMPUTATION THROUGH HAND DISARTICULATION OF WRIST AMPUTATION THRU FOREARM DISARTICULATION OF ELBOW AMPUTATION THRU HUMERUS SHOULDER DISARTICULATION FOREQUARTER AMPUTATION LOWER LIMB AMPUTAT NOS TOE AMPUTATION AMPUTATION THROUGH FOOT DISARTICULATION OF ANKLE AMPUTAT THROUGH MALLEOLI BELOW KNEE AMPUTAT NEC DISARTICULATION OF KNEE ABOVE KNEE AMPUTATION DISARTICULATION OF HIP HINDQUARTER AMPUTATION THUMB REATTACHMENT FINGER REATTACHMENT FOREARM/WRIST/HAND REATT UPPER ARM REATTACHMENT TOE REATTACHMENT FOOT REATTACHMENT LOWER LEG/ANKLE REATTACH THIGH REATTACHMENT REATTACHMENT NEC AMPUTATION STUMP REVIS IMPLNT/FIT PROS LIMB NOS IMPLANT ARM PROSTHESIS IMPLANT LEG PROSTHESIS IMP INTRSPINE DECOMP DEV (OCT 05) INSERT DISC PROS NOS (OCT 04) INS PART DISC PROS CERV (OCT 04) INS TOT DISC PROST CERV (OCT 04) INS SPIN DISC PROS THOR (OCT 04) INS PART DISC PROS LUMB (OCT 04) INS TOTL DISC PROS LUMB (OCT 04) REVISE DISC PROST CERV (OCT 04) REVISE DISC PROST THORA (OCT 04) REVISE DISC PROSTH LUMB (OCT 04) REVISE DISC PROSTH NOS (OCT 04) 8472 8473 8491 8492 8493 8499 8512 8520 8521 8522 8523 8524 8525 8531 8532 8533 8534 8535 8536 8541 8542 8543 8544 8545 8546 8547 8548 8550 8553 8554 856 857 8582 8583 8584 8585 8586 8587 8589 8593 8594 8595 8596 8599 8606 8621 8622 8625 864 8660 8661 8662 8663 8665 8666 8667 8669 8670 8671 8672 8673 8674 8675 8681 APP EXT FIX DEV-RING SYS (OCT 05) APP HYBRID EXT FIX DEV (OCT 05) AMPUTATION NOS SEPARAT EQUAL JOIN TWIN SEPARAT UNEQUL JOIN TWIN MUSCULOSKELETAL OP NEC OPEN BREAST BIOPSY BREAST TISSU DESTRUC NOS LOCAL EXCIS BREAST LES QUADRANT RESECT BREAST SUBTOTAL MASTECTOMY EXC ECTOPIC BREAST TISSU EXCISION OF NIPPLE UNILAT REDUCT MAMMOPLAST BILAT REDUCT MAMMOPLASTY UNIL SUBQ MAMMECT-IMPLNT UNILAT SUBQ MAMMECT NEC BIL SUBQ MAMMECT-IMPLANT BILAT SUBQ MAMMECTOM NEC UNILAT SIMPLE MASTECTOMY BILAT SIMPLE MASTECTOMY UNILAT EXTEN SIMP MASTEC BILAT EXTEND SIMP MASTEC UNILAT RADICAL MASTECTOM BILAT RADICAL MASTECTOMY UNIL EXT RAD MASTECTOMY BIL EXTEN RAD MASTECTOMY AUGMENT MAMMOPLASTY NOS UNILAT BREAST IMPLANT BILATERAL BREAST IMPLANT MASTOPEXY TOTAL BREAST RECONSTRUCT BREAST SPLIT-THICK GRAFT BREAST FULL-THICK GRAFT BREAST PEDICLE GRAFT BREAST MUSCLE FLAP GRAFT TRANSPOSITION OF NIPPLE NIPPLE REPAIR NEC MAMMOPLASTY NEC BREAST IMPLANT REVISION BREAST IMPLANT REMOVAL INSER BREAST TISSU EXPAN REMOV BREAST TISSU EXPAN BREAST OPERATION NEC INSERT INFUSION PUMP EXCISION OF PILONID CYST EXC WOUND DEBRIDEMENT DERMABRASION RADICAL EXCIS SKIN LES FREE SKIN GRAFT NOS FULL-THICK HAND SKIN GRF HAND SKIN GRAFT NEC FULL-THICK SKIN GRFT NEC HETEROGRAFT TO SKIN HOMOGRAFT TO SKIN DERMAL REGENER GRAFT FREE SKIN GRAFT NEC PEDICLE GRAFT/FLAP NOS CUT & PREP PEDICLE GRAFT PEDICLE GRAFT ADVANCEMEN ATTACH PEDICLE TO HAND ATTACH PEDICLE GRAFT NEC REVISION OF PEDICLE GRFT REPAIR FACIAL WEAKNESS
A-19

8682 8683 8684 8685 8686 8689 8691 8693 8694 8695 8696 8697 8698 8753 9504 FACIAL RHYTIDECTOMY SIZE REDUCT PLASTIC OP RELAXATION OF SCAR SYNDACTYLY CORRECTION ONYCHOPLASTY SKIN REPAIR & PLASTY NEC SKIN EXCISION FOR GRAFT INSERT TISSUE EXPANDER INS/REPL SINGLE PUL GEN (OCT 04) INS/REPL DUAL PULSE GEN (OCT 04) INSERT/REPL OTH NEUROST (OCT 04) INS/REP 1 PUL GEN (OCT 05) INS/REP 2 PUL GEN (OCT 05) INTRAOPER CHOLANGIOGRAM ANESTHETIZED EYE EXAM
A-20
Appendix B: Surgical Discharge DRGs
B.

These codes are used by the following PSIs: PSI Complications of Anesthesia (PSI 1) - Page 1 Decubitus Ulcer (PSI 3) - Page 5 Foreign Body Left during Procedure, Secondary Diagnosis Field (PSI 5 and 21) - Page 15 Iatrogenic Pneumothorax, Secondary Diagnosis Field (PSI 6 and 22) - Page 16 Selected Infections Due to Medical Care, Secondary Diagnosis Field (PSI 7 and 23) - Page 21 Postoperative Hip Fracture (PSI 8) - Page 22 Postoperative Hemorrhage or Hematoma (PSI 9 and 27) Page 26 Postoperative Physiologic and Metabolic Derangement (PSI 10)- Page 28 Postoperative Respiratory Failure (PSI 11)- Page 30 Postoperative Pulmonary Embolism or Deep Vein Thrombosis (PSI 12) - Page 31 Postoperative Sepsis (PSI 13) - Page 31 Accidental Puncture or Laceration, Secondary Diagnosis Field (PSI 15 and 25) - Page 39 Transfusion Reaction, Secondary Diagnosis Field (PSI 16 and 26) - Page 39 How Used Denominator inclusion - Page 1 Denominator inclusion - Page 5 Denominator inclusion - Page 15 Denominator inclusion - Page 16 Denominator inclusion - Page 21 Denominator inclusion - Page 22 Denominator inclusion - Page 27 Denominator inclusion - Page 28 Denominator inclusion - Page 30 Denominator inclusion - Page 31 Denominator inclusion - Page 31 Denominator inclusion - Page 39 Denominator inclusion - Page 40
In the table above, control-click (Word) or click (PDF) the PSI name to go to the start of that detailed definition. Click the link in the How Used column to go to where the surgical discharge DRGs are referenced within the PSI detailed definition.
001 002 003 004* 005* 006 007 008 036 037 038 039 040 041 042 049 050 CRANIOTOMY, AGE > 17 W/ CC CRANIOTOMY AGE > 17 W/O CC CRANIOTOMY, AGE 0-17 SPINAL PROCEDURES EXTRACRANIAL VASCULAR PROCEDURES CARPAL TUNNEL RELEASE PERIPHERAL AND CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES W/ CC PERIPHERAL AND CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES W/O CC RETINAL PROCEDURES ORBITAL PROCEDURES PRIMARY IRIS PROCEDURES LENS PROCEDURES W/ OR W/O VITRECTOMY EXTRAOCULAR PROCEDURES EXCEPT ORBIT, AGE GREATER THAN 17 EXTRAOCULAR PROCEDURES EXCEPT ORBIT, AGE 0-17 INTRAOCULAR PROCEDURES EXCEPT RETINA, IRIS AND LENS MAJOR HEAD AND NECK PROCEDURES SIALOADENECTOMY 051 052 053 054 055 056 057 SALIVARY GLAND PROCEDURES EXCEPT SIALOADENECTOMY CLEFT LIP AND PALATE REPAIR SINUS AND MASTOID PROCEDURES, AGE GREATER THAN 17 SINUS AND MASTOID PROCEDURES, AGE 0-17 MISCELLANEOUS EAR, NOSE, MOUTH AND THROAT PROCEDURES RHINOPLASTY TONSILLECTOMY AND ADENOIDECTOMY PROCEDURES EXCEPT TONSILLECTOMY AND/OR ADENOIDECTOMY ONLY, AGE GREATER THAN 17 TONSILLECTOMY AND ADNOIDECTOMY PROCEDURES EXCEPT TONSILLECTOMY AND/OR ADENOIDECTOMY ONLY, AGE 017 TONSILLECTOMY AND/OR ADENOIDECTOMY ONLY, AGE GREATER THAN 17 TONSILLECTOMY AND/OR ADENOIDECTOMY ONLY, AGE 0 17 MYRINGOTOMY W/ TUBE INSERTION, AGE GREATER THAN 17
058
059 060 061
B-1

062 063 075 076 077 103 104 105 106 107 108 109 110 111 112* 113 114 115 MYRINGOTOMY W/ TUBE INSERTION, AGE 0-17 OTHER EAR, NOSE, MOUTH AND THROAT OR PROCEDURES MAJOR CHEST PROCEDURES OTHER RESPIRATORY SYSTEM OR PROCEDURES W/ CC OTHER RESPIRATORY SYSTEM OR PROCEDURES W/O CC HEART TRANSPLANT CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES W/ CARDIAC CATHETERIZATION CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES W/O CARDIAC CATHETERIZATION CORONARY BYPASS W/ PTCA CORONARY BYPASS W/ CARDIAC CATHETERIZATION OTHER CARDIOTHORACIC PROCEDURES CORONARY BYPASS W/O CARDIAC CATHETERIZATION MAJOR CARDIOVASCULAR PROCEDURES W/ CC MAJOR CARDIOVASCULAR PROCEDURES W/O CC PERCUTANEOUS CARDIOVASCULAR PROCEDURES AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE UPPER LIMB AND TOES AMPUTATION FOR CIRCULATORY SITE PERMANENT CARDIAC PACEMAKER IMPLANT W/ ACUTE MYOCARDIAL INFARCTION, HEART FAILURE OR SHOCK OR ACID LEAD OR GENERATOR PROCEDURE OTHER PERMANENT CARDIAC PACEMAKER IMPLANT OR PTCA W/ CORONARY ARTERIAL STENT CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT CARDIAC PACEMAKER DEVICE REPLACEMENT VEIN LIGATION AND STRIPPING OTHER CIRCULATORY SYSTEM OR PROCEDURES RECTAL RESECTION W/ CC RECTAL RESECTION W/O CC MAJOR SMALL AND LARGE BOWEL PROCEDURES W/ CC MAJOR SMALL AND LARGE BOWEL PROCEDURES W/O CC PERITONEAL ADHESIOLYSIS W/ CC PERITONEAL ADHESIOLYSIS W/O CC MINOR SMALL AND LARGE BOWEL PROCEDURES W/ CC MINOR SMALL AND LARGE BOWEL PROCEDURES W/O CC STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES, AGE GREATER THAN 17 W/ CC 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 191 192 193 194 195 196 197 198 199 200 201 209 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES, AGE GREATER THAN 17 WIHOUT CC STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES, AGE 0-17 ANAL AND STOMAL PROCEDURES W/ CC ANAL AND STOMAL PROCEDURES W/O CC HERMIA PROCEDURES EXCEPT INGUINAL AND FEMORAL , AGE GREATER THAN 17 W/ CC HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL, AGE GREATER THAN 17 W/O CC INGUINAL AND FEMORAL HERNIA PROCEDURES, AGE GREATER THAN 17 W/ CC INGUINAL AND FEMORAL HERNIA PROCEDURES, AGE GREATER THAN 17 W/O CC HERNIA PROCEDURES, AGE 0-17 APPENDECTOMY W/ COMPLICATED PRINCIPAL DIAGNOSIS W/ CC APPENDECTOMY W/ COMPLICATED PRINCIPAL DIAGNOSIS WIHTOUT CC APPENDECTOMY W/O COMPLICATED PRINCIPAL IAGNOSIS W/ CC APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAGNOSIS W/O CC MOUTH PROCEDURES W/ CC MOUTH PROCEDURES W/O CC OTHER DIGESTIVE SYSTEM OR PROCEDURES W/ CC OTHER DIGESTIVE SYSTEM OR PROCEDURES W/O CC PANCREAS, LIVER AND SHUNT PROCEDURES W/ CC PANCREAS, LIVER AND SHUNT PROCEDURES W/O CC BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOIMY W/ OR W/O COMMON DUCT EXPLORATION W/ CC BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY W/ OR W/O COMMON DUCT EXPLORATION W/O CC CHOLECYSTECTOMY W/ COMMON DUCT EXPLORATION W/ CC CHOLECYSTECTOMY W/ COMMON DUCT EXPLORATION W/O CC CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O COMMON DUCT EXPLORATION W/ CC CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O COMMON DUCT EXPORTATION W/O CC HEPATOBILIARY DIAGNOSTIC PROCEDURE FOR MALIGNANCY HEPATOBILIARY DIAGNOSTIC PROCEDURE FOR NONMALIGNANCY OTHER HEPATOBILIARY OR PANCREAS OR PROCEDURES MAJOR JOINT AND LIMB REATTACHMENT PROCEDURES OF LOWER EXTREMITY
116 117 118 119 120 146 147 148 149 150 151 152 153 154
B-2

210 211 212 213 214* 215* 216 217 218 219 220 221* 222* 223 224 225 226 227 228 229 230 231* 232 233 234 257 258 259 260 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT PROCEDURES, AGE GREATER THAN 17 W/ CC HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT PROCEDURES, AGE GREATER THAN 17 W/O CC HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT PROCEDURE, AGE 0-17 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS BACK & NECK PROCEDURES W CC BACK & NECK PROCEDURES W/O CC BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS LOWER EXTREMITY AND HUMERUS PROCEURES EXCEPT HIP, FOOT AND FEMUR, AGE GREATER THAN 17 W/ CC LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR, AGE GREATER THAN 17 W/O CC LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR, AGE 0-17 KNEE PROCEDURES W CC KNEE PROCEDURES W/O CC MAJOR SHOULDER/ELBOW PROCEDURES OR OTHER UPPER EXTREMITY PROCEDURES W/ CC SHOULDER, ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES W/O CC FOOT PROCEDURES SOFT TISSUE PROCEDURES W/ CC SOFT TISSUE PROCEDURES W/O CC MAJOR THUMB OR JOINT PROCEDURES OR OTHER HAND OR WRIST PROCEDURES W/ CC HAND OR WRIST PROCEDURES EXCEPT MAJOR JOINT PROCEDURES W/O CC LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR ARTHROSCOPY OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE OR PROCEDURES W/ CC OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE OR PROCEDURES W/O CC TOTAL MASTECTOMY FOR MALIGNANCY W/ CC TOTAL MASTECTOMY FOR MALIGNANCY W/O CC SUBTOTAL MASTECTOMY FOR MALIGNANCY W/ CC SUBTOTAL MASTECTOMY FOR MALIGNANCY W/O CC 261 262 263 264 265 266 267 268 269 270 285 286 287 BREAST PROCEDURE FOR NONMALIGNANCY EXCEPT BIOPSY AND LOCAL EXCISION BREAST BIOPSY AND LOCAL EXCISION FOR NONMALIGNANCY SKIN GRAFT AND/OR DEBRIDEMENT FOR SKIN ULCER OR CELLULITIS W/ CC SKIN GRAFT AND OR DEBRIDEMENT FOR SKIN ULCER OR CELLULITIS W/O CC SKIN GRAFT AND OR DEBRIDEMENT EXCEPT FOR SKIN ULCER OR CELLULITIS W/ CC SKIN GRAFT AND/OR DEBRIDEMENT EXCEPT FOR SKIN ULCER OR CELLUTLITIES W/O CC PERIANAL AND PILONIDAL PROCEDURES SKIN, SUBCUTANEOUS TISSUE AND BREAST PLASTIC PROCEDURES OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES W/ CC OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURS W/O CC AMPUTAETION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS ADRENAL AND PITUITARY PROCEDURES SKIN GRAFTS AND WOUND DEBRIDEMENTS FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS OR PROCEDURES FOR OBESITY PARATHYROID PROCEDURES THYROID PROCEDURES THYROGLOSSAL PROCEDURES OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC OR PROCEDURES W/ CC OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC OR PROCEDURES W/O CC KIDNEY TRANSPLANT KIDNEY, URETER AND MAJOR BLADDER PROCEDURES FOR NEOPLASM KIDNEY, URETER AND MAJOR BLADDER PROCEDURES FOR NONNEOPLASMS W/ CC KIDNEY, URETER AND MAJOR BLADDER PROCEDURES FOR NONEOPLSMS W/O CC PROSTATECTOMY W/ CC PROSTATECTOMY W/O CC MINOR BLADDER PROCEDURES W/ CC MINOR BLADDER PROCEDURES W/O CC TRANSURETHRAL PROCEDURES W/ CC TRANSURETHRAL PROCEDURES W/O CC URETHRAL PROCEDURES, AGE GREATER THAN 17 W/ CC URETHRAL PROCEDURES, AGE GREATER THAN 17 W/O CC URETHRAL PROCEDURES, AGE 0-17 OTHER KIDNEY AND URINARY TRACT OR PROCEDURES MAJOR MALE PELVIC PROCEDURES W/ CC MAJOR MALE PELVIC PROCEDURES W/O CC
288 289 290 291 292 293 302 303 304 305 306 307 308 309 310 311 312 313 314 315 334 335
B-3

336 337 338 339 340 341 342 343 344 345 353 354 355 356 357 358 359 360 361 362 363 364 365 370 371 374 375 377 381 392 393 394 400* TRANSURETHRAL PROSTATECTOMY W/ CC TRANSURETHRAL PROSTATECTOMY W/O CC TESTES PROCEDURES FOR MALIGNANCY TESTES PROCEDURES FOR NONMALIGNANCY, AGE GREATER THAN 17 TESTES PROCEDURES FOR NONMALIGNANCY, AGE 0-17 PENIS PROCEDURES CIRCUMCISION, AGE GREATER THAN 17 CIRCUMCISION, AGE 0-17 OTHER MALE REPRODUCTIVE SYSTEM OR PROCEDURES FOR MALIGNANCY OTHER MALE REPRODUCTIVE SYSTEM OR PROCEDURES EXCEPT FOR MALIGNANCY PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY UTERINE AND ADNEXA PROCEDURES FOR NONOVARIAN/ADNEXAL MALIGNANCY W/ CC UTERINE AND ADNEXA PROCEDURES FOR NONOVARIAN/ADNEXA PROCEDURES W/O CC FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY UTERINE AND ADNEXA PROCEDURES FOR NONMALIGNANCY W/ CC UTERINE AND ADNEXA PROCEDURES FOR NONMALIGNANCY W/O CC VAGINA, CERVIX AND VULVA PROCEDURES LAPAROSCOPY AND INCISIONAL TUBAL INTERRUPTION ENDOSCOPIC TUBAL INTERRUPTION D AND C, CONIZATION AND RADIOIMPLANT FOR MALIGNANCY D AND C, CONIZATION EXCEPT FOR MALIGNANCY OTHER FEMALE REPRODUCTIVE SYSTEM OR PROCEDURES CESAREAN SECTION W/ CC CESAREAN SECTION W/O CC VAGINAL DELIVERY W/ STERILIZATION AND/OR D AND C VAGINAL DELIVERY W/ OR PROCEDURE EXCEPT STERILIZATION AND/OR D AND C POSTPARTUM AND POSTABORTION DIAGNOSES W/ OR PROCEDURE ABORTION W/ D AND C ASPIRATION CURETTAGE OR HYSTERECTOMY SPLENECTOMY, AGE GREATER THAN 17 SPLENECTOMY, AGE 0-17 OTHER OR PROCEDURES OF THE BLOOD AND BLOOD-FORMING ORGANS LYMPHOMA AND LEUKEMIA W/ MAJOR OR PROCEDURES 401 402 406 407 408 415 424 439 440 441 442 443 458* 459* 461 468 471 472* 476 477 478 479 480 481 482 483* 484 485 486 488 491 493 494 495 LYMPHOMA AND NONACUTE LEUKEMIA W/ OTHER OR PROCEDURE W/ CC LYMPHOMA AND NONACUTE LEUKEMIA W/ OTHER OR PROCEDURE W/O CC MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS W/ MAJOR OR PROCEDURES W/ CC MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS W/ MAJOR OR PROCEDURES W/O CC MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS W/ OTHER OR PROCEDURES OR PROCEDURE FOR INFECTIOUS AND PARASITIC DISEASES OR PROCEDURES W/ PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS SKIN GRAFTS FOR INJURIES WOUND DEBRIDEMENTS FOR INJURIES HAND PROCEDURES FOR INJURIES OTHER OR PROCEDURES FOR INJURIES W/ CC OTHER OR PROCEDURES FOR INJURIES W/O CC NON-EXTENSIVE BURNS W SKIN GRAFT NON-EXTENSIVE BURNS W WOUND DEBRIDEMENT OR OTHER O.R. PROC OR PROCEDURES W/ DIAGNOSES OF OTHER CONTACT W/ HEALTH SERVICES EXTENSIVE OR PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY EXTENSIVE BURNS W O.R. PROCEDURE PROSTATIC OR PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS NONEXTENSIVE OR PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS OTHER VASCULAR PROCEDURES W/ CC OTHER VASCULAR PROCEDURES W/O CC LIVER TRANSPLANT BONE MARROW TRANSPLANT TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES TRACHEOSTOMY EXCEPT FOR FACE, MOUTH AND NECK DIAGNOSES CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA OTHER OR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA HIV W/ EXTENSIVE OR PROCEDURE MAJOR JOINT AND LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITY LAPAROSCOPIC CHOLECYSTECTOMY W/O COMMON DUCT EXPLORATION W/ CC LAPAROSCOPIC CHOLECYSTECTOMY W/O COMMON DUCT EXPLORATION W/O CC LUNG TRANSPLANT
B-4

496 497 498 499 500 501 502 503 504 506 507 512 513 514* 515 516 517 518 519 520 525 526 527 528 529 530 531 532 533 534 535 536 COMBINED ANTERIOR/POSTERIOR SPINAL FUSION SPINAL FUSION W/ CC SPINAL FUSION W/O CC BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION W/ CC BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION W/O CC KNEE PROCEDURES W/ PRINCIPAL DIAGNOSIS OF INFECTION, W/ CC KNEE PROCEDURES W/ PRINCIPAL DIAGNOSIS OF INFECTION, W/O CC KNEE PROCEDURES W/O PRINCIPAL DIAGNOSIS OF INFECTION EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT FULL THICKNESS BURN W SKIN GRAFT OR INHAL INJ W CC OR SIG TRAUMA FULL THICKNESS BURN W SKIN GRFT OR INHAL INJ W/O CC OR SIG TRAUMA SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT PANCREAS TRANSPLANT CARDIAC DEFIBRILLATOR IMPLANT W CARDIAC CATH CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH PERCUTANEOUS CARDIOVASC PROC W AMI PERC CARDIO PROC W NON-DRUG ELUTING STENT W/O AMI PERC CARDIO PROC W/O CORONARY ARTERY STENT OR AMI CERVICAL SPINAL FUSION W CC CERVICAL SPINAL FUSION W/O CC HEART ASSIST SYSTEM IMPLANT (OCT 02) PERCUTNEOUS CARDIOVASULAR PROC W DRUG ELUTING STENT W AMI (APR 03) PERCUTNEOUS CARDIOVASULAR PROC W DRUG ELUTING STENT W/O AMI (APR 03) INTRACRANIAL VASCULAR PROC W PDX HEMORRHAGE (OCT 03) VENTRICULAR SHUNT PROCEDURES W CC (OCT 03) VENTRICULAR SHUNT PROCEDURES W/O CC (OCT 03) SPINAL PROCEDURES W CC (OCT 03) SPINAL PROCEDURES W/O CC (OCT 03) EXTRACRANIAL PROCEDURES W CC (OCT 03) EXTRACRANIAL PROCEDURES W/O CC (OCT 03) CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK (OCT 03) CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK (OCT 03) 537 538 539 540 541 542 543 LOCAL EXCIS & REMOV OF INT FIX DEV EXCEPT HIP & FEMUR W CC (OCT 03) LOCAL EXCIS & REMOV OF INT FIX DEV EXCEPT HIP & FEMUR W/O CC (OCT 03) LYMPHOMA & LEUKEMIA W MAJOR OR PROCEDURE W CC (OCT 03) LYMPHOMA & LEUKEMIA W MAJOR OR PROCEDURE W/O CC (OCT 03) TRACH W MV 96+HRS OR PDX EXC FACE, MTH, FACE & NECK DX W/MAJ OR (OCT 04) TRACH W MV 96+HRS OR PDX EXC FACE, MTH, FACE & NECK DX W/O MJ OR (OCT 04) CRANIOTOMY WITH IMPLANTATION OF CHEMOTHERAPEUTIC AGENT OR ACUTE COMPLEX CENTRAL NERVOUS SYSTEM PRINCIPAL DIAGNOSIS (OCT 04) MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY (OCT 05) REVISION OF HIP OR KNEE REPLACEMENT (OCT 05) SPINAL FUSION EXC CERV WITH CURVATURE OF THE SPINE OR MALIG (OCT 05) CORONARY BYPASS W CARDIAC CATH W MAJOR CV DX (OCT 05) CORONARY BYPASS W CARDIAC CATH W/O MAJOR CV DX (OCT 05) CORONARY BYPASS W/O CARDIAC CATH W MAJOR CV DX CORONARY BYPASS W/O CARDIAC CATH W/O MAJOR CV DX (OCT 05) PERMANENT CARDIAC PACEMAKER IMPL W MAJ CV DX OR AICD LEAD OR GNRTR (OCT 05) OTHER PERMANENT CARDIAC PACEMAKER IMPLANT W/O MAJOR CV DX (OCT 05) OTHER VASCULAR PROCEDURES W CC W MAJOR CV DX (OCT 05) OTHER VASCULAR PROCEDURES W CC W/O MAJOR CV DX (OCT 05) PERCUTANEOUS CARDIOVASCULAR PROC W MAJOR CV DX (OCT 05) PERCUTANEOUS CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MAJ CV DX (OCT 05) PERCUTANEOUS CARDIOVASCULAR PROC W DRUG-ELUTING STENT W MAJOR CV DX (OCT 05) PERCUTANEOUS CARDIOVASCULAR PROC W DRUG-ELUTING STENT W/O MAJ CV DX (OCT 05)
544 545 546 547 548 549 550 551 552 553 554 555 556 557 558
* No longer valid in FY2005
B-5
Appendix C: ICD-9-CM Trauma Diagnosis Codes
C.

These codes are used by the following PSIs: PSI Death in Low-Mortality DRGs (PSI 2) - Page 3 Failure to Rescue (PSI 4) - Page 7 Postoperative Hip Fracture (PSI 8) - Page 22 How Used Denominator exclusion - Page 5 FTR 1 Denominator exclusion - Page 7 FTR 5 Denominator exclusion - Page 12 FTR 6 Denominator exclusion - Page 14 Denominator exclusion - Page 22
In the table above, control-click (Word) or click (PDF) the PSI name to go to the start of that detailed definition. Click the link in the How Used column to go to where the ICD-9-CM trauma diagnosis codes are referenced within the PSI detailed definition. ICD-9-CM Trauma diagnosis codes (includes 4th and 5th digits), New codes are listed through 5th digit:
800 801 802 803 804 805 806 807 808 809 810 811 812 813 814 815 817 818 819 820 821 822 823 824 825 827 828 829 830 831 832 833 835 836 837 838 839 850 85011 FRACTURE OF VAULT OF SKULL FRACTURE OF BASE OF SKULL FRACTURE OF FACE BONES OTHER AND UNQUALIFIED SKULL FRACTURES MULTIPLE FRACTURES INVOLVING SKULL OR FACE W/ OTHER BONES FRACTURE OF VERTEBRAL COLUMN W/O MENTION OF SPINAL CORD INJURY FRACTURE OF VERTEBRAL COLUMN W/ SPINAL CORD INJURY FRACTURE OF RIB[S] STERNUM, LARYNX, AND TRACHEA FRACTURE OF PELVIS ILL-DEFINED FRACTURES OF BONES OF TRUNK FRACTURE OF CLAVICLE FRACTURE OF SCAPULA FRACTURE OF HUMERUS FRACTURE OF RADIUS AND ULNA FRACTURE OF CARPAL BONE[S] FRACTURE OF METACARPAL BONE[S] MULTIPLE FRACTURE OF HAND BONES ILL-DEFINED FRACTURES OF UPPER LIMB MULTIPLE FRACTURES INVOLVING BOTH UPPER LIMBS, AND UPPER LIMB W/ RIB AND STERNUM FRACTURE OF NECK OF FEMUR FRACTURE OF OTHER AND UNSPECIFIED PARTS OF FEMUR FRACTURE OF PATELLA FRACTURE OF TIBIA AND FIBULA FRACTURE OF ANKLE FRACTURE OF ONE OR MORE TARSAL AND METATARSAL BONES OTHER, MULTIPLE, AND ILL-DEFINED FRACTURES OF LOWER LIMB MULTIPLE FRACTURES INVOLVING BOTH LOWER LIMBS, LOWER W/ UPPER LIMB, AND LOWER LIMB W/ RIB AND STERNUM FRACTURE OF UNSPECIFIED BONES DISLOCATION OF JAW DISLOCATION OF SHOULDER DISLOCATION OF ELBOW DISLOCATION OF WRIST DISLOCATION OF HIP DISLOCATION OF KNEE DISLOCATION OF ANKLE DISLOCATION OF FOOT OTHER, MULTIPLE, AND ILL-DEFINED DISLOCATIONS CONCUSSION CONCUSSION W/ BRIEF COMA <31 MINUTES (OCT 03)
C-1

85012 851 852 853 854 860 861 862 863 864 865 866 867 868 869 870 871 872 873 874 875 876 877 878 879 880 881 882 884 887 890 891 892 894 896 897 900 901 902 903 904 925 926 927 928 929 940 941 942 943 944 945 946 947 948 949 952 953 958 CONCUSSION W/ BRIEF COMA 31-59 MINUTES (OCT 03) CEREBRAL LACERATION AND CONTUSION SUBARACHNOID, SUBDURAL, AND EXTRADURAL HEMORRHAGE, FOLLOWING INJURY OTHER AND UNSPECIFIED INTRACRANIAL HEMORRHAGE FOLLOWING INJURY INTRACRANIAL INJURY OF OTHER AND UNSPECIFIED NATURE TRAUMATIC PNEUMOTHORAX INJURY TO HEART AND LUNG INJURY TO OTHER AND UNSPECIFIED INTRATHORACIC ORGANS INJURY TO GASTROINTESTINAL TRACT INJURY TO LIVER INJURY TO SPLEEN INJURY TO KIDNEY INJURY TO PELVIC ORGANS INJURY TO OTHER INTRA-ABDOMINAL ORGANS INTERNAL INJURY TO UNSPECIFIED OR ILL-DEFINED ORGANS OPEN WOUND OF OCULAR ADNEXA OPEN WOUND OF EYEBALL OPEN WOUND OF EAR OTHER OPEN WOUND OF HEAD OPEN WOUND OF NECK OPEN WOUND OF CHEST [WALL] OPEN WOUND OF BACK OPEN WOUND OF BUTTOCK OPEN WOUND OF GENITAL ORGANS [EXTERNAL] INCLUDING TRAUMATIC AMPUTATION OPEN WOUND OF OTHER AND UNSPECIFIED SITES, EXCEPT LIMBS OPEN WOUND OF SHOULDER AND UPPER ARM OPEN WOUND OF ELBOW, FOREARM, AND WRIST OPEN WOUND OF HAND EXCEPT FINGER ALONE MULTIPLE AND UNSPECIFIED OPEN WOUND OF UPPER LIMB TRAUMATIC AMPUTATION OF ARM AND HAND (COMPLETE) (PARTIAL) OPEN WOUND OF HIP AND THIGH OPEN WOUND OF KNEE, LEG (EXCEPT THIGH) AND ANKLE OPEN WOUND OF FOOT EXCEPT TOE ALONE MULTIPLE AND UNSPECIFIED OPEN WOUND OF LOWER LIMB TRAUMATIC AMPUTATION OF FOOT (COMPLETE) (PARTIAL) TRAUMATIC AMPUTATION OF LEG[S] (COMPLETE) (PARTIAL) INJURY TO BLOOD VESSELS OF HEAD AND NECK INJURY TO BLOOD VESSELS OF THORAX INJURY TO BLOOD VESSELS OF ABDOMEN AND PELVIS INJURY TO BLOOD VESSELS OF UPPER EXTREMITY INJURY TO BLOOD VESSELS OF LOWER EXTREMITY AND UNSPECIFIED SITES CRUSHING INJURY OF FACE, SCALP, AND NECK CRUSHING INJURY OF TRUNK CRUSHING INJURY OF UPPER LIMB CRUSHING INJURY OF LOWER LIMB CRUSHING INJURY OF MULTIPLE AND UNSPECIFIED SITES BURN CONFINED TO EYE AND ADNEXA BURN OF FACE, HEAD, AND NECK BURN OF TRUNK BURN OF UPPER LIMB, EXCEPT WRIST AND HAND BURN OF WRIST[S] AND HAND[S] BURN OF LOWER LIMB[S] BURNS OF MULTIPLE SPECIFIED SITES BURN OF INTERNAL ORGANS BURNS CLASSIFIED ACCORDING TO EXTENT OF BODY SURFACE INVOLVED BURN, UNSPECIFIED SPINAL CHORD INJURY W/O EVIDENCE OF SPINAL BONE INJURY INJURY TO NERVE ROOTS AND SPINAL PLEXUS CERTAIN EARLY COMPLICATIONS OF TRAUMA
C-2
Appendix D: ICD-9-CM Codes for Immunocompromised States
D.

These codes are used by the following PSIs: PSI Death in Low-Mortality DRGs (PSI 2) - Page 3 Failure to Rescue (PSI 4) - Page 7 Selected Infections Due to Medical Care, Secondary Diagnosis Field (PSI 7 and 23) - Page 21 Postoperative Sepsis (PSI 13) - Page 31 Postoperative Wound Dehiscence, Secondary Diagnosis Field (PSI 14 and 24)) - Page 32 How Used Denominator exclusion - Page 5 FTR 3 Denominator exclusion - Page 10 FTR 4 Denominator exclusion - Page 10 Denominator exclusion - Page 21 Denominator exclusion - Page 31 Denominator exclusion - Page 32
In the table above, control-click (Word) or click (PDF) the PSI name to go to the start of that detailed definition. Click the link in the How Used column to go to where the immunocompromised states are referenced within the PSI detailed definition. ICD-9-CM Immunocompromised States diagnosis codes:
042 1363 260 261 262 27900 27901 27902 27903 27904 27905 27906 27909 27910 27911 27912 27913 27919 2792 2793 2794 2798 2799 2880 2881 2882 40301 HUMAN IMMUNODEFICIENCY VIRUS DISEASE PNEUMOCYSTOSIS KWASHIORKOR (OCT 05) NUTRITIONAL MARASMUS (OCT 05) OTH SEVERE MALNUTRITION (OCT 05) HYPOGAMMAGLOBULINEM NOS SELECTIVE IGA IMMUNODEF SELECTIVE IGM IMMUNODEF SELECTIVE IG DEFIC NEC CONG HYPOGAMMAGLOBULINEM IMMUNODEFIC W HYPER-IGM COMMON VARIABL IMMUNODEF HUMORAL IMMUNITY DEF NEC IMMUNDEF T-CELL DEF NOS DIGEORGES SYNDROME WISKOTT-ALDRICH SYNDROME NEZELOFS SYNDROME DEFIC CELL IMMUNITY NOS COMBINED IMMUNITY DEFICIENCY UNSPECIFIED IMMUNITY DEFICIENCY AUTOIMMUNE DISEASE, NOT ELSEWHERE CLASSIFIED OTHER SPECIFIED DISORDERS INVOLVING THE IMMUNE MECHANISM UNSPECIFIED DISORDER OF IMMUNE MECHANISM AGRANULOCYTOSIS (OCT 05) FUNCTION DIS NEUTROPHILS (OCT 05) GENETIC ANOMALY LEUKOCYT (OCT 05) MAL HYP KIDNEY W CHR KID (OCT 05) 40311 40391 40402 40403 40412 40413 40492 40493 5793 585 5855 5856 5859 9968 99680 99681 99682 99683 99684 99685 99686 99687 99689 V420 V421 V426 V427 V428 V4281 BEN HYP KIDNEY W CHR KID (OCT 05) HYP KIDNEY NOS W CHR KID (OCT 05) MAL HY HRT/KID W CHR KID (OCT 05) MAL HYP HRT/KID W HF/KID (OCT 05) BEN HYP HT/KID W CHR KID (OCT 05) BEN HYP HT/KID W HF/KID (OCT 05) HYP HT/KID NOS W CHR KID (OCT 05) HYP HRT/KID NOS W HF/KID (OCT 05) INTEST POSTOP NONABSORB (OCT 05) CHRONIC KIDNEY DISEASE (OCT 05) CHRON KIDNEY DIS STAGE V (OCT 05) END STAGE RENAL DISEASE (OCT 05) CHRONIC KIDNEY DIS NOS (OCT 05) COMPLICATIONS OF TRANSPLANTED ORGAN COMP ORGAN TRANSPLNT NOS COMPL KIDNEY TRANSPLANT COMPL LIVER TRANSPLANT COMPL HEART TRANSPLANT COMPL LUNG TRANSPLANT COMPL MARROW TRANSPLANT COMPL PANCREAS TRANSPLNT COMP INTESTINE TRANSPLNT COMP OTH ORGAN TRANSPLNT KIDNEY REPLACED BY TRANSPLANT HEART REPLACED BY TRANSPLANT LUNG REPLACED BY TRANSPLANT LIVER REPLACED BY TRANSPLANT OTHER SPECIFIED ORGAN OR TISSUE BONE MARROW SPECIFIED BY TRANSPLANT
D-1

V4282 V4283 V4284 V4289 PERIPHERAL STEM CELLS REPLACED BY TRANSPLANT PANCREAS REPLACED BY TRANSPLANT INTESTINES REPLACE BY TRANSPLANT OTHER REPLACED BY TRANSPLANT V451 V560 V561 V562 RENAL DIALYSIS STATUS (OCT 05) RENAL DIALYSIS ENCOUNTER (OCT 05) FT/ADJ XTRCORP DIAL CATH (OCT 05) FIT/ADJ PERIT DIAL CATH (OCT 05)
ICD-9-CM Immunocompromised States procedure codes: 0018 335 3350 3351 3352 336 375 3751 410 4100 4101 4102 4103 4104 INFUS IMMUNOSUP ANTIBODY (OCT 05) LUNG TRANSPLANTATION LUNG TRANSPLANTATION, NOS UNILATERAL LUNG TRANSPLANTATION BILATERAL LUNG TRANSPLANTATION COMBINED HEART-LUNG TRANSPLANTATION HEART TRANSPLANTATION HEART TRANSPLANTATION (OCT 03) OPERATIONS ON BONE MARROW AND SPLEEN BONE MARROW TRANSPLANT, NOS AUTOLOGOUS BONE MARROW TRANSPLANT W/O PURGING ALLOGENEIC BONE MARROW TRANSPLANT W/ PURGING ALLOGENEIC BONE MARROW TRANSPLANT W/O PURGING AUTOLOGOUS HEMATOPOIETIC STEM CELL TRANSPLANT W/O PURGING 4105 4106 4107 4108 4109 5051 5059 5280 5281 5282 5283 5285 5286 5569 ALLOGENEIC HEMATOPOIETIC STEM CELL TRANSPLANT W/O PURGING CORD BLOOD STEM CELL TRANSPLANT AUTOLOGOUS HEMATOPOIETIC STEM CELL TRANSPLANT W/ PURGING ALLOGENEIC HEMATOPOIETIC STEM CELL TRANSPLANT W/ PURGING AUTOLOGOUS BONE MARROW TRANSPLANT W/ PURGING AUXILIARY LIVER TRANSPLANT LIVER TRANSPLANT, NEC PANCREATIC TRANSPLANT, NOS REIMPLANTATION OF PANCREATIC TISSUE HOMOTRANSPLANT OF PANCREAS HETEROTRANSPLANT OF PANCREAS ALLOTRANSPLANTATION OF CELLS OF ISLETS OF LANGERHANS TRANSPLANTATION OF CELLS OF ISLETS OF LANGERHANS, NOS OTHER KIDNEY TRANSPLANTATION
D-2
Appendix E: Cancer Codes
E.
Appendix E: Cancer Codes

These codes are used by the following PSIs: PSI Death in Low-Mortality DRGs (PSI 2) - Page 3 Selected Infections Due to Medical Care, Secondary Diagnosis Field (PSI 7 and 23) - Page 21 Postoperative Sepsis (PSI 13) - Page 31 How Used Denominator exclusion - Page 5 Denominator exclusion - Page 21 Denominator exclusion - Page 31
In the table above, control-click (Word) or click (PDF) the PSI name to go to the start of that detailed definition. Click the link in the How Used column to go to where the cancer codes are referenced within the PSI detailed definition. ICD-9-CM Cancer diagnosis codes (includes 4th and 5th digits):
140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 MALIGNANT NEOPLASM OF LIP MALIGNANT NEOPLASM OF TONGUE MALIGNANT NEOPLASM OF MAJOR SALIVARY GLANDS MALIGNANT NEOPLASM OF GUM MALIGNANT NEOPLASM OF FLOOR OF MOUTH MALIGNANT NEOPLASM OF OTHER AND UNSPECIFIED PARTS OF MOUTH MALIGNANT NEOPLASM OF OROPHARYNX MALIGNANT NEOPLASM OF NASOPHARYNX MALIGNANT NEOPLASM OF HYPOPHARYNX MALIGNANT NEOPLASM OF OTHER AND ILL-DEFINED SITES WITHIN THE LIP, ORAL CAVITY, AND PHARYNX MALIGNANT NEOPLASM OF ESOPHAGUS MALIGNANT NEOPLASM OF STOMACH MALIGNANT NEOPLASM OF SMALL INTESTINE, INCLUDING DUODENUM MALIGNANT NEOPLASM OF COLON MALIGNANT NEOPLASM OF RECTUM, RECTOSIGMOID JUNCTION, AND ANUS MALIGNANT NEOPLASM OF LIVER AND INTRAHEPATIC BILE DUCTS MALIGNANT NEOPLASM OF GALLBLADDER AND EXTRAHEPATIC BILE DUCTS MALIGNANT NEOPLASM OF PANCREAS MALIGNANT NEOPLASM OF RETROPERITONEUM AND PERITONEUM MALIGNANT NEOPLASM OF OTHER AND ILL-DEFINED SITES WITHIN THE DIGESTIVE ORGANS AND PERITONEUM MALIGNANT NEOPLASM OF NASAL CAVITIES, MIDDLE EAR, AND ACCESSORY SINUSES MALIGNANT NEOPLASM OF LARYNX 162 163 164 165 MALIGNANT NEOPLASM OF TRACHEA, BRONCHUS, AND LUNG MALIGNANT NEOPLASM OF PLEURA MALIGNANT NEOPLASM OF THYMUS, HEART, AND MEDIASTINUM MALIGNANT NEOPLASM OF OTHER AND ILL-DEFINED SITES WITHIN THE RESPIRATORY SYSTEM AND INTRATHORACIC ORGANS MALIGNANT NEOPLASM OF BONE AND ARTICULAR CARTILAGE MALIGNANT NEOPLASM OF CONNECTIVE AND OTHER SOFT TISSUE MALIGNANT MELANOMA OF SKIN MALIGNANT NEOPLASM OF FEMALE BREAST MALIGNANT NEOPLASM OF MALE BREAST KARPOSIS SARCOMA MALIGNANT NEOPLASM OF UTERUS, PART UNSPECIFIED MALIGNANT NEOPLASM OF CERVIX UTERI MALIGNANT NEOPLASM OF PLACENTA MALIGNANT NEOPLASM OF BODY OF UTERUS MALIGNANT NEOPLASM OF OVARY AND OTHER UTERINE ADNEXA MALIGNANT NEOPLASM OF OTHER AND UNSPECIFIED FEMALE GENITAL ORGANS MALIGNANT NEOPLASM OF PROSTATE MALIGNANT NEOPLASM OF TESTES MALIGNANT NEOPLASM OF PENIS AND OTHER MALE GENITAL ORGANS MALIGNANT NEOPLASM OF BLADDER MALIGNANT NEOPLASM OF KIDNEY AND OTHER AND UNSPECIFIED URINARY ORGANS MALIGNANT NEOPLASM OF EYE MALIGNANT NEOPLASM OF BRAIN
170 171 172 174 175 176 179 180 181 182 183 184 185 186 187 188 189 190 191
E-1
Appendix F: Medical Discharge DRGs

192 193 194 195 196 197 198 199 MALIGNANT NEOPLASM OF OTHER AND UNSPECIFIED PARTS OF NERVOUS SYSTEM MALIGNANT NEOPLASM OF THYROID GLAND MALIGNANT NEOPLASM OF OTHER ENDOCRINE GLANDS AND RELATED STRUCTURES MALIGNANT NEOPLASM OF OTHER, AND ILL-DEFINED SITES SECONDARY AND UNSPECIFIED MALIGNANT NEOPLASM OF LYMPH NODES SECONDARY MALIGNANT NEOPLASM OF RESPIRATORY AND DIGESTIVE SYSTEMS SECONDARY MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES MALIGNANT NEOPLASM W/O SPECIFICATION OF SITE 200 201 202 203 204 205 206 207 208 2386 2733 LYMPHOSARCOMA AND RETICULOSARCOMA HODGKINS DISEASE OTHER MALIGNANT NEOPLASMS OF LYMPHOID AND HISTIOCYTIC TISSUES MULTIPLE MYELOMA AND IMMUNOPROLIFERATIVE NEOPLASMS LYMPHOID LEUKEMIA MYELOID LEUKEMIA MONOCYTIC LEUKEMIA OTHER SPECIFIED LEUKEMIA LEUKEMIA OF UNSPECIFIED CELL TYPE NEOPLASM OF UNCERTAIN BEHAVIOR OF OTHER AND UNSPECIFIED SITES AND TISSUES, PLASMA CELLS MACROGLOBULINEMIA
Personal history of malignant neoplasm:

V1000 V1001 V1002 V1003 V1004 V1005 V1006 V1007 V1009 V1011 V1012 V1020 V1021 V1022 V1029 V103 V1040 V1041 V1042 V1043 V1044 V1045 V1046 V1047 V1048 GASTROINTESTINAL TRACT, UNSPECIFIED TONGUE OTHER AND UNSPECIFIED ORAL CAVITY AND PHARYNX ESOPHAGUS STOMACH LARGE INTESTINE RECTUM, RECTOSIGMOID JUNCTION, AND ANUS LIVER OTHER BRONCHUS AND LUNG TRACHEA RESPIRATORY ORGAN, UNSPECIFIED LARYNX NASAL CAVITIES, MIDDLE EAR, AND ACCESSORY SINUSES OTHER RESPIRATORY AND INTRATHORACIC ORGANS, OTHER BREAST FEMALE GENITAL ORGAN, UNSPECIFIED CERVIX UTERI OTHER PARTS OF UTERUS OVARY OTHER FEMALE GENITAL ORGANS MALE GENITAL ORGAN, UNSPECIFIED PROSTATE TESTES EPIDIDYMIS V1049 V1050 V1051 V1052 V1053 V1059 V1060 V1061 V1062 V1063 V1069 V1071 V1072 V1079 V1081 V1082 V1083 V1084 V1085 V1086 V1087 V1088 V1089 V109 OTHER MALE GENITAL ORGANS URINARY ORGAN, UNSPECIFIED BLADDER KIDNEY RENAL PELVIS URINARY ORGANS, OTHER LEUKEMIA, UNSPECIFIED LYMPHOID LEUKEMIA MYELOID LEUKEMIA MONOCYTIC LEUKEMIA LEUKEMIA, OTHER LYMPHOSARCOMA AND RETICULOSARCOMA HODGKINS DISEASE OTHER LYMPHATIC AND HEMATOPOIETIC NEOPLASMS, OTHER BONE MALIGNANT MELANOMA OF SKIN OTHER MALIGNANT NEOPLASM OF SKIN EYE BRAIN OTHER PARTS OF NERVOUS SYSTEM THYROID OTHER ENDOCRINE GLANDS AND RELATED STRUCTURES OTHER UNSPECIFIED PERSONAL HISTORY OF MALIGNANT NEOPLASM
E-2
F.

These codes are used by the following PSIs: PSI Decubitus Ulcer (PSI 3) - Page 5 Foreign Body Left during Procedure, Secondary Diagnosis Field (PSI 5 and 21) - Page 15 Iatrogenic Pneumothorax, Secondary Diagnosis Field (PSI 6 and 22) - Page 16 Selected Infections Due to Medical Care, Secondary Diagnosis Field (PSI 7 and 23) - Page 21 Accidental Puncture or Laceration, Secondary Diagnosis Field (PSI 15 and 25) - Page 39 Transfusion Reaction, Secondary Diagnosis Field (PSI 16 and 26) - Page 39 How Used Denominator inclusion - Page 5 Denominator inclusion - Page 15 Denominator inclusion - Page 16 Denominator inclusion - Page 21 Denominator inclusion - Page 39 Denominator inclusion - Page 40
In the table above, control-click (Word) or click (PDF) the PSI name to go to the start of that detailed definition. Click the link in the How Used column to go to where the medical discharge DRGs are referenced within the PSI detailed definition. Medical Discharge DRGs:
009 010 011 012 013 014 015 016 017 018 019 020 021 022 023 024 025 026 027 SPINAL DISORDERS AND INJURIES NERVOUS SYSTEM NEOPLASMS W/ CC NERVOUS SYSTEM NEOPLASMS W/ CC DEGENERATIVE NERVOUS SYSTEM DISORDERS MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA SPECIFIC CEREBROVASCULAR DISORDERS EXCEPT TRANSIENT ISCHEMIC ATTACK TRANSIENT ISCHEMIC ATTACK AND PRECEREBRAL OCCLUSIONS NONSPECIFIC CEREBROVASCULAR DISORDERS W/ CC NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC CRANIAL AND PERIPHERAL NERVE DISORDERS W/ CC CRANIAL AND PERIPHERAL NERVE DISORDERS W/O CC NERVOUS SYSTEM INFECTION EXCEPT VIRAL MENINGITIS VIRAL MENINGITIS HYPERTENSIVE ENCEPHALOPATHY NONTRAUMATIC STUPOR AND COMA SEIZURE AND HEADACHE, AGE GREATER THAN 17 W/ CC SEIZURE AND HEADACHE, AGE GREATER THAN 17 W/O CC SEIZURE AND HEADACHE, AGE 0-17 TRAUMATIC STUPOR AND COMA, COMA GREATER THAN ONE HOUR 028 029 030 031 032 033 034 035 043 044 045 046 047 048 064 065 066 067 068 TRAUMATIC STUPOR AND COMA, COMA LESS THAN ONE HOUR, AGE GREATER THAN 17 W/ CC TRAUMATIC STUPOR AND COMA, COMA LESS THAN ONE HOUR, AGE GREATER THAN 17 W/O CC TRAUMATIC STUPOR AND COMA, COMA LESS THAN ONE HOUR, AGE 0-17 CONCUSSION, AGE GREATER THAN 17 W/ CC CONCUSSION, AGE GREATER THAN 17 W/O CC CONCUSSION, AGE 0-17 OTHER DISORDERS OF NERVOUS SYSTEM W/ CC OTHER DISORDERS OF NERVOUS SYSTEM W/O CC HYPHEMA ACUTE MAJOR EYE INFECTIONS NEUROLOGICAL EYE DISORDERS OTHER DISORDERS OF THE EYE, AGE GREATER THAN 17 W/ CC OTHER DISORDER OF THE EYE, AGE GREATER THAN 17 W/O CC OTHER DISORDERS OF THE EYE, AGE 017 EAR, NOSE, MOUTH AND THROAT MALIGNANCY DISEQUILIBRIA EPISTAXIS EPIGLOTTITIS OTITIS MEDIA AND URI, AGE GREATER THAN 17 W/ CC
F-1

069 070 071 072 073 074 078 079 080 081 082 083 084 085 086 087 088 089 090 091 092 093 094 095 096 097 098 099 100 101 102 121 122 123 124 OTITIS MEDIA AND URI, AGE GREATER THAN 17 W/O CC OTITIS MEDIA AND URI, AGE 0-17 LARYNGOTRACHEITIS NASAL TRAUMA AND DEFORMITY OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES, AGE GREATER THAN 17 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES, AGE 0-17 PULMONARY EMBOLISM RESPIRATORY INFECTIONS AND INFLAMMATIONS, AGE GREATER THAN 17 W/ CC RESPIRATORY INFECTIONS AND INFLAMMATIONS, AGE GREATER THAN 17 W/O CC RESPIRATORY INFECTIONS AND INFLAMMATIONS, AGE 0-17 RESPIRATORY NEOPLASMS MAJOR CHEST TRAUMA W/ CC MAJOR CHEST TRAUMA W/O CC PLEURAL EFFUSION W/ CC PLEURAL EFFUSION W/O CC PULMONARY EDEMA AND RESPIRATORY FAILURE CHRONIC OBSTRUCTIVE PULMONARY DISEASE SIMPLE PNEUMONIA AND PLEURISY, AGE GREATER THAN 17 W/ CC SIMPLE PNEUMONIA AND PLEURISY, AGE GREATER THAN 17 W/O CC SIMPLE PNEUMONIA AND PLEURISY, AGE 0-17 INTERSTITIAL LUNG DISEASE W/ CC INTERSTITIAL LUNG DISEASE W/O CC PNEUMOTHORAX W/ CC PNEUMOTHORAX W/O CC BRONCHITIS AND ASTHMA, AGE GREATER THAN 17 W/ CC BRONCHITIS AND ASTHMA, AGE GREATER THAN 17 W/O CC BRONCHITIS AND ASTHMA, AGE 0-17 RESPIRATORY SIGNS AND SYMPTOMS W/ CC RESPIRATORY SIGNS AND SYMPTOMS W/O CC OTHER RESPIRATORY SYSTEM DIAGNOSES W/ CC OTHER RESPIRATORY SYSTEM DIAGNOSES W/O CC CIRCULATORY DISORDERS W/ ACUTE MYOCARDIAL INFARCTION AND MAJOR COMPLICATION, DISCHARGED ALIVE CIRCULATORY DISORDERS W/ ACUTE MYOCARDIAL INFARCTION W/O MAJOR COMPLICATION, DISCHARGED ALIVE CIRCULATORY DISORDERS W/ ACUTE MYOCARDIAL INFARCTION, EXPIRED CIRCULATORY DISORDERS EXCEPT ACUTE MYOCARDIAL INFARCTION W/ CARDIAC CATHETERIZATION AND COMPLEX DIAGNOSIS 125 CIRCULATORY DISORDERS EXCEPT ACUTE MYOCARDIAL INFARCTION W/ CARDIAC CATHETERIZATION W/O COMPLEX DIAGNOSIS ACUTE AND SUB ACUTE ENDOCARDITIS HEART FAILURE AND SHOCK DEEP VEIN THROMBOPHLEBITIS CARDIAC ARREST, UNEXPLAINED PERIPHERAL VASCULAR DISORDERS W/ CC PERIPHERAL VASCULAR DISORDERS W/O CC ATHEROSCLEROSIS W/ CC ATHEROSCLEROSIS W/O CC HYPERTENSION CARDIAC CONGENITAL AND VALVULAR DISORDERS, AGE GREATER THAN 17 W/ CC CARDIAC CONGENITAL AND VALVULAR DISORDERS, AGE GREATER THAN 17 W/O CC CARDIAC CONGENITAL AND VALVULAR DISORDERS, AGE 0 - 17 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS W/ CC CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS W/O CC ANGINA PECTORIS SYNCOPE AND COLLAPSE W/ CC SYNCOPE AND COLLAPSE W/O CC CHEST PAIN OTHER CIRCULATORY SYSTEM DIAGNOSES W/ CC OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC DIGESTIVE MALIGNANCY W/ CC DIGESTIVE MALIGNANCY W/O CC GI HEMORRHAGE W/ CC GI HEMORRHAGE W/O CC COMPLICATED PEPTIC ULCER UNCOMPLICATED PEPTIC ULCER W/ CC UNCOMPLICATED PEPTIC ULCER W/O CC INFLAMMATORY BOWEL DISEASE GI OBSTRUCTION W/ CC GI OBSTRUCTION W/O CC ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS, AGE GREATER THAN 17 W/ CC ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS, AGE GREATER THAN 17 W/O CC ESOPHAGITIS, GASTROENTERITIS AND MISCELLANESOU DIGESTIVE DISORDERS, AGE 0-17 DENTAL AND ORAL DISEASES EXCEPT EXTRACTIONS AND RESTORATIONS, AGE GREATER THAN 17 DENTAL AND ORAL DISEASED EXCEPT EXTRACTIONS AND RESTORATIONS, AGE 0-17
126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 172 173 174 175 176 177 178 179 180 181 182
183
184 185 186
F-2

187 188 189 190 202 203 204 205 206 207 208 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 DENTAL EXTRACTIONS AND RESTORATIONS OTHER DIGESTIVE SYSTEM DIAGNOSES, AGE GREATER THAN 17 W/ CC OTHER DIGESTIVE SYSTEM DIAGNOSES, AGE GREATER THAN 17 W/O CC OTHER DIGESTIVE SYSTEM DIAGNOSES, AGE 0-17 CIRRHOSIS AND ALCOHOLIC HEPATITIS MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS DISORDERS OF PANCREAS EXCEPT MALIGNANCY DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS AND ALCOHOLIC HEPATITIS W/ CC DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS AND ALCOHOLIC HEPATITIS W/O CC DISORDERS OF THE BILIARY TRACT W/ CC DISORDERS OF THE BILIARY TRACT W/O CC FRACTURES OF FEMUR FRACTURES OF HIP AND PELVIS SPRAINS, STRAINS AND DISLOCATIONS OF HIP, PELVIS AND THIGH OSTEOMYELITIS PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY CONNECTIVE TISSUE DISORDERS W/ CC CONNECTIVE TISSUE DISORDERS W/O CC SEPTIC ARTHRITIS MEDICAL BACK PROBLEMS BONE DISEASES AND SPECIFIC ARTHROPATHIES W/ CC BONE DISEASES AND SPECIFIC ARTHROPATHIES W/O CC NONSPECIFIC ARTHROPATHIES SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE TENDONITIS, MYOSITIS AND BURSITIS AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE FRACTURES, SPRAINS, STRAINS AND DISLOCATIONS OF FOREARM, HAND AND FOOT, AGE GREATER THAN 17 W/ CC FRACTURES, SPRAINS, STRAINS AND DISLOCATIONS OF FOREARM, HAND AND FOOT, AGE GREATER THAN 17 W/O CC FRACTURES, SPRAINS, STRAINS AND DISLOCATIONS OF FOREARM, HAND AND FOOT, AGE 0-17 FRACTURES, SPRAINS, STRAINS AND DISLOCATIONS OF UPPER ARM AND LOWER LEG EXCEPT FOOT, AGE GREATER THAN 17 W/ CC 254 FRACTURES, SPRAINS, STRAINS AND DISLOCATIONS OF UPPER ARM AND LOWER LEG EXCEPT FOOT, AGE GREATER THAN 17 W/O CC FRACTURES, SPRAINS, STRAINS AND DISLOCATIONS OF UPPER ARM AND LOWER LEG EXCEPT FOOT, AGE 0-17 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES SKIN ULCERS MAJOR SKIN DISORDERS W/ CC MAJOR SKIN DISORDERS W/O CC MALIGNANT BREAST DISORDERS W/ CC MALIGNANT BREAST DISORDERS W/O CC NONMALIGNANT BREAST DISORDERS CELLULITIS, AGE GREATER THAN 17 W/ CC CELLULTIIS, AGE GREATER THAN 17 W/O CC CELLULITIS, AGE 0-17 TRAUMA TO SKIN, SUBCUTANEOUS TISSUE AND BREAST, AGE GREATER THAN 17 W/ CC TRAUMA TO SKIN, SUBCUTANEOUS TISSUE AND BREAST, AGE GREATER THAN 17 W/O CC TRAUMA TO SKIN, SUBCUTANEOUS TISSUE AND BREAST, AGE 0-17 MINOR SKIN DISORDERS W/ CC MINOR SKIN DISORDERS W/O CC DIABETES, AGE GREATER THAN 35 DIABETES, AGE 0-35 NUTRITIONAL AND MISCELLANEOUS METABOLIC DISORDERS, AGE GREATER THAN 17 W/ CC NUTRITIONAL AND MISCELLANEOUS METABOLIC DISORDERS, AGE GREATER THAN 17 W/O CC NUTRITIONAL AND MISCELLANEOUS METABOLIC DISORDERS, AGE 0-17 INBORN ERRORS OF METABOLISM ENDOCRINE DISORDERS W/ CC ENDOCRINE DISORDERS W/O CC RENAL FAILURE ADMISSION FOR RENAL DIALYSIS KIDNEY AND URINARY TRACT NEOPLASMS W/ CC KIDNEY AND URINARY TRACT NEOPLASMS W/O CC KIDNEY AND URINARY TRACT INFECTIONS, AGE GREATER THAN 17 W/ CC KIDNEY AND URINARY TRACT INFECTIONS, AGE GREATER THAN 17 W/O CC KIDNEY AND URINARY TRACT INFECTION, AGE 0-17 URINARY STONES W/ CC AND/ OR ESW LITHOTRIPSY URINARY STONES W/O CC
255 256 271 272 273 274 275 276 277 278 279 280 281 282 283 284 294 295 296 297 298 299 300 301 316 317 318 319 320 321 322 323 324
F-3

325 326 327 328 329 330 331 332 333 346 347 348 349 350 351 352 366 367 368 369 372 373 376 378 379 380 382 383 384 395 396 397 398 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS, AGE GREATER THAN 17 W/ CC KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS, AGE GREATER THAN 17 W/O CC KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS, AGE 0-17 URETHRAL STRICTURE, AGE GREATER THAN 17 W/ CC URETHRAL STRICTURE, AGE GREATER THAN 17 W/O CC URETHRAL STRICTURE, AGE AGE 0-17 OTHER KIDNEY AND URINARY TRACT DIAGNOSES, AGE GREATER THAN 17 W/ CC OTHER KIDNEY AND URINARY TRACT DIAGNOSES, AGE GREATER THAN 17 W/O CC OTHER KIDNEY AND URINARY TRACT DIAGNOSES, AGE 0-17 MALIGNANCY OF MALE REPRODUCTIVE SYSTEM W/ CC MALIGNANCY OF MALE REPRODUCTIVE SYSTEM W/O CC BENIGN PROSTATIC HYPERTROPHY W/ CC BENIGN PROSTATIC HYPERTROPHY W/O CC INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM STERILIZATION, MALE OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES MALIGNANCY OF FEMALE REPRODUCTIVE SYSTEM W/ CC MALIGNANCY OF FEMALE REPRODUCTIVE SYSTEM W/O CC INFECTIONS OF FEMALE REPRODUCTIVE SYSTEM MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS VAGINAL DELIVERY W/ COMPLICATING DIAGNOSES VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES POSTPARTUM AND POSTABORTION DIAGNOSES W/O OR PROCEDURE ENTOPIC PREGNANCY THREATENED ABORTION ABORTION W/O D AND G FALSE LABOR OTHER ANTEPARTUM DIAGNOSES W/ MEDICAL COMPLICATIONS OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIONS RED BLOOD CELL DISORDERS, AGE GREATER THAN 17 RED BLOOD CELL DISORDERS, AGE 0-17 COAGULATION DISORDERS RETICULOENDOTHELIAL AND IMMUNITY DISORDERS W/ CC 399 403 404 405 409 410 411 412 413 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS W/O CC LYMPHOMA AND NONACUTE LEUKEMIA W/ CC LYMPHOMA AND NONACUTE LEUKEMIA W/O CC ACUTE LEUKEMIA W/O MAJOR OR PROCEDURE, AGE 0-17 RADIOTHERAPY CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS HISTORY OF MALIGNANCY W/O ENDOSCOPY HISTORY OF MALIGNANCY W/ ENDOSCOPY OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASM DIAGNOSES W/ CC OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASM DIAGNOSES W/O CC SEPTICEMIA, AGE GREATER THAN 17 SEPTICEMIA, AGE 0-17 POSTOPERATIVE AND POSTTRAUMATIC INFECTIONS FEVER OF UNKNOWN ORIGIN, AGE GREATER THAN 17 W/ CC FEVER OF UNKNOWN ORIGIN, AGE GREATER THAN 17 W/O CC VIRAL ILLNESS, AGE GREATER THAN 17 VIRAL ILLNESS AND FEVER OF UNKNOWN ORIGIN, AGE 0-17 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES ACUTE ADJUSTMENT REACTIONS AND DISTURBANCES OF PSYCHOSOCIAL DYSFUNCTION DEPRESSIVE NEUROSES NEUROSES EXCEPT DEPRESSIVE DISORDERS OF PERSONALITY AND IMPULSE CONTROL ORGANIC DISTURBANCES AND MENTAL RETARDATION PSYCHOSES CHILDHOOD MENTAL DISORDERS OTHER MENTAL DISORDER DIAGNOSES ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE ALCOHOL/DRUG ABUSE OR DEPENDENCE, DETOXIFICATION OR OTHER SYMPTOMATIC TREATMENT W/ CC ALCOHOL/DRUG ABUSE OR DEPENDENCE, DETOXIFICATION OR OTHER SYMPTOMATIC TREATMENT W/O CC ALCOHOL/DRUG DEPENDENCE W/ REHABILITATION THERAPY
414
416 417 418 419 420 421 422 423 425 426 427 428 429 430 431 432 433 434*
435*
436*
F-4

437* 444 445 446 447 448 449 450 451 452 453 454 455 456* 457* 460* 462 463 464 465 ALCOHOL DRUG DEPENDENCE W/ COMBINED REHABILITATION AND DETOXIFICATION THERAPY TRAUMATIC INJURY, AGE GREATER THAN 17 W/ CC TRAUMATIC INJURY, AGE GREATER THAN 17 W/O CC TRAUMATIC INJURY, AGE 0-17 ALLERGIC REACTIONS, AGE GREATER THAN 17 ALLERGIC REACTIONS, AGE 0-17 POISONING AND TOXIC EFFECTS OF DRUGS, AGE GREATER THAN 17 W/ CC POISONING AND TOXIC EFFECTS OF DRUGS, AGE GREATER THAN 17 W/O CC POISONING AND TOXIC EFFECTS OF DRUGS, AGE 0-17 COMPLICATIONS OF TREATMENT W/ CC COMPLICATIONS OF TREATMENT W/O CC OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES W/ CC OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES W/O CC BURNS, TRANSFERRED TO ANOTHER ACUTE CARE FACILITY EXTENSIVE BURNS W/O O.R. PROCEDURE NON-EXTENSIVE BURNS W/O O.R. PROCEDURE REHABILITATION SIGNS AND SYMPTOMS W/ CC SIGNS AND SYMPTOMS W/O CC AFTERCARE W/ HISTORY OF MALIGNANCY AS SECONDARY DIAGNOSIS 466 467 473 475 487 489 490 492 505 508 509 510 511 521 522 523 524 559 AFTERCARE W/O HISTORY OF MALIGNANCY AS SECONDARY DIAGNOSIS OTHER FACTORS INFLUENCING HEALTH STATUS ACUTE LEUKEMIA W/O MAJOR OR PROCEDURE, AGE GREATER THAN 17 RESPIRATORY SYSTEM DIAGNOSIS W/ VENTILATOR SUPPORT OTHER MULTIPLE SIGNIFICANT TRAUMA HIV W/ MAJOR RELATED CONDITION HIV W/ OR W/O OTHER RELATED CONDITION CHEMOTHERAPY W/ ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS EXTENSIVE 3RD DEGREE BURNS W/O SKIN GRAFT FULL THICKNESS BURN W/O SKIN GRFT OR INHAL INJ W CC OR SIG TRAUMA FULL THICKNESS BURN W/O SKIN GRFT OR INH INJ W/O CC OR SIG TRAUMA NON-EXTENSIVE BURNS W CC OR SIGNIFICANT TRAUMA NON-EXTENSIVE BURNS W/O CC OR SIGNIFICANT TRAUMA ALCOHOL/DRUG ABUSE OR DEPENDENCE W CC ALC/DRUG ABUSE OR DEPEND W REHABILITATION THERAPY W/O CC ALC/DRUG ABUSE OR DEPEND W/O REHABILITATION THERAPY W/O CC TRANSIENT ISCHEMIA ACUTE ISCHEMIC STROKE WITH USE OF THROMBOLYTIC AGENT (OCT 05)
* No longer valid in FY2005
F-5
Appendix G: Hemorrhage Diagnosis Codes
G.
Appendix G: Hemorrhage Diagnosis Codes

These codes are used by the following PSIs: PSI Failure to Rescue (PSI 4) - Page 7 Postoperative Physiologic and Metabolic Derangement (PSI 10) - Page 28 How Used FTR 1 Denominator exclusion - Page 7 FTR 5 Denominator exclusion - Page 12 Denominator exclusion - Page 28
In the table above, control-click (Word) or click (PDF) the PSI name to go to the start of that detailed definition. Click the link in the How Used column to go to where the hemorrhage diagnosis codes are referenced within the PSI detailed definition. ICD-9-CM Hemorrhage diagnosis codes:
2851 4590 9582 99811 ACUTE POSTHEMORRHAGIC ANEMIA OTHER DISORDERS OF CIRCULATORY SYSTEM, HEMORRHAGE, UNSPECIFIED CERTAIN EARLY COMPLICATIONS OF TRAUMA, SECONDARY AND RECURRENT HEMORRHAGE HEMORRHAGE COMPLICATING A PROCEDURE
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Appendix H: Shock Diagnosis Codes
H.

These codes are used by the following PSIs: PSI Failure to Rescue (PSI 4) - Page 7 Postoperative Physiologic and Metabolic Derangement (PSI 10) - Page 28 How Used FTR 1 Denominator exclusion - Page 12 Denominator exclusion - Page 28
In the table above, control-click (Word) or click (PDF) the PSI name to go to the start of that detailed definition. Click the link in the How Used column to go to where the shock diagnosis codes are referenced within the PSI detailed definition. ICD-9-CM Shock diagnosis codes:
63450 63451 63452 63550 63551 63552 63650 63651 63652 63750 63751 63752 6385 6395 66910 66911 66912 66913 66914 7855 78550 78551 78552 78559 9950 9954 9980 9994 SPONTANEOUS ABORTION W/ SHOCK - UNSPECIFIED SPONTANEOUS ABORTION W/ SHOCK - INCOMPLETE SPONTANEOUS ABORTION W/ SHOCK - COMPLETE LEGAL ABORTION W/ SHOCK - UNSPECIFIED LEGAL ABORTION W/ SHOCK - INCOMPLETE LEGAL ABORTION W/ SHOCK - COMPLETE ILLEGAL ABORTION W/ SHOCK - UNSPECIFIED ILLEGAL ABORTION W/ SHOCK - INCOMPLETE ILLEGAL ABORTION W/ SHOCK - COMPLETE ABORTION NOS W/ SHOCK - UNSPECIFIED ABORTION NOS W/ SHOCK - INCOMPLETE ABORTION NOS W/ SHOCK - COMPLETE ATTEMPTED ABORTION W/ SHOCK COMPLICATIONS FOLLOWING ABORTION AND ECTOPIC AND MOLAR PREGNANCIES, SHOCK SHOCK DURING OR FOLLOWING LABOR AND DELIVERY, UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE SHOCK DURING OR FOLLOWING LABOR AND DELIVERY, DELIVERED W/ OR W/O MENTION OF ANTEPARTUM CONDITION SHOCK DURING OR FOLLOWING LABOR AND DELIVERY, DELIVERED W/ MENTION OF POSTPARTUM COMPLICATION SHOCK DURING OR FOLLOWING LABOR AND DELIVERY, ANTEPARTUM CONDITION OR COMPLICATION SHOCK DURING OR FOLLOWING LABOR AND DELIVERY, POSTPARTUM CONDITION OR COMPLICATION SHOCK W/O MENTION OF TRAUMA SHOCK, UNSPECIFIED CARDIOGENIC SHOCK SEPTIC SHOCK (OCT 03) SHOCK W/O MENTION OF TRAUMA, OTHER OTHER ANAPHYLACTIC SHOCK SHOCK DUE TO ANESTHESIA POSTOPERATIVE SHOCK ANAPHYLACTIC SHOCK, DUE TO SERUM
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Appendix I: ICD-9-CM Gastrointestinal (GI) Hemorrhage Diagnosis Codes
I.
Appendix I: ICD-9-CM Gastrointestinal (GI) Hemorrhage Diagnosis Codes

These codes are used by the following PSIs: PSI Failure to Rescue (PSI 4) - Page 1 Postoperative Physiologic and Metabolic Derangement (PSI 10) - Page 28 How Used FTR 1 Denominator exclusion - Page 7 FTR 5 Denominator exclusion - Page 12 Denominator exclusion - Page 28
In the table above, control-click (Word) or click (PDF) the PSI name to go to the start of that detailed definition. Click the link in the How Used column to go to where the GI hemorrhage diagnosis codes are referenced within the PSI detailed definition. ICD-9-CM Gastrointestinal (GI) Hemorrhage diagnosis codes:
4560 45620 5307 53082 53100 53101 53120 53121 53140 53141 53160 ESOPHAGEAL VARICES W/ BLEEDING ESOPHAGEAL VARICES IN DISEASES CLASSIFIED ELSEWHERE W/ BLEEDING GASTROESOPHAGEAL LACERATION HEMORRHAGE SYNDROME ESOPHAGEAL HEMORRHAGE GASTRIC ULCER ACUTE W/ HEMORRHAGE W/O MENTION OF OBSTRUCTION GASTRIC ULCER ACUTE W/ HEMORRHAGE W/ OBSTRUCTION GASTRIC ULCER ACUTE W/ HEMORRHAGE AND PERFORATION W/O MENTION OF OBSTRUCTION GASTRIC ULCER ACUTE W/ HEMORRHAGE AND PERFORATION W/ OBSTRUCTION GASTRIC ULCER CHRONIC OR UNSPECIFIED W/ HEMORRHAGE W/O MENTION OF OBSTRUCTION GASTRIC ULCER CHRONIC OR UNSPECIFIED W/ HEMORRHAGE W/ OBSTRUCTION GASTRIC ULCER CHRONIC OR UNSPECIFIED W/ HEMORRHAGE AND PERFORATION W/O MENTION OF OBSTRUCTION GASTRIC ULCER CHRONIC OR UNSPECIFIED W/ HEMORRHAGE AND PERFORATION W/ OBSTRUCTION DUODENAL ULCER ACUTE W/ HEMORRHAGE W/O MENTION OF OBSTRUCTION DUODENAL ULCER ACUTE W/ HEMORRHAGE W/ OBSTRUCTION DUODENAL ULCER ACUTE W/ HEMORRHAGE AND PERFORATION W/O MENTION OF OBSTRUCTION 53221 53240 53241 53260 DUODENAL ULCER ACUTE W/ HEMORRHAGE AND PERFORATION W/ OBSTRUCTION DUODENAL ULCER CHRONIC OR UNSPECIFIED W/ HEMORRHAGE W/O MENTION OF OBSTRUCTION DUODENAL ULCER CHRONIC OR UNSPECIFIED W/ HEMORRHAGE W/ OBSTRUCTION DUODENAL ULCER CHRONIC OR UNSPECIFIED W/ HEMORRHAGE AND PERFORATION W/O MENTION OF OBSTRUCTION DUODENAL ULCER CHRONIC OR UNSPECIFIED W/ HEMORRHAGE AND PERFORATION W/ OBSTRUCTION PEPTIC ULCER, SITE UNSPECIFIED, ACUTE W/ HEMORRHAGE W/O MENTION OF OBSTRUCTION PEPTIC ULCER, SITE UNSPECIFIED, ACUTE W/ HEMORRHAGE W/ OBSTRUCTION PEPTIC ULCER, SITE UNSPECIFIED, ACUTE W/ HEMORRHAGE AND PERFORATION W/O MENTION OF OBSTRUCTION PEPTIC ULCER, SITE UNSPECIFIED, ACUTE W/ HEMORRHAGE AND PERFORATION W/ OBSTRUCTION PEPTIC ULCER, SITE UNSPECIFIED, CHRONIC OR UNSPECIFIED W/ HEMORRHAGE W/O MENTION OF OBSTRUCTION PEPTIC ULCER, SITE UNSPECIFIED, CHRONIC OR UNSPECIFIED W/ HEMORRHAGE W/ OBSTRUCTION PEPTIC ULCER, SITE UNSPECIFIED, CHRONIC OR UNSPECIFIED W/ HEMORRHAGE AND PERFORATION W/O MENTION OF OBSTRUCTION
53261 53300 53301 53320
53321 53340
53161 53200 53201 53220
53341 53360
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53361 PEPTIC ULCER, SITE UNSPECIFIED, CHRONIC OR UNSPECIFIED W/ HEMORRHAGE AND PERFORATION W/ OBSTRUCTION GASTROJEJUNAL ULCER, ACUTE W/ HEMORRHAGE W/O MENTION OF OBSTRUCTION GASTROJEJUNAL ULCER, ACUTE W/ HEMORRHAGE W/ OBSTRUCTION GASTROJEJUNAL ULCER, ACUTE W/ HEMORRHAGE AND PERFORATION W/O MENTION OF OBSTRUCTION GASTROJEJUNAL ULCER, ACUTE W/ HEMORRHAGE AND PERFORATION W/ OBSTRUCTION GASTROJEJUNAL ULCER, CHRONIC OR UNSPECIFIED W/ HEMORRHAGE W/O MENTION OF OBSTRUCTION GASTROJEJUNAL ULCER, CHRONIC OR UNSPECIFIED W/ HEMORRHAGE W/ OBSTRUCTION GASTROJEJUNAL ULCER, CHRONIC OR UNSPECIFIED W/ HEMORRHAGE AND PERFORATION W/O MENTION OF OBSTRUCTION GASTROJEJUNAL ULCER, CHRONIC OR UNSPECIFIED W/ HEMORRHAGE AND PERFORATION W/ OBSTRUCTION GASTRITIS AND DUODENITIS, ACUTE GASTRITIS W/ HEMORRHAGE GASTRITIS AND DUODENITIS, ATROPHIC GASTRITIS W/ HEMORRHAGE GASTRITIS AND DUODENITIS, GASTRIC MUCOSAL HYPERTROPHY, W/ HEMORRHAGE GASTRITIS AND DUODENITIS, ALCOHOLIC GASTRITIS, W/ HEMORRHAGE 53541 53551 53561 53783 GASTRITIS AND DUODENITIS, OTHER SPECIFIED GASTRITIS W/ HEMORRHAGE GASTRITIS AND DUODENITIS, UNSPECIFIED GASTRITIS AND GASTRODUODENITIS W/ HEMORRHAGE GASTRITIS AND DUODENITIS, DUODENITIS W/ HEMORRHAGE OTHER SPECIFIED DISORDERS OF STOMACH AND DUODENUM, ANGIODYSPLASIA OF STOMACH AND DUODENUM W/ HEMORRHAGE DIEULAFOY LESION (HEMORRHAGIC) OF STOMACH AND DUODENUM DIVERTICULOSIS OF SMALL INTESTINE W/ HEMORRHAGE DIVERTICULITIS OF SMALL INTESTINE W/ HEMORRHAGE DIVERTICULOSIS OF COLON W/ HEMORRHAGE DIVERTICULITIS OF COLON W/ HEMORRHAGE HEMORRHAGE OF RECTUM AND ANUS ANGIODYSPLASIA OF INTESTINE - W/ HEMORRHAGE DIEULAFOY LESION (HEMORRHAGIC) OF INTESTINE GASTROINTESTINAL HEMORRHAGE, HEMATEMESIS GASTROINTESTINAL HEMORRHAGE, BLOOD IN STOOL GASTROINTESTINAL HEMORRHAGE, HEMORRHAGE OF GASTROINTESTINAL TRACT, UNSPECIFIED
53400 53401 53420 53421 53440 53441 53460
53784 56202 56203 56212 56213 5693 56985 56986 5780 5781 5789
53461 53501 53511 53521 53531
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Appendix J: Trauma DRGs
J.
Appendix J: Trauma DRGs

These codes are used by the following PSIs: PSI Failure to Rescue (PSI 4) - Page 7 Iatrogenic Pneumothorax, Secondary Diagnosis Field (PSI 6 and 22) - Page 16 How Used FTR 1 Denominator exclusion FTR 5 Denominator exclusion FTR 6 Denominator exclusion Denominator exclusion
In the table above, control-click (Word) or click (PDF) the PSI name to go to the start of that detailed definition. Click the link in the How Used column to go to where the trauma DRGs are referenced within the PSI detailed definition.
002 027 028 029 030 031 032 033 072 083 084 235 236 237 440 441 442 443 444 445 446 456* CRANIOTOMY FOR TRAUMA, AGE GREATER THAN 17 TRAUMATIC STUPOR AND COMA, COMA GREATER THAN ONE HOUR TRAUMATIC STUPOR AND COMA, COMA LESS THAN ONE HOUR, AGE GREATER THAN 17 W/ CC TRAUMATIC STUPOR AND COMA, COMA LESS THAN ONE HOUR, AGE GREATER THAN 17 W/O CC TRAUMATIC STUPOR AND COMA, COMA LESS THAN ONE HOUR, AGE 0-17 CONCUSSION, AGE GREATER THAN 17 W/ CC CONCUSSION, AGE GREATER THAN 17 W/O CC CONCUSSION, AGE 0-17 NASAL TRAUMA AND DEFORMITY MAJOR CHEST TRAUMA W/ CC MAJOR CHEST TRAUMA W/O CC FRACTURES OF FEMUR FRACTURE OF HIP AND PELVIS SPRAINS, STRAINS AND DISLOCATIONS OF HIP, PELVIS AND THIGH WOUND DEBRIDEMENTS FOR INJURIES HAND PROCEDURES FOR INJURIES OTHER OR PROCEDURES FOR INJURIES W/ CC OTHER OR PROCEDURES FOR INJURIES W/O CC TRAUMATIC INJURY, AGE GREATER THAN 17 W/ CC TRAUMATIC INJURY, AGE GREATER THAN 17 W/O CC TRAUMATIC INJURY, AGE 0-17 BURNS, TRANSFERRED TO ANOTHER ACUTE CARE FACILITY 457* 458* 459* 460* 484 485 486 487 491 504 505 506 507 508 509 510 511 EXTENSIVE BURNS W/O O.R. PROCEDURE NON-EXTENSIVE BURNS W SKIN GRAFT NON-EXTENSIVE BURNS W WOUND DEBRIDEMENT OR OTHER O.R. PROC NON-EXTENSIVE BURNS W/O O.R. PROCEDURE CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA OTHER OR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA OTHER MULTIPLE SIGNIFICANT TRAUMAS MAJOR JOINT AND LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITY TOTAL HEPATECTOMY EXTENSIVE 3RD DEGREE BURNS W/O SKIN GRAFT FULL THICKNESS BURN W/ SKIN GRAFT OR INHALATION INJURY W/ CC OR SIGNIFICANT TRAUMA FULL THICKNESS BURN W/ SKIN GRAFT OR INHALATION INJURY W/O CC OR SIGNIFICANT TRAUMA FULL THICKNESS BURN W/O SKIN GRAFT OR INHALATION INJURY W/ CC OR SIGNIFICANT TRAUMA FULL THICKNESS BURN W/O SKIN GRAFT OR INHALATION INJURY W/O CC OR SIGNIFICANT TRAUMA NON-EXTENSIVE BURNS W/ CC OR SIGNIFICANT TRAUMA NON-EXTENSIVE BURNS W/O CC OR SIGNIFICANT TRAUMA
* No longer valid in FY 2005
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Appendix K: Pulmonary Embolism/Deep Vein Thrombosis Diagnosis Codes
K.
Appendix K: Pulmonary Embolism/Deep Vein Thrombosis Diagnosis Codes

These codes are used by the following PSIs: PSI Failure to Rescue (PSI 4) - Page 7 Postoperative Pulmonary Embolism or Deep Vein Thrombosis (PSI 12) - Page 31 How Used FTR 2 Numerator inclusion, unless primary diagnosis - Page 8 Numerator inclusion - Page 31
In the table above, control-click (Word) or click (PDF) the PSI name to go to the start of that detailed definition. Click the link in the How Used column to go to where the PE/DVT codes are referenced within the PSI detailed definition. ICD-9-CM Pulmonary Embolism diagnosis codes:
4151 41511 41519 PULMONARY EMBOLISM AND INFARCTION IATROGENIC PULMONARY EMBOLISM AND INFARCTION PULMONARY EMBOLISM AND INFARCTION, OTHER
ICD-9-CM Deep Vein Thrombosis diagnosis codes:

45111 45119 4512 45181 4519 45340 45341 45342 4538 4539 PHLEBITIS AND THROMBOSIS OF FEMORAL VEIN (DEEP) (SUPERFICIAL) PHLEBITIS AND THROMBOPHLEBITIS OF DEEP VESSEL OF LOWER EXTREMITIES OTHER PHLEBITIS AND THROMBOPHLEBITIS OF LOWER EXTREMITIES UNSPECIFIED PHLEBITIS AND THROMBOPHLEBITIS OF ILIAC VEIN PHLEBITIS AND THROMBOPHLEBITIS OF OTHER SITES - OF UNSPECIFIED SITE DVT-EMBLSM LOWER EXT NOS (OCT 04) DVT-EMB PROX LOWER EXT (OCT 04) DVT-EMB DISTAL LOWER EXT (OCT 04) OTHER VENOUS EMBOLISM AND THROMBOSIS OF OTHER SPECIFIED VEINS OTHER VENOUS EMBOLISM AND THROMBOSIS OF UNSPECIFIED SITE
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Appendix L: Self-Inflicted Injury Diagnosis Codes
L.

These codes are used by the following PSIs: PSI Complications of Anesthesia (PSI 1) - Page 1 Postoperative Hip Fracture (PSI 8) - Page 22 How Used Denominator exclusion - Page 1 Denominator exclusion - Page 22
In the table above, control-click (Word) or click (PDF) the PSI name to go to the start of that detailed definition. Click the link in the How Used column to go to where the self-inflicted injury diagnosis codes are referenced within the PSI detailed definition. ICD-9-CM Self-Inflicted Injury diagnosis codes: Suicide and self-inflicted poisoning by solid or liquid substance:
E9500 E9501 E9502 E9503 E9504 E9505 E9506 E9507 E9508 E9509 ANALGESICS, ANTIPYRETICS, AND ANTIRHEUMATICS BARBITURATES OTHER SEDATIVE AND HYPNOTICS TRANQUILIZERS AND OTHER PSYCHOTROPIC AGENTS OTHER SPECIFIED DRUGS AND MEDICINAL SUBSTANCES UNSPECIFIED DRUG OR MEDICINAL SUBSTANCE AGRICULTURAL AND HORTICULTURAL CHEMICAL AND PHARMACEUTICAL PREPARATIONS OTHER THAN PLANT FOODS AND FERTILIZERS CORROSIVE AND CAUSTIC SUBSTANCES ARSENIC AND ITS COMPOUNDS OTHER AND UNSPECIFIED SOLID AND LIQUID SUBSTANCES
Suicide and self-inflicted poisoning by gases in domestic use:

E9510 E9511 E9518 GAS DISTRIBUTED BY PIPELINE LIQUEFIED PETROLEUM GAS DISTRIBUTED IN MOBILE CONTAINERS OTHER UTILITY GASES
Suicide and self-inflicted poisoning by other gases and vapors:

E9520 E9521 E9528 E9529 MOTOR VEHICLE EXHAUST GAS OTHER CARBON MONOXIDE OTHER SPECIFIED GASES AND VAPORS UNSPECIFIED GASES AND VAPORS
Suicide and self-inflicted injury by hanging, strangulation, and suffocation:

E9530 E9531 E9538 E954 HANGING SUFFOCATION BY PLASTIC BAG OTHER SPECIFIED MEANS SUICIDE AND SELF-INFLICTED INJURY BY SUBMERSION [DROWNING]
Suicide and self-inflicted injury by firearms and explosives:

E9550 E9551 E9552 E9553 E9554 E9555 HANDGUN SHOTGUN HUNTING RIFLE MILITARY FIREARMS OTHER AND UNSPECIFIED FIREARMS EXPLOSIVES
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E9559 E956 UNSPECIFIED SUICIDE AND SELF INFLICTED INJURY BY CUTTING AND PIERCING INSTRUMENT
Suicide and self-inflicted injury by jumping from a high place:

E9570 E9571 E9572 E9579 RESIDENTIAL PREMISES OTHER MAN-MADE STRUCTURES NATURAL SITES UNSPECIFIED
Suicide and self-inflicted injury by other and unspecified means:

E9580 E9581 E9582 E9583 E9584 E9585 E9586 E9587 E9588 E9589 JUMPING OR LYING BEFORE MOVING OBJECT BURNS, FIRE SCALD EXTREMES OF COLD ELECTROCUTION CRASHING OF MOTOR VEHICLE CRASHING OF AIRCRAFT CAUSTIC SUBSTANCES EXCEPT POISONING OTHER SPECIFIED MEANS UNSPECIFIED MEANS
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Appendix M: Acute Myocardial Infarction (AMI) Diagnosis Codes
M.
Appendix M: Acute Myocardial Infarction (AMI) Diagnosis Codes

In the table above, control-click (Word) or click (PDF) the PSI name to go to the start of that detailed definition. Click the link in the How Used column to go to where the AMI diagnosis codes are referenced within the PSI detailed definition. ICD-9-CM Acute Myocardial Infarction diagnosis codes:
41000 41001 41010 41011 41020 41021 41030 41031 41040 41041 41050 41051 41060 41061 41070 41071 41080 41081 41090 41091 AMI OF ANTEROLATERAL WALL EPISODE OF CARE UNSPECIFIED AMI OF ANTEROLATERAL WALL INITIAL EPISODE OF CARE AMI OF OTHER ANTERIOR WALL EPISODE OF CARE UNSPECIFIED AMI OF OTHER ANTERIOR WALL INITIAL EPISODE OF CARE AMI OF INFEROLATERAL WALL EPISODE OF CARE UNSPECIFIED AMI OF INFEROLATERAL WALL INITIAL EPISODE OF CARE AMI OF INFEROPOSTERIOR WALL EPISODE OF CARE UNSPECIFIED AMI OF INFEROPOSTERIOR WALL INITIAL EPISODE OF CARE AMI OF INFERIOR WALL EPISODE OF CARE UNSPECIFIED AMI OF INFERIOR WALL INITIAL EPISODE OF CARE AMI OF OTHER LATERAL WALL EPISODE OF CARE UNSPECIFIED AMI OF OTHER LATERAL WALL INITIAL EPISODE OF CARE AMI TRUE POSTERIOR WALL INFARCTION EPISODE OF CARE UNSPECIFIED AMI TRUE POSTERIOR WALL INFARCTION INITIAL EPISODE OF CARE AMI SUBENDOCARDIAL INFARCTION EPISODE OF CARE UNSPECIFIED AMI SUBENDOCARDIAL INFARCTION INITIAL EPISODE OF CARE AMI OF OTHER SPECIFIED SITES EPISODE OF CARE UNSPECIFIED AMI OF OTHER SPECIFIED SITES INITIAL EPISODE OF CARE AMI UNSPECIFIED SITE EPISODE OF CARE UNSPECIFIED AMI UNSPECIFIED SITE INITIAL EPISODE OF CARE
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Appendix N: Cardiac Arrhythmia Diagnosis Codes
N.
Appendix N: Cardiac Arrhythmia Diagnosis Codes

In the table above, control-click (Word) or click (PDF) the PSI name to go to the start of that detailed definition. Click the link in the How Used column to go to where the cardiac arrhythmia diagnosis codes are referenced within the PSI detailed definition. ICD-9-CM Cardiac Arrhythmia diagnosis codes:
4260 4270 4271 4272 42731 42732 42741 42742 4279 ATRIOVENTRICULAR BLOCK, COMPLETE PAROXYSMAL SUPRAVENTRICULAR TACHYCARDIA PAROXYSMAL VENTRICULAR TACHYCARDIA PAROXYSMAL TACHYCARDIA, UNSPECIFIED ATRIAL FIBRILLATION ATRIAL FLUTTER VENTRICULAR FIBRILLATION VENTRICULAR FLUTTER CARDIAC DYSRHYTHMIA
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Appendix O: Sepsis Diagnosis Codes
O.
Appendix O: Sepsis Diagnosis Codes

These codes are used by the following PSIs: PSI Failure to Rescue (PSI 4) - Page 7 Postoperative Sepsis (PSI 13) - Page 31 How Used FTR 4 Numerator inclusionFTR1Exclude Page 10 FTR 4 Denominator exclusion - Page 10 Numerator inclusion - Page 31 Denominator exclusion - Page 31
In the table above, control-click (Word) or click (PDF) the PSI name to go to the start of that detailed definition. Click the link in the How Used column to go to where the sepsis diagnosis codes are referenced within the PSI detailed definition. ICD-9-CM Sepsis diagnosis codes:
0380 0381 03810 03811 03819 0382 0383 78552 78559 9980 STREPTOCOCCAL SEPTICEMIA STAPHYLOCOCCAL SEPTICEMIA STAPHYLOCOCCAL SEPTICEMIA, UNSPECIFIED STAPHYLOCOCCUS AUREUS SEPTICEMIA OTHER STAPHYLOCOCCAL SEPTICEMIA PNEUMOCOCCAL SEPTICEMIA (STREPTOCOCCUS PNEUMONIAE SEPTICEMIA) SEPTICEMIA DUE TO ANAEROBES SEPTIC SHOCK OTHER SHOCK W/O MENTION OF TRAUMA POSTOPERATIVE SHOCK
Septicemia due to:

03840 03841 03842 03843 03844 03849 0388 0389 99591 GRAM-NEGATIVE ORGANISM, UNSPECIFIED HEMOPHILUS INFLUENZAE ESCHERICHIA COLI PSEUDOMONAS SERRATIA SEPTICEMIA DUE TO OTHER GRAM-NEGATIVE ORGANISMS OTHER SPECIFIED SEPTICEMIAS UNSPECIFIED SEPTICEMIA SYSTEMIC INFLAMMATORY RESPONSE SYNDROME DUE TO INFECTIOUS PROCESS W/O ORGAN DYSFUNCTION
99592 Systemic inflammatory response syndrome due to infectious process W/ organ dysfunction
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Appendix P: Infection Diagnosis Codes and DRGs
P.

These codes are used by the following PSIs: PSI Failure to Rescue (PSI 4) - Page 7 Postoperative Sepsis (PSI 13) - Page 31 How Used FTR 4 Denominator exclusion - Page 10 Denominator exclusion - Page 31
In the table above, control-click (Word) or click (PDF) the PSI name to go to the start of that detailed definition. Click the link in the How Used column to go to where the infection diagnosis codes are referenced within the PSI detailed definition. ICD-9-CM Infection diagnosis codes :
0010 0011 0019 0020 0021 0022 0023 0029 0030 0031 00320 00321 00322 00323 00324 00329 0038 0039 0040 0041 0042 0043 0048 0049 0050 0051 0052 0053 0054 00581 00589 0059 00800 00801 00802 00803 00804 00809 0081 0082 0083 00841 00842 00843 CHOLERA D/T VIB CHOLERAE (OCT 05) CHOLERA D/T VIB EL TOR (OCT 05) CHOLERA NOS (OCT 05) TYPHOID FEVER (OCT 05) PARATYPHOID FEVER A (OCT 05) PARATYPHOID FEVER B (OCT 05) PARATYPHOID FEVER C (OCT 05) PARATYPHOID FEVER NOS (OCT 05) SALMONELLA ENTERITIS (OCT 05) SALMONELLA SEPTICEMIA (OCT 05) LOCAL SALMONELLA INF NOS (OCT 05) SALMONELLA MENINGITIS (OCT 05) SALMONELLA PNEUMONIA (OCT 05) SALMONELLA ARTHRITIS (OCT 05) SALMONELLA OSTEOMYELITIS (OCT 05) LOCAL SALMONELLA INF NEC (OCT 05) SALMONELLA INFECTION NEC (OCT 05) SALMONELLA INFECTION NOS (OCT 05) SHIGELLA DYSENTERIAE (OCT 05) SHIGELLA FLEXNERI (OCT 05) SHIGELLA BOYDII (OCT 05) SHIGELLA SONNEI (OCT 05) SHIGELLA INFECTION NEC (OCT 05) SHIGELLOSIS NOS (OCT 05) STAPH FOOD POISONING (OCT 05) BOTULISM (OCT 05) FOOD POIS D/T C. PERFRIN (OCT 05) FOOD POIS: CLOSTRID NEC (OCT 05) FOOD POIS: V. PARAHAEM (OCT 05) FOOD POISN D/T V. VULNIF (OCT 05) BACT FOOD POISONING NEC (OCT 05) FOOD POISONING NOS (OCT 05) INTEST INFEC E COLI NOS (OCT 05) INT INF E COLI ENTRPATH (OCT 05) INT INF E COLI ENTRTOXGN (OCT 05) INT INF E COLI ENTRNVSV (OCT 05) INT INF E COLI ENTRHMRG (OCT 05) INT INF E COLI SPCF NEC (OCT 05) ARIZONA ENTERITIS (OCT 05) AEROBACTER ENTERITIS (OCT 05) PROTEUS ENTERITIS (OCT 05) STAPHYLOCOCC ENTERITIS (OCT 05) PSEUDOMONAS ENTERITIS (OCT 05) INT INFEC CAMPYLOBACTER (OCT 05) 00844 00845 00846 00847 00849 0085 0200 0201 0202 0203 0204 0205 0208 0209 0210 0211 0212 0213 0218 0219 0220 0221 0222 0223 0228 0229 0230 0231 0232 0233 0238 0239 024 025 0260 0261 0269 0270 0271 0272 0278 0279 0320 0321 INT INF YRSNIA ENTRCLTCA (OCT 05) INT INF CLSTRDIUM DFCILE (OCT 05) INTES INFEC OTH ANEROBES (OCT 05) INT INF OTH GRM NEG BCTR (OCT 05) BACTERIAL ENTERITIS NEC (OCT 05) BACTERIAL ENTERITIS NOS (OCT 05) BUBONIC PLAGUE (OCT 05) CELLULOCUTANEOUS PLAGUE (OCT 05) SEPTICEMIC PLAGUE (OCT 05) PRIMARY PNEUMONIC PLAGUE (OCT 05) SECONDARY PNEUMON PLAGUE (OCT 05) PNEUMONIC PLAGUE NOS (OCT 05) OTHER TYPES OF PLAGUE (OCT 05) PLAGUE NOS (OCT 05) ULCEROGLANDUL TULAREMIA (OCT 05) ENTERIC TULAREMIA (OCT 05) PULMONARY TULAREMIA (OCT 05) OCULOGLANDULAR TULAREMIA (OCT 05) TULAREMIA NEC (OCT 05) TULAREMIA NOS (OCT 05) CUTANEOUS ANTHRAX (OCT 05) PULMONARY ANTHRAX (OCT 05) GASTROINTESTINAL ANTHRAX (OCT 05) ANTHRAX SEPTICEMIA (OCT 05) OTHER ANTHRAX MANIFEST (OCT 05) ANTHRAX NOS (OCT 05) BRUCELLA MELITENSIS (OCT 05) BRUCELLA ABORTUS (OCT 05) BRUCELLA SUIS (OCT 05) BRUCELLA CANIS (OCT 05) BRUCELLOSIS NEC (OCT 05) BRUCELLOSIS NOS (OCT 05) GLANDERS (OCT 05) MELIOIDOSIS (OCT 05) SPIRILLARY FEVER (OCT 05) STREPTOBACILLARY FEVER (OCT 05) RAT-BITE FEVER NOS (OCT 05) LISTERIOSIS (OCT 05) ERYSIPELOTHRIX INFECTION (OCT 05) PASTEURELLOSIS (OCT 05) ZOONOTIC BACT DIS NEC (OCT 05) ZOONOTIC BACT DIS NOS (OCT 05) FAUCIAL DIPHTHERIA (OCT 05) NASOPHARYNX DIPHTHERIA (OCT 05)
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0322 0323 03281 03282 03283 03284 03285 03289 0329 0330 0331 0338 0339 0340 0341 035 0360 0361 0362 0363 03640 03641 03642 03643 03681 03682 03689 0369 037 0380 03810 03811 03819 0382 0383 03840 03841 03842 03843 03844 03849 0388 0389 0390 0391 0392 0393 0394 0398 0399 0400 0401 0402 0403 04081 04082 04089 04100 04101 04102 04103 04104 ANT NASAL DIPHTHERIA (OCT 05) LARYNGEAL DIPHTHERIA (OCT 05) CONJUNCTIVAL DIPHTHERIA (OCT 05) DIPHTHERITIC MYOCARDITIS (OCT 05) DIPHTHERITIC PERITONITIS (OCT 05) DIPHTHERITIC CYSTITIS (OCT 05) CUTANEOUS DIPHTHERIA (OCT 05) DIPHTHERIA NEC (OCT 05) DIPHTHERIA NOS (OCT 05) BORDETELLA PERTUSSIS (OCT 05) BORDETELLA PARAPERTUSSIS (OCT 05) WHOOPING COUGH NEC (OCT 05) WHOOPING COUGH NOS (OCT 05) STREP SORE THROAT (OCT 05) SCARLET FEVER (OCT 05) ERYSIPELAS (OCT 05) MENINGOCOCCAL MENINGITIS (OCT 05) MENINGOCOCC ENCEPHALITIS (OCT 05) MENINGOCOCCEMIA (OCT 05) MENINGOCOCC ADRENAL SYND (OCT 05) MENINGOCOCC CARDITIS NOS (OCT 05) MENINGOCOCC PERICARDITIS (OCT 05) MENINGOCOCC ENDOCARDITIS (OCT 05) MENINGOCOCC MYOCARDITIS (OCT 05) MENINGOCOCC OPTIC NEURIT (OCT 05) MENINGOCOCC ARTHROPATHY (OCT 05) MENINGOCOCCAL INFECT NEC (OCT 05) MENINGOCOCCAL INFECT NOS (OCT 05) TETANUS (OCT 05) STREPTOCOCCAL SEPTICEMIA (OCT 05) STAPHYLCOCC SEPTICEM NOS (OCT 05) STAPH AUREUS SEPTICEMIA (OCT 05) STAPHYLCOCC SEPTICEM NEC (OCT 05) PNEUMOCOCCAL SEPTICEMIA (OCT 05) ANAEROBIC SEPTICEMIA (OCT 05) GRAM-NEG SEPTICEMIA NOS (OCT 05) H. INFLUENAE SEPTICEMIA (OCT 05) E COLI SEPTICEMIA (OCT 05) PSEUDOMONAS SEPTICEMIA (OCT 05) SERRATIA SEPTICEMIA (OCT 05) GRAM-NEG SEPTICEMIA NEC (OCT 05) SEPTICEMIA NEC (OCT 05) SEPTICEMIA NOS (OCT 05) CUTANEOUS ACTINOMYCOSIS (OCT 05) PULMONARY ACTINOMYCOSIS (OCT 05) ABDOMINAL ACTINOMYCOSIS (OCT 05) CERVICOFAC ACTINOMYCOSIS (OCT 05) MADURA FOOT (OCT 05) ACTINOMYCOSIS NEC (OCT 05) ACTINOMYCOSIS NOS (OCT 05) GAS GANGRENE (OCT 05) RHINOSCLEROMA (OCT 05) WHIPPLE'S DISEASE (OCT 05) NECROBACILLOSIS (OCT 05) TROPICAL PYOMYOSITIS (OCT 05) TOXIC SHOCK SYNDROME (OCT 05) BACTERIAL DISEASES NEC (OCT 05) STREPTOCOCCUS UNSPECF (OCT 05) STREPTOCOCCUS GROUP A (OCT 05) STREPTOCOCCUS GROUP B (OCT 05) STREPTOCOCCUS GROUP C (OCT 05) ENTEROCOCCUS GROUP D (OCT 05) 04105 04109 04110 04111 04119 0412 0413 0414 0415 0416 0417 04182 04183 04184 04185 04186 04189 0419 0980 09810 09811 09812 09813 09814 09815 09816 09817 09819 0982 09830 09831 09832 09833 09834 09835 09836 09837 09839 09840 09841 09842 09843 09849 09850 09851 09852 09853 09859 0986 0987 09881 09882 09883 09884 09885 09886 09889 3200 3201 3202 3203 3207 STREPTOCOCCUS GROUP G (OCT 05) OTHER STREPTOCOCCUS (OCT 05) STAPHYLOCOCCUS UNSPCFIED (OCT 05) STAPHYLOCOCCUS AUREUS (OCT 05) OTHER STAPHYLOCOCCUS (OCT 05) PNEUMOCOCCUS INFECT NOS (OCT 05) KLEBSIELLA INFECT NOS (OCT 05) E. COLI INFECT NOS (OCT 05) H. INFLUENZAE INFECT NOS (OCT 05) PROTEUS INFECTION NOS (OCT 05) PSEUDOMONAS INFECT NOS (OCT 05) BACTEROIDES FRAGILIS (OCT 05) CLOSTRIDIUM PERFRINGENS (OCT 05) OTHER ANAEROBES (OCT 05) OTH GRAM NEGATV BACTERIA (OCT 05) HELICOBACTER PYLORI (OCT 05) OTH SPECF BACTERIA (OCT 05) BACTERIAL INFECTION NOS (OCT 05) ACUTE GC INFECT LOWER GU (OCT 05) GC (ACUTE) UPPER GU NOS (OCT 05) GC CYSTITIS (ACUTE) (OCT 05) GC PROSTATITIS (ACUTE) (OCT 05) GC ORCHITIS (ACUTE) (OCT 05) GC SEM VESICULIT (ACUTE) (OCT 05) GC CERVICITIS (ACUTE) (OCT 05) GC ENDOMETRITIS (ACUTE) (OCT 05) ACUTE GC SALPINGITIS (OCT 05) GC (ACUTE) UPPER GU NEC (OCT 05) CHR GC INFECT LOWER GU (OCT 05) CHR GC UPPER GU NOS (OCT 05) GC CYSTITIS, CHRONIC (OCT 05) GC PROSTATITIS, CHRONIC (OCT 05) GC ORCHITIS, CHRONIC (OCT 05) GC SEM VESICULITIS, CHR (OCT 05) GC CERVICITIS, CHRONIC (OCT 05) GC ENDOMETRITIS, CHRONIC (OCT 05) GC SALPINGITIS (CHRONIC) (OCT 05) CHR GC UPPER GU NEC (OCT 05) GONOCOCCAL CONJUNCTIVIT (OCT 05) GONOCOCCAL IRIDOCYCLITIS (OCT 05) GONOCOCCAL ENDOPHTHALMIA (OCT 05) GONOCOCCAL KERATITIS (OCT 05) GONOCOCCAL EYE NEC (OCT 05) GONOCOCCAL ARTHRITIS (OCT 05) GONOCOCCAL SYNOVITIS (OCT 05) GONOCOCCAL BURSITIS (OCT 05) GONOCOCCAL SPONDYLITIS (OCT 05) GC INFECT JOINT NEC (OCT 05) GONOCOCCAL INFEC PHARYNX (OCT 05) GC INFECT ANUS & RECTUM (OCT 05) GONOCOCCAL KERATOSIS (OCT 05) GONOCOCCAL MENINGITIS (OCT 05) GONOCOCCAL PERICARDITIS (OCT 05) GONOCOCCAL ENDOCARDITIS (OCT 05) GONOCOCCAL HEART DIS NEC (OCT 05) GONOCOCCAL PERITONITIS (OCT 05) GONOCOCCAL INF SITE NEC (OCT 05) HEMOPHILUS MENINGITIS (OCT 05) PNEUMOCOCCAL MENINGITIS (OCT 05) STREPTOCOCCAL MENINGITIS (OCT 05) STAPHYLOCOCC MENINGITIS (OCT 05) MENING IN OTH BACT DIS (OCT 05)
P-2

32081 32082 32089 3209 3229 3240 3241 3249 36000 36001 36002 36004 37055 37200 37203 37204 37220 37221 37230 37300 37301 37311 37312 37313 37500 37501 37530 37531 37532 37600 37601 37602 37603 37604 38010 38011 38012 38013 38014 38150 38151 38200 38201 38202 3821 3822 3823 3824 3829 38300 38301 38302 38320 38321 38400 38630 38631 38632 38633 4200 42090 ANAEROBIC MENINGITIS (OCT 05) MNINGTS GRAM-NEG BCT NEC (OCT 05) MENINGITIS OTH SPCF BACT (OCT 05) BACTERIAL MENINGITIS NOS (OCT 05) MENINGITIS NOS (OCT 05) INTRACRANIAL ABSCESS (OCT 05) INTRASPINAL ABSCESS (OCT 05) CNS ABSCESS NOS (OCT 05) PURULENT ENDOPHTHALM NOS (OCT 05) ACUTE ENDOPHTHALMITIS (OCT 05) PANOPHTHALMITIS (OCT 05) VITREOUS ABSCESS (OCT 05) CORNEAL ABSCESS (OCT 05) ACUTE CONJUNCTIVITIS NOS (OCT 05) MUCOPUR CONJUNCTIVIT NEC (OCT 05) PSEUDOMEMB CONJUNCTIVIT (OCT 05) BLEPHAROCONJUNCTIVIT NOS (OCT 05) ANGULAR BLEPHAROCONJUNCT (OCT 05) CONJUNCTIVITIS NOS (OCT 05) BLEPHARITIS NOS (OCT 05) ULCERATIVE BLEPHARITIS (OCT 05) HORDEOLUM EXTERNUM (OCT 05) HORDEOLUM INTERNUM (OCT 05) ABSCESS OF EYELID (OCT 05) DACRYOADENITIS NOS (OCT 05) ACUTE DACRYOADENITIS (OCT 05) DACRYOCYSTITIS NOS (OCT 05) ACUTE CANALICULITIS (OCT 05) ACUTE DACRYOCYSTITIS (OCT 05) ACUTE INFLAM NOS, ORBIT (OCT 05) ORBITAL CELLULITIS (OCT 05) ORBITAL PERIOSTITIS (OCT 05) ORBITAL OSTEOMYELITIS (OCT 05) TENONITIS (OCT 05) INFEC OTITIS EXTERNA NOS (OCT 05) ACUTE INFECTION OF PINNA (OCT 05) ACUTE SWIMMERS' EAR (OCT 05) AC INFECT EXTERN EAR NEC (OCT 05) MALIGNANT OTITIS EXTERNA (OCT 05) EUSTACHIAN SALPING NOS (OCT 05) AC EUSTACHIAN SALPING (OCT 05) AC SUPP OTITIS MEDIA NOS (OCT 05) AC SUPP OM W DRUM RUPT (OCT 05) AC SUPP OM IN OTH DIS (OCT 05) CHR TUBOTYMP SUPP OTITIS MEDIA (OCT 05) CHR ATTICOANTRAL SUPP OTITIS MEDIA (OCT 05) CHR SUPP OTITIS MEDIA NOS (OCT 05) SUPPUR OTITIS MEDIA NOS (OCT 05) OTITIS MEDIA NOS (OCT 05) AC MASTOIDITIS W/O COMPL (OCT 05) SUBPERI MASTOID ABSCESS (OCT 05) AC MASTOIDITIS-COMPL NEC (OCT 05) PETROSITIS NOS (OCT 05) ACUTE PETROSITIS (OCT 05) ACUTE MYRINGITIS NOS (OCT 05) LABYRINTHITIS NOS (OCT 05) SEROUS LABYRINTHITIS (OCT 05) CIRCUMSCRI LABYRINTHITIS (OCT 05) SUPPURATIV LABYRINTHITIS (OCT 05) AC PERICARDIT IN OTH DIS (OCT 05) ACUTE PERICARDITIS NOS (OCT 05) 42099 4210 4211 4219 42292 4610 4611 4612 4613 4618 4619 462 463 46430 46431 4660 475 47822 47824 481 4820 4821 4822 48230 48231 48232 48239 48240 48241 48249 48281 48282 48283 48284 48289 4829 4843 4845 4848 485 486 490 49122 4941 5100 5109 5111 5130 5131 51901 5192 5220 5225 5227 5230 5233 5264 5273 5283 53641 5400 5401 ACUTE PERICARDITIS NEC (OCT 05) AC/SUBAC BACT ENDOCARD (OCT 05) AC/SUBAC INFECT ENDOCARD (OCT 05) AC/SUBAC ENDOCARDIT NOS (OCT 05) SEPTIC MYOCARDITIS (OCT 05) AC MAXILLARY SINUSITIS (OCT 05) AC FRONTAL SINUSITIS (OCT 05) AC ETHMOIDAL SINUSITIS (OCT 05) AC SPHENOIDAL SINUSITIS (OCT 05) OTHER ACUTE SINUSITIS (OCT 05) ACUTE SINUSITIS NOS (OCT 05) ACUTE PHARYNGITIS (OCT 05) ACUTE TONSILLITIS (OCT 05) AC EPIGLOTTITIS NO OBSTR (OCT 05) AC EPIGLOTTITIS W OBSTR (OCT 05) ACUTE BRONCHITIS (OCT 05) PERITONSILLAR ABSCESS (OCT 05) PARAPHARYNGEAL ABSCESS (OCT 05) RETROPHARYNGEAL ABSCESS (OCT 05) PNEUMOCOCCAL PNEUMONIA (OCT 05) K. PNEUMONIAE PNEUMONIA (OCT 05) PSEUDOMONAL PNEUMONIA (OCT 05) H.INFLUENZAE PNEUMONIA (OCT 05) STREPTOCOCCAL PNEUMN NOS (OCT 05) PNEUMONIA STRPTOCOCCUS A (OCT 05) PNEUMONIA STRPTOCOCCUS B (OCT 05) PNEUMONIA OTH STREP (OCT 05) STAPHYLOCOCCAL PNEU NOS (OCT 05) STAPH AUREUS PNEUMONIA (OCT 05) STAPH PNEUMONIA NEC (OCT 05) PNEUMONIA ANAEROBES (OCT 05) PNEUMONIA E COLI (OCT 05) PNEUMO OTH GRM-NEG BACT (OCT 05) LEGIONNAIRES' DISEASE (OCT 05) PNEUMONIA OTH SPCF BACT (OCT 05) BACTERIAL PNEUMONIA NOS (OCT 05) PNEUMONIA IN WHOOPING COUGH (OCT 05) PNEUMONIA IN ANTHRAX (OCT 05) PNEUMONIA IN OTHER INF DIS (OCT 05) BRONCHOPNEUMONIA ORG NOS (OCT 05) PNEUMONIA, ORGANISM NOS (OCT 05) BRONCHITIS NOS (OCT 05) OBS CHR BRONC W AC BRONC (OCT 05) BRONCHIECTASIS W AC EXAC (OCT 05) EMPYEMA WITH FISTULA (OCT 05) EMPYEMA W/O FISTULA (OCT 05) BACT PLEUR/EFFUS NOT TB (OCT 05) ABSCESS OF LUNG (OCT 05) ABSCESS OF MEDIASTINUM (OCT 05) TRACHEOSTOMY INFECTION (OCT 05) MEDIASTINITIS (OCT 05) PULPITIS (OCT 05) PERIAPICAL ABSCESS (OCT 05) PERIAPICAL ABSC W SINUS (OCT 05) ACUTE GINGIVITIS (OCT 05) ACUTE PERIODONTITIS (OCT 05) INFLAMMATION OF JAW (OCT 05) SALIVARY GLAND ABSCESS (OCT 05) CELLULITIS/ABSCESS MOUTH (OCT 05) GASTROSTOMY INFECTION (OCT 05) AC APPEND W PERITONITIS ABSCESS OF APPENDIX
P-3

5409 541 542 56201 56203 56211 56213 566 5670 5671 5672 56721 56722 56723 56729 56731 56738 56739 56781 56782 56789 5679 5695 56961 5720 5721 57400 57401 57430 57431 57460 57461 57480 57481 5750 57510 57512 5754 5761 5763 5770 59010 59011 5902 5903 59080 59081 5909 5950 5954 59581 59589 5959 5970 59800 59801 5990 6010 6012 6013 6014 6018 ACUTE APPENDICITIS NOS APPENDICITIS NOS OTHER APPENDICITIS DVRTCLI SML INT W/O HMRG DVRTCLI SML INT W HMRHG DVRTCLI COLON W/O HMRHG DVRTCLI COLON W HMRHG ANAL & RECTAL ABSCESS PERITONITIS IN INFEC DIS PNEUMOCOCCAL PERITONITIS SUPPURAT PERITONITIS NEC PERITONITIS (ACUTE) GEN (OCT 05) PERITONEAL ABSCESS (OCT 05) SPONTAN BACT PERITONITIS (OCT 05) SUPPURAT PERITONITIS NEC (OCT 05) PSOAS MUSCLE ABSCESS (OCT 05) RETROPERITON ABSCESS NEC (OCT 05) RETROPERITON INFECT NEC (OCT 05) CHOLEPERITONITIS (OCT 05) SCLEROSING MESENTERITIS (OCT 05) PERITONITIS NEC (OCT 05) PERITONITIS NOS INTESTINAL ABSCESS COLOSTY/ENTEROST INFECTN ABSCESS OF LIVER PORTAL PYEMIA CHOLELITH W AC CHOLECYST CHOLELITH/AC GB INF-OBST CHOLEDOCHOLITH/AC GB INF CHOLEDOCHLITH/AC GB-OBST GALL&BIL CAL W/AC W/O OB GALL&BIL CAL W/AC W OBS GAL&BIL CAL W/AC&CHR W/O GAL&BIL CAL W/AC&CH W OB ACUTE CHOLECYSTITIS CHOLECYSTITIS UNSPEC (OCT 05) AC&CHRON CHOLECYSTITIS (OCT 05) PERFORATION GALLBLADDER CHOLANGITIS PERFORATION OF BILE DUCT ACUTE PANCREATITIS (OCT 05) AC PYELONEPHRITIS NOS (OCT 05) AC PYELONEPHR W MED NECR (OCT 05) RENAL/PERIRENAL ABSCESS (OCT 05) PYELOURETERITIS CYSTICA (OCT 05) PYELONEPHRITIS NOS (OCT 05) PYELONEPHRIT IN OTH DIS (OCT 05) INFECTION OF KIDNEY NOS (OCT 05) ACUTE CYSTITIS (OCT 05) CYSTITIS IN OTH DIS (OCT 05) CYSTITIS CYSTICA (OCT 05) CYSTITIS NEC (OCT 05) CYSTITIS NOS (OCT 05) URETHRAL ABSCESS (OCT 05) URETHR STRICT:INFECT NOS (OCT 05) URETH STRICT:OTH INFECT (OCT 05) URIN TRACT INFECTION NOS (OCT 05) ACUTE PROSTATITIS (OCT 05) ABSCESS OF PROSTATE (OCT 05) PROSTATOCYSTITIS (OCT 05) PROSTATITIS IN OTH DIS (OCT 05) PROSTATITIS (OCT 05) 6019 6031 6040 60490 60491 6071 6072 6080 6084 6110 6140 6141 6142 6143 6144 6145 6149 6150 6159 6160 61610 6163 6164 63400 63401 63402 63500 63501 63502 63600 63601 63602 63700 63701 63702 6380 6390 64650 64651 64652 64653 64654 64660 64661 64662 64663 64664 64710 64711 64712 64713 64714 64780 64781 64782 64783 64784 64790 64791 64792 64793 64794 PROSTATITIS NOS (OCT 05) INFECTED HYDROCELE (OCT 05) ORCHITIS WITH ABSCESS (OCT 05) ORCHITIS/EPIDIDYMIT NOS (OCT 05) ORCHITIS IN OTH DISEASE (OCT 05) BALANOPOSTHITIS (OCT 05) INFLAM DIS, PENIS NEC (OCT 05) SEMINAL VESICULITIS (OCT 05) MALE GEN INFLAM DIS NEC (OCT 05) INFLAM DISEASE OF BREAST (OCT 05) AC SALPINGO-OOPHORITIS (OCT 05) CHRON SALPINGITIS OOPHORITIS (OCT 05) SALPINGO-OOPHORITIS NOS (OCT 05) ACUTE PARAMETRITIS (OCT 05) CHRON OR UNSP CELLULITIS (OCT 05) AC PELV PERITONITIS-FEM (OCT 05) PID NOS (OCT 05) AC UTERINE INFLAMMATION (OCT 05) UTERINE INFLAM DIS NOS (OCT 05) CERVICITIS (OCT 05) VAGINITIS NOS (OCT 05) BARTHOLIN'S GLND ABSCESS (OCT 05) ABSCESS OF VULVA NEC (OCT 05) SPON ABOR W PEL INF-UNSP (OCT 05) SPON ABOR W PELV INF-INC (OCT 05) SPON ABOR W PEL INF-COMP (OCT 05) LEG ABOR W PELV INF-UNSP (OCT 05) LEG ABOR W PELV INF-INC (OCT 05) LEG ABOR W PELV INF-COMP (OCT 05) ILLEG AB W PELV INF-UNSP (OCT 05) ILLEG AB W PELV INF-INC (OCT 05) ILLEG AB W PELV INF-COMP (OCT 05) ABORT NOS W PEL INF-UNSP (OCT 05) ABORT NOS W PEL INF-INC (OCT 05) ABORT NOS W PEL INF-COMP (OCT 05) ATTEM ABORT W PELVIC INF (OCT 05) POSTABORTION GU INFECT (OCT 05) BACTERIURIA PREG-UNSPEC (OCT 05) ASYM BACTERIURIA-DELIVER (OCT 05) ASY BACTERURIA-DEL W P/P (OCT 05) ASY BACTERIURIA-ANTEPART (OCT 05) ASY BACTERIURIA-POSTPART (OCT 05) GU INFECT IN PREG-UNSPEC (OCT 05) GU INFECTION-DELIVERED (OCT 05) GU INFECTION-DELIV W P/P (OCT 05) GU INFECTION-ANTEPARTUM (OCT 05) GU INFECTION-POSTPARTUM (OCT 05) GONORRHEA IN PREG-UNSPEC (OCT 05) GONORRHEA-DELIVERED (OCT 05) GONORRHEA-DELIVER W P/P (OCT 05) GONORRHEA-ANTEPARTUM (OCT 05) GONORRHEA-POSTPARTUM (OCT 05) INF DIS IN PREG NEC-UNSP (OCT 05) INFECT DIS NEC-DELIVERED (OCT 05) INFECT DIS NEC-DEL W P/P (OCT 05) INFECT DIS NEC-ANTEPART (OCT 05) INFECT DIS NEC-POSTPART (OCT 05) INFECT IN PREG NOS-UNSP (OCT 05) INFECT NOS-DELIVERED (OCT 05) INFECT NOS-DELIVER W P/P (OCT 05) INFECT NOS-ANTEPARTUM (OCT 05) INFECT NOS-POSTPARTUM (OCT 05)
P-4

65840 65841 65843 67000 67002 67004 67500 67501 67502 67503 67504 67510 67511 67512 67513 67514 67580 67581 67582 67583 67584 67590 67591 67592 67593 67594 6800 6801 6802 6803 6804 6805 6806 6807 6808 6809 68100 68101 68102 68110 68111 6819 6820 6821 6822 6823 6824 6825 6826 6827 6828 6829 683 684 68600 68601 68609 6868 6869 69581 70700 70701 AMNIOTIC INFECTION-UNSP (OCT 05) AMNIOTIC INFECTION-DELIV (OCT 05) AMNIOTIC INFECT-ANTEPART (OCT 05) MAJOR PUERP INFECT-UNSP (OCT 05) MAJOR PUERP INF-DEL P/P (OCT 05) MAJOR PUERP INF-POSTPART (OCT 05) INFECT NIPPLE PREG-UNSP (OCT 05) INFECT NIPPLE-DELIVERED (OCT 05) INFECT NIPPLE-DEL W P/P (OCT 05) INFECT NIPPLE-ANTEPARTUM (OCT 05) INFECT NIPPLE-POSTPARTUM (OCT 05) BREAST ABSCESS PREG-UNSP (OCT 05) BREAST ABSCESS-DELIVERED (OCT 05) BREAST ABSCESS-DEL W P/P (OCT 05) BREAST ABSCESS-ANTEPART (OCT 05) BREAST ABSCESS-POSTPART (OCT 05) BREAST INF PREG NEC-UNSP (OCT 05) BREAST INFECT NEC-DELIV (OCT 05) BREAST INF NEC-DEL W P/P (OCT 05) BREAST INF NEC-ANTEPART (OCT 05) BREAST INF NEC-POSTPART (OCT 05) BREAST INF PREG NOS-UNSP (OCT 05) BREAST INFECT NOS-DELIV (OCT 05) BREAST INF NOS-DEL W P/P (OCT 05) BREAST INF NOS-ANTEPART (OCT 05) BREAST INF NOS-POSTPART (OCT 05) CARBUNCLE OF FACE (OCT 05) CARBUNCLE OF NECK (OCT 05) CARBUNCLE OF TRUNK (OCT 05) CARBUNCLE OF ARM (OCT 05) CARBUNCLE OF HAND (OCT 05) CARBUNCLE OF BUTTOCK (OCT 05) CARBUNCLE OF LEG (OCT 05) CARBUNCLE OF FOOT (OCT 05) CARBUNCLE, SITE NEC (OCT 05) CARBUNCLE NOS (OCT 05) CELLULITIS, FINGER NOS (OCT 05) FELON (OCT 05) ONYCHIA OF FINGER (OCT 05) CELLULITIS, TOE NOS (OCT 05) ONYCHIA OF TOE (OCT 05) CELLULITIS OF DIGIT NOS (OCT 05) CELLULITIS OF FACE (OCT 05) CELLULITIS OF NECK (OCT 05) CELLULITIS OF TRUNK (OCT 05) CELLULITIS OF ARM (OCT 05) CELLULITIS OF HAND (OCT 05) CELLULITIS OF BUTTOCK (OCT 05) CELLULITIS OF LEG (OCT 05) CELLULITIS OF FOOT (OCT 05) CELLULITIS, SITE NEC (OCT 05) CRLLULITIS, SITE NOS (OCT 05) ACUTE LYMPHADENITIS (OCT 05) IMPETIGO (OCT 05) PYODERMA NOS (OCT 05) PYODERMA GANGRENOSUM (OCT 05) PYODERMA OTHER (OCT 05) LOCAL SKIN INFECTION NEC (OCT 05) LOCAL SKIN INFECTION NOS (OCT 05) RITTER'S DISEASE (OCT 05) DECUBITUS ULCER SITE NOS (OCT 05) DECUBITUS ULCER,ELBOW (OCT 05) 70702 70703 70704 70705 70706 70707 70709 71100 71101 71102 71103 71104 71105 71106 71107 71108 71109 71190 71191 71192 71193 71194 71195 71196 71197 71198 71199 7280 72886 73000 73001 73002 73003 73004 73005 73006 73007 73008 73009 73010 73011 73012 73013 73014 73015 73016 73017 73018 73019 73020 73021 73022 73023 73024 73025 73026 73027 73028 73029 73030 73031 73032 DECUBITUS ULCER,UP BACK (OCT 05) DECUBITUS ULCER,LOW BACK (OCT 05) DECUBITUS ULCER,HIP (OCT 05) DECUBITUS ULCER,BUTTOCK (OCT 05) DECUBITUS ULCER,ANKLE (OCT 05) DECUBITUS ULCER,HEEL (OCT 05) DECUBITUS ULCER,SITE NEC (OCT 05) PYOGEN ARTHRITIS-UNSPEC (OCT 05) PYOGEN ARTHRITIS-SHLDER (OCT 05) PYOGEN ARTHRITIS-UP/ARM (OCT 05) PYOGEN ARTHRITIS-FOREARM (OCT 05) PYOGEN ARTHRITIS-HAND (OCT 05) PYOGEN ARTHRITIS-PELVIS (OCT 05) PYOGEN ARTHRITIS-L/LEG (OCT 05) PYOGEN ARTHRITIS-ANKLE (OCT 05) PYOGEN ARTHRITIS NEC (OCT 05) PYOGEN ARTHRITIS-MULT (OCT 05) INF ARTHRITIS NOS-UNSPEC (OCT 05) INF ARTHRITIS NOS-SHLDER (OCT 05) INF ARTHRITIS NOS-UP/ARM (OCT 05) INF ARTHRIT NOS-FOREARM (OCT 05) INF ARTHRIT NOS-HAND (OCT 05) INF ARTHRIT NOS-PELVIS (OCT 05) INF ARTHRIT NOS-L/LEG (OCT 05) INF ARTHRIT NOS-ANKLE (OCT 05) INF ARTHRIT NOS-OTH SITE (OCT 05) INF ARTHRITIS NOS-MULT (OCT 05) INFECTIVE MYOSITIS (OCT 05) NECROTIZING FASCIITIS (OCT 05) AC OSTEOMYELITIS-UNSPEC (OCT 05) AC OSTEOMYELITIS-SHLDER (OCT 05) AC OSTEOMYELITIS-UP/ARM (OCT 05) AC OSTEOMYELITIS-FOREARM (OCT 05) AC OSTEOMYELITIS-HAND (OCT 05) AC OSTEOMYELITIS-PELVIS (OCT 05) AC OSTEOMYELITIS-L/LEG (OCT 05) AC OSTEOMYELITIS-ANKLE (OCT 05) AC OSTEOMYELITIS NEC (OCT 05) AC OSTEOMYELITIS-MULT (OCT 05) CHR OSTEOMYELITIS-UNSP (OCT 05) CHR OSTEOMYELIT-SHLDER (OCT 05) CHR OSTEOMYELIT-UP/ARM (OCT 05) CHR OSTEOMYELIT-FOREARM (OCT 05) CHR OSTEOMYELIT-HAND (OCT 05) CHR OSTEOMYELIT-PELVIS (OCT 05) CHR OSTEOMYELIT-L/LEG (OCT 05) CHR OSTEOMYELIT-ANKLE (OCT 05) CHR OSTEOMYELIT NEC (OCT 05) CHR OSTEOMYELIT-MULT (OCT 05) OSTEOMYELITIS NOS-UNSPEC (OCT 05) OSTEOMYELITIS NOS-SHLDER (OCT 05) OSTEOMYELITIS NOS-UP/ARM (OCT 05) OSTEOMYELIT NOS-FOREARM (OCT 05) OSTEOMYELITIS NOS-HAND (OCT 05) OSTEOMYELITIS NOS-PELVIS (OCT 05) OSTEOMYELITIS NOS-L/LEG (OCT 05) OSTEOMYELITIS NOS-ANKLE (OCT 05) OSTEOMYELIT NOS-OTH SITE (OCT 05) OSTEOMYELITIS NOS-MULT (OCT 05) PERIOSTITIS-UNSPEC (OCT 05) PERIOSTITIS-SHLDER (OCT 05) PERIOSTITIS-UP/ARM (OCT 05)
P-5

73033 73034 73035 73036 73037 73038 73039 73080 73081 73082 73083 73084 73085 73086 73087 73088 73089 73090 73091 73092 73093 73094 73095 73096 73097 73098 73099 7713 7714 7715 77181 77182 77183 77189 7775 7854 78552 7907 9101 9103 9105 9107 9109 9111 9113 9115 9117 9119 9121 9123 9125 9127 9129 9131 PERIOSTITIS-FOREARM (OCT 05) PERIOSTITIS-HAND (OCT 05) PERIOSTITIS-PELVIS (OCT 05) PERIOSTITIS-L/LEG (OCT 05) PERIOSTITIS-ANKLE (OCT 05) PERIOSTITIS NEC (OCT 05) PERIOSTITIS-MULT (OCT 05) BONE INFECT NEC-UNSPEC (OCT 05) BONE INFECT NEC-SHLDER (OCT 05) BONE INFECT NEC-UP/ARM (OCT 05) BONE INFECT NEC-FOREARM (OCT 05) BONE INFECT NEC-HAND (OCT 05) BONE INFECT NEC-PELVIS (OCT 05) BONE INFECT NEC-L/LEG (OCT 05) BONE INFECT NEC-ANKLE (OCT 05) BONE INFECT NEC-OTH SITE (OCT 05) BONE INFECT NEC-MULT (OCT 05) BONE INFEC NOS-UNSP SITE (OCT 05) BONE INFECT NOS-SHLDER (OCT 05) BONE INFECT NOS-UP/ARM (OCT 05) BONE INFECT NOS-FOREARM (OCT 05) BONE INFECT NOS-HAND (OCT 05) BONE INFECT NOS-PELVIS (OCT 05) BONE INFECT NOS-L/LEG (OCT 05) BONE INFECT NOS-ANKLE (OCT 05) BONE INFECT NOS-OTH SITE (OCT 05) BONE INFECT NOS-MULT (OCT 05) TETANUS NEONATORUM (OCT 05) OMPHALITIS OF NEWBORN (OCT 05) NEONATAL INFEC MASTITIS (OCT 05) NB SEPTICEMIA SEPSIS (OCT 05) NB URINARY TRACT INFECTN (OCT 05) BACTEREMIA OF NEWBORN (OCT 05) PERINATAL INFECTION NEC (OCT 05) NECROT ENTEROCOLITIS NB (OCT 05) GANGRENE (OCT 05) SEPTIC SHOCK (OCT 05) BACTEREMIA (OCT 05) ABRASION HEAD-INFECTED (OCT 05) BLISTER HEAD-INFECTED (OCT 05) INSECT BITE HEAD-INFECT (OCT 05) FOREIGN BODY HEAD-INFECT (OCT 05) SUPERF INJ HEAD NEC-INF (OCT 05) ABRASION TRUNK-INFECTED (OCT 05) BLISTER TRUNK-INFECTED (OCT 05) INSECT BITE TRUNK-INFEC (OCT 05) FOREIGN BODY TRUNK-INFEC (OCT 05) SUPERF INJ TRNK NEC-INF (OCT 05) ABRASION SHLDR/ARM-INFEC (OCT 05) BLISTER SHOULDER/ARM-INF (OCT 05) INSECT BITE SHLD/ARM-INF (OCT 05) FB SHOULDER/ARM-INFECT (OCT 05) SUPERF INJ SHLDR NEC-INF (OCT 05) ABRASION FOREARM-INFECT (OCT 05) 9133 9135 9137 9139 9141 9143 9145 9147 9149 9151 9153 9155 9157 9159 9161 9163 9165 9167 9169 9171 9173 9175 9177 9179 9191 9193 9195 9197 9199 99590 99591 99592 99660 99661 99662 99663 99664 99665 99666 99667 99669 99762 99851 99859 9993 BLISTER FOREARM-INFECTED (OCT 05) INSECT BITE FOREARM-INF (OCT 05) FOREIGN BODY FOREARM-INF (OCT 05) SUPRF INJ FORARM NEC-INF (OCT 05) ABRASION HAND-INFECTED (OCT 05) BLISTER HAND-INFECTED (OCT 05) INSECT BITE HAND-INFECT (OCT 05) FOREIGN BODY HAND-INFECT (OCT 05) SUPERF INJ HAND NEC-INF (OCT 05) ABRASION FINGER-INFECTED (OCT 05) BLISTER FINGER-INFECTED (OCT 05) INSECT BITE FINGER-INFEC (OCT 05) FOREIGN BODY FINGER-INF (OCT 05) SUPRF INJ FINGER NEC-INF (OCT 05) ABRASION HIP/LEG-INFECT (OCT 05) BLISTER HIP & LEG-INFECT (OCT 05) INSECT BITE HIP/LEG-INF (OCT 05) FOREIGN BDY HIP/LEG-INF (OCT 05) SUPERF INJ LEG NEC-INFEC (OCT 05) ABRASION FOOT/TOE-INFEC (OCT 05) BLISTER FOOT & TOE-INFEC (OCT 05) INSECT BITE FOOT/TOE-INF (OCT 05) FOREIGN BDY FOOT/TOE-INF (OCT 05) SUPERF INJ FOOT NEC-INF (OCT 05) ABRASION NEC-INFECTED (OCT 05) BLISTER NEC-INFECTED (OCT 05) INSECT BITE NEC-INFECTED (OCT 05) SUPERFICIAL FB NEC-INFEC (OCT 05) SUPERFIC INJ NEC-INFECT (OCT 05) SIRS, NOS (OCT 05) SIRS-INFECT W/O ORG DYSF (OCT 05) SIRS-INFECT W ORGAN DYSF (OCT 05) INFECT INFLAMM DEVICE IMPLANT GRAFT NOS (OCT 05) INFECT INFLAMM CARDIAC DEVICE IMPLANT GRAFT (OCT 05) INFECT INFLAMM VASCULAR DEVICE IMPLANT GRAFT (OCT 05) INFECT INFLAMM NERV DEVICE IMPLANT GRAFT (OCT 05) INFECT INFLAMM URINARY CATH (OCT 05) INFECT INFLAMM GU DEVICE IMPLANT GRAFT (OCT 05) INFECT INFLAMM JOINT PROSTH (OCT 05) INFECT INFLAMM OTH ORTHOP DEVICE IMPLANT GRAFT NOS (OCT 05) INFECT INFLAMM OTH DEVICE IMPLANT GRAFT (OCT 05) INFECTION AMPUTAT STUMP (OCT 05) INFECTED POSTOP SEROMA (OCT 05) OTHER POSTOP INFECTION (OCT 05) INFEC COMPL MED CARE NEC (OCT 05)
Infection DRGs:
020 068 069 070 079 NERVOUS SYSTEM INFECTION EXCEPT VIRAL MENINGITIS OTITIS MEDIA AND URI, AGE GREATER THAN 17 W/ CC OTITIS MEDIA AND URI, AGE GREATER THAN 17 W/O CC OTITIS MEDIA AND URI, AGE LESS THAN OR EQUAL TO 17 RESPIRATORY INFECTIONS AND INFLAMMATIONS, AGE GREATER THAN 17 W/ CC
P-6

080 081 089 090 091 126 238 242 277 278 279 320 321 322 368 415 416 417 423 RESPIRATORY INFECTIONS AND INFLAMMATIONS, AGE GREATER THAN 17 W/O CC RESPIRATORY INFECTIONS AND INFLAMMATIONS, AGE 0-17 SIMPLE PNEUMONIA AND PLEURISY, AGE GREATER THAN 17 W/ CC SIMPLE PNEUMONIA AND PLEURISY, AGE GREATER THAN 17 W/O CC SIMPLE PNEUMONIA AND PLEURISY, AGE LESS THAN OR EQUAL TO 17 ACUTE AND SUBACUTE ENDOCARDITIS OSTEOMYELITIS SEPTIC ARTHRITIS CELLULITIS, AGE GREATER THAN 17 W/ CC CELLULITIS, AGE GREATER THAN 17 W/O CC CELLULITIS, AGE 0-17 KIDNEY AND URINARY TRACT INFECTIONS, AGE GREATER THAN 17 W/ CC KIDNEY AND URINARY TRACT INFECTIONS, AGE GREATER THAN 17 W/O CC KIDNEY AND URINARY TRACT INFECTIONS, AGE 0-17 INFECTIONS OF FEMALE REPRODUCTIVE SYSTEM OR PROCEDURE FOR INFECTIOUS AND PARASITIC DISEASES SEPTICEMIA, AGE GREATER THAN 17 SEPTICEMIA, AGE 0-17 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES
P-2
Appendix Q: Cancer DRGs
Q.
Appendix Q: Cancer DRGs

These codes are used by the following PSIs: PSI Selected Infections Due to Medical Care, Secondary Diagnosis Field (PSI 7 and 23) - Page 21 Postoperative Sepsis (PSI 13) - Page 31 How Used Denominator exclusion - Page 21 Denominator exclusion - Page 31
In the table above, control-click (Word) or click (PDF) the PSI name to go to the start of that detailed definition. Click the link in the How Used column to go to where the cancer DRGs are referenced within the PSI detailed definition.
010 011 064 082 172 173 199 203 239 257 258 259 260 274 275 303 318 319 338 344 346 347 354 355 357 NERVOUS SYSTEM NEOPLASMS W/ CC NERVOUS SYSTEM NEOPLASMS W/O CC EAR, NOSE, MOUTH AND THROAT MALIGNANCY RESPIRATORY NEOPLASMS DIGESTIVE MALIGNANCY W/ CC DIGESTIVE MALIGNANCY W/O CC HEPATOBILIARY DIAGNOSTIC PROCEDURE FOR MALIGNANCY MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY TOTAL MASTECTOMY FOR MALIGNANCY W/ CC TOTAL MASTECTOMY FOR MALIGNANCY W/O CC SUBTOTAL MASTECTOMY FOR MALIGNANCY W/ CC SUBTOTAL MASTECTOMY FOR MALIGNANCY W/O CC MALIGNANT BREAST DISORDERS W/ CC MALIGNANT BREAST DISORDERS W/O CC KIDNEY, URETER AND MAJOR BLADDER PROCEDURES FOR NEOPLASM KIDNEY AND URINARY TRACT NEOPLASMS W/ CC KIDNEY AND URINARY TRACT NEOPLASMS W/O CC TESTES PROCEDURES FOR MALIGNANCY OTHER MALE REPRODUCTIVE SYSTEM OR PROCEDURES FOR MALIGNANCY MALIGNANCY OF MALE REPRODUCTIVE SYSTEM W/ CC MALIGNANCY OF MALE REPRODUCTIVE SYSTEM W/O CC UTERINE AND ADNEXA PROCEDURES FOR NONOVARIAN/ADNEXAL MALIGNANCY W/ CC UTERINE AND ADNEXA PROCEDURES FOR NONOVARIAN/ADNEXAL MALIGNANCY W/O CC UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY 363 367 400* 401 402 403 404 405 406 407 408 409 410 411 412 413 414 473 492 539 540 D AND C, CONIZATION AND RADIOIMPLANT FOR MALIGNANCY MALIGNANCY OF FEMALE REPRODUCTIVE SYSTEM W/O CC LYMPHOMA AND LEUKEMIA W/ MAJOR OR PROCEDURES LYMPHOMA AND NONACUTE LEUKEMIA W/ OTHER OR PROCEDURE W/ CC LYMPHOMA AND NONACUTE LEUKEMIA W/ OTHER OR PROCEDURE W/O CC LYMPHOMA AND NONACUTE LEUKEMIA W/ CC LYMPHOMA AND NONACUTE LEUKEMIA W/O CC ACUTE LEUKEMIA W/O MAJOR OR PROCEDURE, AGE 0-17 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS W/ MAJOR OR PROCEDURES W/ CC MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS W/ MAJOR OR PROCEDURE W/O CC MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS W/ OTHER OR PROCEDURES RADIOTHERAPY CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS HISTORY OF MALIGNANCY W/O ENDOSCOPY HISTORY OF MALIGNANCY W/ ENDOSCOPY OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASM DIAGNOSES W/ CC OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASM DIAGNOSES W/O CC ACUTE LEUKEMIA W/O MAJOR OR PROCEDURE, AGE GREATER THAN 17 CHEMOTHERAPY W/ ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS LYMPHOMA & LEUKEMIA W MAJOR OR PROCEDURE W/ CC (OCT 03) LYMPHOMA & LEUKEMIA W MAJOR OR PROCEDURE W/O CC (OCT 03)
*No Longer valid in FY2005
Q-1

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AHRQ Quality Indicators

Patient Safety Indicators: Technical Specifications

AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov

PSI Technical Specifications

Version 3.0 (February 20, 2006)

AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov

Patient Safety Indicators Detailed Definitions

Poisoning by other central nervous system depressants and anesthetics:

PSI Technical Specifications

Version 3.0 (February 20, 2006)

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Complications of Anesthesia (PSI 1) ICD-9-CM Active Drug Dependence diagnosis codes:

ICD-9-CM Active Nondependent Abuse of Drugs diagnosis codes:

PSI Technical Specifications

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PSI Technical Specifications

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Death in Low-Mortality DRGs (PSI 2)

PSI Technical Specifications

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Death in Low-Mortality DRGs (PSI 2)

*No longer valid in FY2005

PSI Technical Specifications

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ICD-9-CM Spina Bifida or Anoxic Brain Damage diagnosis codes

ICD-9-CM procedure code for debridement or pedicle graft

PSI Technical Specifications

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Decubitus Ulcer (PSI 3)

PSI Technical Specifications

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ICD-9-CM Cardiac Arrest diagnosis code:

PSI Technical Specifications

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Failure to Rescue (PSI 4)

FTR 3 - Pneumonia Include ICD-9-CM Pneumonia diagnosis codes:

PSI Technical Specifications

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Failure to Rescue (PSI 4)

PSI Technical Specifications

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Failure to Rescue (PSI 4)

Shock during or following labor and delivery:

PSI Technical Specifications

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Failure to Rescue (PSI 4)

ICD-9-CM procedure codes:

ICD-9-CM Abortion-related Shock diagnosis codes:

FTR 6 - GI Hemorrhage/Acute Ulcer Include ICD-9-CM GI Hemorrhage/Acute Ulcer diagnosis codes:

PSI Technical Specifications

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Failure to Rescue (PSI 4)