to our Autumn School Holiday Activities

AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
Appendices
Contents
Appendix A – Operating Room Procedure Codes ........................................................................................ 1
Appendix B – Medical Discharge DRGs ..................................................................................................... 22
Appendix C – Medical Discharge MS-DRGs .............................................................................................. 27
Appendix D – Surgical Discharge DRGs .................................................................................................... 33
Appendix E – Surgical Discharge MS-DRGs .............................................................................................. 39
Appendix F – Infection Diagnosis Codes .................................................................................................... 46
Appendix G – Trauma Diagnosis Codes ..................................................................................................... 52
Appendix H – Cancer Diagnosis Codes ...................................................................................................... 67
Appendix I – Immunocompromised State Diagnosis and Procedure Codes .............................................. 73
Appendix J – Admission Codes for Transfers ............................................................................................. 74
Appendix A – Operating Room Procedure Codes
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
0056
0057
0061
0062
0066
0070
0071
0072
0073
0080
0081
0082
0083
0084
0085
0086
0087
0094
0110
IMPL CRT PACEMAKER SYS
IMPL CRT DEFIBRILLAT SYS
IMP/REP LEAD LF VEN SYS
IMP/REP CRT PACEMAKR GEN
IMP/REP CRT DEFIB GENAT
INS/REP IMPL SENSOR LEAD OCT06IMP/REP SUBCUE CARD DEV OCT06PERC ANGIO PRECEREB VES (OCT 04)
PERC ANGIO INTRACRAN VES (OCT 04)
PTCA OR CORONARY ATHER OCT05REV HIP REPL-ACETAB/FEM OCT05REV HIP REPL-ACETAB COMP OCT05REV HIP REPL-FEM COMP OCT05REV HIP REPL-LINER/HEAD OCT05REV KNEE REPLACEMT-TOTAL OCT05REV KNEE REPL-TIBIA COMP OCT05REV KNEE REPL-FEMUR COMP OCT05REV KNEE REPLACE-PATELLA OCT05REV KNEE REPL-TIBIA LIN OCT05RESRF HIPTOTAL-ACET/FEM OCT06RESRF HIPPART-FEM HEAD OCT06RESRF HIPPART-ACETABLUM OCT06INTRA-OP NEURO PHYS MONTR OCT08INTRACRAN PRESSURE MONTR OCT08-
Patient Safety Indicators Appendices
Appendix A – Operating Room Procedure Codes
0112
0114
0115
0116
0117
0118
0119
0121
0122
0123
0124
0125
0128
0131
0132
0139
0141
0142
0151
0152
0153
0159
016
0201
OPEN CEREB MENINGES BX
OPEN BRAIN BIOPSY
SKULL BIOPSY
INTRACRANIAL 02 MONITOR OCT08BRAIN TEMP MONITORING OCT08OTHER BRAIN DX PROCEDURE
OTHER SKULL DX PROCEDURE
CRANIAL SINUS I & D
REMOV INTRACRAN STIMULAT
REOPEN CRANIOTOMY SITE
OTHER CRANIOTOMY
OTHER CRANIECTOMY
INTRACEREB CTH-BURR HOLE OCT06INCISE CEREBRAL MENINGES
LOBOTOMY & TRACTOTOMY
OTHER BRAIN INCISION
THALAMUS OPERATIONS
GLOBUS PALLIDUS OPS
EX CEREB MENINGEAL LES
HEMISPHERECTOMY
BRAIN LOBECTOMY
OTHER BRAIN EXCISION
EXCISE SKULL LESION
LINEAR CRANIECTOMY
Version 4.2 – 2010
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AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
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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
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
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
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
Patient Safety Indicators Appendices
Appendix A – Operating Room Procedure Codes
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
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
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
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
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0743
0744
0745
0749
0751
0752
0753
0754
0759
0761
0762
0763
0764
0765
0768
0769
0771
0772
0779
0780
0781
0782
0783
0784
0791
0792
0793
0794
0795
0798
0799
0811
0820
0821
0822
0823
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
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
THORAC PART EXISN THYMUS OCT08THORAC TOTAL EXC THYMUS OCT08THYMUS FIELD EXPLORATION
INCISION OF THYMUS
REPAIR OF THYMUS
THYMUS TRANSPLANTATION
THORAC INCISION THYMUS OCT08OTH THORAC OP THYMUS NOS OCT08THYMUS OPERATION NEC
EYELID BIOPSY
REMOVE EYELID LESION NOS
CHALAZION EXCISION
EXCISE MINOR LES LID NEC
EXC MAJ LES LID PRT-THIC
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
Patient Safety Indicators Appendices
Appendix A – Operating Room Procedure Codes
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
1032
1033
1041
1042
1043
1044
1049
105
106
1091
1099
110
111
1121
1122
1129
1131
1132
1139
1141
1142
1143
1149
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
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
Version 4.2 – 2010
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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
1251
1252
1253
1254
1255
1259
1261
1262
1263
1264
1265
1266
1269
1271
1272
1273
1274
1279
1281
1282
1283
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
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
Patient Safety Indicators Appendices
Appendix A – Operating Room Procedure Codes
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
1390
1391
1400
1401
1402
1411
1419
1421
1422
1426
1427
1429
1431
1432
1439
1441
1449
1451
1452
1453
1454
1455
1459
146
1471
1472
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
OPERATION ON LENS NEC OCT06IMPL INTRAOC TELESC PROS OCT06REMOV 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
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
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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
1692
1693
1698
1699
1711
1712
1713
1721
1722
1723
1724
1731
1732
1733
1734
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
EXCISION ORBITAL LESION
EXCISION EYE LESION NOS
OPERATION ON ORBIT NEC
OPERATION ON EYEBALL NEC
LAP DIR ING HERN-GRAFT OCT08LAP INDIR ING HERN-GRAFT OCT08LAP ING HERN-GRAFT NOS OCT08LAP BIL DIR ING HRN-GRFT OCT08LAP BI INDIR ING HRN-GRF OCT08LAP BI DR/IND ING HRN-GR OCT08LAP BIL ING HERN-GRF NOS OCT08LAP MUL SEG RES LG INTES OCT08LAPAROSCOPIC CECECTOMY OCT08LAP RIGHT HEMICOLECTOMY OCT08LAP RES TRANSVERSE COLON OCT08-
Patient Safety Indicators Appendices
Appendix A – Operating Room Procedure Codes
1735
1736
1739
1751
1752
1761
1762
1763
1769
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
LAP LEFT HEMICOLECTOMY OCT08LAP SIGMOIDECTOMY OCT08LAP PT EX LRG INTEST NEC OCT08IMPLANT CCM, TOTAL SYSTEM OCT09IMPLANT CCM PULSE GENRTR OCT09LITT LESN BRAIN, GUIDANCE OCT09LITT LESN HD/NCK GUIDANCE OCT09LITT LESN LIVER, GUIDEANCE OCT09LITT LESN GUIDE OTH/NOS OCT09PREAURICULAR 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
Version 4.2 – 2010
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2182
2183
2184
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
DIATHER/CRYO TURBINECTOM
TURBINATE FRACTURE
TURBINECTOMY NEC
OPEN REDUCTION NASAL FX
NASAL FISTULA CLOSURE
TOT NASAL RECONSTRUCTION
REVISION RHINOPLASTY
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
Patient Safety Indicators Appendices
Appendix A – Operating Room Procedure Codes
2755
2756
2757
2759
2761
2762
2763
2769
2771
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
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
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
Version 4.2 – 2010
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3175
3179
3191
3192
3198
3199
320
3209
321
3220
3221
3222
3223
3224
3225
3226
3229
323
3230
3239
324
3241
3249
325
3250
3259
326
329
330
331
3320
3325
3327
3328
3329
3334
3339
3341
3342
3343
3348
3349
335
3350
3351
3352
336
3392
3393
3398
3399
3402
3403
3406
341
3420
3421
3422
3426
3427
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
THORAC EXC LUNG LESION OCT08EMPHYSEMA BLEB PLICATION
LUNG VOL REDUCTION SURG
OPEN ABLTN LUNG LES/TISS OCT06PERC ABLTN LUNG LES/TISS OCT06THOR ABLTN LUNG LES/TISS OCT06ABLTN LUNG TISS NEC/NOS OCT06DESTROY LOC LUNG LES NEC
SEGMENTAL LUNG RESECTION
THORAC SEG LUNG RESECT OCT08OTH SEG LUNG RESECT NOS OCT08LOBECTOMY OF LUNG
THORAC LOBECTOMY LUNG OCT08LOBECTOMY OF LUNG NEC OCT08COMPLETE PNEUMONECTOMY
THORACOSPC PNEUMONECTOMY
OCT08OTHER PNEUMONECTOMY NOS OCT08RAD DISSEC THORAC STRUCT
OTHER EXCISION OF LUNG
INCISION OF BRONCHUS
INCISION OF LUNG
THORACOSCOPC LUNG BIOPSY OCT08OPEN 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
THORAC DRAIN PLEURL CAV OCT08INCISION OF MEDIASTINUM
THORACOSCOPIC PLEURAL BX OCT08TRANSPLEURA THORACOSCOPY
MEDIASTINOSCOPY
OPEN MEDIASTINAL BIOPSY
BIOPSY OF DIAPHRAGM
Patient Safety Indicators Appendices
Appendix A – Operating Room Procedure Codes
3428
3429
343
344
3451
3452
3459
346
3473
3474
3479
3481
3482
3483
3484
3485
3489
3493
3499
3500
3501
3502
3503
3504
3510
3511
3512
3513
3514
3520
3521
3522
3523
3524
3525
3526
3527
3528
3531
3532
3533
3534
3535
3539
3542
3550
3551
3552
3553
3554
3555
3560
3561
3562
3563
3570
3571
3572
3573
3581
3582
3583
DX PROCEDURE THORAX NEC
DX PROC MEDIASTINUM NEC
DESTRUCT MEDIASTIN LES
DESTRUCT CHEST WALL LES
DECORTICATION OF LUNG
THORACOSCOPC DECORT LUNG OCT08OTHER 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
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
PROS REP VENTRC DEF-CLOS OCT06GRFT 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
Version 4.2 – 2010
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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
3633
3634
3639
3691
3699
3710
3711
3712
3724
3731
3732
3733
3734
3735
374
3741
3749
375
3751
3752
3753
3754
3755
3760
3761
3762
3763
3764
3765
3766
3767
3768
3774
3775
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
ENDO TRANSMYO REVASCULAR OCT06PERC TRANSMYO REVASCULAR OCT06OTH HEART REVASCULAR
CORON VESS ANEURYSM REP
HEART VESSEL OP NEC
INCISION OF HEART NOS
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 OCT05HEART/PERICARD REPR NEC OCT05HEART & PERICARD REPAIR
HEART TRANSPLANTATION OCT03IMPLANT TOT REP HRT SYS
REPL/REP THORAC UNIT HRT
REPL/REP OTH TOT HRT SYS
REM INT BIVENT HRT SYS OCT08IMP BIVN EXT HRT AST SYS OCT08PULSATION 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
PERCUTAN HRT ASSIST SYST
INT OR REPL LEAD EPICAR
REVISION OF LEAD
Patient Safety Indicators Appendices
Appendix A – Operating Room Procedure Codes
3776
3777
3779
3780
3785
3786
3787
3789
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
3833
3834
3835
3836
3837
3838
3839
3840
3841
3842
3843
3844
3845
3846
3847
3848
3849
3850
3851
3852
3853
3855
3857
3859
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
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
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
Version 4.2 – 2010
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3862
3863
3864
3865
3866
3867
3868
3869
3880
3881
3882
3883
3884
3885
3886
3887
3888
3889
390
391
398
3921
3922
3923
3924
3925
3926
3927
3928
3929
3930
3931
3932
3941
3942
3943
3949
3950
3951
3952
3953
3954
3955
3956
3957
3958
3959
397
3971
3972
3973
3974
3975
3976
3979
398
3991
3992
3993
3994
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
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
CARTD BODY/SINUS/VASC OP OCT08CAVAL-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
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 OCT05ENDO REM OBS HD/NECK VES OCT06ENDO EM HD/NK, BARE COILD OCT09ENDO EM HD/NK, BIOAC COIL OCT09ENDO REPAIR OTHER VESSEL
VASCULAR BODY OPERATIONS
FREEING OF VESSEL
VEIN INJECT-SCLEROS AGNT
INSERT VES-TO-VES CANNUL
REPLAC VES-TO-VES CANNUL
Patient Safety Indicators Appendices
Appendix A – Operating Room Procedure Codes
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
412
4133
4141
4142
4143
415
4193
4194
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
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
SPLENOTOMY
OPEN SPLEEN BIOPSY
SPLENIC CYST MARSUPIAL
EXC SPLENIC LESION/TISS
PARTIAL SPLENECTOMY
TOTAL SPLENECTOMY
EXC OF ACCESSORY SPLEEN
SPLEEN TRANSPLANTATION
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
Version 4.2 – 2010
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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
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
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
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
Patient Safety Indicators Appendices
Appendix A – Operating Room Procedure Codes
4511
4515
4521
4526
4531
4532
4533
4534
4541
4549
4550
4551
4552
4561
4562
4563
4571
4572
4573
4574
4575
4576
4579
458
4581
4582
4583
4590
4591
4592
4593
4594
4595
4601
4602
4603
4604
4610
4611
4612
4613
4620
4621
4622
4623
4640
4641
4642
4643
4650
4651
4652
4660
4661
4662
4663
4664
4671
4672
4673
4674
4675
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
LAP TOT INTR-AB COLECTMY OCT08OP TOT INTR-ABD COLECTMY OCT08TOT ABD COLECTMY NEC/NOS OCT08INTESTINAL 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
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
Version 4.2 – 2010
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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
4840
4841
4842
4843
4849
485
4850
4851
4852
4859
4861
4862
4863
4864
4865
4866
4869
4871
4872
4873
4874
4875
4876
4879
4881
4882
4891
4892
4893
4899
4901
4902
4904
4911
4912
493
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
PULL-THRU RES RECTUM NOS OCT08SOAVE SUBMUC RECT RESECT
LAP PULL-THRU RES RECTUM OCT08OPN PULL-THRU RES RECTUM OCT08PULL-THRU RECT RESEC NEC
ABD-PERINEAL RECT RESECT
ABDPERNEAL RES RECTM NOS 0CT09LAP ABDPERNEAL RESC REC OCT08OPN ABDPERNEAL RESC REC OCT08ABDPERNEAL RESC RECT NEC OCT08TRANSSAC 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
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
Patient Safety Indicators Appendices
Appendix A – Operating Room Procedure Codes
4939
4944
4945
4946
4949
4951
4952
4959
496
4971
4972
4973
4974
4975
4976
4979
4991
4992
4993
4994
4995
4999
500
5012
5013
5014
5019
5021
5022
5023
5024
5025
5026
5029
503
504
5013
5014
5051
5059
5061
5069
5102
5103
5104
5113
5119
5121
5122
5123
5124
5131
5132
5133
5134
5135
5136
5137
5139
5141
5142
5143
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
TRANSJUGULAR LIVER BX OCT08LAPAROSCOPIC LIVER BX OCT08HEPATIC DX PROC NEC
MARSUPIALIZAT LIVER LES
PARTIAL HEPATECTOMY
OPN ABLTN LIVER LES/TISS OCT06PERC ABLTN LIVER LES/TIS OCT06LAP ABLTN LIVER LES/TISS OCT06ABLTN LIVER LES/TISS NEC OCT06DESTRUC HEPATIC LES NEC
HEPATIC LOBECTOMY
TOTAL HEPATECTOMY
TRANSJUGULAR LIVER BX OCT08LAPAROSCOPIC LIVER BX OCT08AUXILIARY 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
CDE FOR OBSTRUCTION NEC
CHOLEDOCHOHEPAT INTUBAT
Version 4.2 – 2010
Page 11
AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
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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
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
Patient Safety Indicators Appendices
Appendix A – Operating Room Procedure Codes
5342
5343
5349
5351
5359
5361
5362
5363
5369
537
5371
5372
5375
5380
5381
5382
5383
5384
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
5532
5533
5534
5535
5539
554
5551
5552
LAP UMBIL HERNIA-GRAFT OCT08LAP UMBILICAL HERNIA NEC OCT08UMBIL HERNIA REPAIR NEC
INCISIONAL HERNIA REPAIR
ABD WALL HERN REPAIR NEC
INCIS HERNIA REPAIR-GRFT
LAP INCIS HERN REPR-GRFT OCT08LAP HERN ANT ABD-GFT NEC OCT08ABD HERN REPAIR-GRFT NEC
ABD REPAIR-DIAPHR HERNIA
LAP ABD REP-DIAPHR HERN OCT08OPN ABD DIAPHRM HERN NEC OCT08ABD REP-DIAPHR HERN NOS OCT08THOR REP-DIAPH HERN NOS
DIAPHRAGMATIC PLICATION
PARASTERN HERNIA REPAIR
LAP THORC APP-DIAPH HERN OCT08OPN THORC DIAPH HERN NEC OCT08OTHER 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
OPN ABLTN RENAL LES/TISS OCT06PERC ABLTN RENL LES/TISS OCT06LAP ABLTN RENAL LES/TISS OCT06ABLTN RENAL LES/TISS NEC OCT06LOC DESTR RENAL LES NEC
PARTIAL NEPHRECTOMY
NEPHROURETERECTOMY
SOLITARY KIDNEY NEPHRECT
Version 4.2 – 2010
Page 12
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5554
5561
5569
557
5581
5582
5583
5584
5585
5586
5587
5589
5591
5597
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
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
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
Patient Safety Indicators Appendices
Appendix A – Operating Room Procedure Codes
5781
5782
5783
5784
5785
5786
5787
5788
5789
5791
5793
5796
5797
5798
5799
580
581
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
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
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
Version 4.2 – 2010
Page 13
AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
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6072
6073
6079
6081
6082
6093
6094
6095
6096
6097
6099
612
6142
6149
6192
6199
620
6212
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
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
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
Patient Safety Indicators Appendices
Appendix A – Operating Room Procedure Codes
6497
6498
6499
650
6501
6509
6511
6512
6513
6514
6519
6521
6522
6523
6524
6525
6529
653
6531
6539
654
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
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
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
Version 4.2 – 2010
Page 14
AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
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6663
6669
6671
6672
6673
6674
6679
6692
6693
6694
6695
6696
6697
6699
6711
6712
6719
672
6731
6732
6733
6739
674
675
6751
6759
6761
6762
6769
680
6813
6814
6815
6816
6819
6821
6822
6823
6829
683
6831
6839
684
6841
6849
685
6851
6859
686
6861
6869
687
6871
6879
688
689
6901
6902
6909
6911
6919
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
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 OCT03TOTAL ABD HYSTERECTOMY
LAP TOTAL ABDOMINAL HYST OCT06TOTAL ABD HYST NEC/NOS OCT06VAGINAL HYSTERECTOMY
LAP AST VAG HYSTERECTOMY
VAG HYSTERECTOMY NEC/NOS
RADICAL ABD HYSTERECTOMY
LAP RADICAL ABDOMNL HYST OCT06RADICAL ABD HYST NEC/NOS OCT06RADICAL VAG HYSTERECTOMY
LAP RADICAL VAGINAL HYST OCT06RADICAL VAG HYST NEC/NOS OCT06PELVIC EVISCERATION
HYSTERECTOMY NEC/NOS
D & C FOR PREG TERMINAT
D & C POST DELIVERY
D & C NEC
D & C NEC
DESTRUC UTER SUPPORT NEC
Patient Safety Indicators Appendices
Appendix A – Operating Room Procedure Codes
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
7053
7054
7055
7061
7062
7063
7064
7071
7072
7073
7074
7075
7076
7077
7078
7079
708
7091
7092
7093
7101
7109
7111
7119
7122
7123
7124
7129
713
714
715
7161
7162
7171
7172
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
CYSTO & RECTO W GRF/PROS OCT08REP CYSTOCEL W GRFT/PROS OCT08REP RECTOCELE W GRF/PROS
VAGINAL CONSTRUCTION
VAGINAL RECONSTRUCTION
VAGINAL CONST W GRF/PROS OCT08VAG RECONST W GRFT/PROS OCT08SUTURE VAGINA LACERATION
REPAIR COLOVAGIN FISTULA
REPAIR RECTOVAG FISTULA
REP VAGINOENT FISTUL NEC
REPAIR VAG FISTULA NEC
HYMENORRHAPHY
VAGINAL SUSPENS & FIXAT
VAG SUSP/FIX W GRFT/PROS OCT08VAGINAL REPAIR NEC
VAGINAL VAULT OBLITERAT
VAGINAL OPERATION NEC
CUL-DE-SAC OPERATION NEC
CUL-DE-SAC GRF/PROS NEC OCT08VULVAR 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
Version 4.2 – 2010
Page 15
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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
7668
7669
7670
7672
7674
7676
7677
7679
7691
7692
7694
7697
7699
7700
7701
7702
7703
7704
7705
7706
7707
7708
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
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
Patient Safety Indicators Appendices
Appendix A – Operating Room Procedure Codes
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
7752
7753
7754
7756
7757
7758
7759
7760
7761
7762
7763
7764
7765
7766
7767
7768
7769
7770
7771
7772
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
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
Version 4.2 – 2010
Page 16
AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
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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
7817
7818
7819
7820
7822
7823
7824
7825
7827
7828
7829
7830
7831
7832
7833
7834
7835
7837
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
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
Patient Safety Indicators Appendices
Appendix A – Operating Room Procedure Codes
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
7884
7885
7886
7887
7888
7889
7890
7891
7892
7893
7894
7895
7896
7897
7898
7899
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
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
Version 4.2 – 2010
Page 17
AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
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7913
7914
7915
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7918
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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
7966
7967
7968
7969
7980
7981
7982
7983
7984
7985
7986
7987
7988
7989
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
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
Patient Safety Indicators Appendices
Appendix A – Operating Room Procedure Codes
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
805
8050
8051
8053
8054
8059
806
8070
8071
8072
8073
8074
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
JT STRUCTUR DIVISION NEC
EXC/DEST INTVRT DISC NOS
EXCISION INTERVERT DISC
REP ANULUS FIBROSUS-GRFT OCT08REP ANULS FIBROS NEC/NOS OCT08OTH EXC/DEST INTVRT DISC
EXCIS KNEE SEMILUN CARTL
SYNOVECTOMY-SITE NOS
SHOULDER SYNOVECTOMY
ELBOW SYNOVECTOMY
WRIST SYNOVECTOMY
HAND SYNOVECTOMY
Version 4.2 – 2010
Page 18
AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
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
8131
8132
8133
8134
8135
8136
8137
8138
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
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
Patient Safety Indicators Appendices
Appendix A – Operating Room Procedure Codes
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
8229
8231
8232
8233
8234
8235
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 OCT05ARTHROPLAS 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
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
Version 4.2 – 2010
Page 19
AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
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
8372
8373
8374
8375
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
TENDON RECESSION
TENDON REATTACHMENT
MUSCLE REATTACHMENT
TENDON TRNSFR/TRANSPLANT
Patient Safety Indicators Appendices
Appendix A – Operating Room Procedure Codes
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
8459
8460
8461
8462
8463
8464
8465
8466
8467
8468
8469
8480
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 OCT05INSERT OTH SPIN DEVICE
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)
INS/REPL INTERSPINE DEV OCT08-
Version 4.2 – 2010
Page 20
AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
8481
8482
8483
8484
8485
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
8570
8571
8572
8573
8574
8575
8576
8579
8582
8583
8584
REV INTERSPINE DEVICE OCT08INS/REPL PDCL STABIL DEV OCT08REV PEDCL DYN STABIL DEV OCT08INS/REPL FACET REPLC DEV OCT08REV FACET REPLACE DEVICE OCT08AMPUTATION 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
TOTL RECONSTC BREAST NOS OCT09LATISS DORSI MYOCUT FLAP OCT08TRAM FLAP, PEDICLED OCT08TRAM FLAP, FREE OCT08DIEP FLAP, FREE OCT08SIEA FLAP, FREE OCT08GAP FLAP, FREE OCT08TOTL RECONST BREAST NEC OCT08BREAST SPLIT-THICK GRAFT
BREAST FULL-THICK GRAFT
BREAST PEDICLE GRAFT
Patient Safety Indicators Appendices
Appendix A – Operating Room Procedure Codes
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
8682
8683
8684
8685
8686
8689
8691
8693
8694
8695
8696
8697
8698
8753
9227
9504
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
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 OCT05INS/REP 2 PUL GEN OCT05INTRAOPER CHOLANGIOGRAM
RADIOACTIVE ELEM IMPLANT OCT09ANESTHETIZED EYE EXAM
Version 4.2 – 2010
Page 21
AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
Appendix B – Medical Discharge DRGs
For discharges using DRGs (before October 1, 2007)
DRG
009
010
011
012
013
014
015
016
017
018
019
020
021
022
023
024
025
026
027
028
029
030
031
032
033
034
035
043
044
045
046
TITLE
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
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 017
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
Patient Safety Indicators Appendices
Appendix B – Medical Discharge DRGs
DRG
047
048
064
065
066
067
068
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
TITLE
OTHER DISORDER OF THE EYE, AGE
GREATER THAN 17 W/O CC
OTHER DISORDERS OF THE EYE, AGE
0-17
EAR, NOSE, MOUTH AND THROAT
MALIGNANCY
DISEQUILIBRIA
EPISTAXIS
EPIGLOTTITIS
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 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
Version 4.2 – 2010
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AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
DRG
100
101
102
121
122
123
124
125
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
TITLE
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
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
Patient Safety Indicators Appendices
Appendix B – Medical Discharge DRGs
DRG
178
179
180
181
182
183
184
185
186
187
188
189
190
202
203
204
205
206
207
208
235
236
237
238
239
240
241
242
TITLE
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
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
Version 4.2 – 2010
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AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
DRG
243
244
245
246
247
248
249
250
251
252
253
254
255
256
271
272
273
274
275
276
277
278
279
280
281
282
283
284
294
295
TITLE
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
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
Patient Safety Indicators Appendices
Appendix B – Medical Discharge DRGs
DRG
296
297
298
299
300
301
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
346
347
348
349
350
351
TITLE
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
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
Version 4.2 – 2010
Page 24
AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
DRG
352
366
367
368
369
372
373
376
378
379
380
382
383
384
395
396
397
398
399
403
404
405
409
410
411
412
413
414
416
417
418
419
TITLE
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 017
COAGULATION DISORDERS
RETICULOENDOTHELIAL AND
IMMUNITY DISORDERS W/ CC
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
Patient Safety Indicators Appendices
Appendix B – Medical Discharge DRGs
DRG
420
421
422
423
425
426
427
428
429
430
431
432
433
434*
435*
436*
437*
444
445
446
447
448
449
450
451
452
453
454
455
TITLE
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
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
Version 4.2 – 2010
Page 25
AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
DRG
456*
457*
460*
462
463
464
465
466
467
473
475
487
489
490
492
505
508
509
510
TITLE
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
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
Patient Safety Indicators Appendices
Appendix B – Medical Discharge DRGs
DRG
511
521
522
523
524
559
560
561
562
563
564
565
566
571
572
574
575
576
TITLE
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 OCT05BACTERIAL & TUBERCULOUS
INFECTIONS OF NERVOUS SYSTEM
OCT06NON-BACTERIAL INFECTIONS OF
NERVOUS SYSTEM EXCEPT VIRAL
MENINGITIS OCT06SEIZURE AGE > 17 W CC OCT06SEIZURE AGE > 17 W/O CC OCT06HEADACHES AGE >17 OCT06RESPIRATORY SYSTEM DIAGNOSIS
WITH VENTILATOR SUPPORT 96+
HOURS OCT06RESPIRATORY SYSTEM DIAGNOSIS
WITH VENTILATOR SUPPORT < 96
HOURS OCT06MAJOR ESOPHAGEAL DISORDERS
OCT06MAJOR GASTROINTESTINAL
DISORDERS AND PERITONEAL
INFECTIONS OCT06MAJOR HEMATOLOGIC/IMMUNOLOGIC
DIAG EXC SICKLE CELL CRISIS &
COAGUL OCT06SEPTICEMIA W MV96+ HOURS AGE
>17 OCT06SEPTICEMIA W/O MV96+ HOURS AGE
>17 OCT06-
Version 4.2 – 2010
Page 26
AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
Appendix C – Medical Discharge MS-DRGs
For medical discharges using MS-DRGs (on or after October 1, 2007)
MSDRG
052
053
054
055
056
057
058
059
060
061
062
063
064
065
066
067
068
069
070
071
072
073
074
075
076
077
078
079
080
081
TITLE
SPINAL DISORDERS & INJURIES W
CC/MCC
SPINAL DISORDERS & INJURIES W/O
CC/MCC
NERVOUS SYSTEM NEOPLASMS W MCC
NERVOUS SYSTEM NEOPLASMS W/O
MCC
DEGENERATIVE NERVOUS SYSTEM
DISORDERS W MCC
DEGENERATIVE NERVOUS SYSTEM
DISORDERS W/O MCC
MULTIPLE SCLEROSIS & CEREBELLAR
ATAXIA W MCC
MULTIPLE SCLEROSIS & CEREBELLAR
ATAXIA W CC
MULTIPLE SCLEROSIS & CEREBELLAR
ATAXIA W/O CC/MCC
ACUTE ISCHEMIC STROKE W USE OF
THROMBOLYTIC AGENT W MCC
ACUTE ISCHEMIC STROKE W USE OF
THROMBOLYTIC AGENT W CC
ACUTE ISCHEMIC STROKE W USE OF
THROMBOLYTIC AGENT W/O CC/MCC
INTRACRANIAL HEMORRHAGE OR
CEREBRAL INFARCTION W MCC
INTRACRANIAL HEMORRHAGE OR
CEREBRAL INFARCTION W CC
INTRACRANIAL HEMORRHAGE OR
CEREBRAL INFARCTION W/O CC/MCC
NONSPECIFIC CVA & PRECEREBRAL
OCCLUSION W/O INFARCT W MCC
NONSPECIFIC CVA & PRECEREBRAL
OCCLUSION W/O INFARCT W/O MCC
TRANSIENT ISCHEMIA
NONSPECIFIC CEREBROVASCULAR
DISORDERS W MCC
NONSPECIFIC CEREBROVASCULAR
DISORDERS W CC
NONSPECIFIC CEREBROVASCULAR
DISORDERS W/O CC/MCC
CRANIAL & PERIPHERAL NERVE
DISORDERS W MCC
CRANIAL & PERIPHERAL NERVE
DISORDERS W/O MCC
VIRAL MENINGITIS W CC/MCC
VIRAL MENINGITIS W/O CC/MCC
HYPERTENSIVE ENCEPHALOPATHY W
MCC
HYPERTENSIVE ENCEPHALOPATHY W
CC
HYPERTENSIVE ENCEPHALOPATHY
W/O CC/MCC
NONTRAUMATIC STUPOR & COMA W
MCC
NONTRAUMATIC STUPOR & COMA W/O
MCC
Patient Safety Indicators Appendices
Appendix C – Medical Discharge MS-DRGs
MSDRG
082
083
084
085
086
087
088
089
090
091
092
093
094
095
096
097
098
099
100
101
102
103
121
122
123
124
125
146
147
148
149
TITLE
TRAUMATIC STUPOR & COMA, COMA >1
HR W MCC
TRAUMATIC STUPOR & COMA, COMA >1
HR W CC
TRAUMATIC STUPOR & COMA, COMA >1
HR W/O CC/MCC
TRAUMATIC STUPOR & COMA, COMA <1
HR W MCC
TRAUMATIC STUPOR & COMA, COMA <1
HR W CC
TRAUMATIC STUPOR & COMA, COMA <1
HR W/O CC/MCC
CONCUSSION W MCC
CONCUSSION W CC
CONCUSSION W/O CC/MCC
OTHER DISORDERS OF NERVOUS
SYSTEM W MCC
OTHER DISORDERS OF NERVOUS
SYSTEM W CC
OTHER DISORDERS OF NERVOUS
SYSTEM W/O CC/MCC
BACTERIAL & TUBERCULOUS
INFECTIONS OF NERVOUS SYSTEM W
MCC
BACTERIAL & TUBERCULOUS
INFECTIONS OF NERVOUS SYSTEM W
CC
BACTERIAL & TUBERCULOUS
INFECTIONS OF NERVOUS SYSTEM W/O
CC/MCC
NON-BACTERIAL INFECT OF NERVOUS
SYS EXC VIRAL MENINGITIS W MCC
NON-BACTERIAL INFECT OF NERVOUS
SYS EXC VIRAL MENINGITIS W CC
NON-BACTERIAL INFECT OF NERVOUS
SYS EXC VIRAL MENINGITIS W/O
CC/MCC
SEIZURES W MCC
SEIZURES W/O MCC
HEADACHES W MCC
HEADACHES W/O MCC
ACUTE MAJOR EYE INFECTIONS W
CC/MCC
ACUTE MAJOR EYE INFECTIONS W/O
CC/MCC
NEUROLOGICAL EYE DISORDERS
OTHER DISORDERS OF THE EYE W MCC
OTHER DISORDERS OF THE EYE W/O
MCC
EAR, NOSE, MOUTH & THROAT
MALIGNANCY W MCC
EAR, NOSE, MOUTH & THROAT
MALIGNANCY W CC
EAR, NOSE, MOUTH & THROAT
MALIGNANCY W/O CC/MCC
DYSEQUILIBRIUM
Version 4.2 – 2010
Page 27
AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
MSDRG
150
151
152
153
154
155
156
157
158
159
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
TITLE
EPISTAXIS W MCC
EPISTAXIS W/O MCC
OTITIS MEDIA & URI W MCC
OTITIS MEDIA & URI W/O MCC
OTHER EAR, NOSE, MOUTH & THROAT
DIAGNOSES W MCC
OTHER EAR, NOSE, MOUTH & THROAT
DIAGNOSES W CC
OTHER EAR, NOSE, MOUTH & THROAT
DIAGNOSES W/O CC/MCC
DENTAL & ORAL DISEASES W MCC
DENTAL & ORAL DISEASES W CC
DENTAL & ORAL DISEASES W/O CC/MCC
PULMONARY EMBOLISM W MCC
PULMONARY EMBOLISM W/O MCC
RESPIRATORY INFECTIONS &
INFLAMMATIONS W MCC
RESPIRATORY INFECTIONS &
INFLAMMATIONS W CC
RESPIRATORY INFECTIONS &
INFLAMMATIONS W/O CC/MCC
RESPIRATORY NEOPLASMS W MCC
RESPIRATORY NEOPLASMS W CC
RESPIRATORY NEOPLASMS W/O
CC/MCC
MAJOR CHEST TRAUMA W MCC
MAJOR CHEST TRAUMA W CC
MAJOR CHEST TRAUMA W/O CC/MCC
PLEURAL EFFUSION W MCC
PLEURAL EFFUSION W CC
PLEURAL EFFUSION W/O CC/MCC
PULMONARY EDEMA & RESPIRATORY
FAILURE
CHRONIC OBSTRUCTIVE PULMONARY
DISEASE W MCC
CHRONIC OBSTRUCTIVE PULMONARY
DISEASE W CC
CHRONIC OBSTRUCTIVE PULMONARY
DISEASE W/O CC/MCC
SIMPLE PNEUMONIA & PLEURISY W
MCC
SIMPLE PNEUMONIA & PLEURISY W CC
SIMPLE PNEUMONIA & PLEURISY W/O
CC/MCC
INTERSTITIAL LUNG DISEASE W MCC
INTERSTITIAL LUNG DISEASE W CC
INTERSTITIAL LUNG DISEASE W/O
CC/MCC
PNEUMOTHORAX W MCC
PNEUMOTHORAX W CC
PNEUMOTHORAX W/O CC/MCC
BRONCHITIS & ASTHMA W CC/MCC
BRONCHITIS & ASTHMA W/O CC/MCC
RESPIRATORY SIGNS & SYMPTOMS
OTHER RESPIRATORY SYSTEM
DIAGNOSES W MCC
OTHER RESPIRATORY SYSTEM
DIAGNOSES W/O MCC
RESPIRATORY SYSTEM DIAGNOSIS W
VENTILATOR SUPPORT 96+ HOURS
Patient Safety Indicators Appendices
Appendix C – Medical Discharge MS-DRGs
MSDRG
208
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
TITLE
RESPIRATORY SYSTEM DIAGNOSIS W
VENTILATOR SUPPORT <96 HOURS
ACUTE MYOCARDIAL INFARCTION,
DISCHARGED ALIVE W MCC
ACUTE MYOCARDIAL INFARCTION,
DISCHARGED ALIVE W CC
ACUTE MYOCARDIAL INFARCTION,
DISCHARGED ALIVE W/O CC/MCC
ACUTE MYOCARDIAL INFARCTION,
EXPIRED W MCC
ACUTE MYOCARDIAL INFARCTION,
EXPIRED W CC
ACUTE MYOCARDIAL INFARCTION,
EXPIRED W/O CC/MCC
CIRCULATORY DISORDERS EXCEPT
AMI, W CARD CATH W MCC
CIRCULATORY DISORDERS EXCEPT
AMI, W CARD CATH W/O MCC
ACUTE & SUBACUTE ENDOCARDITIS W
MCC
ACUTE & SUBACUTE ENDOCARDITIS W
CC
ACUTE & SUBACUTE ENDOCARDITIS
W/O CC/MCC
HEART FAILURE & SHOCK W MCC
HEART FAILURE & SHOCK W CC
HEART FAILURE & SHOCK W/O CC/MCC
DEEP VEIN THROMBOPHLEBITIS W
CC/MCC
DEEP VEIN THROMBOPHLEBITIS W/O
CC/MCC
CARDIAC ARREST, UNEXPLAINED W
MCC
CARDIAC ARREST, UNEXPLAINED W CC
CARDIAC ARREST, UNEXPLAINED W/O
CC/MCC
PERIPHERAL VASCULAR DISORDERS W
MCC
PERIPHERAL VASCULAR DISORDERS W
CC
PERIPHERAL VASCULAR DISORDERS
W/O CC/MCC
ATHEROSCLEROSIS W MCC
ATHEROSCLEROSIS W/O MCC
HYPERTENSION W MCC
HYPERTENSION W/O MCC
CARDIAC CONGENITAL & VALVULAR
DISORDERS W MCC
CARDIAC CONGENITAL & VALVULAR
DISORDERS W/O MCC
CARDIAC ARRHYTHMIA & CONDUCTION
DISORDERS W MCC
CARDIAC ARRHYTHMIA & CONDUCTION
DISORDERS W CC
CARDIAC ARRHYTHMIA & CONDUCTION
DISORDERS W/O CC/MCC
ANGINA PECTORIS
SYNCOPE & COLLAPSE
CHEST PAIN
Version 4.2 – 2010
Page 28
AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
MSDRG
314
315
316
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
432
433
434
TITLE
OTHER CIRCULATORY SYSTEM
DIAGNOSES W MCC
OTHER CIRCULATORY SYSTEM
DIAGNOSES W CC
OTHER CIRCULATORY SYSTEM
DIAGNOSES W/O CC/MCC
MAJOR ESOPHAGEAL DISORDERS W
MCC
MAJOR ESOPHAGEAL DISORDERS W
CC
MAJOR ESOPHAGEAL DISORDERS W/O
CC/MCC
MAJOR GASTROINTESTINAL
DISORDERS & PERITONEAL
INFECTIONS W MCC
MAJOR GASTROINTESTINAL
DISORDERS & PERITONEAL
INFECTIONS W CC
MAJOR GASTROINTESTINAL
DISORDERS & PERITONEAL
INFECTIONS W/O CC/MCC
DIGESTIVE MALIGNANCY W MCC
DIGESTIVE MALIGNANCY W CC
DIGESTIVE MALIGNANCY W/O CC/MCC
G.I. HEMORRHAGE W MCC
G.I. HEMORRHAGE W CC
G.I. HEMORRHAGE W/O CC/MCC
COMPLICATED PEPTIC ULCER W MCC
COMPLICATED PEPTIC ULCER W CC
COMPLICATED PEPTIC ULCER W/O
CC/MCC
UNCOMPLICATED PEPTIC ULCER W
MCC
UNCOMPLICATED PEPTIC ULCER W/O
MCC
INFLAMMATORY BOWEL DISEASE W
MCC
INFLAMMATORY BOWEL DISEASE W CC
INFLAMMATORY BOWEL DISEASE W/O
CC/MCC
G.I. OBSTRUCTION W MCC
G.I. OBSTRUCTION W CC
G.I. OBSTRUCTION W/O CC/MCC
ESOPHAGITIS, GASTROENT & MISC
DIGEST DISORDERS W MCC
ESOPHAGITIS, GASTROENT & MISC
DIGEST DISORDERS W/O MCC
OTHER DIGESTIVE SYSTEM DIAGNOSES
W MCC
OTHER DIGESTIVE SYSTEM DIAGNOSES
W CC
OTHER DIGESTIVE SYSTEM DIAGNOSES
W/O CC/MCC
CIRRHOSIS & ALCOHOLIC HEPATITIS W
MCC
CIRRHOSIS & ALCOHOLIC HEPATITIS W
CC
CIRRHOSIS & ALCOHOLIC HEPATITIS
W/O CC/MCC
Patient Safety Indicators Appendices
Appendix C – Medical Discharge MS-DRGs
MSDRG
435
436
437
438
439
440
441
442
443
444
445
446
533
534
535
536
537
538
539
540
541
542
543
544
545
546
547
548
549
550
551
552
553
554
TITLE
MALIGNANCY OF HEPATOBILIARY
SYSTEM OR PANCREAS W MCC
MALIGNANCY OF HEPATOBILIARY
SYSTEM OR PANCREAS W CC
MALIGNANCY OF HEPATOBILIARY
SYSTEM OR PANCREAS W/O CC/MCC
DISORDERS OF PANCREAS EXCEPT
MALIGNANCY W MCC
DISORDERS OF PANCREAS EXCEPT
MALIGNANCY W CC
DISORDERS OF PANCREAS EXCEPT
MALIGNANCY W/O CC/MCC
DISORDERS OF LIVER EXCEPT
MALIG,CIRR,ALC HEPA W MCC
DISORDERS OF LIVER EXCEPT
MALIG,CIRR,ALC HEPA W CC
DISORDERS OF LIVER EXCEPT
MALIG,CIRR,ALC HEPA W/O CC/MCC
DISORDERS OF THE BILIARY TRACT W
MCC
DISORDERS OF THE BILIARY TRACT W
CC
DISORDERS OF THE BILIARY TRACT
W/O CC/MCC
FRACTURES OF FEMUR W MCC
FRACTURES OF FEMUR W/O MCC
FRACTURES OF HIP & PELVIS W MCC
FRACTURES OF HIP & PELVIS W/O MCC
SPRAINS, STRAINS, & DISLOCATIONS
OF HIP, PELVIS & THIGH W CC/MCC
SPRAINS, STRAINS, & DISLOCATIONS
OF HIP, PELVIS & THIGH W/O CC/MCC
OSTEOMYELITIS W MCC
OSTEOMYELITIS W CC
OSTEOMYELITIS W/O CC/MCC
PATHOLOGICAL FRACTURES &
MUSCULOSKELET & CONN TISS MALIG
W MCC
PATHOLOGICAL FRACTURES &
MUSCULOSKELET & CONN TISS MALIG
W CC
PATHOLOGICAL FRACTURES &
MUSCULOSKELET & CONN TISS MALIG
W/O CC/MCC
CONNECTIVE TISSUE DISORDERS W
MCC
CONNECTIVE TISSUE DISORDERS W CC
CONNECTIVE TISSUE DISORDERS W/O
CC/MCC
SEPTIC ARTHRITIS W MCC
SEPTIC ARTHRITIS W CC
SEPTIC ARTHRITIS W/O CC/MCC
MEDICAL BACK PROBLEMS W MCC
MEDICAL BACK PROBLEMS W/O MCC
BONE DISEASES & ARTHROPATHIES W
MCC
BONE DISEASES & ARTHROPATHIES
W/O MCC
Version 4.2 – 2010
Page 29
AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
MSDRG
555
556
557
558
559
560
561
562
563
564
565
566
592
593
594
595
596
597
598
599
600
601
602
603
604
605
606
607
637
638
639
640
641
642
643
TITLE
SIGNS & SYMPTOMS OF
MUSCULOSKELETAL SYSTEM & CONN
TISSUE W MCC
SIGNS & SYMPTOMS OF
MUSCULOSKELETAL SYSTEM & CONN
TISSUE W/O MCC
TENDONITIS, MYOSITIS & BURSITIS W
MCC
TENDONITIS, MYOSITIS & BURSITIS W/O
MCC
AFTERCARE, MUSCULOSKELETAL
SYSTEM & CONNECTIVE TISSUE W MCC
AFTERCARE, MUSCULOSKELETAL
SYSTEM & CONNECTIVE TISSUE W CC
AFTERCARE, MUSCULOSKELETAL
SYSTEM & CONNECTIVE TISSUE W/O
CC/MCC
FX, SPRN, STRN & DISL EXCEPT FEMUR,
HIP, PELVIS & THIGH W MCC
FX, SPRN, STRN & DISL EXCEPT FEMUR,
HIP, PELVIS & THIGH W/O MCC
OTHER MUSCULOSKELETAL SYS &
CONNECTIVE TISSUE DIAGNOSES W
MCC
OTHER MUSCULOSKELETAL SYS &
CONNECTIVE TISSUE DIAGNOSES W CC
OTHER MUSCULOSKELETAL SYS &
CONNECTIVE TISSUE DIAGNOSES W/O
CC/MCC
SKIN ULCERS W MCC
SKIN ULCERS W CC
SKIN ULCERS W/O CC/MCC
MAJOR SKIN DISORDERS W MCC
MAJOR SKIN DISORDERS W/O MCC
MALIGNANT BREAST DISORDERS W
MCC
MALIGNANT BREAST DISORDERS W CC
MALIGNANT BREAST DISORDERS W/O
CC/MCC
NON-MALIGNANT BREAST DISORDERS
W CC/MCC
NON-MALIGNANT BREAST DISORDERS
W/O CC/MCC
CELLULITIS W MCC
CELLULITIS W/O MCC
TRAUMA TO THE SKIN, SUBCUT TISS &
BREAST W MCC
TRAUMA TO THE SKIN, SUBCUT TISS &
BREAST W/O MCC
MINOR SKIN DISORDERS W MCC
MINOR SKIN DISORDERS W/O MCC
DIABETES W MCC
DIABETES W CC
DIABETES W/O CC/MCC
NUTRITIONAL & MISC METABOLIC
DISORDERS W MCC
NUTRITIONAL & MISC METABOLIC
DISORDERS W/O MCC
INBORN ERRORS OF METABOLISM
ENDOCRINE DISORDERS W MCC
Patient Safety Indicators Appendices
Appendix C – Medical Discharge MS-DRGs
MSDRG
644
645
682
683
684
685
686
687
688
689
690
691
692
693
694
695
696
697
698
699
700
722
723
724
725
726
727
728
729
730
754
755
756
TITLE
ENDOCRINE DISORDERS W CC
ENDOCRINE DISORDERS W/O CC/MCC
RENAL FAILURE W MCC
RENAL FAILURE W CC
RENAL FAILURE W/O CC/MCC
ADMIT FOR RENAL DIALYSIS
KIDNEY & URINARY TRACT NEOPLASMS
W MCC
KIDNEY & URINARY TRACT NEOPLASMS
W CC
KIDNEY & URINARY TRACT NEOPLASMS
W/O CC/MCC
KIDNEY & URINARY TRACT INFECTIONS
W MCC
KIDNEY & URINARY TRACT INFECTIONS
W/O MCC
URINARY STONES W ESW LITHOTRIPSY
W CC/MCC
URINARY STONES W ESW LITHOTRIPSY
W/O CC/MCC
URINARY STONES W/O ESW
LITHOTRIPSY W MCC
URINARY STONES W/O ESW
LITHOTRIPSY W/O MCC
KIDNEY & URINARY TRACT SIGNS &
SYMPTOMS W MCC
KIDNEY & URINARY TRACT SIGNS &
SYMPTOMS W/O MCC
URETHRAL STRICTURE
OTHER KIDNEY & URINARY TRACT
DIAGNOSES W MCC
OTHER KIDNEY & URINARY TRACT
DIAGNOSES W CC
OTHER KIDNEY & URINARY TRACT
DIAGNOSES W/O CC/MCC
MALIGNANCY, MALE REPRODUCTIVE
SYSTEM W MCC
MALIGNANCY, MALE REPRODUCTIVE
SYSTEM W CC
MALIGNANCY, MALE REPRODUCTIVE
SYSTEM W/O CC/MCC
BENIGN PROSTATIC HYPERTROPHY W
MCC
BENIGN PROSTATIC HYPERTROPHY
W/O MCC
INFLAMMATION OF THE MALE
REPRODUCTIVE SYSTEM W MCC
INFLAMMATION OF THE MALE
REPRODUCTIVE SYSTEM W/O MCC
OTHER MALE REPRODUCTIVE SYSTEM
DIAGNOSES W CC/MCC
OTHER MALE REPRODUCTIVE SYSTEM
DIAGNOSES W/O CC/MCC
MALIGNANCY, FEMALE REPRODUCTIVE
SYSTEM W MCC
MALIGNANCY, FEMALE REPRODUCTIVE
SYSTEM W CC
MALIGNANCY, FEMALE REPRODUCTIVE
SYSTEM W/O CC/MCC
Version 4.2 – 2010
Page 30
AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
MSDRG
757
758
759
760
761
774
775
776
777
778
779
780
781
782
789
790
791
792
793
794
795
808
809
810
811
812
813
814
815
816
834
835
836
TITLE
INFECTIONS, FEMALE REPRODUCTIVE
SYSTEM W MCC
INFECTIONS, FEMALE REPRODUCTIVE
SYSTEM W CC
INFECTIONS, FEMALE REPRODUCTIVE
SYSTEM W/O CC/MCC
MENSTRUAL & OTHER FEMALE
REPRODUCTIVE SYSTEM DISORDERS
W CC/MCC
MENSTRUAL & OTHER FEMALE
REPRODUCTIVE SYSTEM DISORDERS
W/O CC/MCC
VAGINAL DELIVERY W COMPLICATING
DIAGNOSES
VAGINAL DELIVERY W/O COMPLICATING
DIAGNOSES
POSTPARTUM & POST ABORTION
DIAGNOSES W/O O.R. PROCEDURE
ECTOPIC PREGNANCY
THREATENED ABORTION
ABORTION W/O D&C
FALSE LABOR
OTHER ANTEPARTUM DIAGNOSES W
MEDICAL COMPLICATIONS
OTHER ANTEPARTUM DIAGNOSES W/O
MEDICAL COMPLICATIONS
NEONATES, DIED OR TRANSFERRED TO
ANOTHER ACUTE CARE FACILITY
EXTREME IMMATURITY OR
RESPIRATORY DISTRESS SYNDROME,
NEONATE
PREMATURITY W MAJOR PROBLEMS
PREMATURITY W/O MAJOR PROBLEMS
FULL TERM NEONATE W MAJOR
PROBLEMS
NEONATE W OTHER SIGNIFICANT
PROBLEMS
NORMAL NEWBORN
MAJOR HEMATOL/IMMUN DIAG EXC
SICKLE CELL CRISIS & COAGUL W MCC
MAJOR HEMATOL/IMMUN DIAG EXC
SICKLE CELL CRISIS & COAGUL W CC
MAJOR HEMATOL/IMMUN DIAG EXC
SICKLE CELL CRISIS & COAGUL W/O
CC/MCC
RED BLOOD CELL DISORDERS W MCC
RED BLOOD CELL DISORDERS W/O MCC
COAGULATION DISORDERS
RETICULOENDOTHELIAL & IMMUNITY
DISORDERS W MCC
RETICULOENDOTHELIAL & IMMUNITY
DISORDERS W CC
RETICULOENDOTHELIAL & IMMUNITY
DISORDERS W/O CC/MCC
ACUTE LEUKEMIA W/O MAJOR O.R.
PROCEDURE W MCC
ACUTE LEUKEMIA W/O MAJOR O.R.
PROCEDURE W CC
ACUTE LEUKEMIA W/O MAJOR O.R.
PROCEDURE W/O CC/MCC
Patient Safety Indicators Appendices
Appendix C – Medical Discharge MS-DRGs
MSDRG
837
838
839
840
841
842
843
844
845
846
847
848
849
862
863
864
865
866
867
868
869
870
871
872
880
881
882
883
884
885
886
887
894
TITLE
CHEMO W ACUTE LEUKEMIA AS SDX OR
W HIGH DOSE CHEMO AGENT W MCC
CHEMO W ACUTE LEUKEMIA AS SDX W
CC OR HIGH DOSE CHEMO AGENT
CHEMO W ACUTE LEUKEMIA AS SDX
W/O CC/MCC
LYMPHOMA & NON-ACUTE LEUKEMIA W
MCC
LYMPHOMA & NON-ACUTE LEUKEMIA W
CC
LYMPHOMA & NON-ACUTE LEUKEMIA
W/O CC/MCC
OTHER MYELOPROLIF DIS OR POORLY
DIFF NEOPL DIAG W MCC
OTHER MYELOPROLIF DIS OR POORLY
DIFF NEOPL DIAG W CC
OTHER MYELOPROLIF DIS OR POORLY
DIFF NEOPL DIAG W/O CC/MCC
CHEMOTHERAPY W/O ACUTE LEUKEMIA
AS SECONDARY DIAGNOSIS W MCC
CHEMOTHERAPY W/O ACUTE LEUKEMIA
AS SECONDARY DIAGNOSIS W CC
CHEMOTHERAPY W/O ACUTE LEUKEMIA
AS SECONDARY DIAGNOSIS W/O
CC/MCC
RADIOTHERAPY
POSTOPERATIVE & POST-TRAUMATIC
INFECTIONS W MCC
POSTOPERATIVE & POST-TRAUMATIC
INFECTIONS W/O MCC
FEVER
VIRAL ILLNESS W MCC
VIRAL ILLNESS W/O MCC
OTHER INFECTIOUS & PARASITIC
DISEASES DIAGNOSES W MCC
OTHER INFECTIOUS & PARASITIC
DISEASES DIAGNOSES W CC
OTHER INFECTIOUS & PARASITIC
DISEASES DIAGNOSES W/O CC/MCC
SEPTICEMIA OR SEVERE SEPSIS W MV
96+ HOURS
SEPTICEMIA OR SEVERE SEPSIS W/O
MV 96+ HOURS W MCC
SEPTICEMIA OR SEVERE SEPSIS W/O
MV 96+ HOURS W/O MCC
ACUTE ADJUSTMENT REACTION &
PSYCHOSOCIAL DYSFUNCTION
DEPRESSIVE NEUROSES
NEUROSES EXCEPT DEPRESSIVE
DISORDERS OF PERSONALITY &
IMPULSE CONTROL
ORGANIC DISTURBANCES & MENTAL
RETARDATION
PSYCHOSES
BEHAVIORAL & DEVELOPMENTAL
DISORDERS
OTHER MENTAL DISORDER DIAGNOSES
ALCOHOL/DRUG ABUSE OR
DEPENDENCE, LEFT AMA
Version 4.2 – 2010
Page 31
AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
MSDRG
895
896
897
913
914
915
916
917
918
919
920
921
922
923
933
TITLE
ALCOHOL/DRUG ABUSE OR
DEPENDENCE W REHABILITATION
THERAPY
ALCOHOL/DRUG ABUSE OR
DEPENDENCE W/O REHABILITATION
THERAPY W MCC
ALCOHOL/DRUG ABUSE OR
DEPENDENCE W/O REHABILITATION
THERAPY W/O MCC
TRAUMATIC INJURY W MCC
TRAUMATIC INJURY W/O MCC
ALLERGIC REACTIONS W MCC
ALLERGIC REACTIONS W/O MCC
POISONING & TOXIC EFFECTS OF
DRUGS W MCC
POISONING & TOXIC EFFECTS OF
DRUGS W/O MCC
COMPLICATIONS OF TREATMENT W
MCC
COMPLICATIONS OF TREATMENT W CC
COMPLICATIONS OF TREATMENT W/O
CC/MCC
OTHER INJURY, POISONING & TOXIC
EFFECT DIAG W MCC
OTHER INJURY, POISONING & TOXIC
EFFECT DIAG W/O MCC
EXTENSIVE BURNS OR FULL
THICKNESS BURNS W MV 96+ HRS W/O
SKIN GRAFT
Patient Safety Indicators Appendices
Appendix C – Medical Discharge MS-DRGs
MSDRG
934
935
945
946
947
948
949
950
951
963
964
965
974
975
976
977
TITLE
FULL THICKNESS BURN W/O SKIN GRFT
OR INHAL INJ
NON-EXTENSIVE BURNS
REHABILITATION W CC/MCC
REHABILITATION W/O CC/MCC
SIGNS & SYMPTOMS W MCC
SIGNS & SYMPTOMS W/O MCC
AFTERCARE W CC/MCC
AFTERCARE W/O CC/MCC
OTHER FACTORS INFLUENCING
HEALTH STATUS
OTHER MULTIPLE SIGNIFICANT
TRAUMA W MCC
OTHER MULTIPLE SIGNIFICANT
TRAUMA W CC
OTHER MULTIPLE SIGNIFICANT
TRAUMA W/O CC/MCC
HIV W MAJOR RELATED CONDITION W
MCC
HIV W MAJOR RELATED CONDITION W
CC
HIV W MAJOR RELATED CONDITION W/O
CC/MCC
HIV W OR W/O OTHER RELATED
CONDITION
Version 4.2 – 2010
Page 32
AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
Appendix D – Surgical Discharge DRGs
For discharges using DRGs (before October 1, 2007)
DRG
001
002
003
004*
005*
006
007
008
036
037
038
039
040
041
042
049
050
051
052
053
054
055
056
057
058
059
060
061
062
063
TITLE
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
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 0-17
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
MYRINGOTOMY W/ TUBE INSERTION,
AGE 0-17
OTHER EAR, NOSE, MOUTH AND
THROAT OR PROCEDURES
Patient Safety Indicators Appendices
Appendix D – Surgical Discharge DRGs
DRG
075
076
077
103
104
105
106
107
108
109
110
111
112*
113
114
115
116
117
118
119
120
146
147
148
149
150
151
152
TITLE
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
Version 4.2– 2010
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DRG
153
154
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
TITLE
MINOR SMALL AND LARGE BOWEL
PROCEDURES W/O CC
STOMACH, ESOPHAGEAL AND
DUODENAL PROCEDURES, AGE
GREATER THAN 17 W/ CC
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
Patient Safety Indicators Appendices
Appendix D – Surgical Discharge DRGs
DRG
199
200
201
209
210
211
212
213
214*
215*
216
217
218
219
220
221*
222*
223
224
225
226
227
228
229
230
TITLE
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
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
Version 4.2– 2010
Page 34
AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
DRG
231*
232
233
234
257
258
259
260
261
262
263
264
265
266
267
268
269
270
285
286
287
288
289
290
291
292
293
302
TITLE
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
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
Patient Safety Indicators Appendices
Appendix D – Surgical Discharge DRGs
DRG
303
304
305
306
307
308
309
310
311
312
313
314
315
334
335
336
337
338
339
340
341
342
343
344
345
353
354
355
356
TITLE
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
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
Version 4.2– 2010
Page 35
AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
DRG
357
358
359
360
361
362
363
364
365
370
371
374
375
377
381
392
393
394
400*
401
402
406
407
408
415
424
439
440
441
442
TITLE
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
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
Patient Safety Indicators Appendices
Appendix D – Surgical Discharge DRGs
DRG
443
458*
459*
461
468
471
472*
476
477
478
479
480
481
482
483*
484
485
486
488
491
493
494
495
496
497
498
499
500
501
502
503
TITLE
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
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
Version 4.2– 2010
Page 36
AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
DRG
504
506
507
512
513
514*
515
516
517
518
519
520
525
526
527
528
529
530
531
532
533
534
535
536
537
538
539
540
541
542
TITLE
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 OCT03VENTRICULAR SHUNT PROCEDURES W
CC OCT03VENTRICULAR SHUNT PROCEDURES
W/O CC OCT03SPINAL PROCEDURES W CC OCT03SPINAL PROCEDURES W/O CC OCT03EXTRACRANIAL PROCEDURES W CC
OCT03EXTRACRANIAL PROCEDURES W/O CC
OCT03CARDIAC DEFIB IMPLANT W CARDIAC
CATH W AMI/HF/SHOCK OCT03CARDIAC DEFIB IMPLANT W CARDIAC
CATH W/O AMI/HF/SHOCK OCT03LOCAL EXCIS & REMOV OF INT FIX DEV
EXCEPT HIP & FEMUR W CC OCT03LOCAL EXCIS & REMOV OF INT FIX DEV
EXCEPT HIP & FEMUR W/O CC OCT03LYMPHOMA & LEUKEMIA W MAJOR OR
PROCEDURE W CC OCT03LYMPHOMA & LEUKEMIA W MAJOR OR
PROCEDURE W/O CC OCT03TRACH 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)
Patient Safety Indicators Appendices
Appendix D – Surgical Discharge DRGs
DRG
543
544
545
546
547
548
549
550
551
552
553
554
555
556
557
558
567
568
569
570
573
577
578
TITLE
CRANIOTOMY WITH IMPLANTATION OF
CHEMOTHERAPEUTIC AGENT OR
ACUTE COMPLEX CENTRAL NERVOUS
SYSTEM PRINCIPAL DIAGNOSIS (OCT
04)
MAJOR JOINT REPLACEMENT OR
REATTACHMENT OF LOWER
EXTREMITY OCT05REVISION OF HIP OR KNEE
REPLACEMENT OCT05SPINAL FUSION EXC CERV WITH
CURVATURE OF THE SPINE OR MALIG
OCT05CORONARY BYPASS W CARDIAC CATH
W MAJOR CV DX OCT05CORONARY BYPASS W CARDIAC CATH
W/O MAJOR CV DX OCT05CORONARY BYPASS W/O CARDIAC
CATH W MAJOR CV DX
CORONARY BYPASS W/O CARDIAC
CATH W/O MAJOR CV DX OCT05PERMANENT CARDIAC PACEMAKER
IMPL W MAJ CV DX OR AICD LEAD OR
GNRTR OCT05OTHER PERMANENT CARDIAC
PACEMAKER IMPLANT W/O MAJOR CV
DX OCT05OTHER VASCULAR PROCEDURES W
CC W MAJOR CV DX OCT05OTHER VASCULAR PROCEDURES W
CC W/O MAJOR CV DX OCT05PERCUTANEOUS CARDIOVASCULAR
PROC W MAJOR CV DX OCT05PERCUTANEOUS CARDIOVASC PROC
W NON-DRUG-ELUTING STENT W/O
MAJ CV DX OCT05PERCUTANEOUS CARDIOVASCULAR
PROC W DRUG-ELUTING STENT W
MAJOR CV DX OCT05PERCUTANEOUS CARDIOVASCULAR
PROC W DRUG-ELUTING STENT W/O
MAJ CV DX OCT05STOMACH, ESOPHAGEAL & DUODENAL
PROC AGE > 17 W CC W MAJOR GI DX
OCT06STOMACH, ESOPHAGEAL & DUODENAL
PROCEDURES PROC AGE > 17 W CC
W/O MAJOR GI DX OCT06MAJOR SMALL & LARGE BOWEL
PROCEDURES W CC W MAJOR GI DX
OCT06MAJOR SMALL & LARGE BOWEL
PROCEDURES W CC W/O MAJOR GI DX
OCT06MAJOR BLADDER PROCEDURES
OCT06CAROTID ARTERY STENT PROCEDURE
OCT06INFECTIOUS & PARASITIC DISEASES W
OR PROCEDURE OCT06-
Version 4.2– 2010
Page 37
AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
DRG
579
TITLE
POSTOPERATIVE OR POST-TRAUMATIC
INFECTIONS W OR PROCEDURE
OCT06-
Patient Safety Indicators Appendices
Appendix D – Surgical Discharge DRGs
Version 4.2– 2010
Page 38
AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
Appendix E – Surgical Discharge MS-DRGs
For discharges using MS-DRGs (on or after October 1, 2007)
MSDRG
001
002
003
004
005
006
007
008
009
010
011
012
013
020
021
022
023
024
025
026
027
028
029
030
031
032
033
034
TITLE
HEART TRANSPLANT OR IMPLANT OF
HEART ASSIST SYSTEM W MCC
HEART TRANSPLANT OR IMPLANT OF
HEART ASSIST SYSTEM W/O MCC
ECMO OR TRACH W MV 96+ HRS OR
PDX EXC FACE, MOUTH & NECK W MAJ
O.R.
TRACH W MV 96+ HRS OR PDX EXC
FACE, MOUTH & NECK W/O MAJ O.R.
LIVER TRANSPLANT W MCC OR
INTESTINAL TRANSPLANT
LIVER TRANSPLANT W/O MCC
LUNG TRANSPLANT
SIMULTANEOUS PANCREAS/KIDNEY
TRANSPLANT
BONE MARROW TRANSPLANT
PANCREAS TRANSPLANT
TRACHEOSTOMY FOR FACE,MOUTH &
NECK DIAGNOSES W MCC
TRACHEOSTOMY FOR FACE,MOUTH &
NECK DIAGNOSES W CC
TRACHEOSTOMY FOR FACE,MOUTH &
NECK DIAGNOSES W/O CC/MCC
INTRACRANIAL VASCULAR
PROCEDURES W PDX HEMORRHAGE W
MCC
INTRACRANIAL VASCULAR
PROCEDURES W PDX HEMORRHAGE W
CC
INTRACRANIAL VASCULAR
PROCEDURES W PDX HEMORRHAGE
W/O CC/MCC
CRANIO W MAJOR DEV IMPL/ACUTE
COMPLEX CNS PDX W MCC OR CHEMO
IMPLANT
CRANIO W MAJOR DEV IMPL/ACUTE
COMPLEX CNS PDX W/O MCC
CRANIOTOMY & ENDOVASCULAR
INTRACRANIAL PROCEDURES W MCC
CRANIOTOMY & ENDOVASCULAR
INTRACRANIAL PROCEDURES W CC
CRANIOTOMY & ENDOVASCULAR
INTRACRANIAL PROCEDURES W/O
CC/MCC
SPINAL PROCEDURES W MCC
SPINAL PROCEDURES W CC OR SPINAL
NEUROSTIMULATORS
SPINAL PROCEDURES W/O CC/MCC
VENTRICULAR SHUNT PROCEDURES W
MCC
VENTRICULAR SHUNT PROCEDURES W
CC
VENTRICULAR SHUNT PROCEDURES
W/O CC/MCC
CAROTID ARTERY STENT PROCEDURE
W MCC
Patient Safety Indicators Appendices
Appendix E – Surgical Discharge MS-DRGs
MSDRG
035
036
037
038
039
040
041
042
113
114
115
116
117
129
130
131
132
133
134
135
136
137
138
139
163
164
165
166
167
168
215
TITLE
CAROTID ARTERY STENT PROCEDURE
W CC
CAROTID ARTERY STENT PROCEDURE
W/O CC/MCC
EXTRACRANIAL PROCEDURES W MCC
EXTRACRANIAL PROCEDURES W CC
EXTRACRANIAL PROCEDURES W/O
CC/MCC
PERIPH/CRANIAL NERVE & OTHER
NERV SYST PROC W MCC
PERIPH/CRANIAL NERVE & OTHER
NERV SYST PROC W CC OR PERIPH
NEUROSTIM
PERIPH/CRANIAL NERVE & OTHER
NERV SYST PROC W/O CC/MCC
ORBITAL PROCEDURES W CC/MCC
ORBITAL PROCEDURES W/O CC/MCC
EXTRAOCULAR PROCEDURES EXCEPT
ORBIT
INTRAOCULAR PROCEDURES W
CC/MCC
INTRAOCULAR PROCEDURES W/O
CC/MCC
MAJOR HEAD & NECK PROCEDURES W
CC/MCC OR MAJOR DEVICE
MAJOR HEAD & NECK PROCEDURES
W/O CC/MCC
CRANIAL/FACIAL PROCEDURES W
CC/MCC
CRANIAL/FACIAL PROCEDURES W/O
CC/MCC
OTHER EAR, NOSE, MOUTH & THROAT
O.R. PROCEDURES W CC/MCC
OTHER EAR, NOSE, MOUTH & THROAT
O.R. PROCEDURES W/O CC/MCC
SINUS & MASTOID PROCEDURES W
CC/MCC
SINUS & MASTOID PROCEDURES W/O
CC/MCC
MOUTH PROCEDURES W CC/MCC
MOUTH PROCEDURES W/O CC/MCC
SALIVARY GLAND PROCEDURES
MAJOR CHEST PROCEDURES W MCC
MAJOR CHEST PROCEDURES W CC
MAJOR CHEST PROCEDURES W/O
CC/MCC
OTHER RESP SYSTEM O.R.
PROCEDURES W MCC
OTHER RESP SYSTEM O.R.
PROCEDURES W CC
OTHER RESP SYSTEM O.R.
PROCEDURES W/O CC/MCC
OTHER HEART ASSIST SYSTEM
IMPLANT
Version 4.2 – 2010
Page 39
AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
MSDRG
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
TITLE
CARDIAC VALVE & OTH MAJ
CARDIOTHORACIC PROC W CARD CATH
W MCC
CARDIAC VALVE & OTH MAJ
CARDIOTHORACIC PROC W CARD CATH
W CC
CARDIAC VALVE & OTH MAJ
CARDIOTHORACIC PROC W CARD CATH
W/O CC/MCC
CARDIAC VALVE & OTH MAJ
CARDIOTHORACIC PROC W/O CARD
CATH W MCC
CARDIAC VALVE & OTH MAJ
CARDIOTHORACIC PROC W/O CARD
CATH W CC
CARDIAC VALVE & OTH MAJ
CARDIOTHORACIC PROC W/O CARD
CATH W/O CC/MCC
CARDIAC DEFIB IMPLANT W CARDIAC
CATH W AMI/HF/SHOCK W MCC
CARDIAC DEFIB IMPLANT W CARDIAC
CATH W AMI/HF/SHOCK W/O MCC
CARDIAC DEFIB IMPLANT W CARDIAC
CATH W/O AMI/HF/SHOCK W MCC
CARDIAC DEFIB IMPLANT W CARDIAC
CATH W/O AMI/HF/SHOCK W/O MCC
CARDIAC DEFIBRILLATOR IMPLANT W/O
CARDIAC CATH W MCC
CARDIAC DEFIBRILLATOR IMPLANT W/O
CARDIAC CATH W/O MCC
OTHER CARDIOTHORACIC
PROCEDURES W MCC
OTHER CARDIOTHORACIC
PROCEDURES W CC
OTHER CARDIOTHORACIC
PROCEDURES W/O CC/MCC
CORONARY BYPASS W PTCA W MCC
CORONARY BYPASS W PTCA W/O MCC
CORONARY BYPASS W CARDIAC CATH
W MCC
CORONARY BYPASS W CARDIAC CATH
W/O MCC
CORONARY BYPASS W/O CARDIAC
CATH W MCC
CORONARY BYPASS W/O CARDIAC
CATH W/O MCC
MAJOR CARDIOVASC PROCEDURES W
MCC OR THORACIC AORTIC ANEURYSM
REPAIR
MAJOR CARDIOVASC PROCEDURES
W/O MCC
AMPUTATION FOR CIRC SYS
DISORDERS EXC UPPER LIMB & TOE W
MCC
AMPUTATION FOR CIRC SYS
DISORDERS EXC UPPER LIMB & TOE W
CC
AMPUTATION FOR CIRC SYS
DISORDERS EXC UPPER LIMB & TOE
W/O CC/MCC
Patient Safety Indicators Appendices
Appendix E – Surgical Discharge MS-DRGs
MSDRG
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
326
327
328
329
330
331
332
TITLE
PERMANENT CARDIAC PACEMAKER
IMPLANT W MCC
PERMANENT CARDIAC PACEMAKER
IMPLANT W CC
PERMANENT CARDIAC PACEMAKER
IMPLANT W/O CC/MCC
AICD GENERATOR PROCEDURES
PERC CARDIOVASC PROC W DRUGELUTING STENT W MCC OR 4+
VESSELS/STENTS
PERC CARDIOVASC PROC W DRUGELUTING STENT W/O MCC
PERC CARDIOVASC PROC W NONDRUG-ELUTING STENT W MCC OR 4+
VES/STENTS
PERC CARDIOVASC PROC W NONDRUG-ELUTING STENT W/O MCC
PERC CARDIOVASC PROC W/O
CORONARY ARTERY STENT W MCC
PERC CARDIOVASC PROC W/O
CORONARY ARTERY STENT W/O MCC
OTHER VASCULAR PROCEDURES W
MCC
OTHER VASCULAR PROCEDURES W CC
OTHER VASCULAR PROCEDURES W/O
CC/MCC
UPPER LIMB & TOE AMPUTATION FOR
CIRC SYSTEM DISORDERS W MCC
UPPER LIMB & TOE AMPUTATION FOR
CIRC SYSTEM DISORDERS W CC
UPPER LIMB & TOE AMPUTATION FOR
CIRC SYSTEM DISORDERS W/O CC/MCC
CARDIAC PACEMAKER DEVICE
REPLACEMENT W MCC
CARDIAC PACEMAKER DEVICE
REPLACEMENT W/O MCC
CARDIAC PACEMAKER REVISION
EXCEPT DEVICE REPLACEMENT W MCC
CARDIAC PACEMAKER REVISION
EXCEPT DEVICE REPLACEMENT W CC
CARDIAC PACEMAKER REVISION
EXCEPT DEVICE REPLACEMENT W/O
CC/MCC
VEIN LIGATION & STRIPPING
OTHER CIRCULATORY SYSTEM O.R.
PROCEDURES
AICD LEAD PROCEDURES
STOMACH, ESOPHAGEAL & DUODENAL
PROC W MCC
STOMACH, ESOPHAGEAL & DUODENAL
PROC W CC
STOMACH, ESOPHAGEAL & DUODENAL
PROC W/O CC/MCC
MAJOR SMALL & LARGE BOWEL
PROCEDURES W MCC
MAJOR SMALL & LARGE BOWEL
PROCEDURES W CC
MAJOR SMALL & LARGE BOWEL
PROCEDURES W/O CC/MCC
RECTAL RESECTION W MCC
Version 4.2 – 2010
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AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
MSDRG
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
405
406
407
408
409
410
411
TITLE
RECTAL RESECTION W CC
RECTAL RESECTION W/O CC/MCC
PERITONEAL ADHESIOLYSIS W MCC
PERITONEAL ADHESIOLYSIS W CC
PERITONEAL ADHESIOLYSIS W/O
CC/MCC
APPENDECTOMY W COMPLICATED
PRINCIPAL DIAG W MCC
APPENDECTOMY W COMPLICATED
PRINCIPAL DIAG W CC
APPENDECTOMY W COMPLICATED
PRINCIPAL DIAG W/O CC/MCC
APPENDECTOMY W/O COMPLICATED
PRINCIPAL DIAG W MCC
APPENDECTOMY W/O COMPLICATED
PRINCIPAL DIAG W CC
APPENDECTOMY W/O COMPLICATED
PRINCIPAL DIAG W/O CC/MCC
MINOR SMALL & LARGE BOWEL
PROCEDURES W MCC
MINOR SMALL & LARGE BOWEL
PROCEDURES W CC
MINOR SMALL & LARGE BOWEL
PROCEDURES W/O CC/MCC
ANAL & STOMAL PROCEDURES W MCC
ANAL & STOMAL PROCEDURES W CC
ANAL & STOMAL PROCEDURES W/O
CC/MCC
INGUINAL & FEMORAL HERNIA
PROCEDURES W MCC
INGUINAL & FEMORAL HERNIA
PROCEDURES W CC
INGUINAL & FEMORAL HERNIA
PROCEDURES W/O CC/MCC
HERNIA PROCEDURES EXCEPT
INGUINAL & FEMORAL W MCC
HERNIA PROCEDURES EXCEPT
INGUINAL & FEMORAL W CC
HERNIA PROCEDURES EXCEPT
INGUINAL & FEMORAL W/O CC/MCC
OTHER DIGESTIVE SYSTEM O.R.
PROCEDURES W MCC
OTHER DIGESTIVE SYSTEM O.R.
PROCEDURES W CC
OTHER DIGESTIVE SYSTEM O.R.
PROCEDURES W/O CC/MCC
PANCREAS, LIVER & SHUNT
PROCEDURES W MCC
PANCREAS, LIVER & SHUNT
PROCEDURES W CC
PANCREAS, LIVER & SHUNT
PROCEDURES W/O CC/MCC
BILIARY TRACT PROC EXCEPT ONLY
CHOLECYST W OR W/O C.D.E. W MCC
BILIARY TRACT PROC EXCEPT ONLY
CHOLECYST W OR W/O C.D.E. W CC
BILIARY TRACT PROC EXCEPT ONLY
CHOLECYST W OR W/O C.D.E. W/O
CC/MCC
CHOLECYSTECTOMY W C.D.E. W MCC
Patient Safety Indicators Appendices
Appendix E – Surgical Discharge MS-DRGs
MSDRG
412
413
414
415
416
417
418
419
420
421
422
423
424
425
453
454
455
456
457
458
459
460
461
462
463
464
465
466
467
TITLE
CHOLECYSTECTOMY W C.D.E. W CC
CHOLECYSTECTOMY W C.D.E. W/O
CC/MCC
CHOLECYSTECTOMY EXCEPT BY
LAPAROSCOPE W/O C.D.E. W MCC
CHOLECYSTECTOMY EXCEPT BY
LAPAROSCOPE W/O C.D.E. W CC
CHOLECYSTECTOMY EXCEPT BY
LAPAROSCOPE W/O C.D.E. W/O CC/MCC
LAPAROSCOPIC CHOLECYSTECTOMY
W/O C.D.E. W MCC
LAPAROSCOPIC CHOLECYSTECTOMY
W/O C.D.E. W CC
LAPAROSCOPIC CHOLECYSTECTOMY
W/O C.D.E. W/O CC/MCC
HEPATOBILIARY DIAGNOSTIC
PROCEDURES W MCC
HEPATOBILIARY DIAGNOSTIC
PROCEDURES W CC
HEPATOBILIARY DIAGNOSTIC
PROCEDURES W/O CC/MCC
OTHER HEPATOBILIARY OR PANCREAS
O.R. PROCEDURES W MCC
OTHER HEPATOBILIARY OR PANCREAS
O.R. PROCEDURES W CC
OTHER HEPATOBILIARY OR PANCREAS
O.R. PROCEDURES W/O CC/MCC
COMBINED ANTERIOR/POSTERIOR
SPINAL FUSION W MCC
COMBINED ANTERIOR/POSTERIOR
SPINAL FUSION W CC
COMBINED ANTERIOR/POSTERIOR
SPINAL FUSION W/O CC/MCC
SPINAL FUS EXC CERV W SPINAL
CURV/MALIG/INFEC OR 9+ FUS W MCC
SPINAL FUS EXC CERV W SPINAL
CURV/MALIG/INFEC OR 9+ FUS W CC
SPINAL FUS EXC CERV W SPINAL
CURV/MALIG/INFEC OR 9+ FUS W/O
CC/MCC
SPINAL FUSION EXCEPT CERVICAL W
MCC
SPINAL FUSION EXCEPT CERVICAL W/O
MCC
BILATERAL OR MULTIPLE MAJOR JOINT
PROCS OF LOWER EXTREMITY W MCC
BILATERAL OR MULTIPLE MAJOR JOINT
PROCS OF LOWER EXTREMITY W/O
MCC
WND DEBRID & SKN GRFT EXC HAND,
FOR MUSCULO-CONN TISS DIS W MCC
WND DEBRID & SKN GRFT EXC HAND,
FOR MUSCULO-CONN TISS DIS W CC
WND DEBRID & SKN GRFT EXC HAND,
FOR MUSCULO-CONN TISS DIS W/O
CC/MCC
REVISION OF HIP OR KNEE
REPLACEMENT W MCC
REVISION OF HIP OR KNEE
REPLACEMENT W CC
Version 4.2 – 2010
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AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
MSDRG
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482
483
484
485
486
487
488
489
490
491
492
493
494
495
TITLE
REVISION OF HIP OR KNEE
REPLACEMENT W/O CC/MCC
MAJOR JOINT REPLACEMENT OR
REATTACHMENT OF LOWER
EXTREMITY W MCC
MAJOR JOINT REPLACEMENT OR
REATTACHMENT OF LOWER
EXTREMITY W/O MCC
CERVICAL SPINAL FUSION W MCC
CERVICAL SPINAL FUSION W CC
CERVICAL SPINAL FUSION W/O CC/MCC
AMPUTATION FOR MUSCULOSKELETAL
SYS & CONN TISSUE DIS W MCC
AMPUTATION FOR MUSCULOSKELETAL
SYS & CONN TISSUE DIS W CC
AMPUTATION FOR MUSCULOSKELETAL
SYS & CONN TISSUE DIS W/O CC/MCC
BIOPSIES OF MUSCULOSKELETAL
SYSTEM & CONNECTIVE TISSUE W MCC
BIOPSIES OF MUSCULOSKELETAL
SYSTEM & CONNECTIVE TISSUE W CC
BIOPSIES OF MUSCULOSKELETAL
SYSTEM & CONNECTIVE TISSUE W/O
CC/MCC
HIP & FEMUR PROCEDURES EXCEPT
MAJOR JOINT W MCC
HIP & FEMUR PROCEDURES EXCEPT
MAJOR JOINT W CC
HIP & FEMUR PROCEDURES EXCEPT
MAJOR JOINT W/O CC/MCC
MAJOR JOINT & LIMB REATTACHMENT
PROC OF UPPER EXTREMITY W
CC/MCC
MAJOR JOINT & LIMB REATTACHMENT
PROC OF UPPER EXTREMITY W/O
CC/MCC
KNEE PROCEDURES W PDX OF
INFECTION W MCC
KNEE PROCEDURES W PDX OF
INFECTION W CC
KNEE PROCEDURES W PDX OF
INFECTION W/O CC/MCC
KNEE PROCEDURES W/O PDX OF
INFECTION W CC/MCC
KNEE PROCEDURES W/O PDX OF
INFECTION W/O CC/MCC
BACK & NECK PROC EXC SPINAL
FUSION W CC/MCC OR DISC
DEVICE/NEUROSTIM
BACK & NECK PROC EXC SPINAL
FUSION W/O CC/MCC
LOWER EXTREM & HUMER PROC
EXCEPT HIP,FOOT,FEMUR W MCC
LOWER EXTREM & HUMER PROC
EXCEPT HIP,FOOT,FEMUR W CC
LOWER EXTREM & HUMER PROC
EXCEPT HIP,FOOT,FEMUR W/O CC/MCC
LOCAL EXCISION & REMOVAL INT FIX
DEVICES EXC HIP & FEMUR W MCC
Patient Safety Indicators Appendices
Appendix E – Surgical Discharge MS-DRGs
MSDRG
496
497
498
499
500
501
502
503
504
505
506
507
508
509
510
511
512
513
514
515
516
517
573
574
575
576
577
578
579
580
581
582
TITLE
LOCAL EXCISION & REMOVAL INT FIX
DEVICES EXC HIP & FEMUR W CC
LOCAL EXCISION & REMOVAL INT FIX
DEVICES EXC HIP & FEMUR W/O
CC/MCC
LOCAL EXCISION & REMOVAL INT FIX
DEVICES OF HIP & FEMUR W CC/MCC
LOCAL EXCISION & REMOVAL INT FIX
DEVICES OF HIP & FEMUR W/O CC/MCC
SOFT TISSUE PROCEDURES W MCC
SOFT TISSUE PROCEDURES W CC
SOFT TISSUE PROCEDURES W/O
CC/MCC
FOOT PROCEDURES W MCC
FOOT PROCEDURES W CC
FOOT PROCEDURES W/O CC/MCC
MAJOR THUMB OR JOINT PROCEDURES
MAJOR SHOULDER OR ELBOW JOINT
PROCEDURES W CC/MCC
MAJOR SHOULDER OR ELBOW JOINT
PROCEDURES W/O CC/MCC
ARTHROSCOPY
SHOULDER,ELBOW OR FOREARM
PROC,EXC MAJOR JOINT PROC W MCC
SHOULDER,ELBOW OR FOREARM
PROC,EXC MAJOR JOINT PROC W CC
SHOULDER,ELBOW OR FOREARM
PROC,EXC MAJOR JOINT PROC W/O
CC/MCC
HAND OR WRIST PROC, EXCEPT MAJOR
THUMB OR JOINT PROC W CC/MCC
HAND OR WRIST PROC, EXCEPT MAJOR
THUMB OR JOINT PROC W/O CC/MCC
OTHER MUSCULOSKELET SYS & CONN
TISS O.R. PROC W MCC
OTHER MUSCULOSKELET SYS & CONN
TISS O.R. PROC W CC
OTHER MUSCULOSKELET SYS & CONN
TISS O.R. PROC W/O CC/MCC
SKIN GRAFT &/OR DEBRID FOR SKN
ULCER OR CELLULITIS W MCC
SKIN GRAFT &/OR DEBRID FOR SKN
ULCER OR CELLULITIS W CC
SKIN GRAFT &/OR DEBRID FOR SKN
ULCER OR CELLULITIS W/O CC/MCC
SKIN GRAFT &/OR DEBRID EXC FOR
SKIN ULCER OR CELLULITIS W MCC
SKIN GRAFT &/OR DEBRID EXC FOR
SKIN ULCER OR CELLULITIS W CC
SKIN GRAFT &/OR DEBRID EXC FOR
SKIN ULCER OR CELLULITIS W/O
CC/MCC
OTHER SKIN, SUBCUT TISS & BREAST
PROC W MCC
OTHER SKIN, SUBCUT TISS & BREAST
PROC W CC
OTHER SKIN, SUBCUT TISS & BREAST
PROC W/O CC/MCC
MASTECTOMY FOR MALIGNANCY W
CC/MCC
Version 4.2 – 2010
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AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
MSDRG
583
584
585
614
615
616
617
618
619
620
621
622
623
624
625
626
627
628
629
630
652
653
654
655
656
657
658
659
TITLE
MASTECTOMY FOR MALIGNANCY W/O
CC/MCC
BREAST BIOPSY, LOCAL EXCISION &
OTHER BREAST PROCEDURES W
CC/MCC
BREAST BIOPSY, LOCAL EXCISION &
OTHER BREAST PROCEDURES W/O
CC/MCC
ADRENAL & PITUITARY PROCEDURES W
CC/MCC
ADRENAL & PITUITARY PROCEDURES
W/O CC/MCC
AMPUTAT OF LOWER LIMB FOR
ENDOCRINE,NUTRIT,& METABOL DIS W
MCC
AMPUTAT OF LOWER LIMB FOR
ENDOCRINE,NUTRIT,& METABOL DIS W
CC
AMPUTAT OF LOWER LIMB FOR
ENDOCRINE,NUTRIT,& METABOL DIS
W/O CC/MCC
O.R. PROCEDURES FOR OBESITY W
MCC
O.R. PROCEDURES FOR OBESITY W CC
O.R. PROCEDURES FOR OBESITY W/O
CC/MCC
SKIN GRAFTS & WOUND DEBRID FOR
ENDOC, NUTRIT & METAB DIS W MCC
SKIN GRAFTS & WOUND DEBRID FOR
ENDOC, NUTRIT & METAB DIS W CC
SKIN GRAFTS & WOUND DEBRID FOR
ENDOC, NUTRIT & METAB DIS W/O
CC/MCC
THYROID, PARATHYROID &
THYROGLOSSAL PROCEDURES W MCC
THYROID, PARATHYROID &
THYROGLOSSAL PROCEDURES W CC
THYROID, PARATHYROID &
THYROGLOSSAL PROCEDURES W/O
CC/MCC
OTHER ENDOCRINE, NUTRIT & METAB
O.R. PROC W MCC
OTHER ENDOCRINE, NUTRIT & METAB
O.R. PROC W CC
OTHER ENDOCRINE, NUTRIT & METAB
O.R. PROC W/O CC/MCC
KIDNEY TRANSPLANT
MAJOR BLADDER PROCEDURES W MCC
MAJOR BLADDER PROCEDURES W CC
MAJOR BLADDER PROCEDURES W/O
CC/MCC
KIDNEY & URETER PROCEDURES FOR
NEOPLASM W MCC
KIDNEY & URETER PROCEDURES FOR
NEOPLASM W CC
KIDNEY & URETER PROCEDURES FOR
NEOPLASM W/O CC/MCC
KIDNEY & URETER PROCEDURES FOR
NON-NEOPLASM W MCC
Patient Safety Indicators Appendices
Appendix E – Surgical Discharge MS-DRGs
MSDRG
660
661
662
663
664
665
666
667
668
669
670
671
672
673
674
675
707
708
709
710
711
712
713
714
715
716
717
718
734
735
736
737
TITLE
KIDNEY & URETER PROCEDURES FOR
NON-NEOPLASM W CC
KIDNEY & URETER PROCEDURES FOR
NON-NEOPLASM W/O CC/MCC
MINOR BLADDER PROCEDURES W MCC
MINOR BLADDER PROCEDURES W CC
MINOR BLADDER PROCEDURES W/O
CC/MCC
PROSTATECTOMY W MCC
PROSTATECTOMY W CC
PROSTATECTOMY W/O CC/MCC
TRANSURETHRAL PROCEDURES W
MCC
TRANSURETHRAL PROCEDURES W CC
TRANSURETHRAL PROCEDURES W/O
CC/MCC
URETHRAL PROCEDURES W CC/MCC
URETHRAL PROCEDURES W/O CC/MCC
OTHER KIDNEY & URINARY TRACT
PROCEDURES W MCC
OTHER KIDNEY & URINARY TRACT
PROCEDURES W CC
OTHER KIDNEY & URINARY TRACT
PROCEDURES W/O CC/MCC
MAJOR MALE PELVIC PROCEDURES W
CC/MCC
MAJOR MALE PELVIC PROCEDURES
W/O CC/MCC
PENIS PROCEDURES W CC/MCC
PENIS PROCEDURES W/O CC/MCC
TESTES PROCEDURES W CC/MCC
TESTES PROCEDURES W/O CC/MCC
TRANSURETHRAL PROSTATECTOMY W
CC/MCC
TRANSURETHRAL PROSTATECTOMY
W/O CC/MCC
OTHER MALE REPRODUCTIVE SYSTEM
O.R. PROC FOR MALIGNANCY W
CC/MCC
OTHER MALE REPRODUCTIVE SYSTEM
O.R. PROC FOR MALIGNANCY W/O
CC/MCC
OTHER MALE REPRODUCTIVE SYSTEM
O.R. PROC EXC MALIGNANCY W
CC/MCC
OTHER MALE REPRODUCTIVE SYSTEM
O.R. PROC EXC MALIGNANCY W/O
CC/MCC
PELVIC EVISCERATION, RAD
HYSTERECTOMY & RAD VULVECTOMY
W CC/MCC
PELVIC EVISCERATION, RAD
HYSTERECTOMY & RAD VULVECTOMY
W/O CC/MCC
UTERINE & ADNEXA PROC FOR
OVARIAN OR ADNEXAL MALIGNANCY W
MCC
UTERINE & ADNEXA PROC FOR
OVARIAN OR ADNEXAL MALIGNANCY W
CC
Version 4.2 – 2010
Page 43
AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
MSDRG
738
739
740
741
742
743
744
745
746
747
748
749
750
765
766
767
768
769
770
799
800
801
802
803
804
820
821
822
823
824
825
TITLE
UTERINE & ADNEXA PROC FOR
OVARIAN OR ADNEXAL MALIGNANCY
W/O CC/MCC
UTERINE,ADNEXA PROC FOR NONOVARIAN/ADNEXAL MALIG W MCC
UTERINE,ADNEXA PROC FOR NONOVARIAN/ADNEXAL MALIG W CC
UTERINE,ADNEXA PROC FOR NONOVARIAN/ADNEXAL MALIG W/O CC/MCC
UTERINE & ADNEXA PROC FOR NONMALIGNANCY W CC/MCC
UTERINE & ADNEXA PROC FOR NONMALIGNANCY W/O CC/MCC
D&C, CONIZATION, LAPAROSCOPY &
TUBAL INTERRUPTION W CC/MCC
D&C, CONIZATION, LAPAROSCOPY &
TUBAL INTERRUPTION W/O CC/MCC
VAGINA, CERVIX & VULVA
PROCEDURES W CC/MCC
VAGINA, CERVIX & VULVA
PROCEDURES W/O CC/MCC
FEMALE REPRODUCTIVE SYSTEM
RECONSTRUCTIVE PROCEDURES
OTHER FEMALE REPRODUCTIVE
SYSTEM O.R. PROCEDURES W CC/MCC
OTHER FEMALE REPRODUCTIVE
SYSTEM O.R. PROCEDURES W/O
CC/MCC
CESAREAN SECTION W CC/MCC
CESAREAN SECTION W/O CC/MCC
VAGINAL DELIVERY W STERILIZATION
&/OR D&C
VAGINAL DELIVERY W O.R. PROC
EXCEPT STERIL &/OR D&C
POSTPARTUM & POST ABORTION
DIAGNOSES W O.R. PROCEDURE
ABORTION W D&C, ASPIRATION
CURETTAGE OR HYSTEROTOMY
SPLENECTOMY W MCC
SPLENECTOMY W CC
SPLENECTOMY W/O CC/MCC
OTHER O.R. PROC OF THE BLOOD &
BLOOD FORMING ORGANS W MCC
OTHER O.R. PROC OF THE BLOOD &
BLOOD FORMING ORGANS W CC
OTHER O.R. PROC OF THE BLOOD &
BLOOD FORMING ORGANS W/O CC/MCC
LYMPHOMA & LEUKEMIA W MAJOR O.R.
PROCEDURE W MCC
LYMPHOMA & LEUKEMIA W MAJOR O.R.
PROCEDURE W CC
LYMPHOMA & LEUKEMIA W MAJOR O.R.
PROCEDURE W/O CC/MCC
LYMPHOMA & NON-ACUTE LEUKEMIA W
OTHER O.R. PROC W MCC
LYMPHOMA & NON-ACUTE LEUKEMIA W
OTHER O.R. PROC W CC
LYMPHOMA & NON-ACUTE LEUKEMIA W
OTHER O.R. PROC W/O CC/MCC
Patient Safety Indicators Appendices
Appendix E – Surgical Discharge MS-DRGs
MSDRG
826
827
828
829
830
853
854
855
856
857
858
876
901
902
903
904
905
906
907
908
909
927
928
929
939
940
941
955
TITLE
MYELOPROLIF DISORD OR POORLY
DIFF NEOPL W MAJ O.R. PROC W MCC
MYELOPROLIF DISORD OR POORLY
DIFF NEOPL W MAJ O.R. PROC W CC
MYELOPROLIF DISORD OR POORLY
DIFF NEOPL W MAJ O.R. PROC W/O
CC/MCC
MYELOPROLIF DISORD OR POORLY
DIFF NEOPL W OTHER O.R. PROC W
CC/MCC
MYELOPROLIF DISORD OR POORLY
DIFF NEOPL W OTHER O.R. PROC W/O
CC/MCC
INFECTIOUS & PARASITIC DISEASES W
O.R. PROCEDURE W MCC
INFECTIOUS & PARASITIC DISEASES W
O.R. PROCEDURE W CC
INFECTIOUS & PARASITIC DISEASES W
O.R. PROCEDURE W/O CC/MCC
POSTOPERATIVE OR POST-TRAUMATIC
INFECTIONS W O.R. PROC W MCC
POSTOPERATIVE OR POST-TRAUMATIC
INFECTIONS W O.R. PROC W CC
POSTOPERATIVE OR POST-TRAUMATIC
INFECTIONS W O.R. PROC W/O CC/MCC
O.R. PROCEDURE W PRINCIPAL
DIAGNOSES OF MENTAL ILLNESS
WOUND DEBRIDEMENTS FOR INJURIES
W MCC
WOUND DEBRIDEMENTS FOR INJURIES
W CC
WOUND DEBRIDEMENTS FOR INJURIES
W/O CC/MCC
SKIN GRAFTS FOR INJURIES W CC/MCC
SKIN GRAFTS FOR INJURIES W/O
CC/MCC
HAND PROCEDURES FOR INJURIES
OTHER O.R. PROCEDURES FOR
INJURIES W MCC
OTHER O.R. PROCEDURES FOR
INJURIES W CC
OTHER O.R. PROCEDURES FOR
INJURIES W/O CC/MCC
EXTENSIVE BURNS OR FULL
THICKNESS BURNS W MV 96+ HRS W
SKIN GRAFT
FULL THICKNESS BURN W SKIN GRAFT
OR INHAL INJ W CC/MCC
FULL THICKNESS BURN W SKIN GRAFT
OR INHAL INJ W/O CC/MCC
O.R. PROC W DIAGNOSES OF OTHER
CONTACT W HEALTH SERVICES W MCC
O.R. PROC W DIAGNOSES OF OTHER
CONTACT W HEALTH SERVICES W CC
O.R. PROC W DIAGNOSES OF OTHER
CONTACT W HEALTH SERVICES W/O
CC/MCC
CRANIOTOMY FOR MULTIPLE
SIGNIFICANT TRAUMA
Version 4.2 – 2010
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AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
MSDRG
956
957
958
959
969
970
981
982
TITLE
LIMB REATTACHMENT, HIP & FEMUR
PROC FOR MULTIPLE SIGNIFICANT
TRAUMA
OTHER O.R. PROCEDURES FOR
MULTIPLE SIGNIFICANT TRAUMA W
MCC
OTHER O.R. PROCEDURES FOR
MULTIPLE SIGNIFICANT TRAUMA W CC
OTHER O.R. PROCEDURES FOR
MULTIPLE SIGNIFICANT TRAUMA W/O
CC/MCC
HIV W EXTENSIVE O.R. PROCEDURE W
MCC
HIV W EXTENSIVE O.R. PROCEDURE
W/O MCC
EXTENSIVE O.R. PROCEDURE
UNRELATED TO PRINCIPAL DIAGNOSIS
W MCC
EXTENSIVE O.R. PROCEDURE
UNRELATED TO PRINCIPAL DIAGNOSIS
W CC
Patient Safety Indicators Appendices
Appendix E – Surgical Discharge MS-DRGs
MSDRG
983
984
985
986
987
988
989
TITLE
EXTENSIVE O.R. PROCEDURE
UNRELATED TO PRINCIPAL DIAGNOSIS
W/O CC/MCC
PROSTATIC O.R. PROCEDURE
UNRELATED TO PRINCIPAL DIAGNOSIS
W MCC
PROSTATIC O.R. PROCEDURE
UNRELATED TO PRINCIPAL DIAGNOSIS
W CC
PROSTATIC O.R. PROCEDURE
UNRELATED TO PRINCIPAL DIAGNOSIS
W/O CC/MCC
NON-EXTENSIVE O.R. PROC
UNRELATED TO PRINCIPAL DIAGNOSIS
W MCC
NON-EXTENSIVE O.R. PROC
UNRELATED TO PRINCIPAL DIAGNOSIS
W CC
NON-EXTENSIVE O.R. PROC
UNRELATED TO PRINCIPAL DIAGNOSIS
W/O CC/MCC
Version 4.2 – 2010
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AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
Appendix F – Infection Diagnosis Codes
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
00844
00845
00846
00847
00849
0085
0200
0201
0202
0203
0204
0205
0208
0209
CHOLERA D/T VIB CHOLERAE OCT05CHOLERA D/T VIB EL TOR OCT05CHOLERA NOS OCT05TYPHOID FEVER OCT05PARATYPHOID FEVER A OCT05PARATYPHOID FEVER B OCT05PARATYPHOID FEVER C OCT05PARATYPHOID FEVER NOS OCT05SALMONELLA ENTERITIS OCT05SALMONELLA SEPTICEMIA OCT05LOCAL SALMONELLA INF NOS OCT05SALMONELLA MENINGITIS OCT05SALMONELLA PNEUMONIA OCT05SALMONELLA ARTHRITIS OCT05SALMONELLA OSTEOMYELITIS OCT05LOCAL SALMONELLA INF NEC OCT05SALMONELLA INFECTION NEC OCT05SALMONELLA INFECTION NOS OCT05SHIGELLA DYSENTERIAE OCT05SHIGELLA FLEXNERI OCT05SHIGELLA BOYDII OCT05SHIGELLA SONNEI OCT05SHIGELLA INFECTION NEC OCT05SHIGELLOSIS NOS OCT05STAPH FOOD POISONING OCT05BOTULISM OCT05FOOD POIS D/T C. PERFRIN OCT05FOOD POIS: CLOSTRID NEC OCT05FOOD POIS: V. PARAHAEM OCT05FOOD POISN D/T V. VULNIF OCT05BACT FOOD POISONING NEC OCT05FOOD POISONING NOS OCT05INTEST INFEC E COLI NOS OCT05INT INF E COLI ENTRPATH OCT05INT INF E COLI ENTRTOXGN OCT05INT INF E COLI ENTRNVSV OCT05INT INF E COLI ENTRHMRG OCT05INT INF E COLI SPCF NEC OCT05ARIZONA ENTERITIS OCT05AEROBACTER ENTERITIS OCT05PROTEUS ENTERITIS OCT05STAPHYLOCOCC ENTERITIS OCT05PSEUDOMONAS ENTERITIS OCT05INT INFEC CAMPYLOBACTER OCT05INT INF YRSNIA ENTRCLTCA OCT05INT INF CLSTRDIUM DFCILE OCT05INTES INFEC OTH ANEROBES OCT05INT INF OTH GRM NEG BCTR OCT05BACTERIAL ENTERITIS NEC OCT05BACTERIAL ENTERITIS NOS OCT05BUBONIC PLAGUE OCT05CELLULOCUTANEOUS PLAGUE OCT05SEPTICEMIC PLAGUE OCT05PRIMARY PNEUMONIC PLAGUE OCT05SECONDARY PNEUMON PLAGUE OCT05PNEUMONIC PLAGUE NOS OCT05OTHER TYPES OF PLAGUE OCT05PLAGUE NOS OCT05-
Patient Safety Indicators Appendices
Appendix F – Infection Diagnosis Codes
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
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
ULCEROGLANDUL TULAREMIA OCT05ENTERIC TULAREMIA OCT05PULMONARY TULAREMIA OCT05OCULOGLANDULAR TULAREMIA OCT05TULAREMIA NEC OCT05TULAREMIA NOS OCT05CUTANEOUS ANTHRAX OCT05PULMONARY ANTHRAX OCT05GASTROINTESTINAL ANTHRAX OCT05ANTHRAX SEPTICEMIA OCT05OTHER ANTHRAX MANIFEST OCT05ANTHRAX NOS OCT05BRUCELLA MELITENSIS OCT05BRUCELLA ABORTUS OCT05BRUCELLA SUIS OCT05BRUCELLA CANIS OCT05BRUCELLOSIS NEC OCT05BRUCELLOSIS NOS OCT05GLANDERS OCT05MELIOIDOSIS OCT05SPIRILLARY FEVER OCT05STREPTOBACILLARY FEVER OCT05RAT-BITE FEVER NOS OCT05LISTERIOSIS OCT05ERYSIPELOTHRIX INFECTION OCT05PASTEURELLOSIS OCT05ZOONOTIC BACT DIS NEC OCT05ZOONOTIC BACT DIS NOS OCT05FAUCIAL DIPHTHERIA OCT05NASOPHARYNX DIPHTHERIA OCT05ANT NASAL DIPHTHERIA OCT05LARYNGEAL DIPHTHERIA OCT05CONJUNCTIVAL DIPHTHERIA OCT05DIPHTHERITIC MYOCARDITIS OCT05DIPHTHERITIC PERITONITIS OCT05DIPHTHERITIC CYSTITIS OCT05CUTANEOUS DIPHTHERIA OCT05DIPHTHERIA NEC OCT05DIPHTHERIA NOS OCT05BORDETELLA PERTUSSIS OCT05BORDETELLA PARAPERTUSSIS OCT05WHOOPING COUGH NEC OCT05WHOOPING COUGH NOS OCT05STREP SORE THROAT OCT05SCARLET FEVER OCT05ERYSIPELAS OCT05MENINGOCOCCAL MENINGITIS OCT05MENINGOCOCC ENCEPHALITIS OCT05MENINGOCOCCEMIA OCT05MENINGOCOCC ADRENAL SYND OCT05MENINGOCOCC CARDITIS NOS OCT05MENINGOCOCC PERICARDITIS OCT05MENINGOCOCC ENDOCARDITIS OCT05MENINGOCOCC MYOCARDITIS OCT05MENINGOCOCC OPTIC NEURIT OCT05MENINGOCOCC ARTHROPATHY OCT05MENINGOCOCCAL INFECT NEC OCT05MENINGOCOCCAL INFECT NOS OCT05-
Version 4.2 – 2010
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AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
037
0380
03810
03811
03812
03819
0382
0383
03840
03841
03842
03843
03844
03849
0388
0389
0390
0391
0392
0393
0394
0398
0399
0400
0401
0402
0403
04041
04042
04081
04082
04089
04100
04101
04102
04103
04104
04105
04109
04110
04111
04112
04119
0412
0413
0414
0415
0416
0417
04182
04183
04184
04185
04186
04189
0419
TETANUS OCT05STREPTOCOCCAL SEPTICEMIA OCT05STAPHYLCOCC SEPTICEM NOS OCT05METHICILLIN SUSCEPTIBLE
STAPHYLOCOCCUS AUREUS SEPTICEMIA
OCT08METHICILLIN RESISTANT
STAPHYLOCOCCUS AUREUS SEPTICEMIA
OCT08STAPHYLCOCC SEPTICEM NEC OCT05PNEUMOCOCCAL SEPTICEMIA OCT05ANAEROBIC SEPTICEMIA OCT05GRAM-NEG SEPTICEMIA NOS OCT05H. INFLUENAE SEPTICEMIA OCT05E COLI SEPTICEMIA OCT05PSEUDOMONAS SEPTICEMIA OCT05SERRATIA SEPTICEMIA OCT05GRAM-NEG SEPTICEMIA NEC OCT05SEPTICEMIA NEC OCT05SEPTICEMIA NOS OCT05CUTANEOUS ACTINOMYCOSIS OCT05PULMONARY ACTINOMYCOSIS OCT05ABDOMINAL ACTINOMYCOSIS OCT05CERVICOFAC ACTINOMYCOSIS OCT05MADURA FOOT OCT05ACTINOMYCOSIS NEC OCT05ACTINOMYCOSIS NOS OCT05GAS GANGRENE OCT05RHINOSCLEROMA OCT05WHIPPLE'S DISEASE OCT05NECROBACILLOSIS OCT05INFANT BOTULISM
WOUND BOTULISM
TROPICAL PYOMYOSITIS OCT05TOXIC SHOCK SYNDROME OCT05BACTERIAL DISEASES NEC OCT05STREPTOCOCCUS UNSPECF OCT05STREPTOCOCCUS GROUP A OCT05STREPTOCOCCUS GROUP B OCT05STREPTOCOCCUS GROUP C OCT05ENTEROCOCCUS GROUP D OCT05STREPTOCOCCUS GROUP G OCT05OTHER STREPTOCOCCUS OCT05STAPHYLOCOCCUS UNSPCFIED OCT05METHICILLIN SUSCEPTIBLE
STAPHYLOCOCCUS AUREUS OCT08METHICILLIN RESISTANT
STAPHYLOCOCCUS AUREUS (MRSA) OCT08OTHER STAPHYLOCOCCUS OCT05PNEUMOCOCCUS INFECT NOS OCT05KLEBSIELLA INFECT NOS OCT05E. COLI INFECT NOS OCT05H. INFLUENZAE INFECT NOS OCT05PROTEUS INFECTION NOS OCT05PSEUDOMONAS INFECT NOS OCT05BACTEROIDES FRAGILIS OCT05CLOSTRIDIUM PERFRINGENS OCT05OTHER ANAEROBES OCT05OTH GRAM NEGATV BACTERIA OCT05HELICOBACTER PYLORI OCT05OTH SPECF BACTERIA OCT05BACTERIAL INFECTION NOS OCT05-
Patient Safety Indicators Appendices
Appendix F – Infection Diagnosis Codes
0783
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
32081
32082
32089
3209
3229
3240
3241
3249
36000
36001
36002
36004
37055
37200
37203
37204
37220
CAT SCRATCH DISEASE
ACUTE GC INFECT LOWER GU OCT05GC (ACUTE) UPPER GU NOS OCT05GC CYSTITIS (ACUTE) OCT05GC PROSTATITIS (ACUTE) OCT05GC ORCHITIS (ACUTE) OCT05GC SEM VESICULIT (ACUTE) OCT05GC CERVICITIS (ACUTE) OCT05GC ENDOMETRITIS (ACUTE) OCT05ACUTE GC SALPINGITIS OCT05GC (ACUTE) UPPER GU NEC OCT05CHR GC INFECT LOWER GU OCT05CHR GC UPPER GU NOS OCT05GC CYSTITIS, CHRONIC OCT05GC PROSTATITIS, CHRONIC OCT05GC ORCHITIS, CHRONIC OCT05GC SEM VESICULITIS, CHR OCT05GC CERVICITIS, CHRONIC OCT05GC ENDOMETRITIS, CHRONIC OCT05GC SALPINGITIS (CHRONIC) OCT05CHR GC UPPER GU NEC OCT05GONOCOCCAL CONJUNCTIVIT OCT05GONOCOCCAL IRIDOCYCLITIS OCT05GONOCOCCAL ENDOPHTHALMIA OCT05GONOCOCCAL KERATITIS OCT05GONOCOCCAL EYE NEC OCT05GONOCOCCAL ARTHRITIS OCT05GONOCOCCAL SYNOVITIS OCT05GONOCOCCAL BURSITIS OCT05GONOCOCCAL SPONDYLITIS OCT05GC INFECT JOINT NEC OCT05GONOCOCCAL INFEC PHARYNX OCT05GC INFECT ANUS & RECTUM OCT05GONOCOCCAL KERATOSIS OCT05GONOCOCCAL MENINGITIS OCT05GONOCOCCAL PERICARDITIS OCT05GONOCOCCAL ENDOCARDITIS OCT05GONOCOCCAL HEART DIS NEC OCT05GONOCOCCAL PERITONITIS OCT05GONOCOCCAL INF SITE NEC OCT05HEMOPHILUS MENINGITIS OCT05PNEUMOCOCCAL MENINGITIS OCT05STREPTOCOCCAL MENINGITIS OCT05STAPHYLOCOCC MENINGITIS OCT05MENING IN OTH BACT DIS OCT05ANAEROBIC MENINGITIS OCT05MNINGTS GRAM-NEG BCT NEC OCT05MENINGITIS OTH SPCF BACT OCT05BACTERIAL MENINGITIS NOS OCT05MENINGITIS NOS
OCT05INTRACRANIAL ABSCESS OCT05INTRASPINAL ABSCESS OCT05CNS ABSCESS NOS OCT05PURULENT ENDOPHTHALM NOS OCT05ACUTE ENDOPHTHALMITIS OCT05PANOPHTHALMITIS OCT05VITREOUS ABSCESS OCT05CORNEAL ABSCESS OCT05ACUTE CONJUNCTIVITIS NOS OCT05MUCOPUR CONJUNCTIVIT NEC OCT05PSEUDOMEMB CONJUNCTIVIT OCT05BLEPHAROCONJUNCTIVIT NOS OCT05-
Version 4.2 – 2010
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AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
37221
37230
37300
37301
37311
37312
37313
37500
37501
37530
37531
37532
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
38633
4200
42090
42099
4210
4211
4219
42292
4610
4611
4612
4613
4618
4619
462
463
46430
46431
4660
475
47822
47824
481
4820
ANGULAR BLEPHAROCONJUNCT OCT05CONJUNCTIVITIS NOS OCT05BLEPHARITIS NOS OCT05ULCERATIVE BLEPHARITIS OCT05HORDEOLUM EXTERNUM OCT05HORDEOLUM INTERNUM OCT05ABSCESS OF EYELID OCT05DACRYOADENITIS NOS OCT05ACUTE DACRYOADENITIS OCT05DACRYOCYSTITIS NOS OCT05ACUTE CANALICULITIS OCT05ACUTE DACRYOCYSTITIS OCT05ORBITAL CELLULITIS OCT05ORBITAL PERIOSTITIS OCT05ORBITAL OSTEOMYELITIS OCT05TENONITIS OCT05INFEC OTITIS EXTERNA NOS OCT05ACUTE INFECTION OF PINNA OCT05ACUTE SWIMMERS' EAR OCT05AC INFECT EXTERN EAR NEC OCT05MALIGNANT OTITIS EXTERNA OCT05EUSTACHIAN SALPING NOS OCT05AC EUSTACHIAN SALPING OCT05AC SUPP OTITIS MEDIA NOS OCT05AC SUPP OM W DRUM RUPT OCT05AC SUPP OM IN OTH DIS OCT05CHR TUBOTYMP SUPP OTITIS MEDIA OCT05CHR ATTICOANTRAL SUPP OTITIS MEDIA
OCT05CHR SUPP OTITIS MEDIA NOS OCT05SUPPUR OTITIS MEDIA NOS OCT05OTITIS MEDIA NOS OCT05AC MASTOIDITIS W/O COMPL OCT05SUBPERI MASTOID ABSCESS OCT05AC MASTOIDITIS-COMPL NEC OCT05PETROSITIS NOS OCT05ACUTE PETROSITIS OCT05ACUTE MYRINGITIS NOS OCT05SUPPURATIV LABYRINTHITIS OCT05AC PERICARDIT IN OTH DIS OCT05ACUTE PERICARDITIS NOS OCT05ACUTE PERICARDITIS NEC OCT05AC/SUBAC BACT ENDOCARD OCT05AC/SUBAC INFECT ENDOCARD OCT05AC/SUBAC ENDOCARDIT NOS OCT05SEPTIC MYOCARDITIS OCT05AC MAXILLARY SINUSITIS OCT05AC FRONTAL SINUSITIS OCT05AC ETHMOIDAL SINUSITIS OCT05AC SPHENOIDAL SINUSITIS OCT05OTHER ACUTE SINUSITIS OCT05ACUTE SINUSITIS NOS OCT05ACUTE PHARYNGITIS OCT05ACUTE TONSILLITIS OCT05AC EPIGLOTTITIS NO OBSTR OCT05AC EPIGLOTTITIS W OBSTR OCT05ACUTE BRONCHITIS OCT05PERITONSILLAR ABSCESS OCT05PARAPHARYNGEAL ABSCESS OCT05RETROPHARYNGEAL ABSCESS OCT05PNEUMOCOCCAL PNEUMONIA OCT05K. PNEUMONIAE PNEUMONIA OCT05-
Patient Safety Indicators Appendices
Appendix F – Infection Diagnosis Codes
4821
4822
48230
48231
48232
48239
48240
48241
48242
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
52300
52301
5233
52330
52331
52332
52333
5264
5273
5283
53641
5400
5401
5409
541
542
56201
56203
56211
56213
566
5670
5671
5672
56721
PSEUDOMONAL PNEUMONIA OCT05H.INFLUENZAE PNEUMONIA OCT05STREPTOCOCCAL PNEUMN NOS OCT05PNEUMONIA STRPTOCOCCUS A OCT05PNEUMONIA STRPTOCOCCUS B OCT05PNEUMONIA OTH STREP OCT05STAPHYLOCOCCAL PNEU NOS OCT05METHICILLIN SUSCEPTIBLE PNEUMONIA
DUE TO STAPHYLOCOCCUS AUREUS OCT08METHICILLIN RESISTANT PNEUMONIA DUE
TO STAPHYLOCOCCUS AUREUS OCT08STAPH PNEUMONIA NEC OCT05PNEUMONIA ANAEROBES OCT05PNEUMONIA E COLI OCT05PNEUMO OTH GRM-NEG BACT OCT05LEGIONNAIRES' DISEASE OCT05PNEUMONIA OTH SPCF BACT OCT05BACTERIAL PNEUMONIA NOS OCT05PNEUMONIA IN WHOOPING COUGH OCT05PNEUMONIA IN ANTHRAX OCT05PNEUMONIA IN OTHER INF DIS OCT05BRONCHOPNEUMONIA ORG NOS OCT05PNEUMONIA, ORGANISM NOS OCT05BRONCHITIS NOS OCT05OBS CHR BRONC W AC BRONC OCT05BRONCHIECTASIS W AC EXAC OCT05EMPYEMA WITH FISTULA OCT05EMPYEMA W/O FISTULA OCT05BACT PLEUR/EFFUS NOT TB OCT05ABSCESS OF LUNG OCT05ABSCESS OF MEDIASTINUM OCT05TRACHEOSTOMY INFECTION OCT05MEDIASTINITIS OCT05PULPITIS OCT05PERIAPICAL ABSCESS OCT05PERIAPICAL ABSC W SINUS OCT05ACUTE GINGIVITIS OCT05ACUTE GINGITITIS, PLAQUE OCT06AC GINGIVITIS,NONPLAQUE OCT06ACUTE PERIODONTITIS OCT05AGGRES PERIODONTITIS NOS OCT06AGGRES PERIODONTITIS,LOC OCT06AGGRES PERIODONTITIS,GEN OCT06ACUTE PERIODONTITIS OCT06INFLAMMATION OF JAW OCT05SALIVARY GLAND ABSCESS OCT05CELLULITIS/ABSCESS MOUTH OCT05GASTROSTOMY INFECTION OCT05AC APPEND W PERITONITIS
ABSCESS OF APPENDIX
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 OCT05-
Version 4.2 – 2010
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AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
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
5990
6010
6012
6013
6014
6018
6019
6031
6040
60490
60491
6071
6072
6080
6084
6110
6140
6141
6142
6143
PERITONEAL ABSCESS OCT05SPONTAN BACT PERITONITIS OCT05SUPPURAT PERITONITIS NEC OCT05PSOAS MUSCLE ABSCESS OCT05RETROPERITON ABSCESS NEC OCT05RETROPERITON INFECT NEC OCT05CHOLEPERITONITIS OCT05SCLEROSING MESENTERITIS OCT05PERITONITIS NEC OCT05PERITONITIS 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 OCT05AC&CHRON CHOLECYSTITIS OCT05PERFORATION GALLBLADDER
CHOLANGITIS
PERFORATION OF BILE DUCT
ACUTE PANCREATITIS OCT05AC PYELONEPHRITIS NOS OCT05AC PYELONEPHR W MED NECR OCT05RENAL/PERIRENAL ABSCESS OCT05PYELOURETERITIS CYSTICA OCT05PYELONEPHRITIS NOS
OCT05PYELONEPHRIT IN OTH DIS OCT05INFECTION OF KIDNEY NOS OCT05ACUTE CYSTITIS OCT05CYSTITIS IN OTH DIS OCT05CYSTITIS CYSTICA OCT05CYSTITIS NEC OCT05CYSTITIS NOS OCT05URETHRAL ABSCESS OCT05URIN TRACT INFECTION NOS OCT05ACUTE PROSTATITIS OCT05ABSCESS OF PROSTATE OCT05PROSTATOCYSTITIS OCT05PROSTATITIS IN OTH DIS OCT05PROSTATITIS OCT05PROSTATITIS NOS OCT05INFECTED HYDROCELE OCT05ORCHITIS WITH ABSCESS OCT05ORCHITIS/EPIDIDYMIT NOS OCT05ORCHITIS IN OTH DISEASE OCT05BALANOPOSTHITIS OCT05INFLAM DIS, PENIS NEC OCT05SEMINAL VESICULITIS OCT05MALE GEN INFLAM DIS NEC OCT05INFLAM DISEASE OF BREAST OCT05AC SALPINGO-OOPHORITIS OCT05CHRON SALPINGITIS OOPHORITIS OCT05SALPINGO-OOPHORITIS NOS OCT05ACUTE PARAMETRITIS OCT05-
Patient Safety Indicators Appendices
Appendix F – Infection Diagnosis Codes
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
65840
65841
65843
67000
67002
67004
67010
67012
67014
67020
67022
67024
67030
67032
CHRON OR UNSP CELLULITIS OCT05AC PELV PERITONITIS-FEM OCT05PID NOS OCT05AC UTERINE INFLAMMATION OCT05UTERINE INFLAM DIS NOS OCT05CERVICITIS OCT05VAGINITIS NOS OCT05BARTHOLIN'S GLND ABSCESS OCT05ABSCESS OF VULVA NEC OCT05SPON ABOR W PEL INF-UNSP OCT05SPON ABOR W PELV INF-INC OCT05SPON ABOR W PEL INF-COMP OCT05LEG ABOR W PELV INF-UNSP OCT05LEG ABOR W PELV INF-INC OCT05LEG ABOR W PELV INF-COMP OCT05ILLEG AB W PELV INF-UNSP OCT05ILLEG AB W PELV INF-INC OCT05ILLEG AB W PELV INF-COMP OCT05ABORT NOS W PEL INF-UNSP OCT05ABORT NOS W PEL INF-INC OCT05ABORT NOS W PEL INF-COMP OCT05ATTEM ABORT W PELVIC INF OCT05POSTABORTION GU INFECT OCT05BACTERIURIA PREG-UNSPEC OCT05ASYM BACTERIURIA-DELIVER OCT05ASY BACTERURIA-DEL W P/P OCT05ASY BACTERIURIA-ANTEPART OCT05ASY BACTERIURIA-POSTPART OCT05GU INFECT IN PREG-UNSPEC OCT05GU INFECTION-DELIVERED OCT05GU INFECTION-DELIV W P/P OCT05GU INFECTION-ANTEPARTUM OCT05GU INFECTION-POSTPARTUM OCT05GONORRHEA IN PREG-UNSPEC OCT05GONORRHEA-DELIVERED OCT05GONORRHEA-DELIVER W P/P OCT05GONORRHEA-ANTEPARTUM OCT05GONORRHEA-POSTPARTUM OCT05INF DIS IN PREG NEC-UNSP OCT05INFECT DIS NEC-DELIVERED OCT05INFECT DIS NEC-DEL W P/P OCT05INFECT DIS NEC-ANTEPART OCT05INFECT DIS NEC-POSTPART OCT05INFECT IN PREG NOS-UNSP OCT05INFECT NOS-DELIVERED OCT05INFECT NOS-DELIVER W P/P OCT05INFECT NOS-ANTEPARTUM OCT05INFECT NOS-POSTPARTUM OCT05AMNIOTIC INFECTION-UNSP OCT05AMNIOTIC INFECTION-DELIV OCT05AMNIOTIC INFECT-ANTEPART OCT05MAJOR PUERP INFECT-UNSP OCT05MAJOR PUERP INF-DEL P/P OCT05MAJOR PUERP INF-POSTPART OCT05PUERP ENDOMETRITIS-UNSP OCT09PUERP ENDOMET DEL W P/P OCT09PUERP ENDOMET-POSTPART OCT09PUERPERAL SEPSIS-UNSP OCT09PUERPRL SEPSIS-DEL W P/P OCT09PUERPERL SEPSIS-POSTPART OCT09PUERP SEPTC THROMB-UNSP OCT09PRP SPTC THRMB-DEL W P/P OCT09-
Version 4.2 – 2010
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AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
67034
67080
67082
67084
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
68609
6868
6869
69581
70700*
70701*
70702*
70703*
70704*
PRP SEPTC THRMB-POSTPART OCT09MAJ PRP INFEC NEC-UNSPEC OCT09MAJ PRP INF NEC-DL W P/P OCT09MAJ PUERP INFEC NEC-P/P OCT09INFECT NIPPLE PREG-UNSP OCT05INFECT NIPPLE-DELIVERED OCT05INFECT NIPPLE-DEL W P/P OCT05INFECT NIPPLE-ANTEPARTUM OCT05INFECT NIPPLE-POSTPARTUM OCT05BREAST ABSCESS PREG-UNSP OCT05BREAST ABSCESS-DELIVERED OCT05BREAST ABSCESS-DEL W P/P OCT05BREAST ABSCESS-ANTEPART OCT05BREAST ABSCESS-POSTPART OCT05BREAST INF PREG NEC-UNSP OCT05BREAST INFECT NEC-DELIV OCT05BREAST INF NEC-DEL W P/P OCT05BREAST INF NEC-ANTEPART OCT05BREAST INF NEC-POSTPART OCT05BREAST INF PREG NOS-UNSP OCT05BREAST INFECT NOS-DELIV OCT05BREAST INF NOS-DEL W P/P OCT05BREAST INF NOS-ANTEPART OCT05BREAST INF NOS-POSTPART OCT05CARBUNCLE OF FACE OCT05CARBUNCLE OF NECK OCT05CARBUNCLE OF TRUNK OCT05CARBUNCLE OF ARM OCT05CARBUNCLE OF HAND OCT05CARBUNCLE OF BUTTOCK OCT05CARBUNCLE OF LEG OCT05CARBUNCLE OF FOOT OCT05CARBUNCLE, SITE NEC OCT05CARBUNCLE NOS OCT05CELLULITIS, FINGER NOS OCT05FELON OCT05ONYCHIA OF FINGER OCT05CELLULITIS, TOE NOS OCT05ONYCHIA OF TOE OCT05CELLULITIS OF DIGIT NOS OCT05CELLULITIS OF FACE OCT05CELLULITIS OF NECK OCT05CELLULITIS OF TRUNK OCT05CELLULITIS OF ARM OCT05CELLULITIS OF HAND OCT05CELLULITIS OF BUTTOCK OCT05CELLULITIS OF LEG OCT05CELLULITIS OF FOOT OCT05CELLULITIS, SITE NEC OCT05CRLLULITIS, SITE NOS OCT05ACUTE LYMPHADENITIS OCT05IMPETIGO OCT05PYODERMA NOS OCT05PYODERMA OTHER OCT05LOCAL SKIN INFECTION NEC OCT05LOCAL SKIN INFECTION NOS OCT05RITTER'S DISEASE OCT05DECUBITUS ULCER SITE NOS OCT05DECUBITUS ULCER,ELBOW OCT05DECUBITUS ULCER,UP BACK OCT05DECUBITUS ULCER,LOW BACK OCT05DECUBITUS ULCER,HIP OCT05-
Patient Safety Indicators Appendices
Appendix F – Infection Diagnosis Codes
70705*
70706*
70707*
70709*
70720
70722
70723
70724
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
DECUBITUS ULCER,BUTTOCK OCT05DECUBITUS ULCER,ANKLE OCT05DECUBITUS ULCER,HEEL OCT05DECUBITUS ULCER,SITE NEC OCT05PRESSURE ULCER UNSPECIFIED STAGE
OCT08PRESSURE ULCER STAGE II OCT08PRESSURE ULCER STAGE III OCT08PRESSURE ULCER STAGE IV OCT08PYOGEN ARTHRITIS-UNSPEC OCT05PYOGEN ARTHRITIS-SHLDER OCT05PYOGEN ARTHRITIS-UP/ARM OCT05PYOGEN ARTHRITIS-FOREARM OCT05PYOGEN ARTHRITIS-HAND OCT05PYOGEN ARTHRITIS-PELVIS OCT05PYOGEN ARTHRITIS-L/LEG OCT05PYOGEN ARTHRITIS-ANKLE OCT05PYOGEN ARTHRITIS NEC OCT05PYOGEN ARTHRITIS-MULT OCT05INF ARTHRITIS NOS-UNSPEC OCT05INF ARTHRITIS NOS-SHLDER OCT05INF ARTHRITIS NOS-UP/ARM OCT05INF ARTHRIT NOS-FOREARM OCT05INF ARTHRIT NOS-HAND OCT05INF ARTHRIT NOS-PELVIS OCT05INF ARTHRIT NOS-L/LEG OCT05INF ARTHRIT NOS-ANKLE OCT05INF ARTHRIT NOS-OTH SITE OCT05INF ARTHRITIS NOS-MULT OCT05INFECTIVE MYOSITIS OCT05NECROTIZING FASCIITIS OCT05AC OSTEOMYELITIS-UNSPEC OCT05AC OSTEOMYELITIS-SHLDER OCT05AC OSTEOMYELITIS-UP/ARM OCT05AC OSTEOMYELITIS-FOREARM OCT05AC OSTEOMYELITIS-HAND OCT05AC OSTEOMYELITIS-PELVIS OCT05AC OSTEOMYELITIS-L/LEG OCT05AC OSTEOMYELITIS-ANKLE OCT05AC OSTEOMYELITIS NEC OCT05AC OSTEOMYELITIS-MULT OCT05CHR OSTEOMYELITIS-UNSP OCT05CHR OSTEOMYELIT-SHLDER OCT05CHR OSTEOMYELIT-UP/ARM OCT05CHR OSTEOMYELIT-FOREARM OCT05CHR OSTEOMYELIT-HAND OCT05CHR OSTEOMYELIT-PELVIS OCT05CHR OSTEOMYELIT-L/LEG OCT05CHR OSTEOMYELIT-ANKLE OCT05CHR OSTEOMYELIT NEC OCT05CHR OSTEOMYELIT-MULT OCT05OSTEOMYELITIS NOS-UNSPEC OCT05OSTEOMYELITIS NOS-SHLDER OCT05OSTEOMYELITIS NOS-UP/ARM OCT05OSTEOMYELIT NOS-FOREARM OCT05OSTEOMYELITIS NOS-HAND OCT05OSTEOMYELITIS NOS-PELVIS OCT05OSTEOMYELITIS NOS-L/LEG OCT05OSTEOMYELITIS NOS-ANKLE OCT05OSTEOMYELIT NOS-OTH SITE OCT05OSTEOMYELITIS NOS-MULT OCT05PERIOSTITIS-UNSPEC OCT05-
Version 4.2 – 2010
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AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
73031
73032
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
77750
77751
77752
77753
7854
78552
7907
9101
9103
9105
9107
9109
9111
9113
9115
9117
9119
PERIOSTITIS-SHLDER OCT05PERIOSTITIS-UP/ARM OCT05PERIOSTITIS-FOREARM OCT05PERIOSTITIS-HAND OCT05PERIOSTITIS-PELVIS OCT05PERIOSTITIS-L/LEG OCT05PERIOSTITIS-ANKLE OCT05PERIOSTITIS NEC OCT05PERIOSTITIS-MULT OCT05BONE INFECT NEC-UNSPEC OCT05BONE INFECT NEC-SHLDER OCT05BONE INFECT NEC-UP/ARM OCT05BONE INFECT NEC-FOREARM OCT05BONE INFECT NEC-HAND OCT05BONE INFECT NEC-PELVIS OCT05BONE INFECT NEC-L/LEG OCT05BONE INFECT NEC-ANKLE OCT05BONE INFECT NEC-OTH SITE OCT05BONE INFECT NEC-MULT OCT05BONE INFEC NOS-UNSP SITE OCT05BONE INFECT NOS-SHLDER OCT05BONE INFECT NOS-UP/ARM OCT05BONE INFECT NOS-FOREARM OCT05BONE INFECT NOS-HAND OCT05BONE INFECT NOS-PELVIS OCT05BONE INFECT NOS-L/LEG OCT05BONE INFECT NOS-ANKLE OCT05BONE INFECT NOS-OTH SITE OCT05BONE INFECT NOS-MULT OCT05TETANUS NEONATORUM OCT05OMPHALITIS OF NEWBORN OCT05NEONATAL INFEC MASTITIS OCT05NB SEPTICEMIA SEPSIS OCT05NB URINARY TRACT INFECTN OCT05BACTEREMIA OF NEWBORN OCT05PERINATAL INFECTION NEC OCT05NECROT ENTEROCOLITIS NB OCT05NECROT ENTEROCOLITIS IN NEWBORN,
UNSPECIFIED OCT08STAGE I NECROT ENTEROCOLITIS IN
NEWBORN OCT08STAGE II NECROT ENTEROCOLITIS IN
NEWBORN OCT08STAGE III NECROT ENTEROCOLITIS IN
NEWBORN OCT08GANGRENE OCT05SEPTIC SHOCK OCT05BACTEREMIA OCT05ABRASION HEAD-INFECTED OCT05BLISTER HEAD-INFECTED OCT05INSECT BITE HEAD-INFECT OCT05FOREIGN BODY HEAD-INFECT OCT05SUPERF INJ HEAD NEC-INF OCT05ABRASION TRUNK-INFECTED OCT05BLISTER TRUNK-INFECTED OCT05INSECT BITE TRUNK-INFEC OCT05FOREIGN BODY TRUNK-INFEC OCT05SUPERF INJ TRNK NEC-INF OCT05-
9121
9123
9125
9127
9129
9131
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
ABRASION SHLDR/ARM-INFEC OCT05BLISTER SHOULDER/ARM-INF OCT05INSECT BITE SHLD/ARM-INF OCT05FB SHOULDER/ARM-INFECT OCT05SUPERF INJ SHLDR NEC-INF OCT05ABRASION FOREARM-INFECT OCT05BLISTER FOREARM-INFECTED OCT05INSECT BITE FOREARM-INF OCT05FOREIGN BODY FOREARM-INF OCT05SUPRF INJ FORARM NEC-INF OCT05ABRASION HAND-INFECTED OCT05BLISTER HAND-INFECTED OCT05INSECT BITE HAND-INFECT OCT05FOREIGN BODY HAND-INFECT OCT05SUPERF INJ HAND NEC-INF OCT05ABRASION FINGER-INFECTED OCT05BLISTER FINGER-INFECTED OCT05INSECT BITE FINGER-INFEC OCT05FOREIGN BODY FINGER-INF OCT05SUPRF INJ FINGER NEC-INF OCT05ABRASION HIP/LEG-INFECT OCT05BLISTER HIP & LEG-INFECT OCT05INSECT BITE HIP/LEG-INF OCT05FOREIGN BDY HIP/LEG-INF OCT05SUPERF INJ LEG NEC-INFEC OCT05ABRASION FOOT/TOE-INFEC OCT05BLISTER FOOT & TOE-INFEC OCT05INSECT BITE FOOT/TOE-INF OCT05FOREIGN BDY FOOT/TOE-INF OCT05SUPERF INJ FOOT NEC-INF OCT05ABRASION NEC-INFECTED OCT05BLISTER NEC-INFECTED OCT05INSECT BITE NEC-INFECTED OCT05SUPERFICIAL FB NEC-INFEC OCT05SUPERFIC INJ NEC-INFECT OCT05SIRS, NOS OCT05SIRS-INFECT W/O ORG DYSF OCT05SIRS-INFECT W ORGAN DYSF OCT05INFECT INFLAMM DEVICE IMPLANT GRAFT
NOS OCT05INFECT INFLAMM CARDIAC DEVICE IMPLANT
GRAFT OCT05INFECT INFLAMM VASCULAR DEVICE
IMPLANT GRAFT OCT05INFECT INFLAMM NERV DEVICE IMPLANT
GRAFT OCT05INFECT INFLAMM URINARY CATH OCT05INFECT INFLAMM GU DEVICE IMPLANT
GRAFT OCT05INFECT INFLAMM JOINT PROSTH OCT05INFECT INFLAMM OTH ORTHOP DEVICE
IMPLANT GRAFT NOS OCT05INFECT INFLAMM OTH DEVICE IMPLANT
GRAFT OCT05INFECTION AMPUTAT STUMP OCT05INFECTED POSTOP SEROMA OCT05OTHER POSTOP INFECTION OCT05INFEC COMPL MED CARE NEC OCT05-
* Prior to 10/1/08 the definition of infection included pressure ulcer site codes. After 10/1/08 the definition was
revised to replace the site codes with pressure ulcer staging codes (70720 – 70724).
Patient Safety Indicators Appendices
Appendix F – Infection Diagnosis Codes
Version 4.2 – 2010
Page 51
AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
Appendix G – Trauma Diagnosis Codes
ICD-9-CM Trauma diagnosis codes
80000
80001
80002
80003
80004
80005
80006
80009
80010
80011
80012
80013
80014
80015
80016
80019
80020
80021
80022
80023
80024
80025
80026
80029
80030
80031
80032
80033
80034
80035
80036
80039
80040
80041
80042
80043
80044
80045
80046
80049
80050
80051
80052
80053
80054
80055
80056
80059
80060
80061
80062
80063
80064
80065
80066
80069
80070
CLOSED SKULL VAULT FX
CL SKULL VLT FX W/O COMA
CL SKULL VLT FX-BRF COMA
CL SKULL VLT FX-MOD COMA
CL SKL VLT FX-PROLN COMA
CL SKUL VLT FX-DEEP COMA
CL SKULL VLT FX-COMA NOS
CL SKL VLT FX-CONCUS NOS
CL SKL VLT FX/CEREBR LAC
CL SKULL VLT FX W/O COMA
CL SKULL VLT FX-BRF COMA
CL SKULL VLT FX-MOD COMA
CL SKL VLT FX-PROLN COMA
CL SKUL VLT FX-DEEP COMA
CL SKULL VLT FX-COMA NOS
CL SKL VLT FX-CONCUS NOS
CL SKL VLT FX/MENING HEM
CL SKULL VLT FX W/O COMA
CL SKULL VLT FX-BRF COMA
CL SKULL VLT FX-MOD COMA
CL SKL VLT FX-PROLN COMA
CL SKUL VLT FX-DEEP COMA
CL SKULL VLT FX-COMA NOS
CL SKL VLT FX-CONCUS NOS
CL SKULL VLT FX/HEM NEC
CL SKULL VLT FX W/O COMA
CL SKULL VLT FX-BRF COMA
CL SKULL VLT FX-MOD COMA
CL SKL VLT FX-PROLN COMA
CL SKUL VLT FX-DEEP COMA
CL SKULL VLT FX-COMA NOS
CL SKL VLT FX-CONCUS NOS
CL SKL VLT FX/BR INJ NEC
CL SKULL VLT FX W/O COMA
CL SKULL VLT FX-BRF COMA
CL SKULL VLT FX-MOD COMA
CL SKL VLT FX-PROLN COMA
CL SKUL VLT FX-DEEP COMA
CL SKULL VLT FX-COMA NOS
CL SKL VLT FX-CONCUS NOS
OPN SKULL VAULT FRACTURE
OPN SKUL VLT FX W/O COMA
OPN SKUL VLT FX-BRF COMA
OPN SKUL VLT FX-MOD COMA
OPN SKL VLT FX-PROLN COM
OPN SKL VLT FX-DEEP COMA
OPN SKUL VLT FX-COMA NOS
OP SKL VLT FX-CONCUS NOS
OPN SKL VLT FX/CEREB LAC
OPN SKUL VLT FX W/O COMA
OPN SKUL VLT FX-BRF COMA
OPN SKUL VLT FX-MOD COMA
OPN SKL VLT FX-PROLN COM
OPN SKL VLT FX-DEEP COMA
OPN SKUL VLT FX-COMA NOS
OP SKL VLT FX-CONCUS NOS
OPN SKL VLT FX/MENIN HEM
Patient Safety Indicators Appendices
Appendix G – Trauma Diagnosis Codes
80071
80072
80073
80074
80075
80076
80079
80080
80081
80082
80083
80084
80085
80086
80089
80090
80091
80092
80093
80094
80095
80096
80099
80100
80101
80102
80103
80104
80105
80106
80109
80110
80111
80112
80113
80114
80115
80116
80119
80120
80121
80122
80123
80124
80125
80126
80129
80130
80131
80132
80133
80134
80135
80136
80139
80140
80141
OPN SKUL VLT FX W/O COMA
OPN SKUL VLT FX-BRF COMA
OPN SKUL VLT FX-MOD COMA
OPN SKL VLT FX-PROLN COM
OPN SKL VLT FX-DEEP COMA
OPN SKUL VLT FX-COMA NOS
OP SKL VLT FX-CONCUS NOS
OPN SKULL VLT FX/HEM NEC
OPN SKUL VLT FX W/O COMA
OPN SKUL VLT FX-BRF COMA
OPN SKUL VLT FX-MOD COMA
OPN SKL VLT FX-PROLN COM
OPN SKL VLT FX-DEEP COMA
OPN SKUL VLT FX-COMA NOS
OP SKL VLT FX-CONCUS NOS
OP SKL VLT FX/BR INJ NEC
OPN SKUL VLT FX W/O COMA
OPN SKUL VLT FX-BRF COMA
OPN SKUL VLT FX-MOD COMA
OPN SKL VLT FX-PROLN COM
OP SKUL VLT FX-DEEP COMA
OPN SKUL VLT FX-COMA NOS
OP SKL VLT FX-CONCUS NOS
CLOS SKULL BASE FRACTURE
CL SKUL BASE FX W/O COMA
CL SKUL BASE FX-BRF COMA
CL SKUL BASE FX-MOD COMA
CL SKL BASE FX-PROL COMA
CL SKL BASE FX-DEEP COMA
CL SKUL BASE FX-COMA NOS
CL SKULL BASE FX-CONCUSS
CL SKL BASE FX/CEREB LAC
CL SKUL BASE FX W/O COMA
CL SKUL BASE FX-BRF COMA
CL SKUL BASE FX-MOD COMA
CL SKL BASE FX-PROL COMA
CL SKL BASE FX-DEEP COMA
CL SKUL BASE FX-COMA NOS
CL SKULL BASE FX-CONCUSS
CL SKL BASE FX/MENIN HEM
CL SKUL BASE FX W/O COMA
CL SKUL BASE FX/BRF COMA
CL SKUL BASE FX-MOD COMA
CL SKL BASE FX-PROL COMA
CL SKL BASE FX-DEEP COMA
CL SKUL BASE FX-COMA NOS
CL SKULL BASE FX-CONCUSS
CL SKULL BASE FX/HEM NEC
CL SKUL BASE FX W/O COMA
CL SKUL BASE FX-BRF COMA
CL SKUL BASE FX-MOD COMA
CL SKL BASE FX-PROL COMA
CL SKL BASE FX-DEEP COMA
CL SKUL BASE FX-COMA NOS
CL SKULL BASE FX-CONCUSS
CL SK BASE FX/BR INJ NEC
CL SKUL BASE FX W/O COMA
Version 4.2 – 2010
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AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
80142
80143
80144
80145
80146
80149
80150
80151
80152
80153
80154
80155
80156
80159
80160
80161
80162
80163
80164
80165
80166
80169
80170
80171
80172
80173
80174
80175
80176
80179
80180
80181
80182
80183
80184
80185
80186
80189
80190
80191
80192
80193
80194
80195
80196
80199
8020
8021
80220
80221
80222
80223
80224
80225
80226
80227
80228
80229
80230
80231
80232
80233
CL SKUL BASE FX-BRF COMA
CL SKUL BASE FX-MOD COMA
CL SKL BASE FX-PROL COMA
CL SKL BASE FX-DEEP COMA
CL SKUL BASE FX-COMA NOS
CL SKULL BASE FX-CONCUSS
OPEN SKULL BASE FRACTURE
OPN SKL BASE FX W/O COMA
OPN SKL BASE FX-BRF COMA
OPN SKL BASE FX-MOD COMA
OP SKL BASE FX-PROL COMA
OP SKL BASE FX-DEEP COMA
OPN SKL BASE FX-COMA NOS
OPN SKUL BASE FX-CONCUSS
OP SKL BASE FX/CEREB LAC
OPN SKL BASE FX W/O COMA
OPN SKL BASE FX-BRF COMA
OPN SKL BASE FX-MOD COMA
OP SKL BASE FX-PROL COMA
OP SKL BASE FX-DEEP COMA
OPN SKL BASE FX-COMA NOS
OPN SKUL BASE FX-CONCUSS
OP SKL BASE FX/MENIN HEM
OPN SKL BASE FX W/O COMA
OPN SKL BASE FX-BRF COMA
OPN SKL BASE FX-MOD COMA
OP SKL BASE FX-PROL COMA
OP SKL BASE FX-DEEP COMA
OPN SKL BASE FX-COMA NOS
OPN SKUL BASE FX-CONCUSS
OPN SKUL BASE FX/HEM NEC
OPN SKL BASE FX W/O COMA
OPN SKL BASE FX-BRF COMA
OPN SKL BASE FX-MOD COMA
OP SKL BASE FX-PROL COMA
OP SKL BASE FX-DEEP COMA
OPN SKL BASE FX-COMA NOS
OPN SKUL BASE FX-CONCUSS
OP SK BASE FX/BR INJ NEC
OP SKUL BASE FX W/O COMA
OPN SKL BASE FX-BRF COMA
OPN SKL BASE FX-MOD COMA
OP SKL BASE FX-PROL COMA
OP SKL BASE FX-DEEP COMA
OPN SKL BASE FX-COMA NOS
OPN SKUL BASE FX-CONCUSS
NASAL BONE FX-CLOSED
NASAL BONE FX-OPEN
MANDIBLE FX NOS-CLOSED
FX CONDYL PROC MANDIB-CL
SUBCONDYLAR FX MANDIB-CL
FX CORON PROC MANDIB-CL
FX RAMUS NOS-CLOSED
FX ANGLE OF JAW-CLOSED
FX SYMPHY MANDIB BODY-CL
FX ALVEOLAR BORD MAND-CL
FX MANDIBLE BODY NEC-CL
MULT FX MANDIBLE-CLOSED
MANDIBLE FX NOS-OPEN
FX CONDYL PROC MAND-OPEN
SUBCONDYL FX MANDIB-OPEN
FX CORON PROC MANDIB-OPN
Patient Safety Indicators Appendices
Appendix G – Trauma Diagnosis Codes
80234
80235
80236
80237
80238
80239
8024
8025
8026
8027
8028
8029
80300
80301
80302
80303
80304
80305
80306
80309
80310
80311
80312
80313
80314
80315
80316
80319
80320
80321
80322
80323
80324
80325
80326
80329
80330
80331
80332
80333
80334
80335
80336
80339
80340
80341
80342
80343
80344
80345
80346
80349
80350
80351
80352
80353
80354
80355
80356
80359
80360
80361
FX RAMUS NOS-OPEN
FX ANGLE OF JAW-OPEN
FX SYMPHY MANDIB BDY-OPN
FX ALV BORD MAND BDY-OPN
FX MANDIBLE BODY NEC-OPN
MULT FX MANDIBLE-OPEN
FX MALAR/MAXILLARY-CLOSE
FX MALAR/MAXILLARY-OPEN
FX ORBITAL FLOOR-CLOSED
FX ORBITAL FLOOR-OPEN
FX FACIAL BONE NEC-CLOSE
FX FACIAL BONE NEC-OPEN
CLOSE SKULL FRACTURE NEC
CL SKULL FX NEC W/O COMA
CL SKULL FX NEC-BRF COMA
CL SKULL FX NEC-MOD COMA
CL SKL FX NEC-PROLN COMA
CL SKUL FX NEC-DEEP COMA
CL SKULL FX NEC-COMA NOS
CL SKULL FX NEC-CONCUSS
CL SKL FX NEC/CEREBR LAC
CL SKULL FX NEC W/O COMA
CL SKULL FX NEC-BRF COMA
CL SKULL FX NEC-MOD COMA
CL SKL FX NEC-PROLN COMA
CL SKUL FX NEC-DEEP COMA
CL SKULL FX NEC-COMA NOS
CL SKULL FX NEC-CONCUSS
CL SKL FX NEC/MENING HEM
CL SKULL FX NEC W/O COMA
CL SKULL FX NEC-BRF COMA
CL SKULL FX NEC-MOD COMA
CL SKL FX NEC-PROLN COMA
CL SKUL FX NEC-DEEP COMA
CL SKULL FX NEC-COMA NOS
CL SKULL FX NEC-CONCUSS
CL SKULL FX NEC/HEM NEC
CL SKULL FX NEC W/O COMA
CL SKULL FX NEC-BRF COMA
CL SKULL FX NEC-MOD COMA
CL SKL FX NEC-PROLN COMA
CL SKUL FX NEC-DEEP COMA
CL SKULL FX NEC-COMA NOS
CL SKULL FX NEC-CONCUSS
CL SKL FX NEC/BR INJ NEC
CL SKULL FX NEC W/O COMA
CL SKULL FX NEC-BRF COMA
CL SKULL FX NEC-MOD COMA
CL SKL FX NEC-PROLN COMA
CL SKUL FX NEC-DEEP COMA
CL SKULL FX NEC-COMA NOS
CL SKULL FX NEC-CONCUSS
OPEN SKULL FRACTURE NEC
OPN SKUL FX NEC W/O COMA
OPN SKUL FX NEC-BRF COMA
OPN SKUL FX NEC-MOD COMA
OPN SKL FX NEC-PROL COMA
OPN SKL FX NEC-DEEP COMA
OPN SKUL FX NEC-COMA NOS
OPN SKULL FX NEC-CONCUSS
OPN SKL FX NEC/CEREB LAC
OPN SKUL FX NEC W/O COMA
Version 4.2 – 2010
Page 53
AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
80362
80363
80364
80365
80366
80369
80370
80371
80372
80373
80374
80375
80376
80379
80380
80381
80382
80383
80384
80385
80386
80389
80390
80391
80392
80393
80394
80395
80396
80399
80400
80401
80402
80403
80404
80405
80406
80409
80410
80411
80412
80413
80414
80415
80416
80419
80420
80421
80422
80423
80424
80425
80426
80429
80430
80431
80432
80433
80434
80435
80436
80439
OPN SKUL FX NEC-BRF COMA
OPN SKUL FX NEC-MOD COMA
OPN SKL FX NEC-PROLN COM
OPN SKL FX NEC-DEEP COMA
OPN SKUL FX NEC-COMA NOS
OPN SKULL FX NEC-CONCUSS
OPN SKL FX NEC/MENIN HEM
OPN SKUL FX NEC W/O COMA
OPN SKUL FX NEC-BRF COMA
OPN SKUL FX NEC-MOD COMA
OPN SKL FX NEC-PROL COMA
OPN SKL FX NEC-DEEP COMA
OPN SKUL FX NEC-COMA NOS
OPN SKULL FX NEC-CONCUSS
OPN SKULL FX NEC/HEM NEC
OPN SKUL FX NEC W/O COMA
OPN SKUL FX NEC-BRF COMA
OPN SKUL FX NEC-MOD COMA
OPN SKL FX NEC-PROL COMA
OPN SKL FX NEC-DEEP COMA
OPN SKUL FX NEC-COMA NOS
OPN SKULL FX NEC-CONCUSS
OP SKL FX NEC/BR INJ NEC
OPN SKUL FX NEC W/O COMA
OPN SKUL FX NEC-BRF COMA
OPN SKUL FX NEC-MOD COMA
OPN SKL FX NEC-PROL COMA
OPN SKL FX NEC-DEEP COMA
OPN SKUL FX NEC-COMA NOS
OPN SKULL FX NEC-CONCUSS
CL SKUL FX W OTH BONE FX
CL SKL W OTH FX W/O COMA
CL SKL W OTH FX-BRF COMA
CL SKL W OTH FX-MOD COMA
CL SKL/OTH FX-PROLN COMA
CL SKUL/OTH FX-DEEP COMA
CL SKL W OTH FX-COMA NOS
CL SKUL W OTH FX-CONCUSS
CL SK W OTH FX/CEREB LAC
CL SKL W OTH FX W/O COMA
CL SKL W OTH FX-BRF COMA
CL SKL W OTH FX-MOD COMA
CL SKL/OTH FX-PROLN COMA
CL SKUL/OTH FX-DEEP COMA
CL SKL W OTH FX-COMA NOS
CL SKUL W OTH FX-CONCUSS
CL SKL/OTH FX/MENING HEM
CL SKL W OTH FX W/O COMA
CL SKL W OTH FX-BRF COMA
CL SKL W OTH FX-MOD COMA
CL SKL/OTH FX-PROLN COMA
CL SKUL/OTH FX-DEEP COMA
CL SKL W OTH FX-COMA NOS
CL SKUL W OTH FX-CONCUSS
CL SKUL W OTH FX/HEM NEC
CL SKL W OTH FX W/O COMA
CL SKL W OTH FX-BRF COMA
CL SKL W OTH FX-MOD COMA
CL SKL/OTH FX-PROLN COMA
CL SKUL/OTH FX-DEEP COMA
CL SKL W OTH FX-COMA NOS
CL SKUL W OTH FX-CONCUSS
Patient Safety Indicators Appendices
Appendix G – Trauma Diagnosis Codes
80440
80441
80442
80443
80444
80445
80446
80449
80450
80451
80452
80453
80454
80455
80456
80459
80460
80461
80462
80463
80464
80465
80466
80469
80470
80471
80472
80473
80474
80475
80476
80479
80480
80481
80482
80483
80484
80485
80486
80489
80490
80491
80492
80493
80494
80495
80496
80499
80500
80501
80502
80503
80504
80505
80506
80507
80508
80510
80511
80512
80513
80514
CL SKL/OTH FX/BR INJ NEC
CL SKL W OTH FX W/O COMA
CL SKL W OTH FX-BRF COMA
CL SKL W OTH FX-MOD COMA
CL SKL/OTH FX-PROLN COMA
CL SKUL/OTH FX-DEEP COMA
CL SKL W OTH FX-COMA NOS
CL SKUL W OTH FX-CONCUSS
OPN SKULL FX/OTH BONE FX
OPN SKUL/OTH FX W/O COMA
OPN SKUL/OTH FX-BRF COMA
OPN SKUL/OTH FX-MOD COMA
OPN SKL/OTH FX-PROL COMA
OPN SKL/OTH FX-DEEP COMA
OPN SKUL/OTH FX-COMA NOS
OPN SKULL/OTH FX-CONCUSS
OPN SKL/OTH FX/CEREB LAC
OPN SKUL/OTH FX W/O COMA
OPN SKUL/OTH FX-BRF COMA
OPN SKUL/OTH FX-MOD COMA
OPN SKL/OTH FX-PROL COMA
OPN SKL/OTH FX-DEEP COMA
OPN SKUL/OTH FX-COMA NOS
OPN SKULL/OTH FX-CONCUSS
OPN SKL/OTH FX/MENIN HEM
OPN SKUL/OTH FX W/O COMA
OPN SKUL/OTH FX-BRF COMA
OPN SKUL/OTH FX-MOD COMA
OPN SKL/OTH FX-PROL COMA
OPN SKL/OTH FX-DEEP COMA
OPN SKUL/OTH FX-COMA NOS
OPN SKULL/OTH FX-CONCUSS
OPN SKL W OTH FX/HEM NEC
OPN SKUL/OTH FX W/O COMA
OPN SKUL/OTH FX-BRF COMA
OPN SKUL/OTH FX-MOD COMA
OPN SKL/OTH FX-PROL COMA
OPN SKL/OTH FX-DEEP COMA
OPN SKUL/OTH FX-COMA NOS
OPN SKULL/OTH FX-CONCUSS
OP SKL/OTH FX/BR INJ NEC
OPN SKUL/OTH FX W/O COMA
OPN SKUL/OTH FX-BRF COMA
OPN SKUL/OTH FX-MOD COMA
OPN SKL/OTH FX-PROL COMA
OPN SKL/OTH FX-DEEP COMA
OPN SKUL/OTH FX-COMA NOS
OPN SKULL/OTH FX-CONCUSS
FX CERVICAL VERT NOS-CL
FX C1 VERTEBRA-CLOSED
FX C2 VERTEBRA-CLOSED
FX C3 VERTEBRA-CLOSED
FX C4 VERTEBRA-CLOSED
FX C5 VERTEBRA-CLOSED
FX C6 VERTEBRA-CLOSED
FX C7 VERTEBRA-CLOSED
FX MULT CERVICAL VERT-CL
FX CERVICAL VERT NOS-OPN
FX C1 VERTEBRA-OPEN
FX C2 VERTEBRA-OPEN
FX C3 VERTEBRA-OPEN
FX C4 VERTEBRA-OPEN
Version 4.2 – 2010
Page 54
AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
80515
80516
80517
80518
8052
8053
8054
8055
8056
8057
8058
8059
80600
80601
80602
80603
80604
80605
80606
80607
80608
80609
80610
80611
80612
80613
80614
80615
80616
80617
80618
80619
80620
80621
80622
80623
80624
80625
80626
80627
80628
80629
80630
80631
80632
80633
80634
80635
80636
80637
80638
80639
8064
8065
80660
80661
80662
80669
80670
80671
80672
80679
FX C5 VERTEBRA-OPEN
FX C6 VERTEBRA-OPEN
FX C7 VERTEBRA-OPEN
FX MLT CERVICAL VERT-OPN
FX DORSAL VERTEBRA-CLOSE
FX DORSAL VERTEBRA-OPEN
FX LUMBAR VERTEBRA-CLOSE
FX LUMBAR VERTEBRA-OPEN
FX SACRUM/COCCYX-CLOSED
FX SACRUM/COCCYX-OPEN
VERTEBRAL FX NOS-CLOSED
VERTEBRAL FX NOS-OPEN
C1-C4 FX-CL/CORD INJ NOS
C1-C4 FX-CL/COM CORD LES
C1-C4 FX-CL/ANT CORD SYN
C1-C4 FX-CL/CEN CORD SYN
C1-C4 FX-CL/CORD INJ NEC
C5-C7 FX-CL/CORD INJ NOS
C5-C7 FX-CL/COM CORD LES
C5-C7 FX-CL/ANT CORD SYN
C5-C7 FX-CL/CEN CORD SYN
C5-C7 FX-CL/CORD INJ NEC
C1-C4 FX-OP/CORD INJ NOS
C1-C4 FX-OP/COM CORD LES
C1-C4 FX-OP/ANT CORD SYN
C1-C4 FX-OP/CEN CORD SYN
C1-C4 FX-OP/CORD INJ NEC
C5-C7 FX-OP/CORD INJ NOS
C5-C7 FX-OP/COM CORD LES
C5-C7 FX-OP/ANT CORD SYN
C5-C7 FX-OP/CEN CORD SYN
C5-C7 FX-OP/CORD INJ NEC
T1-T6 FX-CL/CORD INJ NOS
T1-T6 FX-CL/COM CORD LES
T1-T6 FX-CL/ANT CORD SYN
T1-T6 FX-CL/CEN CORD SYN
T1-T6 FX-CL/CORD INJ NEC
T7-T12 FX-CL/CRD INJ NOS
T7-T12 FX-CL/COM CRD LES
T7-T12 FX-CL/ANT CRD SYN
T7-T12 FX-CL/CEN CRD SYN
T7-T12 FX-CL/CRD INJ NEC
T1-T6 FX-OP/CORD INJ NOS
T1-T6 FX-OP/COM CORD LES
T1-T6 FX-OP/ANT CORD SYN
T1-T6 FX-OP/CEN CORD SYN
T1-T6 FX-OP/CORD INJ NEC
T7-T12 FX-OP/CRD INJ NOS
T7-T12 FX-OP/COM CRD LES
T7-T12 FX-OP/ANT CRD SYN
T7-T12 FX-OP/CEN CRD SYN
T7-T12 FX-OP/CRD INJ NEC
CL LUMBAR FX W CORD INJ
OPN LUMBAR FX W CORD INJ
FX SACRUM-CL/CRD INJ NOS
FX SACR-CL/CAUDA EQU LES
FX SACR-CL/CAUDA INJ NEC
FX SACRUM-CL/CRD INJ NEC
FX SACRUM-OP/CRD INJ NOS
FX SACR-OP/CAUDA EQU LES
FX SACR-OP/CAUDA INJ NEC
FX SACRUM-OP/CRD INJ NEC
Patient Safety Indicators Appendices
Appendix G – Trauma Diagnosis Codes
8068
8069
80700
80701
80702
80703
80704
80705
80706
80707
80708
80709
80710
80711
80712
80713
80714
80715
80716
80717
80718
80719
8072
8073
8074
8075
8076
8080
8081
8082
8083
80841
80842
80843
80849
80851
80852
80853
80859
8088
8089
8090
8091
81000
81001
81002
81003
81010
81011
81012
81013
81100
81101
81102
81103
81109
81110
81111
81112
81113
81119
81200
VERT FX NOS-CL W CRD INJ
VERT FX NOS-OP W CRD INJ
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
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 ACETABULUM-CLOS
FRACTURE ACETABULUM-OPEN
FRACTURE OF PUBIS-CLOSED
FRACTURE OF PUBIS-OPEN
FRACTURE OF ILIUM-CLOSED
FRACTURE ISCHIUM-CLOSED
PELV FX-CLOS/PELV DISRUP
PELVIC FRACTURE NEC-CLOS
FRACTURE OF ILIUM-OPEN
FRACTURE OF ISCHIUM-OPEN
PELV FX-OPEN/PELV DISRUP
PELVIC FRACTURE NEC-OPEN
PELVIC FRACTURE NOS-CLOS
PELVIC FRACTURE NOS-OPEN
FRACTURE TRUNK BONE-CLOS
FRACTURE TRUNK BONE-OPEN
FX CLAVICLE NOS-CLOSED
FX CLAVICL, STERN END-CL
FX CLAVICLE SHAFT-CLOSED
FX CLAVICL, ACROM END-CL
FX CLAVICLE NOS-OPEN
FX CLAVIC, STERN END-OPN
FX CLAVICLE SHAFT-OPEN
FX CLAVIC, ACROM END-OPN
FX SCAPULA NOS-CLOSED
FX SCAPUL, ACROM PROC-CL
FX SCAPUL, CORAC PROC-CL
FX SCAP, GLEN CAV/NCK-CL
FX SCAPULA NEC-CLOSED
FX SCAPULA NOS-OPEN
FX SCAPUL, ACROM PROC-OP
FX SCAPUL, CORAC PROC-OP
FX SCAP, GLEN CAV/NCK-OP
FX SCAPULA NEC-OPEN
FX UP END HUMERUS NOS-CL
Version 4.2 – 2010
Page 55
AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
81201
81202
81203
81209
81210
81211
81212
81213
81219
81220
81221
81230
81231
81240
81241
81242
81243
81244
81249
81250
81251
81252
81253
81254
81259
81300
81301
81302
81303
81304
81305
81306
81307
81308
81310
81311
81312
81313
81314
81315
81316
81317
81318
81320
81321
81322
81323
81330
81331
81332
81333
81340
81341
81342
81343
81344
81345
81346
81347
81350
81351
FX SURG NCK HUMERUS-CLOS
FX ANATOM NCK HUMERUS-CL
FX GR TUBEROS HUMERUS-CL
FX UPPER HUMERUS NEC-CL
FX UPPER HUMERUS NOS-OPN
FX SURG NECK HUMERUS-OPN
FX ANAT NECK HUMERUS-OPN
FX GR TUBEROS HUMER-OPEN
FX UPPER HUMERUS NEC-OPN
FX HUMERUS NOS-CLOSED
FX HUMERUS SHAFT-CLOSED
FX HUMERUS NOS-OPEN
FX HUMERUS SHAFT-OPEN
FX LOWER HUMERUS NOS-CL
SUPRCONDYL FX HUMERUS-CL
FX HUMER, LAT CONDYL-CL
FX HUMER, MED CONDYL-CL
FX HUMER, CONDYL NOS-CL
FX LOWER HUMERUS NEC-CL
FX LOWER HUMER NOS-OPEN
SUPRACONDYL FX HUMER-OPN
FX HUMER, LAT CONDYL-OPN
FX HUMER, MED CONDYL-OPN
FX HUMER, CONDYL NOS-OPN
FX LOWER HUMER NEC-OPEN
FX UPPER FOREARM NOS-CL
FX OLECRAN PROC ULNA-CL
FX CORONOID PROC ULNA-CL
MONTEGGIAS FX-CLOSED
FX UPPER ULNA NEC/NOS-CL
FX RADIUS HEAD-CLOSED
FX RADIUS NECK-CLOSED
FX UP RADIUS NEC/NOS-CL
FX UP RADIUS W ULNA-CLOS
FX UPPER FOREARM NOS-OPN
FX OLECRAN PROC ULNA-OPN
FX CORONOID PRO ULNA-OPN
MONTEGGIAS FX-OPEN
FX UP ULNA NEC/NOS-OPEN
FX RADIUS HEAD-OPEN
FX RADIUS NECK-OPEN
FX UP RADIUS NEC/NOS-OPN
FX UP RADIUS W ULNA-OPEN
FX SHAFT FOREARM NOS-CL
FX RADIUS SHAFT-CLOSED
FX ULNA SHAFT-CLOSED
FX SHAFT RAD W ULNA-CLOS
FX SHAFT FOREARM NOS-OPN
FX RADIUS SHAFT-OPEN
FX ULNA SHAFT-OPEN
FX SHAFT RAD W ULNA-OPEN
FX LOWER FOREARM NOS-CL
COLLES FRACTURE-CLOSED
FX DISTAL RADIUS NEC-CL
FX DISTAL ULNA-CLOSED
FX LOW RADIUS W ULNA-CL
TORUS FRACTURE OF RADIUS
TORUS FRACTURE OF ULNA OCT09TORUS FRACTURE OF RADIUS AND
ULNA OCT09FX LOWER FOREARM NOS-OPN
COLLES FRACTURE-OPEN
Patient Safety Indicators Appendices
Appendix G – Trauma Diagnosis Codes
81352
81353
81354
81380
81381
81382
81383
81390
81391
81392
81393
81400
81401
81402
81403
81404
81405
81406
81407
81408
81409
81410
81411
81412
81413
81414
81415
81416
81417
81418
81419
81500
81501
81502
81503
81504
81509
81510
81511
81512
81513
81514
81519
8170
8171
8180
8181
8190
8191
82000
82001
82002
82003
82009
82010
82011
82012
82013
82019
82020
82021
82022
FX DISTAL RADIUS NEC-OPN
FX DISTAL ULNA-OPEN
FX LOW RADIUS W ULNA-OPN
FX FOREARM NOS-CLOSED
FX RADIUS NOS-CLOSED
FRACTURE ULNA NOS-CLOSED
FX RADIUS W ULNA NOS-CL
FX FOREARM NOS-OPEN
FRACTURE RADIUS NOS-OPEN
FRACTURE ULNA NOS-OPEN
FX RADIUS W ULNA NOS-OPN
FX CARPAL BONE NOS-CLOSE
FX NAVICULAR, WRIST-CLOS
FX LUNATE, WRIST-CLOSED
FX TRIQUETRAL, WRIST-CL
FX PISIFORM-CLOSED
FX TRAPEZIUM BONE-CLOSED
FX TRAPEZOID BONE-CLOSED
FX CAPITATE BONE-CLOSED
FX HAMATE BONE-CLOSED
FX CARPAL BONE NEC-CLOSE
FX CARPAL BONE NOS-OPEN
FX NAVICULAR, WRIST-OPEN
FX LUNATE, WRIST-OPEN
FX TRIQUETRAL, WRIST-OPN
FX PISIFORM-OPEN
FX TRAPEZIUM BONE-OPEN
FX TRAPEZOID BONE-OPEN
FX CAPITATE BONE-OPEN
FX HAMATE BONE-OPEN
FX CARPAL BONE NEC-OPEN
FX METACARPAL NOS-CLOSED
FX 1ST METACARP BASE-CL
FX METACARP BASE NEC-CL
FX METACARPAL SHAFT-CLOS
FX METACARPAL NECK-CLOSE
MULT FX METACARPUS-CLOSE
FX METACARPAL NOS-OPEN
FX 1ST METACARP BASE-OPN
FX METACARP BASE NEC-OPN
FX METACARPAL SHAFT-OPEN
FX METACARPAL NECK-OPEN
MULT FX METACARPUS-OPEN
MULTIPLE FX HAND-CLOSED
MULTIPLE FX HAND-OPEN
FX ARM MULT/NOS-CLOSED
FX ARM MULT/NOS-OPEN
FX ARMS W RIB/STERNUM-CL
FX ARMS W RIB/STERN-OPEN
FX FEMUR INTRCAPS NOS-CL
FX UP FEMUR EPIPHY-CLOS
FX FEMUR, MIDCERVIC-CLOS
FX BASE FEMORAL NCK-CLOS
FX FEMUR INTRCAPS NEC-CL
FX FEMUR INTRCAP NOS-OPN
FX UP FEMUR EPIPHY-OPEN
FX FEMUR, MIDCERVIC-OPEN
FX BASE FEMORAL NCK-OPEN
FX FEMUR INTRCAP NEC-OPN
TROCHANTERIC FX NOS-CLOS
INTERTROCHANTERIC FX-CL
SUBTROCHANTERIC FX-CLOSE
Version 4.2 – 2010
Page 56
AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
82030
82031
82032
8208
8209
82100
82101
82110
82111
82120
82121
82122
82123
82129
82130
82131
82132
82133
82139
8220
8221
82300
82301
82302
82310
82311
82312
82320
82321
82322
82330
82331
82332
8234
82340
82341
82342
82380
82381
82382
82390
82391
82392
8240
8241
8242
8243
8244
8245
8246
8247
8248
8249
8250
8251
82520
82521
82522
82523
82524
82525
82529
TROCHANTERIC FX NOS-OPEN
INTERTROCHANTERIC FX-OPN
SUBTROCHANTERIC FX-OPEN
FX NECK OF FEMUR NOS-CL
FX NECK OF FEMUR NOS-OPN
FX FEMUR NOS-CLOSED
FX FEMUR SHAFT-CLOSED
FX FEMUR NOS-OPEN
FX FEMUR SHAFT-OPEN
FX LOW END FEMUR NOS-CL
FX FEMORAL CONDYLE-CLOSE
FX LOW FEMUR EPIPHY-CLOS
SUPRACONDYL FX FEMUR-CL
FX LOW END FEMUR NEC-CL
FX LOW END FEMUR NOS-OPN
FX FEMORAL CONDYLE-OPEN
FX LOW FEMUR EPIPHY-OPEN
SUPRACONDYL FX FEMUR-OPN
FX LOW END FEMUR NEC-OPN
FRACTURE PATELLA-CLOSED
FRACTURE PATELLA-OPEN
FX UPPER END TIBIA-CLOSE
FX UPPER END FIBULA-CLOS
FX UP TIBIA W FIBULA-CL
FX UPPER END TIBIA-OPEN
FX UPPER END FIBULA-OPEN
FX UP TIBIA W FIBULA-OPN
FX SHAFT TIBIA-CLOSED
FX SHAFT FIBULA-CLOSED
FX SHAFT FIB W TIB-CLOS
FX TIBIA SHAFT-OPEN
FX FIBULA SHAFT-OPEN
FX SHAFT TIBIA W FIB-OPN
TORUS FRACTURE
TORUS FRACTURE, TIBIA ALONE
TORUS FRACTURE, FIBULA ALONE
TORUS FRACTURE, FIBULA WITH TIBIA
FX TIBIA NOS-CLOSED
FX FIBULA NOS-CLOSED
FX TIBIA W FIBULA NOS-CL
FX TIBIA NOS-OPEN
FX FIBULA NOS-OPEN
FX TIBIA W FIB NOS-OPEN
FX MEDIAL MALLEOLUS-CLOS
FX MEDIAL MALLEOLUS-OPEN
FX LATERAL MALLEOLUS-CL
FX LATERAL MALLEOLUS-OPN
FX BIMALLEOLAR-CLOSED
FX BIMALLEOLAR-OPEN
FX TRIMALLEOLAR-CLOSED
FX TRIMALLEOLAR-OPEN
FX ANKLE NOS-CLOSED
FX ANKLE NOS-OPEN
FRACTURE CALCANEUS-CLOSE
FRACTURE CALCANEUS-OPEN
FX FOOT BONE NOS-CLOSED
FX ASTRAGALUS-CLOSED
FX NAVICULAR, FOOT-CLOS
FX CUBOID-CLOSED
FX CUNEIFORM, FOOT-CLOS
FX METATARSAL-CLOSED
FX FOOT BONE NEC-CLOSED
Patient Safety Indicators Appendices
Appendix G – Trauma Diagnosis Codes
82530
82531
82532
82533
82534
82535
82539
8270
8271
8280
8281
8290
8291
8300
8301
83100
83101
83102
83103
83104
83109
83110
83111
83112
83113
83114
83119
83200
83201
83202
83203
83204
83209
83210
83211
83212
83213
83214
83219
83300
83301
83302
83303
83304
83305
83309
83310
83311
83312
83313
83314
83315
83319
83500
83501
83502
83503
83510
83511
83512
83513
8360
FX FOOT BONE NOS-OPEN
FX ASTRAGALUS-OPEN
FX NAVICULAR, FOOT-OPEN
FX CUBOID-OPEN
FX CUNEIFORM, FOOT-OPEN
FX METATARSAL-OPEN
FX FOOT BONE NEC-OPEN
FX LOWER LIMB NEC-CLOSED
FX LOWER LIMB NEC-OPEN
FX LEGS W ARM/RIB-CLOSED
FX LEGS W ARM/RIB-OPEN
FRACTURE NOS-CLOSED
FRACTURE NOS-OPEN
DISLOCATION JAW-CLOSED
DISLOCATION JAW-OPEN
DISLOC SHOULDER NOS-CLOS
ANT DISLOC HUMERUS-CLOSE
POST DISLOC HUMERUS-CLOS
INFER DISLOC HUMERUS-CL
DISLOC ACROMIOCLAVIC-CL
DISLOC SHOULDER NEC-CLOS
DISLOC SHOULDER NOS-OPEN
ANT DISLOC HUMERUS-OPEN
POST DISLOC HUMERUS-OPEN
INFER DISLOC HUMERUS-OPN
DISLOC ACROMIOCLAVIC-OPN
DISLOC SHOULDER NEC-OPEN
DISLOCAT ELBOW NOS-CLOSE
ANT DISLOC ELBOW-CLOSED
POST DISLOC ELBOW-CLOSED
MED DISLOC ELBOW-CLOSED
LAT DISLOC ELBOW-CLOSED
DISLOCAT ELBOW NEC-CLOSE
DISLOCAT ELBOW NOS-OPEN
ANT DISLOC ELBOW-OPEN
POST DISLOC ELBOW-OPEN
MED DISLOC ELBOW-OPEN
LAT DISLOCAT ELBOW-OPEN
DISLOCAT ELBOW NEC-OPEN
DISLOC WRIST NOS-CLOSED
DISLOC DIST RADIOULN-CL
DISLOC RADIOCARPAL-CLOS
DISLOCA MIDCARPAL-CLOSED
DISLOC CARPOMETACARP-CL
DISLOC METACARPAL-CLOSED
DISLOC WRIST NEC-CLOSED
DISLOCAT WRIST NOS-OPEN
DISLOC DIST RADIOULN-OPN
DISLOC RADIOCARPAL-OPEN
DISLOCAT MIDCARPAL-OPEN
DISLOC CARPOMETACARP-OPN
DISLOCAT METACARPAL-OPEN
DISLOCAT WRIST NEC-OPEN
DISLOCAT HIP NOS-CLOSED
POSTERIOR DISLOC HIP-CL
OBTURATOR DISLOC HIP-CL
ANT DISLOC HIP NEC-CLOS
DISLOCATION HIP NOS-OPEN
POSTERIOR DISLOC HIP-OPN
OBTURATOR DISLOC HIP-OPN
ANT DISLOC HIP NEC-OPEN
TEAR MED MENISC KNEE-CUR
Version 4.2 – 2010
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AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
8361
8362
8363
8364
83650
83651
83652
83653
83654
83659
83660
83661
83662
83663
83664
83669
8370
8371
83800
83801
83802
83803
83804
83805
83806
83809
83810
83811
83812
83813
83814
83815
83816
83819
83900
83901
83902
83903
83904
83905
83906
83907
83908
83910
83911
83912
83913
83914
83915
83916
83917
83918
83920
83921
83930
83931
83940
83941
83942
83949
83950
83951
TEAR LAT MENISC KNEE-CUR
TEAR MENISCUS NEC-CURREN
DISLOCAT PATELLA-CLOSED
DISLOCATION PATELLA-OPEN
DISLOCAT KNEE NOS-CLOSED
ANT DISLOC PROX TIBIA-CL
POST DISL PROX TIBIA-CL
MED DISLOC PROX TIBIA-CL
LAT DISLOC PROX TIBIA-CL
DISLOCAT KNEE NEC-CLOSED
DISLOCAT KNEE NOS-OPEN
ANT DISL PROX TIBIA-OPEN
POST DISL PROX TIBIA-OPN
MED DISL PROX TIBIA-OPEN
LAT DISL PROX TIBIA-OPEN
DISLOCAT KNEE NEC-OPEN
DISLOCATION ANKLE-CLOSED
DISLOCATION ANKLE-OPEN
DISLOCAT FOOT NOS-CLOSED
DISLOC TARSAL NOS-CLOSED
DISLOC MIDTARSAL-CLOSED
DISLOC TARSOMETATARS-CL
DISLOC METATARSAL NOS-CL
DISL METATARSOPHALANG-CL
DISL INTERPHALAN FOOT-CL
DISLOCAT FOOT NEC-CLOSED
DISLOCAT FOOT NOS-OPEN
DISLOC TARSAL NOS-OPEN
DISLOC MIDTARSAL-OPEN
DISL TARSOMETATARSAL-OPN
DISL METATARSAL NOS-OPEN
DISLOC METATARSOPHAL-OPN
DIS INTERPHALAN FOOT-OPN
DISLOCAT FOOT NEC-OPEN
DISLOC CERV VERT NOS-CL
DISLOC 1ST CERV VERT-CL
DISLOC 2ND CERV VERT-CL
DISLOC 3RD CERV VERT-CL
DISLOC 4TH CERV VERT-CL
DISLOC 5TH CERV VERT-CL
DISLOC 6TH CERV VERT-CL
DISLOC 7TH CERV VERT-CL
DISLOC MULT CERV VERT-CL
DISLOC CERV VERT NOS-OPN
DISLOC LST CERV VERT-OPN
DISLOC 2ND CERV VERT-OPN
DISLOC 3RD CERV VERT-OPN
DISLOC 4TH CERV VERT-OPN
DISLOC 5TH CERV VERT-OPN
DISLOC 6TH CERV VERT-OPN
DISLOC 7TH CERV VERT-OPN
DISLOC MLT CERV VERT-OPN
DISLOCAT LUMBAR VERT-CL
DISLOC THORACIC VERT-CL
DISLOCAT LUMBAR VERT-OPN
DISLOC THORACIC VERT-OPN
DISLOCAT VERTEBRA NOS-CL
DISLOCAT COCCYX-CLOSED
DISLOCAT SACRUM-CLOSED
DISLOCAT VERTEBRA NEC-CL
DISLOC VERTEBRA NOS-OPEN
DISLOCAT COCCYX-OPEN
Patient Safety Indicators Appendices
Appendix G – Trauma Diagnosis Codes
83952
83959
83961
83969
83971
83979
8398
8399
8500
8501
85011
85012
8502
8503
8504
8505
8509
85100
85101
85102
85103
85104
85105
85106
85109
85110
85111
85112
85113
85114
85115
85116
85119
85120
85121
85122
85123
85124
85125
85126
85129
85130
85131
85132
85133
85134
85135
85136
85139
85140
85141
85142
85143
85144
85145
85146
85149
85150
85151
85152
85153
85154
DISLOCAT SACRUM-OPEN
DISLOC VERTEBRA NEC-OPEN
DISLOCAT STERNUM-CLOSED
DISLOCAT SITE NEC-CLOSED
DISLOCATION STERNUM-OPEN
DISLOCAT SITE NEC-OPEN
DISLOCATION NEC-CLOSED
DISLOCATION NEC-OPEN
CONCUSSION W/O COMA
CONCUSSION-BRIEF COMA
CONCUS-BRIEF COMA <31 MN
CONCUS-BRF COMA 31-59 MN
CONCUSSION-MODERATE COMA
CONCUSSION-PROLONG COMA
CONCUSSION-DEEP COMA
CONCUSSION W COMA NOS
CONCUSSION NOS
CEREBRAL CORTX CONTUSION
CORTEX CONTUSION-NO COMA
CORTEX CONTUS-BRIEF COMA
CORTEX CONTUS-MOD COMA
CORTX CONTUS-PROLNG COMA
CORTEX CONTUS-DEEP COMA
CORTEX CONTUS-COMA NOS
CORTEX CONTUS-CONCUS NOS
CORTEX CONTUSION/OPN WND
OPN CORTX CONTUS-NO COMA
OPN CORT CONTUS-BRF COMA
OPN CORT CONTUS-MOD COMA
OPN CORT CONTU-PROL COMA
OPN CORT CONTU-DEEP COMA
OPN CORT CONTUS-COMA NOS
OPN CORTX CONTUS-CONCUSS
CEREBRAL CORTEX LACERAT
CORTEX LACERAT W/O COMA
CORTEX LACERA-BRIEF COMA
CORTEX LACERAT-MOD COMA
CORTEX LACERAT-PROL COMA
CORTEX LACERAT-DEEP COMA
CORTEX LACERAT-COMA NOS
CORTEX LACERAT-CONCUSS
CORTEX LACER W OPN WOUND
OPN CORTEX LACER-NO COMA
OPN CORTX LAC-BRIEF COMA
OPN CORTX LACER-MOD COMA
OPN CORTX LAC-PROLN COMA
OPN CORTEX LAC-DEEP COMA
OPN CORTX LACER-COMA NOS
OPN CORTX LACER-CONCUSS
CEREBEL/BRAIN STM CONTUS
CEREBELL CONTUS W/O COMA
CEREBELL CONTUS-BRF COMA
CEREBELL CONTUS-MOD COMA
CEREBEL CONTUS-PROL COMA
CEREBEL CONTUS-DEEP COMA
CEREBELL CONTUS-COMA NOS
CEREBELL CONTUS-CONCUSS
CEREBEL CONTUS W OPN WND
OPN CEREBE CONT W/O COMA
OPN CEREBE CONT-BRF COMA
OPN CEREBE CONT-MOD COMA
OPN CEREBE CONT-PROL COM
Version 4.2 – 2010
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AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
85155
85156
85159
85160
85161
85162
85163
85164
85165
85166
85169
85170
85171
85172
85173
85174
85175
85176
85179
85180
85181
85182
85183
85184
85185
85186
85189
85190
85191
85192
85193
85194
85195
85196
85199
85200
85201
85202
85203
85204
85205
85206
85209
85210
85211
85212
85213
85214
85215
85216
85219
85220
85221
85222
85223
85224
85225
85226
85229
85230
85231
85232
OPN CEREBE CONT-DEEP COM
OPN CEREBE CONT-COMA NOS
OPN CEREBEL CONT-CONCUSS
CEREBEL/BRAIN STEM LACER
CEREBEL LACERAT W/O COMA
CEREBEL LACER-BRIEF COMA
CEREBEL LACERAT-MOD COMA
CEREBEL LACER-PROLN COMA
CEREBELL LACER-DEEP COMA
CEREBEL LACERAT-COMA NOS
CEREBEL LACER-CONCUSSION
CEREBEL LACER W OPEN WND
OPN CEREBEL LAC W/O COMA
OPN CEREBEL LAC-BRF COMA
OPN CEREBEL LAC-MOD COMA
OPN CEREBE LAC-PROL COMA
OPN CEREBE LAC-DEEP COMA
OPN CEREBEL LAC-COMA NOS
OPN CEREBELL LAC-CONCUSS
BRAIN LACERATION NEC
BRAIN LACER NEC W/O COMA
BRAIN LAC NEC-BRIEF COMA
BRAIN LACER NEC-MOD COMA
BRAIN LAC NEC-PROLN COMA
BRAIN LAC NEC-DEEP COMA
BRAIN LACER NEC-COMA NOS
BRAIN LACER NEC-CONCUSS
BRAIN LAC NEC W OPEN WND
OPN BRAIN LACER W/O COMA
OPN BRAIN LAC-BRIEF COMA
OPN BRAIN LACER-MOD COMA
OPN BRAIN LAC-PROLN COMA
OPEN BRAIN LAC-DEEP COMA
OPN BRAIN LACER-COMA NOS
OPEN BRAIN LACER-CONCUSS
TRAUM SUBARACHNOID HEM
SUBARACHNOID HEM-NO COMA
SUBARACH HEM-BRIEF COMA
SUBARACH HEM-MOD COMA
SUBARACH HEM-PROLNG COMA
SUBARACH HEM-DEEP COMA
SUBARACH HEM-COMA NOS
SUBARACH HEM-CONCUSSION
SUBARACH HEM W OPN WOUND
OPN SUBARACH HEM-NO COMA
OP SUBARACH HEM-BRF COMA
OP SUBARACH HEM-MOD COMA
OP SUBARACH HEM-PROL COM
OP SUBARACH HEM-DEEP COM
OP SUBARACH HEM-COMA NOS
OPN SUBARACH HEM-CONCUSS
TRAUMATIC SUBDURAL HEM
SUBDURAL HEM W/O COMA
SUBDURAL HEM-BRIEF COMA
SUBDURAL HEMORR-MOD COMA
SUBDURAL HEM-PROLNG COMA
SUBDURAL HEM-DEEP COMA
SUBDURAL HEMORR-COMA NOS
SUBDURAL HEM-CONCUSSION
SUBDURAL HEM W OPN WOUND
OPEN SUBDUR HEM W/O COMA
OPN SUBDUR HEM-BRF COMA
Patient Safety Indicators Appendices
Appendix G – Trauma Diagnosis Codes
85233
85234
85235
85236
85239
85240
85241
85242
85243
85244
85245
85246
85249
85250
85251
85252
85253
85254
85255
85256
85259
85300
85301
85302
85303
85304
85305
85306
85309
85310
85311
85312
85313
85314
85315
85316
85319
85400
85401
85402
85403
85404
85405
85406
85409
85410
85411
85412
85413
85414
85415
85416
85419
8600
8601
8602
8603
8604
8605
86100
86101
86102
OPN SUBDUR HEM-MOD COMA
OPN SUBDUR HEM-PROL COMA
OPN SUBDUR HEM-DEEP COMA
OPN SUBDUR HEM-COMA NOS
OPN SUBDUR HEM-CONCUSS
TRAUMATIC EXTRADURAL HEM
EXTRADURAL HEM W/O COMA
EXTRADUR HEM-BRIEF COMA
EXTRADURAL HEM-MOD COMA
EXTRADUR HEM-PROLN COMA
EXTRADURAL HEM-DEEP COMA
EXTRADURAL HEM-COMA NOS
EXTADURAL HEM-CONCUSS
EXTRADURAL HEM W OPN WND
EXTRADURAL HEMOR-NO COMA
EXTRADUR HEM-BRIEF COMA
EXTRADURAL HEM-MOD COMA
EXTRADUR HEM-PROLN COMA
EXTRADUR HEM-DEEP COMA
EXTRADURAL HEM-COMA NOS
EXTRADURAL HEM-CONCUSS
TRAUMATIC BRAIN HEM NEC
BRAIN HEM NEC W/O COMA
BRAIN HEM NEC-BRIEF COMA
BRAIN HEM NEC-MOD COMA
BRAIN HEM NEC-PROLN COMA
BRAIN HEM NEC-DEEP COMA
BRAIN HEM NEC-COMA NOS
BRAIN HEM NEC-CONCUSSION
BRAIN HEM NEC W OPN WND
BRAIN HEM OPN W/O COMA
BRAIN HEM OPN-BRF COMA
BRAIN HEM OPEN-MOD COMA
BRAIN HEM OPN-PROLN COMA
BRAIN HEM OPEN-DEEP COMA
BRAIN HEM OPEN-COMA NOS
BRAIN HEM OPN-CONCUSSION
BRAIN INJURY NEC
BRAIN INJURY NEC-NO COMA
BRAIN INJ NEC-BRIEF COMA
BRAIN INJ NEC-MOD COMA
BRAIN INJ NEC-PROLN COMA
BRAIN INJ NEC-DEEP COMA
BRAIN INJ NEC-COMA NOS
BRAIN INJ NEC-CONCUSSION
BRAIN INJURY W OPN WND
OPN BRAIN INJ W/O COMA
OPN BRAIN INJ-BRIEF COMA
OPN BRAIN INJ-MOD COMA
OPN BRAIN INJ-PROLN COMA
OPN BRAIN INJ-DEEP COMA
OPEN BRAIN INJ-COMA NOS
OPN BRAIN INJ-CONCUSSION
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
Version 4.2 – 2010
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AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
86103
86110
86111
86112
86113
86120
86121
86122
86130
86131
86132
8620
8621
86221
86222
86229
86231
86232
86239
8628
8629
8630
8631
86320
86321
86329
86330
86331
86339
86340
86341
86342
86343
86344
86345
86346
86349
86350
86351
86352
86353
86354
86355
86356
86359
86380
86381
86382
86383
86384
86385
86389
86390
86391
86392
86393
86394
86395
86399
86400
86401
86402
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
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
STOMACH INJURY-CLOSED
STOMACH INJURY-OPEN
SMALL INTEST INJ NOS-CL
DUODENUM INJURY-CLOSED
SMALL INTEST INJ NEC-CL
SMALL INTEST INJ NOS-OPN
DUODENUM INJURY-OPEN
SMALL INTEST INJ NEC-OPN
COLON INJURY NOS-CLOSED
ASCENDING COLON INJ-CLOS
TRANSVERSE COLON INJ-CL
DESCENDING COLON INJ-CL
SIGMOID COLON INJ-CLOSED
RECTUM INJURY-CLOSED
COLON INJ MULT SITE-CLOS
COLON INJURY NEC-CLOSED
COLON INJURY NOS-OPEN
ASCENDING COLON INJ-OPEN
TRANSVERSE COLON INJ-OPN
DESCENDING COLON INJ-OPN
SIGMOID COLON INJ-OPEN
RECTUM INJURY-OPEN
COLON INJ MULT SITE-OPEN
COLON INJURY NEC-OPEN
GI INJURY NOS-CLOSED
PANCREAS, HEAD INJ-CLOSE
PANCREAS, BODY INJ-CLOSE
PANCREAS, TAIL INJ-CLOSE
PANCREAS INJURY NOS-CLOS
APPENDIX INJURY-CLOSED
GI INJURY NEC-CLOSED
GI INJURY NOS-OPEN
PANCREAS, HEAD INJ-OPEN
PANCREAS, BODY INJ-OPEN
PANCREAS, TAIL INJ-OPEN
PANCREAS INJURY NOS-OPEN
APPENDIX INJURY-OPEN
GI INJURY NEC-OPEN
LIVER INJURY NOS-CLOSED
LIVER HEMATOMA/CONTUSION
LIVER LACERATION, MINOR
Patient Safety Indicators Appendices
Appendix G – Trauma Diagnosis Codes
86403
86404
86405
86409
86410
86411
86412
86413
86414
86415
86419
86500
86501
86502
86503
86504
86509
86510
86511
86512
86513
86514
86519
86600
86601
86602
86603
86610
86611
86612
86613
8670
8671
8672
8673
8674
8675
8676
8677
8678
8679
86800
86801
86802
86803
86804
86809
86810
86811
86812
86813
86814
86819
8690
8691
8700
8701
8702
8703
8704
8708
8709
LIVER LACERATION, MOD
LIVER LACERATION, MAJOR
LIVER LACERAT UNSPCF CLS
LIVER INJURY NEC-CLOSED
LIVER INJURY NOS-OPEN
LIVER HEMATOM/CONTUS-OPN
LIVER LACERAT, MINOR-OPN
LIVER LACERAT, MOD-OPEN
LIVER LACERAT, MAJOR-OPN
LIVER LACERAT UNSPCF OPN
LIVER INJURY NEC-OPEN
SPLEEN INJURY NOS-CLOSED
SPLEEN HEMATOMA-CLOSED
SPLEEN CAPSULAR TEAR
SPLEEN PARENCHYMA LACER
SPLEEN DISRUPTION-CLOS
SPLEEN INJURY NEC-CLOSED
SPLEEN INJURY NOS-OPEN
SPLEEN HEMATOMA-OPEN
SPLEEN CAPSULAR TEAR-OPN
SPLEEN PARNCHYM LAC-OPN
SPLEEN DISRUPTION-OPEN
SPLEEN INJURY NEC-OPEN
KIDNEY INJURY NOS-CLOSED
KIDNEY HEMATOMA-CLOSED
KIDNEY LACERATION-CLOSED
KIDNEY DISRUPTION-CLOSED
KIDNEY INJURY NOS-OPEN
KIDNEY HEMATOMA-OPEN
KIDNEY LACERATION-OPEN
KIDNEY DISRUPTION-OPEN
BLADDER/URETHRA INJ-CLOS
BLADDER/URETHRA INJ-OPEN
URETER INJURY-CLOSED
URETER INJURY-OPEN
UTERUS INJURY-CLOSED
UTERUS INJURY-OPEN
PELVIC ORGAN INJ NEC-CL
PELVIC ORGAN INJ NEC-OPN
PELVIC ORGAN INJ NOS-CL
PELVIC ORGAN INJ NOS-OPN
INTRA-ABDOM INJ NOS-CLOS
ADRENAL GLAND INJURY-CL
BILIARY TRACT INJURY-CL
PERITONEUM INJURY-CLOSED
RETROPERITONEUM INJ-CL
INTRA-ABDOM INJ NEC-CLOS
INTRA-ABDOM INJ NOS-OPEN
ADRENAL GLAND INJURY-OPN
BILIARY TRACT INJURY-OPN
PERITONEUM INJURY-OPEN
RETROPERITONEUM INJ-OPEN
INTRA-ABDOM INJ NEC-OPEN
INTERNAL INJ NOS-CLOSED
INTERNAL INJURY NOS-OPEN
LAC EYELID SKN/PERIOCULR
FULL-THICKNES LAC EYELID
LAC EYELID INV LACRM PAS
PENETR WND ORBIT W/O FB
PENETRAT WND ORBIT W FB
OPN WND OCULAR ADNEX NEC
OPN WND OCULAR ADNEX NOS
Version 4.2 – 2010
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AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
8710
8711
8712
8713
8714
8715
8716
8717
8719
87200
87201
87202
87210
87211
87212
87261
87262
87263
87264
87269
87271
87272
87273
87274
87279
8728
8729
8730
8731
87320
87321
87322
87323
87329
87330
87331
87332
87333
87339
87340
87341
87342
87343
87344
87349
87350
87351
87352
87353
87354
87359
87360
87361
87362
87363
87364
87365
87369
87370
87371
87372
87373
OCULAR LAC W/O PROLAPSE
OCULAR LACERA W PROLAPSE
RUPTURE EYE W TISSU LOSS
AVULSION OF EYE
LACERATION OF EYE NOS
PENETRAT MAGNET FB EYE
PENETRAT FB NEC EYE
OCULAR PENETRATION NOS
OPN WOUND OF EYEBALL NOS
OPN WOUND EXTERN EAR NOS
OPEN WOUND OF AURICLE
OPN WOUND AUDITORY CANAL
OPN WND EX EAR NOS-COMPL
OPEN WOUND AURICLE-COMPL
OPEN WND AUD CANAL-COMPL
OPEN WOUND OF EAR DRUM
OPEN WOUND OF OSSICLES
OPEN WND EUSTACHIAN TUBE
OPEN WOUND OF COCHLEA
OPEN WOUND OF EAR NEC
OPEN WND EAR DRUM-COMPL
OPEN WND OSSICLES-COMPL
OPN WND EUSTACH TB-COMPL
OPEN WOUND COCHLEA-COMPL
OPEN WOUND EAR NEC-COMPL
OPEN WOUND OF EAR NOS
OPEN WOUND EAR NOS-COMPL
OPEN WOUND OF SCALP
OPEN WOUND SCALP-COMPL
OPEN WOUND OF NOSE NOS
OPEN WOUND NASAL SEPTUM
OPEN WOUND NASAL CAVITY
OPEN WOUND NASAL SINUS
MULT OPEN WOUND NOSE
OPEN WND NOSE NOS-COMPL
OPN WND NAS SEPTUM-COMPL
OPEN WND NASAL CAV-COMPL
OPEN WND NAS SINUS-COMPL
MULT OPEN WND NOSE-COMPL
OPEN WOUND OF FACE NOS
OPEN WOUND OF CHEEK
OPEN WOUND OF FOREHEAD
OPEN WOUND OF LIP
OPEN WOUND OF JAW
OPEN WOUND OF FACE NEC
OPEN WND FACE NOS-COMPL
OPEN WOUND CHEEK-COMPL
OPEN WND FOREHEAD-COMPL
OPEN WOUND LIP-COMPLICAT
OPEN WOUND JAW-COMPLICAT
OPEN WND FACE NEC-COMPL
OPEN WOUND OF MOUTH NOS
OPEN WOUND BUCCAL MUCOSA
OPEN WOUND OF GUM
BROKEN TOOTH
OPN WND TONGUE/MOUTH FLR
OPEN WOUND OF PALATE
OPEN WOUND MOUTH NEC
OPEN WND MOUTH NOS-COMPL
OPN WND BUC MUCOSA-COMPL
OPEN WOUND GUM-COMPL
BROKEN TOOTH-COMPLICATED
Patient Safety Indicators Appendices
Appendix G – Trauma Diagnosis Codes
87374
87375
87379
8738
8739
87400
87401
87402
87410
87411
87412
8742
8743
8744
8745
8748
8749
8750
8751
8760
8761
8770
8771
8780
8781
8782
8783
8784
8785
8786
8787
8788
8789
8790
8791
8792
8793
8794
8795
8796
8797
8798
8799
88000
88001
88002
88003
88009
88010
88011
88012
88013
88019
88020
88021
88022
88023
88029
88100
88101
88102
88110
OPEN WOUND TONGUE-COMPL
OPEN WOUND PALATE-COMPL
OPEN WND MOUTH NOS-COMPL
OPEN WOUND OF HEAD NEC
OPEN WND HEAD NEC-COMPL
OPN WND LARYNX W TRACHEA
OPEN WOUND OF LARYNX
OPEN WOUND OF TRACHEA
OPN WND LARY W TRAC-COMP
OPEN WOUND LARYNX-COMPL
OPEN WOUND TRACHEA-COMPL
OPEN WOUND THYROID GLAND
OPEN WOUND THYROID-COMPL
OPEN WOUND OF PHARYNX
OPEN WOUND PHARYNX-COMPL
OPEN WOUND OF NECK NEC
OPN WOUND NECK NEC-COMPL
OPEN WOUND OF CHEST
OPEN WOUND CHEST-COMPL
OPEN WOUND OF BACK
OPEN WOUND BACK-COMPL
OPEN WOUND OF BUTTOCK
OPEN WOUND BUTTOCK-COMPL
OPEN WOUND OF PENIS
OPEN WOUND PENIS-COMPL
OPN WOUND SCROTUM/TESTES
OPN WND SCROT/TEST-COMPL
OPEN WOUND OF VULVA
OPEN WOUND VULVA-COMPL
OPEN WOUND OF VAGINA
OPEN WOUND VAGINA-COMPL
OPEN WOUND GENITAL NEC
OPN WND GENITAL NEC-COMP
OPEN WOUND OF BREAST
OPEN WOUND BREAST-COMPL
OPN WND ANTERIOR ABDOMEN
OPN WND ANT ABDOMEN-COMP
OPN WND LATERAL ABDOMEN
OPN WND LAT ABDOMEN-COMP
OPEN WOUND OF TRUNK NEC
OPEN WND TRUNK NEC-COMPL
OPEN WOUND SITE NOS
OPN WOUND SITE NOS-COMPL
OPEN WOUND OF SHOULDER
OPEN WOUND OF SCAPULA
OPEN WOUND OF AXILLA
OPEN WOUND OF UPPER ARM
MULT OPEN WOUND SHOULDER
OPEN WND SHOULDER-COMPL
OPEN WOUND SCAPULA-COMPL
OPEN WOUND AXILLA-COMPL
OPEN WND UPPER ARM-COMPL
MULT OPN WND SHOULD-COMP
OPN WND SHOULDR W TENDON
OPN WND SCAPULA W TENDON
OPEN WND AXILLA W TENDON
OPEN WND UP ARM W TENDON
MLT OPN WND SHLDR W TEND
OPEN WOUND OF FOREARM
OPEN WOUND OF ELBOW
OPEN WOUND OF WRIST
OPEN WOUND FOREARM-COMPL
Version 4.2 – 2010
Page 61
AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
88111
88112
88120
88121
88122
8820
8821
8822
8840
8841
8842
8870
8871
8872
8873
8874
8875
8876
8877
8900
8901
8902
8910
8911
8912
8920
8921
8922
8940
8941
8942
8960
8961
8962
8963
8970
8971
8972
8973
8974
8975
8976
8977
90000
90001
90002
90003
9001
90081
90082
90089
9009
9010
9011
9012
9013
90140
90141
90142
90181
90182
90183
OPEN WOUND ELBOW-COMPLIC
OPEN WOUND WRIST-COMPLIC
OPEN WND FOREARM W TENDN
OPN WOUND ELBOW W TENDON
OPN WOUND WRIST W TENDON
OPEN WOUND OF HAND
OPN WOUND HAND-COMPLICAT
OPEN WOUND HAND W TENDON
OPEN WOUND ARM MULT/NOS
OPEN WOUND ARM NOS-COMPL
OPN WND ARM NOS W TENDON
AMPUT BELOW ELB, UNILAT
AMP BELOW ELB, UNIL-COMP
AMPUT ABV ELBOW, UNILAT
AMPUT ABV ELB, UNIL-COMP
AMPUTAT ARM, UNILAT NOS
AMPUT ARM, UNIL NOS-COMP
AMPUTATION ARM, BILAT
AMPUTAT ARM, BILAT-COMPL
OPEN WOUND OF HIP/THIGH
OPEN WND HIP/THIGH-COMPL
OPN WND HIP/THIGH W TEND
OPEN WND KNEE/LEG/ANKLE
OPEN WND KNEE/LEG-COMPL
OPN WND KNEE/LEG W TENDN
OPEN WOUND OF FOOT
OPEN WOUND FOOT-COMPL
OPEN WOUND FOOT W TENDON
OPEN WOUND OF LEG NEC
OPEN WOUND LEG NEC-COMPL
OPN WND LEG NEC W TENDON
AMPUTATION FOOT, UNILAT
AMPUT FOOT, UNILAT-COMPL
AMPUTATION FOOT, BILAT
AMPUTAT FOOT, BILAT-COMP
AMPUT BELOW KNEE, UNILAT
AMPUTAT BK, UNILAT-COMPL
AMPUT ABOVE KNEE, UNILAT
AMPUT ABV KN, UNIL-COMPL
AMPUTAT LEG, UNILAT NOS
AMPUT LEG, UNIL NOS-COMP
AMPUTATION LEG, BILAT
AMPUTAT LEG, BILAT-COMPL
INJUR CAROTID ARTERY NOS
INJ COMMON CAROTID ARTER
INJ EXTERNAL CAROTID ART
INJ INTERNAL CAROTID ART
INJ INTERNL JUGULAR VEIN
INJ EXTERN JUGULAR VEIN
INJ MLT HEAD/NECK VESSEL
INJ HEAD/NECK VESSEL NEC
INJ HEAD/NECK VESSEL NOS
INJURY THORACIC AORTA
INJ INNOMIN/SUBCLAV ART
INJ SUPERIOR VENA CAVA
INJ INNOMIN/SUBCLAV VEIN
INJ PULMONARY VESSEL NOS
INJURY PULMONARY ARTERY
INJURY PULMONARY VEIN
INJ INTERCOSTAL ART/VEIN
INJ INT MAMMARY ART/VEIN
INJ MULT THORACIC VESSEL
Patient Safety Indicators Appendices
Appendix G – Trauma Diagnosis Codes
90189
9019
9020
90210
90211
90219
90220
90221
90222
90223
90224
90225
90226
90227
90229
90231
90232
90233
90234
90239
90240
90241
90242
90249
90250
90251
90252
90253
90254
90255
90256
90259
90281
90282
90287
90289
9029
90300
90301
90302
9031
9032
9033
9034
9035
9038
9039
9040
9041
9042
9043
90440
90441
90442
90450
90451
90452
90453
90454
9046
9047
9048
INJ THORACIC VESSEL NEC
INJ THORACIC VESSEL NOS
INJURY ABDOMINAL AORTA
INJ INFER VENA CAVA NOS
INJURY HEPATIC VEINS
INJ INFER VENA CAVA NEC
INJ CELIAC/MESEN ART NOS
INJURY GASTRIC ARTERY
INJURY HEPATIC ARTERY
INJURY SPLENIC ARTERY
INJURY CELIAC AXIS NEC
INJ SUPER MESENTERIC ART
INJ BRNCH SUP MESENT ART
INJ INFER MESENTERIC ART
INJ MESENTERIC VESS NEC
INJ SUPERIOR MESENT VEIN
INJ INFERIOR MESENT VEIN
INJURY PORTAL VEIN
INJURY SPLENIC VEIN
INJ PORT/SPLEN VESS NEC
INJURY RENAL VESSEL NOS
INJURY RENAL ARTERY
INJURY RENAL VEIN
INJURY RENAL VESSEL NEC
INJURY ILIAC VESSEL NOS
INJ HYPOGASTRIC ARTERY
INJURY HYPOGASTRIC VEIN
INJURY ILIAC ARTERY
INJURY ILIAC VEIN
INJURY UTERINE ARTERY
INJURY UTERINE VEIN
INJURY ILIAC VESSEL NEC
INJURY OVARIAN ARTERY
INJURY OVARIAN VEIN
INJ MULT ABD/PELV VESSEL
INJ ABDOMINAL VESSEL NEC
INJ ABDOMINAL VESSEL NOS
INJ AXILLARY VESSEL NOS
INJURY AXILLARY ARTERY
INJURY AXILLARY VEIN
INJURY BRACHIAL VESSELS
INJURY RADIAL VESSELS
INJURY ULNAR VESSELS
INJURY PALMAR ARTERY
INJURY FINGER VESSELS
INJURY ARM VESSELS NEC
INJURY ARM VESSEL NOS
INJ COMMON FEMORAL ARTER
INJ SUPERFIC FEMORAL ART
INJURY FEMORAL VEIN
INJURY SAPHENOUS VEIN
INJ POPLITEAL VESSEL NOS
INJURY POPLITEAL ARTERY
INJURY POPLITEAL VEIN
INJURY TIBIAL VESSEL NOS
INJ ANTER TIBIAL ARTERY
INJ ANTERIOR TIBIAL VEIN
INJ POST TIBIAL ARTERY
INJ POST TIBIAL VEIN
INJ DEEP PLANTAR VESSEL
INJURY LEG VESSELS NEC
INJURY LEG VESSEL NOS
Version 4.2 – 2010
Page 62
AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
9049
925
9251
9252
9260
92611
92612
92619
9268
9269
92700
92701
92702
92703
92709
92710
92711
92720
92721
9273
9278
9279
92800
92801
92810
92811
92820
92821
9283
9288
9289
9290
9299
9400
9401
9402
9403
9404
9405
9409
94100
94101
94102
94103
94104
94105
94106
94107
94108
94109
94110
94111
94112
94113
94114
94115
94116
94117
94118
94119
94120
94121
BLOOD VESSEL INJURY NOS
CRUSH INJ FACE/SCALP/NCK
CRUSH INJ FACE SCALP
CRUSH INJ NECK
CRUSH INJ EXT GENITALIA
CRUSHING INJURY BACK
CRUSHING INJURY BUTTOCK
CRUSHING INJ TRUNK NEC
MULT CRUSHING INJ TRUNK
CRUSHING INJ TRUNK NOS
CRUSH INJ SHOULDER REG
CRUSH INJ SCAPUL REGION
CRUSH INJ AXILLARY REG
CRUSHING INJ UPPER ARM
CRUSH INJ SHOULDER & ARM
CRUSHING INJURY FOREARM
CRUSHING INJURY ELBOW
CRUSHING INJURY OF HAND
CRUSHING INJURY OF WRIST
CRUSHING INJURY FINGER
MULT CRUSHING INJURY ARM
CRUSHING INJURY ARM NOS
CRUSHING INJURY THIGH
CRUSHING INJURY HIP
CRUSHING INJ LOWER LEG
CRUSHING INJURY KNEE
CRUSHING INJURY FOOT
CRUSHING INJURY ANKLE
CRUSHING INJURY TOE
MULT CRUSHING INJURY LEG
CRUSHING INJURY LEG NOS
CRUSH INJ MULT SITE NEC
CRUSHING INJURY NOS
CHEMICAL BURN PERIOCULAR
BURN PERIOCULAR AREA NEC
ALKAL BURN CORNEA/CONJUN
ACID BURN CORNEA/CONJUNC
BURN CORNEA/CONJUNCT NEC
BURN W EYEBALL DESTRUCT
BURN EYE & ADNEXA NOS
BURN NOS HEAD-UNSPEC
BURN NOS EAR
BURN NOS EYE
BURN NOS LIP
BURN NOS CHIN
BURN NOS NOSE
BURN NOS SCALP
BURN NOS FACE NEC
BURN NOS NECK
BURN NOS HEAD-MULT
1ST DEG BURN HEAD NOS
1ST DEG BURN EAR
1ST DEG BURN EYE
1ST DEG BURN LIP
1ST DEG BURN CHIN
1ST DEG BURN NOSE
1ST DEG BURN SCALP
1ST DEG BURN FACE NEC
1ST DEG BURN NECK
1ST DEG BURN HEAD-MULT
2ND DEG BURN HEAD NOS
2ND DEG BURN EAR
Patient Safety Indicators Appendices
Appendix G – Trauma Diagnosis Codes
94122
94123
94124
94125
94126
94127
94128
94129
94130
94131
94132
94133
94134
94135
94136
94137
94138
94139
94140
94141
94142
94143
94144
94145
94146
94147
94148
94149
94150
94151
94152
94153
94154
94155
94156
94157
94158
94159
94200
94201
94202
94203
94204
94205
94209
94210
94211
94212
94213
94214
94215
94219
94220
94221
94222
94223
94224
94225
94229
94230
94231
94232
2ND DEG BURN EYE
2ND DEG BURN LIP
2ND DEG BURN CHIN
2ND DEG BURN NOSE
2ND DEG BURN SCALP
2ND DEG BURN FACE NEC
2ND DEG BURN NECK
2ND DEG BURN HEAD-MULT
3RD DEG BURN HEAD NOS
3RD DEG BURN EAR
3RD DEG BURN EYE
3RD DEG BURN LIP
3RD DEG BURN CHIN
3RD DEG BURN NOSE
3RD DEG BURN SCALP
3RD DEG BURN FACE NEC
3RD DEG BURN NECK
3RD DEG BURN HEAD-MULT
DEEP 3 DEG BURN HEAD NOS
DEEP 3RD DEG BURN EAR
DEEP 3RD DEG BURN EYE
DEEP 3RD DEG BURN LIP
DEEP 3RD DEG BURN CHIN
DEEP 3RD DEG BURN NOSE
DEEP 3RD DEG BURN SCALP
DEEP 3RD BURN FACE NEC
DEEP 3RD DEG BURN NECK
DEEP 3 DEG BRN HEAD-MULT
3RD BURN W LOSS-HEAD NOS
3RD DEG BURN W LOSS-EAR
3RD DEG BURN W LOSS-EYE
3RD DEG BURN W LOSS-LIP
3RD DEG BURN W LOSS-CHIN
3RD DEG BURN W LOSS-NOSE
3RD DEG BRN W LOSS-SCALP
3RD BURN W LOSS-FACE NEC
3RD DEG BURN W LOSS-NECK
3RD BRN W LOSS-HEAD MULT
BURN NOS TRUNK-UNSPEC
BURN NOS BREAST
BURN NOS CHEST WALL
BURN NOS ABDOMINAL WALL
BURN NOS BACK
BURN NOS GENITALIA
BURN NOS TRUNK NEC
1ST DEG BURN TRUNK NOS
1ST DEG BURN BREAST
1ST DEG BURN CHEST WALL
1ST DEG BURN ABDOMN WALL
1ST DEG BURN BACK
1ST DEG BURN GENITALIA
1ST DEG BURN TRUNK NEC
2ND DEG BURN TRUNK NOS
2ND DEG BURN BREAST
2ND DEG BURN CHEST WALL
2ND DEG BURN ABDOMN WALL
2ND DEG BURN BACK
2ND DEG BURN GENITALIA
2ND DEG BURN TRUNK NEC
3RD DEG BURN TRUNK NOS
3RD DEG BURN BREAST
3RD DEG BURN CHEST WALL
Version 4.2 – 2010
Page 63
AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
94233
94234
94235
94239
94240
94241
94242
94243
94244
94245
94249
94250
94251
94252
94253
94254
94255
94259
94300
94301
94302
94303
94304
94305
94306
94309
94310
94311
94312
94313
94314
94315
94316
94319
94320
94321
94322
94323
94324
94325
94326
94329
94330
94331
94332
94333
94334
94335
94336
94339
94340
94341
94342
94343
94344
94345
94346
94349
94350
94351
94352
94353
3RD DEG BURN ABDOMN WALL
3RD DEG BURN BACK
3RD DEG BURN GENITALIA
3RD DEG BURN TRUNK NEC
DEEP 3RD BURN TRUNK NOS
DEEP 3RD DEG BURN BREAST
DEEP 3RD BURN CHEST WALL
DEEP 3RD BURN ABDOM WALL
DEEP 3RD DEG BURN BACK
DEEP 3RD BURN GENITALIA
DEEP 3RD BURN TRUNK NEC
3RD BRN W LOSS-TRUNK NOS
3RD BURN W LOSS-BREAST
3RD BRN W LOSS-CHEST WLL
3RD BRN W LOSS-ABDOM WLL
3RD DEG BURN W LOSS-BACK
3RD BRN W LOSS-GENITALIA
3RD BRN W LOSS-TRUNK NEC
BURN NOS ARM-UNSPEC
BURN NOS FOREARM
BURN NOS ELBOW
BURN NOS UPPER ARM
BURN NOS AXILLA
BURN NOS SHOULDER
BURN NOS SCAPULA
BURN NOS ARM-MULTIPLE
1ST DEG BURN ARM NOS
1ST DEG BURN FOREARM
1ST DEG BURN ELBOW
1ST DEG BURN UPPER ARM
1ST DEG BURN AXILLA
1ST DEG BURN SHOULDER
1ST DEG BURN SCAPULA
1ST DEG BURN ARM-MULT
2ND DEG BURN ARM NOS
2ND DEG BURN FOREARM
2ND DEG BURN ELBOW
2ND DEG BURN UPPER ARM
2ND DEG BURN AXILLA
2ND DEG BURN SHOULDER
2ND DEG BURN SCAPULA
2ND DEG BURN ARM-MULT
3RD DEG BURN ARM NOS
3RD DEG BURN FOREARM
3RD DEG BURN ELBOW
3RD DEG BURN UPPER ARM
3RD DEG BURN AXILLA
3RD DEG BURN SHOULDER
3RD DEG BURN SCAPULA
3RD DEG BURN ARM-MULT
DEEP 3 DEG BURN ARM NOS
DEEP 3 DEG BURN FOREARM
DEEP 3 DEG BURN ELBOW
DEEP 3 DEG BRN UPPER ARM
DEEP 3 DEG BURN AXILLA
DEEP 3 DEG BURN SHOULDER
DEEP 3 DEG BURN SCAPULA
DEEP 3 DEG BURN ARM-MULT
3RD BURN W LOSS-ARM NOS
3RD BURN W LOSS-FOREARM
3RD BURN W LOSS-ELBOW
3RD BRN W LOSS-UPPER ARM
Patient Safety Indicators Appendices
Appendix G – Trauma Diagnosis Codes
94354
94355
94356
94359
94400
94401
94402
94403
94404
94405
94406
94407
94408
94410
94411
94412
94413
94414
94415
94416
94417
94418
94420
94421
94422
94423
94424
94425
94426
94427
94428
94430
94431
94432
94433
94434
94435
94436
94437
94438
94440
94441
94442
94443
94444
94445
94446
94447
94448
94450
94451
94452
94453
94454
94455
94456
94457
94458
94500
94501
94502
94503
3RD BURN W LOSS-AXILLA
3RD BURN W LOSS-SHOULDER
3RD BURN W LOSS-SCAPULA
3RD BURN W LOSS ARM-MULT
BURN NOS HAND-UNSPEC
BURN NOS FINGER
BURN NOS THUMB
BURN NOS MULT FINGERS
BURN NOS FINGER W THUMB
BURN NOS PALM
BURN NOS BACK OF HAND
BURN NOS WRIST
BURN NOS HAND-MULTIPLE
1ST DEG BURN HAND NOS
1ST DEG BURN FINGER
1ST DEG BURN THUMB
1ST DEG BURN MULT FINGER
1 DEG BURN FINGR W THUMB
1ST DEG BURN PALM
1 DEG BURN BACK OF HAND
1ST DEG BURN WRIST
1ST DEG BURN HAND-MULT
2ND DEG BURN HAND NOS
2ND DEG BURN FINGER
2ND DEG BURN THUMB
2ND DEG BURN MULT FINGER
2 DEG BURN FINGR W THUMB
2ND DEG BURN PALM
2 DEG BURN BACK OF HAND
2ND DEG BURN WRIST
2ND DEG BURN HAND-MULT
3RD DEG BURN HAND NOS
3RD DEG BURN FINGER
3RD DEG BURN THUMB
3RD DEG BURN MULT FINGER
3 DEG BURN FINGR W THUMB
3RD DEG BURN PALM
3 DEG BURN BACK OF HAND
3RD DEG BURN WRIST
3RD DEG BURN HAND-MULT
DEEP 3 DEG BRN HAND NOS
DEEP 3 DEG BURN FINGER
DEEP 3 DEG BURN THUMB
DEEP 3RD BRN MULT FINGER
DEEP 3RD BRN FNGR W THMB
DEEP 3 DEG BURN PALM
DEEP 3RD BRN BACK OF HND
DEEP 3 DEG BURN WRIST
DEEP 3 DEG BRN HAND-MULT
3RD BRN W LOSS-HAND NOS
3RD BURN W LOSS-FINGER
3RD BURN W LOSS-THUMB
3RD BRN W LOSS-MULT FNGR
3RD BRN W LOSS-FNGR/THMB
3RD BURN W LOSS-PALM
3RD BRN W LOSS-BK OF HND
3RD BURN W LOSS-WRIST
3RD BRN W LOSS HAND-MULT
BURN NOS LEG-UNSPEC
BURN NOS TOE
BURN NOS FOOT
BURN NOS ANKLE
Version 4.2 – 2010
Page 64
AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
94504
94505
94506
94509
94510
94511
94512
94513
94514
94515
94516
94519
94520
94521
94522
94523
94524
94525
94526
94529
94530
94531
94532
94533
94534
94535
94536
94539
94540
94541
94542
94543
94544
94545
94546
94549
94550
94551
94552
94553
94554
94555
94556
94559
9460
9461
9462
9463
9464
9465
9470
9471
9472
9473
9474
9478
9479
94800
94810
94811
94820
94821
BURN NOS LOWER LEG
BURN NOS KNEE
BURN NOS THIGH
BURN NOS LEG-MULTIPLE
1ST DEG BURN LEG NOS
1ST DEG BURN TOE
1ST DEG BURN FOOT
1ST DEG BURN ANKLE
1ST DEG BURN LOWER LEG
1ST DEG BURN KNEE
1ST DEG BURN THIGH
1ST DEG BURN LEG-MULT
2ND DEG BURN LEG NOS
2ND DEG BURN TOE
2ND DEG BURN FOOT
2ND DEG BURN ANKLE
2ND DEG BURN LOWER LEG
2ND DEG BURN KNEE
2ND DEG BURN THIGH
2ND DEG BURN LEG-MULT
3RD DEG BURN LEG NOS
3RD DEG BURN TOE
3RD DEG BURN FOOT
3RD DEG BURN ANKLE
3RD DEG BURN LOW LEG
3RD DEG BURN KNEE
3RD DEG BURN THIGH
3RD DEG BURN LEG-MULT
DEEP 3RD DEG BRN LEG NOS
DEEP 3RD DEG BURN TOE
DEEP 3RD DEG BURN FOOT
DEEP 3RD DEG BURN ANKLE
DEEP 3RD DEG BRN LOW LEG
DEEP 3RD DEG BURN KNEE
DEEP 3RD DEG BURN THIGH
DEEP 3 DEG BURN LEG-MULT
3 DEG BRN W LOSS-LEG NOS
3 DEG BURN W LOSS-TOE
3 DEG BURN W LOSS-FOOT
3 DEG BURN W LOSS-ANKLE
3 DEG BRN W LOSS-LOW LEG
3 DEG BURN W LOSS-KNEE
3 DEG BURN W LOSS-THIGH
3 DEG BRN W LOSS LEG-MLT
BURN NOS MULTIPLE SITE
1ST DEG BURN MULT SITE
2ND DEG BURN MULT SITE
3RD DEG BURN MULT SITE
DEEP 3 DEG BRN MULT SITE
3RD BRN W LOSS-MULT SITE
BURN OF MOUTH & PHARYNX
BURN LARYNX/TRACHEA/LUNG
BURN OF ESOPHAGUS
BURN OF GI TRACT
BURN OF VAGINA & UTERUS
BURN INTERNAL ORGAN NEC
BURN INTERNAL ORGAN NOS
BDY BRN < 10%/3D DEG NOS
10-19% BDY BRN/3 DEG NOS
10-19% BDY BRN/10-19% 3D
20-29% BDY BRN/3 DEG NOS
20-29% BDY BRN/10-19% 3D
Patient Safety Indicators Appendices
Appendix G – Trauma Diagnosis Codes
94822
94830
94831
94832
94833
94840
94841
94842
94843
94844
94850
94851
94852
94853
94854
94855
94860
94861
94862
94863
94864
94865
94866
94870
94871
94872
94873
94874
94875
94876
94877
94880
94881
94882
94883
94884
94885
94886
94887
94888
94890
94891
94892
94893
94894
94895
94896
94897
94898
94899
9490
9491
9492
9493
9494
9495
95200
95201
95202
95203
95204
95205
20-29% BDY BRN/20-29% 3D
30-39% BDY BRN/3 DEG NOS
30-39% BDY BRN/10-19% 3D
30-39% BDY BRN/20-29% 3D
30-39% BDY BRN/30-39% 3D
40-49% BDY BRN/3 DEG NOS
40-49% BDY BRN/10-19% 3D
40-49% BDY BRN/20-29% 3D
40-49% BDY BRN/30-39% 3D
40-49% BDY BRN/40-49% 3D
50-59% BDY BRN/3 DEG NOS
50-59% BDY BRN/10-19% 3D
50-59% BDY BRN/20-29% 3D
50-59% BDY BRN/30-39% 3D
50-59% BDY BRN/40-49% 3D
50-59% BDY BRN/50-59% 3D
60-69% BDY BRN/3 DEG NOS
60-69% BDY BRN/10-19% 3D
60-69% BDY BRN/20-29% 3D
60-69% BDY BRN/30-39% 3D
60-69% BDY BRN/40-49% 3D
60-69% BDY BRN/50-59% 3D
60-69% BDY BRN/60-69% 3D
70-79% BDY BRN/3 DEG NOS
70-79% BDY BRN/10-19% 3D
70-79% BDY BRN/20-29% 3D
70-79% BDY BRN/30-39% 3D
70-79% BDY BRN/40-49% 3D
70-79% BDY BRN/50-59% 3D
70-79% BDY BRN/60-69% 3D
70-79% BDY BRN/70-79% 3D
80-89% BDY BRN/3 DEG NOS
80-89% BDY BRN/10-19% 3D
80-89% BDY BRN/20-29% 3D
80-89% BDY BRN/30-39% 3D
80-89% BDY BRN/40-49% 3D
80-89% BDY BRN/50-59% 3D
80-89% BDY BRN/60-69% 3D
80-89% BDY BRN/70-79% 3D
80-89% BDY BRN/80-89% 3D
90% + BDY BRN/3D DEG NOS
90% + BDY BRN/10-19% 3RD
90% + BDY BRN/20-29% 3RD
90% + BDY BRN/30-39% 3RD
90% + BDY BRN/40-49% 3RD
90% + BDY BRN/50-59% 3RD
90% + BDY BRN/60-69% 3RD
90% + BDY BRN/70-79% 3RD
90% + BDY BRN/80-89% 3RD
90% + BDY BRN/90% + 3RD
BURN NOS
1ST DEGREE BURN NOS
2ND DEGREE BURN NOS
3RD DEGREE BURN NOS
DEEP 3RD DEG BURN NOS
3RD BURN W LOSS-SITE NOS
C1-C4 SPIN CORD INJ NOS
COMPLETE LES CORD/C1-C4
ANTERIOR CORD SYND/C1-C4
CENTRAL CORD SYND/C1-C4
C1-C4 SPIN CORD INJ NEC
C5-C7 SPIN CORD INJ NOS
Version 4.2 – 2010
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95206
95207
95208
95209
95210
95211
95212
95213
95214
95215
95216
95217
95218
95219
9522
9523
9524
9528
COMPLETE LES CORD/C5-C7
ANTERIOR CORD SYND/C5-C7
CENTRAL CORD SYND/C5-C7
C5-C7 SPIN CORD INJ NEC
T1-T6 SPIN CORD INJ NOS
COMPLETE LES CORD/T1-T6
ANTERIOR CORD SYND/T1-T6
CENTRAL CORD SYND/T1-T6
T1-T6 SPIN CORD INJ NEC
T7-T12 SPIN CORD INJ NOS
COMPLETE LES CORD/T7-T12
ANTERIOR CORD SYN/T7-T12
CENTRAL CORD SYN/T7-T12
T7-T12 SPIN CORD INJ NEC
LUMBAR SPINAL CORD INJUR
SACRAL SPINAL CORD INJUR
CAUDA EQUINA INJURY
SPIN CORD INJ-MULT SITE
Patient Safety Indicators Appendices
Appendix G – Trauma Diagnosis Codes
9529
9530
9531
9532
9533
9534
9535
9538
9539
9580
9581
9582
9583
9584
9585
9586
9587
9588
SPINAL CORD INJURY NOS
CERVICAL ROOT INJURY
DORSAL ROOT INJURY
LUMBAR ROOT INJURY
SACRAL ROOT INJURY
BRACHIAL PLEXUS INJURY
LUMBOSACRAL PLEX INJURY
MULT NERVE ROOT/PLEX INJ
INJ NERVE ROOT/PLEX NOS
AIR EMBOLISM
FAT EMBOLISM
SECONDARY/RECUR HEMORR
POSTTRAUM WND INFEC NEC
TRAUMATIC SHOCK
TRAUMATIC ANURIA
VOLKMANNS ISCH CONTRACT
TRAUM SUBCUTAN EMPHYSEMA
EARLY COMPLIC TRAUMA NEC
Version 4.2 – 2010
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Appendix H – Cancer Diagnosis Codes
ICD-9-CM Cancer diagnosis codes
1400
1401
1403
1404
1405
1406
1408
1409
1410
1411
1412
1413
1414
1415
1416
1418
1419
1420
1421
1422
1428
1429
1430
1431
1438
1439
1440
1441
1448
1449
1450
1451
1452
1453
1454
1455
1456
1458
1459
1460
1461
1462
1463
1464
1465
1466
1467
1468
1469
1470
1471
1472
1473
1478
1479
1480
MAL NEO UPPER VERMILION
MAL NEO LOWER VERMILION
MAL NEO UPPER LIP, INNER
MAL NEO LOWER LIP, INNER
MAL NEO LIP, INNER NOS
MAL NEO LIP, COMMISSURE
MAL NEO LIP NEC
MAL NEO LIP/VERMIL NOS
MAL NEO TONGUE BASE
MAL NEO DORSAL TONGUE
MAL NEO TIP/LAT TONGUE
MAL NEO VENTRAL TONGUE
MAL NEO ANT 2/3 TONGUE
MAL NEO TONGUE JUNCTION
MAL NEO LINGUAL TONSIL
MALIG NEO TONGUE NEC
MALIG NEO TONGUE NOS
MALIG NEO PAROTID
MALIG NEO SUBMANDIBULAR
MALIG NEO SUBLINGUAL
MAL NEO MAJ SALIVARY NEC
MAL NEO SALIVARY NOS
MALIG NEO UPPER GUM
MALIG NEO LOWER GUM
MALIG NEO GUM NEC
MALIG NEO GUM NOS
MAL NEO ANT FLOOR MOUTH
MAL NEO LAT FLOOR MOUTH
MAL NEO MOUTH FLOOR NEC
MAL NEO MOUTH FLOOR NOS
MAL NEO CHEEK MUCOSA
MAL NEO MOUTH VESTIBULE
MALIG NEO HARD PALATE
MALIG NEO SOFT PALATE
MALIGNANT NEOPLASM UVULA
MALIGNANT NEO PALATE NOS
MALIG NEO RETROMOLAR
MALIG NEOPLASM MOUTH NEC
MALIG NEOPLASM MOUTH NOS
MALIGNANT NEOPL TONSIL
MAL NEO TONSILLAR FOSSA
MAL NEO TONSIL PILLARS
MALIGN NEOPL VALLECULA
MAL NEO ANT EPIGLOTTIS
MAL NEO EPIGLOTTIS JUNCT
MAL NEO LAT OROPHARYNX
MAL NEO POST OROPHARYNX
MAL NEO OROPHARYNX NEC
MALIG NEO OROPHARYNX NOS
MAL NEO SUPER NASOPHARYN
MAL NEO POST NASOPHARYNX
MAL NEO LAT NASOPHARYNX
MAL NEO ANT NASOPHARYNX
MAL NEO NASOPHARYNX NEC
MAL NEO NASOPHARYNX NOS
MAL NEO POSTCRICOID
Patient Safety Indicators Appendices
Appendix H– Cancer Diagnosis Codes
1481
1482
1483
1488
1489
1490
1491
1498
1499
1500
1501
1502
1503
1504
1505
1508
1509
1510
1511
1512
1513
1514
1515
1516
1518
1519
1520
1521
1522
1523
1528
1529
1530
1531
1532
1533
1534
1535
1536
1537
1538
1539
1540
1541
1542
1543
1548
1550
1551
1552
1560
1561
1562
1568
1569
1570
MAL NEO PYRIFORM SINUS
MAL NEO ARYEPIGLOTT FOLD
MAL NEO POST HYPOPHARYNX
MAL NEO HYPOPHARYNX NEC
MAL NEO HYPOPHARYNX NOS
MAL NEO PHARYNX NOS
MAL NEO WALDEYERS RING
MAL NEO ORAL/PHARYNX NEC
MAL NEO OROPHRYN ILL-DEF
MAL NEO CERVICAL ESOPHAG
MAL NEO THORACIC ESOPHAG
MAL NEO ABDOMIN ESOPHAG
MAL NEO UPPER 3RD ESOPH
MAL NEO MIDDLE 3RD ESOPH
MAL NEO LOWER 3RD ESOPH
MAL NEO ESOPHAGUS NEC
MAL NEO ESOPHAGUS NOS
MAL NEO STOMACH CARDIA
MALIGNANT NEO PYLORUS
MAL NEO PYLORIC ANTRUM
MAL NEO STOMACH FUNDUS
MAL NEO STOMACH BODY
MAL NEO STOM LESSER CURV
MAL NEO STOM GREAT CURV
MALIG NEOPL STOMACH NEC
MALIG NEOPL STOMACH NOS
MALIGNANT NEOPL DUODENUM
MALIGNANT NEOPL JEJUNUM
MALIGNANT NEOPLASM ILEUM
MAL NEO MECKELS DIVERT
MAL NEO SMALL BOWEL NEC
MAL NEO SMALL BOWEL NOS
MAL NEO HEPATIC FLEXURE
MAL NEO TRANSVERSE COLON
MAL NEO DESCEND COLON
MAL NEO SIGMOID COLON
MALIGNANT NEOPLASM CECUM
MALIGNANT NEO APPENDIX
MALIG NEO ASCEND COLON
MAL NEO SPLENIC FLEXURE
MALIGNANT NEO COLON NEC
MALIGNANT NEO COLON NOS
MAL NEO RECTOSIGMOID JCT
MALIGNANT NEOPL RECTUM
MALIG NEOPL ANAL CANAL
MALIGNANT NEO ANUS NOS
MAL NEO RECTUM/ANUS NEC
MAL NEO LIVER, PRIMARY
MAL NEO INTRAHEPAT DUCTS
MALIGNANT NEO LIVER NOS
MALIG NEO GALLBLADDER
MAL NEO EXTRAHEPAT DUCTS
MAL NEO AMPULLA OF VATER
MALIG NEO BILIARY NEC
MALIG NEO BILIARY NOS
MAL NEO PANCREAS HEAD
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1572
1573
1574
1578
1579
1580
1588
1589
1590
1591
1598
1599
1600
1601
1602
1603
1604
1605
1608
1609
1610
1611
1612
1613
1618
1619
1620
1622
1623
1624
1625
1628
1629
1630
1631
1638
1639
1640
1641
1642
1643
1648
1649
1650
1658
1659
1700
1701
1702
1703
1704
1705
1706
1707
1708
1709
1710
1712
1713
1714
1715
MAL NEO PANCREAS BODY
MAL NEO PANCREAS TAIL
MAL NEO PANCREATIC DUCT
MAL NEO ISLET LANGERHANS
MALIG NEO PANCREAS NEC
MALIG NEO PANCREAS NOS
MAL NEO RETROPERITONEUM
MAL NEO PERITONEUM NEC
MAL NEO PERITONEUM NOS
MALIG NEO INTESTINE NOS
MALIGNANT NEO SPLEEN NEC
MAL NEO GI/INTRA-ABD NEC
MAL NEO GI TRACT ILL-DEF
MAL NEO NASAL CAVITIES
MALIG NEO MIDDLE EAR
MAL NEO MAXILLARY SINUS
MAL NEO ETHMOIDAL SINUS
MALIG NEO FRONTAL SINUS
MAL NEO SPHENOID SINUS
MAL NEO ACCESS SINUS NEC
MAL NEO ACCESS SINUS NOS
MALIGNANT NEO GLOTTIS
MALIG NEO SUPRAGLOTTIS
MALIG NEO SUBGLOTTIS
MAL NEO CARTILAGE LARYNX
MALIGNANT NEO LARYNX NEC
MALIGNANT NEO LARYNX NOS
MALIGNANT NEO TRACHEA
MALIG NEO MAIN BRONCHUS
MAL NEO UPPER LOBE LUNG
MAL NEO MIDDLE LOBE LUNG
MAL NEO LOWER LOBE LUNG
MAL NEO BRONCH/LUNG NEC
MAL NEO BRONCH/LUNG NOS
MAL NEO PARIETAL PLEURA
MAL NEO VISCERAL PLEURA
MALIG NEOPL PLEURA NEC
MALIG NEOPL PLEURA NOS
MALIGNANT NEOPL THYMUS
MALIGNANT NEOPL HEART
MAL NEO ANT MEDIASTINUM
MAL NEO POST MEDIASTINUM
MAL NEO MEDIASTINUM NEC
MAL NEO MEDIASTINUM NOS
MAL NEO UPPER RESP NOS
MAL NEO THORAX/RESP NEC
MAL NEO RESP SYSTEM NOS
MAL NEO SKULL/FACE BONE
MALIGNANT NEO MANDIBLE
MALIG NEO VERTEBRAE
MAL NEO RIBS/STERN/CLAV
MAL NEO LONG BONES ARM
MAL NEO BONES WRIST/HAND
MAL NEO PELVIC GIRDLE
MAL NEO LONG BONES LEG
MAL NEO BONES ANKLE/FOOT
MALIG NEOPL BONE NOS
MAL NEO SOFT TISSUE HEAD
MAL NEO SOFT TISSUE ARM
MAL NEO SOFT TISSUE LEG
MAL NEO SOFT TIS THORAX
MAL NEO SOFT TIS ABDOMEN
Patient Safety Indicators Appendices
Appendix H– Cancer Diagnosis Codes
1716
1717
1718
1719
1720
1721
1722
1723
1724
1725
1726
1727
1728
1729
1740
1741
1742
1743
1744
1745
1746
1748
1749
1750
1759
1760
1761
1762
1763
1764
1765
1768
1769
179
1800
1801
1808
1809
181
1820
1821
1828
1830
1832
1833
1834
1835
1838
1839
1840
1841
1842
1843
1844
1848
1849
185
1860
1869
1871
1872
1873
MAL NEO SOFT TIS PELVIS
MAL NEOPL TRUNK NOS
MAL NEO SOFT TISSUE NEC
MAL NEO SOFT TISSUE NOS
MALIG MELANOMA LIP
MALIG MELANOMA EYELID
MALIG MELANOMA EAR
MAL MELANOM FACE NEC/NOS
MAL MELANOMA SCALP/NECK
MALIG MELANOMA TRUNK
MALIG MELANOMA ARM
MALIG MELANOMA LEG
MALIG MELANOMA SKIN NEC
MALIG MELANOMA SKIN NOS
MALIG NEO NIPPLE
MAL NEO BREAST-CENTRAL
MAL NEO BREAST UP-INNER
MAL NEO BREAST LOW-INNER
MAL NEO BREAST UP-OUTER
MAL NEO BREAST LOW-OUTER
MAL NEO BREAST-AXILLARY
MALIGN NEOPL BREAST NEC
MALIGN NEOPL BREAST NOS
MAL NEO MALE NIPPLE
MAL NEO MALE BREAST NEC
SKIN - KAPOSIS SARCOMA
SFT TISUE - KPSIS SRCMA
PALATE - KPSIS SARCOMA
GI SITES - KPSIS SRCOMA
LUNG - KAPOSIS SARCOMA
LYM NDS - KPSIS SARCOMA
SPF STS - KPSIS SARCOMA
KAPOSIS SARCOMA NOS
MALIG NEOPL UTERUS NOS
MALIG NEO ENDOCERVIX
MALIG NEO EXOCERVIX
MALIG NEO CERVIX NEC
MAL NEO CERVIX UTERI NOS
MALIGNANT NEOPL PLACENTA
MALIG NEO CORPUS UTERI
MAL NEO UTERINE ISTHMUS
MAL NEO BODY UTERUS NEC
MALIGN NEOPL OVARY
MAL NEO FALLOPIAN TUBE
MAL NEO BROAD LIGAMENT
MALIG NEO PARAMETRIUM
MAL NEO ROUND LIGAMENT
MAL NEO ADNEXA NEC
MAL NEO ADNEXA NOS
MALIGN NEOPL VAGINA
MAL NEO LABIA MAJORA
MAL NEO LABIA MINORA
MALIGN NEOPL CLITORIS
MALIGN NEOPL VULVA NOS
MAL NEO FEMALE GENIT NEC
MAL NEO FEMALE GENIT NOS
MALIGN NEOPL PROSTATE
MAL NEO UNDESCEND TESTIS
MALIG NEO TESTIS NEC
MALIGN NEOPL PREPUCE
MALIG NEO GLANS PENIS
MALIG NEO PENIS BODY
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1875
1876
1877
1878
1879
1880
1881
1882
1883
1884
1885
1886
1887
1888
1889
1890
1891
1892
1893
1894
1898
1899
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1928
1929
193
1940
1941
1943
1944
1945
1946
1948
1949
1950
1951
1952
1953
MALIG NEO PENIS NOS
MALIG NEO EPIDIDYMIS
MAL NEO SPERMATIC CORD
MALIGN NEOPL SCROTUM
MAL NEO MALE GENITAL NEC
MAL NEO MALE GENITAL NOS
MAL NEO BLADDER-TRIGONE
MAL NEO BLADDER-DOME
MAL NEO BLADDER-LATERAL
MAL NEO BLADDER-ANTERIOR
MAL NEO BLADDER-POST
MAL NEO BLADDER NECK
MAL NEO URETERIC ORIFICE
MALIG NEO URACHUS
MALIG NEO BLADDER NEC
MALIG NEO BLADDER NOS
MALIG NEOPL KIDNEY
MALIG NEO RENAL PELVIS
MALIGN NEOPL URETER
MALIGN NEOPL URETHRA
MAL NEO PARAURETHRAL
MAL NEO URINARY NEC
MAL NEO URINARY NOS
MALIGN NEOPL EYEBALL
MALIGN NEOPL ORBIT
MAL NEO LACRIMAL GLAND
MAL NEO CONJUNCTIVA
MALIGN NEOPL CORNEA
MALIGN NEOPL RETINA
MALIGN NEOPL CHOROID
MAL NEO LACRIMAL DUCT
MALIGN NEOPL EYE NEC
MALIGN NEOPL EYE NOS
MALIGN NEOPL CEREBRUM
MALIG NEO FRONTAL LOBE
MAL NEO TEMPORAL LOBE
MAL NEO PARIETAL LOBE
MAL NEO OCCIPITAL LOBE
MAL NEO CEREB VENTRICLE
MAL NEO CEREBELLUM NOS
MAL NEO BRAIN STEM
MALIG NEO BRAIN NEC
MALIG NEO BRAIN NOS
MAL NEO CRANIAL NERVES
MAL NEO CEREBRAL MENING
MAL NEO SPINAL CORD
MAL NEO SPINAL MENINGES
MAL NEO NERVOUS SYST NEC
MAL NEO NERVOUS SYST NOS
MALIGN NEOPL THYROID
MALIGN NEOPL ADRENAL
MALIG NEO PARATHYROID
MALIG NEO PITUITARY
MALIGN NEO PINEAL GLAND
MAL NEO CAROTID BODY
MAL NEO PARAGANGLIA NEC
MAL NEO ENDOCRINE NEC
MAL NEO ENDOCRINE NOS
MAL NEO HEAD/FACE/NECK
MALIGN NEOPL THORAX
MALIG NEO ABDOMEN
MALIGN NEOPL PELVIS
Patient Safety Indicators Appendices
Appendix H– Cancer Diagnosis Codes
1954
1955
1958
1960
1961
1962
1963
1965
1966
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1980
1981
1982
1983
1984
1985
1986
1987
19881
19882
19889
1990
1991
20000
20001
20002
20003
20004
20005
20006
20007
20008
20010
20011
20012
20013
20014
20015
20016
20017
20018
20020
20021
20022
20023
20024
20025
20026
20027
20028
20080
20081
MALIGN NEOPL ARM
MALIGN NEOPL LEG
MALIG NEO SITE NEC
MAL NEO LYMPH-HEAD/NECK
MAL NEO LYMPH-INTRATHOR
MAL NEO LYMPH INTRA-ABD
MAL NEO LYMPH-AXILLA/ARM
MAL NEO LYMPH-INGUIN/LEG
MAL NEO LYMPH-INTRAPELV
MAL NEO LYMPH NODE-MULT
MAL NEO LYMPH NODE NOS
SECONDARY MALIG NEO LUNG
SEC MAL NEO MEDIASTINUM
SECOND MALIG NEO PLEURA
SEC MALIG NEO RESP NEC
SEC MALIG NEO SM BOWEL
SEC MALIG NEO LG BOWEL
SEC MAL NEO PERITONEUM
SECOND MALIG NEO LIVER
SEC MAL NEO GI NEC
SECOND MALIG NEO KIDNEY
SEC MALIG NEO URIN NEC
SECONDARY MALIG NEO SKIN
SEC MAL NEO BRAIN/SPINE
SEC MALIG NEO NERVE NEC
SECONDARY MALIG NEO BONE
SECOND MALIG NEO OVARY
SECOND MALIG NEO ADRENAL
SECOND MALIG NEO BREAST
SECOND MALIG NEO GENITAL
SECONDARY MALIG NEO NEC
MALIG NEO DISSEMINATED
MALIGNANT NEOPLASM NOS
RETCLSRC UNSP XTRNDL ORG
RETICULOSARCOMA HEAD
RETICULOSARCOMA THORAX
RETICULOSARCOMA ABDOM
RETICULOSARCOMA AXILLA
RETICULOSARCOMA INGUIN
RETICULOSARCOMA PELVIC
RETICULOSARCOMA SPLEEN
RETICULOSARCOMA MULT
LYMPHSRC UNSP XTRNDL ORG
LYMPHOSARCOMA HEAD
LYMPHOSARCOMA THORAX
LYMPHOSARCOMA ABDOM
LYMPHOSARCOMA AXILLA
LYMPHOSARCOMA INGUIN
LYMPHOSARCOMA PELVIC
LYMPHOSARCOMA SPLEEN
LYMPHOSARCOMA MULT
BRKT TMR UNSP XTRNDL ORG
BURKITTS TUMOR HEAD
BURKITTS TUMOR THORAX
BURKITTS TUMOR ABDOM
BURKITTS TUMOR AXILLA
BURKITTS TUMOR INGUIN
BURKITTS TUMOR PELVIC
BURKITTS TUMOR SPLEEN
BURKITTS TUMOR MULT
OTH VARN UNSP XTRNDL ORG
MIXED LYMPHOSARC HEAD
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20103
20104
20105
20106
20107
20108
20110
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20115
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20120
20121
20122
20123
20124
20125
20126
20127
20128
20140
20141
20142
20143
20144
20145
20146
20147
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20150
20151
20152
20153
20154
20155
20156
20157
20158
20160
20161
20162
20163
20164
20165
20166
20167
20168
20170
MIXED LYMPHOSARC THORAX
MIXED LYMPHOSARC ABDOM
MIXED LYMPHOSARC AXILLA
MIXED LYMPHOSARC INGUIN
MIXED LYMPHOSARC PELVIC
MIXED LYMPHOSARC SPLEEN
MIXED LYMPHOSARC MULT
HDGK PRG UNSP XTRNDL ORG
HODGKINS PARAGRAN HEAD
HODGKINS PARAGRAN THORAX
HODGKINS PARAGRAN ABDOM
HODGKINS PARAGRAN AXILLA
HODGKINS PARAGRAN INGUIN
HODGKINS PARAGRAN PELVIC
HODGKINS PARAGRAN SPLEEN
HODGKINS PARAGRAN MULT
HDGK GRN UNSP XTRNDL ORG
HODGKINS GRANULOM HEAD
HODGKINS GRANULOM THORAX
HODGKINS GRANULOM ABDOM
HODGKINS GRANULOM AXILLA
HODGKINS GRANULOM INGUIN
HODGKINS GRANULOM PELVIC
HODGKINS GRANULOM SPLEEN
HODGKINS GRANULOM MULT
HDGK SRC UNSP XTRNDL ORG
HODGKINS SARCOMA HEAD
HODGKINS SARCOMA THORAX
HODGKINS SARCOMA ABDOM
HODGKINS SARCOMA AXILLA
HODGKINS SARCOMA INGUIN
HODGKINS SARCOMA PELVIC
HODGKINS SARCOMA SPLEEN
HODGKINS SARCOMA MULT
LYM-HST UNSP XTRNDL ORGN
HODG LYMPH-HISTIO HEAD
HODG LYMPH-HISTIO THORAX
HODG LYMPH-HISTIO ABDOM
HODG LYMPH-HISTIO AXILLA
HODG LYMPH-HISTIO INGUIN
HODG LYMPH-HISTIO PELVIC
HODG LYMPH-HISTIO SPLEEN
HODG LYMPH-HISTIO MULT
NDR SCLR UNSP XTRNDL ORG
HODG NODUL SCLERO HEAD
HODG NODUL SCLERO THORAX
HODG NODUL SCLERO ABDOM
HODG NODUL SCLERO AXILLA
HODG NODUL SCLERO INGUIN
HODG NODUL SCLERO PELVIC
HODG NODUL SCLERO SPLEEN
HODG NODUL SCLERO MULT
MXD CELR UNSP XTRNDL ORG
HODGKINS MIX CELL HEAD
HODGKINS MIX CELL THORAX
HODGKINS MIX CELL ABDOM
HODGKINS MIX CELL AXILLA
HODGKINS MIX CELL INGUIN
HODGKINS MIX CELL PELVIC
HODGKINS MIX CELL SPLEEN
HODGKINS MIX CELL MULT
LYM DPLT UNSP XTRNDL ORG
Patient Safety Indicators Appendices
Appendix H– Cancer Diagnosis Codes
20171
20172
20173
20174
20175
20176
20177
20178
20190
20191
20192
20193
20194
20195
20196
20197
20198
20200
20201
20202
20203
20204
20205
20206
20207
20208
20210
20211
20212
20213
20214
20215
20216
20217
20218
20220
20221
20222
20223
20224
20225
20226
20227
20228
20230
20231
20232
20233
20234
20235
20236
20237
20238
20240
20241
20242
20243
20244
20245
20246
20247
20248
HODG LYMPH DEPLET HEAD
HODG LYMPH DEPLET THORAX
HODG LYMPH DEPLET ABDOM
HODG LYMPH DEPLET AXILLA
HODG LYMPH DEPLET INGUIN
HODG LYMPH DEPLET PELVIC
HODG LYMPH DEPLET SPLEEN
HODG LYMPH DEPLET MULT
HDGK DIS UNSP XTRNDL ORG
HODGKINS DIS NOS HEAD
HODGKINS DIS NOS THORAX
HODGKINS DIS NOS ABDOM
HODGKINS DIS NOS AXILLA
HODGKINS DIS NOS INGUIN
HODGKINS DIS NOS PELVIC
HODGKINS DIS NOS SPLEEN
HODGKINS DIS NOS MULT
NDLR LYM UNSP XTRNDL ORG
LYMPHOMA HEAD
NODULAR LYMPHOMA THORAX
NODULAR LYMPHOMA ABDOM
NODULAR LYMPHOMA AXILLA
NODULAR LYMPHOMA INGUIN
NODULAR LYMPHOMA PELVIC
NODULAR LYMPHOMA SPLEEN
NODULAR LYMPHOMA MULT
MYCS FNG UNSP XTRNDL ORG
MYCOSIS FUNGOIDES HEAD
MYCOSIS FUNGOIDES THORAX
MYCOSIS FUNGOIDES ABDOM
MYCOSIS FUNGOIDES AXILLA
MYCOSIS FUNGOIDES INGUIN
MYCOSIS FUNGOIDES PELVIC
MYCOSIS FUNGOIDES SPLEEN
MYCOSIS FUNGOIDES MULT
SZRY DIS UNSP XTRNDL ORG
SEZARYS DISEASE HEAD
SEZARYS DISEASE THORAX
SEZARYS DISEASE ABDOM
SEZARYS DISEASE AXILLA
SEZARYS DISEASE INGUIN
SEZARYS DISEASE PELVIC
SEZARYS DISEASE SPLEEN
SEZARYS DISEASE MULT
MLG HIST UNSP XTRNDL ORG
MAL HISTIOCYTOSIS HEAD
MAL HISTIOCYTOSIS THORAX
MAL HISTIOCYTOSIS ABDOM
MAL HISTIOCYTOSIS AXILLA
MAL HISTIOCYTOSIS INGUIN
MAL HISTIOCYTOSIS PELVIC
MAL HISTIOCYTOSIS SPLEEN
MAL HISTIOCYTOSIS MULT
LK RTCTL UNSP XTRNDL ORG
HAIRY-CELL LEUKEM HEAD
HAIRY-CELL LEUKEM THORAX
HAIRY-CELL LEUKEM ABDOM
HAIRY-CELL LEUKEM AXILLA
HAIRY-CELL LEUKEM INGUIN
HAIRY-CELL LEUKEM PELVIC
HAIRY-CELL LEUKEM SPLEEN
HAIRY-CELL LEUKEM MULT
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20251
20252
20253
20254
20255
20256
20257
20258
20260
20261
20262
20263
20264
20265
20266
20267
20268
20280
20281
20282
20283
20284
20285
20286
20287
20288
20290
20291
20292
20293
20294
20295
20296
20297
20298
2030
20300
20301
2031
20310
20311
2038
20380
20381
2040
20400
20401
2041
20410
20411
2042
20420
20421
2048
20480
20481
2049
20490
20491
2050
20500
LTR-SIWE UNSP XTRNDL ORG
LETTERER-SIWE DIS HEAD
LETTERER-SIWE DIS THORAX
LETTERER-SIWE DIS ABDOM
LETTERER-SIWE DIS AXILLA
LETTERER-SIWE DIS INGUIN
LETTERER-SIWE DIS PELVIC
LETTERER-SIWE DIS SPLEEN
LETTERER-SIWE DIS MULT
MLG MAST UNSP XTRNDL ORG
MAL MASTOCYTOSIS HEAD
MAL MASTOCYTOSIS THORAX
MAL MASTOCYTOSIS ABDOM
MAL MASTOCYTOSIS AXILLA
MAL MASTOCYTOSIS INGUIN
MAL MASTOCYTOSIS PELVIC
MAL MASTOCYTOSIS SPLEEN
MAL MASTOCYTOSIS MULT
OTH LYMP UNSP XTRNDL ORG
LYMPHOMAS NEC HEAD
LYMPHOMAS NEC THORAX
LYMPHOMAS NEC ABDOM
LYMPHOMAS NEC AXILLA
LYMPHOMAS NEC INGUIN
LYMPHOMAS NEC PELVIC
LYMPHOMAS NEC SPLEEN
LYMPHOMAS NEC MULT
UNSP LYM UNSP XTRNDL ORG
LYMPHOID MAL NEC HEAD
LYMPHOID MAL NEC THORAX
LYMPHOID MAL NEC ABDOM
LYMPHOID MAL NEC AXILLA
LYMPHOID MAL NEC INGUIN
LYMPHOID MAL NEC PELVIC
LYMPHOID MAL NEC SPLEEN
LYMPHOID MAL NEC MULT
MULTIPLE MYELOMA
MULT MYELM W/O REMISSION
MULT MYELM W REMISSION
PLASMA CELL LEUKEMIA
PLSM CELL LEUK W/O RMSON
PLSM CELL LEUK W RMSON
IMMUNOPROLIFERAT NEO NEC
OTH IMNPRFL NPL W/O RMSN
OTH IMNPRFL NPL W RMSN
ACUTE LYMPHOID LEUKEMIA
ACT LYM LEUK W/O RMSION
ACT LYM LEUK W RMSION
CHR LYMPHOID LEUKEMIA
CHR LYM LEUK W/O RMSION
CHR LYM LEUK W RMSION
SUBAC LYMPHOID LEUKEMIA
SBAC LYM LEUK W/O RMSION
SBAC LYM LEUK W RMSION
LYMPHOID LEUKEMIA NEC
OTH LYM LEUK W/O RMSION
OTH LYM LEUK W RMSION
LYMPHOID LEUKEMIA NOS
UNS LYM LEUK W/O RMSION
UNS LYM LEUK W RMSION
ACUTE MYELOID LEUKEMIA
ACT MYL LEUK W/O RMSION
Patient Safety Indicators Appendices
Appendix H– Cancer Diagnosis Codes
20501
2051
20510
20511
2052
20520
20521
2053
20530
20531
2058
20580
20581
2059
20590
20591
2060
20600
20601
2061
20610
20611
2062
20620
20621
2068
20680
20681
2069
20690
20691
2070
20700
20701
2071
20710
20711
2072
20720
20721
2078
20780
20781
2080
20800
20801
2081
20810
20811
2082
20820
20821
2088
20880
20881
2089
20890
20891
20930
ACT MYL LEUK W RMSION
CHRONIC MYELOID LEUKEMIA
CHR MYL LEUK W/O RMSION
CHR MYL LEUK W RMSION
SUBACUT MYELOID LEUKEMIA
SBAC MYL LEUK W/O RMSION
SBAC MYL LEUK W RMSION
MYELOID SARCOMA
MYL SRCOMA W/O RMSION
MYL SRCOMA W RMSION
MYELOID LEUKEMIA NEC
OTH MYL LEUK W/O RMSION
OTH MYL LEUK W RMSION
MYELOID LEUKEMIA NOS
UNS MYL LEUK W/O RMSION
UNS MYL LEUK W RMSION
ACUTE MONOCYTIC LEUKEMIA
ACT MONO LEUK W/O RMSION
ACT MONO LEUK W RMSION
CHR MONOCYTIC LEUKEMIA
CHR MONO LEUK W/O RMSION
CHR MONO LEUK W RMSION
SUBAC MONOCYTIC LEUKEMIA
SBAC MONO LEUK W/O RMSON
SBAC MONO LEUK W RMSION
MONOCYTIC LEUKEMIA NEC
OTH MONO LEUK W/O RMSION
OTH MONO LEUK W RMSION
MONOCYTIC LEUKEMIA NOS
UNS MONO LEUK W/O RMSION
UNS MONO LEUK W RMSION
ACUTE ERYTHREMIA
ACT ERTH/ERYLK W/O RMSON
ACT ERTH/ERYLK W RMSON
CHRONIC ERYTHREMIA
CHR ERYTHRM W/O REMISION
CHR ERYTHRM W REMISION
MEGAKARYOCYTIC LEUKEMIA
MGKRYCYT LEUK W/O RMSION
MGKRYCYT LEUK W RMSION
SPECIFIED LEUKEMIA NEC
OTH SPF LEUK W/O REMSION
OTH SPF LEUK W REMSION
ACT LEUK UNS CL W/O RMSN
ACT LEUK UNS CL W/O RMSN
ACT LEUK UNS CL W RMSON
CHRONIC LEUKEMIA NOS
CHR LEUK UNS CL W/O RMSN
CHR LEUK UNS CL W RMSON
SUBACUTE LEUKEMIA NOS
SBAC LEUK UNS CL W/O RMS
SBAC LEUK UNS CL W RMSON
LEUKEMIA-UNSPEC CELL NEC
OTH LEUK UNS CL W/O RMSN
OTH LEUK UNS CL W RMSON
LEUKEMIA-UNSPEC CELL NOS
LEUKEMIA NOS W/O REMSION
LEUKEMIA NOS W REMISSIO
MALIGNANT POORLY DIFFERENTIATED
NEUROENDOCRINE CARCINOMA, ANY
SITE OCT09-
Version 4.2 – 2010
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20931
20932
20933
20934
20935
20936
20970
20971
20972
20973
20974
20975
20979
2386
2733
V1000
V1001
V1002
V1003
V1004
V1005
V1006
V1007
V1009
V1011
V1012
V1020
MERKEL CELL CARCINOMA OF THE
FACE OCT09MERKEL CELL CARCINOMA OF THE
SCALP AND NECK OCT09MERKEL CELL CARCINOMA OF THE
UPPER LIMB OCT09MERKEL CELL CARCINOMA OF THE
LOWER LIMB OCT09MERKEL CELL CARCINOMA OF THE
TRUNK OCT09MERKEL CELL CARCINOMA OF OTHER
SITES OCT09SECONDARY NEUROENDOCRINE
TUMOR, UNSPECIFIED SITE OCT09SECONDARY NEUROENDOCRINE
TUMOR OF DISTANT LYMPH NODES
OCT09SECONDARY NEUROENDOCRINE
TUMOR OF LIVER OCT09SECONDARY NEUROENDOCRINE
TUMOR OF BONE OCT09SECONDARY NEUROENDOCRINE
TUMOR OF PERITONEUM OCT09SECONDARY MERKEL CELL
CARCINOMA OCT09SECONDARY NEUROENDOCRINE
TUMOR OF OTHER SITES OCT09NEOPLASM OF UNCERTAIN BEHAVIOR
OF OTHER AND UNSPECIFIED SITES
AND TISSUES, PLASMA CELLS
DISORDERS OF PLASMA PROTEIN
METABOLISM-MACROGLOBULINEMIA
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
Patient Safety Indicators Appendices
Appendix H– Cancer Diagnosis Codes
V1021
V1022
V1029
V103
V1040
V1041
V1042
V1043
V1044
V1045
V1046
V1047
V1048
V1049
V1050
V1051
V1052
V1053
V1059
V1060
V1061
V1062
V1063
V1069
V1071
V1072
V1079
V1081
V1082
V1083
V1084
V1085
V1086
V1087
V1088
V1089
V109
V1090
V1091
LARYNX
NASAL CAVITIES, MIDDLE EAR, AND
ACCESSORY SINUSES
OTHER
BREAST
FEMALE GENITAL ORGAN,
UNSPECIFIED
CERVIX UTERI
OTHER PARTS OF UTERUS
OVARY
OTHER FEMALE GENITAL ORGANS
MALE GENITAL ORGAN, UNSPECIFIED
PROSTATE
TESTIS
EPIDDIDYMIS
OTHER MALE GENITAL ORGANS
URINARY ORGAN, UNSPECIFIED
BLADDER
KIDNEY
RENAL PELVIS
OTHER
LEUKEMIA, UNSPECIFIED
LYMPHID LEUKEMIA
MYELOID LEUKEMIA
MONOCYTIC LEUKEMIA
OTHER
LYMPHOSARCOMA AND
RETICULOSARCOMA
HODGKINS DISEASE
OTHER
BONE
MALIGNANT MELANOMA OF SKIN
OPTHER 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
PERSONAL HISTORY OF UNSPECIFIED
MALIGNANT NEOPLASM OCT09PERSONAL HISTORY OF MALIGNANT
NEUROENDOCRINE TUMOR OCT09-
Version 4.2 – 2010
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AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
Appendix I – Immunocompromised State Diagnosis and Procedure Codes
ICD-9-CM Immunocompromised States diagnosis codes:
042
1363
1992
23877
23879
260
261
262
23873
23876
27900
27901
27902
27903
27904
27905
27906
27909
27910
27911
27912
27913
27919
27941
27949
27950
27951
27952
27953
2792
2793
2794
2798
2799
28409
2841
2880
28800
HUMAN IMMUNODEFICIENCY VIRUS
DISEASE
PNEUMOCYSTOSIS
MALIGNANT NEOPLASM ASSOCIATED WITH
TRANSPLANTED ORGAN OCT08NEOPLASM OF UNCERTAIN BEHAVIOR,
POST-TRANSPLANT
LYMPHOPROLIFERATIVE DISORDER (PTLD)
OCT08NEOPLASM OF UNCERTAIN BEHAVIOR,
OTHER LYMPHATIC AND HEMATOPOIETIC
TISSUES OCT08KWASHIORKOR OCT05NUTRITIONAL MARASMUS OCT05OTH SEVERE MALNUTRITION OCT05HI GRDE MYELODYS SYN LES OCT06MYELOFI W MYELO METAPLAS OCT06
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
AUTOIMMUNE LYMPHOPROLIFERATIVE
SYNDROME ALPS OCT09AUTOIMMUNE DISEASE, NOT ELSEWHERE
CLASSIFIED OCT09GRAFT-VERSUS-HOST DISEASE
UNSPECIFIED OCT08ACUTE GRAFT-VERSUS-HOST DISEASE
OCT08CHRONIC GRAFT-VERSUS-HOST DISEASE
OCT08ACUTE ON CHRONIC GRAFT-VERSUS-HOST
DISEASE OCT08COMBINED IMMUNITY DEFICIENCY
UNSPECIFIED IMMUNITY DEFICIENCY
AUTOIMMUNE DISEASE, NOT ELSEWHERE
CLASSIFIED
OTHER SPECIFIED DISORDERS INVOLVING
THE IMMUNE MECHANISM
UNSPECIFIED DISORDER OF IMMUNE
MECHANISM
CONST APLASTC ANEMIA NEC OCT06PANCYTOPENIA OCT06AGRANULOCYTOSIS OCT05NEUTROPENIA NOS OCT06-
28801
28802
28803
28809
2881
2882
2884
28850
28851
28859
28953
28983
40301
40311
40391
40402
40403
40412
40413
40492
40493
5793
585
5855
5856
9968
99680
99681
99682
99683
99684
99685
99686
99687
99689
V420
V421
V426
V427
V428
V4281
V4282
V4283
V4284
V4289
V451
V4511
V560
V561
V562
CONGENITAL NEUTROPENIA OCT06CYCLIC NEUTROPENIA OCT06DRUG INDUCED NEUTROPENIA OCT06NEUTROPENIA NEC OCT06FUNCTION DIS NEUTROPHILS OCT05GENETIC ANOMALY LEUKOCYT OCT05HEMOPHAGOCYTIC SYNDROMES OCT06LEUKOCYTOPENIA NOS OCT06LYMPHOCYTOPENIA OCT06DECREASED WBC COUNT NEC OCT06NEUTROPENIC SPLENOMEGALY OCT06MYELOFIBROSIS OCT06MAL HYP KIDNEY W CHR KID OCT05BEN HYP KIDNEY W CHR KID OCT05HYP KIDNEY NOS W CHR KID OCT05MAL HY HRT/KID W CHR KID OCT05MAL HYP HRT/KID W HF/KID OCT05BEN HYP HT/KID W CHR KID OCT05BEN HYP HT/KID W HF/KID OCT05HYP HT/KID NOS W CHR KID OCT05HYP HRT/KID NOS W HF/KID OCT05INTEST POSTOP NONABSORB OCT05CHRONIC KIDNEY DISEASE OCT05CHRON KIDNEY DIS STAGE V OCT05END STAGE RENAL DISEASE OCT05COMPLICATIONS 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
PERIPHERAL STEM CELLS REPLACED BY
TRANSPLANT
PANCREAS REPLACED BY TRANSPLANT
INTESTINES REPLACE BY TRANSPLANT
OTHER REPLACED BY TRANSPLANT
RENAL DIALYSIS STATUS OCT05RENAL DIALYSIS STATUS OCT08RENAL DIALYSIS ENCOUNTER OCT05FT/ADJ XTRCORP DIAL CATH OCT05FIT/ADJ PERIT DIAL CATH OCT05-
Patient Safety Indicators Appendices
Appendix I – Immunocompromised State Diagnosis and Procedure Codes
Version 4.2 – 2010
Page 73
AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov
ICD-9-CM Immunocompromised States procedure codes:
0018
335
3350
3351
3352
336
375
3751
410
4100
4101
4102
4103
4104
4105
INFUS IMMUNOSUP ANTIBODY
LUNG TRANSPLANT
LUNG TRANSPLANT NOS
UNILAT LUNG TRANSPLANT
BILAT LUNG TRANSPLANT
COMBINED HEART-LUNG
TRANSPLANTATION
HEART TRANSPLANTATION
HEART TRANSPLANTATION
OPERATIONS ON BONE MAROW AND
SPLEEN
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
4106
4107
4108
4109
5051
5059
5280
5281
5282
5283
5285
5286
5569
CORD BLD STEM CELL TRANS
AUTO HEM STEM CT W PURG
ALLO HEM STEM CT W PURG
AUTO BONE MT W PURGING
AUXILIARY LIVER TRANSPL
LIVER TRANSPLANT NEC
PANCREATIC TRANSPLANT, NOS
REIMPLANTATION OF PANCREATIC
TISSUE
REIMPLANTATION OF PANCREATIC
TISSUE
HETEROTRANSPLANT OF PANCREAS
ALLOTRANSPLANTATION OF CELLS OF
ISLETS OF LNGERHANS
TRANSPLANTATION OF CELLS OF
ISLETS OF LANGERHANS, NOS
OTHER KIDNEY TRANSPLANTATION
Appendix J – Admission Codes for Transfers
SID ASOURCE Codes
2 - Another hospital
3 - Another facility, including long term care
POINTOFORIGINUB04 Codes
4 - Transfer from a hospital
5 - Transfer from a skilled Nursing Facility (SNF) or Intermediate Care Facility (ICF)
6 - Transfer from another health care facility
If Admission Type is newborn ( ATYPE=4), POINTOFORIGINUB04 codes are as follows:
5- Born inside this hospital
6 - Born outside of this hospital
Patient Safety Indicators Appendices
Appendix I – Immunocompromised State Diagnosis and Procedure Codes
Version 4.2 – 2010
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