![](media/image1.jpeg){width="6.492361111111111in" height="8.40625in"}

AHRQ Quality Indicators

Inpatient Quality Indicators:

Technical Specifications

Department of Health and Human Services

Agency for Healthcare Research and Quality

[http://www.qualityindicators.ahrq.gov](http://www.qualityindicators.ahrq.gov/)

June 2002

Version 3.2 (February 29, 2008)

Table of Contents

[Inpatient Quality Indicator Definitions
1](#inpatient-quality-indicator-definitions)

[1.0 Provider-Level Indicators 1](#provider-level-indicators)

[1.1 Procedure Volume Indicators 1](#procedure-volume-indicators)

[Esophageal Resection Volume (IQI 1)
1](#esophageal-resection-volume-iqi-1)

[Pancreatic Resection Volume (IQI 2)
2](#pancreatic-resection-volume-iqi-2)

[Abdominal Aortic Aneurysm (AAA) Repair Volume (IQI 4)
2](#abdominal-aortic-aneurysm-aaa-repair-volume-iqi-4)

[Coronary Artery Bypass Graft (CABG) Volume (IQI 5)
3](#coronary-artery-bypass-graft-cabg-volume-iqi-5)

[1.2 Related Volume and Mortality Indicators for Inpatient Procedures
4](#related-volume-and-mortality-indicators-for-inpatient-procedures)

[Percutaneous Transluminal Coronary Angioplasty (PTCA) Volume (IQI 6)
4](#percutaneous-transluminal-coronary-angioplasty-ptca-volume-iqi-6)

[PTCA Mortality Rate (IQI 30) 4](#ptca-mortality-rate-iqi-30)

[Carotid Endarterectomy Volume (IQI 7)
5](#carotid-endarterectomy-volume-iqi-7)

[Carotid Endarterectomy Mortality Rate (IQI 31)
5](#carotid-endarterectomy-mortality-rate-iqi-31)

[1.3 Mortality Indicators for Inpatient Procedures
6](#mortality-indicators-for-inpatient-procedures)

[Esophageal Resection Mortality Rate (IQI 8)
6](#esophageal-resection-mortality-rate-iqi-8)

[Pancreatic Resection Mortality Rate (IQI 9)
7](#pancreatic-resection-mortality-rate-iqi-9)

[Abdominal Aortic Artery (AAA) Repair Mortality Rate (IQI 11)
7](#abdominal-aortic-artery-aaa-repair-mortality-rate-iqi-11)

[Coronary Artery Bypass Graft (CABG) Mortality Rate (IQI 12)
8](#coronary-artery-bypass-graft-cabg-mortality-rate-iqi-12)

[Craniotomy Mortality Rate (IQI 13)
9](#craniotomy-mortality-rate-iqi-13)

[Hip Replacement Mortality Rate (IQI 14)
15](#hip-replacement-mortality-rate-iqi-14)

[1.4 Mortality Indicators for Inpatient Medical Conditions
16](#mortality-indicators-for-inpatient-medical-conditions)

[Acute Myocardial Infarction (AMI) Mortality Rate (IQI 15)
16](#acute-myocardial-infarction-ami-mortality-rate-iqi-15)

[Acute Myocardial Infarction (AMI) Mortality Rate, Without Transfer
Cases (IQI 32)
16](#acute-myocardial-infarction-ami-mortality-rate-without-transfer-cases-iqi-32)

[Congestive Heart Failure (CHF) Mortality Rate (IQI 16)
17](#congestive-heart-failure-chf-mortality-rate-iqi-16)

[Acute Stroke Mortality Rate (IQI 17)
17](#acute-stroke-mortality-rate-iqi-17)

[Gastrointestinal Hemorrhage Mortality Rate (IQI 18)
18](#gastrointestinal-hemorrhage-mortality-rate-iqi-18)

[Hip Fracture Mortality Rate (IQI 19)
19](#hip-fracture-mortality-rate-iqi-19)

[Pneumonia Mortality Rate (IQI 20) 19](#pneumonia-mortality-rate-iqi-20)

[1.5 Procedure Utilization Indicators
21](#procedure-utilization-indicators)

[Cesarean Delivery Rate (IQI 21) 21](#cesarean-delivery-rate-iqi-21)

[Primary Cesarean Delivery Rate (IQI 33)
22](#primary-cesarean-delivery-rate-iqi-33)

[Vaginal Birth after Cesarean Delivery Rate, Uncomplicated (IQI 22)
23](#vaginal-birth-after-cesarean-delivery-rate-uncomplicated-iqi-22)

[Vaginal Birth after Cesarean (VBAC) Delivery, All (IQI 34)
23](#vaginal-birth-after-cesarean-vbac-delivery-all-iqi-34)

[Laparoscopic Cholecystectomy Rate (IQI 23)
24](#laparoscopic-cholecystectomy-rate-iqi-23)

[Incidental Appendectomy in the Elderly Rate (IQI 24)
25](#incidental-appendectomy-in-the-elderly-rate-iqi-24)

[Bilateral Cardiac Catheterization Rate (IQI 25)
25](#bilateral-cardiac-catheterization-rate-iqi-25)

[2.0 Area-Level Indicators 29](#area-level-indicators)

[Coronary Artery Bypass Graft (CABG) Area Rate (IQI 26)
29](#coronary-artery-bypass-graft-cabg-area-rate-iqi-26)

[Percutaneous Transluminal Coronary Angioplasty (PTCA) Area Rate (IQI
27)
29](#percutaneous-transluminal-coronary-angioplasty-ptca-area-rate-iqi-27)

[Hysterectomy Area Rate (IQI 28) 30](#hysterectomy-area-rate-iqi-28)

[Laminectomy or Spinal Fusion Area Rate (IQI 29)
31](#laminectomy-or-spinal-fusion-area-rate-iqi-29)

[Appendix A: Problem Deliveries A-1](#appendix-a-problem-deliveries)

[Appendix B: Links B-1](#appendix-b-links)

# Inpatient Quality Indicator Definitions {#inpatient-quality-indicator-definitions .HeadOther}

For ICD-9-CM codes introduced after October 1995, the date of
introduction is indicated after the code label. For example, "OCT96-"
indicates the ICD-9-CM code was introduced in October 1996.

# Provider-Level Indicators

## Procedure Volume Indicators

+-----------------------------------------------------------------------+
| ### Esophageal Rese                                                   |
| ction Volume (IQI 1) {#esophageal-resection-volume-iqi-1 .unnumbered} |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| > Discharges, age 18 years and older, with ICD-9-CM codes of 424,     |
| > 4240-4242, 425, 4251-4256, 4258-4259, or 426, 4261-4269 in any      |
| > procedure field.                                                    |
|                                                                       |
| ICD-9-CM esophageal resection procedure codes:                        |
|                                                                       |
|   --                                                                  |
| ---- ----------------------- ------ --------------------------------- |
|   424    ESOPHAGECTOMY           4258   THORAC INTERPOSITION NEC      |
|                                                                       |
|   4240   ESOPHAGECTOMY NOS       4259   THORAC ESOPHAG ANAST NEC      |
|                                                                       |
|   4241   PARTIAL ESOPHAGECTOMY   426    STERN ESOPHAG ANAST           |
|                                                                       |
|   4242   TOTAL ESOPHAGECTOMY     4261   STERN ESOPHAGOESOPHAGOST      |
|                                                                       |
|   425    THORAC ESOPHAG ANAST    4262   STERN ESOPHAGOGASTROSTOM      |
|                                                                       |
|   4251   THORAC                  4263   STERN SM BOWEL INTERPOS       |
|          ESOPHAGOESOPHAGOS                                            |
|                                                                       |
|   4252   THORAC ESOPHAGOGASTROST 4264   STERN ESOPHAGOENTER NEC       |
|                                                                       |
|   4253   THORAC SM BOWEL         4265   STERN LG BOWEL INTERPOS       |
|          INTERPOS                                                     |
|                                                                       |
|   4254   THORAC ESOPHAGOENTER    4266   STERN ESOPHAGOCOLOS NEC       |
|          NEC                                                          |
|                                                                       |
|   4255   THORAC LG BOWEL         4268   STERN INTERPOSITION NEC       |
|          INTERPOS                                                     |
|                                                                       |
|   4256   THORAC ESOPHAGOCOLOS    4269   STERN ESOPHAG ANAST NEC       |
|          NEC                                                          |
|   --                                                                  |
| ---- ----------------------- ------ --------------------------------- |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
|                                                                       |
| -   MDC 15 (newborns and other neonates)                              |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| > Not applicable.                                                     |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ### Pancreatic Rese                                                   |
| ction Volume (IQI 2) {#pancreatic-resection-volume-iqi-2 .unnumbered} |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| > Discharges, age 18 years and older, with ICD-9-CM codes of 526 or   |
| > 527 in any procedure field.                                         |
|                                                                       |
| ICD-9-CM pancreatic resection procedure codes:                        |
|                                                                       |
|   ----------- ------------------------------------------------------  |
|   526         TOTAL PANCREATECTOMY                                    |
|                                                                       |
|   527         RAD PANCREATICODUODENECT                                |
|   ----------- ------------------------------------------------------  |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
|                                                                       |
| -   MDC 15 (newborns and other neonates)                              |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| > Not applicable.                                                     |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ### Abdominal Aortic Aneurysm (AAA) Repair Volume (IQ                 |
| I 4) {#abdominal-aortic-aneurysm-aaa-repair-volume-iqi-4 .unnumbered} |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| > Discharges, age 18 years and older, with ICD-9-CM codes of 3834,    |
| > 3844, 3864 or 3971 in any procedure field with a diagnosis of AAA   |
| > in any field.                                                       |
|                                                                       |
| ICD-9-CM AAA procedure codes:                                         |
|                                                                       |
|   ------ ------------------------------------------------------------ |
|   3834   AORTA RESECTION & ANAST                                      |
|                                                                       |
|   3844   RESECT ABDM AORTA W REPL                                     |
|                                                                       |
|   3864   EXCISION OF AORTA                                            |
|                                                                       |
|   3971   ENDO IMPLANT OF GRAFT IN AORTA                               |
|   ------ ------------------------------------------------------------ |
|                                                                       |
| ICD-9-CM AAA diagnosis codes:                                         |
|                                                                       |
|   ------ ------------------------------------------------------------ |
|   4413   RUPT ABD AORTIC ANEURYSM                                     |
|                                                                       |
|   4414   ABDOM AORTIC ANEURYSM                                        |
|   ------ ------------------------------------------------------------ |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
|                                                                       |
| -   MDC 15 (newborns and other neonates)                              |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| > Not applicable.                                                     |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ### Coronary Artery Bypass Graft (CABG) Volume                        |
| (IQI 5) {#coronary-artery-bypass-graft-cabg-volume-iqi-5 .unnumbered} |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| > Discharges, age 18 years and older, with ICD-9-CM codes of 3610     |
| > through 3619 in any procedure field.                                |
|                                                                       |
| ICD-9-CM CABG procedure codes:                                        |
|                                                                       |
|   -                                                                   |
| ----- ---------------------------- ------ --------------------------- |
|   3610   AORTOCORONARY BYPASS NOS     3615   1 INT MAM-COR ART BYPASS |
|                                                                       |
|   3611   AORTOCOR BYPAS-1 COR ART     3616   2 INT MAM-COR ART BYPASS |
|                                                                       |
|   3                                                                   |
| 612   AORTOCOR BYPAS-2 COR ART     3617   ABD-CORON ART BYPASS OCT96- |
|                                                                       |
|   3613   AORTOCOR BYPAS-3 COR ART     3619   HRT REVAS BYPS ANAS NEC  |
|                                                                       |
|   3614   AORTCOR BYPAS-4+ COR ART                                     |
|   -                                                                   |
| ----- ---------------------------- ------ --------------------------- |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
|                                                                       |
| -   MDC 15 (newborns and other neonates)                              |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| > Not applicable.                                                     |
+-----------------------------------------------------------------------+

## Related Volume and Mortality Indicators for Inpatient Procedures

+-----------------------------------------------------------------------+
| ### Percutaneo                                                        |
| us Transluminal Coronary Angioplasty (PTCA) Volume (IQI 6) {#percutan |
| eous-transluminal-coronary-angioplasty-ptca-volume-iqi-6 .unnumbered} |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| > Discharges, age 18 years and older, with ICD-9-CM codes of 0066,    |
| > 3601, 3602 or 3605 in any procedure field.                          |
|                                                                       |
| ICD-9-CM PTCA procedure codes:                                        |
|                                                                       |
|   ------ ------------------------------------------------------------ |
|   0066   PERC TRANS CORO ANGIO OCT05-                                 |
|                                                                       |
|   3601   PTCA-1 VESSEL W/O AGENT                                      |
|                                                                       |
|   3602   PTCA-1 VESSEL WITH AGNT                                      |
|                                                                       |
|   3605   PTCA-MULTIPLE VESSEL                                         |
|   ------ ------------------------------------------------------------ |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
|                                                                       |
| -   MDC 15 (newborns and other neonates)                              |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| > Not applicable.                                                     |
+-----------------------------------------------------------------------+
| ### P                                                                 |
| TCA Mortality Rate (IQI 30) {#ptca-mortality-rate-iqi-30 .unnumbered} |
+-----------------------------------------------------------------------+
| **Numerator:**                                                        |
|                                                                       |
| Number of deaths (DISP=20) among cases meeting the inclusion and      |
| exclusion rules for the denominator.                                  |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| > Discharges, age 40 years and older, with ICD-9-CM codes of 0066,    |
| > 3601, 3602 or 3605 in any procedure field.                          |
|                                                                       |
| ICD-9-CM PTCA procedure codes:                                        |
|                                                                       |
|   ------ ------------------------------------------------------------ |
|   0066   PERC TRANS CORO ANGIO OCT05-                                 |
|                                                                       |
|   3601   PTCA-1 VESSEL W/O AGENT                                      |
|                                                                       |
|   3602   PTCA-1 VESSEL WITH AGNT                                      |
|                                                                       |
|   3605   PTCA-MULTIPLE VESSEL                                         |
|   ------ ------------------------------------------------------------ |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   missing discharge disposition (DISP=missing)                      |
|                                                                       |
| -   transferring to another short-term hospital (DISP=2)              |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
|                                                                       |
| -   MDC 15 (newborns and other neonates)                              |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ### Carotid Endarterect                                               |
| omy Volume (IQI 7) {#carotid-endarterectomy-volume-iqi-7 .unnumbered} |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| > Discharges, age 18years and older, with an ICD-9-CM code of 3812 in |
| > any procedure field.                                                |
|                                                                       |
| ICD-9-CM carotid endarterectomy procedure code:                       |
|                                                                       |
|   ------ ------------------------------------------------------------ |
|   3812   HEAD & NECK ENDARTER NEC                                     |
|                                                                       |
|   ------ ------------------------------------------------------------ |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
|                                                                       |
| -   MDC 15 (newborns and other neonates)                              |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| > Not applicable.                                                     |
+-----------------------------------------------------------------------+
| ### Carotid Endarterectomy Mortality Rate                             |
|  (IQI 31) {#carotid-endarterectomy-mortality-rate-iqi-31 .unnumbered} |
+-----------------------------------------------------------------------+
| **Numerator:**                                                        |
|                                                                       |
| > Number of deaths (DISP=20) among cases meeting the inclusion and    |
| > exclusion rules for the denominator.                                |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| > Discharges, age 18 years and older, with an ICD-9-CM code of 3812   |
| > in any procedure field.                                             |
|                                                                       |
| ICD-9-CM carotid endarterectomy procedure code:                       |
|                                                                       |
|   ------ ------------------------------------------------------------ |
|   3812   HEAD & NECK ENDARTER NEC                                     |
|                                                                       |
|   ------ ------------------------------------------------------------ |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   missing discharge disposition (DISP=missing)                      |
|                                                                       |
| -   transferring to another short-term hospital (DISP=2)              |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
|                                                                       |
| ```{=html}                                                            |
| <!-- -->                                                              |
| ```                                                                   |
| -   MDC 15 (newborns and other neonates)                              |
+-----------------------------------------------------------------------+

## Mortality Indicators for Inpatient Procedures

+-----------------------------------------------------------------------+
| ### Esophageal Resection Mortality                                    |
| Rate (IQI 8) {#esophageal-resection-mortality-rate-iqi-8 .unnumbered} |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| > Number of deaths (DISP=20) among cases meeting the inclusion and    |
| > exclusion rules for the denominator.                                |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| > Discharges, age 18 years and older, with ICD-9-CM codes for         |
| > esophageal resection in any procedure field [and]{.underline} a     |
| > diagnosis code of esophageal cancer in any field                    |
|                                                                       |
| ICD-9-CM esophageal resection procedure code:                         |
|                                                                       |
|   --                                                                  |
| ---- ----------------------- ------ --------------------------------- |
|   424    ESOPHAGECTOMY           4258   THORAC INTERPOSITION NEC      |
|                                                                       |
|   4240   ESOPHAGECTOMY NOS       4259   THORAC ESOPHAG ANAST NEC      |
|                                                                       |
|   4241   PARTIAL ESOPHAGECTOMY   426    STERN ESOPHAG ANAST           |
|                                                                       |
|   4242   TOTAL ESOPHAGECTOMY     4261   STERN ESOPHAGOESOPHAGOST      |
|                                                                       |
|   425    THORAC ESOPHAG ANAST    4262   STERN ESOPHAGOGASTROSTOM      |
|                                                                       |
|   4251   THORAC                  4263   STERN SM BOWEL INTERPOS       |
|          ESOPHAGOESOPHAGOS                                            |
|                                                                       |
|   4252   THORAC ESOPHAGOGASTROST 4264   STERN ESOPHAGOENTER NEC       |
|                                                                       |
|   4253   THORAC SM BOWEL         4265   STERN LG BOWEL INTERPOS       |
|          INTERPOS                                                     |
|                                                                       |
|   4254   THORAC ESOPHAGOENTER    4266   STERN ESOPHAGOCOLOS NEC       |
|          NEC                                                          |
|                                                                       |
|   4255   THORAC LG BOWEL         4268   STERN INTERPOSITION NEC       |
|          INTERPOS                                                     |
|                                                                       |
|   4256   THORAC ESOPHAGOCOLOS    4269   STERN ESOPHAG ANAST NEC       |
|          NEC                                                          |
|   --                                                                  |
| ---- ----------------------- ------ --------------------------------- |
|                                                                       |
| ICD-9-CM esophageal cancer diagnosis codes:                           |
|                                                                       |
|   -                                                                   |
| ----- ---------------------------- ------ --------------------------- |
|   1500   MAL NEO CERVICAL ESOPHAG     1504   MAL NEO MIDDLE 3RD ESOPH |
|                                                                       |
|   1501   MAL NEO THORACIC ESOPHAG     1505   MAL NEO LOWER 3RD ESOPH  |
|                                                                       |
|   1502   MAL NEO ABDOMIN ESOPHAG      1508   MAL NEO ESOPHAGUS NEC    |
|                                                                       |
|   1503   MAL NEO UPPER 3RD ESOPH      1509   MAL NEO ESOPHAGUS NOS    |
|   -                                                                   |
| ----- ---------------------------- ------ --------------------------- |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   missing discharge disposition (DISP=missing)                      |
|                                                                       |
| -   transferring to another short-term hospital (DISP=2)              |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
|                                                                       |
| -   MDC 15 (newborns and other neonates)                              |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ### Pancreatic Resection Mortality                                    |
| Rate (IQI 9) {#pancreatic-resection-mortality-rate-iqi-9 .unnumbered} |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| > Number of deaths (DISP=20) among cases meeting the inclusion and    |
| > exclusion rules for the denominator.                                |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| > Discharges, age 18 years and older, with ICD-9-CM codes of 526 or   |
| > 527 in any procedure field [and]{.underline} a diagnosis code of    |
| > pancreatic cancer in any field.                                     |
|                                                                       |
| ICD-9-CM pancreatic resection procedure codes:                        |
|                                                                       |
|   ----- ------------------------------------------------------------  |
|   526   TOTAL PANCREATECTOMY                                          |
|                                                                       |
|   527   RAD PANCREATICODUODENECT                                      |
|   ----- ------------------------------------------------------------  |
|                                                                       |
| ICD-9-CM pancreatic cancer diagnosis codes:                           |
|                                                                       |
|   -                                                                   |
| ----- ---------------------------- ------ --------------------------- |
|   1520   MALIGNANT NEOPL DUODENUM     1572   MAL NEO PANCREAS TAIL    |
|                                                                       |
|   1561   MAL NEO EXTRAHEPAT DUCTS     1573   MAL NEO PANCREATIC DUCT  |
|                                                                       |
|   1562   MAL NEO AMPULLA OF VATER     1574   MAL NEO ISLET LANGERHANS |
|                                                                       |
|   1570   MAL NEO PANCREAS HEAD        1578   MALIG NEO PANCREAS NEC   |
|                                                                       |
|   1571   MAL NEO PANCREAS BODY        1579   MALIG NEO PANCREAS NOS   |
|   -                                                                   |
| ----- ---------------------------- ------ --------------------------- |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   missing discharge disposition (DISP=missing)                      |
|                                                                       |
| -   transferring to another short-term hospital (DISP=2)              |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
|                                                                       |
| ```{=html}                                                            |
| <!-- -->                                                              |
| ```                                                                   |
| -   MDC 15 (newborns and other neonates)                              |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ### Abdominal Aortic Artery (AAA) Repair Mortality Rate (IQI 11) {#   |
| abdominal-aortic-artery-aaa-repair-mortality-rate-iqi-11 .unnumbered} |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| > Number of deaths (DISP=20) among cases meeting the inclusion and    |
| > exclusion rules for the denominator.                                |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| > Discharges, age 18 years and older, with ICD-9-CM codes of 3834,    |
| > 3844, 3864, or 3971 in any procedure field [and]{.underline} a      |
| > diagnosis of AAA in any field.                                      |
|                                                                       |
| ICD-9-CM AAA repair procedure codes:                                  |
|                                                                       |
|   ------ ------------------------------------------------------------ |
|   3834   AORTA RESECTION & ANAST                                      |
|                                                                       |
|   3844   RESECT ABDM AORTA W REPL                                     |
|                                                                       |
|   3864   EXCISION OF AORTA                                            |
|                                                                       |
|   3971   ENDO IMPLANT OF GRAFT IN AORTA                               |
|   ------ ------------------------------------------------------------ |
|                                                                       |
| ICD-9-CM AAA diagnosis codes:                                         |
|                                                                       |
|   ------ ------------------------------------------------------------ |
|   4413   RUPT ABD AORTIC ANEURYSM                                     |
|                                                                       |
|   4414   ABDOM AORTIC ANEURYSM                                        |
|   ------ ------------------------------------------------------------ |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   missing discharge disposition (DISP=missing)                      |
|                                                                       |
| -   transferring to another short-term hospital (DISP=2)              |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
|                                                                       |
| -   MDC 15 (newborns and other neonates)                              |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ### Coronary Artery Bypass Graft (CABG) Mortality Rate (IQI 12) {     |
| #coronary-artery-bypass-graft-cabg-mortality-rate-iqi-12 .unnumbered} |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| > Number of deaths (DISP=20) among cases meeting the inclusion and    |
| > exclusion rules for the denominator.                                |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| > Discharges, age 40 years and older, with ICD-9-CM codes of 3610     |
| > through 3619 in any procedure field.                                |
|                                                                       |
| ICD-9-CM CABG procedure codes:                                        |
|                                                                       |
|   -                                                                   |
| ----- ---------------------------- ------ --------------------------- |
|   3610   AORTOCORONARY BYPASS NOS     3615   1 INT MAM-COR ART BYPASS |
|                                                                       |
|   3611   AORTOCOR BYPAS-1 COR ART     3616   2 INT MAM-COR ART BYPASS |
|                                                                       |
|   3                                                                   |
| 612   AORTOCOR BYPAS-2 COR ART     3617   ABD-CORON ART BYPASS OCT96- |
|                                                                       |
|   3613   AORTOCOR BYPAS-3 COR ART     3619   HRT REVAS BYPS ANAS NEC  |
|                                                                       |
|   3614   AORTCOR BYPAS-4+ COR ART                                     |
|   -                                                                   |
| ----- ---------------------------- ------ --------------------------- |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   missing discharge disposition (DISP=missing)                      |
|                                                                       |
| -   transferring to another short-term hospital (DISP=2)              |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
|                                                                       |
| ```{=html}                                                            |
| <!-- -->                                                              |
| ```                                                                   |
| -   MDC 15 (newborns and other neonates)                              |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ### Craniotomy Mo                                                     |
| rtality Rate (IQI 13) {#craniotomy-mortality-rate-iqi-13 .unnumbered} |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| > Number of deaths (DISP=20) among cases meeting the inclusion and    |
| > exclusion rules for the denominator.                                |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| > All discharges, age 18 years or older, with DRG code for craniotomy |
| > (DRG 001, 002, 528, 529, 530, and 543).                             |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   with a principle diagnosis of head trauma                         |
|                                                                       |
| -   missing discharge disposition (DISP=missing)                      |
|                                                                       |
| -   transferring to another short-term hospital (DISP=2)              |
|                                                                       |
| ICD-9-CM Head Trauma diagnosis codes:                                 |
|                                                                       |
|   ----------                                                          |
| - --------------------------- ----------- --------------------------- |
|   **80                                                                |
| 000**   **CLOSED SKULL VAULT FX**   **80433**   **CL SKL W OTH FX-MOD |
|                                                       COMA**          |
|                                                                       |
|   **80                                                                |
| 001**   **CL SKULL VLT FX W/O       **80434**   **CL SKL/OTH FX-PROLN |
|               COMA**                                  COMA**          |
|                                                                       |
|   **80                                                                |
| 002**   **CL SKULL VLT FX-BRF       **80435**   **CL SKUL/OTH FX-DEEP |
|               COMA**                                  COMA**          |
|                                                                       |
|   **800                                                               |
| 03**   **CL SKULL VLT FX-MOD       **80436**   **CL SKL W OTH FX-COMA |
|               COMA**                                  NOS**           |
|                                                                       |
|   **80004**   **CL SKL VLT FX-PROLN       **80439**   **CL SKUL W OTH |
|               COMA**                                  FX-CONCUSS**    |
|                                                                       |
|   **800                                                               |
| 05**   **CL SKUL VLT FX-DEEP       **80440**   **CL SKL/OTH FX/BR INJ |
|               COMA**                                  NEC**           |
|                                                                       |
|   **80                                                                |
| 006**   **CL SKULL VLT FX-COMA      **80441**   **CL SKL W OTH FX W/O |
|               NOS**                                   COMA**          |
|                                                                       |
|   **80                                                                |
| 009**   **CL SKL VLT FX-CONCUS      **80442**   **CL SKL W OTH FX-BRF |
|               NOS**                                   COMA**          |
|                                                                       |
|   **80                                                                |
| 010**   **CL SKL VLT FX/CEREBR      **80443**   **CL SKL W OTH FX-MOD |
|               LAC**                                   COMA**          |
|                                                                       |
|   **80                                                                |
| 011**   **CL SKULL VLT FX W/O       **80444**   **CL SKL/OTH FX-PROLN |
|               COMA**                                  COMA**          |
|                                                                       |
|   **80                                                                |
| 012**   **CL SKULL VLT FX-BRF       **80445**   **CL SKUL/OTH FX-DEEP |
|               COMA**                                  COMA**          |
|                                                                       |
|   **800                                                               |
| 13**   **CL SKULL VLT FX-MOD       **80446**   **CL SKL W OTH FX-COMA |
|               COMA**                                  NOS**           |
|                                                                       |
|   **80014**   **CL SKL VLT FX-PROLN       **80449**   **CL SKUL W OTH |
|               COMA**                                  FX-CONCUSS**    |
|                                                                       |
|   **8001                                                              |
| 5**   **CL SKUL VLT FX-DEEP       **80450**   **OPN SKULL FX/OTH BONE |
|               COMA**                                  FX**            |
|                                                                       |
|   **80                                                                |
| 016**   **CL SKULL VLT FX-COMA      **80451**   **OPN SKUL/OTH FX W/O |
|               NOS**                                   COMA**          |
|                                                                       |
|   **80                                                                |
| 019**   **CL SKL VLT FX-CONCUS      **80452**   **OPN SKUL/OTH FX-BRF |
|               NOS**                                   COMA**          |
|                                                                       |
|   **80                                                                |
| 020**   **CL SKL VLT FX/MENING      **80453**   **OPN SKUL/OTH FX-MOD |
|               HEM**                                   COMA**          |
|                                                                       |
|   **80                                                                |
| 021**   **CL SKULL VLT FX W/O       **80454**   **OPN SKL/OTH FX-PROL |
|               COMA**                                  COMA**          |
|                                                                       |
|   **80                                                                |
| 022**   **CL SKULL VLT FX-BRF       **80455**   **OPN SKL/OTH FX-DEEP |
|               COMA**                                  COMA**          |
|                                                                       |
|   **800                                                               |
| 23**   **CL SKULL VLT FX-MOD       **80456**   **OPN SKUL/OTH FX-COMA |
|               COMA**                                  NOS**           |
|                                                                       |
|   **80024**   **CL SKL VLT FX-PROLN       **80459**   **OPN SKULL/OTH |
|               COMA**                                  FX-CONCUSS**    |
|                                                                       |
|   **800                                                               |
| 25**   **CL SKUL VLT FX-DEEP       **80460**   **OPN SKL/OTH FX/CEREB |
|               COMA**                                  LAC**           |
|                                                                       |
|   **80                                                                |
| 026**   **CL SKULL VLT FX-COMA      **80461**   **OPN SKUL/OTH FX W/O |
|               NOS**                                   COMA**          |
|                                                                       |
|   **80                                                                |
| 029**   **CL SKL VLT FX-CONCUS      **80462**   **OPN SKUL/OTH FX-BRF |
|               NOS**                                   COMA**          |
|                                                                       |
|   **80                                                                |
| 030**   **CL SKULL VLT FX/HEM NEC** **80463**   **OPN SKUL/OTH FX-MOD |
|                                                       COMA**          |
|                                                                       |
|   **80                                                                |
| 031**   **CL SKULL VLT FX W/O       **80464**   **OPN SKL/OTH FX-PROL |
|               COMA**                                  COMA**          |
|                                                                       |
|   **80                                                                |
| 032**   **CL SKULL VLT FX-BRF       **80465**   **OPN SKL/OTH FX-DEEP |
|               COMA**                                  COMA**          |
|                                                                       |
|   **800                                                               |
| 33**   **CL SKULL VLT FX-MOD       **80466**   **OPN SKUL/OTH FX-COMA |
|               COMA**                                  NOS**           |
|                                                                       |
|   **80034**   **CL SKL VLT FX-PROLN       **80469**   **OPN SKULL/OTH |
|               COMA**                                  FX-CONCUSS**    |
|                                                                       |
|   **800                                                               |
| 35**   **CL SKUL VLT FX-DEEP       **80470**   **OPN SKL/OTH FX/MENIN |
|               COMA**                                  HEM**           |
|                                                                       |
|   **80                                                                |
| 036**   **CL SKULL VLT FX-COMA      **80471**   **OPN SKUL/OTH FX W/O |
|               NOS**                                   COMA**          |
|                                                                       |
|   **80                                                                |
| 039**   **CL SKL VLT FX-CONCUS      **80472**   **OPN SKUL/OTH FX-BRF |
|               NOS**                                   COMA**          |
|                                                                       |
|   **80                                                                |
| 040**   **CL SKL VLT FX/BR INJ      **80473**   **OPN SKUL/OTH FX-MOD |
|               NEC**                                   COMA**          |
|                                                                       |
|   **80                                                                |
| 041**   **CL SKULL VLT FX W/O       **80474**   **OPN SKL/OTH FX-PROL |
|               COMA**                                  COMA**          |
|                                                                       |
|   **80                                                                |
| 042**   **CL SKULL VLT FX-BRF       **80475**   **OPN SKL/OTH FX-DEEP |
|               COMA**                                  COMA**          |
|                                                                       |
|   **800                                                               |
| 43**   **CL SKULL VLT FX-MOD       **80476**   **OPN SKUL/OTH FX-COMA |
|               COMA**                                  NOS**           |
|                                                                       |
|   **80044**   **CL SKL VLT FX-PROLN       **80479**   **OPN SKULL/OTH |
|               COMA**                                  FX-CONCUSS**    |
|                                                                       |
|   **800                                                               |
| 45**   **CL SKUL VLT FX-DEEP       **80480**   **OPN SKL W OTH FX/HEM |
|               COMA**                                  NEC**           |
|                                                                       |
|   **80                                                                |
| 046**   **CL SKULL VLT FX-COMA      **80481**   **OPN SKUL/OTH FX W/O |
|               NOS**                                   COMA**          |
|                                                                       |
|   **80                                                                |
| 049**   **CL SKL VLT FX-CONCUS      **80482**   **OPN SKUL/OTH FX-BRF |
|               NOS**                                   COMA**          |
|                                                                       |
|   **80                                                                |
| 050**   **OPN SKULL VAULT           **80483**   **OPN SKUL/OTH FX-MOD |
|               FRACTURE**                              COMA**          |
|                                                                       |
|   **80                                                                |
| 051**   **OPN SKUL VLT FX W/O       **80484**   **OPN SKL/OTH FX-PROL |
|               COMA**                                  COMA**          |
|                                                                       |
|   **80                                                                |
| 052**   **OPN SKUL VLT FX-BRF       **80485**   **OPN SKL/OTH FX-DEEP |
|               COMA**                                  COMA**          |
|                                                                       |
|   **800                                                               |
| 53**   **OPN SKUL VLT FX-MOD       **80486**   **OPN SKUL/OTH FX-COMA |
|               COMA**                                  NOS**           |
|                                                                       |
|   **80054**   **OPN SKL VLT FX-PROLN      **80489**   **OPN SKULL/OTH |
|               COM**                                   FX-CONCUSS**    |
|                                                                       |
|   **800                                                               |
| 55**   **OPN SKL VLT FX-DEEP       **80490**   **OP SKL/OTH FX/BR INJ |
|               COMA**                                  NEC**           |
|                                                                       |
|   **80                                                                |
| 056**   **OPN SKUL VLT FX-COMA      **80491**   **OPN SKUL/OTH FX W/O |
|               NOS**                                   COMA**          |
|                                                                       |
|   **80                                                                |
| 059**   **OP SKL VLT FX-CONCUS      **80492**   **OPN SKUL/OTH FX-BRF |
|               NOS**                                   COMA**          |
|                                                                       |
|   **80                                                                |
| 060**   **OPN SKL VLT FX/CEREB      **80493**   **OPN SKUL/OTH FX-MOD |
|               LAC**                                   COMA**          |
|                                                                       |
|   **80                                                                |
| 061**   **OPN SKUL VLT FX W/O       **80494**   **OPN SKL/OTH FX-PROL |
|               COMA**                                  COMA**          |
|                                                                       |
|   **80                                                                |
| 062**   **OPN SKUL VLT FX-BRF       **80495**   **OPN SKL/OTH FX-DEEP |
|               COMA**                                  COMA**          |
|                                                                       |
|   **800                                                               |
| 63**   **OPN SKUL VLT FX-MOD       **80496**   **OPN SKUL/OTH FX-COMA |
|               COMA**                                  NOS**           |
|                                                                       |
|   **80064**   **OPN SKL VLT FX-PROLN      **80499**   **OPN SKULL/OTH |
|               COM**                                   FX-CONCUSS**    |
|                                                                       |
|   **80065**                                                           |
|   **OPN SKL VLT FX-DEEP       **80500**   **FX CERVICAL VERT NOS-CL** |
|               COMA**                                                  |
|                                                                       |
|   **80066*                                                            |
| *   **OPN SKUL VLT FX-COMA      **80501**   **FX C1 VERTEBRA-CLOSED** |
|               NOS**                                                   |
|                                                                       |
|   **80069*                                                            |
| *   **OP SKL VLT FX-CONCUS      **80502**   **FX C2 VERTEBRA-CLOSED** |
|               NOS**                                                   |
|                                                                       |
|   **80070*                                                            |
| *   **OPN SKL VLT FX/MENIN      **80503**   **FX C3 VERTEBRA-CLOSED** |
|               HEM**                                                   |
|                                                                       |
|   **80071*                                                            |
| *   **OPN SKUL VLT FX W/O       **80504**   **FX C4 VERTEBRA-CLOSED** |
|               COMA**                                                  |
|                                                                       |
|   **80072*                                                            |
| *   **OPN SKUL VLT FX-BRF       **80505**   **FX C5 VERTEBRA-CLOSED** |
|               COMA**                                                  |
|                                                                       |
|   **80073*                                                            |
| *   **OPN SKUL VLT FX-MOD       **80506**   **FX C6 VERTEBRA-CLOSED** |
|               COMA**                                                  |
|                                                                       |
|   **80074*                                                            |
| *   **OPN SKL VLT FX-PROLN      **80507**   **FX C7 VERTEBRA-CLOSED** |
|               COM**                                                   |
|                                                                       |
|   *                                                                   |
| *80075**   **OPN SKL VLT FX-DEEP       **80508**   **FX MULT CERVICAL |
|               COMA**                                  VERT-CL**       |
|                                                                       |
|   *                                                                   |
| *80076**   **OPN SKUL VLT FX-COMA      **80510**   **FX CERVICAL VERT |
|               NOS**                                   NOS-OPN**       |
|                                                                       |
|   **8007                                                              |
| 9**   **OP SKL VLT FX-CONCUS      **80511**   **FX C1 VERTEBRA-OPEN** |
|               NOS**                                                   |
|                                                                       |
|   **8008                                                              |
| 0**   **OPN SKULL VLT FX/HEM      **80512**   **FX C2 VERTEBRA-OPEN** |
|               NEC**                                                   |
|                                                                       |
|   **8008                                                              |
| 1**   **OPN SKUL VLT FX W/O       **80513**   **FX C3 VERTEBRA-OPEN** |
|               COMA**                                                  |
|                                                                       |
|   **8008                                                              |
| 2**   **OPN SKUL VLT FX-BRF       **80514**   **FX C4 VERTEBRA-OPEN** |
|               COMA**                                                  |
|                                                                       |
|   **8008                                                              |
| 3**   **OPN SKUL VLT FX-MOD       **80515**   **FX C5 VERTEBRA-OPEN** |
|               COMA**                                                  |
|                                                                       |
|   **8008                                                              |
| 4**   **OPN SKL VLT FX-PROLN      **80516**   **FX C6 VERTEBRA-OPEN** |
|               COM**                                                   |
|                                                                       |
|   **8008                                                              |
| 5**   **OPN SKL VLT FX-DEEP       **80517**   **FX C7 VERTEBRA-OPEN** |
|               COMA**                                                  |
|                                                                       |
|                                                                       |
| **80086**   **OPN SKUL VLT FX-COMA      **80518**   **FX MLT CERVICAL |
|               NOS**                                   VERT-OPN**      |
|                                                                       |
|   **800                                                               |
| 89**   **OP SKL VLT FX-CONCUS      **80600**   **C1-C4 FX-CL/CORD INJ |
|               NOS**                                   NOS**           |
|                                                                       |
|   **800                                                               |
| 90**   **OP SKL VLT FX/BR INJ      **80601**   **C1-C4 FX-CL/COM CORD |
|               NEC**                                   LES**           |
|                                                                       |
|   **800                                                               |
| 91**   **OPN SKUL VLT FX W/O       **80602**   **C1-C4 FX-CL/ANT CORD |
|               COMA**                                  SYN**           |
|                                                                       |
|   **800                                                               |
| 92**   **OPN SKUL VLT FX-BRF       **80603**   **C1-C4 FX-CL/CEN CORD |
|               COMA**                                  SYN**           |
|                                                                       |
|   **800                                                               |
| 93**   **OPN SKUL VLT FX-MOD       **80604**   **C1-C4 FX-CL/CORD INJ |
|               COMA**                                  NEC**           |
|                                                                       |
|   **800                                                               |
| 94**   **OPN SKL VLT FX-PROLN      **80605**   **C5-C7 FX-CL/CORD INJ |
|               COM**                                   NOS**           |
|                                                                       |
|   **800                                                               |
| 95**   **OP SKUL VLT FX-DEEP       **80606**   **C5-C7 FX-CL/COM CORD |
|               COMA**                                  LES**           |
|                                                                       |
|   **800                                                               |
| 96**   **OPN SKUL VLT FX-COMA      **80607**   **C5-C7 FX-CL/ANT CORD |
|               NOS**                                   SYN**           |
|                                                                       |
|   **800                                                               |
| 99**   **OP SKL VLT FX-CONCUS      **80608**   **C5-C7 FX-CL/CEN CORD |
|               NOS**                                   SYN**           |
|                                                                       |
|   **801                                                               |
| 00**   **CLOS SKULL BASE           **80609**   **C5-C7 FX-CL/CORD INJ |
|               FRACTURE**                              NEC**           |
|                                                                       |
|   **801                                                               |
| 01**   **CL SKUL BASE FX W/O       **80610**   **C1-C4 FX-OP/CORD INJ |
|               COMA**                                  NOS**           |
|                                                                       |
|   **801                                                               |
| 02**   **CL SKUL BASE FX-BRF       **80611**   **C1-C4 FX-OP/COM CORD |
|               COMA**                                  LES**           |
|                                                                       |
|   **801                                                               |
| 03**   **CL SKUL BASE FX-MOD       **80612**   **C1-C4 FX-OP/ANT CORD |
|               COMA**                                  SYN**           |
|                                                                       |
|   **801                                                               |
| 04**   **CL SKL BASE FX-PROL       **80613**   **C1-C4 FX-OP/CEN CORD |
|               COMA**                                  SYN**           |
|                                                                       |
|   **801                                                               |
| 05**   **CL SKL BASE FX-DEEP       **80614**   **C1-C4 FX-OP/CORD INJ |
|               COMA**                                  NEC**           |
|                                                                       |
|   **801                                                               |
| 06**   **CL SKUL BASE FX-COMA      **80615**   **C5-C7 FX-OP/CORD INJ |
|               NOS**                                   NOS**           |
|                                                                       |
|   **801                                                               |
| 09**   **CL SKULL BASE             **80616**   **C5-C7 FX-OP/COM CORD |
|               FX-CONCUSS**                            LES**           |
|                                                                       |
|   **801                                                               |
| 10**   **CL SKL BASE FX/CEREB      **80617**   **C5-C7 FX-OP/ANT CORD |
|               LAC**                                   SYN**           |
|                                                                       |
|   **801                                                               |
| 11**   **CL SKUL BASE FX W/O       **80618**   **C5-C7 FX-OP/CEN CORD |
|               COMA**                                  SYN**           |
|                                                                       |
|   **801                                                               |
| 12**   **CL SKUL BASE FX-BRF       **80619**   **C5-C7 FX-OP/CORD INJ |
|               COMA**                                  NEC**           |
|                                                                       |
|   **8011                                                              |
| 3**   **CL SKUL BASE FX-MOD       **8500**    **CONCUSSION W/O COMA** |
|               COMA**                                                  |
|                                                                       |
|   **80114*                                                            |
| *   **CL SKL BASE FX-PROL       **8501**    **CONCUSSION-BRIEF COMA** |
|               COMA**                                                  |
|                                                                       |
|   **80115                                                             |
| **   **CL SKL BASE FX-DEEP       **85011**   **CONCUS-BRIEF COMA \<31 |
|               COMA**                                  MN**            |
|                                                                       |
|   **8011                                                              |
| 6**   **CL SKUL BASE FX-COMA      **85012**   **CONCUS-BRF COMA 31-59 |
|               NOS**                                   MN**            |
|                                                                       |
|   **80                                                                |
| 119**   **CL SKULL BASE             **8502**    **CONCUSSION-MODERATE |
|               FX-CONCUSS**                            COMA**          |
|                                                                       |
|   **80120**                                                           |
|   **CL SKL BASE FX/MENIN      **8503**    **CONCUSSION-PROLONG COMA** |
|               HEM**                                                   |
|                                                                       |
|   **80121                                                             |
| **   **CL SKUL BASE FX W/O       **8504**    **CONCUSSION-DEEP COMA** |
|               COMA**                                                  |
|                                                                       |
|   **80122*                                                            |
| *   **CL SKUL BASE FX/BRF       **8505**    **CONCUSSION W COMA NOS** |
|               COMA**                                                  |
|                                                                       |
|   *                                                                   |
| *80123**   **CL SKUL BASE FX-MOD       **8509**    **CONCUSSION NOS** |
|               COMA**                                                  |
|                                                                       |
|                                                                       |
|  **80124**   **CL SKL BASE FX-PROL       **85100**   **CEREBRAL CORTX |
|               COMA**                                  CONTUSION**     |
|                                                                       |
|   **80                                                                |
| 125**   **CL SKL BASE FX-DEEP       **85101**   **CORTEX CONTUSION-NO |
|               COMA**                                  COMA**          |
|                                                                       |
|   **80                                                                |
| 126**   **CL SKUL BASE FX-COMA      **85102**   **CORTEX CONTUS-BRIEF |
|               NOS**                                   COMA**          |
|                                                                       |
|   **80129**                                                           |
|    **CL SKULL BASE             **85103**   **CORTEX CONTUS-MOD COMA** |
|               FX-CONCUSS**                                            |
|                                                                       |
|   **80                                                                |
| 130**   **CL SKULL BASE FX/HEM      **85104**   **CORTX CONTUS-PROLNG |
|               NEC**                                   COMA**          |
|                                                                       |
|   **80131**                                                           |
|   **CL SKUL BASE FX W/O       **85105**   **CORTEX CONTUS-DEEP COMA** |
|               COMA**                                                  |
|                                                                       |
|   **80132**                                                           |
|    **CL SKUL BASE FX-BRF       **85106**   **CORTEX CONTUS-COMA NOS** |
|               COMA**                                                  |
|                                                                       |
|   **801                                                               |
| 33**   **CL SKUL BASE FX-MOD       **85109**   **CORTEX CONTUS-CONCUS |
|               COMA**                                  NOS**           |
|                                                                       |
|   **801                                                               |
| 34**   **CL SKL BASE FX-PROL       **85110**   **CORTEX CONTUSION/OPN |
|               COMA**                                  WND**           |
|                                                                       |
|   **80                                                                |
| 135**   **CL SKL BASE FX-DEEP       **85111**   **OPN CORTX CONTUS-NO |
|               COMA**                                  COMA**          |
|                                                                       |
|   **80                                                                |
| 136**   **CL SKUL BASE FX-COMA      **85112**   **OPN CORT CONTUS-BRF |
|               NOS**                                   COMA**          |
|                                                                       |
|   **80                                                                |
| 139**   **CL SKULL BASE             **85113**   **OPN CORT CONTUS-MOD |
|               FX-CONCUSS**                            COMA**          |
|                                                                       |
|   **80                                                                |
| 140**   **CL SK BASE FX/BR INJ      **85114**   **OPN CORT CONTU-PROL |
|               NEC**                                   COMA**          |
|                                                                       |
|   **80                                                                |
| 141**   **CL SKUL BASE FX W/O       **85115**   **OPN CORT CONTU-DEEP |
|               COMA**                                  COMA**          |
|                                                                       |
|   **801                                                               |
| 42**   **CL SKUL BASE FX-BRF       **85116**   **OPN CORT CONTUS-COMA |
|               COMA**                                  NOS**           |
|                                                                       |
|   **80143**   **CL SKUL BASE FX-MOD       **85119**   **OPN CORTX     |
|                                                                       |
|              COMA**                                  CONTUS-CONCUSS** |
|                                                                       |
|   **80144**                                                           |
|   **CL SKL BASE FX-PROL       **85120**   **CEREBRAL CORTEX LACERAT** |
|               COMA**                                                  |
|                                                                       |
|   **80145**                                                           |
|   **CL SKL BASE FX-DEEP       **85121**   **CORTEX LACERAT W/O COMA** |
|               COMA**                                                  |
|                                                                       |
|   **80                                                                |
| 146**   **CL SKUL BASE FX-COMA      **85122**   **CORTEX LACERA-BRIEF |
|               NOS**                                   COMA**          |
|                                                                       |
|   **80149**                                                           |
|   **CL SKULL BASE             **85123**   **CORTEX LACERAT-MOD COMA** |
|               FX-CONCUSS**                                            |
|                                                                       |
|   **80                                                                |
| 150**   **OPEN SKULL BASE           **85124**   **CORTEX LACERAT-PROL |
|               FRACTURE**                              COMA**          |
|                                                                       |
|   **80                                                                |
| 151**   **OPN SKL BASE FX W/O       **85125**   **CORTEX LACERAT-DEEP |
|               COMA**                                  COMA**          |
|                                                                       |
|   **80152**                                                           |
|   **OPN SKL BASE FX-BRF       **85126**   **CORTEX LACERAT-COMA NOS** |
|               COMA**                                                  |
|                                                                       |
|   **80153**                                                           |
|    **OPN SKL BASE FX-MOD       **85129**   **CORTEX LACERAT-CONCUSS** |
|               COMA**                                                  |
|                                                                       |
|   **8                                                                 |
| 0154**   **OP SKL BASE FX-PROL       **85130**   **CORTEX LACER W OPN |
|               COMA**                                  WOUND**         |
|                                                                       |
|   **80                                                                |
| 155**   **OP SKL BASE FX-DEEP       **85131**   **OPN CORTEX LACER-NO |
|               COMA**                                  COMA**          |
|                                                                       |
|   **80                                                                |
| 156**   **OPN SKL BASE FX-COMA      **85132**   **OPN CORTX LAC-BRIEF |
|               NOS**                                   COMA**          |
|                                                                       |
|   **80                                                                |
| 159**   **OPN SKUL BASE             **85133**   **OPN CORTX LACER-MOD |
|               FX-CONCUSS**                            COMA**          |
|                                                                       |
|   **80                                                                |
| 160**   **OP SKL BASE FX/CEREB      **85134**   **OPN CORTX LAC-PROLN |
|               LAC**                                   COMA**          |
|                                                                       |
|   **80                                                                |
| 161**   **OPN SKL BASE FX W/O       **85135**   **OPN CORTEX LAC-DEEP |
|               COMA**                                  COMA**          |
|                                                                       |
|   **801                                                               |
| 62**   **OPN SKL BASE FX-BRF       **85136**   **OPN CORTX LACER-COMA |
|               COMA**                                  NOS**           |
|                                                                       |
|   **80163**                                                           |
|   **OPN SKL BASE FX-MOD       **85139**   **OPN CORTX LACER-CONCUSS** |
|               COMA**                                                  |
|                                                                       |
|   **                                                                  |
| 80164**   **OP SKL BASE FX-PROL       **85140**   **CEREBEL/BRAIN STM |
|               COMA**                                  CONTUS**        |
|                                                                       |
|   **80                                                                |
| 165**   **OP SKL BASE FX-DEEP       **85141**   **CEREBELL CONTUS W/O |
|               COMA**                                  COMA**          |
|                                                                       |
|   **80                                                                |
| 166**   **OPN SKL BASE FX-COMA      **85142**   **CEREBELL CONTUS-BRF |
|               NOS**                                   COMA**          |
|                                                                       |
|   **80                                                                |
| 169**   **OPN SKUL BASE             **85143**   **CEREBELL CONTUS-MOD |
|               FX-CONCUSS**                            COMA**          |
|                                                                       |
|   **80                                                                |
| 170**   **OP SKL BASE FX/MENIN      **85144**   **CEREBEL CONTUS-PROL |
|               HEM**                                   COMA**          |
|                                                                       |
|   **80                                                                |
| 171**   **OPN SKL BASE FX W/O       **85145**   **CEREBEL CONTUS-DEEP |
|               COMA**                                  COMA**          |
|                                                                       |
|   **801                                                               |
| 72**   **OPN SKL BASE FX-BRF       **85146**   **CEREBELL CONTUS-COMA |
|               COMA**                                  NOS**           |
|                                                                       |
|   **80173**                                                           |
|   **OPN SKL BASE FX-MOD       **85149**   **CEREBELL CONTUS-CONCUSS** |
|               COMA**                                                  |
|                                                                       |
|   **801                                                               |
| 74**   **OP SKL BASE FX-PROL       **85150**   **CEREBEL CONTUS W OPN |
|               COMA**                                  WND**           |
|                                                                       |
|   **80                                                                |
| 175**   **OP SKL BASE FX-DEEP       **85151**   **OPN CEREBE CONT W/O |
|               COMA**                                  COMA**          |
|                                                                       |
|   **80                                                                |
| 176**   **OPN SKL BASE FX-COMA      **85152**   **OPN CEREBE CONT-BRF |
|               NOS**                                   COMA**          |
|                                                                       |
|   **80                                                                |
| 179**   **OPN SKUL BASE             **85153**   **OPN CEREBE CONT-MOD |
|               FX-CONCUSS**                            COMA**          |
|                                                                       |
|   **801                                                               |
| 80**   **OPN SKUL BASE FX/HEM      **85154**   **OPN CEREBE CONT-PROL |
|               NEC**                                   COM**           |
|                                                                       |
|   **801                                                               |
| 81**   **OPN SKL BASE FX W/O       **85155**   **OPN CEREBE CONT-DEEP |
|               COMA**                                  COM**           |
|                                                                       |
|   **801                                                               |
| 82**   **OPN SKL BASE FX-BRF       **85156**   **OPN CEREBE CONT-COMA |
|               COMA**                                  NOS**           |
|                                                                       |
|   **80183**   **OPN SKL BASE FX-MOD       **85159**   **OPN CEREBEL   |
|               COMA**                                  CONT-CONCUSS**  |
|                                                                       |
|   **8                                                                 |
| 0184**   **OP SKL BASE FX-PROL       **85160**   **CEREBEL/BRAIN STEM |
|               COMA**                                  LACER**         |
|                                                                       |
|   **80                                                                |
| 185**   **OP SKL BASE FX-DEEP       **85161**   **CEREBEL LACERAT W/O |
|               COMA**                                  COMA**          |
|                                                                       |
|   **80                                                                |
| 186**   **OPN SKL BASE FX-COMA      **85162**   **CEREBEL LACER-BRIEF |
|               NOS**                                   COMA**          |
|                                                                       |
|   **80                                                                |
| 189**   **OPN SKUL BASE             **85163**   **CEREBEL LACERAT-MOD |
|               FX-CONCUSS**                            COMA**          |
|                                                                       |
|   **80                                                                |
| 190**   **OP SK BASE FX/BR INJ      **85164**   **CEREBEL LACER-PROLN |
|               NEC**                                   COMA**          |
|                                                                       |
|   **80                                                                |
| 191**   **OP SKUL BASE FX W/O       **85165**   **CEREBELL LACER-DEEP |
|               COMA**                                  COMA**          |
|                                                                       |
|   **801                                                               |
| 92**   **OPN SKL BASE FX-BRF       **85166**   **CEREBEL LACERAT-COMA |
|               COMA**                                  NOS**           |
|                                                                       |
|   **80193**   **OPN SKL BASE FX-MOD       **85169**   **CEREBEL       |
|                                                                       |
|            COMA**                                  LACER-CONCUSSION** |
|                                                                       |
|   **801                                                               |
| 94**   **OP SKL BASE FX-PROL       **85170**   **CEREBEL LACER W OPEN |
|               COMA**                                  WND**           |
|                                                                       |
|   **80                                                                |
| 195**   **OP SKL BASE FX-DEEP       **85171**   **OPN CEREBEL LAC W/O |
|               COMA**                                  COMA**          |
|                                                                       |
|   **80                                                                |
| 196**   **OPN SKL BASE FX-COMA      **85172**   **OPN CEREBEL LAC-BRF |
|               NOS**                                   COMA**          |
|                                                                       |
|   **80                                                                |
| 199**   **OPN SKUL BASE             **85173**   **OPN CEREBEL LAC-MOD |
|               FX-CONCUSS**                            COMA**          |
|                                                                       |
|   **80                                                                |
| 20**    **NASAL BONE FX-CLOSED**    **85174**   **OPN CEREBE LAC-PROL |
|                                                       COMA**          |
|                                                                       |
|   **80                                                                |
| 21**    **NASAL BONE FX-OPEN**      **85175**   **OPN CEREBE LAC-DEEP |
|                                                       COMA**          |
|                                                                       |
|   **802                                                               |
| 20**   **MANDIBLE FX NOS-CLOSED**  **85176**   **OPN CEREBEL LAC-COMA |
|                                                       NOS**           |
|                                                                       |
|   **80221**   **FX CONDYL PROC            **85179**   **OPN CEREBELL  |
|               MANDIB-CL**                             LAC-CONCUSS**   |
|                                                                       |
|   **80222                                                             |
| **   **SUBCONDYLAR FX            **85180**   **BRAIN LACERATION NEC** |
|               MANDIB-CL**                                             |
|                                                                       |
|   **80                                                                |
| 223**   **FX CORON PROC MANDIB-CL** **85181**   **BRAIN LACER NEC W/O |
|                                                       COMA**          |
|                                                                       |
|   **80                                                                |
| 224**   **FX RAMUS NOS-CLOSED**     **85182**   **BRAIN LAC NEC-BRIEF |
|                                                       COMA**          |
|                                                                       |
|   **80                                                                |
| 225**   **FX ANGLE OF JAW-CLOSED**  **85183**   **BRAIN LACER NEC-MOD |
|                                                       COMA**          |
|                                                                       |
|   **80                                                                |
| 226**   **FX SYMPHY MANDIB          **85184**   **BRAIN LAC NEC-PROLN |
|               BODY-CL**                               COMA**          |
|                                                                       |
|   **80227**                                                           |
|   **FX ALVEOLAR BORD          **85185**   **BRAIN LAC NEC-DEEP COMA** |
|               MAND-CL**                                               |
|                                                                       |
|   **802                                                               |
| 28**   **FX MANDIBLE BODY NEC-CL** **85186**   **BRAIN LACER NEC-COMA |
|                                                       NOS**           |
|                                                                       |
|   **80229**                                                           |
|   **MULT FX MANDIBLE-CLOSED** **85189**   **BRAIN LACER NEC-CONCUSS** |
|                                                                       |
|   **802                                                               |
| 30**   **MANDIBLE FX NOS-OPEN**    **85190**   **BRAIN LAC NEC W OPEN |
|                                                       WND**           |
|                                                                       |
|   **80                                                                |
| 231**   **FX CONDYL PROC            **85191**   **OPN BRAIN LACER W/O |
|               MAND-OPEN**                             COMA**          |
|                                                                       |
|   **80                                                                |
| 232**   **SUBCONDYL FX              **85192**   **OPN BRAIN LAC-BRIEF |
|               MANDIB-OPEN**                           COMA**          |
|                                                                       |
|   **80                                                                |
| 233**   **FX CORON PROC             **85193**   **OPN BRAIN LACER-MOD |
|               MANDIB-OPN**                            COMA**          |
|                                                                       |
|   **80                                                                |
| 234**   **FX RAMUS NOS-OPEN**       **85194**   **OPN BRAIN LAC-PROLN |
|                                                       COMA**          |
|                                                                       |
|   **80                                                                |
| 235**   **FX ANGLE OF JAW-OPEN**    **85195**   **OPEN BRAIN LAC-DEEP |
|                                                       COMA**          |
|                                                                       |
|   **802                                                               |
| 36**   **FX SYMPHY MANDIB          **85196**   **OPN BRAIN LACER-COMA |
|               BDY-OPN**                               NOS**           |
|                                                                       |
|   **80237**   **FX ALV BORD MAND          **85199**   **OPEN BRAIN    |
|               BDY-OPN**                               LACER-CONCUSS** |
|                                                                       |
|   **80238**                                                           |
|    **FX MANDIBLE BODY          **85200**   **TRAUM SUBARACHNOID HEM** |
|               NEC-OPN**                                               |
|                                                                       |
|   **80                                                                |
| 239**   **MULT FX MANDIBLE-OPEN**   **85201**   **SUBARACHNOID HEM-NO |
|                                                       COMA**          |
|                                                                       |
|   **8024**                                                            |
|   **FX                        **85202**   **SUBARACH HEM-BRIEF COMA** |
|               MALAR/MAXILLARY-CLOSE**                                 |
|                                                                       |
|   **8025**                                                            |
|     **FX MALAR/MAXILLARY-OPEN** **85203**   **SUBARACH HEM-MOD COMA** |
|                                                                       |
|   **80                                                                |
| 26**    **FX ORBITAL FLOOR-CLOSED** **85204**   **SUBARACH HEM-PROLNG |
|                                                       COMA**          |
|                                                                       |
|   **8027**                                                            |
|    **FX ORBITAL FLOOR-OPEN**   **85205**   **SUBARACH HEM-DEEP COMA** |
|                                                                       |
|   **8028**                                                            |
|     **FX FACIAL BONE            **85206**   **SUBARACH HEM-COMA NOS** |
|               NEC-CLOSE**                                             |
|                                                                       |
|   **8029**                                                            |
|   **FX FACIAL BONE NEC-OPEN** **85209**   **SUBARACH HEM-CONCUSSION** |
|                                                                       |
|   **8                                                                 |
| 0300**   **CLOSE SKULL FRACTURE      **85210**   **SUBARACH HEM W OPN |
|               NEC**                                   WOUND**         |
|                                                                       |
|   **80                                                                |
| 301**   **CL SKULL FX NEC W/O       **85211**   **OPN SUBARACH HEM-NO |
|               COMA**                                  COMA**          |
|                                                                       |
|   **80                                                                |
| 302**   **CL SKULL FX NEC-BRF       **85212**   **OP SUBARACH HEM-BRF |
|               COMA**                                  COMA**          |
|                                                                       |
|   **80                                                                |
| 303**   **CL SKULL FX NEC-MOD       **85213**   **OP SUBARACH HEM-MOD |
|               COMA**                                  COMA**          |
|                                                                       |
|   **803                                                               |
| 04**   **CL SKL FX NEC-PROLN       **85214**   **OP SUBARACH HEM-PROL |
|               COMA**                                  COM**           |
|                                                                       |
|   **803                                                               |
| 05**   **CL SKUL FX NEC-DEEP       **85215**   **OP SUBARACH HEM-DEEP |
|               COMA**                                  COM**           |
|                                                                       |
|   **803                                                               |
| 06**   **CL SKULL FX NEC-COMA      **85216**   **OP SUBARACH HEM-COMA |
|               NOS**                                   NOS**           |
|                                                                       |
|   **80309**   **CL SKULL FX NEC-CONCUSS** **85219**   **OPN SUBARACH  |
|                                                       HEM-CONCUSS**   |
|                                                                       |
|   **80310**                                                           |
|    **CL SKL FX NEC/CEREBR      **85220**   **TRAUMATIC SUBDURAL HEM** |
|               LAC**                                                   |
|                                                                       |
|   **80311*                                                            |
| *   **CL SKULL FX NEC W/O       **85221**   **SUBDURAL HEM W/O COMA** |
|               COMA**                                                  |
|                                                                       |
|   **80312**                                                           |
|   **CL SKULL FX NEC-BRF       **85222**   **SUBDURAL HEM-BRIEF COMA** |
|               COMA**                                                  |
|                                                                       |
|   **80                                                                |
| 313**   **CL SKULL FX NEC-MOD       **85223**   **SUBDURAL HEMORR-MOD |
|               COMA**                                  COMA**          |
|                                                                       |
|   **80                                                                |
| 314**   **CL SKL FX NEC-PROLN       **85224**   **SUBDURAL HEM-PROLNG |
|               COMA**                                  COMA**          |
|                                                                       |
|   **80315**                                                           |
|    **CL SKUL FX NEC-DEEP       **85225**   **SUBDURAL HEM-DEEP COMA** |
|               COMA**                                                  |
|                                                                       |
|   **803                                                               |
| 16**   **CL SKULL FX NEC-COMA      **85226**   **SUBDURAL HEMORR-COMA |
|               NOS**                                   NOS**           |
|                                                                       |
|   **80319**                                                           |
|   **CL SKULL FX NEC-CONCUSS** **85229**   **SUBDURAL HEM-CONCUSSION** |
|                                                                       |
|   **8                                                                 |
| 0320**   **CL SKL FX NEC/MENING      **85230**   **SUBDURAL HEM W OPN |
|               HEM**                                   WOUND**         |
|                                                                       |
|   **80                                                                |
| 321**   **CL SKULL FX NEC W/O       **85231**   **OPEN SUBDUR HEM W/O |
|               COMA**                                  COMA**          |
|                                                                       |
|   **80322**                                                           |
|   **CL SKULL FX NEC-BRF       **85232**   **OPN SUBDUR HEM-BRF COMA** |
|               COMA**                                                  |
|                                                                       |
|   **80323**                                                           |
|   **CL SKULL FX NEC-MOD       **85233**   **OPN SUBDUR HEM-MOD COMA** |
|               COMA**                                                  |
|                                                                       |
|   **80                                                                |
| 324**   **CL SKL FX NEC-PROLN       **85234**   **OPN SUBDUR HEM-PROL |
|               COMA**                                  COMA**          |
|                                                                       |
|   **80                                                                |
| 325**   **CL SKUL FX NEC-DEEP       **85235**   **OPN SUBDUR HEM-DEEP |
|               COMA**                                  COMA**          |
|                                                                       |
|   **80326**                                                           |
|   **CL SKULL FX NEC-COMA      **85236**   **OPN SUBDUR HEM-COMA NOS** |
|               NOS**                                                   |
|                                                                       |
|   **80329**                                                           |
|    **CL SKULL FX NEC-CONCUSS** **85239**   **OPN SUBDUR HEM-CONCUSS** |
|                                                                       |
|   **803                                                               |
| 30**   **CL SKULL FX NEC/HEM NEC** **85240**   **TRAUMATIC EXTRADURAL |
|                                                       HEM**           |
|                                                                       |
|   **80331**                                                           |
|   **CL SKULL FX NEC W/O       **85241**   **EXTRADURAL HEM W/O COMA** |
|               COMA**                                                  |
|                                                                       |
|   **80332**                                                           |
|   **CL SKULL FX NEC-BRF       **85242**   **EXTRADUR HEM-BRIEF COMA** |
|               COMA**                                                  |
|                                                                       |
|   **80333**                                                           |
|   **CL SKULL FX NEC-MOD       **85243**   **EXTRADURAL HEM-MOD COMA** |
|               COMA**                                                  |
|                                                                       |
|   **80334**                                                           |
|   **CL SKL FX NEC-PROLN       **85244**   **EXTRADUR HEM-PROLN COMA** |
|               COMA**                                                  |
|                                                                       |
|   **80                                                                |
| 335**   **CL SKUL FX NEC-DEEP       **85245**   **EXTRADURAL HEM-DEEP |
|               COMA**                                  COMA**          |
|                                                                       |
|   **80336**                                                           |
|   **CL SKULL FX NEC-COMA      **85246**   **EXTRADURAL HEM-COMA NOS** |
|               NOS**                                                   |
|                                                                       |
|   **80339*                                                            |
| *   **CL SKULL FX NEC-CONCUSS** **85249**   **EXTADURAL HEM-CONCUSS** |
|                                                                       |
|   **803                                                               |
| 40**   **CL SKL FX NEC/BR INJ      **85250**   **EXTRADURAL HEM W OPN |
|               NEC**                                   WND**           |
|                                                                       |
|   **80                                                                |
| 341**   **CL SKULL FX NEC W/O       **85251**   **EXTRADURAL HEMOR-NO |
|               COMA**                                  COMA**          |
|                                                                       |
|   **80342**                                                           |
|   **CL SKULL FX NEC-BRF       **85252**   **EXTRADUR HEM-BRIEF COMA** |
|               COMA**                                                  |
|                                                                       |
|   **80343**                                                           |
|   **CL SKULL FX NEC-MOD       **85253**   **EXTRADURAL HEM-MOD COMA** |
|               COMA**                                                  |
|                                                                       |
|   **80344**                                                           |
|   **CL SKL FX NEC-PROLN       **85254**   **EXTRADUR HEM-PROLN COMA** |
|               COMA**                                                  |
|                                                                       |
|   **80345**                                                           |
|    **CL SKUL FX NEC-DEEP       **85255**   **EXTRADUR HEM-DEEP COMA** |
|               COMA**                                                  |
|                                                                       |
|   **80346**                                                           |
|   **CL SKULL FX NEC-COMA      **85256**   **EXTRADURAL HEM-COMA NOS** |
|               NOS**                                                   |
|                                                                       |
|   **80349**                                                           |
|    **CL SKULL FX NEC-CONCUSS** **85259**   **EXTRADURAL HEM-CONCUSS** |
|                                                                       |
|   **80350**                                                           |
|   **OPEN SKULL FRACTURE NEC** **85300**   **TRAUMATIC BRAIN HEM NEC** |
|                                                                       |
|   **80351**                                                           |
|    **OPN SKUL FX NEC W/O       **85301**   **BRAIN HEM NEC W/O COMA** |
|               COMA**                                                  |
|                                                                       |
|   **80                                                                |
| 352**   **OPN SKUL FX NEC-BRF       **85302**   **BRAIN HEM NEC-BRIEF |
|               COMA**                                  COMA**          |
|                                                                       |
|   **80353**                                                           |
|    **OPN SKUL FX NEC-MOD       **85303**   **BRAIN HEM NEC-MOD COMA** |
|               COMA**                                                  |
|                                                                       |
|   **80                                                                |
| 354**   **OPN SKL FX NEC-PROL       **85304**   **BRAIN HEM NEC-PROLN |
|               COMA**                                  COMA**          |
|                                                                       |
|   **80355**                                                           |
|   **OPN SKL FX NEC-DEEP       **85305**   **BRAIN HEM NEC-DEEP COMA** |
|               COMA**                                                  |
|                                                                       |
|   **80356**                                                           |
|    **OPN SKUL FX NEC-COMA      **85306**   **BRAIN HEM NEC-COMA NOS** |
|               NOS**                                                   |
|                                                                       |
|   **80359**   **OPN SKULL FX              **85309**   **BRAIN HEM     |
|                                                                       |
|              NEC-CONCUSS**                           NEC-CONCUSSION** |
|                                                                       |
|   **80360**                                                           |
|   **OPN SKL FX NEC/CEREB      **85310**   **BRAIN HEM NEC W OPN WND** |
|               LAC**                                                   |
|                                                                       |
|   **80361**                                                           |
|    **OPN SKUL FX NEC W/O       **85311**   **BRAIN HEM OPN W/O COMA** |
|               COMA**                                                  |
|                                                                       |
|   **80362**                                                           |
|    **OPN SKUL FX NEC-BRF       **85312**   **BRAIN HEM OPN-BRF COMA** |
|               COMA**                                                  |
|                                                                       |
|   **80363**                                                           |
|   **OPN SKUL FX NEC-MOD       **85313**   **BRAIN HEM OPEN-MOD COMA** |
|               COMA**                                                  |
|                                                                       |
|   **80                                                                |
| 364**   **OPN SKL FX NEC-PROLN      **85314**   **BRAIN HEM OPN-PROLN |
|               COM**                                   COMA**          |
|                                                                       |
|   **80                                                                |
| 365**   **OPN SKL FX NEC-DEEP       **85315**   **BRAIN HEM OPEN-DEEP |
|               COMA**                                  COMA**          |
|                                                                       |
|   **80366**                                                           |
|   **OPN SKUL FX NEC-COMA      **85316**   **BRAIN HEM OPEN-COMA NOS** |
|               NOS**                                                   |
|                                                                       |
|   **80369**   **OPN SKULL FX              **85319**   **BRAIN HEM     |
|                                                                       |
|              NEC-CONCUSS**                           OPN-CONCUSSION** |
|                                                                       |
|   **8                                                                 |
| 0370**   **OPN SKL FX NEC/MENIN      **85400**   **BRAIN INJURY NEC** |
|               HEM**                                                   |
|                                                                       |
|   **80                                                                |
| 371**   **OPN SKUL FX NEC W/O       **85401**   **BRAIN INJURY NEC-NO |
|               COMA**                                  COMA**          |
|                                                                       |
|   **80                                                                |
| 372**   **OPN SKUL FX NEC-BRF       **85402**   **BRAIN INJ NEC-BRIEF |
|               COMA**                                  COMA**          |
|                                                                       |
|   **80373**                                                           |
|    **OPN SKUL FX NEC-MOD       **85403**   **BRAIN INJ NEC-MOD COMA** |
|               COMA**                                                  |
|                                                                       |
|   **80                                                                |
| 374**   **OPN SKL FX NEC-PROL       **85404**   **BRAIN INJ NEC-PROLN |
|               COMA**                                  COMA**          |
|                                                                       |
|   **80375**                                                           |
|   **OPN SKL FX NEC-DEEP       **85405**   **BRAIN INJ NEC-DEEP COMA** |
|               COMA**                                                  |
|                                                                       |
|   **80376**                                                           |
|    **OPN SKUL FX NEC-COMA      **85406**   **BRAIN INJ NEC-COMA NOS** |
|               NOS**                                                   |
|                                                                       |
|   **80379**   **OPN SKULL FX              **85409**   **BRAIN INJ     |
|                                                                       |
|              NEC-CONCUSS**                           NEC-CONCUSSION** |
|                                                                       |
|   **80380**                                                           |
|    **OPN SKULL FX NEC/HEM      **85410**   **BRAIN INJURY W OPN WND** |
|               NEC**                                                   |
|                                                                       |
|   **80381**                                                           |
|    **OPN SKUL FX NEC W/O       **85411**   **OPN BRAIN INJ W/O COMA** |
|               COMA**                                                  |
|                                                                       |
|   **80                                                                |
| 382**   **OPN SKUL FX NEC-BRF       **85412**   **OPN BRAIN INJ-BRIEF |
|               COMA**                                  COMA**          |
|                                                                       |
|   **80383**                                                           |
|    **OPN SKUL FX NEC-MOD       **85413**   **OPN BRAIN INJ-MOD COMA** |
|               COMA**                                                  |
|                                                                       |
|   **80                                                                |
| 384**   **OPN SKL FX NEC-PROL       **85414**   **OPN BRAIN INJ-PROLN |
|               COMA**                                  COMA**          |
|                                                                       |
|   **80385**                                                           |
|   **OPN SKL FX NEC-DEEP       **85415**   **OPN BRAIN INJ-DEEP COMA** |
|               COMA**                                                  |
|                                                                       |
|   **80386**                                                           |
|   **OPN SKUL FX NEC-COMA      **85416**   **OPEN BRAIN INJ-COMA NOS** |
|               NOS**                                                   |
|                                                                       |
|   **80389**   **OPN SKULL FX              **85419**   **OPN BRAIN     |
|                                                                       |
|              NEC-CONCUSS**                           INJ-CONCUSSION** |
|                                                                       |
|   **803                                                               |
| 90**   **OP SKL FX NEC/BR INJ      **9500**    **OPTIC NERVE INJURY** |
|               NEC**                                                   |
|                                                                       |
|   **80391**                                                           |
|    **OPN SKUL FX NEC W/O       **9501**    **INJURY TO OPTIC CHIASM** |
|               COMA**                                                  |
|                                                                       |
|                                                                       |
| **80392**   **OPN SKUL FX NEC-BRF       **9502**    **INJURY TO OPTIC |
|               COMA**                                  PATHWAYS**      |
|                                                                       |
|   **80393**                                                           |
|   **OPN SKUL FX NEC-MOD       **9503**    **INJURY TO VISUAL CORTEX** |
|               COMA**                                                  |
|                                                                       |
|   **80394**                                                           |
|   **OPN SKL FX NEC-PROL       **9509**    **INJ OPTIC NERV/PATH NOS** |
|               COMA**                                                  |
|                                                                       |
|   **80395**                                                           |
|   **OPN SKL FX NEC-DEEP       **9510**    **INJURY OCULOMOTOR NERVE** |
|               COMA**                                                  |
|                                                                       |
|   **80396**                                                           |
|    **OPN SKUL FX NEC-COMA      **9511**    **INJURY TROCHLEAR NERVE** |
|               NOS**                                                   |
|                                                                       |
|   **80399**                                                           |
|   **OPN SKULL FX              **9512**    **INJURY TRIGEMINAL NERVE** |
|               NEC-CONCUSS**                                           |
|                                                                       |
|   **80400*                                                            |
| *   **CL SKUL FX W OTH BONE     **9513**    **INJURY ABDUCENS NERVE** |
|               FX**                                                    |
|                                                                       |
|   **80401**                                                           |
|    **CL SKL W OTH FX W/O       **9514**    **INJURY TO FACIAL NERVE** |
|               COMA**                                                  |
|                                                                       |
|   **8                                                                 |
| 0402**   **CL SKL W OTH FX-BRF       **9515**    **INJURY TO ACOUSTIC |
|               COMA**                                  NERVE**         |
|                                                                       |
|   **80403**                                                           |
|    **CL SKL W OTH FX-MOD       **9516**    **INJURY ACCESSORY NERVE** |
|               COMA**                                                  |
|                                                                       |
|   **8                                                                 |
| 0404**   **CL SKL/OTH FX-PROLN       **9517**    **INJURY HYPOGLOSSAL |
|               COMA**                                  NERVE**         |
|                                                                       |
|   **804                                                               |
| 05**   **CL SKUL/OTH FX-DEEP       **9518**    **INJURY CRANIAL NERVE |
|               COMA**                                  NEC**           |
|                                                                       |
|   **804                                                               |
| 06**   **CL SKL W OTH FX-COMA      **9519**    **INJURY CRANIAL NERVE |
|               NOS**                                   NOS**           |
|                                                                       |
|   **80409**                                                           |
|   **CL SKUL W OTH             **95200**   **C1-C4 SPIN CORD INJ NOS** |
|               FX-CONCUSS**                                            |
|                                                                       |
|   **80410**                                                           |
|   **CL SK W OTH FX/CEREB      **95201**   **COMPLETE LES CORD/C1-C4** |
|               LAC**                                                   |
|                                                                       |
|   **80411**   **CL SKL W OTH FX W/O       **95202**   **ANTERIOR CORD |
|               COMA**                                  SYND/C1-C4**    |
|                                                                       |
|   **80412**                                                           |
|   **CL SKL W OTH FX-BRF       **95203**   **CENTRAL CORD SYND/C1-C4** |
|               COMA**                                                  |
|                                                                       |
|   **80413**                                                           |
|   **CL SKL W OTH FX-MOD       **95204**   **C1-C4 SPIN CORD INJ NEC** |
|               COMA**                                                  |
|                                                                       |
|   **80414**                                                           |
|   **CL SKL/OTH FX-PROLN       **95205**   **C5-C7 SPIN CORD INJ NOS** |
|               COMA**                                                  |
|                                                                       |
|   **80415**                                                           |
|   **CL SKUL/OTH FX-DEEP       **95206**   **COMPLETE LES CORD/C5-C7** |
|               COMA**                                                  |
|                                                                       |
|   **80416**   **CL SKL W OTH FX-COMA      **95207**   **ANTERIOR CORD |
|               NOS**                                   SYND/C5-C7**    |
|                                                                       |
|   **80419**                                                           |
|   **CL SKUL W OTH             **95208**   **CENTRAL CORD SYND/C5-C7** |
|               FX-CONCUSS**                                            |
|                                                                       |
|   **80420**                                                           |
|   **CL SKL/OTH FX/MENING      **95209**   **C5-C7 SPIN CORD INJ NEC** |
|               HEM**                                                   |
|                                                                       |
|   **80421**                                                           |
|   **CL SKL W OTH FX W/O       **95210**   **T1-T6 SPIN CORD INJ NOS** |
|               COMA**                                                  |
|                                                                       |
|   **80422**                                                           |
|   **CL SKL W OTH FX-BRF       **95211**   **COMPLETE LES CORD/T1-T6** |
|               COMA**                                                  |
|                                                                       |
|   **80423**   **CL SKL W OTH FX-MOD       **95212**   **ANTERIOR CORD |
|               COMA**                                  SYND/T1-T6**    |
|                                                                       |
|   **80424**                                                           |
|   **CL SKL/OTH FX-PROLN       **95213**   **CENTRAL CORD SYND/T1-T6** |
|               COMA**                                                  |
|                                                                       |
|   **80425**                                                           |
|   **CL SKUL/OTH FX-DEEP       **95214**   **T1-T6 SPIN CORD INJ NEC** |
|               COMA**                                                  |
|                                                                       |
|   **804                                                               |
| 26**   **CL SKL W OTH FX-COMA      **95215**   **T7-T12 SPIN CORD INJ |
|               NOS**                                   NOS**           |
|                                                                       |
|   **80429**   **CL SKUL W OTH             **95216**   **COMPLETE LES  |
|               FX-CONCUSS**                            CORD/T7-T12**   |
|                                                                       |
|   **80430**   **CL SKUL W OTH FX/HEM      **95217**   **ANTERIOR CORD |
|               NEC**                                   SYN/T7-T12**    |
|                                                                       |
|   **80431**                                                           |
|   **CL SKL W OTH FX W/O       **95218**   **CENTRAL CORD SYN/T7-T12** |
|               COMA**                                                  |
|                                                                       |
|   **804                                                               |
| 32**   **CL SKL W OTH FX-BRF       **95219**   **T7-T12 SPIN CORD INJ |
|               COMA**                                  NEC**           |
|   ----------                                                          |
| - --------------------------- ----------- --------------------------- |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ### Hip Replacement Mortali                                           |
| ty Rate (IQI 14) {#hip-replacement-mortality-rate-iqi-14 .unnumbered} |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| > Number of deaths (DISP=20) among cases meeting the inclusion and    |
| > exclusion rules for the denominator.                                |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| > All discharges, age 18 years and older, with a procedure code of    |
| > partial or full hip replacement in any field.                       |
|                                                                       |
| ICD-9-CM hip replacement procedure codes:                             |
|                                                                       |
|   ---                                                                 |
| --- -------------------- ------ ------------------------------------- |
|   8151   TOTAL HIP            0071   REV HIP REPL-ACETAB COMP OCT05-  |
|          REPLACEMENT                                                  |
|                                                                       |
|   8152   PARTIAL HIP          0072   REV HIP REPL-FEM COMP OCT05-     |
|          REPLACEMENT                                                  |
|                                                                       |
|   8153   REVISE HIP           0073   REV HIP REPL-LINER/HEAD OCT05-   |
|          REPLACEMENT                                                  |
|                                                                       |
|   0070   REV HIP                                                      |
|          REPL-ACETAB/FEM                                              |
|          OCT05-                                                       |
|   ---                                                                 |
| --- -------------------- ------ ------------------------------------- |
|                                                                       |
| Include only discharges with uncomplicated cases: diagnosis codes for |
| osteoarthrosis of hip in any field.                                   |
|                                                                       |
| ICD-9-CM osteoarthrosis diagnosis codes:                              |
|                                                                       |
|   --                                                                  |
| ----- --------------------------- ------- --------------------------- |
|   71500   GENL OSTEOARTHROSIS NOS     71595   OSTEOARTHROS NOS-PELVIS |
|                                                                       |
|                                                                       |
|  71509   GENL OSTEOARTHROSIS MULT    71598   OSTEOARTHRO NOS-OTH SITE |
|                                                                       |
|                                                                       |
|  71510   LOC PRIM OSTEOART-UNSPEC    71650   POLYARTHRITIS NOS-UNSPEC |
|                                                                       |
|                                                                       |
|  71515   LOC PRIM OSTEOART-PELVIS    71655   POLYARTHRITIS NOS-PELVIS |
|                                                                       |
|   7                                                                   |
| 1518   LOC PRIM OSTEOARTHR NEC     71658   POLYARTHRITIS NOS-OTH SITE |
|                                                                       |
|   71520   LOC 2ND OSTEOARTH-UNSPEC    71659   POLYARTHRITIS NOS-MULT  |
|                                                                       |
|                                                                       |
|  71525   LOC 2ND OSTEOARTH-PELVIS    71660   MONOARTHRITIS NOS-UNSPEC |
|                                                                       |
|                                                                       |
|  71528   LOC 2ND OSTEOARTHROS NEC    71665   MONOARTHRITIS NOS-PELVIS |
|                                                                       |
|   7                                                                   |
| 1530   LOC OSTEOARTH NOS-UNSPEC    71668   MONOARTHRITIS NOS-OTH SITE |
|                                                                       |
|   71535   LOC OSTEOARTH NOS-PELVIS    71690   ARTHROPATHY NOS-UNSPEC  |
|                                                                       |
|   71538   LOC OSTEOAR NOS-SITE NEC    71695   ARTHROPATHY NOS-PELVIS  |
|                                                                       |
|                                                                       |
|  71580   OSTEOARTHROSIS-MULT SITE    71698   ARTHROPATHY NOS-OTH SITE |
|                                                                       |
|   71589   OSTEOARTHROSIS-MULT SITE    71699   ARTHROPATHY NOS-MULT    |
|                                                                       |
|   71590   OSTEOARTHROS NOS-UNSPEC                                     |
|   --                                                                  |
| ----- --------------------------- ------- --------------------------- |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   missing discharge disposition (DISP=missing)                      |
|                                                                       |
| -   transferring to another short-term hospital (DISP=2)              |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
|                                                                       |
| ```{=html}                                                            |
| <!-- -->                                                              |
| ```                                                                   |
| -   MDC 15 (newborns and other neonates)                              |
+-----------------------------------------------------------------------+

## Mortality Indicators for Inpatient Medical Conditions

+-----------------------------------------------------------------------+
| ### Acute Myocardial Infarction (AMI) Mortality Rate (IQI 15)         |
|  {#acute-myocardial-infarction-ami-mortality-rate-iqi-15 .unnumbered} |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| > Number of deaths (DISP=20) among cases meeting the inclusion and    |
| > exclusion rules for the denominator.                                |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| > All discharges, age 18 years and older, with a principal diagnosis  |
| > code of AMI.                                                        |
|                                                                       |
| ICD-9-CM AMI diagnosis codes:                                         |
|                                                                       |
|   --                                                                  |
| ----- --------------------------- ------- --------------------------- |
|                                                                       |
|  41001   AMI ANTEROLATERAL, INIT     41051   AMI LATERAL NEC, INITIAL |
|                                                                       |
|   41011   AMI ANTERIOR WALL, INIT     41061   TRUE POST INFARCT, INIT |
|                                                                       |
|                                                                       |
|  41021   AMI INFEROLATERAL, INIT     41071   SUBENDO INFARCT, INITIAL |
|                                                                       |
|   41031   AMI INFEROPOST, INITIAL     41081   AMI NEC, INITIAL        |
|                                                                       |
|   41041   AMI INFERIOR WALL, INIT     41091   AMI NOS, INITIAL        |
|   --                                                                  |
| ----- --------------------------- ------- --------------------------- |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   missing discharge disposition (DISP=missing)                      |
|                                                                       |
| -   transferring to another short-term hospital (DISP=2)              |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ### Acute Myocardial Infarction (AMI) M                               |
| ortality Rate, Without Transfer Cases (IQI 32) {#acute-myocardial-inf |
| arction-ami-mortality-rate-without-transfer-cases-iqi-32 .unnumbered} |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| > Number of deaths (DISP=20) among cases meeting the inclusion and    |
| > exclusion rules for the denominator.                                |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| > All discharges, age 18 years and older, with a principal diagnosis  |
| > code of AMI.                                                        |
|                                                                       |
| ICD-9-CM AMI diagnosis codes:                                         |
|                                                                       |
|   --                                                                  |
| ----- --------------------------- ------- --------------------------- |
|                                                                       |
|  41001   AMI ANTEROLATERAL, INIT     41051   AMI LATERAL NEC, INITIAL |
|                                                                       |
|   41011   AMI ANTERIOR WALL, INIT     41061   TRUE POST INFARCT, INIT |
|                                                                       |
|                                                                       |
|  41021   AMI INFEROLATERAL, INIT     41071   SUBENDO INFARCT, INITIAL |
|                                                                       |
|   41031   AMI INFEROPOST, INITIAL     41081   AMI NEC, INITIAL        |
|                                                                       |
|   41041   AMI INFERIOR WALL, INIT     41091   AMI NOS, INITIAL        |
|   --                                                                  |
| ----- --------------------------- ------- --------------------------- |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   missing discharge disposition (DISP=missing)                      |
|                                                                       |
| -   transferring to another short-term hospital (DISP=2)              |
|                                                                       |
| -   missing admission source (SID ASOURCE=missing)                    |
|                                                                       |
| -   transferring from another short-term hospital (SID ASOURCE=2)     |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ### Congestive Heart Failure (CHF) Mortality Rate (IQI                |
| 16) {#congestive-heart-failure-chf-mortality-rate-iqi-16 .unnumbered} |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| > Number of deaths (DISP=20) among cases meeting the inclusion and    |
| > exclusion rules for the denominator.                                |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| > All discharges, age 18 years and older, with principal diagnosis    |
| > code of CHF.                                                        |
|                                                                       |
| ICD-9-CM CHF diagnosis codes:                                         |
|                                                                       |
|   ---                                                                 |
| ---- ---------------------------- ------- --------------------------- |
|                                                                       |
|  39891   RHEUMATIC HEART FAILURE      42821   AC SYSTOLIC HRT FAILURE |
|                                                OCT02-                 |
|                                                                       |
|                                                                       |
| 40201   MAL HYPERT HRT DIS W CHF     42822   CHR SYSTOLIC HRT FAILURE |
|                                                OCT02-                 |
|                                                                       |
|                                                                       |
|  40211   BENIGN HYP HRT DIS W CHF     42823   AC ON CHR SYST HRT FAIL |
|                                                OCT02-                 |
|                                                                       |
|   40291   HYPERTEN HEART DIS W CHF     4289    HEART FAILURE NOS      |
|                                                                       |
|   4                                                                   |
| 0401   MAL HYPER HRT/REN W CHF      42830   DIASTOLIC HRT FAILURE NOS |
|                                                OCT02-                 |
|                                                                       |
|                                                                       |
| 40403   MAL HYP HRT/REN W CHF&RF     42831   AC DIASTOLIC HRT FAILURE |
|                                                OCT02-                 |
|                                                                       |
|   40411   BEN HYPER HRT/REN W CHF      42832   CHR DIASTOLIC HRT FAIL |
|                                                OCT02-                 |
|                                                                       |
|                                                                       |
| 40413   BEN HYP HRT/REN W CHF&RF     42833   AC ON CHR DIAST HRT FAIL |
|                                                OCT02-                 |
|                                                                       |
|                                                                       |
|  40491   HYPER HRT/REN NOS W CHF      42840   SYST/DIAST HRT FAIL NOS |
|                                                OCT02-                 |
|                                                                       |
|                                                                       |
| 40493   HYP HT/REN NOS W CHF&RF      42841   AC SYST/DIASTOL HRT FAIL |
|                                                OCT02-                 |
|                                                                       |
|                                                                       |
| 4280    CONGESTIVE HEART FAILURE     42842   CHR SYST/DIASTL HRT FAIL |
|                                                OCT02-                 |
|                                                                       |
|                                                                       |
| 4281    LEFT HEART FAILURE           42843   AC/CHR SYST/DIA HRT FAIL |
|                                                OCT02-                 |
|                                                                       |
|   42820   SYSTOLIC HEART FAILURE NOS                                  |
|           OCT02-                                                      |
|   ---                                                                 |
| ---- ---------------------------- ------- --------------------------- |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   missing discharge disposition (DISP=missing)                      |
|                                                                       |
| -   transferring to another short-term hospital (DISP=2)              |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
|                                                                       |
| -   MDC 15 (newborns and other neonates)                              |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ### Acute Stroke Mort                                                 |
| ality Rate (IQI 17) {#acute-stroke-mortality-rate-iqi-17 .unnumbered} |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| > Number of deaths (DISP=20) among cases meeting the inclusion and    |
| > exclusion rules for the denominator.                                |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| > All discharges, age 18 years and older, with principal diagnosis    |
| > code for stroke                                                     |
|                                                                       |
| ICD-9-CM stroke diagnosis codes:                                      |
|                                                                       |
|   ---                                                                 |
| ---- ---------------------------- ------- --------------------------- |
|   43                                                                  |
| 0     SUBARACHNOID HEMORRHAGE      43331   MULT PRECER OCCL W/ INFRCT |
|                                                                       |
|   4                                                                   |
| 31     INTRACEREBRAL HEMORRHAGE     43381   PRECER OCCL NEC W/ INFRCT |
|                                                                       |
|   4                                                                   |
| 320    NONTRAUM EXTRADURAL HEM      43391   PRECER OCCL NOS W/ INFRCT |
|                                                                       |
|   4                                                                   |
| 321    SUBDURAL HEMORRHAGE          43401   CERE THROMBOSIS W/ INFRCT |
|                                                                       |
|                                                                       |
|  4329    INTRACRANIAL HEMORR NOS      43411   CERE EMBOLISM W/ INFRCT |
|                                                                       |
|                                                                       |
| 43301   BASI ART OCCL W/ INFARCT     43491   CEREB OCCL NOS W/ INFRCT |
|                                                                       |
|   43311   CAROTD OCCL W/ INFRCT        436     CVA\*                  |
|                                                                       |
|   43321   VERTB ART OCCL W/ INFRCT                                    |
|   ---                                                                 |
| ---- ---------------------------- ------- --------------------------- |
|                                                                       |
| \*Only for discharges before September 30, 2004 (FY2004). Does not    |
| apply to discharges on or after October 1, 2004 (FY2005).             |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   missing discharge disposition (DISP=missing)                      |
|                                                                       |
| -   transferring to another short-term hospital (DISP=2)              |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
|                                                                       |
| -   MDC 15 (newborns and other neonates)                              |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ### Gastrointestinal Hemorrhage Mortality Rate (IQI                   |
|  18) {#gastrointestinal-hemorrhage-mortality-rate-iqi-18 .unnumbered} |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| > Number of deaths (DISP=20) among cases meeting the inclusion and    |
| > exclusion rules for the denominator.                                |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| > All discharges, age 18 years and older, with principal diagnosis    |
| > code for gastrointestinal hemorrhage.                               |
|                                                                       |
| ICD-9-CM gastrointestinal hemorrhage diagnosis codes:                 |
|                                                                       |
|   --                                                                  |
| ----- --------------------------- ------- --------------------------- |
|   4560    ESOPH VARICES W HEM         53400   AC MARGINAL ULCER W HEM |
|                                                                       |
|                                                                       |
|  5307    GASTOESOPH LACER W HEM      53401   AC MARGIN ULC W HEM-OBST |
|                                                                       |
|                                                                       |
|  53021   ULCER ESOPHAGUS W BLEED     53420   AC MARGIN ULC W HEM/PERF |
|           OCT03-                                                      |
|                                                                       |
|                                                                       |
|  53082   ESOPHAGEAL HEMORRHAGE       53421   AC MARG ULC HEM/PERF-OBS |
|                                                                       |
|                                                                       |
|  53100   AC STOMACH ULCER W HEM      53440   CHR MARGINAL ULCER W HEM |
|                                                                       |
|                                                                       |
|  53101   AC STOMAC ULC W HEM-OBST    53441   CHR MARGIN ULC W HEM-OBS |
|                                                                       |
|   53120   AC STOMAC ULC W HEM/PERF    53460   CHR MARGIN ULC HEM/PERF |
|                                                                       |
|                                                                       |
|  53121   AC STOM ULC HEM/PERF-OBS    53461   CHR MARG ULC HEM/PERF-OB |
|                                                                       |
|   53140   CHR STOMACH ULC W HEM       53501   ACUTE GASTRITIS W HMRHG |
|                                                                       |
|   53141   CHR STOM ULC W HEM-OBSTR    53511   ATRPH GASTRITIS W HMRHG |
|                                                                       |
|   53160   CHR STOMACH ULC HEM/PERF    53521   GSTR MCSL HYPRT W HMRG  |
|                                                                       |
|   53161   CHR STOM ULC HEM/PERF-OB    53531   ALCHL GSTRITIS W HMRHG  |
|                                                                       |
|   53200   AC DUODENAL ULCER W HEM     53541   OTH SPF GASTRT W HMRHG  |
|                                                                       |
|   53201   AC DUODEN ULC W HEM-OBST    53551   GSTR/DDNTS NOS W HMRHG  |
|                                                                       |
|   53220   AC DUODEN ULC W HEM/PERF    53561   DUODENITIS W HMRHG      |
|                                                                       |
|   53221   AC DUOD ULC HEM/PERF-OBS    53783   ANGIO STM/ DUDN W HMRHG |
|                                                                       |
|   53240   CHR DUODEN ULCER W HEM      53784   DIEULAFOY LES,STOM&DUOD |
|                                               OCT02-                  |
|                                                                       |
|   53241   CHR DUODEN ULC HEM-OBSTR    56202   DVRTCLO SML INT W HMRHG |
|                                                                       |
|   53260   CHR DUODEN ULC HEM/PERF     56203   DVRTCLI SML INT W HMRHG |
|                                                                       |
|   53261   CHR DUOD ULC HEM/PERF-OB    56212   DVRTCLO COLON W HMRHG   |
|                                                                       |
|   53300   AC PEPTIC ULCER W HEMORR    56213   DVRTCLI COLON W HMRHG   |
|                                                                       |
|                                                                       |
|  53301   AC PEPTIC ULC W HEM-OBST    5693    RECTAL & ANAL HEMORRHAGE |
|                                                                       |
|   53320   AC PEPTIC ULC W HEM/PERF    56985   ANGIO INTES W HMRHG     |
|                                                                       |
|                                                                       |
|  53321   AC PEPT ULC HEM/PERF-OBS    56986   DIEULAFOY LES, INTESTINE |
|                                               OCT02-                  |
|                                                                       |
|   53340   CHR PEPTIC ULCER W HEM      5780    HEMATEMESIS             |
|                                                                       |
|   53341   CHR PEPTIC ULC W HEM-OBS    5781    BLOOD IN STOOL          |
|                                                                       |
|   53360   CHR PEPT ULC W HEM/PERF     5789    GASTROINTEST HEMORR NOS |
|                                                                       |
|   53361   CHR PEPT ULC HEM/PERF-OB                                    |
|   --                                                                  |
| ----- --------------------------- ------- --------------------------- |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   missing discharge disposition (DISP=missing)                      |
|                                                                       |
| -   transferring to another short-term hospital (DISP=2)              |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
|                                                                       |
| -   MDC 15 (newborns and other neonates)                              |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ### Hip Fracture Mort                                                 |
| ality Rate (IQI 19) {#hip-fracture-mortality-rate-iqi-19 .unnumbered} |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| > Number of deaths (DISP=20) among cases meeting the inclusion and    |
| > exclusion rules for the denominator.                                |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| > All discharges, age 65 years and older, with principal diagnosis    |
| > code for hip fracture.                                              |
|                                                                       |
| ICD-9-CM hip fracture diagnosis codes:                                |
|                                                                       |
|   --                                                                  |
| ----- --------------------------- ------- --------------------------- |
|                                                                       |
|  82000   FX FEMUR INTRCAPS NOS-CL    82019   FX FEMUR INTRCAP NEC-OPN |
|                                                                       |
|                                                                       |
|  82001   FX UP FEMUR EPIPHY-CLOS     82020   TROCHANTERIC FX NOS-CLOS |
|                                                                       |
|   82002   FX FEMUR, MIDCERVIC-CLOS    82021   INTERTROCHANTERIC FX-CL |
|                                                                       |
|                                                                       |
|  82003   FX BASE FEMORAL NCK-CLOS    82022   SUBTROCHANTERIC FX-CLOSE |
|                                                                       |
|                                                                       |
|  82009   FX FEMUR INTRCAPS NEC-CL    82030   TROCHANTERIC FX NOS-OPEN |
|                                                                       |
|                                                                       |
|  82010   FX FEMUR INTRCAP NOS-OPN    82031   INTERTROCHANTERIC FX-OPN |
|                                                                       |
|   82011   FX UP FEMUR EPIPHY-OPEN     82032   SUBTROCHANTERIC FX-OPEN |
|                                                                       |
|   82012   FX FEMUR, MIDCERVIC-OPEN    8208    FX NECK OF FEMUR NOS-CL |
|                                                                       |
|                                                                       |
|  82013   FX BASE FEMORAL NCK-OPEN    8209    FX NECK OF FEMUR NOS-OPN |
|   --                                                                  |
| ----- --------------------------- ------- --------------------------- |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   missing discharge disposition (DISP=missing)                      |
|                                                                       |
| -   transferring to another short-term hospital (DISP=2)              |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
|                                                                       |
| -   MDC 15 (newborns and other neonates)                              |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ### Pneumonia M                                                       |
| ortality Rate (IQI 20) {#pneumonia-mortality-rate-iqi-20 .unnumbered} |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| > Number of deaths (DISP=20) among cases meeting the inclusion and    |
| > exclusion rules for the denominator.                                |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| > All discharges, age 18 years and older, with a principal diagnosis  |
| > code of pneumonia.                                                  |
|                                                                       |
| ICD-9-CM pneumonia diagnosis codes:                                   |
|                                                                       |
|                                                                       |
| ------- ---------------------------- ------- ------------------------ |
|   00322   SALMONELLA PNEUMONIA         4831    CHLAMYDIA PNEUMONIA    |
|                                                OCT96-                 |
|                                                                       |
|   0212    PULMONARY TULAREMIA          4838    OTH SPEC ORG PNEUMONIA |
|                                                                       |
|                                                                       |
| 0391    PULMONARY ACTINOMYCOSIS      4841    PNEUM W CYTOMEG INCL DIS |
|                                                                       |
|                                                                       |
|  0521    VARICELLA PNEUMONITIS        4829    BACTERIAL PNEUMONIA NOS |
|                                                                       |
|   0551    POSTMEASLES PNEUMONIA        4830    MYCOPLASMA PNEUMONIA   |
|                                                                       |
|                                                                       |
| 0730    ORNITHOSIS PNEUMONIA         4843    PNEUMONIA IN WHOOP COUGH |
|                                                                       |
|   1124    CANDIDIASIS OF LUNG          4845    PNEUMONIA IN ANTHRAX   |
|                                                                       |
|   1140    PRIMARY COCCIDIOIDOMYCOS     4846    PNEUM IN ASPERGILLOSIS |
|                                                                       |
|                                                                       |
| 1144    CHRONIC                      4847    PNEUM IN OTH SYS MYCOSES |
|           PULMONCOCCIDIOIDOMYCOSIS                                    |
|                                                                       |
|                                                                       |
|  1145    UNSPEC PULMON                4848    PNEUM IN INFECT DIS NEC |
|           COCCIDIOIDOMYCOSIS                                          |
|                                                                       |
|                                                                       |
|  11505   HISTOPLASM CAPS PNEUMON      485     BRONCOPNEUMONIA ORG NOS |
|                                                                       |
|                                                                       |
|  11515   HISTOPLASM DUB PNEUMONIA     486     PNEUMONIA, ORGANISM NOS |
|                                                                       |
|   11595   HISTOPLASMOSIS PNEUMONIA     48230   STREP PNEUMONIA UNSPEC |
|                                                                       |
|   1304    TOXOPLASMA PNEUMONITIS       48231   GRP A STREP PNEUMONIA  |
|                                                                       |
|   1363    PNEUMOCYSTOSIS               48232   GRP B STREP PNEUMONIA  |
|                                                                       |
|   4800    ADENOVIRAL PNEUMONIA         48239   OTH STREP PNEUMONIA    |
|                                                                       |
|   4801    RESP SYNCYT VIRAL PNEUM      48240   STAPH PNEUMONIA UNSP   |
|                                                OCT98-                 |
|                                                                       |
|   4802    PARINFLUENZA VIRAL PNEUM     48241   STAPH AUREUS PNEUMON   |
|                                                OCT98-                 |
|                                                                       |
|                                                                       |
| 4803    PNEUMONIA DUE TO SARS OCT03- 48249   STAPH PNEUMON OTH OCT98- |
|                                                                       |
|   4808    VIRAL PNEUMONIA NEC          48281   ANAEROBIC PNEUMONIA    |
|                                                                       |
|   4809    VIRAL PNEUMONIA NOS          48282   E COLI PNEUMONIA       |
|                                                                       |
|   481     PNEUMOCOCCAL PNEUMONIA       48283   OTH GRAM NEG PNEUMONIA |
|                                                                       |
|   4820    K. PNEUMONIAE PNEUMONIA      48284   LEGIONNAIRES DX OCT97- |
|                                                                       |
|   4821    PSEUDOMONAL PNEUMONIA        48289   BACT PNEUMONIA NEC     |
|                                                                       |
|                                                                       |
| 4822    H.INFLUENZAE PNEUMONIA       4870    INFLUENZA WITH PNEUMONIA |
|                                                                       |
|   4824    STAPHYLOCOCCAL PNEUMONIA                                    |
|                                                                       |
| ------- ---------------------------- ------- ------------------------ |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   missing discharge disposition (DISP=missing)                      |
|                                                                       |
| -   transferring to another short-term hospital (DISP=2)              |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
|                                                                       |
| -   MDC 15 (newborns and other neonates)                              |
+-----------------------------------------------------------------------+

## Procedure Utilization Indicators

+-----------------------------------------------------------------------+
| ### Cesarea                                                           |
| n Delivery Rate (IQI 21) {#cesarean-delivery-rate-iqi-21 .unnumbered} |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| > Number of Cesarean deliveries, identified by DRG, or by ICD-9-CM    |
| > procedure codes if they are reported without a 7491 hysterotomy     |
| > procedure, among cases meeting the inclusion and exclusion rules    |
| > for the denominator.                                                |
|                                                                       |
| Cesarean delivery DRGs:                                               |
|                                                                       |
|   -------                                                             |
| -- ---------------------------- --------- --------------------------- |
|   **370**                                                             |
|    **CESAREAN SECTION W CC**    **371**   **CESAREAN SECTION W/O CC** |
|                                                                       |
|   -------                                                             |
| -- ---------------------------- --------- --------------------------- |
|                                                                       |
| ICD-9-CM Cesarean delivery procedure codes:                           |
|                                                                       |
|   --------                                                            |
| - ---------------------------- ---------- --------------------------- |
|   **740                                                               |
| **   **CLASSICAL C-SECTION**      **744**    **CESAREAN SECTION NEC** |
|                                                                       |
|   **741                                                               |
| **   **LOW CERVICAL C-SECTION**   **7499**   **CESAREAN SECTION NOS** |
|                                                                       |
|   **742**   **EXTRAPERITONEAL C-SECT**                                |
|   --------                                                            |
| - ---------------------------- ---------- --------------------------- |
|                                                                       |
| Exclude:                                                              |
|                                                                       |
| ICD-9-CM procedure codes:                                             |
|                                                                       |
|   ---                                                                 |
| ------- ----------------------- ----- ------------------------------- |
|   **7491**   **HYSTEROTOMY TO TERMIN                                  |
|              PG**                                                     |
|                                                                       |
|   ---                                                                 |
| ------- ----------------------- ----- ------------------------------- |
+-----------------------------------------------------------------------+
| []{#IQI21 .anchor}**Denominator:**                                    |
|                                                                       |
| > All deliveries.                                                     |
|                                                                       |
| All delivery DRGs:                                                    |
|                                                                       |
|   ----- --------------------------- ----- --------------------------- |
|   370   CESAREAN SECTION W CC       373   VAG DELIVERY W/O COMPL      |
|                                                                       |
|   371   CESAREAN SECTION W/O CC     374   VAG DELIV W STERIL OR DC    |
|                                                                       |
|   372   VAGINAL DELIVERY W COMPL    375   VAG DELIV W OTH OR PROC     |
|   ----- --------------------------- ----- --------------------------- |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   abnormal presentation, preterm, fetal death, multiple gestation   |
|     diagnosis codes                                                   |
|                                                                       |
| -   breech procedure codes                                            |
|                                                                       |
| > See [Appendix A: Problem Deliveries](#_Appendix_A:_Problem)         |
| >                                                                     |
| > Control-click (Word) or click (PDF) to view the Appendix. Links are |
| > provided to return to the IQI Detailed Definition.                  |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ### Primary Cesarean Delive                                           |
| ry Rate (IQI 33) {#primary-cesarean-delivery-rate-iqi-33 .unnumbered} |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| Number of Cesarean deliveries, identified by DRG, or by ICD-9-CM      |
| procedure codes if they are reported without a 7491 hysterotomy       |
| procedure, among cases meeting the inclusion and exclusion rules for  |
| the denominator.                                                      |
|                                                                       |
| Cesarean delivery DRGs:                                               |
|                                                                       |
|   ----- ------------------------------------------------------------  |
|   370   CESAREAN SECTION W CC                                         |
|                                                                       |
|   371   CESAREAN SECTION W/O CC                                       |
|   ----- ------------------------------------------------------------  |
|                                                                       |
| ICD-9-CM Cesarean delivery procedure codes:                           |
|                                                                       |
|   --------                                                            |
| - ---------------------------- ---------- --------------------------- |
|   **740                                                               |
| **   **CLASSICAL C-SECTION**      **744**    **CESAREAN SECTION NEC** |
|                                                                       |
|   **741                                                               |
| **   **LOW CERVICAL C-SECTION**   **7499**   **CESAREAN SECTION NOS** |
|                                                                       |
|   **742**   **EXTRAPERITONEAL C-SECT**                                |
|   --------                                                            |
| - ---------------------------- ---------- --------------------------- |
|                                                                       |
| Exclude:                                                              |
|                                                                       |
| ICD-9-CM procedure codes:                                             |
|                                                                       |
|   ----                                                                |
| ------ ---------------------------- ----- --------------------------- |
|   **7491**   **HYSTEROTOMY TO TERMIN PG**                             |
|                                                                       |
|   ----                                                                |
| ------ ---------------------------- ----- --------------------------- |
+-----------------------------------------------------------------------+
| []{#IQI33 .anchor}**Denominator:**                                    |
|                                                                       |
| > All deliveries.                                                     |
|                                                                       |
| All delivery DRGs:                                                    |
|                                                                       |
|   ----- --------------------------- ----- --------------------------- |
|   370   CESAREAN SECTION W CC       373   VAG DELIVERY W/O COMPL      |
|                                                                       |
|   371   CESAREAN SECTION W/O CC     374   VAG DELIV W STERIL OR DC    |
|                                                                       |
|   372   VAGINAL DELIVERY W COMPL    375   VAG DELIV W OTH OR PROC     |
|   ----- --------------------------- ----- --------------------------- |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   abnormal presentation, preterm delivery, fetal death, multiple    |
|     gestation diagnosis codes                                         |
|                                                                       |
| -   breech procedure codes                                            |
|                                                                       |
| -   previous Cesarean delivery diagnosis in any diagnosis field       |
|                                                                       |
| > See [Appendix A: Problem Deliveries](#_Appendix_A:_Problem)         |
| >                                                                     |
| > Control-click (Word) or click (PDF) to view the Appendix. Links are |
| > provided to return to the IQI Detailed Definition.                  |
|                                                                       |
| ICD-9-CM previous cesarean delivery diagnosis codes:                  |
|                                                                       |
|                                                                       |
|  ------- ------------------------------------------------------------ |
|   65420   PREV C-SECT NOS-UNSPEC                                      |
|                                                                       |
|   65421   PREV C-SECT NOS-DELIVER                                     |
|                                                                       |
|   65423   PREV C-SECT NOS-ANTEPART                                    |
|                                                                       |
|  ------- ------------------------------------------------------------ |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ### Vaginal                                                           |
|  Birth after Cesarean Delivery Rate, Uncomplicated (IQI 22) {#vaginal |
| -birth-after-cesarean-delivery-rate-uncomplicated-iqi-22 .unnumbered} |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| > Number of vaginal births in women among cases meeting the inclusion |
| > and exclusion rules for the denominator.                            |
|                                                                       |
| Vaginal delivery DRGs:                                                |
|                                                                       |
|   ----- ------------------------------------------------------------  |
|   372   VAGINAL DELIVERY W/ CC                                        |
|                                                                       |
|   373   VAGINAL DELIVERY W/O CC                                       |
|                                                                       |
|   374   VAGINAL DELIVERY W/ STERILIZATION OR D&C                      |
|                                                                       |
|   375   VAGINAL DELIVERY W/ OTHER O.R. PROCEDURE                      |
|   ----- ------------------------------------------------------------  |
+-----------------------------------------------------------------------+
| []{#IQI22 .anchor}**Denominator:**                                    |
|                                                                       |
| > All deliveries with a previous cesarean delivery diagnosis in any   |
| > diagnosis field.                                                    |
|                                                                       |
| All delivery DRGs:                                                    |
|                                                                       |
|   ----- --------------------------- ----- --------------------------- |
|   370   CESAREAN SECTION W CC       373   VAG DELIVERY W/O COMPL      |
|                                                                       |
|   371   CESAREAN SECTION W/O CC     374   VAG DELIV W STERIL OR DC    |
|                                                                       |
|   372   VAGINAL DELIVERY W COMPL    375   VAG DELIV W OTH OR PROC     |
|   ----- --------------------------- ----- --------------------------- |
|                                                                       |
| ICD-9-CM previous cesarean delivery diagnosis codes:                  |
|                                                                       |
|                                                                       |
|  ------- ------------------------------------------------------------ |
|   65420   PREV C-SECT NOS-UNSPEC                                      |
|                                                                       |
|   65421   PREV C-SECT NOS-DELIVER                                     |
|                                                                       |
|   65423   PREV C-SECT NOS-ANTEPART                                    |
|                                                                       |
|  ------- ------------------------------------------------------------ |
+-----------------------------------------------------------------------+
| Exclude cases:                                                        |
|                                                                       |
| -   abnormal presentation, preterm delivery, fetal death, multiple    |
|     gestation diagnosis codes                                         |
|                                                                       |
| -   breech procedure codes.                                           |
|                                                                       |
| > See [Appendix A: Problem Deliveries](#_Appendix_A:_Problem)         |
| >                                                                     |
| > Control-click (Word) or click (PDF) to view the Appendix. Links are |
| > provided to return to the IQI Detailed Definition.                  |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ### Vaginal Birth after Cesarean (VBAC) Delivery, All (IQI 34)        |
|  {#vaginal-birth-after-cesarean-vbac-delivery-all-iqi-34 .unnumbered} |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| > Number of vaginal births in women among cases meeting the inclusion |
| > and exclusion rules for the denominator.                            |
|                                                                       |
| Vaginal delivery DRGs:                                                |
|                                                                       |
|   ----- ------------------------------------------------------------  |
|   372   VAGINAL DELIVERY W/ CC                                        |
|                                                                       |
|   373   VAGINAL DELIVERY W/O CC                                       |
|                                                                       |
|   374   VAGINAL DELIVERY W/ STERILIZATION OR D&C                      |
|                                                                       |
|   375   VAGINAL DELIVERY W/ OTHER O.R. PROCEDURE                      |
|   ----- ------------------------------------------------------------  |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| > All deliveries with a previous cesarean delivery diagnosis in any   |
| > diagnosis field.                                                    |
|                                                                       |
| All delivery DRGs:                                                    |
|                                                                       |
|   ----- --------------------------- ----- --------------------------- |
|   370   CESAREAN SECTION W CC       373   VAG DELIVERY W/O COMPL      |
|                                                                       |
|   371   CESAREAN SECTION W/O CC     374   VAG DELIV W STERIL OR DC    |
|                                                                       |
|   372   VAGINAL DELIVERY W COMPL    375   VAG DELIV W OTH OR PROC     |
|   ----- --------------------------- ----- --------------------------- |
|                                                                       |
| ICD-9-CM previous Cesarean delivery diagnosis codes:                  |
|                                                                       |
|                                                                       |
|  ------- ------------------------------------------------------------ |
|   65420   PREV C-SECT NOS-UNSPEC                                      |
|                                                                       |
|   65421   PREV C-SECT NOS-DELIVER                                     |
|                                                                       |
|   65423   PREV C-SECT NOS-ANTEPART                                    |
|                                                                       |
|  ------- ------------------------------------------------------------ |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ### Laparoscopic Cholecystectomy                                      |
| Rate (IQI 23) {#laparoscopic-cholecystectomy-rate-iqi-23 .unnumbered} |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| > Number of laparoscopic cholecystectomies (any procedure field)      |
| > among cases meeting the inclusion and exclusion rules for the       |
| > denominator.                                                        |
|                                                                       |
| ICD-9-CM laparoscopic cholecystectomy procedure code:                 |
|                                                                       |
|   ------ ------------------------------------------------------------ |
|   5123   LAPAROSCOPIC CHOLE                                           |
|                                                                       |
|   ------ ------------------------------------------------------------ |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| > All discharges, age 18 years and older, with cholecystectomy in any |
| > procedure field.                                                    |
|                                                                       |
| ICD-9-CM cholecystectomy procedure codes:                             |
|                                                                       |
|   ------ ------------------------------------------------------------ |
|   5122   CHOLECYSTECTOMY                                              |
|                                                                       |
|   5123   LAPAROSCOPIC CHOLE                                           |
|   ------ ------------------------------------------------------------ |
|                                                                       |
| Include:                                                              |
|                                                                       |
| > Only discharges with uncomplicated cases: cholecystitis and/or      |
| > cholelithiasis in any diagnosis field.                              |
|                                                                       |
| ICD-9-CM uncomplicated cholecystitis and/or cholelithiasis diagnosis  |
| codes:                                                                |
|                                                                       |
|   ---                                                                 |
| ---- ---------------------------- ------- --------------------------- |
|   57400   CHOLELITH W AC CHOLECYS      5750    ACUTE CHOLECYSTITIS    |
|                                                                       |
|                                                                       |
| 57401   CHOLELITH/ AC GB INF-OBST    5751    CHOLECYSTITIS NEC OCT96- |
|                                                                       |
|                                                                       |
| 57410   CHOLELITH W CHOLECYS NEC     57510   CHOLECYSTITIS NOS OCT96- |
|                                                                       |
|   57                                                                  |
| 411   CHOLELITH/GB INF NEC-OBS     57511   CHRON CHOLECYSTITIS OCT96- |
|                                                                       |
|   574                                                                 |
| 20   CHOLELITHIASIS NOS           57512   AC/CHR CHOLECYSTITIS OCT96- |
|                                                                       |
|   57421   CHOLELITHIAS NOS W OBSTR                                    |
|   ---                                                                 |
| ---- ---------------------------- ------- --------------------------- |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
|                                                                       |
| -   MDC 15 (newborns and other neonates)                              |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ### Incidental Appendectomy in the Elderly Rate (IQI                  |
| 24) {#incidental-appendectomy-in-the-elderly-rate-iqi-24 .unnumbered} |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| > Number of incidental appendectomies (any procedure field) among     |
| > cases meeting the inclusion and exclusion rules for the             |
| > denominator.                                                        |
|                                                                       |
| ICD-9-CM incidental appendectomy procedure codes:                     |
|                                                                       |
|   ------ ------------------------------------------------------------ |
|   471    INCIDENTAL APPENDECTOMY OCT96-                               |
|                                                                       |
|   4711   LAPAROSCOP INCID APPEND OCT96-                               |
|                                                                       |
|   4719   OTH INCID APPEND OCT96-                                      |
|   ------ ------------------------------------------------------------ |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| > All discharges, age 65 years and older, with intra-abdominal        |
| > procedure.                                                          |
|                                                                       |
| Intra-abdominal procedure DRGs:                                       |
|                                                                       |
|                                                                       |
|  ----- ------------------------ ----- ------------------------------- |
|   146   RECTAL RESECTION W CC    195   CHOLE W/ CDE W/ CC             |
|                                                                       |
|   147   RECTAL RESECTION W/O CC  196   CHOLE W/ CDE W/O CC            |
|                                                                       |
|   148   MAJ BOWEL PROC W CC      197   CHOLE W/ CC                    |
|                                                                       |
|   149   MAJ BOWEL PROC W/0 CC    198   CHOLE W/O CC                   |
|                                                                       |
|   150   PERITONEAL ADHES W CC    201   OTH BILIARY/PANC PROC          |
|                                                                       |
|   151   PERITONEAL ADHES W/O CC  354   UTER PROC MALIG W/ CC          |
|                                                                       |
|   152   MIN BOWEL PROC W CC      355   UTER PROC MALIG W/O CC         |
|                                                                       |
|   153   MIN BOWEL PROC W/O CC    356   FEMALE REPROD RECONSTR         |
|                                                                       |
|   154   UGI PROC AGE \>17 W CC   357   UTER PROC OVARIAN MALIG        |
|                                                                       |
|   155   UGI PROC AGE \>17 W/O CC 358   UTER PROC NONMALIG W/ CC       |
|                                                                       |
|   170   OTH GI OR PROC W CC      359   UTER PROC NONMALI W/O CC       |
|                                                                       |
|   171   OTH GI OR PROC W/O CC    365   OTH FEMAL REPROD PROC          |
|                                                                       |
|   191   PANC LVR SHNT PRC W CC   567   STOMACH, ESOPHAGEAL & DUODENAL |
|                                        PROC AGE \> 17 W CC W MAJOR GI |
|                                        DX OCT06-                      |
|                                                                       |
|   192   PANC LVR SHNT PRC W/O CC 568   STOMACH, ESOPHAGEAL & DUODENAL |
|                                        PROCEDURES PROC AGE \> 17 W CC |
|                                        W/O MAJOR GI DX OCT06-         |
|                                                                       |
|   193   BILIARY PROC W/ CC       569   MAJOR SMALL & LARGE BOWEL      |
|                                        PROCEDURES W CC W MAJOR GI DX  |
|                                        OCT06-                         |
|                                                                       |
|   194   BILIARY PROC W/O CC      570   MAJOR SMALL & LARGE BOWEL      |
|                                                                       |
|                                       PROCEDURES W CC W/O MAJOR GI DX |
|                                        OCT06-                         |
|                                                                       |
|  ----- ------------------------ ----- ------------------------------- |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
|                                                                       |
| -   MDC 15 (newborns and other neonates)                              |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ### Bilateral Cardiac Catheterization Rate                            |
| (IQI 25) {#bilateral-cardiac-catheterization-rate-iqi-25 .unnumbered} |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| > Number of simultaneous right and left heart catheterizations (in    |
| > any procedure field) among cases meeting the inclusion and          |
| > exclusion rules for the denominator.                                |
|                                                                       |
| ICD-9-CM procedure code:                                              |
|                                                                       |
|   ------ ------------------------------------------------------------ |
|   3723   RT/LEFT HEART CARD CATH                                      |
|                                                                       |
|   ------ ------------------------------------------------------------ |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   with valid indications for right-sided catheterization in any     |
|     diagnosis field                                                   |
|                                                                       |
| ICD-9-CM indications for right-sided catheterization diagnosis codes: |
|                                                                       |
|   ---                                                                 |
| ---- --------------------------- ------- ------------------------- -- |
|   3                                                                   |
| 910    ACUTE RHEUMATIC PERICARD    4150    ACUTE COR PULMONALE        |
|                                                                       |
|   3                                                                   |
| 911    ACUTE RHEUMATIC ENDOCARD    4151    PULM EMBOLISM/INFARCT-     |
|                                                                       |
|   3                                                                   |
| 912    AC RHEUMATIC MYOCARDITIS    41511   IATROGENIC PULMON.         |
|                                                                       |
|                                            EMBOLISM                   |
|                                                                       |
|   3                                                                   |
| 918    AC RHEUMAT HRT DIS NEC      41512   SEPTIC PULMONARY EMBOLSM   |
|                                                                       |
|   3                                                                   |
| 919    AC RHEUMAT HRT DIS NOS      41519   OTHER PULMON EMBOLISM      |
|                                                                       |
|   3                                                                   |
| 920    RHEUM CHOREA W HRT INVOL    4160    PRIM PULM HYPERTENSION     |
|                                                                       |
|   3                                                                   |
| 929    RHEUMATIC CHOREA NOS        4161    KYPHOSCOLIOTIC HEART DIS   |
|                                                                       |
|   3                                                                   |
| 93     CHR RHEUMATIC PERICARD      4168    CHR PULMON HEART DIS NEC   |
|                                                                       |
|   3                                                                   |
| 940    MITRAL STENOSIS             4169    CHR PULMON HEART DIS NOS   |
|                                                                       |
|   3                                                                   |
| 941    RHEUMATIC MITRAL INSUFF     4170    ARTERIOVEN FISTU PUL VES   |
|                                                                       |
|   3                                                                   |
| 942    MITRAL STENOSIS W INSUFF    4171    PULMON ARTERY ANEURYSM     |
|                                                                       |
|   3                                                                   |
| 949    MITRAL VALVE DIS NEC/NOS    4178    PULMON CIRCULAT DIS NEC    |
|                                                                       |
|   3                                                                   |
| 960    MITRAL/AORTIC STENOSIS      4179    PULMON CIRCULAT DIS NOS    |
|                                                                       |
|   3                                                                   |
| 961    MITRAL STENOS/AORT INSUF    4242    NONRHEUM TRICUSP VAL DIS   |
|                                                                       |
|   3                                                                   |
| 962    MITRAL INSUF/AORT STENOS    4243    PULMONARY VALVE DISORDER   |
|                                                                       |
|   3                                                                   |
| 963    MITRAL/AORTIC VAL INSUFF    7450    COMMON TRUNCUS             |
|                                                                       |
|   3                                                                   |
| 968    MITR/AORTIC MULT INVOLV     74510   COMPL TRANSPOS GREAT VES   |
|                                                                       |
|   3                                                                   |
| 969    MITRAL/AORTIC V DIS NOS     74511   DOUBLE OUTLET RT VENTRIC   |
|                                                                       |
|   3                                                                   |
| 970    TRICUSPID VALVE DISEASE     74512   CORRECT TRANSPOS GRT VES   |
|                                                                       |
|   3                                                                   |
| 971    RHEUM PULMON VALVE DIS      74519   TRANSPOS GREAT VESS NEC    |
|                                                                       |
|   3                                                                   |
| 979    RHEUM ENDOCARDITIS NOS      7452    TETRALOGY OF FALLOT        |
|                                                                       |
|   3                                                                   |
| 980    RHEUMATIC MYOCARDITIS       7453    COMMON VENTRICLE           |
|                                                                       |
|   3                                                                   |
| 9890   RHEUMATIC HEART DIS NOS     7454    VENTRICULAR SEPT DEFECT    |
|                                                                       |
|   3                                                                   |
| 9891   RHEUMATIC HEART FAILURE     7455    SECUNDUM ATRIAL SEPT DEF   |
|                                                                       |
|   3                                                                   |
| 9899   RHEUMATIC HEART DIS NEC     74560   ENDOCARD CUSHION DEF NOS   |
|                                                                       |
|   4                                                                   |
| 0200   MAL HYPERTEN HRT DIS NOS    74561   OSTIUM PRIMUM DEFECT       |
|                                                                       |
|   4                                                                   |
| 0201   MAL HYPERT HRT DIS W CHF    74569   ENDOCARD CUSHION DEF NEC   |
|                                                                       |
|   4                                                                   |
| 0210   BEN HYPERTEN HRT DIS NOS    7457    COR BILOCULARE             |
|                                                                       |
|   4                                                                   |
| 0211   BENIGN HYP HRT DIS W CHF    7458    SEPTAL CLOSURE ANOM NEC    |
|                                                                       |
|   4                                                                   |
| 0290   HYPERTENSIVE HRT DIS NOS    7459    SEPTAL CLOSURE ANOM NOS    |
|                                                                       |
|   4                                                                   |
| 0291   HYPERTEN HEART DIS W CHF    74600   PULMONARY VALVE ANOM NOS   |
|                                                                       |
|   4                                                                   |
| 0400   MAL HY HT/REN W/O HF/RF     74601   CONG PULMON VALV ATRESIA   |
|                                                                       |
|   4                                                                   |
| 0401   MAL HYPER HRT/REN W HF      74602   CONG PULMON VALVE STENOS   |
|                                                                       |
|   4                                                                   |
| 0402   MAL HY HT/REN W REN FAIL    74609   PULMONARY VALVE ANOM NEC   |
|                                                                       |
|   4                                                                   |
| 0403   MAL HYP HRT/REN W HF/RF     7461    CONG TRICUSP ATRES/STEN    |
|                                                                       |
|   4                                                                   |
| 0410   BEN HY HT/REN W/O HF/RF     7462    EBSTEIN\'S ANOMALY         |
|                                                                       |
|   4                                                                   |
| 0411   BEN HYPER HRT/REN W HF      7463    CONG AORTA VALV STENOSIS   |
|                                                                       |
|   4                                                                   |
| 0412   BEN HY HT/REN W REN FAIL    7464    CONG AORTA VALV INSUFFIC   |
|                                                                       |
|   4                                                                   |
| 0413   BEN HYP HRT/REN W HF/RF     7465    CONGEN MITRAL STENOSIS     |
|                                                                       |
|   4                                                                   |
| 0490   HY HT/REN NOS W/O HF/RF     7466    CONG MITRAL INSUFFICIENC   |
|                                                                       |
|   4                                                                   |
| 0491   HYPER HRT/REN NOS W HF      7467    HYPOPLAS LEFT HEART SYND   |
|                                                                       |
|   4                                                                   |
| 0492   HY HT/REN NOS W REN FAIL    74681   CONG SUBAORTIC STENOSIS    |
|                                                                       |
|   7                                                                   |
| 4684   OBSTRUCT HEART ANOM NEC     74682   COR TRIATRIATUM            |
|                                                                       |
|   7                                                                   |
| 4685   CORONARY ARTERY ANOMALY     74683   INFUNDIB PULMON STENOSIS   |
|                                                                       |
|   7                                                                   |
| 4686   CONGENITAL HEART BLOCK      74741   TOT ANOM PULM VEN CONNEC   |
|                                                                       |
|   7                                                                   |
| 4687   MALPOSITION OF HEART        74742   PART ANOM PULM VEN CONN    |
|                                                                       |
|   7                                                                   |
| 4689   CONG HEART ANOMALY NEC      74749   GREAT VEIN ANOMALY NEC     |
|                                                                       |
|   7                                                                   |
| 469    CONG HEART ANOMALY NOS      7475    UMBILICAL ARTERY ABSENCE   |
|                                                                       |
|   7                                                                   |
| 470    PATENT DUCTUS ARTERIOSUS    74760   UNSP PRPHERL VASC ANOMAL   |
|                                                                       |
|   7                                                                   |
| 4710   COARCTATION OF AORTA        74761   GSTRONTEST VESL ANOMALY    |
|                                                                       |
|   7                                                                   |
| 4711   INTERRUPT OF AORTIC ARCH    74762   RENAL VESSEL ANOMALY       |
|                                                                       |
|   7                                                                   |
| 4720   CONG ANOM OF AORTA NOS      74763   UPR LIMB VESSEL ANOMALY    |
|                                                                       |
|   7                                                                   |
| 4721   ANOMALIES OF AORTIC ARCH    74764   LWR LIMB VESSEL ANOMALY    |
|                                                                       |
|   7                                                                   |
| 4722   AORTIC ATRESIA/STENOSIS     74769   OTH SPCF PRPH VSCL ANOML   |
|                                                                       |
|   7                                                                   |
| 4729   CONG ANOM OF AORTA NEC      74781   CEREBROVASCULAR ANOMALY    |
|                                                                       |
|   7                                                                   |
| 473    PULMONARY ARTERY ANOM       74782   SPINAL VESSEL ANOMALY      |
|                                                                       |
|   7                                                                   |
| 4740   GREAT VEIN ANOMALY NOS      74783   PERSISTENT FETAL CIRC      |
|                                                                       |
|                                            OCT02-                     |
|                                                                       |
|   4                                                                   |
| 0493   HYP HRT/REN NOS W HF/RF     74789   CIRCULATORY ANOMALY NEC    |
|                                                                       |
|                                                                       |
|                                    7479    CIRCULATORY ANOMALY NOS    |
|   ---                                                                 |
| ---- --------------------------- ------- ------------------------- -- |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| > All discharges, age 18 years and older, with heart catheterization  |
| > in any procedure field.                                             |
|                                                                       |
| ICD-9-CM heart catheterization procedure codes:                       |
|                                                                       |
|   ------------ -----------------------------------------------------  |
|   3722         LEFT HEART CARDIAC CATH                                |
|                                                                       |
|   3723         RT/LEFT HEART CARD CATH                                |
|   ------------ -----------------------------------------------------  |
|                                                                       |
| Include:                                                              |
|                                                                       |
| > Only coronary artery disease.                                       |
|                                                                       |
| ICD-9-CM coronary artery disease diagnosis codes:                     |
|                                                                       |
|   ---                                                                 |
| ---- ---------------------------- ------- --------------------------- |
|   41000   AMI ANTEROLATERAL, UNSPEC    41082   AMI NEC, SUBSEQUENT    |
|                                                                       |
|   41001   AMI ANTEROLATERAL, INIT      41090   AMI NOS, UNSPECIFIED   |
|                                                                       |
|   41002   AMI ANTEROLATERAL, SUBSEQ    41091   AMI NOS, INITIAL       |
|                                                                       |
|   41010   AMI ANTERIOR WALL, UNSPEC    41092   AMI NOS, SUBSEQUENT    |
|                                                                       |
|   41011   AMI ANTERIOR WALL, INIT      4110    POST MI SYNDROME       |
|                                                                       |
|   41012   AMI ANTERIOR WALL, SUBSEQ    4111    INTERMED CORONARY SYND |
|                                                                       |
|   41020   AMI INFEROLATERAL, UNSPEC    41181   CORONARY OCCLSN W/O MI |
|                                                                       |
|                                                                       |
|  41021   AMI INFEROLATERAL, INIT      41189   AC ISCHEMIC HRT DIS NEC |
|                                                                       |
|   41022   AMI INFEROLATERAL, SUBSEQ    412     OLD MYOCARDIAL INFARCT |
|                                                                       |
|   41030   AMI INFEROPOST, UNSPEC       4130    ANGINA DECUBITUS       |
|                                                                       |
|   41031   AMI INFEROPOST, INITIAL      4131    PRINZMETAL ANGINA      |
|                                                                       |
|                                                                       |
|  41032   AMI INFEROPOST, SUBSEQ       4139    ANGINA PECTORIS NEC/NOS |
|                                                                       |
|   41                                                                  |
| 040   AMI INFERIOR WALL, UNSPEC    4140    COR ATHEROSCLEROSIS OCT94- |
|                                                                       |
|                                                                       |
| 41041   AMI INFERIOR WALL, INIT      41400   COR ATH UNSP VSL NTV/GFT |
|                                                OCT94-                 |
|                                                                       |
|                                                                       |
| 41042   AMI INFERIOR WALL, SUBSEQ    41401   CRNRY ATHRSCL NATVE VSSL |
|                                                OCT94-                 |
|                                                                       |
|                                                                       |
| 41050   AMI LATERAL NEC, UNSPEC      41402   CRN ATH ATLG VN BPS GRFT |
|                                                OCT94-                 |
|                                                                       |
|                                                                       |
| 41051   AMI LATERAL NEC, INITIAL     41403   CRN ATH NONATLG BLG GRFT |
|                                                OCT94-                 |
|                                                                       |
|                                                                       |
| 41052   AMI LATERAL NEC, SUBSEQ      41404   COR ATH ARTRY BYPAS GRFT |
|                                                OCT96-                 |
|                                                                       |
|                                                                       |
| 41060   TRUE POST INFARCT, UNSPEC    41405   COR ATH BYPASS GRAFT NOS |
|                                                OCT96-                 |
|                                                                       |
|                                                                       |
|  41061   TRUE POST INFARCT, INIT      41406   COR ATH NATV ART TP HRT |
|                                                OCT02-                 |
|                                                                       |
|                                                                       |
| 41062   TRUE POST INFARCT, SUBSEQ    41407   COR ATH BPS GRAFT TP HRT |
|                                                OCT03-                 |
|                                                                       |
|   41070   SUBENDO INFARCT, UNSPEC      41410   ANEURYSM, HEART (WALL) |
|                                                                       |
|                                                                       |
| 41071   SUBENDO INFARCT, INITIAL     41411   CORONARY VESSEL ANEURYSM |
|                                                                       |
|   41072   SUBENDO INFARCT, SUBSEQ      41412   DISSECTION COR ARTERY  |
|                                                OCT02-                 |
|                                                                       |
|   41080   AMI NEC, UNSPECIFIED         41419   ANEURYSM OF HEART NEC  |
|                                                                       |
|                                                                       |
| 41081   AMI NEC, INITIAL             4148    CHR ISCHEMIC HRT DIS NEC |
|                                                                       |
|                                                                       |
|                                      4149    CHR ISCHEMIC HRT DIS NOS |
|   ---                                                                 |
| ---- ---------------------------- ------- --------------------------- |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
|                                                                       |
| -   MDC 15 (newborns and other neonates)                              |
+-----------------------------------------------------------------------+

# Area-Level Indicators

+-----------------------------------------------------------------------+
| ### Coronary Artery Bypass Graft (CABG) Area Rate (IQI                |
| 26) {#coronary-artery-bypass-graft-cabg-area-rate-iqi-26 .unnumbered} |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| > Number of CABGs in any procedure field.                             |
| >                                                                     |
| > All discharges age 40 years and older.                              |
|                                                                       |
| ICD-9-CM CABG procedure codes:                                        |
|                                                                       |
|   -                                                                   |
| ----- ---------------------------- ------ --------------------------- |
|   3610   AORTOCORONARY BYPASS NOS     3615   1 INT MAM-COR ART BYPASS |
|                                                                       |
|   3611   AORTOCOR BYPAS-1 COR ART     3616   2 INT MAM-COR ART BYPASS |
|                                                                       |
|   3                                                                   |
| 612   AORTOCOR BYPAS-2 COR ART     3617   ABD-CORON ART BYPASS OCT96- |
|                                                                       |
|   3613   AORTOCOR BYPAS-3 COR ART     3619   HRT REVAS BYPS ANAS NEC  |
|                                                                       |
|   3614   AORTCOR BYPAS-4+ COR ART                                     |
|   -                                                                   |
| ----- ---------------------------- ------ --------------------------- |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
|                                                                       |
| -   MDC 15 (newborns and other neonates)                              |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| > Population in Metro Area or county, age 40 years and older.         |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ### Percutaneous Trans                                                |
| luminal Coronary Angioplasty (PTCA) Area Rate (IQI 27) {#percutaneous |
| -transluminal-coronary-angioplasty-ptca-area-rate-iqi-27 .unnumbered} |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| > Discharges, age 40 years and older, with ICD-9-CM codes of 0066,    |
| > 3601, 3602 or 3605 in any procedure field.                          |
|                                                                       |
| ICD-9-CM PTCA procedure codes:                                        |
|                                                                       |
|   ------ ------------------------------------------------------------ |
|   0066   PERC TRANS CORO ANGIO OCT05-                                 |
|                                                                       |
|   3601   PTCA-1 VESSEL W/O AGENT                                      |
|                                                                       |
|   3602   PTCA-1 VESSEL WITH AGNT                                      |
|                                                                       |
|   3605   PTCA-MULTIPLE VESSEL                                         |
|   ------ ------------------------------------------------------------ |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
|                                                                       |
| -   MDC 15 (newborns and other neonates)                              |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| > Population in Metro Area or county, age 40 years and older.         |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ### Hystere                                                           |
| ctomy Area Rate (IQI 28) {#hysterectomy-area-rate-iqi-28 .unnumbered} |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| > Number of hysterectomies in any procedure field.                    |
| >                                                                     |
| > All discharges of females age 18 years and older.                   |
|                                                                       |
| ICD-9-CM hysterectomy procedure codes:                                |
|                                                                       |
|   -                                                                   |
| ----- ---------------------------- ------ --------------------------- |
|   683    SUBTOT ABD HYSTERECTOMY      6859   OTH VAG HYS OCT96-       |
|                                                                       |
|   6831   LAP SCERVIC HYSTERECTOMY     686    RADICAL ABD HYSTERECTOMY |
|          OCT03-                                                       |
|                                                                       |
|   6839   OTH SUBTOT ABD HYSTERECT     6861   LAP RADICAL ABDOMNL HYST |
|          OCT03-                              OCT06-                   |
|                                                                       |
|   684    TOTAL ABD HYSTERECTOMY       6869   RADICAL ABD HYST NEC/NOS |
|                                              OCT06-                   |
|                                                                       |
|   6841   LAP TOTAL ABDOMINAL HYST     6871   LAP RADICAL VAGINAL HYST |
|          OCT06-                              OCT06-                   |
|                                                                       |
|   6849   TOTAL ABD HYST NEC/NOS       6879   RADICAL VAG HYST NEC/NOS |
|          OCT06-                              OCT06-                   |
|                                                                       |
|   685    VAGINAL HYSTERECTOMY OCT96-  687    RADICAL VAG HYSTERECTOMY |
|                                                                       |
|   6851   LAPAR ASSIST VAG HYS OCT96-  689    HYSTERECTOMY NEC/NOS     |
|   -                                                                   |
| ----- ---------------------------- ------ --------------------------- |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   with genital cancer or pelvic or lower abdominal trauma in any    |
|     diagnosis field                                                   |
|                                                                       |
| ```{=html}                                                            |
| <!-- -->                                                              |
| ```                                                                   |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
|                                                                       |
| ```{=html}                                                            |
| <!-- -->                                                              |
| ```                                                                   |
| -   MDC 15 (newborns and other neonates)                              |
|                                                                       |
| ICD-9-CM female genital cancer diagnosis codes:                       |
|                                                                       |
|   --                                                                  |
| ---- ---------------------------- ------- --------------------------- |
|   179    MALIG NEOPL UTERUS NOS       1841    MAL NEO LABIA MAJORA    |
|                                                                       |
|   1800   MALIG NEO ENDOCERVIX         1842    MAL NEO LABIA MINORA    |
|                                                                       |
|   1801   MALIG NEO EXOCERVIX          1843    MALIGN NEOPL CLITORIS   |
|                                                                       |
|   1808   MALIG NEO CERVIX NEC         1844    MALIGN NEOPL VULVA NOS  |
|                                                                       |
|                                                                       |
|  1809   MAL NEO CERVIX UTERI NOS     1848    MAL NEO FEMALE GENIT NEC |
|                                                                       |
|                                                                       |
|  181    MALIGNANT NEOPL PLACENTA     1849    MAL NEO FEMALE GENIT NOS |
|                                                                       |
|   1820   MALIG NEO CORPUS UTERI       2331    CA IN SITU CERVIX UTERI |
|                                                                       |
|   1821   MAL NEO UTERINE ISTHMUS      2332    CA IN SITU UTERUS NEC   |
|                                                                       |
|   1828   MAL NEO BODY UTERUS NEC      2333    CA IN SITU FEM GEN NEC  |
|                                                                       |
|   1830   MALIGN NEOPL OVARY           23330   CA IN SITU FEM GEN NOS  |
|                                                                       |
|                                                                       |
|  1832   MAL NEO FALLOPIAN TUBE       23331   CARCINOMA IN SITU VAGINA |
|                                                                       |
|   1833   MAL NEO BROAD LIGAMENT       23332   CARCINOMA IN SITU VULVA |
|                                                                       |
|   1834   MALIG NEO PARAMETRIUM        23339   CA IN SITU FEM GEN NEC  |
|                                                                       |
|   1835   MAL NEO ROUND LIGAMENT       2360    UNCERT BEHAV NEO UTERUS |
|                                                                       |
|   1838   MAL NEO ADNEXA NEC           2361    UNC BEHAV NEO PLACENTA  |
|                                                                       |
|   1839   MAL NEO ADNEXA NOS           2362    UNC BEHAV NEO OVARY     |
|                                                                       |
|                                                                       |
|  1840   MALIGN NEOPL VAGINA          2363    UNC BEHAV NEO FEMALE NEC |
|   --                                                                  |
| ---- ---------------------------- ------- --------------------------- |
|                                                                       |
| ICD-9-CM pelvic or lower abdominal trauma diagnosis codes:            |
|                                                                       |
|   ---                                                                 |
| ---- ---------------------------- ------- --------------------------- |
|                                                                       |
| 8674    UTERUS INJURY-CLOSED         86819   INTRA-ABDOM INJ NEC-OPEN |
|                                                                       |
|                                                                       |
|  8675    UTERUS INJURY-OPEN           8690    INTERNAL INJ NOS-CLOSED |
|                                                                       |
|                                                                       |
| 8676    PELVIC ORGAN INJ NEC-CL      8691    INTERNAL INJURY NOS-OPEN |
|                                                                       |
|                                                                       |
|  8677    PELVIC ORGAN INJ NEC-OPN     8796    OPEN WOUND OF TRUNK NEC |
|                                                                       |
|                                                                       |
| 8678    PELVIC ORGAN INJ NOS-CL      8797    OPEN WND TRUNK NEC-COMPL |
|                                                                       |
|   8679    PELVIC ORGAN INJ NOS-OPN     8798    OPEN WOUND SITE NOS    |
|                                                                       |
|                                                                       |
| 86800   INTRA-ABDOM INJ NOS-CLOS     8799    OPN WOUND SITE NOS-COMPL |
|                                                                       |
|                                                                       |
| 86803   PERITONEUM INJURY-CLOSED     9060    LT EFF OPN WND HEAD/TRNK |
|                                                                       |
|                                                                       |
| 86804   RETROPERITONEUM INJ-CL       9081    LATE EFF INT INJ ABDOMEN |
|                                                                       |
|                                                                       |
|  86809   INTRA-ABDOM INJ NEC-CLOS     9082    LATE EFF INT INJURY NEC |
|                                                                       |
|   86810   INTRA-ABDOM INJ NOS-OPEN     9391    FOREIGN BODY UTERUS    |
|                                                                       |
|                                                                       |
|  86813   PERITONEUM INJURY-OPEN       9474    BURN OF VAGINA & UTERUS |
|                                                                       |
|   86814   RETROPERITONEUM INJ-OPEN                                    |
|   ---                                                                 |
| ---- ---------------------------- ------- --------------------------- |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| > Female population in Metro Area or county, age 18 years and older.  |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ### Laminectomy or Spinal Fusion Area Rate                            |
| (IQI 29) {#laminectomy-or-spinal-fusion-area-rate-iqi-29 .unnumbered} |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| > Number of laminectomies or spinal fusions in any procedure field.   |
| >                                                                     |
| > All discharges age 18 years and older.                              |
|                                                                       |
| ICD-9-CM laminectomy or spinal fusion procedure codes:                |
|                                                                       |
|   -                                                                   |
| ----- ---------------------------- ------ --------------------------- |
|                                                                       |
| 0302   REOPEN LAMINECTOMY SITE      8130   SPINAL REFUSION NOS OCT01- |
|                                                                       |
|   0309   SPINAL CANAL EXPLOR NEC      8131   REFUSION OF ATLAS-AXIS   |
|                                              OCT01-                   |
|                                                                       |
|   8050   EXC/DEST INTVRT DISC NOS     8132   REFUSION OF OTH CERV ANT |
|                                              OCT01-                   |
|                                                                       |
|   8051   EXCISION INTERVERT DISC      8133   REFUS OF OTH CERV POST   |
|                                              OCT01-                   |
|                                                                       |
|   8059   OTH EXC/DEST INTVRT DISC     8134   REFUSION OF DORSAL ANT   |
|                                              OCT01-                   |
|                                                                       |
|   8100   SPINAL FUSION NOS            8135   REFUSION OF DORSAL POST  |
|                                              OCT01-                   |
|                                                                       |
|   8101   ATLAS-AXIS FUSION            8136   REFUSION OF LUMBAR ANT   |
|                                              OCT01-                   |
|                                                                       |
|   8102   OTH CERV FUSION, ANTER       8137   REFUSION OF LUMBAR LAT   |
|                                              OCT01-                   |
|                                                                       |
|   8103   OTH CERV FUSION, POSTER      8138   REFUSION OF LUMBAR POST  |
|                                              OCT01-                   |
|                                                                       |
|   8104   DORSAL FUSION, ANTERIOR      8139   REFUSION OF SPINE NEC    |
|                                              OCT01-                   |
|                                                                       |
|   8105   DORSAL FUSION, POSTERIOR     8161   360 SPINAL FUSION OCT02- |
|                                                                       |
|   8106   LUMBAR FUSION, ANTERIOR      8162   FUS/REFUS 2-3 VERTEBRAE  |
|                                              OCT03-                   |
|                                                                       |
|   8107   LUMBAR FUSION, LATERAL       8163   FUS/REFUS 4-8 VERTEBRAE  |
|                                              OCT03-                   |
|                                                                       |
|   8108   LUMBAR FUSION, POSTERIOR     8164   FUS/REFUS 9 VERTEBRAE    |
|                                              OCT03-                   |
|                                                                       |
|   8109   REFUSION OF SPINE            8451   INS SPINAL FUSION DEVICE |
|                                              OCT02-                   |
|   -                                                                   |
| ----- ---------------------------- ------ --------------------------- |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
|                                                                       |
| -   MDC 15 (newborns and other neonates)                              |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| > Population in Metro Area or county, age 18 years and older.         |
+-----------------------------------------------------------------------+

######### 

##### Appendix A: Problem Deliveries {#appendix-a-problem-deliveries .unnumbered}

These codes are used by the following IQIs:

  -------------------------------------------------------------------------- ----------------------------
  **IQI**                                                                    **How Used**

  [Cesarean Delivery Rate (IQI 21)](#cesarean-delivery-rate-iqi-21) - Page   Denominator exclusion - Page
  [21](#cesarean-delivery-rate-iqi-21)                                       [21](#IQI21)

  [Primary Cesarean Delivery Rate (IQI                                       Denominator exclusion - Page
  33)](#primary-cesarean-delivery-rate-iqi-33) - Page                        [22](#IQI33)
  [22](#primary-cesarean-delivery-rate-iqi-33)                               

  [Vaginal Birth after Cesarean Delivery Rate, Uncomplicated (IQI            Denominator exclusion - Page
  22)](#vaginal-birth-after-cesarean-delivery-rate-uncomplicated-iqi-22) -   [23](#IQI22)
  Page                                                                       
  [23](#vaginal-birth-after-cesarean-delivery-rate-uncomplicated-iqi-22)     
  -------------------------------------------------------------------------- ----------------------------

In the table above, control-click (Word) or click (PDF) the **IQI** name
to go to the start of that detailed definition. Click the link in the
**How Used** column to go to where the cancer codes are referenced
within the IQI detailed definition.

ICD-9-CM abnormal presentation, preterm, fetal death and multiple
gestation diagnosis codes:

  ------------ ----------------------------------------------------------
  64420        EARLY ONSET DELIV-UNSPEC

  64421        EARLY ONSET DELIVERY-DEL

  65100        TWIN PREGNANCY-UNSPEC

  65101        TWIN PREGNANCY-DELIVERED

  65103        TWIN PREGNANCY-ANTEPART

  65110        TRIPLET PREGNANCY-UNSPEC

  65111        TRIPLET PREGNANCY-DELIV

  65113        TRIPLET PREG-ANTEPARTUM

  65120        QUADRUPLET PREG-UNSPEC

  65121        QUADRUPLET PREG-DELIVER

  65123        QUADRUPLET PREG-ANTEPART

  65130        TWINS W FETAL LOSS-UNSP

  65131        TWINS W FETAL LOSS-DEL

  65133        TWINS W FETAL LOSS-ANTE

  65140        TRIPLETS W FET LOSS-UNSP

  65141        TRIPLETS W FET LOSS-DEL

  65143        TRIPLETS W FET LOSS-ANTE

  65150        QUADS W FETAL LOSS-UNSP

  65151        QUADS W FETAL LOSS-DEL

  65153        QUADS W FETAL LOSS-ANTE

  65160        MULT GES W FET LOSS-UNSP

  65161        MULT GES W FET LOSS-DEL

  65163        MULT GES W FET LOSS-ANTE

  65180        MULTI GESTAT NEC-UNSPEC

  65181        MULTI GESTAT NEC-DELIVER

  65183        MULTI GEST NEC-ANTEPART

  65190        MULTI GESTAT NOS-UNSPEC

  65191        MULT GESTATION NOS-DELIV

  65193        MULTI GEST NOS-ANTEPART

  65220        BREECH PRESENTAT-UNSPEC

  65221        BREECH PRESENTAT-DELIVER

  65223        BREECH PRESENT-ANTEPART

  65230        TRANSV/OBLIQ LIE-UNSPEC

  65231        TRANSVER/OBLIQ LIE-DELIV

  65233        TRANSV/OBLIQ LIE-ANTEPAR

  65240        FACE/BROW PRESENT-UNSPEC

  65241        FACE/BROW PRESENT-DELIV

  65243        FACE/BROW PRES-ANTEPART

  65260        MULT GEST MALPRESEN-UNSP

  65261        MULT GEST MALPRES-DELIV

  65263        MULT GES MALPRES-ANTEPAR

  65640        INTRAUTERINE DEATH-UNSP

  65641        INTRAUTER DEATH-DELIVER

  65643        INTRAUTER DEATH-ANTEPART

  66050        LOCKED TWINS-UNSPECIFIED

  66051        LOCKED TWINS-DELIVERED

  66053        LOCKED TWINS-ANTEPARTUM

  66230        DELAY DEL 2ND TWIN-UNSP

  66231        DELAY DEL 2ND TWIN-DELIV

  66233        DELAY DEL 2 TWIN-ANTEPAR

  66960        BREECH EXTR NOS-UNSPEC

  66961        BREECH EXTR NOS-DELIVER

  7615         MULT PREGNANCY AFF NB

  V271         DELIVER-SINGLE STILLBORN

  V272         DELIVER-TWINS, BOTH LIVE

  V273         DEL-TWINS, 1 NB, 1 SB

  V274         DELIVER-TWINS, BOTH SB

  V275         DEL-MULT BIRTH, ALL LIVE

  V276         DEL-MULT BRTH, SOME LIVE

  V277         DEL-MULT BIRTH, ALL SB
  ------------ ----------------------------------------------------------

ICD-9-CM breech procedure codes

  ------ ---------------------------------- ------ -------------------------
  7251   PART BRCH EXTRAC W FORCP           7253   TOT BRCH EXTRAC W FORCEP

  7252   PART BREECH EXTRACT NEC            7254   TOT BREECH EXTRAC NEC
  ------ ---------------------------------- ------ -------------------------

######### 

##### Appendix B: Links {#appendix-b-links .unnumbered}

The following links may be helpful to users of the AHRQ Inpatient
Quality Indicators.

**Inpatient Quality Indicators Version 3.2 Documents and Software**

> Available at
> [http://www.qualityindicators.ahrq.gov/iqi_download.htm](http://www.qualityindicators.ahrq.gov/pqi_download.htm)

+---------------------+------------------------------------------------+
| ***Title***         | ***Description***                              |
+=====================+================================================+
| *Guide to Inpatient | Describes how the IQIs were developed and      |
| Quality Indicators* | provides detailed evidence for each indicator. |
+---------------------+------------------------------------------------+
| *Inpatient Quality  | Provides detailed definitions of each IQI,     |
| Indicators          | including all ICD-9-CM and DRG codes that are  |
| Technical           | included in or excluded from the numerator and |
| Specifications*     | denominator. Note that exclusions from the     |
|                     | denominator are automatically applied to the   |
|                     | numerator.                                     |
+---------------------+------------------------------------------------+
| *IQI Covariates     | Tables for each IQI provide the stratification |
| used in Risk        | and coefficients used to calculate the         |
| Adjustment*         | risk-adjusted rate for each strata.            |
+---------------------+------------------------------------------------+
| *Inpatient Quality  | This document provides the average volume,     |
| Indicators          | provider rate, and population rate, as         |
| Comparative Data*   | appropriate, for each indicator.               |
+---------------------+------------------------------------------------+
| *SAS® IQI Software  | This software documentation provides detailed  |
| Documentation*      | instructions on how to use the SAS ® version   |
|                     | of the IQI software including data             |
|                     | preparation, calculation of the IQI rates, and |
|                     | interpretation of output.                      |
+---------------------+------------------------------------------------+
| *Change Log to IQI  | The Change Log document provides a cumulative  |
| Documents and       | summary of all changes to the IQI software,    |
| Software*           | software documentation, and other documents    |
|                     | made since the release of version 2.1 of the   |
|                     | software in March 2003. Changes to indicator   |
|                     | specifications that were not a result of new   |
|                     | ICD-9-CM and DRG codes, are also described in  |
|                     | the Change Log.                                |
+---------------------+------------------------------------------------+
| *Fiscal year 2008   | This document summarizes the changes to the    |
| Coding Changes*     | indicator definitions resulting from FY 2008   |
|                     | changes to ICD-9-CM coding and DRG changes.    |
|                     | These changes will only affect data from FY    |
|                     | 2008 (October 1, 2007) or later.               |
+---------------------+------------------------------------------------+
| SAS® IQI Software   | Requires the SAS® statistical program          |
|                     | distributed by the SAS Institute, Inc. The     |
|                     | company may be contacted directly regarding    |
|                     | the licensing of its products:                 |
|                     |                                                |
|                     | > [http://www.sas.com](http://www.sas.com/)    |
+---------------------+------------------------------------------------+
| 3M® APR® DRG        | Creates APR-DRG variables for use with SAS     |
| Limited License     | version of IQI software. Instructions for      |
| Grouper for SAS®    | running the software are included in the Zip   |
|                     | file.                                          |
+---------------------+------------------------------------------------+

**AHRQ QI Windows Application**

The AHRQ QI Windows Application calculates rates for all of the AHRQ
Quality Indicators modules and does not require SAS®. It is available
at:

> <http://www.qualityindicators.ahrq.gov/winqi_download.htm>

**Additional Documents**

The following documents are available within the \"Documentation\"
section of the **AHRQ QI Downloads** Web page:

> [[http://www.qualityindicators.ahrq.gov/downloads.htm]{.underline}](http://www.qualityindicators.ahrq.gov/downloads.htm)

-   *Refinement of the HCUP Quality Indicators (Technical Review), May
    2001*

-   *Refinement of the HCUP Quality Indicators (Summary), May 2001*

-   *Measures of Patient Safety Based on Hospital Administrative Data -
    The Patient Safety Indicators, August 2002*

-   *Measures of Patient Safety Based on Hospital Administrative Data -
    The Patient Safety Indicators (Summary), August 2002*

In addition, these documents may be accessed at the AHRQ QI
Documentation Web page:

> <http://www.qualityindicators.ahrq.gov/documentation.htm>

-   *Guidance for Using the AHRQ Quality Indicators for Hospital-level
    Public Reporting or Payment, August 2004*

-   *AHRQ Summary Statement on Comparative Hospital Public Reporting,
    December 2005*

-   *Appendix A: Current Uses of AHRQ Quality Indicators and
    Considerations for Hospital-level*

-   *Comparison of Recommended Evaluation Criteria in Five E*xisting
    National Frameworks

The following documents can be viewed or downloaded from the page:

> <http://www.qualityindicators.ahrq.gov/newsletter.htm>

-   *2006 Area Level Indicator Changes*

-   *Considerations in Public Reporting for the AHRQ QIs*

-   *June 2005 Newsletter -* Contains the article, \"Using Different
    Types of QI Rates\"

**Other Tools and Information**

IQI rates can be calculated using the modified Federal Information
Processing Standards (FIPS) State/county code. A list of codes is
available at:

> <http://www.census.gov/popest/geographic/codes02.pdf>

AHRQ provides a free, on-line query system based on HCUP data that
provides access to health statistics and information on hospital stays
at the national, regional, and State level. It is available at:

> <http://hcup.ahrq.gov/HCUPnet.asp>

Information on the 3M™ APR-DRG system is available at:

> <http://www.3m.com/us/healthcare/his/products/coding/refined_drg.jhtml>