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AHRQ Quality Indicators

Patient Safety Indicators:

Technical Specifications

Department of Health and Human Services

Agency for Healthcare Research and Quality

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

March 2003

Version 3.0a (May 1, 2006)

Table of Contents

[Complications of Anesthesia (PSI 1)
1](#complications-of-anesthesia-psi-1)

[Death in Low-Mortality DRGs (PSI 2)
3](#death-in-low-mortality-drgs-psi-2)

[Decubitus Ulcer (PSI 3) 5](#decubitus-ulcer-psi-3)

[Failure to Rescue (PSI 4) 7](#failure-to-rescue-psi-4)

[Foreign Body Left during Procedure, Secondary Diagnosis Field (PSI 5
and 21)
14](#foreign-body-left-during-procedure-secondary-diagnosis-field-psi-5-and-21)

[Iatrogenic Pneumothorax, Secondary Diagnosis Field (PSI 6 and 22)
15](#iatrogenic-pneumothorax-secondary-diagnosis-field-psi-6-and-22)

[Selected Infections Due to Medical Care, Secondary Diagnosis Field (PSI
7 and 23)
21](#selected-infections-due-to-medical-care-secondary-diagnosis-field-psi-7-and-23)

[Postoperative Hip Fracture (PSI 8)
21](#postoperative-hip-fracture-psi-8)

[Postoperative Hemorrhage or Hematoma (PSI 9 and 27)
25](#postoperative-hemorrhage-or-hematoma-psi-9-and-27)

[Postoperative Physiologic and Metabolic Derangement (PSI 10)
27](#postoperative-physiologic-and-metabolic-derangement-psi-10)

[Postoperative Respiratory Failure (PSI 11)
29](#postoperative-respiratory-failure-psi-11)

[Postoperative Pulmonary Embolism or Deep Vein Thrombosis (PSI 12)
30](#postoperative-pulmonary-embolism-or-deep-vein-thrombosis-psi-12)

[Postoperative Sepsis (PSI 13) 30](#postoperative-sepsis-psi-13)

[Postoperative Wound Dehiscence (PSI 14 and 24))
31](#postoperative-wound-dehiscence-psi-14-and-24)

[Accidental Puncture or Laceration, Secondary Diagnosis Field (PSI 15
and 25)
38](#accidental-puncture-or-laceration-secondary-diagnosis-field-psi-15-and-25)

[Transfusion Reaction, Secondary Diagnosis Field (PSI 16 and 26)
38](#transfusion-reaction-secondary-diagnosis-field-psi-16-and-26)

[Birth Trauma―Injury to Neonate (PSI 17)
39](#birth-traumainjury-to-neonate-psi-17)

[Obstetric Trauma―Vaginal Delivery with Instrument (PSI 18)
41](#obstetric-traumavaginal-delivery-with-instrument-psi-18)

[Obstetric Trauma―Vaginal Delivery without Instrument (PSI 19)
42](#obstetric-traumavaginal-delivery-without-instrument-psi-19)

[Obstetric Trauma―Cesarean Delivery (PSI 20)
43](#obstetric-traumacesarean-delivery-psi-20)

[Appendix A: Operating Room Procedure Codes
A-1](#appendix-a-operating-room-procedure-codes)

[Appendix B: Surgical Discharge DRGs
B-1](#appendix-b-surgical-discharge-drgs)

[Appendix C: ICD-9-CM Trauma Diagnosis Codes
C-1](#appendix-c-icd-9-cm-trauma-diagnosis-codes)

[Appendix D: ICD-9-CM Codes for Immunocompromised States
D-1](#appendix-d-icd-9-cm-codes-for-immunocompromised-states)

[Appendix E: Cancer Codes E-1](#appendix-e-cancer-codes)

[Appendix F: Medical Discharge DRGs
F-1](#appendix-f-medical-discharge-drgs)

[Appendix G: Hemorrhage Diagnosis Codes
G-1](#appendix-g-hemorrhage-diagnosis-codes)

[Appendix H: Shock Diagnosis Codes
H-1](#appendix-h-shock-diagnosis-codes)

[Appendix I: ICD-9-CM Gastrointestinal (GI) Hemorrhage Diagnosis Codes
I-1](#appendix-i-icd-9-cm-gastrointestinal-gi-hemorrhage-diagnosis-codes)

[Appendix J: Trauma DRGs J-1](#appendix-j-trauma-drgs)

[Appendix K: Pulmonary Embolism/Deep Vein Thrombosis Diagnosis Codes
K-1](#appendix-k-pulmonary-embolismdeep-vein-thrombosis-diagnosis-codes)

[Appendix L: Self-Inflicted Injury Diagnosis Codes
L-1](#appendix-l-self-inflicted-injury-diagnosis-codes)

[Appendix M: Acute Myocardial Infarction (AMI) Diagnosis Codes
M-1](#appendix-m-acute-myocardial-infarction-ami-diagnosis-codes)

[Appendix N: Cardiac Arrhythmia Diagnosis Codes
N-1](#appendix-n-cardiac-arrhythmia-diagnosis-codes)

[Appendix O: Sepsis Diagnosis Codes
O-1](#appendix-o-sepsis-diagnosis-codes)

[Appendix P: Infection Diagnosis Codes and DRGs
P-1](#appendix-p-infection-diagnosis-codes-and-drgs)

[Appendix Q: Cancer DRGs Q-1](#appendix-q-cancer-drgs)

Patient Safety Indicators -- Detailed Definitions

For ICD-9-CM codes introduced after October 1995, the date of
introduction is indicated after the code label, e.g., OCT 04.

+-----------------------------------------------------------------------+
| ## Complications of Anesthesia (PSI 1)                                |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| Discharges with ICD-9-CM diagnosis codes for anesthesia complications |
| in any secondary diagnosis field.                                     |
|                                                                       |
| *ICD-9-CM Anesthesia Complications diagnosis codes:*                  |
|                                                                       |
| Adverse effects in therapeutic use, other central nervous system      |
| depressants and anesthetics:                                          |
|                                                                       |
| E8763 ENDOTRACHEAL TUBE WRONGLY PLACE DURING ANESTHETIC PROCEDURE     |
|                                                                       |
| E9381 HALOTHANE                                                       |
|                                                                       |
| E9382 OTHER GASEOUS ANESTHETICS                                       |
|                                                                       |
| E9383 INTRAVENOUS ANESTHETICS                                         |
|                                                                       |
| E9384 OTHER AND UNSPECIFIED GENERAL ANESTHETICS                       |
|                                                                       |
| E9385 SURFACE AND INFILTRATION ANESTHETICS                            |
|                                                                       |
| E9386 PERIPHERAL NERVE AND PLEXUS BLOCKING ANESTHETICS                |
|                                                                       |
| E9387 SPINAL ANESTHETICS                                              |
|                                                                       |
| E9389 OTHER AND UNSPECIFIED LOCAL ANESTHETICS                         |
|                                                                       |
| Poisoning by other central nervous system depressants and             |
| anesthetics:                                                          |
|                                                                       |
| 9681 HALOTHANE                                                        |
|                                                                       |
| 9682 OTHER GASEOUS ANESTHETICS                                        |
|                                                                       |
| 9683 INTRAVENOUS ANESTHETICS                                          |
|                                                                       |
| 9684 OTHER AND UNSPECIFIED GENERAL ANESTHETICS                        |
|                                                                       |
| 9687 SPINAL ANESTHETICS                                               |
|                                                                       |
| E8551 ACCIDENTAL POISONING, OTHER NERVOUS SYSTEM DEPRESSANTS          |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| []{#psi1denom .anchor}All surgical discharges, 18 years and older     |
| **or** MDC 14 (pregnancy, childbirth, and puerperium), defined by     |
| specific DRGs and an ICD-9-CM code for an operating room procedure.   |
|                                                                       |
| > See Appendix A: Operating Room Procedure Codes                      |
| >                                                                     |
| > See [Appendix B: Surgical Discharge                                 |
| > DRGs](#_Appendix_B:__Surgical_Discharge_DRG)                        |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   with ICD-9-CM diagnosis codes for anesthesia complications (see   |
|     Numerator) in the principal diagnosis field                       |
|                                                                       |
| -   with codes for self-inflicted injury, poisoning due to            |
|     anesthetics (E8551, 9681-4, 9687) **and** any diagnosis code for  |
|     active drug dependence, or active nondependent abuse of drugs     |
|                                                                       |
| > See [Appendix L: Self-Inflicted Injury Diagnosis                    |
| > Codes](#_Appendix_L:__Self-Inflicted_Injury_)                       |
| >                                                                     |
| > Control-click (Word) or click (PDF) to view the Appendix. Links are |
| > provided to return to the PSI Detailed Definition.                  |
|                                                                       |
| *ICD-9-CM Active Drug Dependence diagnosis codes:*                    |
|                                                                       |
| 30400 OPIOID TYPE DEPENDENCE - UNSPECIFIED                            |
|                                                                       |
| 30401 OPIOID TYPE DEPENDENCE - CONTINUOUS                             |
|                                                                       |
| 30402 OPIOID TYPE DEPENDENCE - EPISODIC                               |
|                                                                       |
| 30410 BARBITURATE AND SIMILARLY ACTING SEDATIVE OR HYPNOTIC           |
| DEPENDENCE - UNSPECIFIED                                              |
|                                                                       |
| 30411 BARBITURATE AND SIMILARLY ACTING SEDATIVE OR HYPNOTIC           |
| DEPENDENCE - CONTINUOUS                                               |
|                                                                       |
| 30412 BARBITURATE AND SIMILARLY ACTING SEDATIVE OR HYPNOTIC           |
| DEPENDENCE - EPISODIC                                                 |
|                                                                       |
| 30420 COCAINE DEPENDENCE - UNSPECIFIED                                |
|                                                                       |
| 30421 COCAINE DEPENDENCE - CONTINUOUS                                 |
|                                                                       |
| 30422 COCAINE DEPENDENCE - EPISODIC                                   |
|                                                                       |
| 30430 CANNABIS DEPENDENCE - UNSPECIFIED                               |
|                                                                       |
| 30431 CANNABIS DEPENDENCE - CONTINUOUS                                |
|                                                                       |
| 30432 CANNABIS DEPENDENCE - EPISODIC                                  |
|                                                                       |
| 30440 AMPHETAMINE AND OTHER PSYCHO STIMULANT DEPENDENCE - UNSPECIFIED |
|                                                                       |
| 30441 AMPHETAMINE AND OTHER PSYCHO STIMULANT DEPENDENCE - CONTINUOUS  |
|                                                                       |
| 30442 AMPHETAMINE AND OTHER PSYCHO STIMULANT DEPENDENCE - EPISODIC    |
|                                                                       |
| 30450 HALLUCINOGEN DEPENDENCE - UNSPECIFIED                           |
|                                                                       |
| 30451 HALLUCINOGEN DEPENDENCE - CONTINUOUS                            |
|                                                                       |
| 30452 HALLUCINOGEN DEPENDENCE - EPISODIC                              |
|                                                                       |
| 30460 OTHER SPECIFIED DRUG DEPENDENCE - UNSPECIFIED                   |
|                                                                       |
| 30461 OTHER SPECIFIED DRUG DEPENDENCE - CONTINUOUS                    |
|                                                                       |
| 30462 OTHER SPECIFIED DRUG DEPENDENCE - EPISODIC                      |
|                                                                       |
| 30470 COMBINATIONS OF OPIOID TYPE DRUG W/ ANY OTHER - UNSPECIFIED     |
|                                                                       |
| 30471 COMBINATIONS OF OPIOID TYPE DRUG W/ ANY OTHER - CONTINUOUS      |
|                                                                       |
| 30472 COMBINATIONS OF OPIOID TYPE DRUG W/ ANY OTHER - EPISODIC        |
|                                                                       |
| 30480 COMBINATIONS OF DRUG EXCLUDING OPIOID TYPE DRUG - UNSPECIFIED   |
|                                                                       |
| 30481 COMBINATIONS OF DRUG EXCLUDING OPIOID TYPE DRUG - CONTINUOUS    |
|                                                                       |
| 30482 COMBINATIONS OF DRUG EXCLUDING OPIOID TYPE DRUG - EPISODIC      |
|                                                                       |
| 30490 UNSPECIFIED DRUG DEPENDENCE - UNSPECIFIED                       |
|                                                                       |
| 30491 UNSPECIFIED DRUG DEPENDENCE - CONTINUOUS                        |
|                                                                       |
| 30492 UNSPECIFIED DRUG DEPENDENCE - EPISODIC                          |
|                                                                       |
| *ICD-9-CM Active Nondependent Abuse of Drugs diagnosis codes:*        |
|                                                                       |
| 30520 CANNABIS ABUSE - UNSPECIFIED                                    |
|                                                                       |
| 30521 CANNABIS ABUSE - CONTINUOUS                                     |
|                                                                       |
| 30522 CANNABIS ABUSE - EPISODIC                                       |
|                                                                       |
| 30530 HALLUCINOGEN ABUSE - UNSPECIFIED                                |
|                                                                       |
| 30531 HALLUCINOGEN ABUSE - CONTINUOUS                                 |
|                                                                       |
| 30532 HALLUCINOGEN ABUSE - EPISODIC                                   |
|                                                                       |
| 30540 BARBITURATE AND SIMILARLY ACTING SEDATIVE OR HYPNOTIC ABUSE -   |
| UNSPECIFIED                                                           |
|                                                                       |
| 30541 BARBITURATE AND SIMILARLY ACTING SEDATIVE OR HYPNOTIC ABUSE -   |
| CONTINUOUS                                                            |
|                                                                       |
| 30542 BARBITURATE AND SIMILARLY ACTING SEDATIVE OR HYPNOTIC ABUSE -   |
| EPISODIC                                                              |
|                                                                       |
| 30550 OPIOID ABUSE - UNSPECIFIED                                      |
|                                                                       |
| 30551 OPIOID ABUSE - CONTINUOUS                                       |
|                                                                       |
| 30552 OPIOID ABUSE - EPISODIC                                         |
|                                                                       |
| 30560 COCAINE ABUSE - UNSPECIFIED                                     |
|                                                                       |
| 30561 COCAINE ABUSE - CONTINUOUS                                      |
|                                                                       |
| 30562 COCAINE ABUSE - EPISODIC                                        |
|                                                                       |
| 30570 AMPHETAMINE OR RELATED ACTING SYMPATHOMIMETIC ABUSE -           |
| UNSPECIFIED                                                           |
|                                                                       |
| 30571 AMPHETAMINE OR RELATED ACTING SYMPATHOMIMETIC ABUSE -           |
| CONTINUOUS                                                            |
|                                                                       |
| 30572 AMPHETAMINE OR RELATED ACTING SYMPATHOMIMETIC ABUSE - EPISODIC  |
|                                                                       |
| 30580 ANTIDEPRESSANT TYPE ABUSE - UNSPECIFIED                         |
|                                                                       |
| 30581 ANTIDEPRESSANT TYPE ABUSE - CONTINUOUS                          |
|                                                                       |
| 30582 ANTIDEPRESSANT TYPE ABUSE - EPISODIC                            |
|                                                                       |
| 30590 OTHER, MIXED, OR UNSPECIFIED DRUG ABUSE - UNSPECIFIED           |
|                                                                       |
| 30591 OTHER, MIXED, OR UNSPECIFIED DRUG ABUSE - CONTINUOUS            |
|                                                                       |
| 30592 OTHER, MIXED, OR UNSPECIFIED DRUG ABUSE - EPISODIC              |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ## Death in Low-Mortality DRGs (PSI 2)                                |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| Discharges with disposition of "deceased".                            |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| Discharges, 18 years and older **or** MDC 14 (pregnancy, childbirth,  |
| and puerperium), in DRGs with less than 0.5% mortality rate,based on  |
| the 2001-2003 SID low-mortality DRG. If a DRG is divided into         |
| "without/with complications," both DRGs must have mortality rates     |
| below 0.5% to qualify for inclusion.                                  |
|                                                                       |
| *Low-Mortality DRGs:*                                                 |
|                                                                       |
|   ----- ------------------------------------------------------------  |
|   006   CARPAL TUNNEL RELEASE                                         |
|                                                                       |
|   021   VIRAL MENINGITIS                                              |
|                                                                       |
|   036   RETINAL PROCEDURES                                            |
|                                                                       |
|   037   ORBITAL PROCEDURES                                            |
|                                                                       |
|   039   LENS PROCEDURES WITH OR WITHOUT VITRECTOMY                    |
|                                                                       |
|   040   EXTRAOCULAR PROCEDURES EXCEPT ORBIT AGE \>17 (OCT 05)         |
|                                                                       |
|   042   INTRAOCULAR PROCEDURES EXCEPT RETINA, IRIS & LENS             |
|                                                                       |
|   043   HYPHEMA                                                       |
|                                                                       |
|   044   ACUTE MAJOR EYE INFECTIONS                                    |
|                                                                       |
|   045   NEUROLOGICAL EYE DISORDERS                                    |
|                                                                       |
|   049   MAJOR HEAD & NECK PROCEDURES (OCT 05)                         |
|                                                                       |
|   050   SIALOADENECTOMY                                               |
|                                                                       |
|   051   SALIVARY GLAND PROCEDURES EXCEPT SIALOADENECTOMY              |
|                                                                       |
|   052   CLEFT LIP & PALATE REPAIR                                     |
|                                                                       |
|   053   SINUS & MASTOID PROCEDURES AGE \>17                           |
|                                                                       |
|   055   MISCELLANEOUS EAR, NOSE, MOUTH & THROAT PROCEDURES            |
|                                                                       |
|   056   RHINOPLASTY (OCT 05)                                          |
|                                                                       |
|   057   T&A PROC, EXCEPT TONSILLECTOMY &/OR ADENOIDECTOMY ONLY, AGE   |
|         \>17                                                          |
|                                                                       |
|   059   TONSILLECTOMY &/OR ADENOIDECTOMY ONLY, AGE \>17 (OCT 05)      |
|                                                                       |
|   061   MYRINGOTOMY W TUBE INSERTION AGE \>17 (OCT 05)                |
|                                                                       |
|   063   OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES               |
|                                                                       |
|   065   DYSEQUILIBRIUM                                                |
|                                                                       |
|   067   EPIGLOTTITIS (OCT 05)                                         |
|                                                                       |
|   068   OTITIS MEDIA & URI AGE \>17 W CC                              |
|                                                                       |
|   069   OTITIS MEDIA & URI AGE \>17 WO CC (OCT 05)                    |
|                                                                       |
|   072   NASAL TRAUMA & DEFORMITY (OCT 05)                             |
|                                                                       |
|   096   BRONCHITIS & ASTHMA AGE \>17 W CC                             |
|                                                                       |
|   097   BRONCHITIS & ASTHMA AGE \>17 WO CC                            |
|                                                                       |
|   118   CARDIAC PACEMAKER DEVICE REPLACEMENT (OCT 05)                 |
|                                                                       |
|   125   CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH WO COMPLEX      |
|                                                                       |
|   134   HYPERTENSION                                                  |
|                                                                       |
|   140   ANGINA PECTORIS                                               |
|                                                                       |
|   141   SYNCOPE & COLLAPSE W CC                                       |
|                                                                       |
|   142   SYNCOPE & COLLAPSE WO CC                                      |
|                                                                       |
|   143   CHEST PAIN                                                    |
|                                                                       |
|   166   APPENDECTOMY WO COMPLICATED PRINCIPAL DIAG W CC               |
|                                                                       |
|   167   APPENDECTOMY WO COMPLICATED PRINCIPAL DIAG WO CC              |
|                                                                       |
|   177   UNCOMPLICATED PEPTIC ULCER W CC (OCT 05)                      |
|                                                                       |
|   178   UNCOMPLICATED PEPTIC ULCER WO CC (OCT 05)                     |
|                                                                       |
|   179   INFLAMMATORY BOWEL DISEASE (OCT 05)                           |
|                                                                       |
|   187   DENTAL EXTRACTIONS & RESTORATIONS (OCT 05)                    |
|                                                                       |
|   223   MAJOR SHOULDER/ELBOW PROC, OR OTHER UPPER EXTREMITY PROC      |
|                                                                       |
|   224   SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC, WO       |
|                                                                       |
|   225   FOOT PROCEDURES                                               |
|                                                                       |
|   228   MAJOR THUMB OR JOINT PROC,OR OTH HAND OR WRIST PROC W CC      |
|                                                                       |
|   229   HAND OR WRIST PROC, EXCEPT MAJOR JOINT PROC, WO CC            |
|                                                                       |
|   231   LOCAL EXCISION & REMOVAL OF INT FIX DEVICES EXCEPT HIP &      |
|         FEMUR (OCT 05)                                                |
|                                                                       |
|   237   SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH (OCT  |
|         05)                                                           |
|                                                                       |
|   232   ARTHROSCOPY                                                   |
|                                                                       |
|   244   BONE DISEASES & SPECIFIC ARTHROPATHIES W CC (OCT 05)          |
|                                                                       |
|   245   BONE DISEASES & SPECIFIC ARTHROPATHIES WO CC (OCT 05)         |
|                                                                       |
|   246   NON-SPECIFIC ARTHROPATHIES                                    |
|                                                                       |
|   247   SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE      |
|         (OCT 05)                                                      |
|                                                                       |
|   257   TOTAL MASTECTOMY FOR MALIGNANCY W CC (OCT 05)                 |
|                                                                       |
|   258   TOTAL MASTECTOMY FOR MALIGNANCY WO CC (OCT 05)                |
|                                                                       |
|   261   BREAST PROC FOR NON-MALIGNANCY EXCEPT BIOPSY & LOCAL EXC      |
|                                                                       |
|   262   BREAST BIOPSY & LOCAL EXCISION FOR NON-MALIGNANCY             |
|                                                                       |
|   267   PERIANAL & PILONIDAL PROCEDURES                               |
|                                                                       |
|   268   SKIN, SUBCUTANEOUS TISSUE & BREAST PLASTIC PROCEDURES (OCT    |
|         05)                                                           |
|                                                                       |
|   276   NON-MALIGANT BREAST DISORDERS                                 |
|                                                                       |
|   288   O.R. PROCEDURES FOR OBESITY                                   |
|                                                                       |
|   289   PARATHYROID PROCEDURES                                        |
|                                                                       |
|   290   THYROID PROCEDURES                                            |
|                                                                       |
|   291   THYROGLOSSAL PROCEDURES                                       |
|                                                                       |
|   295   DIABETES AGE 0-35                                             |
|                                                                       |
|   323   URINARY STONES W CC, &/OR ESW LITHOTRIPSY                     |
|                                                                       |
|   324   URINARY STONES WO CC                                          |
|                                                                       |
|   334   MAJOR MALE PELVIC PROCEDURES W CC                             |
|                                                                       |
|   335   MAJOR MALE PELVIC PROCEDURES WO CC                            |
|                                                                       |
|   336   TRANSURETHRAL PROSTATECTOMY W CC                              |
|                                                                       |
|   337   TRANSURETHRAL PROSTATECTOMY WO CC                             |
|                                                                       |
|   339   TESTES PROCEDURES, NON-MALIGNANCY AGE \>17                    |
|                                                                       |
|   341   PENIS PROCEDURES                                              |
|                                                                       |
|   342   CIRCUMCISION AGE \>17                                         |
|                                                                       |
|   350   INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM                  |
|                                                                       |
|   356   FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES          |
|                                                                       |
|   358   UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC                 |
|                                                                       |
|   359   UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WO CC                |
|                                                                       |
|   360   VAGINA, CERVIX & VULVA PROCEDURES                             |
|                                                                       |
|   361   LAPAROSCOPY & INCISIONAL TUBAL INTERRUPTION                   |
|                                                                       |
|   362   ENDOSCOPIC TUBAL INTERRUPTION                                 |
|                                                                       |
|   364   D&C, CONIZATION EXCEPT FOR MALIGNANCY                         |
|                                                                       |
|   369   MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS        |
|                                                                       |
|   370   CESAREAN SECTION W CC                                         |
|                                                                       |
|   371   CESAREAN SECTION WO CC                                        |
|                                                                       |
|   372   VAGINAL DELIVERY W COMPLICATING DIAGNOSES                     |
|                                                                       |
|   373   VAGINAL DELIVERY WO COMPLICATING DIAGNOSES                    |
|                                                                       |
|   374   VAGINAL DELIVERY W STERILIZATION &/OR D&C                     |
|                                                                       |
|   376   POSTPARTUM & POST ABORTION DIAGNOSES WO O.R. PROCEDURE        |
|                                                                       |
|   377   POSTPARTUM & POST ABORTION DIAGNOSES W O.R. PROCEDURE         |
|                                                                       |
|   378   ECTOPIC PREGNANCY                                             |
|                                                                       |
|   379   THREATENED ABORTION                                           |
|                                                                       |
|   380   ABORTION WO D&C                                               |
|                                                                       |
|   381   ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY           |
|                                                                       |
|   382   FALSE LABOR                                                   |
|                                                                       |
|   383   OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS            |
|                                                                       |
|   384   OTHER ANTEPARTUM DIAGNOSES WO MEDICAL COMPLICATIONS           |
|                                                                       |
|   421   VIRAL ILLNESS AGE \>17                                        |
|                                                                       |
|   426   DEPRESSIVE NEUROSES                                           |
|                                                                       |
|   427   NEUROSES EXCEPT DEPRESSIVE                                    |
|                                                                       |
|   428   DISORDERS OF PERSONALITY & IMPULSE CONTROL                    |
|                                                                       |
|   430   PSYCHOSES                                                     |
|                                                                       |
|   431   CHILDHOOD MENTAL DISORDERS                                    |
|                                                                       |
|   432   OTHER MENTAL DISORDER DIAGNOSES                               |
|                                                                       |
|   433   ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA                    |
|                                                                       |
|   434   ALC/DRUG ABUSE OR DEPEND, DETOX OR OTH SYMPT TREAT W CC       |
|                                                                       |
|   435   ALC/DRUG ABUSE OR DEPEND, DETOX OR OTH SYMPT TREAT WO CC      |
|                                                                       |
|   436   ALC/DRUG DEPENDENCE W REHABILITATION THERAPY (NO LONGER       |
|                                                                       |
|   437   ALC/DRUG DEPENDENCE, COMBINED REHAB & DETOX THERAPY (NO       |
|                                                                       |
|   439   SKIN GRAFTS FOR INJURIES                                      |
|                                                                       |
|   441   HAND PROCEDURES FOR INJURIES                                  |
|                                                                       |
|   447   ALLERGIC REACTIONS AGE \>17                                   |
|                                                                       |
|   471   BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMI      |
|                                                                       |
|   491   MAJOR JOINT & LIMB REATTACHMENT PROCEDURES OF UPPER EXTR      |
|                                                                       |
|   496   COMBINED ANTERIOR/POSTERIOR SPINAL FUSION                     |
|                                                                       |
|   499   BACK & NECK PROCEDURES EXCEPT SPINAL FUSION W CC              |
|                                                                       |
|   500   BACK & NECK PROCEDURES EXCEPT SPINAL FUSION WO CC             |
|                                                                       |
|   503   KNEE PROCEDURES WO PDX OF INFECTION                           |
|                                                                       |
|   517   PERC CARDIO PROC W NON-DRUG ELUTING STENT WO AMI              |
|                                                                       |
|   521   ALCOHOL/DRUG ABUSE OR DEPENDENCE W CC                         |
|                                                                       |
|   522   ALC/DRUG ABUSE OR DEPEND W REHABILITATION THERAPY WO CC       |
|                                                                       |
|   523   ALC/DRUG ABUSE OR DEPEND WO REHABILITATION THERAPY WO CC      |
|                                                                       |
|   524   TRANSIENT ISCHEMIA                                            |
|                                                                       |
|   527   PERCUTNEOUS CARDIOVASULAR PROC W DRUG ELUTING STENT WO A      |
|                                                                       |
|   536   CARDIAC DEFIB IMPLANT W CARDIAC CATH WO AMI/HF/SHOCK          |
|   ----- ------------------------------------------------------------  |
|                                                                       |
| []{#PSI2Exclude .anchor}Exclude patients with any code for trauma,    |
| immunocompromised state, or cancer.                                   |
|                                                                       |
| > See Appendix C: ICD-9-CM Trauma Diagnosis Codes                     |
| >                                                                     |
| > See [Appendix D: ICD-9-CM Codes for Immunocompromised               |
| > States]{.underline}                                                 |
| >                                                                     |
| > See Appendix E: Cancer Codes                                        |
|                                                                       |
| Control-click (Word) or click (PDF) to view the Appendix. Links are   |
| provided to return to the PSI Detailed Definition.                    |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ## Decubitus Ulcer (**PSI 3**)                                        |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| Discharges with ICD-9-CM code of decubitus ulcer in any secondary     |
| diagnosis field.                                                      |
|                                                                       |
| *ICD-9-CM Decubitus Ulcer Diagnosis Codes:*                           |
|                                                                       |
| 7070\* DECUBITUS ULCER                                                |
|                                                                       |
| 70700 DECUBITUS ULCER SITE NOS (OCT 04)                               |
|                                                                       |
| 70701 DECUBITUS ULCER, ELBOW (OCT 04)                                 |
|                                                                       |
| 70702 DECUBITUS ULCER, UP BACK (OCT 04)                               |
|                                                                       |
| 70703 DECUBITUS ULCER, LOW BACK (OCT 04)                              |
|                                                                       |
| 70704 DECUBITUS ULCER, HIP (OCT 04)                                   |
|                                                                       |
| 70705 DECUBITUS ULCER, BUTTOCK (OCT 04)                               |
|                                                                       |
| 70706 DECUBITUS ULCER, ANKLE (OCT 04)                                 |
|                                                                       |
| 70707 DECUBITUS ULCER, HEEL (OCT 04)                                  |
|                                                                       |
| 70709 DECUBITUS ULCER, SITE NEC (OCT 04)                              |
|                                                                       |
| \*No longer valid in FY2005                                           |
+-----------------------------------------------------------------------+
| []{#PSI3Denom .anchor}**Denominator:**                                |
|                                                                       |
| All medical and surgical discharges age 18 years and older defined by |
| specific DRGs.                                                        |
|                                                                       |
| > See [Appendix B: Surgical Discharge                                 |
| > DRGs](#_Appendix_B:__Surgical_Discharge_DRG)                        |
| >                                                                     |
| > See [Appendix F: Medical Discharge                                  |
| > DRGs](#_Appendix_F:__Medical_Discharge_DRGs)                        |
| >                                                                     |
| > Control-click (Word) or click (PDF) to view the Appendix. Links are |
| > provided to return to the PSI Detailed Definition.                  |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   with length of stay of less than 5 days                           |
|                                                                       |
| -   with ICD-9-CM code of decubitus ulcer (see Numerator) in the      |
|     principal diagnosis field                                         |
|                                                                       |
| -   MDC 9 (Skin, Subcutaneous Tissue, and Breast)                     |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
|                                                                       |
| -   with any diagnosis of hemiplegia, paraplegia, or quadriplegia     |
|                                                                       |
| -   with ICD-9-CM code of spina bifida or anoxic brain damage         |
|                                                                       |
| -   with an ICD-9-CM procedure code for debridement or pedicle graft  |
|     **before or on the same day** as the major operating room         |
|     procedure (surgical cases only)                                   |
|                                                                       |
| -   admitted from a long-term care facility (SID Admission Source=3)  |
|                                                                       |
| -   transferred from an acute care facility (SID Admission Source=2)  |
|                                                                       |
| > See [Appendix A: Operating Room Procedure                           |
| > Codes](#appendix-a-operating-room-procedure-codes)                  |
| >                                                                     |
| > Control-click (Word) or click (PDF) to view the Appendix. Links are |
| > provided to return to the PSI Detailed Definition.                  |
|                                                                       |
| *ICD-9-CM Hemiplegia, Paraplegia, or Quadriplegia diagnosis codes     |
| (includes 4^th^ and 5^th^ digits):*                                   |
|                                                                       |
| 3420 FLACCID HEMIPLEGIA                                               |
|                                                                       |
| 3421 SPASTIC HEMIPLEGIA                                               |
|                                                                       |
| 3428 OTHER SPECIFIED HEMIPLEGIA                                       |
|                                                                       |
| 3429 HEMIPLEGIA, UNSPECIFIED                                          |
|                                                                       |
| 3430 INFANTILE CEREBRAL PALSY, DIPLEGIC                               |
|                                                                       |
| 3431 INFANTILE CEREBRAL PALSY, HEMIPLEGIC                             |
|                                                                       |
| 3432 INFANTILE CEREBRAL PALSY, QUADRIPLEGIC                           |
|                                                                       |
| 3433 INFANTILE CEREBRAL PALSY, MONOPLEGIC                             |
|                                                                       |
| 3434 INFANTILE CEREBRAL PALSY INFANTILE HEMIPLEGIA                    |
|                                                                       |
| 3438 INFANTILE CEREBRAL PALSY OTHER SPECIFIED INFANTILE CEREBRAL      |
| PALSY                                                                 |
|                                                                       |
| 3439 INFANTILE CEREBRAL PALSY, INFANTILE CEREBRAL PALSY, UNSPECIFIED  |
|                                                                       |
| 3440 QUADRIPLEGIA AND QUADRIPARESIS                                   |
|                                                                       |
| 3441 PARAPLEGIA                                                       |
|                                                                       |
| 3442 DIPLEGIA OF UPPER LIMBS                                          |
|                                                                       |
| 3443 MONOPLEGIA OF LOWER LIMB                                         |
|                                                                       |
| 3444 MONOPLEGIA OF UPPER LIMB                                         |
|                                                                       |
| 3445 UNSPECIFIED MONOPLEGIA                                           |
|                                                                       |
| 3446 CAUDA EQUINA SYNDROME                                            |
|                                                                       |
| 3448 OTHER SPECIFIED PARALYTIC SYNDROMES                              |
|                                                                       |
| 3449 PARALYSIS, UNSPECIFIED                                           |
|                                                                       |
| 4382 HEMIPLEGIA/HEMIPARESIS                                           |
|                                                                       |
| 4383 MONOPLEGIA OF UPPER LIMB                                         |
|                                                                       |
| 4384 MONOPLEGIA OF LOWER LIMB                                         |
|                                                                       |
| 4385. OTHER PARALYTIC SYNDROME                                        |
|                                                                       |
| *ICD-9-CM Spina Bifida or Anoxic Brain Damage diagnosis codes*        |
|                                                                       |
| 3481 ANOXIC BRAIN DAMAGE                                              |
|                                                                       |
| 74100 SPINA BIFIDA, W HYDROCEPHALUS UNSPECIFIED REGION                |
|                                                                       |
| 74101 SPINA BIFIDA, W HYDROCEPHALUS CERVICAL REGION                   |
|                                                                       |
| 74102 SPINA BIFIDA, W HYDROCEPHALUS DORSAL REGION                     |
|                                                                       |
| 74103 SPINA BIFIDA, W HYDROCEPHALUS LUMBAR REGION                     |
|                                                                       |
| 74190 SPINA BIFIDA, W/O HYDROCEPHALUS UNSPECIFIED REGION              |
|                                                                       |
| 74191 SPINA BIFIDA, W/O HYDROCEPHALUS CERVICAL REGION                 |
|                                                                       |
| 74192 SPINA BIFIDA, W/O HYDROCEPHALUS DORSAL REGION                   |
|                                                                       |
| 74193 SPINA BIFIDA, W/O HYDROCEPHALUS LUMBAR REGION                   |
|                                                                       |
| 7685 SEVERE BIRTH ASPHYXIA                                            |
|                                                                       |
| *ICD-9-CM procedure code for debridement or pedicle graft*            |
|                                                                       |
| 8345 OTHER MYECTOMY                                                   |
|                                                                       |
| 8622 EXC WOUND DEBRIDEMENT                                            |
|                                                                       |
| 8628 NONEXCIS DEBRIDEMENT WND                                         |
|                                                                       |
| 8670 PEDICLE GRAFT/FLAP NOS                                           |
|                                                                       |
| 8671 CUT & PREP PEDICLE GRAFT                                         |
|                                                                       |
| 8672 PEDICLE GRAFT ADVANCEMEN                                         |
|                                                                       |
| 8674 ATTACH PEDICLE GRAFT NEC                                         |
|                                                                       |
| 8675 REVISION OF PEDICLE GRFT                                         |
|                                                                       |
| *SID Admission source*                                                |
|                                                                       |
| Admission source is recorded as acute care facility (SID ASOURCE=2)   |
|                                                                       |
| Admission source is recorded as long-term care facility (SID          |
| ASOURCE=3)                                                            |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ## Failure to Rescue (PSI 4)                                          |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| All discharges with a disposition of "deceased".                      |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| Discharges over age 18 with potential complications of care listed in |
| failure to rescue (FTR) definition (e.g., pneumonia, DVT/PE, sepsis,  |
| acute renal failure, shock/cardiac arrest, or GI hemorrhage/acute     |
| ulcer).                                                               |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   Age 75 years and older                                            |
|                                                                       |
| -   neonatal patients in MDC 15                                       |
|                                                                       |
| -   transferred to an acute care facility (SID Discharge Disposition  |
|     = 2)                                                              |
|                                                                       |
| -   transferred from an acute care facility (SID Admission Source =   |
|     2)                                                                |
|                                                                       |
| -   admitted from a long-term care facility (SID Admission Source=3)  |
|                                                                       |
| **NOTE: Additional exclusion criteria is specific to each             |
| diagnosis**.                                                          |
|                                                                       |
| [FTR 1 - Acute renal failure]{.underline}                             |
|                                                                       |
| *ICD-9-CM Acute Renal Failure diagnosis codes (includes 4^th^ and     |
| 5^th^ digits):*                                                       |
|                                                                       |
| 5845 W/ LESION OF TUBULAR NECROSIS                                    |
|                                                                       |
| 5846 W/ LESION OF RENAL CORTICAL NECROSIS                             |
|                                                                       |
| 5847 W/ LESION OF RENAL MEDULLARY NECROSIS                            |
|                                                                       |
| 5848 W/ OTHER SPECIFIED PATHOLOGICAL LESION                           |
|                                                                       |
| 5849 ACUTE RENAL FAILURE, UNSPECIFIED                                 |
|                                                                       |
| 6393 COMPLICATIONS FOLLOWING ABORTION AND ECTOPIC AND MOLAR           |
| PREGNANCIES, RENAL FAILURE                                            |
|                                                                       |
| 66930 ACUTE RENAL FAILURE FOLLOWING LABOR AND DELIVERY, UNSPECIFIED   |
| AS TO EPISODE OF CARE OR NOT APPLICABLE                               |
|                                                                       |
| 66932 ACUTE RENAL FAILURE FOLLOWING LABOR AND DELIVERY, DELIVERED, W/ |
| MENTION OF POSTPARTUM COMPLICATION                                    |
|                                                                       |
| 66934 ACUTE RENAL FAILURE FOLLOWING LABOR AND DELIVERY, POSTPARTUM    |
| CONDITION OR COMPLICATION                                             |
|                                                                       |
| []{#FTR1Exclude .anchor}Exclude cases with principal diagnosis of     |
| hemorrhage, GI hemorrhage, shock, trauma, acute renal failure,        |
| abortion-related renal failure, acute myocardial infarction, cardiac  |
| arrest, or cardiac arrhythmia.                                        |
|                                                                       |
| > See [Appendix G: Hemorrhage Diagnosis                               |
| > Codes](#_Appendix_G:__Hemorrhage_Diagnosis_C)                       |
| >                                                                     |
| > See [Appendix I: ICD-9-CM Gastrointestinal (GI) Hemorrhage          |
| > Diagnosis Codes](#_Appendix_I:_ICD-9-CM_Gastrointestin)             |
| >                                                                     |
| > See [Appendix H: Shock Diagnosis                                    |
| > Codes](#_Appendix_H:__Shock_Diagnosis_Codes)                        |
| >                                                                     |
| > See [Appendix C: ICD-9-CM Trauma Diagnosis                          |
| > Codes](#_Appendix_C:__ICD-9-CM_Trauma_Diagno)                       |
| >                                                                     |
| > See [Appendix J: Trauma DRGs](#_Appendix_J:__Trauma_DRGs)           |
| >                                                                     |
| > See [Appendix M: Acute Myocardial Infarction (AMI) Diagnosis        |
| > Codes](#_Appendix_M:__Acute_Myocardial_Infar)                       |
| >                                                                     |
| > See [Appendix N: Cardiac Arrhythmia Diagnosis                       |
| > Codes](#_Appendix_N:__Cardiac_Arrhythmia_Dia)                       |
| >                                                                     |
| > Control-click (Word) or click (PDF) to view an Appendix. Links are  |
| > provided to return to the PSI Detailed Definition.                  |
|                                                                       |
| *ICD-9-CM Abortion-related Renal Failure diagnosis codes:*            |
|                                                                       |
| 63430 SPONTANEOUS ABORTION W/ RENAL FAILURE - UNSPECIFIED             |
|                                                                       |
| 63431 SPONTANEOUS ABORTION W/ RENAL FAILURE - INCOMPLETE              |
|                                                                       |
| 63432 SPONTANEOUS ABORTION W/ RENAL FAILURE - COMPLETE                |
|                                                                       |
| 63530 LEGAL ABORTION W/ RENAL FAILURE - UNSPECIFIED                   |
|                                                                       |
| 63531 LEGAL ABORTION W/ RENAL FAILURE - INCOMPLETE                    |
|                                                                       |
| 63532 LEGAL ABORTION W/ RENAL FAILURE - COMPLETE                      |
|                                                                       |
| 63630 ILLEGAL ABORTION W/ RENAL FAILURE - UNSPECIFIED                 |
|                                                                       |
| 63631 ILLEGAL ABORTION W/ RENAL FAILURE - INCOMPLETE                  |
|                                                                       |
| 63632 ILLEGAL ABORTION W/ RENAL FAILURE - COMPLETE                    |
|                                                                       |
| 63730 ABORTION NOS W/ RENAL FAILURE - UNSPECIFIED                     |
|                                                                       |
| 63731 ABORTION NOS W/ RENAL FAILURE - INCOMPLETE                      |
|                                                                       |
| 63732 ABORTION NOS W/ RENAL FAILURE - COMPLETE                        |
|                                                                       |
| 6383 ATTEMPTED ABORTION W/ RENAL FAILURE                              |
|                                                                       |
| *ICD-9-CM Cardiac Arrest diagnosis code:*                             |
|                                                                       |
| 4275 CARDIAC ARREST                                                   |
|                                                                       |
| []{#FTR2Include .anchor}[FTR 2 - DVT/PE]{.underline}                  |
|                                                                       |
| *Include ICD-9-CM DVT/PE diagnosis codes:*                            |
|                                                                       |
| > See [Appendix K: Pulmonary Embolism/Deep Vein                       |
| > Thrombosis](#_Appendix_K:__Pulmonary_Embolism/Dee)                  |
| >                                                                     |
| > Control-click (Word) or click (PDF) to view the Appendix. Links are |
| > provided to return to the PSI Detailed Definition.                  |
|                                                                       |
| Exclude cases with principal diagnosis of pulmonary embolism or deep  |
| vein thrombosis, abortion related and postpartum obstetric pulmonary  |
| embolism.                                                             |
|                                                                       |
| *ICD-9-CM Abortion-related and Postpartum Obstetric Pulmonary         |
| Embolism diagnosis codes:*                                            |
|                                                                       |
| 63460 Spontaneous abortion W/ embolism - unspecified                  |
|                                                                       |
| 63461 Spontaneous abortion W/ embolism - incomplete                   |
|                                                                       |
| 63462 Spontaneous abortion W/ embolism - complete                     |
|                                                                       |
| 63560 Legal abortion W/ embolism - unspecified                        |
|                                                                       |
| 63561 Legal abortion W/ embolism - incomplete                         |
|                                                                       |
| 63562 Legal abortion W/ embolism - complete                           |
|                                                                       |
| 63660 Illegal abortion W/ embolism - unspecified                      |
|                                                                       |
| 63661 Illegal abortion W/ embolism - incomplete                       |
|                                                                       |
| 63662 Illegal abortion W/ embolism - complete                         |
|                                                                       |
| 63760 Abortion NOS W/ embolism - unspecified                          |
|                                                                       |
| 63761 Abortion NOS W/ embolism - incomplete                           |
|                                                                       |
| 63762 Abortion NOS W/ embolism - complete                             |
|                                                                       |
| 6386 Attempted abortion W/ embolism                                   |
|                                                                       |
| 6396 Postabortion embolism                                            |
|                                                                       |
| 67320 Obstetrical blood-clot embolism, unspecified as to episode of   |
| care or not applicable                                                |
|                                                                       |
| 67321 Obstetrical blood-clot embolism, delivered, W/ or W/O mention   |
| of antepartum condition                                               |
|                                                                       |
| 67322 Obstetrical blood-clot embolism, delivered, W/ mention of       |
| postpartum complication                                               |
|                                                                       |
| 67323 Obstetrical blood-clot embolism, antepartum condition or        |
| complication                                                          |
|                                                                       |
| 67324 Obstetrical blood-clot embolism, postpartum condition or        |
| complication                                                          |
|                                                                       |
| [FTR 3 - Pneumonia]{.underline}                                       |
|                                                                       |
| *Include ICD-9-CM Pneumonia diagnosis codes:*                         |
|                                                                       |
| 4820 Pneumonia due to klebsiella pneumoniae                           |
|                                                                       |
| 4821 Pneumonia due to pseudomonas                                     |
|                                                                       |
| 4822 Pneumonia due to hemophilus influenzae \[h. influenzae\]         |
|                                                                       |
| 4823 Pneumonia due to streptococcus                                   |
|                                                                       |
| 48230 Pneumonia due to streptococcus -- streptococcus, unspecified    |
|                                                                       |
| 48231 Pneumonia due to streptococcus -- group A                       |
|                                                                       |
| 48232 Pneumonia due to streptococcus -- group B                       |
|                                                                       |
| 48239 Pneumonia due to streptococcus -- other streptococcus           |
|                                                                       |
| 4824 Pneumonia due to staphylococcus                                  |
|                                                                       |
| 48240 Pneumonia due to staphylococcus -- pneumonia due to             |
| staphylococcus, unspecified                                           |
|                                                                       |
| 48241 Pneumonia due to staphylococcus -- pneumonia due to             |
| staphyloccoccus aureus                                                |
|                                                                       |
| 48249 Pneumonia due to staphylococcus -- other staphylococcus         |
| pneumonia                                                             |
|                                                                       |
| 4828 Pneumonia due to other specified bacteria                        |
|                                                                       |
| 48281 Pneumonia due to other specified bacteria -- anaerobes          |
|                                                                       |
| 48282 Pneumonia due to other specified bacteria -- excherichia coli   |
| \[e coli\]                                                            |
|                                                                       |
| 48283 Pneumonia due to other specified bacteria -- other              |
| gram-negative bacteria                                                |
|                                                                       |
| 48284 Pneumonia due to other specified bacteria -- legionnaires\'     |
| disease                                                               |
|                                                                       |
| 48289 Pneumonia due to other specified bacteria -- other specified    |
| bacteria                                                              |
|                                                                       |
| 4829 Bacterial pneumonia unspecified                                  |
|                                                                       |
| 485 Bronchopneumonia, organism unspecified                            |
|                                                                       |
| 486 Pneumonia, organism unspecified                                   |
|                                                                       |
| 5070 Due to inhalation of food or vomitus                             |
|                                                                       |
| 514 Pulmonary congestion and hypostasis                               |
|                                                                       |
| Exclude cases with principal diagnosis code for pneumonia or 997.3,   |
| any diagnosis code for viral pneumonia, MDC 4, and any diagnosis of   |
| immunocompromised state.                                              |
|                                                                       |
| *ICD-9-CM Viral Pneumonia diagnosis codes:*                           |
|                                                                       |
| 4800 ADENOVIRAL PNEUMONIA                                             |
|                                                                       |
| 4801 RESPIRATORY SYNCYTIAL VIRAL PNEUMONIA                            |
|                                                                       |
| 4802 PARAINFLUENZA VIRAL PNEUMONIA                                    |
|                                                                       |
| 4803 PNEUMONIA DUE TO SARS (OCT 03)                                   |
|                                                                       |
| 4808 VIRAL PNEUMONIA NOT ELSEWHERE CLASSIFIED                         |
|                                                                       |
| 4809 VIRAL PNEUMONIA UNSPECIFIED                                      |
|                                                                       |
| 481 PNEUMOCOCCAL PNEUMONIA                                            |
|                                                                       |
| 4830 PNEUMONIA DUE TO MYCOPLASMA PNEUMONIAE                           |
|                                                                       |
| 4831 PNEUMONIA DUE TO CHLAMYDIA                                       |
|                                                                       |
| 4838 PNEUMONIA DUE TO OTHER SPECIFIED ORGANISM                        |
|                                                                       |
| 4841 PNEUMONIA IN CYTOMEGALIC INCLUSION DISEASE                       |
|                                                                       |
| 4843 PNEUMONIA IN WHOOPING COUGH                                      |
|                                                                       |
| 4845 PNEUMONIA IN ANTHRAX                                             |
|                                                                       |
| 4846 PNEUMONIA IN ASPERGILLOSIS                                       |
|                                                                       |
| 4847 PNEUMONIA IN OTHER SYSTEMIC MYCOSES                              |
|                                                                       |
| 4848 PNEUMONIA IN INFECTIOUS DISEASE NOT ELSEWHERE CLASSIFIED         |
|                                                                       |
| 4870 INFLUENZA W/ PNEUMONIA                                           |
|                                                                       |
| 4871 FLU W/ RESPIRATORY MANIFEST NOT ELSEWHERE CLASSIFIED             |
|                                                                       |
| 4878 FLU W/ MANIFESTATION NOT ELSEWHERE CLASSIFIED                    |
|                                                                       |
| []{#FTR3Immuno .anchor}*ICD-9-CM Immunocompromised States diagnosis   |
| codes:*                                                               |
|                                                                       |
| > See [Appendix D: ICD-9-CM Codes for Immunocompromised               |
| > States](#_Appendix_D:__ICD-9-CM_Codes_for_Imm)                      |
| >                                                                     |
| > Control-click (Word) or click (PDF) to view the Appendix. Links are |
| > provided to return to the PSI Detailed Definition.                  |
|                                                                       |
| MDC 4 Diseases and disorders of the respiratory system                |
|                                                                       |
| [FTR 4 - Sepsis]{.underline}                                          |
|                                                                       |
| *Include ICD-9-CM Sepsis diagnosis codes:*                            |
|                                                                       |
| *ICD-9-CM Sepsis diagnosis codes:*                                    |
|                                                                       |
| 0380 Streptococcal septicemia                                         |
|                                                                       |
| 0381 Staphylococcal septicemia                                        |
|                                                                       |
| 03810 Staphylococcal septicemia, unspecified                          |
|                                                                       |
| 03811 Staphylococcus aureus septicemia                                |
|                                                                       |
| 03819 Other staphylococcal septicemia                                 |
|                                                                       |
| 0382 Pneumococcal septicemia (streptococcus pneumoniae septicemia)    |
|                                                                       |
| 0383 Septicemia due to anaerobes                                      |
|                                                                       |
| Septicemia due to:                                                    |
|                                                                       |
| 03840 Gram-negative organism, unspecified                             |
|                                                                       |
| 03841 Hemophilus influenzae                                           |
|                                                                       |
| 03842 Escherichia coli                                                |
|                                                                       |
| 03843 Pseudomonas                                                     |
|                                                                       |
| 03844 Serratia                                                        |
|                                                                       |
| 03849 Septicemia due to other gram-negative organisms                 |
|                                                                       |
| 0388 Other specified septicemias                                      |
|                                                                       |
| 0389 Unspecified septicemia                                           |
|                                                                       |
| 7907 BACTEREMIA (OCT 05)                                              |
|                                                                       |
| 99591 Systemic inflammatory response syndrome due to infectious       |
| process W/O organ dysfunction                                         |
|                                                                       |
| 99592 Systemic inflammatory response syndrome due to infectious       |
| process W/ organ dysfunction                                          |
|                                                                       |
| []{#FTR4Exclude .anchor}Exclude cases with any diagnosis of           |
| immunocompromised state and principal diagnosis of infection or       |
| sepsis and patients with a length of stay 3 days or less[^1].         |
|                                                                       |
| > See [Appendix D: ICD-9-CM Codes for Immunocompromised               |
| > States](#_Appendix_D:__ICD-9-CM_Codes_for_Imm)                      |
| >                                                                     |
| > See [Appendix P: Infection Diagnosis Codes and                      |
| > DRGs](#_Appendix_P:__Infection_Diagnosis_Co)                        |
| >                                                                     |
| > Control-click (Word) or click (PDF) to view the Appendix. Links are |
| > provided to return to the PSI Detailed Definition.                  |
|                                                                       |
| [FTR 5 - Shock or Cardiac Arrest]{.underline}                         |
|                                                                       |
| *Include ICD-9-CM Shock or Cardiac Arrest diagnosis codes:*           |
|                                                                       |
| 4275 Cardiac arrest                                                   |
|                                                                       |
| 6395 Complications following abortion and ectopic and molar           |
| pregnancies, shock                                                    |
|                                                                       |
| Shock during or following labor and delivery:                         |
|                                                                       |
| 66910 Shock during or following labor and delivery -- unspecified as  |
| to episode of care or not applicable                                  |
|                                                                       |
| 66911 Shock during or following labor and delivery -- delivered, W/   |
| or W/O mention of antepartum condition                                |
|                                                                       |
| 66912 Shock during or following labor and delivery -- delivered, W/   |
| mention of postpartum complication                                    |
|                                                                       |
| 66913 Shock during or following labor and delivery -- antepartum      |
| condition or complication                                             |
|                                                                       |
| 66914 Shock during or following labor and delivery -- postpartum      |
| condition or complication                                             |
|                                                                       |
| 7855 Shock NOS                                                        |
|                                                                       |
| 78550 Shock, unspecified                                              |
|                                                                       |
| 78551 Cardiogenic shock                                               |
|                                                                       |
| 78552 Septic shock (Oct 03)                                           |
|                                                                       |
| 78559 Shock W/O mention of trauma- other                              |
|                                                                       |
| 7991 Respiratory arrest                                               |
|                                                                       |
| 9950 Other anaphylactic shock                                         |
|                                                                       |
| 9954 Shock due to anesthesia                                          |
|                                                                       |
| 9980 Postoperative shock                                              |
|                                                                       |
| 9994 Anaphylactic shock due to serum                                  |
|                                                                       |
| *ICD-9-CM procedure codes:*                                           |
|                                                                       |
| 9393 Nonmechanical methods of resuscitation                           |
|                                                                       |
| 9960 Cardiopulmonary resuscitation, NOS                               |
|                                                                       |
| 9963 Closed chest cardiac massage                                     |
|                                                                       |
| []{#FTR5Exclude .anchor}Exclude cases with hemorrhage, trauma, GI     |
| hemorrhage, MDC 4 and 5, principal diagnosis of shock or cardiac      |
| arrest, abortion-related shock                                        |
|                                                                       |
| > See [Appendix G: Hemorrhage Diagnosis                               |
| > Codes](#_Appendix_G:__Hemorrhage_Diagnosis_C)                       |
| >                                                                     |
| > See [Appendix C: ICD-9-CM Trauma Diagnosis                          |
| > Codes](#_Appendix_B:__ICD-9-CM_Trauma_Diagno)                       |
| >                                                                     |
| > See [Appendix J: Trauma DRGs](#_Appendix_J:__Trauma_DRGs)           |
| >                                                                     |
| > See [Appendix I: ICD-9-CM Gastrointestinal (GI) Hemorrhage          |
| > Diagnosis Codes](#_Appendix_I:__ICD-9-CM_Gastrointesti)             |
| >                                                                     |
| > Control-click (Word) or click (PDF) to view an Appendix. Links are  |
| > provided to return to the PSI Detailed Definition.                  |
|                                                                       |
| MDC 4 Diseases and disorders of the respiratory system                |
|                                                                       |
| MDC 5 Diseases and disorders of the circulatory system                |
|                                                                       |
| *ICD-9-CM Abortion-related Shock diagnosis codes:*                    |
|                                                                       |
| 63450 Spontaneous abortion W/ shock - unspecified                     |
|                                                                       |
| 63451 Spontaneous abortion W/ shock - incomplete                      |
|                                                                       |
| 63452 Spontaneous abortion W/ shock - complete                        |
|                                                                       |
| 63550 Legal abortion W/ shock - unspecified                           |
|                                                                       |
| 63551 Legal abortion W/ shock - incomplete                            |
|                                                                       |
| 63552 Legal abortion W/ shock - complete                              |
|                                                                       |
| 63650 Illegal abortion W/ shock - unspecified                         |
|                                                                       |
| 63651 Illegal abortion W/ shock - incomplete                          |
|                                                                       |
| 63652 Illegal abortion W/ shock - complete                            |
|                                                                       |
| 63750 Abortion NOS W/ shock - unspecified                             |
|                                                                       |
| 63751 Abortion NOS W/ shock - incomplete                              |
|                                                                       |
| 63752 Abortion NOS W/ shock - complete                                |
|                                                                       |
| 6385 Attempted abortion W/ shock                                      |
|                                                                       |
| []{#FTR5Hem .anchor}[FTR 6 - GI Hemorrhage/Acute Ulcer]{.underline}   |
|                                                                       |
| *Include ICD-9-CM GI Hemorrhage/Acute Ulcer diagnosis codes:*         |
|                                                                       |
| 4560 Esophageal varices W/ bleeding                                   |
|                                                                       |
| 45620 Esophageal varices in diseases classified elsewhere W/ bleeding |
|                                                                       |
| 5307 Gastroesophageal laceration-hemorrhage syndrome                  |
|                                                                       |
| 53082 Esophageal hemorrhage                                           |
|                                                                       |
| Gastric ulcer:                                                        |
|                                                                       |
| 53100 Acute W/ hemorrhage -- W/O mention of obstruction               |
|                                                                       |
| 53101 Acute W/ hemorrhage -- W/ obstruction                           |
|                                                                       |
| 53110 Acute W/ perforation -- W/O mention of obstruction              |
|                                                                       |
| 53111 Acute W/ perforation -- W/ obstruction                          |
|                                                                       |
| 53120 Acute W/ hemorrhage and perforation -- W/O mention of           |
| obstruction                                                           |
|                                                                       |
| 53121 Acute W/ hemorrhage and perforation -- W/ obstruction           |
|                                                                       |
| 53130 Acute W/O mention of hemorrhage or perforation -- W/O mention   |
| of obstruction                                                        |
|                                                                       |
| 53131 Acute W/O mention of hemorrhage or perforation -- W/            |
| obstruction                                                           |
|                                                                       |
| 53190 Unspecified as acute or chronic, W/O mention of hemorrhage or   |
| perforation -- W/O mention of obstruction                             |
|                                                                       |
| 53191 Unspecified as acute or chronic, W/O mention of hemorrhage or   |
| perforation -- W/ obstruction                                         |
|                                                                       |
| Duodenal ulcer:                                                       |
|                                                                       |
| 53200 Acute W/ hemorrhage -- W/O mention of obstruction               |
|                                                                       |
| 53201 Acute W/ hemorrhage -- W/ obstruction                           |
|                                                                       |
| 53210 Acute W/ perforation -- W/O mention of obstruction              |
|                                                                       |
| 53211 Acute W/ perforation -- W/ obstruction                          |
|                                                                       |
| 53220 Acute W/ hemorrhage and perforation -- W/O mention of           |
| obstruction                                                           |
|                                                                       |
| 53221 Acute W/ hemorrhage and perforation -- W/ obstruction           |
|                                                                       |
| 53230 Acute W/O mention of hemorrhage or perforation -- W/O mention   |
| of obstruction                                                        |
|                                                                       |
| 53231 Acute W/O mention of hemorrhage or perforation -- W/            |
| obstruction                                                           |
|                                                                       |
| 53290 Unspecified as acute or chronic, W/O mention of hemorrhage or   |
| perforation -- W/O mention of obstruction                             |
|                                                                       |
| 53291 Unspecified as acute or chronic, W/O mention of hemorrhage or   |
| perforation -- W/ obstruction                                         |
|                                                                       |
| Peptic ulcer:                                                         |
|                                                                       |
| 53300 Site unspecified acute W/ hemorrhage -- W/O mention of          |
| obstruction                                                           |
|                                                                       |
| 53301 Site unspecified acute W/ hemorrhage -- W/ obstruction          |
|                                                                       |
| 53310 Site unspecified acute W/ perforation -- W/O mention of         |
| obstruction                                                           |
|                                                                       |
| 53311 Site unspecified acute W/ perforation -- W/ obstruction         |
|                                                                       |
| 53320 Site unspecified acute W/ hemorrhage and perforation -- W/O     |
| mention of obstruction                                                |
|                                                                       |
| 53321 Site unspecified acute W/ hemorrhage and perforation -- W/O     |
| mention of obstruction                                                |
|                                                                       |
| 53330 Site unspecified acute W/O mention of hemorrhage and            |
| perforation -- W/O mention of obstruction                             |
|                                                                       |
| 53331 Site unspecified acute W/O mention of hemorrhage and            |
| perforation -- W/ obstruction                                         |
|                                                                       |
| 53390 Site unspecified as acute or chronic, W/O mention of hemorrhage |
| or perforation -- W/O mention of obstruction                          |
|                                                                       |
| 53391 Unspecified as acute or chronic, W/O mention of hemorrhage or   |
| perforation -- W/ obstruction                                         |
|                                                                       |
| Gastrojejunal ulcer:                                                  |
|                                                                       |
| 53400 Acute W/ hemorrhage -- W/O mention of obstruction               |
|                                                                       |
| 53401 Acute W/ hemorrhage -- W/ obstruction                           |
|                                                                       |
| 53410 Acute W/ perforation -- W/O mention of obstruction              |
|                                                                       |
| 53411 Acute W/ perforation -- W/ obstruction                          |
|                                                                       |
| 53420 Acute W/ hemorrhage and perforation -- W/O mention of           |
| obstruction                                                           |
|                                                                       |
| 53421 Acute W/ hemorrhage and perforation -- W/ obstruction           |
|                                                                       |
| 53430 Acute W/O mention of hemorrhage or perforation -- W/O mention   |
| of obstruction                                                        |
|                                                                       |
| 53431 Acute W/O mention of hemorrhage or perforation -- W/            |
| obstruction                                                           |
|                                                                       |
| 53490 Unspecified as acute or chronic, W/O mention of hemorrhage or   |
| perforation -- W/O mention of obstruction                             |
|                                                                       |
| 53491 Unspecified as acute or chronic, W/O mention of hemorrhage or   |
| perforation -- W/ obstruction                                         |
|                                                                       |
| Gastritis and duodenitis:                                             |
|                                                                       |
| 53501 Acute gastritis -- W/ hemorrhage                                |
|                                                                       |
| 53511 Atrophic gastritis -- W/ hemorrhage                             |
|                                                                       |
| 53521 Gastric mucosal hypertrophy -- W/ hemorrhage                    |
|                                                                       |
| 53531 Alcoholic gastritis -- W/ hemorrhage                            |
|                                                                       |
| 53541 Other specified gastritis -- W/ hemorrhage                      |
|                                                                       |
| 53551 Unspecified gastritis and gastroduodenitis -- W/ hemorrhage     |
|                                                                       |
| 53561 Duodenitis -- W/ hemorrhage                                     |
|                                                                       |
| 53783 Angiodysplasia of stomach and duodenum -- W/ hemorrhage         |
|                                                                       |
| 53784 Dieulafoy lesion (hemorrhagic) of stomach and duodenum          |
|                                                                       |
| 56202 Diverticulosis of small intestine -- W/ hemorrhage              |
|                                                                       |
| 56203 Diverticulitis of small intestine -- W/ hemorrhage              |
|                                                                       |
| 56212 Diverticulosis of colon -- W/ hemorrhage                        |
|                                                                       |
| 56213 Diverticulitis of colon -- W/ hemorrhage                        |
|                                                                       |
| 5693 Hemorrhage of rectum and anus                                    |
|                                                                       |
| 56985 Angiodysplasia of intestine -- W/ hemorrhage                    |
|                                                                       |
| 56986 Dieulafoy lesion (hemorrhagic) of intestine                     |
|                                                                       |
| 5780 Hematemesis                                                      |
|                                                                       |
| 5781 Blood in stool                                                   |
|                                                                       |
| 5789 Hemorrhage of gastrointestinal tract, unspecified                |
|                                                                       |
| Exclude cases with diagnosis of trauma, MDC codes 6, 7, principal     |
| diagnosis of GI hemorrhage/acute ulcer, alcoholism and ICD-9-CM       |
| diagnosis codes 280.0 and 285.1:                                      |
|                                                                       |
| > See [Appendix C: ICD-9-CM Trauma Diagnosis                          |
| > Codes](#_Appendix_B:__ICD-9-CM_Trauma_Diagno)                       |
| >                                                                     |
| > See [Appendix J: Trauma DRGs](#_Appendix_J:__Trauma_DRGs)           |
| >                                                                     |
| > Control-click (Word) or click (PDF) to view an Appendix. Links are  |
| > provided to return to the PSI Detailed Definition.                  |
|                                                                       |
| MDC 6 Diseases and disorders of the digestive system                  |
|                                                                       |
| MDC 7 Diseases and disorders of the hepatobiliary system and pancreas |
|                                                                       |
| 2800 Secondary to blood loss \[chronic\]                              |
|                                                                       |
| 2851. ACUTE POSTHEMORRHAGIC ANEMIA                                    |
|                                                                       |
| []{#FTR6Trauma .anchor}*ICD-9-CM Alcoholism diagnosis codes:*         |
|                                                                       |
| 2910 Alcohol withdrawal delirium                                      |
|                                                                       |
| 2911 Alcohol amnestic syndrome                                        |
|                                                                       |
| 2912 Other alcoholic dementia                                         |
|                                                                       |
| 2913 Alcohol withdrawal hallucinosis                                  |
|                                                                       |
| 2914 Idiosyncratic alcohol intoxication                               |
|                                                                       |
| 2915 Alcoholic jealousy                                               |
|                                                                       |
| 29181 Other specified alcoholic psychoses, alcohol withdrawal         |
|                                                                       |
| 29182 ALCOHOL INDUCED SLEEP DISORDERS (OCT 05)                        |
|                                                                       |
| 29189 Other specified alcoholic psychoses, other                      |
|                                                                       |
| 2919 Unspecified alcoholic psychosis                                  |
|                                                                       |
| 30300 Acute alcoholic intoxication - unspecified                      |
|                                                                       |
| 30301 Acute alcoholic intoxication - continuous                       |
|                                                                       |
| 30302 Acute alcoholic intoxication - episodic                         |
|                                                                       |
| 30303 Acute alcoholic intoxication - in remission                     |
|                                                                       |
| 30390 Other and unspecified alcohol dependence - unspecified          |
|                                                                       |
| 30391 Other and unspecified alcohol dependence - continuous           |
|                                                                       |
| 30392 Other and unspecified alcohol dependence - episodic             |
|                                                                       |
| 30393 Other and unspecified alcohol dependence - in remission         |
|                                                                       |
| 30500 Nondependent abuse of drugs, alcohol abuse - unspecified        |
|                                                                       |
| 30501 Nondependent abuse of drugs, alcohol abuse - continuous         |
|                                                                       |
| 30502 Nondependent abuse of drugs, alcohol abuse - episodic           |
|                                                                       |
| 30503 Nondependent abuse of drugs, alcohol abuse -- in remission      |
|                                                                       |
| 4255 Alcoholic cardiomyopathy                                         |
|                                                                       |
| 53530 Alcoholic gastritis, W/O mention of hemorrhage                  |
|                                                                       |
| 53531 Alcoholic gastritis, W/ hemorrhage                              |
|                                                                       |
| 5710 Alcoholic fatty liver                                            |
|                                                                       |
| 5711 Acute alcoholic hepatitis                                        |
|                                                                       |
| 5712 Alcoholic cirrhosis of liver                                     |
|                                                                       |
| 5713 Alcoholic liver damage, unspecified                              |
|                                                                       |
| 9800 Toxic effect of alcohol, ethyl alcohol                           |
|                                                                       |
| 9809 Toxic effect of alcohol, unspecified alcohol                     |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ## Foreign                                                            |
|  Body Left during Procedure, Secondary Diagnosis Field (PSI 5 and 21) |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| Discharges with ICD-9-CM codes for foreign body left in during        |
| procedure in any secondary diagnosis field.                           |
|                                                                       |
| *ICD-9-CM Foreign Body Left in During Procedure diagnosis codes:*     |
|                                                                       |
| 9984 Foreign body accidentally left during a procedure                |
|                                                                       |
| 9987 Acute reactions to foreign substance accidentally left during a  |
| procedure                                                             |
|                                                                       |
| Foreign body left in during:                                          |
|                                                                       |
| E8710 Surgical operation                                              |
|                                                                       |
| E8711 Infusion or transfusion                                         |
|                                                                       |
| E8712 Kidney dialysis or other perfusion                              |
|                                                                       |
| E8713 Injection or vaccination                                        |
|                                                                       |
| E8714 Endoscopic examination                                          |
|                                                                       |
| E8715 Aspiration of fluid or tissue, puncture, and catheterization    |
|                                                                       |
| E8716 Heart catheterization                                           |
|                                                                       |
| E8717 Removal of catheter or packing                                  |
|                                                                       |
| E8718 Other specified procedures                                      |
|                                                                       |
| E8719 Unspecified procedure                                           |
+-----------------------------------------------------------------------+
| []{#PSI5Denom .anchor}**Denominator:**                                |
|                                                                       |
| All surgical and medical discharges 18 years and older **or** MDC 14  |
| (pregnancy, childbirth, and puerperium) defined by specific DRGs      |
|                                                                       |
| *Surgical and Medical Discharge DRGs:*                                |
|                                                                       |
| > See [Appendix B: Surgical Discharge                                 |
| > DRGs](#_Appendix_B:__Surgical_Discharge_DRG)                        |
| >                                                                     |
| > See [Appendix F: Medical Discharge                                  |
| > DRGs](#_Appendix_F:__Medical_Discharge_DRGs)                        |
| >                                                                     |
| > Control-click (Word) or click (PDF) to view an Appendix. Links are  |
| > provided to return to the PSI detailed definition.                  |
|                                                                       |
| Exclude patients with ICD-9-CM codes for foreign body left in during  |
| procedure in the principal diagnosis field.                           |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ## Iatrogenic Pneumothorax, Secondary Diagnosis Field (PSI 6 and 22)  |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| Discharges with ICD-9-CM code of 512.1 in any secondary diagnosis     |
| field.                                                                |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| []{#psi6denom .anchor}All surgical and medical discharges age 18      |
| years and older defined by specific DRGs                              |
|                                                                       |
| > See [Appendix B: Surgical Discharge                                 |
| > DRGs](#_Appendix_B:__Surgical_Discharge_DRG)                        |
| >                                                                     |
| > See [Appendix F: Medical Discharge                                  |
| > DRGs](#_Appendix_F:__Medical_Discharge_DRGs)                        |
| >                                                                     |
| > Control-click (Word) or click (PDF) to view an Appendix. Links are  |
| > provided to return to the PSI detailed definition.                  |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   with ICD-9-CM code of 512.1 in the principal diagnosis field.     |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
|                                                                       |
| -   with diagnosis code of chest trauma or pleural effusion           |
|                                                                       |
| -   with an ICD-9-CM procedure code of diaphragmatic surgery repair   |
|                                                                       |
| -   with any code indicating thoracic surgery, lung or pleural        |
|     biopsy, or assigned to cardiac surgery DRGs                       |
|                                                                       |
| *ICD-9-CM Chest Trauma diagnosis codes:*                              |
|                                                                       |
|   -                                                                   |
| ------ ------------------------------ ------- ----------------------- |
|                                                                       |
|  80700   FRACTURE RIB NOS-CLOSED        8621    DIAPHRAGM INJURY-OPEN |
|                                                                       |
|                                                                       |
| 80701   FRACTURE ONE RIB-CLOSED        86221   BRONCHUS INJURY-CLOSED |
|                                                                       |
|   8                                                                   |
| 0702   FRACTURE TWO RIBS-CLOSED       86222   ESOPHAGUS INJURY-CLOSED |
|                                                                       |
|   80703   FRACTURE THREE RIBS-CLOS       86229   INTRATHORACIC INJ    |
|                                                  NEC-CL               |
|                                                                       |
|   80704   FRACTURE FOUR RIBS-CLOSE       86231   BRONCHUS INJURY-OPEN |
|                                                                       |
|                                                                       |
|  80705   FRACTURE FIVE RIBS-CLOSE       86232   ESOPHAGUS INJURY-OPEN |
|                                                                       |
|   80706   FRACTURE SIX RIBS-CLOSED       86239   INTRATHORAC INJ      |
|                                                  NEC-OPEN             |
|                                                                       |
|   80707   FRACTURE SEVEN RIBS-CLOS       8628    INTRATHORACIC INJ    |
|                                                  NOS-CL               |
|                                                                       |
|   80708   FX EIGHT/MORE RIB-CLOSED       8629    INTRATHORAC INJ      |
|                                                  NOS-OPEN             |
|                                                                       |
|   80709   FX MULT RIBS NOS-CLOSED        8750    OPEN WOUND OF CHEST  |
|                                                                       |
|                                                                       |
| 80710   FRACTURE RIB NOS-OPEN          8751    OPEN WOUND CHEST-COMPL |
|                                                                       |
|   80711   FRACTURE ONE RIB-OPEN          8760    OPEN WOUND OF BACK   |
|                                                                       |
|                                                                       |
|  80712   FRACTURE TWO RIBS-OPEN         8761    OPEN WOUND BACK-COMPL |
|                                                                       |
|                                                                       |
|  80713   FRACTURE THREE RIBS-OPEN       9010    INJURY THORACIC AORTA |
|                                                                       |
|   8                                                                   |
| 0714   FRACTURE FOUR RIBS-OPEN        9011    INJ INNOMIN/SUBCLAV ART |
|                                                                       |
|                                                                       |
| 80715   FRACTURE FIVE RIBS-OPEN        9012    INJ SUPERIOR VENA CAVA |
|                                                                       |
|   80716   FRACTURE SIX RIBS-OPEN         9013    INJ INNOMIN/SUBCLAV  |
|                                                  VEIN                 |
|                                                                       |
|   80717   FRACTURE SEVEN RIBS-OPEN       90140   INJ PULMONARY VESSEL |
|                                                  NOS                  |
|                                                                       |
|   8                                                                   |
| 0718   FX EIGHT/MORE RIBS-OPEN        90141   INJURY PULMONARY ARTERY |
|                                                                       |
|                                                                       |
|  80719   FX MULT RIBS NOS-OPEN          90142   INJURY PULMONARY VEIN |
|                                                                       |
|   8072    FRACTURE OF STERNUM-CLOS       90181   INJ INTERCOSTAL      |
|                                                  ART/VEIN             |
|                                                                       |
|   8073    FRACTURE OF STERNUM-OPEN       90182   INJ INT MAMMARY      |
|                                                  ART/VEIN             |
|                                                                       |
|   8074    FLAIL CHEST                    90183   INJ MULT THORACIC    |
|                                                  VESSEL               |
|                                                                       |
|   8                                                                   |
| 075    FX LARYNX/TRACHEA-CLOSED       90189   INJ THORACIC VESSEL NEC |
|                                                                       |
|   8                                                                   |
| 076    FX LARYNX/TRACHEA-OPEN         9019    INJ THORACIC VESSEL NOS |
|                                                                       |
|   8090    FRACTURE TRUNK BONE-CLOS       9110    ABRASION TRUNK       |
|                                                                       |
|   8                                                                   |
| 091    FRACTURE TRUNK BONE-OPEN       9111    ABRASION TRUNK-INFECTED |
|                                                                       |
|   8                                                                   |
| 600    TRAUM PNEUMOTHORAX-CLOSE       9118    SUPERFIC INJU TRUNK NEC |
|                                                                       |
|   8601    TRAUM PNEUMOTHORAX-OPEN        9119    SUPERFIC INJU TRUNK  |
|                                                  NEC-INF              |
|                                                                       |
|   8602    TRAUM HEMOTHORAX-CLOSED        9220    CONTUSION OF BREAST  |
|                                                                       |
|   8                                                                   |
| 603    TRAUM HEMOTHORAX-OPEN          9221    CONTUSION OF CHEST WALL |
|                                                                       |
|   8604    TRAUM PNEUMOHEMOTHOR-CL        9223    BACK CONTUSION       |
|                                                                       |
|   8605    TRAUM PNEUMOHEMOTHOR-OPN       92231   BACK CONTUSION       |
|                                                                       |
|   86100   HEART INJURY NOS-CLOSED        92233   INTERSCPLR REG       |
|                                                  CONTUSION            |
|                                                                       |
|   8                                                                   |
| 6101   HEART CONTUSION-CLOSED         9228    MULIPLE CONTUSION TRUNK |
|                                                                       |
|   86102   HEART LACERATION-CLOSED        9229    CONTUSION OF TRUNK   |
|                                                                       |
|   86103   HEART CHAMBER LACERAT-CL       92611   CRUSHING INJURY BACK |
|                                                                       |
|                                                                       |
| 86110   HEART INJURY NOS-OPEN          92619   CRUSHING INJ TRUNK NEC |
|                                                                       |
|   8                                                                   |
| 6111   HEART CONTUSION-OPEN           9268    MULT CRUSHING INJ TRUNK |
|                                                                       |
|                                                                       |
| 86112   HEART LACERATION-OPEN          9269    CRUSHING INJ TRUNK NOS |
|                                                                       |
|   8                                                                   |
| 6113   HEART CHAMBER LACER-OPN        9290    CRUSH INJ MULT SITE NEC |
|                                                                       |
|   86120   LUNG INJURY NOS-CLOSED         9299    CRUSHING INJURY NOS  |
|                                                                       |
|   86121   LUNG CONTUSION-CLOSED          9541    INJ SYMPA NERVE NEC  |
|                                                                       |
|                                                                       |
| 86122   LUNG LACERATION-CLOSED         9548    INJURY TRUNK NERVE NEC |
|                                                                       |
|                                                                       |
| 86130   LUNG INJURY NOS-OPEN           9549    INJURY TRUNK NERVE NOS |
|                                                                       |
|   86131   LUNG CONTUSION-OPEN            95911   INJURY OF CHEST WALL |
|                                                  NEC                  |
|                                                                       |
|                                                                       |
| 86132   LUNG LACERATION-OPEN           95919   TRUNK INJURY-SITES NEC |
|                                                                       |
|   8620    DIAPHRAGM INJURY-CLOSED        9599    INJURY-SITE NOS      |
|   -                                                                   |
| ------ ------------------------------ ------- ----------------------- |
|                                                                       |
| *ICD-9-CM Pleural Effusion diagnosis codes:*                          |
|                                                                       |
|   ------- ----------------------------------------------------------- |
|   0101    TUBERCULOUS PLEURISY IN PRIMARY PROGRESSIVE TUBERCULOSIS    |
|                                                                       |
|   01010   TUBERCULOUS PLEURISY IN PRIMARY PROGRESSIVE TUBERCULOSIS,   |
|           UNSPECIFIED                                                 |
|                                                                       |
|   01011   TPIPPT, BACTERIAL OR HISTOLOGICAL EXAM NOT DONE             |
|                                                                       |
|   01012   TPIPPT, BACTERIAL OR HISTOLOGICAL EXAM UNKNOWN              |
|                                                                       |
|   01013   TPIPPT, TUBERCLE BACILI FOUND BY MICROSCOPY                 |
|                                                                       |
|   01014   TPIPPT, TUBERCLE BACILI NOT FOUND BY MICROSCOPY BUT BY      |
|           BACTERIAL CULTURE                                           |
|                                                                       |
|   01015   TPIPPT, TUBERCLE BACILI NOT FOUND BY BACTERIOLOGICAL BUT    |
|           CONFIRMED HISTOLOGICALLY                                    |
|                                                                       |
|   01016   TPIPPT, TUBERCLE BACILI NOT FOUND BY BACTERILOGICAL OR      |
|           HISTOLOGICAL BUT CONFIRMED OTHER METHODS                    |
|                                                                       |
|   0117    TUBRCULOUS PNEUMOTHORAX                                     |
|                                                                       |
|   01170   TUBRCULOUS PNEUMOTHORAX, UNSPECIFIED                        |
|                                                                       |
|   01171   TPNEU, BACTERIAL OR HISTOLOGICAL EXAM NOT DONE              |
|                                                                       |
|   01172   TPNEU, BACTERIAL OR HISTOLOGICAL EXAM UNKNOWN               |
|                                                                       |
|   01173   TPNEU, TUBERCLE BACILI FOUND BY MICROSCOPY                  |
|                                                                       |
|   01174   TPNEU, TUBERCLE BACILI NOT FOUND BY MICROSCOPY BUT BY       |
|           BACTERIAL CULTURE                                           |
|                                                                       |
|   01175   TPNEU, TUBERCLE BACILI NOT FOUND BY BACTERIOLOGICAL BUT     |
|           CONFIRMED HISTOLOGICALLY                                    |
|                                                                       |
|   01176   TPENU, TUBERCLE BACILI NOT FOUND BY BACTERILOGICAL OR       |
|           HISTOLOGICAL BUT CONFIRMED OTHER METHODS                    |
|                                                                       |
|   0120    TUBERCULOUS PLEURISY                                        |
|                                                                       |
|   01200   TUBERCULOUS PLEURISY, UNSPECIFIED                           |
|                                                                       |
|   01201   TP, BACTERIAL OR HISTOLOGICAL EXAM NOT DONE                 |
|                                                                       |
|   01202   TP, BACTERIAL OR HISTOLOGICAL EXAM UNKNOWN                  |
|                                                                       |
|   01203   TP, TUBERCLE BACILI FOUND BY MICROSCOPY                     |
|                                                                       |
|   01204   TP, TUBERCLE BACILI NOT FOUND BY MICROSCOPY BUT BY          |
|           BACTERIAL CULTURE                                           |
|                                                                       |
|   01205   TP, TUBERCLE BACILI NOT FOUND BY BACTERIOLOGICAL BUT        |
|           CONFIRMED HISTOLOGICALLY                                    |
|                                                                       |
|   01206   TP, TUBERCLE BACILI NOT FOUND BY BACTERILOGICAL OR          |
|           HISTOLOGICAL BUT CONFIRMED OTHER METHODS                    |
|                                                                       |
|   1972    SECOND MALIG NEO PLEURA                                     |
|                                                                       |
|   5111    WITH EFUSION, WITH MENTION OF A BACTERIAL CAUSE OTHER THAN  |
|           TUBERCULOSIS                                                |
|                                                                       |
|   5118    OTHER SPECIFIED FORM OF EFFUSION, EXCEPT TUBERCULOUS        |
|                                                                       |
|   5119    UNSPECIFIED PLEURAL EFFUSION                                |
|   ------- ----------------------------------------------------------- |
|                                                                       |
| *ICD-9-CM Thoracic Surgery procedure codes:*                          |
|                                                                       |
| 3121 Mediastinal tracheostomy                                         |
|                                                                       |
| 3145 Open biopsy of larynx or trachea                                 |
|                                                                       |
| 3173 Closure of other fistula of trachea                              |
|                                                                       |
| 3179 Other repair and plastic operations on trachea                   |
|                                                                       |
| 3199 Other operations on trachea                                      |
|                                                                       |
| 3209 Other local excision or destruction of lesion or tissue of       |
| bronchus                                                              |
|                                                                       |
| 321 Other excision of bronchus                                        |
|                                                                       |
| Local excision or destruction of lesion or tissue of lung:            |
|                                                                       |
| 3221 Plication of emphysematious bleb                                 |
|                                                                       |
| 3222 Lung volume reduction surgery                                    |
|                                                                       |
| 3228 Endoscopic excision or destruction of lesion or tissue of lung   |
|                                                                       |
| 3229 Other local excision or destruction of lesion or tissue of lung  |
|                                                                       |
| 323 Segmental resection of lung                                       |
|                                                                       |
| 324 Lobectomy of lung                                                 |
|                                                                       |
| 325 Complete pneumonectomy                                            |
|                                                                       |
| 326 Radical dissection of thoracic structures                         |
|                                                                       |
| 329 Other excision of lung                                            |
|                                                                       |
| 330 Incision of bronchus                                              |
|                                                                       |
| 331 Incision of lung                                                  |
|                                                                       |
| 3325 Open biopsy of bronchus                                          |
|                                                                       |
| 3326 Close \[percutaneous\]\[needle\] biopsy of lung                  |
|                                                                       |
| 3327 Closed endoscopic biopsy of lung                                 |
|                                                                       |
| 3328 Open biopsy of lung                                              |
|                                                                       |
| 3331 Destruction of phrenic nerve for collapse of lung (no longer     |
| performed)                                                            |
|                                                                       |
| 3332 Artificial pneumothorax for collapse of lung                     |
|                                                                       |
| 3334 Thoracoplasty                                                    |
|                                                                       |
| 3339 Other surgical collapse of lung                                  |
|                                                                       |
| Repair and plastic operation on lung and bronchus:                    |
|                                                                       |
| 3341 Suture of laceration of bronchus                                 |
|                                                                       |
| 3342 Closure of bronchial fistula                                     |
|                                                                       |
| 3343 Closure of laceration of lung                                    |
|                                                                       |
| 3348 Other repair and plastic operations on bronchus                  |
|                                                                       |
| 3349 Other repair and plastic operations on lung                      |
|                                                                       |
| Lung transplant:                                                      |
|                                                                       |
| 335 Lung transplantation                                              |
|                                                                       |
| 3350 Lung transplantation, NOS                                        |
|                                                                       |
| 3351 Unilateral lung transplantation                                  |
|                                                                       |
| 3352 Bilateral lung transplantation                                   |
|                                                                       |
| 336 Combined heart-lung transplantation                               |
|                                                                       |
| 3392 Ligation of bronchus                                             |
|                                                                       |
| 3393 Puncture of lung                                                 |
|                                                                       |
| 3398 Other operations on bronchus                                     |
|                                                                       |
| 3399 Other operations on lung                                         |
|                                                                       |
| 3329 Other diagnostic procedure on lung and bronchus                  |
|                                                                       |
| 3333 Pneumoperitoneum for collapse of lung                            |
|                                                                       |
| 3401 Incision of chest wall                                           |
|                                                                       |
| 3402 Exploratory thoracotomy                                          |
|                                                                       |
| 3403 Reopening of recent thoracotomy site                             |
|                                                                       |
| 3405 Creation of pleuroperitoneal shunt                               |
|                                                                       |
| 3409 Other incision of pleura                                         |
|                                                                       |
| 341 Incision of mediastinum                                           |
|                                                                       |
| Diagnostic procedures on chest wall, pleura, mediastinum, and         |
| diaphragm:                                                            |
|                                                                       |
| 3421 Transpleural thoracosocopy                                       |
|                                                                       |
| 3422 Mediastinoscopy                                                  |
|                                                                       |
| 3423 Biopsy of chest wall                                             |
|                                                                       |
| 3424 Pleural biopsy                                                   |
|                                                                       |
| 3425 Closed \[percutaneous\]\[needle\] biopsy of mediastinum          |
|                                                                       |
| 3426 Open biopsy of mediastinum                                       |
|                                                                       |
| 3427 Biopsy of diaphragm                                              |
|                                                                       |
| 3428 Other diagnostic procedures on chest wall, pleura, and diaphragm |
|                                                                       |
| 3429 Other diagnostic procedures on mediastinum                       |
|                                                                       |
| 343 Excision or destruction of lesion or tissue of mediastinum        |
|                                                                       |
| 344 Excision or destruction of lesion of chest wall                   |
|                                                                       |
| 3451 Decortication of lung                                            |
|                                                                       |
| 3459 Other excision of pleura                                         |
|                                                                       |
| Repair of chest wall:                                                 |
|                                                                       |
| 3471 Suture of laceration of chest wall                               |
|                                                                       |
| 3472 Closure of thoracostomy                                          |
|                                                                       |
| 3473 Closure of other fistula of thorax                               |
|                                                                       |
| 3474 Repair of pectus deformity                                       |
|                                                                       |
| 3479 Other repair of chest wall                                       |
|                                                                       |
| Operations on diaphragm:                                              |
|                                                                       |
| 3481 Excision of lesion or tissue of diaphragm                        |
|                                                                       |
| 3482 Suture of laceration of diaphragm                                |
|                                                                       |
| 3483 Closure of fistula of diaphragm                                  |
|                                                                       |
| 3484 Other repair of diaphragm                                        |
|                                                                       |
| 3485 Implantation of diaphragmatic pacemaker                          |
|                                                                       |
| 3489 Other operations on diaphragm                                    |
|                                                                       |
| 3493 Repair of pleura                                                 |
|                                                                       |
| 3499 Other operations on thorax, other                                |
|                                                                       |
| Operations on thoracic duct:                                          |
|                                                                       |
| 4061 Cannulation of thoracic duct                                     |
|                                                                       |
| 4062 Fistulization of thoracic duct                                   |
|                                                                       |
| 4063 Closure of fistula of thoracic duct                              |
|                                                                       |
| 4064 Ligation of thoracic duct                                        |
|                                                                       |
| 4069 Other operations on thoracic duct                                |
|                                                                       |
| Esophagotomy:                                                         |
|                                                                       |
| 4201 Incision of esophageal web                                       |
|                                                                       |
| 4209 Other incision of esophagus                                      |
|                                                                       |
| 4210 Esophagostomy, NOS                                               |
|                                                                       |
| 4211 Cervical esophagostomy                                           |
|                                                                       |
| 4212 Exteriorization of esophageal pouch                              |
|                                                                       |
| 4219 Other external fistulization of esophagus                        |
|                                                                       |
| 4221 Operative esophagoscopy by incision                              |
|                                                                       |
| 4225 Open biopsy of esophagus                                         |
|                                                                       |
| 4231 Local excision of esophageal diverticulum                        |
|                                                                       |
| 4232 Local excision of other lesion or tissue of esophagus            |
|                                                                       |
| 4239 Other destruction of lesion or tissue of esophagus               |
|                                                                       |
| Excision of esophagus:                                                |
|                                                                       |
| 4240 Esophagectomy, NOS                                               |
|                                                                       |
| 4241 Partial esophagectomy                                            |
|                                                                       |
| 4242 Total esophagectomy                                              |
|                                                                       |
| Intrathoracic anastomosis of exophagus                                |
|                                                                       |
| 4251 Intrathoracic esophagoesophagostomy                              |
|                                                                       |
| 4252 Intrathoracic esophagogastrostomy                                |
|                                                                       |
| 4253 Intrathoracic esophageal anastomosis W/ interposition of small   |
| bowel                                                                 |
|                                                                       |
| 4254 Other intrathoracic esophagoenterostomy                          |
|                                                                       |
| 4255 Intrathoracic esophageal anastomosis W/ interposition of colon   |
|                                                                       |
| 4256 Other intrathoracic esophagocolostomy                            |
|                                                                       |
| 4258 Intrathoracic esophageal anastomosis W/ other interposition      |
|                                                                       |
| 4259 Other intrathoracic anastomosis of esophagus                     |
|                                                                       |
| Antesternal anastomosis                                               |
|                                                                       |
| 4261 Antesternal esophagoesophagostomy                                |
|                                                                       |
| 4262 Antesternal esophagogastrostomy                                  |
|                                                                       |
| 4263 Antesternal esophageal anastomosis W/ interposition of small     |
| bowel                                                                 |
|                                                                       |
| 4264 Other antesternal esophagoenterostomy                            |
|                                                                       |
| 4265 Antesternal esophageal anastomosis W/ interposition of colon     |
|                                                                       |
| 4266 Other antesternal esophagocolostomy                              |
|                                                                       |
| 4268 Other antesternal esophageal anastomosis W/ interposition        |
|                                                                       |
| 4269 Other antesternal anastomosis of esophagus                       |
|                                                                       |
| 427 Esophagomyotomy                                                   |
|                                                                       |
| Other repair of esophagus                                             |
|                                                                       |
| 4281 Insertion of permanent tube into esophagus                       |
|                                                                       |
| 4282 Suture of laceration of esophagus                                |
|                                                                       |
| 4283 Closure of esophagostomy                                         |
|                                                                       |
| 4284 Repair of esophageal fistula, NEC                                |
|                                                                       |
| 4285 Repair of esophageal stricture                                   |
|                                                                       |
| 4286 Production of subcutaneous tunnel W/O esophageal anastomosis     |
|                                                                       |
| 4287 Other graft of esophagus                                         |
|                                                                       |
| 4289 Other repair of esophagus                                        |
|                                                                       |
| 4465 Esophagogastroplasty                                             |
|                                                                       |
| 4466 Other procedures for creation of esophagogastric sphincteric     |
| competence                                                            |
|                                                                       |
| 8104 Dorsal and dorso-lumbar fusion, anterior technique               |
|                                                                       |
| 8134 Refusion of dorsal and dorsolumbar spine, anterior technique     |
|                                                                       |
| *ICD-9-CM Lung or Pleural Biopsy procedure codes:*                    |
|                                                                       |
| 3326 Closed \[percutaneous\] \[needle\] biopsy of lung                |
|                                                                       |
| 3328 Open biopsy of lung                                              |
|                                                                       |
| 3424 Pleural biopsy                                                   |
|                                                                       |
| *Cardiac Surgery DRGs:*                                               |
|                                                                       |
| 103 Heart transplant                                                  |
|                                                                       |
| 104 Cardiac valve and other major cardiothoracic procedures W/        |
| cardiac catheterization                                               |
|                                                                       |
| 105 Cardiac valve and other major cardiothoracic procedures W/O       |
| cardiac catheterization                                               |
|                                                                       |
| 106 Coronary bypass W/ PTCA                                           |
|                                                                       |
| 107 Coronary bypass W/ cardiac catheterization                        |
|                                                                       |
| 108 Other cardiothoracic procedures                                   |
|                                                                       |
| 109 Coronary bypass W/O cardiac catheterization                       |
|                                                                       |
| 110 Major cardiovascular procedures W/ CC                             |
|                                                                       |
| 111 Major cardiovascular procedures W/O CC                            |
|                                                                       |
| 525 Heart assist system implant (Oct 02)                              |
|                                                                       |
| 547 CORONARY BYPASS W CARDIAC CATH W MAJOR CV DX (OCT 05)             |
|                                                                       |
| 548 CORONARY BYPASS W CARDIAC CATH W/O MAJOR CV DX (OCT 05)           |
|                                                                       |
| 549 CORONARY BYPASS W/O CARDIAC CATH W MAJOR CV DX (OCT 05)           |
|                                                                       |
| 550 CORONARY BYPASS W/O CARDIAC CATH W/O MAJOR CV DX (OCT 05)         |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ## Selected Inf                                                       |
| ections Due to Medical Care, Secondary Diagnosis Field (PSI 7 and 23) |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| Discharges with ICD-9-CM code of 999.3 or 996.62 in any secondary     |
| diagnosis field.                                                      |
+-----------------------------------------------------------------------+
| []{#PSI7Denom .anchor}**Denominator:**                                |
|                                                                       |
| All surgical and medical discharges, 18 years and older **or** MDC 14 |
| (pregnancy, childbirth, and puerperium), defined by specific DRGs     |
|                                                                       |
| > See [Appendix B: Surgical Discharge                                 |
| > DRGs](#_Appendix_B:__Surgical_Discharge_DRG)                        |
| >                                                                     |
| > See [Appendix F: Medical Discharge                                  |
| > DRGs](#_Appendix_F:__Medical_Discharge_DRGs)                        |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   with ICD-9-CM code of 999.3 or 996.62 in the principal diagnosis  |
|     field                                                             |
|                                                                       |
| -   with length of stay less than 2 days                              |
|                                                                       |
| -   with any code for immunocompromised state or cancer               |
|                                                                       |
| -   with cancer DRG                                                   |
|                                                                       |
| > See [Appendix D: ICD-9-CM Codes for Immunocompromised               |
| > States](#_Appendix_D:__ICD-9-CM_Codes_for_Imm)                      |
| >                                                                     |
| > See [Appendix E: Cancer Codes](#_Appendix_E:__Cancer_Codes)         |
| >                                                                     |
| > See [Appendix Q: Cancer DRGs](#_Appendix_Q:__Cancer_DRGs)           |
| >                                                                     |
| > Control-click (Word) or click (PDF) to view an Appendix. Links are  |
| > provided to return to the PSI detailed definition.                  |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ## Postoperative Hip Fracture (PSI 8)                                 |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| Discharges with ICD-9-CM code for hip fracture in any secondary       |
| diagnosis field                                                       |
|                                                                       |
| *ICD-9-CM Hip Fracture diagnosis codes (includes all 5^th^ digits):*  |
|                                                                       |
| 8200 Fracture of neck of femur -- transcervical fracture, closed      |
|                                                                       |
| 8201 Fracture of neck of femur -- transcervical fracture, open        |
|                                                                       |
| 8202 Fracture of neck of femur -- pertrochanteric fracture, closed    |
|                                                                       |
| 8203 Fracture of neck of femur -- pertrochanteric fracture, open      |
|                                                                       |
| 8208 Unspecified part of neck of femur, closed                        |
|                                                                       |
| 8209 Unspecified part of neck of femur, open                          |
+-----------------------------------------------------------------------+
| []{#PSI8Denom .anchor}**Denominator:**                                |
|                                                                       |
| All surgical discharges age 18 and older defined by specific DRGs and |
| an ICD-9-CM code for an operating room procedure.                     |
|                                                                       |
| > See [Appendix A: Operating Room Procedure                           |
| > Codes](#_Appendix_A:__Operating_Room_Procedu)                       |
| >                                                                     |
| > See [Appendix B: Surgical Discharge                                 |
| > DRGs](#_Appendix_B:__Surgical_Discharge_DRG)                        |
| >                                                                     |
| > Control-click (Word) or click (PDF) to view the Appendix. Links are |
| > provided to return to the PSI detailed definition.                  |
|                                                                       |
| []{#PSI8Exclude .anchor}Exclude cases:                                |
|                                                                       |
| -   with ICD-9-CM code for hip fracture (see Numerator) in the        |
|     principal diagnosis field                                         |
|                                                                       |
| -   where the only operating room procedure is hip fracture repair    |
|                                                                       |
| -   where a procedure for hip fracture repair occurs before [or on    |
|     the same day]{.underline} as the first operating room procedure   |
|                                                                       |
| > *Note: If day of procedure is not available in the input data file, |
| > the rate may be slightly lower than if the information was          |
| > available*                                                          |
|                                                                       |
| -   with diseases and disorders of the musculoskeletal system and     |
|     connective tissue (MDC 8)                                         |
|                                                                       |
| -   with principal diagnosis codes for seizure, syncope, stroke,      |
|     coma, cardiac arrest, poisoning, trauma, delirium and other       |
|     psychoses, or anoxic brain injury                                 |
|                                                                       |
| -   with any diagnosis of metastatic cancer, lymphoid malignancy or   |
|     bone malignancy, or self-inflicted injury                         |
|                                                                       |
| -   MDC14 (pregnancy, childbirth, and puerperium)                     |
|                                                                       |
| > See [Appendix C: ICD-9-CM Trauma Diagnosis                          |
| > Codes](#_Appendix_B:__ICD-9-CM_Trauma_Diagno)                       |
| >                                                                     |
| > See [Appendix J: Trauma DRGs](#_Appendix_J:__Trauma_DRGs)           |
| >                                                                     |
| > See [Appendix L: Self-Inflicted Injury Diagnosis                    |
| > Codes](#_Appendix_L:__Self-Inflicted_Injury_)                       |
| >                                                                     |
| > Control-click (Word) or click (PDF) to view an Appendix. Links are  |
| > provided to return to the PSI detailed definition.                  |
|                                                                       |
| *ICD-9-CM Hip Fracture Repair procedure codes:*                       |
|                                                                       |
| 7855 Internal fixation-femur                                          |
|                                                                       |
| 7915 Closed red-int fix femur                                         |
|                                                                       |
| 7925 Open reduction-femur fx                                          |
|                                                                       |
| 7935 Open reduc-int fix femur                                         |
|                                                                       |
| 8151 Total hip replacement                                            |
|                                                                       |
| 8152 Partial hip replacement                                          |
|                                                                       |
| *ICD-9-CM Seizure diagnosis codes:*                                   |
|                                                                       |
| 34500 Generalized nonconvulsive epilepsy -- W/O mention of            |
| intractable epilepsy                                                  |
|                                                                       |
| 34501 Generalized nonconvulsive epilepsy -- W/ intractable epilepsy   |
|                                                                       |
| 34510 Generalized convulsive epilepsy -- W/O mention of intractable   |
| epilepsy                                                              |
|                                                                       |
| 34511 Generalized convulsive epilepsy -- W/ intractable epilepsy      |
|                                                                       |
| 3452 Epilepsy -- Petit mal status                                     |
|                                                                       |
| 3453 Epilepsy -- Grand mal status                                     |
|                                                                       |
| 34540 Partial epilepsy, W/ impairment of consciousness -- W/O         |
| intractable epilepsy                                                  |
|                                                                       |
| 34541 Partial epilepsy, W/ impairment of consciousness -- W/ mention  |
| of intractable epilepsy                                               |
|                                                                       |
| 34550 Partial epilepsy, W/O mention of impairment of consciousness -- |
| W/O mention of intractable epilepsy                                   |
|                                                                       |
| 34551 Partial epilepsy, W/O mention of impairment of consciousness -- |
| W/ intractable epilepsy                                               |
|                                                                       |
| 34560 Infantile spasms -- W/O mention of intractable epilepsy         |
|                                                                       |
| 34561 Infantile spasms -- W/ intractable epilepsy                     |
|                                                                       |
| 34570 Epilepsia partialis continua -- W/O mention of intractable      |
| epilepsy                                                              |
|                                                                       |
| 34571 Epilepsia partialis continua -- W/ intractable epilepsy         |
|                                                                       |
| 34580 Other forms of epilepsy -- W/O mention of intractable epilepsy  |
|                                                                       |
| 34581 Other forms of epilepsy -- W/ intractable epilepsy              |
|                                                                       |
| 34590 Epilepsy, unspecified -- W/O mention of intractable epilepsy    |
|                                                                       |
| 34591 Epilepsy, unspecified -- W/ intractable epilepsy                |
|                                                                       |
| 7803 Convulsions                                                      |
|                                                                       |
| 78031 Febrile convulsions                                             |
|                                                                       |
| 78039 Other convulsions                                               |
|                                                                       |
| 7803 Convulsions (old code no longer valid)                           |
|                                                                       |
| *ICD-9-CM Syncope diagnosis codes:*                                   |
|                                                                       |
| 7802 Syncope and collapse                                             |
|                                                                       |
| *ICD-9-CM Stroke diagnosis codes:*                                    |
|                                                                       |
| 430 Subarachnoid hemorrhage                                           |
|                                                                       |
| 431 Intracerebral hemorrhage                                          |
|                                                                       |
| 4320 Nontraumatic extradural hemorrhage                               |
|                                                                       |
| 4321 Subdural hemorrhage                                              |
|                                                                       |
| 4329 Unspecified intracranial hemorrhage                              |
|                                                                       |
| 436 Acute, but ill-defined cerebrovascular disease                    |
|                                                                       |
| 99702 Postoperative cerebrovascular accident                          |
|                                                                       |
| Occlusion and stenosis of precerebral arteries:                       |
|                                                                       |
| 43301 Basilar artery, W/ cerebral infarction                          |
|                                                                       |
| 43311 Carotid artery, W/ cerebral infarction                          |
|                                                                       |
| 43321 Vertebral artery - W/ cerebral infarction                       |
|                                                                       |
| 43331 Multiple and bilateral W/ cerebral infarction                   |
|                                                                       |
| 43381 Other specified precerebral artery W/ cerebral infarction       |
|                                                                       |
| 43391 Occlusion and stenosis of precerebral arteries, unspecified     |
| precerebral artery W/ cerebral infarction                             |
|                                                                       |
| Occlusion of cerebral arteries:                                       |
|                                                                       |
| 43401 Cerebral thrombosis -- W/ cerebral infarction                   |
|                                                                       |
| 43411 Cerebral embolism -- W/ cerebral infarction                     |
|                                                                       |
| 43491 Cerebral artery occlusion, unspecified - W/ cerebral infarction |
|                                                                       |
| *ICD-9-CM Coma diagnosis codes:*                                      |
|                                                                       |
| 25020 Diabetes W/ hyperosmolarity, type 2 \[noninsulin dependent      |
| type\]\[NIDDM type\]\[adult-onset\] or unspecified type, not stated   |
| as uncontrolled                                                       |
|                                                                       |
| 25021 Diabetes W/ hyperosmolarity, type 1 \[insulin dependent         |
| type\]\[IDDM-type\] \[juvenile type\], not stated as uncontrolled     |
|                                                                       |
| 25022 Diabetes W/ hyperosmolarity, type 2                             |
|                                                                       |
| 25023 Diabetes mellitus, diabetes W/ hyperosmolarity, type 1          |
| \[insulin dependent type\]\[IDDM-type\]\[juvenile type\] uncontrolled |
|                                                                       |
| 25030 Diabetes W/ other coma, type 2 not stated as uncontrolled       |
|                                                                       |
| 25031 Diabetes W/ other coma, type 1 not stated as uncontrolled       |
|                                                                       |
| 25032 Diabetes mellitus, diabetes W/ other coma, type 2 uncontrolled  |
|                                                                       |
| 25033 Diabetes mellitus, diabetes W/ other coma, type 1 uncontrolled  |
|                                                                       |
| 2510 Other disorders of pancreatic internal secretion, hypoglycemic   |
| coma                                                                  |
|                                                                       |
| 5722 Liver abscess and sequelae of chronic liver disease, hepatic     |
| coma                                                                  |
|                                                                       |
| 78001 General symptoms, alteration of consciousness, coma             |
|                                                                       |
| 78003 General symptoms, alteration of consciousness persistent        |
| vegetative state                                                      |
|                                                                       |
| *ICD-9-CM Cardiac Arrest diagnosis code:*                             |
|                                                                       |
| 4275 CARDIAC ARREST                                                   |
|                                                                       |
| *ICD-9-CM Poisoning diagnosis codes (includes 4^th^ and 5^th^         |
| digits):*                                                             |
|                                                                       |
| 960 Poisoning by antibiotics                                          |
|                                                                       |
| 961 Poisoning by other anti-infectives                                |
|                                                                       |
| 962 Poisoning by hormones and synthetic substitutes                   |
|                                                                       |
| 963 Poisoning by primarily systemic agents                            |
|                                                                       |
| 964 Poisoning by agents primarily affecting blood constituents        |
|                                                                       |
| 965 Poisoning by analgesics, antipyretics, and antirheumatics         |
|                                                                       |
| 966 Poisoning by anticonvulsants and anti-parkinsonism drugs          |
|                                                                       |
| 967 Poisoning by sedatives and hypnotics                              |
|                                                                       |
| 968 Poisoning by other central nervous system depressants and         |
| anesthetics                                                           |
|                                                                       |
| 969 Poisoning by psychotropic agents                                  |
|                                                                       |
| 970 Poisoning by central nervous system stimulants                    |
|                                                                       |
| 971 Poisoning by drugs primarily affecting the autonomic nervous      |
| system                                                                |
|                                                                       |
| 972 Poisoning by agents primarily affecting the cardiovascular system |
|                                                                       |
| 973 Poisoning by agents primarily affecting the gastrointestinal      |
| system                                                                |
|                                                                       |
| 974 Poisoning by water, mineral, and uric acid metabolism drugs       |
|                                                                       |
| 975 Poisoning by agents primarily acting on the smooth and skeletal   |
| muscles and respiratory system                                        |
|                                                                       |
| 976 Poisoning by agents primarily affecting skin and mucous membrane, |
| opthamological, otorhinolaryncological and dental drugs               |
|                                                                       |
| 977 Poisoning by other and unspecified drugs and medicinal substances |
|                                                                       |
| 978 Poisoning by bacterial vaccines                                   |
|                                                                       |
| 979 Poisoning by other vaccines and biological substances             |
|                                                                       |
| E850 Accidental poisoning by analgesics, antipyretics, and            |
| antirheumatics                                                        |
|                                                                       |
| E851 Accidental poisoning by barbiturates                             |
|                                                                       |
| E852 Accidental poisoning by other sedatives and hypnotics            |
|                                                                       |
| E853 Accidental poisoning by tranquilizers                            |
|                                                                       |
| E854 Accidental poisoning by other psychotropic agents                |
|                                                                       |
| E855 Accidental poisoning by other drugs acting on central and        |
| autonomic nervous system                                              |
|                                                                       |
| E856 Accidental poisoning by antibiotics                              |
|                                                                       |
| E857 Accidental poisoning by other anti-infectives                    |
|                                                                       |
| E858 Accidental poisoning by other drugs                              |
|                                                                       |
| E860 Accidental poisoning by alcohol, NEC                             |
|                                                                       |
| E861 accidental poisoning by cleaning and polishing agents,           |
| disinfectants, paints, and varnishes                                  |
|                                                                       |
| E862 Accidental poisoning by petroleum products, other solvents and   |
| their vapors, NEC                                                     |
|                                                                       |
| E863 Accidental poisoning by agricultural and horticultural chemical  |
| and pharmaceutical preparations other than plant foods and            |
| fertilizers                                                           |
|                                                                       |
| E864 Accidental poisoning by corrosives and caustics, NEC             |
|                                                                       |
| E865 Accidental poisoning from poisonous foodstuffs and poisonous     |
| plants                                                                |
|                                                                       |
| E866 Accidental poisoning by other and unspecified solid and liquid   |
| substances                                                            |
|                                                                       |
| E867 Accidental poisoning by gas distributed by pipeline              |
|                                                                       |
| E868 Accidental poisoning by other utility gas and other carbon       |
| monoxide                                                              |
|                                                                       |
| E869 Accidental poisoning by other gases and vapors                   |
|                                                                       |
| E951 Suicide and self-inflicted poisoning by gases in domestic use    |
|                                                                       |
| E952 Suicide and self-inflicted poisoning by other gases and vapors   |
|                                                                       |
| E962 Assault by poisoning                                             |
|                                                                       |
| E980 Poisoning by solid or liquid substances, undetermined whether    |
| accidentally or purposely inflicted                                   |
|                                                                       |
| E981 Poisoning by gases in domestic use, undetermined whether         |
| accidentally or purposely inflicted                                   |
|                                                                       |
| E982 Poisoning by other gases, undetermined whether accidentally or   |
| purposely inflicted                                                   |
|                                                                       |
| *ICD-9-CM Delirium and Other Psychoses diagnosis codes (includes      |
| 4^th^ and 5^th^ digits):*                                             |
|                                                                       |
| 290 Senile and presenile organic psychotic conditions                 |
|                                                                       |
| 291 Alcoholic psychoses                                               |
|                                                                       |
| 292 Drug psychoses                                                    |
|                                                                       |
| 29285 DRUG INDUCED SLEEP DISORDERS (OCT 05)                           |
|                                                                       |
| 293 Transient organic psychotic conditions                            |
|                                                                       |
| 294 Other organic psychotic conditions                                |
|                                                                       |
| 295 Schizophrenic disorders                                           |
|                                                                       |
| 296 Affective psychoses                                               |
|                                                                       |
| 297 Paranoid states                                                   |
|                                                                       |
| 298 Other nonorganic psychoses                                        |
|                                                                       |
| 299 Psychoses W/ origin specific to childhood                         |
|                                                                       |
| *ICD-9-CM Anoxic Brain Injury diagnosis code:*                        |
|                                                                       |
| 3481 ANOXIC BRAIN DAMAGE                                              |
|                                                                       |
| *ICD-9-CM Metastatic Cancer diagnosis codes (includes 4^th^ and 5^th^ |
| digits):*                                                             |
|                                                                       |
| 196 Secondary and unspecified malignant neoplasm of lymph nodes       |
|                                                                       |
| 197 Secondary malignant neoplasm of respiratory and digestive systems |
|                                                                       |
| 198 Secondary malignant neoplasm of other specified sites             |
|                                                                       |
| 1990 Malignant neoplasm W/O specification of site, disseminated       |
|                                                                       |
| *ICD-9-CM Lymphoid Malignancy diagnosis codes (includes 4^th^ and     |
| 5^th^ digits):*                                                       |
|                                                                       |
| 200 Lymphosarcoma and reticulosarcoma                                 |
|                                                                       |
| 201 Hodgkin's disease                                                 |
|                                                                       |
| 202 Other malignant neoplasms of lymphoid and histiocytic tissue      |
|                                                                       |
| 203 Multiple myeloma and immunoproliferative neoplasms                |
|                                                                       |
| 204 Lymphoid leukemia                                                 |
|                                                                       |
| 205 Myeloid leukemia                                                  |
|                                                                       |
| 206 Monocytic leukemia                                                |
|                                                                       |
| 207 Other specified leukemia                                          |
|                                                                       |
| 208 Leukemia of unspecified cell type                                 |
|                                                                       |
| *ICD-9-CM Bone Malignancy diagnosis code* *(includes 4^th^ and 5^th^  |
| digits)*:                                                             |
|                                                                       |
| 170 Malignant neoplasm of bone and articular cartilage                |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ## Postoperative Hemorrhage or Hematoma (PSI 9 and 27)                |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| Discharges with ICD-9-CM codes for postoperative hemorrhage or        |
| postoperative hematoma in any secondary diagnosis field and codes for |
| postoperative control of hemorrhage or drainage of hematoma in any    |
| procedure code field.                                                 |
|                                                                       |
| *ICD-9-CM Postoperative Hematoma diagnosis code:*                     |
|                                                                       |
| 99812 HEMATOMA COMPLICATING A PROCEDURE                               |
|                                                                       |
| *ICD-9-CM Postoperative Hemorrhage diagnosis code:*                   |
|                                                                       |
| 99811 HEMORRHAGE COMPLICATING A PROCEDURE                             |
|                                                                       |
| *ICD-9-CM Control of Postoperative Hemorrhage procedure codes:*       |
|                                                                       |
| 287 Control of hemorrhage after tonsillectomy and adenoidectomy       |
|                                                                       |
| 3880 Other surgical occlusion of unspecified site                     |
|                                                                       |
| 3881 Other surgical occlusion of intracranial vessels                 |
|                                                                       |
| 3882 Other surgical occlusion of other vessels of head and neck       |
|                                                                       |
| 3883 Other surgical occlusion of upper limb vessels                   |
|                                                                       |
| 3884 Other surgical occlusion of aorta, abdominal                     |
|                                                                       |
| 3885 Other surgical occlusion of thoracic vessel                      |
|                                                                       |
| 3886 Other surgical occlusion of abdominal arteries                   |
|                                                                       |
| 3887 Other surgical occlusion of abdominal veins                      |
|                                                                       |
| 3888 Other surgical occlusion of lower limb arteries                  |
|                                                                       |
| 3889 Other surgical occlusion of lower limb veins                     |
|                                                                       |
| 3941 Control of hemorrhage following vascular surgery                 |
|                                                                       |
| 3998 Control of hemorrhage NOS                                        |
|                                                                       |
| 4995 Control of (postoperative) hemorrhage of anus                    |
|                                                                       |
| 5793 Control of (postoperative hemorrhage of bladder                  |
|                                                                       |
| 6094 Control of (postoperative) hemorrhage of prostate                |
|                                                                       |
| *ICD-9-CM Drainage of Hematoma procedure codes:*                      |
|                                                                       |
| 1809 Other incision of external ear                                   |
|                                                                       |
| 540 Incision of abdominal wall                                        |
|                                                                       |
| 5412 Reopening of recent laparotomy site                              |
|                                                                       |
| 5919 Other incision of perivesicle tissue                             |
|                                                                       |
| 610 Incision and drainage of scrotum and tunica and vaginalis         |
|                                                                       |
| 6998 Other operations on supporting structures of uterus              |
|                                                                       |
| 7014 Other vaginotomy                                                 |
|                                                                       |
| 7109 Other incision of vulva and perineum                             |
|                                                                       |
| 7591 Evacuation of obstetrical incisional hematoma of perineum        |
|                                                                       |
| 7592 Evacuation of other hematoma of vulva or vagina                  |
|                                                                       |
| 8604 Other incision W/ drainage of skin and subcutaneous tissue       |
+-----------------------------------------------------------------------+
| []{#PSI9Denom .anchor}**Denominator:**                                |
|                                                                       |
| All surgical discharges 18 years and older defined by specific DRGs   |
| and an ICD-9-CM code for an operating room procedure.                 |
|                                                                       |
| > See [Appendix A: Operating Room Procedure                           |
| > Codes](#appendix-a-operating-room-procedure-codes)                  |
| >                                                                     |
| > See [Appendix B: Surgical Discharge                                 |
| > DRGs](#_Appendix_B:__Surgical_Discharge_DRG)                        |
| >                                                                     |
| > Control-click (Word) or click (PDF) to view an Appendix. Links are  |
| > provided to return to the PSI detailed definition.                  |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   with ICD-9-CM codes for postoperative hemorrhage or postoperative |
|     hematoma in the principal diagnosis field                         |
|                                                                       |
| -   where the only operating room procedure is postoperative control  |
|     of hemorrhage or drainage of hematoma.                            |
|                                                                       |
| -   where a procedure for postoperative control of hemorrhage or      |
|     drainage of hematoma occurs before the first operating room       |
|     procedure.                                                        |
|                                                                       |
| > *Note: If day of procedure is not available in the input data file, |
| > the rate may be slightly lower than if the information was          |
| > available*.                                                         |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium).                   |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ## Postoperative Physiologic and Metabolic Derangement (PSI 10)       |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| Discharges with ICD-9-CM codes for physiologic and metabolic          |
| derangements in any secondary diagnosis field.                        |
|                                                                       |
| Discharges with acute renal failure (subgroup of physiologic and      |
| metabolic derangements) must be accompanied by a procedure code for   |
| dialysis (39.95, 54.98).                                              |
|                                                                       |
| *ICD-9-CM Physiologic and Metabolic Derangements diagnosis codes:*    |
|                                                                       |
| Diabetes with ketoacidosis:                                           |
|                                                                       |
| 25010 Type 2, or unspecified type, not stated as uncontrolled         |
|                                                                       |
| 25011 Type 1 not stated as uncontrolled                               |
|                                                                       |
| 25012 Type 2, or unspecified type, uncontrolled                       |
|                                                                       |
| 25013 Type 1 uncontrolled                                             |
|                                                                       |
| Acute renal failure:                                                  |
|                                                                       |
| 5845 W/ lesion of tubular necrosis                                    |
|                                                                       |
| 5846 W/ lesion of renal cortical necrosis                             |
|                                                                       |
| 5847 W/ lesion of renal medullary \[papillary\] necrosis              |
|                                                                       |
| 5848 W/ other specified pathological lesion in kidney                 |
|                                                                       |
| 5849 Acute renal failure, unspecified                                 |
|                                                                       |
| 586 Acute renal failure, unspecified-oct05                            |
|                                                                       |
| 9975 URINARY COMPLICATIONS-oct05                                      |
|                                                                       |
| Diabetes with hyperosmolarity:                                        |
|                                                                       |
| 25020 Type 2, or unspecified type, not stated as uncontrolled         |
|                                                                       |
| 25021 Type 1 not stated as uncontrolled                               |
|                                                                       |
| 25022 Type 2, or unspecified type, uncontrolled                       |
|                                                                       |
| 25023 Type 1 uncontrolled                                             |
|                                                                       |
| Diabetes with other coma:                                             |
|                                                                       |
| 25030 Type 2, or unspecified type, not stated as uncontrolled         |
|                                                                       |
| 25031 Type 1 not stated as uncontrolled                               |
|                                                                       |
| 25032 Type 2, or unspecified type, uncontrolled                       |
|                                                                       |
| 25033 Type 1 uncontrolled                                             |
+-----------------------------------------------------------------------+
| []{#PSI10Denom .anchor}**Denominator:**                               |
|                                                                       |
| All elective\* surgical discharges18 years and older defined by       |
| specific DRGs and an ICD-9-CM code for an operating room procedure.   |
|                                                                       |
| > See [Appendix A: Operating Room Procedure                           |
| > Codes](#appendix-a-operating-room-procedure-codes)                  |
| >                                                                     |
| > See [Appendix B: Surgical Discharge                                 |
| > DRGs](#_Appendix_B:__Surgical_Discharge_DRG)                        |
|                                                                       |
| \*Elective - SID Admission type \# is recorded as elective (Admission |
| Type = 3)                                                             |
|                                                                       |
| []{#PSI10Exclude .anchor}Exclude cases:                               |
|                                                                       |
| -   with ICD-9-CM codes for physiologic and metabolic derangements    |
|     (see Numerator) in the principal diagnosis field.                 |
|                                                                       |
| -   with a principal ICD-9-CM code for chronic renal failure          |
|                                                                       |
| -   with acute renal failure (see Numerator) where a procedure for    |
|     dialysis occurs **before or on the same day** as the first        |
|     operating room procedure.                                         |
|                                                                       |
| > *Note: If day of procedure is not available in the input data file, |
| > the rate may be slightly lower than if the information was          |
| > available*.                                                         |
|                                                                       |
| -   with both a diagnosis code of ketoacidosis, hyperosmolarity, or   |
|     other coma (subgroups of physiologic and metabolic derangements   |
|     coding) **and** a principal diagnosis of diabetes.                |
|                                                                       |
| -   with both a secondary diagnosis code for acute renal failure      |
|     (subgroup of physiologic and metabolic derangements coding)       |
|     **and** a principal diagnosis of acute myocardial infarction,     |
|     cardiac arrhythmia, cardiac arrest, shock, hemorrhage, or         |
|     gastrointestinal hemorrhage.                                      |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth and the puerperium)                 |
|                                                                       |
| > See [Appendix M: Acute Myocardial Infarction (AMI) Diagnosis        |
| > Codes](#_Appendix_M:__Acute_Myocardial_Infar)                       |
| >                                                                     |
| > See [Appendix N: Cardiac Arrhythmia Diagnosis                       |
| > Codes](#_Appendix_N:__Cardiac_Arrhythmia_Dia)                       |
| >                                                                     |
| > See [Appendix H: Shock Diagnosis                                    |
| > Codes](#_Appendix_H:_Shock_Diagnosis_Codes)                         |
| >                                                                     |
| > See [Appendix G: Hemorrhage Diagnosis                               |
| > Codes](#_Appendix_G:__Hemorrhage_Diagnosis_C)                       |
| >                                                                     |
| > See [Appendix I: ICD-9-CM Gastrointestinal (GI) Hemorrhage          |
| > Diagnosis Codes](#_Appendix_I:__ICD-9-CM_Gastrointesti)             |
| >                                                                     |
| > Control-click (Word) or click (PDF) to view an Appendix. Links are  |
| > provided to return to the PSI detailed definition.                  |
|                                                                       |
| *ICD-9-CM Chronic Renal Failure diagnosis code:*                      |
|                                                                       |
| 40301 MAL HYP KIDNEY W CHR KID                                        |
|                                                                       |
| 40311 BEN HYP KIDNEY W CHR KID                                        |
|                                                                       |
| 40391 HYP KIDNEY NOS W CHR KID                                        |
|                                                                       |
| 40402 MAL HY HRT/KID W CHR KID                                        |
|                                                                       |
| 40403 MAL HYP HRT/KID W HF/KID                                        |
|                                                                       |
| 40412 BEN HYP HT/KID W CHR KID                                        |
|                                                                       |
| 40413 BEN HYP HT/KID W HF/KID                                         |
|                                                                       |
| 40492 HYP HT/KID NOS W CHR KID                                        |
|                                                                       |
| 40493 HYP HRT/KID NOS W HF/KID                                        |
|                                                                       |
| 585 CHRONIC RENAL FAILURE                                             |
|                                                                       |
| 5855 CHRON KIDNEY DIS STAGE V                                         |
|                                                                       |
| 5856 END STAGE RENAL DISEASE                                          |
|                                                                       |
| *ICD-9-CM Diabetes diagnosis codes (includes 4^th^ and 5^th^          |
| digits):*                                                             |
|                                                                       |
| 2500 Diabetes mellitus W/O mention of complication                    |
|                                                                       |
| 2501 Diabetes W/ ketoacidosis                                         |
|                                                                       |
| 2502 Diabetes W/ hyperosmolarity                                      |
|                                                                       |
| 2503 Diabetes W/ other coma                                           |
|                                                                       |
| 2504 Diabetes W/ renal manifestations                                 |
|                                                                       |
| 2505 Diabetes W/ ophthalmic manifestations                            |
|                                                                       |
| 2506 Diabetes W/ neurological manifestations                          |
|                                                                       |
| 2507 Diabetes W/ peripheral circulatory disorders                     |
|                                                                       |
| 2508 Diabetes W/ other specified manifestations                       |
|                                                                       |
| 2509 Diabetes W/ other unspecified complications                      |
|                                                                       |
| *Cardiac Arrhythmia DRGs:*                                            |
|                                                                       |
| 138 Cardiac arrhythmia and conduction disorders W/ CC                 |
|                                                                       |
| 139 Cardiac arrhythmia and conduction disorders W/O CC                |
|                                                                       |
| *ICD-9-CM Cardiac Arrest diagnosis code:*                             |
|                                                                       |
| 4275 CARDIAC ARREST                                                   |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ## Postoperative Respiratory Failure (PSI 11)                         |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| Discharges with ICD-9-CM codes for acute respiratory failure (518.81) |
| in any secondary diagnosis field. (After 1999, include 518.84).       |
|                                                                       |
| **OR**                                                                |
|                                                                       |
| Discharges with ICD-9-CM codes for reintubation procedure as follows: |
|                                                                       |
| -   (96.04) one or more days after the major operating room procedure |
|     code                                                              |
|                                                                       |
| -   (96.70 or 97.71) two or more days after the major operating room  |
|     procedure code                                                    |
|                                                                       |
| -   (96.72) zero or more days after the major operating room          |
|     procedure code                                                    |
+-----------------------------------------------------------------------+
| []{#PSI11Denom .anchor}**Denominator:**                               |
|                                                                       |
| All elective\* surgical discharges age 18 and older defined by        |
| specific DRGs and an ICD-9-CM code for an operating room procedure.   |
|                                                                       |
| > See [Appendix A: Operating Room Procedure                           |
| > Codes](#appendix-a-operating-room-procedure-codes)                  |
| >                                                                     |
| > See [Appendix B: Surgical Discharge                                 |
| > DRGs](#_Appendix_B:__Surgical_Discharge_DRG)                        |
| >                                                                     |
| > Control-click (Word) or click (PDF) to view an Appendix. Links are  |
| > provided to return to the PSI detailed definition.                  |
|                                                                       |
| \*Elective - SID Admission type \# is recorded as elective (Admission |
| Type = 3)                                                             |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   with ICD-9-CM codes for acute respiratory failure in the          |
|     principal diagnosis field.                                        |
|                                                                       |
| -   with ICD-9-CM diagnosis code of neuromuscular disorder            |
|                                                                       |
| -   where a procedure for tracheostomy is the only operating room     |
|     procedure.                                                        |
|                                                                       |
| -   where a procedure for tracheostomy occurs before the first        |
|     operating room procedure.                                         |
|                                                                       |
| > *Note: If day of procedure is not available in the input data file, |
| > the rate may be slightly lower than if the information was          |
| > available.*                                                         |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
|                                                                       |
| -   MDC 4 (diseases/disorders of respiratory system)                  |
|                                                                       |
| -   MDC 5 (diseases/disorders of circulatory system)                  |
|                                                                       |
| *ICD-9-CM Tracheostomy procedure codes:*                              |
|                                                                       |
| 3121 Mediastinal tracheostomy                                         |
|                                                                       |
| 3129 Other perm tracheostomy                                          |
|                                                                       |
| 3174 Revision of tracheostomy                                         |
|                                                                       |
| *ICD-9-CM Neuromuscular Disorder codes:*                              |
|                                                                       |
| 3570 AC INFECT POLYNEURITIS                                           |
|                                                                       |
| 35800 MYSTHNA GRVS W/O AC EXAC                                        |
|                                                                       |
| 35801 MYASTHNA GRAVS W AC EXAC                                        |
|                                                                       |
| 3581 MYASTHENIA IN OTH DIS                                            |
|                                                                       |
| 3582 TOXIC MYONEURAL DISORDER                                         |
|                                                                       |
| 3588 MYONEURAL DISORDERS NEC                                          |
|                                                                       |
| 3589 MYONEURAL DISORDERS NOS                                          |
|                                                                       |
| 3590 CONG HERED MUSC DYSTRPHY                                         |
|                                                                       |
| 3591 HERED PROG MUSC DYSTRPHY                                         |
|                                                                       |
| 3592 MYOTONIC DISORDERS                                               |
|                                                                       |
| 3593 FAMIL PERIODIC PARALYSIS                                         |
|                                                                       |
| 3594 TOXIC MYOPATHY                                                   |
|                                                                       |
| 3595 MYOPATHY IN ENDOCRIN DIS                                         |
|                                                                       |
| 3596 INFL MYOPATHY IN OTH DIS                                         |
|                                                                       |
| 35981 CRITICAL ILLNESS MYOPTHY                                        |
|                                                                       |
| 35989 MYOPATHIES NEC                                                  |
|                                                                       |
| 3599 MYOPATHY NOS                                                     |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ## Postoperative Pulmonary Embolism or Deep Vein Thrombosis (PSI 12)  |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| Discharges with ICD-9-CM codes for deep vein thrombosis or pulmonary  |
| embolism in any secondary diagnosis field.                            |
|                                                                       |
| See [Appendix K: Pulmonary Embolism/Deep Vein Thrombosis Diagnosis    |
| Codes](#_Appendix_K:__Pulmonary_Embolism/Dee)                         |
+-----------------------------------------------------------------------+
| []{#PSI12Denom .anchor}**Denominator:**                               |
|                                                                       |
| All surgical discharges age 18 and older defined by specific DRGs and |
| an ICD-9-CM code for an operating room procedure (Appendix C).        |
|                                                                       |
| > See [Appendix A: Operating Room Procedure                           |
| > Codes](#appendix-a-operating-room-procedure-codes)                  |
| >                                                                     |
| > See [Appendix B: Surgical Discharge                                 |
| > DRGs](#_Appendix_B:__Surgical_Discharge_DRG)                        |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   with ICD-9-CM codes for deep vein thrombosis or pulmonary         |
|     embolism in the principal diagnosis field                         |
|                                                                       |
| -   where a procedure for interruption of vena cava is the only       |
|     operating room procedure                                          |
|                                                                       |
| -   where a procedure for interruption of vena cava occurs before or  |
|     on the same day as the first operating room procedure             |
|                                                                       |
| > *Note: If day of procedure is not available in the input data file, |
| > the rate may be slightly lower than if the information was          |
| > available*.                                                         |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
|                                                                       |
| See [Appendix K: Pulmonary Embolism/Deep Vein Thrombosis Diagnosis    |
| Codes](#_Appendix_K:__Pulmonary_Embolism/Dee)                         |
|                                                                       |
| > Control-click (Word) or click (PDF) to view an Appendix. Links are  |
| > provided to return to the PSI detailed definition.                  |
|                                                                       |
| *ICD-9-CM Interruption Of Vena Cava procedure code:*                  |
|                                                                       |
| 387 INTERRUPTION OF VENA CAVA                                         |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ## Postoperative Sepsis (PSI 13)                                      |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| Discharges with ICD-9-CM code for sepsis in any secondary diagnosis   |
| field.                                                                |
|                                                                       |
| See [Appendix O: Sepsis Diagnosis                                     |
| Codes](#_Appendix_O:__Sepsis_Diagnosis_Codes)                         |
+-----------------------------------------------------------------------+
| []{#PSI13Denom .anchor}**Denominator:**                               |
|                                                                       |
| All elective\* surgical discharges age 18 and older defined by        |
| specific DRGs and an ICD-9-CM code for an operating room procedure.   |
|                                                                       |
| > See [Appendix A: Operating Room Procedure                           |
| > Codes](#appendix-a-operating-room-procedure-codes)                  |
| >                                                                     |
| > See [Appendix B: Surgical Discharge                                 |
| > DRGs](#_Appendix_B:__Surgical_Discharge_DRG)                        |
|                                                                       |
| \*Elective - SID Admission type \# is recorded as elective (Admission |
| Type = 3)                                                             |
|                                                                       |
| > Control-click (Word) or click (PDF) to view an Appendix. Links are  |
| > provided to return to the PSI detailed definition.                  |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   with ICD-9-CM codes for sepsis in the principal diagnosis field   |
|                                                                       |
| -   with a principal diagnosis of infection, or any code for          |
|     immunocompromised state, or cancer                                |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
|                                                                       |
| -   with length of stay of less than 4 days                           |
|                                                                       |
| > See [Appendix O: Sepsis Diagnosis                                   |
| > Codes](#_Appendix_O:__Sepsis_Diagnosis_Codes)                       |
| >                                                                     |
| > See [Appendix P: Infection Diagnosis Codes and                      |
| > DRGs](#_Appendix_P:__Infection_Diagnosis_Co)                        |
| >                                                                     |
| > See [Appendix D: ICD-9-CM Codes for Immunocompromised               |
| > States](#_Appendix_D:__ICD-9-CM_Codes_for_Imm)                      |
| >                                                                     |
| > See [Appendix E: Cancer Codes](#_Appendix_E:__Cancer_Codes)         |
| >                                                                     |
| > See [Appendix Q: Cancer DRGs](#_Appendix_Q:__Cancer_DRGs)           |
| >                                                                     |
| > Control-click (Word) or click (PDF) to view an Appendix. Links are  |
| > provided to return to the PSI detailed definition.                  |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ## Postoperative Wound Dehiscence (PSI 14 and 24))                    |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| Discharges with ICD-9-CM code for reclosure of postoperative          |
| disruption of abdominal wall (54.61) in any procedure field.          |
+-----------------------------------------------------------------------+
| []{#PSI14Denom .anchor}**Denominator:**                               |
|                                                                       |
| All abdominopelvic surgical discharges age 18 and older.              |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   where a procedure for reclosure of postoperative disruption of    |
|     abdominal wall occurs before or on the same day as the first      |
|     abdominopelvic surgery procedure                                  |
|                                                                       |
| > *Note: If day of procedure is not available in the input data file, |
| > the rate may be slightly lower than if the information was          |
| > available*                                                          |
|                                                                       |
| -   where length of stay is less than 2 days                          |
|                                                                       |
| -   with immunocompromised state                                      |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium).                   |
|                                                                       |
| > See [Appendix D: ICD-9-CM Codes for Immunocompromised               |
| > States](#_Appendix_D:__ICD-9-CM_Codes_for_Imm)                      |
| >                                                                     |
| > Control-click (Word) or click (PDF) to view the Appendix. Links are |
| > provided to return to the PSI detailed definition.                  |
|                                                                       |
| *ICD-9-CM Abdominopelvic procedure codes:*                            |
|                                                                       |
| 3804 Incision of aorta                                                |
|                                                                       |
| 3806 Incision of abdominal arteries                                   |
|                                                                       |
| 3807 Incision of abdominal veins                                      |
|                                                                       |
| 3814 Endarterectomy of aorta                                          |
|                                                                       |
| 3816 Endarterectomy of abdominal arteries                             |
|                                                                       |
| 3834 Resection of aorta W/ anastomosis                                |
|                                                                       |
| 3836 Resection of abdominal arteries W/ anastomosis                   |
|                                                                       |
| 3837 Resection of abdominal veins W/ anastomosis                      |
|                                                                       |
| 3844 Resection of aorta, abdominal W/ replacement                     |
|                                                                       |
| 3846 Resection of abdominal arteries W/ replacement                   |
|                                                                       |
| 3847 Resection of abdominal veins W/ replacement                      |
|                                                                       |
| 3857 Ligation and stripping of varicose veins, abdominal veins        |
|                                                                       |
| 3864 Other excision of aorta, abdominal                               |
|                                                                       |
| 3866 Other excision of abdominal arteries                             |
|                                                                       |
| 3867 Other excision of abdominal veins                                |
|                                                                       |
| 3884 Other surgical occlusion of aorta, abdominal                     |
|                                                                       |
| 3886 Other surgical occlusion of abdominal arteries                   |
|                                                                       |
| 3887 Other surgical occlusion of abdominal veins                      |
|                                                                       |
| 391 Intra-abdominal venous shunt                                      |
|                                                                       |
| 3924 Aorta-renal bypass                                               |
|                                                                       |
| 3925 Aorta-iliac-femoral bypass                                       |
|                                                                       |
| 3926 Other intra-abdominal vascular shunt or bypass                   |
|                                                                       |
| 4052 Radical excision of periaortic lymph nodes                       |
|                                                                       |
| 4053 Radical excision of iliac lymph nodes                            |
|                                                                       |
| 412 Splenotomy                                                        |
|                                                                       |
| 4133 Open biopsy of spleen                                            |
|                                                                       |
| 4141 Marsupialization of splenic cyst                                 |
|                                                                       |
| 4142 Excision of lesion or tissue of spleen                           |
|                                                                       |
| 4143 Partial splenectomy                                              |
|                                                                       |
| 415 Total splenectomy                                                 |
|                                                                       |
| 4193 Excision of accessory spleen                                     |
|                                                                       |
| 4194 Transplantation of spleen                                        |
|                                                                       |
| 4195 Repair and plastic operations on spleen                          |
|                                                                       |
| 4199 Other operations on spleen                                       |
|                                                                       |
| 4240 Esophagectomy, NOS                                               |
|                                                                       |
| 4241 Partial esophagectomy                                            |
|                                                                       |
| 4242 Total esophagectomy                                              |
|                                                                       |
| 4253 Intrathoracic esophageal anastomosis W/ interposition of small   |
| bowel                                                                 |
|                                                                       |
| 4254 Other intrathoracic esophagoenterostomy                          |
|                                                                       |
| 4255 Intrathoracic esophageal anastomosis W/ interposition of colon   |
|                                                                       |
| 4256 Other intrathoracic esophagocolostomy                            |
|                                                                       |
| 4263 Antesternal esophageal anastomosis W/ interposition of small     |
| bowel                                                                 |
|                                                                       |
| 4264 Other antesternal esophagoenterostomy                            |
|                                                                       |
| 4265 Antesternal esophageal anastomosis W/ interposition of colon     |
|                                                                       |
| 4266 Other antesternal esophagocolostomy                              |
|                                                                       |
| 4291 Ligation of esophageal varices                                   |
|                                                                       |
| 430 Gastrotomy                                                        |
|                                                                       |
| 433 Pyloromyotomy                                                     |
|                                                                       |
| 4342 Local excision of other lesion or tissue of stomach              |
|                                                                       |
| 4349 Other destruction of lesion or tissue of stomach                 |
|                                                                       |
| 435 Partial gastrectomy W/ anastomosis to esophagus                   |
|                                                                       |
| 436 Partial gastrectomy W/ anastomosis to duodenum                    |
|                                                                       |
| 437 Partial gastrectomy W/ anastomosis to jejunum                     |
|                                                                       |
| 4381 Partial gastrectomy W/ jejuna transposition                      |
|                                                                       |
| 4389 Other partial gastrectomy                                        |
|                                                                       |
| 4391 Total gastrectomy W/ intestinal interposition                    |
|                                                                       |
| 4399 Other total gastrectomy                                          |
|                                                                       |
| 4400 Vagotomy, NOS                                                    |
|                                                                       |
| 4401 Truncal vagotomy                                                 |
|                                                                       |
| 4402 Highly selective vagotomy                                        |
|                                                                       |
| 4403 Other selective vagotomy                                         |
|                                                                       |
| 4411 Transabdominal gastroscopy                                       |
|                                                                       |
| 4415 Open biopsy of stomach                                           |
|                                                                       |
| 4421 Dilation of pylorus by incision                                  |
|                                                                       |
| 4429 Other pyloroplasty                                               |
|                                                                       |
| 4431 High gastric bypass                                              |
|                                                                       |
| 4439 Other gastroenterostomy                                          |
|                                                                       |
| 4440 Suture of peptic ulcer, NOS                                      |
|                                                                       |
| 4441 Suture of gastric ulcer site                                     |
|                                                                       |
| 4442 Suture of duodenal ulcer site                                    |
|                                                                       |
| 445 Revision of gastric anastomosis                                   |
|                                                                       |
| 4461 Suture of laceration of stomach                                  |
|                                                                       |
| 4463 Closure of other gastric fistula                                 |
|                                                                       |
| 4464 Gastropexy                                                       |
|                                                                       |
| 4465 Esophagogastroplasty                                             |
|                                                                       |
| 4466 Other procedures for creation of esophagogastric sphincteric     |
| competence                                                            |
|                                                                       |
| 4469 Other repair of stomach                                          |
|                                                                       |
| 4491 Ligation of gastric varices                                      |
|                                                                       |
| 4492 Intraoperative manipulation of stomach                           |
|                                                                       |
| 4499\*\* GASTRIC OPERATION NEC (OCT 04)                               |
|                                                                       |
| 4500 Incision of intestine, NOS                                       |
|                                                                       |
| 4501 Incision of duodenum                                             |
|                                                                       |
| 4502 Other incision of small intestine                                |
|                                                                       |
| 4503 Incision of large intestine                                      |
|                                                                       |
| 4531 Other local excision of lesion of duodenum                       |
|                                                                       |
| 4532 Other destruction of lesion of duodenum                          |
|                                                                       |
| 4533 Local excision of lesion or tissue of small intestine, except    |
| duodenum                                                              |
|                                                                       |
| 4534 Other destruction of lesion of small intestine, except duodenum  |
|                                                                       |
| 4541 Excision of lesion or tissue of large intestine                  |
|                                                                       |
| 4549 Other destruction of lesion of large intestine                   |
|                                                                       |
| 4550 Isolation of intestinal segment, NOS                             |
|                                                                       |
| 4551 Isolation of segment of small intestine                          |
|                                                                       |
| 4552 Isolation of segment of large intestine                          |
|                                                                       |
| 4561 Multiple segmental resection of small intestine                  |
|                                                                       |
| 4562 Other partial resection of small intestine                       |
|                                                                       |
| 4563 Total removal of small intestine                                 |
|                                                                       |
| 4571 Multiple segmental resection of large intestine                  |
|                                                                       |
| 4572 Cesectomy                                                        |
|                                                                       |
| 4573 Right hemicolectomy                                              |
|                                                                       |
| 4574 Resection of transverse colon                                    |
|                                                                       |
| 4575 Left hemicolectomy                                               |
|                                                                       |
| 4576 Sigmoidectomy                                                    |
|                                                                       |
| 4579 Other partial excision of large intestine                        |
|                                                                       |
| 458 Total intra-abdominal colectomy                                   |
|                                                                       |
| 4590 Intestinal anastomosis, NOS                                      |
|                                                                       |
| 4591 Small-to-small intestinal anastomosis                            |
|                                                                       |
| 4592 Anastomosis of small intestine to rectal stump                   |
|                                                                       |
| 4593 Other small-to-large intestinal anastomosis                      |
|                                                                       |
| 4594 Large-to-large intestinal anastomosis                            |
|                                                                       |
| 4595 Anastomosis to anus                                              |
|                                                                       |
| 4601 Exteriorization of small intestine                               |
|                                                                       |
| 4603 Exteriorization of large intestine                               |
|                                                                       |
| 4610 Colostomy, NOS                                                   |
|                                                                       |
| 4611 Temporary colostomy                                              |
|                                                                       |
| 4613 Permanent colostomy                                              |
|                                                                       |
| 4620 Ileostomy, NOS                                                   |
|                                                                       |
| 4621 Temporary ilesostomy                                             |
|                                                                       |
| 4622 Continent ileostomy                                              |
|                                                                       |
| 4623 Other permanent ileostomy                                        |
|                                                                       |
| 4640 Revision of intestina stoma, NOS                                 |
|                                                                       |
| 4641 Revision of stoma of small intestine                             |
|                                                                       |
| 4642 Repair of pericolostomy hernia                                   |
|                                                                       |
| 4643 Other revision of stoma of large intestine                       |
|                                                                       |
| 4650 Closure of intestinal stoma, NOS                                 |
|                                                                       |
| 4651 Closure of stoma of small intestine                              |
|                                                                       |
| 4652 Closure of stoma of large intestine                              |
|                                                                       |
| 4660 Fixation of intestine, NOS                                       |
|                                                                       |
| 4661 Fixation of small intestine to abdominal wall                    |
|                                                                       |
| 4662 Other fixation of small intestine                                |
|                                                                       |
| 4663 Fixation of large intestine to abdominal wall                    |
|                                                                       |
| 4664 Other fixation of large intestine                                |
|                                                                       |
| 4672 Closure of fistula of duodenum                                   |
|                                                                       |
| 4674 Closure of fistula of small intestine, except duodenum           |
|                                                                       |
| 4676 Closure of fistula of large intestine                            |
|                                                                       |
| 4680 Intra-abdominal manipulation of intestine, NOS                   |
|                                                                       |
| 4681 Intra-abdominal manipulation of small intestine                  |
|                                                                       |
| 4682 Intra-abdominal manipulation of large intestine                  |
|                                                                       |
| 4691 Myotomy of sigmoid colon                                         |
|                                                                       |
| 4692 Myotomy of other parts of colon                                  |
|                                                                       |
| 4693 Revision of anastomosis of small intestine                       |
|                                                                       |
| 4694 Revision of anastomosis of large intestine                       |
|                                                                       |
| 4699 Other operations on intestines                                   |
|                                                                       |
| 4709 Other appendectomy                                               |
|                                                                       |
| 4719 Other incidental appendectomy                                    |
|                                                                       |
| 472 Drainage of appendiceal abscess                                   |
|                                                                       |
| 4791 Appendectomy                                                     |
|                                                                       |
| 4792 Closure of appendiceal fistula                                   |
|                                                                       |
| 4799 Other operations on appendix, other                              |
|                                                                       |
| 4841 Submucosal resection of rectum                                   |
|                                                                       |
| 4849 Other pull-through resection of rectum                           |
|                                                                       |
| 485 Abdominoperineal resection of rectum                              |
|                                                                       |
| 4875 Abdominal proctopexy                                             |
|                                                                       |
| 500 Hepatotomy                                                        |
|                                                                       |
| 5012 Open biopsy of liver                                             |
|                                                                       |
| 5021 Marsupialization of lesion of liver                              |
|                                                                       |
| 5022 Partial hepatectomy                                              |
|                                                                       |
| 5029 Other destruction of lesion of liver                             |
|                                                                       |
| 503 Lobectomy of liver                                                |
|                                                                       |
| 504 Total hepatectomy                                                 |
|                                                                       |
| 5051 Auxiliary liver transplant                                       |
|                                                                       |
| 5059 Other transplant of liver                                        |
|                                                                       |
| 5069 Other repair of liver                                            |
|                                                                       |
| 5103 Other cholecystostomy                                            |
|                                                                       |
| 5104 Other cholecystotomy                                             |
|                                                                       |
| 5113 Open biopsy of gallbladder or bile ducts                         |
|                                                                       |
| 5121 Other partial cholecystectomy                                    |
|                                                                       |
| 5122 Cholecystectomy                                                  |
|                                                                       |
| 5131 Anastomosis of gallbladder to hepatic ducts                      |
|                                                                       |
| 5132 Anastomosis of gallbladder to intestine                          |
|                                                                       |
| 5133 Anastomosis of gallbladder to pancreas                           |
|                                                                       |
| 5134 Anastomosis of gallbladder to stomach                            |
|                                                                       |
| 5135 Other gallbladder anastomosis                                    |
|                                                                       |
| 5136 Choledochoenterostomy                                            |
|                                                                       |
| 5137 Anastomosis of hepatic duct to gastrointestinal tract            |
|                                                                       |
| 5139 Other bile duct anastomosis                                      |
|                                                                       |
| 5141 Common duct exploration for removal of calculus                  |
|                                                                       |
| 5142 Common duct exploration for relief of other obstruction          |
|                                                                       |
| 5143 Insertion of choledochohepatic tube for decompression            |
|                                                                       |
| 5149 Incision of other bile ducts for relief of obstruction           |
|                                                                       |
| 5151 Exploration of common duct                                       |
|                                                                       |
| 5159 Incision of other bile duct                                      |
|                                                                       |
| 5161 Excision of cystic duct remnant                                  |
|                                                                       |
| 5162 Excision of ampulla of vater W/ reimplantation of common duct    |
|                                                                       |
| 5163 Other excision of common duct                                    |
|                                                                       |
| 5169 Excision of other bile duct                                      |
|                                                                       |
| 5171 Simple suture of common bile duct                                |
|                                                                       |
| 5172 Choledochoplasty                                                 |
|                                                                       |
| 5179 Repair of other bile ducts                                       |
|                                                                       |
| 5181 Dilation of sphincter of Oddi                                    |
|                                                                       |
| 5182 Pancreatic sphincterotomy                                        |
|                                                                       |
| 5183 Pancreatic sphincteroplasty                                      |
|                                                                       |
| 5189 Other operations on sphincter of Oddi                            |
|                                                                       |
| 5192 Closure of cholecystostomy                                       |
|                                                                       |
| 5193 Closure of other biliary fistula                                 |
|                                                                       |
| 5194 Revision of anastomosis of biliary tract                         |
|                                                                       |
| 5195 Removal of prosthetic device from bile duct                      |
|                                                                       |
| 5199 Other operations on biliary tract                                |
|                                                                       |
| 5201 Drainage of pancreatic cyst by catheter                          |
|                                                                       |
| 5209 Other pancreatotomy                                              |
|                                                                       |
| 5212 Open biopsy of pancreas                                          |
|                                                                       |
| 5222 Other excision or destruction of lesion or tissue of pancreas or |
| pancreatic duct                                                       |
|                                                                       |
| 523 Marsupialization of pancreatic cyst                               |
|                                                                       |
| 524 Internal drainage of pancreatic cyst                              |
|                                                                       |
| 5251 Proximal pancreatectomy                                          |
|                                                                       |
| 5252 Distal pancreatectomy                                            |
|                                                                       |
| 5253 Radical subtotal pancreatectomy                                  |
|                                                                       |
| 5259 Other partial pancreatectomy                                     |
|                                                                       |
| 526 Total pancreatectomy                                              |
|                                                                       |
| 527 Radical pancreaticoduodenectomy                                   |
|                                                                       |
| 5280 Pancreatic transplant, NOS                                       |
|                                                                       |
| 5281 Reimplantation                                                   |
|                                                                       |
| 5282 Homotransplant of pancreas                                       |
|                                                                       |
| 5283 Heterotransplant of pancreas                                     |
|                                                                       |
| 5292 Cannulation of pancreatic duct                                   |
|                                                                       |
| 5295 Other repair of pancreas                                         |
|                                                                       |
| 5296 Anastomosis of pancreas                                          |
|                                                                       |
| 5299 Other operations on pancreas                                     |
|                                                                       |
| 5300 Unilateral repair of inguinal hernia, NOS                        |
|                                                                       |
| 5301 Repair of direct inguinal hernia                                 |
|                                                                       |
| 5302 Repair of indirect inguinal hernia                               |
|                                                                       |
| 5303 Repair of direct inguinal hernia W/ graft or prosthesis          |
|                                                                       |
| 5304 Repair of indirect inguinal hernia W/ graft or prosthesis        |
|                                                                       |
| 5305 Repair of inguinal hernia W/ graft or prosthesis, NOS            |
|                                                                       |
| 5310 Bilateral repair of inguinal hernia, NOS                         |
|                                                                       |
| 5311 Bilateral repair of direct inguinal hernia                       |
|                                                                       |
| 5312 Bilateral repair of indirect inguinal hernia                     |
|                                                                       |
| 5313 Bilateral repair of inguinal hernia, one direct and one indirect |
|                                                                       |
| 5314 Bilateral repair of direct inguinal hernia W/ graft or           |
| prosthesis                                                            |
|                                                                       |
| 5315 Bilateral repair of indirect inguinal hernia W/ graft or         |
| prosthesis                                                            |
|                                                                       |
| 5316 Bilateral repair of inguinal hernia, one direct and one          |
| indirect, W/ graft or prosthesis                                      |
|                                                                       |
| 5317 Bilateral inguinal hernia repair W/ graft or prosthesis, NOS     |
|                                                                       |
| 5321 Unilateral repair of femoral hernia                              |
|                                                                       |
| 5329 Other unilateral femoral herniorrhaphy                           |
|                                                                       |
| 5331 Bilateral repair of femoral hernia W/ graft or prosthesis        |
|                                                                       |
| 5339 Other bilateral femoral herniorrhaphy                            |
|                                                                       |
| 5341 Repair of umbilical hernia W/ prosthesis                         |
|                                                                       |
| 5349 Other umbilical herniorrhaphy                                    |
|                                                                       |
| 5351 Incisional hernia repair                                         |
|                                                                       |
| 5359 Repair of other hernia of anterior abdominal wall                |
|                                                                       |
| 5361 Incisional hernia repair W/ prosthesis                           |
|                                                                       |
| 5369 Repair of other hernia of anterior abdominal wall W/ prosthesis  |
|                                                                       |
| 537 Repair of diaphragmatic hernia, abdominal approach                |
|                                                                       |
| 540 Incision of abdominal wall                                        |
|                                                                       |
| 5411 Exploratory laparotomy                                           |
|                                                                       |
| 5419 Other laparotomy                                                 |
|                                                                       |
| 5422 Biopsy of abdominal wall or umbilicus                            |
|                                                                       |
| 5423 Biopsy of abdominal wall or umbilicus                            |
|                                                                       |
| 543 Excision or destruction of lesion or tissue of abdominal wall or  |
| umbilicus                                                             |
|                                                                       |
| 544 Excision or destruction of peritoneal tissue                      |
|                                                                       |
| 5459 Other lysis of peritoneal adhesions                              |
|                                                                       |
| 5463 Other suture of abdominal wall                                   |
|                                                                       |
| 5464 Suture of peritoneum                                             |
|                                                                       |
| 5471 Repair of gastroschisis                                          |
|                                                                       |
| 5472 Other repair of abdominal walls                                  |
|                                                                       |
| 5473 Other repair of peritoneum                                       |
|                                                                       |
| 5474 Other repair of omentum                                          |
|                                                                       |
| 5475 Other repair of mesentery                                        |
|                                                                       |
| 5492 Removal of foreign body from peritoneal cavity                   |
|                                                                       |
| 5493 Creation of cutaneoperitoneal fistula                            |
|                                                                       |
| 5494 Creation of peritoneovascular shunt                              |
|                                                                       |
| 5495 Incision of peritoneum                                           |
|                                                                       |
| 5551 Nephroureterectomy                                               |
|                                                                       |
| 5552 Nephrectomy of remaining kidney                                  |
|                                                                       |
| 5553 Removal of transplanted or regected kidney                       |
|                                                                       |
| 5554 Bilateral nephrectomy                                            |
|                                                                       |
| 5561 Renal autotransplantation                                        |
|                                                                       |
| 5569 OTHER KIDNEY TRANSPLANTATION                                     |
|                                                                       |
| 557 Nephropexy                                                        |
|                                                                       |
| 5583 Closure of other fistula of kidney                               |
|                                                                       |
| 5584 Reduction of torsion of renal                                    |
|                                                                       |
| 5585 Symphysiotomy for horeshoe kidney                                |
|                                                                       |
| 5586 Anastomosis of kidney                                            |
|                                                                       |
| 5587 Correction of ureteropelvic junction                             |
|                                                                       |
| 5591 Decapsulation of kidney                                          |
|                                                                       |
| 5597 Implantation or replacement of mechanical kidney                 |
|                                                                       |
| 5598 Removal of mechanical kidney                                     |
|                                                                       |
| 5651 Formation of cutaneous uretero-ileostomy                         |
|                                                                       |
| 5652 Revision of cutaneous uretero-ileostomy                          |
|                                                                       |
| 5661 Formation of other cutaneous ureterostomy                        |
|                                                                       |
| 5662 Revision of other cutaneous ureterostomy                         |
|                                                                       |
| 5671 Urinary diversion to intestine                                   |
|                                                                       |
| 5672 Revision of ureterointestinal anastomosis                        |
|                                                                       |
| 5673 Nephrocystanastomosis, NOS                                       |
|                                                                       |
| 5674 Ureteroneoxystostomy                                             |
|                                                                       |
| 5675 Transureteroureterostomy                                         |
|                                                                       |
| 5683 Closure of ureterostomy                                          |
|                                                                       |
| 5684 Closure of other fistula of ureter                               |
|                                                                       |
| 5685 Ureteropexy                                                      |
|                                                                       |
| 5686 Removal of ligature from ureter                                  |
|                                                                       |
| 5689 Other repair of ureter                                           |
|                                                                       |
| 5695 Ligation of ureter                                               |
|                                                                       |
| 5771 Radical cystectomy                                               |
|                                                                       |
| 5779 Other total cystectomy                                           |
|                                                                       |
| 5782 Closure of cystostomy                                            |
|                                                                       |
| 5787 Reconstruction of urinary bladder                                |
|                                                                       |
| 5900 Retroperitoneal dissection, NOS                                  |
|                                                                       |
| 5902 Other lysis of perirenal or periureteral adhesions               |
|                                                                       |
| 5909 Other incision of perirenal or periureteral tissue               |
|                                                                       |
| 6012 Open biopsy of prostate                                          |
|                                                                       |
| 6014 Open biopsy of seminal vesicles                                  |
|                                                                       |
| 6015 Biopsy of periprostatic tissue                                   |
|                                                                       |
| 603 Suprapubic prostatectomy                                          |
|                                                                       |
| 604 Retropubic prostatectomy                                          |
|                                                                       |
| 605 Radical prostatectomy                                             |
|                                                                       |
| 6061 Local excision of lesion of prostate                             |
|                                                                       |
| 6072 Incision of seminal vesicle                                      |
|                                                                       |
| 6073 Excision of seminal vesicle                                      |
|                                                                       |
| 6079 Other operations on seminal vesicles                             |
|                                                                       |
| 6093 Repair of prostate                                               |
|                                                                       |
| 6509 Other oophorectomy                                               |
|                                                                       |
| 6512 Other biopsy of ovary                                            |
|                                                                       |
| 6521 Marsupialization of ovarian cyst                                 |
|                                                                       |
| 6522 Wedge resection of ovary                                         |
|                                                                       |
| 6529 Other local excision or destruction of ovary                     |
|                                                                       |
| 6539 Other unlilateral oophorectomy                                   |
|                                                                       |
| 6549 Other unilateral salpingoophorectomy                             |
|                                                                       |
| 6551 Other removal of both ovaries at same operative episode          |
|                                                                       |
| 6552 Other removal of remaining ovary                                 |
|                                                                       |
| 6561 Other removal of both ovaries and tubes at same operative        |
| episode                                                               |
|                                                                       |
| 6562 Other removal of remaining ovary and tube                        |
|                                                                       |
| 6571 Other simple suture of ovary                                     |
|                                                                       |
| 6572 Other reimplantation of ovary                                    |
|                                                                       |
| 6573 Other salpingo oophoroplasty                                     |
|                                                                       |
| 6579 Other repair of ovary                                            |
|                                                                       |
| 6589 Other lysis of adhesions of ovary and fallopian tube             |
|                                                                       |
| 6592 Transplantation of ovary                                         |
|                                                                       |
| 6593 Manual rupture of ovarian cyst                                   |
|                                                                       |
| 6594 Ovarian denervation                                              |
|                                                                       |
| 6595 Release of torsion of ovary                                      |
|                                                                       |
| 6599 Other operations on ovary                                        |
|                                                                       |
| 6601 Salpingotomy                                                     |
|                                                                       |
| 6602 Salpingostomy                                                    |
|                                                                       |
| 6631 Other bilateral ligation and crushing of fallopian tubes         |
|                                                                       |
| 6632 Other bilateral ligation and division of fallopian tubes         |
|                                                                       |
| 6639 Other bilateral destruction or occlusion of fallopian tubes      |
|                                                                       |
| 664 Total unilateral salpingectomy                                    |
|                                                                       |
| 6651 Removal of both fallopian tubes at same operative episode        |
|                                                                       |
| 6652 Removal of remaining fallopian tube                              |
|                                                                       |
| 6661 Excision or destruction of lesion of fallopian tube              |
|                                                                       |
| 6662 Salpingectomy W/ removal of tubal pregnancy                      |
|                                                                       |
| 6663 Bilateral partial salpingectomy, NOS                             |
|                                                                       |
| 6669 Other partial salpingectomy                                      |
|                                                                       |
| 6671 Simple suture of fallopian tube                                  |
|                                                                       |
| 6672 Salpingo-oophorostomy                                            |
|                                                                       |
| 6673 Salpingo-salpingostomy                                           |
|                                                                       |
| 6674 Salpingo-uterostomy                                              |
|                                                                       |
| 6679 Other repair of fallopian tube                                   |
|                                                                       |
| 6692 Unilateral destruction or occlusion of fallopian tube            |
|                                                                       |
| 6697 Burying of fimbriae in uterine wall                              |
|                                                                       |
| 680 Other incision and excision of uterus                             |
|                                                                       |
| 6813 Open biopsy of uterus                                            |
|                                                                       |
| 6814 Open biopsy of uterine ligaments                                 |
|                                                                       |
| 683 Subtotal abdominal hysterectomy                                   |
|                                                                       |
| 6839 Other Subtotal abdominal hysterectomy                            |
|                                                                       |
| 684 Total abdominal hysterectomy                                      |
|                                                                       |
| 686 Radical abdominal hysterectomy                                    |
|                                                                       |
| 688 Pelvic evisceration                                               |
|                                                                       |
| 6922 Other uterine suspension                                         |
|                                                                       |
| 693 Paracervical uterine denervation                                  |
|                                                                       |
| 6941 Suture of laceration of uterus                                   |
|                                                                       |
| 6942 Closure of fistula of uterus                                     |
|                                                                       |
| 6949 Other repair of uterus                                           |
|                                                                       |
| \*\* only for discharges occurring on or after October 1, 2004        |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ## Acciden                                                            |
| tal Puncture or Laceration, Secondary Diagnosis Field (PSI 15 and 25) |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| Discharges with ICD-9-CM code denoting accidental cut, puncture,      |
| perforation or laceration during a procedure in any secondary         |
| diagnosis field.                                                      |
|                                                                       |
| *ICD-9-CM Accidental Puncture or Laceration diagnosis codes:*         |
|                                                                       |
| Accidental cut, puncture, perforation, or hemorrhage during medical   |
| care:                                                                 |
|                                                                       |
| E8700 Surgical operation                                              |
|                                                                       |
| E8701 Infusion or transfusion                                         |
|                                                                       |
| E8702 Kidney dialysis or other perfusion                              |
|                                                                       |
| E8703 Injection or vaccination                                        |
|                                                                       |
| E8704 Endoscopic examination                                          |
|                                                                       |
| E8705 Aspiration of fluid or tissue, puncture, and catheterization    |
|                                                                       |
| E8706 Heart catheterization                                           |
|                                                                       |
| E8707 Administration of enema                                         |
|                                                                       |
| E8708 Other specified medical care                                    |
|                                                                       |
| E8709 Unspecified medical care                                        |
|                                                                       |
| 9982 ACCIDENTAL PUNCTURE OR LACERATION DURING A PROCEDURE             |
+-----------------------------------------------------------------------+
| []{#PSI15Denom .anchor}**Denominator:**                               |
|                                                                       |
| All surgical and medical discharges age 18 years and older defined by |
| specific DRGs.                                                        |
|                                                                       |
| > See [Appendix B: Surgical Discharge                                 |
| > DRGs](#_Appendix_B:__Surgical_Discharge_DRG)                        |
| >                                                                     |
| > See [Appendix F: Medical Discharge                                  |
| > DRGs](#_Appendix_F:__Medical_Discharge_DRGs)                        |
| >                                                                     |
| > Control-click (Word) or click (PDF) to view an Appendix. Links are  |
| > provided to return to the PSI detailed definition.                  |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   with ICD-9-CM code denoting technical difficulty (e.g.,           |
|     accidental cut, puncture, perforation, or laceration) in the      |
|     principal diagnosis field                                         |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium).                   |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ## Transfusion Reaction, Secondary Diagnosis Field (PSI 16 and 26)    |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| Discharges with ICD-9-CM codes for transfusion reaction in any        |
| secondary diagnosis field.                                            |
|                                                                       |
| *ICD-9-CM Transfusion Reaction diagnosis codes:*                      |
|                                                                       |
| 9996 ABO incompatibility reaction                                     |
|                                                                       |
| 9997 RH incompatibility reaction                                      |
|                                                                       |
| E8760 Mismatched blood in transfusion                                 |
+-----------------------------------------------------------------------+
| []{#PSI16Denom .anchor}**Denominator:**                               |
|                                                                       |
| All surgical and medical discharges, 18 years and older **or** MDC 14 |
| (pregnancy, childbirth, and puerperium), defined by specific DRGs.    |
|                                                                       |
| > See [Appendix B: Surgical Discharge                                 |
| > DRGs](#_Appendix_B:__Surgical_Discharge_DRG)                        |
| >                                                                     |
| > See [Appendix F: Medical Discharge                                  |
| > DRGs](#_Appendix_F:__Medical_Discharge_DRGs)                        |
| >                                                                     |
| > Control-click (Word) or click (PDF) to view an Appendix. Links are  |
| > provided to return to the PSI detailed definition.                  |
|                                                                       |
| Exclude cases with ICD-9-CM code for transfusion reaction in the      |
| principal diagnosis field                                             |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ## Birth Trauma―Injury to Neonate (PSI 17)                            |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| Discharges with ICD-9-CM codes for birth trauma in any diagnosis      |
| field.                                                                |
|                                                                       |
| *ICD-9-CM Birth Trauma diagnosis codes:*                              |
|                                                                       |
| 7670 Subdural and cerebral hemorrhage (due to trauma or to            |
| intrapartum anoxia or hypoxia)                                        |
|                                                                       |
| 76711 Epicranial subaponeurotic hemorrhage (massive) (Oct 03)         |
|                                                                       |
| 7673 Injuries to skeleton (excludes clavicle)                         |
|                                                                       |
| 7674 Injury to spine and spinal cord                                  |
|                                                                       |
| 7677 Other cranial and peripheral nerve injuries                      |
|                                                                       |
| 7678 Other specified birth trauma                                     |
|                                                                       |
| 7679 Birth trauma, unspecified                                        |
|                                                                       |
| *Note: Because 767.1 was not previously included in the numerator     |
| specification, the addition of 767.11 may cause an increase in the    |
| rate.*                                                                |
|                                                                       |
| Exclude infants:                                                      |
|                                                                       |
| -   with a subdural or cerebral hemorrhage (subgroup of birth trauma  |
|     coding) **and** any diagnosis code of pre-term infant (denoting   |
|     birth weight of less than 2,500 grams and less than 37 weeks      |
|     gestation or 34 weeks gestation or less).                         |
|                                                                       |
| -   with injury to skeleton (767.3, 767.4) **and** any diagnosis code |
|     of osteogenesis imperfecta (756.51).                              |
|                                                                       |
| *ICD-9-CM Preterm Infant diagnosis codes:*                            |
|                                                                       |
| 76501 Extreme immaturity, less than 500 grams                         |
|                                                                       |
| 76502 Extreme immaturity, 500 -- 749 grams                            |
|                                                                       |
| > 76503 Extreme immaturity, 750 -- 999 grams                          |
| >                                                                     |
| > 76504 Extreme immaturity, 1000 -- 1249 grams                        |
|                                                                       |
| 76505 Extreme immaturity, 1250 -- 1499 grams                          |
|                                                                       |
| 76506 Extreme immaturity, 1500 -- 1749 grams                          |
|                                                                       |
| 76507 Extreme immaturity, 1750 -- 1999 grams                          |
|                                                                       |
| 76508 Extreme immaturity, 2000 -- 2499 grams                          |
|                                                                       |
| 76511 Other preterm infants, less than 500 grams                      |
|                                                                       |
| 76512 Other preterm infants, 500 -- 749 grams                         |
|                                                                       |
| 76513 Other preterm infants, 750 -- 999 grams                         |
|                                                                       |
| 76514 Other preterm infants, 1000 -- 1249 grams                       |
|                                                                       |
| 76515 Other preterm infants, 1250 -- 1499 grams                       |
|                                                                       |
| 76516 Other preterm infants, 1500 -- 1749 grams                       |
|                                                                       |
| 76517 Other preterm infants, 1750 -- 1999 grams                       |
|                                                                       |
| 76518 Other preterm infants, 2000 -- 2499 grams                       |
|                                                                       |
| 76521 Less than 24 completed weeks of gestation                       |
|                                                                       |
| 76522 24 completed weeks of gestation                                 |
|                                                                       |
| 76523 25-26 completed weeks of gestation                              |
|                                                                       |
| 76524 27-28 completed weeks of gestation                              |
|                                                                       |
| 76525 29-30 completed weeks of gestation                              |
|                                                                       |
| 76526 31-32 completed weeks of gestation                              |
|                                                                       |
| 76527 33-34 completed weeks of gestation                              |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| > All liveborn births (newborns).                                     |
|                                                                       |
| The definition of newborn is any neonate with either 1) an ICD-9-CM   |
| diagnosis code for an in-hospital liveborn birth or 2) an admission   |
| type of newborn (SID ATYPE=4), age in days at admission equal to      |
| zero, and not an ICD-9-CM diagnosis code for an out-of-hospital       |
| birth.  A neonate is defined as any discharge with age in days at     |
| admission between zero and 28 days (inclusive).  If age in days is    |
| missing, then a neonate is defined as any DRG in MDC 15, an admission |
| type of newborn (SID ATYPE=4), or an ICD-9-CM diagnosis code for an   |
| in-hospital liveborn birth.                                           |
|                                                                       |
| Newborn in Hospital Live Birth Codes                                  |
|                                                                       |
|   -                                                                   |
| ------ -------------------------- ------- --------------------------- |
|   V3000   SINGLE LB IN-HOSP W/O CS   V3401   OTH MULT LB-IN HOSP W CS |
|           (OCT 05)                           (OCT 05)                 |
|                                                                       |
|   V3001   SINGLE LB IN-HOSP W CS     V3500   OTH MULT SB-HOSP W/O CS  |
|           (OCT 05)                           (OCT 05)                 |
|                                                                       |
|   V3100   TWIN-MATE LB-HOSP W/O CS   V3501   OTH MULT SB-IN HOSP W CS |
|           (OCT 05)                           (OCT 05)                 |
|                                                                       |
|   V3101   TWIN-MATE LB-IN HOS W CS   V3600   MULT LB/SB-IN HOS W/O CS |
|           (OCT 05)                           (OCT 05)                 |
|                                                                       |
|   V3200   TWIN-MATE SB-HOSP W/O CS   V3601   MULT LB/SB-IN HOSP W CS  |
|           (OCT 05)                           (OCT 05)                 |
|                                                                       |
|   V3201   TWIN-MATE SB-HOSP W CS     V3700   MULT BRTH NOS-HOS W/O CS |
|           (OCT 05)                           (OCT 05)                 |
|                                                                       |
|   V3300   TWIN-NOS-IN HOSP W/O CS    V3701   MULT BIRTH NOS-HOSP W CS |
|           (OCT 05)                           (OCT 05)                 |
|                                                                       |
|   V3301   TWIN-NOS-IN HOSP W CS (OCT V3900   LIVEBORN NOS-HOSP W/O CS |
|           05)                                (OCT 05)                 |
|                                                                       |
|   V                                                                   |
| 3400   OTH MULT LB-HOSP W/O CS    V3901   LIVEBORN NOS-HOSP W CS (OCT |
|           (OCT 05)                           05)                      |
|   -                                                                   |
| ------ -------------------------- ------- --------------------------- |
|                                                                       |
| OR                                                                    |
|                                                                       |
| SID Admission type recorded as (4) and Age in Days at Admission equal |
| to zero:                                                              |
|                                                                       |
| *AND NOT*                                                             |
|                                                                       |
| *Newborn out of Hospital codes:*                                      |
|                                                                       |
|                                                                       |
| ------ --------------------------- ------ --------------------------- |
|   V301    SINGL LIVEBRN-BEFORE ADM   V342    OTH MULTIPLE NB-NONHOSP  |
|          (OCT 05)                           (OCT 05)                  |
|                                                                       |
|   V302    SINGLE LIVEBORN-NONHOSP    V351    OTH MULT SB-BEFORE ADM   |
|          (OCT 05)                           (OCT 05)                  |
|                                                                       |
|   V311    TWIN, MATE LB-BEFORE ADM   V352    OTH MULTIPLE SB-NONHOSP  |
|          (OCT 05)                           (OCT 05)                  |
|                                                                       |
|                                                                       |
| V312    TWIN, MATE LB-NONHOSP (OCT V361    MULT NB/SB-BEFORE ADM (OCT |
|          05)                                05)                       |
|                                                                       |
|   V321    TWIN, MATE SB-BEFORE ADM   V362    MULTIPLE NB/SB-NONHOSP   |
|          (OCT 05)                           (OCT 05)                  |
|                                                                       |
|   V322    TWIN, MATE SB-NONHOSP (OCT V371    MULT BRTH NOS-BEFORE ADM |
|          05)                                (OCT 05)                  |
|                                                                       |
|   V331    TWIN NOS-BEFORE ADMISSN    V372    MULT BIRTH NOS-NONHOSP   |
|          (OCT 05)                           (OCT 05)                  |
|                                                                       |
|   V332    TWIN NOS-NONHOSP (OCT 05)  V391    LIVEBORN NOS-BEFORE ADM  |
|                                             (OCT 05)                  |
|                                                                       |
|                                                                       |
|  V341    OTH MULT NB-BEFORE ADM     V392    LIVEBORN NOS-NONHOSP (OCT |
|          (OCT 05)                           05)                       |
|                                                                       |
| ------ --------------------------- ------ --------------------------- |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ## Obstetric Trauma―Vaginal Delivery with Instrument (PSI 18)         |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| Discharges with ICD-9-CM codes for 3^rd^ and 4^th^ degree obstetric   |
| trauma in any diagnosis or procedure field.                           |
|                                                                       |
| *ICD-9-CM Obstetric Trauma diagnosis codes:*                          |
|                                                                       |
| 66420,1,4 Trauma to perineum and vulva during delivery, third degree  |
| perineal laceration                                                   |
|                                                                       |
| 66430,1,4 Trauma to perineum and vulva during delivery, fourth degree |
| perineal laceration                                                   |
|                                                                       |
| *ICD-9-CM Obstetric Trauma procedure codes:*                          |
|                                                                       |
| 7550 Repair of current obstetric lacerations of uterus                |
|                                                                       |
| 7551 Repair of current obstetric lacerations of cervix                |
|                                                                       |
| 7552 Repair of current obstetric lacerations of corpus uteri          |
|                                                                       |
| 7561 Repair of current obstetric laceration of bladder and urethra    |
|                                                                       |
| 7562 Repair of current obstetric laceration of rectum and sphincter   |
| ani                                                                   |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| All vaginal delivery discharges with any procedure code for           |
| instrument-assisted delivery.                                         |
|                                                                       |
| *Vaginal Delivery DRGs:*                                              |
|                                                                       |
| 372 Vaginal delivery W/ complicating diagnoses                        |
|                                                                       |
| 373 Vaginal delivery W/O complicating diagnoses                       |
|                                                                       |
| 374 Vaginal delivery W/ sterilization and/or D and C                  |
|                                                                       |
| 375 Vaginal delivery W/ OR procedure except sterilization and/or D    |
| and C                                                                 |
|                                                                       |
| *ICD-9-CM Instrument-Assisted Delivery procedure codes:*              |
|                                                                       |
| 720 Low forceps operation                                             |
|                                                                       |
| 721 Low forceps operation W/ episiotomy                               |
|                                                                       |
| 7221 Mid forceps operation W/ episiotomy                              |
|                                                                       |
| 7229 Other mid forceps operation                                      |
|                                                                       |
| 7231 High forceps operation W/ episiotomy                             |
|                                                                       |
| 7239 Other high forceps operation                                     |
|                                                                       |
| 724 Forceps rotation of fetal head                                    |
|                                                                       |
| 7251 Partial breech extraction W/ forceps to aftercoming head         |
|                                                                       |
| 7253 Total breech extraction W/ forceps to aftercoming head           |
|                                                                       |
| 726 Forceps application to aftercoming head                           |
|                                                                       |
| 7271 Vacuum extraction W/ episiotomy                                  |
|                                                                       |
| 7279 Vacuum extraction delivery NEC                                   |
|                                                                       |
| 728 Other specified instrumental delivery                             |
|                                                                       |
| 729 Unspecified instrumental delivery                                 |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ## Obstetric Trauma―Vaginal Delivery without Instrument (PSI 19)      |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| Discharges with ICD-9-CM codes for 3^rd^ and 4^th^ degree obstetric   |
| trauma in any diagnosis or procedure field.                           |
|                                                                       |
| *ICD-9-CM Obstetric Trauma diagnosis codes:*                          |
|                                                                       |
| 66420,1,4 Trauma to perineum and vulva during delivery, third degree  |
| perineal laceration                                                   |
|                                                                       |
| 66430,1,4 Trauma to perineum and vulva during delivery, fourth degree |
| perineal laceration                                                   |
|                                                                       |
| *ICD-9-CM Obstetric Trauma procedure codes:*                          |
|                                                                       |
| 7550 Repair of current obstetric lacerations of uterus                |
|                                                                       |
| 7551 Repair of current obstetric lacerations of cervix                |
|                                                                       |
| 7552 Repair of current obstetric lacerations of corpus uteri          |
|                                                                       |
| 7561 Repair of current obstetric laceration of bladder and urethra    |
|                                                                       |
| 7562 Repair of current obstetric laceration of rectum and sphincter   |
| ani                                                                   |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| All vaginal delivery discharge patients.                              |
|                                                                       |
| *Vaginal Delivery DRGs:*                                              |
|                                                                       |
| 372 Vaginal delivery W/ complicating diagnoses                        |
|                                                                       |
| 373 Vaginal delivery W/Ocomplicating diagnoses                        |
|                                                                       |
| 374 Vaginal delivery W/ sterilization and/or D and C                  |
|                                                                       |
| 375 Vaginal delivery W/ OR procedure except sterilization and/or D    |
| and C                                                                 |
|                                                                       |
| Exclude instrument-assisted delivery.                                 |
|                                                                       |
| *ICD-9-CM Instrument-Assisted Delivery procedure codes*               |
|                                                                       |
| 720 Low forceps operation                                             |
|                                                                       |
| 721 Low forceps operation W/ episiotomy                               |
|                                                                       |
| 7221 Mid forceps operation W/ episiotomy                              |
|                                                                       |
| 7229 Other mid forceps operation                                      |
|                                                                       |
| 7231 High forceps operation W/ episiotomy                             |
|                                                                       |
| 7239 Other high forceps operation                                     |
|                                                                       |
| 724 Forceps rotation of fetal head                                    |
|                                                                       |
| 7251 Partial breech extraction W/ forceps to aftercoming head         |
|                                                                       |
| 7253 Total breech extraction W/ forceps to aftercoming head           |
|                                                                       |
| 726 Forceps application to aftercoming head                           |
|                                                                       |
| 7271 Vacuum extraction W/ episiotomy                                  |
|                                                                       |
| 7279 Vacuum extraction delivery NEC                                   |
|                                                                       |
| 728 Other specified instrumental delivery                             |
|                                                                       |
| 729 Unspecified instrumental delivery                                 |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ## Obstetric Trauma―Cesarean Delivery (PSI 20)                        |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| Discharges with ICD-9-CM codes for 3^rd^ and 4^th^ degree obstetric   |
| trauma in any diagnosis or procedure field.                           |
|                                                                       |
| *ICD-9-CM Obstetric Trauma diagnosis codes:*                          |
|                                                                       |
| 66420,1,4 Trauma to perineum and vulva during delivery, third degree  |
| perineal laceration (PSI 29 Only)                                     |
|                                                                       |
| 66430,1,4 Trauma to perineum and vulva during delivery, fourth degree |
| perineal laceration                                                   |
|                                                                       |
| *ICD-9-CM Obstetric Trauma procedure codes:*                          |
|                                                                       |
| 7550 Repair of current obstetric lacerations of uterus                |
|                                                                       |
| 7551 Repair of current obstetric lacerations of cervix                |
|                                                                       |
| 7552 Repair of current obstetric lacerations of corpus uteri          |
|                                                                       |
| 7561 Repair of current obstetric laceration of bladder and urethra    |
|                                                                       |
| 7562 Repair of current obstetric laceration of rectum and sphincter   |
| ani                                                                   |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| All cesarean delivery discharges.                                     |
|                                                                       |
| *Cesarean Delivery DRGs:*                                             |
|                                                                       |
| 370 Cesarean section W/ CC                                            |
|                                                                       |
| 371 Cesarean section W/OCC                                            |
+-----------------------------------------------------------------------+

####### 

######### Appendix A: Operating Room Procedure Codes

These codes are used by the following PSIs:

  -------------------------------------------------------------------------- ------------------------------------------------------------------
  **PSI**                                                                    **How Used**

  [Complications of Anesthesia (PSI                                          [Denominator inclusion](#psi1denom) - Page [1](#psi1denom)
  1)](#complications-of-anesthesia-psi-1) - Page                             
  [1](#complications-of-anesthesia-psi-1)                                    

  [Decubitus Ulcer (PSI 3)](#decubitus-ulcer-psi-3) - Page                   [Denominator exclusion](#PSI3Denom) - Page [5](#PSI3Denom)
  [5](#decubitus-ulcer-psi-3)                                                

  [Postoperative Hip Fracture (PSI 8)](#postoperative-hip-fracture-psi-8) -  [Denominator inclusion](#PSI8Denom) - Page [21](#PSI8Denom)
  Page [21](#postoperative-hip-fracture-psi-8)                               

  [Postoperative Hemorrhage or Hematoma (PSI                                 [Denominator
  9)](#postoperative-hemorrhage-or-hematoma-psi-9-and-27) - Page             inclusion](#postoperative-hemorrhage-or-hematoma-psi-9-and-27) -
  [25](#postoperative-hemorrhage-or-hematoma-psi-9-and-27)                   Page [26](#PSI9Denom)

  [Postoperative Physiologic and Metabolic Derangement (PSI                  [Denominator inclusion](#PSI10Denom) - Page [27](#PSI10Denom)
  10)](#postoperative-physiologic-and-metabolic-derangement-psi-10) - Page   
  [26](#postoperative-physiologic-and-metabolic-derangement-psi-10)          

  [Postoperative Respiratory Failure (PSI                                    [Denominator inclusion](#PSI11Denom) - Page [29](#PSI11Denom)
  11)](#postoperative-respiratory-failure-psi-11)- Page                      
  [28](#postoperative-respiratory-failure-psi-11)                            

  [Postoperative Pulmonary Embolism or Deep Vein Thrombosis (PSI             [Denominator inclusion](#PSI12Denom) - Page [30](#PSI12Denom)
  12)](#postoperative-pulmonary-embolism-or-deep-vein-thrombosis-psi-12) -   
  Page                                                                       
  [30](#postoperative-pulmonary-embolism-or-deep-vein-thrombosis-psi-12)     
  -------------------------------------------------------------------------- ------------------------------------------------------------------

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

The ICD-9-CM codes added after January 17, 2005 are identified by the
date of introduction, e.g., OCT 04, after the code label.

  ---------- ------------------------------------------------------------
  0050       IMPL CRT PACEMAKER SYS

  0051       IMPL CRT DEFIBRILLAT SYS

  0052       IMP/REP LEAD LF VEN SYS

  0053       IMP/REP CRT PACEMAKR GEN

  0054       IMP/REP CRT DEFIB GENAT

  0061       PERC ANGIO PRECEREB VES (OCT 04)

  0062       PERC ANGIO INTRACRAN VES (OCT 04)

  0066       PTCA OR CORONARY ATHER (OCT 05)

  0070       REV HIP REPL-ACETAB/FEM (OCT 05)

  0071       REV HIP REPL-ACETAB COMP (OCT 05)

  0072       REV HIP REPL-FEM COMP (OCT 05)

  0073       REV HIP REPL-LINER/HEAD (OCT 05)

  0074       HIP REPL SURF-METAL/POLY (OCT 05)

  0075       HIP REP SURF-METAL/METAL (OCT 05)

  0076       HIP REP SURF-CERMC/CERMC (OCT 05)

  0080       REV KNEE REPLACEMT-TOTAL (OCT 05)

  0081       REV KNEE REPL-TIBIA COMP (OCT 05)

  0082       REV KNEE REPL-FEMUR COMP (OCT 05)

  0083       REV KNEE REPLACE-PATELLA (OCT 05)

  0084       REV KNEE REPL-TIBIA LIN (OCT 05)

  0112       OPEN CEREB MENINGES BX

  0114       OPEN BRAIN BIOPSY

  0115       SKULL BIOPSY

  0118       OTHER BRAIN DX PROCEDURE

  0119       OTHER SKULL DX PROCEDURE

  0121       CRANIAL SINUS I & D

  0122       REMOV INTRACRAN STIMULAT

  0123       REOPEN CRANIOTOMY SITE

  0124       OTHER CRANIOTOMY

  0125       OTHER CRANIECTOMY

  0126       INS CATH-CRANIAL CAVITY (OCT 05)

  0127       REM CATH-CRANIAL CAVITY (OCT 05)

  0131       INCISE CEREBRAL MENINGES

  0132       LOBOTOMY & TRACTOTOMY

  0139       OTHER BRAIN INCISION

  0141       THALAMUS OPERATIONS

  0142       GLOBUS PALLIDUS OPS

  0151       EX CEREB MENINGEAL LES

  0152       HEMISPHERECTOMY

  0153       BRAIN LOBECTOMY

  0159       OTHER BRAIN EXCISION

  016        EXCISE SKULL LESION

  0201       LINEAR CRANIECTOMY

  0202       ELEVATE SKULL FX FRAGMNT

  0203       SKULL FLAP FORMATION

  0204       BONE GRAFT TO SKULL

  0205       SKULL PLATE INSERTION

  0206       CRANIAL OSTEOPLASTY NEC

  0207       SKULL PLATE REMOVAL

  0211       SIMPLE SUTURE OF DURA

  0212       BRAIN MENINGE REPAIR NEC

  0213       MENINGE VESSEL LIGATION

  0214       CHOROID PLEXECTOMY

  022        VENTRICULOSTOMY

  0231       VENTRICL SHUNT-HEAD/NECK

  0232       VENTRI SHUNT-CIRCULA SYS

  0233       VENTRICL SHUNT-THORAX

  0234       VENTRICL SHUNT-ABDOMEN

  0235       VENTRI SHUNT-UNINARY SYS

  0239       OTHER VENTRICULAR SHUNT

  0242       REPLACE VENTRICLE SHUNT

  0243       REMOVE VENTRICLE SHUNT

  0291       LYSIS CORTICAL ADHESION

  0292       BRAIN REPAIR

  0293       IMPLANT BRAIN STIMULATOR

  0294       INSERT/REPLAC SKULL TONG

  0299       SKULL & BRAIN OP NEC

  0301       REMOVAL FB SPINAL CANAL

  0302       REOPEN LAMINECTOMY SITE

  0309       SPINAL CANAL EXPLOR NEC

  031        INTRASPIN NERVE ROOT DIV

  0321       PERCUTANEOUS CHORDOTOMY

  0329       OTHER CHORDOTOMY

  0332       SPINAL CORD/MENINGES BX

  0339       OTHER SPINAL DX PROC

  034        EXCIS SPINAL CORD LESION

  0351       SPINE MENINGOCELE REPAIR

  0352       MYELOMENINGOCEL REPAIR

  0353       VERTEBRAL FX REPAIR

  0359       SPINAL STRUCT REPAIR NEC

  036        SPINAL CORD ADHESIOLYSIS

  0371       SUBARACH-PERITON SHUNT

  0372       SUBARACH-URETERAL SHUNT

  0379       OTH SPINAL THECAL SHUNT

  0393       INSERT SPINAL STIMULATOR

  0394       REMOVE SPINAL STIMULATOR

  0397       REVISE SPINE THECA SHUNT

  0398       REMOVE SPINE THECA SHUNT

  0399       SPINE CANAL STRUC OP NEC

  0401       EXCISION ACOUSTC NEUROMA

  0402       TRIGEMINAL NERV DIVISION

  0403       PERIPH NERVE DIV NEC

  0404       PERIPH NERVE INCIS NEC

  0405       GASSERIAN GANGLIONECTOMY

  0406       PERIPH GANGLIONECT NEC

  0407       PERIPH NERV EXCISION NEC

  0412       OPEN PERIPH NERVE BIOPSY

  0419       PERIPH NERVE DX PROC NEC

  043        PERIPHERAL NERVE SUTURE

  0441       DECOMPRESS TRIGEM ROOT

  0442       CRAN NERV ROOT DECOM NEC

  0443       CARPAL TUNNEL RELEASE

  0444       TARSAL TUNNEL RELEASE

  0449       PER NERVE ADHESIOLYS NEC

  045        PERIPHERAL NERVE GRAFT

  046        PERIPH NERVE TRANSPOSIT

  0471       HYPOGLOSS-FACIAL ANASTOM

  0472       ACCESSORY-FACIAL ANASTOM

  0473       ACCESS-HYPOGLOSS ANASTOM

  0474       PERIPH NERV ANASTOM NEC

  0475       POSTOP REVIS PER NERV OP

  0476       LATE REPAIR PER NERV INJ

  0479       OTHER NEUROPLASTY

  0491       NEURECTASIS

  0492       IMPLANT PERIPH STIMULAT

  0493       REMOVE PERIPH STIMULATOR

  0499       PERIPHERAL NERVE OPS NEC

  050        SYMPATH NERVE DIVISION

  0511       SYMPATHETIC NERVE BIOPSY

  0519       SYMPATH NRV DX PROC NEC

  0521       SPHENOPALATIN GANGLIONEC

  0522       CERVICAL SYMPATHECTOMY

  0523       LUMBAR SYMPATHECTOMY

  0524       PRESACRAL SYMPATHECTOMY

  0525       PERIART SYMPATHECTOMY

  0529       OTHER SYMPATHECTOMY

  0581       SYMPATHETIC NERVE REPAIR

  0589       SYMPATHETIC NERVE OP NEC

  059        OTHER NERVOUS SYSTEM OPS

  0602       REOPEN THYROID FIELD WND

  0609       INCIS THYROID FIELD NEC

  0612       OPEN THYROID GLAND BX

  0613       PARATHYROID BIOPSY

  0619       THYR/PARATHY DX PROC NEC

  062        UNILAT THYROID LOBECTOMY

  0631       EXCISION THYROID LESION

  0639       PART THYROIDECTOMY NEC

  064        COMPLETE THYROIDECTOMY

  0650       SUBSTERN THYROIDECT NOS

  0651       PART SUBSTERN THYROIDECT

  0652       TOT SUBSTERN THYROIDECT

  066        LINGUAL THYROID EXCISION

  067        THYROGLOSS DUCT EXCISION

  0681       TOTAL PARATHYROIDECTOMY

  0689       OTHER PARATHYROIDECTOMY

  0691       THYROID ISTHMUS DIVISION

  0692       THYROID VESSEL LIGATION

  0693       THYROID SUTURE

  0694       THYROID REIMPLANTATION

  0695       PARATHYROID REIMPLANT

  0698       OTHER THYROID OPERATIONS

  0699       OTHER PARATHYROID OPS

  0700       ADRENAL EXPLORATION NOS

  0701       UNILAT ADRENAL EXPLORAT

  0702       BILAT ADRENAL EXPLORAT

  0712       OPEN ADRENAL GLAND BX

  0713       TRANSFRONT PITUITARY BX

  0714       TRANSPHEN PITUITARY BX

  0715       PITUITARY BIOPSY NOS

  0716       THYMUS BIOPSY

  0717       PINEAL BIOPSY

  0719       ENDOCRINE DX PROC NEC

  0721       ADRENAL LESION EXCISION

  0722       UNILATERAL ADRENALECTOMY

  0729       PART ADRENALECTOMY NEC

  073        BILATERAL ADRENALECTOMY

  0741       ADRENAL INCISION

  0742       ADRENAL NERVE DIVISION

  0743       ADRENAL VESSEL LIGATION

  0744       ADRENAL REPAIR

  0745       ADRENAL REIMPLANTATION

  0749       ADRENAL OPERATION NEC

  0751       PINEAL FIELD EXPLORATION

  0752       PINEAL GLAND INCISION

  0753       PARTIAL PINEALECTOMY

  0754       TOTAL PINEALECTOMY

  0759       PINEAL OPERATION NEC

  0761       EXC PITUIT LES-TRANSFRON

  0762       EXC PITUIT LES-TRANSPHEN

  0763       PART EXCIS PITUITARY NOS

  0764       TOT EXC PITUIT-TRANSFRON

  0765       TOT EXC PITUIT-TRANSPHEN

  0768       TOTAL EXC PITUITARY NEC

  0769       TOTAL EXC PITUITARY NOS

  0771       PITUITARY FOSSA EXPLORAT

  0772       PITUITARY GLAND INCISION

  0779       PITUITARY OPERATION NEC

  0780       THYMECTOMY NOS

  0781       PART EXCISION OF THYMUS

  0782       TOTAL EXCISION OF THYMUS

  0791       THYMUS FIELD EXPLORATION

  0792       INCISION OF THYMUS

  0793       REPAIR OF THYMUS

  0794       THYMUS TRANSPLANTATION

  0799       THYMUS OPERATION NEC

  0811       EYELID BIOPSY

  0820       REMOVE EYELID LESION NOS

  0821       CHALAZION EXCISION

  0822       EXCISE MINOR LES LID NEC

  0823       EXC MAJ LES LID PRT-THIC

  0824       EXC MAJ LES LID FUL-THIC

  0825       DESTRUCTION LID LESION

  0831       PTOSIS REP-FRONT MUS SUT

  0832       PTOSIS REP-FRON MUS SLNG

  0833       PTOSIS REP-LEVAT MUS ADV

  0834       PTOSIS REP-LEVAT MUS NEC

  0835       PTOS REP-TARSAL TECHNIQ

  0836       BLEPHAROPTOS REPAIR NEC

  0837       REDUC OVERCORRECT PTOSIS

  0838       CORRECT LID RETRACTION

  0841       THERMOCAUT/ENTROPION REP

  0842       SUTURE ENTROPION REPAIR

  0843       WEDG RESEC ENTROPION REP

  0844       LID RECONS ENTROPION REP

  0849       ENTROPION/ECTROP REP NEC

  0851       CANTHOTOMY

  0852       BLEPHARORRHAPHY

  0859       ADJUST LID POSITION NEC

  0861       LID RECONST W SKIN GRAFT

  0862       LID RECONST W MUC GRAFT

  0863       LID RECONST W HAIR GRAFT

  0864       LID RECON-TARSOCONJ FLAP

  0869       LID RECONSTR W GRAFT NEC

  0870       LID RECONSTRUCTION NOS

  0871       LID MARG RECON-PART THIC

  0872       LID RECONS-PART THIC NEC

  0873       LID MARG RECONS FUL THIC

  0874       LID RECONST-FUL THIC NEC

  0891       ELECTROSURG LID EPILAT

  0892       CRYOSURG LID EPILATION

  0893       EYELID EPILATION NEC

  0899       EYELID OPERATION NEC

  090        LACRIMAL GLAND INCISION

  0911       LACRIMAL GLAND BIOPSY

  0912       LACRIMAL SAC BIOPSY

  0919       LACRIMAL SYS DX PROC NEC

  0920       EXC LACRIMAL GLAND NOS

  0921       EXCIS LES LACRIMAL GLAND

  0922       PART DACRYOADENECT NEC

  0923       TOTAL DACRYOADENECTOMY

  093        OTHER LACRIMAL GLAND OPS

  0941       LACRIMAL PUNCTUM PROBE

  0942       LAC CANALICULI PROBE

  0943       NASOLACRIMAL DUCT PROBE

  0944       NASOLAC DUCT INTUBAT

  0949       LAC PASSAGE MANIP NEC

  0951       LAC PUNCTUM INCISION

  0952       LAC CANALICULI INCISION

  0953       LACRIMAL SAC INCISION

  0959       LACRIM PASSAGE INCIS NEC

  096        LACRIM SAC/PASSAGE EXCIS

  0971       CORRECT EVERTED PUNCTUM

  0972       PUNCTUM REPAIR NEC

  0973       CANALICULUS REPAIR

  0981       DACRYOCYSTORHINOSTOMY

  0982       CONJUNCTIVOCYSTORHINOST

  0983       CONJUNCTIVORHINOS W TUBE

  0991       LAC PUNCTUM OBLITERATION

  0999       LACRIMAL SYSTEM OP NEC

  100        INCISE/REMOV CONJUNCT FB

  101        CONJUNCTIVA INCISION NEC

  1021       CONJUNCTIVAL BIOPSY

  1029       CONJUNCTIVA DX PROC NEC

  1031       EXCISE CONJUNCTIV LESION

  1032       DESTRUCT CONJUNC LES NEC

  1033       OTH CONJUNC DESTRUC PROC

  1041       SYMBLEPH REP W FREE GRFT

  1042       GRAFT CONJUNC CUL-DE-SAC

  1043       CONJUN CUL-DE-SAC RX NEC

  1044       CONJUNC FREE GRAFT NEC

  1049       CONJUNCTIVOPLASTY NEC

  105        CONJUNC/LID ADHESIOLYSIS

  106        REPAIR CONJUNCT LACERAT

  1091       SUBCONJUNCTIVAL INJECT

  1099       CONJUNCTIVAL OP NEC

  110        MAGNET REMOVAL CORNEA FB

  111        CORNEAL INCISION

  1121       CORNEAL SCRAPE FOR SMEAR

  1122       CORNEAL BIOPSY

  1129       CORNEAL DX PROC NEC

  1131       PTERYGIUM TRANSPOSITION

  1132       PTERYG EXC W CORNEA GRFT

  1139       PTERYGIUM EXCISION NEC

  1141       MECH REMOV CORNEA EPITH

  1142       THERMOCAUT CORNEA LESION

  1143       CRYOTHERAP CORNEA LESION

  1149       DESTRUCT CORNEA LES NEC

  1151       SUTURE CORNEA LACERATION

  1152       REP CORNEA POSTOP DEHISC

  1153       RX CORNEA LAC W CONJ FLP

  1159       CORNEAL REPAIR NEC

  1160       CORNEAL TRANSPLANT NOS

  1161       LAM KERATPLAST W AUTGRFT

  1162       LAMELLAR KERATOPLAST NEC

  1163       PERF KERATOPL W AUTOGRFT

  1164       PERFORAT KERATOPLAST NEC

  1169       CORNEAL TRANSPLANT NEC

  1171       KERATOMILEUSIS

  1172       KERATOPHAKIA

  1173       KERATOPROSTHESIS

  1174       THERMOKERATOPLASTY

  1175       RADIAL KERATOTOMY

  1176       EPIKERATOPHAKIA

  1179       CORNEA RECONSTRUCT NEC

  1191       CORNEAL TATTOOING

  1192       REMOVE CORNEAL IMPLANT

  1199       CORNEAL OPERATION NEC

  1200       REMOV ANT SEGMNT FB NOS

  1201       MAGNET REMOV ANT SEG FB

  1202       NONMAG REMOV ANT SEG FB

  1211       IRIDOTOMY W TRANSFIXION

  1212       IRIDOTOMY NEC

  1213       PROLAPSED IRIS EXCISION

  1214       IRIDECTOMY NEC

  1221       DX ASPIRAT-ANT CHAMBER

  1222       IRIS BIOPSY

  1229       ANT SEGMENT DX PROC NEC

  1231       GONIOSYNECHIAE LYSIS

  1232       ANT SYNECHIA LYSIS NEC

  1233       POST SYNECHIAE LYSIS

  1234       CORNEOVITREAL ADHESIOLYS

  1235       COREOPLASTY

  1239       IRIDOPLASTY NEC

  1240       REMOV ANT SEGMNT LES NOS

  1241       NONEXC DESTRUC IRIS LES

  1242       EXCISION OF IRIS LESION

  1243       NONEXC DESTR CIL BOD LES

  1244       EXCISE CILIARY BODY LES

  1251       GONIOPUNCTURE

  1252       GONIOTOMY

  1253       GONIOTOMY W GONIOPUNCTUR

  1254       TRABECULOTOMY AB EXTERNO

  1255       CYCLODIALYSIS

  1259       FACILIT INTRAOC CIRC NEC

  1261       TREPHIN SCLERA W IRIDECT

  1262       THERMCAUT SCLER W IRIDEC

  1263       IRIDENCLEISIS/IRIDOTASIS

  1264       TRABECULECTOM AB EXTERNO

  1265       SCLER FISTULIZ W IRIDECT

  1266       POSTOP REVIS SCL FISTUL

  1269       SCLER FISTULIZING OP NEC

  1271       CYCLODIATHERMY

  1272       CYCLOCRYOTHERAPY

  1273       CYCLOPHOTOCOAGULATION

  1274       CIL BODY DIMINUTION NOS

  1279       GLAUCOMA PROCEDURE NEC

  1281       SUTURE SCLERAL LACER

  1282       SCLERAL FISTULA REPAIR

  1283       REVIS ANT SEG OP WND NEC

  1284       DESTRUCT SCLERAL LESION

  1285       REPAIR STAPHYLOM W GRAFT

  1286       REP SCLER STAPHYLOMA NEC

  1287       GRAFT REINFORCE SCLERA

  1288       SCLERA REINFORCEMENT NEC

  1289       SCLERAL OPERATION NEC

  1291       THERAPEUT EVAC ANT CHAMB

  1292       ANTERIOR CHAMBER INJECT

  1293       REMOV EPITHEL DOWNGROWTH

  1297       IRIS OPERATION NEC

  1298       CILIARY BODY OP NEC

  1299       ANTERIOR CHAMBER OP NEC

  1300       REMOVE FB LENS NOS

  1301       MAGNET REMOVE FB LENS

  1302       NONMAGNET REMOVE FB LENS

  1311       TEMP-INF INTRCAP LENS EX

  1319       INTRACAPSUL LENS EXT NEC

  132        LINEAR EXTRACAP LENS EXT

  133        SIMPL ASPIR LENS EXTRACT

  1341       CATARAC PHACOEMULS/ASPIR

  1342       POST CATARAC FRAG/ASPIR

  1343       CATARACT FRAG/ASPIR NEC

  1351       TEMP-INF XTRACAP LENS EX

  1359       EXTRACAP LENS EXTRAC NEC

  1361       EXTRACAP LENS EXTRAC NEC

  1362       EXTRACAP LENS EXTRAC NEC

  1363       EXTRACAP LENS EXTRAC NEC

  1364       AFTER-CATAR DISCISSION

  1365       AFTER-CATARACT EXCISION

  1366       AFTER CATAR FRAGMNTATION

  1369       CATARACT EXTRACTION NEC

  1370       INSERT PSEUDOPHAKOS NOS

  1371       INSERT LENS AT CATAR EXT

  1372       SECONDARY INSERT LENS

  138        IMPLANTED LENS REMOVAL

  139        OTHER OPERATIONS ON LENS

  1400       REMOV POST SEGMNT FB NOS

  1401       MAGNET REMOV POST SEG FB

  1402       NONMAG REMOV POST SEG FB

  1411       DIAGNOST VITREOUS ASPIR

  1419       DX PROC POST SEG NEC

  1421       CHORIORET LES DIATHERMY

  1422       CHORIORETIN LES CRYOTHER

  1426       CHORIORET LES RADIOTHER

  1427       CHORIORET LES RAD IMPLAN

  1429       CHORIORET LES DESTR NEC

  1431       RETINAL TEAR DIATHERMY

  1432       RETINAL TEAR CRYOTHERAPY

  1439       RETINAL TEAR REPAIR NEC

  1441       SCLERAL BUCKLE W IMPLANT

  1449       SCLERAL BUCKLING NEC

  1451       DETACH RETINA-DIATHERMY

  1452       DETACH RETINA-CRYOTHERAP

  1453       DETACH RETINA XENON COAG

  1454       DETACH RETINA LASER COAG

  1455       DETACH RET PHOTOCOAG NOS

  1459       REPAIR RETINA DETACH NEC

  146        REMOV PROS MAT POST SEG

  1471       ANTERIOR REMOV VITREOUS

  1472       VITREOUS REMOVAL NEC

  1473       ANTERIOR MECHAN VITRECT

  1474       MECH VITRECTOMY NEC

  1475       VITREOUS SUBSTITUT INJEC

  1479       VITREOUS OPERATION NEC

  149        OTHER POST SEGMENT OPS

  1501       EXTRAOC MUSC-TEND BIOPSY

  1509       EXTRAOC MUSC DX PROC NEC

  1511       ONE EXTRAOC MUS RECESS

  1512       1 EXTRAOC MUSCL ADVANCE

  1513       1 EXTRAOC MUSCL RESECT

  1519       XTRAOC MUS OP/DETACH NEC

  1521       LENGTHEN 1 EXTRAOC MUSC

  1522       SHORTEN 1 EXTRAOC MUSC

  1529       OP ON 1 EXTRAOC MUSC NEC

  153        TEMP DETACH \>1 XTROC MUS

  154        OTH OP ON \>L EXTRAOC MUS

  155        EXTRAOCUL MUS TRANSPOSIT

  156        REVIS EXTRAOC MUSC SURG

  157        EXTRAOC MUSC INJ REPAIR

  159        OTH EXTRAOC MUS-TEND OP

  1601       ORBITOTOMY W BONE FLAP

  1602       ORBITOTOMY W IMPLANT

  1609       ORBITOTOMY NEC

  161        REMOVE PENETRAT FB EYE

  1622       DIAGNOSTIC ASP OF ORBIT

  1623       EYEBALL & ORBIT BIOPSY

  1629       EYEBAL/ORBIT DX PROC NEC

  1631       EYE EVISC W SYNCH IMPLAN

  1639       EYEBALL EVISCERATION NEC

  1641       EYE ENUC/IMPLAN/MUSC ATT

  1642       EYE ENUC W IMPLANT NEC

  1649       EYEBALL ENUCLEATION NEC

  1651       RADICAL ORBITOMAXILLECT

  1652       ORBIT EXENT W BONE REMOV

  1659       ORBITAL EXENTERATION NEC

  1661       2NDRY OCULAR IMP INSERT

  1662       REVIS/REINSERT OCUL IMP

  1663       REVIS ENUC SOCKET W GRFT

  1664       ENUC SOCKET REVIS NEC

  1665       2NDRY EXENT CAVITY GRAFT

  1666       REVIS EXENTER CAVITY NEC

  1669       2ND OP POST EYE REM NEC

  1671       REMOVE OCULAR IMPLANT

  1672       REMOVE ORBITAL IMPLANT

  1681       REPAIR OF ORBITAL WOUND

  1682       REPAIR EYEBALL RUPTURE

  1689       EYE/ORBIT INJ REPAIR NEC

  1692       EXCISION ORBITAL LESION

  1693       EXCISION EYE LESION NOS

  1698       OPERATION ON ORBIT NEC

  1699       OPERATION ON EYEBALL NEC

  1821       PREAURICULAR SINUS EXCIS

  1831       RAD EXCIS EXT EAR LES

  1839       EXCIS EXTERNAL EAR NEC

  185        CORRECTION PROMINENT EAR

  186        EXT AUDIT CANAL RECONSTR

  1871       CONSTRUCTION EAR AURICLE

  1872       REATTACH AMPUTATED EAR

  1879       PLASTIC REP EXT EAR NEC

  189        OTHER EXT EAR OPERATIONS

  190        STAPES MOBILIZATION

  1911       STAPEDECT W REPLAC INCUS

  1919       STAPEDECTOMY NEC

  1921       REV STAPDEC W INCUS REPL

  1929       STAPEDECTOMY REVIS NEC

  193        OSSICULAR CHAIN OP NEC

  194        MYRINGOPLASTY

  1952       TYPE 2 TYMPANOPLASTY

  1953       TYPE 3 TYMPANOPLASTY

  1954       TYPE 4 TYMPANOPLASTY

  1955       TYPE 5 TYMPANOPLASTY

  196        TYMPANOPLASTY REVISION

  199        MIDDLE EAR REPAIR NEC

  2001       MYRINGOTOMY W INTUBATION

  2021       MASTOID INCISION

  2022       PETRUS PYRAM AIR CEL INC

  2023       MIDDLE EAR INCISION

  2032       MID & INNER EAR BIOPSY

  2039       MID/IN EAR DX PROC NEC

  2041       SIMPLE MASTOIDECTOMY

  2042       RADICAL MASTOIDECTOMY

  2049       MASTOIDECTOMY NEC

  2051       EXCISE MIDDLE EAR LESION

  2059       MIDDLE EAR EXCISION NEC

  2061       INNER EAR FENESTRATION

  2062       REVIS INNER EAR FENESTRA

  2071       ENDOLYMPHATIC SHUNT

  2072       INNER EAR INJECTION

  2079       INC/EXC/DESTR IN EAR NEC

  2091       TYMPANOSYMPATHECTOMY

  2092       MASTOIDECTOMY REVISION

  2093       REPAIR OVAL/ROUND WINDOW

  2095       ELECMAG HEAR DEV IMPLANT

  2096       IMPLT COCHLEAR PROST NOS

  2097       IMP/REP SCHAN COCH PROS

  2098       IMP/REP MCHAN COCHL PROS

  2099       MID-INNER EAR OPS NEC

  2104       ETHMOID ART LIGAT-EPIST

  2105       MAX ART LIG FOR EPISTAX

  2106       EXT CAROT ART LIG-EPIST

  2107       NASAL SEPT GRFT-EPISTAX

  2109       EPISTAXIS CONTROL NEC

  214        RESECTION OF NOSE

  215        SUBMUC NASAL SEPT RESECT

  2161       DIATHER/CRYO TURBINECTOM

  2162       TURBINATE FRACTURE

  2169       TURBINECTOMY NEC

  2172       OPEN REDUCTION NASAL FX

  2182       NASAL FISTULA CLOSURE

  2183       TOT NASAL RECONSTRUCTION

  2184       REVISION RHINOPLASTY

  2185       AUGMENTATION RHINOPLASTY

  2186       LIMITED RHINOPLASTY

  2187       RHINOPLASTY NEC

  2188       SEPTOPLASTY NEC

  2189       NASAL REPAIR NEC

  2199       NASAL OPERATION NEC

  2212       OPEN BIOPSY NASAL SINUS

  2231       RADICAL MAXILLARY ANTROT

  2239       EXT MAXILLARY ANTROT NEC

  2241       FRONTAL SINUSOTOMY

  2242       FRONTAL SINUSECTOMY

  2250       SINUSOTOMY NOS

  2251       ETHMOIDOTOMY

  2252       SPHENOIDOTOMY

  2253       MULTIPLE SINUS INCISION

  2260       SINUSECTOMY NOS

  2261       C-LUC EXC MAX SINUS LES

  2262       EXC MAX SINUS LESION NEC

  2263       ETHMOIDECTOMY

  2264       SPHENOIDECTOMY

  2271       NASAL SINUS FISTULA CLOS

  2279       NASAL SINUS REPAIR NEC

  229        OTHER NASAL SINUS OPS

  242        GINGIVOPLASTY

  244        EXC OF DENTAL LES OF JAW

  245        ALVEOLOPLASTY

  2502       OPEN BIOPSY OF TONGUE

  251        DESTRUCTION TONGUE LES

  252        PARTIAL GLOSSECTOMY

  253        COMPLETE GLOSSECTOMY

  254        RADICAL GLOSSECTOMY

  2559       REPAIR OF TONGUE NEC

  2594       OTHER GLOSSOTOMY

  2599       TONGUE OPERATION NEC

  2612       OPEN BX SALIV GLAND/DUCT

  2621       SALIVARY CYST MARSUPIAL

  2629       SALIV LESION EXCIS NEC

  2630       SIALOADENECTOMY NOS

  2631       PARTIAL SIALOADENECTOMY

  2632       COMPLETE SIALOADENECTOMY

  2641       SUTURE OF SALIV GLND LAC

  2642       SALIVARY FISTULA CLOSURE

  2649       SALIVARY REPAIR NEC

  2699       SALIVARY OPERATION NEC

  270        DRAIN FACE & MOUTH FLOOR

  271        INCISION OF PALATE

  2721       BONY PALATE BIOPSY

  2722       UVULA AND SOFT PALATE BX

  2731       LOC EXC BONY PALATE LES

  2732       WIDE EXC BONY PALATE LES

  2742       WIDE EXCISION OF LIP LES

  2743       EXCISION OF LIP LES NEC

  2749       EXCISION OF MOUTH NEC

  2753       CLOSURE OF MOUTH FISTULA

  2754       REPAIR OF CLEFT LIP

  2755       FULL-THICK GRFT TO MOUTH

  2756       SKIN GRAFT TO MOUTH NEC

  2757       PEDICLE ATTACH TO MOUTH

  2759       MOUTH REPAIR NEC

  2761       SUTURE OF PALATE LACERAT

  2762       CLEFT PALATE CORRECTION

  2763       REVIS CLEFT PALAT REPAIR

  2769       OTH PLASTIC REPAIR PALAT

  2771       INCISION OF UVULA

  2772       EXCISION OF UVULA

  2773       REPAIR OF UVULA

  2779       OTHER UVULA OPERATIONS

  2792       MOUTH INCISION NOS

  2799       ORAL CAVITY OPS NEC

  280        PERITONSILLAR I & D

  2811       TONSIL&ADENOID BIOPSY

  2819       TONSIL&ADENOID DX OP NEC

  282        TONSILLECTOMY

  283        TONSILLECTOMY/ADENOIDEC

  284        EXCISION OF TONSIL TAG

  285        EXCISION LINGUAL TONSIL

  286        ADENOIDECTOMY

  287        HEMORR CONTRL POST T & A

  2891       INCIS TO REMOV TONSIL FB

  2892       EXCIS TONSIL/ADENOID LES

  2899       TONSIL/ADENOID OPS NEC

  290        PHARYNGOTOMY

  292        EXC BRANCHIAL CLEFT CYST

  293        EXC BRANCHIAL CLEFT CYST

  2931       CRICOPHARYNGEAL MYOTOMY

  2932       PHARYNGEAL DIVERTICULEC

  2933       PHARYNGECTOMY

  2939       EXCIS/DESTR LES PHAR NEC

  294        PLASTIC OP ON PHARYNX

  2951       SUTURE OF PHARYNGEAL LAC

  2952       CLOS BRANCH CLEFT FISTUL

  2953       CLOS PHARYNX FISTULA NEC

  2954       LYSIS PHARYNGEAL ADHES

  2959       PHARYNGEAL REPAIR NEC

  2992       DIVIS GLOSSOPHARYNG NERV

  2999       PHARYNGEAL OPERATION NEC

  3001       LARYNX CYST MARSUPIALIZ

  3009       DESTRUCT LARYNX LES NEC

  301        HEMILARYNGECTOMY

  3021       EPIGLOTTIDECTOMY

  3022       VOCAL CORDECTOMY

  3029       OTHER PART LARYNGECTOMY

  303        COMPLETE LARYNGECTOMY

  304        RADICAL LARYNGECTOMY

  3121       MEDIASTINAL TRACHEOSTOMY

  3129       OTHER PERM TRACHEOSTOMY

  313        INCIS LARYNX TRACHEA NEC

  3145       OPN BX LARYNX OR TRACHEA

  315        LOCAL DESTRUC TRACH LES

  3161       SUTURE OF LARYNGEAL LAC

  3162       LARYNGEAL FISTULA CLOS

  3163       LARYNGOSTOMY REVISION

  3164       LARYNGEAL FX REPAIR

  3169       OTHER LARYNGEAL REPAIR

  3171       SUTURE OF TRACHEAL LACER

  3172       CLOSURE OF TRACHEOSTOMY

  3173       TRACHEA FISTULA CLOS NEC

  3174       REVISION OF TRACHEOSTOMY

  3175       TRACHEAL RECONSTRUCTION

  3179       OTHER TRACHEAL REPAIR

  3191       LARYNGEAL NERV DIVISION

  3192       LYSIS TRACH/LARYNX ADHES

  3198       OTH LARYNGEAL OPERATION

  3199       OTHER TRACHEAL OPERATION

  320        OTHER TRACHEAL OPERATION

  3209       OTHER DESTRUC BRONC LES

  321        OTHER BRONCHIAL EXCISION

  3221       EMPHYSEMA BLEB PLICATION

  3222       LUNG VOL REDUCTION SURG

  3229       DESTROY LOC LUNG LES NEC

  323        SEGMENTAL LUNG RESECTION

  324        LOBECTOMY OF LUNG

  325        COMPLETE PNEUMONECTOMY

  326        RAD DISSEC THORAC STRUCT

  329        OTHER EXCISION OF LUNG

  330        INCISION OF BRONCHUS

  331        INCISION OF LUNG

  3325       OPEN BRONCHIAL BIOPSY

  3327       CLOS ENDOSCOPIC LUNG BX

  3328       OPEN LUNG BIOPSY

  3329       BRONCH/LUNG DX PROC NEC

  3334       THORACOPLASTY

  3339       SURG COLLAPS OF LUNG NEC

  3341       BRONCHIAL LACERAT SUTURE

  3342       BRONCHIAL FISTULA CLOS

  3343       LUNG LACERATION CLOSURE

  3348       BRONCHIAL REPAIR NEC

  3349       LUNG REPAIR NEC

  335        LUNG REPAIR NEC

  3350       LUNG TRANSPLANT NOS

  3351       UNILAT LUNG TRANSPLANT

  3352       BILAT LUNG TRANSPLANT

  336        COMB HEART/LUNG TRANSPLA

  3392       BRONCHIAL LIGATION

  3393       PUNCTURE OF LUNG

  3398       BRONCHIAL OPERATION NEC

  3399       LUNG OPERATION NEC

  3402       EXPLORATORY THORACOTOMY

  3403       REOPEN THORACOTOMY SITE

  341        INCISION OF MEDIASTINUM

  3421       TRANSPLEURA THORACOSCOPY

  3422       MEDIASTINOSCOPY

  3426       OPEN MEDIASTINAL BIOPSY

  3427       BIOPSY OF DIAPHRAGM

  3428       DX PROCEDURE THORAX NEC

  3429       DX PROC MEDIASTINUM NEC

  343        DESTRUCT MEDIASTIN LES

  344        DESTRUCT CHEST WALL LES

  3451       DECORTICATION OF LUNG

  3459       OTHER PLEURAL EXCISION

  346        SCARIFICATION OF PLEURA

  3473       CLOS THORACIC FISTUL NEC

  3474       PECTUS DEFORMITY REPAIR

  3479       OTHER CHEST WALL REPAIR

  3481       EXCISE DIAPHRAGM LESION

  3482       SUTURE DIAPHRAGM LACERAT

  3483       CLOSE DIAPHRAGM FISTULA

  3484       OTHER DIAPHRAGM REPAIR

  3485       IMPLANT DIAPHRA PACEMAKE

  3489       DIAPHRAGM OPERATION NEC

  3493       REPAIR OF PLEURA

  3499       THORACIC OPERATION NEC

  3500       CLOSED VALVOTOMY NOS

  3501       CLOSED AORTIC VALVOTOMY

  3502       CLOSED MITRAL VALVOTOMY

  3503       CLOSED PULMON VALVOTOMY

  3504       CLOSED TRICUSP VALVOTOMY

  3510       OPEN VALVULOPLASTY NOS

  3511       OPN AORTIC VALVULOPLASTY

  3512       OPN MITRAL VALVULOPLASTY

  3513       OPN PULMON VALVULOPLASTY

  3514       OPN TRICUS VALVULOPLASTY

  3520       REPLACE HEART VALVE NOS

  3521       REPLACE AORT VALV-TISSUE

  3522       REPLACE AORTIC VALVE NEC

  3523       REPLACE MITR VALV-TISSUE

  3524       REPLACE MITRAL VALVE NEC

  3525       REPLACE PULM VALV-TISSUE

  3526       REPLACE PULMON VALVE NEC

  3527       REPLACE TRIC VALV-TISSUE

  3528       REPLACE TRICUSP VALV NEC

  3531       PAPILLARY MUSCLE OPS

  3532       CHORDAE TENDINEAE OPS

  3533       ANNULOPLASTY

  3534       INFUNDIBULECTOMY

  3535       TRABECUL CARNEAE CORD OP

  3539       TISS ADJ TO VALV OPS NEC

  3542       CREATE SEPTAL DEFECT

  3550       PROSTH REP HRT SEPTA NOS

  3551       PROS REP ATRIAL DEF-OPN

  3552       PROS REPAIR ATRIA DEF-CL

  3553       PROST REPAIR VENTRIC DEF

  3554       PROS REP ENDOCAR CUSHION

  3560       GRFT REPAIR HRT SEPT NOS

  3561       GRAFT REPAIR ATRIAL DEF

  3562       GRAFT REPAIR VENTRIC DEF

  3563       GRFT REP ENDOCAR CUSHION

  3570       HEART SEPTA REPAIR NOS

  3571       ATRIA SEPTA DEF REP NEC

  3572       VENTR SEPTA DEF REP NEC

  3573       ENDOCAR CUSHION REP NEC

  3581       TOT REPAIR TETRAL FALLOT

  3582       TOTAL REPAIR OF TAPVC

  3583       TOT REP TRUNCUS ARTERIOS

  3584       TOT COR TRANSPOS GRT VES

  3591       INTERAT VEN RETRN TRANSP

  3592       CONDUIT RT VENT-PUL ART

  3593       CONDUIT LEFT VENTR-AORTA

  3594       CONDUIT ARTIUM-PULM ART

  3595       HEART REPAIR REVISION

  3596       PERC HEART VALVULOPLASTY

  3598       OTHER HEART SEPTA OPS

  3599       OTHER HEART VALVE OPS

  3600       OTHER HEART VALVE OPS

  3601       PTCA-1 VES/ATH W/O AGENT

  3602       PTCA-1 VES/ATH W AGENT

  3603       OPEN CORONRY ANGIOPLASTY

  3605       PTCA-MULTIPLE VESSEL/ATH

  3609       REM OF COR ART OBSTR NEC

  3610       AORTOCORONARY BYPASS NOS

  3611       AORTOCOR BYPAS-1 COR ART

  3612       AORTOCOR BYPAS-2 COR ART

  3613       AORTOCOR BYPAS-3 COR ART

  3614       AORTCOR BYPAS-4+ COR ART

  3615       1 INT MAM-COR ART BYPASS

  3616       2 INT MAM-COR ART BYPASS

  3617       ABD-CORON ARTERY BYPASS

  3619       HRT REVAS BYPS ANAS NEC

  362        ARTERIAL IMPLANT REVASC

  363        ARTERIAL IMPLANT REVASC

  3631       OPEN CHEST TRANS REVASC

  3632       OTH TRANSMYO REVASCULAR

  3639       OTH HEART REVASCULAR

  3691       CORON VESS ANEURYSM REP

  3699       HEART VESSEL OP NEC

  3710       INCISION OF HEART NOS

  3711       CARDIOTOMY

  3712       PERICARDIOTOMY

  3724       PERICARDIAL BIOPSY

  3731       PERICARDIECTOMY

  3732       HEART ANEURYSM EXCISION

  3733       EXC/DEST HRT LESION OPEN

  3734       EXC/DEST HRT LES OTHER

  3735       PARTIAL VENTRICULECTOMY

  374        HEART & PERICARD REPAIR

  3741       IMPL CARDIAC SUPPORT DEV (OCT 05)

  3749       HEART/PERICARD REPR NEC (OCT 05)

  375        HEART & PERICARD REPAIR

  3751       HEART TRANSPLANTATION (Oct 03)

  3752       IMPLANT TOT REP HRT SYS

  3753       REPL/REP THORAC UNIT HRT

  3754       REPL/REP OTH TOT HRT SYS

  3761       PULSATION BALLOON IMPLAN

  3762       IMPLANT HRT ASST SYS NEC

  3763       REPLACE HRT ASSIST SYST

  3764       REMOVE HEART ASSIST SYS

  3765       IMP EXT PUL HRT ASST SYS

  3766       IMP IMP PUL HRT ASST SYS

  3767       IMP CARDIOMYOSTIMUL SYS

  3774       INT OR REPL LEAD EPICAR

  3775       REVISION OF LEAD

  3776       REPL TV ATRI-VENT LEAD

  3777       REMOVAL OF LEAD W/O REPL

  3779       REVIS OR RELOCATE POCKET

  3780       INT OR REPL PERM PACEMKR

  3785       REPL PACEM W 1-CHAM, NON

  3786       REPL PACEM 1-CHAM, RATE

  3787       REPL PACEM W DUAL-CHAM

  3789       REVISE OR REMOVE PACEMAK

  3790       INS LEFT ATR APPEND DEV (OCT 04)

  3791       OPN CHEST CARDIAC MASSAG

  3794       IMPLT/REPL CARDDEFIB TOT

  3795       IMPLT CARDIODEFIB LEADS

  3796       IMPLT CARDIODEFIB GENATR

  3797       REPL CARDIODEFIB LEADS

  3798       REPL CARDIODEFIB GENRATR

  3799       OTHER HEART/PERICARD OPS

  3800       INCISION OF VESSEL NOS

  3801       INTRACRAN VESSEL INCIS

  3802       HEAD/NECK VES INCIS NEC

  3803       UPPER LIMB VESSEL INCIS

  3804       INCISION OF AORTA

  3805       THORACIC VESSEL INC NEC

  3806       ABDOMEN ARTERY INCISION

  3807       ABDOMINAL VEIN INCISION

  3808       LOWER LIMB ARTERY INCIS

  3809       LOWER LIMB VEIN INCISION

  3810       ENDARTERECTOMY NOS

  3811       INTRACRAN ENDARTERECTOMY

  3812       HEAD & NECK ENDARTER NEC

  3813       UPPER LIMB ENDARTERECTOM

  3814       ENDARTERECTOMY OF AORTA

  3815       THORACIC ENDARTERECTOMY

  3816       ABDOMINAL ENDARTERECTOMY

  3818       LOWER LIMB ENDARTERECT

  3821       BLOOD VESSEL BIOPSY

  3829       BLOOD VESSEL DX PROC NEC

  3830       VESSEL RESECT/ANAST NOS

  3831       INTRACRAN VES RESEC-ANAS

  3832       HEAD/NECK VES RESEC-ANAS

  3833       ARM VESSEL RESECT/ANAST

  3834       AORTA RESECTION & ANAST

  3835       THOR VESSEL RESECT/ANAST

  3836       ABD VESSEL RESECT/ANAST

  3837       ABD VEIN RESECT & ANAST

  3838       LEG ARTERY RESECT/ANAST

  3839       LEG VEIN RESECT/ANASTOM

  3840       VESSEL RESECT/REPLAC NOS

  3841       INTRACRAN VES RESEC-REPL

  3842       HEAD/NECK VES RESEC-REPL

  3843       ARM VES RESECT W REPLACE

  3844       RESECT ABDM AORTA W REPL

  3845       RESECT THORAC VES W REPL

  3846       ABD ARTERY RESEC W REPLA

  3847       ABD VEIN RESECT W REPLAC

  3848       LEG ARTERY RESEC W REPLA

  3849       LEG VEIN RESECT W REPLAC

  3850       VARICOSE V LIG-STRIP NOS

  3851       INTCRAN VAR V LIG-STRIP

  3852       HEAD/NECK VAR V LIG-STR

  3853       ARM VARICOSE V LIG-STRIP

  3855       THORAC VAR V LIG-STRIP

  3857       ABD VARICOS V LIGA-STRIP

  3859       LEG VARICOS V LIGA-STRIP

  3860       EXCISION OF VESSEL NOS

  3861       INTRACRAN VESSEL EXCIS

  3862       HEAD/NECK VESSEL EXCIS

  3863       ARM VESSEL EXCISION

  3864       EXCISION OF AORTA

  3865       THORACIC VESSEL EXCISION

  3866       ABDOMINAL ARTERY EXCIS

  3867       ABDOMINAL VEIN EXCISION

  3868       LEG ARTERY EXCISION

  3869       LEG VEIN EXCISION

  387        INTERRUPTION VENA CAVA

  3880       SURG VESSEL OCCLUS NEC

  3881       OCCLUS INTRACRAN VES NEC

  3882       OCCLUS HEAD/NECK VES NEC

  3883       OCCLUDE ARM VESSEL NEC

  3884       OCCLUDE AORTA NEC

  3885       OCCLUDE THORACIC VES NEC

  3886       OCCLUDE ABD ARTERY NEC

  3887       OCCLUDE ABD VEIN NEC

  3888       OCCLUDE LEG ARTERY NEC

  3889       OCCLUDE LEG VEIN NEC

  390        SYSTEMIC-PULM ART SHUNT

  391        INTRA-ABD VENOUS SHUNT

  3921       CAVAL-PULMON ART ANASTOM

  3922       AORTA-SUBCLV-CAROT BYPAS

  3923       INTRATHORACIC SHUNT NEC

  3924       AORTA-RENAL BYPASS

  3925       AORTA-ILIAC-FEMOR BYPASS

  3926       INTRA-ABDOMIN SHUNT NEC

  3927       DIALYSIS ARTERIOVENOSTOM

  3928       EXTRACRAN-INTRACR BYPASS

  3929       VASC SHUNT & BYPASS NEC

  3930       SUTURE OF VESSEL NOS

  3931       SUTURE OF ARTERY

  3932       SUTURE OF VEIN

  3941       POSTOP VASC OP HEM CONTR

  3942       REVIS REN DIALYSIS SHUNT

  3943       REMOV REN DIALYSIS SHUNT

  3949       VASC PROC REVISION NEC

  3950       ANGIO/ATH NON-CORO VES

  3951       CLIPPING OF ANEURYSM

  3952       ANEURYSM REPAIR NEC

  3953       ARTERIOVEN FISTULA REP

  3954       RE-ENTRY OPERATION

  3955       REIMPLAN ABERR RENAL VES

  3956       REPAIR VESS W TIS PATCH

  3957       REP VESS W SYNTH PATCH

  3958       REPAIR VESS W PATCH NOS

  3959       REPAIR OF VESSEL NEC

  397        PER CARDIOPULMON BYPASS

  3971       ENDO IMPL GRFT ABD AORTA

  3972       ENDOVASC REPAIR HEAD VES

  3973       ENDO IMP GRFT THOR AORTA (OCT 05)

  3979       ENDO REPAIR OTHER VESSEL

  398        VASCULAR BODY OPERATIONS

  3991       FREEING OF VESSEL

  3992       VEIN INJECT-SCLEROS AGNT

  3993       INSERT VES-TO-VES CANNUL

  3994       REPLAC VES-TO-VES CANNUL

  3998       HEMORRHAGE CONTROL NOS

  3999       VESSEL OPERATION NEC

  400        INCIS LYMPHATIC STRUCTUR

  4011       LYMPHATIC STRUCT BIOPSY

  4019       LYMPHATIC DIAG PROC NEC

  4021       EXCIS DEEP CERVICAL NODE

  4022       EXCISE INT MAMMARY NODE

  4023       EXCISE AXILLARY NODE

  4024       EXCISE INGUINAL NODE

  4029       SIMP EXC LYMPH STRUC NEC

  403        REGIONAL LYMPH NODE EXC

  4040       RAD NECK DISSECTION NOS

  4041       UNILAT RAD NECK DISSECT

  4042       BILAT RAD NECK DISSECT

  4050       RAD NODE DISSECTION NOS

  4051       RAD DISSEC AXILLARY NODE

  4052       RAD DISSEC PERIAORT NODE

  4053       RAD DISSECT ILIAC NODES

  4054       RADICAL GROIN DISSECTION

  4059       RAD NODE DISSECTION NEC

  4061       THORAC DUCT CANNULATION

  4062       THORACIC DUCT FISTULIZAT

  4063       CLOSE THORACIC DUCT FIST

  4064       LIGATE THORACIC DUCT

  4069       THORACIC DUCT OP NEC

  409        LYMPH STRUCTURE OP NEC

  410        BONE MARROW TRNSPLNT

  4100       BONE MARROW TRNSPLNT NOS

  4101       AUTO BONE MT W/O PURG

  4102       ALO BONE MARROW TRNSPLNT

  4103       ALLOGRFT BONE MARROW NOS

  4104       AUTO HEM STEM CT W/O PUR

  4105       ALLO HEM STEM CT W/O PUR

  4106       CORD BLD STEM CELL TRANS

  4107       AUTO HEM STEM CT W PURG

  4108       ALLO HEM STEM CT W PURG

  4109       AUTO BONE MT W PURGING

  412        SPLENOTOMY

  4133       OPEN SPLEEN BIOPSY

  4141       SPLENIC CYST MARSUPIAL

  4142       EXC SPLENIC LESION/TISS

  4143       PARTIAL SPLENECTOMY

  415        TOTAL SPLENECTOMY

  4193       EXC OF ACCESSORY SPLEEN

  4194       SPLEEN TRANSPLANTATION

  4195       REPAIR OF SPLEEN

  4199       SPLEEN OPERATION NEC

  4201       ESOPHAGEAL WEB INCISION

  4209       ESOPHAGEAL INCISION NEC

  4210       ESOPHAGOSTOMY NOS

  4211       CERVICAL ESOPHAGOSTOMY

  4212       ESOPH POUCH EXTERIORIZAT

  4219       EXT FISTULIZAT ESOPH NEC

  4221       ESOPHAGOSCOPY BY INCIS

  4225       OPEN BIOPSY OF ESOPHAGUS

  4231       LOC EXCIS ESOPH DIVERTIC

  4232       LOCAL EXCIS ESOPHAG NEC

  4239       DESTRUCT ESOPHAG LES NEC

  4240       ESOPHAGECTOMY NOS

  4241       PARTIAL ESOPHAGECTOMY

  4242       TOTAL ESOPHAGECTOMY

  4251       THORAC ESOPHAGOESOPHAGOS

  4252       THORAC ESOPHAGOGASTROST

  4253       THORAC SM BOWEL INTERPOS

  4254       THORAC ESOPHAGOENTER NEC

  4255       THORAC LG BOWEL INTERPOS

  4256       THORAC ESOPHAGOCOLOS NEC

  4258       THORAC INTERPOSITION NEC

  4259       THORAC ESOPHAG ANAST NEC

  4261       STERN ESOPHAGOESOPHAGOST

  4262       STERN ESOPHAGOGASTROSTOM

  4263       STERN SM BOWEL INTERPOS

  4264       STERN ESOPHAGOENTER NEC

  4265       STERN LG BOWEL INTERPOS

  4266       STERN ESOPHAGOCOLOS NEC

  4268       STERN INTERPOSITION NEC

  4269       STERN ESOPHAG ANAST NEC

  427        ESOPHAGOMYOTOMY

  4282       SUTURE ESOPHAGEAL LACER

  4283       ESOPHAGOSTOMY CLOSURE

  4284       ESOPH FISTULA REPAIR NEC

  4285       ESOPHAG STRICTURE REPAIR

  4286       PROD SUBQ TUNNEL NO ANAS

  4287       ESOPHAGEAL GRAFT NEC

  4289       ESOPHAGEAL REPAIR NEC

  4291       LIGATION ESOPH VARIX

  430        GASTROTOMY

  431        GASTROTOMY

  432        OTHER GASTROSTOMY

  433        PYLOROMYOTOMY

  4342       LOCAL GASTR EXCISION NEC

  4349       LOCAL GASTR DESTRUCT NEC

  435        PROXIMAL GASTRECTOMY

  436        DISTAL GASTRECTOMY

  437        PART GASTREC W JEJ ANAST

  4381       PART GAST W JEJ TRANSPOS

  4389       PARTIAL GASTRECTOMY NEC

  4391       TOT GAST W INTES INTERPO

  4399       TOTAL GASTRECTOMY NEC

  4400       VAGOTOMY NOS

  4401       TRUNCAL VAGOTOMY

  4402       HIGHLY SELECT VAGOTOMY

  4403       SELECTIVE VAGOTOMY NEC

  4411       TRANSABDOMIN GASTROSCOPY

  4415       OPEN GASTRIC BIOPSY

  442        GASTRIC DIAGNOS PROC NEC

  4421       DILATE PYLORUS, INCISION

  4429       OTHER PYLOROPLASTY

  4431       HIGH GASTRIC BYPASS

  4432       PERCU GASTROJEJUNOSTOMY

  4438       LAP GASTROENTEROSTOMY (OCT 04)

  4439       GASTROENTEROSTOMY NEC

  4440       SUTURE PEPTIC ULCER NOS

  4441       SUT GASTRIC ULCER SITE

  4442       SUTURE DUODEN ULCER SITE

  445        REVISION GASTRIC ANASTOM

  4461       SUTURE GASTRIC LACERAT

  4463       CLOSE GASTRIC FISTUL NEC

  4464       GASTROPEXY

  4465       ESOPHAGOGASTROPLASTY

  4466       CREAT ESOPHAGASTR SPHINC

  4467       LAP CREAT ESOPH SPHINCT (OCT 04)

  4468       LAPAROSCOP GASTROPLSTY (OCT 04)

  4469       GASTRIC REPAIR NEC

  4491       LIGATE GASTRIC VARICES

  4492       INTRAOP GASTRIC MANIPUL

  4495       LAP GASTRIC RESTRIC PROC (OCT 04)

  4496       LAP REV GAST RESTRI PROC (OCT 04)

  4497       LAP REM GAST RESTRIC DEV (OCT 04)

  4498       ADJUST GAST RESTRICT DEV (OCT 04)

  4499       GASTRIC OPERATION NEC

  4500       INTESTINAL INCISION NOS

  4501       DUODENAL INCISION

  4502       SMALL BOWEL INCISION NEC

  4503       LARGE BOWEL INCISION

  4511       TRANSAB SM BOWEL ENDOSC

  4515       OPEN SMALL BOWEL BIOPSY

  4521       TRANSAB LG BOWEL ENDOSC

  4526       OPEN LARGE BOWEL BIOPSY

  4531       OTH EXCISE DUODENUM LES

  4532       DESTRUCT DUODEN LES NEC

  4533       LOCAL EXCIS SM BOWEL NEC

  4534       DESTR SM BOWEL LES NEC

  4541       EXCISE LG INTESTINE LES

  4549       DESTRUC LG BOWEL LES NEC

  4550       INTEST SEG ISOLAT NOS

  4551       SM BOWEL SEGMENT ISOLAT

  4552       LG BOWEL SEGMENT ISOLAT

  4561       MULT SEG SM BOWEL EXCIS

  4562       PART SM BOWEL RESECT NEC

  4563       TOTAL REMOVAL SM BOWEL

  4571       MULT SEG LG BOWEL EXCIS

  4572       CECECTOMY

  4573       RIGHT HEMICOLECTOMY

  4574       TRANSVERSE COLON RESECT

  4575       LEFT HEMICOLECTOMY

  4576       SIGMOIDECTOMY

  4579       PART LG BOWEL EXCIS NEC

  458        TOT INTRA-ABD COLECTOMY

  4590       INTESTINAL ANASTOM NOS

  4591       SM-TO-SM BOWEL ANASTOM

  4592       SM BOWEL-RECT STUMP ANAS

  4593       SMALL-TO-LARGE BOWEL NEC

  4594       LG-TO-LG BOWEL ANASTOM

  4595       ANAL ANASTOMOSIS

  4601       SM BOWEL EXTERIORIZATION

  4602       RESECT EXT SEG SM BOWEL

  4603       LG BOWEL EXTERIORIZATION

  4604       RESECT EXT SEG LG BOWEL

  4610       COLOSTOMY NOS

  4611       TEMPORARY COLOSTOMY

  4612       TEMPORARY COLOSTOMY

  4613       PERMANENT COLOSTOMY

  4620       ILEOSTOMY NOS

  4621       TEMPORARY ILEOSTOMY

  4622       CONTINENT ILEOSTOMY

  4623       PERMANENT ILEOSTOMY NEC

  4640       INTEST STOMA REVIS NOS

  4641       SM BOWEL STOMA REVISION

  4642       PERICOLOST HERNIA REPAIR

  4643       LG BOWEL STOMA REVIS NEC

  4650       INTEST STOMA CLOSURE NOS

  4651       SM BOWEL STOMA CLOSURE

  4652       LG BOWEL STOMA CLOSURE

  4660       INTESTINAL FIXATION NOS

  4661       SM BOWEL-ABD WALL FIXAT

  4662       SMALL BOWEL FIXATION NEC

  4663       LG BOWEL-ABD WALL FIXAT

  4664       LARGE BOWEL FIXATION NEC

  4671       DUODENAL LACERAT SUTURE

  4672       DUODENAL FISTULA CLOSURE

  4673       SMALL BOWEL SUTURE NEC

  4674       CLOSE SM BOWEL FIST NEC

  4675       SUTURE LG BOWEL LACERAT

  4676       CLOSE LG BOWEL FISTULA

  4679       REPAIR OF INTESTINE NEC

  4680       INTRA-AB BOWEL MANIP NOS

  4681       INTRA-ABD SM BOWEL MANIP

  4682       INTRA-ABD LG BOWEL MANIP

  4691       MYOTOMY OF SIGMOID COLON

  4692       MYOTOMY OF COLON NEC

  4693       REVISE SM BOWEL ANASTOM

  4694       REVISE LG BOWEL ANASTOM

  4697       TRANSPLANT OF INTESTINE

  4699       INTESTINAL OP NEC

  470        INTESTINAL OP NEC

  4701       LAP APPENDECTOMY

  4709       OTHER APPENDECTOMY

  471        OTHER APPENDECTOMY

  4711       LAP INCID APPENDECTOMY

  4719       OTHER INCID APPENDECTOMY

  472        DRAIN APPENDICEAL ABSC

  4791       APPENDICOSTOMY

  4792       CLOSE APPENDICEAL FISTUL

  4799       APPENDICEAL OPS NEC

  480        PROCTOTOMY

  481        PROCTOSTOMY

  4821       TRANSAB PROCTOSIGMOIDOSC

  4825       OPEN RECTAL BIOPSY

  4835       LOCAL EXCIS RECTAL LES

  4841       SOAVE SUBMUC RECT RESECT

  4849       PULL-THRU RECT RESEC NEC

  485        ABD-PERINEAL RECT RESECT

  4861       TRANSSAC RECTOSIGMOIDECT

  4862       ANT RECT RESECT W COLOST

  4863       ANTERIOR RECT RESECT NEC

  4864       POSTERIOR RECT RESECTION

  4865       DUHAMEL RECTAL RESECTION

  4866       DUHAMEL RECTAL RESECTION

  4869       RECTAL RESECTION NEC

  4871       SUTURE OF RECTAL LACER

  4872       CLOSURE OF PROCTOSTOMY

  4873       CLOSE RECTAL FIST NEC

  4874       RECTORECTOSTOMY

  4875       ABDOMINAL PROCTOPEXY

  4876       PROCTOPEXY NEC

  4879       REPAIR OF RECTUM NEC

  4881       PERIRECTAL INCISION

  4882       PERIRECTAL EXCISION

  4891       INCIS RECTAL STRICTURE

  4892       ANORECTAL MYOMECTOMY

  4893       REPAIR PERIRECT FISTULA

  4899       RECTAL PERIRECT OP NEC

  4901       INCIS PERIANAL ABSCESS

  4902       PERIANAL INCISION NEC

  4904       PERIANAL EXCISION NEC

  4911       ANAL FISTULOTOMY

  4912       ANAL FISTULECTOMY

  493        ANAL/PERIAN DX PROC NEC

  4939       OTHER DESTRUC ANUS LES

  4944       HEMORRHOID CRYOTHERAPY

  4945       HEMORRHOID LIGATION

  4946       HEMORRHOIDECTOMY

  4949       HEMORRHOID PROCEDURE NEC

  4951       LEFT LAT SPHINCTEROTOMY

  4952       POST SPHINCTEROTOMY

  4959       ANAL SPHINCTEROTOMY NEC

  496        EXCISION OF ANUS

  4971       SUTURE ANAL LACERATION

  4972       ANAL CERCLAGE

  4973       CLOSURE OF ANAL FISTULA

  4974       GRACILIS MUSC TRANSPLAN

  4975       IMPL OR REV ART ANAL SPH

  4976       REMOV ART ANAL SPHINCTER

  4979       ANAL SPHINCT REPAIR NEC

  4991       INCISION OF ANAL SEPTUM

  4992       INSERT SUBQ ANAL STIMUL

  4993       ANAL INCISION NEC

  4994       REDUCTION ANAL PROLAPSE

  4995       CONTROL ANAL HEMORRHAGE

  4999       ANAL OPERATION NEC

  500        HEPATOTOMY

  5012       OPEN LIVER BIOPSY

  5019       HEPATIC DX PROC NEC

  5021       MARSUPIALIZAT LIVER LES

  5022       PARTIAL HEPATECTOMY

  5029       DESTRUC HEPATIC LES NEC

  503        HEPATIC LOBECTOMY

  504        TOTAL HEPATECTOMY

  5051       AUXILIARY LIVER TRANSPL

  5059       LIVER TRANSPLANT NEC

  5061       CLOSURE LIVER LACERAT

  5069       LIVER REPAIR NEC

  5102       TROCAR CHOLECYSTOSTOMY

  5103       CHOLECYSTOSTOMY NEC

  5104       CHOLECYSTOTOMY NEC

  5113       OPEN BILIARY TRACT BX

  5119       BILIARY TR DX PROC NEC

  5121       OTH PART CHOLECYSTECTOMY

  5122       CHOLECYSTECTOMY

  5123       LAPAROSCOPIC CHOLECYSTEC

  5124       LAP PART CHOLECYSTECTOMY

  5131       GB-TO-HEPAT DUCT ANAST

  5132       GB-TO-INTESTINE ANASTOM

  5133       GB-TO-PANCREAS ANASTOM

  5134       GB-TO-STOMACH ANASTOMOS

  5135       GALLBLADDER ANASTOM NEC

  5136       CHOLEDOCHOENTEROSTOMY

  5137       HEPATIC DUCT-GI ANASTOM

  5139       BILE DUCT ANASTOMOS NEC

  5141       CDE FOR CALCULUS REMOV

  5142       CDE FOR OBSTRUCTION NEC

  5143       CHOLEDOCHOHEPAT INTUBAT

  5149       INCIS OBSTR BILE DUC NEC

  5151       COMMON DUCT EXPLORATION

  5159       BILE DUCT INCISION NEC

  5161       EXCIS CYST DUCT REMNANT

  5162       EXCIS AMPULLA OF VATER

  5163       COMMON DUCT EXCIS NEC

  5169       BILE DUCT EXCISION NEC

  5171       SIMPLE SUT-COMMON DUCT

  5172       CHOLEDOCHOPLASTY

  5179       BILE DUCT REPAIR NEC

  5181       SPHINCTER OF ODDI DILAT

  5182       PANCREAT SPHINCTEROTOM

  5183       PANCREAT SPHINCTEROPLAS

  5189       SPHINCT OF ODDI OP NEC

  5191       REPAIR GB LACERATION

  5192       CLOSURE CHOLECYSTOSTOMY

  5193       CLOS BILIARY FISTUL NEC

  5194       REVIS BILE TRACT ANASTOM

  5195       REMOVE BILE DUCT PROSTH

  5199       BILIARY TRACT OP NEC

  5201       CATH DRAIN-PANCREAT CYST

  5209       PANCREATOTOMY NEC

  5212       OPEN PANCREATIC BIOPSY

  5219       PANCREATIC DX PROC NEC

  522        PANCREATIC DX PROC NEC

  5222       OTHER DESTRU PANCREA LES

  523        PANCREAT CYST MARSUPIALI

  524        INT DRAIN PANCREAT CYST

  5251       PROXIMAL PANCREATECTOMY

  5252       DISTAL PANCREATECTOMY

  5253       RAD SUBTOT PANCREATECTOM

  5259       PARTIAL PANCREATECT NEC

  526        TOTAL PANCREATECTOMY

  527        RAD PANCREATICODUODENECT

  5280       PANCREAT TRANSPLANT NOS

  5281       REIMPLANT PANCREATIC TIS

  5282       PANCREATIC HOMOTRANSPLAN

  5283       PANCREATIC HETEROTRANSPL

  5291       TRNSPLNT ISLETS LANG NOS

  5292       CANNULATION PANCREA DUC

  5295       PANCREATIC REPAIR NEC

  5296       PANCREATIC ANASTOMOSIS

  5299       PANCREATIC OPERATION NEC

  5300       UNILAT ING HERN REP NOS

  5301       REPAIR DIRECT ING HERNIA

  5302       REPAIR INDIR ING HERNIA

  5303       DIR ING HERNIA REP-GRAFT

  5304       IND ING HERNIA REP-GRAFT

  5305       ING HERNIA REP-GRAFT NOS

  5310       BILAT ING HERNIA REP NOS

  5311       BILAT DIR ING HERN REP

  5312       BILAT IND ING HERN REP

  5313       BIL DIR/IND ING HRN REP

  5314       BIL DIR ING HRN REP-GRFT

  5315       BIL IND ING HRN REP-GRFT

  5316       BIL DIR/IND ING HERN-PRO

  5317       BIL ING HRN REP-GRFT NOS

  5321       UNIL FEMOR HRN REP-GRFT

  5329       UNIL FEMOR HERN REP NEC

  5331       BIL FEM HERN REPAIR-GRFT

  5339       BIL FEM HERN REPAIR NEC

  5341       UMBIL HERNIA REPAIR-GRFT

  5349       UMBIL HERNIA REPAIR NEC

  5351       INCISIONAL HERNIA REPAIR

  5359       ABD WALL HERN REPAIR NEC

  5361       INCIS HERNIA REPAIR-GRFT

  5369       ABD HERN REPAIR-GRFT NEC

  537        ABD REPAIR-DIAPHR HERNIA

  5380       THOR REP-DIAPH HERN NOS

  5381       DIAPHRAGMATIC PLICATION

  5382       PARASTERN HERNIA REPAIR

  539        OTHER HERNIA REPAIR

  540        ABDOMINAL WALL INCISION

  5411       EXPLORATORY LAPAROTOMY

  5412       REOPEN RECENT LAP SITE

  5419       LAPAROTOMY NEC

  5421       LAPAROSCOPY

  5422       ABDOMINAL WALL BIOPSY

  5423       PERITONEAL BIOPSY

  5429       ABD REGION DX PROC NEC

  543        DESTRUCT ABD WALL LESION

  544        DESTRUCT PERITONEAL TISS

  545        DESTRUCT PERITONEAL TISS

  5451       LAP PERITON ADHESIOLYSIS

  5459       OTH PERITON ADHESIOLYSIS

  5461       RECLOSE POST OP DISRUPT

  5462       DELAYED CLOS ABD WOUND

  5463       ABD WALL SUTURE NEC

  5464       PERITONEAL SUTURE

  5471       REPAIR OF GASTROSCHISIS

  5472       ABDOMEN WALL REPAIR NEC

  5473       PERITONEAL REPAIR NEC

  5474       OMENTAL REPAIR NEC

  5475       MESENTERIC REPAIR NEC

  5492       REMOVE FB FROM PERITON

  5493       CREATE CUTANPERITON FIST

  5494       CREAT PERITONEOVAS SHUNT

  5495       PERITONEAL INCISION

  5501       NEPHROTOMY

  5502       NEPHROSTOMY

  5503       PERCU NEPHROSTM W/O FRAG

  5504       PERCU NEPHROSTMY W FRAG

  5511       PYELOTOMY

  5512       PYELOSTOMY

  5524       OPEN RENAL BIOPSY

  5529       RENAL DIAGNOST PROC NEC

  5531       RENAL LES MARSUPIALIZAT

  5539       LOC DESTR RENAL LES NEC

  554        PARTIAL NEPHRECTOMY

  5551       NEPHROURETERECTOMY

  5552       SOLITARY KIDNEY NEPHRECT

  5553       REJECTED KIDNEY NEPHRECT

  5554       BILATERAL NEPHRECTOMY

  5561       RENAL AUTOTRANSPLANT

  5569       KIDNEY TRANSPLANT NEC

  557        NEPHROPEXY

  5581       SUTURE KIDNEY LACERATION

  5582       CLOSE NEPHROST & PYELOST

  5583       CLOSE RENAL FISTULA NEC

  5584       REDUCE RENAL PEDICL TORS

  5585       SYMPHYSIOTOMY

  5586       RENAL ANASTOMOSIS

  5587       CORRECT URETEROPELV JUNC

  5589       RENAL REPAIR NEC

  5591       RENAL DECAPSULATION

  5597       IMPLANT MECHANIC KIDNEY

  5598       REMOV MECHANICAL KIDNEY

  5599       RENAL OPERATION NEC

  560        TU REMOV URETER OBSTRUCT

  561        URETERAL MEATOTOMY

  562        URETEROTOMY

  5634       OPEN URETERAL BIOPSY

  5639       URETERAL DX PROCEDUR NEC

  5640       URETERECTOMY NOS

  5641       PARTIAL URETERECTOMY

  5642       TOTAL URETERECTOMY

  5651       FORM CUTAN ILEOURETEROST

  5652       REVIS CUTAN ILEOURETEROS

  5661       FORM CUTAN URETEROSTOMY

  5662       REVIS CUTAN URETEROS NEC

  5671       URIN DIVERSION TO BOWEL

  5672       REVIS URETEROENTEROSTOMY

  5673       NEPHROCYSTANASTOMOSI NOS

  5674       URETERONEOCYSTOSTOMY

  5675       TRANSURETEROURETEROSTOMY

  5679       URETERAL ANASTOMOSIS NEC

  5681       INTRALUM URETE ADHESIOLY

  5682       SUTURE URETERAL LACERAT

  5683       URETEROSTOMY CLOSURE

  5684       CLOSE URETER FISTULA NEC

  5685       URETEROPEXY

  5686       REMOVE URETERAL LIGATURE

  5689       REPAIR OF URETER NEC

  5692       IMPLANT URETERAL STIMUL

  5693       REPLACE URETERAL STIMUL

  5694       REMOVE URETERAL STIMULAT

  5695       LIGATION OF URETER

  5699       URETERAL OPERATION NEC

  5712       CYSTOTOMY & ADHESIOLYSIS

  5718       OTHER SUPRAPU CYSTOSTOMY

  5719       CYSTOTOMY NEC

  5721       VESICOSTOMY

  5722       REVISE CLO VESICOSTOMY

  5733       CLOS TRANSURETH BLADD BX

  5734       OPEN BLADDER BIOPSY

  5739       BLADDER DIAGNOS PROC NEC

  5741       TU ADHESIOLYSIS BLADDER

  5749       TU DESTRUC BLADD LES NEC

  5751       EXCISION OF URACHUS

  5759       BLADDER LES DESTRUCT NEC

  576        PARTIAL CYSTECTOMY

  5771       RADICAL CYSTECTOMY

  5779       TOTAL CYSTECTOMY NEC

  5781       SUTURE BLADDER LACERAT

  5782       CYSTOSTOMY CLOSURE

  5783       ENTEROVESICO FIST REPAIR

  5784       VESIC FISTULA REPAIR NEC

  5785       CYSTOURETHROPLASTY

  5786       BLADDER EXSTROPHY REPAIR

  5787       BLADDER RECONSTRUCTION

  5788       BLADDER ANASTOMOSIS NEC

  5789       BLADDER REPAIR NEC

  5791       BLADDER SPHINCTEROTOMY

  5793       CONTROL BLADD HEMORRHAGE

  5796       IMPLANT BLADDER STIMULAT

  5797       REPLACE BLADDER STIMULAT

  5798       REMOVE BLADDER STIMULAT

  5799       BLADDER OPERATION NEC

  580        URETHROTOMY

  581        URETHRAL MEATOTOMY

  5841       SUTURE URETHRAL LACERAT

  5842       URETHROSTOMY CLOSURE

  5843       CLOSE URETH FISTULA NEC

  5844       URETHRAL REANASTOMOSIS

  5845       HYPO-EPISPADIUS REPAIR

  5846       URETH RECONSTRUCTION NEC

  5847       URETHRAL MEATOPLASTY

  5849       URETHRAL REPAIR NEC

  585        URETH STRICTURE RELEASE

  5891       PERIURETHRAL INCISION

  5892       PERIURETHRAL EXCISION

  5893       IMPLT ARTF URIN SPHINCT

  5899       URETH/PERIURETH OP NEC

  5900       RETROPERIT DISSECT NOS

  5901       RETROPERIT DISSECT NOS

  5902       PERIREN ADHESIOLYS NEC

  5903       LAP LYS PERIREN/URET ADH

  5909       PERIREN/URETER INCIS NEC

  5911       OTH LYS PERIVES ADHESIO

  5912       LAP LYS PERIVESURETH ADH

  5919       PERIVESICAL INCISION NEC

  5921       PERIREN/URETERAL BIOPSY

  5929       PERIREN/URET DX PROC NEC

  593        URETHROVES JUNCT PLICAT

  594        SUPRAPUBIC SLING OP

  595        RETROPUBIC URETH SUSPENS

  596        PARAURETHRAL SUSPENSION

  5971       LEVATOR MUSC SUSPENSION

  5979       URIN INCONTIN REPAIR NEC

  5991       PERIREN/VESICLE EXCISION

  5992       PERIREN/VESICLE OP NEC

  600        INCISION OF PROSTATE

  6012       OPEN PROSTATIC BIOPSY

  6014       OPEN SEMINAL VESICLES BX

  6015       PERIPROSTATIC BIOPSY

  6018       PROSTATIC DX PROCED NEC

  6019       SEMIN VES DX PROCED NEC

  602        SEMIN VES DX PROCED NEC

  6021       TRANSURETH PROSTATECTOMY

  6029       OTH TRANSURETH PROSTATEC

  603        SUPRAPUBIC PROSTATECTOMY

  604        RETROPUBIC PROSTATECTOMY

  605        RADICAL PROSTATECTOMY

  6061       LOS EXCIS PROSTATIC LES

  6062       PERINEAL PROSTATECTOMY

  6069       PROSTATECTOMY NEC

  6072       SEMINAL VESICLE INCISION

  6073       SEMINAL VESICLE EXCISION

  6079       SEMINAL VESICLE OP NEC

  6081       PERIPROSTATIC INCISION

  6082       PERIPROSTATIC EXCISION

  6093       REPAIR OF PROSTATE

  6094       CONTROL PROSTATE HEMORR

  6095       TRANS BAL DIL PROS URETH

  6096       TU DESTR PROSTATE BY MT

  6097       OTH TU DESTR PROS - RT

  6099       PROSTATIC OPERATION NEC

  612        EXCISION OF HYDROCELE

  6142       SCROTAL FISTULA REPAIR

  6149       SCROTUM/TUNIC REPAIR NEC

  6192       EXCISION TUNICA LES NEC

  6199       SCROTUM & TUNICA OP NEC

  620        INCISION OF TESTES

  6212       OPEN TESTICULAR BIOPSY

  6219       TESTES DX PROCEDURE NEC

  622        TESTICULAR LES DESTRUCT

  623        UNILATERAL ORCHIECTOMY

  6241       REMOVE BOTH TESTES

  6242       REMOVE SOLITARY TESTIS

  625        ORCHIOPEXY

  6261       SUTURE TESTICULAR LACER

  6269       TESTICULAR REPAIR NEC

  627        INSERT TESTICULAR PROSTH

  6299       TESTICULAR OPERATION NEC

  6309       SPERMAT CORD/VAS DX NEC

  631        EXC SPERMATIC VARICOCELE

  632        EXCISE EPIDIDYMIS CYST

  633        EXCISE CORD/EPID LES NEC

  634        EPIDIDYMECTOMY

  6351       SUTURE CORD & EPID LACER

  6353       TRANSPLANT SPERMAT CORD

  6359       CORD & EPIDID REPAIR NEC

  6381       SUTURE VAS & EPIDID LAC

  6382       POSTOP VAS RECONSTRUCT

  6383       EPIDIDYMOVASOSTOMY

  6385       REMOV VAS DEFERENS VALVE

  6389       VAS & EPIDIDY REPAIR NEC

  6392       EPIDIDYMOTOMY

  6393       SPERMATIC CORD INCISION

  6394       SPERM CORD ADHESIOLYSIS

  6395       INSERT VALVE IN VAS DEF

  6399       CORD/EPID/VAS OPS NEC

  640        CIRCUMCISION

  6411       PENILE BIOPSY

  642        LOCAL EXCIS PENILE LES

  643        AMPUTATION OF PENIS

  6441       SUTURE PENILE LACERATION

  6442       RELEASE OF CHORDEE

  6443       CONSTRUCTION OF PENIS

  6444       RECONSTRUCTION OF PENIS

  6445       REPLANTATION OF PENIS

  6449       PENILE REPAIR NEC

  645        SEX TRANSFORMAT OP NEC

  6492       INCISION OF PENIS

  6493       DIVISION OF PENILE ADHES

  6495       INS NONINFL PENIS PROSTH

  6496       REMOVE INT PENILE PROSTH

  6497       INS INFLATE PENIS PROSTH

  6498       PENILE OPERATION NEC

  6499       MALE GENITAL OP NEC

  650        MALE GENITAL OP NEC

  6501       LAPAROSCOPIC OOPHOROTOMY

  6509       OTHER OOPHOROTOMY

  6511       OVARIAN ASPIRAT BIOPSY

  6512       OVARIAN BIOPSY NEC

  6513       LAP BIOPSY OF OVARY

  6514       OTH LAP DX PROC OVARIES

  6519       OVARIAN DX PROCEDURE NEC

  6521       OVARIAN CYST MARSUPIALIZ

  6522       OVARIAN WEDGE RESECTION

  6523       LAP MARSUP OVARIAN CYST

  6524       LAP WEDGE RESECT OVARY

  6525       OTH LAP LOC EXC DEST OVA

  6529       LOCAL DESTR OVA LES NEC

  653        LOCAL DESTR OVA LES NEC

  6531       LAP UNILAT OOPHORECTOMY

  6539       OTH UNILAT OOPHORECTOMY

  654        OTH UNILAT OOPHORECTOMY

  6541       LAP UNI SALPINGO-OOPHOR

  6549       OTH UNI SALPINGO-OOPHOR

  6551       OTH REMOVE BOTH OVARIES

  6552       OTH REMOVE REMAIN OVARY

  6553       LAP REMOVE BOTH OVARIES

  6554       LAP REMOVE REMAIN OVARY

  6561       OTH REMOVE OVARIES/TUBES

  6562       OTH REMOVE REM OVA/TUBE

  6563       LAP REMOVE OVARIES/TUBES

  6564       LAP REMOVE REM OVA/TUBE

  6571       OTH SIMPLE SUTURE OVARY

  6572       OTH REIMPLANT OF OVARY

  6573       OTH SALPINGO-OOPHOROPLAS

  6574       LAP SIMPLE SUTURE OVARY

  6575       LAP REIMPLANT OF OVARY

  6576       LAP SALPINGO-OOPHOROPLAS

  6579       REPAIR OF OVARY NEC

  658        REPAIR OF OVARY NEC

  6581       LAP ADHESIOLYS OVA/TUBE

  6589       ADHESIOLYSIS OVARY/TUBE

  6591       ASPIRATION OF OVARY

  6592       TRANSPLANTATION OF OVARY

  6593       MANUAL RUPT OVARIAN CYST

  6594       OVARIAN DENERVATION

  6595       OVARIAN TORSION RELEASE

  6599       OVARIAN OPERATION NEC

  660        OVARIAN OPERATION NEC

  6601       SALPINGOTOMY

  6602       SALPINGOSTOMY

  6611       FALLOPIAN TUBE BIOPSY

  6619       FALLOP TUBE DX PROC NEC

  6621       BILAT ENDOSC CRUSH TUBE

  6622       BILAT ENDOSC DIVIS TUBE

  6629       BILAT ENDOS OCC TUBE NEC

  6631       BILAT TUBAL CRUSHING NEC

  6632       BILAT TUBAL DIVISION NEC

  6639       BILAT TUBAL DESTRUCT NEC

  664        TOTAL UNILAT SALPINGECT

  6651       REMOVE BOTH FALLOP TUBES

  6652       REMOVE SOLITARY FAL TUBE

  6661       DESTROY FALLOP TUBE LES

  6662       REMOV TUBE & ECTOP PREG

  6663       BILAT PART SALPINGEC NOS

  6669       PARTIAL SALPINGECTOM NEC

  6671       SIMPL SUTURE FALLOP TUBE

  6672       SALPINGO-OOPHOROSTOMY

  6673       SALPINGO-SALPINGOSTOMY

  6674       SALPINGO-UTEROSTOMY

  6679       FALLOP TUBE REPAIR NEC

  6692       UNILAT FALLOP TUBE DESTR

  6693       IMPL FALLOP TUBE PROSTH

  6694       REMOV FALLOP TUBE PROSTH

  6695       BLOW THERAPEUT INTO TUBE

  6696       FALLOPIAN TUBE DILATION

  6697       BURY FIMBRIAE IN UTERUS

  6699       FALLOPIAN TUBE OP NEC

  6711       ENDOCERVICAL BIOPSY

  6712       CERVICAL BIOPSY NEC

  6719       CERVICAL DX PROCEDUR NEC

  672        CONIZATION OF CERVIX

  6731       CERVICAL CYST MARSUPIAL

  6732       CERVICAL LES CAUTERIZAT

  6733       CERVICAL LES CRYOTHERAPY

  6739       CERVICAL LES DESTRUC NEC

  674        AMPUTATION OF CERVIX

  675        AMPUTATION OF CERVIX

  6751       TRANSAB CERCLAGE CERVIX

  6759       OTH REP INT CERVICAL OS

  6761       SUTURE CERVICAL LACERAT

  6762       CERVICAL FISTULA REPAIR

  6769       CERVICAL REPAIR NEC

  680        HYSTEROTOMY

  6813       OPEN UTERINE BIOPSY

  6814       OPEN UTERINE LIGAMENT BX

  6815       CLOS UTERINE LIGAMENT BX

  6816       CLOSED UTERINE BIOPSY

  6819       UTERUS/ADNEX DX PROC NEC

  6821       ENDOMET SYNECHIAE DIVIS

  6822       INCISION UTERINE SEPTUM

  6823       ENDOMETRIAL ABLATION

  6829       UTERINE LES DESTRUCT NEC

  683        UTERINE LES DESTRUCT NEC

  6831       LAP SCERVIC HYSTERECTOMY

  6839       OTH SUBTOT ABD HYSTERECT (Oct 03)

  684        TOTAL ABD HYSTERECTOMY

  685        TOTAL ABD HYSTERECTOMY

  6851       LAP AST VAG HYSTERECTOMY

  6859       OTHER VAG HYSTERECTOMY

  686        RADICAL ABD HYSTERECTOMY

  687        RADICAL VAG HYSTERECTOMY

  688        PELVIC EVISCERATION

  689        HYSTERECTOMY NEC/NOS

  6901       D & C FOR PREG TERMINAT

  6902       D & C POST DELIVERY

  6909       D & C NEC

  6911       D & C NEC

  6919       DESTRUC UTER SUPPORT NEC

  6921       INTERPOSIT OP UTERIN LIG

  6922       UTERINE SUSPENSION NEC

  6923       VAG REPAIR INVERS UTERUS

  6929       UTERUS/ADNEXA REPAIR NEC

  693        PARACERV UTERINE DENERV

  6941       SUTURE UTERINE LACERAT

  6942       CLOSURE UTERINE FISTULA

  6949       UTERINE REPAIR NEC

  6951       ASPIRAT CURET-PREG TERMI

  6952       ASPIRAT CURET-POST DELIV

  6995       INCISION OF CERVIX

  6997       REMOVE PENETRAT CERV FB

  6998       UTERINE SUPPORT OP NEC

  6999       UTERINE OPERATION NEC

  7012       CULDOTOMY

  7013       INTRALUM VAG ADHESIOLYS

  7014       VAGINOTOMY NEC

  7023       CUL-DE-SAC BIOPSY

  7024       VAGINAL BIOPSY

  7029       VAGIN/CUL-DE-SAC DX NEC

  7031       HYMENECTOMY

  7032       EXCIS CUL-DE-SAC LESION

  7033       EXCISION VAGINAL LESION

  704        VAGINAL OBLITERATION

  7050       CYSTOCEL/RECTOCEL REPAIR

  7051       CYSTOCELE REPAIR

  7052       RECTOCELE REPAIR

  7061       VAGINAL CONSTRUCTION

  7062       VAGINAL RECONSTRUCTION

  7071       SUTURE VAGINA LACERATION

  7072       REPAIR COLOVAGIN FISTULA

  7073       REPAIR RECTOVAG FISTULA

  7074       REP VAGINOENT FISTUL NEC

  7075       REPAIR VAG FISTULA NEC

  7076       HYMENORRHAPHY

  7077       VAGINAL SUSPENS & FIXAT

  7079       VAGINAL REPAIR NEC

  708        VAGINAL VAULT OBLITERAT

  7091       VAGINAL OPERATION NEC

  7092       CUL-DE-SAC OPERATION NEC

  7101       VULVAR ADHESIOLYSIS

  7109       INCIS VULVA/PERINEUM NEC

  7111       VULVAR BIOPSY

  7119       VULVAR DIAGNOS PROC NEC

  7122       INCISE BARTHOLIN\"S GLAND

  7123       BARTHOLIN GLAND MARSUP

  7124       DESTRUC BARTHOLIN GLAND

  7129       BARTHOLIN\"S GLAND OP NEC

  713        LOCAL VULVAR EXCIS NEC

  714        OPERATIONS ON CLITORIS

  715        RADICAL VULVECTOMY

  7161       UNILATERAL VULVECTOMY

  7162       BILATERAL VULVECTOMY

  7171       SUTURE VULVAR LACERATION

  7172       REPAIR VULVAR FISTULA

  7179       VULVAR/PERIN REPAIR NEC

  718        OTHER VULVAR OPERATIONS

  719        OTHER FEMALE GENITAL OPS

  7394       PUBIOTOMY TO ASSIST DEL

  7399       OPS ASSISTING DELIV NEC

  740        CLASSICAL C-SECTION

  741        LOW CERVICAL C-SECTION

  742        EXTRAPERITONEAL C-SECT

  743        REM EXTRATUB ECTOP PREG

  744        CESAREAN SECTION NEC

  7491       HYSTEROTOMY TO TERMIN PG

  7499       CESAREAN SECTION NOS

  7536       CORRECTION FETAL DEFECT

  7550       REPAIR OB LAC UTERUS NOS

  7551       REPAIR OB LACERAT CERVIX

  7552       REPAIR OB LAC CORP UTERI

  7561       REPAIR OB LAC BLAD/URETH

  7593       SURG CORR INVERT UTERUS

  7599       OBSTETRIC OPERATION NEC

  7601       FACIAL BONE SEQUESTRECT

  7609       FACIAL BONE INCISION NEC

  7611       FACIAL BONE BIOPSY

  7619       FACIAL BONE DX PROC NEC

  762        DESTRUCT FACIAL BONE LES

  7631       PARTIAL MANDIBULECTOMY

  7639       PART FACIAL OSTECTOM NEC

  7641       TOT MANDIBULEC W RECONST

  7642       TOTAL MANDIBULECTOMY NEC

  7643       MANDIBULAR RECONST NEC

  7644       TOT FACE OSTECT W RECONS

  7645       TOT FACE BONE OSTECT NEC

  7646       FACIAL BONE RECONSTR NEC

  765        TEMPOROMAND ARTHROPLASTY

  7661       CL OSTEOPLASTY MAND RAMI

  7662       OPEN OSTEOPLAS MAND RAMI

  7663       OSTEOPLASTY MANDIBLE BDY

  7664       MAND ORTHOGNATHIC OP NEC

  7665       SEG OSTEOPLASTY MAXILLA

  7666       TOT OSTEOPLASTY MAXILLA

  7667       REDUCTION GENIOPLASTY

  7668       AUGMENTATION GENIOPLASTY

  7669       FACIAL BONE REPAIR NEC

  7670       REDUCTION FACIAL FX NOS

  7672       OPN REDUCT MALAR/ZYGO FX

  7674       OPEN REDUCT MAXILLARY FX

  7676       OPEN REDUCT MANDIBLE FX

  7677       OPEN REDUCT ALVEOLAR FX

  7679       OPEN REDUCT FACE FX NEC

  7691       BONE GRAFT TO FACE BONE

  7692       SYN IMPLANT TO FACE BONE

  7694       OPEN REDUCT TM DISLOCAT

  7697       REMOVE INT FIX FACE BONE

  7699       FACIAL BONE/JNT OP NEC

  7700       SEQUESTRECTOMY NOS

  7701       CHEST CAGE SEQUESTREC

  7702       HUMERUS SEQUESTRECTOMY

  7703       RADIUS & ULNA SEQUESTREC

  7704       METACARP/CARP SEQUESTREC

  7705       FEMORAL SEQUESTRECTOMY

  7706       PATELLAR SEQUESTRECTOMY

  7707       TIBIA/FIBULA SEQUESTREC

  7708       METATAR/TAR SEQUESTREC

  7709       SEQUESTRECTOMY NEC

  7710       OTHER BONE INCISION NOS

  7711       OTHER CHEST CAGE INCIS

  7712       OTHER HUMERUS INCISION

  7713       OTHER RADIUS/ULNA INCIS

  7714       OTH METACARP/CARP INCIS

  7715       OTHER FEMORAL INCISION

  7716       OTHER PATELLAR INCISION

  7717       OTHER TIBIA/FIBULA INCIS

  7718       OTH METATARS/TARS INCIS

  7719       BONE INCIS W/O DIV NEC

  7720       WEDGE OSTEOTOMY NOS

  7721       CHEST CAGE WEDG OSTEOTOM

  7722       HUMERUS WEDGE OSTEOTOMY

  7723       RADIUS/ULNA WEDG OSTEOTO

  7724       METACAR/CAR WEDG OSTEOTO

  7725       FEMORAL WEDGE OSTEOTOMY

  7726       PATELLAR WEDGE OSTEOTOMY

  7727       TIBIA/FIBUL WEDG OSTEOT

  7728       METATAR/TAR WEDG OSTEOT

  7729       WEDGE OSTEOTOMY NEC

  7730       OTHER BONE DIVISION NOS

  7731       CHEST CAGE BONE DIV NEC

  7732       HUMERUS DIVISION NEC

  7733       RADIUS/ULNA DIVISION NEC

  7734       METACAR/CAR DIVISION NEC

  7735       FEMORAL DIVISION NEC

  7736       PATELLAR DIVISION NEC

  7737       TIBIA/FIBULA DIV NEC

  7738       METATAR/TAR DIVISION NEC

  7739       BONE DIVISION NEC

  7740       BONE BIOPSY NOS

  7741       CHEST CAGE BONE BIOPSY

  7742       HUMERUS BIOPSY

  7743       RADIUS & ULNA BIOPSY

  7744       METACARPAL/CARPAL BIOPSY

  7745       FEMORAL BIOPSY

  7746       PATELLAR BIOPSY

  7747       TIBIA & FIBULA BIOPSY

  7748       METATARSAL/TARSAL BIOPSY

  7749       BONE BIOPSY NEC

  7751       BUNIONECT/SFT/OSTEOTOMY

  7752       BUNIONECT/SFT/ARTHRODES

  7753       OTH BUNIONECT W SFT CORR

  7754       EXC CORRECT BUNIONETTE

  7756       REPAIR OF HAMMER TOE

  7757       REPAIR OF CLAW TOE

  7758       OTH EXC, FUS, REPAIR TOE

  7759       BUNIONECTOMY NEC

  7760       LOC EXC BONE LESION NOS

  7761       EXC CHEST CAGE BONE LES

  7762       LOC EXC BONE LES HUMERUS

  7763       LOC EXC LES RADIUS/ULNA

  7764       LOC EXC LES METACAR/CAR

  7765       LOC EXC BONE LES FEMUR

  7766       LOC EXC BONE LES PATELLA

  7767       LOC EXC LES TIBIA/FIBULA

  7768       LOC EXC LES METATAR/TAR

  7769       LOC EXC BONE LESION NEC

  7770       EXCISE BONE FOR GRFT NOS

  7771       EX CHEST CAGE BONE-GFT

  7772       EXCISE HUMERUS FOR GRAFT

  7773       EXCIS RADIUS/ULNA-GRAFT

  7774       EXCIS METACAR/CAR-GRAFT

  7775       EXCISE FEMUR FOR GRAFT

  7776       EXCISE PATELLA FOR GRAFT

  7777       EXCISE TIB/FIB FOR GRAFT

  7778       EXCIS METATAR/TAR-GRAFT

  7779       EXCISE BONE FOR GFT NEC

  7780       OTH PART OSTECTOMY NOS

  7781       OTH CHEST CAGE OSTECTOMY

  7782       PARTIAL HUMERECTOMY NEC

  7783       PART OSTECT-RADIUS/ULNA

  7784       PART OSTECT-METACAR/CAR

  7785       PART OSTECTOMY-FEMUR

  7786       PARTIAL PATELLECTOMY

  7787       PART OSTECT-TIBIA/FIBULA

  7788       PART OSTECT-METATAR/TAR

  7789       PARTIAL OSTECTOMY NEC

  7790       TOTAL OSTECTOMY NOS

  7791       TOT CHEST CAGE OSTECTOMY

  7792       TOTAL OSTECTOMY-HUMERUS

  7793       TOT OSTECT-RADIUS/ULNA

  7794       TOT OSTECT-METACARP/CARP

  7795       TOT OSTECTOMY-FEMUR

  7796       TOTAL PATELLECTOMY

  7797       TOT OSTECT-TIBIA/FIBULA

  7798       TOT OSTECT-METATARS/TARS

  7799       TOTAL OSTECTOMY NEC

  7800       BONE GRAFT NOS

  7801       BONE GRAFT TO CHEST CAGE

  7802       BONE GRAFT TO HUMERUS

  7803       BONE GRAFT-RADIUS/ULNA

  7804       BONE GRFT TO METACAR/CAR

  7805       BONE GRAFT TO FEMUR

  7806       BONE GRAFT TO PATELLA

  7807       BONE GRAFT-TIBIA/FIBULA

  7808       BONE GRAFT-METATAR/TAR

  7809       BONE GRAFT NEC

  7810       APPLIC EXT FIX DEV NOS

  7811       APPL EXT FIX-CHEST CAGE

  7812       APPLIC EXT FIX-HUMERUS

  7813       APPL EXT FIX-RADIUS/ULNA

  7814       APPL EXT FIX-METACAR/CAR

  7815       APPLIC EXT FIX DEV-FEMUR

  7816       APPL EXT FIX DEV-PATELLA

  7817       APPL EXT FIX-TIB/FIBULA

  7818       APPL EXT FIX-METATAR/TAR

  7819       APPLIC EXT FIX DEV NEC

  7820       LIMB SHORTEN PROC NOS

  7822       LIMB SHORT PROC-HUMERUS

  7823       LIMB SHORTEN-RADIUS/ULNA

  7824       LIMB SHORTEN-METACAR/CAR

  7825       LIMB SHORT PROC-FEMUR

  7827       LIMB SHORTEN-TIB/FIBULA

  7828       LIMB SHORTEN-METATAR/TAR

  7829       LIMB SHORTEN PROC NEC

  7830       LIMB LENGTHEN PROC NOS

  7831       LIMB LENGTHEN PROC NOS

  7832       LIMB LENGTH PROC-HUMERUS

  7833       LIMB LENGTH-RADIUS/ULNA

  7834       LIMB LENGTH-METACAR/CAR

  7835       LIMB LENGTH PROC-FEMUR

  7837       LIMB LENGTHEN-TIB/FIBULA

  7838       LIMB LENGTHN-METATAR/TAR

  7839       LIMB LENGTHEN PROC NEC

  7840       OTH BONE REPAIR/PLAST OP

  7841       OTH CHEST CAGE REP/PLAST

  7842       OTH HUMERUS REPAIR/PLAST

  7843       OTH RAD/ULN REPAIR/PLAST

  7844       OTH METAC/CARP REP/PLAST

  7845       OTH FEMUR REPAIR/PLASTIC

  7846       OTH PATELLA REPAIR/PLAST

  7847       OTH TIB/FIB REPAIR/PLAST

  7848       OTH META/TAR REPA/PLAST

  7849       OTH BONE REPA/PLAST NEC

  7850       INT FIX W/O FX REDUC NOS

  7851       INT FIXATION-CHEST CAGE

  7852       INT FIXATION-HUMERUS

  7853       INT FIXATION-RADIUS/ULNA

  7854       INT FIXATION-METACAR/CAR

  7855       INTERNAL FIXATION-FEMUR

  7856       INTERNAL FIX-PATELLA

  7857       INT FIXATION-TIBIA/FIBUL

  7858       INT FIXATION-METATAR/TAR

  7859       INT FIX-NO FX REDUCT NEC

  7860       REMOVE IMP DEVICE NOS

  7861       REMOV IMP DEV-CHEST CAGE

  7862       REMOVE IMPL DEV-HUMERUS

  7863       REMOV IMP DEV-RADIUS/ULN

  7864       REMOV IMP DEV-METAC/CARP

  7865       REMOVE IMP DEVICE-FEMUR

  7866       REMOV IMP DEVICE-PATELLA

  7867       REMOV IMP DEV-TIB/FIBULA

  7868       REMOVE IMP DEV-METAT/TAR

  7869       REMOVE IMPL DEVICE NEC

  7870       OSTEOCLASIS NOS

  7871       OSTEOCLASIS-CHEST CAGE

  7872       OSTEOCLASIS-HUMERUS

  7873       OSTEOCLASIS-RADIUS/ULNA

  7874       OSTEOCLASIS-METACAR/CAR

  7875       OSTEOCLASIS-FEMUR

  7876       OSTEOCLASIS-PATELLA

  7877       OSTEOCLASIS-TIBIA/FIBULA

  7878       OSTEOCLASIS-METATAR/TAR

  7879       OSTEOCLASIS NEC

  7880       OTHER BONE DX PROC NOS

  7881       OTH DX PROCED-CHEST CAGE

  7882       OTH DX PROCED-HUMERUS

  7883       OTH DX PROC-RADIUS/ULNA

  7884       OTH DX PROC-METACAR/CAR

  7885       OTH DX PROCED-FEMUR

  7886       OTH DX PROCED-PATELLA

  7887       OTH DX PROC-TIBIA/FIBULA

  7888       OTH DX PROC-METATAR/TAR

  7889       OTHER BONE DX PROC NEC

  7890       INSERT BONE STIMUL NOS

  7891       INSERT BONE STIMUL-CHEST

  7892       INSERT BONE STIM-HUMERUS

  7893       INSER BONE STIM-RAD/ULNA

  7894       INSER BONE STIM-META/CAR

  7895       INSERT BONE STIM-FEMUR

  7896       INSERT BONE STIM-PATELLA

  7897       INSER BONE STIM-TIB/FIB

  7898       INSER BONE STIM-META/TAR

  7899       INSERT BONE STIMUL NEC

  7910       CL FX REDUC-INT FIX NOS

  7911       CLOS RED-INT FIX HUMERUS

  7912       CL RED-INT FIX RAD/ULNA

  7913       CL RED-INT FIX METAC/CAR

  7914       CLOSE RED-INT FIX FINGER

  7915       CLOSED RED-INT FIX FEMUR

  7916       CL RED-INT FIX TIB/FIBU

  7917       CL RED-INT FIX METAT/TAR

  7918       CLOSE RED-INT FIX TOE FX

  7919       CL FX REDUC-INT FIX NEC

  7920       OPEN FX REDUCTION NOS

  7921       OPEN REDUC-HUMERUS FX

  7922       OPEN REDUC-RADIUS/ULN FX

  7923       OPEN REDUC-METAC/CAR FX

  7924       OPEN REDUCTION-FINGER FX

  7925       OPEN REDUCTION-FEMUR FX

  7926       OPEN REDUC-TIBIA/FIB FX

  7927       OPEN REDUC-METAT/TARS FX

  7928       OPEN REDUCTION-TOE FX

  7929       OPEN FX REDUCTION NEC

  7930       OPN FX RED W INT FIX NOS

  7931       OPEN RED-INT FIX HUMERUS

  7932       OP RED-INT FIX RAD/ULNA

  7933       OP RED-INT FIX METAC/CAR

  7934       OPEN RED-INT FIX FINGER

  7935       OPEN REDUC-INT FIX FEMUR

  7936       OP RED-INT FIX TIB/FIBUL

  7937       OP RED-INT FIX METAT/TAR

  7938       OPEN REDUCT-INT FIX TOE

  7939       OPN FX RED W INT FIX NEC

  7940       CLS REDUC-SEP EPIPHY NOS

  7941       CLOSE RED-HUMERUS EPIPHY

  7942       CLS RED-RADIUS/UL EPIPHY

  7945       CLOSE REDUC-FEMUR EPIPHY

  7946       CLS RED-TIBIA/FIB EPIPHY

  7949       CLS REDUC-SEP EPIPHY NEC

  7950       OPEN RED-SEP EPIPHY NOS

  7951       OPN RED-SEP EPIPHY-HUMER

  7952       OP RED-RADIUS/ULN EPIPHY

  7955       OPN RED-SEP EPIPHY-FEMUR

  7956       OP RED-TIBIA/FIB EPIPHYS

  7959       OPEN RED-SEP EPIPHY NEC

  7960       OPEN FX SITE DEBRIDE NOS

  7961       DEBRID OPEN FX-HUMERUS

  7962       DEBRID OPN FX-RADIUS/ULN

  7963       DEBRID OPN FX-METAC/CAR

  7964       DEBRID OPN FX-FINGER

  7965       DEBRID OPN FX-FEMUR

  7966       DEBRID OPN FX-TIBIA/FIB

  7967       DEBRID OPN FX-METAT/TAR

  7968       DEBRID OPN FX-TOE

  7969       OPEN FX SITE DEBRIDE NEC

  7980       OPEN REDUC-DISLOCAT NOS

  7981       OPN REDUC DISLOC-SHOULDR

  7982       OPEN REDUC-ELBOW DISLOC

  7983       OPEN REDUC-WRIST DISLOC

  7984       OPN REDUC DISLOC-HAND

  7985       OPEN REDUC-HIP DISLOCAT

  7986       OPEN REDUC-KNEE DISLOCAT

  7987       OPEN REDUC-ANKLE DISLOC

  7988       OPN REDUC DISLOC-FT/TOE

  7989       OPEN REDUC-DISLOCAT NEC

  7990       UNSPEC OP BONE INJ NOS

  7991       HUMERUS INJURY OP NOS

  7992       RADIUS/ULNA INJ OP NOS

  7993       METACARP/CARP INJ OP NOS

  7994       FINGER INJURY OP NOS

  7995       FEMUR INJURY OP NOS

  7996       TIBIA/FIBULA INJ OP NOS

  7997       METATARS/TARS INJ OP NOS

  7998       TOE INJURY OPERATION NOS

  7999       UNSPEC OP-BONE INJ NEC

  8000       ARTHROT & PROS REMOV NOS

  8001       ARTHROT/PROS REMOV-SHLDR

  8002       ARTHROT/PROS REMOV-ELBOW

  8003       ARTHROT/PROS REMOV-WRIST

  8004       ARTHROT/PROS REMOV-HAND

  8005       ARTHROT/PROS REMOV-HIP

  8006       ARTHROT/PROS REMOV-KNEE

  8007       ARTHROT/PROS REMOV-ANKLE

  8008       ARTHROT/PROS REMOV-FOOT

  8009       ARTHROT & PROS REMOV NEC

  8010       OTHER ARTHROTOMY NOS

  8011       OTH ARTHROTOMY-SHOULDER

  8012       OTH ARTHROTOMY-ELBOW

  8013       OTH ARTHROTOMY-WRIST

  8014       OTH ARTHROTOMY-HAND/FNGR

  8015       OTH ARTHROTOMY-HIP

  8016       OTH ARTHROTOMY-KNEE

  8017       OTH ARTHROTOMY-ANKLE

  8018       OTH ARTHROTOMY-FOOT/TOE

  8019       OTHER ARTHROTOMY NEC

  8020       ARTHROSCOPY NOS

  8021       SHOULDER ARTHROSCOPY

  8022       ELBOW ARTHROSCOPY

  8023       WRIST ARTHROSCOPY

  8024       HAND & FINGER ARTHROSCOP

  8025       HIP ARTHROSCOPY

  8026       KNEE ARTHROSCOPY

  8027       ANKLE ARTHROSCOPY

  8028       FOOT & TOE ARTHROSCOPY

  8029       ARTHROSCOPY NEC

  8040       JT STRUCTUR DIVISION NOS

  8041       SHOULDER STRUCT DIVISION

  8042       ELBOW STRUCTURE DIVISION

  8043       WRIST STRUCTURE DIVISION

  8044       HAND JOINT STRUCT DIVIS

  8045       HIP STRUCTURE DIVISION

  8046       KNEE STRUCTURE DIVISION

  8047       ANKLE STRUCTURE DIVISION

  8048       FOOT JOINT STRUCT DIVIS

  8049       JT STRUCTUR DIVISION NEC

  805        JT STRUCTUR DIVISION NEC

  8050       EXC/DEST INTVRT DISC NOS

  8051       EXCISION INTERVERT DISC

  8059       OTH EXC/DEST INTVRT DISC

  806        EXCIS KNEE SEMILUN CARTL

  8070       SYNOVECTOMY-SITE NOS

  8071       SHOULDER SYNOVECTOMY

  8072       ELBOW SYNOVECTOMY

  8073       WRIST SYNOVECTOMY

  8074       HAND SYNOVECTOMY

  8075       HIP SYNOVECTOMY

  8076       KNEE SYNOVECTOMY

  8077       ANKLE SYNOVECTOMY

  8078       FOOT SYNOVECTOMY

  8079       SYNOVECTOMY-SITE NEC

  8080       DESTRUCT JOINT LES NOS

  8081       DESTRUC-SHOULDER LES NEC

  8082       DESTRUC-ELBOW LESION NEC

  8083       DESTRUC-WRIST LESION NEC

  8084       DESTRUC-HAND JT LES NEC

  8085       DESTRUCT-HIP LESION NEC

  8086       DESTRUCT-KNEE LESION NEC

  8087       DESTRUC-ANKLE LESION NEC

  8088       DESTRUC-FOOT JT LES NEC

  8089       DESTRUCT JOINT LES NEC

  8090       EXCISION OF JOINT NOS

  8091       EXCISION OF SHOULDER NEC

  8092       EXCISION OF ELBOW NEC

  8093       EXCISION OF WRIST NEC

  8094       EXCISION HAND JOINT NEC

  8095       EXCISION OF HIP NEC

  8096       EXCISION OF KNEE NEC

  8097       EXCISION OF ANKLE NEC

  8098       EXCISION FOOT JOINT NEC

  8099       EXCISION OF JOINT NEC

  8100       SPINAL FUSION NOS

  8101       ATLAS-AXIS FUSION

  8102       OTHER CERVICAL FUS ANT

  8103       OTHER CERVICAL FUS POST

  8104       DORSAL/DORSOLUM FUS ANT

  8105       DORSAL/DORSOLUM FUS POST

  8106       LUMBAR/LUMBOSAC FUS ANT

  8107       LUMBAR/LUMBOSAC FUS LAT

  8108       LUMBAR/LUMBOSAC FUS POST

  8109       LUMBAR/LUMBOSAC FUS POST

  8111       ANKLE FUSION

  8112       TRIPLE ARTHRODESIS

  8113       SUBTALAR FUSION

  8114       MIDTARSAL FUSION

  8115       TARSOMETATARSAL FUSION

  8116       METATARSOPHALANGEAL FUS

  8117       OTHER FUSION OF FOOT

  8118       OTHER FUSION OF FOOT

  8120       ARTHRODESIS NOS

  8121       ARTHRODESIS OF HIP

  8122       ARTHRODESIS OF KNEE

  8123       ARTHRODESIS OF SHOULDER

  8124       ARTHRODESIS OF ELBOW

  8125       CARPORADIAL FUSION

  8126       METACARPOCARPAL FUSION

  8127       METACARPOPHALANGEAL FUS

  8128       INTERPHALANGEAL FUSION

  8129       ARTHRODESIS NEC

  8130       SPINAL REFUSION NOS

  8131       REFUSION OF ATLAS-AXIS

  8132       REFUSION OF OTH CERV ANT

  8133       REFUS OF OTH CERV POST

  8134       REFUSION OF DORSAL ANT

  8135       REFUSION OF DORSAL POST

  8136       REFUSION OF LUMBAR ANT

  8137       REFUSION OF LUMBAR LAT

  8138       REFUSION OF LUMBAR POST

  8139       REFUSION OF SPINE NEC

  8140       REPAIR OF HIP, NEC

  8141       REPAIR OF HIP, NEC

  8142       FIVE-IN-ONE KNEE REPAIR

  8143       TRIAD KNEE REPAIR

  8144       PATELLAR STABILIZATION

  8145       CRUCIATE LIG REPAIR NEC

  8146       COLLATERL LIG REPAIR NEC

  8147       OTHER REPAIR OF KNEE

  8148       OTHER REPAIR OF KNEE

  8149       OTHER REPAIR OF ANKLE

  8151       TOTAL HIP REPLACEMENT

  8152       PARTIAL HIP REPLACEMENT

  8153       REVISE HIP REPLACEMENT

  8154       TOTAL KNEE REPLACEMENT

  8155       REVISE KNEE REPLACEMENT

  8156       TOTAL ANKLE REPLACEMENT

  8157       REPL JOINT OF FOOT, TOE

  8159       REV JT REPL LOW EXT NEC

  8161       360 SPINAL FUSION

  8162       FUS/REFUS 2-3 VERTEBRAE

  8163       FUS/REFUS 4-8 VERTEBRAE

  8164       FUS/REFUS 9 VERTEBRAE

  8165       VERTEBROPLASTY (OCT 04)

  8166       KYPHOPLASTY (OCT 04)

  8169       OTH HIP REPAIR JAN80\--SEP89 (OCT 05)

  8171       ARTHROPLAS METACARP WIT

  8172       ARTHROPLASTY METACAR W/O

  8173       TOTAL WRIST REPLACEMENT

  8174       ARTHROPLASTY CARPAL WIT

  8175       ARTHROPLASTY CARPAL W/O

  8179       OTH REPAIR HAN/FIN/WRIS

  8180       TOTAL SHOULDER REPLACE

  8181       PARTIAL SHOULDER REPLACE

  8182       REP RECUR SHLDER DISLOC

  8183       SHOULDER ARTHROPLAST NEC

  8184       TOTAL ELBOW REPLACEMENT

  8185       ELBOW ARTHROPLASTY NEC

  8186       ELBOW ARTHROPLASTY NEC

  8187       ELBOW ARTHROPLASTY NEC

  8193       SUTUR CAPSUL/LIGAMEN ARM

  8194       SUTURE CAPSUL/LIG ANK/FT

  8195       SUTUR CAPSUL/LIG LEG NEC

  8196       OTHER REPAIR OF JOINT

  8197       REV JT REPL UPPER EXTREM

  8198       OTHER JOINT DX PROCEDURE

  8199       JOINT STRUCTURE OP NEC

  8201       EXPLOR TEND SHEATH-HAND

  8202       MYOTOMY OF HAND

  8203       BURSOTOMY OF HAND

  8209       INC SOFT TISSUE HAND NEC

  8211       TENOTOMY OF HAND

  8212       FASCIOTOMY OF HAND

  8219       DIV SOFT TISSUE HAND NEC

  8221       EXC LES TEND SHEATH HAND

  8222       EXCISION HAND MUSCLE LES

  8229       EXC LES SFT TISS HND NEC

  8231       BURSECTOMY OF HAND

  8232       EXCIS HAND TEND FOR GRFT

  8233       HAND TENONECTOMY NEC

  8234       EXC HND MUS/FAS FOR GRFT

  8235       HAND FASCIECTOMY NEC

  8236       OTHER MYECTOMY OF HAND

  8239       HAND SOFT TISSUE EXC NEC

  8241       SUTURE TENDN SHEATH HAND

  8242       DELAY SUT FLEX TEND HAND

  8243       DELAY SUT HAND TEND NEC

  8244       SUTUR FLEX TEND HAND NEC

  8245       SUTURE HAND TENDON NEC

  8246       SUTURE HAND MUSCLE/FASC

  8251       HAND TENDON ADVANCEMENT

  8252       HAND TENDON RECESSION

  8253       HAND TENDON REATTACHMENT

  8254       HAND MUSCLE REATTACHMENT

  8255       CHNG HND MUS/TEN LNG NEC

  8256       TRANSPLANT HAND TEND NEC

  8257       TRANSPOSIT HAND TEND NEC

  8258       TRANSPLANT HAND MUSC NEC

  8259       TRANSPOSIT HAND MUSC NEC

  8261       POLLICIZATION OPERATION

  8269       THUMB RECONSTRUCTION NEC

  8271       HAND TEND PULLEY RECONST

  8272       PLAST OP HND-MUS/FAS GRF

  8279       PLAST OP HAND W GRFT NEC

  8281       TRANSFER OF FINGER

  8282       REPAIR OF CLEFT HAND

  8283       REPAIR OF MACRODACTYLY

  8284       REPAIR OF MALLET FINGER

  8285       OTHER TENODESIS OF HAND

  8286       OTHER TENOPLASTY OF HAND

  8289       HAND PLASTIC OP NEC

  8291       LYSIS OF HAND ADHESIONS

  8299       HAND MUS/TEN/FAS/OPS NEC

  8301       TENDON SHEATH EXPLORAT

  8302       MYOTOMY

  8303       BURSOTOMY

  8309       SOFT TISSUE INCISION NEC

  8311       ACHILLOTENOTOMY

  8312       ADDUCTOR TENOTOMY OF HIP

  8313       OTHER TENOTOMY

  8314       FASCIOTOMY

  8319       SOFT TISSUE DIVISION NEC

  8321       SOFT TISSUE BIOPSY

  8329       SOFT TISSUE DX PROC NEC

  8331       EXCIS LES TENDON SHEATH

  8332       EXCIS LESION OF MUSCLE

  8339       EXC LES SOFT TISSUE NEC

  8341       TENDON EXCISION FOR GRFT

  8342       OTHER TENONECTOMY

  8343       MUSC/FASC EXCIS FOR GRFT

  8344       OTHER FASCIECTOMY

  8345       OTHER MYECTOMY

  8349       OTHER SOFT TISSUE EXCIS

  835        BURSECTOMY

  8361       TENDON SHEATH SUTURE

  8362       DELAYED TENDON SUTURE

  8363       ROTATOR CUFF REPAIR

  8364       OTHER SUTURE OF TENDON

  8365       OTHER MUSCLE/FASC SUTURE

  8371       TENDON ADVANCEMENT

  8372       TENDON RECESSION

  8373       TENDON REATTACHMENT

  8374       MUSCLE REATTACHMENT

  8375       TENDON TRNSFR/TRANSPLANT

  8376       OTHER TENDON TRANSPOSIT

  8377       MUSCLE TRNSFR/TRANSPLANT

  8379       OTHER MUSCLE TRANSPOSIT

  8381       TENDON GRAFT

  8382       MUSCLE OR FASCIA GRAFT

  8383       TENDON PULLEY RECONSTRUC

  8384       CLUBFOOT RELEASE NEC

  8385       MUSC/TEND LNG CHANGE NEC

  8386       QUADRICEPSPLASTY

  8387       OTHER PLASTIC OPS MUSCLE

  8388       OTHER PLASTIC OPS TENDON

  8389       OTHER PLASTIC OPS FASCIA

  8391       ADHESIOLYSIS MUS/TEN/FAS

  8392       INSERT SKEL MUSC STIMULA

  8393       REMOV SKEL MUSC STIMULAT

  8399       MUS/TEN/FAS/BUR OP NEC

  8400       UPPER LIMB AMPUTAT NOS

  8401       FINGER AMPUTATION

  8402       THUMB AMPUTATION

  8403       AMPUTATION THROUGH HAND

  8404       DISARTICULATION OF WRIST

  8405       AMPUTATION THRU FOREARM

  8406       DISARTICULATION OF ELBOW

  8407       AMPUTATION THRU HUMERUS

  8408       SHOULDER DISARTICULATION

  8409       FOREQUARTER AMPUTATION

  8410       LOWER LIMB AMPUTAT NOS

  8411       TOE AMPUTATION

  8412       AMPUTATION THROUGH FOOT

  8413       DISARTICULATION OF ANKLE

  8414       AMPUTAT THROUGH MALLEOLI

  8415       BELOW KNEE AMPUTAT NEC

  8416       DISARTICULATION OF KNEE

  8417       ABOVE KNEE AMPUTATION

  8418       DISARTICULATION OF HIP

  8419       HINDQUARTER AMPUTATION

  8421       THUMB REATTACHMENT

  8422       FINGER REATTACHMENT

  8423       FOREARM/WRIST/HAND REATT

  8424       UPPER ARM REATTACHMENT

  8425       TOE REATTACHMENT

  8426       FOOT REATTACHMENT

  8427       LOWER LEG/ANKLE REATTACH

  8428       THIGH REATTACHMENT

  8429       REATTACHMENT NEC

  843        AMPUTATION STUMP REVIS

  8440       IMPLNT/FIT PROS LIMB NOS

  8444       IMPLANT ARM PROSTHESIS

  8448       IMPLANT LEG PROSTHESIS

  8458       IMP INTRSPINE DECOMP DEV (OCT 05)

  8460       INSERT DISC PROS NOS (OCT 04)

  8461       INS PART DISC PROS CERV (OCT 04)

  8462       INS TOT DISC PROST CERV (OCT 04)

  8463       INS SPIN DISC PROS THOR (OCT 04)

  8464       INS PART DISC PROS LUMB (OCT 04)

  8465       INS TOTL DISC PROS LUMB (OCT 04)

  8466       REVISE DISC PROST CERV (OCT 04)

  8467       REVISE DISC PROST THORA (OCT 04)

  8468       REVISE DISC PROSTH LUMB (OCT 04)

  8469       REVISE DISC PROSTH NOS (OCT 04)

  8472       APP EXT FIX DEV-RING SYS (OCT 05)

  8473       APP HYBRID EXT FIX DEV (OCT 05)

  8491       AMPUTATION NOS

  8492       SEPARAT EQUAL JOIN TWIN

  8493       SEPARAT UNEQUL JOIN TWIN

  8499       MUSCULOSKELETAL OP NEC

  8512       OPEN BREAST BIOPSY

  8520       BREAST TISSU DESTRUC NOS

  8521       LOCAL EXCIS BREAST LES

  8522       QUADRANT RESECT BREAST

  8523       SUBTOTAL MASTECTOMY

  8524       EXC ECTOPIC BREAST TISSU

  8525       EXCISION OF NIPPLE

  8531       UNILAT REDUCT MAMMOPLAST

  8532       BILAT REDUCT MAMMOPLASTY

  8533       UNIL SUBQ MAMMECT-IMPLNT

  8534       UNILAT SUBQ MAMMECT NEC

  8535       BIL SUBQ MAMMECT-IMPLANT

  8536       BILAT SUBQ MAMMECTOM NEC

  8541       UNILAT SIMPLE MASTECTOMY

  8542       BILAT SIMPLE MASTECTOMY

  8543       UNILAT EXTEN SIMP MASTEC

  8544       BILAT EXTEND SIMP MASTEC

  8545       UNILAT RADICAL MASTECTOM

  8546       BILAT RADICAL MASTECTOMY

  8547       UNIL EXT RAD MASTECTOMY

  8548       BIL EXTEN RAD MASTECTOMY

  8550       AUGMENT MAMMOPLASTY NOS

  8553       UNILAT BREAST IMPLANT

  8554       BILATERAL BREAST IMPLANT

  856        MASTOPEXY

  857        TOTAL BREAST RECONSTRUCT

  8582       BREAST SPLIT-THICK GRAFT

  8583       BREAST FULL-THICK GRAFT

  8584       BREAST PEDICLE GRAFT

  8585       BREAST MUSCLE FLAP GRAFT

  8586       TRANSPOSITION OF NIPPLE

  8587       NIPPLE REPAIR NEC

  8589       MAMMOPLASTY NEC

  8593       BREAST IMPLANT REVISION

  8594       BREAST IMPLANT REMOVAL

  8595       INSER BREAST TISSU EXPAN

  8596       REMOV BREAST TISSU EXPAN

  8599       BREAST OPERATION NEC

  8606       INSERT INFUSION PUMP

  8621       EXCISION OF PILONID CYST

  8622       EXC WOUND DEBRIDEMENT

  8625       DERMABRASION

  864        RADICAL EXCIS SKIN LES

  8660       FREE SKIN GRAFT NOS

  8661       FULL-THICK HAND SKIN GRF

  8662       HAND SKIN GRAFT NEC

  8663       FULL-THICK SKIN GRFT NEC

  8665       HETEROGRAFT TO SKIN

  8666       HOMOGRAFT TO SKIN

  8667       DERMAL REGENER GRAFT

  8669       FREE SKIN GRAFT NEC

  8670       PEDICLE GRAFT/FLAP NOS

  8671       CUT & PREP PEDICLE GRAFT

  8672       PEDICLE GRAFT ADVANCEMEN

  8673       ATTACH PEDICLE TO HAND

  8674       ATTACH PEDICLE GRAFT NEC

  8675       REVISION OF PEDICLE GRFT

  8681       REPAIR FACIAL WEAKNESS

  8682       FACIAL RHYTIDECTOMY

  8683       SIZE REDUCT PLASTIC OP

  8684       RELAXATION OF SCAR

  8685       SYNDACTYLY CORRECTION

  8686       ONYCHOPLASTY

  8689       SKIN REPAIR & PLASTY NEC

  8691       SKIN EXCISION FOR GRAFT

  8693       INSERT TISSUE EXPANDER

  8694       INS/REPL SINGLE PUL GEN (OCT 04)

  8695       INS/REPL DUAL PULSE GEN (OCT 04)

  8696       INSERT/REPL OTH NEUROST (OCT 04)

  8697       INS/REP 1 PUL GEN (OCT 05)

  8698       INS/REP 2 PUL GEN (OCT 05)

  8753       INTRAOPER CHOLANGIOGRAM

  9504       ANESTHETIZED EYE EXAM
  ---------- ------------------------------------------------------------

####### 

######### Appendix B: Surgical Discharge DRGs

These codes are used by the following PSIs:

  ----------------------------------------------------------------------------------------- ----------------------------
  **PSI**                                                                                   **How Used**

  [Complications of Anesthesia (PSI 1)](#complications-of-anesthesia-psi-1) - Page          [Denominator
  [1](#complications-of-anesthesia-psi-1)                                                   inclusion](#psi1denom) -
                                                                                            Page [1](#psi1denom)

  [Decubitus Ulcer (PSI 3)](#decubitus-ulcer-psi-3) - Page [5](#decubitus-ulcer-psi-3)      [Denominator
                                                                                            inclusion](#PSI3Denom) -
                                                                                            Page [5](#PSI3Denom)

  [Foreign Body Left during Procedure, Secondary Diagnosis Field (PSI 5 and                 [Denominator
  21)](#foreign-body-left-during-procedure-secondary-diagnosis-field-psi-5-and-21) - Page   inclusion](#PSI5Denom) -
  [14](#foreign-body-left-during-procedure-secondary-diagnosis-field-psi-5-and-21)          Page [15](#PSI5Denom)

  [Iatrogenic Pneumothorax, Secondary Diagnosis Field (PSI 6 and                            [Denominator
  22)](#iatrogenic-pneumothorax-secondary-diagnosis-field-psi-6-and-22) - Page              inclusion](#psi6denom) -
  [15](#iatrogenic-pneumothorax-secondary-diagnosis-field-psi-6-and-22)                     Page [15](#psi6denom)

  [Selected Infections Due to Medical Care, Secondary Diagnosis Field (PSI 7 and            [Denominator
  23)](#selected-infections-due-to-medical-care-secondary-diagnosis-field-psi-7-and-23) -   inclusion](#PSI7Denom) -
  Page                                                                                      Page [21](#PSI7Denom)
  [20](#selected-infections-due-to-medical-care-secondary-diagnosis-field-psi-7-and-23)     

  [Postoperative Hip Fracture (PSI 8)](#postoperative-hip-fracture-psi-8) - Page            [Denominator
  [21](#postoperative-hip-fracture-psi-8)                                                   inclusion](#PSI8Denom) -
                                                                                            Page [21](#PSI8Denom)

  [Postoperative Hemorrhage or Hematoma (PSI 9 and                                          [Denominator
  27)](#postoperative-hemorrhage-or-hematoma-psi-9-and-27) - Page                           inclusion](#PSI9Denom) -
  [25](#postoperative-hemorrhage-or-hematoma-psi-9-and-27)                                  Page [26](#PSI9Denom)

  [Postoperative Physiologic and Metabolic Derangement (PSI                                 [Denominator
  10)](#postoperative-physiologic-and-metabolic-derangement-psi-10)- Page                   inclusion](#PSI10Denom) -
  [26](#postoperative-physiologic-and-metabolic-derangement-psi-10)                         Page [27](#PSI10Denom)

  [Postoperative Respiratory Failure (PSI 11)](#postoperative-respiratory-failure-psi-11)-  [Denominator
  Page [28](#postoperative-respiratory-failure-psi-11)                                      inclusion](#PSI11Denom) -
                                                                                            Page [29](#PSI11Denom)

  [Postoperative Pulmonary Embolism or Deep Vein Thrombosis (PSI                            [Denominator
  12)](#postoperative-pulmonary-embolism-or-deep-vein-thrombosis-psi-12) - Page             inclusion](#PSI12Denom) -
  [30](#postoperative-pulmonary-embolism-or-deep-vein-thrombosis-psi-12)                    Page [30](#PSI12Denom)

  [Postoperative Sepsis (PSI 13)](#postoperative-sepsis-psi-13) - Page                      [Denominator
  [30](#postoperative-sepsis-psi-13)                                                        inclusion](#PSI13Denom) -
                                                                                            Page [30](#PSI13Denom)

  [Accidental Puncture or Laceration, Secondary Diagnosis Field (PSI 15 and                 [Denominator
  25)](#accidental-puncture-or-laceration-secondary-diagnosis-field-psi-15-and-25) - Page   inclusion](#PSI15Denom) -
  [37](#accidental-puncture-or-laceration-secondary-diagnosis-field-psi-15-and-25)          Page [38](#PSI15Denom)

  [Transfusion Reaction, Secondary Diagnosis Field (PSI 16 and                              [Denominator
  26)](#transfusion-reaction-secondary-diagnosis-field-psi-16-and-26) - Page                inclusion](#PSI16Denom) -
  [38](#transfusion-reaction-secondary-diagnosis-field-psi-16-and-26)                       Page [39](#PSI16Denom)
  ----------------------------------------------------------------------------------------- ----------------------------

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

  ---------- ------------------------------------------------------------
  001        CRANIOTOMY, AGE \> 17 W/ CC

  002        CRANIOTOMY AGE \> 17 W/O CC

  003        CRANIOTOMY, AGE 0-17

  004\*      SPINAL PROCEDURES

  005\*      EXTRACRANIAL VASCULAR PROCEDURES

  006        CARPAL TUNNEL RELEASE

  007        PERIPHERAL AND CRANIAL NERVE AND OTHER NERVOUS SYSTEM
             PROCEDURES W/ CC

  008        PERIPHERAL AND CRANIAL NERVE AND OTHER NERVOUS SYSTEM
             PROCEDURES W/O CC

  036        RETINAL PROCEDURES

  037        ORBITAL PROCEDURES

  038        PRIMARY IRIS PROCEDURES

  039        LENS PROCEDURES W/ OR W/O VITRECTOMY

  040        EXTRAOCULAR PROCEDURES EXCEPT ORBIT, AGE GREATER THAN 17

  041        EXTRAOCULAR PROCEDURES EXCEPT ORBIT, AGE 0-17

  042        INTRAOCULAR PROCEDURES EXCEPT RETINA, IRIS AND LENS

  049        MAJOR HEAD AND NECK PROCEDURES

  050        SIALOADENECTOMY

  051        SALIVARY GLAND PROCEDURES EXCEPT SIALOADENECTOMY

  052        CLEFT LIP AND PALATE REPAIR

  053        SINUS AND MASTOID PROCEDURES, AGE GREATER THAN 17

  054        SINUS AND MASTOID PROCEDURES, AGE 0-17

  055        MISCELLANEOUS EAR, NOSE, MOUTH AND THROAT PROCEDURES

  056        RHINOPLASTY

  057        TONSILLECTOMY AND ADENOIDECTOMY PROCEDURES EXCEPT
             TONSILLECTOMY AND/OR ADENOIDECTOMY ONLY, AGE GREATER THAN 17

  058        TONSILLECTOMY AND ADNOIDECTOMY PROCEDURES EXCEPT
             TONSILLECTOMY AND/OR ADENOIDECTOMY ONLY, AGE 0-17

  059        TONSILLECTOMY AND/OR ADENOIDECTOMY ONLY, AGE GREATER THAN 17

  060        TONSILLECTOMY AND/OR ADENOIDECTOMY ONLY, AGE 0 -- 17

  061        MYRINGOTOMY W/ TUBE INSERTION, AGE GREATER THAN 17

  062        MYRINGOTOMY W/ TUBE INSERTION, AGE 0-17

  063        OTHER EAR, NOSE, MOUTH AND THROAT OR PROCEDURES

  075        MAJOR CHEST PROCEDURES

  076        OTHER RESPIRATORY SYSTEM OR PROCEDURES W/ CC

  077        OTHER RESPIRATORY SYSTEM OR PROCEDURES W/O CC

  103        HEART TRANSPLANT

  104        CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES W/
             CARDIAC CATHETERIZATION

  105        CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES W/O
             CARDIAC CATHETERIZATION

  106        CORONARY BYPASS W/ PTCA

  107        CORONARY BYPASS W/ CARDIAC CATHETERIZATION

  108        OTHER CARDIOTHORACIC PROCEDURES

  109        CORONARY BYPASS W/O CARDIAC CATHETERIZATION

  110        MAJOR CARDIOVASCULAR PROCEDURES W/ CC

  111        MAJOR CARDIOVASCULAR PROCEDURES W/O CC

  112\*      PERCUTANEOUS CARDIOVASCULAR PROCEDURES

  113        AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER
             LIMB AND TOE

  114        UPPER LIMB AND TOES AMPUTATION FOR CIRCULATORY SITE

  115        PERMANENT CARDIAC PACEMAKER IMPLANT W/ ACUTE MYOCARDIAL
             INFARCTION, HEART FAILURE OR SHOCK OR ACID LEAD OR GENERATOR
             PROCEDURE

  116        OTHER PERMANENT CARDIAC PACEMAKER IMPLANT OR PTCA W/
             CORONARY ARTERIAL STENT

  117        CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT

  118        CARDIAC PACEMAKER DEVICE REPLACEMENT

  119        VEIN LIGATION AND STRIPPING

  120        OTHER CIRCULATORY SYSTEM OR PROCEDURES

  146        RECTAL RESECTION W/ CC

  147        RECTAL RESECTION W/O CC

  148        MAJOR SMALL AND LARGE BOWEL PROCEDURES W/ CC

  149        MAJOR SMALL AND LARGE BOWEL PROCEDURES W/O CC

  150        PERITONEAL ADHESIOLYSIS W/ CC

  151        PERITONEAL ADHESIOLYSIS W/O CC

  152        MINOR SMALL AND LARGE BOWEL PROCEDURES W/ CC

  153        MINOR SMALL AND LARGE BOWEL PROCEDURES W/O CC

  154        STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES, AGE GREATER
             THAN 17 W/ CC

  155        STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES, AGE GREATER
             THAN 17 WIHOUT CC

  156        STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES, AGE 0-17

  157        ANAL AND STOMAL PROCEDURES W/ CC

  158        ANAL AND STOMAL PROCEDURES W/O CC

  159        HERMIA PROCEDURES EXCEPT INGUINAL AND FEMORAL , AGE GREATER
             THAN 17 W/ CC

  160        HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL, AGE GREATER
             THAN 17 W/O CC

  161        INGUINAL AND FEMORAL HERNIA PROCEDURES, AGE GREATER THAN 17
             W/ CC

  162        INGUINAL AND FEMORAL HERNIA PROCEDURES, AGE GREATER THAN 17
             W/O CC

  163        HERNIA PROCEDURES, AGE 0-17

  164        APPENDECTOMY W/ COMPLICATED PRINCIPAL DIAGNOSIS W/ CC

  165        APPENDECTOMY W/ COMPLICATED PRINCIPAL DIAGNOSIS WIHTOUT CC

  166        APPENDECTOMY W/O COMPLICATED PRINCIPAL IAGNOSIS W/ CC

  167        APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAGNOSIS W/O CC

  168        MOUTH PROCEDURES W/ CC

  169        MOUTH PROCEDURES W/O CC

  170        OTHER DIGESTIVE SYSTEM OR PROCEDURES W/ CC

  171        OTHER DIGESTIVE SYSTEM OR PROCEDURES W/O CC

  191        PANCREAS, LIVER AND SHUNT PROCEDURES W/ CC

  192        PANCREAS, LIVER AND SHUNT PROCEDURES W/O CC

  193        BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOIMY W/ OR
             W/O COMMON DUCT EXPLORATION W/ CC

  194        BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY W/ OR
             W/O COMMON DUCT EXPLORATION W/O CC

  195        CHOLECYSTECTOMY W/ COMMON DUCT EXPLORATION W/ CC

  196        CHOLECYSTECTOMY W/ COMMON DUCT EXPLORATION W/O CC

  197        CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O COMMON DUCT
             EXPLORATION W/ CC

  198        CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O COMMON DUCT
             EXPORTATION W/O CC

  199        HEPATOBILIARY DIAGNOSTIC PROCEDURE FOR MALIGNANCY

  200        HEPATOBILIARY DIAGNOSTIC PROCEDURE FOR NONMALIGNANCY

  201        OTHER HEPATOBILIARY OR PANCREAS OR PROCEDURES

  209        MAJOR JOINT AND LIMB REATTACHMENT PROCEDURES OF LOWER
             EXTREMITY

  210        HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT PROCEDURES, AGE
             GREATER THAN 17 W/ CC

  211        HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT PROCEDURES, AGE
             GREATER THAN 17 W/O CC

  212        HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT PROCEDURE, AGE
             0-17

  213        AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE
             DISORDERS

  214\*      BACK & NECK PROCEDURES W CC

  215\*      BACK & NECK PROCEDURES W/O CC

  216        BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE

  217        WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR
             MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS

  218        LOWER EXTREMITY AND HUMERUS PROCEURES EXCEPT HIP, FOOT AND
             FEMUR, AGE GREATER THAN 17 W/ CC

  219        LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND
             FEMUR, AGE GREATER THAN 17 W/O CC

  220        LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND
             FEMUR, AGE 0-17

  221\*      KNEE PROCEDURES W CC

  222\*      KNEE PROCEDURES W/O CC

  223        MAJOR SHOULDER/ELBOW PROCEDURES OR OTHER UPPER EXTREMITY
             PROCEDURES W/ CC

  224        SHOULDER, ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT
             PROCEDURES W/O CC

  225        FOOT PROCEDURES

  226        SOFT TISSUE PROCEDURES W/ CC

  227        SOFT TISSUE PROCEDURES W/O CC

  228        MAJOR THUMB OR JOINT PROCEDURES OR OTHER HAND OR WRIST
             PROCEDURES W/ CC

  229        HAND OR WRIST PROCEDURES EXCEPT MAJOR JOINT PROCEDURES W/O
             CC

  230        LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF
             HIP AND FEMUR

  231\*      LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES
             EXCEPT HIP AND FEMUR

  232        ARTHROSCOPY

  233        OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE OR
             PROCEDURES W/ CC

  234        OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE OR
             PROCEDURES W/O CC

  257        TOTAL MASTECTOMY FOR MALIGNANCY W/ CC

  258        TOTAL MASTECTOMY FOR MALIGNANCY W/O CC

  259        SUBTOTAL MASTECTOMY FOR MALIGNANCY W/ CC

  260        SUBTOTAL MASTECTOMY FOR MALIGNANCY W/O CC

  261        BREAST PROCEDURE FOR NONMALIGNANCY EXCEPT BIOPSY AND LOCAL
             EXCISION

  262        BREAST BIOPSY AND LOCAL EXCISION FOR NONMALIGNANCY

  263        SKIN GRAFT AND/OR DEBRIDEMENT FOR SKIN ULCER OR CELLULITIS
             W/ CC

  264        SKIN GRAFT AND OR DEBRIDEMENT FOR SKIN ULCER OR CELLULITIS
             W/O CC

  265        SKIN GRAFT AND OR DEBRIDEMENT EXCEPT FOR SKIN ULCER OR
             CELLULITIS W/ CC

  266        SKIN GRAFT AND/OR DEBRIDEMENT EXCEPT FOR SKIN ULCER OR
             CELLUTLITIES W/O CC

  267        PERIANAL AND PILONIDAL PROCEDURES

  268        SKIN, SUBCUTANEOUS TISSUE AND BREAST PLASTIC PROCEDURES

  269        OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES W/ CC

  270        OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURS W/O CC

  285        AMPUTAETION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND
             METABOLIC DISORDERS

  286        ADRENAL AND PITUITARY PROCEDURES

  287        SKIN GRAFTS AND WOUND DEBRIDEMENTS FOR ENDOCRINE,
             NUTRITIONAL AND METABOLIC DISORDERS

  288        OR PROCEDURES FOR OBESITY

  289        PARATHYROID PROCEDURES

  290        THYROID PROCEDURES

  291        THYROGLOSSAL PROCEDURES

  292        OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC OR PROCEDURES W/
             CC

  293        OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC OR PROCEDURES W/O
             CC

  302        KIDNEY TRANSPLANT

  303        KIDNEY, URETER AND MAJOR BLADDER PROCEDURES FOR NEOPLASM

  304        KIDNEY, URETER AND MAJOR BLADDER PROCEDURES FOR NONNEOPLASMS
             W/ CC

  305        KIDNEY, URETER AND MAJOR BLADDER PROCEDURES FOR NONEOPLSMS
             W/O CC

  306        PROSTATECTOMY W/ CC

  307        PROSTATECTOMY W/O CC

  308        MINOR BLADDER PROCEDURES W/ CC

  309        MINOR BLADDER PROCEDURES W/O CC

  310        TRANSURETHRAL PROCEDURES W/ CC

  311        TRANSURETHRAL PROCEDURES W/O CC

  312        URETHRAL PROCEDURES, AGE GREATER THAN 17 W/ CC

  313        URETHRAL PROCEDURES, AGE GREATER THAN 17 W/O CC

  314        URETHRAL PROCEDURES, AGE 0-17

  315        OTHER KIDNEY AND URINARY TRACT OR PROCEDURES

  334        MAJOR MALE PELVIC PROCEDURES W/ CC

  335        MAJOR MALE PELVIC PROCEDURES W/O CC

  336        TRANSURETHRAL PROSTATECTOMY W/ CC

  337        TRANSURETHRAL PROSTATECTOMY W/O CC

  338        TESTES PROCEDURES FOR MALIGNANCY

  339        TESTES PROCEDURES FOR NONMALIGNANCY, AGE GREATER THAN 17

  340        TESTES PROCEDURES FOR NONMALIGNANCY, AGE 0-17

  341        PENIS PROCEDURES

  342        CIRCUMCISION, AGE GREATER THAN 17

  343        CIRCUMCISION, AGE 0-17

  344        OTHER MALE REPRODUCTIVE SYSTEM OR PROCEDURES FOR MALIGNANCY

  345        OTHER MALE REPRODUCTIVE SYSTEM OR PROCEDURES EXCEPT FOR
             MALIGNANCY

  353        PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL
             VULVECTOMY

  354        UTERINE AND ADNEXA PROCEDURES FOR NONOVARIAN/ADNEXAL
             MALIGNANCY W/ CC

  355        UTERINE AND ADNEXA PROCEDURES FOR NONOVARIAN/ADNEXA
             PROCEDURES W/O CC

  356        FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES

  357        UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL
             MALIGNANCY

  358        UTERINE AND ADNEXA PROCEDURES FOR NONMALIGNANCY W/ CC

  359        UTERINE AND ADNEXA PROCEDURES FOR NONMALIGNANCY W/O CC

  360        VAGINA, CERVIX AND VULVA PROCEDURES

  361        LAPAROSCOPY AND INCISIONAL TUBAL INTERRUPTION

  362        ENDOSCOPIC TUBAL INTERRUPTION

  363        D AND C, CONIZATION AND RADIOIMPLANT FOR MALIGNANCY

  364        D AND C, CONIZATION EXCEPT FOR MALIGNANCY

  365        OTHER FEMALE REPRODUCTIVE SYSTEM OR PROCEDURES

  370        CESAREAN SECTION W/ CC

  371        CESAREAN SECTION W/O CC

  374        VAGINAL DELIVERY W/ STERILIZATION AND/OR D AND C

  375        VAGINAL DELIVERY W/ OR PROCEDURE EXCEPT STERILIZATION AND/OR
             D AND C

  377        POSTPARTUM AND POSTABORTION DIAGNOSES W/ OR PROCEDURE

  381        ABORTION W/ D AND C ASPIRATION CURETTAGE OR HYSTERECTOMY

  392        SPLENECTOMY, AGE GREATER THAN 17

  393        SPLENECTOMY, AGE 0-17

  394        OTHER OR PROCEDURES OF THE BLOOD AND BLOOD-FORMING ORGANS

  400\*      LYMPHOMA AND LEUKEMIA W/ MAJOR OR PROCEDURES

  401        LYMPHOMA AND NONACUTE LEUKEMIA W/ OTHER OR PROCEDURE W/ CC

  402        LYMPHOMA AND NONACUTE LEUKEMIA W/ OTHER OR PROCEDURE W/O CC

  406        MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED
             NEOPLASMS W/ MAJOR OR PROCEDURES W/ CC

  407        MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED
             NEOPLASMS W/ MAJOR OR PROCEDURES W/O CC

  408        MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED
             NEOPLASMS W/ OTHER OR PROCEDURES

  415        OR PROCEDURE FOR INFECTIOUS AND PARASITIC DISEASES

  424        OR PROCEDURES W/ PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS

  439        SKIN GRAFTS FOR INJURIES

  440        WOUND DEBRIDEMENTS FOR INJURIES

  441        HAND PROCEDURES FOR INJURIES

  442        OTHER OR PROCEDURES FOR INJURIES W/ CC

  443        OTHER OR PROCEDURES FOR INJURIES W/O CC

  458\*      NON-EXTENSIVE BURNS W SKIN GRAFT

  459\*      NON-EXTENSIVE BURNS W WOUND DEBRIDEMENT OR OTHER O.R. PROC

  461        OR PROCEDURES W/ DIAGNOSES OF OTHER CONTACT W/ HEALTH
             SERVICES

  468        EXTENSIVE OR PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

  471        BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER
             EXTREMITY

  472\*      EXTENSIVE BURNS W O.R. PROCEDURE

  476        PROSTATIC OR PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

  477        NONEXTENSIVE OR PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

  478        OTHER VASCULAR PROCEDURES W/ CC

  479        OTHER VASCULAR PROCEDURES W/O CC

  480        LIVER TRANSPLANT

  481        BONE MARROW TRANSPLANT

  482        TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES

  483\*      TRACHEOSTOMY EXCEPT FOR FACE, MOUTH AND NECK DIAGNOSES

  484        CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

  485        LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE
             SIGNIFICANT TRAUMA

  486        OTHER OR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

  488        HIV W/ EXTENSIVE OR PROCEDURE

  491        MAJOR JOINT AND LIMB REATTACHMENT PROCEDURES OF UPPER
             EXTREMITY

  493        LAPAROSCOPIC CHOLECYSTECTOMY W/O COMMON DUCT EXPLORATION W/
             CC

  494        LAPAROSCOPIC CHOLECYSTECTOMY W/O COMMON DUCT EXPLORATION W/O
             CC

  495        LUNG TRANSPLANT

  496        COMBINED ANTERIOR/POSTERIOR SPINAL FUSION

  497        SPINAL FUSION W/ CC

  498        SPINAL FUSION W/O CC

  499        BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION W/ CC

  500        BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION W/O CC

  501        KNEE PROCEDURES W/ PRINCIPAL DIAGNOSIS OF INFECTION, W/ CC

  502        KNEE PROCEDURES W/ PRINCIPAL DIAGNOSIS OF INFECTION, W/O CC

  503        KNEE PROCEDURES W/O PRINCIPAL DIAGNOSIS OF INFECTION

  504        EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT

  506        FULL THICKNESS BURN W SKIN GRAFT OR INHAL INJ W CC OR SIG
             TRAUMA

  507        FULL THICKNESS BURN W SKIN GRFT OR INHAL INJ W/O CC OR SIG
             TRAUMA

  512        SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT

  513        PANCREAS TRANSPLANT

  514\*      CARDIAC DEFIBRILLATOR IMPLANT W CARDIAC CATH

  515        CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH

  516        PERCUTANEOUS CARDIOVASC PROC W AMI

  517        PERC CARDIO PROC W NON-DRUG ELUTING STENT W/O AMI

  518        PERC CARDIO PROC W/O CORONARY ARTERY STENT OR AMI

  519        CERVICAL SPINAL FUSION W CC

  520        CERVICAL SPINAL FUSION W/O CC

  525        HEART ASSIST SYSTEM IMPLANT (OCT 02)

  526        PERCUTNEOUS CARDIOVASULAR PROC W DRUG ELUTING STENT W AMI
             (APR 03)

  527        PERCUTNEOUS CARDIOVASULAR PROC W DRUG ELUTING STENT W/O AMI
             (APR 03)

  528        INTRACRANIAL VASCULAR PROC W PDX HEMORRHAGE (OCT 03)

  529        VENTRICULAR SHUNT PROCEDURES W CC (OCT 03)

  530        VENTRICULAR SHUNT PROCEDURES W/O CC (OCT 03)

  531        SPINAL PROCEDURES W CC (OCT 03)

  532        SPINAL PROCEDURES W/O CC (OCT 03)

  533        EXTRACRANIAL PROCEDURES W CC (OCT 03)

  534        EXTRACRANIAL PROCEDURES W/O CC (OCT 03)

  535        CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK (OCT 03)

  536        CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK (OCT
             03)

  537        LOCAL EXCIS & REMOV OF INT FIX DEV EXCEPT HIP & FEMUR W CC
             (OCT 03)

  538        LOCAL EXCIS & REMOV OF INT FIX DEV EXCEPT HIP & FEMUR W/O CC
             (OCT 03)

  539        LYMPHOMA & LEUKEMIA W MAJOR OR PROCEDURE W CC (OCT 03)

  540        LYMPHOMA & LEUKEMIA W MAJOR OR PROCEDURE W/O CC (OCT 03)

  541        TRACH W MV 96+HRS OR PDX EXC FACE, MTH, FACE & NECK DX W/MAJ
             OR (OCT 04)

  542        TRACH W MV 96+HRS OR PDX EXC FACE, MTH, FACE & NECK DX W/O
             MJ OR (OCT 04)

  543        CRANIOTOMY WITH IMPLANTATION OF CHEMOTHERAPEUTIC AGENT OR
             ACUTE COMPLEX CENTRAL NERVOUS SYSTEM PRINCIPAL DIAGNOSIS
             (OCT 04)

  544        MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY
             (OCT 05)

  545        REVISION OF HIP OR KNEE REPLACEMENT (OCT 05)

  546        SPINAL FUSION EXC CERV WITH CURVATURE OF THE SPINE OR MALIG
             (OCT 05)

  547        CORONARY BYPASS W CARDIAC CATH W MAJOR CV DX (OCT 05)

  548        CORONARY BYPASS W CARDIAC CATH W/O MAJOR CV DX (OCT 05)

  549        CORONARY BYPASS W/O CARDIAC CATH W MAJOR CV DX

  550        CORONARY BYPASS W/O CARDIAC CATH W/O MAJOR CV DX (OCT 05)

  551        PERMANENT CARDIAC PACEMAKER IMPL W MAJ CV DX OR AICD LEAD OR
             GNRTR (OCT 05)

  552        OTHER PERMANENT CARDIAC PACEMAKER IMPLANT W/O MAJOR CV DX
             (OCT 05)

  553        OTHER VASCULAR PROCEDURES W CC W MAJOR CV DX (OCT 05)

  554        OTHER VASCULAR PROCEDURES W CC W/O MAJOR CV DX (OCT 05)

  555        PERCUTANEOUS CARDIOVASCULAR PROC W MAJOR CV DX (OCT 05)

  556        PERCUTANEOUS CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O
             MAJ CV DX (OCT 05)

  557        PERCUTANEOUS CARDIOVASCULAR PROC W DRUG-ELUTING STENT W
             MAJOR CV DX (OCT 05)

  558        PERCUTANEOUS CARDIOVASCULAR PROC W DRUG-ELUTING STENT W/O
             MAJ CV DX (OCT 05)
  ---------- ------------------------------------------------------------

\* No longer valid in FY2005

####### 

######### Appendix C: ICD-9-CM Trauma Diagnosis Codes

These codes are used by the following PSIs:

+-----------------------------------+-----------------------------------+
| **PSI**                           | **How Used**                      |
+-----------------------------------+-----------------------------------+
| [Death in Low-Mortality DRGs (PSI | [Denominator                      |
| 2)](#dea                          | exclusion](#PSI2Exclude) - Page   |
| th-in-low-mortality-drgs-psi-2) - | [5](#PSI2Exclude)                 |
| Page                              |                                   |
| [3](#d                            |                                   |
| eath-in-low-mortality-drgs-psi-2) |                                   |
+-----------------------------------+-----------------------------------+
| [Failure to Rescue (PSI           | [FTR 1 Denominator exclusion -    |
| 4)](#failure-to-rescue-psi-4) -   | Page                              |
| Page                              | [8](#FTR1Exclude)](#FTR1Exclude)  |
| [7](#failure-to-rescue-psi-4)     |                                   |
|                                   | [FTR 5 Denominator                |
|                                   | exclusion](#FTR5Trauma) - Page    |
|                                   | [12](#FTR5Hem)                    |
|                                   |                                   |
|                                   | [FTR 6 Denominator                |
|                                   | exclusion](#FTR6Trauma) - Page    |
|                                   | [14](#FTR6Trauma)                 |
+-----------------------------------+-----------------------------------+
| [Postoperative Hip Fracture (PSI  | [Denominator                      |
| 8)](#po                           | exclusion](#PSI8Denom) - Page     |
| stoperative-hip-fracture-psi-8) - | [21](#PSI8Exclude)                |
| Page                              |                                   |
| [21](#                            |                                   |
| postoperative-hip-fracture-psi-8) |                                   |
+-----------------------------------+-----------------------------------+

In the table above, control-click (Word) or click (PDF) the **PSI** name
to go to the start of that detailed definition. Click the link in the
**How Used** column to go to where the ICD-9-CM trauma diagnosis codes
are referenced within the PSI detailed definition.

*ICD-9-CM Trauma diagnosis codes (includes 4^th^ and 5^th^ digits), New
codes are listed through 5^th^ digit:*

800 FRACTURE OF VAULT OF SKULL

801 FRACTURE OF BASE OF SKULL

802 FRACTURE OF FACE BONES

803 OTHER AND UNQUALIFIED SKULL FRACTURES

804 MULTIPLE FRACTURES INVOLVING SKULL OR FACE W/ OTHER BONES

805 FRACTURE OF VERTEBRAL COLUMN W/O MENTION OF SPINAL CORD INJURY

806 FRACTURE OF VERTEBRAL COLUMN W/ SPINAL CORD INJURY

807 FRACTURE OF RIB\[S\] STERNUM, LARYNX, AND TRACHEA

808 FRACTURE OF PELVIS

809 ILL-DEFINED FRACTURES OF BONES OF TRUNK

810 FRACTURE OF CLAVICLE

811 FRACTURE OF SCAPULA

812 FRACTURE OF HUMERUS

813 FRACTURE OF RADIUS AND ULNA

814 FRACTURE OF CARPAL BONE\[S\]

815 FRACTURE OF METACARPAL BONE\[S\]

817 MULTIPLE FRACTURE OF HAND BONES

818 ILL-DEFINED FRACTURES OF UPPER LIMB

819 MULTIPLE FRACTURES INVOLVING BOTH UPPER LIMBS, AND UPPER LIMB W/ RIB
AND STERNUM

820 FRACTURE OF NECK OF FEMUR

821 FRACTURE OF OTHER AND UNSPECIFIED PARTS OF FEMUR

822 FRACTURE OF PATELLA

823 FRACTURE OF TIBIA AND FIBULA

824 FRACTURE OF ANKLE

825 FRACTURE OF ONE OR MORE TARSAL AND METATARSAL BONES

827 OTHER, MULTIPLE, AND ILL-DEFINED FRACTURES OF LOWER LIMB

828 MULTIPLE FRACTURES INVOLVING BOTH LOWER LIMBS, LOWER W/ UPPER LIMB,
AND LOWER LIMB W/ RIB AND STERNUM

829 FRACTURE OF UNSPECIFIED BONES

830 DISLOCATION OF JAW

831 DISLOCATION OF SHOULDER

832 DISLOCATION OF ELBOW

833 DISLOCATION OF WRIST

835 DISLOCATION OF HIP

836 DISLOCATION OF KNEE

837 DISLOCATION OF ANKLE

838 DISLOCATION OF FOOT

839 OTHER, MULTIPLE, AND ILL-DEFINED DISLOCATIONS

850 CONCUSSION

85011 CONCUSSION W/ BRIEF COMA \<31 MINUTES (OCT 03)

85012 CONCUSSION W/ BRIEF COMA 31-59 MINUTES (OCT 03)

851 CEREBRAL LACERATION AND CONTUSION

852 SUBARACHNOID, SUBDURAL, AND EXTRADURAL HEMORRHAGE, FOLLOWING INJURY

853 OTHER AND UNSPECIFIED INTRACRANIAL HEMORRHAGE FOLLOWING INJURY

854 INTRACRANIAL INJURY OF OTHER AND UNSPECIFIED NATURE

860 TRAUMATIC PNEUMOTHORAX

861 INJURY TO HEART AND LUNG

862 INJURY TO OTHER AND UNSPECIFIED INTRATHORACIC ORGANS

863 INJURY TO GASTROINTESTINAL TRACT

864 INJURY TO LIVER

865 INJURY TO SPLEEN

866 INJURY TO KIDNEY

867 INJURY TO PELVIC ORGANS

868 INJURY TO OTHER INTRA-ABDOMINAL ORGANS

869 INTERNAL INJURY TO UNSPECIFIED OR ILL-DEFINED ORGANS

870 OPEN WOUND OF OCULAR ADNEXA

871 OPEN WOUND OF EYEBALL

872 OPEN WOUND OF EAR

873 OTHER OPEN WOUND OF HEAD

874 OPEN WOUND OF NECK

875 OPEN WOUND OF CHEST \[WALL\]

876 OPEN WOUND OF BACK

877 OPEN WOUND OF BUTTOCK

878 OPEN WOUND OF GENITAL ORGANS \[EXTERNAL\] INCLUDING TRAUMATIC
AMPUTATION

879 OPEN WOUND OF OTHER AND UNSPECIFIED SITES, EXCEPT LIMBS

880 OPEN WOUND OF SHOULDER AND UPPER ARM

881 OPEN WOUND OF ELBOW, FOREARM, AND WRIST

882 OPEN WOUND OF HAND EXCEPT FINGER ALONE

884 MULTIPLE AND UNSPECIFIED OPEN WOUND OF UPPER LIMB

887 TRAUMATIC AMPUTATION OF ARM AND HAND (COMPLETE) (PARTIAL)

890 OPEN WOUND OF HIP AND THIGH

891 OPEN WOUND OF KNEE, LEG (EXCEPT THIGH) AND ANKLE

892 OPEN WOUND OF FOOT EXCEPT TOE ALONE

894 MULTIPLE AND UNSPECIFIED OPEN WOUND OF LOWER LIMB

896 TRAUMATIC AMPUTATION OF FOOT (COMPLETE) (PARTIAL)

897 TRAUMATIC AMPUTATION OF LEG\[S\] (COMPLETE) (PARTIAL)

900 INJURY TO BLOOD VESSELS OF HEAD AND NECK

901 INJURY TO BLOOD VESSELS OF THORAX

902 INJURY TO BLOOD VESSELS OF ABDOMEN AND PELVIS

903 INJURY TO BLOOD VESSELS OF UPPER EXTREMITY

904 INJURY TO BLOOD VESSELS OF LOWER EXTREMITY AND UNSPECIFIED SITES

925 CRUSHING INJURY OF FACE, SCALP, AND NECK

926 CRUSHING INJURY OF TRUNK

927 CRUSHING INJURY OF UPPER LIMB

928 CRUSHING INJURY OF LOWER LIMB

929 CRUSHING INJURY OF MULTIPLE AND UNSPECIFIED SITES

940 BURN CONFINED TO EYE AND ADNEXA

941 BURN OF FACE, HEAD, AND NECK

942 BURN OF TRUNK

943 BURN OF UPPER LIMB, EXCEPT WRIST AND HAND

944 BURN OF WRIST\[S\] AND HAND\[S\]

945 BURN OF LOWER LIMB\[S\]

946 BURNS OF MULTIPLE SPECIFIED SITES

947 BURN OF INTERNAL ORGANS

948 BURNS CLASSIFIED ACCORDING TO EXTENT OF BODY SURFACE INVOLVED

949 BURN, UNSPECIFIED

952 SPINAL CHORD INJURY W/O EVIDENCE OF SPINAL BONE INJURY

953 INJURY TO NERVE ROOTS AND SPINAL PLEXUS

958 CERTAIN EARLY COMPLICATIONS OF TRAUMA

####### 

######### Appendix D: ICD-9-CM Codes for Immunocompromised States

These codes are used by the following PSIs:

+-------------------------------------+--------------------------------+
| **PSI**                             | **How Used**                   |
+-------------------------------------+--------------------------------+
| [Death in Low-Mortality DRGs (PSI   | [Denominator                   |
| 2)](#d                              | exclusion](#PSI2Exclude) -     |
| eath-in-low-mortality-drgs-psi-2) - | Page [5](#PSI2Exclude)         |
| Page                                |                                |
| [3](                                |                                |
| #death-in-low-mortality-drgs-psi-2) |                                |
+-------------------------------------+--------------------------------+
| [Failure to Rescue (PSI             | [FTR 3 Denominator             |
| 4)](#failure-to-rescue-psi-4) -     | exclusion](#FTR3Immuno) - Page |
| Page [7](#failure-to-rescue-psi-4)  | [10](#FTR3Immuno)              |
|                                     |                                |
|                                     | [FTR 4 Denominator             |
|                                     | exclusion](#FTR4Exclude) -     |
|                                     | Page [10](#FTR4Exclude)        |
+-------------------------------------+--------------------------------+
| [Selected Infections Due to Medical | [Denominator                   |
| Care, Secondary Diagnosis Field     | exclusion](#PSI7Denom) - Page  |
| (PSI 7 and                          | [21](#PSI7Denom)               |
| 23)](#selected-in                   |                                |
| fections-due-to-medical-care-second |                                |
| ary-diagnosis-field-psi-7-and-23) - |                                |
| Page                                |                                |
| [20](#selected-                     |                                |
| infections-due-to-medical-care-seco |                                |
| ndary-diagnosis-field-psi-7-and-23) |                                |
+-------------------------------------+--------------------------------+
| [Postoperative Sepsis (PSI          | [Denominator                   |
| 1                                   | exclusion](#PSI13Denom) - Page |
| 3)](#postoperative-sepsis-psi-13) - | [30](#PSI13Denom)              |
| Page                                |                                |
| [30](#postoperative-sepsis-psi-13)  |                                |
+-------------------------------------+--------------------------------+
| [Postoperative Wound Dehiscence,    | [Denominator                   |
| Secondary Diagnosis Field (PSI 14   | exclusion](#PSI14Denom) - Page |
| and                                 | [31](#PSI14Denom)              |
| 24))](#postoperativ                 |                                |
| e-wound-dehiscence-psi-14-and-24) - |                                |
| Page                                |                                |
| [31](#postoperat                    |                                |
| ive-wound-dehiscence-psi-14-and-24) |                                |
+-------------------------------------+--------------------------------+

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

*ICD-9-CM Immunocompromised States diagnosis codes:*

  ---------- ------------------------------------------------------------
  042        HUMAN IMMUNODEFICIENCY VIRUS DISEASE

  1363       PNEUMOCYSTOSIS

  260        KWASHIORKOR (OCT 05)

  261        NUTRITIONAL MARASMUS (OCT 05)

  262        OTH SEVERE MALNUTRITION (OCT 05)

  27900      HYPOGAMMAGLOBULINEM NOS

  27901      SELECTIVE IGA IMMUNODEF

  27902      SELECTIVE IGM IMMUNODEF

  27903      SELECTIVE IG DEFIC NEC

  27904      CONG HYPOGAMMAGLOBULINEM

  27905      IMMUNODEFIC W HYPER-IGM

  27906      COMMON VARIABL IMMUNODEF

  27909      HUMORAL IMMUNITY DEF NEC

  27910      IMMUNDEF T-CELL DEF NOS

  27911      DIGEORGES SYNDROME

  27912      WISKOTT-ALDRICH SYNDROME

  27913      NEZELOFS SYNDROME

  27919      DEFIC CELL IMMUNITY NOS

  2792       COMBINED IMMUNITY DEFICIENCY

  2793       UNSPECIFIED IMMUNITY DEFICIENCY

  2794       AUTOIMMUNE DISEASE, NOT ELSEWHERE CLASSIFIED

  2798       OTHER SPECIFIED DISORDERS INVOLVING THE IMMUNE MECHANISM

  2799       UNSPECIFIED DISORDER OF IMMUNE MECHANISM

  2880       AGRANULOCYTOSIS (OCT 05)

  2881       FUNCTION DIS NEUTROPHILS (OCT 05)

  2882       GENETIC ANOMALY LEUKOCYT (OCT 05)

  40301      MAL HYP KIDNEY W CHR KID (OCT 05)

  40311      BEN HYP KIDNEY W CHR KID (OCT 05)

  40391      HYP KIDNEY NOS W CHR KID (OCT 05)

  40402      MAL HY HRT/KID W CHR KID (OCT 05)

  40403      MAL HYP HRT/KID W HF/KID (OCT 05)

  40412      BEN HYP HT/KID W CHR KID (OCT 05)

  40413      BEN HYP HT/KID W HF/KID (OCT 05)

  40492      HYP HT/KID NOS W CHR KID (OCT 05)

  40493      HYP HRT/KID NOS W HF/KID (OCT 05)

  5793       INTEST POSTOP NONABSORB (OCT 05)

  585        CHRONIC KIDNEY DISEASE (OCT 05)

  5855       CHRON KIDNEY DIS STAGE V (OCT 05)

  5856       END STAGE RENAL DISEASE (OCT 05)

  9968       COMPLICATIONS OF TRANSPLANTED ORGAN

  99680      COMP ORGAN TRANSPLNT NOS

  99681      COMPL KIDNEY TRANSPLANT

  99682      COMPL LIVER TRANSPLANT

  99683      COMPL HEART TRANSPLANT

  99684      COMPL LUNG TRANSPLANT

  99685      COMPL MARROW TRANSPLANT

  99686      COMPL PANCREAS TRANSPLNT

  99687      COMP INTESTINE TRANSPLNT

  99689      COMP OTH ORGAN TRANSPLNT

  V420       KIDNEY REPLACED BY TRANSPLANT

  V421       HEART REPLACED BY TRANSPLANT

  V426       LUNG REPLACED BY TRANSPLANT

  V427       LIVER REPLACED BY TRANSPLANT

  V428       OTHER SPECIFIED ORGAN OR TISSUE

  V4281      BONE MARROW SPECIFIED BY TRANSPLANT

  V4282      PERIPHERAL STEM CELLS REPLACED BY TRANSPLANT

  V4283      PANCREAS REPLACED BY TRANSPLANT

  V4284      INTESTINES REPLACE BY TRANSPLANT

  V4289      OTHER REPLACED BY TRANSPLANT

  V451       RENAL DIALYSIS STATUS (OCT 05)

  V560       RENAL DIALYSIS ENCOUNTER (OCT 05)

  V561       FT/ADJ XTRCORP DIAL CATH (OCT 05)

  V562       FIT/ADJ PERIT DIAL CATH (OCT 05)
  ---------- ------------------------------------------------------------

*ICD-9-CM Immunocompromised States procedure codes:*

  ---------- ------------------------------------------------------------
  0018       INFUS IMMUNOSUP ANTIBODY (OCT 05)

  335        LUNG TRANSPLANTATION

  3350       LUNG TRANSPLANTATION, NOS

  3351       UNILATERAL LUNG TRANSPLANTATION

  3352       BILATERAL LUNG TRANSPLANTATION

  336        COMBINED HEART-LUNG TRANSPLANTATION

  375        HEART TRANSPLANTATION

  3751       HEART TRANSPLANTATION (OCT 03)

  410        OPERATIONS ON BONE MARROW AND SPLEEN

  4100       BONE MARROW TRANSPLANT, NOS

  4101       AUTOLOGOUS BONE MARROW TRANSPLANT W/O PURGING

  4102       ALLOGENEIC BONE MARROW TRANSPLANT W/ PURGING

  4103       ALLOGENEIC BONE MARROW TRANSPLANT W/O PURGING

  4104       AUTOLOGOUS HEMATOPOIETIC STEM CELL TRANSPLANT W/O PURGING

  4105       ALLOGENEIC HEMATOPOIETIC STEM CELL TRANSPLANT W/O PURGING

  4106       CORD BLOOD STEM CELL TRANSPLANT

  4107       AUTOLOGOUS HEMATOPOIETIC STEM CELL TRANSPLANT W/ PURGING

  4108       ALLOGENEIC HEMATOPOIETIC STEM CELL TRANSPLANT W/ PURGING

  4109       AUTOLOGOUS BONE MARROW TRANSPLANT W/ PURGING

  5051       AUXILIARY LIVER TRANSPLANT

  5059       LIVER TRANSPLANT, NEC

  5280       PANCREATIC TRANSPLANT, NOS

  5281       REIMPLANTATION OF PANCREATIC TISSUE

  5282       HOMOTRANSPLANT OF PANCREAS

  5283       HETEROTRANSPLANT OF PANCREAS

  5285       ALLOTRANSPLANTATION OF CELLS OF ISLETS OF LANGERHANS

  5286       TRANSPLANTATION OF CELLS OF ISLETS OF LANGERHANS, NOS

  5569       OTHER KIDNEY TRANSPLANTATION
  ---------- ------------------------------------------------------------

####### 

######### Appendix E: Cancer Codes

These codes are used by the following PSIs:

  ----------------------------------------------------------------------------------------- -------------------------------
  **PSI**                                                                                   **How Used**

  [Death in Low-Mortality DRGs (PSI 2)](#death-in-low-mortality-drgs-psi-2) - Page          [Denominator
  [3](#death-in-low-mortality-drgs-psi-2)                                                   exclusion](#PSI2Exclude) - Page
                                                                                            [5](#PSI2Exclude)

  [Selected Infections Due to Medical Care, Secondary Diagnosis Field (PSI 7 and            [Denominator
  23)](#selected-infections-due-to-medical-care-secondary-diagnosis-field-psi-7-and-23) -   exclusion](#PSI7Denom) - Page
  Page                                                                                      [21](#PSI7Denom)
  [20](#selected-infections-due-to-medical-care-secondary-diagnosis-field-psi-7-and-23)     

  [Postoperative Sepsis (PSI 13)](#postoperative-sepsis-psi-13) - Page                      [Denominator
  [30](#postoperative-sepsis-psi-13)                                                        exclusion](#PSI13Denom) - Page
                                                                                            [30](#PSI13Denom)
  ----------------------------------------------------------------------------------------- -------------------------------

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

*ICD-9-CM Cancer diagnosis codes (includes 4^th^ and 5^th^ digits):*

  ---------- ------------------------------------------------------------
  140        MALIGNANT NEOPLASM OF LIP

  141        MALIGNANT NEOPLASM OF TONGUE

  142        MALIGNANT NEOPLASM OF MAJOR SALIVARY GLANDS

  143        MALIGNANT NEOPLASM OF GUM

  144        MALIGNANT NEOPLASM OF FLOOR OF MOUTH

  145        MALIGNANT NEOPLASM OF OTHER AND UNSPECIFIED PARTS OF MOUTH

  146        MALIGNANT NEOPLASM OF OROPHARYNX

  147        MALIGNANT NEOPLASM OF NASOPHARYNX

  148        MALIGNANT NEOPLASM OF HYPOPHARYNX

  149        MALIGNANT NEOPLASM OF OTHER AND ILL-DEFINED SITES WITHIN THE
             LIP, ORAL CAVITY, AND PHARYNX

  150        MALIGNANT NEOPLASM OF ESOPHAGUS

  151        MALIGNANT NEOPLASM OF STOMACH

  152        MALIGNANT NEOPLASM OF SMALL INTESTINE, INCLUDING DUODENUM

  153        MALIGNANT NEOPLASM OF COLON

  154        MALIGNANT NEOPLASM OF RECTUM, RECTOSIGMOID JUNCTION, AND
             ANUS

  155        MALIGNANT NEOPLASM OF LIVER AND INTRAHEPATIC BILE DUCTS

  156        MALIGNANT NEOPLASM OF GALLBLADDER AND EXTRAHEPATIC BILE
             DUCTS

  157        MALIGNANT NEOPLASM OF PANCREAS

  158        MALIGNANT NEOPLASM OF RETROPERITONEUM AND PERITONEUM

  159        MALIGNANT NEOPLASM OF OTHER AND ILL-DEFINED SITES WITHIN THE
             DIGESTIVE ORGANS AND PERITONEUM

  160        MALIGNANT NEOPLASM OF NASAL CAVITIES, MIDDLE EAR, AND
             ACCESSORY SINUSES

  161        MALIGNANT NEOPLASM OF LARYNX

  162        MALIGNANT NEOPLASM OF TRACHEA, BRONCHUS, AND LUNG

  163        MALIGNANT NEOPLASM OF PLEURA

  164        MALIGNANT NEOPLASM OF THYMUS, HEART, AND MEDIASTINUM

  165        MALIGNANT NEOPLASM OF OTHER AND ILL-DEFINED SITES WITHIN THE
             RESPIRATORY SYSTEM AND INTRATHORACIC ORGANS

  170        MALIGNANT NEOPLASM OF BONE AND ARTICULAR CARTILAGE

  171        MALIGNANT NEOPLASM OF CONNECTIVE AND OTHER SOFT TISSUE

  172        MALIGNANT MELANOMA OF SKIN

  174        MALIGNANT NEOPLASM OF FEMALE BREAST

  175        MALIGNANT NEOPLASM OF MALE BREAST

  176        KARPOSI'S SARCOMA

  179        MALIGNANT NEOPLASM OF UTERUS, PART UNSPECIFIED

  180        MALIGNANT NEOPLASM OF CERVIX UTERI

  181        MALIGNANT NEOPLASM OF PLACENTA

  182        MALIGNANT NEOPLASM OF BODY OF UTERUS

  183        MALIGNANT NEOPLASM OF OVARY AND OTHER UTERINE ADNEXA

  184        MALIGNANT NEOPLASM OF OTHER AND UNSPECIFIED FEMALE GENITAL
             ORGANS

  185        MALIGNANT NEOPLASM OF PROSTATE

  186        MALIGNANT NEOPLASM OF TESTES

  187        MALIGNANT NEOPLASM OF PENIS AND OTHER MALE GENITAL ORGANS

  188        MALIGNANT NEOPLASM OF BLADDER

  189        MALIGNANT NEOPLASM OF KIDNEY AND OTHER AND UNSPECIFIED
             URINARY ORGANS

  190        MALIGNANT NEOPLASM OF EYE

  191        MALIGNANT NEOPLASM OF BRAIN

  192        MALIGNANT NEOPLASM OF OTHER AND UNSPECIFIED PARTS OF NERVOUS
             SYSTEM

  193        MALIGNANT NEOPLASM OF THYROID GLAND

  194        MALIGNANT NEOPLASM OF OTHER ENDOCRINE GLANDS AND RELATED
             STRUCTURES

  195        MALIGNANT NEOPLASM OF OTHER, AND ILL-DEFINED SITES

  196        SECONDARY AND UNSPECIFIED MALIGNANT NEOPLASM OF LYMPH NODES

  197        SECONDARY MALIGNANT NEOPLASM OF RESPIRATORY AND DIGESTIVE
             SYSTEMS

  198        SECONDARY MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES

  199        MALIGNANT NEOPLASM W/O SPECIFICATION OF SITE

  200        LYMPHOSARCOMA AND RETICULOSARCOMA

  201        HODGKIN'S DISEASE

  202        OTHER MALIGNANT NEOPLASMS OF LYMPHOID AND HISTIOCYTIC
             TISSUES

  203        MULTIPLE MYELOMA AND IMMUNOPROLIFERATIVE NEOPLASMS

  204        LYMPHOID LEUKEMIA

  205        MYELOID LEUKEMIA

  206        MONOCYTIC LEUKEMIA

  207        OTHER SPECIFIED LEUKEMIA

  208        LEUKEMIA OF UNSPECIFIED CELL TYPE

  2386       NEOPLASM OF UNCERTAIN BEHAVIOR OF OTHER AND UNSPECIFIED
             SITES AND TISSUES, PLASMA CELLS

  2733       MACROGLOBULINEMIA
  ---------- ------------------------------------------------------------

Personal history of malignant neoplasm:

  ------------ ----------------------------------------------------------
  V1000        GASTROINTESTINAL TRACT, UNSPECIFIED

  V1001        TONGUE

  V1002        OTHER AND UNSPECIFIED ORAL CAVITY AND PHARYNX

  V1003        ESOPHAGUS

  V1004        STOMACH

  V1005        LARGE INTESTINE

  V1006        RECTUM, RECTOSIGMOID JUNCTION, AND ANUS

  V1007        LIVER

  V1009        OTHER

  V1011        BRONCHUS AND LUNG

  V1012        TRACHEA

  V1020        RESPIRATORY ORGAN, UNSPECIFIED

  V1021        LARYNX

  V1022        NASAL CAVITIES, MIDDLE EAR, AND ACCESSORY SINUSES

  V1029        OTHER RESPIRATORY AND INTRATHORACIC ORGANS, OTHER

  V103         BREAST

  V1040        FEMALE GENITAL ORGAN, UNSPECIFIED

  V1041        CERVIX UTERI

  V1042        OTHER PARTS OF UTERUS

  V1043        OVARY

  V1044        OTHER FEMALE GENITAL ORGANS

  V1045        MALE GENITAL ORGAN, UNSPECIFIED

  V1046        PROSTATE

  V1047        TESTES

  V1048        EPIDIDYMIS

  V1049        OTHER MALE GENITAL ORGANS

  V1050        URINARY ORGAN, UNSPECIFIED

  V1051        BLADDER

  V1052        KIDNEY

  V1053        RENAL PELVIS

  V1059        URINARY ORGANS, OTHER

  V1060        LEUKEMIA, UNSPECIFIED

  V1061        LYMPHOID LEUKEMIA

  V1062        MYELOID LEUKEMIA

  V1063        MONOCYTIC LEUKEMIA

  V1069        LEUKEMIA, OTHER

  V1071        LYMPHOSARCOMA AND RETICULOSARCOMA

  V1072        HODGKIN'S DISEASE

  V1079        OTHER LYMPHATIC AND HEMATOPOIETIC NEOPLASMS, OTHER

  V1081        BONE

  V1082        MALIGNANT MELANOMA OF SKIN

  V1083        OTHER MALIGNANT NEOPLASM OF SKIN

  V1084        EYE

  V1085        BRAIN

  V1086        OTHER PARTS OF NERVOUS SYSTEM

  V1087        THYROID

  V1088        OTHER ENDOCRINE GLANDS AND RELATED STRUCTURES

  V1089        OTHER

  V109         UNSPECIFIED PERSONAL HISTORY OF MALIGNANT NEOPLASM
  ------------ ----------------------------------------------------------

####### 

######### Appendix F: Medical Discharge DRGs

These codes are used by the following PSIs:

  ----------------------------------------------------------------------------------------- ----------------------------
  **PSI**                                                                                   **How Used**

  [Decubitus Ulcer (PSI 3)](#decubitus-ulcer-psi-3) - Page [5](#decubitus-ulcer-psi-3)      [Denominator
                                                                                            inclusion](#PSI3Denom) -
                                                                                            Page [5](#PSI3Denom)

  [Foreign Body Left during Procedure, Secondary Diagnosis Field (PSI 5 and                 [Denominator
  21)](#foreign-body-left-during-procedure-secondary-diagnosis-field-psi-5-and-21) - Page   inclusion](#PSI5Denom) -
  [14](#foreign-body-left-during-procedure-secondary-diagnosis-field-psi-5-and-21)          Page [15](#PSI5Denom)

  [Iatrogenic Pneumothorax, Secondary Diagnosis Field (PSI 6 and                            [Denominator
  22)](#iatrogenic-pneumothorax-secondary-diagnosis-field-psi-6-and-22) - Page              inclusion](#psi6denom) -
  [15](#iatrogenic-pneumothorax-secondary-diagnosis-field-psi-6-and-22)                     Page [15](#psi6denom)

  [Selected Infections Due to Medical Care, Secondary Diagnosis Field (PSI 7 and            [Denominator
  23)](#selected-infections-due-to-medical-care-secondary-diagnosis-field-psi-7-and-23) -   inclusion](#PSI7Denom) -
  Page                                                                                      Page [21](#PSI7Denom)
  [20](#selected-infections-due-to-medical-care-secondary-diagnosis-field-psi-7-and-23)     

  [Accidental Puncture or Laceration, Secondary Diagnosis Field (PSI 15 and                 [Denominator
  25)](#accidental-puncture-or-laceration-secondary-diagnosis-field-psi-15-and-25) - Page   inclusion](#PSI15Denom) -
  [37](#accidental-puncture-or-laceration-secondary-diagnosis-field-psi-15-and-25)          Page [38](#PSI15Denom)

  [Transfusion Reaction, Secondary Diagnosis Field (PSI 16 and                              [Denominator
  26)](#transfusion-reaction-secondary-diagnosis-field-psi-16-and-26) - Page                inclusion](#PSI16Denom) -
  [38](#transfusion-reaction-secondary-diagnosis-field-psi-16-and-26)                       Page [39](#PSI16Denom)
  ----------------------------------------------------------------------------------------- ----------------------------

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

*Medical Discharge DRGs:*

  ---------- ------------------------------------------------------------
  009        SPINAL DISORDERS AND INJURIES

  010        NERVOUS SYSTEM NEOPLASMS W/ CC

  011        NERVOUS SYSTEM NEOPLASMS W/ CC

  012        DEGENERATIVE NERVOUS SYSTEM DISORDERS

  013        MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA

  014        SPECIFIC CEREBROVASCULAR DISORDERS EXCEPT TRANSIENT ISCHEMIC
             ATTACK

  015        TRANSIENT ISCHEMIC ATTACK AND PRECEREBRAL OCCLUSIONS

  016        NONSPECIFIC CEREBROVASCULAR DISORDERS W/ CC

  017        NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC

  018        CRANIAL AND PERIPHERAL NERVE DISORDERS W/ CC

  019        CRANIAL AND PERIPHERAL NERVE DISORDERS W/O CC

  020        NERVOUS SYSTEM INFECTION EXCEPT VIRAL MENINGITIS

  021        VIRAL MENINGITIS

  022        HYPERTENSIVE ENCEPHALOPATHY

  023        NONTRAUMATIC STUPOR AND COMA

  024        SEIZURE AND HEADACHE, AGE GREATER THAN 17 W/ CC

  025        SEIZURE AND HEADACHE, AGE GREATER THAN 17 W/O CC

  026        SEIZURE AND HEADACHE, AGE 0-17

  027        TRAUMATIC STUPOR AND COMA, COMA GREATER THAN ONE HOUR

  028        TRAUMATIC STUPOR AND COMA, COMA LESS THAN ONE HOUR, AGE
             GREATER THAN 17 W/ CC

  029        TRAUMATIC STUPOR AND COMA, COMA LESS THAN ONE HOUR, AGE
             GREATER THAN 17 W/O CC

  030        TRAUMATIC STUPOR AND COMA, COMA LESS THAN ONE HOUR, AGE 0-17

  031        CONCUSSION, AGE GREATER THAN 17 W/ CC

  032        CONCUSSION, AGE GREATER THAN 17 W/O CC

  033        CONCUSSION, AGE 0-17

  034        OTHER DISORDERS OF NERVOUS SYSTEM W/ CC

  035        OTHER DISORDERS OF NERVOUS SYSTEM W/O CC

  043        HYPHEMA

  044        ACUTE MAJOR EYE INFECTIONS

  045        NEUROLOGICAL EYE DISORDERS

  046        OTHER DISORDERS OF THE EYE, AGE GREATER THAN 17 W/ CC

  047        OTHER DISORDER OF THE EYE, AGE GREATER THAN 17 W/O CC

  048        OTHER DISORDERS OF THE EYE, AGE 0-17

  064        EAR, NOSE, MOUTH AND THROAT MALIGNANCY

  065        DISEQUILIBRIA

  066        EPISTAXIS

  067        EPIGLOTTITIS

  068        OTITIS MEDIA AND URI, AGE GREATER THAN 17 W/ CC

  069        OTITIS MEDIA AND URI, AGE GREATER THAN 17 W/O CC

  070        OTITIS MEDIA AND URI, AGE 0-17

  071        LARYNGOTRACHEITIS

  072        NASAL TRAUMA AND DEFORMITY

  073        OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES, AGE GREATER
             THAN 17

  074        OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES, AGE 0-17

  078        PULMONARY EMBOLISM

  079        RESPIRATORY INFECTIONS AND INFLAMMATIONS, AGE GREATER THAN
             17 W/ CC

  080        RESPIRATORY INFECTIONS AND INFLAMMATIONS, AGE GREATER THAN
             17 W/O CC

  081        RESPIRATORY INFECTIONS AND INFLAMMATIONS, AGE 0-17

  082        RESPIRATORY NEOPLASMS

  083        MAJOR CHEST TRAUMA W/ CC

  084        MAJOR CHEST TRAUMA W/O CC

  085        PLEURAL EFFUSION W/ CC

  086        PLEURAL EFFUSION W/O CC

  087        PULMONARY EDEMA AND RESPIRATORY FAILURE

  088        CHRONIC OBSTRUCTIVE PULMONARY DISEASE

  089        SIMPLE PNEUMONIA AND PLEURISY, AGE GREATER THAN 17 W/ CC

  090        SIMPLE PNEUMONIA AND PLEURISY, AGE GREATER THAN 17 W/O CC

  091        SIMPLE PNEUMONIA AND PLEURISY, AGE 0-17

  092        INTERSTITIAL LUNG DISEASE W/ CC

  093        INTERSTITIAL LUNG DISEASE W/O CC

  094        PNEUMOTHORAX W/ CC

  095        PNEUMOTHORAX W/O CC

  096        BRONCHITIS AND ASTHMA, AGE GREATER THAN 17 W/ CC

  097        BRONCHITIS AND ASTHMA, AGE GREATER THAN 17 W/O CC

  098        BRONCHITIS AND ASTHMA, AGE 0-17

  099        RESPIRATORY SIGNS AND SYMPTOMS W/ CC

  100        RESPIRATORY SIGNS AND SYMPTOMS W/O CC

  101        OTHER RESPIRATORY SYSTEM DIAGNOSES W/ CC

  102        OTHER RESPIRATORY SYSTEM DIAGNOSES W/O CC

  121        CIRCULATORY DISORDERS W/ ACUTE MYOCARDIAL INFARCTION AND
             MAJOR COMPLICATION, DISCHARGED ALIVE

  122        CIRCULATORY DISORDERS W/ ACUTE MYOCARDIAL INFARCTION W/O
             MAJOR COMPLICATION, DISCHARGED ALIVE

  123        CIRCULATORY DISORDERS W/ ACUTE MYOCARDIAL INFARCTION,
             EXPIRED

  124        CIRCULATORY DISORDERS EXCEPT ACUTE MYOCARDIAL INFARCTION W/
             CARDIAC CATHETERIZATION AND COMPLEX DIAGNOSIS

  125        CIRCULATORY DISORDERS EXCEPT ACUTE MYOCARDIAL INFARCTION W/
             CARDIAC CATHETERIZATION W/O COMPLEX DIAGNOSIS

  126        ACUTE AND SUB ACUTE ENDOCARDITIS

  127        HEART FAILURE AND SHOCK

  128        DEEP VEIN THROMBOPHLEBITIS

  129        CARDIAC ARREST, UNEXPLAINED

  130        PERIPHERAL VASCULAR DISORDERS W/ CC

  131        PERIPHERAL VASCULAR DISORDERS W/O CC

  132        ATHEROSCLEROSIS W/ CC

  133        ATHEROSCLEROSIS W/O CC

  134        HYPERTENSION

  135        CARDIAC CONGENITAL AND VALVULAR DISORDERS, AGE GREATER THAN
             17 W/ CC

  136        CARDIAC CONGENITAL AND VALVULAR DISORDERS, AGE GREATER THAN
             17 W/O CC

  137        CARDIAC CONGENITAL AND VALVULAR DISORDERS, AGE 0 - 17

  138        CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS W/ CC

  139        CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS W/O CC

  140        ANGINA PECTORIS

  141        SYNCOPE AND COLLAPSE W/ CC

  142        SYNCOPE AND COLLAPSE W/O CC

  143        CHEST PAIN

  144        OTHER CIRCULATORY SYSTEM DIAGNOSES W/ CC

  145        OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC

  172        DIGESTIVE MALIGNANCY W/ CC

  173        DIGESTIVE MALIGNANCY W/O CC

  174        GI HEMORRHAGE W/ CC

  175        GI HEMORRHAGE W/O CC

  176        COMPLICATED PEPTIC ULCER

  177        UNCOMPLICATED PEPTIC ULCER W/ CC

  178        UNCOMPLICATED PEPTIC ULCER W/O CC

  179        INFLAMMATORY BOWEL DISEASE

  180        GI OBSTRUCTION W/ CC

  181        GI OBSTRUCTION W/O CC

  182        ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE
             DISORDERS, AGE GREATER THAN 17 W/ CC

  183        ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE
             DISORDERS, AGE GREATER THAN 17 W/O CC

  184        ESOPHAGITIS, GASTROENTERITIS AND MISCELLANESOU DIGESTIVE
             DISORDERS, AGE 0-17

  185        DENTAL AND ORAL DISEASES EXCEPT EXTRACTIONS AND
             RESTORATIONS, AGE GREATER THAN 17

  186        DENTAL AND ORAL DISEASED EXCEPT EXTRACTIONS AND
             RESTORATIONS, AGE 0-17

  187        DENTAL EXTRACTIONS AND RESTORATIONS

  188        OTHER DIGESTIVE SYSTEM DIAGNOSES, AGE GREATER THAN 17 W/ CC

  189        OTHER DIGESTIVE SYSTEM DIAGNOSES, AGE GREATER THAN 17 W/O CC

  190        OTHER DIGESTIVE SYSTEM DIAGNOSES, AGE 0-17

  202        CIRRHOSIS AND ALCOHOLIC HEPATITIS

  203        MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS

  204        DISORDERS OF PANCREAS EXCEPT MALIGNANCY

  205        DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS AND
             ALCOHOLIC HEPATITIS W/ CC

  206        DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS AND
             ALCOHOLIC HEPATITIS W/O CC

  207        DISORDERS OF THE BILIARY TRACT W/ CC

  208        DISORDERS OF THE BILIARY TRACT W/O CC

  235        FRACTURES OF FEMUR

  236        FRACTURES OF HIP AND PELVIS

  237        SPRAINS, STRAINS AND DISLOCATIONS OF HIP, PELVIS AND THIGH

  238        OSTEOMYELITIS

  239        PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE
             TISSUE MALIGNANCY

  240        CONNECTIVE TISSUE DISORDERS W/ CC

  241        CONNECTIVE TISSUE DISORDERS W/O CC

  242        SEPTIC ARTHRITIS

  243        MEDICAL BACK PROBLEMS

  244        BONE DISEASES AND SPECIFIC ARTHROPATHIES W/ CC

  245        BONE DISEASES AND SPECIFIC ARTHROPATHIES W/O CC

  246        NONSPECIFIC ARTHROPATHIES

  247        SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE
             TISSUE

  248        TENDONITIS, MYOSITIS AND BURSITIS

  249        AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE

  250        FRACTURES, SPRAINS, STRAINS AND DISLOCATIONS OF FOREARM,
             HAND AND FOOT, AGE GREATER THAN 17 W/ CC

  251        FRACTURES, SPRAINS, STRAINS AND DISLOCATIONS OF FOREARM,
             HAND AND FOOT, AGE GREATER THAN 17 W/O CC

  252        FRACTURES, SPRAINS, STRAINS AND DISLOCATIONS OF FOREARM,
             HAND AND FOOT, AGE 0-17

  253        FRACTURES, SPRAINS, STRAINS AND DISLOCATIONS OF UPPER ARM
             AND LOWER LEG EXCEPT FOOT, AGE GREATER THAN 17 W/ CC

  254        FRACTURES, SPRAINS, STRAINS AND DISLOCATIONS OF UPPER ARM
             AND LOWER LEG EXCEPT FOOT, AGE GREATER THAN 17 W/O CC

  255        FRACTURES, SPRAINS, STRAINS AND DISLOCATIONS OF UPPER ARM
             AND LOWER LEG EXCEPT FOOT, AGE 0-17

  256        OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

  271        SKIN ULCERS

  272        MAJOR SKIN DISORDERS W/ CC

  273        MAJOR SKIN DISORDERS W/O CC

  274        MALIGNANT BREAST DISORDERS W/ CC

  275        MALIGNANT BREAST DISORDERS W/O CC

  276        NONMALIGNANT BREAST DISORDERS

  277        CELLULITIS, AGE GREATER THAN 17 W/ CC

  278        CELLULTIIS, AGE GREATER THAN 17 W/O CC

  279        CELLULITIS, AGE 0-17

  280        TRAUMA TO SKIN, SUBCUTANEOUS TISSUE AND BREAST, AGE GREATER
             THAN 17 W/ CC

  281        TRAUMA TO SKIN, SUBCUTANEOUS TISSUE AND BREAST, AGE GREATER
             THAN 17 W/O CC

  282        TRAUMA TO SKIN, SUBCUTANEOUS TISSUE AND BREAST, AGE 0-17

  283        MINOR SKIN DISORDERS W/ CC

  284        MINOR SKIN DISORDERS W/O CC

  294        DIABETES, AGE GREATER THAN 35

  295        DIABETES, AGE 0-35

  296        NUTRITIONAL AND MISCELLANEOUS METABOLIC DISORDERS, AGE
             GREATER THAN 17 W/ CC

  297        NUTRITIONAL AND MISCELLANEOUS METABOLIC DISORDERS, AGE
             GREATER THAN 17 W/O CC

  298        NUTRITIONAL AND MISCELLANEOUS METABOLIC DISORDERS, AGE 0-17

  299        INBORN ERRORS OF METABOLISM

  300        ENDOCRINE DISORDERS W/ CC

  301        ENDOCRINE DISORDERS W/O CC

  316        RENAL FAILURE

  317        ADMISSION FOR RENAL DIALYSIS

  318        KIDNEY AND URINARY TRACT NEOPLASMS W/ CC

  319        KIDNEY AND URINARY TRACT NEOPLASMS W/O CC

  320        KIDNEY AND URINARY TRACT INFECTIONS, AGE GREATER THAN 17 W/
             CC

  321        KIDNEY AND URINARY TRACT INFECTIONS, AGE GREATER THAN 17 W/O
             CC

  322        KIDNEY AND URINARY TRACT INFECTION, AGE 0-17

  323        URINARY STONES W/ CC AND/ OR ESW LITHOTRIPSY

  324        URINARY STONES W/O CC

  325        KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS, AGE GREATER
             THAN 17 W/ CC

  326        KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS, AGE GREATER
             THAN 17 W/O CC

  327        KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS, AGE 0-17

  328        URETHRAL STRICTURE, AGE GREATER THAN 17 W/ CC

  329        URETHRAL STRICTURE, AGE GREATER THAN 17 W/O CC

  330        URETHRAL STRICTURE, AGE AGE 0-17

  331        OTHER KIDNEY AND URINARY TRACT DIAGNOSES, AGE GREATER THAN
             17 W/ CC

  332        OTHER KIDNEY AND URINARY TRACT DIAGNOSES, AGE GREATER THAN
             17 W/O CC

  333        OTHER KIDNEY AND URINARY TRACT DIAGNOSES, AGE 0-17

  346        MALIGNANCY OF MALE REPRODUCTIVE SYSTEM W/ CC

  347        MALIGNANCY OF MALE REPRODUCTIVE SYSTEM W/O CC

  348        BENIGN PROSTATIC HYPERTROPHY W/ CC

  349        BENIGN PROSTATIC HYPERTROPHY W/O CC

  350        INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM

  351        STERILIZATION, MALE

  352        OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES

  366        MALIGNANCY OF FEMALE REPRODUCTIVE SYSTEM W/ CC

  367        MALIGNANCY OF FEMALE REPRODUCTIVE SYSTEM W/O CC

  368        INFECTIONS OF FEMALE REPRODUCTIVE SYSTEM

  369        MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS

  372        VAGINAL DELIVERY W/ COMPLICATING DIAGNOSES

  373        VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES

  376        POSTPARTUM AND POSTABORTION DIAGNOSES W/O OR PROCEDURE

  378        ENTOPIC PREGNANCY

  379        THREATENED ABORTION

  380        ABORTION W/O D AND G

  382        FALSE LABOR

  383        OTHER ANTEPARTUM DIAGNOSES W/ MEDICAL COMPLICATIONS

  384        OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIONS

  395        RED BLOOD CELL DISORDERS, AGE GREATER THAN 17

  396        RED BLOOD CELL DISORDERS, AGE 0-17

  397        COAGULATION DISORDERS

  398        RETICULOENDOTHELIAL AND IMMUNITY DISORDERS W/ CC

  399        RETICULOENDOTHELIAL AND IMMUNITY DISORDERS W/O CC

  403        LYMPHOMA AND NONACUTE LEUKEMIA W/ CC

  404        LYMPHOMA AND NONACUTE LEUKEMIA W/O CC

  405        ACUTE LEUKEMIA W/O MAJOR OR PROCEDURE, AGE 0-17

  409        RADIOTHERAPY

  410        CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS

  411        HISTORY OF MALIGNANCY W/O ENDOSCOPY

  412        HISTORY OF MALIGNANCY W/ ENDOSCOPY

  413        OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED
             NEOPLASM DIAGNOSES W/ CC

  414        OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED
             NEOPLASM DIAGNOSES W/O CC

  416        SEPTICEMIA, AGE GREATER THAN 17

  417        SEPTICEMIA, AGE 0-17

  418        POSTOPERATIVE AND POSTTRAUMATIC INFECTIONS

  419        FEVER OF UNKNOWN ORIGIN, AGE GREATER THAN 17 W/ CC

  420        FEVER OF UNKNOWN ORIGIN, AGE GREATER THAN 17 W/O CC

  421        VIRAL ILLNESS, AGE GREATER THAN 17

  422        VIRAL ILLNESS AND FEVER OF UNKNOWN ORIGIN, AGE 0-17

  423        OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES

  425        ACUTE ADJUSTMENT REACTIONS AND DISTURBANCES OF PSYCHOSOCIAL
             DYSFUNCTION

  426        DEPRESSIVE NEUROSES

  427        NEUROSES EXCEPT DEPRESSIVE

  428        DISORDERS OF PERSONALITY AND IMPULSE CONTROL

  429        ORGANIC DISTURBANCES AND MENTAL RETARDATION

  430        PSYCHOSES

  431        CHILDHOOD MENTAL DISORDERS

  432        OTHER MENTAL DISORDER DIAGNOSES

  433        ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL
             ADVICE

  434\*      ALCOHOL/DRUG ABUSE OR DEPENDENCE, DETOXIFICATION OR OTHER
             SYMPTOMATIC TREATMENT W/ CC

  435\*      ALCOHOL/DRUG ABUSE OR DEPENDENCE, DETOXIFICATION OR OTHER
             SYMPTOMATIC TREATMENT W/O CC

  436\*      ALCOHOL/DRUG DEPENDENCE W/ REHABILITATION THERAPY

  437\*      ALCOHOL DRUG DEPENDENCE W/ COMBINED REHABILITATION AND
             DETOXIFICATION THERAPY

  444        TRAUMATIC INJURY, AGE GREATER THAN 17 W/ CC

  445        TRAUMATIC INJURY, AGE GREATER THAN 17 W/O CC

  446        TRAUMATIC INJURY, AGE 0-17

  447        ALLERGIC REACTIONS, AGE GREATER THAN 17

  448        ALLERGIC REACTIONS, AGE 0-17

  449        POISONING AND TOXIC EFFECTS OF DRUGS, AGE GREATER THAN 17 W/
             CC

  450        POISONING AND TOXIC EFFECTS OF DRUGS, AGE GREATER THAN 17
             W/O CC

  451        POISONING AND TOXIC EFFECTS OF DRUGS, AGE 0-17

  452        COMPLICATIONS OF TREATMENT W/ CC

  453        COMPLICATIONS OF TREATMENT W/O CC

  454        OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES W/ CC

  455        OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES W/O CC

  456\*      BURNS, TRANSFERRED TO ANOTHER ACUTE CARE FACILITY

  457\*      EXTENSIVE BURNS W/O O.R. PROCEDURE

  460\*      NON-EXTENSIVE BURNS W/O O.R. PROCEDURE

  462        REHABILITATION

  463        SIGNS AND SYMPTOMS W/ CC

  464        SIGNS AND SYMPTOMS W/O CC

  465        AFTERCARE W/ HISTORY OF MALIGNANCY AS SECONDARY DIAGNOSIS

  466        AFTERCARE W/O HISTORY OF MALIGNANCY AS SECONDARY DIAGNOSIS

  467        OTHER FACTORS INFLUENCING HEALTH STATUS

  473        ACUTE LEUKEMIA W/O MAJOR OR PROCEDURE, AGE GREATER THAN 17

  475        RESPIRATORY SYSTEM DIAGNOSIS W/ VENTILATOR SUPPORT

  487        OTHER MULTIPLE SIGNIFICANT TRAUMA

  489        HIV W/ MAJOR RELATED CONDITION

  490        HIV W/ OR W/O OTHER RELATED CONDITION

  492        CHEMOTHERAPY W/ ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS

  505        EXTENSIVE 3RD DEGREE BURNS W/O SKIN GRAFT

  508        FULL THICKNESS BURN W/O SKIN GRFT OR INHAL INJ W CC OR SIG
             TRAUMA

  509        FULL THICKNESS BURN W/O SKIN GRFT OR INH INJ W/O CC OR SIG
             TRAUMA

  510        NON-EXTENSIVE BURNS W CC OR SIGNIFICANT TRAUMA

  511        NON-EXTENSIVE BURNS W/O CC OR SIGNIFICANT TRAUMA

  521        ALCOHOL/DRUG ABUSE OR DEPENDENCE W CC

  522        ALC/DRUG ABUSE OR DEPEND W REHABILITATION THERAPY W/O CC

  523        ALC/DRUG ABUSE OR DEPEND W/O REHABILITATION THERAPY W/O CC

  524        TRANSIENT ISCHEMIA

  559        ACUTE ISCHEMIC STROKE WITH USE OF THROMBOLYTIC AGENT (OCT
             05)
  ---------- ------------------------------------------------------------

\* No longer valid in FY2005

####### 

######### Appendix G: Hemorrhage Diagnosis Codes

These codes are used by the following PSIs:

+------------------------------------+---------------------------------+
| **PSI**                            | **How Used**                    |
+------------------------------------+---------------------------------+
| [Failure to Rescue (PSI            | [FTR 1 Denominator exclusion -  |
| 4)](#failure-to-rescue-psi-4) -    | Page                            |
| Page [7](#failure-to-rescue-psi-4) | [                               |
|                                    | 8](#FTR1Exclude)](#FTR1Exclude) |
|                                    |                                 |
|                                    | [FTR 5 Denominator              |
|                                    | exclusion](#FTR5Exclude) - Page |
|                                    | [11](#FTR5Exclude)              |
+------------------------------------+---------------------------------+
| [Postoperative Physiologic and     | [Denominator                    |
| Metabolic Derangement (PSI         | exclusion](#PSI10Exclude) -     |
| 10)](#postoperative-physiologic-a  | Page [27](#PSI10Exclude)        |
| nd-metabolic-derangement-psi-10) - |                                 |
| Page                               |                                 |
| [26](#postoperative-physiologic    |                                 |
| -and-metabolic-derangement-psi-10) |                                 |
+------------------------------------+---------------------------------+

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

*ICD-9-CM Hemorrhage diagnosis codes:*

2851 ACUTE POSTHEMORRHAGIC ANEMIA

4590 OTHER DISORDERS OF CIRCULATORY SYSTEM, HEMORRHAGE, UNSPECIFIED

9582 CERTAIN EARLY COMPLICATIONS OF TRAUMA, SECONDARY AND RECURRENT
HEMORRHAGE

99811 HEMORRHAGE COMPLICATING A PROCEDURE

####### 

######### Appendix H: Shock Diagnosis Codes

These codes are used by the following PSIs:

  --------------------------------------------------------------------- -----------------------------------
  **PSI**                                                               **How Used**

  [Failure to Rescue (PSI 4)](#failure-to-rescue-psi-4) - Page          [FTR 1 Denominator
  [7](#failure-to-rescue-psi-4)                                         exclusion](#FTR1Exclude) - Page
                                                                        [11](#FTR5Exclude)

  [Postoperative Physiologic and Metabolic Derangement (PSI             [Denominator
  10)](#postoperative-physiologic-and-metabolic-derangement-psi-10) -   exclusion](#PSI10Exclude) - Page
  Page                                                                  [27](#PSI10Exclude)
  [26](#postoperative-physiologic-and-metabolic-derangement-psi-10)     
  --------------------------------------------------------------------- -----------------------------------

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

*ICD-9-CM Shock diagnosis codes:*

63450 SPONTANEOUS ABORTION W/ SHOCK - UNSPECIFIED

63451 SPONTANEOUS ABORTION W/ SHOCK - INCOMPLETE

63452 SPONTANEOUS ABORTION W/ SHOCK - COMPLETE

63550 LEGAL ABORTION W/ SHOCK - UNSPECIFIED

63551 LEGAL ABORTION W/ SHOCK - INCOMPLETE

63552 LEGAL ABORTION W/ SHOCK - COMPLETE

63650 ILLEGAL ABORTION W/ SHOCK - UNSPECIFIED

63651 ILLEGAL ABORTION W/ SHOCK - INCOMPLETE

63652 ILLEGAL ABORTION W/ SHOCK - COMPLETE

63750 ABORTION NOS W/ SHOCK - UNSPECIFIED

63751 ABORTION NOS W/ SHOCK - INCOMPLETE

63752 ABORTION NOS W/ SHOCK - COMPLETE

6385 ATTEMPTED ABORTION W/ SHOCK

6395 COMPLICATIONS FOLLOWING ABORTION AND ECTOPIC AND MOLAR PREGNANCIES,
SHOCK

66910 SHOCK DURING OR FOLLOWING LABOR AND DELIVERY, UNSPECIFIED AS TO
EPISODE OF CARE OR NOT APPLICABLE

66911 SHOCK DURING OR FOLLOWING LABOR AND DELIVERY, DELIVERED W/ OR W/O
MENTION OF ANTEPARTUM CONDITION

66912 SHOCK DURING OR FOLLOWING LABOR AND DELIVERY, DELIVERED W/ MENTION
OF POSTPARTUM COMPLICATION

66913 SHOCK DURING OR FOLLOWING LABOR AND DELIVERY, ANTEPARTUM CONDITION
OR COMPLICATION

66914 SHOCK DURING OR FOLLOWING LABOR AND DELIVERY, POSTPARTUM CONDITION
OR COMPLICATION

7855 SHOCK W/O MENTION OF TRAUMA

78550 SHOCK, UNSPECIFIED

78551 CARDIOGENIC SHOCK

78552 SEPTIC SHOCK (OCT 03)

78559 SHOCK W/O MENTION OF TRAUMA, OTHER

9950 OTHER ANAPHYLACTIC SHOCK

9954 SHOCK DUE TO ANESTHESIA

9980 POSTOPERATIVE SHOCK

9994 ANAPHYLACTIC SHOCK, DUE TO SERUM

####### 

######### Appendix I: ICD-9-CM Gastrointestinal (GI) Hemorrhage Diagnosis Codes

These codes are used by the following PSIs:

+------------------------------------+---------------------------------+
| **PSI**                            | **How Used**                    |
+------------------------------------+---------------------------------+
| [Failure to Rescue (PSI            | [FTR 1 Denominator              |
| 4)](#failure-to-rescue-psi-4) -    | exclusion](#FTR1Exclude) - Page |
| Page                               | [8](#FTR1Exclude)               |
| [1](#                              |                                 |
| complications-of-anesthesia-psi-1) | [FTR 5 Denominator              |
|                                    | exclusion](#FTR5Hem) - Page     |
|                                    | [12](#FTR5Hem)                  |
+------------------------------------+---------------------------------+
| [Postoperative Physiologic and     | [Denominator                    |
| Metabolic Derangement (PSI         | exclusion](#PSI10Exclude) -     |
| 10)](#postoperative-physiologic-a  | Page [27](#PSI10Exclude)        |
| nd-metabolic-derangement-psi-10) - |                                 |
| Page                               |                                 |
| [26](#postoperative-physiologic    |                                 |
| -and-metabolic-derangement-psi-10) |                                 |
+------------------------------------+---------------------------------+

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

*ICD-9-CM Gastrointestinal (GI) Hemorrhage diagnosis codes:*

  ----------- -----------------------------------------------------------
  4560        Esophageal varices W/ bleeding

  45620       Esophageal varices in diseases classified elsewhere W/
              bleeding

  5307        Gastroesophageal laceration -- hemorrhage syndrome

  53082       Esophageal hemorrhage

  53100       Gastric ulcer acute W/ hemorrhage -- W/O mention of
              obstruction

  53101       Gastric ulcer acute W/ hemorrhage -- W/ obstruction

  53120       Gastric ulcer acute W/ hemorrhage and perforation -- W/O
              mention of obstruction

  53121       Gastric ulcer acute W/ hemorrhage and perforation -- W/
              obstruction

  53140       Gastric ulcer chronic or unspecified W/ hemorrhage -- W/O
              mention of obstruction

  53141       Gastric ulcer chronic or unspecified W/ hemorrhage -- W/
              obstruction

  53160       Gastric ulcer chronic or unspecified W/ hemorrhage and
              perforation -- W/O mention of obstruction

  53161       Gastric ulcer chronic or unspecified W/ hemorrhage and
              perforation -- W/ obstruction

  53200       Duodenal ulcer acute W/ hemorrhage -- W/O mention of
              obstruction

  53201       Duodenal ulcer acute W/ hemorrhage -- W/ obstruction

  53220       Duodenal ulcer acute W/ hemorrhage and perforation -- W/O
              mention of obstruction

  53221       Duodenal ulcer acute W/ hemorrhage and perforation -- W/
              obstruction

  53240       Duodenal ulcer chronic or unspecified W/ hemorrhage -- W/O
              mention of obstruction

  53241       Duodenal ulcer chronic or unspecified W/ hemorrhage -- W/
              obstruction

  53260       Duodenal ulcer chronic or unspecified W/ hemorrhage and
              perforation -- W/O mention of obstruction

  53261       Duodenal ulcer chronic or unspecified W/ hemorrhage and
              perforation -- W/ obstruction

  53300       Peptic ulcer, site unspecified, acute W/ hemorrhage -- W/O
              mention of obstruction

  53301       Peptic ulcer, site unspecified, acute W/ hemorrhage -- W/
              obstruction

  53320       Peptic ulcer, site unspecified, acute W/ hemorrhage and
              perforation -- W/O mention of obstruction

  53321       Peptic ulcer, site unspecified, acute W/ hemorrhage and
              perforation -- W/ obstruction

  53340       Peptic ulcer, site unspecified, chronic or unspecified W/
              hemorrhage -- W/O mention of obstruction

  53341       Peptic ulcer, site unspecified, chronic or unspecified W/
              hemorrhage -- W/ obstruction

  53360       Peptic ulcer, site unspecified, chronic or unspecified W/
              hemorrhage and perforation -- W/O mention of obstruction

  53361       Peptic ulcer, site unspecified, chronic or unspecified W/
              hemorrhage and perforation -- W/ obstruction

  53400       Gastrojejunal ulcer, acute W/ hemorrhage -- W/O mention of
              obstruction

  53401       Gastrojejunal ulcer, acute W/ hemorrhage -- W/ obstruction

  53420       Gastrojejunal ulcer, acute W/ hemorrhage and perforation --
              W/O mention of obstruction

  53421       Gastrojejunal ulcer, acute W/ hemorrhage and perforation --
              W/ obstruction

  53440       Gastrojejunal ulcer, chronic or unspecified W/ hemorrhage
              -- W/O mention of obstruction

  53441       Gastrojejunal ulcer, chronic or unspecified W/ hemorrhage
              -- W/ obstruction

  53460       Gastrojejunal ulcer, chronic or unspecified W/ hemorrhage
              and perforation -- W/O mention of obstruction

  53461       Gastrojejunal ulcer, chronic or unspecified W/ hemorrhage
              and perforation -- W/ obstruction

  53501       Gastritis and duodenitis, acute gastritis W/ hemorrhage

  53511       Gastritis and duodenitis, atrophic gastritis W/ hemorrhage

  53521       Gastritis and duodenitis, gastric mucosal hypertrophy, W/
              hemorrhage

  53531       Gastritis and duodenitis, alcoholic gastritis, W/
              hemorrhage

  53541       Gastritis and duodenitis, other specified gastritis -- W/
              hemorrhage

  53551       Gastritis and duodenitis, unspecified gastritis and
              gastroduodenitis -- W/ hemorrhage

  53561       Gastritis and duodenitis, duodenitis -- W/ hemorrhage

  53783       Other specified disorders of stomach and duodenum,
              angiodysplasia of stomach and duodenum -- W/ hemorrhage

  53784       Dieulafoy lesion (hemorrhagic) of stomach and duodenum

  56202       Diverticulosis of small intestine -- W/ hemorrhage

  56203       Diverticulitis of small intestine -- W/ hemorrhage

  56212       Diverticulosis of colon -- W/ hemorrhage

  56213       Diverticulitis of colon -- W/ hemorrhage

  5693        Hemorrhage of rectum and anus

  56985       Angiodysplasia of intestine - W/ hemorrhage

  56986       Dieulafoy lesion (hemorrhagic) of intestine

  5780        Gastrointestinal hemorrhage, hematemesis

  5781        Gastrointestinal hemorrhage, blood in stool

  5789        Gastrointestinal hemorrhage, hemorrhage of gastrointestinal
              tract, unspecified
  ----------- -----------------------------------------------------------

####### 

######### Appendix J: Trauma DRGs

These codes are used by the following PSIs:

+-----------------------------------+-----------------------------------+
| **PSI**                           | **How Used**                      |
+-----------------------------------+-----------------------------------+
| [Failure to Rescue (PSI           | [FTR 1 Denominator exclusion      |
| 4)](#failure-to-rescue-psi-4) -   | -](#FTR1Exclude)                  |
| Page                              |                                   |
| [7](#failure-to-rescue-psi-4)     | [FTR 5 Denominator                |
|                                   | exclusion](#FTR5TrDRG)            |
|                                   |                                   |
|                                   | [FTR 6 Denominator                |
|                                   | exclusion](#FTR6Trauma)           |
+-----------------------------------+-----------------------------------+
| [Iatrogenic Pneumothorax,         | [Denominator                      |
| Secondary Diagnosis Field (PSI 6  | exclusion](#psi6denom)            |
| and                               |                                   |
| 22)](                             |                                   |
| #iatrogenic-pneumothorax-secondar |                                   |
| y-diagnosis-field-psi-6-and-22) - |                                   |
| Page                              |                                   |
| [15                               |                                   |
| ](#iatrogenic-pneumothorax-second |                                   |
| ary-diagnosis-field-psi-6-and-22) |                                   |
+-----------------------------------+-----------------------------------+

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

  ----------- -----------------------------------------------------------
  002         Craniotomy for trauma, age greater than 17

  027         Traumatic stupor and coma, coma greater than one hour

  028         Traumatic stupor and coma, coma less than one hour, age
              greater than 17 W/ CC

  029         Traumatic stupor and coma, coma less than one hour, age
              greater than 17 W/O CC

  030         Traumatic stupor and coma, coma less than one hour, age
              0-17

  031         Concussion, age greater than 17 W/ CC

  032         Concussion, age greater than 17 W/O CC

  033         Concussion, age 0-17

  072         Nasal trauma and deformity

  083         Major chest trauma W/ CC

  084         Major chest trauma W/O CC

  235         Fractures of femur

  236         Fracture of hip and pelvis

  237         Sprains, strains and dislocations of hip, pelvis and thigh

  440         Wound debridements for injuries

  441         Hand procedures for injuries

  442         Other OR procedures for injuries W/ CC

  443         Other OR procedures for injuries W/O CC

  444         Traumatic injury, age greater than 17 W/ CC

  445         Traumatic injury, age greater than 17 W/O CC

  446         Traumatic injury, age 0-17

  456\*       Burns, transferred to another acute care facility

  457\*       Extensive burns w/o o.r. procedure

  458\*       Non-extensive burns w skin graft

  459\*       Non-extensive burns w wound debridement or other o.r. proc

  460\*       Non-extensive burns w/o o.r. procedure

  484         Craniotomy for multiple significant trauma

  485         Limb reattachment, hip and femur procedures for multiple
              significant trauma

  486         Other OR procedures for multiple significant trauma

  487         Other multiple significant traumas

  491         Major joint and limb reattachment procedures of upper
              extremity

  504         Total hepatectomy

  505         Extensive 3rd degree burns w/o skin graft

  506         Full thickness burn W/ skin graft or inhalation injury W/
              CC or significant trauma

  507         Full thickness burn W/ skin graft or inhalation injury W/O
              CC or significant trauma

  508         Full thickness burn W/O skin graft or inhalation injury W/
              CC or significant trauma

  509         Full thickness burn W/O skin graft or inhalation injury W/O
              CC or significant trauma

  510         Non-extensive burns W/ CC or significant trauma

  511         Non-extensive burns W/O CC or significant trauma
  ----------- -----------------------------------------------------------

\* No longer valid in FY 2005

####### 

######### Appendix K: Pulmonary Embolism/Deep Vein Thrombosis Diagnosis Codes

These codes are used by the following PSIs:

  -------------------------------------------------------------------------- --------------------------------------------------------------------------------
  **PSI**                                                                    **How Used**

  [Failure to Rescue (PSI 4)](#failure-to-rescue-psi-4) - Page               [FTR 2 Numerator inclusion](#FTR2Include), unless primary diagnosis - Page
  [7](#failure-to-rescue-psi-4)                                              [8](#FTR2Include)

  [Postoperative Pulmonary Embolism or Deep Vein Thrombosis (PSI             [Numerator
  12)](#postoperative-pulmonary-embolism-or-deep-vein-thrombosis-psi-12) -   inclusion](#postoperative-pulmonary-embolism-or-deep-vein-thrombosis-psi-12) -
  Page                                                                       Page [30](#PSI12Denom)
  [30](#postoperative-pulmonary-embolism-or-deep-vein-thrombosis-psi-12)     
  -------------------------------------------------------------------------- --------------------------------------------------------------------------------

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

*ICD-9-CM Pulmonary Embolism diagnosis codes:*

4151 Pulmonary embolism and infarction

41511 Iatrogenic pulmonary embolism and infarction

41519 Pulmonary embolism and infarction, other

*ICD-9-CM Deep Vein Thrombosis diagnosis codes:*

45111 Phlebitis and thrombosis of femoral vein (deep) (superficial)

45119 Phlebitis and thrombophlebitis of deep vessel of lower extremities
-- other

4512 Phlebitis and thrombophlebitis of lower extremities unspecified

45181 Phlebitis and thrombophlebitis of iliac vein

4519 Phlebitis and thrombophlebitis of other sites - of unspecified site

45340 DVT-EMBLSM LOWER EXT NOS (OCT 04)

45341 DVT-EMB PROX LOWER EXT (OCT 04)

45342 DVT-EMB DISTAL LOWER EXT (OCT 04)

4538 Other venous embolism and thrombosis of other specified veins

4539 Other venous embolism and thrombosis of unspecified site

####### 

######### Appendix L: Self-Inflicted Injury Diagnosis Codes

These codes are used by the following PSIs:

  ------------------------------------------- --------------------------------------
  **PSI**                                     **How Used**

  [Complications of Anesthesia (PSI           [Denominator exclusion](#psi1denom) -
  1)](#complications-of-anesthesia-psi-1) -   Page [1](#psi1denom)
  Page                                        
  [1](#complications-of-anesthesia-psi-1)     

  [Postoperative Hip Fracture (PSI            [Denominator
  8)](#postoperative-hip-fracture-psi-8) -    exclusion](#PSI8Exclude) - Page
  Page                                        [21](#PSI8Exclude)
  [21](#postoperative-hip-fracture-psi-8)     
  ------------------------------------------- --------------------------------------

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

*ICD-9-CM Self-Inflicted Injury diagnosis codes:*

Suicide and self-inflicted poisoning by solid or liquid substance:

E9500 ANALGESICS, ANTIPYRETICS, AND ANTIRHEUMATICS

E9501 BARBITURATES

E9502 OTHER SEDATIVE AND HYPNOTICS

E9503 TRANQUILIZERS AND OTHER PSYCHOTROPIC AGENTS

E9504 OTHER SPECIFIED DRUGS AND MEDICINAL SUBSTANCES

E9505 UNSPECIFIED DRUG OR MEDICINAL SUBSTANCE

E9506 AGRICULTURAL AND HORTICULTURAL CHEMICAL AND PHARMACEUTICAL
PREPARATIONS OTHER THAN PLANT FOODS AND FERTILIZERS

E9507 CORROSIVE AND CAUSTIC SUBSTANCES

E9508 ARSENIC AND ITS COMPOUNDS

E9509 OTHER AND UNSPECIFIED SOLID AND LIQUID SUBSTANCES

Suicide and self-inflicted poisoning by gases in domestic use:

E9510 GAS DISTRIBUTED BY PIPELINE

E9511 LIQUEFIED PETROLEUM GAS DISTRIBUTED IN MOBILE CONTAINERS

E9518 OTHER UTILITY GASES

Suicide and self-inflicted poisoning by other gases and vapors:

E9520 MOTOR VEHICLE EXHAUST GAS

E9521 OTHER CARBON MONOXIDE

E9528 OTHER SPECIFIED GASES AND VAPORS

E9529 UNSPECIFIED GASES AND VAPORS

Suicide and self-inflicted injury by hanging, strangulation, and
suffocation:

E9530 HANGING

E9531 SUFFOCATION BY PLASTIC BAG

E9538 OTHER SPECIFIED MEANS

E954 SUICIDE AND SELF-INFLICTED INJURY BY SUBMERSION \[DROWNING\]

Suicide and self-inflicted injury by firearms and explosives:

E9550 HANDGUN

E9551 SHOTGUN

E9552 HUNTING RIFLE

E9553 MILITARY FIREARMS

E9554 OTHER AND UNSPECIFIED FIREARMS

E9555 EXPLOSIVES

E9559 UNSPECIFIED

E956 SUICIDE AND SELF INFLICTED INJURY BY CUTTING AND PIERCING
INSTRUMENT

Suicide and self-inflicted injury by jumping from a high place:

E9570 RESIDENTIAL PREMISES

E9571 OTHER MAN-MADE STRUCTURES

E9572 NATURAL SITES

E9579 UNSPECIFIED

Suicide and self-inflicted injury by other and unspecified means:

E9580 JUMPING OR LYING BEFORE MOVING OBJECT

E9581 BURNS, FIRE

E9582 SCALD

E9583 EXTREMES OF COLD

E9584 ELECTROCUTION

E9585 CRASHING OF MOTOR VEHICLE

E9586 CRASHING OF AIRCRAFT

E9587 CAUSTIC SUBSTANCES EXCEPT POISONING

E9588 OTHER SPECIFIED MEANS

E9589 UNSPECIFIED MEANS

####### 

######### Appendix M: Acute Myocardial Infarction (AMI) Diagnosis Codes

These codes are used by the following PSIs:

  --------------------------------------------------------------------- ----------------------------------
  **PSI**                                                               **How Used**

  [Failure to Rescue (PSI 4)](#failure-to-rescue-psi-4) - Page          [FTR 1 Denominator
  [7](#failure-to-rescue-psi-4)                                         exclusion](#FTR1Exclude) - Page
                                                                        [8](#FTR1Exclude)

  [Postoperative Physiologic and Metabolic Derangement (PSI             [Denominator
  10)](#postoperative-physiologic-and-metabolic-derangement-psi-10) -   exclusion](#PSI10Exclude) - Page
  Page                                                                  [27](#PSI10Exclude)
  [26](#postoperative-physiologic-and-metabolic-derangement-psi-10)     
  --------------------------------------------------------------------- ----------------------------------

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

*ICD-9-CM Acute Myocardial Infarction diagnosis codes:*

41000 AMI OF ANTEROLATERAL WALL -- EPISODE OF CARE UNSPECIFIED

41001 AMI OF ANTEROLATERAL WALL -- INITIAL EPISODE OF CARE

41010 AMI OF OTHER ANTERIOR WALL -- EPISODE OF CARE UNSPECIFIED

41011 AMI OF OTHER ANTERIOR WALL -- INITIAL EPISODE OF CARE

41020 AMI OF INFEROLATERAL WALL -- EPISODE OF CARE UNSPECIFIED

41021 AMI OF INFEROLATERAL WALL -- INITIAL EPISODE OF CARE

41030 AMI OF INFEROPOSTERIOR WALL -- EPISODE OF CARE UNSPECIFIED

41031 AMI OF INFEROPOSTERIOR WALL -- INITIAL EPISODE OF CARE

41040 AMI OF INFERIOR WALL -- EPISODE OF CARE UNSPECIFIED

41041 AMI OF INFERIOR WALL -- INITIAL EPISODE OF CARE

41050 AMI OF OTHER LATERAL WALL -- EPISODE OF CARE UNSPECIFIED

41051 AMI OF OTHER LATERAL WALL -- INITIAL EPISODE OF CARE

41060 AMI TRUE POSTERIOR WALL INFARCTION -- EPISODE OF CARE UNSPECIFIED

41061 AMI TRUE POSTERIOR WALL INFARCTION -- INITIAL EPISODE OF CARE

41070 AMI SUBENDOCARDIAL INFARCTION -- EPISODE OF CARE UNSPECIFIED

41071 AMI SUBENDOCARDIAL INFARCTION -- INITIAL EPISODE OF CARE

41080 AMI OF OTHER SPECIFIED SITES -- EPISODE OF CARE UNSPECIFIED

41081 AMI OF OTHER SPECIFIED SITES -- INITIAL EPISODE OF CARE

41090 AMI UNSPECIFIED SITE -- EPISODE OF CARE UNSPECIFIED

41091 AMI UNSPECIFIED SITE -- INITIAL EPISODE OF CARE

####### 

######### Appendix N: Cardiac Arrhythmia Diagnosis Codes

These codes are used by the following PSIs:

  --------------------------------------------------------------------- ----------------------------------
  **PSI**                                                               **How Used**

  [Failure to Rescue (PSI 4)](#failure-to-rescue-psi-4) - Page          [FTR 1 Denominator
  [7](#failure-to-rescue-psi-4)                                         exclusion](#FTR1Exclude) - Page
                                                                        [8](#FTR1Exclude)

  [Postoperative Physiologic and Metabolic Derangement (PSI             [Denominator
  10)](#postoperative-physiologic-and-metabolic-derangement-psi-10) -   exclusion](#PSI10Exclude) - Page
  Page                                                                  [27](#PSI10Exclude)
  [26](#postoperative-physiologic-and-metabolic-derangement-psi-10)     
  --------------------------------------------------------------------- ----------------------------------

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

*ICD-9-CM Cardiac Arrhythmia diagnosis codes:*

4260 ATRIOVENTRICULAR BLOCK, COMPLETE

4270 PAROXYSMAL SUPRAVENTRICULAR TACHYCARDIA

4271 PAROXYSMAL VENTRICULAR TACHYCARDIA

4272 PAROXYSMAL TACHYCARDIA, UNSPECIFIED

42731 ATRIAL FIBRILLATION

42732 ATRIAL FLUTTER

42741 VENTRICULAR FIBRILLATION

42742 VENTRICULAR FLUTTER

4279 CARDIAC DYSRHYTHMIA

####### 

######### Appendix O: Sepsis Diagnosis Codes

These codes are used by the following PSIs:

+---------------------------------------+------------------------------+
| **PSI**                               | **How Used**                 |
+---------------------------------------+------------------------------+
| [Postoperative Sepsis (PSI            | [Numerator                   |
| 13)](#postoperative-sepsis-psi-13) -  | inclusion](#po               |
| Page                                  | stoperative-sepsis-psi-13) - |
| [30](#postoperative-sepsis-psi-13)    | Page                         |
|                                       | [30](#                       |
|                                       | postoperative-sepsis-psi-13) |
|                                       |                              |
|                                       | [Denominator                 |
|                                       | exclusion](#PSI13Denom) -    |
|                                       | Page [30](#PSI13Denom)       |
+---------------------------------------+------------------------------+

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

*ICD-9-CM Sepsis diagnosis codes:*

0380 Streptococcal septicemia

0381 Staphylococcal septicemia

03810 Staphylococcal septicemia, unspecified

03811 Staphylococcus aureus septicemia

03819 Other staphylococcal septicemia

0382 Pneumococcal septicemia (streptococcus pneumoniae septicemia)

0383 Septicemia due to anaerobes

78552 SEPTIC SHOCK

78559 OTHER SHOCK W/O MENTION OF TRAUMA

9980 POSTOPERATIVE SHOCK

Septicemia due to:

03840 Gram-negative organism, unspecified

03841 Hemophilus influenzae

03842 Escherichia coli

03843 Pseudomonas

03844 Serratia

03849 Septicemia due to other gram-negative organisms

0388 Other specified septicemias

0389 Unspecified septicemia

99591 Systemic inflammatory response syndrome due to infectious process
W/O organ dysfunction

99592 Systemic inflammatory response syndrome due to infectious process
W/ organ dysfunction

####### 

######### Appendix P: Infection Diagnosis Codes and DRGs

These codes are used by the following PSIs:

  --------------------------------------- -------------------------------
  **PSI**                                 **How Used**

  [Failure to Rescue (PSI                 [FTR 4 Denominator
  4)](#failure-to-rescue-psi-4) - Page    exclusion](#FTR4Exclude) - Page
  [7](#failure-to-rescue-psi-4)           [10](#FTR4Exclude)

  [Postoperative Sepsis (PSI              [Denominator
  13)](#postoperative-sepsis-psi-13) -    exclusion](#PSI13Denom) - Page
  Page [30](#postoperative-sepsis-psi-13) [30](#PSI13Denom)
  --------------------------------------- -------------------------------

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

*ICD-9-CM Infection diagnosis codes*

:

  ---------- ------------------------------------------------------------
  0010       CHOLERA D/T VIB CHOLERAE (OCT 05)

  0011       CHOLERA D/T VIB EL TOR (OCT 05)

  0019       CHOLERA NOS (OCT 05)

  0020       TYPHOID FEVER (OCT 05)

  0021       PARATYPHOID FEVER A (OCT 05)

  0022       PARATYPHOID FEVER B (OCT 05)

  0023       PARATYPHOID FEVER C (OCT 05)

  0029       PARATYPHOID FEVER NOS (OCT 05)

  0030       SALMONELLA ENTERITIS (OCT 05)

  0031       SALMONELLA SEPTICEMIA (OCT 05)

  00320      LOCAL SALMONELLA INF NOS (OCT 05)

  00321      SALMONELLA MENINGITIS (OCT 05)

  00322      SALMONELLA PNEUMONIA (OCT 05)

  00323      SALMONELLA ARTHRITIS (OCT 05)

  00324      SALMONELLA OSTEOMYELITIS (OCT 05)

  00329      LOCAL SALMONELLA INF NEC (OCT 05)

  0038       SALMONELLA INFECTION NEC (OCT 05)

  0039       SALMONELLA INFECTION NOS (OCT 05)

  0040       SHIGELLA DYSENTERIAE (OCT 05)

  0041       SHIGELLA FLEXNERI (OCT 05)

  0042       SHIGELLA BOYDII (OCT 05)

  0043       SHIGELLA SONNEI (OCT 05)

  0048       SHIGELLA INFECTION NEC (OCT 05)

  0049       SHIGELLOSIS NOS (OCT 05)

  0050       STAPH FOOD POISONING (OCT 05)

  0051       BOTULISM (OCT 05)

  0052       FOOD POIS D/T C. PERFRIN (OCT 05)

  0053       FOOD POIS: CLOSTRID NEC (OCT 05)

  0054       FOOD POIS: V. PARAHAEM (OCT 05)

  00581      FOOD POISN D/T V. VULNIF (OCT 05)

  00589      BACT FOOD POISONING NEC (OCT 05)

  0059       FOOD POISONING NOS (OCT 05)

  00800      INTEST INFEC E COLI NOS (OCT 05)

  00801      INT INF E COLI ENTRPATH (OCT 05)

  00802      INT INF E COLI ENTRTOXGN (OCT 05)

  00803      INT INF E COLI ENTRNVSV (OCT 05)

  00804      INT INF E COLI ENTRHMRG (OCT 05)

  00809      INT INF E COLI SPCF NEC (OCT 05)

  0081       ARIZONA ENTERITIS (OCT 05)

  0082       AEROBACTER ENTERITIS (OCT 05)

  0083       PROTEUS ENTERITIS (OCT 05)

  00841      STAPHYLOCOCC ENTERITIS (OCT 05)

  00842      PSEUDOMONAS ENTERITIS (OCT 05)

  00843      INT INFEC CAMPYLOBACTER (OCT 05)

  00844      INT INF YRSNIA ENTRCLTCA (OCT 05)

  00845      INT INF CLSTRDIUM DFCILE (OCT 05)

  00846      INTES INFEC OTH ANEROBES (OCT 05)

  00847      INT INF OTH GRM NEG BCTR (OCT 05)

  00849      BACTERIAL ENTERITIS NEC (OCT 05)

  0085       BACTERIAL ENTERITIS NOS (OCT 05)

  0200       BUBONIC PLAGUE (OCT 05)

  0201       CELLULOCUTANEOUS PLAGUE (OCT 05)

  0202       SEPTICEMIC PLAGUE (OCT 05)

  0203       PRIMARY PNEUMONIC PLAGUE (OCT 05)

  0204       SECONDARY PNEUMON PLAGUE (OCT 05)

  0205       PNEUMONIC PLAGUE NOS (OCT 05)

  0208       OTHER TYPES OF PLAGUE (OCT 05)

  0209       PLAGUE NOS (OCT 05)

  0210       ULCEROGLANDUL TULAREMIA (OCT 05)

  0211       ENTERIC TULAREMIA (OCT 05)

  0212       PULMONARY TULAREMIA (OCT 05)

  0213       OCULOGLANDULAR TULAREMIA (OCT 05)

  0218       TULAREMIA NEC (OCT 05)

  0219       TULAREMIA NOS (OCT 05)

  0220       CUTANEOUS ANTHRAX (OCT 05)

  0221       PULMONARY ANTHRAX (OCT 05)

  0222       GASTROINTESTINAL ANTHRAX (OCT 05)

  0223       ANTHRAX SEPTICEMIA (OCT 05)

  0228       OTHER ANTHRAX MANIFEST (OCT 05)

  0229       ANTHRAX NOS (OCT 05)

  0230       BRUCELLA MELITENSIS (OCT 05)

  0231       BRUCELLA ABORTUS (OCT 05)

  0232       BRUCELLA SUIS (OCT 05)

  0233       BRUCELLA CANIS (OCT 05)

  0238       BRUCELLOSIS NEC (OCT 05)

  0239       BRUCELLOSIS NOS (OCT 05)

  024        GLANDERS (OCT 05)

  025        MELIOIDOSIS (OCT 05)

  0260       SPIRILLARY FEVER (OCT 05)

  0261       STREPTOBACILLARY FEVER (OCT 05)

  0269       RAT-BITE FEVER NOS (OCT 05)

  0270       LISTERIOSIS (OCT 05)

  0271       ERYSIPELOTHRIX INFECTION (OCT 05)

  0272       PASTEURELLOSIS (OCT 05)

  0278       ZOONOTIC BACT DIS NEC (OCT 05)

  0279       ZOONOTIC BACT DIS NOS (OCT 05)

  0320       FAUCIAL DIPHTHERIA (OCT 05)

  0321       NASOPHARYNX DIPHTHERIA (OCT 05)

  0322       ANT NASAL DIPHTHERIA (OCT 05)

  0323       LARYNGEAL DIPHTHERIA (OCT 05)

  03281      CONJUNCTIVAL DIPHTHERIA (OCT 05)

  03282      DIPHTHERITIC MYOCARDITIS (OCT 05)

  03283      DIPHTHERITIC PERITONITIS (OCT 05)

  03284      DIPHTHERITIC CYSTITIS (OCT 05)

  03285      CUTANEOUS DIPHTHERIA (OCT 05)

  03289      DIPHTHERIA NEC (OCT 05)

  0329       DIPHTHERIA NOS (OCT 05)

  0330       BORDETELLA PERTUSSIS (OCT 05)

  0331       BORDETELLA PARAPERTUSSIS (OCT 05)

  0338       WHOOPING COUGH NEC (OCT 05)

  0339       WHOOPING COUGH NOS (OCT 05)

  0340       STREP SORE THROAT (OCT 05)

  0341       SCARLET FEVER (OCT 05)

  035        ERYSIPELAS (OCT 05)

  0360       MENINGOCOCCAL MENINGITIS (OCT 05)

  0361       MENINGOCOCC ENCEPHALITIS (OCT 05)

  0362       MENINGOCOCCEMIA (OCT 05)

  0363       MENINGOCOCC ADRENAL SYND (OCT 05)

  03640      MENINGOCOCC CARDITIS NOS (OCT 05)

  03641      MENINGOCOCC PERICARDITIS (OCT 05)

  03642      MENINGOCOCC ENDOCARDITIS (OCT 05)

  03643      MENINGOCOCC MYOCARDITIS (OCT 05)

  03681      MENINGOCOCC OPTIC NEURIT (OCT 05)

  03682      MENINGOCOCC ARTHROPATHY (OCT 05)

  03689      MENINGOCOCCAL INFECT NEC (OCT 05)

  0369       MENINGOCOCCAL INFECT NOS (OCT 05)

  037        TETANUS (OCT 05)

  0380       STREPTOCOCCAL SEPTICEMIA (OCT 05)

  03810      STAPHYLCOCC SEPTICEM NOS (OCT 05)

  03811      STAPH AUREUS SEPTICEMIA (OCT 05)

  03819      STAPHYLCOCC SEPTICEM NEC (OCT 05)

  0382       PNEUMOCOCCAL SEPTICEMIA (OCT 05)

  0383       ANAEROBIC SEPTICEMIA (OCT 05)

  03840      GRAM-NEG SEPTICEMIA NOS (OCT 05)

  03841      H. INFLUENAE SEPTICEMIA (OCT 05)

  03842      E COLI SEPTICEMIA (OCT 05)

  03843      PSEUDOMONAS SEPTICEMIA (OCT 05)

  03844      SERRATIA SEPTICEMIA (OCT 05)

  03849      GRAM-NEG SEPTICEMIA NEC (OCT 05)

  0388       SEPTICEMIA NEC (OCT 05)

  0389       SEPTICEMIA NOS (OCT 05)

  0390       CUTANEOUS ACTINOMYCOSIS (OCT 05)

  0391       PULMONARY ACTINOMYCOSIS (OCT 05)

  0392       ABDOMINAL ACTINOMYCOSIS (OCT 05)

  0393       CERVICOFAC ACTINOMYCOSIS (OCT 05)

  0394       MADURA FOOT (OCT 05)

  0398       ACTINOMYCOSIS NEC (OCT 05)

  0399       ACTINOMYCOSIS NOS (OCT 05)

  0400       GAS GANGRENE (OCT 05)

  0401       RHINOSCLEROMA (OCT 05)

  0402       WHIPPLE\'S DISEASE (OCT 05)

  0403       NECROBACILLOSIS (OCT 05)

  04081      TROPICAL PYOMYOSITIS (OCT 05)

  04082      TOXIC SHOCK SYNDROME (OCT 05)

  04089      BACTERIAL DISEASES NEC (OCT 05)

  04100      STREPTOCOCCUS UNSPECF (OCT 05)

  04101      STREPTOCOCCUS GROUP A (OCT 05)

  04102      STREPTOCOCCUS GROUP B (OCT 05)

  04103      STREPTOCOCCUS GROUP C (OCT 05)

  04104      ENTEROCOCCUS GROUP D (OCT 05)

  04105      STREPTOCOCCUS GROUP G (OCT 05)

  04109      OTHER STREPTOCOCCUS (OCT 05)

  04110      STAPHYLOCOCCUS UNSPCFIED (OCT 05)

  04111      STAPHYLOCOCCUS AUREUS (OCT 05)

  04119      OTHER STAPHYLOCOCCUS (OCT 05)

  0412       PNEUMOCOCCUS INFECT NOS (OCT 05)

  0413       KLEBSIELLA INFECT NOS (OCT 05)

  0414       E. COLI INFECT NOS (OCT 05)

  0415       H. INFLUENZAE INFECT NOS (OCT 05)

  0416       PROTEUS INFECTION NOS (OCT 05)

  0417       PSEUDOMONAS INFECT NOS (OCT 05)

  04182      BACTEROIDES FRAGILIS (OCT 05)

  04183      CLOSTRIDIUM PERFRINGENS (OCT 05)

  04184      OTHER ANAEROBES (OCT 05)

  04185      OTH GRAM NEGATV BACTERIA (OCT 05)

  04186      HELICOBACTER PYLORI (OCT 05)

  04189      OTH SPECF BACTERIA (OCT 05)

  0419       BACTERIAL INFECTION NOS (OCT 05)

  0980       ACUTE GC INFECT LOWER GU (OCT 05)

  09810      GC (ACUTE) UPPER GU NOS (OCT 05)

  09811      GC CYSTITIS (ACUTE) (OCT 05)

  09812      GC PROSTATITIS (ACUTE) (OCT 05)

  09813      GC ORCHITIS (ACUTE) (OCT 05)

  09814      GC SEM VESICULIT (ACUTE) (OCT 05)

  09815      GC CERVICITIS (ACUTE) (OCT 05)

  09816      GC ENDOMETRITIS (ACUTE) (OCT 05)

  09817      ACUTE GC SALPINGITIS (OCT 05)

  09819      GC (ACUTE) UPPER GU NEC (OCT 05)

  0982       CHR GC INFECT LOWER GU (OCT 05)

  09830      CHR GC UPPER GU NOS (OCT 05)

  09831      GC CYSTITIS, CHRONIC (OCT 05)

  09832      GC PROSTATITIS, CHRONIC (OCT 05)

  09833      GC ORCHITIS, CHRONIC (OCT 05)

  09834      GC SEM VESICULITIS, CHR (OCT 05)

  09835      GC CERVICITIS, CHRONIC (OCT 05)

  09836      GC ENDOMETRITIS, CHRONIC (OCT 05)

  09837      GC SALPINGITIS (CHRONIC) (OCT 05)

  09839      CHR GC UPPER GU NEC (OCT 05)

  09840      GONOCOCCAL CONJUNCTIVIT (OCT 05)

  09841      GONOCOCCAL IRIDOCYCLITIS (OCT 05)

  09842      GONOCOCCAL ENDOPHTHALMIA (OCT 05)

  09843      GONOCOCCAL KERATITIS (OCT 05)

  09849      GONOCOCCAL EYE NEC (OCT 05)

  09850      GONOCOCCAL ARTHRITIS (OCT 05)

  09851      GONOCOCCAL SYNOVITIS (OCT 05)

  09852      GONOCOCCAL BURSITIS (OCT 05)

  09853      GONOCOCCAL SPONDYLITIS (OCT 05)

  09859      GC INFECT JOINT NEC (OCT 05)

  0986       GONOCOCCAL INFEC PHARYNX (OCT 05)

  0987       GC INFECT ANUS & RECTUM (OCT 05)

  09881      GONOCOCCAL KERATOSIS (OCT 05)

  09882      GONOCOCCAL MENINGITIS (OCT 05)

  09883      GONOCOCCAL PERICARDITIS (OCT 05)

  09884      GONOCOCCAL ENDOCARDITIS (OCT 05)

  09885      GONOCOCCAL HEART DIS NEC (OCT 05)

  09886      GONOCOCCAL PERITONITIS (OCT 05)

  09889      GONOCOCCAL INF SITE NEC (OCT 05)

  3200       HEMOPHILUS MENINGITIS (OCT 05)

  3201       PNEUMOCOCCAL MENINGITIS (OCT 05)

  3202       STREPTOCOCCAL MENINGITIS (OCT 05)

  3203       STAPHYLOCOCC MENINGITIS (OCT 05)

  3207       MENING IN OTH BACT DIS (OCT 05)

  32081      ANAEROBIC MENINGITIS (OCT 05)

  32082      MNINGTS GRAM-NEG BCT NEC (OCT 05)

  32089      MENINGITIS OTH SPCF BACT (OCT 05)

  3209       BACTERIAL MENINGITIS NOS (OCT 05)

  3229       MENINGITIS NOS (OCT 05)

  3240       INTRACRANIAL ABSCESS (OCT 05)

  3241       INTRASPINAL ABSCESS (OCT 05)

  3249       CNS ABSCESS NOS (OCT 05)

  36000      PURULENT ENDOPHTHALM NOS (OCT 05)

  36001      ACUTE ENDOPHTHALMITIS (OCT 05)

  36002      PANOPHTHALMITIS (OCT 05)

  36004      VITREOUS ABSCESS (OCT 05)

  37055      CORNEAL ABSCESS (OCT 05)

  37200      ACUTE CONJUNCTIVITIS NOS (OCT 05)

  37203      MUCOPUR CONJUNCTIVIT NEC (OCT 05)

  37204      PSEUDOMEMB CONJUNCTIVIT (OCT 05)

  37220      BLEPHAROCONJUNCTIVIT NOS (OCT 05)

  37221      ANGULAR BLEPHAROCONJUNCT (OCT 05)

  37230      CONJUNCTIVITIS NOS (OCT 05)

  37300      BLEPHARITIS NOS (OCT 05)

  37301      ULCERATIVE BLEPHARITIS (OCT 05)

  37311      HORDEOLUM EXTERNUM (OCT 05)

  37312      HORDEOLUM INTERNUM (OCT 05)

  37313      ABSCESS OF EYELID (OCT 05)

  37500      DACRYOADENITIS NOS (OCT 05)

  37501      ACUTE DACRYOADENITIS (OCT 05)

  37530      DACRYOCYSTITIS NOS (OCT 05)

  37531      ACUTE CANALICULITIS (OCT 05)

  37532      ACUTE DACRYOCYSTITIS (OCT 05)

  37600      ACUTE INFLAM NOS, ORBIT (OCT 05)

  37601      ORBITAL CELLULITIS (OCT 05)

  37602      ORBITAL PERIOSTITIS (OCT 05)

  37603      ORBITAL OSTEOMYELITIS (OCT 05)

  37604      TENONITIS (OCT 05)

  38010      INFEC OTITIS EXTERNA NOS (OCT 05)

  38011      ACUTE INFECTION OF PINNA (OCT 05)

  38012      ACUTE SWIMMERS\' EAR (OCT 05)

  38013      AC INFECT EXTERN EAR NEC (OCT 05)

  38014      MALIGNANT OTITIS EXTERNA (OCT 05)

  38150      EUSTACHIAN SALPING NOS (OCT 05)

  38151      AC EUSTACHIAN SALPING (OCT 05)

  38200      AC SUPP OTITIS MEDIA NOS (OCT 05)

  38201      AC SUPP OM W DRUM RUPT (OCT 05)

  38202      AC SUPP OM IN OTH DIS (OCT 05)

  3821       CHR TUBOTYMP SUPP OTITIS MEDIA (OCT 05)

  3822       CHR ATTICOANTRAL SUPP OTITIS MEDIA (OCT 05)

  3823       CHR SUPP OTITIS MEDIA NOS (OCT 05)

  3824       SUPPUR OTITIS MEDIA NOS (OCT 05)

  3829       OTITIS MEDIA NOS (OCT 05)

  38300      AC MASTOIDITIS W/O COMPL (OCT 05)

  38301      SUBPERI MASTOID ABSCESS (OCT 05)

  38302      AC MASTOIDITIS-COMPL NEC (OCT 05)

  38320      PETROSITIS NOS (OCT 05)

  38321      ACUTE PETROSITIS (OCT 05)

  38400      ACUTE MYRINGITIS NOS (OCT 05)

  38630      LABYRINTHITIS NOS (OCT 05)

  38631      SEROUS LABYRINTHITIS (OCT 05)

  38632      CIRCUMSCRI LABYRINTHITIS (OCT 05)

  38633      SUPPURATIV LABYRINTHITIS (OCT 05)

  4200       AC PERICARDIT IN OTH DIS (OCT 05)

  42090      ACUTE PERICARDITIS NOS (OCT 05)

  42099      ACUTE PERICARDITIS NEC (OCT 05)

  4210       AC/SUBAC BACT ENDOCARD (OCT 05)

  4211       AC/SUBAC INFECT ENDOCARD (OCT 05)

  4219       AC/SUBAC ENDOCARDIT NOS (OCT 05)

  42292      SEPTIC MYOCARDITIS (OCT 05)

  4610       AC MAXILLARY SINUSITIS (OCT 05)

  4611       AC FRONTAL SINUSITIS (OCT 05)

  4612       AC ETHMOIDAL SINUSITIS (OCT 05)

  4613       AC SPHENOIDAL SINUSITIS (OCT 05)

  4618       OTHER ACUTE SINUSITIS (OCT 05)

  4619       ACUTE SINUSITIS NOS (OCT 05)

  462        ACUTE PHARYNGITIS (OCT 05)

  463        ACUTE TONSILLITIS (OCT 05)

  46430      AC EPIGLOTTITIS NO OBSTR (OCT 05)

  46431      AC EPIGLOTTITIS W OBSTR (OCT 05)

  4660       ACUTE BRONCHITIS (OCT 05)

  475        PERITONSILLAR ABSCESS (OCT 05)

  47822      PARAPHARYNGEAL ABSCESS (OCT 05)

  47824      RETROPHARYNGEAL ABSCESS (OCT 05)

  481        PNEUMOCOCCAL PNEUMONIA (OCT 05)

  4820       K. PNEUMONIAE PNEUMONIA (OCT 05)

  4821       PSEUDOMONAL PNEUMONIA (OCT 05)

  4822       H.INFLUENZAE PNEUMONIA (OCT 05)

  48230      STREPTOCOCCAL PNEUMN NOS (OCT 05)

  48231      PNEUMONIA STRPTOCOCCUS A (OCT 05)

  48232      PNEUMONIA STRPTOCOCCUS B (OCT 05)

  48239      PNEUMONIA OTH STREP (OCT 05)

  48240      STAPHYLOCOCCAL PNEU NOS (OCT 05)

  48241      STAPH AUREUS PNEUMONIA (OCT 05)

  48249      STAPH PNEUMONIA NEC (OCT 05)

  48281      PNEUMONIA ANAEROBES (OCT 05)

  48282      PNEUMONIA E COLI (OCT 05)

  48283      PNEUMO OTH GRM-NEG BACT (OCT 05)

  48284      LEGIONNAIRES\' DISEASE (OCT 05)

  48289      PNEUMONIA OTH SPCF BACT (OCT 05)

  4829       BACTERIAL PNEUMONIA NOS (OCT 05)

  4843       PNEUMONIA IN WHOOPING COUGH (OCT 05)

  4845       PNEUMONIA IN ANTHRAX (OCT 05)

  4848       PNEUMONIA IN OTHER INF DIS (OCT 05)

  485        BRONCHOPNEUMONIA ORG NOS (OCT 05)

  486        PNEUMONIA, ORGANISM NOS (OCT 05)

  490        BRONCHITIS NOS (OCT 05)

  49122      OBS CHR BRONC W AC BRONC (OCT 05)

  4941       BRONCHIECTASIS W AC EXAC (OCT 05)

  5100       EMPYEMA WITH FISTULA (OCT 05)

  5109       EMPYEMA W/O FISTULA (OCT 05)

  5111       BACT PLEUR/EFFUS NOT TB (OCT 05)

  5130       ABSCESS OF LUNG (OCT 05)

  5131       ABSCESS OF MEDIASTINUM (OCT 05)

  51901      TRACHEOSTOMY INFECTION (OCT 05)

  5192       MEDIASTINITIS (OCT 05)

  5220       PULPITIS (OCT 05)

  5225       PERIAPICAL ABSCESS (OCT 05)

  5227       PERIAPICAL ABSC W SINUS (OCT 05)

  5230       ACUTE GINGIVITIS (OCT 05)

  5233       ACUTE PERIODONTITIS (OCT 05)

  5264       INFLAMMATION OF JAW (OCT 05)

  5273       SALIVARY GLAND ABSCESS (OCT 05)

  5283       CELLULITIS/ABSCESS MOUTH (OCT 05)

  53641      GASTROSTOMY INFECTION (OCT 05)

  5400       AC APPEND W PERITONITIS

  5401       ABSCESS OF APPENDIX

  5409       ACUTE APPENDICITIS NOS

  541        APPENDICITIS NOS

  542        OTHER APPENDICITIS

  56201      DVRTCLI SML INT W/O HMRG

  56203      DVRTCLI SML INT W HMRHG

  56211      DVRTCLI COLON W/O HMRHG

  56213      DVRTCLI COLON W HMRHG

  566        ANAL & RECTAL ABSCESS

  5670       PERITONITIS IN INFEC DIS

  5671       PNEUMOCOCCAL PERITONITIS

  5672       SUPPURAT PERITONITIS NEC

  56721      PERITONITIS (ACUTE) GEN (OCT 05)

  56722      PERITONEAL ABSCESS (OCT 05)

  56723      SPONTAN BACT PERITONITIS (OCT 05)

  56729      SUPPURAT PERITONITIS NEC (OCT 05)

  56731      PSOAS MUSCLE ABSCESS (OCT 05)

  56738      RETROPERITON ABSCESS NEC (OCT 05)

  56739      RETROPERITON INFECT NEC (OCT 05)

  56781      CHOLEPERITONITIS (OCT 05)

  56782      SCLEROSING MESENTERITIS (OCT 05)

  56789      PERITONITIS NEC (OCT 05)

  5679       PERITONITIS NOS

  5695       INTESTINAL ABSCESS

  56961      COLOSTY/ENTEROST INFECTN

  5720       ABSCESS OF LIVER

  5721       PORTAL PYEMIA

  57400      CHOLELITH W AC CHOLECYST

  57401      CHOLELITH/AC GB INF-OBST

  57430      CHOLEDOCHOLITH/AC GB INF

  57431      CHOLEDOCHLITH/AC GB-OBST

  57460      GALL&BIL CAL W/AC W/O OB

  57461      GALL&BIL CAL W/AC W OBS

  57480      GAL&BIL CAL W/AC&CHR W/O

  57481      GAL&BIL CAL W/AC&CH W OB

  5750       ACUTE CHOLECYSTITIS

  57510      CHOLECYSTITIS UNSPEC (OCT 05)

  57512      AC&CHRON CHOLECYSTITIS (OCT 05)

  5754       PERFORATION GALLBLADDER

  5761       CHOLANGITIS

  5763       PERFORATION OF BILE DUCT

  5770       ACUTE PANCREATITIS (OCT 05)

  59010      AC PYELONEPHRITIS NOS (OCT 05)

  59011      AC PYELONEPHR W MED NECR (OCT 05)

  5902       RENAL/PERIRENAL ABSCESS (OCT 05)

  5903       PYELOURETERITIS CYSTICA (OCT 05)

  59080      PYELONEPHRITIS NOS (OCT 05)

  59081      PYELONEPHRIT IN OTH DIS (OCT 05)

  5909       INFECTION OF KIDNEY NOS (OCT 05)

  5950       ACUTE CYSTITIS (OCT 05)

  5954       CYSTITIS IN OTH DIS (OCT 05)

  59581      CYSTITIS CYSTICA (OCT 05)

  59589      CYSTITIS NEC (OCT 05)

  5959       CYSTITIS NOS (OCT 05)

  5970       URETHRAL ABSCESS (OCT 05)

  59800      URETHR STRICT:INFECT NOS (OCT 05)

  59801      URETH STRICT:OTH INFECT (OCT 05)

  5990       URIN TRACT INFECTION NOS (OCT 05)

  6010       ACUTE PROSTATITIS (OCT 05)

  6012       ABSCESS OF PROSTATE (OCT 05)

  6013       PROSTATOCYSTITIS (OCT 05)

  6014       PROSTATITIS IN OTH DIS (OCT 05)

  6018       PROSTATITIS (OCT 05)

  6019       PROSTATITIS NOS (OCT 05)

  6031       INFECTED HYDROCELE (OCT 05)

  6040       ORCHITIS WITH ABSCESS (OCT 05)

  60490      ORCHITIS/EPIDIDYMIT NOS (OCT 05)

  60491      ORCHITIS IN OTH DISEASE (OCT 05)

  6071       BALANOPOSTHITIS (OCT 05)

  6072       INFLAM DIS, PENIS NEC (OCT 05)

  6080       SEMINAL VESICULITIS (OCT 05)

  6084       MALE GEN INFLAM DIS NEC (OCT 05)

  6110       INFLAM DISEASE OF BREAST (OCT 05)

  6140       AC SALPINGO-OOPHORITIS (OCT 05)

  6141       CHRON SALPINGITIS OOPHORITIS (OCT 05)

  6142       SALPINGO-OOPHORITIS NOS (OCT 05)

  6143       ACUTE PARAMETRITIS (OCT 05)

  6144       CHRON OR UNSP CELLULITIS (OCT 05)

  6145       AC PELV PERITONITIS-FEM (OCT 05)

  6149       PID NOS (OCT 05)

  6150       AC UTERINE INFLAMMATION (OCT 05)

  6159       UTERINE INFLAM DIS NOS (OCT 05)

  6160       CERVICITIS (OCT 05)

  61610      VAGINITIS NOS (OCT 05)

  6163       BARTHOLIN\'S GLND ABSCESS (OCT 05)

  6164       ABSCESS OF VULVA NEC (OCT 05)

  63400      SPON ABOR W PEL INF-UNSP (OCT 05)

  63401      SPON ABOR W PELV INF-INC (OCT 05)

  63402      SPON ABOR W PEL INF-COMP (OCT 05)

  63500      LEG ABOR W PELV INF-UNSP (OCT 05)

  63501      LEG ABOR W PELV INF-INC (OCT 05)

  63502      LEG ABOR W PELV INF-COMP (OCT 05)

  63600      ILLEG AB W PELV INF-UNSP (OCT 05)

  63601      ILLEG AB W PELV INF-INC (OCT 05)

  63602      ILLEG AB W PELV INF-COMP (OCT 05)

  63700      ABORT NOS W PEL INF-UNSP (OCT 05)

  63701      ABORT NOS W PEL INF-INC (OCT 05)

  63702      ABORT NOS W PEL INF-COMP (OCT 05)

  6380       ATTEM ABORT W PELVIC INF (OCT 05)

  6390       POSTABORTION GU INFECT (OCT 05)

  64650      BACTERIURIA PREG-UNSPEC (OCT 05)

  64651      ASYM BACTERIURIA-DELIVER (OCT 05)

  64652      ASY BACTERURIA-DEL W P/P (OCT 05)

  64653      ASY BACTERIURIA-ANTEPART (OCT 05)

  64654      ASY BACTERIURIA-POSTPART (OCT 05)

  64660      GU INFECT IN PREG-UNSPEC (OCT 05)

  64661      GU INFECTION-DELIVERED (OCT 05)

  64662      GU INFECTION-DELIV W P/P (OCT 05)

  64663      GU INFECTION-ANTEPARTUM (OCT 05)

  64664      GU INFECTION-POSTPARTUM (OCT 05)

  64710      GONORRHEA IN PREG-UNSPEC (OCT 05)

  64711      GONORRHEA-DELIVERED (OCT 05)

  64712      GONORRHEA-DELIVER W P/P (OCT 05)

  64713      GONORRHEA-ANTEPARTUM (OCT 05)

  64714      GONORRHEA-POSTPARTUM (OCT 05)

  64780      INF DIS IN PREG NEC-UNSP (OCT 05)

  64781      INFECT DIS NEC-DELIVERED (OCT 05)

  64782      INFECT DIS NEC-DEL W P/P (OCT 05)

  64783      INFECT DIS NEC-ANTEPART (OCT 05)

  64784      INFECT DIS NEC-POSTPART (OCT 05)

  64790      INFECT IN PREG NOS-UNSP (OCT 05)

  64791      INFECT NOS-DELIVERED (OCT 05)

  64792      INFECT NOS-DELIVER W P/P (OCT 05)

  64793      INFECT NOS-ANTEPARTUM (OCT 05)

  64794      INFECT NOS-POSTPARTUM (OCT 05)

  65840      AMNIOTIC INFECTION-UNSP (OCT 05)

  65841      AMNIOTIC INFECTION-DELIV (OCT 05)

  65843      AMNIOTIC INFECT-ANTEPART (OCT 05)

  67000      MAJOR PUERP INFECT-UNSP (OCT 05)

  67002      MAJOR PUERP INF-DEL P/P (OCT 05)

  67004      MAJOR PUERP INF-POSTPART (OCT 05)

  67500      INFECT NIPPLE PREG-UNSP (OCT 05)

  67501      INFECT NIPPLE-DELIVERED (OCT 05)

  67502      INFECT NIPPLE-DEL W P/P (OCT 05)

  67503      INFECT NIPPLE-ANTEPARTUM (OCT 05)

  67504      INFECT NIPPLE-POSTPARTUM (OCT 05)

  67510      BREAST ABSCESS PREG-UNSP (OCT 05)

  67511      BREAST ABSCESS-DELIVERED (OCT 05)

  67512      BREAST ABSCESS-DEL W P/P (OCT 05)

  67513      BREAST ABSCESS-ANTEPART (OCT 05)

  67514      BREAST ABSCESS-POSTPART (OCT 05)

  67580      BREAST INF PREG NEC-UNSP (OCT 05)

  67581      BREAST INFECT NEC-DELIV (OCT 05)

  67582      BREAST INF NEC-DEL W P/P (OCT 05)

  67583      BREAST INF NEC-ANTEPART (OCT 05)

  67584      BREAST INF NEC-POSTPART (OCT 05)

  67590      BREAST INF PREG NOS-UNSP (OCT 05)

  67591      BREAST INFECT NOS-DELIV (OCT 05)

  67592      BREAST INF NOS-DEL W P/P (OCT 05)

  67593      BREAST INF NOS-ANTEPART (OCT 05)

  67594      BREAST INF NOS-POSTPART (OCT 05)

  6800       CARBUNCLE OF FACE (OCT 05)

  6801       CARBUNCLE OF NECK (OCT 05)

  6802       CARBUNCLE OF TRUNK (OCT 05)

  6803       CARBUNCLE OF ARM (OCT 05)

  6804       CARBUNCLE OF HAND (OCT 05)

  6805       CARBUNCLE OF BUTTOCK (OCT 05)

  6806       CARBUNCLE OF LEG (OCT 05)

  6807       CARBUNCLE OF FOOT (OCT 05)

  6808       CARBUNCLE, SITE NEC (OCT 05)

  6809       CARBUNCLE NOS (OCT 05)

  68100      CELLULITIS, FINGER NOS (OCT 05)

  68101      FELON (OCT 05)

  68102      ONYCHIA OF FINGER (OCT 05)

  68110      CELLULITIS, TOE NOS (OCT 05)

  68111      ONYCHIA OF TOE (OCT 05)

  6819       CELLULITIS OF DIGIT NOS (OCT 05)

  6820       CELLULITIS OF FACE (OCT 05)

  6821       CELLULITIS OF NECK (OCT 05)

  6822       CELLULITIS OF TRUNK (OCT 05)

  6823       CELLULITIS OF ARM (OCT 05)

  6824       CELLULITIS OF HAND (OCT 05)

  6825       CELLULITIS OF BUTTOCK (OCT 05)

  6826       CELLULITIS OF LEG (OCT 05)

  6827       CELLULITIS OF FOOT (OCT 05)

  6828       CELLULITIS, SITE NEC (OCT 05)

  6829       CRLLULITIS, SITE NOS (OCT 05)

  683        ACUTE LYMPHADENITIS (OCT 05)

  684        IMPETIGO (OCT 05)

  68600      PYODERMA NOS (OCT 05)

  68601      PYODERMA GANGRENOSUM (OCT 05)

  68609      PYODERMA OTHER (OCT 05)

  6868       LOCAL SKIN INFECTION NEC (OCT 05)

  6869       LOCAL SKIN INFECTION NOS (OCT 05)

  69581      RITTER\'S DISEASE (OCT 05)

  70700      DECUBITUS ULCER SITE NOS (OCT 05)

  70701      DECUBITUS ULCER,ELBOW (OCT 05)

  70702      DECUBITUS ULCER,UP BACK (OCT 05)

  70703      DECUBITUS ULCER,LOW BACK (OCT 05)

  70704      DECUBITUS ULCER,HIP (OCT 05)

  70705      DECUBITUS ULCER,BUTTOCK (OCT 05)

  70706      DECUBITUS ULCER,ANKLE (OCT 05)

  70707      DECUBITUS ULCER,HEEL (OCT 05)

  70709      DECUBITUS ULCER,SITE NEC (OCT 05)

  71100      PYOGEN ARTHRITIS-UNSPEC (OCT 05)

  71101      PYOGEN ARTHRITIS-SHLDER (OCT 05)

  71102      PYOGEN ARTHRITIS-UP/ARM (OCT 05)

  71103      PYOGEN ARTHRITIS-FOREARM (OCT 05)

  71104      PYOGEN ARTHRITIS-HAND (OCT 05)

  71105      PYOGEN ARTHRITIS-PELVIS (OCT 05)

  71106      PYOGEN ARTHRITIS-L/LEG (OCT 05)

  71107      PYOGEN ARTHRITIS-ANKLE (OCT 05)

  71108      PYOGEN ARTHRITIS NEC (OCT 05)

  71109      PYOGEN ARTHRITIS-MULT (OCT 05)

  71190      INF ARTHRITIS NOS-UNSPEC (OCT 05)

  71191      INF ARTHRITIS NOS-SHLDER (OCT 05)

  71192      INF ARTHRITIS NOS-UP/ARM (OCT 05)

  71193      INF ARTHRIT NOS-FOREARM (OCT 05)

  71194      INF ARTHRIT NOS-HAND (OCT 05)

  71195      INF ARTHRIT NOS-PELVIS (OCT 05)

  71196      INF ARTHRIT NOS-L/LEG (OCT 05)

  71197      INF ARTHRIT NOS-ANKLE (OCT 05)

  71198      INF ARTHRIT NOS-OTH SITE (OCT 05)

  71199      INF ARTHRITIS NOS-MULT (OCT 05)

  7280       INFECTIVE MYOSITIS (OCT 05)

  72886      NECROTIZING FASCIITIS (OCT 05)

  73000      AC OSTEOMYELITIS-UNSPEC (OCT 05)

  73001      AC OSTEOMYELITIS-SHLDER (OCT 05)

  73002      AC OSTEOMYELITIS-UP/ARM (OCT 05)

  73003      AC OSTEOMYELITIS-FOREARM (OCT 05)

  73004      AC OSTEOMYELITIS-HAND (OCT 05)

  73005      AC OSTEOMYELITIS-PELVIS (OCT 05)

  73006      AC OSTEOMYELITIS-L/LEG (OCT 05)

  73007      AC OSTEOMYELITIS-ANKLE (OCT 05)

  73008      AC OSTEOMYELITIS NEC (OCT 05)

  73009      AC OSTEOMYELITIS-MULT (OCT 05)

  73010      CHR OSTEOMYELITIS-UNSP (OCT 05)

  73011      CHR OSTEOMYELIT-SHLDER (OCT 05)

  73012      CHR OSTEOMYELIT-UP/ARM (OCT 05)

  73013      CHR OSTEOMYELIT-FOREARM (OCT 05)

  73014      CHR OSTEOMYELIT-HAND (OCT 05)

  73015      CHR OSTEOMYELIT-PELVIS (OCT 05)

  73016      CHR OSTEOMYELIT-L/LEG (OCT 05)

  73017      CHR OSTEOMYELIT-ANKLE (OCT 05)

  73018      CHR OSTEOMYELIT NEC (OCT 05)

  73019      CHR OSTEOMYELIT-MULT (OCT 05)

  73020      OSTEOMYELITIS NOS-UNSPEC (OCT 05)

  73021      OSTEOMYELITIS NOS-SHLDER (OCT 05)

  73022      OSTEOMYELITIS NOS-UP/ARM (OCT 05)

  73023      OSTEOMYELIT NOS-FOREARM (OCT 05)

  73024      OSTEOMYELITIS NOS-HAND (OCT 05)

  73025      OSTEOMYELITIS NOS-PELVIS (OCT 05)

  73026      OSTEOMYELITIS NOS-L/LEG (OCT 05)

  73027      OSTEOMYELITIS NOS-ANKLE (OCT 05)

  73028      OSTEOMYELIT NOS-OTH SITE (OCT 05)

  73029      OSTEOMYELITIS NOS-MULT (OCT 05)

  73030      PERIOSTITIS-UNSPEC (OCT 05)

  73031      PERIOSTITIS-SHLDER (OCT 05)

  73032      PERIOSTITIS-UP/ARM (OCT 05)

  73033      PERIOSTITIS-FOREARM (OCT 05)

  73034      PERIOSTITIS-HAND (OCT 05)

  73035      PERIOSTITIS-PELVIS (OCT 05)

  73036      PERIOSTITIS-L/LEG (OCT 05)

  73037      PERIOSTITIS-ANKLE (OCT 05)

  73038      PERIOSTITIS NEC (OCT 05)

  73039      PERIOSTITIS-MULT (OCT 05)

  73080      BONE INFECT NEC-UNSPEC (OCT 05)

  73081      BONE INFECT NEC-SHLDER (OCT 05)

  73082      BONE INFECT NEC-UP/ARM (OCT 05)

  73083      BONE INFECT NEC-FOREARM (OCT 05)

  73084      BONE INFECT NEC-HAND (OCT 05)

  73085      BONE INFECT NEC-PELVIS (OCT 05)

  73086      BONE INFECT NEC-L/LEG (OCT 05)

  73087      BONE INFECT NEC-ANKLE (OCT 05)

  73088      BONE INFECT NEC-OTH SITE (OCT 05)

  73089      BONE INFECT NEC-MULT (OCT 05)

  73090      BONE INFEC NOS-UNSP SITE (OCT 05)

  73091      BONE INFECT NOS-SHLDER (OCT 05)

  73092      BONE INFECT NOS-UP/ARM (OCT 05)

  73093      BONE INFECT NOS-FOREARM (OCT 05)

  73094      BONE INFECT NOS-HAND (OCT 05)

  73095      BONE INFECT NOS-PELVIS (OCT 05)

  73096      BONE INFECT NOS-L/LEG (OCT 05)

  73097      BONE INFECT NOS-ANKLE (OCT 05)

  73098      BONE INFECT NOS-OTH SITE (OCT 05)

  73099      BONE INFECT NOS-MULT (OCT 05)

  7713       TETANUS NEONATORUM (OCT 05)

  7714       OMPHALITIS OF NEWBORN (OCT 05)

  7715       NEONATAL INFEC MASTITIS (OCT 05)

  77181      NB SEPTICEMIA SEPSIS (OCT 05)

  77182      NB URINARY TRACT INFECTN (OCT 05)

  77183      BACTEREMIA OF NEWBORN (OCT 05)

  77189      PERINATAL INFECTION NEC (OCT 05)

  7775       NECROT ENTEROCOLITIS NB (OCT 05)

  7854       GANGRENE (OCT 05)

  78552      SEPTIC SHOCK (OCT 05)

  7907       BACTEREMIA (OCT 05)

  9101       ABRASION HEAD-INFECTED (OCT 05)

  9103       BLISTER HEAD-INFECTED (OCT 05)

  9105       INSECT BITE HEAD-INFECT (OCT 05)

  9107       FOREIGN BODY HEAD-INFECT (OCT 05)

  9109       SUPERF INJ HEAD NEC-INF (OCT 05)

  9111       ABRASION TRUNK-INFECTED (OCT 05)

  9113       BLISTER TRUNK-INFECTED (OCT 05)

  9115       INSECT BITE TRUNK-INFEC (OCT 05)

  9117       FOREIGN BODY TRUNK-INFEC (OCT 05)

  9119       SUPERF INJ TRNK NEC-INF (OCT 05)

  9121       ABRASION SHLDR/ARM-INFEC (OCT 05)

  9123       BLISTER SHOULDER/ARM-INF (OCT 05)

  9125       INSECT BITE SHLD/ARM-INF (OCT 05)

  9127       FB SHOULDER/ARM-INFECT (OCT 05)

  9129       SUPERF INJ SHLDR NEC-INF (OCT 05)

  9131       ABRASION FOREARM-INFECT (OCT 05)

  9133       BLISTER FOREARM-INFECTED (OCT 05)

  9135       INSECT BITE FOREARM-INF (OCT 05)

  9137       FOREIGN BODY FOREARM-INF (OCT 05)

  9139       SUPRF INJ FORARM NEC-INF (OCT 05)

  9141       ABRASION HAND-INFECTED (OCT 05)

  9143       BLISTER HAND-INFECTED (OCT 05)

  9145       INSECT BITE HAND-INFECT (OCT 05)

  9147       FOREIGN BODY HAND-INFECT (OCT 05)

  9149       SUPERF INJ HAND NEC-INF (OCT 05)

  9151       ABRASION FINGER-INFECTED (OCT 05)

  9153       BLISTER FINGER-INFECTED (OCT 05)

  9155       INSECT BITE FINGER-INFEC (OCT 05)

  9157       FOREIGN BODY FINGER-INF (OCT 05)

  9159       SUPRF INJ FINGER NEC-INF (OCT 05)

  9161       ABRASION HIP/LEG-INFECT (OCT 05)

  9163       BLISTER HIP & LEG-INFECT (OCT 05)

  9165       INSECT BITE HIP/LEG-INF (OCT 05)

  9167       FOREIGN BDY HIP/LEG-INF (OCT 05)

  9169       SUPERF INJ LEG NEC-INFEC (OCT 05)

  9171       ABRASION FOOT/TOE-INFEC (OCT 05)

  9173       BLISTER FOOT & TOE-INFEC (OCT 05)

  9175       INSECT BITE FOOT/TOE-INF (OCT 05)

  9177       FOREIGN BDY FOOT/TOE-INF (OCT 05)

  9179       SUPERF INJ FOOT NEC-INF (OCT 05)

  9191       ABRASION NEC-INFECTED (OCT 05)

  9193       BLISTER NEC-INFECTED (OCT 05)

  9195       INSECT BITE NEC-INFECTED (OCT 05)

  9197       SUPERFICIAL FB NEC-INFEC (OCT 05)

  9199       SUPERFIC INJ NEC-INFECT (OCT 05)

  99590      SIRS, NOS (OCT 05)

  99591      SIRS-INFECT W/O ORG DYSF (OCT 05)

  99592      SIRS-INFECT W ORGAN DYSF (OCT 05)

  99660      INFECT INFLAMM DEVICE IMPLANT GRAFT NOS (OCT 05)

  99661      INFECT INFLAMM CARDIAC DEVICE IMPLANT GRAFT (OCT 05)

  99662      INFECT INFLAMM VASCULAR DEVICE IMPLANT GRAFT (OCT 05)

  99663      INFECT INFLAMM NERV DEVICE IMPLANT GRAFT (OCT 05)

  99664      INFECT INFLAMM URINARY CATH (OCT 05)

  99665      INFECT INFLAMM GU DEVICE IMPLANT GRAFT (OCT 05)

  99666      INFECT INFLAMM JOINT PROSTH (OCT 05)

  99667      INFECT INFLAMM OTH ORTHOP DEVICE IMPLANT GRAFT NOS (OCT 05)

  99669      INFECT INFLAMM OTH DEVICE IMPLANT GRAFT (OCT 05)

  99762      INFECTION AMPUTAT STUMP (OCT 05)

  99851      INFECTED POSTOP SEROMA (OCT 05)

  99859      OTHER POSTOP INFECTION (OCT 05)

  9993       INFEC COMPL MED CARE NEC (OCT 05)
  ---------- ------------------------------------------------------------

*Infection DRGs:*

020 Nervous system infection except viral meningitis

068 Otitis media and URI, age greater than 17 W/ CC

069 Otitis media and URI, age greater than 17 W/O CC

070 Otitis media and URI, age less than or equal to 17

079 Respiratory infections and inflammations, age greater than 17 W/ CC

080 Respiratory infections and inflammations, age greater than 17 W/O CC

081 Respiratory infections and inflammations, age 0-17

089 Simple pneumonia and pleurisy, age greater than 17 W/ CC

090 Simple pneumonia and pleurisy, age greater than 17 W/O CC

091 Simple pneumonia and pleurisy, age less than or equal to 17

126 Acute and subacute endocarditis

238 Osteomyelitis

242 Septic arthritis

277 Cellulitis, age greater than 17 W/ CC

278 Cellulitis, age greater than 17 W/O CC

279 Cellulitis, age 0-17

320 Kidney and urinary tract infections, age greater than 17 W/ CC

321 Kidney and urinary tract infections, age greater than 17 W/O CC

322 Kidney and urinary tract infections, age 0-17

368 Infections of female reproductive system

415 OR procedure for infectious and parasitic diseases

416 Septicemia, age greater than 17

417 Septicemia, age 0-17

423 Other infectious and parasitic diseases diagnoses

####### 

######### Appendix Q: Cancer DRGs

These codes are used by the following PSIs:

  ----------------------------------------------------------------------------------------- -------------------------------
  **PSI**                                                                                   **How Used**

  [Selected Infections Due to Medical Care, Secondary Diagnosis Field (PSI 7 and            [Denominator
  23)](#selected-infections-due-to-medical-care-secondary-diagnosis-field-psi-7-and-23) -   exclusion](#PSI7Denom) - Page
  Page                                                                                      [21](#PSI7Denom)
  [20](#selected-infections-due-to-medical-care-secondary-diagnosis-field-psi-7-and-23)     

  [Postoperative Sepsis (PSI 13)](#postoperative-sepsis-psi-13) - Page                      [Denominator
  [30](#postoperative-sepsis-psi-13)                                                        exclusion](#PSI13Denom) - Page
                                                                                            [30](#PSI13Denom)
  ----------------------------------------------------------------------------------------- -------------------------------

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

  ---------- ------------------------------------------------------------
  010        Nervous system neoplasms W/ CC

  011        Nervous system neoplasms W/O CC

  064        Ear, nose, mouth and throat malignancy

  082        Respiratory neoplasms

  172        Digestive malignancy W/ CC

  173        Digestive malignancy W/O CC

  199        Hepatobiliary diagnostic procedure for malignancy

  203        Malignancy of hepatobiliary system or pancreas

  239        Pathological fractures and musculoskeletal and connective
             tissue malignancy

  257        Total mastectomy for malignancy W/ CC

  258        Total mastectomy for malignancy W/O CC

  259        Subtotal mastectomy for malignancy W/ CC

  260        Subtotal mastectomy for malignancy W/O CC

  274        Malignant breast disorders W/ CC

  275        Malignant breast disorders W/O CC

  303        Kidney, ureter and major bladder procedures for neoplasm

  318        Kidney and urinary tract neoplasms W/ CC

  319        Kidney and urinary tract neoplasms W/O CC

  338        Testes procedures for malignancy

  344        Other male reproductive system OR procedures for malignancy

  346        Malignancy of male reproductive system W/ CC

  347        Malignancy of male reproductive system W/O CC

  354        Uterine and adnexa procedures for nonovarian/adnexal
             malignancy W/ CC

  355        Uterine and adnexa procedures for nonovarian/adnexal
             malignancy W/O CC

  357        Uterine and adnexa procedures for ovarian or adnexal
             malignancy

  363        D and C, conization and radioimplant for malignancy

  367        Malignancy of female reproductive system W/O CC

  400\*      Lymphoma and leukemia W/ major OR procedures

  401        Lymphoma and nonacute leukemia W/ other OR procedure W/ CC

  402        Lymphoma and nonacute leukemia W/ other OR procedure W/O CC

  403        Lymphoma and nonacute leukemia W/ CC

  404        Lymphoma and nonacute leukemia W/O CC

  405        Acute leukemia W/O major or procedure, age 0-17

  406        Myeloproliferative disorders or poorly differentiated
             neoplasms W/ major OR procedures W/ CC

  407        Myeloproliferative disorders or poorly differentiated
             neoplasms W/ major OR procedure W/O CC

  408        Myeloproliferative disorders or poorly differentiated
             neoplasms W/ other OR procedures

  409        Radiotherapy

  410        Chemotherapy W/O acute leukemia as secondary diagnosis

  411        History of malignancy W/O endoscopy

  412        History of malignancy W/ endoscopy

  413        Other myeloproliferative disorders or poorly differentiated
             neoplasm diagnoses W/ CC

  414        Other myeloproliferative disorders or poorly differentiated
             neoplasm diagnoses W/O CC

  473        Acute leukemia W/O major OR procedure, age greater than 17

  492        Chemotherapy W/ acute leukemia as secondary diagnosis

  539        Lymphoma & leukemia w major or procedure W/ CC (oct 03)

  540        Lymphoma & leukemia w major or procedure W/O CC (oct 03)
  ---------- ------------------------------------------------------------

####### \*No Longer valid in FY2005 {#no-longer-valid-in-fy2005 .unnumbered}

[^1]: Note: The length of stay exclusion criteria was corrected in
    Revision 2 of the PSI Guide. The first version noted length of stay
    of 4 or more days, which was incorrect.