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AHRQ Quality Indicators

Prevention Quality Indicators:

Technical Specifications

Department of Health and Human Services

Agency for Healthcare Research and Quality

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

October 2001

Version 3.2 (February 29, 2008)

Table of Contents

[**About the Prevention Quality Indicators
1**](#about-the-prevention-quality-indicators)

[Prevention Quality Indicators Detailed Indicator Definitions
3](#prevention-quality-indicators-detailed-indicator-definitions)

[Diabetes Short-term Complications Admission Rate (PQI 1)
3](#diabetes-short-term-complications-admission-rate-pqi-1)

[Perforated Appendix Admission Rate (PQI 2)
3](#perforated-appendix-admission-rate-pqi-2)

[Diabetes Long-term Complications Admission Rate (PQI 3)
4](#diabetes-long-term-complications-admission-rate-pqi-3)

[Chronic Obstructive Pulmonary Disease (COPD) Admission Rate (PQI 5)
5](#chronic-obstructive-pulmonary-disease-copd-admission-rate-pqi-5)

[Hypertension Admission Rate (PQI 7)
5](#hypertension-admission-rate-pqi-7)

[Congestive Heart Failure (CHF) Admission Rate (PQI 8)
6](#congestive-heart-failure-chf-admission-rate-pqi-8)

[Low Birth Weight Rate (PQI 9) 7](#low-birth-weight-rate-pqi-9)

[Dehydration Admission Rate (PQI 10)
8](#dehydration-admission-rate-pqi-10)

[Bacterial Pneumonia Admission Rate (PQI 11)
9](#bacterial-pneumonia-admission-rate-pqi-11)

[Urinary Tract Infection Admission Rate (PQI 12)
10](#urinary-tract-infection-admission-rate-pqi-12)

[Angina without Procedure Admission Rate (PQI 13)
12](#angina-without-procedure-admission-rate-pqi-13)

[Uncontrolled Diabetes Admission Rate (PQI 14)
12](#uncontrolled-diabetes-admission-rate-pqi-14)

[Adult Asthma Admission Rate (PQI 15)
14](#adult-asthma-admission-rate-pqi-15)

[Rate of Lower-extremity Amputation among Patients with Diabetes (PQI
16)
15](#rate-of-lower-extremity-amputation-among-patients-with-diabetes-pqi-16)

[Appendix A: Cardiac Procedure Codes A-1](#cardiac-procedure-codes)

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

# About the Prevention Quality Indicators

This module of the Agency for Healthcare Research and Quality (AHRQ)
Quality Indicators (QI) was designed to capitalize on the availability
of administrative data on inpatient stays to produce information about
14 Prevention Quality Indicators (PQIs): *potentially avoidable
hospitalizations for ambulatory care sensitive condition* (ACSC)
indicators, which involve admissions that evidence suggest could have
been avoided, at least in part, through better access to high-quality
outpatient care.

This document provides all ICD-9-CM codes included in or excluded from
the numerator and denominator for each indicator in the Prevention
Quality Indicators Version 3.2 of the AHRQ PQIs reflects changes in
indicators associated with ICD-9-CM coding updates for FY 2008
(effective 10-1-2007). Information about the development of the
indicators and their definitions is contained in the companion document
*Guide to the Prevention Quality Indicators,* which includes
information. See [Appendix B:](#AppendixA) for links to these and other
documents as well as Web sites that may be of interest to PQI users.

Software to calculate the PQI rates is available for download from the
AHRQ Quality Indicators Web site in two formats:

-   A set of SAS*®* programs and accompanying documentation

-   QI Windows Application

The SAS version requires the SAS® statistical program distributed by the
SAS Institute, Inc. The company may be contacted directly regarding the
licensing of its products: [http://www.sas.com](http://www.sas.com/)

The Windows version calculates rates for all of the AHRQ Quality
Indicators modules. Users do not need to purchase any additional
software to run this program.

Both versions of the software:

-   Assign and calculate PQIs from hospital discharge abstracts or UB
    (uniform billing) claims data.

-   Provide options for stratifying rates by geographic areas.

-   Calculate rates using either the hospital location or the county of
    patient residence.

-   Create risk-adjusted rates that adjust for casemix differences.

-   Create smoothed rates that reduce fluctuations over time due to
    random variation.

-   Provide the option to generate condition-specific rates (diabetes)
    by state and age.

The FY2008 release includes enhancements to the functionality of the
risk-adjustment module.

-   Version 3.2 provides the option to select either risk-adjustment
    based on age, gender, SES, and disease prevalence or risk-adjustment
    based on age and gender only.

-   Parameter files of risk adjustment covariates have been computed
    using a logistic regression model with an area random effect instead
    of the existing simple logistic model. Because the covariates are
    computed on such a large dataset with thousands of hospitals and
    millions of patients, the adoption of the hierarchical model will be
    relatively transparent to current users of the indicators. In other
    words, the hierarchical model does not change the values of the
    coefficients very much.

Population figures through 2008 for use with AHRQ Quality Indicator
software were derived from U. S. Census Bureau data using estimates for
2000 through 2006 and modified projections for 2007 and 2008. The 2008
file uses the same inter-censal estimates for the years 1995 through
1999 as the 2007 file, so counts for these years did not change.

# Prevention Quality Indicators Detailed Indicator Definitions

Definitions use ICD-9-CM codes valid from October 1, 1994 to September
30, 2008. For ICD-9-CM codes introduced after October 1995, the date of
introduction is indicated after the code label. For example, "OCT96-"
indicates the ICD-9-CM code was introduced in October 1996.

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| 54 | AC APPEND W PERITONITIS     | 5   | ABSCESS OF APPENDIX        |
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+----+-----------------------------+-----+----------------------------+
| #  |                             |     |                            |
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+----+-----------------------------+-----+----------------------------+
| 54 | AC APPEND W PERITONITIS     | 5   | ACUTE APPENDICITIS NOS     |
| 00 |                             | 409 |                            |
+----+-----------------------------+-----+----------------------------+
| 54 | ABSCESS OF APPENDIX         | 541 | APPENDICITIS NOS           |
| 01 |                             |     |                            |
+----+-----------------------------+-----+----------------------------+

+-----+----------------------------+-----+----------------------------+
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+=====+============================+=====+============================+
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| cod |                            |     |                            |
| es: |                            |     |                            |
+-----+----------------------------+-----+----------------------------+
| 25  | DM RENAL COMP T2 CONT      | 25  | DM CIRCU DIS T2 CONT       |
| 040 |                            | 070 |                            |
+-----+----------------------------+-----+----------------------------+
| 25  | DM RENAL COMP T1 CONT      | 25  | DM CIRCU DIS T1 CONT       |
| 041 |                            | 071 |                            |
+-----+----------------------------+-----+----------------------------+
| 25  | DM RENAL COMP T2 UNCNT     | 25  | DM CIRCU DIS T2 UNCNT      |
| 042 |                            | 072 |                            |
+-----+----------------------------+-----+----------------------------+
| 25  | DM RENAL COMP T1 UNCNT     | 25  | DM CIRCU DIS T1 UNCNT      |
| 043 |                            | 073 |                            |
+-----+----------------------------+-----+----------------------------+
| 25  | DM EYE COMP T2 CONT        | 25  | DM W COMP NEC T2 CONT      |
| 050 |                            | 080 |                            |
+-----+----------------------------+-----+----------------------------+
| 25  | DM EYE COMP T1 CONT        | 25  | DM W COMP NEC T1 CONT      |
| 051 |                            | 081 |                            |
+-----+----------------------------+-----+----------------------------+
| 25  | DM EYE COMP T2 UNCNT       | 25  | DM W COMP NEC T2 UNCNT     |
| 052 |                            | 082 |                            |
+-----+----------------------------+-----+----------------------------+
| 25  | DM EYE COMP T1 UNCNT       | 25  | DM W COMP NEC T1 UNCNT     |
| 053 |                            | 083 |                            |
+-----+----------------------------+-----+----------------------------+
| 25  | DM NEURO COMP T2 CONT      | 25  | DM W COMPL NOS T2 CONT     |
| 060 |                            | 090 |                            |
+-----+----------------------------+-----+----------------------------+
| 25  | DM NEURO COMP T1 CONT      | 25  | DM W COMPL NOS T1 CONT     |
| 061 |                            | 091 |                            |
+-----+----------------------------+-----+----------------------------+
| 25  | DM NEURO COMP T2 UNCNT     | 25  | DM W COMPL NOS T2 UNCNT    |
| 062 |                            | 092 |                            |
+-----+----------------------------+-----+----------------------------+
| 25  | DM NEURO COMP T1 UNCNT     | 25  | DM W COMPL NOS T1 UNCNT    |
| 063 |                            | 093 |                            |
+-----+----------------------------+-----+----------------------------+
|     |                            |     |                            |
+-----+----------------------------+-----+----------------------------+
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+-----+----------------------------+-----+----------------------------+
| *   |                            |     |                            |
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| old |                            |     |                            |
| er. |                            |     |                            |
+-----+----------------------------+-----+----------------------------+

+----+-----------------------------+-----+----------------------------+
| #  |                             |     |                            |
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+====+=============================+=====+============================+
| ## |                             |     |                            |
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| al |                             |     |                            |
| di |                             |     |                            |
| sc |                             |     |                            |
| ha |                             |     |                            |
| rg |                             |     |                            |
| es |                             |     |                            |
| of |                             |     |                            |
| a  |                             |     |                            |
| ge |                             |     |                            |
| 18 |                             |     |                            |
| y  |                             |     |                            |
| ea |                             |     |                            |
| rs |                             |     |                            |
| a  |                             |     |                            |
| nd |                             |     |                            |
| o  |                             |     |                            |
| ld |                             |     |                            |
| er |                             |     |                            |
| wi |                             |     |                            |
| th |                             |     |                            |
| IC |                             |     |                            |
| D- |                             |     |                            |
| 9- |                             |     |                            |
| CM |                             |     |                            |
| p  |                             |     |                            |
| ri |                             |     |                            |
| nc |                             |     |                            |
| ip |                             |     |                            |
| al |                             |     |                            |
| d  |                             |     |                            |
| ia |                             |     |                            |
| gn |                             |     |                            |
| os |                             |     |                            |
| is |                             |     |                            |
| co |                             |     |                            |
| de |                             |     |                            |
| f  |                             |     |                            |
| or |                             |     |                            |
| C  |                             |     |                            |
| OP |                             |     |                            |
| D. |                             |     |                            |
|    |                             |     |                            |
| I  |                             |     |                            |
| nc |                             |     |                            |
| lu |                             |     |                            |
| de |                             |     |                            |
| IC |                             |     |                            |
| D- |                             |     |                            |
| 9- |                             |     |                            |
| CM |                             |     |                            |
| d  |                             |     |                            |
| ia |                             |     |                            |
| gn |                             |     |                            |
| os |                             |     |                            |
| is |                             |     |                            |
| co |                             |     |                            |
| de |                             |     |                            |
| s: |                             |     |                            |
+----+-----------------------------+-----+----------------------------+
| 4  | BRONCHITIS NOS\*            | 4   | CHRONIC BRONCHITIS NOS     |
| 90 |                             | 919 |                            |
+----+-----------------------------+-----+----------------------------+
| 46 | AC BRONCHITIS\*             | 4   | EMPHYSEMATOUS BLEB         |
| 60 |                             | 920 |                            |
+----+-----------------------------+-----+----------------------------+
| 49 | SIMPLE CHR BRONCHITIS       | 4   | EMPHYSEMA NEC              |
| 10 |                             | 928 |                            |
+----+-----------------------------+-----+----------------------------+
| 49 | MUCOPURUL CHR BRONCHITIS    | 494 | BRONCHIECTASIS OCT00-      |
| 11 |                             |     |                            |
+----+-----------------------------+-----+----------------------------+
| 4  | OBS CHR BRNC W/O ACT EXA    | 4   | BRONCHIECTAS W/O AC EXAC   |
| 91 |                             | 940 | OCT00-                     |
| 20 |                             |     |                            |
+----+-----------------------------+-----+----------------------------+
| 4  | OBS CHR BRNC W ACT EXA      | 4   | BRONCHIECTASIS W AC EXAC   |
| 91 |                             | 941 | OCT00-                     |
| 21 |                             |     |                            |
+----+-----------------------------+-----+----------------------------+
| 49 | CHRONIC BRONCHITIS NEC      | 496 | CHR AIRWAY OBSTRUCT NEC    |
| 18 |                             |     |                            |
+----+-----------------------------+-----+----------------------------+
| \  |                             |     |                            |
| *Q |                             |     |                            |
| ua |                             |     |                            |
| li |                             |     |                            |
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| 49 |                             |     |                            |
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| x, |                             |     |                            |
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| 94 |                             |     |                            |
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|    |                             |     |                            |
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|    |                             |     |                            |
| 15 |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
| (n |                             |     |                            |
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| bo |                             |     |                            |
| rn |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
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| s) |                             |     |                            |
+----+-----------------------------+-----+----------------------------+
| ** |                             |     |                            |
| De |                             |     |                            |
| no |                             |     |                            |
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| na |                             |     |                            |
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| nt |                             |     |                            |
| y, |                             |     |                            |
| >  |                             |     |                            |
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| >  |                             |     |                            |
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| >  |                             |     |                            |
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| ea |                             |     |                            |
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| >  |                             |     |                            |
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| ol |                             |     |                            |
| de |                             |     |                            |
| r. |                             |     |                            |
+----+-----------------------------+-----+----------------------------+

+-----------------------------------------------------------------------+
| ### Hypertension Admission Rate (PQI 7)                               |
+=======================================================================+
| ### Numerator: {#numerator-4 .App_Table}                              |
|                                                                       |
| All non-maternal discharges of age 18 years and older with ICD-9-CM   |
| principal diagnosis code for hypertension (see below).                |
|                                                                       |
| *ICD-9-CM hypertension diagnosis codes:*                              |
|                                                                       |
|   ---                                                                 |
| ---- ----------------------- ------- -------------------------------- |
|   4010    MALIGNANT HYPERTENSION  40310   BEN HYP REN W/O REN FAIL    |
|                                                                       |
|   4019    HYPERTENSION NOS        40390   HYP REN NOS W/O REN FAIL    |
|                                                                       |
|   40200   MAL HYPERTEN HRT DIS    40400   MAL HY HT/REN W/O CHF/RF    |
|           NOS                                                         |
|                                                                       |
|   40210   BEN HYPERTEN HRT DIS    40410   BEN HY HT/REN W/O CHF/RF    |
|           NOS                                                         |
|                                                                       |
|   40290   HYPERTENSIVE HRT DIS    40490   HY HT/REN NOS W/O CHF/RF    |
|           NOS                                                         |
|                                                                       |
|   40300   MAL HYP REN W/O REN                                         |
|           FAIL                                                        |
|   ---                                                                 |
| ---- ----------------------- ------- -------------------------------- |
|                                                                       |
| []{#PQI_7_Exc .anchor}Exclude cases:                                  |
|                                                                       |
| -   transferring from another institution (SID ASOURCE=2)             |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
|                                                                       |
| -   MDC 15 (newborn and other neonates)                               |
|                                                                       |
| -   with cardiac procedure codes in any field                         |
|                                                                       |
| > See [Appendix A: Cardiac Procedure Codes](#cardiac-procedure-codes) |
| >                                                                     |
| > Control-click (Word) or click (PDF) to view an Appendix. Links are  |
| > provided to return to the PQI Detailed Definition.                  |
|                                                                       |
|                                                                       |
|  ----- ------------------------ ---- -------------------------------- |
|                                                                       |
|                                                                       |
|                                                                       |
|  ----- ------------------------ ---- -------------------------------- |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| > Population in Metro Area or county, age 18 years and older.         |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ### Congestive Heart Failure (CHF) Admission Rate (PQI 8)             |
+=======================================================================+
| ### Numerator: {#numerator-5 .App_Table .unnumbered}                  |
|                                                                       |
| All non-maternal/non-neonatal discharges of age 18 years and older    |
| with ICD-9-CM principal diagnosis code for CHF.                       |
|                                                                       |
| Include ICD-9-CM diagnosis codes:                                     |
|                                                                       |
|   --                                                                  |
| ----- ------------------------ ------- ------------------------------ |
|   39                                                                  |
| 891   RHEUMATIC HEART FAILURE  42821   AC SYSTOLIC HRT FAILURE OCT02- |
|                                                                       |
|   40201   MAL HYPERT HRT DIS W CHF 42822   CHR SYSTOLIC HRT FAILURE   |
|                                            OCT02-                     |
|                                                                       |
|   40                                                                  |
| 211   BENIGN HYP HRT DIS W CHF 42823   AC ON CHR SYST HRT FAIL OCT02- |
|                                                                       |
|   40291   HYPERTEN HEART DIS W CHF 42830   DIASTOLC HRT FAILURE NOS   |
|                                            OCT02-                     |
|                                                                       |
|   40401   MAL HYPER HRT/REN W CHF  42831   AC DIASTOLIC HRT FAILURE   |
|                                            OCT02-                     |
|                                                                       |
|   4                                                                   |
| 0403   MAL HYP HRT/REN W CHF/RF 42832   CHR DIASTOLIC HRT FAIL OCT02- |
|                                                                       |
|   40411   BEN HYPER HRT/REN W CHF  42833   AC ON CHR DIAST HRT FAIL   |
|                                            OCT02-                     |
|                                                                       |
|   40                                                                  |
| 413   BEN HYP HRT/REN W CHF/RF 42840   SYST/DIAST HRT FAIL NOS OCT02- |
|                                                                       |
|   40491   HYPER HRT/REN NOS W CHF  42841   AC SYST/DIASTOL HRT FAIL   |
|                                            OCT02-                     |
|                                                                       |
|   40493   HYP HT/REN NOS W CHF/RF  42842   CHR SYST/DIASTL HRT FAIL   |
|                                            OCT02-                     |
|                                                                       |
|   4280    CONGESTIVE HEART FAILURE 42843   AC/CHR SYST/DIA HRT FAIL   |
|                                            OCT02-                     |
|                                                                       |
|   4281    LEFT HEART FAILURE       4289    HEART FAILURE NOS          |
|                                                                       |
|   42820   SYSTOLIC HRT FAILURE NOS                                    |
|           OCT02-                                                      |
|   --                                                                  |
| ----- ------------------------ ------- ------------------------------ |
|                                                                       |
| []{#PQI_8_Exc .anchor}Exclude cases:                                  |
|                                                                       |
| -   transferring from another institution (SID ASOURCE=2)             |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
|                                                                       |
| -   MDC 15 (newborn and other neonates)                               |
|                                                                       |
| -   with cardiac procedure codes in any field                         |
|                                                                       |
| > See [Appendix A: Cardiac Procedure Codes](#cardiac-procedure-codes) |
| >                                                                     |
| > Control-click (Word) or click (PDF) to view an Appendix. Links are  |
| > provided to return to the PQI Detailed Definition.                  |
|                                                                       |
|   ----- ------------------------ ----- ------------------------------ |
|                                                                       |
|                                                                       |
|   ----- ------------------------ ----- ------------------------------ |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| > Population in Metro Area or county, age 18 years and older.         |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ### Low Birth Weight Rate (PQI 9)                                     |
+=======================================================================+
| ### Numerator: {#numerator-6 .App_Table}                              |
|                                                                       |
| > Number of births with ICD-9-CM diagnosis code for less than 2500    |
| > grams in any field among cases meeting the inclusion and exclusion  |
| > rules for the denominator.                                          |
|                                                                       |
| Include ICD-9-CM diagnosis codes:                                     |
|                                                                       |
|   --                                                                  |
| ----- --------------------------- ------- --------------------------- |
|   76400   LIGHT-FOR-DATES WTNOS       76490   FET GROWTH RETARD WTNOS |
|                                                                       |
|                                                                       |
|  76401   LIGHT-FOR-DATES \<500G      76491   FET GROWTH RETARD \<500G |
|                                                                       |
|   76402   LT-FOR-DATES 500-749G       76492   FET GROWTH RET 500-749G |
|                                                                       |
|   76403   LT-FOR-DATES 750-999G       76493   FET GROWTH RET 750-999G |
|                                                                       |
|                                                                       |
|  76404   LT-FOR-DATES 1000-1249G     76494   FET GRWTH RET 1000-1249G |
|                                                                       |
|                                                                       |
|  76405   LT-FOR-DATES 1250-1499G     76495   FET GRWTH RET 1250-1499G |
|                                                                       |
|                                                                       |
|  76406   LT-FOR-DATES 1500-1749G     76496   FET GRWTH RET 1500-1749G |
|                                                                       |
|                                                                       |
|  76407   LT-FOR-DATES 1750-1999G     76497   FET GRWTH RET 1750-1999G |
|                                                                       |
|                                                                       |
|  76408   LT-FOR-DATES 2000-2499G     76498   FET GRWTH RET 2000-2499G |
|                                                                       |
|   76410   LT-FOR-DATE W/MAL WTNOS     76500   EXTREME IMMATUR WTNOS   |
|                                                                       |
|   76411   LT-FOR-DATE W/MAL \<500G    76501   EXTREME IMMATUR \<500G  |
|                                                                       |
|                                                                       |
|  76412   LT-DATE W/MAL 500-749G      76502   EXTREME IMMATUR 500-749G |
|                                                                       |
|                                                                       |
|  76413   LT-DATE W/MAL 750-999G      76503   EXTREME IMMATUR 750-999G |
|                                                                       |
|                                                                       |
|  76414   LT-DATE W/MAL 1000-1249G    76504   EXTREME IMMAT 1000-1249G |
|                                                                       |
|                                                                       |
|  76415   LT-DATE W/MAL 1250-1499G    76505   EXTREME IMMAT 1250-1499G |
|                                                                       |
|                                                                       |
|  76416   LT-DATE W/MAL 1500-1749G    76506   EXTREME IMMAT 1500-1749G |
|                                                                       |
|                                                                       |
|  76417   LT-DATE W/MAL 1750-1999G    76507   EXTREME IMMAT 1750-1999G |
|                                                                       |
|                                                                       |
|  76418   LT-DATE W/MAL 2000-2499G    76508   EXTREME IMMAT 2000-2499G |
|                                                                       |
|                                                                       |
|  76420   FETAL MALNUTRITION WTNOS    76510   PRETERM INFANT NEC WTNOS |
|                                                                       |
|   76421   FETAL MALNUTRITION \<500G   76511   PRETERM NEC \<500G      |
|                                                                       |
|   76422   FETAL MALNUTR 500-749G      76512   PRETERM NEC 500-749G    |
|                                                                       |
|   76423   FETAL MAL 750-999G          76513   PRETERM NEC 750-999G    |
|                                                                       |
|   76424   FETAL MAL 1000-1249G        76514   PRETERM NEC 1000-1249G  |
|                                                                       |
|   76425   FETAL MAL 1250-1499G        76515   PRETERM NEC 1250-1499G  |
|                                                                       |
|   76426   FETAL MAL 1500-1749G        76516   PRETERM NEC 1500-1749G  |
|                                                                       |
|   76427   FETAL MALNUTR 1750-1999G    76517   PRETERM NEC 1750-1999G  |
|                                                                       |
|   76428   FETAL MALNUTR 2000-2499G    76518   PRETERM NEC 2000-2499G  |
|   --                                                                  |
| ----- --------------------------- ------- --------------------------- |
+-----------------------------------------------------------------------+
| Exclude cases:                                                        |
|                                                                       |
| -   transferring from another institution (SID ASOURCE=2)             |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| The definition of **newborn** is any neonate with either 1) an        |
| ICD-9-CM diagnosis code for an in-hospital live birth or 2) an        |
| admission type of newborn (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 (ATYPE=4), an ICD-9-CM diagnosis code for neonate     |
| observation and evaluation, or an ICD-9-CM diagnosis code for an      |
| in-hospital live birth.                                               |
|                                                                       |
| Newborn in Hospital Live Birth Codes                                  |
|                                                                       |
|   -                                                                   |
| ------ -------------------------- ------- --------------------------- |
|   V3000   SINGLE LB IN-HOSP W/O CS   V3401   OTH MULT LB-IN HOSP W CS |
|           OCT05-                             OCT05-                   |
|                                                                       |
|   V3001   SINGLE LB IN-HOSP W CS     V3500   OTH MULT SB-HOSP W/O CS  |
|           OCT05-                             OCT05-                   |
|                                                                       |
|   V3100   TWIN-MATE LB-HOSP W/O CS   V3501   OTH MULT SB-IN HOSP W CS |
|           OCT05-                             OCT05-                   |
|                                                                       |
|   V3101   TWIN-MATE LB-IN HOS W CS   V3600   MULT LB/SB-IN HOS W/O CS |
|           OCT05-                             OCT05-                   |
|                                                                       |
|   V3200   TWIN-MATE SB-HOSP W/O CS   V3601   MULT LB/SB-IN HOSP W CS  |
|           OCT05-                             OCT05-                   |
|                                                                       |
|   V3201   TWIN-MATE SB-HOSP W CS     V3700   MULT BRTH NOS-HOS W/O CS |
|           OCT05-                             OCT05-                   |
|                                                                       |
|   V3300   TWIN-NOS-IN HOSP W/O CS    V3701   MULT BIRTH NOS-HOSP W CS |
|           OCT05-                             OCT05-                   |
|                                                                       |
|   V3301   TWIN-NOS-IN HOSP W CS      V3900   LIVEBORN NOS-HOSP W/O CS |
|           OCT05-                             OCT05-                   |
|                                                                       |
|   V3400   OTH MULT LB-HOSP W/O CS    V3901   LIVEBORN NOS-HOSP W CS   |
|           OCT05-                             OCT05-                   |
|   -                                                                   |
| ------ -------------------------- ------- --------------------------- |
|                                                                       |
| *Newborn out of Hospital Birth codes:*                                |
|                                                                       |
|   -                                                                   |
| ----- --------------------------- ------ ---------------------------- |
|   V301    SINGL LIVEBRN-BEFORE ADM   V342    OTH MULTIPLE NB-NONHOSP  |
|          OCT05-                             OCT06-                    |
|                                                                       |
|   V302    SINGLE LIVEBORN-NONHOSP    V351    OTH MULT SB-BEFORE ADM   |
|          OCT05-                             OCT05-                    |
|                                                                       |
|   V311    TWIN, MATE LB-BEFORE ADM   V352    OTH MULTIPLE SB-NONHOSP  |
|          OCT05-                             OCT05-                    |
|                                                                       |
|   V312    TWIN, MATE LB-NONHOSP      V361    MULT NB/SB-BEFORE ADM    |
|          OCT05-                             OCT05-                    |
|                                                                       |
|   V321    TWIN, MATE SB-BEFORE ADM   V362    MULTIPLE NB/SB-NONHOSP   |
|          OCT05-                             OCT05-                    |
|                                                                       |
|   V322    TWIN, MATE SB-NONHOSP      V371    MULT BRTH NOS-BEFORE ADM |
|          OCT05-                             OCT05-                    |
|                                                                       |
|   V331    TWIN NOS-BEFORE ADMISSN    V372    MULT BIRTH NOS-NONHOSP   |
|          OCT05-                             OCT05-                    |
|                                                                       |
|   V332    TWIN NOS-NONHOSP OCT05-    V391    LIVEBORN NOS-BEFORE ADM  |
|                                             OCT05-                    |
|                                                                       |
|   V                                                                   |
| 341    OTH MULT NB-BEFORE ADM     V392    LIVEBORN NOS-NONHOSP OCT05- |
|          OCT05-                                                       |
|   -                                                                   |
| ----- --------------------------- ------ ---------------------------- |
|                                                                       |
| *Neonate Observation and Evaluation codes:*                           |
|                                                                       |
|   -                                                                   |
| ----- --------------------------- ------ ---------------------------- |
|   V290   NB OBSRV SUSPCT INFECT      V293   NB OBS GENETC/METABL CND  |
|                                                                       |
|   V291   NB OBSRV SUSPCT NEURLGCL    V298   NB OBSRV OTH SUSPCT COND  |
|                                                                       |
|   V292   OBSRV NB SUSPC RESP COND    V299   NB OBSRV UNSP SUSPCT CND  |
|   -                                                                   |
| ----- --------------------------- ------ ---------------------------- |
+-----------------------------------------------------------------------+

+----+-----------------------------+-----+----------------------------+
| #  |                             |     |                            |
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+----+-----------------------------+-----+----------------------------+
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| e: |                             |     |                            |
+----+-----------------------------+-----+----------------------------+
| 2  | VOL DEPLETION, UNSPECIFIED  | 27  | HYPOVOLEMIA OCT06-         |
| 76 | OCT06-                      | 652 |                            |
| 50 |                             |     |                            |
+----+-----------------------------+-----+----------------------------+
| 2  | DEHYDRATION 0CT06-          | 2   | HYPOVOLEMIA                |
| 76 |                             | 765 |                            |
| 51 |                             |     |                            |
+----+-----------------------------+-----+----------------------------+
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+----+-----------------------------+-----+----------------------------+
| ** |                             |     |                            |
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+----+-----------------------------+-----+----------------------------+

+----+-----------------------------+----+-----------------------------+
| #  |                             |    |                             |
| ## |                             |    |                             |
|  B |                             |    |                             |
| ac |                             |    |                             |
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|  1 |                             |    |                             |
| 1) |                             |    |                             |
+====+=============================+====+=============================+
| ## |                             |    |                             |
| #  |                             |    |                             |
| Nu |                             |    |                             |
| me |                             |    |                             |
| ra |                             |    |                             |
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| a. |                             |    |                             |
|    |                             |    |                             |
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| nc |                             |    |                             |
| lu |                             |    |                             |
| de |                             |    |                             |
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| D- |                             |    |                             |
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| CM |                             |    |                             |
| d  |                             |    |                             |
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| is |                             |    |                             |
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| de |                             |    |                             |
| s: |                             |    |                             |
+----+-----------------------------+----+-----------------------------+
| 4  | PNEUMOCOCCAL PNEUMONIA      | 48 | BACTERIAL PNEUMONIA NOS     |
| 81 |                             | 29 |                             |
+----+-----------------------------+----+-----------------------------+
| 48 | H.INFLUENZAE PNEUMONIA      | 48 | MYCOPLASMA PNEUMONIA        |
| 22 |                             | 30 |                             |
+----+-----------------------------+----+-----------------------------+
| 4  | STREP PNEUMONIA UNSPEC      | 48 | CHLAMYDIA PNEUMONIA OCT96-  |
| 82 |                             | 31 |                             |
| 30 |                             |    |                             |
+----+-----------------------------+----+-----------------------------+
| 4  | GRP A STREP PNEUMONIA       | 48 | OTH SPEC ORG PNEUMONIA      |
| 82 |                             | 38 |                             |
| 31 |                             |    |                             |
+----+-----------------------------+----+-----------------------------+
| 4  | GRP B STREP PNEUMONIA       | 4  | BRONCOPNEUMONIA ORG NOS     |
| 82 |                             | 85 |                             |
| 32 |                             |    |                             |
+----+-----------------------------+----+-----------------------------+
| 4  | OTH STREP PNEUMONIA         | 4  | PNEUMONIA, ORGANISM NOS     |
| 82 |                             | 86 |                             |
| 39 |                             |    |                             |
+----+-----------------------------+----+-----------------------------+
|    |                             |    |                             |
+----+-----------------------------+----+-----------------------------+
| E  |                             |    |                             |
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|    |                             |    |                             |
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|    |                             |    |                             |
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| em |                             |    |                             |
| ia |                             |    |                             |
|    |                             |    |                             |
|    |                             |    |                             |
| or |                             |    |                             |
|    |                             |    |                             |
|    |                             |    |                             |
| HB |                             |    |                             |
| -S |                             |    |                             |
|    |                             |    |                             |
|    |                             |    |                             |
|  d |                             |    |                             |
| is |                             |    |                             |
| ea |                             |    |                             |
| se |                             |    |                             |
|    |                             |    |                             |
| E  |                             |    |                             |
| xc |                             |    |                             |
| lu |                             |    |                             |
| de |                             |    |                             |
| IC |                             |    |                             |
| D- |                             |    |                             |
| 9- |                             |    |                             |
| CM |                             |    |                             |
| d  |                             |    |                             |
| ia |                             |    |                             |
| gn |                             |    |                             |
| os |                             |    |                             |
| is |                             |    |                             |
| co |                             |    |                             |
| de |                             |    |                             |
| s: |                             |    |                             |
+----+-----------------------------+----+-----------------------------+
| 2  | THLASEMA HB-S W/O CRISIS    | 2  | SICKLE-CELL/HB-C DISEASE    |
| 82 | OCT03-                      | 82 |                             |
| 41 |                             | 63 |                             |
+----+-----------------------------+----+-----------------------------+
| 2  | THLASSEMIA HB-S W CRISIS    | 2  | HB-S/HB-C DIS W CRISIS      |
| 82 | OCT03-                      | 82 | OCT03-                      |
| 42 |                             | 64 |                             |
+----+-----------------------------+----+-----------------------------+
| 2  | SICKLE-CELL ANEMIA NOS      | 2  | HB-S DIS W/O CRISIS NEC     |
| 82 |                             | 82 | OCT03-                      |
| 60 |                             | 68 |                             |
+----+-----------------------------+----+-----------------------------+
| 2  | HB-S DISEASE W/O CRISIS     | 2  | SICKLE-CELL ANEMIA NEC      |
| 82 |                             | 82 |                             |
| 61 |                             | 69 |                             |
+----+-----------------------------+----+-----------------------------+
| 2  | HB-S DISEASE WITH CRISIS    |    |                             |
| 82 |                             |    |                             |
| 62 |                             |    |                             |
+----+-----------------------------+----+-----------------------------+
|    |                             |    |                             |
+----+-----------------------------+----+-----------------------------+
| ** |                             |    |                             |
| De |                             |    |                             |
| no |                             |    |                             |
| mi |                             |    |                             |
| na |                             |    |                             |
| to |                             |    |                             |
| r: |                             |    |                             |
| ** |                             |    |                             |
|    |                             |    |                             |
| >  |                             |    |                             |
| Po |                             |    |                             |
| pu |                             |    |                             |
| la |                             |    |                             |
| ti |                             |    |                             |
| on |                             |    |                             |
| >  |                             |    |                             |
| in |                             |    |                             |
| >  |                             |    |                             |
|  M |                             |    |                             |
| et |                             |    |                             |
| ro |                             |    |                             |
| >  |                             |    |                             |
| Ar |                             |    |                             |
| ea |                             |    |                             |
| >  |                             |    |                             |
| or |                             |    |                             |
| >  |                             |    |                             |
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| ou |                             |    |                             |
| nt |                             |    |                             |
| y, |                             |    |                             |
| >  |                             |    |                             |
|  a |                             |    |                             |
| ge |                             |    |                             |
| >  |                             |    |                             |
| 18 |                             |    |                             |
| >  |                             |    |                             |
|  y |                             |    |                             |
| ea |                             |    |                             |
| rs |                             |    |                             |
| >  |                             |    |                             |
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| nd |                             |    |                             |
| >  |                             |    |                             |
| ol |                             |    |                             |
| de |                             |    |                             |
| r. |                             |    |                             |
+----+-----------------------------+----+-----------------------------+

+-----------------------------------------------------------------------+
| ### Urinary Tract Infection Admission Rate (PQI 12)                   |
+=======================================================================+
| ### Numerator: {#numerator-9 .App_Table .unnumbered}                  |
|                                                                       |
| > All non-maternal discharges of age 18 years and older with ICD-9-CM |
| > principal diagnosis code of urinary tract infection (see below).    |
|                                                                       |
| *Include ICD-9-CM diagnosis codes:*                                   |
|                                                                       |
|   --                                                                  |
| ----- ---------------------------- ------- -------------------------- |
|                                                                       |
|  59010   AC PYELONEPHRITIS NOS        59081   PYELONEPHRIT IN OTH DIS |
|                                                                       |
|                                                                       |
|  59011   AC PYELONEPHR W MED NECR     5909    INFECTION OF KIDNEY NOS |
|                                                                       |
|   5902    RENAL/PERIRENAL ABSCESS      5950    ACUTE CYSTITIS         |
|                                                                       |
|   5903    PYELOURETERITIS CYSTICA      5959    CYSTITIS NOS           |
|                                                                       |
|                                                                       |
| 59080   PYELONEPHRITIS NOS           5990    URIN TRACT INFECTION NOS |
|                                                                       |
|                                                                       |
|   --                                                                  |
| ----- ---------------------------- ------- -------------------------- |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   transferring from another institution (SID ASOURCE=2)             |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
|                                                                       |
| -   MDC 15 (newborn and other neonates)                               |
|                                                                       |
| -   with diagnosis code of kidney/urinary tract disorder              |
|                                                                       |
| -   with diagnosis code of immunocompromised state                    |
|                                                                       |
| -   with immunocompromised state procedure code                       |
|                                                                       |
| ICD-9-CM kidney/urinary tract disorder diagnosis codes                |
|                                                                       |
|   --                                                                  |
| ----- ---------------------------- ------- -------------------------- |
|                                                                       |
|  59000   CHR PYELONEPHRITIS NOS       75317   MEDULLARY SPONGE KIDNEY |
|                                                                       |
|                                                                       |
| 59001   CHR PYELONEPH W MED NECR     75319   CYSTIC KIDNEY DISEAS NEC |
|                                                                       |
|                                                                       |
| 59370   VESCOURETRL RFLUX UNSPCF     75320   OBS DFCT REN PLV&URT NOS |
|                                                                       |
|                                                                       |
| 59371   VESICOURETERAL REFLUX        75321   CONGEN OBST URTROPLV JNC |
|           UNILTRL                                                     |
|                                                                       |
|                                                                       |
| 59372   VESICOURETERAL REFLUX NPHT   75322   CONG OBST URETEROVES JNC |
|           BLTRL                                                       |
|                                                                       |
|   59373   VESICOURETERAL REFLUX W NPHT 75323   CONGENITAL URETEROCELE |
|           NOS                                                         |
|                                                                       |
|                                                                       |
| 7530    RENAL AGENESIS               75329   OBST DEF REN PLV&URT NEC |
|                                                                       |
|   75310   CYSTIC KIDNEY DISEAS NOS     7533    KIDNEY ANOMALY NEC     |
|                                                                       |
|   75311   CONGENITAL RENAL CYST        7534    URETERAL ANOMALY NEC   |
|                                                                       |
|   75312   POLYCYSTIC KIDNEY NOS        7535    EXSTROPHY OF URNIARY   |
|                                                BLADDER                |
|                                                                       |
|                                                                       |
|  75313   POLYCYST KID-AUTOSOM DOM     7536    ATRESIA AND STENOSIS OF |
|                                                                       |
|                                              URETHRA AND BLADDER NECK |
|                                                                       |
|   75314   POLYCYST KID-AUTOSOM REC     7538    CYSTOURETHRAL ANOM NEC |
|                                                                       |
|   75315   RENAL DYSPLASIA              7539    URINARY ANOMALY NOS    |
|                                                                       |
|   75316   MEDULLARY CYSTIC KIDNEY                                     |
|   --                                                                  |
| ----- ---------------------------- ------- -------------------------- |
|                                                                       |
| ICD-9-CM Immunocompromised States diagnosis codes:                    |
|                                                                       |
|   --                                                                  |
| ----- -------------------------- ------- ---------------------------- |
|   042     HUMAN IMMUNODEFICIENCY     28953   NEUTROPENIC SPLENOMEGALY |
|           VIRUS DISEASE                      OCT06-                   |
|                                                                       |
|   1363    PNEUMOCYSTOSIS             28983   MYELOFIBROSIS OCT06-     |
|                                                                       |
|   23873   HI GRDE MYELODYS SYN LES   40301   MAL HYP KIDNEY W CHR KID |
|           OCT06-                             OCT06-                   |
|                                                                       |
|   23876   MYELOFI W MYELO METAPLAS   40311   BEN HYP KIDNEY W CHR KID |
|           OCT06-                             OCT06-                   |
|                                                                       |
|   260     KWASHIORKOR OCT05-         40391   HYP KIDNEY NOS W CHR KID |
|                                              OCT06-                   |
|                                                                       |
|   261     NUTRITIONAL MARASMUS       40402   MAL HY HRT/KID W CHR KID |
|           OCT05-                             OCT06-                   |
|                                                                       |
|   262     OTH SEVERE MALNUTRITION    40403   MAL HYP HRT/KID W HF/KID |
|           OCT05-                             OCT06-                   |
|                                                                       |
|   27900   HYPOGAMMAGLOBULINEM NOS    40412   BEN HYP HT/KID W CHR KID |
|                                              OCT06-                   |
|                                                                       |
|   27901   SELECTIVE IGA IMMUNODEF    40413   BEN HYP HT/KID W HF/KID  |
|                                              OCT06-                   |
|                                                                       |
|   27902   SELECTIVE IGM IMMUNODEF    40492   HYP HT/KID NOS W CHR KID |
|                                              OCT06-                   |
|                                                                       |
|   27903   SELECTIVE IG DEFIC NEC     40493   HYP HRT/KID NOS W HF/KID |
|                                              OCT06-                   |
|                                                                       |
|   27904   CONG HYPOGAMMAGLOBULINEM   5793    INTEST POSTOP NONABSORB  |
|                                              OCT06-                   |
|                                                                       |
|   27905   IMMUNODEFIC W HYPER-IGM    585     CHRONIC KIDNEY DISEASE   |
|                                              OCT05-                   |
|                                                                       |
|   27906   COMMON VARIABL IMMUNODEF   5855    CHRON KIDNEY DIS STAGE V |
|                                              OCT05-                   |
|                                                                       |
|   27909   HUMORAL IMMUNITY DEF NEC   5856    END STAGE RENAL DISEASE  |
|                                              OCT06-                   |
|                                                                       |
|   27910   IMMUNDEF T-CELL DEF NOS    9968    COMPLICATIONS OF         |
|                                              TRANSPLANTED ORGAN       |
|                                                                       |
|   27911   DIGEORGES SYNDROME         99680   COMP ORGAN TRANSPLNT NOS |
|                                                                       |
|   27912   WISKOTT-ALDRICH SYNDROME   99681   COMPL KIDNEY TRANSPLANT  |
|                                                                       |
|   27913   NEZELOFS SYNDROME          99682   COMPL LIVER TRANSPLANT   |
|                                                                       |
|   27919   DEFIC CELL IMMUNITY NOS    99683   COMPL HEART TRANSPLANT   |
|                                                                       |
|   2792    COMBINED IMMUNITY          99684   COMPL LUNG TRANSPLANT    |
|           DEFICIENCY                                                  |
|                                                                       |
|   2793    UNSPECIFIED IMMUNITY       99685   COMPL MARROW TRANSPLANT  |
|           DEFICIENCY                                                  |
|                                                                       |
|   2794    AUTOIMMUNE DISEASE, NOT    99686   COMPL PANCREAS TRANSPLNT |
|           ELSEWHERE CLASSIFIED                                        |
|                                                                       |
|   2798    OTHER SPECIFIED DISORDERS  99687   COMP INTESTINE TRANSPLNT |
|           INVOLVING THE IMMUNE                                        |
|           MECHANISM                                                   |
|                                                                       |
|   2799    UNSPECIFIED DISORDER OF    99689   COMP OTH ORGAN TRANSPLNT |
|           IMMUNE MECHANISM                                            |
|                                                                       |
|   28409   CONST APLASTC ANEMIA NEC   V420    KIDNEY REPLACED BY       |
|           OCT06-                             TRANSPLANT               |
|                                                                       |
|   28                                                                  |
| 41    PANCYTOPENIA OCT06-        V421    HEART REPLACED BY TRANSPLANT |
|                                                                       |
|   2                                                                   |
| 880    AGRANULOCYTOSIS OCT05-     V426    LUNG REPLACED BY TRANSPLANT |
|                                                                       |
|   28                                                                  |
| 800   NEUTROPENIA NOS OCT06-     V427    LIVER REPLACED BY TRANSPLANT |
|                                                                       |
|   28801   CONGENITAL NEUTROPENIA     V428    OTHER SPECIFIED ORGAN OR |
|           OCT06-                             TISSUE                   |
|                                                                       |
|   28802   CYCLIC NEUTROPENIA OCT06-  V4281   BONE MARROW SPECIFIED BY |
|                                              TRANSPLANT               |
|                                                                       |
|   28803   DRUG INDUCED NEUTROPENIA   V4282   PERIPHERAL STEM CELLS    |
|           OCT06-                             REPLACED BY TRANSPLANT   |
|                                                                       |
|   28809   NEUTROPENIA NEC OCT06-     V4283   PANCREAS REPLACED BY     |
|                                              TRANSPLANT               |
|                                                                       |
|   2882    GENETIC ANOMALY LEUKOCYT   V4284   INTESTINES REPLACE BY    |
|           OCT06-                             TRANSPLANT               |
|                                                                       |
|   28                                                                  |
| 84    HEMOPHAGOCYTIC SYNDROMES   V4289   OTHER REPLACED BY TRANSPLANT |
|           OCT06-                                                      |
|                                                                       |
|   28                                                                  |
| 850   LEUKOCYTOPENIA NOS OCT06-  V451    RENAL DIALYSIS STATUS OCT06- |
|                                                                       |
|   28851   LYMPHOCYTOPENIA OCT06-     V560    RENAL DIALYSIS ENCOUNTER |
|                                              OCT06-                   |
|                                                                       |
|   28859   DECREASED WBC COUNT NEC    V561    FT/ADJ XTRCORP DIAL CATH |
|           OCT06-                             OCT06-                   |
|                                                                       |
|                                      V562    FIT/ADJ PERIT DIAL CATH  |
|                                              OCT06-                   |
|   --                                                                  |
| ----- -------------------------- ------- ---------------------------- |
|                                                                       |
| ICD-9-CM Immunocompromised States procedure codes:                    |
|                                                                       |
|                                                                       |
|  ------ -------------------------- ------ --------------------------- |
|   0018   INFUS IMMUNOSUP ANTIBODY   4105   ALLOGENEIC HEMATOPOIETIC   |
|          OCT05-                            STEM CELL TRANSPLANT W/O   |
|                                            PURGING                    |
|                                                                       |
|   335    LUNG TRANSPLANTATION       4106   CORD BLOOD STEM CELL       |
|                                            TRANSPLANT                 |
|                                                                       |
|   3350   LUNG TRANSPLANTATION, NOS  4107   AUTOLOGOUS HEMATOPOIETIC   |
|                                            STEM CELL TRANSPLANT W/    |
|                                            PURGING                    |
|                                                                       |
|   3351   UNILATERAL LUNG            4108   ALLOGENEIC HEMATOPOIETIC   |
|          TRANSPLANTATION                   STEM CELL TRANSPLANT W/    |
|                                            PURGING                    |
|                                                                       |
|   3352   BILATERAL LUNG             4109   AUTOLOGOUS BONE MARROW     |
|          TRANSPLANTATION                   TRANSPLANT W/ PURGING      |
|                                                                       |
|   336    COMBINED HEART-LUNG        5051   AUXILIARY LIVER TRANSPLANT |
|          TRANSPLANTATION                                              |
|                                                                       |
|   375    HEART TRANSPLANTATION      5059   LIVER TRANSPLANT, NEC      |
|                                                                       |
|   3751   HEART TRANSPLANTATION (OCT 5280   PANCREATIC TRANSPLANT, NOS |
|          03)                                                          |
|                                                                       |
|   410    OPERATIONS ON BONE MARROW  5281   REIMPLANTATION OF          |
|          AND SPLEEN                        PANCREATIC TISSUE          |
|                                                                       |
|   4100   BONE MARROW TRANSPLANT,    5282   HOMOTRANSPLANT OF PANCREAS |
|          NOS                                                          |
|                                                                       |
|   4101   AUTOLOGOUS BONE MARROW     5283   HETEROTRANSPLANT OF        |
|          TRANSPLANT W/O PURGING            PANCREAS                   |
|                                                                       |
|   4102   ALLOGENEIC BONE MARROW     5285   ALLOTRANSPLANTATION OF     |
|          TRANSPLANT W/ PURGING             CELLS OF ISLETS OF         |
|                                            LANGERHANS                 |
|                                                                       |
|                                                                       |
|  4103   ALLOGENEIC BONE MARROW     5286   TRANSPLANTATION OF CELLS OF |
|          TRANSPLANT W/O PURGING            ISLETS OF LANGERHANS, NOS  |
|                                                                       |
|   4104   AUTOLOGOUS HEMATOPOIETIC   5569   OTHER KIDNEY               |
|          STEM CELL TRANSPLANT W/O          TRANSPLANTATION            |
|          PURGING                                                      |
|                                                                       |
|  ------ -------------------------- ------ --------------------------- |
|                                                                       |
| ###                                                                   |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| > Population in Metro Area or county, age 18 years and older.         |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ### Angina without Procedure Admission Rate (PQI 13)                  |
+=======================================================================+
| ### **Numerator**: {#numerator-10 .App_Table .unnumbered}             |
|                                                                       |
| > All non-maternal discharges of age 18 years and older with ICD-9-CM |
| > principal diagnosis code for angina.                                |
|                                                                       |
| Include ICD-9-CM diagnosis codes:                                     |
|                                                                       |
|   -                                                                   |
| ------ ---------------------------- ------ -------------------------- |
|   4111    INTERMED CORONARY SYND       4130   ANGINA DECUBITUS        |
|                                                                       |
|   41181   CORONARY OCCLSN W/O MI       4131   PRINZMETAL ANGINA       |
|                                                                       |
|   41189   AC ISCHEMIC HRT DIS NEC      4139   ANGINA PECTORIS NEC/NOS |
|   -                                                                   |
| ------ ---------------------------- ------ -------------------------- |
+-----------------------------------------------------------------------+
| []{#PQI_13_Exc .anchor}Exclude cases:                                 |
|                                                                       |
| -   transferring from another institution (SID ASOURCE=2)             |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
|                                                                       |
| -   MDC 15 (newborn and other neonates)                               |
|                                                                       |
| -   with a code for cardiac procedure in any field                    |
|                                                                       |
| > See [Appendix A: Cardiac Procedure Codes](#cardiac-procedure-codes) |
| >                                                                     |
| > Control-click (Word) or click (PDF) to view an Appendix. Links are  |
| > provided to return to the PQI Detailed Definition.                  |
|                                                                       |
|   ----- ---------------------------- ----- -------------------------- |
|                                                                       |
|                                                                       |
|   ----- ---------------------------- ----- -------------------------- |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| > Population in Metro Area or county, age 18 years and older.         |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ### Uncontrolled Diabetes Admission Rate (PQI 14)                     |
+=======================================================================+
| ### Numerator: {#numerator-11 .App_Table .unnumbered}                 |
|                                                                       |
| All non-maternal discharges of age 18 years and older with ICD-9-CM   |
| principal diagnosis code for uncontrolled diabetes, without mention   |
| of a short-term or long-term complication.                            |
|                                                                       |
| Include ICD-9-CM diagnosis codes:                                     |
|                                                                       |
|   ---------------- ---------------- ---------------- ---------------- |
|   25002            DM, T2, UNCONT                                     |
|                                                                       |
|   25003            DM, T1, UNCONT                                     |
|                                                                       |
|                                                                       |
|   ---------------- ---------------- ---------------- ---------------- |
+-----------------------------------------------------------------------+
| Exclude cases:                                                        |
|                                                                       |
| -   transferring from another institution (SID ASOURCE=2)             |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
|                                                                       |
| -   MDC 15 (newborn and other neonates)                               |
+-----------------------------------------------------------------------+
| ### Denominator:  {#denominator-2 .App_Table .unnumbered}             |
|                                                                       |
| ### Population in Metro Area or county, age 18 years and older. {#p   |
| opulation-in-metro-area-or-county-age-18-years-and-older. .App_Table} |
|                                                                       |
| May be combined with diabetes short-term complications as a single    |
| indicator as a simple sum of the rates to form the Health People 2010 |
| indicator (note that the AHRQ QI excludes transfers to avoid double   |
| counting cases).                                                      |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ### Adult Asthma Admission Rate (PQI 15)                              |
+=======================================================================+
| ### Numerator: {#numerator-12 .App_Table}                             |
|                                                                       |
| All non-maternal discharges of age 18 years and older with ICD-9-CM   |
| principal diagnosis code of asthma.                                   |
|                                                                       |
| Include ICD-9-CM diagnosis codes:                                     |
|                                                                       |
|   --                                                                  |
| ----- ---------------------------- ------- -------------------------- |
|                                                                       |
| 49300   EXT ASTHMA W/O STAT ASTH     49321   CH OB ASTHMA W STAT ASTH |
|                                                                       |
|                                                                       |
| 49301   EXT ASTHMA W STATUS ASTH     49322   CH OBS ASTH W ACUTE EXAC |
|                                                OCT00-                 |
|                                                                       |
|                                                                       |
| 49302   EXT ASTHMA W ACUTE EXAC      49381   EXERCSE IND BRONCHOSPASM |
|           OCT00-                               OCT03-                 |
|                                                                       |
|   49310   INT ASTHMA W/O STAT ASTH     49382   COUGH VARIANT ASTHMA   |
|                                                OCT03-                 |
|                                                                       |
|                                                                       |
|  49311   INT ASTHMA W STATUS ASTH     49390   ASTHMA W/O STATUS ASTHM |
|                                                                       |
|                                                                       |
|  49312   INT ASTHMA W ACUTE EXAC      49391   ASTHMA W STATUS ASTHMAT |
|           OCT00-                                                      |
|                                                                       |
|                                                                       |
| 49320   CH OB ASTH W/O STAT ASTH     49392   ASTHMA W ACUTE EXACERBTN |
|                                                OCT00-                 |
|   --                                                                  |
| ----- ---------------------------- ------- -------------------------- |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   transferring from another institution (SID ASOURCE=2)             |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
|                                                                       |
| -   MDC 15 (newborn and other neonates)                               |
|                                                                       |
| -   with any diagnosis code of cystic fibrosis and anomalies of the   |
|     respiratory system                                                |
|                                                                       |
|     *ICD-9-CM diagnosis codes of cystic fibrosis and anomalies of the |
|     respiratory system*                                               |
|                                                                       |
|   -                                                                   |
| ------ -------------------------- ------- --------------------------- |
|   27700   CYSTIC FIBROS W/O ILEUS    7485    AGENESIS OF LUNG         |
|                                                                       |
|   27701   CYSTIC FIBROS W ILEUS      74860   LUNG ANOMALY NOS         |
|                                                                       |
|   27702   CYSTIC FIBROS W PUL MAN    74861   CONGEN BRONCHIECTASIS    |
|                                                                       |
|   27703   CYSTIC FIBROSIS W GI MAN   74869   LUNG ANOMALY NEC         |
|                                                                       |
|   27709   CYSTIC FIBROSIS NEC        7488    RESPIRATORY ANOMALY NEC  |
|                                                                       |
|   74721   ANOMALIES OF AORTIC ARCH   7489    RESPIRATORY ANOMALY NOS  |
|                                                                       |
|   7483    LARYNGOTRACH ANOMALY NEC   7503    CONG ESOPH FISTULA/ATRES |
|                                                                       |
|   7484    CONGENITAL CYSTIC LUNG     7593    SITUS INVERSUS           |
|                                                                       |
|                                      7707    PERINATAL CHR RESP DIS   |
|   -                                                                   |
| ------ -------------------------- ------- --------------------------- |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| > Population in Metro Area or county, age 18 years and older.         |
+-----------------------------------------------------------------------+

+-----+----------------------------+-----+----------------------------+
| #   |                            |     |                            |
| ##  |                            |     |                            |
| Rat |                            |     |                            |
| e o |                            |     |                            |
| f L |                            |     |                            |
| owe |                            |     |                            |
| r-e |                            |     |                            |
| xtr |                            |     |                            |
| emi |                            |     |                            |
| ty  |                            |     |                            |
| Amp |                            |     |                            |
| uta |                            |     |                            |
| tio |                            |     |                            |
| n a |                            |     |                            |
| mon |                            |     |                            |
| g P |                            |     |                            |
| ati |                            |     |                            |
| ent |                            |     |                            |
| s w |                            |     |                            |
| ith |                            |     |                            |
|  Di |                            |     |                            |
| abe |                            |     |                            |
| tes |                            |     |                            |
|  (P |                            |     |                            |
| QI  |                            |     |                            |
| 16) |                            |     |                            |
+=====+============================+=====+============================+
| ##  |                            |     |                            |
| # N |                            |     |                            |
| ume |                            |     |                            |
| rat |                            |     |                            |
| or: |                            |     |                            |
|  {# |                            |     |                            |
| num |                            |     |                            |
| era |                            |     |                            |
| tor |                            |     |                            |
| -13 |                            |     |                            |
|  .A |                            |     |                            |
| pp_ |                            |     |                            |
| Tab |                            |     |                            |
| le  |                            |     |                            |
| .un |                            |     |                            |
| num |                            |     |                            |
| ber |                            |     |                            |
| ed} |                            |     |                            |
|     |                            |     |                            |
| All |                            |     |                            |
| non |                            |     |                            |
| -ma |                            |     |                            |
| ter |                            |     |                            |
| nal |                            |     |                            |
| d   |                            |     |                            |
| isc |                            |     |                            |
| har |                            |     |                            |
| ges |                            |     |                            |
| of  |                            |     |                            |
| age |                            |     |                            |
| 18  |                            |     |                            |
| ye  |                            |     |                            |
| ars |                            |     |                            |
| and |                            |     |                            |
| ol  |                            |     |                            |
| der |                            |     |                            |
| w   |                            |     |                            |
| ith |                            |     |                            |
| IC  |                            |     |                            |
| D-9 |                            |     |                            |
| -CM |                            |     |                            |
| pro |                            |     |                            |
| ced |                            |     |                            |
| ure |                            |     |                            |
| c   |                            |     |                            |
| ode |                            |     |                            |
| for |                            |     |                            |
| low |                            |     |                            |
| er- |                            |     |                            |
| ext |                            |     |                            |
| rem |                            |     |                            |
| ity |                            |     |                            |
| a   |                            |     |                            |
| mpu |                            |     |                            |
| tat |                            |     |                            |
| ion |                            |     |                            |
| in  |                            |     |                            |
| any |                            |     |                            |
| fi  |                            |     |                            |
| eld |                            |     |                            |
| and |                            |     |                            |
| dia |                            |     |                            |
| gno |                            |     |                            |
| sis |                            |     |                            |
| c   |                            |     |                            |
| ode |                            |     |                            |
| of  |                            |     |                            |
| di  |                            |     |                            |
| abe |                            |     |                            |
| tes |                            |     |                            |
| in  |                            |     |                            |
| any |                            |     |                            |
| fie |                            |     |                            |
| ld. |                            |     |                            |
|     |                            |     |                            |
| *IC |                            |     |                            |
| D-9 |                            |     |                            |
| -CM |                            |     |                            |
| pro |                            |     |                            |
| ced |                            |     |                            |
| ure |                            |     |                            |
| co  |                            |     |                            |
| des |                            |     |                            |
| for |                            |     |                            |
| low |                            |     |                            |
| er- |                            |     |                            |
| ext |                            |     |                            |
| rem |                            |     |                            |
| ity |                            |     |                            |
| amp |                            |     |                            |
| uta |                            |     |                            |
| tio |                            |     |                            |
| n:* |                            |     |                            |
+-----+----------------------------+-----+----------------------------+
| 8   | LOWER LIMB AMPUTAT NOS     | 8   | BELOW KNEE AMPUTAT NEC     |
| 410 |                            | 415 |                            |
+-----+----------------------------+-----+----------------------------+
| 8   | TOE AMPUTATION             | 8   | DISARTICULATION OF KNEE    |
| 411 |                            | 416 |                            |
+-----+----------------------------+-----+----------------------------+
| 8   | AMPUTATION THROUGH FOOT    | 8   | ABOVE KNEE AMPUTATION      |
| 412 |                            | 417 |                            |
+-----+----------------------------+-----+----------------------------+
| 8   | DISARTICULATION OF ANKLE   | 8   | DISARTICULATION OF HIP     |
| 413 |                            | 418 |                            |
+-----+----------------------------+-----+----------------------------+
| 8   | AMPUTAT THROUGH MALLEOLI   | 8   | HINDQUARTER AMPUTATION     |
| 414 |                            | 419 |                            |
+-----+----------------------------+-----+----------------------------+
| *IC |                            |     |                            |
| D-9 |                            |     |                            |
| -CM |                            |     |                            |
| dia |                            |     |                            |
| gno |                            |     |                            |
| sis |                            |     |                            |
| co  |                            |     |                            |
| des |                            |     |                            |
| for |                            |     |                            |
| d   |                            |     |                            |
| iab |                            |     |                            |
| ete |                            |     |                            |
| s:* |                            |     |                            |
+-----+----------------------------+-----+----------------------------+
| 25  | DMII WO CMP NT ST UNCNTR   | 25  | DMII OPHTH NT ST UNCNTRL   |
| 000 |                            | 050 |                            |
+-----+----------------------------+-----+----------------------------+
| 25  | DMI WO CMP NT ST UNCNTRL   | 25  | DMI OPHTH NT ST UNCNTRLD   |
| 001 |                            | 051 |                            |
+-----+----------------------------+-----+----------------------------+
| 25  | DMII WO CMP UNCNTRLD       | 25  | DMII OPHTH UNCNTRLD        |
| 002 |                            | 052 |                            |
+-----+----------------------------+-----+----------------------------+
| 25  | DMI WO CMP UNCNTRLD        | 25  | DMI OPHTH UNCNTRLD         |
| 003 |                            | 053 |                            |
+-----+----------------------------+-----+----------------------------+
| 25  | DMII KETO NT ST UNCNTRLD   | 25  | DMII NEURO NT ST UNCNTRL   |
| 010 |                            | 060 |                            |
+-----+----------------------------+-----+----------------------------+
| 25  | DMI KETO NT ST UNCNTRLD    | 25  | DMI NEURO NT ST UNCNTRLD   |
| 011 |                            | 061 |                            |
+-----+----------------------------+-----+----------------------------+
| 25  | DMII KETOACD UNCONTROLD    | 25  | DMII NEURO UNCNTRLD        |
| 012 |                            | 062 |                            |
+-----+----------------------------+-----+----------------------------+
| 25  | DMI KETOACD UNCONTROLD     | 25  | DMI NEURO UNCNTRLD         |
| 013 |                            | 063 |                            |
+-----+----------------------------+-----+----------------------------+
| 25  | DMII HPRSM NT ST UNCNTRL   | 25  | DMII CIRC NT ST UNCNTRLD   |
| 020 |                            | 070 |                            |
+-----+----------------------------+-----+----------------------------+
| 25  | DMI HPRSM NT ST UNCNTRLD   | 25  | DMI CIRC NT ST UNCNTRLD    |
| 021 |                            | 071 |                            |
+-----+----------------------------+-----+----------------------------+
| 25  | DMII HPROSMLR UNCONTROLD   | 25  | DMII CIRC UNCNTRLD         |
| 022 |                            | 072 |                            |
+-----+----------------------------+-----+----------------------------+
| 25  | DMI HPROSMLR UNCONTROLD    | 25  | DMI CIRC UNCNTRLD          |
| 023 |                            | 073 |                            |
+-----+----------------------------+-----+----------------------------+
| 25  | DMII O CM NT ST UNCNTRLD   | 25  | DMII OTH NT ST UNCNTRLD    |
| 030 |                            | 080 |                            |
+-----+----------------------------+-----+----------------------------+
| 25  | DMI O CM NT ST UNCNTRL     | 25  | DMI OTH NT ST UNCNTRLD     |
| 031 |                            | 081 |                            |
+-----+----------------------------+-----+----------------------------+
| 25  | DMII OTH COMA UNCONTROLD   | 25  | DMII OTH UNCNTRLD          |
| 032 |                            | 082 |                            |
+-----+----------------------------+-----+----------------------------+
| 25  | DMI OTH COMA UNCONTROLD    | 25  | DMI OTH UNCNTRLD           |
| 033 |                            | 083 |                            |
+-----+----------------------------+-----+----------------------------+
| 25  | DMII RENL NT ST UNCNTRLD   | 25  | DMII UNSPF NT ST UNCNTRL   |
| 040 |                            | 090 |                            |
+-----+----------------------------+-----+----------------------------+
| 25  | DMI RENL NT ST UNCNTRLD    | 25  | DMI UNSPF NT ST UNCNTRLD   |
| 041 |                            | 091 |                            |
+-----+----------------------------+-----+----------------------------+
| 25  | DMII RENAL UNCNTRLD        | 25  | DMII UNSPF UNCNTRLD        |
| 042 |                            | 092 |                            |
+-----+----------------------------+-----+----------------------------+
| 25  | DMI RENAL UNCNTRLD         | 25  | DMI UNSPF UNCNTRLD         |
| 043 |                            | 093 |                            |
+-----+----------------------------+-----+----------------------------+
| E   |                            |     |                            |
| xcl |                            |     |                            |
| ude |                            |     |                            |
| cas |                            |     |                            |
| es: |                            |     |                            |
|     |                            |     |                            |
| -   |                            |     |                            |
|     |                            |     |                            |
| tra |                            |     |                            |
| nsf |                            |     |                            |
| err |                            |     |                            |
| ing |                            |     |                            |
|     |                            |     |                            |
|   f |                            |     |                            |
| rom |                            |     |                            |
|     |                            |     |                            |
|   a |                            |     |                            |
| not |                            |     |                            |
| her |                            |     |                            |
|     |                            |     |                            |
|  in |                            |     |                            |
| sti |                            |     |                            |
| tut |                            |     |                            |
| ion |                            |     |                            |
|     |                            |     |                            |
|   ( |                            |     |                            |
| SID |                            |     |                            |
|     |                            |     |                            |
|   A |                            |     |                            |
| SOU |                            |     |                            |
| RCE |                            |     |                            |
| =2) |                            |     |                            |
|     |                            |     |                            |
| -   |                            |     |                            |
|     |                            |     |                            |
| MDC |                            |     |                            |
|     |                            |     |                            |
|  14 |                            |     |                            |
|     |                            |     |                            |
|  (p |                            |     |                            |
| reg |                            |     |                            |
| nan |                            |     |                            |
| cy, |                            |     |                            |
|     |                            |     |                            |
|  ch |                            |     |                            |
| ild |                            |     |                            |
| bir |                            |     |                            |
| th, |                            |     |                            |
|     |                            |     |                            |
|     |                            |     |                            |
| and |                            |     |                            |
|     |                            |     |                            |
|  pu |                            |     |                            |
| erp |                            |     |                            |
| eri |                            |     |                            |
| um) |                            |     |                            |
|     |                            |     |                            |
| -   |                            |     |                            |
|     |                            |     |                            |
| MDC |                            |     |                            |
|     |                            |     |                            |
|  15 |                            |     |                            |
|     |                            |     |                            |
|  (n |                            |     |                            |
| ewb |                            |     |                            |
| orn |                            |     |                            |
|     |                            |     |                            |
|     |                            |     |                            |
| and |                            |     |                            |
|     |                            |     |                            |
|  ot |                            |     |                            |
| her |                            |     |                            |
|     |                            |     |                            |
|     |                            |     |                            |
| neo |                            |     |                            |
| nat |                            |     |                            |
| es) |                            |     |                            |
|     |                            |     |                            |
| -   |                            |     |                            |
|   w |                            |     |                            |
| ith |                            |     |                            |
|     |                            |     |                            |
|     |                            |     |                            |
| tra |                            |     |                            |
| uma |                            |     |                            |
|     |                            |     |                            |
|     |                            |     |                            |
| dia |                            |     |                            |
| gno |                            |     |                            |
| sis |                            |     |                            |
|     |                            |     |                            |
|   c |                            |     |                            |
| ode |                            |     |                            |
|     |                            |     |                            |
|  in |                            |     |                            |
|     |                            |     |                            |
|     |                            |     |                            |
| any |                            |     |                            |
|     |                            |     |                            |
|  fi |                            |     |                            |
| eld |                            |     |                            |
+-----+----------------------------+-----+----------------------------+
| *IC |                            |     |                            |
| D-9 |                            |     |                            |
| -CM |                            |     |                            |
| tra |                            |     |                            |
| uma |                            |     |                            |
| dia |                            |     |                            |
| gno |                            |     |                            |
| sis |                            |     |                            |
| c   |                            |     |                            |
| ode |                            |     |                            |
| s:* |                            |     |                            |
+-----+----------------------------+-----+----------------------------+
| 8   | AMPUTATION TOE             | 8   | AMPUTAT BK, UNILAT-COMPL   |
| 950 |                            | 971 |                            |
+-----+----------------------------+-----+----------------------------+
| 8   | AMPUTATION TOE-COMPLICAT   | 8   | AMPUT ABOVE KNEE, UNILAT   |
| 951 |                            | 972 |                            |
+-----+----------------------------+-----+----------------------------+
| 8   | AMPUTATION FOOT, UNILAT    | 8   | AMPUT ABV KN, UNIL-COMPL   |
| 960 |                            | 973 |                            |
+-----+----------------------------+-----+----------------------------+
| 8   | AMPUT FOOT, UNILAT-COMPL   | 8   | AMPUTAT LEG, UNILAT NOS    |
| 961 |                            | 974 |                            |
+-----+----------------------------+-----+----------------------------+
| 8   | AMPUTATION FOOT, BILAT     | 8   | AMPUT LEG, UNIL NOS-COMP   |
| 962 |                            | 975 |                            |
+-----+----------------------------+-----+----------------------------+
| 8   | AMPUTAT FOOT, BILAT-COMP   | 8   | AMPUTATION LEG, BILAT      |
| 963 |                            | 976 |                            |
+-----+----------------------------+-----+----------------------------+
| 8   | AMPUT BELOW KNEE, UNILAT   | 8   | AMPUTAT LEG, BILAT-COMPL   |
| 970 |                            | 977 |                            |
+-----+----------------------------+-----+----------------------------+
|     |                            |     |                            |
+-----+----------------------------+-----+----------------------------+
| *   |                            |     |                            |
| *De |                            |     |                            |
| nom |                            |     |                            |
| ina |                            |     |                            |
| tor |                            |     |                            |
| :** |                            |     |                            |
|     |                            |     |                            |
| > P |                            |     |                            |
| opu |                            |     |                            |
| lat |                            |     |                            |
| ion |                            |     |                            |
| >   |                            |     |                            |
|  in |                            |     |                            |
| >   |                            |     |                            |
|  Me |                            |     |                            |
| tro |                            |     |                            |
| > A |                            |     |                            |
| rea |                            |     |                            |
| >   |                            |     |                            |
|  or |                            |     |                            |
| > c |                            |     |                            |
| oun |                            |     |                            |
| ty, |                            |     |                            |
| >   |                            |     |                            |
| age |                            |     |                            |
| >   |                            |     |                            |
|  18 |                            |     |                            |
| >   |                            |     |                            |
|  ye |                            |     |                            |
| ars |                            |     |                            |
| >   |                            |     |                            |
| and |                            |     |                            |
| >   |                            |     |                            |
| old |                            |     |                            |
| er. |                            |     |                            |
+-----+----------------------------+-----+----------------------------+

######### 

##### Cardiac Procedure Codes

These codes are used by the following PQIs:

  ----------------------------------------------------------- ---------------------------
  **PQI**                                                     **How Used**

  [Hypertension Admission Rate (PQI                           [Numerator
  7)](#hypertension-admission-rate-pqi-7) - Page              Exclusion](#PQI_7_Exc) -
  [5](#hypertension-admission-rate-pqi-7)                     Page [5](#PQI_7_Exc)

  [Congestive Heart Failure (CHF) Admission Rate (PQI         [Numerator
  8)](#congestive-heart-failure-chf-admission-rate-pqi-8) -   Exclusion](#PQI_8_Exc) -
  Page                                                        Page [6](#PQI_8_Exc)
  [6](#congestive-heart-failure-chf-admission-rate-pqi-8)     

  [Angina without Procedure Admission Rate (PQI               [Numerator
  13)](#angina-without-procedure-admission-rate-pqi-13) -     Exclusion](#PQI_13_Exc) -
  Page [12](#angina-without-procedure-admission-rate-pqi-13)  Page [12](#PQI_13_Exc)
  ----------------------------------------------------------- ---------------------------

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

  ------------ ----------------------------------------------------------
  0050         IMPL CRT PACEMAKER SYS OCT02-

  0051         IMPL CRT DEFIBRILLAT OCT02-

  0052         IMP/REP LEAD LF VEN SYS OCT02-

  0053         IMP/REP CRT PACEMKR GEN OCT02-

  0054         IMP/REP CRT DEFIB GENAT OCT02-

  0056         INS/REP IMPL SENSOR LEAD OCT06-

  0057         IMP/REP SUBCUE CARD DEV OCT06-

  0066         PTCA OCT06-

  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

  3541         ENLARGE EXISTING SEP DEF

  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

  3555         PROS REP VENTRC DEF-CLOS OCT06-

  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

  3601         PTCA-1 VESSEL W/O AGENT

  3602         PTCA-1 VESSEL WITH AGNT

  3603         OPEN CORONRY ANGIOPLASTY

  3604         INTRCORONRY THROMB INFUS

  3605         PTCA-MULTIPLE VESSEL

  3606         INSERT OF COR ART STENT OCT95-

  3607         INS DRUG-ELUT CORONRY ST OCT02-

  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 ART BYPASS OCT96-

  3619         HRT REVAS BYPS ANAS NEC

  362          ARTERIAL IMPLANT REVASC

  363          OTH HEART REVASCULAR

  3631         OPEN CHEST TRANS REVASC

  3632         OTH TRANSMYO REVASCULAR

  3633         ENDO TRANSMYO REVASCULAR OCT06-

  3634         PERC TRANSMYO REVASCULAR OCT06-

  3639         OTH HEART REVASULAR

  3691         CORON VESS ANEURYSM REP

  3699         HEART VESSLE OP NEC

  3731         PERICARDIECTOMY

  3732         HEART ANEURYSM EXCISION

  3733         EXC/DEST HRT LESION OPEN

  3734         EXC/DEST HRT LES OTHER

  3735         PARTIAL VENTRICULECTOMY

  3741         IMPLANT PROSTH CARD SUPPORT DEV OCT06

  375          HEART TRANSPLANTATION (NOT VALID AFTER OCT 03)

  3751         HEART TRANPLANTATION OCT03-

  3752         IMPLANT TOT REP HRT SYS OCT03-

  3753         REPL/REP THORAC UNIT HRT OCT03-

  3754         REPL/REP OTH TOT HRT SYS OCT03-

  3770         INT INSERT PACEMAK LEAD

  3771         INT INSERT LEAD IN VENT

  3772         INT INSERT LEAD ATRI-VENT

  3773         INT INSER LEAD IN ATRIUM

  3774         INT OR REPL LEAD EPICAR

  3775         REVISION OF LEAD

  3776         REPL TV ATRI-VENT LEAD

  3777         REMOVAL OF LEAD W/O REPL

  3778         INSER TEAM PACEMAKER SYS

  3779         REVIS OR RELOCATE POCKET

  3780         INT OR REPL PERM PACEMKR

  3781         INT INSERT 1-CHAM, NON

  3782         INT INSERT 1-CHAM, RATE

  3783         INT INSERT DUAL-CHAM DEV

  3785         REPL PACEM W 1-CHAM, NON

  3786         REPL PACEM 1-CHAM, RATE

  3787         REPL PACEM W DUAL-CHAM

  3789         REVISE OR REMOVE PACEMAK

  3794         IMPLT/REPL CARDDEFIB TOT

  3795         IMPLT CARDIODEFIB LEADS

  3796         IMPLT CARDIODEFIB GENATR

  3797         REPL CARDIODEFIB LEADS

  3798         REPL CARDIODEFIB GENRATR
  ------------ ----------------------------------------------------------

######### 

##### Links

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

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

> Available at <http://www.qualityindicators.ahrq.gov/pqi_download.htm>

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

**AHRQ QI Windows Application**

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

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

**Additional Documents**

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

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

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

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

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

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

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

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

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

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

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

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

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

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

-   *2006 Area Level Indicator Changes*

-   *Considerations in Public Reporting for the AHRQ QIs*

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

**Other Tools and Information**

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

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

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

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

The CDC National Diabetes Surveillance System provides state level
estimates of diabetes prevalence by age.

> <http://www.cdc.gov/diabetes/statistics/index.htm>