**Agency for Healthcare Research and Quality**

**Pediatric Quality Indicators (PDI)**

**ICD-9-CM and DRG Coding Updates to Version 3.2**

**March 10, 2008**

The following changes were implemented in version 3.2 of the Pediatric
Quality Indicator (PDI) software code (both SAS and Windows) and reflect
changes to indicator definitions based on updates to ICD-9-CM and DRG
codes for Fiscal Year 2008 (effective 10-1-2007). All changes noted
below have been incorporated into the software syntax, software
documentation, and the *Pediatric Quality Indicators Technical
Specifications.* With this software update, the PDI software definitions
now incorporate ICD-9-CM codes valid from October 1, 1994 through
September 30, 2008.

+------------------+---+-----------+---+---------------------------------------+
| ***Indicator     |   | ***Com    |   | ***Change***                          |
| Name (#)***      |   | ponent*** |   |                                       |
+==================+===+===========+===+=======================================+
| Iatrogenic       | D |           | A |                                       |
| Pneumothorax     | e |           | d |                                       |
| (PDI #5)         | n |           | d |                                       |
|                  | o |           | e |                                       |
|                  | m |           | d |                                       |
|                  | i |           | n |                                       |
|                  | n |           | e |                                       |
|                  | a |           | w |                                       |
|                  | t |           | c |                                       |
|                  | o |           | o |                                       |
|                  | r |           | d |                                       |
|                  | ( |           | e |                                       |
|                  | E |           | s |                                       |
|                  | x |           | : |                                       |
|                  | c |           |   |                                       |
|                  | l |           | 3 |                                       |
|                  | u |           | 2 |                                       |
|                  | s |           | . |                                       |
|                  | i |           | 2 |                                       |
|                  | o |           | 0 |                                       |
|                  | n |           | T |                                       |
|                  | , |           | H |                                       |
|                  | T |           | O |                                       |
|                  | h |           | R |                                       |
|                  | o |           | A |                                       |
|                  | r |           | C |                                       |
|                  | a |           | E |                                       |
|                  | c |           | X |                                       |
|                  | i |           | C |                                       |
|                  | c |           | L |                                       |
|                  | S |           | U |                                       |
|                  | u |           | N |                                       |
|                  | r |           | G |                                       |
|                  | g |           | L |                                       |
|                  | e |           | E |                                       |
|                  | r |           | S |                                       |
|                  | y |           | I |                                       |
|                  | ) |           | O |                                       |
|                  |   |           | N |                                       |
|                  |   |           |   |                                       |
|                  |   |           | 3 |                                       |
|                  |   |           | 2 |                                       |
|                  |   |           | . |                                       |
|                  |   |           | 3 |                                       |
|                  |   |           | 0 |                                       |
|                  |   |           | T |                                       |
|                  |   |           | H |                                       |
|                  |   |           | O |                                       |
|                  |   |           | R |                                       |
|                  |   |           | A |                                       |
|                  |   |           | C |                                       |
|                  |   |           | S |                                       |
|                  |   |           | E |                                       |
|                  |   |           | G |                                       |
|                  |   |           | L |                                       |
|                  |   |           | U |                                       |
|                  |   |           | N |                                       |
|                  |   |           | G |                                       |
|                  |   |           | R |                                       |
|                  |   |           | E |                                       |
|                  |   |           | S |                                       |
|                  |   |           | E |                                       |
|                  |   |           | C |                                       |
|                  |   |           | T |                                       |
|                  |   |           |   |                                       |
|                  |   |           | 3 |                                       |
|                  |   |           | 2 |                                       |
|                  |   |           | . |                                       |
|                  |   |           | 3 |                                       |
|                  |   |           | 9 |                                       |
|                  |   |           | O |                                       |
|                  |   |           | T |                                       |
|                  |   |           | H |                                       |
|                  |   |           | S |                                       |
|                  |   |           | E |                                       |
|                  |   |           | G |                                       |
|                  |   |           | L |                                       |
|                  |   |           | U |                                       |
|                  |   |           | N |                                       |
|                  |   |           | G |                                       |
|                  |   |           | R |                                       |
|                  |   |           | E |                                       |
|                  |   |           | S |                                       |
|                  |   |           | E |                                       |
|                  |   |           | C |                                       |
|                  |   |           | T |                                       |
|                  |   |           | N |                                       |
|                  |   |           | O |                                       |
|                  |   |           | S |                                       |
|                  |   |           |   |                                       |
|                  |   |           | 3 |                                       |
|                  |   |           | 2 |                                       |
|                  |   |           | . |                                       |
|                  |   |           | 4 |                                       |
|                  |   |           | 1 |                                       |
|                  |   |           | T |                                       |
|                  |   |           | H |                                       |
|                  |   |           | O |                                       |
|                  |   |           | R |                                       |
|                  |   |           | A |                                       |
|                  |   |           | C |                                       |
|                  |   |           | L |                                       |
|                  |   |           | O |                                       |
|                  |   |           | B |                                       |
|                  |   |           | E |                                       |
|                  |   |           | C |                                       |
|                  |   |           | T |                                       |
|                  |   |           | O |                                       |
|                  |   |           | M |                                       |
|                  |   |           | Y |                                       |
|                  |   |           | L |                                       |
|                  |   |           | U |                                       |
|                  |   |           | N |                                       |
|                  |   |           | G |                                       |
|                  |   |           |   |                                       |
|                  |   |           | 3 |                                       |
|                  |   |           | 2 |                                       |
|                  |   |           | . |                                       |
|                  |   |           | 5 |                                       |
|                  |   |           | 0 |                                       |
|                  |   |           | T |                                       |
|                  |   |           | H |                                       |
|                  |   |           | O |                                       |
|                  |   |           | R |                                       |
|                  |   |           | A |                                       |
|                  |   |           | C |                                       |
|                  |   |           | O |                                       |
|                  |   |           | S |                                       |
|                  |   |           | P |                                       |
|                  |   |           | C |                                       |
|                  |   |           | P |                                       |
|                  |   |           | N |                                       |
|                  |   |           | E |                                       |
|                  |   |           | U |                                       |
|                  |   |           | M |                                       |
|                  |   |           | O |                                       |
|                  |   |           | N |                                       |
|                  |   |           | E |                                       |
|                  |   |           | C |                                       |
|                  |   |           | T |                                       |
|                  |   |           | O |                                       |
|                  |   |           | M |                                       |
|                  |   |           | Y |                                       |
|                  |   |           |   |                                       |
|                  |   |           | 3 |                                       |
|                  |   |           | 2 |                                       |
|                  |   |           | . |                                       |
|                  |   |           | 5 |                                       |
|                  |   |           | 9 |                                       |
|                  |   |           | O |                                       |
|                  |   |           | T |                                       |
|                  |   |           | H |                                       |
|                  |   |           | E |                                       |
|                  |   |           | R |                                       |
|                  |   |           | P |                                       |
|                  |   |           | N |                                       |
|                  |   |           | E |                                       |
|                  |   |           | U |                                       |
|                  |   |           | M |                                       |
|                  |   |           | O |                                       |
|                  |   |           | N |                                       |
|                  |   |           | E |                                       |
|                  |   |           | C |                                       |
|                  |   |           | T |                                       |
|                  |   |           | O |                                       |
|                  |   |           | M |                                       |
|                  |   |           | Y |                                       |
|                  |   |           | N |                                       |
|                  |   |           | O |                                       |
|                  |   |           | S |                                       |
|                  |   |           |   |                                       |
|                  |   |           | 3 |                                       |
|                  |   |           | 3 |                                       |
|                  |   |           | . |                                       |
|                  |   |           | 2 |                                       |
|                  |   |           | 0 |                                       |
|                  |   |           | T |                                       |
|                  |   |           | H |                                       |
|                  |   |           | O |                                       |
|                  |   |           | R |                                       |
|                  |   |           | A |                                       |
|                  |   |           | C |                                       |
|                  |   |           | O |                                       |
|                  |   |           | S |                                       |
|                  |   |           | C |                                       |
|                  |   |           | O |                                       |
|                  |   |           | P |                                       |
|                  |   |           | C |                                       |
|                  |   |           | L |                                       |
|                  |   |           | U |                                       |
|                  |   |           | N |                                       |
|                  |   |           | G |                                       |
|                  |   |           | B |                                       |
|                  |   |           | I |                                       |
|                  |   |           | O |                                       |
|                  |   |           | P |                                       |
|                  |   |           | S |                                       |
|                  |   |           | Y |                                       |
|                  |   |           |   |                                       |
|                  |   |           | 3 |                                       |
|                  |   |           | 4 |                                       |
|                  |   |           | . |                                       |
|                  |   |           | 2 |                                       |
|                  |   |           | 0 |                                       |
|                  |   |           | T |                                       |
|                  |   |           | H |                                       |
|                  |   |           | O |                                       |
|                  |   |           | R |                                       |
|                  |   |           | A |                                       |
|                  |   |           | C |                                       |
|                  |   |           | O |                                       |
|                  |   |           | S |                                       |
|                  |   |           | C |                                       |
|                  |   |           | O |                                       |
|                  |   |           | P |                                       |
|                  |   |           | I |                                       |
|                  |   |           | C |                                       |
|                  |   |           | P |                                       |
|                  |   |           | L |                                       |
|                  |   |           | E |                                       |
|                  |   |           | U |                                       |
|                  |   |           | R |                                       |
|                  |   |           | A |                                       |
|                  |   |           | L |                                       |
|                  |   |           | B |                                       |
|                  |   |           | X |                                       |
|                  |   |           |   |                                       |
|                  |   |           | 3 |                                       |
|                  |   |           | 4 |                                       |
|                  |   |           | . |                                       |
|                  |   |           | 5 |                                       |
|                  |   |           | 2 |                                       |
|                  |   |           | T |                                       |
|                  |   |           | H |                                       |
|                  |   |           | O |                                       |
|                  |   |           | R |                                       |
|                  |   |           | A |                                       |
|                  |   |           | C |                                       |
|                  |   |           | O |                                       |
|                  |   |           | S |                                       |
|                  |   |           | C |                                       |
|                  |   |           | O |                                       |
|                  |   |           | P |                                       |
|                  |   |           | C |                                       |
|                  |   |           | D |                                       |
|                  |   |           | E |                                       |
|                  |   |           | C |                                       |
|                  |   |           | O |                                       |
|                  |   |           | R |                                       |
|                  |   |           | T |                                       |
|                  |   |           | L |                                       |
|                  |   |           | U |                                       |
|                  |   |           | N |                                       |
|                  |   |           | G |                                       |
+------------------+---+-----------+---+---------------------------------------+
| Selected         | N |           | A |                                       |
| Infections due   | u |           | d |                                       |
| to Medical Care  | m |           | d |                                       |
| (PDI #12)        | e |           | e |                                       |
|                  | r |           | d |                                       |
|                  | a |           | n |                                       |
|                  | t |           | e |                                       |
|                  | o |           | w |                                       |
|                  | r |           | c |                                       |
|                  |   |           | o |                                       |
|                  | ( |           | d |                                       |
|                  | I |           | e |                                       |
|                  | n |           | 9 |                                       |
|                  | c |           | 9 |                                       |
|                  | l |           | 9 |                                       |
|                  | u |           | . |                                       |
|                  | s |           | 3 |                                       |
|                  | i |           | 1 |                                       |
|                  | o |           | I |                                       |
|                  | n |           | N |                                       |
|                  | ) |           | F |                                       |
|                  |   |           | E |                                       |
|                  |   |           | C |                                       |
|                  |   |           | T |                                       |
|                  |   |           | D |                                       |
|                  |   |           | / |                                       |
|                  |   |           | T |                                       |
|                  |   |           | C |                                       |
|                  |   |           | E |                                       |
|                  |   |           | N |                                       |
|                  |   |           | T |                                       |
|                  |   |           | V |                                       |
|                  |   |           | E |                                       |
|                  |   |           | N |                                       |
|                  |   |           | C |                                       |
|                  |   |           | A |                                       |
|                  |   |           | T |                                       |
|                  |   |           | H |                                       |
+------------------+---+-----------+---+---------------------------------------+
| Multiple PDI     | E |           | A |                                       |
| Indicators       | x |           | d |                                       |
|                  | c |           | d |                                       |
|                  | l |           | n |                                       |
|                  | u |           | e |                                       |
|                  | s |           | w |                                       |
|                  | i |           | c |                                       |
|                  | o |           | o |                                       |
|                  | n |           | d |                                       |
|                  |   |           | e |                                       |
|                  | ( |           | s |                                       |
|                  | I |           | 0 |                                       |
|                  | n |           | 4 |                                       |
|                  | f |           | 0 |                                       |
|                  | e |           | . |                                       |
|                  | c |           | 4 |                                       |
|                  | t |           | 1 |                                       |
|                  | i |           | I |                                       |
|                  | o |           | N |                                       |
|                  | n |           | F |                                       |
|                  | ) |           | A |                                       |
|                  |   |           | N |                                       |
|                  |   |           | T |                                       |
|                  |   |           | B |                                       |
|                  |   |           | O |                                       |
|                  |   |           | T |                                       |
|                  |   |           | U |                                       |
|                  |   |           | L |                                       |
|                  |   |           | I |                                       |
|                  |   |           | S |                                       |
|                  |   |           | M |                                       |
|                  |   |           | a |                                       |
|                  |   |           | n |                                       |
|                  |   |           | d |                                       |
|                  |   |           | 0 |                                       |
|                  |   |           | 4 |                                       |
|                  |   |           | 0 |                                       |
|                  |   |           | . |                                       |
|                  |   |           | 4 |                                       |
|                  |   |           | 2 |                                       |
|                  |   |           | W |                                       |
|                  |   |           | O |                                       |
|                  |   |           | U |                                       |
|                  |   |           | N |                                       |
|                  |   |           | D |                                       |
|                  |   |           | B |                                       |
|                  |   |           | O |                                       |
|                  |   |           | T |                                       |
|                  |   |           | U |                                       |
|                  |   |           | L |                                       |
|                  |   |           | I |                                       |
|                  |   |           | S |                                       |
|                  |   |           | M |                                       |
+------------------+---+-----------+---+---------------------------------------+
| Multiple PDI     | D |           | U |                                       |
| Indicators       | R |           | p |                                       |
|                  | G |           | d |                                       |
|                  |   |           | a |                                       |
|                  |   |           | t |                                       |
|                  |   |           | e |                                       |
|                  |   |           | d |                                       |
|                  |   |           | t |                                       |
|                  |   |           | o |                                       |
|                  |   |           | V |                                       |
|                  |   |           | e |                                       |
|                  |   |           | r |                                       |
|                  |   |           | s |                                       |
|                  |   |           | i |                                       |
|                  |   |           | o |                                       |
|                  |   |           | n |                                       |
|                  |   |           | 2 |                                       |
|                  |   |           | 5 |                                       |
|                  |   |           | . |                                       |
|                  |   |           | 0 |                                       |
+------------------+---+-----------+---+---------------------------------------+
| Multiple PDI     | E |           | A |                                       |
| Indicators       | x |           | d |                                       |
|                  | c |           | d |                                       |
|                  | l |           | n |                                       |
|                  | u |           | e |                                       |
|                  | s |           | w |                                       |
|                  | i |           | c |                                       |
|                  | o |           | o |                                       |
|                  | n |           | d |                                       |
|                  |   |           | e |                                       |
|                  | ( |           | s |                                       |
|                  | I |           | 0 |                                       |
|                  | n |           | 4 |                                       |
|                  | f |           | 0 |                                       |
|                  | e |           | . |                                       |
|                  | c |           | 4 |                                       |
|                  | t |           | 1 |                                       |
|                  | i |           | I |                                       |
|                  | o |           | N |                                       |
|                  | n |           | F |                                       |
|                  | ) |           | A |                                       |
|                  |   |           | N |                                       |
|                  |   |           | T |                                       |
|                  |   |           | B |                                       |
|                  |   |           | O |                                       |
|                  |   |           | T |                                       |
|                  |   |           | U |                                       |
|                  |   |           | L |                                       |
|                  |   |           | I |                                       |
|                  |   |           | S |                                       |
|                  |   |           | M |                                       |
|                  |   |           | a |                                       |
|                  |   |           | n |                                       |
|                  |   |           | d |                                       |
|                  |   |           | 0 |                                       |
|                  |   |           | 4 |                                       |
|                  |   |           | 0 |                                       |
|                  |   |           | . |                                       |
|                  |   |           | 4 |                                       |
|                  |   |           | 2 |                                       |
|                  |   |           | W |                                       |
|                  |   |           | O |                                       |
|                  |   |           | U |                                       |
|                  |   |           | N |                                       |
|                  |   |           | D |                                       |
|                  |   |           | B |                                       |
|                  |   |           | O |                                       |
|                  |   |           | T |                                       |
|                  |   |           | U |                                       |
|                  |   |           | L |                                       |
|                  |   |           | I |                                       |
|                  |   |           | S |                                       |
|                  |   |           | M |                                       |
+------------------+---+-----------+---+---------------------------------------+