**AHRQ Quality Indicators**

**Pediatric 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/)

Version 3.2 (February 29, 2008)

Table of Contents

[1.0 Pediatric Quality Indicators (PDI) Overview
1](#pediatric-quality-indicators-pdi-overview)

[1.1 Pediatric Population 1](#pediatric-population)

[1.2 Definitions of Neonate and Newborn
3](#definitions-of-neonate-and-newborn)

[1.3 Age and Weight Classifications 3](#age-and-weight-classifications)

[1.3.1 Pediatric Age in Years 3](#pediatric-age-in-years)

[1.3.2 Age in Days 4](#age-in-days)

[1.3.3 Birth Weight 4](#birth-weight)

[1.4 Stratification Categories 4](#stratification-categories)

[1.4.1 Based on Age and Weight 4](#based-on-age-and-weight)

[1.4.2 Based on Clinical Categories 5](#based-on-clinical-categories)

[2.0 Pediatric Quality Indicators -- Detailed Definitions
18](#__RefHeading___Toc161203908)

[2.1 Provider Level Indicators 18](#provider-level-indicators)

[2.1.1 Accidental Puncture or Laceration (PDI 1)
18](#accidental-puncture-or-laceration-pdi-1-1)

[2.1.2 Decubitus Ulcer (PDI 2) 19](#decubitus-ulcer-pdi-2)

[2.1.3 Foreign Body Left During Procedure (PDI 3)
20](#__RefHeading___Toc161203912)

[2.1.4 Iatrogenic Pneumothorax in Neonates (PDI 4) / Iatrogenic
Pneumothorax (PDI 5)
21](#iatrogenic-pneumothorax-in-neonates-pdi-4-iatrogenic-pneumothorax-pdi-5)

[2.1.5 Pediatric Heart Surgery Mortality (PDI 6)
27](#pediatric-heart-surgery-mortality-pdi-6)

[2.1.6 Pediatric Heart Surgery Volume (PDI 7)
30](#pediatric-heart-surgery-volume-pdi-7)

[2.1.7 Postoperative Hemorrhage or Hematoma (PDI 8)
33](#__RefHeading___Toc161203916)

[2.1.8 Postoperative Respiratory Failure (PDI 9)
35](#postoperative-respiratory-failure-pdi-9)

[2.1.9 Postoperative Sepsis (PDI 10) 36](#__RefHeading___Toc161203918)

[2.1.10 Postoperative Wound Dehiscence (PDI 11)
37](#postoperative-wound-dehiscence-pdi-11)

[2.1.11 Selected Infections Due to Medical Care (PDI 12)
43](#selected-infections-due-to-medical-care-pdi-12)

[2.1.12 Transfusion Reaction (PDI 13) 43](#transfusion-reaction-pdi-13)

[2.2 Area-Level Indicators 44](#__RefHeading___Toc161203922)

[2.2.1 Asthma Admission Rate (PDI 14) 44](#asthma-admission-rate-pdi-14)

[2.2.2 Diabetes Short-term Complications Admission Rate (PDI 15)
45](#diabetes-short-term-complications-admission-rate-pdi-15)

[2.2.3 Gastroenteritis Admission Rate (PDI 16)
45](#gastroenteritis-admission-rate-pdi-16)

[2.2.4 Perforated Appendix Admission Rate (PDI 17)
47](#perforated-appendix-admission-rate-pdi-17)

[2.2.5 Urinary Tract Infection Admission Rate (PDI 18)
47](#urinary-tract-infection-admission-rate-pdi-18)

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

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

[Appendix C: ICD-9-CM Codes for High-risk Immunocompromised States
C-1](#appendix-c-icd-9-cm-codes-for-high-risk-immunocompromised-states)

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

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

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

[Appendix G: Low Birth Weight Categories
G-1](#appendix-g-low-birth-weight-categories)

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

[Appendix I: Links I-1](#appendix-i-links)

# Pediatric Quality Indicators (PDI) Overview

This section describes the population included in the PDIs, provides the
criteria for inclusion in the category \"neonate,\" and describes the
stratification categories available in the PDI software.

## Pediatric Population

The population for the Pediatric Quality Indicators is as follows:

-   Age under 18 years

-   Not in MDC 14 (Pregnancy, Childbirth & the Puerperium)

-   Not in Adult DRGs

*Adult DRGs*

  -------- --------------------------------------------------------------
  001      CRANIOTOMY, AGE GREATER THAN 17 EXCEPT FOR TRAUMA

  002      CRANIOTOMY FOR TRAUMA, AGE GREATER THAN 17

  024      SEIZURE AND HEADACHE, AGE GREATER THAN 17 WITH CC

  025      SEIZURE AND HEADACHE, AGE GREATER THAN 17 WITHOUT CC

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

  029      TRAUMATIC STUPOR AND COMA, COMA LESS THAN ONE HOUR, AGE
           GREATER THAN 17 WITHOUT CC

  031      CONCUSSION, AGE GREATER THAN 17 WITH CC

  032      CONCUSSION, AGE GREATER THAN 17 WITHOUT CC

  040      EXTRAOCULAR PROCEDURES EXCEPT ORBIT, AGE GREATER THAN 17

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

  047      OTHER DISORDER OF THE EYE, AGE GREATER THAN 17 WITHOUT CC

  053      SINUS AND MASTOID PROCEDURES, AGE GREATER THAN 17

  057      TONSILLECTOMY AND ADENOIDECTOMY PROCEDURES EXCEPT
           TONSILLECTOMY AND/OR ADENOIDECTOMY

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

  061      MYRINGOTOMY WITH TUBE INSERTION, AGE GREATER THAN 17

  068      OTITIS MEDIA AND URI, AGE GREATER THAN 17 WITH CC

  069      OTITIS MEDIA AND URI, AGE GREATER THAN 17 WITHOUT CC

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

  079      RESPIRATORY INFECTIONS AND INFLAMMATIONS, AGE GREATER THAN 17
           WITH CC

  080      RESPIRATORY INFECTIONS AND INFLAMMATIONS, AGE GREATER THAN 17
           WITHOUT CC

  089      SIMPLE PNEUMONIA AND PLEURISY, AGE GREATER THAN 17 WITH CC

  090      SIMPLE PNEUMONIA AND PLEURISY, AGE GREATER THAN 17 WITHOUT CC

  096      BRONCHITIS AND ASTHMA, AGE GREATER THAN 17 WITH CC

  097      BRONCHITIS AND ASTHMA, AGE GREATER THAN 17 WITHOUT CC

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

  136      CARDIAC CONGENITAL AND VALVULAR DISORDERS, AGE GREATER THAN 17
           WITHOUT CC

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

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

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

  160      HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL, AGE GREATER
           THAN 17 WITHOUT CC

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

  162      INGUINAL AND FEMORAL HERNIA PROCEDURES, AGE GREATER THAN 17
           WITHOUT CC

  182      ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE
           DISORDERS, AGE GREATER THAN

  183      ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE
           DISORDERS, AGE GREATER THAN

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

  188      OTHER DIGESTIVE SYSTEM DIAGNOSES, AGE GREATER THAN 17 WITH CC

  189      OTHER DIGESTIVE SYSTEM DIAGNOSES, AGE GREATER THAN 17 WITHOUT
           CC

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

  211      HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT PROCEDURES, AGE
           GREATER THAN 17 WITHOUT

  218      LOWER EXTREMITY AND HUMERUS PROCEURES EXCEPT HIP, FOOT AND
           FEMUR, AGE GREATER THAN 1

  219      LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND
           FEMUR, AGE GREATER THAN

  250      FRACTURES, SPRAINS, STRAINS AND DISLOCATIONS OF FOREARM, HAND
           AND FOOT, AGE GREATER

  251      FRACTURES, SPRAINS, STRAINS AND DISLOCATIONS OF FOREARM, HAND
           AND FOOT, AGE GREATER

  253      FRACTURES, SPRAINS, STRAINS AND DISLOCATIONS OF UPPER ARM AND
           LOWER LEG EXCEPT FOOT,

  254      FRACTURES, SPRAINS, STRAINS AND DISLOCATIONS OF UPPER ARM AND
           LOWER LEG EXCEPT FOOT,

  277      CELLULITIS, AGE GREATER THAN 17 WITH CC

  278      CELLULTIIS, AGE GREATER THAN 17 WITHOUT CC

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

  281      TRAUMA TO SKIN, SUBCUTANEOUS TISSUE AND BREAST, AGE GREATER
           THAN 17 WITHOUT CC

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

  297      NUTRITIONAL AND MISCELLANEOUS METABOLIC DISORDERS, AGE GREATER
           THAN 17 WITHOUT CC

  312      URETHRAL PROCEDURES, AGE GREATER THAN 17 WITH CC

  313      URETHRAL PROCEDURES, AGE GREATER THAN 17 WITHOUT CC

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

  321      KIDNEY AND URINARY TRACT INFECTIONS, AGE GREATER THAN 17
           WITHOUT CC

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

  326      KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS, AGE GREATER THAN
           17 WITHOUT CC

  328      URETHRAL STRICTURE, AGE GREATER THAN 17 WITH CC

  329      URETHRAL STRICTURE, AGE GREATER THAN 17 WITHOUT CC

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

  332      OTHER KIDNEY AND URINARY TRACT DIAGNOSES, AGE GREATER THAN 17
           WITHOUT CC

  339      TESTES PROCEDURES FOR NONMALIGNANCY, AGE GREATER THAN 17

  342      CIRCUMCISION, AGE GREATER THAN 17

  392      SPLENECTOMY, AGE GREATER THAN 17

  395      RED BLOOD CELL DISORDERS, AGE GREATER THAN 17

  416      SEPTICEMIA, AGE GREATER THAN 17

  419      FEVER OF UNKNOWN ORIGIN, AGE GREATER THAN 17 WITH CC

  420      FEVER OF UNKNOWN ORIGIN, AGE GREATER THAN 17 WITHOUT CC

  421      VIRAL ILLNESS, AGE GREATER THAN 17

  444      TRAUMATIC INJURY, AGE GREATER THAN 17 WITH CC

  445      TRAUMATIC INJURY, AGE GREATER THAN 17 WITHOUT CC

  447      ALLERGIC REACTIONS, AGE GREATER THAN 17

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

  450      POISONING AND TOXIC EFFECTS OF DRUGS, AGE GREATER THAN 17
           WITHOUT CC

  473      ACUTE LEUKEMIA WITHOUT MAJOR OR PROCEDURE, AGE GREATER THAN 17

  562      SEIZURE AGE \> 17 W CC OCT06-

  563      SEIZURE AGE \> 17 W/O CC OCT06-

  564      HEADACHES AGE \>17 OCT06-

  567      STOMACH, ESOPHAGEAL & DUODENAL PROC AGE \> 17 W CC W MAJOR GI
           DX OCT06-

  568      STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES PROC AGE \> 17 W CC
           W/O MAJOR GI DX OCT06-

  575      SEPTICEMIA W MV96+ HOURS AGE \>17

  576      SEPTICEMIA W/O MV96+ HOURS AGE \>17
  -------- --------------------------------------------------------------

## Definitions of Neonate and Newborn

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 ([^1]SID ATYPE=4), age in days at admission equal to zero, and
not an ICD-9-CM diagnosis code for an out-of-hospital birth.  A
**neonate** is defined as any discharge with age in days at admission
between zero and 28 days (inclusive).  If age in days is missing, then a
neonate is defined as any DRG in MDC 15, an admission type of newborn
(SID ATYPE=4), 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 OCT05- V3900   LIVEBORN NOS-HOSP W/O CS
                                               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-                               OCT05-

  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 OCT05- V361    MULT NB/SB-BEFORE ADM OCT05-

  V321    TWIN, MATE SB-BEFORE ADM     V362    MULTIPLE NB/SB-NONHOSP OCT05-
         OCT05-                               

  V322    TWIN, MATE SB-NONHOSP OCT05- V371    MULT BRTH NOS-BEFORE ADM
                                              OCT05-

  V331    TWIN NOS-BEFORE ADMISSN      V372    MULT BIRTH NOS-NONHOSP OCT05-
         OCT05-                               

  V332    TWIN NOS-NONHOSP OCT05-      V391    LIVEBORN NOS-BEFORE ADM
                                              OCT05-

  V341    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
  ------ ----------------------------- ------ ------------------------------

## Age and Weight Classifications

The values of three variables related to age and weight are used in
determining cases to include in the denominator. These values are also
used in assigning cases to stratification categories.

### Pediatric Age in Years

The values for Pediatric Age in Years include the following:

-   1 = Less than one (1) year

-   2 = 1 to 2 years

-   3 = 3 to 5 years

-   4 = 6 to 12 years

-   5 = 13 to 17 years

### Age in Days

Age in Days is defined on patients less than one year. Possible values
for this category are as follows:

-   0 = N/A

-   1 = 0 to 28 days

-   2 = 29 to 60 days

-   3 = 61 to 90 days

-   4 = 91 to 365 days

### Birth Weight

Values assigned to Birth Weight categirues are based on ICD-9-CM
diagnosis codes that specify infant weight in grams. The values are as
follows:

-   0 = N/A

-   1 = 0 to 499 g

-   2 = 500 to 999 g

-   3 = 1000 to 1499 g

-   4 = 1500 to 1999 g

-   5 = 2000 to 2500 g

## Stratification Categories

The PDI software reports rates stratified by age and/or birth weight
and, in some cases, by specified clinical strata.

### Based on Age and Weight

All PDIs stratify rates based on age and/or birth weight. PDI 4,
Iatrogenic Pneumothorax in Neonates, stratifies rates based on the Birth
Weight values of 2 - 5. PDI 5, Iatrogenic Penumothorax, uses the values
of 2-5 for Pediatric Age in Years as stratification categories and
includes a stratification category for neonates with a Birth Weight of
\> 2500 g. Cases are assigned to this stratification category based on
diagnosis codes. All other Provider-Level PDIs provide \"Age stratified
rates\" as shown in Table 1.

Table 1 - Provider-level PDI Stratification Categories

  -------------- --------------------------------------------------------
  **Rate         **How Assigned**
  Category**     

  Neonate, \<    Neonate = true, Birth Weight value \< 5
  2000 g         

  Neonate, ≥     Neonate = true, Birth Weight value = 5 or diagnosis code
  2000 g         for birth weight \> 2500 g.

  29 days - 364  Pediatric Age in Years = 1, Age in Days \> 1
  days           

  1 - 2 years    Pediatric Age in Years = 2

  3 - 5 years    Pediatric Age in Years = 3

  6 - 12 years   Pediatric Age in Years = 4

  13 - 17 years  Pediatric Age in Years = 5
  -------------- --------------------------------------------------------

The \"Age stratified rates\" categories for Area-level PDIs vary, as
shown in Table 2.

Table 2 - Area-level PDI Categories

  -------------- ------------------------ ------- ------- ------- ------- -------
  **Rate         **How Assigned**         **PDI   **PDI   **PDI   **PDI   **PDI
  Category**                              14**    15**    16**    17**    18**

  91 days - 364  Pediatric Age in Years =                 Y               Y
  days           1, Age in Days = 4                                       

  2 years        Value of Data Element    Y                               
                 \"Age\" = 2                                              

  1-2 years      Pediatric Age in Years =                 Y       Y       Y
                 2                                                        

  3 - 5 years    Pediatric Age in Years = Y               Y       Y       Y
                 3                                                        

  6 - 12 years   Pediatric Age in Years = Y       Y       Y       Y       Y
                 4                                                        

  13 - 17 years  Pediatric Age in Years = Y       Y       Y       Y       Y
                 5                                                        
  -------------- ------------------------ ------- ------- ------- ------- -------

### Based on Clinical Categories

The following indicators have additional stratification based on
clinical categories.

#### Accidental Puncture or Laceration (PDI 1)

Clinical categories for PDI 1 are based on Major Diagnostic Categories
(MDC).

Strata 1. Eye, ear, nose, mouth, throat, skin, breast, and other
low-risk procedures

> (MDC 2, 3, 9, 19, 22, 23)

Strata 2. Thoracic, cardiovascular, and specified neoplastic procedures

> (MDC 4, 5, 17)

Strata 3. Kidney, and male/female reproductive procedures

> MDC 11, 12, 13)

Strata 4. Infectious, immunological, hematological, and ungroupable
procedures

> (MDC 0/99, 16, 18, 25)

Strata 5. Trauma, orthopedic, and neurologic procedures

> (MDC 1, 8, 21, 24)

Strata 6. Gastrointestinal, hepatobiliary, and endocrine procedures

> (MDC 6, 7, 10)

#### Decubitus Ulcer (PDI 2) Stratification

PDI 2 stratifies rates by high-risk vs. lower risk groups.

**High risk group:**

Hemi-, para-, and quadriplegia, spina bifida, and anoxic brain damage

  ----------- -----------------------------------------------------------
  33371       ATHETOID CEREBRAL PALSY

  3420        FLACCID HEMIPLEGIA

  34200       FLCCD HMIPLGA UNSPF SIDE

  34201       FLCCD HMIPLGA DOMNT SIDE

  34202       FLCCD HMIPLG NONDMNT SDE

  3421        SPASTIC HEMIPLEGIA

  34210       SPSTC HMIPLGA UNSPF SIDE

  34211       SPSTC HMIPLGA DOMNT SIDE

  34212       SPSTC HMIPLG NONDMNT SDE

  34280       OT SP HMIPLGA UNSPF SIDE

  34281       OT SP HMIPLGA DOMNT SIDE

  34282       OT SP HMIPLG NONDMNT SDE

  3429        HEMIPLEGIA, UNSPECIFIED

  34290       UNSP HEMIPLGA UNSPF SIDE

  34291       UNSP HEMIPLGA DOMNT SIDE

  34292       UNSP HMIPLGA NONDMNT SDE

  3430        INFANTILE CEREBRAL PALSY, DIPLEGIC

  3431        INFANTILE CEREBRAL PALSY, HEMIPLEGIC

  3432        INFANTILE CEREBRAL PALSY, QUADRIPLEGIC

  3433        INFANTILE CEREBRAL PALSY, MONOPLEGIC

  3434        INFANTILE CEREBRAL PALSY INFANTILE HEMIPLEGIA

  3438        INFANTILE CEREBRAL PALSY OTHER SPECIFIED INFANTILE CEREBRAL
              PALSY

  3439        INFANTILE CEREBRAL PALSY, INFANTILE CEREBRAL PALSY,
              UNSPECIFIED

  3440        QUADRIPLEGIA AND QUADRIPARESIS

  34400       QUADRIPLEGIA, UNSPECIFD

  34401       QUADRPLG C1-C4, COMPLETE

  34402       QUADRPLG C1-C4, INCOMPLT

  34403       QUADRPLG C5-C7, COMPLETE

  34404       QUADRPLG C5-C7, INCOMPLT

  34409       OTHER QUADRIPLEGIA

  3441        PARAPLEGIA

  3442        DIPLEGIA OF UPPER LIMBS

  3443        MONOPLEGIA OF LOWER LIMB

  34430       MONPLGA LWR LMB UNSP SDE

  34431       MONPLGA LWR LMB DMNT SDE

  34432       MNPLG LWR LMB NONDMNT SD

  3444        MONOPLEGIA OF UPPER LIMB

  34440       MONPLGA UPR LMB UNSP SDE

  34441       MONPLGA UPR LMB DMNT SDE

  34442       MNPLG UPR LMB NONDMNT SD

  3445        UNSPECIFIED MONOPLEGIA

  3446        CAUDA EQUINA SYNDROME

  34460       CAUDA EQUINA SYNDROME, WITHOUT MENTION OF NEUROGENIC
              BLADDER

  34461       CAUDA EQUINA SYNDROME, WITH NEUROGENIC BLADDER

  3448        OTHER SPECIFIED PARALYTIC SYNDROMES

  34481       LOCKED-IN STATE

  34489       OTH SPCF PARALYTIC SYND

  3449        PARALYSIS, UNSPECIFIED

  43820       LATE EF-HEMPLGA SIDE NOS

  43821       LATE EF-HEMPLGA DOM SIDE

  43822       LATE EF-HEMIPLGA NON-DOM

  43830       LATE EF-MPLGA UP LMB NOS

  43831       LATE EF-MPLGA UP LMB DOM

  43832       LT EF-MPLGA UPLMB NONDOM

  43840       LTE EF-MPLGA LOW LMB NOS

  43841       LTE EF-MPLGA LOW LMB DOM

  43842       LT EF-MPLGA LOWLMB NONDM

  43850       LT EF OTH PARAL SIDE NOS

  43851       LT EF OTH PARAL DOM SIDE

  43852       LT EF OTH PARALS NON-DOM

  43853       LT EF OTH PARALS-BILAT
  ----------- -----------------------------------------------------------

  ----------- -----------------------------------------------------------
  74100       SPINA BIFIDA, W HYDROCEPHALUS UNSPECIFIED REGION

  74101       SPINA BIFIDA, W HYDROCEPHALUS CERVICAL REGION

  74102       SPINA BIFIDA, W HYDROCEPHALUS DORSAL REGION

  74103       SPINA BIFIDA, W HYDROCEPHALUS LUMBAR REGION

  74190       SPINA BIFIDA, W/O HYDROCEPHALUS UNSPECIFIED REGION

  74191       SPINA BIFIDA, W/O HYDROCEPHALUS CERVICAL REGION

  74192       SPINA BIFIDA, W/O HYDROCEPHALUS DORSAL REGION

  74193       SPINA BIFIDA, W/O HYDROCEPHALUS LUMBAR REGION

  7687        HYPOXIC-ISCHEMIC ENCEPH
  ----------- -----------------------------------------------------------

  ----------- -----------------------------------------------------------
  3481        ANOXIC BRAIN DAMAGE

  7685        SEVERE BIRTH ASPHYXIA
  ----------- -----------------------------------------------------------

Secondary procedure code:

96.72 ADD CONTINUOUS MECHANICAL VENTILATION \>=96 HRS

**Low risk group:** All patients not qualifying as high risk.

#### Postoperative Hemorrhage or Hematoma (PDI 8)

Stratifies rates by high-risk vs. lower risk groups.

**High risk group:**

Patients with any diagnosis codes indicating for specified
coagulopathies

Patients with ICD-9-CM procedure code 3965 for Extracorporeal Membrane
Oxygenation (ECMO)

*ICD-9-CM Coagulopathies diagnosis codes:*

  ------------- ---------------------------------------------------------
  2860          CONG FACTOR VIII DIORD

  2861          CONG FACTOR IX DISORDER

  2862          CONG FACTOR XI DISORDER

  2863          CONG DEF CLOT FACTOR NEC

  2864          VON WILLEBRAND\'S DISEASE

  2865          CIRCULATING ANTICOAG DIS

  2866          DEFIBRINATION SYNDROME

  2867          ACQ COAGUL FACTOR DEFIC

  2869          COAGULAT DEFECT NEC NOS

  2871          THROMBOCYTOPATHY

  2873          PRIMARY THROMBOCYTOPENIA

  28730         PRIMARY THROMBOCYTOPENIA, UNSPECIFIED OCT05-

  27831         IMMUNE THROMBOCYTOPENIC PURPURA OCT05-

  28732         EVANS' SYNDROME OCT05-

  28733         CONGENITAL AND HEREDITARY THROMBOCYTOPENIC PURPURA OCT05-

  28739         OTHER PRIMARY THROMBOCYTOPENIA OCT05-

  2874          SECOND THROMBOCYTOPENIA

  2875          THROMBOCYTOPENIA NOS

  2878          HEMORRHAGIC COND NEC

  2879          HEMORRHAGIC COND NOS
  ------------- ---------------------------------------------------------

**Low risk group:** All patients not qualifying as high risk.

#### Postoperative Sepsis (PDI 10) and Postoperative Wound Dehiscence (PDI 11)

Clinical stratification for PDIs 10 and 11 is divided into four
categories based on surgical class associated with the DRG and whether
or not the admission type is elective (SID ATYPE=3), as shown in Table
3.

Table 3 - PDI 10 and PDI 11 Clinical Stratification Categories

  ---------------------------------------- ---------------- --------------
  **Clinical Stratfication**               **Surgical Class **Admission
                                           DRG**            Type**

  Strata 1. Clean Procedures Elective      1                Elective

  Strata 2. Clean Procedures Non-Elective  1                Not Elective

  Strata 3. Potentially Contaminated       2, 3, or 9       Elective
  Elective                                                  

  Strata 4. Potentially Contaminated       2, 3, or 9       Not Elective
  Non-Elective                                              
  ---------------------------------------- ---------------- --------------

**Surgical Class 1 DRGs**

  --------- -------------------------------------------------------------
  003       CRANIOTOMY, AGE 0-17

  004       SPINAL PROCEDURES

  005       EXTRACRANIAL VASCULAR PROCEDURES

  006       CARPAL TUNNEL RELEASE

  007       PERIPHERAL AND CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROC
            WITH CC

  008       PERIPHERAL AND CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROC WO
            CC

  036       RETINAL PROCEDURES

  037       ORBITAL PROCEDURES

  038       PRIMARY IRIS PROCEDURES

  039       LENS PROCEDURES WITH OR WITHOUT VITRECTOMY

  041       EXTRAOCULAR PROCEDURES EXCEPT ORBIT, AGE 0-17

  042       INTRAOCULAR PROCEDURES EXCEPT RETINA, IRIS AND LENS

  049       MAJOR HEAD AND NECK PROCEDURES

  050       SIALOADENECTOMY

  051       SALIVARY GLAND PROCEDURES EXCEPT SIALOADENECTOMY

  052       CLEFT LIP AND PALATE REPAIR

  054       SINUS AND MASTOID PROCEDURES, AGE 0-17

  055       MISCELLANEOUS EAR, NOSE, MOUTH AND THROAT PROCEDURES

  056       RHINOPLASTY

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

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

  062       MYRINGOTOMY WITH TUBE INSERTION, AGE 0-17

  063       OTHER EAR, NOSE, MOUTH AND THROAT OR PROCEDURES

  103       HEART TRANSPLANT

  104       CARDIAC VALVE AND OTHER MAJ CARDIOTHORACIC PROC WITH CARDIAC
            CATH

  105       CARDIAC VALVE AND OTHER MAJ CARDIOTHORACIC PROCEDURES WO
            CARDIAC CATH

  106       CORONARY BYPASS WITH PTCA

  107       CORONARY BYPASS WITH CARDIAC CATHETERIZATION

  108       OTHER CARDIOTHORACIC PROCEDURES

  109       CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION

  110       MAJOR CARDIOVASCULAR PROCEDURES WITH CC

  111       MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC

  112       PERCUTANEOUS CARDIOVASCULAR PROCEDURES

  113       AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB
            AND TOE

  114       UPPER LIMB AND TOES AMPUTATION FOR CIRCULATORY SITE

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

  116       OTHER PERMANENT CARDIAC PACEMAKER IMPLANT OR PTCA WITH
            CORONARY ARTERIAL STENT

  117       CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT

  118       CARDIAC PACEMAKER DEVICE REPLACEMENT

  119       VEIN LIGATION AND STRIPPING

  120       OTHER CIRCULATORY SYSTEM OR PROCEDURES

  163       HERNIA PROCEDURES, AGE 0-17

  168       MOUTH PROCEDURES WITH CC

  169       MOUTH PROCEDURES WITHOUT CC

  209       MAJOR JOINT AND LIMB REATTACHMENT PROCEDURES OF LOWER
            EXTREMITY

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

  213       AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE
            DISORDERS

  216       BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE

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

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

  223       MAJOR SHOULDER/ELBOW PROC OR OTHER UPPER EXTREMITY PROC WITH
            CC

  224       SHOULDER, ELBOW OR FOREARM PROC EXCEPT MAJOR JOINT PROC WO CC

  225       FOOT PROCEDURES

  226       SOFT TISSUE PROCEDURES WITH CC

  227       SOFT TISSUE PROCEDURES WITHOUT CC

  228       MAJOR THUMB OR JOINT PROCEDURES OR OTHER HAND OR WRIST PROC
            WITH CC

  229       HAND OR WRIST PROCEDURES EXCEPT MAJOR JOINT PROCEDURES
            WITHOUT CC

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

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

  232       ARTHROSCOPY

  233       OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE OR PROC
            WITH CC

  234       OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE OR PROC WO
            CC

  257       TOTAL MASTECTOMY FOR MALIGNANCY WITH CC

  258       TOTAL MASTECTOMY FOR MALIGNANCY WITHOUT CC

  259       SUBTOTAL MASTECTOMY FOR MALIGNANCY WITH CC

  260       SUBTOTAL MASTECTOMY FOR MALIGNANCY WITHOUT CC

  261       BREAST PROCEDURE FOR NONMALIGNANCY EXCEPT BIOPSY AND LOCAL
            EXCISION

  262       BREAST BIOPSY AND LOCAL EXCISION FOR NONMALIGNANCY

  268       SKIN, SUBCUTANEOUS TISSUE AND BREAST PLASTIC PROCEDURES

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

  286       ADRENAL AND PITUITARY PROCEDURES

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

  289       PARATHYROID PROCEDURES

  290       THYROID PROCEDURES

  291       THYROGLOSSAL PROCEDURES

  292       OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC OR PROCEDURES WITH
            CC

  293       OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC OR PROCEDURES
            WITHOUT CC

  338       TESTES PROCEDURES FOR MALIGNANCY

  340       TESTES PROCEDURES FOR NONMALIGNANCY, AGE 0-17

  343       CIRCUMCISION, AGE 0-17

  393       SPLENECTOMY, AGE 0-17

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

  471       BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER
            EXTREMITY

  478       OTHER VASCULAR PROCEDURES WITH CC

  479       OTHER VASCULAR PROCEDURES WITHOUT CC

  481       BONE MARROW TRANSPLANT

  491       MAJOR JOINT AND LIMB REATTACHMENT PROCEDURES OF UPPER
            EXTREMITY

  496       COMBINED ANTERIOR/POSTERIOR SPINAL FUSION

  497       SPINAL FUSION WITH CC

  498       SPINAL FUSION WITHOUT CC

  499       BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC

  500       BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC

  501       KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION, WITH
            CC

  502       KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION,
            WITHOUT CC

  503       KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION

  514       CARDIAC DEFIBRILLATOR IMPLANT W CARDIAC CATH

  515       CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATH

  516       PERCUTANEOUS CARDIOVASC PROC W AMI

  517       PERC CARDIO PROC W NON-DRUG ELUTING STENT WITHOUT AMI

  518       PERC CARDIO PROC WITHOUT CORONARY ARTERY STENT OR AMI

  519       CERVICAL SPINAL FUSION W CC

  520       CERVICAL SPINAL FUSION WITHOUT CC

  525       HEART ASSIST SYSTEM IMPLANT

  526       PERCUTNEOUS CARDIOVASULAR PROC W DRUG ELUTING STENT W AMI

  527       PERCUTNEOUS CARDIOVASULAR PROC W DRUG ELUTING STENT WITHOUT
            AMI

  528       INTRACRANIAL VASCULAR PROC W PDX HEMORRHAGE

  529       VENTRICULAR SHUNT PROCEDURES W CC

  530       VENTRICULAR SHUNT PROCEDURES W/O CC

  531       SPINAL PROCEDURES W CC

  532       SPINAL PROCEDURES W/O CC

  533       EXTRACRANIAL PROCEDURES W CC

  534       EXTRACRANIAL PROCEDURES W/O CC

  535       CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK

  536       CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK

  537       LOCAL EXCIS & REMOV OF INT FIX DEV EXCEPT HIP & FEMUR W CC

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

  543       CRANIOTOMY WITH IMPLANTATION OF CHEMOTHERAPEUTIC AGENT OR
            ACUTE COMPLEX CENTRAL NERVOUS SYSTEM PRINCIPAL DIAGNOSIS

  544       MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTERMITY

  545       REVISION OF HIP OR KNEE REPLACEMENT

  546       SPINAL FUSION EXC CERV WITH CURVATURE OF THE SPINE OR MALIG

  547       CORONARY BYPASS W CARDIAC CATH W MAJOR CV DX

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

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

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

  551       PERMANENT CARDIAC PACEMAKER IMP W MAJ CV DX OR AICD LED OR
            GNRTR

  552       OTHER PERMANENT CARDIAC PACEMAKER IMPLANT W/O MAJOR CV DX

  553       OTHER VASCULAR PROCEDURES W CC W MAJOR CV DX

  554       OTHER VASCULAR PROCEDURES W CC W/O MAJOR CV DX

  555       PERCUTANEOUS CARDIOVASCULAR PROC W MAJOR CV DX

  556       PERCUTANEOUS CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O
            MAJOR CV DX

  557       PRECUTANEOUS CARDIOVASCULAR PROC W DRUG-ELUTING STENT W MAJOR
            CV DX

  558       PRECUTANEOUS CARIOVASCULAR PROC W DRUG-ELUTING STENT W/O
            MAJOR CV DX

  577       CAROTID ARTERY STENT PROCEDURE
  --------- -------------------------------------------------------------

**Surgical Class 2 DRGs**

  ---------- ------------------------------------------------------------
  075        MAJOR CHEST PROCEDURES

  076        OTHER RESPIRATORY SYSTEM OR PROCEDURES WITH CC

  077        OTHER RESPIRATORY SYSTEM OR PROCEDURES WITHOUT CC

  146        RECTAL RESECTION WITH CC

  147        RECTAL RESECTION WITHOUT CC

  148        MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC

  149        MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC

  150        PERITONEAL ADHESIOLYSIS WITH CC

  151        PERITONEAL ADHESIOLYSIS WITHOUT CC

  152        MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC

  153        MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC

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

  157        ANAL AND STOMAL PROCEDURES WITH CC

  158        ANAL AND STOMAL PROCEDURES WITHOUT CC

  166        APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL IAGNOSIS WITH CC

  167        APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT
             CC

  170        OTHER DIGESTIVE SYSTEM OR PROCEDURES WITH CC

  171        OTHER DIGESTIVE SYSTEM OR PROCEDURES WITHOUT CC

  191        PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC

  192        PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC

  193        BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOIMY WITH
             OR WITHOUT COMMON DUCT EXPLORATION WITH CC

  194        BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR
             WITHOUT COMMON DUCT EXPLORATION WITHOUT CC

  195        CHOLECYSTECTOMY WITH COMMON DUCT EXPLORATION WITH CC

  196        CHOLECYSTECTOMY WITH COMMON DUCT EXPLORATION WITHOUT CC

  197        CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT COMMON DUCT
             EXPLORATION WITH CC

  198        CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT COMMON DUCT
             EXPORTATION WITHOUT CC

  199        HEPATOBILIARY DIAGNOSTIC PROCEDURE FOR MALIGNANCY

  200        HEPATOBILIARY DIAGNOSTIC PROCEDURE FOR NONMALIGNANCY

  201        OTHER HEPATOBILIARY OR PANCREAS OR PROCEDURES

  265        SKIN GRAFT AND OR DEBRIDEMENT EXCEPT FOR SKIN ULCER OR
             CELLULITIS WITH CC

  266        SKIN GRAFT AND/OR DEBRIDEMENT EXCEPT FOR SKIN ULCER OR
             CELLUTLITIES WITHOUT CC

  267        PERIANAL AND PILONIDAL PROCEDURES

  269        OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH
             CC

  270        OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURS WITHOUT
             CC

  288        OR PROCEDURES FOR OBESITY

  302        KIDNEY TRANSPLANT

  303        KIDNEY, URETER AND MAJOR BLADDER PROCEDURES FOR NEOPLASM

  304        KIDNEY, URETER AND MAJOR BLADDER PROCEDURES FOR NONNEOPLASMS
             WITH CC

  305        KIDNEY, URETER AND MAJOR BLADDER PROCEDURES FOR NONEOPLSMS
             WITHOUT CC

  306        PROSTATECTOMY WITH CC

  307        PROSTATECTOMY WITHOUT CC

  308        MINOR BLADDER PROCEDURES WITH CC

  309        MINOR BLADDER PROCEDURES WITHOUT CC

  310        TRANSURETHRAL PROCEDURES WITH CC

  311        TRANSURETHRAL PROCEDURES WITHOUT CC

  314        URETHRAL PROCEDURES, AGE 0-17

  315        OTHER KIDNEY AND URINARY TRACT OR PROCEDURES

  334        MAJOR MALE PELVIC PROCEDURES WITH CC

  335        MAJOR MALE PELVIC PROCEDURES WITHOUT CC

  336        TRANSURETHRAL PROSTATECTOMY WITH CC

  337        TRANSURETHRAL PROSTATECTOMY WITHOUT CC

  341        PENIS PROCEDURE

  344        OTHER MALE REPRODUCTIVE SYSTEM OR PROCEDURES FOR MALIGNANCY

  345        OTHER MALE REPRODUCTIVE SYSTEM OR PROCEDURES EXCEPT FOR
             MALIGNANCY

  353        PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL
             VULVECTOMY

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

  355        UTERINE AND ADNEXA PROCEDURES FOR NONOVARIAN/ADNEXA
             PROCEDURES WITHOUT CC

  356        FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES

  357        UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL
             MALIGNANCY

  358        UTERINE AND ADNEXA PROCEDURES FOR NONMALIGNANCY WITH CC

  359        UTERINE AND ADNEXA PROCEDURES FOR NONMALIGNANCY WITHOUT CC

  360        VAGINA, CERVIX AND VULVA PROCEDURES

  361        LAPAROSCOPY AND INCISIONAL TUBAL INTERRUPTION

  362        ENDOSCOPIC TUBAL INTERRUPTION

  363        D AND C, CONIZATION AND RADIOIMPLANT FOR MALIGNANCY

  364        D AND C, CONIZATION EXCEPT FOR MALIGNANCY

  365        OTHER FEMALE REPRODUCTIVE SYSTEM OR PROCEDURES

  370        CESAREAN SECTION WITH CC

  371        CESAREAN SECTION WITHOUT CC

  374        VAGINAL DELIVERY WITH STERILIZATION AND/OR D AND C

  375        VAGINAL DELIVERY WITH OR PROCEDURE EXCEPT STERILIZATION AND
             OR D AND C

  377        POSTPARTUM AND POSTABORTION DIAGNOSES WITH OR PROCEDURE

  381        ABORTION WITH D AND C ASPIRATION CURETTAGE OR HYSTERECTOMY

  476        PROSTATIC OR PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

  480        LIVER TRANSPLANT

  482        TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES

  483        TRACHEOSTOMY EXCEPT FOR FACE, MOUTH AND NECK DIAGNOSES

  493        LAPAROSCOPIC CHOLECYSTECTOMY WO COMMON DUCT EXPLORATION WITH
             CC

  494        LAPAROSCOPIC CHOLECYSTECTOMY WO COMMON DUCT EXPLORATION
             WITHOUT CC

  495        LUNG TRANSPLANT

  512        SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT

  513        PANCREAS TRANSPLANT

  541        TRACH W MV 96+HRS OR PDX EXC FACE, MTH, FACE & NECK DX W MAJ
             OR

  542        TRACH W MV 96+HRS OR PDX EXC FACE, MTH, FACE & NECK DX WO MJ
             OR

  569        MAJOR SMALL & LARGE BOWEL PROCEDURES W CC W MAJOR GI DX

  570        MAJOR SMALL & LARGE BOWEL PROCEDURES W CC W/O MAJOR GI DX

  573        MAJOR BLADDER PROCEDURES
  ---------- ------------------------------------------------------------

**Surgical Class 3 DRGs**

  ----------- -----------------------------------------------------------
  263         SKIN GRAFT AND OR DEBRIDEMENT FOR SKIN ULCER OR CELLULITIS
              WITH CC

  264         SKIN GRAFT AND OR DEBRIDEMENT FOR SKIN ULCER OR CELLULITIS
              WITHOUT CC

  439         SKIN GRAFTS FOR INJURIES

  440         WOUND DEBRIDEMENTS FOR INJURIES

  441         HAND PROCEDURES FOR INJURIES

  442         OTHER OR PROCEDURES FOR INJURIES WITH CC

  443         OTHER OR PROCEDURES FOR INJURIES WITHOUT CC

  484         CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

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

  486         OTHER OR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

  504         EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT

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

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

**Surgical Class 9 DRGs**

  --------- -------------------------------------------------------------
  400       LYMPHOMA AND LEUKEMIA WITH MAJOR OR PROCEDURES

  401       LYMPHOMA AND NONACUTE LEUKEMIA WITH OTHER OR PROCEDURE WITH
            CC

  402       LYMPHOMA AND NONACUTE LEUKEMIA WITH OTHER OR PROCEDURE
            WITHOUT CC

  406       MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED
            NEOPLASMS WITH MAJOR OR PROCEDURES WITH CC

  407       MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED
            NEOPLASMS WITH MAJOR OR PROCEDURES WITHOUT CC

  408       MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED
            NEOPLASMS WITH OTHER OR PROCEDURES

  424       OR PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS

  461       OR PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH
            SERVICES

  468       EXTENSIVE OR PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

  477       NONEXTENSIVE OR PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

  488       HIV WITH EXTENSIVE OR PROCEDURE

  539       LYMPHOMA & LEUKEMIA W MAJOR OR PROCEDURE W CC

  540       LYMPHOMA & LEUKEMIA W MAJOR OR PROCEDURE W/O CC
  --------- -------------------------------------------------------------

#### Selected Infections Due to Medical Care (PDI 12) Stratification

Stratifies patients by three risk groups:

[]{#PDI12HiRisk .anchor}**High Risk Group**

Immunodeficient patients (HIV and AIDs, immune system disorders), high
risk disorders (severe malnutrition, white blood cell disorder, renal
failure, and short bowel syndrome)**,** transplant, and ALL cancers

> See [Appendix C: ICD-9-CM Codes for High-risk Immunocompromised
> States](#_Appendix_C:_ICD-9-CM_Codes_for_High)
>
> Control-click (Word) or click (PDF) to view the Appendix. Links are
> provided to return.

*Cancer diagnosis codes*

  ------------ ----------------------------------------------------------
  1400         MAL NEO UPPER VERMILION

  1401         MAL NEO LOWER VERMILION

  1403         MAL NEO UPPER LIP, INNER

  1404         MAL NEO LOWER LIP, INNER

  1405         MAL NEO LIP, INNER NOS

  1406         MAL NEO LIP, COMMISSURE

  1408         MAL NEO LIP NEC

  1409         MAL NEO LIP/VERMIL NOS

  1410         MAL NEO TONGUE BASE

  1411         MAL NEO DORSAL TONGUE

  1412         MAL NEO TIP/LAT TONGUE

  1413         MAL NEO VENTRAL TONGUE

  1414         MAL NEO ANT 2/3 TONGUE

  1415         MAL NEO TONGUE JUNCTION

  1416         MAL NEO LINGUAL TONSIL

  1418         MALIG NEO TONGUE NEC

  1419         MALIG NEO TONGUE NOS

  1420         MALIG NEO PAROTID

  1421         MALIG NEO SUBMANDIBULAR

  1422         MALIG NEO SUBLINGUAL

  1428         MAL NEO MAJ SALIVARY NEC

  1429         MAL NEO SALIVARY NOS

  1430         MALIG NEO UPPER GUM

  1431         MALIG NEO LOWER GUM

  1438         MALIG NEO GUM NEC

  1439         MALIG NEO GUM NOS

  1440         MAL NEO ANT FLOOR MOUTH

  1441         MAL NEO LAT FLOOR MOUTH

  1448         MAL NEO MOUTH FLOOR NEC

  1449         MAL NEO MOUTH FLOOR NOS

  1450         MAL NEO CHEEK MUCOSA

  1451         MAL NEO MOUTH VESTIBULE

  1452         MALIG NEO HARD PALATE

  1453         MALIG NEO SOFT PALATE

  1454         MALIGNANT NEOPLASM UVULA

  1455         MALIGNANT NEO PALATE NOS

  1456         MALIG NEO RETROMOLAR

  1458         MALIG NEOPLASM MOUTH NEC

  1459         MALIG NEOPLASM MOUTH NOS

  1460         MALIGNANT NEOPL TONSIL

  1461         MAL NEO TONSILLAR FOSSA

  1462         MAL NEO TONSIL PILLARS

  1463         MALIGN NEOPL VALLECULA

  1464         MAL NEO ANT EPIGLOTTIS

  1465         MAL NEO EPIGLOTTIS JUNCT

  1466         MAL NEO LAT OROPHARYNX

  1467         MAL NEO POST OROPHARYNX

  1468         MAL NEO OROPHARYNX NEC

  1469         MALIG NEO OROPHARYNX NOS

  1470         MAL NEO SUPER NASOPHARYN

  1471         MAL NEO POST NASOPHARYNX

  1472         MAL NEO LAT NASOPHARYNX

  1473         MAL NEO ANT NASOPHARYNX

  1478         MAL NEO NASOPHARYNX NEC

  1479         MAL NEO NASOPHARYNX NOS

  1480         MAL NEO POSTCRICOID

  1481         MAL NEO PYRIFORM SINUS

  1482         MAL NEO ARYEPIGLOTT FOLD

  1483         MAL NEO POST HYPOPHARYNX

  1488         MAL NEO HYPOPHARYNX NEC

  1489         MAL NEO HYPOPHARYNX NOS

  1490         MAL NEO PHARYNX NOS

  1491         MAL NEO WALDEYERS RING

  1498         MAL NEO ORAL/PHARYNX NEC

  1499         MAL NEO OROPHRYN ILL-DEF

  1500         MAL NEO CERVICAL ESOPHAG

  1501         MAL NEO THORACIC ESOPHAG

  1502         MAL NEO ABDOMIN ESOPHAG

  1503         MAL NEO UPPER 3RD ESOPH

  1504         MAL NEO MIDDLE 3RD ESOPH

  1505         MAL NEO LOWER 3RD ESOPH

  1508         MAL NEO ESOPHAGUS NEC

  1509         MAL NEO ESOPHAGUS NOS

  1510         MAL NEO STOMACH CARDIA

  1511         MALIGNANT NEO PYLORUS

  1512         MAL NEO PYLORIC ANTRUM

  1513         MAL NEO STOMACH FUNDUS

  1514         MAL NEO STOMACH BODY

  1515         MAL NEO STOM LESSER CURV

  1516         MAL NEO STOM GREAT CURV

  1518         MALIG NEOPL STOMACH NEC

  1519         MALIG NEOPL STOMACH NOS

  1520         MALIGNANT NEOPL DUODENUM

  1521         MALIGNANT NEOPL JEJUNUM

  1522         MALIGNANT NEOPLASM ILEUM

  1523         MAL NEO MECKELS DIVERT

  1528         MAL NEO SMALL BOWEL NEC

  1529         MAL NEO SMALL BOWEL NOS

  1530         MAL NEO HEPATIC FLEXURE

  1531         MAL NEO TRANSVERSE COLON

  1532         MAL NEO DESCEND COLON

  1533         MAL NEO SIGMOID COLON

  1534         MALIGNANT NEOPLASM CECUM

  1535         MALIGNANT NEO APPENDIX

  1536         MALIG NEO ASCEND COLON

  1537         MAL NEO SPLENIC FLEXURE

  1538         MALIGNANT NEO COLON NEC

  1539         MALIGNANT NEO COLON NOS

  1540         MAL NEO RECTOSIGMOID JCT

  1541         MALIGNANT NEOPL RECTUM

  1542         MALIG NEOPL ANAL CANAL

  1543         MALIGNANT NEO ANUS NOS

  1548         MAL NEO RECTUM/ANUS NEC

  1550         MAL NEO LIVER, PRIMARY

  1551         MAL NEO INTRAHEPAT DUCTS

  1552         MALIGNANT NEO LIVER NOS

  1560         MALIG NEO GALLBLADDER

  1561         MAL NEO EXTRAHEPAT DUCTS

  1562         MAL NEO AMPULLA OF VATER

  1568         MALIG NEO BILIARY NEC

  1569         MALIG NEO BILIARY NOS

  1570         MAL NEO PANCREAS HEAD

  1571         MAL NEO PANCREAS BODY

  1572         MAL NEO PANCREAS TAIL

  1573         MAL NEO PANCREATIC DUCT

  1574         MAL NEO ISLET LANGERHANS

  1578         MALIG NEO PANCREAS NEC

  1579         MALIG NEO PANCREAS NOS

  1580         MAL NEO RETROPERITONEUM

  1588         MAL NEO PERITONEUM NEC

  1589         MAL NEO PERITONEUM NOS

  1590         MALIG NEO INTESTINE NOS

  1591         MALIGNANT NEO SPLEEN NEC

  1598         MAL NEO GI/INTRA-ABD NEC

  1599         MAL NEO GI TRACT ILL-DEF

  1600         MAL NEO NASAL CAVITIES

  1601         MALIG NEO MIDDLE EAR

  1602         MAL NEO MAXILLARY SINUS

  1603         MAL NEO ETHMOIDAL SINUS

  1604         MALIG NEO FRONTAL SINUS

  1605         MAL NEO SPHENOID SINUS

  1608         MAL NEO ACCESS SINUS NEC

  1609         MAL NEO ACCESS SINUS NOS

  1610         MALIGNANT NEO GLOTTIS

  1611         MALIG NEO SUPRAGLOTTIS

  1612         MALIG NEO SUBGLOTTIS

  1613         MAL NEO CARTILAGE LARYNX

  1618         MALIGNANT NEO LARYNX NEC

  1619         MALIGNANT NEO LARYNX NOS

  1620         MALIGNANT NEO TRACHEA

  1622         MALIG NEO MAIN BRONCHUS

  1623         MAL NEO UPPER LOBE LUNG

  1624         MAL NEO MIDDLE LOBE LUNG

  1625         MAL NEO LOWER LOBE LUNG

  1628         MAL NEO BRONCH/LUNG NEC

  1629         MAL NEO BRONCH/LUNG NOS

  1630         MAL NEO PARIETAL PLEURA

  1631         MAL NEO VISCERAL PLEURA

  1638         MALIG NEOPL PLEURA NEC

  1639         MALIG NEOPL PLEURA NOS

  1640         MALIGNANT NEOPL THYMUS

  1641         MALIGNANT NEOPL HEART

  1642         MAL NEO ANT MEDIASTINUM

  1643         MAL NEO POST MEDIASTINUM

  1648         MAL NEO MEDIASTINUM NEC

  1649         MAL NEO MEDIASTINUM NOS

  1650         MAL NEO UPPER RESP NOS

  1658         MAL NEO THORAX/RESP NEC

  1659         MAL NEO RESP SYSTEM NOS

  1700         MAL NEO SKULL/FACE BONE

  1701         MALIGNANT NEO MANDIBLE

  1702         MALIG NEO VERTEBRAE

  1703         MAL NEO RIBS/STERN/CLAV

  1704         MAL NEO LONG BONES ARM

  1705         MAL NEO BONES WRIST/HAND

  1706         MAL NEO PELVIC GIRDLE

  1707         MAL NEO LONG BONES LEG

  1708         MAL NEO BONES ANKLE/FOOT

  1709         MALIG NEOPL BONE NOS

  1710         MAL NEO SOFT TISSUE HEAD

  1712         MAL NEO SOFT TISSUE ARM

  1713         MAL NEO SOFT TISSUE LEG

  1714         MAL NEO SOFT TIS THORAX

  1715         MAL NEO SOFT TIS ABDOMEN

  1716         MAL NEO SOFT TIS PELVIS

  1717         MAL NEOPL TRUNK NOS

  1718         MAL NEO SOFT TISSUE NEC

  1719         MAL NEO SOFT TISSUE NOS

  1720         MALIG MELANOMA LIP

  1721         MALIG MELANOMA EYELID

  1722         MALIG MELANOMA EAR

  1723         MAL MELANOM FACE NEC NOS

  1724         MAL MELANOMA SCALP/NECK

  1725         MALIG MELANOMA TRUNK

  1726         MALIG MELANOMA ARM

  1727         MALIG MELANOMA LEG

  1728         MALIG MELANOMA SKIN NEC

  1729         MALIG MELANOMA SKIN NOS

  1740         MALIG NEO NIPPLE

  1741         MAL NEO BREAST-CENTRAL

  1742         MAL NEO BREAST UP-INNER

  1743         MAL NEO BREAST LOW-INNER

  1744         MAL NEO BREAST UP-OUTER

  1745         MAL NEO BREAST LOW-OUTER

  1746         MAL NEO BREAST-AXILLARY

  1748         MALIGN NEOPL BREAST NEC

  1749         MALIGN NEOPL BREAST NOS

  1750         MAL NEO MALE NIPPLE

  1759         MAL NEO MALE BREAST NEC

  1760         SKIN - KAPOSIS SARCOMA

  1761         SFT TISUE - KPSIS SRCMA

  1762         PALATE - KPSIS SARCOMA

  1763         GI SITES - KPSIS SRCOMA

  1764         LUNG - KAPOSIS SARCOMA

  1765         LYM NDS - KPSIS SARCOMA

  1768         SPF STS - KPSIS SARCOMA

  1769         KAPOSIS SARCOMA NOS

  179          MALIG NEOPL UTERUS NOS

  1800         MALIG NEO ENDOCERVIX

  1801         MALIG NEO EXOCERVIX

  1808         MALIG NEO CERVIX NEC

  1809         MAL NEO CERVIX UTERI NOS

  181          MALIGNANT NEOPL PLACENTA

  1820         MALIG NEO CORPUS UTERI

  1821         MAL NEO UTERINE ISTHMUS

  1828         MAL NEO BODY UTERUS NEC

  1830         MALIGN NEOPL OVARY

  1832         MAL NEO FALLOPIAN TUBE

  1833         MAL NEO BROAD LIGAMENT

  1834         MALIG NEO PARAMETRIUM

  1835         MAL NEO ROUND LIGAMENT

  1838         MAL NEO ADNEXA NEC

  1839         MAL NEO ADNEXA NOS

  1840         MALIGN NEOPL VAGINA

  1841         MAL NEO LABIA MAJORA

  1842         MAL NEO LABIA MINORA

  1843         MALIGN NEOPL CLITORIS

  1844         MALIGN NEOPL VULVA NOS

  1848         MAL NEO FEMALE GENIT NEC

  1849         MAL NEO FEMALE GENIT NOS

  185          MALIGN NEOPL PROSTATE

  1860         MAL NEO UNDESCEND TESTIS

  1869         MALIG NEO TESTIS NEC

  1871         MALIGN NEOPL PREPUCE

  1872         MALIG NEO GLANS PENIS

  1873         MALIG NEO PENIS BODY

  1874         MALIG NEO PENIS NOS

  1875         MALIG NEO EPIDIDYMIS

  1876         MAL NEO SPERMATIC CORD

  1877         MALIGN NEOPL SCROTUM

  1878         MAL NEO MALE GENITAL NEC

  1879         MAL NEO MALE GENITAL NOS

  1880         MAL NEO BLADDER-TRIGONE

  1881         MAL NEO BLADDER-DOME

  1882         MAL NEO BLADDER-LATERAL

  1883         MAL NEO BLADDER-ANTERIOR

  1884         MAL NEO BLADDER-POST

  1885         MAL NEO BLADDER NECK

  1886         MAL NEO URETERIC ORIFICE

  1887         MALIG NEO URACHUS

  1888         MALIG NEO BLADDER NEC

  1889         MALIG NEO BLADDER NOS

  1890         MALIG NEOPL KIDNEY

  1891         MALIG NEO RENAL PELVIS

  1892         MALIGN NEOPL URETER

  1893         MALIGN NEOPL URETHRA

  1894         MAL NEO PARAURETHRAL

  1898         MAL NEO URINARY NEC

  1899         MAL NEO URINARY NOS

  1900         MALIGN NEOPL EYEBALL

  1901         MALIGN NEOPL ORBIT

  1902         MAL NEO LACRIMAL GLAND

  1903         MAL NEO CONJUNCTIVA

  1904         MALIGN NEOPL CORNEA

  1905         MALIGN NEOPL RETINA

  1906         MALIGN NEOPL CHOROID

  1907         MAL NEO LACRIMAL DUCT

  1908         MALIGN NEOPL EYE NEC

  1909         MALIGN NEOPL EYE NOS

  1910         MALIGN NEOPL CEREBRUM

  1911         MALIG NEO FRONTAL LOBE

  1912         MAL NEO TEMPORAL LOBE

  1913         MAL NEO PARIETAL LOBE

  1914         MAL NEO OCCIPITAL LOBE

  1915         MAL NEO CEREB VENTRICLE

  1916         MAL NEO CEREBELLUM NOS

  1917         MAL NEO BRAIN STEM

  1918         MALIG NEO BRAIN NEC

  1919         MALIG NEO BRAIN NOS

  1920         MAL NEO CRANIAL NERVES

  1921         MAL NEO CEREBRAL MENING

  1922         MAL NEO SPINAL CORD

  1923         MAL NEO SPINAL MENINGES

  1928         MAL NEO NERVOUS SYST NEC

  1929         MAL NEO NERVOUS SYST NOS

  193          MALIGN NEOPL THYROID

  1940         MALIGN NEOPL ADRENAL

  1941         MALIG NEO PARATHYROID

  1943         MALIG NEO PITUITARY

  1944         MALIGN NEO PINEAL GLAND

  1945         MAL NEO CAROTID BODY

  1946         MAL NEO PARAGANGLIA NEC

  1948         MAL NEO ENDOCRINE NEC

  1949         MAL NEO ENDOCRINE NOS

  1950         MAL NEO HEAD/FACE/NECK

  1951         MALIGN NEOPL THORAX

  1952         MALIG NEO ABDOMEN

  1953         MALIGN NEOPL PELVIS

  1954         MALIGN NEOPL ARM

  1955         MALIGN NEOPL LEG

  1958         MALIG NEO SITE NEC

  1960         MAL NEO LYMPH-HEAD/NECK

  1961         MAL NEO LYMPH-INTRATHOR

  1962         MAL NEO LYMPH INTRA-ABD

  1963         MAL NEO LYMPH-AXILLA/ARM

  1965         MAL NEO LYMPH-INGUIN/LEG

  1966         MAL NEO LYMPH-INTRAPELV

  1968         MAL NEO LYMPH NODE-MULT

  1969         MAL NEO LYMPH NODE NOS

  1970         SECONDARY MALIG NEO LUNG

  1971         SEC MAL NEO MEDIASTINUM

  1972         SECOND MALIG NEO PLEURA

  1973         SEC MALIG NEO RESP NEC

  1974         SEC MALIG NEO SM BOWEL

  1975         SEC MALIG NEO LG BOWEL

  1976         SEC MAL NEO PERITONEUM

  1977         SECOND MALIG NEO LIVER

  1978         SEC MAL NEO GI NEC

  1980         SECOND MALIG NEO KIDNEY

  1981         SEC MALIG NEO URIN NEC

  1982         SECONDARY MALIG NEO SKIN

  1983         SEC MAL NEO BRAIN/SPINE

  1984         SEC MALIG NEO NERVE NEC

  1985         SECONDARY MALIG NEO BONE

  1986         SECOND MALIG NEO OVARY

  1987         SECOND MALIG NEO ADRENAL

  19881        SECOND MALIG NEO BREAST

  19882        SECOND MALIG NEO GENITAL

  19889        SECONDARY MALIG NEO NEC

  1990         MALIG NEO DISSEMINATED

  1991         MALIGNANT NEOPLASM NOS

  20100        HDGK PRG UNSP XTRNDL ORG

  20101        HODGKINS PARAGRAN HEAD

  20102        HODGKINS PARAGRAN THORAX

  20103        HODGKINS PARAGRAN ABDOM

  20104        HODGKINS PARAGRAN AXILLA

  20105        HODGKINS PARAGRAN INGUIN

  20106        HODGKINS PARAGRAN PELVIC

  20107        HODGKINS PARAGRAN SPLEEN

  20108        HODGKINS PARAGRAN MULT

  20110        HDGK GRN UNSP XTRNDL ORG

  20111        HODGKINS GRANULOM HEAD

  20112        HODGKINS GRANULOM THORAX

  20113        HODGKINS GRANULOM ABDOM

  20114        HODGKINS GRANULOM AXILLA

  20115        HODGKINS GRANULOM INGUIN

  20116        HODGKINS GRANULOM PELVIC

  20117        HODGKINS GRANULOM SPLEEN

  20118        HODGKINS GRANULOM MULT

  20120        HDGK SRC UNSP XTRNDL ORG

  20121        HODGKINS SARCOMA HEAD

  20122        HODGKINS SARCOMA THORAX

  20123        HODGKINS SARCOMA ABDOM

  20124        HODGKINS SARCOMA AXILLA

  20125        HODGKINS SARCOMA INGUIN

  20126        HODGKINS SARCOMA PELVIC

  20127        HODGKINS SARCOMA SPLEEN

  20128        HODGKINS SARCOMA MULT

  20140        LYM-HST UNSP XTRNDL ORGN

  20141        HODG LYMPH-HISTIO HEAD

  20142        HODG LYMPH-HISTIO THORAX

  20143        HODG LYMPH-HISTIO ABDOM

  20144        HODG LYMPH-HISTIO AXILLA

  20145        HODG LYMPH-HISTIO INGUIN

  20146        HODG LYMPH-HISTIO PELVIC

  20147        HODG LYMPH-HISTIO SPLEEN

  20148        HODG LYMPH-HISTIO MULT

  20150        NDR SCLR UNSP XTRNDL ORG

  20151        HODG NODUL SCLERO HEAD

  20152        HODG NODUL SCLERO THORAX

  20153        HODG NODUL SCLERO ABDOM

  20154        HODG NODUL SCLERO AXILLA

  20155        HODG NODUL SCLERO INGUIN

  20156        HODG NODUL SCLERO PELVIC

  20157        HODG NODUL SCLERO SPLEEN

  20158        HODG NODUL SCLERO MULT

  20160        MXD CELR UNSP XTRNDL ORG

  20161        HODGKINS MIX CELL HEAD

  20162        HODGKINS MIX CELL THORAX

  20163        HODGKINS MIX CELL ABDOM

  20164        HODGKINS MIX CELL AXILLA

  20165        HODGKINS MIX CELL INGUIN

  20166        HODGKINS MIX CELL PELVIC

  20167        HODGKINS MIX CELL SPLEEN

  20168        HODGKINS MIX CELL MULT

  20170        LYM DPLT UNSP XTRNDL ORG

  20171        HODG LYMPH DEPLET HEAD

  20172        HODG LYMPH DEPLET THORAX

  20173        HODG LYMPH DEPLET ABDOM

  20174        HODG LYMPH DEPLET AXILLA

  20175        HODG LYMPH DEPLET INGUIN

  20176        HODG LYMPH DEPLET PELVIC

  20177        HODG LYMPH DEPLET SPLEEN

  20178        HODG LYMPH DEPLET MULT

  20190        HDGK DIS UNSP XTRNDL ORG

  20191        HODGKINS DIS NOS HEAD

  20192        HODGKINS DIS NOS THORAX

  20193        HODGKINS DIS NOS ABDOM

  20194        HODGKINS DIS NOS AXILLA

  20195        HODGKINS DIS NOS INGUIN

  20196        HODGKINS DIS NOS PELVIC

  20197        HODGKINS DIS NOS SPLEEN

  20198        HODGKINS DIS NOS MULT

  20200        NDLR LYM UNSP XTRNDL ORG

  20201        NODULAR LYMPHOMA HEAD

  20202        NODULAR LYMPHOMA THORAX

  20203        NODULAR LYMPHOMA ABDOM

  20204        NODULAR LYMPHOMA AXILLA

  20205        NODULAR LYMPHOMA INGUIN

  20206        NODULAR LYMPHOMA PELVIC

  20207        NODULAR LYMPHOMA SPLEEN

  20208        NODULAR LYMPHOMA MULT

  20210        MYCS FNG UNSP XTRNDL ORG

  20211        MYCOSIS FUNGOIDES HEAD

  20212        MYCOSIS FUNGOIDES THORAX

  20213        MYCOSIS FUNGOIDES ABDOM

  20214        MYCOSIS FUNGOIDES AXILLA

  20215        MYCOSIS FUNGOIDES INGUIN

  20216        MYCOSIS FUNGOIDES PELVIC

  20217        MYCOSIS FUNGOIDES SPLEEN

  20218        MYCOSIS FUNGOIDES MULT

  20220        SZRY DIS UNSP XTRNDL ORG

  20221        SEZARYS DISEASE HEAD

  20222        SEZARYS DISEASE THORAX

  20223        SEZARYS DISEASE ABDOM

  20224        SEZARYS DISEASE AXILLA

  20225        SEZARYS DISEASE INGUIN

  20226        SEZARYS DISEASE PELVIC

  20227        SEZARYS DISEASE SPLEEN

  20228        SEZARYS DISEASE MULT

  20230        MLG HIST UNSP XTRNDL ORG

  20231        MAL HISTIOCYTOSIS HEAD

  20232        MAL HISTIOCYTOSIS THORAX

  20233        MAL HISTIOCYTOSIS ABDOM

  20234        MAL HISTIOCYTOSIS AXILLA

  20235        MAL HISTIOCYTOSIS INGUIN

  20236        MAL HISTIOCYTOSIS PELVIC

  20237        MAL HISTIOCYTOSIS SPLEEN

  20238        MAL HISTIOCYTOSIS MULT

  20240        LK RTCTL UNSP XTRNDL ORG

  20241        HAIRY-CELL LEUKEM HEAD

  20242        HAIRY-CELL LEUKEM THORAX

  20243        HAIRY-CELL LEUKEM ABDOM

  20244        HAIRY-CELL LEUKEM AXILLA

  20245        HAIRY-CELL LEUKEM INGUIN

  20246        HAIRY-CELL LEUKEM PELVIC

  20247        HAIRY-CELL LEUKEM SPLEEN

  20248        HAIRY-CELL LEUKEM MULT

  20250        LTR-SIWE UNSP XTRNDL ORG

  20251        LETTERER-SIWE DIS HEAD

  20252        LETTERER-SIWE DIS THORAX

  20253        LETTERER-SIWE DIS ABDOM

  20254        LETTERER-SIWE DIS AXILLA

  20255        LETTERER-SIWE DIS INGUIN

  20256        LETTERER-SIWE DIS PELVIC

  20257        LETTERER-SIWE DIS SPLEEN

  20258        LETTERER-SIWE DIS MULT

  20260        MLG MAST UNSP XTRNDL ORG

  20261        MAL MASTOCYTOSIS HEAD

  20262        MAL MASTOCYTOSIS THORAX

  20263        MAL MASTOCYTOSIS ABDOM

  20264        MAL MASTOCYTOSIS AXILLA

  20265        MAL MASTOCYTOSIS INGUIN

  20266        MAL MASTOCYTOSIS PELVIC

  20267        MAL MASTOCYTOSIS SPLEEN

  20268        MAL MASTOCYTOSIS MULT

  20280        OTH LYMP UNSP XTRNDL ORG

  20281        LYMPHOMAS NEC HEAD

  20282        LYMPHOMAS NEC THORAX

  20283        LYMPHOMAS NEC ABDOM

  20284        LYMPHOMAS NEC AXILLA

  20285        LYMPHOMAS NEC INGUIN

  20286        LYMPHOMAS NEC PELVIC

  20287        LYMPHOMAS NEC SPLEEN

  20288        LYMPHOMAS NEC MULT

  20290        UNSP LYM UNSP XTRNDL ORG

  20291        LYMPHOID MAL NEC HEAD

  20292        LYMPHOID MAL NEC THORAX

  20293        LYMPHOID MAL NEC ABDOM

  20294        LYMPHOID MAL NEC AXILLA

  20295        LYMPHOID MAL NEC INGUIN

  20296        LYMPHOID MAL NEC PELVIC

  20297        LYMPHOID MAL NEC SPLEEN

  20298        LYMPHOID MAL NEC MULT

  2030         MULTIPLE MYELOMA

  20300        MULT MYELM W/O REMISSION

  20301        MULT MYELM W REMISSION

  2031         PLASMA CELL LEUKEMIA

  20310        PLSM CELL LEUK W/O RMSON

  20311        PLSM CELL LEUK W RMSON

  2038         IMMUNOPROLIFERAT NEO NEC

  20380        OTH IMNPRFL NPL W/O RMSN

  20381        OTH IMNPRFL NPL W RMSN

  2040         ACUTE LYMPHOID LEUKEMIA

  20400        ACT LYM LEUK W/O RMSION

  20401        ACT LYM LEUK W RMSION

  2041         CHR LYMPHOID LEUKEMIA

  20410        CHR LYM LEUK W/O RMSION

  20411        CHR LYM LEUK W RMSION

  2042         SUBAC LYMPHOID LEUKEMIA

  20420        SBAC LYM LEUK W/O RMSION

  20421        SBAC LYM LEUK W RMSION

  2048         LYMPHOID LEUKEMIA NEC

  20480        OTH LYM LEUK W/O RMSION

  20481        OTH LYM LEUK W RMSION

  2049         LYMPHOID LEUKEMIA NOS

  20490        UNS LYM LEUK W/O RMSION

  20491        UNS LYM LEUK W RMSION

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

  2733         DISORDERS OF PLASMA PROTEIN METABOLISM-MACROGLOBULINEMIA
  ------------ ----------------------------------------------------------

**Intermediate Risk Group**

Intermediate-risk disorders: Cystic fibrosis, Hemophilia,
Intermediate-risk immunodeficient patients (lupus and rare autoimmune
diseases), specified renal disease, hepatic failure, cachexia, and
spleen disorders

*Cystic fibrosis codes*

  -------------- --------------------------------------------------------
  27700          CYSTIC FIBROS W/O ILEUS

  27701          CYSTIC FIBROSIS W ILEUS

  27702          CYSTIC FIBROS W PUL MAN

  27703          CYSTIC FIBROSIS W GI MAN

  27709          CYSTIC FIBROSIS NEC
  -------------- --------------------------------------------------------

*Hemophilia and congenital clotting disorders*

  -------------- --------------------------------------------------------
  2860           CONGENITAL FACTOR VIII DISORDER

  2861           CONGENITAL FACTOR IX DISORDER

  2862           CONGENITAL FACTOR XI DISORDER

  2863           CONGENITAL DEFICIENCY OF OTHER CLOTTING FACTORS

  2864           VON WILLEBRAND'S DISEASE
  -------------- --------------------------------------------------------

*Lupus and rare autoimmune diseases:*

  -------------- --------------------------------------------------------
  7100           SYSTEMIC LUPUS ERYTHEMATOSUS

  7101           SYSTEMIC SCLEROSIS

  7102           SICCA SYNDROME

  7103           DERMATOMYOSITIS

  7104           POLYMYOSITIS

  7105           EOSINOPHILIA MYALGIA SYNDROME

  7108           OTHER SPECIFIED DIFFUSE DISEASES OF CONNECTIVE TISSUE

  7109           UNSPECIFIED DIFFUSE CONNECTIVE TISSUE DISEASE
  -------------- --------------------------------------------------------

*Specified renal disease:*

  -------------- --------------------------------------------------------
  580            ACUTE GLOMERULONEPHRITIS

  581            NEPHROTIC SYNDROME

  582            CHRONIC GLOMERULONEPHRITIS

  583            NEPHRITIS AND NEPHROPATHY, NOT SPECIFIED AS ACUTE OR
                 CHRONIC
  -------------- --------------------------------------------------------

*Hepatic failure:*

  -------------- --------------------------------------------------------
  07022          VIRAL HEPATITIS B WITH HEPATIC COMA, CHRONIC, WITHOUT
                 MENTION OF HEPATITIS DELTA

  07023          VIRAL HEPATITIS B WITH HEPATIC COMA, CHRONIC, WITH
                 MENTION OF HEPATITIS DELTA

  07044          CHRONIC HEPATITIS C WITH HEPATIC COMA

  4560           ESOPHAGEAL VARICES WITH BLEEDING

  4561           ESOPHAGEAL VARICES WITHOUT MENTION OF BLEEDING

  4562           ESOPHAGEAL VARIANCES IN DISEASES CLASSIFIED ELSEWHERE

  5723           PORTAL HYPERTENSION

  5728           OTHER SEQUELAE OF CHRONIC LIVER DISEASE

  V427           LIVER TRANSPLANT

  5722           HEPATIC COMA (WHEN ACCOMPANIED BY 5712, 5715 OR 5716
                 (CIRRHOSIS))

  5724           HEPATORENAL SYNDROME (WHEN ACCOMPANIED BY 5712, 5715 OR
                 5716 (CIRRHOSIS))
  -------------- --------------------------------------------------------

*Moderate malnutrition:*

  ------- ---------------------------------------------------------------
  7994    CACHEXIA

  ------- ---------------------------------------------------------------

*Spleen disorders:*

  -------------- --------------------------------------------------------
  7590           ANOMALIES OF SPLEEN

  2894           HYPERSPLENISM

  2895           OTHER DISEASES OF SPLEEN

  865            INJURY TO SPLEEN
  -------------- --------------------------------------------------------

**Low risk group:** All other patients.

# Pediatric Quality Indicators -- Detailed Definitions

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

## Provider Level Indicators

+-----------------------------------------------------------------------+
| ### Accidental Puncture or Laceration (PDI 1)                         |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| Discharges among cases meeting the inclusion and exclusion rules for  |
| the denominator with ICD-9-CM code denoting accidental cut, puncture, |
| perforation or laceration during a procedure in any secondary         |
| diagnosis field.                                                      |
|                                                                       |
| *ICD-9-CM Accidental Puncture or Laceration diagnosis codes:*         |
|                                                                       |
| Accidental cut, puncture, perforation, or hemorrhage during medical   |
| care:                                                                 |
|                                                                       |
| E8700 Surgical operation                                              |
|                                                                       |
| E8701 Infusion or transfusion                                         |
|                                                                       |
| E8702 Kidney dialysis or other perfusion                              |
|                                                                       |
| E8703 Injection or vaccination                                        |
|                                                                       |
| E8704 Endoscopic examination                                          |
|                                                                       |
| E8705 Aspiration of fluid or tissue, puncture, and catheterization    |
|                                                                       |
| E8706 Heart catheterization                                           |
|                                                                       |
| E8707 Administration of enema                                         |
|                                                                       |
| E8708 Other specified medical care                                    |
|                                                                       |
| E8709 Unspecified medical care                                        |
|                                                                       |
| 9982 ACCIDENTAL PUNCTURE OR LACERATION DURING A PROCEDURE             |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| []{#pedqi01denominator .anchor}All surgical and medical discharges    |
| under age 18 defined by specific DRGs.                                |
|                                                                       |
| > See [Appendix B: Surgical Discharge                                 |
| > DRGs](#_Appendix_B:__Surgical_Discharge_DRG)                        |
| >                                                                     |
| > See [Appendix E: Medical Discharge                                  |
| > DRGs](#_Appendix_E:__Medical_Discharge_DRGs)                        |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   with ICD-9-CM code denoting technical difficulty (e.g.,           |
|     accidental cut, puncture, perforation, or laceration) in the      |
|     principal diagnosis field                                         |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
|                                                                       |
| -   normal newborn (DRG 391)                                          |
|                                                                       |
| ```{=html}                                                            |
| <!-- -->                                                              |
| ```                                                                   |
| -   newborns with birth weight less than 500 grams                    |
|                                                                       |
| See [Appendix G: Low Birth Weight                                     |
| Categories](#_Appendix_I:__Low_Birth_Weight_Categ)                    |
|                                                                       |
| > Control-click (Word) or click (PDF) to view an Appendix. Links are  |
| > provided to return to the PDI detailed definition.                  |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ### Decubitus Ulcer (PDI 2)                                           |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| Discharges among cases meeting the inclusion and exclusion rules for  |
| the denominator with ICD-9-CM code of decubitus ulcer in any          |
| secondary diagnosis field.                                            |
|                                                                       |
| *ICD-9-CM Decubitus Ulcer Diagnosis Codes:*                           |
|                                                                       |
| 7070\* DECUBITUS ULCER                                                |
|                                                                       |
| 70700 DECUBITUS ULCER SITE NOS OCT04-                                 |
|                                                                       |
| 70701 DECUBITUS ULCER, ELBOW OCT04-                                   |
|                                                                       |
| 70702 DECUBITUS ULCER, UP BACK OCT04-                                 |
|                                                                       |
| 70703 DECUBITUS ULCER, LOW BACK OCT04-                                |
|                                                                       |
| 70704 DECUBITUS ULCER, HIP OCT04-                                     |
|                                                                       |
| 70705 DECUBITUS ULCER, BUTTOCK OCT04-                                 |
|                                                                       |
| 70706 DECUBITUS ULCER, ANKLE OCT04-                                   |
|                                                                       |
| 70707 DECUBITUS ULCER, HEEL OCT04-                                    |
|                                                                       |
| 70709 DECUBITUS ULCER, SITE NEC OCT04-                                |
|                                                                       |
| \*No longer valid in FY2005                                           |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| []{#pedqi2 .anchor}All medical and surgical discharges under age 18   |
| defined by specific DRGs.                                             |
|                                                                       |
| > See [Appendix B: Surgical Discharge                                 |
| > DRGs](#_Appendix_B:__Surgical_Discharge_DRG)                        |
| >                                                                     |
| > See [Appendix E: Medical Discharge                                  |
| > DRGs](#_Appendix_F:__Medical_Discharge_DRGs)                        |
| >                                                                     |
| > Control-click (Word) or click (PDF) to view the Appendix. Links are |
| > provided to return to the PDI detailed definition.                  |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   neonates                                                          |
|                                                                       |
| -   with length of stay of less than 5 days                           |
|                                                                       |
| -   with ICD-9-CM code of decubitus ulcer (see Numerator) in the      |
|     principal diagnosis field                                         |
|                                                                       |
| -   in MDC 9 (Skin, Subcutaneous Tissue, and Breast) or MDC 14        |
|     (Pregnancy, Childbirth and the Puerperium)                        |
|                                                                       |
| -   with an ICD-9-CM procedure code for debridement or pedicle graft  |
|     before or on the same day as the major operating room procedure   |
|     (surgical cases only)                                             |
|                                                                       |
| -   with an ICD-9-CM procedure code of debridement or pedicle graft   |
|     as the only major operating room procedure (surgical cases only)  |
|                                                                       |
| -   admitted from a long-term care (SID ASOURCE=3) or acute care      |
|     facility (SID ASOURCE=2)                                          |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
|                                                                       |
| > See [Appendix A: Operating Room Procedure                           |
| > Codes](#appendix-a-operating-room-procedure-codes)                  |
| >                                                                     |
| > Control-click (Word) or click (PDF) to view the Appendix. Links are |
| > provided to return to the PDI detailed definition.                  |
|                                                                       |
| *ICD-9-CM procedure code for debridement or pedicle graft*            |
|                                                                       |
|   ------ ------------------------ --------- ------------------------- |
|   8345   OTHER MYECTOMY           8671      CUT & PREP PEDICLE GRAFT  |
|                                                                       |
|   8622   EXC WOUND DEBRIDEMENT    8672      PEDICLE GRAFT ADVANCEMEN  |
|                                                                       |
|   8628   NONEXCIS DEBRIDEMENT WND 8674      ATTACH PEDICLE GRAFT NEC  |
|                                                                       |
|   8670   PEDICLE GRAFT/FLAP NOS   8675      REVISION OF PEDICLE GRFT  |
|   ------ ------------------------ --------- ------------------------- |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ### Foreign Body Left During Procedure (PDI 3)                        |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| Discharges among cases meeting the inclusion and exclusion rules for  |
| the denominator with ICD-9-CM codes for foreign body left in during   |
| procedure in any secondary diagnosis field.                           |
|                                                                       |
| *ICD-9-CM Foreign Body Left in During Procedure diagnosis codes:*     |
|                                                                       |
| 9984 Foreign body accidentally left during a procedure                |
|                                                                       |
| 9987 Acute reactions to foreign substance accidentally left during a  |
| procedure                                                             |
|                                                                       |
| Foreign body left in during:                                          |
|                                                                       |
| E8710 Surgical operation                                              |
|                                                                       |
| E8711 Infusion or transfusion                                         |
|                                                                       |
| E8712 Kidney dialysis or other perfusion                              |
|                                                                       |
| E8713 Injection or vaccination                                        |
|                                                                       |
| E8714 Endoscopic examination                                          |
|                                                                       |
| E8715 Aspiration of fluid or tissue, puncture, and catheterization    |
|                                                                       |
| E8716 Heart catheterization                                           |
|                                                                       |
| E8717 Removal of catheter or packing                                  |
|                                                                       |
| E8718 Other specified procedures                                      |
|                                                                       |
| E8719 Unspecified procedure                                           |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| []{#pedqi03denom .anchor}All surgical and medical discharges under    |
| age 18 defined by specific DRGs                                       |
|                                                                       |
| *Surgical and Medical Discharge DRGs:*                                |
|                                                                       |
| > See [Appendix B: Surgical Discharge                                 |
| > DRGs](#_Appendix_B:__Surgical_Discharge_DRG)                        |
| >                                                                     |
| > See [Appendix E: Medical Discharge                                  |
| > DRGs](#_Appendix_F:__Medical_Discharge_DRGs)                        |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   with ICD-9-CM codes for foreign body left in during procedure in  |
|     the [principal]{.underline} diagnosis field                       |
|                                                                       |
| -   normal newborn (DRG 391)                                          |
|                                                                       |
| -   newborns weighing less than 500 grams                             |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
|                                                                       |
| See [Appendix G: Low Birth Weight                                     |
| Categories](#_Appendix_I:__Low_Birth_Weight_Categ)                    |
|                                                                       |
| > Control-click (Word) or click (PDF) to view an Appendix. Links are  |
| > provided to return to the PDI detailed definition.                  |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ### Iatrogen                                                          |
| ic Pneumothorax in Neonates (PDI 4) / Iatrogenic Pneumothorax (PDI 5) |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| Discharges among cases meeting the inclusion and exclusion rules for  |
| the denominator with ICD-9-CM code of 512.1 in any secondary          |
| diagnosis field.                                                      |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| []{#pedqi04denom .anchor}All surgical and medical discharges under    |
| age 18 defined by specific DRGs                                       |
|                                                                       |
| > See [Appendix B: Surgical Discharge                                 |
| > DRGs](#_Appendix_B:__Surgical_Discharge_DRG)                        |
| >                                                                     |
| > See [Appendix E: Medical Discharge                                  |
| > DRGs](#_Appendix_F:__Medical_Discharge_DRGs)                        |
|                                                                       |
| **PDI 4 (only)**                                                      |
|                                                                       |
| Include cases:                                                        |
|                                                                       |
| -   neonates with birth weight less than 2500 grams                   |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   neonates with birth weight less than 500 grams                    |
|                                                                       |
| **PDI 5 (only)**                                                      |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   neonates with birth weight less than 2500 grams                   |
|                                                                       |
| > See [Appendix G: Low Birth Weight                                   |
| > Categories](#_Appendix_I:__Low_Birth_Weight_Categ)                  |
| >                                                                     |
| > Control-click (Word) or click (PDF) to view an Appendix. Links are  |
| > provided to return to the PDI detailed definition.                  |
|                                                                       |
| **Both**                                                              |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   with ICD-9-CM code of 512.1 in the principal diagnosis field      |
|                                                                       |
| -   with diagnosis code of chest trauma or pleural effusion           |
|                                                                       |
| -   with an ICD-9-CM procedure code of thoracic surgery, lung or      |
|     pleural biopsy or diaphragmatic surgery repair or assigned to a   |
|     cardiac surgery DRG                                               |
|                                                                       |
| -   normal newborn (DRG 391)                                          |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
|                                                                       |
| *ICD-9-CM Chest Trauma diagnosis codes:*                              |
|                                                                       |
|   -                                                                   |
| ------ ------------------------------ ------- ----------------------- |
|                                                                       |
|  80700   FRACTURE RIB NOS-CLOSED        8621    DIAPHRAGM INJURY-OPEN |
|                                                                       |
|                                                                       |
| 80701   FRACTURE ONE RIB-CLOSED        86221   BRONCHUS INJURY-CLOSED |
|                                                                       |
|   8                                                                   |
| 0702   FRACTURE TWO RIBS-CLOSED       86222   ESOPHAGUS INJURY-CLOSED |
|                                                                       |
|   80703   FRACTURE THREE RIBS-CLOS       86229   INTRATHORACIC INJ    |
|                                                  NEC-CL               |
|                                                                       |
|   80704   FRACTURE FOUR RIBS-CLOSE       86231   BRONCHUS INJURY-OPEN |
|                                                                       |
|                                                                       |
|  80705   FRACTURE FIVE RIBS-CLOSE       86232   ESOPHAGUS INJURY-OPEN |
|                                                                       |
|   80706   FRACTURE SIX RIBS-CLOSED       86239   INTRATHORAC INJ      |
|                                                  NEC-OPEN             |
|                                                                       |
|   80707   FRACTURE SEVEN RIBS-CLOS       8628    INTRATHORACIC INJ    |
|                                                  NOS-CL               |
|                                                                       |
|   80708   FX EIGHT/MORE RIB-CLOSED       8629    INTRATHORAC INJ      |
|                                                  NOS-OPEN             |
|                                                                       |
|   80709   FX MULT RIBS NOS-CLOSED        8750    OPEN WOUND OF CHEST  |
|                                                                       |
|                                                                       |
| 80710   FRACTURE RIB NOS-OPEN          8751    OPEN WOUND CHEST-COMPL |
|                                                                       |
|   80711   FRACTURE ONE RIB-OPEN          8760    OPEN WOUND OF BACK   |
|                                                                       |
|                                                                       |
|  80712   FRACTURE TWO RIBS-OPEN         8761    OPEN WOUND BACK-COMPL |
|                                                                       |
|                                                                       |
|  80713   FRACTURE THREE RIBS-OPEN       9010    INJURY THORACIC AORTA |
|                                                                       |
|   8                                                                   |
| 0714   FRACTURE FOUR RIBS-OPEN        9011    INJ INNOMIN/SUBCLAV ART |
|                                                                       |
|                                                                       |
| 80715   FRACTURE FIVE RIBS-OPEN        9012    INJ SUPERIOR VENA CAVA |
|                                                                       |
|   80716   FRACTURE SIX RIBS-OPEN         9013    INJ INNOMIN/SUBCLAV  |
|                                                  VEIN                 |
|                                                                       |
|   80717   FRACTURE SEVEN RIBS-OPEN       90140   INJ PULMONARY VESSEL |
|                                                  NOS                  |
|                                                                       |
|   8                                                                   |
| 0718   FX EIGHT/MORE RIBS-OPEN        90141   INJURY PULMONARY ARTERY |
|                                                                       |
|                                                                       |
|  80719   FX MULT RIBS NOS-OPEN          90142   INJURY PULMONARY VEIN |
|                                                                       |
|   8072    FRACTURE OF STERNUM-CLOS       90181   INJ INTERCOSTAL      |
|                                                  ART/VEIN             |
|                                                                       |
|   8073    FRACTURE OF STERNUM-OPEN       90182   INJ INT MAMMARY      |
|                                                  ART/VEIN             |
|                                                                       |
|   8074    FLAIL CHEST                    90183   INJ MULT THORACIC    |
|                                                  VESSEL               |
|                                                                       |
|   8                                                                   |
| 075    FX LARYNX/TRACHEA-CLOSED       90189   INJ THORACIC VESSEL NEC |
|                                                                       |
|   8                                                                   |
| 076    FX LARYNX/TRACHEA-OPEN         9019    INJ THORACIC VESSEL NOS |
|                                                                       |
|   8090    FRACTURE TRUNK BONE-CLOS       9110    ABRASION TRUNK       |
|                                                                       |
|   8                                                                   |
| 091    FRACTURE TRUNK BONE-OPEN       9111    ABRASION TRUNK-INFECTED |
|                                                                       |
|   8                                                                   |
| 600    TRAUM PNEUMOTHORAX-CLOSE       9118    SUPERFIC INJU TRUNK NEC |
|                                                                       |
|   8601    TRAUM PNEUMOTHORAX-OPEN        9119    SUPERFIC INJU TRUNK  |
|                                                  NEC-INF              |
|                                                                       |
|   8602    TRAUM HEMOTHORAX-CLOSED        9220    CONTUSION OF BREAST  |
|                                                                       |
|   8                                                                   |
| 603    TRAUM HEMOTHORAX-OPEN          9221    CONTUSION OF CHEST WALL |
|                                                                       |
|   8604    TRAUM PNEUMOHEMOTHOR-CL        9223    BACK CONTUSION       |
|                                                                       |
|   8605    TRAUM PNEUMOHEMOTHOR-OPN       92231   BACK CONTUSION       |
|                                                                       |
|   86100   HEART INJURY NOS-CLOSED        92233   INTERSCPLR REG       |
|                                                  CONTUSION            |
|                                                                       |
|   8                                                                   |
| 6101   HEART CONTUSION-CLOSED         9228    MULIPLE CONTUSION TRUNK |
|                                                                       |
|   86102   HEART LACERATION-CLOSED        9229    CONTUSION OF TRUNK   |
|                                                                       |
|   86103   HEART CHAMBER LACERAT-CL       92611   CRUSHING INJURY BACK |
|                                                                       |
|                                                                       |
| 86110   HEART INJURY NOS-OPEN          92619   CRUSHING INJ TRUNK NEC |
|                                                                       |
|   8                                                                   |
| 6111   HEART CONTUSION-OPEN           9268    MULT CRUSHING INJ TRUNK |
|                                                                       |
|                                                                       |
| 86112   HEART LACERATION-OPEN          9269    CRUSHING INJ TRUNK NOS |
|                                                                       |
|   8                                                                   |
| 6113   HEART CHAMBER LACER-OPN        9290    CRUSH INJ MULT SITE NEC |
|                                                                       |
|   86120   LUNG INJURY NOS-CLOSED         9299    CRUSHING INJURY NOS  |
|                                                                       |
|   86121   LUNG CONTUSION-CLOSED          9541    INJ SYMPA NERVE NEC  |
|                                                                       |
|                                                                       |
| 86122   LUNG LACERATION-CLOSED         9548    INJURY TRUNK NERVE NEC |
|                                                                       |
|                                                                       |
| 86130   LUNG INJURY NOS-OPEN           9549    INJURY TRUNK NERVE NOS |
|                                                                       |
|   86131   LUNG CONTUSION-OPEN            95911   INJURY OF CHEST WALL |
|                                                  NEC                  |
|                                                                       |
|                                                                       |
| 86132   LUNG LACERATION-OPEN           95919   TRUNK INJURY-SITES NEC |
|                                                                       |
|   8620    DIAPHRAGM INJURY-CLOSED        9599    INJURY-SITE NOS      |
|   -                                                                   |
| ------ ------------------------------ ------- ----------------------- |
|                                                                       |
| *ICD-9-CM Pleural Effusion diagnosis codes:*                          |
|                                                                       |
|   ------- ----------------------------------------------------------- |
|   0101    TUBERCULOUS PLEURISY IN PRIMARY PROGRESSIVE TUBERCULOSIS    |
|                                                                       |
|   01010   TUBERCULOUS PLEURISY IN PRIMARY PROGRESSIVE TUBERCULOSIS,   |
|           UNSPECIFIED                                                 |
|                                                                       |
|   01011   TPIPPT, BACTERIAL OR HISTOLOGICAL EXAM NOT DONE             |
|                                                                       |
|   01012   TPIPPT, BACTERIAL OR HISTOLOGICAL EXAM UNKNOWN              |
|                                                                       |
|   01013   TPIPPT, TUBERCLE BACILI FOUND BY MICROSCOPY                 |
|                                                                       |
|   01014   TPIPPT, TUBERCLE BACILI NOT FOUND BY MICROSCOPY BUT BY      |
|           BACTERIAL CULTURE                                           |
|                                                                       |
|   01015   TPIPPT, TUBERCLE BACILI NOT FOUND BY BACTERIOLOGICAL BUT    |
|           CONFIRMED HISTOLOGICALLY                                    |
|                                                                       |
|   01016   TPIPPT, TUBERCLE BACILI NOT FOUND BY BACTERILOGICAL OR      |
|           HISTOLOGICAL BUT CONFIRMED OTHER METHODS                    |
|                                                                       |
|   0117    TUBRCULOUS PNEUMOTHORAX                                     |
|                                                                       |
|   01170   TUBRCULOUS PNEUMOTHORAX, UNSPECIFIED                        |
|                                                                       |
|   01171   TPNEU, BACTERIAL OR HISTOLOGICAL EXAM NOT DONE              |
|                                                                       |
|   01172   TPNEU, BACTERIAL OR HISTOLOGICAL EXAM UNKNOWN               |
|                                                                       |
|   01173   TPNEU, TUBERCLE BACILI FOUND BY MICROSCOPY                  |
|                                                                       |
|   01174   TPNEU, TUBERCLE BACILI NOT FOUND BY MICROSCOPY BUT BY       |
|           BACTERIAL CULTURE                                           |
|                                                                       |
|   01175   TPNEU, TUBERCLE BACILI NOT FOUND BY BACTERIOLOGICAL BUT     |
|           CONFIRMED HISTOLOGICALLY                                    |
|                                                                       |
|   01176   TPENU, TUBERCLE BACILI NOT FOUND BY BACTERILOGICAL OR       |
|           HISTOLOGICAL BUT CONFIRMED OTHER METHODS                    |
|                                                                       |
|   0120    TUBERCULOUS PLEURISY                                        |
|                                                                       |
|   01200   TUBERCULOUS PLEURISY, UNSPECIFIED                           |
|                                                                       |
|   01201   TP, BACTERIAL OR HISTOLOGICAL EXAM NOT DONE                 |
|                                                                       |
|   01202   TP, BACTERIAL OR HISTOLOGICAL EXAM UNKNOWN                  |
|                                                                       |
|   01203   TP, TUBERCLE BACILI FOUND BY MICROSCOPY                     |
|                                                                       |
|   01204   TP, TUBERCLE BACILI NOT FOUND BY MICROSCOPY BUT BY          |
|           BACTERIAL CULTURE                                           |
|                                                                       |
|   01205   TP, TUBERCLE BACILI NOT FOUND BY BACTERIOLOGICAL BUT        |
|           CONFIRMED HISTOLOGICALLY                                    |
|                                                                       |
|   01206   TP, TUBERCLE BACILI NOT FOUND BY BACTERILOGICAL OR          |
|           HISTOLOGICAL BUT CONFIRMED OTHER METHODS                    |
|                                                                       |
|   1972    SECOND MALIG NEO PLEURA                                     |
|                                                                       |
|   5111    WITH EFUSION, WITH MENTION OF A BACTERIAL CAUSE OTHER THAN  |
|           TUBERCULOSIS                                                |
|                                                                       |
|   5118    OTHER SPECIFIED FORM OF EFFUSION, EXCEPT TUBERCULOUS        |
|                                                                       |
|   5119    UNSPECIFIED PLEURAL EFFUSION                                |
|   ------- ----------------------------------------------------------- |
|                                                                       |
| *ICD-9-CM Thoracic Surgery procedure codes:*                          |
|                                                                       |
|   ------- -----                                                       |
| ---------- -------------------------- ------------------------------- |
|   3121                    Mediastinal tracheostomy                    |
|                                                                       |
|   3145                    Open biopsy of larynx or                    |
|                           trachea                                     |
|                                                                       |
|   3173                    Closure of other fistula                    |
|                           of trachea                                  |
|                                                                       |
|   3179                    Other repair and plastic                    |
|                           operations on trachea                       |
|                                                                       |
|   3199                    Other operations on                         |
|                           trachea                                     |
|                                                                       |
|   3209                    Other local excision or                     |
|                           destruction of lesion or                    |
|                           tissue of bronchus                          |
|                                                                       |
|   321                     Other excision of bronchus                  |
|                                                                       |
|   3223                    OPEN ABLTN LUNG LES/TISS                    |
|                           OCT06-                                      |
|                                                                       |
|   3224                    PERC ABLTN LUNG LES/TISS                    |
|                           OCT06-                                      |
|                                                                       |
|   3225                    THOR ABLTN LUNG LES/TISS                    |
|                           OCT06-                                      |
|                                                                       |
|   3226                    ABLTN LUNG TISS NEC/NOS                     |
|                           OCT06-                                      |
|                                                                       |
|   3220    THORAC EXC LUNG                                             |
|           LESION                                                      |
|                                                                       |
|   3230    THORAC SEG LUNG                                             |
|           RESECT                                                      |
|                                                                       |
|   3239    OTH SEG LUNG                                                |
|           RESECT NOS                                                  |
|                                                                       |
|   3241    THORAC                                                      |
|           LOBECTOMY LUNG                                              |
|                                                                       |
|   3250    THORACOSPC                                                  |
|           PNEUMONECTOMY                                               |
|                                                                       |
|   3259    OTHER                                                       |
|           PNEUMONECTOMY                                               |
|           NOS                                                         |
|                                                                       |
|   3320    THORACOSCOPC                                                |
|           LUNG BIOPSY                                                 |
|                                                                       |
|   3420    THORACOSCOPIC                                               |
|           PLEURAL BX                                                  |
|                                                                       |
|   3452    THORACOSCOPC                                                |
|           DECORT LUNG                                                 |
|   ------- -----                                                       |
| ---------- -------------------------- ------------------------------- |
|                                                                       |
| Local excision or destruction of lesion or tissue of lung:            |
|                                                                       |
|   ------ -----------------------------------------------------------  |
|   3221   Plication of emphysematious bleb                             |
|                                                                       |
|   3222   Lung volume reduction surgery                                |
|                                                                       |
|   3228   Endoscopic excision or destruction of lesion or tissue of    |
|          lung                                                         |
|                                                                       |
|   3229   Other local excision or destruction of lesion or tissue of   |
|          lung                                                         |
|                                                                       |
|   323    Segmental resection of lung                                  |
|                                                                       |
|   324    Lobectomy of lung                                            |
|                                                                       |
|   325    Complete pneumonectomy                                       |
|                                                                       |
|   326    Radical dissection of thoracic structures                    |
|                                                                       |
|   329    Other excision of lung                                       |
|                                                                       |
|   330    Incision of bronchus                                         |
|                                                                       |
|   331    Incision of lung                                             |
|                                                                       |
|   3325   Open biopsy of bronchus                                      |
|                                                                       |
|   3326   Close \[percutaneous\]\[needle\] biopsy of lung              |
|                                                                       |
|   3327   Closed endoscopic biopsy of lung                             |
|                                                                       |
|   3328   Open biopsy of lung                                          |
|                                                                       |
|   3331   Destruction of phrenic nerve for collapse of lung (no        |
|          longer performed)                                            |
|                                                                       |
|   3332   Artificial pneumothorax for collapse of lung                 |
|                                                                       |
|   3334   Thoracoplasty                                                |
|                                                                       |
|   3339   Other surgical collapse of lung                              |
|   ------ -----------------------------------------------------------  |
|                                                                       |
| Repair and plastic operation on lung and bronchus:                    |
|                                                                       |
| Lung transplant:                                                      |
|                                                                       |
|   ------ -----------------------------------------------------------  |
|   335    Lung transplantation                                         |
|                                                                       |
|   3350   Lung transplantation, NOS                                    |
|                                                                       |
|   3351   Unilateral lung transplantation                              |
|                                                                       |
|   3352   Bilateral lung transplantation                               |
|                                                                       |
|   336    Combined heart-lung transplantation                          |
|                                                                       |
|   3392   Ligation of bronchus                                         |
|                                                                       |
|   3393   Puncture of lung                                             |
|                                                                       |
|   3398   Other operations on bronchus                                 |
|                                                                       |
|   3399   Other operations on lung                                     |
|                                                                       |
|   3329   Other diagnostic procedure on lung and bronchus              |
|                                                                       |
|   3333   Pneumoperitoneum for collapse of lung                        |
|                                                                       |
|   3401   Incision of chest wall                                       |
|                                                                       |
|   3402   Exploratory thoracotomy                                      |
|                                                                       |
|   3403   Reopening of recent thoracotomy site                         |
|                                                                       |
|   3405   Creation of pleuroperitoneal shunt                           |
|                                                                       |
|   3409   Other incision of pleura                                     |
|                                                                       |
|   341    Incision of mediastinum                                      |
|   ------ -----------------------------------------------------------  |
|                                                                       |
| Diagnostic procedures on chest wall, pleura, mediastinum, and         |
| diaphragm:                                                            |
|                                                                       |
| 3421 Transpleural thoracosocopy                                       |
|                                                                       |
| 3422 Mediastinoscopy                                                  |
|                                                                       |
| 3423 Biopsy of chest wall                                             |
|                                                                       |
| 3424 Pleural biopsy                                                   |
|                                                                       |
| 3425 Closed \[percutaneous\]\[needle\] biopsy of mediastinum          |
|                                                                       |
| 3426 Open biopsy of mediastinum                                       |
|                                                                       |
| 3427 Biopsy of diaphragm                                              |
|                                                                       |
| 3428 Other diagnostic procedures on chest wall, pleura, and diaphragm |
|                                                                       |
| 3429 Other diagnostic procedures on mediastinum                       |
|                                                                       |
| 343 Excision or destruction of lesion or tissue of mediastinum        |
|                                                                       |
| 344 Excision or destruction of lesion of chest wall                   |
|                                                                       |
| 3451 Decortication of lung                                            |
|                                                                       |
| 3459 Other excision of pleura                                         |
|                                                                       |
| Repair of chest wall:                                                 |
|                                                                       |
| 3471 Suture of laceration of chest wall                               |
|                                                                       |
| 3472 Closure of thoracostomy                                          |
|                                                                       |
| 3473 Closure of other fistula of thorax                               |
|                                                                       |
| 3474 Repair of pectus deformity                                       |
|                                                                       |
| 3479 Other repair of chest wall                                       |
|                                                                       |
| Operations on diaphragm:                                              |
|                                                                       |
| 3481 Excision of lesion or tissue of diaphragm                        |
|                                                                       |
| 3482 Suture of laceration of diaphragm                                |
|                                                                       |
| 3483 Closure of fistula of diaphragm                                  |
|                                                                       |
| 3484 Other repair of diaphragm                                        |
|                                                                       |
| 3485 Implantation of diaphragmatic pacemaker                          |
|                                                                       |
| 3489 Other operations on diaphragm                                    |
|                                                                       |
| 3493 Repair of pleura                                                 |
|                                                                       |
| 3499 Other operations on thorax, other                                |
|                                                                       |
| 537 ABD REPAIR-DIAPHR HERNIA                                          |
|                                                                       |
| 5380 THOR REP-DIAPH HERN NOS                                          |
|                                                                       |
| 5381 DIAPHRAGMATIC PLICATION                                          |
|                                                                       |
| 5382 PARASTERN HERNIA REPAIR                                          |
|                                                                       |
| Operations on thoracic duct:                                          |
|                                                                       |
| 4061 Cannulation of thoracic duct                                     |
|                                                                       |
| 4062 Fistulization of thoracic duct                                   |
|                                                                       |
| 4063 Closure of fistula of thoracic duct                              |
|                                                                       |
| 4064 Ligation of thoracic duct                                        |
|                                                                       |
| 4069 Other operations on thoracic duct                                |
|                                                                       |
| Esophagotomy:                                                         |
|                                                                       |
| 4201 Incision of esophageal web                                       |
|                                                                       |
| 4209 Other incision of esophagus                                      |
|                                                                       |
| 4210 Esophagostomy, NOS                                               |
|                                                                       |
| 4211 Cervical esophagostomy                                           |
|                                                                       |
| 4212 Exteriorization of esophageal pouch                              |
|                                                                       |
| 4219 Other external fistulization of esophagus                        |
|                                                                       |
| 4221 Operative esophagoscopy by incision                              |
|                                                                       |
| 4225 Open biopsy of esophagus                                         |
|                                                                       |
| 4231 Local excision of esophageal diverticulum                        |
|                                                                       |
| 4232 Local excision of other lesion or tissue of esophagus            |
|                                                                       |
| 4239 Other destruction of lesion or tissue of esophagus               |
|                                                                       |
| Excision of esophagus:                                                |
|                                                                       |
| 4240 Esophagectomy, NOS                                               |
|                                                                       |
| 4241 Partial esophagectomy                                            |
|                                                                       |
| 4242 Total esophagectomy                                              |
|                                                                       |
| Intrathoracic anastomosis of exophagus                                |
|                                                                       |
| 4251 Intrathoracic esophagoesophagostomy                              |
|                                                                       |
| 4252 Intrathoracic esophagogastrostomy                                |
|                                                                       |
| 4253 Intrathoracic esophageal anastomosis W/ interposition of small   |
| bowel                                                                 |
|                                                                       |
| 4254 Other intrathoracic esophagoenterostomy                          |
|                                                                       |
| 4255 Intrathoracic esophageal anastomosis W/ interposition of colon   |
|                                                                       |
| 4256 Other intrathoracic esophagocolostomy                            |
|                                                                       |
| 4258 Intrathoracic esophageal anastomosis W/ other interposition      |
|                                                                       |
| 4259 Other intrathoracic anastomosis of esophagus                     |
|                                                                       |
| Antesternal anastomosis                                               |
|                                                                       |
| 4261 Antesternal esophagoesophagostomy                                |
|                                                                       |
| 4262 Antesternal esophagogastrostomy                                  |
|                                                                       |
| 4263 Antesternal esophageal anastomosis W/ interposition of small     |
| bowel                                                                 |
|                                                                       |
| 4264 Other antesternal esophagoenterostomy                            |
|                                                                       |
| 4265 Antesternal esophageal anastomosis W/ interposition of colon     |
|                                                                       |
| 4266 Other antesternal esophagocolostomy                              |
|                                                                       |
| 4268 Other antesternal esophageal anastomosis W/ interposition        |
|                                                                       |
| 4269 Other antesternal anastomosis of esophagus                       |
|                                                                       |
| 427 Esophagomyotomy                                                   |
|                                                                       |
| Other repair of esophagus                                             |
|                                                                       |
| 4281 Insertion of permanent tube into esophagus                       |
|                                                                       |
| 4282 Suture of laceration of esophagus                                |
|                                                                       |
| 4283 Closure of esophagostomy                                         |
|                                                                       |
| 4284 Repair of esophageal fistula, NEC                                |
|                                                                       |
| 4285 Repair of esophageal stricture                                   |
|                                                                       |
| 4286 Production of subcutaneous tunnel W/O esophageal anastomosis     |
|                                                                       |
| 4287 Other graft of esophagus                                         |
|                                                                       |
| 4289 Other repair of esophagus                                        |
|                                                                       |
| 4465 Esophagogastroplasty                                             |
|                                                                       |
| 4466 Other procedures for creation of esophagogastric sphincteric     |
| competence                                                            |
|                                                                       |
| 8104 Dorsal and dorso-lumbar fusion, anterior technique               |
|                                                                       |
| 8134 Refusion of dorsal and dorsolumbar spine, anterior technique     |
|                                                                       |
| *ICD-9-CM Lung or Pleural Biopsy procedure codes:*                    |
|                                                                       |
| 3326 Closed \[percutaneous\] \[needle\] biopsy of lung                |
|                                                                       |
| 3328 Open biopsy of lung                                              |
|                                                                       |
| 3424 Pleural biopsy                                                   |
|                                                                       |
| *Cardiac Surgery DRGs:*                                               |
|                                                                       |
| 103 Heart transplant                                                  |
|                                                                       |
| 104 Cardiac valve and other major cardiothoracic procedures W/        |
| cardiac catheterization                                               |
|                                                                       |
| 105 Cardiac valve and other major cardiothoracic procedures W/O       |
| cardiac catheterization                                               |
|                                                                       |
| 106 Coronary bypass W/ PTCA                                           |
|                                                                       |
| 107 Coronary bypass W/ cardiac catheterization                        |
|                                                                       |
| 108 Other cardiothoracic procedures                                   |
|                                                                       |
| 109 Coronary bypass W/O cardiac catheterization                       |
|                                                                       |
| 110 Major cardiovascular procedures W/ CC                             |
|                                                                       |
| 111 Major cardiovascular procedures W/O CC                            |
|                                                                       |
| 525 Heart assist system implant (Oct 02)                              |
|                                                                       |
| 547 CORONARY BYPASS W CARDIAC CATH W MAJOR CV DX OCT05-               |
|                                                                       |
| 548 CORONARY BYPASS W CARDIAC CATH W/O MAJOR CV DX OCT05-             |
|                                                                       |
| 549 CORONARY BYPASS W/O CARDIAC CATH W MAJOR CV DX OCT05-             |
|                                                                       |
| 550 CORONARY BYPASS W/O CARDIAC CATH W/O MAJOR CV DX OCT05-           |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ### Pediatric Heart Surgery Mortality (PDI 6)                         |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| Number of deaths (DISP=20) among cases meeting the inclusion and      |
| exclusion rules for the denominator with a code of pediatric heart    |
| surgery in any procedure field with ICD-9-CM diagnosis of congenital  |
| heart disease in any field.                                           |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| > Discharges under age 18 with ICD-9-CM procedure codes for           |
| > congenital heart disease (1P) in any field or non-specific heart    |
| > surgery (2P) in any field with ICD-9-CM diagnosis of congenital     |
| > heart disease (2D) in any field.                                    |
|                                                                       |
| Congenital heart disease procedures (1P)                              |
|                                                                       |
|                                                                       |
| ------ ------------------------- ------ ----------------------------- |
|   3500   CLOSED VALVOTOMY NOS      3552   PROS REPAIR ATRIA DEF-CL    |
|                                                                       |
|   3501   CLOSED AORTIC VALVOTOMY   3553   PROST REPAIR VENTRIC DEF    |
|                                                                       |
|   3502   CLOSED MITRAL VALVOTOMY   3554   PROS REP ENDOCAR CUSHION    |
|                                                                       |
|   3503   CLOSED PULMON VALVOTOMY   3560   GRFT REPAIR HRT SEPT NOS    |
|                                                                       |
|   3504   CLOSED TRICUSP VALVOTOMY  3561   GRAFT REPAIR ATRIAL DEF     |
|                                                                       |
|   3510   OPEN VALVULOPLASTY NOS    3562   GRAFT REPAIR VENTRIC DEF    |
|                                                                       |
|   3511   OPN AORTIC VALVULOPLASTY  3563   GRFT REP ENDOCAR CUSHION    |
|                                                                       |
|   3512   OPN MITRAL VALVULOPLASTY  3570   HEART SEPTA REPAIR NOS      |
|                                                                       |
|   3513   OPN PULMON VALVULOPLASTY  3571   ATRIA SEPTA DEF REP NEC     |
|                                                                       |
|   3514   OPN TRICUS VALVULOPLASTY  3572   VENTR SEPTA DEF REP NEC     |
|                                                                       |
|   3520   REPLACE HEART VALVE NOS   3573   ENDOCAR CUSHION REP NEC     |
|                                                                       |
|   3521   REPLACE AORT VALV-TISSUE  3581   TOT REPAIR TETRAL FALLOT    |
|                                                                       |
|   3522   REPLACE AORTIC VALVE NEC  3582   TOTAL REPAIR OF TAPVC       |
|                                                                       |
|   3523   REPLACE MITR VALV-TISSUE  3583   TOT REP TRUNCUS ARTERIOS    |
|                                                                       |
|   3524   REPLACE MITRAL VALVE NEC  3584   TOT COR TRANSPOS GRT VES    |
|                                                                       |
|   3525   REPLACE PULM VALV-TISSUE  3591   INTERAT VEN RETRN TRANSP    |
|                                                                       |
|   3526   REPLACE PULMON VALVE NEC  3592   CONDUIT RT VENT-PUL ART     |
|                                                                       |
|   3527   REPLACE TRIC VALV-TISSUE  3593   CONDUIT LEFT VENTR-AORTA    |
|                                                                       |
|   3528   REPLACE TRICUSP VALV NEC  3594   CONDUIT ARTIUM-PULM ART     |
|                                                                       |
|   3531   PAPILLARY MUSCLE OPS      3595   HEART REPAIR REVISION       |
|                                                                       |
|   3532   CHORDAE TENDINEAE OPS     3598   OTHER HEART SEPTA OPS       |
|                                                                       |
|   3533   ANNULOPLASTY              3599   OTHER OP ON HRT VALVES      |
|                                                                       |
|                                                                       |
| 3534   INFUNDIBULECTOMY          3699   OTHER OPERATIONS ON VESSEL OF |
|                                           HEART                       |
|                                                                       |
|   3535   TRABECUL CARNEAE CORD OP  3733   EXCISION OR DESTRUCTION OF  |
|                                           OTHER LESION OR TISSUE OF   |
|                                           HEART                       |
|                                                                       |
|   3539   TISS ADJ TO VALV OPS NEC  375    HEART TRANSPLANTATION       |
|                                           (invalid as of OCT03)       |
|                                                                       |
|                                                                       |
|  3541   ENLARGE EXISTING SEP DEF  3751   HEART TRANSPLANTATION OCT03- |
|                                                                       |
|   3542   CREATE SEPTAL DEFECT      3752   IMPLANT TOT REP HRT SYS     |
|                                           OCT03-                      |
|                                                                       |
|   3550   PROSTH REP HRT SEPTA NOS  390    SYSTEMIC-PULM ART SHUNT     |
|                                                                       |
|   3551   PROS REP ATRIAL DEF-OPN   3921   CAVAL-PULMON ART ANASTOM    |
|                                                                       |
|                                                                       |
|                                                                       |
| ------ ------------------------- ------ ----------------------------- |
|                                                                       |
| Congenital heart disease diagnoses (2D)                               |
|                                                                       |
|   -                                                                   |
| ------ --------------------------- ------- -------------------------- |
|   7450    COMMON TRUNCUS              7465    CONGEN MITRAL STENOSIS  |
|                                                                       |
|                                                                       |
|  74510   COMPL TRANSPOS GREAT VES    7466    CONG MITRAL INSUFFICIENC |
|                                                                       |
|                                                                       |
|  74511   DOUBLE OUTLET RT VENTRIC    7467    HYPOPLAS LEFT HEART SYND |
|                                                                       |
|   74512   CORRECT TRANSPOS GRT VES    74681   CONG SUBAORTIC STENOSIS |
|                                                                       |
|   74519   TRANSPOS GREAT VESS NEC     74682   COR TRIATRIATUM         |
|                                                                       |
|                                                                       |
|  7452    TETRALOGY OF FALLOT         74683   INFUNDIB PULMON STENOSIS |
|                                                                       |
|   7453    COMMON VENTRICLE            74684   OBSTRUCT HEART ANOM NEC |
|                                                                       |
|   7454    VENTRICULAR SEPT DEFECT     74685   CORONARY ARTERY ANOMALY |
|                                                                       |
|   7455    SECUNDUM ATRIAL SEPT DEF    74687   MALPOSITION OF HEART    |
|                                                                       |
|   74560   ENDOCARD CUSHION DEF NOS    74689   CONG HEART ANOMALY NEC  |
|                                                                       |
|   74561   OSTIUM PRIMUM DEFECT        7469    CONG HEART ANOMALY NOS  |
|                                                                       |
|                                                                       |
|  74569   ENDOCARD CUSHION DEF NEC    7470    PATENT DUCTUS ARTERIOSUS |
|                                                                       |
|   7457    COR BILOCULARE              74710   COARCTATION OF AORTA    |
|                                                                       |
|                                                                       |
|  7458    SEPTAL CLOSURE ANOM NEC     74711   INTERRUPT OF AORTIC ARCH |
|                                                                       |
|   7459    SEPTAL CLOSURE ANOM NOS     74720   CONG ANOM OF AORTA NOS  |
|                                                                       |
|                                                                       |
|  74600   PULMONARY VALVE ANOM NOS    74721   ANOMALIES OF AORTIC ARCH |
|                                                                       |
|   74601   CONG PULMON VALV ATRESIA    74722   AORTIC ATRESIA/STENOSIS |
|                                                                       |
|   74602   CONG PULMON VALVE STENOS    74729   CONG ANOM OF AORTA NEC  |
|                                                                       |
|   74609   PULMONARY VALVE ANOM NEC    7473    PULMONARY ARTERY ANOM   |
|                                                                       |
|   7461    CONG TRICUSP ATRES/STEN     74740   GREAT VEIN ANOMALY NOS  |
|                                                                       |
|                                                                       |
|  7462    EBSTEIN'S ANOMALY           74741   TOT ANOM PULM VEN CONNEC |
|                                                                       |
|   7463    CONG AORTA VALV STENOSIS    74742   PART ANOM PULM VEN CONN |
|                                                                       |
|   7464    CONG AORTA VALV INSUFFIC    74749   GREAT VEIN ANOMALY NEC  |
|                                                                       |
|                                                                       |
|   -                                                                   |
| ------ --------------------------- ------- -------------------------- |
|                                                                       |
| Non-specific cardiac procedures (2P)                                  |
|                                                                       |
|                                                                       |
| ------ -------------------------- ------ ---------------------------- |
|   3834   RESECTION OF ABDOMINAL     3885   OCCLUDE THORACIC VES NEC   |
|          AORTA WITH ANASTOMOSIS                                       |
|                                                                       |
|   3835   THOR VESSEL RESECT/ANAST   3949   OTHER REVISION OF VASCULAR |
|                                            PROCEDURE                  |
|                                                                       |
|                                                                       |
|  3844   RESECTION OF ABDOMINAL     3956   REPAIR OF BLOOD VESSEL WITH |
|          AORTA WITH REPLACEMENT            TISSUE PATCH GRAFT         |
|                                                                       |
|                                                                       |
|  3845   RESECT THORAC VES W REPL   3957   REPAIR OF BLOOD VESSEL WITH |
|                                            SYNTHETIC PATCH GRAFT      |
|                                                                       |
|                                                                       |
|  3864   OTHER EXCISION OF          3958   REPAIR OF BLOOD VESSEL WITH |
|          ABDOMINAL AORTA                   UNSPECIFIED TYPE OF PATCH  |
|                                            GRAFT                      |
|                                                                       |
|   3865   OTHER EXCISION OF THORACIC 3959   REPAIR OF VESSEL NEC       |
|          VESSEL                                                       |
|                                                                       |
|   3884   OTHER SURGICAL OCCLUSION                                     |
|          OF ABDOMINAL AORTA                                           |
|                                                                       |
| ------ -------------------------- ------ ---------------------------- |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth and pueperium)                      |
|                                                                       |
| -   with transcatheter interventions (either 3AP, 3BP, 3CP, 3DP, 3EP  |
|     with 3D, or 3FP) as single cardiac procedures, performed without  |
|     bypass (5P) but with catheterization (6P);                        |
|                                                                       |
| -   with septal defects (4P) as single cardiac procedures without     |
|     bypass (5P)                                                       |
|                                                                       |
| -   heart transplant (7P)                                             |
|                                                                       |
| -   premature infants (4D) with PDA closure (3D and 3EP) as only      |
|     cardiac procedure;                                                |
|                                                                       |
| -   age less than or equal to 30 days with PDA closure as only        |
|     cardiac procedure                                                 |
|                                                                       |
| -   missing discharge disposition (DISP=missing)                      |
|                                                                       |
| -   transferring to another short-term hospital (DISP=2)              |
|                                                                       |
| -   neonates with birth weight less than 500 grams                    |
|                                                                       |
| Transcatheter interventions procedure codes:                          |
|                                                                       |
| Closed heart valvotomy (3AP)                                          |
|                                                                       |
|   ------ --                                                           |
| ----------- --------------------------------------------------- ----- |
|   3500                                                                |
|    CLOSED HEART                                                       |
|                                                                       |
|    VALVOTOMY,                                                         |
|                                                                       |
|    UNSPECIFIED                                                        |
|                                                                       |
|    VALUE                                                              |
|                                                                       |
|   3501                                                                |
|    CLOSED HEART                                                       |
|                                                                       |
|    VALVOTOMY,                                                         |
|                                                                       |
|    AORTIC VALUE                                                       |
|                                                                       |
|   3502                                                                |
|    CLOSED HEART                                                       |
|                                                                       |
|    VALVOTOMY,                                                         |
|                                                                       |
|    MITRAL VALUE                                                       |
|                                                                       |
|   3503                                                                |
|    CLOSED HEART                                                       |
|                                                                       |
|    VALVOTOMY,                                                         |
|                                                                       |
|    PULMONARY                                                          |
|                                                                       |
|    VALUE                                                              |
|                                                                       |
|   3504                                                                |
|    CLOSED HEART                                                       |
|                                                                       |
|    VALVOTOMY,                                                         |
|                                                                       |
|    TRICUSPID                                                          |
|                                                                       |
|    VALUE                                                              |
|                                                                       |
|                                                                       |
|                                                                       |
|   ------ --                                                           |
| ----------- --------------------------------------------------- ----- |
|                                                                       |
| Atrial septal enlargement (3BP)                                       |
|                                                                       |
|   ------ ------------------------------------------------------------ |
|   3541   ENLARGEMENT OF EXISTING ATRIAL SEPTAL DEFECT                 |
|                                                                       |
|   3542   CREATION OF SEPTAL DEFECT IN HEART                           |
|   ------ ------------------------------------------------------------ |
|                                                                       |
| Atrial septal defect repair (3CP)                                     |
|                                                                       |
|   ------ ----                                                         |
| --------- ------------------------------- --------------------------- |
|   3551   REPAIR OF                                                    |
|          ATIAL SEPTAL                                                 |
|          DEFECT WITH                                                  |
|          PROSTHESIS,                                                  |
|          OPEN                                                         |
|          TECHNIQUE                                                    |
|                                                                       |
|   3571   OTHER AND                                                    |
|          UNSPECIFIED                                                  |
|          REPAIR OF                                                    |
|          ATRIAL SEPTAL                                                |
|          DEFECT                                                       |
|                                                                       |
|                                                                       |
|   ------ ----                                                         |
| --------- ------------------------------- --------------------------- |
|                                                                       |
| Ventricular septal defect repair (3DP)                                |
|                                                                       |
|   ------ ----                                                         |
| --------- ------------------------------- --------------------------- |
|   3553   REPAIR OF                                                    |
|          VENTRICULAR                                                  |
|          SEPTAL DEFECT                                                |
|          WITH                                                         |
|          PROSTHESIS                                                   |
|                                                                       |
|   3572   OTHER AND                                                    |
|          UNSPECIFIED                                                  |
|          REPAIR OF                                                    |
|          VENTRICULAR                                                  |
|          SEPTAL DEFECT                                                |
|                                                                       |
|                                                                       |
|   ------ ----                                                         |
| --------- ------------------------------- --------------------------- |
|                                                                       |
| Occlusion of thoracic vessel (3EP)                                    |
|                                                                       |
|   ------ ------------------------------------------------------------ |
|   3885   OCCLUDE THORACIC VES NEC                                     |
|                                                                       |
|   ------ ------------------------------------------------------------ |
|                                                                       |
| PDA closure diagnosis code (3D)                                       |
|                                                                       |
|                                                                       |
|  ------ --------------------------- ----- --------------------------- |
|   7470   PATENT DUCTUS ARTERIOSUS                                     |
|                                                                       |
|                                                                       |
|  ------ --------------------------- ----- --------------------------- |
|                                                                       |
| Other surgical occlusion (3FP)                                        |
|                                                                       |
|                                                                       |
| ------ ---------------------- ----------------- --------------------- |
|   3884   OTHER SURGICAL                                               |
|          OCCLUSION OF AORTA,                                          |
|          ABDOMINAL                                                    |
|                                                                       |
|   3885   OTHER SURGICAL                                               |
|          OCCLUSION OF THORACIC                                        |
|          VESSEL                                                       |
|                                                                       |
|   3959   OTHER REPAIR OF VESSEL                                       |
|                                                                       |
| ------ ---------------------- ----------------- --------------------- |
|                                                                       |
| Atrial septal defect repair and enlargement (4P)                      |
|                                                                       |
|   ------ ------------------------------------------------------------ |
|   3541   ENLARGE EXISTING SEP DEF                                     |
|                                                                       |
|   3552   PROS REPAIR ATRIA DEF-CL                                     |
|   ------ ------------------------------------------------------------ |
|                                                                       |
| Extracorporeal circulation (5P)                                       |
|                                                                       |
|                                                                       |
|  ------ ------------------------------------------------------------- |
|   3961   EXTRACORPOREAL CIRCULAT                                      |
|                                                                       |
|                                                                       |
|  ------ ------------------------------------------------------------- |
|                                                                       |
| Catheterization (6P)                                                  |
|                                                                       |
|                                                                       |
|  ------ --------------------------- ------ -------------------------- |
|                                                                       |
|  3721   RT HEART CARDIAC CATH       8852   ANGIOCARDIOGRAPHY OF RIGHT |
|                                             HEART STRUCTURES          |
|                                                                       |
|   3722   LEFT HEART CARDIAC CATH     8853   ANGIOCARDIOGRAPHY OF LEFT |
|                                             HEART STRUCTURES          |
|                                                                       |
|   3723   RT/LEFT HEART CARD CATH     8854   COMBINED RIGHT AND LEFT   |
|                                             HEART ANGIOCARDIOGRAPHY   |
|                                                                       |
|   8842   CONTRAST AORTOGRAM          8855   CORONARY ARTERIOGRAPHY    |
|                                             USING A SINGLE CATHETER   |
|                                                                       |
|   8843   CONTR PULMON ARTERIOGRAM    8856   CORONARY ARTERIOGRAPHY    |
|                                             USING TWO CATHETERS       |
|                                                                       |
|   8844   ARTERIOGRAPHY OF OTHER      8857   OTHER AND UNSPECIFIED     |
|          INTRATHORACIC VESSELS              CORONARY ARTERIOGRAPHY    |
|                                                                       |
|   8850   ANGIOCARDIOGRAPHY, NOT      8858   NEGATIVE-CONTRAST CARDIAC |
|          OTHERWISE SPECIFIED                ROENTGENOGRAPHY           |
|                                                                       |
|   8851   ANGIOCARDIOGRAPHY OF VENAE                                   |
|          CAVAE                                                        |
|                                                                       |
|                                                                       |
|                                                                       |
|  ------ --------------------------- ------ -------------------------- |
|                                                                       |
| Heart Transplant (7P)                                                 |
|                                                                       |
|   ------ ------------------------------------------------------------ |
|   375    HEART TRANSPLANTATION (invalid as of OCT03)                  |
|                                                                       |
|   3751   HEART TRANSPLANTATION OCT03-                                 |
|                                                                       |
|   3752   IMPLANT TOT REP HRT SYS OCT03-                               |
|   ------ ------------------------------------------------------------ |
|                                                                       |
| Premature infants (4D)                                                |
|                                                                       |
|   ----                                                                |
| --- -- --------------------------- ------- ----------------------- -- |
|   76                                                                  |
| 500      EXTREME IMMATUR WTNOS       76510   PRETERM INFANT NEC       |
|                                                                       |
|                                              WTNOS                    |
|                                                                       |
|   76                                                                  |
| 501      EXTREME IMMATUR \<500G      76511   PRETERM NEC \<500G       |
|                                                                       |
|   76                                                                  |
| 502      EXTREME IMMATUR 500-749G    76512   PRETERM NEC 500-749G     |
|                                                                       |
|   76                                                                  |
| 503      EXTREME IMMATUR 750-999G    76513   PRETERM NEC 750-999G     |
|                                                                       |
|   76                                                                  |
| 504      EXTREME IMMAT 1000-1249G    76514   PRETERM NEC 1000-1249G   |
|                                                                       |
|   76                                                                  |
| 505      EXTREME IMMAT 1250-1499G    76515   PRETERM NEC 1250-1499G   |
|                                                                       |
|   76                                                                  |
| 506      EXTREME IMMAT 1500-1749G    76516   PRETERM NEC 1500-1749G   |
|                                                                       |
|   76                                                                  |
| 507      EXTREME IMMAT 1750-1999G    76517   PRETERM NEC 1750-1999G   |
|                                                                       |
|   76                                                                  |
| 508      EXTREME IMMAT 2000-2499G    76518   PRETERM NEC 2000-2499G   |
|                                                                       |
|   76                                                                  |
| 509      EXTREME IMMAT 2500+G        76519   PRETERM NEC 2500+G       |
|                                                                       |
|                                                                       |
|                                                                       |
|   ----                                                                |
| --- -- --------------------------- ------- ----------------------- -- |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ### Pediatric Heart Surgery Volume (PDI 7)                            |
+=======================================================================+
| Numerator:                                                            |
|                                                                       |
| > Discharges under age 18 with ICD-9-CM procedure codes for either    |
| > congenital heart disease (1P) in any field **or** non-specific      |
| > heart surgery (2P) in any field with ICD-9-CM diagnosis of          |
| > congenital heart disease (2D) in any field.                         |
|                                                                       |
| Congenital heart disease procedures (1P)                              |
|                                                                       |
|   -                                                                   |
| ----- ---------------------------- ------ --------------------------- |
|   3500   CLOSED VALVOTOMY NOS         3552   PROS REPAIR ATRIA DEF-CL |
|                                                                       |
|   3501   CLOSED AORTIC VALVOTOMY      3553   PROST REPAIR VENTRIC DEF |
|                                                                       |
|   3502   CLOSED MITRAL VALVOTOMY      3554   PROS REP ENDOCAR CUSHION |
|                                                                       |
|   3503   CLOSED PULMON VALVOTOMY      3560   GRFT REPAIR HRT SEPT NOS |
|                                                                       |
|   3504   CLOSED TRICUSP VALVOTOMY     3561   GRAFT REPAIR ATRIAL DEF  |
|                                                                       |
|   3510   OPEN VALVULOPLASTY NOS       3562   GRAFT REPAIR VENTRIC DEF |
|                                                                       |
|   3511   OPN AORTIC VALVULOPLASTY     3563   GRFT REP ENDOCAR CUSHION |
|                                                                       |
|   3512   OPN MITRAL VALVULOPLASTY     3570   HEART SEPTA REPAIR NOS   |
|                                                                       |
|   3513   OPN PULMON VALVULOPLASTY     3571   ATRIA SEPTA DEF REP NEC  |
|                                                                       |
|   3514   OPN TRICUS VALVULOPLASTY     3572   VENTR SEPTA DEF REP NEC  |
|                                                                       |
|   3520   REPLACE HEART VALVE NOS      3573   ENDOCAR CUSHION REP NEC  |
|                                                                       |
|   3521   REPLACE AORT VALV-TISSUE     3581   TOT REPAIR TETRAL FALLOT |
|                                                                       |
|   3522   REPLACE AORTIC VALVE NEC     3582   TOTAL REPAIR OF TAPVC    |
|                                                                       |
|   3523   REPLACE MITR VALV-TISSUE     3583   TOT REP TRUNCUS ARTERIOS |
|                                                                       |
|   3524   REPLACE MITRAL VALVE NEC     3584   TOT COR TRANSPOS GRT VES |
|                                                                       |
|   3525   REPLACE PULM VALV-TISSUE     3591   INTERAT VEN RETRN TRANSP |
|                                                                       |
|   3526   REPLACE PULMON VALVE NEC     3592   CONDUIT RT VENT-PUL ART  |
|                                                                       |
|   3527   REPLACE TRIC VALV-TISSUE     3593   CONDUIT LEFT VENTR-AORTA |
|                                                                       |
|   3528   REPLACE TRICUSP VALV NEC     3594   CONDUIT ARTIUM-PULM ART  |
|                                                                       |
|   3531   PAPILLARY MUSCLE OPS         3595   HEART REPAIR REVISION    |
|                                                                       |
|   3532   CHORDAE TENDINEAE OPS        3598   OTHER HEART SEPTA OPS    |
|                                                                       |
|   3533   ANNULOPLASTY                 3599   OTHER OP ON HRT VALVES   |
|                                                                       |
|                                                                       |
| 3534   INFUNDIBULECTOMY             3699   OTHER OPERATIONS ON VESSEL |
|                                              OF HEART                 |
|                                                                       |
|                                                                       |
| 3535   TRABECUL CARNEAE CORD OP     3733   EXCISION OR DESTRUCTION OF |
|                                                                       |
|                                             OTHER LESION OR TISSUE OF |
|                                              HEART                    |
|                                                                       |
|   3539   TISS ADJ TO VALV OPS NEC     375    HEART TRANSPLANTATION    |
|                                              (invalid as of OCT 03)   |
|                                                                       |
|   3541   ENLARGE EXISTING SEP DEF     3751   HEART TRANSPLANTATION    |
|                                              OCT03-                   |
|                                                                       |
|   3542   CREATE SEPTAL DEFECT         3752   IMPLANT TOT REP HRT SYS  |
|                                              OCT03-                   |
|                                                                       |
|   3550   PROSTH REP HRT SEPTA NOS     390    SYSTEMIC-PULM ART SHUNT  |
|                                                                       |
|   3551   PROS REP ATRIAL DEF-OPN      3921   CAVAL-PULMON ART ANASTOM |
|                                                                       |
|                                                                       |
|   -                                                                   |
| ----- ---------------------------- ------ --------------------------- |
|                                                                       |
| Non-specific cardiac procedures (2P)                                  |
|                                                                       |
|                                                                       |
|  ------ -------------------------- ------ --------------------------- |
|   3834   RESECTION OF ABDOMINAL     3885   OCCLUDE THORACIC VES NEC   |
|          AORTA WITH ANASTOMOSIS                                       |
|                                                                       |
|   3835   THOR VESSEL RESECT/ANAST   3949   OTHER REVISION OF VASCULAR |
|                                            PROCEDURE                  |
|                                                                       |
|                                                                       |
|  3844   RESECTION OF ABDOMINAL     3956   REPAIR OF BLOOD VESSEL WITH |
|          AORTA WITH REPLACEMENT            TISSUE PATCH GRAFT         |
|                                                                       |
|                                                                       |
|  3845   RESECT THORAC VES W REPL   3957   REPAIR OF BLOOD VESSEL WITH |
|                                            SYNTHETIC PATCH GRAFT      |
|                                                                       |
|                                                                       |
|  3864   OTHER EXCISION OF          3958   REPAIR OF BLOOD VESSEL WITH |
|          ABDOMINAL AORTA                   UNSPECIFIED TYPE OF PATCH  |
|                                            GRAFT                      |
|                                                                       |
|   3865   OTHER EXCISION OF THORACIC 3959   REPAIR OF VESSEL NEC       |
|          VESSEL                                                       |
|                                                                       |
|   3884   OTHER SURGICAL OCCLUSION                                     |
|          OF ABDOMINAL AORTA                                           |
|                                                                       |
|  ------ -------------------------- ------ --------------------------- |
|                                                                       |
| Congenital heart disease diagnoses (2D)                               |
|                                                                       |
|   -                                                                   |
| ------ ------------------------- ------- ---------------------------- |
|   7450    COMMON TRUNCUS            7465    CONGEN MITRAL STENOSIS    |
|                                                                       |
|   74510   COMPL TRANSPOS GREAT VES  7466    CONG MITRAL INSUFFICIENC  |
|                                                                       |
|   74511   DOUBLE OUTLET RT VENTRIC  7467    HYPOPLAS LEFT HEART SYND  |
|                                                                       |
|   74512   CORRECT TRANSPOS GRT VES  74681   CONG SUBAORTIC STENOSIS   |
|                                                                       |
|   74519   TRANSPOS GREAT VESS NEC   74682   COR TRIATRIATUM           |
|                                                                       |
|   7452    TETRALOGY OF FALLOT       74683   INFUNDIB PULMON STENOSIS  |
|                                                                       |
|   7453    COMMON VENTRICLE          74684   OBSTRUCT HEART ANOM NEC   |
|                                                                       |
|   7454    VENTRICULAR SEPT DEFECT   74685   CORONARY ARTERY ANOMALY   |
|                                                                       |
|   7455    SECUNDUM ATRIAL SEPT DEF  74687   MALPOSITION OF HEART      |
|                                                                       |
|   74560   ENDOCARD CUSHION DEF NOS  74689   CONG HEART ANOMALY NEC    |
|                                                                       |
|   74561   OSTIUM PRIMUM DEFECT      7469    CONG HEART ANOMALY NOS    |
|                                                                       |
|   74569   ENDOCARD CUSHION DEF NEC  7470    PATENT DUCTUS ARTERIOSUS  |
|                                                                       |
|   7457    COR BILOCULARE            74710   COARCTATION OF AORTA      |
|                                                                       |
|   7458    SEPTAL CLOSURE ANOM NEC   74711   INTERRUPT OF AORTIC ARCH  |
|                                                                       |
|   7459    SEPTAL CLOSURE ANOM NOS   74720   CONG ANOM OF AORTA NOS    |
|                                                                       |
|   74600   PULMONARY VALVE ANOM NOS  74721   ANOMALIES OF AORTIC ARCH  |
|                                                                       |
|   74601   CONG PULMON VALV ATRESIA  74722   AORTIC ATRESIA/STENOSIS   |
|                                                                       |
|   74602   CONG PULMON VALVE STENOS  74729   CONG ANOM OF AORTA NEC    |
|                                                                       |
|   74609   PULMONARY VALVE ANOM NEC  7473    PULMONARY ARTERY ANOM     |
|                                                                       |
|   7461    CONG TRICUSP ATRES/STEN   74740   GREAT VEIN ANOMALY NOS    |
|                                                                       |
|   7462    EBSTEIN'S ANOMALY         74741   TOT ANOM PULM VEN CONNEC  |
|                                                                       |
|   7463    CONG AORTA VALV STENOSIS  74742   PART ANOM PULM VEN CONN   |
|                                                                       |
|   7464    CONG AORTA VALV INSUFFIC  74749   GREAT VEIN ANOMALY NEC    |
|                                                                       |
|                                                                       |
|   -                                                                   |
| ------ ------------------------- ------- ---------------------------- |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth and pueperium);                     |
|                                                                       |
| -   with transcatheter interventions (either 3AP, 3BP, 3CP, 3DP, 3EP  |
|     with 3D, or 3FP) as single cardiac procedures, performed without  |
|     bypass (5P) but with catheterization (6P)                         |
|                                                                       |
| -   with septal defects (4P) as single cardiac procedures without     |
|     bypass (5P)                                                       |
|                                                                       |
| Transcatheter interventions procedure codes:                          |
|                                                                       |
| Closed heart valvotomy (3AP)                                          |
|                                                                       |
|   ------ ------------------------------------------------------------ |
|   3500   CLOSED HEART VALVOTOMY, UNSPECIFIED VALUE                    |
|                                                                       |
|   3501   CLOSED HEART VALVOTOMY, AORTIC VALUE                         |
|                                                                       |
|   3502   CLOSED HEART VALVOTOMY, MITRAL VALUE                         |
|                                                                       |
|   3503   CLOSED HEART VALVOTOMY, PULMONARY VALUE                      |
|                                                                       |
|   3504   CLOSED HEART VALVOTOMY, TRICUSPID VALUE                      |
|   ------ ------------------------------------------------------------ |
|                                                                       |
| Atrial septal enlargement (3BP)                                       |
|                                                                       |
|   ------ ------------------------------------------------------------ |
|   3541   ENLARGEMENT OF EXISTING ATRIAL SEPTAL DEFECT                 |
|                                                                       |
|   3542   CREATION OF SEPTAL DEFECT IN HEART                           |
|   ------ ------------------------------------------------------------ |
|                                                                       |
| Atrial septal defect repair (3CP)                                     |
|                                                                       |
|   ------ ------------------------------------------------------------ |
|   3551   REPAIR OF ATIAL SEPTAL DEFECT WITH PROSTHESIS, OPEN          |
|          TECHNIQUE                                                    |
|                                                                       |
|   3571   OTHER AND UNSPECIFIED REPAIR OF ATRIAL SEPTAL DEFECT         |
|   ------ ------------------------------------------------------------ |
|                                                                       |
| Ventricular septal defect repair (3DP)                                |
|                                                                       |
|   ------ ------------------------------------------------------------ |
|   3553   REPAIR OF VENTRICULAR SEPTAL DEFECT WITH PROSTHESIS          |
|                                                                       |
|   3572   OTHER AND UNSPECIFIED REPAIR OF VENTRICULAR SEPTAL DEFECT    |
|   ------ ------------------------------------------------------------ |
|                                                                       |
| Occlusion of thoracic vessel (3EP)                                    |
|                                                                       |
|   ------ ------------------------------------------------------------ |
|   3885   OCCLUDE THORACIC VES NEC                                     |
|                                                                       |
|   ------ ------------------------------------------------------------ |
|                                                                       |
| PDA closure diagnosis code (3D)                                       |
|                                                                       |
|                                                                       |
|  ------ --------------------------- ----- --------------------------- |
|   7470   PATENT DUCTUS ARTERIOSUS                                     |
|                                                                       |
|                                                                       |
|  ------ --------------------------- ----- --------------------------- |
|                                                                       |
| Other surgical occlusion (3FP)                                        |
|                                                                       |
|                                                                       |
| ------ ---------------------- ----------------- --------------------- |
|   3884   OTHER SURGICAL                                               |
|          OCCLUSION OF AORTA,                                          |
|          ABDOMINAL                                                    |
|                                                                       |
|   3885   OTHER SURGICAL                                               |
|          OCCLUSION OF THORACIC                                        |
|          VESSEL                                                       |
|                                                                       |
|   3959   OTHER REPAIR OF VESSEL                                       |
|                                                                       |
| ------ ---------------------- ----------------- --------------------- |
|                                                                       |
| Atrial septal defect repair and enlargement (4P)                      |
|                                                                       |
|   ------ ------------------------------------------------------------ |
|   3541   ENLARGE EXISTING SEP DEF                                     |
|                                                                       |
|   3552   PROS REPAIR ATRIA DEF-CL                                     |
|   ------ ------------------------------------------------------------ |
|                                                                       |
| Extracorporeal circulation (bypass) (5P)                              |
|                                                                       |
|                                                                       |
|  ------ ------------------------------------------------------------- |
|   3961   EXTRACORPOREAL CIRCULAT                                      |
|                                                                       |
|                                                                       |
|  ------ ------------------------------------------------------------- |
|                                                                       |
| Catheterization (6P)                                                  |
|                                                                       |
|                                                                       |
|  ------ ---------------------- ------ ------------------------------- |
|   3721   RT HEART CARDIAC CATH  8852   ANGIOCARDIOGRAPHY OF RIGHT     |
|                                        HEART STRUCTURES               |
|                                                                       |
|                                                                       |
|  3722   LEFT HEART CARDIAC     8853   ANGIOCARDIOGRAPHY OF LEFT HEART |
|          CATH                          STRUCTURES                     |
|                                                                       |
|   3723   RT/LEFT HEART CARD     8854   COMBINED RIGHT AND LEFT HEART  |
|          CATH                          ANGIOCARDIOGRAPHY              |
|                                                                       |
|   8842   CONTRAST AORTOGRAM     8855   CORONARY ARTERIOGRAPHY USING A |
|                                        SINGLE CATHETER                |
|                                                                       |
|   8843   CONTR PULMON           8856   CORONARY ARTERIOGRAPHY USING   |
|          ARTERIOGRAM                   TWO CATHETERS                  |
|                                                                       |
|   8844   ARTERIOGRAPHY OF OTHER 8857   OTHER AND UNSPECIFIED CORONARY |
|          INTRATHORACIC VESSELS         ARTERIOGRAPHY                  |
|                                                                       |
|   8850   ANGIOCARDIOGRAPHY, NOT 8858   NEGATIVE-CONTRAST CARDIAC      |
|          OTHERWISE SPECIFIED           ROENTGENOGRAPHY                |
|                                                                       |
|   8851   ANGIOCARDIOGRAPHY OF                                         |
|          VENAE CAVAE                                                  |
|                                                                       |
|  ------ ---------------------- ------ ------------------------------- |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| > Not applicable.                                                     |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ### Postoperative Hemorrhage or Hematoma (PDI 8)                      |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| Discharges among cases meeting the inclusion and exclusion rules for  |
| the denominator with the following:                                   |
|                                                                       |
| -   ICD-9-CM code for postoperative hemorrhage [or]{.underline}       |
|     postoperative hematoma in any secondary diagnosis field           |
|                                                                       |
| AND                                                                   |
|                                                                       |
| -   ICD-9-CM code for postoperative control of hemorrhage             |
|     [or]{.underline} for drainage of hematoma in any procedure code   |
|     field.                                                            |
|                                                                       |
| *ICD-9-CM Postoperative Hemorrhage diagnosis code:*                   |
|                                                                       |
| 99811 HEMORRHAGE COMPLICATING A PROCEDURE                             |
|                                                                       |
| *ICD-9-CM Postoperative Hematoma diagnosis code:*                     |
|                                                                       |
| 99812 HEMATOMA COMPLICATING A PROCEDURE                               |
|                                                                       |
| *ICD-9-CM Control of Postoperative Hemorrhage procedure codes:*       |
|                                                                       |
| 287 Control of hemorrhage after tonsillectomy and adenoidectomy       |
|                                                                       |
| 3880 Other surgical occlusion of unspecified site                     |
|                                                                       |
| 3881 Other surgical occlusion of intracranial vessels                 |
|                                                                       |
| 3882 Other surgical occlusion of other vessels of head and neck       |
|                                                                       |
| 3883 Other surgical occlusion of upper limb vessels                   |
|                                                                       |
| 3884 Other surgical occlusion of aorta, abdominal                     |
|                                                                       |
| 3885 Other surgical occlusion of thoracic vessel                      |
|                                                                       |
| 3886 Other surgical occlusion of abdominal arteries                   |
|                                                                       |
| 3887 Other surgical occlusion of abdominal veins                      |
|                                                                       |
| 3888 Other surgical occlusion of lower limb arteries                  |
|                                                                       |
| 3889 Other surgical occlusion of lower limb veins                     |
|                                                                       |
| 3941 Control of hemorrhage following vascular surgery                 |
|                                                                       |
| 3998 Control of hemorrhage NOS                                        |
|                                                                       |
| 4995 Control of (postoperative) hemorrhage of anus                    |
|                                                                       |
| 5793 Control of (postoperative hemorrhage of bladder                  |
|                                                                       |
| 6094 Control of (postoperative) hemorrhage of prostate                |
|                                                                       |
| *ICD-9-CM Drainage of Hematoma procedure codes:*                      |
|                                                                       |
| 1809 Other incision of external ear                                   |
|                                                                       |
| 540 Incision of abdominal wall                                        |
|                                                                       |
| 5412 Reopening of recent laparotomy site                              |
|                                                                       |
| 5919 Other incision of perivesicle tissue                             |
|                                                                       |
| 610 Incision and drainage of scrotum and tunica and vaginalis         |
|                                                                       |
| 6998 Other operations on supporting structures of uterus              |
|                                                                       |
| 7014 Other vaginotomy                                                 |
|                                                                       |
| 7109 Other incision of vulva and perineum                             |
|                                                                       |
| 7591 Evacuation of obstetrical incisional hematoma of perineum        |
|                                                                       |
| 7592 Evacuation of other hematoma of vulva or vagina                  |
|                                                                       |
| 8604 Other incision W/ drainage of skin and subcutaneous tissue       |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| []{#pedqi08denom .anchor}All elective\* surgical discharges under age |
| 18 defined by specific DRGs and an ICD-9-CM code for an operating     |
| room procedure.                                                       |
|                                                                       |
| > See [Appendix A: Operating Room Procedure                           |
| > Codes](#appendix-a-operating-room-procedure-codes)                  |
| >                                                                     |
| > See [Appendix B: Surgical Discharge                                 |
| > DRGs](#_Appendix_B:__Surgical_Discharge_DRG)                        |
|                                                                       |
| \*Elective - Admission type \# is recorded as elective (SID ATYPE =   |
| 3)                                                                    |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   with ICD-9-CM codes for postoperative hemorrhage or postoperative |
|     hematoma in the principal diagnosis field                         |
|                                                                       |
| -   where the only operating room procedure is postoperative control  |
|     of hemorrhage or drainage of hematoma.                            |
|                                                                       |
| -   where a procedure for postoperative control of hemorrhage or      |
|     drainage of hematoma occurs before the first operating room       |
|     procedure.                                                        |
|                                                                       |
| > *Note: If day of procedure is not available in the input data file, |
| > the rate may be slightly lower than if the information was          |
| > available*.                                                         |
|                                                                       |
| -   obstetrical patients in MDC 14 (Pregnancy, Childbirth and the     |
|     Puerperium)                                                       |
|                                                                       |
| -   neonates with birth weight less than 500 grams                    |
|                                                                       |
| > See [Appendix G: Low Birth Weight                                   |
| > Categories](#_Appendix_I:__Low_Birth_Weight_Categ)                  |
| >                                                                     |
| > Control-click (Word) or click (PDF) to view an Appendix. Links are  |
| > provided to return to the PDI detailed definition.                  |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ### Postoperative Respiratory Failure (PDI 9)                         |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| Discharges among cases meeting the inclusion and exclusion rules for  |
| the denominator with ICD-9-CM codes 518.81 or 518.84 for acute        |
| respiratory failure in any secondary diagnosis field.                 |
|                                                                       |
| **OR**                                                                |
|                                                                       |
| Discharges among cases meeting the inclusion and exclusion rules for  |
| the denominator with ICD-9-CM codes for reintubation procedure in any |
| secondary procedure field as follows:                                 |
|                                                                       |
| -   (96.04) one or more days after the major operating room procedure |
|     code                                                              |
|                                                                       |
| -   (96.70 or 96.71) two or more days after the major operating room  |
|     procedure code                                                    |
|                                                                       |
| -   (96.72) zero or more days after the major operating room          |
|     procedure code                                                    |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| []{#pedqi09denom .anchor}All elective\* surgical discharges under age |
| 18 defined by specific DRGs and an ICD-9-CM code for an operating     |
| room procedure.                                                       |
|                                                                       |
| > See [Appendix A: Operating Room Procedure                           |
| > Codes](#appendix-a-operating-room-procedure-codes)                  |
| >                                                                     |
| > See [Appendix B: Surgical Discharge                                 |
| > DRGs](#_Appendix_B:__Surgical_Discharge_DRG)                        |
|                                                                       |
| \*Elective - Admission type \# is recorded as elective (SID ATYPE =   |
| 3)                                                                    |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   with ICD-9-CM codes for acute respiratory failure in the          |
|     principal diagnosis field.                                        |
|                                                                       |
| -   where a procedure for tracheostomy is the only operating room     |
|     procedure.                                                        |
|                                                                       |
| -   where a procedure for tracheostomy occurs before the first        |
|     operating room procedure.                                         |
|                                                                       |
| > *Note: If day of procedure is not available in the input data file, |
| > the rate may be slightly lower than if the information was          |
| > available.*                                                         |
|                                                                       |
| -   with ICD-9-CM diagnosis code of neuromuscular disorder            |
|                                                                       |
| -   with respiratory or circulatory diseases (MDC 4 and 5)            |
|                                                                       |
| -   MDC 14 (Pregnancy, Childbirth, and the Puerperium)                |
|                                                                       |
| -   neonates with birth weight less than 500 grams                    |
|                                                                       |
| > See [Appendix G: Low Birth Weight                                   |
| > Categories](#_Appendix_I:__Low_Birth_Weight_Categ)                  |
| >                                                                     |
| > Control-click (Word) or click (PDF) to view an Appendix. Links are  |
| > provided to return to the PDI detailed definition.                  |
|                                                                       |
| *ICD-9-CM Tracheostomy procedure codes:*                              |
|                                                                       |
| 3121 Mediastinal tracheostomy                                         |
|                                                                       |
| 3129 Other perm tracheostomy                                          |
|                                                                       |
| 3174 Revision of tracheostomy                                         |
|                                                                       |
| *ICD-9-CM Neuromuscular Disorder diagnosis codes:*                    |
|                                                                       |
| 3570 AC INFECT POLYNEURITIS                                           |
|                                                                       |
| 35800 MYSTHNA GRVS W/O AC EXAC                                        |
|                                                                       |
| 35801 MYASTHNA GRAVS W AC EXAC                                        |
|                                                                       |
| 3581 MYASTHENIA IN OTH DIS                                            |
|                                                                       |
| 3582 TOXIC MYONEURAL DISORDER                                         |
|                                                                       |
| 3588 MYONEURAL DISORDERS NEC                                          |
|                                                                       |
| 3589 MYONEURAL DISORDERS NOS                                          |
|                                                                       |
| 3590 CONG HERED MUSC DYSTRPHY                                         |
|                                                                       |
| 3591 HERED PROG MUSC DYSTRPHY                                         |
|                                                                       |
| 3592 MYOTONIC DISORDERS                                               |
|                                                                       |
| 35922 MYOTONIA CONGENITA                                              |
|                                                                       |
| 35923 MYOTONIC CHONDRODYSTRPHY                                        |
|                                                                       |
| 3593 FAMIL PERIODIC PARALYSIS                                         |
|                                                                       |
| 3594 TOXIC MYOPATHY                                                   |
|                                                                       |
| 3595 MYOPATHY IN ENDOCRIN DIS                                         |
|                                                                       |
| 3596 INFL MYOPATHY IN OTH DIS                                         |
|                                                                       |
| 35981 CRITICAL ILLNESS MYOPTHY                                        |
|                                                                       |
| 35989 MYOPATHIES NEC                                                  |
|                                                                       |
| 3599 MYOPATHY NOS                                                     |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ### Postoperative Sepsis (PDI 10)                                     |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| Discharges among cases meeting the inclusion and exclusion rules for  |
| the denominator with ICD-9-CM code for sepsis in any                  |
| [secondary]{.underline} diagnosis field.                              |
|                                                                       |
| See [Appendix F: Sepsis Diagnosis                                     |
| Codes](#_Appendix_F:__Sepsis_Diagnosis_Codes)                         |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| []{#PedQI10Denom .anchor}All surgeries under age 18 defined by        |
| specific DRGs and an ICD-9-CM code for an operating room procedure.   |
|                                                                       |
| > See [Appendix A: Operating Room Procedure                           |
| > Codes](#appendix-a-operating-room-procedure-codes)                  |
| >                                                                     |
| > See [Appendix B: Surgical Discharge                                 |
| > DRGs](#_Appendix_B:__Surgical_Discharge_DRG)                        |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   with ICD-9-CM codes for sepsis in the principal diagnosis field   |
|                                                                       |
| -   with ICD-9-CM codes for infection in the principal diagnosis      |
|     field                                                             |
|                                                                       |
| -   MDC 14 (Pregnancy, Childbirth and the Puerperium)                 |
|                                                                       |
| -   with length of stay of less than 4 days                           |
|                                                                       |
| -   neonates                                                          |
|                                                                       |
| -   with DRG code in surgical class 4                                 |
|                                                                       |
| > See [Appendix F: Sepsis Diagnosis                                   |
| > Codes](#_Appendix_O:__Sepsis_Diagnosis_Codes)                       |
| >                                                                     |
| > See [Appendix H: Infection Diagnosis Codes](#_Appendix_H:_)         |
| >                                                                     |
| > Control-click (Word) or click (PDF) to view an Appendix. Links are  |
| > provided to return to the PDI detailed definition.                  |
|                                                                       |
| *DRG Codes for Surgical Class 4*                                      |
|                                                                       |
| 164 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC         |
|                                                                       |
| 165 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WIHTOUT CC      |
|                                                                       |
| 415 OR PROCEDURE FOR INFECTIOUS AND PARASITIC DISEASES                |
|                                                                       |
| 578 INFECTIOUS & PARASITIC DISEASES W OR PROCEDURE                    |
|                                                                       |
| 579 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W OR PROCEDURE         |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ### Postoperative Wound Dehiscence (PDI 11)                           |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| Discharges among cases meeting the inclusion and exclusion rules for  |
| the denominator with ICD-9-CM code for reclosure of postoperative     |
| disruption of abdominal wall (54.61) in any procedure field.          |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| []{#pedqi11denom .anchor}All abdominopelvic surgical discharges under |
| age 18.                                                               |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   where a procedure for reclosure of postoperative disruption of    |
|     abdominal wall occurs before or on the same day as the first      |
|     abdominopelvic surgery procedure                                  |
|                                                                       |
| > *Note: If day of procedure is not available in the input data file, |
| > the rate may be slightly lower than if the information was          |
| > available*                                                          |
|                                                                       |
| -   where length of stay is less than 2 days                          |
|                                                                       |
| -   with high- or intermediate-risk immuocompromised state            |
|                                                                       |
| -   neonates with birth weight less than 500 grams                    |
|                                                                       |
| -   with procedure code for gastroschisis or umbilical hernia repair  |
|     in newborns (omphalacele repair) performed before reclosure       |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
|                                                                       |
| > See [Appendix C: ICD-9-CM Codes for High-risk Immunocompromised     |
| > States](#_Appendix_C:_ICD-9-CM_Codes_for_High)                      |
| >                                                                     |
| > See [Appendix D: ICD-9-CM Codes for Intermediate-risk               |
| > Immunocompromised States](#_Appendix_D:_ICD-9-CM_Codes_for_Inte)    |
| >                                                                     |
| > See [Appendix G: Low Birth Weight                                   |
| > Categories](#_Appendix_I:__Low_Birth_Weight_Categ)                  |
| >                                                                     |
| > Control-click (Word) or click (PDF) to view the Appendix. Links are |
| > provided to return to the PDI detailed definition.                  |
|                                                                       |
| *ICD-9-CM abdominopelvic procedure codes:*                            |
|                                                                       |
|   ----                                                                |
| ------ --------------------------- ------ --------------------------- |
|                                                                       |
| 3804       Incision of aorta           5171   Simple suture of common |
|                                                 bile duct             |
|                                                                       |
|   3806       Incision of abdominal       5172   Choledochoplasty      |
|              arteries                                                 |
|                                                                       |
|   380                                                                 |
| 7       Incision of abdominal veins 5179   Repair of other bile ducts |
|                                                                       |
|   3                                                                   |
| 814       Endarterectomy of aorta     5181   Dilation of sphincter of |
|                                                 Oddi                  |
|                                                                       |
|   38                                                                  |
| 16       Endarterectomy of abdominal 5182   Pancreatic sphincterotomy |
|              arteries                                                 |
|                                                                       |
|   3834                                                                |
|        Resection of aorta W/       5183   Pancreatic sphincteroplasty |
|              anastomosis                                              |
|                                                                       |
|   3836       Resection of abdominal      5189   Other operations on   |
|              arteries W/ anastomosis            sphincter of Oddi     |
|                                                                       |
|   383                                                                 |
| 7       Resection of abdominal      5192   Closure of cholecystostomy |
|              veins W/ anastomosis                                     |
|                                                                       |
|   3                                                                   |
| 844       Resection of aorta,         5193   Closure of other biliary |
|              abdominal W/ replacement           fistula               |
|                                                                       |
|   384                                                                 |
| 6       Resection of abdominal      5194   Revision of anastomosis of |
|              arteries W/ replacement            biliary tract         |
|                                                                       |
|   3847       Resection of abdominal      5195   Removal of prosthetic |
|              veins W/ replacement               device from bile duct |
|                                                                       |
|   3857                                                                |
|        Ligation and stripping of   5199   Other operations on biliary |
|              varicose veins, abdominal          tract                 |
|              veins                                                    |
|                                                                       |
|   3864                                                                |
|        Other excision of aorta,    5201   Drainage of pancreatic cyst |
|              abdominal                          by catheter           |
|                                                                       |
|   3866       Other excision of abdominal 5209   Other pancreatotomy   |
|              arteries                                                 |
|                                                                       |
|                                                                       |
| 3867       Other excision of abdominal 5212   Open biopsy of pancreas |
|              veins                                                    |
|                                                                       |
|   3884       Other surgical occlusion of 5222   Other excision or     |
|                                                                       |
|           aorta, abdominal                   destruction of lesion or |
|                                                 tissue of pancreas or |
|                                                 pancreatic duct       |
|                                                                       |
|   3886       Other surgical occlusion of 523    Marsupialization of   |
|              abdominal arteries                 pancreatic cyst       |
|                                                                       |
|   3887       Other surgical occlusion of 524    Internal drainage of  |
|              abdominal veins                    pancreatic cyst       |
|                                                                       |
|                                                                       |
| 391        Intra-abdominal venous      5251   Proximal pancreatectomy |
|              shunt                                                    |
|                                                                       |
|   3924       Aorta-renal bypass          5252   Distal pancreatectomy |
|                                                                       |
|   3925       Aorta-iliac-femoral bypass  5253   Radical subtotal      |
|                                                 pancreatectomy        |
|                                                                       |
|   3926       Other intra-abdominal       5259   Other partial         |
|              vascular shunt or bypass           pancreatectomy        |
|                                                                       |
|   4052       Radical excision of         526    Total pancreatectomy  |
|              periaortic lymph nodes                                   |
|                                                                       |
|   4053       Radical excision of iliac   527    Radical               |
|                                                                       |
|            lymph nodes                        pancreaticoduodenectomy |
|                                                                       |
|   412                                                                 |
|         Splenotomy                  5280   Pancreatic transplant, NOS |
|                                                                       |
|   4133       Open biopsy of spleen       5281   Reimplantation        |
|                                                                       |
|   414                                                                 |
| 1       Marsupialization of splenic 5282   Homotransplant of pancreas |
|              cyst                                                     |
|                                                                       |
|   4142       Excision of lesion or       5283   Heterotransplant of   |
|              tissue of spleen                   pancreas              |
|                                                                       |
|   41                                                                  |
| 43       Partial splenectomy         5292   Cannulation of pancreatic |
|                                                 duct                  |
|                                                                       |
|   4                                                                   |
| 15        Total splenectomy           5295   Other repair of pancreas |
|                                                                       |
|                                                                       |
| 4193       Excision of accessory       5296   Anastomosis of pancreas |
|              spleen                                                   |
|                                                                       |
|   4194       Transplantation of spleen   5299   Other operations on   |
|                                                 pancreas              |
|                                                                       |
|   4195       Repair and plastic          5300   Unilateral repair of  |
|              operations on spleen               inguinal hernia, NOS  |
|                                                                       |
|   41                                                                  |
| 99       Other operations on spleen  5301   Repair of direct inguinal |
|                                                 hernia                |
|                                                                       |
|   4240                                                                |
|        Esophagectomy, NOS          5302   Repair of indirect inguinal |
|                                                 hernia                |
|                                                                       |
|   42                                                                  |
| 41       Partial esophagectomy       5303   Repair of direct inguinal |
|                                                 hernia W/ graft or    |
|                                                 prosthesis            |
|                                                                       |
|   4242                                                                |
|        Total esophagectomy         5304   Repair of indirect inguinal |
|                                                 hernia W/ graft or    |
|                                                 prosthesis            |
|                                                                       |
|   42                                                                  |
| 53       Intrathoracic esophageal    5305   Repair of inguinal hernia |
|                                                                       |
|        anastomosis W/                     W/ graft or prosthesis, NOS |
|              interposition of small                                   |
|              bowel                                                    |
|                                                                       |
|   4254       Other intrathoracic         5310   Bilateral repair of   |
|              esophagoenterostomy                inguinal hernia, NOS  |
|                                                                       |
|   425                                                                 |
| 5       Intrathoracic esophageal    5311   Bilateral repair of direct |
|              anastomosis W/                     inguinal hernia       |
|              interposition of colon                                   |
|                                                                       |
|   4256       Other intrathoracic         5312   Bilateral repair of   |
|                                                                       |
|           esophagocolostomy                  indirect inguinal hernia |
|                                                                       |
|   4263       Antesternal esophageal      5313   Bilateral repair of   |
|                                                                       |
|        anastomosis W/                     inguinal hernia, one direct |
|              interposition of small             and one indirect      |
|              bowel                                                    |
|                                                                       |
|   426                                                                 |
| 4       Other antesternal           5314   Bilateral repair of direct |
|                                                                       |
|        esophagoenterostomy                inguinal hernia W/ graft or |
|                                                 prosthesis            |
|                                                                       |
|   4265       Antesternal esophageal      5315   Bilateral repair of   |
|                                                                       |
|        anastomosis W/                     indirect inguinal hernia W/ |
|              interposition of colon             graft or prosthesis   |
|                                                                       |
|   4266       Other antesternal           5316   Bilateral repair of   |
|                                                                       |
|        esophagocolostomy                  inguinal hernia, one direct |
|                                                                       |
|                                            and one indirect, W/ graft |
|                                                 or prosthesis         |
|                                                                       |
|   42                                                                  |
| 91       Ligation of esophageal      5317   Bilateral inguinal hernia |
|              varices                            repair W/ graft or    |
|                                                 prosthesis, NOS       |
|                                                                       |
|   430        Gastrotomy                  5321   Unilateral repair of  |
|                                                 femoral hernia        |
|                                                                       |
|   4                                                                   |
| 33        Pyloromyotomy               5329   Other unilateral femoral |
|                                                 herniorrhaphy         |
|                                                                       |
|   4342                                                                |
|        Local excision of other     5331   Bilateral repair of femoral |
|              lesion or tissue of stomach        hernia W/ graft or    |
|                                                 prosthesis            |
|                                                                       |
|                                                                       |
| 4349       Other destruction of lesion 5339   Other bilateral femoral |
|              or tissue of stomach               herniorrhaphy         |
|                                                                       |
|   435                                                                 |
|         Partial gastrectomy W/      5341   Repair of umbilical hernia |
|              anastomosis to esophagus           W/ prosthesis         |
|                                                                       |
|   436        Partial gastrectomy W/      5349   Other umbilical       |
|              anastomosis to duodenum            herniorrhaphy         |
|                                                                       |
|   4                                                                   |
| 37        Partial gastrectomy W/      5351   Incisional hernia repair |
|              anastomosis to jejunum                                   |
|                                                                       |
|   43                                                                  |
| 81       Partial gastrectomy W/      5359   Repair of other hernia of |
|                                                                       |
|            jejuna transposition               anterior abdominal wall |
|                                                                       |
|   4389                                                                |
|        Other partial gastrectomy   5361   Incisional hernia repair W/ |
|                                                 prosthesis            |
|                                                                       |
|   43                                                                  |
| 91       Total gastrectomy W/        5369   Repair of other hernia of |
|                                                                       |
|         intestinal interposition           anterior abdominal wall W/ |
|                                                 prosthesis            |
|                                                                       |
|                                                                       |
| 4399       Other total gastrectomy     537    Repair of diaphragmatic |
|                                                                       |
|                                            hernia, abdominal approach |
|                                                                       |
|   440                                                                 |
| 0       Vagotomy, NOS               540    Incision of abdominal wall |
|                                                                       |
|                                                                       |
|  4401       Truncal vagotomy            5411   Exploratory laparotomy |
|                                                                       |
|   4402       Highly selective vagotomy   5419   Other laparotomy      |
|                                                                       |
|   4403                                                                |
|        Other selective vagotomy    5422   Biopsy of abdominal wall or |
|                                                 umbilicus             |
|                                                                       |
|   4411                                                                |
|        Transabdominal gastroscopy  5423   Biopsy of abdominal wall or |
|                                                 umbilicus             |
|                                                                       |
|   441                                                                 |
| 5       Open biopsy of stomach      543    Excision or destruction of |
|                                                 lesion or tissue of   |
|                                                                       |
|                                           abdominal wall or umbilicus |
|                                                                       |
|   442                                                                 |
| 1       Dilation of pylorus by      544    Excision or destruction of |
|              incision                           peritoneal tissue     |
|                                                                       |
|   44                                                                  |
| 29       Other pyloroplasty          5459   Other lysis of peritoneal |
|                                                 adhesions             |
|                                                                       |
|   44                                                                  |
| 31       High gastric bypass         5463   Other suture of abdominal |
|                                                 wall                  |
|                                                                       |
|   4439       Other gastroenterostomy     5464   Suture of peritoneum  |
|                                                                       |
|                                                                       |
| 4440       Suture of peptic ulcer, NOS 5471   Repair of gastroschisis |
|                                                                       |
|   44                                                                  |
| 41       Suture of gastric ulcer     5472   Other repair of abdominal |
|              site                               walls                 |
|                                                                       |
|   444                                                                 |
| 2       Suture of duodenal ulcer    5473   Other repair of peritoneum |
|              site                                                     |
|                                                                       |
|                                                                       |
| 445        Revision of gastric         5474   Other repair of omentum |
|              anastomosis                                              |
|                                                                       |
|   44                                                                  |
| 61       Suture of laceration of     5475   Other repair of mesentery |
|              stomach                                                  |
|                                                                       |
|                                                                       |
| 4463       Closure of other gastric    5492   Removal of foreign body |
|                                                                       |
|             fistula                            from peritoneal cavity |
|                                                                       |
|   4464       Gastropexy                  5493   Creation of           |
|                                                                       |
|                                             cutaneoperitoneal fistula |
|                                                                       |
|   4465       Esophagogastroplasty        5494   Creation of           |
|                                                                       |
|                                               peritoneovascular shunt |
|                                                                       |
|                                                                       |
|  4466       Other procedures for        5495   Incision of peritoneum |
|              creation of esophagogastric                              |
|              sphincteric competence                                   |
|                                                                       |
|   4                                                                   |
| 469       Other repair of stomach     5532   OPN ABLTN RENAL LES/TISS |
|                                                 OCT06-                |
|                                                                       |
|   4                                                                   |
| 491       Ligation of gastric varices 5535   ABLTN RENAL LES/TISS NEC |
|                                                 OCT06-                |
|                                                                       |
|   4492       Intraoperative manipulation 5551   Nephroureterectomy    |
|              of stomach                                               |
|                                                                       |
|   4                                                                   |
| 499\*\*   GASTRIC OPERATION NEC       5552   Nephrectomy of remaining |
|              OCT04-                             kidney                |
|                                                                       |
|   450                                                                 |
| 0       Incision of intestine, NOS  5553   Removal of transplanted or |
|                                                 regected kidney       |
|                                                                       |
|   4501       Incision of duodenum        5554   Bilateral nephrectomy |
|                                                                       |
|   45                                                                  |
| 02       Other incision of small     5561   Renal autotransplantation |
|              intestine                                                |
|                                                                       |
|   4503       Incision of large intestine 5569   OTHER KIDNEY          |
|                                                 TRANSPLANTATION       |
|                                                                       |
|   4531       Other local excision of     557    Nephropexy            |
|              lesion of duodenum                                       |
|                                                                       |
|   4532                                                                |
|        Other destruction of lesion 5583   Closure of other fistula of |
|              of duodenum                        kidney                |
|                                                                       |
|                                                                       |
| 4533       Local excision of lesion or 5584   Reduction of torsion of |
|              tissue of small intestine,         renal                 |
|              except duodenum                                          |
|                                                                       |
|   453                                                                 |
| 4       Other destruction of lesion 5585   Symphysiotomy for horeshoe |
|              of small intestine, except         kidney                |
|              duodenum                                                 |
|                                                                       |
|   4541       Excision of lesion or       5586   Anastomosis of kidney |
|              tissue of large intestine                                |
|                                                                       |
|   4549                                                                |
|        Other destruction of lesion 5587   Correction of ureteropelvic |
|              of large intestine                 junction              |
|                                                                       |
|                                                                       |
| 4550       Isolation of intestinal     5591   Decapsulation of kidney |
|              segment, NOS                                             |
|                                                                       |
|   4551                                                                |
|        Isolation of segment of     5597   Implantation or replacement |
|              small intestine                    of mechanical kidney  |
|                                                                       |
|   4552       Isolation of segment of     5598   Removal of mechanical |
|              large intestine                    kidney                |
|                                                                       |
|                                                                       |
|  4561       Multiple segmental          5651   Formation of cutaneous |
|              resection of small                 uretero-ileostomy     |
|              intestine                                                |
|                                                                       |
|   4562       Other partial resection of  5652   Revision of cutaneous |
|              small intestine                    uretero-ileostomy     |
|                                                                       |
|   4563       Total removal of small      5661   Formation of other    |
|                                                                       |
|             intestine                          cutaneous ureterostomy |
|                                                                       |
|   4571                                                                |
|        Multiple segmental          5662   Revision of other cutaneous |
|              resection of large                 ureterostomy          |
|              intestine                                                |
|                                                                       |
|   4572       Cesectomy                   5671   Urinary diversion to  |
|                                                 intestine             |
|                                                                       |
|   4573       Right hemicolectomy         5672   Revision of           |
|                                                 ureterointestinal     |
|                                                 anastomosis           |
|                                                                       |
|   457                                                                 |
| 4       Resection of transverse     5673   Nephrocystanastomosis, NOS |
|              colon                                                    |
|                                                                       |
|   4575       Left hemicolectomy          5674   Ureteroneoxystostomy  |
|                                                                       |
|   4                                                                   |
| 576       Sigmoidectomy               5675   Transureteroureterostomy |
|                                                                       |
|                                                                       |
| 4579       Other partial excision of   5683   Closure of ureterostomy |
|              large intestine                                          |
|                                                                       |
|   458                                                                 |
|        Total intra-abdominal       5684   Closure of other fistula of |
|              colectomy                          ureter                |
|                                                                       |
|   4590       Intestinal anastomosis, NOS 5685   Ureteropexy           |
|                                                                       |
|   4                                                                   |
| 591       Small-to-small intestinal   5686   Removal of ligature from |
|              anastomosis                        ureter                |
|                                                                       |
|                                                                       |
|  4592       Anastomosis of small        5689   Other repair of ureter |
|              intestine to rectal stump                                |
|                                                                       |
|   4593       Other small-to-large        5695   Ligation of ureter    |
|              intestinal anastomosis                                   |
|                                                                       |
|   4594       Large-to-large intestinal   5771   Radical cystectomy    |
|              anastomosis                                              |
|                                                                       |
|                                                                       |
|  4595       Anastomosis to anus         5779   Other total cystectomy |
|                                                                       |
|   4601       Exteriorization of small    5782   Closure of cystostomy |
|              intestine                                                |
|                                                                       |
|   46                                                                  |
| 03       Exteriorization of large    5787   Reconstruction of urinary |
|              intestine                          bladder               |
|                                                                       |
|   4610                                                                |
|        Colostomy, NOS              5900   Retroperitoneal dissection, |
|                                                 NOS                   |
|                                                                       |
|   4611                                                                |
|        Temporary colostomy         5902   Other lysis of perirenal or |
|                                                                       |
|                                                periureteral adhesions |
|                                                                       |
|   4613                                                                |
|        Permanent colostomy         5909   Other incision of perirenal |
|                                                                       |
|                                                or periureteral tissue |
|                                                                       |
|                                                                       |
| 4620       Ileostomy, NOS              6012   Open biopsy of prostate |
|                                                                       |
|                                                                       |
|  4621       Temporary ilesostomy        6014   Open biopsy of seminal |
|                                                 vesicles              |
|                                                                       |
|                                                                       |
| 4622       Continent ileostomy         6015   Biopsy of periprostatic |
|                                                 tissue                |
|                                                                       |
|   4                                                                   |
| 623       Other permanent ileostomy   603    Suprapubic prostatectomy |
|                                                                       |
|   4                                                                   |
| 640       Revision of intestina       604    Retropubic prostatectomy |
|              stoma, NOS                                               |
|                                                                       |
|   4641       Revision of stoma of small  605    Radical prostatectomy |
|              intestine                                                |
|                                                                       |
|   4642                                                                |
|        Repair of pericolostomy     6061   Local excision of lesion of |
|              hernia                             prostate              |
|                                                                       |
|   4643                                                                |
|        Other revision of stoma of  6072   Incision of seminal vesicle |
|              large intestine                                          |
|                                                                       |
|   4650                                                                |
|        Closure of intestinal       6073   Excision of seminal vesicle |
|              stoma, NOS                                               |
|                                                                       |
|   4651                                                                |
|        Closure of stoma of small   6079   Other operations on seminal |
|              intestine                          vesicles              |
|                                                                       |
|   4652       Closure of stoma of large   6093   Repair of prostate    |
|              intestine                                                |
|                                                                       |
|   4660       Fixation of intestine, NOS  6509   Other oophorectomy    |
|                                                                       |
|   4661       Fixation of small intestine 6512   Other biopsy of ovary |
|              to abdominal wall                                        |
|                                                                       |
|   4662                                                                |
|        Other fixation of small     6521   Marsupialization of ovarian |
|              intestine                          cyst                  |
|                                                                       |
|   4                                                                   |
| 663       Fixation of large intestine 6522   Wedge resection of ovary |
|              to abdominal wall                                        |
|                                                                       |
|                                                                       |
| 4664       Other fixation of large     6529   Other local excision or |
|              intestine                          destruction of ovary  |
|                                                                       |
|   4672       Closure of fistula of       6539   Other unlilateral     |
|              duodenum                           oophorectomy          |
|                                                                       |
|   4674       Closure of fistula of small 6549   Other unilateral      |
|              intestine, except duodenum         salpingoophorectomy   |
|                                                                       |
|   4676       Closure of fistula of large 6551   Other removal of both |
|                                                                       |
|          intestine                          ovaries at same operative |
|                                                 episode               |
|                                                                       |
|   468                                                                 |
| 0       Intra-abdominal             6552   Other removal of remaining |
|              manipulation of intestine,         ovary                 |
|              NOS                                                      |
|                                                                       |
|   4681       Intra-abdominal             6561   Other removal of both |
|                                                                       |
|          manipulation of small              ovaries and tubes at same |
|              intestine                          operative episode     |
|                                                                       |
|   468                                                                 |
| 2       Intra-abdominal             6562   Other removal of remaining |
|              manipulation of large              ovary and tube        |
|              intestine                                                |
|                                                                       |
|                                                                       |
|  4691       Myotomy of sigmoid colon    6571   Other simple suture of |
|                                                 ovary                 |
|                                                                       |
|                                                                       |
| 4692       Myotomy of other parts of   6572   Other reimplantation of |
|              colon                              ovary                 |
|                                                                       |
|   4693       Revision of anastomosis of  6573   Other salpingo        |
|              small intestine                    oophoroplasty         |
|                                                                       |
|   4694       Revision of anastomosis of  6579   Other repair of ovary |
|              large intestine                                          |
|                                                                       |
|   4699                                                                |
|        Other operations on         6589   Other lysis of adhesions of |
|                                                                       |
|           intestines                         ovary and fallopian tube |
|                                                                       |
|   4                                                                   |
| 709       Other appendectomy          6592   Transplantation of ovary |
|                                                                       |
|   47                                                                  |
| 19       Other incidental            6593   Manual rupture of ovarian |
|              appendectomy                       cyst                  |
|                                                                       |
|   472        Drainage of appendiceal     6594   Ovarian denervation   |
|              abscess                                                  |
|                                                                       |
|   4791                                                                |
|        Appendectomy                6595   Release of torsion of ovary |
|                                                                       |
|   47                                                                  |
| 92       Closure of appendiceal      6599   Other operations on ovary |
|              fistula                                                  |
|                                                                       |
|   4799       Other operations on         6601   Salpingotomy          |
|              appendix, other                                          |
|                                                                       |
|   4841       Submucosal resection of     6602   Salpingostomy         |
|              rectum                                                   |
|                                                                       |
|   4                                                                   |
| 849       Other pull-through          6631   Other bilateral ligation |
|                                                                       |
|          resection of rectum                and crushing of fallopian |
|                                                 tubes                 |
|                                                                       |
|   4                                                                   |
| 85        Abdominoperineal resection  6632   Other bilateral ligation |
|                                                                       |
|          of rectum                          and division of fallopian |
|                                                 tubes                 |
|                                                                       |
|   4875                                                                |
|        Abdominal proctopexy        6639   Other bilateral destruction |
|                                                                       |
|                                             or occlusion of fallopian |
|                                                 tubes                 |
|                                                                       |
|   500        Hepatotomy                  664    Total unilateral      |
|                                                 salpingectomy         |
|                                                                       |
|   50                                                                  |
| 12       Open biopsy of liver        6651   Removal of both fallopian |
|                                                                       |
|                                               tubes at same operative |
|                                                 episode               |
|                                                                       |
|   5021       Marsupialization of lesion  6652   Removal of remaining  |
|              of liver                           fallopian tube        |
|                                                                       |
|   502                                                                 |
| 2       Partial hepatectomy         6661   Excision or destruction of |
|                                                                       |
|                                              lesion of fallopian tube |
|                                                                       |
|   5023                                                                |
|        OPN ABLTN LIVER LES/TISS    6662   Salpingectomy W/ removal of |
|              OCT06-                             tubal pregnancy       |
|                                                                       |
|   5026       ABLTN LIVER LES/TISS NEC    6663   Bilateral partial     |
|              OCT06-                             salpingectomy, NOS    |
|                                                                       |
|   5029                                                                |
|        Other destruction of lesion 6669   Other partial salpingectomy |
|              of liver                                                 |
|                                                                       |
|   503                                                                 |
|         Lobectomy of liver          6671   Simple suture of fallopian |
|                                                 tube                  |
|                                                                       |
|   504        Total hepatectomy           6672   Salpingo-oophorostomy |
|                                                                       |
|                                                                       |
|  5051       Auxiliary liver transplant  6673   Salpingo-salpingostomy |
|                                                                       |
|   5059       Other transplant of liver   6674   Salpingo-uterostomy   |
|                                                                       |
|   50                                                                  |
| 69       Other repair of liver       6679   Other repair of fallopian |
|                                                 tube                  |
|                                                                       |
|   51                                                                  |
| 03       Other cholecystostomy       6692   Unilateral destruction or |
|                                                                       |
|                                           occlusion of fallopian tube |
|                                                                       |
|                                                                       |
|  5104       Other cholecystotomy        6697   Burying of fimbriae in |
|                                                 uterine wall          |
|                                                                       |
|   5113                                                                |
|        Open biopsy of gallbladder  680    Other incision and excision |
|              or bile ducts                      of uterus             |
|                                                                       |
|   5121       Other partial               6813   Open biopsy of uterus |
|              cholecystectomy                                          |
|                                                                       |
|                                                                       |
|  5122       Cholecystectomy             6814   Open biopsy of uterine |
|                                                 ligaments             |
|                                                                       |
|   5131       Anastomosis of gallbladder  683    Subtotal abdominal    |
|              to hepatic ducts                   hysterectomy          |
|                                                                       |
|   5                                                                   |
| 132       Anastomosis of gallbladder  6839   Other Subtotal abdominal |
|              to intestine                       hysterectomy          |
|                                                                       |
|   5133       Anastomosis of gallbladder  684    Total abdominal       |
|              to pancreas                        hysterectomy          |
|                                                                       |
|   5                                                                   |
| 134       Anastomosis of gallbladder  6841   LAP TOTAL ABDOMINAL HYST |
|              to stomach                         OCT06-                |
|                                                                       |
|                                                                       |
|  5135       Other gallbladder           6849   TOTAL ABD HYST NEC/NOS |
|              anastomosis                        OCT06-                |
|                                                                       |
|   5136       Choledochoenterostomy       686    Radical abdominal     |
|                                                 hysterectomy          |
|                                                                       |
|   5                                                                   |
| 137       Anastomosis of hepatic duct 6861   LAP RADICAL ABDOMNL HYST |
|              to gastrointestinal tract          OCT06-                |
|                                                                       |
|   5                                                                   |
| 139       Other bile duct anastomosis 6869   RADICAL ABD HYST NEC/NOS |
|                                                 OCT06-                |
|                                                                       |
|   5141       Common duct exploration for 688    Pelvic evisceration   |
|              removal of calculus                                      |
|                                                                       |
|   5                                                                   |
| 142       Common duct exploration for 6922   Other uterine suspension |
|              relief of other obstruction                              |
|                                                                       |
|   5143       Insertion of                693    Paracervical uterine  |
|              choledochohepatic tube for         denervation           |
|              decompression                                            |
|                                                                       |
|                                                                       |
| 5149       Incision of other bile      6941   Suture of laceration of |
|              ducts for relief of                uterus                |
|              obstruction                                              |
|                                                                       |
|   5151       Exploration of common duct  6942   Closure of fistula of |
|                                                 uterus                |
|                                                                       |
|                                                                       |
|  5159       Incision of other bile duct 6949   Other repair of uterus |
|   ----                                                                |
| ------ --------------------------- ------ --------------------------- |
|                                                                       |
| \*\* only for discharges occurring on or after October 1, 2004        |
|                                                                       |
| *ICD-9-CM codes for gastroschisis or umbilical hernia repair*         |
|                                                                       |
|                                                                       |
| ------ --------------------------- ------ --------------------------- |
|   5341   REPAIR OF UMBILICAL HERNIA  5349   OTHER UMBILICAL           |
|          WITH PROSTHESIS                    HERNIORRHAPHY             |
|                                                                       |
|                                      5471   REPAIR OF GASTROSCHISIS   |
|                                                                       |
| ------ --------------------------- ------ --------------------------- |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ### Selected Infections Due to Medical Care (PDI 12)                  |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| Discharges among cases meeting the inclusion and exclusion rules for  |
| the denominator with ICD-9-CM code of 999.3, 999.31 or 996.62 in any  |
| secondary diagnosis field.                                            |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| []{#pedqi12denom .anchor}All surgical and medical discharges under    |
| age 18 defined by specific DRGs                                       |
|                                                                       |
| > See [Appendix B: Surgical Discharge                                 |
| > DRGs](#_Appendix_B:__Surgical_Discharge_DRG)                        |
| >                                                                     |
| > See [Appendix E: Medical Discharge                                  |
| > DRGs](#_Appendix_F:__Medical_Discharge_DRGs)                        |
| >                                                                     |
| > Control-click (Word) or click (PDF) to view an Appendix. Links are  |
| > provided to return to the PDI detailed definition.                  |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   with ICD-9-CM code of 999.3 or 996.62 in the principal diagnosis  |
|     field                                                             |
|                                                                       |
| -   newborns                                                          |
|                                                                       |
| -   neonates with birth weight less than 500 grams                    |
|                                                                       |
| -   with length of stay less than 2 days                              |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| ### Transfusion Reaction (PDI 13)                                     |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| Discharges among cases meeting the inclusion and exclusion rules for  |
| the denominator with ICD-9-CM codes for transfusion reaction in any   |
| secondary diagnosis field.                                            |
|                                                                       |
| *ICD-9-CM transfusion reaction diagnosis codes:*                      |
|                                                                       |
| 9996 ABO incompatibility reaction                                     |
|                                                                       |
| 9997 RH incompatibility reaction                                      |
|                                                                       |
| E8760 Mismatched blood in transfusion                                 |
+-----------------------------------------------------------------------+
| []{#PedQI13Denom .anchor}**Denominator:**                             |
|                                                                       |
| All surgical and medical discharges under age 18 defined by specific  |
| DRGs.                                                                 |
|                                                                       |
| > See [Appendix B: Surgical Discharge                                 |
| > DRGs](#_Appendix_B:__Surgical_Discharge_DRG)                        |
| >                                                                     |
| > See [Appendix E: Medical Discharge                                  |
| > DRGs](#_Appendix_F:__Medical_Discharge_DRGs)                        |
| >                                                                     |
| > Control-click (Word) or click (PDF) to view an Appendix. Links are  |
| > provided to return to the PDI detailed definition.                  |
|                                                                       |
| Exclude cases:                                                        |
|                                                                       |
| -   with ICD-9-CM code for transfusion reaction in the principal      |
|     diagnosis field                                                   |
|                                                                       |
| -   neonates                                                          |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
+-----------------------------------------------------------------------+

##  Area-Level Indicators

+----+-----------------------------+-----+----------------------------+
| ## |                             |     |                            |
| #  |                             |     |                            |
| As |                             |     |                            |
| th |                             |     |                            |
| ma |                             |     |                            |
|  A |                             |     |                            |
| dm |                             |     |                            |
| is |                             |     |                            |
| si |                             |     |                            |
| on |                             |     |                            |
|  R |                             |     |                            |
| at |                             |     |                            |
| e  |                             |     |                            |
| (P |                             |     |                            |
| DI |                             |     |                            |
|  1 |                             |     |                            |
| 4) |                             |     |                            |
+----+-----------------------------+-----+----------------------------+
| ** |                             |     |                            |
| Nu |                             |     |                            |
| me |                             |     |                            |
| ra |                             |     |                            |
| to |                             |     |                            |
| r: |                             |     |                            |
| ** |                             |     |                            |
|    |                             |     |                            |
| Di |                             |     |                            |
| sc |                             |     |                            |
| ha |                             |     |                            |
| rg |                             |     |                            |
| es |                             |     |                            |
| ag |                             |     |                            |
| es |                             |     |                            |
| 2  |                             |     |                            |
| to |                             |     |                            |
| 17 |                             |     |                            |
| y  |                             |     |                            |
| ea |                             |     |                            |
| rs |                             |     |                            |
| wi |                             |     |                            |
| th |                             |     |                            |
| IC |                             |     |                            |
| D- |                             |     |                            |
| 9- |                             |     |                            |
| CM |                             |     |                            |
| p  |                             |     |                            |
| ri |                             |     |                            |
| nc |                             |     |                            |
| ip |                             |     |                            |
| al |                             |     |                            |
| d  |                             |     |                            |
| ia |                             |     |                            |
| gn |                             |     |                            |
| os |                             |     |                            |
| is |                             |     |                            |
| co |                             |     |                            |
| de |                             |     |                            |
| of |                             |     |                            |
| as |                             |     |                            |
| th |                             |     |                            |
| ma |                             |     |                            |
| (s |                             |     |                            |
| ee |                             |     |                            |
| b  |                             |     |                            |
| el |                             |     |                            |
| ow |                             |     |                            |
| ). |                             |     |                            |
|    |                             |     |                            |
| I  |                             |     |                            |
| nc |                             |     |                            |
| lu |                             |     |                            |
| de |                             |     |                            |
| IC |                             |     |                            |
| D- |                             |     |                            |
| 9- |                             |     |                            |
| CM |                             |     |                            |
| d  |                             |     |                            |
| ia |                             |     |                            |
| gn |                             |     |                            |
| os |                             |     |                            |
| is |                             |     |                            |
| co |                             |     |                            |
| de |                             |     |                            |
| s: |                             |     |                            |
+----+-----------------------------+-----+----------------------------+
| 4  | EXT ASTHMA W/O STAT ASTH    | 49  | CH OB ASTHMA W STAT ASTH   |
| 93 |                             | 321 |                            |
| 00 |                             |     |                            |
+----+-----------------------------+-----+----------------------------+
| 4  | EXT ASTHMA W STATUS ASTH    | 49  | CH OBS ASTH W ACUTE EXAC   |
| 93 |                             | 322 | OCT00-                     |
| 01 |                             |     |                            |
+----+-----------------------------+-----+----------------------------+
| 4  | EXT ASTHMA W ACUTE EXAC     | 49  | EXERCSE IND BRONCHOSPASM   |
| 93 | OCT00-                      | 381 | OCT03-                     |
| 02 |                             |     |                            |
+----+-----------------------------+-----+----------------------------+
| 4  | INT ASTHMA W/O STAT ASTH    | 49  | COUGH VARIANT ASTHMA       |
| 93 |                             | 382 | OCT03-                     |
| 10 |                             |     |                            |
+----+-----------------------------+-----+----------------------------+
| 4  | INT ASTHMA W STATUS ASTH    | 49  | ASTHMA W/O STATUS ASTHM    |
| 93 |                             | 390 |                            |
| 11 |                             |     |                            |
+----+-----------------------------+-----+----------------------------+
| 4  | INT ASTHMA W ACUTE EXAC     | 49  | ASTHMA W STATUS ASTHMAT    |
| 93 | OCT00-                      | 391 |                            |
| 12 |                             |     |                            |
+----+-----------------------------+-----+----------------------------+
| 4  | CH OB ASTH W/O STAT ASTH    | 49  | ASTHMA W ACUTE EXACERBTN   |
| 93 |                             | 392 | OCT00-                     |
| 20 |                             |     |                            |
+----+-----------------------------+-----+----------------------------+
|    |                             |     |                            |
+----+-----------------------------+-----+----------------------------+
| E  |                             |     |                            |
| xc |                             |     |                            |
| lu |                             |     |                            |
| de |                             |     |                            |
| ca |                             |     |                            |
| se |                             |     |                            |
| s: |                             |     |                            |
|    |                             |     |                            |
| -  |                             |     |                            |
|    |                             |     |                            |
|  M |                             |     |                            |
| DC |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
| 14 |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|  ( |                             |     |                            |
| pr |                             |     |                            |
| eg |                             |     |                            |
| na |                             |     |                            |
| nc |                             |     |                            |
| y, |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|  c |                             |     |                            |
| hi |                             |     |                            |
| ld |                             |     |                            |
| bi |                             |     |                            |
| rt |                             |     |                            |
| h, |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|  a |                             |     |                            |
| nd |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|  p |                             |     |                            |
| ue |                             |     |                            |
| rp |                             |     |                            |
| er |                             |     |                            |
| iu |                             |     |                            |
| m) |                             |     |                            |
|    |                             |     |                            |
| -  |                             |     |                            |
|    |                             |     |                            |
| tr |                             |     |                            |
| an |                             |     |                            |
| sf |                             |     |                            |
| er |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
| fr |                             |     |                            |
| om |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|  o |                             |     |                            |
| th |                             |     |                            |
| er |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|  i |                             |     |                            |
| ns |                             |     |                            |
| ti |                             |     |                            |
| tu |                             |     |                            |
| ti |                             |     |                            |
| on |                             |     |                            |
|    |                             |     |                            |
| -  |                             |     |                            |
|    |                             |     |                            |
|  a |                             |     |                            |
| ge |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
| le |                             |     |                            |
| ss |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
| th |                             |     |                            |
| an |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|  2 |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|  y |                             |     |                            |
| ea |                             |     |                            |
| rs |                             |     |                            |
|    |                             |     |                            |
| -  |                             |     |                            |
|    |                             |     |                            |
| wi |                             |     |                            |
| th |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|  d |                             |     |                            |
| ia |                             |     |                            |
| gn |                             |     |                            |
| os |                             |     |                            |
| is |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
| co |                             |     |                            |
| de |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|  f |                             |     |                            |
| or |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
| cy |                             |     |                            |
| st |                             |     |                            |
| ic |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
| fi |                             |     |                            |
| br |                             |     |                            |
| os |                             |     |                            |
| is |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|  a |                             |     |                            |
| nd |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|  a |                             |     |                            |
| no |                             |     |                            |
| ma |                             |     |                            |
| li |                             |     |                            |
| es |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
| of |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|  t |                             |     |                            |
| he |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|  r |                             |     |                            |
| es |                             |     |                            |
| pi |                             |     |                            |
| ra |                             |     |                            |
| to |                             |     |                            |
| ry |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
| sy |                             |     |                            |
| st |                             |     |                            |
| em |                             |     |                            |
|    |                             |     |                            |
| IC |                             |     |                            |
| D- |                             |     |                            |
| 9- |                             |     |                            |
| CM |                             |     |                            |
| co |                             |     |                            |
| de |                             |     |                            |
| f  |                             |     |                            |
| or |                             |     |                            |
| cy |                             |     |                            |
| st |                             |     |                            |
| ic |                             |     |                            |
| fi |                             |     |                            |
| br |                             |     |                            |
| os |                             |     |                            |
| is |                             |     |                            |
| a  |                             |     |                            |
| nd |                             |     |                            |
| a  |                             |     |                            |
| no |                             |     |                            |
| ma |                             |     |                            |
| li |                             |     |                            |
| es |                             |     |                            |
| of |                             |     |                            |
| t  |                             |     |                            |
| he |                             |     |                            |
| r  |                             |     |                            |
| es |                             |     |                            |
| pi |                             |     |                            |
| ra |                             |     |                            |
| to |                             |     |                            |
| ry |                             |     |                            |
| sy |                             |     |                            |
| st |                             |     |                            |
| em |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|  - |                             |     |                            |
| -- |                             |     |                            |
| -- |                             |     |                            |
| -- |                             |     |                            |
|  - |                             |     |                            |
| -- |                             |     |                            |
| -- |                             |     |                            |
| -- |                             |     |                            |
| -- |                             |     |                            |
| -- |                             |     |                            |
| -- |                             |     |                            |
| -  |                             |     |                            |
| -- |                             |     |                            |
| -- |                             |     |                            |
| -- |                             |     |                            |
| -  |                             |     |                            |
| -- |                             |     |                            |
| -- |                             |     |                            |
| -- |                             |     |                            |
| -- |                             |     |                            |
| -- |                             |     |                            |
| -- |                             |     |                            |
| -- |                             |     |                            |
| -- |                             |     |                            |
|    |                             |     |                            |
|  2 |                             |     |                            |
| 77 |                             |     |                            |
| 00 |                             |     |                            |
|    |                             |     |                            |
|  C |                             |     |                            |
| YS |                             |     |                            |
| TI |                             |     |                            |
| C  |                             |     |                            |
| FI |                             |     |                            |
| BR |                             |     |                            |
| OS |                             |     |                            |
|    |                             |     |                            |
| 74 |                             |     |                            |
| 86 |                             |     |                            |
| 0  |                             |     |                            |
|    |                             |     |                            |
| LU |                             |     |                            |
| NG |                             |     |                            |
|  A |                             |     |                            |
| NO |                             |     |                            |
| MA |                             |     |                            |
| LY |                             |     |                            |
|  N |                             |     |                            |
| OS |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|  W |                             |     |                            |
| /O |                             |     |                            |
|  I |                             |     |                            |
| LE |                             |     |                            |
| US |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|  2 |                             |     |                            |
| 77 |                             |     |                            |
| 01 |                             |     |                            |
|    |                             |     |                            |
|  C |                             |     |                            |
| YS |                             |     |                            |
| TI |                             |     |                            |
| C  |                             |     |                            |
| FI |                             |     |                            |
| BR |                             |     |                            |
| OS |                             |     |                            |
|    |                             |     |                            |
| 74 |                             |     |                            |
| 86 |                             |     |                            |
| 1  |                             |     |                            |
|    |                             |     |                            |
| CO |                             |     |                            |
| NG |                             |     |                            |
| EN |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|  W |                             |     |                            |
|  I |                             |     |                            |
| LE |                             |     |                            |
| US |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
| BR |                             |     |                            |
| ON |                             |     |                            |
| CH |                             |     |                            |
| IE |                             |     |                            |
| CT |                             |     |                            |
| AS |                             |     |                            |
| IS |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|  2 |                             |     |                            |
| 77 |                             |     |                            |
| 02 |                             |     |                            |
|    |                             |     |                            |
|  C |                             |     |                            |
| YS |                             |     |                            |
| TI |                             |     |                            |
| C  |                             |     |                            |
| FI |                             |     |                            |
| BR |                             |     |                            |
| OS |                             |     |                            |
|    |                             |     |                            |
| 74 |                             |     |                            |
| 86 |                             |     |                            |
| 9  |                             |     |                            |
|    |                             |     |                            |
| LU |                             |     |                            |
| NG |                             |     |                            |
|  A |                             |     |                            |
| NO |                             |     |                            |
| MA |                             |     |                            |
| LY |                             |     |                            |
|  N |                             |     |                            |
| EC |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|  W |                             |     |                            |
|  P |                             |     |                            |
| UL |                             |     |                            |
|  M |                             |     |                            |
| AN |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
| 27 |                             |     |                            |
| 70 |                             |     |                            |
| 3  |                             |     |                            |
|    |                             |     |                            |
| CY |                             |     |                            |
| ST |                             |     |                            |
| IC |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|  7 |                             |     |                            |
| 48 |                             |     |                            |
| 8  |                             |     |                            |
|    |                             |     |                            |
|  R |                             |     |                            |
| ES |                             |     |                            |
| PI |                             |     |                            |
| RA |                             |     |                            |
| TO |                             |     |                            |
| RY |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
| FI |                             |     |                            |
| BR |                             |     |                            |
| OS |                             |     |                            |
| IS |                             |     |                            |
|  W |                             |     |                            |
|  G |                             |     |                            |
| I  |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|  A |                             |     |                            |
| NO |                             |     |                            |
| MA |                             |     |                            |
| LY |                             |     |                            |
|  N |                             |     |                            |
| EC |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|  M |                             |     |                            |
| AN |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
| 27 |                             |     |                            |
| 70 |                             |     |                            |
| 9  |                             |     |                            |
|    |                             |     |                            |
| CY |                             |     |                            |
| ST |                             |     |                            |
| IC |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|  7 |                             |     |                            |
| 48 |                             |     |                            |
| 9  |                             |     |                            |
|    |                             |     |                            |
|  R |                             |     |                            |
| ES |                             |     |                            |
| PI |                             |     |                            |
| RA |                             |     |                            |
| TO |                             |     |                            |
| RY |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
| FI |                             |     |                            |
| BR |                             |     |                            |
| OS |                             |     |                            |
| IS |                             |     |                            |
|  N |                             |     |                            |
| EC |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|  A |                             |     |                            |
| NO |                             |     |                            |
| MA |                             |     |                            |
| LY |                             |     |                            |
|  N |                             |     |                            |
| OS |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|  7 |                             |     |                            |
| 47 |                             |     |                            |
| 21 |                             |     |                            |
|    |                             |     |                            |
|  A |                             |     |                            |
| NO |                             |     |                            |
| MA |                             |     |                            |
| LI |                             |     |                            |
| ES |                             |     |                            |
|  O |                             |     |                            |
| F  |                             |     |                            |
|    |                             |     |                            |
| 75 |                             |     |                            |
| 03 |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
| CO |                             |     |                            |
| NG |                             |     |                            |
|  E |                             |     |                            |
| SO |                             |     |                            |
| PH |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
| AO |                             |     |                            |
| RT |                             |     |                            |
| IC |                             |     |                            |
|  A |                             |     |                            |
| RC |                             |     |                            |
| H  |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|  F |                             |     |                            |
| IS |                             |     |                            |
| TU |                             |     |                            |
| LA |                             |     |                            |
| /A |                             |     |                            |
| TR |                             |     |                            |
| ES |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|  7 |                             |     |                            |
| 48 |                             |     |                            |
| 3  |                             |     |                            |
|    |                             |     |                            |
|  L |                             |     |                            |
| AR |                             |     |                            |
| YN |                             |     |                            |
| GO |                             |     |                            |
| TR |                             |     |                            |
| AC |                             |     |                            |
| H  |                             |     |                            |
|    |                             |     |                            |
| 75 |                             |     |                            |
| 93 |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
| SI |                             |     |                            |
| TU |                             |     |                            |
| S  |                             |     |                            |
| IN |                             |     |                            |
| VE |                             |     |                            |
| RS |                             |     |                            |
| US |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|  A |                             |     |                            |
| NO |                             |     |                            |
| MA |                             |     |                            |
| LY |                             |     |                            |
|  N |                             |     |                            |
| EC |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
| 74 |                             |     |                            |
| 84 |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
| CO |                             |     |                            |
| NG |                             |     |                            |
| EN |                             |     |                            |
| IT |                             |     |                            |
| AL |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|  7 |                             |     |                            |
| 70 |                             |     |                            |
| 7  |                             |     |                            |
|    |                             |     |                            |
|  C |                             |     |                            |
| HR |                             |     |                            |
| ON |                             |     |                            |
| IC |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
| CY |                             |     |                            |
| ST |                             |     |                            |
| IC |                             |     |                            |
|  L |                             |     |                            |
| UN |                             |     |                            |
| G  |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|  R |                             |     |                            |
| ES |                             |     |                            |
| PI |                             |     |                            |
| RA |                             |     |                            |
| TO |                             |     |                            |
| RY |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|  D |                             |     |                            |
| IS |                             |     |                            |
| EA |                             |     |                            |
| SE |                             |     |                            |
|  A |                             |     |                            |
| RI |                             |     |                            |
| SI |                             |     |                            |
| NG |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
| IN |                             |     |                            |
|  T |                             |     |                            |
| HE |                             |     |                            |
|  P |                             |     |                            |
| ER |                             |     |                            |
| IN |                             |     |                            |
| AT |                             |     |                            |
| AL |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
| PE |                             |     |                            |
| RI |                             |     |                            |
| OD |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|  7 |                             |     |                            |
| 48 |                             |     |                            |
| 5  |                             |     |                            |
|    |                             |     |                            |
|  A |                             |     |                            |
| GE |                             |     |                            |
| NE |                             |     |                            |
| SI |                             |     |                            |
| S  |                             |     |                            |
| OF |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|  L |                             |     |                            |
| UN |                             |     |                            |
| G  |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
|  - |                             |     |                            |
| -- |                             |     |                            |
| -- |                             |     |                            |
| -- |                             |     |                            |
|  - |                             |     |                            |
| -- |                             |     |                            |
| -- |                             |     |                            |
| -- |                             |     |                            |
| -- |                             |     |                            |
| -- |                             |     |                            |
| -- |                             |     |                            |
| -  |                             |     |                            |
| -- |                             |     |                            |
| -- |                             |     |                            |
| -- |                             |     |                            |
| -  |                             |     |                            |
| -- |                             |     |                            |
| -- |                             |     |                            |
| -- |                             |     |                            |
| -- |                             |     |                            |
| -- |                             |     |                            |
| -- |                             |     |                            |
| -- |                             |     |                            |
| -- |                             |     |                            |
+----+-----------------------------+-----+----------------------------+
| ** |                             |     |                            |
| De |                             |     |                            |
| no |                             |     |                            |
| mi |                             |     |                            |
| na |                             |     |                            |
| to |                             |     |                            |
| r: |                             |     |                            |
| ** |                             |     |                            |
|    |                             |     |                            |
| >  |                             |     |                            |
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| pu |                             |     |                            |
| la |                             |     |                            |
| ti |                             |     |                            |
| on |                             |     |                            |
| >  |                             |     |                            |
| ag |                             |     |                            |
| es |                             |     |                            |
| >  |                             |     |                            |
|  2 |                             |     |                            |
| >  |                             |     |                            |
| to |                             |     |                            |
| >  |                             |     |                            |
| 17 |                             |     |                            |
| >  |                             |     |                            |
|  y |                             |     |                            |
| ea |                             |     |                            |
| rs |                             |     |                            |
| >  |                             |     |                            |
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| et |                             |     |                            |
| ro |                             |     |                            |
| >  |                             |     |                            |
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| ea |                             |     |                            |
| >  |                             |     |                            |
| or |                             |     |                            |
| >  |                             |     |                            |
|  c |                             |     |                            |
| ou |                             |     |                            |
| nt |                             |     |                            |
| y. |                             |     |                            |
+----+-----------------------------+-----+----------------------------+

+-----+----------------------------+-----+----------------------------+
| #   |                            |     |                            |
| ##  |                            |     |                            |
| Dia |                            |     |                            |
| bet |                            |     |                            |
| es  |                            |     |                            |
| Sho |                            |     |                            |
| rt- |                            |     |                            |
| ter |                            |     |                            |
| m C |                            |     |                            |
| omp |                            |     |                            |
| lic |                            |     |                            |
| ati |                            |     |                            |
| ons |                            |     |                            |
|  Ad |                            |     |                            |
| mis |                            |     |                            |
| sio |                            |     |                            |
| n R |                            |     |                            |
| ate |                            |     |                            |
|  (P |                            |     |                            |
| DI  |                            |     |                            |
| 15) |                            |     |                            |
+-----+----------------------------+-----+----------------------------+
| **  |                            |     |                            |
| Num |                            |     |                            |
| era |                            |     |                            |
| tor |                            |     |                            |
| :** |                            |     |                            |
|     |                            |     |                            |
| >   |                            |     |                            |
| All |                            |     |                            |
| >   |                            |     |                            |
| non |                            |     |                            |
| -ma |                            |     |                            |
| ter |                            |     |                            |
| nal |                            |     |                            |
| > d |                            |     |                            |
| isc |                            |     |                            |
| har |                            |     |                            |
| ges |                            |     |                            |
| > a |                            |     |                            |
| ges |                            |     |                            |
| > 6 |                            |     |                            |
| >   |                            |     |                            |
|  to |                            |     |                            |
| >   |                            |     |                            |
|  17 |                            |     |                            |
| >   |                            |     |                            |
|  ye |                            |     |                            |
| ars |                            |     |                            |
| > w |                            |     |                            |
| ith |                            |     |                            |
| >   |                            |     |                            |
|  IC |                            |     |                            |
| D-9 |                            |     |                            |
| -CM |                            |     |                            |
| >   |                            |     |                            |
| pri |                            |     |                            |
| nci |                            |     |                            |
| pal |                            |     |                            |
| >   |                            |     |                            |
| dia |                            |     |                            |
| gno |                            |     |                            |
| sis |                            |     |                            |
| > c |                            |     |                            |
| ode |                            |     |                            |
| >   |                            |     |                            |
| for |                            |     |                            |
| > s |                            |     |                            |
| hor |                            |     |                            |
| t-t |                            |     |                            |
| erm |                            |     |                            |
| > c |                            |     |                            |
| omp |                            |     |                            |
| lic |                            |     |                            |
| ati |                            |     |                            |
| ons |                            |     |                            |
| >   |                            |     |                            |
|  (k |                            |     |                            |
| eto |                            |     |                            |
| aci |                            |     |                            |
| dos |                            |     |                            |
| is, |                            |     |                            |
| > h |                            |     |                            |
| ype |                            |     |                            |
| ros |                            |     |                            |
| mol |                            |     |                            |
| ari |                            |     |                            |
| ty, |                            |     |                            |
| >   |                            |     |                            |
| com |                            |     |                            |
| a). |                            |     |                            |
|     |                            |     |                            |
| I   |                            |     |                            |
| ncl |                            |     |                            |
| ude |                            |     |                            |
| IC  |                            |     |                            |
| D-9 |                            |     |                            |
| -CM |                            |     |                            |
| dia |                            |     |                            |
| gno |                            |     |                            |
| sis |                            |     |                            |
| cod |                            |     |                            |
| es: |                            |     |                            |
+-----+----------------------------+-----+----------------------------+
| 25  | DM KETO T2, DM CONT        | 25  | DM W/ HYPROSM T2, DM UNCNT |
| 010 |                            | 022 |                            |
+-----+----------------------------+-----+----------------------------+
| 25  | DM KETO T1, DM CONT        | 25  | DM W/ HYPROSM T1, DM UNCNT |
| 011 |                            | 023 |                            |
+-----+----------------------------+-----+----------------------------+
| 25  | DM KETO T2, DM UNCONT      | 25  | DM COMA NEC TYP II, DM CNT |
| 012 |                            | 030 |                            |
+-----+----------------------------+-----+----------------------------+
| 25  | DM KETO T1, DM UNCONT      | 25  | DM COMA NEC T1, DM CONT    |
| 013 |                            | 031 |                            |
+-----+----------------------------+-----+----------------------------+
| 25  | DM W/ HYPROSM T2, DM CONT  | 25  | DM COMA NEC T2, DM UNCONT  |
| 020 |                            | 032 |                            |
+-----+----------------------------+-----+----------------------------+
| 25  | DM W/ HYPROSM T1, DM CONT  | 25  | DM COMA NEC T1, DM UNCONT  |
| 021 |                            | 033 |                            |
+-----+----------------------------+-----+----------------------------+
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+----+-----------------------------+-----+----------------------------+
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| 9- |                             |     |                            |
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| es |                             |     |                            |
| :* |                             |     |                            |
+----+-----------------------------+-----+----------------------------+
| 0  | ENTERITIS ROTAVIRUS         | 00  | ENTERITIS NOS              |
| 08 |                             | 869 |                            |
| 61 |                             |     |                            |
+----+-----------------------------+-----+----------------------------+
| 0  | ENTERITIS ADENOVIRUS        | 0   | VIRAL ENTERITIS NOS        |
| 08 |                             | 088 |                            |
| 62 |                             |     |                            |
+----+-----------------------------+-----+----------------------------+
| 0  | ENTERITIS NORWALK VIRUS     | 0   | INFECTIOUS ENTERITIS NOS   |
| 08 |                             | 090 |                            |
| 63 |                             |     |                            |
+----+-----------------------------+-----+----------------------------+
| 0  | ENTERITIS OTH SML RND VIRUS | 0   | ENTERITIS OF INFECT ORIG   |
| 08 |                             | 091 |                            |
| 64 |                             |     |                            |
+----+-----------------------------+-----+----------------------------+
| 0  | ENTERITIS CALICIVIRUS       | 0   | INFECTIOUS DIARRHEA        |
| 08 |                             | 092 |                            |
| 65 |                             |     |                            |
+----+-----------------------------+-----+----------------------------+
| 0  | ENTERITIS ASTROVIRUS        | 0   | DIARRHEA OF PRESU INFECT   |
| 08 |                             | 093 | ORIG                       |
| 66 |                             |     |                            |
+----+-----------------------------+-----+----------------------------+
| 0  | ENTERITIS ENTEROVIRUS NEC   | 5   | NONINF GASTROENTERIT NEC   |
| 08 |                             | 589 |                            |
| 67 |                             |     |                            |
+----+-----------------------------+-----+----------------------------+
|    |                             |     |                            |
+----+-----------------------------+-----+----------------------------+
| *  |                             |     |                            |
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| es |                             |     |                            |
| :* |                             |     |                            |
+----+-----------------------------+-----+----------------------------+
| 27 | HYPOVOLEMIA                 | 27  | DEHYDRATION 0CT06-         |
| 65 |                             | 651 |                            |
+----+-----------------------------+-----+----------------------------+
| 2  | VOL DEPLETION, UNSPECIFIED  | 27  | HYPOVOLEMIA OCT06-         |
| 76 | OCT06-                      | 652 |                            |
| 50 |                             |     |                            |
+----+-----------------------------+-----+----------------------------+
|    |                             |     |                            |
+----+-----------------------------+-----+----------------------------+
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| S, |                             |     |                            |
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| NS |                             |     |                            |
| PE |                             |     |                            |
| CI |                             |     |                            |
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| ED |                             |     |                            |
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| /t |                             |     |                            |
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| <  |                             |     |                            |
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| 58 |                             |     |                            |
| 3< |                             |     |                            |
| /t |                             |     |                            |
| d> |                             |     |                            |
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| A  |                             |     |                            |
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| S< |                             |     |                            |
| /t |                             |     |                            |
| d> |                             |     |                            |
| <  |                             |     |                            |
| /t |                             |     |                            |
| r> |                             |     |                            |
| <  |                             |     |                            |
| tr |                             |     |                            |
| cl |                             |     |                            |
| as |                             |     |                            |
| s= |                             |     |                            |
| "o |                             |     |                            |
| dd |                             |     |                            |
| "> |                             |     |                            |
| <  |                             |     |                            |
| td |                             |     |                            |
| >5 |                             |     |                            |
| 56 |                             |     |                            |
| 0< |                             |     |                            |
| /t |                             |     |                            |
| d> |                             |     |                            |
| <t |                             |     |                            |
| d> |                             |     |                            |
| UL |                             |     |                            |
| CE |                             |     |                            |
| RA |                             |     |                            |
| TI |                             |     |                            |
| VE |                             |     |                            |
| C  |                             |     |                            |
| HR |                             |     |                            |
| ON |                             |     |                            |
| IC |                             |     |                            |
| EN |                             |     |                            |
| TE |                             |     |                            |
| RO |                             |     |                            |
| CO |                             |     |                            |
| LI |                             |     |                            |
| TI |                             |     |                            |
| S< |                             |     |                            |
| /t |                             |     |                            |
| d> |                             |     |                            |
| <  |                             |     |                            |
| td |                             |     |                            |
| >5 |                             |     |                            |
| 79 |                             |     |                            |
| 0< |                             |     |                            |
| /t |                             |     |                            |
| d> |                             |     |                            |
| <t |                             |     |                            |
| d> |                             |     |                            |
| CE |                             |     |                            |
| LI |                             |     |                            |
| AC |                             |     |                            |
| DI |                             |     |                            |
| SE |                             |     |                            |
| AS |                             |     |                            |
| E< |                             |     |                            |
| /t |                             |     |                            |
| d> |                             |     |                            |
| <  |                             |     |                            |
| /t |                             |     |                            |
| r> |                             |     |                            |
| <  |                             |     |                            |
| tr |                             |     |                            |
| c  |                             |     |                            |
| la |                             |     |                            |
| ss |                             |     |                            |
| =" |                             |     |                            |
| ev |                             |     |                            |
| en |                             |     |                            |
| "> |                             |     |                            |
| <  |                             |     |                            |
| td |                             |     |                            |
| >5 |                             |     |                            |
| 56 |                             |     |                            |
| 1< |                             |     |                            |
| /t |                             |     |                            |
| d> |                             |     |                            |
| <t |                             |     |                            |
| d> |                             |     |                            |
| UL |                             |     |                            |
| CE |                             |     |                            |
| RA |                             |     |                            |
| TI |                             |     |                            |
| VE |                             |     |                            |
| C  |                             |     |                            |
| HR |                             |     |                            |
| ON |                             |     |                            |
| IC |                             |     |                            |
| IL |                             |     |                            |
| EO |                             |     |                            |
| CO |                             |     |                            |
| LI |                             |     |                            |
| TI |                             |     |                            |
| S< |                             |     |                            |
| /t |                             |     |                            |
| d> |                             |     |                            |
| <  |                             |     |                            |
| td |                             |     |                            |
| >5 |                             |     |                            |
| 79 |                             |     |                            |
| 1< |                             |     |                            |
| /t |                             |     |                            |
| d> |                             |     |                            |
| <t |                             |     |                            |
| d> |                             |     |                            |
| TR |                             |     |                            |
| OP |                             |     |                            |
| IC |                             |     |                            |
| AL |                             |     |                            |
| SP |                             |     |                            |
| RU |                             |     |                            |
| E< |                             |     |                            |
| /t |                             |     |                            |
| d> |                             |     |                            |
| <  |                             |     |                            |
| /t |                             |     |                            |
| r> |                             |     |                            |
| <  |                             |     |                            |
| tr |                             |     |                            |
| cl |                             |     |                            |
| as |                             |     |                            |
| s= |                             |     |                            |
| "o |                             |     |                            |
| dd |                             |     |                            |
| "> |                             |     |                            |
| <  |                             |     |                            |
| td |                             |     |                            |
| >5 |                             |     |                            |
| 56 |                             |     |                            |
| 2< |                             |     |                            |
| /t |                             |     |                            |
| d> |                             |     |                            |
| <t |                             |     |                            |
| d> |                             |     |                            |
| UL |                             |     |                            |
| CE |                             |     |                            |
| RA |                             |     |                            |
| TI |                             |     |                            |
| VE |                             |     |                            |
| C  |                             |     |                            |
| HR |                             |     |                            |
| ON |                             |     |                            |
| IC |                             |     |                            |
| PR |                             |     |                            |
| OC |                             |     |                            |
| TI |                             |     |                            |
| TI |                             |     |                            |
| S< |                             |     |                            |
| /t |                             |     |                            |
| d> |                             |     |                            |
| <  |                             |     |                            |
| td |                             |     |                            |
| >5 |                             |     |                            |
| 79 |                             |     |                            |
| 2< |                             |     |                            |
| /t |                             |     |                            |
| d> |                             |     |                            |
| <  |                             |     |                            |
| td |                             |     |                            |
| >B |                             |     |                            |
| LI |                             |     |                            |
| ND |                             |     |                            |
| LO |                             |     |                            |
| OP |                             |     |                            |
| S  |                             |     |                            |
| YN |                             |     |                            |
| DR |                             |     |                            |
| OM |                             |     |                            |
| E< |                             |     |                            |
| /t |                             |     |                            |
| d> |                             |     |                            |
| <  |                             |     |                            |
| /t |                             |     |                            |
| r> |                             |     |                            |
| <  |                             |     |                            |
| tr |                             |     |                            |
| c  |                             |     |                            |
| la |                             |     |                            |
| ss |                             |     |                            |
| =" |                             |     |                            |
| ev |                             |     |                            |
| en |                             |     |                            |
| "> |                             |     |                            |
| <  |                             |     |                            |
| td |                             |     |                            |
| >5 |                             |     |                            |
| 56 |                             |     |                            |
| 3< |                             |     |                            |
| /t |                             |     |                            |
| d> |                             |     |                            |
| <t |                             |     |                            |
| d> |                             |     |                            |
| UL |                             |     |                            |
| CE |                             |     |                            |
| RA |                             |     |                            |
| TI |                             |     |                            |
| VE |                             |     |                            |
| C  |                             |     |                            |
| HR |                             |     |                            |
| ON |                             |     |                            |
| IC |                             |     |                            |
| PR |                             |     |                            |
| OC |                             |     |                            |
| TO |                             |     |                            |
| SI |                             |     |                            |
| GM |                             |     |                            |
| OI |                             |     |                            |
| DI |                             |     |                            |
| TI |                             |     |                            |
| S< |                             |     |                            |
| /t |                             |     |                            |
| d> |                             |     |                            |
| <  |                             |     |                            |
| td |                             |     |                            |
| >5 |                             |     |                            |
| 79 |                             |     |                            |
| 3< |                             |     |                            |
| /t |                             |     |                            |
| d> |                             |     |                            |
| <  |                             |     |                            |
| td |                             |     |                            |
| >O |                             |     |                            |
| TH |                             |     |                            |
| ER |                             |     |                            |
| A  |                             |     |                            |
| ND |                             |     |                            |
| U  |                             |     |                            |
| NS |                             |     |                            |
| PE |                             |     |                            |
| CI |                             |     |                            |
| FI |                             |     |                            |
| ED |                             |     |                            |
| PO |                             |     |                            |
| ST |                             |     |                            |
| SU |                             |     |                            |
| RG |                             |     |                            |
| IC |                             |     |                            |
| AL |                             |     |                            |
| NO |                             |     |                            |
| NA |                             |     |                            |
| BS |                             |     |                            |
| OR |                             |     |                            |
| PT |                             |     |                            |
| IO |                             |     |                            |
| N< |                             |     |                            |
| /t |                             |     |                            |
| d> |                             |     |                            |
| <  |                             |     |                            |
| /t |                             |     |                            |
| r> |                             |     |                            |
| <  |                             |     |                            |
| tr |                             |     |                            |
| cl |                             |     |                            |
| as |                             |     |                            |
| s= |                             |     |                            |
| "o |                             |     |                            |
| dd |                             |     |                            |
| "> |                             |     |                            |
| <  |                             |     |                            |
| td |                             |     |                            |
| >5 |                             |     |                            |
| 56 |                             |     |                            |
| 4< |                             |     |                            |
| /t |                             |     |                            |
| d> |                             |     |                            |
| <  |                             |     |                            |
| td |                             |     |                            |
| >P |                             |     |                            |
| SE |                             |     |                            |
| UD |                             |     |                            |
| OP |                             |     |                            |
| OL |                             |     |                            |
| YP |                             |     |                            |
| OS |                             |     |                            |
| IS |                             |     |                            |
| OF |                             |     |                            |
| CO |                             |     |                            |
| LO |                             |     |                            |
| N< |                             |     |                            |
| /t |                             |     |                            |
| d> |                             |     |                            |
| <  |                             |     |                            |
| td |                             |     |                            |
| >5 |                             |     |                            |
| 79 |                             |     |                            |
| 4< |                             |     |                            |
| /t |                             |     |                            |
| d> |                             |     |                            |
| <t |                             |     |                            |
| d> |                             |     |                            |
| PA |                             |     |                            |
| NC |                             |     |                            |
| RE |                             |     |                            |
| AT |                             |     |                            |
| IC |                             |     |                            |
| ST |                             |     |                            |
| EA |                             |     |                            |
| TO |                             |     |                            |
| RR |                             |     |                            |
| HE |                             |     |                            |
| A< |                             |     |                            |
| /t |                             |     |                            |
| d> |                             |     |                            |
| <  |                             |     |                            |
| /t |                             |     |                            |
| r> |                             |     |                            |
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| tr |                             |     |                            |
| c  |                             |     |                            |
| la |                             |     |                            |
| ss |                             |     |                            |
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| ev |                             |     |                            |
| en |                             |     |                            |
| "> |                             |     |                            |
| <  |                             |     |                            |
| td |                             |     |                            |
| >5 |                             |     |                            |
| 56 |                             |     |                            |
| 5< |                             |     |                            |
| /t |                             |     |                            |
| d> |                             |     |                            |
| <t |                             |     |                            |
| d> |                             |     |                            |
| LE |                             |     |                            |
| FT |                             |     |                            |
| -S |                             |     |                            |
| ID |                             |     |                            |
| ED |                             |     |                            |
| UL |                             |     |                            |
| CE |                             |     |                            |
| RA |                             |     |                            |
| TI |                             |     |                            |
| VE |                             |     |                            |
| C  |                             |     |                            |
| HR |                             |     |                            |
| ON |                             |     |                            |
| IC |                             |     |                            |
| CO |                             |     |                            |
| LI |                             |     |                            |
| TI |                             |     |                            |
| S< |                             |     |                            |
| /t |                             |     |                            |
| d> |                             |     |                            |
| <  |                             |     |                            |
| td |                             |     |                            |
| >5 |                             |     |                            |
| 79 |                             |     |                            |
| 8< |                             |     |                            |
| /t |                             |     |                            |
| d> |                             |     |                            |
| <  |                             |     |                            |
| td |                             |     |                            |
| >O |                             |     |                            |
| TH |                             |     |                            |
| ER |                             |     |                            |
| S  |                             |     |                            |
| PE |                             |     |                            |
| CI |                             |     |                            |
| FI |                             |     |                            |
| ED |                             |     |                            |
| IN |                             |     |                            |
| TE |                             |     |                            |
| ST |                             |     |                            |
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| AL |                             |     |                            |
| MA |                             |     |                            |
| LA |                             |     |                            |
| BS |                             |     |                            |
| OR |                             |     |                            |
| PT |                             |     |                            |
| IO |                             |     |                            |
| N< |                             |     |                            |
| /t |                             |     |                            |
| d> |                             |     |                            |
| <  |                             |     |                            |
| /t |                             |     |                            |
| r> |                             |     |                            |
| <  |                             |     |                            |
| tr |                             |     |                            |
| cl |                             |     |                            |
| as |                             |     |                            |
| s= |                             |     |                            |
| "o |                             |     |                            |
| dd |                             |     |                            |
| "> |                             |     |                            |
| <  |                             |     |                            |
| td |                             |     |                            |
| >5 |                             |     |                            |
| 56 |                             |     |                            |
| 6< |                             |     |                            |
| /t |                             |     |                            |
| d> |                             |     |                            |
| <  |                             |     |                            |
| td |                             |     |                            |
| >U |                             |     |                            |
| NI |                             |     |                            |
| VE |                             |     |                            |
| RS |                             |     |                            |
| AL |                             |     |                            |
| UL |                             |     |                            |
| CE |                             |     |                            |
| RA |                             |     |                            |
| TI |                             |     |                            |
| VE |                             |     |                            |
| C  |                             |     |                            |
| HR |                             |     |                            |
| ON |                             |     |                            |
| IC |                             |     |                            |
| CO |                             |     |                            |
| LI |                             |     |                            |
| TI |                             |     |                            |
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| /t |                             |     |                            |
| d> |                             |     |                            |
| <  |                             |     |                            |
| td |                             |     |                            |
| >5 |                             |     |                            |
| 79 |                             |     |                            |
| 9< |                             |     |                            |
| /t |                             |     |                            |
| d> |                             |     |                            |
| <  |                             |     |                            |
| td |                             |     |                            |
| >U |                             |     |                            |
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| PE |                             |     |                            |
| CI |                             |     |                            |
| FI |                             |     |                            |
| ED |                             |     |                            |
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| TE |                             |     |                            |
| ST |                             |     |                            |
| IN |                             |     |                            |
| AL |                             |     |                            |
| MA |                             |     |                            |
| LA |                             |     |                            |
| BS |                             |     |                            |
| OR |                             |     |                            |
| PT |                             |     |                            |
| IO |                             |     |                            |
| N< |                             |     |                            |
| /t |                             |     |                            |
| d> |                             |     |                            |
| <  |                             |     |                            |
| /t |                             |     |                            |
| r> |                             |     |                            |
| <  |                             |     |                            |
| tr |                             |     |                            |
| c  |                             |     |                            |
| la |                             |     |                            |
| ss |                             |     |                            |
| =" |                             |     |                            |
| ev |                             |     |                            |
| en |                             |     |                            |
| "> |                             |     |                            |
| <  |                             |     |                            |
| td |                             |     |                            |
| >5 |                             |     |                            |
| 56 |                             |     |                            |
| 8< |                             |     |                            |
| /t |                             |     |                            |
| d> |                             |     |                            |
| <  |                             |     |                            |
| td |                             |     |                            |
| >O |                             |     |                            |
| TH |                             |     |                            |
| ER |                             |     |                            |
| UL |                             |     |                            |
| CE |                             |     |                            |
| RA |                             |     |                            |
| TI |                             |     |                            |
| VE |                             |     |                            |
| CO |                             |     |                            |
| LI |                             |     |                            |
| TI |                             |     |                            |
| S< |                             |     |                            |
| /t |                             |     |                            |
| d> |                             |     |                            |
| <t |                             |     |                            |
| d> |                             |     |                            |
| <u |                             |     |                            |
| l> |                             |     |                            |
| <  |                             |     |                            |
| li |                             |     |                            |
| >< |                             |     |                            |
| /l |                             |     |                            |
| i> |                             |     |                            |
| </ |                             |     |                            |
| ul |                             |     |                            |
| >< |                             |     |                            |
| /t |                             |     |                            |
| d> |                             |     |                            |
| <t |                             |     |                            |
| d> |                             |     |                            |
| <u |                             |     |                            |
| l> |                             |     |                            |
| <  |                             |     |                            |
| li |                             |     |                            |
| >< |                             |     |                            |
| /l |                             |     |                            |
| i> |                             |     |                            |
| </ |                             |     |                            |
| ul |                             |     |                            |
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| /t |                             |     |                            |
| d> |                             |     |                            |
| <  |                             |     |                            |
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| tb |                             |     |                            |
| od |                             |     |                            |
| y> |                             |     |                            |
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|    |                             |     |                            |
| *  |                             |     |                            |
| IC |                             |     |                            |
| D- |                             |     |                            |
| 9- |                             |     |                            |
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| ac |                             |     |                            |
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| d  |                             |     |                            |
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| c  |                             |     |                            |
| od |                             |     |                            |
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|    |                             |     |                            |
|    |                             |     |                            |
| -- |                             |     |                            |
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| -  |                             |     |                            |
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| -  |                             |     |                            |
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|    |                             |     |                            |
| 00 |                             |     |                            |
| 30 |                             |     |                            |
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|    |                             |     |                            |
| SA |                             |     |                            |
| LM |                             |     |                            |
| ON |                             |     |                            |
| EL |                             |     |                            |
| LA |                             |     |                            |
|    |                             |     |                            |
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| 75 |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
| CY |                             |     |                            |
| CL |                             |     |                            |
| OS |                             |     |                            |
| PO |                             |     |                            |
| RI |                             |     |                            |
| AS |                             |     |                            |
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|    |                             |     |                            |
|    |                             |     |                            |
|    |                             |     |                            |
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| ST |                             |     |                            |
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| EN |                             |     |                            |
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|  0 |                             |     |                            |
| 04 |                             |     |                            |
| 0  |                             |     |                            |
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| HI |                             |     |                            |
| GE |                             |     |                            |
| LL |                             |     |                            |
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+----+-----------------------------+-----+----------------------------+

+----+-----------------------------+-----+----------------------------+
| #  |                             |     |                            |
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+----+-----------------------------+-----+----------------------------+
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| ): |                             |     |                            |
+----+-----------------------------+-----+----------------------------+
| 54 | AC APPEND W PERITONITIS     | 5   | ABSCESS OF APPENDIX        |
| 00 |                             | 401 |                            |
+----+-----------------------------+-----+----------------------------+
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+----+-----------------------------+-----+----------------------------+
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| D- |                             |     |                            |
| 9- |                             |     |                            |
| CM |                             |     |                            |
| ap |                             |     |                            |
| pe |                             |     |                            |
| nd |                             |     |                            |
| ic |                             |     |                            |
| it |                             |     |                            |
| is |                             |     |                            |
| d  |                             |     |                            |
| ia |                             |     |                            |
| gn |                             |     |                            |
| os |                             |     |                            |
| is |                             |     |                            |
| co |                             |     |                            |
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| s* |                             |     |                            |
| (  |                             |     |                            |
| po |                             |     |                            |
| pu |                             |     |                            |
| la |                             |     |                            |
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| on |                             |     |                            |
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| ): |                             |     |                            |
+----+-----------------------------+-----+----------------------------+
| 54 | AC APPEND W PERITONITIS     | 5   | ACUTE APPENDICITIS NOS     |
| 00 |                             | 409 |                            |
+----+-----------------------------+-----+----------------------------+
| 54 | ABSCESS OF APPENDIX         | 541 | APPENDICITIS NOS           |
| 01 |                             |     |                            |
+----+-----------------------------+-----+----------------------------+

+-----------------------------------------------------------------------+
| ### Urinary Tract Infection Admission Rate (PDI 18)                   |
+=======================================================================+
| **Numerator:**                                                        |
|                                                                       |
| > All non-maternal discharges ages 3 months to 17 years with ICD-9-CM |
| > principal diagnosis code of urinary tract infection.                |
|                                                                       |
| *ICD-9-CM urinary tract 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:                                                        |
|                                                                       |
| -   transfer from other institution                                   |
|                                                                       |
| -   with diagnosis code of kidney/urinary tract disorder              |
|                                                                       |
| -   with diagnosis code of high- or intermediate-risk                 |
|     immunocompromised state                                           |
|                                                                       |
| -   age less than or equal to 90 days (or neonates if age in days is  |
|     missing)                                                          |
|                                                                       |
| -   MDC 14 (pregnancy, childbirth, and puerperium)                    |
|                                                                       |
| > See [Appendix C: ICD-9-CM Codes for Immunocompromised               |
| > States](#_Appendix_D:__ICD-9-CM_Codes_for_Imm)                      |
| >                                                                     |
| > See [Appendix D : ICD-9-CM Codes for Intermediate-risk              |
| > Immunocompromised States](#_Appendix_E:__Cancer_Codes)              |
| >                                                                     |
| > Control-click (Word) or click (PDF) to view the Appendix. Links are |
| > provided to return to the PDI detailed definition.                  |
|                                                                       |
| *ICD-9-CM kidney/urinary tract disorder diagnosis codes*              |
|                                                                       |
|   --                                                                  |
| ----- ---------------------------- ------- -------------------------- |
|                                                                       |
|  59370   VESCOURETRL RFLUX UNSPCF     75317   MEDULLARY SPONGE KIDNEY |
|                                                                       |
|                                                                       |
| 59371   VESICOURETERAL REFLUX        75319   CYSTIC KIDNEY DISEAS NEC |
|           UNILTRL                                                     |
|                                                                       |
|                                                                       |
| 59372   VESICOURETERAL REFLUX NPHT   75320   OBS DFCT REN PLV&URT NOS |
|           BLTRL                                                       |
|                                                                       |
|                                                                       |
| 59373   VESICOURETERAL REFLUX W NPHT 75321   CONGEN OBST URTROPLV JNC |
|           NOS                                                         |
|                                                                       |
|                                                                       |
| 7530    RENAL AGENESIS               75322   CONG OBST URETEROVES JNC |
|                                                                       |
|   75310   CYSTIC KIDNEY DISEAS NOS     75323   CONGENITAL URETEROCELE |
|                                                                       |
|                                                                       |
| 75311   CONGENITAL RENAL CYST        75329   OBST DEF REN PLV&URT NEC |
|                                                                       |
|   75312   POLYCYSTIC KIDNEY NOS        7533    KIDNEY ANOMALY NEC     |
|                                                                       |
|   75313   POLYCYST KID-AUTOSOM DOM     7534    URETERAL ANOMALY NEC   |
|                                                                       |
|   75314   POLYCYST KID-AUTOSOM REC     7535    EXSTROPHY OF URNIARY   |
|                                                BLADDER                |
|                                                                       |
|                                                                       |
|  75315   RENAL DYSPLASIA              7536    ATRESIA AND STENOSIS OF |
|                                                                       |
|                                              URETHRA AND BLADDER NECK |
|                                                                       |
|   75316   MEDULLARY CYSTIC KIDNEY      7538    CYSTOURETHRAL ANOM NEC |
|                                                                       |
|                                        7539    URINARY ANOMALY NOS    |
|                                                                       |
|                                                                       |
|                                                                       |
|                                                                       |
|   --                                                                  |
| ----- ---------------------------- ------- -------------------------- |
+-----------------------------------------------------------------------+
| **Denominator:**                                                      |
|                                                                       |
| > Population in Metro Area or county ages 3 months to 17 years.       |
+-----------------------------------------------------------------------+

####### 

######### Appendix A: Operating Room Procedure Codes {#appendix-a-operating-room-procedure-codes .unnumbered}

These codes are used by the following PDIs:

  ------------------------------------------------- -----------------------------
  **PDI**                                           **How Used**

  [Decubitus Ulcer (PDI                             [Denominator
  2)](#decubitus-ulcer-pdi-2)- Page                 exclusion](#pedqi2) - Page
  [21](#decubitus-ulcer-pdi-2)                      [21](#pedqi2)

  [Postoperative Hemorrhage or Hematoma (PDI        [Denominator
  8)](#_Postoperative_Hemorrhage_or_Hematom)- Page  inclusion](#pedqi08denom) -
  [35](#_Ref127612599)                              Page [36](#pedqi08denom)

  [Postoperative Respiratory Failure (PDI           [Denominator
  9)](#postoperative-respiratory-failure-pdi-9) -   inclusion](#pedqi09denom) -
  Page                                              Page [37](#pedqi09denom)
  [37](#postoperative-respiratory-failure-pdi-9)    

  [Postoperative Sepsis (PDI                        [Denominator
  10)](#_Postoperative_Sepsis_(Ped_QI_10)) - Page   inclusion](#PedQI10Denom) -
  [38](#_Ref127612625)                              Page [38](#PedQI10Denom)
  ------------------------------------------------- -----------------------------

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

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

  ---------- ------------------------------------------------------------
  0044       PROC-VESSEL BIFURCATION OCT06-

  0050       IMPL CRT PACEMAKER SYS

  0051       IMPL CRT DEFIBRILLAT SYS

  0052       IMP/REP LEAD LF VEN SYS

  0053       IMP/REP CRT PACEMAKR GEN

  0054       IMP/REP CRT DEFIB GENAT

  0056       INS/REP IMPL SENSOR LEAD OCT06-

  0057       IMP/REP SUBCUE CARD DEV OCT06-

  0061       PERC ANGIO PRECEREB VES OCT04-

  0062       PERC ANGIO INTRACRAN VES OCT04-

  0066       PTCA OR CORONARY ATHER OCT05-

  0070       REV HIP REPL-ACETAB/FEM OCT05-

  0071       REV HIP REPL-ACETAB COMP OCT05-

  0072       REV HIP REPL-FEM COMP OCT05-

  0073       REV HIP REPL-LINER/HEAD OCT05-

  0074       HIP REPL SURF-METAL/POLY OCT05-

  0075       HIP REP SURF-METAL/METAL OCT05-

  0076       HIP REP SURF-CERMC/CERMC OCT05-

  0077       HIP REPL SURF-CERMC/POLY OCT06-

  0080       REV KNEE REPLACEMT-TOTAL OCT05-

  0081       REV KNEE REPL-TIBIA COMP OCT05-

  0082       REV KNEE REPL-FEMUR COMP OCT05-

  0083       REV KNEE REPLACE-PATELLA OCT05-

  0084       REV KNEE REPL-TIBIA LIN OCT05-

  0085       RESRF HIPTOTAL-ACET/FEM OCT06-

  0086       RESRF HIPPART-FEM HEAD OCT06-

  0087       RESRF HIPPART-ACETABLUM OCT06-

  0112       OPEN CEREB MENINGES BX

  0114       OPEN BRAIN BIOPSY

  0115       SKULL BIOPSY

  0118       OTHER BRAIN DX PROCEDURE

  0119       OTHER SKULL DX PROCEDURE

  0121       CRANIAL SINUS I & D

  0122       REMOV INTRACRAN STIMULAT

  0123       REOPEN CRANIOTOMY SITE

  0124       OTHER CRANIOTOMY

  0125       OTHER CRANIECTOMY

  0126       INS CATH-CRANIAL CAVITY OCT05-

  0127       REM CATH-CRANIAL CAVITY OCT05-

  0128       INTRACEREB CTH-BURR HOLE OCT06-

  0131       INCISE CEREBRAL MENINGES

  0132       LOBOTOMY & TRACTOTOMY

  0139       OTHER BRAIN INCISION

  0141       THALAMUS OPERATIONS

  0142       GLOBUS PALLIDUS OPS

  0151       EX CEREB MENINGEAL LES

  0152       HEMISPHERECTOMY

  0153       BRAIN LOBECTOMY

  0159       OTHER BRAIN EXCISION

  016        EXCISE SKULL LESION

  0201       LINEAR CRANIECTOMY

  0202       ELEVATE SKULL FX FRAGMNT

  0203       SKULL FLAP FORMATION

  0204       BONE GRAFT TO SKULL

  0205       SKULL PLATE INSERTION

  0206       CRANIAL OSTEOPLASTY NEC

  0207       SKULL PLATE REMOVAL

  0211       SIMPLE SUTURE OF DURA

  0212       BRAIN MENINGE REPAIR NEC

  0213       MENINGE VESSEL LIGATION

  0214       CHOROID PLEXECTOMY

  022        VENTRICULOSTOMY

  0231       VENTRICL SHUNT-HEAD/NECK

  0232       VENTRI SHUNT-CIRCULA SYS

  0233       VENTRICL SHUNT-THORAX

  0234       VENTRICL SHUNT-ABDOMEN

  0235       VENTRI SHUNT-UNINARY SYS

  0239       OTHER VENTRICULAR SHUNT

  0242       REPLACE VENTRICLE SHUNT

  0243       REMOVE VENTRICLE SHUNT

  0291       LYSIS CORTICAL ADHESION

  0292       BRAIN REPAIR

  0293       IMPLANT BRAIN STIMULATOR

  0294       INSERT/REPLAC SKULL TONG

  0299       SKULL & BRAIN OP NEC

  0301       REMOVAL FB SPINAL CANAL

  0302       REOPEN LAMINECTOMY SITE

  0309       SPINAL CANAL EXPLOR NEC

  031        INTRASPIN NERVE ROOT DIV

  0321       PERCUTANEOUS CHORDOTOMY

  0329       OTHER CHORDOTOMY

  0332       SPINAL CORD/MENINGES BX

  0339       OTHER SPINAL DX PROC

  034        EXCIS SPINAL CORD LESION

  0351       SPINE MENINGOCELE REPAIR

  0352       MYELOMENINGOCEL REPAIR

  0353       VERTEBRAL FX REPAIR

  0359       SPINAL STRUCT REPAIR NEC

  036        SPINAL CORD ADHESIOLYSIS

  0371       SUBARACH-PERITON SHUNT

  0372       SUBARACH-URETERAL SHUNT

  0379       OTH SPINAL THECAL SHUNT

  0393       INSERT SPINAL STIMULATOR

  0394       REMOVE SPINAL STIMULATOR

  0397       REVISE SPINE THECA SHUNT

  0398       REMOVE SPINE THECA SHUNT

  0399       SPINE CANAL STRUC OP NEC

  0401       EXCISION ACOUSTC NEUROMA

  0402       TRIGEMINAL NERV DIVISION

  0403       PERIPH NERVE DIV NEC

  0404       PERIPH NERVE INCIS NEC

  0405       GASSERIAN GANGLIONECTOMY

  0406       PERIPH GANGLIONECT NEC

  0407       PERIPH NERV EXCISION NEC

  0412       OPEN PERIPH NERVE BIOPSY

  0419       PERIPH NERVE DX PROC NEC

  043        PERIPHERAL NERVE SUTURE

  0441       DECOMPRESS TRIGEM ROOT

  0442       CRAN NERV ROOT DECOM NEC

  0443       CARPAL TUNNEL RELEASE

  0444       TARSAL TUNNEL RELEASE

  0449       PER NERVE ADHESIOLYS NEC

  045        PERIPHERAL NERVE GRAFT

  046        PERIPH NERVE TRANSPOSIT

  0471       HYPOGLOSS-FACIAL ANASTOM

  0472       ACCESSORY-FACIAL ANASTOM

  0473       ACCESS-HYPOGLOSS ANASTOM

  0474       PERIPH NERV ANASTOM NEC

  0475       POSTOP REVIS PER NERV OP

  0476       LATE REPAIR PER NERV INJ

  0479       OTHER NEUROPLASTY

  0491       NEURECTASIS

  0492       IMPLANT PERIPH STIMULAT

  0493       REMOVE PERIPH STIMULATOR

  0499       PERIPHERAL NERVE OPS NEC

  050        SYMPATH NERVE DIVISION

  0511       SYMPATHETIC NERVE BIOPSY

  0519       SYMPATH NRV DX PROC NEC

  0521       SPHENOPALATIN GANGLIONEC

  0522       CERVICAL SYMPATHECTOMY

  0523       LUMBAR SYMPATHECTOMY

  0524       PRESACRAL SYMPATHECTOMY

  0525       PERIART SYMPATHECTOMY

  0529       OTHER SYMPATHECTOMY

  0581       SYMPATHETIC NERVE REPAIR

  0589       SYMPATHETIC NERVE OP NEC

  059        OTHER NERVOUS SYSTEM OPS

  0602       REOPEN THYROID FIELD WND

  0609       INCIS THYROID FIELD NEC

  0612       OPEN THYROID GLAND BX

  0613       PARATHYROID BIOPSY

  0619       THYR/PARATHY DX PROC NEC

  062        UNILAT THYROID LOBECTOMY

  0631       EXCISION THYROID LESION

  0639       PART THYROIDECTOMY NEC

  064        COMPLETE THYROIDECTOMY

  0650       SUBSTERN THYROIDECT NOS

  0651       PART SUBSTERN THYROIDECT

  0652       TOT SUBSTERN THYROIDECT

  066        LINGUAL THYROID EXCISION

  067        THYROGLOSS DUCT EXCISION

  0681       TOTAL PARATHYROIDECTOMY

  0689       OTHER PARATHYROIDECTOMY

  0691       THYROID ISTHMUS DIVISION

  0692       THYROID VESSEL LIGATION

  0693       THYROID SUTURE

  0694       THYROID REIMPLANTATION

  0695       PARATHYROID REIMPLANT

  0698       OTHER THYROID OPERATIONS

  0699       OTHER PARATHYROID OPS

  0700       ADRENAL EXPLORATION NOS

  0701       UNILAT ADRENAL EXPLORAT

  0702       BILAT ADRENAL EXPLORAT

  0712       OPEN ADRENAL GLAND BX

  0713       TRANSFRONT PITUITARY BX

  0714       TRANSPHEN PITUITARY BX

  0715       PITUITARY BIOPSY NOS

  0716       THYMUS BIOPSY

  0717       PINEAL BIOPSY

  0719       ENDOCRINE DX PROC NEC

  0721       ADRENAL LESION EXCISION

  0722       UNILATERAL ADRENALECTOMY

  0729       PART ADRENALECTOMY NEC

  073        BILATERAL ADRENALECTOMY

  0741       ADRENAL INCISION

  0742       ADRENAL NERVE DIVISION

  0743       ADRENAL VESSEL LIGATION

  0744       ADRENAL REPAIR

  0745       ADRENAL REIMPLANTATION

  0749       ADRENAL OPERATION NEC

  0751       PINEAL FIELD EXPLORATION

  0752       PINEAL GLAND INCISION

  0753       PARTIAL PINEALECTOMY

  0754       TOTAL PINEALECTOMY

  0759       PINEAL OPERATION NEC

  0761       EXC PITUIT LES-TRANSFRON

  0762       EXC PITUIT LES-TRANSPHEN

  0763       PART EXCIS PITUITARY NOS

  0764       TOT EXC PITUIT-TRANSFRON

  0765       TOT EXC PITUIT-TRANSPHEN

  0768       TOTAL EXC PITUITARY NEC

  0769       TOTAL EXC PITUITARY NOS

  0771       PITUITARY FOSSA EXPLORAT

  0772       PITUITARY GLAND INCISION

  0779       PITUITARY OPERATION NEC

  0780       THYMECTOMY NOS

  0781       PART EXCISION OF THYMUS

  0782       TOTAL EXCISION OF THYMUS

  0791       THYMUS FIELD EXPLORATION

  0792       INCISION OF THYMUS

  0793       REPAIR OF THYMUS

  0794       THYMUS TRANSPLANTATION

  0799       THYMUS OPERATION NEC

  0811       EYELID BIOPSY

  0820       REMOVE EYELID LESION NOS

  0821       CHALAZION EXCISION

  0822       EXCISE MINOR LES LID NEC

  0823       EXC MAJ LES LID PRT-THIC

  0824       EXC MAJ LES LID FUL-THIC

  0825       DESTRUCTION LID LESION

  0831       PTOSIS REP-FRONT MUS SUT

  0832       PTOSIS REP-FRON MUS SLNG

  0833       PTOSIS REP-LEVAT MUS ADV

  0834       PTOSIS REP-LEVAT MUS NEC

  0835       PTOS REP-TARSAL TECHNIQ

  0836       BLEPHAROPTOS REPAIR NEC

  0837       REDUC OVERCORRECT PTOSIS

  0838       CORRECT LID RETRACTION

  0841       THERMOCAUT/ENTROPION REP

  0842       SUTURE ENTROPION REPAIR

  0843       WEDG RESEC ENTROPION REP

  0844       LID RECONS ENTROPION REP

  0849       ENTROPION/ECTROP REP NEC

  0851       CANTHOTOMY

  0852       BLEPHARORRHAPHY

  0859       ADJUST LID POSITION NEC

  0861       LID RECONST W SKIN GRAFT

  0862       LID RECONST W MUC GRAFT

  0863       LID RECONST W HAIR GRAFT

  0864       LID RECON-TARSOCONJ FLAP

  0869       LID RECONSTR W GRAFT NEC

  0870       LID RECONSTRUCTION NOS

  0871       LID MARG RECON-PART THIC

  0872       LID RECONS-PART THIC NEC

  0873       LID MARG RECONS FUL THIC

  0874       LID RECONST-FUL THIC NEC

  0891       ELECTROSURG LID EPILAT

  0892       CRYOSURG LID EPILATION

  0893       EYELID EPILATION NEC

  0899       EYELID OPERATION NEC

  090        LACRIMAL GLAND INCISION

  0911       LACRIMAL GLAND BIOPSY

  0912       LACRIMAL SAC BIOPSY

  0919       LACRIMAL SYS DX PROC NEC

  0920       EXC LACRIMAL GLAND NOS

  0921       EXCIS LES LACRIMAL GLAND

  0922       PART DACRYOADENECT NEC

  0923       TOTAL DACRYOADENECTOMY

  093        OTHER LACRIMAL GLAND OPS

  0941       LACRIMAL PUNCTUM PROBE

  0942       LAC CANALICULI PROBE

  0943       NASOLACRIMAL DUCT PROBE

  0944       NASOLAC DUCT INTUBAT

  0949       LAC PASSAGE MANIP NEC

  0951       LAC PUNCTUM INCISION

  0952       LAC CANALICULI INCISION

  0953       LACRIMAL SAC INCISION

  0959       LACRIM PASSAGE INCIS NEC

  096        LACRIM SAC/PASSAGE EXCIS

  0971       CORRECT EVERTED PUNCTUM

  0972       PUNCTUM REPAIR NEC

  0973       CANALICULUS REPAIR

  0981       DACRYOCYSTORHINOSTOMY

  0982       CONJUNCTIVOCYSTORHINOST

  0983       CONJUNCTIVORHINOS W TUBE

  0991       LAC PUNCTUM OBLITERATION

  0999       LACRIMAL SYSTEM OP NEC

  100        INCISE/REMOV CONJUNCT FB

  101        CONJUNCTIVA INCISION NEC

  1021       CONJUNCTIVAL BIOPSY

  1029       CONJUNCTIVA DX PROC NEC

  1031       EXCISE CONJUNCTIV LESION

  1032       DESTRUCT CONJUNC LES NEC

  1033       OTH CONJUNC DESTRUC PROC

  1041       SYMBLEPH REP W FREE GRFT

  1042       GRAFT CONJUNC CUL-DE-SAC

  1043       CONJUN CUL-DE-SAC RX NEC

  1044       CONJUNC FREE GRAFT NEC

  1049       CONJUNCTIVOPLASTY NEC

  105        CONJUNC/LID ADHESIOLYSIS

  106        REPAIR CONJUNCT LACERAT

  1091       SUBCONJUNCTIVAL INJECT

  1099       CONJUNCTIVAL OP NEC

  110        MAGNET REMOVAL CORNEA FB

  111        CORNEAL INCISION

  1121       CORNEAL SCRAPE FOR SMEAR

  1122       CORNEAL BIOPSY

  1129       CORNEAL DX PROC NEC

  1131       PTERYGIUM TRANSPOSITION

  1132       PTERYG EXC W CORNEA GRFT

  1139       PTERYGIUM EXCISION NEC

  1141       MECH REMOV CORNEA EPITH

  1142       THERMOCAUT CORNEA LESION

  1143       CRYOTHERAP CORNEA LESION

  1149       DESTRUCT CORNEA LES NEC

  1151       SUTURE CORNEA LACERATION

  1152       REP CORNEA POSTOP DEHISC

  1153       RX CORNEA LAC W CONJ FLP

  1159       CORNEAL REPAIR NEC

  1160       CORNEAL TRANSPLANT NOS

  1161       LAM KERATPLAST W AUTGRFT

  1162       LAMELLAR KERATOPLAST NEC

  1163       PERF KERATOPL W AUTOGRFT

  1164       PERFORAT KERATOPLAST NEC

  1169       CORNEAL TRANSPLANT NEC

  1171       KERATOMILEUSIS

  1172       KERATOPHAKIA

  1173       KERATOPROSTHESIS

  1174       THERMOKERATOPLASTY

  1175       RADIAL KERATOTOMY

  1176       EPIKERATOPHAKIA

  1179       CORNEA RECONSTRUCT NEC

  1191       CORNEAL TATTOOING

  1192       REMOVE CORNEAL IMPLANT

  1199       CORNEAL OPERATION NEC

  1200       REMOV ANT SEGMNT FB NOS

  1201       MAGNET REMOV ANT SEG FB

  1202       NONMAG REMOV ANT SEG FB

  1211       IRIDOTOMY W TRANSFIXION

  1212       IRIDOTOMY NEC

  1213       PROLAPSED IRIS EXCISION

  1214       IRIDECTOMY NEC

  1221       DX ASPIRAT-ANT CHAMBER

  1222       IRIS BIOPSY

  1229       ANT SEGMENT DX PROC NEC

  1231       GONIOSYNECHIAE LYSIS

  1232       ANT SYNECHIA LYSIS NEC

  1233       POST SYNECHIAE LYSIS

  1234       CORNEOVITREAL ADHESIOLYS

  1235       COREOPLASTY

  1239       IRIDOPLASTY NEC

  1240       REMOV ANT SEGMNT LES NOS

  1241       NONEXC DESTRUC IRIS LES

  1242       EXCISION OF IRIS LESION

  1243       NONEXC DESTR CIL BOD LES

  1244       EXCISE CILIARY BODY LES

  1251       GONIOPUNCTURE

  1252       GONIOTOMY

  1253       GONIOTOMY W GONIOPUNCTUR

  1254       TRABECULOTOMY AB EXTERNO

  1255       CYCLODIALYSIS

  1259       FACILIT INTRAOC CIRC NEC

  1261       TREPHIN SCLERA W IRIDECT

  1262       THERMCAUT SCLER W IRIDEC

  1263       IRIDENCLEISIS/IRIDOTASIS

  1264       TRABECULECTOM AB EXTERNO

  1265       SCLER FISTULIZ W IRIDECT

  1266       POSTOP REVIS SCL FISTUL

  1269       SCLER FISTULIZING OP NEC

  1271       CYCLODIATHERMY

  1272       CYCLOCRYOTHERAPY

  1273       CYCLOPHOTOCOAGULATION

  1274       CIL BODY DIMINUTION NOS

  1279       GLAUCOMA PROCEDURE NEC

  1281       SUTURE SCLERAL LACER

  1282       SCLERAL FISTULA REPAIR

  1283       REVIS ANT SEG OP WND NEC

  1284       DESTRUCT SCLERAL LESION

  1285       REPAIR STAPHYLOM W GRAFT

  1286       REP SCLER STAPHYLOMA NEC

  1287       GRAFT REINFORCE SCLERA

  1288       SCLERA REINFORCEMENT NEC

  1289       SCLERAL OPERATION NEC

  1291       THERAPEUT EVAC ANT CHAMB

  1292       ANTERIOR CHAMBER INJECT

  1293       REMOV EPITHEL DOWNGROWTH

  1297       IRIS OPERATION NEC

  1298       CILIARY BODY OP NEC

  1299       ANTERIOR CHAMBER OP NEC

  1300       REMOVE FB LENS NOS

  1301       MAGNET REMOVE FB LENS

  1302       NONMAGNET REMOVE FB LENS

  1311       TEMP-INF INTRCAP LENS EX

  1319       INTRACAPSUL LENS EXT NEC

  132        LINEAR EXTRACAP LENS EXT

  133        SIMPL ASPIR LENS EXTRACT

  1341       CATARAC PHACOEMULS/ASPIR

  1342       POST CATARAC FRAG/ASPIR

  1343       CATARACT FRAG/ASPIR NEC

  1351       TEMP-INF XTRACAP LENS EX

  1359       EXTRACAP LENS EXTRAC NEC

  1361       EXTRACAP LENS EXTRAC NEC

  1362       EXTRACAP LENS EXTRAC NEC

  1363       EXTRACAP LENS EXTRAC NEC

  1364       AFTER-CATAR DISCISSION

  1365       AFTER-CATARACT EXCISION

  1366       AFTER CATAR FRAGMNTATION

  1369       CATARACT EXTRACTION NEC

  1370       INSERT PSEUDOPHAKOS NOS

  1371       INSERT LENS AT CATAR EXT

  1372       SECONDARY INSERT LENS

  138        IMPLANTED LENS REMOVAL

  139        OTHER OPERATIONS ON LENS

  1390       OPERATION ON LENS NEC OCT06-

  1391       IMPL INTRAOC TELESC PROS OCT06-

  1400       REMOV POST SEGMNT FB NOS

  1401       MAGNET REMOV POST SEG FB

  1402       NONMAG REMOV POST SEG FB

  1411       DIAGNOST VITREOUS ASPIR

  1419       DX PROC POST SEG NEC

  1421       CHORIORET LES DIATHERMY

  1422       CHORIORETIN LES CRYOTHER

  1426       CHORIORET LES RADIOTHER

  1427       CHORIORET LES RAD IMPLAN

  1429       CHORIORET LES DESTR NEC

  1431       RETINAL TEAR DIATHERMY

  1432       RETINAL TEAR CRYOTHERAPY

  1439       RETINAL TEAR REPAIR NEC

  1441       SCLERAL BUCKLE W IMPLANT

  1449       SCLERAL BUCKLING NEC

  1451       DETACH RETINA-DIATHERMY

  1452       DETACH RETINA-CRYOTHERAP

  1453       DETACH RETINA XENON COAG

  1454       DETACH RETINA LASER COAG

  1455       DETACH RET PHOTOCOAG NOS

  1459       REPAIR RETINA DETACH NEC

  146        REMOV PROS MAT POST SEG

  1471       ANTERIOR REMOV VITREOUS

  1472       VITREOUS REMOVAL NEC

  1473       ANTERIOR MECHAN VITRECT

  1474       MECH VITRECTOMY NEC

  1475       VITREOUS SUBSTITUT INJEC

  1479       VITREOUS OPERATION NEC

  149        OTHER POST SEGMENT OPS

  1501       EXTRAOC MUSC-TEND BIOPSY

  1509       EXTRAOC MUSC DX PROC NEC

  1511       ONE EXTRAOC MUS RECESS

  1512       1 EXTRAOC MUSCL ADVANCE

  1513       1 EXTRAOC MUSCL RESECT

  1519       XTRAOC MUS OP/DETACH NEC

  1521       LENGTHEN 1 EXTRAOC MUSC

  1522       SHORTEN 1 EXTRAOC MUSC

  1529       OP ON 1 EXTRAOC MUSC NEC

  153        TEMP DETACH \>1 XTROC MUS

  154        OTH OP ON \>L EXTRAOC MUS

  155        EXTRAOCUL MUS TRANSPOSIT

  156        REVIS EXTRAOC MUSC SURG

  157        EXTRAOC MUSC INJ REPAIR

  159        OTH EXTRAOC MUS-TEND OP

  1601       ORBITOTOMY W BONE FLAP

  1602       ORBITOTOMY W IMPLANT

  1609       ORBITOTOMY NEC

  161        REMOVE PENETRAT FB EYE

  1622       DIAGNOSTIC ASP OF ORBIT

  1623       EYEBALL & ORBIT BIOPSY

  1629       EYEBAL/ORBIT DX PROC NEC

  1631       EYE EVISC W SYNCH IMPLAN

  1639       EYEBALL EVISCERATION NEC

  1641       EYE ENUC/IMPLAN/MUSC ATT

  1642       EYE ENUC W IMPLANT NEC

  1649       EYEBALL ENUCLEATION NEC

  1651       RADICAL ORBITOMAXILLECT

  1652       ORBIT EXENT W BONE REMOV

  1659       ORBITAL EXENTERATION NEC

  1661       2NDRY OCULAR IMP INSERT

  1662       REVIS/REINSERT OCUL IMP

  1663       REVIS ENUC SOCKET W GRFT

  1664       ENUC SOCKET REVIS NEC

  1665       2NDRY EXENT CAVITY GRAFT

  1666       REVIS EXENTER CAVITY NEC

  1669       2ND OP POST EYE REM NEC

  1671       REMOVE OCULAR IMPLANT

  1672       REMOVE ORBITAL IMPLANT

  1681       REPAIR OF ORBITAL WOUND

  1682       REPAIR EYEBALL RUPTURE

  1689       EYE/ORBIT INJ REPAIR NEC

  1692       EXCISION ORBITAL LESION

  1693       EXCISION EYE LESION NOS

  1698       OPERATION ON ORBIT NEC

  1699       OPERATION ON EYEBALL NEC

  1821       PREAURICULAR SINUS EXCIS

  1831       RAD EXCIS EXT EAR LES

  1839       EXCIS EXTERNAL EAR NEC

  185        CORRECTION PROMINENT EAR

  186        EXT AUDIT CANAL RECONSTR

  1871       CONSTRUCTION EAR AURICLE

  1872       REATTACH AMPUTATED EAR

  1879       PLASTIC REP EXT EAR NEC

  189        OTHER EXT EAR OPERATIONS

  190        STAPES MOBILIZATION

  1911       STAPEDECT W REPLAC INCUS

  1919       STAPEDECTOMY NEC

  1921       REV STAPDEC W INCUS REPL

  1929       STAPEDECTOMY REVIS NEC

  193        OSSICULAR CHAIN OP NEC

  194        MYRINGOPLASTY

  1952       TYPE 2 TYMPANOPLASTY

  1953       TYPE 3 TYMPANOPLASTY

  1954       TYPE 4 TYMPANOPLASTY

  1955       TYPE 5 TYMPANOPLASTY

  196        TYMPANOPLASTY REVISION

  199        MIDDLE EAR REPAIR NEC

  2001       MYRINGOTOMY W INTUBATION

  2021       MASTOID INCISION

  2022       PETRUS PYRAM AIR CEL INC

  2023       MIDDLE EAR INCISION

  2032       MID & INNER EAR BIOPSY

  2039       MID/IN EAR DX PROC NEC

  2041       SIMPLE MASTOIDECTOMY

  2042       RADICAL MASTOIDECTOMY

  2049       MASTOIDECTOMY NEC

  2051       EXCISE MIDDLE EAR LESION

  2059       MIDDLE EAR EXCISION NEC

  2061       INNER EAR FENESTRATION

  2062       REVIS INNER EAR FENESTRA

  2071       ENDOLYMPHATIC SHUNT

  2072       INNER EAR INJECTION

  2079       INC/EXC/DESTR IN EAR NEC

  2091       TYMPANOSYMPATHECTOMY

  2092       MASTOIDECTOMY REVISION

  2093       REPAIR OVAL/ROUND WINDOW

  2095       ELECMAG HEAR DEV IMPLANT

  2096       IMPLT COCHLEAR PROST NOS

  2097       IMP/REP SCHAN COCH PROS

  2098       IMP/REP MCHAN COCHL PROS

  2099       MID-INNER EAR OPS NEC

  2104       ETHMOID ART LIGAT-EPIST

  2105       MAX ART LIG FOR EPISTAX

  2106       EXT CAROT ART LIG-EPIST

  2107       NASAL SEPT GRFT-EPISTAX

  2109       EPISTAXIS CONTROL NEC

  214        RESECTION OF NOSE

  215        SUBMUC NASAL SEPT RESECT

  2161       DIATHER/CRYO TURBINECTOM

  2162       TURBINATE FRACTURE

  2169       TURBINECTOMY NEC

  2172       OPEN REDUCTION NASAL FX

  2182       NASAL FISTULA CLOSURE

  2183       TOT NASAL RECONSTRUCTION

  2184       REVISION RHINOPLASTY

  2185       AUGMENTATION RHINOPLASTY

  2186       LIMITED RHINOPLASTY

  2187       RHINOPLASTY NEC

  2188       SEPTOPLASTY NEC

  2189       NASAL REPAIR NEC

  2199       NASAL OPERATION NEC

  2212       OPEN BIOPSY NASAL SINUS

  2231       RADICAL MAXILLARY ANTROT

  2239       EXT MAXILLARY ANTROT NEC

  2241       FRONTAL SINUSOTOMY

  2242       FRONTAL SINUSECTOMY

  2250       SINUSOTOMY NOS

  2251       ETHMOIDOTOMY

  2252       SPHENOIDOTOMY

  2253       MULTIPLE SINUS INCISION

  2260       SINUSECTOMY NOS

  2261       C-LUC EXC MAX SINUS LES

  2262       EXC MAX SINUS LESION NEC

  2263       ETHMOIDECTOMY

  2264       SPHENOIDECTOMY

  2271       NASAL SINUS FISTULA CLOS

  2279       NASAL SINUS REPAIR NEC

  229        OTHER NASAL SINUS OPS

  242        GINGIVOPLASTY

  244        EXC OF DENTAL LES OF JAW

  245        ALVEOLOPLASTY

  2502       OPEN BIOPSY OF TONGUE

  251        DESTRUCTION TONGUE LES

  252        PARTIAL GLOSSECTOMY

  253        COMPLETE GLOSSECTOMY

  254        RADICAL GLOSSECTOMY

  2559       REPAIR OF TONGUE NEC

  2594       OTHER GLOSSOTOMY

  2599       TONGUE OPERATION NEC

  2612       OPEN BX SALIV GLAND/DUCT

  2621       SALIVARY CYST MARSUPIAL

  2629       SALIV LESION EXCIS NEC

  2630       SIALOADENECTOMY NOS

  2631       PARTIAL SIALOADENECTOMY

  2632       COMPLETE SIALOADENECTOMY

  2641       SUTURE OF SALIV GLND LAC

  2642       SALIVARY FISTULA CLOSURE

  2649       SALIVARY REPAIR NEC

  2699       SALIVARY OPERATION NEC

  270        DRAIN FACE & MOUTH FLOOR

  271        INCISION OF PALATE

  2721       BONY PALATE BIOPSY

  2722       UVULA AND SOFT PALATE BX

  2731       LOC EXC BONY PALATE LES

  2732       WIDE EXC BONY PALATE LES

  2742       WIDE EXCISION OF LIP LES

  2743       EXCISION OF LIP LES NEC

  2749       EXCISION OF MOUTH NEC

  2753       CLOSURE OF MOUTH FISTULA

  2754       REPAIR OF CLEFT LIP

  2755       FULL-THICK GRFT TO MOUTH

  2756       SKIN GRAFT TO MOUTH NEC

  2757       PEDICLE ATTACH TO MOUTH

  2759       MOUTH REPAIR NEC

  2761       SUTURE OF PALATE LACERAT

  2762       CLEFT PALATE CORRECTION

  2763       REVIS CLEFT PALAT REPAIR

  2769       OTH PLASTIC REPAIR PALAT

  2771       INCISION OF UVULA

  2772       EXCISION OF UVULA

  2773       REPAIR OF UVULA

  2779       OTHER UVULA OPERATIONS

  2792       MOUTH INCISION NOS

  2799       ORAL CAVITY OPS NEC

  280        PERITONSILLAR I & D

  2811       TONSIL&ADENOID BIOPSY

  2819       TONSIL&ADENOID DX OP NEC

  282        TONSILLECTOMY

  283        TONSILLECTOMY/ADENOIDEC

  284        EXCISION OF TONSIL TAG

  285        EXCISION LINGUAL TONSIL

  286        ADENOIDECTOMY

  287        HEMORR CONTRL POST T & A

  2891       INCIS TO REMOV TONSIL FB

  2892       EXCIS TONSIL/ADENOID LES

  2899       TONSIL/ADENOID OPS NEC

  290        PHARYNGOTOMY

  292        EXC BRANCHIAL CLEFT CYST

  293        EXC BRANCHIAL CLEFT CYST

  2931       CRICOPHARYNGEAL MYOTOMY

  2932       PHARYNGEAL DIVERTICULEC

  2933       PHARYNGECTOMY

  2939       EXCIS/DESTR LES PHAR NEC

  294        PLASTIC OP ON PHARYNX

  2951       SUTURE OF PHARYNGEAL LAC

  2952       CLOS BRANCH CLEFT FISTUL

  2953       CLOS PHARYNX FISTULA NEC

  2954       LYSIS PHARYNGEAL ADHES

  2959       PHARYNGEAL REPAIR NEC

  2992       DIVIS GLOSSOPHARYNG NERV

  2999       PHARYNGEAL OPERATION NEC

  3001       LARYNX CYST MARSUPIALIZ

  3009       DESTRUCT LARYNX LES NEC

  301        HEMILARYNGECTOMY

  3021       EPIGLOTTIDECTOMY

  3022       VOCAL CORDECTOMY

  3029       OTHER PART LARYNGECTOMY

  303        COMPLETE LARYNGECTOMY

  304        RADICAL LARYNGECTOMY

  3121       MEDIASTINAL TRACHEOSTOMY

  3129       OTHER PERM TRACHEOSTOMY

  313        INCIS LARYNX TRACHEA NEC

  3145       OPN BX LARYNX OR TRACHEA

  315        LOCAL DESTRUC TRACH LES

  3161       SUTURE OF LARYNGEAL LAC

  3162       LARYNGEAL FISTULA CLOS

  3163       LARYNGOSTOMY REVISION

  3164       LARYNGEAL FX REPAIR

  3169       OTHER LARYNGEAL REPAIR

  3171       SUTURE OF TRACHEAL LACER

  3172       CLOSURE OF TRACHEOSTOMY

  3173       TRACHEA FISTULA CLOS NEC

  3174       REVISION OF TRACHEOSTOMY

  3175       TRACHEAL RECONSTRUCTION

  3179       OTHER TRACHEAL REPAIR

  3191       LARYNGEAL NERV DIVISION

  3192       LYSIS TRACH/LARYNX ADHES

  3198       OTH LARYNGEAL OPERATION

  3199       OTHER TRACHEAL OPERATION

  320        OTHER TRACHEAL OPERATION

  3209       OTHER DESTRUC BRONC LES

  321        OTHER BRONCHIAL EXCISION

  3221       EMPHYSEMA BLEB PLICATION

  3222       LUNG VOL REDUCTION SURG

  3223       OPEN ABLTN LUNG LES/TISS OCT06-

  3224       PERC ABLTN LUNG LES/TISS OCT06-

  3225       THOR ABLTN LUNG LES/TISS OCT06-

  3226       ABLTN LUNG TISS NEC/NOS OCT06-

  3229       DESTROY LOC LUNG LES NEC

  323        SEGMENTAL LUNG RESECTION

  324        LOBECTOMY OF LUNG

  325        COMPLETE PNEUMONECTOMY

  326        RAD DISSEC THORAC STRUCT

  329        OTHER EXCISION OF LUNG

  330        INCISION OF BRONCHUS

  331        INCISION OF LUNG

  3325       OPEN BRONCHIAL BIOPSY

  3327       CLOS ENDOSCOPIC LUNG BX

  3328       OPEN LUNG BIOPSY

  3329       BRONCH/LUNG DX PROC NEC

  3334       THORACOPLASTY

  3339       SURG COLLAPS OF LUNG NEC

  3341       BRONCHIAL LACERAT SUTURE

  3342       BRONCHIAL FISTULA CLOS

  3343       LUNG LACERATION CLOSURE

  3348       BRONCHIAL REPAIR NEC

  3349       LUNG REPAIR NEC

  335        LUNG REPAIR NEC

  3350       LUNG TRANSPLANT NOS

  3351       UNILAT LUNG TRANSPLANT

  3352       BILAT LUNG TRANSPLANT

  336        COMB HEART/LUNG TRANSPLA

  3392       BRONCHIAL LIGATION

  3393       PUNCTURE OF LUNG

  3398       BRONCHIAL OPERATION NEC

  3399       LUNG OPERATION NEC

  3402       EXPLORATORY THORACOTOMY

  3403       REOPEN THORACOTOMY SITE

  341        INCISION OF MEDIASTINUM

  3421       TRANSPLEURA THORACOSCOPY

  3422       MEDIASTINOSCOPY

  3426       OPEN MEDIASTINAL BIOPSY

  3427       BIOPSY OF DIAPHRAGM

  3428       DX PROCEDURE THORAX NEC

  3429       DX PROC MEDIASTINUM NEC

  343        DESTRUCT MEDIASTIN LES

  344        DESTRUCT CHEST WALL LES

  3451       DECORTICATION OF LUNG

  3459       OTHER PLEURAL EXCISION

  346        SCARIFICATION OF PLEURA

  3473       CLOS THORACIC FISTUL NEC

  3474       PECTUS DEFORMITY REPAIR

  3479       OTHER CHEST WALL REPAIR

  3481       EXCISE DIAPHRAGM LESION

  3482       SUTURE DIAPHRAGM LACERAT

  3483       CLOSE DIAPHRAGM FISTULA

  3484       OTHER DIAPHRAGM REPAIR

  3485       IMPLANT DIAPHRA PACEMAKE

  3489       DIAPHRAGM OPERATION NEC

  3493       REPAIR OF PLEURA

  3499       THORACIC OPERATION NEC

  3500       CLOSED VALVOTOMY NOS

  3501       CLOSED AORTIC VALVOTOMY

  3502       CLOSED MITRAL VALVOTOMY

  3503       CLOSED PULMON VALVOTOMY

  3504       CLOSED TRICUSP VALVOTOMY

  3510       OPEN VALVULOPLASTY NOS

  3511       OPN AORTIC VALVULOPLASTY

  3512       OPN MITRAL VALVULOPLASTY

  3513       OPN PULMON VALVULOPLASTY

  3514       OPN TRICUS VALVULOPLASTY

  3520       REPLACE HEART VALVE NOS

  3521       REPLACE AORT VALV-TISSUE

  3522       REPLACE AORTIC VALVE NEC

  3523       REPLACE MITR VALV-TISSUE

  3524       REPLACE MITRAL VALVE NEC

  3525       REPLACE PULM VALV-TISSUE

  3526       REPLACE PULMON VALVE NEC

  3527       REPLACE TRIC VALV-TISSUE

  3528       REPLACE TRICUSP VALV NEC

  3531       PAPILLARY MUSCLE OPS

  3532       CHORDAE TENDINEAE OPS

  3533       ANNULOPLASTY

  3534       INFUNDIBULECTOMY

  3535       TRABECUL CARNEAE CORD OP

  3539       TISS ADJ TO VALV OPS NEC

  3542       CREATE SEPTAL DEFECT

  3550       PROSTH REP HRT SEPTA NOS

  3551       PROS REP ATRIAL DEF-OPN

  3552       PROS REPAIR ATRIA DEF-CL

  3553       PROST REPAIR VENTRIC DEF

  3554       PROS REP ENDOCAR CUSHION

  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

  3600       OTHER HEART VALVE OPS

  3601       PTCA-1 VES/ATH W/O AGENT

  3602       PTCA-1 VES/ATH W AGENT

  3603       OPEN CORONRY ANGIOPLASTY

  3605       PTCA-MULTIPLE VESSEL/ATH

  3609       REM OF COR ART OBSTR NEC

  3610       AORTOCORONARY BYPASS NOS

  3611       AORTOCOR BYPAS-1 COR ART

  3612       AORTOCOR BYPAS-2 COR ART

  3613       AORTOCOR BYPAS-3 COR ART

  3614       AORTCOR BYPAS-4+ COR ART

  3615       1 INT MAM-COR ART BYPASS

  3616       2 INT MAM-COR ART BYPASS

  3617       ABD-CORON ARTERY BYPASS

  3619       HRT REVAS BYPS ANAS NEC

  362        ARTERIAL IMPLANT REVASC

  363        ARTERIAL IMPLANT REVASC

  3631       OPEN CHEST TRANS REVASC

  3632       OTH TRANSMYO REVASCULAR

  3633       ENDO TRANSMYO REVASCULAR OCT06-

  3634       PERC TRANSMYO REVASCULAR OCT06-

  3639       OTH HEART REVASCULAR

  3691       CORON VESS ANEURYSM REP

  3699       HEART VESSEL OP NEC

  3710       INCISION OF HEART NOS

  3711       CARDIOTOMY

  3712       PERICARDIOTOMY

  3724       PERICARDIAL BIOPSY

  3731       PERICARDIECTOMY

  3732       HEART ANEURYSM EXCISION

  3733       EXC/DEST HRT LESION OPEN

  3734       EXC/DEST HRT LES OTHER

  3735       PARTIAL VENTRICULECTOMY

  374        HEART & PERICARD REPAIR

  3741       IMPL CARDIAC SUPPORT DEV OCT05-

  3749       HEART/PERICARD REPR NEC OCT05-

  375        HEART & PERICARD REPAIR

  3751       HEART TRANSPLANTATION (Oct 03)

  3752       IMPLANT TOT REP HRT SYS

  3753       REPL/REP THORAC UNIT HRT

  3754       REPL/REP OTH TOT HRT SYS

  3761       PULSATION BALLOON IMPLAN

  3762       IMPLANT HRT ASST SYS NEC

  3763       REPLACE HRT ASSIST SYST

  3764       REMOVE HEART ASSIST SYS

  3765       IMP EXT PUL HRT ASST SYS

  3766       IMP IMP PUL HRT ASST SYS

  3767       IMP CARDIOMYOSTIMUL SYS

  3774       INT OR REPL LEAD EPICAR

  3775       REVISION OF LEAD

  3776       REPL TV ATRI-VENT LEAD

  3777       REMOVAL OF LEAD W/O REPL

  3779       REVIS OR RELOCATE POCKET

  3780       INT OR REPL PERM PACEMKR

  3785       REPL PACEM W 1-CHAM, NON

  3786       REPL PACEM 1-CHAM, RATE

  3787       REPL PACEM W DUAL-CHAM

  3789       REVISE OR REMOVE PACEMAK

  3790       INS LEFT ATR APPEND DEV OCT04-

  3791       OPN CHEST CARDIAC MASSAG

  3794       IMPLT/REPL CARDDEFIB TOT

  3795       IMPLT CARDIODEFIB LEADS

  3796       IMPLT CARDIODEFIB GENATR

  3797       REPL CARDIODEFIB LEADS

  3798       REPL CARDIODEFIB GENRATR

  3799       OTHER HEART/PERICARD OPS

  3800       INCISION OF VESSEL NOS

  3801       INTRACRAN VESSEL INCIS

  3802       HEAD/NECK VES INCIS NEC

  3803       UPPER LIMB VESSEL INCIS

  3804       INCISION OF AORTA

  3805       THORACIC VESSEL INC NEC

  3806       ABDOMEN ARTERY INCISION

  3807       ABDOMINAL VEIN INCISION

  3808       LOWER LIMB ARTERY INCIS

  3809       LOWER LIMB VEIN INCISION

  3810       ENDARTERECTOMY NOS

  3811       INTRACRAN ENDARTERECTOMY

  3812       HEAD & NECK ENDARTER NEC

  3813       UPPER LIMB ENDARTERECTOM

  3814       ENDARTERECTOMY OF AORTA

  3815       THORACIC ENDARTERECTOMY

  3816       ABDOMINAL ENDARTERECTOMY

  3818       LOWER LIMB ENDARTERECT

  3821       BLOOD VESSEL BIOPSY

  3829       BLOOD VESSEL DX PROC NEC

  3830       VESSEL RESECT/ANAST NOS

  3831       INTRACRAN VES RESEC-ANAS

  3832       HEAD/NECK VES RESEC-ANAS

  3833       ARM VESSEL RESECT/ANAST

  3834       AORTA RESECTION & ANAST

  3835       THOR VESSEL RESECT/ANAST

  3836       ABD VESSEL RESECT/ANAST

  3837       ABD VEIN RESECT & ANAST

  3838       LEG ARTERY RESECT/ANAST

  3839       LEG VEIN RESECT/ANASTOM

  3840       VESSEL RESECT/REPLAC NOS

  3841       INTRACRAN VES RESEC-REPL

  3842       HEAD/NECK VES RESEC-REPL

  3843       ARM VES RESECT W REPLACE

  3844       RESECT ABDM AORTA W REPL

  3845       RESECT THORAC VES W REPL

  3846       ABD ARTERY RESEC W REPLA

  3847       ABD VEIN RESECT W REPLAC

  3848       LEG ARTERY RESEC W REPLA

  3849       LEG VEIN RESECT W REPLAC

  3850       VARICOSE V LIG-STRIP NOS

  3851       INTCRAN VAR V LIG-STRIP

  3852       HEAD/NECK VAR V LIG-STR

  3853       ARM VARICOSE V LIG-STRIP

  3855       THORAC VAR V LIG-STRIP

  3857       ABD VARICOS V LIGA-STRIP

  3859       LEG VARICOS V LIGA-STRIP

  3860       EXCISION OF VESSEL NOS

  3861       INTRACRAN VESSEL EXCIS

  3862       HEAD/NECK VESSEL EXCIS

  3863       ARM VESSEL EXCISION

  3864       EXCISION OF AORTA

  3865       THORACIC VESSEL EXCISION

  3866       ABDOMINAL ARTERY EXCIS

  3867       ABDOMINAL VEIN EXCISION

  3868       LEG ARTERY EXCISION

  3869       LEG VEIN EXCISION

  387        INTERRUPTION VENA CAVA

  3880       SURG VESSEL OCCLUS NEC

  3881       OCCLUS INTRACRAN VES NEC

  3882       OCCLUS HEAD/NECK VES NEC

  3883       OCCLUDE ARM VESSEL NEC

  3884       OCCLUDE AORTA NEC

  3885       OCCLUDE THORACIC VES NEC

  3886       OCCLUDE ABD ARTERY NEC

  3887       OCCLUDE ABD VEIN NEC

  3888       OCCLUDE LEG ARTERY NEC

  3889       OCCLUDE LEG VEIN NEC

  390        SYSTEMIC-PULM ART SHUNT

  391        INTRA-ABD VENOUS SHUNT

  3921       CAVAL-PULMON ART ANASTOM

  3922       AORTA-SUBCLV-CAROT BYPAS

  3923       INTRATHORACIC SHUNT NEC

  3924       AORTA-RENAL BYPASS

  3925       AORTA-ILIAC-FEMOR BYPASS

  3926       INTRA-ABDOMIN SHUNT NEC

  3927       DIALYSIS ARTERIOVENOSTOM

  3928       EXTRACRAN-INTRACR BYPASS

  3929       VASC SHUNT & BYPASS NEC

  3930       SUTURE OF VESSEL NOS

  3931       SUTURE OF ARTERY

  3932       SUTURE OF VEIN

  3941       POSTOP VASC OP HEM CONTR

  3942       REVIS REN DIALYSIS SHUNT

  3943       REMOV REN DIALYSIS SHUNT

  3949       VASC PROC REVISION NEC

  3950       ANGIO/ATH NON-CORO VES

  3951       CLIPPING OF ANEURYSM

  3952       ANEURYSM REPAIR NEC

  3953       ARTERIOVEN FISTULA REP

  3954       RE-ENTRY OPERATION

  3955       REIMPLAN ABERR RENAL VES

  3956       REPAIR VESS W TIS PATCH

  3957       REP VESS W SYNTH PATCH

  3958       REPAIR VESS W PATCH NOS

  3959       REPAIR OF VESSEL NEC

  397        PER CARDIOPULMON BYPASS

  3971       ENDO IMPL GRFT ABD AORTA

  3972       ENDOVASC REPAIR HEAD VES

  3973       ENDO IMP GRFT THOR AORTA OCT05-

  3974       ENDO REM OBS HD/NECK VES OCT06-

  3979       ENDO REPAIR OTHER VESSEL

  398        VASCULAR BODY OPERATIONS

  3991       FREEING OF VESSEL

  3992       VEIN INJECT-SCLEROS AGNT

  3993       INSERT VES-TO-VES CANNUL

  3994       REPLAC VES-TO-VES CANNUL

  3998       HEMORRHAGE CONTROL NOS

  3999       VESSEL OPERATION NEC

  400        INCIS LYMPHATIC STRUCTUR

  4011       LYMPHATIC STRUCT BIOPSY

  4019       LYMPHATIC DIAG PROC NEC

  4021       EXCIS DEEP CERVICAL NODE

  4022       EXCISE INT MAMMARY NODE

  4023       EXCISE AXILLARY NODE

  4024       EXCISE INGUINAL NODE

  4029       SIMP EXC LYMPH STRUC NEC

  403        REGIONAL LYMPH NODE EXC

  4040       RAD NECK DISSECTION NOS

  4041       UNILAT RAD NECK DISSECT

  4042       BILAT RAD NECK DISSECT

  4050       RAD NODE DISSECTION NOS

  4051       RAD DISSEC AXILLARY NODE

  4052       RAD DISSEC PERIAORT NODE

  4053       RAD DISSECT ILIAC NODES

  4054       RADICAL GROIN DISSECTION

  4059       RAD NODE DISSECTION NEC

  4061       THORAC DUCT CANNULATION

  4062       THORACIC DUCT FISTULIZAT

  4063       CLOSE THORACIC DUCT FIST

  4064       LIGATE THORACIC DUCT

  4069       THORACIC DUCT OP NEC

  409        LYMPH STRUCTURE OP NEC

  412        SPLENOTOMY

  4133       OPEN SPLEEN BIOPSY

  4141       SPLENIC CYST MARSUPIAL

  4142       EXC SPLENIC LESION/TISS

  4143       PARTIAL SPLENECTOMY

  415        TOTAL SPLENECTOMY

  4193       EXC OF ACCESSORY SPLEEN

  4194       SPLEEN TRANSPLANTATION

  4195       REPAIR OF SPLEEN

  4199       SPLEEN OPERATION NEC

  4201       ESOPHAGEAL WEB INCISION

  4209       ESOPHAGEAL INCISION NEC

  4210       ESOPHAGOSTOMY NOS

  4211       CERVICAL ESOPHAGOSTOMY

  4212       ESOPH POUCH EXTERIORIZAT

  4219       EXT FISTULIZAT ESOPH NEC

  4221       ESOPHAGOSCOPY BY INCIS

  4225       OPEN BIOPSY OF ESOPHAGUS

  4231       LOC EXCIS ESOPH DIVERTIC

  4232       LOCAL EXCIS ESOPHAG NEC

  4239       DESTRUCT ESOPHAG LES NEC

  4240       ESOPHAGECTOMY NOS

  4241       PARTIAL ESOPHAGECTOMY

  4242       TOTAL ESOPHAGECTOMY

  4251       THORAC ESOPHAGOESOPHAGOS

  4252       THORAC ESOPHAGOGASTROST

  4253       THORAC SM BOWEL INTERPOS

  4254       THORAC ESOPHAGOENTER NEC

  4255       THORAC LG BOWEL INTERPOS

  4256       THORAC ESOPHAGOCOLOS NEC

  4258       THORAC INTERPOSITION NEC

  4259       THORAC ESOPHAG ANAST NEC

  4261       STERN ESOPHAGOESOPHAGOST

  4262       STERN ESOPHAGOGASTROSTOM

  4263       STERN SM BOWEL INTERPOS

  4264       STERN ESOPHAGOENTER NEC

  4265       STERN LG BOWEL INTERPOS

  4266       STERN ESOPHAGOCOLOS NEC

  4268       STERN INTERPOSITION NEC

  4269       STERN ESOPHAG ANAST NEC

  427        ESOPHAGOMYOTOMY

  4282       SUTURE ESOPHAGEAL LACER

  4283       ESOPHAGOSTOMY CLOSURE

  4284       ESOPH FISTULA REPAIR NEC

  4285       ESOPHAG STRICTURE REPAIR

  4286       PROD SUBQ TUNNEL NO ANAS

  4287       ESOPHAGEAL GRAFT NEC

  4289       ESOPHAGEAL REPAIR NEC

  4291       LIGATION ESOPH VARIX

  430        GASTROTOMY

  431        GASTROTOMY

  432        OTHER GASTROSTOMY

  433        PYLOROMYOTOMY

  4342       LOCAL GASTR EXCISION NEC

  4349       LOCAL GASTR DESTRUCT NEC

  435        PROXIMAL GASTRECTOMY

  436        DISTAL GASTRECTOMY

  437        PART GASTREC W JEJ ANAST

  4381       PART GAST W JEJ TRANSPOS

  4389       PARTIAL GASTRECTOMY NEC

  4391       TOT GAST W INTES INTERPO

  4399       TOTAL GASTRECTOMY NEC

  4400       VAGOTOMY NOS

  4401       TRUNCAL VAGOTOMY

  4402       HIGHLY SELECT VAGOTOMY

  4403       SELECTIVE VAGOTOMY NEC

  4411       TRANSABDOMIN GASTROSCOPY

  4415       OPEN GASTRIC BIOPSY

  442        GASTRIC DIAGNOS PROC NEC

  4421       DILATE PYLORUS, INCISION

  4429       OTHER PYLOROPLASTY

  4431       HIGH GASTRIC BYPASS

  4432       PERCU GASTROJEJUNOSTOMY

  4438       LAP GASTROENTEROSTOMY OCT04-

  4439       GASTROENTEROSTOMY NEC

  4440       SUTURE PEPTIC ULCER NOS

  4441       SUT GASTRIC ULCER SITE

  4442       SUTURE DUODEN ULCER SITE

  445        REVISION GASTRIC ANASTOM

  4461       SUTURE GASTRIC LACERAT

  4463       CLOSE GASTRIC FISTUL NEC

  4464       GASTROPEXY

  4465       ESOPHAGOGASTROPLASTY

  4466       CREAT ESOPHAGASTR SPHINC

  4467       LAP CREAT ESOPH SPHINCT OCT04-

  4468       LAPAROSCOP GASTROPLSTY OCT04-

  4469       GASTRIC REPAIR NEC

  4491       LIGATE GASTRIC VARICES

  4492       INTRAOP GASTRIC MANIPUL

  4495       LAP GASTRIC RESTRIC PROC OCT04-

  4496       LAP REV GAST RESTRI PROC OCT04-

  4497       LAP REM GAST RESTRIC DEV OCT04-

  4498       ADJUST GAST RESTRICT DEV OCT04-

  4499       GASTRIC OPERATION NEC

  4500       INTESTINAL INCISION NOS

  4501       DUODENAL INCISION

  4502       SMALL BOWEL INCISION NEC

  4503       LARGE BOWEL INCISION

  4511       TRANSAB SM BOWEL ENDOSC

  4515       OPEN SMALL BOWEL BIOPSY

  4521       TRANSAB LG BOWEL ENDOSC

  4526       OPEN LARGE BOWEL BIOPSY

  4531       OTH EXCISE DUODENUM LES

  4532       DESTRUCT DUODEN LES NEC

  4533       LOCAL EXCIS SM BOWEL NEC

  4534       DESTR SM BOWEL LES NEC

  4541       EXCISE LG INTESTINE LES

  4549       DESTRUC LG BOWEL LES NEC

  4550       INTEST SEG ISOLAT NOS

  4551       SM BOWEL SEGMENT ISOLAT

  4552       LG BOWEL SEGMENT ISOLAT

  4561       MULT SEG SM BOWEL EXCIS

  4562       PART SM BOWEL RESECT NEC

  4563       TOTAL REMOVAL SM BOWEL

  4571       MULT SEG LG BOWEL EXCIS

  4572       CECECTOMY

  4573       RIGHT HEMICOLECTOMY

  4574       TRANSVERSE COLON RESECT

  4575       LEFT HEMICOLECTOMY

  4576       SIGMOIDECTOMY

  4579       PART LG BOWEL EXCIS NEC

  458        TOT INTRA-ABD COLECTOMY

  4590       INTESTINAL ANASTOM NOS

  4591       SM-TO-SM BOWEL ANASTOM

  4592       SM BOWEL-RECT STUMP ANAS

  4593       SMALL-TO-LARGE BOWEL NEC

  4594       LG-TO-LG BOWEL ANASTOM

  4595       ANAL ANASTOMOSIS

  4601       SM BOWEL EXTERIORIZATION

  4602       RESECT EXT SEG SM BOWEL

  4603       LG BOWEL EXTERIORIZATION

  4604       RESECT EXT SEG LG BOWEL

  4610       COLOSTOMY NOS

  4611       TEMPORARY COLOSTOMY

  4612       TEMPORARY COLOSTOMY

  4613       PERMANENT COLOSTOMY

  4620       ILEOSTOMY NOS

  4621       TEMPORARY ILEOSTOMY

  4622       CONTINENT ILEOSTOMY

  4623       PERMANENT ILEOSTOMY NEC

  4640       INTEST STOMA REVIS NOS

  4641       SM BOWEL STOMA REVISION

  4642       PERICOLOST HERNIA REPAIR

  4643       LG BOWEL STOMA REVIS NEC

  4650       INTEST STOMA CLOSURE NOS

  4651       SM BOWEL STOMA CLOSURE

  4652       LG BOWEL STOMA CLOSURE

  4660       INTESTINAL FIXATION NOS

  4661       SM BOWEL-ABD WALL FIXAT

  4662       SMALL BOWEL FIXATION NEC

  4663       LG BOWEL-ABD WALL FIXAT

  4664       LARGE BOWEL FIXATION NEC

  4671       DUODENAL LACERAT SUTURE

  4672       DUODENAL FISTULA CLOSURE

  4673       SMALL BOWEL SUTURE NEC

  4674       CLOSE SM BOWEL FIST NEC

  4675       SUTURE LG BOWEL LACERAT

  4676       CLOSE LG BOWEL FISTULA

  4679       REPAIR OF INTESTINE NEC

  4680       INTRA-AB BOWEL MANIP NOS

  4681       INTRA-ABD SM BOWEL MANIP

  4682       INTRA-ABD LG BOWEL MANIP

  4691       MYOTOMY OF SIGMOID COLON

  4692       MYOTOMY OF COLON NEC

  4693       REVISE SM BOWEL ANASTOM

  4694       REVISE LG BOWEL ANASTOM

  4697       TRANSPLANT OF INTESTINE

  4699       INTESTINAL OP NEC

  470        INTESTINAL OP NEC

  4701       LAP APPENDECTOMY

  4709       OTHER APPENDECTOMY

  471        OTHER APPENDECTOMY

  4711       LAP INCID APPENDECTOMY

  4719       OTHER INCID APPENDECTOMY

  472        DRAIN APPENDICEAL ABSC

  4791       APPENDICOSTOMY

  4792       CLOSE APPENDICEAL FISTUL

  4799       APPENDICEAL OPS NEC

  480        PROCTOTOMY

  481        PROCTOSTOMY

  4821       TRANSAB PROCTOSIGMOIDOSC

  4825       OPEN RECTAL BIOPSY

  4835       LOCAL EXCIS RECTAL LES

  4841       SOAVE SUBMUC RECT RESECT

  4849       PULL-THRU RECT RESEC NEC

  485        ABD-PERINEAL RECT RESECT

  4861       TRANSSAC RECTOSIGMOIDECT

  4862       ANT RECT RESECT W COLOST

  4863       ANTERIOR RECT RESECT NEC

  4864       POSTERIOR RECT RESECTION

  4865       DUHAMEL RECTAL RESECTION

  4866       DUHAMEL RECTAL RESECTION

  4869       RECTAL RESECTION NEC

  4871       SUTURE OF RECTAL LACER

  4872       CLOSURE OF PROCTOSTOMY

  4873       CLOSE RECTAL FIST NEC

  4874       RECTORECTOSTOMY

  4875       ABDOMINAL PROCTOPEXY

  4876       PROCTOPEXY NEC

  4879       REPAIR OF RECTUM NEC

  4881       PERIRECTAL INCISION

  4882       PERIRECTAL EXCISION

  4891       INCIS RECTAL STRICTURE

  4892       ANORECTAL MYOMECTOMY

  4893       REPAIR PERIRECT FISTULA

  4899       RECTAL PERIRECT OP NEC

  4901       INCIS PERIANAL ABSCESS

  4902       PERIANAL INCISION NEC

  4904       PERIANAL EXCISION NEC

  4911       ANAL FISTULOTOMY

  4912       ANAL FISTULECTOMY

  493        ANAL/PERIAN DX PROC NEC

  4939       OTHER DESTRUC ANUS LES

  4944       HEMORRHOID CRYOTHERAPY

  4945       HEMORRHOID LIGATION

  4946       HEMORRHOIDECTOMY

  4949       HEMORRHOID PROCEDURE NEC

  4951       LEFT LAT SPHINCTEROTOMY

  4952       POST SPHINCTEROTOMY

  4959       ANAL SPHINCTEROTOMY NEC

  496        EXCISION OF ANUS

  4971       SUTURE ANAL LACERATION

  4972       ANAL CERCLAGE

  4973       CLOSURE OF ANAL FISTULA

  4974       GRACILIS MUSC TRANSPLAN

  4975       IMPL OR REV ART ANAL SPH

  4976       REMOV ART ANAL SPHINCTER

  4979       ANAL SPHINCT REPAIR NEC

  4991       INCISION OF ANAL SEPTUM

  4992       INSERT SUBQ ANAL STIMUL

  4993       ANAL INCISION NEC

  4994       REDUCTION ANAL PROLAPSE

  4995       CONTROL ANAL HEMORRHAGE

  4999       ANAL OPERATION NEC

  500        HEPATOTOMY

  5012       OPEN LIVER BIOPSY

  5019       HEPATIC DX PROC NEC

  5021       MARSUPIALIZAT LIVER LES

  5022       PARTIAL HEPATECTOMY

  5023       OPN ABLTN LIVER LES/TISS OCT06-

  5024       PERC ABLTN LIVER LES/TIS OCT06-

  5025       LAP ABLTN LIVER LES/TISS OCT06-

  5026       ABLTN LIVER LES/TISS NEC OCT06-

  5029       DESTRUC HEPATIC LES NEC

  503        HEPATIC LOBECTOMY

  504        TOTAL HEPATECTOMY

  5051       AUXILIARY LIVER TRANSPL

  5059       LIVER TRANSPLANT NEC

  5061       CLOSURE LIVER LACERAT

  5069       LIVER REPAIR NEC

  5102       TROCAR CHOLECYSTOSTOMY

  5103       CHOLECYSTOSTOMY NEC

  5104       CHOLECYSTOTOMY NEC

  5113       OPEN BILIARY TRACT BX

  5119       BILIARY TR DX PROC NEC

  5121       OTH PART CHOLECYSTECTOMY

  5122       CHOLECYSTECTOMY

  5123       LAPAROSCOPIC CHOLECYSTEC

  5124       LAP PART CHOLECYSTECTOMY

  5131       GB-TO-HEPAT DUCT ANAST

  5132       GB-TO-INTESTINE ANASTOM

  5133       GB-TO-PANCREAS ANASTOM

  5134       GB-TO-STOMACH ANASTOMOS

  5135       GALLBLADDER ANASTOM NEC

  5136       CHOLEDOCHOENTEROSTOMY

  5137       HEPATIC DUCT-GI ANASTOM

  5139       BILE DUCT ANASTOMOS NEC

  5141       CDE FOR CALCULUS REMOV

  5142       CDE FOR OBSTRUCTION NEC

  5143       CHOLEDOCHOHEPAT INTUBAT

  5149       INCIS OBSTR BILE DUC NEC

  5151       COMMON DUCT EXPLORATION

  5159       BILE DUCT INCISION NEC

  5161       EXCIS CYST DUCT REMNANT

  5162       EXCIS AMPULLA OF VATER

  5163       COMMON DUCT EXCIS NEC

  5169       BILE DUCT EXCISION NEC

  5171       SIMPLE SUT-COMMON DUCT

  5172       CHOLEDOCHOPLASTY

  5179       BILE DUCT REPAIR NEC

  5181       SPHINCTER OF ODDI DILAT

  5182       PANCREAT SPHINCTEROTOM

  5183       PANCREAT SPHINCTEROPLAS

  5189       SPHINCT OF ODDI OP NEC

  5191       REPAIR GB LACERATION

  5192       CLOSURE CHOLECYSTOSTOMY

  5193       CLOS BILIARY FISTUL NEC

  5194       REVIS BILE TRACT ANASTOM

  5195       REMOVE BILE DUCT PROSTH

  5199       BILIARY TRACT OP NEC

  5201       CATH DRAIN-PANCREAT CYST

  5209       PANCREATOTOMY NEC

  5212       OPEN PANCREATIC BIOPSY

  5219       PANCREATIC DX PROC NEC

  522        PANCREATIC DX PROC NEC

  5222       OTHER DESTRU PANCREA LES

  523        PANCREAT CYST MARSUPIALI

  524        INT DRAIN PANCREAT CYST

  5251       PROXIMAL PANCREATECTOMY

  5252       DISTAL PANCREATECTOMY

  5253       RAD SUBTOT PANCREATECTOM

  5259       PARTIAL PANCREATECT NEC

  526        TOTAL PANCREATECTOMY

  527        RAD PANCREATICODUODENECT

  5280       PANCREAT TRANSPLANT NOS

  5281       REIMPLANT PANCREATIC TIS

  5282       PANCREATIC HOMOTRANSPLAN

  5283       PANCREATIC HETEROTRANSPL

  5291       TRNSPLNT ISLETS LANG NOS

  5292       CANNULATION PANCREA DUC

  5295       PANCREATIC REPAIR NEC

  5296       PANCREATIC ANASTOMOSIS

  5299       PANCREATIC OPERATION NEC

  5300       UNILAT ING HERN REP NOS

  5301       REPAIR DIRECT ING HERNIA

  5302       REPAIR INDIR ING HERNIA

  5303       DIR ING HERNIA REP-GRAFT

  5304       IND ING HERNIA REP-GRAFT

  5305       ING HERNIA REP-GRAFT NOS

  5310       BILAT ING HERNIA REP NOS

  5311       BILAT DIR ING HERN REP

  5312       BILAT IND ING HERN REP

  5313       BIL DIR/IND ING HRN REP

  5314       BIL DIR ING HRN REP-GRFT

  5315       BIL IND ING HRN REP-GRFT

  5316       BIL DIR/IND ING HERN-PRO

  5317       BIL ING HRN REP-GRFT NOS

  5321       UNIL FEMOR HRN REP-GRFT

  5329       UNIL FEMOR HERN REP NEC

  5331       BIL FEM HERN REPAIR-GRFT

  5339       BIL FEM HERN REPAIR NEC

  5341       UMBIL HERNIA REPAIR-GRFT

  5349       UMBIL HERNIA REPAIR NEC

  5351       INCISIONAL HERNIA REPAIR

  5359       ABD WALL HERN REPAIR NEC

  5361       INCIS HERNIA REPAIR-GRFT

  5369       ABD HERN REPAIR-GRFT NEC

  537        ABD REPAIR-DIAPHR HERNIA

  5380       THOR REP-DIAPH HERN NOS

  5381       DIAPHRAGMATIC PLICATION

  5382       PARASTERN HERNIA REPAIR

  539        OTHER HERNIA REPAIR

  540        ABDOMINAL WALL INCISION

  5411       EXPLORATORY LAPAROTOMY

  5412       REOPEN RECENT LAP SITE

  5419       LAPAROTOMY NEC

  5421       LAPAROSCOPY

  5422       ABDOMINAL WALL BIOPSY

  5423       PERITONEAL BIOPSY

  5429       ABD REGION DX PROC NEC

  543        DESTRUCT ABD WALL LESION

  544        DESTRUCT PERITONEAL TISS

  545        DESTRUCT PERITONEAL TISS

  5451       LAP PERITON ADHESIOLYSIS

  5459       OTH PERITON ADHESIOLYSIS

  5461       RECLOSE POST OP DISRUPT

  5462       DELAYED CLOS ABD WOUND

  5463       ABD WALL SUTURE NEC

  5464       PERITONEAL SUTURE

  5471       REPAIR OF GASTROSCHISIS

  5472       ABDOMEN WALL REPAIR NEC

  5473       PERITONEAL REPAIR NEC

  5474       OMENTAL REPAIR NEC

  5475       MESENTERIC REPAIR NEC

  5492       REMOVE FB FROM PERITON

  5493       CREATE CUTANPERITON FIST

  5494       CREAT PERITONEOVAS SHUNT

  5495       PERITONEAL INCISION

  5501       NEPHROTOMY

  5502       NEPHROSTOMY

  5503       PERCU NEPHROSTM W/O FRAG

  5504       PERCU NEPHROSTMY W FRAG

  5511       PYELOTOMY

  5512       PYELOSTOMY

  5524       OPEN RENAL BIOPSY

  5529       RENAL DIAGNOST PROC NEC

  5531       RENAL LES MARSUPIALIZAT

  5532       OPN ABLTN RENAL LES/TISS OCT06-

  5533       PERC ABLTN RENL LES/TISS OCT06-

  5534       LAP ABLTN RENAL LES/TISS OCT06-

  5535       ABLTN RENAL LES/TISS NEC OCT06-

  5539       LOC DESTR RENAL LES NEC

  554        PARTIAL NEPHRECTOMY

  5551       NEPHROURETERECTOMY

  5552       SOLITARY KIDNEY NEPHRECT

  5553       REJECTED KIDNEY NEPHRECT

  5554       BILATERAL NEPHRECTOMY

  5561       RENAL AUTOTRANSPLANT

  5569       KIDNEY TRANSPLANT NEC

  557        NEPHROPEXY

  5581       SUTURE KIDNEY LACERATION

  5582       CLOSE NEPHROST & PYELOST

  5583       CLOSE RENAL FISTULA NEC

  5584       REDUCE RENAL PEDICL TORS

  5585       SYMPHYSIOTOMY

  5586       RENAL ANASTOMOSIS

  5587       CORRECT URETEROPELV JUNC

  5589       RENAL REPAIR NEC

  5591       RENAL DECAPSULATION

  5597       IMPLANT MECHANIC KIDNEY

  5598       REMOV MECHANICAL KIDNEY

  5599       RENAL OPERATION NEC

  560        TU REMOV URETER OBSTRUCT

  561        URETERAL MEATOTOMY

  562        URETEROTOMY

  5634       OPEN URETERAL BIOPSY

  5639       URETERAL DX PROCEDUR NEC

  5640       URETERECTOMY NOS

  5641       PARTIAL URETERECTOMY

  5642       TOTAL URETERECTOMY

  5651       FORM CUTAN ILEOURETEROST

  5652       REVIS CUTAN ILEOURETEROS

  5661       FORM CUTAN URETEROSTOMY

  5662       REVIS CUTAN URETEROS NEC

  5671       URIN DIVERSION TO BOWEL

  5672       REVIS URETEROENTEROSTOMY

  5673       NEPHROCYSTANASTOMOSI NOS

  5674       URETERONEOCYSTOSTOMY

  5675       TRANSURETEROURETEROSTOMY

  5679       URETERAL ANASTOMOSIS NEC

  5681       INTRALUM URETE ADHESIOLY

  5682       SUTURE URETERAL LACERAT

  5683       URETEROSTOMY CLOSURE

  5684       CLOSE URETER FISTULA NEC

  5685       URETEROPEXY

  5686       REMOVE URETERAL LIGATURE

  5689       REPAIR OF URETER NEC

  5692       IMPLANT URETERAL STIMUL

  5693       REPLACE URETERAL STIMUL

  5694       REMOVE URETERAL STIMULAT

  5695       LIGATION OF URETER

  5699       URETERAL OPERATION NEC

  5712       CYSTOTOMY & ADHESIOLYSIS

  5718       OTHER SUPRAPU CYSTOSTOMY

  5719       CYSTOTOMY NEC

  5721       VESICOSTOMY

  5722       REVISE CLO VESICOSTOMY

  5733       CLOS TRANSURETH BLADD BX

  5734       OPEN BLADDER BIOPSY

  5739       BLADDER DIAGNOS PROC NEC

  5741       TU ADHESIOLYSIS BLADDER

  5749       TU DESTRUC BLADD LES NEC

  5751       EXCISION OF URACHUS

  5759       BLADDER LES DESTRUCT NEC

  576        PARTIAL CYSTECTOMY

  5771       RADICAL CYSTECTOMY

  5779       TOTAL CYSTECTOMY NEC

  5781       SUTURE BLADDER LACERAT

  5782       CYSTOSTOMY CLOSURE

  5783       ENTEROVESICO FIST REPAIR

  5784       VESIC FISTULA REPAIR NEC

  5785       CYSTOURETHROPLASTY

  5786       BLADDER EXSTROPHY REPAIR

  5787       BLADDER RECONSTRUCTION

  5788       BLADDER ANASTOMOSIS NEC

  5789       BLADDER REPAIR NEC

  5791       BLADDER SPHINCTEROTOMY

  5793       CONTROL BLADD HEMORRHAGE

  5796       IMPLANT BLADDER STIMULAT

  5797       REPLACE BLADDER STIMULAT

  5798       REMOVE BLADDER STIMULAT

  5799       BLADDER OPERATION NEC

  580        URETHROTOMY

  581        URETHRAL MEATOTOMY

  5841       SUTURE URETHRAL LACERAT

  5842       URETHROSTOMY CLOSURE

  5843       CLOSE URETH FISTULA NEC

  5844       URETHRAL REANASTOMOSIS

  5845       HYPO-EPISPADIUS REPAIR

  5846       URETH RECONSTRUCTION NEC

  5847       URETHRAL MEATOPLASTY

  5849       URETHRAL REPAIR NEC

  585        URETH STRICTURE RELEASE

  5891       PERIURETHRAL INCISION

  5892       PERIURETHRAL EXCISION

  5893       IMPLT ARTF URIN SPHINCT

  5899       URETH/PERIURETH OP NEC

  5900       RETROPERIT DISSECT NOS

  5901       RETROPERIT DISSECT NOS

  5902       PERIREN ADHESIOLYS NEC

  5903       LAP LYS PERIREN/URET ADH

  5909       PERIREN/URETER INCIS NEC

  5911       OTH LYS PERIVES ADHESIO

  5912       LAP LYS PERIVESURETH ADH

  5919       PERIVESICAL INCISION NEC

  5921       PERIREN/URETERAL BIOPSY

  5929       PERIREN/URET DX PROC NEC

  593        URETHROVES JUNCT PLICAT

  594        SUPRAPUBIC SLING OP

  595        RETROPUBIC URETH SUSPENS

  596        PARAURETHRAL SUSPENSION

  5971       LEVATOR MUSC SUSPENSION

  5979       URIN INCONTIN REPAIR NEC

  5991       PERIREN/VESICLE EXCISION

  5992       PERIREN/VESICLE OP NEC

  600        INCISION OF PROSTATE

  6012       OPEN PROSTATIC BIOPSY

  6014       OPEN SEMINAL VESICLES BX

  6015       PERIPROSTATIC BIOPSY

  6018       PROSTATIC DX PROCED NEC

  6019       SEMIN VES DX PROCED NEC

  602        SEMIN VES DX PROCED NEC

  6021       TRANSURETH PROSTATECTOMY

  6029       OTH TRANSURETH PROSTATEC

  603        SUPRAPUBIC PROSTATECTOMY

  604        RETROPUBIC PROSTATECTOMY

  605        RADICAL PROSTATECTOMY

  6061       LOS EXCIS PROSTATIC LES

  6062       PERINEAL PROSTATECTOMY

  6069       PROSTATECTOMY NEC

  6072       SEMINAL VESICLE INCISION

  6073       SEMINAL VESICLE EXCISION

  6079       SEMINAL VESICLE OP NEC

  6081       PERIPROSTATIC INCISION

  6082       PERIPROSTATIC EXCISION

  6093       REPAIR OF PROSTATE

  6094       CONTROL PROSTATE HEMORR

  6095       TRANS BAL DIL PROS URETH

  6096       TU DESTR PROSTATE BY MT

  6097       OTH TU DESTR PROS - RT

  6099       PROSTATIC OPERATION NEC

  612        EXCISION OF HYDROCELE

  6142       SCROTAL FISTULA REPAIR

  6149       SCROTUM/TUNIC REPAIR NEC

  6192       EXCISION TUNICA LES NEC

  6199       SCROTUM & TUNICA OP NEC

  620        INCISION OF TESTES

  6212       OPEN TESTICULAR BIOPSY

  6219       TESTES DX PROCEDURE NEC

  622        TESTICULAR LES DESTRUCT

  623        UNILATERAL ORCHIECTOMY

  6241       REMOVE BOTH TESTES

  6242       REMOVE SOLITARY TESTIS

  625        ORCHIOPEXY

  6261       SUTURE TESTICULAR LACER

  6269       TESTICULAR REPAIR NEC

  627        INSERT TESTICULAR PROSTH

  6299       TESTICULAR OPERATION NEC

  6309       SPERMAT CORD/VAS DX NEC

  631        EXC SPERMATIC VARICOCELE

  632        EXCISE EPIDIDYMIS CYST

  633        EXCISE CORD/EPID LES NEC

  634        EPIDIDYMECTOMY

  6351       SUTURE CORD & EPID LACER

  6353       TRANSPLANT SPERMAT CORD

  6359       CORD & EPIDID REPAIR NEC

  6381       SUTURE VAS & EPIDID LAC

  6382       POSTOP VAS RECONSTRUCT

  6383       EPIDIDYMOVASOSTOMY

  6385       REMOV VAS DEFERENS VALVE

  6389       VAS & EPIDIDY REPAIR NEC

  6392       EPIDIDYMOTOMY

  6393       SPERMATIC CORD INCISION

  6394       SPERM CORD ADHESIOLYSIS

  6395       INSERT VALVE IN VAS DEF

  6399       CORD/EPID/VAS OPS NEC

  640        [^2]CIRCUMCISION

  6411       PENILE BIOPSY

  642        LOCAL EXCIS PENILE LES

  643        AMPUTATION OF PENIS

  6441       SUTURE PENILE LACERATION

  6442       RELEASE OF CHORDEE

  6443       CONSTRUCTION OF PENIS

  6444       RECONSTRUCTION OF PENIS

  6445       REPLANTATION OF PENIS

  6449       PENILE REPAIR NEC

  645        SEX TRANSFORMAT OP NEC

  6492       INCISION OF PENIS

  6493       DIVISION OF PENILE ADHES

  6495       INS NONINFL PENIS PROSTH

  6496       REMOVE INT PENILE PROSTH

  6497       INS INFLATE PENIS PROSTH

  6498       PENILE OPERATION NEC

  6499       MALE GENITAL OP NEC

  650        MALE GENITAL OP NEC

  6501       LAPAROSCOPIC OOPHOROTOMY

  6509       OTHER OOPHOROTOMY

  6511       OVARIAN ASPIRAT BIOPSY

  6512       OVARIAN BIOPSY NEC

  6513       LAP BIOPSY OF OVARY

  6514       OTH LAP DX PROC OVARIES

  6519       OVARIAN DX PROCEDURE NEC

  6521       OVARIAN CYST MARSUPIALIZ

  6522       OVARIAN WEDGE RESECTION

  6523       LAP MARSUP OVARIAN CYST

  6524       LAP WEDGE RESECT OVARY

  6525       OTH LAP LOC EXC DEST OVA

  6529       LOCAL DESTR OVA LES NEC

  653        LOCAL DESTR OVA LES NEC

  6531       LAP UNILAT OOPHORECTOMY

  6539       OTH UNILAT OOPHORECTOMY

  654        OTH UNILAT OOPHORECTOMY

  6541       LAP UNI SALPINGO-OOPHOR

  6549       OTH UNI SALPINGO-OOPHOR

  6551       OTH REMOVE BOTH OVARIES

  6552       OTH REMOVE REMAIN OVARY

  6553       LAP REMOVE BOTH OVARIES

  6554       LAP REMOVE REMAIN OVARY

  6561       OTH REMOVE OVARIES/TUBES

  6562       OTH REMOVE REM OVA/TUBE

  6563       LAP REMOVE OVARIES/TUBES

  6564       LAP REMOVE REM OVA/TUBE

  6571       OTH SIMPLE SUTURE OVARY

  6572       OTH REIMPLANT OF OVARY

  6573       OTH SALPINGO-OOPHOROPLAS

  6574       LAP SIMPLE SUTURE OVARY

  6575       LAP REIMPLANT OF OVARY

  6576       LAP SALPINGO-OOPHOROPLAS

  6579       REPAIR OF OVARY NEC

  658        REPAIR OF OVARY NEC

  6581       LAP ADHESIOLYS OVA/TUBE

  6589       ADHESIOLYSIS OVARY/TUBE

  6591       ASPIRATION OF OVARY

  6592       TRANSPLANTATION OF OVARY

  6593       MANUAL RUPT OVARIAN CYST

  6594       OVARIAN DENERVATION

  6595       OVARIAN TORSION RELEASE

  6599       OVARIAN OPERATION NEC

  660        OVARIAN OPERATION NEC

  6601       SALPINGOTOMY

  6602       SALPINGOSTOMY

  6611       FALLOPIAN TUBE BIOPSY

  6619       FALLOP TUBE DX PROC NEC

  6621       BILAT ENDOSC CRUSH TUBE

  6622       BILAT ENDOSC DIVIS TUBE

  6629       BILAT ENDOS OCC TUBE NEC

  6631       BILAT TUBAL CRUSHING NEC

  6632       BILAT TUBAL DIVISION NEC

  6639       BILAT TUBAL DESTRUCT NEC

  664        TOTAL UNILAT SALPINGECT

  6651       REMOVE BOTH FALLOP TUBES

  6652       REMOVE SOLITARY FAL TUBE

  6661       DESTROY FALLOP TUBE LES

  6662       REMOV TUBE & ECTOP PREG

  6663       BILAT PART SALPINGEC NOS

  6669       PARTIAL SALPINGECTOM NEC

  6671       SIMPL SUTURE FALLOP TUBE

  6672       SALPINGO-OOPHOROSTOMY

  6673       SALPINGO-SALPINGOSTOMY

  6674       SALPINGO-UTEROSTOMY

  6679       FALLOP TUBE REPAIR NEC

  6692       UNILAT FALLOP TUBE DESTR

  6693       IMPL FALLOP TUBE PROSTH

  6694       REMOV FALLOP TUBE PROSTH

  6695       BLOW THERAPEUT INTO TUBE

  6696       FALLOPIAN TUBE DILATION

  6697       BURY FIMBRIAE IN UTERUS

  6699       FALLOPIAN TUBE OP NEC

  6711       ENDOCERVICAL BIOPSY

  6712       CERVICAL BIOPSY NEC

  6719       CERVICAL DX PROCEDUR NEC

  672        CONIZATION OF CERVIX

  6731       CERVICAL CYST MARSUPIAL

  6732       CERVICAL LES CAUTERIZAT

  6733       CERVICAL LES CRYOTHERAPY

  6739       CERVICAL LES DESTRUC NEC

  674        AMPUTATION OF CERVIX

  675        AMPUTATION OF CERVIX

  6751       TRANSAB CERCLAGE CERVIX

  6759       OTH REP INT CERVICAL OS

  6761       SUTURE CERVICAL LACERAT

  6762       CERVICAL FISTULA REPAIR

  6769       CERVICAL REPAIR NEC

  680        HYSTEROTOMY

  6813       OPEN UTERINE BIOPSY

  6814       OPEN UTERINE LIGAMENT BX

  6815       CLOS UTERINE LIGAMENT BX

  6816       CLOSED UTERINE BIOPSY

  6819       UTERUS/ADNEX DX PROC NEC

  6821       ENDOMET SYNECHIAE DIVIS

  6822       INCISION UTERINE SEPTUM

  6823       ENDOMETRIAL ABLATION

  6829       UTERINE LES DESTRUCT NEC

  683        UTERINE LES DESTRUCT NEC

  6831       LAP SCERVIC HYSTERECTOMY

  6839       OTH SUBTOT ABD HYSTERECT (Oct 03)

  684        TOTAL ABD HYSTERECTOMY

  6841       LAP TOTAL ABDOMINAL HYST OCT06-

  6849       TOTAL ABD HYST NEC/NOS OCT06- 

  685        VAGINAL HYSTERECTOMY

  6851       LAP AST VAG HYSTERECTOMY

  6859       VAG HYSTERECTOMY NEC/NOS

  686        RADICAL ABD HYSTERECTOMY

  6861       LAP RADICAL ABDOMNL HYST OCT06-

  6869       RADICAL ABD HYST NEC/NOS OCT06-

  687        RADICAL VAG HYSTERECTOMY

  6871       LAP RADICAL VAGINAL HYST OCT06-

  6879       RADICAL VAG HYST NEC/NOS OCT06-

  688        PELVIC EVISCERATION

  689        HYSTERECTOMY NEC/NOS

  6901       D & C FOR PREG TERMINAT

  6902       D & C POST DELIVERY

  6909       D & C NEC

  6911       D & C NEC

  6919       DESTRUC UTER SUPPORT NEC

  6921       INTERPOSIT OP UTERIN LIG

  6922       UTERINE SUSPENSION NEC

  6923       VAG REPAIR INVERS UTERUS

  6929       UTERUS/ADNEXA REPAIR NEC

  693        PARACERV UTERINE DENERV

  6941       SUTURE UTERINE LACERAT

  6942       CLOSURE UTERINE FISTULA

  6949       UTERINE REPAIR NEC

  6951       ASPIRAT CURET-PREG TERMI

  6952       ASPIRAT CURET-POST DELIV

  6995       INCISION OF CERVIX

  6997       REMOVE PENETRAT CERV FB

  6998       UTERINE SUPPORT OP NEC

  6999       UTERINE OPERATION NEC

  7012       CULDOTOMY

  7013       INTRALUM VAG ADHESIOLYS

  7014       VAGINOTOMY NEC

  7023       CUL-DE-SAC BIOPSY

  7024       VAGINAL BIOPSY

  7029       VAGIN/CUL-DE-SAC DX NEC

  7031       HYMENECTOMY

  7032       EXCIS CUL-DE-SAC LESION

  7033       EXCISION VAGINAL LESION

  704        VAGINAL OBLITERATION

  7050       CYSTOCEL/RECTOCEL REPAIR

  7051       CYSTOCELE REPAIR

  7052       RECTOCELE REPAIR

  7061       VAGINAL CONSTRUCTION

  7062       VAGINAL RECONSTRUCTION

  7071       SUTURE VAGINA LACERATION

  7072       REPAIR COLOVAGIN FISTULA

  7073       REPAIR RECTOVAG FISTULA

  7074       REP VAGINOENT FISTUL NEC

  7075       REPAIR VAG FISTULA NEC

  7076       HYMENORRHAPHY

  7077       VAGINAL SUSPENS & FIXAT

  7079       VAGINAL REPAIR NEC

  708        VAGINAL VAULT OBLITERAT

  7091       VAGINAL OPERATION NEC

  7092       CUL-DE-SAC OPERATION NEC

  7101       VULVAR ADHESIOLYSIS

  7109       INCIS VULVA/PERINEUM NEC

  7111       VULVAR BIOPSY

  7119       VULVAR DIAGNOS PROC NEC

  7122       INCISE BARTHOLIN\'S GLAND

  7123       BARTHOLIN GLAND MARSUP

  7124       DESTRUC BARTHOLIN GLAND

  7129       BARTHOLIN\'S GLAND OP NEC

  713        LOCAL VULVAR EXCIS NEC

  714        OPERATIONS ON CLITORIS

  715        RADICAL VULVECTOMY

  7161       UNILATERAL VULVECTOMY

  7162       BILATERAL VULVECTOMY

  7171       SUTURE VULVAR LACERATION

  7172       REPAIR VULVAR FISTULA

  7179       VULVAR/PERIN REPAIR NEC

  718        OTHER VULVAR OPERATIONS

  719        OTHER FEMALE GENITAL OPS

  7394       PUBIOTOMY TO ASSIST DEL

  7399       OPS ASSISTING DELIV NEC

  740        CLASSICAL C-SECTION

  741        LOW CERVICAL C-SECTION

  742        EXTRAPERITONEAL C-SECT

  743        REM EXTRATUB ECTOP PREG

  744        CESAREAN SECTION NEC

  7491       HYSTEROTOMY TO TERMIN PG

  7499       CESAREAN SECTION NOS

  7536       CORRECTION FETAL DEFECT

  7550       REPAIR OB LAC UTERUS NOS

  7551       REPAIR OB LACERAT CERVIX

  7552       REPAIR OB LAC CORP UTERI

  7561       REPAIR OB LAC BLAD/URETH

  7593       SURG CORR INVERT UTERUS

  7599       OBSTETRIC OPERATION NEC

  7601       FACIAL BONE SEQUESTRECT

  7609       FACIAL BONE INCISION NEC

  7611       FACIAL BONE BIOPSY

  7619       FACIAL BONE DX PROC NEC

  762        DESTRUCT FACIAL BONE LES

  7631       PARTIAL MANDIBULECTOMY

  7639       PART FACIAL OSTECTOM NEC

  7641       TOT MANDIBULEC W RECONST

  7642       TOTAL MANDIBULECTOMY NEC

  7643       MANDIBULAR RECONST NEC

  7644       TOT FACE OSTECT W RECONS

  7645       TOT FACE BONE OSTECT NEC

  7646       FACIAL BONE RECONSTR NEC

  765        TEMPOROMAND ARTHROPLASTY

  7661       CL OSTEOPLASTY MAND RAMI

  7662       OPEN OSTEOPLAS MAND RAMI

  7663       OSTEOPLASTY MANDIBLE BDY

  7664       MAND ORTHOGNATHIC OP NEC

  7665       SEG OSTEOPLASTY MAXILLA

  7666       TOT OSTEOPLASTY MAXILLA

  7667       REDUCTION GENIOPLASTY

  7668       AUGMENTATION GENIOPLASTY

  7669       FACIAL BONE REPAIR NEC

  7670       REDUCTION FACIAL FX NOS

  7672       OPN REDUCT MALAR/ZYGO FX

  7674       OPEN REDUCT MAXILLARY FX

  7676       OPEN REDUCT MANDIBLE FX

  7677       OPEN REDUCT ALVEOLAR FX

  7679       OPEN REDUCT FACE FX NEC

  7691       BONE GRAFT TO FACE BONE

  7692       SYN IMPLANT TO FACE BONE

  7694       OPEN REDUCT TM DISLOCAT

  7697       REMOVE INT FIX FACE BONE

  7699       FACIAL BONE/JNT OP NEC

  7700       SEQUESTRECTOMY NOS

  7701       CHEST CAGE SEQUESTREC

  7702       HUMERUS SEQUESTRECTOMY

  7703       RADIUS & ULNA SEQUESTREC

  7704       METACARP/CARP SEQUESTREC

  7705       FEMORAL SEQUESTRECTOMY

  7706       PATELLAR SEQUESTRECTOMY

  7707       TIBIA/FIBULA SEQUESTREC

  7708       METATAR/TAR SEQUESTREC

  7709       SEQUESTRECTOMY NEC

  7710       OTHER BONE INCISION NOS

  7711       OTHER CHEST CAGE INCIS

  7712       OTHER HUMERUS INCISION

  7713       OTHER RADIUS/ULNA INCIS

  7714       OTH METACARP/CARP INCIS

  7715       OTHER FEMORAL INCISION

  7716       OTHER PATELLAR INCISION

  7717       OTHER TIBIA/FIBULA INCIS

  7718       OTH METATARS/TARS INCIS

  7719       BONE INCIS W/O DIV NEC

  7720       WEDGE OSTEOTOMY NOS

  7721       CHEST CAGE WEDG OSTEOTOM

  7722       HUMERUS WEDGE OSTEOTOMY

  7723       RADIUS/ULNA WEDG OSTEOTO

  7724       METACAR/CAR WEDG OSTEOTO

  7725       FEMORAL WEDGE OSTEOTOMY

  7726       PATELLAR WEDGE OSTEOTOMY

  7727       TIBIA/FIBUL WEDG OSTEOT

  7728       METATAR/TAR WEDG OSTEOT

  7729       WEDGE OSTEOTOMY NEC

  7730       OTHER BONE DIVISION NOS

  7731       CHEST CAGE BONE DIV NEC

  7732       HUMERUS DIVISION NEC

  7733       RADIUS/ULNA DIVISION NEC

  7734       METACAR/CAR DIVISION NEC

  7735       FEMORAL DIVISION NEC

  7736       PATELLAR DIVISION NEC

  7737       TIBIA/FIBULA DIV NEC

  7738       METATAR/TAR DIVISION NEC

  7739       BONE DIVISION NEC

  7740       BONE BIOPSY NOS

  7741       CHEST CAGE BONE BIOPSY

  7742       HUMERUS BIOPSY

  7743       RADIUS & ULNA BIOPSY

  7744       METACARPAL/CARPAL BIOPSY

  7745       FEMORAL BIOPSY

  7746       PATELLAR BIOPSY

  7747       TIBIA & FIBULA BIOPSY

  7748       METATARSAL/TARSAL BIOPSY

  7749       BONE BIOPSY NEC

  7751       BUNIONECT/SFT/OSTEOTOMY

  7752       BUNIONECT/SFT/ARTHRODES

  7753       OTH BUNIONECT W SFT CORR

  7754       EXC CORRECT BUNIONETTE

  7756       REPAIR OF HAMMER TOE

  7757       REPAIR OF CLAW TOE

  7758       OTH EXC, FUS, REPAIR TOE

  7759       BUNIONECTOMY NEC

  7760       LOC EXC BONE LESION NOS

  7761       EXC CHEST CAGE BONE LES

  7762       LOC EXC BONE LES HUMERUS

  7763       LOC EXC LES RADIUS/ULNA

  7764       LOC EXC LES METACAR/CAR

  7765       LOC EXC BONE LES FEMUR

  7766       LOC EXC BONE LES PATELLA

  7767       LOC EXC LES TIBIA/FIBULA

  7768       LOC EXC LES METATAR/TAR

  7769       LOC EXC BONE LESION NEC

  7770       EXCISE BONE FOR GRFT NOS

  7771       EX CHEST CAGE BONE-GFT

  7772       EXCISE HUMERUS FOR GRAFT

  7773       EXCIS RADIUS/ULNA-GRAFT

  7774       EXCIS METACAR/CAR-GRAFT

  7775       EXCISE FEMUR FOR GRAFT

  7776       EXCISE PATELLA FOR GRAFT

  7777       EXCISE TIB/FIB FOR GRAFT

  7778       EXCIS METATAR/TAR-GRAFT

  7779       EXCISE BONE FOR GFT NEC

  7780       OTH PART OSTECTOMY NOS

  7781       OTH CHEST CAGE OSTECTOMY

  7782       PARTIAL HUMERECTOMY NEC

  7783       PART OSTECT-RADIUS/ULNA

  7784       PART OSTECT-METACAR/CAR

  7785       PART OSTECTOMY-FEMUR

  7786       PARTIAL PATELLECTOMY

  7787       PART OSTECT-TIBIA/FIBULA

  7788       PART OSTECT-METATAR/TAR

  7789       PARTIAL OSTECTOMY NEC

  7790       TOTAL OSTECTOMY NOS

  7791       TOT CHEST CAGE OSTECTOMY

  7792       TOTAL OSTECTOMY-HUMERUS

  7793       TOT OSTECT-RADIUS/ULNA

  7794       TOT OSTECT-METACARP/CARP

  7795       TOT OSTECTOMY-FEMUR

  7796       TOTAL PATELLECTOMY

  7797       TOT OSTECT-TIBIA/FIBULA

  7798       TOT OSTECT-METATARS/TARS

  7799       TOTAL OSTECTOMY NEC

  7800       BONE GRAFT NOS

  7801       BONE GRAFT TO CHEST CAGE

  7802       BONE GRAFT TO HUMERUS

  7803       BONE GRAFT-RADIUS/ULNA

  7804       BONE GRFT TO METACAR/CAR

  7805       BONE GRAFT TO FEMUR

  7806       BONE GRAFT TO PATELLA

  7807       BONE GRAFT-TIBIA/FIBULA

  7808       BONE GRAFT-METATAR/TAR

  7809       BONE GRAFT NEC

  7810       APPLIC EXT FIX DEV NOS

  7811       APPL EXT FIX-CHEST CAGE

  7812       APPLIC EXT FIX-HUMERUS

  7813       APPL EXT FIX-RADIUS/ULNA

  7814       APPL EXT FIX-METACAR/CAR

  7815       APPLIC EXT FIX DEV-FEMUR

  7816       APPL EXT FIX DEV-PATELLA

  7817       APPL EXT FIX-TIB/FIBULA

  7818       APPL EXT FIX-METATAR/TAR

  7819       APPLIC EXT FIX DEV NEC

  7820       LIMB SHORTEN PROC NOS

  7822       LIMB SHORT PROC-HUMERUS

  7823       LIMB SHORTEN-RADIUS/ULNA

  7824       LIMB SHORTEN-METACAR/CAR

  7825       LIMB SHORT PROC-FEMUR

  7827       LIMB SHORTEN-TIB/FIBULA

  7828       LIMB SHORTEN-METATAR/TAR

  7829       LIMB SHORTEN PROC NEC

  7830       LIMB LENGTHEN PROC NOS

  7831       LIMB LENGTHEN PROC NOS

  7832       LIMB LENGTH PROC-HUMERUS

  7833       LIMB LENGTH-RADIUS/ULNA

  7834       LIMB LENGTH-METACAR/CAR

  7835       LIMB LENGTH PROC-FEMUR

  7837       LIMB LENGTHEN-TIB/FIBULA

  7838       LIMB LENGTHN-METATAR/TAR

  7839       LIMB LENGTHEN PROC NEC

  7840       OTH BONE REPAIR/PLAST OP

  7841       OTH CHEST CAGE REP/PLAST

  7842       OTH HUMERUS REPAIR/PLAST

  7843       OTH RAD/ULN REPAIR/PLAST

  7844       OTH METAC/CARP REP/PLAST

  7845       OTH FEMUR REPAIR/PLASTIC

  7846       OTH PATELLA REPAIR/PLAST

  7847       OTH TIB/FIB REPAIR/PLAST

  7848       OTH META/TAR REPA/PLAST

  7849       OTH BONE REPA/PLAST NEC

  7850       INT FIX W/O FX REDUC NOS

  7851       INT FIXATION-CHEST CAGE

  7852       INT FIXATION-HUMERUS

  7853       INT FIXATION-RADIUS/ULNA

  7854       INT FIXATION-METACAR/CAR

  7855       INTERNAL FIXATION-FEMUR

  7856       INTERNAL FIX-PATELLA

  7857       INT FIXATION-TIBIA/FIBUL

  7858       INT FIXATION-METATAR/TAR

  7859       INT FIX-NO FX REDUCT NEC

  7860       REMOVE IMP DEVICE NOS

  7861       REMOV IMP DEV-CHEST CAGE

  7862       REMOVE IMPL DEV-HUMERUS

  7863       REMOV IMP DEV-RADIUS/ULN

  7864       REMOV IMP DEV-METAC/CARP

  7865       REMOVE IMP DEVICE-FEMUR

  7866       REMOV IMP DEVICE-PATELLA

  7867       REMOV IMP DEV-TIB/FIBULA

  7868       REMOVE IMP DEV-METAT/TAR

  7869       REMOVE IMPL DEVICE NEC

  7870       OSTEOCLASIS NOS

  7871       OSTEOCLASIS-CHEST CAGE

  7872       OSTEOCLASIS-HUMERUS

  7873       OSTEOCLASIS-RADIUS/ULNA

  7874       OSTEOCLASIS-METACAR/CAR

  7875       OSTEOCLASIS-FEMUR

  7876       OSTEOCLASIS-PATELLA

  7877       OSTEOCLASIS-TIBIA/FIBULA

  7878       OSTEOCLASIS-METATAR/TAR

  7879       OSTEOCLASIS NEC

  7880       OTHER BONE DX PROC NOS

  7881       OTH DX PROCED-CHEST CAGE

  7882       OTH DX PROCED-HUMERUS

  7883       OTH DX PROC-RADIUS/ULNA

  7884       OTH DX PROC-METACAR/CAR

  7885       OTH DX PROCED-FEMUR

  7886       OTH DX PROCED-PATELLA

  7887       OTH DX PROC-TIBIA/FIBULA

  7888       OTH DX PROC-METATAR/TAR

  7889       OTHER BONE DX PROC NEC

  7890       INSERT BONE STIMUL NOS

  7891       INSERT BONE STIMUL-CHEST

  7892       INSERT BONE STIM-HUMERUS

  7893       INSER BONE STIM-RAD/ULNA

  7894       INSER BONE STIM-META/CAR

  7895       INSERT BONE STIM-FEMUR

  7896       INSERT BONE STIM-PATELLA

  7897       INSER BONE STIM-TIB/FIB

  7898       INSER BONE STIM-META/TAR

  7899       INSERT BONE STIMUL NEC

  7910       CL FX REDUC-INT FIX NOS

  7911       CLOS RED-INT FIX HUMERUS

  7912       CL RED-INT FIX RAD/ULNA

  7913       CL RED-INT FIX METAC/CAR

  7914       CLOSE RED-INT FIX FINGER

  7915       CLOSED RED-INT FIX FEMUR

  7916       CL RED-INT FIX TIB/FIBU

  7917       CL RED-INT FIX METAT/TAR

  7918       CLOSE RED-INT FIX TOE FX

  7919       CL FX REDUC-INT FIX NEC

  7920       OPEN FX REDUCTION NOS

  7921       OPEN REDUC-HUMERUS FX

  7922       OPEN REDUC-RADIUS/ULN FX

  7923       OPEN REDUC-METAC/CAR FX

  7924       OPEN REDUCTION-FINGER FX

  7925       OPEN REDUCTION-FEMUR FX

  7926       OPEN REDUC-TIBIA/FIB FX

  7927       OPEN REDUC-METAT/TARS FX

  7928       OPEN REDUCTION-TOE FX

  7929       OPEN FX REDUCTION NEC

  7930       OPN FX RED W INT FIX NOS

  7931       OPEN RED-INT FIX HUMERUS

  7932       OP RED-INT FIX RAD/ULNA

  7933       OP RED-INT FIX METAC/CAR

  7934       OPEN RED-INT FIX FINGER

  7935       OPEN REDUC-INT FIX FEMUR

  7936       OP RED-INT FIX TIB/FIBUL

  7937       OP RED-INT FIX METAT/TAR

  7938       OPEN REDUCT-INT FIX TOE

  7939       OPN FX RED W INT FIX NEC

  7940       CLS REDUC-SEP EPIPHY NOS

  7941       CLOSE RED-HUMERUS EPIPHY

  7942       CLS RED-RADIUS/UL EPIPHY

  7945       CLOSE REDUC-FEMUR EPIPHY

  7946       CLS RED-TIBIA/FIB EPIPHY

  7949       CLS REDUC-SEP EPIPHY NEC

  7950       OPEN RED-SEP EPIPHY NOS

  7951       OPN RED-SEP EPIPHY-HUMER

  7952       OP RED-RADIUS/ULN EPIPHY

  7955       OPN RED-SEP EPIPHY-FEMUR

  7956       OP RED-TIBIA/FIB EPIPHYS

  7959       OPEN RED-SEP EPIPHY NEC

  7960       OPEN FX SITE DEBRIDE NOS

  7961       DEBRID OPEN FX-HUMERUS

  7962       DEBRID OPN FX-RADIUS/ULN

  7963       DEBRID OPN FX-METAC/CAR

  7964       DEBRID OPN FX-FINGER

  7965       DEBRID OPN FX-FEMUR

  7966       DEBRID OPN FX-TIBIA/FIB

  7967       DEBRID OPN FX-METAT/TAR

  7968       DEBRID OPN FX-TOE

  7969       OPEN FX SITE DEBRIDE NEC

  7980       OPEN REDUC-DISLOCAT NOS

  7981       OPN REDUC DISLOC-SHOULDR

  7982       OPEN REDUC-ELBOW DISLOC

  7983       OPEN REDUC-WRIST DISLOC

  7984       OPN REDUC DISLOC-HAND

  7985       OPEN REDUC-HIP DISLOCAT

  7986       OPEN REDUC-KNEE DISLOCAT

  7987       OPEN REDUC-ANKLE DISLOC

  7988       OPN REDUC DISLOC-FT/TOE

  7989       OPEN REDUC-DISLOCAT NEC

  7990       UNSPEC OP BONE INJ NOS

  7991       HUMERUS INJURY OP NOS

  7992       RADIUS/ULNA INJ OP NOS

  7993       METACARP/CARP INJ OP NOS

  7994       FINGER INJURY OP NOS

  7995       FEMUR INJURY OP NOS

  7996       TIBIA/FIBULA INJ OP NOS

  7997       METATARS/TARS INJ OP NOS

  7998       TOE INJURY OPERATION NOS

  7999       UNSPEC OP-BONE INJ NEC

  8000       ARTHROT & PROS REMOV NOS

  8001       ARTHROT/PROS REMOV-SHLDR

  8002       ARTHROT/PROS REMOV-ELBOW

  8003       ARTHROT/PROS REMOV-WRIST

  8004       ARTHROT/PROS REMOV-HAND

  8005       ARTHROT/PROS REMOV-HIP

  8006       ARTHROT/PROS REMOV-KNEE

  8007       ARTHROT/PROS REMOV-ANKLE

  8008       ARTHROT/PROS REMOV-FOOT

  8009       ARTHROT & PROS REMOV NEC

  8010       OTHER ARTHROTOMY NOS

  8011       OTH ARTHROTOMY-SHOULDER

  8012       OTH ARTHROTOMY-ELBOW

  8013       OTH ARTHROTOMY-WRIST

  8014       OTH ARTHROTOMY-HAND/FNGR

  8015       OTH ARTHROTOMY-HIP

  8016       OTH ARTHROTOMY-KNEE

  8017       OTH ARTHROTOMY-ANKLE

  8018       OTH ARTHROTOMY-FOOT/TOE

  8019       OTHER ARTHROTOMY NEC

  8020       ARTHROSCOPY NOS

  8021       SHOULDER ARTHROSCOPY

  8022       ELBOW ARTHROSCOPY

  8023       WRIST ARTHROSCOPY

  8024       HAND & FINGER ARTHROSCOP

  8025       HIP ARTHROSCOPY

  8026       KNEE ARTHROSCOPY

  8027       ANKLE ARTHROSCOPY

  8028       FOOT & TOE ARTHROSCOPY

  8029       ARTHROSCOPY NEC

  8040       JT STRUCTUR DIVISION NOS

  8041       SHOULDER STRUCT DIVISION

  8042       ELBOW STRUCTURE DIVISION

  8043       WRIST STRUCTURE DIVISION

  8044       HAND JOINT STRUCT DIVIS

  8045       HIP STRUCTURE DIVISION

  8046       KNEE STRUCTURE DIVISION

  8047       ANKLE STRUCTURE DIVISION

  8048       FOOT JOINT STRUCT DIVIS

  8049       JT STRUCTUR DIVISION NEC

  805        JT STRUCTUR DIVISION NEC

  8050       EXC/DEST INTVRT DISC NOS

  8051       EXCISION INTERVERT DISC

  8059       OTH EXC/DEST INTVRT DISC

  806        EXCIS KNEE SEMILUN CARTL

  8070       SYNOVECTOMY-SITE NOS

  8071       SHOULDER SYNOVECTOMY

  8072       ELBOW SYNOVECTOMY

  8073       WRIST SYNOVECTOMY

  8074       HAND SYNOVECTOMY

  8075       HIP SYNOVECTOMY

  8076       KNEE SYNOVECTOMY

  8077       ANKLE SYNOVECTOMY

  8078       FOOT SYNOVECTOMY

  8079       SYNOVECTOMY-SITE NEC

  8080       DESTRUCT JOINT LES NOS

  8081       DESTRUC-SHOULDER LES NEC

  8082       DESTRUC-ELBOW LESION NEC

  8083       DESTRUC-WRIST LESION NEC

  8084       DESTRUC-HAND JT LES NEC

  8085       DESTRUCT-HIP LESION NEC

  8086       DESTRUCT-KNEE LESION NEC

  8087       DESTRUC-ANKLE LESION NEC

  8088       DESTRUC-FOOT JT LES NEC

  8089       DESTRUCT JOINT LES NEC

  8090       EXCISION OF JOINT NOS

  8091       EXCISION OF SHOULDER NEC

  8092       EXCISION OF ELBOW NEC

  8093       EXCISION OF WRIST NEC

  8094       EXCISION HAND JOINT NEC

  8095       EXCISION OF HIP NEC

  8096       EXCISION OF KNEE NEC

  8097       EXCISION OF ANKLE NEC

  8098       EXCISION FOOT JOINT NEC

  8099       EXCISION OF JOINT NEC

  8100       SPINAL FUSION NOS

  8101       ATLAS-AXIS FUSION

  8102       OTHER CERVICAL FUS ANT

  8103       OTHER CERVICAL FUS POST

  8104       DORSAL/DORSOLUM FUS ANT

  8105       DORSAL/DORSOLUM FUS POST

  8106       LUMBAR/LUMBOSAC FUS ANT

  8107       LUMBAR/LUMBOSAC FUS LAT

  8108       LUMBAR/LUMBOSAC FUS POST

  8109       LUMBAR/LUMBOSAC FUS POST

  8111       ANKLE FUSION

  8112       TRIPLE ARTHRODESIS

  8113       SUBTALAR FUSION

  8114       MIDTARSAL FUSION

  8115       TARSOMETATARSAL FUSION

  8116       METATARSOPHALANGEAL FUS

  8117       OTHER FUSION OF FOOT

  8118       OTHER FUSION OF FOOT

  8120       ARTHRODESIS NOS

  8121       ARTHRODESIS OF HIP

  8122       ARTHRODESIS OF KNEE

  8123       ARTHRODESIS OF SHOULDER

  8124       ARTHRODESIS OF ELBOW

  8125       CARPORADIAL FUSION

  8126       METACARPOCARPAL FUSION

  8127       METACARPOPHALANGEAL FUS

  8128       INTERPHALANGEAL FUSION

  8129       ARTHRODESIS NEC

  8130       SPINAL REFUSION NOS

  8131       REFUSION OF ATLAS-AXIS

  8132       REFUSION OF OTH CERV ANT

  8133       REFUS OF OTH CERV POST

  8134       REFUSION OF DORSAL ANT

  8135       REFUSION OF DORSAL POST

  8136       REFUSION OF LUMBAR ANT

  8137       REFUSION OF LUMBAR LAT

  8138       REFUSION OF LUMBAR POST

  8139       REFUSION OF SPINE NEC

  8140       REPAIR OF HIP, NEC

  8141       REPAIR OF HIP, NEC

  8142       FIVE-IN-ONE KNEE REPAIR

  8143       TRIAD KNEE REPAIR

  8144       PATELLAR STABILIZATION

  8145       CRUCIATE LIG REPAIR NEC

  8146       COLLATERL LIG REPAIR NEC

  8147       OTHER REPAIR OF KNEE

  8148       OTHER REPAIR OF KNEE

  8149       OTHER REPAIR OF ANKLE

  8151       TOTAL HIP REPLACEMENT

  8152       PARTIAL HIP REPLACEMENT

  8153       REVISE HIP REPLACEMENT

  8154       TOTAL KNEE REPLACEMENT

  8155       REVISE KNEE REPLACEMENT

  8156       TOTAL ANKLE REPLACEMENT

  8157       REPL JOINT OF FOOT, TOE

  8159       REV JT REPL LOW EXT NEC

  8161       360 SPINAL FUSION

  8162       FUS/REFUS 2-3 VERTEBRAE

  8163       FUS/REFUS 4-8 VERTEBRAE

  8164       FUS/REFUS 9 VERTEBRAE

  8165       VERTEBROPLASTY OCT04-

  8166       KYPHOPLASTY OCT04-

  8169       OTH HIP REPAIR JAN80\--SEP89 OCT05-

  8171       ARTHROPLAS METACARP WIT

  8172       ARTHROPLASTY METACAR W/O

  8173       TOTAL WRIST REPLACEMENT

  8174       ARTHROPLASTY CARPAL WIT

  8175       ARTHROPLASTY CARPAL W/O

  8179       OTH REPAIR HAN/FIN/WRIS

  8180       TOTAL SHOULDER REPLACE

  8181       PARTIAL SHOULDER REPLACE

  8182       REP RECUR SHLDER DISLOC

  8183       SHOULDER ARTHROPLAST NEC

  8184       TOTAL ELBOW REPLACEMENT

  8185       ELBOW ARTHROPLASTY NEC

  8186       ELBOW ARTHROPLASTY NEC

  8187       ELBOW ARTHROPLASTY NEC

  8193       SUTUR CAPSUL/LIGAMEN ARM

  8194       SUTURE CAPSUL/LIG ANK/FT

  8195       SUTUR CAPSUL/LIG LEG NEC

  8196       OTHER REPAIR OF JOINT

  8197       REV JT REPL UPPER EXTREM

  8198       OTHER JOINT DX PROCEDURE

  8199       JOINT STRUCTURE OP NEC

  8201       EXPLOR TEND SHEATH-HAND

  8202       MYOTOMY OF HAND

  8203       BURSOTOMY OF HAND

  8209       INC SOFT TISSUE HAND NEC

  8211       TENOTOMY OF HAND

  8212       FASCIOTOMY OF HAND

  8219       DIV SOFT TISSUE HAND NEC

  8221       EXC LES TEND SHEATH HAND

  8222       EXCISION HAND MUSCLE LES

  8229       EXC LES SFT TISS HND NEC

  8231       BURSECTOMY OF HAND

  8232       EXCIS HAND TEND FOR GRFT

  8233       HAND TENONECTOMY NEC

  8234       EXC HND MUS/FAS FOR GRFT

  8235       HAND FASCIECTOMY NEC

  8236       OTHER MYECTOMY OF HAND

  8239       HAND SOFT TISSUE EXC NEC

  8241       SUTURE TENDN SHEATH HAND

  8242       DELAY SUT FLEX TEND HAND

  8243       DELAY SUT HAND TEND NEC

  8244       SUTUR FLEX TEND HAND NEC

  8245       SUTURE HAND TENDON NEC

  8246       SUTURE HAND MUSCLE/FASC

  8251       HAND TENDON ADVANCEMENT

  8252       HAND TENDON RECESSION

  8253       HAND TENDON REATTACHMENT

  8254       HAND MUSCLE REATTACHMENT

  8255       CHNG HND MUS/TEN LNG NEC

  8256       TRANSPLANT HAND TEND NEC

  8257       TRANSPOSIT HAND TEND NEC

  8258       TRANSPLANT HAND MUSC NEC

  8259       TRANSPOSIT HAND MUSC NEC

  8261       POLLICIZATION OPERATION

  8269       THUMB RECONSTRUCTION NEC

  8271       HAND TEND PULLEY RECONST

  8272       PLAST OP HND-MUS/FAS GRF

  8279       PLAST OP HAND W GRFT NEC

  8281       TRANSFER OF FINGER

  8282       REPAIR OF CLEFT HAND

  8283       REPAIR OF MACRODACTYLY

  8284       REPAIR OF MALLET FINGER

  8285       OTHER TENODESIS OF HAND

  8286       OTHER TENOPLASTY OF HAND

  8289       HAND PLASTIC OP NEC

  8291       LYSIS OF HAND ADHESIONS

  8299       HAND MUS/TEN/FAS/OPS NEC

  8301       TENDON SHEATH EXPLORAT

  8302       MYOTOMY

  8303       BURSOTOMY

  8309       SOFT TISSUE INCISION NEC

  8311       ACHILLOTENOTOMY

  8312       ADDUCTOR TENOTOMY OF HIP

  8313       OTHER TENOTOMY

  8314       FASCIOTOMY

  8319       SOFT TISSUE DIVISION NEC

  8321       SOFT TISSUE BIOPSY

  8329       SOFT TISSUE DX PROC NEC

  8331       EXCIS LES TENDON SHEATH

  8332       EXCIS LESION OF MUSCLE

  8339       EXC LES SOFT TISSUE NEC

  8341       TENDON EXCISION FOR GRFT

  8342       OTHER TENONECTOMY

  8343       MUSC/FASC EXCIS FOR GRFT

  8344       OTHER FASCIECTOMY

  8345       OTHER MYECTOMY

  8349       OTHER SOFT TISSUE EXCIS

  835        BURSECTOMY

  8361       TENDON SHEATH SUTURE

  8362       DELAYED TENDON SUTURE

  8363       ROTATOR CUFF REPAIR

  8364       OTHER SUTURE OF TENDON

  8365       OTHER MUSCLE/FASC SUTURE

  8371       TENDON ADVANCEMENT

  8372       TENDON RECESSION

  8373       TENDON REATTACHMENT

  8374       MUSCLE REATTACHMENT

  8375       TENDON TRNSFR/TRANSPLANT

  8376       OTHER TENDON TRANSPOSIT

  8377       MUSCLE TRNSFR/TRANSPLANT

  8379       OTHER MUSCLE TRANSPOSIT

  8381       TENDON GRAFT

  8382       MUSCLE OR FASCIA GRAFT

  8383       TENDON PULLEY RECONSTRUC

  8384       CLUBFOOT RELEASE NEC

  8385       MUSC/TEND LNG CHANGE NEC

  8386       QUADRICEPSPLASTY

  8387       OTHER PLASTIC OPS MUSCLE

  8388       OTHER PLASTIC OPS TENDON

  8389       OTHER PLASTIC OPS FASCIA

  8391       ADHESIOLYSIS MUS/TEN/FAS

  8392       INSERT SKEL MUSC STIMULA

  8393       REMOV SKEL MUSC STIMULAT

  8399       MUS/TEN/FAS/BUR OP NEC

  8400       UPPER LIMB AMPUTAT NOS

  8401       FINGER AMPUTATION

  8402       THUMB AMPUTATION

  8403       AMPUTATION THROUGH HAND

  8404       DISARTICULATION OF WRIST

  8405       AMPUTATION THRU FOREARM

  8406       DISARTICULATION OF ELBOW

  8407       AMPUTATION THRU HUMERUS

  8408       SHOULDER DISARTICULATION

  8409       FOREQUARTER AMPUTATION

  8410       LOWER LIMB AMPUTAT NOS

  8411       TOE AMPUTATION

  8412       AMPUTATION THROUGH FOOT

  8413       DISARTICULATION OF ANKLE

  8414       AMPUTAT THROUGH MALLEOLI

  8415       BELOW KNEE AMPUTAT NEC

  8416       DISARTICULATION OF KNEE

  8417       ABOVE KNEE AMPUTATION

  8418       DISARTICULATION OF HIP

  8419       HINDQUARTER AMPUTATION

  8421       THUMB REATTACHMENT

  8422       FINGER REATTACHMENT

  8423       FOREARM/WRIST/HAND REATT

  8424       UPPER ARM REATTACHMENT

  8425       TOE REATTACHMENT

  8426       FOOT REATTACHMENT

  8427       LOWER LEG/ANKLE REATTACH

  8428       THIGH REATTACHMENT

  8429       REATTACHMENT NEC

  843        AMPUTATION STUMP REVIS

  8440       IMPLNT/FIT PROS LIMB NOS

  8444       IMPLANT ARM PROSTHESIS

  8448       IMPLANT LEG PROSTHESIS

  8458       IMP INTRSPINE DECOMP DEV OCT05-

  8459       INSERT OTHR SPIN DEVICE

  8460       INSERT DISC PROS NOS OCT04-

  8461       INS PART DISC PROS CERV OCT04-

  8462       INS TOT DISC PROST CERV OCT04-

  8463       INS SPIN DISC PROS THOR OCT04-

  8464       INS PART DISC PROS LUMB OCT04-

  8465       INS TOTL DISC PROS LUMB OCT04-

  8466       REVISE DISC PROST CERV OCT04-

  8467       REVISE DISC PROST THORA OCT04-

  8468       REVISE DISC PROSTH LUMB OCT04-

  8469       REVISE DISC PROSTH NOS OCT04-

  8472       APP EXT FIX DEV-RING SYS OCT05-

  8473       APP HYBRID EXT FIX DEV OCT05-

  8491       AMPUTATION NOS

  8492       SEPARAT EQUAL JOIN TWIN

  8493       SEPARAT UNEQUL JOIN TWIN

  8499       MUSCULOSKELETAL OP NEC

  8512       OPEN BREAST BIOPSY

  8520       BREAST TISSU DESTRUC NOS

  8521       LOCAL EXCIS BREAST LES

  8522       QUADRANT RESECT BREAST

  8523       SUBTOTAL MASTECTOMY

  8524       EXC ECTOPIC BREAST TISSU

  8525       EXCISION OF NIPPLE

  8531       UNILAT REDUCT MAMMOPLAST

  8532       BILAT REDUCT MAMMOPLASTY

  8533       UNIL SUBQ MAMMECT-IMPLNT

  8534       UNILAT SUBQ MAMMECT NEC

  8535       BIL SUBQ MAMMECT-IMPLANT

  8536       BILAT SUBQ MAMMECTOM NEC

  8541       UNILAT SIMPLE MASTECTOMY

  8542       BILAT SIMPLE MASTECTOMY

  8543       UNILAT EXTEN SIMP MASTEC

  8544       BILAT EXTEND SIMP MASTEC

  8545       UNILAT RADICAL MASTECTOM

  8546       BILAT RADICAL MASTECTOMY

  8547       UNIL EXT RAD MASTECTOMY

  8548       BIL EXTEN RAD MASTECTOMY

  8550       AUGMENT MAMMOPLASTY NOS

  8553       UNILAT BREAST IMPLANT

  8554       BILATERAL BREAST IMPLANT

  856        MASTOPEXY

  857        TOTAL BREAST RECONSTRUCT

  8582       BREAST SPLIT-THICK GRAFT

  8583       BREAST FULL-THICK GRAFT

  8584       BREAST PEDICLE GRAFT

  8585       BREAST MUSCLE FLAP GRAFT

  8586       TRANSPOSITION OF NIPPLE

  8587       NIPPLE REPAIR NEC

  8589       MAMMOPLASTY NEC

  8593       BREAST IMPLANT REVISION

  8594       BREAST IMPLANT REMOVAL

  8595       INSER BREAST TISSU EXPAN

  8596       REMOV BREAST TISSU EXPAN

  8599       BREAST OPERATION NEC

  8606       INSERT INFUSION PUMP

  8621       EXCISION OF PILONID CYST

  8622       EXC WOUND DEBRIDEMENT

  8625       DERMABRASION

  864        RADICAL EXCIS SKIN LES

  8660       FREE SKIN GRAFT NOS

  8661       FULL-THICK HAND SKIN GRF

  8662       HAND SKIN GRAFT NEC

  8663       FULL-THICK SKIN GRFT NEC

  8665       HETEROGRAFT TO SKIN

  8666       HOMOGRAFT TO SKIN

  8667       DERMAL REGENER GRAFT

  8669       FREE SKIN GRAFT NEC

  8670       PEDICLE GRAFT/FLAP NOS

  8671       CUT & PREP PEDICLE GRAFT

  8672       PEDICLE GRAFT ADVANCEMEN

  8673       ATTACH PEDICLE TO HAND

  8674       ATTACH PEDICLE GRAFT NEC

  8675       REVISION OF PEDICLE GRFT

  8681       REPAIR FACIAL WEAKNESS

  8682       FACIAL RHYTIDECTOMY

  8683       SIZE REDUCT PLASTIC OP

  8684       RELAXATION OF SCAR

  8685       SYNDACTYLY CORRECTION

  8686       ONYCHOPLASTY

  8689       SKIN REPAIR & PLASTY NEC

  8691       SKIN EXCISION FOR GRAFT

  8693       INSERT TISSUE EXPANDER

  8694       INS/REPL SINGLE PUL GEN OCT04-

  8695       INS/REPL DUAL PULSE GEN OCT04-

  8696       INSERT/REPL OTH NEUROST OCT04-

  8697       INS/REP 1 PUL GEN OCT05-

  8698       INS/REP 2 PUL GEN OCT05-

  8753       INTRAOPER CHOLANGIOGRAM

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

####### 

######### Appendix B: Surgical Discharge DRGs {#appendix-b-surgical-discharge-drgs .unnumbered}

These codes are used by the following PSIs:

  --------------------------------------------------------------------------------- -----------------------------------
  **PDI**                                                                           **How Used**

  [Accidental Puncture or Laceration (PDI                                           [Denominator
  1)](#accidental-puncture-or-laceration-pdi-1-1) - Page                            Inclusion](#pedqi01denominator) -
  [20](#accidental-puncture-or-laceration-pdi-1-1)                                  Page [20](#pedqi01denominator)

  [Decubitus Ulcer (PDI 2)](#decubitus-ulcer-pdi-2) - Page                          [Denominator inclusion](#pedqi2) -
  [21](#decubitus-ulcer-pdi-2)                                                      Page [21](#pedqi2)

  [Foreign Body Left During Procedure (PDI                                          [Denominator
  3)](#_Foreign_Body_Left_during_Procedure_) - Page [22](#_Ref127612686)            inclusion](#pedqi03denom) - Page
                                                                                    [22](#pedqi03denom)

  [Iatrogenic Pneumothorax in Neonates (PDI 4) / Iatrogenic Pneumothorax (PDI       [Denominator
  5)](#iatrogenic-pneumothorax-in-neonates-pdi-4-iatrogenic-pneumothorax-pdi-5) -   inclusion](#pedqi04denom) - Page
  Page                                                                              [23](#pedqi04denom)
  [23](#iatrogenic-pneumothorax-in-neonates-pdi-4-iatrogenic-pneumothorax-pdi-5)    

  [Postoperative Hemorrhage or Hematoma (PDI                                        [Denominator
  8)](#_Postoperative_Hemorrhage_or_Hematom) - Page [35](#_Ref127612705)            inclusion](#pedqi08denom) - Page
                                                                                    [36](#pedqi08denom)

  [Postoperative Respiratory Failure (PDI                                           [Denominator
  9)](#postoperative-respiratory-failure-pdi-9)- Page                               inclusion](#pedqi09denom) - Page
  [37](#postoperative-respiratory-failure-pdi-9)                                    [37](#pedqi09denom)

  [Postoperative Sepsis (PDI 10)](#_Postoperative_Sepsis_(PSI_13)) - Page           [Denominator
  [38](#_Ref127612734)                                                              inclusion](#PedQI10Denom) - Page
                                                                                    [38](#PedQI10Denom)

  [Selected Infections Due to Medical Care (PDI                                     [Denominator
  12)](#selected-infections-due-to-medical-care-pdi-12) - Page                      inclusion](#pedqi12denom) - Page
  [45](#selected-infections-due-to-medical-care-pdi-12)                             [45](#pedqi12denom)

  [Transfusion Reaction (PDI 13)](#transfusion-reaction-pdi-13) - Page              [Denominator
  [45](#transfusion-reaction-pdi-13)                                                inclusion](#PedQI13Denom) - Page
                                                                                    [45](#PedQI13Denom)
  --------------------------------------------------------------------------------- -----------------------------------

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

  ---------- ------------------------------------------------------------
  003        CRANIOTOMY, AGE 0-17

  004\*      SPINAL PROCEDURES

  005\*      EXTRACRANIAL VASCULAR PROCEDURES

  006        CARPAL TUNNEL RELEASE

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

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

  036        RETINAL PROCEDURES

  037        ORBITAL PROCEDURES

  038        PRIMARY IRIS PROCEDURES

  039        LENS PROCEDURES W/ OR W/O VITRECTOMY

  041        EXTRAOCULAR PROCEDURES EXCEPT ORBIT, AGE 0-17

  042        INTRAOCULAR PROCEDURES EXCEPT RETINA, IRIS AND LENS

  049        MAJOR HEAD AND NECK PROCEDURES

  050        SIALOADENECTOMY

  051        SALIVARY GLAND PROCEDURES EXCEPT SIALOADENECTOMY

  052        CLEFT LIP AND PALATE REPAIR

  054        SINUS AND MASTOID PROCEDURES, AGE 0-17

  055        MISCELLANEOUS EAR, NOSE, MOUTH AND THROAT PROCEDURES

  056        RHINOPLASTY

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

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

  062        MYRINGOTOMY W/ TUBE INSERTION, AGE 0-17

  063        OTHER EAR, NOSE, MOUTH AND THROAT OR PROCEDURES

  075        MAJOR CHEST PROCEDURES

  076        OTHER RESPIRATORY SYSTEM OR PROCEDURES W/ CC

  077        OTHER RESPIRATORY SYSTEM OR PROCEDURES W/O CC

  103        HEART TRANSPLANT

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

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

  106        CORONARY BYPASS W/ PTCA

  107        CORONARY BYPASS W/ CARDIAC CATHETERIZATION

  108        OTHER CARDIOTHORACIC PROCEDURES

  109        CORONARY BYPASS W/O CARDIAC CATHETERIZATION

  110        MAJOR CARDIOVASCULAR PROCEDURES W/ CC

  111        MAJOR CARDIOVASCULAR PROCEDURES W/O CC

  112\*      PERCUTANEOUS CARDIOVASCULAR PROCEDURES

  113        AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER
             LIMB AND TOE

  114        UPPER LIMB AND TOES AMPUTATION FOR CIRCULATORY SITE

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

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

  117        CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT

  118        CARDIAC PACEMAKER DEVICE REPLACEMENT

  119        VEIN LIGATION AND STRIPPING

  120        OTHER CIRCULATORY SYSTEM OR PROCEDURES

  146        RECTAL RESECTION W/ CC

  147        RECTAL RESECTION W/O CC

  148        MAJOR SMALL AND LARGE BOWEL PROCEDURES W/ CC

  149        MAJOR SMALL AND LARGE BOWEL PROCEDURES W/O CC

  150        PERITONEAL ADHESIOLYSIS W/ CC

  151        PERITONEAL ADHESIOLYSIS W/O CC

  152        MINOR SMALL AND LARGE BOWEL PROCEDURES W/ CC

  153        MINOR SMALL AND LARGE BOWEL PROCEDURES W/O CC

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

  157        ANAL AND STOMAL PROCEDURES W/ CC

  158        ANAL AND STOMAL PROCEDURES W/O CC

  163        HERNIA PROCEDURES, AGE 0-17

  164        APPENDECTOMY W/ COMPLICATED PRINCIPAL DIAGNOSIS W/ CC

  165        APPENDECTOMY W/ COMPLICATED PRINCIPAL DIAGNOSIS WIHTOUT CC

  166        APPENDECTOMY W/O COMPLICATED PRINCIPAL IAGNOSIS W/ CC

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

  168        MOUTH PROCEDURES W/ CC

  169        MOUTH PROCEDURES W/O CC

  170        OTHER DIGESTIVE SYSTEM OR PROCEDURES W/ CC

  171        OTHER DIGESTIVE SYSTEM OR PROCEDURES W/O CC

  191        PANCREAS, LIVER AND SHUNT PROCEDURES W/ CC

  192        PANCREAS, LIVER AND SHUNT PROCEDURES W/O CC

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

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

  195        CHOLECYSTECTOMY W/ COMMON DUCT EXPLORATION W/ CC

  196        CHOLECYSTECTOMY W/ COMMON DUCT EXPLORATION W/O CC

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

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

  199        HEPATOBILIARY DIAGNOSTIC PROCEDURE FOR MALIGNANCY

  200        HEPATOBILIARY DIAGNOSTIC PROCEDURE FOR NONMALIGNANCY

  201        OTHER HEPATOBILIARY OR PANCREAS OR PROCEDURES

  209        MAJOR JOINT AND LIMB REATTACHMENT PROCEDURES OF LOWER
             EXTREMITY

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

  213        AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE
             DISORDERS

  214\*      BACK & NECK PROCEDURES W CC

  215\*      BACK & NECK PROCEDURES W/O CC

  216        BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE

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

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

  221\*      KNEE PROCEDURES W CC

  222\*      KNEE PROCEDURES W/O CC

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

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

  225        FOOT PROCEDURES

  226        SOFT TISSUE PROCEDURES W/ CC

  227        SOFT TISSUE PROCEDURES W/O CC

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

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

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

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

  232        ARTHROSCOPY

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

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

  257        TOTAL MASTECTOMY FOR MALIGNANCY W/ CC

  258        TOTAL MASTECTOMY FOR MALIGNANCY W/O CC

  259        SUBTOTAL MASTECTOMY FOR MALIGNANCY W/ CC

  260        SUBTOTAL MASTECTOMY FOR MALIGNANCY W/O CC

  261        BREAST PROCEDURE FOR NONMALIGNANCY EXCEPT BIOPSY AND LOCAL
             EXCISION

  262        BREAST BIOPSY AND LOCAL EXCISION FOR NONMALIGNANCY

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

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

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

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

  267        PERIANAL AND PILONIDAL PROCEDURES

  268        SKIN, SUBCUTANEOUS TISSUE AND BREAST PLASTIC PROCEDURES

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

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

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

  286        ADRENAL AND PITUITARY PROCEDURES

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

  288        OR PROCEDURES FOR OBESITY

  289        PARATHYROID PROCEDURES

  290        THYROID PROCEDURES

  291        THYROGLOSSAL PROCEDURES

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

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

  302        KIDNEY TRANSPLANT

  303        KIDNEY, URETER AND MAJOR BLADDER PROCEDURES FOR NEOPLASM

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

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

  306        PROSTATECTOMY W/ CC

  307        PROSTATECTOMY W/O CC

  308        MINOR BLADDER PROCEDURES W/ CC

  309        MINOR BLADDER PROCEDURES W/O CC

  310        TRANSURETHRAL PROCEDURES W/ CC

  311        TRANSURETHRAL PROCEDURES W/O CC

  314        URETHRAL PROCEDURES, AGE 0-17

  315        OTHER KIDNEY AND URINARY TRACT OR PROCEDURES

  334        MAJOR MALE PELVIC PROCEDURES W/ CC

  335        MAJOR MALE PELVIC PROCEDURES W/O CC

  336        TRANSURETHRAL PROSTATECTOMY W/ CC

  337        TRANSURETHRAL PROSTATECTOMY W/O CC

  338        TESTES PROCEDURES FOR MALIGNANCY

  340        TESTES PROCEDURES FOR NONMALIGNANCY, AGE 0-17

  341        PENIS PROCEDURES

  343        CIRCUMCISION, AGE 0-17

  344        OTHER MALE REPRODUCTIVE SYSTEM OR PROCEDURES FOR MALIGNANCY

  345        OTHER MALE REPRODUCTIVE SYSTEM OR PROCEDURES EXCEPT FOR
             MALIGNANCY

  353        PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL
             VULVECTOMY

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

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

  356        FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES

  357        UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL
             MALIGNANCY

  358        UTERINE AND ADNEXA PROCEDURES FOR NONMALIGNANCY W/ CC

  359        UTERINE AND ADNEXA PROCEDURES FOR NONMALIGNANCY W/O CC

  360        VAGINA, CERVIX AND VULVA PROCEDURES

  361        LAPAROSCOPY AND INCISIONAL TUBAL INTERRUPTION

  362        ENDOSCOPIC TUBAL INTERRUPTION

  363        D AND C, CONIZATION AND RADIOIMPLANT FOR MALIGNANCY

  364        D AND C, CONIZATION EXCEPT FOR MALIGNANCY

  365        OTHER FEMALE REPRODUCTIVE SYSTEM OR PROCEDURES

  370        CESAREAN SECTION W/ CC

  371        CESAREAN SECTION W/O CC

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

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

  377        POSTPARTUM AND POSTABORTION DIAGNOSES W/ OR PROCEDURE

  381        ABORTION W/ D AND C ASPIRATION CURETTAGE OR HYSTERECTOMY

  393        SPLENECTOMY, AGE 0-17

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

  400\*      LYMPHOMA AND LEUKEMIA W/ MAJOR OR PROCEDURES

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

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

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

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

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

  415        OR PROCEDURE FOR INFECTIOUS AND PARASITIC DISEASES

  424        OR PROCEDURES W/ PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS

  439        SKIN GRAFTS FOR INJURIES

  440        WOUND DEBRIDEMENTS FOR INJURIES

  441        HAND PROCEDURES FOR INJURIES

  442        OTHER OR PROCEDURES FOR INJURIES W/ CC

  443        OTHER OR PROCEDURES FOR INJURIES W/O CC

  458\*      NON-EXTENSIVE BURNS W SKIN GRAFT

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

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

  468        EXTENSIVE OR PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

  471        BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER
             EXTREMITY

  472\*      EXTENSIVE BURNS W O.R. PROCEDURE

  476        PROSTATIC OR PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

  477        NONEXTENSIVE OR PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

  478        OTHER VASCULAR PROCEDURES W/ CC

  479        OTHER VASCULAR PROCEDURES W/O CC

  480        LIVER TRANSPLANT

  481        BONE MARROW TRANSPLANT

  482        TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES

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

  484        CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

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

  486        OTHER OR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

  488        HIV W/ EXTENSIVE OR PROCEDURE

  491        MAJOR JOINT AND LIMB REATTACHMENT PROCEDURES OF UPPER
             EXTREMITY

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

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

  495        LUNG TRANSPLANT

  496        COMBINED ANTERIOR/POSTERIOR SPINAL FUSION

  497        SPINAL FUSION W/ CC

  498        SPINAL FUSION W/O CC

  499        BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION W/ CC

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

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

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

  503        KNEE PROCEDURES W/O PRINCIPAL DIAGNOSIS OF INFECTION

  504        EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT

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

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

  512        SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT

  513        PANCREAS TRANSPLANT

  514\*      CARDIAC DEFIBRILLATOR IMPLANT W CARDIAC CATH

  515        CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH

  516        PERCUTANEOUS CARDIOVASC PROC W AMI

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

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

  519        CERVICAL SPINAL FUSION W CC

  520        CERVICAL SPINAL FUSION W/O CC

  525        HEART ASSIST SYSTEM IMPLANT (OCT 02)

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

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

  528        INTRACRANIAL VASCULAR PROC W PDX HEMORRHAGE (OCT 03)

  529        VENTRICULAR SHUNT PROCEDURES W CC (OCT 03)

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

  531        SPINAL PROCEDURES W CC (OCT 03)

  532        SPINAL PROCEDURES W/O CC (OCT 03)

  533        EXTRACRANIAL PROCEDURES W CC (OCT 03)

  534        EXTRACRANIAL PROCEDURES W/O CC (OCT 03)

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

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

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

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

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

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

  541        TRACH W MV 96+HRS OR PDX EXC FACE, MTH, FACE & NECK DX W/MAJ
             OR OCT04-

  542        TRACH W MV 96+HRS OR PDX EXC FACE, MTH, FACE & NECK DX W/O
             MJ OR OCT04-

  543        CRANIOTOMY WITH IMPLANTATION OF CHEMOTHERAPEUTIC AGENT OR
             ACUTE COMPLEX CENTRAL NERVOUS SYSTEM PRINCIPAL DIAGNOSIS
             OCT04-

  544        MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY
             OCT05-

  545        REVISION OF HIP OR KNEE REPLACEMENT OCT05-

  546        SPINAL FUSION EXC CERV WITH CURVATURE OF THE SPINE OR MALIG
             OCT05-

  547        CORONARY BYPASS W CARDIAC CATH W MAJOR CV DX OCT05-

  548        CORONARY BYPASS W CARDIAC CATH W/O MAJOR CV DX OCT05-

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

  550        CORONARY BYPASS W/O CARDIAC CATH W/O MAJOR CV DX OCT05-

  551        PERMANENT CARDIAC PACEMAKER IMPL W MAJ CV DX OR AICD LEAD OR
             GNRTR OCT05-

  552        OTHER PERMANENT CARDIAC PACEMAKER IMPLANT W/O MAJOR CV DX
             OCT05-

  553        OTHER VASCULAR PROCEDURES W CC W MAJOR CV DX OCT05-

  554        OTHER VASCULAR PROCEDURES W CC W/O MAJOR CV DX OCT05-

  555        PERCUTANEOUS CARDIOVASCULAR PROC W MAJOR CV DX OCT05-

  556        PERCUTANEOUS CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O
             MAJ CV DX OCT05-

  557        PERCUTANEOUS CARDIOVASCULAR PROC W DRUG-ELUTING STENT W
             MAJOR CV DX OCT05-

  558        PERCUTANEOUS CARDIOVASCULAR PROC W DRUG-ELUTING STENT W/O
             MAJ CV DX OCT05-

  569        MAJOR SMALL & LARGE BOWEL PROCEDURES W CC W MAJOR GI DX
             OCT06-

  570        MAJOR SMALL & LARGE BOWEL PROCEDURES W CC W/O MAJOR GI DX
             OCT06-

  573        MAJOR BLADDER PROCEDURES OCT06-

  577        CAROTID ARTERY STENT PROCEDURE OCT06-

  578        INFECTIOUS & PARASITIC DISEASES W OR PROCEDURE OCT06-

  579        POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W OR PROCEDURE
             OCT06-
  ---------- ------------------------------------------------------------

\* No longer valid in FY2005

####### 

######### Appendix C: ICD-9-CM Codes for High-risk Immunocompromised States {#appendix-c-icd-9-cm-codes-for-high-risk-immunocompromised-states .unnumbered}

These codes are used by the following PDIs:

  ----------------------------------------------------------------------------------- --------------------------------------------------------------
  **PDI**                                                                             **How Used**

  [Postoperative Wound Dehiscence (PDI 11)](#postoperative-wound-dehiscence-pdi-11)-  [Denominator exclusion](#pedqi11denom) - Page
  Page [39](#postoperative-wound-dehiscence-pdi-11)                                   [39](#pedqi11denom)

  [Urinary Tract Infection Admission Rate (PDI                                        [Numerator
  18)](#urinary-tract-infection-admission-rate-pdi-18) - Page                         exclusion](#urinary-tract-infection-admission-rate-pdi-18) -
  [49](#urinary-tract-infection-admission-rate-pdi-18)                                Page [49](#urinary-tract-infection-admission-rate-pdi-18)

  [Selected Infections Due to Medical Care (PDI 12) - Indicator-specific              [High Risk Group](#PDI12HiRisk) - Page [14](#PDI12HiRisk)
  Stratification](#selected-infections-due-to-medical-care-pdi-12-stratification) -   
  Page [14](#selected-infections-due-to-medical-care-pdi-12-stratification)           
  ----------------------------------------------------------------------------------- --------------------------------------------------------------

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

*ICD-9-CM high-risk immunocompromised states diagnosis codes:*

  ----------- -----------------------------------------------------------
  042         HUMAN IMMUNODEFICIENCY VIRUS (HIV) DISEASE

  1363        PNEUMOCYSTOSIS

  20000       RETCLSRC UNSP XTRNDL ORG

  20001       RETICULOSARCOMA HEAD

  20002       RETICULOSARCOMA THORAX

  20003       RETICULOSARCOMA ABDOM

  20004       RETICULOSARCOMA AXILLA

  20005       RETICULOSARCOMA INGUIN

  20006       RETICULOSARCOMA PELVIC

  20007       RETICULOSARCOMA SPLEEN

  20008       RETICULOSARCOMA MULT

  20010       LYMPHSRC UNSP XTRNDL ORG

  20011       LYMPHOSARCOMA HEAD

  20012       LYMPHOSARCOMA THORAX

  20013       LYMPHOSARCOMA ABDOM

  20014       LYMPHOSARCOMA AXILLA

  20015       LYMPHOSARCOMA INGUIN

  20016       LYMPHOSARCOMA PELVIC

  20017       LYMPHOSARCOMA SPLEEN

  20018       LYMPHOSARCOMA MULT

  20020       BRKT TMR UNSP XTRNDL ORG

  20021       BURKITTS TUMOR HEAD

  20022       BURKITTS TUMOR THORAX

  20023       BURKITTS TUMOR ABDOM

  20024       BURKITTS TUMOR AXILLA

  20025       BURKITTS TUMOR INGUIN

  20026       BURKITTS TUMOR PELVIC

  20027       BURKITTS TUMOR SPLEEN

  20028       BURKITTS TUMOR MULT

  20080       OTH VARN UNSP XTRNDL ORG

  20081       MIXED LYMPHOSARC HEAD

  20082       MIXED LYMPHOSARC THORAX

  20083       MIXED LYMPHOSARC ABDOM

  20084       MIXED LYMPHOSARC AXILLA

  20085       MIXED LYMPHOSARC INGUIN

  20086       MIXED LYMPHOSARC PELVIC

  20087       MIXED LYMPHOSARC SPLEEN

  20088       MIXED LYMPHOSARC MULT

  2050        ACUTE MYELOID LEUKEMIA

  20500       ACT MYL LEUK W/O RMSION

  20501       ACT MYL LEUK W RMSION

  2051        CHRONIC MYELOID LEUKEMIA

  20510       CHR MYL LEUK W/O RMSION

  20511       CHR MYL LEUK W RMSION

  2052        SUBACUT MYELOID LEUKEMIA

  20520       SBAC MYL LEUK W/O RMSION

  20521       SBAC MYL LEUK W RMSION

  2053        MYELOID SARCOMA

  20530       MYL SRCOMA W/O RMSION

  20531       MYL SRCOMA W RMSION

  2058        MYELOID LEUKEMIA NEC

  20580       OTH MYL LEUK W/O RMSION

  20581       OTH MYL LEUK W RMSION

  2059        MYELOID LEUKEMIA NOS

  20590       UNS MYL LEUK W/O RMSION

  20591       UNS MYL LEUK W RMSION

  2060        ACUTE MONOCYTIC LEUKEMIA

  20600       ACT MONO LEUK W/O RMSION

  20601       ACT MONO LEUK W RMSION

  2061        CHR MONOCYTIC LEUKEMIA

  20610       CHR MONO LEUK W/O RMSION

  20611       CHR MONO LEUK W RMSION

  2062        SUBAC MONOCYTIC LEUKEMIA

  20620       SBAC MONO LEUK W/O RMSON

  20621       SBAC MONO LEUK W RMSION

  2068        MONOCYTIC LEUKEMIA NEC

  20680       OTH MONO LEUK W/O RMSION

  20681       OTH MONO LEUK W RMSION

  2069        MONOCYTIC LEUKEMIA NOS

  20690       UNS MONO LEUK W/O RMSION

  20691       UNS MONO LEUK W RMSION

  2070        ACUTE ERYTHREMIA

  20700       ACT ERTH/ERYLK W/O RMSON

  20701       ACT ERTH/ERYLK W RMSON

  2071        CHRONIC ERYTHREMIA

  20710       CHR ERYTHRM W/O REMISION

  20711       CHR ERYTHRM W REMISION

  2072        MEGAKARYOCYTIC LEUKEMIA

  20720       MGKRYCYT LEUK W/O RMSION

  20721       MGKRYCYT LEUK W RMSION

  2078        SPECIFIED LEUKEMIA NEC

  20780       OTH SPF LEUK W/O REMSION

  20781       OTH SPF LEUK W REMSION

  2080        ACT LEUK UNS CL W/O RMSN

  20800       ACT LEUK UNS CL W/O RMSN

  20801       ACT LEUK UNS CL W RMSON

  2081        CHRONIC LEUKEMIA NOS

  20810       CHR LEUK UNS CL W/O RMSN

  20811       CHR LEUK UNS CL W RMSON

  2082        SUBACUTE LEUKEMIA NOS

  20820       SBAC LEUK UNS CL W/O RMS

  20821       SBAC LEUK UNS CL W RMSON

  2088        LEUKEMIA-UNSPEC CELL NEC

  20880       OTH LEUK UNS CL W/O RMSN

  20881       OTH LEUK UNS CL W RMSON

  2089        LEUKEMIA-UNSPEC CELL NOS

  20890       LEUKEMIA NOS W/O REMSION

  20891       LEUKEMIA NOS W REMISSIO

  23873       HI GRDE MYELODYS SYN LES OCT06-

  23876       MYELOFI W MYELO METAPLAS OCT06-

  260         KWASHIORKOR

  261         NUTRITIONAL MARASMUS

  262         OTHER SEVERE PROTEIN CALORIE MALNUTRITION

  27900       HYPOGAMMAGLOBULINEMIA NOS

  27901       SELECTIVE IGA IMMUNODEFICIENCY

  27902       SELECTIVE IGM IMMUNODEFICIENCY

  27903       OTHER SELECTIVE IMMUNOGLOBULIN DEFICIENCIES

  27904       CONGENITAL HYPOGAMMAGLOBULINEMIA

  27905       IMMUNODEFICIENCY WITH INCREASED IGM

  27906       COMMON VARIABLE IMMUNODEFICIENCY

  27909       DEFICIENCY OF HUMORAL IMMUNITY, OTHER

  27910       IMMUNODEFICIENCY WITH PREDOMINANT T-CELL DEFECT NOS

  27911       DIGEORGE\'S SYNDROME

  27912       WISKOTT-ALDRICH SYNDROME

  27913       NEZLOF\'S SYNDROME

  27919       DEFICIENCY OF CELL-MEDIATED IMMUNITY, OTHER

  2792        COMBINED IMMUNITY DEFICIENCY

  2793        UNSPECIFIED IMMUNITY DEFICIENCY

  2794        AUTOIMMUNE DISEASE, NOT ELSEWHERE CLASSIFIED

  2798        OTHER SPECIFIED DISORDERS INVOLVING THE IMMUNE MECHANISM

  2799        UNDSPECIFIED DISORDER OF IMMUNE MECHANISM

  28409       CONST APLASTC ANEMIA NEC OCT06-

  2841        PANCYTOPENIA OCT06-

  2880        AGRANULOCYTOSIS

  28800       NEUTROPENIA NOS OCT06-

  28801       CONGENITAL NEUTROPENIA OCT06-

  28802       CYCLIC NEUTROPENIA OCT06-

  28803       DRUG INDUCED NEUTROPENIA OCT06-

  28809       NEUTROPENIA NEC OCT06-

  2881        FUNCTIONAL DISORDERS OF POLYMORPHONUCLEAR NEUTROPHILS

  2882        GENETIC ANOMALIES OF LUKOCYTES

  2884        HEMOPHAGOCYTIC SYNDROMES OCT06-

  28850       LEUKOCYTOPENIA NOS OCT06-

  28851       LYMPHOCYTOPENIA OCT06-

  28859       DECREASED WBC COUNT NEC OCT06-

  28953       NEUTROPENIC SPLENOMEGALY OCT06-

  28983       MYELOFIBROSIS OCT06-

  40301       HYPERTENSIVE RENAL DISEASE, MALIGNANT W RENAL FAILURE

  40311       HYPERTENSIVE RENAL DISEASE, BENIGH W RENAL FAILURE

  40391       HYPERTENSIVE RENAL DISEASE, NOS W RENAL FAILURE

  40402       HYPERTENSIVE HEART AND RENAL DISEASE MALIGNANT W RENAL
              FAILURE

  40403       HYPERTENSIVE HEART AND RENAL DISEASE MALIGNANT W CONGESTIVE
              HEART AND RENAL FAILURE

  40412       HYPERTENSIVE HEART AND RENAL DISEASE BENIGH W RENAL FAILURE

  40413       HYPERTENSIVE HEART AND RENAL DISEASE BENIGH W CONGESTIVE
              HEART AND RENAL FAILURE

  40492       HYPERTENSIVE HEART AND RENAL DISEASE NOS W RENAL FAILURE

  40493       HYPERTENSIVE HEART AND RENAL DISEASE NOS W CONGESTIVE HEART
              AND RENAL FAILURE

  5793        OTHER AND UNSPECIFIED POSTSURGICAL NONABSORPTION

  585         CHRONIC KIDNEY DISEASE

  5855        CHRONIC KIDNEY DISEASE STAGE V

  5856        END STAGE RENAL DISEASE

  9968        COMPLICATIONS OF TRANSPLANTED ORGAN

  99680       COMP ORGAN TRANSPLNT NOS

  99681       COMPL KIDNEY TRANSPLANT

  99682       COMPL LIVER TRANSPLANT

  99683       COMPL HEART TRANSPLANT

  99684       COMPL LUNG TRANSPLANT

  99685       COMPL MARROW TRANSPLANT

  99686       COMPL PANCREAS TRANSPLNT

  99687       COMP INTESTINE TRANSPLNT

  99689       COMP OTH ORGAN TRANSPLNT

  V420        KIDNEY REPLACED BY TRANSPLANT

  V421        HEART REPLACED BY TRANSPLANT

  V426        LUNG REPLACED BY TRANSPLANT

  V427        LIVER REPLACED BY TRANSPLANT

  V428        OTHER SPECIFIED ORGAN OR TISSUE

  V4281       BONE MARROW SPECIFIED BY TRANSPLANT

  V4282       PERIPHERAL STEM CELLS REPLACED BY TRANSPLANT

  V4283       PANCREAS REPLACED BY TRANSPLANT

  V4284       INTESTINES REPLACE BY TRANSPLANT

  V4289       OTHER REPLACED BY TRANSPLANT

  V451        RENAL DIALYSIS STATUS

  V560        EXTRACORPOREAL DIALYSIS

  V561        FITTING AND ADJUSTMENT OF EXTRACORPOREAL DIALYSIS CATHETER

  V562        FITTING AND ADJUSTMENT OF PERITONEAL DIALYSIS CATHETER

  V563        ENCOUNTER FOR ADEQUACY TESTING FOR DIALYSIS

  V5631       ENCOUNTER FOR ADEQUACY TESTING FOR HEMODIALYSIS

  V5632       ENCOUNTER FOR ADEQUACY TESTING FOR PERIONEAL DIALYSIS

  V568        OTHER DIALYSIS
  ----------- -----------------------------------------------------------

*ICD-9-CM high-risk immunocompromised states procedure codes:*

  ---------- ------------------------------------------------------------
  335        LUNG TRANSPLANT

  3350       LUNG TRANSPLANT NOS

  3351       UNILAT LUNG TRANSPLANT

  3352       BILAT LUNG TRANSPLANT

  336        COMBINED HEART-LUNG TRANSPLANTATION

  375        HEART TRANSPLANTATION

  3751       HEART TRANSPLANTATION

  410        OPERATIONS ON BONE MAROW AND SPLEEN

  4100       BONE MARROW TRNSPLNT NOS

  4101       AUTO BONE MT W/O PURG

  4102       ALO BONE MARROW TRNSPLNT

  4103       ALLOGRFT BONE MARROW NOS

  4104       AUTO HEM STEM CT W/O PUR

  4105       ALLO HEM STEM CT W/O PUR

  4106       CORD BLD STEM CELL TRANS

  4107       AUTO HEM STEM CT W PURG

  4108       ALLO HEM STEM CT W PURG

  4109       AUTO BONE MT W PURGING

  5051       AUXILIARY LIVER TRANSPL

  5059       LIVER TRANSPLANT NEC

  5280       PANCREATIC TRANSPLANT, NOS

  5281       REIMPLANTATION OF PANCREATIC TISSUE

  5282       REIMPLANTATION OF PANCREATIC TISSUE

  5283       HETEROTRANSPLANT OF PANCREAS

  5285       ALLOTRANSPLANTATION OF CELLS OF ISLETS OF LNGERHANS

  5286       TRANSPLANTATION OF CELLS OF ISLETS OF LANGERHANS, NOS

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

####### 

######### Appendix D: ICD-9-CM Codes for Intermediate-risk Immunocompromised States {#appendix-d-icd-9-cm-codes-for-intermediate-risk-immunocompromised-states .unnumbered}

These codes are used by the following PDIs:

  -------------------------------------------------------- --------------------------------------------------------------
  **PDI**                                                  **How Used**

  [Postoperative Wound Dehiscence (PDI                     [Denominator exclusion](#pedqi11denom) - Page
  11)](#postoperative-wound-dehiscence-pdi-11)- Page       [39](#pedqi11denom)
  [39](#postoperative-wound-dehiscence-pdi-11)             

  [Urinary Tract Infection Admission Rate (PDI             [Numerator
  18)](#urinary-tract-infection-admission-rate-pdi-18) -   exclusion](#urinary-tract-infection-admission-rate-pdi-18) -
  Page                                                     Page [49](#urinary-tract-infection-admission-rate-pdi-18)
  [49](#urinary-tract-infection-admission-rate-pdi-18)     
  -------------------------------------------------------- --------------------------------------------------------------

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

*ICD-9-CM diagnosis codes for intermediate risk immunocompromised
states*

  ----------- -----------------------------------------------------------
  07022       VIRAL HEPATITIS B W HEPATIC COMA, CHRONIC WO MENTION OF
              HEPATITIS DELTA

  07023       VIRAL HEPATITIS B W HEPACTIC COMA, CHRONIC W HEPATITIS
              DELTA

  07044       CHRONIC HEPATITIS C WITH HEPACTIC COMMA

  2894        HYPERSPLENISM

  28950       DISEASE OF SPLEEN NOS

  28951       CHRONIC DIGESTIVE SPLENOMEGALY

  28952       SPLENIC SEQUESTRATION

  28959       OTHER DISEASE OF SPLEEN, OTHER

  4560        ESOPHAGEAL VARICES W BLEEDING

  4561        ESOPHAGEAL VARICES WO MENTION OF BLEEDING

  45620       ESOPHAGEAL VARICES IN DISEASE CLASSIFIED ELSEWHERE, W
              BLEEDING

  45621       ESOPHAGEAL VARICES IN DISEASE CLASSIFIED ELSEWHERE, WO
              MENTION OF BLEEDING

  5723        PORTAL HYPERTENSION

  5728        OTHER SEQUELAE OF CHRONIC LIVER DISEASE

  580         ACUTE GLOMERULONEPHRITIS

  5800        WITH LESION OF PROLIFERATIVE GLOMERULONEPHRITIS

  5804        WITH LESION OF RAPIDLY PROGRESSIVE GLOMERULONEPHRITIS

  5808        WITH OTHER SPECIFIED PATHOLOGICAL LESION IN KIDNEY

  58081       ACUTE GLOMERULONEPHRITIS IN DISEASES CLASSIFIED ELSEWHERE

  58089       WITH OTHER SPECIFIED PATHOLOGICAL LESION IN KIDNEY, OTHER

  5809        ACUTE GLOMERULONEPHRITIS WITH UNSPECIFIED PATHOLOGICAL
              LESION IN KIDNEY

  581         NEPHROTIC SYNDROME

  5810        WITH LESION OF PROLIFERATIVE GLOMERULONEPHRITIS

  5811        WITH LESION OF MEMBRANOUS GLOMERULONEPHRITIS

  5812        WITH LESION OF MEMBRANOPROLIFERATIVE GLOMERULONEPHRITIS

  5813        WITH LESION OF MINIMAL CHANGE GLOMERULONEPHRITIS

  5818        WITH OTHER SPECIFIED PATHOLOGICAL LESION IN KIDNEY

  58181       NEPHROTIC SYNDROME IN DISEASE CLASSIFIED ELSEWHERE

  58189       WITH OTHER SPECIFIED PATHOLOGICAL LESION IN KIDNEY,OTHER

  5819        NEPHROTIC SYNDROME WITH UNSPECIFIED PATHOLOGICAL LESION IN
              KIDNEY

  582         CHRONIC GLOMERULONEPHRITIS

  5820        WITH LESION OF PROLIFERATIVE GLOMERULONEPHRITIS

  5821        WITH LESION OF MEMBRANOUS GLOMERULONEPHRITIS

  5822        WITH LESION OF MEMBRANEPROLIFERATIVE GLOMERULONEPHRITIS

  5824        WITH LESION OF RAPIDLY PROGRESSIVE GLOMERULONEPHRITIS

  5828        WITH OTHER SPECIFIED PATHOLOGICAL LESION IN KIDNEY

  58281       CHRONIC GLOMERULONEPHRITIS IN DISEASES CLASSIFIED ELSEWHERE

  58289       WITH OTHER SPECIFIED PATHOLOGICAL LESION IN KIDNEY, OTHER

  5829        CHORNIC GLOMERULONEPHRITIS WITH UNSPECIFIED PATHOLOGICAL
              LESION IN KIDNEY

  583         NEPHRITIS AND NEPHROPATHY, NOT SPECFIED AS ACUTE OR CHRONIC

  5830        WITH LESION OF PROLIFERATIVE GLOMERULONEPHRITIS

  5831        WITH LESION OF MEMBRANOUS GLOMERULONEPHRITIS

  5832        WITH LESION OF MEMBRANEPROLIFERATIVE GLOMERULONEPHRITIS

  5834        WITH LESION OF RAPIDLY PROGRESSIVE GLOMERULONEPHRITIS

  5836        WITH LESION OF RENAL CORTICAL NECROSIS

  5837        WITH LESION OF RENAL MEDULLARY NECROSIS

  5838        WITH OTHER SPECIFIED PATHOLOGICAL LESION IN KIDNEY

  58381       NEPHRITIS AND NEPHROPATHY, NOT SPECIFIED AS ACUTE OR
              CHRONIC, IN DISEASE CLASSIFIED ELSEWHERE

  58389       WITH OTHER SPECIFIED PATHOLOGICAL LESION IN KIDNEY, OTHER

  5839        WITH UNSPECIFIED PATHOLOGICAL LESION IN KIDNEY

  7100        SYSTEMIC LUPUS ERYTHEMATOSUS

  7101        SYSTEMIC SCLEROSIS

  7102        SICCA SYNDROME

  7103        DERMATOMYOSITIS

  7104        POLYMYOSITIS

  7105        EOSINOPHILIA MYALGIA SYNDROME

  7108        OTHER SPECIFIED DIFFUSE DISEASE OF CONNECTIVE TISSUE

  7109        UNSPECIFIED DIFFUSE CONNECTIVE TISSUE DISEASE

  7590        ANOMALIES OF SPLEEN

  7994        CACHEXIA

  86500       INJURY TO SPLEEN,WO MENTION OF OPEN WOUND INTO CAVITY NOS
              INJURY

  86501       INJURY TO SPLEEN,WO MENTION OF OPEN WOUND INTO CAVITY
              HEMATOMA WO RUPTURE OF CAPSULE

  86502       INJURY TO SPLEEN,WO MENTION OF OPEN WOUND INTO CAVITY
              CAPSULE TEARS WO MAJOR DISRUPTION OF PARENCHYMA

  86503       INJURY TO SPLEEN,WO MENTION OF OPEN WOUND INTO CAVITY
              LACERATION EXTENDING INTO PARENCHYMA

  86504       INJURY TO SPLEEN,WO MENTION OF OPEN WOUND INTO CAVITY
              MASSIVE PARENCHYMAL DISRUPTION

  86509       INJURY TO SPLEEN,WO MENTION OF OPEN WOUND INTO CAVITY OTHER

  86510       INJURY TO SPLEEN,W OPEN WOUND INTO CAVITY NOS INJURY

  86511       INJURY TO SPLEEN,W OPEN WOUND INTO CAVITY HEMATOMA WO
              RUPTURE OF CAPSULE

  86512       INJURY TO SPLEEN,W OPEN WOUND INTO CAVITY CAPSULAR TEARS WO
              MAJOR DISRUPTION OF PARENCHYMA

  86513       INJURY TO SPLEEN,W OPEN WOUND INTO CAVITY LACERATION
              EXTENDING INTO PARENCHYMA

  86514       INJURY TO SPLEEN,W OPEN WOUND INTO CAVITY MASSIVE
              PARENCHYMAL DISRUPTION

  86519       INJURY TO SPLEEN,W OPEN WOUND INTO CAVITY OTHER

  V427        ORGAN OR TISSUE REPLACED BY TRANSPLANT, LIVER
  ----------- -----------------------------------------------------------

*ICD-9-CM Hepatic Failure Diagnosis Codes*

  ----------- -----------------------------------------------------------
  5722        HEPATIC COMA

  5724        HEPATORENAL SYNDROME
  ----------- -----------------------------------------------------------

*ICD-9-CM Cirrhosis Diagnosis Codes*

  ----------- -----------------------------------------------------------
  5712        ALCOHOLIC CIRRHOSIS OF LIVER

  5715        CIRRHOSIS OF LIVER WITHOUT MENTION OF ALCOHOL

  5716        BILIARY CIRRHOSIS
  ----------- -----------------------------------------------------------

####### 

######### Appendix E: Medical Discharge DRGs {#appendix-e-medical-discharge-drgs .unnumbered}

These codes are used by the following PDIs:

  -------------------------------------------------------------------------------- -----------------------------------
  **PDI**                                                                          **How Used**

  [Accidental Puncture or Laceration (PDI                                          [Denominator
  1)](#accidental-puncture-or-laceration-pdi-1-1)- Page                            inclusion](#pedqi01denominator) -
  [20](#accidental-puncture-or-laceration-pdi-1-1)                                 Page [20](#pedqi01denominator)

  [Decubitus Ulcer (PDI 2)](#decubitus-ulcer-pdi-2)- Page                          [Denominator inclusion](#pedqi2) -
  [21](#decubitus-ulcer-pdi-2)                                                     Page [21](#pedqi2)

  [Foreign Body Left During Procedure (PDI                                         [Denominator
  3)](#_Foreign_Body_Left_during_Procedure,) - Page [22](#_Ref127613065)           inclusion](#pedqi03denom) - Page
                                                                                   [22](#pedqi03denom)

  [Iatrogenic Pneumothorax in Neonates (PDI 4) / Iatrogenic Pneumothorax (PDI      [Denominator
  5)](#iatrogenic-pneumothorax-in-neonates-pdi-4-iatrogenic-pneumothorax-pdi-5)-   inclusion](#pedqi04denom) - Page
  Page                                                                             [23](#pedqi04denom)
  [23](#iatrogenic-pneumothorax-in-neonates-pdi-4-iatrogenic-pneumothorax-pdi-5)   

  [Selected Infections Due to Medical Care (PDI                                    [Denominator
  12)](#selected-infections-due-to-medical-care-pdi-12) - Page                     inclusion](#pedqi12denom) - Page
  [45](#selected-infections-due-to-medical-care-pdi-12)                            [45](#pedqi12denom)

  [Transfusion Reaction (PDI 13)](#transfusion-reaction-pdi-13)- Page              [Denominator
  [45](#transfusion-reaction-pdi-13)                                               inclusion](#PedQI13Denom) - Page
                                                                                   [45](#PedQI13Denom)
  -------------------------------------------------------------------------------- -----------------------------------

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

*Medical Discharge DRGs:*

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

  010        NERVOUS SYSTEM NEOPLASMS W/ CC

  011        NERVOUS SYSTEM NEOPLASMS W/ CC

  012        DEGENERATIVE NERVOUS SYSTEM DISORDERS

  013        MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA

  014        SPECIFIC CEREBROVASCULAR DISORDERS EXCEPT TRANSIENT ISCHEMIC
             ATTACK

  015        TRANSIENT ISCHEMIC ATTACK AND PRECEREBRAL OCCLUSIONS

  016        NONSPECIFIC CEREBROVASCULAR DISORDERS W/ CC

  017        NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC

  018        CRANIAL AND PERIPHERAL NERVE DISORDERS W/ CC

  019        CRANIAL AND PERIPHERAL NERVE DISORDERS W/O CC

  020        NERVOUS SYSTEM INFECTION EXCEPT VIRAL MENINGITIS

  021        VIRAL MENINGITIS

  022        HYPERTENSIVE ENCEPHALOPATHY

  023        NONTRAUMATIC STUPOR AND COMA

  026        SEIZURE AND HEADACHE, AGE 0-17

  027        TRAUMATIC STUPOR AND COMA, COMA GREATER THAN ONE HOUR

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

  033        CONCUSSION, AGE 0-17

  034        OTHER DISORDERS OF NERVOUS SYSTEM W/ CC

  035        OTHER DISORDERS OF NERVOUS SYSTEM W/O CC

  043        HYPHEMA

  044        ACUTE MAJOR EYE INFECTIONS

  045        NEUROLOGICAL EYE DISORDERS

  048        OTHER DISORDERS OF THE EYE, AGE 0-17

  064        EAR, NOSE, MOUTH AND THROAT MALIGNANCY

  065        DISEQUILIBRIA

  066        EPISTAXIS

  067        EPIGLOTTITIS

  070        OTITIS MEDIA AND URI, AGE 0-17

  071        LARYNGOTRACHEITIS

  072        NASAL TRAUMA AND DEFORMITY

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

  078        PULMONARY EMBOLISM

  081        RESPIRATORY INFECTIONS AND INFLAMMATIONS, AGE 0-17

  082        RESPIRATORY NEOPLASMS

  083        MAJOR CHEST TRAUMA W/ CC

  084        MAJOR CHEST TRAUMA W/O CC

  085        PLEURAL EFFUSION W/ CC

  086        PLEURAL EFFUSION W/O CC

  087        PULMONARY EDEMA AND RESPIRATORY FAILURE

  088        CHRONIC OBSTRUCTIVE PULMONARY DISEASE

  091        SIMPLE PNEUMONIA AND PLEURISY, AGE 0-17

  092        INTERSTITIAL LUNG DISEASE W/ CC

  093        INTERSTITIAL LUNG DISEASE W/O CC

  094        PNEUMOTHORAX W/ CC

  095        PNEUMOTHORAX W/O CC

  098        BRONCHITIS AND ASTHMA, AGE 0-17

  099        RESPIRATORY SIGNS AND SYMPTOMS W/ CC

  100        RESPIRATORY SIGNS AND SYMPTOMS W/O CC

  101        OTHER RESPIRATORY SYSTEM DIAGNOSES W/ CC

  102        OTHER RESPIRATORY SYSTEM DIAGNOSES W/O CC

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

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

  123        CIRCULATORY DISORDERS W/ ACUTE MYOCARDIAL INFARCTION,
             EXPIRED

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

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

  126        ACUTE AND SUB ACUTE ENDOCARDITIS

  127        HEART FAILURE AND SHOCK

  128        DEEP VEIN THROMBOPHLEBITIS

  129        CARDIAC ARREST, UNEXPLAINED

  130        PERIPHERAL VASCULAR DISORDERS W/ CC

  131        PERIPHERAL VASCULAR DISORDERS W/O CC

  132        ATHEROSCLEROSIS W/ CC

  133        ATHEROSCLEROSIS W/O CC

  134        HYPERTENSION

  137        CARDIAC CONGENITAL AND VALVULAR DISORDERS, AGE 0 - 17

  138        CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS W/ CC

  139        CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS W/O CC

  140        ANGINA PECTORIS

  141        SYNCOPE AND COLLAPSE W/ CC

  142        SYNCOPE AND COLLAPSE W/O CC

  143        CHEST PAIN

  144        OTHER CIRCULATORY SYSTEM DIAGNOSES W/ CC

  145        OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC

  172        DIGESTIVE MALIGNANCY W/ CC

  173        DIGESTIVE MALIGNANCY W/O CC

  174        GI HEMORRHAGE W/ CC

  175        GI HEMORRHAGE W/O CC

  176        COMPLICATED PEPTIC ULCER

  177        UNCOMPLICATED PEPTIC ULCER W/ CC

  178        UNCOMPLICATED PEPTIC ULCER W/O CC

  179        INFLAMMATORY BOWEL DISEASE

  180        GI OBSTRUCTION W/ CC

  181        GI OBSTRUCTION W/O CC

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

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

  187        DENTAL EXTRACTIONS AND RESTORATIONS

  190        OTHER DIGESTIVE SYSTEM DIAGNOSES, AGE 0-17

  202        CIRRHOSIS AND ALCOHOLIC HEPATITIS

  203        MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS

  204        DISORDERS OF PANCREAS EXCEPT MALIGNANCY

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

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

  207        DISORDERS OF THE BILIARY TRACT W/ CC

  208        DISORDERS OF THE BILIARY TRACT W/O CC

  235        FRACTURES OF FEMUR

  236        FRACTURES OF HIP AND PELVIS

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

  238        OSTEOMYELITIS

  239        PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE
             TISSUE MALIGNANCY

  240        CONNECTIVE TISSUE DISORDERS W/ CC

  241        CONNECTIVE TISSUE DISORDERS W/O CC

  242        SEPTIC ARTHRITIS

  243        MEDICAL BACK PROBLEMS

  244        BONE DISEASES AND SPECIFIC ARTHROPATHIES W/ CC

  245        BONE DISEASES AND SPECIFIC ARTHROPATHIES W/O CC

  246        NONSPECIFIC ARTHROPATHIES

  247        SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE
             TISSUE

  248        TENDONITIS, MYOSITIS AND BURSITIS

  249        AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE

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

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

  256        OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

  271        SKIN ULCERS

  272        MAJOR SKIN DISORDERS W/ CC

  273        MAJOR SKIN DISORDERS W/O CC

  274        MALIGNANT BREAST DISORDERS W/ CC

  275        MALIGNANT BREAST DISORDERS W/O CC

  276        NONMALIGNANT BREAST DISORDERS

  279        CELLULITIS, AGE 0-17

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

  283        MINOR SKIN DISORDERS W/ CC

  284        MINOR SKIN DISORDERS W/O CC

  295        DIABETES, AGE 0-35

  298        NUTRITIONAL AND MISCELLANEOUS METABOLIC DISORDERS, AGE 0-17

  299        INBORN ERRORS OF METABOLISM

  300        ENDOCRINE DISORDERS W/ CC

  301        ENDOCRINE DISORDERS W/O CC

  316        RENAL FAILURE

  317        ADMISSION FOR RENAL DIALYSIS

  318        KIDNEY AND URINARY TRACT NEOPLASMS W/ CC

  319        KIDNEY AND URINARY TRACT NEOPLASMS W/O CC

  322        KIDNEY AND URINARY TRACT INFECTION, AGE 0-17

  323        URINARY STONES W/ CC AND/ OR ESW LITHOTRIPSY

  324        URINARY STONES W/O CC

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

  330        URETHRAL STRICTURE, AGE 0-17

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

  346        MALIGNANCY OF MALE REPRODUCTIVE SYSTEM W/ CC

  347        MALIGNANCY OF MALE REPRODUCTIVE SYSTEM W/O CC

  348        BENIGN PROSTATIC HYPERTROPHY W/ CC

  349        BENIGN PROSTATIC HYPERTROPHY W/O CC

  350        INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM

  351        STERILIZATION, MALE

  352        OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES

  366        MALIGNANCY OF FEMALE REPRODUCTIVE SYSTEM W/ CC

  367        MALIGNANCY OF FEMALE REPRODUCTIVE SYSTEM W/O CC

  368        INFECTIONS OF FEMALE REPRODUCTIVE SYSTEM

  369        MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS

  372        VAGINAL DELIVERY W/ COMPLICATING DIAGNOSES

  373        VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES

  376        POSTPARTUM AND POSTABORTION DIAGNOSES W/O OR PROCEDURE

  378        ENTOPIC PREGNANCY

  379        THREATENED ABORTION

  380        ABORTION W/O D AND G

  382        FALSE LABOR

  383        OTHER ANTEPARTUM DIAGNOSES W/ MEDICAL COMPLICATIONS

  384        OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIONS

  385        NEONATES DIED OR TRANSFERRED TO ANOTHER ACUTE FACILITY

  386        EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE

  387        PREMATURITY W MAJOR PROBLEMS

  388        PREMATURITY W/O MAJOR PROBLEMS

  389        FULL TERM NEONATE W MAJOR PROBLEM

  390        NEONATE W OTHER SIGNIFICANT PROBLEM

  391        NORMAL NEWBORN

  396        RED BLOOD CELL DISORDERS, AGE 0-17

  397        COAGULATION DISORDERS

  398        RETICULOENDOTHELIAL AND IMMUNITY DISORDERS W/ CC

  399        RETICULOENDOTHELIAL AND IMMUNITY DISORDERS W/O CC

  403        LYMPHOMA AND NONACUTE LEUKEMIA W/ CC

  404        LYMPHOMA AND NONACUTE LEUKEMIA W/O CC

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

  409        RADIOTHERAPY

  410        CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS

  411        HISTORY OF MALIGNANCY W/O ENDOSCOPY

  412        HISTORY OF MALIGNANCY W/ ENDOSCOPY

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

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

  417        SEPTICEMIA, AGE 0-17

  418        POSTOPERATIVE AND POSTTRAUMATIC INFECTIONS

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

  423        OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES

  425        ACUTE ADJUSTMENT REACTIONS AND DISTURBANCES OF PSYCHOSOCIAL
             DYSFUNCTION

  426        DEPRESSIVE NEUROSES

  427        NEUROSES EXCEPT DEPRESSIVE

  428        DISORDERS OF PERSONALITY AND IMPULSE CONTROL

  429        ORGANIC DISTURBANCES AND MENTAL RETARDATION

  430        PSYCHOSES

  431        CHILDHOOD MENTAL DISORDERS

  432        OTHER MENTAL DISORDER DIAGNOSES

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

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

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

  436\*      ALCOHOL/DRUG DEPENDENCE W/ REHABILITATION THERAPY

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

  446        TRAUMATIC INJURY, AGE 0-17

  448        ALLERGIC REACTIONS, AGE 0-17

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

  452        COMPLICATIONS OF TREATMENT W/ CC

  453        COMPLICATIONS OF TREATMENT W/O CC

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

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

  456\*      BURNS, TRANSFERRED TO ANOTHER ACUTE CARE FACILITY

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

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

  462        REHABILITATION

  463        SIGNS AND SYMPTOMS W/ CC

  464        SIGNS AND SYMPTOMS W/O CC

  465        AFTERCARE W/ HISTORY OF MALIGNANCY AS SECONDARY DIAGNOSIS

  466        AFTERCARE W/O HISTORY OF MALIGNANCY AS SECONDARY DIAGNOSIS

  467        OTHER FACTORS INFLUENCING HEALTH STATUS

  475        RESPIRATORY SYSTEM DIAGNOSIS W/ VENTILATOR SUPPORT

  487        OTHER MULTIPLE SIGNIFICANT TRAUMA

  489        HIV W/ MAJOR RELATED CONDITION

  490        HIV W/ OR W/O OTHER RELATED CONDITION

  492        CHEMOTHERAPY W/ ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS

  505        EXTENSIVE 3RD DEGREE BURNS W/O SKIN GRAFT

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

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

  510        NON-EXTENSIVE BURNS W CC OR SIGNIFICANT TRAUMA

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

  521        ALCOHOL/DRUG ABUSE OR DEPENDENCE W CC

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

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

  524        TRANSIENT ISCHEMIA

  559        ACUTE ISCHEMIC STROKE WITH USE OF THROMBOLYTIC AGENT OCT05-

  560        BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM OCT06-

  561        NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL
             MENINGITIS OCT06-

  565        RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT 96+
             HOURS OCT06-

  566        RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT \< 96
             HOURS OCT06-

  571        MAJOR ESOPHAGEAL DISORDERS OCT06-

  572        MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS
             OCT06-

  574        MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS &
             COAGUL OCT06-

  575        SEPTICEMIA W MV96+ HOURS AGE \>17 OCT06

  576        SEPTICEMIA W/O MV96+ HOURS AGE \>17 OCT06
  ---------- ------------------------------------------------------------

\* No longer valid in FY2005

####### 

######### Appendix F: Sepsis Diagnosis Codes {#appendix-f-sepsis-diagnosis-codes .unnumbered}

These codes are used by the following PDI:

+---------------------------------------+------------------------------+
| **PDI**                               | **How Used**                 |
+---------------------------------------+------------------------------+
| [Postoperative Sepsis (PDI            | [Numerator                   |
| 10                                    | inclusion](#_Post            |
| )](#_Postoperative_Sepsis_(PSI_13)) - | operative_Sepsis_(PSI_13)) - |
| Page [38](#_Ref127613129)             | Page [38](#_Ref127613144)    |
|                                       |                              |
|                                       | [Denominator                 |
|                                       | exclusion](#PedQI10Denom) -  |
|                                       | Page [38](#PedQI10Denom)     |
+---------------------------------------+------------------------------+

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

*ICD-9-CM Sepsis diagnosis codes:*

0380 Streptococcal septicemia

0381 Staphylococcal septicemia

03810 Staphylococcal septicemia, unspecified

03811 Staphylococcus aureus septicemia

03819 Other staphylococcal septicemia

0382 Pneumococcal septicemia (streptococcus pneumoniae septicemia)

0383 Septicemia due to anaerobes

78552 SEPTIC SHOCK

78559 OTHER SHOCK W/O MENTION OF TRAUMA

9980 POSTOPERATIVE SHOCK

Septicemia due to:

03840 Gram-negative organism, unspecified

03841 Hemophilus influenzae

03842 Escherichia coli

03843 Pseudomonas

03844 Serratia

03849 Septicemia due to other gram-negative organisms

0388 Other specified septicemias

0389 Unspecified septicemia

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

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

####### 

######### Appendix G: Low Birth Weight Categories {#appendix-g-low-birth-weight-categories .unnumbered}

These codes are used by the following PDIs:

  --------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------
  **PDI**                                                                           **How Used**

  [Accidental Puncture or Laceration (PDI                                           [Denominator exclusion](#pedqi01denominator) - Page [20](#pedqi01denominator)
  1)](#accidental-puncture-or-laceration-pdi-1-1) - Page                            
  [20](#accidental-puncture-or-laceration-pdi-1-1)                                  

  [Foreign Body Left During Procedure (PDI                                          [Denominator exclusion](#pedqi03denom) - Page [22](#pedqi03denom)
  3)](#_Foreign_Body_Left_during_Procedure,) - Page [22](#_Ref128212533)            

  [Iatrogenic Pneumothorax in Neonates (PDI 4) / Iatrogenic Pneumothorax (PDI       [Denominator
  5)](#iatrogenic-pneumothorax-in-neonates-pdi-4-iatrogenic-pneumothorax-pdi-5) -   exclusion](#iatrogenic-pneumothorax-in-neonates-pdi-4-iatrogenic-pneumothorax-pdi-5) -
  Page                                                                              Page [23](#pedqi04denom)
  [23](#iatrogenic-pneumothorax-in-neonates-pdi-4-iatrogenic-pneumothorax-pdi-5)    

  [Postoperative Hemorrhage or Hematoma (PDI                                        [Denominator exclusion](#pedqi08denom) - Page [36](#pedqi08denom)
  8)](#_Postoperative_Hemorrhage_or_Hematom) - Page [35](#_Ref128213650)            

  [Postoperative Respiratory Failure (PDI                                           [Denominator exclusion](#pedqi09denom) - Page [37](#pedqi09denom)
  9)](#postoperative-respiratory-failure-pdi-9) - Page                              
  [37](#postoperative-respiratory-failure-pdi-9)                                    
  --------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------

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

  ------------ ----------------------------------------------------------
  **Less than  
  500 grams -  
  Birth weight 
  Category 1** 

  76401        LIGHT-FOR-DATES \<500G

  76411        LT-FOR-DATE W/MAL \<500G

  76421        FETAL MALNUTRITION \<500G

  76491        FET GROWTH RETARD \<500G

  76501        EXTREME IMMATUR \<500G

  76511        PRETERM NEC \<500G

  V2131        LOW BIRTHWT STATUS \<500G

  **500 to 999 
  grams -      
  Birth weight 
  Category 2** 

  76402        LT-FOR-DATES 500-749G

  76412        LT-DATE W/MAL 500-749G

  76422        FETAL MALNUTR 500-749G

  76492        FET GROWTH RET 500-749G

  76502        EXTREME IMMATUR 500-749G

  76512        PRETERM NEC 500-749G

  76403        LT-FOR-DATES 750-999G

  76413        LT-DATE W/MAL 750-999G

  76423        FETAL MAL 750-999G

  76493        FET GROWTH RET 750-999G

  76503        EXTREME IMMATUR 750-999G

  76513        PRETERM NEC 750-999G

  V2132        LOW BIRTHWT 500-999G

  **1000 to    
  1499 grams - 
  Birth weight 
  Category 3** 

  76404        LT-FOR-DATES 1000-1249G

  76414        LT-DATE W/MAL 1000-1249G

  76424        FETAL MAL 1000-1249G

  76494        FET GRWTH RET 1000-1249G

  76504        EXTREME IMMAT 1000-1249G

  76514        PRETERM NEC 1000-1249G

  76405        LT-FOR-DATES 1250-1499G

  76415        LT-DATE W/MAL 1250-1499G

  76425        FETAL MAL 1250-1499G

  76495        FET GRWTH RET 1250-1499G

  76505        EXTREME IMMAT 1250-1499G

  76515        PRETERM NEC 1250-1499G

  V2133        LOW BIRTHWT 1000-1499G

  **1500 to    
  1999 grams - 
  Birth weight 
  Category 4** 

  76406        LT-FOR-DATES 1500-1749G

  76416        LT-DATE W/MAL 1500-1749G

  76426        FETAL MAL 1500-1749G

  76496        FET GRWTH RET 1500-1749G

  76506        EXTREME IMMAT 1500-1749G

  76516        PRETERM NEC 1500-1749G

  76407        LT-FOR-DATES 1750-1999G

  76417        LT-DATE W/MAL 1750-1999G

  76427        FETAL MALNUTR 1750-1999G

  76497        FET GRWTH RET 1750-1999G

  76507        EXTREME IMMAT 1750-1999G

  76517        PRETERM NEC 1750-1999G

  V2134        LOW BIRTHWT 1500-1999G

  **2000 to    
  2499 grams - 
  Birth weight 
  Category 5** 

  76408        LT-FOR-DATES 2000-2499G

  76418        LT-DATE W/MAL 2000-2499G

  76428        FETAL MALNUTR 2000-2499G

  76498        FET GRWTH RET 2000-2499G

  76508        EXTREME IMMAT 2000-2499G

  76518        PRETERM NEC 2000-2499G

  V2135        LOW BIRTHWT 2000-2500G
  ------------ ----------------------------------------------------------

####### 

######### Appendix H: Infection Diagnosis Codes {#appendix-h-infection-diagnosis-codes .unnumbered}

These codes are used by the following PDI:

  ----------------------------------------- -------------------------------
  **PDI**                                   **How Used**

  [Postoperative Sepsis (PDI                [Denominator
  10)](#_Postoperative_Sepsis_(PSI_13)) -   exclusion](#PedQI10Denom) -
  Page [38](#_Ref127612625)                 Page [38](#PedQI10Denom)
  ----------------------------------------- -------------------------------

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

*ICD-9-CM Infection diagnosis codes*

  ---------- ------------------------------------------------------------
  0010       CHOLERA D/T VIB CHOLERAE OCT05-

  0011       CHOLERA D/T VIB EL TOR OCT05-

  0019       CHOLERA NOS OCT05-

  0020       TYPHOID FEVER OCT05-

  0021       PARATYPHOID FEVER A OCT05-

  0022       PARATYPHOID FEVER B OCT05-

  0023       PARATYPHOID FEVER C OCT05-

  0029       PARATYPHOID FEVER NOS OCT05-

  0030       SALMONELLA ENTERITIS OCT05-

  0031       SALMONELLA SEPTICEMIA OCT05-

  00320      LOCAL SALMONELLA INF NOS OCT05-

  00321      SALMONELLA MENINGITIS OCT05-

  00322      SALMONELLA PNEUMONIA OCT05-

  00323      SALMONELLA ARTHRITIS OCT05-

  00324      SALMONELLA OSTEOMYELITIS OCT05-

  00329      LOCAL SALMONELLA INF NEC OCT05-

  0038       SALMONELLA INFECTION NEC OCT05-

  0039       SALMONELLA INFECTION NOS OCT05-

  0040       SHIGELLA DYSENTERIAE OCT05-

  0041       SHIGELLA FLEXNERI OCT05-

  0042       SHIGELLA BOYDII OCT05-

  0043       SHIGELLA SONNEI OCT05-

  0048       SHIGELLA INFECTION NEC OCT05-

  0049       SHIGELLOSIS NOS OCT05-

  0050       STAPH FOOD POISONING OCT05-

  0051       BOTULISM OCT05-

  0052       FOOD POIS D/T C. PERFRIN OCT05-

  0053       FOOD POIS: CLOSTRID NEC OCT05-

  0054       FOOD POIS: V. PARAHAEM OCT05-

  00581      FOOD POISN D/T V. VULNIF OCT05-

  00589      BACT FOOD POISONING NEC OCT05-

  0059       FOOD POISONING NOS OCT05-

  00800      INTEST INFEC E COLI NOS OCT05-

  00801      INT INF E COLI ENTRPATH OCT05-

  00802      INT INF E COLI ENTRTOXGN OCT05-

  00803      INT INF E COLI ENTRNVSV OCT05-

  00804      INT INF E COLI ENTRHMRG OCT05-

  00809      INT INF E COLI SPCF NEC OCT05-

  0081       ARIZONA ENTERITIS OCT05-

  0082       AEROBACTER ENTERITIS OCT05-

  0083       PROTEUS ENTERITIS OCT05-

  00841      STAPHYLOCOCC ENTERITIS OCT05-

  00842      PSEUDOMONAS ENTERITIS OCT05-

  00843      INT INFEC CAMPYLOBACTER OCT05-

  00844      INT INF YRSNIA ENTRCLTCA OCT05-

  00845      INT INF CLSTRDIUM DFCILE OCT05-

  00846      INTES INFEC OTH ANEROBES OCT05-

  00847      INT INF OTH GRM NEG BCTR OCT05-

  00849      BACTERIAL ENTERITIS NEC OCT05-

  0085       BACTERIAL ENTERITIS NOS OCT05-

  0200       BUBONIC PLAGUE OCT05-

  0201       CELLULOCUTANEOUS PLAGUE OCT05-

  0202       SEPTICEMIC PLAGUE OCT05-

  0203       PRIMARY PNEUMONIC PLAGUE OCT05-

  0204       SECONDARY PNEUMON PLAGUE OCT05-

  0205       PNEUMONIC PLAGUE NOS OCT05-

  0208       OTHER TYPES OF PLAGUE OCT05-

  0209       PLAGUE NOS OCT05-

  0210       ULCEROGLANDUL TULAREMIA OCT05-

  0211       ENTERIC TULAREMIA OCT05-

  0212       PULMONARY TULAREMIA OCT05-

  0213       OCULOGLANDULAR TULAREMIA OCT05-

  0218       TULAREMIA NEC OCT05-

  0219       TULAREMIA NOS OCT05-

  0220       CUTANEOUS ANTHRAX OCT05-

  0221       PULMONARY ANTHRAX OCT05-

  0222       GASTROINTESTINAL ANTHRAX OCT05-

  0223       ANTHRAX SEPTICEMIA OCT05-

  0228       OTHER ANTHRAX MANIFEST OCT05-

  0229       ANTHRAX NOS OCT05-

  0230       BRUCELLA MELITENSIS OCT05-

  0231       BRUCELLA ABORTUS OCT05-

  0232       BRUCELLA SUIS OCT05-

  0233       BRUCELLA CANIS OCT05-

  0238       BRUCELLOSIS NEC OCT05-

  0239       BRUCELLOSIS NOS OCT05-

  024        GLANDERS OCT05-

  025        MELIOIDOSIS OCT05-

  0260       SPIRILLARY FEVER OCT05-

  0261       STREPTOBACILLARY FEVER OCT05-

  0269       RAT-BITE FEVER NOS OCT05-

  0270       LISTERIOSIS OCT05-

  0271       ERYSIPELOTHRIX INFECTION OCT05-

  0272       PASTEURELLOSIS OCT05-

  0278       ZOONOTIC BACT DIS NEC OCT05-

  0279       ZOONOTIC BACT DIS NOS OCT05-

  0320       FAUCIAL DIPHTHERIA OCT05-

  0321       NASOPHARYNX DIPHTHERIA OCT05-

  0322       ANT NASAL DIPHTHERIA OCT05-

  0323       LARYNGEAL DIPHTHERIA OCT05-

  03281      CONJUNCTIVAL DIPHTHERIA OCT05-

  03282      DIPHTHERITIC MYOCARDITIS OCT05-

  03283      DIPHTHERITIC PERITONITIS OCT05-

  03284      DIPHTHERITIC CYSTITIS OCT05-

  03285      CUTANEOUS DIPHTHERIA OCT05-

  03289      DIPHTHERIA NEC OCT05-

  0329       DIPHTHERIA NOS OCT05-

  0330       BORDETELLA PERTUSSIS OCT05-

  0331       BORDETELLA PARAPERTUSSIS OCT05-

  0338       WHOOPING COUGH NEC OCT05-

  0339       WHOOPING COUGH NOS OCT05-

  0340       STREP SORE THROAT OCT05-

  0341       SCARLET FEVER OCT05-

  035        ERYSIPELAS OCT05-

  0360       MENINGOCOCCAL MENINGITIS OCT05-

  0361       MENINGOCOCC ENCEPHALITIS OCT05-

  0362       MENINGOCOCCEMIA OCT05-

  0363       MENINGOCOCC ADRENAL SYND OCT05-

  03640      MENINGOCOCC CARDITIS NOS OCT05-

  03641      MENINGOCOCC PERICARDITIS OCT05-

  03642      MENINGOCOCC ENDOCARDITIS OCT05-

  03643      MENINGOCOCC MYOCARDITIS OCT05-

  03681      MENINGOCOCC OPTIC NEURIT OCT05-

  03682      MENINGOCOCC ARTHROPATHY OCT05-

  03689      MENINGOCOCCAL INFECT NEC OCT05-

  0369       MENINGOCOCCAL INFECT NOS OCT05-

  037        TETANUS OCT05-

  0380       STREPTOCOCCAL SEPTICEMIA OCT05-

  03810      STAPHYLCOCC SEPTICEM NOS OCT05-

  03811      STAPH AUREUS SEPTICEMIA OCT05-

  03819      STAPHYLCOCC SEPTICEM NEC OCT05-

  0382       PNEUMOCOCCAL SEPTICEMIA OCT05-

  0383       ANAEROBIC SEPTICEMIA OCT05-

  03840      GRAM-NEG SEPTICEMIA NOS OCT05-

  03841      H. INFLUENAE SEPTICEMIA OCT05-

  03842      E COLI SEPTICEMIA OCT05-

  03843      PSEUDOMONAS SEPTICEMIA OCT05-

  03844      SERRATIA SEPTICEMIA OCT05-

  03849      GRAM-NEG SEPTICEMIA NEC OCT05-

  0388       SEPTICEMIA NEC OCT05-

  0389       SEPTICEMIA NOS OCT05-

  0390       CUTANEOUS ACTINOMYCOSIS OCT05-

  0391       PULMONARY ACTINOMYCOSIS OCT05-

  0392       ABDOMINAL ACTINOMYCOSIS OCT05-

  0393       CERVICOFAC ACTINOMYCOSIS OCT05-

  0394       MADURA FOOT OCT05-

  0398       ACTINOMYCOSIS NEC OCT05-

  0399       ACTINOMYCOSIS NOS OCT05-

  0400       GAS GANGRENE OCT05-

  0401       RHINOSCLEROMA OCT05-

  0402       WHIPPLE\'S DISEASE OCT05-

  0403       NECROBACILLOSIS OCT05-

  04041      INFANT BOTULISM

  04042      WOUND BOTULISM

  04081      TROPICAL PYOMYOSITIS OCT05-

  04082      TOXIC SHOCK SYNDROME OCT05-

  04089      BACTERIAL DISEASES NEC OCT05-

  04100      STREPTOCOCCUS UNSPECF OCT05-

  04101      STREPTOCOCCUS GROUP A OCT05-

  04102      STREPTOCOCCUS GROUP B OCT05-

  04103      STREPTOCOCCUS GROUP C OCT05-

  04104      ENTEROCOCCUS GROUP D OCT05-

  04105      STREPTOCOCCUS GROUP G OCT05-

  04109      OTHER STREPTOCOCCUS OCT05-

  04110      STAPHYLOCOCCUS UNSPCFIED OCT05-

  04111      STAPHYLOCOCCUS AUREUS OCT05-

  04119      OTHER STAPHYLOCOCCUS OCT05-

  0412       PNEUMOCOCCUS INFECT NOS OCT05-

  0413       KLEBSIELLA INFECT NOS OCT05-

  0414       E. COLI INFECT NOS OCT05-

  0415       H. INFLUENZAE INFECT NOS OCT05-

  0416       PROTEUS INFECTION NOS OCT05-

  0417       PSEUDOMONAS INFECT NOS OCT05-

  04182      BACTEROIDES FRAGILIS OCT05-

  04183      CLOSTRIDIUM PERFRINGENS OCT05-

  04184      OTHER ANAEROBES OCT05-

  04185      OTH GRAM NEGATV BACTERIA OCT05-

  04186      HELICOBACTER PYLORI OCT05-

  04189      OTH SPECF BACTERIA OCT05-

  0419       BACTERIAL INFECTION NOS OCT05-

  0980       ACUTE GC INFECT LOWER GU OCT05-

  09810      GC (ACUTE) UPPER GU NOS OCT05-

  09811      GC CYSTITIS (ACUTE) OCT05-

  09812      GC PROSTATITIS (ACUTE) OCT05-

  09813      GC ORCHITIS (ACUTE) OCT05-

  09814      GC SEM VESICULIT (ACUTE) OCT05-

  09815      GC CERVICITIS (ACUTE) OCT05-

  09816      GC ENDOMETRITIS (ACUTE) OCT05-

  09817      ACUTE GC SALPINGITIS OCT05-

  09819      GC (ACUTE) UPPER GU NEC OCT05-

  0982       CHR GC INFECT LOWER GU OCT05-

  09830      CHR GC UPPER GU NOS OCT05-

  09831      GC CYSTITIS, CHRONIC OCT05-

  09832      GC PROSTATITIS, CHRONIC OCT05-

  09833      GC ORCHITIS, CHRONIC OCT05-

  09834      GC SEM VESICULITIS, CHR OCT05-

  09835      GC CERVICITIS, CHRONIC OCT05-

  09836      GC ENDOMETRITIS, CHRONIC OCT05-

  09837      GC SALPINGITIS (CHRONIC) OCT05-

  09839      CHR GC UPPER GU NEC OCT05-

  09840      GONOCOCCAL CONJUNCTIVIT OCT05-

  09841      GONOCOCCAL IRIDOCYCLITIS OCT05-

  09842      GONOCOCCAL ENDOPHTHALMIA OCT05-

  09843      GONOCOCCAL KERATITIS OCT05-

  09849      GONOCOCCAL EYE NEC OCT05-

  09850      GONOCOCCAL ARTHRITIS OCT05-

  09851      GONOCOCCAL SYNOVITIS OCT05-

  09852      GONOCOCCAL BURSITIS OCT05-

  09853      GONOCOCCAL SPONDYLITIS OCT05-

  09859      GC INFECT JOINT NEC OCT05-

  0986       GONOCOCCAL INFEC PHARYNX OCT05-

  0987       GC INFECT ANUS & RECTUM OCT05-

  09881      GONOCOCCAL KERATOSIS OCT05-

  09882      GONOCOCCAL MENINGITIS OCT05-

  09883      GONOCOCCAL PERICARDITIS OCT05-

  09884      GONOCOCCAL ENDOCARDITIS OCT05-

  09885      GONOCOCCAL HEART DIS NEC OCT05-

  09886      GONOCOCCAL PERITONITIS OCT05-

  09889      GONOCOCCAL INF SITE NEC OCT05-

  3200       HEMOPHILUS MENINGITIS OCT05-

  3201       PNEUMOCOCCAL MENINGITIS OCT05-

  3202       STREPTOCOCCAL MENINGITIS OCT05-

  3203       STAPHYLOCOCC MENINGITIS OCT05-

  3207       MENING IN OTH BACT DIS OCT05-

  32081      ANAEROBIC MENINGITIS OCT05-

  32082      MNINGTS GRAM-NEG BCT NEC OCT05-

  32089      MENINGITIS OTH SPCF BACT OCT05-

  3209       BACTERIAL MENINGITIS NOS OCT05-

  3229       MENINGITIS NOS OCT05-

  3240       INTRACRANIAL ABSCESS OCT05-

  3241       INTRASPINAL ABSCESS OCT05-

  3249       CNS ABSCESS NOS OCT05-

  36000      PURULENT ENDOPHTHALM NOS OCT05-

  36001      ACUTE ENDOPHTHALMITIS OCT05-

  36002      PANOPHTHALMITIS OCT05-

  36004      VITREOUS ABSCESS OCT05-

  37055      CORNEAL ABSCESS OCT05-

  37200      ACUTE CONJUNCTIVITIS NOS OCT05-

  37203      MUCOPUR CONJUNCTIVIT NEC OCT05-

  37204      PSEUDOMEMB CONJUNCTIVIT OCT05-

  37220      BLEPHAROCONJUNCTIVIT NOS OCT05-

  37221      ANGULAR BLEPHAROCONJUNCT OCT05-

  37230      CONJUNCTIVITIS NOS OCT05-

  37300      BLEPHARITIS NOS OCT05-

  37301      ULCERATIVE BLEPHARITIS OCT05-

  37311      HORDEOLUM EXTERNUM OCT05-

  37312      HORDEOLUM INTERNUM OCT05-

  37313      ABSCESS OF EYELID OCT05-

  37500      DACRYOADENITIS NOS OCT05-

  37501      ACUTE DACRYOADENITIS OCT05-

  37530      DACRYOCYSTITIS NOS OCT05-

  37531      ACUTE CANALICULITIS OCT05-

  37532      ACUTE DACRYOCYSTITIS OCT05-

  37600      ACUTE INFLAM NOS, ORBIT OCT05-

  37601      ORBITAL CELLULITIS OCT05-

  37602      ORBITAL PERIOSTITIS OCT05-

  37603      ORBITAL OSTEOMYELITIS OCT05-

  37604      TENONITIS OCT05-

  38010      INFEC OTITIS EXTERNA NOS OCT05-

  38011      ACUTE INFECTION OF PINNA OCT05-

  38012      ACUTE SWIMMERS\' EAR OCT05-

  38013      AC INFECT EXTERN EAR NEC OCT05-

  38014      MALIGNANT OTITIS EXTERNA OCT05-

  38150      EUSTACHIAN SALPING NOS OCT05-

  38151      AC EUSTACHIAN SALPING OCT05-

  38200      AC SUPP OTITIS MEDIA NOS OCT05-

  38201      AC SUPP OM W DRUM RUPT OCT05-

  38202      AC SUPP OM IN OTH DIS OCT05-

  3821       CHR TUBOTYMP SUPP OTITIS MEDIA OCT05-

  3822       CHR ATTICOANTRAL SUPP OTITIS MEDIA OCT05-

  3823       CHR SUPP OTITIS MEDIA NOS OCT05-

  3824       SUPPUR OTITIS MEDIA NOS OCT05-

  3829       OTITIS MEDIA NOS OCT05-

  38300      AC MASTOIDITIS W/O COMPL OCT05-

  38301      SUBPERI MASTOID ABSCESS OCT05-

  38302      AC MASTOIDITIS-COMPL NEC OCT05-

  38320      PETROSITIS NOS OCT05-

  38321      ACUTE PETROSITIS OCT05-

  38400      ACUTE MYRINGITIS NOS OCT05-

  38630      LABYRINTHITIS NOS OCT05-

  38631      SEROUS LABYRINTHITIS OCT05-

  38632      CIRCUMSCRI LABYRINTHITIS OCT05-

  38633      SUPPURATIV LABYRINTHITIS OCT05-

  4200       AC PERICARDIT IN OTH DIS OCT05-

  42090      ACUTE PERICARDITIS NOS OCT05-

  42099      ACUTE PERICARDITIS NEC OCT05-

  4210       AC/SUBAC BACT ENDOCARD OCT05-

  4211       AC/SUBAC INFECT ENDOCARD OCT05-

  4219       AC/SUBAC ENDOCARDIT NOS OCT05-

  42292      SEPTIC MYOCARDITIS OCT05-

  4610       AC MAXILLARY SINUSITIS OCT05-

  4611       AC FRONTAL SINUSITIS OCT05-

  4612       AC ETHMOIDAL SINUSITIS OCT05-

  4613       AC SPHENOIDAL SINUSITIS OCT05-

  4618       OTHER ACUTE SINUSITIS OCT05-

  4619       ACUTE SINUSITIS NOS OCT05-

  462        ACUTE PHARYNGITIS OCT05-

  463        ACUTE TONSILLITIS OCT05-

  46430      AC EPIGLOTTITIS NO OBSTR OCT05-

  46431      AC EPIGLOTTITIS W OBSTR OCT05-

  4660       ACUTE BRONCHITIS OCT05-

  475        PERITONSILLAR ABSCESS OCT05-

  47822      PARAPHARYNGEAL ABSCESS OCT05-

  47824      RETROPHARYNGEAL ABSCESS OCT05-

  481        PNEUMOCOCCAL PNEUMONIA OCT05-

  4820       K. PNEUMONIAE PNEUMONIA OCT05-

  4821       PSEUDOMONAL PNEUMONIA OCT05-

  4822       H.INFLUENZAE PNEUMONIA OCT05-

  48230      STREPTOCOCCAL PNEUMN NOS OCT05-

  48231      PNEUMONIA STRPTOCOCCUS A OCT05-

  48232      PNEUMONIA STRPTOCOCCUS B OCT05-

  48239      PNEUMONIA OTH STREP OCT05-

  48240      STAPHYLOCOCCAL PNEU NOS OCT05-

  48241      STAPH AUREUS PNEUMONIA OCT05-

  48249      STAPH PNEUMONIA NEC OCT05-

  48281      PNEUMONIA ANAEROBES OCT05-

  48282      PNEUMONIA E COLI OCT05-

  48283      PNEUMO OTH GRM-NEG BACT OCT05-

  48284      LEGIONNAIRES\' DISEASE OCT05-

  48289      PNEUMONIA OTH SPCF BACT OCT05-

  4829       BACTERIAL PNEUMONIA NOS OCT05-

  4843       PNEUMONIA IN WHOOPING COUGH OCT05-

  4845       PNEUMONIA IN ANTHRAX OCT05-

  4848       PNEUMONIA IN OTHER INF DIS OCT05-

  485        BRONCHOPNEUMONIA ORG NOS OCT05-

  486        PNEUMONIA, ORGANISM NOS OCT05-

  490        BRONCHITIS NOS OCT05-

  49122      OBS CHR BRONC W AC BRONC OCT05-

  4941       BRONCHIECTASIS W AC EXAC OCT05-

  5100       EMPYEMA WITH FISTULA OCT05-

  5109       EMPYEMA W/O FISTULA OCT05-

  5111       BACT PLEUR/EFFUS NOT TB OCT05-

  5130       ABSCESS OF LUNG OCT05-

  5131       ABSCESS OF MEDIASTINUM OCT05-

  51901      TRACHEOSTOMY INFECTION OCT05-

  5192       MEDIASTINITIS OCT05-

  5220       PULPITIS OCT05-

  5225       PERIAPICAL ABSCESS OCT05-

  5227       PERIAPICAL ABSC W SINUS OCT05-

  5230       ACUTE GINGIVITIS OCT05-

  52300      ACUTE GINGITITIS, PLAQUE OCT06-

  52301      AC GINGIVITIS,NONPLAQUE OCT06-

  5233       ACUTE PERIODONTITIS OCT05-

  52330      AGGRES PERIODONTITIS NOS OCT06-

  52331      AGGRES PERIODONTITIS,LOC OCT06-

  52332      AGGRES PERIODONTITIS,GEN OCT06-

  52333      ACUTE PERIODONTITIS OCT06-

  5264       INFLAMMATION OF JAW OCT05-

  5273       SALIVARY GLAND ABSCESS OCT05-

  5283       CELLULITIS/ABSCESS MOUTH OCT05-

  53641      GASTROSTOMY INFECTION OCT05-

  5400       AC APPEND W PERITONITIS

  5401       ABSCESS OF APPENDIX

  5409       ACUTE APPENDICITIS NOS

  541        APPENDICITIS NOS

  542        OTHER APPENDICITIS

  56201      DVRTCLI SML INT W/O HMRG

  56203      DVRTCLI SML INT W HMRHG

  56211      DVRTCLI COLON W/O HMRHG

  56213      DVRTCLI COLON W HMRHG

  566        ANAL & RECTAL ABSCESS

  5670       PERITONITIS IN INFEC DIS

  5671       PNEUMOCOCCAL PERITONITIS

  5672       SUPPURAT PERITONITIS NEC

  56721      PERITONITIS (ACUTE) GEN OCT05-

  56722      PERITONEAL ABSCESS OCT05-

  56723      SPONTAN BACT PERITONITIS OCT05-

  56729      SUPPURAT PERITONITIS NEC OCT05-

  56731      PSOAS MUSCLE ABSCESS OCT05-

  56738      RETROPERITON ABSCESS NEC OCT05-

  56739      RETROPERITON INFECT NEC OCT05-

  56781      CHOLEPERITONITIS OCT05-

  56782      SCLEROSING MESENTERITIS OCT05-

  56789      PERITONITIS NEC OCT05-

  5679       PERITONITIS NOS

  5695       INTESTINAL ABSCESS

  56961      COLOSTY/ENTEROST INFECTN

  5720       ABSCESS OF LIVER

  5721       PORTAL PYEMIA

  57400      CHOLELITH W AC CHOLECYST

  57401      CHOLELITH/AC GB INF-OBST

  57430      CHOLEDOCHOLITH/AC GB INF

  57431      CHOLEDOCHLITH/AC GB-OBST

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

  57461      GALL&BIL CAL W/AC W OBS

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

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

  5750       ACUTE CHOLECYSTITIS

  57510      CHOLECYSTITIS UNSPEC OCT05-

  57512      AC&CHRON CHOLECYSTITIS OCT05-

  5754       PERFORATION GALLBLADDER

  5761       CHOLANGITIS

  5763       PERFORATION OF BILE DUCT

  5770       ACUTE PANCREATITIS OCT05-

  59010      AC PYELONEPHRITIS NOS OCT05-

  59011      AC PYELONEPHR W MED NECR OCT05-

  5902       RENAL/PERIRENAL ABSCESS OCT05-

  5903       PYELOURETERITIS CYSTICA OCT05-

  59080      PYELONEPHRITIS NOS OCT05-

  59081      PYELONEPHRIT IN OTH DIS OCT05-

  5909       INFECTION OF KIDNEY NOS OCT05-

  5950       ACUTE CYSTITIS OCT05-

  5954       CYSTITIS IN OTH DIS OCT05-

  59581      CYSTITIS CYSTICA OCT05-

  59589      CYSTITIS NEC OCT05-

  5959       CYSTITIS NOS OCT05-

  5970       URETHRAL ABSCESS OCT05-

  59800      URETHR STRICT:INFECT NOS OCT05-

  59801      URETH STRICT:OTH INFECT OCT05-

  5990       URIN TRACT INFECTION NOS OCT05-

  6010       ACUTE PROSTATITIS OCT05-

  6012       ABSCESS OF PROSTATE OCT05-

  6013       PROSTATOCYSTITIS OCT05-

  6014       PROSTATITIS IN OTH DIS OCT05-

  6018       PROSTATITIS OCT05-

  6019       PROSTATITIS NOS OCT05-

  6031       INFECTED HYDROCELE OCT05-

  6040       ORCHITIS WITH ABSCESS OCT05-

  60490      ORCHITIS/EPIDIDYMIT NOS OCT05-

  60491      ORCHITIS IN OTH DISEASE OCT05-

  6071       BALANOPOSTHITIS OCT05-

  6072       INFLAM DIS, PENIS NEC OCT05-

  6080       SEMINAL VESICULITIS OCT05-

  6084       MALE GEN INFLAM DIS NEC OCT05-

  6110       INFLAM DISEASE OF BREAST OCT05-

  6140       AC SALPINGO-OOPHORITIS OCT05-

  6141       CHRON SALPINGITIS OOPHORITIS OCT05-

  6142       SALPINGO-OOPHORITIS NOS OCT05-

  6143       ACUTE PARAMETRITIS OCT05-

  6144       CHRON OR UNSP CELLULITIS OCT05-

  6145       AC PELV PERITONITIS-FEM OCT05-

  6149       PID NOS OCT05-

  6150       AC UTERINE INFLAMMATION OCT05-

  6159       UTERINE INFLAM DIS NOS OCT05-

  6160       CERVICITIS OCT05-

  61610      VAGINITIS NOS OCT05-

  6163       BARTHOLIN\'S GLND ABSCESS OCT05-

  6164       ABSCESS OF VULVA NEC OCT05-

  63400      SPON ABOR W PEL INF-UNSP OCT05-

  63401      SPON ABOR W PELV INF-INC OCT05-

  63402      SPON ABOR W PEL INF-COMP OCT05-

  63500      LEG ABOR W PELV INF-UNSP OCT05-

  63501      LEG ABOR W PELV INF-INC OCT05-

  63502      LEG ABOR W PELV INF-COMP OCT05-

  63600      ILLEG AB W PELV INF-UNSP OCT05-

  63601      ILLEG AB W PELV INF-INC OCT05-

  63602      ILLEG AB W PELV INF-COMP OCT05-

  63700      ABORT NOS W PEL INF-UNSP OCT05-

  63701      ABORT NOS W PEL INF-INC OCT05-

  63702      ABORT NOS W PEL INF-COMP OCT05-

  6380       ATTEM ABORT W PELVIC INF OCT05-

  6390       POSTABORTION GU INFECT OCT05-

  64650      BACTERIURIA PREG-UNSPEC OCT05-

  64651      ASYM BACTERIURIA-DELIVER OCT05-

  64652      ASY BACTERURIA-DEL W P/P OCT05-

  64653      ASY BACTERIURIA-ANTEPART OCT05-

  64654      ASY BACTERIURIA-POSTPART OCT05-

  64660      GU INFECT IN PREG-UNSPEC OCT05-

  64661      GU INFECTION-DELIVERED OCT05-

  64662      GU INFECTION-DELIV W P/P OCT05-

  64663      GU INFECTION-ANTEPARTUM OCT05-

  64664      GU INFECTION-POSTPARTUM OCT05-

  64710      GONORRHEA IN PREG-UNSPEC OCT05-

  64711      GONORRHEA-DELIVERED OCT05-

  64712      GONORRHEA-DELIVER W P/P OCT05-

  64713      GONORRHEA-ANTEPARTUM OCT05-

  64714      GONORRHEA-POSTPARTUM OCT05-

  64780      INF DIS IN PREG NEC-UNSP OCT05-

  64781      INFECT DIS NEC-DELIVERED OCT05-

  64782      INFECT DIS NEC-DEL W P/P OCT05-

  64783      INFECT DIS NEC-ANTEPART OCT05-

  64784      INFECT DIS NEC-POSTPART OCT05-

  64790      INFECT IN PREG NOS-UNSP OCT05-

  64791      INFECT NOS-DELIVERED OCT05-

  64792      INFECT NOS-DELIVER W P/P OCT05-

  64793      INFECT NOS-ANTEPARTUM OCT05-

  64794      INFECT NOS-POSTPARTUM OCT05-

  65840      AMNIOTIC INFECTION-UNSP OCT05-

  65841      AMNIOTIC INFECTION-DELIV OCT05-

  65843      AMNIOTIC INFECT-ANTEPART OCT05-

  67000      MAJOR PUERP INFECT-UNSP OCT05-

  67002      MAJOR PUERP INF-DEL P/P OCT05-

  67004      MAJOR PUERP INF-POSTPART OCT05-

  67500      INFECT NIPPLE PREG-UNSP OCT05-

  67501      INFECT NIPPLE-DELIVERED OCT05-

  67502      INFECT NIPPLE-DEL W P/P OCT05-

  67503      INFECT NIPPLE-ANTEPARTUM OCT05-

  67504      INFECT NIPPLE-POSTPARTUM OCT05-

  67510      BREAST ABSCESS PREG-UNSP OCT05-

  67511      BREAST ABSCESS-DELIVERED OCT05-

  67512      BREAST ABSCESS-DEL W P/P OCT05-

  67513      BREAST ABSCESS-ANTEPART OCT05-

  67514      BREAST ABSCESS-POSTPART OCT05-

  67580      BREAST INF PREG NEC-UNSP OCT05-

  67581      BREAST INFECT NEC-DELIV OCT05-

  67582      BREAST INF NEC-DEL W P/P OCT05-

  67583      BREAST INF NEC-ANTEPART OCT05-

  67584      BREAST INF NEC-POSTPART OCT05-

  67590      BREAST INF PREG NOS-UNSP OCT05-

  67591      BREAST INFECT NOS-DELIV OCT05-

  67592      BREAST INF NOS-DEL W P/P OCT05-

  67593      BREAST INF NOS-ANTEPART OCT05-

  67594      BREAST INF NOS-POSTPART OCT05-

  6800       CARBUNCLE OF FACE OCT05-

  6801       CARBUNCLE OF NECK OCT05-

  6802       CARBUNCLE OF TRUNK OCT05-

  6803       CARBUNCLE OF ARM OCT05-

  6804       CARBUNCLE OF HAND OCT05-

  6805       CARBUNCLE OF BUTTOCK OCT05-

  6806       CARBUNCLE OF LEG OCT05-

  6807       CARBUNCLE OF FOOT OCT05-

  6808       CARBUNCLE, SITE NEC OCT05-

  6809       CARBUNCLE NOS OCT05-

  68100      CELLULITIS, FINGER NOS OCT05-

  68101      FELON OCT05-

  68102      ONYCHIA OF FINGER OCT05-

  68110      CELLULITIS, TOE NOS OCT05-

  68111      ONYCHIA OF TOE OCT05-

  6819       CELLULITIS OF DIGIT NOS OCT05-

  6820       CELLULITIS OF FACE OCT05-

  6821       CELLULITIS OF NECK OCT05-

  6822       CELLULITIS OF TRUNK OCT05-

  6823       CELLULITIS OF ARM OCT05-

  6824       CELLULITIS OF HAND OCT05-

  6825       CELLULITIS OF BUTTOCK OCT05-

  6826       CELLULITIS OF LEG OCT05-

  6827       CELLULITIS OF FOOT OCT05-

  6828       CELLULITIS, SITE NEC OCT05-

  6829       CRLLULITIS, SITE NOS OCT05-

  683        ACUTE LYMPHADENITIS OCT05-

  684        IMPETIGO OCT05-

  68600      PYODERMA NOS OCT05-

  68601      PYODERMA GANGRENOSUM OCT05-

  68609      PYODERMA OTHER OCT05-

  6868       LOCAL SKIN INFECTION NEC OCT05-

  6869       LOCAL SKIN INFECTION NOS OCT05-

  69581      RITTER\'S DISEASE OCT05-

  70700      DECUBITUS ULCER SITE NOS OCT05-

  70701      DECUBITUS ULCER,ELBOW OCT05-

  70702      DECUBITUS ULCER,UP BACK OCT05-

  70703      DECUBITUS ULCER,LOW BACK OCT05-

  70704      DECUBITUS ULCER,HIP OCT05-

  70705      DECUBITUS ULCER,BUTTOCK OCT05-

  70706      DECUBITUS ULCER,ANKLE OCT05-

  70707      DECUBITUS ULCER,HEEL OCT05-

  70709      DECUBITUS ULCER,SITE NEC OCT05-

  71100      PYOGEN ARTHRITIS-UNSPEC OCT05-

  71101      PYOGEN ARTHRITIS-SHLDER OCT05-

  71102      PYOGEN ARTHRITIS-UP/ARM OCT05-

  71103      PYOGEN ARTHRITIS-FOREARM OCT05-

  71104      PYOGEN ARTHRITIS-HAND OCT05-

  71105      PYOGEN ARTHRITIS-PELVIS OCT05-

  71106      PYOGEN ARTHRITIS-L/LEG OCT05-

  71107      PYOGEN ARTHRITIS-ANKLE OCT05-

  71108      PYOGEN ARTHRITIS NEC OCT05-

  71109      PYOGEN ARTHRITIS-MULT OCT05-

  71190      INF ARTHRITIS NOS-UNSPEC OCT05-

  71191      INF ARTHRITIS NOS-SHLDER OCT05-

  71192      INF ARTHRITIS NOS-UP/ARM OCT05-

  71193      INF ARTHRIT NOS-FOREARM OCT05-

  71194      INF ARTHRIT NOS-HAND OCT05-

  71195      INF ARTHRIT NOS-PELVIS OCT05-

  71196      INF ARTHRIT NOS-L/LEG OCT05-

  71197      INF ARTHRIT NOS-ANKLE OCT05-

  71198      INF ARTHRIT NOS-OTH SITE OCT05-

  71199      INF ARTHRITIS NOS-MULT OCT05-

  7280       INFECTIVE MYOSITIS OCT05-

  72886      NECROTIZING FASCIITIS OCT05-

  73000      AC OSTEOMYELITIS-UNSPEC OCT05-

  73001      AC OSTEOMYELITIS-SHLDER OCT05-

  73002      AC OSTEOMYELITIS-UP/ARM OCT05-

  73003      AC OSTEOMYELITIS-FOREARM OCT05-

  73004      AC OSTEOMYELITIS-HAND OCT05-

  73005      AC OSTEOMYELITIS-PELVIS OCT05-

  73006      AC OSTEOMYELITIS-L/LEG OCT05-

  73007      AC OSTEOMYELITIS-ANKLE OCT05-

  73008      AC OSTEOMYELITIS NEC OCT05-

  73009      AC OSTEOMYELITIS-MULT OCT05-

  73010      CHR OSTEOMYELITIS-UNSP OCT05-

  73011      CHR OSTEOMYELIT-SHLDER OCT05-

  73012      CHR OSTEOMYELIT-UP/ARM OCT05-

  73013      CHR OSTEOMYELIT-FOREARM OCT05-

  73014      CHR OSTEOMYELIT-HAND OCT05-

  73015      CHR OSTEOMYELIT-PELVIS OCT05-

  73016      CHR OSTEOMYELIT-L/LEG OCT05-

  73017      CHR OSTEOMYELIT-ANKLE OCT05-

  73018      CHR OSTEOMYELIT NEC OCT05-

  73019      CHR OSTEOMYELIT-MULT OCT05-

  73020      OSTEOMYELITIS NOS-UNSPEC OCT05-

  73021      OSTEOMYELITIS NOS-SHLDER OCT05-

  73022      OSTEOMYELITIS NOS-UP/ARM OCT05-

  73023      OSTEOMYELIT NOS-FOREARM OCT05-

  73024      OSTEOMYELITIS NOS-HAND OCT05-

  73025      OSTEOMYELITIS NOS-PELVIS OCT05-

  73026      OSTEOMYELITIS NOS-L/LEG OCT05-

  73027      OSTEOMYELITIS NOS-ANKLE OCT05-

  73028      OSTEOMYELIT NOS-OTH SITE OCT05-

  73029      OSTEOMYELITIS NOS-MULT OCT05-

  73030      PERIOSTITIS-UNSPEC OCT05-

  73031      PERIOSTITIS-SHLDER OCT05-

  73032      PERIOSTITIS-UP/ARM OCT05-

  73033      PERIOSTITIS-FOREARM OCT05-

  73034      PERIOSTITIS-HAND OCT05-

  73035      PERIOSTITIS-PELVIS OCT05-

  73036      PERIOSTITIS-L/LEG OCT05-

  73037      PERIOSTITIS-ANKLE OCT05-

  73038      PERIOSTITIS NEC OCT05-

  73039      PERIOSTITIS-MULT OCT05-

  73080      BONE INFECT NEC-UNSPEC OCT05-

  73081      BONE INFECT NEC-SHLDER OCT05-

  73082      BONE INFECT NEC-UP/ARM OCT05-

  73083      BONE INFECT NEC-FOREARM OCT05-

  73084      BONE INFECT NEC-HAND OCT05-

  73085      BONE INFECT NEC-PELVIS OCT05-

  73086      BONE INFECT NEC-L/LEG OCT05-

  73087      BONE INFECT NEC-ANKLE OCT05-

  73088      BONE INFECT NEC-OTH SITE OCT05-

  73089      BONE INFECT NEC-MULT OCT05-

  73090      BONE INFEC NOS-UNSP SITE OCT05-

  73091      BONE INFECT NOS-SHLDER OCT05-

  73092      BONE INFECT NOS-UP/ARM OCT05-

  73093      BONE INFECT NOS-FOREARM OCT05-

  73094      BONE INFECT NOS-HAND OCT05-

  73095      BONE INFECT NOS-PELVIS OCT05-

  73096      BONE INFECT NOS-L/LEG OCT05-

  73097      BONE INFECT NOS-ANKLE OCT05-

  73098      BONE INFECT NOS-OTH SITE OCT05-

  73099      BONE INFECT NOS-MULT OCT05-

  7713       TETANUS NEONATORUM OCT05-

  7714       OMPHALITIS OF NEWBORN OCT05-

  7715       NEONATAL INFEC MASTITIS OCT05-

  77181      NB SEPTICEMIA SEPSIS OCT05-

  77182      NB URINARY TRACT INFECTN OCT05-

  77183      BACTEREMIA OF NEWBORN OCT05-

  77189      PERINATAL INFECTION NEC OCT05-

  7775       NECROT ENTEROCOLITIS NB OCT05-

  7854       GANGRENE OCT05-

  78552      SEPTIC SHOCK OCT05-

  7907       BACTEREMIA OCT05-

  9101       ABRASION HEAD-INFECTED OCT05-

  9103       BLISTER HEAD-INFECTED OCT05-

  9105       INSECT BITE HEAD-INFECT OCT05-

  9107       FOREIGN BODY HEAD-INFECT OCT05-

  9109       SUPERF INJ HEAD NEC-INF OCT05-

  9111       ABRASION TRUNK-INFECTED OCT05-

  9113       BLISTER TRUNK-INFECTED OCT05-

  9115       INSECT BITE TRUNK-INFEC OCT05-

  9117       FOREIGN BODY TRUNK-INFEC OCT05-

  9119       SUPERF INJ TRNK NEC-INF OCT05-

  9121       ABRASION SHLDR/ARM-INFEC OCT05-

  9123       BLISTER SHOULDER/ARM-INF OCT05-

  9125       INSECT BITE SHLD/ARM-INF OCT05-

  9127       FB SHOULDER/ARM-INFECT OCT05-

  9129       SUPERF INJ SHLDR NEC-INF OCT05-

  9131       ABRASION FOREARM-INFECT OCT05-

  9133       BLISTER FOREARM-INFECTED OCT05-

  9135       INSECT BITE FOREARM-INF OCT05-

  9137       FOREIGN BODY FOREARM-INF OCT05-

  9139       SUPRF INJ FORARM NEC-INF OCT05-

  9141       ABRASION HAND-INFECTED OCT05-

  9143       BLISTER HAND-INFECTED OCT05-

  9145       INSECT BITE HAND-INFECT OCT05-

  9147       FOREIGN BODY HAND-INFECT OCT05-

  9149       SUPERF INJ HAND NEC-INF OCT05-

  9151       ABRASION FINGER-INFECTED OCT05-

  9153       BLISTER FINGER-INFECTED OCT05-

  9155       INSECT BITE FINGER-INFEC OCT05-

  9157       FOREIGN BODY FINGER-INF OCT05-

  9159       SUPRF INJ FINGER NEC-INF OCT05-

  9161       ABRASION HIP/LEG-INFECT OCT05-

  9163       BLISTER HIP & LEG-INFECT OCT05-

  9165       INSECT BITE HIP/LEG-INF OCT05-

  9167       FOREIGN BDY HIP/LEG-INF OCT05-

  9169       SUPERF INJ LEG NEC-INFEC OCT05-

  9171       ABRASION FOOT/TOE-INFEC OCT05-

  9173       BLISTER FOOT & TOE-INFEC OCT05-

  9175       INSECT BITE FOOT/TOE-INF OCT05-

  9177       FOREIGN BDY FOOT/TOE-INF OCT05-

  9179       SUPERF INJ FOOT NEC-INF OCT05-

  9191       ABRASION NEC-INFECTED OCT05-

  9193       BLISTER NEC-INFECTED OCT05-

  9195       INSECT BITE NEC-INFECTED OCT05-

  9197       SUPERFICIAL FB NEC-INFEC OCT05-

  9199       SUPERFIC INJ NEC-INFECT OCT05-

  99590      SIRS, NOS OCT05-

  99591      SIRS-INFECT W/O ORG DYSF OCT05-

  99592      SIRS-INFECT W ORGAN DYSF OCT05-

  99660      INFECT INFLAMM DEVICE IMPLANT GRAFT NOS OCT05-

  99661      INFECT INFLAMM CARDIAC DEVICE IMPLANT GRAFT OCT05-

  99662      INFECT INFLAMM VASCULAR DEVICE IMPLANT GRAFT OCT05-

  99663      INFECT INFLAMM NERV DEVICE IMPLANT GRAFT OCT05-

  99664      INFECT INFLAMM URINARY CATH OCT05-

  99665      INFECT INFLAMM GU DEVICE IMPLANT GRAFT OCT05-

  99666      INFECT INFLAMM JOINT PROSTH OCT05-

  99667      INFECT INFLAMM OTH ORTHOP DEVICE IMPLANT GRAFT NOS OCT05-

  99669      INFECT INFLAMM OTH DEVICE IMPLANT GRAFT OCT05-

  99762      INFECTION AMPUTAT STUMP OCT05-

  99851      INFECTED POSTOP SEROMA OCT05-

  99859      OTHER POSTOP INFECTION OCT05-

  9993       INFEC COMPL MED CARE NEC OCT05-
  ---------- ------------------------------------------------------------

####### 

######### Appendix I: Links {#appendix-i-links .unnumbered}

The following links may be helpful to users of the AHRQ Patient Safety
Indicators.

**Patient Safety Indicators Version 3.2 Documents and Software**

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

+---------------------+------------------------------------------------+
| ***Title***         | ***Description***                              |
+=====================+================================================+
| *Guide to Patient   | Describes how the PSIs were developed and      |
| Safety Indicators*  | provides detailed evidence for each indicator. |
+---------------------+------------------------------------------------+
| *Patient Safety     | Provides detailed definitions of each PSI,     |
| 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.                                     |
+---------------------+------------------------------------------------+
| *PSI Covariates     | Tables for each PSI provide the stratification |
| used in Risk        | and coefficients used to calculate the         |
| Adjustment*         | risk-adjusted rate for each strata.            |
+---------------------+------------------------------------------------+
| *SAS® PSI Software  | This software documentation provides detailed  |
| Documentation*      | instructions on how to use the SAS ® version   |
|                     | of the PSI software including data             |
|                     | preparation, calculation of the PSI rates, and |
|                     | interpretation of output.                      |
+---------------------+------------------------------------------------+
| *Patient Safety     | This document provides the provider rate,      |
| Indicators          | provider standard deviation, area rate, and    |
| Comparative Data*   | population rate, as appropriate, for each      |
|                     | indicator.                                     |
+---------------------+------------------------------------------------+
| *Change Log to PSI  | The Change Log document provides a cumulative  |
| Documents and       | summary of all changes to the PSI 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® PSI 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**

The PSI SAS software no longer incorporates the AHRQ Comorbidity
software. Before running the PSI software, users who intend to calculate
risk-adjusted rates using PSSASP3 will need to download and run the
program that creates the comorbidity variables in the user's data file.
The program is available at:

> <http://www.hcup-us.ahrq.gov/toolssoftware/comorbidity/comorbidity.jsp>

Area indicators 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>

[^1]: The data elements in the AHRQ QI are based on the coding
    specifications used in the State Inpatient Data (SID) in the
    Healthcare Cost and Utilization Project. The SID coding
    specifications are similar to the Uniform Bill (UB-92) but not
    identical. For data elements used in the AHRQ QI, crosswalks between
    the SID and UB-92 coding specifications are included in the SID
    documentation available at
    <http://hcup-us.ahrq.gov/db/state/siddbdocumentation.jsp>.

[^2]: Age over 28 days.