Patient Safety Indicators
Specification 28/1/2008
This document last amended 13/10/2008 (change of status of PSI5 to “No longer used”
and PSI6 to “Not used”)
Based on AHRQ PSI indicators
http://www.qualityindicators.ahrq.gov/psi_overview.htm
Dr Foster Unit
Imperial College
1
Table of contents
Patient Safety Indicators .................................................................................................................. 1
Table of contents .............................................................................................................................. 2
Death in Low-Mortality HRGs (PSI 2) ............................................................................................ 3
Decubitus Ulcer (PSI 3) ................................................................................................................. 10
Foreign Body Left during Procedure (PSI 5) (NO LONGER USED) ........................................... 12
Iatrogenic pneumothorax (PSI 6) (NOT USED) ............................................................................ 13
Infections associated with central line (formerly “selected infections due to medical care”, PSI 7)
........................................................................................................................................................ 14
Post-operative hip fracture (PSI 8)................................................................................................. 15
Post-operative pulmonary embolism or deep vein thrombosis (PSI 12) ....................................... 27
Post-operative sepsis (PSI 13)........................................................................................................ 29
Obstetric tears (formerly “obstetric trauma”) – vaginal delivery with instrument (PSI 18) .......... 30
Obstetric tears (formerly “obstetric trauma”) – vaginal delivery without instrument (PSI 19) ..... 31
Obstetric tears (formerly “obstetric trauma”) – caesarean section (PSI 20) .................................. 32
Appendix A Trauma diagnosis codes ............................................................................................ 33
Appendix B Immunocompromised states ...................................................................................... 39
Appendix C Cancer codes .............................................................................................................. 40
Appendix D Surgical HRGs ........................................................................................................... 41
Appendix E Medical diagnosis codes ............................................................................................ 47
Appendix F Exclusions for operating theatre procedure codes ..................................................... 54
Appendix G Infection OCD codes ................................................................................................. 65
2
Death in Low-Mortality HRGs (PSI 2)
This indicator is available in two versions: one using HRGs and a second using
CCS groups. The numerator and exclusions are the same for both, as is the
qualifying death rate for HRGs or CCS groups (<0.5% over three years of data).
Numerator
All spells with method of discharge as death (DISMETH=4 or 5)
Denominator
Discharges, 18 years or older, spells related to pregnancy, childbirth and puerperium,
or HRGs with less than 0.5% mortality rate (based on 2000/1-2004/5 data combined).
If a HRG is divided into with/without complications (including >69 or <70 ages), then
both HRGs must have mortality rates below 0.5% to qualify for inclusion.
Exclude cases
• With any code for trauma, immunocompromised state, or cancer
See Appendix A: Trauma diagnosis codes
See Appendix B: Codes for immunocompromised states
See Appendix C: Cancer codes
Low mortality HRGs
A07
A08
A24
A27
A28
B13
B14
B15
B16
B17
B18
B19
B20
B21
B22
B23
B24
B25
B26
B27
B28
B29
Intermediate Pain Procedures
Percutaneous Image Controlled Pain Procedures
Cranial Nerve Disorders
Headache or Migraine >69 or w cc
Headache or Migraine <70 w/o cc
Phakoemulsification Cataract Extraction and Insertion of Lens
Non Phakoemulsification Cataract Surgery
Other Lens Surgery Low Complexity
Oculoplastic Low Complexity
Oculoplastic Intermediate Complexity
Oculoplastic High Complexity
Orbit / Lacrimal Low Complexity
Orbit / Lacrimal Intermediate Complexity
Orbit / Lacrimal High Complexity
Cornea / Sclera Low Complexity
Cornea / Sclera Intermediate / High Complexity
Ocular Motility Intermediate Complexity
Ocular Motility Redo / Adjustable / High Complexity
Glaucoma / Uvea Low Complexity
Glaucoma / Uvea Intermediate Complexity
Glaucoma / Uvea High Complexity
Surgical Retina Low Complexity
3
B30 Surgical Retina Intermediate Complexity
B31 Surgical Retina High Complexity
B32 Non Surgical Ophthalmology with los <2 days
B33 Non Surgical Ophthalmology with los >1 day
C04 Minor Mouth or Throat Procedures
C15 Minor Maxillo - facial/ENT procedures
C21 Intermediate Ear Procedures
C22 Intermediate Nose Procedures
C25 Intermediate Maxillo-facial/ENT procedures
C31 Major Ear Procedures
C32 Major Nose Procedures
C35 Major Maxillo-facial/ENT Procedures
C41 Complex Major Ear Procedures
C42 Complex Major Nose Procedures
C45 ENT Complex Major Maxillo-facial Procedures
C55 Minor Ear Procedures
C56 Minor Nose Procedures
C57 Major Mouth or Throat Procedures
C58 Intermediate Mouth or Throat Procedures
C60 Cochlea Implants
C98 Chemotherapy with a Mouth - Head - Neck or Ear Primary Diagnosis
D07 Fibreoptic Bronchoscopy
D08 Rigid Bronchoscopy
D31 Sleep Disordered Breathing
D52 Plurisy
E09 Cardiac Pacemaker Replacement/Revision
E14 Cardiac Catheterisation and Angiography without complications
F02 Oesophagus - Very Major Procedures
F06 Diagnostic Procedures - Oesophagus and Stomach
F35 Large Intestine - Endoscopic or Intermediate Procedures
F42 General Abdominal - Very Major or Major Procedures <70 w/o cc
F44 General Abdominal - Endoscopic or Intermediate Procedures <70 w/o cc
F53 Inflammatory Bowel Disease - Endoscopic or Intermediate Procedures >69 or
w cc
F54 Inflammatory Bowel Disease - Endoscopic or Intermediate Procedures <70
w/o cc
F73 Inguinal Umbilical or Femoral Hernia Repairs >69 or w cc
F74 Inguinal Umbilical or Femoral Hernia Repairs <70 w/o cc
F75 Herniotomy Procedures
F91 Anus - Major Procedures
F92 Anus - Intermediate Procedures >69 or w cc
F93 Anus - Intermediate Procedures <70 w/o cc
F94 Anus - Minor Procedures >69 or w cc
F95 Anus - Minor Procedures <70 w/o cc
H04 Primary Knee Replacement
H07 Primary or Revisional Shoulder - Elbow - or Ankle Replacements
H08 Joint Replacements or Revisions - Site Unspecified
H09 Anterior Cruciate Ligament Reconstruction
H10 Arthroscopies
H11 Foot Procedures - Category 1
H12 Foot Procedures - Category 2
4
H13
H14
H15
H17
H19
H20
H21
H22
H29
H38
H45
H70
H98
J01
J04
J05
J06
J07
J08
J16
J17
J18
J23
J24
J25
J32
J33
J35
J37
J44
J45
J46
J47
J48
J49
J50
K01
K02
K03
K04
K10
K12
K14
L01
L11
L12
L13
L17
L24
L26
L27
Hand Procedures - Category 1
Hand Procedures - Category 2
Hand Procedures - Category 3
Soft Tissue or Other Bone Procedures - Category 1 <70 w/o cc
Soft Tissue or Other Bone Procedures - Category 2 <70 w/o cc
Muscle - Tendon or Ligament Procedures - Category 1
Muscle - Tendon or Ligament Procedures - Category 2
Minor Procedures to the Musculoskeletal System
Congenital Hip Dislocation with Open Procedures
Open Upper Limb Fractures or Dislocations
Minor Fractures or Dislocations
Resurfacing of Hip
Chemotherapy with a Musculoskeletal System Primary Diagnosis
Complex Breast Reconstruction using Flaps
Intermediate Breast Surgery w cc
Intermediate Breast Surgery w/o cc
Minor Breast Surgery w cc
Minor Breast Surgery w/o cc
Non-Malignant Breast Disorders
Major Burn >29% TBSA with Significant Graft Procedure >49
Major Burn >29% TBSA with Significant Graft Procedure >18 <50
Major Burn >29% TBSA with Significant Graft Procedure <19
Other Burn with Multiple Significant Graft Procedures >49
Other Burn with Multiple Significant Graft Procedures >18 <50
Other Burn with Multiple Significant Graft Procedures <19
Intermediate Skin Procedures
Minor Skin Procedures - Category 3
Minor Skin Procedures - Category 2 w/o cc
Minor Skin Procedures - Category 1 w/o cc
Minor Dermatological Conditions or Benign Tumours
Minor Skin Infections
Total Mastectomy w cc
Total Mastectomy w/o cc
Partial/Subtotal Mastectomy w cc
Partial/Subtotal Mastectomy w/o cc
Other Major Breast Surgery
Thyroid Procedures
Parathyroid Procedures
Adrenal Procedures
Anterior Pituitary Disorders
Inborn Errors of Metabolism
Diabetes with Hypoglycaemic Emergency <70 w/o cc
Diabetes with Hyperglycaemic Emergency <70 w/o cc
Kidney Transplant
Ureter Open Procedure
Ureter Major Endoscopic Procedure
Ureter Intermediate Endoscopic Procedure
Bladder Major Endoscopic Procedure
Ureteric or Bladder Disorders
Bladder Neck Open Procedures Female
Prostate Transurethral Resection Procedure >69 or w cc
5
L28 Prostate Transurethral Resection Procedure <70 w/o cc
L29 Prostate or Bladder Neck Intermediate Endoscopic Procedure (Male and
Female)
L30 Prostate or Bladder Neck Minor Endoscopic Procedure (Male and Female)
L32 Non-Malignant Prostate Disorders
L33 Urethra Major Open Procedures
L34 Urethra Intermediate or Minor Procedures >69 or w cc
L35 Urethra Intermediate or Minor Procedures <70 w/o cc
L36 Urethra Disorders
L37 Penis Major or Intermediate Open Procedures
L38 Penis Minor Open Procedure > 69 or w cc
L39 Penis Minor Open Procedure <70 w/o cc
L40 Penis Disorders
L41 Vasectomy Procedures
L42 Scrotum Testis or Vas Deferens Open Procedures >69 or w cc
L43 Scrotum Testis or Vas Deferens Open Procedures <70 w/o cc
L44 Scrotum Testis or Vas Deferens Disorders
L45 Extracorporeal Lithotripsy
L66 Urethra Major Open Procedure - paediatric
L69 Urinary Tract Stone Disease
M01 Lower Genital Tract Minor Procedures
M02 Lower Genital Tract Intermediate Procedures
M03 Lower Genital Tract Major Procedures
M05 Upper Genital Tract Minor Procedures
M06 Upper Genital Tract Intermediate Procedures
M07 Upper Genital Tract Major Procedures
M09 Threatened or Spontaneous Abortion
M10 Surgical Termination of Pregnancy
M11 Medical Termination of Pregnancy
M12 Non-Surgical Treatment of Lower Genital Tract Disorders
M13 Non-Surgical Treatment of Genital Prolapse or Incontinence
M14 Non-Surgical Treatment of Fibroids - Menstrual Disorders - or Endometriosis
M15 Non-Surgical Treatment of Ovary - Tube - or Pelvis Disorders
M18 Non-Surgical Treatment of Other Gynaecological Conditions
M19 Gynaecological Radiotherapy
M98 Chemotherapy with a Female Reproductive System Primary Diagnosis
N02 Neonates with Multiple Minor Diagnoses
N03 Neonates with one Minor Diagnosis
N06 Normal Delivery w cc
N07 Normal Delivery w/o cc
N08 Assisted Delivery w cc
N09 Assisted Delivery w/o cc
N10 Caesarean Section w cc
N11 Caesarean Section w/o cc
N12 Antenatal Admissions not Related to Delivery Event
P01 Asthma or Wheezing
P02 Cystic Fibrosis
P03 Upper Respiratory Tract Disorders
P06 Minor Infections (including Immune Disorders)
P07 Neoplasms
P08 Febrile Convulsions
6
P11
P12
P13
P14
P15
P16
P17
P18
P20
P21
P22
P23
P24
P26
P27
P28
P29
P98
Q11
R01
R02
R09
R10
R19
R98
S08
S11
S13
S14
S22
S24
S26
S33
S34
S36
T10
T11
T12
T16
T17
Endocrine Disorders (excluding Diabetes Mellitus)
Major Gastrointestinal or Metabolic Disorders
Other Gastrointestinal or Metabolic Disorders
Ingestion Poisoning or Allergies
Accidental Injury without Brain Injury
Child Welfare and Protection
Behavioural Disorders
Developmental Disorders
Other Congenital Conditions
Renal Disease
Renal Disease with Renal Failure
Blood Cell Disorders
Skin - Musculoskeletal - or Connective Tissue Disorders
Infectious and Non-Infectious Gastroenteritis
Acute Bronchiolitis
Epilepsy Syndrome
Diabetes Mellitus
Chemotherapy with a Disease of Childhood Primary Diagnosis
Varicose Vein Procedures
Minor Spinal Procedures
Surgery for Prolapsed Intervertebral Disc
Revisional Spinal Procedures
Surgery for Scoliosis or Other Spinal Deformity
Intermediate Spinal Procedures
Chemotherapy with a Spinal Primary Diagnosis
Other Haematological or Splenic Disorders w/o cc
Disorders of Immunity without HIV/AIDS
Pyrexia of Unknown Origin
Other Viral Illness
Planned Procedures Not Carried Out
Respite Care
Shock and Anaphylaxis
Examination - Follow up and Special Screening
Other Procedures and Health Care Problems
Diagnostic Extraction of Bone Marrow
Alcohol or Drugs Non-Dependent Use >18
Alcohol or Drugs Non-Dependent Use <19
Alcohol or Drugs Dependency
Mental Retardation
Specific Learning Disabilities
Low-mortality CCS groups
174
184
188
189
192
193
194
176
Female infertility
Early or threatened labour
Fetopelvic disproportion, obstruction
Previous C-section
Umbilical cord complication
Trauma to perineum and vulva
Forceps delivery
Contraceptive and procreative management
7
185 Prolonged pregnancy
187 Malposition, malpresentation
190 Fetal distress and abnormal forces of labour
191 Polyhydramnios and other problems of amniotic cavity
177 Spontaneous abortion
182 Haemorrhage during pregnancy, abruptio placenta, placenta praevia
178 Induced abortion
180 Ectopic pregnancy
186 Diabetes or abnormal glucose tolerance complicating pregnancy, childbirth, or
the puerperium
181 Other complications of pregnancy
124 Acute and chronic tonsillitis
183 Hypertension complicating pregnancy, childbirth and the puerperium
86
Cataract
195 Other complications of birth, puerperium affecting management of mother
136 Disorders of teeth and jaw
169 Endometriosis
92
Otitis media and related conditions
179 Postabortion complications
87
Retinal detachments, defects, vascular occlusion, and retinopathy
10
Immunizations and screening for infectious disease
208 Acquired foot deformities
196 Normal pregnancy and/or delivery
91
Other eye disorders
222 Haemolytic jaundice and perinatal jaundice
46
Benign neoplasm of uterus
88
Glaucoma
218 Liveborn infants
120 Haemorrhoids
200 Other skin disorders
171 Menstrual disorders
167 Nonmalignant breast conditions
175 Other female genital disorders
45
Maintenance chemotherapy, radiotherapy
67
Substance-related mental disorders
170 Prolapse of female genital organs
94
Other ear and sense organ disorders
166 Other male genital disorders
257 Other aftercare
172 Ovarian cyst
61
Sickle cell anaemia
173 Menopausal disorders
9
Sexually transmitted infections (not HIV or hepatitis)
160 Calculus of urinary tract
73
Pre-adult disorders
215 Genitourinary congenital anomalies
225 Joint disorders and dislocations, trauma-related
168 Inflammatory diseases of female pelvic organs
126 Other upper respiratory infections
7
Viral infection
84
Headache, including migraine
8
57
Immunity disorders
247 Lymphadenitis
142 Appendicitis and other appendiceal conditions
147 Anal and rectal conditions
47
Other and unspecified benign neoplasm
137 Diseases of mouth, excluding dental
119 Varicose veins of lower extremity
253 Allergic reactions
258 Other screening for suspected conditions (not mental disorders or infectious
disease)
164 Hyperplasia of prostate
212 Other bone disease and musculoskeletal deformities
209 Other acquired deformities
162 Other diseases of bladder and urethra
202 Rheumatoid arthritis and related disease
93
Conditions associated with dizziness or vertigo
23
Other non-epithelial cancer of skin
102 Nonspecific chest pain
203 Osteoarthritis
256 Medical examination/evaluation
165 Inflammatory conditions of male genital organs
140 Gastritis and duodenitis
90
Inflammation, infection of eye (except that caused by tuberculosis or sexually
transmitted disease)
223 Birth trauma
217 Other congenital anomalies
65
Mental retardation
66
Alcohol-related mental disorders
163 Genitourinary symptoms and ill-defined conditions
64
Other haematological conditions
211 Other connective tissue disease
141 Other disorders of stomach and duodenum
242 Poisoning by other medications and drugs
251 Abdominal pain
232 Sprains and strains
220 Intrauterine hypoxia and birth asphyxia
72
Anxiety, somatoform, dissociative, and personality disorders
214 Digestive congenital anomalies
143 Abdominal hernia
236 Open wounds of extremities
138 Oesophageal disorders
128 Asthma
89
Blindness and vision defects
30
Cancer of testis
241 Poisoning by psychotropic agents
198 Other inflammatory condition of skin
Risk adjustment
None.
9
Decubitus Ulcer (PSI 3)
Numerator
All spells with ICD10 code for decubitus ulcer in any secondary field
ICD10 code
L89 Decubitus Ulcer
Denominator
All surgical and medical spells in patients aged 18 and over, defined by specific HRG
codes
See Appendix D: Surgical HRGs
See Appendix E: Medical HRGs
Exclude cases
• With length of stay less than 5 days
• With ICD10 code of decubitus ulcer (see numerator) in the principal diagnosis
field
• Any diagnosis of hemiplegia, paraplegia or quadriplegia
• With ICD10 code for spina bifida or anoxic brain damage
• With an OPCS procedure code for debridement or pedicle graft op before or
on the same day as the major operating room procedure (surgical cases only)
• Admitted from a long-term care facility
• Transferred from an acute care facility
See appendix F. Exclusions for operating theatre procedure codes
ICD10 Hemiplegia, paraplegia, quadriplegia, spina bifida or anoxic brain damage.
G801
G802
G808
G809
G810
G811
G819
G822
G825
G830
G831
G832
G833
G834
G838
Spastic diplegia
Infantile hemiplegia
Other infantile cerebral palsy
Infantile cerebral palsy, unspecified
Flaccid hemiplegia
Spastic hemiplegia
Hemiplegia, unspecified
Paraplegia, unspecified
Tetraplegia, unspecified
Diplegia of upper limbs
Monoplegia of lower limb
Monoplegia of upper limb
Monoplegia, unspecified
Cauda equina syndrome
Other specified paralytic syndromes
10
G839 Paralytic syndrome, unspecified
N319 Neuromuscular dysfunction of bladder, unspecified
OPCS4.3 Debridement or pedicle graft op
T778 Other specified excision of muscle
S571 Debridement of skin NEC (includes excision of devitalised skin)
S573 Toilet of skin NEC
S17 + Y703 Distant flap of skin & muscle (first stage of staged operations NOC)
S18 + Y703 Distant flap of skin & fascia (first stage of staged operations NOC)
S19 + Y703 Distant pedicle flap of skin (first stage of staged operations NOC)
S24 + Y703 Local flap of skin & muscle (first stage of staged operations NOC)
S25 + Y703 Local flap of skin & fascia (first stage of staged operations NOC)
S26 + Y703 Local pedicle flap of skin (first stage of staged operations NOC)
S17 + Y713 Distant flap of skin & muscle (Revisional operations NOC)
S18 + Y713 Distant flap of skin & fascia (Revisional operations NOC)
S19 + Y713 Distant pedicle flap of skin (Revisional operations NOC)
S24 + Y713 Local flap of skin & muscle (Revisional operations NOC)
S25 + Y713 Local flap of skin & fascia (Revisional operations NOC)
S26 + Y713 Local pedicle flap of skin (Revisional operations NOC)
Admission source (ADMISORC) indicating long-term care
54 NHS run nursing home, residential care home or group home
85 Non-NHS (other than Local Authority) run residential care home (from 1996-97)
86 Non-NHS (other than Local Authority) run nursing home (from 1996-97)
88 non-NHS (other than Local Authority) run hospice
Transferred from acute care facility
Transfer (ADMIMETH=81 or ADMISORC=50-54 or DISDEST of pre-transfer
spell=50-54) plus previous trust is acute plus at most two days between end of
previous spell and current spell
Risk adjustment
By age (under-1s, 1-4, 5-9 then five-year bands up to 90+) and sex
11
Foreign Body Left during Procedure (PSI 5)
This indicator has been dropped due to the case-note audit performed by 18
volunteer trusts showing that confusion over what is a foreign body to be common.
12
Iatrogenic pneumothorax (PSI 6)
This indicator has been dropped as there is no specific ICD10 code to indicate that
the pneumothorax was iatrogenic.
13
Infections associated with central line (formerly “selected
infections due to medical care”, PSI 7)
The code relating to cardiac devices (T827: Infect inflamm reaction due to other
cardiac vascular devices, implants and graft) has now been removed as it was
considered to be less important and relevant to a different type of patient from those
with central lines in place.
Numerator
ICD10 code in secondary diagnosis fields:
T802 Infections following infusion transfusion & therap inject
Denominator
All surgical and medical spells in patients aged 18 and over, defined by specific HRG
codes, or pregnancy, childbirth, and puerperium
See Appendix D: Surgical HRGs
See Appendix E: Medical HRGs
Pregnancy, childbirth, and puerperium: defined by the following HRG codes:
N06
N07
N08
N09
N10
N11
N12
M09
M10
M11
Normal Delivery w cc
Normal Delivery w/o cc
Assisted Delivery w cc
Assisted Delivery w/o cc
Caesarean Section w cc
Caesarean Section w/o cc
Antenatal Admissions not Related to Delivery Event
Threatened or Spontaneous Abortion
Surgical Termination of Pregnancy
Medical Termination of Pregnancy
Exclude cases
• With numerator ICD code in the primary diagnosis field
• Length of stay <2 days
• With any code for immunocompromised state or cancer
See Appendix B: Codes for immunocompromised states
See Appendix C: Cancer codes
Risk adjustment
By age (under-1s, 1-4, 5-9 then five-year bands up to 90+) and sex
14
Post-operative hip fracture (PSI 8)
Numerator
Hip fracture codes in any secondary diagnosis field
ICD codes
S720 Fracture of neck of femur
S721 Pertrochanteric fracture
S722 Subtrochanteric fracture
Denominator
All surgical discharges age 18 and older defined by specific HRGs and an OPCS
code for an operating room procedure
See Appendix D: Surgical HRGs
See Appendix F. Exclusions for operating theatre procedure codes
Exclude cases
• Hip fracture codes in the primary diagnosis field
• where the only operating room procedure is hip fracture repair
• where a procedure for hip fracture repair occurs before or on the same day as
the first operating room procedure
• with diseases and disorders of the musculoskeletal system and connective
tissue in the primary diagnosis field
• with primary diagnosis codes for seizure, syncope, stroke, coma, cardiac
arrest, poisoning, trauma, delirium and other psychoses, or anoxic brain injury
• with any diagnosis of metastatic cancer, lymphoid malignancy or bone
malignancy, or self-inflicted injury
Hip fracture repair OPCS codes
W281+ Z76 Application of internal fixation to bone NEC + Z76 Femur
W241 W241 - Closed reduction of intracapsular fracture of neck of femur & fixation
using nail or screw,
W242 + Z76 Closed reduction of fracture of long bone and rigid internal fixation
NEC,
W243 + Z76 Closed reduaction of fracture of long bone & flexible internal fixation
NEC,
W248 + Z76 Other specified closed reduction of fracture of bone & internal fixation,
W249 + Z76 Unspecified closed reduction of fracture of bone & internal fixation
W221 Primary open reduction of fracture of bone & skeletal traction HFQ,
W222 + Z76 Primary open reduction of fracture of bone & external fixation HFQ,
W228 + Z76 other specified other primary open reduction of fraction of bone &
W229 + Z76 unspecified
W191 Primary open reduction of fracture of head of neck of femur & open reduction
using pin & plate (includes dynamic hip screw DHS),
W192 + Z76 Primary open reduction of fracture of long bone & fixation using rigid
15
nail NEC,
W193 + Z76 Primary open reduction of fracture of long bone & fixation using flexible
nail W201 + Z76 Primary open reduction of fracture of long bone & extramedullary
fixation using plate NEC,
W202 + Z76 Primary open reduction of fracture of long bone & extramedullary
fixation using circlage &
W204 + Z76 Primary open reduction of fracture of long bone & complex
extramedullary fixation NEC
W371 Primary total prosthetic replacement of hip joint using cement
W381 Primary total prosthetic replacement of hip joint not using cement
W391 Primary total prosthetic replacement of hip joint NEC
W461 Primary prosthetic replacement of head of femur using cement - (includes
primary prosthetic hemiarthroplasty of head of femur)
W471 Primary prosthetic replacement of head of femur not using cement - (includes
primary prosthetic hemiarthroplasty of head of femur)
W481 Primary prosthetic replacement of head of femur NEC - (includes primary
prosthetic hemiarthroplasty of head of femur)
Diseases and disorders of the musculoskeletal system and connective tissue
ICD M and O chapters
Primary diagnosis codes for seizure, syncope, stroke, coma, cardiac arrest,
poisoning, trauma, delirium and other psychoses, or anoxic brain injury
See Appendix A: Trauma diagnosis codes
Seizure or syncope ICD codes
G411 Petit mal status epilepticus
G410 Grand mal status epilepticus
G403 Generalized idiopathic epilepsy and epileptic syndromes
G403 Generalized idiopathic epilepsy and epileptic syndromes
G403 Generalized idiopathic epilepsy and epileptic syndromes
G403 Generalized idiopathic epilepsy and epileptic syndromes
G412 Complex partial status epilepticus
G412 Complex partial status epilepticus
G401 Locl-rel(foc)part)symp epilep/ epilptic syn simple part seiz
G401 Locl-rel(foc)part)symp epilep/ epilptic syn simple part seiz
G404 Other generalized epilepsy and epileptic syndromes
G405 Special epileptic syndromes
G405 Special epileptic syndromes
G408 Other epilepsy
G409 Epilepsy, unspecified
G409 Epilepsy, unspecified
R560 Febrile convulsions
R568 Other and unspecified convulsions
R55 Syncope and collapse
Stroke ICD codes
I609
Subarachnoid haemorrhage, unspecified
16
I619
I621
I620
I629
I64
G978
Intracerebral haemorrhage, unspecified
Nontraumatic extradural haemorrhage
Subdural haemorrhage (acute)(nontraumatic)
Intracranial haemorrhage (nontraumatic), unspecified
Stroke, not specified as haemorrhage or infarction
Other postprocedural disorders of nervous system
Coma, cardiac arrest ICD codes
E100
Insulin-dependent diabetes mellitus with coma
E110
Non-insulin-dependent diabetes mellitus with coma
E15
Nondiabetic hypoglycaemic coma
I469
Cardiac arrest, unspecified
K729
Hepatic failure, unspecified
R401
Stupor
R402
Coma, unspecified
Poisoning ICD codes
T360
Poisoning by Penicillins
T361
Poisoning by Cefalosporins and other -lactam antibiotics
T362
Poisoning by Chloramphenicol group
T363
Poisoning by Macrolides
T364
Poisoning by Tetracyclines
T367
Poisoning by antifungal antibiotics, systemically used
T368
Poisoning by other systemic antibiotics
T369
Poisoning by systemic antibiotic, unspecified
T370
Poisoning by Sulfonamides
T371
Poisoning by antimycobacterial drugs
T372
Poisoning by antimalarials & drugs act on oth blood protozoa
T373
Poisoning by other antiprotozoal drugs
T374
Poisoning by anthelminthics
T375
Poisoning by antiviral drugs
T378
Poisoning by oth spec systemic anti-infects & antiparasitics
T379
Poisoning by systemic anti-infect & antiparasit, unspec
T380
Poisoning by glucocorticoids and synthetic analogues
T381
Poisoning by thyroid hormones and substitutes
T382
Poisoning by antithyroid drugs
T383
Poisoning by insulin & oral hypoglycaemic [antidiabet] drugs
T384
Poisoning by oral contraceptives
T387
Poisoning by androgens and anabolic congeners
T388
Poisoning by oth & unsp hormones & their synthetic substits
T389
Poisoning by other and unspecified hormone antagonists
T390
Poisoning by Salicylates
T391
Poisoning by 4-Aminophenol derivatives
T392
Poisoning by Pyrazolone derivatives
T394
Poisoning by antirheumatics, not elsewhere classified
T398
Poisoning by other nonopiod analgesics and antipyretics NEC
T399
Poisoning by nonopioid analges,antipyretic & antirheum unsp
T400
Poisoning by Opium
T401
Poisoning by Heroin
T403
Poisoning by Methadone
T404
Poisoning by other synthetic narcotics
17
T407
T410
T411
T412
T413
T420
T422
T423
T424
T426
T427
T428
T430
T433
T434
T435
T436
T439
T441
T442
T443
T448
T449
T450
T451
T452
T453
T454
T455
T456
T457
T458
T459
T460
T462
T463
T465
T466
T468
T469
T471
T472
T474
T475
T476
T477
T478
T479
T480
T481
T482
Poisoning by Cannabis (derivatives)
Poisoning by inhaled anaesthetics
Poisoning by intravenous anaesthetics
Poisoning by other and unspecified general anaesthetics
Poisoning by local anaesthetics
Poisoning by Hydantoin derivatives
Poisoning by Succinimides and oxazolidinediones
Poisoning by Barbiturates
Poisoning by Benzodiazepines
Poisoning by other antiepileptic and sedative-hypnotic drugs
Poisoning by antiepileptic and sedative-hypnotic drugs, unsp
Poisoning by antipark drug & oth cent muscle-tone depressant
Poisoning by tricyclic and tetracyclic antidepressants
Poisoning by Phenothiazine antipsychotics and neuroleptics
Poisoning by Butyrophenone and thioxanthene neuroleptics
Poisoning by other & unsp antipsychotics & neuroleptics
Poisoning by psychostimulants with abuse potential
Psychotropic drug, unspecified
Poisoning by other parasympathomimetics [cholinergics]
Poisoning by ganglionic blocking drugs, NEC
Pois oth parasympatholy [antichol&antimusc] spasmolyts NEC
Poisoning by centrally act & adrenergic-neuron-block ags NEC
Poisoning by oth unsp drugs prim affect autonom nervous sys
Poisoning by antiallergic and antiemetic drugs
Poisoning by antineoplastic and immunosuppressive drugs
Poisoning by vitamins, not elsewhere classified
Poisoning by enzymes, not elsewhere classified
Poisoning by iron and its compounds
Poisoning by anticoagulants
Poisoning by fibrinolysis-affecting drugs
Poisoning by anticoagulant antagons, vit K & oth coagulants
Poisoning by oth prim systemic & haematological agents
Poisoning by primarily systemic & haematological agent, unsp
Poisoning by cardiac-stim glycosides & drugs of sim action
Poisoning by other antidysrhythmic drugs, NEC
Poisoning by coronary vasodilators, NEC
Poisoning by other antihypertensive drugs, NEC
Poisoning by antihyperlipidaemic & antiarteriosclerotic drug
Poisoning by antivaricose drugs, incl sclerosing agents
Poisoning by oth & unsp agent prim affect cardiovasc sys
Poisoning by oth antacids & anti-gastric-secretion drugs
Poisoning by stimulant laxatives
Poisoning by other laxatives
Poisoning by digestants
Poisoning by antidiarrhoeal drugs
Poisoning by emetics
Poisoning by oth agents prim affect gastrointest sys
Poisoning by agent primarily affect gastrointest sys unsp
Poisoning by oxytocic drugs
Poisoning by skel musc relaxs [neuromuscular blocking agent]
Poisoning by oth & unsp agents primarily acting on muscles
18
T483
T484
T485
T486
T487
T490
T491
T492
T493
T494
T495
T496
T497
T498
T499
T502
T503
T504
T506
T507
T509
T568
X400
X401
X402
X403
X404
X406
X407
X408
X409
X410
X411
X412
X413
X414
X416
X417
X418
X419
X420
X421
X422
X423
X424
X426
X427
X428
X429
X430
X431
Poisoning by antitussives
Poisoning by expectorants
Poisoning by anti-common-cold drugs
Poisoning by antiasthmatics, not elsewhere classified
Poisoning by oth & unsp agents prim acting on the resp sys
Poisoning by local antifung anti-infec & anti-inflam drg NEC
Poisoning by topical agent antipruritics
Poisoning by local astringents and local detergents
Poisoning by topical emollients, demulcents and protectants
Poisn top keratolyts keratoplasts ot hair treat drgs & preps
Poisoning by topical ophthalmological drugs and preparations
Poisoning by topical otorhinolaryngological drugs and preps
Poisoning by dental drugs, topically applied
Poisoning by other topical agents
Poisoning by topical agent, unspecified
Poison by carbonic-anhydrase inhibs benzothiadiaz oth diuret
Electrolytic, caloric and water-balance ags
Poisoning by drugs affecting uric acid metabolism
Poisoning by antidotes and chelating agents, NEC
Poisoning by analeptics and opioid receptor antagonists
Poisoning by oth & unsp drugs medicaments & biological subs
Toxic effect of other metals
Occurrence at home
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence at home
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence at home
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence at home
Occurrence in residential institution
19
X432
X433
X434
X436
X437
X438
X439
X440
X441
X442
X443
X444
X446
X447
X448
X449
X450
X451
X452
X453
X454
X456
X457
X458
X459
X460
X461
X462
X463
X464
X466
X467
X468
X469
X470
X471
X472
X473
X474
X476
X477
X478
X479
X480
X481
X482
X483
X484
X486
X487
X488
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence at home
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence at home
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence at home
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence at home
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence at home
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
20
X489
X490
X491
X492
X493
X494
X496
X497
X498
X499
X660
X661
X662
X663
X664
X666
X667
X668
X669
X670
X671
X672
X673
X674
X676
X677
X678
X679
X851
X852
X853
X854
X856
X857
X858
X859
X880
X881
X882
X883
X884
X886
X887
X888
X889
X890
X891
X892
X893
X894
X896
Occurrence at unspecified place
Occurrence at home
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence at home
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence at home
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence at home
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence at home
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
21
X897
X898
X899
X900
X901
X902
X903
X904
X906
X907
X908
X909
Y100
Y101
Y102
Y103
Y104
Y106
Y107
Y108
Y109
Y110
Y111
Y112
Y113
Y114
Y116
Y117
Y118
Y119
Y140
Y141
Y142
Y143
Y144
Y146
Y147
Y148
Y149
Y160
Y161
Y162
Y163
Y164
Y166
Y167
Y168
Y169
Y170
Y171
Y172
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence at home
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence at home
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence at home
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence at home
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence at home
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence at home
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
22
Y173
Y174
Y176
Y177
Y178
Y179
Y180
Y181
Y182
Y183
Y184
Y186
Y187
Y188
Y189
Y190
Y191
Y192
Y193
Y194
Y196
Y197
Y198
Y199
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence at home
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence at home
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Delirium and Other Psychoses ICD codes
F018
Other vascular dementia
F028
Dementia in other specified diseases classified elsewhere
F03
Unspecified dementia
F04
Organic amnesic synd not induced alc/oth psychoactive subs
F050
Delirium not superimposed on dementia, so described
F051
Delirium superimposed on dementia
F058
Other delirium
F059
Delirium, unspecified
F060
Organic hallucinosis
F062
Organic delusional [schizophrenia-like] disorder
F063
Organic mood [affective] disorders
F068
Oth sp mental disord brain damag and dysfunction/physical d
F069
Unsp mental disord brain damag and dysfunction/physical d
F100
Mental & behav dis due to use of alcohol: acute intoxication
F104
Men & behav dis due alcohol: withdrawl state with delirium
F105
Mental & behav dis due to use of alcohol: psychotic disorder
F106
Mental and behav dis due to use of alcohol: amnesic syndrome
F107
Men & behav dis due use alc: resid & late-onset psychot dis
F193
Men & behav dis multiple/psychoact drug: withdrawl state
F195
Men & behav dis multiple/psychoact drug: psychotic disorder
F196
Men & behav dis multiple/psychoact drug: amnesic syndrome
F197
Men & behav dis multiple/psychoact drug: res & late-ons psy
F198
Men & behav dis multiple/psychoact drug: oth men & behav dis
F199
Men & behav dis multiple/psychoact drug: unsp men & behav di
F200
Paranoid schizophrenia
23
F201
F202
F205
F206
F208
F209
F21
F22
F232
F233
F238
F258
F259
F29
F301
F302
F308
F309
F310
F311
F312
F313
F314
F315
F316
F317
F319
F320
F321
F322
F323
F328
F330
F331
F332
F333
F334
F339
F388
F39
F448
F840
F843
F848
F849
Hebephrenic schizophrenia
Catatonic schizophrenia
Residual schizophrenia
Simple schizophrenia
Other schizophrenia
Schizophrenia, unspecified
Schizotypal disorder
Persistent delusional disorders
Acute schizophrenia-like psychotic disorder
Other acute predominantly delusional psychotic disorders
Other acute and transient psychotic disorders
Other schizoaffective disorders
Schizoaffective disorder, unspecified
Unspecified nonorganic psychosis
Mania without psychotic symptoms
Mania with psychotic symptoms
Other manic episodes
Manic episode, unspecified
Bipolar affective disorder, current episode hypomanic
Bipolar affect disord cur epi manic without psychotic symp
Bipolar affect disorder cur epi manic with psychotic symp
Bipolar affect disorder cur epi mild or moderate depression
Bipolar affect disord cur epi sev depres without psyc symp
Bipolar affect disord cur epi severe depres with psyc symp
Bipolar affective disorder, current episode mixed
Bipolar affective disorder, currently in remission
Bipolar affective disorder, unspecified
Mild depressive episode
Moderate depressive episode
Severe depressive episode without psychotic symptoms
Severe depressive episode with psychotic symptoms
Other depressive episodes
Recurrent depressive disorder, current episode mild
Recurrent depressive disorder, current episode moderate
Recurrent depress disorder cur epi severe without psyc symp
Recurrent depress disorder cur epi severe with psyc symp
Recurrent depressive disorder, currently in remission
Recurrent depressive disorder, unspecified
Other specified mood [affective] disorders
Unspecified mood [affective] disorder
Other dissociative [conversion] disorders
Childhood autism
Other childhood disintegrative disorder
Other pervasive developmental disorders
Pervasive developmental disorder, unspecified
Anoxic Brain Injury ICD codes
G931
Anoxic brain damage, not elsewhere classified
Any diagnosis of metastatic cancer, lymphoid malignancy or bone malignancy, or
self-inflicted injury ICD codes
24
Metastatic cancer
C770
Sec & uns malig neoplasm of lymph nodes of head, face & neck
C771
Sec & uns malignant neoplasm of intrathoracic lymph nodes
C772
Sec & uns malignant neoplasm of intra-abdominal lymph nodes
C773
Sec & uns malig neoplasm of axillary & upp limb lymph nodes
C774
Sec & uns malig neoplasm of inguinal & low limb lymph nodes
C775
Sec & uns malignant neoplasm of intrapelvic lymph nodes
C778
Sec & uns malig neoplasm of lymph nodes of multiple regions
C779
Sec & uns malignant neoplasm of lymph node, unspecified
C780
Secondary malignant neoplasm of lung
C781
Secondary malignant neoplasm of mediastinum
C782
Secondary malignant neoplasm of pleura
C783
Secondary malignant neoplasm of oth & unsp respiratory orgs
C784
Secondary malignant neoplasm of small intestine
C785
Secondary malignant neoplasm of large intest & rectum
C786
Secondary malignant neoplasm of retroperitoneum & peritoneum
C787
Secondary malignant neoplasm of liver
C788
Secondary malignant neoplasm of other & unsp digestive orgs
C80
Malignant neoplasm without specification of site
Lymphoid malignancy
C810
Hodgkin's disease, lymphocytic predominance
C811
Hodgkin's disease, nodular sclerosis
C812
Hodgkin's disease, mixed cellularity
C813
Hodgkin's disease, lymphocytic depletion
C817
Hodgkin's disease, other Hodgkin's disease
C819
Hodgkin's disease, Hodgkin's disease, unspecified
C822
Follicular non-Hodgkin's large cell lymphoma
C830
Diffuse non-Hodgkin's small cell (diffuse)lymphoma
C833
Diffuse non-Hodgkin's large cell (diffuse) lymphoma
C837
Diffuse non-Hodgkin's lymphoma, Burkitt's tumour
C840
Peripheral and cutaneous T-cell lymphomas, mycosis fungoides
C841
Peripheral and cutaneous T-cell lymphomas, Sezary's disease
C845
Periph & cutan T-cell lymphomas, oth & unsp T-cell lymphomas
C859
Non-Hodgkin's lymphoma, unspecified type
C887
Other malignant immunoproliferative diseases
C900
Multiple myeloma
C901
Plasma cell leukaemia
C910
Acute lymphoblastic leukaemia
C911
Chronic lymphocytic leukaemia
C912
Subacute lymphocytic leukaemia
C914
Hairy-cell leukaemia
C917
Other lymphoid leukaemia
C919
Lymphoid leukaemia, unspecified
C920
Acute myeloid leukaemia
C921
Chronic myeloid leukaemia
C922
Subacute myeloid leukaemia
C923
Myeloid sarcoma
C927
Other myeloid leukaemia
C929
Myeloid leukaemia, unspecified
25
C930
C931
C932
C937
C939
C940
C941
C942
C947
C950
C951
C952
C957
C959
C960
C961
C962
C967
Acute monocytic leukaemia
Chronic monocytic leukaemia
Subacute monocytic leukaemia
Other monocytic leukaemia
Monocytic leukaemia, unspecified
Acute erythraemia & erythroleukaemia
Chronic erythraemia
Acute megakaryoblastic leukaemia
Other specified leukaemias
Acute leukaemia of unsp cell type
Chronic leukaemia unsp cell type
Subacute leukaemia unsp cell type
Other leukaemia unspecified cell type
Leukaemia, unspecified
Letterer-Siwe disease
Malignant histiocytosis
Malignant mast cell tumour
Oth spec malig neop lymphoid h'poietic & related tissue
Bone malignancy
C400
Malignant neoplasm of scapula and long bones of upper limb
C401
Malignant neoplasm of short bones of upper limb
C402
Malignant neoplasm of long bones of lower limb
C403
Malignant neoplasm of short bones of lower limb
C409
Malignant neoplasm of bone and artic cart of limb, unsp
C410
Malignant neoplasm of bones of skull and face
C411
Malignant neoplasm of mandible
C412
Malignant neoplasm of vertebral column
C413
Malignant neoplasm of ribs, sternum and clavicle
C414
Malignant neoplasm of sacrum and coccyx
Risk adjustment
By age (under-1s, 1-4, 5-9 then five-year bands up to 90+) and sex
26
Post-operative pulmonary embolism or deep vein
thrombosis (PSI 12)
Numerator
PE or DVT codes in any secondary diagnosis field
ICD10 codes
I260
I269
I801
I802
I803
I808
I809
I828
I829
Pulmonary embolism with mention of acute cor pulmonale
Pulmonary embolism without mention of acute cor pulmonale
Phlebitis and thrombophlebitis of femoral vein
Phlebitis/thrombophlebitis of other deep vessels low extremities
Phlebitis and thrombophlebitis of lower extremities, unspec
Phlebitis and thrombophlebitis of other sites
Phlebitis and thrombophlebitis of unspecified site
Embolism and thrombosis of other specified veins
Embolism and thrombosis of unspecified vein
Denominator
All surgical discharges age 18 and older defined by specific HRGs and an OPCS
code for an operating room procedure
See Appendix D: Surgical HRGs
See Appendix F. Exclusions for operating theatre procedure codes
Exclude cases
•
DVT or PE ICD10 codes in the primary diagnosis field
•
If any of the following OPCS codes is the only OR procedure or is performed
on the same day or before the first OR procedure:
L791 Insertion of filter into vena cava
L792 Plication of vena cava
L798 Other specified operations on vena cava
•
N06
N07
N08
N09
N10
N11
N12
M09
M10
M11
Pregnancy, childbirth, and puerperium: defined by the following HRG codes:
Normal Delivery w cc
Normal Delivery w/o cc
Assisted Delivery w cc
Assisted Delivery w/o cc
Caesarean Section w cc
Caesarean Section w/o cc
Antenatal Admissions not Related to Delivery Event
Threatened or Spontaneous Abortion
Surgical Termination of Pregnancy
Medical Termination of Pregnancy
27
Risk adjustment
By age (under-1s, 1-4, 5-9 then five-year bands up to 90+) and sex
28
Post-operative sepsis (PSI 13)
Numerator
Sepsis codes in any secondary diagnosis field
ICD codes
A40 Streptococcal septicaemia
A41 Other septicaemia
T826 Infection and inflammatory reaction due to cardiac valve prosthesis
T827 Infection and inflammatory reaction due to other cardiac and vascular devices,
implants and grafts
T835 Infection and inflammatory reaction due to prosthetic device, implant and graft
in urinary system
T836 Infection and inflammatory reaction due to prosthetic device, implant and graft
in genital tract
T845 Infection and inflammatory reaction due to internal joint prosthesis
T846 Infection and inflammatory reaction due to internal fixation device [any site]
T847 Infection and inflammatory reaction due to other internal orthopaedic
prosthetic devices, implants and grafts
T857 Infection and inflammatory reaction due to other internal prosthetic devices,
implants and grafts
T811 Shock during or resulting from a procedure, not elsewhere classified
Denominator
All elective (ADMIMETH=11-13) surgical discharges age 18 and older defined by
specific HRGs and an OPCS code for an operating room procedure
See Appendix D: Surgical HRGs
See Appendix F. Exclusions for operating theatre procedure codes
Exclude cases
• with sepsis codes in the primary diagnosis field
• with a principal diagnosis of infection, or any code for immunocompromised
state, or cancer
• pregnancy, childbirth, and puerperium
• LOS < 4 days
See Appendix B: Codes for immunocompromised states
See Appendix C: Cancer codes
See Appendix G: Infection codes
Pregnancy, childbirth, and puerperium: defined by primary diagnosis using O chapter
Risk adjustment
By age (under-1s, 1-4, 5-9 then five-year bands up to 90+) and sex
29
Obstetric tears (formerly “obstetric trauma”) – vaginal
delivery with instrument (PSI 18)
Numerator
Discharges with ICD codes for 3rd and 4th degree obstetric trauma in any diagnosis
field or OPCS codes for repair of obstetric trauma in any procedure field.
ICD codes
O702 Third degree perineal laceration during delivery
O703 Fourth degree perineal laceration during delivery
O713 Obstetric laceration of cervix
O714 Obstetric high laceration alone
O715 Other obstetric injury to pelvic organs
OPCS codes
R321 Immediate repair of obstetric laceration of uterus or cervix uteri
R328 + Z421 (Z421 relates to the bladder)
R322 Immediate repair of obstetric laceration of perineum and sphincter of anus
Denominator
Instrumental delivery codes in any procedure field
OPCS codes
R21 forceps cephalic delivery
R22 vacuum delivery
No exclusions
Risk adjustment
By age (under-1s, 1-4, 5-9 then five-year bands up to 90+).
30
Obstetric tears (formerly “obstetric trauma”) – vaginal
delivery without instrument (PSI 19)
Numerator
Discharges with ICD codes for 3rd and 4th degree obstetric trauma in any diagnosis
field or OPCS codes for repair of obstetric trauma in any procedure field.
ICD codes
O702 Third degree perineal laceration during delivery
O703 Fourth degree perineal laceration during delivery
O713 Obstetric laceration of cervix
O714 Obstetric high laceration alone
O715 Other obstetric injury to pelvic organs
OPCS codes
R321 Immediate repair of obstetric laceration of uterus or cervix uteri
R328 + Z421 (Z421 relates to the bladder)
R322 Immediate repair of obstetric laceration of perineum and sphincter of anus
Denominator
Normal delivery or delivery without instrument codes in any procedure field
OPCS codes
R23 cephalic vaginal delivery with abn presentation of head without instrument
R24 normal delivery
No exclusions
Risk adjustment
By age (under-1s, 1-4, 5-9 then five-year bands up to 90+)
31
Obstetric tears (formerly “obstetric trauma”) – caesarean
section (PSI 20)
Numerator
Discharges with ICD codes for 3rd and 4th degree obstetric trauma in any diagnosis
field or OPCS codes for repair of obstetric trauma in any procedure field.
ICD codes
O702 Third degree perineal laceration during delivery
O703 Fourth degree perineal laceration during delivery
O713 Obstetric laceration of cervix
O714 Obstetric high laceration alone
O715 Other obstetric injury to pelvic organs
OPCS codes
R321 Immediate repair of obstetric laceration of uterus or cervix uteri
R328 + Z421 (Z421 relates to the bladder)
R322 Immediate repair of obstetric laceration of perineum and sphincter of anus
Denominator
Caesarean section codes in any procedure field
OPCS codes
R17 elective CS
R18 non-elective CS
R251 Caesarean hysterectomy
No exclusions
Risk adjustment
None.
32
Appendix A Trauma diagnosis codes
Used in PSIS 2, 4 and 8
S011
S020
S021
S022
S023
S024
S026
S027
S028
S029
S030
S052
S053
S054
S055
S057
S058
S059
S060
S062
S062
S064
S064
S065
S066
S068
S068
S070
S099
S120
S121
S127
S128
S129
S131
S133
S141
S142
S143
S150
S152
S153
S157
S158
S159
S179
Open wound of eyelid and periocular area
Fracture of vault of skull
Fracture of base of skull
Fracture of nasal bones
Fracture of orbital floor
Fracture of malar and maxillary bones
Fracture of mandible
Multiple fractures involving skull and facial bones
Fractures of other skull and facial bones
Fracture of skull and facial bones, part unspecified
Dislocation of jaw
Ocular lacn and rupture with prolapse or loss intraoc tiss
Ocular lacn without prolapse or loss of intraocular tissue
Penetrating wound of orbit with or without foreign body
Penetrating wound of eyeball with foreign body
Avulsion of eye
Other injuries of eye and orbit
Injury of eye and orbit, part unspecified
Concussion
Diffuse brain injury
Diffuse brain injury
Epidural haemorrhage
Epidural haemorrhage
Traumatic subdural haemorrhage
Traumatic subarachnoid haemorrhage
Other intracranial injuries
Other intracranial injuries
Crushing injury of face
Unspecified injury of head
Fracture of first cervical vertebra
Fracture of second cervical vertebra
Multiple fractures of cervical spine
Fracture of other parts of neck
Fracture of neck, part unspecified
Dislocation of cervical vertebra
Multiple dislocations of neck
Other and unspecified injuries of cervical spinal cord
Injury of nerve root of cervical spine
Injury of brachial plexus
Injury of carotid artery
Injury of external jugular vein
Injury of internal jugular vein
Injury of multiple blood vessels at neck level
Injury of other blood vessels at neck level
Injury of unspecified blood vessel at neck level
Crushing injury of neck, part unspecified
33
S220
S222
S223
S224
S225
S231
S241
S242
S250
S251
S252
S253
S254
S255
S257
S258
S259
S268
S269
S270
S271
S272
S273
S274
S278
S278
S279
S320
S321
S323
S324
S325
S328
S331
S332
S341
S342
S343
S344
S350
S351
S352
S353
S354
S355
S357
S358
S359
S360
S361
S362
Fracture of thoracic vertebra
Fracture of sternum
Fracture of rib
Multiple fractures of ribs
Flail chest
Dislocation of thoracic vertebra
Other and unspecified injuries of thoracic spinal cord
Injury of nerve root of thoracic spine
Injury of thoracic aorta
Injury of innominate or subclavian artery
Injury of superior vena cava
Injury of innominate or subclavian vein
Injury of pulmonary blood vessels
Injury of intercostal blood vessels
Injury of multiple blood vessels of thorax
Injury of other blood vessels of thorax
Injury of unspecified blood vessel of thorax
Other injuries of heart
Injury of heart, unspecified
Traumatic pneumothorax
Traumatic haemothorax
Traumatic haemopneumothorax
Other injuries of lung
Injury of bronchus
Injury of other specified intrathoracic organs
Injury of other specified intrathoracic organs
Injury of unspecified intrathoracic organ
Fracture of lumbar vertebra
Fracture of sacrum
Fracture of ilium
Fracture of acetabulum
Fracture of pubis
Fracture of oth and unspec parts of lumbar spine and pelvis
Dislocation of lumbar vertebra
Dislocation of sacroiliac and sacrococcygeal joint
Other injury of lumbar spinal cord
Injury of nerve root of lumbar and sacral spine
Injury of cauda equina
Injury of lumbosacral plexus
Injury of abdominal aorta
Injury of inferior vena cava
Injury of coeliac or mesenteric artery
Injury of portal or splenic vein
Injury of renal blood vessels
Injury of iliac blood vessels
Inj multi blood vessels abdomen lower back and pelvis level
Inj oth blood vessels abdomen lower back and pelvis level
Inj of unspec blood vessel abdom low back and pelvis level
Injury of spleen
Injury of liver or gallbladder
Injury of pancreas
34
S363
S364
S365
S366
S368
S369
S370
S371
S372
S376
S378
S379
S380
S381
S420
S421
S422
S423
S424
S430
S431
S432
S433
S451
S452
S47
S520
S521
S522
S523
S524
S525
S526
S528
S529
S531
S552
S570
S579
S580
S581
S620
S621
S622
S623
S624
S628
S630
S631
S652
S655
Injury of stomach
Injury of small intestine
Injury of colon
Injury of rectum
Injury of other intra-abdominal organs
Injury of unspecified intra-abdominal organ
Injury of kidney
Injury of ureter
Injury of bladder
Injury of uterus
Injury of other pelvic organs
Injury of unspecified pelvic organ
Crushing injury of external genital organs
Crush inj oth and unspec part of abdo lower back and pelvis
Fracture of clavicle
Fracture of scapula
Fracture of upper end of humerus
Fracture of shaft of humerus
Fracture of lower end of humerus
Dislocation of shoulder joint
Dislocation of acromioclavicular joint
Dislocation of sternoclavicular joint
Dislocation of other and unspec parts of shoulder girdle
Injury of brachial artery
Injury of axillary or brachial vein
Crushing injury of shoulder and upper arm
Fracture of upper end of ulna
Fracture of upper end of radius
Fracture of shaft of ulna
Fracture of shaft of radius
Fracture of shafts of both ulna and radius
Fracture of lower end of radius
Fracture of lower end of both ulna and radius
Fracture of other parts of forearm
Fracture of forearm, part unspecified
Dislocation of elbow, unspecified
Injury of vein at forearm level
Crushing injury of elbow
Crushing injury of forearm, part unspecified
Traumatic amputation at elbow level
Traumatic amputation at level between elbow and wrist
Fracture of navicular [scaphoid] bone of hand
Fracture of other carpal bone(s)
Fracture of first metacarpal bone
Fracture of other metacarpal bone
Multiple fractures of metacarpal bones
Fracture of other and unspecified parts of wrist and hand
Dislocation of wrist
Dislocation of finger
Injury of superficial palmar arch
Injury of blood vessel(s) of other finger
35
S670
S678
S710
S720
S721
S722
S723
S724
S729
S730
S750
S751
S752
S772
S789
S810
S820
S821
S822
S824
S825
S826
S828
S830
S831
S832
S833
S850
S851
S855
S858
S859
S870
S878
S880
S881
S889
S913
S920
S921
S922
S923
S929
S930
S931
S933
S951
S958
S959
S970
S971
Crushing injury of thumb and other finger(s)
Crush injury other and unspecified parts of wrist and hand
Open wound of hip
Fracture of neck of femur
Pertrochanteric fracture
Subtrochanteric fracture
Fracture of shaft of femur
Fracture of lower end of femur
Fracture of femur, part unspecified
Dislocation of hip
Injury of femoral artery
Injury of femoral vein at hip and thigh level
Injury of greater saphenous vein at hip and thigh level
Crushing injury of hip with thigh
Traumatic amputation of hip and thigh, level unspecified
Open wound of knee
Fracture of patella
Fracture of upper end of tibia
Fracture of shaft of tibia
Fracture of fibula alone
Fracture of medial malleolus
Fracture of lateral malleolus
Fractures of other parts of lower leg
Dislocation of patella
Dislocation of knee
Tear of meniscus, current
Tear of articular cartilage of knee, current
Injury of popliteal artery
Injury of (anterior)(posterior) tibial artery
Injury of popliteal vein
Injury of other blood vessels at lower leg level
Injury of unspecified blood vessel at lower leg level
Crushing injury of knee
Crushing injury of other and unspecified parts of lower leg
Traumatic amputation at knee level
Traumatic amputation at level between knee and ankle
Traumatic amputation of lower leg, level unspecified
Open wound of other parts of foot
Fracture of calcaneus
Fracture of talus
Fracture of other tarsal bone(s)
Fracture of metatarsal bone
Fracture of foot, unspecified
Dislocation of ankle joint
Dislocation of toe(s)
Dislocation of other and unspecified parts of foot
Injury of plantar artery of foot
Injury of other blood vessels at ankle and foot level
Injury of unspecified blood vessel at ankle and foot level
Crushing injury of ankle
Crushing injury of toe(s)
36
S978
S980
T012
T021
T024
T025
T039
T041
T042
T043
T049
T052
T053
T055
T061
T080
T081
T092
T093
T094
T100
T101
T114
T116
T120
T121
T131
T142
T143
T145
T147
T148
T200
T201
T202
T203
T210
T211
T212
T213
T220
T221
T222
T223
T230
T260
T261
T262
T264
T790
T791
Crushing injury of other parts of ankle and foot
Traumatic amputation of foot at ankle level
Open wounds involving multiple regions of upper limb(s)
Fractures involving thorax with lower back and pelvis
Fractures involving multiple regions of both upper limbs
Fractures involving multiple regions of both lower limbs
Multiple dislocations, sprains and strains, unspecified
Crush inj involv thorax with abdomen lwr back & pelvis
Crushing injuries involving multiple region of upper limb(s)
Crushing injuries involving multiple region of lower limb(s)
Multiple crushing injuries, unspecified
Traumatic amputation of both arms [any level]
Traumatic amputation of both feet
Traumatic amputation of both legs [any level]
Inj nerves and spinal cord involving oth multi body regions
Fracture of spine, level unspecified
Fracture of spine, level unspecified
Dislocation sprain & strain unspec joint & ligament trunk
Injury of spinal cord, level unspecified
inj unspec nerve spinal nerve root & plexus trunk
Fracture of upper limb, level unspecified
Fracture of upper limb, level unspecified
Injury of unspec blood vessel of upper limb level unspec
Traumatic amputation of upper limb, level unspecified
Fracture of lower limb, level unspecified
Fracture of lower limb, level unspecified
Open wound of lower limb, level unspecified
Fracture of unspecified body region
Dislocation, sprain and strain of unspecified body region
Injury of blood vessel(s) of unspecified body region
Crush injury and traumatic amputation of unspec body region
Other injuries of unspecified body region
Burn of unspecified degree of head and neck
Burn of first degree of head and neck
Burn of second degree of head and neck
Burn of third degree of head and neck
Burn of unspecified degree of trunk
Burn of first degree of trunk
Burn of second degree of trunk
Burn of third degree of trunk
Burn unspec degree should and upp limb excpt wrist and hand
Burn first deg of shoulder and up limb excpt wrist and hand
Burn sec deg of shoulder and upr limb exc wrist/hand
Burn third deg shoulder and upper limb excpt wrist and hand
Burn of unspecified degree of wrist and hand
Burn of eyelid and periocular area
Burn of cornea and conjunctival sac
Burn with resulting rupture and destruction of eyeball
Burn of eye and adnexa, part unspecified
Air embolism (traumatic)
Fat embolism (traumatic)
37
T792
T793
T794
T795
T796
T797
T798
Traumatic secondary and recurrent haemorrhage
Post-traumatic wound infection, not elsewhere classified
Traumatic shock
Traumatic anuria
Traumatic ischaemia of muscle
Traumatic subcutaneous emphysema
Other early complications of trauma
38
Appendix B Immunocompromised states
Used in PSIs 2, 4, 7, 13 and 14
B24
B59
D70
D71
D720
D800
D801
D802
D803
D804
D805
D808
D814
D819
D820
D821
D830
D831
D838
D849
D898
D899
E40
E41
E43
I120
I131
I132
K912
M359
N18
T860
T861
T862
T864
T868
T869
Z452
Z491
Z940
Z941
Z942
Z944
Z948
Z992
Unspecified human immunodefiency virus [HIV] disease
Pneumocystosis
Agranulocytosis
Functional disorders of polymorphonuclear neutrophils
Genetic anomalies of leukocytes
Hereditary hypogammaglobulinaemia
Nonfamilial hypogammaglobulinaemia
Selective deficiency of immunoglobulin A [IgA]
Selective deficiency of immunoglobulin G [IgG] subclasses
Selective deficiency of immunoglobulin M [IgM]
Immunodefiency with increased immunoglobulin M [IgM]
Other immunodefiencies with predominantly antibody defects
Nezelof's syndrome
Combined immunodefiency, unspecified
Wiskott-Aldrich syndrome
Di George's syndrome
Com var immunodef with predom abn B-cell numb and funct
Common var immunodef predom immunoregulatory T-cell disord
Other common variable immunodefiencies
immunodefiency, unspecified
Other specified disorders involving the immune mechanism NEC
Disorder involving the immune mechanism, unspecified
Kwashiorkor
Nutritional marasmus
Unspecified severe protein-energy malnutrition
Hypertensive renal disease with renal failure
Hypertensive heart and renal disease with renal failure
Hyper heart and renal dis both (cong) heart and renal fail
Postsurgical malabsorption, not elsewhere classified
Systemic involvement of connective tissue, unspecified
Chronic renal failure (no exact ICD10 match possible)
Bone-marrow transplant rejection
Kidney transplant failure and rejection
Heart transplant failure and rejection
Liver transplant failure and rejection
Failure and reject of other transplanted organs and tissues
Failure and reject of unspec transplanted organ and tissue
Adjustment and management of vascular access device
Extracorporeal dialysis
Kidney transplant status
Heart transplant status
Lung transplant status
Liver transplant status
Other transplanted organ and tissue status
Dependence on renal dialysis
39
Appendix C Cancer codes
B21
Human immunodeficiency virus disease resulting in malignant neoplasms
Whole C chapter
D00-D09
Carcinomata-in-situ
M724
Pseudosarcomatous fibromatosis
Z08
Follow-up examination after treatment for malignant neoplasm
Z12
Special screening examination for neoplasms
Z511
Chemotherapy session for neoplasm
Z85
Personal history of malignant neoplasm
40
Appendix D Surgical HRGs
A01
A02
A03
A04
A05
A06
A07
A08
B13
B14
B15
B16
B17
B18
B19
B20
B21
B22
B23
B24
B25
B26
B27
B28
B29
B30
B31
C04
C15
C21
C22
C25
C31
C32
C35
C41
C42
C45
C54
C55
C56
C57
C58
C59
C60
D01
D02
D03
Intracranial Procedures Except Trauma - Category 1
Intracranial Procedures Except Trauma - Category 2
Intracranial Procedures Except Trauma - Category 3
Intracranial Procedures Except Trauma - Category 4
Intracranial Procedures for Trauma w cc
Intracranial Procedures for Trauma w/o cc
Intermediate Pain Procedures
Percutaneous Image Controlled Pain Procedures
Phakoemulsification Cataract Extraction and Insertion of Lens
Non Phakoemulsification Cataract Surgery
Other Lens Surgery Low Complexity
Oculoplastic Low Complexity
Oculoplastic Intermediate Complexity
Oculoplastic High Complexity
Orbit / Lacrimal Low Complexity
Orbit / Lacrimal Intermediate Complexity
Orbit / Lacrimal High Complexity
Cornea / Sclera Low Complexity
Cornea / Sclera Intermediate / High Complexity
Ocular Motility Intermediate Complexity
Ocular Motility Redo / Adjustable / High Complexity
Glaucoma / Uvea Low Complexity
Glaucoma / Uvea Intermediate Complexity
Glaucoma / Uvea High Complexity
Surgical Retina Low Complexity
Surgical Retina Intermediate Complexity
Surgical Retina High Complexity
Minor Mouth or Throat Procedures
Minor Maxillo-facial/ENT procedures
Intermediate Ear Procedures
Intermediate Nose Procedures
Intermediate Maxillo-facial/ENT procedures
Major Ear Procedures
Major Nose Procedures
Major Maxillo-facial/ENT Procedures
Complex Major Ear Procedures
Complex Major Nose Procedures
ENT Complex Major Maxillo-facial Procedures
Complex Major Mouth or Throat Procedures
Minor Ear Procedures
Minor Nose Procedures
Major Mouth or Throat Procedures
Intermediate Mouth or Throat Procedures
Exteriorisation of Trachea
Cochlea Implants
Lung Transplant
Complex Thoracic Procedures
Major Thoracic Procedures
41
D04
D05
D06
D07
D08
E01
E02
E03
E04
E07
E08
E09
E13
E14
E15
E38
E39
E40
E41
F01
F02
F03
F04
F06
F12
F13
F14
F15
F21
F22
F23
F31
F32
F33
F34
F35
F41
F42
F43
F44
F45
F51
F52
F53
cc
F54
F61
F62
F63
F71
F72
Intermediate Thoracic Procedures w cc
Intermediate Thoracic Procedures w/o cc
Minor Thoracic Procedures
Fibreoptic Bronchoscopy
Rigid Bronchoscopy
Heart and Lung Transplant
Heart Transplant
Cardiac Valve Procedures
Coronary Bypass
Pacemaker Implant for AMI, Heart Failure or Shock
Pacemaker Implant except for AMI, Heart Failure or Shock
Cardiac Pacemaker Replacement/Revision
Cardiac Catheterisation and Angiography with complications
Cardiac Catheterisation and Angiography without complications
Percutaneous Coronary Intervention
Electrophysiological and other Percutaneous Cardiac Procedures >18
Electrophysiological and other Percutaneous Cardiac Procedures <19
Other Cardiothoracic or Circulatory Procedures >18
Other Cardiothoracic or Circulatory Procedures <19
Oesophagus - Complex Procedures
Oesophagus - Very Major Procedures
Oesophagus - Major Procedures or Prostheses
Therapeutic endoscopic procedures
Diagnostic Procedures, Oesophagus and Stomach
Stomach or Duodenum Very Major Procedures
Stomach or Duodenum - Major Procedures >69 or w cc
Stomach or Duodenum - Major Procedures <70 or w/o cc
Stomach or Duodenum - Therapeutic Endoscopic or Intermediate Procedures
Small Intestine - Very Major Procedures
Small Intestine - Major Procedures >69 or w cc
Small Intestine - Major Procedures <70 w/o cc
Large Intestine - Complex Procedures
Large Intestine - Very Major Procedures
Large Intestine - Major Procedures w cc
Large Intestine - Major Procedures w/o cc
Large Intestine - Endoscopic or Intermediate Procedures
General Abdominal - Very Major or Major Procedures >69 or w cc
General Abdominal - Very Major or Major Procedures <70 w/o cc
General Abdominal - Endoscopic or Intermediate Procedures >69 or w cc
General Abdominal - Endoscopic or Intermediate Procedures <70 w/o cc
General Abdominal - Diagnostic Procedures
Inflammatory Bowel Disease - Complex Procedures
Inflammatory Bowel Disease - Major Procedures
Inflammatory Bowel Disease - Endoscopic or Intermediate Procedures >69 or w
Inflammatory Bowel Disease - Endoscopic or Intermediate Procedures <70 w/o cc
Gastrointestinal Bleed - Very Major Procedures
Gastrointestinal Bleed - Major or Therapeutic Endoscopic Procedures
Gastrointestinal Bleed - Diagnostic Endoscopic or Intermediate Procedures
Abdominal Hernia Procedures >69 or w cc
Abdominal Hernia Procedures <70 w/o cc
42
F73
F74
F75
F81
F82
F91
F92
F93
F94
F95
G01
G02
G03
G04
G05
G11
G12
G13
G14
G15
G16
G17
G21
G22
G26
G27
H01
H03
H04
H07
H08
H09
H10
H11
H12
H13
H14
H15
H16
H17
H18
H19
H20
H21
H22
H29
H47
H51
H52
H70
H71
Inguinal Umbilical or Femoral Hernia Repairs >69 or w cc
Inguinal Umbilical or Femoral Hernia Repairs <70 w/o cc
Herniotomy Procedures
Appendicectomy Procedures >69 or w cc
Appendicectomy Procedures <70 w/o cc
Anus - Major Procedures
Anus - Intermediate Procedures >69 or w cc
Anus - Intermediate Procedures <70 w/o cc
Anus - Minor Procedures >69 or w cc
Anus - Minor Procedures <70 w/o cc
Liver Transplant
Liver - Complex Procedures
Liver - Very Major Procedures
Liver - Major Procedures >69 or w cc
Liver - Major Procedures <70 w/o cc
Biliary Tract - Complex Procedures
Biliary Tract - Very Major Procedures
Cholecystectomy >69 or w cc
Cholecystectomy <70 w/o cc
Therapeutic Pancreatic or Biliary Procedures
Diagnostic Pancreatic or Biliary Procedures w cc
Diagnostic Pancreatic or Biliary Procedures w/o cc
Pancreas - Complex Procedures
Pancreas - Very Major Procedures
Therapeutic Pancreatic or Billary Procedures with Neoplasms
Procedures on the Spleen
Bilateral Primary Hip Replacement
Bilateral Primary Knee Replacement
Primary Knee Replacement
Primary or Revisional Shoulder, Elbow, or Ankle Replacements
Joint Replacements or Revisions, Site Unspecified
Anterior Cruciate Ligament Reconstruction
Arthroscopies
Foot Procedures - Category 1
Foot Procedures - Category 2
Hand Procedures - Category 1
Hand Procedures - Category 2
Hand Procedures - Category 3
Soft Tissue or Other Bone Procedures - Category 1 >69 or w cc
Soft Tissue or Other Bone Procedures - Category 1 <70 w/o cc
Soft Tissue or Other Bone Procedures - Category 2 >69 or w cc
Soft Tissue or Other Bone Procedures - Category 2 <70 w/o cc
Muscle, Tendon or Ligament Procedures - Category 1
Muscle, Tendon or Ligament Procedures - Category 2
Minor Procedures to the Musculoskeletal System
Congenital Hip Dislocation with Open Procedures
Traumatic Amputations
Removal of Fixation Device >69 or w cc
Removal of Fixation Device <70 w/o cc
Resurfacing of Hip
Revisional Procedures to Hips
43
H72
H80
H81
H82
H83
H84
H85
H86
H87
J01
J04
J05
J06
J07
J11
J12
J13
J14
J15
J16
J17
J18
J20
J21
J22
J23
J24
J25
J29
J30
J31
J32
J33
J34
J35
J36
J37
J46
J47
J48
J49
J50
K01
K02
K03
L01
L02
L03
L04
L05
L06
Revisional Procedures to Knees
Primary Hip Replacement Cemented
Primary Hip Replacement Uncemented
Extracapsular Neck of Femur Fracture with Fixation w cc
Extracapsular Neck of Femur Fracture with Fixation w/o cc
Intracapsular Neck of Femur Fracture with Fixation w cc
Intracapsular Neck of Femur Fracture with Fixation w/o cc
Neck of Femur Fracture with Hip Replacement w cc
Neck of Femur Fracture with Hip Replacement w/o cc
Complex Breast Reconstruction using Flaps
Intermediate Breast Surgery w cc
Intermediate Breast Surgery w/o cc
Minor Breast Surgery w cc
Minor Breast Surgery w/o cc
Lymph Dissection Procedures
Drainage of Ascites
Major Burn >29% TBSA without Significant Graft Procedure >49
Major Burn >29% TBSA without Significant Graft Procedure >18 <50
Major Burn >29% TBSA without Significant Graft Procedure <19
Major Burn >29% TBSA with Significant Graft Procedure >49
Major Burn >29% TBSA with Significant Graft Procedure >18 <50
Major Burn >29% TBSA with Significant Graft Procedure <19
Other Burn with 1 Significant Graft Procedure >49
Other Burn with 1 Significant Graft Procedure >18 <50
Other Burn with 1 Significant Graft Procedure <19
Other Burn with Multiple Significant Graft Procedures >49
Other Burn with Multiple Significant Graft Procedures >18 <50
Other Burn with Multiple Significant Graft Procedures <19
Major Reconstructive Surgery
Major Skin Procedures >49 or w cc
Major Skin Procedures <50 w/o cc
Intermediate Skin Procedures
Minor Skin Procedures - Category 3
Minor Skin Procedures - Category 2 w cc
Minor Skin Procedures - Category 2 w/o cc
Minor Skin Procedures - Category 1 w cc
Minor Skin Procedures - Category 1 w/o cc
Total Mastectomy w cc
Total Mastectomy w/o cc
Partial/Subtotal Mastectomy w cc
Partial/Subtotal Mastectomy w/o cc
Other Major Breast Surgery
Thyroid Procedures
Parathyroid Procedures
Adrenal Procedures
Kidney Transplant
Kidney Major Open Procedure >49 or w cc
Kidney Major Open Procedure <50 w/o cc
Kidney Major Endoscopic Procedure
Kidney Intermediate Endoscopic Procedure >69 or w cc
Kidney Intermediate Endoscopic Procedure <70 w/o cc
44
L11
L12
L13
L14
L15
L16
L17
L18
L19
L20
L21
L25
L26
L27
L28
L29
L30
L33
L34
L35
L37
L38
L39
L41
L42
L43
L45
L66
L68
M01
M02
M03
M04
M05
M06
M07
M08
M10
N10
N11
Q01
Q02
Q03
Q04
Q05
Q06
Q09
Q10
Q11
Q12
Q15
Ureter Open Procedure
Ureter Major Endoscopic Procedure
Ureter Intermediate Endoscopic Procedure
Bladder Major Open Procedures or Reconstruction
Urinary Diversion without Cystectomy
Bladder Intermediate Open Procedure
Bladder Major Endoscopic Procedure
Bladder Intermediate Endoscopic Procedure w cc
Bladder Intermediate Endoscopic Procedure w/o cc
Bladder Minor Endoscopic Procedure w cc
Bladder Minor Endoscopic Procedure w/o cc
Bladder Neck Open Procedures Male
Bladder Neck Open Procedures Female
Prostate Transurethral Resection Procedure >69 or w cc
Prostate Transurethral Resection Procedure <70 w/o cc
Prostate or Bladder Neck Intermediate Endoscopic Procedure (Male and Female)
Prostate or Bladder Neck Minor Endoscopic Procedure (Male and Female)
Urethra Major Open Procedures
Urethra Intermediate or Minor Procedures >69 or w cc
Urethra Intermediate or Minor Procedures <70 w/o cc
Penis Major or Intermediate Open Procedures
Penis Minor Open Procedure > 69 or w cc
Penis Minor Open Procedure <70 w/o cc
Vasectomy Procedures
Scrotum Testis or Vas Deferens Open Procedures >69 or w cc
Scrotum Testis or Vas Deferens Open Procedures <70 w/o cc
Extracorporeal Lithotripsy
Urethra Major Open Procedure - paediatric
Cystectomy with Urinary Diversion and Reconstruction
Lower Genital Tract Minor Procedures
Lower Genital Tract Intermediate Procedures
Lower Genital Tract Major Procedures
Lower Genital Tract Complex Major Procedures
Upper Genital Tract Minor Procedures
Upper Genital Tract Intermediate Procedures
Upper Genital Tract Major Procedures
Upper Genital Tract Complex Major Procedures
Surgical Termination of Pregnancy
Caesarean Section w cc
Caesarean Section w/o cc
Emergency Aortic Surgery
Elective Abdominal Vascular Surgery
Lower Limb Arterial Surgery
Bypasses to Tibial Arteries
Extracranial or Upper Limb Arterial Surgery
Miscellaneous Vascular Procedures
Procedures on the Lymphatic System w cc
Procedures on the Lymphatic System w/o cc
Varicose Vein Procedures
Therapeutic Endovascular Procedures
Amputations
45
Q16 Foot Procedures for Diabetes or Arterial Disease, and Procedures to Amputation
Stumps
R01 Minor Spinal Procedures
R02 Surgery for Prolapsed Intervertebral Disc
R03 Decompression and Effusion for Degenerative Spinal Disorders
R04 Vertebral Column Injury with Fusion or Decompression
R07 Spinal Cord Injury with Fusion or Decompression
R09 Revisional Spinal Procedures
R10 Surgery for Scoliosis or Other Spinal Deformity
R11 Spinal Cord Surgery
R19 Intermediate Spinal Procedures
46
Appendix E Medical diagnosis codes
A09
A10
A11
A12
A13
A14
A15
A16
A17
A18
A19
A20
A21
A22
A23
A24
A25
A26
A27
A28
A29
A30
A31
A32
A33
A34
A37
A38
A98
A99
B32
B33
C06
C07
C16
C17
C26
C27
C36
C37
C98
C99
D10
D11
D12
D13
D14
Peripheral Nerve Disorder w cc
Peripheral Nerve Disorder w/o cc
Muscular Disorders
Disorder of Balance aetiology unknown w cc
Disorder of Balance aetiology unknown w/o cc
Brain Tumours or Cerebral Cysts >69 or w cc
Brain Tumours or Cerebral Cysts <70 w/o cc
Cerebral Degenerations >69 or w cc
Cerebral Degenerations <70 w/o cc
Multiple Sclerosis or other CNS Demyelinating Conditions
Haemorrhagic Cerebrovascular Disorders
Transient Ischaemic Attack >69 or w cc
Transient Ischaemic Attack <70 w/o cc
Non-Transient Stroke or Cerebrovascular Accident >69 or w cc
Non-Transient Stroke or Cerebrovascular Accident <70 w/o cc
Cranial Nerve Disorders
Nervous System Infections
Encephalopathy
Headache or Migraine >69 or w cc
Headache or Migraine <70 w/o cc
Epilepsy >69 or w cc
Epilepsy <70 w/o cc
Head Injury with Brain Injury
Head Injury without Significant Brain Injury w cc
Head Injury without Significant Brain Injury w/o cc
Miscellaneous Disorders of Nervous System
Motor Neuron Disease
Alzheimers Disease
Chemotherapy with a Nervous System Primary Diagnosis
Complex Elderly with a Nervous System Primary Diagnosis
Non Surgical Ophthalmology with los <2 days
Non Surgical Ophthalmology with los >1 day
Minor Medical Head, Neck or Ear Diagnoses >69 or w cc
Minor Medical Head, Neck or Ear Diagnoses <70 w/o cc
Intermediate Medical Head, Neck or Ear Diagnoses w cc
Intermediate Medical Head, Neck or Ear Diagnoses w/o cc
Major Medical, Head, Neck or Ear Diagnoses w cc
Major Medical, Head, Neck or Ear Diagnoses w/o cc
Complex Major Head, Neck or Ear Diagnoses >69 or w cc
Complex Major Head, Neck or Ear Diagnoses <70 w/o cc
Chemotherapy with a Mouth, Head, Neck or Ear Primary Diagnosis
Complex Elderly with a Mouth, Head, Neck or Ear Primary Diagnosis
Pulmonary Embolis w cc
Pulmonary Embolis w/o cc
Lung Abscess-Empyema
Lobar, Atypical or Viral Pneumonia w cc
Lobar, Atypical or Viral Pneumonia w/o cc
47
D16
D17
D18
D21
D22
D23
D24
D25
D31
D33
D34
D37
D39
D40
D41
D42
D43
D44
D45
D46
D47
D48
D49
D50
D51
D52
D53
D98
D99
E11
E12
E17
E18
E19
E20
E21
E22
E23
E24
E25
E28
E29
E30
E31
E32
E35
E36
E37
E42
E43
E99
Bronchiectasis
Cystic Fibrosis
Pulmonary, Pleural or Other Tuberculosis
Asthma w cc
Asthma w/o cc
Pleural Effusion w cc
Pleural Effusion w/o cc
Respiratory Neoplasms
Sleep Disordered Breathing
Other Respiratory Diagnoses >69 or w cc
Other Respiratory Diagnoses <70 w/o cc
Pulmonary Oedema
Chronic Obstructive Pulmonary Disease or Bronchitis w cc
Chronic Obstructive Pulmonary Disease or Bronchitis w/o cc
Unspecified Acute Lower Respiratory Infection
Bronchopneumonia w cc
Bronchopneumonia w/o cc
Inhalation Lung Injury or Foreign Body w cc
Inhalation Lung Injury or Foreign Body w/o cc
Fibrosis or Pneumoconiosis w cc
Fibrosis or Pneumoconiosis w/o cc
Pneumothorax w cc
Pneumothorax w/o cc
Respiratory Failure w cc
Respiratory Failure w/o cc
Plurisy
Granulomatous, Allergic Alveolitis or Autoamune Lung Disease
Chemotherapy with a Respiratory System Primary Diagnosis
Complex Elderly with a Respiratory System Primary Diagnosis
Acute Myocardial Infarction w cc
Acute Myocardial Infarction w/o cc
Endocarditis
Heart Failure or Shock >69 or w cc
Heart Failure or Shock <70 w/o cc
Deep Vein Thrombosis >69 or w cc
Deep Vein Thrombosis <70 w/o cc
Ischaemic Heart Disease without intervention >69 or w cc
Ischaemic Heart Disease without intervention <70 w/o cc
Hypertension >69 or w cc
Hypertension <70 w/o cc
Cardiac Arrest
Arrhythmia or Conduction Disorders >69 or w cc
Arrhythmia or Conduction Disorders <70 w/o cc
Syncope or Collapse >69 or w cc
Syncope or Collapse <70 w/o cc
Chest Pain >69 or w cc
Chest Pain <70 w/o cc
Other Cardiac Diagnoses
Valve Disorders
Congenital Disorders
Complex Elderly with a Cardiac Primary Diagnosis
48
F07
F08
F17
F18
F24
F36
F37
F46
F47
F48
F49
F55
F56
F64
F65
F76
F77
F83
F96
F98
F99
G06
G07
G08
G18
G19
G20
G23
G24
G25
G98
G99
H23
H24
H25
H26
H27
H28
H30
H31
H32
H35
H36
H37
H38
H39
H40
H41
H42
H43
H44
Disorders of the Oesophagus >69 or w cc
Disorders of the Oesophagus <70 w/o cc
Stomach or Duodenum Disorders >69 or w cc
Stomach or Duodenum Disorders <70 w/o cc
Small Intestinal Disorders (excluding IBD)
Large Intestinal Disorders >69 or w cc
Large Intestinal Disorders <70 w/o cc
General Abdominal Disorders >69 or w cc
General Abdominal Disorders <70 w/o cc
Intestinal Infectious Disorders >69 or w cc
Intestinal Infectious Disorders <70 w/o cc
Inflammatory Bowel Disease >69 or w cc
Inflammatory Bowel Disease <70 w/o cc
Gastrointestinal Bleed >69 or w cc
Gastrointestinal Bleed <70 w/o cc
Hernia Disorders >69 or w cc
Hernia Disorders <70 w/o cc
Appendix Disorders
Anal Disorders
Chemotherapy with a Digestive System Primary Diagnosis
Complex Elderly with Digestive System Primary Diagnosis
Acute Liver Disorders
Chronic Liver Disorders >69 or w cc
Chronic Liver Disorders <70 w/o cc
Biliary Tract Disorders >69 or w cc
Biliary Tract Disorders <70 w/o cc
Biliary Tract Neoplasms
Pancreatic Disorders
Chronic Pancreatic Disease >69
Chronic Pancreatic Disease <70
Chemotherapy with a Hepato-Biliary or Pancreatic System Primary Diagnosis
Complex Elderly with a Hepato-Biliary or Pancreatic System Primary Diagnosis
Soft Tissue Disorders >69 or w cc
Soft Tissue Disorders <70 w/o cc
Inflammatory Spine, Joint or Connective Tissue Disorders >69 or w cc
Inflammatory Spine, Joint or Connective Tissue Disorders <70 w/o cc
Non-Inflammatory Bone or Joint Disorders >69 or w cc
Non-Inflammatory Bone or Joint Disorders <70 w/o cc
Infections of Bones or Joints
Musculoskeletal Signs and Symptoms >69 or w cc
Musculoskeletal Signs and Symptoms <70 w/o cc
Open Lower Limb Fractures or Dislocations
Closed Pelvis or Lower Limb Fractures >69 or w cc
Closed Pelvis or Lower Limb Fractures <70 w/o cc
Open Upper Limb Fractures or Dislocations
Closed Upper Limb Fractures or Dislocations >69 or w cc
Closed Upper Limb Fractures or Dislocations <70 w/o cc
Sprains, Strains, or Minor Open Wounds >69 or w cc
Sprains, Strains, or Minor Open Wounds <70 w/o cc
Major Cranial, Visceral or Blood Vessel Injury >69 or w cc
Major Cranial, Visceral or Blood Vessel Injury <70 w/o cc
49
H45
H48
H49
H50
H53
H54
H63
H64
H88
H89
H98
H99
J08
J09
J10
J19
J26
J27
J28
J38
J39
J40
J41
J42
J43
J44
J45
J98
J99
K04
K07
K08
K09
K10
K11
K12
K13
K14
K15
K16
K17
K18
K19
K20
K21
K22
K23
K98
K99
L07
L08
Minor Fractures or Dislocations
Other Wounds or Injuries
Multiple Injury >69
Multiple Injury <70
Pathological Fractures or Malignancy of Bone and Connective Tissue >69 or w cc
Pathological Fractures or Malignancy of Bone and Connective Tissue <70 w/o cc
Head Injury >69 or w cc
Head Injury <70 w/o cc
Other Neck of Femur Fracture w cc
Other Neck of Femur Fracture w/o cc
Chemotherapy with a Musculoskeletal System Primary Diagnosis
Complex Elderly with a Musculoskeletal System Primary Diagnosis
Non-Malignant Breast Disorders
Malignant Breast Disorders >69 or w cc
Malignant Breast Disorders <70 w/o cc
Other Burn with Inhalation Injury
Other Burn without Significant Graft Procedure >49
Other Burn without Significant Graft Procedure >18 <50
Other Burn without Significant Graft Procedure <19
Skin Ulcers
Major Dermatological Conditions >69 or w cc
Major Dermatological Conditions <70 w/o cc
Major Skin Infections >69 or w cc
Major Skin Infections <70 w/o cc
Major Skin Tumours
Minor Dermatological Conditions or Benign Tumours
Minor Skin Infections
Chemotherapy with a Skin, Breast or Burn Primary Diagnosis
Complex Elderly with a Skin, Breast or Burn Primary Diagnosis
Anterior Pituitary Disorders
Fluid or Electrolyte Disorders >69 or w cc
Fluid or Electrolyte Disorders <70 w/o cc
Disorders of Nutrition
Inborn Errors of Metabolism
Diabetes with Hypoglycaemic Emergency >69 or w cc
Diabetes with Hypoglycaemic Emergency <70 w/o cc
Diabetes with Hyperglycaemic Emergency >69 or w cc
Diabetes with Hyperglycaemic Emergency <70 w/o cc
Diabetes and Other Hyperglycaemic Disorder >69 or w cc
Diabetes and Other Hyperglycaemic Disorder <70 w/o cc
Diabetes with Lower Limb Complications
Non Pituaritary Endocrine Neoplasms >69 or w cc
Non Pituaritary Endocrine Neoplasms <70 w/o cc
Non Surgical Thyroid Disorders >69 or w cc
Non Surgical Thyroid Disorders <70 w/o cc
Other Endocrine Disorders >69 or w cc
Other Endocrine Disorders < 70 w/o cc
Chemotherapy with an Endocrine or Metabolic System Primary Diagnosis
Complex Elderly with an Endocrine or Metabolic System Primary Diagnosis
Non OR Admission for Kidney or Urinary Tract Neoplasms >69 or w cc
Non OR Admission for Kidney or Urinary Tract Neoplasms <70 w/o cc
50
L09 Kidney or Urinary Tract Infections >69 or w cc
L10 Kidney or Urinary Tract Infections <70 w/o cc
L22 Bladder or Urinary Mechanical Problems >69 or w cc
L23 Bladder or Urinary Mechanical Problems <70 w/o cc
L24 Ureteric or Bladder Disorders
L31 Malignant Prostate Disorders
L32 Non-Malignant Prostate Disorders
L36 Urethra Disorders
L40 Penis Disorders
L44 Scrotum Testis or Vas Deferens Disorders
L46 Renal Replacement Associated Procedures
L47 Renal Replacement Therapy w cc
L48 Renal Replacement Therapy w/o cc
L49 Acute Renal Failure >69 or w cc
L50 Acute Renal Failure <70 w/o cc
L51 Chronic Renal Failure
L52 Renal General Disorders >69 or w cc
L53 Renal General Disorders <70 w/o cc
L54 Urinary Tract Findings >69 or w cc
L55 Urinary Tract Findings <70 w/o cc
L69 Urinary Tract Stone Disease
L98 Chemotherapy with a Urinary Tract or Male Reproductive System Primary
Diagnosis
L99 Complex Elderly with a Urinary Tract or Male Reproductive System Primary
Diagnosis
M12 Non-Surgical Treatment of Lower Genital Tract Disorders
M13 Non-Surgical Treatment of Genital Prolapse or Incontinence
M14 Non-Surgical Treatment of Fibroids, Menstrual Disorders, or Endometriosis
M15 Non-Surgical Treatment of Ovary, Tube, or Pelvis Disorders
M16 Non-Surgical Treatment of Gynaecological Malignancy w cc
M17 Non-Surgical Treatment of Gynaecological Malignancy w/o cc
M18 Non-Surgical Treatment of Other Gynaecological Conditions
M19 Gynaecological Radiotherapy
M98 Chemotherapy with a Female Reproductive System Primary Diagnosis
M99 Complex Elderly with a Female Reproductive System Primary Diagnosis
P01 Asthma or Wheezing
P02 Cystic Fibrosis
P03 Upper Respiratory Tract Disorders
P04 Lower Respiratory Tract Disorders without Acute Bronchiolitis
P05 Major Infections (including Immune Disorders)
P06 Minor Infections (including Immune Disorders)
P07 Neoplasms
P08 Febrile Convulsions
P09 Nervous System Disorders
P11 Endocrine Disorders (excluding Diabetes Mellitus)
P12 Major Gastrointestinal or Metabolic Disorders
P13 Other Gastrointestinal or Metabolic Disorders
P14 Ingestion Poisoning or Allergies
P15 Accidental Injury without Brain Injury
P16 Child Welfare and Protection
P17 Behavioural Disorders
51
P18
P19
P20
P21
P22
P23
P24
P25
P26
P27
P28
P29
P30
P31
P98
Q13
Q14
Q17
Q18
Q19
Q98
Q99
R05
R06
R08
R12
R13
R14
R15
R16
R17
R18
R98
R99
S04
S05
S06
S07
S08
S09
S10
S11
S12
S13
S14
S15
S16
S19
S21
S22
S24
Developmental Disorders
Major Congenital Conditions
Other Congenital Conditions
Renal Disease
Renal Disease with Renal Failure
Blood Cell Disorders
Skin, Musculoskeletal, or Connective Tissue Disorders
Cardiac Conditions
Infectious and Non-Infectious Gastroenteritis
Acute Bronchiolitis
Epilepsy Syndrome
Diabetes Mellitus
Head Injury with Brain Injury
Head Injury without Brain Injury
Chemotherapy with a Disease of Childhood Primary Diagnosis
Diagnostic Radiology - Arteries or Lymphatics w cc
Diagnostic Radiology - Arteries or Lymphatics w/o cc
Non-Surgical Peripheral Vascular Disease w cc
Non-Surgical Peripheral Vascular Disease w/o cc
Vascular Access for Renal Replacement Therapy
Chemotherapy with a Vascular System Primary Diagnosis
Complex Elderly with a Vascular System Primary Diagnosis
Vertebral Column Injury without Procedure >69 or w cc
Vertebral Column Injury without Procedure <70 w/o cc
Spinal Cord Injury without Procedure
Cervical Spinal Disorders >69 or w cc
Cervical Spinal Disorders <70 w/o cc
Spinal Tumours
Thoracic or Lumbar Spinal Disorders >69 or w cc
Thoracic or Lumbar Spinal Disorders <70 w/o cc
Non-Traumatic Spinal Cord Disorders
Scoliosis or Other Spinal Deformity
Chemotherapy with a Spinal Primary Diagnosis
Complex Elderly with a Spinal Primary Diagnosis
Coagulation Disorders
Red Blood Cell Disorders >69 or w cc
Red Blood Cell Disorders <70 w/o cc
Other Haematological or Splenic Disorders w cc
Other Haematological or Splenic Disorders w/o cc
Bone Marrow Graft
Manifestations of HIV/AIDS
Disorders of Immunity without HIV/AIDS
Septicaemia
Pyrexia of Unknown Origin
Other Viral Illness
Other Non-Viral Infections
Poisoning, Toxic, Environmental and Unspecified Effects
Complications of Procedures
Convalescent or Other Relief Care
Planned Procedures Not Carried Out
Respite Care
52
S26 Shock and Anaphylaxis
S27 Malignant Disorder of the Lymphatic/ Haematological Systems with los <2 days
S28 Malignant Disorder of the Lymphatic/ Haematological Systems with los >1 day
S29 Other Admissions Related to Neoplasms
S30 Other Congenital Conditions Persisting in Adulthood
S31 Admission for Unexplained Symptons
S32 Abnormal Findings without Diagnosis
S33 Examination, Follow up and Special Screening
S34 Other Procedures and Health Care Problems
S35 Other Specified Admissions and Counselling
S36 Diagnostic Extraction of Bone Marrow
S98 Chemotherapy with a Haematology, Infectious Disease, Poisoning, or Nonspecific Primary Diagnosis
S99 Complex Elderly with a Haematology, Infectious Disease, Poisoning, or Nonspecific Primary Diagnosis
T01 Senile Dementia
T02 Schizophreniform Psychoses with Section
T03 Schizophreniform Psychoses without Section
T04 Mania with Section
T05 Mania without Section
T06 Depression with Section
T07 Depression without Section
T08 Presenile Dementia
T09 Anxiety Syndromes
T10 Alcohol or Drugs Non-Dependent Use >18
T11 Alcohol or Drugs Non-Dependent Use <19
T12 Alcohol or Drugs Dependency
T13 Eating Disorders or Obsessive Compulsive Disorders
T14 Acute Reactions or Personality Disorders
T15 Childhood Non-Psychotic Disorders
T16 Mental Retardation
T17 Specific Learning Disabilities
53
Appendix F Exclusions for operating theatre procedure codes
Used in PSIs 1, 3, 8-13
This table represents a list of OPCS 4.3 procedure codes that are not performed in an
operating theatre. This is now (Jan 12th 2007) the HCC list with our OPCS4.3 additions,
with further amendment (Jan 17th 2007) when they gave us an updated list.
A52
A55
D07
E423
H441
H443
M47
Q12
Q55
R15
R24
S13
S14
S15
S50
S51
S52
S53
S543
S544
S545
S553
S554
S555
S563
S564
S565
S573
S574
S575
T12
T46
V49
W911
W923
X29
X30
X31
X32
X33
X34
Therapeutic epidural injection
Diagnostic spinal puncture
Clearance of external auditory canal
Temporary tracheostomy
Manual removal of foreign body from rectum
Manual evacuation of impacted faeces from rectum
Urethral catheterisation of bladder
Intrauterine contraceptive device
Other examination of female genital tract
Other induction of labour
Normal delivery
Punch biopsy of skin
Shave biopsy of skin
Other biopsy of skin
Introduction of other inert substance into subcutaneous tissue
Introduction of destructive substance into subcutaneous tissue
Introduction of therapeutic substance into subcutaneous tissue
Introduction of substance into skin
Toilet to burnt skin of head or neck NEC
Dressing of burnt skin of head or neck
Attention to dressing of burnt skin of head or neck
Toilet to burnt skin NEC
Dressing of burnt skin NEC
Attention to dressing of burnt skin NEC
Toilet to skin of head or neck NEC
Dressing of skin of head or neck NEC
Attention to dressing of skin of head or neck NEC
Toilet of skin NEC
Dressing of skin NEC
Attention to dressing of skin NEC
Puncture of pleura
Other drainage of peritoneal cavity
Exploration of spine
Manipulation of joint using traction NEC
Examination of joint under image intensifier
Continuous Infusion of therapeutic substance
Injection of therapeutic substance
Injection of radiocontrast material
Exchange blood transfusion
Other blood transfusion
Other intravenous transfusion
54
X35
X36
X37
X38
X39
X40
X48
X49
X50
X51
X558
X559
A705
C871
C873
C874
C875
C878
C879
E851
E852
E853
E858
E859
E871
E872
E873
E878
E879
E891
E892
E893
E894
E898
E899
E911
E912
E913
E918
E919
E921
E922
E923
E924
E925
E926
E928
E929
E931
E932
E933
Other intravenous injection
Blood withdrawal
Intramuscular injection
Subcutaneous injection
Other route of administration of therapeutic substance
Compensation for renal failure
Immobilisation using plaster cast
Other external support of limb
External resuscitation
Change of body temperature
Other operations on unspecified organ other specified
Other operations on unspecified organ unspecified
Electroacupuncture
Digital imaging of retina
Tomography evaluation of retina
Ultrasonic evaluation of retina
Scanning laser ophthalmoscopy evaluation of retina
Other specified
Unspecified
Invasive ventilation
Non-invasive ventilation
Improving efficiency of ventilation
Other specified
Unspecified
Home oxygen support
Long term oxygen assessment
Ambulatory oxygen assessment
Other specified
Unspecified
Secretion clearance
Induced sputum
Nebuliser therapy
Control of respiration
Other specified
Unspecified
Oximetry assessment
Continuous pulse oximetry
Overnight oximetry
Other specified
Unspecified
Carbon monoxide transfer factor test
Distribution of ventilation test
Measurement of alveolar carbon monoxide
Blood gas analysis
Complex lung function exercise testing
Simple lung function exercise testing
Other specified
Unspecified
Measurement of peak expiratory flow rate
Spirometry
Body plethysmographic measurement of airways resistance
55
E934
E935
E936
E938
E939
E941
E942
E943
E944
E948
E949
E951
E952
E953
E954
E958
E959
E971
E972
E973
E978
E979
F631
F632
F633
F634
F635
F638
F639
G483
G484
M171
N351
N352
N353
N358
N359
R361
R362
R363
R368
R369
R371
R372
R373
R374
R375
R376
R378
R379
R381
Measurement of airways resistance using forced oscillation technique
Measurement of static lung volume
Measurement of respiratory muscle strength
Other specified
Unspecified
Bronchodilator response to inhaled therapy using simple measures of airflow
Bronchodilator response to inhaled therapy using complex measures of airflow
Bronchial reactivity
Bronchial challenge
Other specified
Unspecified
Heaf Testing
BCG administration
Directly observed therapy
Contact tracing
Other specified
Unspecified
Education for inhaled therapy education
Education for peak flow technique
Education for self-management of respiratory health
Other specified
Unspecified
Creating of impression for denture or obturator
Fitting of denture or obturator
Adjustment of denture or obturator
Repair of denture or obturator
Splinting of teeth
Other specified
Unspecified
Induction of emesis
Administration of activated charcoal
Live kidney donor screening
Dermatological non-operative interventions involving the scrotum
Dermatological non-operative interventions involving the penis
Dermatological non-operative interventions involving the male perineum
Other specified
Unspecified
Dating scan
Viability scan
Mid trimester scan
Other specified
Unspecified
Biophysical profile
Detailed structural scan
Fetal biometry
Nuchal translucency scan
Fetal ascites scan
Rhesus detailed scan
Other specified
Unspecified
Placental localisation scan
56
R382
R388
R389
R401
R402
R408
R409
R421
R422
R423
R428
R429
R431
R432
R438
R439
T912
U011
U012
U018
U019
U041
U042
U043
U044
U048
U049
U051
U052
U053
U054
U055
U058
U059
U061
U062
U063
U064
U065
U068
U069
U071
U072
U073
U078
U079
U081
U082
U083
U084
U088
Liquor volume scan
Other specified
Unspecified
Maternal cervical assessment (TV)
Cervical length scanning at 24 weeks
Other specified
Unspecified
Umbilical artery Doppler
Uterine artery Doppler
Middle cerebral artery Doppler
Other specified
Unspecified
Ultrasound monitoring of luteal phase
Ultrasound monitoring of early pregnancy
Other specified
Unspecified CHAPTERS
Scanning of sentinel lymph node
Computed tomography of whole body
Magnetic resonance imaging of whole body
Other specified
Unspecified
Bitewing radiology
Periapical radiology
Occlusal radiology
Lateral oblique jaw radiology
Other specified
Unspecified
Computed tomography of head
Magnetic resonance imaging of head
Functional magnetic resonance imaging of head
Computed tomography of spine
Magnetic resonance imaging of spine
Other specified
Unspecified
Computed tomography of sinuses
Dacroscintigram
Ultrasound of thyroid gland
X-ray of skull
Scanning of thyroid gland nec
Other specified
Unspecified
Computed tomography of chest
Magnetic resonance imaging of chest
Plain x-ray of chest
Other specified
Unspecified
Computed tomography of abdomen
Ultrasound of abdomen
Plain x-ray of abdomen
Upper gastrointestinal series
Other specified
57
U089
U091
U092
U098
U099
U101
U102
U103
U104
U105
U106
U107
U108
U109
U111
U112
U113
U114
U115
U116
U117
U118
U119
U121
U122
U123
U124
U125
U126
U127
U128
U129
U131
U132
U133
U134
U135
U136
U138
U139
U141
U142
U143
U144
U148
U149
U151
U152
U158
U159
U161
Unspecified
Computed tomography of pelvis
Ultrasound of pelvis
Other specified
Unspecified
Cardiac computed tomography for calcium scoring
Cardiac computed tomography angiography
Cardiac magnetic resonance imaging
Myocardial positron emission tomography
Radionuclide angiocardiography
Myocardial perfusion scan
Cardiac multiple gated acquisition scan
Other specified
Unspecified
Ultrasound of carotid artery
Doppler ultrasound of vessels of extremities
Vascular ultrasound nec
Computed Tomography scan of cerebral vessels
Thallium stress test
D-Dimer assay
Magnetic resonance angiography
Other specified
Unspecified
Voiding cystourethrogram
Ultrasound of scrotum
Ultrasound of kidneys
Ultrasound of bladder
Static renogram
MAG3 renogram
Nuclear cystography
Other specified
Unspecified
Bone densitometry
Ultrasound of joint
Magnetic resonance imaging of joint
Plain x-ray of joint
X-ray of bone
Computed tomography of bone
Other specified
Unspecified
Bone scan of whole body
Bone scan – special views
Bone scan – three phase
Bone scan – two phase
Other specified
Unspecified
Lung perfusion scanning
Lung ventilation scanning
Other specified
Unspecified
Hepatobiliary scan
58
U168
U169
U171
U172
U173
U174
U178
U179
U181
U188
U189
U192
U193
U194
U195
U196
U198
U199
U201
U202
U203
U204
U205
U206
U208
U209
U211
U212
U213
U214
U215
U216
U217
U218
U219
U221
U222
U223
U224
U225
U226
U227
U228
U229
U231
U232
U233
U234
U238
U239
U241
Other specified
Unspecified
Meckels scan
SeHCAT study
Barium swallow
Barium enema
Other specified
Unspecified
Scintimammography
Other specified
Unspecified
24 hour ambulatory electrocardiography
48 hour ambulatory electrocardiography
Exercise electrocardiography
Holter extended electrocardiographic recording
Cardiomemo electrocardiographic monitoring
Other specified
Unspecified
Transthoracic echocardiography
Transoesophageal echocardiography
Intravascular echocardiography
Epicardial echocardiography
Stress echocardiography
Fetal echocardiography
Other specified
Unspecified
Magnetic resonance imaging nec
Computerised tomography nec
Positron emission tomography nec
Single photon emission computed tomography nec
Contrast fluoroscopy nec
Ultrasound scan nec
Plain X-ray nec
Other specified
Unspecified
Electroencephalograph telemetry
Functional inactivation of single brain hemisphere test
Neuropsychology test of intelligence
Neuropsychology test of language
Neuropsychology test of memory
Neuropsychology test of perception
Neuropsychology test of executive function
Other specified
Unspecified
Red cell mass studies
White cell scan using indium 111
White cell scan using technetium 99
Ferrokinetic studies
Other specified
Unspecified
Pure tone audiometry
59
U242
U243
U248
U249
U251
U252
U253
U254
U258
U259
U261
U262
U263
U264
U265
U268
U269
U271
U272
U273
U274
U275
U276
U277
U278
U279
U281
U282
U283
U284
U285
U286
U287
U288
U289
U291
U292
U293
U294
U295
U296
U298
U299
U301
U308
U309
U311
U318
U319
U321
U328
Balance assessment
Hearing assessment
Other specified
Unspecified
C14 urea helicobacter pylori breath test
C14 glycocholic acid breath test
Hydrogen breath test
Urea breath test
Other specified
Unspecified
Glomerular filtration rate testing
Uroflowmetry nec
Test strip urinalysis
Urodynamics nec
Schilling test
Other specified
Unspecified
Standard series patch testing of skin
Extended series patch testing of skin
Closed routine patch testing of skin
Closed special patch testing of skin
Open patch testing of skin
Patch testing of skin with patient’s own products
Photopatch testing of skin
Other specified
Unspecified
Phototesting of skin using monochromator
Phototesting of skin using solar simulator
Provocation phototesting
Passive transfer test for solar urticaria
Reverse passive transfer test for solar urticaria
Autologous SST serum skin test for urticaria
Physical challenge tests for urticaria
Other specified
Unspecified
Insulin stress test of anterior pituitary function
Insulin secretion glucagon test
Glucose tolerance test
Water deprivation test
Adrenal suppression test
Arginine Vasopressin response to hypertonic saline test
Other specified
Unspecified
Tilt table testing
Other specified
Unspecified
Distant pacemaker test
Other specified
Unspecified
Human Immunodeficiency Virus blood test
Other specified
60
U329
U501
U502
U503
U504
U505
U508
U509
U511
U512
U513
U518
U519
U521
U522
U528
U529
U531
U532
U533
U534
U538
U539
U541
U542
U543
U548
U549
X521
X528
X529
X561
X562
X563
X568
X569
X571
X572
X573
X578
X579
X601
X602
X603
X608
X609
X611
X612
X613
X614
X618
Unspecified
Delivery of rehabilitation for amputation of limb
Delivery of rehabilitation for hip fracture
Delivery of rehabilitation for joint replacement
Delivery of rehabilitation for rheumatoid arthritis
Delivery of rehabilitation for osteoarthritis
Other specified
Unspecified
Delivery of rehabilitation for brain injuries
Delivery of rehabilitation for spinal cord injury
Delivery of rehabilitation for pain syndromes
Other specified
Unspecified
Delivery of rehabilitation for drug addiction
Delivery of rehabilitation for alcohol addiction
Other specified
Unspecified
Delivery of rehabilitation following plastic maxillofacial reconstructive surgery
Delivery of rehabilitation following other plastic reconstructive surgery nec
Delivery of rehabilitation for burns
Delivery of rehabilitation for trauma nec
Other specified
Unspecified
Delivery of rehabilitation for acute cardiac disorders
Delivery of rehabilitation for respiratory disorders
Delivery of rehabilitation for stroke
Other specified
Unspecified
Hyperbaric therapy
Other specified
Unspecified
Nasotracheal intubation
Endotracheal intubation
Tracheal intubation using laryngeal mask airway
Other specified
Unspecified
Bag valve mask ventilation
Non-invasive intermittent positive pressure ventilation
Nebuliser ventilation
Other specified
Unspecified
Rehabilitation assessment by multidisciplinary
Rehabilitation assessment by multidisciplinary
Rehabilitation assessment by unidisciplinary team
Other specified
Unspecified
Functional therapy session
Relaxation therapy session
Body massage
Movement therapy nec
Other specified
61
X619 Unspecified
X621 Assessment by uni-professional team
X622 Assessment by multi-professional team
X623 Assessment by multi-disciplinary team
X628 Other specified
X629 Unspecified
X631 Volume definition for radiotherapy with imaging and intensity-modulated radiation
therapy (IMRT) dosimetry
X632 Volume definition for radiotherapy with imaging technical support
X633 Volume definition for multiple phases of complex radiotherapy with dosimetry
X634 Volume definition for simple radiotherapy with imaging and dosimetry
X635 Volume definition for simple radiotherapy with imaging and simple calculation
X636 Volume definition for superficial or deep X-ray radiotherapy with simple
calculation
X638 Other specified
X639 Unspecified
X641 Preparation for total body irradiation
X642 Preparation for intracavitary radiotherapy
X643 Preparation for interstitial radiotherapy
X648 Other specified
X649 Unspecified
X661 Cognitive behavioural therapy by unidisciplinary team
X662 Cognitive behavioural therapy by multidisciplinary team
X668 Other specified
X669 Unspecified
X701 Procurement of drugs for chemotherapy for neoplasm for regimens in Band 1
X702 Procurement of drugs for chemotherapy for neoplasm for regimens in Band 2
X703 Procurement of drugs for chemotherapy for neoplasm for regimens in Band 3
X704 Procurement of drugs for chemotherapy for neoplasm for regimens in Band 4
X705 Procurement of drugs for chemotherapy for neoplasm for regimens in Band 5
X708 Other specified
X709 Unspecified
X711 Procurement of drugs for chemotherapy for neoplasm for regimens in Band 6
X712 "Procurement of drugs for chemotherapy for neoplasm for regimens in Band 7
"
X713 Procurement of drugs for chemotherapy for neoplasm for regimens in Band 8
X714 Procurement of drugs for chemotherapy for neoplasm for regimens in Band 9
X715 Procurement of drugs for chemotherapy for neoplasm for regimens in Band 10
X718 Other specified
X719 Unspecified
X721 Delivery of complex chemotherapy for neoplasm including prolonged infusional
treatment at first attendance
X722 Delivery of complex parenteral chemotherapy for neoplasm at first attendance
X723 Delivery of simple parenteral chemotherapy for neoplasm at first attendance
X724 Delivery of subsequent element of cycle of chemotherapy for neoplasm
X728 Other specified
X729 Unspecified
X731 Delivery of exclusively oral chemotherapy for neoplasm
X738 Other specified
X739 Unspecified
X818 Other specified
62
X819
X821
X822
X823
X824
X828
X829
X831
X832
X833
X838
X839
X841
X848
X849
X851
X852
X858
X859
X861
X862
X863
X864
X868
X869
X871
X872
X873
X878
X879
X888
X889
X891
X892
X893
X894
X898
X899
X901
X902
X903
X904
X908
X909
X911
X912
X913
X914
X918
X919
X921
Unspecified
Primary pulmonary hypertension drugs band 1
Primary pulmonary hypertension drugs band 2
Primary pulmonary hypertension drugs band 3
Primary pulmonary hypertension drugs band 4
Other specified
Unspecified
Blood products band 1
Blood products band 2
Fibrinolytic drugs band 1
Other specified
Unspecified
Medical gases band 1
Other specified
Unspecified
Torsion dystonias and other involuntary movements drugs band 1
Amyotrophic lateral sclerosis drugs band 1
Other specified
Unspecified
Anti fungal drugs band 1
Anti fungal drugs band 2
Hepatitis B treatment drugs band 1
Hepatitis C treatment drugs band 1
Other specified
Unspecified
Growth hormone receptor antagonist drugs band 1
Growth hormone analogue drugs band 1
Bone metabolism drugs band 1
Other specified
Unspecified
Other specified
Unspecified
Monoclonal antibodies band 1
Monoclonal antibodies band 2
Immunomodulating drugs band 1
Somatostatin analogues band 1
Other specified
Unspecified
Hypoplastic haemolytic and renal anaemia drugs band 1
Hypoplastic haemolytic and renal anaemia drugs band 2
Neutropenia drugs band 1
Intravenous nutrition band 1
Other specified
Unspecified
Metabolic disorder drugs band 1
Metabolic disorder drugs band 2
Metabolic disorder drugs band 3
Metabolic disorder drugs band 4
Other specified
Unspecified
Cytokine inhibitor drugs band 1
63
X922
X928
X929
X938
X939
X941
X942
X948
X949
X951
X958
X959
X961
X968
X969
X978
X979
Y941
Y942
Y943
Hyperuricaemia drugs band 1
Other specified
Unspecified
Other specified
Unspecified
Immune response drugs band 1
Immunoglobulins band 1
Other specified
Unspecified
Immune response drugs band 1
Other specified
Unspecified
Immunoglobulins band 1
Other specified
Unspecified
Other specified
Unspecified
DaTSCAN imaging
Octreotide imaging
Meta-Iodo-Benzyl-Guanidine(MIBG) scan
64
Appendix G Infection OCD codes
A000
A001
A009
A010
A011
A012
A013
A014
A020
A021
A022
A028
A029
A030
A031
A032
A033
A038
A039
A040
A041
A042
A043
A044
A045
A046
A047
A048
A049
A050
A051
A052
A053
A058
A059
A200
A201
A202
A207
A208
A209
A210
A211
A212
A213
A218
A219
Cholera due to Vibrio cholerae 01, biovar cholerae
Cholera due to Vibrio cholerae 01, biovar eltor
Cholera, unspecified
Typhoid fever
Paratyphoid fever A
Paratyphoid fever B
Paratyphoid fever C
Paratyphoid fever, unspecified
Salmonella enteritis
Salmonella septicaemia
Localized salmonella infections
Other specified salmonella infections
Salmonella infection, unspecified
Shigellosis due to Shigella dysenteriae
Shigellosis due to Shigella flexneri
Shigellosis due to Shigella boydii
Shigellosis due to Shigella sonnei
Other shigellosis
Shigellosis, unspecified
Enteropathogenic Escherichia coli infection
Enterotoxigenic Escherichia coli infection
Enteroinvasive Escherichia coli infection
Enterohaemorrhagic Escherichia coli infection
Other intestinal Escherichia coli infections
Campylobacter enteritis
Enteritis due to Yersinia enterocolitica
Enterocolitis due to Clostridium difficile
Other specified bacterial intestinal infections
Bacterial intestinal infection, unspecified
Foodborne staphylococcal intoxication
Botulism
Foodborne Clostridium perfringens [Cl welchii] intoxication
Foodborne Vibrio parahaemolyticus intoxication
Other specified bacterial foodborne intoxications
Bacterial foodborne intoxication, unspecified
Bubonic plague
Cellulocutaneous plague
Pneumonic plague
Septicaemic plague
Other forms of plague
Plague, unspecified
Ulceroglandular tularaemia
Oculoglandular tularaemia
Pulmonary tularaemia
Gastrointestinal tularaemia
Other forms of tularaemia
Tularaemia, unspecified
65
A220
A221
A222
A227
A228
A229
A230
A231
A232
A233
A238
A239
A240
A244
A250
A251
A259
A269
A280
A288
A289
A329
A33
A35
A360
A361
A362
A363
A368
A369
A370
A371
A378
A379
A38
A390
A391
A394
A395
A398
A399
A403
A409
A412
A413
A414
A415
A418
A419
A420
A421
Cutaneous anthrax
Pulmonary anthrax
Gastrointestinal anthrax
Anthrax septicaemia
Other forms of anthrax
Anthrax, unspecified
Brucellosis due to Brucella melitensis
Brucellosis due to Brucella abortus
Brucellosis due to Brucella suis
Brucellosis due to Brucella canis
Other brucellosis
Brucellosis, unspecified
Glanders
Melioidosis, unspecified
Spirillosis
Streptobacillosis
Rat-bite fever, unspecified
Erysipeloid, unspecified
Pasteurellosis
Other specified zoonotic bacterial diseases NEC
Zoonotic bacterial disease, unspecified
Listeriosis, unspecified
Tetanus neonatorum
Other tetanus
Pharyngeal diphtheria
Nasopharyngeal diphtheria
Laryngeal diphtheria
Cutaneous diphtheria
Other diphtheria
Diphtheria, unspecified
Whooping cough due to Bordetella pertussis
Whooping cough due to Bordetella parapertussis
Whooping cough due to other Bordetella species
Whooping cough, unspecified
Scarlet fever
Meningococcal meningitis
Waterhouse-Friderichsen syndrome
Meningococcaemia, unspecified
Meningococcal heart disease
Other meningococcal infections
Meningococcal infection, unspecified
Septicaemia due to Streptococcus pneumoniae
Streptococcal septicaemia, unspecified
Septicaemia due to unspecified staphylococcus
Septicaemia due to Haemophilus influenzae
Septicaemia due to anaerobes
Septicaemia due to other Gram-negative organisms
Other specified septicaemia
Septicaemia, unspecified
Pulmonary actinomycosis
Abdominal actinomycosis
66
A422
A428
A429
A46
A480
A481
A483
A488
A499
A540
A542
A543
A544
A545
A546
A548
B479
B950
B951
B952
B953
B954
B956
B957
B958
B962
B963
B964
B965
B966
B967
B968
G000
G001
G002
G003
G008
G009
G01
G039
G050
G060
G061
G062
H000
H010
H040
H043
H050
H100
H102
Cervicofacial actinomycosis
Other forms of actinomycosis
Actinomycosis, unspecified
Erysipelas
Gas gangrene
Legionnaires' disease
Toxic shock syndrome
Other specified bacterial diseases
Bacterial infection, unspecified
GC inf low GU tract without periurethral / acces gland abs
Gonococcal pelviperitonitis and other gonococcal GU inf
Gonococcal infection of eye
Gonococcal infection of musculoskeletal system
Gonococcal pharyngitis
Gonococcal infection of anus and rectum
Other gonococcal infections
Mycetoma, unspecified
Strept group A as cause of dis classified to other chapters
Strept group B as cause of dis classified to other chapters
Strept group D as cause of dis classified to other chapters
Strep pneumoniae as cause of dis classif other chapters
Other strep as cause of dis classified to other chapters
Staph aureus as cause of dis classified to other chapters
Other staph as cause of dis classified to other chapters
Unspec staphy as cause of dis classif to other chapters
Escherichia coli as cause of dis classified to other chaps
Haemophilus influenzae as cause of dis class oth chaps
Proteus (mirabilis)(morganii)cause of dis class oth chaps
P.(aerugin)(mallei)(pseudomallei)caus dis class oth chap
Bacillus fragilis as cause of dis classified to other chaps
Clostridium perfringens as cause of dis class to oth chaps
Other spec bact agents as cause of dis class oth chaps
Haemophilus meningitis
Pneumococcal meningitis
Streptococcal meningitis
Staphylococcal meningitis
Other bacterial meningitis
Bacterial meningitis, unspecified
Meningitis in bacterial diseases classified elsewhere
Meningitis, unspecified
Encephalitis, myelitis & encephalomyelitis in bact dis CE
Intracranial abscess and granuloma
Intraspinal abscess and granuloma
Extradural and subdural abscess, unspecified
Hordeolum and other deep inflammation of eyelid
Blepharitis
Dacryoadenitis
Acute and unspecified inflammation of lacrimal passages
Acute inflammation of orbit
Mucopurulent conjunctivitis
Other acute conjunctivitis
67
H103
H105
H109
H131
H163
H192
H440
H481
H602
H603
H660
H661
H662
H663
H664
H669
H678
H680
H700
H702
H730
H830
I308
I309
I320
I328
I330
I339
I398
I400
I410
I520
J010
J011
J012
J013
J018
J019
J020
J029
J039
J051
J13
J14
J150
J151
J152
J153
J154
J155
J156
Acute conjunctivitis, unspecified
Blepharoconjunctivitis
Conjunctivitis, unspecified
Conjunctivitis in infectious and parasitic diseases EC
Interstitial and deep keratitis
Keratitis and keratoconjunctivitis oth infec/parasit dis EC
Purulent endophthalmitis
Retrobulbar neuritis in diseases classified elsewhere
Malignant otitis externa
Other infective otitis externa
Acute suppurative otitis media
Chronic tubotympanic suppurative otitis media
Chronic atticoantral suppurative otitis media
Other chronic suppurative otitis media
Suppurative otitis media, unspecified
Otitis media, unspecified
Otitis media in other diseases classified elsewhere
Eustachian salpingitis
Acute mastoiditis
Petrositis
Acute myringitis
Labyrinthitis
Other forms of acute pericarditis
Acute pericarditis, unspecified
Pericarditis in bacterial diseases classified elsewhere
Pericarditis in other diseases classified elsewhere
Acute and subacute infective endocarditis
Acute endocarditis, unspecified
Endocarditis, valve unspec, in diseases class elsewhere
Infective myocarditis
Myocarditis in bacterial diseases classified elsewhere
Other heart disorders in bacterial diseases EC
Acute maxillary sinusitis
Acute frontal sinusitis
Acute ethmoidal sinusitis
Acute sphenoidal sinusitis
Other acute sinusitis
Acute sinusitis, unspecified
Streptococcal pharyngitis
Acute pharyngitis, unspecified
Acute tonsillitis, unspecified
Acute epiglottitis
Pneumonia due to Streptococcus pneumoniae
Pneumonia due to Haemophilus influenzae
Pneumonia due to Klebsiella pneumoniae
Pneumonia due to Pseudomonas
Pneumonia due to staphylococcus
Pneumonia due to streptococcus, group B
Pneumonia due to other streptococci
Pneumonia due to Escherichia coli
Pneumonia due to other aerobic Gram-negative bacteria
68
J158
J159
J170
J178
J180
J188
J209
J36
J390
J40
J44
J47
J852
J853
J860
J869
J950
J985
K040
K046
K047
K050
K052
K102
K113
K122
K350
K351
K359
K36
K37
K571
K572
K610
K630
K650
K658
K659
K671
K678
K681
K750
K751
K800
K801
K804
K810
K818
K822
K830
K832
Other bacterial pneumonia
Bacterial pneumonia, unspecified
Pneumonia in bacterial diseases classified elsewhere
Pneumonia in other diseases classified elsewhere
Bronchopneumonia, unspecified
Other pneumonia, organism unspecified
Acute bronchitis, unspecified
Peritonsillar abscess
Retropharyngeal and parapharyngeal abscess
Bronchitis, not specified as acute or chronic
Other chronic obstructive pulmonary disease
Bronchiectasis
Abscess of lung without pneumonia
Abscess of mediastinum
Pyothorax with fistula
Pyothorax without fistula
Tracheostomy malfunction
Diseases of mediastinum, not elsewhere classified
Pulpitis
Periapical abscess with sinus
Periapical abscess without sinus
Acute gingivitis
Acute periodontitis
Inflammatory conditions of jaws
Abscess of salivary gland
Cellulitis and abscess of mouth
Acute appendicitis with generalized peritonitis
Acute appendicitis with peritoneal abscess
Acute appendicitis, unspecified
Other appendicitis
Unspecified appendicitis
Diverticular dis of small intestine without perf or abscess
Diverticular dis of large intestine with perf and abscess
Anal abscess
Abscess of intestine
Acute peritonitis
Other peritonitis
Peritonitis, unspecified
Gonococcal peritonitis
Other disorders of peritoneum in infectious diseases EC
Not in standard ICD10
Abscess of liver
Phlebitis of portal vein
Calculus of gallbladder with acute cholecystitis
Calculus of gallbladder with other cholecystitis
Calculus of bile duct with cholecystitis
Acute cholecystitis
Other cholecystitis
Perforation of gallbladder
Cholangitis
Perforation of bile duct
69
K85
K908
K914
K942
L00
L010
L020
L021
L022
L023
L024
L028
L029
L030
L031
L032
L033
L038
L039
L049
L080
L088
L089
L89
M009
M010
M013
M600
M608
M725
M861
M866
M869
M902
N10
N12
N151
N300
N302
N308
N309
N338
N340
N351
N378
N390
N410
N412
N413
N418
N419
Acute pancreatitis
Other intestinal malabsorption
Colostomy and enterostomy malfunction
Not in standard ICD10
Staphylococcal scalded skin syndrome
Impetigo [any organism] [any site]
Cutaneous abscess, furuncle and carbuncle of face
Cutaneous abscess, furuncle and carbuncle of neck
Cutaneous abscess, furuncle and carbuncle of trunk
Cutaneous abscess, furuncle and carbuncle of buttock
Cutaneous abscess, furuncle and carbuncle of limb
Cutaneous abscess, furuncle and carbuncle of other sites
Cutaneous abscess, furuncle and carbuncle, unspecified
Cellulitis of finger and toe
Cellulitis of other parts of limb
Cellulitis of face
Cellulitis of trunk
Cellulitis of other sites
Cellulitis, unspecified
Acute lymphadenitis, unspecified
Pyoderma
Other spec local infections of skin and subcutaneous tissue
Local infection of skin and subcutaneous tissue, unspecified
Decubitus ulcer
Pyogenic arthritis, unspecified
Meningococcal arthritis
Arthritis in other bacterial diseases classified elsewhere
Infective myositis
Other myositis
Fasciitis, not elsewhere classified
Other acute osteomyelitis
Other chronic osteomyelitis
Osteomyelitis, unspecified
Osteopathy in other infectious diseases classified elsewhere
Acute tubulo-interstitial nephritis
Tubulo-interstitial nephritis not spec as acute or chronic
Renal and perinephric abscess
Acute cystitis
Other chronic cystitis
Other cystitis
Cystitis, unspecified
Bladder disorders in other diseases classified elsewhere
Urethral abscess
Postinfective urethral stricture, not elsewhere classified
Other urethral disorders in diseases classified elsewhere
Urinary tract infection, site not specified
Acute prostatitis
Abscess of prostate
Prostatocystitis
Other inflammatory diseases of prostate
Inflammatory disease of prostate, unspecified
70
N431
N450
N459
N481
N482
N490
N499
N510
N511
N518
N61
N700
N701
N709
N710
N719
N72
N730
N731
N733
N739
N743
N751
N760
N764
O030
O035
O040
O045
O050
O055
O060
O065
O070
O080
O234
O235
O239
O268
O269
O411
O645
O753
O754
O758
O85
O861
O862
O908
O910
O911
Infected hydrocele
Orchitis, epididymitis and epididymo-orchitis with abscess
Orchitis epididymitis and epididymo-orchitis without absces
Balanoposthitis
Other inflammatory disorders of penis
Inflammatory disorders of seminal vesicle
Inflammatory disorder of unspecified male genital organ
Disorders of prostate in diseases classified elsewhere
Disorders of testis and epididymis in diseases EC
Other disorders of male genital organs in diseases EC
Inflammatory disorders of breast
Acute salpingitis and oophoritis
Chronic salpingitis and oophoritis
Salpingitis and oophoritis, unspecified
Acute inflammatory disease of uterus
Inflammatory disease of uterus, unspecified
Inflammatory disease of cervix uteri
Acute parametritis and pelvic cellulitis
Chronic parametritis and pelvic cellulitis
Female acute pelvic peritonitis
Female pelvic inflammatory disease, unspecified
Female gonococcal pelvic inflammatory disease
Abscess of Bartholin's gland
Acute vaginitis
Abscess of vulva
Incomplete spont abort comp by genital tract & pelvic infec
Complete or unsp spont abort comp by gen tract & pelvic infn
Incomplete med abort comp by genital tract & pelvic infec
Complete or unspec med abort comp by gen tract & pelvic infn
Incomplete other abortion comp by genital tract & pelvic inf
Complete/unsp other abortion comp by gen tract & pelvic infn
Incomplete unspec abortion comp by genital tract & pelvic in
Unspec abort, complete/unspec comp by gen tract & pelvic inf
Failed medical abortion complic by genital tract/pelvic infn
Gen tract and pelv infect follow abort/ectop and molar preg
Unspecified infection of urinary tract in pregnancy
Infections of the genital tract in pregnancy
Other and unspec genitourinary tract infection in pregnancy
Other specified pregnancy-related conditions
Pregnancy-related condition, unspecified
Infection of amniotic sac and membranes
Obstructed labour due to compound presentation
Other infection during labour
Other complications of obstetric surgery and procedures
Other specified complications of labour and delivery
Puerperal sepsis
Other infection of genital tract following delivery
Urinary tract infection following delivery
Other complications of the puerperium
Infection of nipple associated with childbirth
Abscess of breast associated with childbirth
71
O912
O982
O988
O989
P38
P390
P398
P77
R02
R651
T802
T814
T826
T827
T835
T845
T846
T857
T858
Nonpurulent mastitis associated with childbirth
Gonorrhoea comp pregnancy, childbirth and the puerperium
Oth mat infect/ parasitic dis comp preg childbirth/puerprum
Unspec mat infect parasit dis comp preg childbth/puerprum
Omphalitis of newborn with or without mild haemorrhage
Neonatal infective mastitis
Other specified infections specific to the perinatal period
Necrotizing enterocolitis of fetus and newborn
Gangrene, not elsewhere classified
Not in standard ICD10
Infections following infusion transfusion & therap inject
Infection following a procedure, not elsewhere classified
Infect and inflammatory reaction due to cardiac valve pros
Infect inflamm reac due other card vasc devs implant and graft
Infect inflam react due pros dev implt & graft urinary syst
Infect and inflammatory reaction due to internal joint pros
Infect and inflamm react due int fixation dev [any site]
Inf inflamm react due oth int prosth devs implants & grafts
Other comps int prosthetic devs implants & grafts NEC
72